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024-090-072
_ 24-09-72 Marvin Long ' NIS O'Brien Ave.,480'W.of:Gilstr t, Ave : ; Gridley _.a.P.. Permit -76B,P,E,M(new single family) I �( 24-09-72+[f�s� �vt NEW OWNER ULT—BROWN . N/S O'Brien, 80' W of Gil trap, Gridley Contr. Cal Gas,*Gridley Permit# 7056- 78M ( ins t : unit) , htg 24-09-72 Contr: Wats•.n Hardware, Grid e ermit #2063` 78E (wiring to AC & heat) SF , 024-090-072 PERMIT#97-18 00 BROWN, Milton E.' III• 255 O'Brien, Gridley' Cont: Mark May ee Add Bathroom & Deck/SF 024-090-072 03 BROWN, MILTON 255 O'BRIEN ST, GRIDLEY INA Cont: PF REILLY REPAIR 7 WINDOWS U Cz crj 024-090-072 03�-3000 'BROWN, MILTON, 255 O'BRIEN ST, GRIDLE . Y' Cont: PF REILLY REPAIR WINDOWS COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-754 ER . (Rev. 12/96) APPLICATION AND PERMIT e-, - �� '� ASSESSOR PARCEL NUMBER vZ� _ O . 0-72, ZONING BUILDINGPERMIT OWNER ('00 G yr*k��/,y,���. MON SO. FT. OCC. BUILDING VALUATION (E Y� l�,( OWtJ,S }RILING R� I� , �� �" `^ Y� 1 51FLI N VR'S - C t" 1 ki ONE CONT C S MA'MDRE S _ C - CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Flin Fee $ 20.00 Permit Fee $ &3-0 ARCHITECT OR ENGINEER'S MAILING ADDRESS Plan Checking Fee •$ BUILDING ADDRESS I Energy Plan Checking Fee $ �9 PERMIT FEE $ 63, ov LOT NO. SUBDIVISION'S NAME PARCEL TAAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: /� Q ,�} l e �• t l+ ��) i ` t h� Gas piping system 1 - 5 outlets 15.00 Building sewer _FG 15.00 Mobile Home 19W @20.00 PERMIT FEE $ y j�y r �� ' 1 I n U� ELECTRICAL PERMIT Fling Fee 20.00 LESS ) Main Service 20 OA OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I 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: ❑ I, 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. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A To /000A 46.00 NEw CONST. OW %NG OCCUP. ORNEW aNS. ( 3.5QSO hereby MULOCou.TLSEr NON-RESID. Cu 97.50 POWER APPARATUS d SINGLE OUTLET CIR. OUTIFT OR FDCTURES Ex. Occup.SAL 20 @ 1.00 @ .50 Ex. Occup. Ou7EjtTSRESIo.) E 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 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. I 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 ince carrier and policy number are: Carrier 1447 t tiJ sur MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ 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 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. �? Date 91.2 Signature of Applicant - ❑ Owner W Contractor ❑ Agefit / 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 $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ . C� HAZ. D. FEES IMP FLOOD COF PARCEL Po HD ISSUE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have 7 ey PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. �.�7_ / Date !!! (Date) Receipt No. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE ,,DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County G°enter Drive • Oroville, California 95965 • Telephone (530) 538-754 JERCUMIT-ND.(Rev.12/96) APPLICATION AND PERMIT 49,-� ASSESSOR PARCEL NUMBER �iJ — O ® o 0-7-Z— C/yt/n ZONING BUILDING PERMIT OWNE �}�' t _� IM J1S `� 1 �Ll. f1ON SQ. FT. OCC. BUIL ING VALUATION . OW S jANUNOUIK. �I^ �-iL 1 _Ijf_N t IOU C -S ( Y� _j - C C MAI 0 Qs I� CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ (p ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS /J �JG D I l� �.l ®,^ ,rt- [_ J �yV 1 ( I Energy Plan Checking Fee $ 5$ PERMIT FEE S LOT NO. SUBDIVISIONS NAME PARCEL AP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: �' p �j^ 1 e,, l caC/ a- n I rbv' ' Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W 920.00 PERMIT FEE $ W -e 1 � "� I I�d( ELECTRICAL PERMIT Fling Fee 20.00 Main Service aOOV OR LEss 200" OR LESS 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: ❑ I, 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. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. ( & ACC. BLAS. so 3.5¢F. IpµR SID. MULTI.OUTLET 97.50 POWER APP"R U a SINGLE OUTLET CIR. Ex. OCCU OUTLET OR FIXTURES 20 @ 1.00 BAL @ .50 Ex. Occup. Pur rED s M.o� R 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE S WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 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. I�' I 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 insur ce carrier and policy number are: Carrier Q'Ii-P I-V 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.) 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. Lit Date Signature of Applicant - ❑ Owner 0 Contractor ❑ Age6t An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE C� HAZ. D. FEES IMP FLOOD CDF PARCEL PD HD ISSUE This permit is hereby issued under of the Butte County Code and/or indicated ve for which fees have By PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. Dated ,Q� (� `L-0 �"-% Dare Receipt No. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT PRESIDENTIAL - X024-090-072 PERMIT#97-1806 BROWN, Milton E. 'III PERMIT N 255 O'Brien, Gridley Cont: Mark Maybee PERMIT E Add Bathroom & Deck/SF OWNER ,11 CONTR. t ASSESSOR PARCEL LOCATION Temp. Power Pole Called PG&E t.Temp. Elec. Service Called PG&E Temp. Gas Service Called PG&E JOB FINALED (Data) Signature V=OK, _ O = Not OK Not' = Not Reaady MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements - Setbacks - Easements 2. Soils; Special MH Support Sketch 3. Sewer, Location -Test -Fall -00 -Concrete 4. Water, Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearances-Gmd-/ /Amp -Concrete 6. Gas; Location-TestWrap; / MtL. / /Nat. or/ tt"ft./ /LPG 7. Well Clearance & Disconnect MISCELLANEOUS Date 8. Utility Clearance 1. Zoning Requirements -Setbacks -Easements .. 2. 'Footings; Soils-SIZEDep"pacing-Connectors-Steel •. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements- Setbacks Easements 2. Footings; SiaeSpacir"arriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged Date 9. Tie Downs -Type -Installation Cert. Date 10. Exits; Insp.-Sketch Date 11. Cert of Occupancy 12. Permanent Foundation Only: License Decal 2. Soils; Compaction -Structure Stability Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVF,RS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements .. 2. 'Footings; Soils-SIZEDep"pacing-Connectors-Steel •. 3. Decks; Girders and/or Joists-Decking-BracingStairs-Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors Shing.-Rfg:Bracing 5. Alum. Awn.; Columns-ConnectionsSplice Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Fmtg.; Sils-AnchorsStuds-Rttrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing _ 11. Ext.; Stepm-Doors-Landings 12. Braced Wall,Panels Date Card B-1 Date Card B-1 Date Card 8-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, 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/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Pandboards4ns. 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 13-1 ✓= O = - = * = No Not OK RESIDENTIAL Not Applicable Not Ready Date / UNDARFLOOR (Plans) OK except #s VZo ' Setbacks-Easments-FloodSlope 9,-'Ftg., Main; Soils-Elec. Gmd. / " /' Ftg. Depth 3. Fig. Garage; Soils-Steel-Elec. Gmd/ /° Ftg. Depth 4. Ftg. Porches & Decks; SoilsSteel-/ /' Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab, Steel -Wrapped 8. Piers -Fireplace Ftg.Steel W.V.; Fall -Fitting -16.1-2 Way C/0 -Sewer Test 10. UF. Gas Pipe; Size Anchors - Yard Gas Piping; Size Test 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground 13. Pienums & Ducts; Clearance -Material -Support -ins. 14. Girders -Sills -Anchor BoltsJoists Vents-Crippies 15. Access & Ventilation 16. Insulation Date --16._ 9-?; Card B-1 {2/3, 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 t.48'. Water Pipe; Test & Anchor -Nail Protection 20. 21. D.W.V.; Test Fittings & Anchor -Nail Protection Shower Pan; Test, First Floor -Tub Access Test Tub & Shower, Second Floor -Tub Access 22. Gas Pipe; Sixe & Anchors Datej y p 9 Card B-1 Date Card B-1 Dae T Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 23. 24. _26�-Size Fixture & Transformer Clearance -Ins. Protection Elec. Receptacles Spacing -Lights & Switches at Doors Boxes & No. of Conductors Stapled V 26. mex Installed Close to Edge of Studs & C.J. 7. 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 AI-A.C. Wire Size / / ga Cu or Al 30. Range Cir y/. / ga Cu or AI -Oven Circ. / / ga Cu or Al Insulated Neutral 0 Yes 0 No 31. Service -Riser Conductors & Ground -Main Disconect 32. Equip. Clearances Panels -Motors -Meth. Epuip. Clothes Closet Light -Shower UghtSpa Light 34. Smoke Detector Date - oe- Card B-1 Date Card B-1 Datd Card B-1 Date Card 13-1 Date MECHANICAL (Permit) OK except #'s \/35. A.C. Ducts Insulation & Support 36. Vent Fan, Exhaust above insulation 37. 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 #'s 40. Sits Proper Materials & Anchors 41. Walls Studs -Nailing Spacing & Braces -Plates -Sound 42. Bearing Walls over Girders & Floor Nailing 43. Draft Stop in Walls (rat proof) 44. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 45. Headers & Beams -Size & Bearing (Single & Duplex) Date FRAMING (Continued) 46. ngers-Post Caps -Anchors -Connectors P Cling. Joist-Rftr. Ties-Purlin-roff Brac: Truss-Shting.-Ring. 48. Fireplace Ties or Type A Flue -Fireplace Throat clearance 49. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 50. Bdrn. Windows or Exiting Doorsill HgL & Dimensions 51. Garage Fire Protection Framing 52. Property Line Firewall & Openings Ext. Doors -One 3 -Check Garage 3rd Story, 2 Exits 54. S irs; Width -Headroom -Rise -Run -Landing -Fire Protection Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 56. Siding -Nailing Veneer 57. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 58. Glazing Area -Glass ProtectionSkylights-Plastic 59. Shear Walls: Nailing -Bolt 60. Brace Interior / E r Wall Panels 61. Insulation -Walls -Ceilings 62. Infiltration -Walls -Windows Date -5 Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 63. Ext Steps -Door & Sidelight Protection -Landings Smoke Detector 65. Furnace; Vents -Clearance -Comb, Air-Conector- In Garage; Above Floor -Ducts -Meth. Protection 66,Jaed-room Exiting P✓7. G.F.I. & Bath Fixtures & Tub Access -Spa 68. Elec. Trim & Subpanel, Breaker Sizes & Labels 69. Stairs & Rails 70. Fireplace or Stove, Clearance=Hearth 71. Elec. Outlets at Wood Panel, Int. & Ext. 72. Kit. Fixt. & Appliance; Ground. -Air Gap -Cooking Clearance 73. Elec. Outlets & Recepticales at Kit. Counter 74. Garage Fire Door; Swing -Landing -Closure 75. A.C. Duct in Garage -Damper 76. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. In Garage; Above Floor -Meth. Protection Plb., Elec. & Mech. Equip. Listed for Location 78. Elec. Receptacles in Garage (G.FI.)-Romex Protection 79. Insulation -Foam -Looked in Attic 80. Guard rails & Deck Construction -Post Caps 81. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor 0 Yes 82. Following Instld./Drive 0 Yes 0 No/1Nalks 0 Yes 0 No/Planters 0 Yes 0 No 83. Stucco Brown -Finish U. A. nit Disconnect, Electrical -Plumbing Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 86. Water . ell, Disconnect, Electrical, Plumbing tefor Elec. Trim, G.F.I. Receptacle -Underground 88. Ventilation Throught House 89. Glass Protection 90. Corrections from Previous Inspections 1. Gas Test -Meters Tagged, Gas -Electric 92. Water & Sewer Connected -C/O to Grade -HD Approval CV93- Energy Compliance QCertificate-Other Certificates l� �A /1w 'Card 1 �` Date r Card B- to Card B-1 Date` r, . " Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: Insulation Certificate BUILDING OWNER: (��� BUILDING PERMIT: 2 /� BUILDING LOCATION: / Description of Installation ROOF Material Thickness (inches) Brand Name Thermal Resistance (R -Value) CEILING ?_ Batt or Blanket Type �,Q l / Br2nd Name Thickness (inches) Z Thermal Resistance (R -Value) -- 3 Sg Loose Fill Type Br-4nd Name - _ Contractor's minimum installed weight/e. - lb Mit.jimum thickness - inches Manufacturer's installed weight per square foot to acheive Thermal Resistance (R -Value) EXTERIOR WALL Material - .13A77—.. Thickness (inches) .. `3 2 RAISED FLOOR Material - Thickness .(inches) aterial-Thickness.(incites) SLAB FLOOR Material --Thickness-(inches) . Width (inches) FOUNDATION WALL Material • _ Thickness (inches) Declaration Brand Name 4G✓f�s C�2•Jl•�� Thermal Resistance (R -Value) - Brand Name Thermal Resistance Value - BrandName Thermal Resistance (R -Value) Brand Name - Thermal Resistance (R-Valuej I hereby certify that the above insulation was installed in the building at the above location in conformance with the current Building Energy Efficiency Standards for new residential buildings contained In Title 24 of the California Administrative Code. , 6wx- 721 1 Lam(/ erector 9 der) Li Number.._: .. _ .. Okl�v� - 2.(� ea Sip and Tide Date Sub -Contractor (Insulation Installer) Signamm and Tide License Number-1— Date umber-1 - Date THIS CERTIFICATE MAST .BE PROVIDED TO THE Mum DEPARTMENT PRIOR TO FINAL INSPECTION APPROVAL AND A COPY SHALL BE POSTED WIZM THE BUILDING. JANUARY 1993 A COUNTY OF BUTTE - DEPARTMENT DEVELOPMENT SERVICES - BUILDING DIVISION o- 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 �� 2RMO.ITN (Rev. 12/96) _ APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER - 24-090-072 ' ZONING BUILDING PERMIT ' OWNER MILTON E BROWN III TELEPHONE SO, FT, OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS PO BOX 7 GRIDCLEY 95948 174 R 9,396-00 196 Cov 2,948.00 CONTRACTOR'S NAME MARK MAYBEE TELEPHONE 345-1544 _ 40 60 CONTRACTORS MAILING ADDRESS 470 SE UOYAH CHICO 95926 CONSTRUCTION LENDER LENDER'S MAIUNG ADDRESS Fireplace M /91 Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. —FilingFee $ 2 0.0 0 Permit Fee ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee BUILDING ADDRESS 255 O' BRIEN Energy Plan Checking Fee $ 23.00 GRIDLEY $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF k Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 1 1 7.00 21 _00 Solar or heat pump water heater 23.00 Water piping 15.00 1 nn Each as water heater or vent 15.001 TYPE OF WORK New ❑ Addition Ik Remodel ❑ Utilities ❑ Installatio ❑ Other ❑ } 1 4 Describe Work: /� � a� Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 PERMIT FEE $ rr, nn ELECTRICAL PERMIT Fling Fee 20.00 Main Service i..Aoa.SS 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. a License Class 9 Lic. No. '%Z 1 t OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, 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. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO.I000A 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. ( a ACC. B.S. SO Z 3.5¢x: NEW CONST . MULTI.OUTLET NON•RESID. C CI c ITS 97.50 POWER APPARATUS a SINGLE OUTLET CIR. Ex. OCCU OUTLET OR FIXTURES B20 (P .50 Ex. Occup. ouTLEEDTS RESID.OEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ 8+ 7 WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 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. ❑ 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 MECHANICAL PERMIT Filing Fee 20.00 Heating EXTEND DUCT 15.00 Cooling Hood 6.50 Ventilation 2 4.50 9.00 PERMIT FEE S 44.00 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 p visions of section 3700 of the Labor Code, I shall fort h co ly wt tho provisions. uck? _ �� X _ •ant __ _ Date _ Signature of Applic❑ Owner Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in he'ght. Mobile Home Installation Fee $ Energy Inspection Fee $ 46.00 b CONST. r E TOTAL F $ HAZ. i D. FEES IMP FLOO COF PARCEL PD "C s D ISSUE 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. r �v B Date G/ PERMIT EXPIRES ON Dale r Receipt No. Z Dg WHITE-D.D.S.-B.D. CANARY -ASSESSOR PI -INSPECTOR GOLDENROD -APPLICANT rt ►11{�". rPe�r'r v nc.9a COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DI03SION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA95965 -TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET .0 OWNER 66_0 A. P. No. OL 0'70 r 6 -% Z Proposed Building Use .5��et-6V i o.- Building Inspector /Z6- Date _ 9-/4.-9 7 At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY 1. All items have been submitted. Plot plans, 3/4 sets, signed by preparer of plans . .......................... Complete plans, 3/4 sets, signed by preparer of plans . ...................... 4. Engineered plans and calcs,'3/4 sets, with wet signature on plans . ............ . 5. Hazardous Material Form . ........................................... . 6. Energy Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non -Heated and A/C Buildings . ...................... 8. Engineered truss details and layout in duplicate (required prior to plan check). .... 9.Mobileho anu_f c rer's installation instructions, 2 sets. . 10. Fees of $ 3 4 ............... g ))__�, �% 1. Impact fees as shown on attached schedule. .. �' .. �l. . A%' 0 4 7 12. California Department of Forestry plan approval/fees. ....................... . 3 Flood elevation letter (100 year flood) by California Engineer. . 14. Sanitation and plot plan approval Health Department.kr 15. City of Chico plumbing permit. 4 ... 16. Plot plan and business license approval from City of Biggs/Gridley. ' . 17. Planning approval for (A) Use: (B) Parking: 18. Contact Land Development about (A) Improvements (B) Drainage. .......... . 19. Driveway permit (construction approval required prior to occupancy). .. Preanspedion req. .ue� 20. Pre -inspection for required. . to Building Inspector (Date) 21. Contractor's license information. (No., Name Style, Classification) . ............. . 22. Certificate of Workmans Compensation Insurance . .......................... a 23. Owner -Builder Verification (Given to owner , Mail to owner _). .......... . 24. Recorded copy of Agricultural Acknowledgement Statement . .................. 25. Letter of signature authorization. 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. 27. Letter of intent on building use . ......................................... 28. Mobilehome utility clearance . ......................................... . 29. Documentation of legal access . .....................:.................. 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits . ...................................... 32. Plan check list . ..................................................... 33. 34. Whe you issue the p- gr itrgc}ss as follows: Maid o_own Vail to contractor. Telephoned y� J `>`t and hold for pickup at LW U1�-//*6ffice. Deliver with inspector. Other Parcel Creation -1 _ 9 Acreage Applicant Date Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date 1 Copy of plans sent Health Dept. Fire Dept. Otherz Date f By The following data must be submitted prior to it issuan cle ne of checked above).,,,' 1. Index permit for above items No. n3v 2. Additional items required: /rte Contractor, designer, owner, was advised of above required data by _ phone_ mail Counter by _ Date Contractor, designer, owner, was advised of above required data by _ phone /mail -Cotinter by _ Date Plans checked by Date Plans approved bye-. Date!/ Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works �yrsr�--.�fRy�"r`•'Alii''si+_?':R"'`r'4'y^.- ."`ter "' ":+, Iii t r':t ;:.r' r.,,� y r..{t'1(....y.l srr* •'. ,.•ay' .fs�:.34 ..-it^.�-r....ri'y-.�kr• ,li'�Ti-' .-A-r 1 COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION .7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET OWNER: W , t S y,.z-,w 1,- ASSESSOR PARCEL NUMBER: 2--r-f— 0 9 0 _ b _? -2 -- Proposed Building Use: Building Inspector: a %+' Date: At time of permit application, I was advised the following data must be submitted prior to pe it proce6sing and/or issuance: M Date Received By ❑ 1. All items have been submitted .------------------------------------------------------------------------------------- ❑ 2. Plot plans, 3/4 sets, signed by the preparer of plans. ------------------------------------------------------------ 03. Complete plans, 3/4 sets, signed by the preparer of plans. ----------------------------------------------------- 04. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans. -------- ❑ .�eered truss details and layout in duplicate (required prior to plan review) No faxes! ------------------ 6. ergy Design Compliance and supporting documentation.---------------------------------------------------- 4- )-q - 7 "7 r-11 e5 117. Statement of Intent for Non -Heated and A/C Buildings. --------------------------------------------------------- ❑ 8. Hazardous Material Form.------------------------------------------------------------------------------------------ ❑ 9. Manufactured Home data and installation instructions including Tie Down Specifications ------------------- -------------------------------------------------------------------------------------- �. Impact fees as shown on a attached schedule. '-ot,----------------------------------------- a ❑ 12. California Dep ent of Forestry plan approval/fees. --------------------------------------------------------- ❑ 3. 1 ri certificate.-------------------------------------------------- ----- �--'-------- ------- VV ` anitation and plot plan approval � td Health Department. --- _ 9? ❑ 15. City of Chico plumbing permit.----------------------------------------------------------------------------------- 1116. Plot plan and business license approval from the City of Biggs. ---------------------------------------------- ❑ 17. Planning approval for (A) Use: (B) Parking: -------------------------- ❑ 18. Contact Land Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel. ----------------------- 1119. ---------------------- ❑19. Encroachment Permit for driveway (construction approval prior to occupancy) - --------------- l ------------- ❑20. Pre -inspection for required. Request to Building Inspector on (Date) 021. Contractor's license information. (Number, Name Style, Classification). ------------------------------------ 022. Workers' Compensation carrier and policy number. ----------------------------------------------------------- ❑23.Owner-Builder Verification (Given to owner 0, Mailed to owner 0) - -------------------------------------- ❑ 24. Letter of signature authorization. -------------------------------------------------------------------------------- ❑25. Recorded copy of Agricultural Acknowledgment Statement. -------------------------------------------------- 1126. Letter of intent on building use. ----------------------------------------------------------------------------------- ❑27. Manufactured Home utility clearance. -------------------------------------- ------------------------------------- ❑ 28. Existing violations and/or expired permits. ---------------------------------------------------------------------- ❑29. 0433 A, ❑Gr Deed, ❑ M.H. Title, ❑ Check to H.C.D $ .--------------- �ther: :s 6 ------- `� When you issue the permit, process as follows ❑ Mail to owner, []Mail to contractor. / blfelephone �S �� �(I�- and hold for pickup at 0ry offipe,� ❑ DFliyer wj0i inspector. °ice•,:,.. P<4plicant: U � Date: �- Z 9 7 Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Departmeiit,"'a Au Pollution ate:_ By: Copy of plans sent ❑ Health Department, ❑ Fire Department, ❑ Other: Date- By: 1. Index permit application for the above items numbered: n,. ❑Plan Check List 2. Additinr required: � _a3 4/7 ntr, , designer, owner, was advised of the above required data by one, ❑ mail, ❑ Building ivision counter, by,' Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by'❑ phone, ❑ mail, ❑ Building Division counter, by Date: Plans reviewed by: _�� Date: Plans approved by: Date: Sets of plans on hold in ❑ Plan Cabinet, ❑ A. . folder. Note transfer by: Date: Yellow Copy - Department of Development Services, Building Division. E.H. USE ONLY Plot Plan Attached Floor Plan Attac Sent to B.D. TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance I 1 l �Yjywo e,) S S (''C3 R I o� n� D `f X6 —D Owner Location Location AP# Plan Approved for: Sewage Disposat--"�— Water Su ply. Public Private Wel Clearance for dwelling. Other N > » Hold final for: Final clearance O.K. for: NOTE: Environmental -Health Specialist 8/36 l D- � -,A-� Date TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance E.H. USE O t:V Plot Plan Attached Floor Plan Attached Sent to B.D. ,5'— 47--1 :2;z � / /-- — O �/C 4/ D ;;�-, Y— O 9 6 _ A,, Own6r Location ,AP# Plan Approved for: Sewage Disposal Water Supply: Public Private Weld/ Clearance for dwelling. Other Hold final for: v Final clearance O.K. for: NOTE: Environme a 8/96 Health` Specialist Date COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE CA 95965 TELEPHONE (916) 538-7541 SCHEDULE OF FEES DUE OWNER �N /n���.� A.P. # Qq -090- 67Z - PROPOSED BUILDING USE A DATE �-- �� �- 9 7 �� REC # DATE REC 4- 1. BUILDING PERMIT FEES -- Balance Due ................ -- Additional Fees Due ........... $ -- Additional Fees Due ........... $ -- Revised Plan Checking Fee ....... $ . `. SCHOOL DISTRICT FEES (paid at District Office) 3. SHERIFF FEES (paid at Building Division) Residential ........ x $360.00 = $ Units Commercial (sq.ft.)... x $0.03 = $ Sq.Ft. 4. URBAN AREA FEES (paid at Building Division) Residential (per unit) . x = $ #Units Amt. Commercial (sq.ft.) .. x =$ Sq. Ft. Amt. 5. RECREATION DISTRICT FEES (paid at District Office) 6. THERMALITO DRAINAGE DISTRICT FEES $425.00 (paid at Building Division) 7. SRA FIRE INSPECTION AND PLAN CHECK $89.00 (paid at Building Division) 8. WATER TENDER FEES (Battalion # ) $200.00 (paid at Building Division) 9. CSA 87 TRAFFIC FEE $2500.00 (paid at Building Division) 10. OTHER At time of permit application, I was advised the above fees are required to be paid prior to issuance of the building permit. Thes fees may be hanged d ing the plan checking process. APPLICANT DATE"T— Original -Owner Copy -Building Div. (Rev. 12/96) F '�;'etMi'w1i`YS"`�"'�nh""rti"M*3r•"�..r'"3'�"'''p,�jj�`i�upa'i±o'fi�£'iF-h��Cid'vPs'^aff",`"°!'^";^".....•�....,-,.'...-y,�',r,-•n4,��.,.r r BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One form per Building) School District. y ��; Q„„ Building Department No. s A.P. Number O Z,<(— 010 -2% L Jurisdiction:. F-1 City county Property Owner Property Location/Address r i rth Subdivision Lot No. Residential Development ® Sq. Footage / % C� No of Living Mobile Home Addition (Group R) Units Installation Commercial/Industrial k.+ :`.Building Department Representative Sq. Footage New Addition (Including Exterior Roofed Areas) (Floor Plans reviewed by school uistnct Personnel) g% I %S� Dat District Identification No. �CO School District certifies that (Applicant) (Street Address) (Phone Number) (City) has complied with the requirements of Resolution No. representing /74/ square feet. , School District Paid by Check # Remarks: (Zip Code) by payment of $ JFBiii926 S ULL MITIGATION $ Date Notice: 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 Representative 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 (CEQA), 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.xls 12/97)dmm Sym 'ril. ^•si:•'1`fiifSFs'`�.�``�""'�"'. ivy+-.'../►..:�i+faw-�..:'y.�^.3�+..^.M+''"T,�--'ts�?7*t�r+ hSC;{'{'q'f��-^fY�"i,iic�n.r.+wcvtiFs+-.rvt-.°^s�:.�-,::.,-'', � .:�, aT •.0 y BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFJCATION FORM (One form per Building) School District . Building Department No. A.P. Number .7t-0 Jurisdiction:) City., EX County Property Owner M1 LO Al 4- 411 rl' Q .✓ Property Location/Address e2 1;AZ n %�� C� �r i /,o. , 10L Subdivision Lot No. Residential Development No of Living Mobile Home Addition Units Installation Commercial/Industrial New Addition ilding Department nr� Sq. Footage (Group R)' Sq. Footage (Including Exterior Roofed Areas) 9-/.4-0-7 Date moor runs reviewea oy scnooi uistnct versonneu District Identification,�No �+-�` oe je� Yf School District certifies that (Appj cant) 72 (Street Address) (Phone Number) (City) has complied with the requirements of Resolution No. representing <, ~ Q (J square feet. District Paid by Check # Remarks: (State) (Zip Code) i by payment of $ B 2926 $ ULL MITIGATION $ Date T� 1, .J <, Svo V I Notice: You may protest the imposition of the fees identified above by submitting a written protest to the District, in compliance with " Government Code Section 66020(a), 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 Representative 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 (CEQA), 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.xls (2/97)dmm %/Vj COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT autnorize representatives of the County OT t3utte to enter upon the above-mentioned property for inspection purposes. X Date Signature of Permitee or Agent Receipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant 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. DIRECTOR OF PUBLIC WORKS By Date Building permit expires Date BUILDING Owner 'SQ. FT. OCC. BUILDING VALUATION _ Mai I i ng Address Telephone No. Contractor Mailing Address Fireplace Total Valuation Telephone No. Permit Fee _ Plan Checking Fee&/or Penalty Building Address Permit Fee PLUMBING No.1 @ FEE PERMIT FILING FEE$3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 A. P. No. ZoniWg`4 Planning Water piping 1.50 Each gas water heater or vent 1.50 Fees W,C. Sanitation Fire Dept. FireZone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking Plans Parcel Declaration Parcel Map 60' R/W Improvements Each additional outlet .30 Building sewer 5.00 Bldg. Plans Recd Parcel A royal Plans Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION UTILITIES ❑ OTHER ❑ Permit Fee $ $ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service 600V OR LESS 100 AMP OR LESS 5.00 Single Family ❑ Duplex EJ Mobil Home ❑ Others ❑ Main service EA. ADD•L loo AMP 2.50 Main service OVER600v 25.00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 1.00 NEW CONSDWELING OR ADDNST ( ACC`BLDGS.Ccup- S) 20sgft 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:. ;; �- =' NEW CONSTR MULTI.OUTLET NON.RESID. BRANCH CIRCUITS)l JMOea NEW CONSTR. (POWER APPARATUS 6� NON RES D. ,SINGLE OUTLET CIR. Ex. QCCUO(OUTLETS OR FIXTIIRES 6 L1@ � FIXED APPLNS. OR Ex. OCCup.�OUTLETS (RESIDJ EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ MECHANICAL No. @ 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. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. 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 the Workmen's Compensation Laws of California. PERMIT FILING FEE $3.00 Heating Cooling , Ventilation Hood 1 2.00 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 Land Development Fee $ TOTAL PERMIT FEE $ autnorize representatives of the County OT t3utte to enter upon the above-mentioned property for inspection purposes. X Date Signature of Permitee or Agent Receipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant 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. DIRECTOR OF PUBLIC WORKS By Date Building permit expires Date 7 0 �.: . COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT • BUILDING Owner t - SQ. FT. OCC. BUILDING VALUATION Mailing Address r t Telephone No. Contractor ) r, e �, _ ,� . I , 1 -7 .. . Mailing Address , r•.- �•; �� (- � � _ � Fireplace Total Valuation • Telephone No. ! _L, ; Gib Permit Fee Building Address ._ ,: , ,•- : _ � �. _ cJ •7 �.. � Plan Checking Fee &/or Penalty - Permit Fee r r • I_ ` '' �� 1' ;. PLUMBING No•@ FEE `✓ PERMIT FILING FEE $3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 A. P. No. - A_7 Zoning & Planning Water piping 1.50 Each gas water heater or vent 1.50 Fees W. C. Sanitation Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking Plans I Parcel Declaration Parcel Map 60' R/W Improvements Each additional outlet .30 Building sewer 5.00 Bldg. Plans Rec'd I Parcel Approval Plans Approval Lawn sprinkler system J 2.00 NEW ADDITION UTILITIES ❑ OTHER 0 Permit Fee $ $ ELECTRICAL No.1 @ FEE PERMIT FILING FEE ] $3.00 600V OR LESS Main service 100 AMP OR LESS 5.00 Single Family ❑ Duplex ❑ Mobil Home ❑ Others ❑ Main service EA. ADD'L 100 AMP 2.50 ^� Main service OVER 600V 100 AMP OR LESS 25.00 Main service// EA. ADD•L 100 AMP 1.00 NEW CONST.DWELING OR ADDNS. l ACCLBLDGSCCUP. 4\ 20sgft 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: Y NEW CONSTR MULTI.OUTLET NON -REBID 1 BRANCH CIRCUITS 2.50ea NEW CONSTR. (POWER APPARATUS a NON.R ESID. `SINGLE OUTLET CIR. �' ~i+• Ex. Occuo(OUTLETS OR FIXTIIRES a �� Ex. Occup. FIXED APPLNS. OR p• OUTLETS (RESID.) EA) 2.00 �+ •f -d Temporary service 10.00 Mobile Home Facilities 15.00 r-i�• } License No. Classification C_, Misc. Wiring tA I , ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee WORKMEN'S COMPENSATION INSURANCE 1 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. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. El 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 the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby Land Development Fee $ TOTAL PERMIT FEE $ authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X Signature of Permitee or Agent Date 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. DIRECTOR OF PUBLIC WORKS By Receipt No. White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant Building permit expires Date Date -COUNTY _ OF BUTTE —OE ti,J PART '� P WORKS VT 0F PUBLIC C 0 KS 7 County Cen'fer Drivvl - 'Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT AA authorize representatives of the County of Butte to enter uponthe above-mentioned property for inspection purposes. ^� X - a dv► Date Dec 117S gnature of Permiit'ee or Agent '1 Receipt No. / 6 S -r, White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit1ss hereby issued under the applicable provisions of the'�Butt6'County Code and/or resolutions to do work indicated abbve1or which fees have bee"aid. DIRECTOR OF 9UBLIC WORKS Bui ing permit expires Date Dat BUILDING Owner SQ. FT. OCC. BUILDING VALUATION Mailing Address ��, ' 6-,` G? t V 0 o, `, 17 Tele hone No. =�-- A/ / Contractor 1JJ0—S0,,% 4 Ci Mailin Address g S G te,JTV Fireplace Total Valuation phonN�o. C�h Permit Fee Building Address r Plan Checking Fee &/or Penalty Permit Fee PLUMBING No. @ FEE c ! PERMIT FILING FEE $3.00 Each Trap 1.50 d, Repair drainage or vent piping 1.50 �/ n ^�_,/ 0 - A. P. No. 7 7,-L oning2 Plonning Water piping 1.50 Each gas water heater or vent 1.50 Fees RigevtTi'tafteh Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking plans Parcel Declaration Parcel Map 60' R/W Improvements Each additional outlet .30 Building sewer 5.00 Parcel Approval Plane Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER NJ Permit Fee $ $ / 1 tit r t u�.G(i�7 ,.6 ,,,- _ ' e ELECTRICAL No. @ FEE 1Vn� 'Lcr PERMIT FILING FEE $3.00 •6Q Single Famil DU 1eX g y p ❑ Mobil Home ❑ Others ❑ Main service 600V OR LESS 100 AMP OR LESS 5.00 Main service EA. ADD•L 100 AMP 2.50 Main service OVER 600v 100 AMP OR LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 NEW OR ADDNST % ACCLBLDGS.LING CCUP, S) 20sgft 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: ,,, I ��ff gg , T1s Lt StAn T1WIrd t4Ja a. & 1= IEG C NEW CONSTR MULTI -OUTLET NON-RESID BRANCH CIRCUITS) 12.50ea NEW CONSTR. (POWER APPARATUS 8 NON-RESID. (SINGLE OUTLET CIR. Ex. Occuo(OUTLETS OR FIXTIIRES 50E BAL@1 Ex. QCCU FIXED APPLNS. OR p• OUTLETS (RESID•) EA) 2.00 n 2-•C%® Temporary service 10.00 Mobile Home Facilities 15.00 License No.`s" ��'� %-3 Classification �'� Misc. Wiring 6.25 •�3 f ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ f �� WORKMEN'S COMPENSATION INSURANCE 1 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. ZI have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which,thisn;t., permit is issued I shall not employ any person in any'.rninher,: „ so as to become subject to the Workmen's Compensation Laws of California. If MECHANICAL No. @ FEEPERMIT FILING FEE $3.00 Heating Cooling .Ventilation Hood' « '{' 2.00 Permi.t,Fee$ $ 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 Land`Development Fee $ TOTAL,lPERMIT FEE $ authorize representatives of the County of Butte to enter uponthe above-mentioned property for inspection purposes. ^� X - a dv► Date Dec 117S gnature of Permiit'ee or Agent '1 Receipt No. / 6 S -r, White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit1ss hereby issued under the applicable provisions of the'�Butt6'County Code and/or resolutions to do work indicated abbve1or which fees have bee"aid. DIRECTOR OF 9UBLIC WORKS Bui ing permit expires Date Dat v d �a sr ano do LN9oo . n, 1gSO -D-C �Ulzp- tDIZln , lis- WO- cower lan, �.ec,��_e� c�u�✓�,cd S41����1-�tl� -one• �n-a�911 Q��-vz �cT�<-tag v�.ta2�J \J �� 1 Qt� u n, (e, g0 hereby authorize Butte Co; to release the plans for a house located on Parcel 2, Lots 26 and 39, Gridley Colony no. 2. (AP 24-09-72) These plans will be sold to Milton E. or Margaret T. Brown, present owners. --"', ,- arv-in M. Long COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive Qroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT j0� authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. % DateA 1�� Signature of Permitee or Age Receipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated abov/�Tpr which fees have been paid. / //' .DIRIiCXbR OF PUBLIC WORKS BUILDING Owner �- SQ. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Contractor Mailing Address R0 Fireplace Total Valuation n o� Permit Fee Building Address o Plan Checking Fee&/or Penalty Permit Fee GU r PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 A. P. No. �-C%� �� Z_ /� Zonirq ?7Z—inning Water piping 1.50 Each gas water heater or vent 1.50 es -Saei•Petivn Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 Parking EQA Plans Parcel Declaration Parcel Map 60' R/W Improvements Each additional outlet .30 Building sewer 5.00 Bldg. Plans Rec'd I Parcel Ap roval Plans Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER Permit Fee $ $ ELECTRICAL No.1 @ I FEE PERMIT FILING FEE $3.00 Main service 800V OR LESS 100 AMP OR LESS 5•�� SS I-- Single Family Duplex E]Mobil Home EJOthers ❑ Main service EA. ADD'L 100 AMP 2.50 Main service OVER 25.00 100 AMPP OR LESS O Main service/ EA. ADD'L 100 AMP 1.00 NEW CONST.OR ADDNS. ACC. . '£ C BLOGS.LING CCUP� 2¢sq ft 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 l T NEW CONSTR MULTI -OUTLET NON -REBID BRANCH CIRCUITS 12.50ea NEW CONSTR. POWER APPARATUS B NON.RESID. SINGLE OUTLET CIR. Ex. Occup{OUTLETS OR FIXTtIPES 50@25# BAL@10¢ FIXED . OR TS (RES(RESID.) EA) 2.00 Ex. Occup. (OUTLETS Temporary service 10.00 Mobile Home Facilities 15.00 License No. �. Classification Misc. Wiring 6.25 ❑ I am 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. ❑ I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. 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 the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 a D Heating/ 00 0 d Cooling N� Ventilation Hood 2.00 Permit Fee $ If. © $ Ol 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 Land Development Fee $ TOTAL PERMIT FEE $ 01 authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. % DateA 1�� Signature of Permitee or Age Receipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated abov/�Tpr which fees have been paid. / //' .DIRIiCXbR OF PUBLIC WORKS F TO Building Decartmer_t 1 i10:1 nvir oriaenta1 :'eal to RE- Sicwag D -_.nd/cr s,,,atcr C.le cra.rice R LOCATION I! o P, o i' been approved for SE,:;ACE DISPOSAL : _TEP SUP.Pi.Y.15 =il S t7nitari-an : Date PERMIT NO. 6351-76B,P,E,M PERMIT EXPIRES�/� OWNER Marvin Long CONTR. owner LOCATION (A.P. 24=09-72 N O'Bri �,, � jr� Q,'yl,of Gilstrap Ave., Gridley 4 j G� h Temp. Power Pole Called PG&E Temp. Elec. Serv. F Called PG&E Temp. Gas Serv. Called PG&E JOB FINALED (Date) (Signature) COUNTY OF BUTTE — DEPARTMENT OF•PU13LIC WORKS -t' BUILDING INSPECTION RECORD BUILDING I BUILDING (Cont;'d) I PLUMBING Setback 2L�Z_/' Firewall Soil Piping - Forms Parapets 1st Floor zizi Main Bldg. Restroom Finish 2nd Floor Footings /7 Windows 7. 3rd Floor Stemwall Siding % To out .17 Slab Roof Sheathing Water Pi in Piers Roofing ' Sewer Garage Fdn. Vents ---- Fixtures Footings I arage Vents -- Water Htr. Stemwall hl Insulation • Heaters Slab f' Carport Footings Prov. for physically �—� handica ed Conformance of ex/ / structure ��% �G�i/l i A Iiances Gas Piping & Test Temp. Gas Slab Final Sanitation k" '7 Z Patio FIREP. A E Final _Z �' Footin s Footing LECT CAL Masonry Walls Throat- R o u q h Reinf. Steel Final Fixtures Bond Beam �, i FIRE SPRINKLERS Motors Framin , Test Water Htr. -- Stucco Final Subpanels Mesh ' MECHANICAL Grd. Fault Prot. Scratch Heating Service Brown Cooling-,", ooling Temp. Rok- i1 Finish Ducts -Z7777 Underground Interior Lath -: .J Ventilation Permanent Door Closer.•. % % Final Final % DATE REMARKS OR CORRECTIONS (NOTE: An entry must be made on this form each time you visit the job site.) v COUNTY OF BUTTE. — DEPARTMENT OF PUBLIC WORKS 7 County Center Q.rive � Oroville, California 95965 Telephone: 534-4541 17� APPLICATION AND PERMIT l above-ment' roperty for ins ti rposes. `Datec X Si nature of Perini tee g nt Receip No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant 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. DIRECTOR OF RUBLIC WORKS BY Date Q--/'-- 001— Bui ding permit expires Date G Z — f —? BUILDING Owner Ma ruli vi ovtcf SQ. FT. OCC. BUILDING VALUATION %� Mai I i ng Address _ p t l d © a. i) o Tle hone N 3 '� O Fireplace �© 6) C) Contractor D e Total Valuation.6(01 Q Mailing Address Permit Fee PI an Checking Fee &/or Penalty Telephone No. Permit Fee $ /J0`FEE V( Building Address �j2 v V N i� PLUMBING No. @ PERMIT FILING FEE $3.00 ,Q p 0 Q -f Each Trap 1.50 ,2,0 O g`„ a Repair drainage or vent piping 1.50 Water piping 1.50 a QQnin9 V ification Oni Each gas water heater or vent 1.50 , _ ,q _ ,.. A. P. No. `7 V Zoni tannin Gas piping system 1 - 5 outlets 1.50 Q additional outlet 30 F s W.C. ati n Fire Dept. Firse�Zon Use Permit Building sewer 5.00 EQA Parking Plans Parcel Decl P Cr rel �la� p 60' R/W Im provemen s Lawn sprinkler system 2.00 Bldg. Plans Recd ffa__tion 2 KB P el Ap al Pla pprovaI Permit Fee $ NEW ADDITION ❑ UTILITIES ❑ OTHER ❑ ELECTRICAL No.1 @ I FEE PERMIT FILING FEE 1$3.001 5,0 Main service 1000V OR 0 AMP ORLESS5.00 Main service EA. ADD'L 100 AMP 2.50 � Single Family Duplex ❑ Mobil Home El Others ❑ Main service OVER 600V +oo AMP OR 25.00 Main service EA, ADD'L 100 AMP 1.00 0 AM NEW CONST.(DWELLING O OR ADONS. ACC. BLDGS. ) 2¢sgft ~- 1 NON•RESID NEW CONSTR. ( BRANCH CIRCUI s) 2.50ea NEW CONSTR. (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: Ex. Occup(OUTLETS OR FIXTURES)@21 BAL� Ex. OCCU FIXED APPLNS. OR p•(OUTLETS (RES EA) 2.00 -ID.) Temporary service 10.00 Mobile Home Facilities 15.00 •License No. Classification Misc. Wiring 6.25 40 1 am exempt from the Contractors License Laws of the State of California. Permit Fee 3,8 $ 3 $,S 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. ❑ I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. 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 the Workmen's Compensation Laws of California. MECHANICAL No.1 @ FEEPERMIT FILING FEE 1$3.00 3,-.1 o Heating /� 0 j O O Cooling % ,�Q Ventilation Hood 1 2.00 1,2, 10 D Permit Fee $ 130 o $ 7-T QQ 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 $ above-ment' roperty for ins ti rposes. `Datec X Si nature of Perini tee g nt Receip No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant 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. DIRECTOR OF RUBLIC WORKS BY Date Q--/'-- 001— Bui ding permit expires Date G Z — f —? a 1 1 M � CCU c v`1 Z n O c m CD, c S O'BRIEN /\-VE. Environmental Health A4321IMP Oruville, Oa FNi=R A I NnTFc-) I. ALL NEW WINDOWS AND DOOR5 TO BE WEATHERSTRIPPED. 2. ALL NEW WINDOWS TO BE DUAL GLAZED, AN51/AAMA, d G.E.G. GERTIFIED. 3. ALL NEW STRUCTURAL LUMBER TO BE #2 DOUGLAS FIR OR BETTER. 4. IN5ULATION, WALLS - R-13; GEILING - R-38. 5. DO NOT 5GALE DRAWINGS; DIMENSIONS TAKE PREGEDENGE. 6. ALL (N) EXTERIOR WALLS TO 13E 2x4 STUDS ® 16" O.G. 1. ALL (W DOOR, WINDOWS, d INTERIOR OPENIN65 ARE 6'-8" FROM FINISH FLOORS U.O.N. 8. ALL (W APPLIANGE5, SHOWER HEADS, d FAUGET5 TO BE G.E.G. CERTIFIED. q. ALL (N) EXTERIOR HEADERS TO 13E 4x12 U.O.N. 10. GAJJLK ALL (N) PERIMETER SILLS. II. ALL EXHAUST FANS TO HAVE BAGKDRAFT DAMPERS. 12. ALL EXTERIOR HOSE 13113135 SHALL HAVE APPROVED NON -REMOVABLE BACKFLOW PREVENTION DEVIGE5. FLOOR PLAN - 1/4" = 1'-0" 114 5Q.FT. ADDITION ® 16% ALLOWABLE GLAZING = 71.84 5Q.FT. PP-OP05ED GLAZING = 23 SQ.FT. Environmental �,"r„ 1f 1 I I I �, 1111 i. ;71 It T BUTTE MUNTY BUlLDfY* UPARTMEW- A-PPROVED , 1011010,111111 MICRO -CUT H-AMMERMIG GRAPHICOPY PAPLRS MICK). c 1rACCT pleeWon tMvr%W rear to ccxv,'v (x,-vcv i r"J ,or,00— VOUOW, OCYN), :" tea- oetterso: rsv be"r I, :no host 4,,VER a-,! Ine t n4WICZ as FTI T, -1 T WAT T F t7757 Mil Tm 0 I " 0 -� "; FM II: eL fA it r �q IL