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HomeMy WebLinkAbout024-190-002INSTALLED OFFICE IN AG BLDG 5/31/94 U�`D�a�•o �l / �eSdTed 0 024-190-002 92-.2378E HARKEY, Walter 300 Hwy 99, Gridley misc elec & move main service f x024-190-002 _ PERMIT#96-0928 CANTRELL, Jewell 300 Hwy 99, Gridley% Cont: H.H. Custom Bldg Repair. Port of Fnd/SF % 024-190-002 PERMIT#96-71 13 CANTRELL, Jewell - 300 Hwy 99E•, Grdley Cont; H H -Custom Bld Add Bedrm,Bath,Windows,S,tucco/SF 024-190-002 - PERMIT#96-2646 CANTRELL, Jewell 300 Hwy 99E, Gridley"- a Cont. H. H. -Custom Bldg Add Cov Porch & Roof Structure/SF 24' i 9-02 - HAIL T., ' Walter & 'CANTRE'LI, Jewell` , 300 Hwy 99:, Gridley"' Ag Exemption Perm' t��'� �rQA °p ay equip stg 0247190-002 <.' . PERMIT#9J 11 ' CANTRELL,,Jewella K . :300 Hwy, 99E, Gridl-ey, Ag Exempt Permit=Hay Stg',- P'" � - _,_�__ - _ � _ -� �.. y F r COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-75�T MIT NO. APPLICATIO"ND PERMIT ASSESSOR PARCEL NUMBER -rr i ZONING BUILDING PERMIT OWNER TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS CONTRACTOR'S NAME - �� TELEPHONE CONTRACTORS MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Fling Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty PERMITFEE $ $ BUILDING ADDRESS • - PLUMBINGPERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO. SUBDNISION'SNAME PARCEL MAP Solar or heat pump water heater 23.00 Water piping 15.00 USEOFSTRUCTURE Each gas water heater or vent 15.00 SF ❑ Duplex ❑ Mobilehome ❑ Other Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 SPECIFY TYPE OF WORK Mobile Home S G W @20.00 New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other O _ Describe Work: - PERMITFEE S Contractor ELECTRICAL PERMIT Filina Fee 20.00 Main Service 0 OV OR LESS ( 200A OR LESS ) 23.00 _ Main Service ( 200A TO 1000A ) NEW CONST. DWELLING OCCUR OR AD ONSNS. _( a LTI-ACCUTLEBILDS) UTLET NEW CONST. MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS ) POWER APPARATUS ) 8 SINGLE OUTLET CIR Ex. Occup. ( OUTLET OR FIXTURES ) Ex. Occup. (oFIXEEDrs FIXED .ORA) 46.00 s0. 3.5Q FT. 97.50 BA0 Q 1.00 5.00 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. l/, ' ' C - -- O(RESIDWNER-BUILDER DECLARATION Temporary Service 23.00 I hereby affirm under penalty of perjury that I am exempt from the Contractors License Mobile Home Facilities _ Misc. Wiring -------- 20.00 23.00 Law for the following reason: ❑ I, 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. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. PERMITFEE $ ❑ 1 am exempt under Sec. Business and Professions Code for this Contractor reason WORKERS' COMPENSATION DECLARATION MECHANICAL PERMIT Filing Fee 20.00 9 1 hereby affirm under penalty of perjury one of the following declarations: Heating Q " I 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. Cooling — - — - Hood _ - 6.50 ❑ 1 have and will maintain workers' compensation insurance, as required by Section Ventilation 3700 of the Labor Code, for the performance of work for which this permit is issued. PERMITFEE S My workers' compensation insurance carrier and policy number are: Carrier Contractor Policy Number Mobile Home Installation Fee Is Energy Inspection Fee Is (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall OCC CONST. TYPE TOTAL FEE $ 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. HAZ. I D. FEES IMP FLOOD CDF PARCEL PD HD ISSUE, This permit is hereby issued under the applicable provisions X�_ Date _ of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. _ _� Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. B ' y PERMITEXPIRESON Date (Date) Receipt No. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISIO 7 County Center Drive - Oroville, California 95965 -Telephone (916) 538-75 I No. APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 024-190-002 ZONING BUILDING PERMIT OWNER JEWELL CANTRELL TELEPHONE SO. FT. OCC. BUILDING VALUATION CONT 4, 000.0 OWNERS MAILING ADDRESS 300 I-��dY 99E GRIDLEY, 95948 CONTRACTORS NAME H.H. CUSTW BLDG 846N0874 CONTRACTORS MAILING ADDREIPO BOX 1341 GRIDLEY, 95948 Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ 63.0 ARCHITECT OR ENGINEER UCENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDINGADDRESS 300 1�vJY 99 PERMITFEE $ 83.00 GRIDLEY, 95948 PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 LOTNO. SUBD 1ONSNAME PARCEL MAP Solar or heat pump water heater 23.00 USEOFSTRUCTURE SF ❑X Duplex ❑ Mobilehome ❑ Other SPECIFY Water piping 15.00 Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other �7 Describe Work: REPAIR PORTION OF FOUNDATION — Mobile Home I S I G W @20.00 PERMITFEE S Contractor ELECTRICAL PERMIT Filina Fee 20:00 00 Main Service 0 V OR LESS 23.00 ( 200A OR LESS) Main Service ( 200A TO 1000A ) 46.00 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. 29 Z OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, 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. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Profess"ons Code for this reason NEW CONST. DWELLING OCCURSO. OR NS. ( 8 ACC. ) 3.5Q F7. NEW CCONST. MULTI.OUTLETLE T NON-RESID. ( BRANCH CIRCUITS ) @7.50 ( POWER APPARATUS ) 8 SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FDTTURES ) 20 Q 1.00 6AL 0 .50 Ex. Occup. ( OUTLETS (RESID.OEA) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE g Contractor WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: 011 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 required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' com nsation insurance c ier a policy number are: Carrier j E ?� nr MECHANICAL PERMIT Filing 9 Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor 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.) ❑ 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' c ompmpensation provisions of section 3700 of the Labor Code, I shall forthwith ly with those pr I ions. c / X___ Date '` / lO _ Signature of Applicant - ❑Owner ❑ Contractor ❑ 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 Is OCC CONST. TYPE I TOTAL FEE $ 83.00 HAZ. I D. FEES I IMP I FLOOD I CDF PARCEL I PD HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated a ove for which fees have been paid. By Date PERMITEXPIRESON/ I (Date) Receipt No. 195515 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT L M� 1 t: RESIDENTIAL 024-190-002 PERMIT#96-1213 �I CANTRELL, Jewell 300 Hwy 99E, Gridley Cont; H H Custom Bldg Add Bedrm,Bath,Windows,Stucco/SF i . A ? �I Y.d � JOB FINALED (Date) signature V=OK O = Not OK Not '=Not Ready MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Requirements - Setbacks - Easements 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Sewer; Location-Test Fall-C/O-Concrete 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Water; Location-Test-Easement Needed (Sketch) 4. Wood Awn.; Posts-Beams-Rf rs.-Connectors Shthg: Rfg.-Bracing 5. Electricity; Location-Clearances-Gmd-/ /Amp-Concrete 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Gas; Location-Test-Wrap; / P'L'ft. / /Nat. or/ PUft./ /LPG 6. Carports; Windows -Doors 7. Well Clearance & Disconnect 7. Electric 8. Utility Clearance 8. Frmg.; Sils-AnchorsStuds-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco, -Mesh Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements-Setbacks Easements Card B-1 . Date Card B-1 2. Footings; Size-Spacing-Marriage Line Card B-1 Date Card B-1 3. Gas; MH Test-Demand Valve-Connector POOLS (Plans) OK except #'s 4. Electricity; MH Test-Crossovers-Breakers-Clearances 1. Setbacks -Easements 5. Drain; MH Test-Fall-Flex Connector 2. Soils; Compaction -Structure Stability 6. Water; MH Test-Regulator-Connector 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 7. Water and Sewer Connected-C/O to Grade-HD Approval 4. Elec.; Receptacles and Lighting, Distance-GFI 8. Gas and Electricity Tagged 5. Elec.; Pool Lighting; 15 Volts-GFI 9. Tie Downs-Type-Installation Cert. 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 10. Exits; Insp.-Sketch 7. Elec.; Bonding; Metal w/6 -Circulating Equip :Heater 11. Cert of Occupancy 8. Elec.; Grounding; Equip. w/5 Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main in Conduit 9. Health Department Approval Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 .f MISCELLANEOUS ` 5 Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rf rs.-Connectors Shthg: Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sils-AnchorsStuds-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco, -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date Card B-1 . Date Card B-1 Date Card B-1 Date Card B-1 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, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/6 -Circulating Equip :Heater 8. Elec.; Grounding; Equip. w/5 Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 A= QK (� Not OK = Not ea cable RESIDENTIAL =Not flea l1°e I Date 1 UND LOOR (Plans) OK except ti's VZ" ' -Set bac ks-Easeme -flood-Slope el'F-tg., Main; 'Soils-Ele . Grnd.-/�2f Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ P' Ftg. Depth P 4. Ftg., es & Decks; Soils -Steel-/ /Ftg. Depth emwalls, Main; Steel-Blockouts-Wrapped 6. Stem IIs, Garage; Steel-Blockouts-Wrapped Gar"Pold Downs and Special Anchors 7. Slab; S el -Wrapped P 8. -Fireplace Ftg.-Steel D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UFGas Pipe; Size -Anchors - yard gas piping: size -test Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Undergroundlxd 13. P fns & Ducts; Clearance -Material -Support -Ins. k ers-Sills-Anchor Bolts -Joists -Vents -Cripples Access & Ventilation 16. Insulation Date-/_ - _Z Card B-1 / Date Card B-1 Datta✓ Card B -1i ate Card B-1 p� e Date PLU ING (Per OK except p's Water Htr_Vent Vent -Access -Combustion Air --Baffle D 4'ater Pipe; Test & Anchor -Nail Protection V_Test-Fittings -Anchor_Nail-Protectidfi�'t�P - - - j hoover Pan First Floor -Tub Access (�22 -q ----- -------------------------------------------------- 2 — ----- 20. -Test Tub & Shower. Second Floor -Tub Access -- L 21-6esPrpe-Size & Anchors �--------------------- - ---- -=---------------------------------- ----e---------- - Date �� j'�/ Card B -t Date 142—ZZ-(%aard B-1 /Cyf - ----------------- Date /0- V�i CjCard B-1 jL14j Date Card B-1 Date ELECTRICAL (Permit) OK except rr's 22. Fixture & Transformer Clearance -Ins. Protection r--- - ------------------------------------------- Elec. Receptacles Spacing -Lights & Switches at Doors Boxes- ---of Conductorse. -Stapled - --- -_.._-.. x Installed Close to Edge of Studs & C J. y quip. Ground made up6u. ph Cf,. Fastners d as 8 W cuts in Kitchen & Conductor Size GFI t _. - 28. Subfeed Wire Size ga. Cu or AI-A.C. Wire Size ga. Cutor At 29. Range uc r ' ga. Cu or AI -Oven Circ. ga. Cu or Al. Insulated Neutral ❑ Yes ❑ No ---------- ----- -- ------------- -- -----._...-. .. 30. Service -Riser Conductors & Ground -Main Disconnect ----------------------------------- ------------------------ ------- -- 31 Equip. CIe nces Panels-Motors-Mech. Equip. --- - - - - -----` - ---- -------- - - - -. ....... ....... .. 32. Clo s Closet Light -Shower Light -Spa Light moke Detector Date-- - ------------- --- ----- ----------- . ... Date Card -B-1.. �Q1Date Card B-1 - --- 6_......... _ .. Date Card B-1 Date Card B-1 Date MECH ICAL.(Permit) OK except n's A.C. Ducts Insulation & Support Vent Fan Exhaust above insulat on _ 36 Con_dens Drain & Overflow: Size & Grade ,Eu nce-VenC Access -Comte. Air -Return Air Vent -115 outlet 3 ,Attic Access & Platform if Furnance in Attic ------ -------- Date ---------.._.. .. .. .... ......... .. Card.B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAM Plans) OK except n's s. Proper. Material Anchors -2 - ---.. .& Studs -Nailing. Spacing & Bracing- Pla(es-Sound. .. ...5 ....................... ..... ... .... .. �j •� I Bearing Walls over Girders & Floor Nailing . _ ... .. . 1 ft Stop in Walls (rat proof) :irr< Stops: Furred Ceilings -Stairs -Chases -Tub 4. eaders 8 Beam -Size & Bearing Single & Duplex) Date F ING (Continued) ngers-Post Caps -Anchors -Connectors _ Ing. Joist-Rftr. ties-Purlin-root Brac-T ss-Sh ng.-Rfng. p ace ies or ype Flue -Fireplace Throat clearance 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles drm. Windows or Exiting Doors -Sill Hgt. & Dimensions 5 ara rotec ion Framing 5Fir _ Property Line ewall & Openings --- _ . 61. Doors One 3 -Check Garage -3rd Story, 2 Exits 53. Stairs: Width _Headroom -Rise -Run -Landing -Fire Protection - &4-'plywo on Root Overhang -Attic Vents -Rafter Outriggers SS. Si 9 -Nailing Veneer Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access lazing Area -Glass Protectio kyfights-Plastic hear Walls: Nailing -B - , --------------- -- - Insulation_Will�Cei s "' 60-,rnfiltralion-Walls-Windows Dat�j Card B-1 Date Qi .� Card BTM ci -&----- ----- Dateq� 0,L) —0 & Card B-1 �'J � Datf�jl 6rd B - Date FINAL s) OK except a's Ext. S -Dor& Sidelight Protection -Landings —_ _-moke Detector ------- ----- --- rnace: Vents -Clearance -Comb. Air -Connector - In G - _Above Floor-Ducts-Mech. Protection -- edroo Eicrting.� - ---- --------- ...-------- - --- I. ath Fixtures & Tub Access -Spa 66 c. Tr' Subpanel Breaker Sizes & Labels _ -- - - - - --- & ----------- ---- - -- -- airs aits�------ — 68 place or Stove: Clearances -Hearth 69 ulI at Wood Panel: Int. & Ext. -- - - ...... ..... 70 --- - - - - - - - ixt. & A,pI ance: Grnd.-Air Gap -Cooking Clearance ---- ------ --- - ---- -- - ------- ---- ---- 71. utlets &Receptacles at Kit. Counter 72. rage Fire. Door: Swing -Landing -Closer 7 - uct in. Garage -Damper 7 r. Htr.: Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage: Above Floor-Mech. Protection -- 7 EI & Mech. Equip. Listed for Location Receptacles in Garage: (G.F.I.)-Romex Protection ----------- - — --------------------------- - 7 Foam -Looked in Attic ❑ Yes_ _ 7 uard " is'8 Deck construction --Post Caps----- - dn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes --------------- ---- 80. Following inslld Drive ❑ Yes Cl No: Walks ❑ Yes ❑ No: Planters ❑ Yes ❑ No _..- ---- - ------------------ ----------- /O'�L 8t. Stucco: B n -F .. . ..... ........... .............................. ---- -------- ------- 8 t: DisConnecl. Electrical. Plumbing ------------------------------------------ nts Above Root: PIbg.-Appliance-Fireplace. -CI earance to Openings ... ........ --- ----------..----------------------------- eII .Disconnect. Electrical. Plumbing --- - xten c-Elec. Trim: G F.I Receptacle -Underground . ..... ..... - ... -- -. --------- d ------- 8 en Lon Throughout House - -- ---- -------------- ------------------------- "- lass 5.1,on 8" chons from Previous Inspections Gas 91 -Meters Tagged: Gas -Electric a Sewer Connected -C/O to Grade -HD Approval---- --a- nergy Compliance Certificate -Other Certificates . ... . .. . . .....- -------------------- DatefO-.13- P Card B-1 Date _. --- _---Card B-1-- -------- ------ Date Card B- Card B_1 Dale Card B- Date Card B-1 Comments at Final Tr�A, COUNTY OF BUTTE -DEPARTMENT OlkDEVELOPMENT SERVICES- BUILDING DIVISION 7 .County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO. APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 024-190-002 A 40 ZONING BUILDING PERMIT IV— OWNER JEWELL CANTRELL T�PHONE'��� C(�J SO. FT. OCC. BUILDING VALUATION 624 R 33,696.00 OWNERS MAIUNG ADDRESS 300 HWY 99E GRIDLEY 95948 BST 7,000.00 CONTRACTOR'S NAME H H CUSTOM BLDG TELEPHONE 0-d-7 CONTRACTORS MAILING ADDRESS PO BOX 1341 GRIDLEY. 95948 Fireplace CONSTRUCTION ENDER NONE UNKNOWN Total Valuation $ 40.696.00 Filing Fee $ 20.00 LENDERS MAILING ADDRESS Permit Fee $ 356.00 ARCHITECT OR ENGINEER NONE LICENSE NO. Plan Checking Fee $ 231-40 Energy Plan Checking Fee $ 23.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUIL.DINGADDRESS 300 HWY PERMITFEE $ 630.40 GRIDLEY PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 LAT NO. SUBDIVISIONS NAME PARCEL MAP Solar or heat pump water heater 23.00 Water piping 15.00 USE OF STRUCTURE SF M Duplex ❑ Mobilehome ❑ Other SPECIFY Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition gX Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: 9EDROOM & BATH, NEW WINDOWS AND RE—STUCCO Mobile Home I S I GI W 1 920.00 PERMITFEE g Contractor ELECTRICAL PERMIT Filina Fee 20:00 Main Service000Y OR ESS ( 200A OR ESS ) 23.00 Main Service ( 200A TO 1000A ) 46.00 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 Ti Lic. No. 9.99 2 Z OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, 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. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 her y affirm under penalty of perjury one of the following declarations: I 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 required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' co m ensation insurance carrier an policy number are: Carrier i /a�� 21c NEW CONST. DWELLING OCCURSO. OR ADONS. ( 8 ACC. BLDS. ) 3.52 N. 21 8 NEW CONST, MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS ) 97.50 WER (8 STING E OUTLETT CIR. ) EX. Occup. ( OUTLET OR FIXTURES ) 20 Q 1.00 BAL .50 Ex. Occup. (ounEEDrs (RE of R 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ 64,80 Contractor MECHANICAL PERMIT Filing Fee 20.00 9 Heating Cooling Hood 6.50 Ventilation 2 4.50 9.00 PERMITFEE S 35.00 Contractor 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.) ❑ 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 co ply with those provisions. X n _ __ Date �� 5�-- Signature o pplicant - ❑ Owner on Tactor ❑ 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 Is DCC CONST. TYPE TOTAL FEE $ 919.20 HAZ. D. ;:?IMP ES v FLOOD X DF PARC PD HD ISSUE This permit is hereby issued under the of the Butte County Code and/or indicated above for which fees have By PERMITEXPIRESON applicable provisions Resolutions to do work been paid. ' Date ry f7 (DA C ReceiptNo. 201682 — 334.40// O "r Of/ WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK- SPECTOR GOLDENROD -APPLICANT �I COUNTYOF BUTTE - DEPARTMENTOF���EE'OPMENTSERVICES -BUILDING DIVISION - 9k; < 7 COUNTY CENTER DRIVE - OROVILLE, CALIF:.,ORNIA95965 -TELEPHONE (916) 538-7541 4,kv 0 �,/ PERMIT APPLICATION DATA SHEET OWNER v E Cat, A P. No. ' ! 7Q "O Proposed Building Use n S !- Building Inspector Date At ti of permit/C�.�pplication, I was advised the following data must be submitted prior to permit processing and/or issuance: 7e ��Ic�9G DATE RECEIVED BY 1. All items Nw,p been submitted . ............. ... ...... 2. Plot plan se , signed by preparer of plans. ..��.. (.5:e- ..... . its. 3. Complete plans; s, signed by preparer of plans. ........ S e: ¢ ....... 4. 5. 6: X 8. 9. 10. 11. ' 12. ' 13. 14. 15. 16. 17. 18. 19. 20. 21. 22. 23. 24. 25. 26. 27. 28. 29. 30. 31. X_-:�32. 33. 34. Engineered plans and calcs, 3/4 sets, with wet signature on, plans . ............. Hazardous Material Form. ..:...................................... ... . Energy Design Compliance=and supporting documentation. . Y................ Statement of Intent for Non -Heated and A/C Buildings . ...................... Engineered truss details and layout in duplicate (required prior to plan check). .... Mobilehome da nWnufacturer's installation instructions, 2 sets. . Fees of $ - / ............ Impact fees as shown on attached schedule. California Department of Forestry plan approval/fees. ....................... . Flood elevation letter (100 year flood by Qjil rnia Engineer . ............. . Sanitation and plot plan approval (Ibvt Health Department . ............ � City of Chico plumbing permit . ........................................ . Plot plan and business license approval from City of Biggs/Gridley. ............. Planning approval for (A) Use: (B) Parking: . ......... Contact Land Development about (A) Improvements (B) Drainage. .......... . Driveway permit (construction approval required prior to occupancy)... . . �Preanspection requ Pre -inspection for required. .. to Building Inspecto(Date) Contractor's license information. (No., Name Style, Classification) . .............. Certificate of Workmans Compensation Insurance . .......................... Owner -Builder Verification (Given to owner , Mail to owner . ........... Recorded copy of Agricultural Acknowledgement Statement: Letter of signature authorization . ........................................ Copy of recorded deed of parcel creation and 60 right of way to a public road. ..... Letter of intent on building use . ...........................:............ . Mobilehome utility clearance ....................................... . Documentation of legal access . .....................:................. . Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... Existing violations/expired permits . ............l ............. .......... PlarJ (heck Vit... b ll Or ►^OtCE' lata ���lU-`3f !fes When you issue the it"vproess as follows: Mail owner, Mail to contractor. Y Telephone A � % and hold for pickup at 0`0 ✓ / office. Deliver with inspector. Other Parcel Creation/ Acreage Applican f Date Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By T' The following data must be submitted prior to permit issuance: (Circle new item not checked 1. Index permit for above items No. 2. additional items required: C(AQ, 40 C*� Contractor designer, owner, was advised of above required data by✓phone _ mail Counter by _ Date Contractor, designer, owner as advised of above required data by _ phone _ mail Counter by _ Date Plans checked by A Date( Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance MPhD USE o9 smt to B.D. rs -- , 4c, / 1 oc Owner Location AP# Plan Approved for: Sewage Disposal Z� Water Supply: Public Private Well Clearance for bedroom Thome. Other Hold final for: Final clearance O.K. for: Environmental Health Specialist 4101) 4L/�F-� 2-C Date ��e 1COUNTY OF BUTTE -DEPARTMENT OF, DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NC APPLICATION AND PERMIT ASSESSORPARC NUMBER ZONING BUILDING PERMIT OWNER`e ^ r /) ` ll TELEPHONE SO. FT. I OCC. BUILDING VALUATION � ILING OWNAD00 5;'19Z5 000 CRACTSSNAM urbVI TELEPHONE 1 COT Al MAID ADDRESS % n �_ /�f Fireplace p CONSTRUCTION LENDER �� UNIOJOWN Total Valuation $ Fling Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ �5 O ARCHITECT OR ENGINEER e- LICENSE NO. Plan Checking Fee $ 1. Energy Plan Checking Fee $ .1300 ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDING ADDRESS(ac99 fel / PERMITFEE $ . C/oO PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 G D LAT NO. SUBONISIONS NAME PARCEL MAP Solar or heat pump water heater 23.00 Water piping 15.00 USEOFSTRUCTURE SFX Duplex ❑ Mobilehome ❑ Other sveclFv Each gas water heater or vent 15.00 % O Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 j O TYPE OF WORK New ❑ Addition Remodel ❑ U'Irbes ❑ Installation ❑ Other ❑ / l Describe Work: Owl" � AC —h /VF k) Mobile Home S I G W1 920.00 PERMITFEE g 14 Contractor ELECTRICAL PERMIT Filin Fee Main Service ( 200AORLEss ) X120.00 23.00 dc3.00 Main Service ( 200A TO 1000A ) 46.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, 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. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 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 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 NEW CONST. DWELLING OCCUP. OR ( 8 ACC. BLDS. s0. 3.52 FT. CNS. NEW CONST. MULTI.OUTIET NON-RESID. ( BRANCH CIRCUITS ) @7.50 POWER APPARATUS (a SINGLE OUTLET CIR. ) Ex. Occup. ( OUTLET OR FIXTURES ) 20 @ 1.00 BAL 50 Ex. Occup. (oFXED PES D.OEA) 5.00 Temporary Service Mobile Home Facilities _ 23.00 20.00 Misc. Wiring 23.00 PERMITFEE Contractor MECHANICAL PERM T Filing Fee 20.00 9 Heating �Ar + Cooling Hood 6.50 Ventilation q, 6-0 g, PERMITFEE $ 3 Contractor 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.) ❑ 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 with those provisions. X Date Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations ov r 5'0" deg nd demolition or construction of structures over 3 stories in height. fc © / Mobile Home Installation Fee $ Energy Inspection Fee I $ eo I O occ CONST. TYPE TOTAL FEE $ HAZ. 1 0. FEES I IMP I FLJO:OD1 COF PARC PD I HO ISSUE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By PERMITEXPIRESON the applicable provisions Resolutions to do work been paid. Date (Date) u Receipt No. p c1 J �� ! • M2ZZ WHITE-D.D.S.-B.D. CANARY -ASSESSOR P -INSPECTOR GOLDENROD•APPLICANT ===««A. C. E . S Version 7.2>>>>===========[ 991747 ] ============««TROJAN»»=== Customer : MITCHELL-CANTRELL Project #: 611CAN Tue Jun it 12:42:42 1996 Span : 26-0 Truss ID Quantity 26SIS 12 Family # To Pitch : 117 Seat cut : 0-3-8 t P : 4.5122 / FORC-ES--------------------------------------------------------------------------------------------------------------- - LOAD CASE #1 1-2=-3132 5-6= 2882 2-8= 47 REACTIONS - SIZE - APPROVED FOR MITEK INDUSTRIES INC. 2-3=-2325 6-7= 2888 2-7=-678 1==1072 5=-1077 3.50 3.50 3-4=-2325 7-8= 2870 3-7= 1884 4-5=-3151 8-1= 2864 4-7=-695 4-6= 57 PLATE OFFSETS (X=LEFTY=TOP):Ij7=4, 21, 3X6 7-8 (..Aep 5-4 5-4 5X6 JUN 12 1996 26-0 7-8 G � '1 2 a � NO. C049919 OFC 3X6 7-8 13-0 18-4• 26-0 7-8 5-4 5-4 7-8 L. HL TO PK:14-9-7 INTERNAL RISE:4-2-13 R. HL TO PK :14-9-7 LEFT HEIGHT:0-6-7 SPAN:26-0 RISE:7-6-15 RIGHT HEIGHT:0-6-7 LOADING (PSF) MAX STRESSES MINIMUM GRADE OF LUMBER L D TOP 4-5=0.375 TOP CHORD:2*6 No.2 91 DF -L TOP 16 15 BOTT -7-a=0_70-0 BOT- C�HORD:2*4 No. 1 91 DF -L BOTT 0 -5- _ LL.DEFL.@7=0.19 <'L/240 WEBS :2*4 STANDARD 91 DF -L -------------------------------------------------- .REPETITIVE STRESSES NOT USED SPACING • 24.0 in. o. c. NO. OF MEMBERS = 1 NOTE: PROVIDE .FOR 0.39 1N. HORIZONTAL_ DISPLACEMENT AT ONE BEARING Ac,e TC 24 -!Q v1N 4_+ {OY EIOfz pyQ�y�p�yt LOADING STRESS INCREASE LOADING PANEL(PLF) / JOINTS(LBS) LUMBER PLATE TYPE 1 1.25 1.25 UNIFORM 1- 5= 62 5- 1= 10 CONCENTRATED 6= 10 2 1.25 1.25 UNIFORM 1- 1= 30 DEFLECTIONO N.) L.L= 0.19,D.L=0.24,T.L=0.43 PLATES ARE MITEK M20-186,147 MANUFACTURED FROM ASTM A 446 GRD A GALVANIZED STEEL(EXCEPT AS SHOWN) PLATE MUST BE INSTALLED ON EACH FACE OF JOINT, SYMMETRICALLY(EXCEPT AS SHOWN)DESIGN CONFORMS WITH TOP CHORD BRACING @ 24" O.C. UNLESS RIGIDLY SHEATHED, BOTTOM CHORD CONTINUOUSLY BRACED @ 10' 0' O.C. UNLESS RIGIDLY SHEATHED. LATERAL BRACING OF WEB MEMBERS, WHERE REQUIRED, ARE AS SHOWN ABOVE. FOR . ADDITIONAL PERMANENT AND TEMPORARY BRACING (WHICH IS ALWAYS REO'D) REFER TO TPI PUBLICATION HIB -91 BRACING WOOD TRUSSES COMMENTARY AND RECOMMENDATION. NDS DESIGN SPECS, UBC-94,TPI-95 LAND DEVELOPMENT BUILDING / EIMRONMENTAL -HEALTH! PERMIT CLEARANCE Building Permit No. R12/Oke 7'o -5-d A.P. NUMBER: MNT LAST NAME F=T COUNTY ZONING \\// DESIGNATION: A 4 FLOOD ZONE: �' FLOOD MAP: 5 APPROVED: CONOMONALLY APPROVED: RESOLVE PROBLEMS PRIOR TO APPROVAL: PARCEL CREATION BY DEEDS _,� OR MAP ` 300 H�7 '» IioPK�ls Ro DEED INFORMATION: DATE OF CREATION: I" n (4OM Vo " I DEED REFERENCE: SS�SSc�'c-s o�P�c� LEGAL ACCESS PROVIDED: _ YES NO LEGAL ACCESS REQUIRED: YES NO COMPLIES WITH COUNTY STANDARDS FOR DEED CREATION: �_ YES NO COMMENTS/CONDITIONS: MAP INFORMATION: DATE OF RECORDING LOT BOOK PAGE COMPLIANCE WITH OLD SUBDIVISION LOT ORDINANCE REQUIRED? (MAP RECORDED PRIOR TO BOOK 17 OF MAPS AT PAGE 23)' YES NO . IF YES, MARK APPROPRIATE ITEMS) SELOW: A. Construct road to B. Meet parcel size required by zone. C. Meet current E.H.D. requirements. CHECK SPECIAL CONDITIONS WHICH APPLY TO MAP: ALL FEES TO BE PAID TO THE BUILDING DIVISION UNLESS OTHERWISE NOTED. 1. Maintain a 50 ft. building setback from centerline of road. 2. Maintain a ft.building setback from right-of-way/centerline of. 3. Maintain a 100 ft. leachfield setback from all existing wells. 4. Maintain a ft. leachfield setback from 5. Pay water tender fees in the amount of $ to Battalion Number of the Butte County Fire Department. 6. Meet the Fire Safe Regulations of Butte County and P.R.C. 4290. — 7. Connect to a public water supply. S. Connect to a public sewer system. _ 9. Automatic fire suppression sprinkler systems shall be installed in all residential structures in accordance with the National Fire Protection Association Standard for the installation Of sprinkler systems in one and two family dwellings and mobile homes, NFPA Standard 13D, unless a pressurized community water system, with hydrants that meet Fire Department specifications, serves the parcel. 10. Pay T.D.D. (Thermalito Drainage District) fee in the amount of $ _ 11. Meet the requirements of the Department of Fish and Game for the preservation of oak trees. (See phone number below) 12. Obtain approval from the Department of Fish and Game for vegetation removal. Contact Fish & Game at 916-355-7010. _ 13. A traffic mitigation fee for each new or additional living unit shall be paid. Pay the amount of $ as stated in the Oroville Area Traffic Mitigation Fee Agreement. P8Vnre7t to be mads to tIe Phnnirg Dinisram _ 14. All new residential buildings shall be constructed to comply with the requirements of the Uniform Building Code,for seismic safety. Mobile homes shall be constructed on a permanent foundation system which complies with the Seismic Zone 3 requirements of the Uniform Building Code. _ 15. Deer Mitigation fees are to be paid, if such fees have been adopted by the Butte County Board of Supervisors. X 16. Pay school impact mitigation fees. X 17. A development impact fee for sheriff facilities shall be paid pursuant to the provisions of Chapter 3, Article II of the Butte County Code. ...nn..i.o.nonta of tho Caiifnrnia 18. _ 19. —20. _ 21. 22. 23. 24. 25. WOOD Stoves ano nreplaac igucIw aIIaOFF.- Clean Air Act of 1988 as amended. If any cultural resources are encountered during ground disturbing activities, all work shall cease in the area of the find pending examination of the site by a professional archaeologist. This person would then be able to assess the site significance and suggest appropriate mitigation measures. I C 4 O 1N3VVO1313Q GN ll 31-ine 10 almnoo 966! 5 0 � n G AI2jo2N LD 9/96 - C.\WP61\FORMS.K\13LDOPERM.CLA COUNTY OF BUTTE BUILDING DIVISION ` ' r DEPARTMENT OF DEVELOPMENT SERVICES 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA�-' (916) 872-6307 CORRECTION NOTICE 213 OWNER PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please cgntact this office immediately. J U/I Ie,-; -/.-, v- .- I., iii .,T !11 _ . . _ - n - _Q -13 96 Ll h X i.v Sic f —I'd r _Sn uv`i ✓a-s.G / d(,- r/ Gy A'/l 1 � din I Date — a — Inspector 2 u s s e t l REV 10/92 COUNTY OF'BUTTE BUILDING DIVISION • DEPARTMENT OF DEVELOPMENT SERVICES 1469 Humboldt Road, Chico, CA - (916)'891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE Ca, 4ze /1 7%7-���12 OWNER PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact tljis office immediately. A., -le,/ Date �'� 7,L --Inspector REV 10/92 7i% COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE OWNER PERMIT NO. A routin/If ndicates that the following violations of Butte County Ordinances exist at the abod should be corrected. Please notify this office when correction of work is compave any questions pertaining to this matter, or need additional explanation, please ffice immediately. F 4— 1 r - - JQA A/ /o '/ Date — �' `.' ). �» Inspector 4� . 4"-- REV 10 COUNTY OF BUTTE, BUILDING DIVISION:- DEPARTMENT'OF DEVELOPMENT SERVICES X', 1469 Humboldt Road, Chico, CA - (916) 891-2751 ` 7 County Center Drive, Ofoville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE OWNER l PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work is complete VIf you have any questions pertaining to this matter, or need additional explanation, please co agjhis office immediately. Date Inspector /� U S S e rl ` of REV 10/92 RESIDENTIAL { 24-190-002 PERMIT#96-2646 NTRELL, J6well ` 00 Hwy 99E, Gridley Cont: H.H. Custom Bldg Add Cov Porch & Roof Structure/SF JOB FINALED ( te) _ Signature s E r' yf..; 1 •it A i t� i 1 s 44 9 JOB FINALED ( te) _ Signature s V=OK O = Not OK '=Not t Applicable NotNoMOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 7. Well Clearance & Disconnect 1. Zoning Requirements - Setbacks - Easements 8. Utility Clearance 2. Soils; Special MH Support Sketch 3. Sewer, Location -Test -Fall -C/O -Concrete 4. Water, Location -Test -Easement Needed (Sketch) Card B-1 Date Card B-1 5. Electricity; Location-Clearances-Gmd-/ /Amp -Concrete Card B-1 Date Card B-1 6. Gas; Location -Test -Wrap; / ttlt 1 MISCELLANEOUS Date DEC OVERS, CARPORTS, GARAGES(Plans) OKi'except #'s Zo ' Requirements -Setbacks -Easements Footings; Soils-Size-Depth-Spacing-ConnectorsSteel 3. Decks; Girders and/or Joists-Decking-BracingStairs-Rails �cl 4. WoodA .; P s -R s onnedtors S -Rfg.-Bre 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Caroorts: Windows -Doors 7. Electric 8. Frmg.; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Dated % Card B -1n y1� Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men-Uning 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts -G FI 6. Elec.; Enclosures; Conduit Entries-Terminals-Usted 7. Elec.; Bonding; Metal w/6 -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/S Circulating Equip. -Pool LBhtg. Boxes-Enclosures-Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. TesGWater Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 / /Nat. or/ /"L°ft./ /LPG 7. Well Clearance & Disconnect 8. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements- Setbacks Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test-DemandValve-Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch 11. Cert of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 1 MISCELLANEOUS Date DEC OVERS, CARPORTS, GARAGES(Plans) OKi'except #'s Zo ' Requirements -Setbacks -Easements Footings; Soils-Size-Depth-Spacing-ConnectorsSteel 3. Decks; Girders and/or Joists-Decking-BracingStairs-Rails �cl 4. WoodA .; P s -R s onnedtors S -Rfg.-Bre 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Caroorts: Windows -Doors 7. Electric 8. Frmg.; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Dated % Card B -1n y1� Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men-Uning 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts -G FI 6. Elec.; Enclosures; Conduit Entries-Terminals-Usted 7. Elec.; Bonding; Metal w/6 -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/S Circulating Equip. -Pool LBhtg. Boxes-Enclosures-Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. TesGWater Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 ✓ = OK O= Not OK RESIDENTIAL (Single & Duplex) - = Not A0 icable Not Ready Date 46. UNDERFLOOR (Plans) OK except #'s 7 ZoningSetbacks-Easments-Flood-Slope 2. Ftg., Main; Soils-Elec. Gmd.-/ /' Ftg. Depth 3. Ftg. Garage; Soils-Steel-Elec. Grnd/ /' Ftg. Depth 4. Ftg. Porches & Decks; Soils -Steel-/ /' Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts4Nrapped 6a. Hold Downs and Special Anchors 7. Slab, Steel Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF. Gas Pipe; Size Anchors - Yard Gas Piping; Size Test 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground 13. Pienums & Ducts; Clearance-Mater:al-Support-Ins. 14. Girders -Sills -Anchor Bolts -Joists Vents-Crippies 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card E-1 Date 63. PLUMBING (Permit) OK except #'s 17. Water Htr.; Vent -Access -Combustion Air Baffle 18. Water Pipe; Test & Anchor -Nail Protection 19. D.W.V.; Test Fittings & Anchor -Nail Protection 20. Shower Pan; Test, First Floor -Tub Access 21. Test Tub & Shower, Second Floor -Tub Access 22. Gas Pipe; Sixe & Anchors 70. Fireplace or Stove, Clearance -Hearth Date 71. Card B-1 Date Card B-1 Date 72. Card B-1 Date Card B-1 Date 73. ELECTRICAL (Permit) OK except #'s 23. Fixture & Transformer Clearance -Ins. Protection 24. Elec. Receptacles Spacing -Lights & Switches at Doors 25. Size Boxes & No. of Conductors Stapled 26. Romex Installed Close to Edge of Studs & C.J. 27. Equip. Ground made up w/Mech Fastners-Bond Gas & Water 28. 2 Appliance Circuts in Kitchen & Conductor Size GFI 29. Subfeed Wire Size / /ga. Cu or AI-A.C. Wire Size / /ga Cu or Al 30. Ran,e Circ. / / ga Cu or AI -Oven Circ. / / ga Cu or At Insulated Neutral 0 Yes 0 No 31. Service -Riser Conductors & Ground -Main Disconect 32. Equip. Clearances Panels-Motors-Mech. Epuip. 33. Clothes Closet Light -Shower Light -Spa Light 34. Smoke Detector 86. Water Well, Disconnect, Electrical, Plumbing Date 87. Card B-1 Date Card B-1 Date 88. Card B-1 Date Card B-1 Date 89. MECHANICAL (Permit) OK except #'s 35. A.C. Ducts Insulation & Support 36. Vent Fan, Exhaust above insulation 37. Condensate Drain & Overflow, Size & Grade 38. Furnance-Vent Access -Comb. Air -Return Air Vent 115 outlet 39. Attic Access & Platform if Furnace in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except #'s 40. Sits Proper Materials & Anchors 41. Walls Studs -Nailing Spacing & Braces -Plates -Sound 42. Bearing Walls over Girders & Floor Nailing 43. Draft Stop in Walls (rat proof) 44. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 45. Headers & Beams -Size & Bearing Date 46. FRAMING (Continued) Hangers -Post Caps -Anchors -Connectors 47. Cling. Joist-Rftr. Ties-Puriin-roff Brac.-Truss-Shting.-Rfng. 48. Fireplace Ties or Type A Flue -Fireplace Throat clearance 49. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 50. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 51. Garage Fire Protection Framing 52. Property Line Firewall & Openings 53. Ext. Doors -One 3 -Check Garage 3rd Story, 2 Exits 54. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 55. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 56. Siding -Nailing Veneer 57. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 58. Glazing Area -Glass Protection -Skylights -Plastic 59. Shear Walls; Nailing -Bolts 60. Brace Wall Panels 61. Insulation -Walls -Ceilings 62. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 63. Ext Steps -Door & Sidelight Protection -Landings 64. Smoke Detector 65. Furnace; Vents -Clearance -Comb, Air-Conector- In Garage; Above Floor -Ducts -Meth. Protection 66. Bedroom Exiting 67. G.F.I. & Bath Fixtures & Tub Access -Spa 68. Elec. Trim & Subpanel, Breaker Sizes & Labels 69. Stairs & Rails 70. Fireplace or Stove, Clearance -Hearth 71. Elec. Outlets at Wood Panel, Int. & Ext. 72. Kit. Fixt. & Appliance; Ground. -Air Gap -Cooking Clearance 73. Elec. Outlets & Recepticales at Kit. Counter 74. Garage Fire Door; Swing -Landing -Closure 75. A.C. Duct in Garage -Damper 76. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. In Garage; Above Floor-Mech. Protection 77. Plb., Elec. & Mech. Equip. lasted for Location 78. Elec. Receptacles in Garage (G.F.I.)-Romex Protection 79. Insulation -Foam -Looked in Attic 80. Guard rails & Deck Construction -Post Caps 81. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor 0 Yes 82. Following Instld./Drive 0 Yes 0 No/Walks 0 Yes 0 No/Planters 0 Yes 0 No 83. Stucco Brown -Finish 84. A.C. Unit Disconnect, Electrical -Plumbing 85. Vents Above Roof, Plbg-Applia nce-Fireplace-C lea rance to Openings 86. Water Well, Disconnect, Electrical, Plumbing 87. Exterior Elec. Trim, G.F.I. Receptacle -Underground 88. Ventilation Throught House 89. Glass Protection 90. Corrections from Previous Inspections 91. Gas Test -Meters Tagged, Gas -Electric 92. Water & Sewer Connected -C/O to Grade -HD Approval 93. Energy Compliance Certificate -Other Certificates Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: L"�� 1. L COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION • 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541/ .P,E�►MIT � y. _ APPLICATION AND PERMIT (p �.C(o ASSESSOR PARCEL NUMBER 24-190-002 A40 ZONING BUILDING PERMIT OWNER JEWELL .NTRELL TELEPHONE SO. FT. OCC. BUILDING VALUATION 13;51088688 OWNERS MAILING ADDRESS 300 HWY 99E GRIDLEY, 95948 CONTRACTOR'S NAME H.H.CUSTOM BLDG TELEPHONE 846-0879 CONTRACTORS MAILING ADDRESS BOX 1341 GRIDLEY, 95948 Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation is 16-600-90 Fling Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ 180 00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 117 QQ Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDING ADDRESS 300 HWY 99E PERMITFEE $ GRIDLEY, 95948 PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Solar Or heat pump water heater 23.00 Water piping 15.00 USEOFSTRUCTURE SF X'3 Duplex ❑ Mobilehome ❑ Other SPECIFY Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition EX Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: COV PORCH ADDL EEINFORCE FINISHING RAFTER FOR THE TILE ROO. #96-1_213 Mobile Home I S I G W 1 920.00 PERMITFEE S Contractor ELECTRICAL PERMIT Filino Fee 20.00 Main Service600V OR LESS ( 200A OR LESS ) 23.00 Main Service ( 200A TO I000A ) 46.00 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 a_)Lic. No Z ��� OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, 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. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason NEW CONST. DWELLING OCCUR OR ADDNS. 8 ACC. BLDS. ( ) SO. 3.5Q FT . NEW CONST.MULTI-OUTLET NON-RESID. ( BRANCH CIRCUITS ) 97.50 ( POWER APPARATUS ) 8 SINGLE OUTLET CIR. Ex. Occup. (OUTLET OR FIXTURES) 20 I•00 BAIL 050 Ex. Occup. (oUITUFTs (RES D.OEA ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ Contractor WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 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 required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carry -and p licy number are: Carrier DF� 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.) ❑ 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 mply with those prions. X_____ Date _� Sig re Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Filing g Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMITFEE S Contractor Mobile Home Installation Fee $ Energy Inspection Fee Is Occ CONST. TYPE TOTAL FEE $ 317.00 D. FEES IMP — FLCOD ..� CDF PARCEL PD H ISS This permit is hereby issued under the of the Butte County Code and/or indicated above for which fees have By PERMITEXPIRESON applicable provisions Resolutions to do work been paid. CC yy G� (D e) ReceiptNo..2 6764-1 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTYOF BUTTE - DEPARTMENTO'F DEVELOPMENT SERVICES -BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA95965 -TELEPHONE (916) 538-7541 ` PERMIT APPLICATION DATA SHEET I / { OWNER v �. �'`/ A. P. No. 24- 170-C)02Proposed Building Use 06 v o l - 7-ec- -Building Inspector Gid Date // -/y -g(, At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY 1. All items have been submitted. ........................................ 2. Plot plans, 3/4 sets, signed by preparer of plans. 3. Complete plans, 3/4 sets, signed by preparer of plans . ..................... . 4. Engineered plans and calcs, 3/4 sets, with wet signature on plans. ...:......... . 5. Hazardous Material Form . ............................................ 6. Energy Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non -Heated and A/C Buildings . ...................... 8. Engineered truss details and layout in duplicate (required prior to plan check). .... 9. Mobilehome data and manufacturer's installation instructions, 2 sets. ........... 10. Fees of $ ........................................... 11. Impact fees as shown on attached schedule. ............................. . 12. California Department of Forestry plan approval/fees. ....................... . Vlood elevation letter (100 year floobby California Engineer ................... f� anitation and plot plan approval C '-IDI Health Department . ............ 15. City of Chico plumbing permit . ......................................... 16. Plot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B) Parking: . ......... 18. Contact Land Development about (A) Improvements (B) Drainage. .......... . 19. Driveway permit (construction approval required prior to occupancy). .. ' 20. Pm -Inspection reque Pre -inspection for required. . . to Building Inspector (Date) 21. Contractor's license information. (No., Name Style, Classification) . .............. 22. Certificate of Workmans Compensation Insurance . .......................... ' 23. Owner -Builder Verification (Given to owner , Mail to owner ............ 24. _) Recorded copy of Agricultural Acknowledgement Statement . ................... . 25. Letter of signature authorization . ........................................ 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. ..... 27. Letter of intent on building use . ......................................... 28. Mobilehome utility clearance . .......................................... 29. Documentation of legal access . ..................... :.................. 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ................ 31. Existing violations/expired permits . ...................................... 32. Plan check list . ..................................................... 33. ) 34. W you issue theermit, _process as follows: Mail to owner. Mail to contractor. Telephone 8 y6 -y$ 7 and hold for pickup at (f�) office. Deliver with inspector. Other Parcel Creation /�( / Acreage � Applicant e__ Date l 1 C7 - 4-76 Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by _ phone -mail Counter by _ Date Contractor, designer, owner, was advised of above required data by _ phone _ mail ounter b _ Date Plans checked by Date Plans approved by Date Sets of plans on hold in -(--10 File cabinet AP folder G/ %�60kV,?- � Copy - Department of Public Works I. :Z TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance E.H. USE ONLY Plot Plan Attached �N Floor Plan Attached Sent to B.D. % I Czwfrd I -]C)D 4wn C.L.- 9� oact- 196-coz Owner L c tion AP# Plan Approved for: Sewage Disposal Water Supply: Public Private Well �C Clearance for . Other �'iE'c�?1 '�(J�(- , Ph4in Hold final for: Final clearance O.K. for: NOTE: PW / I Environmental Health Specialist 8/96 Date COUNTY OF BUTTE BUIL'DMG DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE n 4 OWNER PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. fo e s Date ai`1 % I Inspector REV 10/92 - - BUILDI?4G DIVISION COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: (916) 5384541 AGRICULTURAL BUILDING EXEMPTION PERMIT f NO. Agricultural building is defined as follows: Agricultural building is a structure designed a9constructed to house farm implements, hay, grain, poultry, livestock, or other horticultural products. This structure shall not be a place of human habitation or a place of employment where agricultural products are processed, treated, or packaged, nor shall it be a place used by the public. ASSESSOR PARCEL NO. pZ q._ 1 1 - 0 O 'L- ZONING A _ Yo OWNER �ewe,l 06,�, ��� PHONE NO. ?q( 557.E OWNER'S ADDRESS 300 }4 w iA Cl ct jE Q - ,A ( 9 5 9 LOCATION OF BUILDING 00 oil' )z 't USE OF BUILDING r e - SIZE OF STRUCTURE Ll X SO. FT. TYPE OF CONSTRUCTION: WOOD FRAME STEEL CONCRETE OTHER (Specify) TYPE OF SIDING ROOF COVERING FLOOR TYPE ESTIMATED COST OF CONSTRUCTION $ X0,_0 o-0 AG Buildings shall comply with the minimum front, side, and rear yard setback requirements of the applicable County Ordinances as follows: FRONT 2S -n,, SIDES /y"'"`am REAR �""•-J AG Buildings shall be a minimum of five (5) feet from any septic tank or leach fields. AG Buildings less than 1000 sq. ft. in floor area shall be located a minimum of 6 feet from a residence, 10 feet from a mobilehome, and 23 feet from a commercial building. AG Buildings greater than 1000 sq. ft. in floor area shall be located a minimum of 23 feet from a residence and a mobilehome, and 40 feet from a commercial building. AG Buildings must comply with Flood Zone requirements. Finish floor elevation must be at or above elevation USGS Datum. I declare under penalty of perjury that the building will be used as stated above and the purposed use confirms with the AG Building definition. If any change in use or occupancy of the building is made, I will contact the Building Division and obtain any necessary permits, inspections, and approvals to comply with the requirements in effect at that time and before, occupant �C�� Date Signature of Owner Permit Fee - $60.00 The above described G Building is exempt fr6m a building Dermit. Receipt No. l gg6ro Manager Building Division By Date 3 6. White — DPW, Yellow — Assessor, Pink — B. I., Goldenrod — Applicant PARC P.D/ ROOF G ISS 't I I Manager Building Division By Date 3 6. White — DPW, Yellow — Assessor, Pink — B. I., Goldenrod — Applicant COUNTYOF BUTTE - DEPARTMENT -OF DEVELOPM ENT SERVICES -BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 -TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET OWNER &Q- L Q Q_� Ce, ry k s- e- ( ( A. P. No. _a Ll /9 -0 0 -2-- Proposed Proposed Building Use , u i lc�.�,� i Building Inspector g-6 Date 3 -z,1-5r-4 At time of permit application, I was advised the following data must be submitted prior to permit processing and!or issuance: 1. All items have been submitted. 2. Plot plans, 3/4 sets, signed by preparer of plans. 3. Complete plans, 3/4 sets, signed by preparer of plans. 4. Engineered plans and calcs, 3/4 sets, with wet signature on plans. 5. Hazardous Material Form. 6. Energy Design Compliance and supporting documentation. 7. Statement of Intent for Non -Heated and A/C Buildings. 8. Engineered truss details and layout in duplicate (required prior to plan check). 9. Mobilehome data and manufacturer's installation instructions, 2 sets. 10. Fees of $ 11. Impact fees as shown on attached schedule. 12. California Department of Forestry plan approval/fees. 13. Flood elevation letter (100 year flood) by California Engineer. 14. Sanitation and plot plan approval Health Department. 15. City of Chico plumbing permit. 16. Plot plan and business license approval from City of Biggs/Gridley. 17. Planning approval for (A) Use: (B) Parking: 18. Contact Land Development about (A) Improvements (B) Drainage. 19. Driveway permit (construction approval required prior to occupancy). 20. Pre -inspection for required. 21. Contractor's license information. (No., Name Style, Classification). 22. Certificate of Workmans Compensation Insurance. 23. Owner -Builder Verification (Given to owner , Mail to owner �. 24. Recorded copy of Agricultural Acknowledgement Statement. 25. Letter of signature authorization. 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. 27. Letter of intent on building use. 28. Mobilehome utility clearance. 29. Documentation of legal access. 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements. 31. Existing violations/expired permits. 32. Plan check list. 33. 34. When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver with inspector. Other Applicant EXPIRATION OF APPLICATION Applications for which a permit has not been issued, will expire by limitation one year after date of application. In order to renew action on an application after expiration, a new application, plans and fees will be required. FEE REFUNDS Refunds can only be made upon writtten request by the person who paid the fee. The request must be made within one year from the date of fee payment on permits not issued, and one yearfrom the date of permit issuancefor permits issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan checking fees for work plan checked and other department costs are not refundable. Original - Applicant S Had dAAI)ON" --?g ssobp l �� fl WO024-190-002 92-2378E 24=19-02 o- HARKEY, Walter m HMEY--; Walter & CANTRELI,,Jewell 300 Hwy 99, Gridley 300 Hwy 992 Gridley misc elec & move main service f Ag Exemption Permit/QO •a Mayes equip stg 1 P � :. S � :'i f•.'� �� �Y 5�4�"• T A4 t��lF �'•) •: �, �. -�y: i� At.,iQ•' S t h . yS. el• .�k4'^ ;'�? t. ./C<L 4 • � �• ��..'�s•�1-, •.. ;�y"� i..,.{y. � ��'�?r�,.�. ,`'y��'ifil?�5�����..t `.d�;r.�+ff�:ve �{+�.,,.;,-. s �'• f s i;-• r s � ' `+i ,y "•i'•t .r "'����:.� �`tR ..;��•.�_ COUNTY OF ov i , tc COUNTY OF BUTTE'-* DEPARTMENT OF PUBLIC WORKS)EPT.OFPUBLIC WOR_K; 7 COUNTY CENTER DRIVE - OROVILLE. CALIFORNIA 95965 - TELEPHONE. (916) 538-7541 • ., AGRICULTURAL BUILDING EXEMPTION- PERMIT JUN 151992=- r PERMIT NO. Agricultural building is defined as follows: .Agricultural building is a structure designed and constructed to house farm implements, hay, grain, poultry, livestock, or other horticulutral products. This structure shall not be a place of human habitation or a place of employment where agricultural products are processed, treated, or packaged, nor shall it be a place• used by the public. ASSESSOR PARCEL NO. O � _ / � O � ZONING • PARCEL OWNER1i �� /C � ���� � � WA t � r2- 1'� PHONE NO. 4�� SS OWNEI's ADDRESS W - i ZS LOCATION OF BUILDING fJLo a.!" Wil• c_/ USE OF BUILDING�- /-r ✓ U SIZE OF STRUCTURE X O SO. FT. _ TYPE OF CONSTRUCTIO WOOD FRAME STEEL CONCRETE OTHER (Specify) TYPE OF SIDING ROOFCQVE IN F OR P 16Z405A ESTIMATED COST OF CONSTRUCTION j $ AG Buildings shall comply with the building front, side, and rear yard requirements of the applicable County Ordinances as follows: ,-! '116- �- 1-2 , f FRONT.,- SIDES �� REAR L AG Buildings shall be a minimum of five (5) feet from any septic tank or leach fields. AG Buildings less than 1000 sq. ft. in floor area shall be located a minimum of 6 feet from a residence, 10 feet from a mobilehome, and 23 feet from a commercial building. AG Buildings greater than 1000 sq. ft. in floor area shall be located a minimum of 23 feet from a residence and a mobilehcme, and 40 feet from a commercia! building. I declare under penalty of perjury that the building will be used as stated above and the proposed use conforms with the AG Building definition. If any change in use or occupancy of the building is made, I will contact the Department of Public Works and will obtain any necessary permits, inspections, and approvals to comply with the requirements in effect at that time and before occupancy. Date oZL�� Signature of Owner Permit Fee -3p&.4- $0.0o The above descri d AG Building is exempt from a building permit. Receipt No. F 7 / & 19 White - OPW. Yellow - Amemr, Pink - 8.1., Goidenrocr - Applicant Director o — - - JCI* v1 Vw -- .... ..-.- --. •' f Public Works By Date FLOOD_ PARCEL P.D. ROOFING ISSUE ✓ a.!" Wil• c_/ Director o — - - JCI* v1 Vw -- .... ..-.- --. •' f Public Works By Date - JI N-15-94 WED 09:48 Plitc-hell Bld SuF-Fll':l Q. 9168464019 COUNTY OF BUTTE 4 BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. REV 10/92 ' COUNTY C- 3U rE.- COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORK9)EPT.OFPUBLICWCRI;;; 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95,965 - TELEPHONE: (916) 538-7541 y AGRICULTURAL BUILDING' EXEMPTION PERMIT JUS! 15 1992- PERMIT/ NO. -� 2,:;'-10!2 Agricultural building is defined as follows: Agricultural building is a structure designed and constructed to house farm implements, hay, grain, poultry, livestock, or other horticulutral products. This structure shall not be a place of human habitation or a place of employment where agricultural products are processed, treated, or packaged, nor shall it be a place. used by the public. ASSESSOR PARCEL NO. O / �-- ZONING OWNER rIAL,�'n t ' �/�tI�L� HONENO9T� ADDRESS OWNER�>O LOCATION OF BUILDING 0 _ V (S USE OF BUILDING &A U SIZE OF STRUCTURE (al e7l X v - SO. FT. TYPE OF CONSTRUCTIO WOOD FRAME STEEL CONCRETE OTHER (Specify) TYPE OF SIDING ROOF CQVERING� FLQOR P / koiMVFA ESTIMATED COST OF CONSTRUCTION $ AG Buildings shall comply with the building front, side, and rear yard requirements of the applicable County Ordinances as follows: FRONT fi SIDES �l REAR f 0 AG Buildings shall be a minimum of five (5) feet from any septic tank or leach fields. AG Buildings less than 1000 sq. ft. in floor area shall be located a minimum of 6 feet from a residence, 10 feet from a mobilehome, and 23 feet from a commercial building. AG Buildings greater than 1000 sq. ft. in floor area shall be located a minimum of 23 feet from a residence and a mobilehome, and 40 feet from a commercia! building. I declare under penalty of perjury that the building will be used as stated above and the proposed use conforms with the AG Building definition. If any change in use or occupancy of the building is made, I will contact the Department of Public Works and will obtain any necessary permits, inspections, and approvals to comply with the requirements in effect at that time and before occupancy. Date ���, Signature of Owner - elry �e Permit Fee -$;6-4$ The above descri d AG Building is exempt from a building permit. J1 / '^// Jf �j� FL000_ PAFCEL P.O. fi00FING I$$UE Receipt No. 1 1 I / W 2 Director of Public Works By Date 1 �� White - OPW. Yellow - Assessor. Pink - B.L. Goldenroo - Applicant s .s`he z si- COUNTY OF BUTTE . PARTMENT OF PUBLIC WO - BUILDING DIVISION -. .,rg. 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916) 538.7541 PERMIT APPLICATION DATA SHEET OWNER fe tat A. P. No. &z-1 ` r ' 00Z Proposed Building Use I Building Inspector Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. 16. 17. 18. 19. 20. 21. 22. 23. 24. 25. 26. 27. 28. 29. 30. 31. 32. 33. 34. All items have been submitted . ........................................ Plot plans, 3/4 sets, signed by preparer of plans . .......................... Complete plans, 3/4 sets, signed by preparer of plans . ..................... . Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. Hazardous Material Form . ............................................ Energy Design Compliance and supporting documentation . .................. Statement of Intent for Non -Heated and A/C Buildings . ...................... Engineered truss details and layout in duplicate (required prior to plan check). .... Mobilehome data and manufacturer's installation instructions, 2 sets. ........... Feesof$ .......................................... Impact fees as shown on attached schedule . ............................. . California Department of Forestry plan approval/fees. ........................ Flood elevation letter (100 year flood) by California Engineer . .................. Sanitation and plot plan approval Health Department . ............. City of Chico plumbing permit . .......................................... Plot plan and business license approval from City of Biggs/Gridley. ............. Planning approval for (A) Use: (B) Parking: . ........ Contact Land Development about (A) Improvements (B) Drainage. .......... . Driveway permit (construction approval required prior to occupancy). .. . Pre -Inspection reque�- Pre-inspection for required. .. to Building Inspector (Date) Contractor's license information. (No., Name Style, Classification) . .............. Certificate of Workmans Compensation Insurance . .......................... Owner -Builder Verification (Given to owner , Mail to owner ) ............ Recorded copy of Agricultural Acknowledgement Statement . .................. Letter of signature authorization . ....................................... . Copy of recorded deed of parcel creation and 60 right of way to a public road. .... . Letter of intent on building use . ......................................... Mobilehome utility clearance . .......................................... Documentation of legal access . ........................................ Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... Existing violations/expired permits . ...................................... Plan check list . ..................................................... When you issue the permit, process as follows: I Z Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver with inspector. Other Parcel Creation Acreage Applicant _ WAS MA'ki0> Date �P 1 5142 Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by _ phone -mail Counter by _ Date Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works lip" 024-190-002 . . �''�.r'r�4- � Y �c�;.rs, �Sv'� y 4.� :'•tw �� -.. i :lc,.`�'a; ,''�;a:,�.,3,". .t ti. . r i_T�s:-r^ i•" 3,,�7K�'.. , y a COUNTY OF BUTTE - DEPARTMEN;T OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER 024-190--002 ZONINS- 1 L0-- a BUILDING PERMIT OWNER W TELEPHONE 846-5576 SO, FT. OCC.1 BUILDING VALUATION OWNER'S MAILING ADDRESS 3W MY E GRIDLL'Y 95948 CONTRACTOR'S NAME NOM VALLEY ELEMIC TELEPHONE 846--208, CONTRACTOR'S MAILING ADDRESS P.O. FOX 911 GRIDLEY 95948 1 Fireplace CONSTRUCTION LENDER — UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 15,00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS -100 BW 99 IDLEY 8 Permit fee $ PLUMBING PERMIT Filing Fee 15.00 Each Trap 1 5.00 Solar or heat pump water heater 1 20.00 LOT NO.SUBDIVISION NAME PARCEL MAP J Water piping 7.00 Each qas water heater or vent 1 7.00 USE OF STRUCTURE SF Q Duplex[]Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S I G I W @ 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilitiesn Installation er ❑ Describe work: RE MATE 14AIN ST tVIC� AND itISC Rll+t Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 600V OR LESS 8.50 �/� 200A OR LESS 1 18.50 Main service 20GATO 1000A, 37.50 CONTRACTORS LICENSE LAW I declare r penalty of perjury (Check One): 1 am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professio s Code a� y license is in full force and eff ct/ License .�0.� Classification �► 0/ / ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason OCCUP.&) 3.64 sq.ft. NEW CONST. ( DWELLING OR ACDNS. ACC. BLDGS. // NEW CONSTR.ULTI-OUTLET NON-RESID BRANCH CIRCUITS @ 5.00 POWER APPARATUS .&) (SINGLE OUTLET CIR. 20 76d Ex. Occup( OUTLETS OR FIXTURES C1 Ex. DCCUp. OUTLETS IFIXED PRESID.IREA.) I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. bVirin g 15.00 4&00 PRE INSP() 013 Permit Fee $ — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑Th rmit is for $100.00 (valuation) or less. have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT FiIingFee 15.00 Heating Cooling Hood 6.50 Ventilation pertnit 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 agreeto save, indemnify and keep harmless the County of Butte against all Habil' I s, judgments, costs, and expenses which may in any way accrue against d County in cor2seguence of the granting of this permit. X / A'. r/ /, `./ /�DaA►---' e 7-- J 9/ 7_ 5f n ore of Applicant - owner g pp ❑ Contractor Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee S Energy Inspection Fee $ occ CONST TYPE TOTAL FEE .S -. , HAZ 11 1:11S IMP FLOOD CDP PARCEL PD HD ISSUE This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do work indica ie;0 abo� fp4 which fees have been paid. /DIRECTOR+ OF PUBLIC WORKS By Date /r!� PERMIT EXPIRES Date Receipt No. 117362 —. 117215 .► tS'61111"' WHITE-D.P.W.. YELLOW-A55E550R. PINK -I PECTOR. GOLDENROD -APPLICANT S� .i COUNTY OF BUTTE DEPARTMENT OF PU$LIC WORKS 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE OWNER PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please con aE,iittis offi5e immediately. Date — specto REV 11/91 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 QiZ .O-�Q APPLICATION AND'PERMIT ASSESSOR PARCEL NUMBER 024-190-002 ZONING A 40 BUILDING PERMIT OWNER WALTER HARKEY TELEPHONE 846-5576 SQ•FT. OCC. BUILDING sUATI N OWNER'S MAILING ADDRESS 300 HWY 99 E GRIDLEY 95948 r i CONTRACTOR'S NAMETELEPHONE NORTH VALLEY ELECTRIC 846-2081 CONTRACTOR'S MAILING ADDRESS P.O. BOX 911 GRIDLEY 95948 Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 15,00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS Hwy Qq GRITIFY 95948 Permit fee $ PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO.SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF []J Duplex❑ Mobilehome❑ Other SPECT FY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S I G I W @ 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities @ Installation ❑ Other ❑ Describe work: RELOCATE MAIN SERVICE AND MISC WIRING Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200AORLESS 18.50 1 18.50 CONTRACTORS LICENSE LAW I declare er penalty of perjury (Check One): I am licensed under provisions Of Chapt. 9, Div. 3 of the Business and Professiv s Coe a y license is in full force and effect. License .Jo. Classification _/P=` �, ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason Main service 200A TO 1000A) 37.50 NEW CONST. DWELLING OCCUP.h) OR ADONIS. ACC. BLDGS. 3.6asq.ft. NEW CON5TR ULTI-OUTLET NON•RESID BRANCH CIRCITS @ 5.00 POWER APPARATUS tr SINGLE OUTLET CIR. ) Ex. OCCU p( OUTLETS OR FIXTURES 20 @ 76 At n. A91 FIXED APPLNS Ex. Occup. OUTLETS ((RESID,)REA.) I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 PRE iN212 )n nn Permit Fee $� — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ T mit is for $100.00 (valuation) or less. have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT FiIingFee 1 15.00 Heating Cooling g Hood 6.50 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agr to save, indemnify and keep harmless the County of Butte against all liabil' Vis, judgments, costs and expenses which may in any way accrue against id Cougky in co se nce of the granting of this permit. X ��� �/ �r. Q L.11gn re of Applicant — Owner Contractor Agent An SHA permit is required for excavations over 5'0" deep and demolition or construct- ctures over 3 stories in height Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST TYPE TOTAL FEE $ -� 8 HAz 0FEES IMP FLOOD cDF PARCEL PD HD ISSUE This permit is hereby issued under the sions of the ButteWCont C0 is and/or Work indicat a which fees IF PUBLIC By PERMIT EXPIRES Date % applicable provi- resolutions to do have been paid. WORKS Date Receipt No. 117362 '– ) 172'0/5 WHITE-D.P.W.. YELLOW-ASBrSSOR, PINK -I 9PECTOR. GOLDENROD -APPLICANT � 4 COUNTY OF BUTTE - DEPARTMENT; OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE,;ALI.FORNIA 95965 - TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET OWNERd�4#C-4 a_ P. No. l/� Proposed Building Use c.t uilding Inspector Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY 1. All items have been submitted . ........................................ 2. Plot plans, 3/4 sets, signed by preparer of plans . .......................... 3. Complete plans, 3/4 sets, signed by preparer of plans . ...................... 4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. 5. Hazardous Material Form . ............................................ 6. Energy Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non -Heated and A/C Buildings . ..................... . 8. Engineered truss details and layout in duplicate (required prior to plan check). .... 249 Mobilehome datapiqd man cturer's installation instructions, 2 sets. ........... 0. Fees of $ r ........................ y 11. Impact fees ass own on attached schedule . ............................. . 12. California Department of Forestry plan approval/fees. ........................ 13. Flood elevation letter (100 year flood) by California Engineer . ................. . 14. Sanitation and plot plan approval Health Department. ... 1... . 15. City of Chico plumbing permit. ............................... . 16. Plot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B) Parking: . ........ 18. Contact Land Development about (A) Improvements (B) Drainage. .......... . 19. Driveway permit (cgnstruction approval required prior to occupancy). v Pre -Inspection reque� 20. Pre -inspection for _ _eT(F y VAoU5,£ D M 16C. • required. .. to Building Inspector (Date) 21. Contractor's license inform tion. (No., Name Style, Classification) . .............. 22. Certificate of Workmans Compensation Insurance . .......................... 23. Owner -Builder Verification (Given to owner , Mail to owner ) ............ 24. Recorded copy of Agricultural Acknowledgement Statement . .................. 25. Letter of signature authorization . ........................................ 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... . 27. Letter of intent on building use . ......................................... 28. Mobilehome utility clearance . ......................................... . 29. Documentation of legal access . ........................................ 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits . ...................................... 32. Plan check list . ..................................................... 33. 34. i�elephone ou issue the permit, process as follows: Mail to owner. Mail to contractor. and hold for pickup at offi e. eliver with inspector. Other Parcel Creation Acreage Applican �L _&e_ i Date 7 �- Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Contractor, designer, owner, was adyised of above required data by _phone _mail Counter by _Date Plans checked by Date Plans approved by i Date Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works 2 q0 - o--> z COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 -.Telephone: 916:'538-7541 APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER i6— OOZ - ZONING //J0/� ��lV BUILDING PERMIT OWNER W41 +C tq- C e- TELEPHONE 91/6- 5576 SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 3©© Ou_)w 9 CtC CONTRACTOR'S NAME -� Ml� /�� ELEPHONE 8 -z0a 794- CONTRACTOR'S AILING A00 SS �/ff Do gp (`11� lr 51 L& Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is LENDER'S MAILING ADDRESS Filing Fee $ 15.00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 300Tl l 1 w r 990, G�(^ Permit fee $ PLUMBING PERMIT Filing Fee 15.00 /� 12 Each Trap 1 5.00 59 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF�Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 1 5.00 Building sewer 15.00 Mobile Home S G W 015.00 TYPE OF WORKP�� New ❑ Addition� /Remodel ❑ Utilities u Installation❑ Other ❑ Describe work: 1f i�0G.fr� /y/�/�.��✓(JtG� __SND iSG &J1 r, AJ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200v OR LESS 00A OR LESS 18.50 SO CONTRACTORS LICENSE LAW I declare er penalty of perjury (check one): I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions d a d my license is in fu/l for an? effec/fp License 'Jo. 7 Classification [' 1. to / ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason Main service 200A TO 1000A1 37.50 NEW CONST. ( DWELLING OCCUP.&\ 3.64 sq.ft. OR ADDNS, ACC. SLOGS. II NEW CONSTR MULTI. OUTLET^ 5 OQ NON-RESID. BRANCH CIRCUITS POWER APPARATUS 6 (SINGLE OUTLET CIR. Ex. Occup( OUTLETS OR FIXTURES 20 76d FIXED APLNS. Ex. OCCUp. OUTLETS (RESID 1REA.� I 3.00 Temporary service 1 15.00 Mobile Home Facilities 15.00 Misc. Wiring 9 15.00 15 Co 7PTIf - ZO. o Permit Fee $ _ SO — WORKMEN'S COMPENSATION INSURANCE vdeclare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. I�Ftave placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to.become subject to.the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 15.00 Heating Cooling Hood 6.50 I 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 liabi ities, judgments, costs, and expenses which may in any way accrue against aid County in co se encs of the granting of this permit. r U ef�Ol- p e �— / ^' �7 _ale 4Si,..,.of Applicant — Owner ❑ Contractor ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST TYPE TOTAL FEES 5 ° rlAz DFEES IMP FLOOD CDF PARCEL7D] HD ISSUE This permit is hereby issued under the applicable rovi- P Y i PP � P sions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS BY Date PERMIT EXPIRES Date Receipt No. 11-736� WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR, GOLDENROD -APPLICANT PRE -INSPECTION OWNER: l �C YI iI V E DATE % Z- 1 �- LOCATION: - 3(>o /,P A. P. # CONTRACTOR: �� /� �I41(eLi 61, cf- ZONING . -- ---------------- PRE-INSPECTION FOR: '1 ree h A 6 -PA I IekJ o Aj 'PJ M D N -r6 VL 0 use- DATE TO INSPECTOR 7 /?/,g Z-- -------------------------------------- ----------------- ------------- PERMIT HI STORY : NONE g4' AS FOLLOWS: TYPE OF OCCUPANCY FIELD - INFORMATION BUILDING USAGE: TENNANT: M.'bCCUPIED HAS ELECTRIC HAS GAS JC HAS SANITATION FACILITIES [. HEATED -COOLED J21 PERSON CONTACTED OTHER COMMENTS: AhMbo G'br.� f,2- / S ACTION RECOMMENDED: ISSUE 0 HOLD FOR OTHER: )wzo9 fi t_))L C (41 119L.00, % 1l_) 5 9_�L_1_ Pi�POWiz- �v�z .E�ir��aJ 2 4 BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One Form Per Building) School District 10 -* V Building Department No. A.P. Number 09 90 -00Ct- Jurisdiction: 0 City County Property Owner Property Location/Address Subdivison Residential Development •Commercial/Industrial Lot No. No. of Living MHI Addition Units Sq. Footage --�y (Group p) ti 0 Sq. Footage New Addition (Including Exterior Roofed Areas) ` G ///-/W, - . Building DepartmhvkRepresentative -- Date (Floor Plans reviewed by School District Personnel) District Identification No. oVSchool District certifies that 30� `14 (Street Address) (Applicant) (Phone Number) (City) V (State) (Zip Code) has complied with the requirements of Resolution No. by payment of $ representing /„a square feet. As 2926 $ / FULL MITIGATION$ �. School District Relffresentative Date Paid by Check # Bank Number !9e Paid by Cash Remarks: --P!;t-- FrY% If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act (CEQA), this project may be subject to additional school fees to fully mitigate its impact on the school district's schools. White (applicant), Yellow (building department), Pink (school district) E. feeformmkt (11/94)dmm r l7f9f.75'rO -v rl� J; (42 153.91 AC '2 k L �' co ;6. 14 07 74. s 0,14: B TE CO. UT SUTT.ER CO. I I t 62 -0 S2 -0 6 62-09 62-11 c P Ic f, Z --)fey f °E. _Llc z'79 r 20 z � LuJ _j 6 Va 40 P07 r -U 4 660 Ori IN -W - ,, , J F ,N^ r. 14.7 AaA(\,'{ 48& C3 14 12 /0 301 4) C6Z GIV Y 7 1162.6 Home 12C 3&1 i O 6! rll,: 2218 '2 1 ��,I Y 0 ) I I 17 /8 19 16 Ac I, )1.14Ac p 5Ii0 61 7 At cJrt 872 -4 -9r. -'t:91 cq -0- 2k LIVE -OAK COLONY NO. I. M. 0. R. BK.. T, PG. 5.11 , 77Z � ffir: -- a.69 a.69 A, CTcl - —7-5 I N0.11 27 (D6 5!.J I Ac 0-0.9 — 1 4 111-0 800 ASSESSOR'S MAP NO. 24 -19, - COUNTY OF BUTTE PAR.960 1