HomeMy WebLinkAbout024-100-08724-10-��' f
E allagher
FAILURE'TO FINAL SINGLE FAMILY W/S Gr dley Ave., app.750'N.of Clardy
= Avc., Gri ey QpaV-c 4,
12/16/93`` �% Permit Y�, 279 J9P,E(util.,MH)
/!/2�R/ ELEC . S /5,9 �P Kf2Q
U� GAS '
SUPPORT STRUCTURE RE D'
COMPACTION TEST REQ. v
I Permit t'7' 8 79PI�_
Isms ed ��Z
L1065 24-10-87. � VGridley A nue, Gridley�
it#1881-85B,P,E,M(neww single family)
24-10-
( Permit#2082-85P(relocate gas line/
{ existing MH site)
Lha
LV
I��'
A. -
024-100-087 PERMIT#94-1980
GALLAGHER, EDWARD 8, MARIAN —.A -'R
1065 GRIDLEY AVE., GRIDLEY
COMPLETE BP#1881=85
024-100-087 7--06-1400 -
+ JAUREGUI, RAMON
RIDLEY AVE, GRIDLEY 4901-14,-
Cont: TROY LEONARD ro'•2?
MIH PERM FND (AG WORKER)
t R. ". 1-
1
Butte County Department of Development Services ur nitEA
NOTES, TCo°n -024 100 087' '- "); ; j , 06-iaoo'
" (sso) 531. w JAUREGUI, RPSION,`
GRIDLEY AVE, GRIDLEY
Cont: TROY LEONARD
M/H PERM FND (AGWORKER) L
APN: Permit No.
Owner.
t Site Address:
' Contractor.
- j
Type of Permit:
r -
i
a
7
OFFICE COPY
I Address 1
GAS f
Meter By Date :2q �
ELECTRIC
Meter By Gas Date
.t
SPECIAL CONDITIONS
js CHECKED BY
r Q SRA
Q FLOOD CERTIFICATE EQUIRED
Q FIRE SPRINKLERS REQUIRED
r}. Q SPECIAL INSPECTION ITEMS
Q VERIFY
Q USE PERMIT CONDITIONS
+_ Q SUBSTANDARD HOUSING LETTER
Q ENCROACHMENT PERMIT
Q REINSPECTION FEE PAID
+ Q ENV HLTH CLEARANCE
' .Manufacturer
Date of Manufacture �• 2G - 53
Serial Number(s) C7tw&( "r V io /Sic
HUD Number(s) V A p 20
7
DATE JOB FINALED: C� b
4 G
1 SIGNATURE:
' L
. 1
=OK
O = Not OK
MANUFACTURED HOMES
MISCELLANEOUS -
DATE RMANENT FOUNDATION Li SOFT -SET
o gSetbacks-Easements
A 21S ." , Special MH Support Sketch
2'S�r; Loctn-Test; FaIUCIO-Concrete
AOVV , Loctn-Test-Easement Needed -Regulator
,KEI octn-Clrncs-GradG01 "Am -Concrete
A�Vard Gas; Loctn-Test Wrap Nat or LP
�Inch Sz 1-57' Ft Lngth
Bg-; SzSpacing-Marriage Line
MH Test
MH Cntnty Test-Crossovers-Breakers-Cimcs
Drain; MH Test -Fall -Flex Cnnctr
11 Wer 8 Wer Connected -C/O to Grade
18'F and E ectri ' gged
iFoundation Q
1M its
15 Ce.0 of Occupancy
UD LabeUlnsignia Numbers Serial Numbers
----DATE ID E C K S -CO V E R S -C A R P O R T S -G A R A G E S
1 ZoningSetbacks-Easements
2 Figs; SoilsSz-0pthSpacing-CnnctmSteel
3 Decks, Glyders/Joists-0cking-Brcing
Stairs-Guard/Handrails
4 Wood Awn; Posts-Beams-Rftrs-CnnctmShthg..
Frmg-Brcng
5 Alum Awn; Columns-CnnctnsSplice-Decal-Encisrs
6 Carports; Wndws-Doors
7 Electric
8 Frrng; Sills-AnchrsStuds-StudsTrusses
9 .Siding; Nailing -Veneer -Stucco -Lath
10 Roof; Shthg-Roofing
11 Exit; Steps -Doors -Landings
12 Braced Wall pnls
DATE IP O O L S
1 Setbacks -Easements
2 Sails; CompactionStructure Stability
3 Pool Structure; Steel-Cnnctns-Thickness
Dead Men-Uning
4 Elec Rcptcls[Ung; Distance-GFi
5 Elec Pool Lung; 15 votts-GFi
6 EIec.Enclsrs; Conduit Entries -Terminals -Listed .
7 Elec Bonding; Metal w15'-Crcltng Egp-Htr
8 Elec Gmdng; Eqp w/5' Crcltng Eqp-Pool Ightg
Boxes-Enclsrs-pnlboardsansultn.to Main Conduit
9 Health Dept App' M
10 Plmb; Cir Test-Wtr Supply Test
11 Lt Niche ,
12 Encisr, Fencing -Alarms
-13 Bonding, Diving board or Slide
4e
00 ?
Pool Drawing
.
f
f
RESIDENTIAL
(Single
&
Duplex)
DATE JUNOERFLOOR
DATE
IPLUMBING
i coning-oetoacas-=asemenis-FiaodSiope
2 Ftg Main; Soils-Elec Gmd Ftg DRth
3 Ftg Garage; SoilsSteel-Elec Grnd Ftg Dpth
4 Ftg Porches/Decks; Soils -Steel Ftg Dpth
5 Stemwalls Main; Steel-Blockouts Wrapped
6 Stemwalls Garage; Steel-Blockouts Wrapped
6a Hold Downs and Special Anchrs
7 Slab, Steel Wrapped
8 Piers-Frplc Ftg-Steel
9 DWV; Fall -Fitting -Test -2 -way CIO -Sewer Test
10 UF, Gas Pipe; Sz Anchrs-Sz Test
11 Wtr Pipe; Test-Anchrs-RgltrService Test
12. Elec Undrgrnd
13 Plenums & Ducts; Clrnc-MaterialSupport4nsultn
14 GirdersSills-Anchr Bolts-Joists-Vnts-Cripples
15 Ace & VnUtn
16 Insulation
dr 0'� o'� �s•
DATE FRAMING
17 Sills Proper Materials & Anchrs
18 Wells Studs -Nailing Spacing & Braces-PlatesSound
19 Bearing Walls over Girders & flr Nailing
20 Draft Stop in Walls (rat proof)
21 Fire Stops; Furred CeilingsStairs-Chasers-Tubs
22 Headers & BeamsSi &"Bearirig"
23 Hangers -Post Caps-Anchrs-Cnnctns
24 Ceiling Joist-Rftr Ties-Purlin-Roof Brac TrussShthg
25 Frplc Ti
es or Type A Flue=Frplc Throat Clmc
26 Attic Acc; Sz & Rmx Prtctn-Draft Stop -Ins Baffles
27 Bdrm Wndws or Exiting DoorsSill Ht & Dimensions
28 Garage Fire Prtetri Framing -RC Channel
29 Prprty Line Firewall & Opngs'
30 Ext Doors -One 3' -Check Garage 3rd. Story, 2 Exits
31 Stairs; Width-Hdrm-Rise-Run-Landing-Fire Prtctn
32 Plywd on Roof Ovrhng-Attic Vnts-Ritr Outrgrs
33 Siding -Nailing Veneer
34 Stucco Lath Weep Screed-Fndtn Vnts-Undrflr Ace
35 Glazing Area -Glass PrtctnSkyLts-Plastic .
36 Shear Walls; Nailing -Bolts
37 Brace InUExt Wall pnls
38 Insultn-W al Is -Ceilings
39 I nfi itration-W a I Is -W n dws
DATE JELECTRICAL
40 Fxtr & Trnsfrmr Cirnc4ns Prtctn
41 Elec Rcptcls Spacing-Lts & Switches at Doors
42 Sz Boxes & No Of Cndctrs Stapled
43 Romex Installed Close to Edge of Studs & CJ
44 Eqp Grnd made up w/Mech Fstnrs
45 Gmdng Electrode Bond Gas & Wtr
46 2 Appinc Cires in Ktchn & Cndctr Sz GFI
47 Subfeed Wire Sz 0 C or ❑AL
AC Wire Sz oa ❑ CU or ❑AL
48 Range Clic oa ❑ CU or ❑ AL
Oven Circ as ❑ CU or ❑ AL
Insulated Neutral [—I Yes ❑No
49 Service -Riser Cndctrs & Gmd Main Dscnnct
50 Eqp Cirnes pnls-Motors-Mech Eqp
51 Clothes Closet Lt-Shwr Lt -Spa Lt
52 Smoke Detector
53 Wtr Htr; Vent Acc-Cmbstn Air Baffle
54 Wtr Pipe; Test & Anchr-NaiLPrtetn
55 DWV; Test Fittings & Anchr. Nail Oricin
56 Shwr Pan; Test, First fir -Tub Ace
57 Test Tuti & Shwr, 2nd fir - Tub Ace
58 Gas Pipe; Sz & Anchrs
59 Fire Sprinkler; Test
60 Yard Gas.Piping
qr
DATE IMECHANICAL
61 AC Ducts Insuitn & Support M.
62 Vent Fan, Exhaust abv Insultn
63 Condensate Drain & Ovrfiw, Sz & Grade
64 Furnace -Vent Acc-Comb Air Rtrn/Vent 115 Outlet
65 Attic Ace & Pltfrm if Furnace in attic
FINAL
66 Ext Steps -Door & SideLt Prtctn-Landings
67 Smoke Detector
68 Furnace Vnts-Clmc-Comb, Air-Cnnctr
In Garage; abv-flr-Ducts-Meth Prtctn
69 Bedroom Exiting
70 GFI & Bath Fxtrs & Tub Ace -Spa
71 GFI Arc Fault
72 Elec Trim & Subpnl, Breaker Szs & Labels
73 Stairs, Guard/Handrails
74 Frplc or Stove, Cimc-Hearth
75 Elec Outlets at Wood Pnl, Int & Ext
76 Ktchn, Fxtr & Appinc; Gmd Air -Gap -Cooking Clrnc
77 Elec Outlets & Rcptcls at Ktchn Counter
78 Garage Fire Door; Swing -Landing -Closure
79 AC Duct in Garage -Damper.
80 Wtr Htr; Vnts-ClmcCom Air Cnnctr-PRV; abv fir
Mech Prtctn; LPG Appince Undr House 3' drain
81 PImb; Elec & Mech Eqp Listed for Lactn
82 Elec Rcptcls in Garage (GFI) Romex Prtctn
83 Insults -Foam -Looked in Attic
84 Guard Rails & Deck Cnstrctn-Post Caps
85 Fndn Vnts & Crawl Hole Door Dmge & Wood -Earth
86 Clmc Dmge Planters ❑ Yes [::]No
87 Stucco Brown -Finish
88 AC Unit Dscnnct, Elec-PImb
89 Vnts abv Roof, PImb-Appinc-Frplc-Clrnc to Opngs
90 Wtr Well, Dscnnct, Elec, PImb
91 Ext Elec Trim, GFI Rcptcl-Undrgrnd
92 Vntitn thru House
93 Glass Prtctn
94 Corrections from previous hispetns
95 Gas Test -Meters Tagged, Gas-Elec
96 Wtr & Sewer Cnnctd-C/O to grade -HD Apprvl
97 Energy Cmpinc Cert -Other Certs
98 Address Posted
99 Fire Sprinkler
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT
24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO)
OFFICE M (530) 538-7541
PERMIT NO.
BP061400
PERMITS BECOME NULL AND VOID 1 YEAR FROM THE DATE OF ISSUANCE, OR IF WORK IS DONE IN VIOLATION OF ANY COUNTY OR STATE LAWS.
LICENSED CONTRACTORS DECLARATION
I hereby affirm under penalty of perjury that I am licensed under
Issued Date: 07/07/2006 APN: 024-100-087-000
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
effect. ' ('� C -
License Class : -1 License Number: TS
Site Address: 1063 GRIDLEY AVE GRI
Map Index:
Date:) '2 C�, Contractor: i L) Y i._.e s�
M Cl .
.cicy
Description: NEW MH NEW SITE PERM FNDN AG
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the
WORKER (1167)
Contractors' State License Law for the following reason (Sec. 7031.5
Business and Professions Code: Any,city or county which requires a
permit to construct, alter, improve, demolish, or repair any structure, prior
Owner: JAUREGUI, RAMON AND TERESA
to its issuance, also requires the applicant for such permit to file a
signed statement that he or she is licensed pursuant to the provisions of
the Contractor's State License Law (Chapter 9 commencing with Section
1065 GRIDLEY AVE
7000) of Division 3 of the Business and Professions Code) or that he or
GRIDELY, CA
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
95948
applicant to a civil penalty of not more than five hundred dollars ($500).):
530-846-4732
❑ 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 (Sec. 7044, Business and Professions
Code: The Contractors' State License Law does not apply to an
owner of property who builds or improves thereon, and who does
Applicant: MAJESTIC HOMES
pp
such work himself or herself or through his or her own employees,
provided that such improvements are not intended or offered for
sale. If however, the building or improvements are sold within one
PO BOX 361
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
95916-0361
sale.).
530-589-4261
❑ I, as owner of the property, am exclusively contracting with
licensed contractors to construct the project (Sec. 7044, Business
and Professions Code. The Contractors' State License Law does
not apply to an owner of property who builds or improves thereon,
and who contracts for such projects with a contractor(s) licensed
Contractor: MAJESTIC HOMES
pursuant to the Contractors' State License Law.).
❑ 1 am Exempt under Article 3 of the Business and Professions Code
PO BOX 361
Date: owner:
95916-0361
530-589-4261
WORKERS' COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for
License #: 759575
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
Architect:
required by Section 3700 the Labor Code, for the performance of
Engineer:
the work for which this permit is issued. My workers' compensation
insurance carrier and policy number are:
Carrier:
Policy
Total Square Ft: 1167 S.F.
.126 1 certify that in the performance of the work for which this permit is
Valuation: $75,855.00
issued, I shall not employ any person in any manner so as to
Census Code:
become subject to the workers' compensation laws of California,
and agree that if I should become subject to the workers'
compensation provisions of Section 3700 of the Labor Code, I shall
forthwith comply with those provisions.
Date: -7-` 7j 0 � 2
:t 1
Applicant: a C2Q_UY1G�✓ .�
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
G ( �( o� 1 o fs 3�C!
compensation, damages as provided for in Section 3706 of the Labor
lz)",
code, interest, and attorney's fees.
CONSTRUCTION LENDING AGENCY
Thisermits is reby issued unde applicable provisions of the Butte County Code and/or
I hereby affirm that there is a construction lending agency for the
Res utiondo work inditatei abo a for which fees have been paid.
performance of the work for which this permit is issued (Sec 3097 Civ.)
i �, i t
/
BY Date:o
Name:
_
Address:
PERMIT EXPIRES ON:
Date
❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage,
handling and use of hazardous materials.
❑ 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 ument of Butte County. I hereby
authorize rep(/r�5pentatives of Butte County to enter upon the above mentioned property for inspection purp se yp �%
�
Print Name: i -� 4� C�i�t� �� Signatur • "l_d�
Date:
❑ Owner ❑ Contractor ❑ Agent for Owner gent for Contractor
B. C. Building Permit 01-16-04 pg 1
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT
24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO)
ry OFFICE #: (530) 538-7541
PERMIT NO.
BP061400
PERMITS BECOME NULL AND VOID 1 YEAR FROM THE DATE OF ISSUANCE, OR IF WORK IS DONE IN VIOLATION OF ANY COUNTY OR STATE LAWS.
LICENSED CONTRACTORS DECLARATION
I hereby affirm under penalty of perjury that I am licensed under
Issued Date: 07/07/2006 APN: 024=100-087-000
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
effect.Site
License Class: License Number: V J T9
Address: 1063 GRIDLEY AVE GRI
Map Index:o
Date: )_ ? _ ao Contractor: 1 rL7 Y �o C
V5
Description: NEW MH NEW SITE PERM FNDN AG
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the
WORKER (1167)
Contractors' State License Law for the following reason (Sec. 7031.5
Business and Professions Code: Any city or county which requires a
permit to construct, alter, improve, demolish, or repair any structure, prior
Owner: JAUREGUI, RAMON AND TERESA
to its issuance, also requires the applicant for such permit to file a
signed statement that he or she is licensed pursuant to the provisions of
the Contractor's State License Law (Chapter 9 commencing with Section
1065 GRIDLEY AVE
7000) of Division 3 of the Business and Professions Code) or that he or
GRIDELY, CA
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
95948
applicant to a civil penalty of not more than five hundred dollars ($500).):
530-846-4732
❑ 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 (Sec. 7044, Business and Professions
Code: The Contractors' State License Law does not apply to an
owner of property who builds or improves thereon, and who does
Applicant: MAJESTIC HOMES
such work himself or herself or through his or her own employees,
provided that such improvements are not intended or offered for
sale: If however, the building or improvements are sold within one
PO BOX 361
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
95916-0361
sale.).
530-589-4261
❑ I, as owner of the property, am exclusively contracting with
licensed contractors to construct the project (Sec. 7044, Business
and Professions Code. The Contractors' State License Law does
not apply to an owner of property who builds or improves thereon,
and who contracts for such projects with a contractor(s) licensed
Contractor: MAJESTIC HOMES
pursuant to the Contractors' State License Law.).
O I am Exempt under Article 3 of the Business and Professions Code
PO BOX 361
Date: Owner:
95916-0361
530-589-4261
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
License #: 759575
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
Architect:
required by Section 3700 the Labor Code, for the performance of
Engineer:
the work for which this permit is issued. My workers' compensation
insurance carrier and policy number are:
Carrier:
Total Square Ft: 1167 S.F.
Policy#:
.66 1 certify that in the performance of the work for which this permit is
Valuation: $75,855.00
issued, I shall not employ any person in any manner so as to
Census Code:
become subject to the workers' compensation laws of California,
and agree that if I should become subject to the workers'
compensation provisions of Section 3700 of the Labor Code, I shall
forthwith comply with those provisions.
Date: 7— —,7 — Dig
Applicant: Q C2Lj, l Q_0Y\O3( G
WARNING: Failure to secure workers' compensation coverage is
unlawful, and shall subject a( employ)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.
%iO 21 C7 61
CONSTRUCTION LENDING AGENCY
aplicable provisions of the Butte County Code and/or
This €rmit is reby issued und!a!bofp
I hereby affirm that there is a construction lending agency for the
Res utions do work indil ate or which fees have been paid.
performance of the work for which this permit is issued (Sec 3097 Civ.)
Name:
� / /-� Date: / CJ
BY 9-9-4
PERMIT EXPIRES ON: /— / 4 /
Date
Address:
❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage,
handling and use of hazardous materials.
❑ 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
Butte County. I hereby
all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official formT��Z/t'lo
authorize repr entatives of Butte County enter upon the above mentioned property for inspection purp se .
^to
�_ �_ c�C��� rC_
Print Name: (Signatu
Date:
❑ Owner ❑ Contractor ❑ Agent for Owner gent for Contractor
B. C. Building Permit 01-16-04 pg 1
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 OFAPPLICATION
"PLEASE PRINT CLEARLY"
OWNER
Last Name e 4— U %
irst Najge
Address ®E.s.. El 4 Ae-
City 4';'A / /) J_
If 4f
Tip 951 J19
Phone Sao
Fax
E-mail
CONTRACTOR
Name
Address P
Ci/ State.
Zi
Phone _tL� Fax
L
E-mail. Lic.� 5?
Class q
IR
APPLICANT NAME
ARCHITECT/ENGINEER
Name
City. / State /A4
Address
Phon 30 -1� �' ` Fax
�•�(�
City
Policy Number
State
Zip
Phone
Book
Fax
E-mail
Planner
State License Number
APPLICANT NAME
Name 'Tie YLar I
!! c
Address
City. / State /A4
7jgdll
!l
Phon 30 -1� �' ` Fax
�•�(�
E-mail
-,APPLICANT SIGNATURE
X
For office use only:
Zoning
F perty Address
�3 aA iDL E_
J Flood Zone
Cross Street„
.,Q , t `
SRA
Yes
Policy Number
Occ.
Type Const
Subdivision Name Map
Book
Page
Lot #
Planner
Date Approved:
OVER FOR SUBMITTAL REQUIREMENTS
PERMIT
NO.
D�o - X00
BP
BIN #
LOCATION
AP# 7
F perty Address
�3 aA iDL E_
City
6 R I6Lle y
Cross Street„
.,Q , t `
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
Address
escripti nIo Scope of W
VI o k:
Sq. of
❑ dt, ire Built without Permits
❑ Proposed Change of Occupancy
(Note previous use):
EXPIRATION OF APPLICATION
Applications for which a permit has not been issued will expire one
year after the date of application. In order to renew action on an
application after expiration, a new application, plans and fee will be
REQUEST FOR REFUNDS
Refunds can only be made upon written request by the person who
paid the fee. The request must be m p o the grati n of the
permit and no construction work ne. esplan
check fees for work plan checked and�o r epartmco are not
Receipt #:
+S�'-7
Datele
Amount:
SRA
Sheriff
SMTP
Other
Total
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 GRAPHPAPER!
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.
❑ S.
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).
t7 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 preparer. NO GRAPHPAPER!
❑ 2. 2 Data sheets and installation instruction manual.
❑ ' 3. 2 Marriage line information.
❑ 4. 2 Floor plans.
0 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 GR,4PHPAPER1
❑ 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
KAFORMSXRUILDING F0RMS1BIdaAoo1SubRamts.doc Paae 2 of 2 REV 6-16-04
COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION
f
7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140
PERMIT APPLICA'T'ION DATA SHEET
OWNER: ASSESSOR PARCEL NUMBER 6D4-. 1 o G
Proposed Building Use:Q'AbA
rn permit Technician: 4e Date: `F' V
Items required in order to apply for a permit All boxes UST be checked OR marked NA in orde to apply.
�. 1. Site plans, 3 or 4 sets, signed by the preparer of the plans.
❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans.
,❑ 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations.
❑ 4. Engineered truss details and layouts in duplicate. No faxes!
❑ 5. Letter from Engineer or Architect for truss design review.
❑ 6. Energy compliance design and supporting documentation in duplicate.
❑ 7. Statement of Intent for Non -heated and AIC for Non -R smage
tial Buildings.
8. Manufactured homes Install ion manual, inci�di� i line inf�Floor Plan, Tie down orfnd plans, all in
du li e. v�� C _ -
❑ 9. Metal bldgs: (A) Metal Bldg Plans,( 1) Fin plans and calks In np Ica e, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these
must be stamped and wet -signed by the engineer.
❑ 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate.
❑ 11. Hazardous Material Form
❑ 12. Acknowledgement of building permit application without required clearances.
❑ 13. Other
.i
Remaining items needed to issue the permit (May require additional plan review upon receipt of the following items.)
14. Sanitation and site plan approval from the Environmental Health Department in ❑ Chico ❑ Oroville, as applicable
❑ 15. Fire Sprinklers............................................................................................
❑ 16. Agricultural Buffer dr and site plan apr from the Ag Commissioner Sent by
❑ 17. Soils Report and/or Engineered Foundation required ...........................................
18. Erosion Control Plan Required........................................................................
19. Fees as shown on the attached Schedule of Fees Due Sheet .............................. '1
❑ 20. City of Chico Plumbing permit........................................................................ .
❑ 21. Site plan and business license approval from the City of Biggs .............................. r
22. California Department of Forestry plan approval ❑ paid. Sent by:
.............
23. Planning approval for (A) Use: ✓ (B) Parking: (C) Parcel Checlk:.Ql.....
❑ 24. Contact Land Development about _ Improvements, _ Drainage ........................
❑ 25. Fire Marshall Review (commercial projects only). Sent by: ......................
IL 26. NPDES Form ......................... :..................................
.................................
27. Encroachment Permit for driveway from the Public Works Dept ...........................
❑ 28. Contractor's license information, (Number, Name Style, Classification) ...................
❑ 29. Worker's Compensation Carrier and Policy Number ..........................................
❑ _ I 30. Owner -Builder Verification (_ Given to owner, _Mailed to owner) .....................
(�► 31. Letter of Signature authorization....................................................................
❑ 32. Recorded copy of Agricultural Acknowledgment Statement .................................
❑ 33. Existing violations and/or expired permits.........................................................
❑ 34. Deed Restriction..........................................................................................
❑ 35. '�I- Legal descriptio r M.H. Title, title search, registration or MCO .........................
❑ 36. Other.
❑ 37. Other. -
00
When issued Telephone °-�Tr ion SSS -12.1.01 C and hold for pickup.
I have been info ed of the abo774
requirements for obtaining a building permit.
Applican Ck, Date. u�,�.e_
1. Index permit application for the above items numbered: Plan Check etter
Iiiitems required VM�al
esigner, owner, was advised of the above data by p mail, ❑ counter, by . Date:r, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date:
Contractor, designer, owner, was Ovised of the above d a y ❑ phone, ❑ mail, ❑ counter, by Date:
Plans reviewed by: Date: - L rV Plans approved by: Date:
Structural reviewed by: Date:_ Structural approved by Date:
Note transfer by: Date:
Yellow: Building Division
TO:
FROM:
k
� I E.H. USE ONLv
Plot Plan Attactled
a Floor Plan Attadted
Sent to BD/DS I_
Building Division = Development Services
Environmental Health
SUBJECT: Sanitation Clearance
f -
Owner Location AP#
Plan Approved for: Sewage Dispose
Clearance for dwelling. Other,
Hold final for:
Final clearance O.K. for:
NOTE:
FEW
Environmental Health Specialist
Building Clearance 9/2005
r Supply: Public Private Well
Date
BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 COUNTY CENTER DRIVE; OROVILLE, CA 95965
www.buttecounty.net/dds PHONE (530) 538-7541 FAX 538-2140
RECEIPT OF FEES SCHEDULE - RESIDENTIAL
Owner JAUREGUE, RAMON APN No: 024-100-087 Permit Type: T,'1, Subtype:
App Date: 6/12/2006 Permit No: BP 06-1400 Permit Desc:
1 BUILDING PERMIT FEES ESTIMATED AT APPLICATION $549.90
Plan Check portion of Permit Fee $219.96 $329.94 Balance of Building Permit Fee
2 FEMA RYes
Yes Flood Elevation Review $109.98 0
3 SRA* Fire Plan Check - Non -Refundable $95.00 0 $204.98
(State Responsibility Area) Building Inspection $109.98 0 1
NON-REFUNDABLE portion of fees due at application $219.96
FEES DUE AND PAYABLE AT TIME OF PERMIT APPLICATION $219.96
FFFR /RFI AW1 Ill IF 13DIr1D TA ICCI IAKlf P r%r DGDMIT QA R!?R RA
RECEIPT ATE Tech/Asst
At the time of permit application, I was advised the above fees are required to be paid prior to issuance of the permit. These fees may be changed during the plan
checking process.
Applican Date: 1 '�) c')6
Pursuant to Government code Section 66020, you are hereby notified those Items followed iby an " may have been imposon your project. You have 90 days
d
from the date of approval of the porject or from the impostion of the above referenced items during which you may protest. a requirements for a protest are
specified in Goverment Code Section 66020(a). K:/BuildingfForms/Schedule of Receipt Fees Residential 041506
r
BUTTE
COUNTY
J r.��.�_ JUL j 0.2006
DEVELOPTAEN i
SERVICES
- k
W ig -T-vi (�Jla z c -ems
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Departm-en-t
C o u n t s
J. Michael Crump,
Director
of. Public
o f B u t
Works
LAND DEVELOPMENT DIVISION
Storm Water Management Program
7 County Center Drive
Oroville, CA 95965
(530)538-7266
(FAX) 538-7171
National Pollutant Discharge Elimination System (NPDES) Phase II
Construction Storm Water Permit and Storm Water Pollution Prevention
Plan (SWPPP) Acknowledgement [LESS THAN 1 ACREI
Project Description:
lb&-
Location and/or Parcel Number:
'
By signing below, I, the project owner/owner's agent.. certify that this project WILL NOT DISTURB
1 acre or more of land and that I, therefore, do not need to apply for a Construction Storm Water
Permit from the State of California Regional Water Quality Control Board. Phased projects that
contain multiple site build -outs of less than one acre but when combined with 'subsequent phases total
more than one acre of disturbed soil will. require a Construction Storm Water Permit from the State of
California Regional Water Quality Control Board.
I am aware that submitting false and/or inaccurate information or failure to apply for a Construction
Storm Water Permit from the State of California Re.; onal Water Quality Control Board for a project
that disturbs one acre or more of land may result in revocation of grading and/or other permits or other
sanctions provided by law.
Signed:
Title:
'yam
Less than 1 Acre NPDES & SWPPP Compliance Certification
Butte County Stone Wates Management Program
I
0 Department of Public Works
o C o u n t y o f B u t t e
0
7 County Center Drive
ille, CA 95965
J. Michael Crump, Director Orov(530)538-7681
AVecl�w0e� Shawn H. O'Brien, Assistant Director (FAX) 538-7171
Assessors Parcel Number: t)24-00, - 0$7 Building permit #
Owners Name:
Owners Mailing Address:
CPC G S-) qK
Property Address: (�Co�� .�� leu
.ENCROACHMENT PERMIT ACCEPTED:
PERMIT NUMBER:
ENCROACHMENT PERMIT EXEMPTION:
Reason for exemption:
❑ Not a County maintained road
Existing driveway conforms to County S-31 standard
❑ Other
Approved �.
Printed Name r�G✓1�! ��
Title E 6�
Date
CONDITIONS FOR EXEMPTING A DRIVEWAY PERMIT
1. An existing home with a driveway 10 years or olde.- and doesn't cause any problems with
the county road or drainage.
2. An existing home with only minor remodeling or repairs.
BUTTE COUNTY SCHOOLS IMPACT -FEE CERTIFICATION FORM
(One form per Building)
School District`` � t Building Department No.
A.P. Number Va4' )66- y 0 Jen.' action: Q City ICounty
Property Owner --zO Q
Property Location/Address `-1 .
Subdivision Lot No.
Residential Development Q Q Sq. Footage I
t No of LivingMobile Home . Addition/ 'Supplemental to (Gro p R)
t Units , , In§tallatiori ;, . ! •Conversion,'i`Pe)md
inspection)
.....(No foundation ction)
�� , �� . _ �, ( n
.... ...................... ....... . 1
Deed Restricted Sq Footage
(Attach a signed copy of Deed Restriction and Notice of Limited Use Facility document)
Commercial/Industrial Q Q Sq. Footage
New Addition (Including Exterior
tr Roofed Areas)
Building Department Represen ativ . Date
District Identification No. 1 —1
r
e t �j A ��t N School District certifies that n i
(Appli nt)
(Street
V1
(Phone Number)
(City) 0 (State) (Zip Code)
has complied`with the requirements of Resolution Ne", ibypay - ent of $ 0 %,q ,
representing ' �% square feet. 11AB 2926 $
ULL MITIGATION $
School District
Paid by Check # Remarks: 44
Date
Nodee: You may protest the Imposition of the fees Identified above by submktlng a written prot@st to the District, In compllance with
Govemment Code Section 66020(a), within 90 days from the date fees are paid. Failure to submit a timely written protest wNl prohibit
you from challenging the In of am fees in any court action.
K, 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 render the C&Wwnia Environmental Quoft Act (CEOA),
this project may be subject to additional school teas to fully rnMga% its Impact an the school dist Ws'schools.
White (school district), Yellow (building department), Pink (applicant). feefomuds (3M5
® AGRICULTURAL AFFIDAVIT
EMPLOYER/EMPLOYEE-
Please
MPLOYER/EMPLOYEEPlease read the following carefully before signing:
t
Section 24-305.020 Agriculture Employer/ Employee
(Applicable only in zones A-5, A-10, A-15, A-20, A-40 and A-160)
An individual who verified, by personal affidavit and by affidavit of his employer, that he is, or will
be, employed at least thirty-two (32) hours per week for at least sixteen (16) weeks per year, or
that his primary source of annual income is, or is anticipated to be, derived from any of the
following described occupations:
(a) The preparation, care and treatment of farm land, pipelines or ditches, including
leveling for agriculture purposes, plowing, discing and fertilizing the soil;
(b) The sowing and planting of any agricultural or horticultural commodity;
(c) The care of any agricultural or horticultural commodity. As used in this subdivision,
"care" includes, but is not limited to, cultivation, irrigation, weed control, thinning,
heating, pruning or tieing, fumigating, spraying and dusting;
(d) The harvesting of any agricultural or horticultural commodity including, but not
limited to, picking, cutting, threshing, field packing and placing in field containers
or in the vehicle in which the commodity will be hauled on the farm or to the place
of first processing;
�(e) The assembly and storage of any agricultural or horticultural commodity including
but not limited to, loading, roadsiding, banking, stacking, binning and piling;
(f) The raising, feeding and management of livestock, fur -bearing animals, bees, fish,
frogs and other aquatic animals, including but not limited to, herding, housing,
hatching, milking, shearing, handling eggs and extracting honey;
(g) The operation, conservation, improvement or maintenance of such farm and its
tools and equipment.
This affidavit is valid only for the .named employee. Any change of employee requires a new
affidavit to be filed.
Employer tax records nay be requested as proof of employment status.
Signed:
Dated:
Employer
AGRICULTURAL AFFIDAVIT
EMPLOYER
E6g u/.
Phone 630 -�;,73 :2 -
Employer's
Employer's Address
Name of Property Owner
vR� 6u/
Property Owner's Address ),LCX metre_- ak,1yLe—y
Owner's Assessor's Parcel Number 6. gy- Ivo _ 0 y-7 Parcel Size Y, -7a Ac.
1, do declare, subject to the penalty of
perjury, that I am the employer of ,amu s e. ✓' �,-�c� c�
address (present) J.1 Ari 44.A/D 6 T _ ,Q t 1),L dk
e7 nd that I will be
employer under Section 24-305.020
(a) to (g)
for at least thirty-two (32) hours per
week for at least sixteen (16) weeks per year on AP# 6 pY--/UQ
Signed:
Environmental Health Approval:
Permit Description and Number
Datelssued S - Y..3 —06, By
Planning Approval:
Date --4-- Z. 6? 0 6
S
Dated:
- Q Dwelling cn AP# Z -10o - D 4
5j.v e- 7v
Crop/Coriiodit)(Produced . `�
Employee
AGRICULTURAL AFFIDAVIT
EMPLOYEE
0
Phone 63a) 5`20 32 ZC
Employee's Address (Present)
�'`:� t�c-t' B �,=���- 1� �'� l:r C --✓=fit ��l � �. �.�:y. �f,�f �_,,_
� 0
Name of Property Owner
Property Owner's Address
Owner's Assessor's Parcel Number OA y --/,4D ®V 7. Parcel Size �. 'a y Ac.
�10G0 ; do declare, subject to the penalty of
perjury, that I am the employee of /� �; �✓o..�q U 9 c� �!
address (present) i0L�' 6Ri )L Y J`- ,,WtQZand that I will be
employee under Section 24-305.020
(a) to (g)
for at least thirty-two (32) hours per
week for at least sixteen (16) weeks per year on AP# p 9,q-1,00 -077 41vJ 62 J` NO 696
Signed: ?; y
Environmental Health Approval:
Permit Description and Number
Datelssued 1� --() L By
Planning Approval:
Date 4— Z A
Dated: .
14 y d Dwelling on AP# DZ '� l C)O 0 0 T
Crop/CqMni'o'dity,;Pro�duced �, `W
Butte County Department of Development Services
TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR
7 County Center Drive
Oroville, CA 95965
(530) 538-7601 Telephone
(530) 538-7785 Facsimile
ADMINISTRATION * BUILDING * PLANNING
Agricultural Worker Housing Questionnaire
24-90 A-5 through A-160 (Agricultural)
(5) Housing facilities (including mobile homes). to accommodate up to twelve (12) agricultural worker and
their families employed by the owner or operator of the premises or owners or operators of other agricultural
lands pursuant to section 17021.6 of the California Heaft and Safety Code and subject to state permits.
Section 24-90 of the Zoning Code, noted above, allows housing facilities for agricultural workers
as a permitted use for property in an agriculture zone (provided that -there is adequate sewage
disposal area). This questionnaire is required to det-,rrnine that the proposal meets the applicable
requirements. Please answer the questions as completely as possible.
Please identify the following information:
Employee Information
• Identify the number of employees that shall reside on premises:-
Employed Onsite 0 Employed Offsite (provide information about that
pnperty)
❑ Permanent Residency ❑ Seasonal Residency
Parcel Information
• Identify the size of proposed dwelling/modudar home: `:5-e /7-.
.
Single Parcel/Property Involved ❑ Multiple Properties Involved (please identify
be --ow)
APNs c:.t y"/0 7 (f 2- 4-/OC3 -- G 7 C
Describe the agricultural operation, including the type of operation (crop or activity, time
of year production takes place), and an accurate size in acres of the operation(s):
Type of operation 16 j, _.) ! J1i,4eM,4 iZ 7X ee. (f 1.;1.i c?t'4 / fiC; I0 i /e -.S 1,Vd,_!,ix .`
"_h'"re2�4�alLhI.t�°(, n K ?yr�s�' i�rN r.y'E �sr��. song �� irltscc i.t./6 �J lL IL! 7 tn9�i
W4 1C f Q AIC < Arlil! l.clf , j ff7-eiZ1/t1�' 776cc, lA,149
L12, v`6 , t✓d- =
Size of operation 4-C, cts J) X/! 41 -?—f -100-6,Y7
N_C_, aA-ra u1e. 14 U'rS AP AI el z y - /a 0 0 S"C-
II 1%
Identify any Williamson Act Contract, and supply specific details regarding contract type
(grazing, orchard, or field crop), minimum parcel size, and any other relevant information:
y
State the jobs and duties of the workers to reside in the.building(s), and the expected time-
frame for work during each year.
Jobs and duties &_)t/77,e/t, Oaru.-JIA/4,
Yearly work time -frame V/ A 42: Z,��,r _" _
Signature of Owner/Operator:
Signature of Applicant:
Date: e7
Date•'`-1-��
1
I
0&
0 Department ®f ,Public Works
C o u n t y o f B u t t e
0
7 County Center Drive
0 J. Michael Crump, Director Oroville,CA 95965
(530) 538-7681
AV@�6y (FAX) 538-7171
Shawn H. O'Brien, Assistant Director
Assessors Parcel Number: t)2( -/0C -y$7 Building permit #.
Owners Name:
Owners Mailing Address: ( C?(,:)�Cu_� , A- C
CPc Gs-)qK
Property Address: Qct- c eu A -V -r Cmc , (z cq CGS
.ENCROACHMENT PERMIT ACCEPTED:
PERMIT NUMBER:
ENCROACHMENT PERMIT EXEMPTION:
Reason for exemption:
❑ Not a County maintained road
Existing driveway conforms to County S-31 standard
❑ Other
Approved biy— ` PJB
Printed Name r )c�✓►�I �s
Title F
Date
CONDITIONS FOR EXEMPTING A DRIVEWAY PERMIT
I. An existing home with a driveway 10 years or older and doesn't cause any problems with
the county road or drainage.
2. An existing home with only minor remodeling or repairs.
Butte County Building Division
MANUFACTURED HOME SUPPORT DATA
R_
Owner's name:Gi A.P.#- /U�) - -;7Home Manufacturer: Manufacture Year:` �3
Model Number / Name: G V 4 `LO N -
Width: (ft.) Length: 5 r` (ft.)
FOOTINGS: Wood - pressure treated or foundation grade(] Other:[
SUPPORTS: Concrete block j4 Other:[ ]
Provide manufacturer's installation manual, support blocking requirements and state
approved or engineered foundation or tie down system specifications.
F
Pier Footina Sizes and Locations
SINGLE WIDE MULTI -WIDE
Line1 - - - ---'------------------------------------------------------------ Line 1
Line 2 Section 1 Line 2
Line 1 �� - - - -- ----- - - -- ---- -- Line 3
Section 2
Line 2
------------------------------------------------- ---------- Line 4 (triple wide only)
Section 3 Line 2
Line 1 Piers:
Minimum size piers:
Spacing maximum:
From ends maximum
[ ]X[
]
Line 2 Piers:
Minimum size piers: [ `{ ] X [� r]
Spacing maximum: "
From ends maximum:
Line 3 Roof Loads:
Minimum size piers:
Location (from front):
Minimum size piers:
Location (continued):
Line 4 Roof Loads:
Minimum size piers:
Location (from front):
Minimum size piers:
Location (continued):
Snow Load: Zc:) psf
Snow Load requirements may be obtained at
http://www.upstate-ca.com/butte/butte—county/
Insert AP #, view snow load in lower right corner.
Line 1 Openings:
Minimum size pier: [ ] X[ ]
Required at each side of openings over.
, wide. BUTTE CO UN'ry
BUILDING DIVISION
1YVz s 2., Zy . ,r r t .
Y
Xi2 Foundation System
Installation Instructions for California
for Ground & Concrete Systems
HUD Wind Zone 1,
15 PSF Wind Load Seismic 4
By Tie Down Engineering
Xi2 Concrete System
Engineer Approval
State Approval
MANUFACTURED HOME/MOBILE HOME
FOUNDATION SYSTEM
HEALTH AND SAFETY CODE, SECTION 18531
APPROVED
SUWSCT TO CORRECTIONS NOTED
APPROVAL DOES NOT AUTHORIZE OR APPROVE ANY
MUSSIONS OR DEVIATION FROM REQUIREMENTS OF
APPLICABLB STATE LAWS AND REGULATIONS
Seale of Celifomis
DWwft W of Hoeg wd Commw tl' Davdqmwmt
,, I OF C004S AND STANDARDS
BUTTE COitNTY
BUILDING ®IVISf®N
�:.. APPROVE® ... Page 1 of.8
0
�i
0
0
0
'L—
Xi2 Foundation System
Installation Instructions for California
for Ground & Concrete Systems '
HUD Wind Zone 1, 15 PSC Wind Load Seismic 4
By Tie Down Engineering
REQUIREMENTS
• These plans and specifications meet the requirements of Title 25 Section 1336.3 Sub Section A
and 97 UBC Seismic Requirements, CBC 2001 addition.
• Maximum vertical projection at sidewall is 9'. Higher walls may be used when the design loads are
adjusted accordingly and approved by HUD.
• Main rail spacing must be 75.5" - 99.5" * Except single sections 95" minimum
• Additional vertical anchor ties that are unique to a home's design may be required by the home
manufacturer. These locations may include shear walls, marriage line ridge beam support posts, and rim
plates. The longitudinal component of the Xi2 system replaces end frame ties. Check manufacturers
set-up requirements:
• Maximum pier height is 48" pier. *Except for single sections 36".
• Steel piers must be fastened to the I-beam with clamps provided with steel pier.
• Systems must be placed as evenly as possible, no more than 10' from end of home.
• Designed for 7:12 roof slope. *Except single sections, (20° - 4.37 in. 12" pitch).
Additional Requirements for Concrete Systems
• Poured concrete must be 2,500 PSI minimum at 28 days.
• Square concrete pads minimum is 18" wide by 12" deep. Round concrete pads minimum is 18" wide by
14" deep. Strip footings minimum is 18" wide by 14' long by 6" deep. ®� 4111 'X__1
� �I 7
* Xi2 components exceed HUD code 3280.306g "Anchoring equipment exposed to weather ng shall have a
resistance to weather deterioration at least equivalent to that provided by a coating of zinc on steel of not
less than 0.30 ounces per square foot of surface coating...."
Page 2 of 8 0
LD
0
. • .. 1, ..
49'-4"
5'-5- T—I9'-8'— -4 I'-2"-
iL L 766E_DROOM;-'2
. L L
�w ;urlurYLLLLLLLLL'-;LLLLLLLKI1 1 1 LowwGAT
BATH Fau varrtaT L LLLL
L L
0 ------- , P
woR°aoee�i '
co BOCYS
PLANT
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---��
b—, MASTER BEDROOM
_MNG i g 7BEDR00M
• ig
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i
i
--------------------
CFTKX.L&,'wow
14'-8'
Model # GV490A 1
1167 SQ.FT. ovEo
6PPe Co j ealth
Hi
Envieonmenta�� BUTTE COUNTY
..J BUILDING DIVISION
° APPROVED
. S�gnatute
fs� v
RPS G ay_ Ala _ o 7
F'L.G02 Ptif n d,l /4ro�lJoSc.�
/j?017UL..4 rt ��n u1� �•��'� �buS/�
BUILDING PERMITS NUMBER: 06-1400
Address or location of unit: 1063 GRIDLEY AVE., GRIDLEY CA 95948
Legal Description of Real Property: 024-100-087
SEE ATTACHED !
(x) Mobilehome/Manufactured Home
() Commercial Coach
Has been affixed to the real property above by installation on a foundation system
pursuant to Health and Safety Code Section 18551.
Owner's name: RAMON AND TERESA JAUREGUI
Owner's address: 1065 GRIDLEY AVE., GRIDLEY CA 95948
INSIGNIA OR HUD NUMBER: RAD708007/8
SERIAL NUMBER OR V.I.N.: GW6ALGV10140AB
MANUFACTURER'S NAME: GOLDEN WEST YEAR: 1993
OFFICIAL APPROVING INSTALLATION:
DATE:
PHONE: (530) 538-7541
H.C.D. 513C
STATE OF CALIFORNIA - DEPARTN 1&T` OF HOUSING AND COMMUNITY DEVELOPMENT
CERTIFICATE OF TITLE
Manufactured Home Decal No: LA116R25
Manufacturer ID/Name
09248 GOLDEN WEST HM
Trade Name
GOLDENWEST
Model
GV490S1
DOM
08/26/1993
DFS
08/27/1993
RY
I Exp. Date
Serial Number
Label/insignia Number
Weight
Length
Width
SPC
SCC
Exempt
Use
Type
GW6CALGV10140A
RAD708007
21,000
49'4"
12'8"
04
SFD
LPT
GW6CALGV10140B
RAD708008
15,700
48'
12'8"
Issued
Total Fees Paid
Jan 10, 2006
$138.00
Addressee
RAMON JAUREGUI
1085 GRIDLEY AVE
GRIDLEY, CA 95948 � OF
Regisiered O�c eF'(s)'�Z
RAMON JAY EGUI
TRESA JAlJ�EGUf
Tenants inACommon 0
1085 GRIDY AVE
GRIDLEI`, CA 95948
Situs
1879
GRID
,ess Q!
:IN RD
CA 95948
IMPORTANT
yob,
THE OWNER INFORMATION SHOWN ABOVE MAY NOT REFLECT ALL LIENS RECORDED WITH THE
DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT AGAINST THE DESCRIBED UNIT.
THE CURRENT TITLE STATUS OF THE UNIT MAY BE CONFIRMED THROUGH THE DEPARTMENT.
DTN: 4241123
01102006- 212
RECORDING REQUESTED BY:
AND WHEN RECORDED MAIL TO:
BUTTE COUNTY BUILDING DIVISION
7 COUNTY CENTER DRIVE
OROVILLE CA 95965
0
SPACE ABOVE THIS LINE FOR RECORDER USE ONLY
NOTICE OF MANUFACTURED HOME (MOEILEHOME) OR COMMERCIAL COACH,
INSTALLATION ON A FCUNDATION SYSTEM
Recording of this document at the request of the local agency indicated is in accordance with California Health and Safety Code
Section 18551. This document is evidence that such local agency has issued a certificate of occupancy for installation of the unit
described hereon, upon the real property described with certainty below, as of the date of recording. When recorded, this document
shall be indexed by the county recorder to the named owner of the real property and shall be deemed to give constructive notice as to
its contents to all persons thereafter dealing with the real property.
RAMON AND TERESA JAUREGUI
REAL PROPERTY OWNER/LESSOR
1065 GRIDLEY AVE.
MAILING ADDRESS
GRIDLEY BUTTE CA 95948
CITY COUNTY STATE ZIP
1063 GRIDLEY AVE..
INSTALLATION MAILING ADDRESS, IF DIFFERENT
GRIDLEY BUTTE CA 95948
CITY COUNTY STATE ZIP
SAME
UNIT OWNER (if also property owner, write "SAME") "
SAME
MAILING ADDRESS
SAME
CITY COUNTY STATE ZIP
UNIT DESCRIPTION
BUTTE COUNTY BUILDING DIVISION
LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY
7 COUNTY CENTER DRIVE
MAILING ADDRESS
OROVILLE BUTTE CA 95965
CITY COUNTY STATE ZIP
06-1400 (530) 538-7541
BUILDING PERMIT NO. TELEPHONE NUMBER
SIGNATURE OF LOCAL AGENCY OFFICIAL DATE
NONE
DEALER NAME (if not a dealer sale, write "NONE")
NONE
DEALER LICENSE NO.
GOLDEN WEST 1993 GV490S 1
MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAMENUMBER
GW6CALV 10140A/B 49'4" X 12'8"/48'X 12'8" RAD708007/8
SERIAL NUMBER(S) LENGTH X WIDTH INSIGNIA/LABEL NUMBER(S)
REAL PROPERTY LEGAL DESCRIPTION
SEE ATTACHED
ASSESSOR'S PARCEL NUMBER 024-100-087
HCD FORM 433(,&) REV. 8/91
WHITE- County Recorder CANARY - HCD PINK - Applicant GOLDENROD- Building Dept.
SCHEDULE C
THE LAND REFERRED TO HEREIN IS DESCRIBED AS FOLLOWS:
.ALL THAT CERTAIN REAL PROPERTY SITUATE IN THE COUNTY OF BUTTE, STATE OF
CALIFORNIA, DESCRIBED AS FOLLOWS:
PARCEL 2, AS SHOWN O.N THAT CERTAIN PARCEL .MAP, BEING A .PORTION OF THE
SOUTHWEST QUARTER OF THE NORTHEAST QUARTER OF SECTION 8, TOWNSHIP 17
NORTH, RANGE 3 EAST, M.D.B. & M., WHICH PARCEL MAP WAS FILED IN THE OFFICE OF
THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, JANUARY 28,1980 IN
BOOK 75 OF PARCEL MAPS, AT PAGE 66.
AP NO. 024-100-087
a;
ALTARES'"' '
Insulation Certificate
BUILDING OWNER: PRCCiCe BUILDING PERMIT # : 7cl-,U 9 7
BUILDING LOCATION: 7�
Description of Installation
ROOF ,
Material /v
Thickness (inches)
Brand Name
Thermal Resistance (R -V ue) ,¢
CEILING
Batt or Blanket Type RA ! % Brand Name CEi<%A 1 EL
Thickness ('inches) /o " Thermal Resistance -(R -Value) 30
Loose Fill Type Brand Name
Contractor's minimum installed weightfle lb Minimum thickness inches
Manufacturer's installed weight per square foot to acheive Thermal Resistance (R -Value)
EXTERIOR -WALL
Material f/ t3�l2ro A ASS f-� L,/�u KEi �li�
Thickness (inches)
RAISED FLOOR _
Material F1,/3 IkC
Thickness (inches)
SLAB FLOOR
Material /Q
Thickness (inches)
Width (inches)
FOUNDATION WALL
Material
Thickness (inches)
Declaration
Brand Name t'�' ��,eT/¢ fly E5.
Thermal Resistance (R -Value) 19
Brand Name C'6deY1�!✓✓%��F
Thermal Resistance (R -Value) O
Brand Name 1
Thermal Resistance (R -V ue)
Brand Name "I,4//X
thermal Resistance (R-Value✓1/
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.
Gera Conrraetor (Builder) License Number
S -igTraw eand Tide `F Date
Sub -Contractor (Insulation Installer) License Number
Signuure and Tide Date
THIS CERTIFICATE MUST.BE PROVIDED TO THE BUILDING DEPARTMENT PRIOR TO FINAL INSPECTIOF
APPROVAL AND A COPY SHALL BE POSTED WITHIN THE BUILDING.
JANUARY 1993
PERMIT NO. t '• 1881-85B >P >E >M
PERMIT EXPIRES
P
OWNER ED GALLAGHER
CONTR. owner
ASSESSOR PARCEL 24-10-87
LOCATION 1065 Gridley Ave, Gridley
l
AID
Temp. Power Pole.
OFFi10E COPY
Called PG&E ! Address -
a
Temp. Elea Servi I _
GAS
i
Called PG&E! Meter By Date
V w ELECTRIC
Meter By L/Date
Temp. Gas Service
Cal led PG&E ---
° JOB FINALED (Date)����
Signature
Z
i
4
d = OK
0 = Not OK
= Not Applicable MOBILEHOMES
* = Not Ready
MISCELLANEOUS
Date
MOBILEHOME UTILITIES (Plans) OK except p's
1. Zoning Requirements -Setbacks -Easements
2. Soils; Special MH Support -Sketch
Date
DECKS, COVERS, CARPORTS, ETC. (Plans) OK except q's
1. Zoning Requirements -Setbacks -.Easements
2. Footings; Size -Depth -Spacing -Connectors
3. Sewer; Location -Test -Fall -C/0 -Concrete
3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails
4. Water; Location -Test -Easement Needed (Sketch)
4. Wood Awn.; Posts-Beams-Rflrs.-Connec.-Shthg.-Rfg.-Bracing
5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Gas; Location -Test -Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG
6. Carports; Windows -Doors
7. Utility Clearance
7. Elec.
Card -BI
Date Card -BI Date
Card -BI Date Card -BI Date
Card -BI
Date
Date Card -BI Date
MOBILEHOME INSTALLATION (Plans) OK except N's
1. Zoning Requirements -Setbacks -Easements
Card -BI
lDate
Date Card -BI Date
POOLS (Plans) OK except H'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 -Crossovers -Breakers -Clearances
5. Drain; MH Test -Fall -Flex Connector
4, Elec.; Receptacles and Lighting; Distances-GFI
5. Elec.; Pool Lighting; 15 volts-GFI
6. Water; MH Test -Regulator -Connector
6. Elec.; Enclosures; Conduit Entries -Terminals -Listed
7. Water and Sewer Connected -C/0 to Grade -HD Approval
7. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater
8. Gas and Electricity Tagged
9. Exits; Insp.-Sketch
B. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghtg.
Boxes -Enclosures -Panel boards -Ins. to Main in Conduit
10. Cert. of Occupancy
9. Health Department Approval
10. Plumb; Cir. Test -Water Supply Test
s'
Card B -I
Date Card -BI Date
Card -BI
Date Card -BI Date
Card B -I
Date Card -BI Date
Card -BI
Date Card -BI Date
9
11
J = OK
0 = Not OK o
'Notyable
*= = Not Ready ReadRESIDENTIAL (Single and Duplex)
Date
UND FLOOR Plans OK except #'s
Date FR/rnntNG-(Continued)
Zon' g requirements -Setbacks -Easements
operty Line Firewall & Openings
2,.o-Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth
4 •
Ext. Doors -One 3' -Check Garage -3rd story, 2 exits
3. Ftg., Garage; Soils -Steel- / /" Ftg. Depth
50.
St prig'; Width -Headroom -Rise -Run -Landing -Fire Protection
4. Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth
51
lye on Roof Overhang -Attic Vents -Rafter Outriggers
temwalls, Main; Steel-Blockouts-Wrapped-Slab
54r-'15iding-Nailing-Veneer
6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab
o Mesh -Drip Screed-Fdn. Vents-Underflr. Access
7. P' Fireplace Ftg.-Steel
5 .
Glazing Area -Glass Protection -Skylights -Plastic
0. .V : Fall -Fittings -Test -2 way C/0 -Sewer Test
5
ear Walls; Nailing -Bolts
s Pipe; Size -Anchors
Water Pipe; Test-Anchors-Regulator-Seryice Test
11. Electric; Underground
12. P ums & Ducts; Clearance -Material -Support -Ins.
1 . Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
Card -BI
Card -BI
Date () 3 Card -BI Date
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Date FI
(Plans) OK except q's
Card -BI Date Card -BI Date
Date
PLUMBING (Permit) OK except q's
E . Steps -Door & Sidelight Protection -Landings
moke Detector
14. W r Ht.; Vent -Access -Combustion AirFurnace;
Vents -Clearance -Comb. Air -Connector -
jn Garage; Above Floor-Ducts-Mech. Protection
1 W er Pipe; Test & Anchors -Nail Protection
1 D.W.V.; Test-Fttngs & Anchors -Nail Protection
Bedroom Exiting
17. Shower Pan; Test, First Floor -Tub Access
tom•
G.F.I. & Bath Fixtures & Tub Access
18. Test Tub & Shower, 2nd Floor -Tub Access
----61-.
Elea Trim-& Subpanel; Breaker Sizes -Labels
19. Gas Pipe; Size & Anchors
tairs & Rails
t bra'place
or Stove; Clearances -Hearth
p§j.__5,1ec.
Outlets at Wood Panel; Int. & Ext.
Card -BI
Date Card -BI Date
`S�,
it'Pixt. & Appliance; Grnd.-Air Gap -Cooking Clearance
Card -BI
Date (p Card -BI Date
lec. Outlets & Receptacles at Kit. Counter
Date
ELECTRICAL Permit OK except q's
Garage Fire Door; Swing -Landing -Closer
:C. Duct in Garage -Damper
20. Fixture &Transformer Clearance -Ins. Protection
Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.-
In Garage; Above Floor-Mech. Protection
Elec. Receptacles Spacing -Lights & Switches at Doors
_Sii€_Boxes & No. of Conductors -Stapled
�7
Elec. &Mech. Equip. Listed
sted fLocation
ec. Receptacles in Garage; steel or Romex Protec.
ion -Foam -Looked in Attic ❑Yes
23._Romex Installed Close to Edge of Studs & C.J.
Equip. -Ground made up w/Mech. Fasteners -Bond Gas &Water
Circuits in Kitchen & Size
-Subfee
Guard Rails & Deck Construction -Post Caps
_Conductor
Wir
26. Subfeed Wire Size / ga. Cu o .C. Wire Size / / ga. Cu or Al
74.
ents & Crawl Hole Door -Drainage & Wood -Earth Clearance
Looked under Floor
27 Rae Circe / a. Cu or AI -Oven Circ. / / ga. Cu or Al,
ng
Insulated Neutral El Yes ❑No
75.
It
Planters ❑Yes ing instld.: Drive es ❑ No; Walks es ❑ No;
28. Service -Riser Conductors &Ground -Main Disconnect
-a&r�tneco;
Brown -Finish
29. Equip.,Clearances; Panels-Motors-Mech. Equip.
C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet
3 hes Closet Light -Shower Light
7
ents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opn s.
L. y T- �!h /JJ «ti
[ s 79 --Water Well; Disconnect, Electrical, Plumbing
'
8
terior Elec. Trim; G.F.I. Receptacle -Underground
Card 9-1
Date Card -BI Date
ntilation throughout House
Card B -I
Date
Date Card -BI Date
MECHA CAL (Permit) OK except p's
ucts; Insulation & Support
ass Protection
Correcti from Previous Inspections
84.
GA eSf .Meters Tagged; Gas -Electric ¢ cy
er'& Sewer Connected -C/O to Grade -HD Approval
3 Vent Fan; Exhaust above Insulation8
nergy Compliance Certificate -Other Certificates
28r -.Condensate Drain & Overflow; Size & Grade
34. Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet
'35-" MTE Access & Platform if Furnace in Attic
Card -BI
Date Card -BI Date
Card -BI
Date / Card -BI Date
Card-BDate Card -BI Date
Card -B / Dat Card -BI Date
Comments at Final:
Card -BI Date Card -BI Date
Date FR M'ING Plans OK except N's
3 s; Proper Material & Anchors
37 W s; Studs -Nailing, Spacing & Bracing -Plates -Sound
3 earing Walls over Girders & Floor Nailing
39. Draft Stop in Walls (rat proof) -
ayi
40. Fire Stops; Furred Ceilings -Ste s -Chases -Tub
4a."Header &Beam -Size & Bearing
.42--u ers-Post Caps -Anchors -Connectors
ng. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng_.-_Rfn_g_._ _
F' eplace Ties or Type A Flue -Fireplace Throat
4 tic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
4V Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions
47. Garage Fire Protection Framing
(NOTE: An entry must be made each time youvisit jobsite)
COUNTY OF BUTTE
BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
1469 Humboldt Road, Chico, CA - (916) 891-2751
7 County Center.Drive, Oroville, CA - (916) 538-7541
747 Elliott Road'.Paradise, CA - (916) 872-6307
CORRECTION NOTICE
OWNER PERMIT NO.
A routine inspection indicates that the following violations of Butte County Ordinances exist at
the above address and should be corrected. Please notify this office when correction of work
is comple d. If you have any questions pertaining to this matter, or need additional explanation,
please ontact this office immediately.
!/ (.t) ICZ . S'Mn,el i ,L'ICG7AO—
.o e -r
4-5
1{
COUNTY OF BUTTE
�. BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
1469 Humboldt Road, Chico, CA - (916) 891-2751
7 County Center Drive, Oroville, CA - (916) 538-7541
747 Elliott Road, Paradise, CA - (916) 872-6307'
CORRECTION NOTICE
�3
OWNER PERMIT NO..;')
A routine inspection indicates that the following violations of Butte County Ordinances exist at
the above address and should be corrected. Please notify this office when correction of work.
is completed. If you have any questions pertaining to this matter, or need additional explanation,
please contact this office immediately.
w
t
i
r
_�
MINNEW
rM40
w
i
r
Date Inspector' <•
REV 10192
`y•y ,,�� 'i. COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Oroville — Phone: 534-4541
Skyway and Elliott Road; Paradise - Phone: 872-2961, Ext. 57
A A ACORRECTION NOTICE
-49
A routine inspectiArf'indicates that the following violations of County Ordinance
exist at the above address and should be corrected. Please notify this office
when correction of work is completed. If you have any question pertaining to this
w
Inspector Date -16 -
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Oroville — Phone: 534-4541
Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext
CORRECTION NOTICE
57
Gf 2�� 1 � a i4 co
OWNER PERMIT NO.
A routine inspection indicates that the following violations of County Ordinance
exist at the above address and should be corrected. Please notify this office
when correction of work is completed. If you have any question pertaining to this
matter, or need additional explanation, please contact this office immediately.
r ,
M
Inspector ';Z���� s Dater 3
11.1
COUNTY OF BUTTE
' DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Oroville — Phone: 534-4541
Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57
CORRECTION NOTICE
� 4/114C�A/): /ko-gs-
OWNER PERMIT NO.
A routine inspection indicates that the following violations of County Ordinance
exist at the above address and should be corrected. Please notify this office
when correction of work is completed. If you have any question pertaining to this
matter, or need additional explanation, please contact this office immediately.
Inspector
Date_ /
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PE MIT NO/
7 County Center Drive - Orovilfe, California 95965 - Telephone 916/534-4541 _
APPLICATION AND PERMIT
ASSESSORPARCEL M ER
1{ —
ZONIN
BUILDING PERMIT
OWNER i r
TELEPHONE 'W.FOCC.
S
BUILDING VALUATION
OWNER'S MAILING ADD ESS
r ` ca
s
CONTV OR•S NAME
CV
TELEP ONE
CONTRACTOR'S MAILING ADDRESS
_
Fireplaces 't DOD
CONSTR TION LENDER
UNKNOWN
TOtaI Valuation $
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$ Q
ARCHIT CT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
J-�"Y�
AR CHI EC•T OR ENGINEER'S MAILING ADDRESS
Permit fee t$
BUILDING ADDRESS 0
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
IL2.00
Solar Water Heater
20.00
C—
Water piping
5.00 5�
LOT NO.
SUBDIVISION NAMEPARC
L MAP
a,
Each qas Water heater or vent
5.00
Gas piping system 1 - 5 outlets
5.00 4-„Q
USE OF STRUCTURE
SF 4Duplex ❑ Mobi lehome ❑ Other-_
SPECIFY
Building sewer
5.00
Mobile Home S I G W
10.00 e
TYPE OF WORK
New X Addition ❑ nnR ode l ❑ Utilities ❑ Installation❑ Other ❑
Describe work: �C7
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 600V OR LESS
100 AMP ii
11 10.00
Main service/EA. ADD' 0 AMP
2.50
NEW CONST.OR ADDNS. \ ACCLBLDGS.WELINGCC P
21/20sq It i
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
ElNON
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
I, 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
❑ I, 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 CON5TR U TI.OUT LE
2.50 ea
v
NEw CONSDTR. ( POW ERC APPARATUSLE OUTLET CIR. &)
- R ESID. SING
zo®sox
Ex. Occup(OUTLETS OR FIXTURES SAL®so
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 $
Contractor
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
la I have placed on file with the County of Butte Building Department
�J 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.
MECHANICAL PERMIT
Filing Fee 10.00
Heating
11.190
Cooling PI&IO,i
10
Hood
3.00
Ventilation
Permit Fee
$
Contractor
I certtify 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 Countyot
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
against 2idoun in con ence of the granting of this permit.
%� Date - i�" S ^
-Signature of Applicant — Owned, Contractor ❑ ,Agent ❑
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in heighten
Mobile Home Installation Fee $
3
TOTAL'P'E'RMIT FEE $
occuP. GROUP
TYPS of ONST.
I j�PARCE6rPD
H
ISSUE
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIRECT,4 OF PUBLIC
By
PER EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date -7 —'V7 -F6
'C?
ZZlP
Receipt No. �Qv l
WHITE-D.P.W., YELLOW -ASSESSOR, PI K -INSPECTOR, GOLDENROD -APPLICANT
-� COUNTY OF BUTTE - DEPARTMENTtOF PUBLIC WORKS - BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/534-4541
OWNER
Proposed Building Use
PERMIT APPLICATION DATA SHEET V
Permit No.
A
Permit Fee Based Upon: Complete Contract Price
Other (Explain)
Building Inspector
A. P. No.
DPW Valuation
Date
At time of permit application, I was advised the following data must be submitted prior to permit processing
and/or issuance: DATE RECEIVED APPROVED
1. All items have been submitted. . . . . . 1 (' . .
Plot plans in duplicatriplicate. t., S •A`GjrrSnagri
off' t�3. Complete plans in upl� i� a/triplic t . I� . . . i. . . . .
4. Complete engineered plans and calcs. �: . . . . . . .
5. Plans with Energy Design Compliance Statement. . . . . .
6. State Energy Forms No.
7 Statement of Intent for Non -Heated and AC Buildings.
8. Fees of $ . . . . . . . .
9, Letter of signature authorization. . . . . . . .
0. Sanitation approval from ✓e) ►a /-a Health Dept.
11. Planning approval for (A) Use: (B) Parking:!
12. Certificate of Workmen's Compensation Insurance. �F:f'�'% ���✓/ -fir-- %J
3. Contractor's License Information (no., name style, classif.)
14. Owner -Builder Verification (Given to owner0, Mail to owner ❑•)
15. Improvements may be required. . . . . . . . . . . .
16. Mobilehome Instal,la ion Data. . . . . . . . .•.
f 40-Pre-Inspec. request to
17s Pre-Inspecti �� r Required. guild' g Ins cto;,_ (Dore)
Recorded copy of Agricultural Acknowledgment St tement.
b r%
1/ 9. Other 4^ * In t, ►'E' M UF.. GJ ✓i 5 -e) m de RC1
When you issue the permit, processlas follows: Mail to owner. Mail to contractor.
Tel phone - S(,Sand hold for pickup ati office. Deliver w/inspector.
Other
Applicant
Date _ S
Copy of plans sent Health Dept., p 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 tim of plic ion, circle item.)
1. Index permit for above Items No. A
2. Additional items required:
'. '�tt--
d71'6
.
(G6ontrac� dr Designer, Owner) was advised of above required data by _Telephone Mail Other
By �.� Date_ 7—/8-bb—
Plans
/8'bb—Plans checked by Date
Plans approved by Date
Other: Co
Copy—DPW
To: 8wt(IinD Dcp,rtmcnt
TrnoC/wironncnLal Ha*lth
Li r`
OwnC'T' Location A!
ion
Plan Approved for:
Gold Final for:
Sewage DispoL;al---2c__ Water Supply
Hater SuVpI}�________
O K �ater 3u�yl�__________
Final C��nruxco ' ' yo r�
Cleuran.ce for bedro biIehomc or other
---_'
Note",
to
COUNTY OF BUTTE - Department 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. I personally plan to provide the major labor and materials for construction of
the proposed property improvement (yes or no)
2. I (have/have 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 City
Phone Contractors License No.
4. I 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. 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
h
Signed:
Property Owner
Social.Security Number Sot
Date
0
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.
r RESIDENTIAL ENERGY PLAN CHECK/INSPECTION SUMMARY FORM
OwnerClimate Zone Permit No..
Floor Area 3 �-
Compliance path: Package ❑ A ❑ B ❑ C 21'Point System ❑ Budget E Other
MIN F -VALUE DESCRIPTION
REQ'D
INSTALLED ITEMS (1) INSULATION:
Roof/Ceiling
® Wall
❑ Slab Floor Perimeter
Raised Floor
(2) INFILTRATION•
❑ (A) A vapor barrier is required in climate zones, 1, 14 & 16.
(B) All manufactured windows and sliding glass doors shall meet the
1972 ANSI Air Infiltration Standards and shall be certified and
labeled.
® (C) All swinging doors and windows leading to unconditioned areas
shall be fully weatherstripped.
Tight - the above standard features plus:
❑ (D) Continuous infiltration barrier
❑ (E) Electrical outlet plate gasket
❑ (F) Air-to-air heat exchanger
(3) GLAZING:
(A) Location
Total Bldg
Area lazing %Floor Area Single Double Triple
® _IWO A?.
® North
® East
® South
Q West —T
❑ Skylights
(B) Shading
Shading "
Coefficient Description
❑ East
❑ South
❑ West
❑ Skylights
® (C) South Overhang
Length of projection .__(�ft. Description _�j L -AZ
❑ (D) Moveable insulation: Area ftZ Description
(E) Thermal mass ..�-�,3 dKI /t/OT e-25
❑ Type - Area Ft.2 HC= R=
MC= Location
❑ Type - Area Ft. HC= R=
MC= Location
❑ Type - Area —Ft.2 HC= R=
MC= Location
❑ Type - Area Ft.Z HC= R=
MC= Location
❑ Type - Area Ft.2 HC= R=
MC= Location
❑ Type - Area Ft. HC= R=
MC= Location
7/83 „
FARM
• ®
(4) MASONRY AND FACTORY -BUILT FIREPLACES shall be equipped with tight
fitting closeable metal or glass doors covering the entire opening
of the firebox; a combusion air intake equipped with a readily
accessible,•openable, and tight fitting damper to draw air from the
outside of the building; and a tight fitting flue damper with a
readily accessible control..
*1(5) HEATING, VENTILATING; AIR CONDITIONING SYSTEM"
(A) "Heating
Central Gas Furnace �
(brand and model number) SE
Btu/hr
(heating capacity)
❑
Heat Pump.
(brand and model number) ACOP
Btu/hr
(heating capacity at 47°F)
❑
Active Solar
type (liquid or air) Collector brand and
ft2
model number solar fraction collector area collector
orientation collector tilt rated y -intercept
rated slope
Other
(describe)
*1 (B) Cooling
❑
Electric Air Conditioner.
(brand and model number) (seasonal EER)
Btu/hr
(cooling capacity at 9.5°F)
❑
Electric Heat Pump
EER
Btu/hr
(cooling capacity at 93*F)
Other
(describe)
❑
(C) A TWO-STAGE THERMOSTAT, which controls the supplementary heat on
its second stage, shall be required for heat pumps.
®
(D) AN AUTOMATIC SETBACK shall be provided for all thermostats, except
those controlling heat pumps.
(E) AN INTERMITTENT IGNITION DEVICE shall be provided for all gas-fired
fan type central furnaces, gas-fired fan type wall furnaces and
gas cooking appliances.
4
(F) BACKDRAFT DAMPERS shall be provided for all fan systems exhausting
air to the outside.
0�
(G) DUCT CONSTRUCTION & INSULATION. All transverse duct, plenum, and
fitting joints shall be sealed with pressure sensitive tape or
mastic to prevent air lcss and shall be insulated to conform to
the provisions of Section 1005 of the UMC, 1976 Edition.
7/83
2
• (6) DOMESTIC WATER SYSTEM
'® (8) Gas Only
(brand and model number)
❑ Heat Pump w/Electric Beckup
(tank size)
13 *2 Active Solar
Gallons
FORK
Gallons
(tank size)
(brand and model number)
(collector brand and model number)
(rated y -intercept) (rated slope) (solar fraction)
ft
2
(backup heater type, brand and model number) (collector area)
(collector.orientation) (collector tilt)
❑ Location of Solar Panels
❑ Other
(Describe)
® :(B) TANK INSULATION. Storage type water heaters and storage and
backup tanks for solar systems shall be externally wrapped with
R-12 insulation or greater.
(C) PIPE INSULATION. The five feet of pipe closest to the water
heater and outside conditioned space shall be insulated with a
minimum of R-3. Steam and steam conditioned space shall be
insulated with a minimium of R-3. Steam and steam condensation
return piping and recirculating hot water piping outside the
building envelope sha1L be insulated in accordance with
T20 -1408(d).
($� (D) FLOW RESTRICTORS shall be provided for showerheads and faucets
as outlined in the new appliance efficiency standards and shall
be certified to the Energy Commission.
(7) LIGHTING
® (A) Lamps used in luminaries for general lighting in kitchens and
bathrooms shall have an efficacy of not less than 25 lumens per
Watt (usually florescent).
*1 Submit documentation of sizing heating and cooling equipment by Manual J, sizing
charts (form #4) or other approved methods, section 2-5352(g), and fill out the
following:
Heating: Winter design temper ture_30-°, elevation_ ', heating load 102A BTU
elevation factor_ x heating load = maximum outlet capacity gas furnace
ID2,.D�BTU J /R
Cooling: Summer design temperature � `, cooling load 40600BTU
(USE ONLY AS A SIZINGGUIDE, COOLING MAY BE INADEQUATE)
*2 Submit T.I.P.S.E. chart or other approved system (form #5) to document sizing of
solar panels.
® DESIGN COMPLIANCE STATEMENT: The above building design meets the requirements of
Title 24, Part 2, Chapter 2-53 of the California Administration Code.
7/83 GNArURE OF BUILDING ESI NER OR APPLICANT
3
r .
COMPLIANCE CHECKLIST
For Low -Rise Residential Buildings
Building Shell Measure Points
Total Floor Area....................... .................... �D/O ft2
1. Slab -on -Ground Perimeter/ ft; Depthin....... R- -s
2. Raised Floor R -Value .......................................... R-
3. Ceiling ,Insulation or Construction Asserrbly,.R-Value......:. R--� _0_
4. Wall Insulatioh or'Construction Assembly, R -Value............ R-�
Glazing Total % Floor, Area Single Double Triple
5. North -Facing.. i 0 % ft / a?, o t2 /��ft2 ..... O
6. East -Facing...% ft2 d ft2 ft2�........ O
/��Z
7. South -Facing.. % ft2 / , oo f, 2 ft2........ 0_
8. West -Facing.... ft� �t2 ft 2* ....
9.* Skylight...... O % ft 6 ft ft
10: Shading Coefficient
(Excluding Overhang)
a. East..*........ ..4 ...................... 088 SC.............
b. South........... .... .......... '18 SC........ .. O
C. West ............ ..... ... .. SC. .-.;.2.
d. Skylight ............. _SC ............... . _
11. Horizontal South Ove �• Length. O ft........
12.. Movable Insulation 'loor Area.............. �/fg i.......
13. Infiltration (indi Standard or Tight. ... .Sigy.CLltb
14. Thermal M s
Exteri r W 11 Tti mal Mass 2
Are , He -t ity, R -Value...... ft_ ,HC, R-
Inter or T e al ass GON�Oc`�t y.^ .2
Area, ea Capacity, R -Value.... 4y 0.
7/gam HC, R- ♦3
7 1 LC yq, S" ;?;ST
HVAC System -
15• Gas Furn ce Without Refrigeration Cooling.................SE O
(Seas nal Efficiency)
16. Heat Pump (Energy Efficiency Ratio). �(/ i� EER Q
17. Gas Furnace with Refrigeration Cooling..AnoSE......... ,v SEER Q .
(Seasonal Efficiency -SE, Seasonal Energy Efficiency Ratio SEER
18. Active Solar (Net So lar Fraction, %)....................... ;r/y % NSF Q.
19 Zonally Controlled Electric Resistance Spece'Heat•ing...(Yes/No �,V0 D
Domestic Water Heating
F
20. • Solar With Gas. Backup (Net Sol.ar: Fract ion,. %) .............. ,!/ % NSF 0-
.21. Other Water Heating (Describe Type) GA Jr
POINT -SYSTEM COMPLIANCE TOTAL (Must be greater than or equal to -O).,........... �
Cle 7' 6-fi t FvX A14 c..E / ,r �f ECG•ri�. ►E.c�OCU r9.vD 4u o 0L a 41010.
EXTi�A �O/.r TJ, .� �i9�iE �% Or' 7/Yl i!'EgT��G �✓/GG .,B,t 7d 7r1 4JOo.O
al""A- 6
(California Enemy Commission)
,d STS: ✓� ..
(:I.A%:fN(; 11I.AN , AKEOFF Sill?I:'1'
3-5 North_ Glazing
QUANTITY SIZE AREA
(SQ. i;,.r. )
(1) ——x
e a -
I
Total North Glazing (SQ.I?'1'.)�
(a+b+c+d+c)
MAL
vORTH TOTAL BLDG' CONVERSION TOTAL % .
:AZING FLOOR AREA FACTOR NORTH GLAZING
x 100
;Q.FT. SQ.1-T
3-7 South Glazing
QUANTITY SIZE AREA .(SQ.11'.)
al X: y°Y° =_9ro
,c)
d) x -- _ . ---
,el x =
Total'S.outh Glazing = //B (SQ.IT.)I
(a+b+c+d+e)
l
'OTAL
TOTAL '%
>OUTH
TOTAL BLDG
AZING
FLOOR AREA
SIZE0
. 0 0 x
;Q.FT.
SQ.FT.
CONVERSION
TOTAL '%
FACTOR.
SOUTH
GIAZING
loo
SIZE0
AREAA (SQ. Fr. )
3-9 'Skylights
QUANTITY SIZE
,a) x
,b) x
;c) x
Total Skylights
(a+b+c )
'OTAL
:PLIGHT TOTAL BLDG
.AZING FLOOR AREA,
x
AREA (SQ . FT . )
o (SQ.Fr. )
TOTA 1.
3-6 Ecisl:
(;!u•rJnq�
EAST
T01'AI.. BLDG CONVERSION'
QUANNT:ITY
SIZE0
AREAA (SQ. Fr. )
EAST GLAZING
O.a,Z=
OAU x 100
SQ.I.T..
SQ.i'T.
(c)
�4ted�S
x
(d)
Total
East Glazing
=/)D O.R (SQ. FT. )
(a+h+c 4-d 4-e )
TOTA 1.
EAST
T01'AI.. BLDG CONVERSION'
TOTAL %
GLAZING
F1,001t AREA FACTOR
EAST GLAZING
O.a,Z=
OAU x 100
SQ.I.T..
SQ.i'T.
3=8 West Glazing
QUANTITY SIZE AREA (SQ. FT.
(c)
(d)
ToLal. Wcst Glszing SQ. Fr. )
(a+b+c+d+e)
TOTAL
WEST
TOTAL, BLDG CONVERSION
TOTAL %
GLAZING
FLOOR AREA FACTOR
WEST GLAZING
Af
0/0 x .100
SQ.FT.
SQ.F'C.
CONVERSION TOTAL %.
FACTOR SKYLIGHT GIAZING
100
sic_ S. 7. �.rr ,e.
`- • i.f FgcraK - 7: 3
lvgcc 7 d S—r,
T/C C
JNER o / /(00 .
4
�irSIAIA ,q�;q y o,t .26 = /D
RESIDENTIAL PLAN CHECKING GUIDE
(S.F., DUPLEX & MISC.,•ONLY)
Bldg. Permit #
OWNER _ _j4jO A . P . # "ZO-g 7
GENERAL
Zoning requirements: (sideyards and number of permitted living units)
.2- Valuation.
Plans signed by designer.
� Energy Design and Compliance.
Existing violations on property.
PLOT PLAN
5r�," omplete parcel size and dimensions.
/ Setbacks, sideyards, easements, etc.
/sem Other buildings or structures.-
Grading,
tructures.Grading, fills, drainage.
Flood hazard.
Special conditions on creation map or compliance document.
FLOOR PLAN
7/85
,A -.""Complete to scale plan with dimensions.
,we' -Required windows for light and ventilation (Sec. 1205).
,3! Required windows for second -exit (Sec. 1204)., -
e4--- ylights (Chapter 34 & Sec. 5207).
Human impact glass (Sec. 5406).
Required room sizes, ceiling heights (Sec. 1207).
G.F.C.I.'s in baths, garage and exterior outlets (Article 210-8).
Light fixtures, switches, receptacles, and exterior receptacles for maintenance of
mechanical equipment.
<91" Locations of water heater, heating and cooling equipment, other electrical or gas
equipment, and plumbing fixtures.
,4-: Garage firewall, door size, and closer (Sec. 503(d)(3)).
),1% 1 - 3'0" exterior exit door (Sec. 3304(e)).
.J.2 -r Fireplace and wood stove location.
Smoke detectors (Sec. 1210).
STRUCTURAL DETAILS
,Ii- Foundation plan complete enough -,to construct building.
,w2:-- Floor construction details complete enough`:to construct building.
�! Elevations and wall construction details complete enough to construct building.
Roof construction details complete enough to construct building.
w& Fireplace construction details and calcs if necessary.
J6: Sufficient data and details to satisfy energy requirements (State Law) (Form 1).
MISCELLANEOUS ITEMS TO LOOK OUT FOR
Exposure I plywood on exposed locations and overhangs.
Stairway details: landings, rise and run, head clearance, handrails (Sec. 3306).
J,oll_ Guardrail details (Sec. 1711 & 3306(j)).•
Brick or stone veneer (Chapter 30).
Exterior plaster - weep screeds (Sec..4706).
�;�Rafter
roper roof pitch for roof covering (Chapter 32)..
ties or bearing ridge beam.
RESIDENTIAL PLAN CHECKING GUIDE.(CONT'D) 7/85
MISCELIANEOUS'ITEMS TO LOOK OUT FOR (CONT'D)
,t -^Garage door or porch header sizes.
Adequate bracing.
Living area over garage - complete 1 -hour separation required on garage side
�— including supporting walls and posts, etc.
Two exits on three-story dwellings (Sec. 3303 & see Mezannines 1716).
Attic access and ventilation (Sec. 3205).
Underfloor access and ventilation (Sec. 2516).
IA-- Wood stoves, clearances, alcoves & 1 -hour shafts.
16'. --Combustion air for fuel burning appliances.
d� Noise requirements on duplexes.
Adobe soils - special foundation design.
1�. Retaining walls requiring design.
/Unusual shape, size or split level house requiring lateral design.
i
ZONE 11
OWNER L 40*E &rot POINTS
PERMIT N0. Y19 e ASSIGNED ACTUAL
1. SLAB - INSULATION
2. RAISED FLOOR - R-19
3. CEILING - R-30
4. WALL - R-19�� ti
5. NORTH GLAZING - 2.4-3.6% 3• o b
6. EAST GLAZING - 2.5-3.6%14 it
__
7. SOUTH GLAZING - 1.6-3.6% 3e % 6
B. WEST GLAZING - 2.9-3.6%
i
9. SKYLIGHT - 0-1.3%
10. SHADING (Exclude Overhang)
EAST - .66
SOUTH - .19-.42
WEST - /-5.13-.36 --/
SKYLIGHT - .37-.57
11. HORIZONTAL SOUTH OVERHANG 2' _0 Z
12. 1`IOVABLE INSULATION - NONE �% 6
13. INFILTRATION (Standard=0)(Tight=+12) _ d
_14. THER14AL MASS SF
15. GAS FURNACE (SE) 71-76% 72,n
16. HEAT PU11P (EER) 7.5-7.9%
17. DUAL PACK (SE, SEER) '8.0-8.3/71-76%
WOOD. STOVE.
_A:!r WATER HEATER
ATTIC 74r. % -tZ
OTHER -4 4
TOTAL POINTS = r23
-able 3-1. Slab Floor Points
I Tn ula- I R -Value of Insuistton 1
I cion I I
Depth, -T--T
I Inches 1 0-2 1 3-4 5-6 I' 7+ 1
1 0-1t1-5 1-5 1-5 1-5 1
I 12 - 15 1 -5 1 -3 1 -2 1 -1 1
I' 16 - 19 I -5 j -2 I -1 1 0 1
I 20 + I -5 I -1 1 0 1 +1 I
7/7/83
I R -Value of I
Ceiling Insulation
Points
I Insulation I
I I
Points
I below 3 1
-12
I 3-4 I
-8
I 5-7 i
-6
I 8 - 12 I
-4'
I 13 - 18 i
r2
•19+ i
0
1 0
Table 3-3a.
Ceiling Insulation
Points
Table 3-7.
South-Facin Clazin Pts
tatlon
I
I East
I'
I Glazing
Type
1
R -Value of
Insulation I
Points I
I Total
I
1 0
I
1
I
I Z•of
I Sngl,
I Dbl,
Trpl,
+3 1
Glazing
I Floor
I (U-
i (U - I
(U - I
1
19 1
-4 '. 1
I Area
1 1.10)
10.65) 1
0.41)1
1
22 1
-2 1
I
I oints
I oints I
ointsl
1
30 I
0 1
o
i3
i3
+3
1
38 1
+2 1
I up to 1.5
1 +2
1 +2 1
+2 I
I
49 I
+4 1
1 1.6- 3.6
1 -1
1 0 1
0 1
Sngl,
I
I
1 `3-1=-5:-z
1 -•4
1 =t- 1
-2 1
I Floor
l u-
l u- l
5.3- 6.5
1 -6
1 -4 1
-3 I
+3
I Azea
1 0.66 10.42-
I 6.6- 7.7
1 -9 1
-6 1
-5 I
I 0 1
+1 I
I
I 7.8- 8.9
1 -11 1
-8 1
-7 i
-S 1
-2 I
0 1
I 9.0-10.0
I -13 I
-10
-9 I
Table 3-4a.
Wall`Insulation Points
110.1-11.5
I -17 I
.1
-13 I'-11
1 +1 1
+2 1
+y
1 5.1- 5.6 I
1 11.6-13.0
i -21 I
=16 I
-14 I
I R -Value of
Insulation I
Pointe 1
113.1-14.5
1 -25 I
-19 I
-16 1
1
I
I
114.6-16.0
I -28 I
-22' I
-19 I
7.AI- 9-tn -..-- r_
I SC by
11
I
-7 I
tatlon
I
I East
I I 3.2T-
I
19
I
0 )
Table 3-8. West-FacinR
Clazing Pts.
20-.36
I 0 i
1 0
I .67-.882
0 I 0 1 -1
.83 up
i 0 i -1 i -2
( South
30
1
+3 1
Glazing
Type
1 0 1 +1 I +2 I +2 1 +:
I .19-.42
1 0 1 0 1 0 1 0 1
I 4- 6 1 0 1 -1 I -2 I -2 -
1 Total
,I
0 1 -2 I -4 I -4 I -E
'
I
West
1 .1 1 1.6 1 3.2 16.4 1 9.(
I to I to I to I to I up
I %.Of I
Sngl.
Dbl,
Trpl,
Table 3-5.
r-
North -Facing Glazing Pts
_�-,•
I Floor 1
1 Area 1
-
1. 1.10)
1 - I
1 0.. 65) 10.41)1
(U - 1
I
I Glazing Type
I
I I
oints
I oints 1
ointsl
1 Total
I
1 0 1 +1 1 +3 1 +6 1 +7
1
0
+6
+6
+6
I Z of
Sngl,
Dbl,
Trpl,
I up to 1.3 I
I 1.4- 2.z
+5
+3
I +6 I
1 +4 1
+6
+5 I
I Floor
l u-
l u- l
u- I
I - 2.8
0
1 X00 1
+3
I Azea
1 0.66 10.42-
1
0.41 I
1 2.9- 3.6 1
-3
I 0 1
+1 I
I
1 1.10 10.65
I
down 1
1 3.7- 4.2 1
-S 1
-2 I
0 1
o
1 0.1- 1.2
+ 4
1 +4 I
a 4
+4
+4
I 4.3- 5.6 I
-8 I
-4 I
-2 I
I 1.3- 2.3
1 +1 1
+2 1
+y
1 5.1- 5.6 I
-30 1
-6 1
-4
I 2.4- 3.6
I -2 I
0 1
+1 I
1 5.7- 6.2 I
-13 1
-8 1
-6 I
I - 4.8
-4 I
-2--I
-1 I
i 6.3- 6.9 1
-15 I
-10 1
-7 I
1 4.9- 6.1
1 -7 I
-4 I
-3 1
I 7.0- 7.6 1
-18 1
-12 1
-9 I
I 6.2- 7.3
I -9 1
-6 I
-5 I
I 7.7- 8.2 1
-20 '1
-14 1
-11 .1
1 7.4- 8.2
1 -12 1
-8 I
-7 I
1 8.3- 3.8 1
-22 1
-16 1
-13. 1
1 8.3- 9.7
1 -14 I
-10 1
-8 I
I 8.9- 9.5 1
-25 I
-18 I
-15 I
I 9.8-10.8
1 -17 I
-12 1
-10 I
I 9.6-10.1 1
-27
-20 1
-16 I
1 10.9-12.0
I -19 I
-14 I
-12 I
i 10.'2-11.0 I
-29 1
-23 I
-17 1
112.1-13.2
I -22 1
-16 1
-13 I
1 11.1-11.8 I
-35 I
-26 I
-21 I
113.3-14.5
1 -24 1
-18 I
-15 1
1 11.9-12.7 1
-38 1
-29 I
-24` 1
1 14.6-15.3
1 -27 1
-20 (
-17 1
1 12.8-13.5 1
-42 1
-32 1
-27 1
I
1 1
I 17.6 - 23.5 1 +6 I
114.1-15.3
113.6-14.3 I
-46 1
-35 1
-29 1
-33 1
-26 I
-- I
1
1 14.4-15.2 I
-50 1
-38 1
-32 1
7.AI- 9-tn -..-- r_
I SC by
1
I Orien-
I Z Floor Area
tatlon
I
I East
I I 3.2T-
0-3.1 to6.4 up
I 3
I I I
I
I 0 -.19
1 0 I +1 I +2
20-.36
I 0 i
1 0
I .67-.882
0 I 0 1 -1
.83 up
i 0 i -1 i -2
( South
1 0 1 3.2 1 6.4 1 8.0 1 9.�
I
I to I to I' to I to I up
i 3.1 1 6.3 17.9 19.5 1
I 0 -.18
1 0 1 +1 I +2 I +2 1 +:
I .19-.42
1 0 1 0 1 0 1 0 1
I 4- 6 1 0 1 -1 I -2 I -2 -
1 .67 up
,I
0 1 -2 I -4 I -4 I -E
'
Type
West
1 .1 1 1.6 1 3.2 16.4 1 9.(
I to I to I to I to I up
I
11.5 1 3.1 1 6.3 17.9 I
I I I I I
0-.12
1 0 1 +1 I +3 I +6 I +7
.13-.36
I 0 1 0 1 0 1 0 1 0
.37-.57
I 0 1 -1 I -3 I -6 I -7
58-.82
i -1 I -3 1 -6 I -12 I -15
�_' up
II -4 I -8 I -16 I IO
I I I I I
Skylight
1 .1 I .8 1 1.6 1 3.2 14.0
of
I to I to 1 to I to I to
Trpl,
I.7 1 1-5 Ir 3_1 139 I_s_z
0-.12
1 0 1 +1 1 +3 1 +6 1 +7
.13-.36
1 0 I 0 I 0 I- 0 I 0
.31-.57
1 0 1 -1 I -3 I -5 I -
.58-.82
I -1 1 -3 1 -6 I -12
.83 up
I -2 1 -4 1 -8 I -16 I -20
I
I I
I
I
Table 3-11. Horizontal South
'
Overhane Pointe
Table 3-9.
Skylight
Points
South Glazing
Table 3-6.
East -Facing Glazing Pts.
I Length Out I Area, Z of Floor I
I
I Glazing
Type
I
1 from Wall (_ I
I Glazing Type
I
1 Total
I
I
1 ft r
"'--1 Total
1 Z
I
I
I Z of
Sngl,
Db!,
Trpl,
1 1 0-6.3 I 6.4 up I
of
I Sngl. Cbl,
Trpl,
I Floor
I U- l
U - I
U - I
I I I ' I
I Floor
1 (U - 1 (11 - 1
(U - I
I Area
10.66- 1
0.42- i
0.41 I
0- 0.5
r I Area
1 1.10)
1 0.65).1
0.41)1
1 11.10
1
0.65 I
dove I
10.6 - 1.0 I - 2 1 -3 I
(
IPL;'ntS
(points I ointsl
-
11.1 - 1.9 I -1 I 2 I
I o
4
+ 4
+,--r
I up to 1.3 I
-1 1
0 1
0 1
I 2.0 up I 0 1 0 I
I I up to 1.3
1 +3
1 +4 I
+4 1
1 1.4- 2.2 I
-3 1
-2 I
-1 I
I I I
r 1 1.4- 2.4
I +1.1
+2 1
+2 1
( 2.3- 2.8 i
-6 1
-4 I
-3 1
Table 3-12. Movable Insulation
1 1 2.5- 3.6
I -2
1 0 1
0 1
1 2.9- 3.6 1
-9 1
-6 1
-5 1
Points
1 1 3.7- 4.6
I -5
1 - -2 1
-1 1
I 3.7- 4.2 I
-11 1
-8 I
-6 1
( 4.7- 5.5
I -8
1 1
-3 1
1 4.3- 5.0 I
-14 1'
-10 I
-8 1
1 Moveable Insulation'l I
I V777 9.7-1
-10
1 -6 1
-5 1
1 5.1- 5.6 1
-16 1
-12 I
-10 1
I Area, Z of Floor I Points I
I 6.8- 7.7
1 -13
1 -8 1
-7 1
1 5.7- 6.2 1
-19 1
-14 I
-12 1
1 I I
I 7.8- 8.7
1 -15
1 -10 1
-8 •1
1 6.3- 6.9 I
-21 1
-16 I
-13 1
I
_ I 8.8- 9.7
1 -1.7 1
-12 1
-10 1
1 7.0- 7.6 I
-24 1
-18 I
-15 1
1 0- 5.5 I 0 1
I 9.8-11.2
1 -21 1.-15
1
-13 1
1 7.7- 8.2 I
-26 1
-20 I
-17 1
1 5.6 - 11.5 I +2 I
111.3-12.7
1 -25 I
-18 •1
-15 1
1 8.3- 8.8 I
-28 1
-22 I
-19 1
1 11.6 - 17.5 I +4- I
112.8-14.0
1 -28 I
-21 1
-18 1
1 8.9- 9.5 I
-31 1
-24 I
-21 1
I 17.6 - 23.5 1 +6 I
114.1-15.3
1 -32 I
-24
-20 -)
1 9.6-10.1 I
-33 1
-26 I
-22 I
i >23.6+ ( +8 i
11
.
Table 3-13. ltlfllstation Control
Feat"res Points
r-�- -- -'!--T
I Coa:rol Features I Points I
T-- I I
! Standard I 0 I
! I I
!
1.9 air changes per hr I I
T_ I I
I Tight 1 +12 1
I I I
10.6 air changes per hr I' I
I I I
Table 3-15. Cas Furnace Without
_ Refrigeration Cooling Points
I- 1
I Seasonal Efficiency I Ports I
! (SE), .t 1
� I I
I 71 - 76 I 0 1
I 77 - 82 I +2 I
I 83 - 88 ( +4 1
!
89 - 94 I +6 1
I 95 up ( +8 I
I I I
Table 3-16. Heat Pumo Points
r
Energy Efficiency I Points I
1 Patio (EER) !
I 7.5 -
7.9
1 +3 I
I S.0 -
8.3
I +6 I
I 9.4 -
3.7
I +9 I
I 8.8 -
9.1
I +12 I
9.2 -
9.6
I +13 I
I 9.7 -
10.2
I +18 I
1 1013 -
10.8
1 +21 I
I 10.9 -
11.5
I +24 !
I 11.5 -
12.3
I +27 I
I 12.4 -
I
13.2
I +30 I
I I
Table 3-17. Cas Furnace With
Refrieeration Coollna Points
;Refrigeracfod Cas Furnace. I
! Cooling I SE % 1
!171-177-i 83- 59-5-5-T
I 1 761 821 891 941 us
I
1 8.0 - 8.3 1 01 +21 +41 +61 +8 1
I 8.4 - 8.7 1 +21 -1 +61 +91+10 1
I
8.3 - 9.2 1 +41 +61 +e1+101+12 1
I 9.1 - 9.7 1 +61 +81+101+121+14 1
I 9.8 - 10.3 1 +31+101+121+141+16 1
110.4 - 10.9 I+101+12i*1:1+161+19 I
1 11.0 - 11.6 1+121+141+161+181420 1
1 1 ! I I I
7/7/83
ZONE 11
TABLE 3-14 (ADAPTED) INTERIOR THERMAL MASS POINTS
MASS _ DUELLING ARFA QUARE FOOT
AREA1,000 1 1,500 I 2,000 2.500 I 3,000 3,500 1,000 4,560 5,000
SQ. FT. I A 8 C D A. 8 C D A 6 C d A B C D A 6 C 1) 1 A 6 C O• A 8 C D! A 6 C G A B C C
50 2 2 2 2 2 2 2 0 j 2 2 2 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0j 0. 0 6 O
106. 4 ! 4 2 2 2 2 2 2 2 2 2 2 2 2 0 2 2 2 0 2 2 0 0 2 2 0 0 i 2 0 0. 0. 0 0 0 1
ISO 6 6 6 4 4 4 4 2 2 '2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 0 2' >. 2 OI 2 2 2 0!
200 8 6 6 4 6 6 4 2 4 4 4 2 4 4 2 2 2 2 2 2 2 2' 2 2 2 2 2 2 2 2 2 2I 2 2 0 I
253 10 10 8 6 6 6 6 4 6 6 4 2 4 4 4 2 4 4 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 .1
309 12 12 10 6 8 8 6 4 6 6 6 4 6 6 4 2 4 4 4 2 4 4 2 2 2 2 2 7 2 2 2 2 2. ? 2 2
350 14 14 12 8 10 10 8 6 6 6 E / 6 6 6 2 6 4 4 2 4 4 4 2 4 4 2 2 4 4 2 7 2 2 2
400 14 14 12 8 10 10 8 6 8 8 6 4 6 6 4 4 6- 6 4 2 4 4 4 2 4 4 4 2 I 4 4 2 2 I 4 2 2
503 18 18 16 10 12 12 10 6 10 10 8 6 R 8 6 4 6 6 6 4 6 6 6 2 6 6 4 2 4 41 2 4 a 4 j
600 22 20 18 12 14 14 12 8 12 12 10 6 10 10 8 6 8 8 6 4 8 G 6 4 6 6 6 4 1 6 6 4 2( 6 6 4 2!
700 24 24 20 14 18 16 1 I 10 14 14 12 0 10 10 10 6 10 10 8 6 8 8 6 4 8 6. 6 4 A R 6 41 6 6 5 2 !
i
270 26 24 22 16 70 16 16 10 14 14 12 8 12 10 10 6 10 10 8 6 10 R 8 4 ? 6 6 < 8 6 6 4I 6 6
900 28 28 24 16 22 20 18 12 16 16 14 10 14 14 12 8 12 12 10 6 10 10 3 6 I s 8 '8 4 8 8 6 4i 8 8 6 r. i
1,010 30 70 26 18 22 20 20 14 18 18 16 10 14 14 12 8 12 12 10 6 12 10 10 6 10 10 8 6 8 B 0 4j 8 C 4 i
1,:OU .32 32 28 20 24 24 22 14 20 20 18 10 16 16 14 8 14 14 12 8 12 12 10 6 10 1J 10 6 1:1 10 8 61 !J e e ;
1.200 34 32 30 22 26 26 22 16 22 20 18 12 18 18 14 10 14 14 12 8 14 12 12 8 1,12 12 10 6 1 ) J to 8 6 ) 11) 10 8 6 i
1,7C0 34 34 32 22 28 26 24 16 22 22 20 12 18 18 It 10 1S 14 14 8 14 12 12 6 12 12 10 6 12 10 10 6i 10 ;0 C 6 1
1,.00 34 -34 32 24 28 28 26 18 24 24 20 14 20 20 18 12 18 16 14 10 14 14 12 8 X14 14 12 8 12 12 :G t: 10 10 13 c 1
1,500 ! 36 34 34 24 30 30 26 18 24 24 22 14 22 20 18 12 18 18 16 10 16 16 14 8 14 14 12 a 12 12 10 61 ;? 12 1;. u i
2,000 I 34 -34 32 22 30 30 26. 18 26 26 22 16 22 22 20 14 I
20 20 18 12 18 18 16 10 16 16 is 61 14 la 1? 5 I
2,500 34 34 30 22 30 30 26 18 26 26 24 16 24 24 22. 14 22 22 39 :2 20 20 18 !;• 19 !s It '0
J,100 34 32 30 22 30 30 26 18 28 26 24 16 124 24 22 14 22 22 20 1411: 23 3 12 i
3,500 32 32 30 20 30 30 26ld �2d 28 24 16 26 24 22 14i 74 ;4 20 14 '
.1 .030 32' 32 30 20 130 30 26 18 i 20 28 24 It 26 25 2: If
4,500 132 32 28 20 ! 30 30 26 It j 2 j
5_000 32 tT 2i 20 It 13- - - 76 1
_ ----
A) 1. 3'sn Concrete Slab: HC -A.93; R-.29; Factor -7.3
2. 3 3/4- Thick Common Brick: IIC-1.125: R-.13; factor -7.3
B) 1. 5k' Concrete Slab: NC -14.106; d1.418; F' ctor•7.1
C
) 1. 8- Solid Filled Block: HC -20.63; R-1.93; Factor -6.1 wood stove 433 points'(no back up)
2. 8` Solid Filled Block With Both Sides Exposed To Conditioned Air. ca.Sablanca fan + 1 point
NOTE: Use all square footage directly exposed to conditioned air
for Thermal`Mass Area: IIC=10.164; R-.96�; Factor -6.1
D) 1' Thick•Concrate/Tile: MC -2.55; R-.083; Factor�-3.7
Table 3-19. Zonally Controlled
Electric Resistance
___
Space fleatine Points '
I Points Pointe for thisthis measure v!11 I Table 3-2n. Solar Water HeatingWith Cas Backus Paints
I be completed after the CSC I
I has approved an Alternative !
I Component Package for Reslstance I
I Beat. 1
Table 3-18. Active Solar Space
Heating with Cas Points
I Net Solar Fraction I Points I
I I I
I 0-6 I 0 1
I 7 - 14 I +2 I
I 15 - 23 ! +4 I
1 24 - 30 I +6 I
I 31 - 39 I +8 I
I 40-47 ! : +10 !
( 48 - 55 I +12 I
I 56 - 63 I +14 I
64 - 71 ( +18 I
I 72 up I +20
I I I
M.ultifamil (per unitpoints)
Floor Area
Net Solar Fraction (NSF), Z
per unit,
ft2.
0.9
10-19
20-29
30-39
40-49
50-59
60-69
70-79 ,
600-799
0
+3
+7
+10
+14
+17
+21
+24
800-999
0
+3
+5
+8
+11
+14
+16
+19
1,000-1,499
0
+-2
+4
+6
+8
+10
+12
+14
1,500-1,999
0
+1
+3+4
+6
+7
+8
+10
2 r,00 and u
0'
+1
+2
+4
+5 1
+6
+7
+9
All others (per building points)_
800-8.99 0 +5 +10 +14 +1� 9 +24
_
+29 � +34
900-999
0
+4
+9
+13
+17
+21
+26 +30
1,000•-1,199
0
+4
•F1
+11
+15
+-19+22
+26
1,20r, -I.499
n
+3
+6
+9
+12
+15
+18 +21
1,500-1,g99
0
+2
+5
+7
+9
+12
+14 +lc
2,1100-:,9?9
+2
+3
+5
+7
+8-
+10 +11
-i,-.d3,000-i,-.d uo
-0
0
+1
1.3
+4
+5
4.7
+8 +10
8
i
Table 3-21. Other Water Beating Pt9.
1 System Type I Points I
f I I
-�--T
Cas Only 1 0
Beat Pomp 1 0
Solar with Electric I
Resistance Backup I
IteeCing the Require- I
menta is Part 2 I 0
I
Electric Resistance I
0;:1 y ; -.0
�� � ,.
9y� �L� �-� ..fes %�...2� /�--.-� �--�_
��
Insulation Certificate
BUILDING OWNER:
BUILDING LOCATION:
Description of Installation
ROOF
Material
Thickness (inches)
CEILING
BUILDING PERMIT #:
Brand Name
Thermal Resistance (R -Value)
Batt or Blanket Type B.ar_d Name
Thickness (inches) - Themtal Resistance (R -Value)
Loose Fill TypeBrard Name 0 W C— t -f '
Contractor's minimum installed weight/ft Ib Minimum thickness —� inches
Manufacturer's installed weight per square foot to acheive Thermal Resistance (R -Value) .
EXTERIOR WALL
Material Brand Name All"
Thickness (inches) Thermal Resistance (R -Value)
RAISED FLOOR
Material _ Brand Name
Thickness (inches) ' Thermal Resistance (R -Value) r q
SLAB FLOOR
Material
Thickness (inches)
Width (inches)
FOUNDATION WALL
Material
Thickness (inches)
Declaration
Brand Name
Thermal Resistance (R -Value)
Brine Name
Thermal Resistance (R -Value)
lea--pg2
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.
General Contractor (Builder)
Signature and Title
Sub -Contractor (Insulation Installer)
License Number
Date ' • -
License Number
Signature and Title Date
THIS CERTIFICATE MUST.BE PROVIDED TO THE BUI"07NG DEPARTMENT PRIOR TO FINAL INSPECTION
APPROVAL AND A COPY SHALL BE POSTED WITHIN THE BUILDING.
JANUARY 1993
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-754_/ ERMIT NO.
APPLICATION'Ahib PERMIT
ASSESSOR PARCEL NUMBER
ZONING
ILDING PERMIT
OWNER
TELEPHONE
'J
SO. FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS
1065 GRIDLEY AM GRIDLEY
EST 900
CONTRACTOR'S NAME
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
Filing Fee $
20.00
LENDER'S MAILING ADDRESS
Permit Fee $
23.00
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee $
Energy Plan Checking Fee $
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty $
BUILDING ADDRESS
PERMIT FEE $
43.00
PLUMBING PERMIT
Filing Fee 20.00
Each Trap
7.00
Solar or heat pump water heater
23.00
Water piping
15,00
LOT NO.
SUBDIVISION'S NAME
PARCEL MAP
Each gas water heater or vent
15.00
USE OF STRUCTURE
SF q Duplex ❑ Mobilehome ❑ OtherSPECIFY
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home S G I W
20.00
TYPE OF WORK
New ❑ Addition O Remodel ElUtilities ❑ Installation 1:1Other U
Describework: COMPLETE BP#1881-85
PERMIT FEE $
Contractor
ELECTRICAL PERMIT
Filing Fee 20.00
Main Service ( 21111 11 LESS )
2ODA OR LESS
23.00
Main Service ( 200A TO 1000A )
46.00
NEW CONST. DWELLING OCCUP.
OR ADDNS. ( 8 ACC. BLDS. )
S0.
3.50 FT,
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one)
❑ I am a licensed underrovisions of Chapter 9, Division 3 of the Business and
P P
Professions Code and my license is in full force and effect.
License No. Classification
as the owner, or my employees with wages as their sole compensation, will do
the work, and the structure is not intended or offered for sale. (Sec 7041)
❑ I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044)
❑ I am exempt under Sec. , Business and Professiors Code
forthis reason
NEW CONST. MULTI -OUTLET
-NON.RESID. ( BRANCH CIRCUITS )
@7.50
( POWER APPARATUS )
& SINGLE OUTLET CIR.
Ex. Occup. ( OUTLET OR FIXTURES )
20 @ 1.00
BAL. 1@ .50
Ex. Occu FIXED APPWS. OR
P• ( OUTLETS (RESID.) EA. )
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Mise. Wiring
23.00
WORKER'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ This permit is for $100.00 (valuation) or less.
❑ I have placed on file with the County of Butte Dept. of Development Services,
Building Division a Certificate of Workmen's Compensation Insurance or a
Certificate of Consent to Self -insure.
."hall not employ any person in any manner so as to become subject to the Worker's
Compensation laws of California.
Notice to Applicant: If after making this statement, should you become subjec: to the
Worker's Compensation provisions of the Labor Code, you must forthwith comply with
such provisions or this permit will be revoked.
PERMIT FEE S
Contractor
MECHANICAL PERMIT
Filing Fee 20.00
Heating
Cooling
Hood
6.50
Ventilation
PERMIT FEE $
Contractor
I certify that I have read this application and state that the above information is correct.
I agree to comply to all Butte County Ordinances and California State Laws rel.—ting to
building construction, and hereby authorize representatives of the County of Butte to
enter upon the above mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against all
liabilities, judgments, costs, and expenses which may in any way accrue agairst said
County in copse uence of th nt f this permit. y
XC� � Date / ^' � �
Signature of Applicant --Own ❑ Contractor ❑ Agent
An OSHA permit is required or excavations over 5"0" deep and demoltion or
construction of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
DCC
CONST. TYPE
TOTAL FEE $ 43.00
HAZ•
I D. FEES
I IMP
I FLOOD
I CDF
PARCEL I PID
HD
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 h . e een paid.
DIRECT R OF P WORKS
By Date 7/12/94
PERMIT EXPIRES ON /12/95
(Da tel
Receipt No. /��� 3 �
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
.r�1+,-f� :.,ksriR'*l •lith a-vt~*1'.^�""i.� ., kr..r �:.,ttx. m� L - � �.. � � ...•.+. n,+n�y,e-M..- •-_..,.v �,. ,.-,.,..r+„-.�:,-�-�._. ��:,,, e
�Y {w i+ �'rr.l•.-s`���+'Irvy.�.ra�'-�:.�'•►ru�'+'is.�r,• s.4� lr�- v.r` ,
COUNTYOF BUTTE - DEPARTMENTOF D1�VE,1tO('P�MFNTSERVICES -BUILDING DIVISION
7 COUNTY CENTER DRIV- OROVILLE, CALIFORNIA95,965 - TELEPHONE (916) 538-7541
PERMIT APPLICATION DATA SHEE
OWNER L-�, I- L �-� i�F%2- A. No.
Proposed Building Use Building Inspect Date
At time of permit application, I was ad ised the following data must be submitted prior to permit processing and/or issuance:
DATE RECEIVED BY
1. All items have been submitted . ........................................ `
2. Plot plans, 3/4 sets, signed by preparer of plans. ......................... .
3. 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). ... .
obilehome dat nd manufacturer's installation instructions, 2 sets. ...........
10..Fees of $ .Oct ...........................................
11. Impact fees ad shown on attached schedule . ..............................
12. California Department of Forestry plan approval/fees. ....................... .
13. Flood elevation letter (100 year flood) by California Engineer. ................. .
14. Sanitation and plot plan approval Health Department . ............
15. City of Chico plumbing permit . .........................................
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). ..... .
Pre -Inspection requeis
20. Pre -inspection for required. .. to Building inspector (Date)
21. Contractor's license information. (No., Name Style, Classification) . ..............
22. Certificate of Workmans Compensation Insurance . ..........................
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.
When you issue the permit, process as follows: {/ Mail to owner. Mail to contractor.
Telephone and hold for pickup at office. Deliver with inspector.
Other
Parcel Creation
Acreage Applicant
Date -7-5--
Copy
"s-
Copy of Haz-Mat form sent Health Dept.- Fire Dept. - Air Pollution Date
Copy of plans sent Health Dept. Fire Dept. Other Date By
The following data must be submitted prior to permit issuance: (Circle new item not checked above).
1. Index permit for above items No.
2. Additional items required:
x r
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 Counter by _ Date
Plans checked by Date Plans approved by Date
Sets of plans on hold in File cabinet AP folder
Copy - Department of Public Works
COUNTY OF BUTTE
Department of DeTrelopment Services
Building Division
Oroville: 7.County Center Dr., Oroville CA 95965 Ph: 916-538-7541
Chico: 1469 Humboldt Rd., Chico CA 95928 Ph: 916-891-2751
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 major labor and materials for construction of the proposed property_ improvement
(yes or no)
2. I (have/have 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 City
Phone Contractor's License No.
4. I 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 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
Social Security Numb(
Date _ �7--, �_
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 permitted to issue the
permit.
Edward L. & Mariam M. Gallagher
1065 Gridley Avenue
Gridley, CA 95948
RE: Building Code Violation
1065 Gridley Avenue, Gridley
Dear Mr. and Mrs. Gallagher:
Eatte Count,
BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965-3397
TELEPHONE: (916) 538-7541
FAX: (916) 538-2140
June 28, 1994
A.P.#024-10-0-087
This is a formal warning notice. Pursuant to Butte County Code ('BCC)
Section 41-2, we sent you a courtesy notice dated December 27, 1993 notifying
you that you are in violation of the BCC at the above -referenced location.
As of this date, the following violations still exist:
Failure to obtain approval of previous corrections and failure to obtain
final inspection prior to occupancy and permit expiration for constr-
uction of single family residence in violation of the 1982 Uniform
Building Code as adopted by Section 26-1 of the Butte County Code as
follows:
(a) Section 301(a) Permits Required
(b) Section 305(a) Inspections Required
(c) Section 305(d) Inspection Approval Required before Use or Occupancy
The above violation shall be corrected or abated by you applying for a permit
to complete the work and paying the appropriate fees. After permit issuance
and field authorization to proceed, the corrections must be completed and
approved by this office within the permit specified time.
This is your final warning. Unless you contact this office and make the
proper arrangements to correct or abate the violation(s) voluntarily, within
ten (10) days from the date of this letter, enforcement shall be pursued
through the issuance of a citation (ordering you to appear in court) for
said violation(s),and for failing to comply with this warning letter.
Upon conviction of said violation(s) or of failing to comply with this
letter, the court shall impose penalties (fines) and a Notice of Violation
shall be recorded in accordance with Butte County Code Section 41-7. The
Notice of Violation shall include a description of the premises the violation
concerns, a description of the violation, the date of your conviction and
the action necessary to correct or abate the violation(s).
Should you have any questions concerning this matter, -please contact Scott
Rutherford or Michael C. Vieira in this office at the address or telephone
number listed above.
MCV:elms
*,*cIyC. _ V i A'i ro 0 R 0
PROOF OF SERVICE BY MAIL
I am over the age .of 18 and not a party to this cause. I.am a
resident..of and employed in the. county_ where the. -mailing occured. - My -
business address is Building Division
Department of Development Services
7 County Center Drive
Oroville, CA 95965.
I served the foregoing SECOND NOTICE VIOLATION.LETTER
(024-10-0-087)
by enclosingg-a true copy in a sealed envelope and depositing said. envelope
in the United States mail with postage fully prepaid on 28th, of June
19 94' and addressed as follows:_
Edward L. & Marian M. Gallagher
1065 Gridley Avenue
Gridley CA 95948
I declare under penalty of perjury under the laws of the State
of Calififornia that the foregoing is true and correct and that this
declaration was executed on 6/28/94
at Oroville California.
Mic ael- C.'' Vieira,. C.B.O.
Manager, Building Inspection
VIOLATION CHECK LIST
A:P. # 024-10-0-087. Address 1�65:Gridley Avenue, Gridley. 95948
Owner Edward _L & Mariahi M -Gal.Lagfier
Owrier.'s Address- same
Owner's Phone No. - Supervisoral District
Tenant's Name Phone No.
Type .of Violation in Detail with -Code Section Priority No. 3
Failure to final single family
Specific Plot Plan with C/V Noted yes no Penalties Required
1st. Notice Sent 12/27/93 2nd. Notice -Sent - l
ate Date
Comments and/or Determination
►�� / ady "tea l -s`=% �Wvvr-- Cao�1��/ � env
Disposition For Citation Citation
(Date).(Date)
Department Recommendation to Court
Court Action
Notice of Violation Recorded
(Date)
�iutte L'ounty
BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965-3397
TELEPHONE: (916) 538-7541
FAX: (916) 538-2140
December 27, 1993
Edward L. & Mariam M. Gallagher
1065 Gridley Avenue
Gridley, CA 95948
RE: Building Code Violation A.P. #: 024-10-0-087
1065 Gridley Ave, Gridley
Dear Mr. and Mrs. Gallagher:
This is a courtesy notice to notify }ou that you are in violation of the
Butte County Code, as follows, at the above referenced location:
Failure to obtain approval of previous corrections and failure to obtain
final inspection prior to occupancy and permit expiration for const-
ruction of single family residence.
Since permits and inspections are required for the above work, apply for
the required permits to make corrections and complete project and pay the
appropriate fees.
All work must stop until these permits are issued and you are authorized
by our field inspector to proceed. This field authorization cannot be made
until the existing work is inspected an6 approved.
It is the County's goal to obtain voluntary compliance with the Butte County
Code. However, you should be advised that Butte County has an active Code
Enforcement Program which provides an effective means of enforcement if
voluntary compliance is not obtained. Enforcement may be pursued through
the issuance of citations, fines and fte recording of a Notice of Violation
including a description of the action necessary to abate the violation.
You have thirty (30) days to voluntar-ly comply with the above directions
or to present an acceptable plan for abatement or corrective actions to
be taken by you.
Should you have questions concerning this matter, please contact Michael
Vieira or Scott Rutherford in this office at the address or telephone number
listed above.
MCV:dms
cc: Assessor
Yours very truly,
�( W4—
Mic ael C. Vieira, C.B.O.
Manager, Building Inspection
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541
APPLICATION AND PERMIT
PE7 MIT NO.
17
ASSESSOR PARCEL NUMBER
24-10-87
ZONING
BUILDING PERMIT
OWNER
Ed Gallagher
TELEPHONE
846=5035
SO. FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS
1065 Gridle Ave. Gridle
CONTRACTOR'S NAM
owner
TELEPHONE
1st renewal permit
CONTRACTOR'S MAILING ADDRESS
Fireplace
T$
CONSTRUCTION LENDER
none
UNKNOWN
Total Valuation
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee @ k FEE
$ 304.00
ARCHITECT OR ENGINEER
none
LICENSE NO.
Plan Checking Fee
$
Energy Pian Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS 1065 Gridley Ave.
Permit fee
$ 314.00
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
Gridley
Solar or heat pump water heater
20.00
LOT NO. SUBDIVISION NAME
PARCEL M4P
Water piping
5.00
Each qas water heater or vent
5.00
USE OF STRUCTURE
SF$M Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home S I G I W
10.00 ea
TYPE OF WORK
New❑ Addition [:1 Remodel El Utilities❑ Installation❑ Other ❑
Describe work: _
1st renewal of permit #1881-85
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service jp0OR LE OR
VAMP SLESS
10.00
Main service EA. ADD'L 100
2.50
CONTRACTORS LICENSE LAW
I declare under peaty 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
❑ I, as the owner, or my employees with wages as their sole cortpen-
sation, will do the work,and the structure is not intended or of'ered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
ors.(Sec. 7044)
❑ I am exempt under Sec. , Business and Professions erode
for this reason
__AMP
NEW CONST, OWF_I_LING oCCUP.a
OR AODNS. ACC. BLDGS. vtsgft
NEW CONSTRMULTI-OUTLET
NON.RESID BRANCH CIRC ITS
12.50 ea
/POWER APPARATUS e
l SINGLE OUTLET CIR.
Ex. OCcup(OUTLETS OR FIXTURES 5AL20@@30
AL0
EX. Occup. OUTLETS FIXED ( R
RESID )EA.) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring
g
15.00
Permit Fee $
ORKMEN'S COMPENSATION INSURANCE
I declare under l5&aIty 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 suoject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become su:)ject
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 of
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
Tnst said County in consequence of the granting of this permit.
Date
Signature of Applicant — Owner ❑ Contractor ElAgent ❑
An OSHA permit is required for excavations over 5'0" deep and demolition or con2truct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
TOTAL PERMIT FEE $ 314.00
occu P,
CONST.TYPC
�FLOOOJPARcr.Ll
PD I
No
I ISSUE
This permit is hereby issued under the applicable provi-
sions of the Butte County Code and/or resolutions to do
work indicated above for which fees have been paid.
DIRECTOR OF PUBLIC WORKS
Date
By 7-22-87
PERMIT EXPIRES Date
Receipt No.
WNITE-O.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR, GOLDENROD -APPLICANT
Return to DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT
FOR RESIDENTIAL DEVELOPMENT
BUT i�CSU'>!TY.CAL.IFORlIIA`
Section 26-8.1 of the Butte County Code requires this acknowledgemdRiHERCOUESTOF
be r d di f b ildi i
t
ecor a prior to 00u="'-= o a u ng perm . BARN SHOWN
��85 JUL 2 2
The property described herein is adjacent to land or includ FM 2: 42
within an area zoned for agricultural purposes, and residents o this �'==
property may be subject to inconveniences or discomfort arisiR4F,9R 14. a;:CKER r� the use of agricultural chemicals, including, but not limited a p( �-_-G �Rh R des e's
and fertilizers; and from the pursuit of agricultural operations including, but not limited
to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust,
smoke, noise, and odor. Butte County has established agricultural.zones which, have as a
priority use for productive agricultural purposes, and residents within said zones and on
adjacent property should be prepared to accept such inconvenience or disconform from normal,
necessary farm operations.
All that real property situate in the County of Butte, State of California, described
as follows:
13
State
PROPERTY OWNERS:
of C-4taFc-4g,, E•) On this the /qday of .TULy 19 AS , before
) SS. me, the undersigned Notary Public, personally appeared
County of
G4/- C 4G Fi ee
L Personally known to me. L/ Proved to me on the basis
of satisfactory evidence.
to be the person(s) whose names) . /q -NE subscribed to
the within instrument and acknowledged that -7"142E- y
executed the same for the purposes therein contained.
N W T SS I hereunto set my hand and official seal.
OFFICIAL SEAL
GARY D FIFE
NOTARY PUBLIC - CALIFORNIA
BUTTE COUNTY
�• My comm, expires MAR 20, 1989
Not y Public
Present A.P. No.
I
1881-85
,• t Permit#2082-85P
Ed Gallagher
1065 Gridley Ave
OFFICE COPY
Address
GAS
Meter By _ Date
ELECTRIC
i
Meter By Date
s
v
01
l
r
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO.
7 County Center Drive - Orovillf, California 95965 - Telephone 916/534-4541
APPLICATION AND PERMIT
ASSESSORPARCEL NUMBER
,V4 _ / K
ZONING
BUILDING PERMIT
'
OWNER G-79
TELEPHONE
,SQA FT. OCC. BUILDING VALUATION
OWNER'jM IR
AK) �ILINGAD t '
� rf/l. IYJ "Y 9— l IJ 1 ai
CONTRACTOR'S NAME , l'w
1 I1 Q
TELEPHONE j
`
CONTRACTOR'S MAILING ADDRESS
-
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation Is
Filing Fee
$ 10,00
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
BUILDING ADDRESS
91:14) P
Permit fee
!$
$
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
1
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAME
PARCEL MAP
i
Water piping
5.00
Each qas water heater or vent
5.00
USE OF STRUCTURE
SF ❑ Duplex❑ Mobilehome [�t' Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home I S I eTWI0.00
ea /�•(�
TYPE OF WORK
New Addition Remodel[]] Utilities Installation❑ Other ❑
Describe work: 1i l 1 N O _
bnm eQ
Permit Fee
$ .o 400
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
1
Main service 6001 OR LESS
100 AMP OR LESS
10.00
Main service EA. ADD'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
F I, 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 contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONST. DWELLING OCCUP.5d ,
OR ADONS. ACC. BLDGS. hQsgft
NEW CONSTRMULTI-OUTLET 2,50 ea
NON-RESID BRANCH CIRC ITS
/POWER APPARATUS e1
I SINGLE OUTLET CIR.
Ex. FIXTURES 5AL&3t
ALeo
FIXED APPLNS. OR
Ex. Occup. ou LETS IRESID.) EA.) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 15.00
Permit Fee $
Contractor
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
a 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.
MECHANICAL PERMIT
FiIingFee 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 of
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, andfexpenses which may in any way accrue
against said County in consequencerof the granting of this permit.
X f' al.-��.''�' Date
Signature of Applicant — Owner,Q Contractor ❑ Agent ❑
An OSHA permit isrequired 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 $
1
TOTAL PERMIT FEE $ U
Occup.
CONST.TYPC
I FLOOOJPARCELJ
PD
I ND
I ISSUE
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIRE TOR F PUBLIC
By
PERMIT EXPIRES Dat
the applicable provi-
resolutions to do
fees have been aid.
p
WORKS
Date -�
-
Receipt NO. 4 l` -7
WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT
• 4�
COUNTY OF BUTTE - DEPAATMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, CaXfornia-PI - Telephone 916/534-4541
APPLICATION AND PERMIT
i
PERMIT NO.
ASS ESSO P RCEL NUMBER
—
ZON NG
b
BUILDING PERMIT
OWNER
TELEPHONE
SQ. FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDR SS
4 "S P_ " r 11 19"
CONTRACTOR'S NAME n
C/
T LEP HONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER All bnN!eUNKNOWN
Total Valuation $
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
Permit fee
$
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
1 2.00
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAME
PARCEL AP
Water piping
5.00
Each qas water heater or vent
5.00
USE OF STRUCTURE
SF ❑ Duplex❑ MobilehomeQ Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home I S I wTw
0.00 ea ,
TYPE OF WORK,�,
New ❑ Addition emodel Utilitie LTJ"�
InstIlation❑ Other ❑
Describe work:
Sfie
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 100 AMP OR00V OR LESS10.00
Main service EA. AOD'L 100 AMP
2.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
❑ 1 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
(� I, 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 contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONST. DWELLING OccuP.d ,
OR ACDNS. (ACC. BLDGS. /zQsgft
NEW CONSTR. MULTI -OUTLET
NON-RESID BRANCH CIRCUITS) 2.50 ea
POWER APPARATUS a
(SINGLE OUTLET CIR.
Ex. Occup(ourLETs OR FIXTURES 20®OOt
ewL030
FIXED APLNS.
EX. Occup. OUTLETS PRESID )REAT 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wirin g 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.
rq. I have placed on file with the County of Butte Building Department
�l 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
g
Hood
3,00
Ventilation
Permit
it 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 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, jud en s, costs, and xpenses which may in any way accrue
agains i oun in consequ ce f the granting of this permit.
X Date
Signature of Applicant — caner Contractor ❑ Agent ❑
An OSHA permit is requ' ed for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 tories in height.
Mobile Home installation Fee $
Energy Inspection Fee $
TOTAL PERMIT FEE
OCCUP,
CONST.TYPC
I
I FLOOD
PARCEL
PD
I NO
I ISSUE
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
D TO F PUBLIC
By ' -
PERMIT EXPIRES Dat �!--_
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date r
Receipt No. (/y Se 11L r-7
WNITE-D.P.W.. YELLOW -ASSESSOR, INK -INSPECTOR, GOLDENROD -APPLICANT
• � -�n 7i
�- PERMIT NO. • P ,E
PERMIT EXPIRES
Ed Gallagher
"OWNER
CONTR.
owner
-
24-10-59
LOCATION (A.P. )
Y-�
W/S Gridley Ave., app.750'N.of Clardy Ave.,
9
Gridley
..
v
A
r
'F
11;
'
Temp. Por Pole
Called PG&E
/
e le
E . er
p.vDv
Called PG&E
Temp. Gas Serv.
669
Called PG&E
OB
{-=
FINALED
(Date)
1
r
(Signature)
Mai Bldg.
Fo tin s
Stem all
Slab
Piers
Garage
Footings
Stemwa I I
Slab
Carport
Footings
Slab
Patio
Footings
isonry Walls
Reinf. Stee/
I erior Lath
oor Closer
MOBILEHON
Water PipinlT-
MQRLLEUIV
Water Piping
DATE
COUNTY.,OF BUTTE — DEPARTMENT OF PUBLIC WORKS
BUILDING INSPECTION RECORD ,
BUILDING BUILDING (Cont'd)
PLUMBING
rewall
Nil Piping
�P a ets
t Floor
Res oom Finish
2n Floor
Wind s
3rd loor
Siding
To out
Roof She thin
Water PI
Roofing
Sewer
Fdn. Vents
Fixtures
Garage Vents
Insulation
Water Htr.
Heaters
Prov, for physlcbjly
handicapped
Conformance of ex.
structure
Appliances
Gas Piping & Test
Temp. Gas
Final V
Sanitation
FlAftLACE
Final
FootingEJ-ECTRI
L
FI
MECHANICAL
ntilation \
J�Flnal
EUTILITIES ------------------ Elec_ Service
Sewer
IEINSTALLATI--------------Support
Drainage
p- REMARKS OR CORRECTIONS
d—,9 O U — o D 50Y U' ,
1,c 4 wav
/s' A Q
�-
A t; ,
c3 ,
Fixtures
Motors
Water Htr. -.
Sub anel
Grd. Fa t Prot.
Servic
T p. Pole
der round
ennanent
Inal
Elec. Pedestal
Gas Piping
Elec. Continuity -
Gas Piping
(NOTE: An entry must be made on this form each time you visit the job site.)
9. Electrical
A, Is service large enough to provide adequate amperage -to mobilehome (must equal rating of
mobilehome with a minimum of 100 amp) and other facilities on lot, i.e., water pumps,
garage, cabana, etc,? Yes_
B'. Is there proper clearances around panels? -ides C, o_
C. Is power supply cord,or feeder assembly properly fused? Yes t�_No_
D. Is continuity test satisfactory as -per the »ollowing procedure? Yes C/No
1. De -energize electrical wiring system of the mobilehome at the pedestal_
2. Make sure that the power supply cord or feeder assembly conductors, including neutral
conductor, have been disconnected.
3. Switch all breakers and switches in the mobilehome to the "on" position.
4. Connect one lead of a test instrument to the mobilehome grounding conductor and
apply the other lead to each mobilehome supply conductor, including neutral,
5. All non-current, carrying metal parts o- the mobilehome (aluminum siding, gas line,
water line), including fixtures and appliances, shall be tested for continuity from
such equipment and the grounding conduc`or.',''.
6. Upon completion of -the above procedure, the power supply cord or feeder assembly
conductors shall be connected to the-si-e service equipment. A further continuity
test shall then be made between the grounding electrode and the chassis of the
mobilehome. Upon satisfactory completion of the electrical tests, the lot or site
service equipment may be approved for,energizing.
' M .Is job card signed by Health Department for water and sanitation?
11. If everything okay, sign off card and tag services.
MOBILEHOME DATA
Manufacturer and/or Namestyle
Length - Width
Vehicle Serial No.
State Identification No.
Additional Information or Comments:
MOBILEHOME INSTALLATION INSPECTION CHECK LIST
1. Is the mobilehome located wit�equired separation from lot lines and buildings and generally
conform to plot plan? Yes No
2. Does the mobilehome have required clearances above ground? (Sec.5085) Yes !' No
3. Are footings and supports properly sized, spaced, and braced as per approved plans? (Note
possible variation at spring shackles.) (Sec.. 5.082 & 5083) Yes_ No
v
4. Is the mobilehome level? (Sec. 5088) Yes_ No
5. If more tt 'n a single unit, are crossover connections properly installed? (Sec. 5088)
Yes r/No
6. Water
A. Is flex* e connector of adequate size and properly installed (1/2" ID min.)? (Sec. 5566)
Yes 1/ No
B. Test - Does water piping withstand working pressure or 50 lbs. air test? Yes4'o_
C. Backflow - If coach is not State o lifornia approved, does station have backflow device
and pressure -relief valve? Yes
7. Wastes and Drains
A. Is connection made with Schedule 40 DWV and have flex connectors at each end? Yes_ No
B. Does it have minimum 4" per foot slope and is it properly supported? Yes_ No
C. Are any leaks detected in drainage system after r ning 3-ga s of water through each
fixture including washing machine standpipe? YeU
D. If coM* not State of California approved, does station have required trap and vent?
Yes—
8.
8. Gas.Piping and Gas Vents
A. Connector - Is mobilehome connected to the gas supply with an approved 3/4" minimum
mobilehome connector not more than 6 ft. long? Note: All piping is to be at least as
large as the mobileh a gas line inlet without reductions other than the mobilehome
connector. Yes -��' "'
B. .Test OK as per following procedure+ Yes
1. Open all appliance connector viLlves.
2. Shut off appliance burner and pilot valves.
3.' Air test with manometer to 10"014" water column; or test with slope gauge (minimum
® 6oz.-maximum 8 oz.) calibrated in tenth pound increments. Test for 10 min. without
drop.
4. Connect gas meter to mobilehonke.with connector, turn on gas, test connections with
soapy water.
C. Are all appliance vents properly installed? Yes_ No
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE
OROVILLE, CALIF. - 534-4541
CERTIFICATE OF OCCUPANCY
This mobilehome has been installed in accordance with there uirements
of the California Administrative Code, Title 25, Cha ter S, un er permit
number — for he following location: S i
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE
OROVILLE, CALIF. - 534-4541
CERTIFICATE OF OCCUPANCY
This mobilehome has been installed in accordance with the requirements
of the California Administrative Code, Title 25, Chapter , un permit
number MAin --7q for the following location: /S n r
Owner
Owner's Address (p < J r 1 1
Mod { bilehome Mfg. I Ann �+ Y�� Model r Year
Insignia No. _A CSS Serial No.%� 4� 41
It is hereby certified for occupancy at the above described location and
may be occupied.
Director of Public Works
P f�
Date u -- g'U By t -
t THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED
White- Owner, Yellow- Installer, Pink - D.P.W.
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
695 Oleander Avenue, Chico — Phone 343-4211, Ext. 70
7 County Center Drive, Oroville — Phone 534-4541
Skyway and Elliott Road, Paradise — Phone 877-3435
CORRECTION NOTICE
BUILDING OR PROPERTY ADDRESS
A routine inspection indicates that the following violations of County Ordinance
exist at the above address and should be corrected. Please notify this office
when correction of work is completed. If you have any question pertaining to this
matter, or need additional explanation, please contact this office immediately.
- :�'e C-1
Inspector \ Dates
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
7 County,Center Drive - Oroville, California 95965
t ar Telephone: 534-4541. /
APPLICATION AND PERMIT
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes. �y
X �-� Date /°` ` 3
Signature of Permitee 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
a which fees have been paid.
71AIREUTAR OF PUBLIC WORKS
expiresluilding permit Date• •
BUILDING
Owner
SQ. FT. OCC. BUILDING VAL ION
Mai I ing Address
Lt
Tpa: � S %^-
Contractor
Mailing Address
Fireplace
Total Valuation
Telephone No.
Permit Fee
Building Address
PI an Checki ng Fee &/or Penalty
Permit Fee
S-0 771AZIL
PLUMBING No.1 @ FEE
PERMIT FILING FEE $3.00
Each Trap 1.50
Repair drainage or vent piping 1.50
A. P. No. ��/ / <^
Tom/ — v
Q(�
{ Zoning & Planning
Water piping 1.50
Each gas water heater or vent 1.50
F
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
��
Bldg. Plans—Rev'd
Parcel royal
ons Approval
Lawn sprinkler system 2.00
EW Q ADDITION ❑ UTILITIES ❑ OTHER
Permit Fee $
is
r
#
ELECTRICAL No. @ I FEE
PERMIT FILING FEE J$3.00
Main service 600V OR LESS
100 AMP OR LESS 5.00
Single Family ❑ Duplex ❑ Mobil Home- Others ❑
Main service EA. ADD•L 100 AMP 2.50
Main service OVER P OR LESS
100 AMP O 25.00
Main service EA. ADD'L 100 AMP 1.00
NEW CONST. DWELING
OR ADDNS. ACCLBLDGS.CCUP. 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:
NEW CONSTR (MULTI -OUTLET
NON.RESID BRANCH CIRCUITS 2.50ea
NEW CONSTR. (POWER APPARATUS 8
NON-RESID. SINGLE OUTLET CIR.
Ex. OCCUD(OUTLETS OR FIXTIIRES) g LZW
FIXED APLNS.
Ex. Occup. (OUTLETSP(RESID)REAJ 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
License No. Classification-.
Misc. Wiring 6.25
0I 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.
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 J 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 OrdinancesTOTAL
and State Laws relating to building construction, and hereby
ee
$ ltdj:) o�
PERMIT FEE
$ L
6
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes. �y
X �-� Date /°` ` 3
Signature of Permitee 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
a which fees have been paid.
71AIREUTAR OF PUBLIC WORKS
expiresluilding permit Date• •
BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS
7 County Center Drive, Oroville, CA.
PHONE: 534-4541.
'MOBILEHOME INSTALLATION SHEET
1. Owner's name: L (:9�/I k bra �?
2. Installer's name:
3. Is the,site currently under permit? Yes / / No
(If yes, furnish permit number . ) OR
Is the site an existing site? Yes / / No; c¢
(If yes, 'furnish two (2) plot plans.)
4. Will the mobilehome be located at least 5 ft. away from septic tank
clear of all setbacks and easements? Yes No
( If no, clarify, r
5.
What
is the mobilehome
electrical rating? -----------------------
O
Amps
6..
What
is the mobilehome
site service rating?
p
7..
What
is'the mobilehome
site circuit -breaker rating? -------------
S d
Amps
8._
Is-there.any other electric load to be served by the mobilehome
service?
-------------------------------------------
Yes
No
Tjsite
(If yes, identify
the load and size: (Load)
(Amps)
9.
What
is the mobilehome'
site gas pipe size? ---------------- ----.--
(in.)
10.
What
is the type of gas
service? ----------------------------- Natural 7�u
LPG T-7
11.
What
is the gas pipe length from meter or tank to the mobilehome?
i
l -,ESS 72�Welz (ft.) ,
12.
What
is the mobilehome
gas demand? ------------------------------
(BTU)
(This information
not required+if pipe length less than 6 ft.
on natural
gas
or less than 50
ft. on LPG.)
MOB ILEHOME SUPPORT DATA
If other than single wide,
Mobilehome Mfr. '4T/� furnish Setup Model No... Year/96-3
Width D (ft.) Box Length "-/,;7 (ft.) Tagalong or Expando Size ft. x ft.
(SHOW SUPPORT DETAILS BELOW)
On all mob. eh es manufacture after October 7.,1973 furnish manufacturer's installation
manual and structural setup sheets (if not on file with the County of Butte).
All center supports measured from front of
mobilehome unless otherwise specified.
Footings (check one)
(in.) (in.)
(ft.)(in.) I (in.)- (in.)
(ft.)( (in.)
*If center piers are other than drawn above,
draw in locations. SDacina_ and dimensions-
Tagalong or Expando,'
show support details.
/fix 6d -- Typical Support
in.) (in.) Footing Size ' "
_ 6 -- Max. Pier Spacing
(ft.)(in.)
-- Max. Overhang
(ft.)(in.)
BUTTE COUNTY
BUILDING DEPARTMEN
APPROVED
Single
�1.
Wood either
AApressure
treated of
/2 t36
foundation grade.
x
(ft.)(in:)
(in.) (in.)
E 2.
Other (specify)
Center support
Center support .
locations*
footing sizes
Supports (check one)
(in.)
1:
Concrete block.
Emu
UA
E] 2:
Other (specify)
(in.) (in -) _7
(in.) (in.)
(ft.)(in.) I (in.)- (in.)
(ft.)( (in.)
*If center piers are other than drawn above,
draw in locations. SDacina_ and dimensions-
Tagalong or Expando,'
show support details.
/fix 6d -- Typical Support
in.) (in.) Footing Size ' "
_ 6 -- Max. Pier Spacing
(ft.)(in.)
-- Max. Overhang
(ft.)(in.)
BUTTE COUNTY
BUILDING DEPARTMEN
APPROVED
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
7 County Center Drive — Oroville, California 95965
5
'Telephone: 534-4541
APPLICATION AND PERMIT
�a 2 9-29
10�
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes.
X Date " 3 - 7 9
Signature of Permite 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 h4beenaid.
DI TUBLIC WORKS
By Date
- "tg permit expires Date _ %e:?�=7
BUILDING
r
Owner
r
SQ. FT. OCC. BUILDING VALUATION
Mailing Address
Te a one N`.
Contractor
Mailing Address
Fireplace
Total Valuation
Telephone No.
Permit Fee
Building Address
Plan Checking Fee&/or Penalty
Permit Fee
Jb
PLUMBING No.1 @ I FEE
PERMIT FILING FEE $3.00 ,Q
Each Trap 1.50
Repair drainage or vent piping 1.50
A. P. No. v O
/ 1J
L 1 Zoning & Planning
Water piping 1.50
Each gas water heater or vent 1.50
Fe
S t on
Fire Dept.
FireZone
Use Permit
Gas piping system 1 - 5 outlets 1.50
EQA
Parking
Plans
ParcelEach
Declaration
Parcel p
60' R/W
Improvements
additional outlet .30
Building sewer 5.00 rQ
Bldg. Plans Recd
Po A roval
Plans Approval
Lawn sprinkler system 2.00
NEW ❑ ADDITION ❑ UTILITIES OTHER ❑
Permit Fee $
$
ELECTRICAL No.1 @ FEE
PERMIT FILING FEE $3.00 000
100 AMP OR LESS 5•Q�
Main service 10ov OR LESS 'c o
Single Family ❑ Duplex ❑ Mobil Home Others ❑
Main service EA. ADD'L 100 AMP 2.50
Main service OVER soov 25.00
100 AMP OR LESS
Main service EA. ADD'L 100 AMP 1.00
NEW CONST. ( OR ACDNS. ACCLBLDGSLING CCUP. S) 22sgft
CONTRACTORS LICENSE LAW
1 am licensed under the provisions of Chapter 9, Div. 3, of the
State of California Business & Professions Code under the name
style of:
T
NEW RESID, BRANCH CIRCUITS
NON.CONS 1 BRANCH CIRCUITS 2.50ea
NEW CONSTR. (POWER APPARATUS a.
NON•RESID. SINGLE OUTLET CIR.
Ex. Occuo(OUTLETS OR FIXTI]RES) B L@;
FIXED APPLNS. OR
Ex. Occup. OUTLETS (RESID.) EA) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00 ISI
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
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 @ I FEEPERMIT
FILING FEE J$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
$ ` St
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes.
X Date " 3 - 7 9
Signature of Permite 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 h4beenaid.
DI TUBLIC WORKS
By Date
- "tg permit expires Date _ %e:?�=7
NOTE:—All Material!
Accordance with Re(
of a quality prescribe
C Uniform• Building; Plum
the National Electrical
Z � LZ
/ � I
i
Utility conn
4 ft. of the r
directly behi
half of the rl
mobilehomc
& Workmianship Shall
Be in
onnized Good- Practices and
•-___-
I for -the Specified
use in the,
,Ding&-Machanical..Codes._.and:-__..__
Code.
This set of plans and s if'►cation
MUST be ; -
' � kept:onthe iob at all fines an�i�is
awful_
-
- make any changes oralteratisnsyn-S
a without
.wvritten permission -from the-Departine
t -of -Public.._.__:
--- ------
Works;County of Butte.
i
A setback of 5 ft.: from -the:
_..
property lines and a. setback..
_ .......: :
of 50. t.
centerline -shall be clear of.
cions shall be within
structures or equipment except
obilehome; either
for a 2 ft. eave overhang.
. . 9•.:_ ...-.:
,d or within the rear
_-
)adside (left) -of -the
ko
.. -. :.
.._ . ... .. ....... SP-
' X.
Fv`�o�
w
P`�
BUTTE '
OUNTY-
_ BUIl.DIIdG :
E?ARTMENT
G all
�AIM ��.
COUNTYOF 9U-,TE
BUILDING DEPT
J A N 1994
I Ed and Mariam Gallagher
1065 Gridley Ave.
Gridley, Calif. 95948
RONALD D. McELROY
Deputy Director
July 2, 1986
Ed Gallagher RE: Building Permit No. 1881-85
1065 Gridley,Ave. Expiration Date 7 -
Gridley, CA 95948 (A.P. No. 24-
Dear Me. Gallagher:
With reference to the above subject, our records :indicate -that your Building Permit
,will expire on the above date. Building permits are valid for one year and should
construction be started but not completed by the expiration date of the permit, the
permitshall be renewed for 1/2 the original Building Permit Fee (plus a $10.00
"Filing Fee"). The renewal permit will extend the Building Permit for an additional
year from the original expiration date.
Should you not renew your permit in a timely manner, it cannot be renewed and all
work must cease until a new building permit is issued.
If your construction is completed or should you have any questions concerning this
matter, please contact the Oroville office.
For.your convenience, we are enclosing a renewal application form and an owner -
builder form to be completed and signed by you where indicated and returned to this
office together with the fee shown. Please return all copies of the application "
form.
Thank you for your prompt attention concerning this matter.
Yours very truly,
William Cheff
Director of Public Works
/J.. F. Glander
JFG:aj Chief Building Inspector
Attachments: Permit Application
Owner -Builder Information
Owner -Builder Verification
cc: Building Inspector - Oroville
Chico - 196 Memorial Way/891-2751 Paradise - 747 Elliott Rd./872-2961, Ext. 57
_.Suite Count
.
LAND OF NATURAL WEALTH AND BEAUTY.
a�u� a �°
��
DEPARTMENT OF PUBLIC WORKS
WILLIAM (Bill) CHEFf=, Dirr:ctor
LA.;.n_•
7 COUNTY CENTER DRIVE • OROVILLE, CALIFORNIA 95965
'Telephone: (916) 534-4541
RONALD D. McELROY
Deputy Director
July 2, 1986
Ed Gallagher RE: Building Permit No. 1881-85
1065 Gridley,Ave. Expiration Date 7 -
Gridley, CA 95948 (A.P. No. 24-
Dear Me. Gallagher:
With reference to the above subject, our records :indicate -that your Building Permit
,will expire on the above date. Building permits are valid for one year and should
construction be started but not completed by the expiration date of the permit, the
permitshall be renewed for 1/2 the original Building Permit Fee (plus a $10.00
"Filing Fee"). The renewal permit will extend the Building Permit for an additional
year from the original expiration date.
Should you not renew your permit in a timely manner, it cannot be renewed and all
work must cease until a new building permit is issued.
If your construction is completed or should you have any questions concerning this
matter, please contact the Oroville office.
For.your convenience, we are enclosing a renewal application form and an owner -
builder form to be completed and signed by you where indicated and returned to this
office together with the fee shown. Please return all copies of the application "
form.
Thank you for your prompt attention concerning this matter.
Yours very truly,
William Cheff
Director of Public Works
/J.. F. Glander
JFG:aj Chief Building Inspector
Attachments: Permit Application
Owner -Builder Information
Owner -Builder Verification
cc: Building Inspector - Oroville
Chico - 196 Memorial Way/891-2751 Paradise - 747 Elliott Rd./872-2961, Ext. 57
APPROVED
Butte County
h
ntal He
Env nme
to
Signature
4k
9 5.
A
64)btLE/ AVE
A4
. .. .... Ar
r3 r
Use
Pae
e
Oth
Ak Sig
IV
Z? 10 1
eloaovc p
a cs i
K
&Y 1a t,4 C.
N
TA
I
DIVISION - BUILDING PLAN APP QVC
gpa& Date:
. Landscaping:
APPROVED PLANS AND
PERMIT SHALL BE ON SITE
FOR ALL INSPECTIONS
JAL)Rf6u I
BUILDING PERNUT # O -1100
ASSESSOR'S PARCEL# 014. 1670-0e-7
BUTTE COUNTY
BUILDING DIVISION
APPROVED
The 2001 CBC, CMC, CPC, 2004
CEC, and 2005 California Energy
Standards as amended by the
i, jurisdiction apply to this project.
CALIFORNIA "CODE of
REGULATIONS TITLE 25
Requirements as amended -by the
jurisdiction apply to this project
A 1- 85 . 11" = 10,
owl? ee., _rAv,-a-ul