HomeMy WebLinkAbout024-080-043MICHAEL G. HARHEN 24-08-43
561 Obeymeyer Avenue, Gridley
PEr.r.n.i t.#2605-8 7B., E (add bedroom
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MISCELLANEOUS - R�pair
MINOR REPAIRS TO BEAM -STORM -1
561 OBERMEYER AVE
QUIST, COLLIN & TWANYA-.
603 0 F� (P
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APKI,. 02,4 -bib -643
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—IM&DING DIWA.'
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Itsetback of 5 ft. from the
I roperty lines and a setback
I f 50ft. from the road
enterline shall be clear of
Uistructures or equipment except
�f'or a 2 ft. eave overhang.
o-�
This set of plans and specificationsMUST be
kept an the job of all times and it is unlawful to
Make GnY Changes or alf erations on some without
Wriffen permission from the Department of Pubile
WWIr. Comfy of Butte.
'G
L - j4� -
Own COUNT,
OU14-DING DEPARTMEN
A 'PA P R V E D
ZIPO %7
LVIJ
1 41-
44
V
cn C -
Hat-, S C�-
Itsetback of 5 ft. from the
I roperty lines and a setback
I f 50ft. from the road
enterline shall be clear of
Uistructures or equipment except
�f'or a 2 ft. eave overhang.
o-�
This set of plans and specificationsMUST be
kept an the job of all times and it is unlawful to
Make GnY Changes or alf erations on some without
Wriffen permission from the Department of Pubile
WWIr. Comfy of Butte.
'G
L - j4� -
Own COUNT,
OU14-DING DEPARTMEN
A 'PA P R V E D
ZIPO %7
LVIJ
1 41-
Oo'
.v M
24-08-43 3865-90B
HARHEN, Michael
561.Obermeyer,Ave, Gridley
(woodstove/sf)
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, CAK'f6rn'ia-1QI5965 - Telephone: 916/538-7541
APPLICATION AND PERMIT
PERMIT NO.
0
ASSESSOR PARCEL NUMBER
024-.080-043
ZONING
AS
BUILDING PERMIT
OWNER
Michael Harhen
TELEPHONE
846_4858
SO. FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS
AR
561 Obermeyer, Gridley 959,
CONTRACTOR'S NAME
Mer
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace A 1.000
CONSTRUCTION LENDER
OWN
Total Valuation $
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$ i2y.50
ARCHITECT OR ENGINEER 777
SE NO.
Plan Checking Fee
$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER's MAIL-ING ADDRESS
Penalty
$
BUILDING ADDRESS
561 Obermeyer Gridley
Permit fee
$ 27-%
PLUMBING PERMIT
FilingFee 10.00
Each Trap
2.00
Solar or heat pump water heater
20.00
LOT NO.
UBDIVISION NAME
1
PARCEL MAP
1
Water piping
5.00
Each qas water heater or vent
5.00
USE OF STRUCTURE
SFE:1 DuplexR MobilehomeF-1 Other wood stove
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home S I G I �L�l
0 .00 ea
TYPE OF WORK
New R AdditionEl RemodeIE] UtilitiesF1 InstallationEXI Other
Describe work: wood burning stove
I
I
Permit Fee
$
Contractor
ELECTRICAL PERMIT
FilingFee 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):
F I am licensed under provisions of Chapt. 9, Div. 3 of the Busines S
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)
F1 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 ADONS. ( ACC. BLDGS.
21/20sq ft
NEW CONSTR. "'ULT' -OUTLET
N ON.RES'. BRANCH CIRCUITS)
2.50 ea
(POWER APPARATUS.&)
SINGLE OUTLET CIR
Ex. Occup(OUTLETS OR FIXTURES
20050c
BAL@ 30t
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
$
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
F� The permit is for $100.00 (valuation) or less.
F� I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
,,/of Consent to Self -Insure.
I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the.W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
Contractor
MECHANICAL PERMIT
FilingFee 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 Ordinanc9s and State Laws relating
to building construction, and hereby authorize representatives of the County ot
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
against said County in consequence of the granting of this permit.
X Date
Signature of Applicant OwnerN" Contractor [] Ag�n,F�
An OSHA permit is required for e-xca;ations over'5'0'� deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee
Occ
c ST TYPE
TOTAL FEE $
27.50
HAZ
I
I CUA
PARK
I SCHL
I FLD
I PAR
PD
HD
ISSUE
This permit is nereby issued under the applicable provi-
sions oi the Butte County Code and/or resolutions to do
work indicated above for which fees have been paid.
DIRECTOR OF PUBLIC WORKS
11/15/90
By Dale
/ 1 111
PERMI[T EXPIRES Date
84248
Receipt No. .
WHITE-D.P.W.. YELLOW-ASSr3SOR, OIN K -INSPECTOR,' GOLDENFtOD-APPL I CANT
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO.
7 County Center Drive - Oroy,)#e,',Cah1ornia 95965 - Telephone: 916/538-7541
il . -1 9_0
APPLICAMIGIN AND PERMIT 1--.1,
ASSESSOR PARCEL NUMBER
024-080-043
ZONING
A5
BUILDING PERMIT
OWNER
Michael Harhen
TELEPHONE
846-4858
SQ.FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS
561 Obermeyer, Gridley 95948
CONTRACTOR'S NAME
Owner
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
__T��OWN
Fireplace A 1.000
CONSTRUCTION LENDER
Total Valuation $
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$ 17.50
ARCHITECT OR ENGINEER
SE NO.
Plan Checking Fee
$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
561 Obermeyer Gridley
Permit fee
$ 97-,;n
PLUMBING PERMIT
FilingFee 10.00
Each Trap
2.00
Solar or heat pump water heater
20-00
LOT NO.
UBDIVISION NAME
1
PARCEL MAP
1
Water piping
5.00
Each qas water heater or vent
5.00
USE OF STRUCTURE
SFEI DuplexF� MobilehomeF-1 Other wood stove
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home S I G I W
10-00ea
TYPE OF WORK
New [__J Addition RemodelEJ UtilitiesF� Installationcil Other
Describe work: wood burning -,I-c)vp-
Permit Fee
$
Contractor
ELECTRICAL PERMIT
FilingFee 10.00
main service 600V OR LE SS
100 AMP OR LESS
10.00
Main service EA. AOD-L 100 AMP
2.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
El I am licensed under provisions of Chapt. 9, Div. 3 of the Busines S
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)
F I am exempt under Sec.—, Business and Professions Code
for this reason
NEW CONST. ( DWELLING OCCUPM
OR ACONS. ACC.BLOGS.
21/20sqft
NEW CONSTR. MULTI -OUTLET
NON"R E SI D, BRANCH CIRCUITS)
2.50 ea I
(POWER APPARATUS.&)
SINGLE OUTLET CIR
Ex. Occup(OUTLETS OR FIXTURES
20@50t
15AL9 30C
FIXED APPLNS. OR 11
Ex. Occup-, OUTLETS (RESIO.) EA.1
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):
F� 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 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 beco e subject
to th.e.W. C. provisions of the Labor Code, you must forthwith complymwith such
provisions or this permit shal I be deemed revoked.
Contractor
MECHANICAL PERMIT
Fi I ing Fee 10.00
Heating
Cooling
Hood
3.00
Ventilation
—
I I
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 ot
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 liabilit.ies, judgments, costs, and expenses which may in any way accrue
again�t,sa'id County in conrquence f the granting of this permit.
76 -
X Date
SioKture of A*pplicant Owner))( Contractor E] Agent
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee
OCC
CONST YPE
TOTAL FEE $
27.5C
HAZ
� CUA I
PARK
I kHqFL0
I PAR
PD
HID
issur=
This permit is nereby issued under
ins oi the Butte County Code and/or
work indicated above for which fees
DIRECTOR OF PUBLIC
By 2 rl_�
PERLIVEXPIRES Date
the applicable provi-
resolutions to do
have been paid.
WORKS
11/6/90
Receipt No. 84248
WHITE-D.P.W., YELLOW-ASSrSSOR. PINK -INSPECTOR, GOLDENROD-APPL I CANT
COUNTY OF BUTTE - Depatteent of Public Works
7 County Center Drive, Oroville, CA 95965 Phone: 916-538-754.1
OWNER-BUILDFA VERIFICATION
Attention Property Owner: -
An "owner -builder" building permit has been applied for in your name and bearing
your signature.
Please complete and retur,n 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 (yes or no)
I (have/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
Add ' ress City
Phone Contractors 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
Address City
Phone Contractors 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:
Property Owner
Social Security Numb,6r
Date /Z z)
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 per-
mitted to issue the permit.
2605--87
r �
PERMIT NO.
PERMIT EXPIRES
OWNER MICUARRI -un
CONTR. 91J€+
ASSESSOR PARCEL . 4-
LOCATION 561 Qber.. eye
r
3,7
t.
4b -
Temp. Power Pole
Called
f
Temp: Elec
C
Called
Temp. Gas
t
Called
JOB FINAL
Slgnatu
= OK
0 = Not 6K
- = Not Applicable
* = Not Ready MOBILE HOMES
MISCELLANEOUS
Date MOBILE HOME UTILITIES (Plans) OK'except #'s Date DECKS,04WERS,CARPORTS,GARAGES,�Plans)OK except #'s
1. Zoning Requirements-Setbacks-Easernents a0 a�l.zc6ing,Requirements-Set4adrs-Ease-ments
2. Soils; Special MH Support -Sketch 2. Footings; Soils-Size-Depth-Spacing-Connectors-SteeI
3. Sewer;, Location -Test -Fall -C/0 -Concrete 3. Decks; Girders and/or Joists-Decking-Bracing-Stairs-Raits
4. Water;, Location -Test -Easement Needed (Sketch) 4. Wood Awn.; Posts-Beams-Rftrs.-Connec.- T..
5. Electricity; Location-Clearances-Grnd.-/ Amp -Concrete- Shthg.-Rfg.-Bracing
6. Gas; Location -Test -Wrap: / /"L"ft. 5. Alum. Awn.; C.olumns-Connections-Splice-Decal-Encl6sures.'
P'Nat. or/ /"L"ft./ /"LPG 6
, Carports; Windows -Doors
7. Utility Clearance --7. Ejec-
[.�15rng; Sills-Anchors-Studs-Rftrs-Trusses
Q�kdlng; Nailing-Veneer-Stucco-Mosh
Card -1311 Date Card -131 Date fRoof; Shthg-Roofing
Card -1311 Date Card -1311 Date Ext.; Steps -Doors -Landings
Date MOBILEHOME INSTALLATION (Plans) OK except #'s
1. Zoning Requirements-Setbacks-�Easernents -Card-B1(XA_,) DaEe'-re5_7 Rk'bard-131 Date
2. Footings; Size-Spac i ng- Marriage Line Card -131 Date Card -131 Date
3. Gas; MH Test -Demand -Valve -Connector
4. Electricity; MH Test -Crossovers -Breakers -Clearances Date POOLS (Plans) OK except #'s
5. Drain; MH Test -Fall -Flex Connector 1. Setbacks- Easements
6. Water; MH Test- Regu I ator-Co n nector 2. Soils; Compaction -Structure Stability
7. Water and Sewer Connected�-C/0 to Grade -HD Approval 3. Pool Structure; Steel -Connections -Thickness -
8. Gas and Electricity Tagged Dead Men -Lining
9. Exits; Insp.-Sketch 4. Elec.; Receptacles and Lighting, Distances-GF1
10. Cart. of Occupancy 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.
Card -BI Date Card -1311 Date Boxes-Enclosures-Panelboards-Ins. to Main in Conduit
Card -BI Date Card -1311 Date 9. Health Department Approval
10. Plumb.; Cir. Test -Water Supply Test
Card -131 Date Card -131 Date
Card -131 Date Card -131 Date
cyt T9
L/Q
I
0_
= OK
0 = Not OK
- = Not Applicable RESIDENTIAL (Single and Duplex)�
* = Not Ready . h /k --
Date
UNDEAFLOOR (Plans) OK except #'s
Date
FRAMING (Continued)
J,01!!Zoning requirements-Setbacks-tasep4nts
44. Hangers -Post Caps -Anchors -Connectors
2. Ftg.. Main; Soils-Steel-Eler, G&6�1_ P' Ftg. De)5th
45. CIng. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng.
w Vo
3. Ftg., Garage; Soils -Steel-/ P' Ftg. Depth
46. Fireplace Ties or Type A Flue -Fireplace Throat
4. Ftg�, Porches & Decks; Soils -Steel-/ /"Ftg. Depth
47. Attic Access; Size & Romex Protection- Draft Stop -Ins. Baffles
09,0
5. Sternwalls, Main; Steel-Blockouts-Wrapped
48. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions
6. Sternwalls, Garage; Steel- BI ockouts-Wrapped
49. Garage Fire Protection Framing
7. Slab; Steel -Wrapped
50. Property Line Firewall & Openings
8. Piers -Fireplace Ftg.-Steel
51. Ext. Doors -One T -Check Garage -3rd story, 2 exits
9. D.W.V.; Fall -Fittings -Test -2 way C/0 -Sewer Test
52. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
10. Gas Pipe; 8ize-Anchors
53. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
11. Water Pipe; Test -Anchors -Regulator -Service Test
54. Siding -Nailing Veneer
12. Electric; Underground
55. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access
13. Plenums & Ducts; Clearance- Material -Supprt-I ns.
56. Glazing Area -Glass Protection -Skylights -Plastic
14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
57. Shear Walls; Nailing -Bolts
15. Insulation
58. Insulation-Walls-Clg.
59. Infiltration-Walls-Wndws
Card -B1
Date Card -131 Date
Card -B1
Date Card -131 Date
Card -B1
Date Card -131 Date
Card -131
Date Card -B1 Date
Date
PLUMBING (Permit) OK except #'s
16. Water Ht. Vent -Access -Combustion Air
Date
FINAL (Plans) OK except #'s
17. Water Pipe; Test & Anchors -Nail Protection
60. Ext. Steps -Door & Sidelight Protection -Landings
18. D.W.V.; Test-Fttngs & Anchors -Nail Protection
61. Smoke Detector
19. Shower Pan; Test,'First Floor -Tub Access
62. Furnace; Vents -Clearance -Comb. Air -Connector -
In Garage; Above Floor-Ducts-Mech. Protection
20. Test Tub & Shower, 2nd Floor -Tub Access
21. Gas Pipe; Size & Anchors
63. Bedroom Exiting
64. G.F.I. & Bath Fixtures & Tub Access -Spa
65. Elec. Trim & Subpanel; Breaker Sizes -Labels
Card -131
Date Card -131 Date
66. Stairs & Rails
Card -131
Date Card -B1 Date
67. Fireplace Stove; Clearances
or -Hearth
Date
ELECTRICAL (Permit) OK except #'s
68. Elec. Outlets at Wood Panel; Int. & Ext.
22. Fixture & Transformer Clearance -Ins. Protection
69. Kit. Fixt. & Appliance; Grnd. -Air Gap -Cooking Clearance
23. Elec. Receptacles Spacing -Lights & - Switches at Doors
70. Elec. Outlets & Receptacles at Kit. Counter
24. Size Boxes & No. of Conductors -Stapled
71. Garage Fire Door; Swing -Landing -Closer
25. Romex Installed Close to Edge of Studs & C.J.
72. A.C. Duct in Garage -Damper
26. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water
73. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.-
In Garage; Above Floor-Mech. Protection
27. 2 Appliance Circuits in Kitchen & Conductor Size
74. Plb., Elec. & Mach. Equip. Listed for Location
28. Subfeed Wire Size ga. Cu or AI-A.C. Wire Size / /ga.
Cu or Al
75. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec.
29. Range Circ. ga. Cu or Al -Oven Circ. ga. Cu or Al.
Insulated Neutral Yes No
76. Insulation -Foam -Looked in Attic 0 Yes
77. Guard Rails & Deck Construction -Post Caps
30. Service -Riser Conductors & Ground -Main Disconnect
78. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth
Clearance Looked under Floor (3 Yes
31. Equip. Clearances Panels-Motors-Mech. Equip.
32. Clothes Closet Light -Shower Light -Spa Light
79. Following instid.; Drive 13 Yes 0 No; Walks 0 Yes 0 No;
Planters 0 Yes 0 No
80. Stucco; Brown -Finish
Card -B1
Date Card -B1 Date
81. A.C. Unit; Disconnect, Electrical, Plumbing
Card -B1
Date Card -B1 Date
82. Vents Above Roof; Plbg.-Appliance-Firepi.-Clearance to
Openings.
Date
MECHANICAL (Permit) OK except #'s
83. Water Well; Disconnect, Electrical, Plumbing
33. A.C. Ducts Insulation & Support
84. Exterior Elec. Trim; G.F.I. Receptacle -Underground
34. Vent Fan; Exhaust above insulation
85. Ventilation throughout House
35. Condensate Drain & Overflow; Size & Grade
86. Glass Protection
36. Furnace -Vent; Access -Comb. Air -Return Air Vent -115 outlet-
87. Corrections from Previous Inpections
37. Attic Access & Platform if Furnace in Attic
88. Gas Test -Meters Tagged; Gas -Electric
89. Water & Sewer Connected -C/O to Gracle-HD Approval
90. Energy Compliance Certificate -Other Certificates
Card -B1
Date Card -131 Date
Card -131
Date Card -131 Date
Card -B1
Date Card -131 Date
Date
FRAMING (Plans) OK except #'s
Card -Bl
Date Card -131 Date
38. Sills, Proper Material & Anchors
Card -131
Date Card -131 Date
39. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound
Comments at Final:
40. Bearing Walls over Girders & Floor Nailing
41. Draft Stop in Walls (rht proof)
42. Fire Stops; Furred Ceilings -Stairs -Chases -Tub
43. Header & Beam -Size & Bearing
(NOTE: An entry must be made each time you visit job site)
J
COUNTY OF BUTTE -DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541
APPLICAT19N AND PERMIT
ERMIT
.7 NO.
acl* C/�
ASSES&OR. PARCEL N E
.7,lt-/)�11 �,
ZONING
At
t
BUILDING PERMIT
OWNER
E PHONE
SQ. FT. OCC. BUILDING VA ON
'M�Tf
4M M
OWN MAILING AD&Ss
4 / n w�Lg
A C T 0 R'S R'AM E
rC7ON4TRACTOR'S
TELFPHONE
C MAILING ADDRESS
Fireplace
COVUCTION LENDER
rq YL L2-
N
Total Valuation Is
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$
AMTECT OR ENGINEER
0 n&
E NO.
Plan Checking Fee
$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS 5_61 6 he- r. mq I?- r- V&,
Permit fee
$
PLUMBING PERMIT
FilingFee 10.00
ach Trap
2.00
V
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAME PARCEL MOP
1 1
Water piping
5.00
Each qas water heater or vent
5.00
USE OF STRUCTPE.,_
SFEJ DuplexF� MobilehomeF] Other—
(4
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home S 16 1 W
0.00 ea
TYPE OF WORK
New 0 Addition [] Remodel[] Utilities[] InstallationF-1 Other[]
Describe work:
Permit Fee
$
Contractor
ELECTRICAL PERMIT
FilingFee 10.00.
600V OR LESS
Main service 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):
F1 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
OW 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 CONST DWELLING OCC%tAW
OR ADDNS.* ( ACC B LOGS.
2/20sqft
NEW CONSTR. MUETI-OUTLET )
NON-RESID. 'BR
2.50 ea,
(POWER APPARATUS &I
SINGLE OUTLET CIR. I
Ex. Occup(OUTLETS OR FIXTURES
1.20 9 50C
ALCR 300
FIXED APPLN5 OR
Ex. Occup. OUTLETS (RESI*D.) EA.)
-
1 2.00
Temporary service
1 10.00
Mobile Home Facilities
15.00
Misc. Wiring
15.00
I
I I
Permit Fee
$
Contractor
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
F] 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 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 stat6nent, 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
FilingFee 10.00
Heating
Cooling
Hood
3.00
: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 County ot
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
against�,said Count i consnuence nting of this permit.
y in of th gra
X Date /10
SiA101-ture of Applicant — Ow'nerEl Contractor [] Agent El
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 $
0 ccup.
I CONST*TYPEJ
ISCNOOLIP'LOOQPPARCELI
PD
I -HD
I
Thi p hereby issued under
unl[y
sios �o9fjl e IBSutte �C) t Code and/or
wq� n at a -at) e for �Ihlch
TC
TOP OF PUBLIC
Bv Zff--
PERMIT EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Ijat� 92_0c-79.�_
2,7,e�fxv
Receipt No. e9i / ks
WHITM-O.P.W.. YELLOW-ASOCSSOR, PINK -INSPECTOR. GOLDENROD-APPL I CANT
tv
c
UNTYJOIF BUTTE - DEPARTMENT OO.PUBLIC WORKS - BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541
PERMIT APPMAT ON DATA SHEET Permit No.
a A P. No.
OWNER—
Proposed Building Use- -a r a Building lnspector___� D a t e,/Z2 A:�Ia
At time of permit application, I was advised the following data must be submitted prior to permit processing '.
and/or issuance: DATE RECEIVED APPROVED
1.
2.
3.
4.
5.
6.
7
All items have been submitted . . . . . . . . . . . .
Plot plans in duplicate/triplicate, signed by preparer of plans.
Complete plans in duplicate/triplicate, signed by preparer of plans.
Complete engineered plans and calcs, with wet signature on plans.
Plans with Energy Design Compliance Statement . . . . . .
School District "Fees Paid" Stamp on Floor Plan.
Statement of Intent for Non -Heated and AC Buildings.
S. Fees of $ . . . . . . . .
�Letter of signature authorizAion. . 9 A
Sanitation approval from Ile . . . . . . . .
190- Health- Dept.
11. Planning approval for (A) Use: — (B) Parking: -
12. Certificate of Workmen's Compensation Insurance . . . . . .
13. Contractor's License Information (no., name style, classif.)
-14. Owner -Builder Verification (Given to ownerF-1, Mai I to owner F-1
__15. Improvements may be required ... . . . . . . . . . .
16. Mobilehome Installation Data. . . . . . . . . . . .
Pre-Inspec.,reques, 1. (D t�t)
17. Pre -Inspection Required- Building In pector
18. Recorded copy of Agricultural Acknowledgment Statement.
19. Driveway Permit.
20. Plot plan approval frorn city of
21.
22.
W�pn you issue th pprmii Qss as follows: _MaiIA owner. —Mail to contractor -
0, u
—Telephone and hold for pick p kL,2_Vnoffice, —Deliver w/inspector.
Other
A p p I i c a n Q_a t e ZQ - ;2
Copy of plans sent Health Dept., —Fire Dept., Other— Date
The following data must be submitted prior to permit issuance: (Circle new item not checked above).
1. Index permit for above items No.
2. Additional items required:
Contractor, designer, owner, was advised -of above required data by—phone ail te by date
il t
Contractor, designer, owner, was advised c? above required data by—phone mail t lby, date
Plans checked by_��_ - ___DateZ�-) �2—Plans approved by Dateg!R�7_x 2
—Sets of plans on hold in —File cabinet _AP folder
Copy—DPW
TO Bui➢ldinq Department
FROM: Environmental Health
SUBJECT:. Sa'nitation Clearance
-�)
HCLr X19 r )^
Owner Loc tion AP#
Plan Approved for: Sewage Disposal _ Water Supply
Hold final for: Water Supply
Final clearance O.K. for: Water Supply
Clearance for bedroom mobile home. Other _ (7�'►"�� ��
NOTE * * *
Sanitarian Date
. I I I. ."
COUNTY OF BUTTE - De5artment of Public Works
7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541
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. 1 personally plan to provide the major labor and materials for construction of
the proposed property improvement (yes or no)
2. 1 (have/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
construct
Name zi�
Address City
Phone Contractors License No.
4. 1 plan to provide portions of this work, but I have hired the following person
to coordinat pervise, and provide the major work:
Name Z�E
Address ' I ' City
Phone Contractors License No.
5. 1 will provide some of the work but I have contracted (hired) the following
persons to provide the work indicated:
Name. / 11 Address . Phone Type of Work
Signed: 2
Property Owner 1� �1-
Social Security N�mber : '
Date
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 per-
mitted to issue the permit.
i .
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS P/ERMIT�
7 County Center Drive - Oroville. California 95965 - Telephone: 916/538-7541
APPLICATION AND PERMIT
ASSESSOR P " CEL NUMBER
24-08-43
ZONING
BUILDING PERMIT
OWNER
MICHAEL G. HARHEN
TELEPHONE
946-4858
SO.FT. OCC. BUILD�ING;VALUAT ION
OWNER'S MAILING ADDRESS
561 Oberme
�&Aye., Gridley- CA 95948
CONTRACT...,,
OWNER
TELEPHONE
Ist renewalpermit
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
NONE
TUN7WN
Total Valuation is
-
LENDER'S MAILING ADDRESS
Filing Fee
$ 10.00
Permit Fee
$ 34.25
ARCHITECT OR ENGINEER
NONE -17S
E NO.
Pla n Checking Fee
$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS 561 OBERMEYER AVE.
Permit fee
$ 44-25
PLUMBING PERMIT
FilingFee 10.00
Each Trap
2.00
GRIDLEY
Solar or heat pump water heater
20-00
LOT -NO.
SUBDIVISION NAME
1
PARCEL MAP
1
Water piping
5.00
Each qas water heater or vent
5.00
USE OF STRUCTURE
SF)[J DuplexF� Mobilehomef-I Other add.
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home S I G I W
0.00 ea�,
TYPE OF WORK
New F� Addition Remodel[] Utilities[] InstallationO Otherc]
Describe work:
1st reneival of permit #2605-87
I
Permit Fee
$
Contractor
ELECTRICAL PERMIT
FilingFee 10.00
600V OR LESS
Main service 100 AMP OR LESS
10.00
Main service F -A. ADD -L 100 AMP
2.50
CONTRACTORS LICENSE LAW
I declare under pelna y of perjury (check one):
I am licensed under provisions of Chapt. 9, Div. 3 of the Busines S
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 Wason
NEW CONST DWELLING OCCUPM
OR AODNS.' ( ACC. BLDGS. 0-itsq ft
NEW CONSTR. MUCT-1-OUTLET
NON*RESIO, BRANCH CIRCUITS) 12.50 e a
PO ER APPARATUS &I
SINWGLE OUTLET CIR.
20050t
Ex. Occup(OUTLETS OR FIXTURES SAL030c
FIXED APPLNS OR
Ex. Occup. OUTLETS (RESI* 0.) E Al 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 00
Permit Fee $
ORKMEN'S COMPENSATION INSURANCE
tv
I declare undeq4ar y of perjury (check one):
F� 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 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
FilingFee 10.00
Heating
Cooling
Hood
3.00
Venti lation
Peffnit 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 ot
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
all liabilities, judgments, costs, and expenses which may in any way accrue
nst said County in consequence of the granting of this permit.
X Date
lignature of Applicant Owner El Contractor C] 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 $ 44.25
occup.
I CON3T,TYPEJ
ISCHOOLIFLOODIPARCELI
PO
7777;�
—C
This permit is hereby issued under the applicable provi-
sions of the Butte County Code and/or resolutions to do
work indicated above for which fees have been paid.
DIRECTOR OF PUBLIC WORKS
By Date
PERMIT EXPIRES Date 8-11-89
Receipt No.
WHITC-O.P.W.. YELLOW-ASSES30R. PINK -INSPECTOR. COLOKHROD-APPLI CANT
{kms
PERMIT NO: 2605-87R, E
PERMIT EXPIRES
OWNER MICHAEL.G. HARHEN
CONTR. owner
ASSESSOR PARCEL — —
LOCATION 561 Obeyrmeyer Avp, f'ri dl AI,
4
#-
t
z
It
I
Temp. Power Pole
Called PG&E'
Temp. Elec. Service
Called PG&E
Temp. Gas Service
Called PG&E
JOB FINALED (Date) v
Signature
= OK
0 ='Not OK -
Not Applicable
Not Ready
MOBILE HOMES
MISCELLANEOUS 1 0
Date
MOBILE HOME UTILITIES (Plans) OK except #'s
Date
DECKS,COVERS,CARPORTS,GARAGES, (Plans)OK except #'s
A. Zoning Requirements -Setbacks -Easements
1. Zoning Requirements -Setbacks -Easements 11
.2. Soils; Special MH Support -Sketch-
2. Footings; Soils-Size-Depth-Spacing-Connectors-Steet
3. Sewer; Location-T6st-Fall-C/0-Concrete
3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails
4. Water; Location -Test -Easement Needed (Sketch)
4. Wood Awn.; Posts- Beams-Rf trs.-Connec.-
Shthg.-Rfg.-Bracing
5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete
6. Gas; Location -Test -Wrap: / - /"L"ft.
/ P'Nat. or/ PV'ft./ P'LPG
5. Alum. Awn.; Col u m ns -Con nections-Spi ice- Decal- Enclosures
6. Carports; Windows -Doors
7. Utility Clearance
7. Elec.
8. Frmg; Sills-Anchors-Studs-Rftrs-Trusses
9. Siding; Nailing -Veneer -Stucco -Mesh
Card -131
Date Card -131 Date
10. Roof; Shthg-Roofing
Card -131
Date Card -131 Date,
11. Ext.; Steps -Doors -Landings
Date
MOSILEHOME INSTALLATION (Plans) OK except #'s
1. Zoning Requirements -Setbacks -Easements
Card -131
Date Card -131 Date
2. Footings; Size-Spaci ng- Marriage Line
Card -131
Date Card -Ell Date
3. Gas; MH Test- Demand -Valve -Con nector
4. Electricity; MH Test -C rossovers- Break ers-C lea ran ces
Date
POOLS (Plans) OK except #'s
5. Drain; MH Test -Fall -Flex Connector, A(
1. Setbacks -Easements
6. Water; MH Test -Regulator -Connector
2. Soils; Compaction -Structure Stability
7. Water and Sewer Connected -C/O to Grade -HD Approval
3. Pool Structure; Steel -Connections -Thickness -
Dead Men -Lining
8. Gas and Electricity Tagged
9. Exits; Insp.-Sketch
4. Elec.; Receptacles and Lighting, Distances-GFI
10. Cert. of Occupancy
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
Card -131 Date Card -131 Date
Card -131
Date Card -131 Date
9. Health Department Approval
10. Plumb.; Cir. Test -Water Supply Test
Card -131
Date Card -131 Date
Card -131
Date Card -131 Date
= OK
0 = Not OK-
- =-Not Applicable RESIDENTIAL (Singleand Duplex)
* = Not Ready
Date UNDEOFLOOR (Plans) OK except #'s I Date FRAMING (Continued)
>-Zo��equirements-Setbacks-Easements
eeffg., Main; Soils-Steel-Elec. Grnd.-/ /" Ftg. De
3. F -4g., GaFagB; Seft-Steel-/ /" Ftg. Depth
4. F1g__Eorches-"ecks; Soils -Steel-/ /"Ftg. De
5,�§temwalls, Main; Steel-Blockouts-Wrapped
.L-8. Pkers-Fireplace Ftg.-Steel
9. D-%*.*-fvM&Fittings-Test-2 way C/0 -Sewer Test- .
10. -Gas Pepsi Size Anchors
11 water E4ie.��t-Anchors-Regulator-Service Test
12.k4e� �ergro �hd
115I.Plenlims-&Purts; Clearance-Material-Supprt-Ins.
*,I. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
15, Insulation
Card -131 DatiC,_J,/_?�7Card-B I Date
Card;.B?A4A--, Date CL,,W�f7a rd- B I Date
-1 r
Date /-.)'*LUM13ING (Permit) OK except #'s
16. Water Ht. Vent -Access -Combustion Air
17. Water Pipe; Test & Anchors -Nail Protection
18. D . W.V.; Test-Fttngs & Anchors -Nail Protection
19. hower Pan; Test, First Floor -Tub Access
20. Test Tub & Shower, 2nd Floor -Tub Access
21. Gas Pipe; Size & Anchors
Card -B1 Date Card -1311 Date
Card -131 Date Card -131 Date
Date ELECTRICAL (Permit) OK except #'s
22. Fixture & Transformer Clearance -Ins. Protection
A951. Elec. Receptacles Spacing -Lights & Switches at Doors
k -2f Size Boxes & No. of Conductors -Stapled
"-T5. Romex Installed Close to Edge of Studs & G.J.
26. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water
27.4-App4enee-Cirr-uits in Kitchen & Conductor Size
28-6ub4s9d-VA'fe-Sfze-t---bga. Cu or AI-A.C. Wire Size / /ga.
Cu or A[
29. RdFlge Clrc-� or Al -Oven Circ. / / ga. Cu or Al.
Insulated Neutral Yes No
30,.�!Be -v*e�--Ri9a_._,6`0ftftctors & Ground -Main Disconnect
31.jffiqulp. Clawa Panels-Motors-Mech. Equip.
L,Olrelo�� Light -Shower Light -Spa Light
Card-1311!;�Q DatLY22", ]Card -B1 Date
Card -131 �1_ Date Card -131 Date
Date MECHANICAL (Permit) OK except #'s
33. A.C. Ducts Insulation & Support
34. Vent Fan; Exhaust above insulation
35. Condensate Drain & Overflow; Size & Grade
36. Furnace -Vent; Access -Comb. Air -Return Air Vent -1 15 outlet
37. Attic Access & Platform if Furnace in Attic
Card -131 Date Card -131 Date
Card -B1 Date Card -131 Date
Date FRAMING (Plans) OK except #'s
"8. §ills, Proper Material & Anchors
M'Walls Studs -Nailing, Spacing & Bracing -Plates -Sound
6W.-ftearing Walls over Girders & Floor Nailing
kl-praft Stop in Walls (rbt proof)
Aff. PKe Stops; Furred Ceilings -Stairs -Chases -Tub
,t_4ErHeader & Beam -Size & Bearing
nnectors
Purlin-Roof
4@�:f htyplace-Ties-GF-Ty" A Flue -Fireplace Throat
61-47. AWc Access; Size & Romex Protection- Draft Stop -Ins. Baffles
','C8. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions
49.-Geraga-Frre-Pretecwn Framing
50. I=ine-FiRW811 & Openings
54,6*1�-��ne X Check Garage -3rd story, 2 exits
52.,��'� oom-Rise-Run-Landing-Fire Protection
p,8T.'P!Xwood on Roof Overhang -Attic Vents -Rafter Outriggers
I - . . W lipgVaneer
55. Stucccil-h4eafl--d�ip Screed -Fd. Vents-Underfir. Access
L&K'dlazing Area -Glass Protecti on-Skyl i ghts- Plastic
57. ���Kg-Bolts
v3rin sulation-Watrs-Cig.
59. Infiltration-Walls-Wndws
Card -131
Datk_�"-2Card- 1 Date
Card -131
Date Card -131 Date
V
Date
FlIViC (Plans) OK except #'s
JC,Ext. Steps -Door & Sidelight Protection -Land I ngs-'
$moke Detector
�vents-Clearance-Comb. Air-Connector-
Jp-Garage; A15ove Floor-Ducts-Mech. Protection
Bedroom Exiting
64. G.F+-&-Ba1h-FWtUFW-& Tub Access -Spa
Cw�
Elec. Trim & Subpanel; Breaker Sizes -Labels
66. Staors-&-RA-Irs-
62-lim4gaGe-ef-Steve"Gtea-rances-Hearth
68-FJBL--QLLUela-at-%Need-Partel; Int. & Ext.
�-Air Gap -Cooking Clearance
70 Efen lAlets-&-Reeeptactet-at- Kit. Counter
wing- nding-Closer
71 -1- llents--Ctuuffi�nce-Comb. Air-Connector-P.R.V.-
If In Garage7�bove Floor-Mech. Protection
74-1Mr,7Ere_c._K_Mech. Equip. Listed for Location
745-Eler. R8G8PtaGIes4n-Garage; (G.F.I.)-Romex Protec.
76 -Insulation Fes -Looked in Attic 0 Yes
;U *d-fhrtI3-& Deck Construct! on -Post Caps
Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth
Clearance Looked under Floor 0 Yes
79. Following instld.; Drive UoYe%-13 No; Walks 0 Yes Q*6;
_Jftnters 0 Yes M_Ne�'
"Q_S1u=o; Brown -Finish
ii. A;e.,tln*,t-, Biseeftnect, Electrical, Plumbing
-t2-Ve-nTs-ATo-ve-R-oW,--Mbg.-Appliance-Firepl.-Clearance to
Openings.
83-%UdeL-ttelLj)iacmmect,Zjoctrical, Plumbing
847ERfe-r-io-r-EFec-.-rr-i-m-,-G.F.I. Receptacle -Underground
85:��' ��ut House
A"Iaqq protoGtion-
�-'87. Corrections from Previous Inpections
88. 19as Test- Me ters-Tagg ad; Gas -Electric
89-,Wa4�we,r-C6nn_ected-C/O to Grade -HD Approval
A6. Energy Compliance )Certif icate-Other Certificates
Card-BlelIC-N Date-70�4?MCard-Bl A Date
Card -131 LT Date ard-B1 N��Date
Card -B1 �,J Card -141 Date
Comments at Final:
(NOTE: An entry must be made each time you visit job site)
Michael G. Harhen
561 Obermeyer Ave.
Gridley, CA 95948
Dear Mr. Harhen:
August 19, 1988
RE: Building Permit No, 2605-87
Expiration-Date.8/11/88
(A.P. No. 24-08-43)
With reference to the above subject, our iecords indicate that your Building
Permit expired on the above date. Building.permits areivalid for one year
and should construction be started but not completed by the expiration date
of the permit, the permit sha ' 11 be renewed for -21 the original Building -Permit
Fee�(plus a $10.00 "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 thirty days of the expiration date,
it cannot be renewed and all work must cease until a new building permit is
issued.
If your construction is completed or should you have any questions concerning
this matter, please contact the Oroville office.
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
a
to this office together with the fee shown. Please return all copies of the
application form.
Thank you for your prompt attention concerning this matter.
JFG: aam
Attachments: Permit Application
Owner -Builder Information
Owner -Builder Verification
Yours very truly,
William Cheff .
Director of Public Works
J, -0 ZQ!x I z -
'.. �-and'exf'
64ef Building Inspector
cc: Building Inspector - Oroville/538-7541
Chico - 196 Memorial Way/891-2751 Paradise - 745 Elliot Rd./872-6307
owner:-. r_ Permit No.
ENERGY CERTIFICATION
L --LOCATION---- A. P. No.
DESCRIPTION OF INSULATION
ROOF
Material Brand Name
Thickness(inches) Thermal Resistance (R Value)
EXTERIOR WALL,
Material Brand Name
Thickness (inch"). Thermal Resistance(R Value) 77 -
CEILING
Batt or Blanket Type
- 7 -
Thickness (inches). j
Loose'Fill Type
Minimum Thicknesi(Inches)
Area covered(ft. )
FLOOR, ELEVATTD.
Material
Thickness (inchesy
FLOOR, SLAB
Material
Thickness(inches)
Width(inches)
FOUNDATION WALL
Material
Thickness(inches)
Brand Name
Thermal Resistance(R Value)
Brand Name
Number of Bags Wt. per bag lb.
Thermal Resistance(R Value)
Brand Name
Thermal Resistance(R Value) /7
Brand Name
Thermal Resistance(R Value)
Brand Name
Thermal Resistance(R Value)
I hereby certify that -the above insulation was installed in the above building
in conformance with the State of California.Ener&, Requirements.
V, ;J 7-1,tl Z_
FIRM NAME/OWNER STATE'CONTRACTOR'S LICENSE NO.
X_
R 41rG.1JATTdjR1V?. OnF INSTALLATION APPLTCAT6R DATE
I hereby certify the above insulation and all required items as shown on the
Building Department approved plans and attachments have been installed as
required by the State of California Energy Requirements.
All equipment, devices and materials are of the quality prescribed or are
specifically approved by the State of California.
�jv
FIRM NAME/OWNER (Pl7ease rint) STATE CONTRACTOR'S LICENSE NO.
x
SIG DATE
YRATURE OF GENERAL CONTRACTORIOWEER
THIS CERTIFICATE MUST BE ON FILE WITH THE BUILDING DEPARTMENT PRIOR TO FINAL
INSPECTION APPROVAL AND A COPY SHALL BE POSTED WITHIN THE BUILDING .
January 1984
L
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC
Oroville,,California 95965 - Telephone:
7 County Center Drive
APPLICATION AND PERMIT
WORKS P IT NO.
916/538-7541 - el,7
6-
ASSESYYARCEL NUMBER
12 �?' - �A,�
zo:��
BUILDING PERMIT(
Ow
TELEPHONE
SQ. FT. OCC. BUILDING VALUATION
OWNER'S MAIeLA Al
5L 6L
400
CONT,"CTOR'S NAME TrEPHONE
J
L. -I W) YZ ca YN
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONS U TION LENDER
19 PI&
UNKNOWN
Total Valuation Is
9A -1 r
Filing Fee
$ 10.00
I-Ef4b"ER'S MAILING ADDRESS
Permit Fee
$
ARZCT OR ENGINEER
0
LICENSE NO.
Plan Checking Fee
16
Energy Plan Checking Fee
$
-
ARCHITECT9_R ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
Permit fee
$
PLUMBING PERMIT
,,1JFi ingFee 10.00
Each Trap
2.00
V
Solar or heat pump water ter
20-00
LOT NO.
SUBDIVISION NAME
1
PARCEL MAP/
1
Water piping Z
5.00
Each qas water h9der or vent
5.00
USE OF STRUCTURE
SF X DuplexF� MobilehomeF-1 Other
SPECIFY
Gas piping syy4m 1 - 5 outlets
5.00
Building sewer
5.00
Mob i I e )eome S I G I W
10-00 ea�
TYPE OF WORK
New Fj Addition X RemodelD I)tilities[I Install ',on[] O�yler[]
Describe work: Zle- d r00 PYI cf- Reroor
I
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Fi I i ng Fee 10.00
main service OOOV OR LESS
00 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):
0 1 am licensed under provisions of Chapt. 9, Div. 3 of the Busines S
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)
I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
El I am exempt under Sec.—, Business and Professions Code
f or this reason
NEW CONST. ( DWELLING 0 c c '/'OS 21/20sq f t
OR ADDNS. ACC.BLOGS.
NEW CONbTFL -UI TI-DUTLEI
N D N,RES , D E RANCH CIRCUITS) 2.50 ea
PO ER APPARATUS.&)
(SINGLE OUTLET CIR
Ex. Occup(OUTLETS OR FIXTURES 20050t
.SAL@ 30t
IXED APPLNS OR
Ex. Occup. OFUTLETS (RESI*D.) EA.) 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):
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 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 UUJ=%,1
to th.e.W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
Contractor
MECHANICAL PERMIT
FilingFee 10.00-
Heating
I A A
Cooling
Hood
3.00
Ventilatio
--Pn-ermlt F4
$
Contractor
1 certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the Countyot
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgment t d xpenses which may in any way accrue
against sa
,,1,idoJun1 in c anting of this permit.
X 9�ff Date q e
Si f Applicant Owner 9 Contractor El Agent
An OSHA permit is required for excavations over 5'0" dee and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee
—
TOTAL PERMIT FEE $
;�,Up.l
CO�ST.TYPEJ
FLOO IJrARCELI
PD
ISSUE
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIRECTORAF PUBLIC
By
PEO�WT EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date
- S�, &
Receipt No. " V-0
I.
WH[Tr.-o.p.w..ai&58&$f.IPZ-hgXIECTOR. GOLDENROD-AF4PLIC'A7NT
1_�
_P
COUNTY OF BUTTE DEPARTMENT,017 PUBLIC WORKS BUILDING DIVISION
5965 - TELEPHONE: 916/538-7541
7 COUNTY CENTER DRIVE - ORO`71tLVCFA IFORNIA 9'
PERMIT APPLICATION DATA SHEET
�T�. , Permit No.
OWNER— A. P. No.
Proposed Building Use Z&zn /S/7.0 Building Inspector Date
At time of permit application, I was advised the data�must be submitted prior to permit processing
and/or issuance: ill DATE RECEIVED APPROVED
1. All items have been submitted . . .. . . . . . . . . .
Plot plans in duplicate/triDlicate, sighed by preparer of plans.
QX3.Complete plans in u licate riplicate, signed by preparer of plans.
N 14�
4. Complete engineered plans and calcs, h wet signature on plans.
5. Plans with Energy Design Compliance Statement . . . . . .
6. School District "Fees Paid" Stamp on Floor Plan.
7 Statement of Intent fof N -Heated and AC Buildings.
on
Fees of . . . . . . . . /J— YZ
V
9 Letter of signature authoriza,��n. . . . . . .
0. Sanitation approval from L/ Health- Dept. . .
11. Planning approval for (A) Use: (B) Parking: -
12. Certificate of Workmen's Compensation Insurance.
13. Contractor's License Information (no., name sty.le, classif.)
–14. Owner -Builder Verification (Given to ownerEl, Mai I to ownerE]
__15. Improvements may be required . . . . . . . . . . . .
16. Mobilehome Installation Data. . . . . . . ..
17. Pre -Inspection for--__-, Required. ,Pre-Inspec. request to (Dote)
Building Inspector
18. Recorded copy of Agricultural Acknowledgment Statement.
19. Driveway Permit.
__20. Plot plan approval from city of
21. 7b.
22.
When you ii,sue theger ocess as follows: Mail to'owner, —iviail to contractor -
X_ I ff
T&P and hold f of f i ce, —De I i ver w / i ns pector.
Telephone— or pickup iavo;
O'her
A p I i c a n t alltl,.4�r 52tp
Copy of plans sent — Health Dept., Fire Dept., Other Date
The following data must be submitted priowupermit issuance: (Circle new item not checked above).
1. Index permit for above items No.
2. Additional items required:
Contractor, designer, owner, was advised of above required data by—phone---mail —counter by— date
Contractor, designer, owner, was advised c? above required data by—phone —mai I —counter by— date
Plans checked by Date Plans approved by— 1& -bate �__LOAI
—Setsof plansonhold in—Filecabinet _APfolder
Copy—DPW
TO Building Department
FROM: Environmental Health
SUBJECT: Sanitation Clearance
Owner Location
Plan Approved for: Sewage Disposal
Hold final for:
Final clearance O.K. for:
Clearance for bedroom mobile home. Other
NOTE * * *
SanitariaYi
Water Supply
Water Supply
Water Supply
Date
COUNTY OF BUTTE - Department of Public Works
7 County Center Drive,,Oroville., CA 95965
OWNER-BU1LDER VERIFICATION
Attention Property Owner:
Phone: 916-538-7541
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 (yes or no) c4ee5
2. 1 (have/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:
Mame
Address City
Phone Contractors License No.
1 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 Contractors 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 o'f Work
Signed:
Property Owner
er
Social Security Numv.
Date ?- - if - s---7-
NOTE: This Owner -Builder Verification is sent to you as required by Sec.tions 19831 and
19832 of the California Health and Safety Code.
This verification must be complet , ed and returned to our office before we are per-
mitted to issue the permit.
FOR M 7
ADDITIONS TO RESIDENTIAL'BUILDINGS ENERGY SHEET
PACKAGE "A" (Additions)
Owner ' k6REAI Climate Zone
Permit # Z"§-97 Floor Ar.ea Itp 9
The -following data showing mandatory and required features of Package 'W' shall
be installed for additions to dwellings. Additions to dwellings include room
additions, converting garages and patios to living areas, house moves that add
footage and attic �_-onversions, and any space that is existing non -conditioned
space that is converted to conditioned space. Remodeling of existing conditioned
space is not included.
APPLIES TO NEW AREA
CEILING
WALL
FLOOR
SLAB
GLAZING
SHADING
SOUTH - OPTIMUM OVERHANG
ZONE 11 * NZONE 16
R-30 R
R-11 R-
R -11 R;1
R-7 9-7
U_.65 (Dual) JU-.6A (Dual)
or .36 Shading Coefficient
WEST -.36 Shading Coefficient
LOOSE FILL INSULATION (Density)
I INFILTRATION CONTROL (Weathersttip doors, certified windows, caulking)
VAPOR BARRIER (Zone 16)
# DUCTS,PER UNIFORM MECHANICAL CODE - Ch. 10
LIGHTING KITCHEN & BATH NOT LESS THAN 25 LUMENS/WATT
MAXIMUM GLAZING 16% OF -AREA PLUS REMOVED GLAZING 3% -7 5Q.FT. M*X
NEW HEATING, VENTILATING, AIR CONDITIONING AND HOT WATER SYSTEMS ' IN
CONJUNCTION WITH AN ADDITION SHALL BE INSTALLED AS SHOWN ON BACK
OF THIS SHEET.
OTHER
12/85
HEATING, VENTILATING, AIR CONDITIONING SYSTEM
(A) Heating
Central Gas Furnace %
(brand and model number) SE
Btu/hr
(heating capacity)
rl Heat PumD
QFand and model number)
Btu/hr
(heating capacity at 477F)
13 Active Solar
13
E3
a
1*
(3 *2
ACOP
type (liquid or air) Collector brand and
ft2
model number solar fraction collector area collector.
. orientation collector tilt rated y -intercept
other
(describe)
(B) Cooling
Electric Air Conditioner
(brand and model number) (seasonal EER)
Btu/hr
(cooling capacity at 95*F)
Electric Heat Pump
EER
Btu/hr
(cooling capacity at 95*F)
Other
(describe)
DOMESTIC WATER SYSTEM
(A) Gas Only Gallons
. ' (brand and model number) (tank size)
Heat Pump w/Electr:fcBackup
(brand and model number)
Gallons
(tank sii'e—)—
Active Solar
(collector brand and model number)
—Ts—
(rated y -intercept) (rated slope) olar fraction) ft 2
(backup heater type, brand and model number) (collector area)
(collector orientation) (collector tilt)
13 Location of Solar Panels
13 Other
(Describe)
Submit documentation of sizing heating and cooling equipment by Manual J, sizing
charts (form #4) or other approved methods, section 2-5352(g), and fill out the
following;
Heating: Winter design temperature _*, elevation heating load BTU y
elevation factor x heating load maximum outlet capacity gas furnace
BTU
Cooling: Summer design temperature cooling load BTU
E-
,,2 Submit T.I. .'chart*or other approved system (form #5) to document sizing of
solar panels.
DESIGN COMPLIANCE STATEMENT: The above building design meets the requirements o
Title 24, Part 2, Chapter 2-53 of the California Adminis ratio Code.
-a
1ml a
C- ----
SIGNATU OF BUILDING D61ESIGNER OR A
} 14 cu 5 L
BUTM cc
OUaA.DIPdC DEP
APP
E
14 o • s- i. ( - C t—,vA �ae�� oC, t�� . �� e„ t� t�� 5 0,1 c.
ppp�(jS(yi1;.�.;
3s' 9'it
4�?x
b
!
MIN, 0 CNE w/NaDU) Iti �WV -Root4
To CoHpt J I.um SEC a'/ vg(-
%VI)r/
RIAJ • N
�yiN ,,vim- OPFAAy = -4."7 sQ fr
Y-
EPARTMl
APPROVED
317
JX
7
Provide %2" x p" anCp
6' O'
C• max. and within
i.�"of joints.
ZXfoa W'o•C.
bu rwi. 6er Ow o
P.T. sic. L-
�� it
f 2''
14 "sq
k
BUTTE Couyv
s BUILDING DEPARTMEN?
APPROVED,
I
a�
s� o \A
pR--
BUILDIN ® PARTkAC:N�
APP VE
,oF'
Qua _
• sb
u
� x
o A w ZD " Ao
jdOTE:--aAll Materials L� Workmanship Shall as N
Accordance with Recognized Good Practices an
of a quality prescribed for the Specified use in the
Uniform Building, Plumbing & Mochgnical Cods an
the National Electrical Code.
• s
e s- CO
fi�
JU TE �.���"01
--, BUILDING ®EP RTMENI
APPVE
7
00
-4 x �'
LA WITE CW -4"
BUILDING DEPARTMENi
' APPROVED
r%
Z -
k
.14
ip
'to
Ile
Of (10,
IV xk,
JA -
v
IvInS
dov c—
V-1*6
b-(7
Plq-vjlle� W�-\�CTCJ lam &eO0,^
C) n
c%Lov<-' cvJr,
C! Y\
(5-
B U W E C,
n
tz , ,
e -A
C6
I*Vll
Fk)b(
LA t 5+
PA
;P
0
-41 w 9
(XV'-
-26
C? 5-v $
��
Q(,
tet"
s'
DIRECTIOW
tw
-3
.0
4.
r.
F_ A ST
I%V.E
HEATER SIZE STU' 'AL'
MP�M�kAu_ c'T L?41) SOLAR, GE
:GASLINEBY, -9- VENTEDOY:
SPEC FICATIO
NS
VIUN�TY MAP
LIGHT
MOT T0 SCM_1E
80. FT. POOL SO, FT. PAN EL
CLOCK
PANELTYPE PANEL SIZE
ELECTRIC SY: 160.9,Ato—
;,PLUM$ RUN
NUMBER PANELS
ELECTRICAL BONDIN2 8�:
AVI DMATIC MANUAL
POOL CLEANER
THERMOMETERS BOOSTEA PUMP
nis set Of ldns, an Specifications MUST be CHLOAINATOR
k'eP.+ Oh the 14 of 011 fohnes and 1+ is unlaWful to SINGLE n DOUBLE 51 ELECTRIC BY:
m4e any c��qoz or al+nrnf�ions an some without 8OA80 —SIZE
nN, wriffell permissiom from f he DepOriMent of Public BOARD SUPPORTS JOB NO.
Works, County of Buffe, 1xrWDING MAg:T6v_
PLA w) tt "Sco -wz.,111 LADDER — M00SL MAP BOOK NO.
LEGAL, DESCRIPTION
SLIDE :Q� 02iol,
GRADING
A setback Of 5 ft. from the 66
STU a P
asetback LUMB AYES NO
property lines and
'g DECK
By�
of 50f+,. from the road
ceriterline.shall be clear of
NOTES
i N�, 1011 A,
Uipmerit eXCA_0,_t1 tv %0t7
structures orM 't" Pl,� n o n f I I e f SOAL15 1/8 1 LOTINO.
AC
0 \r
fnr a 2 ft. eave overhano. structural &t4jl$,
0 - ta ze kWr TRACT NO,
BOOK—PAGE—BLOCK
Lt �o ra L�&_A
ESCROW CLOS
T L t
VYL PM
1194 TENTATIVE DIG DATE
4,�
A sx
oq, tmatvr PERMIT OFFICE
4
A% SALESMAN
*47
OWNER -i
i NOTE -:—All WOrknIOnjIlip Sh.11 TO DETERMINE
Accordan uAM
OwNey
APPROXIMATE ELEVATION OF
POOL ONDAY OF EXCAVATIOX
of 0, quaRy PW�Iicr, CK'D OY, DATE
tind
Splaome'd use j*n fhe
%fform Building, plumbillq MCjChCJnJ*caj cotIm
POOL AREA TOBE FENCED
0,
BY OWNER PER COUNTY OR CITY
ORDINANCE. GATES TO, 'E qELFr
CLOSING AND SELFLATCHING.
:NOT TO SCALE
DO, NOT TURN ON POOL LIGHT
WHEN POOL ISEMPTY
DEEP
END
SHA LOW
POOL OR:SPA
UNLESS OTHERWISE SPeCIFIED: N A M E' V) 4V�g. CgeeA
POOL IS —SHALLOW TO,—, DEEP
ADDRESS ?64(�
I HAVE RECEIVED A COPY OF
THIS PLAN AND HEREBY
APPROVE, POOL AIND�
EQUIPMENT LOCATION
CROgS,STAEETS
RE& PHONE
Bus'. PHONE
OMER'S SIGNATURE, DATE,W� -------
0"'W'"Ll.0
/V
]p6onitaL Mohoola
SpaS
W HT 8, 13OX 3446, OR,',.AND�, CA 95963
(916) 865&5385 0 893-85`12 0 343.7503
ALI
k
41"
2 4
, , . r , , ` , :� , : : "; L.-
7
NOTE.—All Matprinl,, 8, Workman -,hip Shall Bo, i -
Accordance with Rfrriit�i7,ld Good Practices a'-'
of a quality prorcrib-,,d for fho Sprcifind u�e in thr,
Uniform Suildinn, Pl,,!mbing & Mechanical Codes
and tile National Electi.cal Code.
A
4-- 6 L9
Os
L I- set) T;�-w
4A.
A mfbackpf 5 ft. frOM fhb
Prolnerty 11nes and 0 setback
it n t�e road
"I'-1 be cloarof
c�r cq?,Apmont except
2 -ft. rwirhari
I'M
Burrt: o6uNTY
7
r4% &ki 'Er%
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