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HomeMy WebLinkAbout024-010-093r -y1 `24-0T-93 2126=91B 's•� --GATES, Rosann 1544, Gilstrap •Ave, 'GridIe.y ' �'cotn:-,Bob"Fichter ,� (er` oof/sf) '+r. 024-010-093 CKAE3TREE, DAN 0 -2985' 11544 DFWSNUP, GRIDL~ 11 6 Cont: HAGBERG, J. LO ADD & RENIODEUSF LF t 024-010-093 04-3376 CRABTREE, DANIEL 1544 GILSTRAP AVE, GRID Cont: `GREENE ROOFfNT TRANSFER 042985 TO OGWi•1E19\ l( • f 1, ii l; a 4 ( r -y1 `24-0T-93 2126=91B 's•� --GATES, Rosann 1544, Gilstrap •Ave, 'GridIe.y ' �'cotn:-,Bob"Fichter ,� (er` oof/sf) '+r. 024-010-093 CKAE3TREE, DAN 0 -2985' 11544 DFWSNUP, GRIDL~ 11 6 Cont: HAGBERG, J. LO ADD & RENIODEUSF LF t 024-010-093 04-3376 CRABTREE, DANIEL 1544 GILSTRAP AVE, GRID Cont: `GREENE ROOFfNT TRANSFER 042985 TO OGWi•1E19\ { FI---. T NOTES RESIDENTIAL PERMIT NO. 04 CRA.BFREE, DAN, 1544 LrFGC GRIDLEY 0 3 _C3 76 76 Cclit: GREENE*ROOFIN�G 'It** f I ADD REN40DELSF U JOB FINALED (Date) . lz I Signature SPECIAL CONDITIONS CHECKED BY SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS L, SUB -STANDARD HOUSING LETTER lvL .4 0-3-5 _q3 ';OFFICE COPY Address— GAS Date— Meter By ELECTRIC Date L: Meter Bytic U JOB FINALED (Date) . lz I Signature INSUIATION CERTIFICATE Job Number::::::-, .490 DESCRIPTION OF INSTALLATION 1. ROOF 3. . EXTERIOR WALL Frame A. Cavity Insulation ........................... Material: bei .. ......... Thickness B. Exterior Foam Sheathing Material: Thickness in hc es ........................................................ 4. RAISED FLOOR MaTial:........................................................................ Thickness (inches): ............................ .......... .......... 5. SLAB FLOOR/PERIMETER ............... Thickness (inches): .............................. Perimeter Insulation Depth Inches::::::::::::::::::::::::: ..................... 6- FOUNDATION WALL Thickness(inches): ................................ Brand ............... Thermal Resistance ... ........................ Brand Name: ........ .. ..... ........ Thermal Resistance (R-Value):':,"::":,"::*,:'::"::'.'::'*::"::"::"::*�::":�::'::::::—::::::::::::::::::, .......................... ............ Brand Name: Thermal Resistance ....................................................... Brand Name: Thermal Resistance (R -Value)::::-,':'::-::::-:: ..... ................ Brand (R -Value)::::::::`::::::::::':.'.::: Thermal Resistance .......................... DECLARATION I hereby certify that the abovei insulation was installed in the building at the above location in conformance with the current Energy EfficiencyStandards for. residential buildings (Title 24, Part 6, California Code of Regulations) as indicated on the Certificate of CompliancA, where allplicable.. A . .......... .......... ....... &.3 .... I4 .............................. ........... ........... ............... M .................... Item.Number's. Sid*ure d Date /- -"e - I nstalling Subcontractor (Co. Name) or General Contractor (Co. Name) or Owner Installing Subcontractor (Co. Name) or General Contractor: (Co. Name) or Owner 41 • • : : 'COUNTY OF BUTTE ' BUILDING DIVISION ` DEPARTMENT OF DEVELOPMENT SERVICES 7 County Center Drive - Oroville, CA - (530) 53827541 CORRECTION NOTICE -76 OWNER PERMIT NO.. ;* A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please call for re -inspection when correction of "A work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact the Building Inspector as indicated below. S. ;.e? V M�(_ R�ou (� cu R-rE2 Cc.OS& T 19--( "rs z- Fwt.u4 '&(s-ra c_A T1o&1 of -setwL y> (M m n-s'T& rL %314T14 ?—LIou(UC SuCA710r./ EIeT 5 F c 114 A l.r 2`1 min/ W/06 — 3� x 30 FRon ,.�A.,, / .?;{ Date [� —Z ` —�^ Inspector r �`I'1 rwc/YS - 538 -lam 22 REV 4/05 Phone # ��xY FOR RE -INSPECTION CALL: 538-7636 OR 891-2834 COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 County Center Drive . Oroville, CA . (530) 538-7541 CORRECTION NOTICE A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please call for re -inspection when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact the Building Inspector as indicated below. Date _�2!2 Inspector REV 2/05 Phone # N- J COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 County Center Drive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE A OWNER PERMIT NO. - A routine inspection indicates that the following violations of Butte County Ordinances exist at =� the above address and should be corrected. Please call for re -inspection when corfection„of X work is completed. If you have any questions *pertaining to this matter, or need additional explanation, please contact the Building Inspector as indicated below. REV 2/05 Phone # t2 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION At: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 FAX#: (530)538-2140 WEBSITE: www.buttecounty.net\dds PERMIT NO. BP043376 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 Issued Date: 11/29/2004 APN• 024-010-093-000 the Business and Professions Code, and my license is in full force and effect. License Class: License Number: Site Address: 1544 GILSTRAP AVE GRI Date: Contractor. Map Index: Description: TRANSFER BP042985 FROM CONTRACTOR p OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the* TO OWNER 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 r Owner: CRABTREE DANIEL A & SUSAN M 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 1544 GILSTRAP AVE .she is exempt therefrom and the basis for the alleged exemption. Any GRIDLEY, CA violation of Section 7031.5 by any applicant for a permit subjects the 95948-9764 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 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, Applicant: CRABTREE DANIEL A & SUSAN M 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 1544 GILSTRAP AVE proving that he or she did not build or improve for the purpose of GRIDLEY, CA sale.): 95948-9764 1, 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.). ElL.. I am Exempt under Article 3 o the Business an ofe Bions Code Contractor: y Date: it Owner: Z [[ I 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 License #: 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 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation Architect: insurance carrier and policy number are: Engineer: Carrier: Policy #: ell I certify that in the performance of the work for which this permit is Total Square Ft: 0 S. F. // issued, I shall not employ any person in any manner so as to Valuation: $U.00 become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' Census Code: compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date: Nq /I Applicant: l 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 code, interest, and attorney's fees. 4- l 8 5 a 3 a4-, 93 I J , as q CONSTRUCTION LENDING AGENCY This permit is hereby issued under the applicable provisions of the Butte"County Coda ?nrvo _ I hereby affirm that there is a construction lending agency for the Resolutions to o work indicated above for which fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.)�� ` L Name: By:_Date: PERMIT E "PES ON: I I R' Address: Date ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safely 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. 1 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 a, y official form or document of Butte County. I hereby authorize representatives of Butte Countyto enter upon the above mentioned property for inspection purposes. Print Name: Y 1 1 • �� �k.�f�_ Signature: (' �.11C11c� Date: 1 1 all- I a ��' Owner 0 Contractor ❑ Agent for Owner 0 Agent for Contractor BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 FAX#: (530)538-2140 WEBSITE: www.buttecounty.neAdds PERMIT NO. BP042995 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 Issued Date: 11/29/2004 APN: 024-010-093-000 the Business and Professions Code, and my license is in full force and effect. License Class: License Number: Site Address: 1544 GILSTRAP AVE GRI Date: Contractor: Map Index: Description: ADD SF(1495)COV(170)STG(98) 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 Owner: CRABTREE DANIEL A &SUSAN M 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 1544 GILSTRAP AVE 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 GRIDLEY, CA she is exempt therefrom and the basis for the alleged exemption. Any 95948-9764 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 intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an Applicant: HAGBERY, J. LOWELL owner of property who builds or improves thereon, and who does PP such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for 1151 FRENCH AVENUE sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of GRIDLEY, CA 95948 proving that he or she did not build or improve for the purpose of 530-682-1533 cell 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 Contractor: HAGBERY, J. LOWELL pursuant to the Contractors' State License Law.). ❑ I am Exempt under Article 3 of tH Business a -professions Code 1151 FRENCH AVENUE Z% Date: (- Owner: ` G GRIDLEY, CA 95948 530-682-1533 Cell WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: License #: 381195 ❑ I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. Architect: ❑ I have and will maintain workers' compensation insurance, as Engineer: g 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 policy number are: Carrier: Total Square Ft: 1763 S.F. Policy #: Valuation: $102,247.00 14 I certify that in the performance of the work for which this permit is Census Code: 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: 9 1. Applicant: 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 4/ �� 4_ code, interest, and attorney's fees. Q'18 5_0D t 64-rro,1 ?j I I 04 `-Lt7NSTRUGTION LENDING AGENCY This permit�ish7eby issued under the applicable provisions of theButte County Code ?ndlor I hereby affirm that there is a construction lending agency for the Resolutionso work indicated above for which fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) By: L Date: Name: PERMIT RES ON: 1 ( b Address: Date O 1 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: �t S�\� i Y l \ f- 0_ -t -e,12- Signature: — - Date: Xowner ❑ Contractor 13 Agent for Owner ❑ Agent for Contractor J=OK 0 = Not OK + = NotReadyable MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/0 -Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap;-/ /" L 'ft. / P Nat. or / /" L "ft./ P LPG 7. Well Clearance & Disconnect 8. Utility Clearance 8. Gas and Electricity Tagged 9. Tie Downs -Type -Installation Cert. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch 11. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PERMANENT END SYSTEM (ONLY) 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Blocking 4. Gas; MH Test -Demand -Valve 5. Electricity; MH Test 6. Water; MH Test 7. Water and Sewer Connected 8. Gas and Electricity Tagged 9. Exits 10. License Decals 11. Verify #'s with Office Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs-Connectors Shthg-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-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- Panel boards- Ins. to Main Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche 12. Enclosure; Fencing -Alarms Date Card B-1 Date Card B-1 Date Card B-1 - Date Card B-1 J=OK 0 = NotOK - =Not Applicable Ap . = Not Ready Furnace Vents -clearance -Comb, Air -Connector - In Gara ; Above Floor-Ducts-Mech. Protection - RESIDENTIAL Date UNDERFLOOR (Plans) OK except #'s Card Date Card B-1 1. Zoning -Setbacks -Easements -Flood -Slope 70. Stairs & Rails 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth -,4jrWater Pipe; Test & Anchor -Nail Protection D.W.V.; Test Fittings & Anchor -Nail Protection 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance 4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth '22. Gas Pipe; Sixe & Anchors 5. Stemwalls, Main; Steel-Blockouts-Wrapped 77. 6. Stemwalls, Garage; Steel-Blockouts-Wrapped Card B-1 Date Card B-1 6a. Hold Downs and Special Anchors Date - 7. Slab, Steel -Wrapped 2 ure & Transformer Clearance -Ins. Protection 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/0 -Sewer Test omex Installed Close to Edge of Studs & C.J. 10. UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test 1 14f C2g2Equ p -Ground made up w/Mech Fasteners -Bond Water 'Tee -OZ -Appliance Circuits in Kitchen & Conductor Size GFI 11. Water Pipe; Test -Anchors -Regulator -Service Test 30. Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or Al 12. Electric Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. 33. E5go'Clearances Panels-Motors-Mech. Equip. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 91. Corrections from Previous Inspections 15. Access & Ventilation Gas Test -Meters Tagged, Gas -Electric 16. Insulation (Single & Duplex) Date FRA G (Continued) Han ers-Post Caps -Anchors -Connectors li g: Joist-Rftr. Ties- Purl in -Roll Brac.-Truss-Shting.-Rtng. 4 ire lace Ties or Type A Flue -Fireplace Throat Clearance 50. Akfic Access; Size & Romex Protection -Draft Stop -Ins. Baffles . Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions ge Fire Protection Framing -RC Channel . Property Line Firewall & Openings. 4. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection ti56 lywood on Roof Overhang -Attic Vents -Rafter Outriggers iding-Nailing Veneer Stucco Mesh -Drip Screed -Fd. Vents-Underfir. Access e,OW9. Glazing Area -Glass Protection -Skylights -Plastic 60. Shear Wal ; Nailing -Bol 61. Brace I rior/Exteri all Panels" ,P _k Insulation -Walls -Ceilings r 63. I nfi Itration- Walls -Windows Date Card B-1 Date Card -B-1 Date Card B 1 Date Card B-1 Date FINA ans) OK Lfxcept #'s El Steps -Door & Sidelight Protection -Landings Smoke Detector 66. Furnace Vents -clearance -Comb, Air -Connector - In Gara ; Above Floor-Ducts-Mech. Protection Date Card B-1 Date Card B-1 Date Card Date Card B-1 Date PLU I (Permit) OK except #'s 70. Stairs & Rails ter Htr.; Vent -Access -Combustion Air Baffle Fireplace or Stove, Clearance -Hearth -,4jrWater Pipe; Test & Anchor -Nail Protection D.W.V.; Test Fittings & Anchor -Nail Protection Elec. Outlets at Wood Panel, Int. & Ext. 20. Shower Pan; Test, First Floor -Tub Access Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance 21. Test Tub & Shower, Second Floor -Tub Access Elec. Outlets & Receptacles at Kit. Counter '22. Gas Pipe; Sixe & Anchors 76. 23. Fire Sprinkler; Test 77. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date - ELECTR AL (Permit) OK except #'s 1. 2 ure & Transformer Clearance -Ins. Protection 82. EI eceptacles Spacing -Lights & Switches at Doors 26-11!9isp-soxes & No. of Conductors Stapled _ 83. omex Installed Close to Edge of Studs & C.J. . 1 14f C2g2Equ p -Ground made up w/Mech Fasteners -Bond Water 'Tee -OZ -Appliance Circuits in Kitchen & Conductor Size GFI 86. 30. Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or Al 87. 31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or Al Insulated Neutral O Yes O No 32. Service -Riser Conductors & Ground Main Disconnect 89. 33. E5go'Clearances Panels-Motors-Mech. Equip. 34 -.-'Clothes Closet Light -Shower Light -Spa Light 91. Corrections from Previous Inspections Smoke Detector Gas Test -Meters Tagged, Gas -Electric ,.93 -Water & Sewer Connected -C/O to Grade -HD Approval Date Card B-1 Date Card B-1 Date Card B-1., Date Card B-1 Date MECHANfCAL (Permit) OK except #'s Date -21(_0S . A.0 ucts Insulation & Support Date nt Fan, Exhaust above insulation o nsate Drain & Overflow, Size & Grade mace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet Date 4 . 'Attic Access & Platform if Furnace in Attic Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMjNG (Permit) OK except #'s Sill roper Materials & Anchors al tuds-Nailing Spacing & Braces -Plates -Sound 43ellearing Walls over Girders & Floor Nailing 44. Dra top in Walls (rat proof) 4 ire S ops, Furred Ceilings -Stairs -Chasers -Tubs 46. eaders & Beams -Size & Bearing Date FRA G (Continued) Han ers-Post Caps -Anchors -Connectors li g: Joist-Rftr. Ties- Purl in -Roll Brac.-Truss-Shting.-Rtng. 4 ire lace Ties or Type A Flue -Fireplace Throat Clearance 50. Akfic Access; Size & Romex Protection -Draft Stop -Ins. Baffles . Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions ge Fire Protection Framing -RC Channel . Property Line Firewall & Openings. 4. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection ti56 lywood on Roof Overhang -Attic Vents -Rafter Outriggers iding-Nailing Veneer Stucco Mesh -Drip Screed -Fd. Vents-Underfir. Access e,OW9. Glazing Area -Glass Protection -Skylights -Plastic 60. Shear Wal ; Nailing -Bol 61. Brace I rior/Exteri all Panels" ,P _k Insulation -Walls -Ceilings r 63. I nfi Itration- Walls -Windows Date Card B-1 Date Card -B-1 Date Card B 1 Date Card B-1 Date FINA ans) OK Lfxcept #'s El Steps -Door & Sidelight Protection -Landings Smoke Detector 66. Furnace Vents -clearance -Comb, Air -Connector - In Gara ; Above Floor-Ducts-Mech. Protection Bed r Exiting 6 . & Bath Fixtures & Tub Acces p o(L. GaWAD Elec. Trim & Subpanel, Breaker Sizes & Labels 70. Stairs & Rails 71. Fireplace or Stove, Clearance -Hearth 72. Elec. Outlets at Wood Panel, Int. & Ext. 73. Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance 74. Elec. Outlets & Receptacles at Kit. Counter 75. Garage Fire Door; Swing -Landing -Closure 76. A.C. Duct in Garage -Damper 77. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection Ib.; Elec. & Mech. Equip. Listed for Location ec. Receptacles in Garage (F.F.I.)-Romex Protection . Insulation -Foam -Looked in Attic 1. Guard Rails & Deck Construction -Post Caps 82. Fdn. VBents & Crawl Hole Door Drainage; & Wood -Earth Clearance Looked under Floor O Yes \ _ 83. Fol ing Instld./Drive O Yes O No/Walks O Yes O No/Planters O Yes O No . tucco Brown -Finish ` A.C. Unit Disconnect, Electrical -Plumbing 86. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 87. Water Well, Disconnect, Electrical, Plumbing Exterior Elec. Trim, G.F.I. Receptacle -Underground 89. Ventil tion Throughout House lass Protection 91. Corrections from Previous Inspections Gas Test -Meters Tagged, Gas -Electric ,.93 -Water & Sewer Connected -C/O to Grade -HD Approval 94 Energy Compliance Certificate -Other Certificates 95. Address Posted 6. Fire Sprinkler Date -21(_0S Card B-ltZE 3. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 FAX#: (530)538-2140 WEBSITE: www.buttecounty.net\dds PERMIT NO. BP043376 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 Issued Date: 11/29/2004 APN: 024-010-093-000 the Business and Professions Code, and my license is in full force and effect. License Class: License Number: L Site Address: 1544 GILSTRAP AVE GRI Date: Contractor. Map Index: Description: TRANSFER BP042985 FROM CONTRACTOR p - OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the TO OWNER 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 Owner: CRABTREE DANIEL A & SUSAN M 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 1544 GILSTRAP AVE she is exempt therefrom and the basis for the alleged exemption. Any GRIDLEY, CA violation of Section 7031.5 by any applicant for a permit subjects the 9594879764 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 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, Applicant: CRABTREE DANIEL A & SUSAN M 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 1544 GILSTRAP AVE proving that he or she did not build or improve for the purpose of GRIDLEY, CA sale.). 95948-9764 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.). ❑ lam Exempt under Article 3o the Business an ofe sions Code Contractor: Date: 11112qJQ9 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 License #: 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 Architect: insurance carrier and policy number are: Engineer: Carrier: Policy #: I certify that in the performance of the work for which this permit is Total Square Ft: 0 S. F. issued, 1 shall not employ any person in any manner so as to Valuation: $0.00 become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' Census Code: compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date: 21 1,U Applicant: 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 code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY This permit is hereby issued under the applicable provisions of the Biitte Codnty Codp amruor I hereby affirm that there is a construction lending agency for the Resolutions to d work indicated above for which fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) r- '' // <3 �} Name: By: Date: PERMIT E "PES ON: I I-� -7 - 0 S 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 iriformation is cored, 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 a y official form or document of Butte County. I hereby authorize representatives of Butte County to enter upon the above mentioned property for inspection purposes.' ��CA iL�\ a Signature: v" Print Name: ,�.l�Y 1 1(N • 1 Date: 1 tJ Ij� Owner ❑ Contractor ❑ Agent for Owner 0 Agent for Contractor +owell Hagberg Hagberg Construction, 530-846-3076 #381195 NAME 1qq ADDRESS :5 CITY- (,7 -ft STATE ' (Zr4 ZIP JE Gridley, CA 95948 1. 1 Description Labor & Mat. Cost (AA)f 411 llrC Yg;. CIA YC le 4 9 f� 6 S Vf�e- C4)YJ 4LA� jej I XAAI vt' V5 A-- I Cash on cbmpleti 6n unles',s previously arranged & initialed: %A Builder CustomeK Rec'd by Billing Total Estimate Total Date N�V W I LLDAN Serving Public Agencies November 19, 2004 Scott Rutherford Butte County Building Department 7 County Center Drive Oroville, CA 95965 (530) 538-7169 (530) 538-2140 FAX SUBJECT: COUNTY OF BUTTE PLAN REVIEW APPROVAL 117 C Street Marysville, California 95901 530/749.2373 fax 530/749.2199 www.willdan.com Willdan Project No: 14353-1214 Jurisdiction Job No: 04-2985 Assessor's Parcel No: 024-010-093 Applicant: Dan Crabtree Description: Single Family Residence Addition Dear Mr. Rutherford: Willdan has completed a plan review of submitted plans and documents for the above referenced project and recommends your approval with the conditions noted on the 2"d page of this letter. The plans and documents provided for this review that have been found in compliance with the applicable codes are: Plans: Two (2) copies sheets cover through 1 dated 07-01-04, by Barry Rubanoff, two (2) copies sheets 2 and 3 dated 07-12-04, by Barry Rubanoff, two (2) copies sheet 4 not dated, by Barry Rubanoff, two (2) copies sheet 5 dated 07-15-04, by Barry Rubanoff, two (2) copies sheet 6 dated 07-01-04, by Barry Rubanoff. Energy Calculations: Two (2) copies dated 10-09-04 by Barry Rubanoff. Truss Calculations: Two (2) copies dated 07-21-04, by Mitek Truss -Robert Anderson P.E. The plans have been stamped with the Willdan approval stamp and dated the date of this letter. On the pages to follow is the identification of the codes and standards applicable to the project, a code analysis, conditions -of -approval and identification of any deferred submittals. tt 4/ W I LLDAN Serving Public Agencies APPLICABLE CODES Unless noted otherwise, all comments are based on requirements of the 2001 California Building Standards Code found in the California Code of Regulations, Title 24: • Part 2, known as the California Building Code and abbreviated herein as "CBC" • Part 3, known as the California Electrical Code and abbreviated herein as "CEC" • Part 4, known as the California Mechanical Code and abbreviated herein as "CMC" • Part 5, known as the California Plumbing Code and abbreviated herein as "CPC" • Part 6, known as the California Energy Code, and Energy Commission Standards, and abbreviated herein as "CECS" CODE ANALYSIS Type of Type of 1" Floor 2° Floor Sprinklers Stories Total Sq Ft Occupancy Construction Sq Ft Sq Ft R-3 V -N No 1 1597 NA 1597 Covered V -N No 1 722 NA 722 Porch(s) These areas are not consistent with what is shown on the Butte County permit application. The square footage of the new portion of the dwelling is listed as 1495 feet which is correct except that the pump room on the plans brings the total square footage of the dwelling to 1597 square feet. Butte County may wish to revise permit fees associated with this project. CONDITIONS OF APPROVAL 1. Approval is contingent upon the review, requirements and approval of other departments and/or agencies that have jurisdiction over this project. 2. Revisions and/or notes as red -lined on the plans. 3. *Permit application building areas specified in the scope -of -work shall be reconciled with plans to Butte County's satisfaction. DEFERRED SUBMITTALS Our plan review reveals no deferred submittals noted at this time. SPECIAL INSPECTION NEEDS Our plan review reveals no special inspection needs pursuant to CBC 1701. Sinc ly, saac Kuste Plans Examiner Cc: E-mail Alice Mefford at: amefford@buttecounty.net Dan Crabtree, 1544 Gilstrap Ave., Gridley, CA 95948 Page 2 of.' 4 �. 4,e.E. /8 Gordon Wright, Plan Check Engineer County of Butte Permit Number 04-2985 Willdan Project Number .14353-1214 SITE PLAN REVIEW APPLICATION Date: ? 1 _qLea( AP# c,,2 -q `ol -0 93 Permit Number (if applicable) APPLICANT INFORMATION �,, Parcel Sizer Owners Name: Owners Address: Qom• g Telephone No.: , "4-u Situs Address: Proposed Use: Residential 16 New Single Family Residential Single Family Addition, ❑ Single Family Remodel ❑ Mobile Home /&V� /ta�iv►'1 �/AX"% ❑ Residential Accessory ❑ Permanent Second Dwelling ❑ Temporary Mobile Home (Aunt Minnie) ❑ Temporary Travel Trailer ❑ Multi -family Non-residential ❑ New Commercial ❑ Commercial Addition ❑ New Industrial ❑ Industrial Addition Other ❑ Septic ❑ Agricultural Exempt Building ❑ Other: Brief Explanation (if necessary): ❑ Commercial Remodel ❑ Industrial Remodel ❑ Well DO NOT WRITE BELOW THIS LINE DEVELOPMENT SERVICES INFORMATION (For Staff Use) Approved ❑ Conditionally Approved ❑ Resolve Problems Prior to Approval Site Plan Stamped Approved' By _C�2-fit Date 1l fQ 0 Page 1 of 5 ALL ITEMS CHECKED APPLY TO THE PROPERTY Parcel Is In: ❑ Snow Load Area: ❑ Land Conservation Act Minimum Acreage: ❑ Verify residence can be built per contract ❑ Nitrate Action Plan (See Environmental Health for standards) ❑ Watershed Protection Overlay Zone (See attached standards and requirements) Expansive Soils (Test for expansive soils and if verified proper foundation design required) OCG SRA - (CDF to determine specific requirements) ❑ 100 -Year Flood Plain: (See attached) • Flood Zone: • Flood Panel No.: d&OM-111 ec, Index Date: Q ❑ Sacramento River Reclamation District (Approval must be obtained from the Cali ornia Reclamation Board) ❑ Feather River Reclamation District (Approval must be obtained from the California Reclamation Board) ❑ North Chico Specific Plan (See Development Fees Section and attached standards and requirements) ❑ Chapman/Mulberry (See attached standards and requirements) ❑ Cohasset Area (See attached standards and requirements) ❑ Grading Zone (See attached handout) Use Requires: ❑ Use Permit ❑ Minor Use Permit ❑ Administrative Permit ❑ Minor Variance ❑ Variance ❑ Detached Building Use Form ❑ Encroachment -Permit _ ❑ Agricultural Worker Affidavit ❑ Agricultural Acknowledgement Statement Zoning: 1' Applicable Building Setbacks: ❑ Setbacks drawn on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks. Page 2 of 5 Zoning Code Streets & Highways Fire Prevention Subdivision Map Front Side S', Side Street RearJ� t Height Waterway N/A N/A N/A ❑ Setbacks drawn on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks. Page 2 of 5 Applicable Development Fees: Standard Fees ❑ Fire ❑ School* ❑ Parks/Recreation ❑ Roads ❑ Sheriff ❑ Drainage ❑ NCSP/CSA 87 ❑ Chico Urban Area — Road ❑ Thermalito Impact ❑ Other Amount Formula --------------------------------------------------------------------------------------------------------------- Subdivision Map Special Fees ❑ Water Tender ❑ Road Improvement ❑ North Oroville Area ❑ Other (per map) ' Check with school district to verify actual fee if pre -application review. A final determination will be made at the time of the building permit. Parcel Created By lk Deeds: Date of Creation: YD I4 73 Legal Access Provided: ❑ No KYes Deed of Reference: /5,57 - 30�z Legal Access Required ❑ 1\ o Fj Yes Parcel Frontage on Publicly Maintained Road: ❑ No ll Yes, Road Name: Complies with County Standards for Deed Creation:❑ No ❑ Yes Comments: Parcel Deemed to be legal ❑ Verify Legal Parcel '❑ Verify Legal Access ❑Provide Deed of Creation ❑ Obtain a Certificate of Compliance ❑ Obtain a Merger ❑ Obtain a Lot Line Adjustment ❑ Comply with Old Subdivision Lot Ordinance (Maps recorded prior to Book 17 of Maps Page 23). ❑ Construct road to: ❑ Meet Parcel size required by zone ❑ Meet current Environmental Health Department requirements Page 3 of 5 ❑ Subdivision Map/Parcel Map: Map Date of Recording: Lot: ❑ Use Permit/Minor Use Permit Permit Number: Book: Page: Date of Approval: Parcel Map/Subdivision Map/Use Permit Conditions ❑ Comply with the following Conditions of Approval: ❑ Meet the Fire Safe Regulations of Butte County and P.R.C. 4290 ❑ Automatic fire suppression sprinkler systems shall be installed in accordance with the National Fire Protection Association Standard for installation of sprinkler systems in one and two family dwellings and mobile homes, NFPA Standard 13D,.unless a pressurized community water system, with hydrants that meet the Fire Department specifications, serves the parcel. ❑ Wood stoves and fireplace inserts shall be EPA approved and designed to meet the emission requirements of the California Clean Air Act of 1988, as amended. ❑ Provide an erosion control plan for building and land disturbance. The Erosion Control Plan must be prepared by a registered civil engineer or other qualified professional and be submitted to and approved by the Department of Public Works. ❑ In lieu of a pressurized water system or water.storage'lank, payment into the appropriate Battalion Water Tender Fund may be required. ❑ Measures shall be taken to control fugitive dust emissions from all driveway and other civil construction associated with residential development.. Approved dust control measures are found in the fugitive dust control plan for the site approved by the Butte County Air Quality Management District, a copy of which can be obtained from the Butte County Department of Development Services, Building Division." ❑ Engineered foundations are required. ❑ Class A roofs are required. ❑ Property owners responsible for roa Page 4 of 5 ;1l x Summary of Specific Requirements: This information provided in this summary is based on the application information and on the best available data at the time of review. C:V-TTys\Building Permit Site Plan Reviewl.doe Page 5 of 5 x Summary of Specific Requirements: This information provided in this summary is based on the application information and on the best available data at the time of review. C:V-TTys\Building Permit Site Plan Reviewl.doe Page 5 of 5 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 FAX#: (530)538-2140 WEBSITE: www.buttecounty.net\dds PERMIT NO. BP042985 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 Issued Date: 11/29/2004 APN: 024-010-093-000 the Business and Professions Code, and my license is in full force and effect. License Class: License Number: Site Address: 1 GILSTRAP AVE GRI Date: Contractor. Ma p Index: Description: ADD SF(1495)COV(170)STG(98) OWNER43UILDER 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 Owner: CRABTREE DANIEL A 8r SUSAN M 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 1544 GILSTRAP AVE 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 GRIDLEY, CA she is exempt therefrom and the basis for the alleged exemption. Any 95948-9764 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 intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an Applicant: HAGBERY J. LOWELL owner of property who builds or improves thereon, and who does PP such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for 1151 FRENCH AVENUE sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of GRIDLEY, CA 95948 proving that he or she did not build or improve for the purpose of 530-682-1533 cell 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 Contractor: HAGBERY, J. LOWELL pursuant to the Contractors' State License Law.). ❑ I am Exempt under Article 3 oft Business a rofessions Code 1151 FRENCH AVENUE ��`,W�// ,Owner: GRIDLEY, CA 95948 Date: Z L 530-682-1533 cell WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: License #: 381195 ❑ I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. Architect: ❑ I have and will maintain workers' compensation insurance, as Engineer: g 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 policy number are: Carrier: Total Square Ft: 1763 S.F. Policy #: Valuation: $102,247.00 I certify that in the performance of the work for which this permit is Census Code: 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: q 10 U Applicant: 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 �� S rJ Q' I b f 64 code, interest, and attorney's fees. ¢IS 58D $ 64-x, 13 f I aq o4 CONSTRUCTION LENDING AGENCY This permit is h reby issued under the applicable provisions of the Butte County Code a.,nrvo� I hereby affirm that there is a construction lending agency for the Resolutions to o work indicated above for which fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) - By: �K' Date: I • 4 - Name: PERMIT RES ON: i I • a G • 6�;- PERMIT Address: Date ❑ 1 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 o rcial form or document of Butte County. I hereby authorize representatives of Butte County to enter upon the mentioned property for inspection purposes. pabove Print Name: 7 (sA S-iN Y Y 1 \ (ll.0 )�� Signature: Date: XOwner 13 Contractor 0 Agent for Owner ❑ Agent for Contractor BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES 5/6,7/ BUILDING PERMIT APPLICATION _161-g`i AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 - CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REOUIRED AT TIME OFAPPLICATION "PLEASE PRINT CLEARLY" OWNER Last Name , _ _ 1 ust Name Address City tat I Zip Phone Fax E-mail APPLICANT NAME CONTRACTOR Name. City Address Zp City State State FZjp i 1 Phone E Fax E-mail Planner Uc. # Class APPLICANT NAME ARCHITECT/ENGINEER Name City Address Zp City State Zp Phone Fax E State License Number APPLICANT NAME Name Address City State Zp Phone Fax E -mal APPLICANT SIGNATURE X For office use only: Zoning ,-- Flood Zone Cross Street SRA I Yes Policy Number Occ. Type Const Subdr&ion Name Map Book Page Lot # Planner Date Approved: PERMIT NO. BP BIN # n LOCATION Property`AA res! G / �s `` C( r / Cross Street WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address Desc iption or Scop of Work: Sq. FootareF / s cooLM)0 ❑ Structure Built Wthoidt 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 fee will be 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. Received byUr4t-_ Amount Receipt#: Date: fi�)1;402f SRA Sheriff SMIP // /r Other G .1n#A SUBMITTAL & PERMIT REQUIREMENTS The following drawings and specifications must be submitted to the Building Division in order to apply for a permit. INCOMPLETE SUBMITTALS kWLL NOT BEACCEPTED. ALL PLANS MUST BE LEGIBLEAND IN INK ❑ 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. No graph paperl ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans (No graph paper!) OR Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. :1 3. Engineered truss details and layouts in duplicate Cf required). No faxesl :1 4. Energy compliance design and supporting documentation in duplicate. (Note: Not required for additions to mobile or modular homes.) 7 5. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. 7 6. Manufactured homes: (A) Data sheets and installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fid plans, all in duplicate. 7 7. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. 7 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate (if required). ] 9. Site plan and business license approval from the City of Biggs. 10. Lefler of intent for non-residential buildings. 7 11. Detached Accessory Building Form filled out by the owner (if required). 12. Hazardous Material Form (for Commercial Buildings only). ] 13. Sanitation and site plan approval from the Environmental Health Department. remaining items needed to issue the permit. Additional items may be required after Plan Check and Planning ;view (May require additional plan review upon receipt of the following items.) I 1. Agricultural Buffer clearance and site plan approval from the Ag Commissioner's office (if required). I 2. Impact Fees. I 3. California Department of Forestry plan approval (if required). 1 4. NPDES Form. 5. Encroachment Permit for driveway from the Public Works Dept, (construction approval prior to occupancy). 6. Contractor's license information. (Number, Name Style, Classification). 7. Worker's Compensation Carrier and Policy Number. 8. Owner -Builder Verification (if required). 9. Letter of Signature authorization (if required). 10. Recorded copy of Agricultural Acknowledgment Statement. 11. ❑ Grant Deed, O M.H. Title/Statement of Facts, ❑ Lefler from Legal Owner (for 433A's). you have questions or would Pike additional information regarding this process, contact a Permit )plication Assistant at (530)538-7541. EXPIRATION OF APPLICATION plications for which a permit has not been issued will expire one year after date of application. In order to renew action an application after expiration, a new application, plans and fees wig be required. REQUEST FOR FEE REFUNDS funds can only be made upon written request by the person who paid the fee. The request must be made within two irs from the date of fee payment on permits not issued, and two years from the date of permit issuance for permits jed; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan -ck fees for work plan checked and other department costs are not refundable. OVER FOR BUILDING PERMIT APPLICATION :RMSSUILDING F0RMS16IdmAnm1.Q0,P^m#. ,4.,.. - COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES-BUILDI DIVISION 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET r OWNER: t y� ASSESSOR PARCEL NUMBER � ` Proposed Building Use:Q / /i i/`LG�x' �--�f' Counter Technician: CAF Date: V /d U q Items required in order to apply for a permit. All boxes MUST be checked OR marked NA in order to apply. 6 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. . 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. 0' 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. --------_ _ o-� 4. Engineered truss details and layouts in duplicate. No faxes! 0 5. Letter from Engineer or Architect for truss design review. 6. Energy compliance design and supporting documentation in duplicate. 7. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 8. Manufactured homes: (A) Data sheets and installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. ❑ 9. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate ❑ 11. Site plan and business license approval from the City of Biggs ❑ 12. Letter of intent for non-residential buildings ❑ 13. Detached Accessory Building Form filled out by the owner ❑ 14. Hazardous Material Form 15. Sanitation and site plan approval from the Environmental Health Department in ❑ Chico ❑ Oroville, as applicable. ❑ 16. Other Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) ❑ 17. Fire Sprinklers............................................................................................ ❑ 18. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by ❑ 19. Soils Report and/or Engineered Foundation required ........................................... ........ " 0�: `• 20. Erosion Control Plan Required........................................................................ ......:. 01. 21. Fees as shown on the attached Schedule of Fees Due Sheet .............................. City of Chico Plumbing permit........................................................................ �1 0f23. California Department of Forestry plan approval ❑ paid. Sent by: ............. '24. Planning approval (A) Use:-OLC(B)Parking: (C) Parcel Check: ❑ 25. Contact Land Development about _ Improvements, _ Drainage ......................... 26. NPDES Form............................................................................................. ❑ 27. Encroachment Permit for driveway from the Public Works Dept ........................... ❑ 28. Pre -Inspection for required....... ❑ 29. Contractor's license information. (Number, Name Style, Classification) ................... ❑ 30. Worker's Compensation Carrier and Policy Number .......................................... ❑ 31. Owner -Builder Verification (_ Given to owner, _Mailed to owner) ..................... ❑ 32. Letter of Signature authorization.................................................................... ❑ 33. Recorded copy of Agricultural Acknowledgment Statement ................................. ❑ 34. Manufactured home utility clearance............................................................... ❑ '35. Existing violations and/or expired permits......................................................... ❑ 36. Deed Restriction......................................................................................... ❑ 37. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $ ❑ 38. Other: D 39. Other: _ When issued Telephone -�/� - and hold'for pickup. I have been-iniformed of the above items and requirements for obtaining a building permit. Applicar) X/" / Date: 1-2 - 04 1. Index permi a pfcation for the ove items u ered Plan Check Letter -....... 2. Additional its equired Prr , delig er, owner, was advised of the above data by phone, ❑ mail, ❑ counter, by Date: ontC ractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date. Plans reviewed by: Date: Plans approved by: Date : Structural reviewed by: Date: Structural approved by: jQDate: Note transfer by: Date: 1.1 Yellow: Building Division E.K USE GAILY Flai.Bian Attachod May Rmn Attachaa.-1 ti Sent to ®.D. / TO: Building Department ; FROM: Environmental Health SUBJECT: Sanitation Clearance Owner Location AP# Plan Approved for: Sewage Dispos Wate S ppl Public ,,Pri ate Well Clearance for dwelling. Other nn .M.i..t 11M,nr• l� _ Hold final for: Final clearance O.K. for: NOTE: OVIJ Environmental Health Specialist Date 8/96 BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One form per Building) Bullding Department N2 ' 1 School District C A.P. Number a. Property Owner r Property Location/Address Subdivision Jurisdiction: City. 2� 06,/L3r Residential Development Q Q No of Living Mobile Home Units Installation l Lot No. // ''�•�'z'� ,�,� i..............N-11»».................................................................... V l h1 �`// LID Sq. Footage dition/ 'Supplemental to (Group R) Conversion Permit # „9 *(No foundation Inspection) i ..............».....». »......» ».....»»».: Deed Restricted Sq. Footage (Attach a signed copy of Deed Restriction and Notice of Limited Use Facility document) Commercial/Industrial Q Sq. Footage New Addition (Including Exterior II Roofed Areas) Building Department Representativ Date District Identification No. !r 1Ae a , School District certifies that r ' (Applicant) CIE 1 (Street,Address) (Phone Number) (City) (State) (Zip Code) has complied with the requirements of Resolution No. representing ` L q r,,, square feet. School District Representative - \,,, 2 `r c� Paid by Check # 5Q� Remarks: by payment of $ _-'4, ) a r 2926LL MITIGATION $ �q•_o�l Date t ,S' Notice: You may protest the imposition of the teas Identified above by submitting a written protest to the District, In compliance with Government code Section 66020(a), within 90 days from the date fees are paid. Failure to submit a timely written protest Wl'prohibtt you from challenging the Imposition of the fees In any court action. K, subsequent to the School District Repwsentadw signing thio Butte County Schools Impact Fes Certification Form„ the School NoWd is notifled by ties appileable Local Planning Agency that this project Is being rsvNwed under the Callfomla Environmental Quality Act (CE"h this project may be subleet to addtilonal school fees to fully mitigale.its Impact on the school dbhkt's schools. White (applicant), Yellow (building department), mink (school district) feefam.xls (10/03)dmm 1. COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE, CA 95965 TELEPHONE (530)538-7541 SCHEDULE OF RECEIPT OF FEES OWNER PROPROSED BUILDING USE S 1_._B UILDING PERMIT FEES -Balance Due ..................... $ o --- Additional Fees Due........... $ --- Revised Plan Checking Fee.... $ V ?2. SCHOOL DISTRICT FEES(2��6 (paid at School District Office) (form available after PWn Check) A.P. # Q CO) DATE V RECEIPT # DATE REC. 4 q'�gy II -Z .04-- 3. SHERIFF FEES (paid at Building Division) Residential............ X $360.00 =$ Units Commercial (sq. ftg.)..... X $0.03 = $ _ Sq.Ftg. 4. URBAN AREA FEES (paid at Building Division) Residential (per unit)..... X = $ _ # Units Amt. Commercial (Sq. Ftg.).... X = $ . Sq. Ftg. Amt. 5. RECREATION DISTRICT FEES (paid at Recreation District Office) (form available after Plan Check). 6. THERMALITO DRAINAGE DISTRICT FEES $510.00 (paid at Building Division) 7. SRA FIRE INSPECTION AND PLAN CHECK FEE $89.00 (paid at Building Division) 8. WATER TENDER FEES BATTALION #, $200.00 (paid. at Building Division) 9. NORTH CHICO SPECIFIC PLAN (paid at Building Division) Residential Zone . X Zone # Units Amt. Commercial (sq. ftg.) ......... X = $ Sq. Ftg. Amt. l0.OTHER Y I 1 2 /to, 6,q- -- At time of permit application, I was advised the above fees are required to be paid prior to issuance of the permit. These fees may be changed duan' g�Ae plan checking process. Pursuant to GovernVde We Section 66020, you are hetxnotifi have 90 days from tof approval ofthe project or from the im protest are specifiedrnment Code Section 66020(a). Original -Building Division Yellow -Applicant Pink -Owner DATE tems, 2, 3, 4, 5, 6, 8, 9, and 10 above may have been imposed on your project. You of the above mentioned items during which you may protest. The requirements for a (rev. 2/2003) 5 70-o If ,Department C o u. m y J. Michael Crump, Director of Public Works o f B u t t e LAND DEVELOPMENT DIVISION Storm Water Management Program 7 County Center Drive Oroville. CA 95965 (530) 538-7266 (FAX) 538-7171 National Pollutant Discharge Elimination System (NPDES) Phase II Construction Storm Water Permit and Storm Water Pollution Prevention Plan (SWPPP) Acknowledgement [LESS THAN 1 ACRE1 Project Description: X,&Z_ Z f �L Project Location and/or Parcel Number: By signing below, I, the project owner/owner's agent, certify that this project WILL NOT DISTURB 1 acre or more of land and that I, therefore, do not need to apply for a Construction Storm Water Permit from the State of California'Regional Water Quality Control Board. Phased projects that contain multiple site build -outs of less than one acre but when combined with subsequent phases total more than one acre of disturbed soil will require a Construction Storm Water Permit from the State of California Regional Water Quality Control Board. I am aware that submitting false and/or inaccurate information or failure to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board for a project that disturbs one acre or more of land may result in revocation of grading and/or other permits or other sanctions provided by law. Signed: Title: Date: Less than I Acre NPDES & SWPPP Compliance Certification Butte County Storm Water Management Program Revised 5/24/04 Butte County Department of Development Services YVONNE CHRISTOPHER, DIRECTOR 7 County Center Drive Oroville, CA 95965 (530) 538-7601 Telephone (530) 538-7785 Facsimile ADMINISTRATION * BUILDING * GIS * PLANNING November 19, 2004 Dan Crabtree 1544 Gilstrap. Ave. Gridley, CA 95948 Subject: APN — 024-010-093 Dear Mr. Crabtree, The Butte County Department of Development Services, Planning Department, has reviewed the submitted Building Permit Application 04-2985 for an addition, and has found your application in compliance with the established planning criteria. The site plan you submitted meets the setback requirements for your zone as well as • applicable map or use permit conditions. The Permit Application has now been forwarded to the Building Division for their consideration and action. Should you have any questions please feel free to contact me between the hours of 8:00 a.m. and 4:00 p.m. Monday through Friday at (530) 538-7601. Sin rely, Lana Adler Assistant Planner utte County Department of Development Services ANNE CHRISTOPHER, DIRECTOR 7 County Center Drive Oroville, CA 95965 (530) 538.7601 Telephone (530) 538-7785 Facsimile TO: FROM: LO 1 SUBJECT: M DATE: o�vTrFo 0 0 o o o UN WILLDAN Scott Rutherford (530) 538-7160 srutherford ftuttecounty.net Plans Transmittal For Review Per Contract 10/13/2004 r Applicant: Crabtree, Dan Permit 04-2985 Project Type: Add Bdrm, Fmrm, Bath APN: 024-010-093 100% 70% Plan Check Fees $ 516.91 $ 361.84 $ 516.91 $ 361.84 WILLDAN Fee $ 361.84 Copies Attached: Qty Chk Application • Site Plan Review FEMA Elevation Certificate Building Plans Truss Calculations Energy Calculations Structural Calculations Residential Plan Review'Guide Residential Construction Requirements Other Other r -- .+.r��,�,•l�. ..?pI LYy�.i •m_N Fy .r r r.T L.. .�.��.i COUNTY'OF BUTTE-''Dl-3^E�PARTMENT OF PUBLIC WORKS County Center Drive - Orovllle, California 4985 - Telephone: 916/538.7541 APPLICATION AND PERMIT PERMIT NO. 001* ASSESSOR c NUMBER 24-010-93 ZONIN ' "�. BUILDING PERMIT OWNER ROSANN GATES _t a TEL PHONE/- 846.14619 SQ. FT. OCC. BUILDING VALUATION ; ZO Sq MP - .200 OWNER'S MAILING ADDRESS 1544 GILSTRAP :, GRIDLEY 95948 CONTR AC TOB'SL. N� - i TOR'S TEL TrCI_,�E .. CONTRACHONE MAILING ADDRESS 590 HAZEL GRILDEY 95948 _ Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ 20.50 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING15N4 GILSTRAP GRIDLEY Permit fee $ 30.50 PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF Duplex❑ Mobilehome❑ Other SPECIFY I Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home I S I G JW 1 10.00 ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation[] Other Describe work: REROOF/COMP 1 _ 1 Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 501V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare -under penalty of perjury (check one): ©. I am licensed under provisions of Chapt. 9, Div. 3 of the Busines$ and' Profess. o�s Code and my license is in fullforce/and effect. License No. 7 74 7 j;} / 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 NEW CONST. DWELLING OCCUP.e OR ADONS. ACC. BLDGS. 2,/20sq ft NEW CONSTR MULTI -OUTLET NON•RESID BRANCH CIRC ITS 2,50 ea POWER APPARATUS .&) (SINGLE OUTLET CIR. / EX. OCCUp\OUTLETS OR FIXTURES .''*530 EX. Occup. OUTLETS (RESID )FIXED APPLNS. REA.1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring15.00 Permit Fee $ Contractor 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 U 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. MECHANICAL PERMIT F.IingFee 10.00 Heating Cooling Hood 3.00 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. Q 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, udgments, costs, and expenses which may in any way accrue against sa'd-CiQnty in co A fence of the granting of this ermit. � -- X �o . Date Sign ture of Applica — ' 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. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ - 30.50 HAz. CUA PARK SCHL - FLD CDF PAR PD i HD. 1 This permit is hereby issued under the applicable prov.- sions of the Butte County. Code and/or resolutions to do work in ' ted above for which fs have been aid. p DIRE A OF PU I WORKS �' By Da ta PERMIT EXPIRES Date Receipt No. 94185 WHITE-O.P.W., YELLOW -ASSESSOR. PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Orovllle. California 95965 - Telephone: 916/538.7541 APPLICATIO. AND PERMIT PERMIT NO. 71" Y/ r" ASSESSOR PARCEL NUMBER 24-010-93 ZONI - BUILDING PERMIT OWNER ROSANN GATES TELEPHONE 8 46-4619 SO. FT. OCG`, BUILDING VALUATION 20 SQ COMP 1200 OWNER'S MAILING ADDRESS 1544 GILSTRAP GRIDLEY 95948 CONTRACTOR'S ICHTER TELEPHONE 46661 CONTRACTOR'S MAILING ADDRESS 590 HAZEL GRILDEY 95948 Firealace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ 20.50 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING 544 GILSTRAP GRIDLEY Permit fee $ 30.50 PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping . 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ®X Duplex F1 Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 10.00 ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other Describe work: REROOF/COMP Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 8101 OR LESS 100 AMP OR LESS 10.00 Main service EA. ADO'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): 4 I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professs Code and my license is in fulll (force and effect. License No. 3 6 % Classification. jr / ❑ 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 NEW CONST. ACC. BLDGS. DWELLING OCCUP.tr OR ADDNS. 21/2 Osq ft NEW CONST R.MULTI-OUTLET NON.RESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS tr SINGLE OUTLET CIR. EX. OCCup(OUTLETS OR FIXTURES\\ eA @30 FIXED APLNS. Ex. OCCUp. OUTLETS PRESID )REA.1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 9 15.00 Permit Fee $ 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. ❑ Ishall not employ any person in any manner so as to become subject to the W. C. laws of California. j 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 Filing Fee 10.00 Heating Cooling g Hood 3.00 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 County of I 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, costs, and expenses which may in any way accrue against sa' nt)5m c equence o he granting of this rmit. X G' Dat Sig ture of Applica — Owner F1 Contractor El Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct -DI ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occCONST TYPE - TOTAL FEE $ 30.50 HAz. CUA- PARK SCHL FLD CDF PAR PD ) HD. Issu This permit is hereby issued under the applicable provi- sions of the Butte County. Code and/or resolutions to do work in ' ted above for which f s have been paid. OF PU I WORKS w BY Da ((} PERMIT EXPIRES Date Receipt NO. 94185 WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PU13LIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATM AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER 1Q.- ,,ZONING --' air y BUILDING PERMIT OWNER _ .JV TELEPHONE It7 S0. FT. OCC, BUILDING VALUATION O OWNER'S MAILING ADDRESS 5 ,16 1-114, CONTRACTOR'S N E TELEPHONE CONTRACTOR'S MAILING ADDRESS 5rtd 1e_CA Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Loc> Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ U ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESSl5 CDO1e PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SFg Duplex[-] Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 10.00 ea TYPE OF WORK New [-I Addition ] Remodel ❑ Utilities ❑ Installation[] Other Describe work: L� 4100 CVM /> Penult Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00' Main service 8001 OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 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- ontract- ors.(Sec. 7044) ors. ❑ 1 am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.6{ OR ADDNS. ( ACC. BLDGS. , 2/20sgft NEW CONSTR. U TI.OUTLET NON•RESID BRANCH CIRC ITS 2,50 ea POWER APPARATUS &) (SINGLE OUTLET CIR. EX. Occup\ / OUTLETS OR FIXTURES 20 0 ALoao DAL030 \ Ex. OCCup. OUTLETS P(RESID )FIXED APLNS. REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Ivirin 9 15.00 Permit Fee $ 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. ❑ Ishall 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 Filing Fee 10.00 Heating Cooling g Hood 3.00 Ventilation penult 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 againstz. all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. 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. Mobile Home Installation Fee $ Energy Inspection Fee $ PHA CONST TYPE 3ofL TOTAL FEE $ CUA- PARK SCHL FLD coF PAR PD i HD. ISSUE This permit is hereby issued unoer the applicable provi- sions of the Butte County -Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Date PERMIT EXPIRES Date Receipt No. 6-141/U _- 30 WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT