HomeMy WebLinkAbout024-140-0502� 5 ^
ANGELINA C. LEWIS �/
747 Me}rs Ave, Gridley 7 7
Permit#2045-85B(E(new private garage)
024-240-050 00-0554E
CASTRO, Bert
747 Meyers Ave., Gridley
Ele Ser CIVSF
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024-240-050 00-0D54E
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CASTRO, Bert
747 Meyers Ave., Gridley
Ele Ser ClVSF
I
r OFFICE COPY `
Address
r i
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ELECTRIC
Meter By Dat$ `�
Z COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION ~
s 7 County Center Drive • Oroville, California 95966 • Telephone (530) 538-7541 PERMIT NO.
(Rev. 12/96) APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER
024-►
ZONING
BUILDING PERMIT
OWNERTELEPHONE
Ar A-2
SO. FT, OCC. BUILDING VALUATION
OWNERSWILING ADDRESS %r 01! 11 414
CONTRACTOR'S NAME
JO CASTRO—
TELEPHONE
CONTRACTORS MAILING ADDRESS
887 FRWECr, MER MA CA 95148
CONSTRUCTION LENDER
LENDER'S MAILING ADDRESS
Fireplace
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE NO.
Filin Fee
$ 20.00
Permit Fee
$
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee
$
BUILDING ADDRESS
Energy Plan Checking Fee
$
t
PERMIT FEE
S
LOT NO.
SUBDIVISIONS MIME
PARCEL MAP
PLUMBING PERMIT
Fling Fee 20.00
USEOFSTRUCTURE I
SF p, Duplex ❑ Mobilehome ❑ Other f
T� SPECIFY 1
Each Trap
7.00
Solar or heat pump water heater
23.00
Water piping
15.00
Each gas water heater or vent
15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑
Describe Work: �L�+/.T.�i/' �C�tU
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home S G W
@20.00
PERMIT FEE
$
1
ELECTRICAL PERMIT
Fling Fee 20.00
600OR LESS
Main Service 20OVA OR LESS
23.00 23.0
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 full force and effect.POWEPUS
License Class Lic. NO.
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
❑ 1, as owner of the property, or my employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
I, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
❑ 1 am exempt under Sec. Business and Professions Code for this
reason
WORKERS' COMPENSATION DECLARATION
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' compensation insurance carrier and policy number are:`:
Carrier
Policy Number
(The above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
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 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.
X�,�
Date
Sl6natur6 of Applica . - Owner ❑Contractor ❑ Agent
An OSHA\permit is requiredforexcavations over 5'0" deep and demolition or construction
structur66 over 3 stories in height.BY
456!
Main Service 200A TO 1000A
46.00NEW
CONST. DWELLING OCCUP. SO
OR ADDNS. ( a ACC. BLDS. 3.50FT:
T.
NON-RESID. MULTI -OUTLET
97.50
8 SINGLER AOVILETPARATCIR.
Occup. CCU O 1'50
EOUTLET OR FIXTURES BA0 (9 .50
Ex. Occup.OUnFrs RESID.OEA 5.00
Temporary Service
23.00
Mobile Home Facilities 20.00
Misc. Wiring23.00
rKE iNSP
PERMIT FEE $ QO00
MECHANICAL PERMIT Fling Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEE $
Mobile Home Installation Fee $
Energy Inspection Fee $
Occ
CONST. TYPE
TOTAL FEE $ 89.00
HAZ.
p -FEES IMP
I FLOOD
I CDF
PARCEL
PD
I HD
55
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.
kFk11V
�' Date q1'1of
PERMIT EXPIRES ON 1 r7 U
(Da ta
x. .,
Receipt No.
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD.APPLICANT
,y_ L COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION G(�
7 County Center Drive -Oroville, California 95965 m Telephone (530) 538-7541 PERMIT No.
(Rev.12/96) APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER
ZONING {
BUILDING PERMIT
024-14-0-050
OWNER TELEPHONE
SO. FT. OCC. BUILDING VALUATION
. OWNERS MAILING ADDRESS
CONTRACTOR'S NAME TELEPHONE
CASTRO
CONTRACTOORS MAILING ADDRESS
887 PURDUE C1, MERCED CA 99148
CONSTRUCTION LENDER
LENDER'S MAIUNG ADDRESS
Fireplace
Total Valuation $
ARCHITECT OR ENGINEER LICENSE NO.
Filing F@@
$ 20.00
ARCHITECT OR ENGINEERS MAIUNG ADDRESS
Permit Fee
$
Plan Checking Fee
$
BUILDING ADDRESS
'
L Energy Plan Checking Fee
$
747 MYERS AVENUE, GRIDIEY$
PERMIT FEE
$
LOT NO. SUBDIVISION'S NAME PARCEL MAP
PLUMBING PERMIT
Filing Fee 20.00
1 Each Trap
7.00
USEOFSTRUCTURE
Solar or heat pump water heater
23.00
SF Y, Duplex ❑ Mobilehome ❑ Other
Water piping
15.00
✓� SPECIFY
Each as water heater or vent
15.00
TYPE OF WORK
Gas piping system 1 - 5 outlets
15.00
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑
Building sewer
15.00
Describe Work::/f!A/ %.Z,< �LG�GJ'1i/�/fGy�
Mobile Home S G W
@20.00
PERMIT FEE
S
ELECTRICAL PERMIT
Filing Fee 20.00
Main Service '..Aoe's:
23.00 23.00
Main Service TO
46.00so
LICENSED CONTRACTOR'S DECLARATION
CCU000A
WEE200A
NEW CONST. DWELLING occuP.
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
( dA ADONS. ACC.
3.5¢F°;
NEW CONST. M LET
NON•RESID. C cu
97.50
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
-license
and my is in full force and effect.
POWER APPARATUS
License Class Lic. No.
8 SINGLE OUTLET CIR.
@ 1.00
OWNER -BUILDER DECLARATION.50
Ex. Occu ourLEr OR ForruREs
�0
I hereby affirm under penalty of perjury that I am exempt from the Contractors License
Ex. Occup. OFlUXnEEDTs RE�slo °EA
5.00
Temporary Service
23.00
Law for the following reason:
❑ 1, 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.
Mobile Home Facilities
20.00
Misc. Wiring23.00
I, as owner of the property, am exclusively contracting with licensed contractors
PRE INSP
to construct the project.
❑ 1 am exempt under Sec. Business and Professions Code for this
$
reason
PERMIT FEE
MECHANICAL PERMIT
Filing Fee 20.00
WORKERS' COMPENSATION DECLARATION
Heating
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'
Cooling
compensation, as provided for by section 3700 of the Labor Code, for the
Hood
6.50
performance of the work for which this permit is issued.
Ventilation
❑ 1 have and will maintain workers' compensation insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permit is issued.
My workers' compensation insurance carrier and policy number are:
PERMIT FEE
$
Carrier
Policy Number
Mobile Home Installation Fee
$
(The above sections need not be completed it the permit is for work of a valuation
Energy Inspection Fee
$
of one hundred dollars ($100) or less.)
Occ
CONST. TYPE
TOTAL FEE $ 89.00
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 workers'
PEES IMP
I FLOOD
I COF
PARCEL
PD
HD
6S
,
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
This permit is hereby issued under the applicable provisions
forthwith com y with those provisions.
of the Butte County Code and/or
Resolutions to do work
X Date
indicated above for which fees have
been paid.
Signature of Applican - 'Owner ❑ Contractor ❑ Agent
An OSHA permit is required for excavations over 5'0" deep and demolition or construction
',�
I �'"�'
�6
of structures over 3 stories in height. �.
By
PERMIT EXPIRES ON
Date
0/0
Receipt No.
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
ate
R.
�. 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
ASSESSORPARCELNUMBERO `J ( fl;eq r` QS—ZONING BUILDING PERMIT
OWNER `n w� (•] J SO. FT. OCC. BUILDING VALUATION
OWNFJIS. SS t/N/�
CONTRACTOR'S / i 'l' TELEPHONE
COMTWCTORS7� 7C /O le (/ � Y / ✓ � CI 114 P i --IP L/
LENDER'S MAILING ADDRESS
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE NO.
Filen Fee
$
20.00
Permit Fee
$
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee
$
BUIL DING ADDRESS
el4l,
l
Energy Plan Checking Fee
b
a
PERMIT FEE
S
LOT NO.
SUBWGION'S NAME
PARCEL MAP
PLUMBING PERMIT
Fling Feel 20.00
Each Trap
7.00
USEOFSTRUCTURE
SF ❑ Duplex ❑ Mobilehome ❑ Other
SPECIFY
Solar or heat pump water heater
23.00
Water piping
15.00
Each as water heater or vent
1 5.00
TYPE OF WORK
New ❑ Addition ❑ Remo el ❑ Utilities ❑ Installation U Other ❑
Describe Work: � Q
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home S G W
@20.00
PERMIT FEE $
ELECTRICAL PERMIT
Fling Fee 2.0.00
Main Service z�o.A oa mss
23.00
i
d
!^IP
Main Service 200A TO 1000A
46.00
NEW CONST. DWELLJNG OCCUP.
OR ADONS. ( 8 ACC. BIDS.
3.50 F°,
NEW CONST.-/�
NON•RESID. @7,SO
POWER APPARATUS
8 SMOLE OUTLET CIR.
EX. Occup. OUTLET OR FIXTURES Bn200 ® '.00
FIXED APPLNS. OR OIlTIETS RESID. 2
Ex. Occup. A S.Ot)
Temporary Service 23.00
Mobile Home Facilities 20.00 '
MISC.4iring 23.00
I
PERMIT FEE S
,20.00
MECHANICAL PERMIT FilingPee-
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEPE S
Mobile Home Installation Fee Is
Energy Inspection Fee Is
Dcc
CONST. TYPE TOTAL FEE $CP
HAZ.
D. FEES IMP
FL000
I CDF
PARCEL
I PO
NO
ISSUE
This permit is hereby issued under the applicable provisions
of the Butte County Code and/or Resolutions to do work
indicated above for which fees have been paid.
By Date
ERMIT EXPIRES ON A.
r.
PRE -INSPECTION REPORT
OWNER: S �40
LOCATION: ^Z 14 l/K 1�t 9
CONTRACTOR:
PRE-INSPETION FOR:
DATE TO INSPECTOR.
Building Description:
DATE: 4/---2
A.P.
ZONING:
PERMIT HISTORY:( ) NONE C40CS FOLLOWS:
BUILDING rNSPECTOR'S REPORT
Residential/# of Units'
Currently Occupied '
Abandoned/Vacant
Electric:
Yes No Electric currently On Off
Condition of Electric
Gas:
Natural__ Propane None Currently On Off_
Obvious Problems:
Sanitation:
Plumbing Working /
Well Working_ Potable Water
Obvious SewageProblems
Comments:
ACTION RECOMMENDED: ISSUE:
Inspector-
Zz
HOLD FOR
Date -4,-1 5e --"q J
Sketch buildings on reverse aid indicate location on property.
P
PERMIT NO. 2045-$5B,E
PERMIT EXPIRES
9
OWNER ANGELINA C.' LEWIS
CONTR..
Harold Calhoon
ASSESSOR PARCEL 24-14-50
LOCATION 747 Meyers Ave, Gridley
V
a
Temp. Power Pole_
Called PG&E _
Temp. Elec. Service
Called PG&E_
Temp. Gas Se
Called PE
JOB FINALEI
i
Signature
'i
0
J = OK
0 = Not OK
= Not Applicable MOBILEHOMES
* = Not Ready
MISCELLANEOUS
Date
MOBILEHOME UTILITIES (Plans) OK except #'s
1. Zoning Requirements -Setbacks -Easements
2. Soils; Special MH Support -Sketch
Date
DECKS, COVERS, CARPORTS, ETC. (Plans) OK except #'s
1. Zoning Requirements -Setbacks -.Easements
2. Footings; Size -Depth -Spacing -Connectors
3. Sewer; Location -Test -Fall -C/0 -Concrete
3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails
4. Water; Location -Test -Easement Needed (Sketch)
4. Wood Awn.; Posts- Beams-Rftrs.-Con nec.-Shthg.-Rfg.-Bracing
5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Gas; Locatiort-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 #'s
1. Zoning Requirements -Setbacks -Easements
Card -BI
Date
Date Card -BI Date
POOLS (Plans) OK except #'s
1. Setbacks -Easements -
2. Footings; Size -Spacing -Marriage Line
2. Soils; Compaction -Structure Stability
3. Gas; MH Test -Demand -Valve -Connector
3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining
4. Elec.; Receptacles and Lighting; Distances-GFI
4. Electricity; MH Test -Crossovers -Breakers -Clearances
5. Drain; MH Test -Fall -Flex Connector
5. Elec.; Pool Lighting; 15 volts-GFI
6. Water; MH Test -Regulator -Connector
6. Elec.; Enclosures; Conduit Entries -Terminals -Listed
7. Water and Sewer Connected -C/0 to Grade -HD Approval
7. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater
8. Gas and Electricity Tagged
8. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghtg.
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 -I
Date Card -BI Date
Card -BI
Date Card -BI Date
Card B-1
Date Card -BI Date
Card -BI
Date Card -BI Date
i
i I 3
V = OK
0 = Not OK '
Notyable
* Not Ready RESIDENTIAL (Single and Duplex)
Date
UNO LOOK Plans OK except H's
Date
FR
NG (Continued)
Zoning requirements -Setbacks -Easements
4V
i°rafTerty Line Firewall & Openings
2.
Ft ain; Soils -St -Elec. Grnd.- / /" Ftg. Depth
49
Ext.drs-One 3' -Check Garage -3rd story, 2 exits
tg., Garage; Soi -Steel- / 'j/�' Ftg. Depth
5fl.
s; idth-Headroom-Rise-Run-Landing-Fire Protection
4.
Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth
5• .
Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab
ldi g=Naililg-Veneer
temwalls, Garage; Steel-Blockouts-Wrapped-S
UT ,8tucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access
7.
Piers -Fireplace Ftg.-Steel
54.
5 -?-Shear
Glazing Area -Glass Protection -Skylights -Plastic
Walls; Nailing -Bolts
8. O.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test
9. Gas Pipe; Size -Anchors
10.
Water Pipe; Test -Anchors -Regulator -Service Test
11.
Electric; Underground
12. Plenums & Ducts; Clearance -Material -Support -Ins.
13.
Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
Card -BI
Date Card -BI Date
Card -BI
Date I Card -BI Date
Card -BI
Date Card -BI Date
Card -BI ('a?
Date Card -BI Date
Date
FINA ans) OK except k's
ise"Ext. Steps -Door & Sidelight Protection -Landings
Card -BI
Date
V Date Card -BI Date
PLUMBING (Permit) OK except #'s
14. Water Ht.; Vent- Access -Combust ion Air
5
58
o e for
Fiirnarn��[�nts-Clearance-Comb. Air -Connector -
In; Above Floor-Ducts-Mech. Protection
15. Water Pipe; Test nchors-Nail Protection
16.
D.W.V.; Test-,Pftngs & Anchors -Nail Protection
5�9.
Bedroom Exiting
17.
Shower Pa , Test, First Floor -Tub Access
60.Bath
Fixtures & Tub Access
18.
Test T & Shower, 2nd Floor -Tub Access
rim Subpanel; Breaker Sizes -Labels
19.
Gas ipe; Size & Anchors
6
i s
66--Ftreptace-mrStove;
Clearances -Hearth
/
4Lt,
r9erFkts at Wood Panel; Int. & Ext.
Card -BI
Date Card -BI Date
6`s
-4R -Fix" Appliance; Grnd.-Air Gap -Cooking Clearance
Card -BI
Date Card -BI Date
6
Receptacles at Kit. Counter
Date
ELECTRICAL Permit OK except q's
67r-Eamga.Eire-9eor; Swing -Landing -Closer
68.
69.
-A.6rBaC1 In Garage -Damper
Wtr. Htr.; Ve s -Clearance -Comb. Air-Connector-P.R.V.-
('-In G-arage; Above Floor-Mech. Protection70
20. Fixture & Transfo mer Clearance -Ins. Protection
21. Elec. Receptaf.4es Spacing -Lights &Switches at Doors
22.
Size Boxes No. of Conductors -Stapled
Mech. Equip. Listed fo cati
23.
Romex In alled Close to Edge of Studs & C.J.
i
Elec. Receptacles in Garage; ( om P e
24.
Equip. round made up w/Mech. Fasteners -Bond Gas &Water
7oked
in Attic ❑Yes73.Construction-Post
25.
2 Ap lance Circuits in Kitchen & Conductor Size
Caps
26.
Su eed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al
74.
Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance
r oor ❑ Yes
27.
nge Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or At,
nsulated Neutral ❑Yes ❑No
75.
Following instld.: Drive E) Yes EJ No; Walks [I Yes E) No;
�lanterc v��F
28
Service -Riser Conductors & Ground -Main Disconnect
7
Stucco; Brown-Fi
24.
Equip. Clearances; Panels-Motors-Mech. Equip.
77,-q,
tr onnect-Clrnces-Brkr. & Cond. Size -115V Outlet
30.
Clothes Closet Light -Shower Light
78.
ens oof; Plbg.-Appliance-Firepl.-Clearance to Opngs.
79.
:c,-..e,f� sconnect, Electrical, Plumbing
80.
Ext rior'Elec. Trim; G.F.I. Receptacle -Underground
Card B -I
Date Card -BI Date
81.
82,
V&n ilatinn throw hout House
ass ction
Card B -I Date Card -BI Date
Date
MECHANICAL (Pe it) OK except q's
31. A.C. Ducts nsulation & Support
m Previous Inspections
84!-Ga6-T45_Ueters Tagged; Gas -Electric
85.eatrer Connected -C/O to Grade -HD Approval
32.
Vent Fa , Exhaust above Insulation
86.
Eaecgy_J;p[ap4iance Certificate -Other Certificates
33.
CondqKsate Drain & Overflow; Size & Grade
34.
Fur/lace-Vent; Access -Comb. Air -Return Air Vent -115V outlet
35.
Ytic Access & Platform if Furnace in Attic
Card -BI
Date Card -BI Date
rLDafe
and -BI Date
d„BI910
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
M
Date Card -BI Date
Date
QAING (Plans) OK except q's
Comments at Final:
36.
Pr per Material & Anchors
37
uds-Nailing, Spacing & Bracing -Plates -Sound
3
ring Walls over Girders & Floor Nailing
3g
Dra Stop in Walls (rat proof)
s; Furred Ceilings -Stairs -Chases -Tub
4!.
e f & Beam -Size & Bearing
angers -Post Caps -Anchors -Connectors
Qr
-4.4---PTm1Yla
Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfn_g_._
a Ties or Type A Flue -Fireplace Throat
45'"
Ai i ccess; Size & Romex Protection -Draft Stop -Ins. Baffles
Windows or Exiting Doors -Sill Hgt. & Dimensions
4
Garage Fire Protection Framing
(NOTE: An entry must be made each time you visit jobsite)
COUNTY OF BUTTE
DEPARTMENT -OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-274
7 County Center Drive, Oroville — Phone: 534A541
Skyway and Elliott Road, Paradise -- Phone: 872-2961, Ext. 57
CORRECTION NOTICE
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.
N C(:5
`r
Inspector Date
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville,.CaliforQJa 95965 - Telephone 916/534-4541
APPLICATION AND PERMIT
PER IT NO.
SLS
n
ASSESSO PARCEL NUMBER
ZONI G
BUILDING PER
OWN
n ��a
TEL PHONE
SO. FT. OCC. BUILDING VALUATION
OW R' AI L I N/Co DDRESS AA
'itaC
CONT A TOR'S AELEPHONE
C I`
E34TRACTOR'S MAILING AD09RESS
Fireplace
COjJ$TRUCTION LENDER
UNKNOWN
Total Valuation $
Filing Fee
$ 10,0p
L/
LENDER'S MAILING ADDRESS
Permit Fee
$
ARC ;ECT OR ENGINEER
(�
LICENSE NO.
Plan Checking Fee
,$'
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
�7
Permit fee
$
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
Solar or heat pump water heater
20.00
LOT NO.SUBDIVISION
NAME
PAR EL MAP
Water piping
5.00
Each qas water heater or vent
5.00
USE OF STRUCTVRE
SF ❑ Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home I S I G JW 1
10.00 ea
TYPE OF WORK
Newt/ Addition❑ Remodel❑ Utilities❑ Installation❑ Other
Describe work: _
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 100 AMP OR00V OR LESS10.00
Main service EA. ADD'L 100 AMP
2.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
❑ 1 am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full force and effect.
License No. Classification
❑ I, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
L►J 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 OR CONST. //DACC. BLDGS. WELLING OCC P n h2sgft
ADDNS. \ J
NEW CONSTR.MULTI-OUTLET
NON.RESID BRANCH CIRCUITS) 2.50 ea
POWER APPARATUS
SINGLE OUTLET CIR.
Ex. OCcup(OUTLETS OR FIXTURES 20050Q
BALD 90
Ex. OCCUp. OUTLETS FIXED (RESID )LN REA.) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. IYirin 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 10.00
Heating
Cooling
g
Hood
3.00
Ventilation
Permit Fee
$
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the County of
Butte to enter upon the above-mentioned property for inspection purposes.
1 also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
against said County in copse ce of the granting of this permit.
X /U �5
Date
cant — -Owner ❑ Contractor ❑ Ag nt Elwork
Signature ofyit
An OSHA ps 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 $ V d
CONST,TYPEJ
Fn
PARCEL
PD
ND ISSU
l
This permit is hereby issued under
sions of the Butte County Code and/or
indicated above for which
DIRECT OF PUBLIC
BY
PE EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date
Receipt No.
WHITE-D.P.W„ YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
z
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLEF, CADItORNIA 95965 - TELEPHONE: 916/534-4541
PERMIT APPLICATION DATA SHEET
/
� J _ Permit No.
OWNER / M .A. n A - h 1 G- n 1, � , � . A. P. No.,-) Lf- /y -Jr d
Proposed Building Use .
Permit Fee Based Upon: Complete Contract Price v DPW Valuation
Other ((�Exx��pl//ain)��, n ,
Building Inspector / ,////)L -,IIA -1 1' _(% Date
.� , v �'7
At time of permit application, I was advised the following data must be submitted prior to permit processing
andJor issuance: DATE RECEIVED APPROVED
1. All items have been submitted. . . . . . . . . .
Plot plans in dup•I-icate.ttriplicate. ! !• f i
3. omplete plans in dupir./triplicate. . Y.
4. Complete engineered plans and calcs. . . . . . . . . .
5. Plans with Energy Design Compliance Statement. . . . .
6. State Energy Forms No.
7 Statement of Intent for Non -Heated and AC Buildings.
8. Fees of $ . . . . . . . .
9 . Letter of signature authorization. II/f
Z/4 -.Sanitation approval from •Il�- Health Dept..
11. Planning approval for (A) Use: (B) Parking:
12. Certificate of Workmen's Compensation Insurance.
13. Contractor's License Information (no., name style, classif.)
14. Owner -Builder Verification (Given to owner El, Mail to owner ❑.) i
z,-
15. Improvements may be required. . . . . . . . . . . .
16. Mob i lehome Installation Data. . . . . . . .
•
17. Pre -Inspection for RequiredPre-Inspec. request to . Building Inspector (Date)
�18. Recorded copy of Agricultural Acknowledgment State//ment.
A9. Other %,<, ,n � ✓ �� L; n 4 b4
V
_ P
When you issue the permit, process as follows: Mail to owner. Mail to contractor.
Y Telephone (; 44 _a � and hold for pickup at (11',r office. Deliver w./inspector.
Other
Applicant Date f,&
Copy of plans sent Health Dept., Fire Dept., Other Date
During the plan checking process, the fol lowing data must be submitted prior to permit issuance.
(For required items not checked above at time of application, circle item.)
1. Index permit for above Items No.
2. Additional items required:
(Contractor, Designer, Owner) was advised of above required data by Telephone Mail Other
By Date
Plans checked by Date
Plans approved by Date ^A -A;
Other:
Copy—DPW
To: Building DepartmentR,
From: F2ivironmental Health
Gubject: Sanitation Clgarmce
0%%mer Location AP/I
Plan Approved for: Sewage disposal � nater supply
Hold final for: oater supply
Final clearance O.K. for: eater supply
Clearance for bedroom mobile home. Other
N.OTF
Sanitarian "" ' ' " — Da
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541
APPLICATION AND PERMIT
PERMIT NO.
ASSESSOR PARCEL NUMBER
24-14-50
ZONING
BUILDING PERMIT
OWNER
Angeline C. Lewis
TELEPHONE
346-2715
SO. FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS
747 Me ers Ave. Gridley
CONTRA CTOR'S NAME TELEPHONE
Harold Calhoon Lic. #166188
lstrenewal permit
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
none
UNKNOWN
Total Valuation Is
FilingFee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee @ k FEE
$ 40.25
ARCHITECT OR ENGINEER
none
LICENSE ND.
Plan Checking Fee
$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS 747 Meyers Ave.
Permit fee
$ 50.25
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2,00
Gridley
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Water piping
5,00
Each pas water heater or vent
5.00
USE OF STRUCTURE
SF ❑ Duplex[] Mobilehome❑ Other pri. det. garage
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home S G W
110.00 ea
TYPE OF WORK
New❑ Addition[] Remodel❑ Utilities❑ Installation❑ Other ❑
Describe work: _
1st renewal of permit #2045-85
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 6001 OR LESS
100 AMP OR LESS
10.00
Main service EA. ADD'L 100 AMP
2.50
CONTRACTORS LICENSE LAW
I declare under pens y 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 ason
NEW CONST, DWELLING OCCUP.N
OR ADDNS. ( ACC. BLDGS. 2�¢Spft
NEW CONSTR. ULTI-OU FLET
NON•RESID BRANCH CIRC ITS 2.50 ea
POWER APPARATUS e
(SINGLE OUTLET CIR.
Ex. Occup(OUTLETS OR FIXTURES 2-L.30
eALs3o
Ex. Occup. OUTLETS FIXED (RESI 0.)REA.) 2.00
Temporary service 10.00
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 10.00
Heating
Cooling
g
Hood
3,00
Ventilation
Permlt Fee __.
$
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the Countyot
Butte to enter upon the above-mentioned property for inspection purposes.
1 also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
ainst said County in consequence of the granting of this permit.
XThis
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 $
Energy Inspection Fee $
TOTAL PERMIT FEE $ 50.25
OCcUP,
CONST.TTPf
I FLOOD
PARCEL
I P11
I NO
I ISSUE
permit is hereby issued under the applicable provi-
sions of the Butte County Code and/or resolutions to do
work indicated above for which 'fees have been paid.
DIRECTOR OF PUBLIC WORKS
By Date
PERMIT EXPIRES Date 7-24-87
Receipt No.
WNITC-D.P.W., 7ELLOW-ASBC330R, PINK -INSPECTOR, GOLDENROD -APPLICANT