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024-110-029
� .�� �MTki ' ` � �HOLtANDSWORTH, Ton 82 Ele Ser ,Ch/SF, je/s Gilstrap 4th house no. of Evans 024-110-020 04-2218 AGridley 'cont: OWNE . eL� 024-110-029, 05-7770 ---__--__'-_�_ ' Cont: OWNER- UPGRADE "N DPGDADEBLEC8RVC'� . - = Reimer �2 � . " ` . ` � | ' � . [ . � ) � ' 0 NOTES RESIDENTIAL I E�-PERMIT NO. -024:110-029 �; _. _. 04-2218 PERRUCCI, RANDY 848 GILSTRAP AVE, GRIDLEY Cont: OWNER ` NEW PRI DET GARAGE t 11 SPECIAL CONDITIONS 11 CHECKED BY SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY , 4 USE RERMIT CONDITIONS SUB -STANDARD HOUSING LETTER i > JOB FINALED (Date) j Signature J=OK 0 = Not OK - = NotReadcabio MOBILE HOMES . =Not Ready Date MOBILE HOME UTILITIES (Plans) OK except #'s Carports; Windows -Doors 1. Zoning Requirements -Setbacks -Easements 10. License Decals 2. Soils; Special MH Support Sketch Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 3. Sewer; Location -Test -Fall -C/O -Concrete Siding; Nailing -Veneer -Stucco -Mesh 4. Water; Location -Test -Easement Needed (Sketch) Roof; Shthg-Roofing 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete Ext.; Steps -Doors -Landings 6. Gas; Location -Test -Wrap;-/ /" L'ft. / P Nat. or / /" L "ft./ P LPG Braced Wall Panels 7. Well Clearance & Disconnect 8. Utility Clearance Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s Date 1. Card B-1 Date Card B-1 Date 2. Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s Pool Structure; Steel -Connections -Thickness Dead Men -Lining 1. Zoning Requirements -Setbacks -Easements Elec.; Receptacles and Lighting, Distance-GFI 2. Footings; Size -Spacing -Marriage Line Elec.; Pool Lighting; 15 Volts-GFI 3. Gas; MH Test -Demand -Valve -Connector Elec.; Enclosures; Conduit Entries -Terminals -Listed 4. Electricity; MH Test -Crossovers -Breakers -Clearances Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 5. Drain; MH Test -Fall -Flex Connector Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosures- Panel boards- Ins. to Main Conduit 6. Water; MH Test -Regulator -Connector Health Department Approval 7. Water and Sewer Connected -C/O to Grade -HD Approval Plumb.; Cir. Test -Water Supply Test 8. Gas and Electricity Tagged Light Niche 9. Tie Downs -Type -Installation Cert. Enclosure; Fencing -Alarms 10. Exits; Insp.-Sketch 11. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PERMANENT END SYSTEM (ONLY) 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Blockinq 4. Gas; MH Test -Demand -Valve 5. Electricity; MH Test 6. Water; MH Test 7 Water and S w r C t d Date Card B-1 Date Card B-1 MISCELLANEOUS Date DE OVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Z �ng Requirements -Setbacks -Easements -'If.-Footings; Soils -Size -Depth -Spacing -Connectors -Steel ej 3. Decks, Girders and/or Joists,!!:2-Decking-Bracing-Stairs-Rails 4. Wood Awn.; Posts- Beams-Rftrs-Connectors Shthg-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures e e onnec e 8. Gas and Electricity Tagged Carports; Windows -Doors 9. Exits 7. 10. License Decals 11. Verify #'s with Office Date Card B-1 Date Card B-1 MISCELLANEOUS Date DE OVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Z �ng Requirements -Setbacks -Easements -'If.-Footings; Soils -Size -Depth -Spacing -Connectors -Steel ej 3. Decks, Girders and/or Joists,!!:2-Decking-Bracing-Stairs-Rails 4. Wood Awn.; Posts- Beams-Rftrs-Connectors Shthg-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 1 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosures- Panel boards- Ins. to Main Conduit ' 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche 12. Enclosure; Fencing -Alarms Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 y� 1 1 r� J=OK 0 = Not OK - = Not Applicable . = Not Ready RESIDENTIAL (Single & Duplex) Date UNDERFLOOR (Plans) OK except #'s Hangers -Post Caps -Anchors -Connectors 1. Zoning -Setbacks -Easements -Flood -Slope 49. 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 52. 4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth Property Line Firewall & Openings 5. Stemwalls, Main; Steel-Blockouts-Wrapped 55. 6. Stemwalls, Garage; Steel-Blockouts-Wrapped Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 6a. Hold Downs and Special Anchors 58. 7. Slab, Steel -Wrapped Glazing Area -Glass Protection -Skylights -Plastic 8. Piers -Fireplace Ftg.-Steel 61. 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test Insulation -Walls -Ceilings 10. UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test Date 11. Water Pipe; Test -Anchors -Regulator -Service Test Card B-1 Date Card B-1 12. Electric Underground Ext. Steps -Door & Sidelight Protection -Landings 13. Plenums & Ducts; Clearance -Material -Support -Ins. 66. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies Bedroom Exiting 15. Access & Ventilation G.F.I. & Bath Fixtures & Tub Access -Spa 16. Insulation 70. Stairs & Rails 71. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s 17. Water Htr.; Vent -Access -Combustion Air Baffle 18. Water Pipe; Test & Anchor -Nail Protection 19. D.W.V.; Test Fittings & Anchor -Nail Protection 20. Shower Pan; Test, First Floor -Tub Access 21. Test Tub & Shower, Second Floor -Tub Access 22. Gas Pipe; Sixe & Anchors 23. Fire Sprinkler; Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 24. Fixture & Transformer Clearance -Ins. Protection 25. Elec. Receptacles Spacing -Lights & Switches at Doors 26. Size Boxes & No. of Conductors Stapled 27. Romex Installed Close to Edge of Studs & C.J. 28. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water 29. 2 Appliance Circuits in Kitchen & Conductor Size GFI 30. Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or Al 31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or Al Insulated Neutral ❑ Yes ❑ No 32. Service -Riser Conductors & Ground Main Disconnect 33. Equip. Clearances Panels-Motors-Mech. Equip. 34. Clothes Closet Light -Shower Light -Spa Light 35. Smoke Detector Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 36. A.C. Ducts Insulation & Support 37. Vent Fan, Exhaust above insulation 38. Condensate Drain & Overflow, Size & Grade 39. Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet 40. Attic Access & Platform if Furnace in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s 41. Sills Proper Materials & Anchors 42. Walls Studs -Nailing Spacing & Braces -Plates -Sound 43. Bearing Walls over Girders & Floor Nailing 44. Draft Stop in Walls (rat proof) 45. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 46. Headers & Beams -Size & Bearing Date FRAMING (Continued) 47. Hangers -Post Caps -Anchors -Connectors 48. Cling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rtng. 49. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 51. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 52. Garage Fire Protection Framing -RC Channel 53. Property Line Firewall & Openings 54. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 55. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 57. Siding -Nailing Veneer 58. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 59. Glazing Area -Glass Protection -Skylights -Plastic 60. Shear Walls; Nailing -Bolts 61. Brace Interior/Exterior Wall Panels 62. Insulation -Walls -Ceilings 63. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 64. Ext. Steps -Door & Sidelight Protection -Landings 65. Smoke Detector 66. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 67. Bedroom Exiting 68. G.F.I. & Bath Fixtures & Tub Access -Spa 69. Elec. Trim & Subpanel, Breaker Sizes & Labels 70. Stairs & Rails 71. Fireplace or Stove, Clearance -Hearth rz. tlec. vuueis ai vv000 t-anei, int. b txi. Elec. Receptacles in Garage (FF.I.)-Romex Protection 73. Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance Insulation -Foam -Looked in Attic 74. Elec. Outlets & Receptacles at Kit. Counter Guard Rails & Deck Construction -Post Caps 75. Garage Fire Door; Swing -Landing -Closure Fdn. VBents & Crawl Hole Door Drainage & Wood-Eart 76. A.C. Duct in Garage -Damper 4 Clearance Looked under Floor ❑ Yes 77. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection Following Instld./Drive 0 Yes 0 No/Walks 0 Yes 0 No/Planters 0 Yes[F_ 78. Plb.: Elec. & Mech. Eouio. Listed for Location Stucco Brown -Finish 79. Elec. Receptacles in Garage (FF.I.)-Romex Protection 80. Insulation -Foam -Looked in Attic 81. Guard Rails & Deck Construction -Post Caps 82. Fdn. VBents & Crawl Hole Door Drainage & Wood-Eart Clearance Looked under Floor ❑ Yes _ 83. Following Instld./Drive 0 Yes 0 No/Walks 0 Yes 0 No/Planters 0 Yes[F_ 84. Stucco Brown -Finish 85. A.C. Unit Disconnect, Electrical -Plumbing 86. Vents Above Roof, Pibg-Appliance-Fireplace-Clearance to Openings 87. Water Well, Disconnect, Electrical, Plumbing 88. Exterior Elec. Trim, G.F.I. Receptacle -Underground 89. Ventilation Throughout House 90. Glass Protection 91. Corrections from Previous Inspections 92. Gas Test -Meters Tagged, Gas -Electric 93. Water & Sewer Connected -C/O to Grade -HD Approval 94. Energy Compliance Certificate -Other Certificates 95. Address Posted 96. Fire Sprinkler Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 FAM (530)538-2140 WEBSITE: www.buttecounty.netldds LICENSED CONTRACTORS DECLARATION 1 hereby affirm under penalty of perl'ury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class: License Number: Date: Contractor: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): lif 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 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 year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). ❑ 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 pursuant to the Contractors' State License Law.). ❑ I am Exempt under Article 3 oft usiness and Professions Code Date:g -�-N Owner: WORKERS' COMPE SATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ I have and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Policy #: 0/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 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 forthwithcorn I ith thG�ose provisions. r Date: l ---)1-0 Applicant: WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. PERMIT NO. BP042218 Issued Date: 09/21/2004 APN: 024-110-029-000 Site Address: 848 GILSTRAP AVE GRI Map index: Description: GARAGE (2400) Owner: PERRUCCI RANDALL J & JONES-PERRUCCI. ANNETTE D 848 GILSTRAP AVE GRIDLEY, CA 95948-9786 Applicant: PERRUCCI RANDALL J & JONES-PERRUCCI AN N ETTE D Contractor: License #: Architect: Engineer: Total Square Pt: 2400 S.F. Valuation: $57,600.00 Census Code: � 1"y CONSTRUCTION LENDING AGENCY. _ __ 1 This oem•;t is hereby.gg de a applicable provisions of the Butte CZil_ I hereby affirm that there is a construction lending agency for the Resol i ns,6 do wordfor which fees have been paid. - performance of the work for which this permit is issued (Sec 3097 Civ.) 7 EXPIRES Address: ❑ I hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials., ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the subst of any official form or d ent of Butte County. I hereby authorize representatives of Butte County to enter upon the above mentioned property for inspection pu o S. Print Name: 1 Signature: Date: rl l ta' Owner ❑ Contractor 0 Agent for Owner ❑ Agent for Contractor r.' NOTES RESIDENTIAL 024-110-029 05-0770 I PERRUCCI-RANUALL PERMIT NO. —,'848 GILSTRAP, GRIDLEY – - Cont:OWNER+ UPGRADE ELEC SRVC 4 r nrrFirF f_OPY SPECIAL CONDITIONS SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER CHECKED BY JOB FINALED (Date) %o• Ll �> Signature J=OK 0 = Not OK . = NotReadyable 1. MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 3. 1. Zoning Requirements -Setbacks -Easements Wood Awn.; Posts- Beams- Rftrs-Con nectors Shthg-Frg-Bracing 2. Soils; Special MH Support Sketch 6. 3. Sewer; Location -Test -Fall -C/O -Concrete Electric 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete Card B-1 Date Card B-1 6. Gas; Location -Test-Wrap; -/ /" L 'ft. / P Nat. or/ P' L "ft./ P LPG Card B-1 Date Card B -1 7. Well Clearance & Disconnect 8. Utility Clearance 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining Date 4. Card B-1 Date Card B-1 Date 5. Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s Elec.; Enclosures; Conduit Entries -Terminals -Listed 1. Zoning Requirements -Setbacks -Easements Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 2. Footings; Size -Spacing -Marriage Line Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main Conduit 3. Gas; MH Test -Demand -Valve -Connector Health Department Approval 4. Electricity; MH Test -Crossovers -Breakers -Clearances Plumb.; Cir. Test -Water Supply Test 5. Drain; MH Test -Fall -Flex Connector Light Niche 6. Water; MH Test -Regulator -Connector Enclosure; Fencing -Alarms 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged Card B-1 Date Card B-1 9. Tie Downs -Type -Installation Cert. Card B-1 Date Card B-1 10. Exits; Insp.-Sketch 11. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PERMANENT END SYSTEM (ONLY) 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Blocking 4. Gas; MH Test -Demand -Valve 5. Electricity; MH Test 6. Water; MH Test 7. Water and Sewer Connected 8. Gas and Electricity Tagged 9. Exits 10. License Decals 11. Verify #'s with Office Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Beams- Rftrs-Con nectors Shthg-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B -1 Date - POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche 12. Enclosure; Fencing -Alarms Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 J=OK 0 = Not OK - = Not Applicable . = Not Ready RESIDENTIAL (Single & Duplex) Date UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth 5. Stemwalls, Main; Steel -Blockouts-Wrapped 6. _ Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab, Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts-Joists-Vents-CriDoies Date 15. Access & Ventilation 47. 16. Insulation 48. Cling. Joist-Rftr. Ties- Purlin-Roll Brac.-Truss-Shting.-Rtng. Date Fireplace Ties or Type A Flue -Fireplace Throat Clearance Card B-1 Date Card B-1 Date Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s 17. Water Htr.; Vent -Access -Combustion Air Baffle 18. Water Pipe; Test & Anchor -Nail Protection 19. D.W.V.; Test Fittings & Anchor -Nail Protection 20. Shower Pan; Test, First Floor -Tub Access 21. Test Tub & Shower, Second Floor -Tub Access 22. Gas Pipe; Sixe & Anchors 23. Fire Sprinkler; Test 59. Glazing Area -Glass Protection -Skylights -Plastic Date 60. Card B-1 Date Card B-1 Date 61. Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s Insulation -Walls -Ceilings 24. Fixture & Transformer Clearance -Ins. Protection Infiltration -Walls -Windows 25. Elec. Receptacles Spacing -Lights & Switches at Doors Card B-1 Date Card B-1 26. Size Boxes & No. of Conductors Stapled Card B-1 Date Card B-1 27. Romex Installed Close to Edge of Studs & C.J. 28. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water 29. 2 Appliance Circuits in Kitchen & Conductor Size GFI 66. 30. Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or Al 67. 31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or Al Insulated Neutral ❑ Yes ❑ No 68. 32. Service -Riser Conductors & Ground Main Disconnect 69. 33. Equip. Clearances Panels-Motors-Mech. Equip. 70. 34. Clothes Closet Light -Shower Light -Spa Light 71. 35. Smoke Detector 72. Elec. Outlets at Wood Panel, Int. & Ext. Date Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance Card B-1 Date Card B-1 Date Elec. Outlets & Receptacles at Kit. Counter Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 36. A.C. Ducts Insulation & Support 37. Vent Fan, Exhaust above insulation 38. Condensate Drain & Overflow, Size & Grade 39. Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet 40. Attic Access & Platform if Furnace in Attic Date 81. Card B-1 Date Card B-1 Date 82. Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s Clearance Looked under Floor ❑ Yes 41. Sills Proper Materials & Anchors Following Instid./Drive ❑ Yes ❑ No/Walks ❑ Yes ❑ No/Planters ❑ Yes ❑ No 42. Walls Studs -Nailing Spacing & Braces -Plates -Sound Stucco Brown -Finish 43. Bearing Walls over Girders & Floor Nailing A.C. Unit Disconnect, Electrical -Plumbing 44. Draft Stop in Walls (rat proof) Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 45. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs Water Well, Disconnect, Electrical, Plumbing 46. Headers & Beams -Size & Bearing Date FRAMING (Continued) 47. Hangers -Post Caps -Anchors -Connectors 48. Cling. Joist-Rftr. Ties- Purlin-Roll Brac.-Truss-Shting.-Rtng. 49. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 51. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 52. Garage Fire Protection Framing -RC Channel 53. Property Line Firewall & Openings 54. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 55. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 57. Siding -Nailing Veneer 58. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 59. Glazing Area -Glass Protection -Skylights -Plastic 60. Shear Walls; Nailing -Bolts 61. Brace Interior/Exterior Wall Panels 62. Insulation -Walls -Ceilings 63. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 64. Ext. Steps -Door & Sidelight Protection -Landings 65. Smoke Detector 66. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 67. Bedroom Exiting 68. G.F.I. & Bath Fixtures & Tub Access -Spa 69. Elec. Trim & Subpanel, Breaker Sizes & Labels 70. Stairs & Rails 71. Fireplace or Stove, Clearance -Hearth 72. Elec. Outlets at Wood Panel, Int. & Ext. 73. Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance 74. Elec. Outlets & Receptacles at Kit. Counter 75. Garage Fire Door; Swing -Landing -Closure 76. A.C. Duct in Garage -Damper 77. Wtr. Htr; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 78. Plb.; Elec. & Mech. Equip. Listed for Location 79. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 80. Insulation -Foam -Looked in Attic 81. Guard Rails & Deck Construction -Post Caps 82. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes _ 83. Following Instid./Drive ❑ Yes ❑ No/Walks ❑ Yes ❑ No/Planters ❑ Yes ❑ No 84. Stucco Brown -Finish 85. A.C. Unit Disconnect, Electrical -Plumbing 86. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 87. Water Well, Disconnect, Electrical, Plumbing 88. Exterior Elec. Trim, G.F.I. Receptacle -Underground 89. Ventilation Throughout House 90. Glass Protection 91. Corrections from Previous Inspections 92. Gas Test -Meters Tagged, Gas -Electric 93. Water & Sewer Connected -C/O to Grade -HD Approval 94. Energy Compliance Certificate -Other Certificates 95. Address Posted 96. Fire Sprinkler Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (ORIYALLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 FAX#: (530)538-2140 WEBSITE: www.buttecounty.netldds PERMIT NO. BP042218 LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date: 09/21/2004 APN: 024-110-029-000 the Business and Professions Code, and my license is in full force and effect. License Class: License Number: Site AddFess: 848 GILSTRAP AVE GRI Date: Contractor. Ma P Index: Description: GARAGE (2400) OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a Owner: PERRUCCI RANDALL J &JONES-PERRUCCI. permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a ANNETTE D signed statement that he or she is licensed pursuant to the provisions of $4g GILSTRAP AVE the Contractor's State License Law (Chapter 9 commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or GRIDLEY, CA she is exempt therefrom and the basis for the alleged exemption. Any 95948-9786 violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): W 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 Applicant: PERRUCCI RANDALL J 8t JONES-PERRUCCI owner of property who builds or improves thereon, and who does PP such work himself or herself or through his or her own employees, ANNETTE D provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). ❑ 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 pursuant to the Contractors' State License Law.). Contractor' ❑ I am Exempt under Article 3 oft usiness and Professions Code Dater Owner: WORKERS' COMPE SATION 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 #• workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ I have and will maintain workers' compensation insurance, as Architect: required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation Engineer: insurance carrier and policy number are: Carrier: Total Square Ft: 2400 S.F. Policy #: M I certify that in the performance of the work for which this permit is Valuation: $57,600.00 issued, I shall not employ any person in any manner so as to become Census Code: 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 comylyVith th9ose provissiiions. Date: Applicant: PP WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. - CONSTRUCTION LENDING AGENCY"' — "^ I hereby affirm that there is a construction lending agency for the This perm' is hereby issued undo a applicable provisions of the Butte Count Cod anNor^— Resol i s4*o do work 'n ated o for which fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) Name: By: Date: Address: PERMIT EXPIRES ON: D e O 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25o34 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 subst of any official form or d ant of Butte County. I hereby authorize representatives of Butte County to enter upon the above mentioned property for inspection pu o s. Print Name: / t J -(� j Signacure A! [�a1 �► p� + Date: C ^ l ) M a owner ❑ Contractor ❑ Agent for Owner' 0 Agent for 6ontractor KA Ah �4 /oq4, F/ BUTTE COUNTY ` DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION " AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 - CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OF APPLICATION "PLEASE PRINT CLEARLY" OWNER Last Name Per r u dd first Name 'RAND ZI Address I City 2 l p � tate Zip s PhonegL 7 Fax E-mail �bDG� h sefbe r , Ner~ /elf i' •'1 For office use only: CONTRACTOR Name Name Address A U `u `isAJ� l City State Zip Phone Fax E-mail Lic. # Class /elf i' •'1 For office use only: APPLICANT NAME ARCHITECT/ENGINEER Name 'Address R A lg City �2 i AddressAt Z City Fax E-mail �50 C State ZiP7 LI onre)).) Z577 L,5!57Fax E-mail State License Numb t00378 /elf i' •'1 For office use only: APPLICANT NAME Name "'RiANDLI ?C.=r1(Nt Vp 0 A 'Address R A lg City �2 Occ• StateAA ` I Phone gull Page Fax E-mail �50 C R /elf i' •'1 For office use only: Zoning Flood Zone SRA I Yes o Occ• Type -Const Subdivision Name Map Book Page Lot # Planner Date Approved: PERMIT BP LOCATION AP# oz - / -o2 Property Address C' A 't'' dLu Cross Street F i5vA-vs jEi Ale 1z WORKER'S COMPENSATION Policy Number i/ Z, Carrier rT- ff 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 uVER FOR SUBMITTAL REQUIREMENTS IL K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc Page 1 of 2 Description or Scope of Work: QAlP Sq. Foota e ❑ Structure 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 made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. Received by: Amount: I `I' - Bldg 41�? SRA Receipt #: Sheriff SMIP Date: �-� V Other �O ✓V- J / T..��1 REV 6-16-04 SUBMITTAL REQUIREMENTS The following drawings and specifications must be submitted to the Building Division in order to apply for a permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK. Residential, New, Remodels, Additions, and Accessory Structures: ❑ 1. 3 Site Plans, signed by the preparer. NO GRAPHPAPERl ❑ 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!). t ❑ 4. Letter from Engineer or Architect for truss design review. ❑ 5. 2 Energy compliance design and supporting documentation. (Note: Not required for additions to mobile or modular homes.) t ❑ 6. 2 Flood Elevation Certificate, wet -stamped and signed (if required). ❑ 7. Detached Accessory Building Form, filled out by the property owner (if required). ❑ 8. Sanitation and site plan approval from the Environmental Health Department. ❑ 9. Metal Buildings: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C)Elevations in triplicate, (D) Floor plans in triplicate, All of these must be stamped and wet -signed by the en 'eer. 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. ❑ 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 GRAPHPAPER! ❑ 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 KAFORMSWILDING F0RMS\BIdgApp1SubRgmts.doc Page 2 of 2 REV 6-16-04 COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET OWNER: �� V SCC., I ASSESSOR PARCEL NUMBER v� I f�}�7 I G Proposed Building Use: � 0�� Counter Technician: Date: Items required in order to apply for a permit. II boxe UST be checked OR marked NA in orde apply. 1. Site plans, 3 or -4 sets, signed b)rI prepar"Ahe plans. 0 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. �y 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 A/C for Non -Residential Buildings. ❑ 8. Manufactured homes: (A) Data sheets and installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. ❑ 9. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate ❑ 11. Site plan and business license approval from the City of Biggs ❑ 12. Letter of intent for non=residential buildings 13. Detached Accessory Building Form filled out by the owner ❑ 14. Hazardous Material Form !�37 15. Sanitation and site plan approval from the Environmental Health Department in ❑ Chico ❑ Oroville, as applicable. ❑ 16. Other Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) p ❑ 17. Fire Sprinklers............................................................................................. 18. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by ❑ 19. Soils Report and/or Engineered Foundation required ........................................... ........ ❑ 20. Erosion Control Plan Required........................................................................ ❑ 21. Fees as shown on the attached Schedule of Fees Due Sheet .............................. !) ❑ 22. City of Chico Plumbing permit........................................................................ ❑ California Department of Fores ry plan approval ❑ paid. Sent by: ............ 24 Planning approval (A) Use: (B)Parking: (C) Parcel Check:_ - ❑ 5. Contact Land Development about _ Improvements, _ Drainage ......................... 26. NPDES Form............................................................................................. ❑ 27. Encroachment Permit for driveway from the Public Works Dept ........................... ❑ 28. Pre -Inspection for required....... ❑ 29. Contractor's license information. (Number, Name Style, Classification) ................... ❑ 30. Worker's Compensation Carrier and Policy Number .......................................... 31. Owner -Builder Verification Given to owner, _Mailed to owner) ..................... ❑ 32. Letter of Signature authorization......................................:............................. ❑ 33. Recorded copy of Agricultural Acknowledgment Statement ................................. ❑ 34. Manufactured home utility clearance............................................................... ❑ '35. Existing violations and/or expired permits......................................................... ❑ 36. Deed Restriction......................................................................................... ❑ 37. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $ ❑ 38. Other: ❑ 39. Other: When issued Telephoneand hold for pickup. I have been i rmed of the above items and requirements for obtaining a building permit. Applicant: Date: "7 " Z 7 'Q 1. Index permit application for the abo a tems numbered: Plan Check Letter - 2. Additional items reciwwd Contractor, designeWher, advised of the above data by �ne, ❑ mail, ❑ counter, by Date: Contractor, designe advised of the above data by phone, ❑ mail, ❑ couer, by Date: Plans reviewed by: Date: Plans approved by:_11Date Structural reviewed b : Date: Structural approved by: Date: Note transfer by: Date: Yellow: Building Division ' E.H.USE CS1►LY f Flat Ren Attachod we Floor Ren Attachad Lu �` - • Sant to S.O. TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance Owner Location AP# Plan Approved for: Sewage Disposal ✓ Dater Supply: Public Private Well Clearance for dwelling. Other x yZO Hold final for: Final clearance O.K. for: NOTE: A 8/96 Department of Development Services Building Division 7 County Center Drive Oroville, CA 95965 (530) 538-7541 (530) 538-2140 FAX DETACHED ACCESSORY BUILDING OWNER'S STATEMENT OF USE Plan review will not be started until this form is completed, signed by the property owner, and returned to the Butte County Building Division. Attached Accessory Buildings and Additions will be checked for residential use. Exception: Garages and Carports. Owner: f' +Phone: -5W gL1(e ('01J-) Mailing Address $LIA G t 57- AV 41110 (n ) to S 9 Q Site Address: �yy�,. ' �; �,' ljp ' Assessor's Parcel Number: 0 29 Zone: Please answer questions 1-16, and explain any yes answers for questions 2-14 in the space provided on page 2 of this form GENERAL LYFOR�MATION: 1. Is there a primary dwelling on the property? Yes O No ❑ 2. Is the structure already built, under construction, or under notice of code violation? Yes ❑ No 3. Will items produced in this building be offered for sale? Yes ❑ No 4. Will the public have access to this building? Yes ❑ No [� 5. Will any advertising, on or off site, be associated with the use of this building? - • Yes ❑ No (R' SITE CONDITIONS: 6. Is the structure foundation within 5' of septic tank or 10' of leach lines?. Yes ❑ No [+]� 7. Is any portion of the structure located closer than 20' to your front property line? Yes ❑ No Q' S. Do you plan to add a driveway or modify existing access to a county maintained road? Yes ❑ No [✓]� 9. Will the proposed structure encroach within any recorded easement? Yes. ❑ No (✓]� CONSTRUCTION FEATURES: 10. Will this building have insulated floor, walls, or ceiling? YesO No 11. Will this building be heated or cooled? Yes No L"J 12. Will this building have a water closet/toilet? Yes ❑ N40 - o13. 13. Will this building have a sink? -a- ! Yes ❑ No 14. Will this building have a water heater? ! �, {. Yes ❑ No 15. What type of•floor covering will the building have? _12i- T- Rd m jr 16. What type of %vall covering will the building have? _2> OVER 1 of 2 PROPOSED USE: (check only one bog) 1. ❑ Residential Storage Shed — I will be storing in this building and it will not used for any other purpose (no bathroom and no heating or cooling). 2. L10Private Garage --A building or a portion of a building not more that 1,000 square feet (3,000 by exception) in area in which only motor vehicles used by tenants of the building or buildings on the premises are stored or kept." A earase door is required. 3. ❑ Residential Carport — A covered structure intended for parking of vehicles. Two or more sides must be entirely open. 4. ❑ Residential Occupancy — Structures meant to be occupied, as opposed to a storage shed, garage, or carport If you checked #td, please check the uses below which best fit this building. ❑ GuestHouse ❑ Pool House ❑ Studio Apartment ❑ In-law quarters ❑ Recreation Room ❑ Game Room ❑ Study ❑ Library ❑ Bonus Room ❑ Playroom ❑ Den ❑ Studio ❑ Artist Studio ❑ Hobby Room ❑ Craft Room ❑ Sewing Room ❑ Canning Kitchen ❑ Music Room ❑ Family Room ❑ Sun Room ❑ Private Office ❑ Workshop' ❑Home Occupanry 2 ❑Other —Use = I. Descnbe type orwortahop - - teem be appiovea by tbe ecce C -.;a k..i,+B Division Explanations: This area is for explanation of any "yes" answers on questions 2-14. Please indicate the question number before the explanation ' Additional'Information: Plan review will not be started until this form is completed and received. A Plans Examiner will contact the owner with:specific requirements per the use indicated. I hearby affiirm under penalty of perjury that the above information is true and con-ect. I understand that any changes to the use, or character of use, of this building will require permits from the permitting authority. I understand that Real Estate,Disclosure laws require disclosure of this information if or when the property is offered for sale. _y O«ner's Name: Owner's Signa Please t T lure. Y �` - Date: `7 2 7 9 2of2 Applicant: Perrucci Randy Permit 04-2218 Project Type: NSF/Garage APN: 024-110-029 100% 70% Plan Check Fees $ 417.92 $ 292.54 $ 417.92 $ 292.54 LP2A Fee $ 292.54 Copies Attached: Qty Chk Application Site Plan Review FEMA Elevation Certificate Building Plans Truss Calculations Energy Calculations Structural Calculations Residential Plan Review Guide Residential Construction Requirements Other Other z Butte County Department of Development Services YVONNE CHRISTOPHER, DIRECTOR o.uTrFo o 0 100 7 County Center Drive o 0 o -+ Ip, ®' o Oroville, CA 95965 c�U w (530) 538-7601 Telephone IN (530) 538-7785 Facsimile + TO: LP2A ' FROM: Scott Rutherford (530)538-7160 F srutherford(a-)buttecounty.net SUBJECT: Plans Transmittal For Review Per Contract ® DATE: 7/28/2004 Applicant: Perrucci Randy Permit 04-2218 Project Type: NSF/Garage APN: 024-110-029 100% 70% Plan Check Fees $ 417.92 $ 292.54 $ 417.92 $ 292.54 LP2A Fee $ 292.54 Copies Attached: Qty Chk Application Site Plan Review FEMA Elevation Certificate Building Plans Truss Calculations Energy Calculations Structural Calculations Residential Plan Review Guide Residential Construction Requirements Other Other z Department of Public Works C o u n t y o f B u t t e D, J. Michael Crump, Director 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 ACRE1 Project Description: Project Location and/or Parcel Number: ?41 2q' 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. 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 Regional 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. 1 Signed: Title: Date 7-2i -Ot!� It Less than I Acre NPDES & SWPPP Compliance Certification Butte County Storm Water Management Program Revised 5/12/04 O.B.-1 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. �I personally plan to provide the jor labor and materials for construction of the proposed property improvement :'YES NO ❑ I HAVE a HAVE NOT ❑ signed an application for a building permit for the proposed work - I have contracted with the following person (firm) to provide the proposed construction: NAME: ' ADDRESS: CITY.. PHONE: CONTRACTOR'S LICENSE NO. . 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 • CM: PHONE: CONTRACTOR'S LICENSE NO. I_will provide -some -0f -the -work but -I have -contracted -(hired) -the follovAng-per-sons to-provide— the work indicated: NAME ADDRESS PHONE TYPE OR WORK SIGNED: PROPF,RTYOWNER-.A19,,,,A_A Tf vp. DATEc31 '7 - 2 �z —() L) NOTE: This Owner -Builder Verff cation is required by Section 19831 and 19831 of the California Health and Safety Code. YUS vertfrcation must be completed and returned to our office before we are permitted to issue the permit OWNER BUILDRR INFORMATIrON Dear Property Owner. An roup �1�n for a building p� has been submitted in your name listing yourself as the builder of property rovements a eumil: For Yom protection, You should be aware that as "owner -builder" you are the responsible party ofremrd on such P Building ou penitis are not required to fie signed by Property owners unless they are erso own work- if your work is being performed eY P naIIy performing their by someone other than yomseh; you may Protect Yo= from possible liability if that person applies for the proper permit in his or her name. licensefi Contactors rimed by law to be licensed and bonded by the State of California and t4 have a business apply. City Y cel' They are also required by law to put the$ license number on all peffiits for which they Ifyou oplan II to do your own work with the exception of various trades the't yon be aware of the f� g �rmation for your benefit and protection: plan to subcantrac-t yon should a Ifyou employ or otherwise engage any persons other than your i®mediate fiery, and the work C=k dmg materials and other costs) is $30D or more for the entire project. and such persons are not licensed as contractors or subconfractm-, Sion you may be an employer. ♦ If you are an employer, you must register with the State and Federal obligationseral Go subject to several v as as employer and you are racem workers cor�easation rte, e lax withholding, federal social sec[I& taxes, i7ity insurance costs, and unemployment compensation. coons.. ♦ y b� rift -fin you ifyon do not _ __ _. espeoially serious With cagy out Siwe obligations, and these risks are P c0MPensation insurance. ♦ For more specific mon about yow obligations under Federal Law if yon wish, Sue U.S. Small Business . contract: the Internal itevemie Service (and, State Law contarx the D • . ). For more Veecific information about your obligations under epariment ofBenefit Payments and the Division of industrial Accidents. If the Structure is intended for sale, property owners who are not licensed contract= are allowed to perfonn their work personally or through &eir own employees, without a licensed Contractor or subcontractor, only under limited conditions. A frequent practice of unlicecsed P=am PrOA=ing to be contractors is to secure as -owner builder" building Pew eizvneousiy ifRlyinf that the ProPty owner is providing his or her oven laborand material personally, Building PMInSom�on OVMers are Pig S� own work personally. unless theycommunity or at 1020 N � Y be obtained by �e Contractors State License Board is your Please � theSagami CA. 95814. "OW= Builder Venfloation" on the reverse side of this fi n so that we can cont= that you are aware of these roamers. The building Pert Will not be issued >intil the verification is retuned. ly, C• V' C.B.O. Bmldmg Inspection NOTA• T7cis Owrrrr Bur7der Inforrna wn is required by Section -74830 ofthe CaWornla M&M gird Safety Cods August 17, 2004 Mr. Michael Vieira County of Butte 7 County Center Drive Oroville, CA 95965-3397 Phone: (530) 538-7541 Fax: (530) 538-2140 Re: Plan Review: Address: Dear Mr. Vieira: Perucci Garage 348 Gilstrap Avenue County of Butte- FINAL REVIEW Jurisdiction Application No.: 04-2218 LP2A Job No. 2040015-111 Linhart Petersen Powers Associates (LP2A) has completed a final review of the following documents: 1. Plans: Two (2) copies Plan Sheets Al through A5 Title/Cover Sheet dated June 19, 2004 by Snowden Engineering. 2. Structural Calculations: Two (2) copies dated July 06, 2004 by Snowden Engineering. 3. Prefabricated Roof Truss Calculations: Two (2) copies dated January 16, 2004 by MiTek, stamped by Redong Yu PE. The 2001 California Building, Mechanical, Electrical, Plumbing and Energy Codes were used as the basis of our review. Please note there are no further comments. Therefore, we are recommending approval of the above noted items with the added redlines. Enclosed for your use are the above referenced documents bearing the LP2A plan review stamps along with the applicant's response letter. Please let us know if you have any questions. Thank you. Sincerely, LINHART P Structural Engi PK:ag Enclosures: ASSOCIATES MeB�as Plans Examiner Bin 10 fAbutte county 015\butte county 2004\2040015-111-pcf.doc 0 LINHART PETERSEN POWERS ASSOCIATES 7610 Auburn Boulevard • Citrus Heights, CA 95610 (916) 725-4200 • FAX (916) 725-8242 • Toll Free (877) 235-0653 0 Ci SITE PLAN REVIEW APPLICATION �,/ / Date: ( aeuc( AP# 2 ` c/0 r 0 Permit Number (if applicable) ©'q-' 2245 Bin Number APPLICANT INFORMATION Parcel Size: Owners Name: Owners Address: Telephone No.: Situs Address: Proposed Use: Residential ❑ New Single Family Residential ❑ Single Family Addition ❑ Mobile Home Residential Accessory Permanent Second Dwelling ❑ Temporary Mobile Home (Aunt Minnie) ❑ Temporary -Travel -Trailer. ❑ Multi -family Non-residential ❑ New Commercial ❑ Commercial Addition ❑ New Industrial ❑ Industrial Addition Other ❑ Septic ❑ Agricultural Exempt Building ❑ Other: ❑ Single Family Remodel ❑ Commercial Remodel ❑ Industrial Remodel ❑ Well ❑ Agricultural Buffer Form ❑' Applicable Brief Explanation (if necessary): K4A� DO NOT WRITE BELOW THIS LINE ❑ N/A DEVELOPMENT SERVICES INFORMATION (For Staff Use) �]U Approved ❑ Conditionally Approved ❑ Resolve Problems Prior to Approval it ;9an Stampni Approved By Date ! ` Page 1 of 5 ALL ITEMS CHECKED APPLY TO THE PROPERTY Parcel Is In: ❑ Snow Load Area: ❑ Land Conservation Act Minimum Acreage: ❑ Verify residence can be built per contract ❑ Nitrate Action Plan (See Environmental Health for standards) ❑ Watershed Protection Overlay Zone (See attached standards and requirements) ❑ Expansive Soils (Test for expansive soils and if verified proper foundation design required) ❑ SRA - (CDF to determine specific requirements) ❑ 100 -Year Flood Plain: (See attached) ' • Flood Zone: • Flood Panel No.: Index Date: ❑ Sacramento River Reclamation District (Approval must be obtained from the California Reclamation Board) ❑ Feather River Reclamation District (Approval must be obtained from the California Reclamation Board) ❑ North Chico Specific Plan (See Development Fees Section and attached standards and requirements) ❑ Chapman/Mulberry (See attached standards and requirements) ❑ Cohasset Area (See attached standards and requirements) ❑ Grading Zone (See attached handout) Use Requires: ❑ Use Permit ❑ Minor Use Permit ❑ Administrative Permit ❑ Minor Variance ❑ Variance -------=------------------------------------------------------------------------------------------------------- ❑ Detached Building Use Form ❑ Encroachment Permit ❑ Agricultural Worker Affidavit ❑ Agricultural Acknowledgement Statement Zoning: ft— -sI- O I --7C Applicable Building Setbacks: ❑ Setbacks drawn on site Plan. CDF approval needed for encroachments into SRA setbacks. Page 2of5 Zoning Code Streets & Highways Fire Prevention Subdivision Map Front 2V - Side Side 5 Side Street Rear Height Waterway N/A N/A N/A ❑ Setbacks drawn on site Plan. CDF approval needed for encroachments into SRA setbacks. Page 2of5 r r ri Applicable Development Fees: Standard Fees Amount Formula ❑ Fire ❑ School* ❑ Parks/Recreation ❑ Roads ❑ Sheriff ❑ Drainage ❑ NCSP/CSA 87 ❑ Chico Urban Area — Road ❑ Thermalito Drainage Area ❑ Thermalito Urban Area ❑ Other ---------------------------------------------------------------------------------------- Subdivision Map Special Fees ❑ Water Tender ❑ Road Improvement ❑ North Oroville Area ❑ Other (per map) * Check with school district to verify actual fee if pre -application review. A final determination will be made at the time of the building permit. Parcel Created By Date of Creation: I.rgal Access Provided: ❑ No ❑ Yes Deed of Reference: Legal Access Required ❑ No ❑ Yes Parcel Frontage on Publicly Maintained Road: ❑ No ❑ Yes, Road Name: Complies with County Standards for Deed Creation:❑ No ❑ Yes Comments: e ❑ Parcel Deemed to be legal ❑ Verify Legal Parcel ❑ Verify LegaL Access ❑ Provide Deed of Creation ❑ Obtain a Certificate of Compliance ❑ Obtain a Merger ❑ Obtain a Lot Line Adjustment ❑ Comply with Old Subdivision Lot Ordinance (Maps recorded prior to Book 17 of Maps Page 23). ❑ Construct road to: ❑ Meet Parcel size required by zone ❑ Meet current Environmental Health Department requirements Page 3 of 5 ❑ _Subdivision Map/Parcel Map: Map Date of Recording: Lot: Book: ❑ Use Permit/Minor Use Permit Permit Number: Date of Approval: Page: Parcel Map/Subdivision Map/Use Permit Conditions ❑ Comply with the following Conditions of Approval: ❑ Meet the Fire Safe Regulations of Butte County and P.R.C. 4290 ❑ Automatic fire suppression sprinkler systems shall be installed in accordance with the National Fire Protection Association Standard for installation of sprinkler systems in one and two family dwellings and mobile homes, NFPA Standard 13D, unless a pressurized community water system, with hydrants that meet the Fire Department specifications, serves the parcel. ❑ Wood stoves and fireplace inserts shall be EPA approved and designed to meet the emission requirements of the California Clean Air Act of 1988, as amended. ❑ Provide an erosion control plan for building and land disturbance. The Erosion Control Plan must be prepared by a registered civil engineer or other qualified professional and be submitted to and approved by the Department of Public Works. ❑ In lieu of a pressurized water system or water storage tank, payment into the appropriate Battalion Water Tender Fund may be required. ❑ Measures shall be taken to control fugitive dust emissions from all driveway and other civil construction associated with residential development. Approved dust control measures are found in the fugitive dust control plan for the site approved by the Butte County Air Quality Management District, a copy of which can be obtained from the Butte County Department of Development Services, Building Division." ❑ Engineered foundations are required. ❑ Class A roofs are required. ❑ Property owners responsible for road maintenance, and stop sign maintenance. C Page4of5 u x 0 Summary of Specific Requirements: This information provided in this summary is based on the application information and on the best available data at the time of review. CMArrys\Building Permit Site Plan Reviewl.doc Page 5 of 5 i BUTTE COI. NTY DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING PERMIT ' 24 HOUR INSPECTION #: (630) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 5:8-7541 LICENSED CONTRACTORS DECLARATION I hereby affirm under penally of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of. the Business and Professions Code, and my license is in full force and effect. License Class : License Number: Dale: Contractor: OWNER -BUILDER DECLARATION I hereby affirm under penally of perjury that I am exempt from the Contractors' Stale 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 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 Contractors Stale License Law (Chapter 9 commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a. permit subjects the applicant to a civil penally of not more than rive hundred dollars (8500).): lff 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' Slate License Law does not apply to an owner of property who builds or Improves thereon, and who does 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 year of completion, the owner -builder will have the burden of proving that he or she did not build or Improve for the purpose of sale.)., ❑ 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' Slate License Law does not apply to an owner of property who builds or Improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' Stale License Law.). ❑ 1 am Exempt under Article V.PhusIness and Professions Code Dale:; Owner: WORKERS' COMP SATION DECLARATION I hereby affirm under penally of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -Insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit Is Issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of the work for which this permit Is issued. My workers' compensation insurance carrier and policy number are: Carrier: Policy M 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 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. Dale: `-2 —0- hundred Dhundred thousand dollars (8100,000), In addition to the cost of compensation; damages as provided for in Section 3708 of the Labor code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY— I hereby affirm that there is a construction lending agency for the performance of the work for which this permit Is Issued (Sec 3097 Civ.) PERMIT NO. BPO50770 Issued Date: 03/24/2005 APN: 024-110-029-000 Site Address: 848 GI-LSTRAP AVE GRI Map Index: Description: up -grade 100 amp to 200 amp service & sub -panel for garage with elect. wiring. Owner: PERRUCCI RANDALL J & JONES-PERRUCCI ANNETTE D 848 GILSTRAP AVE GRIDLEY, CA 95948-9786 Applicant: PERRUCCI RANDALL J & JONES-PERRUCCI ANNETTE D 848 GILSTRAP AVE GRIDLEY, CA 95948-9786 Contractor: License M Architect: Eng neer: Total Square Ft: Valuation: Census Code: work indicated PERMIT EXPIRES- ON 0 S. F. $0.00 sions of the Butte County Code and/or - have been paid. Dale: r Address: Date ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safely 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. 1 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 ocument of Butte County. I hereby authorize repress alives of Butte Co ly to enter upon the above mentioned property for inspecl-ion purpo e . Print Name: I' Signature: Date: 01owner ❑ Contractor ❑ Agent for Owner ❑ Agent for Contractor G. 1,. nunuinp rernut V i -iv-vv vu I BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR rNSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OFAPPLICA TION Website: www.buttecounty.net/dds **PLEASE PRINT CLEARLY** APPLICANT SIGNATURE X k-polidy For office use only: OWNER Last Name � I irst Na Address ek U City State State Zip Phone _ Fax Fax E-mail Lic. # APPLICANT SIGNATURE X k-polidy For office use only: CONTRACTOR Name Cit Address I /'45 City I Yes State Zip Phone Type Const. Fax ail Map Book Lic. # Class APPLICANT SIGNATURE X k-polidy For office use only: ARCHITECT/ENGINEER Name Cit Address I /'45 City I Yes State Zip Phone Type Const. Fax E-mail Map Book State License Number APPLICANT SIGNATURE X k-polidy For office use only: APPLICANT NAME Name Cit Address I /'45 City /')e I d I Yes tate Zipg5q,', j �", `IS Phone Type Const. Fax E-mail Map Book APPLICANT SIGNATURE X k-polidy For office use only: API Q /` Zoning Cit Flood Zone WORKER'S COMPENSATION SRA I Yes I No Occ. Name Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS PERMIT NO. BIN # LOCATION API Q /` Propert Address Cit Cross Street _ 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 Description or Scope of Work: Sq. Footage ❑ Structure 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 made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. Received by: Amount: q6 -Bldg SRA Receipt #:' 1 �`—' �3 o Sheriff SMIP Other Date: ���. Total K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc Page 1 of 2 REV 2-24-05 SUBMITTAL & PERMIT REQUIREMENTS The following drawings and specifications must be submitted to the Building Division in order to apply for a permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED: ALL PLANS MUST BE LEGIBLE AND IN INK. ❑ 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. No graph paper! ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans (No graph paper!) OR Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 3. Engineered truss details and layouts in duplicate (if required). No faxes! ❑ 4. Energy compliance design and supporting documentation in duplicate. ❑ 5. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. e ❑ 6. Manufactured homes: (A) installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. ❑ 7. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate (if required). ❑ 9. Site plan and business license approval from the City of Biggs. ❑ 10. Letter of intent for non-residential buildings. ❑ 11. Detached Accessory Building Form filled out by the owner (if required). ❑ 12. Hazardous Material Form (for Commercial Buildings only). Remaining items needed to issue the permit. Additional items may be required after Plan Check and Planning review (May require additional plan review upon receipt of the following items.) ❑ 1. Agricultural Buffer clearance and site plan approval from the Ag Commissioner's office (if required). ❑ 2. Impact Fees. ❑ 3. California Department of Forestry plan approval (if required). ❑ 4. NPDES Form. ❑ 5. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 6. Contractor's license information. (Number, Name Style, Classification). ❑ 7. Worker's Compensation Carrier and Policy Number. ❑ 8. Owner -Builder Verification (if required). ❑ 9. Letter of Signature authorization (if required). ❑ 10. Recorded copy of Agricultural Acknowledgment Statement. ❑ 11. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts. ❑ 12. Sanitation and site plan approval from the Environmental Health Department. If you have questions or would like additional information regarding this process, please contact a Permit Assistant at (530)538.7541. EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after date of application. In order to renew action on an application after expiration, a new application, plans and fees will be required. REQUEST FOR FEE REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made within two years from the date of fee payment on permits not issued, and two years from the date of permit issuance for permits issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. OVER FOR BUILDING PERMIT APPLICATION KAFORMS\BUILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2 REV 2-24-05 r' DATE: / 1 OWNER: r CIL / A -P-9: LOCATION: / 1 �' � ZONING: 1 � � •z. ;� CONTRACTOR /, V (5 r (� Q PRE-iNsPECnON FOR i DATE TO INSPECTOR . ------------ PERMIT HISTORY: [ ]NONE AS FOLLOWS: re) TYPE OF OCCUPANCY: BU- II,DING INSPECTOR'S REPORT ding Description: [ ] CommerciaVUsage:. [� Residential/9 of Units: Mobile Home: Yes[ ] No[ ] [ ] Currently Occupied. [ ] Abandoned/Vacant. tric- [v T eS [ ] J No Electric is currentlyOn [ ] Off Co dition of electrical? e- > Ge ` ror C, 4� prod ��e�Q 1 Qor�ti l t��n .� �eet� • Natural �1r, Propane[ J None[ ] Currently On[/ -'f Off[ r Obvious problems: itation: Plumbing working Yes [No[ ] ` Well: Yes[ ] No[ ] Potable water: Yes[ ] No[ ] Obvious Sewage Problems: N sue n Recommended: [ s Date: 2 � ' �� COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 APPLICATION.AND PERMIT PERMIT NO. OAMB -CN ASSESS L - ) ZONING BUILDING PERMIT OWNER / TELEP"ONE SO. 'FT. OCC. BUILDING VALUATION OWNERS 7140 ADDRESS CONTRA7JS NAME TELEP110NE CONTRACTORS MAILING ADDRESS ---TUN Fireplace CONSTRUCnON LENDER - Total Valuatlon $ Fling Fee $ 20.00 ._ LENDERS MAILING ADDRESS - - - Permit Fee - $ - ARCHITECT OR ENGINEER _ - _ LICENSE NO. Plan Checking Fee - $ Energy Plan Checking Fee $ ARCWrECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDING ADDRESS1 - 0 PERMITFEE S PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 LOT NO. SUSONISIONSNAME - PARCEL MAP Solar or heat pump water heater 23.00 Water piping 15.00 USEOFSTRUCTURE SF Duplex ❑ Mobilehome ❑ Other SPECIFY Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other Describe Work: b� = ( �- i 1 � , St'' •� I .r t' `1 : G� ! `� c'' t,` • ( 1 t^ t�' Mobile Home I S.1 GI W 1 920.00 PERMITFEE $ Contractor ELECTRICAL PERMIT Filinq Fee 20.00 Main Service ( aoov oR LESS ) 0S 20 A OR LES 23.00 . C T Main Service ( 200A TO 1000A ) 46.00 LICENSED CONTRACTOR'S DECLARATION L I hereby affirm under penalty of perjury that 1 am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. / c= 7 License Class Lic. No.42 \w) V LLL��' OWNER -BUILDER D C ARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason 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 workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. JQ* I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier NEW CONST. DWELLING OCCUR OR ADONS. ( a ACC. BLOB. ) SO. 3.5¢ FT. NEW CONST.MULTI.OUTLET NON•RESID. ( BRANCM CIRCUITS ) 97.50 POWER APPARATUS (a SINGLE OUTLET CIR. ) Ex. Occup. ( OUTLET OR FIXTURES ) 20 @ 1.00 SALO .50 EX. Occu FIXED APPLNS. OR p (OUTLETS (REBID.) EA) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 r PERMITFEE $ Contractor MECHANICAL PERMIT Filing Fee 20.00 g Heating Cooling Hood 6.50 Ventilation PERMITFEE S Contractor Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall foith omply •th those. rov9' io�ry�� �� c i &6_ _/ _ Dete _ —_/__ XWnau-re;af'App1icant Si - caner Contractor ❑ A ent�' 9 An OSHA permit is required for excavations over 50" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee Is Energy Inspection Fee $ OCC CONST. TYPE TOTAL FEE $ HA2. 1 0. FEES I IMP I FL 000 COF PARCEL PD HD ISSUE This permit is hereby issued under the of the Butte County Code and/or indicated above for which fees have BY PERMITEXPIRESON applicable provisions Resolutions to do work been paid. Date (Date) ReceiptNo. –C`f `j �� WHITE-O.O.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT Fr e i ti s,Oee -b o.✓ OwuEffo, PERMIT NO. A routine inspection indicates that the following violations of ButteCounty 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, x please contact this office immediately. �J ?(-04 eC{- r o !!),a e g /c+ r o A. -h n ..� J VA - J /1 r r _ ei<iraG� (A��— �� r /I% Date ]— I_ Inspector REV 10192 Lt, -:;1 COUNTY OF BUTTE y 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 '?? CO eTION NOTICE :y Fr e i ti s,Oee -b o.✓ OwuEffo, PERMIT NO. A routine inspection indicates that the following violations of ButteCounty 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, x please contact this office immediately. �J ?(-04 eC{- r o !!),a e g /c+ r o A. -h n ..� J VA - J /1 r r _ ei<iraG� (A��— �� r /I% Date ]— I_ Inspector REV 10192 Lt, -:;1 024-410-029PERMIT# 9& L47 ' HOLLANDSWORTH-�aul; 848 Gilstrap Ave. Gridley ,Cont; North Valley Electric Ele S6r Ch/SF OFFICE COPY Addr ess-_gq,? k" GAS Meter By Date ELECTRIC Meter By.111f:Z,61 —Date -2— • ,.WUNTY OF BUTTE -DEPARTMENT OF?Zalifornia EVE�OPMENT SERVICES -BUILDING DIVISION 7 .County Center Drive - Oroville, 95965 - Telephone (916) 538-7541 PERMIT NO. APPLICATION AND PERMIT' - �"�r' ASSESSOR PARCEL NUMBER 024-1106-029 ZONING BUILDINGPERMIT OWNER PAUL HOILODSWORTH TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER'S MAKING ADDRESS 848V1LS1RW GRIDIE , 95948 , , CONTRACTOR'S NAME NORTH VALLEY ELECTRIC TELEPHONE CONTRACTORS MAIUNG ADDRESS Fireplace CONSTRUCTION LENDER ' UNKNOWN Total Valuation is Filing Fee $ 20.00 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 848 GILSTRAP PERMITTEE $ PLUMBINGPERMIT Filing Fee 20.00 GRIDLEY, 95948 t Each Trap 7.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP I Solar Or heat pump water heater 23.00 Water piping 15.00 USEOFSTRUCTURE ( SF ., Duplex ❑ Mobilehome ❑ Other f SPECIFY I Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 p p g y Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ UGIities ❑ Installation ❑ Other 0 [ Describe Work: UPGRADE FUMIC — SERVICE AND MISC WIRING Mobile Home I S I G1 W 1 1920.00 I PERMITFEE $ Contractor ELECTRICAL PERMIT Filina Fee 20.'00 aV OR LESS Main Service ( 20000A OR LESS ) 23.00 • Main Service ( 200A TO 1000A ) 46.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license in full force and effect. L� '� I License Class t O �RipLIC. NO. / / k OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: { ❑ I, as owner of the property, or my employees with wages astheir sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason NEW CONST. DWELLING OCCUP. SO. OR NS. ( s ACC. BUDS. ) 3.50 FT. NEW CONST. MULTI -OUTLET C NON-RESID. ( BRANCH CIRCUITS ) 97.50 POWER APPARATUS ( a SINGLE OUTLET CIR. ) Ex. Occup. (OUTLET OR FIXTURES ) 20 @ 1.00 BAL SO FIXED APPWS. OR Ex. Occup. (OUTLETS (RESID.) EA ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 23. oo PERMITFEE $ Contractor 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 workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. 14 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers'- compensation insurance carrier and policy number are: Carrier - - ', MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Policy Number 1 ' (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not, employ any person it any., -manner so as to become subject to workers compensation laws of California, and agree that if I should become subject to the workers' compensation provision�ss of ction 3700 of the Labor Code, I shall forthwit comp with those provjion X. Date _ "'� �23y'.�, ,� Si n- at(Ire of A licant - 'Owner Contractor ❑ Agen� 9 PP An OSHA permit is required for excavations over 5'O" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ 89.00 HAZ., J.D. FEES IMP FLOOD CDF PARCEL PO 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 have been paid. T By- Date 7Jk_.. ry h �(, // 1 PERMITEXPIRESON (Date) Receipt No. 201995 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT PPNF"- 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 a- A-/ All c./d r ilk, 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>ave any questions pertaining to this matter, or need additional explanation, please contact_Ws office immediately. ry79 . /s fe- Q•v/� sac D�� %% hI Dan Inspector lT U s S G ff REV 110/92 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 -� r.+ CORRECTION NOTICE ER 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. Date REV 10/92 '4 tiC Inspector A, A '4 tiC Inspector COUNTY OF BUTTE- DEPARTMENT OF,IDEVEL_7PMENT SERVICES -BUILDING DIVISION 11 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO, APPLICATION AND PERMIT ��' `����', ASSESSOR PARCEL NUMBER 024-110-029 ZONING BUILDING PERMIT OWNER PAUL HOLLANDSWORTH TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS 848 GILSTRAP GRIDLEY , 95948 CONTRACTOR'S NAME NORTH VALLEY ELECTRIC TELEPHONE CONTRACTORS MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNXNOWN Total Valuation Is Filing Fee $ 20,00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO- Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDINGADORESS 848 GILSTRAP PERMITFEE $ GRIDLEY,95948 PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 LOTNO. SUBON510N'SNAME PARCEL MAI Solar Or heat pump water heater 23.00 Water piping 15.00 USEOFSTRUCTURE SF 10 Duplex ❑ Mobilehome ❑ Other SPECIFY Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other IN Describe Work: UPGRADE ELECTRIC SERVICE AND MISC WIRING Mobile Home I S I GI W @20.00 PERMITFEE g Contractor ELECTRICAL PERMIT Filina Fee 20:00 Main Service000V OR LESS ( 200A OR LESS ) 2:3 UU 23.00 Main Service ( 200A TO t000A ) 46.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Bu si ass and Profession: Code, and my license ' in full force and effect. A L� License Class O Lic. No. (t / OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compersation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code :or this reason NEW CONST. DWELLING OCCUR OR ADDNS. ( a ACC. BLDS. ) SO. 3.5¢ FT. NEW CONST. MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS ) @7.50 ( POWER APPARATUS ) a SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES aAL 50 Ex. Occup. ( OUTLEEDTS (RRESID.)EA) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 23.nn 1 1 123.00 PERMITFEE $ 89. 00 Contractor WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ I have and will maintain a certificate of consent to self -insure for wDrkers' compensation, as provided for by section 3700 of the Labor Code, -or the performance of the work for which this permit is issued. I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 9 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Policy Number (The above sections need not be completed if the permit is for work of a va.uation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provision of ction 3700 of the Labor Code, .. shall Ir*thwp ' with those, provi on X Date Signa rcant -—owner Contractor ❑ Agen An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee Is occ I CONST. TYPE TOTAL FEE $ 89.00 HAZ. I D. FEES I IMP I FLOOD CDF PARCEL I PD I HD ISSu This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By Qate 3 A6 PERMITEXPIRESON (Date) Receipt No. 201999 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT r +Y COUNTY OF BUTTE - DEPARTMENTOF,p,EVE[,�OPMENTSERVICES - BUILDING DIVSION, 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 -TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET OWNER �� Q �� ��S too Ir -f 1 q 1. c� y_l / PProposed Building Use /'C i C t� /�-' Building Inspector Date At time of permit application, I was advised theollowing data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY 1. All items have been submitted. .... f.• .............................. . 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 calci, 3/4 sets, with wet signature on plans . ............. 5. Hazardous Material Form. ........................................... . 6. Energy Design Compliance and supporting documentation . ................. . 7. Statement of Intent for Non -Heated and A/C Buildings . ...................... 8. Engineered truss details and layout in duplicate (required prior to plan check)., ... . 9'. Mobilehome data and manufacturer's installation instructions, 2 sets. ........... 10. ' Fees of $ .......................................... 11. Impact fees as 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 (constru appy val require M o o occupancy). .. .. .'•. . 20. Pre -inspection for C �� C V r 1 C_ P�anIsdpin n roque required. . to Building Inspector ( te) 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 thp,prynitM_pr�c ss as follows: Mail topper. Mail to contractor. _� Telephone22SS �� o� and hold for pickup at (51(0 ✓i r office. Del' er with inspector. Other Parcel Creation � Acreage Applican D t' Copy of Fiaz-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 a ve). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by _ phone _ mai 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