HomeMy WebLinkAbout024-100-036A.P. 24-10-36
eL. ROBBINS JR.
/e corner of Larkin Rd. & Richards Ave.,
Gridley
i
Pennit1189-73P,E
(utilities for mobile home] �� -1'1.1113
024-100-036` , e 05=2819
ALEXANDER; GEORGE
1188 LARKIN RD, GRIDLE
Cont: OWNER ICJ
ELEC SERV
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Butte County Department of Development Services
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N® T E 7 County Center Drive, Oroville, CA 95965 2 I
OoC�UN�y•
(530) 538-7601 www.buttgcounty netidds
RESIDENTIAL
APN:.p_cr.,+ +_u
024-100-036 05-2819 -�
Owner. _.ALEXANDER, GEORGE _
1188 LARKIN RD, GRIDLEY
Site Address: Cont: OWNER-----
Contractor. j ELEC SERV —
Type of Permit:
I
OFFICE COPY
AddressT JOS L�9/Zlf,�J `
`a A ,
GAS-
Meter
AS Meter By t r R Date
ELECTRIC
Meter By Date
SRA
FLOOD CERTIFICATE EQUIRED
FIRE SPRINKLERS REQUIRED
SPECIAL INSPECTION ITEMS
VERIFY
USE PERMIT CONDITIONS
SUB -STANDARD HOUSING LETTER
ENCROACHMENT PERMIT
REINSPECTION FEE PAID
ENV HLTH CLEARANCE
CHECKED BY
DATE JOB FINALED: I.C> ` '09 - 0 5— /
fSIGNATURE:
V
. = OK
0 = Not OK
MANUFACTURED HOMES
MISCELLANEOUS
DATE I LiPERMANENT FOUNDATION SOFT -SET
1 Zoning -Setbacks -Easements
2 Soils; Special MH Support Sketch
3 Sewer; Loctn-Test; Fall/C/O-Concrete
4 Wtr; Loctn-Test-Easement Needed -Regulator
5 Elec Loctn-Clrncs-Grnd Amp -Concrete
6 Yard Gas; Loctn-Test-Wrap Nat ❑ or LPO
Inch Sz Ft Lngth
7 Bickng; Sz-Spacing-Marriage Line
8 Gas; MH Test-Demand-Valve-Cnnctr
9 Elec MH Cntnty Test-Crossovers-Breakers-Clrncs
10 Drain; MH Test -Fall -Flex Cnnctr
11 Wtr & Sewer Connected -C/O to Grade
12 Gas and Electricity Tagged
13 Tie Downs ❑ Foundation ❑
14 Exits
15 Cert of Occupancy
16 HUD Label/Insignia NumbersSerial Numbers
DATE D E C K S'C O V E R S'C A R P O R T S'G A R A G E S
1 Zoning -Setbacks -Easements
2 Ftgs; SoilsSz-Dpth-Spacing-CnnctrsSteei
3 Decks, Girders/Joists-Dcking-Brcing
Stairs-Guard/Handrails
4 Wood Awn; Posts =Bea ms-Rftrs -C nn ctrs -S hthg
Frmg-Brcng
5 Alum Awn; Columns-CnnctnsSplice-Decal-Encisrs
6 Carports; Wndws-Doors
7 Electric
8 Frmg; Sills -Anch rs-Stu ds-Rftrs -Trusses
9 Siding; Nailing -Veneer -Stucco -Lath
10 Roof; Shthg-Roofing
11 Ext; Steps -Doors -Landings
12 Braced Wall pnis
°� e�4 °' o`4
DATE IPOOLS
1 Setbacks -Easements
2 Soils; Compaction -Structure Stability
3 Pool Structure; Steel-Cnnctns-Thickness
Dead Men -Lining
4 Elec Rcptcls/Lting; Distance-GFI
5 Elec Pool Lting; 15 volts-GFI
6 Elec Encisrs; Conduit Entries -Terminals -Listed
7 Elec Bonding; Metal w/5'-Crcltng Eqp-Htr
8 Elec Grndng; Eqp w/5' Crcltng Eqp-Pool Ightg
Bokes-Encisrs-pniboards-Insultn to Main Conduit
9 Health Dept Apprvl
10 Plmb; Cir Test-Wtr Supply Test
11 Lt Niche
12 Enclsr; Fencing -Alarms
13 Bonding, Diving board or Slide
Pool Drawing
=OK
0 = Not OK
RESIDENTIAL (Single & Duplex)
DATE JUNDERFLOOR
DATE PLUMBING
1 Zoning Setbacks-Easements-FloodSlope
53 Wtr Htr; Vent-Acc-Cmbstn Air Baffle
2 Ftg Main; Soils-Elec Grnd Ftg Dpth
54 Wtr Pipe; Test & Anchr-Nail Prtctn
3 Ftg Garage; Soils -Steel-Elee Grnd Ftg Dpth..
55 DWV; Test Fittings & Anchr Nail Prtctn
4 Ftg Porches/Decks; Soils -Steel Ftg Dpth
56 Shwr Pan; Test, First flr-Tub Ace
5 Stemwalls Main; Steel-Blockouts-Wrapped
57 Test Tub & Shwr, 2nd fir - Tub. Ace
6 Stemwalls Garage; Steel-Blockouts-Wrapped
58 Gas Pipe; Sz & Anchrs
6a Hold Downs and Special Anchrs
59 Fire Sprinkler; Test
7 Slab, Steel Wrapped
60 Yard Gas Piping
8 Piers-Frplc Ftg-Steel
9 DWV; Fail -Fitting -Test -2 -way C/O -Sewer Test
10 UF, Gas Pipe; Sz Anchrs-Sz Test
11 Wtr Pipe; Test-Anchrs-RgltrService Test
DATE IMECHANICAL
12 Elec Undrgrnd
61 AC Ducts Insultn & Support
13 Plenums & Ducts; Clrnc-MaterialSupport4nsultn
14 GirdersSills-Anchr BoltsJoists-Vnts-Cripples
62 Vent Fan, Exhaust abv Insultn
15 Ace & Vntltn
63 Condensate Drain & Ovrflw, Sz & Grade
16 Insulation
64 Furnace -Vent Acc-Comb Air RtrnfVent 115 Outlet
65 Attic Ace & Pltfrm if Furnace in attic
DATE IFRAMING
17 Sills Proper Materials & Anchrs
DATE F I N A L
66 Ext Steps -Door & SideLt Prtctn-Landings
18 Walls Studs -Nailing Spacing & Braces -Plates -Sound
19 Bearing Walls over Girders & flr Nailing
67 Smoke Detector
20 Draft Stop in Walls (rat proof)
68 Furnace Vnts-Clrnc-Comb, Air-Cnnctr
21 Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs
In Garage; abv-flr-Ducts-Mech Prtctn
22 Headers & Beams-Sz & Bearing
69 Bedroom Exiting
23 Hangers -Post Caps-Anchrs-Cnnctns
70 GFI & Bath Fxtrs & Tub AccSpa
24 Ceiling Joist-Rftr Ties-Purlin-Roof Brac-TrussShthg.
71 GFI Arc Fault
25 Frplc Ties or Type A Flue-Frpic Throat Clmc
72 Elec Trim & Subpnl, Breaker Szs & Labels
26 Attic Ace; Sz & Rmx Prtctn-Draft Stop -Ins Baffles
73 Stairs, Guard/Handrails
27 Bdrm Wndws or Exiting Doors -Sill Ht & Dimensions
74 Frplc or Stove, Clrnc-Hearth
28 Garage Fire Prtctn Framing -RC Channel
75 Elec Outlets at Wood Pnl, Int & Ext
29 Prprty Line Firewall & Opngs
76 Ktchn, Fxtr & Appinc; Grnd-Air-Gap-Cooking Clmc
30 Ext Doors -One X -Check Garage 3rd Story, 2 Exits
77 Elec Outlets & Rcptcls at Ktchn Counter
31 Stairs; Width-Hdrm-Rise-Run-Landing-Fire Prtctn
78 Garage Fire Door; Swing -Landing -Closure
32 Plywd on Roof Ovrhng-Attic Vnts-Rftr Outrgrs
79 AC Duct in Garage -Damper
33 Siding -Nailing Veneer
80 Wtr Htr; Vnts-Clmc-Com Air Cnnctr-PRV; abv fir
34 Stucco Lath -Weep Screed-Fndtn Vnts-Undrflr Ace
Mech Prtctn; LPG Appince Undr House 3" drain
35 Glazing Area -Glass Prtctn-SkyLts-Plastic
81 Plmb; Elec & Mech Eqp Listed for Loctn
36 Shear Walls; Nailing -Bolts
82 Elec Rcptcls in Garage (GFI) Romex Prtctn
37 Brace Int/Ext Wall pnls
83 Insultn-Foam-Looked in Attic
38 Insulin -Walls -Ceilings
84 Guard Rails & Deck Cnstrctn-Post Caps
39 Infiltration-Walls-Wndws
85 Fndn Vnts & Crawl Hole Door Drnge & Wood -Earth
86 Clrnc Dmge Planters ❑ Yes ❑ No
87 Stucco Brown -Finish
88 AC Unit Dscnnct, Elec-Plmb
89 Vnts abv Roof, Plmb-Appinc-Frplc-Clrnc to Opngs
90 Wtr Well, Dscnnct, Elec, Plmb
91 Ext Elec Trim, GFI Rcptcl-Undrgrnd
DATE JELECTRICAL
40 Fxtr & Trnsfrmr Clrnc4ns Prtctn
41 Elec Rcptcls Spacing-Lts & Switches at Doors
92 Vntltn thru House
42 Sz Boxes & No Of Cndctrs Stapled
93 Glass Prtctn
43 Romex Installed Close to Edge of Studs & CJ
94 Corrections from previous Inspctns
44 Eqp Grnd made up w/Mech Fstnrs
95 Gas Test -Meters Tagged, Gas-Elec
45 Grndng Electrode Bond Gas & Wtr
96 Wtr & Sewer Cnnctd-CIO to grade -HD Apprvl
46 2 Appinc Cires in Ktchn & Cndctr Sz GFI
97 Energy Cmpinc Cert -Other Certs
47 Subfeed Wire Sz ga ❑ CU or ❑AL
98 Address Posted
AC Wire Sz ga ❑ CU or ❑ AL
99 Fire Sprinkler
48 Range Circ ga ❑ CU or ❑AL
Oven Circ g. ❑ CU or ❑ AL
Insulated Neutral ❑Yes [:]No
49 Service -Riser Cndctrs & Grnd Main Dscnnct
50 Eqp Clrncs pnls-Motors-Mech Eqp
51 Clothes Closet Lt-Shwr Lt -Spa Lt
52 Smoke Detector
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT
24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO)
OFFICE #: (530) 538-7541 FAX#: (530)538-2140
WEBSITE: www.buttecounty.net(dds
PMN110-
LICENSED CONTRACTORS DECLARATION
I hereby affirm under penalty of perjury that I am licensed under
Issued Date: 10/12/2005 APN: 024-100-036-000
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
Site Address: 1188 LARKIN
effect.
RD GRI
License Class: License Number:
Map Index:
Date: Contractor.
Description: ELECTRICAL SERVICE CHANGE
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the
Contractors' State License Law for the following reason (Sec. 7031.5
Owner: ALEXANDER, GEORGE
Business and Professions Code: Any city or county which requires a
permit to construct, alter, improve, demolish, or repair any structure, prior
1188 LARKIN RD
to its issuance, also requires the applicant for such permit to file a
GRIDLEY, CA
signed statement that he or she is licensed pursuant to the provisions of
95948
the Contractor's State License Law (Chapter 9 commencing with Section
7000) of Division 3 of the Business and Professions Code) or that he or
(530) 846-2376
she is exempt therefrom and the basis for the alleged exemption. Any
violation of Section 7031.5 by any applicant for a permit subjects the
applicant to a civil penalty of not more than five hundred dollars ($500).):
t� I, as owner of the property, or my employees with wages as their
sole compensation, will do the work, and the structure is not
Applicant: ALEXANDER, GEORGE
intended or offered for sale (Sec. 7044, Business and Professions
1188 LARKIN RD
Code: The Contractors' State License Law does not apply to an
owner of property who builds or improves thereon, and who does
GRIDLEY, CA
such work himself or herself or through his or her own employees,
95948
provided that such improvements are not intended or offered for
sale. If however, the building or improvements are sold within one
(530) 846-2376
year of completion, the owner -builder will have the burden of
proving that he or she did not build or improve for the purpose of
sale.).
O I, as owner of the property, am exclusively contracting with
licensed contractors to construct the project (Sec. 7044, Business
Contractor:
and Professions Code. The Contractors' State License Law does
not apply to an owner of property who builds or improves thereon,
and who contracts for such projects with a contractor(s) licensed
pursuant to the Contractors' State License Law.).
O lam Exempt under Article 3 of the Busines=.dPfessions Code
'SJOwner: �
Date: •
License #:
WORKERS' COMPENSA ION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
O 1 have and will maintain a certificate of consent to self -insure for
Architect:
workers' compensation, as provided for by Section 3700 of the
Labor Code, for the performance of the work for which this permit
Engineer:
is issued.
❑ I have and will maintain workers' compensation insurance, as
required by Section 3700 the Labor Code, for the performance of
the work for which this permit is issued. My workers' compensation
insurance carrier and policy number are:
Total Square Ft: 0 S.F:
Carrier.
Valuation: $0.00
Policy#:
Census Code:
❑ 1 certify that in the performance of the work for which this permit is
issued. I shall not employ any persons any manner
become subject to the workers' compensation laws of California.
nia,a.
and agree that if I should become subject to the workers'
14
compensation provisions of Section 3700 of the Labor Code, I shall
forthwith comply with those provisions.
`.
(fj 0 (vZ(v)
Date:
Io�1Z 0
Applicant:
WARNING: Failure to secure workers' compensation coverage is
unlawful, and shall subject an employer to criminal penalties and one
hundred thousand dollars ($100,000), in addition to the cost of
compensation, damages as provided for in Section 3706 of the Labor
code, interest, and attorney's fees.
CONSTRUCTION LENDING AGENCY -
This permit is hereby issued under the applicable provisions of the Butte County Codd anrt/or
I hereby affirm that there is a construction lending agency for the
Resolutions to do ork indicated ab for which fees have been paid.
performance of the work for which this is issued (Sec 3097 Civ.)
,
Name:
BY Date: ll 1 L VJ
PERMIT EXPIRES 10-12--c)(6
Address:Date
ON:
❑ I hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage,
handling and use of hazardous materials.
❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project.
❑ Attached are copies of the required E.P.A. notification forms.
I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with
all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby
authorize representatives Butte C�ountty too nter u on/theabove mentionedproperty for inspection purpo s
s� yoof
Print Name: Geo �/ e / i rr""` �r�! /l �ledl�f /
l Signature:
a -
l0 - /OS'
Date:
Owner ❑ Contractor 0 Agent for Owner ❑ Agent for Contractor
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT APPLICATION
AND SUBMITTAL REQUIREMENTS
24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834
OFFICE #: (530) 538-7541
A FEE WILL BE REQUIRED AT TIME OF APPLICA TION
"PLEASE PRINT CLEARLY* X
OWNER
Last Name /� "Yx /e
irst Name„
Address
City(:S7r/C/%O
State
/
Phon ,33� 0 l�G � 3X
Fax 740/Pe
E-mail gastP
APPLICANT -NAME
CONTRACTOR
Name ',
City / al `/�
l
Address
Zip
City
Fax
State
Zip
Phone
Book
Fax
E-mail
Planner
Lic. #
Class
APPLICANT -NAME
ARCHITECT/ENGINEER
Name
City / al `/�
l
Address
Zip
City
Fax
State
Zip
Phone
Book
Fax
E-mail
Planner
State License Number
APPLICANT -NAME
Name /
Address/
O
City / al `/�
l
State
Zip
Pho _3
Fax
E-mail 21 �X
APPLIP4NT SIGNATURE
04
X
For office office use only:
Zoning
Property Address
P Y o O y� 41�1�'J
/%a
Flood Zone
Cross Street �� � JJ
/t'i c `iaf_as xye
SRA
I Yes
I No
Occ.
Type Const.
Subdivision Name Map
Book
Page
Lot #
Planner
Date Approved:
PERMIT
NO.
BPO 5
BIN #
LOCATION
AP# 029 -100-0M
Property Address
P Y o O y� 41�1�'J
/%a
Cross Street �� � JJ
/t'i c `iaf_as xye
WORKER'S COMPENSATION
Policy Number
Carrier
If hiring anyone other than license contractors, a certificate of worker's
compensation must be shown at the time of permit issuance.
LENDING AGENCY
Name
ylan e
Address
t4
Description or Scope of Work: Q
/ GIPtGII'i/ccY��'� eE m7r�
Sq. Footage
❑ Structure Built without Permits
❑ Proposed Change of Occupancy
(Note previous use):
EXPIRATION OF APPLICATION
Applications for which a permit has n6t been issued will expire one
year after the date of application. In order to renew action on an
application after expiration, a new application, plans and fee will be
REQUEST FOR REFUNDS
Refunds can only be made upon written request by the person who
paid the fee. The request must be made prior to the expiration of the
permit and no construction work has been done. Filing fees, plan
check fees for work plan checked and other department costs are not
refundable.
t�
I I Received by: 1�.6 Amount: Bldg I I
OVER FOR SUBMITTAL REQUIREMENTS IL
K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc Page 1 of 2
Receipt#:11QI�
Date: 10 -12--OJ
Sheriff
SMIP
Total
REV 6-16-04
SUBMITTAL REQUIREMENTS
The following drawings and specifications must be submitted to the Building Division in order to apply
fora permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE
LEGIBLE AND IN INK.
Residential, New, Remodels, Additions, and Accessory Structures:
❑ 1. 3 Site Plans, signed by the preparer. NO GRAPHPAPER!
❑ 2. 3 Complete sets of plans, signed by the preparer. NO GRAPH PAPER!
OR 3 Sets Engineered plans (if required) with wet signature on plans AND 2 sets of stamped and signed
calculations.
❑ 3. 2 Engineered truss details and layouts (if required) (NO FAXES!).
❑ 4. Letter from Engineer or Architect for truss design review.
❑ 5. 2 Energy compliance design and supporting documentation. (Note: Not required for additions to
mobile or modular homes.)
❑ 6. 2 Flood Elevation Certificate, wet -stamped and signed (if required).
❑ 7. Detached Accessory Building Form, filled out by the property owner (if required).
❑ 8. Sanitation and site plan approval from the Environmental Health Department.
❑ 9. Metal Buildings: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in
triplicate, (D) Floor plans in triplicate, All of these must be stamped and wet -signed by the engineer.
Mobile, Manufactured, or Modular Homes:
❑ 1. 3 Site Plans, signed by the preparers NO GRAPH PAPER!
❑ 2. 2 Data sheets and installation instruction manual.
❑ 3. 2 Marriage line information.
❑ 4. 2 Floor plans.
❑ 5. 2 Engineered Tie Downs or Foundation plans.
❑ 6. Sanitation and site plan approval from the Environmental Health Department.
❑ 7. 2 Flood Elevation Certificate, wet -stamped and signed (if required).
Commercial, New, Additions and Remodels:
❑ 1. 4 Site Plans, signed by the preparer. NO GRAPH PAPER!
❑ 2. 4 Engineered plans with wet signature on plans AND 2 sets of stamped and signed calculations,
with code analysis.
❑ 3. 2 Engineered truss details and layouts (if required) (NO FAXES!).
❑ 4. Letter from Engineer or Architect for truss design review.
❑ 5. 2 Energy compliance design and supporting documentation .(if required).
❑ 6. 2 Flood Elevation Certificate, wet -stamped and signed (if required).
❑ 7. Statement of Intent for Non -heated and A/C (if required).
❑ 8. Metal Buildings: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in
triplicate, (D) Floor plans in triplicate, All of these must be stamped and wet -signed by the engineer.
❑ 9. Letter of intent.
❑ 10. Hazardous Material Form.
❑ 11. Sanitation and site plan approval from the Environmental Health Department.
If you have questions or would like additional information regarding this process, contact a Permit
Application Assistant at (530) 538-7541.
OVER FOR BUILDING PERMIT APPLICATION
KAFORMS\BUILDING F0RMS\BIdgApp1SubRgmts.doc Page 2 of 2 REV 6-16-04
Butte County Department of .development Services �uT7'
ADMINISTRATION o
BUILDING GIS PLANNING �;
o o
o / o
7 County Center Drive
Oroville, CA 95965 0
(530) 538-7541 Telephone CSU N'�y
(530) 538-2140 Facsimile
OWNER -BUILDER INFORMATION
Dear Property Owner:
An application for a building permit has been submitted in your name listing yourself as the builder of the property
improvements specified.
For your protection you should be aware that as "owner -builder" you are the responsible party of record on such a
permit Building permits are not required to be signed by property owners unless they are personally performing their own
work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if
that person applies for the proper permit in his or her name.
Contractors are required by law to be licensed and bonded by the State of California and to have a business license
from the city or county. They are also required by law to put their license number on all permits for which they apply.
If you plan to do your own work, with the exception of various trades that your plan to subcontract, you should be
aware of the following information for your benefit and protection:
o If you employ or otherwise engage any persons other than your immediate family, and the work (including materials
and other costs) is $200 or more for the entire project and such persons are not licensed as contractors or
subcontractors, then you may be an employer.
o If you are an employer, you must register with the state and federal government as an employer and you are subject
to several obligations including state and federal income tax withholding, federal social security taxes, workers'
compensation insurance, disability insurance costs, and unemployment compensation contributions.
o There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious
with respect to workers' compensation insurance.
o For more specific information about your obligations under federal law, contact the Internal Revenue Service (and,
if you wish, the U.S. Small Business Administration). For more specific information about your obligations under
state law, contact the Department of Benefit Payments and the Division of Industrial Accidents.
If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their
work personally or through their own employees, without a licensed contractor or subcontractor, only under limited
conditions.
A frequent practice of unlicensed persons professing to be contractor is to secure an "owner -builder" building
permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building
permits are not required to be signed by property owners unless they are performing their own work personally.
Information about licensed contractors may be obtained by contacting the Contractors' State License Board in your
community or at 1020 N Street, Sacramento, California 95814.
Please complete and return the enclosed owner -builder verification from so that we can confirm that you are aware
of these matters. The building permit will not be issued until the verification is returned.
Sincerely,
Scott Rutherford
Chief Building Inspector
NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code.
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. I personally plan to provide the ma'or labor and material for construction of this proposed
property impro ement: YES [� NO [ ].
2. I HAVE [ lIHAVE NOT [ ] signed an application for a building permit for the proposed
work.
3. I have contracted with the following person (firm) to provide the proposed construction:
NAME:
ADDRESS:
PHONE:
CONTRACTOR'S LICENSE NO:
4. I plan to provide portions of the work, but I have hired the following person to coordinate,
supervise, and provide the`major work:
NAME: _
ADDRESS:
PHONE:
CONTRACTOR'S 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 OWNER:
DATE:
/O -- /.2- 0 6 -
NOTE: This Owner -Builder verification is required by Section 19831 and 19832 of the California
Health and Safety Code.
This verification must be completed and returned to our office before we are permitted to issue the
permit.
Rev'd 11/4/2004
Butte County Department of Development Services
PAUL MCINTOSH, INTERIM DIRECTOR
7 County Center Drive
Oroville, CA 95965
(530) 538-7601 Telephone
(530) 538-7785 Facsimile
ADMINISTRATION * BUILDING * GIS * PLANNING
August 8, 2005
Capital Financial
Fax: 674-4191
Subject: Reconstruction of a nonconforming use
Site Address: 1188 Larkin Road, Gridley, CA 95948
APN: 024-100-036
Non -conforming uses in Butte County are governed by Butte County Code Sections 24-
35 though 24-35.55 inclusive. These sections of the code provide for the replacement of
a nonconforming use subject to the requirements contained therein. This applies to all
nonconforming uses in Butte County. The applicable sections of the Butte County Code
may be found on the Butte County Department of Development Services website at
www.buttecounty.net/dds, proceed to the Planning Page and to "Online General
Ordinances" link (Chapter 24 is our zoning section).
If you have any specific questions please feel free to contact my office.
Sincerely Yours,
aw6l 0-1
Jim Coo�
Planning Manager
COUNTY OF BUTTE — bEPARTMENT OF PUBLIC WORKS
7 County Center Driv6- — OroOille, California95965
Telephone: 534-w4541
• 1'
APPLICATION AND PERMIT
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes.
X
Signature of Permitee or Agent
Date
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
BUILDING
Owner
SQ. FT. OCC. BUILDING VALUATION
Mailing Address
Telephone No.
Fireplace
Contractor
Total Valuation
Mailing Address
Permit Fee
Plan Checking Fee &/or Penalty
Telephone No.
Permit Fee
$
Building Address
PLUMBING
No.
@ FEE
PERMIT FILING FEE $2.00
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.
Zoning $ Planning
Gas piping system 1 - 5 outlets
1.50
Each additional outlet .30
Fees
W. C.
Sanitation
FireDept.
FireZone
Use Permit
Building sewer 5.00
EQA
Parking
Plans
Parcel
Declaration
Parcel Ma P
60' R/W
Im p
Improvements
Lawn sprinkler system 2.00
Bldg. Plans Recd I
Parcel Approval I
Plans Approval
Permit Fee
$
$
NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ❑
ELECTRICAL
No.1
@ FEE
PERMIT FILING FEE $3.00
Main service incl. 1 meter
Additional meters, each
1.00
Sub -panel (12 or less) (more than 12)
Single Family ❑ Duplex ❑ Mobil Home ❑ Others ❑
Range, Cook -top or Oven 1.00
Water Heater or Space Heater
1.00
Light fixtures 20 10
Receps., switches & fix outlets 2q 15
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:
Hood, Ex. Fan or F.A. Furn. Motor
1.00
Evap. cooler, gar. disp. or D.W. 1.00
Air conditioner or heat pump
Water pump
Mobil Home Facilities 5.00
Temp. Power Pole 5.00
License No. Classification
Misc. wiring
❑ 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.
EJI 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
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
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
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
7 County Center Drive — Orovi Ile, California 95965
Tel ephgn e: 534-4541
APPLICATION AND PERMIT
autnonce representatives or the county of tsutte to enter upon the
above-mentioned property for inspection purpo es.
Date
Signature of Permitee or Age
Receipt No. 1/47 % .
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
>���Buiil�dingpe!rm,te,
Datpires
BUILDING
Owner
SQ. FT. OCC. BUILDING VALUATION
0.
Mailing Address
Telephone No.
Fireplace
Contractor
Total Valuation
Mailing Address
Permit Fee
Plan Checking Fee&/or Penalty
Telephone No.
Permit Fee
$
$
Building Addre
PLUMBING
No.
@
FEE
PERMIT FILING FEE $2.00
Each Trap 1.50
e
Repair drainage or vent piping
1.50
Water piping 1.50
IS
Each gas water heater or vent 1.50
A. P. No. r e, CT 6
Zoning& Planning
Gas piping system 1 - 5 outlets
1.50
/
Each additional outlet .30
F#a<1
W4Q!Sanitat
Fire Dept.
Fire Zone
Use Permit
Building sewer 5.00
EQA
Parking
Plans
Parcel
Declaration
Parcel Ma P
60' R/W
m
Improvements—
provements
Lawn sprinkler system 2.00
d
Bldg. Plans Recd I
Parcel Approval
Plans Approval
Permit Fee
$
$
NEW ❑ ADDITION ❑ UTILITIES OTHER ❑
ELECTRICAL
No.
@
FEE
PERMIT FILING FEE _ $3.00
3
Main service incl. 1 meter
jta-s•
Additional meters, each
1.00
Single Family ❑ Duplex ❑ Mobil Home Others ❑
Sub -panel (12 or less) (more than 12)
Range, Cook -top or Oven 1.00
Water Heater or Space Heater
1.00
Light fixtures bald to
Receps., switches & fix outlets
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:
Hood, Ex. Fan or F.A. Furn. Motor
1.00
Evap. cooler, gar. disp. or D.W. 1.00
Air conditioner or heat pump
Water pump
Mobil Home Facilities 5.00
f
Temp. Power Pole 5.00
License No. Classification
Misc. wiring
'Kl am exempt from the Contractors License Laws of the State of California.
Permit Fee
$
o°
$
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.
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 $3.00
Heating
Cooling
Ventilation
Hood 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
TOTAL PERMIT FEE
autnonce representatives or the county of tsutte to enter upon the
above-mentioned property for inspection purpo es.
Date
Signature of Permitee or Age
Receipt No. 1/47 % .
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
>���Buiil�dingpe!rm,te,
Datpires
0A Peq
� M (;
P
Elm
� aV
n�
n NAl��.
0A Peq
� M (;
P
Elm
1 ECLAHATTON 1tt�CARD I I-16 1,04'.1' OR PARCOLS
I certify that as owner of the property acquired by deed in
Volume s , Page. a Official Records of Butte County, (AP.
►: oA�
# a9Q:Z- - '011640 I am requesting permission to build or install,
an additional living unit on this property. I will not divide the afore -
.mentioned property for sale, lease, rent, or financing unless all
• applicable. -land '-division •-saws-arid•.mep-req4 i rement a. -a re -complied •with. -
a
I am conversant with the present zoning regulations affecting the
.aforementioned property, and declare that I shall not violate same. I
'•.represent that the proposed use of the additional living unit is .z
and --that- further I -shall -not.
"change --this proposed- use -of -the---additional -
::living unit unless and until•I receive written approval therefor from
the County of Butte.
I fully understand that pursuant to Chapter 20 of the Butte'County
Cade and §11535 et seq of the Business and Professions Code that if I,
' in the future, sell, lease, or finance the area on or adjacent to said
improvement without fully complying with the applicable laws and
'. ordinances, that I shall be guilty of a misdemeanor and therefore, subject
to the aforesaid penalties and imprisonment pursuant to law. Further,
-this statement• shall •be -'properly, -acknowledged and -recorded at the request
:- of-xhe-County.-of_Zutte,
OFFICIAL RECORDS '
9UTTE COUNTY -
l R EXR E � C �� BY
Own
APR I �' :z3 ''�M IQ�3: er
• "LOE1ISEatIUE!lOEr� � -• /'> '
' COU#TX RECORDER -I a
Fes.
2'7022 Ay)r,1.1 1973
Date
.• _ .. • .
STAT Or" CALIFORNIA
COUNTY OF ss.
On this 5th day of .April. 1973 before me,
Marjorie J. taker , a Notary Public in and .fort the County o
Butte , State of California, residing therein, duly
commissioned—and sworn, personally appeared ::alter L. Robbins, Jr.
known to me to bete person w ose name o'
-ice su scri ed -tote wit in instrument and acknowledg-eW to me that—•'
he executed the same.'
IAN WITIIMS UIILRM- F I have hereunto set my hand -and affixed my S
-official seal in the . -County of Butte the -day and -year in this
certificate first above written -0
4a AR.••aiilfliilit!iiE1VVliutillQlPR�IIQIMp1111�
. OFFTCIAL SgAL
a MARJORN - ..BAKER 9• • F -i
e NOTARY PUBLIC -CALIFORNIA CCUNTY of SUTI'F_
. o 10tnry �'U c
My Commbslon Expires lune 14,1973
sin�unuou; aeinYoei. a>;>;asiiusa:ci»uiiieir�iar j or • . Baker �p OF DOCUMENT