HomeMy WebLinkAbout024-170-0357;
7�_
AP 24-17-35
UMLEY, Mr. & Mrs. Earl 5117B -5Z
9B*
ST
e/s Co ee Ave, E n :2q-17- -3'5— -5490B**- 4911E
_Z' Reimer Rd., Gridley 5276E** 515
Perihit# 1047-75B(garage) W 42251)** 39-iV.
i e/s Cowee. 2761 no. of Turner, G I
24-97-36 CONTR:. Joseph Powell, Rt. 2, Box 69, Gri
L8CK SUBDIV. (new single family) (*add porch)
JACk, 13RUMLEY
(**convert garage-& porch to living area
LOT E/S Cowee Ave, app 575' N of (***a d patio cover
TYPE OF PERMIT NO. PLAN NO. DATE 11 Turner Ave., Gridley d
PERMIT
Cbntr: Waibel AC INC.
i
Permit :6A 76 & AC)SF
tg
_jE p (h
,4-17-31F
W _ 1 98-1997 M
palki b24-17-0-035
b 4 .
Cont ai e 'AC - I BRUMLEY, Jack M.
ermit #4712-76E(ele ser) S/F
024-'
RUML
11�p E554 Cowee, Gridley
( V SF Andy's H,
H AC
24-17�35
ack, M. Brumley
rne )e
E/S ;Cowee e. a .66 r A
Gridl
Perrfi 3-, P existing -
V.
Parn, to e inj/SF
0 2 4 - 17 - 3 5
Jack & Jane Brumley
E/S Cowee, 700'N.of Turner, app.k mi.
W.of Larkin Hwy, Gridley
Permit #1874779B,P,E,M(addition/SF)
24-17- 5
Jack Br le
554 e A Gr le4
contr e Inc., Sacto.
Permi
B 24-1;
ru
M14
e
r e
i , 7-81B,P,E(new pri.
swimming pool)
Contr: Geremia Pools 24-17-35
Sacramento
rPermit#2314 83B E M
nge, si 0
1z"4
024-170-035 PERMIT#95-14?8,/
BRUMLEY, Jack & Jane
554 Cowee Ave., Gridley
Cont; Burl E. Woodward.
Add Bath & Utility Rm/S'F C6
PERMIT DESIGNATION: B -BUILDING E -ELECTRICAL U -USE PERMIT HM -HOUSE MOVING
DEPARTMENT OF P -PLUMBING' TV - RADIO -TV ANTENNA V -VARIANCE EP -ENCROACHMENT
BUILDING AND SAFETY T -TRAILER -S/W-SIDEWALK NOTICE S-SIG'N PERMIT D - DEMOLITION
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COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE
OROVILLE, CALIF. - 534-4541
CERTIFICATE OF OCCUPANCY
This mobilehome has been installed in accordance with the =ement.s
of the California Administrative Code, Title 25, Chapter 5, permit
number,,7? -;�.-L-for the following location:
0/
Owner 11 A —F'��A
Owner's Address
Mobilehome Mfg. Model YearL:;r—
Insignia No., Serial No.
It is hereby certified for occupancy at the above described location and
may be occupied. Director of Public Works
Date Ce — By
THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS,'RELOCATED
White - Owner, Yellow - Installer, Pink - O.P.W.
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Oroville — Phone: 534-4541
Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57
CORRECTION NOTICE
A routine inspection indicates that the following violations of County Ordinance
exist at the above address and should be corrected. Please notify this office
kvhen correction of work is completed. If you have any question pertaining to this
�atter, or need additional explanation, please contact this office irriniediately.
-V_—OVV�471�- .11 Ic A��Ioz- �'
L 'M
Date - -7, �r_?
COUNTY OF BUTTE
BUILIJING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
1469 Humboldt Road, Chico, CA - (916) 891-2751
7 County Center Drive, Oroville, CA - (916) 538-7541
747 Elliott Road, Paradise, CA - (916) 872-6307
CORRECTION NOTICE
.11 r 1.1, . -
PERMIT
A routine inspection indicates that the following violations of Butte County Ordinances exist at
the above add ress pid hould be corrected. Please notify this office when correction of work
is completed. If _ v: any questions pertaining to this matter, or need additional explanation,
please conta thi; office immediately.
L 6
County of Butte
DEPARTMENT OF PUBLIC WORKS
695 Oleander Ave., Chico — 343-4211, Ext. 70
7 County Center Dr., Oroville — 534-4541
Skyway and Elliott Rd., Paradise — 877-3435
C01101"RECTION NOTICE
.................
Building or Property Address
A routine inspection indicates that the follov;ing
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, please contact this office
immediately.
...................................................................................... .............
.......................................... ;11
.......... .................... .... ?: ............................
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......................................................................................................................
54
........................ ..................................
.......... ............ . .......... ..................... z
.....................................................................................
....................... ............... 07 .................
J11"Y 1--)
.............................................................................
Date I , 0or-, I I 1�
................. I ............ Inspector ..........................................................
Do Not Remove This Tog
1AAn-A%
zi
TO:
FROM:
SUBJECT:
Building Department
Environmental Health
Sanitation Clearance
D4E4AA
Owner
Plan Approved for: Sewage Disposal
Clearance for h- e-d-mQm -mobile=
final for:
clearance 0. K.
2.
Environmental Health
8/92
Location
-AVater Supp�ly: Public
tw
E.H. USE ONLY
M PI= Anachad
FIw Plan AURched
Scnt to B.D.
c;2 7 -3
AP#
Private Well—,
7t r W—Go".,
L.�
Ems
MEN
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eaunf* of; X, ut&
OROVILLE, CALIFORNIA
GENERAL CLAIM
CLAIMANT: Mr- & Mria- Jank Rrumlpq
ADDRESS: Rt Ank §9-4
CITY & STATE: Gridley, CA_ 95948 IMPORTANT:
SEE INSTRUCTIONS
DATE OF CLAIM: Aug- 19 1977 ON REVERSE SIDE
SUBMIT CLAIM TO DEPARTMENT RECEIVING GOODS OR SERVICES
DATE
DESCRIPTION OF CLAIM (DESCRIBE FULLY TO AVOID DELAY)
AMOUNf
Decided not to build. (Permit Appin, #3123-77B,P,E,M
Receipt #162155 a- AP 24-17-35)
Building permit fee ----- $"_00
Retain 1/3 of fee ------- i 14. 67
Amount of refund due ------------ $ 29.33
Plumbinit permit fee ----- $12.00
Retain filing fee ------- 3.00
Amount of refund due ------------ $ 9.00
Electrical Permit fee --- $11.40
Retain filing fee ------- 3.00
Amount of refund due ------------ $ 14.40
.Mchanical permit fee w- $13.00
Retain filing fee -------- 3.00
Amount of refund due --, ---------- $ 10,0Q
Total permit fees refund due ---- $ 62.73
Land Develovment fee refund ------ $ 25.00
TOTAL REFUND DUE --------------- w-$ 87.73
$87.173
TOTAL
I, the undersigned, declare under penalty of perjury that the services or articles claimed have been performed or delivered, and that this
claim is true and correct as stated.
Dated this .................................. day of ............................ . 19 ....... at Calif . ....................................................................................
SignaWre of Claimant
I, the undersigned, hereby certify that, to the best of my knowledge, the services or articles specified above have been performed or de-
livered and that there is a Budget Appropriation [—] or Specific Board ApprovalF_� (Check one) for the same.
Dated this .... . ...... 31d ............... day of ........ Ang . ......... 19 72, at Oroville ...... , Calif . ....................................................................................
Department Head or Authorized Deputy
Dept. Exp.
Code ............................................ Code ................................................ PAYABLE FROM .............................................................................................. FUND
DO NOT WRITE BELOW THIS LINE - AUDITOR'S USE ONLY
VENDOR
CODE
DEPT.
& SUB.
P ROJ.
SUB.
0 BJ.
CLAIM
NO.
I INVOICE
No.
INVOICE
DATE
DISC'
GROSS
AMOUNT
ENCUMB.
SUB -DIS T.
INSTRUCTIONS to .-CLAIMANTS.
All claims against the county must be itemized, giving dates and
character of service rendered or.work performed, quantities, de-
scription and unit prices of articles furnished bt delivered.
Claims must be certified by the claimant and submitted to. the De-
partment head for approval. Upo'n. approv al the Department 'head
will forward claim to Coun.) Auditor for payment procedure. Do
not file with the County Auditor first.
Claims should be presented to off, Als for approval immediately
upon completion of services requested of material ordered.
Claims are paid every Tuesday; however, same must be approved by
officials and in Auditor's office before preceeding Wednesday noon.
Compliance with above will expedite payment of claim, failure to do
so may delay payment considerably.
COUNTY OF EhJTTE DEPARTMENT OF PUBLIC WORKS
7 County Center Drivp — Wroville, California 95965
Teleplfone: 534-4541 Cla,3-77
APPLICATION AND PERMIT tl
K
dutnorize representatives oT ine L;ouniy OT t:5utie to enter upon tne
abq.ve---me�tioneoroperty for inspectionpurposes.
'A r ; &; 16, � M I � �_, �, �; I Dat qzleed7.2
ZS gn'bt.re'.T P-ermitee or Agent
i
i pt No.
te-D.P.W. — Yellow -Assessor — Pink -Inspector Goldenrod -Applicant
This permit is hereby issued under the applicable provisions of
the Butte County Code and/or resolutions to do work indicated
above for which fees have been paid.
DIRECTOR OF PUBLIC WORKS
By Date
Building permit expires Date
M
F1
BUILDING
Owner
SQ. FT. OCC. BUILDING VALUATION
7,A0
Mailing Address
ne No.
Fireplace
_2
Contractor on
Total Valuation
Mai I ing Address
Permit Fee 496)
Plan Checking Fee&/orPenalty
Telephone No.
Permit Fee $
$
Building Address
PLUMBING No.1 @ I FEE
PERMIT FILING FEE $3.00 41:�o
Each Trap 1.50 19 0 0
Repair drainage or vent piping 1.50
Water piping 1.50
Zoning Verificaflon ly
Each gas water heater or vent 1.50
A 7
A. P. /b. W /,x
Gas piping system 1 - 5 outlets 1.50 4,5_0
Each additional outlet .30
s
A -.C.
FireDept.
F ire Zone
Use Permit
Building sewer 5.00
EQA
I Parking Ir—pa-r—c—eron I Parcel M
Plans 9 Declarati op
1 60' R/W
I ImprovqXents
Lawn sprinkler system 2.00
Bld� �Ions Rec'd-----F
Parc4,<proval
Plants—'Approval
Permit Fee. $ 72.,00
$ 72,77701
NEW ADDITION UTILITIES OTHER M
ELECTRICAL No. @ FEE
PERMIT FILING FEE $3.00 -7,00
600V OR LESS
Main service 100 AMP OR L 5.00
'S
Main service EA. ADD -L 100 AMP 2.50
Single Family DuplexE] Mobil Home Others
Main service OVER 600V
100 AMP OR LESS 25.00
Main service EA. ADDIL 100 AMP 1.00
NEW CONST. DWELLING
OR ADDNS. ACC. BLDGV2,5�gq- 2 It s q f t
NEW CONSTR (MULTI -OUTLET
NON-RESIO. BRANCH CIRCUITS) 2.50ea
NEW.CONSTSL (POWER APPARATUS
NON RESID. SINGLE OUTLET CIR.
CONTRACTORS LICENSE LAW
I am licensed under the provisions of Chapter 9, Div. 3, of the
State of California Business & Professions Code under the name
style of:
25g!
Ex. Occup(OUTLETS OR FIXTURES) BAL@109
FIXED A LNS. OR %
Ex. Occup.(OUTLETSPP(RESID.) EA) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
License No. Classification
Misc. Wiring 6.25
I am exempt from the Contractors License Laws of the State of California.
Permit Fee $ c/o
$ lell
WORKMEN'S COMPENSATION INSURANCE
I am aware of the provisions of Section3700 of the California Labor
Code which requires every employer to be insured against liability
for Workmen's Compensation.
I have placed on file with the County of Butte a certificate of
Workmen's Compensation Insurance.
FA I certify that in the performance of the work for which this
,MJ permit is issued I shall not employ any person in any manner
so as to become subject to the Workmen's Compensation Laws of
California.
MECHANICAL No. @ FEE
PERMIT FILING FEE $3. 00 St Lo a
Heating 10 0
Cooling _'?
Ventilation
Hood 2.00 .4,0
Permit Fee $ /_T, 100$
/—Flo(
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
4kAIO�,24!541Z�1"rc
TOTAL PEAMIT FEE
$ IJ "144
K
dutnorize representatives oT ine L;ouniy OT t:5utie to enter upon tne
abq.ve---me�tioneoroperty for inspectionpurposes.
'A r ; &; 16, � M I � �_, �, �; I Dat qzleed7.2
ZS gn'bt.re'.T P-ermitee or Agent
i
i pt No.
te-D.P.W. — Yellow -Assessor — Pink -Inspector Goldenrod -Applicant
This permit is hereby issued under the applicable provisions of
the Butte County Code and/or resolutions to do work indicated
above for which fees have been paid.
DIRECTOR OF PUBLIC WORKS
By Date
Building permit expires Date
M
F1
BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS
SPECIAL INSPECTION REPORT
Owner:_ 0 -P A.P.
Address:- -2 Date
Tenant:
Building Location:
-Z)
# Ll - 7 - 3
of Inspection__�A
Inspector
Type of Inspection requested:
Housing 2. Financing 3. Change of Occupancy to )?"e-
4.. Other (specify)
Present use of building,:
A. Sanitation (Housing)
1. Water closet:
2. Lavatory:
3. Bathtub or shower: -
4. Kitchen sink:
5. Hot and cold water to fixtures:
6. Heating facilities:
7. Natural light and. venfilation:
8. Room and space requirements:
9. ' Bedroom window -or door for ' second exit: -
10. Infestation of insects, vermin, or rodents:
11. Connection to sewage disposal:
12. Connection to water supply:
13. Rubbish and garbage facilities:
14. Con ents:
B. Structural
1. Piers and footings:'
2. Floor construction:
3. Wall construction:
.4. Ceiling and roof construction:
5. Fireplaces:
6. Comments:
C. Electrical
1. Service and ground:
2. Receptacles:
3. Fusing:
4.- Comments: -
D. Plumb in
.1. Fixtures connected and vented:
2. Gas water heater:
3. Gas heating vents: -
4. Comments:
(continued on back)
E. Other
1. Maintenance and repair:
Z. Fire hazards:
3. Safety hazards:
4. Weather protection:'
5. Underfloor and atti7c
6. Cm ents:
vent 1.1ation:
F. Commercial Buildings
1. Roof covering:
2. Distance to property lines:
3. Physically handicapped:
4. Restroom floors and walls:
5. Exits:
6. Improvements:
7. Zoning:
8. Conn, ents:
G. Field Problems or Violations
1. Problem or violation (give complete description):
2. What action taken (give complete description):
3.
wnat action recommended:
T—/ A. Information only - file.
B. Hold for ten (10) days, then write letter.
C. Write le'tter.
7 D. Other.
COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS
7 County Center Drive — Oroville, California 95965
Tel epl�one_: _�14-45411
APPLICATION AND PERMIT
autH01 Ze 1ePIWSt::iILd11IVt:b 01 ine touniy oi Butte to enter upon the
above-Zritioned property for inspection purposes.
X��S=2/� Date
Signature of �Ir mitee or Agent
Receipt No. A;_1 110"/ 3
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod-Appli cant
This permit is hereby issued under the applicable provisions of
the Butte County Code and/or resolutions to do work indicated
above for which fees have been paid.
DIRECTOR OF P B I WORKS
By Date jj-�7,4
_13ja4dilit9 permit expires Date
BUILDING / if i
Owner
SQ. FT. Occ. BUILDING VALUAYION
MailingAddrefs Vz
,Zn. No
-Fireplace
ContracW,,�,4j,
Total Valuation
Mailing Address
Permit Fee
Plan Checking Fee &/or Penalty
Telephone No.
Permit Fee $
Building Address
PLUMBING No.1 @ FEE
PERMIT FILING FEE $3.00 3,00
Each Trap 1.50
Repair drainage or vent piping 1.50
Water piping 1.50
Each gas water heater or vent 1.50
A. P. No.2-e-l— 7- :3
Zdning & Planning
Gas piping system 1 - 5 outlets 1.50_
Each additional outlet .30
F(IL/s'l
Vi-l"I
-&��
I FireDept.1
FireZone]
Use Permit
Building sewer 5.00
EQA
I Parking
Plans
I Parcel
I Declarationi
Parcel Map 1
60' R/W
I Improvements
Lawn sprinkler system 2.00
,131dwi Pla��
Parcel Approval
Plans Approval
Permit Fee $
—
E .7
NEW ADDITION UTILITIES OTHER rtf
ELECTRICAL No.1 @ FEE
PERMIT FILING FEE $3.00 J.00
1"t4_ tz,mz
600V OR LESS
Main service 100 AMP OR LESS 5.00
Main service EA. ADD -L 100 AMP 2.50
Single Family Duplex Mobil Home Others[]
OVER 600V
Main service 100 AMP OR LESS 25.00
Main service EA. ADD*L 100 AMP 1.00
NEW CONST. DWELLING OCCUP. 120sq ft
OR ADDNS. ACC. BLDGS.
NEW.CONSTR. (MULTI -OUTLET,
NON-RESID. BRANCH CIRCU TS) 1-2.50ea
NEW.CONSTR. f POWER APPARAT us ")
NON RESID. %SINGLE OUTLET CIR. 15, 00 .3,00
CONTRACTORS LICENSE LAW
I am licensed under the provisions of Chapter 9, Div. 3, of the
State of California Business & Professions Code under the name
st I
y of.
f 4_1 I- 4J _J
Ex. Occup(OUTLETS OR FIXTURES) 50 C� 25it
BAL@104
FIXED A LNS. OR
Ex. Occup. (OUT LETSPP(RESID.) EA) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
L i c en s e N o '7'7 4/__� Classification =2
1 -
Misc. Wiring 6.25
I am exempt from the contractors License Laws of the State of California.
Permit Fee $
WORKMEN'S COMPENSATION INSURANCE - -
I am aware of the provisions of Section3700 of the California Labor
Code which requires every employer to be insured against liability
for Workmen's Compensation.
I have placed on file with the County of Butte a certificate of
Workmen's Compensation Insurance.
certify that in the performance of the work for which this
plermit is issued. I shall not employ any person in any manner
so as to become subject to the Workmen's Compensation Laws of
Cal i forni a.
MECHANICAL No. @ I FEE
PERMIT FILING FEE $3.00
Heating 4"00
Cooling 3 h —&-OL.4
Ventilation
Hood 2. 0
Permit Fee $
$
1 certify that I have read this application and state that the above
information is correct. I agree to comply to all County Ordinances
and S.tate Laws relating to building construction, and hereby
TOTAL PERMIT FEE is
X 00
autH01 Ze 1ePIWSt::iILd11IVt:b 01 ine touniy oi Butte to enter upon the
above-Zritioned property for inspection purposes.
X��S=2/� Date
Signature of �Ir mitee or Agent
Receipt No. A;_1 110"/ 3
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod-Appli cant
This permit is hereby issued under the applicable provisions of
the Butte County Code and/or resolutions to do work indicated
above for which fees have been paid.
DIRECTOR OF P B I WORKS
By Date jj-�7,4
_13ja4dilit9 permit expires Date
9L6
sx-dom olland �o
alln, io x1snot)
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
7 County Center Drive — Oroville, California 95965
Telephone: 534-4541
771.,�2
APPLICATION AND PERMIT �0
-76
u 'VVIVOWIlLaLives 01 LHe County of Butte to enter upon the
above-mentioned property for inspection purposes.
X .ZL/,ate
Signature of Permit or Agent
Receipt No.
White-D.P.W. — Yell.w.Ass.ss.r — Pink -Inspector — Goldenrod-Appli cant
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.
DIRECJOR OF PUBLIC WORKS
Building permit expires Date &,<
BUILDING F
Owner
—1,01 Z� V"14
SQ. FT. OCC. BUILDING VALUATION
Mailing Adpre
Telgp one No. /
Fireplace
Contractor
Total Valua;ion
Mai I ing Address 1,7,9,9
XPermit. Fee
Plan Checking Fee &/or Penalty
Telephone No.
Permit Fee $
Building Address
0
PLUMBING No. @ FEE
PERMIT FILING FEE $3.00
111
Each Trap 1.50
Repair drainage or vent piping 1.50
Water piping 1.50
Each gas water heater or vent 1.50
A. P. No. C)-
Zoning & Planning
Gas piping system 1 - 5 outlets 1.50
Each additional outlet .30
Fees
'W
7C]
ftr,�t�
FireDept.
FireZone
Use Permit
Building sewer 5.00
EQA
IParking
Plans
I Parcel
Declaration
Parcel Map
I
60' R/W
I
I Improvements
Lawn sprinkler system 2.00
,13ldg. Plon—r-Rt,&d I
Parcel Approval
Plans Approval
Permit Fee $
NEW ADDITION UTILITIES OTHERW
ELECTRICAL No.1 @ I FEE
PERMIT FILING FEE $3.00 0,0
main service 600V OR IESS
100 AMP OR LESS 5.00
Main service EA. A00'L 100 AMP 2.50
Single Family Duplex Mobi I Home Others
OVER 600V
Main service 100 AMP OR LESS 25.0-0
Main service EA. AOD,L_ 100 AMP 1.00
NEW CONST. ( DWELLING occu�- 20sqft
OR A.D.S. ACC. BLDGS.
NEW_CONSTF;L (MULTI.OUTLET '2.50ea
NON RESID. BRANCH_CIRCUITS)
NEW CONSTR. tPOWER APPARATUS &I
NON . RESID. I SINGLE OUTLET CIR.
CONTRACTORS LICENSE LAW
I am licensed under the provisions of Chapter 9, Div. 3, of the
State of California Business & Professions Code under the name
snty4ol�Ilyt-b a4t..r� o
Ex. Occup(OUTLETS OR FIXTURES) r5 A__L @--109
Ex. Occup.(FIXED A P7 LNS* OR
OUTLETS (RESID.) EA) 2�00
Temporary service 10.00
Mobile Home Facilities 15.00
License No—V-6, 6!�3 Classification Z)
Misc. Wiring 6.25
ElI am exempt from the Contractors License Laws of the State of California.
Permit Fee $
1.92
WORKMEWS COMPENSATION INSURANCE - _=
1 am aware of the provisions of Section3700 of the California Labor
Code which requires every employer to be insured against liability
for Workmen's Compensation.
I have placed on file with the County of Butte a certificate of
Workmen's Compensation Insurance.
I certify that in the performance of the work for which this
permit is issued. I shall not employ any person 'in any manner
so as to become subject to the Workmen's Compensation Laws of
California.
MECHANICAL No.1 @ FEE
PERMIT FILING FEE J$3.00
Heating
Cooling
Ventilation
Hood 1 2.001
Permit Fee $
$
1 certify that I have read this application and state that the above
information is correct. I agree to comply to all County Ordinances
and State Laws rel : ating to building construction, and hereby I
TOTAL PERMIT FEE
$
u 'VVIVOWIlLaLives 01 LHe County of Butte to enter upon the
above-mentioned property for inspection purposes.
X .ZL/,ate
Signature of Permit or Agent
Receipt No.
White-D.P.W. — Yell.w.Ass.ss.r — Pink -Inspector — Goldenrod-Appli cant
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.
DIRECJOR OF PUBLIC WORKS
Building permit expires Date &,<
NO
Et
P7
av
55
W.F.
1-wo, 50, .
feack fine -s
ArFflox
...........
WCO, Source
GAB.
GRIMW CoLoNY NO, 1,
C M. U. 4 A
AP: ?wi7-.3a
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541
APPLICATION A19D PiRMIT
PERMIT NO.
ASSESSOR PARCEL NUMBER
n
ZONING
BUILDING PERMIT ��
OWNER
ELEPHONE
-=29
SQ.FT. BUILDING VALUAWON
_OCC.
C-15/ 7fr
00 0- 0-(->
OWNER's MAILING ADDRESS
15,5_1 e 0 co
CONTRACTOR'S NAME
&EA0 IF—MIA )000tS IA9&
T'ELEPHONE
1457--g75,5-
CONTRACTPR-S MAILIN_9 ADDRESS
13.;Z7 -657)- St. "fS-�3/ 4?
Fireplace
CONSTRU , C T;;V34,R
A5
UNKNOWN
I dp
Total Valuation is
2q,60, 00
Filing Fee
$ 10.00
LENDER'S MAILING AD ESS
&41 -w�z
Permit Fee
$ 1,015rc90
ARCHITECT OR ENGINEER
LICENSE 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
Waterpiping C/Coul-I
1"- 5.00 6___0
LOT NO.
SUBDIVISION NAME
I
PARCEL MAP
Each qas water heater or vent
_5.00
Gas piping system 1 - 5 outlets
V" 5.00
USE OF STRUCTURE
SFEI Duplexf-I MobilehomeE] Other PECIFY
Building sewer
5.00
Mobile Home I S I G JW I
10-00ee
TYPE OF WORK
N e WIA AdditionEl Remodel[:] UtilitiesE:1 InstallationEl OtherEJ
Describe work:
Permit Fee
$
Contractor
ELECTRICAL PERMIT
FilingFee 10.00
Main service 600V OR LESS
100 AMR OR LESS
10.00
Main service EA. ADD -L 100 AMP
2.50
NEW CONST. DWELLING OCCUP.&
OR ADDNS. ( ACC. BLDGS.
2/20sq It
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
El I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full forc�and effect.
License No.-/ fl!? 64 -Classificatic 2
El 1, as the owner, or my employees with wages as theirsole 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)
I am exempt under Sec.—, Business and Professions Code
for this reason
NEW CONSTR. ( MULTI -OUTLET
NON.RESID. BRANCH CIRCUITS) 2.50 ea I
NEW CONSTR. I POWER APPARATUS &'I
NON-RESID. IISINGLE OUTLET CIR. /
I
0@50t
Ex. Occup(OUTLETS OR FIXTURES PALC300
FIXED APPLNS. OR
Ex. Occup. OUTLETS (RESID.) EA.) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring poyt_ --15.00
Permit Fee
$ ;2-51 ab—
Contractor
MECHANICAL PERMIT
Fi ing Fee 10.00
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
The permit is for $100.00 (valuation) or less.
el have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certifi cate
of Consent to Self-Ingure.
F1 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.
Heatin Z 7.5-0
e
,1-6VIdq�a
Cooling
Hood 3.00
Ventilation
Permit Fee $
Contractor
—
1 certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby 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 p
0�sceost:, can e x ens which may in any�w/aa crue
against said)CouAty lin c t he nting of this permit.
qu
X Dat
Signature of Applicant — Owner E:1 Conq Alictor E] 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 $
TOTAL PERMIT FEE $
OCCUP. GROUP
I TYPE OF CONST.
PARCEL
PD
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DI C,;" F PUBLIC
By.
PEhd1T EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date 7-1 Ffd?2
-7
[Receipt No. 001 OR
TE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD-APPLI CANT
.OROVILLE, CALIFORNIA
.GENERAL. CLAIM
CLAIMANT: Pierce Hawley
ADDRESS: 1327 65th Street
CITY & STAYE: - Sacramento, CA 95819 IMPORTANT:
SEE INSTRUCTIONS
DATE OF CLAIM: June 7. 1982 ON REVERSE SIDE
SURMIT CLAIM TO DEPARTMENT RECEIVING GOODS OR SERVICES
DATE DESCRIPTION OF CLAIM (DESCRIBE FULLY TO AVOID DELAY)
AMOUNT
6/7/82
Owner has decided not to install'pool. (Bldg Permit #3797-819,P,E-
Receipt #56649 dated 10/6/81 -AP 24-17-T5T owner Jack Bri y
Building Permit Fee Paid -------------------- $98.00
Retain plan checking fee --------- $tO OUI-�
Retain plan Checking fee(D.P.A)--$10.00
Retatri tttag fee $10.00
Amount retained ----------------- $30.00--!-00.00
Refunddue ------------------------------ ------------- $68.00
Plumbing Permit Fee Paid ------ ----------- $15.00
Retain filing fee ------------------------- $10.00
Refund due ----- --------------------------------- $-5..00
Electrical permit fee paid ---------------- $17.50
Zf
flitng fee ----------------------- Ll =.
- 50
Refund due ------------- ------ L_L.
TOTAL REFUND DUE -------------------------------------- $80.50
$80
50
TOTAL.
$8Ot5O
1, the undersigned, declare under penalty of perjury that the services or articles claimed have PeFn performecl or delivere nd that this
claim is true and correct as stated.
7th at Oroville
Dated this ...... day of ..... J ne ........... . 19.82
............................ ... !� ...... ...... ................................. ............ ......
Signature of Cla'
1, the undersigned. hereby certify that, to the best of my knowledge, the -services or articles specified above have b47en performed or de-
livered find that there is a Budget Appropriation El or Specific Board,�pproval F � (Check one) for the same..
Dated this ........ Zt�! ................... day of ....... !�..; ....... 19..�? at Oj�oville Calif . ................................ I ...................................................
Department Head or Authorized Deputy
Dept. Exp.
Code............................................ Code ................................................ PAYABLE FROM ... ............................. ............................................. ............ FUND
DO NOT WRITE BELOW THIS LINE - AUDITOR'S USE ONLY
VENDOR
CODE
DEPT.
& SUB.
P ROJ.
SUB.
OBJ.
CLAIM
NO.
INVOICE
NO.
INVOICE
DATE
DISC.
GROSS
AMOUNT
ENCUMB.
SUB -DIST.
COUNTY OF'BUTTE - DFPARTMENTDF PUBLIC V� KS PERMIT NO.
&�7
7 County Center Drive - Oroville 5195R3.41-451
,,Califcrnia q�965 - Telephone 91E /4
APPLICATION AND PERMIT
ASSESSOR PARCEVUMBER
2 _1_7 3�;
ZONW 7
BUILDING PERMIT
OWNF_&_
0,964 13Pam Ley
TELEPHONE
SQ.FT. OCC. BUILDING VALUATION
06
OWNER'S MAILING ADDRE55
C2�IEA TELEPHONE
00, _5,
CONTRACTOR'S M41LINIS-.,ADDRESS
13W 'r. � 5 _7
Fireplace
CONSTRUCTION LENDER
U N K N;_Y,4
Total Valuation Is
134700. 0 6
Filing Fee
$ 10.00
LENDER's MAILING ADDRESS
Permit Fee
$ 69. cia
A Uld&�117 E N G I I Er
P
t'l ,
LICENSE 14
Plan Checking Fee
$ - /10.0r)
ms -IP—
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee
$
BUILDING ADDr
&WEE AVE -
PLUMBING PERMIT
FilingFee 10.00
Each Trap
2.00
Repair drainage or vent piping
5.00
(!�'Pea)LOY
Water piping
5.00
LOT NO.
SUBDIVISION NAME
1
PARCEL MAP
1
Each qas water heater or vent
5.00
Gas piping system 1 - 5 outlets
USE OF STRUCTURE AJ4
SF[:] DuplexR MobilehomeR Other 'Swlup/
SPEOFI FY
Building sewer
Lawn sprinkler system
5.00
TYPE OF WORK
New [P�Addition [I Remode 1 [:1 Uti I ities [I InstallationO OtherE]
Describe work: Aifislre_
Permit Fee
szoiseT t—e�
Contractor
ELECTRICAL PERMIT
Fi I i ng Fee 10.00
Main service 600V OR LESS
100 AMP OR LESS
5.00
Main service EA. ADD -L 100 AMP
2.50
NEW CONST. DWELLING OCCUP.aJ)
OR ADDNS. ( ACC. BLDGS.
20 sq ft
CONTRACTORS LICENSE LAW
I decjare 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 e ffect.
License No.__/!f/9-r06 -Classification 651-3
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)
E] 1, 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 CONSTR (MULTI-.UTLET
NON.RESID, BRANCH CIRCUITS) 2.50 ea
N E W.0 0 NIST R. ( POWER APPARATUS & I
NON RES D. SINGLE OUTLET CIR. /
50 @ 25C
Ex. OCCUR(OUTLETS OR FIXTURES, BAL0100
(OFUIXED APPLNS. OR
Ex. Occup. TLE TS (RESID.) EA.) 2.00
Temporary service -10.00
Mobile Home Facilities 15.00
Misc. Wiring POOL- Alg:q 7.50 _V,
1
Permit Fee $
Contractor
MECHANICAL PERMIT
Fi I ing Fee 10.00
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
R The permit is for $100.00 (valuation) or less.
F -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.
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 ot
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 saiid CounAy in conse ence o e granting of this permit.
X ate 161619
D
Signature of Applicant - Owner E] ntractor Fj Agent [B—
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 $
TOTAL PERMIT FEE $
occup.G�Oup
I TYPE OF CONST,
I PARCE11
I/
�p I
ISSUE
This permit is hereby issued under
e unty Code and/or
sions of the But t Co
work indicated above for which
DIRE71O)R OF PUBLIC
BV
PE966 EXPIRES D
the applicable provi-
resolutions to d i
0
fees have been paid.
WORKS
Date
Receipt No. 67 Ila
WHITE-D.P.W., YELLOW -ASSESSOR. PINK -INSPECTOR, GOLDEN ROD-APPL I CANT
COUNTY OF BUTTE DEPART ' MENT OF PUBLIC IVORKSX/� Z/
7 County Center Drive — Orovi Ile, California 95965
Telephone: 534-4541
APPLICATION AND PERMIT
out lul -t- ptt�bumcmvuz�i ui trie uuunty oi tsuttu to enter upon ine
1 11' it:
above-me94 on ed property for inspection purposes.
KI
Date3:;2 il. - 7-5 -
gnature of Permitee or Agent
0.
ReC t N 0z 7
Whit -D . P. W — Yellow-Asses(or — Pink -Inspector — Goldenrod-Appli cant
This permit is hereby issued under the applicable provisions of
the Butte County Code and/or resolutions to do work indicated
above for which fees have been paid.
DIRECTOR OF PUBLIC WORKS
By . — - Date
Building permit expires Date ............................................
BUILDING
owner
SQ. F T. OCC. BUILDING VALUATION
4�z /
Mailing,A/ddress
— .1
Tel h N
Fireplace
Contractor aj /V
Total Valuation
Mailing Address <:�
Permit Fee
PlanChecking Fee&/orPenalty
Telephone No.
Permit Fee
$
$
Building Address
oe 6.eqwg,�=
PLUMBING
No.
@ FEE
PERMIT FILING FEE' $2.00
/f—/ gizatus
Each Trap 1.50
Repair drainage or vent piping
1.50
Water,piping 1.50
Each gas water heater or vent 1.50
A. P. No. 191(-17-
Zoning & Planning
Gas piping system 1 - 5 outlets
j 1.50
Each additional outlet .30
FA<W,6+ft"it�
FireDept.
Fi*reZone
Use Permit
Building sewe 5.00
EQA
I Parking
Plans
I Parcel on
Declarati
I Parcel Map 1
60' R/W
I Improvements
Lawn sprinkler system 2.00
T::�
Bldg. Plans Rec'd
Parcel Approval
Plans Approval
Permit Fee
$
$
N EW ADDITION UTILITIES OTHER
ELECTRICAL
No.1
@ I FEE
PERMIT FILING FEE $3.00
GVA5�_F
Main service incl. 1 meter
Additional meters, each
1.00
Sub -panel (12 or less) (more than 12)
rVI
Single Family inj Duplex Mobil Home Others
Range, Cook -top or Oven 1.00
Water Heater or Space Heater
1.00
Light fixtures 2002
bal Win
0
Receps., switches & fix outlets 20 EE=
CONTRACTORS LICENSE LAW
I am licensed under the provisions of Chapter 9, Div. 3, of the
State of California Business & Professions Code under the name
style of:
Hood, Ex. FanorF.A. Furn. Motor
1.00
Evap. cooler, gar. disp. or D.W. 1.00
Air conditioner or heat pump
Water pump
Mobil Home Facilities 5.00
Temp. Power Pole 5.00
License No. Classification
Misc. wiring
��l amexempt from the Contractors License Lawsof theStateof California.
Permit Fee
$
WORKMEN'S COMPENSATION INSURANCE
1 am aware of the provisions of Section3700 of the California Labor
Code which requires every employer to be insured against liability
for Workmen's Compensation.
EJI have placed on file with the County of Butte a certificate of
Workmen's Compensation Insurance.
,,-J(pl certify that in the performance of the work for which this
ermit is issued I Shall not employ any person in any manner
0 as to become subject to the Workmen's Compensation Laws of
California.
MECHANICAL
No.1
@ I FEE
PERMIT FILING FEE J$3.00
Heating
Cooling
Ventilation
Hood 2.00
Permit Fee $
I certify that I have -read this application and state that the above
information is correct. I agree to'comply to all County Ordinances
and. S.tate Laws relating to building construction, and hereby
TOTAL PERMIT FEE
out lul -t- ptt�bumcmvuz�i ui trie uuunty oi tsuttu to enter upon ine
1 11' it:
above-me94 on ed property for inspection purposes.
KI
Date3:;2 il. - 7-5 -
gnature of Permitee or Agent
0.
ReC t N 0z 7
Whit -D . P. W — Yellow-Asses(or — Pink -Inspector — Goldenrod-Appli cant
This permit is hereby issued under the applicable provisions of
the Butte County Code and/or resolutions to do work indicated
above for which fees have been paid.
DIRECTOR OF PUBLIC WORKS
By . — - Date
Building permit expires Date ............................................
2314-83B,P,E,M
PERMIT NO.
PERMIT EXPIRES—L/ S-/C5�*
OWNER JACK BRUMLEY
CONTR. Geremia Pools E Sacramento
ASSESSOR PARCEL 24-17-35
LOCATION' 554 Cowee Avenue, Gridle,y
Temp. Power Pole
Called PG&E
Temp. Elec. Service
Called PG&E
Temp. Gas Service
CalledPG&E
JOB FINALED (Date) C
Signature—
V OK
0 Not OK
Not Applicable MOBILEHOMES MISCELLANEOUS
Not Ready I
Da te
MOBILEHOME UTILITIES (Plans) OK except #'s
1. Zoning Requ i rements—Setbacks— Easements
Date
DECKS, COVERS, CARPORTS, ETC. (Plans) OK except #'s
1. Zoning Requ irements—Setbac ks— Easements
2. Soils; Special MH Support—Sketch
2. Footings; Size—Depth—Spacing—Connectors
3. Sewer; Location—Test—Fall-C/0—Concrete
3. Decks; Girders and/or Joists—Decking—Bracing—Stairs—Rails
4. Water; Location—Test—Easement Needed (Sketch)
4. Wood Awn.; Posts— Beams—_R ftrs. —Connec.—Shthg.—R fg.—B'rac i ng
5. Electricity; Location—Clearances—Grnd.—/ / Amp—Concrete
6. Gas; Location—Test—Wrap: L"ft./ /" Nat. or/ /" L"ft./ LPG
5. Alum. Awn.; Columns—Connections—Splice—Decal—En'closures
6. Carports: Windows—Doors -
7. Utility Clearance
7. Elec.
Card -BI
Date Card -BI Date
Card -Bl
Date Card -BI Date
Card -BI
Date
Date Card -BI Date
MOBILEHOME INSTALLATION (Plans) OK except #'s
.1. Zoning Requirements—Setbacks—Easements
Card -61
Date
Date Card -81 Date
P001ZI—Plans) OK except #'s
. S311-K—Easemenks
2. Footings; Size—Spacing—Marriage Line
&41'sc�i�npaction—, I Structure Stability
3. Gas; MH Test—Demand—Valve—Connector
9P,,�Pool Structure; Steel—Connections—Thickness—Dead Men—Lining
4. Electricity; MH Test—Crossovers—Breakers—Clearances
4. Elec.; Receptacles and Lighting; Distances—GFI
5. Drain; MH Test—Fall—Flex Connector
5. Elec.; Pool Lighting; 15 volts—GFI
6. Water; MH Test— Regu lator—Connec tor
6. Ele�.�Iosures; Conduit Entries—Terminals—Listed
7. Water and Sewer Connected—C/0 to Grade—HD Approval
Bonding; metal w/5'—Circulating Equipment—Heater
8. Gas and Electricity Tagged
9. Exits; Insp.—Sketch
8. Elec.: Grounding; Equip. w/5'—Circulaiing Equip.—Pool L;htg.
Boxes— Enc losures— Pane I boards— Ins. to Main in Conduit
10. Cert. of Occupancy
9. He2lih-Bepartment Approval
49--lp—lumb; Cir. Test—Water Supply Test
Card B -I
Date Card -BI Date
Card-��
5Date/,'
kicf— Card -BI Date
Card B -I
Date Card -BI Date
Card -B!
-
' Date Card -BI Date
= OK
= Not OK
= NotApplicable
= Not Ready RESIDENTIAL, (Sing.le and Duplex)
Date
UNDERFLOOR (Plans) OK except #'s
Date
FRAMING (Continued )
1.
Zoning req u ire ments-Set bac ks- Easements
48.
Property Line Firewall & Openings
2.
Fig., Main; Soils-Steel-Elec. Grnd.- / /'' Fig. Depth
49.
Ext. Doors -One 3' -Check Garage -3rd story, 2 exits
3.
Ftg., Garage; Soils -Steel- / /" Ftg. Depth
50.
Stairs; Width -Headroom -R ise-Run-Landing-F ire Protection
4.
Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth
51.
Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab
52.
Sid ing-Nai I ing-Veneer 1�
6.
Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab
53.
Stucco Mesh -Drip Screed-Fdn. Vent�-Underflr. Access
7.
8.
Piers -Fireplace Ftg.-Steel
D.W.V.: Fall -Fittings -Test -2 way C/0 -Sewer Test
54.
Glazing Area -Glass Protect ion -Sky I ights-P last i c
55.
Shear WaIJs; Nailing -Bolts
9. Gas Pipe; Size -Anchors
10.
Water Pipe; Test-Anchors-Regu lator-Sery ice Test
11.
Electric; Underground
12.
Plenums & Ducts; C learance-Materi al -Support- Ins.
13.
Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Date
FINAL (Plans) OK except #'s
56. Ext. Steps -Door & Sidelight Protection -Landings
Card -BI
Date
Date Card -BI Date
PLUMBING (Permit) OK except #'s
14. Water Ht.; Vent- Access -Combustion Air
57.
58.
Smoke Detector
Furnace; Vents -Clearance -Comb. Air -Connector -
In Garage; Above Floor-Ducts-Mech. Protection
15. Water Pipe; Test & Anchors -Nail Protection
16.
D.W.V.; Test-Fttngs & Anchors -Nail Protection
59.
Bedroom Exiting
17.
Shower Pan; Test, First Floor -Tub Access
60,
EF.I. & Bath Fixtures & Tub Access
18.
Test Tub & Shower, 2nd Floor -Tub Access
61.
Elec. Trim & Subpanel; Breaker Sizes -Labels
19.
Gas Pipe; Size & Anchors
62.
Stairs & Rails
63.
Fireplace or Stove; Clearances -Hearth
64.
Elec. Outlets at Wood Panel; Int. & Ext.
Card -BI
Date Card Date
65.
Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance
Card -BI
--BI
Date Card -BI Date
66.
Elec. Outlets & Receptacles at Kit. Counter
Date
ELECTRICAL (Permit) OK except #'s
67.
Garage Fire Door; Swing-Landi ng -C loser
68.
A.C. Duct in Garage -Damper
20.
Fixture & Transformer Clearance -Ins. Protection
69.
Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.-
In Garage; Above Floor-Mech. Protection
21.' Elec. Receptacles Spacing -Lights & Switches at Doors
70.
Plb., Elec. & Mech. Equip. Listed for Location
22.
Size Boxes & No. of Conductors -Stapled
71.
Elec. Receptacles in Garage; (G.F.I.)-Romex Protec.
23. Romex Installed Close to Edge of Studs & C.J.
24.
'
Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water
72.
1 nsu lat ion -Foam- Looked in Attic (:] Yes
25.
2 Appliance Circuits in Kitchen & Conductor Size
73.
Guard Rails & Deck Construct i on -Post Caps
26.
Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size ga. Cu or TI
74.
Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance
Looked under Floor El Yes
27.
Range Circ. / / ga. Cu or Al -Oven Circ. ga. Cu or Al,
Insulated Neutral Dyes El No
75.
Following instld.: Drive F1 Yes No; Walks E) Yes E) No;
Planters QYes E]No
28.
Service -Riser Conductors & Ground -Main Disconnect
76.
Stucco: Brown -Finish
29.
Equip. Clearances; Pane I s-Motors-Mec h. Equip.
77.
A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet
30.
Clothes Closet Light -Shower Light
78.
Vents Above Roof; Plbg.-Appliance-Firepi.-Clearance to Opngs,
79.
Water Well; Disconnect, Electrical, Plumbing
80.
Exterior Elec. Trim; G.F.I. Receptacle -Underground
Card B -I
Date Card -Bi Date
81.
Ventilation throughout House
Card B -I
Date Card -BI Date
82.
Glass Protection
Date
MECHANICAL (Perrr.it) OK except #'s
83.
Corrections from Previous Inspections
84.
Gas Test -Meters Tagged; Gas -Electric
31.
A.C. Ducts; Insulation & Support
85.
Water & Sewer Connected -C/O to Grade -HD Approval
32.
Vent Fan; Exhaust above Insulation
86.
Energy Compliance Certificate -Other Certificates
33.
Condensate Drain & Overflow; Size & Grade
34.
Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet
35.
Attic Access & Platform if Furnace in Attic
Card -BI
Date Card -BI Date
Ca.rd-Bl
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Date
FRAMING(Plans) OK except #'s
36. Sills; Proper Material & Anchors
Comments at Final:
37.
Studs -Nailing, Spacing & Bracing -Plates -Sound
38.
_Walls;
Bearing Walls over Girders & Floor Nailing
39.
Draft Stop in Walls (rat proof)
40.
Fire Stops; Furred Ceilings -Stairs -Chases -Tub
41.
Header & Beam -Size & Bearing
42.
43.
44.
Hangers -Post Caps -Anchors -Connectors
CIng. Joist--kftr. fies-Purlin- Roof Brac.-Truss-Shthri.q.-Fifrig.
Fireplace Ties or Type A Flue -Fireplace Throat
45.
Attic Access: Size & Romex Protect i on -Draft Stop -Ins. Baffles
46.
4-7.
Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions
Gara.ge-Fire Protection Framing
(NOTE: Anentrymust be made each time youvisit jobsite)
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
7 County Center Drive — Oroville, California 95965
Tel ephone:.534-4541
APPLICATION AND PERMIT
auihorize representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes.
X Date
Signature of Permitee or Agent
Receipt No.
White-D.P.W. Yellow -Assessor Pink -Inspector - Goldenrod-Appli cant
This permit is hereby issued under the applicable provisions of
the Butte County Code and/or resolutions to do work indicated
above for which fees have been paid.
DIRECTOR OF PUBLIC WORKS
By
Building permit expires Date
Date
BUILDING
Owner -4 .
SQ. FT. OCC. BUILDING VALUATION
Mai I i ng Address
Telephone No.
Fireplace
Contractor
Total Valuation
Mai I ing Address 9
Permit Fee
Plan Checking Fee &/orPenalty
Telephone No.
Permit Fee $
Is
Building Address
PLUMBING No.1 @ FEE
PERMIT FILING FEE $3.00
Each Trap 1.50
Repair drainage or vent piping 1.50
Water piping 1.50
Each gas water heater or vent 1.50
A. P. No.
Zoning & Planning
Gas piping system 1 - 5 outlets 1.50
Each additional outlet .30
Fees I
W. C.
Sani-Wti-an
F ire Dept.
Fire Zone
Use Permit
Building sewer 5.00
EQA
I Parking
Plans
I Parcel
Declaration I
Parcel Map
I
60' R/W
I Improvements
Lawn sprinkler system 2.00
Bldg. Ptzsn-ker'd I
Parcel Approval
Plans Approval
Permit Fee $
$
NEW ADDITION UTILITIES OTHER
ELECTRICAL No. @ FEE
PERMIT FILING FEE $3.00
100 AMP OR L 5.00
Main service 600V OR LESSESS
Main service EA. ADD -L 100 AMP 2.50
Single Family Duplex Mobi I Home Others
Main service OVER 600V
100 AMP OR LESS 25.00
Main service EA. ADO'L 100 AMP 1.00
NEW CONST.
OR A..NS. ( 'A)WCELBL'L"02GS-.CC:UP- 20sqft
NEW CONSTR_ ULTI-OUTLET
N.N-RE.11., (M.RANCH CIRCUITS) 2.50ea
NEW.CON,STR (POWER APPARATUS 8)
NON RES 0. SINGLE OUTLET CIR.
CONTRACTORS LICENSE LAW
I am licensed under the provisions of Chapter 9, Div. 3, of the
State of California Business & Professions Code under the name
style off
$
Ex. Occup(OUTLETS OR FIXTURES) 5BOA L (2?51':0 9
FIXED APPLNT OR
Ex. Occup.(OUTLETS (RESID.) EA) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
License No. Classification
I am exempt from the Contractors License Laws of the State of California.
Misc. Wiring 6.25
_T
Permit Fee $
WORKMEN'S COMPENSATION INSURANCE
1 am aware of the provisions of Section3700 of the California Labor
Code which requires every employer to be insured against liability
for Workmen's Compensation.
I have placed on file with the County of Butte a certificate of
Workmen's Compensation Insurance.
F-1 I certify that in the performance of the work for which this
permit is issued I shall not employ any person in any manner
so as to become subject to the Workmen's Compensation Laws of
California.
MECHANICAL No. @ FEE
PERMIT FILING FEE $3.00
Heating
Cooling
Ventilation
Hood 2.00
Permit Fee $
$
1 certify that I have read this application and state that the above
information is correct. I agree to comply to all County Ordinances
and State Laws relating to building construction, and hereby I
TOTAL PERMIT FEE
auihorize representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes.
X Date
Signature of Permitee or Agent
Receipt No.
White-D.P.W. Yellow -Assessor Pink -Inspector - Goldenrod-Appli cant
This permit is hereby issued under the applicable provisions of
the Butte County Code and/or resolutions to do work indicated
above for which fees have been paid.
DIRECTOR OF PUBLIC WORKS
By
Building permit expires Date
Date
I
I
I
024-17-0-035 98-19971M
BRUMLEY, Jack M.
554 Cowee,.Gri.dley
(HVAC) SF Andy's Htg & AC
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive - Ciroville, California 95965 * Telephone (530) 538-7541 PERMIT,NO.
(Rev. 12/96) APPLICAT�ON AND PERMIT
ASSESSOR PARCEL NUMBER 024-470-035
ZONING A40
BUILDINGPERMIT
OWNER
WRT!4J,FYi JA(7T2_!.
TELEPHONE
846-2935
SQ. FT. OCC. BUILDING VALUATION
OWNER'S MAIUNG ADDRESS 554 Cowee Avpnue, rrid1py. P594R
CONTRACTOR'S NAME Andy's llestlng 7, Air Cond.
TELEPHONE
CONTRACTOR'S MAILING ADD?SS
1 City, CA
Ul,�
CONSTRUCTION LENDER
Fireplace
LENDER'S MAJUNG ADDRESS
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee
$ 20.00
Permit Fee
$
ARCHITECT OR ENGINEERS MAIUNG ADDRESS
Plan Checking Fee
$
BUILDINGADDRESS 5`54 rowee
Energy Plan Checking Fee
PERMIT FEE
$
LOT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT
Filing Fee 20.00
USEOFSTRUCTURE
SF T Duplex 0 Mobilehome 0 Other SPECIFY
Each Trap
7.00
Solar or heat pump water heater
23.00
Water piping
15.00
Each gas water heater or vent
15.00
TYPE OF WORK
New 0 Addition 0 Remodel CI Ulilities 0 Installation 0 Other Ir
Describe Work: !TTTAr
piping system I - 5 outlets
15.00
—Gas
Building sewer
15.00
Mobile Home I S I G I W
@?20.00_
PERMIT FEE
$
ELECTRICAL PERMIT
Filing Fee 20.00
Main Service '..A' RR ','.s
23.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license is in full force and effect.
License Class Lic. No.
OWNER -BUILDER DECLARATION
1 hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
0 1, as owner of the property, or my employees with wages as their sole compensation,
,,will do the work, and the structure is not intended or offered for sale.
as owner of the property, am exclusively contracting with licensed. contractors
io construct the project.
0 1 am exempt under Sec. Business and Professions Code for this
reason
Main Service 200A TO 1000A
46.00
NEW CONST DW:�I.UNG UP.
OR ADDNS. S.
C. �ff
Q
3.5,s
FT.*
N17 �ONS =.,-O-
NoN.RESID.
97.50
1P.O.W.E.RAP= US
0 CIR.
Ex. Occup. OUTLET OR FIXTURES
20 @ 1.00
sAL @ .50
Ex. Occup. UETS (RES,6.) E
07D APPLNS M,
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
I —
PERMIT FEE
$
WORKERS' COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
0 1 have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
0 1 have and will maintain workers' compensation Insurance, as required by Section
3700 of the Labor Code, forthe performance of workforwhich this permit is issued.
My workers' compensation insurance carrier and policy number are:
Carrier
Policy Number
(The above sections need not be compl6ted if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
W-1certify that in the performance of the work for which this permit is issued, I shall
not employ any person in any manner so as to become subject to workers'
compensation laws of California, and agree that if I should become subject to the
workers' compensation provisions of section 3700 of the Labor Code, I shall
forthwith c, p y with those provisions.
I il- . 61 ,
X Z... - X11.0 /4" �le Date
Signh1__re of`ZP'Plr-ca`r�_ 'Contractor [3 Agent
An OPHA permit is requin /Ii"ns over 60" deep and demolition or construction
of stfuctures over 3 stories in height.
MECHANICAL PERMIT
Filing Fee 20.00
Heating 5 'Fon r% r
Cooling 5 Ton —20. 00
Hood 6.50
-
Ventilation
-
PERMIT FEt $
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
CONST. TYPE
== 41! 60 ot,
TOTALF 11, 1
HAZ.
I D. FEES IMP
I FLOOD
CDF
PARCEL
PD
I HD
I ISSUE
This permit is hereby issued under
of the Butte County Code and/or
indicated above for which fees have
E
PERMIT EXPIRES ON
the applicable provisions
Resolutions to do work
been paid.
Date
(Da to)
ReceiptNo. -7
WHITE-D.D.S.-B.O. CANARY -ASSESSOR PINK -INSPECTOR GOLDEN ROD -APPLICANT
4>50e
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
4
7 County Center Drive — Oroville, California 95965
Telephone:.�34-4541
APPLICATION AND PERMIT
u.. UU11ty U W PUII LIIU
above-mentioned prop�rty for insp'-e'ction p'U'rp1oUs,e,s.I'J U
X Date
Signature of Permitee or Agent
1�i
Receipt �0. — /,�� /
White-D.P.W. — Y.Ilow-Assessor — Pink -Inspector — Goldenrod-Appli cant
This permit is hereby issued under the applicable provisions of
the Butte County Code and/or resolutions to do work indicated
above for which fees have been paid.
DIRECTOR OF PUBLIC WORKS
By Date J3,_; K-1
—Building permit expires Date'
BUILDING
Owner /Z
SQ. FT. OCC. BUILDING VALUATION
Mai I i ng Address
Telephone No.
Fireplace
Total Valuation
Mai I ing Address
Permit Fee
Plan Checking Fee &/or Penalty
Telephone No.
Permit Fee $
Building Address
PLUM13ING No. @ FEE
PERMIT FILING FEE $3.00
�E 4 .4 -,r f
Each Trap 1.50
Repair drainage or vent piping 1.50
Water piping_ 1.50
7ir
Each gas water heater or vent 1.50
A. P. No. 7 47�'— /7
Zoning& Planning-
Gas piping syste�n 1 - 5 outlets 1.50
Each additional outlet .30
F4/1511
W/11.
S-arr�tatfon
F eDe t.
1 ir
p�
F, re Zone
Use Permit
Building sewer 5.00
EQA
Parking
Plans
Parcel
Declaration
T_
arce ap
P I M
60' R/W
I Improvements
Lawn sprinkler system 2.00
8149-44on's-R"14.
Parcel Approval
Plans Approval
Permit Fee $
NEW ADDITION UTILIiIES OTHER
ELECTRICAL No. @ FEE
PERMIT FILING FEE $3.00
6
Main service 100V OR LESS
100 AMP OR LESS 5.00
Main service EA. ADD -L 100 AMP 2.50
Single Family Duplex Others
Mobi I Home
OVER 600V
Main service 100 AMP OR LESS 25.00
Main service EA. ADD'L 100 AMP 1.00
NEW CONST. DWELLING OCCUP.
OR ADDNS. ACC. BLOGS. 20sq ft
NEW CONSTF:L (MULTI -OUTLET
NON-RESID. BRANCH CIRCUIT S) 2.50ea
NEW.CON,STP- tPOWER APPARATUS "
NONGRES D. % SINGLE OUTLET CIR.
CONTRACTORS LICENSE LAW i
I am licensed under the provisions of Chapter 9, Div. 3, of the
State of California Business & Professions Code under the name
style of-
Jr. )
A it it, J
Ex. Occup(OUTLETS OR FIXTURES) 5BOA@L @2510(X
FIXED APPLNS. OR N
Ex. Occup.(OUTLETS (RESID.) EAJ 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
L i cen se No..f Classification C,
Misc. Wiring 6.25
_T_
I a� exempi from the" Contractors License Laws of the State of California.'
Permit Fee , f $
$ -1 Te7c
WORKMEN'S COMPENSATION INSURANCE
I am aware of the provisions of Section3700 of the California Labor'
Code which requires every employer to be insured against liability
for Workmen's Compensation. I
I have placed on file with the County of Butte'a certificate of
Workmen's Compensation Insurance.
F-1 I certify that in the performance of the work for which this
permit is issued I shall not employ any person in any manner
so as to become subject to the Workmen's Compensation Laws of
Cilifornia.'
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
MECHANICAL No.1 @ I FEE
PERMIT FILING FEE J$3.00 1 _13, 6
Heating on
Cooling 12 SIO
Ventilation
Hood 2.001
Permit Fee $
$ 141
TOTAL PERMIT FEE
:�7,5-7 7,-0
u.. UU11ty U W PUII LIIU
above-mentioned prop�rty for insp'-e'ction p'U'rp1oUs,e,s.I'J U
X Date
Signature of Permitee or Agent
1�i
Receipt �0. — /,�� /
White-D.P.W. — Y.Ilow-Assessor — Pink -Inspector — Goldenrod-Appli cant
This permit is hereby issued under the applicable provisions of
the Butte County Code and/or resolutions to do work indicated
above for which fees have been paid.
DIRECTOR OF PUBLIC WORKS
By Date J3,_; K-1
—Building permit expires Date'
V
PERMIT NO. 1874-79B,P,E,M
PERMIT EXPIRES
OWNER Jack & Jane Brumley
own er
CONTR.
LOCATION (A.p. 24-17-35
E/S Cowee', 700'N.of Turner Ave., app. -1-2 Mi -W
of Larkin Hwy., Gridle
AJA
Temp. Power Pole
Ca led PG&E
Tem . Elec. Sery
alled PG&E
T; m Gas Serv.
'P'
CIlled PG&E
j B
\/Fol N A L E D
(Date)q /��l
�Signako�)
Door Closer J11Pln_&V 7 W
MOBILEHOME UTILITIES ------------------ �t�ec f Service Y--Z4i5c'- Pedestal
Water Piping Sewer Gas Piping
MOBILEMOME IN %TION -------------- Support Elec. Continuity
Water Piping Drainage Gas Piping
DATE REMARKS OR CORRECTIONS
(NOTE: An entry must be made on this form each time you visit the job site.)
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
I � .�
BUILDING INSPECTION RECORD
BUILDING
BUILDING (Cont'd)
PLUMBING
Setback
Forms
�6
Firewall
Parapets
oil 1ping
1st Floor 7 -Z
Main Bldg.
Restroom Finish
2nd Floor
Footings
Windows
3rd Floor
Stemwa I I
Siding
Topout �,, - 75;
e- 7--v -,-v -2-,y -
Slab
Roof Sheathing
Water Piping
Piers
Roofing
Sewer
Garage
Fdn. Vents CJD
Fixtures
Footings
Stemwall
4"
Garage Vents
Insulation W 24?lkl
Water Htr.
Heaters
Slab
Carport
Footings
Prov. for p�
vatcally-
handicappe
Conformance of ex.
Applian es
Gas Piping & Test
Temp. Gas
z
Slab
IrFinaVO�3� 2- EZ
SattLtation
Patio
F4RE46LACE
a
Footings
Footing
�,� .2 - ELI
Masonry Walls
Throat
Rough
-29
Reinf. Steel
Final
Fixtures
Bond Beam
FIRE SPAINKLERS
Motors
Framing
0-09=1
Test
Water Htr.
V.
Stucco
Final
Subpanels 7X
Mesh
MECHANICAL
Gird. Fault Prot.
Scratch
Brown w754--e-ofu
,&AAZP
-7, N�—
Heating
coming
Service
Temp. Pole
Finish
__JDucts
Underground
Door Closer J11Pln_&V 7 W
MOBILEHOME UTILITIES ------------------ �t�ec f Service Y--Z4i5c'- Pedestal
Water Piping Sewer Gas Piping
MOBILEMOME IN %TION -------------- Support Elec. Continuity
Water Piping Drainage Gas Piping
DATE REMARKS OR CORRECTIONS
(NOTE: An entry must be made on this form each time you visit the job site.)
RESIDENTIAL
ENERGY CONSERVATION STANDARDS
CONSTRUCTION COMPLIANCE CERTIFICATE
THIS IS TO CERTIFY THAT ENERGY CONSERVATION REQUIREMENTS HAVE BEEN
INS AL ED IN CONFORMANCE WITH CURRENT ENERGY CON�ERVATION REgULATfIONS
T
AT
(location)
BUILDING PERMIT NO. -/<�' 5/- ;�f A -.'P. NO.
THE FOLLOWING HAVE BEEN INSTALLED AS PER APPROVED PLANS:
(Check each item or write N/A if not applicable)
INSUI,ATION:
Slab Edge.
Fdn. Walls
Floors
Walls
Ceiling/Roof
Ducts
Circulating Pipes
APPROVED HEATER j!L,,=a
APPROVED WTR.HTR.
GLAZING:
Single Glazed
Special (Insulated)
CERT. & LABELED WDS.
. & SLIDING DRS.* -
WEATHERSTRIPPED DRS.
BACK DAMPERED FANS
INTERMITTENT IGNITION.DRVICES
CERT. APPLIANCES
I DECLARE THAT ALL REQUIRED ITEMS AS NOTED ABOVE HAVE BEEN INSTALLED
IN ACCORDANCE WITH THE ENERGY CONSERVATION REQUIREMENTS AND AGREE TO
THE COMPLETENESS OF THIS CERTIFICATE AS SUBMITTED.
Insulation Applicator Name_
Signature of (please print)
Insulation Applicator
State contractors
License No.
General Contractor/Owner Name ctile- Brij a2 10 v
ase prin
S igua ture of
General Contractor/owner rL—) ._Pate A-3
U --
State(Icontractors
License No.
THIS CERTIFICATE MUST BE ON FILE WITH THE BUILDING DEPARTMENT PRIOR TO
REQUESTING FINAL INSPECTION AND SHALL BE POSTED IN A CONSPICUOUS -LOCATION
WITHIN THE DWELLlNG.
F'i
`�KS
COUNTY OF BUTTE DEPARTMENT OF PUBLIC WO,
7 County COnter'Dri've - Oroville, California 95965
Telephone: 534-4541
APPLICATION AND PERMIT
Signature of Permitee or Agent / I 1A YJ -)N IL /1
By Date L
R(Zpt No. le 5_7
White-D.P.W. - Yellow-ASSe35or - Pink -inspector - Goldenrod-Appli cant Building per �t PXnires natv
BUILDING ( )
Owner
SQ. F T. OCC. BUILDING VALbA-KON
Mailing Address OX 914
J) et'p,
p
!�;Ll vzzx
ny
Contractor
Mai I ing Address
Fireplace
Total Valuation
Telephone No.
Permit Fee
Building Address
Plan Checking Fee &/or Penalty
Permit Fee $
r( M A) eA- 9,,041 LV 1)7e
PLUMBING No.1 @ FEE
PERMIT FILING FEE $3.00 g"Ov:
Each Trap 1.50 (0-001
?i�e_pairdrainage or vent piping 1.50 f
A. P. No.
oning & Planning
Water piping - 1.50 A SZ)
Each gas water heater or vent 1.50 / , -sry
g,!!:�
�Sa nJFireDept.
Fi re Zone
Use Permit
Gas piping system 1 - 5 outlets— 1.50
EQA
Parking _�xa_rcel
Plans Declaration
I Parc aD
el M
60' R/W
I Improvements
Each additional outlet .30
Building sewer 5.00
B I d g. erla_n s R e c' d
Parcel Approval
Plans Approval
La n sprinkler system 2.00
NEW [] ADDITION Y�' UTILITIESE] - OTHER
Permit Fee $ PZ 190
1
K/ 7CII
M� AeVP
ELECTRICAL No. @ _��E
,r_A1144a11V4_
PERMIT FILING FEE $3.00 7.
600V OR LESS
Main service 100 AMP OR LESS 5.00
Single Family JXr Duplex Mobi I Home Others El
Main service EA..ADD'L 100 AMP 2.50
Main service OVER 600V
100 AMP OR LESS 25.00
Main service EA. ADD -L 100 AMP 1.00
NEW CONST. (DWENSMOCUP. �20sq ft
OR ADDNS. ACC
CONTRACTORS LICENSE LAW
I am licensed under the provisions of Chapter 9, Div. 3, of the
State of California Business & Professions Code under the name
style of:
NEW CONSTP_ -OUTLET
BRANCH CIRCUITS)i
" , (MULTI 12.50ea
N.N.REr
NEW CONSTR. (POWER APPARATUS &
NON RESID. SINGLE OUTLET CIR. J
Ex. OCCUD(OUTLETS OR FIXT11RES 1 50 @ 251
BAL@1
FIXED APPLINIS OR
Ex. Occup. (OUTLETS (RESI*D.) EA) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
License No. Classification
Misc. Wiring 6.25
I am exempt from the Contractors License Laws of the State of California.
Permit Fee s 114 zo
s- -14 T22
WORKMEN'S COMPENSATION INSURANCE
I am aware of the provisions ot Section3700 of the California Labor
Code which requires every employer to be insured against liability
for Workmen's Compensation.
E] I have placed on file with the County of Butte a certificate of
Workmen's Compensation Insurance.
)RI certify that in the performance of the work for which this
permit is issued I shall not employ any person in any manner
so as to become subject to the Workmen's Compensation Laws of
California.
MECHANICAL No. @ FEE
PERMIT FILING FEE $3.00 t90
Heating /n2m 87-V A - ,06
0CfA1V4W4_ Z7V6_-R1941:7_
Cooling
Ventilation
Hood -#2.00 60
Permit Fee
$
1 certify that I have read this application and state that the above
information is correct. I agree to comply to all County Ordinances
and State Laws relating to building construction, and hereby
authorize representatives of the County of Butte to enter upon the
above- entioned property for inspection purposes.
x ate
Land Development Fee
is
TOTAL PERMIT FEE
I$ IOq 12-1
This permit is hereby issued under the applicable provisions of
the Butte County Code and/or resolutions to do work indicated
abI:vewhich fees have been paid.
ASEt7YJW-E�LIC WORKS
A
Signature of Permitee or Agent / I 1A YJ -)N IL /1
By Date L
R(Zpt No. le 5_7
White-D.P.W. - Yellow-ASSe35or - Pink -inspector - Goldenrod-Appli cant Building per �t PXnires natv
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive * Oroville, California 95965 9 Telephone (530) 538-75
�,y — AF IT
(Rev. 12/96) APPLICAT10N AND PERMIT I,
ASSESSOR PARCEL NUMBER 024-170-035
ZONING A40
BUILDINGPERMIT
OWNER
BRUMLEY, JACK M.
TEE5;HONE
846-2835
SQ. Fr. OCC. BUILDING
VALUATION
OWNERS MAILING ADDRESS 554 Cowee Avenue, Gridley, 95948
CONTRACTORS NAME Andy's u,eating & Air Cond.
TELEPHONE
CONTRACTORS MAILING ADD?USS
bc City, CA
'I
CONSTRUCTION LENDER
Fireplace
LENDERS MAILING ADDRESS
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee $
20.00
Permit Fee $
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee $
BUILDINGADDRESS 554 Cowee
Energy Plan Checking Fee $
PERMIT FEE $
LOT NO.
SUBDIVISIONS UWE
PARCEL MAP
PLUMBING PERMIT
Filing Fee 20.00
USEOFSTRUCTURE
SF IR Duplex 0 Mobilehome 0 Other
SPECIFY
Each Trap
7.00
Solar or heat pump water heater
23.00
-Water piping
15.00
Each gas water heater or vent
15.00
TYPE OF WORK
New 0 Addition 0 Remodel 13 Utililies; 0 Installation 0 Other It
Describe Work: HUAC
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
-Mobile Home ISI GI W1
Ca20.00
PERMIT FEE $
ELECTRICAL PERMIT
Filing Fee 20.00.
800V 92 LE
LE::
Main Service .A
23.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license is in full force and effect.
License Class Lic. No.
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
0 1, as owner of the property, or my employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
2/1 as owner of the property, am exclusively contracting with licensed contractors
io construct the project.
0 1 am exempt under Sec. Business and Professions Code for this
reason
Main Service 200A TO 1000A
46.00
NEW CONST. DVW:�INQ OCCUP.
OR ADDNS �C S.
so
3-50FT.'
NEW uamt =T.1_0.U.TL%
NO-RESID.
97.50
PON1.E.RAP= US
0 CIR.
Occup. OUTLET OR FIXTURES
20 @ 1.00
BAL @ .50
—Ex.
..FIXED APP . OR
Ex. Occup. C.M .) El
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
PERMIT FEE $
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
0 1 have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
0 1 have and will maintain workers' compensation Insurance, as required by Section
3700 of the Labor Code, forthe performance of workforwhich this permit is issued.
My workers' compensation insurance carrier and policy number are:
Carrier
MECHANICAL PERMIT Filing Fee 20.00
Heating 5 Ton 20.00
Cooling 5 Ton
20.00
Hood 6.50
Ventilation
PERMIT FEt $ bu. UU
Policy Number
(The above sections need not be completed if the permit is for work of a valuation
qPone hundred dollars ($100) or less.)
M,"lo certify that in the performance of the work for which this permit is issued, I shall
not employ any person in any manner so as to become subject to workers'
compensation laws of California, and agree that if I should become subject to the
s' compensation provisions of section 3700 of the Labor Code, I shall
wor-4r'
forth ith with those provisions.
X Date Zd
Signa e f Applicinfl!4IM141., r1wn`e`r" Contractor 0 Agent
of
fr
An 0 A permit is requii ed tions over 60" deep and demolition or construction
of st uctures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
OCC
CONST. TYPE
TOTALFEE$
U, 60.00
HAZ.
I D. FEES IMP
I FLOOD
HD
I ISSUE
This permit is hereby issued under the applicable provisions
of the Butte County Code and/or Resolutions to do work
indicated "above for hich fees have been paid.
By Date
PERMIT EXPIRES ON _ q Z —
I ilplete)
ReceiptNo. 61L�- 0 =el
- LI/
WHITE-D.D.S.-B.D. CANARY-AISSESSOR PINK -INSPECTOR GOLDEN ROD -APPLICANT
RESIDENTIAL
024-170-035 PERMIT#95-1428
BRUMLEY, Jack & Jane
554 Cowee Ave., G,ridley
Cont; Burl E. Woodward
Add Bath'& Utility Rm/SF
Al
OB FINALED ate)
Signature 7
V OK
0 Not OK
Not Applicable RESIDENTIAL (Single
Not Ready
Date UNDERPLOOR (Plans) OK exceot It's
k -Fig., Main; Soils-Elec. Ftg. Depth
_3-ftg-,-Garage, Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth
:Ft�rches & Decks; Soils -Steel-/ /Ftg. Depth
651*'-Stemwalls, Main; Steel -Bloc kouts-Wra pped
_-6-8lTm-walls, Garage; Steel-Blockouts-Wrapped
id Special Anchors
)ped
8. Piers -Fireplace Ftg.-Steel
9. P *V.; Fall -Fitting -Test -2 Way C/0 -Sewer Test
&W.'UF. _Q.as Pipe; Size -Anchors - yard gas piping: size -test
P;,�ter Pipe; Test -Anchor -Regulator -Service Test
12. Electric; Underground
13. PiqptOfis & Ducts: Clearance -Mate ria I-Suppo rt- Ins.
&-'G�i;d6s-Sills-Anchor Bolts-ioists-Vents-Cripples
& Ventilation
Dat!ZW
,d�r—Carcl Date Card B-1
Dat4lr-iC14 f'Card 87_1z�,0,6 Date Card B-1
Date ' ' f PLUMBING (PermYrfi OK exceot #'s
Water Htr.: Ven t -Access -Co mbust ion Air -Baffle
W Pipe; Test & Anchor -Nail Protection
D W.V., Test -Fittings & Anchor -Nail Protection'
i4;1/wer Pan: Test. First Fioor-Tub Access
Test -Tub & Shower, -Second Floor -Tub Access
Gas Pipe: Size & Anchors
---- — ----------------------------------- - ----------------------------
Date Card B-1 Date Card B-1
- — ---------- - - - -------------- - - - - - - ------------------- - ---------
Date Card B-1 Date Card B-1
Date ELECTRICAL (Permit) OK except
T�ansformer Cleara nce- Ins. -Protect ion ------------------
/23- Elec. Receptacles Spacing -Lights & Switches at Doors
------------
�24. -S-i-g.-e--B-o-x-e-s--&--N--o--o-f conductors -stapled
----------------- - ----- - -----------------------------------
Close to Edge of Studs & C._J ----------------------
L___�2 --- Fq, - ip4 -Ground- Wade-up-w/-Mech.-.Fastners-Bon.d -Gas. &-Water
. 274 2 Appliance Circuts in Kitchen & Conductor Size/GFi
------------------------------------------------------------------------------------
28. Subfeed Wire Size ga. Cu or Al-A.C. Wire Size ga.
Cu or At
-------------------------------------- 4 ------ ----------------------------------
29.. Range Circ. ! / ga. Cu or Al -Oven Circ. / / ga. Cu or Al.
------------------ I-nsulated Neutral --------- C1_Yes_______0_No -------------------
--------------- 30.-Service-Riser-Conductors-&-,Gro.und-M.ain-Disco-nnect -------------
31. Equip. Clearances Pane Is- Motors-Mech. Equip.
----------- t__L_i g- -h-t _S__how_ -e-r Ti -g h t -Spa Light
-------------------------------------------------
33.- Smoke -Detector --------------------------- I ----------------------
-------------------------------- --------------- - --------------------------------
Date Card B-1 Date Card -B-1
--------------- -------------------------------------------- ---- -----------
Date Card B-1 Date Card B-1
Date ��NICAL (Permit) OK except 4's
L,-'-34. A.C. Ducts insulation & Support
--------------------------------------------------------------------------
....... ...
an:_Ex_haustwbove insulation ------ ------------------------
2--315-.Conden�ate -Drain & Overflo-w: Size-&-Gra-de ........... ..
37. Furnance-Vent: Access -Comb. Air -Return Air Vent -1 15 outlet
------- --------------------------------------------------
38. Attic Access & Platform if Furnance in Attic
----------------------------------------------------------------------------------
.— ---------------------------------------- -------------------------------------
Date Card B-1 Date Card B- I
---------------------------------------------------------------------- ----------
Date Card B-1 Date Card B-1
Date
FP
t"ING (Plans) OK except 4's
X____39.
-_
Sils. Proper Material & Anchors
_N_ai_li_n_g__. -S-p-a--ci-n-g---&--B-r-a-c-in--g--P-I-a-te-s--S--o-u-n-d-------
------
��a`flst ds,
---- ----------------------------------------------------
#Q arm ---!�"(�ove-r-G-irders-&-Floor-Nailing ---------------------
Wall s (rat p roof)
;Fi o 5 -:-Furred Ceilings -Stairs -Chases -Tub
0
---- - -- - -- - --------------- - -----
�4
Hea�ders�i Beam -Size & Bearing
& Duplex)
Date,,- =AMING iContmued)
L,-<5 Hangprs* Post Caps -Anchors -Connectors
6. Clng. Joist-Ritr. ties-Purlin-roof Brac-Truss-Shthng.-Rfng.
ies or Type A Flue -Fireplace Throat clearance
L_-118_�Attic Access: Size & Romex Protection- Draft Stop -Ins. Baffles
dows or Exiting Doors -Sill Hgt. & Dimensions
Protection Framing
y.7Line Firewall & Openings
%,,TZ.—Ext. Doors -One T -Check Garage -3rd Story, 2 Exits
,_53 -Stairs; Width -Head room -Rise-Ru n-Landi ng -Fire Protection
p lywood on Roof Overhang -Attic Vents -Rafter Outriggers
------ 1-6-Sicl�pg-Nailing Veneer
tucco Mesh -Drip Screed -Fd. Vents-Underfir. Access
Glazing Area -Glass Protection -Skylights -Plastic
46-SF-ez,f-walls: Nailing -Bolts
��n-Walls-Ceilings
_j���tra(.,on-Walls-Wmclows
I- /-7�/XkCarcl DateJ1-�_J1_0z,Card B-1
Date FINAL.Wlans) OK except #'s
,64"Ext. Steps -Door & Sidelight Protection -Landings
---------- �oVe Detector
6a_-XM:M Air -Connector -
In Gargge: Above Floor-Ducts-Mech. Protection
---------------- ----- — ----- -
F Bath R*tllres & Tub Access -Spa
& Subpanel: Breaker Sizes & Labels
5-7-�. �is
6&.P��. �lbarances-Hearth
-------------- - _�s
60- �Iec tl� at Wood -Panel Int. & Ext.
75. Kit+ift &-Appl.69A"! Grnd.-Air Gap -Cooking Clearance
------ -----------------------
eptacles at Kit. Counter
-------------- -------------------
7 Z737ITA-g7-l`ffr-5rvr-Swmg- Land i ng -Closer
U�ftr. Htr.: VcLU -C lea raaeeco rn N -At -r -con ntcro r- P. R�<
n Garage: Above Floor-Mech. Protection
;-� --------------
-Plb., Eiec. & Mech. Equip. Listed for Location
7b--ETT:::��i� Garage: (G.F.I.)-Romex Protection
f-,-i-nsu fat ion- Foa m- Looked in Attic 9 -Ye -s
7B-ftaytb��st ruct ion -Post Caps
i,��.dn. ��nts & Crawl Hole Door -Drainage & Wood -Earth
Clearance Looked under Floor 0 Yes
_89___� �owmg instld.: Drive D Yes 0 No; Walks 0 Yes 0 No;
Pl�at.ers 0 Yipg' 0 No
-----------------
0 stucco
------------------------
a at, Plumbing
........ . .. . ...
-L �enf�s bove Roof: PI bg.-Appl iance- Fi replace. -Clearance to
Openings
a er e : isconnect, Electrical, Plumbing
T T I U d
�xterj ec. 6_m__:_6. ..I. eceptace- n erground
6*. -Ventilation Throughout House
Z&7-b- I a ss P.o te ti
-�_orsect,o . s from Previous Inspections
_--e-t-e-r-s-Tiagged, Gas -Electric
Rater & Sewer Connected -C/O to Grade -HO Approval
-------------- 1: ------------------
91-1nergy Compliance Certificate -Other Certificates
- -------------------------- - ------- ---. _.
------ ----------------------------------
Dato a Date Card B-1
771,15 i:� _�:! _e " - -------- - -----
-Da Card -B- 1 Date Card B-1
Date Card B-1 Date Card B-1
Comments at Final:
--------------------- - - -
V OK
0 Not OK
Not Applicable
Not Ready MOBILE HOMES
Date
MOBILE HOME (Plans) OK except #'s
-UTILITIES
1. Zoning Requirements -Setbacks -Easements
2. Soils; Special MH Support Sketch
3. Sewer; Location -Test -Fall -C/0 Concrete
4. Water; Location -Test -Easement Needed (Sketch)
5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete
6. Gas: Location -Test-Wra p: / P'Lft.
/ P'Nat. or/ /L"ft./ /"LPG
7. Well Clearance & Disconnect
8. Utility Clearance
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
MOBILE HOME INSTALLATION (Plans) OK except #'s
1. Zoning Requirements -Setbacks Easements
2. Footings; Size -Spacing -Marriage Line
3. Gas; MH Test -Demand -Valve -Connector
4. Electricity; MH Test -Crossovers -Breakers -Clearances
5. Drain; MH Test -Fall -Flex Connector
6. Water: MH Test -Regulator -Connector
7. Water and Sewer Connected -C/0 to Grade -HD Approval
8. Gas and Electricity Tagged
9. Exits; Insp.-Sketch
10. Cert. of Occupancy
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B -1 -
MISCELLANEOUS
Date DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s
1. Zoning Requirements -Setbacks -Easements
2. Footings; Soils-Size-Depth-Spacing-Connectors-SteeI
3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails
4. Wood Awn.; Posts-Beams-Rftrs.-Connectors
Shthg.-Rfg.-Bracing
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Carports; Windows -Doors
7. Electric
8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses
9. Siding; Nail ing-Veneer-Stucco-Mesh
10. Roof; Shthg-Roofing
11. Ext.; Steps- Doors-Landi ngs
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date POOLS (Plans) OK except #'s
1. Setbac ks- Ease me nts
2.. Soils; Compaction -Structure Stability
3. Pool Structure; Steel -Connections -Thickness
Dead Men -Lining
4. Elec.; Receptacles and Lighting, Distances-GFI
5. Elec.; Pool Lighting; 15 volts-GFI
6. Elec.; Enclosures; Conduit Entries -Terminals -Listed
7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater
8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg.
Boxes-Enclosu res -Pane I boards- Ins. to Main in Conduit
9. Health Department Approval
10. Plumb.; Cir. Test -Water Supply Test
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
COUNTY OF BUTTE - DEPARTMENT,OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERIIWO
APPLICATION AND PERMIT 0��/
ASSESSOR PARCEL NUMBER 024-170-035
ZONING A40
BUILDINGPERMIT
OWNER JACK & JANE BRUIMLEY
TELEPHONE
SQ. FT. OCC. BUILDING VALUATION
240 K 12,960.00
OWNERS MAILING ADDRESS
554 COWEE
352 @ 51 17,952.00
CONTRACTORS NAME
BURL E WOODWARD
TELEPHONE
846-6707
464 COV 6,032.00
_W _F00 r- -2--) SO 4D"P. t,24wo
CONTRACTORS MAILING ADDRESS
1075 LAUREL ST GRIDLEY, 95948
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $ 3M!J
LENDERS MAILINGADDRESS
Filing Fee $ 20.dO
Permit $3Y j ��
ARCHITECT OR ENGINEER
LICENSE NO.
-Fee
Plan Checking Fee $22ZV2-_�
Energy Plan Checking Fee $ 23.00
ARCHITECT OR ENGINEERS MAILING ADDRESS
Penalty $ 1 .14 -It
BUILDING ADDRESS
554 COWEE
PERMITFEE $
G 31R I D LE Y
PLUMBINGPERMIT Filing Fee 20.00
Each Trap 411 7.00 la 00
LOT NO.
SUBDIVISIONS NAME
MAP
Solar or heat pump water heater 23.00
LISEOFSTRUCTURE
SF XX Duplex 0 Mobilehome 0 Other
SPECIFY
Water piping 15-00 15.00
Each gas water heater or vent 1-5.00 / W -
Gas piping system 1 - 5 outlets 15.00 157 -*9 -
Building sewer 15.00 15.00
TYPE OF WORK
New 0 Addition A Remodel 0 Ublities 0 Installation 0 Other WX
Describe Work: —A-DDITION OF BATH lou UTILITY R.00M
Tzr&0 IA 12�&OE �9XIEL
M14
Mobile Home IS I GI W1 920.00
t ot��
PERMITIFEE $ L�l
I wr__(5ro,
Contractor
ELECTRICAL PERMIT 2 O.'o 0
Filina Fee
R LESS
Main Service li,0000VA OR LESS 23.00
0
Main Service 200A TO 1000A 46.00
LICENSED CONTRACTOR'S DECLARATION
1 hereby affirm under penalty of perjury that I am licensed under provisio . ns of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
.and my "c e se Is In f ' for e and effect.
0
License a N -,Z&
C 4 0 NER _B U lc�DER DECLARATION'
1 hereby aff rm under pena I of pe rJu ry that I am exempt from the Contractors License
Law for the following reason:
0 1, as owner of the property, or my employeeswith wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
0 1, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
0 1 am exempt under Sec. Business and Professions Code for this
reason
N CONST.
OEWADDNS. J 'TAcN' --ccs". 336.530 so -
Fr* 20.70
—NEW
CONST. MULTI -OUTLET
NON-RESID. BRANCH CIRCUITS @7.50
POWER APPARATUS
I SINGLE OUTLEr CIR.
OUTLET OR FIxTURES 20 @ i.�O_
Ex. Occup. BAL 0 .50
FIXED APPLNS. OR
Ex. Occup. OUTLETS (RESID.) EA 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring 23.00
PERMITFEE $ 40.70
Contractor
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
0 1 have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
erformance of the work for which this permit is issued.
M-1phave and will maintain workers' compensation insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permit is issued.
My workers' �Iv pe,#sation insura arrier and policy number are:
Carrier �%Ze_ 4
MECHANICAL PERMIT Filing Fee 20.00
Heating gFT,0CATp F.XT,
,;TT 15.00
Cooling
-
Hood 6.50
Ventilation
PERMITIFEE $ -1
39-00
Contractor
Policy Number 0!4VWi
(The above section -s need rZot 1:�e completeef if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
0 1 certify that in the performance of the work for which this permit is issued, I shall
not employ any person in any manner so as to become subject to workers'
compensation laws of California, and agree that if I should become subject to the
workers' compensation provisions of section 3700 of the Labor Code, I shall
t
r thl h
Dfe
Aignature f A A /en t
An OSHA permit is required for excavations over 50" deep and demolition or construction
of structures over 3 stories in h moht.
Mobile Home Installation Fee Is
Energy Inspection Fee 1$ 46,00
P2 3
CO WPE
I TOTAL FEE 066&Se "-
q:7 4--944
[of
�AZ.
I D. FE§0�.� IMP
I FLOOD
CDF
I PARCEL I IP
,� HDJ4SUE
t/1 W.0
This permit is hereby issued under the applicable provisions
the Butte County Code and/or Resolutions to do work
indicated b f r which fees have been paid.
B Date 7_j�, -?.157-
PERMITEXPIRESON
I (Date)
ReceiptNo. 180350 �7 73 , Jn
WHITE-D.D.S.-B.D. CANAFVASSESSOR PIWNS-PECTOR GgLDENROD-APPLICANT
.-COUN,TYQF BUTTE -DEPARTMENT CAYFIEVEL'6'PIM' ENT SERVICES -BUILDING DIVISION
7 COUNTY CENTER DRIVE- OROVILLE,CALIF0_hN!A95965 -TELEPHONE (916) 538-7541
-14, r
K-46
rr—mlivill I JArrL-I%.# KJAN L.PM I M orir_r_ 1
OWNER A . No. F70 - o
,Proposed Building Us�_n_J J IS�, E Building Inspector C.3),_ Date nJ511qS_
q
At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance:
. ( DATE RECENED BY
1 All items have been submitted ............. T \,
t ...........................
2. Plot plans, 3/4 sets, signed by preparer of plans� . ..........................
3. Complete Plans, 8/4 sets, signed by preparer of *plans . ........................
4. Engineered plans and caics, 3/4 sets, with wet signature on plans . .............
5. Hazardous Material Form . ............................................
C3 6. Energy Design Compliance and supporting documentation . ..................
17 Statement of Intent for Non -Heated and A/C Buildings .......................
Engineered truss details and layout in duplicate (required prior to plan check) . ....
obilehome data andmahufacturer's installation instructions, 2 sets . ...........
ees of $ LP .........
...... ... .
Impact fees as shown on attached schedule.�50_
12. California Department of Forestry plan approval/fees. _k ..........
13. Flood elevation., letter (100 year flood) by C forniaEngineer ...................
14. Sanitation and *plot plan approval t_)i6VkNi 9 Health, Dep`a'rtlme'ni� ............
15. City of Chico. plumbing permit . ..... .....................................
' d business license approval from City of Biggs/Gridley . .............
16. Plot Plan an
17. Planning approval for (A) -Use: (B) Parking: .. .........
18. Contact Land Development.about (A) Improvements (B) Drainage ............
19. Driveway p6rmit (construction approval required prior to occupancy). . . .
k - � F;�e�do; r6q*uest
20. Pre-inspection\for required. to Building Inspector Date)
21. Contractor's license information. (No., Name Style, Classification) . ..............
22. Certificate of Vyciik ads QQmDensation 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-.cre'a* tion and 60 right of way to a public road ......
27. Lette of intent on building use ...........................................
28. Mobilehome utility clearance . ....................................
Documentation of le'al access . ...... ..................
9
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 . ......................................
'01 Plan check list. L_��4 -� ..... it ..............
5P_F1b orft CA/ AAfJS 70 SUf_5041
11i loe 61
P9400Z 71d I�Usr&LATIOJV
Whpn�bu issue the permit, process as follows: Mail to 9.yvner. Mail to contractor.
Telephone<,- a6 67
w 7and hold for pickup at office. Deliver with inspector.
Other 4�z ; 4 0
Parcel Creation Aw'? c�� 7
Acreage Appli an — Dat
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. rn is ance: (Circle new item not checked above).
1. Index permit for above items Nc nlcol�) $0
2. Additional items required: 7
as) ev--- A
Lontjoer—,desig'ner, owner, was advised of above required data by __�`phone mail Counter byf'K-- Date 7 5-13
Contractor, designer, owner, was advised of above required data by _ phone mail��
Plans checked by *n er by Date
Date Plans approved by Date *7
Sets of plans on hold in k'�'File cabinet AP folder
Copy-- Department of Public Works .0,
0.
41.
BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM
(One Form Per Building)
School District Building Department No,
A.P. Number Jurisdiction: City I -XI County
PropertyowneF
Property Location/Address
Subdivison
Residential Development
Commercial/Industrial
02- 0 C4J
No. of Living ..,,MH1 Aldition
Units
NLzw
Sq., Footage
(Group R)
Sq. Footage
(Including Elterior
Roofed Areas)
Date/
(Floor Plans,reviewed by School DOtrict Personnel)
District Identification No. 16- V /6
School District ceft'ifieshat
(Street Address)
has complied with the requirements of Resolution No.
representing < 5,-6 0 square feet.
School District Rep
F
N
70,7
(Applicant)
7�2 &3 S_
(Phone Number)
(Zip Code)
by payment of $ ' _43—
AB 2926 $
FULL MITIGATION $
-Date
Paid by Check # Remarks:
Bank Number
Paid by Cash
If, subsequent to the School District Representative signing this Butte County;Schools 'Impact Fee
Certification, Form the School District is notified by the applicable Local Planning Agency that this project
is being reviNded..,under the California Environmental Quality Act (CEQA), this project may be subject to
additional school fees to fully miti-gate its impact on the school district's schools.'
White (applicant), Yellow (building d6 partment), Pink (school district)
feeform.wkl (11/94)dmm
This sef of plcns and r aecif; UST be
kr,+ fart t4 �+ j.�I� IP ai
! Cid Cdi, ! di'$ { at. IS U;°llc"r1/iw9 IF
r *caw. an y char, cr r ° �, c ' .o'tit
::11 Cit' h e out
wriifnn perrnlssion •,rc,,n Jl,c„r;...C! f cif PU%IIc
ref R!J+j' -
t�XI�%
RE'OWDDa
0TEz —All.
Accc�p�r��cc+ tvitll _nrx±jd /y }�{
of �+q! lFyr r f'Gr! ',-ed ',For �l v i M14�It+ti7 cnK
Uniform Building Flumbirc� & iI, use In the
nic
the National Electrical Code.
Res /DEMGF
{'
27.
28.
5oa
FGdnR
LEGEND♦
42” 22"
Ls Q4I I P
ELECTRIC LINE:
RETURN LINE:
SUCTION LINE: ._
SWEEP IINE:
RETURN LINE:
. .
GAS LINE:
-may 1
SPA \ 91"
FILL LINE: �_
WATER MAIN: ..:. _ _
�..: � _:._
DECK -O -DRAIN:
SEINER LINE.._-- - T
rdwr Sw.rrW ?5'�
"
"
S Va1ve.50---I—
p6A
P.S.
8" 12"
_^
0 n
SKIMMER
ADJ. INLET
POOL SWEEP
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'Contractor LicenS+ No. :191966L,
19)966
1327 . 65th Street
California 95819
ENGINEERING
CONTRACTORS
916•457.5755