HomeMy WebLinkAbout024-080-09024-!08-90 17-7
KEN.BALL
1,1297L rkin.Rd, Oroville
'�Contr:' Cedar�'Termite Control
Per'mit#3574-84�(replace termite damaged
mud sills & girder supports as per att
contract)SF FiVIPA 1;V9107"I"
24-08-90
Contr: R J AC, Gridley
PErmit#2433-87P,E,M(instal Whtg 8,IAC
14LO8-90
906*90B
BALL, Ann K.
1297 Larkin
Rd, Gridley
Sf add. Den deck)
24-09,-90
Contr:. North�VALLEY Electric
-Permit#1186-90E(ele'--'ser� S
:37 -
624-0-8-0-090.. - 19
BALL,'KENNETH
1207 LARKIN, GRIDLEY,
CONTR: RON WOODWARD
OPEN. DECK/SF
__ .-� _ _ -� f _
__� ..�_
��,o ._�;
�- �
.r----,
RESIDENTIAL
024-08-0-090 93-1903 B,E-
BALL, KENNETH
1297 LARKIN, GRIDLEY
CONTR: RON WOODWARD
OPEN DECK/SF
JOB FINALE ate)
Signature
r-
V= OK
0 Not OK
Not Applicable
Not Ready , _ MOBILE HOMES
Date/Initials MOBILE HOME UTILITIES (Plans) OK except Va
1. Zoning Requirements -Setbacks -Easements
2. Soils; Special MH Support Sketch
3. Sewer; Location -Test -Fall -C/0 Concrete
4. Water; Location -Test -Easement Needed (Sketch)
5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete
6. Gas; Location -Test -Wrap: / PV'ft.
/ P'Not. or/ PV'ft./ P'LPG
7. Well Clearance & Disconnect
& Utility Clearance
Date/Initials MOBILE HOME INSTALLATION (Plans) OK except #'s
1. Zoning Requirements -Setbacks Easements
2. Footings; Size -Spacing -Marriage Line
3.. Gas; MH Test -Demand -Valve -Connector
4. Electricity; MH Test -Crossovers -Breakers -Clearances
5. Drain; MH Test -Fall -Flex Connector
6. Water; MH Test -Regulator -Connector
7. Water and Sewer Connected -C/0 to Grade -HD Approval
8. Gas and Electricity Tagged
9. Exits; Insp.-Sketch
10. Carl. of Occupancy
MISCELLANEOUS
Date/Irwitial DECKS, COVERS, CARPORTS. GARAGES, (Plans)OK except #'a
,* , -fo-nigg Requirements -Setbacks -Easements
I-ro-otings; Soils-Size-Depth-Spacing-Connectors-SteeI
- and/or Joists-Decking-Bmcing-Stairs-Ralls
4. Wood Awn.; Posts-Beams-Rftrs.-Connectors
Shthg.-Rfd.-Bracing
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Carports; Windows -Doors
7. E I a c t rjr,,,'
A,,Ff-mg; Sils-Anchors-Studs-Rftrs-Truases
9. Siding; Nailing -Veneer -Stucco -Mash
10. Root; Shthg-Roofing
11. Ext.; Steps-Doqj-VL!VIngs
Date/Initials POOLS (Plans) OK except #'s
1. Setbacks -Easements
2. Soils; Compaction -Structure Stability
3. Pool Structure; Steel -Connections -Thickness
Dead Men -Lining
4. Elec.; Receptacles and Lighting, Distances-GFI
5. Elec.; Pool Lighting; 15 volts-GFI
6. Elec.;Enclosures; Conduit Entries-Terminals-l-Isted
7. Elec.; Bonding; Metal w/5'-Circulatlng Equip. -Heater
8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg.
Boxes-Enclosures-Panalboards-ins. to Main In Conduit
9. Health Department Approval
10. Plumb.; Cir. Test -Water Supply Test
V=OK
0 Not OK
Not Applicable
Not Ready
RESIDENTIAL (Single & Duplex)
Date/initials UNDERFLOOR (Plans) OK except If's
1. Zon I ng -Setbacks- Easemen ts-Flood-Slope
2. Ftg., Main; Soils-Elec. Grnd.-/ f' Ftg. Depth
3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth
4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth
5. Sternwalls, Main; Steel -Bloc kouts-Wrapped
6. Sternwalls, Garage; Steel-Blockouts-Wrapped
6a. Hold Downs and Special Anchors
7. Stab; Steel -Wrapped
8. Piers -Fireplace Ftg.-Steel
9. D.W.V.; Fall-Fifting-Test-2 Way C/0-Sevver Test
10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test
11. Water Pipe; Test -Anchor -Regulator -Service Test
12. Electric; Underground - v
13. Pienums & Ducts; Clea rance- Mate ria I -Su pport- Ins.
14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
15. Access & Ventilation
16. Insulation
Date/initials PLUMBING (Permit) OK except #'s
16. Water Htr.; Vent -Access -Combustion Air -Baffle
17. Water Pipe; Test & Anchor -Nail Protection
18. D.W.V.; Test -Fittings & Anchor-Naii Protection
19. Shower Pan: Test, First Floor -Tub Access
20. Test Tub & Shower, Second Floor -Tub Access
21. Gas Pipe-, Size & Anchors
Date/initials ELECTRICAL (Permit) OK except #'a
22. Fixture & Transformer Clearance -Ins. Protection
23. Elec. Receptacles Spacing -Lights & Switches at Doors
24. Size Boxes & No. of Conductors -Stapled
25. Romex Installed Close to Edna of Studs & C.J.
26. Equip. Ground made up w/Mech. Fastners-Bond Gas & Water
27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI
28. Subfeed Wire Size ga. Cu or AI-A.C. Wire Size ga.
Cu or Al
29., Range Circ. / / ga. Cu or Al -Oven Circ. / / ga. Cu or Al.
Insulated Neutral 0 Yes 0 No
30. Service -Riser Conductors & Ground -Main Disconnect
31. Equip. Clearances Panel s -Motors- Mach. Equip.
32. Clothes Closet Light -Shower Light -Spa Light
33. Smoke Detector
Date/initials MECHANICAL (Permit) OK except #'s
34. A.C. Ducts Insulation & Support
35. Vent Fan; Exhaust above insulation
36. Condensate Drain & Overflow; Size & Grade
37. Furnance-Vent; Access -Comb. Air -Return Air Vent -115 outlet
38. Attic Access & Platform it Furnance in Attic
Date/initials FRAMING (Plans) OK except #'a
39. Sils, Proper Material & Anchors
40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound
41. Bearing Walls over Girders & Floor Nailing
42. Draft Stop in Walls (rat proof)
43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub
44. Headers & Beam -Size & Bearing_
Date/initials FRAMI NO (Continued)
45. Hangers -Post Caps -Anchors -Connectors
46. Cing. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Rfng.
47. Fireplace Ties or Type A Flue -Fireplace Throat clearance
48. Attic Access; Size & Romex Protecti on- Draft Stop -Ins. Baffles
49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions
50. Garage Fire Protection Framing
51. Property Line Firewall & Openings
52. Ext. Doors -One T -Check Garage -3rd Story, 2 Exits
53. Stairs; Width -Headroo m-Rise-Run-Landi ng -Fire Protection
54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers
55. Siding -Nailing Veneer
56. Stucco Mesh -Drip Screed -Fd. Vents-UnderfIr. Access
57. Glazing Area -Glass Protection-Skylights-PlastIc
58. Shear Walls; Nailing -Bolts
59. Insulation -Walls -Ceilings
60. Infiltralion-Walls-Windows
Date/initials FINAL (Plans) OK except #'a
61. Ext. Stops -Door & Sidelight Protection -Landings
62. Smoke Detector
63. Furnace; Vents -Clearance -Comb. Air -Connector -
In Garage; Above Floor-Ducts-Mech. Protection
64. Bedroom Exiting
65. G.F.I. & Bath Fixtures & Tub Access -Spa
66. Elec. Trim & Subpanel; Breaker Sizes & Labels
67. Stairs & Rails
-68. Fireplace or Stove; Clearances -Hearth
69. Elec. Outlets at Wood Panel; Int. & Ext.
70. Kit.Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance
71. Elec. Outlets & Receptacles at Kit. Counter
72. Garage Fire Door; Swing - Landi ng -Close r
73. A.C. Duct in Garage -Damper
74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.
In Garage: Above Floor-Mech. Protection
75. Plb., Elec. & Mach. Equip. Listed for Location
76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protection
77. Insulation -Foam -Looked in Attic 13 Yes
78. Guard Rails & Dock Construction- Post Caps
79. Fdn. Vents & Crawl Hole Door-Drainag & Wood -Earth
Clearance Looked under Floor Yes
80. Following instId.; Drive 0 Yes 0 No; Walks 0 Yes 13 No;
Planters 0 Yes 13 No
81. Stucco; Brown -Finish
82. A.C. Unit; Disconnect, Electrical, Plumbing
83. Vents Above Roof; Plbg.-Appliance-Fireplace.-Clearance to
Openings
84. Water Well; Disconnect, Electrical, Plumbing
85. Exterior Elec. Trim; G.F.I. Receptacle- Undo rg round
86. Ventilation Throughout House
87. Glass Protection
88. Corrections from Previous Inspections
89. Gas Test -Meters Tagged; Gas -Electric
90. Water & Sewer Connected -C/O to Grade -HD Approval
91. Energy Compliance Certificate -Other Certificates
Cornawnts at Final:
COUNTY OF kitTE=;_ DEPARTMENT OF PUBLICAQRKS
7 County Center Drive - Oroville, California 95965 - Telepho , 1 38-7541
APPLICATION AND PERMI
,_ — � I "
PERMIT 1� 03
ASSEISSOR PARCEL NUMBER
024-0801090
ZONING
A-5
BUILDING PERMIT 4/
OWNER
Kenneith'Ball
TELEPHONE
SQ.FT. OCC. BUILDING VALUATION
850 0 5,956.00
OWNER'S MAILING ADDRESS
1297 Larkifi Rd., Gridley 95948
CONTRACTOR'S NAME x
Ron Woodward�
TELEPHONE
533-3562
CONTRACTOR'S MAILING,ADDRESS
1810 6th St., , �Oroville 95965
Fireplace
CONSTRUCTION LENDER \ \
UNKNOW N
Total Valuation 1$5.950.00
LENDER'S MAILING ADDRESS
Filing Fee
$ 15.00
Permit Fee
$67.50
ARCHITECT OR ENGINEER _77T�i_s
E NO.
Plan Checking Fee
$33.75
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
Permit fee
$ 116.25
PLUMBING PERMIT
FilingFee 1 15.00
1297 Larkin Rd., Gridley
Each Trap
1 5.001
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAME
1
PARCEL MAP
1
Water piping
7.00
Each qas water heater or vent
7.00
USE OF STRUCTURE
SFU DuplexFj lvlobilehomeF� Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
15.00
Mobile Home S I G I W
15.00
TYPE OF WORK
New Addition [I RemodelE] Utilities [] InstallationD Other EJ
Describe work: Open Deck
I
Permit Fee
$
—Contractor
ELECTRICAL PERMIT
Fi ling Fee 15.00
main service 600V OR LESS
200A OR LESS
18.50
Main service 20r A TO 1 OOOA)
37.501
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
I am licensed under provisions of Chapt. 9, Div. 3 of the Business
d
and Professions Yo! license is in full f and effect.
License No.J Zr Classification
as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
I am exempt under Sec.—, Business and Professions Code
for this reason
NEW CONST. I DWELLING OCCUP,&
OR AODNS. I ACC. BLOGS.
- —
3.6* sq.ft.1
NEW T'_OU
CONSTR. MUL__ T I ET
.011-RESID, BRANCH CIRCUITS)
@ 5.00
(POWER APPARATUS &)
SINGLE OUTLET CIR.
Ex. Occup(OUTLETS OR FIXT URES
20 75
5AL 4F;d
FIXED APPLNS OR
Ex. Occup. OUTLETS (RESI*D.1 EA.)
11 3.00 3.00
Temporary service
15.00
Mobile Home Facilities
15.00
Misc. Wiring
'15 - 00
Permit Fee
$18.00
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
17 The permit is for $100.00 (valuation) or less.
F-1 I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the.W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
Contractor
MECHANICAL PERMIT
FilingFee 15.00
Heating
Cooling
Hood
6.50
Ventilation
Permit Fee
$
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the Countyot
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabiliit�ie judgment cos d expenses which may in any way accrue
ag I/ . s _Js, an,,
ainst si— County SrO�Ge �lc�E .,of _thegr �Ing of, is permit
X 2Z�;ZZOe 7Z (te .
Signature of Applicant OwnerE] Contracto AgentF
An OSHA ]permit is required for excavations over 5K08eep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $ -
occ
CONST TYPE
ITOTAL FEE $ 134.25
HAZ 0 FEES IMP FLOOD I CDF PARCEL
XD 0 ISSLI
This permit is hereby issued under the
sions of the Butte County Code and/or
work indicated above for which fees
C
By
PERMIT EXPIRES D9te
applicable provi-
resolution s to do
have been paid.
WORKS
Date
A P
143288
Receipt No.
WMITE-O.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDEN ROD-APPL I CANT
-4
COUNTYPF BUTTE - . DEPARTMENTOF DEVELOPMENT SEt S- BUILDING DIVISION
7COUNTYCENTER DRIVE - OROVILLE,CALIFORNIA95965 - L ONE (916) 538-7541
PERMIT APPLICATION DATASHEET
OWNER No. oq 0
Proposed Building Use Building Insl ec or Date.
At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance:
DATE RECEIVED BY
1 . All items have been submitted . ........................................
2. Plot plans, 3/4 sets, signed by preparer of plans . ..........................
3- Complete plans, 3/4 sets, signed by preparer of plans . ......................
.4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . .............
5. Hazardous Material Form . ..............................................
6. Energy Design Compliance and supporting documentation . ..................
7. Statement of Intent for Non -Heated and A/C Buildings . ......................
8. Engineered truss details and layout in duplicate (required prior to plan check) . ....
9. Mobilehome data and manufacturer's installation instructions, 2 sets . ...........
10. Fees of $ . .........................................
11. Impact fees as shown on attached schedule . ..............................
12. California Department of Forestry plan approval/fees .........................
3: Flood elevation letter (100 year flood) by California Engineer ...................
,e_�
14 Sanitation and plot plan approval 0416,11ile . Health Department . ............
15. City of Chico plumbing permit . .........................................
16. Plot plan and business license approval from City of Biggs/Gridley . .............
17. Planning approval for (A) Use: (B) Parking:
18. Contact Land Development about (A) Improvements (B) Drainage ............
19. Driveway permit (construction approval required prior to occupancy). . . .
F;n�lAsWctfoA r*eq*u-eff---
20. Pre-inspectlion f6f` required. . 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 , Mail to owner ) ............
24. Recorded copy of Agricultural Acknowledgement Statement . ..................
25. Letter of signature authorization . ........................................
26. Copy of recorded deed of parcel creation and 60 right of way to a public road .......
27. Letter of intent on building use . ................................... ........
28. Mobilehome utility clearance . ............................
29. Documentation of legal access . .....................
30. Documentation of 50% subdivision developed or (A) Road improvements completed
and (B) Parcel meets zoning area and frontage requirements . ...............
31. Existing violations/expired permits . ......................................
32. Plan check list . .....................................................
33.
-34.
When you issue the permit process as follows: Mail to owner. Mail to contractor.
Telephone and hold for pickup at office. Deliver with inspector.
Other 52 44 -1 1 -
Parcel Creation ('116AY
Acreage Applic Date
Copy of Haz-Mat form sent Health Dept. Fire Dept. _ Air Pollution Date
Copy of plans sent Health Dept.. Fire Dept. - Other - Date By
The following data must be submitted prior to permit issuance: (Circle new item not checked above).
1. Index permit for above items No.
2. Additional items required:
Contractor, designer, owner, was advised of above required data by _ phone mail -Counter 6y _Date
Contractor, designer, owner, was advised of above required data by _ phone mail C-ou9A6r by - Date
Plans checked by Date Plans approved by Date 2&Le±-X
Sets of plans on hold in File cabinet AP folder
Copy - Department of Public Works
TO: Building Department
FROM: Erivi roil man tal Health
SUBJECT: Sanitation Clearance
KI -11 list
Phil Him Aflulted
Hoof Him Atuieltvd
It: D,
J0 /1-A-1 r&Z A
Owner Location AP#
Plan Approved for: Sewaoc DIsposa I Water Supply: I'Liblic Private Well
�D — J—
Clearankc f Ot-her n
Hold Final for:
Final clearance O.K. for:
NOTE:
/Ko kni
Environmental 'Health Specialist Da
8/92
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - OroV1lld,'Cafifornia 95965 - Telephone: 916 '538-7541
aloo APPLICATION AND- PERMIT
PERMIT NO.
ASSESSOR PARC.EL NUMBER )90,(901 0
L
ZON 7–s—
BUILDING PERMIT
1,
OWNER
TELEPHONE
SQ. FT. OCC. BUILDING VALUATION
5,9
so
OWNER'S MAILING -ADDRESS
I 2_9 -) I ?,� F [) � r �57�g
CON0fQOR*0M;j
FTELEPHONE
CONTRACTOR'S MAILING A RIESS
6 C/S
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
Filing Fee
$ 15.00
LENDER'S MAILING ADDRESS
Permit Fee
$ 671:56
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$ 33 -7.5 -
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
9 -7 Gri IeGt"
Permit fee
$
PLUMBING PERMIT FilingFee . 15.00
Each Trap
5.00
Solar or heat pump -water heater
20.00
LOT NO.
SUBDIVISION NAME
1
PARCEL MAP
1
Water piping
7.00
Each qas water heater or vent
7.00
USE OF STRUCTURE
S F,/ALDupl exF� MobilehomeFj Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
15.00
Mobile Home I S I G JW 1
15.00
TYPE OF WORK
NewF_ Addition E/__ RemodelEl Utilities 0 Installation[] Other
Describe work: A) D CC
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 15.00
main service 600V OR LESS
200A OR LESS
18.50
Main service 200A TO 1000A)
37.501
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)
1 am exempt under Sec.—, Business and Professions Code
for this reason
NEW CONST. DWELLING OCCUPM
OR ADDNS. ( ACC. BLOGS.
3.64 sq.1t.
NEW CONSTR. MU LT'_OUTLET
NON-RESID, BRANCH CIRCUITS)
@ 5.00
(POWER APPARATUS &)
SINGLE OUTLET CIR.
Ex. Occup( OUTLETS OR FIXTURES
20 V 76d
1AL_ 0 46A
FIXED APPLNS. OR
Ex. Occup. OUTLETS (RESID.) EA.)
1 3.00 OAO
Temporary service
15.00
Mobile Home Facilities
15.00
Misc. Wiring
15.00
Permit Fee
$
Contractor
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
The permit is for $100.00 (valuation) or less.
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.
E] I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
MECHANICAL PERMIT
FilingFee 15.00
Heating
Cooling
[:�Hocd
6.501
Venti lation
Permit Fee
$
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the County ot
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butt e a ins,
all liabilities, judgments, costs, and expenses which may in any wa ccrue
'y
t
against said County in consequence of the granting of this perrpi 7
X Date
Signature of Applicant — Owner El Contractor El Agent
An OSHA permit is required for excavations over 5'0" deep and demolition or construct.
ion of structures over 3 stories in height.
Mobile Home Installation Fee
$ 3q �2�
Energy Inspection Fee —
occ CONST TYPE
TOTAL FEE $
I
JH7
'S I
IMP
PARCEL
I PD
I HD
I ISSUE
This permit is hereby issued under the
sions of the Butte County Code and/or
work indicated above for which fees
DIRECTOR OF PUBLIC
By
PERMIT EXPIRES Date
applicable provi
resolutions to do
have been paid.
WORKS
Date
Receipt NO.
WHITE-O.P.W.. YELLOW-ASSES30R, PINK -INSPECTOR. GOLDEN ROD-APPL I CANT
Permit#357.4-84B
Ken Ball
1297 Larkin Rd,Oro
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541
APPLICATION AND PERMIT
PERMIT NO.
ASSESSOR PARCEL NUMBER
ZONING
BUILDING PERMIT
OWNER
TELEPHONE
SQ. FT. OCC. BUILDING VALUATION
OWNER's MAI,L I ING ADDRESS
/ I I I I . �. - In
k, JU
CONTRACTOR'S NAME
11 ' ' 11 1 1 � I , '. � 4 .--n , I ( T 1� I
TELEPHONE
I
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
JUNKNOWN
Total Valuation i$
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
I
Plan Checking Fee
$
Penalty
$
-
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee
$
BUILDING ADDRESS I
r,
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
Solar Water Heater
20.00
Water piping
5.00
LOT NO.
SUBDIVISION NAME
1
PARCEL MAP
1
Each qas water heater or vent
5.00
Gas piping system 1 - 5 outlets
5.00
USE OF STRUCTURE
SF [I' DuplexFJ Mobilehome[_� Other SPECIFY
Building sewer
5.00
Mobile Home ISI GJWJ
10-00e
TYPE OF WORK
NewD AdditionEl Remode I E] Utilities 0 InstallationO OtherE]
Describework:
Permit Fee
$
Contractor
ELECTRICAL PERMIT
FilingFee 10.00
main service 600V OR LESS
100 AMP OR LESS
10.00
_Y
Main service EA. ADD -L 100 AMP
2.50
NEW CONST. ( DWELLING OCCUP.&)
OR ADDNS. ACC.BLDGS.
21/20sq it
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
I
El 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 .). f
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)
El 1, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
I am exempt under Sec.-, Business and Professions Code
for this reason
NEW CONSTR.( MULTI OUTLET 2.50 ea
NO N.RESID, BRAN��H CIRCUITS)
NEW CONSTR. (POWER APPARATUS &)
NON-RESID. SINGLE OUTLET CIR.
20@50C
Ex. Occup(OUTLETS OR FIXTURES ISALO 300
F IXED APPLNjJDOR
Ex. Occup. OUTLETS (RE .) EA.) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 15.00
Permit Fee
$
Contractor
MECHANICAL PERMIT
FilingFee 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.
ED 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 shal I 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 Countyot
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
against said County in consequence of the granting of this permit.
X Date
Signature of Applicant OwnerEl Contractor Er Agent
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
TOTAL PERMIT FEE $
OCCUP. GROUP
I TYPE OF CONST,
PARCEL
1 .5. E
T.his permit is hereby iSSLed under
sions of the Butte County Code and/or
work indicated above for which
DIRECTOR OF PUBLIC
0,
By -
PERMIT EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date
4
Receipt No.
WHITE-D.P.W., YELLOW-ASSFSSOR. PINK -INSPECTOR. GOLDENROD-APPLI CANT
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541
APPLICATION ANIT PERMIT
PERMIT NO.
ASSESSOR PARCEL NUMBER
A q — 0
ZONING
BUILDING PERMIT
OWNE
TELEPHONE
SQ.FT. OCC. BUILDING VALUATION
ell
A 0
OWNEA'S-MAI LING A
9 QRESS
ol '7 --@ y- P A G7 rid 1,eZ4
CONMa'S NAME ij�e (��
n rs- yb ITELEPHONEI
COP,RACT,X�'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
hy\
CJNKNbWN
Total Valuation 1$
Filing Fee
$ 10.00—
LENDER'S MAILING ADDRESS
Permit Fee
$ /Y, 0
ARCHITECT OR ENGINEER
b
JLICF
_NSE NO.
Plan Checking Fee
$
Penalty
$
ARCHITECT OR ENGINEER'S MAILING ADDRE'SS
Permit fee
$ ;Wor)
BUILDING ADDRESS
aa 7 kay4,-,
PLUMBING PERMIT
FilingFee 10.00
Each Trap
2.00
Solar Water Heater
20-00
Water piping
5.00
LOT NO.
SUBDIVISION NAME
1
PARCEL MAP
Each qas water heater or vent
5.00
Gas piping system 1 - 5 outlets
5.00
USE OF STRUCTURE
SF [RI Duplex F1 Mobi lehomeF� Other
SPECIFY
Building sewer
5.00
Mobile Home I S I G JW I
_10-00e4
TYPE OF WORK
New E] Add I ti Remodel Utilities 1:1 stallationf—I Other Fj
Describe work. i—erlevs ftOLkL
-4- lr+,C- Q 24, QC -9
Permit Fee
$
Contractor
ELECTRICAL PERMIT
FilingFee 10.00
Main service 600V OR LESS
100 AMP OR LESS
10.00
I
Main service EA. ADD -L 100 AMP
2.50
NEW CONST. DWELLING OCCUP.&)
OR ADDNS. ( ACC. BLDGS.
21/20sqft
CONTRACTORS LICENSE LAW
I decla under penalty of perjury (check one):
I am licensed under provisions of Chapt. 9, Div. 3 of the Business
V and Professions Code and my license is in full force and effect.
License No._��� Classification C
EJ 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-
ors. (Sec. 7044)
I am exempt under Sec. Business and Professions Code
for this reason
NEW CON5TR(MULTI-OUTLET
NON_RESID, BRANCH CIRCUITS) 2.50 ea I
NEW CONSTR. I POWER APPARATUS.&)
NON-RESID. %SINGLE OUTLET CIR
20@50t -
Ex. Occup(OUTLETS OR FIXTURES 18AL0 300
IXED AIPLNS. OR I
Ex. Occup. 0 LETS (RESID.) EA.1 2.00
'UT
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 15.00
1 1 1
Permit Fee $
Contractor
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
n The permit is for $100-00 (valuation) or less.
E] I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self-lns�ure.
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 shal I be deemed revoked.
MECHANICAL PERMIT
FilingFeel 10.00
Heating
Cooling
Hood
3.00
Ventilation
—T
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 Countyot
Butte to enter upon the a�ove-mentioned property for inspection purposes.
s gr
I also agree to s - in emnify and keep harmless the County of Butte against
all liabilitie ud e S c st a d �xpenses which ay in any a accrue
a i Cou
st s Cou Y 0C 'o si�cZ
gainst s 0�seque 0 granting of thmis permit.
X Dat
Signature of Appk.n, 0 LY/Contracto�A Agent
An OSHA permit is required for excavations over 5'0" aeep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
$
TOTAL PERMIT FEE 1�� S�
OCCUP. GROUP
TYPE OF CONST.
IPARCELI
PD
1
7sur",
This permit is hereby issued under
si ons of the Butte County Code and/or
work indicated e for which
EC PUBLIC
)COW
By
PERMIT EXPIR
jD�' Da;(--LL—_Z—
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date 11-9
�_A'
Receipt No_.A/",�T7
I
—
WHITE-D.P.W., YELLOW-ASSFSSOR, PINK -INSPECTOR, GOL&ENROD-APPLI CANT
BUTTE COUNTY DEPAR�'MENT bF PUBLIC WORKS
SPECIAL INSPECTION REPORT
Owner: ]A n A.P. #
Address: )1 1-1 /Qd Date of Ins pec t io nl"
Tenant: 0 V1 to Inspector
'Le �� I -� cr
Building Location: -V1 Co 0 2. 1
Type of Inspection requested:
1. Housing ".2. Financing 3. Change of Occupancy to
"4. Other (specify)
Present use of building:
B.
Sanitation (Housi
1. Water closet:
2. Lavatory:
3. Bathtub or shower:
4. Kitchen sink:
5. Hot and cold water to fixtures:
6. Heating facilities:
7. Natural light and ventilation:
8. Room and space requirements -
9. Bedroom window or door for second exit:
10. Infestati�n of insects, vermin, or rodents:
J1. Connection to.sewage disposal:
12. Connection to water supply:
13. Rubbish and garbage facilities:
14. Comments:
Structural
1. Piers and footings:
2. Floor construction:
3. Wall construction:
4. Ceiling and roof construction:
5. Fireplaces:
6. Comments:
C. Electrical
1. Service and ground:
�2. Receptacles:
3. Fusing:
4. Comments:
4
Plumbing
1. Fixtures connected and vented:
2. Gas water heater:
3. Gas heating,vents:
4. �Comme�ts:
E. Other
Maintenance and repair:
2. Fire hazards:
3. Safety hazards:
4. Weather protection:
5. Underfloor and attic ventilation:
6. Comments:
F. Commercial Buildings
1. Roof covering:
2. Distance to property lines:
3. Physically handicapped: _
4. Restroom floors and walls:
5. Exits:
6. Improvements:
7. Zoning:
8. Comments:
G. Field Problems or Violations
I -tallIV10 h eA-J 0 A
1. Problem or violation (give com !te description): q&
V- X !S� 5;� kv k .0 -��E—s g— V�' k" k r LO !!�j P- gy- 'D j
Kj "'A� C' , , N-- Q e -c- V4\'A &
2. What acSion taken_(Aive compLete descript4on):
3. What action recommended:
/ / A. In ' formation only - file.
25�� . Hold for ten days, then write letter.
/7 C. Write letter.
/ L.D. Other:
STANDARD STRUCTURAL PBST CONTROL INSPECTION REPORT
(WOOD -DESTROYING PESTS Oft ORGANISMS)
This Is an Inspection report only—not a Notice of Completion.
ADDRESS OF
RLDG.NO STREET
CITY Gridlev
DATE OF INSPECTION
PROPERTY INSP ECTED
EM -Excessive Moisture ondiflon
K -Dry -Wood Termites FG -Faulty Grade Levels SL-Shovier Leeks
- 12971
Larkin Rd.
CO. CODE 04-3141
11-7-84
FIRM NAME AND ADDRESS
rEDABS TERtAITE CONTROL FIN stamp here on Boajd copy onll#
P.O. Box 785 A LICENSED PEST' CONTROL
Oroville, CA 95965 Phone (916) 534-6768 OPERATOR IS AN EXPERT IN HIS
FIELD. ANY QUESTIONS RELATIVE
FIRM STAMP TO THIS REPORT SHOULD BE
NO. REFERRED TO HIM
L CENSE No. 4076' 054 1
Inspection Ordered bv (Name and Address). Kan and_Ka�L_Bajj,_l1Q7 T.=V-1i" Url I r."4dlay
Report Sent. to (Namd 6nd Address) Samia
Ownees Pismo and Address Same.
Name and Address of a Party in Interest - Wn N n
Original Report 0 Supplemental Report 0 Limited Report 0 Reinspection Report 0 No. of Pages:
YES; CODE SEE DIAGRAM BELOW — YES CODE SEE DIAGRAM BELOW YES CODE SEE DIAGRAM BELOW
YES
CODE SEE DIAGRAM BELOW
S-Sublerranean Termites B-Seetles-Other Wood Pas's Z-Danipwood Termites
EM -Excessive Moisture ondiflon
K -Dry -Wood Termites FG -Faulty Grade Levels SL-Shovier Leeks
IA-Inaccesible Areas
F -Fungus or Dry Rot 2dEC-Earth-wood Contacts CD -Cellulase Debds
FI-Furthet Inspection Recom.
f §UBs,rRUCTURE AREA (soil conditions, accessibility, eic.)' Soil dry - see below
2. Was Stall Shower water tested? No Did floor coveri dicate leaks? No
3. FOUNDATIONS (Type, Relation to Grade, etc.) rnm-re nl-Nnq
4. PORCHES ... STEPS ... PATIOS Wood and Concrete
5. VENTILATION (Amount, Relation to Grade, etc.) Appear_,a&_quafe
6. ABUTMENTS ... Stucco walls, columns, arclies, etc None
7. ATTIC SPACES �Accesslblllty, Insulation,
8. GARAGES (Type, accessibillt , etc.) Det ched not ins cted
9.,OTHER
DIAGRAM AND EXPALNATION OF FINDINGS (Thlas repoit is limited to structure or structures shown on diagram)
General Description 2 st=U frame., hmrA ;gnd ashestas sidi-nq, detax:hed-garage
inspection Tag �Posted (location) ri
Other Inspection Togs
This report covers accessible and visible parts of the building show on diagram. 11 should be recognized that, except as may be noted herein, floors under
carpetings and throw rugs and appliances are considered inaccessible. Furniture. storage, appliances or personal effects are not removed for Inspectlom It
further Inspection of any area Is desired by the Interested parties It will be pedormed upon written authorization.
SUBSTRUCTURE:
1. Wood rot- and termite damage hoted in sills and portions of underpining around the entire
permeter.foundation. Replace all structurally -weakened wood members.
2. Cleantout all scrap wood debris from subarea and spray infested areas as per manufacturers
specs for termite control.
3. Cut off termite damaged base of girder supports and install concrete piers.
Repairs to comply with local building authorities.
/ L
L
inspected by Ed Griffin License No 1289 Signature—,
YOU ARE ENTITLED TO OBTAIN COPIES OF ALL REPORTS AND COMPLETIO4 NOTICES ON T141S PROPERTY FILED WITH THE 130ARD OU41NG THE PRECEEDIfO IWO YEARS
UPON PAYMENT OF A $2.00 SEARCH FEE TO STRUCTURAL PEST CONTROL BOARD, t430 HOWE AVENUE. SACRAMENTO. CA 95825
I
Orr
RESIDENTIAL
24-08-90
906-90B
BALL, Ann K.
1297 Larkin Rd, Gridley
(sf add. open deck)
JOB FINALE
Signature
f
;=OK
0 = Not OK
= Not Applicable
= Not Ready MOBILE HOMES
Date
MOBILE HOME UTILITIES (Plans) OK except Ws
1. Zoning Requirements -Setbacks -Easements
2. Soils; Special MH Support Sketch
3. Sewer; Location -Test -Fall -C/O Concrete
4. Water; Location -Test -Easement Needed (Sketch)
5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete
6. Gas; Location -Test-Wrap: / P'L"It.
/ P'Nat. or/ /%"ftJ P'LPG
7. Utility Clearance
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
MOBILE HOME INSTALLATION (Plans) OK except #'a
1. Zoning Req u ire ments-Setbacks Easements
2. Footings; Size -Spacing -Marriage Line
3. Gas; MH Test-Dernand-Valve-Connector
4. Electricity; MH Test -Crossovers -Breakers -Clearances
5. Drain; MH Test -Fail -Flex Connector
6. Water; MH Test -Regulator -Connector
7. Water and Sewer Connected -C/O to Grade -HD Approval
8. Gas and Electricity Tagged
9. Exits; Insp.-Sketch
10. Cart. of Occupancy
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
MISCELLANEOUS
Date DEC", COVERS, CARPORTS, GARAGES, (Plans)OK except #'s
L4"Zoni_0" equirements-Setbacks-Easements
a-Fo'oti!IWSoils-Size-Depth-Spacing-Connectors-SteeI
,XAYe-cks; Griders and/or Joists- Decki ng-Braci ng-Sta i rs-Rails
+-Wood-Awn.-,-Pugrs--tea—ms-Rtirs.-Connectors
Shthg.-Rfg.-Bracing
mns-Connections-Splice-Decal-Enclosures
6. CupGFts-,Wtndows-Doors
7,1�#W,,—
Vg.-Frmg; Sils-Anchors-Studs-Rftrs-Trusses
4L-Skong,-NWwn-g--Ve—neer-Stucco-Mash
-4 �., �g- ooEfing
_tj4-'fxt.; Steps -Doors -Landings
Dat%A'�� E:�4j_Q Card B-1 Date Card.13-1
Date Card B-1 Date Card B-1
Date POOLS (Plans) OK except Vs
1. Setback -s -Easements
2. Soils; Compaction -Structure Stability
3. Pool Structure; Steel -Connections -Thickness
Dead Men -Lining
4. Elec.; Receptacles and Lighting, Distances-GFI
5. Elec.; Pool Lighting; 15 volts-GF1
6 . Elec.; Enclosures; Conduit Entries -Terminals -Listed
7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater
'S. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg.
Boxes-Enclosures-Panalboards-ins. to Main in Conduit
9. Health Department Approval
10. Plumb.; Cir. Test -Water Supply Test
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
V OK
0 Not OK
Not Applicable
Not Ready
RESIDENTIAL (%E
Date UNDERFLOOR (Plans) OK except #'s
1. Zoning -Setbacks -Easements -Flood -Slope
2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth
3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth
4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth
5. Sternwalls, Main; Steel -Bloc kouts-Wra pped
6. Stemwalls, Garage; Steel-Blockouts-Wrapped
6a. Hold Downs and Special Anchors
7. Slab; Steel -Wrapped
8. Piers -Fireplace Ftg.-Steel
9. D.W.V.; Fall -Fitting -Test -2 Way C/0 -Sewer Test
10. Gas Pipe; Size -Anchors
11. Water Pipe; Test -Anchor -Regulator -Service Test
12. Electric; Underground
13. Pienums & Ducts; Clea rance-Material-Su p port- ins.
14.--Girders-Sills-Anchor Bolts -Joists -Vents -Cripples
15. Insulation
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date PLUMBING (Permit) OK except #'s
16. Water Htr.; Vent -Access -Combustion Air -Baffle
17. Water Pipe; Test & Anchor -Nail Protection
18. D.W.V.; Test -Fittings & Anchor -Nail Protection
19. Shower Pan: Test, First Floor -Tub Access
20. Test Tub & Shower, Second Floor -Tub Access
21. Gas Pipe; Size & Anchors
Date Card B71 Date Card B-1
Date Card B-1 Date Card B-1
Date ELECTRICAL (Permit) OK except #'s
22. Fixture & Transformer Clearance -Ins. Protection
23. Elec. Receptacles Spacing -Lights & Switches at Doors
24. Size Boxes & No. of Conductors -Stapled
25. Romex lnstalle� Close to Edge of Studs & C.J.
26. Equip. Ground made up w/Mech. Fastners-Bond Gas & Water
27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI
28. Subfeed Wire Size ga. Cu or AI-A.C. Wire Size ga.
Cu or At
29. Range Circ. ga. Cu or Al -Oven Circ. ga. Cu or Al.
Insulated Neutral 0 Yes No
30. Service -Riser Conductors & Ground -Main Disconnect
31. Equip. Clearances Panels-Motors-Mech. Equip.
32. Clothes Closet Light -Shower Light -Spa Light
33. Smoke Detecto
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date MECHANICAL (Permit) OK except It's
34. A.C. Ducts Insulation & Support
35. Vent Fan; Exhaust above insulation
36. Condensate Drain & Overflow; Size & Grade
37. F6rnance-Vent; Access -Comb. Air -Return Air Vent -1 15 outlet
38. Attic Access & Platform if Furnance in Attic
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date FRAMING (Plans) OK except #'s
39. Sils, Proper Material & Anchors
40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound
41. Bearing Walls over Girders & Floor Nailing
42. Draft Stop in Walls (rat proof)
43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub
44. Headers & Beam -Size & Bearinq
(NOTE: An entry must be mac
,Ingle & Duplex)
Date FRAMING (Continued)
45. Hangers -Post Caps -Anchors -Connectors
46. Ong. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Rfng.
47. Fireplace Ties or Type A Flue -Fireplace Throat clearance
48. Attic Access; Size & Romex Protection -Draft Stop -ins. Baffles
49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions
50. Garage Fire Protection Framing
51. Property Line Firewall & Openings
52. Ext. Doors -One T -Check Garage -3rd Story, 2 Exits
53. Stairs; Width -Head room -Ri se -R un- Landing -Fire Protection
54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers
55. Siding -Nailing Veneer
56. Stucco Mesh -Drip Screed -Fd. Vents-UnderfIr. Access
57. Glazing Area -Glass Protection - Skyl ig hts- Plastic,
58. Shear Walls; Nailing -Bolts
59. Insulation -Walls -Ceilings
60. Infiltration -Walls -Windows
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date FINAL (Plans) OK except #'s
61. Ext. Steps -Door & Sidelight Protection -Landings
62. Smoke Detector
63. Furnace; Vents -Clea ran ce-Co mb. Air -Connector -
In Garage; Above Floor-Ducts-Mech. Protection
64. Bedroom Exiting
65. G.F.I. & Bath Fixtures & Tub Access -Spa
66. Elec. Trim & Subpanel; Breaker Sizes & Labels
67. Stairs & Rails
68. Fireplace or Stove; Clearances -Hearth
69. Elec. Outlets at Wood Panel; Int. & Ext.
70. Kit.Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance
71. Elec. Outlets & Receptacles at Kit. Counter
72. Garage Fire Door; Swing -Landing -Closer
73. A.C. Duct in Garage -Damper
74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.
In Garage; Above Floor-Mech Protection
75. Plb., Elec. & Mech. Equip. Listed for Location
76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protection
77. Insulation -Foam -Looked in Attic 0 Yes
78. Guard Rails & Deck Cc nst ruction- Post Caps
79. Fdn. Vents & Craw I Hole Door -Drainage & Wood -Earth
Clearance Looked under Floor 0 Yes
80. Following instid.; Drive 0 Yes 0 No; Walks 0 Yes 0 No;
Planters 0 Yes 11 No
81. Stucco; Brown -Finish
82. A.C. Unit; Disconnect, Electrical. Plumbing
83. Vents Above Roof; PI bg.-Appl iance- Fi rep lace. -Cl eara nce to
Openings
84. Water Well; Disconnect, Electrical. Plumbing
85. Exterior Elec. Trim: G.F.I. Receptacle- Unde rg round
86. Ventilation Throughout House
87. Glass Protection
88. Corrections from Previous Inspections
89. Gas Test -Meters Tagged; Gas -Electric
90. Water & Sewer Connected -C/O to Grade -HD Approval
91. Energy Compliance Certificate -Other Certificates
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Comments at Final:
a each time you visit job site)
- COUNTY OF,BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville , Califor ' nia 95965 - Telephone: 916/538-7541
APPLICATION AND PERMIT
,RERMIT NO.
ASSESSOR PARCEL NUMBER
24-08-90
ZONING
A5
BUILDING PERMIT
OWNER
Ann K. Ball
TELEPHONE
846-4844
SO. FT. OCC. BUILDING VALUATION
192 OPEN 960
OWNER'S MAILING ADDRESS
1297 Larkin Rd. Gridley 95948
CONTRACTOR'S NAME ITELEPHONE
owner
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
nonp-
OWN
Total Valuation Is
Filing Fee
$ 10.00
LENCER'S MAILING ADDRESS
Permit Fee
$ 17.50
ARCHITECT OR ENGINEER
nonp
LICENSE NO.
Plan Checking Fee
$ 15.00
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS 1297 Lirkin Rd.
Permit fee
$ 42.50
PLUMBING PERMIT
FilingFee 10.00
Each Trap
2.00
d 1 ev
Solar or heat pump water heater
20-00
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Water piping
5.00
Each gas water heater or vent
5.00
USE OF STRUCTURE
SFffX DuplexR MobilehomeR Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home I S I G JW I
10.00el
TYPE OF WORK
NewO Additiono Remodel E] UtilitiesEl InstallationEl oth'er
Describe work: GIREN DECK
I
Permit Fee
$
Contractor
ELECTRICAL PERMIT
FilingFee 10.00
6001 OR LESS
Main service 100 AMP OR LESS
10.00
Main service EA. ACO -L 100 AMP
2.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
F I am licensed under provisions of Chapt. 9, Div. 3 of the Busines S
and Professions Code and my license is in full' force and effect.
License No. Classification
1, as the owner, or my employees with wages as their sole compen-
LA 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 UVIILICIL;I-
ors. (Sec. 7044)
E] I am exempt under Sec.—, Business and Professions Code
for this reason
NEW CONST. DWELLING OCCUP.&)
OR ADDNS. ACC. BLDGS.
2/20sqft
NEW CONSTFI_ "ULT' -OUTLET
N ON.RES'D BRANCH CIRCLJITS)
2.50 ea
(POWER APPARATUS &)
SINGLE OUTLET CIR.
Ex. Occup(OUTLETS OR FIXTURES
0@50C
eAL@ 30C
FIXED APPLNS. OR I
Ex. Occup. OUTLETS (RESID.) EAJ
2.00
Temporary service
10.00
Mobile Home Facilities
15.00
Misc. Wiring
15.00
Permit Fee
$
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
The permit is for $100.00 (valuation) or less.
I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
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 becomeiouu ""
to the.W. C. provisions of the Labor Code, you must forthwith comply w th such
provisions or this permit shall be deemed revoked.
Contractor
MECHANICAL PERMIT
Fi I ing Fee 10.00
Heating
Cooling
—Hood
3.00
Ventilation
Permit Fee
$
Contractor
I certify that I have read this application and state that the above info'rmation
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, indemnity and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
against said County in c Mnsquence of the granting of this permit
X domen Date
Signature of Applicant — OwnerE] ContractorE] Agent ID
An OSHA permit is required for excavations over 5'0" deep and demolit'ion or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee
occ
—
CONST TYPE
I TOTAL FEE $ 42.50
_�.A Z
UA
P_ I
=
SCHL
I --
1. FLD
—
�PARJ
I
PO
I HJD� ISV
Th:s permit is hereby issued under
sions oi the Butte County Code and/or
work indicated above for which fees
IRE TO�
,OF PUBLIC
By - ldv( y
PERMIT EXPIRES Date
the applicable provi-
resolutions to do.
have been paid.
I
WORKS
e
t4
Receipt No. 59190
WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD-APPL I CANT
COUNTY OF BUTTE, -
,DERARTMENT OF PUBLIC WORKS
7.County Center Drive - Orovilli, California 95965 - Telephone: 916;*538-7541
APPLICATION AND PERMIT
PERMIT NO.
ASS�SOR PARCELgMIE.�o
ZONING
BUILDING PERMIT
OWWIER
TELEPHONE
SO.FT. . OCC. BUILDING VALUATION
OWNER'S MAILING A ESS
I (, JZR
1'�q � L, Li�iTT
CONTRACTOR'S NAME
/",) u,-, VL V-
ELEPHONE
C 'tr-
NTRACTOR'S MAILING ADDRESS
Fireplace
C:VUCTION LENDER
jq Y -L &
UNKNOWN
Total Valuation
LENCEN*S MAILING ADDRESS
ARCH1jTJCT OR ENGINEER LICENSE NO.
'Wi9vie
Filing Fee
$ 10.00
Permit Fee
Plan Checking Fee
$ S 0
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Energy Plan Checking Fee
$
Penalty
$
13UILOING ADDRESS
9�
Permit fee
$
A 40)
PLUMBING PERMIT
FilingFee 10.00
Each Trap
2.00
r �d
Solar or heat pump water heater
20.00
LOT NO.
UBOIVISION NAME
is
PARCEL �`AP_
Water piping
5.00
Each Cias water heater or vent
5.00
USE OF STRUCTURE
SF4 DuplexF� Mobilehome[] Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00.
Mobile Home I S I G JW_F_
10-00e,
TYPE OF WORK
NewD Addition Rem Utilities Install t' nEJ' Other
Describe work: poly-
—Permit Fee
$
Contractor
ELECTRICAL PERMIT
Fi I ing Fee 10.00
Main service 6001 OR LESS
100 AMP OR LESS
10.00
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)
0 1, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
F� I am exempt under Sec.—, Business and Professions Code
for this reason
Main service EA. ADD -L 100 AMP
2.50
NEW CONST DWELLING OCCUPM
OR AODNS,* ( ACC. BLOGS.
—
2/20sqft
NEW CONSTR. MULTI -OUTLET
N ON,RESIO, BRANCH CIR C UITS)
2.50 ea I
(PO ER APPARATUS.&
SINWGLE OUTLE T CIR
Ex. OCCUP( OUTLETS OR FIXTURES
1.20@50C
ALC- 30d
FIXED APPLNS OR
Ex. Occup. OUT.LETS ( RESI* 0 .) EA.)
1 2.00
Temporary service
10.00
Mobile Home Facilities
15.00
Misc. Wiring
15.00
Permit Fee
$
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
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.
I shall not employ any person in any manner so as to become subject
to the W. C. laws of California. .
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
Contractor
MECHANICAL PERM!T
Fi! i N Fee 10.00
Heating
Cooling
Hood
3.00 -
Ventilation
Permit Fee
—contractor
$
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the County ot
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may. in any way accrue
against said County in consequence of the granting of this.permit.
X 'Date
.Signature of Applicant Owner Contractor 11 Agent
An OSHA permit is required for excavations over 5*0" deep and demolition of construct-
ion of structures over 3 Stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
CONST TYPE
TOTAL FEE $
HAZ
I CUA
P��
FLO
I PAR
PC)
HOJ
ISSUE
T.h'. s permit is hereby issued under
sions of the Butte County Code and/or
wo rk indicated above for which fees
DIRECTOR OF PUBLIC
By
the applicable provi-
resolutions to. -do
have been paid.
WORKS
Datii
Receiot No. 6,9- -1-9 0
COUNTY OF BUTTEb��rt'ment of Public Works
7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541
OWNER -BUILDER VERIFICATION
. Attention Property Owner:
An "owner -builder" building permit has been applied for in your name and bearing
your signature.
Please complete and return this information at your earliest opportunity to avoid
unnecessary delay in processing and issuing your building permit. No building permit
will be issued until this verification is received.
I personally plan to provide the major labor and materials for construction of
the proposed property improvement (yes or no) QZ.,L:�
I (have/have not) signed an application for a building permit
for the proposed work.
3. 1 have contracted with the following person (firm) to provide the proposed
construction:
Name
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 I ,
11 City
Phone Contractors License No.
5. 1 will provide some of the work but I have contracted (hired) the following
persons to provide the work indicated:
Name Address . I Phone Type of Work
Signed: Ld J
.-Property Owner Ax� !I -T -
Social Security Number � -
,-Date 0
NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and
19832 of the California Health and Safety Code.
This verification must be completed and returned to our office before we are per-
mitted to issue the permit.
VIA
COUNTY OF BUTTE - DEPARTMENT.OF PUBLIC WORKS - BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVItLV, CALSFORNIA 95965 - TELEPHONE: 91 6/538r754l
PERMIT APPLICATION DATA SHEET
Permit No.
OWNER— An Y7 K A. P. No. Jo� - 0 90
Proposed Building Use 4010-1 hp'c�/Sr_ Building Inspector Date4SZ�0/96?
At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance:
DATE RECEIVED APPROVED
41. All ite ha e bee bmitted . ....................................
_,p ms V U I
_QrN,2. Plot plans in piic -1 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 ....................................................
hool D istfilct fees paid .......... ...
I
:�X3.
41. Sanitation approval from Inou 1 1( 6 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
21. Contractor's license information (No., Name Style, Classification) ...
(Date)
22. Certificate of Workmans Compensation Insurance ..................
23. Owner -Builder Verification (Given to owner 0, Mail to owner cl) .....
24. Recorded copy of Agricultural Acknowledgment Statement .........
t
25. Letter of signature authorization ...................................
26.
27.
Wh ou issue the p rmit process as follows: Mail to owner. —Mail to contractor.
1 41
Telephone hold for p
p ckup at —OrOoffice. —Del.iver w/inspector.
Other g=�jjC 09 V\
Applicant &Iy�
Date he
Copy of Haz-Mat form sent —Health Dept. —Fire Dept - ----- Air Pollution
Date
Copyofplanssent ___HealthDept. ____FireDept. —Other— Date
By
The following data must be submitted prior to permit issuance: (Circle new item not checked above).
1. Index permit for above items No.
2. A dditional items required:
Contractor, designer, owner, was advised of above required data by—phone---mai I —counter by—clate
Contractor, designer, owner, was advised of above required data by —phone —ma I I —counter by—
Plans checked by Date Plans approved by
date
Date
-Sets of plans on hold in —File cabinet _AP folder
Copy—DPW
4
TO ...Suildinq Department
FROM: Environmental Health
SUBJECT:. Sanitation Clearance
Owner Location
AP#
Plan A0p.roved for: Sewaqe DisDosal CL
Hold final for:
Water Supply
Final clearance O.K. for: Water Supply
Clearance for — bedroom mobile home. other 17-YzL/
N6TE
r
SA.nitar�
9-30-30
Date
WAY,*
ark
MO or is .40:
new
.m,h9C-S or al�
n e
m tam fmm DWvmmt AWk
MOM—Al RhftAofi M Wmbmvi*p McM % it,
Accort!uice wifh- Rem-ognimed Good Procfices and
ot a qucii-�"l-," PreSCr1'-'-E.---.-S' f0f- ffM-' SPC-C",fGj �3.130 in thE
Unifismi, Building, PliumWng & ww1akul Cocks gn�
tile, uAdw," NOW&W CdMIN
AN
S / /-: owe Ili nj
Ope V\ f)(20 1<
of 5.,ft.
J." sotbacj�. I. nd a setback
property I the road
of -0". iroln J'Sar of
C..W11ne shall be C,,w WOW.
V. or equ'P'
of 8. 2 ft. es
-VIP rox
I'd 0,
1*4
kip 14
r4
(A
LPN
0 4''
ICA.,
I Z '- '? , , --+- c
Ice,
;L
cr
F-7
N�j
tt
\4 I:z -
lz
=.I 0,
49
I Z '- '? , , --+- c
Ice,
;L
cr
24-08-90
I 186-90E
BALL, Ken
�2T7 Larkin Road, Gridley
e e, sor ch/North Valley Electric)
OFFICE COPY
Address
GAS
Meter By--� Date_
ELECTRIC
Meter By—__( z? D�te-1-7
L4
t
OFFICE COPY
Address
GAS
Meter By--� Date_
ELECTRIC
Meter By—__( z? D�te-1-7
L4
7 1_11�.I�qi�l .!�:111111111!i�1,11111�,l�l�l:�l!��:1::Illlllllll�l�l!��llili,:I,I:,Illll!,!: ?WA��
"WNW,'_ I �AWRWT�q
COUNTY OF BUTTE -\Dl��,ARTMENT OF PUBLIC WORKS PERM.T NO
7 County Center Drive - 6rov_iI'1e,'C1'1ifor;ia."95965 - Telephcne: 916/538-7541
APPLIGOON AND PERMIT
ASSESSOR PARCEL NUMBER
_241-aX- �FIQ
ZONIN
I
, BUILDI.NG PERMIT
0 w7e
TELEPHONE
SQ.FT. OCC. BUILDING VALUATION
OW ER'S MAIL N ADORE SS4
/,/"4, C(—
�CONTWACTOR
S AME
C NTRACT SM ]LING AD RESS
!9// __rRN6WN
Fireplace
c6NSTR`UCTION LENDER
A"2I XJ c
Total Valuation $
Filing Fee
$ 10.00
LENDER'S MAIZING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
llt� lei ty"
LICENSE NO.
Plan Checking Fee
$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
ZJ 5� 7- LW,9!2t,,/ 2�7d,
Permit fee
$
PLUMBING PERMIT
FilingFee 10.00-1
Each Trap
2.00
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAME
1 1-
PARCEL MAP
1
Water piping
5.00
Each qas water heater or vent
5.00
USE OF STRUCTURE
SFZI,o �Duplex[] MobilehomeF� Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home S I G I W
10.00 ea
TYPE OF WORK
New F� Addition -D RemodelEl Utilities[] InstallationEl Other4Rr
Describe work: Z .4
I
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
600V OR LESS
Main service 100 AMP OR LESS
10.00
Main service EA. ADO'L 100 AMP
2.50
CONTRACTORS LICENSE LAW
I de la under penalty of perjury (check one):
C
I am licensed under provisions of Chapt. 9, Div. 3 of the Busines S
and Professions Code and my license is in full force and effect.
License No. Classification C-/,9
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 contracti'ng with licensed contract-
ors. (Sec. 7044)
I am exempt under Sec.—, Business and Professions Code
for this reason
NEW CONST. ( DWELLING OCCUP.&)
OR ADDNS. ACC.BLOGS.
2/20sq it
NEW CONSTR. MULTI.OUT L ET
NON*RESIC, BRANCH CIR C', TS)
2.50 ea
(POWER APPARATUS.&)
SINGLE OUTLET CIR
Ex. Occup(OUTLETS OR FIXTURES
120 @ 50C
SAL@ 300
FIXED APPLNS. OR
Ex. Occup. OUTLETS (RESID.) EA.)
1 2.00
Temporary service
10.00
Mobile Home Facilities
15.00
Mis Wiring
..9. 4fly oe &Ir
15.00 173 �,_v —o
� F�_ I'Ay7d 6X
Permit Fee
$
Contractor
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
The permit is for $100-00 (valuation) or less.
I have placed on file with the County of Butte Building Department
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: k
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, y6V must forthwith comply with such
provisions or this permit shall be deemed revoked.
MECHANICAL PERMIT
FilingFee 10.00
Heating
Cooling
Hood
3.00 1
Ventilation
Permit Fee
$
Contractor
I certify that I have read this appi-ication and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the Countyot
Butte to ente pon the above- - mentioned property for inspection purposes.
I also a( :r Ikeep harm e s
g r �ee ousave,1ndemn2 aq the County of Butte against
S cos'
0 ts, P,
all liabili s, judgments S ndo ex enses hich may in any1way accrue
agal si i d ountyi in ;.O�se,
n. i C oc"s..'c'e f the gra.ling of this permit.
X_ Date
SiglatJre of Applicant -r– �,/n e r El C.9 Air ctor El Agent ,�cfdr
An OSHA permit is renired for excavations over 5'0" deep and demolitiR*Vr fdn/tfCct-
ion of structures over stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
— '
ONST TYPE
I TOTAL FE'E $
_5—J, .
H�Z
CUA I
PA RK
I SCHL.'J,_rI_D
PAR
I PD I F�D I
ISSUE
Th;s permit is nereby issued under
sions of the Butte County Code and/or
work indicated above for which fees
BY ,,D11RECTO,,,0F PUBLIC
PER T EXPIRES Date
the applicable pro
resolutions tovd'o-
have been paid.
WORKS
Datee/_ 7-3—.4,
Q — 7.7--
Receipt No. V // ,
WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDEN ROD-APPL I CANT
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Oroville — Phone: 538-7541
747 Elliott Road, Paradise— Phone: 872-.6307
CORRECTION NOTICE
- 1;
MIT
A routine inspection indicates that the following violations of County Ordinance
exist at the above address and should be corrected. Please notify this office
when correction of work is completed. If you have any question pertaining to this
matter, or need additional explanation, please contact this office immediately.
QAJ.-
Inspector— 0, 77';—/ Date
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 1P
7 County Center Drive - Orovil�6, 'Cali?6rnia 95965 - Telephone: 916/538-7541
APPLICATION AND PERAIT
ASSESSOR PARCEL NUMBER
J V-- /"7 'T
ZONING
BUILDING PERMIT
OWN
Ra //
TELEPHONE
SO.FT. Occ. BUILDING VALUATION
0 ER'S MAIL�NG ADDRESS
Vfg Zgxlpa
CONTRA A
/)Vo 7, %Ze
TEL:EPHONE
C CTNTR A S MAILING AD
&Z 'K 911 IVR ES
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation is
Filing Fee
$ 10.00
LENDER'S MAIrING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
.1" /J Ir
CENSE NO.
Plan Checking Fee
$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS Z
Permit fee
$
PLUMBING PERMIT
FilingFee 10.00
Each Trap
2.00
C/h ev
Solar or heat pump water heater
20-00
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Water piping
5.00
Each qas water heater or vent
5.00
USE OF STRUCTURE
SF El- �Duplex [] Mobi lehome n Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home S I G I W
10-00ea
TYPE OF WORK
NewD Addition [I � RemodelEl Utilitieso InstallationE) Other4��r_
Describework: rgz�l
PermItFee
$
Contractor
ELECTRICAL PERMIT
Fi I ing Fee 10.00
Main service 6101 OR LESS
100 AMP OR LESS
10.00
Main service EA. ACC -L 100 AMP
2.50
CONTRACTORS LICENSE LAW
I declar under penalty of perjury (check one):
'71 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. _V_ Z!V&P�T Classification 0
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)
F] I am exempt under Sec.—, Business and Professions Code
for this reason
NEW CONST. ( DWELLING OCCUP.N)
OR ADDNS. ACC.BLDGS.
2/20sqft
NEW CONSTR MULTI -OUTLET
_N ON.RES'., BRANCH C"'C', TS)
2.50 ea
(POWER APPARATUS al
SINGLE OUTLET CIR.
Ex. Occup(OUTLETS OR FIXTURES
20050c
5AL@ 30q
FIXED APPLNS. OR I
Ex. -Occup. OUTLETS (RESID.) EA.1
2.00
Temporary service
10.00
Mobile Home Facilities
15.00
Mis
,�. Wiring
15.00 0 C>
i a, L—_ /
Permit Fee
$
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
The permit is for $100.00 (valuation) or less.
I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -insure.
I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
Contractor
MECHANICAL PERMIT
Fi I ing Fee 10.00
Heating
Cooling
Hood
3.00
Venti lation
Permit Fee
$
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the Countyot
Butte to ent n th above-mentioned property for inspection purposes.
I also a, eg� culpoe, eindemnify anokeep harmle the County of Butte against
11 liaoill S, judgments imd expenses hich may in any way accrue
a' . d (C t - �o�se
g I I o n 1'�� e of the gra Ing of this permit.
714 'i P s u,7-,, , cmos'l Da /e��
- Mu Y01 te
* � Jre of Appli/cont/— el
S 1 -goo - ' �./nerEl Cq /tractor El Agent [31�/ J� dr !�"4
An OSHA permit is re�uired for excavations over 5'0" deep and clemolitigWr loltocct_
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
Occ
CONST TYPE
_[��
TOTAL FEE $
HAZ
I CILIA
FLD
I PAR
PD �;D
ISSUE
This permit is nereby issued under
sions oi the Butte County Code and/or
work indicated above for which fees
UBLIC
By— 9-�
PE ReIT EXPIRES Date
the applicable provi-
resolutions to do
have been paid.
WORKS
0
Z
Receipt No. G V/J/ -
WHITE-D.P.W., YELLOW -ASSESSOR', PINK-INSPFCTOR. GOLDEN ROD-APPL I CANT
COUNTY OF BUTTE.- DEIPART94�,T' BUILDING DIVISION
M PUEWIC WORKS
7 COUNTY'"CENTER DRIVE - OROVILLE,'G A'61P(AININ'
TELEPHONE: 916/538-7541
PERMIT APPLICATION DATA SHEET
Permit No.—
OWNER P. No. .261 -
Proposed Building Use A Building Inspect Date
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, sigged by preparer. of plans
4. Complete engineered plans and calcs: with wet signature on plans
5. Hazardous Material Form ................. I .......................
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
,,;_>_�_Driveway permit (constructio pprova�,Irequired 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 0, Mail to owner 0) .....
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. ___4fff::�Mail to contractor.
Tel , ephone and hold for pickup at —office. Del * iver w/inspector.
Other IT
Applicant4 Date �I-At7v
Copy of Haz-Mat form sent —Health Dept. —Fire Dept. ----Air Pollution Date
Copyofplanssent ---HealthDept. —FireDept. —Other— Date— By
The following data must be sub mitted 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---inai I —counter 6 , dat
Contractor, designer, owner, was advised of above required data by—phone—mall—co u nter Z�dat:
Plans checked by Date Plans approved by Date
Sets of plans on hold in —File cabinet _AP folder
Copy—DPW
PRE-INSPE,rITION
OWNER: DATE
LOCATION: A. P. #
CONTRACTOR:
PRE -INSPECTION FOR:
ZONING
DATE TO INSPECTOR-
-----------
PERMIT HISTORY: NONE An L-�7
Al- Agh --,- le5
4A,, /)
If �� i e -,FL
a,l)
TYPE OF OCCUPANCY -->
FIELD - INFORMATION
BUILDING USAGE: YL,-:,
TENNANT:-Aeki
F";�YOCCUPIED HAS ELECTRIC F,�o 14AS GAS npAS SANITATION -FACILITIES
L-41
7—
HEATED-COOLED PERSON CONTACTED L.? VA e r et c o —
OTHER COMMENTS: Wa -/6
A�CT
,XN RECOMMENDED:
ISSUE HOLD FOR
OTHER:'
BY '
DATE 0
u
Permit#2433-87P,E,M
Ken Ball
1297 Larkin Rd
COUNTY OF BUTTE - DEP,�RTJMENT OF PUBLIC WOR.KS PERMIT NO.
7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541
APPLICATION AND PERMIT
ASSESSOR PARrEL NUMBER
q0
ZONING
BUILDING PERMIT
OWNER
TELEPHONE
SQ.FT. OCC. BUILDING VALUATION
OWNER'S,'MAILIN'8 ADDRESS,
CONTRACTOR'S NAME
TELEP ONE
CONTRACTOR'S MAILING ADDRESS
40 L
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation Is
Filing Fee
10.00
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
LICEN5�1 NO.
I
Plan Checking Fee
$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
(9 7 L
Permit fee
$
PLUMBING PERMIT
FilingFee 10.00
Each Trap
2.00
Solar or heat pump water heater
20-00 f
LOT NO.
SU BDIVISION NAME
PARCEL MAP
Water piping
5.00
Each qas water heater or vent
5.00
L'U
USE OF STRUCTURE
SF DuplexF� MobilehomeF-1 Other SPECIFY
Gas piping system 1 - 5 outlets
00
4- 5-00
Building sewer
5.00
Mobile Home S I G
0.00 ea
TYPE OF WORK
New F� Addition 0 Remode 1 [:1 Utilities Installation Other
Describe work:, -e-.
J
I
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service GOOV OR LESS
100 AMP OR LESS
10.00
Main service EA. AOD'L 100 AMP
2.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check.one):
I am licensed under provisions of Chapt. 9, Div. 3 of the Busines S
and Professions C de n my license is in full force and effect.
1
License No. Classification C-7 o
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 CVIILFdCt-
ors. (Sec. 7044)
I am exempt under Sec.—, Business and Professions Code
for this reason
NEW CONST DWELLING CCU1.(W
OR AD.NS. ACC.BLDGS. 2/20sqft
NEW CONSTR MULTI-OLITLE T
NON . RE SI D. BRANCH CIRCUITS) 2.50 ea I
(POWER APPARA TUS.&)
SINGLE OUTLET CIR.&)
2OG50C
Ex. Occup(OUTLETS OR FIXTURES Is AL@ 301
FIXED APPLNS. OR
Ex. Occup. OUTLETS (RESID.) EA.) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 15.00
Permit Fee $
Contractor
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
F� The permit is for $100.00 (valuation) or less.
E] I have placed on file with the County of Butte Building De�artment
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -insure.
NKI 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 makihg 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 re�oked.
MECHANICAL PERMIT
Fi I ing Fee 10.00
Heating
Cooling
Hood
3.00
Ventilation
Permit Fee
$ V J o o
Contractor
1 certify that I have read this-applic�tion and state that the above information
is correct. I agree to comply to' al I County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the Countyot
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, ihaen�nify and keep harmless the County of Butte against
all liabilities, ju�gmlehts-,-,costs, and expenses which may in any way accrue
against-84id 0)�(r�it� 6ns qbenee of the granting.of this permit.
,, in 6 !�� -7-,7
X Date 0 _6�7
Contractor
Signature of Applicant Owner 0 Agent F1
An OSHA P�r`mit is required for excavations over 54" Heep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee,
$
Energy Inspection Fee
TOTAL PERMIT FEE -
OCCUP.1
CONST.TY!EJ
I
_,
Ix
I FLOODI
P�RCEL.J
PD
I NO
I 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.
DIRECTOR'OF PUBLIC WORKS
-1 1 / �f
By Date
PERMIT EXPIRES Date— 7/.
Receipt No. ,� , -/ �,
WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD-APPL I CANT
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
196 Memorial -Way, Chico — Phone: 891-2751
7 County Center Drive. Orovi I le — Phone: 538-7541
747 Elliott Road, Paradise — Phone: 872-6307
CORRECTION NOTICE
ER
Oq-33 -91
PERMIT NO.
A routine inspection indicates that the following violations of County Ordinance
exist at the above address and should be corrected. Please notify this office
wheq correction of work Is completed. If you have any question pertaining to this
mat(pr,—or n oitionai explanation, please contact this office Immediately.
.V
2'. ZS--�.— 1 11 1 A / A
Inspector Date
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
4 — ' *�
7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541
APPLICATION AND PERMIT
ZE MIT Nl�/
0"
71 7 S I
ASSESSOR P��LqLJMBER
ZONING
BUILDING PERMIT
OWNER
TELEPHONE
SO.FT. OCC. BUILDING VALUATION
OWNER 'VMAI Ll NG ADORES,
1��f 7 L
CONTRAC S A
71 7-.:v
PHONE
CONTRAC' AD61RMS S
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation Is
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
E NO.
Plan Checking Fee
$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
Permit fee
$
PLUMBING PERMIT
FilingFee 10.00
Each Trap
2.00
Solar or heat pump water heater
20-00
LOT NO.
SUBDIVISION NAME
1
PARCEL MAP
1
Water piping
5.00
flO-00e�
Each qas water heater or vent
5.00
USE OF STRUCTURE
SF
/tia Duplexn Mobilehomen Other SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home S I G I W I
TYPE OF WORK
New n Addition [:1 Remodel n Utilities [I Inst:211a ionEl Otherp�
Describe work_��,-�� 2J&2ZtdZ e4
I
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 600V OR LESS
1 00 AMP OR LESS
10.00
Main service EA. ADD -L 100 AMP
2.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check.one):
I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and. Profess my license is in fuAl force and effect.
License No. Classification C�_z 0
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. (See. 7044)
I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
I am exempt under Sec.—, Business and Professions Code
for this reason
NEW CONST DWELLING OCCUPM
OR ADDNS. * ( ACC. BLDGS. 2'/2iZsqft
NEW CONSTR. MULTI -OUTLET
NON-RESID. BRANCH CIRCUITS) 2.50 ea I
POWER APPARATUS &)
(SINGLE OUTLET CIR . .
0@50t
Ex. Occup(OUTLETS OR FIXTURES 1.2AL@ 300
FIXED APPLNS. R
Ex. Occup. OUTLETS (RESIC. EA.) 00
0 1 1 2.
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 15.00
Permit Fee $
Contractor
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
The permit is for $100-00 (valuation) or less.
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.
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 shal I be deemed revoked.
MECHANICAL PERMIT
FilingFee 10.00
Heating , �;23 &T(--)
Jigi
Cooling
oo
Hood
3.00
Ventilation
_T
Permit Fee
$ (9 (0
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 UI
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 liabil, it ies., judgpents-,-�qosts, and expenses which may in any way accrue
again wa C in cons ver of the granting of this permit.
12-7
X Date
Signature f � Ii.cont 6wner [:] Contractor Agent
An OSHA 0 P/ is required for excavations over 5'Aeep and demolition or construct-
ion of struc �.-.tlover 3 stories—in,,11eight.
Mobile Home Installation Fee
$
Energy Inspection Fee $
TOTAL PERMIT FEE
occUP.1
CONST.T77
I
I FLOO
This permit is hereby issued under
sions of the Butte County- Code and/or
work indicated above for which
DIIRECT�07F PUBLIC
B AL-
P 7
®RM�IEXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
/ . /,;;"
ate 710
Receipt N 0.
WMITE-O.P.W.. YELLOW-ASSE330R. PINK -INSPECTOR. GOLDENROD-APPL I CANT