HomeMy WebLinkAbout024-170-025ALVA R. HULTZ q
598 Larkin Rd, Gridley a(�•I y
Permit#2473-87B(reroof/SF)
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COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. - f --
'..7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 C1
ddd ,!
APPLICATION AND PERMIT -
ASS ,!SS R PARCEL NUMB
ZONING ' .z .,
BUILDING PERMIT
OWNER
TELEPHONE
SQ. FT. OCC. BUILDING VALUATION
�
v
�(1 MAILING ADDRESS
" Jr LI
CONTRACTOR'S NAME 70 1
0i Y\- XI-`_ r
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
k`s'
UNKNOWN
Total Valuation Is
FilingFee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
'ry`'k$
LICENSr_ NO.
Plan Checking Fee
$
Energy Plan Checking Fee
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
Permit fee
$
,10.00
PLUMBING PERMIT
Filing Fee
Each Trap
2.00
-/
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAME
PARCE MAP
Water piping
5.00
Each pas water heater or vent
5.00
USE OF STRUCTURE
SF [Q Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home S I G I W
10.00 ea'
TYPE OF WORK
New F-1 Addition❑ Remodel❑ Utilities❑ Installation[] Other
Describe work: /
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 100V OR LESS
100 AMP OR LESS
10.00
Main service EA. ADD•L 100 AMP
2.50
CONTRACTORS LICENSE LAW
I declare under penaltyof perjury
pjy (check one):
I am licensed under provisions of Chapt. 9, Div. 3 of the BuslnesS
and Professions Code and my license is in full force and effect.
License No. Classification
I, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
ontract-
ors.
ors.(Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONST. / DWELLING OCCUP.a) yz2sgft
OR ACDNS. l ACC, B
NEW CONST R. MUL I.OUTLET
NON.RESID BRANCH CIRCUITS) 2.50 ea
/POWER APPARATUS &)
(POWER
OUTLET CIR.
EX. QCCUp OUTLETS OR FIXTURES e20950t
AL030
FIXED
Ex. Occup. OUTLETS PIRESID IKEA.) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 15.00
Permit Fee
$
Contractor
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ i have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
VQ' 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
Filing Fee 10.00
Heating
Cooling
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 expenses which may in any way accrue
against said County in consequence of the granting of this permit.
j ,7:;>J f r
X �/l-' t. �" , Date �`
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 $
TOTAL PERMIT FEE $ CQ6_
OCCUP.
CONST.TYPE
T-7LOODIPARCELI
PD
I No
Iseu
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIRECTOR, PUBLIC
RECTOR
By. -�
PERMIT EXPIRE Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
ate 4/
r
Receipt
WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR, GOLDENROD -APPLICANT
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO.
7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541
APPLICATION. AND PERMIT c�
ASSESS PARCEL NUMB
ZONING
BUILDING PERMIT
Ow RS
TE'L'EPHONE
8`tt0—
SO. FT. OCC. BUILDING VALUATION
OWNER'S MAILING.
,Q
CO TRAC TOR'S NAME
TELEPHONE
ONTRACTOR'S MAILING ADDRESS
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
Permit fee
$
PLUMBING PERMIT
Filing Fee 10.00
�.
Each Trap
2.00
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAMEPARCE
MAP
Water piping
5.00
Each qas water heater or vent
5.00
USE OF STRUCTURE
SFX_ Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home S G W
0.00 ea
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other
Describe work:
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 1000V OR 0 AMP ORLESS10.00
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 Code and my license is in full force and effect.
License No. Classification
(� I, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONST. DWELLING OCCUP.a , 20sgft
New DCONS. A
UC'TBI OUTLET
NON .RESID BRANCH CIRC ITS 2.50 ea
POWER APPARATUS .&)
SINGLE OUTLET CIR.
/
Ex. Occup\OUTLETS OR FIXTURES 20050t
eAL030
FIXED APPLNS. R
EX. Occup. OUT LETS (RESID )EAJ 2.00
Temporary service
10.00
Mobile Home Facilities 15.00
Misc. 6yirin 15.00
9
Permit Fee $
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ 1 have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making 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 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 expenses which may in any way accrue
against said County in co sequence of the granting of this permit.
eZfThis
X Date __7
Signature Applicant — Own. Contractor ❑ Agent ❑
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
TOTAL PERMIT FEE $
OCCUP.
CONST.TTPE
I
I FLOOD
PARCEL
PD
I ND
1
permit is hereby issued under
sions of the Butte County. Code and/or
work indicated above for which
DIRECTO OF UBLIC
B
PERMIT EXPIRE. Da le
the applicable provi-
resolutions to do
fees have been aid.
P
WORKS
at 8
Receipt No. �6�f �
WHITE-O.P.W.. TELLOW-ASSE330R. PINK -INSPECTOR. GOLDENROD -APPLICANT
COUNTY OF BUTTE - Department of Public Works
7 County Center Di?ive,.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. I personally plan to provide the major labor and materials for construction of
the proposed property improvement (yes or no)
2. I (have/have not) Q/G-ei signed an application for a building permit
for the proposed work.
3. I have contracted with the following person (firm) to provide the proposed
construction:
.Name
Address City
Phone Contractors License No.
4. I plan to provide portions of this work, but I have hired the following person
to coordinate, supervise,'and provide the major work:
Name
Address City
Phone Contractors License No.
5. I will provide some of the work'but I have contracted (hired) the following
persons to provide the work indicated:
Name Address Phone Type of Work
Signed:
Property Owner4 � ��� ..:: d e, I - , :: &� V
Social Security Number
Date :z-/
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.
F.•24=17-25 �' a. 24 17=25 "'911182-
$ 'FAYE ` HULTZ,
-
''` Jimmie
•.598 `Larkin Rd," Gridley HULT2, ti n
024-17-0-025 93-1160 E ''598 Larkin Rd', Gridley
d KING, ROBERT A Exe
598 LARKIN RD, GRIDLEY `���'_' equip stg & dry goods shelter) .
WIRING & ELEC SERV/SF
U24-17-0-025 93-1161 B
KING, ROBERT
598 LARKIN RD, GRIDLEY ,
REPAIRS/SF ZLI'_`
024-17-0-025 93-2593 BPEM
KING, ROBERT .4.
.598 LARKIN, GRIDLEY �f�,•-!"' q
REPAIRS/SF -7'L I4
94-1311BE 024-170-025
` KING, ROBERT f-tJo-.yj7.i
598 LARKIN RD.,'GRIDLEY .,
COMPLETE BP#93-1161 &.93-1160
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024-17-0-025
7-0-
24 17-U-025 93-2593 BPEM
KING, ROBERT
5 598 LARK IN
98 LARKIN, GRIDLEY
p I S/S
REPAIRS/SF
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COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 , PERMIT O.
APPLICATION AND PERMIT S i
ASSESSOR PARCEL NUMBER
024-170-025
ZONING
k40
BUILDING PERMIT
OWNER
t',0�1T:RT PING
TELEPHONE
SQ. FT. OCC. BUILDING VALUATION
OWNER'S MAILIN4200
G ADDRESS
Till0 ROX 342 GRIDLEY CA 95948
CONTRACTOR'S NAME
S A' T
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
LENDER'S MAILING ADDRESS
Filing Fee $
20,00
Permit Fee $
72.00
ARCHITECT OR ENGINEER
nT *7T'
UC ENSE NO.
Plan Checking Fee $
Energy Plan Checking Fee $
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty $
BUILDING ADDRESSPERMIT
q v , r,
FEE $
•- •
PLUMBING PERMIT
Filing Fee 20.00
Each Trap
7.00
Solar or heat pump water heater
23.00
Water piping
15,00
LOT NO.
SUBDIVISION'S NAME
PARCEL MAP
Each gas water heater or vent
15.00
USE OF STRUCTURE
I
SFO Duplex ❑ Mobilehome O Other
SPECIFY
Gas piping system 1 - 5 outlets
15.00 T5 .7M
Building sewer
15.00
Mobile Home S G W
20.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities O Installation O Other ❑�
Describe Work: REPAIRS PER ATTACHM LIST
PERMIT FEE $
0.0
Contractor
ELECTRICAL PERMIT
Filing Fee 20.00
Main Service ( BOOV OR LESS )
2ODA OR LESS
23.00
Main Service ( 200A TO 1000A )
46.00
NEW CONST. DWELLING OCCUP.
OR ADDNS. a ( ACC. BLOS. )
SD .
3.50 FT.
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one)
O 1 am a licensed under provisions of Chapter 9, Division 3 of the Business and
Professions Code and my license is in full force and effect.
License No. !!rQ / Q Classification 0
❑ I, as the owner, or my employees with wages as their sole compensation, 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 contractors. (Sec 7044)
O 1 am exempt under Sec. Business and Professions Code
forthis reason
NEW CONST. MULTI -OUTLET
-NON-RESID. ( BRANCH CIRCUITS )
@7.50
( POWER APPARATUS )
a SINGLE OUTLET CIR.
Ex. Occup. ( OUTLET OR FIXTURES )
820L. @ 1 00
FIXED (RESID OR
Ex. Occup.UT
( OUTLETS (RESID.) EA. )
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
WORKER'S COMPENSATION INSURANCE
1 declare under penalty of perjury (check one):
O This permit is for $100.00 (valuation) or less.
J& I have placed on file with the County of Butte Dept. of Development Services,
Building Division a Certificate of Workmen's Compensation Insurance or a
Certificate of Consent to Self -insure.
❑ 1 shall not employ any person in any manner so as to become subject to the Worker's
Compensation laws of California.
Notice to Applicant: If after making this statement, should you become subject to the
Worker's Compensation provisions of the Labor Code, you must forthwith comply with
such provisions or this permit will be revoked.
PERMIT FEE $
43.00
Contractor
MECHANICAL PERMIT
Filing Fee 20.00
Heating
Cooling
15.00
Hood
6.50
Ventilation
PERMIT FEE $
50.00
Contractor
I certify that I have read this application and state that the above information is correct.
I agree to comply to all Butte County Ordinances and California 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 expenses which may in any way accrue against said
County in consequence of the granting of this permit.
X X%1 J Date
Sig�ure of Applicant - O Owner O Contractor >eAgent
An OSHA permit is required for excavations over 5"0" deep and demolition or
construction of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
CONST. TYPE
TOTAL FEE $ 235.1710
HAZ.
I D. FEES
I IMP
I FLOOD
I CDF
PARCEL PD
HD
Issu
This permit is hereby issued under the applicable provisions
of the Butte County Code and/or Resol tions to do work
indicated ve for which fees have bei paid.
IRECT¢R PUBLIC ORKS
By TY85/�?3
€3 S n4
PERMIT EXPIRES ON
(Date)
Receipt No. 14207.
WHITE-O.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive - Oroville, California"95965 - Telephone (916) 538-75413_ � PERIAITNO*
APPLICAT16N AND PERMIT S j
ASSESSOR PARCEL NUMBER
024-170-025
ZONING
A40
BUILDING PERMIT
OWNER
ROBERT KING
TELEPHONE
SQ. FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS
P 0 BOX 342 GRIDLEY CA 95948
EST 4200
CONTRACTOR'S NAME
SAME
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
NONE
UNKNOWN
Total Valuation Is
LENDER'S MAILING ADDRESS
Filing Fee $
20.00
Permit Fee $
72.00
ARCHITECT OR ENGINEER
NONE
LICENSE NO.
Plan Checking Fee $
Energy Plan Checking Fee $
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty $
BUILDING ADDRESS
99R LARKIN R1)_ GIRIDT2Y
PERMIT FEE $
92.00
PLUMBING PERMIT
Filing Fee 20.00
Each Trap
7.00
Solar or heat pump water heater
23.00
Water piping
15,00
LOT NO.
SUBDIVISION'S NAME
PARCEL MAP
Each gas water heater or vent
15.00 15.00
USE OF STRUCTURE
}}��
SF 7d Duplex ❑ Mobilehome ❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
15.00 15.00
Building sewer
15.00
Mobile Home S G I W
@20.00
TYPE OF WORK
y
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation 1:1 Other l.!'
Describework: REPAIRS PER ATTACHED LIST
PERMIT FEE $
5
0.00
Contractor
ELECTRICAL PERMIT
Filing Fee 20.00
Main Service I BOOVORLESS )
2ODA OR LESS
23.00
Main Service I 200A TO IOOOA )
46.00
NEW CONST. DWELLING OCCUP.
ORADONS. I & ACC. OLDS. )
SQ.
3.50 FT.
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one)
❑ I am a licensed underrovisions of Chapter 9, Division 3 of the Business and
P P
Professions Code and my license is in full farce and effect.
License No. G SIL Classification
❑ I, as the owner, or my employees with wages as their sole compensation, 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 contractors. (Sec 7044)
❑ 1 am exempt under Sec. Business and Professions Code
forthis reason
NEW CONST. MULTI -OUTLET
NON -REBID. ( BRANCH CIRCUITS )
@7.50
IPOWER APPARATUS )
& SINGLE OUTLET CIR.
Ex. Occup. ( OUTLET OR FIXTURES )
20 @ 1.00
BAL. 9 .50
Ex. Occu FIXED APPLNS. OR
p' ( OUTLETS IRESID.1 EA. )
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00 23.00
WORKER'S COMPENSATION INSURANCE
1 declare under penalty of perjury (check one):
❑ This permit is for $100.00 (valuation) or less.
J' I have placed on file with the County of Butte Dept. of Development Services,
Building Division a Certificate of Workmen's Compensation Insurance or a
Certificate of Consent to Self -insure.
O 1 shall not employ any person in any manner so as to become subject to the Worker's
Compensation laws of California.
Notice to Applicant: If after making this statement, should you become subject to the
Worker's Compensation provisions of the Labor Code, you must forthwith comply with
such provisions or this permit will be revoked.
PERMIT FEE $
43.00
Contractor
MECHANICAL PERMIT
Filing Fee 20.00
Heating
15.00
Cooling
15.00
Hood
6.50
Ventilation
PERMIT FEE $
50.00
Contractor
I certify that I have read this application and state that the above information is correct.
I agree to comply to all Butte County Ordinances and California 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 expenses which may in any way accrue against said
County in consequenceOf the ranting of this permit.
X Q Date' ,S� r�'3
Sig ature of Applicant - ❑ Owner ❑ Contractor (Agent
An OSHA permit is required for excavations over 5"0" deep and demolition or
construction of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
OCC
coNsT. TYPE
TOTAL FEES 235.00
HAZ.
D. FEES
IMP
FLOOD
I CDF
PARCEL PD
I HD
I ISSU
This permit is hereby issued under the applicable
of the Butte County Code and/or Resol
indicated ve for which f shave a
IRECT PUBLI
By
PERMIT EXPIRES ON
Date)
provisions
tions to do work
paid.
ORKS
ate 8/5/93
8/5/94
Receipt No.
WHITE-D.D.S.-B.O. CANA OR PINK -INSPECTOR GOLDENROD -APPLICANT
y,
August 3, 1993
REAL PROPERTY: 598 Larkin Road Gridley CA ('unincorporated area)
AP# 24-17-0-025
Install new Central H/A $2900.00
Sheetrock North bedroom, East Kitchen wall,
sheetrock repair in both bathrooms and
firewall at water heater. 500.00
Install new hot water heater. 200.00
Replace small amount of siding as necessary in
the normal course of remodeling 200.00
Replace kitchen and bath sinks and miscellaneous
plumbing. 150.00
Run gas line to North bathroom/utility room 100.00
Install smoke alarms in bedrooms and miscellaneous
wiring. 150.00
t,
• ' .r '1V"i:"5 r. \'�" ni Y1 a. FA�..�.. ,..ix�; .. .k 1 »'q. -n :. r'^Y: i" fe/ l.T P',�y el. ..:9 .ice ^. 7'4yr._. +XT's...t�yr•':{ ti:_i;11 �"iv"'W:�
.,024- 7-0-025 93-1160 •E
KING; `ROBERT
598 LARKIN•RD, GRIDLEY
WIRING & ELEC SERV/SF
OFFICE COPY
Address
GAS
Meter By Y
ELECTRIC. Pate-
Meter
ate Meter By : (}. ! Fr
_ Da �`) -
i"„ 4W ;4 :.:W:a r '". :. �-• ��.r`.y'B+aP'.- . .Y.. ,,..,,,
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO.
�j 7 County.,Center Drive - Oroville, California 95965 - Telephone: 916/538-7541
APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER
024-170-025
ZONING
P
I BUILDING PERMIT
OWNER
Robert King
TELEPHONE
846-4701
SO. FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS
P.O. Box 342, Gridley 95948
CONTRACTOR'S NAME
Owner
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation Is
LENDER'S MAILING ADDRESS
Filing Fee
$ 15,00
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
,$'
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Energy Plan Checking Fee
$
Penalty
$
BUILDING ADDRESS
Permit fee
$
595 Larkin Rd., Gridley
PLUMBING PERMIT
Filing Fee 15.00
Each Trap
1 5.00
Solar or heat pump water heater
1 20.00
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Water piping
7.00
Each qas water heater or vent
7.00
USE OF STRUCTURE
SF EI Duplex[-]Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
1 5.00
Building sewer
15.00
Mobile Home S I G I W
@ 15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Uti lities 91 Installation ❑ Other ❑
Describe work: Nev Main Service and Misc. Wiring
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 15.00
1
Main service 600VORLESS 200A OR LESS
1 8.50
1 1$.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Bus Iness
and Professions Code and my license IS In full force and effect.
License No. Classification
i, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
Main service 200ATO1000A1
37.50
NEW CONST. (DWELLING occuP.�\
OR ADDNS. ACC. BLDGS. I
3.60sq.ft.
NEW-CONSTR. ULTI.OUTLET
NON-RESID BRANCH CIRC ITS
@ 5.00
(POWER APPARATUS e)
SINGLE OUTLET CIR.
Ex. Occup(OUTLETS OR FIXTURES
20 76
FIXED APLINIS
Ex. DCCUp. OUT LETS P(RESID )REA.)
3.00
Temporary service
15.00
Mobile Home Facilities
15.00
Misc. Wiring
1 -15.00 15.00
Pre -Inspection
1 l
Permit Fee
$ 5j.
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
The permit is for $100.00 (valuation) or less.
I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
Contractor
MECHANICAL PERMIT
FiIingFee 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 sai oun in conse ce of the granting of this permit.
Date _6&4--2
Signature of Applicant — Owner)9 Contractor ❑ Agent F1
An OSHAwork
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 S
Energy Inspection Fee $
occ
CONST TYPE
TOTAL FEES 53.50
HAz
DFEES
IMP
I FLOOD
CDF
PARCEL
I PD
HD
ISSUE;
This permit is hereby issued under the
sions of the Butte County Code and/or
indicated above for which fees
DIRECTOR -OF -PUBLIC
By c fes.,`; r
;4.-
PERMIT EXPIRES Date
applicable provi-
resolutions to do
have been paid.
WORKS
Date
,A /
Receipt No.
WHITE-O.P.W., YELLOW-ASeE330K, 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.
A Z'
ASSESSOR PARCEL NUMBER1
024-170-025
ZONING
A-5
BUILDING ERMIT
OWNER
Robert Kin
TELEPHONE
846-4701
SQ. FT. OCC. BUILDING VALUATI,°N
OWNER'S MAILING ADDRESS
P.O. Box 342, Gridley 95948
CONTRACTOR'S NAME
Owner
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation Is
LENDER'S MAILING ADDRESS -
Filing Fee
$ 155,00
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Energy Plan Checking Fee
$
Penalty
$
BUILDING ADDRESS
Permit fee
$
n Rd. GridleV
PLUMBING PERMIT
Filing Fee 15.00
Each Trap
5.00
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAME -
PARCEL MAP
Water piping
7.00
Each qas water heater or vent
7.00
USE OF STRUCTURE
SF [:J Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
15.00
Mobile Home I S I G JW I
@ 15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities® Installation ❑ Other ❑
Describe work: New Main Service and Misc. Wiring
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 15.00
Main service 200A OR LESS
1 18.50 18.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
I am licensed under prOVISIOnS Of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full force and effect.
License No. Classification
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)
❑ 1 am exempt under Sec. , Business and Professions Code
for this reason
Main service 200ATO1ooDA1
37.50
NEW CONST. DWELLING OCCUP.�\
OR ACDNS. ACC. BLDGS. //
3.64sq.ft.
NEW CONSTRULTI.OUT LET
NON.RESID BRANCH CIRC ITS
@ 5.00
(POWER APPARATUS e1
SINGLE OUTLET CIR. I
EX. OCCU p OUTLETS OR FIXTURES
20 @ 7e
FIXED APPLNS. OR
Ex. \
OCCUp. OUTLETS (RESID.1 EA./
1 3.00
Temporary service
15.00
Mobile Home Facilities
15.00-15.00
Misc. Wiring
1 15.00
Pre—Inspection
1 20.0 20.00
Permit Fee
$ 53.50
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
FiIirig 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
agaisai oun in conseq ce of the granting of this permit.
X Date r o2
Signature of Applicant — Owner Contractor I]Agent
An OSHA y
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 6
Energy Inspection Fee $
occ
CONST TYPE
TOTAL FEE $ 53.50
HAz
DFEES
IMP
FLOOD
CDF
PARCEL
PDnst
HJISSUE
This permit is hereby issued under the
sions of the Butte County Code and/or
work indicated abo ve for which fees
—PI7�LIC
BY
DIR!!Da
PER tPIR-
applicable provi-
resolutions to do
have been paid.
WORKS
D to �v %3
Receipt No. 141034
WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT
r -,,,F.--. ., .-+.,+�,y� •^+-�7'-,,,f"�"".,x-r'�,..i`''�'�*�,'s'�,t�`^^;,�,�,'Wr,'•'�"�`.'R'.-`'�,r�`i�, ri�ein''�''�, 'w..�'4-� .,
1
COUNTY OF BUTTE - DEPARTMENT OF.DEVELOPMENTSERVICES -BUILDING DIVISION
.
j CSW.* ,CENTER DRIVE - OROVILLE, CALIFORNIA95965 -TELEPHONE (916)-538-,7541
PERMITAPPLICATION DATA SHEET
OWNER
(�� r /� A. P. No. I 7A QZ�
Proposed Building Use IV ecl Sedd , Building Inspector A(0 Date 13
At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance:
DATE RECEIVED BY
1.
All items have been submitted.........................................
2.
Plot plans, 3/4 sets, signed by preparer of plans . ..........................
3_
Complete plans, 3/4 sets, signed by preparer of plans . .......................
.4.
Engineered plans and calcs, 3/4 sets, with wet signature on plans . .............
5.
Hazardous Material Form . .............................................
6.
Energy Design Compliance and supporting documentation . ................. .
7.
Statement of Intent for Non -Heated and A/C Buildings . ......................
8.
Engineered truss details and layout in duplicate (required prior to plan check). ....
9.
Mobilehome data and manufacturer's installation instructions, 2 sets. ...........
10.
Fees of $ ..........................................
11.
Impact fees as shown on attached schedule . ............................. .
12.
California Department of Forestry plan approval/fees. .......
13.
Flood elevation letter (100 year flood) by California Engineer. ..•►...:.......... .
14.
Sanitation and plot plan approval Health Department . ............
15.
City of Chico plumbing permit . ......................................... .
16.
Plot plan and business license approval from City of Biggs/Gridley. ............ .
17.
Planning approval for (A) Use: (B) Parking: . ........
18.
Contact Land Development about (A) Improvements (B) Drainage . .. ......... .
�19.
20.
Driveway permit (construction approval required prior to occupancy). .. cdoA . .
Pre -inspection for Forii �zt' 6-C6A'G-Ci' required. oa�ild
.. glnspedor� (Date)
21.
Contractor's license information. (No., Name Style, Classification) . ..............
22.
Certificate of Workmans Compensation Insurance . ......................... .
23.
Owner -Builder Verification (Given to owner , Mail to owner ............
24.
Recorded copy of Agricultural Acknowledgement Statement . ..................
25.
Letter of signature authorization . .........................................
26.
Copy of recorded deed of parcel creation and 60 right of way to a public road. .... .
27.
Letter of intent on building use . .........................................
28.
Mobilehome utility clearance . ..........................................
29.
Documentation of legal access . ..................... :..................
30.
Documentation of 50% subdivision developed or (A) Road improvements completed
and (B) Parcel meets zoning area and frontage requirements . ...............
31.
Existing violations/expired permits . ......................................
32.
Plan check list . ......................................................
33.
34.
When y,�u'issue the permit, process as follows: Mail to owner. Mail to contractor.
Telephone 8y6- and hold for /L
y7y/ pickup at cup office. Deliver with inspector.
`
Other
Parcel Creation
Acreage
Applicant ,/ S�
Date
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
1. Index permit for above items No.
2. Additional items required:
(Circle new item not checked above).
Contractor, designer, owner, was advised of above required data by _ phone -mail Counter by _ Date
Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date
Plans checked by Date Plans approved by Date
Sets of plans on hold in File cabinet AP folder
Copy - Department of Public Works
hm
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. I personally plan to provide the major labor and materials for construction of
the proposed property improvement (yes or no) 2
2. I 6<6vVlhave not) /}d signed an application for a building permit
fo a proposed work.
3. I have contracted with the following person (firm) to provide the proposed
construction:
Name
Address City
Phone Contractors License No.
4. I plan to'provide-portions of this work, but I have hired the following person
to coordinate, supervise, and provide the major work:
Name
Address ..Cit.y
Phone Contractors License No.
5. I will provide some of the work but I have contracted (hired) the following
persons to.provide the work indicated:
Name Address Phone Type of Work
Signed:
Property Owner
Social ecuri y Number
Date / r" �8 ��C1
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.
PRE -INSPECTION
OWNER: DATE
LOCATION: �j /�� �� �fi t° A.P. # (i
24
CONTRACTOR: ZONING
--------------------
PRE-INSPECTION-FOR: lC`//FJ-ce
TYPE OF OCCUPANCY rI6 0,5 -e
----------
FIELD - INFORMATION
I
BUILDING USAGE:
TENNANT:
EZ -0 CUPIEDS ELECTRIC S GAS [:::] HAS SANITATION FACILITIES
[� HEATED -COOLED _RSON CONTACTED;.
OTHER COMMENTS:
ACTION RECOMMENDED:
HOLD FOR
OTHER:
DATE TO
INSPECTOR
----------------------
PERMIT HISTORY: NONE
AS FOLLOWS:
�
ifG� /✓_____________
TYPE OF OCCUPANCY rI6 0,5 -e
----------
FIELD - INFORMATION
I
BUILDING USAGE:
TENNANT:
EZ -0 CUPIEDS ELECTRIC S GAS [:::] HAS SANITATION FACILITIES
[� HEATED -COOLED _RSON CONTACTED;.
OTHER COMMENTS:
ACTION RECOMMENDED:
HOLD FOR
OTHER:
\\ �� COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 'OLnty Center Drive - Oroville, California 95965 - Telephone: 916.'538-7541
° ° I -4 APPLICATION AND PERMIT
PERMIT O.
ASSESSOR PARCEL NUMBER
24-170-025A-40
ZONING
-
A;ZiE
BUILDING PERMIT
OWNER
Robert Kin
E
840.-4701Constr
SO. FT. OCC. BUILDING VALUATION
Est. 3 000.00
OWNER'S MAILING ADDRESS
P.O. Box 342 Gridley 95948
CONTRACTOR'S NAME
Owner
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $3,000.00
Filing Fee
$ 15.00
LENDER'S MAILING ADDRESS
Permit Fee
$ 5,00
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$ 22 50
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
Permit fee
$ 82.50
PLUMBING PERMIT
Filing Fee 115.00
9Q8 Tnrkln Rd., Gridley
Each Trap
1 5.00
Solar or heat pump water heater
1 20.00
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Water piping
1 7.00
Each qas water heater or vent
1 7.00
USE OF STRUCTURE
SF [2 Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
1 5.00
Building sewer
15.00
Mobile Home S I G I W
@ 15.00
TYPE OF WORK
New _ Addition _ Remodel, Utilities ❑ Installation[ Other
Describe work: Dry Rot, Repairs Rafter Tails and ::xterio
Doors New Closet in Bedroom, Sheetrock
Permit Fee
$
wo..-_._.or
ELECTRICAL PERMIT
Filing Fee 15.00
_ Tiving Re�iroam & HallweV
Main service 600V OR LESS200A OR LESS
1$•50
Main service 200AT01000AI
37.50
CONTRACTORS LICENSE LAW.
I declare under penalty of perjury (check one):
Its
'�Fjv' 1 am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is infill force and effect.
,J
License ,Jo._? li It tf rte! Classification
Lj 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 OCCUPM
OR ACDNS. 1 ACC. BLDG S.
3.64 sq.ft.
NEW CONSTRULTI-OUTLET
NON-RESID BRANCH CIRC ITS
@ 5.00
(POWER APPARATUS IN
(SING LE OUTLET CIR.
Ex. Occup OUTLETS OR FIXTURES
20 750
Ex. Occup. OUTLETS ((RESID )ED APPLNS.REA.)
I 3.00
Temporary service
15.00
Mobile Home Facilities
15.00
Misc. Wiring
15.00
Permit Fee
$
Contractor
—
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
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 becomesubject
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
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 s o my in coon%seque a of the granting of this permit.
X � fes+ Date
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
$8 2• 50
HAz I DFEES
I._MPI
FLOOD CDF
PARCEL PD
HD
---
Issu
This permit is hereby issued under the
sions of the Butte County Code and/or
work indicated above for which fees
DIR OIR OF PUBLIC
By �f fA
PERMIT EXPIRES Date-
applicable provi-
resolutions to do
have been paid.
WORKS
Date
; /:;
141034
Receipt No.
WHITE-D.P.W.. YELLOW-A33E330R. PINK -INSPECTOR. GOLDENROD -APPLICANT
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WO PERMIT NO'
7tounty Center Drive - Oroville, California 95965 - Telephone: 91 375 1
APPLICATION AW PERMIT
ASSESSOR PARCEL NUMBER
24-170-025
ZONING _
A-40
BUILDING PERMIT
OWNER
Robert Kin
TELEPHONE
846-4701
SQ. FT. OCC. BUILDING VALUATION
Constr. Est. 3,006- .00
OWNER'S MAILING ADDRESS
P.O. Box 342 Gridley 95948
CONTRACTOR'S NAME
Owner
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation 1$3,000.00
Filing Fee
$ 15.00
LENDER'S MAILING ADDRESS
Permit Fee
$ 45.00
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$ 22.50
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
Permit fee
$ s2.5o
PLUMBING PERMIT
Filing Fee 15.00
598 larkin Rd Gridley
Each Trap
5.00
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Water piping
7.00
Each qas water heater or vent
7.00
USE OF STRUCTURE
SF [J Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
15.00
Mobile Home S I G I W
@ 15.00
TYPE OF WORK
New l' Addition LJ Remodel CI Utilities ❑ Installation❑ Other ®
Describe work: _Dry Rot, Repairs Rafter Tails and Exterior
_ Doors New Closet ;n Bedroom. Sheetrock
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 15.00
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
IL}
I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code prid my license is in, jull force and effect.
License ,d0. Classificati
❑ I, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
Main service 600VORLESS
200A OR LESS
18.50
Main service 200A TO 1o0OA)
_
37.50
NEW CONST. / DWELLING OCCUP.&)
OR ADDNS. \ ACC. BLDGS.
3.6Q sq.ft.
NEW CONSTR MULTI.OUTLET
NON-RE51D BRANCH CIRC ITS
@ 5,00
POWER APPARATUS &
( `iNGLE OUTLET CIR. )
Ex. OCcup(OUTLETS OR FIXTURES
20 764
450
FIXED
Ex. OCCUp. OUTLETS (REBID ILNS_OREA.)
I 3.00
Temporary service
15.00
Mobile Home Facilities
15.00
Misc. bYirin g
15.00
Permit Fee
$
—
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
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 15.00
Heating
Cooling
g
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 so my in con eque a of the granting of this permitrl
X ` Date
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 $ 82.50
HAz OFEES
I_MP
FLOOD I CDF
PARCEL PD
HD
Issu i
This permit is hereby issued under the
sions of the Butte County Code and/or
work indicated above for which fees
DIR OF PUBLIC
By
PERMIT EXPIRES Da-TeT—
applicable provi-
resolutions to do
have been paid.
WORKS
D to
Receipt No. 141034
WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR, GOLDENROD -APPLICANT
ti„1,r.�y`+,ra,u ���„�..��,t,�,,x,,,.,I ,Y � .rx _ .:� ^�5i"r^..�`nvn.+---�•�}•^,r��
COUNTY OF BUTTE' -DEPARTMENTOFBEVPMENTSERVIC B ILDINGDIVISION
7 COUNTY CENTER DRIVE - OROVILLE, CALIFOIIA95965 - TELEPH NE (916) 538-7541
e
PERMIT APPLICATION DATA SHEET
OWNER A. P. No. _02 t/-- /70 b
Proposed Building Use Building Inspector ,tPo Date tz L::) olp.3
,,.At timeof permit application, I was advised the following data must be submitted prior to permit processing and/or issuance:
1 DATE RECEIVED BY
/ 1,
All items have been submitted . ..............
1 2.
Plot plans, 3/4 sets, signed by preparer of plans.-'.. ......................... .
3.
f
Complete plans, 3/4 sets, signed by preparer of plans . ......................
.4.
Engineered plans and calcs, 3/4 sets, with wet signature on.plans. .............
5.
Hazardous Material Form . .............................................
6.
Energy.Design Compliance and supporting documentation . ..................
7.
Statement of Intent for Non -Heated and A/C Buildings . ......................
8.
Engineered truss details and layout in duplicate (required prior to plan check). ....
9.
Mobilehome data and manufacturer's installation instructions, 2 sets. ...........
10.
Fees of $ ......................................... .
11.
Impact fees as shown on attached schedule. ............................. .
12.
California Department of Forestry plan approval/fees....................... .
13.
Flood elevation letter (100 year flood) by California Engineer . ................. .
14.
Sanitation and plot plan approval Health Department . ............
15.
City of Chico plumbing permit . ........................................ .
16.
Plot plan and business license approval from City of Biggs/Gridley. .............
17.
Planning approval for (A) Use: (B) Parking: . ........
18.
Contact Land Development about (A) Improvements (B) Drainage. .......... .
19.
Driveway permit (construction approval required prior to occupancy). .. .. .. .
20.
Pre -inspection for required. o Build g Inspector (Date)
21.
Contractor's license information. (No., Name Style, Classification) . ..............
22.
Certificate of Workmans Compensation Insurance . ...........................
23.
Owner -Builder Verification (Given to ownerMail to owner �. . ..........
24.
Recorded copy of Agricultural Acknowledgement Statement . ..................
. ; 25.
Letter of signature authorization . ....................................... .
26.
Copy of recorded deed of parcel creation and 60 right of way to a public road. .... .
27.
Letter of intent on building use . ........................................ .
28.
Mobilehome utility clearance . .................:........................ .
29.
Documentation of legal access . .....................:................. .
30.
Documentation of 50% subdivision developed or (A) Road improvements completed
and (B) Parcel meets zoning area and frontage requirements . ...............
31.
Existing violations/expired permits . ......................................
32.
Plan check list . .....................................................
33.
-34.
_
When you issue the permit, process as follows: Mail to owner. Mail to contractor.
�/ TelephoneD and old for pickup at �/otj�//T''- office. Deliver with inspector.
Other s /a o;a5 -- 4x ynaIj -,-n
Parcel Creation
Acreage Applicant _ �Date
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 _ mail Counter by _ Date
Contractor, designer, owner, was advised of above required data by _ phone _ mai Counter by _ Date
Plans checked by Date Plans approved by/!C Dates
C�2- Sets of plans asSOM in Flet C_AP-f-ol
Copy - Department of Public Works
I
This set of plans and specifications MUST ba NOTE.—All Materials & Wortonwmhlp Shall
• kept on the job at all times and itis unlawful to Accordance with Recognized Good Practice ';and
make an changes or alterations on same without rJ'n t,
Y 9 of a quality prescribed for the Specified use;ir►ti�e�
wriven permission from the D artmeM of Public
p � Uniform Building, Plumbing &Mechanical CIO, es and
Works,.County of Butte. the National Electrical Code.
Robert H. King
598 Larkin Road
Gridley, CA 95948
AP # 24-17-0-025
April 26, 1993
f-ELECTR CALF
-----------------
1. Install new electrical service at pole. Run new lines to
house
STRUCTURAL
1. Cut off dry rot damaged rafter tails in various locations.
2. Repair dry rot damage around exterior doors & toilet.
3. Build closet in North bedroom as detailed on EXHIBIT B
SHEETROCK�
1. Remove plywood paneling in living room, bedroom and hall.
Replace paneling with sheetrock. ,
Install smoke dew"r per owe,
'�Z;t/ lxi S7% Al AWL//;
Location of stnuhiree &
equipment shall be as shown
& clear of all eaeerner".
BUTTE COUNTY
BUILDING DEPARTMENT
�4PPROVED
BUTTE COUNTY:
.BUILDING DEPARTMENT .
AP P R 0 V E c)
--ecl
T
BUTTE COUNTY
BUILDING DEPARTMENT
A P P R 0 V. -.E D
ai
66* RfW H 'DEEDS' 7%N
220.00'
Z.
I J
N 89'47*34- E 220.00'
CRITES TO HULTZ
D 33.00* 187.00'
33.00*
POTTER TO HULTZ
O
SW"N TO MJLTZ
33.00' 187.00*
f:
2*);4* HULTZ TO COOK
N 89*47'34- E 220.00*
3J3 R
.331� , IR
o CL
W
iD
0
cli
io L)
FD. 112- BOLT
iv :w
io
32 77" /NOT ACCEPTED
0
z
0
10
W.
S 89-47-34- W 664.00-
444.00'.
SEE DETAA OF THIS
,11 NE BE' :)W
664.00*
63100'
.JOV.VV
0
0
N 89-47-34- E 2677.66*(M)
HMTZ
1546 OR 269 POTTER TO HULTZ iv
1.60 AC.:
36'0.00'
SET 314- LP. LS 5181
F D. 314- OJ? (R) N 00'28*02-W 0.39
!-fELD OJ -P. FOR R/W LINE ONLY
0
N 89*47'34- E 580.00*
ly 89'47*34- E (R) -
HLILTZ.
Z.
I J
N 89'47*34- E 220.00'
CRITES TO HULTZ
D 33.00* 187.00'
33.00*
POTTER TO HULTZ
�2R�l
J5_
5.00*
SW"N TO MJLTZ
33.00' 187.00*
f:
2*);4* HULTZ TO COOK
N 89*47'34- E 220.00*
3J3 R
.331� , IR
Ujo CC
iD
0
0 0
io L)
FD. 112- BOLT
iv :w
io
32 77" /NOT ACCEPTED
0
(R)._L—N 89-47-34- E 220.00-
33.00' 187.00*
33.3.00.,—SEE DETAIL -A-
35.00.
�0-0
3F0.0
S 89-47-34- W 664.00-
444.00'.
SEE DETAA OF THIS
,11 NE BE' :)W
664.00*
63100'
.JOV.VV
0
0
N 89-47-34- E 2677.66*(M)
HMTZ
1546 OR 269 POTTER TO HULTZ iv
1.60 AC.:
36'0.00'
SET 314- LP. LS 5181
F D. 314- OJ? (R) N 00'28*02-W 0.39
!-fELD OJ -P. FOR R/W LINE ONLY
0
N 89*47'34- E 580.00*
ly 89'47*34- E (R) -
HLILTZ.
Z.
151 OR 66
CRITES TO HULTZ
1546 OR 269
POTTER TO HULTZ
1799 OR 414
SW"N TO MJLTZ
823 OR 454'
2*);4* HULTZ TO COOK
3.24 ACS. :
F.G.8E. EASE. PER 336 OR 179
APPEARS TO BE ALONG THS
LINE.
-Z�
220.00'
45.00(m)
A PORTION
OF
1279 OR 232 of
BREEDING co
0
O
220.0o.—
LEGEM
2W.66* 1
Z.
LV
z >
Z) <
ol,jo�
Ujo CC
O
O
0
z a-
clw
0-
iv :w
io
D
<O
F.G.8E. EASE. PER 336 OR 179
APPEARS TO BE ALONG THS
LINE.
-Z�
220.00'
45.00(m)
A PORTION
OF
1279 OR 232 of
BREEDING co
0
O
220.0o.—
LEGEM
2W.66* 1
KING PEAL ESTATE 511
WOOD DESTROYING ;PESTS .AND ORGANiSMS
ThI* It an ineprrallon tapett only - net a Nada& of Campietlon
ADDRESS OF PROPERTY INGPECTED
f
IL040 No,
598:
STAM - CITY - ZIP
:�srkin Rd. Grid)
CEDARS TERMITE CONTROL
P.O. Box 785
Orovills, CA 95965
918 534-8788
N I MPORT t !lTla!!P i
P 3'080 500252
ORDERED BY:
AlhOAT 1% LNT Tor
PA*p4mT7 OWNER:
PARTY IN iO4RUBT
- r
APP 29 193 09:52
FORT
COONTr SoCCTiON PACER t
fit stamp herr an Card copy ant
LMNSED PEST CONTP.O.
PERATOR 10 AN EXPERT IN
ISIRERFIE MANY CIiJESTIOUS
ILATMTOTNO REPORTSHOULD
E REFERRED To MIMINKA,
011101NAL REpohT E2LWITEo REPORT p allFPLEMENTAL AMAT REINSPKOTION REPORT '•
❑ �
Orsghnal
BtamP I � _ _ Dale ,_,__
OWNEMAL098CMIPTION: _� alt)L� frt;tn�. t;cSC]d� Sidi t?
1.A.
PORCRIIII - STEPS
i. Y5NT1LATtON
p.
1, AeUTtENTs
r �,
._..moi
On
�°
a
1, DTICKS - PATIOb
i nn
10, OTHER - 7N MAJOR
NQnp
11. OTHER - EXTEAICA
011101NAL REpohT E2LWITEo REPORT p allFPLEMENTAL AMAT REINSPKOTION REPORT '•
❑ �
Orsghnal
BtamP I � _ _ Dale ,_,__
OWNEMAL098CMIPTION: _� alt)L� frt;tn�. t;cSC]d� Sidi t?
1.A.
PORCRIIII - STEPS
i. Y5NT1LATtON
p.
1, AeUTtENTs
r �,
f. ATTiO ap'toEs
On
�°
a
1, DTICKS - PATIOb
i nn
10, OTHER - 7N MAJOR
NQnp
11. OTHER - EXTEAICA
t,r__.-
P+
I
A
W
G
u'
lNaPsoTla*+TAa 900e0,
OTHER hWSPECTION TA*r:Y
rim •pni e�-s
11
IA
T
I. QURGTAUCTURC AREA
x, STALL allOWER
Yp
S. POUNDATi043
1.A.
PORCRIIII - STEPS
i. Y5NT1LATtON
p.
1, AeUTtENTs
r �,
f. ATTiO ap'toEs
On
�°
a
1, DTICKS - PATIOb
i nn
10, OTHER - 7N MAJOR
NQnp
11. OTHER - EXTEAICA
t,r__.-
DIAGRAM AND EXPLANATION OF FINDINGS Thls re orf is flrritod to strutiure o�tr -tures :sown on d1noram
NOTE; DIAGRAM NOT TO SCALE
TW& report eovarn sccssslWa and vletbte parts of ane bonding shown an alagrun. It ehou!d bo recooni:91 that *xC*gl at may bo noted h•re1.�, floor& +ander
carP*"C and thr" !opt and eppllancea Ira c•onsidsred !nsocatalbie. Fumlturo, storage, appllances of pereonai efqcis 1f4 not removed for lnapectlon. I! forth&
IntplN.(orh o! Any tree I! dstir*d by the Int►reated part)*' It will be performed upon written IUthorfzadon. Any rsprlaonte Ion Concerning the conditio.. of roaf wip
have to Corn+ from a IIC*need rooter.
0
E ,
2. RUP4,1 r- :e ._111 Ini9Sintj drui damaged su area vents. +
ea crpl_ce w{�U ir��t d$lrtar�±ct subfloor ';ext to Flidinq door, i.
a new trap door lid.
t
Repl3ee dartryr~r; portions, Of rafter 'tail,. r _
Replace damaged � _ ....._
P st>+hi ..Cor around bathroom
F t-0,.)1 .
6. Dri9.1 �I+; pxaas+.aL'_ C.r-L � hot water -utter $lab
7. Treat SUYh$�•?� Mail Int 2 t `"rye CC;1 .0. '
terrt.t� c�atltxoi asi, + �r E. P. A. specs. I M ,j,
�7
8. Opera p:inell.nc� on walls in
livih�g rooms arc: hall way fcc further ins c icer:. i
9. Subarea sail is wet. Where was no condensation. 0
. Ventilation is goo --�i
INFORMATION I 1
All repair, to campj.y with' bu1_1dihg ' d6pt. codes.
BUTTE COUNTY
i 13UILDING DEPARTMENT
A P P R O V E D
InEpeClod by Ed GriffinL}conee Na, __O 4076
"'-"""--"'-----•�----- 819nature
YOU ARE•EhITITLED TO CCTAiN CC 41' s OF ALL PEPOSTS.'I O, COM LET ION NO IQT ES ON THIS PROP
PRECEDING TWO YEARS VPON PAYMENT OF A 62,00 FEE TO S I RUCTURA L PEST CONTROL SOARD, 1430
ILEO WiTH THft SOAP„h']UAING
AVE., SACRAME,ti'TO, CA 05826
_ K,
94- 024-170:.-025
KING,, ROBERT
598 LARKIN RD., GRIDLEY
COMPLETE�BP#93-11'61 & 93-1160-'
L
13 9
9
- % - -- W r -W
gbUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
+ . 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 49,1 PERMIT NO.
APPLICATION AIVD HERMIT -Z3��
ASSESSOR PARCEL NUMBER 24--17-0-025
ZONING A-40
BUILDING PERMIT
VV__
""�e �O — %B �� ��\\ "_� Q
TE846-4701
SO. FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS
PO BOX 342 GRIDLEY 95948
CONTRACTOR'S NAME
OWNER
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER F
UNKNOWN
Total Valuation $
LENDER'S MAILING ADDRESS
Filing Fee $
20.00
Permit Fee $
22.50
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee $
Energy Plan Checking Fee $
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty $
BUILDING ADDRESS 598 LARRIN RD
7
PERMIT FEE $
42.50
GRIDLEY, 95948
PLUMBING PERMIT
Filing Fee 20.00
Each Trap
7.00
Solar or heat pump water heater
23.00
Water piping
15,00
LOT NO.
SUBDIVISION'S NAME
PARCEL MAP
Each gas water heater or vent
15.00
USE OF STRUCTURE
SF ❑ Duplex O Mobilehome ❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home S G W
20'00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ElOther ❑
Describework: COWLEfE #93-1161 & 93-1160
PERMIT FEE $
Contractor
ELECTRICAL PERMIT
Filing Fee 20.00
Main Service ( 800V200A DO.", LESSLESS )
23.00
Main Service-( 200A TO 1000A )
.23-00
46.00
NEW CONST. DWELLING OCCUP.
OR ADDNS. ( 6 ACC. OLDS. )
SO.
3.SC FT.
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one)
1 am a licensed under provisions of Chapter 9, Division 3 of the Business and
Professions Code and my license is in full forced effect.
License No. _T.S�VG�% Classification n
❑ I, as the owner, or my employees with wages as their sole compensation, 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 contractors. (Sec 7044)
❑ I am exempt under Sec. Business and Professions Code
for this reason
NEW CONST. MULTI -OUTLET
-NON-RESID. ( BRANCH CIRCUITS )
7.50
( POWER APPARATUS )
6 SINGLE OUTLET CIR.
Ex. Occup. ( OUTLET OR FIXTURES )
BAL. @ 1.50
Ex. Occu FIXED APPWS. OR
p' ( OUTLETS IRESID.I EA. )
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
WORKER'S COMPENSATION INSURANCE
1 declare under penalty of perjury (check one):
❑ This permit is for $100.00 (valuation) or less.
XI have placed on file with the County of Butte Dept. of Development Services,
Building Division a Certificate of Workmen's Compensation Insurance or a
Certificate of Consent to Self -insure.
❑ 1 shall not employ any person in any manner so as to become subject to the Worker's
Compensation laws of California.
Notice to Applicant: If after making this statement, should you become su lect to the
Worker's Compensation provisions of the Labor Code, you must forthwith mply with
such provisions or this permit will be revoked. a
PERMIT FEE $
•
Contractor
MECHANICAL PERMIT
Filing Fee 20.00
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 Butte County Ordinances and California State Laws relating to
building construction, and hereby authorize representatives of the County of Butte to
enter upon the above mentioned property for inspection purposes.
1 also agree to save, indemnify and keep harmless the County of Butte against all
liabilities, judgments, costs, and expenses which may in any way accrue against said
County in consequence of the granting of this permit.
X IAI -C4,,— Date'
Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent
An OSHA permit is required for excavations over 5"0" deep and demolition or
construction of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
ocC
CONST. TYPE
TOTAL FEE $ 85.50
HAZ.
I D. FEES
IMP
FLOOD
COF
PARCEL PD
HD
ISSUE
This permit is hereby issued under the applicable provisions
of the Butte County Code and/or Resolutions to do work
indicated above for which fees have been paid.
�`�? 'wC--_'"/fir /
By 1 �Gd/ Date
�I </// //�
PERMIT EXPIRES ON �.:.
[Date)
Receipt 1626 61
WHITE-D.O.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
.O.
/ U
V COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 ,f PERMIT NO.
APPLICATION AND PERMIT 9T 3f� -
ASSESSOR PARCEL NUMBER 24-17-0-025
A-40 ZONING
BUILDING PERMIT
OWNER
ROBERT KING
TELEPHONE
846-4701
SQ. FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS
PO BOX 342 GRIDLEY 95948
CONTRACTOR'S NAME
OWNER
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation Is O O
LENDER'S MAILING ADDRESS
Filing Fee $
20.00
Permit Fee $
22.50
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee $
Energy Plan Checking Fee $
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty $
BUILDING ADDRESS 598 LARKIN RD
PERMIT FEE $
42.50
GRIDLEY, 95948
PLUMBING PERMIT
Filing Fee 20.00
Each Trap
7.00
Solar or heat pump water heater
23.00
Water piping
15,00
LOT NO.
SUBDIVISION'SNAME
PARCEL MAP
Each gas water heater or vent
15.00
USE OF STRUCTURE
SFO Duplex ❑ Mobilehome ElOther
SPECIFY
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home S G W
20.00
TYPE OF WORK
New ElAddition O Remodel ElUtilities ❑ Installation ❑ Other O
Describe Work: COMPLETE #93-1161 & 93-1160
PERMIT FEE 1 $
Contractor
ELECTRICAL PERMIT
Filing Fee 20.00
Main Service ( 2"ORLESS )
200A OR LESS
23.00
23. 00
Main Service ( 200A TO 1000A )
46.00
NEW CONST. DWELLING OCCUP.
OR ADONS. ( a ACC. BLDS.
ST".
CONTRACTORS LICENSE LAW(
I declare under penalty of perjury (check one)
I am a licensed under provisions of Chapter 9, Division 3 of the Business and
Professions Code and my license is in full force nd effect.
License No.S`.S�G1/4 Classification
❑ I, as the owner, or my employees with wages as their sole compensation, 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 contractors. (Sec 7044)
❑ I am exempt under Sec. Business and Professions Code
forthis reason
NEW CONST. MULTI -OUTLET
•NON-RESID. ( BRANCH CIRCUITS )
@7.50
POW ER APPARATUS )
& SINGLE OUTLET CIR.
Ex. Occup. ( OUTLET OR FIXTURES )
B20 @ 1.50
Ex. Occu FIXED (RESID OR
Occup. ( OUTLETS PLNS..1 R )
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
WORKER'S COMPENSATION INSURANCE
1 declare under penalty of perjury (check one):
❑ This permit is for $100.00 (valuation) or less.
�I have placed on file with the County of Butte Dept. of Development Services,
Building Division a Certificate of Workmen's Compensation Insurance or a
Certificate of Consent to Self -insure.
❑ 1 shall not employ any person in any manner so as to become subject to the Worker's
Compensation laws of California.
Notice to Applicant: If after making this statement, should you become subject to the
Worker's Compensation provisions of the Labor Code, you must forthwith comply with
such provisions or this permit will be revoked.
PERMIT FEE $
43.00
Contractor
MECHANICAL PERMIT
Filing Fee 20.00
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 Butte County Ordinances and California 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 expenses which may in any way accrue against said
County in consequence doff the granting of this permit.
X ee a-- Dates
Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent �—
An OSHA permit is required for excavations over 5"0" deep and demolition or
construction of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
Occ
CONST. TYPE
TOTAL FEE $
XNA a5, 50
HAZ.
I D. FEES
I IMP
I FLOOD
I CDF
PARCEL PD
HD
I ISSUE
This permit is hereby issued under the applicable
of the Butte County Code and/or Resolutions
indicated above for which fees have been
By
PERMIT EXPIRES ON I
lDet I
provisions
to do work
paid.
Date( / /
Receipt No. 162661
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
'COU NTYOF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION
R
7"COUN7YCENTER DRIVE - OROWL'LE, C LIFORNIA 95965 -TELEPHONE (916)538-754'1 ,
F
J:
PERMIT APPLICATION DATA SHEET
OWNER / A. LJ - l7
Proposed`Buildik Us.e�. Building Inspector Date ei Zzv
At time71.
'(application, I was advised the following data must be submitted prior to permit processing and/or issuance:
DATE RECEIVED BY
All items have been submitted.........................................
2. Plot plans, 3/4 sets, signed by preparer of plans . ..........................
3. Complete plans, 3/4 sets, signed by preparer of plans . ......................
.4. lEngineered,plans and calcs, 3/4 sets, with wet signature on plans . .............
5. Hazardous Material=Form. k .. ...I .....................................
6. Energy Design Compliance and supportingtdocumenfation. ..................
7. Statement of Intent for Non -Heated and A/C Buildings . ......................
-�-_ 8. Engineered truss details and layout in duplicate (required prior to plan check). ... .
9. Mobilehome data and manufacturer's installation instructions, 2 sets. ...........
10. Fees of $.........................................
11. Impact fees as shown on attached schedule. ............................. .
12. California Department of Forestry plan approval/fees. ....................... .
13. Flood elevation letter (100 year flood) by California Engineer . ................. .
14. Sanitation and plot plan approval Health Department . ............
15.. City of Chico plumbing permit . ........................................ .
16. PlotPlan_and business license approval from City of Biggs/Gridley. .............
17. Planning approval for (A) Use: (B) Parking: . ........
18. Contact Land Development.about (A) Improvements (B) Drainage. .......... .
19. Driveway permit (construction approval required prior to occupancy). .. . .
st
20. Pre -inspection for required. .. oB�ild s nspector (Date)
91I. -Cont actor's license information. (No., Name Style, Classification) . ..............
C
ertificate of Workmans Compensation Insurance. ......
Owner -Builder Verification (Given to owner Mail to owner
.........
424. Recorded copy of Agricultural Acknowledgement Statement . ..................
25. Letter of signature authorization . ........................................
26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .....
27. Letter of intent on building use . .........................................
28. Mobilehome utility clearance . ..........................................
29. Documentation of legal access . ..................... :..................
30. Documentation of 50% subdivision developed or (A) Road improvements completed
and (B) Parcel meets zoning area and frontage requirements . ...............
31. Existing violations/expired permits. ..".................................. .
32. Plan check list . .....................................................
33.
.34.
When you issue the permit, process as follows: Mail to owner. Mail to contractor.
Telephone and hold for pickup at office. Deliver with inspector.
Other
Parcel Creation
Acreage Applicant Date
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 _ mail Counter by _ Date.
Contractor, designer, owner, was advised of above required data by _ phone _ mail .Counter by _ Date
Plans checked by Date Plans approved by Date
Sets of plans on hold in File cabinet AP folder
Copy - Department of Public Works
ROBERT KING
P.O. BOX 342
GRIDLEY, CA 95948
utte Count
BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965-3397
TELEPHONE: (9161 538-7541
FAX: (916) 538-2140
RE: Building Permit # 94-1311
Expiration Date: 5/11/95
A.P. # 24-17-0-025
With reference to the above subject, our records indicate that your -
building permit expires on the above date and your permit falls into the
category marked below:
[ ] Permit work started, but not completed. Permit may be renewed
for 1/2 the original building permit fee (plus a $20.00 filing
fee). The renewal permit will extend the building permit for
an additional year from the original expiration date. Should
you not renew your permit within 30 days of the expiration date,
all work must cease until a new building permit has been issued.
For your convenience, we are enclosing a renewal application form
and owner -builder form to be completed and signed by you where
indicated and returned to this office together with the fee
shown. Please return all copies of the application form.
[XA No inspections have been made on permit work. Inspections are.
required to verify code compliance. We are unable to renew a
permit where the work has not been started and inspected prior
to permit expiration. After expiration of your permit, no work
may be started until a new permit has been issued.
If our records are in error or should you have any questions concerning
this matter, please contact the OROVI ,T,R office.
Thank you for your prompt attention concerning this matter.
Yours very truly,
Micbfael C.1 Vieira, C.B.O.
MCV:ahb Manager, Building Inspection
Attachments
Chico Office - 1469 Humboldt Rd/891-2751
Paradise Office - 747 Elliott Rd/872-6307
BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
7 COUNTY CENTER DRIVE - OROVILLE. CALIFORNIA 95965-3397
TELEPHONE: 1916) 538-7541
FAX: 1916) 538-2140
April•6,1994
Robert King
P 0 box 342 '
Gridley, 42 95948 RE: Building Permit # 93-1161 (repairs)
Expiration Date: 5/12/94
Dear Mr. King: A.P. # 024-17-0-025
With reference to the above subject, our records indicate that your
building permit expires on the above date and your permit falls into the
category marked below:
[ ] Permit work started, but not completed. Permit -may be renewed
for 1/2 the original building permit fee (plus a $20.00 filing
fee). The renewal permit will extend the building permit for
an additional year from the original expiration date. Should
you not renew your permit within 30 days of ,the expiration date,
all work must cease until a new building permit has been issued.
For your convenience, we are enclosing a renewal application form
and owner -builder form to be completed and signed by you where
indicated and returned to this office together with the fee
shown. Please return all copies of the application form.
MIX No inspections have been made on permit work. Inspections are
required to verify code compliance. We are unable to renew a
permit where the work has not been.started and inspected prior
to permit expiration. After expiration of your permit, no work
may be started until a new permit has been issued.
If our records are in error or should you roe
allany questions concerning
this matter, please contact the office.
Thank you for your prompt attention concerning this matter.
Yours very truly,
C
Michlael C.1 Vieira, C.B.O.
MCV:ahb Manager, Building Inspection
Attachments
Chico Office - 1469 Humboldt Rd/891-2751
Paradise Office - 747 Elliott Rd/872-6307