HomeMy WebLinkAbout024-090-043�__4
24-09-43
John Donnahoe
___W/S Gilstrap, app.200 yds N.of Niels
Gridley
Permit #1944-77B,E,M(add bedroom &
_SF)
-,entry/
A. P.
P
,e :Nielso
,om &
Cha:�Ies Mtincy
Wls `G':i:lstrap -L mi., no. of Nielson Ave.
4w:
G:�rdfey
Permit 98-71B (addition
24-09-43
Permit #5879-78BOst renewal for permit
#1944-77)
2 24-09-43
4 -09 -43
1034 Gi ap, Gridley
49 t
Permit#1372- (LAdd co _ vered pat o/SF
24-09-43
P e��Itl#1859-86B,E(Pddll !,rep/1372-86)
N
i
C"l
J
98-71
PERMIT NUMBER B
100-71
P
71-71
E
PERMIT EXPIRES
0 1 WNER Charles-MLmcy
owner
FONTR:
'LOCATION (A.P. 24-09=22
wls Gilstrap T1,:Ti. no. of
Nielson'Ave-.i Gridley
Toning
Foundation I
Rgh. Plumbing
Rein. Steel
Framing
Wtr. Htr.
Firewall
ELECTRIC
Temporary_
V. -
Final
DATE
COUNTY OF BUTTE
Department of Public Works
-BUILDIN I PECTIONi, RECORD
Setback Forms
Piers & Girders Fire I a e' f
Bond Beam
ath Plaster YZ,,PIZ-71
Gas Piping & Test
.0
ound. Vents
P[mg. ' Topout
Rough Elec.
Furnace�
Kitchen Vent
Garage Vents
Sanitation & Water
GAS
BUILDING
Temporary
Cert. of Occup.
Final
-Final —/9-
REMARKS OR CORRECTIONS
4 ,
A e- I 4-e-fj ,e -�
7
-e, k ),4
I a,,E2, �/ ,
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
7 County Center Drive '. Orc?vllle, California 95965
Phone: 533-1230, Ext. 259
APPLICATION AND BUILDING PERMIT
Permittie Owner dw).t , err,
J,01* ( 4 A. P. No.
Mailing Address le;' Fire Zone. Zoning
Contractor Sanitation Planning
Mailing Address Plans L,-- Fees L--1 W.C. L---,
BLDG. Address 44J, x-,-. 4,,, oll V, R/W Encroachment
4 -
NEW ADDITION REPAIRsE:1 OTHER [i�] F 0 U N D A T 10 N
MATERIAL EXTERIOR PIERS
Others 't
Single Multi W1 dtb at Top d
USE OF STRUCTURE Family D& 'Duplex E] Dwelling
Others Width at Bottom
SQ. FT. OCC. BUILDING VALUATION Depth in Ground
R.W. PLATE (Sill) -SliE SPACING SPAN
Girders
o C) joists - lst Floor
joists- 2nd Floor
Fireplace
joists - Ceiling
Total Valuation 4�4' Exterior Sttids
Permit Fee
Interior Studs
Plan Checking Fee &/or Penalty Roof Rafters
Total Permit -Fee
Bearing Walls
CONTRACTORS LICENSE LAW
A. LICENSED CONTRACTORS COMPLETE THE FOLLOWING:
I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name
styleof ................................................................................................................................................................................................................................................
License No . .............. ; ........... . Classification .............................................. . and certify that the aforesaid license is in -full force and effect.
B. OWNER -BUILDER & OTHERS COMPLETE THE FOLLOWING:
I am exempt from the Contractors License Laws of the State of California under Sec. 7031.5 because (check one):
I am the owner of the above property and I will contract to have all of the above work performed by licensed contractors.
(Sec. 7044).
I am the owner of the above property and do not intend to offer it for sale for one year from the date of completion of the
improvements. (Sec. 7044).,.
F__j Basis,, if any, for other statutory exemption ...............................................................................
................................................................................................. e ................................................................................................. ................................................................
WORKMEN'S COMPENSATION INSURANCE
I sin ' aware of the provisions of Section 3700 of the California Labor Code which requires every employer to be insured against liabil-
ity ' for Workmen's Compensation. I have placed on file with the County of Butte a certificate of compliance or proof of exemption
pursuant to Section 3800.
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 con-struction,
and hereby authorize representatives of the County of Butte
to enter upon the above-mentioned property for inspection
purposes.
X.............................................................................. Date
SIGNATURE OF PERMITTEE OR AGENT
. I _e
Receipt No . ................................... I
......................................................... : ............
This BUILDING PERMIT is hereby issued under the appli-
cable provisions of County resolutions and/or ordinances.
DIRECTOR OF PUBLIC WORKS
B Y... - I I . I
.............. ................ Date
Permit Expires Date ..................................
X]
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS �71
7 County Center Drive - Oroville, California 95965
PHONE: 531-1230, Ext. 259
APPLICATION AND ELECTRICAL PERMIT
Permittee Owner A*,V " 4, - C-1 A. P. No. 0
Mailing Address 13.>e /7-vj
.Contractor
Mailing Address
BLDG. Address t/C d�, IS 4� 04'i, e- A
DESCRIPTION OF WORK No. Fee
PERMIT FILING FEE $2.00 ;2, CrC)
NEW F__j ADDITION f__j METERSERVICE F__j
Supplementary Filing Fee 1.00
Main Service . -4 A -
OTHERS: (,12,or— (more than
Sub -panel �jess) 1 2) Each
Remarks: Range, Dryer or Water Heater Each LOO
Oven. Cook -Top or Space Heater Each ....50
First 2D .20
Light Fixtures Each Additional .10
USE OF STRUCTURE /f f f First 20 . 20
Receptacles., Switches & Fixture Outlets 27 E ach Additional :10
Single multi Hood, Exht:��Fan or F.A. Furn. Motor Each .50
Family F-_1 Duplex F__j Dwelling F__j
Evap. Cooler, Gar. Disp. or Dishwasher Each .50
OTHERS: Air Conditioner or Heat Pump
Water Pump
Misc. Wiring
Remarks:
TOTAL FEE
400 D
CONTRACTORS LICEINSE LAW
A. LICENSED CONTRACTORS COMPLET'E THE FOLLOWING:
I am licensed'under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name
style of .............................................................................. . ....................................................................................................... ........................... I
License No. ***'****** .................. I Classification .............................................. I and certify that the aforesaid license is in full ft�rce and effect.
B. OWNER -BUILDER & OTHERS COMPLETE THE FOLLOWING:
I am exempt from the (-ontractors License Laws of the State of California under Sec. 7031.5 because (check one).
F-1 I am the owner of the above property and I will contract to have all of the above work performed by licensed contractors.
(Sec. 7044).
I am the owner of the*above property and do not intend to offer it for sale for one year from the date of completion of the
. I provements. (Sec. 7044).
m
Basis, if any, fo&other statut-
F oryexemption ..................................................................................................... . ........ . .....
WbRKMEN'S COMPENSATION INSURANCE
I am a7ware of the provisions of Section 3700 of the California Labor Code which requires every empIoyer to be insured against liabil-
ity for Workmen's Compensation. .1 have placed on file with the County of Butte a certificate of compliance or proof of exemption
pursuant to Section 3800.
I certify that I have read this application and state that the above in-
formation is correct. I agree to comply with all County ordinances and
State Laws relating to building construction, and hereby authorize repre- This ELECTRICAL PERMIT is hereby issued under the appli-
sentatives of the County of Butte to enter upon the above mentioned cable provisions of County resolutions and/or ordinances.
X( f —
erty or Lnspection purposes.
X?Z* 11 - Date//90/7 DIRECTOR OF PUBLIC WORKS
.......................................................... t ............... ........................................
SIGN-ATURE OF . PERMITTEE 6R AGENT
V By
A —71
(7 214 (��V�6, ........................................................................ Date ....................... ..........
Receipt No . ................. 00 _T
...................................................
-tl— �vf �� et�k
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
7 County Center DAv� - droville, California 95965
Phone: 533-1230, Ext. 259
APPLICATION AND PLUMBING P E R M I T
Permittee Owner 14,, /-"11- C L4 A.P. No. o
Mailing Address .4 L-e—
Contractor
Mailing Address
BLDG. Address L&'A b "U
I , . "', j 64
DESCRIPTION OF WORK
NEW ADDITION �� REPAIRS
OTHERS:
Remark s:
USE OF STRUCTURE
Single Multi
RESIDENTIAL Family [Er""�Duplex ED Dwelling r --j
OTHERS: IN
Remarks:
PERMIT FILING FEE
@
Fee
$2.00
:2.
Each fixture or trap or set of
fixtures on one trap
/7/
1.50
4',
Repair -or alteration drainage
or vent piping
1.50
Installation or repair
water piping
1.50
Each gas water heater or
gas heater vent --
Z
1.50
C;?,
Gas piping system I - 5 outlets
1.50
A
Gas piping 6 or more - Each
.30
I House Sewer
stem -
TOTAL FEE
5.00
2.00
UUNTRACTORS LICENSE LAW
A. LICENSED CONTRACTORS-COMPL ETE. THE FOL LOW,ING:
I am licensed—under the provisions of Chapter 9, Di%;. 3, of the State of California Business & Professions Codeunder the name
styleof ............................................................................................................................................................................................................................. ....................
License No . ............................ . Classification .............................................. . and certify that the aforesaid license is in full force and effect.
B . OWNER -BUILDER & OTHERS COMPLETE THE FOLLOWING: J�
I am exempt from the Contractors License Laws of the State of California under Sec. 7031.5 because (check one):
I am the owner of the above property and I will contract to have all of the above work performed by licensed contractors.
(Sec. 7044).
F—_j I am the owner of the above property and do not inteind to offer it. for sale for one year from the date of completion of the
improvements. (Sec. 7044). % I I ", . .
F-1 Basis, if any, for other statutory exemption .... ...... ........... ...... I ................................................................................................................................
.............................. m .............................................................................................................................................................................. -----------------
WORKMEN'S COMPENSATION INSURANCE
I oxn aware of the provisions of Section 3700 of the California Labor Code which requires every employer to be insured against liabil-
ity for Workmen's Compensation. I have placed on file with the County of Butte a certificate of compliance or proof of exemption
pursuant to Section 3800.
I certify that I have read this application and state that the
above information is correct. I agree to comply with 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.
................................................................................. Date
f
SIGNATURE OF PERMITTEE OR AGENT
Receipt No . .......................... ? el (1- / (_ 7)
.........................................
This PLUMBING PERMIT is hereby issued under the appli-
cable provisions of County resolutions and/or ordinances.
DIRECTOR OF PUBLIC WORKS
By ...... Date
................................................ I ......................... ..............................
i
4;
-:6-- 0/- --e4 le��
-0
SV 7c7-7
1944-77B,E,M
PERMIT, NO-.
PERMIT EXPIRES
or
3OWNER John Donnahoe.
CONTR. owner
24-09-43
LOCATION (A.P.
W/S Gilstrap,app.200 yds N.of Nielson Gridley
r, t
Temp. Power Pole
Called PG&E
Temp. Elec. Serv.
Called PG&E
Temp. Gas Serv.
Called PG&E
JOB
FINALED (Date)
(Signature)
Slab Prov. for p sical Appliances
handlcappe�
Carport .1 Gas Piping & Tesi
Conforms
Footings structure Temp. Gas
Slab Final /,1-- -7 Sanitation
Patio FIREPLACE J Final
Footings Footing ELECTR4CAL
Reinf. Steel
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
BUILDING INSPECTION RECORD-
Final
BUILDIN.Lz
BUILDING (Cont'd)
PLUMBING
Setback
Motors
Firewall
Soil Piping
Forms
Water Htr.
Parapets
1st Floor
Main Bldg.
Subpanels
Restroorn Flnl�h
2nd Floor
Footings
Gird. Fault Prot.
_!I ndows
3rd Floor
Stemwa I I
Service
Siding
Topout V
Slab
Temp. Pole
R o o f S h e a t h I n g g�2 1;'V11
Water Piping A
Piers
Underaround
Roofing
Sewer
Garage
Fdn. Vents
Fixtures
Footings
Garaqe Vents
Water Htr.
Slab Prov. for p sical Appliances
handlcappe�
Carport .1 Gas Piping & Tesi
Conforms
Footings structure Temp. Gas
Slab Final /,1-- -7 Sanitation
Patio FIREPLACE J Final
Footings Footing ELECTR4CAL
Reinf. Steel
2ZZ1-Z-,-71-Y7F-
Final
Fixtures 4ff-'�Izg. W,
Bond Beam
FIWSORINKLERS
Motors
Fr ming
test
Water Htr.
Stucco
Final
Subpanels
Mesh
MECHANICAL
Gird. Fault Prot.
Scratch
Heatina
Service
Brown
Cooling
Temp. Pole
Finish
Ducts
Underaround
Interior Lath I Ventilation Permanent
Door Closer Final Final V
, eX,! �, 1, 17 7- - 4
MOBILEHOME UTILITIES ------------------ Elec. Service Elec. Pede'stal
Water Piping Sewer Gas Piping
MOB16EUOME INSTALLATION -------------- Support Elec. Continuity
Water Piping Drainage Gas Piping
DATE REMARKS OR CORRECTIONS
/A
(NOTE: An entry must be made on this form each time you visit the job site.)
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965
Tel ephone', 534-4541
APPLICATION AND PERMIT
Owner Z.1614,0 VIC AJ AJ .4 140 9-
MailingAddress -flo
G�P) C)LIFLI Q)O"
Contractor
Mailing Address
Building Address
ITelephone No.
,94/ 4 -s-f . 9
'94 4 - 6-9 7 S
ephone No.
A. P. No. Zoning & Planning
Fk-sl ki:�. I I Fi re Dept. I F ire Zone Use Permit
EOA I Parking Parce
Pians I Deciarat! on I Parcel Map 1 60' R/W I improvements
--olag. r-1-6MT-Rtrc'd I Val I Plans Approval
NEW F1 ADDITIONE5_' UTILITIES [:1 OTHER [:1
W
A7_ do-w-c-I&W 13-00, 1941Y -77 -S, A6 41
Single Family4a Duplex Mobi I HomeEJ OthersEl
CONTRACTORS LICENSE LAW
I am licensed under the provisions of Chapter 9, Div. 3, of the
State of California Business & Professions Code under the name
style of:
License No. Classification
?`1 am exempt from the Contractors License Laws of the State of California.
WORKMEN'S COMPENSATION INSURANCE
I am aware of the provisions ot Section3700 of the California Labor
Code which requires every employer to be insured against liability
for Workmen's Compensation.
I have placed on file with the County of Butte a certificate of
Workmen's Compensation Insurance.
1-11NI certify that in the performance of the work for which this
ermit is issued I shall not employ any person in any manner
Ors to become subject to the Workmen's Compensation Laws of
California.
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 represent."ives of the County of Butte to enter upon the
Pao ;-m e 4n n I e I d b erty for inspection purposes.
.1_4 Date q -.7,K
S S. tu
ignature of Permitee or Agent
Receipt No./M-22 7 f-
White-D.P.W. - Yellow-A55eSsor - Pink -Inspector - Golden rod-Appli cant
BUILDING
SQ. FT. I OCC. I BUILDING VALUATION
Fireplace I I
Total Valuation
Permit Fee
PlanChecking Fee&/0br_P7e_naIty
Permit Fee
PLUMBING
PERMIT FILING FEE
Each Trap
Repair drainage or vent piping
Water piping
Each gas water heater or vent
Gas piping system 1 - 5 outlets
Each additional outlet
Building sewer
Lawn sDrinkler system
Permit Fee
[bu C. A=
BAL@1
ELECTRICAL
PERMIT FILING FEE
Main service
600V OR LESS
100 AMP OR LESS
Main service
EA. ADD -L 100 AMP
Main service
OVER 600V
100 AMP OR LESS
Main service
EA. ADD -L 100 AMP
NEW CONST. (
OR ADDNS.
DWELLING OCE-5-P.5i
ACC.BLDGS.
NEW CONSTR.
NOM.RESID.
(MULTI -OUTLET
BRANCH CIRCUITS
F -M
PEE
$3.00
1.50
1.50
1.50
1.50
1.50
.30
5.00
2.00
@ FEE
$3.00
5.00
2.50
25.00
1.00
?Osqft
).50eal I
Ex. OCCUQ[OUTLETS OR FIXTIIRES
[bu C. A=
BAL@1
FIXED APPLNS OR
Ex. Occup.(OUTLETS (RESI'D . I EA)
2.00
Temporary service
10.00
Mobile Home Facilities
15.00
Misc. Wirina
6.25
Permit Fee $
MECHANICAL No. @
PERMIT FILING FEE r tl$3.00
Heating
Cooling
Ventilation I I I
Hood 1 1 2.001
Permit Fee $ $
Land Development Fee $
TOTAL PERMIT FEE is
This permit is hereby issued under the applicable provisions of
the Butte County Code and/or resolutions to do work indicated
abov which fees have been paid.
,ADIRECiop OF P_UBLIC WORKS
17
OR".. Dat 1112
B - W
IV
Building permit expires D te
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
7 County Center Drive — Orovi Ile, California 95965
Telephone: 534-4541
APPLICAtION AND PERMIT
k/
11
BUILDING
Owner
SQ. FT. OCC. BUILDING VALUATION
J
Mailing ddress
Telep No.
_2,o n e
Fireplace :E=
Contractor
00 9
Total Valuation
Mai I ing AddresFV1W
Permit Fee
Plan Checking Fee&/or Penalty
Telephone No.
Permit Fee $
$
Building Address 01 -4
PLUPABING No.1 @ FEE
PERMIT FILING FEE $3.00
V
Each Trap 1.50
Repair drainage or vent piping 1.50
Water piping 1.50
Each gas water heater or vent 1.50
A. P. No. 0
Zoning & Planning
Gas piping system 1 - 5 outlets 1.50
Each additional outlet .30
F&etZ,G�.ion
I FireDept.1
FireZone
Use Permit
Building sewer 5.00
EOA
I Parking
Plans
Parcel Parcel Map
I Declaration �
60
I ' R/W
I Improvements
Law.n sprinkler system 2.00
Bldg. Pl&,,I?e`cd
Parcel Approval
Plo n sk`p`p`�r`o�v a
Permit Fee $
r71__11
NEW ADDITION UTILITIES OTHER El
ELECTRICAL No. @ FEE
PERMIT FILING FEE $3.00 00
Main service 100V OR LESS
100 AMP OR LESS 5.00
Main service EA. ADD -L 100 AMP 2.50
Single Family Duplex [:J Mobi I Home El Others [I
OVER 600V
Main service 100 AMR OR LESS 25.00
Main service EA. ACC -L 100 AMP 1.00
NEW CONST. I DWELLING OC -W.
OR ADDNS. % ACC. BLDGS
L T
NEW.CON S TR. (MULTI-OU4"LCT
NON RESID. BRANCH rIR UITs) 2.50ea
NEW CON S TR (POWER APPARATUS.&)
NON-RESID. SINGLE OUTLET CIR
CONTRACTORS LICENSE LAW
I am licensed under the provisions of Chapter 9, Div. 3, of the
State of California Business & Professions Code under the name
style of:
25c
Ex. OCCUP(OUTLETS OR FIXTURES) rBA@L @ 101
( FIXED A LNS. OR
Ex. Occup. OUTLETSPP(RESID.) EA) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
License No. Classification
Misc. Wiring 6.25
P<5m exempt from the Contractors License Laws of the State of California.
Permit Fee $
WORKMEN'S COMPENSATION INSURANCE
I am aware of the provisions of Section3700 of the California Labor
Code which requires every employer to be insured against liability
for Workmen's Compensation.
EJ I have placed on file with the County of Butte a certificate of
Workmen's Compensation Insurance.
certify that in the performance of the work for which this
ri
permit is issued. I shall not employ any person in any manner
so as to become subject to the Workmen's Compensation Laws of
California.
MECHANICAL No.1 @ I FEE
PERMIT FILING FEE J$3.00
Heating
Cooling,
_,6�
V A t i Ta t- ho 4
Hood 2.00T
Permit Fee $
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
TOTAL PERMIT FEE
$
authorize representatives of the County of Butte to enter upon the
abo enti d p ro 'y for In S' ection purposes.
X Date
S Sig f
ignature of Permitee or Agent
Z�dReceipt No.
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod-Applicont
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.
DIRECTOPA-P) PUBLIC WORKS
I Idi�ngper =tex�pires D�ate
"L� 1 4
January 29, 1971
Charles Muncy RE: Building Permit #0,8-71B
Rt. 1, Box 1145
Gridley, California 95948
Dear Sir:
'dith reference to the above subject and your application to construct an addition
to your residence on Gilstrap Road in Gridley, this office has reviewed the plans
and needs the following information:
1. Complete structural details including footings, posts, beams, etc.
-for the carport construction.
2. The plans show insufficient light and ventilation in the family room
and bedroom. Code requires that you furnish 1/8 of the floor area in
window area, 1/2 of which must be openable. Please note openable-windows
cannot be permitted from living -area to a carport.
.As soon as ' we receive revised plans in accordance with the above items, we shall
process for the required permits.
Should you*have any questions, please contact us.
Yours very truly,
Clay Castleberry
Director of Public Works
J.F. Glander
JFG:dd Assistant Director
0
N . t ' , . 1 j . 1. + I r I
. nf
v ILE NO.
BUTTE COUNTY (For Action - 1, 2. 3)
Public Works Den. (Ftr Inferm.Vt
Director
Dep. Dir.
sec.
I
r
4
'3'D z
Rd. Maint.
Shop
Bldg-.., Ping.
Planning
Permits
moppin
Sub. Cht:9.
Des. & Can.
Constr.
RJ. Des.
Sr. Des.
R/ 'i,
-Water Res.
I
r
4
'3'D z
1372-86B
PERMIT NO.
PERMIT EXPIRES
JOHN D
OWNER
owner
CONTR.
ASSESSOR PARCEL 24-09-43
LOCATION 1034 Gilstrap, Gridley
Temp. Power Pole
Called PG&E
Temp. Elec. S
I Called PC
Temp. Gas Sei
Called PC
JOB FINALE[
Signature
it O.K J
0 Not OK
Not Applicable MOBILEHOMES MISCELLANEOUS
Not Ready
Date
MOBILEHOME UTILITIES (Plans) OK except #'s
Date
DECId COVERS, CARPORTS, ETC. (Plans) OK except #'s
1. Zoning Requirements -Setbacks -Easements
W." Zoq�kig Requ irements-�etbacks- Easements
2. Soils; Special MH Support -Sketch
ge'footings; �-SDt!�5_:Connectors
3. Sewer; Location -Test -Fall -C/0 -Concrete
3. Decks; GirAer<po&-4rdW-Decking-Bracing-Stairs-Rails
4. Water; Locat i on -Test- Easement Needed (Sketch)
1�<
evlfood 4.wf�Posts--Bemlm--RU�e-�ConmL!rc.-ShWg��RJT.-Bra ;_<g_�
5. Electricity; Location-Clearances-Grnd.-/ Amp -Concrete
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Gas; Local iorv--Test-Wrap: / /"L"ft./ P' Nat. or/ /"L"ft./ P' LPG
6. Carports; Windows -Doors
7. Utility Clearance
7. Elec.
Card -BI
Date Card -BI Date
Card -BI
C4D?ate_-c,1", �Ward-Bl (!,C> Date
Card -BI
Date Card -BI Date
Card -BI
QU Date6Ca_-;&>_G Card -BI Date
Date
MOBILEHOME INSTALLATION (Plans) OK except #'s
1. Zoning Requ i rement s-Setbac ks- Easements
Date
MOLS (Plans) OK except #'s
1. Setbacks -Easements
2. Footings; Size -Spacing -Marriage Line
2. Soils; Compaction -Structure Stability
3. Gas; MH Test -Demand -Valve -Connector
3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining
4. Electricity; MH Test -C rossovers- Brea kers-C I earances
4. Elec.; Receptacles and Lighting; Distances-GF1
5. Drain; MH Test -Fall -Flex Connector
5. Elec.; Pool Lighting; 15 volts-GFI
6. Water; MH Test -Regulator -Connector
7. Water and Sewer Connected -C/0 to Grade -HD Approval
6. Elec.; Enclosures; Conduit Entries -Terminals -Listed
7. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater
8. Gas and Electricity Tagged
8. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghig.
Boxes -Enc losures-Pane I boards- Ins. to Main in Conduit
9. Exits; Insp.-Sketch
10. Cert. of Occupancy
9. Health Department Approval
10. Plumb; Cir. Test -Water Supply Test
Card B-1
Date Card -BI Date
Card -BI
Date Card -BI Date
Card B -I
Date Card -BI - Date
Card -BI
Date Card -BI Date
V = OK
0 = Not OK
- = Not Applicable
* = Not Ready RESIDENTIAL (Single and Duplex)
Date
UNDERFLOOR (Plans) OK except #'s
Date
FRAMING (Continued)
1.
Zoning requirerrients-Setbacks-Easements
48.
Property Line Firewall & Openings
2.
Ftg., Main; Soils-Steel-Elec. Grnd.- / /'' Ftg. Depth
49.
Ext. Doors -One X -Check Garage -3rd story, 2 exits
3.
Ftg., Garage; Soils-Steel� / /" Ftg. Depth
50.
Stairs; W idth-Headroom-R i se -Run- Land i ng -F ire Protection
4.
Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth
51.
Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
5.
Stemwalls, Main; Sleel-Blockouts-Wrappecl-Slab
52.
Siding -Nailing -Veneer
6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab
53.
Stucco Mesh -Drip Screed-Fdn. Vants-Underfir. Access
7.
Piers -Fireplace Ftg.-Steel
54.
Glazing Area -Glass Protect i on-Skyl ights- P I ast ic
8. D.W.V.: Fall -Fittings -Test -2 way C/0 -Sewer Test
9. Gas Pipe; Size -Anchors
55.
Shear Walls; Nailing -Bolts
10.
Water Pipe; Test-Anchors-Regu lator-Sery ice Test
11.
Electric; Underground
12.
Plenums & Ducts; C learance-Materi a I -Support- Ins.
13.
Girders -Sills -A -ichor Bolts -Joists -Vents -Cripples
Card -BI
Date Card -BI Date
Card -BI
Date Card -81 Date
Card -BI
Date Card -BI Date
Card -BI
Date
Date Card -BI Date
FINAL (Plans) OK except Y's
56. Ext. Steps -Door & Sidelight Protection -Landings
Card -Bl
Date
Date Card -BI Date
PLUMBING (Permit) OK except #'s
57.
Smoke Detector
1-4.
Water Ht.; Vent- Access -Combust ion Air
58.
Furnace; Venis-Clearance-Comb. Air -Connector -
In Garage; Above Floor-Ducts-Mech. Protection
Water Pipe; Test & Anchors -Nail Protection
.15.
16.
D.W.V.: Test-Fttngs & Anchors -Nail Protection
59.
Bedroom Exiting
17.--�-hi�v`�er
-Pary, Test, First Floor -Tub Access
60.
EF.I. & Bath Fixtures & Tub Access
Card -BI
Card -Bl
18.
19.
Test Tub & Shower, 2nd Floor -Tub Access
Gas Pipe; -Size & Anchors
Date Card -BI Date
Date Card -81 Date
61.
Elec. Trim & Subpanel; Breaker Sizes -Labels
62.
Stairs & Rails
63.
Fireplace or S-.ove; Clearances -Hearth
64.
Elec. Outlets at Wood Panel; Int. & Ext.
65.
Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance
66.
Elec. Outlets & Receptacles at Kit. Counter
Date
ELECTRICAL (Permit) OK except U's
67.
Garage Fire Door; Swi ng -Land i ng -0 loser
68.
A.C. Duct in Garage -Damper
20.
21.
22.
23.
Fixture & Transfo.-mer Clearance -Ins. Protection
Elec. Receptacles Spacing -Lights & Switches at Doors
Size -Boxes & No. of Conductors -Stapled
Romex Installed Close to Edge of Studs & C.J.
69.
Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.-
In Garage; Above Floor-Mech. Protection
70.
Plb., Elec. & N16ch. Equip. Listed for Location
71.
Elec. Receptacles in Garage; (G.F.I.)-Romex Protec.
-----25.--i-A-pp1i`a`n-c-e
Card 6- ' I
Card B -I
24.
-26.
27.
28 .
29.
30.
Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water
di-rcuits in Kitchen & Conductor Size
Sub - feed - Wire Size I -- / ga. Cu or AI-A.C. Wire Size ga. Cu or At
Range Circ. / / ga. Cu or Al -Oven Circ. ga. Cu or Al,
Insulated Neutral ' Yes �] No
Service -Riser -Conductors & Ground -Main Disconnect
Equip. Clearances: Pane I s-Motors-Mec h. Equip.
Clothes Closet Light -Shower Light
Date Card -Bi---
Date Card -BI Date
72.
Insulation -Foam -Looked in Attic E] Yes
73.
Guard Rails & Deck Construct i on- Post Caps
74.
75.
Fdn. Vents & Crawl Hole Door-Drai.iage & Wood -Earth Clearance
Looked under Floor El Yes
Following instid.: Drive [] Yes No; Walks F-, Yes 0 No:
Planters 0 Yes 11 No
76.
Stucco; Brown -Finish
77.
A.C. Unit; Disconnect-Cirnces-Brkr. & Cond. Size -115V Outlet
78.
Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs.
79.
Water Well; Disconnect, Electrical, Plumbing
80.
Exterior Elec. Trim; G.F.I. Receptacle -Underground
81.
Ventilation throughout House
82.
Glass Protection
Date
MECHANICAL (Permit) OK except #'s
83.
Corrections from Previous Inspections
84.
Gas Test -Meters Tagged; Gas -Electric
Card -131
Card -BI
31.
32.
33.
34.
35.
A.C. Ducts: Insulation & Support
Vent Fan: Exhaust above Insul-ation
-Conden-sate -Drain-& Overflow: Size & Grade
Furnace -Vent: Access -Comb. Air -Return Air Vent -115V outlet
Attic Access & Plal-form it Furnace in Attic
Date Card -BI _Dale_
Date Card -61 Date
85.
Water & Sewer Connected -C/O to Grade -HD Approval
86.
Energy Compliance Certificate -Other Certificates
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Date
FRAMING(Plans) OK except #'s
Comments at Final:
36.
37.
38.
39.
40.
41
42.
43.
44.
45.
46.
47.
Sills; Proper Material & Anchors
Walls: Studs -Nailing Spacing & Bracing -Plates -Sound
Bearing Walls over Girders & Floor Nailing
Draft Stop in Walls (rat ' proof.)
Fire Stops: F urred CaMngs-Slairs-Chases-Tub
Header & Beam -Size & Bearing
Hangers -Post Caps -Anchors -Connectors
Cing. Joist-Rfir. Ties-Purlin- Roof Brac.-Truss-Shthng.-Rfnp.
Fireplace Ties or Ty:)e A Flue -Fireplace Throat
Attic Access: Size & Romex Protect ion -Draft Stop -Ins.
Bdrm. Windows or Exiting Doors -Sill Hgl. & Dimensions
Garage Fire Protecticn Framing
(NOTE: Anentrymust be made each time youvisit jobsite)
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS MIT N
P E R4 t7,/o
7 County Center Drive - Oroville, California -95965 - Telephone 916/534-4541
APPLICATION AND �ERMIT
ASSESWR.PARCEL NUMB R
eg
ZONING dr
BUILDING PERMIT
Ow
'Tel A n fin o— o (2-
TELER , 0
!ILLI
SO. FT. OCC. BUILDING VALUATION
* R' ILING
L4
* 0 ACTOR'S NAME
Z50- �1 & —7.
T L EPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CON RUCTION LENDER
Z 0
KNOWN
Total Valuation $
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$ ISO
ARCH T OR ENGINEER
�,( 0 V1 6
LICENSE NO.
Plan Checking Fee
$
Energy Plan Checking Fee
$
R'EHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS Ll
Permit fee
$
PLUMBING PERMIT
FilingFee 10.00
Ea h Trap
2.00
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAME
1
PARCEL M/P
Water piping
5.00
Each qas water heater or vent
5.00
USE OF STRUCTURE
SFV DupIexFJ MobilehomeF] Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home I S I G JW I
1 .00 ea
TYPE OF WORK
New R Addition R emode I W Utilities Installation[] Other E]
Describe work: �Q LZ
Permit Fee
$
Contractor
ELECTRICAL PERMIT
FilingFee 10.00
Main service 600V OR LESS
100 AMP OR LESS
10.00
Main service EA. ADO'L 100 AMP
2.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
El I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full force and effect.
License No. Classification
1, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
1, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
F1 I am exempt under Sec.—, Business and Professions Code
for this reason
NEW CONST DWELLING OCCUP.&)
OR ADDNS. ACC. BLOGS. 2'/20sqft
NE _O_ST -UL-1--UTL-T
- r B 1, 2.50 ea
NO N -11 E S I ANCH CIRCUITS)
POWER APPARATUS & I
SINGLE OUTLET CIR. 1
0@50c
Ex. Occup(OUTLETS OR FIXTURES eAL@ 30*
OCCUP. FIXED APPLNS 0,R
Ex. OUTLETS (RESI*D. EA.) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00-
Misc. Wiring 15.00
Permit Fee $
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
The permit is for $100.00 (valuation) or less.
I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
Contractor
MECHANICAL PERMIT
Filing Fee 10.00
Heating
Cooling
Hood
3.00
Ventilation
Permit Fee
$
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the County ot
Butte to enter upon the above-mentioned property for inspection purposes.
�ee to save, indemnify and keep harmless the County of Butte against
IrI11147ria)i9l, es�ojudp ents, costs, and expenses which may in any way accrue
n t u ,T n consequence the granting of this permit.
Date ls_14C;34�c
e�, gnature of Applicant — Owner El Contractor Agent
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee
TOTAL PERMIT FEE $
occup.
I CONST*TYPFI
I
I F
?IPA
C
1711
This permit is hereby issued under
sions -of the Butte County Code and/or
work indicated above for which
DIRECT F PUBLIC
By
PER
,tXff1EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date
7 7
—
Receipt No.
WHITE-O.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR, GOLDENROD-APPLI CANT
COUNTY OF BUTTE DEPARTMENT-OF,P,ljBLIC WORKS BUILDING JDIV'ISION
7 COUNTY CENTER DRIVE - OROV'ILLE, Cfinff�._0RrA,,tA, 95965 - TELEPHONE: 9W534)
t �4541
PERMIT APOLICAVON DATA SHEET j
OWNER
Proposed Building Use
Permit Fee Based Upon
Y? a
Complete Cont�act Price
Other (F_mlai
Permit No.
A. P. N o.
DPW Valuation
Building Inspector &ZLL�z ,ZA�L6"Z Date --2.4 01-3 4 U (a
At time of permit application, I was advised the following data must be submitted prior to permit processing
and/orissuance: DATE RECEIVED APPROVED
01 el,. All items.have been submitted . .. . . . . . . . . .
77V�. Plot plans i <GEi� iplicate. . , *f(51 *led)
��3. Complete plans ��Heate*b"*�- Ise
4. Complete engineered plans and calc's.
YO
_D/el /2
5. Plans with Energy Design Compliance Statement . . . . . .
6. CUSD "Fees Paid'' Stamp on Floor Plan . . . . . ... .
7 Statement of Intefit for Non -Heated and AC Buildings.
8. Fees of $ . . . . . . . . .
Letter of signature authorizatin. . . . . . . .
1-0\, Sanitation approval from— Health Dept.
11. Planning approval for (A) Use: (B) Parking: -
12. Certificate of Workmen's Compensation Insurance . . . . . .
13. Contractor's License Information (no., name style, classif.)
14. Owner -Builder Verification (Given to ownerEl, Mai I to ownerF])
15. Improvements may be required . . . . . . . . . . . .
16. Mobilehome Installation Data. . . . . . . . . . . .
Pr,-Inspec. reques�t to (pate)
17. Pre -Inspection for Required. Building Inspector
18. Record-,' imfi %kM� Acknowledgment StaterDent .
19. Other M onstruction approval required prior to occupancy)
Whe ou issue the it, pro s s follows: —Mai I Aowner.
office.
Telephone �Vand hold for pickup at
Oth _--2
M
Copy of plans sent —Health Dept., —Fire Dept., —Cither
Mail to contractor,.�
—Deliver w/inspe�ctor.
Date
Date
During the plan checking process, the following data must be submitted prior to permit issuance.
(For required items not checked above at time of application, circle item.)
1. Index permit for above Items No.
2. Additional items required:
(Contractor, Designer, Owner) was advised of above required data by —Telephone —Mail —Cither
By Date
Plans checked by /9 / Dat
Plans approved by bL— D a t :_ S-1 21-M
-Other:
Ile
Copy—DPW
TO: Building
From: - ivironmentz,.d He.ilt,h
Subject: lanitatloll CICC�Ir'-:11'.
L4 4-) 7A 0
Location
Plan Approved for:
1101(,1 f ined for:
w:Jter r�upply
s.upply
Final clearance O.K. IOr: Mter supply
Clearance for i:)edroom, wo'bile fhom,e. OtJI;_-r _.OJbj_.,,Le_9
anitarian
D"Itc
COUNTY OF BUTTE - Department of Public Works
7 County Center Drive, Oroville, CA 95965 Phone: 916-534-4541
OWNER -BUILDER VERIFICATION I
Attention Property Owner:
An "owner -builder" building permit has been applied for in- your name and bearing
your signature.
Please complete and return this information at your earliest opportunity to avoid
unnecessary delay in processing and issuing your building permit. No building permit
will be issued until this verification is received.
1. 1 personally plan to provide the major labor and materials for construction of
the proposed property improvement (yes or no)
2. 1 (have/have not) signed an application for a building permit
for the proposed work.
3. 1 have contracted with the following person (firm) to provide the proposed
construction:.
Name
Address City
Phone Contractors License No.
4. 1 plan to provide portions of this work, but I have hired the following person
to coordinate, supervise, and provide the major work:
Name
Add'ress City
Phone Contractors License No.
5. I -will provide some of the work but I have contracted (hired) the following
persons to provide the work indicated:
Name Address Phone Type of Work
Signed:
Property 0 ne
Social,Se� U_ity mber
Date 3_,�j
NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and
19832 of the California Health and Safety Code.
This verification must be completed and returned to our office before we are per-
mitted to issue the permit.
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 96965 - Telephone 916/534-4541
APPLICATION ANDIERMIT
PgRMIT NO.
AS�SSOR P CE B E R
I ZM_
BUILDING PERMIT
0 WrI9 /I r) Oct, I, a 46e_
N
/00,
SO. FT. OCC. BUILDING VALUATION
7,A Ll
_0_W_0r—WS PAZG ADDRESS
C T A TOR'S NAM - E
. I'd m
TELEPHONE
CONTRACAKMAILING ADDRESS
Fireplace
�RUCTION LENDER
CONS
&. 4 6
OWN.
Total Valuation $
Filing Fee
$ 10.00
—
LENDER'S MAILING ADDRESS
Permit Fee
$ /7. 0 K)
ARC)IITECT OR ENGINEER
W& ki e-
LICENSE NO.
I
Plan Checking Fee
$ /A� e�6`
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
L3 I/
Permit fee
$
PLUMBING PERMIT
Fi I ing Fee 10.00
.10
Each Trap
2.00
'16 ler- I/
Solar or heat pump water heater
20.00
LOT NO.
UBDIVISION NAME
is
PARfEL MAP
I
Water piping
5.00
Each qas water heater or vent
5.00
USE OF STRUCTUR
SF[Z DuplexF-1 MobilehomeR 01 it ( 10
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home S I G I IN
Ll 0 .00 ea�
TYPE OF WORK
NewO Addition KI d I[-] u - I i9f s El Install(JonEl Other F�
Describe work: Wimo 7 tl 7y re 4 1- a Y"
-4 J;3 P'o)
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Fi I ing Fee 10.00
Main service 111V 01 LESS
1 00 AMP OR LESS
10.00
Main service EA. ADO -L 100 AMP
2.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full force and effect.
License No. Classification
1, as the owner, or my employees with wages as their sole compen_
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
1, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
I am exempt under Sec.—, Business and Professions Code
for this reason
NEW CONST. ( DWELLING OCCUP-ad)
OR ADDNS. ACC, BLDGS. �1/iosqft
NEW CONSTR_ MULTIO UTLEY
NO ..ES'.. . RA NC, CIRCUITS) 12.50 ea I
POWER APPARATLISN
(SINGLE OUTLET CIR
I
20@50t
Ex. Occup(OUTLETS OR FIXTURES 15AL@ 300
OCCUP. FIXED APPLNS. OR I
Ex, OUTLETS (RESID.) EAJ 1 2.00 6.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 15.00
Permit Fee $
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
The permit is for $100.00 (valuation) or less.
I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -insure.
I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply w i th such
provisions or this permit shal I be deemed revoked.
Contractor
MECHANICAL PERMIT
FilingFee 10.00
Heating
Cooling
Hood
3.00
Ventilation
Permit Fee
$
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the County ot
B t nter upon the above-mentioned property for inspection purposes.
I TI to Ja,Q i e� to save, indemnify and keep harmless the County of Butte against
i t
I iab t judy�qets
0 co� costs, and expenses which may in any way accrue
Wgainsa'l C un sequence o he granting of this permit.
X
X - ;Z Date
,S"ignature of Applicant — Owner LJ Contractor El Agent 1:1
An OSHA permit is required for excavations over 5'0" deep and dernolition or construct-
ion of structures over 3 stories in he . ght.
Mobile Home Installation Fee $
Energy Inspection Fee
TOTAL PERMIT FEE $ 157. 10 0
OCCUP-1
CONST.TYPE1
I
I FLOODI
PARCEL
P13
This P t iBs hereby issued under
le
sion ?5m�h lutte County Code and/or
wo in icat ed ove for which
I O.TO4Rf OF PUBLIC
By -:;w_
PERMIT EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Dat ?��4ra
Receipt No.— Oslq �r
WHITE-O.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR, GOLDENROD-APPLI CANT
L
COUNTY OF BUTTE DEPARTMENTtp�pu',B'LIC WORII� - BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE, CALIFOANIA 95965 - TELEPHONE: 916/534-4541
' V4 � - -- !-r-
PERMIT APPLICATION DATA SHEET Permit No.—
OWNER 7L—.;,A. P.
&114Jdep. JJI Iff I
Proposed Building Use V / Q, f I Cl/
Permit Fee Based Upon: —Complete Contract Price DPW Valuation
lain) Z�41
914P �Mi I
Building Inspector /A Date
At ti f '*m' t application, I was advised the following data must be submitted prior to permit processing
me 0 0�'
and / or., - >_'ance: DATE RECEIVED APPROVED
_&r, - All items have been submitted . . . . . . . . ... . .
2., Plot plans in duplicate/triplicate . . . . . . . . . . .
3. Complete plans in duplicate/triplicate. . . . . . . . .
4. Complete engineered plans and calcs . . . . . ... . . .
5. Plans with Energy Design Compliance Statement . ... . . .
6. CUSD "Fees Paid'' Stamp on Floor Plan . . . . . . . .
7 Statement of Intent for Non -Heated and AC Buildings.
8. Fees of $ - I . . . . . . . . .
—Ae ter of signature authorizaAn . . . . . . . .
L t
Sanitation approval from_C/V6!2*1 Health Dept.
11. lanning approval for (A) Use: — (B) Parking: -
12. Certificate of Workmen's Compensation Insurance . . . . . .
13. Contractor's License Information (no., name style, classif.)
14. Owner -Builder Verification (Given to owner[], Mail to ownerEj
15. Improvements may be required . . . . . . .. . . . . .
16. Mobilehome Installation Data. . . . . . . . . . . .
Pre-Inspec. request to
17. Pre -Inspection for Required- Building Inspector (Date)
18. Recorded copy of Agricultural Acknowledgment S tatement . . .
19. Other
WX you issue theF�it r s follows: — Mail owner. —Mail to contractor.'
6s ' Ao
Telephone nd hold for pickup at office. —Deliver w/inspe�tor.
Other
Applicant Y—&4 Date
Copy of plans sent —Health Dept., —Fire Dept., —Other Date
During the plan checking process, the following data must be submitted prior to permit issuance;
(For required items not checked above at time of cipplication, circle item.)
1. Index permit for above Items No.
2. Additional items required:
(Contractor, Designer, Owner) was advised of above required data by —Telephone —Mail
By -4 Date
Plans checked by Date
Plans approved by Date
Other:
Copy—DPW
Other
To: Buildin- M--p:%vPtmC'rt,
From: `:-Dviro,-uncn'u-:'!3 i*io��R.Itl
ion
ARY
Plan Approved f c).-: 1 1,7 t
1 Iold final. for:
F-inal clearance IL'0111:
Clearance for
A%',Aer supply
Z- _e� , � Z "�LO_ '-)
au
COUNTY OF BUTTE - Departmenti-of Public Works
7 County Center Drive, Oroville, CA 95965 Phone: 916-534-4541
OWNER -BUILDER VERIFICATION
Attention Property Owner:
An "owner -builder" building permit has been applied for in your name and bearing
your signature.
Please complete and return this information at your earliest opportunity to avoid
unnecessary delay in processing and issuing your building permit. No building permit
will be issued until this verification is received.
1. 1 personally plan'to provide the major labor and materials for construction of
the proposed property improvement (yes or no) k ---f'
2. 1 have/have not) signed an application for a building permit
for the proposed work.
3. 1 have contracted with the following person (firm) to provide the proposed
construction:
Name
Address City
Phone Contractors License No.
4. 1 plan to provide portions of this work, but I have hired the following person
to coordinate, supervise, and provide the major work:
Name
Address City
Phone Contractors License No.
5. 1 will provide some of the work but I have contracted (hired) the following
persons to provide the work indicated:
Name Address Phone Type of Work
Signed':
Property Owner
r
Social SecurAXty4_2Num&beT
Date —7-7—alt
NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and
19832 of.the California Health and Safety Code.
This verification must be completed and returned to. our office before we are per-
mitted to issue the permit.
&6 /� Ad *
(14 Ile - 70 &'kasr
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This set of plans and specifications MU%�
kepf on the job of all t;rn,'s and it is unlawful to
make any changes or alf erations on some without
written permission from the Department of Publity-
Works, Countv of Buffe.
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allr, E COUNTY
WILDING DEPARTMENVI
A P P R 0"V E D
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, Ca'litbroia,95965 - Telephone: 916/538-7541
APPLICATION AND PERMIT
ERMI. 'ell NO.
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_ZtRCEL NUMBER
A�r!bV
ZONING
BUILDING PERMIT
OWNER
JOHN DONNAHOE
TELEPHONE
846-5918
SQ.FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS
P.O. Box 53, Gridley
CONTRACTOR'S NAME
owner
TELEPHONE
Ist renewal
permit
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
none
UNKNOWN
Total Valuation Is
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee (a J FFF
$ 19-95
ARCHITECT OR ENGINEER
none
LICENSE NO.
Plan Checking 1�'ee
$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
1034 Gilstrap
Permit fee
$ 99-95
PLUMBING PERMIT
FilingFee 10.00
Each Trap
2.00
Gridley
Solar or heat pump water heater
20-00
LOT NO.
SUBDIVISION NAME PARCEL MAP
1 1
Water piping
5.00
Each qas water heater or vent
5.00
USE OF STRUCTURE
SFDXDuplexn Mobilehomen Other___LnM__pqtJ 0
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
Mobile Home S I G I W
5.00
10.00e
TYPE OF WORK
New n Addition [:1 R emode I [] Utilities [I InstallationEJ Other
Describe work:
lst renewal of permit #1372-86
Permit Fee
$
Contractor
ELECTRICAL PERMIT
FilingFee 10.00
Main service 61001 OR LESS
00 AMP OR LESS
10.00
Main service EA. ADD -L 100 AMP
2.50
CONTRACTORS LICENSE LAW
I declare under pen7lt'y of perjury (check.one):
I am licensed under provisions of Chapt. 9, Div. 3 of the Busines S
and Professions Code and my license is in full force and effect.
License No. Classification
1, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
I, as the owner, am exclusively contracting with licensed Cunnact-
ors. (Sec. 7044)
I am exempt under Sec.—, Business and Professions Code
for thif.reason
NEW CONST DWELLING OCCUP.&)
OR ADDNS. ACC. BLDG$. 21/20sq it
NEW CONSTR. 'A ULT"OUTLE,
N N-RESID. BRANCH CIRC ITS) ea
_2.50
POWER APPARATUS.&)
SINGLE OUTLET CIR
20050d
Ex. Occup(OUTLETS OR FIXTURES IDAL030C
FIXED APPLNS. OR
Ex. Occup. OUTLETS (RESID.) EA.) 2.00
—Temporary service 10.00
Mobile Home Facilities 15.00
—Misc. Wiring 15.00
Permit Fee $
_F —
--f—WORKMEN'S COMPENSATION INSURANCE
I declare under'Aenalty of perjury (check one):
The permit is for $100.00 (valuation) or less.
I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
Contractor
MECHANICAL PERMIT
FilingFee 10.00
Heating
Cooling
Hood
3.00
Venti lation
P ermIt Fee
$
Contractor
I certify that I have read this application and state that the above inform
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the Countyot
Butte to enter upon the above-mentioned property for inspection purposes.
1 also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
Against said County in consequence of the granting of this permit.
X Date
�?no,.,e of Applicant — Owner El Contractor 11 Agent F1
An OSHA permit is ry.uired for excavations over 5'0" deep and demolition or construct-
ion of structures a r stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee
TOTAL PERMIT FEE $ 29.25
occup.1
COWST.T
7
1
F -L0001
PARCEL]
Po
No
I Issus:
This permit is hereby issued under
sions of the Butte County.Code and/or
work indicated above for which
DIRECTOR OF PUBLIC
By
PERMIT EXPIRES Date 5-28-88
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date —
Receipt No.
WHOYC-D.P.W.. YELLOW-ASSIF i,40q. pINK-INSPECY00t. GOLUEMR00-APPLICAMT