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HomeMy WebLinkAbout024-190-039IN 24-19-39 3089-91M O� DIAS, Ruth 6 Hwy 99, Gridley o cont: Andy's Heating & Air (replace furnace/sf) 024-.190-039 �f PERMIT#97-1531 GRAVEL, Keith & Tina j �x #6 Hwy 99, Gridley Cont: Andy's Htg & AC New AC Unit/SF / E tip+. B06-2630 024;190-039 MISCELLANEOUS Private Garage/Shop AT'T'ACHED GARS 6E-RFPLACE EX I 6 H W Y 99,x,, ,• , < . KUIPERS, SHARON'A E �h—Z(g-0 B06-2685. ` 024-190-039 MISCELLANEOUS "'* ., Electrical TEMP POWER POLE (FORD) 6 HWY•99 , r KUIPERS, SHARON ANNE _2(,;=v7 B07-0351 024-190-039 MISCELLANEOUS Remodel REMODEL EXISITING HOUSE- SHEE' 6HWY99 ' KUIPERS, SHARON ANNE I a I 1307 - o3Sf a 6 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES INSPECTION CARD 24 Hour Inspection Line: (530) 538-7636 (Oroville) (530) 891-2834 (Chico) Office: (530) 538-7541 Fax: (530) 538-2140 Website: www.buttecounty.net/dds Permit No: B06-2630 Issued: 11/30/2006 Address: 6 HWY 99 GRIDLEY APN: 024-190-039 Permit Subtype: Private Garage Owner: KUIPERS, SHARON ANNE Applicant: DOWNING T INC Description: ATTACHED GARAGE -REPLACE EX Bl ALL PLAN REVISIONS MUST BE APPRO' Inspection Type IVR INSP DATE Setbacks 132 Foundations / Footings 111 Pier/Column Footings 122 Grade Beams 114 Eufer Ground 216 Forms/Steel/Holdowns 122 Do Not Pour Concrete Until Above are Signed Pre -Slab 124 Gas Test 404 Masonry Grout 120 Masonry Bond Beam 119 Underfloor Framing 149 Underfloor Ducts 319 Shear Transfer 136 Under Floor Plumbing 412 Under Slab Plumbing . 411 Gas Piping . 403 Do Not Install Floopgbeathing or Slab Until Above Signed Rough Framing 128 Rough Plumbing L 406 Rough Mechanical 316 Rough Electrical • 208 Gas Piping 403 Roof Nail 129 Shower Pan/Tub Test 408 Fire Sprinkler 702 Do Not Insulate Until Above Signed Wall Insulation 117 Ceiling Insulation 118 Do Not Cover Until Above Signed T -Bar Ceiling / RC-- 145 Gas Test 404 Stucco Lath 142 Stucco Scratch 143 Stucco Brown 144 Building Final 802 Electrical Final 803 Mechanical Final 809 Plumbing Final 813 Project Final 801 0 MUST BE ON JOB SITE JOB SHALL BE READY PRIOR TO CALLING FOR INSPECTION. THE INSPECTION CARD AND APPROVED PLANS MUST BE AVAILABLE FOR EACH INSPECTION OR THE INSPECTION WILL NOT BE MADE AND A RE -INSPECTION FEE MAY BE ASSESSED. BY THE COUNTY BEFORE PROCEEDING Inspection Type IVR INSP DATE to e Pil A l o S f OFFICE COPY t Address N /GAS ?` .Meter By - - Dai - ' ELECTRIC 4 y ;•'1 a,# j Meter=By _ Date'= I T L�-- IL PERMITS BECOME NULL AND VOID 1 YEAR FROM THE DATE OF ISSUANCE. IF WORK HAS COMMENCED, YOU MAY PAY FOR A 1 YEAR RENEWAL 30 DAYS PRIOR TO EXPIRATION InspectfI Copy _ Permit No: B06-2685 Address: 6 HWY 99 -BUTTE COUNTY DEPARTMENT OF DEVtLOPMENT SERVICES INSPECTION CARD 24 Hour Inspection Line: (530) 538-7636 (Oroville) (530) 891-2834 (Chico) Office: (530) 538-7541 Fax: (530) 538-2140 Website: www.buttecounty.net/dds Issued: 11/20/2006 GRIDLEY APN: 024-190-039 Permit Subtype: Electrical Owner: KUIPERS, SHARON ANNE Applicant: DOWNING T INC Description: TEMP POWER POLE (FOR B06-2630) MUST BE ON JOB SITE JOB SHALL BE READY PRIOR TO CALLING FOR INSPECTION. THE INSPECTION CARD AND APPROVED PLANS MUST BE AVAILABLE FOR EACH INSPECTION OR THE INSPECTION WILL NOT BE MADE AND A RE -INSPECTION FEE MAY BE ASSESSED. ALL PLAN REVISIONS MUST BE APPROVED BY THE COUNTY BEFORE PROCEEDING Inspection Type IVR INSP DATE Set ac s 132 Foundations / Footings 111 Pier/Column Footings 122 Grade Beams 114 Eufer Ground 216 Forms/Steel/Holdowns 122 Do Not Pour Concrete Until Above are Signed Pre -Slab 124 Gas Test 404 Masonry Grout 120 Masonry Bond Beam 119 Underfloor Framing 149 Underfloor Ducts 319 Shear Transfer 136 Under Floor Plumbing 412 Under Slab Plumbing 411 Gas Piping 403 Do Not Install Floor Sheathing or Slab Until Above Signed Rough Framing 128 Rough Plumbing 406 Rough Mechanical 316 Rough Electrical 208 Gas Piping 403 Roof Nail 129 Shower Pan/Tub Test 408 Fire Sprinkler 702 Do Not Insulate Until Above Signed Wall Insulation 117 Ceiling Insulation 118 Do Not Cover Until Above Signed T -Bar Ceiling / RC 145 Gas Test 404 Stucco Lath 142 Stucco Scratch 143 Stucco Brown 144 Building Final 802 Electrical Final 803 Mechanical Final 809 Plumbing Final 813 Project Final 801 0 I --r--- OFFF�IC�E�COPY Address q q GAS Meter By Date ELECTRI,'.-IhZ)-!Rf eter I Date PERMITS BECOME NULL AND VOID 1 YEAR FROM THE DATE OF ISSUANCE. IF WORK HA COMMENCED, YOU MAY PAY FOR A 1 YEAR RENEWAL 30 DAYS PRIOR TO EXPIRATION Inspector. Copy i BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #:(530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #:(530) 538-7541 FAX#: (530) 538-2140 WEBSITE: www.buttecounty.net\dds PROJECT INFORMATION Site Address: 6 HWY 99 Owner: Permit NO: B07-0351 APN: 024-190-039 KUIPERS, SHARON ANNE Issued Date: 02/23/2007 By KEJ Permit type: MISCELLANEOUS 6 HWY 99 Subtype: Remodel GRIDLEY, CA 95948 Expiration Date: 02/23/2008 Description: REMODEL EXISITING HOUSE- SB (530) 846-5376 Occupancy: Zoning: A40 Contractor Applicant: Square Footage: DOWNING T INC DOWNING T INC Building Garage Remdl/Addn 1351 E 9TH STREET 1351 E 9TH STREET CHICO, CA 95928 CHICO, CA 95928 Other Porch/Patio Total (530)894-3473 (530)894-3473 FEE INFORMATION DBMSC Remodel -Residential $714.87 LICENSED CONTRACTOR'S DECLARATION Contractor (Name) State Contractors License No. / Class / Expires DOWNING T INC 803263 / B / 05/31/2007 I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am licensed under provisions of Chapter (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. X 02/23/2007 CoatcaIgnature Date WORKERS' COMPENSATION DECLARATION I HEREBY 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. ©I HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My Workers' Compensation insurance carrier and policy number are; Carrier. 1838102 Policy Number: Exp. (This section need not be completed if the permit is or one hundred dollars ❑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 the Workers' Compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. X 02/23/2007 btgnauze— v Date WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND ATTORNEY'S FEES. CONSTRUCTION LENDING AGENCY I HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agenc the performance of the work for which this permit is issued. (3097 civ. code) ( Lender's Address City State Zip Balance Due: $0.00 Receipt No: OWNER / BUIL-DER DECLARATION I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's License Law [Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code] or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500]; Please check one of the following: ❑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 (Sec. 7044, Business and Professions Code: The Contractors License Law does not apply to an owner of the property, who builds or improves thereon, and who does the work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the owner -builder will have the burden of proof that he or she did not build or improve for the purpose of sale.). ❑I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Code: The Contractor's License Law dows not apply to an owner of the property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractor's License Law.). D1 AM EXEMPT under Section B. & P.C. for this ix 02/23/2007 Owner's Signature Date I hereby certify that I have read this application and state that the above information is correct. I agree to comply with all City and County ordinances, rules, regulations, and State laws relating to building construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless Butte County, its officers, agents and employees from any and all claims and liability for personal injury, including death, and property damage caused by, arising out of, or in any way connected with the issuance of this permit. I hereby acknowledge that issuance of this permit does not authorize the use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte County to enter the above mentioned property for inspection purposes. I hereby certify that I am the pro a caner or a ed to act on the property owner's behalf. _lE<G %dMEBin/ 02/23/2007 Owner Contractor OR. Agent for Owner ©Agent for Contractor 1:1 FILE COPY BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION OFFICE #: (530) 538-7541 FAX #: (530) 538-2140 A FEE WILL BE REQUIRED AT TIME OF APPLICATION Website: www.buttecounty.net/dds "PLEASE PRINT CLEARLY" OWNER INFORMATION Last Name v /P.Eo2 s First Mailing Address 32 f 7 cooc4ttens w y City t:I of o.4 KState CA Zip Phone yll, _ 7 0 1 r:4 Fax E-mail APPLICANT SIGNATURE X PROJECT LOCATION AN Property Address 6 yw City /1/4C'E PERMIT NO. BIN # WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address DESCRIPTION OR SCOPE OF WORK: CONTRACTOR Name JFr F,� l ANt � 2 aN Address T. /OWN/N /NC Address /77r 04 iaAl 46 City yI / c State C-_1 Zip 5Fly2 I Phone � s y. 3 V 73 Fax 3v,?— .t^Z o 4 E-mail J C-4 tit f-" N %,0 / -,Vi.,. 1~4 . C_vn7 Lic. #6'o� ? 6 7 Class Q APPLICANT SIGNATURE X PROJECT LOCATION AN Property Address 6 yw City /1/4C'E PERMIT NO. BIN # WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address DESCRIPTION OR SCOPE OF WORK: ARCHITECT/ENG/NEER Name JFr F,� l ANt � 2 aN Address City CN/ G o State Zip Phone �5, y, Fax E-mail J e4AJ 44✓N @ j 0 0& ­vi -,v /eve , o d M State License Number APPLICANT SIGNATURE X PROJECT LOCATION AN Property Address 6 yw City /1/4C'E PERMIT NO. BIN # WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address DESCRIPTION OR SCOPE OF WORK: APPLICANT INFORMATION Name JFr F,� l ANt � 2 aN Address City CN/ G o State 64 Zip y, f92s Phone �5, y, Fax E-mail J e4AJ 44✓N @ j 0 0& ­vi -,v /eve , o d M APPLICANT SIGNATURE X PROJECT LOCATION AN Property Address 6 yw City /1/4C'E PERMIT NO. BIN # WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address DESCRIPTION OR SCOPE OF WORK: //z /LeM0Ot G Occ. Type Const. Sq FT- Living Garage Open Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): l , I For office use only: Zoning Flood Zone SRA I Yes I No Occ. Type Const. BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #:(530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #:(530) 538-7541 FAX#: (530) 538-2140 WEBSITE: www.buttecounty.net\dds PROJECT INFORMATION Site Address: 6 HWY 99 Owner: Permit No: B06-2630 APN: 024-190-039 KUIPERS, SHARON ANNE Issued Date: 11/30/2006 By TMP Permit type: MISCELLANEOUS 6 HWY 99 Subtype: Private Garage/Shop GRIDLEY, CA 95948 Expiration Date: 11/30/2007 Description: ATTACHED GARAGE -REPLACE I (530) 846-5376 Occupancy: Zoning: A40 Contractor Applicant: Square Footage: DOWNING T INC DOWNING T INC Building Garage Remdl/Addn 1351 E 9TH STREET 1351 E 9TH STREET 480 CHICO, CA 95928 CHICO, CA 95928 Other Porch/Patio Total (530) 894-3473 (530) 894-3473 480 FEE INFORMATION EH Building Review Fee $70.00 Garage - Wood Frame $329.94 Garage - Wood Frame Plan Check $219.96 SMTP - Residential $0.50 Total Charged: $620.40 Fees Paid: $620.40 Balance Due: $0.00 Receipt No: B923 LICENSED CONTRACTOR'S DECLARATION OWNER / BUILDER DECLARATION Contractor (Name) State Contractors License No. / Class / Expires I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License DOWNING T INC 803263 / B / 05/31/2007 Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am licensed under provisions of Chapter 9 (commencing with Section 7000) f Divis'�3of Business and Professions Code, and my license pursuant to the provisions of the Contractors License Law [Chapter 9 (commencing with Section 7000) s in full force and effect. of Division 3 of the Business and Professions Code] or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects X 11/30/2006 the applicant to a civil penalty of not more than five hundred dollars [$500]; Please check one of the following: C rac • ignature Date ❑ 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 (Sec. 7044, Business and Professions Code: The Contractors License Law does not apply to an owner of the property, who builds or improves thereon, and who does WORKERS' COMPENSATION DECLARATION I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: HAVE the work himself or herself or through his or her own employees, provided that such improvements ❑I AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR are not intended or offered for sale. If, however, the building or improvement is sold within one WORKERS' COMPENSATION, as provided for by Section 3700 of the Labor Code, for the year of completion, the owner -builder will have the burden of proof that he or she did not build or performance of the work for which this permit is issued. improve for the purpose of sale.). I HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by ❑ I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Code: ction 3700 of the Labor Code, for the performance of the work for which this permit is issued. My Workers' Compensation insurance carrier and The Contractors License Law dows not apply to an owner of the property who builds or improves policy number are; thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Cartier: 1838102 Policy Number: ExpDate: 09/01/2007 Contractors License Law.). (This section nee not be completed if the permit is or one hundred ollars. ($100) or ess. ❑ I AM EXEMPT under Section B. & P.C. for this reason: ❑I CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED, I shall not employ any person in any manner so as to become subject to the Workers' Compensation laws of California, and agree that if I should become subject to the workers' X 11/30/2006 compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those Owners Signature Date provisions. X A/ 11/30/2006 I hereby certify that I have read this application and state that the above information is correct. I agree to comply with all City and County ordinances, rules, regulations, and Slate laws relating to building Signature Date WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless Butte County, its officers, agents and employees from any and all claims and liability for personal AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, injury, including death, and property damage caused by, arising out of, or in any way connected with DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND the issuance of this permit. I hereby acknowledge that issuance of this permit does not authorize the use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte ATTORNEY'S FEES. County to enter the above mentioned property for in ti purposes. I hereby certify that I am the property owner o am authorized to act on t e prope errs behalf. CONSTRUCTION LENDING AGENCY /30/2006 1 HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for erne of Perm ¢¢ [ IGN] Date the performance of the work for which this permit is issued. (3097 civ. code) ❑Owner 11Contractor 0 ; E]Agent for Owner Agent for Contractor FILE COPY Lenders Address City State Zip BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS OFFICE #: (530) 538-7541 FAX #: (530) 538-2140 A FEE WILL BE REQUIRED AT TIME OFAPPLICATION Website: www.buttecounty.net/dds "PLEASE PRINT CLEARLY" OWNER INFORMATION Last Nam irst Name SO Mailing A re s Qk'ZA'i Qq '' City C� State Zip N Phone 530_ b Fax E-mail APPLICANT INFORMATION CONTRACTOR Name Flood Zone Address State City PJr-o l 1 State Zip Z Phone - Fax E-mail E-mail Lic. # CI APPLICANT INFORMATION ARCHITECT/ENGINEER Name Flood Zone Address State City PJr-o l 1 State Zip Phone ,1 Fax E-mail E-mail State License Number APPLICANT INFORMATION Name r Address Flood Zone City State Zip PJr-o l 1 Carrier Type Const. Phone Fax 6-30 -,S-7b -S177— Page E-mail APPLICANT SIGNATURE X /I I For office use onl AP# 02-q - iao"tom Zoning I A-1 Flood Zone I es Nu Occ. Carrier Type Const. Subdivision Name Name Map Book Page Lot # Planner Date Approved: PERMIT NO. 002-620 BIN # PROJECT LOCATION AP# 02-q - iao"tom Property Address City I C Cross Street WORKER'S COMPENSATION Policy Number 3 -o to Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address Description or Scope of Work: SqFT- LLi'vi Garage Open Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees; plan check fees for work plan checked. and other department costs are not refundable. Received by 6. Amount: �.0 l ro Bldg SRA Receipt #:z St+ riff c r Date: 1 1 `%_ 0 W Total Butte County Department of Development Services TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR 7 County Center Drive Oroville, CA 75965 (530) 538-7601 Telephone (530) 538-7785 Fax www.buttecounty.net/dds PERMIT APPLICATION DATA SHEET Reference Number: B06-2630 Date: 11/08/2006 Location: 6 HWY 99 Parcel Number: 024-190-039 Owner Name: KUIPERS, SHARON ANNE By: KCG Sub Type: Private GaraSe/Shop Phone: (530)846-5376 Description: ATTACHED GARAGE -REPLACE EX BURN -DOWN (480) The above permit application has the following Clearances required prior to permit issuance. Please contact each department indicated below regarding specific requirements pertaining to your permit application. Yes No ❑ ❑ ❑ ❑ DRAINAGE DISTRICTS Thermalito Irrigation District, 410 Grand Avenue, Oroville CA 95965 - (530) 533-0740 LOAPUD, 1960 Elgin Street, Oroville CA 95966 - (530) 533-2000 City of Chico, 545 Vallombrosa, Chico CA 95926 - (530) 895-4711 PARKS & RECREATION DISTRICTS Chico Area Recreation District, 545 Vallombrosa, Chico CA 95926 - (530) 895-4711 Durham Park & Recreation District, 9447 Midway, Durham CA 95938 - (530) 345-1921 Feather River Recreaction & Park District, 1200 Myers Street, Oroville CA 95966 - (530) 533-2011 Paradise Parks & Recreation, 6626 Skyway, Paradise CA 95969 - (530) 872-6393 SCHOOL DISTRICTS Biggs Unified School District, 300 B Street, Biggs CA 95917 - (530) 868-1281 Chico Unified School District, 1163 East 7th Street, Chico CA 95926 - (530) 891-3006 Durham Unified School District, 4920 Putney Drive, Durham CA 95938 - (530) 895-4675 Gridley School District, 429 Magnolia, Gridley CA 95948 - (530) 846-4723 Marysville School District, 1919 B Street, Marysville CA 95901 - (530) 741-6000 Oroville Elementary School District, 2795 Yard Street, Oroville CA 95966 - (530) 532-3000 Oroville Union High, 2211 Washington Ave, Oroville CA 95966 - (530) 538-2300 Ext: 105 Paradise Unified School District, 6696 Clark Road, Paradise CA 95969 - (530) 872-6400 OTHER Recorded copy of Agricultural Acknowledgment Statement- See Attached Instructions City of Biggs Planning Department, 3016 Sixth Street Biggs CA 95917 - (530) 868-5447 ' ( Other: f11h Signnhim au�hbr izn�nn 11_2� Other: Other: Signature of Property Owner: Date: 11/08/2006 FILE t Downing Inc. Insurance Restoration & Remodel GENERAL CONTRACTOR �9� F I R� Chic Dayton 9 Road Fax acws 3425206 (530) = (3473) Chico, CA 85928 contactusOtdowninglncsarn Lic. # 803263 July 20, 2006 Bunte County Building Dpi. 7 County Center Chive Oroville, CA 95965 To Whom It May Concern: I Tim Downing authorize .Teff Cameron and Michael Jarchow to pull permits on my behalf. Thank you, Tim Downing Z -d 90Z9ZVC0C9 u0jeweo gar dbO:Z0 90 OZ AON BUTTE COUNTY FEE SUMMARY Permit Number: B06-2630 Job Address: 6 HWY 99 County Center Drive Oroville, CA 75965 Department of Development Services Phone (530) 538-7541 Fax (530) 538-2140 Contractor: DOWNING T INC 1351 E 9TH STREET CHICO, CA 95928 Printed: 11/08/2006 3:09 pm Fee Description Account Number Fee Amount Paid Date Pmt Amt Garage - Wood Frame 0010-440001-4210500-1010 $329.94 Garage - Wood Frame Plan Check 0010-440001-4210500-1010 $219.96 11/08/2006 $219.96 SMIP - Residential 1001-0-280-1011298 $0.50 Printed By: Kourtni Graham 550.40 $219.96 Balance Due: $330.44 At the time of permit application, I was advised the above fees are required prior ro issuance of the permit. These fees may be changed during the plan checking process. Signature: • A' Date: 11/08/2006 Pursuant to Government code Section 660 10, you are herby notified those items listed above may been imposed on your project. the date of approval of the project or from the impostion of the above referenced items during which you may request a protest. protest are specified in Government Code Section 66020(a). You have 90 days from The requirments for a Butte County Department of Development Services TIM SNELLINGS, DIRECTOR ( PETE CALARCO, ASSISTANT DIRECTOR 7 County Center Drive Oroville, CA 75965 (530) 538-7601 Telephone (530) 538-7785 Fax www.buttecounty.net/dds NOTICE TO BUILDERS Before your building permit can be issued, your plans must be checked for compliance with the California Building Codes. In addition, your plans are routed to other regulatory entities including but not limited to Planning, Public Works, Environmental Health, and the California Department of Forestry for their clearances and approvals. There are some things you can do to expedite your permit: 0 Make sure your application is complete. 0 Be responsive to requests from County departments for any additional materials or requirements. The Building Division places its highest priority on processing building permits as quickly as possible and each day that passes without a complete application adds to processing time. Every permit issued by the Building Official shall expire and become null and void if the work authorized by such permit is not started or completed within one year from the date of issuance of such permit. A permit may be renewed (for a fee) prior to expiration an indefinite number of times, provided construction progress has been documented by the Building Division during each year during scheduled inspections. No changes may be made in the original plans and specifications for such work. In order to reinstate action on a permit after expiration, the permittee shall pay a new full permit fee and additional plan checking and documentation may be required. Upon completion of work covered by this permit, please contact this office for final inspection. As a reminder to you, it is illegal to occupy this building or any portion of the building for which this permit is issued without a final inspection. EXPIRATION OF PERMIT APPLICATION AND REFUND POLICY Application for which a permit has not been issued will expire one year after date of application. Refunds may only be made upon written request by the person who originally paid the fees. Refunds for permit applications (not yet issued) must be requested within two years from the date of fee payment. Fees paid at the time of application are for Plan Check and administration. The Plan Check portion of fees is refundable only if the permit is cancelled or withdrawn before any plan checking is done. Building Division costs will be deducted prior to authorizing a refund and a charge of $54.99 to process the refund application will be assessed. Refunds on permits (issued) may be requested prior to the expiration of the permit, provided no work has been done pursuant to the permit. An Inspection may be required (and deducted from any refund amount) to determine no work was done. Fee/refund information can be read on-line at http://municipalcodes.lexisnexis.com/codes/butteco/ Reference Number: B06-2630 Location: 6 HWY 99 Parcel Number: 024-190-039 Date: 11/08/2006 Owner Name: KUIPERS, SHARON ANNE Phone: (530) 846-5376 Description: ATTACHED GARAGE -REPLACE EX BURN -DOWN (480) JSignature of Property Owner: Date: 11/08/2006 FILE Ow risk. An oamrzooe PO Y+ ti I • r 08212006 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #:(530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #:(530) 538-7541 FAX#: (530) 538-2140 WEBSITE: www.buttecounty.net\dds PROJECT INFORMATION Site Address: 6 HWY 99 Owner: Permit No: B06-2685 APN: 024-190-039 KUIPERS, SHARON ANNE Issued Date: 11/20/2006 By KCG Permit type: MISCELLANEOUS 6 HWY 99 Subtype: - Electrical GRIDLEY, CA 95948 Expiration Date: 11/20/2007 Description: TEMP POWER POLE (FOR B06-263 Occupancy: Zoning: A40 Contractor Applicant: Square Footage: DOWNING T INC DOWNING T INC Building Garage Remdl/Addn 1351 E 9TH STREET 1351 E 9TH STREET CHICO, CA 95928 CHICO, CA 95928 (530)894-3473 (530)894-3473 Other Porch/Patio Total FEE INFORMATION Temporary Pole $55.00 Total Charged: $55.00 Fees Paid: $55.00 Balance Due: $0.00 � Receipt No: B922 LICENSED CONTRACTOR'S DECLARATION OWNER / BUILDER DECLARATION Contractor (Name) State Contractors License No. / Class / Expires I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License DOWNING T INC 803263 / B / 05/31/2007 Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure prior to its issuance, , also requires the applicant for such permit to file a signed statement that he or she is licensed I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license pursuant to the provisions of the Contractor's License Law [Chapter 9 (commencing with Section 7000) is in full force and effect. of Division 3 of the Business and Professions Code] or that he or she is exempt therefrom and the X basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars 11/20/2006 [$500]; Co nature Date Please check one of the following: ❑ 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 (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of the property, who builds or improves thereon, and who does WORKERS' COMPENSATION DECLARATION I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: HAVE the work himself or herself or through his or her own employees, provided that such improvements ❑I AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR are not intended or offered for sale. If, however, the building or improvement is sold within one WORKERS' COMPENSATION, as provided for by Section 3700 of the Labor Code, for the year of completion, the owner -builder will have the burden of proof that he or she did not build or performance of the work for which this permit is issued. improve for the purpose of sale.). I HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Code: Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My Workers' Compensation insurance carrier The Contractors License Law dows not apply to an owner of the property who builds or improves and policy number are; thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Carrier. 1838102 Policy Number: ExpDate: 09/01/2007 Contractors License Law.). (This section nee not a competed if the permit is or one hundreddollars. ($100) or est s.) ❑ I AM EXEMPT under Section B. 8 P.C. for this reason: ❑I CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED, I shall not employ any person in any manner so as to become subject to the Workers' Compensation laws of California, and agree that if I should become subject to the workers' X 11/20/2006 compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those Owners Signature Date provisions. X 11/20/2006 I hereby certify that I have read this application and state that the above information is correct. I agree to comply with all City and County ordinances, rules, regulations, and State laws relating to building SKJAattJM--Date WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless Butte County, its officers, agents and employees from any and all claims and liability for personal AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, injury, including death, and property damage caused arising out of, in any way connected with the issuance of this permit. I hereby acknowledge thatt is issuance of this pea rmit does not authorize the DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND ATTORNEY'S FEES. use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte County to enter the above mentioned property for inspection purposes. I hereby certify that I am the prope er or d to act on the property owners behalf. ,Jfx,� C,' 4,e",y 11/20/2006 CONSTRUCTION LENDING AGENCY 1 HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency of P41rmitt N] Print Date the performance of the work for which this permit is issued. (3097 civ. code) ❑ Owner ❑ Contractor OR. Agent for Owner gent for Contractor FILE COPY Lenders Address City State zip BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS OFFICE #: (530) 538-7541 FAX #: (530) 538-2140 A FEE WILL BE REQUIRED AT TIME OFAPPLICATION Website: www.buttecounty.net/dds "PLEASE PRINT CLEARLY" OWNER INFORMATION Last Name jKV IS Name irst Name 4,a,P_vnf Mailing Add ess � I City Stated Zip Phone Fax E-mail E-mail Lic. # J G4m 6A—/'AWAP'f 003263 - - - APPLICANT INFORMATION CONTRACTOR Name 46VCd1V1 Le Address /?7j"' 04 %/7v�V 20 City AH C_z State Zip¢f5�2 Phone tfs y- 3 V? 3 Fax 3Y2- Je 20 6 E-mail Lic. # J G4m 6A—/'AWAP'f 003263 Class - - - APPLICANT INFORMATION ARCHITECT/ENGINEER Name Address Address r 7 7T City City State Zip Phone C �F � � a Fax E-mail 9lSz d' State License Number - - - APPLICANT INFORMATION Name JEr-r C4Mcaz Address I Yes No r 7 7T � � 243 City Subdivision Name State Zip C �F � � a Lot # csr: 9lSz d' Phone e7 PY93 Fax _?V7–S_&0G E-mail ,J C.4"'E9 &J & , 9 0--f— 5 ,n. c' . C o -y APPLICANT SIGNATURE X For office use only: _ - 02�'} AN024—PI Zoning Flood Zone SRA I Yes No Occ. WORKER'S COMPENSATION Type Const. Subdivision Name If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. Map Book Page Lot # Planner Date Approved: PERNHT NO. 062 BIN # PROJECTLOCATION TION _ - 02�'} AN024—PI Property Address w 4 City Cross Street WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address Description or Scope of Work: MP Ta ScylN! FAX C 0,4M•fr, C 45IF-PA /0- .f Sq FT- Living Garage Open Cov ❑ Structure Built without Permits. ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. Received by � Amount: Eallo Bldg SRA Receipt #:(�2 � Sheriff gai�'p' SMIP Date: �T`� ��� m other +:;. s,,;,, �,.�•.':`1�?r$.jdtit'�tt�'Y�i+rid^.�te+�.7�i;�f���ar�±s:vr � x•rt �-�. a..,,,�n�°�e`i�`!?►��t}tµ�;�:px�,,�r,.,a�..�,� � �,.,h rw �'�,�$i�,;>�`,:�+"F—��-'+���+ ems- ' ��M� COUNTIY OF BUTTE - DEPARTMENT OF PUBLIC WORKSPERMI NO. < / 7 County Center Drive - Orovllle, California 96888 - Telephone: 916/538.7541 APPLICATION AND PERMIT ZONING24-190-039 A BUILDING PERMIT wNM RUTH AI N SO: FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 6 MY 99 GIRDLEY CONTRACTOR'SNAME ANDY'S HEATING & AIR TELEPHONE 674-0486 CONTRACTOR'S MAILING ADDRESS 108 PERCY AVE YM CITY Fireplace CONSTRUCTIONNLENDMER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS - - Permit Fee $ ARCHITECT OR ENGINEER NONE LICENSE No. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 6 WY 99 GRIDLEY Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ® Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S G W O.00ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other Describe work: REPLACE UFFUN FURNACE Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADC'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect.SINGLE '//� License No. '`'�/--�`� " Classification. ❑ i,—as the owner, or my employees with wages as their sole compen- sation, will do'tbe work,and the structure is not intended or offered for sale. (Sec. 7044) , ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUR.&) OR ACDNS. ACC. BLDGS. +h2sgft NEW CONSTR.U NON•RESID. BRANCH CIRCU ITS 2.50 ea POWER APPARATUS e OUTLET CIR. EX. Occup(OUTLETS OR FIXTURES ZO a aoe SALO 30 FIXED APPLNS. R EX. Occup. OUTLETS (RESID )EA.1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ® I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT FiIingFee 10.00 Heating 6.00 Cooling Hood 3.00 Ventilation MIN 9.00 Permit Fee $ 25.00 Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in `onsequgnce of the granting of this permit. Q X-�.—,� t ✓�;�!.► Date r' , - ! ' G/ Signature of Applicant — Owner ❑ Contractor 1 Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE - TOTAL FEE $ 25.E ECDF HAZ CUA PARK SCHL FLD I PAR PD i HD, VE This permit is hereby issued unser the applicable provi- sions of the Butte County. Code and/or resolutions to do work. indicated above for which fees have been paid. tpECZOiPUBLIC WORKS I` By ;E�� � "� Date4-' PERMIT EXPIRES Date — 9 Receipt No.97466 WHITE-D.P.W., YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION ALIO PERMIT j�. "•os! �. I ASSESSOR PARCEL NUMBER 24— — jZON'NG BUILDING PERMIT OWNER RUTH DIAS TELEPHONE 674-0486 SO. FT. OCC.1 BUILDING VALUA 10 MAILING ADDRESS 6 HWY 99 GIRDLEY CONTRACTOR'S NAME ANDY'S HEATING & AIR TELEPHONE 674-0486 CONTRACTOR'S MAILING ADDRESS 108 PERCY AVE YUBA CITY Fireplace CONSTRUCTION LENDER NONE UNKNOWN Total Valuation Is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER NONE LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping , 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF DO Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W I J 10.00 ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Uti lities ❑ Installation[] Other [X] Describe work: REPLACE UPFLOW FURNACE Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): Imo,( IrtXI am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No.��L( "74& Classification. — �y ❑ 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, a the owner, am exclusively contracting with licensed contract- 7044) F_] I am exempt under Sec. , Business and Professions Code for this reason NEW CONST.DWELLING OCCUP OR ACDNS. ( ACC. BLDGS. .� , /z¢sgft NEWCONST R. ULTI.OUTLET NON .RESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS 6 (SINGLE OUTLET CIR. I Ex. Occup(OUTLETS OR FIXTURES 00 0 e2ALO30 FIXED APLNS Ex. Occup. OUTLETS P(RESID )REA.) 1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ® I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ 1 shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling g Hood 3.00 Ventilation _9..00 . permit Fee $ 25.00 Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all Iia ities, judgments, costs, and expenses which may in any way accrue aai said unty in onsequ nOce of the granting of this permit. ev ' Date D �� I Signature of Applicant — Owner ❑ Contractor �] Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE - TOTAL FEE $ 25.00 HAz. CUA PARK SCHL FLD coF PAR Po I Ho. Iss E This permit is hereby issued unser the applicable provi- sions of the Butte County -Code and/or resolutions to do work indicated above for which fees have been paid. EC70 PUBLIC WORKS BYq DateQ�—��—g� PERMIT EXPIRES Date L —/0— Receipt No. 97466 WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, C{;LIFORNI \95965 - TELEPHONE: 916/538-7541 PERMIT ArPLICATION DATA SHEET rylyt 1 CC) �f r •- ' Permit No. ii OWNER �S � A. P. No. Proposed Building Use ber lee UDr v ru//V44fuilding1nspector Date -� 1 At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: P 4 DATE RECEIVED APPROVED 1. All items have been submitted . .................................... 2. Plot plans in duplicate/triplicate, signed by preparer of plans........ 3. Complete plans in duplicate/triplicate, signed by preparer. of plans . . 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Hazardous Material Form ... :...................................... 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings .............. 8. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including mandfacturer's installation instructions...........................t,........................... 10. Fees of $ 11. Chico Urban Area fees paid .....................................:. 12. Park fees paid .................................................... 13• School District fees paid .............. 14. Sanitation approval from Health Department 15. City of Chico plumbing permit ..................................... 16. Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: ...... 18. Improvements may be required. Contact Land Development Section DPW 19. Driveway permit (construction approval required prior to occupancy) 20. Pre -Inspection for required Pre-Inspec. request to Building Inspector (Date) 21 Contractor's license information (No., Name Style, Classifications .. : — 2. Certificate of Workmans Compensation Insurance .................. — l 23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ..... 24. Recorded copy of Agricultural Acknowledgment Statement ......... 25. Letter of signature authorization..................................... 26. 27. When you issue the permit, process as follows: Mail to owner. iZMail to contractor. Telephone and hold for pickup at office. Deliver w/inspector. Other Appl ican ate a% Copy of Hdz-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_Jnail_counter by .date Contractor, designer, owner, was advised of above required data by—phone —mal l—counter by date Plans checked by Sets of plans on hold in Copy—DPW Date Plans approved by Date File cabinet AP folder COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville. California 95965 - Telephone: 916/538-7541 APPLICATION ND PERMIT ASSESSOR PARCEL NUMBER _ //O I03111 •�- ZONING A-0 BUILDING PERMIT OWNERTELEPHONE t 67q -O 6 SQ. FT. OCC. BUILDING VALUATION OWNER' MAILING AOORESS y 0191,�� `�I���6 /yv^ rJ1 /v -1//C/ CONTRA TO R'SWAM /� TELLP 046, (/r7 7 i CONTRACTOR'S MAILING 40D SS D8 liverc f A���' �04 CI. f 9 Fireplace CONSTRUCTION I Y ]UNKNOWN Total Valuation Is Filing Fee $ 10 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER DA.- LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS p Permit fee S PLUMBING PERMIT Filing Fee 10.00 Each Trap 2,00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF4J Duplex❑ Mobilehome❑ Other SPECT FV Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G 10.00 ea TYPE OF WORK New ❑ Addition I Remode1 ❑ Utilities ❑ Installation❑i Other @�5 Describe work:�1��� �/%%��� I Ii Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 vAMP OR LESS Mai,^, service °ooR 10.00 Main service EA. ADO -L too AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect.SINGLE License No. Classification. ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ 1 am exempt under Sec. Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.EI OR ADONS. ACC. SLOGS. , /Z¢sgft NEW CONSTR. ULTI-OUTLET NON-RESID BRANCH C:RC IT$ 2.50 ea j POWER APPARATUS &) OUTLET CIR, Ex. QCCUp�OUTLETS OR FIXTURES 2AL23C iIXEi .AL98ce Ex. Occup. OUTLE TS ;RESID IREA.) 1 2.00 Temporary service 10.00 j Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating 6119 Cooling Hood 3,00 �n 0 permit Fee $ Zj LContractor 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 Countyor Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. XThis Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct. ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEES n� „qz cuq I PARK scHL i FLD cDF 1 qN =o ,; moo• :ssU= I I i i permit is hereby issued urger sions or the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS Date r?_706 Receipt No. nNITE-O.P.W.. TtLLOW-ASet750R. PINA•INSPCCTOR. GOLDtNROD-APPLICANT j ,_ `..r.,;,.�.§•���,.--�i�i.1+u..�Sr�+�`s'�°'�^�„°rrJaa+,?Y`�+i"rv�`�.:.:e.+-+"o, .�..-,—•..�...�-.-�..,T -:'�t,�� .r�'-^..ter'. ...yr.. .., �• y�;p-:�w:,�..�.- , . ��,, _.., :y,,,�r ....,T,. �:-a--t 024-190-039 PERMIT#97=1531 GRAVEL, KEITH & TINA #6-HWY 99, GRIDLEY j CONT: ANDY'S HTG & AC NDW AC UNIT/SF h r: COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541ERMIT NO. (Rev. 12/96) APPLICATION ANP PERMIT �-��� ! ASSESSOR PARCEL NUMBER 024-190-039 ZONING BUILDING PERMIT l OWNER KEITH & TINA GRAVEL TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS CONTRACTOR'S NAME ANDY' S IrM & AC TELEPHONE CONTRACTORS MAILING ADDRESS 108 PERCY AYE. YUBA CITY, CA 95991 CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS #6 MY 99s GRIUM Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDNISDN'S NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF.I Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap7.00 Solar or heat um water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other .15C 'describe Work: NDI A/C UNIT Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 PERMIT FEE S ELECTRICAL PERMIT Filing Fee 20.00 "OOVOR LESS Main Service 200A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that 1 am licensed under provisions of Chapter (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.POWER License Class Z41 3'�% Lic. No. 'VD OWNER -BUILDER DECLARATION 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. ❑ fl, 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 Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING CUP. OR ADDNS. ( a ACC. BLD S. SO 3.50FT. NCONS9 NON•RES DT '-OUTLET @7,50 APPARATUS a SINGLE OUTLET C1 R. Ex. Occup. ounETORFVTURES Bn�@'.w IPPLINS Ex. Occup. ouTEiFrs RES D.OEA 5.00 • Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE 25.00 $ 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. Z 1 I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier ECi!1 Ie Sf^ CO MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ 35•(C _*47 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 forthw"th comply with those provisions. % z _y7 X) _ Date 7— 1-7-7 -Signature of Applicant iJ Owner ❑ Contractor ® Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE 60-00❑ TOTAL FEE $ HAZ. D. FEES IMP FLOOD CDF PARCEL I PD I HD,SS W This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicate above for which fees ave been paid. R y1C_,)1191 ; `�� � / Date // B PERMIT EXPIRES ON l Oe Te Receipt No. 1.``J j' WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENTSERVICES - BUILDIN/DI1ON 7 County Center Drive - Oroville, C"i Frla 95965 - Telephone (916) 53_ /�FRMIT NO. (Rev. 12/96) APPLICA, 10N AND PERMIT ASSESSOR PARCEL NUMBER 024-190-039 ZONING BUI ING PERMIT OWNER KEITH & TINA GRAVEL TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS CONTRACTOR'S NAME ANDY'S HTG & AC TELEPHONE ' CONTRACTORS MAILING ADDRESS 108 PERCY AVE. YUBA CITY CA 95991 CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation is ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 6 WY 99 GRIDLEY Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF XX Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat.pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other J2( Describe Work: NEW A/C UNIT Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service z..AORLE , 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000 of Division 3 of the Business and Professions Code, ( g ) and my license is in full force and effect./ License Class C — 20 Lic. No. 3 10 % GI 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 Main Service 200A To IDDOA 46.00 NEW CONST. DWELLING OCCUP. OR ADONS. ( y ADC. BUDS_ SO 3.5QFT: NEW CONST. MULTI.OUTLET NON•RESID. I CU @7.50 POWER APPARATUS 8 SINGLE OUTLET CIR. Ex. Occu OUTLET OR FIXTURES 20 @ I'50 BAL p ,50 Ex. Occup. OUTLEEOTS REFS D.DEA 5.00 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ 25.00 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 carrier and policy number are: Carrier i9'!l� ttdPN a11- .S� 5 �O MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling 15.0 Hood 6.50 Ventilation PERMIT FEE $ 35.0 Policy Num erAO4/ 4X 6 h (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 _ % _.7- X 7 _ ignature of Applicant - Owner ❑ Contractor PZ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ coNsr. TYPE --NAZ. TOTAL FEE $ 00.00 D. FEES IMP I FLOOD CDF PARCEL I PD I HD I ISS This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicate ve for which fe ave been paid. UXate 1 PERMIT EXPIRES ON efe Receipt No. 222519 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD•APPLICANT t4 i II f i u a I u } r I q m 7 , ` h i►'1in1 W� Ckos:lr4q 000< � tl f X S �- e. i i s` y f. - - - - - - - - - -- - SCALE: p APPROVED BY; DRAW BY BUTTE ,� DATE: -3.-dam REVISED - - i o G I V K3! e _ pry i'c►r�l �IQx.11 1c.,A t DRAWING NUMBER I , i r.�wiwrbir� 8 4 4 �. i �I _ _ 7 - . . i �. i