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HomeMy WebLinkAbout024-170-027........... REMODEL W/O PERMITS 12/5/91 violation resol d 8 / 2 4 / 9 2 #1 Re 'al"? 0a 0 om 0a ql:-4�23 0 -17-011-027v 24 KELSEY) DEBORAH OWNER CONTR: 675 CAMPBELL AVE GRIDL . EY COMPLETE WK/84-2965. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone. 916/538-7541 APPLICATION AND PERMIT PERMI NO. ASSESSOI - - I K R 024-170-027 ZONING & BUILDING PERMIT OWNER DMRM LIMSE IMSET TELEISMONE 846-0224 SQ. FT. OCC. BUILDING VALUATION 11" OWNER'S MAILING ADDRESS 675 CM-CMEM AVE GRIMM 95M CONTRACTOR'S NAME 011111M TELEPHONE CONTRACTOR'S MAILING T%DDRESS Fireplace CONSTRUCTION LENDER NONE UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 15.00 Permit Fee $ 22.50 ARCHITECT OR ENGINEER ?M E NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 675 CAMPBE11 AVE GRIDLEY Permit fee $ 373506- PLUMBING PERMIT FilingFee 15.00 Each Trap � 1 1 5.00 I Solar or heat pump 4atdr heater 20.00 L.OT NO. S UE3,DtVISION NAMe� _7ARCE4_ MAP Water piping 7.00 Each qas water heater or vent 7.001 USE OF STRUCTURE SF E; D.pl�.F_J MobilehomeE:] Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Home Fs_EG _Tw7 @ 15.00 TYPE OF WORK Newl = i Addition R emode I D Utilities 0 InstallationE, Other n Describe work: COMMON OF HIM STARM UNWR B.P. #2965-84 —Mobile Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 600V OR LESS 200A OR LESS 18.501 Main service 20r A TO 1 OOOA) 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 1, 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 1, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) r_J I am exempt under Sec.—, Business and Professions Code for this reason NEW CONST. DWELLING OCCUPM OR ADONS. ( ACC. BLOGS. 3.54 sq.ft.1 NEW CONSTR. "ULY'-OUTLET NO N.RES,., eRANC. CIRCUITS) @ 5.00 (POWER APPARATUS &) SINGLE OUTLET CIR. Ex. Occup(OUT ETS OR FIXTURES L 20 X 7r54 4AL 4 FIXED APPLNS. OR Ex. Occup. OUTLETS (RESID.) E..) 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): F� The permit is for $100.00 (valuation) or less. F-1 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. E] 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 Fi I ing Fee 15.00 Heating Cooling Hood 6.50 Ventil�tion 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, judgqien,ts, costs, and expenses which may in any way accrue against said County 'In consequence of the granting of this permit. X Dat -Pat w e, C t Agent 11 Signature of Applicant — 0 . r— or 1.1 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 $ 37.50 HAZ I D FEES I IMP I FLOOD I COF PARCEL I PD I HD I ISV This permit is hereby issued under the sions thie B tte Co ntV Code and wo ate fo i ic r whio f Rqli�Po�l � 7 171A PaIT E PjIRES6Date applicable provi- r solutions to do � r:ve bee S h n paid. WORKS Date Receipt No. 103523 WHITE-O.P.W.. YELLOW -ASSESSOR, PINK-tNSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 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 ER 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, please contaq44his office immediately. '0 e --L -7/1) X—/ I( j .01 1 4Z r � / t- f) -.7." REV 1 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT ASSESSOR PARCEL NU�BER ZONING BUILDING PERMIT OWNER J TELEPHONE SQ.FT. OCC. BUILDING VALUATION OWNE7'S MAILING ADDRESS CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation i$ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ .1 r) ARCHITECT OR ENGINEER ENqE NO. Plan Checking Fee ..$ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDRESS_ PLUMBING PERMIT Fi ling Fee 10.00 Each Trap 2.00 Solar Water Heater 20.00 Water piping 5.00 LOT NO. SUBDIVISION NAME 1 PARCEL MAP 1 Each qas water heater or vent 5.00 Gas piping system I - 5 outlets 5.00 USE OF STRUCTURE SF[1 DupIexFJ MobilehomeF-J Other SPECIFY Building sewer 5.00 Mobile Home S I G I W 10-00e TYPE OF WORK New El Addition [:1 RemodelZ' Utilities[:] InstallationD Other El Describe work: Per mit Fee $ /41 Contractor ELECTRICAL PERMIT FilingFee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD -L 100 AMP 2.50 NEW CONST. DWELLING OC OR ADDNS. ( ACC. BLDGS. cu%&); 21/20sqft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): F I am licensed under provisions of Chapt. 9, Div. 3 of the B and Professions Code and my license is in full force and effect. License No. Classification 1, 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, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) F1 I am exempt under Sec.—, Business and Professions Code for this reason NEW CONST11-( MULT'-OUTLET 2.50 ea NO .R.S,., BRANCH CIRC.ITS)__ NEW CONSTR (POWER APPARATUS NON RESID. SINGL E OUTLET CIR. 20050t Ex. OCCUP(OUTLETS OR FIXTURES BAL@30___ FIXED APPLINIS OR Ex. OCCUP- OUTLETS (RESI*D.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15. 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 of Consent to Self-lns�ure. 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 shal I be deemed revoked. MECHANICAL PERMIT FilingFee 10.00 Heating Cooling Hood 3.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above informati— on 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 Signature of Applicant Owner Contractor E] Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of s tructures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ '7 1! 2) —TYPF OC4;UP. GROUP OF CONST. I PARCELI PD I H 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. oDIRECTOR OF PUBLIC WORKS f. By Date V PERMIT EXPIRES Date Receipt No. WHITE-D.P.W., YELLOW-ASSFSSOR, PINK -INSPECTOR, GOLDENROD-APPLI CANT ;zq — 1-7 Permit#2065-84 Jack Douglas 675 Campbell,,'Grid N e- 6.> C:� C- 40 COUNTY OF BUTTE DEPARtIVIENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 89i-2751 7 County Ce6ter [;rive, Oroville — Phone: 534-4541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 70- RRECTION NOTICE A routine inspection indicatwthat the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, pleasS, contact this office immediately. Inspector -\\I UAIW Date. �Py f a (-Q- 7- is LOCATION ROOF ENERGY CERTIFICATION Gr lk DESCRIPTION OF INSULATION A. P. # MATERIAL BRAND NAME THICKNESS (INCHES) THERMAL RES. EXTERIOR WALL MATERIAL TYPE, FIBERGLASS 13RAND NAME CERTAINTEED THICKNESSI(INCNES)-- THERMAL RES. R - CEILING BATT OR BLANKET TYPE FIBERGLASS BRAND NAME: C,ERTAINTEED THICKNESS (INCHES) THERMAL RES. R-7 — LOOSE FILL TYPE FIBEERGLAS -BRAND NAME CERTAINTEED, Tl-lICKNESS (INCHES) - b THERMAL RES. R- 19 VLOOR, ELEVATED MATERIAL FIBERGLASS 13RAND NAME CERTAINTEED THICKNESS (INCHES) THERMAL RES. R- �"-%-IOR. SLAB I MATERIAL BRAND NAME THICKNESS (INCHES) THERMAL RES. WIDTH FOUNDATION WALL MATERIAL BRAND NAME THICKNESS INCHES) THERMAL RES. I HEREBY CERTIFY THAT THE ABOVE INSULATION WAS INSTALLED IN THE ABOVE BUILDING IN CONFORMANCE WITH THE STATE OF CALIFORNIA ENERGY REQUIREMENTS. HAWKINS INDUSTRIES INC. 622184 FIRM NAME STATE CONTRACTOR'S LICENSE # SIGNATURE DATE I VEREBY CERTIFY THE ABOVE INSULATION A,ND ALL REQUIRED ITEMS AS SHOWN ON THE BUILDING DEPARTMENT APPROVED PLANS AND ;,.TTAC,14MENTS HAVE BEEN INSTALLED AS REQUIRED BY'TNE STATE OF Ct.'-TFORNIA ENERGY REQUIREMENTS. FIRH'NAME STATE CONTRACTOR'S LICENSE # SIGNATURE - GEN. coNTR./OWNER DATE 9 . ......... owner: Permit No.—?/— E N E R G Y E T I F I C A T-1 0 N - i? -C;2- LOCATION A. P. No. DESCRIPTION OF INSULATION ROOF Material Brand Name Thickr�ess(inches) Thermal Resistance (R Value) t,;_EXTERIOR WALL Brand Name - Material .. 1?01161 Thickness(inches) Thermal Resistance(R Value) CEILING Batt or Blanket Type,,.- NBrand Name - Thickness(inches)_ Thermal Resistance(R Value) Loose Fill Type Brand Name Minim= Thid-knesi(Indhes.) Number of Bagq _ Wt. per bag lb. Area covered(ft. Thermal Resistance(R Value) .r.UUUr1, Z"VAJ.Lu Material Thickness(inches). FLOOR, 'SLAB Material Thickness(inches) Width(inches) FOUNDATION WALL Material --Thickness(inches) Brand Name Thermal Resistance(R Value) Brand Name Thermal Resistance(R Value) Brand Name Thermal Resistance(R Value) I hereby certify that -the above insulation was install . ed in the above building in conformance with the State -,of California Enerff. Requirements. nz, - 'FIRM NAME/OWNER, STATE dONTRACTOWS LICENSE NO. - SIGNATURE OF INSTALLATION.APPLI., DATE I hereby certify.the.-Ab bve-iniulation' and all required - items is --shown on L the Building Department appr'oved plans and attachinents have been installed as -'- required by the State of-Ca-lifornia Energy Requirements. All -equipment, devices and inaterials'are of the quality prescribed or-ar.e-- specifically approved by the State of California. ILP FIRM NAME/OWNER (Please print)l STATE CONTRACTOR'S LICENSE NO. S IGNATURE OF GE ER AT CONTRACTgR DATE *v(0WWR THIS CERTIrICATE-MUST-BE ON FILE WITH THE BUILDING DEPARTMENT PRIOR TO FINAL INSPECTION APPROVAL-AND'A COPY SHALL BE POSTED WITHIN THE BUILDING. January 1984 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT ,,/PERMI NO. ASSESSOR PARCEL NUMB =R 024-170-027 ZONING A 41", * -PHONE BUILDING PERMIT OWNER DEBORAH LOUISE KELSEY TELE 846-0224 SO. FT. OCC. BUILDING VALUATION EST 11000 OWNER'S MAILING ADDRESS 675 CA�IPBELL AVE GRIDLEY 95948 CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER NONE UNKNOWN Total Valuation Is LENDER'S MAILING ADDRESS Filing Fee $ 15.00 Permit Fee $ 22.50 ARCHITECT OR ENGINEER NONE E NO. Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS 675 CAMPBELL AVE GRIDLEY Permit fee $ 37.50-1 PLUMBING PERMIT FilingFee 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME 1 PARCEL MAP 1 Water piping 7.00 Each qas water heater or vent 7.001 USE OF STRUCTURE SF 3 DuplexF� Mobilehomeo Other SPECIFY Gas piping system 1 - 5 outlets 5.001 Building sewer 15.001 Mobile Home S I G I W @ 15.0 TYPE OF WORK NewF� Addition[] RemodelD utilitiesE] InstaiiationD Other Describe work: MMPT-F.TTON OF WORK STARTED UNDER B_R_ 999615-84 1 1--, Permit Fee $ Contractor ELECTRICAL PERMIT FilingFee 15.00 600V OR LESS Main service 111A OR LEIS 18.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): F-1 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 1, 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) F� I am exempt under Sec.—, Business and Professions Code for this reason Main service 20r A TO 1 OOOA) 37.50 NEW CONST. DWELLING OCCUPM OR ADONS. ACC.BLDGS. — 3.6* sq.ft.1 N E NSTR. —I- L E T NO W CO S.. MULT OUT R C U, N -RE RANC. C, TS) @ 5.00 I POWER APPARATUS.&) %SINGLE OUTLET CIR Ex. Occup( OUTLETS OR FIXTURES 120 @ 7�i 5AL, 0 46 FIXED APPLNS. OR I Ex. Occup. OUTLETS (RESID.) EAJ 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring *15.00 I Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): F� The permit is for $100.00 (valuation) or less. Fj 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 shal I 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 Hood 6.50 Ventilation — Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X-:' Date 9- 19 Sign.,�ur..f Ap�pli.onl Agent 1:1 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 $ '17 ,n HAZ I D FEES I IMP I FLOOD I CDF PA HD I ISV This permit is hereby issued under the sionsAtilhe B utte Co nty Code andgor te or whi f B D RIF P I Wo ca D;:R f6JN�/s 10 AKE P�Ak P IT EXPIRES Date IT EXPI applicable provi- resolutions to do have been paid. WORKS Date IQ hq_ I Receipt No. 103523 WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR, GOLDEN ROD-APPL I CANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONF: 916/538-7541 P-ERMIT APPLICATI-ON DATA SHEET OWNER Proposed Building Use Permit No. /7 A. P, N9. At time of P I t application, I was advised the following data must be submitted prior to permit processing and/or issuance: 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 douumentation. 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 of DPW. 19. Driveway permit (construction approval required prior to occupancy). 20. Pre -Inspection for required. 21. Contractor's license information (No., Name Style, Classification). 22. Certificate of Workmans Compensation Insurance. 23. Owner -Builder Verification (Given to owner 0, Mail to owner 0). 24. Recorded copy of Agricultural Acknowledgment Statement. 25. Letter of signature authorization. 26. 27. V When you issue the permit, process as follows: Telephone —and hold for Other Mai I to owner. -Mail to contractor. kup a -office. -Del.iver w/inspector. Applicant Date GENERAL INFORMATION BUILDING DEPARTMENT OFFICES HEALTH DEFARTMENT OFFICES Chico . . . . 196 Memorial Way Chico . . . . 196 Memorial Way Phone: 891-2751 Phone: 891-2727 Hours: 8:00 a.m. - 12:00 a.m. Hours: 8:00 a.m. - 9:00 a.m. Orovi I le . . . 7 County Center Drive Orovi I le . . . 7 County Center Drive Phone: 538-7541 Phone: 538-7281 Hours: 8:00 a.m. - 5:00 p.m. Hotirs: 8:00 a.m. - 10:00 a.m. Paradise . . . 747 Elliott Road Parad i se . . . 747 EI I iott Road Phone: 872-6307 Phone: 872-6308 Hours: 8:00 a.m. - 12:00 a.m. Hours: 8:00 a.m. - 9:00 a.m. PLANNING DEPARTMENT —.7 County Center Drive, Oroville — Phone: 538-7601 — Hours: 10:00 a.m. - 3:00 p.m. Original — Applicant V. 77, COUNTY OF BUTTE %D-EPITMENT OF �PUBLIC WORKS BUILDING DIVISION., 7 COUNTY CENTER DRIVE - OROVILLE, CAILIF13NIA 95965 - TELEPHONE: 916/538-7541 PERMIT APPLICAT14MATA SHEET OWNER Labo PQ_ to_ Permit No. & 9 /V A. R N _r2�1 — / �� Ir"i Proposed Building Use e0_6!0i- 1 0 Building Inspector— Date At time of p rfnit application, I was advised fhe following data must be submitted prior to permit processing and/or issuance: 7� 1 17AII items have been submitted . ..................................... DATE RECEIVED APPROVED 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 I (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) 20. Pre -Inspection for required Pre-inspec. request to Building Inspector (Date) 21. Contractor's license information (No., Name Style, Classification) . . . 22. Certificate of Workmans Compensation Insurance .................. 23. Owner -Builder Verification (Given to owner 0, Mail to owner 0) ..... 24. Recorded copy of Agricultural Acknowledgment Statement ......... 25. Letter of signature authorization .............. ... ......... 26. 27. When you issue the permit, pr I o'cess as follows: Mai I to owner. —Mail to contractor. Te , lephone and hold for �a office. —Deliver w/inspector. Other Applicant . Date Copy of Haz-Mat form sent —Health Dept. —Fire Dept. ----Air Pollution Date Copyofplanssent -----Health Dept. —FireDept. —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 ibove required data by—phone---jnai I —counter by—.date Contractor, designer, owner, was advised of above required data by—phone —mal I —counter by— date Plans checked Sets of plans on hold in Copy—DPW Date Plans File cabinet _AP folder .by-! 11 y COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone: 916.'538-7541 APPLICATION AND PERMIT ASSES OR PARCIIL NUMBER 03,9 -) 2 . 1 ZONING .11' . BUILDING PERMIT 0 ER I)Aono_� 2, e- 6,V TELEPHONE ��J)Z _0.1.1 SO. FT. OCC. BUILDING VALUATION /0 (9 0 OV*NP:R'S MAILIn ADORES 6�ls (_,V Qsqwl- C 0 TRA T n:� C L OR*5 NAME f JITELEPHONE CONTRAA�R -;�!.Al LING ADDRESS — ___rNOWN Fireplace CONSTRUCTION LENDER X IV "10— Total Valuation Is LENDER'S MAILING ADDRESS Filing Fee $ 15.00 Permit Fee $ AR;V1T;CkTJ0&R_ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BU L ING ADDRESSO Permit fee s J PLUMBING PERMIT FilingFee 15.00 Each Trap 1 5.001 Solar or heat pump water heater 1 20.001 LOT NO. SUBDIVISION NAME 1 PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF�& Duplex[3 MobilehomeF� Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S I G I W 615.00 TYPE OF WORK N 7 ion Remo( ew ir i Addi I Je)F—! Utilities[] taIIatM'mE3,,,,7herK 1- -1 a _< Describe work n'l, 10 t" � (9 , 4s Sta r, fl, ;1 (a r Permit Fee $ Contractor ELECTRICAL PERMIT Fi ling Fee 15.00 Main service 600V OR LESS 200A OR LESS 18.501 Main service 20CA TO 1000Ai 37.501 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): F-1 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) 0 1 am exempt under Sec.—, Business and Professions Code for this reason NEW CONST. DWELLING OCCUPM OR ADONS. ( ACC. BLDGS. 3.64 sq.ft.1 NE w CON5TR- MULTI-.UTLE:T N..-111_11.� R ANCH CIRCUITS) @ 5-00 POWER APPARATUS.&) SINGLE OUTLET CIR I I Ex. Occup(OUTLETS OR FIXTURE! 20 75d AL_ 8 4F;A FIXED APPLNS. OR % Ex. Occup. OUTLETS (RESIO.) EAJ 3.00. Temporary service 15.001 Mobile Home Facilities 15.00 Misc. Wiring 15.00 I I Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): F� The permit is for $100.00 (valuation) or less. Ej I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate 0 f Consent to Self -Insure. 0 1 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 becon, b* e"t to the W. C. provisions of the Labor Code, you must forthwith comply 1;i;� 'S'uch provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Fi i rig Fee 15.00 Heating Cooling I Hood 6.50 I Venti lation 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 ot 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 Signature of Applicant - Owner 0 Contractor F� Agent El An OSHA p,ermit 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� I �TOTAL FEE $ 11AZ 1 11 FEES I IMP 1 11.000 1 CDF-[7 I P0 I HD I ISSUE T his 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 I PERMIT EXPIRES Date Receipt No. MIZI -� - �WTE-O.F.W.. YELLOW ASSESSOR. PINK -INSPECTOR. GOLDENROD-APPL I CANT COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville,'CA 95965 Phone: .916-538-7541 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. 1 persona ' Ily plan to provide the major labor and materials.for construction of the proposed property improvement (yes or.no) 2. 1 (have/have not) hrwv-, signed an application for a building permit for the proposed work. - 3. 1 have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. 4. 11 plan to provide portions of th ' is work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. 5. 1 will provide some of the work but I hav� contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work Signed: Property Owner Social Security Number - Date / 3L - 3 — -7 / 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. De COUNTY OF BU t�_TE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive Oroville, California 95965 - Telephone 916/534-4541 10PLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER n- I+— I ri — �) 2 ZONING 1 BUILDING PERMIT V OWNER ITELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNPS MAILING ADDRESS 0 'L , 0 V� 6-�L a Ic 1) 'VairK C -a 9 S7 / a- _ CONT*RACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ 16�b Q ARCHITECT OR ENGINEER S E N 0. Plan Checking Fee ---$— Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDRESS PLUMBING PERMIT FilingFee 10.00 Each Trap -21 —2.00 Solar Water Heater 20.00 Water piping 5.00 LOT NO. SUBDIVISION NAME 1 ARCEL qAP 1P Each qas.water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SFU�r�DuplexR MobilehomeF� Other SPECI FY Building sewer 5.00 Mob* le Home I S TGTW 110-00e4 I I Addition TYPE OF WORK New r �] Remodel Er Uti lities 0 instally' �n[I Other E:1 Describe rk 0 V w 0-40- . _14 r_- e S� <6- At- -,L7'TAn Permit Fee $ 1!4 Contractor ELECTRICAL PERMIT FilingFee 10.00 10OV OR LESS Main service 100 AMP OR LESS 10.00 Main service EA. ADD -L 100 AMP 2.50 NEW CONST DWELLING U OR ADDNS. ACC. BLDG .. 21/20sq ft -9-,cm CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): I am licensed under provisions of Chapt. 9, Div. 3 of the Bu5 I ness and Professions Code and my license is in full force and effect. License No. Classification 1, 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, 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 L;VN5TK(MULTI-OU`TLET _ I D, BRANCH CIRCUITS) 2.50 ea NON.RFS NEW.CONSTRL (POWER APPARATUS &) NON-RESID. SINGLE OUTLET CIR. 20@50C Ex. OCCUP(OUTLETS OR FIXTURES 18AL0300 FIXED APPLNS OR Ex. Occup. OUTLETS (RESI'D.) EA.) 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): n The permit is for $100.00 (valuation) or less. E] 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-Inswe. 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 shal I be deemed revoked. MECHANICAL PERMIT FI I Ing Fee 10.00 Heating Cooling Hood Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above in — formation 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 abilities n ,N costs and e penses which may in any way accrue i st said judgme oun in c 6equence of txe granting of this permit. X 29 W , F_ — Date ign ture of Applicant wner P5 Contractor 0 Agefnt R n SHA permit is require/�f-,, excavations over 5'0" deep and demolition or construct- on of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ OCCUP. GROUP I TYPE OF CONST. IPARCELI P This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which CT OF PUBLIC By 0 P(a_y;T10_" ____J PERMIT EXPIRES D te 9 the applicable prov! resolutions to do fees have been paid. WORKS Date. 9 — / 7 VI/ Receipt No. -INSPECTOR, GOLDENROD-APPL I CANT WHITE-D.P.W.. YELLOW -ASSESSOR. PINK COUNTY OF BUTTE Department of Pubiic Works 7 County Ceiiter 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 nameand bearing your signature. Please complete'and return this information in the envelope provided at your earliest opportunity to avoid unnecessary delay in processing and issuing your build- ing permit. No building permit will be issued until this verifi6ation is received. 1. 1 personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) 2.. 1 (ahav p/have not) signed an application for a bVilding permit for the proposed work. 3. 1 have contracted with the following person (firm) to provide the proposed construction: Name Address. City Phone Contractors License No. 4. 1 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. 1 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 S igned: Prop Soci 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 permitted to issue the permit. CAAkj L 4�O r I I,"' k. zq - 7". 2-77 -F, 4: - - ---------------- . ....... vs —TV RN-f-R—A-V' lA—,Ls�tn-O-L,—L)V-CLCGL t 'Ina hO -FounA Ah a- W -45-e- 65 ;-r-Eu,� The- owners-JimUL 5c, 001 4 VA I,"' L File No. t 7 IL72 do BUTTE COUNTY .(FoxAction 1, 2,3) Public Works Dept. (For Information Director Dep. Dir. Sec. Rd. & Br. Mtce. Shop & Yards Bldgs. & Gfnds. Bldg. Insp. Admin. Design Engr. Bridge Engr. Const' Surve, - 7' Mappi Trans Land Dri Sul Perrnits --z Vo, j'd 002 Zve., Icy -Al - Uip U le e -- - /- , , -, a -L -At rr . ............. . 10 Ilk C9, ,e,CIL InterwDepartmental 'Memorandum TO: FROM: (fa& SU13JECT: Zq-/7- z7 DATE:,q 4t4dt, 64"4 ZEE, Dbborah Louise Atnip 675 Campbell Avenue Gridley, CA 95948� RE: Expired Permit #2965-84 675'Campbell Avenue, Gridley Dear Ms. Atnip: 11 December 5, 1991 1 A.P. #: 24-17-27 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: Fciilure to obtain the required inl'�Oections and approvals before expiration of "permit to remodel single family residence. Since permit an inlapAct4onsle-rip required for the above work, please contact this of f ice . 11 1 the date of this letter, apply for the re- quired permit"s"mtonlmva"ke 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 Enforceme . nt 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 gotice 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. Yours very truly, William Cheff Director of Public Works 06VIL'e-I egn", & J'- 9-- 66rd­ JFG:dms J.F. Glander cc: Assessor Manager, . Building Inspection Building Inspector ,e , -�* File No. BUTTE COUNTY (For Action 1, 2, 3) Public Works Dept. (For Iniormatio'n te Director Dep. Dir. Sec. Rd. & Br. Mtce. Shop & Yards Bldg. Insp. Admin. Design Engr. Bridge Engr. Constr. Engr. Surveys Mapping Transp. Land Dev. Drng. /S.I. Sub. & Pcl. Maps Permits Addr. Zel'Xe, -e ex jr , c (Z e- 0, -,?k a e, —5? 9 7 '12 Z'3—'7/ 0 le BU TA N D 0-F NAT.URAA WEALT.H AND B E A U T Y DEPARTMENT OF PUBLIC HEALTH. DIVISION OF E-KIVIROK"k— T.1t, IN Fir -m" 1 rl Address, 0 196 Men,.ri.l Way 0*7 County Center Drive 0 747 Elliott Road Reply- to California 95926 Orcv*ille, California 95965 Paradise, California 9 , 5969 Telephone: 916/891-272� Telephone:. 916/534-428,1 Telephone: 916/872.2 Ext: 58 August '29, 1984 Registered Mail -.Return Receipt Requested. Jack F. and Bonn ' ie J. Douglas. 638 Campbell Avenue Gridley, 'CA 95948. RE: Housing And Sewage Complaint,- 675 Campbell Avenue,.Gridley, CA AP# 24"17-27 Dear Mr. and Mrs. Douglas:� This department'received a complaint alleging that health.and-safety.hazards exist in the above listed rental -dwelling, and-that..'the sewage disposal system isfailinig.. The butte County Assessor's records indicate.you are'the owners of the property.. On August 13, 1984, 1 visited.the property and found the house vacant. An inspection was not made due to the lack of a tenant or owner's.permission to -enter the dwelling.and property. Through this letteri I am requested.that youarrange for an inspection of - the dwd1ling and its. sewage system.by this.department.prior to renting -the house.' You.ma,y contactme by telephone or inperson at the above listed telephone number or address. Very truly yours,. ;o'iSd J. �.nyd JK. R.S.. Division of -Environmental Health HJS/mlf, cc: Jim Glander, Public Works