HomeMy WebLinkAbout024-080-060U
L 2�T08-6
Herman Goode
.,,TRE�
n/w corner Obermeyer ar Gri 1866P
�0
Permit 137-68B _223�8E
(install bath patio do6r,4 rest o -o8-o
Q )2
y
A.P. 24-08-6 19, Corner Larkin & Obermeyer, Grid e
LOT BLOCK/'r' BDIV. CONTR: Mills Construction, 630 Washing�&d sIt-.
Herman Goode
(remodel rest home) Gridley
NW Co,,,;�e La.,rkin & Obermeyer,Gridle'
TYPE OF y
PERMIT PLAN NO. DATE ISSU'E CONT odward, Gridley
PERMIT NO. R_ url 0
- lee� ;�el
Permit 4-73B. (convert cov. patio
and add t for Rec. room Ik and add 10 4
Ktora ro and s i,ing oor)
9 4
P 24-08-6 24-08-06 88-90
HERMAN GOODE
HOWELL, Delmer
N/W corner of & Obermeyer
CONTR: Burl oodward- Gridley 589 Obermeyer, Gridley
Permit 53 Z 4B,P,E (convert stor- -Ag Exemption Permit tools) Lj
_.(.-iinDli_es,,___e ipLe
age rm. to liv. area-rest/hm) 024-08-0-006
for
ro a
jTNC
P er
Herman A.P. 24-08-6 HOWELL, DELNIAR & MARILYN
,Goode 589 OBERN1EYEP, GRIDLEY
CONTR: W
NW Corer Obermeyer & Larkin Rd.� AYNELOCY
CONYGr 'Al REPLACE SEWER PIPE
R: ;Yichard Such, Paradise C-1
P, it 1523-74 (fire sprinklers for
rest home)
AP 24-0 -0
Permit# 559-75P(replace wAeat.er�
(in re sthome ri'IV A I- 'I - -2-,T -175-
LA . 24-08-6
Herman Goode
WIS Larkin Hwy,app.100'N.of Obermeyer,l
Gridley Cofuny #'�, Gridley
Permt #1070-77B,P,E(ramada/MH)
'%�� 24-08-06
NEW,,OWNER
TOANI
___ '�,RANKIN
5189 Ob'eir mieye'r AVe, Gridley
Permit#2'�149-81P(install new fix
tures inbabh)res
,,�4-08-06 4 �evw'�
EAST GR'1DL;EYeET HOME(Mark CIAllea) MIT -HOUSE MOVING
PERMIT DESIGNATION: B -BUILDING
A" HIM
DEPARTMENT OF P -PLUMBING 569 ObeWe er Avenue, Ge ey E EP - ENCROACHMENT
BUILDING AND SAFETY T -TRAILER -_r -4M269-:82E (upgrade - ele _& misc wir) MIT D - DEMOLITION 600. 1
INSPECTION RECORD
BUILDING APPROVALS
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PERMIT NUMBERt
SIG. DATE SIG. DATE SIG. DATE SIG. DATE SIG.
DATE
ROUGH -IN
GAS PRESSURE TEST
WATER PIPING
SEWER LINE
APPLIANCES & VENTS
FINAL
ELECTRICAL APPROVALS
PERMIT NUMBERt
SIG. DATE SIG. DATE SIG. DATE SIG. DATE SIG. DATE
ROUGH -IN
FIXTURES & APPLIANCES
METERS
FINAL
MISCELLANEOUS APPROVALS
PERMIT NUMSERt
DESIGNATION SIG. DATE SIG. DATE SIG. DATE SIG. DATE SIG. DATE
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PERMIT NO. 1523 AS ...z i
P '
E
M
MH UTIL. /
PERMIT NO.
PERMIT EXPIRES
!OWNER Herman Goode—(East Gridley Rest Home)
CONTR. Richard J. Such, Paradise
"LOCATION (A.P. 24-08-6
t
NW Corner-Obermeyer & Larkin Rds., Gridley
Temp. Power Pole
Called PG&E
Temp. Elec. Serv.
' Called PG&E
Temp. Gas Serv.
Called PG&E
r `
JOB
NAILED c5—
(Date)
ignature)
Bond Beam FIRE SPRINKLERS Motors
Framing Test Water Htr.
Stucco Final Subpanels
Mesh MECHANICAL Grd. Fault Prot.
Scratch Heating Service
Brown Cooling Temp. Pole
Finish Ducts Underground
Interior Lath Ventilation Permanent
Door Closer Final Final
DATE -REMARKS OR CORRECTIONS
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
BUILDING INSPECTION RECORD
BUILDING BUILDING (Cont'd)
PLUMBING
Setback
Firewall
Soil Piping
Forms
Parapets
1st Floor
Main Bldg.
Restroom Finish
2nd Floor
Footings
Windows
3rd Floor
Stemwall
Siding
Topout
Slab
Roof Sheathing
Water inin4��
Piers
Roofing
Sewer
Garage
Fdn. Vents
FlxS�g_
Footings
Garage Vents
Wad(r Htr.
Stemwa I I
Slab
Prov. for physically
handicapped
Heaters
Appliances
Carport
Footings
Conformance of ex.
structure
Gas Piping & Test
Temp. Gas
Slab
Final
Sanitation
Patio
FIREPLACE
Final
Footings .
Footing
ELECTRICAL
Masonry Walls
Throat
Rough
Reinf. Steel
Final
Fixtures
Bond Beam FIRE SPRINKLERS Motors
Framing Test Water Htr.
Stucco Final Subpanels
Mesh MECHANICAL Grd. Fault Prot.
Scratch Heating Service
Brown Cooling Temp. Pole
Finish Ducts Underground
Interior Lath Ventilation Permanent
Door Closer Final Final
DATE -REMARKS OR CORRECTIONS
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORK
7 County Cent er Drive - Orovi Ile, California 95965
T�ei�phlo'ne: 534-4541
APPLICATIOWAND PERMIT
authorize representatives ot the County of Butte to enter upon the
above-mentio neop,�Qegurposes.
4--v
X
y Date
.. N - I , ___ -
Si Itule �of Permi t
Receipt No. f Y-' 4
White-D.P.W. - Yellow -Assessor - Pink-Insp/ctor - Goldenrod-Appli cant
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.
DIRECTOR Off)PUBLIC WORKS
Dates�-� /S-- 7
/wIding permit expires Date ................. . ...... 7.
BUILDING
Owner
SQ. FT. OCC. BUILDING VALUATION
Mai I ing Address
Telephone No.
Fireplace
Contractor
Total Valuation
Mai I i ng Addres s W, 146 3( 3 C/
Permit Fee
Plan Checking Fee &/or Penalty
Tefi�ne N
Permit Fee
Building Address M /UPI/ tq viai-
PLUMBING No. FEE
PERMIT FILING FEE $2.00
A Vk;
Each Trap 1.501
9�_A_d .0
Repair drainage or vent piping 1.50
Water piping 1.50
Each gas water heater or vent 1.50
A. P. No.,�, P -4--o
Zoning& Planning
Gas piping system 1 - 5 outlets im
Each additional outlet .30
FlKfi<
1 1
SlWne4eg-�Fire
Dept.
FireZone
Use Permit
Building sewer 5.00
-
EQA
I Parking
Plans
Parcel
I Declarati
p
__]pId.,,<'Por'.
1 60- R/W
Improv !2 ents
Lawn sprinkler system 2.00
Bldg. PlkirRec'd
Parcel Approval
I
Permit Fee $
NEWEJ ADDITION UTILITIES OTHER
ELECTRICAL No. @ FEE
PERMIT FILING FEE $3.00
t
A111
Main service incl. 1 meter
Additional meters, each 1.00
Sub -panel (12 or less) (more than 12)
Single Family EJ DuplexE] Mobil Home Others
Range, Cook -top or Oven 1.00
Water Heater or Space Heater 1.00
Light fixture 5
ba1010
Receps., switches & fix outlets LIM
CONTRACTORS LICENSE LAW
I am licensed under the provisions of Cllap�er 9,rQi_v. 3, of the
State of California
sty . :=PT 6 de nde the name
Hood, Ex. Fan or F.A. Furn. Motor 1.00
Evap. cooler, gar. di sp. or D.W. 1.00
Air conditioner or heat pump
Water pump
Mobil Home Facilities 5.00
Temp. Power Pole 5.00
License No. Classification
Misc. wiring H_
I am exempt from the Contractors License Laws of the State of California.
Permit Fee $
$
WORKMEN'S COMPENSATION INSURANCE
1 am aware of the provisions of Section3700 of the California Labor
Code which requires every employer to be insured against liability
Ffor W '-kmen's Compensation.
11,,,�have placed on file with the County of Butte a certificate of
Workmen's Compensation Insurance.
certify that in the performance of the work for which this
plermit is issued I shall not employ any person in any manner
so as to become subject to the Workmen's Compensation Laws of
California.
MECHANICAL No.1 @ FEE
I
PERMIT FILING FEE $3.00
Heating
Cooling
Ventilation
Hood 2.00
Permit Fee $
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
TOTAL PERMIT FEE
authorize representatives ot the County of Butte to enter upon the
above-mentio neop,�Qegurposes.
4--v
X
y Date
.. N - I , ___ -
Si Itule �of Permi t
Receipt No. f Y-' 4
White-D.P.W. - Yellow -Assessor - Pink-Insp/ctor - Goldenrod-Appli cant
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.
DIRECTOR Off)PUBLIC WORKS
Dates�-� /S-- 7
/wIding permit expires Date ................. . ...... 7.
443
• ���% ' 530-74B,P,E
/"z� � M! PERMIT NUMBER - B
J P
E
�f
PERMIT EXPIRES
OWNER Herman Goode
' CONTR: Burl Woa6ward, Gridley
LOCATION (A.P. 24-08--,6r
N/W corner of Larkin &
M Obermayer, Gridley---
r
ridley--
't
r �.
DATE
Forms
Fireplace
Lath & Plaster.
Found. Vents
Rough Elec.
Kitchen Vent
Sanitation & Water
BUILDING
Cert. of Occup.
Final k 45 :zr Y
REMARKS OR CORRECTIONS
COUNTY -OF BUTTE
`.
Department of Public Works
BUILDINGT INSPEC10N, RECORD
Zoning
Setbocl�/IL�'"IN—______
Foundation
Piers & Girders
Rgh. Plumbing-"`%— %
Bond Beam
Rein. Steel
Gas Piping & Test
Framing
Plmg. Topout
Wt, Htr.
Furnace
Firewall
Garage Vents
ELECTRIC
GAS
Temporary +--�
Fincor/
Temporary
Final
DATE
Forms
Fireplace
Lath & Plaster.
Found. Vents
Rough Elec.
Kitchen Vent
Sanitation & Water
BUILDING
Cert. of Occup.
Final k 45 :zr Y
REMARKS OR CORRECTIONS
COUNTY OF. BUTTE — DEPARTMENT OF PUBLIC WOR
7 County Center Drive — Oroville, California 95965
Telephone; 5�4-4541
APPLItATibN AND PERMIT
0
BUILDING 1111
Z;7
Owner
-SQ. FT. OCC. BUILDING VALUATION
Mailing Address
t
elephone No.
Fireplace
—
Contractor 4elakld
Total Valuation
Mai I ing Address -
Ato "e, 6 7
Permit Fee
(P1`anCFe-EF—FFg Fe�)&/orPenaity
Permit Fee
$
S,,S:Z2
Wone No
7
Building Address
PLUMBING
No.1
@
FEE
PERMIT FILING FEE
-,
$2.00
e\/
Each Trap
mio
Repair drainage or vent piping
1.50
Water piping
1.50
.0v
Each gas water heater or vent
1.50
A. P.
Zoning & Planning
Gas piping system 1 - 5 outlets
1.50
Each additional outlet .30
Fb/s I
4,(q
Sanitation
FireDept.
FireZone
Use Permit
Building sewer
5.00
EQA
I Parking
Plans
Parcel :
Declarati 0:
rl:��
Parcel M ap
60 R/W
I Improvements
Lawn sprinkler system
2.00
Bldg. Pl&f5'R.c'd
Rorcel Appro7-7—F—Plons
Approval
Permit Fee
$
NEW F] ADDITIONE] UTILITIES OTHER [B' —
Al Ve V 14 d(le P"M4 &LleWd
ELECTRICAL
No.
@
FEE
F_ PERMIT FILING FEE $3.00
.,7
Main service incl. 1 meter
N� t64A4tW1,4
Additional meters, each
1.00
Sub -panel (12 or less) (more than 12)
Single Farn Mobil Home Others U]-""
ily Duplex F
Range, Cook -top or Oven
1.00
Water Heater or Space Heater
1.00
Light fixtures
21) 0 25
ball 10.
Xe s
RedLCps., switc.71 S & fix oui;t
2VM
ba 1010
Ac
CONTRACTORS LICENSE LAW
I am licensed under the provisions of Chapter 9, Div. 3, of the
State VfCal'fornla Busipess Professions Code under the name
s of I
Hood, Ex. Fan or F.A. Furn. Motor
1.00
-
Evap. cooler, gar. disp. or D.W. 1.00
Air conditioner or heat pump
Water pump
Mobil Home Facilities 5.00
;0g:
License NO 0 5— L90/ Clas,ification7,0,
Temp. Power Pole
5.00
Misc. wiring
E] I am exempt from theContractors License Lawsof theStateof California.
P—ermft Fee
$
WORKMEN'S COMPENSATION INSURANCE
1 am aware of the provisions of Section3700 of the California Labor
Code which requires every employer to be insured against liability
for Workmen's Compensation.
have placed on file with the County of Butte a certificate of
pa_�l
Workmen's Compensation Insurance.
r-1 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 the Workmen's Compensation Laws of
California.
MECHANICAL
@ I
FEE
—No.1
PERMIT FILING FEE $3.00
Heating
Cooling
Ventilation —
I Hood 1 2.001
I Permit Fee $
I certify that I have read this application and state that the above
information is correct. I agree to comply to all County Ordinances
and State Laws relating to building construction, and hereby
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes.
y
D a t A& y
Signature of Permitee or Agent I 4V I
Receipt No.ZZZ1_—,.'1—_ Z/7 c2ZS---
White-D.P.W. — Yellow -Assessor — Pink -Inspector — GoldeAwwi.40
40
24
60
TOTAL PERMIT FEE
This permit is hereby issued under the applicable pro f
the Butte County Code and/or resolutions to do work indicated
above for which fees have been paid.
DIRECTOR 0 PUBLIC WORKS
v Date .3—/— 7
Widing permit expires Date .............. :I ...... / ....... .........
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
7 County Center Drive — Oroville, California 95965
Telephqne: 5.14;0541
APPUbAfA AND PERMIT
u or ze representaLlves ol the County 01 Butte to enter upon the
above-mentioned property for inspection purposes.
Date/
413173,
A�ge�4
Receipt No. �F_lz
White-D.P.W. - iellow-'Assessor - Pink -inspector - Goldenrod-Applicont
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.
DIRECTOR OFiPUBLIC WORKS
Building permit expird's Daii
. . _-iL
BUILDING &7
Owner
Mailing Address
SQ. FT. Occ. BUILDING VALUATION
Telephone No.
Fireplace
Contractor
Total Valuation 'Al j; -:37Z
Mai I i ng Addre-sW e2,e!f
Permit Fee '0��
PlanChecking Fee&/orPenalty '-..e
T lephone N�d'
Permit Fee $ -V-0
$
Building Address
PLUMBING No. FEE
PERMIT FILING FEE $2.00
Each Trap 1.50
Repair drainage or vent piping 1.50
Water piping 1.50
4
Each gas water heater or vent 1.50
A. P. No.
;.Z.. V
Gas piping system 1 - 5 outlets 1.50
Each additional outlet .30
F*6s` I
Ve.j
SaniAKo-n
I Fi re Dept.
Fi re Zone
Use Permit
Building sewer 5.00
EQA
IParking
Plans
Parcel
Declaration
Parcel Map
60' R/W
Improvements
Lawn sprinkler system 2.00
11001,
Bldg. Plans Rec'd
Porcel Approval
Plans Approvol
Permit Fee $
$ ............ ...... ......
NEW ADDITIONZ UTILITIES OTHER,0
ELECTRICAL No.1 @ I FEE
PERMIT FILING FEE _1$3.00
Main service incl. 1 meter I
6Wam§ �om
Additional meters, each 1.00
SUb-panel (12 or less) (more than 12)
y4 Duplex M o bi 11 H e Others
Range, Cook -top or Oven 1.00
Water Heater or Space Heater 1.00
Light fixtures _2T
bal (d 10.
Receps., switches & fix outlets �,.Ulm
CONTRACTORS LICENSE LAW
I am licensed under the provisions of Chapter 9, Div. 3, of the
State of California Business & Profegsions Code under the name
st
Hood, Ex. Fan or F.A. Furn. Motor 1.00
Evap. cooler, gar. di sp. or D.W. 1.00
Air conditioner or heat pump
Water pump
Mobil Home Facilities 5.00
Temp. Power Pole 5.00
License Nol_�� Classification JT
Misc. wiring
E] I am exempt from the contractors License Laws of the State of California.
Permit Fee $
WORKMEN'S COMPENSATION INSURANCE
1 am aware of the provisions of Section3700 of the California Labor
Code which requires every employer to be insured against liability
for Workmen's Compensation.
E] I have placed on file with the County of Butte a certificate of
Workmen's Compensation Insurance.
rp I certify that in the performance of the work for which this
V3� permit is issued I shall not employ any person in any manner
so as to become subject to the Workmen's Compensation Laws of
California.
MECHANICAL No.1 @ I FEE
PERMIT FILING FEE J$3.00
Heating
Cooling
Ventilation
Hood 2.00
Permit Fee $
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 construciion, and hereb
. It., ; y
TOTAL PERMIT FEE
u or ze representaLlves ol the County 01 Butte to enter upon the
above-mentioned property for inspection purposes.
Date/
413173,
A�ge�4
Receipt No. �F_lz
White-D.P.W. - iellow-'Assessor - Pink -inspector - Goldenrod-Applicont
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.
DIRECTOR OFiPUBLIC WORKS
Building permit expird's Daii
. . _-iL
PERMIT NUMBER _ B 439.4-73B
P
I
I
E
PERMIT EXPIRES
�owNER Herman Goode
CONTR: Burl Woodward, Gridley
L
LOCATION (A.P. 24-08-6
N/W corner of Larkin & Oberineyer,Grid.
x
x
r
DATE REMARKS OR.CORRECTIONS
COUNTY,,OF .,BUTTE
--ter►
Department of Public Works ,
BUILDING INSPECTION RECORD
Zoning
Setback
Forms
Foundation.
15�Bond
Piers & Girders
Fireplace
Rgh. Plumbing
Beam
Lath & Plaster
Rein. Steel
Gas Piping & Test,
Found. Vents
Framing
Plmg. Topout
Rough Elec.
Wtr. Htr.
Furnace
Kitchen Vent
Firewall
Garage Vents
Sanitation & Water
ELECTRIC
GAS
BUILDING
Temporary
Temporary
Cert. of Occup.
Final
Final
Final
DATE REMARKS OR.CORRECTIONS
s 3.
1 '
' # PERMIT NUMBER _ B 137-68
r
P 118-68
E 1o6-68
PERMIT EXPIRES
OWNER Herman Goode
CONTR:
owner
J
LOCATION (A.P. 24-08-6 )
n/w corner of Obermeyer & Larkin, Gridley,
,F
• r j� ,c�I . i i i
u y
0
COUNTY OF BUTTE
Department �pf F�yb)-ic Works
BUILDING INSPECTI ON RECORD
Zoni'ng Setback Forms
Foundation Piers & Girders Fireplace
Rgh. Plumbing -2;0S,/-q ;7 X4 Bond Beam Lath & Plaster
Rein. Steel Gas Piping & T t Found. Vent�
Framing :3 16" 7 I;p -1-71- 4 �Rough Elec.
/:2 PImg. 'ropout
Wtr.. Htr. Furnace Kitchen Vent V
Firewall Garage Vents Sanitation & Water
ELECTRIC - GAS BUILDING
Tempora - Tempora r Cert. of Occup.
Final Kd�e--_4Z- Z114 Final Final
DATE REMARKS OR CORRECTIONS
-6t
C,
-31-2
I
"Permittee Owner
Mailing Address
Contractor
Mailing Address
COUNTY -OF AUTTE
DEPARTMENT OF PUBLI� WORKS
7 County Center Dr"i've V'eoville, California 95965
Phone: 533-1230;,Ext. 259
A P PLICATION AND BUILDING `PERMIT
;;11P
B.LDG. Address 1;1�
A. P_ No. -2
Zonin
Plansg�j Fee. C, C.
Planning
- (" X
N EW F__j ADDITION REPAIRS OTHER
Others
F 0 U N D A T 1 0 N
MATERIAL
EXTERIOR Plgo
Single Multi
USE OF STRUCTURE Family ED Duplex Dwelling
Others—,/:?.."_.,.
Width at Top
Width at Bottom
Depth in Ground
SO. FT.
OCC.
BUILDING VALUATION
R.W. PLATE (Sill)
IX2
Slz�-\b PA ING
SPAN
Girders
JM,
joists - lst Floor
L
joists - 2nd Flo??-,
Joists - Ceiling
Total Valuation
Exterior Studs
"' 01
0_
Permit Fee
Interior Studs
Plan Checking Fee &/or Penalty
Roof Rafters
Total Permit Fee
Bearing Walls
ww" nmwiwna Livcnaic LAyv
A . LICENSED CONTRACTORS COMPLETE THE FOLLOWING:
I am licensed under the provisions of Chapter 9, Div. 3, of . the State of California Business & Professions Code under the name
styleof .....................................................................................
........................................................
License No . .......................... . Classification .............................................. I and certify that the aforesaid license , is in-4ull force and effect.
B. OWNER -BUILDER & OTHERS COMPLETE THE FOLLOWING:
I am exempt from the Contractors License Laws of the State of California under Sec. 7031.5 because (check one):
I am the owner of the above property and I will contract to have all of the above work performed by licensed contractors.
(Sec. 7044). 1.
I am the owner of the above property and do no I r intend to offer it for sale for one year from the date of completion of the
improvements. (Sec. 7044).
F__j Basi s, if any, for other statutory exemption
.....................................................................................................................................................................................................................................................................
WORKMEN'S COMPENSATION INSURANCE
am aware of the provisions of Section 3700 of the California Labor Code which requires every employer to be insured against liabil-
ity for Workmen's Compensation. I have placed on , file with the County of Butte a certificate of compliance or proof of exemption
Dursuant to Section IROO
I certify that I have read this application and state that the
above information is correct, and agree to comply to all County
ordinances and State Laws relating to building construction.
X Date
................. ... t.! ............................... !� ............ ............
.....................................
I SIGNATURE OF PERMITTEE OR AGENT
'Z? -.3
Receipt No .. ........... 6 ..... -.5, .............................................. APPROVED.: ...............
Thil BUILDING PERMIT is hereby issued under the appli-
s
cable provisions of the'ZH6altV.a—nd-Siife-i;mc�5'de-7an—d-ihe—,CilifI
DIRECTOR OF PUBLIC WORKS'
Date
By ......... '92r -
...... .......... .....................
P e r m i t E x p i res Date
..................................
C O`U N T T.,Itf.' 6 U T T E
D E P A RT M E 12�. P USLIC WORKS
7 County Center DrIveA, Or'6ville, California 95965
Phone: 533 -1236, -'Ext. 259
A P P LICATION AND P L U M 6 1 N G P E R M I T
Permittee Owner A. P. No.
Mailing Address
Contractor
Mailing Address
BLDG. Address
DESCRIPTION OF WORK
NEW F-1 ADDITION F,� REPAIRS 71
OTHERS:
Remarks:
USE OF STR'UCTURE
Single Multi
RESIDENTIAL Family Duplex F_� Dwelling F_�
OTHERS:
PERMIT FILING FEE
Each fixture or trap or set of
fixtures on one trap
Repair -or alteration drainage
or vent piping
Installation or repair
water piping
Each gas waterheater or
gas heater vent
Gas piping system 1- 5 outlets
Gas Dinine 6 or more - Each
lHouse Sewer
Lawn Svrinkler system
. ;0e, -
No. @
$2.00
1.50
1.50
.1.50
1.50
1.50
.30
5.00
2.00
Fee
It
Remarks:
TOTAL FEE $
CONTRACTORS LICENSE LAW
A. LICENSED CONTRACfORS COMPLETE THE FOLL'OWING:
I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code underthe name
'style of ......................................................................................................... .......................................... : ........................................................ 7----*-**-*--- .......
License No . ............................ . Classification ............................... .............. . and certify that the aforesaid license is in full force and effect.
B. OWNER -BUILDER & OTHERS COMPLETE' THE FOLLOWING:
I am exempt from the Contractors License Laws of the State of California under Sec. 7031.5 because (check one):
F-1 I am the owner of the above property and I will contract to have all of the above work performed by I icensed contractors.
(Sec. 7044).
I am the owner of the above property and do not intend to offer it. for sale for one year from the date of completion of the
improvements. (Sec. 7044�.
Basis, if any, for other statutory exemption ..................................... ...................................................................... .....................................................
...................................................................................................................................................................................................................................................................
....................................................................................................................................................................................................................................................................
WORKMEN'S COMPENSATION INSURANCE
I am aware of the provisions of Section 3700 of the California Labor Code which requires every employer to be insured against Iiabil-
ity for Workmen's Compensation. I have placed on file with the County of Butte a certificate of compliance or proof of exemption
pursuant to Section 3800.
I certify that I have read this applica#tion and I state that the
above information is correct, and agree to comply''to'all County
ordinan�es and State Laws relating to building construction.
Date
............... : .......................
SIGNATURE* OF PERMITTEE OR AGENT
-�?,31 APPROVED',_
ReceiptNo . ....... : ...... 4...6 ......................................... .... ...............
1.4—C)
This PLUMBING PERMIT is hereby issued under the appli-
cable provfsions of COUNTY ORDINANCE NO. 888.
DIRECTOR OF PUBLIC WORKS
By ..... ...... ...... �.. ........ ...... Date
................................
/01
A., V
"�g 4'7'
COUNTY OF BUTTE
DEPARTMEAT" bif Pusuc WORKS
7 County Center Drive - Oraville, California 95965
Phone. 533-1230, Ext. 259 '
A P P L I CATION AND E LECTRIC A L P E R M I T
Permittee Owner A. P. No. Q 40C —
. 10 0,
Mailing Address
Contractor
Mailing Address
BLDG. Address
DESCRIPTION OF WORK
No.
@
Fee
$2.00
NEW F71 ADDITION Fk-1 METER SERVICE
PERMIT FILING FEE
Supplemen.tary Filing Fee
Main Service
OTHERS:
Range, O�Wor Dryer r
i Rema.rks:
Water Heater or Healfer (� -
0965)
;54
I
Fixture �&—FLi-xture-Qu4et,,
CJ
USE OF STRUCTURE
Receptacl Wwitcges /__20
,n A0
.70
0
Hood or Exhaust Fan
Evap.Cooleror F.A. Fum. Motor
Single Multi
RESIDENTIAL Family Duplex Dwelling
Garbage Disp. or Dishwasher
Air Conditioner or Heat Pump
OTHERS:
Water Pump
Remarks:
TOTAL FEE
CONTRACTORS LICENSE LAW
A. LICENSED CONTRACTORS COMPLETE THE FOLLOWING:
I am, licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name
style of
License No. ............. I Classification .............................................. . and certify that the aforesaid license is in full force and effect.
B. OWNER -BUILDER & OTHER5 COMPLETE THE FOLLOWING:
I am exempt from the Contractors License Laws of the State of California under Sec. 7031.5 because (check one):
F__j I am the owner of the above property and I will 'contract to have all of the abovd work performed by licensed contractors.
(Sec. 7044).
I arn the owner of the above property and do not intend to offer it for sale for one year from the date of completion of the
improvements. (Sec. 7044).
F_� Basis, if any, for other statutory exemption ..................................................................................................................................................................
......................................................................................... ! ..........................................................................................................................................................................
WORKMEN'S COMPENSATION INSURANCE
I am aware of the provisions of Section 3700 of the California Labor Code which requires every employer to be insured against liabil-
ity for Workmen's Compensation. I have placed on file with the County of Butte a certificate of compliance or proof of exemption
pursuant to Section 3800.
I certify that I have read this application and state that the
above information is correct, and agree to comply to all County
ordinances and State, Laws relating to building construction.
X ....................... Date
............. ..............................
'SfIGNATURE OF PERMITTEE OR AGENT
e2
Receipt No . ......... 6_15— 7 -:�) I APPROVED .........
.... ..................................................... ........
This ELECTRICAL PERMIT is hereby issued under the appli-
cable provisions of
-f,D.rni-a�ni,i-n�i.s6&a,t-i-ve—Gode—and-County Ordinance
DIRECTOR OF PUBLIC WORKS
By.... Date oZw�
.............. ................... ................................
Permit Expires Date
..................................
--.1070-77B,P,E
M, PERMIT NO.
PERMIT EXPIRESc==?A4zz
J'OWNER Herman Goode
CONTR. owner
LOCATION (A.P. 24-08-6
W/S Larkin Hwy, app. 100'N.of Obermeyer,
Gridley Colony #2, Gridley
Temp. Power Pole
Called PG&E
Temp. Elec. Serv.
Ca'l I ed P G& E
Temp. Gas Serv.
PG&E
vCalled
01
J OBI .., il,
FINALED
(Date)
(SignWure)
tiona tie m FI'RE SPRJIQKLERS Motors
Fr ming Test
N- / Water Htr.
Stucco Final Subpanels
Mesh *_CHANICAL Grd. Fault Prot.
Scratch I Heating I Service V
Brown Cooling Temp. Pole
Finish I rhartc _7Z I
Interior Lath Ventilati Permanent
Door Closer Final / Final
MOBILEHOME UTILITIES ------------------ Elec. Service Elec. Pedestal
Water Piping Sewer Gas Piping
=1 E OME INSTALLATION -------------- Support Elec. Continuity
Water Piping Drainage Gas Piping
DATE —REMARKS OR CORRECTIONS
/ le
(NOTE: An entry must be made on this form each time you visit the job site.)
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
BUILDING INSPECTION RECORD
BUILDING BUILDING,(Cont'd)
PLUMBING
Setback Z&z/
Firewall
Soil Piping
a,/ 71 -1 -
Forms
Parapets
Ist Floor
Main Bldg.
Restroom Finish
2nd Floor
Footings
Windows eze�e9�_
3rd Floor
Stemwall
Sidi
To pout—
Z-2 5
Slab
Roof St�ea't6lng ;A
Water Piping
Piers
Roofing
Sewer
Garage
V Fdn. Vents
Fixtures
Footings
Stemwa I I
Garage Ve�ts
Insulation
Water Htr.
Heaters
Slab
Carport
Footings
Prov. for p� sically
handicappe.1
Conformance of e�. 01
structure
Appliances
Piping & Tqjg�t,
Temp. Gas
Zo'.--,
Slab
Final
Sanitation
Patio
FIREPLACE A
Final 7qr
0=
;�r eo���
Footings
Footing (--
I ELECTMCAL
tiona tie m FI'RE SPRJIQKLERS Motors
Fr ming Test
N- / Water Htr.
Stucco Final Subpanels
Mesh *_CHANICAL Grd. Fault Prot.
Scratch I Heating I Service V
Brown Cooling Temp. Pole
Finish I rhartc _7Z I
Interior Lath Ventilati Permanent
Door Closer Final / Final
MOBILEHOME UTILITIES ------------------ Elec. Service Elec. Pedestal
Water Piping Sewer Gas Piping
=1 E OME INSTALLATION -------------- Support Elec. Continuity
Water Piping Drainage Gas Piping
DATE —REMARKS OR CORRECTIONS
/ le
(NOTE: An entry must be made on this form each time you visit the job site.)
COUNTY & BUTTE —, DEP,.ARTMENT OF PUBLIC WORKS
7 County Center Drive — croville, California 95965
Telephone: 534-4541
APPLICATION AND PERMIT
.Iazo_ Z.
r I
Receipt No. B �_Date
White-D.P.W. ssor Pink -Inspector - Goldenrod-Appli cant B ilding perrnit expires Date
BUILDING
Owner 94A6�e�
SO. FT. OCC. BUILDING VALUATION
Mailing Address IV, -A o 2!� 130
Tel
,;&n e No.
:3 7
Fireplace
Contractor
Total Valuation
Mai I ing Address u/ VJ VLVT
Permit Fee
PlanChecking Fee&/orPenalty
Telephone No.
Permit Fee $
Building Address
PLUMBING No.1 @ FEE
PERMIT FIL ING FEE J$3.00
Each Trap 1.50
V
Repair drainage or vent piping 1.50
Water piping 1.50
0
Each gas water heater or vent 1.50 5-D
A. P. No. lz§ — 0 Zoning & Planning
Gas piping system 1 - 5 outlets 1.50
Each additional outlet .30
F(A/S1
W<LSKAJP,
ire Dept.
I Fire Zone Use Permit
Building sewer 5.00
EQA
Iarking Parcel
PPIan's beclaration
Pyel map
1 60' R/W
J Improve ts
Lawn sprinkler system 2.00
Bldg. Plans Rec'd L10, IF. Z.1 Appro-val
F—P I 4e<p -ro v I
Permit Fee $ 91 isc
$ 71S.
-
NEW ADDITIONF� UTILITIES OTHER
ELECTRICAL No. @ FEE
-
PERMIT FILING FEE $3.00
—
Main service 1,00V OR LESS
100 AMP OR LESS 5.00
Main service EA. ADD -L 100 AMP 2.50
Single FamiIYEI DuPlexEl Mobi I Home io Others El
OVER 600V
Main service 100 AMP OR LESS 25.00
Main service EA. ADD -L 100 AMP 1.00
NEW CONST. DWELLING 0
OR ADONS. ACC.BLDG 20sq ft 2,
NEW.CONSTR. (MULTi 5
NONwRESID. BRAN�HUCIRCUI`rs) 2.50ea
NEW_CONSTR (POWER APPARATUS.&)
NON RESID. SINGLE OUTLET CIR
CONTRACTORS LICENSE LAW
I am licensed under the provisions of Chapter 9, Div. 3, of the
State of California Business & Professions Code under the name
style of:
Ex. OCCUP(OUTLETS OR FIXTURES) 50 @ 250
BAL@109
FIXED APPLNS OR
Ex. Occup. (OUTLETS (RESI.D.) EA) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
License No. Classification
Misc. Wiring 6.
I
,,1KI am exempt from the Contractors License Laws of the State of Cal ifornia.
Permit Fee $
WORKMEN'S COMPENSATION INSURANCE
1 am aware of the provisions of Section3700 of the California Labor
Code which requires every employer to be insured against -liability
for Workmen's Compensation.
I have placed on file with the County of Butte a certificate of
Workmen's Compensation Insurance.
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 the Workmen's Compensation Laws of
California.
MECHANICAL No. @ FEE
PERMIT FILING FEE $3.00
Heating
Cooling
Ventilation
Hood 2.00
Permit Fee $
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 County of Butte to enter upon the
above-mentioned property for inspection purposes.
Anwe?=,= Date.3— 7.7—
Sionature of Permitee or Aaent
TOTAL PERMIT FEE
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.
DIRECTOR O(�UBLIC WORKS
-n
Receipt No. B �_Date
White-D.P.W. ssor Pink -Inspector - Goldenrod-Appli cant B ilding perrnit expires Date
.. ,.a.�y.-...- ...T...,.ctt-+R�Cw^'�Ya�v'^taw!�-�.a�w';�'97v.sy.�.�c�.Z:iv.�^�.,»:-..waa.:rdwP' :T-•n.+7,'� Yt'ffYc o,soir:�iia�'+
a i
t
e=�'�1�=«we���rr�•ri�C"�.sar-?+.�s..�i.a�«r_...�..y, ....�w�r:�-w...v,..xe:.,�'i+'#�
Ol
'����
i
e=�'�1�=«we���rr�•ri�C"�.sar-?+.�s..�i.a�«r_...�..y, ....�w�r:�-w...v,..xe:.,�'i+'#�
Ol
'����
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone 916/534-45411
APPLICATrJN AND PERMIT
PERMIT NO.
ASSESSOR PARCEL NUMBER,,
ZONI�G
BUILDIN6 PERMIT
O,WND.0ejJ 'P, I (gtjfn�z? ti nm Whbrk 04) 1 )e. h)
TELEPHONE
SQ.FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDJRESS
CONTRACTOR'SNAME
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation is
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER LICENSE NO.
/J
Plan Checking Fee
$
Penalty
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee
$
BUILDING ADDRESS
1k oor h -N A v P
PLUMBING PERMIT
FilingFee 10.00
Each Trap
2.00
Repair drainage or vent piping
5.00
(17 r k4i /PJ A
Water piping
LOT NO.
SUBDIVISION NAME
PARCEL4MAP
Each qas water heater or vent
5.00
Gas piping system 1 - 5 outlets
USE OF STRUCTURE
i
SF [:1 DuplexF� MobilehomeF� Other
SPECIFY
Building sewer
Lawn sprinkler system
-
5.OEO
E
TYPE OF WORK
NewF� AdditionD RemodeIR Utilities[] InstallationE] Other le�
Describe work: 44,_J�11,
CP -C kAl I r ?,,,,IAAin
rD D t -A �e a
Permit Fee
"Contractor
ELECTRICAL PERMIT
FilingFee 10.00
sery i Ce 600V OR LESS
00 AMP OR LESS
5.00
4"%,. 2-1 -..% rl) r,:4 4-0 R pwl, P't A
-Main service EA. AO.'L 100 AMP
2.50
NEW CONST' ( DWELLING OCCUP.N)
OR ADONS. ACC.BLDGS.
20 sq ft
\J CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
El 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
N Ew C ONSTR ( MULN.1:OUTLCT If 2.50 ea /0).<W
. N -R ., . JB R A . CR L ITS)
NE W CONSTR. (POWER APPARATJS 61
NON-RESIC. -SINGLE OUTLET CIR. /
50 @ 254t
Ex. OCCUP(OUTLETS OR FIXTURES IBAL@?Ot
*�W�IJ%,E D A P P L N S - CR )
Ex. L. TS (RESID.) EA. 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring �_o 49"00
- . I
Permit Fee $ no
Contractor
MECHANICAL PERMIT
Fi I i rig Fee 10.00
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
F-1 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.
"IM -1 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 shal I be deemed revoked.
Heating
Cooling
Hood
3.00
Ventilation
Permit Fee
—
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the County 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
against said Counly'it-n3�conseqtjenc6,6f)the granting of this permit.
X AuAzrl�, � - 7 _2 941-
Date
SignatA.. of.Applicant Owner Contractor El Agent F
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 $
TOTAL PERMIT FEE $
OCCUP. GROUP
I TYPE OF CONST*
11
No
ISSUE
This permit is hereby issued under the applicable provi-
sions of the Butte County Code and/or resolutions to do'
work indicated above for which fees have been paid.
DIRECTOA OF PUBLIC WORKS
P7
By. Date
PERMIT EXPIRES Date
Receipt No. (I R -9,15—y
1=r—r —I —
WHITE-O.P.W., YELLOW -ASSESSOR. PINK -INSPECTOR, GOLDENROD-APPL I CANT
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541
APPLICATIONAND PERMIT
PERMIT NO.
ASSESS,DF,k�PARCEL NUMBER
D k--
ZONING
BUILDING PERMIT
G ?-/J � eu (gued ffem ef&d<
TELEPHONE
SQ. FT. OCC. BUILDING VALUATION
TER'S M!gNG ADD/ZESS N.—
,
1P - . . )_
Is - -sh, 13F — -F!Z— or
C ONTRACI F=
4 q
T E L E P iT05 iTE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER Ile
UNKNOWN
Total Valuation Is
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Penalty
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee
$
BUILDING ADDRESS
Ave
PLUMBING PERMIT
FilingFee 10.00
Each Trap
2.00
Repair drainage -or vent piping
5.00
-017 r JeL4
Water piping
LOT NO.
UBDIVISION NAME PARCEqMAP
is I
Each qas water heater or vent
5.00
Gas piping system 1 - 5 outlets
USE OF STRUCT
,4RE
SF 0 DuplexF� MobilehomeF] Other NU A2tncl e -
SPECIFY
Building sewer
Lawn sprinkler system
5.00
TYPE OF WORK
New R Addition R emode I Utilities [:1 Installation[] Other [e-"�Contractor
Describe work:
r,) (D 1—ilrkp 52 1 go I r I VN (2
Permit Fee
ELECTRICAL PERMIT
FilingFee 10.00
600V OR LESS
service 100 AMP OR LESS
5.00
,96in service EA. ADD -L 100 AMP
2.50
NEW CONST. ( DWELLING OCCUP.5j)
OR AODNS. ACC.BLDGS.
20 sq it
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)
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 CONSTP (MULTI -OUTLET !If 2.50 ea, )U,W
NO N.RES.. R ANCH CIRCUITS)
NEW CONSTR. POWER APPARATUS.6)
N ON,RESID , (SINGLE OUTLET CIR
50 @ 250
Ex. OCCUP(OUTLETS OR FIXTURES BAL@11
Up.(.FIIEI
Ex. Occ TS (�IES
UTLEAULMD?)REA.) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 1,C5-0 0 0
Permit Fee $ 10-0
Contractor
MECHANICAL PERMIT
FilingFee 10.00
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
F-] The permit is for $100.00 (valuation) or less.
1 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.
**,F;Z I shall not employ any person in any manner so as to become subject
_y"_10 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.
Heating
Cooling
Hood
3.00
Ventilation
Permit Fee
9
Contractor
I certify that I have read this application and state that the above informa;;
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, Judpments, costs, aud expenses which may in any way accrue
against said Coul cons en the granting of this permit.
X Date -219-kL
7--
Signatu Owner El Contractor 0 Agent R
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 $
TOTAL PERMIT FEE $
occuP. GROuP
I TYPE OF CONST.
JPARCrLJ
P3 -T
-77T-77=
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
11'1—R ftCT tOF PUBLIC
B v A�X�
PERMIT EXPI[RES fate
the applicable provi7
resolutions to do
fees have been paid.
WORKS
P7
Date
e�, -1-N
Receipt No.
WHITE-D.P.W.. YELLO;-ASSESSOR, PINK -INSPECTOR. GOLDEN ROD-APPL I CANT
COUNTY OF BUTTE Department of Public Works
-7 County Center Drive, Oroville, CA. 95965 Phone: 916-534-4541
OWNER -BUILDER VERIFICATION
Attention Property Owner:
An "owner -builder" building permit has been applied for in your nameand bearing
your signature.
Please complete and return this information in the envelope provided at your
earliest opportunity to avoid unnecessary delay in processing and issuing your build-
ing permit. No building permit will be issued until this verification is received.
1. 1 personally plan to provide the major labor and ma rials for construction
of the proposed property improvement (yes or no) VF_ �' '.
2. 1 (have/have not) I -A A Uf_ signed an application for a building
permit for the proposed work.
3. 1 have contracted with the follo person (firm) to provide the proposed
construction:
Name
Address
Phone Contrac
— City,
No.
4.. I—plan to provide portio f this work, but I have hired the following
� _* �_O__ _�
person to c dl supervise, and provide the major work:
Name 7>�
City
Phone Contractors License No.
5. -1 will provide some of the work but I have contracte(!_(mTgffY—tChe following
personsto provide the work indicated: I
Name Address Type of Work
S igned:
Property Owner
Social Security number -
Date
NOTE: This Owner -Builder Verification is sent to you as required by Sections 198�1
and 19832 of the California Health and Safety Code.
This verification iaust be completed and returned to our offic e before we are
permitted to issue the permit.
N RANKIN
_589 Obermeyer Ave, Gridley
Permit#2549-81p'
5
Z 7
COUNTY OF BUTTE -'DEPA�TIVIENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541
APPLICATION AND PERMIT
PERMIT NO.
ASSESSOR PARCEL.NUMBER
2— L I - 0, y - !�') &
ZONIT4G
BUILDING PERMIT
OWNER
% /1J A AJ A/ A��IlbtlkllU
TELEPHONE
91VI, -,?71
SO. FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS
5-&� 4 k"'I P I C- � C11
CONTRACTOR'LS NAME ) _)i \ J, I -�
N\
I TELEPHONE
'M Alf
A
CONTRACTOR'S MAILING
_�DCRESS
f)
irepi a6e —A
COi4& CTI'ON�LE ;� I
T R NO ��01&1 -k-l")
I I e
UNKNOWN
: I $
TotarValuatioff
Filing'Fee 10.00
__ —
LENbER'S�MAILN GNADDRESS'�
( ) _Q
`lPermit F&e $
ARC�HITECT OR ENGINEERI
LICENSE NO
Plan Checking Fee f, $
fPenalty -1 ;$
I t,
ARCHITE GINEER'S MAIUING ACDRESZ�
Permit fee $
BUILDIING ADDRESS
PLUMBING PERMIT., Fi ling Fee 10.00
L
Ekh Trap JI'li, 2.00 0
I Repkir drainage gr vent piping 5.00
Water piping
LOT NO.
UBDIVISION NAME
PARCEL MAP
Each qas'water heater or vent 5.00
4r3as pipin§.siystem.1 .,zI5 odtlets_).-C%� I Y
J�.USE OF STRUCTURE
ob, 57 /_A(6yV6'
SF Duplex D"'M_ iIekomNe[�5T,0rt\1ie1'PE._
41 SPECIFY
Building sewer
�4'1_awn s0rinklei s�stbm 5.00 A
V TYPE OF WORK
New r_1 AdditionEJ RenrodelEj Utilities 0 InstaliationE] Other [�J,
Describework:
gl� 77Y 7
,,C-/ X EF
Permit Fee $ V.,00
--Contractor
ELECTRICAL PERMIT FilingFee 10.00
Main service 11100V OR LESS
00 AMP OR LESS 5.00
Main service EA. ADD -L 100 AMP 2.50
NEW CONST DWELLING OCCUP.01) 20 sq ft
OR ADDNS. ACC.BLOGS.
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
'F� I am licensed under provisions of Chapt. 9, Div. 3 of the Business
f
and Professions Code and my license is in full force and e fect.
,,/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)
0 1, as the owner, am exclusively contracting with licensed contract -
0 rs. (Sec. 7044)
I am exempt under Sec.—, Business and Professions Code
for this reason
NEW CONSTIIJ MULT'_OUTLET 2.50 ea
N ..RES.. BRANCH CIRCUITS)
NEW_CONSTFL (POWER APPARATUS.&)
NON RESID. -SINGLE OUTLET CIR
50 @ 250
Ex. OCCUP,(OUTLETS OR FIXTURES BAL@10t
(OFIXED APPLNS OR
Ex. Occup. UTLETS (RESI*D.) EA.) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 7.50
Permit Fee $
Contractor
MECHANICAL PERMIT Fi I Ing Fee 10.00
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 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.
Heating
Cooling
Hood 3.00
Venti ation
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 County in consequenc-06f the granting of this permit.
Date
X ze� - /
Signature of Applicant Owner 3 ContractorEJ 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 $
TOTAL PERMIT FEE $
OCCUP. GROUP
I TYPE OF CO..1.
H
This -permit is hereby issued under the applicable provi-
si6ns of the Butte County Code and/or resolutions to do
Work ndica ed,
I .2i, t ,above for which fees have been paid.
4&DIREcToR OF PUBLIC WORKS
By Date7
PERMIT EXPIRES Date- - & 2_1
Receipt NO. 15.3 &F / . .
WHITE-D.P.W., YELLOW -ASSESSOR. PINK-INSPEC TOR, GOLDEN ROD-APPL I CANT
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PER I NO
7 County Center Drive - Oroville. California 95965 - Telephone 916/5�/
34-45
APPLICATIO.N AND PERMIT a�:_::22 4
ASSESSOR FIAR UMBER
CA? 67 &,.
ZONIN
BUILDING PERMIT
0 w7, AAI Al ehAlkIlAl
L HONE
3711
SO. FT. OCC. BUILDING VALUATION
A L
04�r
kR� M ?eeZq&C,)2_ ZD) t 4 5- 01�
CONTRACTOR'S NAME
ITELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LE
UNKNOWN
Total Valuation Is
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR
ICENSE NO.
Plan Checking Fee
$
Penalty
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee
$
BUI�W G R S
i'VE
PLUMBING PERMIT
Fi I ing Fee 10.00
Each Trap
2.00 L"a
Repair drainage or vent piping
5.00
Water piping
Is—_ 0 C)
LOT NO.
SUBDIVISION NAME
I
PARCEL MAP
I
Each qas water heater or vent
5.00
Gas piping system 1 - 5 outlets
USE OF STRUCTURE
SFEI DuplexF� MobilehomeFj Other OES7- 140IL16-
SPECIFY
Building sewer
Lawn sprinkler system
5.00
TYPE OF WORK
NewF� Addition [:1 Remodel[] utiiities[� Instal lationEJ I Other [g—
Describe work: M/57
F1 X Me6�S 1A) 8/9-77V (Z_ff01 7VI&
Permit Fee
$ V1490
--contractor
ELECTRICAL PERMIT
Fil ing Fee 10.00
main service OOOV OR LESS
100.AMP OR LESS
5.00
in service EA. ADD -L 100 AMP
2.50
NEW CONST. (DWELLING OCCUP.5i)
OR ADDNS. ACC.BLDGS.
20 sq ft
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
'F_J I am licensed under provisions of Chapt. 9, Div. 3 of the Bus I ness
and Professions Code and my license is in full force and effect.
W/icense 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)
0 1, as the owner, am exclusively contracting with licensed contract -
0 rs. (Sec. 7044)
F-1 I am exempt under Sec.—, Business and Professions Code
for this reason
N '�7W C ON STR' (MULTI -OUTLET 2.50 ea
NON -R ES, D. BR ANCH CIRCUITS)
NEW CONSTR POWER APPARATUS
NON . RESID. (SINGLE OUTLET CIR.
50 ' 2"*
Ex. Occup(OUTLETS OR FIXTURES IBANIO�
Ex P.(OFIXED APPLNS OR .00
. Occu LITLETS (RESI'D.) EA.) 2
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 7.50
Permit Fee $
Contractor
MECHANICAL PERMIT
Fi I ing Fee 10.00
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
F1 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.
URVshall 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 th.e.W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
Heating
Cooling
Hood
3.00
Ventilation
Permit Fee
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 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, an�jexpenses which may in any way accrue
agai t said C nty in co q�encX/f the granting of this permit.
C'
;??,
X yz��W� Date
Si no ure pp n Owner 3�Contractor [] Agent 0
' ur
A SHA permit is required for excavations over 5'0" deep and demolition or construct-
io of structures over 3 stories in height.
Mobile Home Installation Fee $
TOTAL PERMIT FEE $
occup. rROUP
TYPE OF CONST.
H
ThIX-Rermit is hereby issued under
SiAns pf the Butte County Code and/or
or
rk di ted bove for which
I id'TOR OF PUBLIC
WB�
PERMIT EXPFRES Date 7-7-f'2--
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date7— 7- f�/
0 V1J
Receipt NO. E3 40 0
WHITE-O.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROB-APPL I CANT
_q2UNTY OF BUTTE Department of Public Works
7 County Center Drive, Oroville, CA. 95965 Phone: 916-534-4541
OWNER -BUILDER VERIFICATION
Attention Property Owner:
An "owner-builder"'building permit has been applied for in your name -and be . aring
your signature.
Please ' complete and return this information in the envelope provided at your
earliest opportunity to avoid unnecessary delay in processing and issuing your build-
ing.permit. No building permit will be issued until this verification is received.
1. 1 personally plan,to pr6vide the major labor and mater als for construction
of the proposed property improvement. (yes or n
0
2. 1 (havehave not) )-vt �'J signed an appl/cation for a building
permit for the proposed work.
3. 1 have contracted with the following person (firm) to provide.the proposed
construction:
N
Address 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 (hi.red) the following
persons to provide the work indica:ted:
Name Address Phone Type of Work
S igned:
Property Owner I(,
Social Security ber
Date 9 — �Ll
il L.0 dF
NOTE: This Owner -Builder Verification is sent to you,as required by Sections 19831
and 19832 of the California Health and Safety Code.
This verification must be completed and returned to our office before we are
permitted to issue the permit.
COUNTY OF BUTTE DEPART M�NT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965
Telephonc,534-4841.
APPLICATION AND PERMIT
out I lut 14u r �wu`�TnLdLive5 at tne Lounty Or butie io enier upon ine
above-mentioned property for inspection purposes.
Date ;7Z;l
f/.* Vg;;tur`e of Perm'it-ee -or"Agent
/_:�, e� e-,�,C,_ _t;�
Receipt No. r_70a*f_
White-D.P.W. - Yello—Assessor - Pink -Inspector - Goldenrod-Appli cant
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.
DIRECTOR OF PUBLIC WORKS
BY==- Date-
-Building.permit expires Date .... -7
..................................
01
BUILDING
Owner 0 D AE7 I—Ir-
SQ. F T. OCC. BUILDING VALUATION
Mai I ing Address Z�o )r 3 0
Telephone No.
.....
Fireplace
Contractor elr2
Total Valuation
Mai I ing Address
Permit Fee
P I an Checki ng Fee Vor Penal ty
Telephone No.
Permit Fee
$
$
Building Address 'p, e
PLUMBING
No.1
@ FEE
�PERMIT FILING FEE $2:bo,
Each Trap 1.50
Repair drainage or vent piping
1.50
Water piping 1.50
Each gas waterihedter or vent 1.50
A. P. No. el) 6:1
Zoning & Planning
Gas piping system 1 - 5 outlets
1.50
Each additional outlet .30
Fe6s'l--W�E�J
Sanitatior-CT
Fire Dept.
FireZone
Use Permit
Building sewer 5.00
EQA
IParking
Plans
I Parcel
Declaration
Parcel Map
I I
60' R/W
I Improvements
Lawn sprinkler system 2.00
_____r
Bldg. Plans Rec'd
Parcel Approval
Plans Approval
Permit Fee
$ -Cr V-0
$ -7. It sr
EW ADDITION UTILITIES OTHER
ELECTRICAL
No.
@ FEE
PERMIT FILING FEE $3.00
Main service incl. 1 meter
Additional meters, each
1.00
Sub -panel (12 or less) (more than 12)
Single Family El Duplex El Mobi I Home Others
Range, Cook -top or Oven 1.00
Water Heater or Space Heater
1.00
Light fixtures ba I (@I()
ets 20
Receps., switches & fix cutli�A 2b
CONTRACTORS LICENSE LAW
I am licensed under the provisions of Chapter 9, Div. 3, of the
State of California Business & Professions Code under the name
style of:
Hood, Ex. Fan or F. A. Furn. Motor
1.00
Evap. cooler, gar. disp. or D.W. 1.00
Air conditioner or heat pump
Water pump
Mobil Home Facilities 5.00
Temp. Power Pole 5.00
License No. Classification
Misc. wiring
I am exempt from the Contractors License Laws of the State of California
Permit Fee
$
WORKMEN'S COMPENSATION INSURANCE
1 am aware of the provisions of Section3700 of the California Labor
Code which requires every employer to be insured against liability
for Workmen's Compensation.
1:1 I have placed on file with the County of Butte a certificate of
Workmen's Compensation Insurance.
E, I e certify that in the performance of the work for which this
p rmit is issued I shall not employ any person in any manner
so as to become subject to the Workmen's Compensation Laws of
California.
MECHANICAL
No.
@ FEE
PERMIT FILING FEE $3.00
Heating
Cooling
Ventilation
Hood _�2._00
Permit Fee $
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
TOTAL PERMIT FEE
out I lut 14u r �wu`�TnLdLive5 at tne Lounty Or butie io enier upon ine
above-mentioned property for inspection purposes.
Date ;7Z;l
f/.* Vg;;tur`e of Perm'it-ee -or"Agent
/_:�, e� e-,�,C,_ _t;�
Receipt No. r_70a*f_
White-D.P.W. - Yello—Assessor - Pink -Inspector - Goldenrod-Appli cant
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.
DIRECTOR OF PUBLIC WORKS
BY==- Date-
-Building.permit expires Date .... -7
..................................
01
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965
TelerAjono: 614-4541
APPLICATION AND PERMIT
U W! �� 1UF1�0e11LQt1VeS 01 Me UOU111y U! Butte to enter upon the
above_'�entioned propert for inspection purposes.
P!
X�a4�_ :; zDatel
fllf' - IS '1g n,;t u- re' a f P N1f._t'e . -a r' -'A -g e n t
Receipt No.
White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod-Appli cant
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.
DIR CTOR OF , BLIC WORKS
g_
Byc5;�Et�_ Date,;2 7-
c8uiId4a"ermit expires Date.. .6 .......
BUILDING
Owner
SQ. F T. OCC. BUILDING VALUATION
Mailing Address,0— .90
Telephone No.
Fireplace
Contractor
Total Valuation
Mai I ing Address
Permit Fee
PlanChecki gFee&/orPenalty
Of
Telephone No.
Permit Fee
$
Buildiu Address A11110 670,�2'.1VAe-X Clo-c-
PLUMBING
No.
_ @,I
FEE
�PERMIT FILING FEE U)g@;,
3" 0
Each Trap 1.50
Repair drainage or vent piping
1.50
Water piping 1.50
Each gas water&wa`i;�or vent 1.50
A. P. No.
Zoning & Planning
I
Gas piping system 1 - 5 outlets
1.50
Each additional outlet .30
Fe*ef�w
FireDept.
I FireZone
Use Permit
Building sewer 5.00
EQA
IParking
Plans
Parcel
I Declaration
Parcel Map
60' R/W
I Improvements
Lawn sprinkler system 2.00
Bldg. Plans Rec'd
Parcel Approval
Plans Approval
Permit Fee
$
'VEW ADDITION UTILITIES OTHER
ELECTRICAL
No.1
@
FEE
PERMIT FILING FEE $3.00
Main service incl. 1 meter
Additional meters, each
1.00
Single Family Duplex Mobil Home Others
Sub -panel (12 or less) (more than 12)
Range, Cook -top or Oven 1.00
Water Heater or Space Heater
1.00
Light fixtures 5
ba 1010
Receps., switches & fix outlets 2U (d 25
hry
CONTRACTORS LICENSE LAW
I am licensed under the provisions of Chapter 9, Div. 3, of the
State of California Business & Professions Code under the name
style of:
Hood, Ex. Fan or F.A. Furn. Motor
1.00
Evap. cooler, gar. di sp. or D.W. 1.00
Air conditioner or heat pump
Water pump
Mobil Home Facilities 5.00
Temp. Power Pole 5.00
License No. Classification
Misc. wiring
10 1 am exempt from the Contractors License Laws of the State of California.'
Permit Fee
$
WORKMEN'S COMPENSATION INSURANCE —
I am aware of the provisions of Section3700 of the California Labor
Code which requires every employer to be insured against liability
for Workmen's Compensation.
' have placed on file with the County of Butte a certificate of
Workmen's Compensation Insurance.
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 the Workmen's Compensation Laws of
California.
MECHANICAL
No.
@
FEE
PERMIT FILING FEE $3.00
Heating
Cooling
Ventilation
Hood 2.00
Permit Fee $
$
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
n +k ;
TOTAL PERMIT FEE
—
. Is
-�r, S-�
U W! �� 1UF1�0e11LQt1VeS 01 Me UOU111y U! Butte to enter upon the
above_'�entioned propert for inspection purposes.
P!
X�a4�_ :; zDatel
fllf' - IS '1g n,;t u- re' a f P N1f._t'e . -a r' -'A -g e n t
Receipt No.
White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod-Appli cant
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.
DIR CTOR OF , BLIC WORKS
g_
Byc5;�Et�_ Date,;2 7-
c8uiId4a"ermit expires Date.. .6 .......
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 COUNTY CENTER DRIVE - OROVILLE: CA'LIFORNIA 95965 - TELEPHONE: (916) 538-7541
AGRICULTURAL BUILDING EXEMPTION PERMIT
PERMIT NO.
Agricultural building is defined as follows: Agricultural building is a structure designed and constructed to
house farm implements, hay, grain, poultry, livestock, orother horticulutral products. This structureshall not
be a place of human habitation or a place of employment where agriculturai products are processed, treated,
or packaged, nor shall it be a place. used by the public.
ASSESSOR PARCEL NO. 004-080-006
ZONING
OWNER IDIC-7L-m lt--� �=- Ro 11\11t:LL
PHONE NO. 8 S6 3-7
OWNER'S ADDRESS
UE
SSLI
LOCATION OF BUILDING
Same,
I
I
USE OF BUILDING
5 -To Kr- � ),,� (0 '5 L I
SIZE OF STRUCTURE V
SQ. FT.
TYPE OF CONSTRUCTION:
WOOD FRAME STEEL — CONCRETE OTHER (Specify)
TYPE OF SIDING
--T-L
ROOFCOVERING
OOR TYPE
S,T(E-SL
STI�EL
L4L)WE)
ESTIMATED COST OF CONSTRUCTION
$ P-(. 19
AG Buildings shall comply with the building front, side, and rear yard requirements of the applicable County
Ordinances as follows:
tz>c 4--att-l—k—
FRONT SIDES
REAR
AG Buildings shall be a minimum of five (5) feet from any septic tank or leach fields.
AG Buildings less than 1000 sq. ft. in floorarea shall be located a minimum of 6 feet from a residence, 10 feet
from a mobilehome, and 23 feet from a commercial building.
AG Buildings greaterthan 1000 sq. ft. in floorarea shall be located a minimum of 23 feet from a residence and
a mobilehome, and 40 feet from a commercial building.
I declare under penalty of perjury that the building will be used as stated above and the proposed use
conforms with the AG Building definition. If any change in use or occupancy of the building is made, I will
contact the Department of Public Works and will obtain any necessary permits, inspections, and approvals to
comply with the requirements in effect at that time and before occupancy.
Date 6? /,1-7 Signature of Owner
Permit Fee - $25.00 pk1d The above described AG Building is exempt from a building permit.
Receipt No. 66,996
Director of Public Works
By TC)
White - DPW, Yellow - Assessor, Pink - B. I., Goldenrod - Applicant Date
FLOOD
PARCEL
P.D.
ROOFING
UE
SSLI
I
I
I
Director of Public Works
By TC)
White - DPW, Yellow - Assessor, Pink - B. I., Goldenrod - Applicant Date
mwl�
COUNTY OF BUTTE - DEPARTMER.T-40F PUBLIC WORKS - BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLEt AL'iFORNIA 95965 -TELEPHONE: 916/538-7541
1 `4 4�
PFRUIT APPI WATinKi nATA CLICCT
Permit No.
0 - WNER Ve � m, e- lir Ro wc I A. P. No. 07-4 - 65)0 —006
Proposed Building Use Afo L10--mpl- Building Inspector Date 67-2-7-513
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 . All items have been submitted . .. .................................
2. Plot plans in duplicate/triplicate, signed by preparer of plans ........
3. Complete plans in duplicate/triplicate, signed by preparer. of plans
4. Complete engineered plans and calcs, with wet signature on plans
5. Hazardous Material Form ..........................................
6. Energy Design Compliance and supporting documentation .........
7.�`Statement of Intent for Non�Heated and AC Buildings ...............
8. Engineered truss details and layout in duplicate (required prior to plan check)
9. Mobilehome installation data including manufacturer's installation
instructions ........................................................
10. Fees of $ ........................
11. Chico Urban Area fees paid .......................................
12. Park fees paid ....................................................
—13. School District fees paid ..............
14. Sanitation approval from Health Department
15 . City of Chico plumbing permit .....................................
16.- Plot plan and business license approval from City of
(see City for other requirements)
17. Planning approval for (A) Use:—(B) Parking: . ......
18. Improvements may be required. Contact Land Development Section DPW
19. Driveway permit (construction approval required prior to occupancy)
20. Pre -Inspection for required ... Pre-inspec. request to
Building Inspector (Date)
21. Contractor's license information (No., Name Style, Classification) . ..
22. Certificate of Workmans Compensation Insurance ..................
23. Owner -Builder Verification (Given to owner 11, Mail to,owner 11)
24. Recorded copy of Agricultural Acknowledgment Statement .........
25. Letter of signature authorization ....................................
26.
27.
When you issue the permit, process as follows: Mai I to owner. —Mail to contractor.
— Telephone and hold for pickup at —office. —Del.iver w/inspector.
Copy of Haz-Mat form sent —HealthDept. —FireDept. ----Air Pollution Date
Copyofplanssent -----Health Dept. —FireDept. —Other— Date— By.
The following data must be submitted prior to permit issuance
1. Index permit for above items -No.
2. Additional items required:
(Circle new item not checked above).
Contractor, designer, owner,,was advised of above required data by—phone---mai I —counter by_dat�
Contractor, designer, owner, was advised of above required data by —phone —ma I I —counter by— date
Plans checked by
Copy—DPW
Date Plans approved by
Sets of plans on hold in —File cabinet _AP folder
Date
Extra value for your extra space needs
N F_VV!
Ceiling insulation
Financing available by Now available in gray
NOW SrANDARD
All' CHRYSLER with blue trim
on all model
# FIRST
Standard Models. .... ...
S Features.' Our' most
lZE:" PRICE, ractical and
p
6x8s $799 economical
8x8s -949 model. A 31/2'x
door is
6'4: .
8x10s 999 strid. Add $100
for an optional 7'
8x12s 1049 wide double
8x1 . 4 - s __10 - 99 --hung door
Ideal for Lstorage she'd, work
shop, tack room, etc.
Double Models
jt�_�- 'SIZE*�,- ...;i
12xl6d
$2149
14xl6d
2249
14xl8d
2449
14x2Od
264'
Gable/Gambrel Models
Features: Lots of extra
Double Set -Up:
$160
Gable
GamDrel
Features.* Attractive roof design with doors on 8' foot 'side.
All models i �de —afihor 1— 1; &�
U 0 W L panel. bronze
aluminum siding windows with screens are available
at $100 each installed. All models (except the 6x8)
have ceiling heights of 8' sloping to 7'.
Delivery (and assembly at site, if necessary) is extra.
Standard delivery and set-up fee: $80 plus mileage.
Please ask for an exact quote.
Mastercard and Visa are accepted: add 3% Financing
is available too.
space at a
fraction of
contractor's
prices. Add
$100 for an
optional 7'
double hung
door, $140 for
an 8', and $180
V1 0 1-7 .
Ideal for work shop or . auto
garage, etc.
ALSO IN WOODI
8x1 Og $1199
8x12g 1249
8x14g 1299
Features: Lots of extra
Double Set -Up:
$160
Gable
GamDrel
Features.* Attractive roof design with doors on 8' foot 'side.
All models i �de —afihor 1— 1; &�
U 0 W L panel. bronze
aluminum siding windows with screens are available
at $100 each installed. All models (except the 6x8)
have ceiling heights of 8' sloping to 7'.
Delivery (and assembly at site, if necessary) is extra.
Standard delivery and set-up fee: $80 plus mileage.
Please ask for an exact quote.
Mastercard and Visa are accepted: add 3% Financing
is available too.
space at a
fraction of
contractor's
prices. Add
$100 for an
optional 7'
double hung
door, $140 for
an 8', and $180
V1 0 1-7 .
Ideal for work shop or . auto
garage, etc.
ALSO IN WOODI
t
8
Z
XTRA SPACE, 004 YN F IfOi OR SPECIFICA RONS
e40 1b.. Roof De5igne
16, 18 or
44 20 10.
SIDE
t
7
ELEVATIONS
'LOOR FRAN I NG/FOUNDAT ION: 2X4 D.F. Stnd &Better floor
o1sts at 16" o.c. nailed to 4x6 P.T. skids. 20 ft. models
iave 6 skids. - Floor joists are doubled under bearing
.valls. Plywood (5/8 C.DX) fastened * according to
nanuf acturers specif Ications. Skids are set on 2x8x 16
'oncrete blocks for leveling �and can be anchor staked If
-equired.
4ALL FRAMING: Studs to be 2x4 at 24 o.c. on bearing
valls (studs under rafters) and shall not exceed 48" on
ion -bearing perlIn.walls, ,
=F FRAMING: Roof joists are doubled, D.F. 2x6 stnd &
)etter at 24" o.c. maximum. Maximum span to be 13'-2."
101STURE PROTECTION: Tyvek or Foil -Ray Mio-foil
s used under roofinn
Y 7
TERIOR SIDING &ROOFING: .015min.,
)ainted, Metra Steel Roofing and Siding is
ised with screws as primary fasteners.
40TICETO CUSTOMER: These specifications
ire to help you In obtaining necessary
)ermits if required. We will be happy to
)rovide additional Information. XTRASPACE
3tructures are not Intended for human
)ccupancy. See set-up agreement for other
.erms.
14 1 2or
14
I F] . I I
T -A
FRONT
double all center rafters
WALURAFTER SECTION
additional skid
on 20' models
FRAMING SECTIONS XZ
UUUUICU JUEaLb unuer oearing waiis ttyp.)
Andersod Products
800 Shastina Dr. &P.O. Box 718
Weed. California 96094
024-08-0-006 00tta�"
HOWELL, DELMAR & MARILYN
589 OBERMEYER, GRIDLEY
CONTR: WAYNE LOCY
REPLACE SEWER PIPE
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive * Oroville, California 95965 9 Telephone,(530) 538-7541 PERMIT NO.
(Rev. 12/96) APPLI CATI ON AN D -P ERMIT
ASSESSOR PARCEL NUMBER 024-080-006
ZONING
BUILDINGPERMIT V
OWNER DELW & MARILYN HOWMI
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
OWNERS MAILING ADDRESS 589 OBERMffERt GRIDLEY, 95948
CONTRACTORS NAME WAYNE I=
TELEPHONE
1846-5039
CONTRACTORS MAILING ADDRESS
589 OBERWM, GIIDLEY 95%8
CONSTRUCTION LENDER
Fireplace
LENDERS MAILING ADDRESS
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee $
20.00'
Permit Fee $
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee $
BUILDING ADDRESS
Energy Plan Checking Fee $
PERMIT FEE $
LOT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT
Filing Fee 20.00
USEOFSTRUCTURE
SF 0 Duplex 0 Mobilehome 0 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 0 Ublifies; 0 Installation 0 Other 0
Describe Work: REPLACE SEWER PIPE
Gas piping system I - 5 outlets
15.00
Building sewer
15.00
Mobile Home I S I G I W
1@20.00
PERMIT FEE
35.00
ELECTRICAL PERMIT
Filing Fee 20-00
"00 R LE::
Main Service .,V1 OOR LE
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:
0 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
Main Service 200A TO 1000A
46.00
NEW CONST. OlaNG OCCUP.
OR ADDNS. . S.
so
3.50 FT.
NEW CONST. MULTI -OUTLET
NOWRESID. BRANCH CIRCUITS
@7.50
OWE.RAP=US
P.IN. 0 C..
Ex. Occup. OUTLET OR FD(TURES
20 @ 1.00
SAL @ .50
"XEO APIP
i. =. OR.
Ex. Occup. E
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
PERMIT FEE $
WORKERS' COMPE14SATION 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
Policy Number
(The above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100I"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, ind agree that 9 1 should become subject to the
workers' cpmpensation provisions of section 3700 of the Labor Code, I shall
forthwith comply with those provisions.
X 4--', Date
Si licant 0 Owmiar' 0 CoAtractor YAgent
An OSHA permit is required for excavations over 60" deep and demolition or construction
of structures over 3 stories in height.
MECHANICAL, PERMIT Filing Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation I
PERMIT FEt $
Mobile Home Installation Fee $
Energy InspectIon'F4e $
OCC
OONST. TYPE
TOTALFEE$ 35.00
I
HAZ.
I
D.,FEES IMP
I FLOOF _173FT7�9
PD
I HD
I ISSUE
-
This permit is hereby Issuedlunder the applicable provisions
of the Butte County Code and/or Resolutions to do work
indicated above for which fees have been paid.
By Date
PERMIT EXPIRES ON
(Da to)
0"
ReceiptNo. 11.01=11
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDEN ROD -APPLICANT
(Rev. 12/96)
%COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION .260
7 County Center Drive * Oroville, California 95965 * Telephone (530) 538-7541 - PERMIT NO.
&
APPLICATION AND-RERMIT"
ASSESSOR PARCEL NUMBER 024-080-006
ZONING
BUILDINGPERMIT V
OWNER DELMAR & MARILYN HOWELL
TELEPHONE
SO. Fr. OCC. BUILDING
VALUATION
OWNERS MAILING ADDRESS
589 OBERMEYER, GRIDLEY, 95948
CONTRACTORS NAME
WAYNE LOCY
TELEPHONE
1846-5037
CONTRACTORS MAILING ADDRESS
589 OBERMEYER, GRIDLEY 95948
CONSTRUCTION LENDER
Fireplace
LENDERS MAILING ADDRESS
Total Valuation
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee $
20.00
—Permit Fee $
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee $
BUILDING ADDRESS
Energy Plan Checking Fee $
PERMIT FEE $
LOT NO.
SUBDIVISIONS NAME 7T�
MAP
PLUMBING PERMIT
Filing Fee 20.00
USEOFSTRUCTURE
SF 0 Duplex 0 Mobilehome 0 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 0 Utilities 0 Installation 0 Other 0
Describe Work: REPLACE SEWER PIPE
Gas piping system I - 5 outlets
15.00
Building sewer
15.00
Mobile Home I S I G I W
020.00
PERMIT FEE
Inn
ELECTRICAL PERMIT
Filing Fee 20.0
Main Service 'Oo'A oo.R '.ss:
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:
0 1, as ownerof the property, ormy employeeswith 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. D71LING OCCUP. so.
OR ADDNS. ACC S. 3.50FT.
==.T. =LTH' O.L2& @7.50
PO'r AP.PAPATUS
CILEO C..
20 @ 1.00
Ex. Occup. OUTLET OR FDCrURES BAL @ .50
..FWED APPLMS OR"
Ex. Occup. 1, ,6.) E 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring 23.00
PERMIT FEE
MECHANICAL PERMIT Filing Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
T_
PERMIT FEIE $
Policy Number
(The above sections need not be completed 9 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' ompensation provisions of section 3700 of the Labor Code, I shall
forthwith omply with those provis* S.
X Date
Signalf'07—e of—Applicdak - 0 OWer� C3 Ccotractor WAgent
An OSHA permit is required for excavations over 60" de47and demolition or construction
of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
CONST. TYPE
TOTALFEE$ 35.00
I
HAZ.
I D. FEES IMP
I FLOOD
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.
B 46?6 f Akwk,4"Date r6f
PERMIT EXPIRES ON
Pa te)
ReceiptNo. 309010
WHITE-O.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDEN ROD -APPLICANT
pqCOUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive 9 Oroville, California 95965 * Telephone (530) 538-7541 PERMIT 0.
(Rev. 12/96) APPLICATION AND PERMIT M
ASSESSORPARMINIU111111M
L
.�)
zom"a
I
BUILDING PERMIT
OWWA
2: YAJ
Tnv"OFIC
I
SO. FT. OCC. BUILDING VALUATION
OWNSF11 MIUUNQ ADOMS —7
/
CONTPAMA'S
0010RACTOR'S MALM ADORDS
;1-7-7
r
CONSTFACTMUME)k
LME" MAJIM ADDIVESS
Fireplace
Total Valuation
AACWTECT OR ENGAINEElt
UCEWE No.
Flina Fee
20.00'
ARCWTECT OR 010INEMS MAJUNG ADDFVJS
Permit Fee
S
Plan Checking Fee
BUILMOADOMSIS
Energy Plan Checking Fee
--TF
PERMIT FEE
LOT NO. BUSIDNISION'll N&Ae
I
71F� MAP
PLUMBING PERMIT
Filing Fee 20.00
USEOFSTRUCTURE
Each Trap
7.00
Solar or heat pump water heater
23.00
SF 0 Duplex 0 INvIobilehome 0 Other
Water piping
15.00
TYPE OF WORK
Each gas water heater or vent
Gas piping system I - S outlets
15.00
1S.00
Now 0 Addition 0 Remodel 0 UdliUs 0 Installation 0 Other 0
Building sewer --7
—is - o o 7.3 7 —P&
Describe Work:
Mobile Home I S I G
020.00
PERMIT FEE
S
ELECTRICAL PERMIT
I Filing Feel 20.00
Main Service
23.0011
Main Service 200A TO IOOQA
46.001
NEW CONST. DWELLM OCCUP
OR ADONS. A ACC. OLDS.
3.540.
FT.
NtW rom I.
"O'J.AESID. MVLTI-OUTLET
JRCUITS
@7.SO
1
PS0=AP=TUSiIL
0
Ex. Occup. OUTUET OR FIXTUIIES
200 2.00
SAL @ so
Ex. Occup. OM MES0.1 F.
S-00
Temporary Service
23.00
Mobile Home Facilities
20.00
Wisc. Wiring
23.00
PERMIT FEE
*PERMIT FEE PAID
MECHANICAL PERMIT
--F20.00
Filing Fee
Heating
SPA
$
Cooling
Hood
6.SO
SHERIFF
$
Ventilation
OTHER
$
$
PERMIT FEIE
S
Mobile Home Installation Fee
$
$
Energy Inspection Fee
$
AMOUNT RECEIVED
occ
CONST. rrPE TOTAL FEE $
Jfjt'!!jf0AP
[FLDODT7[;�;�
I
M
I HD
i ISSUE,
This permit Is hereby Issued under the applicable provisions
of the Butte County Code and/or Resolutions to do work
*RECEIPT NUMBER
Indicated above for which fees have
been paid.
TO BE PUT INTO COMPUTER
By
Date
PERMIT EXPIRES ON
(Date)
f
0
_29-___._J
A.P. 24-08-60
ALFRED OLSCHOWKA
NIS of Sheldon Ave., 2000' W. of Larkin
(demolition) -Permit 4418-73B/,-a.S -1? _?q
024-050-060 �, 05-0010
OLSCHOWKA; HELEN - • -
.439 SHELDON AVE, GRIDLE
Cont: SPENCER INC.
HVAC / r
C**4
NOTES
RESIDENTIAL
'-PERMIT NO. '024-080-060 05-0010
'OLSCHOWKA, HELEN
439 SHELDON AVEN, GRIDLEY
Cont: SPENCER INC
HVAC
1��112-6---L(
F
11 SPECIAL CONDITIONS
SRA
FLOOD CERTIFICATE REQ.
FIRE SPRINKLERS REQ.
SPECIAL INSPECTION ITEMS
VERIFY
USE PERMIT CONDITIONS
SUB -STANDARD HOUSING LETTER
JOB FINALED 40
Signatur
CHECKED
BY
-J = OK
= Not OK
= NotApplicable
= Not Ready MOBILE HOMES
Date
MOBILE HOME UTILITIES (Plans) OK except #s
Zoning Req ui rements-Setbacks- Easements
1 .
Zoning Requirements -Setbacks -Easements
3.
2.
Soils; Special MH Support Sketch
Wood Awn.; Posts- Beams- Rftrs-Con nectors
Shthg-Frg-Bracing
3.
Sewer; Location -Test -Fall -C/0 -Concrete
6.
4.
Water; Location -Test- Easement Needed (Sketch)
Electric
5.
Electricity; Location-Clearances-Grnd-/ /Amp -Concrete
9.
6.
Gas; Location -Test -Wrap;-/ P' L 'ft.
/ P Nat. or / P' L "ft./ PLPG
Roof; Shthg-Roofing
7.
Well Clearance & Disconnect
12.
8.
Utility Clearance
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date POOLS (Plans) OK except Vs
Date
Setbacks- Easements
Card B-1 Date Card B-1
Date
3.
Card B-1 Date Card B-1
Date
MOBILE HOME INSTALLATION (Plans) OK except ft
5.
1 .
Zoning Requ irements-Setbacks- Easements
Elec.; Enclosures; Conduit Entries -Terminals -Listed
2.
Footings; Size -Spacing -Marriage Line
8.
3. Gas; MH Test- Demand -Valve -Con nector
9.
4.
Electricity; MH Test -Crossovers -Breakers -Clearances
Plumb.; Cir. Test -Water Supply Test
5.
Drain; MH Test -Fall -Flex Connector
12.
6.
Water; MH Test- Regu lator-Con nector
7.
Water and Sewer Connected -C/0 to Grade -HD Approval
8.
Gas and Electricity Tagged
9.
Tie Downs -Type- Instal lation 6ert.
10.
Exits; Insp.-Sketch
11.
Cert. of Occupancy
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
PERMANENT END SYSTEM (ONLY)
1
. Zoning Requ i rements-Setbacks- Easements
2.
Footings; Size-Spaci ng- Marriage Line
3.
Blocking
4.
Gas; MH Test -Demand -Valve
5.
Electricity; MH Test
6.
Water; MH Test
7.
Water and Sewer Connected
8.
Gas and Electricity Tagged
9.
Exits
10.
License Decals
11.
Verify #'s with Office
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
MISCELLANEOUS
Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s
1 .
Zoning Req ui rements-Setbacks- Easements
2.
Footings; Soi Is -Size- Depth -Spaci ng -Connectors -Steel
3.
Decks, Girders and/or J oists- Decking -Bracing-Stairs- Rai Is
4.
Wood Awn.; Posts- Beams- Rftrs-Con nectors
Shthg-Frg-Bracing
5.
Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6.
Carports; Windows -Doors
7.
Electric
8.
Frmg.; Sills-Anchors-Studs-Rftrs-Trusses
9.
Siding; Nailing -Veneer-Stucco- Mesh
10.
Roof; Shthg-Roofing
11.
Ext.; Steps -Doors -Landings
12.
Braced Wall Panels
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date POOLS (Plans) OK except Vs
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- Enclosu res- Panelboards- Ins. to Main Conduit
9.
Health Department Approval
10.
Plumb.; Cir. Test -Water Supply Test
11.
Light Niche
12.
Enclosure; Fencing -Alarms
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
4 = OK
0 = Not OK
- = NotApplicable
. = Not Ready
RESIDENTIAL (Single & Duplex)
Date
UNDERFLOOR (Plans) OK except #'s
1 .
Zoning -Setbacks -Easements -Flood -Slope
48.
2.
Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth
49.
3.
Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth
50.
4.
Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth
51.
5.
Sternwalls, Main; Steel - Blockouts-Wrapped
52.
6.
Stemwalls, Garage; Steel -Blockouts-Wrapped
53.
6a.
Hold Downs and Special Anchors
54.
7.
Slab, Steel -Wrapped
55.
8.
Piers -Fireplace Ftg.-Steel
56.
9.
D.W.V.; Fall -Fitting -Test-2 Way C/0 -Sewer Test
57.
10.
UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test
58.
11. Water Pipe; Test -Anchors- Reg ulator-Service Test
12.
Electric Underground
13.
Plenums & Ducts; C learance- Material -Support- Ins.
14.
Girders -Sills -Anchor Bolts-Joists-Vents-Crippies
15.
Access & Ventilation
16.
Insulation
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
FINAL (Plans) OK except #s
Card B-1 Date Card B-1
Date
PLUMBING (Permit) OK except #'s
17.
Water Htr.; Vent -Access -Combustion Air Baffle
18.
Water Pipe; Test & Anchor -Nail Protection
19.
D.W.V.; Test Fittings & Anchor -Nail Protection
20.
Shower Pan; Test, First Floor -Tub Access
21.
Test Tub & Shower, Second Floor -Tub Access
22.
Gas Pipe; Sixe & Anchors
23.
Fire Sprinkler; Test
72.
Elec. Outlets at Wood Panel, Int. & Ext.
Date
73.
Card B-1 Date Card B-1
Date
74.
Card B-1 Date Card B-1
Date
ELECTRICAL (Permit) OK except #'s
Garage Fire Door; Swing- Land i ng -Closure
24.
Fixture & Transformer Clearance -Ins. Protection
A.C. DLCt in Garage -Damper
25.
Elec. Receptacles Spacing -Lights & Switches at Doors
Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V.
in Garage; Above Floor-Mech. Protection
26.
Size Boxes & No. of Conductors Stapled
Plb.; Elec. & Mech. Equip. Listed for Location
27.
Romex Installed Close to Edge of Studs & C.J.
Elec. Receptacles in Garage (F.F.I.)-Romex Protection
28.
Equip. Ground made up w/Mech Fasteners -Bond Gas & Water
Insulation -Foam -Looked in Attic
29.
2 Appliance Circuits in Kitchen & Conductor Size GFI
Guard Rails & Deck Construction- Post Caps
30.
Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or Al
Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth
31.
Range Circle/ /ga Cu or Al -Oven Circ. / /ga Cu or Al
Insulated Neutral 0 Yes Q No
Clearance Looked under Floor 0 Yes
32.
Service -Riser Conductors & Ground Main Disconnect
Following Instld./Drive 0 Yes Cl No.'Walks 0 Yes 0 No/Planters 0 Yes U No
33.
Equip. Clearances Panels- Motors- Mech. Equip.
Stucco Brown -Finish
34.
Clothes Closet Light -Shower Light -Spa Light
A.C. Unit Disconnect, Electrical- Plu mbi ng
35.
Smoke Detector
Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings
87.
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
MECHANICAL (Permit) OK except #s
90.
36.
A.C. Ducts Insulation & Support
91.
37.
Vent Fan, Exhaust above insulation
92.
38.
Condensate Drain & Overflow, Size & Grade
93.
39.
Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet
94.
40.
Attic Access & Platform if Furnace in Attic
Date
Address Posted
Card B-1 Date Card B-1
Date
Fire Sprinkler
Card B-1 Date Card B-1
Date
FRAMING (Permit) OK except #s
Date
41.
Sills Proper Materials & Anchors
Date
42.
Walls Studs -Nailing Spacing & Braces -Plates -Sound
Comments at Final:
43.
Bearing Walls over Girders & Floor Nailing
44.
Draft Stop in Walls (rat proof)
45.
Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs
46.
Headers & Beams -Size & Bearing
J!,
Date
FRAMING (Continued)
47. Hangers -Post Caps -Anchors -Connectors
48.
Cling. Joist-Rftr. Ties-Purlin-Roff Brac.-Truss-Shting.-Rtng.
49.
Fireplace Ties or Type A Flue -Fireplace Throat Flearance
50.
Attic Access; Size & Romex Protection- Draft Stop -Ins. Baffles
51.
Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions
52.
Garage Fire Protection Framing -RC Channel
53.
Property Line Firewall & Openings
54.
Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits
55.
Stairs; Width -Headroom-Rise- Ru n- Land ing-Fi re Protection
56.
Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
57.
Siding -Nailing Veneer
58.
Stucco Mesh -Drip Screed -Fd. Vents-UnderfIr. Access
59.
Glazing Area -Glass Protection -Skylights -Plastic
60.
Shear Walls; Nailing -Bolts
61.
Brace Interior/Exterior Wall Panels
62.
Insulation -Walls -Ceilings
63.
Infiltration -Walls -Windows
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
FINAL (Plans) OK except #s
64.
Ext. Steps -Door & Sidelight Protection- Landings
65.
Smoke Detector
66.
Furnace Vents -clearance -Comb, Air -Connector -
In Garage; Above Floor- Ducts-Mech. Protection
67.
Bedroom Exiting
68.
G.F.I. & Bath Fixtures & Tub Access -Spa
69.
Elec. Trim & Subpanel, Breaker Sizes & Labels
70.
Stairs & Rails
71.
Fireplace or Stove, Clearance- Hearth
72.
Elec. Outlets at Wood Panel, Int. & Ext.
73.
Kit. Fixi. & Appliance; Ground -Air -Gap -Cooking Clearance
74.
Elec. Outlets & Receptacles at Kit. Counter
75.
Garage Fire Door; Swing- Land i ng -Closure
76.
A.C. DLCt in Garage -Damper
77.
Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V.
in Garage; Above Floor-Mech. Protection
78.
Plb.; Elec. & Mech. Equip. Listed for Location
79.
Elec. Receptacles in Garage (F.F.I.)-Romex Protection
80.
Insulation -Foam -Looked in Attic
81.
Guard Rails & Deck Construction- Post Caps
82.
Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth
Clearance Looked under Floor 0 Yes
83.
Following Instld./Drive 0 Yes Cl No.'Walks 0 Yes 0 No/Planters 0 Yes U No
84.
Stucco Brown -Finish
85.
A.C. Unit Disconnect, Electrical- Plu mbi ng
86.
Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings
87.
Water Well, Disconnect, Electrical, Plumbing
88.
Exterior Elec. Trim, G.F.I. Receptacle -Underground
89.
Ventilaticn Throughout House
90.
Glass Protection
91.
Corrections from Previous Inspections
92.
Gas Test -Meters Tagged, Gas -Electric
93.
Water & Sewer Connected -C/0 to Grade -HD Approval
94.
Energy Compliance Certificate -Other Certificates
95.
Address Posted
96.
Fire Sprinkler
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:
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT
24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO)
OFFICE #: (530) 538-7541 FAX#: (530)538-2140
WEIBSITE: www.buttecounty.nefidds
PERMIT NO.
BPO50010
LICENSED CONTRACTORS DECLARATION
I hereby affirm under penalty of perjury that I 'am licensed under
Issued Date: 01/03/2005 APN: 024-080-060-000
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.
Class: (2 0 License Number: 6,4/ Vc � 9
Site Address: 439 SHELDON AVE GRI
License
I Map Index:
Date: Contractor: S.-at')r-L'2
Description: NEW HVAC.
"ZWNER-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
Owner: OLSCHOWKA HELEN S REVOCABLE
Busir�ess and Professions Code: Any city or county which requires a
permit to construct, alter, improve, demolish; or repair any structure, prior
TRUSTETAL
to its issuance, also requires the applicant for such permit to file a
OLSCHOWKA HELEN S TRUSTEE
signed statement that he or she is licensed pursuant to the provisions of
the Contractor's State License Law (Chapter 9. commencing with Section
439 SHELDON AVE
7000) of Division 3 of the Business and Professions Code) or that he or
GRIDLEY, CA 95948
she is exempt therefrom and the basis for the alleged exemption. Any
violation of Section 7031.5 by any applicant -for a permit subjects the
applicant to a civil penalty of not more than five hundred dollars ($500).):
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 (Sec. 7044, Business and Professions
Applicant: OLSCHOWKA HELEN S REVOCABLE
Code: The Contractors' State License Law does not apply to an
owner of property who builds or Improves thereon, and who does
TRUSTETAL
such work himself or herself or through his or her own employees,
provided that such improvements are not intended or offered for
sale. If however, the building or improvements are sold within one
year of completion, the owner -builder will have the burden of
proving that he or she did not build or improve for the purpose of
sale.).
1, as owner of the properly, am exclusively contracting with
licensed contractors to construct the project (Sec. 7044, Business
and Professions Code. The Contractors' State License Law does
not apply to.an owner of property who builds or improves thereon,
and who contracts for such projects with a contractor(s) licensed
Contractor: SPENCER INC., R.B.
pursuant to the Contractors' State License Law.).
am Exempt under Article 3 of the Business and Professions Code
1188 HASSETT AVENUE
YUBA CITY, CA 95993
Date: - Owner:
530-674-8307
WORKERS'COMPENSATION DECLARATION
I hereby affirm under penalty of pedury one of the following declarations:
License #: 664429
C3 1 have and will maintain a certificate of consent to self -insure for
workers' compensation, as provided for by Section 3700 of the
Labor Code, for the performance of the work for which this permit
is issued,
I have and will maintain workers' compensation insurance, as
Architect:
required by Section 3700 the Labor Code, for the performance of
Engineer:
the work for which this permit is issued. My workers' compensation
insurance carder and policy number are:
CO
Carrier:
Total Square Ft. 0 S. F.
Policy #: 70 (e:!C G 23
Valuation: $0.00
Q I certify that in the performance of the work for which this permit 'IS
Census Code:
issued. I shall not employ any person in any manner so as to
become subject to the workers' compensation laws of California
and agree that if I should become subject to the workers'
compensation provisions of Section 3700 of the Labor Code. I shall
forthwith comply with those provisions.
— 0
Date: -3 �r
Applicant:_ C
WARNING: Failure to secure worliers' 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
'��c
code, interest, and attorney's fees.
Am vi 4za"
CONSTRUCTION LENDING,AGENCY
This permit is hereby issued d licable provisions of the etitta County Codp PnrVor
un
I hereby affirm that there is a construction lending agency for the
perforrnance of the work for which this permit Is issued (Sec 3097 Civ.)
-:1pp hich fee. have been paid.
R sdlution,4to do work Indicatep OY
MW 1-3
Name:
B : 42im%le Date:
PERMIT EXPIRES ON:. s ��
Address:
(6ate)
0 1 hereby cerlify 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'l am the owner or the duly th ni d 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 r docu ant of Butte n ereby
authorize rep%§entatives of Putte County to enter upon the above mentioned property for inspection
. ..
Print Name: S ign ature:po�
Date:
El Owner 0 Contractor 0 Agent for Owner 0 Agent for Contractor
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT APPLICATION
AND SUBMITTAL REQUIREMENTS
24 HOUR INSPECTIONM OROVILLE: (530) 538-7636 - CHICO: (530) 891-2834
OFFICE #: (530) 538-7541
A FEE WILL BE REQUIRED A T TIME OFAPPLICA TION
"PLEASE PRINT CLEARLY"
OWNER
Last Name
— nLnO i4nc�,_JKA
irst N
r IT -L- Le -n
Address zy,-Ac? nlwld Atp
City.,—
LaWf .4 (a �
State
Ou-4-
z*14-
Phone I
'6-z4 (ip -,�D%7 I
Fax
E-mail
10.100, 004"A
For off ice use only:
CONTRACTOR
Name V-12)
_Tddress
SP120nen," 4syae
t 12:S6 ",A
5 -, --=
"t,JL,bA
"to oa
State
Phon
' c jc0-7q-a307
F
'S36 h 0- 7 f 3 -3 3,
E-mail
- > z r- C, 6 �,e
Lic. # Lauliqvin
�0 "K g �! C r 0-a k 3M& , e CS N- V, % I
Cla &C
C_ a,,V, W I
10.100, 004"A
For off ice use only:
ARCHITECTIENGINEER
Name
Type Const.
Address
Book
city
-TMT G
State
r Zip
Phone
1
Fax
E-mail
;4
State License Number
10.100, 004"A
For off ice use only:
APPLICANTNAME
NafftR e>
Type Const.
Address
Book
% � S,,�K A145:515-
-TMT G
Cilr.4 ka
Date Approved:
Stwe
1
1
I ___
Total
;4
P00ne
-n 14'-SW7
�6& L
F
Fa%q___�Cjj(
6_0 z
r �0 5 1 V-,� Vrj�
10.100, 004"A
For off ice use only:
Zoning Flood Zone si�T Yes I No
Occ.
Type Const.
Subdivision Name Map
Book
Page
Lot #
Planner
Date Approved:
PERMIT
NO.
0(51 66 /C
_BP
BIN #
LOCATION
AP#
— no q
Property Address
q,gc� 'Ske/061
city
I ff:�
Cross Street
WORKER'S COMPENSATION
Policy Number 1-4/1
Carrier
If hiring anyone other than license contractors, a certificate of worker's
compensation must be shown at the time of permit issuance.
LENDING AGENCY
Name
Address
OVER FOR SUBMITTAL REQUIREMENTS L I
KAFORMSMILDING FORMS\BldgAppISubRqrrds.doc Page 1 of 2
Descri ion or Scope of Work:
Znb Awia.��'l ;2.o0,9-,10
Sq. Footage
0 Structure Built vAthout 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 prior to the expiration of the
permit and no construefion work has been done. Filing fees, plan
check fees for work plan checked and other department costs are not
refundable.
REV 7-27-04
Received by: Amount 6c.5,
ldg
SRA
Receipt #. r7 ----___,Shedff
Date -------Other
7 -3-015-
Total
REV 7-27-04
PERMIT NUMBER _ B 4418-73B
P
E
PERMIT EXPIRES / oC `(O —7`f-�
-;� OWNER Alfred Olschowka
CONTR: Owner
LOCATION (A.P. 24-08-60
NIS of Sheldon Ave., 2000' W.. of
Larkin;• Gridley
r
i
I .
PERMIT NUMBER _ B 4418-73B
P
E
PERMIT EXPIRES / oC `(O —7`f-�
-;� OWNER Alfred Olschowka
CONTR: Owner
LOCATION (A.P. 24-08-60
NIS of Sheldon Ave., 2000' W.. of
Larkin;• Gridley
I
COUNTY OF BUTTE
'Department ci Public Works
BUILDING INSPECTION RECORD
Zoning
Setback
Forms
Foundation
Piers & Girders
Fireplace
Rgh. Plumbing
Bond Beam
Lath & Plaster_
Rein. Steel
Gas Piping & Test
Found. -Vents _
Framing
Plmg. Topout
Rough Elec.
Wir. Htr.
Furnace
Kitchen Vent _
Firewall
Garage Vents
Sanitation & Water
ELECTRIC
GAS
BUILDING
Temporary
Temporary
Cert. of Occup. _
Final
Final
Final
DATE
REMARKS OR'CORRECTIONS
I
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
7 County Center Drive -± Orovtlle, California 95965
Telephone: 534-4541
APPLICATION AND PERMIT
OUL"Or ze rep resen tat i vets u, the County of Butte to enter upon the
above-Zntioned property for inspection purposes.
2, zx�-, 6� K � �Z,, -, I �/__Date
S�gnature;��e,m'itee or Agent
Receipt No. ky-2
White-D.P.W. - Yellow -Assessor - Pitfk-inspector - Goldenrod-Applicont
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.
DIRECTOR OF RUBLIC WORKS
B;y I e / 7- :L—
Building permif expires We
....... � ..�.
BUILDING
Owner C yow K/4
SQ. FT. OCC. BUILDING VALUATION
a
Mailing Address 413 —7--
9 -
e —
�&
0 L e -y
Telephone No
Z
Fireplace
r
Contractor
Total Valuation
Mai I ing Address
Permit Fee
PlanChecking Fee&/orPenalty
Telephone No.
Permit Fee
$
a -z;,
Building Address
PLUMBING
No.1
@ I FEE
PERMIT FILING FEE $2.00
Each Trap 1.50
ZX
Repair drainage or vent piping
1.50
Water piping 1.50
Each gas water heater or vent 1.50
A. P. No. CN -or— &o
Zoning & Planning
Gas piping system 1 - 5 outlets
1.50
Each additional outlet .30
R6�s
�S�u�
FireDept.
Fire Zone
Use Permit
Building sewer 5.00
EQA
Parking
Plans
Parcel
I Declaration
Parcel Map 1
I
60' R/W
I Improvements
Lawn sprinkler system 2.00
Bldg. Plons Rec'd I
Parcel Approval
Plans Approval
Permit Fee
$
is
NEW ADDITION UTILITIES OTHER
ELECTRICAL
No.
@ FEE
PERMIT FILING FEE $3.00
Main service incl. 1 meter
Additional meters, each
1.00
Single Family Duplex 1:1 Mobil Home 1:1 OthersE:1
Sub -panel (12 or less) (morethonl2)
Range, Cook -top or oven 1.00
Water Heater or Space Heater
1.00
Light fixtures 5
bo1010
Receps., switches & fix outlets MR
CONTRACTORS LICENSE LAW
I am licensed under the provisions of Chapter 9, Div. 3, of the
State of California Business & Professions Code under the name
style of:
Hood, Ex. Fan or F.A. Furn. Motor
1.00
Evap. cooler, gar. disp. or D.W. 1.00
Air conditioner or heat pump
Water pump
Mobil Home Facilities 5.00
Temp. Power Pole 5.00
License No. Classification
Misc. wiring
I am exempt from the Contractors License Laws of the State of California.
Permit Fee
$
WORKMEN'S COMPENSATION INSURANCE
1 am aware of the provisions of Section3700 of the California Labor
Code which requires every employer to be insured against liability
for Workmen's Compensation.
I have placed on file with the County of Butte a certificate of
Workmen's Compensation Insurance.
certify that in the performance of the work for which this
plermit is issued I shall not employ any person in any manner
so as to become subject to the Workmen's Compensation Laws of
California.
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 S : tate Laws relating to building construction, and hereby
MECHANICAL
No.
@ FEE
PERMIT FILING FEE $3.00
Heating
Cooling
Ventilation
Hood 2.00
Permit Fee $
$
TOTAL PERMIT FEE Is
OUL"Or ze rep resen tat i vets u, the County of Butte to enter upon the
above-Zntioned property for inspection purposes.
2, zx�-, 6� K � �Z,, -, I �/__Date
S�gnature;��e,m'itee or Agent
Receipt No. ky-2
White-D.P.W. - Yellow -Assessor - Pitfk-inspector - Goldenrod-Applicont
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.
DIRECTOR OF RUBLIC WORKS
B;y I e / 7- :L—
Building permif expires We
....... � ..�.
2,�0
� C!
XO 75
\cIas
4 k