HomeMy WebLinkAbout024-150-038'
AP 24-15-38
Roy Kawasaki KAWASAKI, Roy S. 1202-6713
e/s Larkin Rd. app. 4 mi. S. of Evans I 1816-67P
Reimer Rd., Gridley 0-68E
Permit"1202-& (Commercial Workshop)
i
-1 -
e/s Larkin Rd. ap 4 mi. so. of Evans Reimer,
Gridley
(new/workshop) -
24-15-38 com'l,�'
Permit#6782- 9B (ne/w�sh�eathing & 0�)4— 15— � �--�'•-��
reroof ) SF
24-15-38
680 Larkin Rd, Gridley
Contr: Rice Bros Hse Movers
Permit#3472-86B(new foundatiJ )SF
24-15-38
Permit #250-91E
(elec 'sery/sf) _ 9 i
024-150-074 0
KAWASAKI, ED
680 LARKIN RIDL Y CA 9 948
CONT B KING
HEN REMODEL
5.1
024-150-038 02-239V&'
KAWASAKI, ED ,-
680 LARKIN RD., GRIDLEYy-
CONT: BOB KING ��
f
KITCHEN REMODEL
—
024-150-038 02-2546
KAWASAKI C�!D
6
680 LARKIN RD., GRIDLEY
CONT: BOB KING
C/O WINDOW
024-150-038 02-257CNItE KAWASAKI
680 LARKIN RD., GRIDLEY
CONT: ROBERT KING
HVAC
5.1
11 MW
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024-150-038 02-2579
�• KAWASAKI
680 LARKIN RD., GRIDLEY'
CONT: ROBERT KING
HVAC ;
a `4
s�
.'z
4
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO
(Rev. 12/96) APPLICATION AND PERMIT 02-2571
ASSESSOR PARCEL NUMBER
5 R
ZONING
BUILDING PERMIT
OWNER
AKT
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
OWNERS MAILING ADDRESS
3
CONTRACTOR'S NAME
RQBM H. KTNT
TELEPHONE
1246-4701
CONTRACTORS MAILING ADDRESS
P.n. Box 342 GRIDLEY CA. Q-1,948
CONSTRUCTION LENDER
Fireplace
LENDER'S MAILING ADDRESS
Total Valuatlon $
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee $
20.00
Permit Fee $
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee $
BUILDING ADDRESS
C W42
- Ex
Energy Plan Checking Fee $
$
PERMIT FEE $
LOT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT
Filing Fee 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 gas water heater or vent
15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑
Describe Work: HVAC i��EATINC)
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home S G W
@20.00
PERMIT FEE $
ELECTRICAL PERMIT
Filing Fee 20.00
800V 0 R UES
Main Service 20..OF LESS
23.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license is in full force and effect.POWER
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:
❑ 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
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
Number
(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.
,�..+v
X f } / ,.- w...• Date It w^ d' �.
Signatre of Applic t - d Owner ❑ Contractor Q Agent
An OSHA permit is required for excavations over 60" deep and demolition or construction
of structures over 3 stories in height.
Main Service zoo. To ,000A
46.00
NEW CONST. DWELLING OCCUP.
OR ADONS. ( 8 ACC. BLD S.
SO
3.5QFT.
NEW CONST. MULTI.OUTLET
NON-RESID. @7.50
APPARATUS
a SINGLE 0.cIR.
Ex. Occup. OUTLET OR FIXTLIRES BAL p 20 �: o
Ex. Occup. oFlxuritiAPP
. oe.
5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring 23.00
PERMIT FEE $
MECHANICAL PERMIT Filing Fee 20.00
Heating 1 15. QQ L5.00
Cooling
Hood 6.50
Ventilation
PERMIT'FEE $
Mobile Home Installation Fee $
15.00Policy
Energy Inspection Fee $
occ
CONST. TYPE❑
TOTALFEE$ 35.
HAZ.
D. FEES IMP
I FLOOD
I CDF
PARCEL
I PD
I HD
I ISSUE
This permit is hereby issued under the applicable provisions
of the Butte County Code and/or Resolutions to do work
indicated ab a for which fees have been paid.
/; . > '
By s - if Date r}_17--02
PERMIT EXPIRES ON 9-17-0
(Da te
Receipt No. 361284
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
,F
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO.
(Rev. 12/96) APPLICATION AND PERMIT 02-2571
ASSESSOR PARCEL NUMBER
ZONING
BUILDING PERMIT
OWNER
KAWASAKI
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
. OWNER'S MAIUNG ADDRESS
CONTRACTOR'S NAME
ROBFIRT 14- UNIT 1846-4701
TELEPHONE
CONTRACTORS MAILING ADDRESS
CONSTRUCTION LENDER
Fireplace
LENDER'S MAIUNG ADDRESS
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee $
20.00
Permit Fee $
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee $
BUILDING ADDRESS
6_80 TARKIN • 9 QFQ� CA 95948
Energy Plan Checking Fee $
$
PERMIT FEE $
LOT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT
Fling Fee 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 gas water heater or vent
15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑
Describe Work: HVAC (HEATING)
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home I S I G I W
@20.00
PERMIT FEE $
ELECTRICAL PERMIT
Fling Fee 20.00
OOOV 0' LESS
Main Service ZD.AORIESS
23.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license is in full force and effect.POWER
License Class Lic. No.
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
Main Service 200A TO 1000A
46.00
NEW CONST. DWELLING OCCUR
OR ADDNS. ( 8 ACC. S.
SO
3.50FT.
NOEN.R SID MULTI -OUTLET
97,50
APPARATUS
8 SINGLE OUTLET CIR.
EX. Occu ourLEr OR FDRURES
BAS (' .50
Ex. Occup. oFlurLEEIS AES o) E
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wirina
23.00
PERMIT FEE $
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
❑ I have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
❑ 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.)
❑ 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 ' �� Date '% —
Si re of App' t - 0 Owner ❑ Contractor P Agent
An OSHA permit is required for excavations over 60" deep and demolition or construction
of structures over 3 stories in height.
MECHANICAL PERMIT Filing Fee 20.00
Heating 1 15.00 L5.00
Cooling
Hood 6.50
Ventilation
PERMIT FEE $
Mobile Home Installation Fee $
Energy Inspection Fee $
OCC
CONST. TYPE
TOTAL FEE $ 35.00
IHA
o. FEES IMP
I FLOOD
I CDF
PARCEL
I PD
I HD
I ISSUE
This permit is hereby issued under the applicable provisions
of the Butte County Co a an /or Resolutions to do work
indicated ab ve for w 'c fees a e been paid.
13 Date 9-17-02
PERMIT EXPIRES ON 9-17-03
Date
rReceiptNo. 361284
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
NOTES
r�
t �
RESIDENTIAL
r_
024-150-038 02-2546
PERMIT NO. .KAWASAKI - - -- — -
680 LARKIN RD., GRIDLEY
CONT: BOB KING
C/O WINDOW 1
11 SPECIAL CONDITIONS 11
SRA
FLOOD CERTIFICATE REQ.
FIRE SPRINKLERS REQ.
SPECIAL INSPECTION ITEMS
VERIFY
USE PERMIT CONDITIONS
SUB -STANDARD HOUSING LETTER
JOB FINALED (D e), v-
Signatur
CHECKED
BY
J_OK'
D = Not OK
. = NotReadyable MOBILE HOMES
Date MOBILE HOME UTILITIES (Plans) OK except #'s
1. Zoning Requirements -Setbacks -Easements
2. Soils; Special MH Support Sketch
3. Sewer: Location -Test -Fall -C/O -Concrete
4. Water; Location -Test -Easement Needed (Sketch)
5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete
6. Gas; Location -Test -Wrap;-/ /" L 'ft.
/ P Nat. or / /" L "ft./ P LPG
7. Well Clearance & Disconnect
8. Utilitv Clearance
Date Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date MOBILE HOME INSTALLATION (Plans) OK except #'s
1.
Zoning Requirements -Setbacks -Easements
2.
Footings; Size -Spacing -Marriage Line
3.
Gas; MH Test -Demand -Valve -Connector
4.
Electricity; MH Test -Crossovers -Breakers -Clearances
5.
Drain; MH Test -Fall -Flex Connector
6.
Water; MH Test -Regulator -Connector
7.
Water and Sewer Connected -C%0 to Grade -HD Approval
8.
Gas and Electricity Tagged
9.
Tie Downs -Type -Installation Cert.
10.
Exits; Insp.-Sketch
11.
Cert. of Occupancy
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date PERMANENT END SYSTEM (ONLY)
1.
Zoning Requirements -Setbacks -Easements
2.
Footings; Size -Spacing -Marriage Line
3.
Blocking
4.
Gas; MH Test -Demand -Valve
5.
Electricity; MH Test
6.
Water; MH Test '
7.
Water and Sewer Connected
8.
Gas and Electricity Tagged
9.
Exits
10.
License Decals
11.
Verify #'s with Office
8.
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
MISCELLANEOUS
Date
DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s
1.
Zoning Requirements -Setbacks -Easements
2.
Footings; Soils -Size -Depth -Spacing -Connectors -Steel
3.
Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails
4.
Wood Awn.; Posts- Beams- Rftrs-Connectors
Shthg-Frg-Bracing
5.
'Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6.
Carports; Windows -Doors
7.
Electric
8.
Frmg.; Sills-Anchors-Studs-Rftrs-Trusses
9.
Siding; Nailing -Veneer -Stucco -Mesh
10.
Roof; Shthg-Roofing
11.
Ext.; Steps -Doors -Landings
12.
Braced Wall Panels
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
POOLS (Plans) OK except #'s
1.
Setbacks -Easements
2.
Soils; Compaction -Structure Stability
3.
Pool Structure; Steel -Connections -Thickness
Dead Men -Lining
4.
Elec.; Receptacles and Lighting, Distance-GFI
5.
Elec.' Pool Lighting; 15 Volts-GFI
6.
Elec.; Enclosures; Conduit Entries -Terminals -Listed
7.
Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater
8.
Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg.
Boxes- Enclosures- Panelboards-Ins. to Main Conduit
9.
Health Department Approval
10. Plumb.; Cir. Test -Water Supply Test
11.
Liqht Niche
12. Enclosure; Fencing -Alarms
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
J=OK
0 = Not OK
= Not Applicable
. = Not Ready
RESIDENTIAL (Single & Duplex)
Date
UNDERFLOOR (Plans) OK except #'s
1.
Zoning -Setbacks -Easements -Flood -Slope
2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth
Cling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rtng.
3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth
49.
4.
Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth
50.
5.
Stemwalls, Main; Steel-Blockouts-Wrapped
51.
6.
Stemwalls, Garage; Steel-Blockouts-Wrapped
52.
6a.
Hold Downs and Special Anchors
53. Property Line Firewall & Openings
7.
Slab, Steel -Wrapped
Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits
8.
Piers -Fireplace Ftq.-Steel
Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
9.
D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test
Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
10.
UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test
Siding -Nailing Veneer
11.
Water Pipe; Test -Anchors -Regulator -Service Test
Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access
12.
Electric Underground
Glazing Area -Glass Protection -Skylights -Plastic
13.
Plenums & Ducts; Clearance -Material -Support -Ins.
Shear Walls; Nailing -Bolts
14.
Girders -Sills -Anchor Bolts-Joists-Vents-Crippies
Brace Interior/Exterior Wall Panels
15.
Access & Ventilation
Insulation -Walls -Ceilings
16.
Insulation
Infiltration -Walls -Windows
Date
Date
Date
Card B-1 Date Card B-1
Date
Date
Card B-1 Date Card B-1
Date
PLUMBING (Permit) OK except #'s
Ext. Steps -Door & Sidelight Protection -Landings
17.
Water Htr.; Vent -Access -Combustion Air Baffle
Smoke Detector
18. Water Pipe; Test & Anchor -Nail Protection
66.
19.
D.W.V.; Test Fittings & Anchor -Nail Protection
67.
20.
Shower Pan; Test, First Floor -Tub Access
68.
21.
Test Tub & Shower, Second Floor -Tub Access
69.
22.
Gas Pipe; Sixe & Anchors
70.
23.
Fire Sprinkler; Test
71. Fireplace or Stove, Clearance -Hearth
72.
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
ELECTRICAL (Permit) OK except #'s
75.
24. Fixture & Transformer Clearance -Ins. Protection
25.
Elec. Receptacles Spacing -Lights & Switches at Doors
26. Size Boxes & No. of Conductors Stapled
Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V.
in Garage; Above Floor-Mech. Protection
27.
Romex Installed Close to Edge of Studs & C.J.
Plb.; Elec. & Mech. Equip. Listed for Location
28.
Equip. Ground made up w/Mech Fasteners -Bond Gas & Water
Elec. Receptacles in Garage (F.F.I.)-Romex Protection
29.
2 Appliance Circuits in Kitchen & Conductor Size GFI
Insulation -Foam -Looked in Attic
30.
Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or Al
Guard Rails & Deck Construction -Post Caps
31.
Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or Al
Insulated Neutral 0 Yes O No
Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth
32.
Service -Riser Conductors & Ground Main Disconnect
Clearance Looked under Floor 0 Yes
33.
Equip. Clearances Panels-Motors-Mech. Equip.
Following Instld./Drive 0 Yes 0 No/Walks 0 Yes 0 No/Planters 0 Yes 0 No
34.
Clothes Closet Light -Shower Light -Spa Light
Stucco Brown -Finish
35.
Smoke Detector
A.C. Unit Disconnect, Electrical -Plumbing
86.
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
MECHANICAL (Permit) OK except #'s
89.
36.
A.C. Ducts Insulation & Support
90. Glass Protection
37. Vent Fan, Exhaust above insulation
91.
38.
Condensate Drain & Overflow, Size & Grade
92. Gas Test -Meters Tagged, Gas -Electric
39.
Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet
Water & Sewer Connected -C/O to Grade -HD Approval
40.
Attic Access & Platform if Furnace in Attic
Date
95. Address Posted
Card B-1 Date Card B-1
Date
Date
Card B-1 Date Card B-1
Date
FRAMING (Permit) OK except #'s
41.
Sills Proper Materials & Anchors
42.
Walls Studs -Nailing Spacing & Braces -Plates -Sound
43.
Bearing Walls over Girders & Floor Nailing
44.
Draft Stop in Walls (rat proof)
45.
Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs
46.
Headers & Beams -Size & Bearing
Date
FRAMING (Continued)
47.
Hangers -Post Caps -Anchors -Connectors
48.
Cling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rtng.
49.
Fireplace Ties or Type A Flue -Fireplace Throat Clearance
50.
Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
51.
Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions
52.
Garage Fire Protection Framing -RC Channel
53. Property Line Firewall & Openings
54.
Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits
55.
Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
56.
Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
57.
Siding -Nailing Veneer
58.
Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access
59.
Glazing Area -Glass Protection -Skylights -Plastic
60.
Shear Walls; Nailing -Bolts
61.
Brace Interior/Exterior Wall Panels
62.
Insulation -Walls -Ceilings
63.
Infiltration -Walls -Windows
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
FINAL (Plans) OK except #'s
64.
Ext. Steps -Door & Sidelight Protection -Landings
65.
Smoke Detector
66.
Furnace Vents -clearance -Comb, Air -Connector -
In Garage; Above Floor-Ducts-Mech. Protection
67.
Bedroom Exiting
68.
G.F.I. & Bath Fixtures & Tub Access -Spa
69.
Elec. Trim & Subpanel, Breaker Sizes & Labels
70.
Stairs & Rails
71. Fireplace or Stove, Clearance -Hearth
72.
Elec. Outlets at Wood Panel, Int. & Ext.
73.
Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance
74.
Elec. Outlets & Receptacles at Kit. Counter
75.
Garage Fire Door; Swing -Landing -Closure
76.
A.C. Duct in Garage -Damper
77.
Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V.
in Garage; Above Floor-Mech. Protection
78.
Plb.; Elec. & Mech. Equip. Listed for Location
79.
Elec. Receptacles in Garage (F.F.I.)-Romex Protection
80.
Insulation -Foam -Looked in Attic
81.
Guard Rails & Deck Construction -Post Caps
82.
Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth
Clearance Looked under Floor 0 Yes
83.
Following Instld./Drive 0 Yes 0 No/Walks 0 Yes 0 No/Planters 0 Yes 0 No
84.
Stucco Brown -Finish
85.
A.C. Unit Disconnect, Electrical -Plumbing
86.
Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings
87.
Water Well, Disconnect, Electrical, Plumbing
88.
Exterior Elec. Trim, G.F.I. Receptacle -Underground
89.
Ventilation Throughout House
90. Glass Protection
91.
Corrections from Previous Inspections
92. Gas Test -Meters Tagged, Gas -Electric
93.
Water & Sewer Connected -C/O to Grade -HD Approval
94. Energy Compliance Certificate -Other Certificates
95. Address Posted
96. Fire Sprinkler
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Comments at Final:
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT No.
(Rev. 12/96) APPLICATION AND PERMIT 92-254b
ASSESSOR PARCEL NUMBER
024-150-038
ZONING
-
BUILDING PERMIT
OWNER
Kaw.
TELEPHONE
SQ. FT. OCC. BUILDING VALUATION
Cont E t 5300.00
'aa
1R
OttPdLarZ1nEsd Gridley
CONTRACTOR'S NAME
Bob Kine184�;-4701
TELEPHONE
CONTRACTORS MAILING ADDRESS
499 Hazel Street Gridley 95948
CONSTRUCTION LENDER
Fireplace
LENDER'S MAILING ADDRESS
Total Valuation $ 6300.00
ARCHITECT OR ENGINEER
LICENSE NO.
Filen Fee $ 20.00
Permit Fee $ 90.00
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee $
BUILDING ADDRESS
680 Larkin Rd Gridle
Energy Plan Checking Fee $
$
PERMIT FEE $
LAT NO.
SUBDNISIONS NAME
PARCEL MAP
PLUMBING PERMIT Filing Fee 20.00
Each Trap - 1 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 15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑
Describe Work: WJ-ndb4d Change out
Gas piping s"tem 1 - 5 outlets 15.00
Building sewer 15.00
Mobile Home I S I G I W @20.00
PERMIT FEE $ 3.5, 00
ELECTRICAL PERMIT Filing Fee 20.00
Main Service noon oa'ss 23.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license is in full force and effect.POWEPPARATUS
License Class C2 Lic. No. _ �� G
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
❑ I, as owner of the property, 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
I hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
❑ 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 rrier and policy number are:
Carrier iir`� �c.o-
Main Service 200A TO /o00A J 46.00
NEW CONST. DWELLING OCCUP. so
OR ADONS. ( & ACC. BLD S. 3.5¢FT:
NON-REOSID. MULTI-OUTLEITST @7,50
8 SINGLER AOIIILET CIR.
20 Q 100
EX. Occup. OUTIET OR FIXTURES BAL Q .50
Ex. Occup. OFIxLITLE�osA Aes ORS 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring 23.00
PERMIT FEE S
MECHANICAL PERMIT Filing Fee20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEE S
Policy NumberT> > � U _ L 6 a•O
(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.
`%�f �' Date /3 —O Z
tVT'a_ture of plica i '- ❑Owner ❑ Contractor ❑ Agent
An OSHA 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 $
occ
CONST. TYPE
TOTAL FEE $ 1g0.00
HAZ.
D. FEES IMP
FLOOD
CDF
PARCEL I PD
HD
ISSUE
This permit is hereby issued under the applicable provisions
of the Butte County Code and/or Resolutions to do work
indicated a ove for w",ch have been paid.
B _wo- - d_14 Date
44
PERMIT EXPIRES ON �_,- -"/1-s
Defe
Receipt No.
WHITE-D.D.S.-B. CA RY- SSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
oujoe r needs,
�r - Czech
�i� l b)Oq n 6r
s
NOTES
r
RESIDENTIAL ✓�
024-150-038 , 02-2388 r
,PERMIT NO. k, KAWASAKI, ED _ -
680 LARKIN RD., GRIDLEY
CONT: BOB KING^s
I KITCHEN REMODEL
SPECIAL CONDITIONS
SRA
FLOOD CERTIFICATE REQ.
FIRE SPRINKLERS REQ.
SPECIAL INSPECTION ITEMS
VERIFY
USE PERMIT CONDITIONS
SUB -STANDARD HOUSING LETTER
JOB FINALED ( at )
I Signature
CHECKED
BY
J=OK
0 = Not OK
. = Not Readyable
MOBILE HOMES
Date
MOBILE HOME UTILITIES (Plans) OK except #'s
1.
Zoning Requirements -Setbacks -Easements
2.
Soils; Special MH Support Sketch
3.
Sewer; Location -Test -Fall -C/O -Concrete
4.
Water; Location -Test -Easement Needed (Sketch)
5.
Electricity; Location-Clearances-Grnd-/ /Amp -Concrete
6.
Gas; Location -Test -Wrap;-/ /" L 'ft.
/ P Nat. or/ /" L "ft./ P LPG
7.
Well Clearance & Disconnect
8.
Utility Clearance
9.
Siding; Nailing -Veneer -Stucco -Mesh
i
10.
Roof; Shthg-Roofing
Date
11.
Card B-1 Date Card B-1
Date
12.
Card B-1 Date Card B-1
Date
MOBILE HOME INSTALLATION (Plans) OK except #'s
1.
Zoning Requirements-Setbacks-Easemerits
Card B-1 Date Card B-1
2.
Footings; Size -Spacing -Marriage Line
Card B-1 Date Card B-1
3.
Gas; MH Test -Demand -Valve -Connector
4.
Electricity; MH Test -Crossovers -Breakers -Clearances
5.
Drain; MH Test -Fall -Flex Connector
6.
Water; MH Test -Regulator -Connector
4.
7.
Water and Sewer Connected -C/O to Grade -HD Approval
5.
8.
Gas and Electricity Tagged
6.
9.
Tie Downs -Type -Installation Cert.
7.
10.
Exits; Insp.-Sketch
8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg.
Boxes- Enclosures- Panel boards- Ins. to Main Conduit
11.
Cert. of Occupancy
Health Department Approval
10.
Plumb.; Cir. Test -Water Supply Test
11.
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
PERMANENT END SYSTEM (ONLY)
1. Zoning Requirements -Setbacks -Easements
Date
2. Footings; Size -Spacing -Marriage Line
Card B-1 Date Card B-1
3.
Blocking
4.
Gas; MH Test -Demand -Valve
5.
Electricity; MH Test
6.
Water; MH Test
7.
Water and Sewer Connected
8.
Gas and Electricity Tagged
9.
Exits
10.
License Decals
11.
Verify #'s with Office
Date Card B-1 Date .. - Card B-1
Date Card B-1 Date Card B-1
MISCELLANEOUS
Date
DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s
1.
Zoning Requirements -Setbacks -Easements
2.
Footings; Soils -Size -Depth -Spacing -Connectors -Steel
3.
Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails
4.
Wood Awn.; Posts-Beams-Rftrs-Connectors
Shthg-Frg-Bracing
5.
Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6.
Carports; Windows -Doors
7.
Electric
B.
Frmg.; Sills-Anchors-Studs-Rftrs-Trusses
9.
Siding; Nailing -Veneer -Stucco -Mesh
10.
Roof; Shthg-Roofing
11.
Ext.; Steps -Doors -Landings
12.
Braced Wall Panels
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
POOLS (Plans) OK except #'s
1.
Setbacks -Easements
2.
Soils; Compaction -Structure Stability
3. Pool Structure; Steel -Connections -Thickness
Dead Men -Lining
4.
Elec.; Receptacles and Lighting, Distance=GFI
5.
Elec.; Pool Lighting; 15 Volts-GFI
6.
Elec.; Enclosures; Conduit Entries -Terminals -Listed
7.
Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater
8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg.
Boxes- Enclosures- Panel boards- Ins. to Main Conduit
9.
Health Department Approval
10.
Plumb.; Cir. Test -Water Supply Test
11.
Light Niche
12.
Enclosure; Fencing -Alarms
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
J_0fc
0 = NotOK
- = Not Applicable
. = Not Ready
RESIDENTIAL (Single & Duplex)
Date UNDERFLOOR (Plans) OK except #'s
1. Zoning -Setbacks -Easements -Flood -Slope
2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth
3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth
4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth
5. Stemwalls, Main; Steel-Blockouts-Wrapped
6. Stemwalls, Garage; Steel-Blockouts-Wrapped
6a. Hold Downs and Special Anchors
7. Slab, Steel -Wrapped
8. Piers -Fireplace Ftg.-Steel
9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test
10. UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test
11. Water Pipe; Test -Anchors -Regulator -Service Test
12. Electric Underground
13. Plenums & Ducts; Clearance -Material -Support -Ins.
14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies
15. Access & Ventilation
16. Insulation
Date Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
PLUM G (Permit) OK except #'s
Date
1 er Htr.; Vent -Access -Combustion Air Baffle
10"W_ ater Pipe; Test & Anchor -Nail Protection
X19. D.W.V.; Test Fittings & Anchor -Nail Protection
Fireplace Ties or Type A Flue -Fireplace Throat Clearance
20. Shower Pan; Test, First Floor -Tub Access
5Q_Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
21. Test Tub & Shower, Second Floor -Tub Access
22. s Pipe; Sixe & Anchors
23. Fire Sprinkler; Test
64
Date 4 k1X
Date
Card B-1 Date Card B-1
Card B-1. Date Card B-1
Date
ELECTRICAL (Permit) OK except #'s
Date
24. Fixture & Transformer Clearance -Ins. Protection
Date
25._,F 1ec. Receptacles Spacing -Lights & Switches at Doors
n. Siz Boxes & No. of Conductors Stapled
Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits
omex Installed Close to Edge of Studs & C.J.
55.
28. Egy1p. Ground made up w/Mech Fasteners -Bond Gas & Water
2 Appliance Circuits in Kitchen & Conductor Size GFI
Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
30. Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or Al
57.
31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or Al
Insulated Neutral 0 Yes 0 No
e7
1 32. Service -Riser Conductors & Ground Main Disconnect
33. Equip. Clearances Panels-Motors-Mech. Equip.
Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access
34. Clothes Closet Light -Shower Light -Spa Light
35. Smoke Detector
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
MECHANICAL (Permit) OK except #'s
36. A.C. Ducts Insulation & Support
37. Vent Fan, Exhaust above insulation
Fireplace Ties or Type A Flue -Fireplace Throat Clearance
38. Condensate Drain & Overflow, Size & Grade
5Q_Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
39. Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet
51.
40. Attic Access & Platform if Furnace in Attic
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
FRAMING (Permit) OK except #'s
41. 541s Proper Materials & Anchors
Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits
4 .Walls Studs -Nailing Spacing & Braces -Plates -Sound
55.
Bearing Walls over Girders & Floor Nailing
X. Draft Stop in Walls (rat proof)
Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
4F' a Stops, Furred Ceilings -Stairs -Chasers -Tubs
57.
46 Headers & Beams -Size & Bearing
Date
FRAMING (Continued)
47.
H ers-Post Caps -Anchors -Connectors
Cling. Joist-Rftr. Ties- Purl in- Roll Brac.-Truss-Shting.-Rtng.
49.
Fireplace Ties or Type A Flue -Fireplace Throat Clearance
5Q_Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
51.
Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions
52.
Garage Fire Protection Framing -RC Channel
53.
Property Line Firewall & Openings
54.
Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits
55.
Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
56.
Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
57.
Siding -Nailing Veneer
58.
Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access
59.
Glazing Area -Glass Protection -Skylights -Plastic
60.
Shear Walls; Nailing -Bolts
61.
63.
jk6ce Interior/Exterior Wall Panels
Insulation -Walls -Ceilings
I nfi Itration-Wal Is -Windows
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
FINAL (Plans) OK except #'s
64.
Ext. Steps -Door & Sidelight Protection -Landings
65.
Smoke Detector
66.
Furnace Vents -clearance -Comb, Air -Connector -
In Garage; Above Floor-Ducts-Mech. Protection
67.
Bedroom Exiting
68.
G.F.I. & Bath Fixtures & Tub Access -Spa
69. Elec. Trim & Subpanel, Breaker Sizes & Labels
70.
Stairs & Rails
71.
Fireplace or Stove, Clearance -Hearth
72.
Elec. Outlets at Wood Panel, Int. & Ext.
73.
Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance
74.
Elec. Outlets & Receptacles at Kit. Counter
75.
Garage Fire Door; Swing -Landing -Closure
76.
A.C. Duct in Garage -Damper
77.
Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V.
in Garage; Above Floor-Mech. Protection
78.
Plb.; Elec. & Mech. Equip. Listed for Location
79.
Elec. Receptacles in Garage (F.F.I.)-Romex Protection
80. Insulation -Foam -Looked in Attic
81. Guard Rails & Deck Construction -Post Caps
82.
Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth
Clearance Looked under Floor 0 Yes
_
83.
Following Instld./Drive 0 Yes O No/Walks 0 Yes 0 No/Planters 0 Yes O No
84.
Stucco Brown -Finish
85.
A.C. Unit Disconnect, Electrical -Plumbing
86.
Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings
87. Water Well, Disconnect, Electrical, Plumbing
88. Exterior Elec. Trim, G.F.I. Receptacle -Underground
89. Ventilation Throughout House _
90.
Glass Protection
91.
Corrections from Previous Inspections
92.
Gas Test -Meters Tagged, Gas -Electric
93.
Water & Sewer Connected -C/O to Grade -HD Approval
94.
Energy Compliance Certificate -Other Certificates
95.
Address Posted
96.
Fire Sprinkler
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Comments at Final:
•^�. �y r COUNTY OF BUTTE,
BUILDING DIVISION4
`DEPARTMENT OF rDEVEL'OPMENT SERVICES
411 Main Street • Chico, CA •'(530) 891-2751
7 County Center,Drive • Oroville, CA • (530) 538=7541
CORRECTION NOTICE
R .
OWNER PERMIT NO.
A routine inspection indicates that the following violations of butte county Ordinances exist at the C
above address and should be' corrected. Please notice this office when correction of work is
completed. If youlhave any questions pertaining to this matter, or need additional explanation,
please contact this office immediately.
�/� �� rR-✓�-� /.� /,.119-%�� /I�= //�-��� ,:-�
Date /— — Inspecto
REV 10/92
I4
r
Date /— — Inspecto
REV 10/92
t COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO.
(Rev. 1096) APPLICATION AND PERMIT 02-218P
ASSESSOR P C UMBER
`.-1.50-038
ZONING
BUILDING PERMIT
OWNER
ED K.P,WASAKI
TELEPHONE
-
SO. FT. OCC. BUILDING VALUATION
L _
9 0
OWNER'S MAILING ADDRESS
680 LARKIN RD GRIDLEY 95948
CONTRACTOR'S NAME
B03 KING846-4701
TELEPHONE
CONTRACTORS MAILING ADDRESS
40;9 HAZE, ST GRIDLEY 95948
CONSTRUCTION LENDER
Fireplace
LENDER'S MAILING ADDRESS
Total Valuation $ 41000.00
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee
$ 20.00
Permit Fee
$ 63.00
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee
$ 2-3.00
BUILDINGADDRESS 680 LARKIN RD GRIDLEY
Energy Plan Checking Fee
$
$
PERMIT FEE
$ 106.00
LOT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT
Fling Fee 20.00
Each Trap
1 7.00 7°00
USEOFSTRUCTURE
SF ❑ Duplex ❑ Mobilehome ❑ Other
SPECIFY
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 ❑ Fgamodel ❑ Utilities ❑ in lation ❑ Other ❑
Describe Work:
Gas piping system 1 - 5 outlets
15.00 15.00
Building sewer
15.00
Mobile Home I S I G W
@20.00
PERMIT FEE
$ 42.00
ELECTRICAL PERMIT
Fling Fee 20.00
Main Service 2o0A OR LESS
23.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
(CONST
9 commencingwith Section 7000) of Division 3 of the Business and Professions Code,
and my license is in full force and effect.POWEPUS
< j„
License Class L3 Lic. No. S`'�`si LG°�f(�
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
❑ I, as owner of the property, or my employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
❑ 1, 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
Main Service 200A TO lOooA
46.00
NEW CONST. DW EWNG OCCUP.
OR ADDNS. ( a ACC. BIDS.
SO
3.5¢FT:
NEW CONST. MULTI.OUTLET
NOL.}R.ID, C
�a 7.50
a SINGLER AOUTLETPARATCIR.
Ex, Occup. OUTLET OR FIXTURES
e2091.00
.50
FIXED APPLNS. OR
Ex. Occup. ouTL LETS RESID. Ea
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
PERMIT FEE
$ 43.00
WORKERS' COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
❑ 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 car ier and policy number are:
Carrier : ,S7`0�
Policy NumberEnergy
(The above sections need not be completed rf e permit is for work of a valuation
of one hundred dollars ($100) or less.)
❑ 1 certify that in the performance of the work for which this permit is issued, I shall
not employ any person in any manner so is 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.
XSDate f-, ice,
' ature Applicant - ❑ Owner- ❑ Contractor ❑ Agenl -
An OSHA permit is required for excavations over 5'0" deep and demolition or construction
of structures over 3 stories in height.
MECHANICAL PERMIT
Filing Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEE $ 26.50
Mobile Home Installation Fee $
Inspection Fee $
occ
CONST. TYPE
TOTAL FEE $ 23-7.50
HAZ.
D. FEES IMP
FLOOD
CDF
PARCEL
PD
HD
dSLE
3a
This permit is hereby issued under
of the Butte County Code and/or
indicated ab a for which fees have
By
PERMIT EXPIRES
the applicable provisions
Resolutions to do work
been paid.
('�
• ati
DaateX � ,0-
Defe
Receipt No.
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
1�..'�-,,.,1'.( 1,1%F ).t...�i,�*�N•Y'..�A ` yL►.^^►.fr!`^.,.�-.t . �1�....R... rv�+�y.�tir1 H'r'�-,�i�,.,f�c�,,..%�GYI���9"`tl�ii^`'�,�r''wi"4u�"�r�.-�-•;��:. �'r �� ,; ,�.. ..-
COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION
7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140
PERMIT APPLICATION DATA SHEET
OWNER: qsc" ASSESSOR PARCEL NUMBER ()04-* l Sv � U-�72
Proposed Building Use: `t �u/� r "T�C� Counter Technician: Date: �yy
Items required in order to apply for a permit. All boxes MUST be checked OR ma`r ed NA in order to apply.
❑ L. Plot plans, 3 or 4 sets, signed,�y the preparer of the plans.
2. Complete plans, 3 or 4 sets, signed by the preparer of the plans.
3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations.
❑ 4. Engineered truss details and layouts in duplicate. No faxes!
❑ 5. Energy compliance design and supporting documentation in duplicate. r
+ ❑ 6. Manufactured homes: (A) Data sheets and installation instructions, (B) Marriage line information, (C) Floor Plan, D) Tie down or
foundation plans, all in duplicate. -
❑ 7. Metal buildit�gs: (A) Metal Building Pians, (B) Foundation plans and calculations in triplicate, (C) Elevation views in triplicate.
(D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer.
Items required for initial plan review. If checked items have not been received, plan review cannot proceed. The permit will be
` indexed and returned to the plan review line-up when required items are received.
Date Received By
❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate ................................
❑ 9. Plot plan and business license approval from the City of Biggs ....................................
❑ 10. Letter of intent for non-residential buildings......................................................:..
❑ 11. Detached Accessory Building Form filled out by the owner .....................................
❑ 12. Hazardous Material Form............................................................................... _
❑ 13. Other
Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.)
❑ 14. Fees as shown on the attached Schedule of Fees Due Sheet .......................................
❑ 15. Statement of Intent for Non -heated and A/C Buildings .............................................
❑ 16. Sanitation and plot plan approval from the Environmental Health Department in
❑ 17. City of Chico Plumbing permit.........................................................................
❑ 18. California Department of Forestry plan approval ❑ paid. Sent by: ......................
❑ 19. Planning approval for (A) Use: (B)Parking: (C) Parcel Check:
❑ 20. Contact Land Development about ❑ Improvements, ❑ Drainage ...............................
❑ 21. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy).
❑ 22. Pre -Inspection for required................
❑ 23. Contractor's license information. (Number, Name Style, Classification) ......................
❑ 24. Worker's Compensation Carrier and Policy Number ..............:..............................
❑ 25. Owner -Builder Verification (❑ Given to owner, ❑ Mailed to owner).......! .............
❑ 26. Letter of Signature authorization..................................................................
❑ 27. Recorded copy of Agricultural Acknowledgment Statement ....................................
❑ 28. Manufactured home utility clearance...............................................................
❑ 29. Existing violations and/or expired permits.........................................................
❑ 30. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $
❑ 31. Other:
When issued Telephone and hold for pickup.
I have been informe of the above items and requirements for obtaining a building permit.
Applicant: Date:
1. Index permit application for the above items numbered:
2. Additional items required
Plan Check Letter
Contractor, designer, owner, was advised cf the above data by ❑ phone, ❑ mail, ❑ counter, by Date:
Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date:
Plans reviewed by: Date: Plans approved by:
Structural reviewed by: Date: Structural approved by:
Note transfer by: Date:
Vellnw- Ruilrlino nivi6
Date:
Date:
it - /
K 41-
FE=b 03 03 09:54p
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COUINTY OF BUTTE
Oroville, California
GENERAL CLAIM
CLAIMANT: 06
ADDRESS:
CITY & STATE:
DATE OF CLAIM: F--.30_ e_,) --
IMPORTANT.
IMPORTANT.• SEE INSTRUCTIONS ON REVERSE SIDE
SUBMIT CLAIM TO DEPARTMENT RECEIVING GOODS OR SERV/CES
DATE
DESCRIPTION OF CLAIM (DESCRIBE FULLY TO AVOID DELAY)
AMOUNT
�l v 40 AN Uig /(" OGkTR HAS CANDID HIS PE 41T.
�
(AP # 024-150-074, BP # A3$8, RECEIPT r 315294, DATED 4-18-02,
OWNER : ED KAWASAKI.)
TOTAL XiOUNT PAID
$332.8
RETAIN REFUND PROCESSING FEE
RETAIN BUILDING PERMIT FILING FEE
20.
0
0
RETAIN PLUi`4BING PERMIT FILING FEE
RETAIN ELECTRICAL PERMIT FILING FEE
20.
20.
0
00
RETAIN MECHANICAL PERMIT FILING FEE
20.
00
TOTAL AMOUNT TO BE RETAINED
$128.
00
TOTAL REFLJ14D DUE
$204.
0
TOTAL
204
80
1, the undersigned, declare under penalty of perjury that the services or articles claimed have been performed or deliver and that this claim is true an
as stated.
Dated this :Rn day of �(� L ,<-% 20�at Calif.
T Sig4iture of Claimant
1, the undersigned, hereby certify that, to the best of my knowledge, the services or articles sp i ied above have pe . rmed or delivered and that t
Budget Appropriation [ ] or Specific Board Approval [ ] (Check one) for the same.
Dated this 23rd day of September 20 02, at OROVILLE Calif.%Z=
artmen Head or Authorized Deputy
Dept. Code 440-002 Exp. Code4210500 for $204.80 PAYABL FROM
Dept. Code Exp. Code PAYABLE FROM
Dept Code Ex . Code PAYABLE FROM
DO NOT WRITE BELOW THIS LINE - AUDITOR'S USE ONLY
DEPT. b SUB. PROJ. SUB. OBJ. CLAIM NO. INV. NO. INV. DATE ENCUMB.
GROSS AMT.
FOR BUILDING DIVISION USE:
Receipt Information'
_-.Number:.r
Date: �/- / 4'- -n / w
Issued To: l4 • KnG
Amount: X15 2 • $o
FeesR #ained:
LJ
Processing Fee: $,-s
r/Bldg Filing Fee: $
►iPlbg Filing Fee: $���•
..v ' • .. .. _ VElec Filin Fee:.. .
..VIMech Filing Fee:...
Energy P/C Fee: $
✓Plan Check Fee-
Inspection Fee: -- $
r I y
SRA Fee: $
Total Amount Retained
TOTAL REFUND DUE
REFUND CLAIM APPLICATION
CLAIMANT'S NAME
I
MAILING ADDRESS
4
ASSESSOk PARCEL #: +`� �/ SV'c� _ 0.,1�Ti
RECEIPTPNUMBER(S)
Request a refund of fees paid on the above receipt number(s) for the following reasons:
cL r,rl v , 71 do Ge tr [ �� !a �c- � i> L� c 2 f� • u C� G ��/ Lfl�i i / ✓�
1100 SKiS P zT/yti / - o�� c— ✓n �-�-�
Please refund any applicable fees in the following categories: (Check those.categories
which you wish to have refunded.) '
Building Permit Fees ( ) Sheriff Fees
( ) SRA Fees (CDF Fire Planning) ( ) Urban Area Fees
• - s
Y .
n j
Disposition of Plans: -
( ) Plans returned to me at counter
( ) Please mail plans to me at above address. r, i
( ) Please dispose of plans.
SIGNATURE
DATE W-30
PLEASE DATE AND, SIGN THE ATTACHED COUNTY OF BUTTE GENERAL CLAIM
FORM. DO NOT. COMPLETE ANY OTHER INFORMATION ON THAT FORM.
9EC.EHE
SEP 1 1 200
BUTTE COUNTY
ANNING DIVISION
^OUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive • Oroville; California 95965 • Telephone (530) 538-7541�.'2R IT No.
(Rev. 12/96) APPLICATION AND PERMIT o ��
ASSESSOR PARCEL NUMBER
024-150-038
ZD"I"G BUILDING PERMIT
A 40
OWNER
TELEPHONE SO. FT. OCC. BUILDING VALUATION
OW" W - EST.' 5,000.00
COM S TELEPHONE I
"tcO Th RD, GRIDLEY 95948
CONTRffffSADDRESS 846-470
CONSTIjUfGl',
g'9WL ST, GRIDLEY 95948
M Fireplace
LENDER'S�jMAIUNG ADDRESS
Total Valuation Is 5.000.00
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee $ 20.00
Permit Fee $ 72.00
ARCHITECT OR ENGINEERS MA UNG ADDRESS
Plan Checking Fee $ 46.80
BUILDINfaWETSARKIN RD, GRIDLEY
(� U L
Energy Plan Checking Fee $
$
PERMIT FEE s 138.80
LAT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT Fling Fee 20.00
USEOFSTRUCTURE
SF 0,K Duplex ❑ Mobilehome ❑ Other
SPECIFY
Each Trap 31 7.00 21.00
Solar or heat pump water heater 23.00
Water piping 15.00 15.00
Each as water heater or vent 15.00 0
TYPE OF WORK
New ❑ Addition ❑ Remodel CK Utilities ❑ Installation ❑ Other ❑
Describe Work: KITCHEN REMODEL
Gas piping stem 1 - 5 outlets 15.00
Building sewer 15.00
Mobile Home IS I GI W 020.00
PERMIT FEE $
ELECTRICAL PERMIT Fling Fee 20.00
Main Service o.A OR mss 23.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license is ig full force and effect. C
License Class Lic. No.-J��1
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
Main Service 200A TO 1000A 46.00
NEW CONST. DWELLING OCCUR SO
OR AODNS. ( 8 ACC. BUDS.3.5¢x.
N .RESIOT- MULTI.OUTLET 97,50
POWER APUS
a sINOLE OurLETPARATCIR.
' .00
EX. OCCU OUTLET OR FIXTURES B20 .50
Ex. Occup..OUTLETSREESID.OFR.A 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring 23.00 23.00
PERMIT FEE s 43.0
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
erformance of the work for which this permit is issued.
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-p2weo2ation insurance carrier and policy number are:
Carrier Xle to, /Z-e-vAtD
Policy Number y ' s
(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
forthwi ply with those pr ions f
/ Dates _
ature o Ap Owner Contractor Agent
An OSHA perm' Is required for excavations over 60" deep and demolition or construction
of structures over 3 stories in height.
MECHANICAL PERMIT Filing Fee 20.00
Heating DUAL ACK 30.00
Cooling
Hood 6.50
Ventilation
PERMIT FEt $ 50.00
Mobile Home Installation Fee $
Energy Inspection Fee $
3 c TOTAL FEE $ 332.80
HAZ. D. FEES IMP
CDF
PARCEL
p0 D U
This permit is hereby issued under the applicable provisions
of the Butte County Code and/or Resolutions to do work
indicated ove for which fees have been paid.
By Date
PERMIT EXPIRES ON
Date
Receipt No. 315294/$332.80
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
��� ., .-�:--: �,`; ••,tw.�%r _ .. K�;.r 17
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541
PERMIT APPLICATION DATA SHEET
OWNER: ASSESSOR PARCEL NUMBER: QA) - 1,� () - 1 11
Proposed Buildmg Use: r rt S - Building Inspector: Date: _y "JSP- "i /
At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance:
Date Received By
❑ J,, All items have been submitted.-------------------------------------------------------------------------------------
(^
Z
plans, 3/4 sets, signed by the preparer of plans. ------------------------------------------------------------
plete plans, 3/4 sets, signed by the preparer of plans.h�� -� Tr, -----------------------------
134. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans. --------
❑ 5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! ------------------
❑ 6. Energy Design Compliance and supporting documentation.
(__1 7. Statement of Intent for Non -Heated and A/C Buildings. ----
El 8. Hazardous Material Form. -------------------------------------
09.
OfQ
❑11
Manufactured Home data and installation instructions including Tie Down Specifications -------------------
Fees of
Impact
as shown on the attached schedule.
❑ 12. California Department of Forestry plan approval/fees. ---------------------------------------------------------
❑ 13. Flood elevation certificate. ----------------------------------------------------------------------------------------
❑ 14. Sanitation and plot plan approval Health Department. -------------------------------------------
❑ 15. City of Chico plumbing permit.-----------------------------------------------------------------------------------
❑ 16. Plo!plan and business license approval from the City of Biggs. ----------------------------------------------
❑ 17. Plannmg approval for (A) Use: (B) Parking: ---------------- _________.
❑ 18f Contact Land Development about 111 m*provements, ❑ Drainage, ❑ Legal Parcel. -----------------------
❑ 19. Encroachment Permit for driveway (construction approval prior to occupancy). ----------------------------
❑20. Pre inspection for required Request to Building Inspector on
021. Contractor's license information. (Number, Name Style, Classification). ------------------------------------
i
Workers' Compensation carrier and policy number. -----------------------------------------------------------
�❑ O er-Builder Verification (Given to owner ❑, Mailed to owner 11) - --------------------------------------
. Letter of signature authorization. --------------------------------------------------------------------------------
❑25. Recorded copy of Agricultural Acknowledgment Statement. --------------------------------------------------
❑26. Utter of intent on building use. -----------------------------------------------------------------------------------
❑27. Manufactured Home utility clearance. ---------------------------------------------------------------------------
❑28. Existing violations and/or expired permits. ----------------------------------------------------------------------
t
❑29. 0433 A, ❑Grant Deed, ❑ M.H. Title, ❑ Check to H.C.D $ .---------------
E130.
--------------
❑30. Other:
(Date)
en you issue the permit, process as follows ❑ Mail to owner, ❑Mail1to contractor.
Telephone %0 �l U and hold for pickup atd fOV! ! I % office. ❑ Delivq w'tti in ec
Applicaqt: � Date:
Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, ❑ Air Pollution Date: By:
Copy of plans sent ❑ Health Department, ❑ Fire Department, ❑ Other: Date: By:
1. Index permit application for the above items numbered: ❑ Plan Check List
2. Additional items required:
Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date:
Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date:
Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Divi 'on counter, by Date:
Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Di Sion counter, by D te:�
Plans reviewed by: Date: Plans approved by: Date: Zito t
Sets of plans on hold in ❑ Plan Cabinet, ❑ A.P. folder. Note transfer by: Date:
VP11AAV rn- - _fTle..el .. v,._.____ - - _• _
680 Larkin Rd APN 024-150-038
center line Larkin Rd
' iii
150.
83'
1 —
34'111.
F
1-38-
:
..... 75'10"
s4�fic
r4. tank
,j 36'11 N/
z
ii,-- 32'3"
200' F
pump
house
12'x12'
Plot Plan Not To Scale
A
West North
I
W A
FTC COUNTIN?
IMULDING DEP ARTME�
�%vy
-
• 32'5 -- —�
<V �
parlor living room
zo
10'1 22' Ipl
bedroom C'
closet i L�
� closet
bathroom;
- – 9'5
dining room
-- 14'8 ----I-
UP
kitchen
M
r
bedroom
� c
closet
to attic
—I T1
10'5 --
laundry/mud roorr
� N
I
sewing room a
J
sun
IGI •
n7*—
-
- --- UP
n
A
v
LIVING AREA
2212 sq ft
If
LIVING AREA
2195 sq ft
rt:)
/S�' (`-T R'.',r.•�`F :.. _, • _ a . t• eN� r 1NT-T'V' N.i'-' .C' 'rF4`..`T 'h! •M rt µ �I t I_ _�{i _ R Y —4."-
24-15-38 .r
r �^ Via• ka `xt M.gyra ~ .Me+ H k ,'� s (� i J3�C �•�,-r. {.. *�;
n
24 15-38
250-91E .
KAWASAKI, Roy
680 Larkin Rd.
' Contr: North p Gridley
' alley Electric
(elec' sery/sf)
i •
OFFICE COPY r
Address
GAS
Meter By .--- Date
ELECTRIC
Meter By
Datew�(
.,1•i •; ` r syr_ ,.�— (�� `i• •, � �' CJ`�/I/� - .
� �..��� �, i4 �f «� � • p ' ' .�r'.f.''^� 9�,j'pM��1 1.-„.::-.,,)sx�Y. � �� �`.+,d�,'i :IWSI�s?�.'f1i67'�:.
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone: 91:6/538-7541
APPLICATION AND PERMIT
PERMIT NO.
250-91
ASSESSOR PARCEL NUMBERZONING
- -3
A40
BUILDING PERMIT
OWNER
TELEPHONE
846-3533
S0, FT. OCC. BUILDING VALUATION
R; MAILING ADDRESS
680 T.P-rkin Rd. v 95948
CONTRACTOR'S NAME
Nnrth F
TELEPHONE
846-2081
IL
CONTRACTOR'S MANG ADDRESS
95948
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation Is
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
680 Larkin Rd Gridley$
Permit fee
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Water piping
5.00
Each qas water heater or vent
5.00
USE OF STRUCTURE
SF a, Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home S I G I IN
10.00e
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities [. Installation❑ Other ❑
Describe work: upgrade service. relocate box t6 house
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee
00V OR L
Main service 100 AMP ORSLESS
710.00
10.00 10.00
Main service EA. ADD'L too 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 Business
and Professions Co2e and my license Is In full f rce and effect.
7 0— /n
License No. Classification
F1 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)
L1 I, the owner, am exclusively contracting with licensed contract-
ors.. ( (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
oR ADONST (DACCELING LBLDGS. OCCUP.&)
2+/20sgft
NEW CONSTR. MULTI -OUTLET
NON-RESID BRANCH CIRC ITS
2,50 ea
/POWER APPARATUS .&)
I SINGLE OUTLET CIR.
Ex. Occup(OUTLETS OR FIXTURES
20@50t&30
eALoso
Ex. OCCUp. OUTLETS PIRESID IFIXED APLNS. REA.)
2.00
Temporary service
10.00
Mobile Home Facilities
15.00
Misc. Wiring
9
15.00 15.00
•
pre inspection
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
of Consent to Self -Insure.
❑ I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
MECHANICAL PERMIT
FiIingFee 10.00
Heating
Cooling
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.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and a penses which may in any way accrue
again t sad Coun q in copseqbenc of a granting of this permit.
? �
X Date /— V f'i' % C
Signature of Appli t — Owner ❑ C actor K Agent ❑
An OSHA permit is required for excavations over 5'0” deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
CONST TYPE
TOTAL AL FEE $ 50.00
HAZ
CUA
PARK
EE
PAR
PD
Ho
Issue
v
Th;s permit is nereby issued under
sions of the Butte County Code and/or
work indicated above for which fees
DIRECT MOF PUBLIC
By r
PEJ9MIT EXPIRES Date
the applicable provi-
resolutions to do
have been paid.
WORKS
Date /y��
�� �� • Z"
Receipt No.83262
WN+TE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR, GOLDENROD -APPLICANT
COUNTY OF BUTTE - DEPARTMENT -OF PUBLIC WORKS
7 County Center Drive - Oroville. California 95965 - Telephone: 916/538-7541
APPLICATION AND PERMIT
PERMIT NO.
250-91
n I
ASSESSOR PARCEL NUMBER
Z4- 57,Z
ZONING
BUILDING PERMIT
OWNER TELEPHONE
SO. FT. OCC. BUILDING VALUATION
OWNER' MAILING ADDRESS •
68n LArkin Rd, GridleV Q5948
CONTRACTOR'S NAME TELEPHONE
��
— ,81_.
CONTRACTOR'S MAIL G ADDRESS
Fireplace
CONSTRUCTION LENDER UNKNOWN
Total Valuation Is
LENDER'S MAILING ADDRESS
Filing Fee
$ 10.00
Permit Fee
$
ARCHITECT OR ENGINEER LICENSE NO.
I Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Energy Plan Checking Fee
$
Penalty
$
BUILDING ADDRESS
Permit fee
$
680 Larkin Rd Gridley
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
Solar or heat pump water heater
20.00
LOT NO. SUBDIVISION NAME PARCEL MAP
Water piping
5.00
Each qas water heater or vent
5.00
USE OF STRUCTURE
Gas piping system 1 - 5 outlets
5.00
SF a Duplex[-] Mobilehome❑ Other
Building sewer
5.00
SPECIFY
Mobile Home S I G I W
10.00 e
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities®, Installation❑ Other ❑
Permit Fee
$
Describe work: upgrade service. relocate box to house
Contractor
ELECTRICAL PERMIT
Filing Fee 1 10.00
Main service 1000V OR 0 AMP ORSLESS
10.00 10.00
Main service EA. ADD -L 100 AMP
2.50
CONTRACTORS LICENSE LAW
NEW CONST. / DWELLING OCCUP.&
( )
2/z¢sgft
I declare under penalty of perjury (check one):
OR ACDNS. ACC. BLDGS.
NEW CONST R.MULTI-OUTLETCCCU
2.50 ea
I am licensed under provisions of Chapt. 9, Div. 3 of the Business
NON•RESID BRANCH CIRC ITS
POWER APPARATUS e
and Professions Cod and my license is in full f ce and effect.
(SINGLE OUTLET CIS. )
License No. 7 Classification /0
Ex. Occup(OUTLETS OR FIXTURES
eL� 30 2AL@30
EJ 1, as the owner, or my employees with wages as their sole compen-
FIXED APLNS.
Ex. Occup. OUTLETS P(RESID.)REA.)
2.00
sation, will do the work,and the structure is not intended or offered
Temporary service
10.00
for sale. (Sec. 7044)
❑ I, the licensed
Mobile Home Facilities
15.00
as owner, am exclusively contracting with contract-
ors. (Sec. 7044)
Misc. Wiring
15.00 15.00
❑ I am exempt under Sec. , Business and Professions Code
pre inspection
15.00
for this reason
Permit Fee
$ 50.00
Contractor
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
MECHANICAL PERMIT
Filing Fee 10.00
❑ The permit is for $100.00 (valuation) or less.
Heating
I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
Cooling
g
❑ I shall not employ any person in any manner so as to become subject
Hood
3.00
to the W. C. laws of California.
Ventilation
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
permit Fee
$
provisions or this permit shall be deemed revoked.
Contractor
I certify that I have read this application and state that the above information
Mobile Home Installation Fee
$
is correct. I agree to comply to all County Ordinances and State Laws relating
Energy Inspection Fee
$
to building construction, and hereby authorize representatives of the Countyot
occ CONST TYPE
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
TOTAL FEE $
50.00
all liabilities, ud ments, costs, and a
j penses which may in any way accrue
HAZ CUA PARK SCHL FLD
PAR PD HD ISS
again t s d Coun in co se enc of a granting of this permit.
/� 3� ,Q
This permit is Hereby issued under the applicable provi-
Date LL
Bions of the Butte County Code and/or
resolutions to do
Signature of Appli Cot - OWner ❑ Cactor C& Agent ❑
work indicated above for which fees have been paid.
An OSHA permit is required For excavations over 5'0" deep and demolition or construct-
DIRECT OF PUBLIC WORKS
ion of structures over 3 stories in height.
Receipt No.R'1969
BY
Date
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
PE IT EXPIRES Date
COUNTY OF BUTTE - DEPARTMENOF PUBLIC WORKS - BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVItLff, CALIFORNIA 95965 - TELEPHONE: 916/538-7541
PERMIT APPLICATION DATA SHEET
't'" Permit No.
11M
OWNER r-14' / A. P. No. `d ^ 15-0 O 3
Proposed Building Use_ �c_ELAaA,&? Building Inspector — Date
At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance:
DATE RECEIVED APPROVED
1. All items have been submitted . ....................................
2. Plot plans in duplicate/triplicate, signed by preparer of plans........
3. Complete plans in duplicate/triplicate, signed by preparer. of plans . .
4. Complete engineered plans and calcs, with wet signature on plans ..
5. Hazardous Material Form ..........................................
6. Energy Design Compliance and supporting documentation .........
7. Statement of Intent for Non -Heated and AC Buildings ..............
8. Engineered truss details and layout in duplicate (required prior to plan check)
9. Mobilehome installation data including manufacturer's installation
instructions.......................................................
10. Fees of $ ........................
11. Chico Urban Area fees paid .......................................
12. Park fees paid ....................................................
13. School District fees paid ..............
14. Sanitation approval from Health Department
15. City of Chico plumbing permit .....................................
16. Plot plan and business license approval from City of
(see City for other requirements)
17. Planning approval for (A) Use: (B) Parking: ......
18. Improvements may be required. Contact Land Development Section DPW
19. Driveway permit (construction approval required prior to occupancy)
0. Pre -Inspection for—�r��t��,c!��&�� required ... Pre-Inspec. request to _ ��
�— Building Inspector I�%/ (Date)
21. Contractor's license information (No., Name Style, Classifications ...
22. Certificate of Workmans Compensation Insurance ..................
23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) .....
24. Recorded copy of Agricultural Acknowledgment Statement .........
25. Letter of signature authorization ...................................
26.
27.
When you issue the permit, process as follows: Mail to wner. Mail to contractor.
_ Telephone gN2_
-0YL1and hold for pickup at L'Y_office. Deliver w/inspector.
Other A A
c�
Applicant Date/— 30^ V
Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date
Copy of plans sent Health Dept. Fire Dept. Other Date By
The following data must be submitted prior to permit issuance: (Circle new item not checked above).
1. Index permit for above items No.
2. Additional items required:
Contractor, designer, owner, was advised of above required data by_phone_jnaiI—counter by -.date
Contractor, designer, owner, was advised of above required data by —phone _maII—counter by date
Plans checked by
Sets of plans on hold in
Copy—DPW
Date Plans approved by
File cabinet AP folder
Date
0
OWNER:
LOCATION :•_
CONTRACTOR: -
11
PRE -INSPECTION
DATE
ZONING
---------------------------
i
PRE -INSPECTION FOR:
i
DATE TO INSPECTOR
PERMIT HISTORY: M NONE 6Z AS FOLLOWS
Four'
2_,o �_�'—'<< t �a o
TYPE OF OCCUPANCY
FIELD - INFORMATION
BUILDING USAGE: S li
TENNANT:
OCCUPIED � HAS ELECTRIC HAS GAS HAS SANITATION FACILITIES
HEATED -COOLED L__j PERSON CONTACTED I - l
OTHER COMMENTS : ��,
c-�
ACTION RECOMMENDED:
ISSUE [�
OTHER:
m
F
a
i
HOLD FOR
DATE
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville.�California 95965 - Telephone: 916.'538-7541
APPLICATION AND PERMIT
PERMIT NO.
ASSESSOR PARCEL NUMBER
ZONING
BUILDING PERMIT
OWNER !-' �^
Gtf J
TELEPHONE2
e J'
So. FT. OCC. BUILDING VALUATION
OWNER'S MAI LIN/�i7G'�ADDRE SS , r.
✓ v �%
CONTR AC ORD'S NAME
N V�
TELE H�O/N��EE
- `VV
'
CONTRACTES MAILING ADDRESS p
p X ' j 7
Fireplace
CONSTRUCTION LENDER
UNKNOWN
C
Total Valuation $
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
Permit fee
$
PLUMBING PERMIT
Filing Fee 10.00
ZR A
A
Each Trap
2.00
Solar or heat pump water heater
20.00
LOT NO.SUBDIVISION
NAME
PARCEL MAP
Water piping
5.00
Each qas water heater or vent
5.00
USE OF STRUCTURE
S�Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home S I G I W
10.00ei
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Uti lities ❑ Instal lation❑ Other ❑
Describe work: �� �eoC
%1)0/k wsrt
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 1 100V 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):
❑NON
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)
❑ 1 am exempt under Sec. , Business and Professions Code
for this reason
NEW CONST./ DWELLING OCCUP.&
OR ADO NS. C ACC. BLDGS.
2/:¢sgft
NEW CONST R. ULTI.OUTLET
-REBID BRANCH CIRCUITS
2,50 ea
POWER APPARATUS .&)
SINGLE OUTLET CIR.
Ex. Occup( OUTLETS OR FIXTURES
zoetsom
eAt930¢
FIXED
Ex. �CCUp. OUTLETS (LNS R
RESID )EA.)
2.00
Temporary service
10.00
Mobile Home Facilities
15.00
Misc. Wiring
g r
15.00 / Oji
/9.9
.
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
Filing Fee 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 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.
XThis
Signature of Applicant - Owner ❑ Contractor ❑ Agent ❑
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
CONST TYPE
TOTAL FEE $ .5b,0
HAZ
I CUA
PARK
I SCHL
I FLD
PAR
I PD
HD
I ISSUE
permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which fees
DIRECTOR OF PUBLIC
By
the applicable provi-
resolutions to do
have been paid.
WORKS
Date
P.—int nl... 3 2 �oC
' A
PERMIT NO. 3472-86B
PERMIT EXPIRES if
OWNER ROY KAWASAKI
CONTR. Rice Bros House Movers, Y.C.
ASSESSOR PARCEL 24-1.538
LOCATION 680 Larkin rd, Gridley
/-
}Fti 2-24rCiS - mVO�a E�c� C t
I
i
{
C
ri
1'
r
v
Temp. Power Pole
Called PG&E
k
Temp. Elec.
1
Called F
Temp. Gas Si
Cal led P
i
' JOB FINALE
Signatur,
= OK
Not OK
= Not Applicable MOBILEHOMES
= Not Ready
MISCELLANEOUS.
Date
MOBILEHOME UTILITIES (Plans) OK except k's
Date
DECKS, COVERS, CARPORTS, ETC. (Plans) OK except N's
1. Zoning Requirements -Setbacks -Easements
1. Zoning Requirements -Setbacks -Easements
2. Soils; Special MH Support -Sketch
2. Footings; Size -Depth -Spacing -Connectors
3. Sewer; Location -Test -Fall -C/0 -Concrete
3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails
4. Water; Location -Test -Easement Needed (Sketch)
4. Wood Awn.; Posts-Beams-Rftrs.-Con nec.-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 H'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
B. 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-1
Date Card -BI Date
Card -BI
Date Card -BI Date
Card B -I
Date Card -BI Date
Card -BI
Date Card -BI Date
� COUNTY OF BUTTE -DEPARTMENT OF PUBLIC WORKSPERMIT O.�
7 County Center Drive- - Orovslle, California 95965 - Telephone 916/534-4541 d All* I J A ,
APPLICATION AND PERMIT
ASS ESSO PARC Ems. NU^
S
ZO NG `y
U
BUILDING PERMIT
OWNER c/ ATt,PrIONE
BUILDING VALUATION
O N MAI ING A/-,2 rf
C TRACTO NAME
TELEPHONE
O TOR'S MAILING A D S
Fireplace
CONSTRUCTIO L N ER
NKNOWN
Total Valuation Is
1500
-
Filing Fee
LENDER'S MAILING ADDRESS
$ 10.00
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE N0.
Plan Checking Fee
$
Energy Plan Checking Fee
ARCHITECT OR ENGINEER'S MAILING ADDRESS
$
Penalty
$
BUILDING ADDRESS
Permit fee
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
Solar or heat pump water heater
20.00
LOT NO.SUBDIVISION
NAME
PAVL MAP
Water piping
5.00
Each qas water heater or vent
5.00
USE OF STRUCTURE
Gas piping system 1 - 5 outlets
5.00
SF Z_ Duplex❑ Mobilehome❑ Other
Building sewer
5.00
SPECIFY
Mobile Home S I G I W
10.00 ea
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑
Permit Fee
$
Describe work:
Contractor
_
ELECTRICAL PERMIT
Filing Fee 10.00
Main service e00V 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 Business
and Professions Code and my license is in full force and effect.
^ n
License No �./c�l n S Classification � � C ^2 1
I, as the owner, or my employees with wages as their sole compen-
1 NEW CONST. DWELLING OCCUP..
A �
New
,
h¢sea
CONiSTR.(
U 'TBI OUTLET
t NON-RESID BRANCH CIRC ITS
2.50 ea
1 (POWER APPARATUS h1
SINGLE CUTLET CIR. I
Ex. Occup( OUTLETS OR FIXTURES
20050t
9ALAL030
FIXED APPLNS. OR
N EX. DCCUp. OUTLETS (RESID.) EA.)
2.00
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)
Temporary service
10.00
Mobile Home Facilities
15.00
Misc. �Yirin 9
15.00
❑ I am exempt under Sec. , Business and Professions Code
Permit Fee
$
for this reason
Contractor
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
MECHANICAL PERMIT
FiIingFee 10.00
❑ The permit is for $100.00 (valuation) or less.
Heating
❑ 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
Cooling
9
Hood
3.00
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.
Ventilation
permit Fee
$
Contractor
I certify that I have read this application and state that the above information ! Mobile Home Installation Fee
$
is correct. I agree to comply to all County Ordinances and State Laws relating Energy Inspection Fee
to building construction, and hereby authorize representatives of the County of
Butte to enter upon the above-mentioned property for inspection purposes. TOTAL PERMIT FEE
$
$
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
again said n consequence of the granting of this permit.
Date
f Applicant — Owner❑ Contractor Agentwork
7ASH
OCCUP. CONST.TYPEJ 11'�o PAR EL PD ND IssuE
' �—
This permit is hereby issued under the applicable provi-
sions of the Butte County Code and/or resolutions to do
indicated above for which fees have been paid.
A Permit is required for excavations over 5' eep and demolition or construct-
structures over 3 stories in height.
DIREC OR OF PUBLIC WORKS
Receipt No.
WHITE-D.P.W.. TELLOW-ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT
BY
PE IT EXPIRES Date
Date
" eZ
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION
7 COUNTY CENTER DRIVE - bROVILLE, 6ALIFORIlIA�9�4" - TELEPHONE: 910534-4541
jr
PERMIT APPLICATION DATA SHEET r v/
/? / Permit No.
OWNER
Proposed Building Use
Building Inspector
Date
At time of permit application, I was advised the following data must be submitted prior to permit processing
and:/or issuance, DATE RECEIVED APPROVED
71. All items have been submitted. . . . . . . . . . . .
2. Plot plans in duplicate./triplicate, signed by preparer of plans. .
3. Complete plans in duplicate. /triplicate, signed by preparer of plans.
4. Complete engineered plans and calcs, with wet signature on plans.
5. Plans with Energy Design Compliance Statement. . . . . .
6. CUSD "Fees Paid'' Stamp on Floor Plan . . . . . . . .
7 Statement of Intent for Non -Heated and AC Buildings.
8. Fees of $ . . . . . . . .
9. Letter of signature authorization. . . . . . . . . . .
10. Sanitation approval from 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 ❑,),
_15. Improvements may be required. . . . . . . . . . . .
16. Mobi lehome Installation Data. . . . . . . . . .
Pre-Inspec.request to (Dote)
17. Pre -Inspection for Required. Building Inspector
18.
19.
20.
21.
22.
Recorded copy of Agricultural Acknowledgment Statement.
Driveway Permit.
Plot plan approval from city of
When you issue the permit, process as follows: Mail to owner, Md?r to contractor.
Telephone and hold for pickup at -off ice, Deliver w/inspector.
Other
1
Applicant D 'O Date
Copy of plans sent Health Dept., Fire Det, Other Date
The following data must be submitted prior to permit issuance: (Circle new item not checked above).
1. Index permit for above items No.
2. Additional items required:
Contractor, designer, owner, was advised of above required data by_phone---jnail—counter by date
Contractor, designer, owner, was advised of above required data by—phone—mall—counter b date
Plans checked by Date Plans approved by X, Date //.-Zy' O
Sets of plans on hold in File cabinet AP folder
— Flours: 10:00 a.m. - 3:00 p.m.
Copy—DPW 1W
T F
f}
F
3s"
99
rs
A setback of OW. from the
property lines and a setback
of 50ft. from the road
centerline shall be clear of
structures or equipment except
for a 2 ft. eave overhang,
This set of plans and specifications MUST br
pt on the job at all times and it is unlawful +0
make any changes or alterations on same without
written permission from the Department of Public
Works, County of Butte.
BUTTE COUNTY/
BUILDING DEPARTMENT"��
APPROVED
zr
�z2z:a 3
Complaint -Dace
❑ Ocher -Date
I
BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS
SPECIAL INSPECTION REPORT
Owner: 4S
Address: b8b OV -64 40.
Tenant:
Building Location: 6,80 LA el* Ki reb.
Type of Inspection requested:
A . P. #k a2 1/ /..S "-�8
Date of Inspection
Inspector
/_/ 1. Housing / / 2. Financing / /43. Change of Occupancy to
4. Work W/O Permit /� 5. Other'(speci
Present use of building:
WY
) 645 e-8AMOC710 W, 774
JSeg JACAfAz U00 A°Px •l o
)0IA12 Sr/L(- 1A)
F&'L ,74A2 z4ez'o Ph"&-
A. Sanitation (Housing)
1. Water closet:
2. Lavatory:
B.
C.
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 fto water supply:
13. Rubbish and garbage facilities:
14. Stairs:(Rise, Run, Headroom, 1HR, Tolerances,Handrails) ;
V , /
15. Comments,: % t -
s,
Structural
1. Piers and footings:
2. Floor construction:
3. Wall construction:
4. Ceiling and roof construction:
5. Fireplaces:
6. Comments:
U
Electrical
1. Service and ground:
2. Receptacles:
3. Fusing:
4. Comments:
D. Plumbing
1. Fixtures connected and vented:
2. Gas water heater:
3. Gas heating vents:
4.. Comments:
E. Other
1. Maintenance and repair:
2. Fire hazards:
3. Safety hazards:
4. Weather protection:
5. Underfloor and attic ventilation:
6. Energy:
7. Comments:
F. Commercial Buildings
1. Roof covering:
2. Distance to pro.perty-lines:
3. Physically handicapped
4. Restroom floors and walls:
5. Exits:
6. Improvements:
7. Zoning:
8. Comments:
G. Field Problems or Violations
1. Pro lem or vio ation (,give complete de c iption
2. What action taken (give co ete dXip
tion):
3. What action recommended:
A. Information only - file.
B. Hold for ten days, then write letter.
C. Write lette
XD- Other:
r- r.
1
1 PERMIT NO. 6782-79B
PERMIT EXPIRES 11/2/80
OWNER ROY KAWASSAKI
CONTR. Owner
LOCATION (A.P. 24-15-38 )
E/S Larkin Rd, 200' S Higgins, Gridley
i
i
i
i
t
Temp. Power Pole
Called PG&E
Temp. Elea Serv.
? Callei PG&E
Y Temp.Qas Serv.
1"l
C C ed PG&E
VNALED
(Date)
(Signature)
a-
3
I .
Setback
Forms
Main Bldg.
Footings
Stemwal I
Slab
Piers
Garage
Footings
Stemwa I I
Slab
Carport
Footings
Slab
Patio
Footings
Masonry Walls
Reinf. Steel
COUNTY OF BUTTE — DEPARTMENT OF. PUBLIC WORKS
-BUILDING INSPECTION RECORD
BUILDING BUILDING (Cont'd) PLUMBING
Firewall
Soil Piping
Parapets
1st Floor
Restroom Finish
2nd Floor
Windows
3rd Floor
Siding
To out
Roof Sheathing s � Cd,
Water Piping
Roofing
Sewer
Fdn. Vents 7I
Fixtures
Garage Vents
Insulation
Water Htr.
Heaters
Prov. for phsically
handica ed
Conformance of ex.
structure
A liances
Gas Piping &Test
Temp. Gas
Final
Sanitation
FIREPLACE
Final
Motors
ELECTRICAL
Mesh
rinai
MECHANICAL
sun anels
Grd. Fault Prot.
Scratch'
Heating
Service
Brown
Cooling
Temp. Pole
Finish
Ducts
Underground
fnterfor Lath
Ventilation
I Permanent
Door Closer
Final
Final
MOBILEHOMEUTILITIES------------------
Elec. Service
Elec. Pedestal
Water Piping
Sewer
Gas Piping
BILEHOME INSTALLATION - - - - - - - - - - - - - -
Support
Elec. Continuity
Water Piping
Drainage
Gas Piping
DATE
REMARKS OR CORRECTIONS
I
(NOTE: An entry must be made on this form each time you visa= the job site.)
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
7 County Center Drive — OroviIIe, California 95965
Telephone: 534-4541
APPLICATION AND PERMIT
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes.
X Date
S/.
of Permiteeeeorr Agent
Receipt No. I �i e / u
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 fo hich fees have been paid.
DIP LIC WORKS �%, �?
B Date
Building permit expires Date el- *)—
BUILDING
Owner 1
Q. FT. OCC. BUILDING V UATI N
Mailing Address
elep ne No.
Contractor 41
Mailing Addres
Fireplace
Total Valuation
Tlephone No.
e
Permit Fee
Building Addressw�
Plan Checking Fee&/or Penalty
Permit Fee
PLUMBING No. @ FEE
f r,
PERMIT FILING FEE $3.00
Each Trap 1.50
'
Repair drainage or vent piping 1.50
�� _
A. P. No. /J Zoning & Planning
Water piping 1.50
Each gas water heater or vent 1.50
F
Fire Dept.
Fire Zone Use Permit
Gas piping system 1 - 5 outlets 1.50
EQA
Parking
Plans
I Parcel
Declaration
Parcel Map
60' R/W
Improvements
Each additional outlet .30
Building sewer 5.00
BI
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 8011 OR LESS
100 AMP OR LESS 5•��
Single Family Duplex ❑ Mobil Home ❑ Others ❑
Main service EA. ADD'L too AMP 2.50
Main service 0100 AVERM8111
POR LESS 25.00
Main service EA. ADD'L 100 AMP 1.00
NEW CONST. (
OR ADDNS. ACCLBLOGS.LING CCUP. 4) 22sgft
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
st le of:
Y
TLET
NEW CONSTR BRANCH CIRCU
NON-RESID. � BRANCH CIRCUITS) 2.50ea
NEW CONSTR. (POWER APPARATUS a
NON-RESID. (POWER
OUTLET CIR.
Ex. OCCUq(OUTLETS OR FIXTIIRES) B 1�
Ex. Occu FIXED APPLNS. OR
p• 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 $
$
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.
MECHANICAL N0.1 @ FEEPERMIT
FILING FEE $3.00
Heating
Cooling
Ventilation
Hood 2.00
Permit Fee $
$
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
Land Development Fee
$
TOTAL PERMIT FEE
$
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes.
X Date
S/.
of Permiteeeeorr Agent
Receipt No. I �i e / u
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 fo hich fees have been paid.
DIP LIC WORKS �%, �?
B Date
Building permit expires Date el- *)—
Kawasaki Residence 846-2783
Kitchen Remodel
680 Larkin Rd, Gridley �` - -- 21'3 -- —
Contracter: Bob King Realestate 9'5--------= =- — 8'11---- - 2'11 =
499 Hazel St Gridley 846-4701 I — 1
CSLic#554646 uP
replace header w/4x8, new
3 -coat stucco, new window;,.- w
00
G c� co
_._.._._..__....__....!
1/21' trapW171 c�
remove old windows, frame out 211waste ' Mud Room
2x4 16 oc, 3 -coat stucco = ` ' sink
y' 2"waste c�
�-
gas range = &Trap '
° ° s.._._ .............. i
W/heater: seismic U CO
strap,VTR, shutoff : ° o
closet
valve, run tpr outside. - frig
All work per '97 UPC & 3068 -`l 2768
Ln UMC, combustion air,'
Proposed "
upper and lower 0,
CO i `_� kitchen Floorplan uP
ventilation supplied i!
from outside. Weather _ 4
strip door & seal space r',. .`f table, rl
from conditioned air, o.if1.
insulate water pipes cc.01
M
I
�- L6-
....__�_._ _-
i storage 2" waste, trapcabinet —COC
r
- & standpipes
4068 Will demo kitchen interior remove
W i� o gypsum board, old wire and
I,I
CY) o plumbing; re -insulate all exposed
c° `� exterior 2x4 walls with R-13
Laundry Room ;�a-,- minimum; install new plumbing to"
facilitate new fixtures and locations, `
all plumbing'to be installed per'97
o UPC, New complete HVAC system
CO b UP CO ' .to be installed by licensed
mechanical contractor.'Rewire
--- Kitchen per'96 NEC - 4 -new small
appliance circuits serving counter
o tops.and dining area, counter top
C) ; recpticals to be GFCI. Refrigerater .
CO
- -- ,;� independant circuit. Dishwasher and
! `�' •• ��' Garbage disposal independant '
' freezer ._.
•,; „ circuit, new laundry served with
- independant 20amp circuit. All wiring
• #12 AWG cu, 20amp breakers,
Existing 200 amp service. Provide ,
lighting for laundry area. Replace
kitchen and dining room lighting
fixtures. 4'- two bulb flourescent
fixture above sink. '
SCALE: 1/4"=l'
P c 3�0
MMOM . "
APPROWV.
�1z71a,
-7
1
p� A`
zo 10" anchor bol'
A ' 14X1+"y 4- Pf R F00-r(NGS
d with
provide an ax. an.tom: � (TI Pe )
\ ,. IFF
�4��(�FuX6u Pt�Q FOo"tINU ��� r
(_o„ o% '136AW0,6
rT�(4 y
13e0-'V,I
f
!VOTE:—All Maferials A Workmanship Shell] be in
Accordance wiAh Recognized Gond Practicot and
of a qualify prescribed for the S ecifi®d use In 66Uniform Building, Plumbing & Mechanical Codes and
.the National Electrical Code.
BUTTE COUNTY
BUILDING DEPARTMENT
c