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Home My WebLink About024-080-12124-08-121 Herb Brockman 1278 Larkin Rd., Gridley contr: C64twell Const., Bigg)/�/f� Permit #933-82P(replace gas serv./ SF) 0247-080-121 94-0572B PENNING, PAT 1278 LARKIN RD., GRIDLEY CONT; ROBERT FICHTER REROOF/SF - 024-080-121 06-2195 PENNING, PATRICK 1278 LARKIN RD, GRIDLEY Cont: FOUR SEASOMS ROOFING RE ROOF B07-0630 024-080-1121 MISCELLANEOUS HVAC Change Out ADD NEW SPLIT SYSTEM FROM FLC 1278 LARKIN RD fj�jaj q- 1,2 -07 PENNING, PATRICK M & WILMA L S;7t q i mnm I --- q s BUTTE COUNTY AREA DEPARTMENT OF DEVELOPMENT SERVICES INSPECTION CA" MUST BE ON JOB SITE 24 Hour Inspection Line: (530) 538-7636 (Oroville) (530) 891-2834 (Chico) Office: (530) 538-7541 Fax: (530) 538-2140 Website: www.buttecounty.net/dds Permit No: B07-0630 Issued: 03/27/2007 Address: 1278 LARKIN RD Area: GRIDLEY Owner: PENNING, PATRICK M �APN: 024-080-121 Applicant: THRESHER HEATING AMap Page: Permit Type: HVAC Change Out Description: ADD NEW SPLIT SYSTEM FROM FLOOR Flood Zone: None SRA Area: No SETBACKS Front Setback: Side Setback: Rear Setback: Other Setback: Minimum Setback From Centerline of Street: ALL PLAN REVISIONS MUST BE APPROVED BY THE COUNTY BEFORE PROCEEDING Inspection Type IVR INSP DATE Setbacks 132 Foundations / Footings 809 Pier/Column Footings 122 Grade Beams 114 Eufer Ground 216 Forms/Steel/Holdowns 122 Do Not Pour Concrete Until Above are Signed Pre -Slab 124 Gas Test House 404 Gas Test Yard 404 Masonry Grout 120 Masonry Bond Beam 119 Underfloor Framing 149 Underfloor Ducts 319 Shear Transfer 136 Under Floor Plumbing 412 Under Slab Plumbing 411 Gas Piping 403 Do Not Install Floor 9heathing or Slab Until Above Signed Holdowns/Straps 122 Shearwall/B.W.P.-Interior 135 Shearwall/B.W.P.-Exterior 135 Roof Nail/Drag Trusses 129 Do Not Install Siding/Stucco or Roofing Until Above Signed Rough Framing 128 Rough Plumbing 406 Rough Mechanical 316 Rough Electrical 208 Gas Piping 403 Shower Pan/Tub Test 408 Fire Sprinkler Test 702 Fire Sprinkler Final 702 Fin'i-Is Building Final 802 Electrical Final 803 Mechanical Final 809 Plumbing Final 813 Pool Final 802 Mobile Home Final 802 Inspection Type I IVR I INSP DATE Do Not Insulate Until Above Signed Wall Insulation 117 Ceiling Insulation 118 Do Not Cover Until Above Signed T -Bar Ceiling / RC 145 Stucco Lath 142 Stucco Scratch 143 Stucco Brown 144 Swimming Pools Setbacks 132 Pool Plumbing Test 504 Gas Test 404 Pre-Gunute 506 Pool Elec/Bonding/Light Nitch 502 Pool Fencing/Alarms/Barriers 503 Pre -Plaster 507 Manufactured Homes Setbacks 132 Blocking/Underpining 612 Tiedown/Foundation System 611 Site Utilities/Trench Insp. 137 Gas Test Yard 404 Manometer Test 605 Continuity Test 602 Skirting/Steps/Landings 610 Coach Info Manufactures Name: Date of Manufacture: Model Name/Number: Serial Numbers: Length x Width: Insignia: Publ c Works FmM7 538-7681 Fire Department/CDF 538-7111 Env. Health Final 538-7281 Sewer District Final "PROJECT FINAL -irroject rinai is a t-cruncate oi uccupancy ior (iKesiaenriai uniy) PERMITS BECOME NULL AND VOID I YEAR FROM THE DATE OF ISSUANCE. IF WORK HAS COMMENCED, YOU MAY PAY FOR A I YEAR RENEWAL 30 DAYS PRIOR TO EXPIRATION Inspector Copy CaICERTS c. Certificate , https://www.calcerts.com/certificate_print.cfin?lots=0,58420&UseCF... CERTIFICAf1E OFIFfIELD VERIFICATION & DIAGNOSTIC TESTING (Page 1 of 8) CF -4R 1270 Larkin Rd. - Gridley, CA 95946 Thresher Htg, & A/C / 747884 Project Address Contractor Name / License No. Contractor Contact B07-0630 Telephone Permit Number John Revilak /17 530�5184109 HFRS Ra Telephone April 9, 2007 Cer-3ignature 047te Fi RevIlak's HERS Rater Street Address: PO Box 1609 This CF -4R has been registered with the 58420 Sample Group Number CC14-1798399002 Certiflcate Number HERS Provider: CalCERTS, Inc. City/State/ZIP:Magalia / CA / 95454 with the Title 24 & Title 20 of the CCR. HERS RATER COMPLIANCE STATEMENT The house was R Tested 0- Approved as part of sample testing, but was not tested. As the HERS rater providing diagnostic testing and field verification, I certify that the house Identified on this form complies with the diagnostic tested compliance requirements as checked on this form, The HERS rater must check and verify that the new distribution system Is fully ducted and correct tape Is used before a CF�4R may be released on every tested building. The HERS rater must not release the CF -4R until a properly completed and signed CF -6R has been received for the sample and tested buildings. The Installer has provided a copy of the CF -6R (Installation Certificate). New Distribution system Is fully ducted (I.e,, does not use building cavities as plenums or platform returns In lieu of ducts). New systems where cloth backed, rubber adhesive duct tape Is Installed, mastic and drawbands are used In combination with cloth backed, rubber adhesive duct tape to seal leaks at duct connections. 21MINIMUM REQUIREMENTS FOR DUCT LEAKAGE REDUCTION COMPLIANCE CREDIT: NEW CONSTRUCTION Duct Pressurization Test Results (CFM @ 25 Pa) Measured Values I EnteF Tested-Wa N/A 2, Fan Flow: calculated (Nominal @ Cooling -0 Heating) or 0 measured Enter Total Fan Flow In CFM: 1200 3 Pass if 6 le < 6% E 100 x ( Line 1 1-Une 2 fl! N/A N/A tALTERATIONS: Duct System and/or HVAC Equipment Change -Out 4 'Enter Tested Leakage Flow In CFM from CF -611: Pre -Test of Existing Duct System Prior to Duct System Alteration and/or Equipment Change -Out. 5 Enter Tested Leakage Flow In CFM: Final Test of New Duct System or Altered Duct System for Duct System Alteration and/or Equipment Change -Out. 40 6 Enter Reduction in Leakage for Altered Duct System _4 (Line 4 - Line 5] - (Only if Applicable) 7 ; Enter Tested Leakage Flow In CFM to Outside (Only if Applicable) A 8 ',Entire New Duct System - Pass If Leakage Percentage < 6% [ 100 x ( Line 5 Line 2 3.33% Pass Fall TEST OR VERIFICATION STANDARDS: For Altered Duct System and/or HVAC ,Equipment Change -Out, use one of the following four Test or Verification :Standards for compliance: 9 Pass If Leakage Percentage < = 15% [ 100 x ( Line 5 / Line 2 Pass Fall 10 Pass if Leakage to Outside Percentage <= 10% 100 x Line 7 Une-2-)]*: -4— Pass Fall 11 Pass if Leakage Reduction Percentage >= 60% 100 x Line 6 Line 4 Verification Pass Fail and by Smoke Test and Visual Inspection 12 1 Pass If Sealing of all Accessible Leaks and Verification by Smoke Test and Visual Inspection Pass Fall k Pass If One of Lines #9 through #12 pass, Pass Fall of 1 4/9/2007 3:23 PM BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #:(530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #:(530) 538-7541 FAX#: (530) 538-2140 WEBSITE: www.buttecounty.net\dds PROJECT INFORMATION Site Address: 1278 LARKIN RD Owner: Permit No: B07-0630 APN: 024-080-121 PENNING, PATRICK M & WILIV Issued Date: 03/27/2007 By K-Ei Pennit type: MISCELLANEOUS 711 KEIFER RD Subtype: HVAC Change Out GRIDLEY, CA 95948 Expiration Date: 03/26/2008 Description: ADD NEW SPLIT SYSTEM FROM 1 (530) 846-5462 Occupancy: Zoning: A40 0 Contractor Applicant: Square Footage: THRESHER HEATING AND A/C THRESHER HEATING AND A Building Garage RemdUAddn 10 BO Y LE LANE 10 BO Y LE LANE OROVILLE, CA 95966 OROVILLE, CA 95966 Other Porch/Patio Total (530) 534-5002 1 (530) 534-5002 1 FEE INFORMATION DBM Heat Pump (Package Unit) $55.00 Total Charged: $55.00 Fees Paid: $55.00 Balance Due: $0.00 Receipt No: B2375 LICENSED CONTRACTOR'S DECLARATION OWNER / BUILDER DECLARATION Contractor (Name) State Contractors License No. / Class / Expires I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License THRESHER HEATING AND A/C C747884 if C20 / 04/30/2008 Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that requires a 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 I HEREBY AFFIRM UNDER PENALTY OF PERIU,Y that I am licensed under provisions of Chapter 9 1 (00 mencing mition 7000) of Division 3 of tl� Business and Professions Code, and my license Pursuant to the provisions of the Contractor's License Law [Chapter 9 (commencing with Section 7000) is in full for a. id a act 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 violation of Section 7031.5 by any applicant for a permit subjects --loo X Y4��13/27/2007 the applicant to a civil penalty of not more than five hundred dollars ($500]; Please check one of the following: Contractors Signature Date 1. AS OWNER OF THE PROPERTY, OR MY EMPLOYEES WITH WAGES AS THEIR SOLE COMPENSATION, WILL 00 THE WORK, AND THE STRUCTURE IS NOT INTENDED OR OFFERED FOR SALE (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of the property, who builds or improves thereon, and who does WORKERS'COMPENSATION DECLARATION I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: the work himself or herself or through his or her own employees, provided that such improvements I HAVE AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR are not intended or offered for sale. If, however, the building or improvement is sold within one WORKERS' COMPENSATION, as provided for by Section 3700 of the Labor Code, for the year of COMPI ation, the owner -builder will have the burden of proof that he or she did not build or performance of the work for which this permit is issued. improve for the purpose of sale.). ElI HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by 1. As OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Code: Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. The Contractors License Law dows not apply to an owner of the property who builds or improves My Workers' Compansation insurance carrier and policy number are; thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractor's License Law.). Carrier: Policy Number: Exp. Date: (This section need not be completed if the permit one hundred dollars ($1 00� or —less) El I AM EXEMPT under Section B. & P.C. for this reason: M -A THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS )N:CERTIFY SSUED, 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' X 03/27/2007 compensation provisions of Section 3700 of th L b r Code, I shall forthwith comply with those Owners Signature Date provisio 03/27/2007 1 hereby certify that I have read this application and state that the above information is correct. I agree to comply with all City and County ordinances, rules, regulations, and State laws relating to building 8—ignatur'e te WARNING: FAILURE TO SECURE WORKERS'COMPENSATION COVERAGE IS UNLAWFUL, construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless Butte County, its officers, agents and employees from any and all claims and liability for personal AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE injury, including death, and property damage caused by, arising out of, or in any way connected with HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, the issuance of this permit. I hereby acknowledge that issuance of this permit does not authorize the DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte ATTORNEY'S FEES. Cc nt I I th above ti d rty un oene, a +!n tone prope for inspection purposes. I hereby certify that I am the P e� owner or a I tE:a�n o a s a a /t 11)6rized to act on the / __.. - — 03/27/2007 _. = _ /�_ U A L 4a CONSTRUCTION LENDING AGENCY I HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for f P 0 1 Re IIUNJ — Print Date the performance of the work for which this permit is issued. (3097 civ. code) 1:1 Owner ontractor OR: DAgent for Owner DAgent for Contractor FILE COPY Lenders Address city Sta;___Tip_� 1 l 10� e BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION M (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-75411 FAM (530)538-2140 WEBSITE: www.buftecounty.net\dds PERMIT NO. BP062195 LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of pedury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of I Issued Date: 09/13/2006 APN: 024-080-121 -000 the Business and Professions Code, and my license is in full force and effect. —10z� License Class: (f License Number: K5 Site Address: 1278 LARKIN RD GRI Date: q11 Contractor: -P�d' 5&�—so.,, Map Index: Description: RE -ROOF (27 SQ). 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: PENNING PATRICK M & WILMA LUCILLE 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 711 KEIFER RD the Contractor's State License Law (Chapter 9 commencing with Section 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).): 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: FOUR SEASONS ROOFING such work himself or herself or through his or her own employees, .provided that such improvements are not intended or offered for #11 COMMERCE COURT sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of SUITE #1 95928 proving that he or she did not build or improve for the purpose of 530-895-0418 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: FOUR SEASONS ROOFING pursuant to the Contractors' State License Law.). 1 am Exempt under Article 3 of the Business and Professions Code #11 COMMERCE COURT SUITE #1 95928 Date: — Owner: 530-895-04-18 WORKERS'COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: License #: 659073 El I 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. Architect: .CY I have and will maintain workers' compensation insurance, as Engineer: required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: C-4 Carrier:_ >,ZivL Total Square Ft: 0 S. F. Policy#:. Valuation: $0.00 LI 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 workes� compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. �Z/ 3 /v Date: Applicant: WARNING: FZurle 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 TI iis pem)it is hereby issued unqpr the applicable provisions of the Bijftp County CodA Pridlor I hereby affirm that there is a construction lending agency for the performance of the %vork for which this permit is issued (Sec 3097 Civ.) R �po%6ns t d ork. indicatecy above lor which fees have been paid 0-,� A -0(1 Name: BvIN AMI Date : Address: - PERMIT EXPIRES ON: (Date) U I 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. 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 infoTnation is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all coOnty and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby authorize representatives of Butte County to enter upon the above mentioned property for inspection purposes. fIx" Print Name: Signature: Date: 0 owner Q Contractor Ll Agent for Owner P �gent for Contractor BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS OFFICE #: (530) 538-7541 A FEE FffLL BE REQUIRED AT TIME OFAPPLICA TION Website: www.buftecounty.net/dds "PLEASE PRINT CLEARLY" .OWNER INFORMATION Last Name P 41 Y, AA 'e rirst Name Mailing Addregs 7 iee;kr 4 oe, City State Zip , tg� Phone 6 Fax E-mail CONTRACTOR Nam Address t lL CC' k" I All 0 11r,? C - City e4 / , 60 State CA- zip Phone Fax E-mail Lic. *��07'�> FT3 TI APPLICANT INFORMATION ARCHITECTIENGINEER Name City al Address 952-9 City Fax State Zip Phone Map 8 �7� Fax E-mail Planner State License Number APPLICANT INFORMATION Name Address K cotv� 64- -,A(- City al State A -—Fzlp ell 952-9 Phone ", Fax E-mail APPLICANT IGNATURE X For office usd'only: Zoning Flood Zone City TsFiA I Yes T—No Occ. I Type Const. Subdivision Name Map 8 �7� Name Address Planner I Date Approved: OVER FOR SUBMITTAL REQUIREMENTS PERMIT NO. BPCG2jqS BIN # PROJECTLOCATION AP# — O -Aa& 12- 1 Property Address I z City 1�7ss--Ilreet WORKER'S COMPENSATION Policy Number (-P 7 El, Carrier - 54-a-�- ot.,� —111ifing anyone other than license contractors, a certificate of worke c compe ompensation must be shown at the time of permit issuance. LENDINGAGENCY Name Address K:\Building\WEBSITE FORMS\BldgAppISubRqmts82506.doc Page 1 of 2 Description or Scope of Work: lec-6- og f Z7 -51 Sq FT- Living Garage Open Cov 0 Structure Built without Permits 13 Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. Received by: Amount: 00 Bldg SRA Receipt F-1 Sheriff ('k -SMIP Date:11- 18 -OG .---_Other �?JCO 00 Total I I REV 8-25-06 SUBMITTAL & PERMIT REQUIREMENTS The following drawings and specifications must be submitted to the Building Division in order to apply for a permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK. 0 1. Site plans, 3 or4 sets, signed by the preparerof the plans. Nographpaperl - 11 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans (No graph paper!) OR Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. 11 3. Engineered truss details and layouts in duplicate (if required). No faxesl r_1 4. Energy compliance design and supporting documentation in duplicate. El 5. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. 0 6. Manufactured homes: (A) Installation manual, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, (E) Manufactured Home Support Data (form available on our website) all in duplicate 0 7. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. 11 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate (if required). 11 9. Site plan and business license approval from the City of Biggs (if building in the City of Biggs). 0 10. Letter of intent for non-residential buildings. 0 11. Building Permit Application Without Required Clearances Form 0 12. Hazardous Material Form (for Commercial Buildings only). Remaining items needed to issue the permit. Additional items may be required after Plan Check and Planning review (May require additional plan review upon receipt of the following items.) 0 1 . Agricultural Buffer clearance and site plan approval from the Ag Commissioner's office (if required). 0 2. Impact Fees, 11 3. California Department of Forestry plan approval (if required). If your project is located in State Responsibility Area (SRA), you are required to meet the SRA Fire Safe Requirements sheet. 0 4. NPDES Form. 0 5. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). El 6. Contractor's license information. (Number, Name Style, Classification). 0 7. Worker's Compensation Carrier and Policy Number. 0 8. Owner -Builder Verification (if required). 0 9. Letter of Signature authorization (if required). 0 10. Recorded copy of Agricultural Acknowledgment Statement. 0 11. El Legal description from current recorded grant deed, 0 Copy of M.H. Title, Title transfer, or MCO. 0 12. Sanitation and site plan approval from the Environmental Health Department. 0 13. Planning Division approval for parcel check, use and parking (if required). If you have questions or would like additional information regarding this process, please contact a Permit Assistant at (530) 538-7541. A FEE WILLSE REQUIRED AT TIME OF APPLICATION. EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after date of application. In order to renew action on an application after expiration, a new application, plans and fees will be required. REQUEST FOR FEE REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made within two years from the date of fee payment on.permils pot issued, and two years from the date of permit issuance for permits issued; however, --on. issued permits refunds.c�d -only be made if no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. OVER FOR BUILDING PERMIT APPLICATION KABuildingMEBSITE F0RMS\B1dgApp1SubRqmts82506.doc Page 2 of 2 REV 8-25-06 i-I'vF 't"WW 2024-080-121 94 -0572B - PENNING ' PAT 1278 LARKib RD., GRIDLEY CONT; ROBERT FICHTER REROOF/SF 33 '9"a .1 L - . IV 4111111111W 10 COUNTY OF BUTTE - DEPARTMEIV,:r OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville; Catifornia 95965 - Telephone 1916) 538 75 PERMIT NO. APPLICATION AND PERMIT 7 St_ - 7 --Z ASSESSOR PARCEL NUM8ER 024-08-0-121 ZONING A-40 BUILDING PERMIT OWNER PAT PENNING TELEPHONE SQ. FT. OCC. BUILDING VALUATION 25 @-6) OWNER'S MAILING ADDRESS 711 Keifer Road, GrIdley 95948 CONTRACTOR'S N %b Fichter TELE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ 35.W ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 1278 LarkIn Road, Gridlev PERMIT FEE $ 55.00 PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pu Trip water heater 23.00 ater piping 15.00 LOT NO. _7�7A�MAP Each gas water heater or vent 15.00 USE OF 9TRUCTURE Q XDuplex Q Mobilehome Q Olerr SPECIFY Gas piping system 1 5 outlets 15.00 Building sewer 15.00 Mobile Home S G I W @20.00 TYPE OF WORK X New 0 Addition Q Remodel 0 Utilities 0 Installation 0 Other 0 DescribeWork: Refoof w/ comp ±L7n PERMIT FEE Cont'ractor ELECTRICAL PERMIT Filing Fee 20.00 Main Service 10OV OR LESS GOA OR LESS 1 23.00 Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCC P. so. OR ADONS. & ACC. BLOSU 3.50 FT. NEW_CONST, S MULTI -OUTLET -NON RESID. RANCH CIRCUITS @7.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one) I am a licensed under provisions of Chapter 9, Division 3 of the Business and license is in full force and eff0M Professions C4dey5m� License No. 7, 6`7 Classification L-1 / 1, as the owner, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. (See 7044) Q 1, as the owner, am exclusively contracting with licensed contractors. (See 7044) 0 1 am exempt under Sec. Business and Professions Code forthis reason POWER APPARATUS & SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES 20 @ 1.00 BAL. @ .50 FIXED APPLNS. OR Ex. Occup. ( OUTLETS (RESID.) EA, 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): Q This permit is for $100.00 (valwition) or less. 1WI have placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -insure. Q I shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Contractor I certifythat I have read this application and state thatthe above information is correct. I agree to comply to all Butte County Ordinances and California State Laws relating to building construction, and hereby authorize representatives of the County of Butte to entei upon the above mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said ount in consequence of the granting of,this permit. Date 1,;rSigriature of Applicant --Q Owner Ll Contractor Q Agent An OSHA permit is,' required,for exca\�ations ove-r 5"0" deep and demolition or construction of tructu're's�over 3 st&ibs. iri height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CON T. TYPE TOTAL FEE $ 55.00 HAZ. 1 0. FEES IMP I ROOD I CDF PARCEL PID I No 1 I ISSUU 14 This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated,,6b ve f id. 3/7/94 By ' ' 3/710!� PERMIT EXPIRES ON tDate) LRece No. 15601 �� I WHIT OR I D.D.S.-B.D. . CANARY -ASSESSOR -:PINK-INSPECT GOLD ENRO D-APPLI CANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOP&IENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, Califo'rn'ia !M65 - Telephone (916) 538-75 PERMIT NO. APPLICATION AND PERMIT Z�,q Y - 0 S_ -7 a ASSESSOR PARCEL NUMBER 024-08-0-121 ZONING A-40 BUILDING PERMIT OWNER PAT PENNING TELEPHONE SQ. FT. OCC. BUILDING VALUATION —T—,500 OWNER'S MAILING ADDRESS 711 Keifer Road, Gridley 95948 25 @ 6) CONTRACTOR'S NAME Bob Fichter TELEPHONE CONTRACTOWS MAILING ADDRESS Fireplace CONSTRUCTION LENDER Total Valuation Is LENDER'S MAILING ADDRESS Filing Fee $ 20.00 Permit Fee $ 35.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 1278 Larkin Road, Gridley PERMIT FEE $ 55.00 PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 LOT NO. SUBDIVISION'$ NAME PARCEL MAP Each gas water heater or vent 15.00 USE OF STRUCTURE SF CIXDuplex 0 Mobilehome C1 Other SPECIFY Gas piping system 1 5 outlets 15.00 Building sewer 0 Mobile Home S G I W @20.00' TYPE OF WORK New Q Addition 0 Remodel 0 Utilities C3 Installation Q Other Ox DescribeWork: Reroof ur/ cor..-ip PERMIT FEE Contractor ELECTRICAL PERMIT Filing Fee 20.00 Main Service SOOV OR LESS I 200A OR LESS 1 23.00 Main Service 200A TO I OOOA 46.00 NEW CONST. DWELLING OCC P. OR ADDNS. & ACC. BLDSU so. 3.50 FT. CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one) Q I am a licensed under provisions of Chapter 9, Division 3 of the Business and Professions C& license is in full force and eff License No. r 6Z Classification nl 0 1, as the owner, or my employees with wages as their sole cdmpensation, wiff —do the work, and the structure is not intended or offered for sale. (Sec 7044) 1, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) C1 I am exempt under Sec. Business and Professions Code forthis reason NEW CONST. MULTI -OUTLET NON RESID. BRANCH C IRCUITS @7.50 POWER APPARATUS & SINGLE OUTLET CIR. Ex. Occup. OUTLET OR FIXTURES 20 @ 1.0 BAL. 9 .500 Ex. Occup. Ur ITXE D AP PLN S. 0 R ETS (RESID.) EA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 1 Misc. Wiring 23.02+_ WORKER'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): Q This permit is for $100.00 (valuation) or less. V<have placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -insure. 0 1 shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all Butte County Ordinances and California State Laws relating to building construction, and hereby authorize representatives of the County of Butte to entei upon the above mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said C�ountin c sequence Of the grpW.nt* g-oQthis permit. Date gl�<gnature of Applicant -�U Owner El Contractor 0 Agent An OSHA permit is required for excavations over 5"0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee s Energy Inspection Fee s OCC CONST. TYPE I TOTAL F 55.00 HAZ. I D. FEES I IMP FLOOD CDF PARCEL PID HO ISSUU This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicate ve for which as have be- paid. I By Date 3/7/94 PERMIT EXPIRES ON 3/7/95 I tDo te) ReceiptNo. 15601 WHITE-O.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLD ENRO D-APPLI CANT -rA6,6EZ CAL L, '"S LlfA is 4 I - - - — — .: 1 -11 ') - , "' _ "' __ "' , I - . �11 r 1�-6. /3, 1; 13 '5 .... COUNTY OF BUTTE -'DEPARTMENT OF PUBLIC WORKS pv% / 7 County Center Drive!Oroville, Caloornia 95965 --Telephone 916/534�454_1� APPLICATION ANDYERMIT PERMIT NO. ASSESSOR PARCEL NYMBERr, 10 0S 2 N10 *--f ZONING 1k, BUILDING PERMIT OWNER H4CeO TELEPHONE SQ.FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS CONTRACTOR'S NAME C A A; /A/ C -c- S aC 7-1 &/u/ TELEPHONE 5 LX7 CONTRACTOR'S MAILING ADDRESS �) C, . J�OX lql',' 1_�14 4 5� (-4 Fireplace T CONSTRUCTION LENDER f XYIIIOL�� UNKNOWN Total Valuation Is Filing Fee $ 10.00 — LENDER's MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER E NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDRESS PLUMBING PERMIT Fi ling Fee 10.00 Each Trap 2.00 Repair drainage or vent piping 5.00 Water piping LOT NO. SUBDIVISION NAME I PARCEL MAP 18( V7 Each qas water heater or vent 5.00 -Gas piping system 1 - 5 outlets -5,00 USE OF STRUCTURE SF[fr"`DupIexF1 MobilehomeF_J Other SPECIFY Building sewer Lawn sprinkler system TYPE OF WORK NewEJ Addition R emode 1 [:1 Utilities [:1 InstallationD Other Describe work: 40�v C- 4 Permit Fee $ Contractor ELECTRICAL PERMIT FilingFee 10.00 Main service 600V OR LESS 100 AMP OR LESS 5.00 Main service EA. ADD -L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.81) OR ADDNS. ( ACC. BLOGS. 20 sq ft CONTRACTORS LICENSE LAW I declare rider penalty of perjury (check one): I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full lipr,3 and effect. License No. (//"// �,/ 7-- Classification I F-1 1, as the ow�er, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) 1, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) I am exempt under Sec.—, Business and Professions Code for this reason NEW CONSTFL(MULTI-OUTLET 2.50 ea NON.RESID, BRANCH CIRCUITS) NEW.CONSTR. (POWER APPARATUS.&) NON RESID. -SINGLE OUTLET CIR 50 @ 25C EX. Occup(o TLETS OR FIXTURES BAL@110� (FIXED APPLINIS OR Ex. Occup. OUTLETS (RESI*D.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 Pemit Fee $ Contractor MECHANICAL PERMIT Fi Ing Fee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): F-] The permit is for $100.00 (valuation) or less. I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -insure. ,,.wI119_halI not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Heating Cooling Hood 3.00 Ventilation Permit Fee Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I �also agree to save, indemnify and keep harmless the County of Butteagainst all liabil�ities, judgments cost§/and expenses which may in any way accru against 6a'id County iri c of this permit. X 6G�,t/ Date/, 7,; fle 2 Signature of Applicant — Owner El Contractorj2-__AgentEY V An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ OCCUP. GROUP I TYPE OF CONST. IPARCELI PD I This permit is hereby issued under the applicable provi7 sions of.the Butte County Code and/or resolutions to do /work iridiclaied above for which fees have been paid. I i , DJRECTOR OF PUBLIC WORKS B 4yy Date!�_ 15- 9 Z_ PERMIT EXPI-RES Date 17 Receipt No. &/L/ -7 Z, WHITE-O.P.W., YELLOW-ASSIESSOR, PINK -INSPECTOR, GOLDEN ROB -APP L I CANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICA.TlOiWD PERMIT ASSEXSO PARCEL. NUMB _ og- /Y 'PC or) I ZONING BUILDING PERMIT OWNW - T EL,EP SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS C JrX AM H E CO;aTRACTO A LING A _0_ 2?6�� Fireplace CONSTRUCTION LENDER EUNNOWN Total Valuation Is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDINJ,0 &Aele-111111 ;P -b I PLUMBING PERMIT FilingFee 10.00 _7rs Each Trap 2.00 Repair drainage or vent piping 5.00 Water piping LOT NO. SUBDIVISION NAME 1 PARCEL MAP 186-447 Each qas water heater or vent —Gas 5.00 piping system 1 - 5 outlets -5,00 USE OF STRUCTURE SF[1`<upIexF_J MobilehomeF-1 Other SPECIFY Building sewer Lawn sprinkler system 0 R/561 E5O TYPE OF WORK New r-1 AdditionEj Remode]E:l UtilitiesE:l I istallationD Other g-, Describe work: *ggv 5 _?_erTnIt Fee $ - -,71, _570 Contractor ELECTRICAL PERMIT FilingFee 10.00 Main service 1101 OR LESS 100 AMP OR LESS 5.00 Main service EA. ADO'L 100 AMP 2.50 It NEW CONST DWELL NG OCCUP,al OR ADDNS.' ACC. BLDGS. 20 sq it CONTRACTORS LICENSE LAW I declare�;Pder penalty of perjury (check one): IT01 am license.d under provisions of Chapt. 9, Div. 3 of the Business and Profess s Code and my license is in fu 11 f and effect. '? License No. &Je S7Z Classification ?A A 1, as the owner, �r my empfloyees with wages as their sole compen_ sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) 0 1, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) I am exempt under Sec.—, Business and Professions Code for this reason NEW.CONSTR ( MULTI-OUTLFT NON RESID, BRANCH CI Rr 2.50 ea _U,TS) NEW.CONSTR POWER APPARATUS &) NON RESID. (SINGLE OUTLET CIR. 50 @ 250 Ex. Occup(OUTLETS OR FIXTURES BAL@100 'XED AP - PLNS __ OR Ex. �icCUPJO`UTLETS (RESI. 2.00 D.) E A.) - Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 Permit Fee $ Contractor MECHANICAL PERMIT Fi I ing Fee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): F] The permit is for $100.00 (valuation) or less. E] I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Ceitilicate of_goPaenTto Self -insure. V!��shall not employ any person in any manner so as to become subject ,V- to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to th.e.W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Heating Cooling Hood 3.00 1 Venti lation Permit Fee Contractor I certify that I have read -this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify aqd keep harmless the County of Butte against all Ii bil'' s, coW/an expenses which may in any we ac7cr e ag onsgd_u6nce of the ting of this P it. L,�_ na e2' om�gent Signature of Applicant OwnerEl C ET An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of str ctures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ OCCUP. GROUP TYPE OF CONST. IPARCELI P hi I T i poetit isuhereby issued under ol�s he tt, C t C d 1 -0 a OrA k i i te, o ev�eu n�f Ihiech IR R 11C tDA110 F PUBLIC By BY PERMIT EXPIRES Date— �V__ the applicable provi- nd/or resolutions to do fees have been paid. WORKS Z-1 Date '19'-,F'Z Receipt NO. WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD-APPL I CANT