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Home My WebLink About024-080-019i 24-08-19 /I Herman May 450 Sheldon Ave., Grid3ley .lD''�. Permit #5087-80P,E(util— g ELEC. lot� 0 GAS_ /1 A01 SUPPORT STRUCTUgy REQ. COMPACTION TEST REQ.__;.: 024-080-019 02-012 YEOMAN, DAVID 6NALED 450 S14ELDOG SDE Y DETACHED 024-080-019 05-3332 YEOMAN, NANCY & DAVID 450 SHELDON AVE, GRIDL�cJr colt: o'vNER RELOCATE H.20 VIEA'fER cmr A�r Butte County Department of Development Services N 0 T E S 7 County Center Drive, Oroville, CA 95965 (530) 538-7601 vyww.bqtteco.u.ntynqVd0s R E S I D E N T I A L APN: Permit No. 024-080-019 05-3)332 Owner. YEOMAN, NANCY & DAVID - - Site Address: 450 SHELDON AVE, GRIDLEY Cont: OWNER Contractor RE LOCA TE H20 HEATER Type of Permit: SPECIAL CONDMONS CHECKED BY SRA FLOOD CERTIFICATE EQUIRED FIRE SPRINKLERS REQUIRED SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER ENCROACHMENT PERMIT REiNSPECTION FEE PAID ENV HLTH CLEARANCE DATE JOB FINALED: SIGNATURE: = OK = Not OK MANUFACTURED HOMES M I S C E L L A N E 0 U S DATE PERMANENT FOUNDATION SOFT -SET I Zoning -Setbacks -Easements 2 Soils; Special MH Support Sketch 3 Sewer; Loctn-Test; Fall/C/O-Concrete 4 Wtr; Loctn-Test-Easement Needed -Regulator 5 Elec Loctn-Clrncs-Grnd Amp -Concrete 6 Yard Gas; Loctn-T6st-Wrap Nat [::] or LPED Inch Sz Ft Lngth 7 Blckng; Sz-Spacing-Marriage Line 8 Gas; MH Test-Demand-Valve-Cnnctr 9 Elec MH Cntnty Test-Crossovers-Breakers-Cirncs 10 Drain; MH Test -Fall -Flex Cnnctr 11 Wtr & Sewer Connected -C/0 to Grade 12 Gas and Electricity Tagged .13 Tie Downs EJ Foundation -14 Exits 15 Cert of Occupancy 16 HUD Label/Insignia Numbers Serial Numbers DATE IDECKS-COVERS-CARPORTS- GARAGES I Zoning -Setbacks -Easements �2 Ftgs; S oils -Sz-Dpth-S pacin g-Cn n ctrs -Steel 3 Decks, Girders/Joists-Dcking-B'rcing Stairs-Guard/Handrails 4 Wood Awn; Posts -Beams -Rftrs -Cn nctrs -S hthg Frmg-Brcng 5 Alum Awn; Columns-Cnnctns-Splice-Decal-Enclsrs 6 Carports; Wndws-Doors 7 Electric B Frmg; Sills -Anchrs-Studs-Rftrs-Trusses 9 Siding; Nailing -Veneer -Stucco -Lath 10 Roof-, Shthg-Roofing 11 Ext; Steps -Doors -Landings 12 Braced Wall prils 48, DATE IPOOLS I Setbacks -Easements 2 Soils; Compaction�Structure Stability 3 Pool Structure; Steel-Cnnctns-Thickness Dead Men -Lining 4 Elec Rcptcls/Lting; Distance-GFI 5 Elec Pool Lting; 15 volts-GFI 6 Elec EncIsrs; Conduit Entries -Terminals -Listed 7 Elec Bonding; Metal w15'-CrcItng Eqp-Htr 8 Elec Grndng; Eqp w/5' CrcItng Eqp-Pool Ightg Bokes-EncIsrs-prilboards-Insultri to Main Conduit 9 Health Dept ApprvI 10 P[mb; Cir Test-Wtr Supply Test 11 Lt Niche 12 Enclsr; Fencing -Alarms 13 Bonding, Diving board or Slide 41 ISO 0 Ise Pool Drawing , = OK 0 = Not OK I RESIDENTIAL (Single- & Duplex) I DATE JUNDERFLOOR DATE N G I Zon ing-Setbacks-Easements-Flood-Slope 53 Wtr Htr; Vent-Acc-Cmbstn Air Baffle 2 Ftg Main; Soils-Elec Gmd Ftg Dpth 54 Wtr Pipe; Test& Anchr-Nail Prtctn 3 Ftg Garage; Soils -Steel -Elec Grnd Ftg Dpth. 55 DWV; Test Fittings & Anchr Nail Prtctn 4 Ftg Porches/Decks; Soils -Steel Ftg Dpth� 56 Shwr Pan; Test First fIr-Tub Acc 5 Sternwalls Main; Stee I -B lockouts -Wrapped 57 Test Tub & Shwr, 2nd fir - Tub.Acc 6 Sternwalls Garage; Steel-B(ockouts-Wrapped 58 Gas Pipe; Sz & Anchrs 69 Hold Downs and Special Anchrs 59 Fire Sprinkler; Test 7 Slab, Steel Wrapped 60 Yard Gas Piping 8 Piers-Frplc Ftg-Steel 9 DWV; Fall-Fiffing-Test-2-way C/0 -Sewer Test 41 10 UF, Gas Pipe-, Sz Anchrs-Sz Test 1..j Wtr Pipe; Test-Anchrs-Rgitr-Service Test 12 Elec Undrgrnd DATE IMECHANICAL 13 Plenums & Ducts; Cirnc-Material-Support-Insultn 61 AC Ducts Insultn &Support 14 Girders -Sills-Anchr BottsJ oists-Vnts -Cripples 62 Vent Fan, Exhaust abv Insultn 15 Acc & VntItn 63 Condensate Drain & Ovrffw, Sz & Grade 16. Insulation 64 Furnace -Vent Acc-Comb Air Rtrn/Vent 115 Outlet 65 Attic Acc & PItfrm if Furnace in attic 4& DATE IFRAMING 17 Sills Proper Materials & Anchrs DATE ]FINAL 66 Ext Steps -Door & SideLt Prtctn-Landings 18 Walls Studs -Nailing Spacing & Braces -Plates -Sound 19 Bearing Walls over Girders & fir Nailing 67 Smoke Detector 20 Draft Stop in Walls (rat proof) 68 Furnace Vnts-Cirnc-Comb, Air-Cnnctr 21 Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs In Garage; abv-flr-Ducts-Mech Prtctn 22 Headers & Beams-Sz & Bearing 69 Bedroom Exiting 23 Hangers -Post Caps-Anchrs-Cnnctns 70 GFI & Bath Fxtrs & Tub Acc-Spa 24 Ceiling Joist-Rftr T'les-Purlin-Roof Brac-Truss-Shthg 71 GFII Arc Fault 25 FrpIc Ties or Type A Flue-Frplc Throat CIrnc. 72 Elec Trim & Subpnl, Breaker Szs & Labels 2G Attic Acc; Sz & Rmx: Prtctn-Draft Stop -Ins Baffles 73 Stairs, GuardtHandrails; 27 Bdrm Wndws or Exiting Doors -Sill Ht & Dimensions 74 Frple or Stove, Clrnc-Hearth 28 Garage Fire Prtctn Framing -RC Channel 75 Elec Outlets at Wood PnI, Int & Ext 29 Prprty Line Firewall & Opngs __76 Ktchn, Fxtr & AppInc; Grnd-Air-Gap-Cooking CImc; 30 Ext Doors -One T -Check Garage 3rd Story, 2 Exits 77 Elec Outlets & Rcptcls at Ktchn Counter 3`1 Stairs; Width-Hdrm-Rise-Run-Landing-Fire Prtctn 78 Garage Fire Door; Swing -Landing -Closure 32 Plywd on Roof Ovrhng-Affic Vnts-Rftr Outrgrs — 79 AC Duct in Garage -Damper 33 Siding -Nailing Veneer 80 Wtr Htr; Vnts-CImc-Com Air Cnnctr-PRV; abv fir 34 Stucco Lath -Weep Screed-Fndtn Vnts-Undrfir Acc Mech Prtctn; LPG AppInce Undr House 3" drain 35 Glazing Area -Glass P rtctn-SkyLts -Plastic 81 PImb; Elec & Mech Eqp Listed for Loctn 36 Shear Walls; Nailing -Bolts 82 Elec Rcptcls in Garage (GFI) Romex Ortctn 37 Brace Int/Ext Wall pnis 83 lnsultn-Foam-Looked in Attic 38 Ins u Itn-Walls-Ceil ings 84 Guard Rails & Deck Cnstrctn-Post Caps 39 Infiltration-Walls-Wndws 85 Fndn Vnts & Crawl Hole Door Drnge & Wood -Earth 86 CIrnc Drnge Planters F I Yes E:]No 87 Stucco Brown -Finish 88 AC Unit Dscnnct, Elec-Plmb 8t) Vnts abv Roof, Plmb-Appinc-Frplc-Clrnc to Opngs 90 Wtr Well, Dscnnct, Elec, PImb 91 Ext Elec Trim, GFI Rcptcl-Undrgrnd DATE JELECTRICAL 40 Fxtr & Trnsfrmr Clrnc4ns Prtctn 41 Elec Rcptcls Spacing-Lts & Switches at Doors 92 VntItn thru House 42 Sz Boxes & No Of Cndctrs Stapled 93 Glass Prtctn 43 Romex Installed Close to Edge of Studs & CJ 94 Corrections from previous Inspctns 44 Eqp, Grnd made up w/Mech Fstnrs 95 Gas Test -Meters Tagged, Gas-Elec 45 Grndng Electrode Bond Gas & Wtr 96 Wtr & Sewer Cnnctd-C10 to grade -HD ApprvI 46 2 Appinc Circs in Ktchn & Cndctr Sz GFI 97 Energy CmpincCert-OtherCerts 47 Subfeed Wire Sz ga CU or DAL H Address Posted AC Wire Sz ga CUorDAL 99 Fire Sprinkler 48 Range Circ ga [:] CU orF_1 AL Oven Cire 93 EICU orFIAL Insulated Neutral DYes DNo 49 Service -Riser Cndctrs & Grnd Main Dscnnct 50 Eqp CImcs pnis-Motors-Mech Eqp 51 Clothes Closet Lt-Shwr U -Spa U 52 Smoke Detector BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 PERMIT NO. BP053332 B. C. Building Permit 01-16-04 pg 1. LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under Issued Date: 12/30/2005 APN: 024-080-019-000 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. Site Address: 450 SHELDON AVE GRI License Class License Number: Map Index: Date: Contractor: Description: relocate h2o heater OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a Owner: YEOMAN NANCY C & DAVID L permit to construct, alter, improve, demolish. or repair any structure, prior 450 SHELDON AVE to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of GRIDLEY, CA the Contractors State License Law (Chapter 9 commencing with Section 95948 7000) of Division 3 of the.Business and Professions Code) or that he or she is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the pplicant to a civil penalty of not more than five hundred dollars ($500).): as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Applicant: YEOMAN NANCY C & DAVID L Code: The Contractors' State License Law does not apply to an 450 SHELDON AVE owner of property who builds or improves thereon, and who does GRIDLEY, CA such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for 95948 sale. If however, the building or improvements are sold within one year of completion, the owner -build ' er will have the burden of proving that he or she did not build or improve for the purpose of sale.). 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Pr6fessions Code. The Contractors' State License Law does Contractor: not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). C3 lam Exempt under Article 3,oMhe Business an ProfessionsCode Date/�kLo )— Owner: License #: . hVORKERS7OMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: 0 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Architect: Labor Code, for the performance of the work for which this permit is issued. Engineer: CI I have and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier: Total Square Ft: 0 S. F. Valuation: $0.00 Policy #: 6/1'1certify that in the of the work for which this permit is Census Code: performance issued, I shall not employ any person In any manner so as to become subject to the workers' compensation laws of California, 6 and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date: Applicant: WARNING: Failure to secure workers' compensation coverage is. unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. . CONSTRUCTION LENDING AGENCY This per it i5?I1!'0,eby issuecj/,uAer th applicable provisions of the Butie Goumy Code and/or m I hereby affirm that there is a construction lending agency for the on o e Resoluti work in c ed abf for ich fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) Date: Name: By: ' - 14 PERMIT EXPIR S ON: Address: (Date) 0 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. 0 Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. 0 Attached are copies of the required E. P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby authorize representatives of Butte County to enter upon the above mentioned property for inspection pur X Y&V r,— �-A_) - I Print Name: L) Signature: Date: QIr 0-wner C3 Contractor C3 Agent for Owner 0 Agent for Contractor J B. C. Building Permit 01-16-04 pg 1. BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 PERMIT NO. BPO53332 B.C. Building Permit Ol-16-04 pg 4. LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under Issued Date: 12/30/2005 APN: 024-080-019-000 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. Site Address: 450 SHELDON AVE GRI License Class License Number: Map Index: Date: Contractor: Description: relocate h2o heater OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a Owner: YEOMAN NANCY C & DAVID L permit to construct, alter. improve. demolish, or repair any structure, prior 450 SHELDON AVE to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of GRIDLEY, CA the Contractors State License Law (Chapter 9 commencing with Section 95948 7000) of Division 3 of the.Business and Professions Code) or that he or she is exempt therefrorii and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Applicant: YEOMAN NANCY C & DAVID L Code: The Contractors' State License Law does not apply to an 450 SHELDON AVE owner of property who builds or improves thereon, and who does GRIDLEY, CA such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for 95948 sale. If however, the building or improvements are sold within one year of completion, the owner -build ' er will have the burden of proving that he or she did not build or improve for the purpose of sale.). 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Flrdfessions Code. The Contractors' State License Law does Contractor: not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). 1 am Exempt under Article 3,01he Business an�Professions Code L Date/ Owner: License #: kVORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: El I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Architect: Labor Code, for the performance of the work for which this permit is issued. Engineer: 0 1 have and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier: Total Square Ft: 0 S. F. Valuation: $0.00 Policy #: Census Code: el"Icertify that in the of the work for which this is performance permit issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. 1 17 - Date: A q10 Applicant. WARNING: Failure to secure workers' compensation coverage is. unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. . CONSTRUCTION LENDING AGENCY Thispermitis ereby'ssuecyuAerth applicable provisions of the Butie County Code and/or I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec 3097 Civ.) ork in c o e or ich fees hav Resolutio o do w ed e been paid. ID Name: By: Date: PERMIT EXPIRES ON: Address: (Date) 0 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. 0 Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. 0 Attached are copies of the required E. P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby authorize representatives of Butte County to enter upon the above mentioned property for inspection purp P Print Name: V n,—rA- A_J Signature: ZkX,41_y Date:,_.: 3—Owner El Contractor 0 Agent for Owner 0 Agent for Contractor B.C. Building Permit Ol-16-04 pg 4. ,BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS ,24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 - CHICO: (530) 891-2834 OFFICE#: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OF APPLICATION **PLEASE PRINT CLEARLY" . OWNER CONTRACTOR Last Name o e7-\ r-%- 1"J rirst Nanw--N Address Address city. citv'-�� Sta Zp/n Plone6� Fax Phone Book Fax APPLICANT SIGNATURE X For office use only: I CONTRACTOR Name Flood Zone Address SRA city. I No State Zip Phone Book Fax E-mail Planner u1c. # Class APPLICANT SIGNATURE X For office use only: I ARCHITECTIENGINEER Name Flood Zone Address SRA City I No State Zip Phone Book Fax E-mail Planner State License Number APPLICANT SIGNATURE X For office use only: I APPLICANT NAME Name Flood Zone Address SRA city I No State 25 p Phone Book Fax E-mail Planner APPLICANT SIGNATURE X For office use only: I Zoning Property Address L/'5T-') Flood Zone Cross Street SRA Yes I No Occ. , I Type Const. Subdivision Name 71 Map Book I Page F05 Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS PERMIT NO. BP05-333 BIN 9 LOCATION AN C/ Property Address L/'5T-') city Cross Street WORKER'S COMPENSATION Policy Number Carder If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address Description or Scope of Work: 0 Sq. Footage, 0 Structure Built without Permits 0 Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made pfior to the expiration of the pennit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. Received b Amount 77 01 <7 4? 7 Receipt i . Date Bldg SRA Sheriff —SMIP Other Total SUBMITTAL REQUIREMENTS The following drawings and specifications must be submitted to the Building Division in order to apply forapermit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALLPLANSMUSTBE LEGIBLE AND IN -INK. Residential, New, Remodels, Additions, and Accessory Structures: 0 1 3 Site Plans, signed by. the preparer. NO. GRAPH PAPER! Ei .2. 3 Complete sets of plans, signed by the preparer. NO GRAPH PAPER! OR 3 Sets Engineered plans (if required) with wet signature on plans AND 2 sets of stampedand signed calculations. 0 3. 2 Engineered truss details and layouts (if required) (NO FAXES!). 0 4. Letter from Engineer or Architect for truss design review. o 5. 2 Energy compliance design and supporting documentation. (Note: Not Fequiiedfor additions to mobile or modular homes.) 0 6. 2 Flood Elevation Certificate, wet -stamped and signed (if required). El 7. Detached Accessory Building Form, filled out by the property owner (if required). * 8. Sanitation and site plan approval from the Environmental Health Department. * 9. Metal Buildings: (A) Metal Bldg Plans, (B) Frid plans and calcs in triplicate, (C) Elevations in triplicate, (D) Floor plans in triplicate, All of these must be stamped a nd wet -signed by the engineer. Mobile, Manufactured, or Modular Homes: 0 1 . 3 Site Plans, signed by the preparer. NO GRAPH PAPER! o. 2. 2 Data sheets and installation instruction manual. o * 3. 2 Marriage line information. o 4. 2 Floor plans. o 5. 2 Engineered Tie Downs or Foundation plans. 0 6. Sanitation and site plan approval from the Environmental Health Department. 0 7. 2 Flood Elevation Certificate, wet -stamped and signed (if required). Commercial, New, Additions and Remodels: 0 1 . 4 Site Plans, signed by the preparer. NO GRAPH PAPER! 0 2. 4 Engineered plans with wet signature on plans AND 2 sets of stamped and signed calculations, with code analysis. 0 3. 2 Engineered truss details and layouts (if required) (NO FAXES!). o 4. Letter from Engineer or Architect for truss design review. o 5. 2 Energy compliance design and supporting documentation (if required). Ei 6. 2 Flood Elevation Certificate, wet -stamped and signed (if required). [1 7. Statement of Intent for Non -heated and AJC (if required). o 8. Metal Buildings: (A) Metal Bldg Plans, (B) Fnd plans and cales in triplicate, (C) Elevations in triplicate, (D) Floor plans in triplicate, All of these must be stamped and wet -signed by the engineer. o 9. Letter of intent. 10. Hazardous Material Form. 11. Sanitation and site plan approval from the Environmental Health Department. If you have questions or would like additional information regarding this process, contact a Permit Application Assist�nt at (530) 538-7541. OVER FOR BUILDING PERMIT APPLICATION P r_V 9-1 RAU 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 02-0122 ASSOSOR PARCEL NUMBER Q94-080-019 ZONING A9 BUILDINGPERMIT OWNER DAVID YEDMADI TELEPHONE 846-9159 SO. FT. OCC. BUILDING VALUATION 624 U 112232.00 OWNERS MAILING ADDRESS 450.PME�DON, GRIDIEY 9594R CONTR4CTOR ()WN'P.R TELEPHONE I — CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDERS MAJUNG ADDRESS Total Valuation 1$11.232.00 ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 135-1-00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 82-79 BUILDING ADDRESS Energy Plan Checking Fee $ 4_50 S-HELDWN , GRIDLEY $ PERMIT FEE $ 949 - 79 LOT NO. SUBDIVISIONS NAME 1 7� L MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF 0 Duplex 0 Mobilehome IR 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 0 Addition 0 Remodel 13 Ublities 0 Installation 0 Other Ift Describe Work: DETACHED GARAGE -Gas piping system I - 5 outlets 15.001 Building sewer 15.00 Mobile Home ISI GI W1 920.00 PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 Main Service '..*A o"R : s' 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: 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. 0 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project. 0 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: 0 1 have and will maintain a certificate of consent to self -insure Jor workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. 0 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of workforwhich this permitis issued. My workers' compensation insurance carrier and policy number are: Carrier Main Service 200A TO 1000A 46.00 NEW CONST DW:LLING UP. .C. UC OR ADONS. ' S. so. 3.50-21 84 NEW CONST. MULT.IOUTI-,17 NON-RESID. J. . 97.50 OWELR APM U ( 111N. E 0 C SIR. ) Ex. Occup. ( OUTLET OR FDcrURES ) 20 @ 1.00 L @ .50 Ex. Occup. _CR M.) E 5.00 ( ...XE. A ORA) Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.001 I PERMIT FEE $ A 1 Q/1 MECHANICAL PERMIT r1lin-6ree 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEt $ 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 C - -_ -, - - � � __ forthwith comply with those provisions. X)OAA,A-- C12 Date 0 P, SigiT-ature of Applicant kp� Owner 0 Contractor 0 Age9f An 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 U CONST. TYPE VN TOTAL FEE $ 284.59 I HILZ. I DJEES XP I FgOD 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 D _;,e 2 PERMIT EXPIRES ON I/ 10.4 ReceiptNo. 337564/$127.75 16(,. WHITE-O.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR / GOLDEN ROD -APPLICANT :ozv 12/96) - - - ---; - ieiep, -j It ISO 4 PAPICEL 41011.111111CA ------------- APPLICATION AND PERMIT OF- 19 -5' U1, Ye0--W0-%,1 S CQ) Fr. �0�432� 1 2�-2-2 .- :5� , I � " :0WRAC'Mill I ,*,W 1�0 I Ale OkA-.) �� -C ,- :OW1k-c?0qI M" I)OPWIS -------------- — �O-d Iftcric" 5; 5( -.g AC-rr(cT 04 E�"04(m 1 LJ1C V4 E -0 ACb4TECT 04 9>,O@dM -I WAjNO AO IS 3rNO USEOFSTRUCTURE 0 Duplex 0 Mlobilehome 0 Other �j4e�'C54e_� lee,- TYPE OF WORK .ow 40 Additim 0 Remodel 0 Utilities 0 Insulation 0 other 0 esctibe Work: 41 e (�)Ju) 538-7541 PEAMITNr� BUILDING PERMIT OCC BUILDING ALUATION -Z 3 Fir pface Total Valuittlon Filing Fee Permit Fee Plan Checking F99 Energy Plan Checking Fee PERMIT FEE PLUMBING PERMIT Each Trap S018f 0( heat Pum 3 water heater Wister piping ach gas water h"ter or vent Gas piping system I . s Outlets Building saww FS -1 —G T Mobilo Home PERMIT FEE S ELECTRICAL PERMIT 80av OR USS Win Service 200A OA LZ il� Main Service 3-" r? WA rT. *PERAUT FEE PAXb SRA SHERIFF AAkbVNT JkECEXVj0 s /)-7 t 7 5 No am M rMwow 1- NVO.M * TO se Wr mm WWVM 20 00 F90 20 7.00 23.0o 15.00 15.00 --� —50 0 — 1S.00 52-000— Filln Fee 20.00 23.00 48.00 —T5 t ',"P71,2� a7.50 zo a 1.00 It .50 5.00 23.00 20.001 23.001 I PERMIT FEE I S tj / ,�s z Filing Fee 1�20 �OO I Heatina I I I I a.so Ventilation PERMIT FEI! S Mobile Home Installation Fee $ Eno 1: �rgy nspeclon se T 0 0, JA�L FEE $ 2q, L59 KAZ 1 0. no ftOOO wo, Vam I Ilb I This permit is hereby issued under the appkable provisions of the Buttst County Code and/or Resolutions to do work indicated above for which fees have been paid - By PERMIT EXPIRES ON Ex. )ccup. Lon o Ex. )ccup. OVTLEn oto rA Temporary Service Mobile Home Facilities Misc. Wirina *PERAUT FEE PAXb SRA SHERIFF AAkbVNT JkECEXVj0 s /)-7 t 7 5 No am M rMwow 1- NVO.M * TO se Wr mm WWVM 20 00 F90 20 7.00 23.0o 15.00 15.00 --� —50 0 — 1S.00 52-000— Filln Fee 20.00 23.00 48.00 —T5 t ',"P71,2� a7.50 zo a 1.00 It .50 5.00 23.00 20.001 23.001 I PERMIT FEE I S tj / ,�s z Filing Fee 1�20 �OO I Heatina I I I I a.so Ventilation PERMIT FEI! S Mobile Home Installation Fee $ Eno 1: �rgy nspeclon se T 0 0, JA�L FEE $ 2q, L59 KAZ 1 0. no ftOOO wo, Vam I Ilb I This permit is hereby issued under the appkable provisions of the Buttst County Code and/or Resolutions to do work indicated above for which fees have been paid - By PERMIT EXPIRES ON COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET OWNER:D&v"A Y1e0~0A1 a q ASSESSOR PARCEL NUMBER Proposed Building Use:De41:2eke4l C,& ,-a —Counter Technician: Date: 1/a/6 Items required in order to apply for a permit.' All boxes NWST be checked OR marked NA in order tolapply. 0 L. Plot plans, 3 or 4 sets, signed by the preparer of the plans. 0 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. 0 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. 0 4. Engineered truss details and layouts in duplicate. No faxes! 0 5. Energy compliance design and supporting documentation in duplicate. 0 6. Manufactured homes: (A) Data sheets and installation instructions, (B) Marriage line information, (C) Floor Plan, (D) Tie cl�wn or foundation plans, all in duplicate. 0 7. Metal buildings: (A) Metal Building Plans, (B) Foundation plans and calculations in triplicate, (C) Elevation views in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by.the engineer. Items required for initial plan review. If checked items have not been received, plan -%review cannot proceed. The permit will be ?in xed and returned to the plan review line-up when required items are received. Flood Elevation Certificate, wet -stamped and signed, in duplicate ............................ N Date Received By 9 Plot plan and business license approval from the City of Biggs ................................... 19c*. Letter of intent for non-residential buildings .......................................................... 0 11. Detached Accessory Building Form filled out by the owner ..................................... . I 0 12. Hazardous Material Form ................................................................................ 0 13. Other .... Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following,items.) AM<4. Fees as shown on the attached Schedule of Fees Due� Sheet ... A, 15& 1 �(4 . .. ............................. Statement of Intent for Non -heated and A/C Buildings ................................ I I 6. Sanitation and plot plan approval from the Environmental Health Department in tit V', I I e, MAE . City of Chico Plumbing permit ........................................................................ 29. 0 18. California Department of Forestry plan approval 11 paid. Sent by: . ...................... 0 19. Planning approval for (A) Use: 0 K B)Parking: (C) Parcel Check: 0 20. Contact Land Development about 0 Improvements, 0 Drainage ................................ 0 21. Encroachment Permit for driveway from the Public Works Dept. (constructi��-n approval prior to occupancy). 0 22. Pre -Inspection for required ................ 0 23. Contractor's license information. (Number, Name Style, Classification) ...................... 0 24. Worker's Compensation Carrier and Policy Number ...... ...... 0 25. Owner -Builder Verification (0 Given to owner, 0 Mailed to owner) ......... 0 26. Letter of Signature authorization ................................................ 0 27. Recorded copy of Agricultural Acknowledgment Statement .................................... 0 28. Manufactured home utility clearance ............................................................... 0 29. Existing violations and/or expired permits .......................................................... 0 30. 0 Grant Deed, 0 M.H. Title/Statement of Facts, 0 Letter from Legal Owner, 0 Check to H.C.D. $ 0 31. Other: When issued Telephone and hold for pickup. I have been Applicant: I � ed of the above iteps and requirements for'obtaining a building permit. D a 5te. 1. Index permit application for the abofe items numbered: 2. Additional items required Contractor, designer, owner, was advised of the above data by Contractor, designer, owner, was advised.of the above data by Plans reviewed by: Date: Structural reviewed by: —Date: Note transfer by: Date: 7E Plan Check Letter phone, 0 inail, 0 counter, by Date: phone, 0 mail, 0 coqnt - by Date: Plans approved by: Date: dg!�� –Stru'ctural, approved by: —Date: Yellow: Building Division -A TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance ,,-A E.H. SE ONLY Plot Plan Attachi Floor Plan Ariaf had Sant to B.O. / /f I ►'� QE0 ,5hP,1N6ti Owner Location AP# Plan Approved for: Sewage Dispo� Water Supply: Public Private We Clearance for dwelling. Other ( 1x)AOG-e� Hold final for: Final clearance O.K. for: (VOTE: Environmental Health Specialist 8/96 Date COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DI VISION 7 COUNTY CENTER DRIVE, OROVILLE CA 95965 TELEPHONE (916) 53877541 SCHEDULE OF FEES DUE OWNER PROPOSED BUILDING USE A1e0,W-e/e4e-J,_-c.1 4J,4ra1e_ V 'I BUILDING PERNUT FEES Balance Due ................ Additional Fees Due ........... Additional Fees Due ........... Revised Plan Checking Fee ....... 2.. SCHOOL DISTRICT FEES (paid at District Office) $ 0. It 3. SHERIFF FEES (paid at Building Division) Residential ........ x $360.00 = $ Units Commercial (sq.ft.). x $0.03 = $ Sq.Ft. 4. URBAN AREA FEES (paid at Building Division) Residential (per unit) . _X_ __= $ #Units Amt. Commercial (sq.ft.) . . � x =$ Sq.Ft. Amt. 5. RECREATION DISTRICT FEES (paid at District Office) 6. THERMALITO DRAINAGE DISTRICT FEES $510.00 (paid at Building Division) 7. SRA FIRE INSPECTION'AND PLAN CHECK $89.00 (paid at Building Division) 8. WATER TENDER FEES (Battalion # $200.00 (paid at Building Division) 9. CSA 87 TRAFFIC FEE $2500.00 (paid at Bui Iding Division) 10. OTHER A. P. DAT RECEIPT # DATE REC - At time of permit application, I was advised the above fees are required to be paid prior to issuance of the building permit. These fees may be changed during the plan checking process. APPLICANT DATE 11,16 /c),,1-2_ Pursuant to Government Code Section 66020, you are hereby notified that items 2,3,4,5,6,8,9, and 10 above (n/ay 'have (een imposed on your project. You have 90 days from the date of approval of the project or from the imposition of the above mentioned items during which you may protest. The requirements for a protest are specified in Government Code Section 66020(a). Original -Building Div. 2nd Copy - Applicant 3rd Copy - Owner (Rev. 2/97) (Rev. 1 2/66�;, COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Ciroville, Califo,'rnia 95965 * Telephone (530) 538-7541 PERMIT NO APPLICATION AND PERMIT 02-0122 ASiMO'F1 PAqcLf!1UMSER ZONING AS BUILDINGPERMIT OWNR2L'n080!!*1!9 6AVTD n -WAN TELEPHONE SO. FT. OCC. BUILDING VALUATION 624 U 11.232.00 OV�NEWS MAIUNG ADDRESS AqQ 90MON, GRIDLEY 05048 CONT9Z'F0R'§NA NE E nWHR TELEPHONE CONTRACTOWS MAIUNG ADDRESS CONSTRUCTION LENDEA Fireplace LENDER'S MAJUNG ADDRESS Total Valuation $11.232.00 ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 —Permit Fee $ 135.00 ARCHITECT OR ENGINEER'S MAILING ADDRESS Plan Checking Fee $ 87.75 BUILDINGADDRESS SM GRIDLEY Energy Plan Checking Fee $ 450 -MMS . $ PERMIT FEE $242.75 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF 0 Duplex 0 Mobilehome M Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.QO Each gas water heater or vent 15.00 TYPE OF WORK New 0 Addition 0 Remodel 0 Utilities 0 Installation 0 Other ly Describe Work: DETACHM GAUGE Gas piping system I - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S G @20.00 PERMIT FEE ELECTRICAL PERMIT Filing Fee 20.00 Main Service '.."A RR 'ssss 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under pe!nalty 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: �.Nr 1, as ownerof theproperty, ormy employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. 0 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project. 0 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: 0 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. 0 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 Main Service 200A TO 1000A 46.00 NEW CONST. DW:.LING OCCUR OR ADONS. C. S. " 9 3.5,FT. 'J g4 NEW CONST. OUTLET NON-RESID. M.ULT., CIRCUITS @7.50 OWELR AP=TU PSING E 0 C SIR. Ex. Occu OUTLET OR FIXTLIRES 20 @ 1.00 BAL @ .50 ..FIXED APPLINS OR Ex. Occup. EA. 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirina 23.00 PERMIT FEE $ MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEt $ 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 subje6t 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 i/ ( L #*4,- , Date Signature of Applicant /,MfOwner 0 Contractor 0 Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ U Co. . TYPE VN TOTAL FEE $ -284.59 HAZ. I DOEES jAP I F�OOD CCIF , % I Polfi I PqJ HQ,11 This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have B A PERMIT EXPIRES ON't�` I the Applicable provisions Resolutions to do work been paid. Date 6 2 l(Date) ReceiptNo. 6t.- XV WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR I GOLDEN ROD -APPLICANT NOTES RESIDENTIAL 024-080-019 -2-0122 PERMIT NO YEOMAN,. DAVID..._._ 1 450 SHELDON,!GRIDLEY I DETACHED GARAGE 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 Signature t ./ = OK 0 = Not OK - - = Not Appficable * = Not Ready MOBILE HOMES - Date MOBILE HOME UTILITIES (Plans) OK except #'s 1 . Zoning Require ments-Setbacks- Easements 1 . 2. Soils; Special MH Support Sketch 2. 3. Sewer; Location -Test -Fall -C/0 -Concrete 3. 4. Water; Location -Test- Easement Needed (Sketch) 4. 5. Electricity; Location-Clearances-Grnd-/ /Amp-Concrele 5. 6. Gas; Location -Test -Wrap;-/ /" L 'ft. P Nat. or / /"L"ft./ PLPG 6. 7. Well Clearance & Disconnect 7. 8. Utility Clearance 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosures- Pan elboards- Ins. to Main in Conduit 9. Health Department Approval Date Plumb.; Cir. Test -Water Supply Test Card B-1 Date Card B- 1 Date Light Niche Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except ff's 1. Zoning Require ments-Setbacks- Easements Date 2. Footings; S ize-Spaci ng- Marriage Line Date 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- Regulalor-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. Cart. of Occupancy 12. Permanent Foundation OnIv: License Decal Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVE5§,:�ARPORTS GARAGES (Plans) OK except #'s 49 ;, 1000foning Requirements -Setbacks -Easements g�otings; Soils-Size-Depth-Spacing-Connectors-SteeI 3. Decks; Girders and/or Joists- Deck i ng-Bracing-Stai rs- Rails 4. Wood Awn.; Posts -Beams- Rtt rs. -Connectors Shthg.-Frg-Bracing 5. Alum. Awn.; Colu mns-Co nnect ions- S plice- Decal- Enclosures "6. Carports; Windows -Doors . 11 1) 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nai ling- Veneer -Stucco- Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps- Doors- Landings 12. Braced Wall 2nels !I - Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except It'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 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 V= OK 0 = Not OK - = Not Applicable * = Not Ready RESIDENTIAL (%4 Date Underfloor (Plans) OK except If's Hangers -Post Caps -Anchors -Connectors 1 . Zon ing-Setbacks- Ease ments- Flood -Slope Cling. Joist-Rftr. Ties- Purl in- Roff Brac.-Truss-Shiing.-Rfng. 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth Fireplace Ties or Type A Flue -Fireplace Throat Clearance 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth Attic Access; Size & Romex Protection- Draft Stop -Ins. Baffles 4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 5. Sternwalls, Main; Steel-Blockouts-Wrapped Garage Fire Protection Framing 6. Sten -walls, Garage; Steel- Blockouts-Wrapped Properly Line Firewall & Openings 6a. Hold Downs and Special Anchors Ext. Doors -One X -Check Garage 3rd Story, 2 Exits 7. Slab, Steel -Wrapped Stairs; Width- Headroom- R ise- Run-Landing-Fi re Protection 8. Piers -Fireplace Ftg.-Steel Plywood on Root Overhang -Attic Vents -Rafter Cutriggers 9. D.W.V.; Fall -Fitting -Test -2 Way C/0 -Sewer Test Siding -Nailing Veneer 10. UF, Gas Pipe; Size Anchors - Yard Gas Piping; Size Test Stucco Mesh -Drip Screed -Fd. Vents-Underfir. Access 11. Water Pipe; Test -Anchors- Reg ulator-Se rvice Test Glazing Area -Glass Proteclion-S kylights- Plastic 12. Electric Underground Shear Walls; Nailing -Bolts 13. Plenums & Ducts; Clearance -Material -Support -Ins. Brace Interior/Exterior Wall Panels 14. Girders -Sills -Anchor Bolt-s-Joists-Vents-Crippies- Insulation -Walls -Ceilings 15. Access & Ventilation Infiltration -Walls -Windows 16. Insulation Date Date Date Card B-1 Date Card B-1 Date Date Card B -I Date Card B-1 Date -PLUMBING (Permit) OK except It's Ext. Steps -Door & Sidelight Protection -Landings 17. Water Htr.; Vent -Access -Combustion Air Baffle Smoke Detector 18. Water Pipe; Test & Anchor -Nail Protection Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor- Ducts- Mech. Protection 19. D.W.V.; Test Fittings & Anchor -Nail Protection Bedroom Exiting 20. Shower Pan; Test, First Floor -Tub Access G.F.I. & Bath Fixtures & Tub Access -Spa 21. Test Tub & Shower, Second Floor -Tub Access Elec. Trim & Subpanel, Breaker Sizes & Labels 22. Gas Pipe; Sixe & Anchors Stairs & Rails 70. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s Elec. Outlets & Receptacles at Kit. Counter 23. Fixture & Transformer Clearance -Ins. Protection Garage FirA Door; Swing -Landing -Closure 24. Elec. Receptacles Spacing -Lights & Switches at Doors A.C. Duct in Garage -Damper 25. Size Boxes & No. of Conductors Stapled Wt.,. Htr.; Vents -Clearance -Comb. Air Connector- P.R. V. in Garage; Above Floor-Mech. Protection 26. Romex Installed Close to Edge of Studs & C.J. Plb., Elec. & Mech. Equip. Listed for Location 27. Equip. G,ound made up w/Mech Fasteners -Bond Gas & Water Elec. Receptacles in Garage (F.F.I.)-Romex Protection 28. 2 Appliance Circuits in Kitchen & Conductor Size GFI 1 nsulation- Foam- Looked in Attic 29. Subieed Vfire Size / ga. Cu or Al-A.C. Wire Size I / ga Cu or A] Guard Rails & Deck Construction- Post Caps 30. Range Circle / ga Cu or Al -Oven Circ. ga Cu or At Insulated Neutral Q Yes Q No Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth 31. Service -Riser Conductors & Ground Main Disconnect Clearance Looked under Floor 0 Yes 32. Equip. Clearances Panels- Motors-Mech. Equip. Following Instid./Drive :] Yes :) NoMalks :j Yes Z) No/Planters Yes No 33. Clothes Closet Light -Shower Light -Spa Light Stucco Brown -Finish 34. Smoke Detector A.C. Unit Disconnect, Electrical- Plumbing 85. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s Vent;lation Throughout House 35. A.C. Ducts Insulation & Support Glass Protection 36. Vent Fan, Exhaust above insulation Corrections from Previous Inspections 37. Condensate Drain & Overflow, Size & Grade Gas Test -Meters Tagged, Gas -Electric 38. Furnace -Vent Access -Comb. Air -Return Air Vent 115 outlet Water & Sewer Connec ted -C/0 to Grade -HD Approval 39. Attic Access & Platform if Furnace in Attic Energy Compliance Certificate -Other Certificates 94. Address Posted Date Card B-1 Date Card B-1 Date Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 FRAMING (Permit) OK except #'s 40. Sits Proper Materials & Anchors 41. Walls Sluds-Nailing Spacing & B races- Plates- Sound 42. Bearing Walls over Girders & Floor Nailing 43. Draft Stop ir Walls (rat proof) 44. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 45. Headers & Beams -Size & Bearing 'Ingle & Duplex) Date FRAMING (Continued) 46. Hangers -Post Caps -Anchors -Connectors 47. Cling. Joist-Rftr. Ties- Purl in- Roff Brac.-Truss-Shiing.-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. Properly Line Firewall & Openings 53. Ext. Doors -One X -Check Garage 3rd Story, 2 Exits 54. Stairs; Width- Headroom- R ise- Run-Landing-Fi re Protection 55. Plywood on Root Overhang -Attic Vents -Rafter Cutriggers 56. Siding -Nailing Veneer 57. Stucco Mesh -Drip Screed -Fd. Vents-Underfir. Access 58. Glazing Area -Glass Proteclion-S kylights- Plastic 59. Shear Walls; Nailing -Bolts 60. Brace Interior/Exterior Wall Panels 61. Insulation -Walls -Ceilings 62. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) CK except #'s 63. Ext. Steps -Door & Sidelight Protection -Landings 64. Smoke Detector 65. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor- Ducts- Mech. Protection 66. Bedroom Exiting 67. G.F.I. & Bath Fixtures & Tub Access -Spa 68. Elec. Trim & Subpanel, Breaker Sizes & Labels 69. Stairs & Rails 70. Fireplace or Stove, Clearance -Hearth 71. Elec. Outlets at Wood Panel, Int. & Ext. 72. Kit. Fixt. & Appliance; Ground -Air Gap -Cooking Clearance 73. Elec. Outlets & Receptacles at Kit. Counter 74. Garage FirA Door; Swing -Landing -Closure 75. A.C. Duct in Garage -Damper 76. Wt.,. Htr.; Vents -Clearance -Comb. Air Connector- P.R. V. in Garage; Above Floor-Mech. Protection 77. Plb., Elec. & Mech. Equip. Listed for Location 78.- Elec. Receptacles in Garage (F.F.I.)-Romex Protection 79. 1 nsulation- Foam- Looked in Attic 80. Guard Rails & Deck Construction- Post Caps 81. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor 0 Yes 82. Following Instid./Drive :] Yes :) NoMalks :j Yes Z) No/Planters Yes No 83. Stucco Brown -Finish 84. A.C. Unit Disconnect, Electrical- Plumbing 85. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 86. Water Well, Disconnect, Electrical, Plumbing 87. Exterior Elec. Trim, G.F.I. Receptacle -U nde rg round 88. Vent;lation Throughout House 89. Glass Protection 90. Corrections from Previous Inspections 91. Gas Test -Meters Tagged, Gas -Electric 92. Water & Sewer Connec ted -C/0 to Grade -HD Approval 93. Energy Compliance Certificate -Other Certificates 94. Address Posted 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: 4 j Kiito ;w ► S 't See lw fWw g�e%# pg (\NSSes 369- S11c e-ZoA-1 PLANNING DIVISION -BUILDING PLA-N'APPROVAL Use: C'K _Date: Parking: —Landscaping: Other: Signature:--- MM92ji, --- LEW 0 0 c olK 0 s Cb 1-W (a1, 1 L o I C7=) . Pv 2c -t/ UA (a1, 1 Pv 2c -t/ UA o (a1, 1 UA 18 T-811 MIN, (2) 2"X TOP PLATe 21 -811 MIN. ------------- oil lie f 21IX 5OLIV mrz. Reay. 0 5f.AIHNO J NT5 ( OMNT GI FACE fO 5fATHN6) M. lie WA ZATEP 5UTHN6 5/ 81, MIN. 1 14 A9L EV fO aE F.Aa. UAL off 8d COMMON OR 6XV- " NAL5' 0 6" O.C. AZW EVLT5, MV 121- C O.C. IN FELP L70LM e - 5.W5 Af COW5 MV w "n & WA -,:+m Cam MIN. 1/ 2" OAO. **a- Paf5 M. I" MIN. EmmeNr HOLPOWN WTH 18X# MN. CWAON (51MO50N W2A. FV5,& CK eaX M 4 55M ANaa oaf 5w A5 manp FR FaVOWN) 2"X 5LL PLAt L 2 L eo eo E0 --------------------------------------- --------------------------------- ------------- ------------ ---------- --------- --------------------- ALTERNATE BRACED -'WALL� PANEL� NOTES41 I - For use in garAge.wall where due to location of overhead doors, a 4'_- 0 lateral pand- cin not be provided.. 2. #4 Rebar, 'continuous a I t top and bottom of sternwall. Additional rebar may be required by -manufacture of holdoWn. I Stemwall and footing must extend under garage door opening. 4. In the first story of a two - story building,. each braced wall panel shall be in accorda . nce with the details shown. Except that the plywood sheathing shall be provided on both faces and tie - down deviceuplift capacity'shall not be .less than 3000 poUnift. Nailingto be staggered for sheathing, applied 'to both faces. 5. Alternate Braced Wall Panel's cannot be used on the second floor of two - story buildings (U.B.C. 2326.11.4). For Sin jZIe St (With noted modifications for two story bui' Idings) - DAVE YEOMAN GARAGE 4:12 PITCH BLUSAR MANUFACTURING 3721 FEATHER RIVER BLVD MARYSVILLE, CA 95901 530-741-4920 (12 A BLUSAR MANUFACTURING 3721 FEATHER RIVER BLVD MARYSVILLE, CA 95901 530-741-4920 job Name: GARAGE 18 19 20 21 22 23 2425 267 28 29 30 31 32 33 Truss I D: A I Qty: ---CO02015124-004 2 Drwg.- 4-0-0 2-8-0 2-8-0 2-8-0 2-8-0 5-4-0 4-GXO 6-8-0 9-4-0 1.7-4.0 16-0-0 18-8-0 24-0.0 TC 2x4 EEL #1 & l3tr. Plating spec : A'BI/IPI - 1995 This truss is designed usuxj the 1/15/2002 DC 2>c4 DFL #1 & Btr. 9M mial is 1112 MEW RES= OF LIBC-97 Cbde. Tr'swal Systems Plates are 20 ga. unless shown by "1811(18 ga.), Scale: �/3211 = 11 GEL ELK 2x4 EEL SD4CARD MMPLE U)AD CASES. Bldy a -'Closed = Yes circled Plates -and false frame Plates are positioned as shown above. Joirt- Locatiais r -LA= WJJM FER IC330 RESWCH FE= #1607. Loacled fcr 10 PSF rr-n- o=jcurrent BaL. Th based CIZY EECXnUtMhe ZaeTh bear -9 Truss Locatica = Not Ehd Zone Hurriczm/ocean Line = No , Eb4p Categary = C 1 0- 0- 0 18 0- 0- 0 4- 0- 0 <It is assurred that cne face of thIS truss PLAMU BASED CN GZEEN 11PEER VMXS. Bldg Lerrjth = 80.00 ft, Bldg width so. oo ft 2 3 4- 0- 0 5- 4- 0 19 20 5- 4- 0 < is sheathed with plyf2d, OSB vxxDd bcard TC Live 16.00 pof Mean =f heigbt = 22.16 ft, nph 80 4 6- 8- 0 21 6- 8- 0 < sicbx-q cr harcibcard si if not, UBC Standard Occupary-y, Dead Load 21.0 prf 5 8- 0- 0 22 8- 0- 0 < additicnal I trust be oomide:i�ed cn BC Live .00 psf O.C.Spacing 2- 0- 0 6 9- 4- 0 23 9- 4- 0 < rMccntirKx:us ��1. Vc�Le Responsibilities, 'HANDLING INSTALLING AND BRACING METAL PLATE CONNECTED WOOD TRUSSES' - (HIB -91) and -91 psf 7 8 10- 8- 0 11- 3- 0 24 25 10- 8- 0 U 3- 0 blocks. use - -= Me sbdds may ' lateral See Tp5.0 Version T6.2.10 Paper Association (AFPA) is located at 1111 19th Street, NW, Ste .900, Washington, DC 20036. . 9 12- 0- 0 26 13- 4- 0 TrUS;A1alsljjFgb1e bracirxi detai I (s). 10 13- 4- 0 27 12- 9- 0 . 1 Lateral in jm with the dyKds hwe lir 11 12- 9- 0 28 14- 8- 0 rict been comidered urdess noted otherwise. 12 14- 8- 0 29 16- 0- 0 Mx!se 1 oa and their ocrmecticm are the 13 16- 0- 0 30 17- 4- 0 resp—ibility of the buildirg desigrier. 14 17- 4- 0 31 18- 8- 0 15 18- 8- 0 32 20- 0- 0 16 20- 0- 0 33 24- 0- 0 17 24- 0- 0 T 4-3-15 1 a:0-3-15 4-0-0 2-8-0 2-8.0 2-8-0 2-8-0 2-8-0 2-8-0 4_0_0 6-8-0 9-4-0 12-0-0 14-8-0 17-4-0 20-0-0 24-0-0 12-0-0 12-0-0 2 3 4 5 6 7 8 9 101 12 13 14 15 16 17 F4. 00 -4.001 3-4 ,,2 - �OO x M_ T =0-3-�5 SHIP ME— S. VOTNo.VW982 X Exp. 12J31/02 C N Ix - 18 19 20 21 22 23 2425 267 28 29 30 31 32 33 4-0-0 2-8-0 2-8-0 2-8-0 2-8-0 5-4-0 4-GXO 6-8-0 9-4-0 1.7-4.0 16-0-0 18-8-0 24-0.0 TYPICAL PLATE 1.5-3 1/15/2002 OVER CONTINUOUS SUPPORT Tr'swal Systems Plates are 20 ga. unless shown by "1811(18 ga.), Scale: �/3211 = 11 �11(16 ga.), or "Mx"(TWMX 20 ga.), positioned per Joint Report. circled Plates -and false frame Plates are positioned as shown above. WARNINGRead all notes on this'sheet and give a copy of it to the Erecting Contractor. TBF: 64. 0 WT:159 # WO: 1431DY This design is for an individual building component not truss system. It has been based on specifications provided by the component manufacturer and done Chk: Custconer Name: in accordance with the current versions of,rpi and AFPA design standards. No responsibility is assumed for dimensiowl accuracy. Dimensions are to be Dognr: SB #LC = 10 I DAVE YEOMAN verified by the component manufacturer and/or building designer prior to fabrication. The building designer must ascertain that the. loads utilized on this TC Live 16.00 pof DurFacs L=1.25 P=-1.25 BLUSARMFG design meet or "ceed the loading imposed by the local building code and the p3ticular application. The design assumes that the top chord is Literally braced by the roof or floor sheathing and the bottom chord is laterally braced by a rigid sheathing material directly attached, unless otherwise noted. LLC Bracing shown is for lateral support of components members only to reduce buckling length. This component shall not be placed in any environment that TC Dead 14.00 pof Rep Mbr Bnd 1.15 will cause the moisture content of the wood to exceed 19% and/or cause connector plate corrosion. Fabricate, handle, installand bmce, (his truss in BC Live .00 psf O.C.Spacing 2- 0- 0 TRlJSXVAL sy,�7rcms 4445 Nordipirk Dr.. Colo Springs, CO S0907 accordanc e with the following standards: 'JOINT DETAILS', by Truswal, 'ANSI/TPI 1', 'WTCA I' - Wood Truss Council of America Standard Design 'HIB BC Dead 7.00 Design Spec UBC Responsibilities, 'HANDLING INSTALLING AND BRACING METAL PLATE CONNECTED WOOD TRUSSES' - (HIB -91) and -91 psf -97 SUMMARY SHEET' by Tpi. The Truss Plate Institute (TPI) is located at 583 D'Onofrio Drive, Madison, Wisconsin 53719. The American Purest and — Dan Ratio: L/240 TC: W240 Tp5.0 Version T6.2.10 Paper Association (AFPA) is located at 1111 19th Street, NW, Ste .900, Washington, DC 20036. . TOTAL 37.00 pof 166 Name: GARAGE Truss ID: A2 Qty: 12 Drwg:CO02015124-002 EM X -LX REACT SIZE REQ'D TIC 2x4 EFL #1 & Eltr. Plating Epec : PMI/*M - 1995 UPLIFT REACIICU(S) : 1 0- 1-12 1036 3.5011 1.501, BC 2x4 1 --FL #1 & Btr. THIS EESIGN IS rIHS C0v1FCS= RESUIX OF &ppert 1 -120 lb 2 23-10- 4 1036 3.50" 1.5011 WM 2x4 DEL SIXEYM pLA,IE vAUES PER ICE0 REM41XII REPCRI` #1607. IlUIZIPLE LaIlD (DOES. HD�RM R2231104affS shon are based CIqLY 2 -120 lb 7hi.= is designed using the TC FCRCE A.XL EM C3I loaded for 10 PSIF rxn-cm:urrent BCII . on the truss material at each bearing. LUC-97 Clods. 1-2 -2099 TC Dead 14.00 PLAMIG BASED W GREEN LIMBER VALUES. Bldj ai=lcred = Yes .03 .26 .29 2-3 -1866 psf Thiss Locaticri = NTct D� Zaia .03 .26 .28 3-4 -1864 BC Live .00 psf O.C.Spacing 2- 0- 0 Harricare/Coean Line = No , Exp Cate�y = C .03 .26 .28 4-5 -2099 BC Dead' 7.00 Design Spec UBC Bldg Length = 80.00 ft, Bldg Width 50.00 ft .03 .26 .29 pef -97 M5mz roof height = 22.16 ft, riph 80 DC FCRCE AXI, RqD CSI - Dan Ratio: �/240 TC: IV240 UEtC Starxiard 0--aAwtncy, Dead Lcad 21.0 pef 6-7 1948 .17 .20 .37 TOTAL 37.00 psf 7-8 3-289 .11 .20 .32 8-9 1948 .17 .20 .37 VEB FCRCE CSI ;IZEB I= CSI 2-7 -373 .06 3-8 590 .24 3-7 591 .24 4-8 -373 .06 KnLX EEF=CN (span) L/999 IN M 7-8 (LIVE) -.1111 D= -.1411. T= -.2411 Joint Locaticris 1 0- 0- 0 6 0- 0- 0 2 6- 4-14 7 8- 0- 0 3 12- 0- 0 8 16- 0- 0 4 17- 7- 2 9 24- 0- 0 6-4-14 5-7-2 5-7-2 6-4-14 5 24- 0- 0 6-4-14 12-0-0 17-7-2 24-0-0 12-0-0 12-0-0 1 2 3 4 5 F-4.00 -4.001 T 4-3 -1 4-4 . 14-11-11 2:0-3-k5 SHIP X M- 24-11-fi X M- . 6 7 8 9 8-0-0 8-0-0 8-0-0 8-0-0 16-0-0 24-0-0 MES No. 5982 M EXP. 31/02 M- CAX&J 1/15/2002 Truswal Systems Plates are 20 ga. unless shown by "18"(18 ga.), Scale: 5/32" = 11 H"(16 ga.), or IIMX"(TWMX 20 ga.), positioned per Joint Report. Circled Plates and false frame Plates are as -shown above. -positioned WARNING Read all notes oil this sheet and give a copy of it to the Erecting Contractor TBF: 49 . .3 WT:125 # WO: 1431DY This design is foran individual building component not truss system. It has been based on specifications provided by the component manufacturer mid done (n1k: Customer Name: 113mang in. accordmisc with the current versions of TPI and AFPA design standards. No responsibility is assumed for dimensional accuracy. Dimensions are to be Dagnr: SB #LC = 10 I DAVE YEOMAN . ified by the component manufacturer and/or building designer prior to fabrication. The building designer must iscertain that the leads utilized on this vdpe'sign TC Live . 16.00 pof DurFacs L=1.25 P=1.25 BLUSAR MFG rneet or exceed the loading imposed by the local building code and the paticuLir application. The design assunlei that the top chord is laterally LLC braced by the roof or floor sheathing mid the bottom chord is laterally braced by a rigid sheathing material directly attached, unless otherwise noted. TC Dead 14.00 - Rep I&r End 1.15 shown is for Lateral support of components members only to reduce buckling length. This component shall not be placed in any environment that psf will cause the moisture content of the wood to exceed 19% mid/or cause connector plate corrosion. Fabricate, handle, install and brace this truss in BC Live .00 psf O.C.Spacing 2- 0- 0 TRUSWAL SI'STEMS 4445 N,,ribpnrk Dr.. Colo Springs. CO 80907 accordance with (lie following staidirds: 'JOINT DETAILS', by Trtwxa], 'ANSI1TPI V, 'WTCA V - Wood Truss Council of America Standard Design 'HIB BC Dead' 7.00 Design Spec UBC Responsibilities, 'HANDLING INSTALLING AND BRACING METAL PLATE CONNECTED WOOD TRUSSES' - (HIB -91) and -91 pef -97 SUMMARY SHEET* by TPI. The Truss I'Latc. Institute (TPI) is located at 583 D'Onofrio Drive, Madison, Wisconsin 53719. The American Forest and - Dan Ratio: �/240 TC: IV240 Tp5.0 Version T6.2.10 Paper Association (AFPA) is located at 1111 19th Street, NW, Ste 800, Washington, DC 20036. . TOTAL 37.00 psf r• Y (0 3 BOJ /0 X9.3 a uT�. ._._....._..........._......... 21.0_- >--� �, � �u - c -ax APPROVED �s Bunte County J/ Environmental Health n 9 �Date Signature ------- i - �II NO f1h _ 4-s --- --- - . o � I APPROVED Butte 'County Environmental Health 1 z Date Signature 1; -4 W LLJ-- Pv X � N IN X � N F71 - 4t... re 0 Department of Development Services Building Division 7 County Center Drive Oroville, CA 95965 (530) 538-7541' (530) 538-2140 FAX DETACHED ACCESSORY BUILDING OWNER'S STATEMENT OF USE Plan review will not be started until this form is completed, signed by the property owner, and returned to the Butte County Building Division. Attached Accessory Buildings and Additions will be checked for residential use. Exception: Garages and Carports. Owner: DA V /-/) Xc- a A -r-, -4 ,-� Phone: 6- 3 0 E 966 -L? ) 5- 5 - Mailing Address �� 0 Co . ^j /�+ L., C -- Site Address: -570-4- -, EL Assessor's Parcel Number: 0,5'L 5z — c, 0 — / :�� - Zone: A -5- Please answer questions 1- 16, and explain any yes answers for questions 2-14 in the space provided on page 2 'of this form. GENERAL INFORMATION: 1. Is there a primary dwelling on the property? Yes No 2. Is the structure already built, under construction, or under notice of code violation? Yes'R'No 3. Will items produced in this building be offered for sale? Yes 0 NoR 4. Will the public have.access to this building? Yes 0 No &F 5. Will any advertising, on or off site. be associated with the use of this building? Yes 0 No CR SITE CONDITIONS: 6. Is the structure foundation %vithin 5' of septic tank or 10' of leach lines? Yes [] NO 7. Is any portion of the structure located closer than 20' to your front property line? YesD No 8. Do you plan to add a driveway or modify existing access to a county maintained road? Yes Not 9. Will the proposed structure encroach within any recorded easement? Yes No CONSTRUCTION FEATURES: 10. Will this building have insulated floor, walls, or ceiling? Yes,& No C] 11. Will this building be heated or cooled? Yes No 12. Will this building have a water closet/toilet? Yes El No 13. Will this building have a sink? Yes D NoIg 14. Will this building have a water heater? Yes 01 NJ;T�- 'What A-/ 0 15. type of floor covering will the building have? 16. What type of wall covering will the building have? 12— RVV-*1q I of2 PROPOSED USE: (check only one box) 1. 0 Residential Storage Shed — I will be storing in this building and it will Y -9)e used for any other purpose (no bathroom and no heating or cooling). 2. J4 Private Garage — "A building or a portion of a building not more that 1,000 square feet (3,000 by ex�eption) in area in which only motor vehicles used by tenants of the building or buildings on the premises are stored or kept." A garage door is reguired. 3. 0 Residential Carport — A covered structure intended for parking of vehicles. Two or more sides must be, entirely open. 4. 0 Residential Occupancy — Structures meant to be occupied, as opposed to a storage shed, garage, or carporL If you checked #4, please check the uses below which best fit this building. El GuestHouse Pool House Studio Apartment El In-law quarters Recreation Room Game Room Study Library Bonus Room 0 Playroom Den Studio El Artist Studio El Hobby Room El Craft Room El Sewing Room E3 Canning Kitchen El Music Room Family Room El Sun Room 0 Private Office El Workshop 1 Home Occupancy' El Other — Use 1. Describe type of Workshop 2. Must be approved by the Butte County Planning Division. Explanations: This area is for explanation of any "yes" answers on questions 2-14. Please indicate the question number before the explanation. Additional Information: Plan review will not be started until this form is completed and received. A Plans Examiner will contact the owner with specific requirements per the use indicated. I hearby affirm under penalty of pedury that the above information is true and correct. I understand that any changes to the use, or character of use, of this building will require permits from the permitting authority. I understand that Real Estate Disclosure laws require disclosure of this information if or when the property is offered for sale. Owner's Name: Please Print D,4y/c> Owner's Signature:iQA,�Z— r—k 2 of 2 OWNER-BUILDEk VERIFICATION Attention Property Owner: An "owner-buildee' 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 &Jay in processing and issuing your building permit. No building permit will be issued untiI this verification is received. I personally plan to provide the major labor and materials for construction of the proposed property improvement; YES R- NO 0 2. 1 RAVEVT HAVE NOT 0 signed an application for a building permit for the proposed work. 3. 1 have contracted with the following person (fum) to provide the proposed construction: NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 4. 1 plan to, provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: NAME:_ 6.� AIe� Z' eU A-) ADDRESS: PHONE: CITY: 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: PROPERTYOWNER: SOCIAL SECURITY NUM13ER: DATE: NOTE: Th is 0 wn er-B u ilder Veriji-ca tio n is req uired by Se ctio n 19 831. an d 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 -INFOPUNIATION I Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified. For your protection, you should be aware that as -owner-buildee, 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 fhmily. and the work (including materials M = and other costs) is S300 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 emplover, 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, 0 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 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. 0 I rely, Mic el C. Vidira, C.B.O. ic el Vi i svecl +MMg e rC,i! i I d i AZg CIn s p e c t i o n NOTE. - This Owner -Builder Information is required by Section 19830 of the California Health and Safay Cade. OVER ' 5 � PERMIT N0. 081-80P,E } PERMIT EXPIRES oz,210f (J / OWNER Herman May CONTR. owner i . ASSESSOR PARCg�-08-19 LOCATION 450 Sheldon Ave., Gridley it y.j t ail L. w f nt f� �t Temp. Power Pole Called PG&E Temp. Elec. Service Called PG&E Temp. Gas Service Called PG&E �e i JOB FINA ED (Date) Signature i OK 0 = Not OK — = Not Applicable * = Not Ready MOBILEHOMES MISCELLANEOUS Date IMO! .t!.t�OIME UTILITIES (Plans) OK except #'s Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except #'s Z90jog Requirements—Setbacks—Easements 1. Zoning Requirements—Setbacks—Easements So' , ecial MH Support—Sketch 2. Footings; Size—Depth—Spacing—Connectors Sqor.I.Location—Test—Fall-C/0—Concrete 3. Decks; Girders and/or Joists—Decking—Bracing—Stairs—Rai Is A#4ater; Location—Tgst—Eammml t WeTe—TrreTcif 4. Wood Awn.; Posts Beams—Rftrs.—Connec.—Shthg.—Rfg.—Bracing 6-11-lectricity; Location—Clearances—Grnd.—/_-$ 0 Amp—Concrete 5. Alum. Awn.; Columns—Connections—Splice—Decal—Enclosures _-*r`5_as; Locatioti--Test—Wrap:/ /L"ft./ /"Nat.or/ P'L"ft./ /"LPG 6. Carports; Windows—Doors ,?400TtTlity Clearance 7. Elec. Card -BI eggt Date 41--7—OP'T C.rd-BI Date Card -BI Date Card -BI Date Card -BI Date Date Card -BI Date MOBILEHOME INSTALLATION (Plans) OK except #'s 1. Zoning Requ i rement s—Setbac ks— Easements Card -BI Date Date Card -BI Date POOLS (Plans) OK except #'s 1. Setbacks—Easements 2. Footings; Size—Spacing—Marriage Line 2. Soils; Compaction—Structure Stability 3. Gas; MH Test—Demand—Valve—Connector 3. Pool Structure; Steel—Connections—Thickness—Dead Men—Lining 4. Electricity; MH Test—Crossovers— Brea kers—C I eara nces 4. Elec.; Receptacles and Lighting; Distances—GF1 S. Drain; MH Test—Fall—Flex Connector 5. Elec.; Pool Lighting; 15 volts—GFI 6. Water; MH Test—Regulator—Connector 6. Elec.; Enclosures; Conduit Entries—Terminals—Listed 7. Water and Sewer Connected—C/0 to Grade—HD Approval 7. Elec.; Bonding; -Metal w/5'—Circulating Equipment—Heater 8. Gas and Electricity Tagged 8. Elec.; Grounding; Equip. w/5'—Circulating Equip.—Pool Lghig. Boxes—Enc I osures— Pane I boards— Ins. to Main in Conduit 9. Exits; Insp.—Sketch 10. Cert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test—Water Supply Test Card B-1 Date Card -Bl Date Card -BI Date Card -BI Date Card B -I Date Card -BI Date Card -BI Date Card -BI Date i Ij V = OK 0 = Not OK - = Not Applicable * = Not Ready RESIDENTIAL (Single and Duplex) Date UNDERFLOOR (Plans) OK except#'s Date FRAMING (Continued) 1. Zoning requirements -Setbacks -Easements 2. Ftg., Main; Soils-Steel-Elec. Grnd.- / /'' Ftg. Depth 48. 49. Property Line Firewall & Openings Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 3. Ftg., Garage; Soils -Steel- / /" Ftg. Depth 50. Stairs; Width -Headroom -Rise -Run -Landing -F ire Protection 4. Ftg., Porches & Decks; Soils -Steel- / /*' Ftg. Depth 51. Plywood on Root Overhang -Attic Vents -Rafter Outriggers 5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab 52. Siding -Nailing -Veneer 6. Sternwalls, Garage; Stee 1 -6 lockouts -Wrapped -S lab 53. Stucco Mesh -Drip Screed-Fdn. Vents-UnderfIr. Access 7. Piers -Fireplace Ftg.-Steel 54. Glazing Area -Glass Protecti on-Skyl i ghts- P last ic 8. D.W.V.: Fall -Fittings -Test -2 way C/0 -Sewer Test 55. Shear Walls; Nailing -Bolts 9. Gas Pipe; Size -Anchors 10. Water Pipe; Test-Anchors-Regu lator-Sery ice Test 11. Electric; Underground 12. Plenums & Ducts; C learance-Materi a I -Support- Ins. 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI Card -BI Date Card -BI Date Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date FINAL (Plans) OK except #'s 56. Ext. Steps -Door & Sidelight Protecti on- Land i ngs 57. Smoke Detector 58. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 59. Bedroom Exiting Card -BI Date Card -BI Date Date PLUMBING (Permit) OK except #'s 14. Water Ht.; Veni- Access -Combust ion Air 15. Water Pipe; Test & Anchors -Nail Protection 16. DXV.; Test-Fttngs & Anchors -Nail Protection 17. Shower Pan; Test, First Floor -Tub Access 60. F.I. & Bath Fixtures & Tub Access 18. Test Tub & Shower, 2nd Floor -Tub Access 61. Elec. Trim & Subpanel; Breaker Sizes -Labels 19. Gas Pipe; Size & Anchors 62. Stairs & Rails 63. Fireplace or Stove; Clearances -Hearth 64. Elec. Outlets at Wood Panel; Int. & Ext. Card -BI Date Card -BI Date 65. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Date Card -BI Date ELECTRICAL (Permit) OK except #'s 66. Elec. Outlets & Receptacles at Kit. Counter 67. Garage Fire Door; Swi ng -Land i ng -C loser 68. A.C. Duct in Garage -Damper 20. 21. Fixture & Transformer Clearance -Ins. Protection Elec. Receptacles Spacing -Lights & Switches at Doors 69. Wtr. Htr.; Vents -C leara nce- Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 70. 71. Plb., Elec. & Mach. Equip. Listed for Location Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 22. Size Boxes & No. of Conductors -Stapled 23. Romex Installed Close to Edge of Studs & C.J. 24. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 72. Insulation -Foam -Looked in Attic (-] Yes 73. Guard Rails & Deck Construct ion- Post Caps 25. 2 Appliance Circuits in Kitchen & Conductor Size 26. Subfeed Wire Size ga. Cu or AI-A.C. Wire Size ga. Cu or WI 74. Fdn. Vents & C awl Hole Door -Drainage & Wood -Earth Clearance Looked under Frloor El Yes 27. Range Circ. / i ga. Cu or Al -Oven Circ. ga. Cu or A 1, Insulated Neutral FJYes EJ No 75. Following instId.: Drive E] Yes No; Walks 0 Yes E] No; Planters E) Yes ED No 28. Service -Riser Conductors & Ground -Main Disconnect 76. Stucco; Brown -Finish 29. Equip. Clearances; Pane Is-Motors-Mech. Equip. 77. A.C. Unit; Disconnect-Cirnces-Brkr. & Cond. Size -115V Outlet 30. Clothes Closet Light -Shower Light 78. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. 79. Water Well; Disconnect, Electrical, Plumbing 80. Exterior Elec. Trim; G.F.I. Receptacle -Underground Card B -I Date Card -Bi Date 81. Ventilation throughout House Card B -I Date Card -BI Date 82. Glass Protection Date MECHANICAL (Perrrit) OK except #'s 83. Corrections from Previous Inspections 84. Gas Test -Meters Tagged; Gas -Electric 31. A.C. Ducts; Insulation & Support 85. Water & Sewer Connected -C/O to Grade -HD Approval 32. Vent Fan; Exhaust above Insulation 86. Energy Compliance Certificate -Other Certificates ___33. Condensate Drain & Overflow; Size & Grade 34. Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet __35, Attic Access & Platform if Furnace in Attic Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date FRAMING(Plans) OK except #'s Comments at Final: 36. Sills; Proper Material & Anchors 37 Studs -Nailing, Spacing & Bracing -Plates -Sound -.--Walls; 38. 39. Bearing Walls over Girders & Floor Nailing Draft Stop in Walls (rat proof) 40. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 41.__Header 42. 43. 44. 45. & Beam -S - ize, & Bearing Hangers -Post Caps -Anchors -Connectors CIng. Joist-Aftr. T-les-P�jr-li-n--Roo-f-Br-a-c.----Tru-ss-Shthnq.-Rfng. Fireplace Ties or Type A Flue -Fireplace Throat Attic Access; �ize & Romex Protect ion -Draft Stop -Ins. Baffles 4 6. Bdrm. W indows or Exiting Doors -Sill Hgt. & Dimensions 47. Garage Fire Protection Framing (NOTE: An entry must be made each time you visit job site) COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 695 Oleander Avenue, Chico — Phone 343-4211, Ext. 70 7 County Center Drive, Oroville — Phone 534-4541 Skyway and Elliott Road, Paradise — Phone 877-3435 CORRECTION NOTICE Sr!rz 1. pTr.e F�t/tr z BUILDING OR PROPERTY ADDRESS A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this ma er, or need additional explanation, please contact this office immediately. X/.S 7')2 c.._ ; 111—F kAo t l ,._. 1415 F"6, -- �-- Inspector - t-/�„ / -- •�% e � �G y COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WOR KS PE IT NO. 7 Count * y �.-enter Dri�e - Croville, California 95965 - Telephone 916/534-4L541 APPLICATION AND PERMIT AA. ASSE 2ER NG ? eT PARCEL N B 17- 1 z0A BUILDING PERMH\ 11N11 IVEL P.ONEa JrW 25a SO. FT. OCC. BUILDING VALUATION OWNER'SMAILING A DREJ�/ t// - 4 -/CS -D Lo e G r I CONTRACTOR'S 'A TELEPHONE/ CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LENDER UNKNOWN Fireplace Total Valuation $ LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER A/" LICENSE NO. Plan Checkin( $ Penalty $ ARCHITECT OR ENGINEER S M AILIN ESS Permit fee $ BUILDING ADDRESS PLUMBING PERMIT FilingFee /0.00 Each Trap 2.00 Repair drainage or vent piping 2.00 Water piping —_ zpap LOT NO. SUBDIVISION NAME I L MAP Each qas water heater or vent 2.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SFEI DupIexFJ MobilehomeE�r Other SPECIFY Building sewer /6,00 Lawn sprinkler system 2.00 TYPE OF WORK New n AdditionE:1 Rem(elEl Utilitiesk' I tallation[] Other Describe work: Permit Fee $ :52) 40 Contractor ELECTRICAL PERMIT Fi ing Fee 1 /&00 Main service 600V OR LESS 100 AMP OR LESS 5.00 Main service EA. ADD -L 100 AMP 2.50 NEW CONST. ( DWELLING OCCUPM OR ADDNS. ACC,_BLDGS. 20 sq ft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification 1, as the owner. or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) 1, 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 CON5TR ( MULTI -OUTLET ...."ES 2.50 ea _ I., BRANCH CIRCUITS) NEW CONSTFL I POWER APPARATUS.&) NON-RESID. ISINGLE OUTLET CIR —Ex. 50 @ 25c Occup(OUTLETS OR FIXTURES IBAL@10t FIXED APPLNS. OR I Ex. Occup.(OUTLETS (RESID.) EA.1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 6.25 Permit Fee Contractor WORKMEN'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): n The permit is for $100.00 (valuation) or less. E] I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shal I not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Fi I Ing Fee 3.00 Heating Cooling Hood 2.00 1 Venti lation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also e save, indemnify and ke p rmless the County of Butt t all I I i s judgments, costs, es hich again i" Of I g 0 f t h �Vp®r,;� Dkyl��U C Signature of App I icant __Kn.rEk-_Con1r,�/t.r Age-� 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 $ Land Development Fee $ TOTAL PERMIT FEE $ OCCUP. GROUP I TYPE OF CONST. PA (7L -i-SSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRE97PR OF PUBLIC By - Or P6dT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date A- 2--r- 0 Receipt NO. �43 7_2 I WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD-APPL I CANT 1�1 of pons and spe mcciflons awful UST 13LXl to'M if is uet This a . b of C11.1 times ions on 1,01MG, withola kept on the 10 Make any r-h*nges 0, olterahe Department of Public written permission iron' tWorks, county 04 Butte. PorkmanshTP Shall lye ials & * c-tices Mater A Pr" dices A Reco(jni7e8 Good ilio Ivi Accordance . W1 - scribe8 for the Spe of 0 quality pre, plurnbing &MCIChc1flical Coda and Uniform Building �toecil code. the Notionol le A setback of 5 ft. f a s thepropertY lines andtback of 50ft. fro h thll e road centerline abe clear of pment excef structures or equi for a 2 ft. eave overh6ng- 4 x C4 M 0 fie.!vp -Ve 0 0 0 C4 P Utility co"nectlons 5 me' either mobilehO 4W Of the d or within the rear directly hind eft) of the 0 half 01 the roadside mobilehome- BUTTE COUNTY *4-0 BUILDING -DEPARTMEN' APPROVED This set of plans and specifications MUST Fe kept on the iob at all time., and it is Unlr.w¢Eal to nmv!! P- onv changes or mlterm+i amosortie o Deportment of Publwithoic written permission from the Works, County of Butte. is Workmanship Shall Ire m' �jQTEt—Qn �gatena •si,ed Good practices crncl with Reco4' oe ified use in the Accordance rescrihed fear theA ,.�anical Codes and of a quality p plumbina �. M.a�,. Uniform Building the National Sectriec" Code. A setback of 5 ft. from the proper-ty lines and a setback of 50ft. from the road centerline shall be clear of structures or equipment except y° for a 2 ft. eave overhang. G ii cy f �•t - I�v. a fE 0U !�6 FO-C'ej RN ILE S� l _ i.