HomeMy WebLinkAbout024-140-037024-1,40-037 92-2503B - }
ALLEN, Garrell
CONTR: Kim Parks Const
206 E. Evans Reimer Dr, Gridle
(vinyl siding) /]
024-140-037 02-0590
DUGAN, COLLENN & JOHN
206 E EVANS REIMER, GRI DY �:®�'
CONT: POOLS BY JAY
NEW POOL MASTER 515-97
r 024-140-037 06-1834
DUGAN COMMERCIAL NUT,
206 E EVANS RE,IMER RD, GRIDLEY
Cont: GALLAGHERS HEAT &AIR
HVAC -SPLIT SYSTEM
ALLEN, - Garrel 0._
Evans Reimer 600' East of Myers,
Gridley
ALLEN, Garrel 1247-71B* 381-69B Y /i
1209-71P� 383-69E "
1161-71E* -"360-6 P
4-14-3 �___
s1s Evans Reimer 4th house, east o ever ---
Gridley
(convert garage & breezeway to,living area)
*complete conversi n started under B.P.381-6 I
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cOU W
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT
24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO)
OFFICE #: (530) 538-7541
PERMITS BECOME NULL AND VOID 1 YEAR FROM THE DATE OF
LICENSED CONTRACTORS DECLARATION
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. /� 1 �t
License lass : V b License Number: 17 /
Date:��J�
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that 1 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):):
❑ 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:
O 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. ,5+&1+e/� -( (" j� e
�00
Policy #:
- 1 3 J -_1—) J
❑ 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
forthwit comply with those provisions.
Date: 15.11 ( 0.(a
Applicant: L
WARNIN : 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
performance of the work for which this permit is issued (Sec 3097 Civ.)
Address:
PERMIT NO.
BP061834
R IF WORK IS DONE IN VIOLATION OF ANY COUNTY OR STATE LAWS
Issued Date: 07/31/2006 APN: 024-140-037-000
Site Address: 206 E EVANS REIMER RD GRI
'Map Index:
Description: REPLACE HVAC UNIT- SPLIT SYSTEM
Owner: DUGAN JOHN P & COLLEEN R
DBA DUGAN COMMERCIAL NUT SHAKING
206 E EVANS REIMER RD
GRIDLEY, CA 95948-9543
Applicant: GALLAGHER'S HEATING & AIR
PO BOX 35
LOS MOLINAS, CA 96055
530-384-2444
Contractor: GALLAGHER'S HEATING & AIR
PO BOX 35
LOS MOLINAS, CA 96055
800-892-3556
License #: 777334
Architect:
Engineer:
Total Square Ft:
Valuation:
Census Code:
�bEcO
flli,�jq�s
r7-31.00
0 S. F.
$0.00
This permit is hereby issued under the applicable provisions of the Butte County Code and/or
Resoluti ntodo work indlc ed bove for which fees have been paid.
By – Date:
PERMIT EXPIRES ON:
❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage,
handling and use of hazardous materials.
O 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 BAe County. I hereby
authorize representatives of Butte C` oouunty to enter upon the above mentioned property for inspection urposes.
Print Name: J en' v 1 ( �(r r
22 Signature:
Date: ..J� 0
❑ Owner
❑ Contractor
❑ Agent for Owner
Q�Agent for Contractor
B. C. Building Permit 01-16-04 Do 1
BUTTE COUNTY
0 I DEPARTMENT OF DEVELOPMENT SERVICES
0 BUILDING PERMIT APPLICATION
O AND SUBMITTAL REQUIREMENTS
0 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834
0 OFFICE #: (530) 538-7541
A FEE WILL BE REQUIRED AT TIME OFAPPLICA TION
Website: www.buttecounty.net/dds
**PLEASE PRINT CLEARLY**
CONTRACTOR
OWNER INFORMATION
Last Name -D LL
�
first Name Ieen E O
AddressZOp
eva � e t m -9-r
City a�Of
C� L
Fax
State C
Zip
Phone _
j
Fax
E-mail
Stale License Number
CONTRACTOR
Name
Name
Addres
Citycbs C •
Stat
Zip TPOJ
PhonZS 4 ?40 i I
'-t
Fax
E-mail
Lic. # -�.1,021 1
Class
1.
APPLICANT SIGNATURE
r office use only:
ARCHITECT/ENGINEER
Name
f ,, _'S H VAC
Address
06 ZO
City
l`
anos
State
Zip
Phone
Planner
Fax
E-mail
Stale License Number
APPLICANT SIGNATURE
r office use only:
APPLICANT INFORMATION
Name al
f ,, _'S H VAC
Address Po
06 ZO
CityLon.
l`
anos
Stale A
C
TZ7%055
Phone
Planner
Fax
E-mail
APPLICANT SIGNATURE
r office use only:
Zoning
Flood Zone
SRA
I Yes No
Occ. `'
Type Const.
Subdivision Name
Map Book
Page
Lot #
Planner
Date Approved:
OVER FOR SUBMITTAL REQUIREMENTS
PERMIT
NO.
BIN #
PROJECyy�T LOCATION
AP# 0.2—I1 _ V23
Propert address s
Ci
Cross Street
WORKER'S COMPENSATION
Policy Number ^ 00 I SS
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
Descri tion or Scope of Work:
wxamcni r 44var un Lf
fn -
Sq FT- Living GarWe Open Cov
❑ Structure Built without Permits
❑ Proposed Change of Occupancy
(Note previous use):
KAFORMSWILDIN16,FORMS\BldgApplSubRgmts.doc Page 1 o
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
required.
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: 55.00 Bldg
SRA
Receipt #1 5th � Ll � Sheriff
CI h,CLt1- tV 7 SMIP
Date - -* (30 Other
Total
REV 8-12-05
NOTES RESIDENTIAL
PERMIT NO._
024-140-037 __ 02-0590-�
. DUGAN, COLLENN & JOHN k
206 E EVANS REIMER, GRIDLEY
CONT: POOLS BY JAY
NEW POOL MASTER 515-97 Ji
SPECIAL. CONDITIONS
SRA
FLOOD CERTIFICATE REQ.
FIRE SPRINKLERS REQ.
SPECIAL INSPECTION ITEMS
VERIFY
USE PERMIT CONDITIONS
SUB -STANDARD HOUSING LETTER
JOB FINALED (Date)
a
Signature
t
CHECKED
BY
a
r
r
�
f
I
i
i
I
i
�S
}
SPECIAL. CONDITIONS
SRA
FLOOD CERTIFICATE REQ.
FIRE SPRINKLERS REQ.
SPECIAL INSPECTION ITEMS
VERIFY
USE PERMIT CONDITIONS
SUB -STANDARD HOUSING LETTER
JOB FINALED (Date)
a
Signature
t
CHECKED
BY
,/ = OK
0 = Not OK
- = Not Applicable MOBILE HOMES
= Not f??ady
Date
MOBILE HOME UTILITIES (Plans) OK except #'s
Zoning Requirements -Setbacks -Easements
1.
Zoning Requirements -Setbacks -Easements
3.
2.
Soils; Special MH Support Sketch
Wood Awn.; Posts- Beams- Rftrs.-Connectors
Shthg.-Frg-Bracing
3.
Sewer; Location -Test -Fall -C/O -Concrete
6.
4.
Water; Location -Test -Easement Needed (Sketch)
Electric
5.
Electricity; Location-Clearances-Grnd-/ /Amp -Concrete
6.
Gas; Location -Test -Wrap;-/ /" L'ft.
/ P Nat. or / /"L"ft./ PLPG
7.
Well Clearance & Disconnect
8.
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.
Tie Downs -Type -Installation Cert.
10.
Exits; Insp.-Sketch
11.
Cert. of Occupancy
12.
Permanent Foundation Only; License Decal
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.-Connectors
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 FINAL (Plans) OK except #'s
etbacks-Easements
4ifiof s' tion -Structure Stability
. Pool Structure; Steel -Connections -Thickness
. Dead Men -Lining
4. Elec.;_5jiceptactes and Lighting, Distance-GFI
ec.; Pool Lighting; 15 Volts-GFI
6. Elec.; Enclosures; Conduit Entries -Terminals -Listed
Bonding; Metal w/5' -Circulating Equip. -Heater
J 17 . Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg.
Boxes- Enclosures- Panelboards-Ins. to Main in Conduit
tr-HeajUpartment Approval
Cir. Test -Water Supply Test n
iqht Niche '7 -
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
V= OK
0 = Not OK
/ - = Not Applicable =Not Ready
RESIDENTIAL (;
Date
Underfloor (Plans) OK except #'s
Hangers -Post Caps -Anchors -Connectors
1.
Zoning -Setbacks -Easements -Flood -Slope
Cling. Joist-Rftr. Ties-Purlin-Rolf Brac.-Truss-Shting.-Ring.
2.
Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth
Fireplace Ties or Type A Flue -Fireplace Throat Clearance
3.
Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Fig. Depth
Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
4.
Ftg., Porches & Decks; Soils -Steel-/ r Ftg. Depth
Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions
5.
Stemwalls, Main; Steel-Blockouts-Wrapped
Garage Fire Protection Framing
6.
Stemwalls, Garage; Steel -Blackouts -Wrapped
Property Line Firewall & Openings
6a.
Hold Downs and Special Anchors
Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits
7.
Slab, Steel-Wrapped-
teel-Wrapped8.
Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
8.
Piers -Fireplace Ftg.-Steel
Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
9.
D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test
Siding -Nailing Veneer
10.
UF, Gas Pipe; Size Anchors - Yard Gas Piping; Size Test
Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access
11.
Water Pipe; Test -Anchors -Regulator -Service Test
Glazing Area -Glass Protection -Skylights -Plastic
12.
Electric Underground
Shear Walls; Nailing -Bolts
13.
Plenums & Ducts; Clearance -Material -Support -Ins.
Brace Interior/Exterior Wall Panels
14.
Girders -Sills -Anchor Bolts-Joists-Vents-Crippies
Insulation -Walls -Ceilings
15.
Access & Ventilation
Infiltration -Walls -Windows
16.
Insulation
Date
Date
Date
Card B-1 Date Card B-1
Date
Date
Card B-1 Date Card B-1
Date
PLUMBING (Permit) OK except #'s -
Ext. Steps -Door & Sidelight Protection -Landings
17.
Water Htr.; Vent -Access -Combustion Air Baffle
Smoke Detector
18.
Water Pipe; Test & Anchor -Nail Protection
Furnace Vents -clearance -Comb, Air -Connector -
In Garage; Above Floor-Ducts-Mech. Protection
19.
D.W.V.; Test Fittings & Anchor -Nail Protection
Bedroom Exiting
20.
Shower Pan; Test, First Floor -Tub Access
G.F.I. & Bath Fixtures & Tub Access -Spa
21.
Test Tub & Shower, Second Floor -Tub Access
Elec. Trim & Subpanel, Breaker Sizes & Labels
22.
Gas Pipe; Sixe & Anchors
Stairs & Rails
70.
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
72.
ELECTRICAL (Permit) OK except #'s
23.
Fixture & Transformer Clearance -Ins. Protection
24.
Elec. Receptacles Spacing -Lights & Switches at Doors
25.
_
Size Boxes & No. of Conductors Stapled
26.
Romex Installed Close to Edge of Studs & C.J.
27.
Equip. Ground made up w/Mech Fasteners -Bond & Water
28.
-Gas
2 Appliance Circuits in Kitchen & Conductor Size GFI
29.
Subfeed Wire Size / / ga. Cu or M-A.C. Wire Size / / ga Cu or AI
30.
Range Circle / / ga Cu or AI -Oven Circ. / / ga Cu or At
Insulated Neutral C) Yes O No
31.
Service -Riser Conductors & Ground Main Disconnect
32.
Equip. Clearances Panels-Motors-Mech. Equip.
33.
Clothes Closet Light -Shower Light -Spa Light
34.
Smoke Detector
84.
A.C. Unit Disconnect, Electrical -Plumbing
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
Water Well, Disconnect, Electrical, Plumbing
MECHANICAL (Permit) OK except #'s
87.
35.
A.C. Ducts Insulation & Support
88.
36.
Vent Fan, Exhaust above insulation
89.
37.
Condensate Drain & Overflow, Size & Grade
90.
38.
Furnace -Vent Access -Comb. Air -Return Air Vent 115 outlet
91.
39.
Attic Access & Platform if Furnace in Attic
92.
Water & Sewer -Connected -C/0 Grade -HD Approval
93.
-to
Energy Compliance Certificate -Other Certificates
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
Date
FRAMING (Permit) OK except #'s
Date
40.
Sits Proper Materials & Anchors
Card B-1 Date Card B-1
41.
Walls Studs -Nailing Spacing & Braces -Plates -Sound
42.
Bearing Walls over Girders & Floor Nailing
43.
Draft Stop in Walls (rat proof)
44.
Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs
45.
Headers & Beams -Size & Bearing
'ingle & Duplex)
Date
FRAMING (Continued)
46.
Hangers -Post Caps -Anchors -Connectors
47.
Cling. Joist-Rftr. Ties-Purlin-Rolf Brac.-Truss-Shting.-Ring.
48.
Fireplace Ties or Type A Flue -Fireplace Throat Clearance
49.
Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
50.
Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions
51.
Garage Fire Protection Framing
52.
Property Line Firewall & Openings
53.
Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits
54.
Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
55.
Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
56.
Siding -Nailing Veneer
57.
Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access
58.
Glazing Area -Glass Protection -Skylights -Plastic
59.
Shear Walls; Nailing -Bolts
60.
Brace Interior/Exterior Wall Panels
61.
Insulation -Walls -Ceilings
62.
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
63.
Ext. Steps -Door & Sidelight Protection -Landings
64.
Smoke Detector
65.
Furnace Vents -clearance -Comb, Air -Connector -
In Garage; Above Floor-Ducts-Mech. Protection
66.
Bedroom Exiting
67.
G.F.I. & Bath Fixtures & Tub Access -Spa
68.
Elec. Trim & Subpanel, Breaker Sizes & Labels
69.
Stairs & Rails
70.
Fireplace or Stove, Clearance -Hearth
71.
Elec. Outlets at Wood Panel, Int. & Ext.
72.
Kit. Fixt. & Appliance; Ground -Air Gap -Cooking Clearance
73.
Elec. Outlets & Receptacles at Kit. Counter
74.
Garage Fire Door; Swing -Landing -Closure
75.
A.C. Duct in Garage -Damper
76.
Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V.
in Garage; Above Floor -Mach. Protection
77.
Plb., Elec. & Mech. Equip. Listed for Location
78.
Elec. Receptacles in Garage (F.F.I.)-Romex Protection
79.
Insulation -Foam -Looked in Attic
80.
Guard Rails & Deck Construction -Post Caps
81.
Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth
Clearance Looked under Floor ID Yes
82.
Following Instld./Drive 0 Yes Q NoMalks ❑ Yes ❑ No/Planters 0 Yes 0 No
83.
Stucco Brown -Finish
84.
A.C. Unit Disconnect, Electrical -Plumbing
85.
Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings
86.
Water Well, Disconnect, Electrical, Plumbing
87.
Exterior Elec. Trim, G.F.I. Receptacle -Underground
88.
Ventilation Throughout House
89.
Glass Protection
90.
Corrections from Previous Inspections
91.
Gas Test -Meters Tagged, Gas -Electric
92.
Water & Sewer -Connected -C/0 Grade -HD Approval
93.
-to
Energy Compliance Certificate -Other Certificates
94.
Address Posted
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:
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO.
(Rev. 12/96) APPLICATION AND PERMIT 02-0590
ASSESSOR PARCEL NUMBER
024-140-037
ZONING
BU I LD I NG P ER M IT
OWNER
COLLEEN 9 JOHN INTGAN
TELEPHONE
846-6790—
SO. FT. OCC. BUILDING VALUATION
CONT 34,000.00
. OWNERS MAILING ADDRESS
CONTRACTOR'S NAME
POOM BY JAY
TELEPHONE
846-4419
CONTRACTORS MAILING ADDRESS
PO BOX 1137, GRIDLEY Q594R
CONSTRUCTION LENDER
Fireplace
LENDERS MAILING ADDRESS
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE NO.
Filen Fee $
20.00
Permit Fee $
317,00
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee $
BUILDING ADDRESS
Energy Plan Checking Fee $
PERMIT FEE $
LOT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT
Filing Fee 20.00
��I�flUt7%x 1111012— USEOFSTRUCTURE
J
SF)p Duplex ❑ Mobilehome ❑ Other
SPECIFY
Each Trap
7.00
Solar or heat pump water heater
23.00
Water piping
15.00
Each as water heater or vent
15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other b
Describe Work: NEW POOL MASTER 515-97
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home I S I G W
920.00
PERMIT FEE $
35.00
ELECTRICAL PERMIT
Filing Fee 20.00
Main Service 200, OR LESS
23.00
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 is in II force and effect. ^�
C "� )'a i _..% __
License Class b Lic. No. 1 J ] �'�C.7
WNER-BUILDER DECLARATION
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, army 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
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 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 of the Labor Code, for the performance of work for which this permit is issued.
My workers' c pe on insuranceC(�/I ner and policy number are:
Carrier 4 J F,_(Q ,]Y
Policy Number
(The above sections ne d not be c mple e I e 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 should become subject to the
workers' compensation provisions of section 3700 of the Labor Code, I shall
hwith comply with those provisions.
X TJ -y Date t,
Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent
An OSHA permit is required for excavations over 60" deep and demolition or construction
of structures over 3 stories in height.
Main Service zoo, To 46.00
CCU000A
NEW CONST. DWEWNG OCCUP. SO
OR ADDNS. ( DW:
ACC. BLDS. 3.5QFT.
oNONN•ASSID. ANCHOU CULT
@7.50
POWER APPARATUS
a SINGLE OUTLET CIR.
OUTLET OR FDRURES 20 @ 1.00
Ex. OCCU BAL @ .50
Ex. Occup. oUTLEEDTSA AESIo.1 EA. 5.00
Temporary Service 23.00
Mobile Home Facilities
20.00
Misc. Wiring 23.00
POOL ELEC 30.00
PERMIT FEE $ 50.00
MECHANICAL PERMIT Filing Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEE $
Mobile Home Installation Fee is
Energy Inspection Fee Is
occ
CONST.TYPE
TO AL FEE $ 446. 00
HAZ. D. FEES
FLOOD
CDF
P EL
H
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.
ByACEA4j�yD to J r� 2
PERMIT EXPIRES ON
Da
Receipt No. 343549/$445.00
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
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. �l �,AS� i $QR ��EL NUMBER
Proposed Building Use: t !1 J Counter Technician: Date:
Items required in order to apply for a permit. All boxes MUST be checked OR marked NA in order to apply.
❑ 1.. Plot plans, 3 or 4 sets, signed by the preparer of the plans.
❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans.
❑ 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations.
❑ 4. Engineered truss details and layouts in duplicate. No faxes!
❑ 5. Energy compliance design and supporting documentation in duplicate.
❑ 6. Manufactured homes: (A) Data sheets and installation instructions, (B) Marriage line information, (C) Floor Plan, (D) Tie down or
foundation plans, all in duplicate.
❑ 7. Metal buildings: (A) Metal Building Plans, (B) Foundation plans and calculations in triplicate, (C) Elevation views in triplicate.
(D) Floor plans in triplicate. All of these must be stamped and wet -signed b the he en ig neer.
Items required for initial plan review. If checked items have not been received, plan review cannot proceed. The permit will be
indexed and returned to the plan review line-up when required items are received.
Date Received By
❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate ................................
❑ 9. Plot plan and business license approval from the City of Biggs ...................................
❑ 10. Letter of intent for non-residential buildings...l.....................................................
❑ 11. Detached Accessory Building Form filled out by the owner .....................................
❑ 12. Hazardous Material Form..............................................................................
❑ 13. Other
Remaining items -needed to issue the permit. (May require additional plan review upon receipt of the following items.)
❑ 14. Fees as shown on the attached Schedule of Fees Due Sheet .......................................
01,15. Statement of Intent for Non -heated and A/C Buildings .....................................
Sanitation and plot plan approval from the Environmental Health Department in \J Y 3 1/I oY �lL�3
❑ 17. City of Chico Plumbing permit........................................................................ t /
❑ 18. California Department of Forestry plan approval ❑ paid. Sent by: ......................
❑ 19. Planning approval for (A) Use: 0 I'1� (B)Parking: (C)^Parcel Check:
❑ 20. Contact Land Development about ❑ Improvements, ❑ Drainage ...............................
❑ 21. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy).
❑ 22. Pre -Inspection for required ................
3. Contractor's license information. (Number, Name Style, Classification) ......................
24. Worker's Compensation Carrier and Policy Number....
25. Owner -Builder Verification (❑ Given to owner, ❑ Mailed to owner) .....................
26. Letter of Signature authorization....................................................................
❑ 27. Recorded copy of Agricultural Acknowledgment Statement ....................................
❑ 28. Manufactured home utility clearance..............................................................
❑ 29. Existing violations and/or expired permits.........................................................
❑ 30. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $
❑ 31. Other:
When issued Telephone and hold for pickup.
I have been in f the above)) items and requirements for obtaining a building permit.
Applicant: Date: �l f(;a 46-z
1. Index permit application for the above items numbered: Plan Check Letter
2. Additional itegs required
Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date:
Contractor, designer, owner w s advised of the above data by ❑ phone,.' ❑ mail, Elcou er, by Date:
Plans reviewed by: Date: ,3'.11' O 2- Plans approved by: On, Date: 3-2-1— o-
'2 -Structural reviewed by: Date: Structural approved by: Date:
Note transfer by: Date:
Yellow: Building Division
TO: Building Department
FROM: Environmental Health
SUBJECT: Sanitation Clearance
E.H. USE ONLY
Plot Plan Attached
Floor Plan Attached
Sant to B.O. I
A
01 q --1
Owner Location AP#
Plan Approved for: Sewage Disposa Water Supply: Public Private Well
Clearance for dwelling. Other.
Hold final for:
Final clearance O.K. for:
NOTE:
z Z,9�
Environmental Health Specialist Date
8/96
024-140-03.7 92-2503B-
ALLEN, Garrell
CONTR: Kim Parks. Const
206 E.'Evans Reimer Dr,' Gridley
(vinyl'siding)
. r `
y..
t.
S
S
v �
y..
S
S
v �
y..
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT No.
7 County Center Drive - Orovlller Callfornla 95965 - Telephone: 916/538-7541G102- �� � 2
APPLICATION AND PERMIT
ASSESSOR PARC L NUMBER w r
._�a.. Allen
,"""'""" ll en
ZONING
BUILDING PERMIT
OWNER "
TELEPHONE,
846-432'ts
SQ. FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS
(A1 A n a n r� 1
tS r . ��
CONTRACTOR' MA E'-' "° "'-" "" -"•' "` '- 'DZ
Kim Parkq const.
t; PHONE
532-0904
CON RACTOR'S MAILING ADDRESS
r,oro Dam Blvd,v le Ca.
rC-ON T %U TYO`I ENDER UNKNOWN
Fireplace
Total Valuation $ 7707.00
LENDER'S MAILING ADDRESS
Filing Fee $ 15.00
Permit Fee $ n_-2, 1;n
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee $
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Energy Plan Checking Fee $ _
Penalty $
BUILDING ADDRESS
206 E. Evans Reimer Dr., Gridlev, Ca
Permit fee $ 97.50
PLUMBING PERMIT Filing Fee 15.00
Each Trap 5.00
Solar or heat pump water heater 20.00
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Water piping 7.00
Each qas water heater or vent 7.00
USE OF STRUCTURE
SFff] Duplex❑ Mobilehome❑' Other_
SPECIFY
Gas piping system 1 - 5 outlets 5.00
Building sewer 15.00
Mobile Home S I G I W @ 15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ InstallationQ Other ❑
Describe work: vinyl sidinta
Permit Fee $
Contractor
ELECTRICAL PERMIT Filing Fee 15.00
Main service 600V OR LESS 1$,50
200A OR LESS
Main service 200ATO1000AI
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
Y
® 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. 631845 Classification a
❑ 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)
❑ 1 am exempt under Sec. , Business and Professions Code
for this reason
_37.50
NEW CONST. DWELLING OCCUPM 3.54sq.ft.
OR ADDNS. ( ACC. BLDGS. I
NEW C6NSTR ULT'.OUTLET
NON-.ESID BRANCH CIRC ITS @ 5•00
POWER APPARATUS
(SINGLE OUTLET CIR.e
Ex. Occup( OR FIXTURES 120 20 76
Ex. Occup. OUTLETS (RESID.)FIXED APPLNS. REA.1 I 3.00
Temporary service 15.00
Mobile Home Facilities 15.00
Misc. Wiring
g 15.00
Permit Fee ' $
—
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
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 FiIingFee 1 15.00
Heating
Cooling
Hood 6.50
Ventilation
permit Fee $
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the Countyot
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
against
,ssaid urty in consequen a of the granting of this permit.
X W► �� 1�- Date �,5�i �Z
Signature pp ❑ Contractor � Agent ❑
Si nature of A licant - Owner
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures 3 stories in height.
Mobile Home Installation Fee S
Energy Inspection Fee $
occ
CONST TYPE
TOTAL FEE $
HAz
1 0 111 I
IMP
I FLOOD
I COF
PAR EL
PD
HD
ISSUE
This permit is hereby issued under the applicable provi-
sions of the Butte County Code and/or resolutions to do
�
work indicated above for which fees have been paid.
r J
DI dbTORfOF UBLIC WORKS �
By,VDate
PERMIT EXPIRES Dater)— J(o-C/3
lover
Receipt No. ! Z 230 -7
WNITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR, GOLDENROD -APPLICANT
X
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
Garrell Allen
BUILDING PERMIT
OWNER
jELEPHONE
846-4322
S0. FT. OCC. BUILDING VALUATION
EST— 7707. 0
OWNER'S MAILING ADDRESS
CONTRACTOR' E Evans Reimer Dr.PHONE
Kim Parkp const. 532-0904
CONTRACTOR'S MAILING ADDRESS
Ca-
Fireplace
CONSTRUCTION LENDER UNKNOWN
Total Valuation $ 7707.00
Filing Fee $ 15.00
LENDER'S MAILING ADDRESS
Permit Fee $
8150
ARCHITECT OR ENGINEER
LICENSE No.
Plan Checking Fee $
Energy Plan Checking Fee $
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty $
BUILDING ADDRESS
206 E. Evans Reimer Dr., Gridley, Ca
Permit fee
PLUMBING PERMIT Filing Fee 15.00
Each Trap 5.00
Solar or heat pump water heater 20.00
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Water piping 7.00
Each qas water heater or vent 7.00
USE OF STRUCTURE
SFZ] Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets 5.00
Building sewer 15.00
Mobile Home S I G I W @ 15.00
TYPE OF WORK
New ❑ Addition ❑ RemodeI ❑ Uti lities ❑ Installation ER, Other ❑
Describe work: vi nyl �;iej i nq _
Permit Fee $
Contractor
ELECTRICAL PERMIT Filing Fee 15.00
Main service 600V OR LESS 18.50
200A OR LESS
Main service 200A TO IOOOAI 37.50
CONTRACTORS LICENSE LAW
1 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.SINGLE
License .do. �iL31 8-4�Classification ,i
❑ 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.&\ 3.64 sq.ft.
OR ADONS, l ACC. BLDGS. II
NEW CONSTR. MULTI.OUTLET
NON•RESID BRANCH CIRC ITS @ 5.00
POWER APPARATUS &
OUTLET CIR.
EX. Occup( OR FIXTURES 20 76
P
FIXED APLNS, OR
Ex. Occup. OUTLETS IRESID.1 EA.) 3.00
Temporary service 15.00
Mobile Home Facilities 15.00
Misc. Wiring
g -15.00
Permit Fee $
—
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
0 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 15.00
Heating
Coolin g
Hood 6.50
I 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 County0t
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 unty in conseque a of the granting of this permit.
Date 7 /cS–� 97i
$ignature 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 S
Energy Inspection Fee $
occ
CONST TYPE
TOTAL FEES
HAz
I DFEES I
IMP
FLOOD
CDF
PA EL
PO
HD
ISSUE I
This permit is hereby issued under the applicable provi-
sions of the Butte unty Code and/or resolutions to do j
work indica a e fo which fees have been paid.
I TO F UBLIC WORKS
BY Date -16 l
PE IT EXPIRES � Date
11
Receipt No. / 7- Z-30 7
'.NNITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT
MR
MIAN
X
POOLS BY J"
Pools and Spas
Construction - Service - Supplies
Con. Lic. #738866
530-846-4439 ., P.O. Box 1137.
Jay Chesson Gridley, CA 95648
POOL SPECIFICATIONS
Kit, j SIZE.�O__ x 36 PERIMETER -C*- AREA n9 sq'. ft.
DEPTH 3'(*" TO VOLUME GALS.
CONSTRUCTION SPECIFICATIONS
... ...... .. .....
RAMP SHALLOWIDEEP MIMOUT X
LOVESEAT x WALKOUT — x
EXCAVATION (COPINGICANTILEVER)
&t4cCL 0erJt FENCE: : C!9N!
DOWN UPBY04j)Uju
OURS OF GRADING LOADS TODUMP
S
w I All% IV�l I' 11J I �0.1 STUMPS LEAVEIHAUL CONCRETE: REMOVE sq. ft
STEEUGUNITFMLE/PLASTER (VORTEX/ANTI-VORTEX)
RAISED BOND BEAM FT.x height
RAISED BOND BEAM
A X heiLht,
PLiN. TILE -6,me& 7
DECK TIES
COLOR OF PLASTER SAI N 1 T
CAP FOR BOND BEAM
CAP FOR RAISED BOND BEAM
SPA —'— x — LENGTH LENGTH OF DAM
CAP FOR DAM
SPILLWAY'
-i -r*4%A TtZY
PLUMBING .SPECIFICATIONS
POOL: NO. OF RETURNS - 2. MAIN DRAIN SIZE
SIZE OF SUCTION LINE FROM SKIMMER Z -
SLIDE � FILL LINE _WFOUNTAIN LINE It.
v.
k�l A SOLARHEAT"T"s — POOLCLEANER
REVERSE FLOW PLMG.— DIV. BRD. — PRONG JIG
SPA MAIN DRAIN SIZE NO. OF JETS
0 LIGHTRETURN --VALVE TYPE
UTILITIES
7::)e- e_ 66.+t -e. c L -..e CK ZJUj
C ELECTRIC BY
R Ocr r i,e f- e- t, e. GAS BY
OL DECKING (CAN741EVER._j!5.)
50. FT: TYPE FINISH
FOOTINGS x—=—x MASTIC
DIVIDERS: TYPE DRAINS
RISERS — ft.
T Aw—
eou, p&3, $f�tJ►E I VO C) ruvL tUTrjV1tN
A/ e- t%1Q'- -OF eakina SIZE
40
0 IN FILTER- TYPE SE
'66 "Iyo 001 PE SUE. _HP
515 - PUMP: Ty F?Ae
HEATER: TYPESIZE
BUTTE COUNTY JaDER NOT RESPONSIBLE FOR CON . SHRUB- 0008TU
I SIZE
cyGE BLOWER: TYPE AMPS
A. Of OBSTRUCTIONS IN
WING DEPA 'XCCESS POOL CLEANER TYPE
BUI RTM
se' 'IN-' rqkom oD
SEPARATION TANK
1_75 ffkl 01A ppw low ;rAPPROVED THE UNDERSIGNED APPROVES THIS W . ORKING PLAN 'POOL ACCESSORIES
AND SCKNOWLEDGES RECEIPT OF A COPY: LIGHTS: POOL ZLOrm 2-1-0 LENSE KIT
rtP�QFBOARD BOARD STANDARDS
,z elk POOLS BY JAY SLIDE STRTJLCIRC COLOR
Ilk C CJ L L C -1a, 76 (-4 1%4 Dimg/N/
GRAS RAILS/STEPS— LADDER — HANDRAIL
02 9, 6444 15 JPF /m.?c
-k — VACUUM HEAD AND — FEET OF HOSE
6 9 t. 6C Lrl — SALESMANa_)� tl/ MAINTENANCE KIT AND POLE
USINESS
HOME MAP BOOK PAGE:
DRAWN CHECKED BY TRACT NUMBER: LOT NUMBER: