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Home My WebLink About024-150-024ADDITION WITHOUT PERMITS 8/19/85 FAILURE TO FINAL f�"d yr QeS4 )44 3145 q3 24=15-24 ;. LILY NYHOF FURR, Opal 5off-668 SIS Evans Reimer Rd, 1800' E of - 394-66E* 393-66E Cowee Ave, Gridley P__. Permit#572-6-79P (relocate gas met- _1 _ er _SQ A�O s/s Evans Re' er, Gridley (front o e) i (reroof) 24-15-24 (*rear house 532 E. Evans . eimer Rd,- Gridley Permit��2432-85B, (add family ro m & sew- ing room/SF) U 024-15-0-024 91-4276 ;' NYHOFF-, 'HETTE - CONTR: `OWNER 532 E EVANS R MER RD," GRI -D.4,0/ " COMPLETE/8.5 432 024-150 024 PERMIT#96-0410 NYHOF, Barbara' 532 East Evans Reimer Rd., Gridley Cont:-Disater -Response Woodstove/SF��9�. 024-150-024� , PERMIT#9670410,- NYHOF,j,Barbara- -532 East Reimer*R&., Gridley Cont: Disater'Response , ,Woodstove/SF. "2A "rec r/IIIA/ /'a 21- N I Ole COUNTY OF BUTTE- DEPARTMENT OF Dr-V'ELORMENT SERVICES -BUILDING DIVISION 7 .County Center Drive - Oroville, California 95965 - Telephone (916) 538-754,1 PERMIT NO. APPLICATION AND PERMIT -� g�o -y 1. - ASSESSOR PARCEL NUMBER 024-150-024 ZONING A40 BU'I LD I NG PERMIT OWNER BARBARA NYHOF TELEPHONE 846-2628 SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS 532 E EVANS REIMER RD GRIDLEY 95948 CONTRACTOR'S NAME DISSSTER RESPONSE TELEPHONE 894-8447 CONTRACTORS MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation is Filing Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ 35.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDING ADDRESS 532 E EVANS REIMER RD, GRIDLEY 25 PERMITFEE $ 55.00 PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO. SUBDIVISIONS NAME PARCEL MAP Solar or heat pump water heater 23.00 USE OF STRUCTURE SF *D'uplex ❑ Mobilehome ❑ Other ' SPECIFY Water piping 15.00 Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other D Describe Work: WOODSWVE — Mobile Home I S I GI W @20.00 PERMITFEE $ Contractor ELECTRICAL PERMIT Filina Fee 20.00 Main Service000V OR LESS ( 200A OR LESS ) 23.00 Main Service ( 200A TO 1000A ) 46.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in 11 force and effect. License Class Lic. No. (3150 OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason NEW CONST. DWELLING OCCUP. SO. OR ADON ( a ) 3.5Q FT. LTI-ACCUTLEBLDS NEW CONST. MULTI -OUTLET S NON-RESID. ( BRANCH CIRCUITS ) 97.50 ( POWER APPARATOUTLET sUS ) 8 SINGLE Ex. Occup. ( OUTLET OR FIXTURES ) 20 @ 1.00 BAS S0 Ex. Occup. ( OUTLETSFIXED (RESD.OEA) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE _ Contractor 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. I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier I/-" 1� �/.(11i MECHANICAL PERMIT Filing Fee 20.00 9 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Policy Number Xlo C *2C ISI,6t (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. _ X ��,! 1X.iCcL-y, Date - / -- SignatuI j f eApplicant - ❑ Owner EXContractor A -Agent An OSHAapermit is required for excavations over 50" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee is Energy Inspection Fee Is occ CONST. TYPE TOTAL FEE $ 55. HAZ. D. FEES IMP FLOOD CDF PARCEL PD HD .__ ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. in tt / By. Date 70g _ PERMITEXPIRESON 2/L! i (Date) Receipt No. nG/ i _ WHITE-D.D.S.-B.D' CANARY -A SESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE 9:v; 9VI OWNER PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, pleas contact this office immediately. / P /h.J f 6Zo "� T O S'-70 !/.,!!E7, Date 3 rT� l REV 10/92 COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISIO 7 .County Center Drive - Oroville, Californ;:95965 - Telephone (916) 538-75 /1 j PERMIT NO. APPLICATION AND PERMIT `�(� ASSESSOR PARCEL NUMBER 024-150-024 ZONING A40 B LDING PERMIT OWNER BARBARA NYHOF TELEPHONE 846-2628 SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 532 E EVANS RIMER RD GRIDLEY 95948 CONTRACTOR'S NAME DISASTER RESPONSE TELEPHONE 894-8447 CONTRACTORS MAILING ADDRESS 240 RYAN AVE, CHIC0 Q5926 Fireplace CONSTRUCTION LENDER UNIOJOWN Total Valuation Is Filing Fee $ 20.00 LENDER'S MAIUNG ADDRESS Permit Fee $ 35.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDING ADDRESS 532 E EVANS REIMER RD, GRIDLEY RX PERMITFEE $ 55.00 PLUMBINGPERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Solar or heat pump water heater 23.00 Water piping 15.00 USEOFSTRUCTURE SF CX Duplex ❑ Mobilehome ❑ Other SPECIFY Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other Describe Work: WOODSTOVE Mobile Home S G W @20.00 PERMITFEE g Contractor ELECTRICAL PERMIT Filing Fee 20.'00 Main Service a00V OR LESS ( 2ooA OR LESS ) 23.00 Main Service ( 200A To I000A 46.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in ll force and effect. License Class Lic. No. io3ggl OWNER -BUILDER DECLARATION 1 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 NEW CONST. DWELLING OCCUP. OR ADONS. ( 8 ACC. ) SO. 3.50 F7. UTLEBUDS NEW CONST. MULTI.OUTLET NON-RESID. ( BRANCH CIRCUITS ) 97.50 POWER APPARATUS (a SINGLE OUTLET CIR. / Ex. Occup. ( OUTLEr OR FIXTURES) 20 Q 1.00 BAL Q .SO FIXED APPWS. OR Ex. Occup. ( OUTLETS (RESID.) EA) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ Contractor 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. I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' ( compensation - in urance carrier and policy number are: �nl�/-er� ��/ Carrier -� LI MECHANICAL PERMIT Filing Fee 20.00 9 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Policy Number ?JWC- (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall those prov ions. /f4EO�4of X Date ��8 �!� Signatu e f Applicant - ❑ Owner A Contractor Agent An OS permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee Is occ CONST. TYPE TOTAL FEE $ 55.0 HAZ. D. FEES �_ IMP FLOOD —� CDf PARCEL PD HD ISSUE This permit is hereby issued under the applicable provisions the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. BY Dcte PERMITEXPIRESON (Date) receipt No. ,fry HITE-D.D.S.• .D. 0. A Y- SSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT I r' R OWNER: [1 -C -4 -le- DATE: 8 LOCATION: S 3,1 EaSl Ei/dVIS P -e i m-e,Com' r' A.P.#: COCJ -- / �;-0O� CONTRACTOR: ZONING: %- q o DATE TO INSPECTOR: PERMIT HISTORY: [ ]NONE [ v]�►S FOLLOWS: �I r Vn TYPE OF OCCUPANCY: uilding Description: [ ] Commercial/Usage: _ [ ] Residential/# of Units: [ ] Currently Occupied. [ ] AbandonedNacant. [ ] Yes [ ] No Electric is currently : [ ] On Condition of electrical? BUILDING INSPECTOR'S REPORT [ ] Off Natural [ ] Propane[ ] None[ ] Obvious problems: tion: Plumbing working Yes[ ] No[ ] Well: Yes[ ] No[ ] Obvious Sewage Problems: Mobile Home: Yes[ ] No[ ] Currently On[ ] Off[ ] Potable water: Yes[ ] No[ ] escription of Damaged Area: IVE PPS imate'valuatio of Damaged Area: 1 r�C U i' f'�`i'� .l pector• �Q�7i�,� ('�—` Date: CDF/BCFD DAILY INCIDENT LOG DAY/DATE FROM 0800 I - 2A DAY/DATE TO O� S[AIIpN. AMBULANCE OFrIIEn• nErpnf Time .T - ra-110 $F r,p OCAV-0- � LOG IaE ?,AME - INT. 1r`y 1wen q,FO CAUSE lANDI)SE OAMAGF. SAVE. SENT V STAT LOG INT. SENT .A. LOG_ INT. SENT STA. LOG INT. SENT C•rA LOG INT. $IA IIUN, AMBULANCE Os nCEn gEppgf tIM CASE NO Z Ili CVAA5 Fl G-% Vlb—c OAMAr.E 1 —¢ $1A11ON AMBULANCE Oc rlr:En n n nt 11M 6FQ EOlsy7 CA Sr NO )CA I Ict1, - ----- — --- aoll'o, -sb� q nI IpnE NO . )Qw,, c S"4 I c{2 9 aE NAME Y A B 1 k_-12 fwCq Twro CAUSE. LAIRD USE O•MAUE SAVE PAGE S OF ^+CIOErIt NT) 1 Tr.FO By rine nO _— WrCFI A 11ON lrUn 11 u101,�Vir-- cr n1/CIIInF IIA: uAr OAgT vF"InCLF r M S or9CUF nFrusr. ^IJg11.••c^.Icl uCn.-C ,,SE AV1nM A$p$t n1CIDENf 1+0 8 - 4 lry;f:FO nae r CASE NO .0 — ��F,A1mN— vcCFlAnnn 1MggoVFMF��r IMnq(.�•F'Iclrr ..eaGirc— uF.OICAVIC lnl)[:iLjnE�� ;tn"CTV°E IIA�IM1 IMIW t OAgf DAgT vFuICLE •.EuuaE S I'" c M,S .! aF$CUE gESCVE nFf 1J5F gVBL,C ASgIST r*1PI"IC AC!:I cr MME" MISC pi NEn MI^rC c AL$F AUaM rAL$F ALAnM ASSIST Ac515f nIC1OENT 1`O - 4 L^ -()ED Br" np CASE NO ^ 4 OFOnnE q O ESON vcCFlAnnn IMnq(.�•F'Iclrr uF.OICAVIC ;tn"CTV°E IMIW t DAgT •.EuuaE ✓' c M,S .! gESCVE nFf 1J5F r*1PI"IC AC!:I cr pi NEn MI^rC FAtrr AVAOU rAL$F ALAnM ASSIST Ac515f AMBVIA T+CE OFnCEn nEf>()nt �IuE � Ii,C1QENT r1O� CASE NO rine r1O q O ESON cIn1/CTUgE wAjMAr pAat vcu1CLE r M S gESCVF rnweq MICAUSE LA1+0 USF OAMA r,E SAvE FAtrr AVAOU ASSIST M Od+ PERMIT NO. !PERMIT EXPIRES J () �2 OWNER HETTE NYHOF CONTR. owner ASSESSOR PARCEL 24-15-24 LOCATION 532 E. Evans Reimer Rd, Gridley V •w' k • 4� Y Temp. Power Pole Called PG&E _ Temp. Elec. Service \ 7, Called PG&E , Temp. Gas Service Called PG&E 1 JOB FINALED (Date) —� y } Signature �4 J = OK O = Not OK = Not Applicable MOBILEHOMES = Not Ready { I' MISCELLANEOUS Date MOBILEHOME UTILITIES (Plans) OK except q's 1. Zoning Requirements -Setbacks -Easements Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except N'so,! 1. Zoning Requirements -Setbacks -.Easements 2. Soils; Special MH Support -Sketch 2. Footings; Size -Depth -Spacing -Connectors 3. Sewer; Location -Test -Fall -C/O -Concrete 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Water; Location -Test -Easement Needed (Sketch) 4. Wood Awn.; Posts-Beams-Rftrs.-Connec.-Shthg.-Rfg.-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 N's 1. Zoning Requirements -Setbacks -Easements Card -BI Date Date Card -BI Date POOLS (Plans) OK except N'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. Electricity; MH Test -Crossovers -Breakers -Clearances 4. Elec.; Receptacles and Lighting; Distances-GFI 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/O to Grade -HD Approval 7. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 8. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghtg. Boxes -Enclosures -Panel boards -Ins. to Main in Conduit 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 -I Date Card -BI Date Card -BI Date Card -BI Date = OK = Not OK _ = Not Applicable = Not Ready , RESIDENTIAL (Single and Duplex) Date UNDERFLOOR Plans OK exce t#'s Date FRAMING Continued 1. .,Zoning requirements -Setbacks -Easements 48. Property Line Firewall & Openings 2. Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth 49. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 3. Ftg., Garage; Soils -Steel- / /" Ftg. Depth 50. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 4. Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth 51. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab 52. Siding -Nailing -Veneer 6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab 53. Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access 7. Piers -Fireplace Ftg.-Steel 54. Glazing Area -Glass Protection -Skylights -Plastic 8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test 55. Shear Walls; Nailing -Bolts 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 Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date Card -BI Date FINAL (Plans) OK except #'s Card -BI Date Card -BI Date Date PLUMBING (Permit) OK except #'s 56. Ext. Steps -Door & Sidelight Protection -Landings 57. Smoke Detector 14. Water Ht.; Vent -Access -Combustion Air 58. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 15. Water Pipe; Test & Anchors -Nail Protection 16. D.W.V.; Test-Fttngs & Anchors -Nail Protection 59. Bedroom Exiting 17. Shower Pan; Test, First Floor -Tub Access 60. G.F.I. & Bath Fixtures & Tub Access 18. Test Tub & Shower, 2nd Floor -Tub Access 61. Elec. Trim & Subpanel; Breaker Sizes -Labels 19. Gas Pipe; Size & Anchors62. Stairs & Rails 63. Fireplace or Stove; Clearances -Hearth 64. Elec. Outlets at Wood Panel; Int. & Ext. Card -BI Date Card -BI Date 65. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Card -BI Date 66. Elec. Outlets & Receptacles at Kit. Counter Date ELECTRICAL Permit OK except #'s 67. Garage Fire Door; Swing -Landing -Closer 68. A.C. Duct in Garage -Damper 20. Fixture & Transformer Clearance -Ins. Protection 69. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 21. Elec. Receptacles Spacing -Lights &Switches at Doors 22. Size Boxes & No. of Conductors -Stapled 70. Plb., Elec. & Mech. Equip. Listed for Location 23. Romex Installed Close to Edge of Studs & C.J. 71. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 24. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 72. Insulation -Foam -Looked in Attic ❑Yes 25. 2 Appliance Circuits in Kitchen & Conductor Size 73. Guard Rails & Deck Construction -Post Caps 26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or AI 74. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor El Yes 27. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or AI, Insulated Neutral ❑Yes ❑No 75. Following instld.: Drive ❑Yes E] No; Walks El Yes E] No; Planters ❑Yes ❑No 28. Service -Riser Conductors & Ground -Main Disconnect 76. Stucco; Brown -Finish 29. Equip. Clearances; Panels-Motors-Mech. Equip. 77. 78. A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. 30. Clothes Closet Light -Shower Light 79. Water Well; Disconnect, Electrical, Plumbing 80. Exterior Elec. Trim; G.F.I. Receptacle -Underground Card B -I Card B -I Date Card -BI Date Date Card -BI Date 81. 82. Ventilation throughout House Glass Protection Date MECHANICAL (Permit) OK except #'s 83. Corrections from Previous Inspections 84. Gas Test -Meters Tagged; Gas -Electric 31. A.C. Ducts; Insulation & Support 85. Water & Sewer Connected -C/O to Grade -HD Approval 32. 33. Vent Fan; Exhaust above Insulation Condensate Drain & Overflow; Size & Grade 86. Energy Compliance Certificate -Other Certificates 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 -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Comments at Final: Date FRAMING(Plans) OK except #'s 36. Sills; Proper Material & Anchors 37. Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound 38. Bearing Walls over Girders & Floor Nailing 39. Draft Stop in Walls (rat proof) 40. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 41. Header & Beam -Size & Bearing 42. Hangers -Post Caps -Anchors -Connectors 43. Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfn_p_. 44. Fireplace Ties or Type A Flue -Fireplace Throat 45. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 46. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 47. Garage Fire Protection Framing (NOTE: Anentrymust be made each time youvisit jobsite) ENERGY INSTALLATION CERTIFICATE Oo2l -150 f0 2-� Building Owner _ /V 0 Building Permit # ?! -4076 Building`Location lig-3C:2 a , VAN -5 lea l M&P �QQ DESCRIPTION OF INSULATION BUILDING DEPT -- ROOF MAR 2 3 1993 I✓ Material Brand Name Thickness(inches) Thermal Resistance (R Value) XTERIOR WALL ., Material � V rand Name Thickness(inches) Thermal Resistance(R Value) V --CEILING Batt or Blanket Type rand Name Thickness(inches) Thermal Resistance(R Value) Loose Fill Type Brand Name . Minimum Thickness(Inches) Area Number of Bags Wt. per bag lb. covered(ft.2) Thermal Resistance(R Value) FLOOR, ELEVATED Material Brand Name Thickness(inches) Thermal Resistance(R Value) FLOOR, SLAB Material Brand Name Thickness(inches) Thermal Resistance(R Value) Width(inches) FOUNDATION WALL Material Brand Name Thickness(inches) Thermal Resistance(R Value) I hereby certify that the above insulation was installed in the above building, is consistent with..approved building department -plans --and -at-tac-hment-s--and- con- for�s wi�req�uirements, of Chapter 2-53 of State of California Energy Requirement /FIRM ONER STATE CONTRACTOR'S LICENSE NO. SIG TURF 0 I STALLATION APPLICATOR DATE I hereby certify the required features, devices, and equipment, a's shown on the approved Building Department plans and attachments have been installed and .conform to the appli- ance standards and Chapter 2-53 of the State of California Energy .equirements. �UIL ING COT C 0 0 NER (Please Print) (FIRM NAME) �•' GN TURE Of 50I)MING CONTRACTOR/OWNER HVAC FIRM NAME/OWNER (Please Print) SIGNATURE OF HVAC CONTRACTOR/OWNER STATE CONTRACTOR'S LICENSE NO. DATE b STATE CONTRACTOR'S LICENSE NO. DATE THIS CERTIFICATE MUST BE ON FILE WITH THE BUILDING DEPARTMENT PRIOR TO FINAL INSPECTION APPROVAL AND A COPY SHALL BE POSTED WITHIN THE BUILDING. SEPTEMBER 1988 COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — rhone: 891-2751 7 County Center Drive, OroviIIe — Phone: 538-7541 747 Elliott Road, Paradise — Phone: 872-6307 CORRECTION NOTICE �Z/-/3� fs 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 nadditional explanation, please contact this office immediately.. 6 .d T# /200 s �� ?L IAI fo n� J s Date 14r/ l/ Inspector COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE OVMEF( 'PERMIT NO. A routine rection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work iscompleted- ffyou have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. 93>;��b e7 REV ,0192 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - 7 County Center Drive - Oroville, Californi,a.95S65 - Telephone 916/534-4541 APPLICATION AND PERMIT PET NO.J M ' ASSESOR PARCEL NU BER ZONI G BUILDING PERMIT OWNER TELEP ONE $Q, FT. OCC. BUILDING VALU TIO OWN 's MAILING ADDIJEfir- S ` C f yo a el I CONT C OR'S NAME .___.HON CON RA TO 'S MAILING ADDRESS Fireplace CON RUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ a Energy Plan Checking Fee $ 1r ARCHI CT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 71 r Permit fee $ r PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 ` Solar or heat pump water hea 20.00 LOT NO. SUBDIVISION NAME PA CEL MAP Water piping 5.00 Each qas water heat or vent 5.00 USE OF STRUCTURE SF DO Duplex❑ Mobilehome❑ Other SPECIFY Gas piping syst 1 - 5 outlets 5.00 Building se r 5.00 Mobile H e IS1G W O.00ea TYPE OF WORK New ❑ Addition emodel Util'ties ❑ Installation❑ Other F1 Describe work: GQM 66 M _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service8011 OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the BuslnesS and Professions Code and my license is in full force and effect. License No. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. ( DWELLING OC , OR ADDNS. ACC. BLDGS. �22Sgft 1 NEW CONSTRMULTI-OUTLET 2.50 ea NON.RESID BRANCH CIRC ITS (POWER APPARATUS 6) I SINGLE OUTLET CIR. OUTLETS OR FIXTURES Ex. Occup(DAL@30 eAL0 FIXED Ex. Occup. OUTLETS P(RESID.)REA.1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate ,-- �f Consent to Self -Insure. l� shall not employ any person in any manner so as to become subject ' to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling Hood 3.00 Ventilatio permit Free $ 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 agains aid County in c s uen of the granting of this permit. %� Date ^�� Signature of Applicant — wner Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 in height. Mobile Home Installation Fee $ Energy Inspection Fee $ 06) �� i TOTAL PERMIT FEE $ IO occuP. CONST.TYPE I I F �JJ PARCEL PD ND 89U This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF P BLIC o BY PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date '� //stories Receipt No. —T J WNITE-D.P.W., YELLOW -ASSESSOR. PINK -INSPECTOR, GOLDENROD -APPLICANT ,. e . OWNER s r COUNTY OF BUTTE - DEPARTMENT OF�681LIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, 0AL4FOPMIA 95965 - TELEPHONE: 916/534-4541 PERMITAPOLICATION DATA SHEET ° Permit No. — / e, f!(9 /&/I �7T Proposed Building Use l= Permit Fee Based Upon: Complete Contract Price -DPW Valuation A O Other ( I.in Building Inspector Date g At time of permit application, I was advised the following data mu`st,.be submitted prior to permit processing and/or issuance: '; i� DATE RECEIVED APPROVED All items have been submitted. ..• - ot plans in plicate/ riplicate.; omplete plans in uplicat triplicate. 4. Complete engineered plans and calcs. Ry wiNAo / —44 5. Plans with Energy Design Compliance Statem nt!'°°¢.C:Te—'. 6. CUSD "Fees Paid'' Stamp on Floor Plan . . . . 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ . . . . . . . . Letter of signature authorizatio/J L10. Sanitation approval from ro . l'/ I . 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❑, Mail to owner ❑) tR r 15. Improvements may be required. . . . . . . . . . . . 16. Mobilehome Installation Data. Pre-Inspec. request to 17. Pre -Inspection for Required. Building Inspector (Date) 18. 'Recorded copy of Agricul+tural'Acknowledgment Statement. 19. Other When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver w/inspE- tor. Other Appl ican�&_� ^—/ Z� '-�Dat Copy of plans sent HealtK,Dept.,•, F.ire,Dept.;,• Other Date During the plan checking process, the following 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 Owners advised of above required data by �_Te ephone Mail Other By Date Plans checked by. Plans annroved by Other Copy—DPW Date Date – To: fioviding, Ncp;irtment c i ra r i 3 2-_ 1,0(.-Zk t i On NnOT T Water Suj),)IY----- Sew, w Dispo, PI an jq,.pr(-,.Vcd for: W er Sup PI Y� Fio`Id Fir -al for: Mato Supply -f'i'nal -Cloaran,.-c O.K. for: (;Ie-jran^.e forbcdrco hc:"'.e/MObile!'O me or other o Da t i, COUNTY OF BUTTE - Department of Public Works 7 County Center.Drive, Oroville, CA 95965 Phone: 916-534-4541 OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building permit has been applied for in your name and bearing your signature'. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. - /1. -I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) /2. I (have/have not) signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work /Signed: Property Owner Social -Security Number Date NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832'of.the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. SECOND NOTICE Hette Nyhof 532 E. Evans Reimer Rd. Grddley, CA 95948 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive,*Ofoville, CA 95965 PHONE: 916-534-4541 With reference to the above subject: DATE Sept. 17, 1985 RE: Building permit application for for two additions A.P. # 24-15-24 I Attached is: Application for permit Mobilehome Utilities Installation Sheet Building Plans Mobilehome Installation Information Sheet Engr. Calcs Typical Plan Sheet Owner -Builder Verification Form List of Codes Enforced OTHER We need the following information: Permit application signed and completed where indicated with all copies returned. Fees of $ payable to Butte County Treasurer. Certificate of Workmen's Compensation Insurance or check exemption statement. Contractor's License Law information or check exemption statement. Complete plans in including plot plans. Plot plans in Structural details in Complete plans and calcs in by registered engineer or architect. Energy design including Street and drainage improvement plan approval from Land Development Section (DPW). sets of plans in accordance with the changes marked in red. Sanitation approval from Butte County Health Department at: 196 Memorial Way, Chico 7 County Center Dr., Oroville Skyway & Elliott Rd., Paradise Planning approval from Butte County Planning Department, 7 County Center Drive, Oroville, for Completed Owner -Builder Verification form. Recorded copy of deed showing Recorded copy of agricultural acknowledgement statement. OTHER Floor plans in duplicate of additions and adjacent existing reams shaming usage, room sizes. windows locations and size, and door locationA_ Should you have any questions concerning the above, please contact this office. JIG/aj Yours very truly, William Cheff Director of Public Works .F. Glander Chief Building Inspector ENERGY SHEET FOR ADDITIONS TO RESIDENTIAL BUILDINGS PERMIT NO. Z ir" PACKAGE "A" (Additions) JOB ADDRESS TYPE OF. WOR FORM 7 SQUARE FOOTAGE Existing Residence New Addition a 7� New Total The following information sheet, showing mandatory features and required features of; Package "A" must be completed and attached to all plans for additions. to dwellings. Additions to dwellings A nclude:room additions, convert ing garages and patios to living areas, house moves that add footage and attic conversions', and any space that is ex- isting non -conditioned space that is converted to.conditioned space. Remodeling of existing conditioned space.is not included. ZONE 11' ZONE 12 ZONE 16 INSTALLED APPLIES TO NEW AREA CEILING o-30 R-30 R-38 WALL R-11 R-11 R-19 . -FLOOR R-11, R-11 R-19 -SLAB R- 7 R-11 R- 7 ✓ GLAZING 65 .65 .65 SHADING _1 .,-'SOUTH OPTIMUM OVERHANG or .36 S.C.,- ,-VEST - .36 S.C. _ ----'LOOSE FILL INSULATION (Density) w NFILTRATION CONTROL (Weatherstrip doors, certified windows, caulking) VAPOR BARRIER (Zone 16) DUCTS PER UMC - Ch. 10 LIGHTING KITCHEN & BATH NOT LESS THAN 25 LUMENS/WATT VMAXIMUM GLAZING .16% OF AREA PLUS REMOV D GLAZING TO R rE,W c.F. 64 4 Z 1$X_ AS S Noc�M C3 3z/ O 0AL /VW44T& F.�CtSrlx/� 4 TCtG NEW HVAC AND HOT WATER IN CONJUNCTION WITH AN ADDITION SHALL COMPLY a 30 AND FILL OUT DATA ON BACK OF THIS SHEET 7/83 *1 HEATING VENTILATING. AIR CONDITIONING SYSTEM (A) Heating ❑ Central Gas Furnace % (brand and model number) SE Btu/hr (heating capacity) ❑ Heat Pump (brand and model number) ACOP Btu/hr (heating capacity at 47°F) ❑ Active Solar type (liquid or air) Collector brand and ft2 model number solar fraction collector area collector orientation collector tilt rated y -intercept rated slope ❑ Other (describe) *1 (B) Cooling ❑ Electric Air Conditioner (brand and model number) (seasonal EER) Btu/hr (cooling capacity at 95°F) ❑ Electric Heat Pump ' EER Btu/hr (cooling capacity at 95°F) ❑ Other (describe) DOMESTIC WATER SYSTEM ❑ • (A) Gas Only Gallons (brand and model number) (tank size) ❑ Heat Pump w/Electric Backup (brand and model number) Gallons (tank size) ❑ *2 Active Solar (collector brand and model number) (rated y -intercept) (rated slope) (solar fraction) ft (backup heater type, brand and model number) (collector area) (collector orientation) (collector tilt) ❑ lDcation of Solar Panels ❑ Other (Describe) *1 Submit documentation of sizing heating and cooling equipment by Manual J, sizing charts (form #4) or other approved methods, section 2-5352(g), and fill out the following: Heating: Winter design temperature °, elevation ', heating load BTU elevation factor x heating load = maximum outlet capacity gas furnace BTU Cooling: Summer design temperature ', cooling load BTU *2 Submit T.I.P.S.E. chart or other approved system (form #5) to document sizing of solar panels. ® DESIGN COMPLIANCE STATEMENT: The above building design meets the requirements of Title 24, Part 2, Chapter 2-53 of the California Administration Code. Z SIGNATURE OF BUILDING ES R 0 APPLICANT /. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. / 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 24-15-24 ZONING A 40 BUILDING PERMIT' OWNER HETTE NYHOF TELEPHONE 846-2628 S0. FT. OCC. BUILDING VALUATIO Lr CONT EST 500.00 OWNER'S MAILING ADDRESS 532 E. EVANS REIMER ROAD GRIDLEY CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ 500.00 Filing Fee $ 15.00 LENDER'S MAILING ADDRESS Permit Fee $ 15.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDINGESS E. EVANS REIMER ROAD GRIDLEY 95948 532 Permit fee $ 30.00 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 SF ® Duplex❑ Mobilehome❑ Other SPECI FY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home TSTG W @ 15.00 TYPE OF WORK New❑ Add ition❑ Remodel El Utilities❑ Installation❑ Other ❑ Describe work: _PERMIT TO COMI PT FTF Wil 4TARTF.T) TTNT)FR R P # 2612-85 Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 600V OR LESS 200A OR LESS 18.50 Main service 20CATO1000A) 37.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury check one): y p I 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. Classification V?/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) El I, I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.& OR ADDNS. ( ACC. BLDGS. 3.64 sq.tt. NEW CONSTp NON.RESID FL BRANCH CIRCUITS @ 5.00 POWER APPARATUS e (SINGLE OUTLET CIR. ) Ex. Occup(OUTLETS OR FIXTURES 20 @ 76rl FIXED APP LNS. OR Ex. Occup. OUTLETS (RESID.) EA.) 3.00 Temporary service 15.00 Home Facilities 15.00 Misc. byirin 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 I Consent to Self -Insure. J . 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 Cooling g Hood 6.50 Ventilation Permit Fee $ L.22ntractor 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, udgments, costs, and expenses which may in any way accrue against sa C in ns quence of the granting of this permit. X Date % 4? ` LlThis Signature of Applicant — Owner contractor ❑ Agent ❑ An OSHA permit is required for vations over 5'0" dee and demolition or construct- ion of structures over 3 stories in ight. j Mobile Home Installation Fee S Energy Inspection Fee $ occ CONST TYPE TOTAL FEE HAz DFEES IMP FLOOD CDF PARCEL PD HO ISSUE permit is hereby issued under the sions of the Butte County Code and/or work indica ed above for which fees y IR CTQp9 O-F/%Ull PER IT EXPIRES Date applicable provi- resolutions to do have beenaid. p WORKS Date Z Receipt No. 103561 G — n-� WHITE-D.P. W.. YELLOW -ASSESSOR INR -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville. California 95965 - Telephone: 916-'538-7541 APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER, ZONI _ 2—X BUILDING PERMIT EL H OWNER TELEPHONE /`�` VF .aoo SO. FT. OCC. BUILDING VALUATION Uii 0L7 OWNERg _!y VA'V3z-E . ley95W CONTRACTOR'S NAME d 1t//i/ell—_1 TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ ppQ? Filing Fee $ 15,00 LENDER'S MAILING ADDRESS Permit Fee $ (s ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS � 3 z o � /�l1/� ��i�1�2 pt o - Permit fee PLUMBING PERMIT Filing Fee 15.00 l 95,olL/� 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 SF.�Z 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 ❑ Utti lities ❑ Installation❑ Other [K- Describe work: �IIV174- Ta ea!f3 lI alejl# srlie ew 61/VQ�% AP`# 7_402 - 8S" Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 600VORLESS 18.50 200A OR LESS Main service 20CATO 1000AI 37.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification ❑� 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.al 3.6QSq.ft. OR ADONS. \ACC. BLDGS. NEW NON•RESID R. BRANCH CIRCUITS @ 5.00 POWER APPARATUS e SINGLE OUTLET CIR. ) 20 764 Ex. OCCUp(OUTLETS OR FIXTURESRAL_ 454 EX. (]CCUp. OUTLETS IXED APPIRESID )REA.) I 3.00 Temporary service 15.00 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. ❑ 1 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 thi' 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 Cling Hood 6.50 Ventilation Permit Fee $ tractor I certify that I have read this application and state that the above informationbile 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 said County in consequence of the granting of this permit. X Date Si nature of Applicant - Owner _ 9 PP ❑ 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. Home Installation Fee S Inspection Fee $ Cc CDNSTTYPE TOTAL FEE $ HAz 1 0FEES IMP I FLOOD I CDF PARCEL 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. DIRECTOR OF PUBLIC WORKS BY Date PERMIT EXPIRES Date /13 5& � Receipt No. 6 / � WHITE-D.P.W., YELLOW -ASB ESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - Department of Public Works 7 County Center'Drive, ,aro*ville, CA 95965 OWNER -BUILDER VERIFICATION Phones 916 -538 -7541.',' - Attention Property Owner: An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the propo.sed property improvement (yes or no) Yc'-7 2. I (have/have not) signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. 4. ,I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. 5.' I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work Signed: G/ Property Owner Social Security Number .Date /Z --/2 NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. VIOLATION CHECK LIST A.P. # v2 `f /� `7' Address AV Owner Owner's Address Owner's Phone No. YVI, — Y Supervisoral District _ Tenant's .Name Phone No.. -Type of Violation in Detail with Code Section Priority No. -1, v � - Specific Plot- Plan with-C/V Noted_yes no Penalties -Required 1st. Notice Sent% 2nd. Notice -Sent ate(Date)- Comments and/or Determination 40r �e •• r G.c/�� /(nrS/7G �a J w�•� lib 015 I Disposition For Citation Citation (Date) (Date) Department Recommendation to Court Court Action Notice of Violation Recorded (Date ��•v'1,n"'y'�"i„�:✓�•�'i�'1t►.:►+4�,Y{�s.Li'..�V'P�.�,?i,.uM%�.�,.,ac.�JJ�6��#`.r7""ti'/f .'C r•'.}ti��.. ��'d/' �f :(:tib. n... �.-,,,�� ti..j'dv.%�-.�"�F'-+Pw�•�..�, r �`'tir�. C 7'2 ;a Do' t _ � I �- COUNTY,OF BUTTE '— DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 . t Telephone: 534-4541 APPLICA-h014 AND PERMIT BUILDING Owner SQ. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Contractor %.I- --A r,,, Mailing Address Fireplace Total Valuation Telephone No. Permit Fee Building Address.� ,,,- /��' t� `� 1> r.h Plan Checking Fee&/or Penalty Permit Fee I } Win 3 c.Zr' >✓r✓ PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 A. P. No. '�y /6 — �/ Zo in & Planning Water piping 1.50 Each gas water heater or vent 1.50 , ; Fees W:(? Sanitation Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 /_ `' O EQA Parking Plans I Parcel Declaration Parcel Map 60' R/W Improvements Each additional outlet .30 Building sewer 5.00 Bldg..Plans.Rec'd Parcel Approval Plans Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER Permit Fee $ . ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service 600V OR LESS 100 AMP OR LESS 5.00 Single Family Q Duplex ❑ Mobil Home ❑ Others ❑ Main service EA. ADD'L 100 AMP 2.50 q _ �+ r'> wv _5 Jai// �' /i7 Main service OVER 600v 25.00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 1 1.00 NEW CONST OR ADONS. ACCLBLOGS.CCUP, 6) 20sgft CONTRACTORS LICENSE LAW 1 am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: NEW CONSTR BRTI-OUTL T NON.RESID (MUL BRANANCCH CIRCUITS) 2.50ea NEW CONSTR. POWER APPARATUS 8 NON.RESID. SINGLE OUTLET CIR, Ex. Occuo(OUTLETS OR FIXTIIRES B L@; FIXED APPLNS. OR EX. Occup. OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Mise. Wiring 6.25 ❑a'. I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ MECHANICAL No. @ FEE WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. ,.. 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 Workmen's Compensation Laws of California. PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby Land Development Fee $ TOTAL PERMIT FEE $ til, authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X *' 7i(i! //A 11puDate 7// � Z Signature of P;mitee:or Agent / Receipt No. 72 71^^n White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant 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. / DIRECTOR OF„zPUBLIC WORKS By ! f Date Building permit expires Date �//� Coo Owner Mai I i ng Address 'd L Contractor COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 ` Telephone: 534-4541 APPLICATIOW"ASVD PERMIT BUILDING i f SO. FT. I OCC. BUILDING VALUATION Telephone No. Mailing Address Fireplace Total Valuation Telephone No. Permit Fee Building Address ,j U S �� Plan Checking Fee&/or Penalty Permit Fee PLUMBING No. @ FEE PERMIT FILING FEE $3.00 . Each Trap 1.50 Repair drainage or vent piping 1.50 A.�P�No. — S — pZ ming 8 Planning Water piping 1.50 Each gas water heater or vent 1.50 - F78d's smri�tt+iion Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 —f EQA Parking Plans Parcel Declaration Parcel Map 60' R/W Improvements Each additional outlet .30 Building sewer 5.00 Bldg--WenrReo-d Parcel Approval Plans Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER Permit Fee $ � ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service 600v OR LESS(] 100 AMP OR Less 5.0`7 Single Family Ig Duplex ❑ Mobil Home ❑ Others ❑ Main service EA. ADD'L loo AMP 2.50 LV Main service OVER s O 100 AMP OR LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 NEW CONST. ( DWELING OR ADDNS. ACC. BLDGS.CCUP. 41 22sq ft CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business &Professions Code under the name style of: NEW CONSTR. MULTI -OUTLET NEW CO ID BRANCH CIRCUITS) 12.50ea NEWCONSTR./POWER APPARATUS & NON •RESID. (SINGLE OUTLET CIR. S@ Ex. OCCUD(OUTLETS OR FIXTIIRES ) BAOLL@1 FIXED APPLNS. OR Ex. Occup. OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 I am exempt from the Contractors License Laws of the State of California. Permit Fee $ MECHANICAL No. @ FEE WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California Labor PERMIT FILING FEE $3.00 Heating Code which requires every employer to be Insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. 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 Workmen's Compensation Laws of California. 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. X Date l Signatu a of Perm' or Agent Receipt No. 47, Tia C) White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant Cooling Ventilation Hood 1 2.00 Permit Fee $ $ Land Development Fee $ TOTAL PERMIT FEE is 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. ECTOR BL C WORKS BY Date 7 permit expires Date 11 • i a 4 ♦ j • r • � ° V Hette & Barbara L. Nyhof 532 E. Evans Reimer Road Gridley, CA 95948 RE: Expired Permit #2432-85 532 E. Evans Reimer Rd, Gridley Dear Mr. & Mrs. Nyhof: December 3, 1991 A.P. #: 24-15-24 This is a warning letter to notify you that you are in violation of the Butte County Code at the above referenced location as follows: Failure to obtain final inspection and approval from this office before permit expiration. Since perm'lg and iA%p_gstJgDs are required for the above work, please contact this offic of the date of this letter, apply for the re- quired permits to make corrections and complete project, and pay the appro- priate fees. All work must stop until these permits are issued and you are authorized by our field inspector to proceed. This field authorization cannot be made until the existing work is inspected and approved. Please be aware that Butte County has entered into a Code Enforcement Program that seeks voluntary compliance with the Butte County Code but provides an effective means of enforcement if such compliance is not obtained. If voluntary compliance is not obtained, enforcement will be pursued through the issuance of citations, fines, and the recording of a Notice of Violation. Your cooperation in resolving this matter would be appreciated. Should you have any questions concerning this matter, please contact Rod Taylor or Jim Glander of this office. JFG:dms cc: Assessor Building Inspector Yours very truly, William Cheff Director of Public Works a J.F. Glander Manager, Building Inspection Codmpja$nt-Date ❑ Oeher-Date BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS SPECIAL INSPECTION REPORT Owner: '1 Address: ,5�� Tenant: / Building Location: �� • Er/GLYLSIYl�t�l^ C Type of Inspection requested: ZONING A. P. # a� _ 15 -- Date of Inspection Inspector r! L M 1. Housing / / 2. Financing /_/ 3. Change -of Occupancy to 4. Work W/0 Permit 17111"5. Other (specify) Present use of building: � . ` Lp I S A. Sanitation (Housing) 1. Water closet: 2. Lavatory: 3. Bathtub or shower: 4. Kitchen sink: 5. Hot and cold water to fixtures: 6. Heating facilities: 7. Natural light and ventilation: 8. Room and space requirements: 9. Bedroom window or door for second exit: 10. Infestation of insects, vermin, or rodents:. 11. Connection to sewage disposal: 12. Connection to water supply: 13. Rubbish and garbage facilities: 14'. Stairs :(Rise, Run, headroom, lHR,- Tolerance$, Handrails) 15. Comments: '• B. Structural 1. Piers and footings: �e`� `�'O✓'�G�TL� /Uyjl°� 2. Floor construction: 3. Wall construction: 4. Ceiling and roof construction: 5. Fireplaces: 6. Comments: C. Electrical 1. 2. Service and ground: Receptacles: I 3. Fusing: 4.. Comments: M is E. F. Plumbing 1. Fixtures connected and vented: 2. Gas water heater: 3. Gas heating vents: 4. Comments: Other 1. Maintenance and repair: '2. Fire hazards: 3. Safety hazards: 4. Weather protection: 5. Underfloor and attic ventilation: 6. Energy:. 7. Comments: Commercial Buildings 1. Roof covering: 2. Distance to property lines: 3. Physically handicapped: _ 4. Restroom floors and walls 5. Exits: 6. Improvements: 7. Zoning: 8. Comments: IVQj �1�1 Ar3l.F� Pow/ r /.oma #/0040 V,4 We ro cotilPl�T � . -$ � Nora: see Nor �s o �A A0,0*',kPPL, G. Field Problems or Violations 1. Problem or violation (give comp etq description): ,tj O d-1 q x L��, f- h�us� 1 1 2. 3. / / A. Information only - file. Hold for ten days, then write letter. %% C. Write letter. / /.D. Other: s January 25, 1993 Hette and Barbara L. Nyhof 532 East Evans Reimer Road Gridley, CA 95948 RF: Building Code Violation A.P. ##024-15-0-024 532 East Evans Reimer Road, Gridley Dear qtr. and Mrs. Nyhof: We sent you a warning letter dated December 3, 1991 notifying you that you are in violation of the Butte County Code at the above referenced location. As of this date, the following violations still exist. Failure to obtain approval of previous corrections and failure to obtain .final inspection prior to occupancy and permit expiration for addition to single family residence in violation of the 1982 Uniform Building Code as adopted by Section 26-1 of the Butte County Code as follows: (a) Section 301(x) Permits Required (b) Section 305(x) Inspections Required (c) Section 305(d) Inspection Approval Required before Use or Occupancy The above violation shall be corrected or abated by you applying for a permit to complete the work and paying the appropriate fees, within thirty (30) days of the date of this .letter. After permit issuance and field author- ization to proceed, the corrections must be completed and approved by this office within the permit specified time. Unless the violation(s) is (are) so corrected or abated, a citation shall b-- issued to you to appear in court for said violation(s) and for failing to comply with this notice. Upon conviction of said violation(s) or for P ailing to comply with this notice, penalties shall be imposed and a Notice of Violation recorded in accordance with Section 41-7 of the Butte County Code. Should you have any questions concerning this matter, please contact David Purvis of this office at (916)538-7541. JFG: dms cc: Building Inspector Yours very truly, J.F. Glarder Manager, Building Insnecti.on ka 2' 3 4 5 8 7 8 9 10 11 12 13 14 15 is 17 18 19 20 21. 22 23 i 24 25 28 ; PROOF OF SERVICE BY MAIL I am over the age of 18 -and not a party to this cause. I.am a resident of and employed in the. county sphere the mail -in joccurred. My business. address is Building Division De artment Qf Devel-opment Services #7p County enter rive California. Oroville, CA 95965 I served the foregoing 30 -Day Violation Letter by enclosing a- true copy., in a sealed envelope and depositing said envelope in the United Statas'mail with postage fully prepaid on 25th. of January 19 93 , and addressed as follows: Hette and Barbara L. Nyhof 532 East Evans Reimer Road Gridley, CA 95948 I declare under penalty of perjury under the laws of the State of California that the forecoins is true and correct and that this declaration was executed on 1/25/93 at OroviIle , California. .F. Glander Manager, Building Inspection BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 FAM (530)538-2140 WEBSITE: www.buttecounty.netWds PERMIT NO. BPO43269 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 Issued Date: 11/12/2004 APN• 024-150-074-000 the Business and Professions Code, and my license is in full force and effect. License Class: License Number: Site Address: 608 LARKIN RD GRI Date: Contractor: Map Index: Description: RPLC LEAKING GAS LINE OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a Owner: JERRY &JEAN DAVIS 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 P O BOX 6 the Contractor's State License Law (Chapter 9 commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or GRIDLEY, CA 95948 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 ❑ 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 sat- (Sec. 7044, Business and Professions Applicant: JERRY & JEAN DAVIS 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, ' P O BOX 6 provided that such improvements are not intended or offered for GRIDLEY, CA 95948 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 Contractor: PHIL'S HEAT & AIR 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.). PO BOX 33 ❑ 2896 2ND STREET 95917-0033 I am Exempt under Article 3 of the Business and P Professions Code ' � I 530-868-1239 ,I Date: I Owner. '�•�'` n��•f.� -Tv� License #: 648981 WORKERS' COMP SATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit Architect: t(� (' 1� t is issued. Engineer: EII 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 Total Square Ft: 0 S. F. Valuation: _$0.00_______ Census Code: Policy#: I certify that in the performance of the work for which this permit is OFFICE COPY issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, Address 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: GAS i I ,n Meter By Datkl 1►1J ELECT Applicant: — Meter By Date WARNING: Fail 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. k (g 4- 70 JFj It -12-04 CONSTRUCTION LENDING AGENCY This permit is qereby issued under the applicable provisions of the Butte County CodR ?nrvor I hereby affirm that there is a construction lending agency for the Resolutions to work indicated above for which// fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) Lo ' 1.' (,�r U-12-04- Name: B y Date: PERMIT XP ES ON: i ( -2 S Address: Date ❑ 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. ❑ 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 to enter upon the above mentioned property for inspection purposes. Print Name: ��_(� Do/1,5 Signature: Date: —� )4 wrier ❑ Contractor ❑ Agent for Owner ❑ Agent for Contractor T !n BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES . BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 FAM (530)538-2140 WEBSITE: www.buttecounty.net\dds LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class: License Number: Date: Contractor. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dotars ($500).): ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and tV 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.). 1, 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:ner: WORKERS' COMPISNSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ I have and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier: Policy #: I certify that in the performance of the work for which this permit is issued. 1 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: Applicant: WARNING: Fail 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. BPO43269 Issued Date: 11/12/2004 APN: 024-150-074-000 Site Address: 608 LARKIN RD GRI Map Index: Description: RPLC LEAKING GAS LINE Owner: JERRY & JEAN DAVIS P O BOX 6 GRIDLEY, CA 95948 Applicant: JERRY & JEAN DAVIS POBOX 6 GRIDLEY, CA 95948 Contractor: PHIL'S HEAT & AIR PO BOX 33 2896 2ND STREET 95917-0033 530-868-1239 License #: 648981 Architect: Engineer: Total Square Ft: 0 S. F. Valuation: $0.00 Census Code: kle470 't.55•— It-t:2-o-4- This (•12-o4 This permit is gereby issued under the applicable provisions of the Butte County CAdR anrV0r Resolutions to o work indicated above for which fees have been paid. L PERMIT �XIPAES ON: Date: It -12 -04 - PERMIT 1.12-04 ❑ 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. ❑ 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 to enter upon the above mentioned property for inspection purposes. _1% I Print Name: 1 tfz g111.5 Signature Date: 11—to —C ❑ Contractor ❑ Agent for Owner ❑ Agent for Contractor � � d�� . BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OF APPLICATION "PLEASE PRINT CLEARLY" OWNER CONTRACTOR Last NamePouk ' first Name leu Address I. v D 16 d City r �(/ State State Zips Phone Fax 3 E-mail Phone APPLICANT SIGNATURE X ✓i' For office only: CONTRACTOR Name VI 5 Ih Address D 16 d City 1 State Zips -Phone State -Fa E-mail Phone Lic. #� 498 i Class APPLICANT SIGNATURE X ✓i' For office only: ARCHITECT/ENGINEER Name Name Address Book City D -J� State Zip Phone State Fax E-mail Phone State License Number APPLICANT SIGNATURE X ✓i' For office only: APPLICANT NAME Occ. Name ' vrs Book Address D -J� Planner City y, I " /� State Z 19 Phone _ Fax _ E-mail Address APPLICANT SIGNATURE X ✓i' For office only: Zoning Flood Zone SRA I Yes T No Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: PERMIT NO. BPb4F3 BIN N Description or Scope of Work: Sq. Footage ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): OVER FOR SUBMITTAL REQUIREMENTS U K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc Page 1 of 2 EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. Received by: Amount: 55 . — Bldg SRA Receipt #: 4-18470 Sheriff SMTP Date: Other Total REV 7-27-04 LOCATION AP# Da — Property Add res /j C' ' Cross Street WOR ER'S COMPENSATION Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY -Name Address Description or Scope of Work: Sq. Footage ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): OVER FOR SUBMITTAL REQUIREMENTS U K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc Page 1 of 2 EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. Received by: Amount: 55 . — Bldg SRA Receipt #: 4-18470 Sheriff SMTP Date: Other Total REV 7-27-04 L SUBMITTAL & PERMIT REQUIREMENTS The following drawings and specifications must be submitted to the Building Division in order to apply for a permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK ❑ 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. No graph paperl ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans (No graph papers) OR Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 3. Engineered truss details and layouts in duplicate (if required). No faxes! ❑ 4. Energy compliance design and supporting documentation in duplicate. (Note: Not required for additions to mobile or modular homes.) ❑ 5. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 6. Manufactured homes: (A) Data sheets and installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. ❑ 7. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate (if required). ❑ 9. Site plan and business license approval from the City of Biggs. , ❑ 10. Letter of intent for non-residential buildings. , ❑ 11. Detached Accessory Building Form filled out by the owner (if required). ❑ 12. Hazardous Material Form (for Commercial Buildings only). ❑�_3—Sanitation-and_dte-plan-approxaLfrom-the-EavlronmentaLHealth_Depadment Remaining items needed to issue the permit. Additional items may be required after Plan Check and Planning review (May require additional plan review upon receipt of the following items.)'r ❑ 1. Agricultural Buffer clearance and site plan approval from the Ag Commissioner's office (if required). ❑ 2. Impact Fees. ❑ 3. California Department of Forestry plan approval (if required). ❑ 4. NPDES Form. ❑ 5. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 6. Contractor's license information. (Number, Name Style, Classification). ❑ 7. Worker's Compensation Carrier and Policy Number. ❑ 8. Owner -Builder Verification (if required). ❑ 9. Letter of Signature authorization (if required). ❑ 10. Recorded copy of Agricultural Acknowledgment Statement. ❑ 11. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner (for 433A's). If you have questions or would like additional information regarding this process,contact a Permit Application Assistant at (530)538-7541. Y . EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after date of application. In order to renew action on an application after expiration, a new application, plans and fees will be required. REQUEST FOR FEE REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made within two years from the date of fee payment on permits not issued, and two years from the date of permit issuance for permits issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. OVER FOR BUILDING PERMIT APPLICATION KAFORMS\BUILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2 REV 7-27-04