HomeMy WebLinkAbout024-080-10124 8 101
96..*AG
L 024-:'-08-0-rol 9'2-1
MATT NELS
BUILDING 8 X 45 BLDG AND DECK W/O 461 Sheldon Ave, Gridley NELSON, katt�ew'�"�- �=i
PERMITS Contr: G & L Electric, Biggs 461 Sheldon-Ave"*Giidley
Permit#586-81E(new ele ser) pri wo �qgri,E.ultu�al ols
�/ / ')/0 /-// '�� �X'&4�'-stnrp
10/l/92 --------
.024-0.870-101 —.9273
NELSON, Matthew & Naomi
461 Sheldon Ave,.Gridley
open deck/sf
0-24-0-8--0-10-1 9-3---1-89-0 —B
NELSON, MATTHEW
461 SHELDON AVE, GRIDLEY 101-7 )930
DtCK/SF
FA
Ll
0
I�
0
0
0
11
V c
z �1
RESIDENTIAL
024-0870-101- 93-1890 B
NELSON, MATTHtW
461 SHELDON AVE, GRIDLEY
DECK/SF
Vdq'lf
JOB FINALED (Date)
Signature
Nt'
V OK
0 Not OK
Not Applicable
Not Ready MOBILE HOMES
Date/initials MOBILE HOME UTILITIES (Plans) OK except #'a
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: / /"L"ft.
P'Nat. or/ P'L"ft.1 /"LPG
7. Well Clearance & Disconnect
8. Utility Clearance
Date/initials MOBILE HOME INSTALLATION (Plans) OK except #'a
1. Zoning Requirements -Setbacks Easements
2. Footings; Size -Spacing -Marriage Line
3.. Gas; MH Test-Domand-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; Inap.-Sketch
10. Cart. of Occupancy
MISCELLANEOUS
Date/initial DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'a
-1. Zoning Requirements -Setbacks -Easements
2. Footings; Sol Is-Size-Depth-Spacing-Connecto re -Steel
3. Decks; Griders and/or Joists-Decking-Bracing-Stairs-Ralls
4. Wood Awn.; Posts-Boams-Rftrs.-Connectors
Shthg.-Rfd.-Bracing
5. Alum. Awn.; Columns-Connectlons-Splice-Decal-Enclosures
6. Carports; Windows -Doors
7. Electric
8. Frmg; Sils-Anchors-Studs-Rftra-Trusses
9. Siding; Nailing -Veneer -Stucco -Mesh
10. Roof; Shthg-Roofing
11. Ext.; Steps-Doors-Landingt
Date/initials POOLS (Plans) OK except #'a
1. Setbacks -Easements
2. Soils; Compaction -Structure Stability
3. Pool Structure; Steel -Connections -Thickness
bead Men -Lining
4. Elec.; Receptacles and Lighting, Distances-GFI
S. Elec.; Pool Lighting; 15 volts-GFI
6. Elec.; Enclosures; Conduit Entries -Terminals -Listed
7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater
8. Elec.; Grounding; Equip. w/5'Circulating Equip. -Pool Lghtg.
Boxes-Enclosures-Panelboards-ins. to Main In Conduit
9. Health Department Approval
10. Plumb.; Cir. Test -Water Supply Test
V = OK
0 = Not OK
Not Applicable RESIDENTIAL (Single & Duplex),
Not Ready
Date/Initials UNDERFLOOR (Plans) OK except #'s
1. Zoning-Setbacks-Easements-Flood-Stope
2. Ftg., Main; Soils-Elec. Grnd.-/ P' Ftg. Depth
3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/, /" Ftg. Depth
4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth
5. Sternwalls, Main; Steel-Blockouts-Wrapped
6. Sternwalls, 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. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test
11. Water Pipe; Test -Anchor -Regulator -Service Test
12. Electric; Underground
13. Pienums & Ducts; Clearance -Material -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 Edge of Studs & C.J.
26. Equip. Ground made up w/Mech. Fastners-Bond GTS & -water
27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI
28. Sublaed 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 13 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 -1 15 outlet
38. Attic Access & Platform if Furnance in Attic
Date/Initials 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 & Bearing
Date/Initials FRAMING (Continued)
45. Hangers -Post Caps -Anchors -Connectors
46. Cing. Joist-Rftr. ties -Pu rl In -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 -Headroom -Rise -Run -Landing -Fire Protection
54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers
55. Siding -Nailing Veneer
__56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access
57. Glazing Area -Glass Protection -Skyl Ights-Plastic
58. Shear Walls; Nailing -Bolts
59. Insulation -Walls -Ceilings
60. Infiltration -Walls -Windows
Date/Initials FINAL (Plans) OK except #'a
61. Ext. Steps -Door & Sidelight Protect! on -Land i ng a
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 -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. Fib, Elec. & Mach. Equip. Listed for Location
76. Elec. Receptacles in Garage; (G.F.I.)-Romax Protection
77. Insulation -Foam -Looked in Attic [3 yes
78. Guard Rails & Deck Construction -Post Caps
79. Fdn. Vents & Crawl Hole Door-Draina & Wood -Earth
Clearance Looked under Floor 9 Yes
80. Following instid.; Drive 13 Yes 0 No; Walks 13 Yes 13 No;
Planters 13 Yes 13 No
81. Stucco; Brown -Finish
82. A.C. Unit; Disconnect, Electrical, Plumbing
81 Vents Above Roof; Plbg.-Appliance-Fireplace.-Clearance to
Openings
84. Water Well; Disconnect, Electrical, Plumbing
85. Exterior Elec. Trim; G.F.I. Receptacle -Underground
86. Ventilation Throughout House
87. Glass Protection
88. Corrections from Previous Inspections
89. Gas Test -Meters Tagged; Gas -Electric
90. Water & Sewer Connected -C/O to Grade -HD Approval
91. Energy Compliance Certificate -Other Certificates
Comments at Final:
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO.
7 County Center Drive - Oroville,-Cdiifornja 95965 - Telephone: 916,"538-7541
APPLICATION ANb PERMIT
ASSESSOR PARCEL NUMBER
024-080-101
ZONING
A-5 I
BUILDING PERMIT
OWNER
Matthew Nelson
TELEPHONE
846=4505
SQ.FT. OCC.1 BUILDING VALUATION
464 0 :3,248.00
OWNER*S MAILING ADORE ss
461 Sheldon Ave., Gridley 95948
CONTRACTOR'S NAME
Owner
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
N
Total Valuation 1$3.248.00
Filing Fee
$ 15.00
LENDER'S MAILING ADDRESS
Permit Fee
$52.50
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee 'g
$2-6-2-5
Energy Plan Checkin Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
Permit fee
$93,75
PLUMBING PERMIT
Filing 5.00
461 Sheldon Ave., Gridley
Each Trap
5.001
Solar or heat pump water heater
20.001
LOT NO.
SUBDIVISION NAME
I
PARCEL MAP
Water piping
7.00
Each clas water heater or vent
7.00
USE OF STRUCTURE
SF V1 DuplexR MobilehomeR Other
SPECI FY
Gas piping system 1 - 5 outlets
5.00
Building sewer
15.00
Mobile Home S I G I W
.00
TYPE OF WORK
N e w 71 Addition YJ Remode I Ell Uti lities 1:1 InstallationEl Other 0
Describe work: Add Deck to
P=1
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Fi ling Fee 15.00
Main service 600V OR LESS
200A OR LESS
18.50
Main service 200A TO I OOOA)
37.50
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 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)
D I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
F1 I am exempt under Sec.—, Business and Professions Code
for this reason
NEW CONST. I DWELLING O.CCUP.&)
OR ADDNS. %ACC.BLDGS
3.6* sq.ft.1
NEW CONSTR. MUL T'_OUTLET
NON-RESID, BRANCH CIRCUITS)
@ 5.00
POWER A P PARATUS.&
SINGLE OUTLET CIR
Ex. Occup( OUTLETS OR FIXTUREL
20 @ 75
qA - (a) 49&1
FIXED APPLNS. OR I
Ex. Occup. OUTLETS (RESID.) EA.1
3.001
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):
11 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.
XI 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
Hood
6.50
Venti lation
—
1 11
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, indemnity and keep harmless the County of Butte against,
all liabilitiesqijudgments costs, a'. p(Inses which may in any way accrue
againsle a t 4 of t e ranting of this permit.
Vun y in, co�seue
Sig [!t""Contractor 0 Age
�n , rHr, pplicant – Owner
An HA permit is re'quired for excavations over 5'0" deep and demolition or construct -
per
,n of structures over 3 stories in height.
of , t.,
t,
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
CONST TYPE
,
TOTAL FEE $ 93.75
AZ I D FEES IMP
___J��
I FLOOD I CDF
r��
PARCIL
__
1
71—S
if
Jppl�
This permit is hereby issued under the
sions of the Butte County Code and/or
work indicated above for which fees
-
By
PERMIT EXPIRES
applicable provi-
resolutions t odo
have been ip;�cl,
WORI KS
hate
143339
Receipt No.
WHITE-D.P.W.. YELLOW -ASSESSOR, PiNK-INSPECTOR, GOLDENROD-APPL I CANT
/COUNTY OF BUTTE -DEPARTMENT OF DitV600PRIENT SERVICES - BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA95965 -TELEPHONE (916) 538-7541
PERMIT APPLICATION DATA SHEET
OWNER lmiltrstd No.0,2
Proposed B�ilding Use e!jf,)b t)C—C—AL Building Inspector Date & /7 1_�Z
At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance:
1.
DATE RECEIVED BY
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 . ......................
A.
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 .........................
(Q�14.
Flood elevation letter (100 year flood) by California Engineer ...................
Sanitation and plot plan approval 04VI;Ile . 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 Developmentabout (A) Improvements (B) Drainage ............
19.
Driveway permit (construction approval required prior to occupancy) .............
20.
Ire-Inspecbm req uest
Pre -inspection for required. to Building Inspector Date)
:il.
Contractor's license inf6rrriati6h.'(N6., Name Style,'*C lass ific'ati6n).
Certificate of Workmans Compensation lnsu�ancq�� ........................
Owner -Builder Verification (Given to owner Mail to owner ) ............
f'_jP&25
Re orded copy of Agricultural Acknowledgement -Statement . ........ t
Letter of signature authorization. -Fl-� ... k14A .1 L- 64 6- 11C - - Lk). /6 �;J)j 72�3 tq A-2-
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
Parcel Creation
Acreage Applicant
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:
142 4_0
Contractor, designer, owner, was advised of above required data by _ phdlC��Xail C o u n 'te-r b'r —Da te
Contractor, designer, owner, was advised of above required data by _ phone _ majL,,- Counter by Date
Plans checked by Date Plans approved by Date
aitAZYs,1_ Sets of plans onakaid in File cabinet folder
Copy t Department of Public Works
TO: Building Department
FROM: Envi roil men [at Health
SUBJECT: Sanitation Clearance
.A --
Hui Phin AlItielml
Mour Him Amehod
couNly svill 111 11.1), ---,
Orsurre
13U'LDING DLpr
JUN 3 0 Igat
C , L, /- 0 P -
mc-Aav-,� 's Aal 4 " A
Owner Location AP#
Plan Approved for: Sewage Disposal "later SLIpply: PLIbhC Private Well
Clearance for bedroom mobile home. Other �L Q 'x
Hold final for:
Final clearance O.K, for:
NOTE:
Environmental Health Specialist
8/92
K
—Tel)
Date
This set of plans and specifications MUST be
kept on the job at all times and it is unlawfW to
make any changes or alterations on same without Environmental kealm
wrilten permission from theDepartment of Pubk
W6rks, County of Butte. JUN 17
Omville, Caldomia
1�1 Be in
---All Materialr. & Workmanship Sh,1,
NOTE.
Accordance with Recognized Good practices and
of a quality prescribed for the Specified use in the
% Codes and
Mn
Uniform Building, Plu ij(hg,8r-Mechanical-
A
AP,-,,,OVED
Butte County
tnvironmental Health
------------ 7 --
Signature
STRU -W
CTURES AND EOUIPMENT AJUDING
*IANGS SHALL BE CLEAR OF ALL EASEMENTS�
T BACK OF FT. FROM THE SIDE AND
'ATY INES A -ND
Fr. FROM THE REAR PROPE
FT. FROM T14E ROAD CENTERLINE �-itjAU :3E
OF STRUOTURES AND EQUIPMEWF4X06PT
A 2 Fr. EAVE OVERHANG-
-tovs 6
14 C 7 - Y-0. -':
'J3UTTE COUNTY
BUILDING DEPARTMENT
A P P R 0 V E D
7-1— f
;;4 -0s o -- 10
'A
:U0VX0 t�'TIW' M., lo ln%nrisdo
'woo 'z-*C'V'4
rrn'o n !.J
0';L' 14 .441
I*
1.1 2
CV4 aMA',N. "Timlo IJA
n -I 0 A 6 4
A4 3. Jj
.5H), IM�,""Fr-5 T-1
ev,
TvMa'#69Vjl._.`i ICAA
-QA"MA-;V'O=_.PVA7H
VARIES
rTl m
Z7
S
r
z
bp
-4o 0'
0 0 -06. -R!r
cy
c
m
m
(D 0 0
Cl)
0
00
_n CD n
0 --j
o
(2 -n
c
a)
CF)
C.n
0.
710
F
0
m
C-)
7�
w
;q
1:0
r'n
2q
P -r
ol
C::,
101 -1�1
r7l p "7
m mrD
?� )Q _9
U) 4
NJ
r
(i MAX.
G"�
C>
rn
-m
-q
0
e--�2q
rrl
c,
x
41.
M rTi
ir
C;l
-4�
I I
0
L
r
(i MAX.
G"�
C>
rn
//HW).RWL RE16HT
4(-
4-
QN; 'N
m P� X�� 36"MIN. STAIR
rn
WIDT4
7q
46- Az
7q
-m
ir
C;l
-4�
I I
//HW).RWL RE16HT
4(-
4-
QN; 'N
m P� X�� 36"MIN. STAIR
rn
WIDT4
7q
46- Az
7q
OWNERS NAME:
ADDRESS:
BUILDTNG SIZEAREA:
CERTIFICATE OF ROOF COVERING
A. P. #:
PERMIT #:
BUILDING USE:
k
FTRE
HAZARD ZONE
ALLOWED ROOFING FROM LISTS BELOW
rj
VERY HIGH
#1,
#2
F]
HIGH
#1,
#2, #3
El
MODERATE N
#1,
#2, #3, #4
LIST #1
LIST #3
CLASS 'A' ASSEMBLY
F]
CLASS 'B' ASSEMBLY
n
CLASS 'A' PREPARED ROOFING
BUILT-UP ROOF PER 3203(e)
CLASS A OR B PREPARED ROOFING
LTST #2
ASBESTOS CEMENT SHINGLES
METAL ROOFING
CONC. OR CLAY TILE
(OTHER FIRE RETARDANT ROOFING) -
SLATE SHINGLES
LIST #4
(01'111._-�R NON-(-0MBLJST.1.1fl.,1-, ROOI"�`ING)
CLASS 'C' 235# ASI'liAL't' SHINGLI"S
1 HEREBY CERTIFY, I INSTALLED ROOF COVERING AS INDICATED ON THE ABOVE
BIKI-LDING, TN CONFORMANCE WITH STATE AND LOCAL REQUIREMENTS.
FIRM NAME/OWNER (Please Print)
SIGNATURE OF GENERAL CONTRACTOR/OWNER
STATE CONTRACTOR'S LICENSE NO.
DATE
THIS C1;1'RT1_FICATE MUST BE ON FILE WITH THE BUILDING DEPARTMENT PRIOR TO FINAL
INSPE,CTTON APPROVAL.
January 1988
�CGCA2 ��GC/yGZoStts� `b
L/A'm 7,—�q e5�19Z�
Py2c��7�6ay
-COUNTY -OF -BUTTE --'Department of-Public.Works
.7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541
OWNER -BUILDER VERIFICATION
Attention Property*Owner-
A*n "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
u . nnecessary delay in processing and issuing your building permit. No building permit
will be issued until this verification is received.
1. 1 personally plan.to provide the major labor and materlals for construction of
the proposed property improvement (yes or no)
2. 1 (have/have'-not.) 16 0 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 -Contrdct6*rs-License No -.-
4. 1 plan to provide portions of this wo-rk, but I'have:h'ired the followitig.person
to coordinate, supervise, and provide the'major work:
Name
AAdress City
Phone license No.
5. 1 will provide some of the work but I have contracted (hired) the following.
persons to -provide the work -indicated:'
Name Address Phone Type af Work
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.
Ale, C13-
9
RESIDENTIAL
24-09-0-ibi' 92-3�-8-5B
NELSON, Matthew &,gaomi
461 Sheldon Ave, Gridley
open deck/sf
JOB FINALED (D
Signature - Ilk Z�?Iq / /-2 'a,"
,I OK
0 Not OK
Not Applicable
Not Ready MOBILE HOMES
Date
MOBILE HOME UTILITIES (Plans) OK except #'s
1. Zoning Requirements -Setbacks -Easements
2. Soils; Special MH Support Sketch
3. Sewer; Location -Test -Fall -C/0 Concrete
4. Water; Location -Test -Ease men t Needed (Sketch)
5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete
6. Gas; Location -Test -Wrap: I P'L-ft.
/ P'Nat. or/ /"L"ft./ /"L�G
7. Well Clearance & Disconnect
8. Utility Clearance
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B -I
Date
MOBILE HOME INSTALLATION (Plans) OK except #'s
1. Zoning Req u ire ments-Setbacks Easements
2. Footings; Size -Spacing -Marriage Line
3. Gas; MH Test -Demand -Valve -Connector
4. Electricity; MH Test-Crosso ve rs- Brea ke rs-C lea ra nces
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. Cert. of Occupancy
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
MISCELLANEOUS
Date ., DWS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s
1600�1. 4gj3jng Requirpments-Setbacks-Easements
A..olf Footings, Soils-Size-Depth-Spacing-Connectors-SteeI
_-a--Tecks; Griders and/or Joists- Decki ng -Bracing -Stairs -Rai Is
4. Wood Awn.; Posts-Beams-Rftrs.-Connectors
Shthg.-Rfg.-Bracing
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Carports; Windows -Doors
7. Electric
8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses
9. Siding; Nailing-\�enteer-Stucco-Mesh
10. Roof; ,
jb�- oofing
jje�T- steps -Doors -Landings
4
Dateb 14-11, Card B- 1 Date Card B-1
Date_;o�;Z:Z2�S Card B-1 N)���e. Card B-1
Dat� 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 -Listed
7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater
8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg.
Boxes- Enclosures -Panel boa rds- Ins. to Main in Conduit
9. Health Department Approval
10. Plumb.; Cir. Test -Water Supply Test
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
J = OK
0 = Not OK
Not Applicable
Not Ready RESIDENTIAL
Date UNDERFLOOR (Plans) OK except #'s
1. Zon i ng -Setbacks-Ease ments-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-Wrapped
6. Sternwalls. Garage; Steel-Blockouts-Wrapped
6a. Hold Downs and Soecial Anchors
7. Slab; Steel -Wrapped
8. Piers -Fireplace Ftg.-Steel
-9. D.W.V.; Fall -Fitting -Test -2 Way C/0 -Sewer Test
10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test
11. Water Pipe; Test -Anchor -Regulator -Service Test
12. Electric; Underground
13. Pienums & Ducts; Clearance -Material -Support -Ins.
14. Girders -Sills -Anchor Bolts -Joists-Ven ts-Cri pples
15. Access & Ventilation
16. Insulation
Date Card B-1 Date Card B-1
Date Card B-1 Dale Card B-1
Date PLUMBING (Permit).OK except #'s
6, Water Htr.: Ven t -Access -Combust ion 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 & Anc�ors
------------
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date ELECTRICAL (Permit) OK except h's
22. Fixture & Transformer Clearance -Ins. Protection
- - - - - ----- - - -------- - - -------------------- - ----------------- --
23.- Elec. Rec-ept.acles Spacing -Lights & Switches at Doors -------------
24. Size Boxes & No. of Cond uctors-Sta pled
-------------- 25.--Romex-installed Close to Edge ' of Studs & C. - J -- -------------------
-------------- 26.--Equip.-Ground-made-up-w!Mech.-.Fastners-Bon-d -Gas-& Water
27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI
-------------- - - -------------------------------------------------------------
28. Subfeed Wire Size / I 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-Co.nductors-&-Gro-u-nd-M-ain-Disco-nnect -------------
------- ------- 31.-Equip.-Cleara-nces Panels- Motors- Mech. Equip.
32. Clothes Closet Light -Shower Light -Spa Light
----------------------------------------------- ------------------
-- ----------- 33.. Smoke -Detector ----------------------------------------
-----------------------------------------------------------------------------------
-Date -------------- Card -B-1 ------ ------- Date ------------- Card -B- 1
-------------
Date Card B- I Date Card B-1
Date MECHANICAL (Permit) OK except ft'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 if Furnance in Attic
------------------------------------------------------------------------------------
---------------------------------- I ---------- -------------------------------------
Date Card B-1 Date Card B-1
----------------------------------------------------------------------- ----------
Date Card B-1 Date Card B-1
Date FRAMING (Plans) OK except ft's
39. Sils. Proper Material & Anchors
--------------------------------------------------------------- - --------
------------- 4-0.- W-alls-Stud-s-Nailing. Spaci-ng -&-Bracing - Plates- Sound -------------
41. Bearing Walls over Girders & Floor Nailing
--------------- -----------------------------------------------------------------------
42. Draft Stop in Walls irat proof)
------------------------------------------------ - ----------------------------------
43. Fire Stops: Furred Ceilings -Stairs -Chases -Tub
---------------- I -------------- -----------------
44. Headers & Beam -Size & Bearing
'ingle & Duplex)
Date I FRAMING (Continued)
45. Hangers -Post Caps -Anchors -Connectors
46. CIng. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Rfng.
47. Fireplace Ties or Type A Flue -Fireplace Throat clearance
48. Attic Access; Size & Romex Protection- Draft Stop -ins. Baffles
49.- Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions
50. Garage Fire Protection Framing
Property Line Firewall & Openings
52. Ext. Doors -One T -Check Garage -3rd Story, 2 Exits
------------
53. Stairs: Width -Head room -Rise-Run- Landi ng-Fi re Protection
----------- - - 54_._ plywood on Roof Overhang -Attic Vents -Rafter Outriggers
-------- I ------ 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 -Clearance -Comb. Air -Connector -
In Garage: Above Floor-Ducts-Mech. Protection
64. Bedroom Exiting
-----------------
& Bath Fixtures & Tub Access -Spa
66. Elec. Trim & Subpanel: Breaker Sizes & Labels
67. Stairs & Rails
-------------
68. Fireplace or Stove: Clearances -Hearth
-------------- I
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. Hir. ' 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. 1.)-Romex -Protection
7;. 1 nsu lation- Foa m- Looked in Attic 0 Yes
-------------------------------
_.___________78._Guard_Rails & Dec k -Co nstruct ion -Post Caps
79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth
Looked -under Floor- C1 Yes
80. Following instid.: Drive 0 Yes ID No; Walks C1 Yes 0 No:
Planters El Yes D No
-----------------
-81-.- Stucco: Brown -Finish
82' A C. Unit: Disconnect. Electrical, Plumbing
-------------------- - -- - ----- -
83. Vents Above Roof: Plbg.-Appliance-Fireplace.-Clearance to
Openings
84. Water Well: Disconnect. Electrical, Plumbing
-------------- ----------------- __
85. Exterior Elec. Trim: G.F.I. Receptacle- Underground
-1 ------------
86 . Ventilation Throughout House
...... ..........
...... ...... 87.__G1_ass Pro -lection --------------
88.- Corrections from Previous Inspections
89. Gas Test -Meters Tagged; Gas -Electric
------------ I - ------------- -
------------- 9O..Water &.Sewer Connected -C/O to Grade -HD Approval
91. Energy Compliance Certificate -Other Certificates
------ -----------------------------------
------ I ------------------ I -------------- -
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:
I ------ -------------------------------------
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville; California 95965 - Telephone: 916/538-7541
APPLICATION AND PERMIT
PERMIT NO.
ASSESSOR PARCEL NUMBER
024-080-101
ZONING
A 5
BUILDING PERMIT
OWNER
MATTHEW & NAOMI NELSON
TELEPHONE
846-4505
SQ.FT. OCC. BUILDING VALUATION
576 0 4,032
11
OWNER'S MAILING ADDRESS
461 SHELDON AVE GRIDLEY 95948
CONTRACTOR'S NAME
OWNER
TELEPH6NE
I
I
I
CONTRACTOR'S MAILING ADDRESS
I
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation I $
4,037 --
LENDER'S MAILING ADDRESS
Filing Fee
$ 15.00
Permit Fee
$ 60.00
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$ 30.00
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Energy Plan Checking Fee
Penalty
BUILDING ADDRESS
461 SHELDON AVE GRIDLEY 95948
Permit fee
$ 105.00
PLUMB!'NG.PERMIT
FilingFee 1 15.00
Each Trap
1 5.001
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAME
I
PARCEL MAP
I
Water piping
7.001
Each qas water heater or vent
7.00
USE OF STRUCTURE
SF[3 DuplexF� MobilehomeEj Other
SPECIFY
Gas piping system I - 5 outlets
5.00
Building sewer
15.00
Mobile Home S I G I W
615.00
TYPE OF WORK
NewEl Addition [a Remodel [] Utilities [I InstallationEl OtherE]
Describe work: DECK W/O PERMITS
I - I
Permit Fee
$
Contractor
ELECTRICAL PERMIT
FilingFee 15.00
Main service 600V OR LESS
200A OR LESS
18.50
Main service 20CA TO I OOOA)
37.501
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
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 CONST. DWELLING OCCUPM
OR ACDNS. ( ACC. BLDGS.
3.6* sqJ
NEW CONSTP_ MULTI-OUTL,-T
NO N.RES,., BRANCH CRC" TS)
@ 5.00
POWER APPARATUS &)
(SINGLE OUTLET I
Ex. OCCLIP(OUTLETS OR FIXTU E
__f20 @ 76.
5AL- R 46
FIXED APPLNS R
Ex. Occup. OUTLETS (R;7--;I'Do I A
3.00
Temporary service
15.00
Mobile Home Facilities
15.00
Misc. Wiring
'15.00
Permit Fee
$
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury. (check one):
F The permit is for $100.00 (valuation) or less.
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.
L/iI 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 ubject
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 rig Fee 15.00
Heating
Cooling
Hood
6.501
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 relat I rig
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 Iiabilit.ies, judgments, costs, and expenses which may in any way accrue
against said Covty in �cngsee ; of the granting of this permit.
Date 94
Signature of Applicant - Owner �4 Contractor E] AgentFj
An OSHA I Dermit is required for excavations over 5'0" deep and demolition or construct.
ion of structures over 3 stories in height.
Mobile Home Installation Fee 41 -7
Energy Inspection Fee $
OCC
CONST TYPE
TOTAL FEE $ 105.00
,
FLO
'51
CDF
I -PARCEL
v
sSU
I
This permit is hereby issued under the
sions of the Butte County Code and/or
work indicated above for which fees
R OF PUBLIC
By
PERWTIEXPIRES Date
applicable, provi-
resolution s to do
have been paid.
WORKS
D at dc�, -i j_-
Receipt No 126211
WHITE-D.P. W.. YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDEN ROD-APPL I CANT
-7
")Z
COUNTY OF BUTTE4`,,,W6. ...ARTMENT OF PUBLIC BUILDING DIVISION/
-:r7
7 COUNTY CENTER DRIVE".`_ OROVfELE: CALIFORNIA 95965 - TELEPHONE (916) 538-7541
PERMIT APPLICATION DATA SHEET
OWNER A 3 0
Proposed Building Use Building Inspector_eP Date
At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance:
DATE RECEIVED
J.'All
it ' ems have been submitted . ............................ I ............
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 signaturd 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 .........................
-1-1.
Flood elevation letter (100 year floo d) alifornia Engineer ..................
14.
Sanitation and plot plan approval Health Department . .............
15.
City of Chico plumbing permit.
16.
Plot plan and business license approval from City of Biggs/Gridley . ............
�j 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). 'X
,
20.
Pj.e 4nspe ction req est
Pre -inspection for required. ,t6 Building Inspectur
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: C -**'M -ail to owner. Mail to contractor.
Telephone and hold for pickup at office. Deliver with inspector.
Other
Parcel Creation
Acreage ApplicanWaaa &XrdZ1 Date
Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date
Copy of plans sent Healfh.Dept. _ Fire Dept. Other Date
The following data must be submitted prior to permit issuance: (Circle new item not checked above).
1. Index permit for above items No.
2. Additional items required:
Z
Contractor, designer, owner, was advised of above required data by _ phone - mail Counter by Date
Contractor, designer, owner, was advised of above required data by _ phone mail Counter by Date
Plans. -checked by Date Plans approve-
d by DiIte le -
Sets of plans on hold in File cabinet AP folder
Copy - Department of Public Works
1'1,,[ Han Altachcd F.H. USE, ONIN
Hoor Han Auaclwd
s"It to B.D.
TO: Building Department
FROM: Environmental Health
SUBJECT: Sanitation Clearance
AAo-�ke-w �ufs 6'
16 f (�511e,fjoyl Y- Ij /,� V
Owner . Location AP#
Plan Approved for: Sewaoe Disposal u--- Water Sup Y: PLiblic Private Well Z�—
Other cSH KOY—
Hold final for:
Final clearance O.K. for:
NOTE: fthllmko "
Environnien
8/92
Ith Specialist
r T) -- h # 1, 1 1- fl,
Date
\j
LOcet'On
WPM Ot shuMes
cl ent shan be as st0own
Of aH easements.
0
q
-
Tu r'N
Z -x
LU
> 0=) M'
0 U
Da - +2 E L
4-
< D
ca
tu
ThW "t Of piano &nd spWit"tims MUST be
kapt un the job at all times it is unlawful to
valte.w-V a4WOs or saterstions on Mme vtthOut
WT I
Itt,911 ps,,c:ct-�c4�on I�Dom t,,ae Dapartment of PublIe
wo-� to, cawnt7 or ButtA.
blOn: Ail Maierials & WorkmaxnshiD Shall Be In
Aawrd&uce with R000gnized Good Prac", s. and
of a Qu&IIV Prescribed for tbe Specifted use
in the, Uniform Building, Plumbing & MeohanloaU
Oodee and the lWonal Meetrical Code.
1.5-1 & 6 6,- 0 P y
BUTTE COUNTY
:G
M V%j
0 M
X
c oo
0
E C:0
> C-)
CD
2
0
3UILDING DGPARTMr=Nj-
APPROVED
9-o, -
VARIES
Im
m
M C-.)
36"MIN.
Ec
P.
r
m
C-3
7�
G,
1 -�. Q".)' .- LEF�
rn
2Q
r7p t- 7r
C: r
-q -TI o
7Q c,
rnx
rn
11"
�, m x
X ..
no, -4r\,)
Iv -
7: SIN. --tt
4
Ci TO -,o
rr,
34"
//HAWDIZRIL HE16HT
��m
ir
-Ti ;10 P.
- G'% " 36"MIN. STAIR�'.---,
rn W I DT4
COUNTY OF BUTTE 2'bepartment 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 issui . ng your building permit. No building permit'
will be'issued until this verification is received.
l...I personally plan to. -provide the major labor and materials for construction of
the proposed property improvement (yes or no) Uk_0�2
2. 1 (have/have not) signed an application for a building permit
for the proposed work..
3. 1 have contracted with the following person (firm) -to provide the proposed
construction:
Name
Address City
Phone Contractors License No.,
4. 1 plan to provide portion5-of this work, but I have hired the following person
to coordinate, supervise, and provide the major work:
Name_
Address City
.Phone Contractors License No.'
5. 1 will provide some of the work but I have contracted (hired) the following
persons to provide the work indicated:
Name Address Phone Type of Work
Signed:
Property Owner 10615o<)
Social Security Number
Date
NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and
19832 of the California Health and Safety Code.
This verification must be completed and returned to our office before we are per-
mitted to issue the permit.
COMPLAINANT:
ADDRESS:
PHONE NUMBER:
OTHER COMMENTS•
,at.
P,
0
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
1469 Humboldt Road, Chico, CA - (916) 891-2751
7 County Center Drive, Oroville, CA - (916) 538-7541
747 Elliott Road, Paradise, CA - (916) 872-6307
CORRECTION NOTIAM
. Z 'C�') 146 / 57*
OWNER
PERMIT NO.
A routine inspection indicates that the following violations of Butte County Ordinances exist at
the above address and should be corrected. Please notify this office when correction of work
is completed. If you have any questions pertaining to this matter, or need additional explanation,
please contact this office immediately.
A op
J�
Date&/^—/— 91Z�— Inspector
REV 11 /91
0
BUILDING *DIVISION
COUNTY OF BUTTE - DEPA.RTIMENT OF DEVELOPMENT SERVICES
7 COUNTY CENTER DRIVE — OROVILLE, CALIFORNIA 95965 — TELEPHONE: (916) 538-7541
AGRICULTURAL BUILDING EXEMPTION PERMIT
Pl;�MIT N�q
V-2 —
Agricultural building is defined as follows: Agricultural building is a structure designed and constructed to house farm
implements, hay, grain, poultry, livestock, or other horticultural products. This structure shall not be a place of human
habitation or a place of employment where agricultural products are processed, treated, or packaged, nor shall it be a
place used by the public.
ASSESSOR PARC�I- N
0 -17- 4 Q
I
ZONING
A
OWNER
&Aff-iff e td 61A n it
VE L50 A/
-
PHONE NO.
49 -1S' Q5 -
OWNER'S ADDRESS I
I SPELD-o 4
LE 4 6A -7 .4
LOCATION OF BUILDING
A
o F
'46 / SHE2-D0(f1
AVE CA
USE OF BUILDING
5-0/zE
SIZE OF STRUCTURE
ad
X
-'n SO. FT.
TYPE OF CONSTRUCTI
WOODFRAIVIE--�� STEEL-
CONCRETE-
OTHER(Specffy)
TYPE OF SIDING
WIODD
ROOF.�OVERINQ
C- n /74 PC)
I
sivokli
FLOOR TYPE
ESTIMATED CO&1-QF CONSTRUCTION
$
AG Buildings shall comply with the building front, side, and rear yard requirements of the applicable County Ordinances
as follows: FRONT - 157-5-'
SIDES REAR <-' /
AG Buildings shall be a minimum of f ive (5) f eet f rom any septic tank or leach f ields.
AG Buildings less than 1000 sq. ft. in f loor area shall be located a minimum of 6 feet f rom a residence, 10 feet from a
mobilehome, and 23 feet from a commercial building.
AG Buildings greater than 1000 sq. ft. in floor area shall be located a minimum of 23 feet from a residence and a
mobilehome, and 40 feet from a commercial building.
AG Buildings must comply with Flood Zone requirements. Finish floor elevation must be at or above elevation
LISGS Datum.
I declare under penalty of perjury that the building will be used as stated above and the purposed use conforms with the AG
Building definition. If any change in use or occupancy of the building is made, I will contact the Building Division and obtain
any necessary permits, inspections, and approvals tocomplywith the requirements in effect atthat timeand before occupancy.
1621Y
Date . J — Signature of Owner
Permit Fee — $50.00 The above described AG Building is exempt from a buildinq permit
Receipt No. lzr2 2- 11
FL
P;"F"
Manager Building Divi
By Z.C— Date Zt�q— Ct—?z—
While — DPW, Yellow — Assessor, Pink — B. I., Goldenrod — Applicant
-PUBLIC I
q, BUILDING DIVISION'
COUNTY OF BUTTE ARTM��,q.. Nd
7 COUNTY CENTER DRI�t- OROVILCE, CALIFORNIA 95965 TELEPHONE (916)'538-7541
PERMIT APPLICATION DATA SHEET/
A -1P
OWNER lvc-L es
Proposed Building Use 1'zTC-&FZ__ Building Inspector Date
At time of per it application, I was advised the following data must be submitted prior to permit processing and/or issuance:
DATE RECEIVED BY
1 All items have been submitted . .... ...............................
2. Plot plans, 3/4 sets, signed by preparer of plans . ..........................
3. Complete plans, 3/4 sets, signed by �reparer of plans .......................
4. Engineered plans and calcs, 3/4 sets,'with wet signature on plans . .............
5. Hazardous Material Form . ............................................
6. Energy Design Complia-rice and supporting documentation . ..................
7. Statement of Intent for Non -Heated and A/C Buildings .......................
8. Engineered truss details and layout in duplicate (required prior to plan check) . ....
9. Mobilehome data and manufacturer's installation instructions, 2 sets . ...........
10. Fee of$ . .........................................
11. Impact fees as shown on attached schedule . ..............................
12. California Department of Forestry plan approval/fees . ........................
13. Flood elevation letter (100 year flood) by California Engineer ....................
14. Sanitation and plot plan approval 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) . ............
-i Ire -Inspection requ-eH-
20. Pre rispection for 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. Lett r 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 violation s/expired permits . ......................................
32. Plan check list. ....................................................
33.
34.
When you issue the permit, process as follows: L-" Mail to owner
Telephone and hold for pickup at
Other
Parcel Creation
Acreage Applican
Mail to contractor.
- office. Deliver with inspector.
Date ILOIVX�21-
Copy of Haz-Mat form sent Health Dept. i 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 by Date
Contractor, designer, owner, was advised of above required data by _ phone mail Counter by Date
Plans checked by Date Plans approved by Date
Sets of plans on hold in File cabinet AP folder
Copy Department of Public Works
Matt Nelson
461 Sheldon Ave, Gridley
-08
A.P. 24 -101
Permit#586-81E (new ele ser &
misc wiring/G & L Ele)
OR
P
k
CA L dj_ 0
--,/? -- 7
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541
APPLICATION AND PERMIT
PERMIT
, yj;�
ASSESSOR PAR L NUMBER
,�2,!_I_ 3 -
/.0 /
ZONING
BUILDING PERMIT
OWN
Alp
is, o P)
TELEPHONE
SQ.FT. OCC -1 BUILDING VALUATION
OWNE,R'S MAILING ADDAESS
(n I , f? ) A v
CONTR9CTO,R'4NAME
�Xl 114 li:� I 9a Y- I C_
ITELEPHONE
—
CONWACTOR A LING ADDRESS
, 0 - 9�, V S P-3 nos. (?C) .
Fireplace I I
CONSTRUCTION LENDER
UNKNOWN
Total Valuation 1$
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
Alt) 1A !§z
LICENSE NO.
I
Plan Checking Fee
$
Penalty
$
ARCHITECT OR ENGINEER's MAILING ADDRESS
Permit fee
$
BUILDING ADDRESS
PLUMBING PERMIT
FilingFee 10.00
Each Trap
2.00
Repair drainage or vent piping
5.00
Water piping
LOT NO.
UBDIVISION NAME
is
ARCEL MAP
1P
Each qas water heater or vent
5.00
Gas piping system 1 - 5 outlets
USE OF STRUCTURE
J 11 _.",
SF 4" DuplexF-1 MobilehomeD Other -Pit )1, k -C A �
SPECIFY I
Building sewer
Lawn sprinkler system
.�5.010
I I I
TYPE OF WORK
New R Addition [J Remodel 0 Utilities [:1 InstallationE] Other [P-'
Describe work: W.,Lj c & sg�c I r E!
Permit Fee
$
contractor
ELECTRICAL PERMIT
FilingFee 10.00
Main service 6001 OR LESS
100 AMP OR LESS
5.00
Main service EA. ACC -L 100 AMP
2.50
NEW CONST. I DWELLING- OcCUP.aI%
OR ADDNS. % ACC, BL;DG!S,' A J 1
20 sq ft
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
I am licensed under provisions of Chapt. 9, Div. 3 of the Bus I ness
and Professions Code and my license is in full force and effect.
License No. Classification A
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)
Fl I am exempt under Sec.—, Business and Professions Code
for this reason
NEW CON,STR.(MULT =T
'-OUT LE
N....ES B-RANC. CIRC.IT3 2.50 ea
NEW CONSTR I POWER APPARATUS
NON-RESID. I SINGLE OUTLET CIR.
Ex. Oc R FIXTURES 50 @ 250
CUP OUTLETS 0 BAL @ 110�
(FIXED APPLN5 'OR
Ex. Occup. OUTLETS I RESID.) 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 -I The permit is for $100.00 (valuation) or less.
Ej 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
_T_
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 County in consequence of the granting of this permit.
. .1 1
X Date
Signature of Applicant Owner El Contractor 9 Agent
An OSHA permit is required for excavatiogs 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.T
IPARCELI
PD
T.his permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIRECTOR OF PUBLIC
By
PERMIT EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date
Receipt No. W2 —7 —7 S/, / I -'�'-7,, —
WHITE-D.P.W., YFLLOW-ASSESSOR, PINK-14sprCTOR�.,'G'OLD-E—M—ROB-APPLI CANT
DEP
COUNTY OF BUTTE , ARTMENT OF PUBLIC WORKS PERMIT NO.
7 County Center Drive - Orovill�, California 95965 - Telephone 916/534-45,41
APPLICATION AND PERMIT
ASSESSOR 1ARJ
5L NUMBER 7
W — to IF
ZONING
BUILDING PERM(f_..,/
OWNE;V8--,Ct
)V
TELEP�HONE
SQ.FT. OCC. BUILDING VALUATION
OWN . MAILING ADDAESS)J J
__H
CON ArrE [TI ONE
TG�`IU T7_7 1 �� I C -
—
COPPACTORZAILING ADDRESS
0 mos Ca,
Fi replace
Total Valuation $
CONSTRUCTION LENDER
UNKNOWN
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 ADD E
41PS ye-
PLUMBING PERMIT
Fi I i ng Fee 10.00
Each Trap
2.00
Repair drainage or vent piping
5.00
Water piping
LOT NO.
SUBDIVISION NAME
1
PARCEL &AAP
1
Each qas water heater or vent
5.00
Gas piping system 1 - 5 outlets
USE OF STRUC&URE
SF9VDupIex[_J MobilehomeE] Other_JE"20"k_g&Q_
SPECIFY I
Building sewer
Lawn sprinkler system
TYPE OF WORK
New F-1 Addition [:1 Remodel[:] UtilitlesD Installation[] Other
Describe work: Re) -i P—c— I C -p—
U11- �r e- air f
Permit Fee
$
'Contractor
ELECTRICAL PERMIT
FilingFee 10.00
Main service 600V OR LESS
100 AMP OR LESS
5.00 - *QD
Main service EA. ADD -L 100 A M P
2.50
NEW CONST DWELL
Ml
OR ADDNS. ACC. BV'?
20 sqft,
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. Ix) �6A Classification C -1&
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.CON S TR. MULTIZOUTLET 2.50 ea
NON RESID, BRANCH CIRCUITS)
NEW CONSTR. POWER APPARATUS &I
NON-RESID. %SINGLE OUTLET CIR. I
Ex. Occup(OUTLETS OR FIXTURES 50 @ 250
1BAL@IOe
OCCUp.(1IXE. AF111-1,15. OR
Ex. OUTLETS (RESIO.) EA.) 2.00
Temporary service
10.00
Mobile Home Facilities 15.00
Misc. Wiring 7.50 7 1
Permit Fee $ :A74;9u.
Contractor e; 3,0
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.
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
Venti lation
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.
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 County in consequence of the granting of this permit.
X V�. . Date
Signature of App icant - Owner El Contractor 9 Agent F-1
An OSHA permit is required for excavati 0 s over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.7 r3 e-7 I
Mobile Home Installation Fee $
TOTAL PERMIT FEE $
occup. GROUP
I TYPE OF CONST.
IPARCELI
PD
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
U,
Di(TTO" 0 PUBLIC
y
PERMIT EXPtRES DateV
the applicable provi-
resolutions to do'
fees have been paid.
WORKS
Date
:�l 6 —R 2_�-
-7 �7 D Re 1 6
Receipt No. q ::;:Z:622 -
-
WHITE-D.P.W., YELLOW -ASSESSOR, PINK-�sPrCT@06LfEN—RO11-AP-1LI CANT
too—
.to LIS
L t)�.4