HomeMy WebLinkAbout024-170-027...........
REMODEL W/O PERMITS
12/5/91
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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
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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
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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