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HomeMy WebLinkAbout024-170-051F -WNW— . ffGRAGALLAWAY AP 24-17->< 57 e/%sCowee Ave., 29; N. of Turner Ave., . _90w Gridley cOntr: C.L. Noring &Sons, Elec, YC Permit# 712-75 ser fce change & addil recepticle F11tv ql-3lfV 24-17-?C.5/- �7 B ( adc Permit #4091-79B(addition & reroof) 24-17- c c C on�.t.r: Big Duck Const., Vacaville �r.3 9 0P_ (I Permit #2796-86P E(util.,MH) Zook ELEC. //- �� GAS 11 -q -,F0 -94*,W4t1'Ab9-r a SUPPORT STRUCTURE COMPACTION TEST REQ. 24-17-37— contr: Big Du-69010c&�St. C a ^Yke Permit jbj�j'9*7-80MHI GA S SUPPO C OMP c 0 n t r. Pe rm 3-7 Is a e 00' Permit #6246-80B new covered djeck rmit & Z & carport/MH) 2 112d 7 024-170-051 PERMIT#97-2355 GALLAWAY, Glen 526 Cowee Ave., Gridl6y.-. Cont: A to Z Plumbing Gas Test/MH 024- -051 04-1377 GALLAWAY, GLEN 524 COWEE AVE, GRIDLEY( PINALED Cont: GREENE & SONS REROOF B07-1897 024-170-051 M I SCELLANEOUS Water Heater C/O WATER HEATER CHANGE OUT 524 COWEE AVE GAI.J.,AWAY, GLEN _7� pow, HIL -L, Mr. 94FIr—S. Claude' 707-68B4, and, GALLAWAY, Grace 982-68i' 10 -6 e/� Cowee k*1 no..Turner Ave..' Gri (m6ve-in) "7 71' L 4t 4�hj BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR I-NSPECTION #:(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: 524 COWEE AVE Owner: Permit No: B07-1897 APN: 024-170-051 GALLAWAY, GLEN Issued Date: 9/6/2007 By GLB Permit type: MISCELLANEOUS 524 COWEE AVE Subtype: Water Heater C/O GRIDLEY, CA 95948 Expiration Date: 9/5/2008 Description: WATER HEATER CHANGE OUT (530) 846-5080 Occupancy: Zoning:A40 0 Contractor Applicant: Square Footage: BROWN JOHN HEATING AND AIR BROWN JOHN HEATING AN) Building Garage Remdl/Addn 1024 REGENCY DRIVE 1024 REGENCY DRIVE CHICO, CA 95926 CHICO, CA 95926 Other Porch/Patio Total (530) 592-9277 1 (530) 592-9277 1 FEE INFORMATION DBP Water Heater (qty) $58.00 Total Charged: $58.00 Fees Paid: $58.00 Balance Due: $0.00 Receipt No: B4529 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 BROWN JOHN HEATING AND 1825622 / C20 / 10/31/2007 Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that requires a permit 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 o9Me Business and Professions Code, and my license pursuant to the provisions of the Contractor's License Law [Chapter 9 (commencing with Section 7000) is in of Division 3 of the Business and Professions Code] or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects X 9/6/2007 the applicant to a civil penalty of not more than five hundred dollars [$500); Please check one of the following: Contractors SiOature Date 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 (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of the property, who builds or improves thereon, and who does WORKERS"COMPENSATION DECLARATION I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: the work himself or herself or through his or her own employees, provided that such improvements DI HAVE AND 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 for which 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. 71344, Business and Provessions Code: Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. The Contractors 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: �is7®r — (This section need not be completed if the permit one hundred dollars ($100jor less.) ElI AM EXEMPT under Section B. & P.C. for this reason: CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS SSUED, 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 workers' X 9/6/2007 compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those Owners Signature Date X 9/6/2007 I 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 1;/11 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 hcId 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 auftrize the DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte ATTORNEYS FEES. County to enter the above mentioned property for inspection purposes. I hereby certify that I am the p 7— arty own:�emth ized to actn the property owners behalf. CONSTRUCTION LENDING AGENCY (_ 9/6/2007 4� I HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for Nam"t Permilftee [SIGN] Print Date the performance of the work for which this permit is issued. (3097 civ. code) 1:1 Owner 1:1 Contractor OR: Agent for Owner E]Agent for Contractor I FILE COPY Lenders Address city state Zip BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION OFFICE#: (530)538-7541 FAX#:(530)5')8-2140 A FEE WILL BE REQUIRED A T TIME OF APPLICA TION Website: www.buttecounty.net/dds "PLEASE PRINT CLEARLY" CONTRACTOR OWNER INFORMATION Last Na7ea- First Name/' Mailing Address Zip sl�7'Z city 1 41 Fax State CA Zip Y8 Phoney I Class Fax E-mail E-mail CONTRACTOR Name --sur, Address 1COLI city C�- 0 jeb State CAI Zip sl�7'Z Phone 7 Fax E-mail Lic. # I Class APPLICANTINFORMATION ARCHITECTIENGINEER Name city (:�/ Address Ty-peConst. City :F:a x State Phone Fax E-mail State License.Number APPLICANTINFORMATION Name Address city (:�/ Stale Ty-peConst. Phone _51V - 90 (3 :F:a x E-mail APPLICANT SIGNA TURE X PERMIT NO. el �1' BIN 14 PROJECTLOCATION AP# aL(. ( W 6 S-/ Property Address _5 '�Q Ll 0 city J It (!,A 'q Scl 4/6 WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than license contractors, a certificate of work compensation must be shown at the time of permit issua LENDING AGENCY Name Address DESCRIPTION OR SCOPE OF WORK:. Sq FT- Living Garage Open C 0 Structure Built without Permits 0 Proposed Change of Occupancy (Note previous use): Y)U For office use only: Z T -T o ing Flood SRA I Yes No Occ. Ty-peConst. I 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.lbuttecounty.netkdds PERMIT NO. BP041377 LICENSED CONTRACTORS 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 1 Issued Date: 05/14/2004 A :046-0"-244- . 4" - <ii the Business and Professions Code, and my license is in full force and effect. 57 License Class: C- 3q Ll a N mber: 22-6D- Site Address: 524 COWEE AVE GRI Date: Contractor: 49—�� Map Index: Description: TEAR OFF & REROOF W/ COMP SHINGLES OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 (19 SQS) Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a Owner: GALLAWAY GLEN signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 commencing with Section 524 COWEE AVE 7000) of Division 3 of the Business and Professions Code) or that he or GRIDLEY, CA she is exempt therefrom and the basis for the alleged exemption. Any 95948 violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): El 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 (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does Applicant: GREENE & SON ROOFING such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one PO BOX 2467 year of completion. the owner -builder will have the burden of PARADISE, CA 95967-2467 proving that he or she did not build or improve for the purpose of sale.). 530-873-3940 13 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed Contractor: GREENE & SON ROOFING pursuant to the Contractors' State License Law.). 0 1 am Exempt under Article 3 of the Business and Professions Code PO BOX 2467 PARADISE, CA 95967-2467 Date: Owner: 530-873-3940 — WORIKERS'COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: License #: 275057 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. 1 have and will maintain workers' compensation insurance, as Architect: required by Section 3700 the Labor Code, for the performance of Engineer: the work for which this permit is issued. My workers' compensation insurance carder and policy number are: Carrier: 3rA te 1:--� d, Total Square Ft 0 S. F. Policy #: 1 YZ -6 a L q -,?- 13 1 certify that in the performance of the work for which this permit is Valuation: $0.00 issued, I shall not employ any person in any manner so as to Census Code: become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' compensation Section 3700 the Labor provisions of of Code, I shall forthwith comply with those provisions. Date: Applicant: WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. c �A -7 CONSTRUCTION LENDING AGENCY I hereby affirm that there is This permit Is h by issued under the applicable provisions of the Mitte County CodA enrvor Resolutions tolio a construction lending agency for the ?rMindicate r which fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) Name: By- Date: PERMIT EXPIRES ON: (Date) Address: L3 I hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. 0 Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. Q Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any offic form or document of Butte County. I hereby authorize representatives of Butte County to enter upon the above mentioned property for inspection purposes. Print Name: 61�,giga"e— Signature: Date: 0 Own6r <:76�Contractor 0 Agent for Owner Q Agent for Contractor 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%dids PERMIT NO. BP041377 LICENSED CONTRACTORS DECLARATION (4 I hereby affirm under penalty of perjury that I am licensed under (70 provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date: 05/14/2004 APN-91tl--07T-'2T5_-0UU— the Business and Professions Code, and my license is in full force and effect. License Class: C- 3q License Number: 22,6D5 7 Site Address: 524 COWEE AVE GRI -Map Date: Contractor Index: Description: TEAR OFF & REROOF W/ COMP SHINGLES OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 (19 SQS) Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a Owner: GALLAWAY GLEN signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 commencing with Section 524 COWEE AVE 7000) of Division 3 of the Business and Professions Code) or that he or GRIDLEY, CA she is exempt therefrom and the basis for the alleged exemption. Any 95948 violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): 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 (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does Applicant: GREENE & SON ROOFING such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one PO BOX 2467 year of completion, the owner -builder will have the burden of PARADISE, CA 95967-2467. proving that he or she did not build or improve for the purpose of sale.). 530-873-3940 LI 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed Contractor: GREENE & SON ROOFING pursuant to the Contractors' State License Law.). 0 1 am Exempt under Article 3 of the Business and Professions Code PO BOX 2467 PARADISE, CA 95967-2467 Date: Owner: 530-873-3940 WORKERS'COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: License #: 275057 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 s issued. _ ; Architect: 62�. have and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of �Engineer: the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier: 3rA Total Square Ft: 0 S. F. Policy #:_ 1 YZ -6 3 lo . Valuation: $0.00 El I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to Census Code: become subject to the 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. Date: Applicant: WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor LD code, interest, and attorney's fees. — - —7 r- e ce-&/ CONSTRUCTION LENDING AGENCY This permit is h by issued under the applicable provisions of the Butte County Codp anrvor I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec 3097 Civ.) Resolutions to o indicat 6 r which fees have been paid. 0 F, 07 77 Name: B Date. 1/ -15 -7 -115 - PERMIT EXPIRES Address: ON: (Date) 0 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. C3 Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. 0 Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any officjq form or document of Butte County. I hereby authorize representatives of Butte County to enter upon the above mentioned property for inspection purposes. r Print Name: Signature: Date: Q Owner Contractor Ell Agent for Owner Ell Agent for Contractor a liz BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 - / -? 0 - 0 ST PERMIT NO. BP 6y-jp� DATE: S —'/ �z — a 'V APN: 4-� , 4:4 - 1 71 L-/ - U Z ONING: OWNI=R.'S LAST NAME: OWNER'S FIRST NAME: PHONE: ;�R)hq 3 Ur STREET ADDRESS, FAX: CITY. ZIP: lgrj-dup—w , e1A 1 E-MAIL: SITE ADDRESS: we- e CITY. ZIP: CA - 41.5 q 4- 9 NEAREST CROS§ STREET: /yo "t 27,1-yve- V - TRACT/LOT t. APPLICANT NAME: &e-4J'V9 /SQ A) PHONE: 9 73 3 R 144, 10 STREET ADDRESS: .j FAX CITY, ZIP: E-MAIL: CONTRACTOR NAME: PHONE: F,73 9 '1 v STREET ADDRESS ), FAX CITY, ZIP: E-MAIL: LICENSE NUMBER- 2 LICENSE ARCH ITECT/ENGIN EER NAME: PHONE: STREETADDRESS: FAX: CITY. ZIP: LICENSE NUMBER: E-MAIL: DESCRIPTION OR SCOPE OF WORK: ;�I24Y-0'0001 1-7 "Ozvna� Zoe C!2—m4 0 Structure Built without permits 0 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 fees will be required. 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. For office use only: Notes: Application Received /aDqa/�� OL/ by: Date: , Receipt number: -7 Amount Received: Master application 3 4 04 q, - OFFICE COPY Address ---- L ----- GAS Meter By _"D a ,ELECTRIC . -Meter By Date COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive - O�oville, California 95965 - Telephone (916) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT 2 7-,-,:236 5 - ASSESSOR PARCEL NUMBER 024-170-051 ZONING . A40 BUILDINGPERMIT OWNER G10 GA11AWAY T�LEPHONE SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS 524 COWEE AVE GRIDLEY CONTRACTORS NAME A To z numiNG TE'99044519 CONTRACTORS "UNG ADDR�% PIONEER TREE OROVILLE CONSTRUCTION LENDER [Fireplace UENDER'! MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 —Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDINGADDRESS 526 COEWEE Energy Plan Checking Fee $ G'RIDLEY ___[�7A� PERMIT FEE LOT NO. SUBDIVISIONS NAME MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF 0 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 0 Describe Work: GAS TEST �fff FOR SERVICE Gas piping system I - 5 outlets 15.00 15 - 00 Building sewer 15.00. Mobile Home Is I GI W1 920.00 1 PERMIT FEE :3.5. Ou ELECTRICAL PERMIT Filing Fee 20-00 a OR LESS Main Service 20.0.VA OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing �iith Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class /1. -'1 Lic. No. -7c 'I 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. -14 0 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUP OR ADDNS. & ACC_ BLOS. so 3.5.OFT. CON5T* LET =.ES.. .= OC UIR CUTS 97.50 POWELI APPALRATTUS E 0 E CIR. Ex. Occup. OUTLET OR FIXTURES 20 @ 1.00 BAL @ .50 Ex. Occup. 'uTLED A PP R, 1 , (.a'.)OE 5.001 Temporary Service 23.001 Mobile Home Facilities 20.001 Misc. Wiring 23.00 1 PERMIT FEE $ WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: 0 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. 0 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00_ Heating Cooling Hood 6.50 Ventilation PERMIT FEt $ 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.) E3 I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to 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. 7 X - 'I �` - Date I Signature of Applicant-- 0 Owner a,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 TOTAL FEE $ 35.00 E HAZ. D. FEES IMP I I FLOOD ��PD I HO ISSUE This permit is hereby issued under the applicable of the Butte County Code and/or Resolutions indicated above for which fees have been B xk� Date y . ­ / PERMIT EXPIRES ON I — provisions to do work paid. Ole) Receipt No..7-3 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDEN R05 -APPLICANT COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING VISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) -75A 17, EFIULT-B-0. A go (Rev. 12/96) APPLICATION AND PERMIT z ASSESSOR PARCEL NUMBER 024-170-051 fbNING A40 ABUILDING PERMIT OWNER GLEN GALLAWAY TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNEWS MAILING ADDRESS 524 COWEE AVE GRIDLEY CONTRACTOR'S NAME A TO Z PLUMBING TELEPHONE 589-4519 CONTRACTORS MAILING ADDRg4 PIONEER TREE OROVILLE CONSTRUCTION LENDER LENDER'! MAILING ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NU. Filing Fee $ 20.00 —Permit Fee $ ARCHITECT OR ENGINEEWS MAILING ADDRESS Plan Checking Fee $ BUILDINGADDRESS 526 COEWEE Energy Plan Checking Fee $ GRIDLEY PERMIT FEE $ LOT NO. SUBDIVISION'S NAME I PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF 0 Duplex 0 Mobilehome §P 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 11 Utilities 0 Installation 0 Other 0 Describe Work: GAS TEST MH FOR SERVICE Gas piping system 1 - 5 outlets 15.00 5 ()n Building sewer 15.00 Mobile Home I S I G I W 920.00 PERMIT FEE $ 35.00 ELECTRICAL PERMIT Filing Fee 20.00 Main Service '2.".A 'OR 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing %0h Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force an effect. License Class (I 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 p roperty, or my emp loyees with wages as their sole com pensation, 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 P. OR AODNS. a ACC. .01CCU Sa- 30.50FT* NEW CONST. B=OUTLIFT NON-RESID. C'RC ". @7.50 OWER APPARATUS IPSINGLE OUTLET CIR.. —Ex. Occup. OUTLET OR FD(TURFS 20 @ 1.00 L @ .50 ..FITX.ED A UNS OR. Ex. Occup. PPES,6.) E 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 1 23.001 I I PERMIT FEE $ WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: 0 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. 0 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, 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 if the permit is for work of a valuation alr"of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to 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. X te J_?__ 'T Signature of Applican -- [9 Owner ontractor 0 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 1 11 PERMIT FEt $ Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTALFEE$ 35.00 COF PARCEL I PO HD ISSUE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By PERMIT E41R` N .3 the applicable provisions Resolutions to do work been paid. Date A'd I (Date) ReceiptNo..2-3 1,9!�Q WHITE-O.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDEN ROD-APPLICA-17 z m �e . Page No. 4 02/14/96 MATER STREET LIST NAME TERMINI STATUS AP # RANGE TRAVIS ROAD PEARSON RD TO HENSON RD PARA 54-16 TREASURE HILL DRIVE KANAKA AVE TO KANAKA AVE CO 69-25 TREE VIEW LANE FEATHERVALE DR TO END PVT 72-11. TREELAKE COMMONS HILLBROOK TERRACE TO END CHICO 11-03 CITY/NO RANGE TREELINED LANE END TO BALD ROCK RD PVT 62-51 TRENTA DRIVE MOYER WAY TO WEST LINDO, AVE CO 43-63 TRES NINOS WAY FORTUNE WAY TO END PVT 27-02 TRES VIAS ROAD END TO END CO 30-24 TREVANNA WAY GLEN AVE TO END PVT 68-30 TREVOR ROAD END TO TRUEX RD PVT 58-67 TRIBAL COURT REMINGTON DRIVE TO END CHICO 11-05 CITY/NO RANGE TRIBULATION TRAIL MT. IDA RD TO END PVT 72-08 TRIESTE WAY END TO TRACY LN CO 48-32 TRILLIUM LANE END CIRBY CREEK RD PVT 58-25 TRILLUM WAY END TO MEADOW LN DR PVT 62-30 TRINITY LANE END TO CALIFORNIA PARK DR CHICO 11-12 CITY/NO RANGE TRIPLE H LANE HIDDEN SPRINGS RD TO END PVT 62-23 TRIPOLI TERRACE V6 RD TO END PVT 36-02 TROXEL ROAD DUNCAN RD TO DURHAM DAYTON HWY CO 39-28 TROXEL WAY AGUAS FRIAS RD TO DUNCAN RD CO 38-07 TROY LANE END TO GODMAN AVE PVT 07-26 TROY WAY CARNAGIE RD TO COLTER WAY CO 64-15 TRUETT LANE HUMBOLDT RD TO END PVT 60-22 TRUEX ROAD END TO HWY 70 CO 58-67 TRUMAN JOURNEY WAY ENCINA GRANDE RD TO END PVT 61-48 TRUXTON COURT HOMER LN TO END PVT 28-08 TUCKER AVENUE END TO OAKVALE AVE CO 36-05 0-150 TUCKER LANE MITCHELL AVE TO END ORO 12-24 CITY/NO RANGE TUFTS COURT SOUTH PARK DR TO END CO 66-21 TULANE COURT CUMBERLAND RD TO END CO 64-40 TULIP LANE ELLIOTT RD TO END PARA 52-15 TULIYANI DRIVE GARNER LANE TO END CO 47-44 4200-4399 TULSA COURT SHAW Cli TO END CO 66-05 TUMBLEWEED LANE CASEY RD TO END PVT 29-22 TUOLUMNE DRIVE EAST AVE TO ALBION CT CHICO 48-06 TURNAGAIN LANE END TO DEER MEADOW RD PVT 61-63 TURNBRIDGE WELLES LUPIN AVE TO END CHICO 48-23 TURNER AVENUE HWY 99 TO LARKIN RD CO 24-16 TURNER LANE END TO DURHAM DAYTON HWY PVT 39-24 TURNERS ALLEY BIRD ST TO MINERS ALLEY ORO 12-08 CITY/NO RANGE TURNTREE COURT MIDWAY TO END , PVT 40-28 TURTLE COVE WAY CABLE BRIDGE DR TO END PVT 11-29 4500-4750 TURTLE RANCH ROAD PLEASANT GROVE LN TO END PVT 28-39 TUSCAN AVENUE CHCIO 06-1.) TUTTLE COURT DEADWOOD RD TO END PVT 58-17 TWEEDY LANE END TO CONCOW RD PVT 58-23 TWELFTH STREET HWY 162 TO NELSON AVE CO 30-19 TWENTIETH STREET GRAND AVE TO NELSON AVE CO 30-46 TWENTY FIRST STREET GRAND AVE TO END PVT 30-12 TWILIGHT COURT NORTH POINT DRIVE TO END PARA 51-05 TWIN LAKES COURT SAVE WEBB HOMES (6-8-93) 06-50 A C7 COUNTY OF BUTTE DEPARTMENT 0 F PUBLIC WORKS 7S 7 County Center Drive,- — Oroville, California 95965 T e I elpto n a: - §�4-4541 APPLICATION AND PERMIT )y BUILDING Owner ? A!? SQ. F T. OCC. BUILDING VALUATION Mai I ing Address Telephone No. Fireplace Contractor 4A —Sn Total Valuation Mailing Address AL,, -e— Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee $ $ Building Address '9� PLUMBING No.1 @ FEE PERMIT FILING FEE $2.00 <.Z Each Trap 1.50 d40 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No.4, 0 0 3 "ll) Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fees' I' W.C, Sanitation -F eDe ir pt. F, re Zone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaratio=na:rce P I M ap 60' R/W Improvements Lawn sprinkler system 2.00 Bldg. Plans Rec'd Parcel Approval Plans Approval Perm -it Fee $ $ NEW ADD I T I ON. UTILITIES OTHER ELECTRICAL_No.1 @ I FEE PERMIT FILING FEE $3.00 1—r-1 14 A14 Main service incl. 1 meter _7 roel Additional meters, each 1.00 Single Family Duplex Mobi'l Home'[:] Others Sub -panel (12 orsless) (more than 12) a Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 Light fixtures 20 IS 25 b ail ,10 0 �111 Receps., switches & fix outlets b_. _7 CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: 4,lo Q , Io- I _g n v 104ff ('I I Hood, Ex. Fan or F.A. Furn. Motor 1.00 Evap. cooler, gar. disp. or D.W. 1.00 Air conditioner or heat pump Water pump Mobil Home Facilities 5.00 Temp. Power Pole 5.00 License No. Classificati6n misc. wiring EJ I am exempt from the Contractors License Laws of the State of California. Pernit Fee WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California Labor ,Code which requires every employer to be insured against liability for Workmen's Compensation. 0'. [gol have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. certify that in the performance of the work for which this plermit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE eN $3.00 Heating cooling Ventilation Hood 2.00 Permit Fee $ I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and. S.tate Laws relating to building construction, and hereby I TOTAL PERMIT -FEE, I A� .U1 — —V WPIU�UIlLati VU0 Ul Lilt! %�UUIILY Ul MUM� 1U t�[Uur upun ine ab� ve -mentioned property for inspection purposes. X, Date ;�J Sl;n'atur� of Permitee or I Agent 0. -9 e?l Receipt N White-D.P.W. Yello—Assessor — Pink -inspector — Goldenrod-Applicont This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Date Building -permit expires Date/ ............ .............................. /),Jy Owner kF C5.� Mai I ing Address Contractor Mai I ing Address K*Building Address COUNTY OF BUTTE — IDEPA�TMENT OF PUBLIC WORKS 7 County Center Drive — 0 - ro vi I le, Cal I forni a 95965 Telephono: 534-4541 APPLICATION AND PERMIT BUILDING SQ.= OCC. BUILDING VALUATION Ad, a--ld Y I I I F, I WX ==d NEW ,A. P. No. -C a4l — / "2— 0 — 031- 0 1 Zoning & Planning I F6,,d-s I %E,#,— I _SaR44�Fi re Dept. I Fi re Zone Use Permit EQA IParking Parcel Parcel Map 60' R/W I Improvements Plans Declaration I I Bldg. Plans Rec'd Parcel Approval Plans Approval NEW ADDITION UTILITIES OTHERX, 'I __ e— , I'd I- — . .1 — (y Single Family R Duplex [:] Mobi I Home 4C] Others [_1 CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name styl C_ XLicense No. OR 90 J Classificatio n 0 I am exempt from the Contractors License Laws of the State of California. WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability ;for W men's Compensation. have placed on file with the County of Butte a certificate of �'o�,,r, Workmen's Compensation Insurance. certify that in the performance of the work for which this plermit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. 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. Date Signature of Permitee or Agent Receipt No. Z-,;2, White-D.P.W. — Yellow -Assessor — Pink -inspector — Goldenrod-Appliccnt Fireplace I Total Valuation Permit Fee PlanChecking Fee&/orPenalty Permit Fee PLUMBING PERMIT FILING FEE Each Trap Repair drainage or vent piping Water piping Each gas water heater or vent Gas piping system 1 - 5 outlets Each additional outlet Building sewer Lawn sprinkler system Permit Fee ELECTRICAL FERMIT FILING FEE Main service incl. 1 meter Additional meters,je.�ch oe!!� Sub -panel (12 ofl-ess) (more than 12) Range, Cook -top or Oven Water Heater or Space Heater Light fixtures Re(Aps., switches & fix outlets Hood, Ex. Fan or F.A. Furn. Motor Evap. cooler, gar. disp. or D.W. Air conditioner or heat pump Water pump Mobil Home Facilities Temp. Power Pole Misc. wiring FEE $2.00 1.50 1.50 1.50 1.50 1.50 .30 5.00 2.00 mm =-NMI U04 r1_* Permit Fee $ MECHANICAL _JNo. @ FEE PERMIT FILING FEE $3.00 Heatina Cooling Ventilation Hood 2.00 Permit Fee $ TOTAL PERMIT FEE Is L4:� � This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which ofees hav been paid,. 26� IRE OF PUBLIC WORKS By Date it nt. permit expires Date ...... 3Z61 9 3!!Ind -,o �noo 11 __�091- 7 9B PEL 'PERMIT EXPIRES OWNER GRACE GALLAWAY UONTR. owner I-OCATION (A.P. 24-17-)� EIS Cowee Ave, 500' 14 of Turner Ave, Gridley eAA-�cLCD V fit iA . H�ISISV Temp. Power Pole Called PG&E - Temp. Elec. Serv.- Called PG&E Temp. Gas Serv. Called PG&E JOB FINALED- (Date) (Signature) 'i COONTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDING (Co'nt'd) PLUMBING Setback Firewall Soil Piping Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor Stemwa I I Sidino Topout Slab Roof Sheathing Water Piping Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Garage Vents Water Htr. Stemwa I I Insulation Heaters Slab Prov. for physically Appliances Carport handicap e Gas Piping Test Conformance of ex.. Footings structure Temp. as Slab Final Sanitation Patio FIREPLACE Final Footings Footing ELECTRICAL Masonry Walls Throat Rough Reinf. Steel Final Fixtures Bond Beam FIRE SPRINKLERS Motors Framing Test Water Htr. Stucco Final Subpanels Mesh MECHANICAL Grd. Fault Prot. Scratch Heatino Service Br own Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final- Final MOBILEHOi�E UTILITIES ------------------ Elec- Service Elec. Pedestal Water Piping Sewer Gas Piping WQB16EHOME INSTALLiLTION -------------- Support Elec. Continuity Water Piping Drainage Gas Piping DATE REMARKS OR CORRECTIONS r I (NOTE: An entry must be made on this form each time you visit the job site.) COUNTY OF BUTTE DrEPATMENT OF PUBLIC WORKS V6 Men,2rial Way, Chico — Phone: 891-2751 7 County*Center Drive, Oroville — Phone: 534-4541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE ODA Ale Q JA.> -Q BUILDING OR PROPERTY ADDRESS 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, o ed additional explan tion, please contact this office Immediately. .00\r%A -V" 1YAAJ I f) A' A I I v Inspector Date r/ — COUNTY OF BUTT9 DEPARTMENT OF PUBLIC WORKS 7 County Center Drive r— OI;d�ille, California 95965 Telepl�one: 534-4541 APPLICATION AND PERMIT Owner rn-12A.—d 61 t* LL Mailing Address ddc-A hone No. —3 6-6 y Contractor Mai I ing Address Telephone No. Building Address Z. -.—A C6,—o-P Al��% <00 08Z 0/::7 A.P.No. I.-ning & Planning FJ.es F i re D ep t. Fii e Zone Use Permit Parking Parcel EQA Plans Declaration I Parcel Map F60' R/W I Impro Bldg. P41n'sRec'd PariaL_��rovol PIks"Approvol NEW [:] ADDITION UTILITIES OTHER [J Single Family 12 Duplex Mobi I Home Others -&zA*J CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: License No. Classification I am exempt from the Contractors License Laws of the State of California. WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions ot Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. 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. ZVIX 61� Date Sign,atu're-of Pe-rmitee or Agent Receipt No. ? a- White-D.P.W. — Yellow -Assessor — Pink -Inspector — Golden rod-Appl i cant BUILDING I V I SQ. FT. I OCC. I BUILDING VALUATION Fireplace I I $ Total Valuation C Permit Fee J. PlanChecking Fee&/orPenalty 5.00 Permit Fee $ PLUMBING No.1 FEE PERMIT FILING FEE $3.00 Each Trao 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Building sewer 5.00 Lawn SDrinkler system 2.00 Permit Fee $ ELECTRICAL No. @ PERMIT FILING FEE $3.00 600V OR L Main service 100 AMP ORESLESS 5.00 Main service EA. ADD -L 100 AMP 2.50 OVER Main service 100 AM6P000VR LESS 25.00 Main service EA. ADD -L 100 AMP 1.00 NEW.CON5TF;L (MULI I.UU I "' NON RESID. BRANCH CIRCUITS)l 12.50ea NON-RESID. %SINGLE OUTLET CIR. I I 50 & 250 Ex. Occuo(OUTLETS OR FIXTIIRES) _BAL@1 FIXED APPLNS. OR % Ex. Occup.(OUTLETS (RESID.) EAJ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 6.�5 Permit Fee $ MECHANICAL N0.1 @ I FEE PERMIT FILING FEE J$3.00 1 Heating I I Cooling '7y Ventilation I I I Hood 1 1 2.001 Permit Fee $ $ F Land Development Fee $ TOTAL PERMIT FEE I $ 1360 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. DIREC 0 PUBLIC WORKS V Date Z-/ 4 o Building permit expires I ate Grace Gallaway 452 Alsmar Way Yuba City, CA. 95991 Dear Mo. Gallaway: safte, 161oull L A N D 0 F NATU RAL W EA LTH AN D BEAUTY DEPARTMENT OF PUBLIC WORKS CLAY CASTLEBERRY, Director 7 COUNTY CENTER DRIVE, OROVILLE, CALIFORNIA 95965 Teleohone: (916) 534-4541 H. W. McDONALD Deputy Director October 8. 1981 RE: Buildinj p mit # 4091-70 (new front e A.P . # -17-51 porch & reroof (Cowee ilve.*, Gridley) With reference to the above subject, we have been advised by one o * f our building inspectors that there are items requiring corrections for the,work which you have done as follows: On the subject reroof and front porch permit: 1. The permit has expired (7/16/80). 2. Obtain additional permit for remodelina. Since these items must be corrected before we can final the job &Mi please make the above corrections and contact this office within ten (10) days of the date of this letter and request final.inspection. Your cooperation in resolving these items in a timely manner will certainly be appreciated. Should you have any questions concerning this matter, please contact this office. 0 JFG: dd cc: Building Inspector , Oraville Yours Very truly, Clay Castleberry Director of Publ ,S.V. Glander Assistant Director ks Owner: I Addres Tenant Buildl Typ e o Phft'P, W" wz-�P �,II&LWYU uL uccupancy to 4. Other (specify) - 11, 2xi, CZ,47" IL Preseut use, cf bu ild--*.ng.--- A. Sanitation 1. Vatpr closet: 2. Lavatory 3. Bathtub or shower: 4. Kitchen sink: 5. Hot and cold water to fixtures: 6. Heating fzcilities: 7. Natural light and ventilation: 8. Row and sp�acp requirerhents: 9. Bedrocfin window or door for second exit,.� V). Infestation of insects, vermlrn,' or ro&!ntr,:'— ll. Connect -T 'on to sewage disposal.: 12. Cminection to 'water supply: 13. Rubbish and garbage facjilitles: 14. Comments: B. Structural 1. P-Lers and footings: 2. Floor constniction: 7 3. Wall corstruct 1`01i:—_ 4. Ceiling and roof cons tru�t —ior-1: 5. F -; -- rr,places 6. C m Un e n t s C. Electrical Serviccl n.nd fz-ound- 2. 3. D. Plj�mb in 1,1 T7 4 U -r. (-, f4 C C,,,: ,,d and vented: 2. vats -i* 3. G -as hcatint- C) 4. com-'Ments:— V e-lat, S , E. Other Maintenance and repair: 2. Fire hazards: 3. Safety hazaids: 4. Weather protection: 5. Underfloor and attic ventilation: 6. Coimnents: F. Commlercial juik�ings 1. Roof covering: 2. Distance to property lines: 3. Physically h ' andicapped: 4. Restroom floors and 4alls: 5. Exits: 6. improvements: 7. Zoning:_ 8. Coments:­ G. Field Problems or Violations 1. Problem or Wation kgive Complepe description): 2. What jac t ioTi take­�J-jj7—je 3. What act'lon reconLmended: T7A. only - fi.1li!. r:�) t ion) : / / B. Hold for ten. (10.) days, then wr-ive letter. / / C. Write letter, Other: --t246-80B PERMIT �0. PERMIT EXPIRES George Gallaway OWNER owner CONTR. 24-17-51 ASSESSOR PARCEL LOCAT16N 426 Cowee Ave..,- Gridley -ZIA A - Temp. Power Pole— Called PG&E Temp. Elec. Service— C a I I e d P G 7/&E, Temp. Gas be(vice Cal le//PG& E J OB INA LED (Date) Si�nature OK 0 Not OK - MOAILEHOMES Not Applicable Not Ready MISCELLANEOUS Date MOBILEHOME UTILITIES (Plans) OK except #'s 1. Zoning Req u i rement s -Setbacks- Easements Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except #'s' 1. Zoning Req u i rement S-Setbac ks-.Ea semen t s 2. Soils; Special MH Support -Sketch 2. Footings: Size -Depth -Spacing -Connectors 3. Sewer; Location -Test -Fall -C/0 -Concrete 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Water; Location -Test -Easement Needed (Sketch) 4. Wood Awn.; Posts-Beams-Rftrs.-Connec.-Shthg.-Rfg.-Bracing 5. Electricity; Location-Clearances-Grnd.-/ Amp -Concrete 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Gas; Location, -Test -Wrap: / /"L"ft./ P' Nat. or/ P' L "ft. LPG 6. Windows -Doors 7. Utility Clearance --Carports; 7. Elec. Card -Bl Date Card- BI Date Card -BI Date Card -Bl Date Card -B I Date Date Card -BI Date MOBILEHOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements Card -BI Date Date Card -BI Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Footings; Size-Spacing-Mairriage Line 2. Soils; Compaction -Structure Stability 3. Gas; MH Test -Demand -Valve -Connector 3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining 4. Electricity; MH Test -C rossovers- Brea kers-C I earances 4. Elec.; Receptacles and Lighting; Distances-GF1 5. Drain; MH Test -Fall -Flex Connector 5. Elec.; Pool Lighting; 15 volts-GFI 6. Water; MH Test -Regulator -Connector 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Water and Sev�er Connected -C/0 to Grade -HD Approval 7. E I ec.; Bonding; Metal w/5' -Circulating Equipment -Heater 8. Gas and Electricity Tagged 8. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghtg. Boxes- Enc losur6s- Pane lboards- I n6. to Main in Conduit 9. Exits; Insp.-Sketch 10. Cert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test -Water Supply Test Card B-1 Date Card -Bl Date Card -Bl Date Card -BI Date .Card B-1 Date Card -BI Date Card -BI Date Card -BI Date M Ei = OK = Not OK = Not Applicable = Not Ready RESIDENTIAL fSingle and Duplex) Date UNDERFLOOR (Plans) OK except#'s Date FRAMING (Continued) Zoning requ irements-Setbacks- Easements 48. Property Line Firewall & Openings -1. 2. Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth 49. Ext. Doors -One X -Check Garage -3rd story, 2 exits 3. Ftg., Garage; Soils -Steel- / /" Ftg. Depth 50. Stairs; Width -Headroom -R ise-Run-Landing-F ire Protection 4. Fig., Porches & Decks; Soils -Steel- Ftg. Depth 51. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab 52. Siding -Nailing -Veneer 6. Sternwalls, Garage; Steel-Blockouts-Wrapped-Slab 53. Stucco Mesh -Drip Screed-Fdn. Vents-UnderfIr. Access 7. Piers -Fireplace Ftg.-Steel 8. D.W.V.: Fall -Fittings -Test -2 way C/0 -Sewer Test 54. 55. Glazing Area -Glass Protect i on -Sky I i ghts-P last ic Shear Walls; Nailing -Bolts 9. Gas Pipe; Size -Anchors 10. Water Pipe; Test-Anchors-Regu lator-Sery ice Test 11. Electric; Underground 12. Plenums & Ducts; Clearance -Material -Support -Ins. 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI Date Card -131 Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date FINAL (Plans) OK except #'s 56. Ext. Steps -Door & Sidelight Protection -Landings 57i Smoke Detector Card -BI Date Card -BI Date Date PLUMBING (Permit) OK except #'s 14. Water Ht.; Vent- Access -Combustion Air 58. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 15. Water Pipe; Test & Anchors -Nail Protection 16. D.W.V.; Test-Fttngs & Anchors -Nail Protection 59. Bedroom Exiting 17. Shower Pan; Test, First Floor -Tub Access 60. G.F.I. & Bath Fixtures & Tub Access 18. 19. Test Tub & Shower, 2nd Floor -Tub Access Gas Pipe; Size & Anchors 61. 62. Elec. Trim & Subpanel; Breaker Sizes -Labels Stairs & Rails 63. Fireplace or Stove; Clearances -Hearth 64. Elec. Outlets at Wood Panel; Int. & Ext. Card -BI Date Card -BI Date 65. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Card -BI Date 66. Elec. Outlets & Receptacles at Kit. Counter Date ELECTRICAL (Permit) OK except #'s 67. Garage Fire Door; Swing -Land ing-C loser 68. A.C. Duct in Garage -Damper 20. Fixture & Transformer Clearance -Ins. Protection 69. Wtr. Htr.; Vents -C lea ra nce-Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 21. Elec. Receptacles Spacing -Lights & Switches at Doors -70. Plb., Elec. & Mech. Equip. Listed for Location 22. Size Boxes & No. of Condbctors-Stapled 71. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 23. Romex Installed Close to Edge of Studs & C.J. 72. Insulation -Foam -Looked in Attic [-] Yes 24. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 73. Guard Rails & Deck Construct ion -Post Caps 25. 2 Appliance Circuits in Kitchen & Conductor Size 74. 75. 76. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor El Yes Following instid.: Drive 0 Yes No; Walks 0 Yes Ej No: Planters E)Yes E)No Stucco; Brown -Finish 26.-- S-ubfeed Wire Size ga. Cu or AI-A.C. Wire Size ga. Cu or At 27. Range Circ. ga. Cu or Al -Oven Circ. ga. Cu or Al, Insulated Neutral 0Yes ONo 28. Service -Riser Conductors & Ground -Main Disconnect 29. 30. Equip. Clearances; Pane I s-Motors-Mech. Equip. Clothes Closet Light -Shower Light 77. A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet 78. Vents Above Roof; Plbg.-Appliance-Firepi.-Clearance to Opngs. 79. Water Well; Disconnect, Electrical, Plumbing 80. Exterior Elec. Trim; G.F.I. Receptacle -Underground Card B -I Date Card -BI Date 81. Ventilation throughout House Card B -I Date Card -BI Date 82. Glass Protection Date MECHANICAL (Permit) OK except #'s 83. Corrections from Previous Inspections 84. Gas Test -Meters Tagged; Gas -Electric 31. A.C. Ducts; Insulation & Support 85. Water & Sewer Connected -C/0 to Grade -HD Approval 32. Vent Fan; Exhaust above Insulation 86. Energy Compliance Certificate -Other Certificates 33. Condensate Drain & Overflow; Size & Grade 34. Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet 35. Attic Access & Platform if Furnace in Attic Card -BI Date Card -81 Date Card -BI Date Card -BI Date Card -BI Card -BI Date Card -BI Date Date Card -BI Date Card -BI Date Card -BI Date Date FRAMING(Plans) OK except #'s Comments at Final: 36. Sills; Proper Material & Anchors 37. Walls; Studs -Nailing, Spacing & BNing-Plates-Sound 38. Bearing Walls over Girders & Floor Nailing 39. Draft Stop in Walls (rat proof) 40. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 41. 42. 43. 44. Header & Beam -Size & Bearing I�anger -Vost 6ps-Anchors-Connectors CIng. Joist-Rftr. Ties- Purl in - RooFBrac. - uss-Shthr�,�Rfrg. Fireplace Ties or �ype A Flue -Fireplace Throat 45. Attic Access; Size & Romex Protect i on -Draft Stop -Ins. Baffles 46. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 47. Garage Fire. Protection Framing - (NOTE: Anentrymust be made each time youvisit jobsite) COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PER IT No 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-45 I e��o APPLICATJON AND PERMIT A]�S �OPARCEL N1117R ZONING BUILDING ,TELEPHONE 131 )-O-V )E440 E-14 7-1 -46 SQ.FT. OCC.1 BUILDING VALUATION OW - ,qR'S MAILI]�A DR S tu tj _ qu _;: a -M - ---Oj 4 A,;:4 Mu J- (J-) e CONTRACTOR'SNAME - 14 Qr_ V CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER O -V\ Q_ UNKNOWN Total Valuation Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan,Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADD ESS PLUMBING PERMIT FilingFee 10.00* Each Trap 2.00 Repair drainage or vent piping 5.00 4EM Water piping LOT NO. SUBDIVISION NAME P A RC A P Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets USE OF RUCTURE SFG�kDuplexF� Mobileh SPECIFY Building sewer Lawn sprinkler system 5.00 TYPE OF WORK New Fl Addition R emode I Q Utilities M Instal tionE:1 Other Describework: Vill hQ4t_1=4r__ A Permit Fee $ Contractor ELECTRICAL PERMIT Fi ling Fee 10.00 Main service 6101 OR LESS 1100 AMP OR LESS 5.00 Main service EA. ACC'L 100 AMP 2.50 NEW CONST DWELLING OCCUP.51 OR ADDNS. ACC.BLDGS 20 sq ft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): El I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and e ffect. ,el -cense No. Classification 1, as the owner,' or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) El 1, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) F-1 I am exempt under Sec.-, Business and Professions Code for this reason NEW CONSTP ULT'_O LET _(M ANCHLCrR..,TS) NOI-RESID, _B_R 2.50 ea NEW CONSTR J POWER APPARATUS & NON-RESID. %SINGLE OUTLET CIR. 50 @ 250 Ex. Occup(OUTLETS OR 71XTURES BAL @ 109� (FIXED APPLN5 " Ex. Occup, OUTLETS (RES]. U .00 ___ - 0.) EA.) 2 . Temporary'service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 Permit Fee $ Contractor MECHANICAL PERMIT Fi I ing Fee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): F-] 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 "Consent to Self -insure. I sha I I not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith Comply with such provisions or this permit shal I be deemed revoked. Heating Cooling od 3.00 Venti lation Permit Fee S 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, 5cio§ts, and expenses w . hich may in any way accrue agains aid County in, 0 ueppe of the granting of this permit. -v.,& 0 X p;4 - OE Datb A-0 Signature Owner l?" -Co rtractor F4 44pplicont An OSHA permit is required for excavations over 5'0" deep and idemolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ 'TOTAL PERMIT FEE $ occup, GROUP I T'7E OF CON�T. -AJ PARCEL PD This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which 4 DIRECT OF PUBLIC . sly 5��IoA 11WIT PE EXPIRES Date the applicable provi7 resolutions to do fees have been paid. WORKS _ Date , kn Receipt NO.- WHITE-O.P.W.. YELLOW-ASSrSSOR, PINK -INSPECTOR, GOLDEN ROD-APPL I CANT Allf -'IPERMIT NO. PERMIT EXPIRES OWNER George Gallaway CONTR. Big Duck Const., VacaviDe 24-17-37 LOCATION (A.P. 522 Cowee Ave., Gridley Temp. Power le Ca led E — Temp. Ele . Serv.—//-/;Z—.Op-o >e r P p , ZE /Cal ed PG&E Tem . Gas Serv. C.� C I I alled PG&E Job FINALED (D 01 (Signature) FI ICAL Motors Servicjf Te/hp. Pole i9jerior Latn )k I )Lentilation oPermanent goor Closer - kinal NI f—inal MOBILEHOME UTILITIES ------ W --- ------ Elec. Ser�ice., Elec. Pedestal Wate r P i p i n g 44��,;Rf Sewer.. (,oV Aal?_17 S-0 Gas Piping =1 E OME INSTAL TION -------------- Support- FlPP Cr - oll:l 44� Wat er Piping Drainage Gas Piping DATE —REMARKS OR CORRECTIONS (NOTE: An entry must be made on this form each time you visit the job site.) COUNTY OF BUTTE — DEPARTMEN-r OF PUBLIC WORKS BUILDING INSPECTION'RECORD 0, -BUILDING BUILbING (Cont'd) PLUMBING Shback Airewa I I hil Piping Foks Pavpets "Vt Floor Ma\n Bldg. Resitoom Finish 2n Floor Aptings Windollivs 3rd\ioor Ste wall Siding \ Topout N SlabN Roof She�lhlng - Water PiPNg Piers N Roofing Sewer Garage \ Fdn. Vents Fixtures Foot i nos Sternwall Garage Vents Insulation 4 Water Htr. Heaters Slab Carport Footings Prov. for p� sica y handicap ej N . Conformance of ex. structure Appliances Gas Piping & Test Temp. as Slab Final Sanitation Patio /FIREkLACE Final Footings Footing ELECTRICXI FI ICAL Motors Servicjf Te/hp. Pole i9jerior Latn )k I )Lentilation oPermanent goor Closer - kinal NI f—inal MOBILEHOME UTILITIES ------ W --- ------ Elec. Ser�ice., Elec. Pedestal Wate r P i p i n g 44��,;Rf Sewer.. (,oV Aal?_17 S-0 Gas Piping =1 E OME INSTAL TION -------------- Support- FlPP Cr - oll:l 44� Wat er Piping Drainage Gas Piping DATE —REMARKS OR CORRECTIONS (NOTE: An entry must be made on this form each time you visit the job site.) COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS �7 COUNTY CENTER DRIVE OROVILLE, CALIF. - 64-4541 CERTIFICATE OF OCCUPANCY This mobilehome has been installed in accordance with the =ements of the California Administrative Code, Title 25, Chapter 51 permit number —for the following location: Z Owner Owner's Address Mobilehome Mfg. Model Year Insignia No.' Serial No. It is hereby certified for occupancy at the above described location and may be occupied. Director of Public Works Date By THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED White - Owner, Yellow - Installer, Pink - D.P.W. COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 695 Oleander Avenue, Chico — Phone 343-4211, Ext. 70 7 County Center Drive, Oroville Phone 534-45o,-1 Skyway and Elliott Road, Paradise Phone 877-3435 CORRECTION NOTICE BUILDING OR PROPI�IRTY ADDRESS 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 Inspector—a , —Date COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 695 Oleander Avenue, Chico — Phone 343-4211, Ext. 70 7 County Center Drive, Oroville Phone 534-4541 Skyway and Elliott Road, Paradise Phone 877-3435 CORRECTION NOTICE BUILDING OR PROPERTY ADDRESS 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 m tt r, op-nvVd additional explanation, please contact this office immediately. Alr Date COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 534 -4541 - Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE BUILDING OR PROPERTY ADDRESS 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 need additional explanation, please contact this office Immediately. 6') Inspector Date COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 695 Oleander Avenue, Chico — Phone 343-4211, Ext. 70 7 County Center Drive, Oroville Phope 534-4541, Skyway and Elliott Road, Paradise Phone 877-3435 CORRECTION NOTICE C I ;'j -�57A. f DL BUILDING OR PROPERTY ADDRESS 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 need additional explanation, please contact this office immediately. �1 I " (.-- 1 WCT141 Itoo 'bA'; -s- �' r 4P f e n s p e c t c, r Da.t County of Butte DEPARTMENT OF PUBLiq WORKS 695 Oleander Ave., Chico - 343-4211, Ext. 70 7 County Center Dr., Oroville - 534-4�411 Skyway and Elliott Rd., Paradise - 877-3435 CORRECTION NOTICE ....................................................................................................................... Building or Property Address 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 need additional explanation, please , contact this office immediately. Z�) ................... ;4' �,4 .......... . . ....................................... .......... .......... ........................................ ............................................... .................................................. ........................ ........................... )4 ................. ........ ............................. ............. -- ...................... ............................................................................. ................... . .... .... .. ... ................................... DatZ� 26�e w-) insp or .. .. ............................................. .... Do Not Remove This Tog (4nn-41 9. Electrical 1 om6'(must eq-aal. rating of A. Is service large enough to provide adequate amperage -to - mobi.ei , 1 -ot, i.e., water ptimps, mobilehome with a minimum S;� amp) and.other facilities on 1 garage, cabana,.etc.? Y� ,( ............ ... B. Is there proper clearances around panels? Yes 0 C. Is power supply cord or feeder assembly properly fused? Yes ? Yeszl_lo� D. Iszontinuity test satisfactory as per the following procedure De -energize electrical wiring system of the mobilehome at the pedestal. Make sure that the . power supply cord or.feeder assembly conductor.s, including neutral conductor, have been disconnected. Switch all breakers and switches in the mobilehome to the "on" position. Connect one lead of a test instrument to the mobilehome grounding conductor and apply the other lead to each mobilehome supply conductor, including neutral. ��All non-current, carrying metal partsi of the mobilehome (aluminum siding, gas line, water line)) including fixtures and appliances, shall be tested for continuity from such equipment and the grounding conductor. 'Upon completion of the above procedure, the power supply cord or feeder assembly conductors shall be connected to the site service equipment. A further C�ontinuity test shall then be made between the grounding electrode and the chassis of the mobilehome. Upon satisfactory, completion of theelectrical tests, the lot.or site service equipment may be. approved for energizing. Is job card signed by Health Department for water and sanitation? 11. If . everything okay, s �gn off card and tag services. MOBILEHOME DATA manufacturer and/or Namestyle (2.0f4e-0if-D Length 41 W idth Vehicle Serial No. State Identification No. Additional Information or Comments: MOBILEHOME INSTALLATION INSPECTION CHECK LIST l.- Is the mobileadme-located w'th quired.separati:,on frofn lot lines and buildings and generally conform to plot plan? Yes t� �No 2. Does the mobilehome have required clearances above ground? (Sec.5085) Yes 4-9-0- 3. Are footings and supports properly sized, s paced, and braced as per pproved plans? (Note possible variation at spring shackles.) (Sec. 5082 & 5083) Yesy'�W 4. Is the mobilehome level? (Sec. 5088) Y4-�No more than a single unit, are crossover connections properly installed? (Sec. 5088) Yes -' No - 6. Water A. Is flexibl connector of adequate size and properly installed (1/2" ID min.)? (Sec. .5566) Yes— 0 B. Test - Does water piping withstand working pressure or 50 lbs. air test? Yes L --Ko. ,._G-----ftckflow - If coach is not State of California approved, does station have backflow devicc and pressure -relief valve? Yes No 7. Wastes and Drains A. Is connection made with Schedule 40 DWV and have flex connectors at each end? Yes 4-11ro B. Does it have minimum k" per foot slope and is it properly supported? Yes 4--11-0- C. Are any leaks detected in drainage system after running 3-aa-'Irlons of water through each fixture including washing machine standpipe? Yes— No -D—rf—coach is not State of Californiaapproved, does station have required trap and vent? Yes— No 8. Gas Piping and Gas Vents A. Connector - Is mobilehome connected to the gas supply with an approved 3/4" minimum mobilehome connector ng -t- more than 6 ft. long? Note: All piping is to be at least as large as the mobile 'me gas line inlet without reductions other than the mobilehome connector. Yes No B. Test OK as per following procedure? Yes— No - 1. Open all appliance connector valves. 2. Shut off appliance burner and pilot valves. -14" water column, or test with slope gauge (minimum OAir test with manometer to 10" 6oz.-maximum 8 oz.) calibrated in tenth pound increments. Test for 10 min. without drop. 4. Connect gas meter to mobilehome with connector,.turn on gas, test connections with soapy water. C. Are all appliance vents properly installed? Yes COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone 916 534 41 =2: 2 90 APPLIGATION AND PERMIT (\ 1) ASSESSO WRCEL NUMBER -17-37 �ZONING BUILDING PERMI OW�7 , /, jl::�: "017 4��,Ooq.,eL)l TELEPHONE 3 V6 -3 -G o SQ.FT. OCC. BUILDING VALUATION OWIVIER'S MAILING ADDRESS Ae7- Z Ayx 497,_,5- 15�P_10&0,4 C* f�S-,?4Vk C 0 11 T R A C TNdo�Z 41!g7. 0. ELEP ONE C(;,NTRAX MAI �A; �IDRESS f 1114-64VIL&6) CONSTRUCTION LEN;,��. UNKNOWN Fireplace Total Valuation $ LENDER'S MAILING VADDRESS Permit Fee $ ARCHITECT OR ENGINEER ILICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDRE7), 57-7- PLUMBING PERMIT FilingFee 3.00 Each Trap 2.00 Repair drainage.or vent piping 2.00 C-1 C_ y Water piping LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 2.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SFE:1 DuplexM Mob i I ehome R?0"' Other SPECIFY Building sewer Lawn sprinkler system 2.00 H-2-0-0 TYPE OF WORK NewEl Addition [:1 Remodel[:] utiiitiesEl Instal lation LL OtherEl Describe work: AN/ Rr& 61771, ?&444 Permit Fee $ Contractor ELECTRICAL PERMIT FilingFee 3.00 600V OR LE Main service 100 AMP ORSLSESS 5.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.& OR AIDDNS. ACC. BLDGS. 20 sq ft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and e fect. f License No. Classification El 1, as the owner, or my employees with wages as their sole compen- for sale. (Sec. 7044) ,,sation, will do the worl,anl the structure is not intended or offered 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-------- ULT'_OUT ET CONSTF;'7 M NON-RES�D, X-RANC. C14CIJITS)_ 12.50 ea NEW.CONSTIRL (POWER APPARATUS.&) NON RES D. SINGLE OUTLET CIR 0 Ex. OCCUP(OLITLETS OR FIXTURES 5B A @L 2@51COT FIXED APPLNS. OR Ex. Occup.(OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 6.25 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): F-1 The permit is for $100.00 (valuation) or less. I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate Consent to Self -insure. 1 shall not employ any person in any manner so as to become subject EV�f to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the.W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Fi I ing Fee 3.00 Heating Cooling Hood 2.00 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 liabililies, judgments, co rid expenses which may in any way accrue againsWMd Cdo�unty in , sequ c )ql the granting of this permit. �, � '0 41 Date IT CP e of A plicant — Owner K, CX..ctOr [:] Agent `11�rmit is required for excavations over 5'0'' deep and demolition or construct- '�s over 3 stories in height. V490 f� Mobile Home Installation Fee $ ;40, .0 Land Development Fee $ TOTAL PERMIT FEE $ /-A0,06 OCCUP. GROUP I TYPE77 —CONST. IPARCELI PD FD This permit is hereby issued undi sions of the Butte County Code and/or work indicated above for which DIRECTO F PUBLIC By PE�,W E61RES' Date le pr resolutions to do fees have been paid. WORKS Date WA YELLOW ASSESSOR, PfNK-INSPECTOR, GOLDEN ROD-APPL I CANT BUTTE COUNTY DEPARTMENT OF PUBLIC.WORKS 7 County Center Drive, Oroville�.' CA. PHONE: 534-4541 ..MOBILEHOME INSTALLATION SHEET 1. owner's name: 2.- Installer's name: Sit; Dvc-K T. Is the site currently under permit? Yet No (If yes, furnish permit number OR Is the 6ite-an existing site? Yes No (If yes, furnish two (2) plot plans.) 4. Will the mobilehome be located at least 5 f t. away. from septic tank and leach fields and clear of all setbacks and easements? Yes No (If no, clarify 5. What is the mobilehome electrical rating? ------------------ r.� Amps J -6. What is the mobilehome site service rat ing�TZAeee5KOIA -Q- Amps W�at is the mob il ehome site circuit breaker rating? -------- (nn 4P S, 8. Is there any other electric loadt,6"be served by the mobilehome siteservice? ----------------------------- --------------------- Yes No (If yes, identify the load and size: 4/ 1411L (Load) 3e (Amps) 9. What is the mobilehome site gas pipe size? ---------------------- - ---- -- (in.) 10. What is the type of gas service? ----------------------- -------- Natural T�K LPG -,jl. What is the gas -pipe length from meter or tank to the mobilehome? 12.*,What is the mobilehome gas demand? ------ ------------------- ------- (BTU) information not required if'pipe length less than 6 ft. on natural gas .(This or less than 50 ft. on LPG.) kOBILEHOME SUPPORT DATA If offier than single wide, Aa'hAl J��e*60 furnish Setup ljodel%o. Year, Mobilehome Mfr. Width— (ft.) Box Lengt (ft.) Tagalong or Expando Size ft. k ft., (SHOW SUPPORT DETAILS BELOW) On all mobilehomes manufactured after October 7, 1973j furnish manufacturer's installation manual and structural getup sheets (if not on file with the County of Butte). All center supports measured from front of mobilehome'unless otherwise specified Footineig (check onel I . --I — (ft.) (in;) Center locat (f t - ) (irk.-) I - - I (f t.) (in.) I - I (ft.) (in.) .. (ft -A (ii.) �R Single El 1. Wood either. pressure treated or mi(fA foundation grade. (in.) (in.) 2. Othef (specify) Center su ort footing s zes Su orts (check one) n. ,u ort 0 _u s zes eli.; Concrete' block. 2i Other (specify) in. ) ( in. ) (inA (in.) I x (in.)l (i *—Tagalong or Expando,� show support. -details. Typical Support (in.) (in.) Footing Size 13- � 6 fl -- Max.. Pier Spacing (ft.)(in.) &�Ro Max. Overhang (ft.)(in. .). IUILDING DePARTMGN7 A PpRo VE D *If center piers are other than drawn above, ____4Kaw_in--lqcations, spacing, and dimensions. COUNTY OF BUTTE - 6EPAR�MENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND -PERMIT ASSE ;fO _PARCEL NUMBER 17_ 3 7 ZON G f 2�_ BUILDING PERN9V:, OW ER 2;450R6eE_ 4 /+Y ALLAA1 T ONE T4-'15-,oq SO. FT. OCC. BUILDING VALUATION 0 E 'SMAILING ADDRESS AT. / go)( eq ��q4iy CO TRACTOR'S NAME LEPHONE X4 NIN11 TRACTOR'S MAILI�;�DDRr ,4V )qe 70 1 601K 6 eY CONSTRUCTION LENDER UNKNOWN Fireplace Total Valuation I $ LENDER'S MAILING AD ORESS Permit Fee $ ARCHITECT OR ENGINEER SE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUIL�ING ADDRESS Z -2- AV6. PLUMBING PERMIT FilingF 3.00 Each Trap 2.00 Repair drainage or vent piping 2.00 y Water piping /09,00 LOT NO. UBDIVISION NAME is PARCEL MAP Each qas water heater or vent 2.00 Gas piping system I - 5 outlets 149,00 USE OF STRUCTURE SF [:1 Duplex[ --I Mobilehomeg?0'00"Other SPECIFY Building sewer Lawn sprinkler system _a"00 2.00 TYPE OF WORK New F1 Addition [] Remode I [:] Utilities 5?—I-nstallationD Other Describe work: Permit Fee $ 190 Contractor ELECTRICAL PERMIT Filing Fee 3.00 Main service 600V OR LESS 100 AMP OR LESS 5.00 6, &10 Main service EA. ADD -L 100 AMP 2.50 2 _g-iD NEW CONST. ( DWELLING OCCUR.&) OR ADDNS. ACC. BLOGS. 20 sq ft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): 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 ,#6r sale. (Sec. 7044) I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) I am exempt under Sec.—, Business and Professions Code for this reason NEW CONSTR I M ULT'_OUT 4ET 2.50 ea NON-RESID. IBRANCH CI U ITS NEW.CONSTFL (POWER APPARATUS &) NON RFSID, SINGLE OUTLET CIR. Ex. OCCUP( OUTLETS OR FIXTURES 50 @ 250 FIXED APPLINIS OR Ex. Occup.(OUTLETS (RESI'D.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 6.25 Permit Fee $ 25. IS -0 Contractor WORKMEN'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): F� The permit is for $100.00 (valuation) or less. E] I have placed on file with the County of Butte Building Department aAertificate of Workmen's Compensation Insurance or a Certificate 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 shal I be deemed revoked. MECHANICAL PERMIT Fi I ing Fee 3.00 Heating Cooling Hood 2.00 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, judgmen c s, and expenses.which may in any way accrue again id Count ' c qu e o the gran ng of this permit. X Date 0 ? Signature ?PApplicant Owner kno"O'ContractorEl AgentF� 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 $ .1 Land Development Fee $ 00 TOTAL PERMIT FEE $ OCCUP. GROUP I TYPI: OF CONST. PA:71 ;YJ rS.. This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTO"f PUBLIC By- - _,A_ --- PERh,�VEX611RES Date the applicable provi- resolutions to do fees have been paid. WORKS - 6 _'? 0 Date Lo, 6 _! JP� Receipt No. _?70,05� WHITE-D.P.W., YELLOW-ASSFSSOR. PINK-(NSPECTOR, GOLDENROD-APPLI CANT V L- — . (f C' IV4FC- .1 - 0 0 0 Ica ?- — tt It-+ Iff 0 Uti connections shall k, I be within ft. of the mobilehome either.' 4 ft. UST be 30 directly behind or wit the rear hil set of plans and soecif 'cations t kf H1 This is unlawful to half of the roadside (lefi) of the. job at al jjjrc, s and i, kept on the tions on same �vlthcu� mobilehome. or altera uk>- malke any cVian9c e Department oid "I ttiti. ttt —12' A nission from th 12 Written pert ounty Of But"% Works, C N F, 0 rVT & mo NOTE:! All Materials & WorkimanshiP Shall Be in AccorLtice With Recognized Good Practices and Of a civality prescribed for the. Specified use in the Uniform Building, Plum6ing & Mechanical Codes and al Code. the National Electric !KEY1 SAPLING e 4' SEWER LINE .SMALL7REEo25' LARGE TREE 050' LEACHLIIVE C,RAVEL DRIVEWAY & . -+-' -H 2901 P 'Hovss Soo L 1000 A,tetback of 5 ft. from the p�operty hri6s and a'setback 6f 50ft. from the road e@tiferline shall be clear of OfUcfures or equipment except for a 2 ft, eave overhang. BUTTG COUNT.Y BUILDING DEPARTME A P P"' R 0 V.. F 0 q 7 Y,