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HomeMy WebLinkAbout024-080-110` \ .024-080-110 #98-2538 . . ^BROWN, CAROL MOVE WATER PRESSURE TAIBRO I CAROL507 OBE YEI�, GRIDLEYLOWELL HA - ERG� ` .. . �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` . ' � � ~^ ~ 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 A_ sigl;atwe , A UZ P Uj UA LO ---fe c - -a kA2 -) I :P.P ='vrz <0 LA.) V cl (.e-� a 5? 4 16 — 0,9 Cl a oe,-i 2->"4 f � CkA,- sek yie"o <a-(4e�es v*te--> ;ZvZ <i e, z X4, �l e4AL,),"c 0(n o5ce I �iAvu�S new ;zziv, J, 72 17- a QLo L;-5 C -C, 0 2 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