HomeMy WebLinkAbout024-080-110`
\ .024-080-110 #98-2538
. . ^BROWN, CAROL
MOVE WATER PRESSURE TAIBRO I CAROL507 OBE YEI�, GRIDLEYLOWELL HA - ERG�
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.. .
�024t--08-0-110 99k5llBROWN, Car
: ;o507 Obe eyer, Gridleyu' 011�De'�:-(roo carport) Lowell Hagbergcar
ro24-080-110 06-0665�EBROWN, JAMES & CAROL507 OBERMEYER AVE, GRIDLEY
ONT: GALLAGHER'S HEATINGFIVAC C/O` .
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AME. Ba:�ry 1441-71Bp/s Obermeyer Ave. 4p -1100 W mor L;,a,-Nk,,inGridleyCONTR: Glenn Barrington(new single family)L
m
Butte County Department of Development Services -
N OTES 7 County Center Drive, Oroville, CA 95965
(530) 538-7601 --bqtj(LcoVnty neyoos
APN:
Owner
Site Address:
I Contractor.
Type of Permit:
RES I DENTIAL
Permit No.
024-080-110 06-0665
BROWN5 JAMES& CAROU
507 - OBERMEYER AVE, GRIDLEY. -
CONT: GALLAGHER'S HEATrNG
HVAC C/O -
ONS
CHECKED BY
SRA
FLOOD CERTIFICATE EQUIRED
FIRE SPRINKLERS REQUIRED
SPECIAL INSPEC-1710N ITEMS
VERIFY
USE PERMIT CONDITIONS
SUB -STANDARD HOUSING LETTER
ENCROACHMENT PERMIT
REINSPECTION FEE PAID
ENV HLTH CLEARANCE
DATE JOB FINALED:
oFF CAKI-1,14
I -
SIGNATURE:
OK
" nK
WANUFACTURED HOMES
MISCELLANEOUS
DATE PERMANENT FOUNDATION SOFT -SET DATE IDECKS'COVERS*CARPORTS'GARAGES
I Zoning -Setbacks -Easements 1 Zoning -Setbacks -Easements
2 Soils; Special MH Support Sketch 2 Ftgs; Soils-Sz-Dpth-Spacing-Cnnctrs-SteeI
3 Sewer; Loctn-Test; Fa[UCIO-Concrete 3 Decks, Girders/Joists-Dcking-Brcing
4 Wtr; Loctn-Test-Ea-sement Needed-Re6ulator Stairs-Guard/Handrails
5 Elec Loctn-Cirncs-Grnd Amp -Concrete 4 Wood Awn; Posts -Beams -Rftrs-Cn nctrs-S hthg
6 Yard Gas; Loctn-Ti?st-Wrap. Nat LJ or LPEJ Frmg-Brcng
Inch Sz Ft Lngth 5 Alum Awn; Columns-Cnnctns-Splice-Dec-al-Enc[srs
-
7 Blckng; Sz-Spacing-Marriage Line 6 Carpqrts; Wndws-Doors
8 Gas; MH Test-Demand-Valve-Cnnctr 7 Electric
9 Elec MH Cntnty Test-Crossovers-Breakers-Clrncs 8 Frmg; Si lls-Anchrs -Studs -Rftrs-Trusses
10 Drain; MH Test -Fall -Flex Cnnctr 9 Siding; Nailing -Veneer -Stucco -Lath
11 Wtr & Sewer Connected -00 to Grade 10 Roof-, Shthg-Roofing
12 Gas and Electricity Tagged 11 Ext; Steps -Doors 4-andings
13 Tie Downs Foundation 12 Braced Wall pnIs
14 Exits
IS Cert of Occupancy
4.
16 HUD Label/insignia Numbers Serial Numbers
DATE IPOOLS
1 Setbacks-tasements
2 Soils; CornpactionZtructure Stability
3 Pool Structure; Steel-Cnnctns-Thickness
Dead Men -Lining
4 Elec Rcptcls/Lting; Distance-GFI
5 Elec Pool Lting; 15 volts-GFI
6 Elec Encisrs; Conduit Entries -Terminals -Listed
7 Elec Bo ' riding; Metal w15'-Crcltng Eqp-Htr
8 Elec Grndng; Eqp w15'CrcItng Eqp-Pool Ightg
B6xes:-EncIsrsLpnIboards4nsuItn to Main Conduit
9 Health Dept Apprvi
10 Pimb; Cir Test-Wtr Supply Test
I I Lt Niche
12 Enclsq, Fencing-Alan-rts
13 Bonding, Diving board or Slide
Pool Drawing
CK
Not OK
RESIDENTIAL (SIngla &
_FP
Duplex)
DATE JUNDERFLOOR
ATE
L U _MB I N G
I Zoning -Setbacks -Easements -Flood -Slope
53 Wtr Htr; Vent-Acc-Cmbstn Air Baffle
2 Ftg Main; Soils-Elec Grnd Ftg Dpth
54 Wtr Pipe; Test & Anchr-Nail Prtctn
3 Ftg Garage; Soils-Steel-Elec Grnd Ftg Opth
55 DWV; Test Fittings & Anchr Nail Prtctn
4 Ftg Porches/Decks; Soils -Steel Ftg Dpth�*
56 Shwr Pan; Test First fIr-Tub Acc
5 Sternwalls Main; Steel-Blockouts-Wrapped
57 Test Tub & Shwr, 2nd fir - Tub-Acc
6 Sternwalls Garage; Steel-Blockouts-Wrapped
58 Gas Pipe; Sz & Anchrs
69 Hold Downs and Special Anchrs
59 Fire Sprinkler; Test
7 Slab, Steel Wrapped
60 Yard Gas Piping
8 Piers-Frpic Ftg-Steel
9 DWV; Fall -Fitting -Test -2 -way C/0 -Sewer Test
10 UF. Gas Pipe, Sz Anchrs-Sz Test
Wtr Pipe; Test-Anchrs-Rgltr-Service Test
12 Elec Undrgrnd
DATE
13 Plenums & Ducts; Cirric-Materiat-Support-Insultri
6`1 AC Ducts lnsultn &Support
14 Girders-Sills-Anchr Bolts -J oists-Vnts -Cripples
62 Vent Fan, Exhaust abv Insulin
15 Acc & VntItn
63 Condensate Drain & OvrfIw, Sz & Grade
16. Insulation
64 Furnace -Vent Acc-Comb Air Rtrn/Vent I IS Outlet
65 Attic Acc & Pltfrm if Furnace in attic
DATE IFRAMING
17 Sills Proper Materials & Anchrs
DATE
F I N A L
I a Walls Studs -Nailing Spacing & Bra6es-Plates-Sound
66 Ext Steps -Door & SideLt Prtctn-Landings
19 Bearing Walls over Girders & fir Nailing
67 Srn��tector
20 Draft Stop in Walls (rat proof)
UAI�Trnace Vnts-Clrnc-Comb, Air-Cnnctr
21 Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs
In Garage; abv-flr-Ducts-Mech Prtctn
22 Headers & Beams-Sz & Bearing
69 Bedroom Exiting
23 Hangers -Post Caps-Anchrs-Cnnctns
70 GF1 & Bath Fxtrs & Tub Acc-Spa
24 Ceiling Joist-Rftr Ties -Purlin-Roof Brac-Truss-Shthg
71 GFI Arc Fault
25 Frplc Ties or Type A FIuL-FrpIc Throat Clmc
72 Elec: Trim & SubpnI, Breaker Sts & Labels
26 Attic Acc; Sz & Rmx: Prtctn-Draft Stop4ns Baffles
73 Stairs, Giard/Handrails
27 Bdrm Wndws or Exiting Doors -Sill Ht & Dimensions
74 FrpIc or Stove, Clmc-Heariih
28 Garage Fire Prtctn Framing -RC: Channel
- 75 Elec OLrUets at Wood PnI, Int & Ext
29 Prprty Line Firewall & Opngs
76 Ktchn. Fxtr & Appinc; GrnLd-Air-Gap-Cooking Clmc.
30 Ext Doors -One T -Check Garage 3rd Story, 2 Exits
T7 Elec Outlets & Rcptcls at Ktchn Counter
31 Stairs-, Width-Hdrm-Rise-Run-Landing-Fire Prtctn
78 Garag e Fire Door-, Swifig4-anding-Closure
32 Plywd on Roof Ovrhng-Attic Vnts-Rftr Outrgrs
79 AC Duct in Garage -Damper
33 Siding -Nailing Veneer
80 Wtr Htr Vnts-CImc-Com Air Cnnctr-PRV; abv fir
34 Stucco Lath -Weep Screed-Fn�tri Vnts-Undrfir Acc.
Me Frtctn; LPG AppInce Undr House 3" drain
35 Glazing Area -Glass Prtctn-SkyLts-Plastic
Imb; Elec & Mech Eqp Listed for Lottri
36 Shear Walls; Nailing -Bolts
82 Elec Rcptcls in Garage (GFI) Romex Ortctn
37 Brace InVExt Wall pnis
83 Insultri-Foarn-Looked in Attic
38 lnsultn-Walls-Ceilings
84 Guard Rails & Deck Cnstrctn-Post Caps
39 Infiltration-Walls-Wndws
85 Fndn Vnts & Crawl Hole Door Drnge & Wood -Earth
86 Cirric Dmge Planters DYes [:)No
:;87 Stu 0 Brown -Finish
��Cunit
'&
Dscnnct, Elec-Plmb
8§ Vrits abv Roof, PImb-AppInc-FrpIc-CImc to Opngs
90 Wtr Well, Dscnnct Elec, PImb
91 Ext Elec Trim, GFI Rcptcl-Undrgrnd
DATE JELECTRICAL
40 Fxtr & Tmsfrmr CImc4ns Prtctn
41 Elec: Rcptcls Spacing-Lts & Switches at Doors
92 VntItn thru House
42 Sz Boxes & No Of Cndctrs Stapled
93 Glass Prtctn
43 Romex. Installed Close to Edge of Studs & CJ
94 Corrections from previous Inspctns
44 Eqp Gmd made up w/Mech Fstnrs
95 Ga./ -t -Meters Tagged, Gas-Elec
45 Grndng Electrode Bond Gas & Wtr
96 & Sewer Cnnctd-CIO to grade -HD ApprvI
_=rgryCmpIncCert-MerCerts
46 2 AppInc Circs in Ktchn & Cndctr Sz GFI
47 Subfeed Wire Sz. 9a CU or AL
98 Address Posted
AC V%rire Sz 93 CU or F-1 AL
99. Fire Sprinkler
48 Range Circ [:1 CU r F I AL
Oven Circ Ej CU or El AL
Insulated Neutral 0 Yes 0 N.
49 Service -Riser Cndctrs & Grnd Main Dscnnct
50 Eqp Cirrics pnls-Motors-Mech Eqp
51 Clothes Closet U-Shwr U -Spa U
52 Smoke Detector
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT
24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO)
OFFICE #: (530) 538-7541
PERMIT NO.
BP060665
PERMITS BECOME NULL AND VOID 1 YEAR FROM THE DATE OF ISSUANCE, OR IF WORK IS DONE IN VIOLATION OF ANY COUNTY OR STATE LAWS,
LICENSED CONTRACTORS DECLARATION
I hereby affirm under penalty of perjury that I am licensed under
provisions of Chapter 9 (commencing with Section 7000) of Division 3 of
Issued Date: 03/24/2006 APN: 024-080-110-000
the Business and Professions Code, and my license is in full force and
effect.
) Lf
A _75—
C*
Site Address: 507 OBERMEYER AVE GRI
—.
LicenseClass-r' LicenseNumbe,:77
Dat,31221wp Contractor:
Map Index:
Description: CHANGE OUT HVAC
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the
Contractors' State License Law for the following reason (Sec. 7031.5
Business and Professions Code: Any city or county which requires a
Owner: BROWN JAMES CYRIL JR & CAROL J
permit to construct, alter, improve, demolish, or repair any structure, prior
to its issuance, also requires the applicant for such permit to file a
signed statement that he or she is licensed pursuant to the provisions of
507 OBERMEYER AVE
the Contractor's State License Law (Chapter 9 commenting with ' Section
GRIDLEY, CA
7000) of Division 3 of the Business and Professions Code) or that he or
she is exempt therefrom and the basis for the alleged exemption. Any
95948
violation of Section 7031.5 by any applicant for a permit subjects the
applicant to a civil penalty of not more than five hundred dollars ($500).):
0 1, as owner of the property, or my employees with wages as their
sole compensation, will do the work, and the structure is not
intended or offered for sale (Sec. 7044, Business and Professions
Code: The Contractors' State License Law does not apply to an
owner of property who builds or improves thereon, and who does
Applicant: GALLAGHER'S HEATING & AIR
such work himself or herself or through his or her own employees,
PO BOX 35
provided that such improvements are not intended or offered for
sale. If however, the building or improvements are sold within one
year of completion, the owner -builder will have the burden of
LOS MOLINAS, CA 96055
proving that he or she did not build or improve for the purpose of
800-892-3556
sale.).
Q 1, as owner of the property. am exclusively contracting with
licensed contractors to construct the project (Sec. 7044, Business
and Professions Code. The Contractors' State License Law does
not apply to an owner of property who builds or improves thereon,
and who contracts for such projects with a contractor(s) licensed
Contractor: GALLAGHER'S HEATING & AIR
pursuant to the Contractors' State License Law.).
PO BOX 35
C3 I am Exempt under Article 3 of the Business and Professions Code
LOS MOLINAS, CA 96055
Date: — Owner:
800-892-3556
WORKERS'COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
License #: 777334
0 1 have and will maintain a certificate of consent to self -insure for
workers' compensation, as provided for by Section 3700 of the
Labor Code, for the performance of the work for which this permit
s issued.
have and will maintain workers' compensation insurance, as
Architect:,
required by Section 3700 the Labor Code, for the performance of
Engineer:
the work for which this permit is issued. My workers' compensation
insurance carrier and -policy number are:
ktr)CA
Carrier:_,5-f&1+e_
Total Square Ft: 0 S. F.
Valuation: $0.00
Policy#:_—i 00 1
Cl I certify that in the performance of the work for which this permit is
Census Code:
issued, I shall not employ any person in any manner so as to
become subject to the workers' compensation laws of California,
and 'agree that if I should become subject to the workers'
compensation provisions of Section 3700 of the Labor Code, I shall
forthwith jorriply with those provisions.
Date:
Applicant— bl'tj A L:r--
WARNING(fFailure to secure workers' compensation coverage is
unlawful, and shall subject an employer to criminal penalties and one
hundred thousand dollars ($100,000), in addition to the cost of
compensation, damages as provided for in Section 3706 of the Labor
code, interest, and attorney's fees.
Cl 75
CONSTRUCTION LENDING AGENCY
This permit is heretijissued under the applicable provisions'of the Butte Countv Code and/or
I hereby affirm that there is a construction lending agency for the
performance of the work for which this permit is issued (Sec 3097 Civ.)
Resolutions to d above for which fees have been paid.
-cL
By:
Name:
Date:
PERMIT EXPIRES ON:
Address: L
(Date)
0 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage,
handling and use of hazardous materials.
0 Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project.
0 Attached are copies of the required E.P.A. notification forms.
I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with
all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official forrp or document of Butte County. I hereby
authorize representatives of Butte County to enter upon the above mentioned property for inspection
Print Name: 6 6 rl I -PC4— 6-11- LA_10,,0_,K 1A
Signature:
Date: Pad ou
0 Owner 0 Contractor 0 Agent for Owner ErAgent for Contractor
B. C. Building Permit 01-16-04 pg 1
I
,04i/18/2006 09:31—FAX 530 846 3229 CITY OF GRIDLEY 002/005
INSTALLATION CERT WICATE
Site.Address
50.-Obertheyer'Gridley CA 95948
,tp,#� 0,�, 4 --,6 30— / / 0
(Paa� 3 tif 12) CF -61k
Permit Number
9P06-0665
An �drtifidate is tequ . ir6 . d,:tobepwt0iitthdb'uildings*.itdoitnadcgvailablef6r '11-9 priate insp (T e
a pprID h
infiormation. provided on thi.s-f6rmis require4):.Aftr com letion. offinal ins i t b vided to the building
p pection, a -copy mus epro
'depaitmenf(upon requist) and.the building, owner at occupancy, per Section 10- L03(a.).
HVAC SYSTEMS-
IleatMgEqulphlent
Equip Type
(pkg.. heat pump)
CECC-ertitiedNIft.
Nunc and Model
Number
#of
Ideotical
S�&terns
. I
(AFUE,vic.)
OCF-I.Rval4e)
T)utt*
Location
(attic, ew.)
Ductor
-Plpiog
'R-Valu�
1.1dating.
Load
(Btu/hr):
�jfcating
Capacity,
(Bt&�x):
Strght."'Cool
GoodryfAn
r, L. 6A a- I - R
14.0
Floor
8
-62060
62
Cooling Equipment
'Equip Type
(Ok&hcat�purnp)
CEi: Certified Mth
Name and Model
Nun�bcr
#of
Iden6cj
Systcrhs-
Efficiepcy'
(SEER or;EER)
(N7- IR value)
Duct
Locatio-11.
(attic, etc.)
R-yaluc
coo li&!:
Lo
.. 0
(Btuft)
cooling.
cap -*y
(Btu/fir)
Strght Cbol
Good an
Floor
8
59000
t000b
1. >— symbol readswreater than arequed to what is indicated an the -CF�18 vahm
Include bo& SI&R, anditgkif compliance credit for high. E'Ek airconditioner is -claimed.
E3.11, the undersigned, verify that equipment listed above is: ]).is the -actual equipment installed.,- 2) equiivalent to or
more chricicut tban-that specified in the certificate of compliance (Form CF -JR) submitted for compliance with the
-Energy Efficiency Standards for residenfidl 'buildings, and .3) equipment that iindets or excftds- the dppropriAte
reqtarements:f6rmanufacture.,d.devices (from the.Appliance Efflejencyflegulatiotis or Part 6), whereapplicable.
,TnA4lfifig'S,4bconttact6r ( 6. Name) Ok General
Contractor (Co. Nlame) 0 Owner
Date:
Copies to: BUILDING VETAKTMENT, HERS TER. (IF APPLIC'F&BLE) BUILDING OWNER AT OCCUPANCY
2
,kesidential Cwrip�liance Fonns April 2005
04/18/2006 09:31 FAX 530 846 3229 CITY OF GRIDLEY 0003/005
F4STALLATION'CtRTEFICATE (Page;4 d 12) CF�6R
:Site.Address Permit Ninber
507*01wmey6r Gridley CA 95948 BP06-0665
INSTALLER. COMPLIANCE STATEMENT FOR DUCT LEAKAGE:
INSTALLER COMPLIANCE STATEMENT
The building was: v" F Fested at Final -/ 0 Tested at Roughm.in
jNS.TAILLIER VISUAL INSPECTION AT FINAL CONSTRUCTION STAGF..;
• Remove at: least one':supply and -one fthim. re
gister,: and vdrif�(-that the ispacts- between the register bdocand the interiot
finishing. wall are properly scaled.
• If -the house rQugh4in ductleakage itest was. conducted without an air handler installed., Inspect the connection points
between the air-haddler andthe supply arid return plenums to verify that the connection points . are p . ro . perly sealodi.
17 Inspect alljoints to ensure that no clot ht backed rubber adhesive dua tape is -used
[:* New -Distributiour system is fully ducted (i.e.,. dues.not use building cavities -os plenums orplatform returns in lieu of
ducts)..
DUCT LEAKAGE REDUCTION
NEW CONSTRUCTION:
Duct-Pressurizatian Test Results (CFM. @j 25'Pb)
MeasujO
Values
"Enter Temed Leakiige,Flow in CFMf
010
100"MIUM 7tWW
Fan Flow: Calculatedl4ominal: V 13 Cooling V 0 Heating) -orv` 0 Measured
If Fan Flow;is CalcuJate4as'400 din/ton x number of tons or as -2.1.7 cfm/(.kBtu/h.r) X. 9
Capacity in Thousands of 1�tu4hr output,, enter. total calculated or me"ured fhn flow in CFM.ber(
3
Pw if LeakagePercentage:5 6% for Final or:!� 4% at Rough -in:
'
(3 Pass 0 Fait
rloo x r__ If Ane..
ALTERATIONS.
Duct Svsteth andiot HV C Equipment Change-Qut
A
4
4
Enter Testi�d. Leakage.Flow in. CFM from Pre -Test of Existing Duct System Prior to Duct
System Alteration and/or tqgipment Chang& -Out
&
EnterTested Leakage. Flow in CFM from FinalTest of NewDkict System. or Altered'. Duct
5
5
System forDuct System Alteration and/or Equipment Change -Out.
251
Erifter Reduction in Leakage f6r Altered Met System
6
C. _(,Lino #.4.,). Mijilis tine ff 5)] �� (Only if Appli6abk)
7-
- Enter Tested Lea . kage . F I low in CVM t9butside.(Only if.Applicable)
V
Entire New Duct System - Pass if Leakage. Percentage 6% for Final
b Pos Q Fail
8
r 1,0 Ox L net 5);l _Line #2)]]
TEST OR'VERM. CATION.STANDARDS: For Altered Duct System and/or HVAC Equipment'Change-
Out Use one ofthefollowingfour-Tesit or Vaillcation Standards.for c(impliantet
9
Pass if Leakage PercentageS 15% [100x[_ 251_(Line 5) 1— 2000— (Line# 2)]]
12.6
F Pass 0 Fail
. . ..........
110
... ... .. .. ..' ' ' " __
Pass if Leakage to Outside Peicentage -,q, 10% 109 ;� L_(Line# 7) (Line # 2)]]
' ' * - __ " __ --..i
.. ..... .......... . . -1 - - ------ i..__ . ..... . .
0 Pass E3 fail
Pass ifLeaka . ReductionPercenth -;_60%tl00::xf
ge ge (Line # 6) 1 _(Line: # 4)]]
0 Pass 0 Fail
and Verification byStboke. Test and Visualliispection
12
Pass if Sealing of 'all Accessible Laks -arid Venification by -Sm6ke Test and Visual Inspettion
NO= -
ass .0 Fail
Pass if One of Lines # 9 ihm jeh.# I pmg.
1,
F: Pass 0 Fail
v'E IL the tundersignedi verify that the above diagnostic test rcsultswere performed in. con1brinance -with the requirements for
compliance credit. I,the undersigned., also certify that tbre -newly installed or retrofit Air-Distribufion,SystemDucts -Plenums and
Fans. comply with. Man.datory:reqitirements soec.ifed in Section 150 (in): of the 2005 Ouildin Efficiency staodards.
g 'Energy
:Ifiaallitig-Subconrrat�tor.'(Co. Name) OR General
ContractoT (Co. Name.), 0 Owner
Ay
Sj.gnatqre:'j!jP
JAI7,1
Copies to: BUILDING �Df -.RTMENT,,ffFRSRATER.(IFAPP-LIC/ABL�)BUILDI.NGOWN'E..RAT'OCCUPANCY
Conigliance Fonns September
04/18/2006 09:32 FAX 530 846 3229 CITY OF GRIDLEY
Z004/005
!ENSTALLATION'CERTMCATE -flNgO 5 of 12,�, CF4,R
:Site Address Permit Number
56TObermeyer Gridley CA 95948 1 BP06-0665
,/13 TJR9RK08TAPC EXPANSIONiVALLVT (TXV)
Proteduresforfirold verifticati6n q tic expansion valves, are available fnRACY—Appendix R1.
ve
Access is provided for inspection. The proce4ure Shan
consist of visadl verification that tht TXV is installed on
0, Yes 0 No the system and installation of the sPecific equipment El El
shall be. vefified.
Yes; is a
REFPjGERA-w. C'HARGF, MEASUREMENT
Verification for'Reauired Refri IT
gerant Charge and.Adequate Ai flow for Split-§ystern Space Cool g Systeniswithout
an
Thermostatic Exnansi6fi Vatves
0utdoorbnit'5M..Aj
.L ocaii.on.
Outdoor Ur6t Make
.Qutd ooT Unit M odel
Q9QH*ng Capacity Btu/br
j3ate of V-erificgtion
Da(e:Qf Ref gerant Gauge Cahbrati6
(must. be ch. eckedmonthly)
Date of Thermocouple Calibrati. on
(mot be checked. monthl
Standard Charge. MeasurementProcedure (butdoor-aiT dry-bulb 55OF and above):
09; -h -ge usihg the Sh7rukrd 1461hod are available in
Procedure.y.forDeiermin * Refrigerant'C. at
RACM, Appendix RD2.
146tez The 9y.steni shotild be.ingtalled:iiTfd:chE(rgo.iiiaccotdatice with,the manufacthrer7s specifia�biisibef6te-Ist&ting;tbis
pr—ocedure.
Measured Temer-atures.
Sqpply'(evaporator* leaving) air dry-bplb temperature (Tsupply., db)
OF
Retum (evaporator entering) -air chy-bulb teniperatwe (Treturni, db)-
OF
a
Retum (evaporator etitering): ir wet -bulb temperature (neturn, wb)
OF
.Eviiporato,r saturation ternperature-(TevapoTator, sat):
OF
Suction line temperattire.(Tsuction, db)
OF
Condenser (entming)air dry-bulb temperature (Tcondensm, db)
OF
mperheat Charge Method. C41cu tations jb�r Refhge;ranx Charge
Actual -Supdheat = Tsuction, db – Tevaporator, s.at OF
Target Superheat (from Table RD -2) OF
Actual Superheat – Target Superheat (System. passes if between -5:and +5'F) OF
Temperature Split.Method*Calculations for Adequate Airflow
Actual Temperature Split = T return, db Tsuppiy, db
Target Temperature Split (ftom Table RU3)
Actual Temperature Split Tafget Teinptrature Split. (Systein passes. if between. -
'3OF.atid +3*F or. upon remeasurement, ifibetwe.en -30F and - 1.00OF)
'0
Aesidential Coniplince Fonns April 260.5
04/18/2006 09:32 FAX 530 846 3229 CITY OF GRIDLEY 1a005/005
04/11/2006 01:42 7607683200 LNALASYS CORPORATION PAGE 05
CERTIFICATE OF FIELD VERMCATION & DIAGNOSTIC TESTING (Page 1. - OM
Project Address CF -4R
507 ObermeyerAve Gri,116Y,95948 Builder Name
Builder Contact
Te -phon'c Plan Number
P
E
r,)' R
cc
A
5
13 ut Ider C
d
R
d'
C A
'rC 0"
07 Obermeyor
.011tact
ve ri(
t
HERS Rater
I
0 7 �ajs s
Home gnplasys Tc-ephone Sam 1 GrOUD Number
C 0 1, liac M til
oln lianco mctllod 760-768. 3228
Certifyijig Sigila re Climate Lone
Dute Sarnplc House Number
Firm
Enalasys Corp HERS Provider 209
Street Address: CBPCA
250 CamV#110 AVe city/stataZip;
E TA-N D H U I —I Q-"� �CA 92�231
!0pies to: BUILDIER, HER$ PROVb7
HERS RATER COMiLIA�Ei STATEMENT
Tihe hoUse waq: V' tJ Tested v/ 0 , Approveid as'pail of sample tc:.tinig, but was not ested
As tbe HERS rater providing diagno! tic ':sting and field verification I cer
the d I ogogstic tested compliance rcqi ircr )cnts as checked V fy that tile house identified on rbil fonn complics Avith
tio he HERS-ratcr "'list chcck and vcri thal: the new
ratcr must 'lot release tile CF -rect tape is used before a CF.4R I lay be re 0 C t d I
distrilb system is fulry ducied an I co )n this ?onn. 'I
-411 unti 2 P -OPerlY Completed and signed Cp leased ri ev ry tes e �ing. The HEF-,s
buildings. - 5R'h;)s been received fdr tFe-9annPle and t:sted
PI
* 7lie installer has providml.a cr PY If CF -6R (Installation Ccnificite)
rl New Distribution systeill is fijlly d- icted (i.e., does not use building c;,vitie,
'I New sYstcms where Cloth b, ickc J, rubber adhesive duct tape is 4 as Plenums or platform returns in lieu of ducts).
. combination With Cloth backed rUhher mrih ; 4.5talled, Mastic and draw bands a used in
MINIMUM REQVIiiFM_EN
A'ocedur(.11Tf0`f1C-'1d "CrifiCafion and
Duct.Diagnostic Lzakage Testing
IN.EW CONSTRUCTION: —
Duct PrcssUlization Test Results (
Enter Tested Leakage Flow in CF
2 l�� i:i 111 1� I IV i atm (Nominal: V0
Etiter tal Fan Flow in CFM;
in C
±/Eal I tc �r I Fa n'�l
o
'a all, P
Pass if Uak e Percentage _< 6%
ALTERATIONS. IDuct System
Enter Tested Leoloage Flow in CR
4 '�e
DLICI System Alteration and/or F_q,
'r
Lc
0 to","
Enter Tested koilgc Flow in CF,
+5, - -
I ve duct tape to so, .11 leaks at duct connections.
i UK JDUCT LEAKAGE JREDV(-:', ;101,7 - QMPLIANCE CREDIT
9 �`Ttie te-qrlillg Qfah'diy1ribv1innsj -;1enjqo -
tV a "ailable In RA CR Aplmil dix A C4.3.
V @) 25 Pa)
eating) ur vr E3 Miisured
J 00X [--(Line a I i I -(Line # 2)11
frc m CF -6R.- Pre -Test of i3xisting E, jet Systcln Prior to
rn. _nt Chslnge-out,
flard Test of New Duct System or
Ili Nile -f. Ttct'cd Duct �SYtcni
jange-vut.
Entcr. Rdduction ill Leikago: for Alt,red Duct Sy.i1eln [_(Linc#4) N;'Inus
-.1'agc
Le
6 (0111YWAppliciatblc) '0 1 —(Line 9,5)]
±7n t el, cd Uulka
")'%" n CFN
gr
Ter
7 l3ritcr Tested L4,,,lkagc Flow in CFIV to (lutsidc (Only if Applicable)
Cri ro Duct Sy
Is
8 N .5 if L
Entire New Duct SYitcm - Pass if L - . . ......
8 llk� 9 erconfagc �5 (,q/0
100 x 9 5) /
TE,5TORVERIFJ AFioNsTANDjRDi;P,,.,i:j, I
Measured
Values
1:3 Pass 0 Fail
2 d5l
C
C1 Pass 0 Fail
Liseonvortherallowin fourTe- . .. riu ullct,%YStEM2nd,DrtIVACtqui�ment—
Ottion Standrirdiz rnr* ChnMe-Out
PHNS if Leakage Pcrcciltago: s 15% [1011 x
(Lil" # 5) / 200',
(Line # 2))]
P8.9s if LcakagQ W Out -side Pcrcallrz
P it- L ge'.106/'110Ox L_(Lin,# 71/ #
-I.' . ................ . . .....
ls-i if Leakage Reductitin Pcrccjltne�_� (70%[J0().x[ (Linc # 61 /
and Verificition bV Silloke Test aild Vi� );,I j . . __ (Line 4 4)11
f . I lsocelion
112 Pass ffirscalill
9 of al I Accc9sible I-e:,k., VC11 Moll ItIll bV -qui,ok—m—
Ploss 19 thrijoigh # 12 P10%.j
Residenlial (,*,(p1111;1it111(..(. — I--
V 011 V ol
12 L6_�r ___
Fail
oss 0 Fail
Q Pas,', 13 Fail
Puss 0 Fail
—Tail
,4pil 20115
41
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT'
24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO)
OFFICE #: (530) 538-7541
PERMIT NO.
BP060665
PERMITS BECOME NULL AND VOID 1 YEAR FROM THE D ATE OF ISSUANCE, OR IF WORK IS DONE IN VIOLATION OF ANY COUNTY OR STATE LAWS,
-
LICENSED CONTRACTORS DECLARATION
I hereby affirm under penalty of perjury that I am licensed under
provisions of Chapter 9 (commencing with Section 7000) of Division 3 of
Issued Date: 03/24/2006 APN:024-080-110-000
the Business and Professions Code, and my license is in full force and
effect. . U -) -?)�
License Class !C.2c) License Number:
Site Address: 507 OBERMEYER AVE GRI
Dat N.F4 Contractor:b(AQhPr_A Wik-1
Mapindex:
Description: CHANGE OUT HVAC
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the
Contractors' State License Law for the following reason (Sec. 7031.5
Business and Professions Code: Any city or county which requires a
Owner: BROWN JAMES CYRIL JR & CAROL J
permit to construct, alter, improve, demolish, or repair any structure, prior
to its issuance, also requires the applicant for such permit to file a
signed statement that he or she is licensed pursuant to the provisions of
the Contractor's State License Law (Chapter 9 commencing with Section
507 OBERMEYER AVE
7000) of Division 3 of the Business and Professions Code) or that he or
GRIDLEY, CA
she is exempt therefrom and the basis for the alleged exemption. Any
95948
violation of Section 7031.5 by any applicant for a permit subjects the
applicant to a civil penalty of not more than five hundred dollars ($500).):
El 1, as owner of the property, or my employees with wages as their
sole compensation, will do the work, and the structure is not
intended or offered for sale (Sec. 7044, Businessand Professions
Code: The Contractors' State License Law does not apply to an
owner of property who builds or improves thereon, and who does
Applicant: GALLAGHER'S HEATING & AIR
such work himself or herself or through his or her own employees,
PO BOX 35
provided that such improvements are not intended or offered for
sale. If however, the building or improvements are sold within one
year of completion, the owner -builder will have the burden of
LOS MOLINAS, CA 96055
proving that he or she did not build or improve for the purpose of
800-892-3556
sale.).
1, as owner of the property. am exclusively contracting with
licensed contractors to construct the project (Sec. 7044, Business
and Professions Code. The Contractors' State License Law does
not apply to an owner of property who builds or improves thereon,
and who contracts for such projects with a contractor(s) licensed
Contractor: GALLAGHER'S HEATING & AIR
pursuant to the Contractors' State License Law.).
PO BOX 35
1 am Exempt under Article 3 of the Business and Professions Code
LOS MOLINAS, CA 96055
Date: Owner:
800-892-3556
-
WORKERS' COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
License #: 777334
0 1 have and will maintain a certificate of consent to self -insure for
workers' compensation, as provided for by Section 3700 of the
. La bor Code, for the performance of the work for which this permit
.
s issued.
have
Architect:
and will maintain workers' compensation insurance, as
required by Section 3700 the Labor Code, for the performance of
Engineer:
the work for which this permit is issued. My workers' compensation
insurance carrier and policy number are:
5+c;�+e_ kt A
Carrier: n
Total Square Ft: 0 S. F.
Valuation: $0.00
Policy #:_ D 13 - 00 1351—
(
0 1 certify that in the performance of the work for which this permit is
Census Code:
issued, I shall not employ any person in any manner so as to
become subject to the workers' compensation laws of California,
and agree that if I should become subject to the workers'
compensation provisions of Section 3700 of the Labor Code, I shall
forthwith fornply with those provisions.
Date: ' ?>1 0
W
Applicant: J -1A _J 4
WARNING-9.Failure to secure workers' compensation coverage is
unlawful, and shall subject an employer to criminal penalties and one
hundred thousand dollars ($100,000), in addition to the cost of
compensation, damages as provided for in Section 3706 of the Labor
code, interest, and attorney's fees.
CONSTRUCTION LENDING AGENCY
This permit is hereby issued under the applicable provisions'of the Butte County Code and/or
I hereby affirm that there is a construction lending agency for the
Resolutions to d above for which fees have been paid.
performance of the work for which this permit is issued (Sec 3097 Civ.)
J �)�-4
Name:
By:_ Date:
PERMIT EXPIRES 0 -�) � ";4- �w
(Date)
Address:
0 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the Califomia Health and Safety Code, which regulate the storage,
handling and use of hazardous materials.
El Notification in ' accordance With Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project.
0 Attached are copies of the required E. P.A. notification forms.
I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with
all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official fo or document of Butte County. I hereby
authorize representatives of Butte County to enter upon the above mentioned property for inspection pylNes.
Print Name: Signature:
Date:
EI Owner C3 Contractor LI Agent for Owner Er"Agent for Contractor
B. C. Building Permit 01-16-04 pg I
4
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT APPLICATION
AND SUBMITTAL REQUIREMENTS
24 POUR INSPECTIONk OROViLLE: (530) 538-7636 - CHICO: (530) 891-2834
OFFICE 9: (530) 538-7541
A FEE WILL BE REOUIRED,4 T TrAfE OF AppLICA TION
Website: www.buttecounty.net/dds
'PLEASE PRINT CLEARLY**
OWNER
Last Name irst Name
Bro to n V-0
Address 5-0 -7 Oj
C-7 ri cL
State
C�R
Z",q'35qg�
Phone 00
lax
E-mail
APP01FANT SIGNATURE
For 61tice, use onty7
CONTRACTOR
Name
k_�laliaclher-.�
N' VAC
-
Address -Po
-7,C3
City Lks MI)
V105
State (�A
251p,
Phone -
Planner
Fax
E-mail
Lic. 9 -1-1 -7 3 3 q
1 "08
L-40 C. 32
APP01FANT SIGNATURE
For 61tice, use onty7
ARCHITECTIENGINEER
Narne
1,4vqc,
Address
V 35
City
Subdivision Name
State
251p,
Phone
Planner
Fax
E-mail
State License Number
APP01FANT SIGNATURE
For 61tice, use onty7
APPLICANTNAME
Name
1,4vqc,
Address
P10
V 35
City
Subdivision Name
"e
Map Book
Phone
Planner
I -ax
E-mail
APP01FANT SIGNATURE
For 61tice, use onty7
AP# V, I
Zoning
Flood Zone SRA
Occ.
WORKER'S COMPENSATION
I Type Const.
Subdivision Name
If hiring anyone other then Rcense contractors, a ceraftcate of worker's
compensation must be shown at the time of permit twuence,
Map Book
Page Lot #
Planner
Date Approved:
PERMIT
NO.
cle - 6o_5
BP
LOCATION
AP# V, I
Property Address
-, - �Q —7 0 6e -r
City
Cross Street
WORKER'S COMPENSATION
Policy Number 11 -3 0013 0 S S_
Carrier 5+ct+-e
If hiring anyone other then Rcense contractors, a ceraftcate of worker's
compensation must be shown at the time of permit twuence,
LENDING AGENCY
Name
Address
Desc6ption or Scope of Work-
jaf
Sq. Footage
0 Structure Built without Permb
0 Proposed Change of Occupancy
(Note previous use):
EXPIRATION OF APPLICATION
Applications for which a permit has not been issued will expire one
year afteT the date of application. In order to renew action on an
application after expiration, a new application, plans and fee will be
REQUEST FOR REFUNDS
Refunds can only be made upon written request by the pmon who
paid the fee. The request must be made prior to the expiration olth
pttumi! and no constraction work has been done. Filing fees, plan
check '= for work plan checked and other department costs are not
refundable. I
i I Received by: Amount: Bldg —11
SRA
Receipt Sheriff
SMIP
Date: Other
4.1
114-08-0-110
RESIDtNTIAL 99-0051
BROWN, Carol
Ali,
507 Obermeyer, Gridle
(roof carport) Lowell y Hagberg
PERMIT NG.
PERMIT EXPIRES
OWNER
CONTR.
ASSESSOR PARCEL
LOCATION
CHECKED
BY
SRA
FLOOD CERTIFICATE REQ.
FIRE SPRINKLERS REQ.
SPECIAL INSPECTION ITEKS
VERIFY
Temp. Power Palo
Called PG&E
Temp. Elec. Service
Called PG&E
Temp. Gas Service
Called PG&E
JOB FINALED 1,01--t-0
Signature%.
V -OK
0 -Not OK
- - Not AppkaWe
* - Not Ready MOBILE HOMES
Date MOBILE HOME VTILFTIES Pens) OK wwW Fa
I. Zoning PAqukwrwft - Setmiclim - Eam at
2. Scir Special MH Support Sketch
& Sewer Locallon-ImWaK40-Concreft
4. Water Locabom-To�ot Needed (r"It:N
S. Elec:�. Locmftk�@�� IAAV*xxnto
S. Gas; Location-ImPNIrmV. I JUL
/KaL or/ XW APG
7. Wed Clearance & Discorrod
8. UtTiity Clearance
Date Card B -I Dale card a -i
Date Card B -I Daw Card B -I
Date MOBILE HOME INSTALLATION Onans) OK m r I #**
1. Zxgrg Rsq*ummto. Sebacks Eagernents
2. Foodngs: SbwSpacing-Maniage Line
& Gas; MH TedDwn&nd4%K*4cnnecIor
4. Electricitf, MH Te����
S. Drain: MH inwatfilm c4rdmIctor
6. Water MH Te�wc�
7. Water and Sower Conrmcted�= lo Grade -HO AppmW
8. Gas and EWcoicity Tagged
9. Tee Downs-Npe4nstallation Ceit
10. Utz; Insp.,Skelch
11. Cert of ocmpwcy
12. Pemmnert Foundation &i� License Decal
Date Card B-1 Date Card 8-1
Date Card B -I Date Card B -I
)ate
MISCELLANEOUS
DECKS. COVERS, CARPORTZQARAGES 0") OK mc -#,s
Zcr*V RuMmments-Ubadm-Easm W,
2. FOO&Vs: Soil*-Sb&-0�padngtav*cbr*S"d
3. Docks: Ghim andlor Jditv-��W�naah
4. Wood Awm: Povts.�trs.-Connecjws
Sf)4.-Rfg.-8rackV
s -Aum. Awn.; Cclurnn*Cwwwc���
X. Carportir Wffxbwz-Doom
7. Ekctic
& Fffng.: Sils-Anchors-SuAs-Ritro-Munes
9. Sk&V: NaRrigAkneer-Shicoo-Mesh
10. Root Shtv-Roo&v
it. Ext: SWP*Door*t&nding*
12. Braced " Panels
DaiiDate
;A_�
Dalief'
Card B -I
L�' - " Card 8.1 Dale caid 8-1
Date
POOLS (Plans) OK empt #'a
i. Setbacks-Easemento
2. Sok C4mpsdowSWckme SImbW
3. Pool Svucbxe; SbelZonneeftw7lidmas
Dead Men-tining
4. Ekr-; Recq)tades and LV*K;. Ustanc&C.9
S. Eie,--; Pool Lighting; 15 VdW-G9
6. Elec.; Encloomm Condult Enbl@*Ter�sled
7. Elm; Bav*V. Metal wX-Cinmialingl EquiIx-Healor
& Elec.; Gmundira Equ%x vW CircAfrg Equip. -Pod I.QhU -
BoxmEnclougeoPandboarda4m b Main in CondLit
9. F&ahh Departrnent App -W
10. Pkmnb.: Cir. 1=06ter Supply Ted
ii. Light Niche
Date Card B -I Date Card B -I
Date Card B-1 Date Card 5-1
OK
Not OK RESIDENTIAL
Not Appr-ble
Not ReadY UNDERFLOOR (PI-) OK aX-Pt Ift
1. Zoning, Setbadts,Eas
2. Fig.. ain; Sous-Elec. Gmd.4 J' Fla. Depth
'3. Fig. Garage: Sods-Steel-�- Gffw J'Ftg. Depth
4, Mo. rOMMS & WeCKS; So" -Steel-/ jr Ftg. Depth
5. stemvans. Mairy Ste"loclitoulIA-WraPPed
S. Sternwalls. Garage; SteelBlo�rapped
6a. Hm uawns and Special Anchm
______7. Stab. �SwdW.pped
a. �Fw.-Fpla- Ftg.-Steel
9. D.WX; Fag+imng- lest -2 Way C)O-S- Ted
10. UF. Gas pipe- - Anchm - Yard Gas POW: Size Test
. Size
It. water Pipe; Tes+Anchors-Regulator-SwAce Test
12. Electric Underground
13. pienums & oticts; Clearanci-eMaterial-Supportri-
14. Girders -Sills -Arch" Bdt-bisl24i6nbCeQPi-
15. Access & VendadOn
16. Insulation
ate Card B -I Dale Card B-1
ate Card B -I Dab Card 5-1
ate PLUMBING PKMIQ OKetce0ft
17. Water Hbr4 venj,��� Air Baffle
IS. Water Frqw- Test & Ancho4llsill Probcdon
19. D.w.V4 Test Fittings &Andw0W Pictecdot
2o. shower Pan; Test� Fkst Flocr-Tub, Access
21. Tea TLb & Shaa% Second FboF-Tub
22- Gas Pipe. Sim & Anchors
Date - Card B -I Dale Card B-1
Oate Card B- I Dale card B-11
ELECTRICAL "irml) OK exioapt ft
m. Fmtum & Transformer Clearance-Irts. Pwwc§m
24. Eler- Receptacles SPading`Lklft & SM-Xhe$ at DOOM
25. Size Boxes & No. of Conductors Stapled
26. Romex!Vtalled Close to Edge of Studs & C.I.
Z7. Eqip. drotiniti made up wAlech ftslzlielr�80nd Gas & Water
Z& 2 Appliance CkcLft im ?Qchm & CaWuctcir Size GR
29. Subfeed Wire Size/ 19a. Cu or XkC. Wire Sim I JgaCuorAI
30. Range Circ. I I ga Cu or Al -Oven Circ. I I ga Cu or Al
Insulated Neutral (I Yes 11 No
31. Senvice4liser Conducb= & Ground -Main Disconect
32- Equip. Clearances Pane"olbirs-Mech. Epuip.
33. Clothes Closet LighVShower Light -Spa Light
34. Smoke Detiec�tor
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B -I
Oate MECHANICAL (Permit) OK except #'s
35. A.C. Ducts Insulakc. & Suppert
36. Vent Fan, Ex�%aust abcve insulation
37. Cor-densate Drain & Overkv. Size & Grade
38. Furnance-Vent Access -Comb. Air -Return Air Vent I IS outlet
39. AMC Access & Plaec(m if Furnace in Attic
Date Card B-1 Dale Card B -I
Date Card 3-1 Date Card B-1
Date FRAMING (Plans) OK except #Is
40. Sits Prcper Va:erials & Anchors
41. Walls ShAs-Nailirg Spacing & Braces -Plates -Sound
42. Bearing Walls over Girders & Floor Naiing
43. Draft Stop in Walls (rat prool)
44. Fire4tops. Furred Ceilings-Stairs-Chaws-Tubs
-45. Headers & Beams -Si. -e & Searing
Single & Duplex)
Dato FRAMING (Continued)
46. Fiangers-PostCapr,-Ar*diors-Connectors
47. Cling. Joist-Ritir. Ties4hift-roff Brac.-Truss-Shling.-Rfrig.
48. Fireplace Ties or'�,poe A Fkje-Freplace Throat clearance
49. Attic Access; Size & Romex Protection-Oraft Stop4na. Balfles
So. Bdrm. Windows or Exiting Doors -Sill Mgt. & Dirnensions
St. Garage Fire Protection Framing
S2. Property Lkw Firewall & OperkVs
53. Ext. Doors -One Y -Check Garage 3rd Story. 2 Evft
54. Stairs: WidtA-leadroon-rRis&Run-Un&V-Fre Protection
SS. P�ywcod on Roof Oved-tang-Atfic Vents -Rafter Outriggere
S6. S;ding-Nailing Veneer
ST Stucco Mesh -Drip Screed -Fd. Vents-Undeft Access
Sa. Glazing Area -Glass Protection-Skyli;hts-Plastilc
59. Shear Walls: Naffing -Bolts
60. Brace Interior / Exterior Wall Panels
61. Insuiation-Wails-Cedings
62. InfiltrationWairWindims
Date Card B -I Date Card B-1
Date Card B-1 Date Card B -I
Data FINAL (Plans) OK except #'a
63. Ext Steps -Door & Sidelight Protectlion-Landiings
64. Smoke Detector
65. Furnace; Vients-Clearance4Comb. Ak-Conector-
In Garage: Above FI=4>uctsMech. Prcil F
66. Bedroom Exiting
67. G.F.I. & Bath Fmitures & Tub Access -Spa
68. Elec Thirn & Subpanel, Breaker Sizes & Labels
69. Stairs & Rails
70. Fireplace or Stow. Clearance-14earth
71. Elec. Outlets at Wood Panel. Int & Ext.
72. KiL FmL & Appliance: Ground. -Air Gap�Cooliiing Clearance
73. Ek---. Outlets & Recepticales at Kit Counter
74. Garage Fire Door-. Swing -Landing -Closure
75. A.C. Duct in Garage -Damper
76. Vft. Htr.*. Vents -Clearance -Comb. Ait Connectoir-PRY.
In Garage; Above Ftoor-Mech. Protection
77. Plb., Elec. & Mech. Equip. Listed for Location
7B. Elec. Receptacles in Garage (G.F.I.)-Romex Protection_
79. Insulation -Foam -Looked in Attic
80. Guard rails & Deck Conshnfion-Post Caps
81. Fdn. VBents & Crawl Hole Door Draiinage & Wood -Earth
Clearance Looked under Floor n Yes
82. Following Inst1d./Drive [I Yes a NoWalks a Yes a NoRtanters a Yes [I No
113. Stucco Brown, -Finish
84.
A.C. Unit Disconnect. Elecuical-Plurribing
aS.
Vents Above Roof. Plbg-Appliance-FireptacL--Clearance to Openings
86.
Water Well, Disconnect. Electrical. Plumtoing
87.
Exterior Elec. Tdm. G.F.I. Receptacle -Underground
88.
Ventilation Throught House
89.
Glass Protection
90.
Ccrrections from Previous Inspections
91.
Gas Test -Meters Tagged, Gas -Electric
92.
Water & Sewer Connected -C/0 to Grade -HO Approval
93.
Energy Compiiance Certificate -Other Certificates
Date
Card 3-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
Card B -I ate Card B-1
Comments at Final:
COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION
Z; 7 County Center Drive Oroville, California, 95965 - Telephone (530) 538-7541�9 PERUIT NO.
(Rev. 12/96) APPLICATION AND PERMIT a6,
ASSESSOR PARCEL NUMBER
024-08-0-110
ZONINGAS
1
BUILDINGPERMIT
OWNER
CAROL BROWN
TELEPHdNE
846-0790
SO. Fr. OCC. BUILDING VALUATION
680 8,190
OWNERS KWUNG ADDRESS
507 OBERTMEYER, GRIDLEY
ONTRACTORS NAME
C LOWELL HAGBERG
ELEPHONE
CONTRACTORS MAILING ADDRESS
CONSTRUCTION LENDER
Fireplace
LENDERS MAJUNG ADDRESS
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE NO.
—Fifing Fee $
20.00
Permit Fee $
108.00
ARCHITECT OR ENGINEERS MAJUNG ADDRESS
Plan Checking Fee $
70 -nn
BUILDING ADDRESS
507 OREMMEYER, GRIDLEY
Energy Plan Checking Fee $
$
PERMIT FEE
I R
LOT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT
-9n
Filing Fee 20.00
USEOFSTRUCTURE
SF [X Duplex 0 Mobilehome El Other
SPECIFY
—Each Trap
7.00
Solar or heat pump water heater
23.00
Water piping
15.00
Each gas water heater or vent
15.00
TYPEOFWORK
New El Addition C3 Remodel 11 Ublities 13 Installation 0 Other IT,
Describe Work: WROOF CARPORT
Gas piping system I - 5 outlets
15.001
Building sewer .
15.00
Mobile Home I S G I W
C&120.00
PERMIT FEE $
ELECTRICAL PERMIT
Filing Fee 20-00
( OOOV OR LE::
Main Service ."0..
23.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license is in full force and effect.
License Class Lic. No.
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
0 1, as owner of the property, or my employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
AJ, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
0' 1 am exempt under Sec. Business and �rofessions Code for this
reason
WORKERS' CO M PENSATION' DECLARATION
1,1hereby affirm under penalty of perjury one of the following declarations:
0 1 have and will maintain a certificate of consent to self -insure for workers',
compensation, as provided for by section 3700 of the Labor Code, for the,
performance of the work for which this permit is issued.
0 1 have and will maintain workers' compensation Insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permit is issued.
My workers' compensation insurance carrier and policy number are:
Carrier
Policy Number
(The above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
I certify that in the performance of the work for which this permit is issued, I shall
not employ any person in any manner so as to become subject to workers'
compensation laws of California, and agree that if I should become subject to the
workers' compensation provisions of section 3700 of the Labor Code, I shall
forthwith comply with those provisions.
/�r
X I A, Z Date
Signhture of A59rcant'-: XOwner 0 Contractor 0 Aglye
An OSHA permit is required for excavations over 60" deep an emolition or rnnQtri j�finn
of structures bver 3 stories in height. demo --t-u-tiin
Main Service 200A TO 1000A
46.00
NEW CONST. DWEW14G OCCUR so.
OR ADDNS. & ACC. BUDS. 3.5it FT..
NEW CONS -0
NON-RESIDT 44L.T., C%C�.TS
97.50
PONIE.RAP� 6PATUS
0 CIR.
Ex. Occup. OUTLET OR FIXTURES '0 0
BAL @ .50
D.ED APP -S 'R
Ex. Occup. r. 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring 23.00
PERMIT FEE
MECHANICAL PERMIT Filing Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEPE $
Mobile Home Installation Fee $
Energy Inspection Fee $
Occ
CONST. TY
TOTALFEE$ 1981.20
HAZ.
I D. FEES 1!7�1
FLOOD
PT�K
This permit is hereby issued under the applicable provisions
of the Butte County Code and/or Resolutions to do work
indicated above for w ich fees hav been paid.
Date
PERMIT EXPIRES ON
'Date)
ReceiptNo. 257881
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDEN ROD -APPLICANT
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive * Oroville, Calif6hi ia 95965 * Telephone (530) 538-7541 PERMIT NO.
(Rev. 12/96) APPLICATION AND PERMIT
ABUN (_)
I O.Vul I
Temporary Service
BUILDING PERR I
OWMA C
44� 4:
20.00
SO. F16 OCC. BUl[E11N7C3 VALUATION
000MI MALM AOQIPW�
OOK1RA=W* NAMI,
T"'"O"a
CONTRACT*" VAAAG
CONIFTRUCTIONumm
UNDOM MAIM LM AWFMI
Fireplace
Total Valuation $
ARCHrrMORENOINM
UCENG11NO.
Filina Fee
$
20.06'
AF1CHfrWr OR ENGINUR'S MALM AOF
Permit Fee
$
Plan Checking Fee
$
BULOM AOCF=8
Energy Plan Checking Fee
$
PERMIT FEE
$
1
L0rNO. luea"10"Nue
PARGIL MAP
PLUMBING PERMIT '
LEach
FWng Fee 20.00
Trap
7.00
USEOFSTRUCTURE
1,
Solar or heat pump water heater
23.00
SFdl'Duplax 0 h1obillehorne
0 Other,--
Water piping
15.00
Each gas water heater or vent
---ts-.00
OFWORK
C -As piping systern I - 5 oussu-�-
15.00
Now 0 Adclfficn-0 Remodd (1211'
LJM" 13 Installation 0 Odw 0
Building sewer
Describe Work:
001,
Wbile Home I S I G I W
@20.EP-
PERMIT FEE
ELECTRICAL PERMIT
Fillngf Fee 20.00
hkin Service = OOR,
23.00
Main Service 2m% To 100"
NEW CONST.
OR ADONS. Ow"m oomp-
ACC. WDS
3.50*,rm
=CZT m A FlEmml 1
@7.50
L
Ex. Occup. MnEr OR FKnXM
r
ReceiptNo. (:5< Z5- 6�-[
r -x. uccup. k vinEm mEsto.) FA I
I O.Vul I
Temporary Service
23.00
Wbile Home Facilities
20.00
Wsc. Wirina
--1- -2-3.00
I PERMIT FEE S I
I MECHANICAL PERMIT Filing Fee 20.00�
Hood 41 6-50 1
Ventilation I I I
PERMIT FEE
Wbile Home Installation Fee
Energy Inspection Fee
occ OONST. TYK ITOTAL FEE $
I K4Z 10. FEES I LMP I R=O I COF I PAAZM �FO 11 �11-li
This permit is her aby issued under the applicable PrOvIlil's
of the Butte County Code and/or Resolution$ to do work
indicated above for which fees have been paid.
By Date
PERMIT EXPIRES ON
COUNTY OF BUTTE'- DEPARIMENT OF DEVELOPMENTSERVICES - BUILD17VG DIVISION
7 COUNTY CENTER DRIVE - OROVELLE, CAILIFORNIA 95965 - TELEPHONE (916) 538-7541
PE"IT APPLICA TION DA TA SHEET
OWNER: A? A_� ASSESSORPARC��: 0� - C01--:10 - // 0 -
Proposed Bulli'mi-g Use:' Clm� A --Building Inspecton, Date: / _'R Z2 X
At time of permit application, I wq�Vdvised the foHowing data must be submitted prior to permit processing aindlor issuance:
Date Received By
El 1. All items have been submitted --------------------------------------------------------------------------------------
E12. Plot plans, 3/4 sets, signed by the preparer of plans - ------------------------------------------------------------
113. Complete plans, 3/4 sets, signed by the preparer of plans - -----------------------------------------------------
114. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans - --------
115. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! ------------------
d6. Energy Design Compliance and supporting documentation - ----------------------------------------------------
E17. Statement of Intent.for Non -Heated and A/C Buildings - ---------------------------------------------------------
0 8. Hazardous Material Form - ------------------------------------------------------------------------------------------
0 9. Manufactured Home data and installation instructions including Tie Down Specifications ------------ 7 ------
El10. Fees of $ -------------------------------------------------------------------------------------
0 11. impact fees as shown on the attached schedule - -------
0 12. California Department of Forestry plan approval/fees.
51�013 lood elevation certificate - ---------------------------------------------
�4Sanitation and plot plan approvalogya_ Health Department.
0 15. City of Chico plumbing permit - ---------------------------------------
0 16. Plot plan and business license approval from the City of Biggs. ---
0 17. Planning approval for (A) Use: (B) Parking:
1118. Contact Land Development about 0 Improvements, El Drainage, 13 Legal Parcel - -----------------
111. 9. Encroachment Permit for driveway (construction approval prior to occupancy) - ---------------------
020. Pre -inspection for required. Request to Building Inspector on
1] 2 1. Contractor's license information. (Number, Name Style, Classification) - ---------------------- ------
El 22. Workers' Compensation carrier and policy number - ------------------------------- * ---------------------
1123. Owner -Builder Verification (Given to owner 0, Mailed to owner 0) - -------------------------------
E124. Letter of signature authorization - --------------------------------------------------------------------------
025. Recorded copy of Agricultural Acknowledgment Statement - -------------------------------------------
C1 26. Letter of intent on building use - ----------------------------------------------------------------------------
C3 27. Manufactured Home utility clearance - ---------------------------------------------------------------------
028. Existing violations and/or expired permits - ---------------------------------------------------------------
1129. E1433 A, []Grant Deed, El M.H. Title, El Check to H.C.D $ - --------
030. Other
(Date)
u is e �e�'r �Ibl�lowslW�1�-Mail to owner, OLMaillAo contractor.
u is
rl �elZo�n -for p i ckup at office. El Deliver with inspector.
0 /,0-,/ /yy/
Applicant: �,_/,O�Date: 0
Copy of Haz-Mat form sent o Health Department, 0 Fire Department, 0 Air Pollution ,�,/Date:
Copy of plans sent 0 Health Department, 11 Fire Department, 0 Other: Date:
1. Index permit application for the above items numbered: 0 Plan Check List
2. Additional items required:
Contractor, designer, owner, was advised of the above required data by 0 phone, 0 mail, 0 Building Division counter, by _ Date:
Contractor, designer, owner, was advised of the above required data by o phone, o mail, o Building Division counter, by - Date:
Contractor, designer, owner, was advised of the above required data by o phone, c3 mail, o Building Divi ion counter, by Date:
Contractor, designer, owner, was advised of the above required data by 0 phone, 0 mail, 0 Buildin ion counter, by Date:
Plans reviewed by: Date: Plans approved by: vgivs Date: 114
Sets of plans on hold in 0 Plan Cabinet, 0 A.P. folder. Note transfer by: Date:
Yellow Copy - Department of Development Services, Building Division.
E.H. USE ONLY
Plot Plan Attached
Floor Plan A chned
Sent to S.D.
TO: Building Department
FROM: Environmental Health
SUBJECT: Sanitation Clearance
6-14 (Z6 (1 0
Owner. Location' AP#
Plan Approved for: Sewage, Disposal-,,,— Water Supply: Public Private Well'N�
Clearance for dwelling. Other Q) -x ---'b CA Qok
I
Hold final for:
Final clearance O.K. for:
NOTE:
/I rl �
Environmental Health Specialist
8/96
. / - 9 -6�; -
Date
I
+
C,
( jj
APPROVED
Butte County
Environmental 'Healfl
Date
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90-110 #98-2539
RESIDENTIAL BROWN, CAROL
507 OBERAMYER, GRIDLEY
LOWELL HAGBERG
ENCLOSE BREEZEWAY
PERMIT NO.
(-PERMIT EXPIRES
I
VOWNER
CONTR.
ASSESSOR PARCEL
JLOCATION
CHECKED
SRA BY
FLOOD CERTIFICATE REQ
FIRE SPRINKLERS REQ.
SPECIAL INSPECTION ITEMS
VERIFY
Temp. Power Pole
Called PG&E
A
temp Elec Se—', --
Called PGI
Temp. Gas Ser
Called PGi
)OB FINALED
Signature
V = OK
0 = Not OK
Not Applicable
Not Ready MOBILE HOMES
Date
MOBILE HOME UTILITIES (Plans) OK except #'s
1 . Zoning Requirements - Setbacks - Easements
2. Sails; Special MH Support Sketch
3. Sewer; Locadon-Test-Fall-Ci"oncrete
4. Water, Location -Test -Easement Needed (Sketch)
5. Electricity; Locabon-Clearances-Gmd-/ /Amp -Concrete
6. Gas; Location -Test -Wrap; / JUL
/ /Nat. or/ Plt.1 /LPG
7. Well Clearance & Disconnect
8. Utility Clearance
Date
Card B-1 Date Ca;�TB-i
Date
Card B-1 Date Card B-1
Date
MOBILE HOME INSTALLATION (Plans) OK except #'s
1. Zoning Requirements- Setbacks Easements
2. Footings; Size -Spacing -Marriage Line
3. Gas; MH TesW)emand-VaKe-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. Tie Downs -Type -Installation Cert.
10. Exits; Insp.-Sketch
11. Cert of Occupancy
12. Permanent Foundation Only: License Decal
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
o" 'I-,
MISCELLANEOUS
Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'a
1. Zoning Requirements -Setbacks -Easements
2. Footings; Soils-SizL--Depti-Spacing-Connectors-SteeI
3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails
4. Wood Awn.; Posts-Beams-Rttrs.-Connectors
Shthg.-Rfg.-Bracing
5. Alum. Awn.; Columns-Connecdons-Splic,--Decal-Enclosures
6. Carports; Windows -Doors
7. Electric
8. Frmg.; Sils-Anchors-Studs-Rttrs-Trusses
9. Siding; Nailing-Veneer-Shx=o-Mesh
10. Roof; Shthg-Roofing
11. Ext.; Steps -Doors -Landings
12. Braced Wall Panels
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date POOLS (Plans) CK except #'a
1. Setbacks -Easements
2. Soils; Compaction -Structure Stability
3. Pool Structure; Steel -Connections -Thickness
Dead Men -Lining
4. Elec.; Receptacles and Lighting, Distance-GFI
5. Elec.; Pool Lighting; 15 Volts-GFI
6. Elec.; Enclosures; Conduit Entries -Terminals -Listed
7. Elec.; Bonding; Metal w/6 -Circulating Equip. -Heater
8. Elec.; Grounding; Equip. w/F Circulating Equip. -Pool Lghtg.
Boxes-ErwAosures-Panelboards-Ins. to Main in Conduit
9. Health Department Approval
10. Plumb.; Cir. Test -Water Supply Test
11. Light Niche
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
V = OK
0 = Not OK
- = NotApplicable
* = NotReady
Date / /UNDER OR 0ans) OK except #Is
yZoning-Setback's-Easments-Flood-Slope
2. Ftg., Main; Soils-Elec. Gmd.-//,_LP Ftg. Depth
3. Ftg. Garage; Soils-Steel-Elec. Gmd/ /" Ftg. Depth
4. Ftg. Porches & Decks; Soils -Steel-/ /" Ftg. Depth
RESIDENTIAL (Single & Duplex)
I
Date _,FRAMING (Continued)
.4e-Hang�,r�Post Caps -Anchors -Connectors
A?�-�Iing. Joist-Rftr. Ties-Purfin-roff Brac.-Truss-Shfing.-Rfng.
A_&-Firept;�ies or lype A Flue -Fireplace Throat clearance
.49. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
.90e,5drm. Windows or Exiting Doors -Sill Hgt. & Dimensions
54-GaLage-k4e-Protection Framing
5K2. Prpol _in�all & Openings
06 -Ext. Doors -One 3 -Check Garage 3rd Story, 2 Exits
filiiimTlywood on Roof Overhang -Attic Vents -Rafter Outriggers
&WSidiMNailing Veneer
_57.-86ogo Mesh -Drip Screed -Fd. Vents-Underflr. Access
§"a;kr-Area
g -Glass Protection -Skylights -Plastic
6Q49race Interior / Exterior Wall Panels
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date (Plans) OK except #'s
L.,Al Ext Steps -Door & Sidelight Protection -Landings
64. Smoke Detector
65. Furnace; Vents -Clearance -Comb, Air-Conector-
In Garage; Above Floor-Ducts-Mech. Protection
_66. -Bedroom Exiting
_67-�-G.F.I. & Bath Fixtures & Tub Access -Spa
_68.- Elec. Tirim & Subpanel, Breaker Sizes & Labels
__69 -Stairs & Rails
_Z2. Etreplace or Stove, Clearance -Hearth
__ZJ-Elec. Outlets at Wood Panel, Int. & Ext.
72._IS�. �Ft.& Appliance; Ground. -Air Gap -Cooking Clearance
73. Elec. Outlets & Recepticales at Kit. Counter
_,�Gahage Fire Door; Swing -Landing -Closure
._76 -A -C -D -Rt in Garage -Damper
__76W"tr.', Vents -Clearance -Comb. Air Connector-PR.V
In Garage; Above Floor-Mech. Protection
77. Plb., Elec. & Mech. Equip. Listed for Location
::4-__�M-Er__�'e tcles in Garage (G.Fl.)-Romex Protection
k_79--Insulafion-Foam-Looked in Attic
Deck Construction -Post Caps
��Fdn_VB.ents & Crawl Hole Door Drainage & Wood -Earth
gearaAce Looked under Floor [i Yes
Following InstId./Drive 0 Yes 0,14ITYWalks 0 Yes(G446�Planters 0 Yesefilo
83. Stucco Brown -Finish
84. A.C. Unit Disconnect, Electrical -Plumbing
115. ;ents Zove Roof, Plbg.Appliance-Fireplace-Clearance to Openings
86. WA
- �W_Well, Disconnect, Electrical, Plumbing
,,:,�T- �ed,�r:Elec. Trim, G.F.I. Receptacle -Underground
r-,Ia. -Verifib ation Throuaht House
Glass Pro!!!�bpn
2p,�fio-ns from Previous inspections
91. Gaskst'Meters Tagged, Gas -Electric
'92�-Water & Sewer Connected -C/O to Grade -HD Approval
93 -:'Energy Compliance Certificate -Other Certificates
= f C;p�
Date&J- Card BJLWf:- _.) Date Card B-1
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Comments at Final:
5.
Sternwalls, Main; Steel-BlockoutsA(Vrapped
6.
Sternwalls, Garage; Steel-Blockouts-Wrapped
6a.
Hold Downs and Special Anchors
7.
Slab, SteelAAfrapped
8.
Piers -Fireplace Ftg.-Steel
9.
D.W.V.; Fall -Fitting -Test -2 Way C/O -S r Test
10. UR Gas Pipe; Size Anchors - Yard Gas Piping; Size Test
11. Water Pipe; Tesi-Anchors-Regulator-Service Test
12.
Electric Underground
13.
Pienums & Ducts; Clearance -Material -Support -Ins.
14.
Girders -Sills -Anchor Bolts-Joists-Vents-Crippies
15.
Access & Ventilation
16.
Insulation
Date
-j?a7rd
B-1 �� Date Card B-1
Date
Card B-1 Date Card B-1
Date
PLUMBING (Permit) OK except #'s
17. Water Htr.; Vent -Access -Combustion Air Baffle
18. Water Pipe; Test & Anchor -Nail Protection
19. D.W.V; Test Fittings & Anchor -Nail Protection
20.
Shower Pan; Test. First Floor -Tub Access
21.
Test Tub & Shower, Second Floor -Tub Access
22.
Gas Pipe; Sixe & Anchors
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
ELECTRICAL (Permit) OK except #'s
23. Fixtir! P Transformer Clearance -Ins. Protection
2jff!FR!VeptacIes
Spacing-Ughts & Switches at Doors
I,;-'? I
25,,9ke
Bo:ks & No. of Conductors Stapled
26.
27.
Romex Installed Close to Edge of Studs & CJ
Equip. Ground made up w/Mech Fastners-Bond Gas & Water
28.
2 Appliance Circuts in Kitchen & Conductor Size GFI
29.
Subfeed Wire Size / / ga. Cu or A]-A.C. Wire Size /ga Cu or Al
30.
Range Circ. / / ga Cu or Al -Oven Circ. ga Cu or Al
Insulated Neutral 0 Yes 0 No
31.
Service -Riser Conductors & Ground -Main Disconect
32.
Equip. Clearances Panels-Motors-Mech. Epuip.
33.
Clothes Closet Light -Shower Light -Spa Light
34.
Smoke Detecto
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
_M.ECHANICAL (Permit) OK except #'s
36.
37.
A.C. Ducts Insulation & Support
Vent Fan, Exhaust above insulation
Condensate Drain & Overflow, Size & Grade
38.
Fumance-Vent Access -Comb. Air -Return Air Vent 115 outlet
39.
Attic Access & Platform if Furnace in Attic
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
FRAMING (Plans) OK except Ws
40.
Sits ?,roper M aterials &Anchors
4
all Studs -Nailing Spacing & Braces -Plates -Sound
4
aring Walls over Girders & Floor Nailing
��
Djaft Stop in Walls (rat prool)
4,r
Fi� Stops, Furred Ce;.Iings-Stairs-Chasers-Tubs
j5el4iaclers
& Beams -Size & Bearing
I
Date _,FRAMING (Continued)
.4e-Hang�,r�Post Caps -Anchors -Connectors
A?�-�Iing. Joist-Rftr. Ties-Purfin-roff Brac.-Truss-Shfing.-Rfng.
A_&-Firept;�ies or lype A Flue -Fireplace Throat clearance
.49. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
.90e,5drm. Windows or Exiting Doors -Sill Hgt. & Dimensions
54-GaLage-k4e-Protection Framing
5K2. Prpol _in�all & Openings
06 -Ext. Doors -One 3 -Check Garage 3rd Story, 2 Exits
filiiimTlywood on Roof Overhang -Attic Vents -Rafter Outriggers
&WSidiMNailing Veneer
_57.-86ogo Mesh -Drip Screed -Fd. Vents-Underflr. Access
§"a;kr-Area
g -Glass Protection -Skylights -Plastic
6Q49race Interior / Exterior Wall Panels
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date (Plans) OK except #'s
L.,Al Ext Steps -Door & Sidelight Protection -Landings
64. Smoke Detector
65. Furnace; Vents -Clearance -Comb, Air-Conector-
In Garage; Above Floor-Ducts-Mech. Protection
_66. -Bedroom Exiting
_67-�-G.F.I. & Bath Fixtures & Tub Access -Spa
_68.- Elec. Tirim & Subpanel, Breaker Sizes & Labels
__69 -Stairs & Rails
_Z2. Etreplace or Stove, Clearance -Hearth
__ZJ-Elec. Outlets at Wood Panel, Int. & Ext.
72._IS�. �Ft.& Appliance; Ground. -Air Gap -Cooking Clearance
73. Elec. Outlets & Recepticales at Kit. Counter
_,�Gahage Fire Door; Swing -Landing -Closure
._76 -A -C -D -Rt in Garage -Damper
__76W"tr.', Vents -Clearance -Comb. Air Connector-PR.V
In Garage; Above Floor-Mech. Protection
77. Plb., Elec. & Mech. Equip. Listed for Location
::4-__�M-Er__�'e tcles in Garage (G.Fl.)-Romex Protection
k_79--Insulafion-Foam-Looked in Attic
Deck Construction -Post Caps
��Fdn_VB.ents & Crawl Hole Door Drainage & Wood -Earth
gearaAce Looked under Floor [i Yes
Following InstId./Drive 0 Yes 0,14ITYWalks 0 Yes(G446�Planters 0 Yesefilo
83. Stucco Brown -Finish
84. A.C. Unit Disconnect, Electrical -Plumbing
115. ;ents Zove Roof, Plbg.Appliance-Fireplace-Clearance to Openings
86. WA
- �W_Well, Disconnect, Electrical, Plumbing
,,:,�T- �ed,�r:Elec. Trim, G.F.I. Receptacle -Underground
r-,Ia. -Verifib ation Throuaht House
Glass Pro!!!�bpn
2p,�fio-ns from Previous inspections
91. Gaskst'Meters Tagged, Gas -Electric
'92�-Water & Sewer Connected -C/O to Grade -HD Approval
93 -:'Energy Compliance Certificate -Other Certificates
= f C;p�
Date&J- Card BJLWf:- _.) Date Card B-1
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Comments at Final:
LOERKE INSULATION CO., INC.
INSULATION CERTIFICATE
507 Obermeyer Gridley
Number and Street
County Lot Number
DESCRIPTION OF INSTALLATION
1. ROOF
Material
Thickness (inches)
Brand Name
Thermal Resistance (R -Value)
2. CEILING
Batt or Blanket Type Fiberglass. Batts Brand Name Johns Manville
Thir-knocii finnhactl 011 Thermal Resistance (R -Value) R38
Loose Fill Type Fiberglass Brand Name Johns Manville
Contractor/s min. installed weight/ft sq. b. Minimum Thickness
Manufacturer's installed weight per square foot to achieve Thermal Resistance (R Value)
3. EXTERIOR WALL
Material Fiberglass Batts
Thickness (inches) 3.5"
4. RAISED FLOOR
.Material Fiberglass. Batts
Thickness (inches)
5. SLAB FLOOR / PERIMETER
Material
Thickness
Perimeter Insulation Depth (inches)
6. FOUNDATION WALL
Material
Thickness (inches)
inches.
Brand Name Johns Manville
Thermal Resistance (R -Value) R15
Brand Name Johns Manville
Thermal Resistance (R -Value)
Brand Name
Thermal Resistance (Ik4alue)
Brand Name
Thermal Resistance (R -Value
DECLARATION
I hereby certify that the above insulation was installed in the building at the above location in conformance
with the current Energr Efficiency Standards for residential buildings (Title 24,Part 6, California Code of
Regulations) as indica ed on the 'Certificate of compliance, where applicable.
C.L.#499150 h8puj 1 LOERKE INSULATION CO., INC.
—Tt—em #s Signatuie, Dato n UVaA-Q'- lnstallin_q Subcontractor.(Co. Name) 0
FEB 10 1999 General Contractor �Co. Name) Or Owner
n Su ontra r o. Namt) or
item Ys— Signature, Date Installi Su
General ontractor (Co. me) Or owner
ame r
Item #s Signature�Nte InstallM Subcontracto� (Co.
General ontractor-(Co. Name) Or er
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive * .0roville, California,_ -95965 * Telephone (530) 538-7541 CtS PERMIT,O,
(Rev. 12/96) APP
ANDPERMIT
ASSESSOR PARCEL NUMBER
24-080-110S
ZONING
BUILDING PERMIT
OWNER
BROWN, CAROL
TELEP14ONE
846-0790
SO. FT. OCC. BUILDING VALUATION
220 Q -R 9020.00
OWNEWS MAILING ADDRESS
507 OBERMEYER, GRIDLEY
E4T_*441�E -5QQ-.-99-
CONTRACTOR'S NAME
I LOWELL HAGBERG
HONE
fin U 4 X 0
0- On
CONTRACTOR'S MAILING ADDRESS
CONSTRUCTION LENDER
Fireplace
LENDER'S MAILING ADDRESS
Total Valuation is
341,26, 00
ARCHITECT OR ENGINEER
LICENSE NO.
—Filing Fee $
20.00
Permit Fee 215— $
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Plan Checking Fee $
BUILDINGADDRESS 507 OBERMIEYER
Energy Plan Checking Fee $
93-00
GRIDLEY
qg%_q5 PERMITFEE $
PT NO.
SUBDNISIONS NAME
II
PARCEL MAP
PLUMBING PERMIT
Filing Fee 1 20.00
USEOFSTRUCTURE
SF � Duplex 0 Mobilehome 0 Other SPECIFY
Each Trap
1 7.001
Solar or heat pump water heater
23.00
Water piping
15.00
Each gas water heater or vent
15.00
TYPE OF WORK
New 0 Addition 0 Remodel R. Utilities 0 Installation 0 Other 0
Describe Work: ENCLOSE BREEZNAY,CONVERT COVERED AREA
TO R, REMIOVING WALLS
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home ISI GI W1
La20.00
PERMIT FEE $
ELECTRICAL PERMIT
Filing Fee 20.00
O*OV OR LE;:
Main Service .A OFILE
23.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license is in full force and effect.
License Class Lic. No.
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
0 1, as owner of the property, or my employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
Y1, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
0 1 am exempt under Sec. Business and Professions Code for this
reason
Main Service 200A TO 1000A
46.00
NEW CONST. DWEULINQ OCCUP.
A ADDNS. & ACC. BUDS.
so.
3.50FT..
NEW CONST. MULTI-OUTCLET
—NO"ESID. ._C,. ITS
@7.50
&POWE.RAP=US
0 C..
Ex. Occup. OUTUEr OR FIXTURES
20 @ 1.00
BAL @ .50
FIXED A
OUTLETS P J OR.
Ex. Occup. (PM.) E
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00 23.00
PERMIT FEE $
41 - nn
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
0 1 have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
0 1 have and will maintain workers' compensation Insurance, as required by Section
3700of the Labor Code, for the performance of work for which this permit is issued.
My workers' compensation insurance carrier and policy number are:
Carrier
Policy Number
(The above sections need not be completed 0 the permit is for work of a valuation
of one hundred dollars ($100) or less.)
I certify that in the performance of the work for which this permit is issued, I shall
not employ any person in any manner so as to become subject to workers'
compensation laws of California, and agree that if I should become subject to the
workers' compensation provisions of section 3700 of the Labor Code, I shall
forthpith Comply with those provisions.
I,/,
X _Z49;�pl- Date 210
Sig atum—of-A 0 Owner 0 Contractor 0 Agent
An OSHA permit is required for excavations over 60" deep and demolition or construction
of structures over 3 stories in heightJ
I
MECHANICAL PERMIT
Filing Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
DUCTS 115.00
PERMIT FEt $ 35.00
Mobile Home Installation Fee $
Energy Inspection Fee $ 1. A n
Occ
CONST. TYPE ._95
ITOTAL FEE$
CDF�_ UE
JHD
;HD4
This permit is hereby issued under the applicable
of the Butte County Code and/or Resolutions
indi above for thich fees have been
k
By Date
PERMIT EXPIRES ON
I Pa
provisions
to do work
paid.
ell
ReceiptNo. 251098PLXP-057/,A5 I g W/-10 17. of,)
WHITE-D.D.S.-B.D. CArNARY-ASSE*OR PINK-FNSPECTOR '%OLDEN ROD-;�PPLICANT
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive - Oroville, California 95965 * Telephone (530) 538-7541 NO.
(Rev.12/96) APPLICATION AND PERMIT - 19 -
AS SESSO R PARCEL NUMBER ;),,I -b9C)- \ � 0
ZONING
BUILDINGPERMIT
OWNER C A -P-10 L_
;=D-7qC)
SO. FT. occ, BUILDING VALUATION
OWNER . 3 MAJUNG ADDRESS G04 6,bermf,:��ep_.
Cc
_CAQ010.
CONTRACTOR'S NAME
Looje-u-
NE
CONTRACTOWS MAIUNG ADDRESS
CONSTRUCTIONLENDER
LENDER*S MUNG ADDRESS
Fireplace
Total Valuation $
ARCHITECT OR ENMNEER
ILICENSE NO.
Filing Fee $
20.00
ARCHITECT OR ENGWEER'S MAUNG ADDRESS
SULDINGADDRESS
6) bpx iy� Q_,J e,(2-
Permit Fee $
11-7100
Plan Checkina Fee $
Energy Plan Checking Fee $
cc)
0rWLQq
- - . - $
PERMIT FEE *
LOT NO.
SU801VISION'SNAJA
I I
PAKEL MAP
PLUMBING PERMIT
Filing Fee 20.00
USEOFSTRUCTURE
SF I'll, Duplex 0 Mobilehome 0 Other SPECFY
Each Trap
7.00
Solar or heat pump water heater
23.00
Water piping
15.00
Each gas ater heater or vent
15.00
TYPE OF WORK
New 0 Addition 0 Remodel)� Ulilitias 13 Installation 0 Other 0
Describe Work: e-VvIt) ,
& 0 n o V -6'v M () ejrp& a . r P_ a,
Gas piping system I - 5 outlets
15.00
—Building sewer
15.00 -
Mobile Home I S I G I W I
PERMIT FEE $
-ELECTRICAL PERMIT -Filing
Fee '20.00
Main Service = OORR M.
23.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license Is in full force and effect
License Class Lic. No.
OWNER -BUILDER CLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
0 1, as owner of theproperty, ormy employeeswith wages as their sole compensation,
will do the work. and the structure is not intended or offered for sale.
Z 1, as owner of the property, am exclusively contracting with licensed contractors
to construct the project
13 1 am exempt under Sec. Business and Professions Code for this
reason
WORKERS' COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
0 1 have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit Is Issued.
0 1 have and will maintain workers' compensation Insurance, as required by Section
3700 of the Labor Code, forthe performance of workforwhich this permitis issued.
My workers' compensation insurance carrier and policy number are:
Carrier
Policy Number
(The above sections need not be completed N the permit is for work of a valuation
of one hundred dollars ($100) or less.)
0 1 certify that in the performance of the work for which this permit is Issued, I shall
not employ any person In any manner so as to become subject to workers'
compensation laws of California, and agree that if I should become subject to the
workers' compensation provisions of section 3700 of the Labor Code, I shall
forthwith comply with those provisions.
X Date
Signature of Applicant - 0 Owner O.Contractor 0 Agent
An OSHA permit is required for excavations over 60' deep and demolition or construction
of structures over 3 stories in height
Main Service 200A TO IOWA 46.00
NEW CONST. DW= OCCUP. so.
OR ADONIS. 3.50fr.
CONS
=RESIF muLT.'*0,u%g, @7.50
PSOMA"
OU=,)
ounEr OR FIXTWES 200 100
Ex. Occup. SAL a :50
MO A"LW
. CR.,6.CR
Ex. Occup. )EA 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wirina 23.00 Fu
PERMIT FEE A:
MECHANICAL PERMIT Filing Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEt --56
Mobile Home Installation Fee $
Energy Inspection Fee 1 $ A-0-00
)I
occ
-
CONST. FEE $
3 (on, 0,�
.
KA7_
-
1 0. FEES I IMP
I R-000
I COF
PARCEL
I PO
HO
ISSUE
This permit is hereby issued under the applicable
of the Butte County Code and/or Resolutions
indicated above for which fees have been
By Date
PERMIT EXPIRES ON
I Mate)
provisions
to do work
paid.
Receipt No.
WHITE-O.O.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDEN ROD-APPLicANY
I
COVNTY OFBUTTE*- DEPARTMENT OF DEVELOPMENT SERVICES - BUJLDJNG DIVISION
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916) 538-7541
PE"IT APPLICA TION DA TA SHEET
OWNER: _P� ASSESSOR PARCEL M _�4
T;p k =: c —OZ -110
Proposed Building Use: kQh(W12( Building Inspector: Date: 10 —30 -4Zk �?
At time of permit application, I was advised the foHowing data must be submitted prior to permit processing and/or issuance:
Date Received By
1. �dl items have been submitted -----------------------------------------------------------------------------
Plot plans, 3/4 sets, signed by the preparer of plans - ----------------------------------------------------
Complete plans, 3/4 sets, signed by the preparer of plans - ---------------------------------------------
E14. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans.
El 5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! ---------
O�/Energy Design Compliance and supporting documentation - -------------------------------------------
07. Statement of Intent.for Non -Heated and A/C Buildings.
0 8. Hazardous Material Form - ---------------------------------
91. Manufactured Home data and installation instructions including Tie Down Specifications ------------ : -------
Fees of $ - -------------------------------------------------------------------------------------
21
Impact fees as shown on the attached schedule - -----------------------------------------------------------------
0 mnl,7
12. California Department of Forestry plan approval/fees - ----------------------------------------- w ---------------
0 13. Flood elevation certificate - ----------------------------------------------------------------------------
C144. Sanitation and plot plan approval -QTU—k A&alth Department - ------------------------------------------- 10 —
0 15. City of Chico plumbing permit - -----------------------------------------------------------------------------------
0 16. Plot plan and business license approval from the City of Biggs - ----------------------------------------------
1117. Planning approval for (A) Use: (B) Parking: _ --------------------------
C1 18. Contact Land Development about El Improvements, El Drainage, 13 Legal Parcel - -----------------------
El 1. 9. Encroachment Permit for driveway (construction approval prior to occupancy) - ----------------------------
020. Pre -inspection for required. Request to Building hispector on - (Date)
El 2 1. Contractor's license information. (Number, Name Style, Classification) - ---------------------- -------------
0 22. Workers' Compensation carrier and policy number - ----------------------------------------- 7 -----------------
023. Owner -Builder Verification (Given to owner 13, Mailed to owner 0) - --------------------------------------
1124. Letter of signature authorization - --------------------------------------------------------------------------------
0 2 5. Recorded copy of Agricultural Acknowledgment Statement - --------------------------------------------------
026. Letter of intent on building use - -----------------------------------------------------------------------------------
E127. Manufactured Home utility clearance - ---------------------------------------------------------------------------
E128. Existing violations and/or expired permits - ------- 7 --------------------------- ; -----------------------------------
029. 11433 A, OGrant Deed, 11 M.H. Title, C1 Check to H.C.D $ ---------------
E130. Other: -------
V;ben you issVecrrm't, process as follows 11 Mail to owner, C]Mail to cyntractor.
kelephone 0 " C�0 and hold for pickup at office. E] Deli'ver with inspector.
Applicant:
Copy of Haz-Mat form sent 0 Health Department, 13 Fire Department, 0 Air Pollution V Date: By:
Copy of plans sent 0 Health Department, 0 Fire Department, 13 Oqler: Date: By:
1. Index permit application for the above items numbered:
—4m W,- — -,*Ian Check List
2. Additional items required: Aool
Contractor, designer, JN&:r�vas advised of the above required data by 0 phoneArpail, 0 Building Division counter, by D:te: i I
Contractor, designer, &:eDr was advised of the above required data byAQ)hone, 0 mail, 13 Building Division counter, by D te: I (_Pj�
Contractor, designer, owner, was advised of the above required data by o phone, o mail, o Building Division counter, by Date:
Contractor, designer, owner, advised of the above required data byp phone, 0 mail, 11 Building Dkiva''on counter, by Date:
Plans reviewed by: Date: 1 !3 Plans approved by: Date- 1
Sets of plans on holTm 0 Plan Cabinet, 11 A.P. . folder.' - Note transfer by: Date: Ic- 1—ro
Yellow Copy - Department of Development Services, Building Division.
�O --�SO-
E.H. USE PNLY
Plot Plan Attached
Floor Plan Attached
.rl Sent to B.D. 41)
TO: Building Department
FROM: Environmental Health
SUBJECT: Sanitation Clearance
010,Zb -S07 —1/0
Owner Location' AP#
Plan Approved for: Sewage Disposal-----, Water Supply: Public Private WQ-��7
Clearance for dwelling. Other
4
Hold final for:
Final clearance O.K. for:
NOTE:
A;iznx/)&,��/ * / r4-� . .
Environmental Health Specialist Date'
8/96
W
BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM
(One form per Building)
School District Building Department No.
Jurisdiction County
A. -O. -Number city,
Property Owner
inA*oL 6 &�A/
Property Location/Addreis -567 agnem r- V're
Su bdivision Lot No.
Residential Development
E-1--1 Sq. Footage
Addition
6go
(Group R)
Cpmm jq.
New Addition (Including Exterior
Roofed Areas) -
,/S- /1-1� //— �/- 91S
Building Department Representative Date
(Floor Plans reviewed by School District Personnel)
District Identification No.
School District certifies that
(Applicant)
(Street (Phone Number)
(City) V (State) (Zip Code)
has complied with the requirements of Resolution No. by payment of $ //?6160
square feet.
School Distrij�-f Representative
Paid by Check #
. Remarks:
N
rION-,*-
Date
Nodco: You may protest the Imposition of the fees Identified above by submitting a written protest to the District, in compliance with
Government Code Section 660201a), within 90 days from the date fees are paid. Failure to submit a timely written protest will prohibit
you from challenging the Imposition of the fees in any court action.
If, subsequent to the School District Represent8tiVO signing this Butte County Schools Impact Fee Certification Form, the School District is
notified by the applicable Local Planning Agency that this project Is being reviewed under the California Environmental Quality Act ICEGA),
L
this project may be subject to additional school fees to fully mitigate its Impact on the school district's schools.
White (applicant), Yellow (building department), Pink (school district) feeform.xis (2/97)dmm
al .
-4.
November 4, 1992
Bank of America
P.O. Box 8
Gridley, CA 95948
RE: Recent Correspondence A.P. #024-08-0-110
Attn: Joyce Avenell
With reference to the above subject and your letter dated November 3, 1992,
the house you reference at 507 Obermeyer in Gridley is currently in an A-5
zone which allows residential construction.
If the house is destroyed by fire or other disaster, it may be reconstructed
if in compliance with the building, sanitation and zoning codes in effect
at the time of reconstruction.
Should you have any questions concerning this matter, please contact this
office at (916)538-7541.
Yours very truly,
JFG:dms David P�rvis
Supervisor, Building Inspection
Post-ItIm brand fax transmittal memo 7671
1 #of pages I- /
L
UE A.)Irvik-
A"o &A4- OP A? M40
satte couft!y
LAND
OF NAT U RA L W EA LT H A N D BEAUTY
Fax # ff q(,
BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965-3397
TELEPHONE: (916) 538-7541
FAX: (916) 538-2140
November 4, 1992
Bank of America
P.O. Box 8
Gridley, CA 95948
RE: Recent Correspondence A.P. #024-08-0-110
Attn: Joyce Avenell
With reference to the above subject and your letter dated November 3, 1992,
the house you reference at 507 Obermeyer in Gridley is currently in an A-5
zone which allows residential construction.
If the house is destroyed by fire or other disaster, it may be reconstructed
if in compliance with the building, sanitation and zoning codes in effect
at the time of reconstruction.
Should you have any questions concerning this matter, please contact this
office at (916)538-7541.
Yours very truly,
JFG:dms David P�rvis
Supervisor, Building Inspection
Post-ItIm brand fax transmittal memo 7671
1 #of pages I- /
'IJ4yv�e- 4v-eAe11—"'
UE A.)Irvik-
A"o &A4- OP A? M40
co' du:tf,, C OUA+,i
Dept.
Phone #
Fax # ff q(,
Fax# 53
. r, — fo . �' . I . W I
November 4, 1992
Bank of America
P.O. Box 8
Gridley, CA 95948
RE: Recent Correspondence A.P. #024-08-0-110
Attn: Joyce Avenell
With reference to the above subject and your letter dated November 3, 1992,
the house you reference at 507 Obermeyer in Gridley is currently in an A-5
zone which allows residential construction.
If the house is destroyed by fire or other disaster, it may be reconstructed
if in compliance with the building, sanitation and zoning codes in effect
at the time of reconstruction.
Phould -you have any questions concerning this matter, please contact this
office at (916)538-7541.
Yours very truly,
JFG:dms David Purvis
Supervisor,.Muilding Inspection
FR.OM 11. 3. 1992 15 3 0 Fl
........... .... ....... ...
lzl�
V:: 5/1
024-080-110 #98-2538
BROWN, CAROL ,
507 OBERMEYER, GRIDLEY
LOWELL HAGBERG
MOVE WATER PRESSURE TAM
COUNTY OF BUTTE - DEPARTMENT OF -DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive - Oroville, California 95965 * Telephone (530) 538-7541 XRM NO.
(Rev. 12/96) APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER 24-0806-110
ZONING
BUILDINGPERMIT
OWNER
BROWN, C
TELEPHONE
SQ. FT. OCC. BUILDING VALUATION
OWNERS MAILING ADDRESS
507 OBERMUER, GRIM"
CONTRACTORS NAME
LOWU HAMERG
ELEPHONE
CONTRACTORS MAILING ADDRESS
CONSTRUCTION LENDER
Fireplace
LENDERS MAILING ADDRESS
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee $
20.00
Permit Fee $
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee $
BUILDINGADDRESS 507 OR"MEM
Energy Plan Checking Fee $
PERMIT FEE $
LOT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT
Filing Fee 20.00
USEOFSTRUCTURE
SF 0 Duplex 0 Mobilehome 0 Other
SPECIFY
Each Trap
7.00
Solar or heat pump water heater
23.00
Water piping
15.00
Each gas water heater or vent
15.00
TYPE OF WORK
New 0 Addition 0 Remodel 0 Utilities 0 Installation 0 Other 0
Describe Work:
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home I S I G I W
@?20.00
PERMIT FEE $
qc, ry�
ELECTRICAL PERMIT
Filing Fee 20.00
Main Service '.."A OR'
23.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license is in full force and effect.
License Class Lic. No.
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
0 1, as ownerof theproperty, ormy employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
"P I as owner of the property, am exclusively contracting with licensed contractors
io construct the project.
0 1 am exempt under Sec. Business and Professions Code for this
reason
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
0 1 have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is Issued.
0 1 have and will maintain workers' compensation Insurance, as required by Section
3700 of the Labor Code, for the performance of workforwhich this permitis issued.
My workers' compensation insurance carrier and policy number are:
Carrier
Policy Number
(The above sections need not be completed if the permit is for work of a valuation
of one hundred dollars; ($100) or less.)
-1 certify that in the- performan I ce of the work for which this permit is issued, I shall
not employ any person in any manner so as to become subject to workers'
compensation laws of California, and agree that if I should become subject to the
workers'. �ompensation provisions of section 3700.of the Labor Code, I shall.
forthvAh comply with those provisions�
X Date
Signature of Applidant'- 0 Owner 0 Contractor 0 Agent
An OSHA permi�Cis required for excavations over 60" deep and demolition or construction
of structures over 3 stories in height.
Main Service 200A TO 1000A 46.00
NEW CONST. DW
,%IN1.1 OCCUP.
OR ADDNS. C
so
3.50FT.
NEW CONST.
NON-RESID. MU LT 1. @7.50,
OWE.RAP.PARATUS
.11N. 0 C..
20 @ 1.00
Ex. Occup. OUTLET OR FIXTURES BAL @ .50
..MED APPLNS R,
Ex. Occup. (.ES,6.)0E 5.00
Temporary Service
23.00
Mobile Home Facilities 20.00
Misc. Wirina 23.00
PERMIT FEE .4 -FS . 0 0
MECHANICAL PERMIT Filing Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEE $
Mobile Home Installation Fee $
Energy Inspection Fee $
OCC
CONSI I TYPE
TOTAL FEE $w4m.
IMP
I FLOOD
I COF
PARCEL
I PD
H07
This permit is hereby issued under the applicable provisions
of the Butte County Code and/or Resolutions to do work
indicated above for which fees have been paid.
By Date
7
PERMIT EXPIRES ON !"6, -
I (Date)
ReceiptNo. 2-C-3 10e_l'>,� --�Po
WHITE-D.D.S.-B.D. ' CANARY -ASSESSOR PINK -INSPECTOR GOLDEN ROD -APPLICANT
ER
COUNTY OF BUTTE
BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
411 Main Street * Chico, CA 9 (530) 891-2751
7 County Center Drive - Oroville, CA - (530) 538-7541
CORRECTION NOTICE I
-3j
PERMIT NO.
A routine inspection indicates that the following violations of butte county Ordinances exist at the
above address and should be corrected. Please notice this office when correction of work is
completed - If yo h ny questions pertaining to this matter, or need additional explanation,
t tt
h�
please contac: offl e immediately.
a/ t
( C
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive * Ciroville, California 95965 * Telephone (530) 538-7541 PERMIT
(Rev. 12/96) --.4PPLI CATI ON AN D P ERMIT 215'�)
ASSESSOR PARCEL NUMBER 24-080-110
ZONING
BUILDINGPERMIT
OWNER
BROWN, Q ROL
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
OWNEWS MAILING ADDRESS
507 OBERMEYER, GRIDLEY
CONTRACTOR'S NAME
LOWELL HAGBERG
CONTRACTOWS MAILING ADDRESS
CONSTRUCTION LENDER
Fireplace
LENDER'S MAJUNG ADDRESS
Total Valuation
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee
20.00
Permit Fee $
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee $
BUILDING ADDRESS 507 O'BERMPYRR
Energy Plan Checking Fee $
C,RTT)P.T.Y
PERMIT FEE
LOT NO.
SUBONISIOWS NAME
PARCEL MAP
PLUMBING PERMIT
Filing Fee 20.00
USEOFSTRUCTURE
SF 0 Duplex 0 Mobilehome 0 Other
SPECIFY
Each Trap
7.00
Solar or heat pump water heater
23.00
Water piping
15.00 -UT
Each gas water heater or vent
15.00
TYPE OF WORK
New 0 Addition 0 Remodel 13 Utilities 0 Installation 0 Other 0
Describe Work: MOU Q, U)QJQLk_.)
1?rQGrzUyQ_,
Gas piping system I - 5 outlets
15.00
Building sewer
15.00
Mobile Home I S I G I WT-
@D20.00
PERMIT FEE $
1 r, nn
ELECTRICAL PERMIT
Fi�ling FFee 20.00
v '
Main Service .A oR 'S�'
23.00
LICENSED CONTRACTOR'S DECLARATION
1 hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license is in full force and effect.
License Class Lic. No.
OWNER -BUILDER DECLARATION
1 hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
0 1, as ownerof theproperty, ormy employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
1, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
0 1 am exempt under Sec. Business and Professions Code for this
reason
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
0 1 have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
0 1 have and will maintain workers' compensation Insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permit is issued.
My workers' compensation insurance carrier and policy number are:
Carrier
Main Service 200A TO 1000A 46.00
NEW CONST " -
OR ADONS. 6V �r .0-Fup. J
3.50SQ.
FT.
NEW CON _M
ST' MUL"O
ID ,, 7, ) @7.50
OWER AP=TU
( IPSIN.LE . CSIR. )
Ex. Occu . ( OUTLET OR FVrURES )
BA2*L 0@
Ex. Occup. TS (PES,6.) E
( MD AP LNS OR, 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring
23.00 '23-00
PERMIT FEE $ 4Z5,00
MECHANICAL PERMIT Filing Fee 20,00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEIE $
Policy Number
(The above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
I certify that in the performance of the work for which this permit is issued, I shall
not employ any person in any manner so as to become subject to workers'
compensation laws of California, and agree that if I should become subject to the
workers' compensation provisions of section 3700 of the Labor Code, I shall
forthwith comply'with those provisions.
X Date
Sig(nature of AgWcant-- 0 Owner [3 Contractor 0 Agent
An OSHA permit is required for excavations over 60" deep and demolition or construction
of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
Occ
CONST. TYPE
TOTAL FEE $ -79P0
AZ.
FEES IMP
I FLOOD
CDF
PARCEL
PD
I HD
I ISSUE
This permit is hereby is;ued under the applicable provisions
of the Butte County Code and/or Resolutions to do work
indicated above f7hich fees have been paid.
y Date A) -3 -9 E3
PERMIT EXPIRES ON /C) -50-9!?
I (Date)
ReceiptNo.2-f5(D97/-.39"�01/+-;?51M� M4 3
WHITE-D.D.S.-B.D. CANARY:ASSESSOR -9 PINK -INSPECTOR GOLDEN ROD -APPLICANT .
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive * Oroville, California 95965 9 Telephone (530) 538-7541 PERMIT NO.
(Rev. 12/96) APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER 2-1 1 0,96 — i (c
ZONING
BUILDING PERMIT
OWNER
_PK �Iui V) ,
so. Fr. occ. BUILDING VALUATION
OWNEWS MOUU140 ADORESD,�
OOWAACMA'S NAME
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
CONSTAUCTIONLENOER
LENDER'S MAILING ADDRESS
Fireplace
Total Valuation
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee
20.00
ARCHITECT OR ENGINEER'S MAIUNO ADDRESS
Permit Fee
Plan Checkina Fee $
BUILDINGADORESS
b0_7
Energy Plan Checking Fee
PERMIT FEE
LOT NO.
SUBDIVISIONS NAME 7�
MAP
PLUMBING PERMIT
Filing Fee 20.00
USEOFSTRUCTURE
SF -Ql:fuplex 0 Mobilehome 0 Other SPECFy —
Each Trap
7.00
Solar or heat pump water heateri
23.00
Water piping
15.00
Each gas water heater or vent
16.00,
TYPE OF WORK
New E3 Addition 0 Remodel 0 Utilities 0 Installation 0 Other
Describe Work: fvtou C W, &&-u -
+
Gas piping system I - 5 outlets 1
15.001
Building sewer
15.00
Mobile Home I S I G I W
§20.00
PERMIT FEE S
ELECTRICAL PERMIT
Filing' Fee 20.00
Main Service = 9:
23.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license Is in full force and effect
License Class Lic. No.
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
0 1, as owner of the property, or my employees with wages as their sole compti"Subun,
will do the work, and the structure is not intended or offered for sale.
0 1, as owner of the property, am exclusively contracting with licensed contractors
to construct the project
0 1 am exempt under Sec. Business and Professions Code for this
reason
. WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
0 1 have and will maintain a certificate of consent to self -insure for worKers-
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is Issued.
C3 I have and will maintain workers' compensation Insurance, as required by Section
3700 of the Labor Code, forthe performanceof workforwhich this permitis issued.
My workers' compensation insurance carrier and policy number are:
Carrier
Policy Number
(rho above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
0 1 certify that in the performance of the work for which this permit Is Issued, I shall
not employ any person In any manner so as to become subject to workers'
compensation laws of California. and agree -that if I should become subject to the
workers' compensation provisions of section 3700 of the Labor Code, I shall
forthwith comply with those provisions.
X Date
Signature of Applicant - 0 Owner 0 Contractor 0 Agent
An OSHA permit is required for excavations over 60" deep and demolition or construction
of structures over 3 stories in height
Main Service 20" TO I 000A 46.00
NEW CONST. DW 0 so.
OR ADONIS. A ACCe SWTP. 3.50FT.
_WW
COM . —
NON-rONS BRANC110111 @7.50,
RESID. MULT"Ma.
( .10mr-MIt )
Ex. Occup. OUTLET OR FIXTURES 200 100
BAL 0 :50
OMO AFFUNIS OEA
— Ex. Occup. 5.00
Temporary Service 23.00
-,-Mobile Home Facilities 20.00
Misc. Wiring 23.00
PERMIT FEE
MECHANICAL PERMIT Filing Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEt, S
Mobile Home Installation Fee
Energy Inspection Fee
OCC
CONST. 11
ITOTAL FEE $
KAZ
1 0. FEES
I IMP
I ROOD
I COF
PARCEL
PO
HQ,
ISSUE
This permit is hereby Issued under the applicable
of the Butte County Code and/or Resolutions
indicated above for which fees have been
By Date
PERMIT EXPIRES ON
Onto)
provisions
to do work
paid.
ReceiptNo.
WHITE-D.O.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDEN ROD -APPLICANT