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024-220-023
CITY OF GRIDLEY 24-22-23 r9m East Gridl , Cte of G.� le• PErmit# B ,E(ad'd/stg room sewage ` u cel bldg) /G�'�%1� 3 �" /'9/fid 24-22-23'1068- 90B P E � CITY OF' GRI,DLEY 1098 ;East Gridley d, Gridle V (add tion/sewage c ntrol building) I r CITY OF GRIDLEY 24-22-23 r9m East Gridl , Cte of G.� le• PErmit# B ,E(ad'd/stg room sewage ` u cel bldg) /G�'�%1� 3 �" /'9/fid 24-22-23'1068- 90B P E � CITY OF' GRI,DLEY 1098 ;East Gridley d, Gridle V (add tion/sewage c ntrol building) I F00'T/N/ �, . �p/L6t1� a q G-���-M RESIDENTIAL 24-22-23 .._ _ _ 1068-90B,P,E_ ._._ CITY OF GRIDLEY 1098 East Gridley Rd, Gridley (addition/sewage control building) JOB FINALE Signature E JJ_ V OK O=Not OK - =Not Applicable RESIDENTIAL (.Single & Duplex) - Not Ready Date UNDERFLOOR Plans OK except #'s 1 or ng -Setbacks -Easements -Flood -Slope tg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth T8--Flg.--Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth rches & Decks; Soils -Steel-/ /Ftg. Depth temwalls, Main; Steel -Bloc kouts-Wrapped .,tL691d Downs and Special Anchors __8--Pt6-rs-Fireplace Ftg.-Steel __0 VV Fall -Fitting -Test -2 Way C/O -Sewer Test 10 rpe; Size -Anchors Water Pipe; Test -Anchor -Regulator -Service Test �< Electric; Underground I. Plenums & Ducts; Clearance-Material-Support-Ins. -44r8rfders-Sills-Anchor Bolts -Joists -Vents -Cripples Insulation Date Card B-1 %6, Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s 16. Water Htr.; Vent -Access -Combustion Air -Baffle 17. Water Pipe; Test & Anchor -Nail Protection 18. D.W.V.; Test -Fittings & Anchor -Nail Protection 19. Shower Pan; Test, First Floor -Tub Access 20. Test Tub & Shower, Second Floor -Tub Access 21. Gas Pipe; Size & Anchors Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 2 fixture & Transformer Clearance -Ins. Protection 23. Elec. Receptacles Spacing -Lights & Switches at Doors 24. Size Boxes & No. of Conductors -Stapled 25. Romex Installed Close to Edge of Studs & C.J. 26. Equip. Ground made up w/Meth. Fastners-Bond Gas & Water 27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral ❑ Yes ❑ No 30. Service -Riser Conductors & Ground -Main Disconnect 31. Equip. Clearances Panels -Motors -Meth. Equip. 32. Clothes Closet Light -Shower Light -Spa Light 33. Smoke Detector Date Card B- Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 34. A.C. Ducts Insulation & Support 35. Vent Fan; Exhaust above insulation 36. Condensate Drain & Overflow; Size & Grade 37. Furnance-Vent; Access -Comb. Air -Return Air Vent -115 outlet 38. Attic Access & Platform if Furnance in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except #'s 9. Sils, Proper Material & Anchors 40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound 41. Bearing Walls over Girders & Floor Nailing 42. Draft Stop in Walls (rat proof) 4 ire Stops; Furred Ceilings -Stairs -Chases -Tub 44. Headers & Beam -Size & Bearing Date / FRAMING (Continued) L-'_45. tigers -Post Caps -Anchors -Connectors 6. Cing. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Ring. 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 49. Bdrm. Windows or Exiting Doors-Sitl Hgt. & Dimensions 50. Garage Fire Protection Framing 51. Property Line Firewall & Openings 52. Ext. Doors -One T -Check Garage -3rd Story, 2 Exits 53. S4airs; Width -Headroom -Rise -Run -Landing -Fire Protection 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers 55. Siding -Nailing Veneer 56. Stucco Mesh -Drip Screed -Fd. Vents-Underfir. Access 57. GI zing Area -Glass Protection -Skylights -Plastic 58. hear Walls; Nailing -Bolts 9. Insulation-W-Ceilin 60. Infiltration-Wa s- indows Dat // Card B-1 Date Card B-1 Dat Card B-1 Date Card B-1 Date FINAL Pla OK except #'s Steps -Door & Sidelight Protection -Landings 6 nce-Comb. Air -Connector - In Garage; Above Floor -Ducts -Meth. Protection „64-4Wel eem- xiting fixtures & Tub Access -Spa nm & Subpanel; Breaker Sizes & Labels 6 e; Clearances -Hearth 99. Elee.-Aul1ets-at Wood Panel; Int. & Ext. 70-AR-Fixt"S'Appliance; Grnd.-Air Gap -Cooking Clearance 71.-Nee-6etIVW& Receptacles at Kit. Counter 79 Garage Fire Door; Swing -Landing -Closer 7 ge-Damper 7 n s- learance-Comb. Air-Connector-P.R.V. In Garage; Above Floor -Meth. Protection zi p'�ya^x'1�ech. Equip. Listed for Location acles in Garage; (G.F.I.)-Romex Protection nsulation-Foam-Looked in Attic es 7 nstruction-Post Caps 79 F4ar ent9 awl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 80 ve ❑ Yes ❑ No; Walks ❑ Yes ❑ No; 'Planters ❑ Yes ❑ No s 82. A.C. Unit: ^ =- ^^^^' Electrical, Plumbing 8 Plbg.-Appliance-Fireplace.-Clearance to Openings isconnect, Electrical, Plumbing 8 .F.I. Receptacle -Underground T�---ghout House 8? mace Prot - tion "rearrvc-ro-n-s from Previous Inspections 89. Bas -Test Meters Tagged; Gas -Electric 99. nnected-C/O to Grade -HD Approval 94.-2rt2fg Compliance Certificate -Other Certificates Date SCxard 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: (NOTE: An entry must be made each time you visit job site) J=OK O = Not OK ' = Not Readyable MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Lodation-Test-Fall-C/O Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap: / /" L" ft. / P'Nat. or/ /"L"ft./ /"LPG 7. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test-Demand-Valve—Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 10. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES, Plans OK except #'s o ing Requirements -Setbacks -Easements ootings; Soils -Size -Depth -Spacing -Connectors -Steel ec s; Griders and/or Joists -Decking -Bracing -Stairs -Rails __41-Weod-Awn.; Posts-Beams-Rftrs.-Coonectors Shthg.-Rfg.-Bracing �5-�4Fam Awn.; Columns -Connections -Splice -Decal -Enclosures ,L -Carports; Windows-Doors -.z,�iic --Si Is-Anchors-Studs-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, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosures -Pane Iboards- Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. 16/ ASSESSOR PARCEL NUMBER 24-22- ZONING BUILDING PERMIT OWNER Cit TE PHONE SO. FT. OCC. BUILDING VALUATION 384.25 s f t OWNE 'S MAILING ADD ESS 685 6916.50 CONTRACTOR'SN E TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ 6916.50 Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER Bruce A. Nash LICENSE NO. 33381 Plan Checking Fee $ Ener Plan Checking Fee 9y g S 31.25 ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 1098 East Gridley Rd, Gridley103.75 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 Sewa e Control Buildin SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home I S I G I W 10.00e TYPE OF WORK New ❑ Additionk] Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work: RtnraR Room _ Permit Fee $ 22 00 Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 6101 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 perjurycheck one): p Y ( )• ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification ❑ 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 NEW CONST. DWELLING OCCUP.(ti OR ACDNS. ACC. BLDGS. ) , 2/zQsgft NON.RESID R BRANCH CIRCUITS 2.50 ea 2.50 POWER APPARATUS e SINGLE OUTLET CIR. ) Ex. Occu p OUTLETS OR FIXTURES zAL@30 .20@030 FIXED PR EX. Occup. OUTLETS (RESID.IEA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ 12.50 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 FiIirig Fee 10.00 Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above -menti roperle for inspection purposes. I also a e to save, indemnify, nd keep rmlss the County of Butte against all s which may in any way accrue Iia ' hies, judgments, co s, and e4eg agains said Co my in copse a of tting of this p rmit��This e Signature of Applicant — Owner Co ❑ Agent OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion o ures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ I CONST TYPE TOTAL F E $ 38.75 HA CUA PARK J sc FL PAR P H Is wf p mit is hereby issued under sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC BY PgP14IT EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS �l Date3 ��nL7i Receipt No.n WNITE-D.P.W., YELLOW-ASSCSSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT OWNER COUNTY OF BUTTE - DEPARTMEE&' OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVI.LI F�AWFORNIA 95965 - TELEPHONE: 916/636-7641 Proposed Building Use PERMIT APPLICATION DATA SHEET / Permit No. r` ( (F A. P. No. J#_ r;;`113 od ro Bui'ldfng Inspector CvVR Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE -RECEIVED APPROVED 1. All items have been submitted. ./,9V ....................... 2. Plot plans in duplicate/triplica%v, signed by preparer of plans........ 3. Complete plans in du+eater+p+ieete, signed by prel?arer. of �11,ans..4. Complete engineered plans and calcs,.wi _,wet signature on 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 manufacturer's installation instructions....................................................... 10. Fees of $ ........................ 11. Chico Urban Area fees paid ....................................... 12. Park ees pa .......................................... 13. I � chool D_ is ict fees paid .............. 14. Sanitation approval from e3 rn t/ I 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 "a `• Building Inspector. (Date)" 21. Contractor's license information (No., Name Style, Classifications ... 22. Certificate of Workmans Compensation Insurance .................. 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 e;jlt, rocess as follows: —Mai l Telephone and hold for pickup�at� Other Applicant \e . owner. Mail to contractor. r7L, ofjice... „ Del.iver w. /inspector. 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 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---naiI—counter by ..date Contractor, designer, owner, was advised of above required data by—phone —mai l—counter by date Plans checked by Sets of plans on hold in Copy—DPW Date Plans approved by File cabinet AP folder Date CITY OF GRIDLEY CITY HALL 685 Kentucky St. Gridley, Calif. 95948 (916) 846-5695 ' PURCHASE ORDER NUMBER .1.57.43 THIS NUMBER MUST" APPEAR ON ALL CORRESPONDENCE, INVOICES SHIPPING PAPERS AND PACKAGES PPO -811 —Eou-nty-of Bu-tt-e Building -Dept 7-Goun-ty-Cen-te-r-Drive ' --- DATE ORDERED DATE WANTEd SHIP VIA TERMS F.O.B. PLEASE ENTER OUR ORDER FOR THE FOLLOWING — TO BE SHIPPED AS DIRECTED: QUANTITY DJ S C R I P T 1 0 N UNIT PRICE AMOUNT ° Bui.lding_P_ermit-f.o.r-shed_addit-ion-@-Sewe-r—T-r-ea-trne-n- - Plant-(xeapp.l.ibation-)-- 'I �I i i` - i - 1-3 -75- 4- 6.5- 6.5- CONDITIONS CONDITIONS GOODS ARE SUBJECT TO OUR INSPECTION AND APPROVAL. IF SHIPMENT WILL BE DELAYED FOR, ANY REASON, ADVISE US IMMEDIATELY, STATING ALL T ESSARY FACTS. TO AVOID ERRORS, NOTE SPECIFICATIONS CAREFULLY AND IF UNABLE TO, COMPLETE ORD RS AS WRITTEN NOTIFY US -PROMPTLY. URC HA G AGEN 71 PPO -811 BUTTE COUNTY ENVIRONMENTAL HEALTH DEPARTMENT HAZARDOUS MATERIALS AND EMMISSIONS QUESTIONNAIRE (A Building Permit cannot be approved without this completed form.) BUILDING PERMIT NUMBER APN 024-220-023 Firm Name CITY OF GRIDLEY Address 685 Kentucky Street, Gridley, CA 95948 Nature of Business Municipal Corporation Contact Person Ed Melton Phone # 846-2298 or 846-3631 1. Does your business or that of your tennants handle, store, or transport hazardous materials? . ❑ NO ® YES NOTE: Hazardous materials are defined as any material that, because of its quantity, concentration, or physical or chemical characteristics, poses a significant present or potential hazard to human health and safety or to the evironment if released into the the workplace or the environment. "Hazardous Materials" include, but are not limited to, hazardous chemicals, hazardous waste, paints, oils, lubricants, fuels, flammables, combustibles, corrosives, gases, and any material which a handler or the administering agency has a reasonable basis for believing to be injurious to the health and safety of persons or harmful to the environment if released. 2. Do you or will your future tenants handle store, or transport 55 gallons, 500 pounds, or 200cubic feet (at standard temperature 4 pressure), or formulation containing hazardous material? ❑ NO ® YES If you answered YES to 1 or 2, contact the Butte County Environmemtal Health Department (916-538-7281) for a review of the project. 3. Is the business/facility/operation to be located within 1000 feet or the outer boundry of a school or school site? IN NO ❑ YES IF YES, name of school. 4. Does the business/facility/operation have the potential to emit any air pollutants; e.g., dust, soot, odors, fumes, vapors, or other volatile compounds? ONO ❑ YES IF YES, contact the Butte County Air Pollution Cool District (916-8912882) -for ermit requirements. Owner or Authorized Company Represen BCEHD BCAPCD The applicant has mbt_nus Ifing the applicable requireMents of Section 25505, 25533, and 25534 of the Health and Safety Code and the requirements for a permit from the Butte County Air Pollution Control District. 0 1:1 The Above Regulations Do Not Apply To This Facility. BCEHD Signature BCAPCD Signature Date Date WHITE- Building Dept 0 YELLOW- Env. Health 0 PINK - APCD 0 GOLDENROD -Fire Dept. 7 •;c ,.-y lr�Y -'+moi rP+'"'�"•.r'i��Y-"c}'4�f't"'�':.!7b^ "7"",.i'^.�vt"'f'r.��Y"'!"ri-'4��43.�{1�rn+�1:��-"���-=T'.s"�: �'-�#^;ItA'..in`^_>`�i"�'� '1 .. V, r. F ♦?el BUTTE COUNTY ENVIRONMENTAL HEALTH DEPARTMENT HAZARDOUS MATERIALS AND EMMISSIONS QUESTIONNAIRE (A Building Permit cannot be approved without this completed form.) BUILDING PERMIT NUMBER Firm Name I CITY OF GRIDLEY APN 024-220-023 Address 685 Kentuckv Street, Gridley, CA 95948 Nature of Business Municipal Corporation Contact Person Ed Melton Phone # 846-2298 or 846-3631 L. 1. Does your business or that of your tennants handle, store, or transport hazardous materials? ❑ NO ® YES NOTE: Hazardous materials are defined as any material that, because of its quantity, concentration, or physical or chemical characteristics, poses a significant present or potential hazard to human health and safety or to the evironment if released into the the workplace or the environment. "Hazardous Materials" include, but are not limited to, hazardous chemicals, hazardous waste, paints, oils, lubricants, fuels, flammables, combustibles, corrosives, gases, and any material which a handler or the administering agency has a reasonable basis for believing to be injurious to the health and safety of persons or harmful to the environment if released. 2.. Do you or wilt your future tenants handle store, or transport 55 gallons, 500 pounds, or 200 cubic feet (at standard temperature 4 pressure), or formulation containing hazardous material? ❑ NO ® YES If you answered YES to 1 or 2, contact the Butte County Environmemtal Health Department (916-538-7281) for a review of the project. 3. Is the business/facility/operation to be located within 1000 feet or the outer boundry of a school or school site? IN NO ❑ YES IF YES, name of school. 4. Does the business/facility/operation have the potential to emit'a6i air pollutants;i"N., dust, soot, odors, fumes, vapors, or other Volatile compounds? ONO ❑ YES { IF;YES, contact the Butt6,.County Air Pollution Cc rol District (916-891-2882) for , ermit requirements. Owner or Authorized Company'-Representa -� d i BCEHD BCAPCD The applicant has meeting the applicable requireMents of Section 25505, 25533, and 25534 of -the Health and Safety Code and the requirements for a permit from the Butte County Air Pollution Control District. D1:1 The Above Regulations Do Not Apply To This Facility. BCEHD Signature BCAPCD Signature Date Date f WHITE - Building Dept 0 YELLOW- Env. Health 0 PINK - APCD 0 GOLDENROD- Fire Dept', S 4" sYZ�+ .;r �:P'v ..,� .Cirr'--- x-�''�,S'' av,�t-:'• w.�.-,rte k � 't -,� •� f �" „�.. r ®t BUTTE COUNTY ENVIRONMENTAL HEALTH DEPARTMENT HAZARDOUS MATERIALS AND EMISSIONS QUESTIONNAIRE (A Building Permit cannot be approved without this completed form.) BUILDING PERMIT NUMBER Firm Name', CITY OF GRIDLEY APN 024-220-023 Address 685 Kentucky Street, Gridley, CA 95948 Nature of Business Municipal Corporation Contact Person Ed Melton Phone # 846-2298 or 846-3631 1. Does your business or that of your tennants handle, store, or transport hazardous materials? ❑ NO ® YES NOTE: Hazardous materials are defined as any material that, because of its quantity, concentration, or physical or chemical characteristics, poses a significant present or potential hazard to human health and safety or to the evironment if released into the the workplace or the environment. "Hazardous Materials" include, but are not limited to, hazardous chemicals, hazardous waste, paints, oils, lubricants, fuels, flammables, combustibles, corrosives, gases, and any material which a handler or the administering agency has a reasonable basis for believing to be injurious to the health and safety of persons or harmful to the environment if released. 2. Do you or will your future tenants handle store, or transport 55 gallons, 500 pounds, or 200 cubic feet (at standard temperature 4 pressure), or formulation containing hazardous material? ❑ NO 19. YES If you answered YES to 1 or 2, contact the Butte County Environmemtal Health Department (916-538-7281) for a review of the project. 3. Is the business/facility/operation to be located within 1000 feet or the outer boundry of a school or school site? 19 NO ❑ YES IF YES, name of school. 4. Does the business/facility/operation have the potential to emit any air pollutants; e`g., dust, soot, odors, fumes, vapors, or other volatile compounds? 0 NO ❑ YES ;t IF',YES, contact the Butt6'County Air Pollution Co , rol District (916-891,,'2882) for permit requirements. ry• v f. Owner or Authorized Company Representa t (Signature) BCEHD BCAPCD The applicant has m o�tsefing the applicable require ents of Section 25505, 25533, and 25534 of -the Health and Safety Code and the requirements for a permit from the Butte County Air Pollution Control District. The Above Regulations Do Not Apply To This Facility. BCEHD Signature Date BCAPCD Signature Date WHITE - Building Dept 0 YELLOW- Env. Health 0 PINK - APCD 0 GOLDENROD- Fiie Dept:"... 1-1 BUTTE COUNTY ENVIRONMENTAL HEALTH DEPARTMENT HAZARDOUS MATERIALS AND EMMISSIONS QUESTIONNAIRE (A Building Permit cannot be approved`without this completed form.) BUILDING'PERMIT NUMBER APN 024-2'20-023 Firm Name,- CITY OF GRIDLEY Address 685 Kentucky Street, Gridley, CA 95948 Nature of Business Municipal Corporation Contact Person Ed Melton Phone # 846-2298 or 846-3631 1: -Does your business or that of your tennants handle, store, or transport hazardous materials? ❑ NO © YES NOTE: Hazardous materials are defined as any material that, because of its quantity, concentration, or physical or chemical characteristics, poses a significant present or potential hazard to human health and safety or to the evironment if released into the the workplace or the environment. "Hazardous Materials" include, but are not limited to, hazardous chemicals, hazardous waste, paints, oils, lubricants, fuels, flammables, combustibles, corrosives, gases, and any material which a handler or the administering agency has a reasonable basis for believing to be injurious to the health and safety of persons or harmful to the environment if released. 2. Do you or will your future tenants handle store, or transport 55 gallons, 500 pounds, or 200 cubic feet (at standard temperature 4 pressure), or formulation containing hazardous material? ❑ NOD, YES If you answered YES to 1 or 2, contact the Butte County Environmemtal Health Department (916-538-7281) for a review of the project. 3. Is the business/facility/operation to be located within 1000 feet or the outer boundry of a school or school site? 0 NO ❑ YES IF YES, name of school. 4. Does the business/facility/operation have the potential to emit any air pollutants; e`g., dust, soot, odors, fumes, vapors, or other volatile compounds? ONO ❑ YES IF.YES, contact the Butte County'Air Pollution Con/t�ol District (916-891-2882) for permit requirements. Owner or Authorized Company Representati BCEHD BCAPCD The applicant has it -ox -is -meeting the applicable r quire ents of Section 25505, 25533, and 25534 of the Health and Safety Code and1the requirements for a permit from the Butte County Air Pollution Control District. it ElEl The Above Regulations Do Not Apply To This Facility. BCEHD Signature Date BCAPCD Signature Date WHITE- Building Dept ❑ YELLOW- Env. Health ❑ PINK - APCD ❑ GOLDENROD- Fire Dept. e COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION • 7 COUNTY CENTER DRIVE - OROV&LIF, CALI'FORaNIA 95965 - TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET / Permit No. OWNER r i C FV A. P. No. Proposed Building Use }f Building Inspector Date 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. /set 2. Plot plans in duplicate/triplicate,, signed by preparer of plans. 3. Complete plans in dt++eateftrip+ieate, signed b re b arer of plans. 4. Complete engineered plans and calcs„wit ,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 manufacturer's installation instructions. 10. Fees of $ 11. Chico Urban Area fees paid. 12. Parkes pajdl. 13. 1('1 Cll (F y �chool Di$t�ict fees paid. LZ 14. Sanitation approval from CcI e 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 of DPW. 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 -Acknowledgment Statement. ” 25. Letter of signature authorization. 26. 27. When you issue.,thepe jt, process as follows: Mail to owner. _ _ Telephone and hold for pickup at office. Other Mail to contractor. _Deliver w./inspector.- Applicant V, Date fi GENERAL INFORMATION BUILDING DEPARTMENT OFFICES HEALTH DEFARTMENT OFFICES Chico. . . . 196 Memorial Way Chico. . . . 196 Memorial Way Phone: 891-2751 Phone: 891-2727 Hours: 8:00 a.m. - 12:00 a.m. Hours: 8:00 a.m. - 9:00 a.m. . Orovi I le 7 County Center Drive Orovi I le . . . 7 County Center Drive Phone: 538-7541 Phone: 538-7281 Hours: 8:00 a.m. - 5:00 p.m. Hours: 8:00 a.m. _ 10:00 a.m. Paradise. . . 747 Elliott Road Paradise. . . 747 Elliott Road Phone: 872-6307 Phone: 872-6308 Hours: 8:00 a.m. - 12:00 a.m. Hours: 8:00 a.m. - 9:00 a.m. PLANNING DEPARTMENT —.7 County Center Drive, Oroville — Phone: 538-7601 — Hours: 10:00 a.m. - 3:00 p.m. Original.— Applicant . i � y. i!'tw " X5K^+'�hr ,.-'„-;,-' r '"':r' `.�fs..I°'rlyr�„i . ,-'.{ _ia -K� °i�� �'�',irrs{ ,.��'��• •� � ;`•. t lA��n rr_--�7 , j,,. A JJ r C UNTY OF BUTTE f 64012 ICl/AL 8EgE1 .� OF CE P TMEN• I SUING RECEIPT 19L 14 // PO Received fro i The Sum of -All 14 i ✓`-�v o For Received: qn% f O�A �� CASH CHECK Received By Title By Job No. .Job Name Date 126A Page of , C >df - -5 A f-- / V 4 e- (--: 6-1 e—A, E A. Pons Lu rr% am rM RCwsl NO. 33381 \09(tv CRAL ENGINEERS '� ' - ' Chico, California `r�qT CIV1E ��P By F CA 7 -2 lose /g_, 7,K /Z> 'C 7z:> -0 wo5:s r B 76 =7- e.,S 76 < -213 3 v Z- BUM= COUNTY BUILDING DSPA4TMF-t'7. 57 700 r Cl S' Job No.BBOS Z Rom _._._ Job Name C✓TY o� G.e/OLEY q�"/���' ' Date AlJ�ClST _ /98 B CML ENGINEERS Chico, California Page Z of 6 By/ i Z J R MAfWc 11 Z /mss/ c /2So I -s! .r Zl.39/ - 3 V = 3 3 i z� Z 67.9) r 4 = 40C4) X728 j 24 �� 7x ofg a I i � i ~ Job No. 88oS2 Roft ' Job Name c/ry O.0 G2/OLE qr�«7 d3 6 Rom! CML BOWERS: " Date L/6USz i9B8 Chico, California Page 3 of E By 6sIs%/ s- 4-21) 2 / Q- Z) Yc/E/6ffT Q� 1p el • / 96 �s/f�T i , 1 � 2 8Z, 7�9 , Y =-3��L��i9o)(i¢� _ .38 .o -s✓ � eS • �s� , o% , G = �¢ iia] = d. ¢7 ,. 36a aro 90�r/- /748 _ 0.32 " o: 7 1t 384(/.3 -Z- - I'z (i¢;)(� t C/S- cv �x /o " Oac�� C fL5 Fye /�lo. Z 6ET7L;aL 771 I t I � . wJob No. 66052 gyp$ Job Name CITY o,- G'2/'0e-e PrICANSIOn CCY1/T,�G7L .C3U/G l7/�!� �%G1y/TZG��1_/ 6 ROM CML ENGINEERS DateU6c/sT_ /788 Chico, California Page of lv By/ ✓� 8 X /Z °GwE - LA-M/�v�d ��J Ga 2oLL.- U� .doo,Q cALcuL s �2E BA-s� dv Gomer-o 725-�8 X /z" _ ¢¢ 8 f ¢>Z <�G� 2> • • 5¢8 43/�'r M o. /zS �`s ¢8� ���, 33J2 = 87 9 8 ,C = -3 l /-=-)1 9,q- x /. 3 3 Z • r 3 60 360. 1;'2-!5 3Z3 Job No. _- 88oSZ � RORS Job Name C/TY G/z/D4!fEY Ri x2oson CML ENGINEERS Date T /938 Chico, California . Page S of r�o By /01 x /Z y �wE - �r� BEAM SciPPoe T .SEE Pl�T/ Sh�T S of S Fat �3�-�4M S�PR��2 T LATA-l�..� ` O�S��/ ✓•4LuE Fat O/YE S/g � S� ,Boc.T, Go�4�E� /N , ,dov8 PE2P�Tro�c uL,q-/L Ta 6e.9-�,-J EiY1� 2E/A-�TGonl = �lG C //, 33(5 4 LB t ' I � I f • I i j i . i Job No. �805Z ROIIS Job Name G/T>' o/c �W106e— q �� —C111�T �G1G .8U/G.OI/�l(o ASO/iLd�/ s Date i+IXUST CML ENGINEERS Chico, California Page lv of lo• By _ _ A±SAVV 04c;,7 (A) U$G • j y O. 3/ 0007 24 �� rzS> • .�fo2i zavra�c.. s r�EL A -r TdP = 0.3/ 117 • i X4-7- Bo Tiaty - o . 3/ / 9t-,ec-.--7VT = 4. r ✓E2T! CA -L f �2/ZoNT�'4� = 2 r!o. 3/, �` /. Z ¢ _ /, 8 6 �� /. 83 � I . �E_Qu/26o 4zE�I��lT = 6. i`-/O2-/-ZGc�YT-i1L �•T�� / `�S Gam' Tam 6 FORMULAS AND DIAGRAMS r*R STATIC LOADS Beam Fixed at One End, Supported at Other—Concentrated load at Any Point Pb' R.=V, . ... . . . . . . . . . ._—(a+211 49 Beam Overhanging One Support—Uniformly Distributed load W 21' 21 Pa R. =V . . . . . . . . . . . . . .=—(31'—a') V. . . . . . . . . . . . . = we V, . .r. 21' 2M, (at point of load). . . . . . . = R,• VX 1 between xupporh) \\ P•b (foroverhang) M, At fixed andJ . . . . . . . = (a + 1) 21' Mx . (when x < a� . . . . . . . = R,x 12 Mx (-hen x > aJ . ... =R,x—P(x-a) 2 l' + as \ Pa (P — a')' Wx . _ — (1' — a' — XI) Amax. when a < .4141 at x = l ) = - Mx. (for overhang ) . . i' 31' — a' 3EI (31' — a')' 2 r• \ Pab' a wx _ — (1' — 21'x' + 1x' — 2a'1' + 2a'x') Amax. 1 when a > .4141 at x = 1 �1 V�i (forwxAx, overhang VVV 21+• 6EI +• 24EI Pa'b' Aa (at point of load) . . . ... . . =( 31 + a) 12(when 1201' \ Pb'x As x< a) _ (3a1' — 21x' — •x') 12E11' Pa Axwhen x> a, . . . . . . . _ (l —:)' (3lSc — •5c.— 2•' uxu• Beam Overhanging One Support—Uniformly Distributed load Data reproduced by courtesy of Western Wood Products Association W 21 w 21 V. . . . . . . . . . . . . = we V, . .r. . . . . . . . W . = (1'+��) 21 VX 1 between xupporh) = R. — Wx Vx, (foroverhang) = w (4 — x,) M1 (at X Us M. at R•/ l . . . . . . W' . _ — 2 Mx \\ between supports) . . Wx . _ — (1' — a' — XI) 21 Mx. (for overhang ) . . W _ — (a — x,)' 2 As 11 Cbetween supportsl wx _ — (1' — 21'x' + 1x' — 2a'1' + 2a'x') 24EI1 (forwxAx, overhang c — (4•l — l' + 6•'x, — 4•x,' + x, 24EI Data reproduced by courtesy of Western Wood Products Association Or'j�✓ "3utt 4?- OROVILLE, CALIFORNIA GENERAL CLAIM CLAIMANT:- City of Gridley ADDRESS: 68.5 Kentucky Street CITY & STATE: Gridley, CA 95948 IMPORTANT: March 26, 1990 SEE INSTRUCTIONS DATE OF CLAIM: ON REVERSE SIDE SUBMIT CLAIM TO DEPARTMENT RECEIVING GOODS OR SERVICES DATE DESCRIPTION OF CLAIM .(DESCRIBE FULLY TO AVOID DELAY) I AMOUNT 3/26/90 Permit expired, will take new permit. Permit #2106-88 A.P.24-22-231 Receipt #17405 dated Building Permit Fee Paid ------------ 103.75 Retain Filing Fee --------- 10.00 Retain Plan check Fee -----31.25 41.25 41.25 Amount Refunded------------------ 62.50 Plumbing Permit Fee Paid----------- 22.00 Retain Filing Fee --------- 10.00 .10.00 Ameunt Refunded12, Retain Filing•zfee---------- 10.00 10.00 TOTAL 77 00 I, the undersigned, declare under penalty of perjury that the servic s r articles claimed hav en performed or de vered, and th t this claim is true and correct es s eted. *eted this de of ,,,, �� ........ ............... Y .. ....... g .. .. .... .. . Si nature of Claimant 1, the undersigned, hereby certify that, to the best of my knowledge, the ervices or articles specified above have been perfo livered and that there is a Budget Appropriation ❑ or Specific Board Approval � (Che r ame. Dated this �% y^'� /—� .......��......!,..\......... day of .�)'1►ti..... l.Oet .....t...l.Y'`...1....... Cellf. . ...... ......... ......... ........ .. ................................ ep ment Head r Autho or de- eputy Dept.%� 2 �{ /� c /,t �� Code I.O.�..O v....... C de .......l. ....�.51 �.D) /.........PAYABLE FROM .................. rJ. .:..........�.r`.m.l....... ............... •, FUN D DO NOT WRITE BELOW THIS LINE — AUDITOR'S USE ONLY DEPT. 8. SUB. PROJ. SUB. OBJ. CLAIM NO. INV. NO. INV. DATE ENCUMB. GROSS AMT. COUNTY OF BUTTE'- DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO.�/ ' ASSES OR PARCEL NUMBER Z ZONI G BUILDING PERMIT OWNZ �i' �• �r` LA •M TELEPHONE -34,3 SQ.FT. BUILDING VALUATION QOCC. 0 OWNER'S ILING�;TDRE�G� 1, �) �e �� 7 `/J CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation 1 $ ! (> Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ I. s Z) A HITECT OR ENGINEER LICENSE NO. 33 Plan Checking Fee .$ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $-75 PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 •Od Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PA EL MAP Water piping 5.00 ob-1D Each qas water heater or vent 5.00 USE OF STRUCTURE /� Q( SF ❑ Duplex[] Mobilehome❑ Ot r g -lb ir2Q Ond;rej Dili �t'uc —�' SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 ,0.0 Mobile Home S I G I W 0.00 ea 2 ---Remodel TYPE OF WORK New❑ Addition ❑ Utilities❑ Installation[] Other ❑ Describe work: 5±0t -a -q e— c-0 b fN\ i lQ Permit Fee $ ,b -v Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service e00v OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW of perjury (Check One): I declare under penaltyu ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Bushes$ and Professions Code and my license is in full force and effect. License No. Classification 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ 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 OCCUP.a\ '/zQsgft DR ACDNS. ACC. BLDGS. NEW CONSTR. MU LT' -OUTLET NON-RESID .BRA CH CIRC ITS2.50 ea (� POWER APPARATUS e (SINGLE OUTLET CIR. zosaoe Ex. Occup OUTLETS OR FIXTURES .ALO SO FIXED APPLNS. OR Ex. Occup. OUTLETS (RESID.) EA.1 2.00 - Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ 2,5 Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. gl 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 Filing Fee 10.00 Heating Cooling Hood 3.00 Ventilation Penult Fee $ Contractor 1 certify that I have read this application and state that the 'above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above -men ' property for inspection purposes. I also agree to save, indemnify d keep armless the County of Butte against all Ii Ilities, judgments, cost , and exp uses which may in any way accrue agai t said County in conseq ce of the ranting of this perm't. ate � � � Signature of Applicant - Owner ❑ Contra r ❑ Agent[%work An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ructures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ , oceuP, c!ffl scNo P PARC PD ND �Issu This permit is hereby issued under sions of the Butte County Code and/or indicated above for which D) tCTjqR OF PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Dat � %6 / Receipt No. WNITE-D.P.W., YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENTtSF PUBLIC WORKS -BUILDING DIVISION . 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 91;8/538-7541 PERMIT APPLICATION DATA SHEET i Permit No. t / OWNER IIT D 1` I C M1 A. P. No. 2 A 3 Proposed Building Use D !'ar Building Inspector le - Date � 1� At time of permit application, I wass-advised the following data must be submitted prior to perm it -process ing and:/or issuance: DATE RECEIVED APPROVED 1. All items.have been submitted. . . . . . . . . . . . 2. Plot plans in duplicate./triplicate, signed by prepares of plans. , 3. Complete plans in duplicate./triplicate, signed by preparer of plans. 4. Complete engineered plans and calcs, with wet signature on plans. Plans with Energy Design Compliance Statement. . . . . . i lC^V "Fees r School District Paid" Stamp on Floor Plan. WF ment o Intentt for Non -Heated and AC Buildings. ees of $ s , 9: ^Letter of signature authorization. .' 10. Sanitation approval from d 4 Health Dept. 41 Planning approval for (A) Use--)SQ"-7(B) Parking: 2. 3 Certificate of Workmen's Compensation Insurance. . . . . . 13. Contractor's License Information (no., name style, classif.) 14. Owner -Builder Verification (Given to owner[], Mail to owner ❑,) _15. Improvements may be required. . . . . . . . . . . . 16. nstallation Data. . . . . . . . . . . . Mobilehome Cin 17. Pre-Inspec. request to (Dote) Pre-Inspectifor Required. Building Inspector 18. Recorded copy of Agricultural Acknowledgment Statement. ` Driveway Permit. x,19 20. Plot plan approval from city of r i 21./Engineered trusses in duplicate (required prio to plan check). I 22. When you issue the permit, process as follows: Mail to owner, Mail to contractor. Telephone and hold for pickup at office, De-l-iver w/inspector. \\ Other 17 APPlican e/� s �vZ,.2/ Copy of plans sent Health Dept., Fire, _ Other Dales The following data must be submitted priorlto 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---nail—counter by date Contractor, designer, owner, was advised of above required data t y_phone_mall_counter by -date f Y, _ // Plans checked by Date Plans approved by 1yDate 9- J Sets of plans on hold in__LFile`cabinet AP folder —litpdC � C/ Copy—DPW CITY OF GRIDLEY June 23, 1988 County of Butte Department of Public Works Building Division 7 County Center Drive Oroville, CA 95965 Attention: Russell Bloomfield Subject: Wastewater Treatment Plant Control Building Storage Addition Gentlemen: Enclosed is one set of the plans for.the subject building with the Gridley School District "Fees Paid" stamp affixed. The proposed storage area will not be heated or air conditioned. A check in the amount of $138.75 is enclosed. The City of Gridley is self-insured for Worker's Compensation Insurance. The City of Gridley will perform some of the construction work, and will hire subcontractors to do specific items of the work. The project site is outside of the Gridley City Limits and the Gridley Sphere of Influence. Therefore, the plot plan is not subject to City review. If you have any further questions, or if you need any additional information, please let us know. Very truly yours, Ray D. Rolls Consulting City Engineer Enclosures DEPARTMENT OF PUBLIC WORKS 685 KENTUCKY ST., GRIDLEY, CALIFORNIA 95948 TEL. 916 846-3631 NON-RESIDENTIAL BUILDINGS ENERGY CONSERVATION STANDARDS Statement of Intent for Non -Heated and/or Non -Air Conditioned Buildings © ' <saY-rd �e� , owner of the building to be constructed as a `` (ple"ase print) Sta ►'tz �p 1 o va under at I Owl g s <2yfj L'7. Ro"d (bldg.permit no.) (location) hereby certify that I do not intend'to htat or cool this building in such a manner as to be subject to other than the mandatory sections of the State Energy Requirements. I understand that if I do heat or cool this building in,the future, that I .will be subject to the energy requirements in effect at that time. I understand that if I change the use or occupancy of this building in the future, that J will be subject to,the energy requirements in effect at that time for that specific occupancy. I also understand that if I become subject to the energy requirements in the future, it may be necessary to redesign and/or alter'(1) the building envelope, (2) the insulation requirements of the heating, ventilating, and air conditioning systems, (3) the heating, ventilating, and air conditioning equipment, (4) the service water heating, and (5) the lighting of the building to comply with the regulations. , I understand that any of the above changes will require me to obtain the necessary permits, inspections, and approvals from the Butte County Building Department. Signature of .Building Owned✓ Mailing Address tCeMLc" C a- <f Imo., c.® Gt s 4� Telephone No. 8�6 - 3l03 1 965 FIR STREET 0 CHICO, CALIFORNIA 95928 • TELEPHONE 916-895-1422 9900�5 Polls Rnrierson • � Polls CIVIL ENGINEERS To 63U7-7TF �T Date AG4GUS7- 7 Goynir j� GE�TF2 O2iyE Geo vic:e- es 9 (r,4. 9S96:S Attention: "R— • S/y 61-Ay.0 E2 Subject ef/2–y at= 6.e–/OLEY Project No. '6A OS Z Cc/�/T/LoL f3diG.oi.✓�' .4-1�iTTb�/ t We. are sending the following: ❑ Transparencies ❑ Descriptions Specifications Other Prints ❑ Letters Calculations Remarks Z -14545E �iiy0 .47-Tl4G/�CO l��2 `/pu2 2EY/Ew ' i. oo= ,�E7/isEU w�T- Ste►-r�rP6z� PGf,+r✓S Z. %'ffjC,EE SETS O� 4NET-.STi4-M��^D G'.¢GCcJG.s¢�'Zo.�S 3 SfrTs /o i4n/o // a� Tiff' .'0 A ROLLS, ANDERSON Er ROLLS B y 1&*z e— /�� COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA 95965 PHONE: 916-538-7541. City of Gridley 685 Kentucky St. Gridley, CA 95948 With reference to the above subject: JXXJ Attached is: DATE 7/26/88 RE, Building Permit Application A.P. # 24-22-23 Application for permit Mobilehome Utilities Installation Sheet XX Building Plans Mobilehome Installation Information Sheet Engr. Calcs Typical Plan Sheet Owner -Builder Verification Form List of Codes Enforced OTHER We need the following information: Permit application signed and completed where indicated with all copies returned. Fees of $ payable to Butte County Treasurer. Certificate of Workmen's Compensation Insurance or check exemption statement. Contractor's License Law information or check exemption statement. Complete plans in , including plot plans. Plot plans in Structural details in Complete plans and calcs in by registered engineer or architect. Energy design including Street and drainage improvement plan approval from Land Development Section (DPW). XX Two sets of plans in accordance with the changes marked in red. Sanitation approval from Butte County Health Department at: 196 Memorial Way,' Chico 7 County Center Dr., Oroville Skyway & Elliott Rd., Paradise Planning approval from Butte County Planning Department, 7 County Center Drive, Oroville, for Completed Owner -Builder Verification form. Recorded copy of deed.showing Recorded copy of agricultural acknowledgement statement. OTHER (1) Engineered calculations on ",,,.,,aa*d^*aDsizes, masonry 'wall reinforcing connections, beams, etc. /Area subject to 100 year flooding. Need to establish 100 year flood elevation and verify finish floor above this elevation. Should you have any questions concerning the above, please contact this office. JFG/a j Yours very truly, William Cheff Director of Public Works .F. Glander Chief Building Inspector I f 11T'vRE . mxrANgio4 II '� Is l I 'r L-'DCr\ rLAN. f Wgtt WALL W/U4 0 c 0 7 v ®LEY AIL AND ASSOCIATES G�DOaad �a.T`'1aTCQ TD3CaT(� `'f�T .G1C�Dd.DTD ITECTURE ,PLANNING SURVEYING 2N, • SENORA • TAHOE CITY, CONTROL BLDG. -FOUNDATION &: FLOOR. PLAT 0113flor LONG. FLS O P.V. fouNt, WALL �9TUG� • W 2XQ 0 305 . -, .. .roc-----�-�-iv— _ • ora __ o'1` Uv 9TH `• SMALL (TYt� {*OLt�INCs eeNGH CLDNTMOL MDOM :__�• •Fa iw evR V,'A.T, FL• pve^ telt, -r*" e-4. tiJ%�. X15' TtLE� CAM .0yeK vn.r. M �. i t_ C� �w— PERMIT NO. 2106-88B,12,E PERMIT EXPIRES T OWNER CI'T'YOR GFIDRY i CONTR. 0tr a ASSESSOR PARCEL 24-2-2-2-2 LOCATION 1099 East Gridley Rd, Gity e Gridley t a 4 Temp. Power Pole i r Called PG&E Temp. Elec. Service j Called PG&E r Temp. Gas Service Called PG&E JOB FINALED (Date) Signature OK 0=Not OK ' = Not Readyable MOBILE HOMES ;. Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support -Sketch 3. Sewer; Location -Test -Fall -C/O -Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete 6. Gas; Location -Test -Wrap: / P' ft. / /"Nat. or/ /"L"ft./ /"LPG 7. Utility Clearance Card -131 Date Card -131 Date Card -131 Date Card -131 Date Date MOBILEHOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 10. Cert. of Occupancy Card -81 Date Card -61 Date Card -B1 Date Card -131 Date MISCELLANEOUS 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- Bea ms-Rftrs.-Connec.- Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Elec. 8. Frmg; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Card -61 Date Card -131 Date Card -131 Date Card -131 Date Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness - Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.;Grounding; Equip. w/5' -circulating Equip. -Pool Lghtg. Boxes -Enclosures -Panel boards -Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Card -61 Date Card -131 Date Card -61 Date Card -B1 Date = OK 0 = NotOK RESIDENTIAL (Single and Duplex) - =Not Applicable _ Not Ready Date UNDERFLOOR (Plans) OK except #'s Date FRAMING (Continued) 1. Zoning -Setbacks; -Easements -Flood -Slope 45. Hangers -Post Caps -Anchors -Connectors 2. Ftg., Main; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 46. Cing. Joist-Rftr. Ties -Purl in -Roof Brac.-Truss-Shthng.-Rfng. 3. Fig., Garage; Soils -Steel-/ /" Fig. Depth 47. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 4. Ftg., Porches & Decks; Soils -Steel-/ /"Fig. Depth 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 5. Stemwalls, Main; Steel- Blockouts-Wrapped 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 50. Garage Fire Protection Framing 7. Slab; Steel -Wrapped 51. Property Line Firewall & Openings 8. Piers -Fireplace Ftg.-Steel 52. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 9. D.W.V.; Fall -Fittings -Test -2 way C/O -Sewer Test 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 10. Gas Pipe; Size -Anchors 54. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 11. Water Pipe; Test -Anchors -Regulator -Service Test 55. Siding -Nailing Veneer 12. Electric; Underground 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 13. Plenums & Ducts; Clearance- Material -Su pprt-Ins. 57. Glazing Area -Glass Protection -Skylights -Plastic 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 58. Shear Walls; Nailing -Bolts 15. Insulation 59. Insulation-Walls-Clg. 60. Infiltration-Walls-Wndws Card -131 Date Card -131 Date Card -131 Date Card -B1 Date Card -131 Date Card -131 Date Card -131 Date Card -B1 Date Date PLUMBING (Permit) OK except #'s 16. Water Ht. Vent -Access -Combustion Air -Baffle Date FINAL (Plans) OK except #'s 17. Water Pipe; Test & Anchors -Nail Protection 61. Ext. Steps -Door & Sidelight Protection -Landings 18. D.W.V.; Test-Fttngs & Anchors -Nail Protection 62. Smoke Detector 19. Shower Pan; Test, First Floor -Tub Access 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 20. Test Tub & Shower, 2nd Floor -Tub Access 21. Gas Pipe; Size & Anchors 64. Bedroom Exiting 65. G.F.I. & Bath Fixtures & Tub Access -Spa 66. Elec. Trim & Subpanel; Breaker Sizes -Labels Card -131 Date Card -131 Date 67. Stairs & Rails Card -81 Date Card -131 Date 68. Fireplace or Stove; Clearances -Hearth 69. Elec. Outlets at Wood Panel; Int. & Ext. Date ELECTRICAL (Permit) OK except #'s 70. Kit. Fixt. & Appliance; Grnd. -Air Gap -Cooking Clearance 22. Fixture & Transformer Clearance -Ins. Protection 71. Elec. Outlets & Receptacles at Kit. Counter 23. Elec. Receptacles Spacing -Lights & Switches at Doors 72. Garage Fire Door; Swing -Landing -Closer 24. Size Boxes & No. of Conductors -Stapled 73. A.C. Duct in Garage -Damper 25. Romex Installed Close to Edge of Studs & C.J. 74• Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 26. Equip. Ground made up w/Mech. Fasteners -Bond Gas &Water 27. 2 Appliance Circuts in Kitchen & Conductor Size/G.F.I. 75. Plb., Elec. & Mech. Equip. Listed for Location 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / /ga. Cu or Al 76. Elec. Receptacles in'Garage; (G.F.I.)-Romex Protec. 77. Insulation -Foam -Looked in Attic ❑Yes 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral Yes No 78. Guard Rails & Deck Construction -Post Caps 30. Service -Riser Conductors & Ground -Main Disconnect 70. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 31. Equip. Clearances Panels-Motors-Mech. Equip. 80. Following instld.; Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑Yes ❑ No 32. Clothes Closet Light -Shower Light -Spa light 33. Smoke Detector 81. Stucco; Brown -Finish Card -131 Date Card -131 Date 82. A.C. Unit; Disconnect, Electrical, Plumbing Card -131 Date Card -131 Date 83. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Openings. Date MECHANICAL (Permit) OK except #'s 84. Water Well; Disconnect, Electrical, Plumbing 34. A.C. Ducts Insulation & Support 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground 35. Vent Fan; Exhaust above insulation 86. Ventilation throughout House 36. Condensate Drain & Overflow; Size & Grade 87. Glass Protection 37. Furnace -Vent; Access -Comb. Air -Return Air Vent -115 outlet 88. Corrections from Previous Inpections 38. Attic Access & Platform if Furnace in Attic 89. Gas Test -Meters Tagged; Gas -Electric 90. Water & Sewer Connected -C/O to Grade -HD Approval 91. Energy Compliance Certificate -Other Certificates Card -B1 Date Card -B1 Date 92. Roofing Certificate Card -131 Date Card -131 Date Card -131 Date Card -B1 Date Card -B1 Date Card -61 Date Date FRAMING (Plans) OK except #'s Card -B1 Date Card -131 Date 39. Sills, Proper Material & Anchors Comments at Final: 40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound 41. Bearing Walls over Girders & Floor Nailing 42. Draft Stop in Walls (rat proof) 43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 44. Header &Beam -Size & Bearing (NOTE: An entry must be made each time you visit job site) t1ob No, MORS Job Name 45; ROARS, MAL EWINEERS Date Chico, C lifornia Page of ay fa.,�Me 7- 725 d5lellL.-I-i > Jp.�; N4rne t -a K,.R= LE-er-W Date PML ENGNEERS of Ry Z 69�117.6 A=7 - '—.e "X— ew_ s/A C2- (f�l 'o el evlz 'y e=41e, INeo Z-1 014��_;,, IS. ',-io, 'Job Job. Name c.'7Z77�'X Date A g;r 147M? Y� CM 014GMM Chico, California ,Page f 2407 68) taB(:� e�'dv/7 > c!:% e)007 1�17 /77 4::5>, 4::5> C- 14 (::t� 0 Cut) Oe X AV— ;et Y'' A9 FORMULAS -AND DIAG RAW POR STATIC LOADS fra j ed Load at A Basro Fixed at 001c Cod, Supported Othe r—Concen t "Y'Poirst Pb Rj= (a + VY Pa X1p F� mil (,At 6*1 load) R21 R�A b__ mi vrt fixed, ead P46 + 1) Rix ear a r When I > IV2 Rix P (t'— s) to + P4 (11—.41) a, a,< A141 at i 3 El PAb a 'Amex* (Whan a .4141 sil I �1+ a 60 '60 at po Int of load + a' moment 2 Pa Ax (when I i< a Pbsk (3AP 21t': Ra NEW �P* wh*6 j&'j) NEW 0600 OverhM Ing OnO SU0pofj_U6jfbrjjjIYL Disttibuted L0,04 Ilk — I 21 a Xf R. — Yl + YJ + a) wu+dl--�" 21 6 4 A 4 kDA, JKR t a Yxi Wwasn tuopo 0--: 1.0 r2 LU (f xi 3 8;h e�a i a (b.twe n su p6rk) e'l X4 mic (f6i bverh (e it) 0 ft Mont Mt 2 6,11*" a Wi 21 d + lt't + Ali, IWA40j, U)i = '(4 ',1 6.i. P :2401, yotwd Data, kprOdudod' by doutl:68 ow J�t),No fe, 4� Roes Jolbtlame ovE r-l�z 404�-� x10 ae,�e& I ,::!-Ov� is PONS CM -L ENGMEFtS, Date'- e±4,6:��j z;_ Chico, Cealifornla Pago of By x (IX r-, . 7-6=z et 1 �=7 d*"5, j. 17-5 C/.P�ox/4)2 C,- 7 c- AW/ e- 4-'7 -,;r 7 < - 4 '4S lie Job No. 96g5z oO Np.me f 5 -- 1.5, e - :V/7 _V Date CML fWIKERS PhIco, nia Page--. -0- of py . . . . . . . . . . c=-44— 777'0-= '56 /Z N Z 87 78 4� 76; lr-�( z 4. evo (5�� X"W