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HomeMy WebLinkAbout024-110-056I' I r KEN SMVENS 24-1I-56 229 E. Evans Reimer Rd, Gridley Contr: Watson Hardware �� \ Permit#4164-83E(ele ser ch/SF) 24-11-56 Contr: Burl Woodward, Gridley ermit#334_ , P, E,m4repa.ir_. re dam- age) ,AF ',a3A 24-11-56 - Permit#88-91B,E ' (new garage) � 1 OB-1�52 02+100.06& 229 E o Evans Rd . 6rgdk� RFs be�9t�5s pool (1(0'x 40) Reids, 404 �oNTR' lQuf�s'P�Is BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION (IVR): (530) 538-4365 OFFICE: (530) 538-7541 FAX#: (530) 538-2140 ONLINE PERMIT/RENEWAL PAYMENTS: www.buttecounty.net\dds PROJECT INFORMATION Site Address: 229 E EVANS REIMER RD Owner: Permit No: B08-1852 APN: 024-110-056 FIELDS, HOLLY Permit type: MISCELLANEOUS 229 E EVANS REIMER RD Issued Date: 09/10/2008 By KCG Subtype: Private Pool GRIDLEY, CA 95948 Expiration Date: 09/10/2009 Description: FIBERGLASS POOL (16'X 40') (530) 846-2855 Occupancy: Zoning: A-5 Contractor Applicant: Square Footage: LAUFF'S POOLS LAUFF'S POOLS Building Garage Remdl/Addn 1528 COLUSA AVE 1528 COLUSA AVE YUBA CITY, CA 95993 YUBA CITY, CA 95993 Other Porch/Patio Total (530)673-4081 (530)673-4081 FEE INFORMATION DBEH Building Review Fee $78.90 DBMSC Swim Pool -Fiberglass $542.91 LICENSED CONTRACTOR'S DECLARATION Contractor (Name) State Contractors License No. / Class / Expires LAUFF'S POOLS 895269 / C53 / 04/30/2009 I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am licensed under provisions of Chapter (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. n X G 09/10/2008 Contractors Signature - Date 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 WORKERS' COMPENSATION, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. �I I HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by (� Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My Workers' Compensation insuran carrier and policy number are; `Carrier ^ — olicy Number: O Exp. Date: (This section e not a competed if the permit is or one hum re dollars ($100) or est s.) ❑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. KI 09/10/2008 Signature Date WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND ATTORNEY'S FEES. CONSTRUCTION LENDING AGENCY I HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for the performance of the work for which this permit is issued. (3097 civ. code) Lenders Address City State Zip $621.81 Balance Due: $0.00 Receipt No: OWNER / BUILDER DECLARATION I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that 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 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]; Please check one of the following: ❑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 License Law does not apply to an owner of the property, who builds or improves thereon, and who does the 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 improvement is sold within one year of completion, the owner -builder will have the burden of proof 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 License Law dows not apply to an owner of the property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractor's License Law.). ❑ 1 AM EXEMPT under Section B. & P.C. for this i 09/10/2008 Owners Signature Date I hereby certify that I have read this application and state that the above information is cored. I agree to comply with all City and County ordinances, rules, regulations, and State laws relating to building construction, and with any and all conditions of permit. I agree to defend, indemnity, and hold harmless Butte County, its officers, agents and employees from any and all claims and liability for personal injury, including death, and property damage caused by, arising out of, or in any way connected with the issuance of this permit. I hereby acknowledge that issuance of this permit does not authorize the use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte County to enter the abo . menl' ned property for inspection purposes. I hereby certify that I am the prop order or a to act on the property owners behalf. •,L 09/10/2008 a e of rmi IGN] Print Date Owner�1r� Contractor OR. Agent for Owner Agent for Contractor �+ FILE COPY BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION" OFFICE #: (530) 538-7541 FAX #: (530) 538-2140 o `='o =� ' o A FEE WILL BE REQUIRED AT TIME OF APPLICATION Website: www.buttecounty.net/dds cw N_K PLEASE PRINT CLEARLY "When filed, this application and all supporting material becomes subject to the California Public Records Act. All related to this application is subject to public inspection and will be posted on the County's website for electronic access. OWNS.4 INFORMATION Last Name First Name Mailing Address City State Zip Phone - Fax E-mail CONTRACTOR Name��- Address CityI > ` / Ita e - Cityc Phone 3a FaxS.�� ? eo E-mail Lic.# �.. 6 Class GS ARCH/TECTIENGINEER Name 4-0(_ / G Address /5-.2 *P-' C L. k , 1u Cityc Phone State Zip Phone _ .5,x' 0 C. Fax d_- DR E-mail�� k•d State Li ns Number -4 J !-HT/ APPLICANT INFORMATION Name Address City State Zip Phone Fax E-mail APPLICANT SIGNATURE n x PROJECT LOCATION AN 0.-,2(/— Property .-,2—Property Address 2=2 - city City Z PERMIT NO. Fitt WORKER'S COMPENSATION Policy Number _ Carrier If hiring anyone other than license contrffctors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name G t X-5 t� Address DESCRIPTION OR SCOPE OF WORK. Sq FT- Living Garage - Open Cov ❑ 'Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): For office use only: Zoning Flood Zone SRA I Yes No Occ. Type Const. " 5 ifrA2al 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) 538-2140 Fax www.buttecounty.net/dds NOTICE TO BUILDERS" Before your building permit can be issued, your plans must be checked for compliance with the California Building Codes. In addition, your plans are routed to other regulatory entities including but not limited to Planning, Public Works, Environmental Health, and the California Department of Forestry for their clearances and approvals. There are some things you can do to expedite your permit: • Make sure your application is complete. • Be responsive to requests from County departments for any additional materials or requirements. The Building Division places its highest priority on processing building permits as quickly as possible and each day that passes without a complete application adds to processing time. Every permit issued by the Building Official shall expire and become null and void if the work authorized by such permit is not started or completed within one year from the date of issuance of such permit. A permit may be renewed (for a fee) prior to expiration an indefinite number of times, provided construction progress has been documented by the Building Division during each year during scheduled inspections. No changes may be made in the original plans and specifications for such work. In order to reinstate action on a permit after expiration, the permittee shall pay a new full permit fee and additional plan checking and documentation may be required. Upon completion of work covered by this permit, please contact this office for final inspection. As a reminder to you, it is illegal to occupy this building or any portion of the building for which this permit is issued without a final inspection. EXPIRATION OF PERMIT APPLICATION AND REFUND POLICY" Application for which a permit has not been issued will expire one year after date of application. Refunds may only be made upon written request by the person who originally paid the fees. Refunds for permit applications, if the permit has not issued, but not after 180 days from the date of fee payment. Fees paid at the time of application are for Plan Check and administration. The Plan Check portion of fees is refundable only if the permit is cancelled or withdrawn before any plan checking is done. Building Division costs will be deducted prior to authorizing a refund and a charge to process the refund application will be assessed. Refunds on permits (issued) may be requested prior to the expiration of the permit, provided no work has been done pursuant to the permit. An Inspection may be required (and deducted from any refund amount) to determine no work was done. Fee/refund information can be read on-line at http://municit)alcodes.lexisnexis.com/codes/butteco/ "When filed, this application and all supporting material becomes subject to the California Public Records Act. All public information related to this application is subject to public inspection and will be posted on the County's website for electronic access. Reference Number: B08-1852 Location: 229 E EVANS REIMER RD Parcel Number: 024-110-056 Date: 09/10/2008 Owner Name: FIELDS, HOLLY Phone: (530) 846-2855 Description: FIBERGLASS POOL (16'X 40') Signature of Applicant: Date: 09/10/2008 FILE Butte County Department of Public Works J. MICHAEL CRUMP, DIRECTOR LAND DEVELOPMENT DIVISION Storm Water Managment Program 7 County Center Drive Oroville, CA 95965 (530) 538-7266 Telephone (530) 538-7171 Fax www.buttecounty.net/dds C ,CPR National Pollutant Discharge Elimination System (NPDES) Phase II Construction Storm Water Permit and Storm Water Pollution Prevention Plan (SWPPP) Acknowledgment [LESS THAN 1 ACRE 1 Reference Number: B08-1852 Dater 09/10/2008 Location: 229 E EVANS REIMER RD By: KCG Parcel Number: 024-110-056 Sub Type: Private Pool Owner Name: FIELDS, HOLLY Phone: (530) 846-2855 Description: FIBERGLASS POOL (16' X 40) By signing below, I the project owner/owners' 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 buildouts 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 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 this project that disturbes one acre or more of land may result in revocation of grading and/or other permits or other santions provided by law. Signed: Title: r FILE Date: 09/10/2008 �r ` RESIDENTIAL 24-11-56 88-91B,E .•STEVENS,Kenneth 229 E Evans Reimer Rd, Gridley (new garage) cl Jc v=OK O=Not OK Not ' = Not Readyable MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap: / /" L" ft. / /"Nat. or/ /"L"ft./ /"LPG 7. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 10. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 % MISC LLANEOUS Date D S, COVERS CARPORTS, GARAGES, Plans OK except #'s Hing Requirements -Setbacks -Easements Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts Beams-Rftrs.-Coonectors Shthg.-Rfg.-Braclpg 5. Alum. A n.; Columns -Connections -Splice -Decal -Enclosures C rts; Windows Doors . -Electric Frmg; Sils-Anchors-Studs-Rftrs-Trusses Siding; Nailing -Veneer -Stucco -Mesh Roof; Shthg-Roofjhg. 11. Ext.; Step's-Doors:Landings Date t Card B-1 Date - and B-1 Date Card B-1 Date -L- 4 jq, Card B-1 a 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.; Receptaclesrarid Lighting, Distances-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 in Conduit 9. Health Department Approval 10. Plumb.; Cir. Testi Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 V=OK O =Not OK Not Applicable = Not Ready RESIDENTIAL (Single & Duplex) Date UNDERFLOOR (Plans) OK except #'s Date FRAMING (Continued) 1. Zoning -Setbacks -Easements -Flood -Slope 45. Hangers -Post Caps -Anchors -Connectors 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 46. Cing. Joist-Rftr. ties -Pu rlin -roof Brac-Truss-Shthng.-Rfng. 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 5. Stemwalls, Main; Steel -Blockouts-Wrapped 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 6. Stemwalls, Garage; Steel -Bloc kouts-Wrapped 50. Garage Fire Protection Framing 6a. Hold Downs and Special Anchors 51. Property Line Firewall & Openings 7. Slab; Steel -Wrapped 52. Ext. Doors -One T -Check Garage -3rd Story, 2 Exits 8. Piers -Fireplace Ftg.-Steel 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers 10. Gas Pipe; Size -Anchors 55. Siding -Nailing Veneer 11. Water Pipe; Test -Anchor -Regulator -Service Test 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 12. Electric; Underground 57. Glazing Area -Glass Protection -Skylights -Plastic 13. Pienums & Ducts; Clearance -Material -Support -Ins. 58, Shear Walls; Nailing -Bolts 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 59. Insulation -Walls -Ceilings 15. Insulation 60. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s Date Card B-1 Date Card B-1 16. Water Htr.: Vent -Access -Combustion Air -Baffle Date FINAL (Plans) OK except #'s 17. Water Pipe; Test & Anchor -Nail Protection 61. Ext. Steps -Door & Sidelight Protection -Landings 18. D.W.V.; Test -Fittings & Anchor -Nail Protection 62. Smoke Detector 19. Shower Pan; Test, First Floor -Tub Access 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 20. Test Tub & Shower, Second Floor -Tub Access 21. Gas Pipe; Size & Anchors 64. Bedroom Exiting 65. G.F.I. & Bath Fixtures & Tub Access -Spa Date Card B-1 Date Card B-1 66. Elec. Trim & Subpanel; Breaker Sizes & Labels Date Card B-1 Date Card B-1 67. Stairs & Rails Date ELECTRICAL (Permit) OK except #'s 68. Fireplace or Stove; Clearances -Hearth 22. Fixture & Transformer Clearance -Ins. Protection 69. Elec. Outlets at Wood Panel; Int. & Ext. 23. Elec. Receptacles Spacing -Lights & Switches at Doors 70. Kit.Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance 24. Size Boxes & No. of Conductors -Stapled 71. Elec. Outlets & Receptacles at Kit. Counter 25. Romex Installed Close to Edge of Studs & C.J. 72. Garage Fire Door; Swing -Landing -Closer 26. Equip. Ground made up w/Mech. Fastners-Bond Gas & Water 73. A.C. Duct in Garage -Damper 27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI 74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage; Above Floor-Mech. Protection 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 75. Plb., Elec. & Mech. Equip. Listed for Location 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral ❑ Yes ❑ No 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protection 77. Insulation -Foam -Looked in Attic ❑ Yes 30. Service -Riser Conductors & Ground -Main Disconnect 78. Guard Rails & Deck Construction -Post Caps 31. Equip. Clearances Panels-Motors-Mech. Equip. 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 32. Clothes Closet Light -Shower Light -Spa Light 33. Smoke Detector 80. Following instld.; Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑ Yes ❑ No Date Card B-1 Date Card B-1 81. Stucco; Brown -Finish Date Card B-1 Date Card B-1 82. A.C. Unit; Disconnect, Electrical, Plumbing Date MECHANICAL (Permit) OK except #'s 83. Vents Above Roof; Plbg.-Appliance-Fireplace.-Clearance to Openings 34. A.C. Ducts Insulation & Support 84. Water Well; Disconnect, Electrical, Plumbing 35. Vent Fan; Exhaust above insulation 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground 36. Condensate Drain & Overflow; Size & Grade 86. Ventilation Throughout House 37. Furnance-Vent; Access -Comb. Air -Return Air Vent -115 outlet 87. Glass Protection 38. Attic Access & Platform if Furnance in Attic 88. Corrections from Previous Inspections 89. Gas Test -Meters Tagged; Gas -Electric 90. Water & Sewer Connected -C/O to Grade -HD Approval Date Card B-1 Date Card B-1 91. Energy Compliance Certificate -Other Certificates Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except #'s Date Card B-1 Date Card B-1 39. Sils, Proper Material & Anchors Date Card B-1 Date Card B-1 40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound Date Card B-1 Date Card B-1 41. Bearing Walls over Girders & Floor Nailing Comments at Final: 42. Draft Stop in Walls (rat proof) 43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 44. Headers & Beam -Size & Bearing each time you visit job site) (NOTE: An entry must be made COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 538-7541 747 Elliott Road, Paradise — Phone: 872-6307 CORRECTION NOTICE 691 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. Date 3—I I ' Ins •_ :_ ._' S's.y Y.t. f` �., ���y .i.. ri s` . —✓-1^•`--�'-�..:n�'.F'.�Y�'+Zy..^, .1 � . . . .. -v 7 �` COUNTY OF BUTTE DEPA TMEI�T OF PUBLIC WORKS 196 Memoria Way,41hico — Phone: 891-2751 7 County Center Drive, Orovi Ile — Phone: 538-7541 ` 747 Elliott Road, Paradise — Phone: 872-6307 t' CORRECTION NOTICE OWN A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify,this office ij Date Inspector �� Y L i ,,,COUNTY OF BUTTE DEPi4RTMENT OF PUBLIC WORKS 196 Memc,�jial Way, Chico — Phone: 891-2751 y. 7 County Center,Drive, Oroville — Phone: 538-7541 747 Elliott Road, Paradise — Phone: 872-6307 _ CORRECTION NOTICE ` eV s OWNER PE MI 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. -::::Ss -7-eq STC �'� L wf �rcTi a-�✓ a COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS !'County Center Drive - Orovilfe, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER 024-110-1156 ZONING A5 BUILDING PERMIT OWNER- Kenneth L. Stevens846-3959720.00 TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 2 Reimer d Gridley,CA 5 48 480 CONTRACTOR'S NAME Owner TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ 6.7 0.00 LENDER'S MAILING ADDRESS Filing Fee $ 10.00 Permit Fee $ 62.50 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 31.2C •J .L J ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS 229 E. Evans Reimer Rd., Gridley$ Permit fee 103.75 PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF El Duplex❑ Mobilehome❑ Otherga sP cl Fv Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S G W 10-00e TYPE OF WORK New KN Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work: 20 x 24 Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 8000 AMP OR1 OR LESS10.00 CONTRACTORS LICENSE LAW I declare underenalt of perjury p y p er f y (Check One): El I am licensed under provisions of Cha t. 9, Div. 3 of the Business p and Professions Code and my license Is In full force and effect. License No. Classification 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ 1, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason Main service EA. ADD -L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.& OR ADONS. ( ACC. BLDGS. vtsgft NEW CONSTR ULT' -OUTLET 2.50 ea NON-RESID BRANCH CIRC ITS POWER APPARATUS &) (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20050C eAL@ 30 FIXED APPLNS. OR Ex. OCCl1p. OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 i5 QQ Permit Fee $ QQ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department A Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. �j 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 6omply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling Hood 3,00 il Ventat ion 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. t also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in conseque ce of the granting of this permit. X� /,1 %0 _ 9 / Date Signature of Applicant — Owner'R Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST TYPE TOTAL FEE $ 138.75 HAZ cuA PARK scHL FLD AR D D, Issu # This permit is nereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do work in ate above for which fees have been paid. RECT PUBLIC WORKS By at �8 PERMVf EXPIRES Date Receipt No. 83915—$138.75 WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT y%rr�%iI�A`+`''�j,�*1�!-'t`v':i�'�� `�'';•1�i%��'�'Y'1i'`''�'�' f5' i�"Y`. E �� v�,�,F� �����"��Yn�11"�L�T-t,'r'�''^'W.; .. . / COUNTY OF BUTTE - DEPARTME'NVO, PBE WORKS -BUILDING DIVISION v 7 COUNTY CENTER DRIVE-'OROV,ILLE, CALIFORNIA 95965 -TELEPHONE: 916/536-7541 PERMIT APPLICATION DATA SHEET " Permit No. �! OWNER --�L�iZ tJc� /'' A. P. No. D ai(— Proposed Building Use 6::&64 —. Building Inspector Date x 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 . ........................ 2. Plot plans in duplicate/triplicate, signed by preparer of plans ........ 3. Complete plans in duplicate/triplicate, signed by preparer. of plans . . 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Hazardous Material Form .......................................... 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings ............... r 8. Engineered truss details and layout in duplicate (required prior to plan check) . 9. Mobilehome installation data including manufacturer's installation ' instructions....................................................... 10. Fees of $ ........................ 11. Chico Urban Area fees paid ....................................... 12. Park fees paid .................................................... 13. School District fees paid ............. . K4. Sanitation approval from D�F/�%-� Health Department 15. City of Chico plumbing permit ..................................... y't 16. Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: ...... 18. Improvements may be required. Contact Land Development Section DPW 19. Driveway permit (construction approval required prior to occupancy) 20. Pre -Inspection for required Pre-Inspec. request to Building Inspector (Date) 21. Contractors 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 Acknowledgment Statement 25. Letter of signature authorization ................................... 26. 27. When you issue the permit, processasfollows: Mail to owner. Mail to contractor. Telephone SVZ—'59' and hold for pickup at office. Deliver w. /inspector. Other ,� Applicant .Dat ®- Copy of Haz-Mat corm 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. `1 2. Additional items required: Contractor, designer, owner, was advised of above required data by_phone_'__rnail—counter by ..date Contractor, designer, owner was advised of above required data by_phone—mal l—counter by date Plans checked b, Copy—DPW Date LPlans approved by —F(2.- Date Sets of plans on hold in File cabinet AP folder COUNTY OF BUTTE = Department of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916=538-7541 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 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. 1 have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors-icense 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 Signed: Property OwnerSoci Dateal Secur y �, J. , NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health'and Safety Code. This verification must be completed and retu=ned to our office before we are per- mitted to issue the permit. COUNTY OF BUTTE - DEPARTMENT "OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER Q__: p__ p ZONING S_�..,,_.�...BUILDING_PERMIT OWNERTELEPHONQE. iJ e __9 - C SO. FT. OCC. BUILDING VALUATION OWNER' MAILING AO RES C_ /�({ p T Z0 , CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAIL NG ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $6 , D—o cs LENDER'S MAILING ADDRESS ` ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 10.00 Permit Fee Plan Checking Fee $ SD $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS Permit tee $ �-2I e74:,-1,5_4 PLUMBING PERMIT Filing Fee 10.00 Each Trap 2,00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5,00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome❑ . Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 0.00e TYPE OF WORK New V Addition ❑ Remodel ❑ Utilities ❑ Installation[] Other ❑ Describe work: 2 Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service i°oo V OR AMP ORLESS10.00 �a pa CONTRACTORS LICENSE LAWNEW 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 EJ1, 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) El I, 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 Main service EA. ADD'L too AMP 2.50 CONST. DWELLING OCCUP.✓4 OR ACDNS. ACC. BLOGS. h¢sgft NEW CONSTR -OUTLET N.REULT' NO D SIBRANCH CIRCITS 2.50 ea POWER APPARATUS 61 SINGLE OUTLET CIR. I Ex. Occup( OUTLETS OR FIXTURES p 200300 eOLLP80 X. EX. Occup. OUTLETS PIRESID 1REA.) 2.00 Temporary service 10.00 Home Facilities 15.00 Misc. Wiring 15.00 O 0 Permit Fee $ '7 . 4 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3,00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County 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 against said County in consequence of the granting of this permit. X Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑ 1 An OSHA permit is required for excavations over 5'0" deep and demolition or construct. ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ 3 HAz CUA PARK SCHL FLD PAR PD HD ISSUE This permit is nereby issued under sions or the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS Date Receipt No. q73yZ!Z — /fig„ ;; WHITE-O.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR. GOLD ENROO-APPLICANT TO Buildinc Department FROM: Environmental Health SUBJECT: Sanitation Clearance -21 Owner Location AP# Plan Approved for: Sewage Disposal Water Supply Hold final for: Water Supply Final clearance O.R. for: Water Supply Clearance for bedroom mobile home. Other's U U :TOTS Sanitarian Date Return to DPW AGRICULTURAL STATEMEPIT OF ACFsfOWLEDG -01365 '- FOR RESIDENTIAL DEVELOPMENT Section 26-8.1 of the Butte County Code requires this acknowledgement be recorded prior to issuance of a building permit. i r The property described herein is adjacent 91-001365 Ree Fee 5.00 to land or included within an area zoned Cash 5:,00 :;; for agricultural purposes, and residents Recorded of this property may be subject to incon- i Official Records veniences or discomfort arising from the I County of use of agricultural chemicals, including, Butte - but not limited to herbicides, pesticides, t Candace" J . Grubbs and fertilizers; and from the pursuit Recorder , of agricultural operations including, ' 11:30am 10 -Jan -91 XX 1_A but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, 'and odor. Butte County has established agricul- tural 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 discomfort from normal, necessary farm operations. All that real :property: situate. in.the County of Butte, State of Calif ornia,'described as follows: ,' a_ca C=�n —tet The West 2 acres of the East 8 acres of Lot 27 of Gridley Colony, ; according to the Official Map thereof, recorded in the office of the Recorder of the County of Butte, State of-Californie,-June 7, 1905. in 'Book -4 of Maps,- at page -37 - . a EXCEPTING streets as platted end necessary irrigation and drainage ditches and canals, as reserved in Deed from Irrigated Land Company G, of California, a corporation, to W.H. Gilstrap and Laura J. Gilstrap, t _ -his wife; dated November 14, 1909 and recorded December 641909, in -1 Book 113 of Deeds, at page 314, records of Butte County, �elifornia. , Date: _� �j� - L PROPERTY OWNERS: ' Kenneth L. Stevens State of California) On this the 117th day of _,wary , 19-gL, before me, the ) SS. undersigned Notary Public, personally appeared County of Butte ) OFFICIAL SEAL TRIGA L. HAUCK NOTARY PUBLIC • CALIFORNIA BUTTE COUNTY a My Comm. Expires June 20, 1994 ElPersonally known to me. © Proved to me on the basis of satisfactory evidence. to be the person(s) whose name(s) is subscribed to the within instrument. and acknowledged that he executed the same for the purposes therein contained. IN WITNESS WHEREOF, I hereunto set my hand and official seal. A �. . "� I . n Present A.P. No. No ary Public Tricia L. Hauck EN® OF DOCUMENT \ .' • � .-tom .y i f ' " r Y �IY .1 � t + ��: :. t 1 � . :a Permit#3345-85T, ` EM Ken Stevens 229 Evans Reimex COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND - PERMIT ASSESSOR PARCEL NUMBER •1 , ' ( ZONING BUILDING PERMIT OWNER L/ TELEPHONE SO. FT. OCC, BUILDING VALUATION ✓ - OWNER'S MAILING ADDRESS CONTRACTO R'S NAME I I f TELEPHONE CONTRACTOR'S MAILING. ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN C Total Valuation $ Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $�=- ,` ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ I `J( f Energy Plan Checking Fee ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESSPermit tr j( /rfJ fee $ ff / PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Cr r' j ?J Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL' MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF 0 Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S G W 0.00 ea' TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work: r f �, , , f I rr �r^r, 'J f i�✓F fA i1.4n !� l'!arL Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 -� Main service 1100V OR LESS 100 AMP OR LESSJ( 10.00 f{ (,C, Main service EA, ADD'L 100 AMP � 2.50 CONTRACTORS LrICENSE 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 / 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.9\ YzQsgft OR ADDNS, l ACC. BLDGS. I NEW CONSTR. MULTI -OUTLET 2,50 ea NON.R ESID BRANCH CIRC ITS POWER APPARATUS e (SINGLE OUTLET CIR. Ex. OCcup�OUTLETS OR FIXTURES 20Ex.❑ eAL930 FIXED PR Ex. Occup. OUTLETS IRESID 1EAJ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 - - Misc. Wiring ;,._ ,, ,�, �, 15.00 . U g Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑,ol* 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 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 authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. ,-,, 4A X �� Date Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ occuP. CONST,TYPEJ I I FLOOD PARCEL PO ND 590E This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC By �./ PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS J/ Date 9/ , S 1,1 I / •- 5 l / Receipt No. �. % WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT INSULATION Number and Street '- Permit# CERTIFICATiONV ItIf County Subdivision Lot Number DESCRIPTION OF INSTALLATION ROOF Material Brand Name Thickness (inchesl Thermal Resistance (R Valuel EXTERIOR WALL Material Fiberglass Brand Name Certainteed Thickness (inches) Thermal Resistance in Value) CEILING Batt or Blanket Type Fiberglass Brand Name Certainteed. T oicknsiss (inchesi Thermal Resistance (R Value) Loose Fill Type_ Fiberglass Brand Name Certainteed Minimum Thickness (inches) %/ �'/. Number of bags Weight 25 Area Covered Ih=1 per bag Ib ,�_�� Thermal Resistance (R Value) 20 FLOOR. ELEVATED Material Fiberglass Brand Name Certainteed Thickness (inches) Thermal Resistance (R Value) FLOOR. SLAB Material Brand Name Thickness (inches) Thermal Resistance (R Valuel Width (inches) FOUNDATION WALL Material Brand Name Thickness (inches) Thermal Resistance (H Value) HEATING SYSTEM Gas Furnace Make Model Description Rated Bonnet Capacity DECLARATION 1 hereby certify that the above insulation was installed in the building at the above location ir. conformance with the ..t—ent :egcilations setting Energy Conservation Standards for new residential buildings (located in California Administrative Code). Title 7.4 of the t General Contractor (builder) License Number Signature and Title - Date Hawkins Insulation Co., Inc. 378407 Sub Conti for (Insulation A licator) License Number Signature and Title CERTIFICATE REVIEWED BY Date BIN -029 —(BuY ink Inspection Off) 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 RRECTION NOTICE 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 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT d ASSESSOR P/J EMBER e'() ZONI BUILDING PERMIT o R TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNER'S- MAILING ADDRE' 90 qc= I a CO A R'S N E t 1.4 24 V_A T,EL€Py ('(L�_ d/► � CO RACTOR'S A Lin NG D S p r r ` C- V Fireplace CONSTRUCTION LENDER UNKNOWN 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 $ n PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCE MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF % Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 5�� 0 Building sewer 5.00 Mobile Home S I G W 10.00 ea TYPE OF WORK New ❑ Addition � Remodel ❑ ,Utilities � Installation[—]Other❑ Describe work: ' N v^ F '� Po — c4-- _ Permit Fee $ /S .00 Contractor .ELECTRICAL PERMIT Filing Fee 10.00 D2iMain service 6000V OR AMP ORSLESS�OO (y 10.00 /0,0 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): El am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. �} �j License No. //, �� �% � Classification — F -1I, 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., a+� �Z¢sgft NEW CON�STAR. ULTII.OUTLET NON.RESID BRANCH CIRCUITS) 2.50 ea POWER APPARATUS &) (SINGLE OUTLET CIR. Ex. Occu zo®e0a p OUTLETS OR FIXTURES eA1030 FIXED Ex. OCCup. OUTLETS P(RESID )REAJ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. INiri 15.00 . C? .101 Permit Fee $ o WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. FD--r-have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3.00 Ventilation permit Fee $ 09,00 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. I also agree to save, indemnify and keep harmless the County of Butte against all liabil'ties, judgments, costs, and expenses which may in any way accrue agains ai o ty in c nsequ nc of the granting of this permit. Date Signature of Applicant — Owner [ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ ` OCCUP. CONST.TYPC I I FLOOD PARCEL I PD ND s E This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIREC R F PUS By PERMIT XPIRES Date the applicable provi- resolutions to do fees have been paid. I WORKS Dat Receipt No. WNITC-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT 1 ORDER NUMBER A REG. R.U. INCIDENT NO: START MO. DATE YEAR COUNTY i= FIRE NUMBER_` ;.r' FIRE NAME1 E` REG. ft -U. I N S 7Z-`;" vzv n.i FC—.1811/80) St '�—.•��'a'��y.. X,l- .r�+"��' 3+'••ga„n'� �;; t"'3„"e,'Y' �?�+,� t'< .:=A. .J r _ . • _ y, . -,4 y '� ' r1 ORIGIN LOCATION z SEC. TOWNSHIP®N RANGE - �E NATIONAL FOREST, FIRE DIST., CITY 8 STREET NO., El S' 3: ❑W MILESDIRECTION LAND ( USE S yj� FROM IN NATIONAL FOREST, FIRE DIST., CITY 8 STREET NO., �-+ uj RANCH -FARM" "t ° -�, -��RECREATION.' r❑ t• INCIDENT TYPE rr 3 rt}r y FIRE ❑ FALSE ALARM --GO TO BLOCK 10 RESPONSIBILITY'`' ,,1 4A s� - / "STATE ZONE �r ` ,.. 4B STATUTORY ' T O❑ WILDLAND BURNED OR�THREATENED RESPON$IBILITYs�' O ❑ CDF IOCAI GOVT:- CONTRACT + ` (0 AT ORIGIN) 0 ❑ UNPROTECTED d ss"�, - rL+ ,. ❑ � STATE , 0 Cl ASSIST OTHER •AGENCY (Not Gly) c ❑ U.S F S LOCAL ZONE ; .M - `"" ❑ B.L ©6 CDF LOCAL GOVT. CONTRACT Cl B. A� O (�] ASSIST OTHER AGENCY (Not City) ❑ OTHER FEDERAL FEDERAL ZONE ❑ OTHER ❑ ASSIST FED. AGENCY (Not Mil.) O ❑ CDF LOCAL GOVT. CONTRACT MISC. AND OTHER O❑ ASSIST CITY, CONTRACT CO., MIL, OTHER r[3CAU SE (STARTS IN OR ONLY) LIGHTNING C]DEBRIS C]PLAY W/FIRE CAMPFIRE ❑ARSONOTHER/MISC: SMOKING - .,, :.�*❑. EQl11PMENi ' •d `` "�I .N. ~ �l ."dam .!.�»i � Y a!- � .. Y �•STARTS-IN LAND ( USE S 8 ONLY) �� M1 DOMESTICy -13 FOREST INDUSTRY.,,. uj RANCH -FARM" "t ° -�, -��RECREATION.' r❑ ❑DUMP '' ElOTHEF; INDUSTRY-COMRCL c- ❑ ROAD - .❑ WILDLAN4 4, i ❑ UTILITY, RAILROAD ❑ NON-WILDLAND UTILITY, ELECTRIC ❑ OTHER It R INumber OTHER STRUCTURES 8/or ACRES OF VEGETATION BURNED ON ARRIVAL (0 VEGETATION FIRES ONLY) 9 SIZE DISTANCE (Origin to heod) WEATHER ESTIMATE AT SCENE) WIND SPEED (M.P.H.) DIRECTION (FROM) .2L 6,6q 1 VEHICLES & CONTENTS I I I I 1 OTHER ' TOTAL I#;': r s I I•. -- 10 OVER PLEASE F TEMPERATURE (°F) CDF 7540-130-0118 91999-586 9-68 1 DOW 06i i 1ORDER NUMBER 1C"Wil G. P I' •. c R.U. I I I INCIDENT `NO.Q — L V (ii YEAR /1' RF RFC"ABn 1 MO. DATE TIME I I7OUTS. IRE IDEOn00R8 Enter 1ST. CD Dis atch PERSON 'HOURS AIRCRAFT FLT. HRS. CDF STATE 3 LOCAL GOVT. CONTRACT CREW NAME INSIDE002 ©OR 8 PERSON HOURS AIRCRAFT FIT. HRS. FIRE DISCOVERED FIRST REPORT SECOND REPORT FIRST ATTACK BY CDF 7 Irl /Sot_. FIRE CONTAINED � C�yLrz r\ CREW /OVERHEAD RECORD _ GO TO LOOKOUT; If 1 ST. or 2ND. report made by lookout SITE NAME: - ll CDF STATE 3 LOCAL GOVT. CONTRACT CREW NAME ORGAN- IZATION PERSON 'HOURS AIRCRAFT FLT. HRS. CDF STATE 3 LOCAL GOVT. CONTRACT CREW NAME ORGAN- IZATION PERSON HOURS AIRCRAFT FIT. HRS. rIL 1ST. ATK CDF CREW of s /Sot_. d lr�, a CDF OVERHEAD TOTAL ON FIRES, ENTER?i:`.3.<'%> 1 f! TOTALS BELOW %M>�?;z�{.::: {>.;:��>� •�•>,:;�„.,,.;�,�:';� .. U.S.F.S. jil Overhead) TOTAL- ,�•. waw - OTHER FEDERAL (Incl. Overhead)TOTALW> - FIRE DIST. 3 OTHER LOCAL TOTAL PAID HOURLY (E.F.F.) TOTAL ............ { VOLUNTEERS(Unpaid) TOTAL �?�3:: ❑ FC -1811 (Additional crew activity) ATTACHED ORIGINAL REPORT BY: SIGNATURE r1 COMMENTS IJC MAP JS: ONE SECTION ❑ FOUR SECTIONS ❑ MAP ATTACHED TITLE . - R APPROVED BY: DATE INTI. DATE C7 - i6q 7atr� s I N OFFICE COPY Address ,�:�p GAS Meter By ELECTRIC Date- Meter By a Date//�, rte; I t COUNTY OF BUTTE JT OF PUBLIC WORKS 7 County Center Drive - Orovil 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT OWNER TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS r V r I -Y CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS t - Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10,00 LENDER'S MAILING ADDRESS , Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDRESS -/4 PLUMBING PERMIT Filing Fee 10.00 i Each Trap 2.00 Repair drainage or vent piping 5.00 .,. + i •. r. 7 ... Water piping LOT NO. SUBDIVISION NAME' PARCEL MAP Each qas water heater or vent 5,00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF E1 Duplex❑ Mobilehome❑ Other SPECIFY Building sewer Lawn sprinkler system 5.00 TYPE OF WORK New ❑ Addition ❑ Remodel ® Utilities EK Installation ❑ Other ❑ Describe work: - '�' d 7 ' �� r - Permit Fee $ Contractor 'ELECTRICAL PERMIT Filing Fee 10.00 Main service OOOV OR LESS 100 AMP OR LESS 5.00 !.� �r+( C�,., f'r� �/� v F Main service EA- ADD'L 100 AMP 2,50 NEW CONST. DWELLING OCCUP.E11 OR ADDNS. ACC. BLDGS. 2� Sq ft 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 (' IP ❑ 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 CONSTR (MULTI -OUTLET 2.50 ea NON-RESID BRANCH CIRC ITS NEW CONSTR ( POWER APPARATUS &) NON-RESID. SINGLE OUTLET CIR, / 50 @ 250 Ex. Occup OUTLETS OR FIXTURES BALat Ex. Occup.(pUIXED P TLE TS (RESID )LNS REA. 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 1 1-- r- Permit Fee $ r Contractor MECHANICAL PERMIT FiIingFee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Heating Cooling Hood 3.00 Ventilation permit Fee S 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, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X Date Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ OCCUP. GROUP I TYPE OF CONST. I PARCEL PD I ND I 1550E This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC I ' By �' rr PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date . i Receipt No. O r / y'� WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT �. COUNTY OF BUTTE OF PUBLIC WORKS PERMIT NO. - 7 County Center Drive - Oroville, . 5965 -Telephone 916/534-4541 APPLICA�TI AND PERMIT ASSESSOR PARCEL NUMBER ,,)A y— -, r;D ZONING BUILDING PERMI OWNER Ke fetee ns TELEPHONE J96'7 SO. FT. OCC. - BUILDI VALUATION OWNER'S MAILING ADDRESS Cyr'ccI%6 CONTRACTOR'S NA E a. 3." &n TELEPHONE CONTRACTOR'S AMA LING ADDRESS e ��++ 6/ C!r �Ja [4�6 C6t P�S�9`fY Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER - LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING DRESS n \, 8" ns tgc►ters Koa� �i^c��d 9x'95' PLUMBING PERMIT Filing Fee 10.00 6 Each Trap 2.00 Repair drainage or vent piping 5.00 !, re he'1'E.' -74-.s Water piping LOT NO. SUBIDIVISION NAME' RCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF ® Duplex❑ Mobilehome❑ Other SPECIFY Building sewer . Lawn sprinkler system 5.00 TYPE OF WORK New❑ Addition❑ Remodel Utilities.V Installation❑ Other F1 Describe work: __e�sfu�i��s /✓tr✓ �ooA d..zlc P/ 4'.e.JErYi n n / , � �� /'„ �n.e ['/ t� Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 AMP 001 OR LESS RSLESS �0 /0.06 YJ &.y e/C S^ C(r l ✓( J Main service EA. ADD'L 100 AMP 2;5(•] °�. SQ NEW CONST. DWELLING OCCUP.y) OR ADDNS. ACG. BLDGS. 2�sgft 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. �1 /�' License No. 1S 1n 7,/ Classification __ L 1Q ❑ 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 CONSTR -OU LET NON-RESID BRANCH CIRCUITS)- 2.50 ea DAQ NEW CONSTR. ( POWER APPARATUS 6) NON.RESID. SINGLE OUTLET CIR. so � aia Ex. Occup(OUTLETS OR FIXTURES BAL�ios FIXED APPLNS. OR Ex. OCCUp.�OUTLETS (RESID.) EA. 2.00 Temporary service e 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7-.50. Pro .06 Permit Fee $ ,rrt0 Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ®' .I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shal I be deemed revoked. MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling Hood 3.00 Ventilation permit Fee S 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 against said County i co sequence of the granting cf this permit. ' Date �EG�b�/98'3 Signiaure of Applicant — Owner X1 Contractor 91 Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures overr 3 storiees in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ OCCUP. GROUP I TYPE OF CONST, PARCEL PD ND IssuE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIR=OROFBLIC BY A PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS + Date — Ii��JJ� Receipt No. O! E 20 WRITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT .' _ 4 - :.