HomeMy WebLinkAbout024-170-048"PRESLEY, Jack 5644B
24-17-48
LYLE PAUL �30�-66P
634 Campbell Ave, Gridley
ernii:t#1,95-39p..-E(,uti:l-,,--14H)
il j 14H) eas of Larkin R ri
5]jq _�_,
ELEC. S/s Cam bel 700 d G
GAS (Move -in & repair S
4�z
SU T STRUC RE REQ. .2q—/7 1�exl
COMPACTION TEST REQ._c,:Z�Z)
24-17-48
Pe
Permif#j*-89B(new 'car -port, s ned
po & c
porch & covered deck/MH)
----------- ....... ......... 7— .......
24-17-48
Permitk6'5�8-89MHI
Issue \-a
024-170-048 02-12
PAUL, LYLE IN*ALE
A02
6j8 CAM'PBELL-AVE., GR
RE -ROOF
03-1954
1024-170-048
PAUL, LYLE
638 CAMPBELL AVE, GRIDLEY
Cont: PF REILEY
VINYL SIDING& WINDOWS
B07-0220 024-170-048
e I
mo
MISCELLANEOUS Remodel
NSF REMODEL (ADD BATH & GLUEI
634 CAMPBELL AVE
PAUL, LYLE B AND CAROL D
OQ2
U
1359-89B
PERMIT NO.
PERMIT EXPIRES
RAYMOND ROSE
OWNER
unknown
CONTR.
24-17-48
ASSESSOR PARCEL
634 Campbell Ave, Gridley.
LOCATION
Temp. Power Pole
Called PG&E
Temp. Elec. Service
Called PG&E
Temp. Gas Service
Called PG&E
FINALE
JOB D (Date)
Signature
0 ij5t;_�
' ='OK
0 = Not OK
- = Not Applicable
= Not Ready MOBILE HOMES
MISCELLANEOUS
Date
MOBILE HOME UTILITIES (Plans) OK except #'s
Date
DEC_KS,C0VERS,CARP0RTS,GARAGES, (Plans)OK except #'s
1. Zoning Requirements -Setbacks -Easements
j?"Zoning Requirements -Setbacks -Easements
2. Soils; Special MH Support -Sketch
�2tings; Soils-Size-Depth-Spacing-Connectors-SteeI
3. Sewer; Location -Test -Fall -C/0 -Concrete
_PT
-Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails
4. Water; Location -Test -Easement Needed (Sketch)
_4T.
4KVVaUd--Awn.; Posts-Beams-Rftrs.-Connec.-
S�thg.-Rfg.-Bracing .
5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete
6. Gas; Location -Test -Wrap: / /"L"ft.
/ P'Nat. or/ /"L"ft./ /"LPG
C,57A!jim. Awn.; Col u m ns -Con necti ons-SpI ice- Decal- Enclosures
L4._Carports; Windows -Doors
7. Utility Clearance
_7-�.
8. Frmg; Sills-Anchors-Studs-Rftrs-Trusses
$,6kfimg-,;:Nailing-Veneer-Stucco-Mesh
Card -1311
Date Card -131 Date
01r!�pof; Shthg-Roofing
Card -131
Date Card -131 Date
tA-f.-Ext.; Steps -Doors -Landings
Date
MOBILEHOME INSTALLATION (Plans) OK except #'s
1. Zoning Requirements -Setbacks -Easements
Card -131
(2A:D Date& -,Xy ?Card -131 Date
2. Footings; Size -Spacing -Marriage Line
Card -131
�1 Date Card -131 Date
3. Gas; MH Test -Demand -Valve -Connector
4. Electricity; MH Test- Crossovers -13 rea ke rs-C I eara nces
Date
POOLS (Plans) OK except #'s
5. Drain; MH Test -Fall -Flex Connector
1. Setbacks -Easements
6. Water; MH Test -Regulator -Connector
2. Soils; Compaction -Structure Stability
7. Water and Sewer Connected -C/0 to Grade -HD Approval
3. Pool Structure; Steel -Connections -Thickness -
Dead Men -Lining
8. Gas and Electricity Tagged
9. Exits; Insp.-Sketch
4. Elec.; Receptacles and Lighting, Distances-GFI
10. Cart. of Occupancy
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 -Panel boards- Ins. to Main in Conduit
Card -B1 Date Card -1311 Date
Card -131
Date Card -131 Date
9. Health Department Approval
10. Plumb.; Cir. Test -Water Supply Test
Card -131
Date Card -131 Date
Card -131
Date Card -131 Date
0 Not OK
Not Applicable RESIDENTIAL (Single and Duplex)
Not Ready
Date
UNDERFLOOR (Plans) OK except #'s
Date
FRAMING (Continued)
1. Zo n in g -Setbacks;- Easemen ts- Flood -Slope
45. Hangers -Post Caps -Anchors -Connectors
2. Ftg., Main; Soils-Steel-Elec. Grnd.-/ P' Ftg. Depth
46. Clng. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng.
3. Ftg., Garage; Soils -Steel-/ /" Ftg. Depth
47. Fireplace Ties or Type A Flue -Fireplace Throat Clearance
4. Ftg., Porches & Decks; Soils -Steel-/ /"Ftg. Depth
48. Attic Access; Size & Romex Protecti on- Draft Stop -ins. Baffles
5. Stemwalls, Main; Steel-Blockouts-Wrapped
49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions
6. Stemwalls, Garage; Steel- BI ockouts-Wrapped
50. Garage Fire Protection Framing
7. Slab; Steel -Wrapped
51. Property Line Firewall & Openings
8. Piers -Fireplace Ftg.-Steel
52. Ext. Doors -One T -Check Garage -3rd story, 2 exits
9. D.W.V.; Fall -Fittings -Test -2 way C/0 -Sewer Test
53.Stairs; Width- Head room -Rise -Ru n- Landi ng- Fire Protection
10. Gas Pipe; Size -Anchors
54. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
11. Water Pipe; Test -Anchors -Regulator -Service Test
55. Siding -Nailing Veneer
12. Electric; Underground
56. Stucco Mesh -Drip Screed -Fd. Vents-Underfir. Access
13. Plenums & Ducts; Clearance-Material-Supprt-Ins.
57. Glazing Area -Glass Protection -Skylights -Plastic
14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
58. Shear Walls; Nailing -Bolts
15. Insulation
59. Insulation-Walls-Clg.
60. Inf iltration-Walls-Wndws
Card -131
Date Card -131 Date
Card -131
Date Card -131 Date
Card -131
Date Card -131 Date
Card -B1
Date Card -B1 Date
Date
PLUMBING (Permit) OK except #'s
16. Water Ht. Vent -Access -Combustion AirBaffle
Date
FINAL (Plans) OK except #'s
17. Water Pipe; Test & Anchors -Nail Protection
61. Ext. Steps -Door & Sidelight Protection -Landings
18. D.W.V.; Test-Fttngs & Anchors -Nail Protection
62. Smoke Detector
19. Shower Pan; Test, First Floor -Tub Access
63. Furnace; Vents -Clearance -Comb. Air -Connector -
In Garage; Above Floor-Ducts-Mech. Protection
20. Test Tub & Shower, 2nd Floor -Tub Access
21. Gas Pipe; Size & Anchors
64. Bedroom Exiting
66. G.F.I. & Bath Fixtures & Tub Access -Spa
66. Elec. Trim & Subpanel; Breaker Sizes -Labels
Card -131
Date Card -131 Date
67. Stairs & Rails
Card -131
Date Card -131 Date
68. Fireplace or Stove; Clearances -Hearth
69. Elec. Outlets at Wood Panel; Int. & Ext.
Date
ELECTRICAL (Permit) OK except #'s
70. Kit. Fixt. & Appliance; Grnd. -Air Gap -Cooking Clearance
22. Fixture & Transformer Clearance -ins. Protection
71. Elec. Outlets & Receptacles at Kit. Counter
23. Elec. Receptacles Spacing -Lights & Switches at Doors
72. Garage Fire Door; Swi ng- Land i ng -Closer
24. Size Boxes & No. of Conductors -Stapled
73. A.C. Duct in Garage -Damper
25. Romex Installed Close to Edge of Studs & C.J.
74. Wtr. Htr.: Vents -Clearance -Comb. Air-Connector-P.R.V.-
In Garage; Above Floor-Mech. Protection
26. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water
27. 2 Appliance Circuts in Kitchen & Conductor Size/G.F.I.
75 . Plb., Elec. & Mech. Equip. Listed for Location
28. Subfeed Wire Size ga. Cu or Al-A.C. Wire Size / /ga.
Cu or Al
76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec.
77. In su lation-Foam- Looked in Attic 0 Yes
29. Range Circ. ga. Cu or Al -Oven Circ. ga. Cu or Al.
Insulated Neutral Yes No
78. Guard Rails & Deck Construction -Post Caps
30. Service -Riser Conductors & Ground -Main Disconnect
79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth
Clearance Looked under Floor 0 Yes
31. Equip. Clearances Panels-Motors-Mech. Equip.
-
80. Following instId.; Drive -0 Yes 0 No; Walks 0 Yes 0 No;
Planters 0 Yes 0 No
32. Clothes Closet Light -Shower Light -Spa Light
33. Smoke Detector
81. Stucco; Brown -Finish
Card -131
Date Card -131 Date
82. A.C. Unit; Disconnect, Electrical, Plumbing
Card -131
Date Card -131 Date
83. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to
Openings.
Date
MECHANICAL (Permit) OK except #'s
84. Water Well; Disconnect, Electrical, Plumbing
34. A.C. Ducts Insulation & Support
85. Exterior Elec. Trim; G.F.I. Receptacle-Underg round
35. Vent Fan; Exhaust above insulation
86. Ventilation throughout House
36. Condensate Drain & Overflow; Size & Grade
87. Glass Protection
37. Furnace -Vent; Access -Comb. Air -Return Air Vent -115 outlet
88. Corrections from Previous Inpections
38. Attic Access & Platform if Furnace in Attic
89. Gas Test -Meters Tagged; Gas -Electric
90. Water & Sewer Connected -C/O to Grade -HD Approval
9i. Energy Compliance Certificate -Other Certificates
Card -131
Date Card -131 Date
92. Roofing Certificate
Card -131
Date Card -131 Date
Card -131
Date Card -131 Date
Card -131
Date Card -131 Date
Date
FRAMING (Plans) OK except #'s
Card -B1
Date Card -131 Date
39. Sills, Proper Material & Anchors
Comments at Final:
40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound
41. Bearing Walls over Girders & Floor Nailing
42. Draft Stop in Walls (rat proof)
43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub
%-0. Header & Beam -Size & Bearing
01_ � T
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO
7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541
APPLICATiON A14D PERMIT
71L N�ff
:��TR'.A
0 G
D
BUILDING PERMIT
OWNER
IIAA f)pl
TECEPHONE
g( q-01,0,pl
SQ. FT. Occ.1 BUILDING VALUATION
OWNER'S MA_LLIP4G ADD
1/y, 0
0 R(JIT NAME%
4 TZ, n o tA ) VA_
ITFILEPWO-NE
J 0
CONIW.MACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation i$
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$ K., V-)
ARCHITECT OR ENGINEER LICENSE NO.
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Plan Checking Fee
$ 49 97,:; --
Energy Plan Checking Fee
$
Penalty
$
BUILDIZIG &DDPESS
:�� 4,0- .
aL
Permit fee
$ Ai_ 1>
PLUMBING PERMIT
FilingFee 10.00
A A
Each Trap
2.00
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION AME ARCEV MAP
I 1P
Water piping
5.00
Each qas water heater or vent
5.00
USE OF STRUCTURE
SFE] Duplex[] Mobilehomeyl Other
V-1— SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home TS G IN
10-00 ea
TYPE OF WORK
New F-1 Addition P2 Remodel[:] ut-i-t- E] I fistallatpionEp Othir
11 SQ I
Describework: LU11300+ _%Ae,
eq _1J
Permit Fee
$
contractor
ELECTRICAL PERMIT
Fi I I ng Fee 10.00..
Main service GOOV OR LESS
100 AMP OR LESS
10.00
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
F I am licensed under provisions of Chapt. 9, Div. 3 of the Busines S
and Professions Code and my license is in full force and effect.
License No. Classification
El 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)
1, as the owner, am exclusively contracting with licensed L;0IILIOt;t-
ors. (Sec. 7044)
I am exempt under Sec.—, Business and Professions Code
for this reason
Main service EA. ADD -L 100 AMP
2.50
NEW CONST DWELLING OCCUP.5d)
OR ACDNS. ACC.BLDGS. 21/20sqft
NEW CONSTR_ MULTI*OUTLET
NO TS) 2.50 ea I
..REr RANCH CRC.,
(POWER APPARATUS &I
SINGLE OUTLET CIR. i
0050ti
Ex. Occup(OUTLETS OR FIXTURES 1.2ALO 30t
FIXED APPLISIS OR
Ex. Occup. OUTLETS (RESI'D.) EA.) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 15.00
Permit Fee $
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
F1 The permit is for $100.00 (valuation) or less.
E] I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -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: It after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith Comply with such
provisions or this permit shall be deemed revoked.
Contractor
MECHANICAL PERMIT
Fi I Ing Fee 10.00
Heating
Cooling
Hood
3.00
Venti lation
Permit Fee
$
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the County 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
ag n cpseque��of the granting of this permit.
X Date -1 —
Signature of Applicant OwnerW Contractor El Agent F
An OSHA permit is required for excnvations 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 $
occ up*
I CONST,TYPEJ
JSC.00LJFLOO��J
PD
11.UE
This permit is hereby issued under
sions of the Butte County Code and/or
work Indicated above for which
DIRECTOR OF PUBLIC
By
PEWITEXPIRES Date—
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date :Fp2a
LS—f—fQ
Receipt No-_�3 21R)g9=;b2:--
WHITE-O.P.W., TELLOW-A;8933�O-R�PINK-INSPECTOR. GOLD ENROD-APPL I CANT
OWNER
J.
COUNTY OF BUTTE DEPARTMENT OF- PUBLIC WORKS BUILDING DIV 4SION
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541
PERMIT APPLICATION DATA SHEET
1 Permit No.
Y1,
Proposed Building Use
A. P. No. —J:!;r —I
Ing lnspector_/,'��A - -
Date
At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance:
DATE RECEIVED APPROVED
All items have been submitted . .................................... 0, t I
a�?Plot plans iqld' 7plicatey�jriplicate, signed by preparer of plans.
3. Complete plans in , uplicate riplicate, signed by preparer of plans
4. Complete engineered plans and calcs, with wet signature on plans
5. Energy Design Compliance and supporting documentation .........
6. Statement of Intent for Non -Heated and AC Buildings ..............
7. Engineered truss details and layout in duplicate (required prior to plan check)
8. Mobilehome installation data including manufacturer's installation
instructions .......................................................
9. Fees of $ ..........................
10. Chico Urban Area fees paid ........................................
11. Park fees paid .....................................................
Sp000l Di ric fees paid .................
_443. Sanitation approval from /j J5�: Health Department ...
14. City of Chico plumbing permit ............
15. Plot plan and business license approval from City of
(see City for other requirements)
16. Planning approval for (A) Use: B) Parking: . .........
17. Improvements may be required.
18. Driveway permit (construction approval required prior to occupancy) ...
19. Pre -Inspection for required ...... Pre-Inspec. request to
Building Inspector (Date)
20. Contractor's license information (No., Name Style, Classification) .......
21. Certificate of Workmans Compensation Insurance ....................
22. Owner -Builder Verification (Given to owner 0, Mail to owner 0) ........
23. Recorded copy of Agricultural Acknowledgment Statement ............
24. Letter of signature authorization .....................................
25.
26.
W Vhe n 'ou issue the rmit ro ess as follows: — Mail to owner. —Mail to contractor.
– (an I
Telephone R and hold for pickup at office. —Deliver w/inspector.
Other
Applicant� a*`�l 2r Date J,
Copy of plans sent — Health Dept., —Fire Dept., — Other— Date
The following data must be submitted p
1. Index permit for above items No.
2. Additional items required: ?
Contractor, designer, owner, was advised of above required data by—phone---mai I —counter by— date
Qontr clor designer, owner, was advised of above required data by —phone _rna I I —counter by— date
�!k
Plans checked by 0<=)' -_Date 5*—S� Plans approved by Z:A Date
Sets of plans on hold in —File cabinet _AP folder
Copy–DPW
TO Buildinq DCpar�ment
FROM*.. Environmental Health
SUBJECT: Sanitation Clearance
Owner 4tcati6n. AP#
Plan Approved . f or: Sewace Disposal Water supply
Hold final'for: Water Supply
Final clearance O.K. for': Water Supply
clearance for _ bedroom mobile home.. Other 0-ak,
z U Ac
Daee
si�7n—itarfa--n—
- - � . . . I I . - I .- I
BUTTE COUNTY SCHOOLS DEVEL6PREN't FEE CERTIFICATION FORM
(one Form per Building)
A.P. Number 4R-' Building Department No.
Ir
School District L/ -40#-City = County M Jurisdiction
Property Owner A U fitil � A61S 0 -
Project Location/Address_ Au M I
Subdivision
ho /J h I/ea . - Or ;
Lot Number
Residential Development: F V
I ^ Sq. Footage 1,5t.16
# of Living MHI Addition (Group R)
Units
Commercial/Industrial: Sq. Footage
New Addition (Including Exterior
Roofed Areas)
Buildihg',DepArtment"Representative Date
(Floor Plans reviewed by School District Personnel)
District Id No.— 441- /,0 P/ 9q
School District certifies that
C/
pv'�
(Applicant Name) (Phone Number)
/-(Street Address)
(VAL o/?
(City) (State) (Zip Code)
has complied with the requirements -of Resolution No.
by the payment of $ -: — 0 �'— rebresenting square feet.
/Date
School District Representative
PAID BY CHECK NO.
BANK NO
PAID BY CASH
R E MAR K S a�
white -applicant, yellow -building department, pink -school district
SCHOOL.FEE (8/88)
COUNTY OF BUTTE - DE.PARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541
APPLICATION AND PERMIT
P"MIT N
0gh
AZaR PARCEL UVR
- I _
ZOXG
40
A I
BUILDING PERMI� J v/
WNE
19.
1� U
TEL-UPHONE
StAnn/A
SQ. FT. OCC. BUILDING VALUATION
MAIL ING ADURESS jae G.J. d
CO m12
kee�j
CONT J'AaSNAME
NOW
HONE
RACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
WN
Total Valuation 1$
LENDER'S MAILING ADDRESS
__JUF�_N
Filing Fee
$ lft.w_
Permit Fee
$
ARCHITECT OR ENGINEER
S E N 0.
Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Energy Plan Checking Fee
$
Penalty
$
BUILDING ADDRESS
Permit fee
$
PLUMBING PERMIT
FilingFee 10.00
Each Trap
2.00
-TUBDIVISION
Solar or heat pump water heater
20.00
LOT NO.
NAME -ARCEJ MAP
Water piping
5.00
Each qas water heater or vent
5.00
USE OF STRUCTURE
SFO DuplexFJ Mobilehome Other
% SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer 9= — 4
5.00
Mobile Home 0 S KG)UW 1)
�0-00ea!
TYPE OF WORK
NewE] AdditionEl Remodel[] Utilities InstallationD Other
Describe work:
1, _.�, — —
I
Permit Fee
$ qn-59
Contractor
ELECTRICAL PERMIT
Fi I i ng Fee 10.00
t ed
( lj.� P Q* I..ir �)
Main service 600V OR LESS
100 AMP OR LESS
10.00
- —
CONTRACTORS LICENSE LAWY
I declare under penalty of perjury (check one):
F I am licensed under provisions of Chapt. 9, Div. 3 of the Busines S
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)
1, 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 EA. ADO -L 100 AMP
2-50
NEW CONST. DWELLING OCCU .a,) Oicsq
OR ADDNS. ACC. BLDGS. ft
_(
NEW CONSTR. MULT '-OUTL ET
NON*RESID, BRAN C 2.50 ea
. CIR ITS)
(POWER APPARATUS.&)
SINGLE OUTLET CIR
Ex. Occup(OUTLETS OR FIXTURES 20050t
DAL@ 300
_
FIXED APPLNS. OR
Ex.. Occup. OUTLETS (RESID.) EA.) 2.00
Temporary service 10.00
- Mobile Home Facilities 15.00
Misc. Wiring 15.00
Permit Fee $
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
17 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
Hood
3.00
Ventilation
Permit Fee
--- -
$
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the Countyot
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
ag"said County in conse of the granting of this permit.
Date
Signaturb/of Applicant Owner L Contractor El Agent El
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 $ ED
occuP- CONS OLIFVIPA
T.TYPE SCHO
17
PI 1��fISSUE
iL�
Thl� —permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
IR CTO�� PUBLIC
By -
PERMIT EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date -q -A-6
Receipt No. 3e'� / n:t
9
WHITE-O.P.W.. YELLOW-A38ESSON. PINK -INSPECTOR. GOLDENROD-APPL I CANT
/AA
OWNER
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION
Proposed Building Use
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541
PERMIT APPLICATION DATA SHEET
Permit No. -
A. P. No.
Building lnspector_4��
- /7�
Date )/0'215
At time of permit application, I was advised the following data must be submitted prior to permit processing
and:/or issuance: DATE RECEIVED APPROVED
1. All items.have been submitted . . . . . . . . . . . .
2. Plot plans in duplicate/triplicate, signed by preparer of plans. .
3. Complete plans in duplicate/triplicate, signed by preparer of plans.
4. Complete engineered plans and calcs, with wet signature on 'plans.
5. Plans with Energy Design -Compliance Statement . . . . . .
6. - School District "Fees Paid" Stamp on Floor Plan.
7 Statement of Intent for Non -Heated and AC Buildings. . . . . I
8. Fees of $ . . . . . . . .
Letter of signature authorization 44_x__�
��O. Sanitation approval from Health Dept
r&
1 &nning approval for (A) Use: PAJ Parking:
12. Certificate of Workmen's Compe nsation Insurance.
. .1 7
13. Contractor's License Information (no., name style, classif.) at, -)
��i 4. Owner -Builder Verification (Given to owner ai I to owner E1*)
-15. Improvements may be required.
16. Mobilehome Installation Data. . . . . . . . . . . .
Pre-inspec.srequest to (Date)
1�. Pre -inspection for Required. Building In pector
_6��l 8. Recorded copy of Agricultural Acknowledgment Statement.
19. Driveway Permit.
20. Plot plan approval from city of
21. Engineered trusses in duplicate (r�,qui I red prior to plan check). -
22.
When oU issue the permit, process as follows: —Mail to owner, Mail to contractor.
=elephone and hold for pickup at0rn -office, —Deliver w/inspector.
Other
Applicant te 1;4.3
Copy of plans sent Health Dept., —Fire Dept., — Other— Date
The following data must be submitted pri t permit isswaipce: rc 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---mal I —counter by— date
Contractor, designer, owner, was advised of above required data by—phone —mal I —counter by— date
Plans checked by Date Plans approved by zx—sll Date -p- /0/-
-Sets of plans on hold in —File cabinet _AP folder
Copy—DPW
TO Buildina Department
FROM: , Environmental Health
SUBJECT: Sanitation Clearance
L\ . / Le- Pc
I Owner. Locat: AP#
Pl0h Approved for: Sewage Disposal -Water Supply, L&Jj.
HoId final for: Water Supply
Final clearance O.K. for: Water Supply
clearance for I- home.
�)-- bedroom E�� Other
NOTE
-777-7 1
/ - -- -'- --/--
Sanitarian Date
Return aw
Sec tion
requires
prior to
DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT
FOR RESIDENTIAL DEVELOPMENT
26-8.1 of the Butte County, Code
this acknowledgement be recorded
issuance of a building permit.
8:9 - 0 3 9 2,9 - V
5.00
5.00
- t - 9 Bu L Le
but not Jimited to herbicides, pesticides, Candace J. Grubbs':
I PAF"
and fertilizers; and from the pursuit Recorder
of agricultural operations including 2: S7am 6 -Feb -89 BG
but not limited to cultivation, plowing: - ----------------
spraying, pruning, and ha - rvesting which
occasionally generate dust, smoke, noise, and odor. Butte County has esLabliishcd ;igr-J(-0--
Lural zones which have as a priority use for productive agricultural. purposes, niid rvsidei,'i�;
within said zones and on adjacent property should be prepared to accept sucl) i11(-()11Vc11ic11(-(,
or discoiiforryi from normal, necessary farm operations.
All. that real property situate in the County of Butte, 'a ,
f ol. lows: State of Californi describcd ;1.1-;
/MOT
Date: C�" PROPERTY OW NERS-
0
State of On this the --925- Irole- day
c, pe�
rsona.� a iq_�ff iwrore me,
ly ap
SS. the undersigned Notary Pub pe red
County olze��
Personally known to me. 'D Proved to me on the basis
OFFICIAL SEAL of satisfactory evidence.
S to be the person(s) whose name(s)
LINDA �. WILSON
LIN P 4 - L I L L ON subscribed to the within instrument and acknowledged LhaL. -<c—
F7NOTA'Y PU'r3,�L'C - CALIFORNM
a
C L
I 13U U Ir
T_ TY
3UTTE COUNTY executed the same for the purposes therein contained. M WITNI,",
COU
My Co.. . . 1 5,1992
My Comm. Expires Feb: 15,1992
a. . E. 'im� WHEREOF, I hereunto set my hand and official. seal.
Present A.P. No. 94-)-7-0
Notary Public
END OF DOCUMENT
The
property -described herein is adjacent
E39-003929 Rec Fee
to
land or included within an area zoned
Cash
-for
agricultural purposes, and
residents
Recorded
of
this property may be subject
to incon-
Official Records 1
veniences
or discomfort arising
from the
County of
use
of agricultural chemicals
incl uding
5.00
5.00
- t - 9 Bu L Le
but not Jimited to herbicides, pesticides, Candace J. Grubbs':
I PAF"
and fertilizers; and from the pursuit Recorder
of agricultural operations including 2: S7am 6 -Feb -89 BG
but not limited to cultivation, plowing: - ----------------
spraying, pruning, and ha - rvesting which
occasionally generate dust, smoke, noise, and odor. Butte County has esLabliishcd ;igr-J(-0--
Lural zones which have as a priority use for productive agricultural. purposes, niid rvsidei,'i�;
within said zones and on adjacent property should be prepared to accept sucl) i11(-()11Vc11ic11(-(,
or discoiiforryi from normal, necessary farm operations.
All. that real property situate in the County of Butte, 'a ,
f ol. lows: State of Californi describcd ;1.1-;
/MOT
Date: C�" PROPERTY OW NERS-
0
State of On this the --925- Irole- day
c, pe�
rsona.� a iq_�ff iwrore me,
ly ap
SS. the undersigned Notary Pub pe red
County olze��
Personally known to me. 'D Proved to me on the basis
OFFICIAL SEAL of satisfactory evidence.
S to be the person(s) whose name(s)
LINDA �. WILSON
LIN P 4 - L I L L ON subscribed to the within instrument and acknowledged LhaL. -<c—
F7NOTA'Y PU'r3,�L'C - CALIFORNM
a
C L
I 13U U Ir
T_ TY
3UTTE COUNTY executed the same for the purposes therein contained. M WITNI,",
COU
My Co.. . . 1 5,1992
My Comm. Expires Feb: 15,1992
a. . E. 'im� WHEREOF, I hereunto set my hand and official. seal.
Present A.P. No. 94-)-7-0
Notary Public
END OF DOCUMENT
4( Ci
USE*PERMIT
BUTTE COUNTY PLANNING COMMISSION April 19, 1989
5 -ATE: (Certified Mail Rec.)
89-38
PERMIT NO.
24-17-48
ASSESSOR'S PARCEL NO.
Pursuant to the provisions of the Zoning Ordinance of the County of
Butte and the special conditions set forth below: Raymond Rose is
hereby granted a Use Permit in.accordance with application filed:
2/13/89 to allow a mobile home as a temporary second dwelling on
property zoned A-40 located on the south side of Campbell Avenue,
approximately 30.0 feet east of.Larkin Road, Gridley.
1. Failure to comply with the conditions specified herein as
the 'basis for approval of application and issuance of
Permit, constitut ' es cause for the revocation of said permit
in accordance with the procedures set forth in the Butte
County Zoning Enabling Ordinance.
2. Unless otherwise provided for in a condition to a use
permit, all conditions must be completed by the permittee
within 12 months of the delivery of the countersigned permit
to the permittee.
3. If,any use for which a use permit has been granted is not
established within one year of the date of receipt of the
countersigned permit by the permittee, the permit shall be
come null and void and reapplication. shall be required to
establish the use..
SPECIAL CONDITIONS:
Occupancy of the mobile home is limited to Mr. and Mrs. Raymond
Rose.
2. No rent is to be charged to the occupant of the mobile home.
3. Install a sewage system under permit and inspection from the
Butte County Health Department for the second dwelling unit.
4. The second . mobile home shall be connected to the existi . ng water
system..
5. The mobile home is to be a temporary use on the property pursuant
to the requirements of Section 24-304 of the Butte County Code.
6. The Use Permit shall expire two years from the date of issuance
of the Use Permit. Upon application, the Planning Commission may
grant an extension of the Use Permit not exceeding one year.
7. In the event that the applicant who is residing within the mobile
home or the conventional residence, for- any reason,, moves to
another location or is deceased, then in that event, the Use
Permit granted herein shall automatically expire and the mobile
home shall be removed within one hundred twenty (120) days. In
the event the mobile home is not ' removed within one hundred
twenty (120) days pursuant to the terms of the Use Permit, the
County shall remove the mobile home and store it at the owner's
expense.
8. The applicant -is to pay a deposit or post a bond to cover the
cost of removal in the amount of $2,000.00.
9. Meet the requirements of the Building Division of the Butte
County Department of Public Works.
10. The mobile home location shall comply with the setback
requirements of the A-40 zone.
11. Applicant must also comply with all other applicable State and
local statutes, ordinances., and regulations.
I hereby declare under penalty of perjury that I have read the
foregoing conditions, that they are in fact the conditions which were
imposed upon the granting of this use permit, and that I agree to
abide fully by said'conditions.
Dated:
Applicant
NOTE: Issuance of this Use Permit does not waive requirement of
qbtaining Building and Health Department permits before starting
construction, nor does it waive any other requirements.
CC: Department of Public Works (2)
Health Department
,Department of Forestry
Butte -County Planning Commission
Chairman
I
A3
-E D..
PRO V
OVEt.OPMENT PLAN
o
DATE
USE PERMIT X VARIANCE
BY.. &2=t
ol
5
tp
r
Lp
0.
a
(I-
%Mbtj Comm
P. JAN 181989
orcaj% Cd&mia
I
PERMIT NO.
PERMIT EXPIRES
OWNER LYLE PAU1;
CONTR. unknown
ASSESSOR PARCEL
LOCATION .634 Campbell Ave, Gridley
Temp. Power Pole
Called PG&E'
Temp. Elec. Service
Called PG&E
Temp. Gas Service
Called PG&E
JOB FINALED (Date)
Signature
OK
0 = Not OK
- = Not Applicable
* = Not Ready MOBILE HOMES
Date MQJPILE HOME UTILITIES (Plans) OK except #'s
. Pning Requirements -Setbacks -Easements
le�kls; Special MH Support -Sketch
ta."Sewer; Location -Test -Fall -C/0 -Concrete
. er; Location -Test -Easement Needed (Sketch)
6,51'El�,QUicity; Location-Clearances-Grnd.-_CZmmp-Concrete
jl,�Gas; Location -Tpst-Wrap: / -" /"L"ft
// P'Nat. QJQ17�v/"L"ft./ i7 LPG
v7. Utility Clearance
Card -B1 (a Date,6jZgll�ard-Bl Date
Card -B1 -Date Card -B1 Date
Date ILEHOME INSTALLATION (Plans) OK except #'s
vf,z6ning Requirements-Setb ' acks-Easements
�ootings; Size -Spacing -Marriage Line
MH Test�De4:aand-Valve-Connector
I,,- /�'L.4,."Ekectricihk- MH TesUCrossovers-Breakers-Clearances I
PIS-_Pwain; MH T-e-StrMal I- Flex Connector
k -f Wa!ov-MH Test -Regulator -Connector
. ater and Sewer Connected -C/0 to Grade -HD Approval
ja. Gas and Electricity Tk�ged
LAD. Exits; Insp.-Sketch I -Cx,,c, sPit / AZZLX9
L/5ff(). Cert. of Occupancy '*- I
Card -B1 Cep Date4r
4(fMCard-Bl Date
Card -B1 MI -N DateA , _-'1/_.C*JCard-B1 Date
D 6 o 0 -Dq U C�A
MISCELLANEOUS
Date DECKS,COVERS,CARPORTS,GARAGES, (Plans)OK except #'s
1. Zoning Req ui rem ents-Setbac ks-Easements
2. Footings; Soils-Size-Depth-Spacing-Connectors-SteeI
3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails
4. Wood Awn.; Posts- Beams-Rf trs.-Co n nec.-
Shthg.-Rfg.-Bracing
5. Alum. Awn.; tol u m ns -Con nectio ns-Spl ice- Decal- Encl osu res
6. Carports; Windows -Doors
7. Elec.
8. Frmg; Sills-Anchors-Studs-Rftrs-Trusses
9. Siding; Nailing -Veneer -Stucco -Mesh
10. Roof; Shthg-Roofing
11. Ext.; Steps -Doors -Landings
Card -61 Date Card -B1 Date
Card -B1 Date Card -B1 Date
Date POOLS (Plans) OK except #'s
1. Setbacks -Easements
2. Soils; Compaction -Structure Stability
3. Pool Structure; Steel -Connections -Thickness -
Dead Men -Lining
4. Elec.; Receptacles and Lighting, Distances-GFI
5. Elec.; Pool Lighting; 15 volts-GFI
6. Elec.� Enclosures; Conduit Entries -Term i na Is- Listed
7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater
8. Elec.;Grounding; Equip. w/5'-circulating'Equip.-Pool Lghtg.
Boxes- Enclosu res- Panel boards -1 ns. to Main in Conduit
9. Health Department Approval
10. Plumb.; Cir. Test -Water Supply Test
Card -B1 Date Card -B1 Date
Card -B1 Date Card -B1 Date
f,
OK -'
0 Not OK
Not Applicable RESIDENTIAL-(Sinle and Duplex)
Not Ready '
Date
UNDERFLOOR (Plans) OK except #'s
bate
FRAMING (Continued)
1. Zoning -Setbacks; -Easements -Flood -Slope
45. Hangers -Post Caps -Anchors -Connectors
2. Ftg., Main; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth
46. CIng. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng.
3. Ftg., Garage; Soils -Steel-/ /" Ftg. Depth
47. Fireplace Ties or Type A Flue -Fireplace Throat Clearance
4. Ftg., Porches & Decks; Soils -Steel-/ /"Ftg. Depth
48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
5. Sternwalls, Main; Steel-Blockouts-Wrapped
49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions
6. Sternwalls, Garage; Steel- BI ockouts-Wrapped-
50. Garage Fire Protection Fra m i ng
7. Slab; Steel -Wrapped
51. Property Line Firewall & Openings
8. Piers -Fireplace Ftg.-Steel
52. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits
9. D.W.V.; Fall -Fittings -Test -2 way C/0 -Sewer Test
53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection_
10. Gas Pipe; Size -Anchors
54. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
11. Water Pipe; Test -Anchors -Regulator -Service Test
55. Siding -Nailing Veneer
12. Electric; Underground
56. Stucco Mesh -Drip Screed -Fd. Vents-UnderfIr. Access
13. Plenums & Ducts; Clearance-Material-Supprt-Ins.
57. Glazing Area -Glass Protection -Skylights -Plastic
14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
58. Shear Walls; Nailing -Bolts
15. Insulation
59. Insulation-Walls-Clg.
60. Infiltration-Walls-Wndws
Card -Bi
Date Card -B1 Date
Card -B1
Date Card -B1 Date
Card -B1
Date Card -B1 Date
Card -B1
Date Card -B1 Date
Date
PLUMBING (Permit) OK except #'s
16. Water Ht. Vent -Access -Combustion Air -Baffle
Date
FINAL (Plans) OK except #'s
17. Water Pipe; Test & Anchors -Nail Protection
61. Ext. Steps -Door & Sidelight Protection -Land i ngs
18. D.W.V.; Test-Fttngs & Anchors -Nail Protection
62. Smoke Detector
19. Shower Pan; Test, First Floor -Tub Access
63. Furnace; Vents -Clearance -Comb. Air -Connector -
In Garage; Above Floor-Ducts-Mech. Protection
20. Test Tub & Shower, 2nd Floor -Tub Access
21. Gas Pipe; Size & Anchors
64. Bedroom Exiting
65. G.F.I. & Bath Fixtures & Tub Access -Spa
66. Elec. Trim & Subpanel; Breaker Sizes -Labels
Card -B1
Date Card -B1 Date
67. Stairs & Rails
Card -B1
Date Card -B1 Date
68. Fireplace or Stove; Clearances -Hearth
69. Elec. Outlets at Wood Panel; Int. & Ext.
Date
ELECTRICAL (Permit) OK except #'s
70. Kit. Fixt. & Appliance; Grnd. -Air Gap -Cooking Clearance
22. Fixture & Transformer Clearance -Ins. Protection
71. Elec. Outlets & Receptacles at Kit. Counter
23. Elec. Receptacles Spacing -Lights & Switches at Doors
72. Garage Fire Door; Swing -Landing -Closer
24. Size Boxes & No. of Conductors -Stapled
73. A.C. Duct in Garage -Damper
25. Romex Installed Close to Edge of Studs & C.J.
74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.-
In Garage; Above Flo'or-Mech. Protection
26. Equip. Ground made up w/Mech. Fasteners -Bond Gas &Water
27. 2 Appliance Circuts in Kitchen & Conductor Size/G.F.I.
75. Plb., Elec. & Mech. Equip. Listed for Location
28. Subfeed Wire Size ga. Cu or AI-A.C. Wire Size / /ga.
Cu or Al
76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec.
7?. Insulation -Foam -Looked in Attic 0 Yes
29. Range Circ. ga. Cu or Al -Oven Circ. ga. Cu or Al.
Insulated Neutral Yes No
78. Guard Rails & Deck Construction -Post Caps
30. Service -Riser Conductors & Ground -Main Disconnect
79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth
Clearance Looked under Floor 0 Yes
31. Equip. Clearances Pane I s-Motors-Mech. Equip.
80. Following instld.; Drive -0 Yes 0 No; Walks 0 Yes 0 No;
Planters 0 Yes 0 No
32. Clothes Closet Light -Shower Light -Spa Light
33. Smoke Detector
8i. Stucco; Brown -Finish
Card -B1
Date Card -B1 Date
82. A.C. Unit; Disconnect, Electrical, Plumbing
Card -B1
Date Card -B1 Date
83. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to
Openings.
Date
MECHANICAL (Permit) OK except #'s
84. Water Well; Disconnect, Electrical, Plumbing
34. A.C. Ducts Insulation & Support
85. Exterior Elec. Trim; G.F.I. Receptacle-Underg round
35. Vent Fan; Exhaust above insulation
86. Ventilation throughout House
36. Condensate Drain & Overflow; Size & Grade
87. Glass Protection
37. Furnace -Vent; Access -Comb. Air -Return Air Vent -115 outlet
88. Corrections from Previous Inpections
38. Attic Access & Platform if Furnace in Attic
89. Gas Test -Meters Tagged; Gas -Electric
90. Water & Sewer Connected -C/O to Grade -HD Approval
91. Energy Compliance Certificate -Other Certificates
Card -B1
Date Card -B1 Date
92. Roofing Certificate
Card -B1
Date Card -B1 Date
Card -B1
Date Card -B1 Date
Card -B1
Date Card -B1 Date
Date FRAMING (Plans) OK except #'s
39. Sills, Proper Material & Anchors
Card -B1
Date Card -B1 Date
Comments at Final:
40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound
41. Bearing Walls over Girders & Floor Nailing
42. Draft Stop in Walls (rat proof)
43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub
44. Header & Beam -Size & Bearing
(NOTE: An entry must be made each time you visit job site)
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Oroville — Phone: 538-7541
747 Elliott Road, Paradise— Phone: 872-6307
CORRECTION NOTICE
a Us
A routine inspection indicates that the following violations of County Ordinance
exist at the above address and should be corrected. Please notify this office
when correction of work is completed. If you have any question pertaining to this
matter, or eed additional explanation, please contact this office Immediately.
A A
f
Inspector Date (e-3
MOBILEHOME INSTALLATION ACCEPTANCE
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS — 7 COUNTY CENTER DRIVE
OROVILLE, CALIFORNIA — 534-4541
PERMIT NO.
Address or location of mobilehome t
Owner's name
Owner's address
Insignia or hud number 0,
Manufacturer's name
Serial number of V.I.N. Year of manufacture
(Offi.iol Approving Installation) (Date)
IF THE MOBILEHOME IS MOVED OR RELOCATED, THE MOBILEHOME INSTALLATION
ACC�PTANCE SHALL BECOME INVALID. THIS FORM SHALL NOT BE USED WHEN THE
MOBILEHOME IS INSTALLED ON A FOUNDATION SYSTEM.
46
513B White - Owner, Yellow - Installer, Pink - D.P.W.
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, Cali4ornia 9�965 - Telephone: 916/538-7541
so APPLICATIOk AND 1 PERMIT
P ITN
/77—
ASS,lfffR PrqL NqF
C::14�r - S,.,_
ZON
I _X 1�10
BUILDING PERMI�
OWOE;R
X .4 Rose
SQ. FT. OCC. RI III I A LHAT 'ON
* E S Al IN DORESS
e) I M
* NT A 01� ME
14 owvv
TIZE 17 E P�O N I-
CONTff'AVTOR' RIESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation Is
LENDER'S MAILING ADDRESS
Filing Fee
$ 10.00
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER —
'S MAILING ADDRESS
A
Penalty
$
BUILDING ADDRESS d /(I
La to boll
Permit fee
$
PLUMBING PERMIT
FilingFee 10.00
F
Ea h Trap
1 2.00
V
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAME
1
PARC MAi;/
1
Water piping
5.00
Each qas water heater or vent
5.00
USE OF STRUCTURE
SF [:1 DuplexE] MobilehomefV Other
101% SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home S I G I W
P0.00eq
TYPE OF WORK
New FI Addit ion RemorlEl Utilities_0 In 11 Ion;< Other
Describe work:,
Permit Fee
$
Contractor
ELECTRICAL PERMIT
FilingFee 10.00.
6001 OR LESS
Main service 100 AMP OR LESS
10.00
Main service EA. AoD-L 100 AMP
2.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
F-1 I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full force and effect.
License No. Classification
1, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
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 CONST DWELLING OCC'GP.ad
OR ADDNS. ACC.BLDGS. 21/20sqft
NE W CONSTR. MULTI-.UTLET 2.50 ea
N.N-RESI., BR ANCH CIRCUITS)
POWER APPARATU .&)
(SINGLE OUTLET CIR
Ex. Occup(OUTLETS OR FIXTURES .20 0 50c
AL@ 30c
OCCUP. FIXED APPLNS. OR It
Ex. OUTLETS (RESID.) EAJ 2.00
Temporary service 10.00
Mobile -Home Facilities 15.00
Misc. Wiring 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.
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
i ling Fee 10.00
Heating
Cooling
Hood
3.00
Venti lation
Permit Fee
$
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the County ot
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
agains i County in consequence of the granting of this permit.
:a 2&=&t4 Pe 4L�;e Date 'VL1'4'f
Signature of Applicant — Owner L?9 ContractorE] Agent EIC/
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3.staries in height.
Mobile Home Installation Fee $
Energy Inspection Fee
TOTAL PERMIT FEE $
OCCUP.1
CONST.TYPEJ
ISCHOO
IFZIPARCELI
PD I
No
/'I
ISSNUF/
V
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for Which
I
EC R 0 UBLIC
By
PERMIT' EkPIRES Date�,)
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date�__ 11:
6
Receipt NO. 1: �_ 12 / Kq==
WHITE-D.P.W.. YELLOW-ASSIC330R. PINK-INSPZCTOR. GOLDENROD-APPLI CANT
VA,
T,
-'�7;�_ �117TV� ', - _w �-, r -- ,. - - I
j -
COUNTY OF BUTTE DEPARTMENT GF;zPy,,BLIC WORKS - BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE, CX21F
jP, _Nf�,A 95965 - T ' ELEPHONE: 916/538-7541
PERMIT APPLICATION DATA SHEET
Permit No
OWNER— A. P. No.
Building iector--Z
Proposed Building Use Inspec or Z Date
Attimeof permit application, I was advised the following data must be submitted prior to permit processing and/or issuance:
DATE RECEIVED APPROVED
1. All items have been submitted . .. .................................
2. Plot plans in duplicate/triplicate, signed by preparer of plans
3. Complete plans in duplicate/triplicate, signed by preparer of plans
4. Complete engineered plans and calcs, with wet signature on plans . .
5. Energy Design Compliance and supporting documentation .........
R. Statement of Intent for Non -Heated and AC Buildings ..............
_:�eJ- Engineered truss details and layout in duplicate (required prior to plan check)
& Mobilehome installation data including manufacturer's installation
instructions.......................................................
9. Fees of $
10. Chico Urban Area fees paid ........................................
11. Pa es F Id
,r4 fe ...................................
12. %L11,111,1A.
4r --X- (' I - - School District fees paid .................
13. Sanitation app/6val' fr'om Health Department ...
14. City of Chico plumbing permit ......................................
15. Plot plan and business -license approval from City of
(see City for other requirements)
16. Planning approval for (A) Use:—(B) Parking: . .........
17. Improvements may be required.
18. Driveway permit (construction approval required prior to occupancy) ...
Pre-Inspec. request to
19. Pre -Inspection for required ...... Building Inspector (Date)
20. Contractor's license information (No., Name Style, Classification) .......
21. Certificate of Workmans Compensation Insurance ....................
22. Owner -Builder Verification (Given to owner 0, Mail to owner 0) ........
23. Recorded copy of Agricultural Acknowledgment Statement ............
�24. Letler sign re authorization ... �*�,��,
Whe ou issue the t. process as follows: — Mai�,to owner. —Mail to contractor.
q_ 0
Telephone— and hold for pickup at office. —Deliver w/inspector.
Other
Applicant_,�,_//"4, -a Date 214,1 <
Copy of plans sent — Health Dept., —Fire Dept., — Other— Date
The following data must be submitted prior towprm�once: (Circle new item not checked above).
1. Index permit for above items No. 15V .
2. Additional items required: j t,001
Contractor, designer, owner, was advised of above required data by—phone----mal I —counter by— date
Contractor, designer, owner, was advised of above required data by —phone —ma I I —counter by— date
Plans checked by Date Plans approved by -f—)Date
Sets of plans on hold in —File cabinet _AP folder
Copy—DPW
ell
A P
.OWNER 4 J
PERmrr Fj'
M-1 UTIL.CLEARANCE DATE � — )
INSPECTOR G
ELECTRIC
GAS
Support
Struc.
Compaction
Test.Req.
aervice
Size
Other
Load
Type
Pipe
Size
Length
YES! NO
YES NO
NOTr--:—AR Materals C; -A
0!. 3
UnIfform Buiudirlgl .-Odzs
1.:3M9 Lk
��e Nailonal, Flectrical C08e-
10
0 T
U:
04
utility connect -10's er
10
n
r3 CL\L;`N—'!v"
rec
I , .
A setback ofZ5 ft. from the
property lines. and a.setba(
I
road
:enterline .
I', ho clear of
;t : �*Tibr e
uipment e)
lorVft. eav overhancy
3
C)
fT%.
I
V
4cp
J
90
13 -
OCD
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Ilk
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it
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Framing Pion No. 3
Framing Plan No -1
G.RDER SIZE I., W.8CR
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12' p—
Concrete Piers
4.4 1 at $to
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KMCM..oTH
G.RDER SIZE I., W.8CR
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Concrete Piers
0 F. $To
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G.RDER SIZE I., W.8CR
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comcr�fl
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Seclion
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nS. TO 1��
-diate Post
Interm-
Corner or Bracing Post
Framing Plan No. 2
-TE
_E IP!ER
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D—
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7—
Alte
S I a i rs
2-!2
AND A elome Pc,,pcl
—d 15 w �o"� S-.�TE OF CALIFORNIA
l000
'*o7" UNITY ENT P3
DEPARTMENT OF HOUSING AND COMM
SE, BE'
HCD 541 7/84 A&A f I
wy, - no"l-ba -
LP
,J)
NOTE.—Aff M ferc,
&
0 ShvIl Be flrt
Ro,
-,-s end
of CI VLZ;,:;,7 pveSCCj-,i�
6
in
niforrn (�Odas and
Che National Ele"c'frical Code.
'r- , �-- Q
IQIC
A setback ofZ5 ft, from the
- - perty lines and a setback
of 50ft, from t�e road
centerline shall be clear of.
st, uctures or equipment exc
Mr a 2 ft. eave overhang.
-- 0 IOr
mobilshorrm'
00–)
�-4 (-V
&
Pt
VC
I
3
.0
Utili�y connections shall be withir
4 ft. of the mobilehorne, either
J4
dire -fly behind or within the reaT,
half rf-%Ad&WO4k4t) of th%
ITI
moHilehome.
'r- , �-- Q
IQIC
A setback ofZ5 ft, from the
- - perty lines and a setback
of 50ft, from t�e road
centerline shall be clear of.
st, uctures or equipment exc
Mr a 2 ft. eave overhang.
-- 0 IOr
mobilshorrm'
00–)
�-4 (-V
&
Pt
VC
I
BUTTE COUNTY DEPARTMEN T OF PU1D-r-r WORKS
7 County Center Drive Oroville CA
PHONE: 538-7541.
MOBILEHO IE INSTALLATION SHEET
owner's Name:
-2. Installer's Name:
3. Is the site currently under permit? Yes No.
(If yes, furnish permit number /7J-- 917 OR
is the site -an existing site?'. Yes No r,4;Z;9
(If yes, furnish twO'..Plot plans.)
4. Will-the-mobilehome be located at . least 5 ft. away from septic tank and leach.
fields and clear of all -setbacks and easements? Yes No
(If no, clarify
5 What is the mobilehome I electrical rating? --------------- — - 0 Amps
6. What is the molbilehome site service rating? ------ ------- -- Amps
7. What is themobilehome site circuit breaker rating? ----- /00
Amps
8. Is there any other electric load to be served by the
mobilehome site service? --------------------------------- Yes
No
(If yes, identify the load and size: (Load) (Amps)
9. Whatis the mobilehome site gas pipe size? --------------- - (in.)
10.. What is the type of gas service? ------------------- Natural n LPG
11. What is the gas pipe length from meter or t ank to the
mobilehome? ------------------------------------
---------- (ft.
12. What is the mobilehome gas demand? ----------------------
�(BTU)
%
NO"
*(This information not required if pipe length less than
�CPo ill
A
natural gas or less than 50 ft. on LPG.)
MOBILEROME SUPPORT DATA
If other than single wide,
Mobilehome Mfr._ furpish .5etup Model No. Year 7 -DP
Width- (f t Box Length__14� (ft.) Tagalong or Expando Size ft. X -ft.
On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation
manual and structural setup sheets (if not on file with the County of Butte).
FOOTINGS (check one) X 1., Wood -pressure treated or foundation grade. 2. Other (specify .
SUPPORTS (check one) 1. Concrete block. 17� 2. Other ` (specify)
Pier Footing Sizes and Locations
SINGLE -WIDE
11��=Ma_in B—eams—
Line2-
Line 1 Piers:
Size -Min - ------------
Spacing-Max ----------
From Ends -Max - -------
Line 2 Piers:
Size -Min - ------------
Spacing-Max - ---------
From Ends -Max --------
[j2e 3 Roof LA)ads:
Size -Mia -------------
Location (From Front)
\I'-- Main Beams
Tag or Triple
MULTI-WIDZ
. Line
Line I Openings:
Si'e-Mi: - ------------------
Each Si e of Openings
With Width Over ---------
Line 3 Piers: (Under Bearing Wall Only)
Size -Min -------------------
Spacing-Mix ----------------
From Ends -Max ------------
e 4 Piera : 1 f Line 5 Piers: (Under Bearing Walls Only)
Site -Min ------------- Size -Min -------------------
Spacing-Max ---------- Spacing -Max ----------------
From Ends -Max.* ------- From Ends -Max ---------------
Lint 5 Roof Loads:
Size -Min ------------- d .,X .1 .1x .11
Ix x Ix
Location (From Front)
MANWI�Q_V-Wrj
W72—ZI
e 4 Piera : 1 f Line 5 Piers: (Under Bearing Walls Only)
Site -Min ------------- Size -Min -------------------
Spacing-Max ---------- Spacing -Max ----------------
From Ends -Max.* ------- From Ends -Max ---------------
Lint 5 Roof Loads:
Size -Min ------------- d .,X .1 .1x .11
Ix x Ix
Location (From Front)
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive * Oroville, California 95965 & Telephone (530) 538-7541 o 3 PERMIT NO.
(Rev. 12/96) APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER
024-170-048
ZONING
A-40
BUILDINGPERMIT
OWNER
PAn TYIF
TELEPHONE
R46-0681
SO. FT. OCC. BUILDING VALUATION
-
OWNERS MAILING ADDRESS
619 CAMPBF11. AVE.- GRTDIRY, CA
CONT EST 21,000.00
CONTRACTORS NAME
R.F. RETTRY AND CO
HONE
W 78-0833
CONTRACTORS MAILING ADDRESS
-3028 FSPTANADE STE E CHICO, CA 95973
CONSTRUCTION LENDER
LENDERS MAILING ADDRESS
Fireplace
Total Valuation $ 21.000.00
ARCHITECT OR ENGINEER
LICENSE NO.
—Filing Fee $ 20.00
Permit Fee $ 225.00
ARCHITECT OR ENGINEERS MAJILING ADDRESS
Plan Checking Fee $
BUILDINGADDRESS
638 C.A.MPBE11- AVE a.TDIM�,
Energy Plan Checking Fee $
CA
$
PERMIT FEE 245. 0
LOT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT Filing Fee 20.00
USEOFSTRUCTURE
SF CX 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 IR Ublities 0 Installation 0 Other
Describe Work: VINYT - SIDING AND IREPT ACE WINDOWS
Gas piping system I - 5 outlets 15.00
Building sewer 15.00
Mobile Home I S I G I W 920.00
PERMIT FEE $
ELECTRICAL PERMIT Filing Fee 20.00
"OOV OR LE::
Main Service .A OR LE 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 i fvlljgrce and effect.
License Class Lic. No. *-711 a2
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.
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
Main Service 200A TO 1000A 46.00
NEW CONST DW UW OCCUP so
---2R ADDNS. C. S. 3.50FT.
NEW E;QNST.
NO"eSID. BiMULTH' Oua,',TS 97.50
PDWE.RAP= U
IN. . C SIR.
OUTLET OR FIXTURES 20 @ 1.00
Ex. Occup. IBA& @ .50
M OR,
Ex. Occup. Q=L.16.) E 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.
oW I have and will maintain workers' compensation Insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permit is issued.
My worker ' co=pensation r,rance rrier and policy number are:
Carrier
Policy Number
(The above sections nied not be completed if the perm -Vis 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
forthwith comply rw5bse pr
A/ /
Date I&
Sigieture of Ap'plicant 0 Owner 0 Contractor 0 Aged I I
An OSHA permit is required for excavations over 60" deep and demolition or construction
of structures over 3 stories in height.
MECHANICAL PERMIT Filing Fee 20.00
Heating
—Cooling
Hood 6.50
Ventilation
PERMIT FEt
Mobile Home Installation Fee $
Energy Inspection Fee $
Occ
CONST. TYPE
TOTALFEE$ 245.00
IMP
I FLOOD
I CDF
PARCEL
I PD
[ HD
JISSUE7
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.
By L2A_.0_ 5?4!1��Date
PERMIT EXPIRES ON 0
ReceiptNo. AOL4 f/ 5, - o d
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDEN ROD-�PPLICANT
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive & Oroville, California 95965 * Telephone (530) 538-7541 PERMIT NO
OL q -l -?n -/)cd APPLICATION AND PERMIT - a ?:,* 4 2J--5,/
SWSOR PARM
BUILDINGPERMIT
SO. Fr. occ. BUILDING VALUATION
NUM MAILIPIM
7
-r.-I
W.W 11
b-EPHOME
okmACTORT "'m NO ADDA
omSTRLC=N LDIDER
Fireplace
=NDER*5 LVXJmG ADDRE"m
Total Valuation
Fkm-4mcl OR D=mm
LMENSE NO.
Firing Fee
20.00
Permit Fee
DL 00
;%=WM='OR ENOINEWS WaM ADORMS
Plan Checking Foe
--"Yon- gtn:5ok A=P::e p, �:&--
�, -
Energy Plan Checking Fee
PERMIT FEE
r9 Y 'co
CUBDWSMS
PAPW MAP
PLUMBING PERMIT
Filing Fee 20.00
--7.'00
USEOFSTRUCTURE
F Duplex 0 MoblJohorno 0- Other
Solar or heat pump water hejer
23.OD
Water piping k
15.00
Each gas water holler or vent
1 5.D0
TYPE OF WORK
New E3 Adrrr6on 13 Remodel 0 U06as E3 Instakfibn 13
Describe Work: IA-)---(
u I YX
Other,4
AnQU-11'20
Gas piping wStem, I\ 5 outlets
1S.00
Building sewor
I S.DD
mobile Homo I S I G W
@?20.00
PERMIT FEE
ELECTRICAL PERMIT
Firing Fee 20-00
Mah Service = ON 0
23.OD
SIK
Teu;*d
on
Mm*m Service "m To wo"
46.DD
NEIN CONST DWELLM DOCUP.
OR AOMM : a AOC. K"DL
So.
3.5CFT.
NEW COI&I.
..es - Lnlzr
@7.50
Po
MVIGLE Un.Er CUL
Ex. O=up. ovnzr oR\wrjkm
20 & I..
Ski- a .50.
a1g.APPU . 04
Ex. O=up. FA
S.DD
Temporary Service
23.DD
Mobile Home Faeflities
2D.DD
v5sc. Wring
23.D0
PERMIT FEE
MECHANICAL PERMIT
Firing Fee 20.00
Heating
CODflng
Hood
S.So
ventilation
PERMIT FEt S
Woblia Homo Installation Foe
Energy Inspection Foe
D�C
TYPE TOTALFEE$
'CT: �T
uc:� C)
�4.-'
;CON".
D -- FWD
I CDF
I IYACEL
f—T
ISSIA
1Y . I
r 1 v4m
41imm
cay%�
This permit is hereby issued under the applicable provisions
of the Butte County Code and/or Resolutions to do work
indicated above ior whirh fees have been paid.
"Y Date
PERMIT EXPIRES ON
024-170-048 02-'] 218
PAUL, LYLE -
639 CAMPBELIAVE',�GRil)LEY
RE�ROOF
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive * Oroville, California 95965 9 Telephone (530) 538-7541 02-1fig M IT PAp.
(Rev. 12/96) APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER
020=170 -MA
ZONING
BUILDINGPERMIT
OWNER
LYJA PAM,
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
28 SQ lbwaxi
OWNEWS MAILING ADDRESS
638 ChMPBEIL AVE, GRIDLEY 959-418
CONTRACTOR'S NAME
Od 10 R
TELEPHONE
CONTRACTOWS MAILING ADDRESS
CONSTRUCTION LENDER
Fireplace
LENDER'S MAJUNG ADDRESS
Total Valuation $ 141�n
ARCHITECT OR ENGINEER
E NO.
—Filing Fee $ 20.00
Permit Fee s 39.00
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Plan Checking Fee $
BUILDING ADDRES1638 CAMBEM AVE* GRIDLER
Energy Plan Checking Fee $
PERMIT FEE $ 59600
LOT NO.
SUBDIVISION'S NAME
PARCEL MAP
PLUMBING PERMIT Filing Fee 20.00
LISEOFSTRUCTURE
SF C)( Duplex 0 Mobilehome 13 Other
SPECIFY
Trap 7.00
—Each
Solar or heat pump water heater 23.00
Water piping 15.00
Each gas water heater or vent 15.00
TYPE OF WORK
New 11 Addition 13 Remodel 0 Utilities 0 Installation 13 Other r9
Describe Work: M()()F W/CW
Gas piping system I - 5 outlets 15.00
Building sewer 15.00
Mobile Home I S I G I W (–W20.00
PERMIT FEE $
ELECTRICAL PERMIT Filing Fee 20.00
Main Service -oo'A'ORR 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 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
Main Service 200A TO 1000A 46.00
NEW CONST. DW:�214G OCCUP- So.
OR ADDNS. C. ... 3.50FT.
CONST. MULTI -OUTLET @D7.50
=R.,.. H CIRCUITS
OWE.RAP.PAPATU
( PSING 0 C SIR. )
Ex. Occup. ( OUTLET OR FixrURES ) 20 4 "00
BAL @ .50
( FIXED APP . OR.
Occup. . ("a .) E 5.00
_Ex.
Temporary Service 23.00.
Mobile Home Facilities 20.00
Misc. Wirina 23.00
EE!71
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 ofthe Labor Code, for the performance of work for which this permitis issued.
My workers' compensation insurance carrier and policy number are:
Carrier
MECHANICAL PERMIT Filing Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEPE $
Policy Number
(The above sections need not be completed if the permit is for work of a valuation
,,,of one hundred dollars ($100) or less.)
certify that in the performance of the work for which this permit is issued, I shall
not employ any person in any manner so as to become subject to workers'
compensation laws of California, and agree that if I should become subject to the
workers' compensation provisions of section 3700 of the Labor Code, I shall
forthwith comply with those provisions.
�12 -1
X X- ;,]� / Date
Signature of A�pplicarii - 0 Owner 0 Contractor 0 Agent
An OSHA permit is required for excavations over 60" deep and demolition or construction
of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
Occ
CONST. TYPE
TOTALFEE$ -%9,00
I
7-
-HAZ-
�` ES IMP
I FLOOD
I CDF
PARCEL
I PD
This permit is hereby issued under the applicable provisions
of the Butte County Code and/or Resolutions to do work
indicated ab ve for which fees have been paid.
By Date
PERMIT EXPIRES,10-1
I !?tq)
ReceiptNo.
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDEN ROD-AFPLICANT
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive - Oroville, California 95965 * Telephone (530) 538-7541 1IT NO.
W 02-1 N1
r�ev. 12/96) APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER ZONING
024-170-048
BUILDINGPERMIT
OWNER TELEPHONE
LYLE PATIT. —9-949--.—
SO. FT. OCC. BUILDING VALUATION
28 SQ 1680.00
OWNERS MAILING ADDRESS
638 CAMPRET.T. AVE, GRIDLEY 99948
CONTRACTORS FAME
OWNER
TELEPHONE
CONTRACTORS MAILING ADDRESS
CONSTRUCTION LENDER
Fireplace
LENDERS MAILING ADDRESS
Total Valuation $ i6,qo-nn
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee
$ 20.00
Permit Fee
$ 39.OU
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee
$
BUILDING ADIRES t38 CAYIPBELL AVE, GRIDLEY-,.-
Energy Plan Checking Fee
$
PERMIT FEE
$ 59.0U_
LOT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT
Filing Fee 20.00
USEOFSTRUCTURE
SF EX 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 0 Utilities 0 Installation 0 Other
Describe Work: REROOF WCOMP
—Gas piping system I - 5 outlets
15.001
Building sewer
15.00
Mobile Home I S I G I W
C&120.00
PERMIT FEE
$
ELECTRICAL PERMIT
Filing Fee 20-00
800V LE::
Main Service .A 92 LE
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:
09'�l 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.
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
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
3700ofthe Labor Code, for the performance of work for which this permit is issued.
My workers' compensation insurance carrier and policy number are:
Carrier
Policy Number
(The above sections need not be completed 0 the permit is for work of a valuation
of one hundred dollars ($100) or less.)
2/ 1 certify that in the performance of the work for which this permit is issued, I shall
not employ any person in any manner so as to become subject to workers'
compensation laws of California, and agree that if I should become subject to the
workers' compensation provisions of section 3700 of the Labor Code, I shall
forthwith cc I ith those provisions.
X Date 5- 1q-0 -2--
Sign� e' of AppliceAt - 0 Owner 0 Contractor 0 Agent
An � HA permit is required for excavations over 60" deep and demolition or construction
of structures over 3 stories in height.
Main Service 200A TO 1000A
46.00
NEW CONST. DWELLING OCCUP. so
OR ADDNS. & ACC. BLDS 3.50IFT.
NEW CONST.
NON-RESID. MULT.10.L.M. 97.50,
OWER AF= U
( PSI.GLE 0 CSI R. )
Ex. Occup. ( OUTLET OR FIxrURES ) 20 @ 1.00
aAL @ .50
....E. APP
Ex. Occup. 5.00
Temporary Service
23.00
Mobile Home Facilities 20.00
Misc. Wiring 23.00
PERMIT FEE $
MECHANICAL PERMIT Filing Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEt $
Mobile Home Installation Fee $
Energy Inspection Fee $
Oc c
OCC
CONST. TYPE
TOTALFEE$ 59.00
E
IMP
I FLOOD
I CDF
PARCEL
I PO
7HD
I ISSUE
This perm it is hereby issued under
,,te',
of the Butte County Code and/or
indicated aOve for which fees have
;>
By
V
PERMIT EXPIRE�Q�
the applicable provisions
Resolutions to do work
been paid.
Date!)'
ReceiptNo. 353608/$59.00
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDEN ROD -APPLICANT
ONVNER-BUILDER VERIFICATION
Attention Property Owner:
An "owner -builder" building permit has been applied for in your name and bearing your siguftm
Please complete and return this information at your earliest opportunity to avoid unne; —y delay
in processing and Lssuing your building permit. No building permit will be *issued until this
verification is received.
1. 1 personally plan to provide the major labor and materials for construction of the proposed
property improvernent :YES M--, No 0
2. 1 HAVE 9�' HAVE NOT E3 signed an application for a building permit for the proposed WO&
3. 1 have contracted with the following person (firm) to provide the proposed soft i .
NAIME:
ADDRESS: CITY:
PHONE: CONTRACTOR'S LICENSE NO.
4. 1 plan to provide portions of this work, but I have hired the following person to coordinaw,
supervise, and provide the major work:
N.-MAE:
ADDRESS: CITY:
P H 0 NNE: CONTRACTOR'S LICENSE NO.
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:
PROPERTYOWNER:
SOCIAL SECURUY NU14E-R:
DATE: I-- f q - 0
jVOTE: This Owner -Builder Verification is required by Section 19831 and 19832 of dw
California Health and Safety Code. This verification must be -compkted ifxd
returned to o ur office before we are permitted to issue the permit.
OWNER BUILDER INFORMATION
Dear Properri Owncr:
t
An application for a building permit has been submitted in your name listing yourself as the builder of property
improvements specified.
For your protection. you should be aware that as "owner -builder you are the responsible party ofrecord on such
a permit. Building permits are not required to be signed by property owners unless they are personally performing d1eir
own work. If your work is being performed by someone other than yourself you may protect yourself from possible
liability if that person applies for the proper permit in his or her name.
Contractors are required by law to be licensed and bonded by the State of California and to have a businew
license from the city or county. They are also required by law to put their license number on all permits for which they
apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should
be aware of the following information for your benefit and protection:
if you employ or otherwise engage any persons other than your immediate family. and the work (including materials
ZP
and other costs) is S300 or more for the entire project, and such persons are not licensed as contractors or
subcontractors. then you may be an employer.
+ I f you are an emplover, you must register with the State and Federal Governments as an employer and you are
ederal social security taxes,
subject to several oblig
gations including'state and federal income = withholding, f
workers compensation insurance, disab'ility insurance costs, and unemployment compensation contributions.
* Theree may be financial risks for you if you do not carry out these obligations, and these risks are especially serious
with respect to worker's compensation insurance.
+ For more specific iriformation about your obligations under Federal Law, contract the Internal Revenue Service (and,
0
if you wish. the U.S. Small Business Administration). For more specific information about your obligations under
Scace Law, contact Ehe Department of Benefit Payments and the Division of Industrial Accidents.
Ifthe structure is intended for sale, property owners who are not licensed contractors are allowed to perform their
work personally or Lhrough their own employees, without a licensed contractor or subcontractor, only under limited
conditions.
A frequent practice of unlicensed persons professing to be contractors is to secure an "owner builder" building
permit� erroneously implying that the property owner is providing his or her own labor and material personally. Building
permits are not required to be signed by property owners unless they are performing their own work personally.
Enformation about licensed contractors may be obtained by contracting the Contractors State License Board in your
community or at 1020 NZ Street, Sacramento, CA. 95814.
please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you
are aware of these matters. The building permit will not be issued until the verification is returned.
0
I rely.
Ntic el C. Vidira, C.B.O.
C
e 4
Spec,
!�vtt i c rggerC.iBVuiidiiZ' I'nspection
NO TE.- Tit is 0 w n er- B u ilder Info rm atio n is req u ire d by Secilon 1983 0 of th e Califo rnia Heafth an d Safety Code -
OVER
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDIN DIVISION
7 County Center Drive * Oroville, California 95965 * Telephone (530) 538 L7541 PERMIT NO.
(Rev. 12/96) APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER
024-170-048
ZONING
A-40
I
BUILDINGPERMIT
OWNER
PAM. LYU
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS
638 CAMPBELL AVE. GRIMM. CA
ODNI EST 212000.00
COWRACTOR'S NAME
P.F. REIUX AND CO
TELEPHONE
198-0833
COWRACTOR'S MAILING ADDRESS
W28 ESPIANADE SM. F QUM, CA 9597-3 -
CONSTRUCTION LENDER
[Fireplace
LENDER'S MAILING ADDRESS
Total Valuation $ 21,000.W
Filing Fee $ 20.00
ARCHITECT OR ENGINEER
Fee $ 225.00
ARCHITECT OR ENGINEER'S MAILING ADDRESS I --Permit
Plan Checking Fee $
BUILDINGADDRESS
618 CAMPAPI.T. AVF CRMTRV, CA
Energy Plan Checking Fee $
$
PERMIT FEE, Z45.W—
LOT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT Filing Fee 20.00
USEOFSTRUCTURE
SF CK 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 EX Utilities 0 Installation 0 Other t!
Describe Work: VIRL SIDING AM RMACE WINM
Gas piping system I - 5 outlets 15.00
Building sewer 15.00
Mobile Home I S I G 92 0. 00
PERMIT FEE
ELECTRICAL PERMIT Filing Fee 20.00
Main Service .A R S�' 23.00
' R'
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 lin KI force and effect.
License Class _, L: 0 Lic. No. "7t 103
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, ormy employees with 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
Main Service 200A TO 1000A 46.00
NEW CONST. DWELLING OCCUP. so
OR ADDNS. & ACC. BMS. 3.50FT..
Nt:W Qum 1. =T.IOUTLE'.r
NON-RESID. @D7.50
OWE.RAFPARATUS
&P.IN. . r. C'R.
20 @ 1.00
Ex. Occup. OUTLET OR FUTURES SAL@ .50.
.=D APP . OR
Ex. Occup. . (.a .) EAJ_ 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.
NO' I have and will maintain workers' compensation Insurance, as required by Section
3700of the Labor Code, for the performance of work for which this permit is issued.
My workers' compensation ipsurance carrier and policy number are:
Carrier 6A_r14 v- V _-, - K_'
Policy Number 1.5: r)QJ f <- 7 - �k -
(The above sections need not be completed if the perni-ifis 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, arfd agree that if I should become subject to the
workers' compensation provisions: of section 3700 of the Labor Q
forthwith comply with ose provi sions.
X Date L
Sigffature of Applicant - 0 Owner . 0 Contractor 13 Agent
An OSHA permit is required for excavations over 60" deep and demolition or construction/
of structures over 3 stories in height.
MECHANICAL PERMIT Filing Fee 20.00
Heating
— Cooling
Hood 6.50
Ventilation
PERMIT FEt $
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
CONST. TYPE
TOTALFEE$ 245.00
I
RAZ.
I D. FEES IMP
I FLOOD
I CDF
PARCEL
I PD
I HD
This permit is hereby issued under the applicable provision i s
of the Butte County Code and/or Resolutions to do work
indicated above for which fees have been paid.
By kil-0 C(A c�- 6:14 Date 4�3
PERMIT EXPIRES ON /17/0//0
_J
ReceiptNo. �' � 'J 7 d '/ 5
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDEN ROD -APPLICANT
0-1-4-17-0-048 0:
PAUL, LYLE
638 CAMPBELL AVE, GRIDLEY
Cont: PF REILEY..
VINYL SIDING & WINDOWS
pldplvo)
4r
vw
I
pldplvo)
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT
24 HOUR INSPECTION #:(530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO)
OFFICE #:(530) 538-7541 FAX#: (530) 538-2140
WEBSITE: www.buttecounty.net\dds
PROJECT INFORMATION
Site Address: 634 CAMPBELL AVE
Owner:
Permit No: B07-0220
APN: 024-170-048
PAUL, LYLE B AND CAROL D
Issued Date: 02/16/2007 BY TMP
Permit type: MISCELLANEOUS
638 CAMPBELL AVE
Subtype: Remodel
GRIDLEY, CA 95948
Expiration Date: 02/16/2008
Description: NSF REMODEL (ADD BATH & GLI
(530) 846-0681
Occupancy: Zoning: A40 0
Contractor
Applicant:
Square Footage:
OWNER
PAUL, LYLE B AND CAROL I
Building Garage RemdVAddn
638 CAMPBELL AVE
300
GRIDLEY, CA 95948
Other Porch/Patio Total
(530) 846-0681
1
1 300
FEE INFORMATION
DBEH Building Review Fee $75.70
DBMSC Remodel -Residential $714.87
Total Charged: $790.57 Fees Paid: $790.57
Balance Due: $0.00 Receipt No: B1744
LICENSED CONTRACTOR'S DECLARATION
OWNER / BUILDER DECLARATION
Contractor (Name) State Contractors License No. / Class / Expires
I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License
OWNER
Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that
requires a peimit to construct, alter, improve, demolish, or repair any structure prior to its issuance,
also requires the applicant for such permit to file a signed statement that he or she is licensed
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
pursuant to the provisions of the Contractors License Law (Chapter 9 (commencing with Section 7000)
is in full force and effect.
of Division 3 of the Business and Professions Code] or that he or she is exempt therefrom and the
X
basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects
the applicant to a civil of not more than five hundred dollars
02/16/2007
penalty [$500];
Please check one of the following:
Contractor's Signature Date
I
r_JA-AS OWNER OF THE PROPERTY, OR MY EMPLOYEES WITH WAGES AS THEIR SOLE
L_J COMPENSATION,
WORKERS"COMPENSATION
DECLARATION
WILL DO THE WORK AND THE STRUCTURE IS NOT INTENDED OR
OFFERED FOR SALE (Sec. 7044, Business and Professions Code: The Contractoes License
Law does not apply to an owner of the property, who builds or improves thereon, and who does
I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations:
I HAVE AND
the work himself or herself or through his or her own employees, provided that such improvements
WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR
are not intended or offered for sale. If, however, the building or improvement is sold within one
WORKERS' COMPENSATION, as provided for by Section 3700 of the Labor Code, for the
year of completion, the owner -builder will have the burden of proof that he or she did not build or
performance of the work forwhich this permit is issued.
improve for the purpose of sale.).
I HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by
1. As OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED
CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Code:
Section 3700 of the Labor Code, for the performance of the work for which this permit is issued.
The Contractor's License Law dows not apply to an owner of the property who builds or improves
My Workers' Compensation insurance carrier and policy number are;
thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the
Contractor's License Law.).
Carrier. Policy Number: Exp. Date:
(This section need not be ccmp-Feted if the permit one hundred dollars ($1 00) -o -r Fe-s-sT-
0 1 AM EXEMPT under Section B. & P.C. for this reason:
DAt-ERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS
St
Is UED, I shall not employ any person in any manner so as to become subject to the Workers'
Compensation laws of California, and agree that if I should become subject to the worker
02/16/2007
X 4A
compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply withsthose
Owners eignature Date
provisions.
X 02/16/2007
1 hereby certify that I have read this application and state that the above information is correct. I agree
to comply with all City and County ordinances, rules, regulations, and State laws relating to building
Signature Date
WARNING: FAILURE TO SECURE WORKERS'COMPENSATION COVERAGE IS UNLAWFUL,
construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless
Butte County, its officers, agents and employees from any and all claims and liability for personal
AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE
HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION,
injury, including death, and property damage caused by, arising out of, or in any way connected with
the issuance of this permit. I hereby acknowledge that issuance of this permit does not authorize the
DAMAGES AS PROMDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND
ATTORNEY'S FEES.
use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte
County to enter the above mentioned property for inspection purposes. I hereby certify that I am the
property owner or am authorized to act on the property ownees behalf.
CONSTRUCTION LENDING AGENCY
( e P4 (,t 1 02/16/2007
1 HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for
Name of Permittee LSIGN] Print Date
the performance of the work for which this permit is issued. (3097 civ. code)
[]<wner [J Contractor OR: [:]Agent for Owner E]Agent for Contractor
FILE COPY
Lender's Address city Stat
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT APPLICATION
AND SUBMITTAL REQUIREMENTS
OFFICE#: (530) 538-7541 FAX#:(530)538-2140
A FEE FffLL BEREQUIREDAT TIME OFAPPLICATION
Welbsite: www.buftecounty.net/dds
"PLEASE PRINT CLEARLY"
APPLICANT INFORMATION
OWNER INFORMATION
Last "_ae
\�_ (N I I I
L4
Wa me)
Mailing Address
city
city
State _FziP
Stat4
Phone
Phone -
Fax
E-mail
E-mail
Lic. #
APPLICANT INFORMATION
CONTRACTOR
Name
L4
Address
Zip
city
Fax
State _FziP
State(3�
>
Phone
Phone
Fax
E-mail
-Z-700 63D -R93 - n53 -Z
Lic. #
Class
APPLICANT INFORMATION
ARCHITECTIENGINEER
Name
G4P
L4
Address,
Zip
Phone
Fax
city
C hi'� r_z
State(3�
>
'jpq59-7 3
Phone
Fax
6:3o-292'
-Z-700 63D -R93 - n53 -Z
E-mail
—
State License Number
C., 17 40 17 .3
APPLICANT INFORMATION
Name
Address
City
Sta e
Zip
Phone
Fax
E-mail
APPUCANT SIGNATURE
X 2��SA+a
U I
For office use only:
AP, i0v 4- / rio- n �a
Zoning I A -401
Flood Zone 1 SRA I Yes
Occ. 143
1
Type Const. V �j
Subdivision Name
Carrier
Map Book
I Page
Lot #
Address
IDate Approved:
PERMIT
NO.
'ed q, 0
BIN ig
14
PROJECTLOCATION
AP, i0v 4- / rio- n �a
Cross Street
WORKER'S COMPENSATION
Policy Number
Carrier
ifffiring anyone other than license contractors, a certificate of worker's
compensation must be shown at the time of permit issuance.
LENDING AGENCY
Name
Address
Description or Scope of Work:
'pe' -V CL."4 S'Xj Po"
'QO-t�V-� 1�1
Sq FT- Living "GaYage Open Cov
0 Structure Built without Permits
13 Proposed Change of Occupancy
(Note previous use):
EXPIRATION OF APPLICATION
Applications for which a permit has not been issued will expire one
year after the date of application. In order to renew action on an
application after expiration, a new application, plans and fee will be
REQUEST FOR REFUNDS
Refunds can only be made upon written request by the person who
paid the fee. The request must be made prior to the expiration of the
permit and no construction work has been done. Filing fees, plan
check fees for work plan checked and other department costs are not
refundable.
Received by—P, Amount: "C7 14 T9 Bldg
SRA
Receipt #: <� ----.,';hedff
.SMIP
Date: 70 edg, M.
A (0-07 r2,16 --S '"? Total
Butte County Department of Development Services
TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR
7 County Center Drive
Oroville, CA 75965
(530) 538-7601 Telephone
(530) 538-7785 Fax
www.buttecounty.net/dds
NOTICE TO BUILDERS
Before your building permit can be issued, your plans must be checked for compliance with the California Building Codes. In
addition, your plans are routed to other regulatory entities including but not limited to Planning, Public Works, Environmental
Health, and the California Department of Forestry for their clearances and approvals. There are some things you can do to
expedite your permit:
0 Make sure your application is complete.
0 Be responsive to requests from County departments for any additional materials or requirements.
The Building Division places its highest priority on processing building permits as quickly as possible and each day that passes
without a complete application adds to processing time.
Every permit issued by the Building Official shall expire and become null and void if the work authorized by such permit is not
started or completed within one year from the date of issuance of such permit. A permit may be renewed (for a fee) prior to
expiration an indefinite number of times, provided construction progress has been documented by the Building Division during
each year during scheduled inspections. No changes may be made in the original plans and specifications for such work. In
order to reinstate action on a permit after expiration, the permittee shall pay a new full permit fee and additional plan checking
and documentation may be required. Upon completion of work covered by this permit, please contact this office for final
inspection. As a reminder to you, it is illegal to occupy this building or any portion of the building for which this permit is
issued without a final inspection.
EXPIRATION OF PERMIT APPLICATION AND REFUND POLICY
Application for which a permit has not been issued will expire one year after date of application.
Refunds may only be made upon written request by the person who originally paid the fees. Refunds for pen -nit applications
(not yet issued) must be requested within two years from the date of fee payment. Fees paid at the time of application are
for Plan Check and administration. The Plan Check portion of fees is refundable only if the permit is cancelled or withdrawn
before any plan checking is done. Building Division costs will be deducted prior to authorizing a refund and a charge of
$54.99 to process the refund application will be assessed. Refunds on permits (issued) may be requested prior to the expiration
of the permit, provided no work has been done pursuant to the permit. An Inspection may be required (and deducted from any
refund amount) to determine no work was done.
Fee/refund information can be read on-line at http://municit)alcodes.lexisnexis.com/codes/butteco/
Reference Number: B07-0220
Location: 634 CAMPBELL AVE
Parcel Number: 024-170-048
Date: 02/06/2007
Owner Name: PAUL, LYLE B AND CAROL D Phone: (530) 846-0681
Description: NSF REMODEL (ADD BATH & GLUELAM)
Signature of Property Owner: RL�Z
Date: 02/06/2007
FILE
Butte County Department of Public Works
J. NUCHAEL CRLTW, DIRECTOR
LAND DEVELOPMENT DIVISION
Storm Water Managment Program
7 County Center Drive
Oroville, CA 75965
(530) 538-7266 Telephone
(530) 538-7171 Fax
www.buttecounty.net/dds
IC
1C9Y,L:. �-!Irr
-lq%- "
National Pollutant Discharge Elimination System (NPDES) Phase 11 Construction Storm
Water Permit and Storm Water Pollution Prevention Plan (SWPPP) Acknowledgment
[LESS THAN 1 ACRE I
0
0
Reference Number:
B07-0220
Date:
02/06/2007
Location:
634 CAMPBELL AVE
By:
TMEP
Parcel Number:
024-170-048
Sub Type:
Remodel
Owner Name:
PAUL, LYLE B AND CAROL D
Phone:
(530) 846-0681
Description:
NSF REMODEL (ADD BATH & GLUELAM)
By signing below, I the project owner/owners' agent, certify that this project WILL NOT DISTURB I acre or more
of land and that I therefore, do not need to apply for a Construction Storm Water Permit from the State of California
Regional Water Quality Control Board. Phased projects that contain multiple site buildouts of less than one acre but
when combined with subsequent phases total more than one acre of disturbed soil will require a Construction Storm
Water Permit from the state of California Regional Water Quality Board.
I am aware that submitting false and/or inaccurate information or failure to apply for a Construction Storm Water
Permit from the State of California Regional Water Quality Control Board for this project that disturbes one acre or
more of land may result in revocation of grading and/or other permits or other santions provided by law.
Signed:
Title:
FILE
Date: 02/06/2007
Butte County Department of Development Services
TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR
7 County Center Drive
Oroville, CA 75965
(530) 538-7601 Telephone
(530) 538-7785 Fax
www.buttecounty.net/dds
OWNER -BUILDER INFORMATION
An application for a building permit has been submitted in your name listing yourself as the builder of the property improvements specified.
For your protection you should be aware that as "owner -builder" you are the responsible party of record on such a permit. Building permits are not required to be signed
by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourselffrom
possible liability if that person applies for the proper permit in his or her name.
Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by
law to put their license number on all permits for which they apply.
If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and
protection:
If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $500 or more for the entire
project and such persons are not licensed as contractors or subcontractors, then you may be an employer.
• If you are an employer, you must register with the state and federal government as an employer and you are subject to several obligations including state and federal
• income tax withholding, federal social security taxes, workers/ compensation insurance, disability insurance costs, and unemployment compensation contributions.
There may be financial risks to you if you do not carry out these obligations, and these risks are especially serious with respect to workers' compensation insurance.
For more specific information about your obligations under federal law, contact the Internal Revenue Service (and, if you wish, the U.S. Small business
Administration). For more specific information about your obligations under state law, contact the Department of Benefit Payments and the Division ofIndustrial
Accidents.
If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through thier own employees,
without a license contractor or subcontractor, only under limited conditions.
A frequent practice of unlicensed persons professing to be contractor is to secure an "owner -builder" building permit erroneously implying that the property owner is
providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work
personally.
Information about licensed contractors may be obtained by contacting the Contractors' State License Board's automated telephone information system at 1-800-321
-CLSB (2752) or by accessing thier website at www.CSLB.ca.gov.
PLEASE COMPLETE AND RETURN THE ENCLOSED OWNER -BUILDER VERIFICATION FORM SO THAT WE CAN CONFIRM THAT YOU ARE
AWARE OF THESE MATTERS. THE BUILDING PERMIT WILL NOT BE ISSUED UNTILL THE VERIFICATION IS RETURNED.
OWNER BUILDER VERIFICATION
PLEASE COMPLETE THIS FORM AS REQUIRED BY THE STATE OF CALIFORNIA (SENATE BILL NO. 831 EFFECTIVE JULY 1, 1980). NO BUILDING
PERMIT WILL BE ISSUED UNTIL THIS VERIFICATION IS RECEIVED.
1. 1 PERSONALLY PL6UTO PROVIDE THE MAJOR LABOR AND MATERIALS FOR CONSTRUCTION OF THE PROPOSED PROPERTY
IMPROVEMENT.0011 NO)
2. I(E�HAVE NOT) SIGNED AN APPLICAT16N FOR A BUILDING PERMIT FOR THEPROPOSED WORK.
3. 1 HAVE CONTRACTED WITH THE FOLLOWING PERSON (FRK TO PROVIDE THE PROPOSED CONSTRUCTION:
ADDRESS CITY
PHONE CONTRACTORS LICENSE NO
4. 1 PLAN TO PROVIDE PORTIONS OF THE WORK, BUT I HAVE HIRED THE FOLLOWING PERSON TO COORDINATE, SUPERVISE, AND PROVIDE
THE MAJOR WORK:
ADDRESS CITY
PHONE CONTRACTORS LICENSE NO
5. 1 WILL PROVIDE SOME OF THE WORK BUT I HAVE CONTRACTED (HIRED) THE FOLLOWING PERSONS TO PROVIDE THE WORK INDICATED:
NAME ADDRESS PHONE TYPE OF WORK
Description: NSF REMODEL (ADD BATH & GLUELAM)
Reference Number: B07-0220
Applicant Name: PAUL, LYLE B AND CAROL D
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