The URL can be used to link to this page

Home My WebLink About024-270-020• 24-27-20 DARREL & ELS_IE BROKAW 62 Sheldon, 'Gridley Conti:. Northstate Alum; Chico o ; Permit#3258-82B(install awning/carport) SF a�iJl�la - f p�iq/�24-27-20 Permit��3351-83B(reroof &smoke det/SF) tr' 024-270`-020 00-2108 BROKAW, DARRELL & MARY 62 SHELDON AVE. CI CONTR: K- DESIGNERS VINYL SIDING -/X 4- �0 'Z -DO e 1 , w #� F . �. H s --, • -...�. -.,Y,r f ^c ,. .. � l. -r, � r.+' w , _ « .. v.:a ....: � :. �i«_;nn .y " _� ..i.:.: "7 `'�.. iip �,�, . nre - c,^i>.:- yr �'Y-:.�;; T � ry � . �:d!'::.'/+* �.r. 1 . .024 -270-020 00-2108 is BROKAW, DARRELL & MARY 62 SFIELDONAVE. Ei-H�E-0CRIC.IUe_ul CONTR: K- DESIGNERS 1 VINYL SIDING .COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION " 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541a^� PER,YT, NO. (Rev. 12/96) APPLICATION AND PERMIT ASSESSORPARCELNUMBER ,J.../�Ib✓ � ZONING BUILDING PERMIT OWNER .,r _ , // TELEPHONE ,, CC. BUI NG ATION OWNERS MAILING ADDRESS CONTRACTOR'S NAME _ 0 �� 1 l , TELEPHONE �� CONTRACTORS MAILING ADDFPS CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ .I ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ 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 11 Remodel ❑ Utilities ❑ Installation CY Other ❑ Describe Work: i Gas piping stem 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 600VOR IE Main Service 200A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class ' % /I Lic. No. i {/ 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. ❑ 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 2ooA TO 1000A 46.00 NEW CONST. DW EWNG OCCUP. SO OR ADONS. ( a ACC. S. 3.5¢FT: rNpµgalD. MULTI.OUTLET 97,50 FOWER APPARATUS a SINGLE OUTLET CIR. Ex. Occup. OUTLET OR FIXTURES BAL 20 @ 1.00 � .50 ED AP1 Ex. Occup. oLIT tRRES.6.) LNS El 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring23.00 PERMIT FEE $ 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 fhumber are: Carrier I I I I., r( 1'"I" I .1.l q �) Policy Number • I' . '� (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, 1 shall not employ any person in any manner so as to become subject /to workers' compensation laws of California, and agree that 0 1 should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply wi h those provisions. C, _..� X �— Date �T� . Signature of Appli ant ' ❑ Owner ❑ Contractor ❑ Age`nt An OSHA permit isrequr d for excavations over'S't"deep nd demolition or construction of structures over 3 stories in height/ MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST. TYPE TOTAL FEE $ . IMP FLOOD I CDF PARCEL PD HD ISSUE This permit is hereby issued under the applicable provisions of the Butte unty Code and/or Resolutions to do work 'w& indicat9d�a r w Ic ` fees have been paid. ,Dat y QReceipt B .Vf�=_)w PERMIT EXPIRES ON3 11 No %% WHITE-D.D.S.-B.D. CA AR -ASSE OR PINK -INSPECTOR GOLDENROD -APPLICANT ,y l/ .,COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive Oroville, California 95965 • Telephone (530) 538-7541��o PER NO. (Rev.12/9 ),, APPLICATION AND PERMIT A' ASSESSOR PARCEL NUMBER00 ,. — ZONING 1)6 BUILDING PERMIT OWNER TELEPHONE /l / f �y Z/8 Q CC BU NG - TION 0 owN w DREs COM OR'S/ ME HONE co o to s CONSTRUCTION LENDER r Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING AD ESS i� D✓� Energy Plan Checking Fee $ PERMIT FEE $ ✓ LOT NO. SUBDNISION'S NAME PARCEL MAP PLUMBING PERMIT Filing Feel 20.00 USEOFSTRUCTURE SF ❑ 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 ❑ Uti/lilies ❑ InspBllation Other ❑ Describe Work: f' �L/ ,S� �j Gas piping system t - 5 outlets 15.00 Buildingsewer 15.00 Mobile Home I S I G I W F 0 PERMIT FEE S ELECTRICAL PERMIT Filing Fee 20.00 Main Service 'DDA OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is ' full fo ce and effect. �,/ (��jJ License Class Lic. No. /OVVNFR-BUILDERLDER 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 TO 46.00 WEE200A CCU000A NEW CONST. DWELLING OCCUP. OR ( a ACC. BLos. SO 3.50x; CONS NON-RESIDT' MULTI.OUTLEr ITS @7.50 POWER APPARATUS 8 SINGLE OUTLET CIR. Ex. Occup. OUTLET OR FIXTURES 20 @ BAL @ .so Ex. Occup. OFIXUTLEETS RESID.oEEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 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 La or Code, for the performance of work for which this permit is issued. My worker % n ienOuber are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply ' h those provisions. - X Date Signature of A&ibaN11111 Owner ❑ Contractor ❑ Agent An OSHA permit is requ d for excavation 0 nd demolition or construction of structures over 3 stories in height 1 _171i MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ HAZ. D. FgEs IMP I FLOOD CDF PARCEL PD HD ISSUE This permit is hereby issued under of the tte unty Code and/or indicat d b v w is fees have By PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. Dat ete Receipt No. / WHITE-D.D.S.-E.D. CA ARY-ASSE OR PINK-INSP TOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 P RM o. (Rev. 12/96), APPLICATION AND PERMIT ASSESSOgvaRCEL NUMBER -, ZONING - BUILDING PERMIT Gw /I 11 T NE C. BUI INq IVAI,UATION OAIN£R9 ADDRE i 7 CONTRA g ELEPHONE CONE T R NO ADD 9 t CONSTRU ON L11IMER LENDER'S MAILING ADDRESS Fire lace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ / -- ARCWTECT OR ENGINEER'S MAWNG ADDRESS Plan Checking Fee $ BUILDINGADORESS % Energy Plan Checking Fee S $ PERMIT FEE $ IDT NO. SUBDIVISION'S NAME PARCEL PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition 0 Rekmodel0 Utilities ❑ In Ila I L01 Describe Work: Z2 L / i Other ❑ Gas piping system t - 5 outlets 15.00 Building sewer 15.00 Mobile, Home S G W @20.00 PERMIT FEE f ELECTRICAL PERMIT Fling Fee 20.00 Main Service zs'o.V on LE S 23.00 - Receipt No. Main Service 200A TO +conA 46.00 NEW CONST. DWEWNG OCCUP. 35¢so. • OR ADDNS. ( 6 ACC. BIDS. FT. NEW CONS MULTI.OUTLET NDN-RESID. @7.50 I OWE3i APPARATUS 8 SINGLE OUTLET CIF, EX. Occup. OUTLET OR FORURES "L BALFIX.SO Ex. Occup. 0.R61D.°REA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEt $ Mobile Home Installation Fee $ Energy Inspection Fee $ °C S TOTAL FEE $--� `°"ED. - HA2.EES IMP I FLOOD I CDF PARCEL PD HO 65UE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By Date PERMIT EXPIRES ON aro WHITE-D.D.S.-S.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT r Permit#3351-83B Darrell Brokaw t COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER ZONING s BUILDING PERMIT OWNER TELEPHONE s SQ. FT. OCC.1 BUILDING VALUATION �� 1• '' OWNER'S MAILING ADDRESS _ .,J i, 01 � CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEERLICENSE r NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDRESS L , ) I.G PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar Water Heater 20.00 ��, +.• •+ Water piping 5.00 LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5,00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SF ❑ Duplex ❑ Mobi lehome ❑ Other SPECIFY Building sewer 5.00 Mobile Home S G W 10-00e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ OtherEl' Describe work: J/- r �' ' >� — ��E JJ C_�; �, Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 500V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST.( DWELLING OCCUP.& OR ADDNS. ACC. BLDGS. 1 2/20sgft CONTRACTORS LICENSE LAW 1 declare under penalty of perjury (check one): ❑. I am licensed under provisions of Chapt. 9, Div. 3 of the Business200500 and Professions Code and m license is in full force and effect. y 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 CONSTR ULTI.OUTLET 2,50 ea NON.RESID BRANCH CIRC ITS NEW CONSTPOWERAPPA RRATUS & NON-RESID. ( SINGLE OUTLET CIR Ex. Occup(o OR FIXTURES eAL030 IXED PTs Ex. Occup. our LEETS R (RESID )EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor MECHANICAL PERMIT Filing Fee 10.00 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. 0 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. Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. ' 1 �� (� J � r 7 _/, �r %-I� X kms' T' Date Signature of Applicant — OwnerR, 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 $ TOTAL PERMIT FEE $ OCCUP. GROUP I TYPE 01 CONST. PARCEL PD ND ISSUE ` This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC 1' B �'` ]-�"-�y�G'l y PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS J. J•+ Date / J it Receipt No. f % =1 � -' WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT r COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER -Z7- 2_0 ZONING -' BUILDING PERMIT OWNER 0 ELEPHONE Z18 SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS � �O Avg - CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CO STR CTION LENDER UNKNOWN C Total Valuation Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ 6(Q ARCHHITE_CT OR ENGINEER C � "" — LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ S5, 60 BUILDING ADDRESS 2 SHE�bE PLUMBING- PERMIT Filin Fee 10.00 9 Each Trap 2.00 Solar Water Heater 20.00 Water piping 5.00 LOT NO. SUBDIVISION NAMEPARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SF'Q Duplex ❑ Mobi lehome ❑ Other SPECIFY Building sewer 5.00 Mobile Home S G W 10.00 e TYPE OF WORK New ❑ Addition ❑ Remodel [:1Utilities [:1Installation❑ Other Describe work: 130 .gl� �� %CC0� Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2:50 NEW CONST. DWELLING OCCUP.& OR ADDNS. ACC. BLDGS. 2/20sgft 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 m license is in full force and effect. y License No. Classification ❑ 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) 1, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR ULTI-OUTLET 2.50 ea NON•RESID BRANCH CIRCUITS) NEW CONSTR. POWER APPARATUS &' NO N•R ESI D. SINGLE OUTLET CIR. OR FIXTURES 9AL®ao Ex. Occu BAL@30 P�o FIXED APP LNS. OR FIXED A EX. OCCUp. OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor MECHANICAL PERMIT FiIingFee 10.00 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. Heating Cooling Hood 3.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue aga. st said County in consequence of the granting of this permit. G �T X Date 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 $ TOTAL PERMIT FEE $6� OCCUP. GROUP TYPE of CONST. PARCEL PD HD ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PU By. PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. IC WORKS Date Receipt No. e> 7 233Z_ WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT II " PERMIT NO. 3258-82B PERMIT EXPIRES OWNER DARRELL & ELSIE BROKAW CONTR. Northstate Aluminum} Chico ASSESSOR PARCEL 24-27-20 LOCATION 62 Sheldon, Gridley t J • t t . . 1 • i Temp. Power Pole Called PG&E Temp.,-Elec. Service Called PG&E Temp. Gas Service Called PG&E ./ t JOB FINALED (Date) 07 Signature J OK 0 = Not OK = Not Applicable MOBILEHOMES * = Not Ready t � - .t MISCELLANEOUS Date MOBILEHOME UTILITIES (Plans) OK except q's 1. Zoning Requirements—Setbacks—Easements Date DECKS, COVERS, CAR TS, ETC. (Plans) OK except it's on' Requirements—Setbacks—Easements 2. Soils; Special MH Support—Sketch ootings; Size-Depth—Spacing—Connectors wt 3. Sewer; Location—Test—Fall-C/0—Concrete ec s; ers and/or Joists—Decking—Bracing—Stairs—Rails 4. -Water; Location—Test—Easement Needed (Sketch) 5. Electricity; Location—Clearances—Grnd.—/ / Amp—Concrete 4--"=t:I-ftwtr- Posts—Beams—Rftrs.—Connec.—Shthg.—Rfg.—Bracing_ `bt Columns—Connections—Splice—Decal—Enclosures 6. Gas; Location—Test—Wrap: / /"L'•ft./ /"Nat. or/ /—"L^R./LPG• &09;—ts: Windows—Doors t 7. Utility Clearance j Card-BI Date Card -BI Date C.,ar> 8ate and -BI Daie Card -BI Date Card -BI Date Cp6l _ Date and -BI Date Date MOBILEHOME INSTALLATION (Plans) OK except N's 1. Zoning Requirements—Setbacks—Easements Date PbOILS (Plans) OK except N's 1. Setbacks—Easements 2. Footings; Size—Spacing—Marriage Line 2. Soils; Compaction—Structure Stability 3. Gas; MH Test—Demand—Valve—Connector 3. Pool Structure: Steel—Connections—Thickness—Dead Men—Lining _ 4. Electricity; MH.Test—Crossovers—Breakers—Clearances 4; Elec.; Receptacles and Lighting; Dista nces—GFI 5. Drain; MH Test—Fall—Flex Connector 5. Elec.; Pool Lighting; 15 volts—GFI 6. Water; MH Test—Regulator—Connector 6. Elec.; Enclosures; Conduit. Entries—Terminals—Listed 7. Water and Sewer Connected—C/0 to Grade—HD Approval 7. Elec.; Bonding; Metal w/5'—Circulating Equipment—Heater 8. Gas and Electricity Tagged 8. Elec.; Grounding; Equip. w/5'—Circulating Equip.—Pool Lghtg. Boxes—Enclosures—Panel boards—Ins. to Main in Conduit 9. Exits; Insp.—Sketch 10. Cert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test—Water Supply Test Card B -I Date Card -BI' Date Card -BI Date Card -BI Date Card B -I Date Card -BI Date Card -BI Date Card -BI Date • wt y` f1 { t = OK = Not OK = Not Applicable = Not Ready RESIDENTIAL (Single and Duplex) Date UNDERFLOOR Plans OK exce tll's Date FRAMING (Continued) 1. Zoning requirements -Setbacks -Easements 48. Property Line Firewall & Openings 2. Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth 49. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 3. Ftg., Garage; Soils -Steel- / /" Ftg. Depth 50. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 4. Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth 51. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab 52. Siding -Nailing -Veneer 6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab 53. Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access 7. Piers -Fireplace Ftg.-Steel 54. Glazing Area -Glass Protection -Skylights -Plastic _ 8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test.,S 55... Shear Walls; Nailing -Bolts 9. Gas Pipe; Size -Anchors 10. Water Pipe; Test -Anchors -Regulator -Service Test 11. Electric; Underground 12. Plenums & Ducts; Clearance -Material -Support -Ins. 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date FINAL (Plans) OK except N's 56. Ext. Steps -Door & Sidelight Protection -Landings Card -BI Date _ Date Card -BI Date PLUMBING (Permit) OK except q's 14. Water Ht.: Vent -Access -Combustion Air 57. 58. 59. Smoke Detector Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Meeh. Protection Bedroom Exiting 15. Water Pipe; Test & Anchors -Nail Protection 16. D.W.V.; Test-Ftings & Anchors -Nail Protection 17. Shower Pan; Test, First Floor -Tub Access 60. G.F.I. & Bath Fixtures & Tub Access 18. Test Tub & Shower, 2nd Floor -Tub Access 61. Elec. Trim & Subpanel; Breaker Sizes -Labels _ _ _19_. Gas Pipe; Size & Anchors 62. 63. Stairs & Rails Fireplace or Stove; Clearances -Hearth Card -BI Date Card -BI Date 64. 65. Elec. Outlets at Wood Panel; Int. & Ext. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Card -BI Date 66. Elec. Outlets & Receptacles at Kit. Counter Date ELECTRICAL Permit OK except p's 67. Garage Fire Door; Swing -Landing -Closer - 68. A.C. Duct in Garage -Damper - 20. Fixture & Transformer Clearance -Ins. Protection 69. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor -Meeh. Protection 21. Elec. Receptacles Spacing -Lights &Switches at Doors 22. Size Boxes & No. of Conductors -Stapled 70. Plb., Elec. &Mech. Equip. Listed for Location 23. Romex Installed Close to Edge of Studs & C.J. 71. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. _- 24. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 72. Insulation -Foam -Looked in Attic E] Yes -- - 25. 26. 27. 2 Appliance Circuits in Kitchen &Conductor Size S_ubfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or At Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or At, Insulated Neutral ❑Yes ❑No Guard Rails & Deck Construction -Post Caps 74. 75. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes Following instld.: Drive E] Yes []No; Walks E] Yes ❑ No; Planters Dyes ❑No 28. Service -Riser Conductors & Ground -Main Disconnect 76. Stucco; Brown -Finish __- --_ 29. 30. Equip. Clearances; Panels-Motors-Mech. Equip. Clothes Closet Light -Shower Light - 77• A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet 78. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. ---- ------ 79. Water Well; Disconnect, Electrical, Plumbing Card B -I ----- _Date- _Card -BI _ Date _ 80. Exterior Elec. Trim; G.F.I. Receptacle -Underground 81. Ventilation throughout House Card B-1 Date Card -BI Date 82. Glass Protection Date MECHANICAL (Permit) OK except q's 83. _ Corrections from Previous Inspections 84. Gas Test -Meters Tagged; Gas -Electric A.C. Ducts; Insulation & Support 85. Water & Sewer Connected -C/O to Grade -HD Approval 32. Vent Fan_Exhaust above Insulation 86, Energy Compliance Certificate -Other Certificates -_33. Condensate Drain _& Overilow; Size & Grade 34. Furnace-Vent;_Access-Comb._Air-Return Air Vent -115V outlet --35.-Attic Card -BI Card -BI - Access & Platform if Furnace in Attic - Date _- Card -BI - Date Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date FRAMING(Plans) OK except N's Comments at Final: _36. _Sills; Proper Material & Anchors - - _ _ 37. 38. 39. _ Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound Bearing Walls over Girders & Floor Nailing_____ Draft Stop in Walls (rat proof) _ - 40. 41. 42. 43. 44. 45_.A 46. 47. _Fire Stops; Furred Ceilings -Stairs -Chases -Tub Header & Beam -Size & Bearing Hangers -Post Caps -Anchors -Connectors V Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthnq.-Rfng. Fireplace Ties or Type A Flue -Fireplace Throat It iCAccess: Size & Romex Protection -Draft Stop -Ins. Baffles _ Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions _ -- Garage Fire Protection Framing (NOTE: An entry must be made each time you visit job site) COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS f 7 County Center Drive - Oroville, Oalifornia 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT NO. i ASSESSOR PARCEL NUMBER 024-27-0--02&-0 ZONING BUILDING PERMIT OWNER Darrell & Elsie Brokaw TELEPHONE 846-2189 SO. FT. OCC. BUILDING VALUATIO g 6.00 2904. OWNER'S MAILING ADDRESS 62 Sheldon Gridley, CA CONTRACTOR'S NAMETELEPHONE North State.Aluminum- I343_7956 CONTRACTOR'S MAILING ADDRESS _ 3029A Es lanade Chico CA 26 Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ 2904. Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ 0.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $$ 15-00 Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ .00 BUILDING ADDRESS 62 Sheldon Gridley, CA 8 PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Repair drainage or vent piping 5.00 Water piping LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF Duplex❑ Mobilehome❑ Other SPECIFY Building sewer Lawn sprinkler system 5.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation® Other ❑ Describe work: install 22' x 22' awning (freestand car— port.) Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 AMP OR00V OR LESS5.00 Main service EA. ADD'L 100 AMP 2;5'50 NEW CONST. ( DWELLING OCCUP.DI� OR ADDNS. ACC. BLOGS. 2� sq ft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): I am licensed under provisions of Chapt. 9, Div.3 of the Business and Professions Code and my license is in Lull force and effect. License No. 2' 4008 Classification B-1 ❑ 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 NON -RESIT R BRANCH CIRCUITS) 2.50 ea NEW CONSTR.POWER APPARATUS S\\ NON-RESID. (SINGLE OUTLET CIR. ) Ex. OCCUp(OUTLETS OR FIXTURES 50@280 BAL@1 FIXED APPLNS. OR Ex. Occup.(OUTLETS (RESID.) EA. 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. 1 have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. - Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code; you must forthwith comply with such provisions or this permit shall be deemed revoked., MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. 1 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' aga' 'd i ce of th granting of this permit. X Date ZAP Signature of Appli — 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 $ TOTAL PERMIT FEE $ .00 Dc u GROUP TYP DF CONS PARC L � PD ND ssu� !// This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECT OF PUBLIC BY PEP�fWXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date ,/, I ��_ Receipt No. �.�� WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT Ab de �e O 5 a