HomeMy WebLinkAbout024-140-00524-14-54 :.,-
GERALD WOODWARD �'"'r"WG./�( �'� WOODWARD, Burl 1091-70B
260 East Evans Reimer Rd, Gridley �- c 909-70P
Permit#649-83B,P,E,M(convert & remodel/SF}1013-70E 1
I' -4
024-140-054 06-0068 , s1s Evans Reimer w. o Gil strap Ave. , idl`e
STORNE FAMILY TRUST, (new single family)
260 .E EVANS REI VIER .RD, G:RIDL:EY _
Cont: ARCTIC AIRE 01 C1=CLCD
HVAC DUCTING C/O }
K-tKvur wik,viv,r ll -)1 WOODWARD, Burl E. 1090-70B`�
260 E EVANS REIMER RD 908-70P
STORNE, FAMILY TRUST 10 ��b _ -
101-270E
P 4-14 i
! s/s Evans Reimer w. o Gilstrap, Gri ey
(new single family)
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24-14-54 :.,-
GERALD WOODWARD �'"'r"WG./�( �'� WOODWARD, Burl 1091-70B
260 East Evans Reimer Rd, Gridley �- c 909-70P
Permit#649-83B,P,E,M(convert & remodel/SF}1013-70E 1
I' -4
024-140-054 06-0068 , s1s Evans Reimer w. o Gil strap Ave. , idl`e
STORNE FAMILY TRUST, (new single family)
260 .E EVANS REI VIER .RD, G:RIDL:EY _
Cont: ARCTIC AIRE 01 C1=CLCD
HVAC DUCTING C/O }
K-tKvur wik,viv,r ll -)1 WOODWARD, Burl E. 1090-70B`�
260 E EVANS REIMER RD 908-70P
STORNE, FAMILY TRUST 10 ��b _ -
101-270E
P 4-14 i
! s/s Evans Reimer w. o Gilstrap, Gri ey
(new single family)
l
jz�s'r O+F 4LO r Ciel
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
INSPECTION CARD
24 Hour Inspection Line: (530) 538-7636 (Oroville) (530) 891-2834 (Chico)
Office: (530) 538-7541 Fax: (530) 538-2140 Website: www.buttecounty.net/dds
Permit No: B06-2387 Issued: 10/06/2006
Address:
260 E EVANS REIMER RD GRIDLEY
APN:
024-140-054 Permit Subtype: Re -Roof
Owner:
STORNE, FAMILY TRUST
Applicant:
PRYDE ROOFING COMPANY
Description: REROOF W/COMP (15)
MUST BE ON JOB SITE
JOB SHALL BE READY PRIOR TO CALLING FOR
INSPECTION. THE INSPECTION CARD AND
APPROVED PLANS MUST BE AVAILABLE FOR EACH
INSPECTION OR THE INSPECTION WILL NOT BE
MADE AND A RE -INSPECTION FEE MAY BE
ASSESSED.
ALL PLAN REVISIONS MUST BE APPROVED BY THE COUNTY BEFORE PROCEEDING
Inspection Type
IVR INSP DATE
Setbacks
132
Foundations / Footings
111
Pier/Column Footings
122
Grade Beams
114
Eufer Ground
216
Forms/Steel/Holdowns
122
Do Not Pour Concrete Until Above are Signed
Pre -Slab
124
Gas Test
404
Masonry Grout
120
Masonry Bond Beam
119
Underfloor Framing
149
Underfloor Ducts
319
Shear Transfer
136
Under Floor Plumbing
412
Under Slab Plumbing
411
Gas Piping
403
Do Not Install Floor Sheathing or Slab Until Above Signed
Rough Framing
128
Rough Plumbing
406
Rough Mechanical
316
Rough Electrical
208
Gas Piping
403
Roof Nail
129
Shower Pan/Tub Test
408
Fire Sprinkler
702
Do Not Insulate Until Above Signed
Wall Insulation
117
Ceiling Insulation
118
Do Not Cover Until Above Signed
T -Bar Ceiling / RC
145
Gas Test
404
Stucco Lath
142
Stucco Scratch
143
Stucco Brown
144
Building Final
802
Electrical Final
803
Mechanical Final
809
Plumbing Final
813
Project Final
801
PERMITS BECOME NULL AND VOID 1 YEAR FROM THE DATE OF ISSUANCE. IF WORK HAS
COMMENCED, YOU MAY PAY FOR A 1 YEAR RENEWAL 30 DAYS PRIOR TO EXPIRATION
Inspector Copy
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT
24 HOUR INSPECTION #:(530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO)
OFFICE #:(530) 538-7541 FAX#: (530) 538-2140
WEBSITE: www.buttecounty.net\dds
PROJECT INFORMATION
Site Address: 260 E EVANS REIMER RD
Owner:
Permit NO: B06-2387
APN: 024-140-054
STORNE, FAMILY TRUST
Issued Date: 10/06/2006 By KEJ
Permit type: MISCELLANEOUS
260 E EVANS REIMER RD
Subtype: Re -Roof
GRIDLEY, CA 95948
Expiration Date: 10/06/2007
Description: REROOF W/COMP (15)
(530) 846-6717
Occupancy: Zoning: A5
Contractor
Applicant:
Square Footage:
PRYDE ROOFING COMPANY
Building Garage Remdl/Addn
6255 WALL LANE
PARADISE, CA 95969
Other Porch/Patio Total
(530)846-0502
FEE INFORMATION
Re -Roofing $110.00
Total Charged: $110.00 Fees Paid: $110.00
Balance Due: $0.00 Receipt No: B418
LICENSED CONTRACTOR'S DECLARATION
OWNER / BUILDER DECLARATION
Contractor (Name) State Contractors License No. / Class / Expires
I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License
PRYDE ROOFING COMPANY CSLB-612809 / /
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
I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am ' ensed under provisions of Chapter 9
(commencing with Secti�of of the Business Professions Code, and my license
pursuant to the provisions of the Contractor's License Law [Chapter 9 (commencing with Section 7000)
is i ffect`
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
10/06/2006
cleContractor's
the applicant to a civil penalty of not more than five hundred dollars [$500];
Please check one of the following:
Signature Date
❑ 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
WORKERS' COMPENSATION DECLARATION
OFFERED FOR SALE (Sec. 7044, Business and Professions Code: The Contractor's License
Law does not apply to an owner of the property, who builds or improves thereon, and who does
I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations:
the work himself or herself or through his or her own employees, provided that such improvements
❑I HAVE AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR
are not intended or offered for sale. If, however, the building or improvement is sold within one
WORKERS' COMPENSATION, as provided for by Section 3700 of the Labor Code, for the
year of completion, the owner -builder will have the burden of proof that he or she did not build or
performance of the work for which this permit is issued.
improve for the purpose of sale.).
I HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by
❑
❑ I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED
CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Code:
Section 3700 of the Labor Code, for the performance of the work for which this permit is issued.
The Contractor's License Law dows not apply to an owner of the property who builds or improves
My Workers' Compensation insurance carrier and policy number are;
thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the
Contractor's License Law.).
Cartier: Policy Number: Exp. Date:
(This section need not a completed if the permit is for one hundred dollars ($100) or less.
❑ I AM EXEMPT under Section B. 8 P.C. for this reason:
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 come subject to the workers'
X 10/06/2006
come a;��is,,,ons of Section 3700 of the Labor C , I shall forthwith comply with those
Owner's Signature Date
roisions
X �,z= 10/06/2006
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
I-SigFrdiure Date
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL,
construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless
Butte County, its officers, agents and employees from any and all claims and liability for personal
AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE
injury, including death, and property damage caused by, arising out of, or in any way connected with
HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION,
the issuance of this permit. I hereby acknowledge that issuance of this permit does not authorize the
DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND
use or occupancy of any sidewalk, stre , or subsidewalk. I hereby authorize representatives of Butte
ATTORNEYS FEES.
County to enter the above mention _pertly for inspection purposes. I hereby certify that I am the
_cone am auth ized on the property owner's behalf.
to c/,, 0/06/2006
CONSTRUCTION LENDING AGENCY
1 HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for
Name of Permittee [SIGNr Print Date
the performance of the work for which this permit is issued. (3097 civ. code)
Owner Contractor OR; Agent for Owner Agent for Contractor
FILE COPY
Lender's Address City State Zip
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT APPLICATION
AND SUBMITTAL REQUIREMENTS
OFFICE #: (530) 538-7541 FAX #: (530) 538-2140
A FEE WILL BE REQUIRED AT TIME OF APPLICATION
Website: www.buftecounty.net/dds
"PLEASE PRINT CLEARLY*
OWNER INFORMATION
Last Name _ r
first Name
Mailing Address �0 ' 1/A�S clmc7z.
Cite C
State _
Zip,
Phon�.y6 �%� JFaxes
Fax
E-mail
CONTRACTOR
ARCHITECT/ENGINEER
Address;,j�
1.
City
City/
crzcC int. c
State
�.9 •
Zip
cif!
Phone
Fax
E-mail
Lic. #
zf?C)
Class
c - 3.
APPLICANT IlYFORM—ATION
ARCHITECT/ENGINEER
Name
City
Address.
Zip
City
Fax
State
Zip
Phone
Page
Fax
E-mail
Date Approved:
State License Number
APPLICANT IlYFORM—ATION
Name C ___6 d
N o
Address
City
State
Zip
Phone
Fax
E-mail
For office use only:
Zoning
Property Address
v f a
Flood Zone
SRA
I Yes
No
Occ.
Type Const.
Subdivision Name
Map Book
Page
Lot #
Planner
Date Approved:
PERMIT
NO.
b�'9:3%1
BIN #
PROJECT LOCATION
AP# a , _ 6s
Property Address
v f a
City
Cross Street
Other
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:
dll9e_ l /1771f
Sq FT- Living Garage Opk9 Cov
❑ 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.
by Amount: I c d Bldg
\ SRA
Rece_ i C J
�u(
Sheriff
ri
SMIP
U
Other
Date:
Total
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT
24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO)
OFFICE #: (530) 538-7541
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 : -C,@0 License Number:ygl
Date:-,%/��c�Contractor: Q C -A C(.•.\ f
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the
Contractors' Slate 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 penally of not more than five hundred dollars ($500).):
❑ 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.).
❑ 1 am Exempt under Article 3 of the Business and Professions Code
Date: Owner:
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.
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:
Carrier: l'J�l_JE J),Mey� C n� n -1r\g(.� anCe.. CO.
Policy #: Ryy4y� I o
❑ 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 the workers' compensation laws of California,
and agree that if I should become subject to the workers'
compensation provisions of Section 3700 of the Labor Code, I shall
forthwith comply with those provisions.
Date: 1 - -
Applicant: .
WARNING: Failure to secure workers' compensation coverage is
unlawful, and shall subject an employer to criminal penalties and one
hundred thousand dollars (5100,000), 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
performance of the work for which this permit is issued (Sec 3097 Civ.)
Address:
PERMIT NO.
BP060068
Issued Date: 01/12/2006 APN: 024-140-054-000
Site Address: 260 E EVANS REIMER RD GRI
Map Index:
Description: hvac ducting
Owner: STORNE FAMILY TRUST
C/O STORNE JACK BEN & WILMA LOUISE
TRUST
260 E EVANS REIMER RD
GRIDLEY, CA 95948-9543
Applicant: ARTIC AIRE OF CHICO INC
2350 PARK AVENUE
CHICO, CA 95928
530-895-3330
Contractor: ARTIC AIRE OF CHICO INC
2350 PARK AVENUE
CHICO, CA 95928
530-895-3330
License #: 234913
Architect:
Engineer:
Total Square Ft:
Valuation:
Census Code:
This pe s hereby issued.uh h applicable provisions of the Butte County Code and/or
Resolu 'ons to do work iridi d abo a for hich fees have been paid. r�
By: Date: 2 6
PERMIT EXPIRES ON: /
❑ I hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage,
handling and use of hazardous materials.
❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project.
❑ Attached are copies of the required E.P.A. notification forms.
I hereby certify that I have read this application, that the above Information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with
all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby
authorize representatives of Butte County
-ttoo center upon the above mentioned property for inspection pu s.
Print Name: )�a v^ rl Q _ Zr <Zsoil Signature:
Date: 1-'-0, A
❑ Owner
❑ .Contractor
❑ Agent for Owner
Agent for Contractor
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT APPLICATION
AND SUBMITTAL REQUIREMENTS
24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 89t-2834
OFFICE #: (530) 538-7541
A FEE WILL BE REOUIRED AT TIME OFAPPLICATION
Website: www.buttecounty.net/dds
'`PLEASE PRINT CLEARLY**
APPLICANT NAME
OWNER
Last Name or
Name
(L - V\
irst Name
Address E.
Evac-li,r PAe
City V- le u
State
State
Zip
g
Phone
Fax
E-mail
City
APPLICANT NAME
CONTRACTOR
Name
Name
(L - V\
Address
Zip
City
. ��r2
State
Address
Phone
Map Book
Fax
E-mail
Planner
City
State •�K {�
zipq�Jqrp
Phone -)
R, 33
Fax
E-mail
Lic. #J
C ass
APPLICANT NAME
ARCHITECT/ENGINEER
Name
City c�
Address
Zip
City
Fax
State
Zip
Phone
Map Book
Fax
E-mail
Planner
State License Number
APPLICANT NAME
Name
Address
City c�
State
Zip
Phone) ,) ` q5 'j
Fax
E-mail
_LLC ANT SIGNATURE
X �L
t
For office use only:
Zoning
Property Address
Flans it -Ra ed.1
Flood Zone
Cross Street
SRA
Yes
No
Occ
Type Const.
Subdivision Name
Map Book
Page
Lot #
Planner
Date Approved:
OVER FOR SUBMITTAL REQUIREMENTS
PERMIT
NO.
6
BIN #
LOCATION
AP# 0 Z L/—f' Lf'v 0 Y('
Property Address
Flans it -Ra ed.1
City
Cross Street
WORKER'S COMPENSATION
Policy Number
Carrier U_
m n 7 nc
If hiring anyone other than license contractors, a certificate of worker's
compensation mustbe shown at the time of permit issuance.
LENDING AGENCY
Name
Address
Description or Scope of Work:
r
AUP
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.
Receiivved` by: Amount: Bldg
SRA
Receipt #: L,f Sheriff
SMIP
Date: 1 ,' 2,0 b
Other
Total
0
PERMIT NO. 649=83B,P,EM
l Q�
PERMIT EXPIRES
OWNER GERALD WOODWARD
CONTR. owner
' 24 14 4
ASSESSOR PARCEL 'S
LOCATION 260 East Evans Reimer Rd, Gridley _
r
t
{
i
s
r•
3
y
1
f.
Temp. Power Pole
Called PG&E
}r,
Temp. Elec. Service
t Called PG&E
Temp. Gas Service _
Cal led PG&E
JOB FINALED (Date)
Signature
V = OK
0 = Not OK
= Not Applicable MOBILEHOMES
* = Not Ready
MISCELLANEOUS
Date
MOBILEHOME UTILITIES (Plans) OK except N's
1. Zoning Requirements -Setbacks -Easements
Date
DECKS, COVERS, CARPORTS, ETC. (Plans) OK except N's
1. Zoning Requirements -Setbacks -Easements
2. Soils; Special MH Support -Sketch
2. Footings; Size -Depth -Spacing -Connectors
3. Sewer; Location -Test -Fall -C/0 -Concrete
3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails
4. Water; Location -Test -Easement Needed (Sketch)
4. Wood Awn.; Posts-Beams-Rfirs.-Connec.-Shthg.-Rig.-Bracing
5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Gas; Location -Test -Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG
6. Carports: Windows -Doors
7. Utility Clearance
7. Elec.
Card -BI
Date Card - BI -Date
Card -BI
Date Card -BI Date
Card -BI
Date
Date Card -BI Date
MOBILEHOME INSTALLATION (Plans) OK except M's
Card -BI
Date
Date Card -BI Date
POOLS (Plans) OK except N's V
1. Zoning Requirements -Setbacks -Easements
1. Setbacks -Easements
2. Footings; Size -Spacing -Marriage Line
2. Soils; Compaction -Structure Stability
3. Gas; MH Test -Demand -Valve -Connector -s
3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining
4. Electricity; MH Test -Crossovers -Breakers -Clearances,
5. Drain; MH Test -Fall -Flex Connector
4. Elec.; Receptacles and Lighting; Distances-GFI
5. Elec.; Pool Lighting; 15 volts-GFI
6. Water; MH Test -Regulator -Connector
6. Elec.; Enclosures; Conduit Entries -Terminals -Listed i
7. Water and Sewer Connected -C/0 to Grade -HD Approval
7. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater
8. Gas and Electricity Tagged
8. Elec.: Grounding; Equip.w/5'-Circulating,Equip.-Pool Lghig.
Boxes -Enclosures -Panel boards -Ins. to Main in Conduit
9. Exits; Insp.-Sketch
10. Cert. of Occupancy
9. Health Department Approval
10. Plumb; Cir. Test -Water Supply Test
Card B-1
Date Card -BI Date
Card Bi
Date Card -BI Date
Card B-1
Date Card -BI Date
Card -BI
Date Card -BI Date
s -
V = OK
0 = Not OK
= Not Applicable = Not Ready RESIDENTIAL (Singl,er`and Duplex)
Date UNDERFLOOR s OK except#'s
Date FRAMING (Continued)
Zonirig requirements -Setbacks -Easements
48.rP70pL�ty- a Firewall & Openings
76 F-rg., Main; Soils-Steel-Elec. Grnd.- /) /" Ftg. Depth
Ext. Doors -One 3' -Check Garage -3rd story, 2 exits
3. Fig., Garage; Soils -Steel- / /" Ftg. Depth
5Q_-4+& -_r-Width-Headroom-Rise-Run-Landing-Fire Protection
4. Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth
5 ywood on Roof Overhang -Attic Vents -Rafter Outriggers
StEftwalls, Main; Steel-Blockouts-Wrapped-Slab
6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab
52.'3il7lffT=Na MTrg-Veneer
rip Screed-Fdn. Vents-Underflr. Access
-W-7. PiQr!t Fireplace Ft .-Steel54,-Glazing
Area -Glass Protection -Skylights -Plastic
- V.: Fall -Fittings -Test -2 way C/O -Sewer Test
55. Shear Walls; Nailing -Bolts
9. Gas Pipe; Size -Anchors
1 er Pipe; Test -Anchors -Regulator -Service Test
11. _Electric; Underground
12. Plenums & Ducts; Clearance -Material -Support -Ins.
13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
raw9l ate Card -BI Date
}
Card -BI Dale Card -BI Date
Card -BI Date Card -BI Date
Gerd'131 Date i Card -BI Date
Date FINAL (PW-,t<0K except #'s
Card -BI Date ,. Card -BI Date
Date PLUMBING (Permit) OK except #'s
Wjo-�Z. Steps -Door & Sidelight Protection -Landings
57. j9yaake Detector
_ 14. Water Ht.; Vent -Access -Combustion Air
15C-W5fbr Pipe; Test & Anchors -Nail Protection
KW Furnace; Vents -Clearance -Comb. Air-Connector-
In Garage; Above Floor -Ducts -Meeh. Protection
Test-Fltngs & Anchors -Nail Protection
Bedroom Exiting
Shower Pan; Test, First Floor -Tub Access
60. G.F.I. & Bath Fixtures & Tub Access
18. Test Tub & Shower, 2nd Floor -Tub Access
Elec. Trim & Subpanel; Breaker Sizes -Labels
19. Gas Pipe; Size & Anchors
62. Stairs & Rails
fireplace or Stove; Clearances -Hearth
C BI �5f�7> Dater Card -BI Date
Outlets at Wood Panel; Int. & Ext.
_ Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance
Card -BI Date Card -BI Date
6t -81ec. Outlets & Receptacles at Kit. Counter
Date ELECT CAL Permit OK except #'s
fixture &Transformer Clearance -Ins. Protection
-
Garage Fire Door; Swing -Landing -Closer
68. A.C. Duct in Garage -Damper
49 Cr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.-
In arage; Above Floor -Meth. Protection
2 -:lec. Receptacles Spacing -Lights & Switches at Doors
Ib., Elec. &Mech. Equip. Listed for Location
2 ize B No. of Conductors -Stapled
71• Elec. Receptacles in Garage; (G. F.I.)-Romex Protec.
ex Installed Close to Edge of Studs & C.J.
---
- E Ground made up w/Mech. Fasteners -Bond Gas & Water
72. Insulation -Foam -Looked in Attic ❑Yes
73. Guard Rails &Deck Construction -Post Caps
Appliance Circuits in Kitchen &Conductor Size
25--etrUMed Wire Size i / ga. Cu or AI-A.C. Wire Size / / ga. Cu or AI
74. Fdn. Vents & Crawl HQlepoor-Drainage& Wood -Earth Clearance
Looked under Floor (/Yes
Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al,-
C
C(/e Insulated Neutral ❑Yes ❑No
_ 28_ Seryiee-Riser Conductors & Ground -Main Disconnect
75. Following instld.: rive s E]No; Walks es C] No;
Planters s ❑No
76. St rown-Finish
-- 29. ea antes; Panels-Motors-Mech. Equip.
fjP A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet
_- 30. o es Closet Light -Shower Light -
7 ents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs.
---- ---- ----
79. Water Well; Disconnect, Electrical, Plumbing
and 8-I Dat Card -BI _ Date
- =�s =
Card B -I Date Card -BI Date
xterior Elec. Trim; G.F.I. Receptacle -Underground
e
-Iation throughout House
lass Protection
Date MECHANICAL (Permit) OK except #'s
_- 31. A.C. Ducts; Insulation &Support
_
orre tions from Previous Inspections
G st-Meters Tagged; Gas -Electric
g5. ater & Sewer Connected -C/O to Grade -HD Approval
32. Vent Fan: Exhaust above Insulation
nergy Compliance Certificate -Other Certificates
_ _33. Condensate Drain _& Overilow; Size & Grade
34. Furnace -Vent: Access -Comb. Air -Return Air Vent -115V outlet
35. Attic Access & Platform if Furnace in Attic
- --- - - - - ---
Card -BI - _ Date - - Card -BI Date
Card -BI Date Card -BI Date
Card -Date and -BI Date
2e -BI Date, Card -BI Date
and -BI ate Card -BI Date
Date FRAMI G(Plans) OK except #'s
3 Sills; Proper Material & Anchors
Comments at Final:
3�wa _ Studs -Nailing, Spacing & Bracing -Plates -Sound
- . Bearing Walls over Girders & Floor Nailing
raft Stop in Walls (rat proof)
Stops; Furred Ceilings -Stairs -Chases -Tub
_40,-5_ir_e
er & Beam -Size & Bearing
rs-Post Caps -Anchors -Connectors
4 . Clnq. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthnq.-Rfnq.
4_44. Fireplace Ties or Type A Flue -Fireplace Throat
-�j( 45. Attic Access: Size &_Romex Protection -Draft Slop -Ins. Baffles
4 rm. Win_dows_or Exiling Doors -Sill Hgt. & Dimensions
. Garage Fire Protection Framing
_
(NOTE: An entry must be made each time youvisit jobsite)
2
l
RES IDENT IAL
ENERGY CONSERVATION STANDARDS
CONSTRUCTION COMPLIANCE CERTIFICATE
THIS IS TO CERTIFY THAT ENERGY CONSERVATION REQUIREMENTS HAVE BEEN
INSTALLED IN NFO � CE WI 4UWNT M CONSERVATION REGULATIONS
AT <��2� � ,�s��
(location)
BU ILD ING PERMIT NO. to A : P . NO.
THE FOLLOWING HAVE BEEN INSTALLED AS PER APPROVED:.PLANS:
(Check each item or write N/A if not applicable)
INSULATION:
Slab Edge
Fdn. Walls
Floors
Walls
Ceiling/Roof
Ducts
Circulating Pipes
APPROVED HEATER__===�
APPROVED WTR.HTR.
GLAZING: /
Single Glazed Y
Special (Insulated)
CERT. & LABELED WDS.
& SLIDING DRS.
WEATHERSTRIPPED DRS.
BACK DAMPERED FANS 1,
INTERMITTENT IGNITION. DEVICES
CERT. APPLIANCES
I DECLARE THAT ALL REQUIRED ITEMS AS NOTED ABOVE HAVE BEEN INSTALLED
;IN ACCORDANCE WITH THE ENERGY CONSERVATION REQUIREMENTS AND.AGREE TO
THE COMPLETENESS OF THIS CERTIFICATE AS SUBMITTED.
Insulation Applicator Name
Signature of
(please print)
Insulation Applicator
State Contractors
License No.
n
General Contrac �wner�Ne lJ -e- q- 0l ( j W 0', CX W o y -
Signature of q�
(please pr'nt)
.1
General Contracto e Date „Z — — 0
State Contractors
License No.
i
THIS CERT IF ICATE MUST BE ON FILE WITH THE BU ILD ING DEPARTMENT PRIOR TO
REQUESTING FINAL INSPECTION AND SHALL BE POSTED IN A CONSPICUOUS LOCATION
WITHIN THE DWELLING.
COUNTY OF BUTTE - DEPARTMENT OF. PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541
APPLICA130N- AD PERMIT
PERMIT NO.
ASSESSOR PARCEL NUMBER ZONING
L — s`
BUILDING PERMIT
OWN % TELL/EP,HOONE
CI w `la b J
SQ. FT. OCC. BUILDING VALUATION
OWNI'S MAILING A DRE55
1 -JA s,- r
CON RACTOR'S AME�JI� TELEPHONE'
U eY
'
CONTRACTOR'S MAILING ADDRESS
_.
Fireplace '� '(
00
CONSTRUCTION LENDER UNKNOWN •,
Total Valuation $
LENDER'S MAILING ADDRESS Filing Fee
Permit Fee
$ 10.00
i $ S,O
ARCHITECT OR ENGINEER LICENSE NO.
Plan Checking Fee
$
"
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
Permit fee
$
$ pTj
BUILDING ADDRESS C/
' S S
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
Solar Water Heater
20.00.
few
Water piping
5.00 �� b
LOT NO.SUBDI
VISION NAME PARCEL P
Each qas water heater or vent
5.00
Gas piping system 1 - 5 outlets
5.00 �j°, Q
,,-� 'USE OF STRUCTURE
SF L� Duplex ❑ Mobi lehome ❑ Other
Building sewer
5.00
Mobile Home TS FG [WF777
10.00 e
_ SPECIFY
TYPE OF WORK
New ❑ Add iti an ❑ Remodel Utilities I st I Iation Other
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Describe work:Ylff_Pll J ��1-<i9UR 10�
TIO'r �tS `l�Kt� S `lave -wi 1t&
Main service 1000 AMP V OR ORSLESS
10.00
Main service EA. ADD'L too AMP
' 2.50 •-
_�`!VVC.F-��tJ-Q
NEW CONST.( &
OR ADDNS. ( ACC. BLDG C
I O
2h¢Sgft
CONTRACTORS LICENSE LAW i
- -
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
NEW CONSTR ULTI.OUTL T 2.50 ea
NON -RE SID BRANCH CIRC ITS
NEW CONSTR.POWER APPARATUS &
NON-RESID. ( SINGLE OUTLET CIR.
! Ex. Occup(OUTLETS OR FIXTURES - 30@50C
FIXED APPLNS. OR
Ex. Occup. OUTLETS (RESID•) EA.) 2.00
Temporary service
10.00
1�
y�l I, as the owner, or my employees -with wages as their sole compen-
~� sation, will do the work,and the structure is not irtended or offered
Mobile Home Facilities
15.00
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
Misc. Wiring
15.00
ors. (Sec. 7044) .
Permit Fee
$ ,
F]I am exempt under Sec. , Business and Professions Code
Contractor
for this reason
MECHANICAL PERMIT
FiIingFee 10.00
WORKMEN'S COMPENSATION INSURANCE
Heating AA,
–Too
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.
Cooling
,
Hood
3.00
Ventilation
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
permit Fee
$ '
Contractor
provisions or this permit shall be deemed revoked.
I certify that I have read this application and state that the above information
Mobile Home Installation Fee
$
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.
TOTAL PERMIT FEE-
$ �
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
0Cc P. GR P
TYPE OF CO T.
PARCEL
L/
D
Issu
57
against said Co my consequence of the g nting of this permit. •
v
This permit is hereby issued under the applicable proi-
sions of the Butte County Code and/or resolutions to do
work indicated above for which fees have been paid.
,. fo1i 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 33 stories in height. y
DIREVI`0A OF PUBLIC
By _ _
WORKS
Dated-�
Receipt No.7 �c5�
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
P MIT EXPIRES Date""�
„ibis se* of plans and spC--cifi - dons MUST be > Y
keat on the job at all times and it is unlawful to
._. make any changes or alterati ns on same with- .
-perm i n w�i ... _ . ._.`
�tt ent-� -
rt, W ks, �'bufdtt�y o 'U - - ----
1f
Ip
r 'C'TE:—AII h✓IGtQria:i= ° lA or` ,-
4nship hall : { .n /
Accordance with � �
'<ecoP. zed Goo r
of c���lity p �, d Pr #ice arc' "� I
rescril�n ,..tl�e� f. ;; _. 1
�I�rm Quilding, Plu�rr,:�ing & ���rs •in the�e niahge National Electr dCOde.
n
r
Provide one-hour protection on
garage side of common wall I �LE
together with self-closing 173/8" I
thick solid -core door.
w SD
G, �\
g t� 12 Nb A 6 C-� -_ ►.
T_a.
pA Ihi 4 `• � , ti,
� g
141 x4"
Nl9jlSLO49tiq C. ,
L U11%OR
s- UTTE CO
- -•. _ ._ . M ENI r
.FY
Its A
Provide adequate CW@ftrIncL:F & {'
Protection and a T �x'"