Loading...
HomeMy WebLinkAbout024-010-08724-01-87 LOUISE SWISHER 292 E. Gridley Rd, Gridley Contr: Bob Fichter ' PErmit 3105-87B(reroof/SF) a -lp_93 Permit#1710- �� (new r ck/sfk2V 024-01.0-087 PERMIT#94-2808 PAWEK, BILL 292 E GRIDLEY RD., -GRIDLEY NEW GARAGE/RV BARN 024-010-087 PERMIT#95-2997 -PAWEK; Bill. 292 E Gridley Rd. , Gridley I Ohh/• 1st Renewal BP#94 -2808` . 024-010=087 PERMIT#96-2603 PAWEK, Bill 292 East Gridley Rd., Gridley 2nd Renewal BP#94-2808 �{ �a p')yV r 010-087 PERMIT#97=2500 K, Bill -E•-Gridley Rd.,, Gridley Renewal BP#94-2808 024-0-010-087 98-2941 PAWEK, Bill 292 E Gridley .Rd,' Gridley (4th renewal/9402808) 024-010-087 99-2297 PAWEK, BILL & KARRTF, 292 EAST GRIDLEY ROAD, GRIDLEY CONTR: OWNER ADD FAMILY ROOM, BATHROOM 024-010-087 01-0122 PAWEK, BILL & KARRIE F, n 292 EAST GRIDLEY DR., GRIDLEY CONTR: OWNER �% �d 1 ST RENEWAL PERMIT 992297 ROOF) Will. R..-_ _ n 66-67B� F r s/w corner Gilstrap & E. Gridley ., Gri',uy CONTR: W.F. Mills Const., P.O. Box 816,Gr�:,� (reboil fire lace & re air roof) 91 o'Aut'k ��o �u i i I) 24-01-87 LOUISE SWISHER 292 E. Gridley Rd, Gridley Contr: Bob Fichter ' PErmit 3105-87B(reroof/SF) a -lp_93 Permit#1710- �� (new r ck/sfk2V 024-01.0-087 PERMIT#94-2808 PAWEK, BILL 292 E GRIDLEY RD., -GRIDLEY NEW GARAGE/RV BARN 024-010-087 PERMIT#95-2997 -PAWEK; Bill. 292 E Gridley Rd. , Gridley I Ohh/• 1st Renewal BP#94 -2808` . 024-010=087 PERMIT#96-2603 PAWEK, Bill 292 East Gridley Rd., Gridley 2nd Renewal BP#94-2808 �{ �a p')yV r 010-087 PERMIT#97=2500 K, Bill -E•-Gridley Rd.,, Gridley Renewal BP#94-2808 024-0-010-087 98-2941 PAWEK, Bill 292 E Gridley .Rd,' Gridley (4th renewal/9402808) 024-010-087 99-2297 PAWEK, BILL & KARRTF, 292 EAST GRIDLEY ROAD, GRIDLEY CONTR: OWNER ADD FAMILY ROOM, BATHROOM 024-010-087 01-0122 PAWEK, BILL & KARRIE F, n 292 EAST GRIDLEY DR., GRIDLEY CONTR: OWNER �% �d 1 ST RENEWAL PERMIT 992297 ROOF) Will. R..-_ _ n 66-67B� F r s/w corner Gilstrap & E. Gridley ., Gri',uy CONTR: W.F. Mills Const., P.O. Box 816,Gr�:,� (reboil fire lace & re air roof) 91 o'Aut'k ��o �u * :�� _ ��� t:� �� ;1 i f � �. �, 0 :� r +- ... _ - - .. TIM SNELLINGS, DIRECTOR PETE CALARCO, ASSISTANT DIRE 7 County Center Drive Oroville, CA 95965 (530) 538-7601 Telephone (630).638-2140 Facsimile www.buttecounty.net/dds www.buttecieneraii)lan.net ADMINISTRATION * BUILDING * PLANNING REQUEST FOR COPIES * 0 Please furnish me with copies of the building file documents I have indicated for the assessor's parcel numbers) and address(s) I have listed below. -I-understand there will be a. -c -"o':. --`fee off`$. . or e st .-i-i _ PY page anti $.06 -for each additional page thereaiier'payable at the time the copies are picked up.. , I further understand that Butte County hasup to 10 days to respond to this request based on the Public Records Act. Assessor's Parcel Number C)2!! 01 - O •-0 1�7 Address 6,4!51— Name ofdocument(s)requested'ASA /3c>i,Qi„,,r.., /-"ii,j)cc✓N1E,yt-- r G In c'/ i-"o,t Irodeos 1'G S Assessor's Parcel Number Name of document(s) requested Assessor's Parcel_ Number Name of document(s) requested Assessor's Parcel Number Name of document(s) requested Assessor's Parcel Number Name of document(s) requested Address Address Address Address C�ILL- f A �c,,e 4 (A /Aate l Printed Name Sipa ure Contact Phone Number/Email Address *When filed, this application and all supporting material becomes subject to the California Public Records Act. All public information related to this application is subject to public inspection and will be posted on the County's website for electronic access. 3- 1 - I OJ:\20 10 Handouts and Policies for approvalkApproved Handouts and Website forms\Request For Copies 3 3. 10.doc Y COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. (Rev.12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 024-010-087 ZONING BUILDING PERMIT OWNER BILL AND KARRIE PAW TELEPHONE Im SQ. OCC BUI G VALUATIO . OWNERS MAILING ADDRESS 292 EAST GRIDLEY ,L" O o CONTRACTOR'S NAME OWNER TELEPHONE eV Z t -•i CONTRACTORS MAILING ADDRESS I(� W CONSTRUCTION LENDER E-4 M LENDER'S MAILING ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. —Filing Fee $ 20.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Permit Fee $ Plan Checking Fee $ BUILDING ADDRESS 292 EAST GRIDLEY RD, GRTT)T.17,Y Energy Plan Checking Fee $ $ PERMIT FEE $ )7n nn LOT NO. SUBONISION'SNAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Ulirities ❑ Installation ❑ Other ❑ Describe Work: 1ST RENEWAL PERMIT 99-2297 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I s I G I W 020.00 PERMIT FEE $ _ELECTRICAL PERMIT I Filing Feel 20.00 600V OR LESS Main Service 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that 1 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 for the following reason: I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. I, as owner of the property, am exclusively contracting with licensed contractors to construct the project ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers'—Cooling compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shallTOTAL not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwi ply wk those provisions. X Date �� [ f'_ �' Sign ure o Ap6licanf­IYOwner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUP. SO OR ADDNS. ( a ACC, BLDS. 3.5¢FT: NEW CONST. MULTI.OUTLET @a 7,50 NON-RESID. POWER APPARATUS 6SWGLE OUTLET CIR. Ex. Occu OUnETORFIXTURES Bp@'.00 Ex. Occup. O�iSS(nEESID )ERA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ MECHANICAL PERMIT Filing Fee 20.00 Heating Hood 6.50 Ventilation PERMIT FEt $ Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CTYPE FEE $ 270.00 :jOT, D. FEES IMP FLOOD CDP PARCEL Po ISSUE This permit is hereby Issued under the applicable of the Butte County Code and/or Resolutions indlo&d EIKolip for wh h fees have been B Date PERMIT EXPIRES ON provisions to do work paid. / 1 o 1-3-02 to ReceiptNo. % WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT _. • ;tip Attention Property Owner: An "owner -budder" building permit has been applied for in your name and bearing YOM signature. _ .. :..•. .rc: Please complete and ..return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit'. No buildingpermit. iitl• . be issued until this. verification is received. 1. I personally plan 11.o•:°'provide the major or -and materials for construogn of thee ro im rovement YES j�� NO ` proposed _P . PAY .. P L , �• .. ::°•-•=- �- : -:,h A `�-li 'i�fO,I;i�,z<�. :application=foc`I bu7ding-per t`for� . - --- 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 persod to coordinate, supervise, and provide the major work: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 5. 1 will provide some*of the work but I have contracted (hired) the followipgf.eisons to provide the work indicated: NAME ADDRESS PHONE TYPE OF WOE SIGNED: PROPERTY SOCLXL 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. - RESIDENTIAL 02�+-01=087. PERMIT908 PAWEK, BILL 292 E GRIDLEY RD.,'GRIDLEY NEW GARAGE/RV BARN f JOB FINALEDat (D e) :, Signature d=OK O = Not OK -=Notyable ' = Read Not Ready .` MOBILE HOMES MISCELLANEOUS Date MOBILE HOME UTILITIES (Plans) OK except #'s Date r.D�eQKS, COVERS, CARPORTS, GARAGES (Plans)OK except #'s 1. Zoning Requirements -Setbacks -Easements J/ - %-QS�l.Pmg Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch _J,'2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Sewer; Location -Test -Fall -C/O Concrete 3. Decks; Gnders and/or Joists -Decking -Bracing -Stairs -Rails 4. Water; Location -Test -Easement Needed (Sketch) 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors 5. Electricity; Location-Clearences-Grnd-//Amp-Concrete Shthg.-Rfg.-Bracing 6. Gas; Location -Test -Wrap: / P -1-1t: 5. Alum. n.; Columns -Connections -Splice -Decal -Enclosures / /'Nat. or/ /"L"it./ /"LPG C ports; Windows -Doors 7. Well Clearance & Disconnect Ele tric 8. Utility Clearance r ; Sils-Anchors-Studs-Rftrs-Trusses ding; Naili g -Veneer -Stucco -Mesh Date Card B-1 Date Card B-1 0. Roof; S g -Roofing 1. Ext.; Steps -Doors -Landings Date Date Card B-1 Date Card B-1 �� S j � C7 � ' t-pU7/vV-6•- S �v/Z�.� MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks Easements �. Date Card B-1 Date 2. Footings; Size -Spacing -Marriage Line Card B-1 Date7'099-9 Card B-1 11.:5Date 3. Gas; MH Test -Demand -Valve -Connector Card B-1 Date POOLS (Plans) OK except #'s 4. Electricity; MH Test -Crossovers -Breakers -Clearances 1. Setbacks -Easements 5. Drain; MH Test -Fall -Flex Connector 2. Soils; Compaction -Structure Stability 6. Water; MH Test -Regulator -Connector 3. Pool Structure; Steel -Connections -Thickness 7. Water and Sewer Connected -C/O to Grade -HD Approval Dead Men -Lining 8. Gas and Electricity Tagged 4. Elec.; Receptacles and Lighting. Distances-GFI 9. Exits; Insp.-Sketch 5. Elec.; Pool Lighting; 15 volts-GFI 10. Cert. of Occupancy 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. Date Card B-1 Date Card B-1 Boxes-Enclosures-Panelboards-Ins. to Main in Conduit Date Card B-1 Date Card B-1 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 COUNTY OF BUTTE —DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • .Telephone (530) 538-7541PERMIT NQ. (Rev.12/96) APPLICATION AND PERMIT ASSESSL nc-EM-16 087 UL ZONING BUILDINGPERMIT OWNER BIL BILPAWEK TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNER 292 E GRIDLEY RD, GRIDLEY 95948 CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LENDER LENDER'S I.WUNG ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER NO. Flin Fee $ 20.00 ORIGINAL Permit Fee 2 $ 72.00 ARCHITECT OR ENGINER'S MAILING ADDRESS Plan Checking Fee $ SUILDNGADDRESS 292 E GRIDLEY RD GRIDLEY Energy Plan Checking Fee $ $ PERMIT FEE $ 92.00 LAT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome 13 Other GARAGE sPEcWv Each Tra 7.00 Solar or heat um water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ U6Gties ❑ Installation ❑ OtherX❑ Describe Work: 4TH RENEWAL/94-2808 Gas piping stem 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G I W 920.00 PERMIT FEE S Tl RFN je7 /O�7=2 n ELECTRICAL PERMIT Fling Fee 20.00 eoovoRLESS Main Service zooA oR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: .Z91I1 as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO tOooA 46.00 NEW CONST. IriYEWNG OCCUP. OR ADDNS. ( a ACC. BLAS. 3.5¢xSO: plpµp�Ip. MULTI.OUTLET 97.50 Pro APPARATLB a sINOLE oLm cIR. Ex. Occup.OUTLET OR FIXTURES 20 O I'50 SAL 0 ,50 APPI Ex. Occup. oU D °Ek 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit Is Issued. ❑ 1 have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, forthe performance of workforwhich this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation f one hundred dollars ($100) or less.) certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' comps sation provisions of section 3700 of the Labor Code, I shall forthw' c ith tho provisions. X Date �� Signa4f A pli nt - er ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep An,4 demolition or construction Is.. of structures over 3 stories in height.'B I MECHANICAL PERMIT Fling Fee .20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEt $ Mobile Home Installation Fee $ Energy Inspection Fee $ ONTYPE CONST. TYPE . TOTAL FEE $ 92.001 EL= IMP FLooD CDF PARCEL Po HD ' E This permit Is hereby Issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for whi ees have been paid. Date 1 2/28/9R PERMIT EXPIRES ON 1 l /1 /99 (Date) ReceiptNo. =' WHITE-D.D.S.-B.D. CANARY. -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT OWNER -BUILDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit: No building permit will be issued until this verification is received. .1. I personally plan to provide the major labor and materials for construction of the proposed property improvement: YES' NO ❑ 2. I HAVF&r HAVE NOT ❑ 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: PHONE: CITY: 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 SIGNED: PROPERTYOWNER: ' , z , SOCIAL SECURITY NUMBER: 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 COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIV ON 7 County Center Drive - Oroville, Catiforn' i 95965 - Telephgne (916) 538-7 1^ PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT j ASSESSOR PARCEL NUMBER 024-010-087 ZONING BUI ING PERMIT -• OWNER BILL PAWEK TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER'S MAIUNG ADDRESS 292 E. GRIDLEY RD GRIDLEY, 95948 CONTRACTOR'S NAME TELEPHONE ' CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER . Fireplace LENDER'S MAILING ADDRESS - ' Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.60 Permit Fee $ 72.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDINGADDRESS 292 E. GRIDLEY RD—Energy Ener Plan Checking Fee $ g GRIDLEY PERMIT FEE $ 92.00 LOT NO. susDlvlsaNS NAME PARCEL MAP - PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other GAR p ,F SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: 3RD RENEWAL B.P. #94-2808 ( 2ND B. P . #95-2997) Gas piping system t - 5 outlets 15.00 Building sewer 15.00 Mobile Home ISI GI W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service �onoRLEss 23.00 TRACTOR'S DECLARATION I hereby affirm undeerjury that I am licensed under provisions of Chapter L/Section7 9 (commencing wRh) of Divis-ion 3 of the Business and Professions Code, and my license is in effect. License ClassLi. NO. DECLARATION I hereby affirm undeerjury that I am exempt from the Contractors License Law for the following reason: I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO 1000A 46.00 NEW CONST. DWEwNG Occup. ( OR ADONS.NEW so 3.54 CONST. Mu"icrlcou�TL�sT NON•RESID. @7.50 POWER APPARATUS 8 S...OUTLETCR.-BUILDER EX. OCCU OUTLET OR FIXTURES B� 1.000 Ex. Occup. D�E�DTs"I'S,D� 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE S WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall Orth 't omply ith those provisions. X . Date �;��- 2'7 S' nature of Applica t - ❑ Owner ❑ Contractor ❑ Agent n OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEI: $ Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST. TYPE TOTAL FEE $ 92.00 :HAZ. D. FEES IMP FLOOD COF PARCEL Po HD ISSUE This permit is hereby issued under the applicable of the Butte County Code and/or Resolutions indicated above for which fee have been. B fitd4u.ate PERMIT EXPIRES ON Pil1/1/98 provisions to do work paid. ay (J Receipt No. XN WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT OWNER -BUILDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification -is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property ;Rrovement : YES d NO.0 2. I HAVE HAVE NOT 0 signed an. application for a building permit for the proposed work. 3. ' I have contracted with the following.person (fum) 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 SIGNED: PROPERTYOWNER: 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 COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - 7 .County Center Drive - Oroville, Cafrfbrnid 95965 - Telephone APPLICATION AND PERMIT BUILDING DIVISION (916) 538-7541 PERMIT NO. 1992 ASSESSOR PARCEL NUMBER 024-010-087 ZONING BUILDIN ERMIT OWNER BILL PAWEK NE0555 SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS 292 E GRIDLEY RD GRIDLEY CONTRACTOR'S NAME OWNTER TELEPHONE CONTRACTORS MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNMOWN - Total Valuation) Is LENDER'S MAILING ADDRESS Filing Fee $ 20.00 Permit Fee $ 72.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ ARCHITECT OR ENGINEERS MAIUNG ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS INUKHRI01 292 E.- GRIDLEY RD PERMITFEE 92.00 GRIDLEY PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 LAT NO. SUBDIVISIONS NAME PARCEL MAP Solar or heat pump water heater 23.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other GARAGE SPECIFYBuilding Water piping 15.00 Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other CK Describe Work: LST RENEWAL B.P. #94-2808 Mobile Home I S I GI W @20.00 PERMITFEE S Contractor ELECTRICAL PERMIT Filina Fee 20:00 Main Service ( 0000Av OR OR LEss ) 20LESS 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 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ 1, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation f one hundred dollars ($100) or less.) 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' compensa ' s of California, and agree that f I should become subject to the w rkers' a sation p visions of section 3700 of the Labor Code, I shall W' I with tho provisions. / X _____ Date_ Of Ap lican - wrier ❑Contractor ❑ AgeFd An OSHA permit is required fore cavations over 5'0" deep and demolition or construction of structures over 3 stories in height. NEW CONST. DWELLING OCCUP. so. OR ADDNS. ( 8 ACC. BLDS. ) 3.5¢ FT. NEW CONST. MULTI.OUTLET NON -RESOD. ( BRANCH CIRCUITS ) @7.50 FOWER APPARATUS (a SINGLE OUTLET CIR. ) EX. Occup. ( OUTLET OR FIXTURES) BAL 20 IP 1.00 .SO Ex. Occup. ou XTLEEDrsA((R IES D.) EA ( ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMITFEE S Contractor Mobile Home Installation Fee is Energy Inspection Fee Is OCC CONST. PE TOTAL FEE $ 92.00 HAZ. 0. FEES IMP FLOOD CDF PARCEL PD ND ISSUE This permit is hereby issued under the of the Butte County Code an or indicated bove for which f e have B PERMITEXPIRESON applicable provisions Resolutions to do work been paid. Date 19 g maol Receipt No. WHITE-D.D.S.-B. D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE- DEPARTMENTOF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 ' - 'Telept one (916) 538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER �� O� ZONING BUILDING PERMIT OWNE TELEPHONE SO. FT. OCC. BUILDING VALUATION OW s MAILING AODRESS r DO R'S NAME TELEPMNE CONTRACTOR'S MAKING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 20.00 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 $ BUBDINGADDRESS PERMITFEE S ( PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 I LOT NO. SUBONISION'S NAME PARCEL MAP Solar or heat pump water heater 23.00 Water piping 15.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other 90" V ySPECIFY Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15. 0 0 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other,] Describe Work: \ l Mobile Home IS I GI W1 j @20.00 PERMITFEE S Contractor ELECTRICAL PERMIT Filina Fee 20:00 ' Main Service WOV OR LESS 200A OR LESS 23.00 Main Service ( 200A TO I000A ) 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 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (rhe above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued. I shallTOTAL not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X Date Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. NEW CONST. DWELLING OCCUP. SO. OR ADDNS. ( & ACC. BLDS. ) 3.5Q FT. NEW CONST. MULTI.OUTLET NON-RESID. ( BRANCH CIRCUITS ') 97.50 ( 8 POSINGLE WER "POUTLETLETCI T C ) 0. OUTLET OR FORUREs Ex. Occup. () BA @ L•1.00L L .SO Ex. Occup. (OFIXED A RLLUS.ORS) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE S Contractor MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Mobile Home Installation Fee Is Energy Inspection Fee Is occ CONST TYPE FEE $ .,?_ Naz. o. FEES IMP FLOOD COF PARCEL --PC) ND ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By / mDate PERMITEXPIRESON oe el.Nnl.. J '(0 - J d- 9 �Ci In S /��c'�l COUNTY .OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION - 7 County Center Drive - Orovillep-Califbmia 95965 - Telephonq (916) 538-7541 ERMIT o. APPLICATION AND PERMIT 9�"� 1) ASSESSOR PARCEL NUMBER 024-010-087 ZONING A5 BUILDING PERMIT OWNER BILL RXXX PAWEK 17!b555 SO. Fr. OCC. BUILDING V UAT OWNER'S MAILING ADDRESS 292 E. GRIDLEY RD GRIDLEY 708 M 12,7 4.00 CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is LENDER'S MAILING ADDRESS Fling Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEER ucENSE No. Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS 292 E. GRIDLEY RD PERMIT FEE $ 25 GRIDLEY PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Water piping 15.00 Each gas water heater or vent 15.00 USE OF STRUCTURE SF C3Duplex O Mobilehome O Other GARAGE/RV PE G ARRGE SPECIFY Gas piping system 1 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 TYPE OF WORK NewPERMIT � Addition O Remodel O Utilities O Installation ❑ Other O Describe Work: _ RV / CAR BME I ; MINA S- FEE $ Contractor ELECTRICAL PERMIT Filing Fee 20.00 Main ServiceBOO' OR LESS ( 2WA OR LESS ) 23.00 23.0 Main Service ( 200A TO IOOOA ) 46.00 NEW OR ADCONST. D EACCG DNS 6 BLDS. ) 3.50 F°" 24.75 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one) O I am a licensed under provisions of Chapter 9, Division 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification '41 as the owner, 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) O I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) O 1 am exempt under Sec. Business and Professions Code for this reason NEW CONST. MULTI-OUTLET NON.RESID. ( BRANCH CIRCUITS ) @7.50 ( FOWERAPPTATUS ) 8 SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) Zo 0 1.00 SAL' .BO FIXEDAPPLNS. OR EX. Occup. (OUTLETS IRESID.1 EA. ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20 Misc. Wiring 23 00 WORKER'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): O This permit is for $100.00 (valuation) or less. O 1 have placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self-insure. -A I shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ 67.75 Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE S 1 certify that I have read this application and state that the above information is correct. 1 agree to comply to all Butte County Ordinances and California 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. 1 also agree to save, indemnify and keep harmless the County of Butte against all119c; liabilities, judgments, c SLS, and penses which may in any way accrue against said County in ons of the anting of this permit. X Date _Q- 9 V Signature of Applicant - Ower ❑ Contractor O Agent ' ��- n An OSHA permit is required for excavations over 5"0" deep and demolition or construction of structures over 3 stories in height. P Cs Contractor Mobile Home Installation Fee $ Energy Inspection Fee $ CO SWY TOTAL FE $ 1s HAz. D. FEES IMP FLOG CDF PARCEL PD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated ab o a for w ' h fe s have been paid. BY Date/ PERMIT EXPIRES ON (Date) Receipt No 133.60 // 168795 19 1, � WHITE-D.D.S.-E.D. CANARY-ASSESSOR NK-INSPECTOR GOLDENROD-APPLICANT ;Hy�;' x xs�'.; R �.;;, : r:. �,;�, ...ti ..�.t�'.�. ..�r4;•r•a�:�;'r,5�;;p..• 'S'4'`•;t#"-�a w'.' .`S...Y's::�i-'r.'. l 4 ., l� t{ . . i. F' `•�rTri• �' rC•tTe Ty.... d.T.{r ,..r . �tY .;,,�t� st�i7�j.�' �` `f• Y r ..iv�i '4�Mit{:. .m •wT j'��hv� s ..-t: i - 'ray.:rs�ir,�fa'R��(: �it� +`,w � � .�'� ,if `N "�1r (1, r'.' 'f✓ ;lY°1fT .yy r.rtr>. . COUNTYOF BUTTE - DEPARTMENT OF P WELOPMENTJSERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916) 538-7541 P�FRMITAPPLICATION DATASHEET Proposed Building Use At time of permit application, I was the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY 1. All items have been submitted . ........................................ Plot plans, 3/4 sets, signed by preparer of plans . .......................... mplete plans, 3/4 sets, signed by preparer of plans. :..................... F 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 nd manufacturer's installation instructions, 2 sets. ........... 0. Fees of $ 11. Impact fees as shown on attached schedule. ..............................T 12. California Department of Forestry plan approval/fees. ........................ Flood elevation letter (100 year flood) by California Engineer... ..... . ........ .. 4. Sanitation and plot plan approval Health Department . ............ . 1 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). ...P�; o; r64uest 20. Pre -inspection for required. .. to Building Inspedor (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*popy 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 . ............................................... ... . 33. W en� u issue the permit, process as follows: Mail to owner. Mail to contractor. Telephon and hold for pickup at office. Deliver with inspector. Other .Parcel Creation Acreage Applicant_A4 46044 Date –/0' 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 1. Index permit for above items No. 2. Additional items required: it issuance: (Circle new item not checked above). Contractor, designer ovine as advised of above required data by L�hone _mail Contractor, designer, owner, was advised of above required data by _ phone _ mail. Plans checked by Date Plans approved by Qmfo of nl�ne nn hnlrt in Filo rahinnt AP folder . =,--""'i; Counter by,�� Ilate Counter by _ Date l j2 f_ — Date ZD?� 1-3 CGUNTY"OF BUTTE Department of Development Services Building Division Oroville: 7 County Center Dr., Oroville CA 95965 Ph: 916-538-7541 Chico: 1469 Humboldt Rd., Chico CA 95928 Ph: 916-891-2751 OWNER -BUILDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. I personally plan to provide the major labor and materials for construction of the proposed property improvement ell (yes or no) �. 2 I (havelhave not) 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. '1 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 Signed: NOTE: This Owner -Builder Verification is sent to you as required by Sections 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. ' I NOTES 'RESIDENTIAL 024-010=087 99=2297 PERMIT NO. PAWEK, BILL & KARRIE 292 EAST GRIDLEY ROAD, GRIDLES---- CONTR: OWNER ADD FAMILY ROOM, BATHROOM f 1 G a.. SPECIAL CONDITIONS CHECKED BY SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER JOB FINALED (Date) (y 7 / Signature ./ = OK '0'= Not OK = Not Applicable MOBILE HOMES Not Ready 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/O -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./ PLPG 7. Well Clearance & Disconnect 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 #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test-Demand-Vatve-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 12. Permanent Foundation Only; License Decal 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 Windows -Doors 7. Electric 8. Frma.; Sills-Anchors-Studs-Rttrs-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 8-1 Date FINAL (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- Pan elboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche I Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 COUNTY OFAUTTE- DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive. - Oroville, California 95965 • Telephone (530) 538-754167 (Rev. 12/96) ' APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 024-010-087 ZONINGA`-5--.) BUILDING PERMIT OWNER BILL & KARRIE PAWEK TELEPHONE 846-0555 SQ. Fr, OCC. BUILDING VALUATION OWNERS MAIUKKT ADDRESS 292 EAST GRIDLEY ROAD GRIDLEY R 42 552.00 0 UNFIN 24 480.00 CONTRACTOR'S NAME OWNER TELEPHONE 117 C 1,521.00 CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total valuation $ 68 553.00 ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 ARCHITECT OR ENGINEERS MAIUNG ADDRESS Permit Fee $ 500.0 Plan Checking Fee $ 32 BUILDING ADDRESS 292 EAST GRIDLEY, GRIDLEY Energy Plan Checking Fee $ 23.013 $ PERMIT FEE $ 868,0 LOT NO. SUBDNIs SNS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF)p Duplex ❑ Mobilehome ❑ Other sPECIFY Each Trap 7.00 35.00 Solar or heat pump water heater 23.00 Water piping 15.00 15 00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition lX Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: ADD FAMILY ROOM, & BATHROOM Gas piping system 1 - 5 outlets 15.00 oo Building sewer 15.00 19-00 Mobile Home ISI GI W @20.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 LESS Main Service 200A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that 1 am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the. Business and Professions Code, and my license is in full force and effect License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: 4T I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier 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 ff I should become subject to the workers' com nsation provisions of section 3700 of the Labor Code, I shall w� I with th provisions. Date Sig re Ap licant - wner ❑ Contractor ❑ Ageht An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. Main Service 200A TO 1000A 46.00NEW CONST. OW NG OCCSO N ADONss S. 3.50,.98 . MuELLI�o NOLLRESID. @7.50 PSO:M APPARATUS a swGLE OLmFT cIR. Ex. Occup. OUTLET OR PICTURES SAL 20 @ 1.000 Ex. Occup. GuIXT>Frs binOEEl 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 $ FEE PERMIT 47.50 MECHANICAL PERMIT Fling Fee 20.00 Heating 20.00 Cooling Hood 6.50 Ventilation 4.50 GAS STOVE PERMIT FEt $ Mobile Home Installation Fee $ Energy Inspection Fee Is 46i 00 GCC CONST. TYPE TOTAL FEE $ _. IM RooD ._ cDF P EL D u This permit is hereby Issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicate bo a for hich fees have been paid. By ate 3 ZpOO PERMIT EXPIRES ON to LRecelptNo. !� WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDEN ROD-ALICANT rq �%°' %iT _ ..� � �Y ' :agar :: � {t r _ t r !-' %e }' a'r•.. �� _ COUNTY OF BU*LEs DEPARTMENT OF,9LB &+OPMENT SERVICES-. BUILDING DIVISION. 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541 PERMIT APPLICATION DATA SHEET OWNER: ASSESSORPARC ER: L5(_ 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-------------------------------------------------------------------------------------- A� Plot plans, 3/4 sets, signed by the preparer of plans.------------------------------------------------------------- 0s, ------------------------------------- 3 Complete plans, 3/4 sets, signed by the preparer of plans. Rf-ank A- --- Ta--- ------ 114. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans - -------- 5. En - eered truss details and layout in duplicate (required prior to plan review) No faxes! ------------------ / Energy Design Compliance and supporting documentation. ---------------------------------------------------- 117. --------------------------------------------------- ❑7. Statement of Intent for Non -Heated and A/C Buildings.--------------------------------------------------------- 118. -------------------------------------------------------'❑8. Hazardous Material Form. Home data and installation instructions including Tie Down Specifications. fees as shown on the attached schedule. .---------------------------------------------- L7T2. California Department of Forestry plan approval/fees--------------01 ' !,Flood elevation certificate. -------------------------------------------- 4. Sanitation and plot plan approval 0CZ-11CI Health Department. ❑ 15. City of Chico plumbing permit. --------------------------------------- ❑ 16.,Plot plan and business license approval from the City of Biggs. --- ❑ 17. Planning approval for (A) Use: (B) Parking: -,, ❑ 18. Contact Land Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel. ----------------------- 1119. ---------------------- ❑19. Encroachment Permit for driveway (construction approval prior to occupancy). ---------------------------- ❑20. Pre -inspection for required. Request to Building Inspector on (Date) 02 1. Contractor's license information. (Number, Name Style, Classification). ------------------------------- 7 Workers' Compensation carrier and policy number. ----------------------------------------------------------- 023. Owner-Builder ----------------------------------------------------------❑23.Owner-Builder Verification (Given to owner ❑, Mailed to owner EI) - -------------------------------------- a ❑24. Letter of signature authorization. -------------------------------------------------------------------------------- ------------------------------------------ E125. Recorded copy of Agricultural Acknowledgment Statement. --------=----------------------------------------- 026. Letter of intent on building use. ----------------------------------------------------------------------------------- ❑27. Manufactured Home utility clearance. ---------------------------------------------------------------------------- ❑28. Existing violations and/or expired permits. ----------------------------------------------------- ----------------- ❑29. 11433 A, ❑Grant Deed, ❑ M.H. Title, ❑ Check to H.C.D $ .--------------- 030. -------------- ❑30. Other: When you issue the permit, process as follows ❑ Mail to owner, ❑Mail tQ contractor. ❑Telephonet-{� "�r� and hold for pickup at o eliver th inspector. Applicant:7Date: /b' Copy of Haz-Mat form sent o Health Department, o Fire Department, ❑ Air Po utron D • By: Copy of plans sent ❑ Health Department, o Fire Department, ❑ Other: Date: By: 1. Index permit application for the above items numbered: ❑ Plan Check List 2. Additional items required: ContrwtordesigneXo as advised of the above required data bytRphone, o mail, o Building Division counter, by Date: Contractor, design own was advised ofthe above required data by o phone, email, o Building Division counter, by Date: iMA, Contractor, designer, wn as advised of the above required data by S phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was sed of the above required data by o phone, o mail, o Building Division counter, by Date: Plans reviewed by: Date: Plans approved by: Date: . Sets of plans on hold inA Plan Cabinet, 0 A.P. folder. Note transfer by: Date: COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive -: Oroville, California 95965 • Telephone (530).538-7541 PERMrr No (Rev.IV96) APPLICATION AND PERMIT AsfesoR►ARCblaJ1Al01 Zo141"a BUILDING PERMIT °YVN!'r Taa►a"E SO. Fr. OCC. BUILDING VALUATION OWNM'S UMU►q ADOM CONrMCTOR'! NAI! TU' qN[ 8tZ 8o d F0 — 1-1 a 2 : or) coNn1ACTORI MM" ADDREss OOWTRNCnON UMER LME" MALUM AOORM Fireplace Total Valuatfort S _ Ov ��� OR �� ��� NO. FIii n Fee E 20.00 ARCWEOT OR E40HEDI7 WARIND ADDREB! Permit Fee t► /'� to Plan Checking Fee E a5- 100 OULO oAMMS Energy Plan Checking Fee S . 00 $ PERMIT FEE $ �(Q 8, Od iorNo. sueonreloNSNA►e PARced YAP . . PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Kbbffehome O. Other ePWsr Each Trap 51 7.00 35, pd Solar or heat pump water heater 23.00 Water piping 15.00 g', 06 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ LWdes ❑ Installation O Describe Work: Other ❑ Gas piping system 1 -5 outlets 15.00 15,001 Building sewer 15.00 15, co Mobile Home I S I G I W @20.00 PERMIT FEE !10606 ELECTRICAL PERMIT Fling Fee, 20.00 Main Service , F s 23.00 . Main Service aooa TO 1000A 46.00 NEW COMT. oweir+o ooeuP. 3.St4O Z7 $' OR ADON9. i ACC. dDs. Ft. NOWRE910. MULTFOIlfLEr @7.50 POWER APPAMTW a Mou OUnET C1R. Ex. Occup. ovnrr OR ncTuREs 200.1 .00 SAL .SO EX. Occu P0TO APFI.M OR olmM ea1O. EA. 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Wsc. Wiring 23.00 PERMIT FEE S MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation Is', CX) PERMIT FEI: $ 5 -Cf -60 Mobile Home Installation Fee $ Energy Inspection Fee CD occ jCONSET.TypedTOTALFEE$WP I 9=0 I COF PMRCEI I PD I HO I ISSUE' Receipt No. wHITE•o.o.s.•B.o. This permit is hereby Issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By PERMIT EXPIRES ON Date r 6 COUNTY OF'BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 ERMIT NO.. (Rev. 12/96) APPLICATION AND PERMIT �7 ASSESSOR PARCEL NUMBER ZONNO BUILDING PERMIT TELE'"°"E SO. FT. O C. BUILDING VALUATION OW No ADDREss RIS ��6L/ TELEPHONENE r Lf CONTRACTOR'S MAILING ADDRESS ' CONSTRUCTION LENDER LENDER'S MAILING ADDRESS ARCHITECT OR ENGINEER LICENSENO. Fireplace Valuatlon bE Filing Fee $ 20.00 ARCWMCT OR ENGWEER'S MWNG ADDRESS Bunn1NG ADORE Z Permit Fee $ Plan Checking Fee b Energy Plan Checking Fee $ ; (2--j - $ PERMIT FEE $ LOT No. SUBONISgN9MAW PARCEL MAP PLUMBING PERMIT Fling ee 20.00 USEOFSTRUCTURE SF JI!r Duplex O Mobilehome O Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 3.00 —Water Water piping 15.00 TYPE OF WORK New O Addition Remodel O Utilities 13 Installation Describe Work:4h.,Q/j f%jl 1 17 Other O gas water heater or vent 15.00 Gas pipinstem 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W Q20.00 PERMIT FEE S r �—' ELECTRICAL PERMIT Fling Fee 20.00 Main Service 0°°� OR IES$ sow OR LESS 23.00 - --- - . - j - d -- - - — - - - - — .I i . Main Service sow TO 1000A 46.00 NEW CONST. DWELLING OCCUP. SO OR AODNS. 6 Ate, , S, 3.5¢x: NEW 0 MULTI -OUTLET NON-RESID. eO 7.50 POWFA APPARATUS .=A SPIGLE OIrfLET US EX. OCCU . OUTLET OR FD(TURES �° BAL SO Ex. OCCU FDIED APPLNS. OR OUTLETS ESLD. FA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring23.00 PERMIT FEE S MECHANICAL PERMIT Fling Fee 20.00 Heating0 Cooling Hood 6.50 Ventilation PERMIT FEL: S Mobile Home Installation Fee $ , Energy Inspection Fee S G S Focc CONST. °E TOTAL FEE $ • D. FEES IMP FLOOD COF J'PARcL I PO I NO IFISSUE This permit is hereby Issued under the applicable provisions of the Butte County Code and/or Resolutions to do work Indicated above for which fees have been paid. By Date PERMIT EXPIRES ON 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. 2. 4. 5 I personally plan to provide, the major labor and materials for construction of the proposed property improvement: YES[R NO[ ]. I HAVE HAVE NOT[ J signed an application for a budding permit for the proposed work. I have contracted with the'. following person (firm) to provide 4he proposed construction: NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S. LICENSE NO. 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. 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 SIGNED: PROPERTY OWNER: SOCUL 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. May 1995 2.26 BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One form per Building) School District Gfz,bLfJ Building Department No. -.A.P. Number 0 0 C 1 0 (Viurisdiction: City- C.66nty Property Conner 2 Lc 'A*t4 KA 2 r ?A "1411' le Property Location/Address 'Ib Subdivision Lot No. Residenbal Development .................................... ------------- EYJ - --- ------------- No of Living Mobile Home Addition/ *Supplemental to Units Installation Conversion Permit ............... . ..................................... *(No foundation inspe I .......................................... 0 tomrl erciavind ustriii New Addition Building,Department Representative Plans reviewed District Sq, Footage (Group R) iq%. Footage,',' -,n (Including Ekiqrior Roofed Areas) Date (City) has complied with the requirements of Resolution. No. representing square feet School District Paid by Check # —0/3 Remarks: (State). B 2926. MIT,It .4 above' Notic Imposition q-i(� i,4:44- iijc"ih binilti - a' protest' to is District n ,, c0M Vorice with Goverrirnent Code Section 660201x1 within 90 iiey§n 9 date ioes.,aio�piia, T,aik�e:to su6ndi n P.,tes 'W'* I ON Jrorh,'thd t i t!".V*400 .9 . 00060 OU.. from 6h Ilerigin he imposition of the ::fees a _-qqurj.� If 'subsequent 'to the .schoofOsirict Representative signing: this Butte -County '4chooIs-Impa6t Fee Certification Form the Scholl Districtl notified by the'applicable Lcfca A ann. ng Agency that.'this -project Is being reviewed 'under the California Environmental Quality Act ICEQA), this project may be subject to additional school fees to fully mitigate its impact on the school district's schools. White (applicant), Yellow (building department), Pink (sch6ol district) ..feeform.xis (10. /98idmrr December 14, 1999 Bill and Karrie Pawek 292 East Gridley Road Gridley, CA. 95948 Department of Development Services Building Division 7 County Center Drive Oroville, CA 95965 (530) 538-7541 (530) 538-2140 FAX Assessor Parcel Number: 024-010-087 Building Permit Number: 99-2297 This office reviewed the above referenced revised building plans. Please respond in writing to each comment by creating a response letter. Indicate which detail, specification, or calculation shows the requested information. Your complete and clear responses will expedite the re -check and approval of this project. Provide additional information and/or make revisions to plans, specifications and calculations as follows: The braced wall panels indicated on the building plans do not meet the requirements of Uniform Building -Code. section -2320 for conventional light -frame construction. Therefore, a lateral analysis by a California licensed architect or registered engineer will be necessary. Please be sure to include on the resubmittal the architect or engineer's "wet" stamp, signature, registration number and expiration date on all sheets of plans depicting the designed elements and cover sheets of calculations. Plan review will continue upon receipt of the above items. Complete and return the Butte County School Impact fee certification form. �4 Balance of Building Permit fees = $675.05. If you wish to discuss any requirements, you may contact me at (530) 538-7541 between the hours of 1:00 p.m. and 4:00 p.m., Monday through Friday. Sincerely, Glenn Gibbons Plans Examiner Iofl November 18, 1999 Bill and Karrie Pawek 292 East Gridley Road Gridley, CA.. 95948 Department of Development Services Building Division 7 County Center Drive Oroville, CA 95965 (530) 538-7541' (530) 538-2140 FAX Assessor Parcel Number: 024-010-087 Building Permit Number: 99-2297 This office reviewed the above referenced building plans. Please respond in writing to each comment by creating a response letter. Indicate which detail, specification, or calculation shows the requested information. Your complete and clear responses will expedite the re -check and approval of this project. Provide additional information and/or make revisions to plans, specifications and calculations as follows: Q Indicate the braced wall panel.types and locations on the interior walls of the first and second / floor levels. ,2 The..2 x 12 floor joist at 12" o.c. appear to be overspanned. Foundation design must comply with the minimum, requirements of the Uniform Building Code Table 18 -I -C. Minimum depth below undisturbed ground surface — 18". The 2 x 10 floor joist for the first floor level are shown at 16" o.c. in section c.c. on page 7 an&l2"o.c. on page 10. Please provide clarification. ,5-" Indicate porch header size. 6. Complete and return the enclosed Butte County School Impact fee certification form. 7. Balance of Building Permit fees = $675.05. If -you wish to discuss any requirements, you may contact me at (530)' 538-7541 between the hours of 1:00 p.m. and 4:00 p.m., Monday through Friday. Sincerely, Glenn Gibbons Plans Examiner 1 of.1 292 East Gridley Road Grildey, CA 95948 Assessor Parcel # 024-010-087 Building Permit # 99-2297 December 7, 1999 Reference: Additional information about plans Glenn Gibbons Department of Development Services Building Division 7 County Center Drive Oroville, CA 95965 Dear Glenn Gibbons: I All interior::Walls on the first and second floor levels will have Y2" CDX or7/16" OSB on one side. 2. The floor joists on the second level are now TJI joist see attached specifications. 3. The revised depth for the footing is. ,18" from undisturbed ground to bottom of footing, see attached drawing. 4. The section drawing on page 7 is the correct one; the floor joist should be 16" on center. 5. The header size for the front porch is 4x8s. Sincerely, Bill Pawek 11 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 - (918) 872-6307 x. CORRECTION NOTICE a COUNTY OF BUTTE .. BUILDING DIVISION 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 notify this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation please contact this office immediately. 22 �T� aO tlaL fi .eO�� /.ice) Ei v } Date Inspector REV 10/9 DEPARTMENT,•OF DEVELOQMENTSERVICES =: 411 Main Street • Chico, qA 6•(530) 891=2751 7 County Center Drive • Orovill' , CA • (530) 538=7541 : J CORRECTION NOTICE 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 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. 41 �— REV 10/92 ' �n f. REV 10/92 ' ..".•�.?` w ..°y��2�`"��' i'= "�.';» ", 9• �;�+�a&'.^� �y �Z:^;asSti✓: v�''^-�'p"fi�•.s� !:>.'�t,�+,>,q> _ .:.m+ COUNTY OF -BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street, Chico, CA- (916)'891-2751 7 County Center Drive, Oroville, CA - (916) 538-754.1 CORRECTION NOTICE PQkAie C � = OWNER PERMIT N0. =r A routine inspection indicates that the following violations of Butte County -Ordinances exist at the above address and should be corrected. Please notify this office whemcorrection,of work a is completed..lf you have; any questions pertaining to this matter, or need additional explanation, please.coritact this: office'immediately. Date "q) Inspector REV 10/92 -------------- _ -`E.H. USE=O Plot Plea Anwhod Moor Plea A meW Scat to B.D. U " TO: Building Department FROM: Environmental . Health SUBJECT: Sanitation Clearance Owner Location AP# ' Plan Approved for: Sewage Disposal Water IS Public Private Well: Clearance for bedroom mobile home. Other Hold final for: Final clearance O.K. _for: NOTE: etv Environmental Health Specialist 8/92 0 Date E E.H. S ONLY Not Plan Attached Floor Plan ACIAched, Sent to S.D. TO: Building Department FROM: Environmental- Health SUBJECT: Sanitation Clearance lqaD- k - Owner Location AP# I Water Supply: Public Private Ik Plan Approved for: Sewage Disposa�-(-- Wei—— Clearance for dwelling.-.. Other :::dA kaCaIAELLA QCA— Ia)ffYDD L; L, Hold final for: Final clearance O.K. for: NOTE: zel, Environmental Health Specialist 8/96 ....................... --3 Date A RESIDENTIAL PLAN REVIEW GUIDE SINGLE FAMILY, DUPLEX AND MISCELLANEOUS ONLY Owner:. Pk1 >^l Building Permit Number: 1 22 % Plans Examiner: A. P. Number: 2 t/ — O 10 -0 32 GENERAL: . Zoning requirements — (number of permitted living units). Building permit valuation. Plans signed by the designer. Al Proper description of work on the application. ,£>! Existing violations on the property. e Recorded notice of violation. PLOT PLAN: 4 Complete parcel size and dimensions. If Setbacks, side yard, easements, etc. X" Other buildings or structures. A' Grading, fills and/or drainage. .� Flood hazard. 6. Special conditions on Parcel Map (Noise, SRA, Fire Sprinklers, Water Tender, Traffic and Drainage fees). �7 FAU & FAS road setback. eK Building or utilities across lot lines (record form). FJ,OOR PLAN: Plans and specifications drawn to scale with dimensions and of sufficient clarity (Uniform Building Code section 106.3.3). 10% of natural light and 5% of ventilation (Uniform Building Code section 1203). ,3: Egress windows (Uniform Building Code section 310.4). Skylights (Uniform Building Code section 2409 & 2603.7). . Glazing in Hazardous locations (Uniform Building Code section 2406). k< Required room sizes and ceiling heights (Uniform Building Code -section 310.6). GFCI tin baths, garage, kitchen, wet bar, and exterior receptacles (NEC 210). AK Prohibited locations of gas water heaters (Uniform Plumbing Code 509& 1213.5). Sr.' Prohibited locations of gas heating equipment (Uniform Mechanical Code 304.5). Garage firewall separation - required on garage side including supporting walls and posts (Uniform Building Code section 302.4 exception #3). A Wood stove location - Alcove. clearance (UMC section 205 confined space & 223 unconfined space). Yl. Smoke detectors (Uniform Building Code section 310.9.1). ?Water closet clearances (Uniform Plumbing Code 408.5). 4" compartment minimum 1024 sq. in. & 30" circle (Uniform Plumbing Code 412.7). Pagel of 2 S UCTURAL DETAILS: Conventional construction — Unusually shaped buildings (Uniform Building Code section 2320.5.4). Standard bracing or engineered design (Uniform Building Code sebtion 2320.11.3). Clerestory requiring balloon framing and/or engineering. Three story building requiring engineered calculations and plans. Foundation plan complete enough to construct building. Floor construction details complete enough to construct building. ri Elevations and wall construction details complete enough to construct building. 4r Roof construction details complete enough to construct building. Rafter ties or bearing ridge beam. A Fireplace construction details and calculations if necessary. Garage door header size(s). Porch header size(s). j,3 -Stud heights. 1' Expansive soil — special foundation design required. XS. Retaining walls requiring design. Special Inspection requirements. X -Header sizes. Gypsum wallboard nailing inspection required. MISCELLANEOUS ITEMS: Stairway details — landings, rise and run, head clearance, handrails (Uniform Building Code section 1006). Guardrails (Uniform Building Code section 509). 4 Brick or stone veneer (Uniform Building Code section 1403). 4' Exterior plaster — weep screeds (Uniform Building Code section 2506.5). Roof pitch for roof covering (Uniform Building Code Table 15-B-1& 2, 15-D-1 & 2). A Roof covering type — (fire hazard). Foam insulation — protection. 36" halls and stairways (Uniform Building Code section 1004.3.3.2). 1ST Two exits on three — story dwellings (Uniform Building Code section 1004.2.3.2). A. Underfloor access and ventilation (Uniform Building Code section 2306.3 & 2306.7). )T: Attic access and ventilation (Uniform Building Code section 1505). K. Combustion air for fuel burning appliances — LPG requirements. W. Sound requirements. 14"Energy design compliance and supporting documentation. kf Flashing at all exterior openings. 1,67 CDF responsible area requirements. ,]%!Building Permit requirements: V r SRA. 1711. Flood elevation certificate. 1�7! Fire Sprinklers required. Y4. Special Inspection requirements. 15. Use Permit conditions. )"'6. Sub -Standard Housing letter. Page 2 of 2 b L i� I � I a� 9 9 9g O F1 0 t gg! o ! � O O a• r iia!!,11110111, -81 El!. lRINI jlVI- FLOOR PLAN (2ND. FLOOR) y NOTES r; ' 'RESIDENTIAL 1' (r. 024-010-087 99-2297 PERMIT NO. PAWEK, BILL & KARRIE 292 EAST GRIDLEY ROAD, GROLEi CONTR: OWNER ADD FAAULY ROOM, BATHROOM s r 1 i ,r ' SPECIAL CONDITIONS 11 CHECKED BY SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER s; , . P a i (�317k JOB FINALED (Date) / �, Signature T�7 ,/ = OK 0 = Not OK - = Not Applicable = Not Ready RESIDENTIAL (: Date U.ELderfloor (Plans) OK except #'s 41. Zonin -Setbacks-Easements-Flood-Slope 42. tg., Main; Soils-Elec. Grnd. jF' /- Ftg. Depth 3 g., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth a g., Porches & Decks; Soils -Steel-/ /" Ftg. Depth _-6!Stemwalls, Main; Steel-Blockouts-Wrapped 7. I o Is, Garage; Steel-Blockouts-Wrapped Hold Downs and Special Anchors Slab, Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D `.V.;. Fall -Fitting -Test -2 Way C/O -Sewer Test 12. U as Pipe; Size Anchors - Yard Gas Piping; Size Test Water Pipe; Test -Anchors -Regulator -Service Test Electric Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. iJ4' Girders -Sills -Anchor Bolts-Joists-Vents-Crippies `JS. Access & Ventilation 16. I sulation 40 Date- -d Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s 17. Water Htr.; Vent -Access -Combustion Air Baffle /J -t-F 20. ate Pipe; Test & Anchor -Nail Protection W.V.; Test Fittings & Anchor -Nail Protection Shower Pan; Test, First Floor -Tub Access 21. Test Tub & Shower, Second Floor -Tub Access 22. Gas Pipe; Sixe & Anchors 59. Shear Walls; Nailing -Bolts Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 23. Fixture & Transformer Clearance -Ins. Protection 24. Elec. Receptacles Spacing -Lights & Switches at Doors 25. Size Boxes & No. of Conductors Stapled 26. Romex Installed Close to Edge of Studs & C.J. 27. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water 28. 2 Appliance Circuits in Kitchen & Conductor Size GFI 29. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or At 30. Range Circle / / ga Cu or Al -Oven Circ. / / ga Cu or Al Insulated Neutral Q Yes ❑ No 31. Service -Riser Conductors & Ground Main Disconnect 32. Equip. Clearances Panels-Motors-Mech. Equip. 33. Clothes Closet Light -Shower Light -Spa Light 34. Smoke Detector om Exiting Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 35. A.C. Ducts Insulation & Support 36. Vent Fan, Exhaust above insulation 37. Condensate Drain & Overflow, Size & Grade 38. Furnace -Vent Access -Comb. Air -Return Air Vent 115 outlet 39. Attic Access & Platform if Furnace in Attic 7 . Kit. Fixt. & Appliance; Ground -Air Gap -Cooking Clearance 73. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s 40. Sits Proper Materials & Anchors 41. Walls Studs -Nailing Spacing & Braces -Plates -Sound 42. Bearing Walls over Girders & Floor Nailing 43. Draft Stop in Walls (rat proof) 44. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 45. Headers & Beams -Size & Bearing Wngle & Duplex) Date FRAMING (Continued) 46. Hangers -Post Caps -Anchors -Connectors 47. Cling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rfng. 48. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 49. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 50. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 51. Garage Fire Protection Framing 52. Property Line Firewall & Openings 53. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 54. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 55. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 56. Siding -Nailing Veneer 57. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 58. Glazing Area -Glass Protection -Skylights -Plastic 59. Shear Walls; Nailing -Bolts 60. Brace Interior/Exterior Wall Panels 61. Insulation -Walls -Ceilings 62. Infiltration -Walls -Windows Date Card B-1 Datif Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s �. E . Steps -Door & Sidelight Protection -Landings Smoke Detector AS Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor -Ducts -Mach. Protection om Exiting V.I. & Bath Fixtures & Tub Access -Spa Trim & Subpanel, Breaker Sizes & Labels Stairs & Rails 7 ireplace or Stove, Clearance -Hearth 7j4ec. Outlets at Wood Panel, Int. & Ext. 7 . Kit. Fixt. & Appliance; Ground -Air Gap -Cooking Clearance 73. Ac Outlets & Receptacles at Kit. Counter arage Fire Door; Swing -Landing -Closure 76. A.C. Duct in Garage -Damper r. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Wrage; Above Floor -Mach. Protection Ib., Elec. & Mech. Equip. Listed for Location -197 Elec. Receptacles in Garage (F.F.I.)-Romex Protection 9. Ins tion -Foam -Looked in Attic 8 d Rails & Deck Construction -Post Caps 41 dn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor O Yes --4a_Fo4@winTlnstld./Drive J Yes 0 No/Walks 0 Yes 0 No/Planters 0 Yes ❑ No g81-STUMTBrown-Finish nit Disconnect, Electrical -Plumbing 8 ants Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings t a r Well, Disconnect, Electrical, Plumbing 7. rior Elec. Trim, G.F.I. Receptacle -Underground 8 entilation Throughout House ss Protection geXuections from Previous Inspections 9, . a est -Meters Tagged, Gas -Electric 9Z yfater & Sewer Connected -C/O to Grade -HD Approval 9q. ,nergy Compliance Certificate -Other Certificates 94. Address Posted Date g` Card B-1 Date Card B-1 Date y Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: V = OK , , '0 = Not OK = NotAppllcable = Not Ready MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s Zoning Requirements -Setbacks -Easements 1. Zoning Requirements -Setbacks -Easements Footings; Soils -Size -Depth -Spacing -Connectors -Steel 2. Soils; Special MH Support Sketch Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 3. Sewer; Location -Test -Fall -C/O -Concrete Wood Awn.; Posts- Beams-Rftrs.-Connectors Shthg.-Frg-Bracing 4. Water; Location -Test -Easement Needed (Sketch) Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete Carports; Windows -Doors 6. Gas; Location -Test -Wrap;-/ /" L'ft. / /'Nat. or/ /"L"ft./ /'LPG Electric 7. Well Clearance & Disconnect Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 8. Utility Clearance Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATIOK(Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 1. 4. Electricity; MH Test -Crossovers -Breakers -Clearances 2. 5. Drain; MH Test -Fall -Flex Connector 3. 6. Water; MH Test -Regulator -Connector 4. 7. Water and Sewer Connected -C/O to Grade -HD Approval 5. 8. Gas and Electricity Tagged 6. 9. Tie Downs -Type -Installation Cert. 7. 10. Exits; Insp.-Sketch 8. 11. Cert. of Occupancy 9. 12. Permanent Foundation Only; License Decal 10. Plumb.; Cir. Test -Water Supply Test Date Light Niche 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 FINAL (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- Enclosure s-Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 COUNTY OFJJUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 gq�1T o (Rev.12/96) APPLICATION AND PERMIT ,C ASSESSOR PARCEL NUMBER 024-010-087 ZONING BUILDING PERMIT OWNER BILL & KARRIE PAWEK TELEPHO846N0555 SO. FT. OCC. BUILDING VALUATION R 42 552.00 OWNER'S MAILING ADDRESS 292 EAST GRIDLEY ROAD GRIDLEY 0 UNFIN 24 480.00 CONTRACTOR'S NAME OWNER TELEPHONE 117 C 11521 00 CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation .$68,553 00 ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 500 , Q ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 32 , Q BUILDINGADDRESS 292 EAST GRIDLEY, GRIDLEY Energy Plan Checking Fee $ 23.0 $ PERMIT FEE $ 868.00 LAT NO. SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF)p Duplex ❑ Mobilehome ❑ OtherWater SPECIFYEach Each Trap 7.00 35,00 Solar or heat um water heater 23.00 piping 15.00 is 0o gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition EX Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: ADD FAMILY ROOM, & BATHROOM Gas piping system t - 5 outlets 15.00 15 00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 600V OR LESS Main Service 200AORLESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.POWER License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: terI, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed H the permit is for work of a valuation of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the�— workers' c nsation provisions of section 3700 of the Labor Code, I shall w I with tho a provisions. _ _ Date Sig ri of Ap licant - V15owner ❑ Contractor ❑ Ageht An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Main Service 200A TO tOooA 46.00 NEW CONST. DWELLING OCCUP. SO OR ADONS. ( a ADc. stns. 3.5¢FT: 92 9A 'NIONR�,p. MULTI -OUTLET @7,50 APPARATUS 8 SINGLE OLlRET CIR. Ex. Occup. OUTLET OR FIXTURES @ 1.00BA20 @ .00 Ex. Occup. DFlxL,T,E�°sA Aa ) E 5.00 TemporaryService 23.00 Mobile Home Facilities 20.00 Misc. Wiring23.00 PERMIT FEE = 47.50 MECHANICAL PERMIT Filing Fee 20.00 Heating 20.00 Cooling Hood 6.50 Ventilation 4.50 GAS STOVE PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ A6 QQ occ CONST. TYPE TOTAL FEE $ HAZ. IM FLOOD CDF p EL HD U E. This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicate bo a for hich fees have been paid. By A ate PERMIT EXPIRES ON Dete Receipt No. , WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLD NInn-APPLICANT r COUNTY 01Bif fE DEPARTMENT OF DBVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 -TELEPHONE (530) 538-7541 PERMIT APPLICATION DATA SHEET OWNER: ASSESSOR PARC �- Proposed Building Use: VE F��d-_ 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.---------------------------------------------------------------- --------------------- Plot plans, 3/4 sets, signed by the preparer of plans.------------------------------------------------------------ Complete plans, 3/4 sets, signed by the preparer of plans. ---TD--- ------ 04. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plan..------ ~ 5. En ' eered truss details and layout in duplicate (required prior to plan review) No faxes! ------------------ / . Energy Design Compliance and supporting documentation. ---------------------------------------------------- ❑ 7. Statement of Intent for Non -Heated and A/C Buildings.--------------------------------------------------------- - ❑8. Hazardous Material Form. ---------------=''---'---------------------------------------------------------------------- Panu,factured Home data and installation instructions including Tie Down Specifications.----------------- sof -------------------------- (Jact fees as shown on the attached schedule. $,' s�---------------------------------------------- fa11q1q_qCW fornia Department of Forestry plan approval/fees. --------------------------------------------------------- lood elevation certificate. ----------------------------------------------------------------------------------------- 4. Sanitation and plot plan approval 0(ZS1 Health Department. ------------------------------------------- ❑ 15. City of Chico plumbing permit. ----------------------------------------------------------------------------------- ❑ 16.,Plot plan and business license approval from the City of Biggs. ---------------------------------------------- ❑ 17.- Planning approval for (A) Use: (B) Parking: -------------------------- ❑ 18. Contact Land Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel. ----------------- ❑ 19. Encroachment Permit for driveway (construction approval prior to occupancy). --------------------- 020. Pre -inspection for required Request to Building Inspector on ❑21. Contractor's license information. (Number, Name Style, Classification). ----------------------------- 0 22. Workers' Compensation carrier and policy number. ---------------------------------------------------- E123. Owner -Builder Verification (Given to owner ❑, Mailed to owner 0) - ------------------------------- ❑ 24. Letter of signature authorization.-------------------------------------------------------------------------- ❑ 25. Recorded copy of Agricultural Acknowledgment Statement. ------- =---------------------------------- E126. Letter of intent on building use. ---------------------------------------------------------------------------- ❑27. Manufactured Home utility clearance.--------------------------------------------------------------------- ❑28. Existing violations and/or expired permits. --------------------------------------------------------------- ❑29. 11433 A, ❑Grant Deed, ❑ M.H. Title, ❑ Check to H.C.D $ .-------- 030. ------- ❑30. Other: a 1" (Date) When you issue the permit, process as follows ❑ Mail to owner, ❑Mail t contractor. ❑Telephone�� " �and hold for pickup at o eliver th inspector. Applicant: Date: Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, ❑ Air P81fut oon D By: Copy of plans sent ❑ Health Department, ❑ Fire Department, ❑ Other: Date: By: 1. Index permit application for the above items numbered: ❑ Plan Check List 2. Additional items required: Contractor, designe<o as advised of the above required data byg phone, ❑ mail, ❑ Building Division counter, by Date:010 Contractor, design own was advised of the above required data by ❑ phone, cif mail, ❑ Building Division counter, byDate: l i - /� Contractor, designer, wn as advised of the above required data by Lq phone, ❑ mail, ❑ Building Division counter, by Date: 121'1 Contractor, designer, owner, was of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Plans reviewed by: Date: - E Plans approved by: Date: Sets of plans on hold inPlan Cabinet, ❑ A.P. folder. Note transfer by: Date.17 Yellow Copy - Department of Development Services, Building Division. COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. (Rev.t2/96) APPLICATION AND PERMIT M'ELSORPARCO.Numm mNNG BUILDING PERMIT OWNER rem"40NE SO. FT. OCC. BUILDING VALUATION OWMa M't YAUND ADDRESS 79 8 2 — 0 20 9, Fri! 0, a CONTRACTOR'S NAA! TEILDIgN! 6-1?/- 00 OONTRACTORV YALRA ADDRESS CONGTRUCTION LIME11 LZqpA'S YryVq ADORpS Fireplace Total Valuatlort E _ 00 ARCHITECT OR ENOINEEA LICENSE No. FiGn Fee $ 20.00 Permit Fee 500, ARCMTECT OR ENONEER'S YAUND ADDRESS Plan Checking Fee S ?; a5- 00 SULDM ADOREss Energy Plan Checking Fee 5 2_9,(30 i PERMIT FEE t BC a, 00 LOT NO. sUa01VDN7 I0NAYE PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Moblshome Cl Other LPWFY Each Trap 51 7.00 35 OD Solar or heat pump water heater 1 23.00 Water piping 15.00 g—, 0z) Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ installation ❑ Describe Work: Other ❑ Gas piping system 1 - 5 outlets 15.00 15, 00 Building sewer 15.00 15, co Mobile Home I S I G I WT— Q20.00 PERMIT FEE _ 6 0.6 ELECTRICAL PERMIT Filing Fee 20.00 Main Service 00ONOA oo-R go, 23.00 - Main Service 200A TO 1000A 46.00 NEW coral. DWEUL+D oocuP. OR ADDNs. 3.503Fro. 27,58 a ACC. eros. HM COMT. NON•RESID. YULTLOURET @7.50 POWFA APPARATtA a SIKiLE OUftPT CR. OUTty OR Fwrmm 20 0 I.00 EX. (7CCU a2 .00 Ex. Occup.O A" 1,%,16302A 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE _ O MECHANICAL PERMIT Filing Fee 20.00 Heating 201-40 Cooling Hood 6.50 Ventilation.J�i GAS 510- .000 _t PERMIT FEt: S _5 O Mobile Home Installation Fee $ Energy Inspection Fee L (p, tD occ CONST. TYPE TOTAL FEE = jt9j_ OO NAZ 0. FEES WP P"O I COF PARCIL PO M) 65UE ReceiptNo. WHITE•0.0.S.-B.O.. This permit is hereby Issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By I PERMIT EXPIRES ON SOR PINK -INSPECTOR GOLDENROD -APPLICANT Date , COUNTY OF'BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (530) 538-7541 PERMIT7O. (Rev. 1,2/96) APPLICATION AND PERMIT - �f ASSESSOR PARCEL NUMBER ` D /Q .� ZONING BUILDING PERMIT TET!i NE SO. FT. OQC. BUILDING VALUATION NAME r CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENNEER LICENSE No. Filing Fee $ 20.00 ARCHITECT OR ENGINEERS MAKING ADDRESS Permit Fee a Plan Checkin Fee $US BuaoWOADOREs Energy Plan Checking Fee $ S PERMIT FEE _ LDT No. 9UBONISpAM NS NE PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE Each Trap 7.00 Solar or heat pump water heater 3.00 SF A:C Duplex ❑ Mobilehome ❑ Other Water piping 15.00 sPEco-v Each as water heater or vent 15.00 TYPE OF WORK Gas piping system 1 - 5 outlets 15.00 New ❑ Addition V Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Building sewer 15.00 Describe Work:46 Mobile Home I S I G I W (x]20.00 Oat PERMIT FEE S ELECTRICAL PERMIT Fling Fee" 20.00 Main Service z�oa►o LE S 23.00 `— — — - - - — - —' Main Service 200A TO 1000A 46.00 NEW CONST. DWELUNII OOCUP. 3 5¢S0. OR ADONS. 8 ACC. BIDS. FT. NON•RES D. MUUFOUTLET ex 7.50 POWER APPARATUS 8 SINGLE OUTLET CI0. • EX. OCCU OUTLET OR FDCR1REs 20 0O 0 '.0 BA.50 EX. OCCU %0 APPLNS. OR ovnET. ESID. EA 5.00 Temporary Service 23.00 v� Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE _ ` MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation h) PERMIT FEI_ $ Mobile Home Installation Fee $ Energy Inspection Fee $ C"-�)' Occ CONST. TYPE TOTAL E$ HAZ. I D. FEES I IMP I FL000 I CDF PARC PO I HD ISSUE This permit is hereby Issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By Date PERMIT EXPIRES ON Pa to) Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to -avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement: YES[�Rj NO[ ]. 2. I HAVE[�J HAVE NOT[ )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 SIGNED: PROPERTY OWNER: SOCL-kL SECURITY NUMBER: DATE: NOTE: This owner -Builder Verification is required by Section 19831 and 19832 of the California Health and Safety Code. May 1995 This verification must be completed and returned to our office before we are permitted to issue the permit. 2.26 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, tt workers compensation insurance, disability inslance costs, and unemployment compensation contributions. 0 There may be financial risks* foryou 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. Sincerely, Michael C. Vieira, C.B.O. Manager, Building Inspection NOTE: This O%Nmer-Builder Information is required by Section 19830 of the California Health and Safety Code. May 1995 2.27 BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One form per Building) School District Gfz%bL0 Building Department No. A.P. Number 0 a q —Q C 1 0 (91jurisdiction: city County Property Owner 21 LL Pt4 kAV,(Z(f_ CA wc k Property Location/Address Subdivision Lot No. Residential Development ........................................ ......................................................................... F>_cl Sq. Footage No of Living Mobile Horne Addition/ *Supplemental to (Group R) Units Installation Conversion Permit # ................................................................................................................... *(No foundation inspection)': "1 .7 �4 -Ir- -21 Commercial/Industrialgq: Footage New Addition (Including Exterior Roofed Areas) —t z7z&zel.,_ //—/1-92 Building -Department Representative Date oor rians reviewea DV bcnooi uistrict rersonneii District I entificabon No. SchoolDistrict certifies that (ApplicantJ:.r (Street Address) (City) has complied with the requirements of Resolution No. square feet. 7, School District Rgoresentative Paid by Check # 0/31 Remarks: (Phone Number) (State) (Zip Code) /508 by payment of $ C�!?_/o 'V Y oil, 13d Date Notice: You may protest the imposition of the fees identified above by submitting -a writtenpr otest,.to the District, in compliance with Government C6de,Sectiori'660201a), within 90 days from the date fees are paid. Failure to submit a timely written protest will prohibit you from challenging the imposition,of the fees in any court action. If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District Is notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act (CECIA), this project may be subject to additional school fees to fully mitigate its impact on the school district's schools. White (applicant), Yellow (building department), Pink (school district) I feeform x1s (10/98)dmm COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, Californili 95965 • Telephone (530) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT 4,1- is ASSESSOR PARCEL NUMBER 024-010-087 ZONING A 5 BUILDING PERMIT OWNER BILL AND KARRIE PAWEK TELEPHONE 846-0555 SO. FT. OCC. Buld04 G VALUATION; P-2OWNERS MAILING ADDRESS 292 EAST GRID EY R o CONTRACTOR'S NAME OWNER TELEPHONE CV �D 1--I N U h CONTRACTORS MAIUNG ADDRESS Wz CONSTRUCTION LENDER FA Fireplace �+ LENDER'S MAIUNG ADDRESS Total Valuation $ CQ ARCHITECT OR ENGINEER LICENSE N0. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 292 EAST GRIDUY RD, GRIDLEY Energy Plan Checking Fee $ $ PERMIT FEE $ 97n (In LOT NO. SUBDNISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: 1ST RENEWAL PERMIT 99-2297 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE t ELECTRICAL PERMIT Fling Fee 20.00 Main Service zo.A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.POWER License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License for the following reason: I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work ;f—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 f I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwi ply wit those provisions. / �` X Date 1— L7 — 01 SignAAp lican - Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construction ofstructures over 3 stories in height. Main Service TO 1 46.00 WEE200A NEW CONST. DWEWNG OCCUP. SO U OR ADDNS. ( a ACC. BLDS. 3.5¢FT. NON-REOSID. T.OUTLETEL @7,50 APPARATUS 8 SINGLE OUTLET CI R. EX. Occup. OUTLET OR FD(TUREs SAL @ �.w Ex. Occup. OFIx�Ra OREk5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE _ MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEt $ Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ 270.00 HAZ. D. FEES IMP FLooD CDF PARCEL PD HD ISSUE This permit is hereby Issued under of the Butte County Code and/or indi d o r wh' h fees have B - u // PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. //1� Date � 1-3-02 Date ReceiptNo. % WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT ,.. _�-..�z r. ,� ^{::, .r,- :.-ti.. :3 Y�.Y ;.� � .•-.3. ..., 1%.tn},:'y+�o: fid• ,. �r .- r 024-010-087 01-0122 PAWEK, BILL &,KARRIE 292 EAST GRIDLEY DR., GRIDLEY CONTR: OWNER' LST RENEWAL PERMIT 99-2297 �,. K.-��''�.;.+esu+rx+►+n+�.�wtir�..+.�"--«awW*>* t COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES = BUILDING DIVISION• 7 County Center Drive • Oroville,".Califor`nia 95965 • Telephone (530) 538-7541 IT PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT �-.4AR9 ASSESSOR PARCEL NUMBER 024-010-087 ZONING - BUILDING PERMIT OWNER BIU AND TELEPHONE Sq. Fr, OCC. BUILDING VALUATION OWNER'S MAIUNG ADDRESS 292 EAST GRIDLEY RD, GRIDLEY- 95,94a CONTRACTOR'S NAME OWNER TELEPHONE TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER UCENSE No. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAIUNG ADDRESS Plan Checking Fee $ BUILDING ADDRESS G 292 FAST GRIDLEY RF)_PERMIT Energy Plan Checking Fee $ FEE $ ? LAT NO. ,� •r;a. FSG_ Sl)Bl)IVIS IONS NAME " - e PARCELA►'-�'-'+ t _ _ _ ,,. _... _... � ._.... ._ .. _. ... _ PLUMBING PERMITyY � Filing Fee "' 20.00' USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY T Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORKi ! i0 New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ T Describe Work: 1ST RENEWAL PER..MIT 99"2297 1� Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home Is G W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service zaOA OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.POWEPUS License Class LIC. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: 9 I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale ❑ 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO 1000A 46.00NEW CONST. DWELLNJG OCCUP. so OR ADDNS. ( & ACC, S.3.50FT: ULTI-O@7.50 tNpNROEgID ' ='_O, 8 SINGLER AOUTLETPARATCIR. EX, OCCU OUTLET OR FIXTURES 20 BAL @ 1.00 .50 FIXED APPLNS. OR Ex. Occup. OUTLETS RESID. EA 5,00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 pERMIT.FEE S WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ,❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) Q' 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with' those provisions. X Date �- �/ (' Signature of Applicant -['Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation , PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 270.00 HAZ. D. FEES IMP FLooD CDF PARCEL I PD HD ISSUE This permit is hereby issued under the applicable provisions of the' Butte County Code and/or Resolutions to do work indicated a0&e for which fees have been paid. ! j� / I BP �' vv Date PERMIT EXPIRES ON k 1-3"02 Date Receipt No. 1/9 iA WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT :> ' E.H. SE ONLY Plot Plan Attached p a� Floor Plan A cho r Sent to 9.0._! TO: Building Department FROM: Environmental- Health SUBJECT: Sanitation Clearance Owner Location AP# Plan Approved for: Sewage Disposa� Water Supply: Public Private We, Clearance for dwelling. Other /( I}-tYY� .1 >/,r)Qbbi OCA L.— Hold final for: Final clearance O.K. for: (VOTE: Environmental Health Specialist 8/96 _-3-1 Date RESIDENTIAL PLAN REVIEW GUIDE SINGLE FAMILY, DUPLEX AND MISCELLANEO US ONLY Owner: P� Building Permit Number: 1 % Plans Examiner: A. P. Number: 02q-010-031 GENERAL: Zoning requirements — (number of permitted living units). Building permit valuation. 3� Plans signed by the designer. Proper description of work on the application. Existing violations on the property. fK Recorded notice of violation. PLOT PLAN: Complete parcel size and dimensions. If Setbacks, side yard, easements, etc. i3' Other buildings or structures. X Grading, fills and/or drainage. Flood hazard. 6. Special conditions on Parcel Map (Noise, SRA, Fire Sprinklers, Water Tender, Traffic and Drainage fees). .R" FAU & FAS road setback. er Building or utilities across lot lines (record form). OOR PLAN: Plans and specifications drawn to scale with dimensions and of sufficient clarity (Uniform Building Code section 106.3.3). 10% of natural light and 5% of ventilation (Uniform Building Code section 1203). -3: Egress windows (Uniform Building Code section 310.4). Skylights (Uniform Building Code section 2409 & 2603.7). .!� Glazing in Hazardous locations (Uniform Building Code section 2406). b� Required room sizes and ceiling heights (Uniform Building Code section 310.6). GFCI in baths, garage, kitchen, wet bar, and exterior receptacles (NEC 210). AK Prohibited locations of gas water heaters (Uniform Plumbing Code 509& 1213.5). 9' Prohibited locations of gas heating equipment (Uniform Mechanical Code 304.5). Garage firewall separation - required on garage side including supporting walls and posts (Uniform Building Code section 302.4 exception #3). A Wood stove location - Alcove clearance (UMC section 205 confined space & 223 unconfined space). 1. Smoke detectors (Uniform Building Code section 310.9.1). 1� Water closet clearances (Uniform Plumbing Code 408.5). Y4. Shower compartment minimum 1024 sq. in. & 30" circle (Uniform Plumbing Code 412.7). Page 1 of 2 §JRUCTURAL DETAILS: Conventional construction — Unusually shaped buildings (Uniform Building Code section 2320.5.4). Standard bracing or engineered design (Uniform Building Code setrtion 2320.11.3). /3" Clerestory requiring balloon framing and/or engineering. .4� Three story building requiring engineered calculations and plans. Foundation plan complete enough to construct building. Floor construction details complete enough to construct building. Elevations and wall construction details complete enough to construct building. Roof construction details complete enough to construct building. Rafter ties or bearing ridge beam. 0 Fireplace construction details and calculations if necessary. X Garage door header size(s). Porch header size(s). j�Stud heights. J4' Expansive soil — special foundation design required. Retaining walls requiring design. Special Inspection requirements. ,,KHeader sizes. Gypsum wallboard nailing inspection required. MISCELLANEOUS ITEMS: Stairway details — landings, rise and run, head clearance, handrails (Uniform Building Code section 1006). Guardrails (Uniform Building Code section 509). —5" Brick or stone veneer (Uniform Building Code section 1403). Exterior plaster — weep screeds (Uniform Building Code section 2506.5). Roof pitch for roof covering (Uniform Building Code Table 15-B-1& 2, 15-D-1 & 2). fir. Roof covering type — (fire hazard). ,7' Foam insulation — protection. 36" halls and stairways (Uniform Building Code section 1004.3.3.2). J_ Two exits on three — story dwellings (Uniform Building Code section 1004.2.3.2). W Underfloor access and ventilation (Uniform Building Code section 2306.3 & 2306.7). ,: Attic access and ventilation (Uniform Building Code section 1505). I-. Combustion air for fuel burning appliances — LPG requirements. K. Sound requirements. 1�Energy design compliance and supporting documentation. Y.7 Flashing at all exterior openings. 167 CDF responsible area requirements. Building Permit requirements: SRA. j�1. Flood elevation certificate. u_f Fire Sprinklers required. J?.. Special Inspection requirements. 17!5. Use Permit conditions. Sub-Standard Housing letter. Page 2 of 2 J=OK t O = Not OK f� = Not Applicable MOBILE HOMES ' =Not Ready Date MOBILE HOME UTILITIES (Plans) OK except k'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: / P L" ft. / /"Nat. or/ /"L"ft./ /"LPG 7. Well Clearance & Disconnect 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 If'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 Card B-1 1 MISCELLANEOUS Date r D S, COVERS, CARPORTS, GARAGES, Plans OK except ft's �- -1. Z ing Requirements -Setbacks -Easements l 2. 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. n.; Columns -Connections -Splice -Decal -Enclosures C ports; Windows -Doors Ele tric Qszorrgaig; Sils-Anchors-Studs-Rftrs-Trusses ding; Nail!g-Veneer-Stucco-Mesh 0. Roof; S g -Roofing X, . Ext.; Steps -Doors -Landings f 5440yi ,2--- t-oa7ir&y4:S 0v29,Q Date Card B-1 Date Card B-1 Date 7'319,97 Card B-1 Date Card B-1 Date POOLS (Plans) OK except ft'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-Panelboards- 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 J=OK O = Not OK = Not Applicable Not Ready RESIbENTIAL (Single ' =� Date UNDERFLOOR (Plans) OK except k's 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth & 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 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth -- 5. Stemwalls, Main; Steel -Bloc kouts-Wra pped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors i 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 -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 h'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 h'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/GFl ----------------------------------------------------------- 28. Subfeed Wire Sizer r ga Cu or AI-A.C. Wire Size ! ! ga. Cu or At ---------------------------------------------------------------------------- ---- 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. 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 Dale MECHANICAL (Permit) OK except h'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 h's 39. Sils. Proper Material & Anchors ------- -- ------------------------------------------------------------ 40. Walls Studs -Nailing. Spacing & Bracing -Plates -Sound ---------- ------ ------------------------------------------------------- --------- 41. ----------------------------------- 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 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 50. Garaqe Fire Protection Framinq 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 4's 61. Ext. Steps -Door & Sidelight Protection -Landings 62. Smoke Detector _ 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage: Above Floor -Ducts -Meth. 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. .-----_..-----------------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 -Meth. Protection 75. Plb.. Elec. & Mech. 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 -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. 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 Date Card B-1 Date Card B-1 Comments at Final: RESIDENTIAL 024-010-087 PERMIT#9$6g PAWEK, BILL 292 E GRIDLEY RD., GRIDLEY NEW GARAGE/RV BARN JOB FINALED Date ®� Signature �a; . TO: Building Department FROM: Environmental Health SUBJECT:,,' Sanitation Clearance A- Owner Location E.H. USE O Plot Plea AMwW Floor Plan Auached Scut to B.D. U /� Plan Approved for: Sewage Disposal L Water Supply: Public Private Well n Clearance for bedroom mobile home. Other V r 10 Hold final for: Final clearance O.K. for: NOTE: Environmental Health Specialist Date Qi4� COUNTY OF BUTTE. BUILDING DIVISION, DEPARTMENT -OF DEVELOPMENT, SERVICES 411 Main Street • Chico, CA (530) 891-2751 7 County Center Drive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE P -N 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 notice this office when correction of work is 41 completed. If you have any questions pertaining to this matter, or need additional explanation,- please xplanation, pie ' ase contact this office immediately. 44 REV 10/92 I COUNTY OF BUTTE,, BUILDING DIVISION :4 DEPARTMENT OF DEVELOPMENT SERVICES .z 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 nY. 747 Elliott Road, Paradise, CA - (91`6) 872-6307 CORRECTION NOTICE WNER PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation please contact this office immediately.0, A I n 3pj� 745 _Z2 rZ 4 r ,4T - 'eYx Date Inspector REV 10/9 r OWNER -BUILDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property im rovement : YES 16 NO ❑ 2. I HAVE IC HAVE NOT ❑ 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 SIGNED: PROPERTYOWNER: 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 I,�. OWNER BUILDER INFORMATION I DearPropeivvcQwner: 4-4 Qipa plication 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: ♦ 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. ♦ If you are an employer, you must register with the State and Federal Governments as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers compensation insurance, disability insurance costs, and unemployment compensation contributions. ♦ There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. ♦ For more specific information about your obligations under Federal Law, contract the Internal Revenue 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 "owner builder" building permit, erroneously implying d—t 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 contrac9rs 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. I+Micel 1: � Vi ira, C.B.O. ,uilding Inspection NOTE. This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code OVER r33 COUNTY'OF BUTTE . , , Department of DeveloQment Services Building Division Oroville: 7 County Center Dr., Oroville CA 95965 Ph: 916-538-7541 Chico: 1469 Humboldt Rd., Chico CA 95928 Ph: 916-891-2751 OWNER -BUILDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement f (yes or no) J. - I (have/have not) 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 Signed Property Owner Date /G - /a — 51!V NOTE: This Owner -Builder Verification is sent to you as required by Sections 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. .,`,, 'Y�,yv,►�.r nr V'tN�sfrn'T{��. r�y+?.rr.iYtt •Y FK! nT""v+ 1"rr+ wrfa++^y.c. Rt1.. arr*�A 1M+ie�/nt.N t•.. t»,r fhG...n �tic ...� <.e COUNTY OF BUTTE -DEPARTMENT Of P1E-VELOPMENTwSERVICES -BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA95965 -TELEPHONE (916) 538-7541 P RMIT APPLICATION DATA SHEET 'OWNER /A-P3XN0. Proposed Building Use uilding 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 . ........................................ Plot plans, 3/4 sets, signed by preparer of plans ........................... mplete plans, 3/4 sets, signed by preparer of plans . ..................... 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 nd n facturer's installation instructions, 2 sets. ........... Fees of $ % ......................................... C 11. Impact fees as shown on attached schedule . .............................. 12. California Department of Forestry plan approval/fees....................... / Flood elevation letter (100 year flood) by California Engineer. . . IgA4. Sanitation and plot plan approval Health Department . ............ 1`5. 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). ... . Prpe e-Insction request 20. Pre -inspection for required. . to Building Inspector Coate) 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:hCopy 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 . ............................................... ... . 33. 34. Wheny.6 issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone/ / S5`� and hold for pickup at /11a „office. Deliver with inspector. Other %_ T � / Parcel Creation / Acreage Applicant Date -/0' 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 1. Index permit for above items No. 2. Additional items required: issuance: (Circle new item not checked above). Contractor, designerCoin; as advised of above required data by L pIGne _ mail Contractor, designer, owner, was advised of above required data by _ phone _ mail Plans checked by Date Plans approved by Sets of plans on hold in Copy - Department of Public Works File cabinet AP folder I'] Counter by,�ZDate�D Counter by _ Date Date �D 2� r �J r_ V O -9 /�`�irt S /Q�'c'� COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville,.Cal ifor'tia 95965 - Telephone (916) 538-7541! `_. �ER�MIT No• APPLICATION AND PERMIT 7 ASSESSOR PARCEL NUMBER 024-010-087 ZONING A5 BUILDING PERMIT OWNER BILL IRXWg PAWEK T97Nb555 SQ. FT. OCC. BUILDING VJtUAJT0IIf OWNER'S MAILING ADDRESS 292 E. GRIDLEY RD GRIDLEY 708 M 12,744.00 CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is LENDER'S MAILING ADDRESS Filing Fee $ 20,00 Permit Fee $ 14444 00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 93. 6o Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 292 E. GRIDLEY RD PERMIT FEE $ 257.60 GRIDLEY PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Water piping 15,00 Each gas water heater or vent 15.00 USE OF STRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other GARAGE/RV -B �, /�� pG,E- SPECIFY Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 TYPE OF WORK New DX Addition EIRemodel CIUtilities ❑ Installation 13Other EI Describe Work: RV / CAR &VE G'AiLAG,E PERMIT FEE $ Contractor ELECTRICAL PERMIT Filing Fee 1 20.00 Main Service ( BOOV OR LESS ) 200A OR LESS 123.00 23.00 Main Service ( 200A TO 1000A ) 46.00 NEW OCC OR AODNS.T ( D SELLINACCGBLDSUP I 3.5C F°; 24.75 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one) ❑ I am a licensed under provisions of Chapter 9, Division 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 compensation, will do the work, and the structure is not intended or offered for sale. (Sec 7044) O I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) ❑ I am exempt under Sec. Business and Professions Code forthis reason NEW CONST. MULTI -OUTLET .NON-RESID. ( BRANCH CIRCUITS ) @7.50 ( POWER APPARATUS ) 8 SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) 20 @ 1.00 BAL. .50 Ex. Occu FIXED APPLNS. OR ( ) p' OUTLETS IRESID.I EA. 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ This permit is for $100.00 (valuation) or less. ❑ 1 have placed on file with the County of Butte Dept. of Development Services, Building Division 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 Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ 67.75 Contractor MECHANICAL PERMIT Filing Fee 20.00 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 Butte County Ordinances and California 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, c sts, and penses which may in any way accrue against said in onsP of the anting of this permit. X Date _ Q— Signature of Applicant Owner ❑ Contractor ❑ Agents � ` r An OSHA permit is required for excavations over 5"0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ co.itYPE N TOTAL FEECDF HAZ. D. FEES IMP FLOO PARCEL PD �-- ISSUECounty This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated abo a for w 'ch fes have been paid. By Date PERMIT EXPIRES ON lDetel Receipt No. 133.60 // 168795 In � WHITE-D.D.S.-B.D. CANARY -ASSESSOR NK -INSPECTOR GOLDENROD -APPLICANT December 14, 1999 Bill and Karrie Pawek 292 East Gridley Road Gridley, CA. 95948 Department of Development Services Building Division 7 County Center Drive Oroville, CA 95965 (530) 538-7541 (530) 538-2140 FAX Assessor Parcel Number: 024-010-087 Building Permit Number: 99-2297 This office reviewed the above referenced revised building plans. Please respond in writing to each comment by creating a response letter. Indicate which detail, specification, or calculation shows the requested information. Your complete and clear responses will expedite the re -check and approval of this project. Provide additional information and/or make revisions to plans, specifications and calculations as follows: The braced wall panels indicated on the building plans do not meet the requirements of Uniform Building Code section 2320 for conventional light -frame construction. Therefore, a lateral analysis by a California licensed architect or registered engineer will be necessary. Please be: sure to include on the resubmittal the architect or engineer's "wet" stamp, signature, registration number and expiration date on all sheets of plans depicting the designed elements and cover sheets of calculations. 2. Plan reviiew will continue upon receipt of the above items. ,3 Complete and return the Butte County School Impact fee certification form. Balance of Building Permit fees = $675.05. If you wish .o discuss any requirements, you may contact me at (530) 538-7541 between the hours of 1:00 p.m. and 4:00 p.m., Monday through Friday. Sincerely, Glenn Gibbons Plans Examiner IofF November 18, 1999 Bill and Karrie Pawek 292 East Gridley Road Gridley, CA, 95948 Department of Development Services Building Division 7 County Center Drive Oroville, CA 95965 (530) 538-7541 (530) 538-2140 FAX Assessor Parcel Number: 024-010-087 Building Permit Number: 99-2297 This office reviewed the above referenced building plans. Please respond in writing to each comment by creating a response letter. Indicate which detail, specification, or calculation shows the requested information. Your complete and clear responses will expedite the re -check and approval of this project. Provide additional information and/or make revisions to plans, specifications and calculations as follows: Q Indicate the braced wall panel types and locations on the interior walls of the first and second floor levels. j2/ The 2 x 12 floor joist at 12" o.c. appear to be overspanned. Foundation design must comply with the minimum requirements of the Uniform Building Code Table 18 -I -C. Minimum depth below undisturbed ground surface — 18". The 2 x 10 floor joist for the first floor level are shown at 16" o.c. in section c.c. on page 7 and 12"o. c. on page 10. Please provide clarification. Indicate porch header size. 6. Complete and return the enclosed Butte County School Impact fee certification form. 7. Balance of Building Permit fees = $675.05. If•you wish to discuss any requirements, you may contact me at (530) 538-7541 between the hours of 1:00 p.m. and 4:00 p.m., Monday through Friday. Sincerely, Glenn Gibbons Plans Examiner Iofl 292 East Gridley Road Grildey; CA 95948 Assessor Parcel # 024-010-087 Building Permit # 99-2297 December 7, 1999 Reference: Additional information about plans Glenn Gibbons Department of Development Services Building Division 7 County Center Drive Oroville, CA 95965 Dear Glenn Gibbons: 1. All interior walls on the first and second floor levels will have '/Z" CDX or7/16" OSB on one side. 2. The floor joists on the second level are now TJI joist see attached specifications. 3. The revised depth for the footing is 18" from undisturbed ground to bottom of footing, see attached drawing. 4. The section drawing on page 7 is the correct one; the floor joist should be 16" on center. 5. The header size for the front porch is 4x8s. Sincerely, Bill Pawek B E A U T Y 7 COUNTY CENTER DRIVE • OROVILLE, CALIFORNIA 95965-3397 TELEPHONE: (530) 538-7541 FAX: (530) 538-2140 Re: Building Permit # 99-2297 Expiration Date: 1-3-01 A.P. # 024-010-087 With reference to the above subject, our records indicate that your building permit expires on the above date and your permit falls into one of the category marked below: [ Permit work started, but not completed. Permit may be renewed for '/� the original building permit fee (plus a $20.00 filing fee). The renewal permit will extend the building permit for an additional year from the original expiration date. Should you not renew your permit within 30 days of the expiration date, all work must cease until a new building permit has been issued. For your convenience, we are enclosing a renewal application form and owner -builder form to be completed and signed by you where indicated and returned to this office together with the fee shown. Please return all conies of the application form. [ ] No inspections have been made on permit work. Inspections are required to verify code compliance. We are unable to renew a permit where the work has not been started and inspected prior to permit expiration. After expiration of your permit, no work may be started until a new permit has been issued. [ ] A final inspection has not been made on permit work. Final inspection approval is required before occupancy. Our field inspector has verified that the building is occupied. Occupancy must cease until a final inspection can be made and final approval given. You have 30 days to voluntarily cease occupancy or to present an acceptable plan for abatement or corrective actions to be taken by you. If our records are in error or should you have any questions concerning this matter, please contact the OROVILLE office. Thank you for your prompt attention concerning this matter. YgVrs very truly, C. Vieira, C.B.O. -, Building Inspection MCV:lt Attachments Chico Office - 411 Main Street, Chico / 891-2751 Permit#3105-87 4 L .A ' Louise Swisher 292 E. Gridley Rd, Gridley, i i a COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538 -7541 -- APPLICATION AND PERMIT ZONING' .�_w % BUILDING PERMIT OWNER �� -` t '�. , Permit Fee TELEPHONE SO. FT. OCC. BUILDING VALUATION w �• 10.00 Main service EA. ADD'L 100 AMP OWNER'S MAILING ADDRESS NEW CONST. / DWELLING OCCUP.21) OR ADDNS. l ACC. BLDGS. 1�22SQft NEW CONSTR. MULTI.OUTLET2.50 NON.RESID .BRA CH CIRCUITS) CONTRACTOR';NAME , All APPARATUS tr l SINGLE OUTLET CIR. (SINGLE TELEPHONE Ex. Occup(OUTLETS OR FIXTURES 20@030 FIXED APLNS. Ex. (7ccup. OUTLETS P(RESID.)REA. / 2.00 Temporary service 10.00 CONTRACTOR'S MAILING ADDRESS t i , Fireplace 15.00 ❑ I shall not employ any person in any manner so as to become subject CONSTRUCTION LENDER 3.00 UNKNOWN Total Valuation Is % Notice to Applicant: If after making this statement, should you become subject Filing Fee / $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER Mobile Home Installation Fee LICENSE NO. Plan Checking Fee $ $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS TOTAL PERMIT FEE Penalty $ Occup. BUILDING ADDRESS v 4 ' Permit fee $ �L{ PLUMBING PERMIT Filing Fee 10.00 ISSUE all liabilities, judgments, costs, and expenses which may in any way accrue Each Trap 2.00 Solar or heat pump water heater 1 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 Gas piping system 1 - 5 outlets - /C �' �s � 5.00 Building sewer 5.00 Mobile Home S I G W 0.00 ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other[o DIRECTOR OF PUBLIC WORKS ion of structures over 3 stories in height. Permit Fee $ Describe work: CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): [i' I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professiops7Coend ,mom license is in fu force and effect. License No. y 1 ( _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 contra(;t- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code Contractor Permit Fee ELECTRICAL PERMIT Filing Fee 10.00 Main service eOOV OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. / DWELLING OCCUP.21) OR ADDNS. l ACC. BLDGS. 1�22SQft NEW CONSTR. MULTI.OUTLET2.50 NON.RESID .BRA CH CIRCUITS) ea APPARATUS tr l SINGLE OUTLET CIR. (SINGLE Heating Ex. Occup(OUTLETS OR FIXTURES 20@030 FIXED APLNS. Ex. (7ccup. OUTLETS P(RESID.)REA. / 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 ❑ I shall not employ any person in any manner so as to become subject Hood for this reason Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): MECHANICAL PERMIT Filing Fee 10.00 ❑ The permit is for $100.00 (valuation) or less. Heating I have placed on file with the County of Butte Building Department ra Certificate of Workmen's Compensation Insurance or a Certificate Cooling of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject Hood 3.00 to the W. C. laws of California. Ventilation Notice to Applicant: If after making this statement, should you become subject Permit Fee $ to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor 1 certify that I have read this application and state that the above information Mobile Home Installation Fee $ is correct. I agree to comply to all County Ordinances and State Laws relating Energy Inspection Fee $ 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 $ y I also agree to save, indemnify and keep harmless the County of Butte against Occup. CONST.TYPC FLOOD PARCEL PD ND ISSUE all liabilities, judgments, costs, and expenses which may in any way accrue 17=1 1 1 against said County.in consequence of the granting of this permit. .,� - /C �' �s � This permit is hereby issued under the applicable provi- X .• --+ Date sions of the Butte County Code and/or resolutions to do Signature of Apoficant — Owner ❑ Contactor �� Agent ❑ work indicated above for which fees have been paid. An OSHA permit is required for excavations over 5'0" deep and demolition or construct- DIRECTOR OF PUBLIC WORKS ion of structures over 3 stories in height. By �- ' Date Receipt No. WHITE-D.P.W., YELLOW-A3eE330R, PINK -INSPECTOR. GOLDENROD -APPLICANT PERMIT EXPIRES Date COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO ASSESSOR PARCEL NUMBE �^ _ (� z0, G s BUILDING PERMIT OWNER D - TEL PHONE SQ. FT. QPC. I BUILDING VALUATION OWNER'S }r1J„ 41 Ap9R 00 CONTRACTOR'S"(/ AMETE HONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LE ER KNOWN Total Valuation Ji $ Filing Fee $ 10,00 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 $ ,66 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 SFDuplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S 10.00ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service eOOV OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I dec are under penalty of perjury (check one): 1 am licensed under provisions of Chapt. 9, Div. 3 of the Business and Profess' ZY �nd ,m license isin f force and effect. (� License No. lassification ❑ 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.ei) Yz2sgft OR AODNS. ACC, SLOGS. NEW CONSTR TI.OUTLET 2.50 ea NO N.RESID .BRANCH CIRC ITS) POWER APPARATUS 6 (SINGLE OUTLET CIR. I Ex. Occup(OUTLETS OR FIXTURES ew 50 FIXED APPLNS. OR Ex. OCCUp. OUTLETS (RESIO.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): The permit is for $100.00 (valuation) or less. 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. t; ❑ I shall not employ any person in any manner so as to become subject to the W. C. taws of California. Notice to Applicant: If after making this statemerit'�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 Filing Fee 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 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, judgmen , costs, and expenses which may in any way accrue agains s oun equence of the ra ' tris -permit. X Date /G SignatureofA icant - 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 $ TOTAL PERMIT FEE $ Occup. I CONST.TYPZJ SCHOOL FUOODJ PARCEL PD I ND ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR F PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS nate �a Receipt No. WHITE-D.P.W.. TELLOW-ASSQSSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. -7 Cie - ASSESSOR PARCEL NUMBER- 24-010-87 :� ZONING A-5 BUILDING PERMIT OWNER Ken & Louise Swisher TELEPHONE 846-3004 SO. FT. OCC, BUILDING VALUATION p 160 C 2,184.00 OWNER'S MAILING ADDRESS 292 E. Gridle Rd., Gridley 95948 CONTRACTOR'S NAME Owner TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER None UNKNOWN I T al Valuation1$2,184.00 0 ilin Fee g $ 10.00 LENDER'S MAILING ADDRESS Permit Fee ARCHITECT OR ENGINEER None LICENSE NO. Ian Checking Fee $19-99 ergy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS enal ty $ BUILDING ADDRESS Permlt fee $ 67.75 PLUMBING PERMIT Filing Fee 10.00 292 E. Gridley Rd., Gridlev Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME V P RC AP. Water piping - 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE VIGas SF © Duplex❑ Mobilehome❑ Other SPECIFY piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 10.00ea TYPE OF WORK. New ❑ Addition g Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work: New Deck (Covered) _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V 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): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the BuslneSs and Professions Code and my license. is in full force and effect. No. Classification. fcation. 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.&) OR ACDNS. ACC. BLDGS. +/22sgft NEW CONSTR U .IC. C LET NON.RESID BRANCH CIRC ITS 2,50 ea APPARATUS e CIR. SINGLE OUTLETXlcense Ex. Occu pOUTLETS OR FIXTURES ePOWER 2 0eo0e AL@30 Ex. Occup. OUTLETS P(RESID )FIXED APLNS.KEA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 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 onsent 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 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 Butte to enter upon the above-mentioned property for inspection purposes.. I also agree to save, indemnify and keep harmless the County of Butte againstSCHL all liabilit' s, judgments, osts, and expenses which may in any way accrue against County in co equenc of the granting of this permit. X /I �,_ t. �� Date Sig ture of Applicant — Owne-F;a 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 $ PHAZ= CONST TYPE - TOTAL FEE $ 7.75 FLD cDF PAA 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. 93836/ $67.75 WHITE-D.P.W.. YELLOW-ASe[SSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION v wl it 7 COUNTY C�NTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 ji j � rar. -• x t f'PE'OMIT APPOCA.TION DATA SHEET y ' �.�' ' . _ Permit No. OWNER W 1 S Pfd P. No. Zq 0,16Proposed Building Use eCAJ Building Inspector—a Date 7 (� At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: d� DATE RECEIVED APPROVED 1. All items have been submitted. .......... 2. Plot plans in duplicate/triplicate, signed by prepare e ans ........ 3. Complete plans in duplicate/triplicate, signed b P epa er. of plans . . 4. Complete engineered plans and calcs, with Eft wgnatetl on plans . . 5. Hazardous Material Form ............ % - .� . 6. Energy Design Compliance andoc �suppo ing d _ r�ner`1[}atlon ......... 7. Statement of Intent for Non-Heate4d an, AC Build 8. Engineered truss details and layout in duplic to (required prior to plan check) 9. Mobilehome installation data including nufa turer's installation instructions .................. /,. U,J . 10. Fees of $ �t 11. Chico Urban Area fees paid ........:.� ......................... 12. Park fees paid ..................... ......................... $City School District fees paid .............. Sanitation approval from 000 Health Department of Chico plumbing permit ..................................... 16. Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: ...... 18. Improvements may be required. Contact Land Development Section DPW 19. Driveway permit (construction approval required prior to occupancy) 20. Pre -Inspection for required Pre-Inspec. request to Building Inspector (Date) 21. Contractor's license information (No., Name Style, Classifications ... 22. Certificate of Workmans Compensation Insurance .................. X23: Owner -Builder Verification (Given to owner ❑, Mail to owner ❑)..... 5—� `k ' 91 24. Recorded copy of Agricultural Acknowledgment Statement ......... 25. Letter of signature authorization ................................... 26. 27. When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver w/inspector. Other c� Appl ican Date // Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date p Copy of plans sent _Health Dept. Fire Dept. Other Date By The following data must be submitted ri per issuance: (Circle new item not checked above). 1. Index permit for above items No 2. Additional items required: '24hL P,e-,lc Gyn6(>i Contractor, designer, Or, was advised of above required data byv phone--nail_counter by (AA) ..date 0/46)12 Contractor, designer, owner, was advised of above required data by—phone _mall—counter by date Plans checked by &) Date Plans approved by &Z I Date Sets of plans on hold in File cabinet AP folder Copy—DPW 13 File No. BUTTE COUNTY (For Action 1, 2, 3) Public Works Dept. (For Information V ) Director Dep. Dir. Sec. Rd. 8 Br. Mtce. Shop 8 Yards Bldg. Insp, Admin. Design Engr. Bridge Engr. Constr. Engr. Surveys Mapping Transp. Land Dev. Drng. /S.I. ) Director Dep. Dir. Sec. Rd. 8 Br. Mtce. Shop 8 Yards Bldg. Insp, Admin. Design Engr. Bridge Engr. Constr. Engr. Surveys Mapping Transp. Land Dev. Drng. /S.I. Sub. & Pcl. Maps Permits Addr. February 11, 1991 Ren Swisher c/o Bank of America 901 Hazel St, Box B Gridley, CA 95948 RE: Recent Correspondence A.P. #24-01-87 292 E. Gridley Rd, Gridley Dear Mr. Swisher: With reference to the above subject and your letter dated February 6, 1991, the house you own at 292 E. Gridley Rd, Gridley is currently in an A-5* zone which allows residential construction. If your house is destroyed by fire or other disaster, it may be reconstructed if in compliance with the building and sanitation codes in effect at the time of reconstruction. Should you have any questions concerning this matter, please contact this office. JFG: ds Yours very truly, William Cheff Director of Public Works J.F. Glander Chief Building Inspector Im Bank of America Gridley Branch FEBRUARY 6, 1991, Joyce Avenell Financial Services Officer/Real Estate Loan Specialist M Bank of America Gridley 25 901 Hazel Street Gridley, CA 95948 Box 8 Gridley, CA 95948 916/846-4753 BANKAMERINET® 644-4891 BUTTE COUNTY BUILDING DEPT. # 7 COUNTY CENTER DRIVE OROVILLE, CA. 95965 DEAR MR. GLANDER: BANK OF AMERICA IS PROCESSING A REAL"ESTATE LOAN FOR KENNETH & LOUISE SWISHER, 292 E. GRIDLEY RD., GRIDLEY CA. -95948, # AP -024-010-087-000. BANK OF AMERICA REQUIRES A " BURN DOWN LETTER STATING EITHER PARTIAL, OR TOTALLY DESTROYED, THE OWNER CAN REBUILD ON EXISTING PROPERTY. I WOULD APPRECIATE A RESPONSE AS SOON AS POSSIBLE AS WE ARE UNDER A 15 DAY RATE LOCK MOMMITMENT. FINANCIAL SERVICE OFFICER/REAT ESTATE SPECIALIST PHONE -916-846-4753 Bank of America National Trust and Savings Association 901 Hazel Street Gridley, California 95948 V BILL PAWEK 292 E GRIDLEY RD GRIDLEY, CA 95948 ucrMn i mcw i yr ucvcuvrnncn i Jcnv R.c.7 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965-3397 TELEPHONE: 1916) 538-7541 FAX: 1916) 538-2140 10/11/95 RE: Building Permit # 94-2808 Expiration Date: 11/1/95 A.P. # 024-010-087 3 EA U T` With reference to the above subject, our records indicate that your building permit expires on the above date and your permit falls into the category marked below: [ J Permit work started, but not completed. Permit may be renewed for 1/2 the original building permit fee (plus a $20.00 filing fee) . The renewal permit will extend the building permit for an additional year from the original expiration date. Should you not renew your permit within 30 days of the expiration date, all work must cease until a new building permit has been issued. For your convenience, we are enclosing a renewal application form and owner -builder form to be completed and signed by you where indicated and returned to this office together with the fee shown. Please return all copies of the application form. [X�J No inspections have been made on permit work. Inspections are required to verify code compliance. We are unable to renew a permit where the work has not been started and inspected prior to permit expiration. After expiration of your permit, no work may be started until a new permit has been issued.' If our records are in error or should you have any questions concerning this matter, please contact the OROVILLE office. Thank you.for your prompt attention concerning this matter. Yours very truly, Michlael C.1 Vieira, C.B.O. MCV:ahb Manager, Building Inspection Attachments Chico Office - 1469 Humboldt Rd/891-2751 Paradise Office - 747 Elliott Rd/872-6307 COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965-'TelepHone (916) 538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER�^ ��. naa^�(0 1 ZONING BUILDINGPERMIT CAINE? TELEPHONE SO. FT. OCC. BUILDING VALUATION OW S MAIUNG ADDRESS , CONTRACTOR'S NAME TELEPHONE CONTRACTORS MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 20.00 LENDER'S MAIUNG ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDINGADDRESS a PERMITFEE $ PLUMBING PERMIT Filing Fee 20.00 ( Each Trap 7.00 LOT No. SUBDIVISIONS NAME PARCEL MAP Solar or heat pump water heater 23.00 Water piping 15.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other Z.&Q UJ VV'SPECIFY Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other�l - \ Describe Work: Mobile Home S G FE 920.00 PERMITFEE t Contractor ELECTRICAL PERMIT Filinq Fee 20.00 Main Servicee00V 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 for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason NEW CONST. DWELLING OCCUR OR ADDNS. ( & ACC. BLDS. ) SO. 3.5¢ FT. NEW CONST. MULTI.OUTLET NOWRESID. ( BRANCH CIRCUITS ) 97.50 ( POWER APPARATUS ) 8 SINGLE OUTLET CIR. Ex. Occup. (OUTLET OR FIXTURES ) 20 O 1.50 BAL .50 PLNS.OR ) EX. Occup. (oFIXED . 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 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.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X Date Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Filing 9 Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Mobile Home Installation Fee $ Energy Inspection Fee Is Occ CONST. TYPE TOTAL FEE $ �- HAZ. I D. FEES I IMP I FLOOD COF PARCEL PO HD ISSUE This permit is hereby issued under the of the Butte County Code and/or indicated above for which fees have BY j PERMITEXPIRESON /� applicable provisions Resolutions to do work been paid. Date (Date) Receipt No. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO. APPLICATION AND PERMIT" ASSESSOR PARCEL NUMBER 024-010-087 ZONING BUILDIN ERMIT OWNER BILL PAWEK TWNb555 SO. FT. OCC. BUILDING VALUATION OWNER'S MAIUNG ADDRESS 292 E GRIDLEY RD GRIDLEY CONTRACTOR'S NAME Ot0iIER TELEPHONE CONTRACTORS MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNIwOWN Total Valuation Is Filing Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ 2 .00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDING ADDRESS giO EXlO NI 292 E. GRIDLEY RD �p p{ 67Y PERMITFEE $ 92.00 GRIDLEY PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO. SUBDIVISIONS NAME PARCEL MAP Solar or heat pump water heater 23.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other GARAGE 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 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other l Describe Work: LST RENEWAL B.P. #94-2808 Mobile Home I S I G1 W 1 920.00 PERMITFEE g Contractor ELECTRICAL PERMIT Filina Fee 20:00 Main Service000v 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 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ I am exempt under Sec. Business and Professions Code for this reason NEW CONST. DWELLING OCC". OR NS. ( 8 ACC. ) SO. 3.5¢ FT. NEW CT CONST. MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS ) @7.50 ( POWER APPARATUS ) a SINGLE OUTLET S Ex. Occup. (OUTLET OR FIXTURES) 20 0 1.00 BAIL 0 .w Ex. Occup. (oFIXEEDTs PLNS..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 Fee 20.00 Heating Cooling Hood 6.50 Ventilation E PERMITFEE S Contractor Policy Number (The above sections need not be completed if the permit is for work of a valuation st�f one hundred dollars ($100) or less.) 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' compensat' I s of California, and agree that if I should become subject to the w rkers' a sation pr visions of section 3700 of the Labor Code, I shall hw' Iy with tho provisions. Date_ of Ap lican - MQWner ❑ Contractor ❑ Ag An OSHA permit is required for e3tcavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee Is occ CONST. TYPE TOTAL FEE $ 92.00 HAZ. I D. FEES I IMP I FLOOD I CDF PARCEL I PO HD LSSUE This permit is hereby issued under the of the Butte County Code an or indicated bove for which f e have B PERMITEXPIRESONReceiptNo. / applicable provisions Resolutions to do work been paid. Date 7 (Date) WHITE-D.D.S.-B.O. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT `,�' COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION ' 7 County Center Drive • Oroville, California 95965 • .Telephone (530) 538-7541 PERMIT PERMIT N (Rev.12/96) APPLICATION AND PERMIT ` - ASSESSQ{i TCEI�N,IIT 087 U1 U ZONING BUILDINGPERMIT OWNER BIL BILL PAWEK TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER 292 E GRIDLEY RD, GRIDLEY 95948 CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTORS MAIUNG ADDRESS CONSTRUCTION LENDER [Fireplace LENDER'S MAIUNG ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee z ORIGINAL $ 72.00 ARCHITECT OR ENGINEERS "UNG ADDRESS Plan Checking Fee $ BUILDING ADDRESS 292 E GRIDLEY RD G Energy Plan Checking Fee $ $ - PERMIT FEE $ - 92.00 LAT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE GARAGE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Otherx❑ Describe Work: 4TH RENEWAL/94-2808 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W I@20.00 PERMIT FEE S 3AT1 )) pj ,jeT: �25gn ELECTRICAL PERMIT Fling Fee 20.00 Main Service 2o0A0RLESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.POWER License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ills'l, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO 1000A 46.00 NEW CONST. DWELUNo OCCUP. OR ADDNS. ( MIC* stns. SO 3.5QFT: ReSIDNEW MULT.1 CI CUTITS @7,50 APPARATUS 8 SINGLE 0 ET CIR. Ex. Occup. OUTLET OR FIXTURES 20 O 1.00 SAL p .50 Ex. Occup. °� PP0E&)__ 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation f one hundred dollars ($100) or less.) certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' comperjpation provisions of section 3700 of the Labor Code, I shall forthwi c ith tho a provisions. X Date — — ��_ Signa 51f A pli ant - er ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. 111 MECHANICAL PERMIT Filing Fee .20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEt $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 92.001P HAz. D. FEES IMP I FLOOD I CDF PARCEL PD HD I ISrE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for whi ees have been paid. B Date 12/2,919,9 0 PERMIT EXPIRES ON Date Receipt No. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIV ION 7 County Center Drive - Oroville, Californ 95965 - Telephone (916) 538-7 1^� PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT DIV; ASSESSOR PARCEL NUMBER 024-010-087 ZONING BUIL INGPERMIT OWNER BILL PAWEK TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS 292 E. GRIDLEY RD GRIDLEY, 95948 CONTRACTOR'S NAME TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 72.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDINGADDRESS 292 E. GRIDLEY RD Energy Plan Checking Fee $ GRIDLEY $ PERMIT FEE $ 92.00 LOT NO. SUBDNISION'S NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other (IARA(,F. SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: 3RD RENEWAL B.P. #94-2808 ( 2ND B . P . #95-2997) Gas piping system 1 • 5 outlets 15.00 Building sewer 15.00 Mobile Home ISI GI W1 920.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 R LESS Main Service 200A OR LESS 23.00 LICENSED C TRACTOR'S DECLARATION 1 hereby affirm under penalty of erjury that I am licensed under provisions of Chapter 9 (commencing with Section 7 0) of Division 3 of the Business and Professions Code, and my license is in full forc and effect. License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm uncle enalty of perjury that I am exempt from the Contractors License Law for the following reason: hl I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO I 000 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. ( 8 ACC. BLDS. s0 3.5Q FT. NON -RES DNEW T MULTI.OUTLET TS 697.50 POWER APPARATUS & SINGLE OUTLET CIR. OUTLET OR FIXTURES Ex. Occup.SAL 20 @ , 00 .50 Ex. Occup. ouTELETS RES D.PPLNS OEa 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE _ WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ 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.) aI I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forth 't omply ith those provisions. X Date �_t/ac= S' nature of Applica t - ❑ Owner ❑ Contractor ❑ Agent n OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST. TYPE TOTAL FEE $ 92.00 2.A. D. FEES IMP FLOOD COF PARCEL PO HD ISSUE This permit is hereby issued under the applicable of the Butte County Code and/or Resolutions indicated above for which fee have been B Date PERMIT EXPIRES ON 111/1/98 provisions to do work paid. fe Receipt No. XN WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT OWNER -BUILDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement: YESg3' NO ❑ 2. I HAVF& HAVE NOT ❑. signed an application for a building permit for the proposed work. 3. 1 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 SIGNED: PROPERTYOWNER: SOCIAL SECURITY NUMBER: DATE: l 2 . _'1 NOTE. This Owner -Builder Veriftcation 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 . .. ,. • .~lam Attention Property Owner: An "owner -budder" building permit has been applied for in your name and bearing yoiu signature. Please complete and .return this information at your earliest oppordniity to avoid unnecessary delay in processing and issuing your building permit'. No budding pem*'; i,M be issued until this verification is received. 1. I personally plan to provide the majoror and materials for constructign of tha proposed property improvement: YES NO[ Z"I'H�7E"'V- h'�`Pi [':`] _signed: aii aPplicatioii=for a' budg pelt for the proposed wo 3. I have contracted with the ' following person (firm) ­ to provide. • the 'proposed construction: NAME: ADDRESS: CITy:... _ PHONE: CONTRACTOR'S LICENSE NO..:. - 4. O. _4. I plan to provide portions of this woik, but I have hired_ the following person to coordinate, supervise, and providp the major work: NAME: IL114 ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 5. 1 will provide some of the work but I have contracted (hired) the followiz icons to provide the work indicated: NAME ADDRESS PHONE TYPE OF WORK SIGNED: PROPERTY OWNER: SOCLAL SECURITY NUMBER: DATE: /- zt - C) C 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. • /1S s)f h �.::�. ♦ ..,..k.u.�e�'.. :.:iii .._ . r v�..C'r.,,,k{^.✓.?:� ...., � ...... t. ` . ..,... .v..,.... ....:.:. .,:..... ..:.. 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 iecord 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 sbbi o� peel should be aware of the following information for your benefit and protection: = 0 If you employ or otherwise engage any'persoi s 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 ir�airana costs, and unemployment compensation contn'butions. 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 Inteinal 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 mateiial 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.. .- Sincerely, 1,14ichael C. Vieira, C.B.O. Manager, Building Inspection NOTE: This 0,.�-ne. •Builder Information is required by Section 19830 of the California Health and Safety Code. IVtav 1995 2.27