HomeMy WebLinkAbout024-270-015y _.. .. _ , ' �„,,�� � . _ V ��, .. .. —: � w............-,.. .. s, ; � 'z...,,r;,.
24-2 7-15
THOMAS E . HENDERSON
E/S Hwy 99E,150' S. of Sheldon Ave ENVIRONMENTAL
Gridley HEALTH CLEAR F
�2
Permit- ##54- 4=7-5B-(in'sta'll--new------
siding/SF)ei►! a� DATE.
p
024-270-015 03-1034
HENDERSON,RUSSELL
y j
1230 HWY 99, GRIDLEY INALE�
,DEMO SHOP S 7-0r
FACHE03J -243h
D
70-015
DERSON, RUSSELL HWY 99,GRIDLEY GARAGE l� , $HENDERSON,RUSSELL
1230 HWY 99, GRIDLEY_
a Cont: OWNER► ,
ELEC SERV RELOCATE
1
o 3
i
. a
e
a
r.
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:
03-2843 Issued: 9/22/2003
Address:
1230 HWY 99 GRIDLEY
APN:
024-270-015 Permit Subtype: DETACHED G
Owner:
RUSSELL HENDERSON
Applicant
RUSSELL HENDERSON
Description: DETACHED GARAGE
MUST BE ON JOB SITE
JOB SHALL BE READY PRIOR TO CALLING FOR
INSPECTION. THEINSPECTION 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
Setbacks
132
Foundations / Footings
111
Pier/Column Footings
122
Grade Beams
114
Eufer Ground
216 s
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 V
801 2
FERMI'I'S BECOME NULL AND VOID I YEAR FR
DATE
NAS
COMMENCED, YOU MAY PAY FOR A.I. YEAR :RENEWAL 30 :DAYS PRIOR TO EXPIRATION
Inspector Copy
C. 6c D o/ y
1Vli�ch . U itehell
Vis
aldi materials
�.�. Warehouse
Bog 1038
➢eY;-CA 95948.1038
(530) 846_4409_ _
_
-- �
,.
..
-
/ \ � �
-
�
J
� '�' �
i
'
� ��.i.
t �
'x.
r�}.
�-
1...
✓
.
.}�, Y .. _
_
�j t� ti_
i
r'.=
'A.
_
.
....a
-
+-
..
�.
i
_
..
,ti
L
RESIDENTIAL
S I70-015 ' - ` 03-2843
HENDERSON, RUSSELL
PERMIT NO. l--1230 HWY 99,"GRIDLEY - - --'
DETACHED GARAGE
SPECIAL CONDITIONS 11
SRA
FLOOD CERTIFICATE REQ.
-FIRE SPRINKLERS REQ.
SPECIAL INSPECTION ITEMS
VERIFY
USE PERMIT CONDITIONS
SUB -STANDARD HOUSING LETTER
J
f _
JOB FINALED (Date)
Signature
CHECKED
BY
J=OK
0 = Not OK
. = Not Readyable
Alum. Awn.; Columns -,Connections -Splice -Decal -Enclosures
MOBILE HOMES
Date
MOBILE HOME UTILITIES (Plans) OK except #'s
8.
1.
Zoning Requirements -Setbacks -Easements
Siding; Nailing -Veneer -Stucco -Mesh
2.
Soils; Special MH Support Sketch -
11.
3.
Sewer; Location -Test -Fall -C/O -Concrete
Braced Wall Panels
4.
Water; Location -Test -Easement Needed (Sketch)
Date
5.
Electricity; Location-Clearances-Grnd-/ /Amp -Concrete
Card B-1 Date Card B-1
6.
Gas; Location -Test -Wrap;-/ /" L 'ft.
/ P Nat. or/ /" L "ft./ P LPG
Setbacks -Easements
7.
Well Clearance & Disconnect
3.
8.
Utility Clearance
Elec.; Receptacles and Lighting, Distance-GFI
5.
Elec.; Pool Lighting; 15 Volts-GFI
6.
Elec.; Enclosures; Conduit Entries -Terminals -Listed
7.
Date
8.
Card B-1 Date Card B-1
Date
Health Department Approval
Card B-1 Date Card B-1
Date
MOBILE HOME INSTALLATION (Plans) OK except #'s
Light Niche
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.
Tie Downs -Type -Installation Cert.
10.
Exits; Irisp.-Sketch
11.
Cert. of Occupancy
Date
Card B-1; Date Card B-1
Date
Card B-1 Date Card B-1
Date
PERMANENT -END SYSTEM (ONLY)
1.
Zoning Requirements -Setbacks -Easements
2.
Footings; Size -Spacing -Marriage Line
3.
Blocking -
4.
Gas; -MH Test -Demand -Valve
5.
Electricity; MH Test
6.
Water; MH Test
7.
Water and Sewer Connected
8.
Gas and Electricity Tagged
9.
Exits
10.
License Decals
1.1.
Verify #'s with Office
Date
Card B-1 Date Card B-1
Date
Card 13-1 Date Card B-1
MISCELLANEOUS
Date DECK RS, CARPORTS, GARAGES (Plans) OK except #'s
Zoni ngRequirements-Setbacks-Easements
tings; Soils -Size -Depth -Spacing -Connectors -Steel
3. Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails
4. Wood Awn.; Posts- Beams-Rftrs-Connectors
Shthg-Frg-Bracing
5.
Alum. Awn.; Columns -,Connections -Splice -Decal -Enclosures
6. Carports; Windows -Doors
7.
Electric
8.
Frmg.; Sills-Anchors-Studs-Rftrs-Trusses
9.
Siding; Nailing -Veneer -Stucco -Mesh
10:
Roof; Shthg-Roofing
11.
Ext.; Steps -Doors -Landings
12.
Braced Wall Panels
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date POOLS (Plans) OK except #'s
1.
Setbacks -Easements
2.
Soils; Compaction -Structure Stability
3.
Pool Structure; Steel -Connections -Thickness
Dead Men -Lining
4.
Elec.; Receptacles and Lighting, Distance-GFI
5.
Elec.; Pool Lighting; 15 Volts-GFI
6.
Elec.; Enclosures; Conduit Entries -Terminals -Listed
7.
Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater
8.
Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg.
Boxes -Enclosures- Panel boards- Ins. to Main Conduit
9.
Health Department Approval
10.
Plumb.; Cir. Test -Water Supply Test
11.
Light Niche
12.
Enclosure; Fencing -Alarms
Date Card B-1 Date Card B-1
Date Card B-1 Date - Card B-1
J=OK
0 = Not OK
- = Not Applicable
. = Not Ready
RESIDENTIAL (Single & Duplex)
Date
UNDERFLOOR (Plans) OK except #'s
1. Zoning -Setbacks -Easements -Flood -Slope
Date
2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth
Date
3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth
Date
4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth
5. Stemwalls, Main; Steel-Blockouts-Wrapped
6. Stemwalls, Garage; Steel-Blockouts-Wrapped
6a. Hold Downs and Special Anchors
7. Slab, Steel -Wrapped
8. Piers -Fireplace Ftg.-Steel
9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test
10. UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test
11. Water Pipe; Test -Anchors -Regulator -Service Test
12. Electric Underground
13. Plenums & Ducts; Clearance -Material -Support -Ins.
14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies
15. Access & Ventilation
16. Insulation
77. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V.
in Garage; Above Floor-Mech. Protection
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
PLUMBING (Permit) OK except #'s
17. Water Htr.; Vent -Access -Combustion Air Baffle
18. Water Pipe; Test & Anchor -Nail Protection
19. D.W.V.; Test Fittings & Anchor -Nail Protection
_
20. Shower Pan; Test, First Floor -Tub Access
21. Test Tub & Shower, Second Floor -Tub Access
22. Gas Pipe; Sixe & Anchors
23. Fire Sprinkler; Test
87. Water Well, Disconnect, Electrical, Plumbing
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
ELECTRICAL (Permit) OK except #'s
24. Fixture & Transformer Clearance -Ins. Protection
25. Elec. Receptacles Spacing -Lights & Switches at Doors
26. Size Boxes & No. of Conductors Stapled
27. Romex Installed Close to Edge of Studs & C.J.
28. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water
29. 2 Appliance Circuits in Kitchen & Conductor Size GFI
Date
30. Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or Al
Date
31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or Al
Insulated Neutral ❑ Yes ❑ No
32. Service -Riser Conductors & Ground Main Disconnect
33. Equip. Clearances Panels-Motors-Mech. Equip.
34. Clothes Closet Light -Shower Light -Spa Light
35. Smoke Detector
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
MECHANICAL (Permit) OK except #'s
36. A.C. Ducts Insulation & Support
37. Vent Fan, Exhaust above insulation
38. Condensate Drain & Overflow, Size & Grade
39. Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet
40. Attic Access & Platform if Furnace in Attic
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
FRAMING (Permit) OK except #'s
41. Sills Proper Materials & Anchors
42. Walls Studs -Nailing Spacing & Braces -Plates -Sound
43. Bearing Walls over Girders & Floor Nailing
44. Draft Stop in Walls (rat proof)
45. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs
46. Headers & Beams -Size & Bearing
Date FRAMING (Continued)
47. Hangers -Post Caps -Anchors -Connectors
48. Cling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rtng.
49. Fireplace Ties or Type A Flue -Fireplace Throat Clearance
50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
51. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions
52. Garage Fire Protection Framing -RC Channel
53. Property Line Firewall & Openings
54. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits
55. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
57. Siding -Nailing Veneer
58. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access
59. Glazing Area -Glass Protection -Skylights -Plastic
60. Shear Walls; Nailing -Bolts
61. Brace Interior/Exterior Wall Panels
Date Card B-1 Date Card B-1
Comments at Final:
62. Insulation -Walls -Ceilings
63. Infiltration -Walls -Windows
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
FINAL (Plans) OK except #'s
64. Ext. Steps -Door & Sidelight Protection -Landings
65. Smoke Detector
66. Furnace Vents -clearance -Comb, Air -Connector -
In Garage; Above Floor-Ducts-Mech. Protection
67. Bedroom Exiting
68. G.F.I. & Bath Fixtures & Tub Access -Spa
69. Elec. Trim & Subpanel, Breaker Sizes & Labels
70. Stairs & Rails
71. Fireplace or Stove, Clearance -Hearth
72. Elec. Outlets at Wood Panel, Int. & Ext.
73. Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance
74. Elec. Outlets & Receptacles at Kit. Counter
75. Garage Fire Door; Swing -Landing -Closure
76. A.C. Duct in Garage -Damper
77. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V.
in Garage; Above Floor-Mech. Protection
78. Plb.; Elec. & Mech. Equip. Listed for Location
79. Elec. Receptacles in Garage (F.F.I.)-Romex Protection
80. Insulation -Foam -Looked in Attic
81. Guard Rails & Deck Construction -Post Caps
82. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth
Clearance Looked under Floor ❑ Yes
_
83. Following Instld./Drive ❑ Yes O No/Walks D Yes ❑ No/Planters O Yes D No
84. Stucco Brown -Finish
85. A.C. Unit Disconnect, Electrical -Plumbing
86. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings
87. Water Well, Disconnect, Electrical, Plumbing
88. Exterior Elec. Trim, G.F.I. Receptacle -Underground
89. Ventilation Throughout House
90. Glass Protection
91. Corrections from Previous Inspections
92. Gas Test -Meters Tagged, Gas -Electric
93. Water & Sewer Connected -C/O to Grade -HD Approval
94. Energy Compliance Certificate -Other Certificates
95. Address Posted
96. Fire Sprinkler
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Comments at Final:
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive Oroville, California 95965 •Telephone (530) 538-7541 JS-3SPE '1' A O.
(Rev.12/96).'" APPLICATION AND PERMIT �-/ (� ,!
ASSPSOR PARCEL NUMBER
024-270-015
ZONING
C'-2
BUILDING PERMIT
OWNER ;
BUIDERSON. RUSSELL
TELEPHONE
846-4276
SO. FT. OCC. BUILDING VALUATION
480 U
81640.00
. OWNERS MAIUNG ADDRESS
1230 WY 99. GRIDLE'Y. CA 95948
CONTRACTOR'S NAME -
TELEPHONE
CONTRACTORS MAILING ADDRESS
CONSTRUCTION LENDER
Fireplace
LENDER'S MAILING ADDRESS
Total Valuation $
8.640.00
ARCHITECT OR ENGINEER
LICENSE NO.
—Filing Fee
$ 20.00
Permit Fee
$ 108.00
ARCHITECT OR ENGINEER'S MAIUNG ADDRESS
Plan Checking Fee
$ 70.20
BUILDING ADDRESS 19V T.W . T T rA cjz;QAR
Energy Plan Checking Fee
$
$
PERMIT FEE
$ 198.20.
LOT NO.
SUBDIVISION'S NAME
PARCEL MAP
PLUMBING PERMIT
Filing Fee 20.00
USEOFSTRUCTURE
SF ❑ Duplex ❑ Mobilehome ❑ Other
SPECIFY
Each Trap
7.00 L
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 ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑
Describe Work: DET GARAGE 20X24- 480
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
800V OR Main Service OA OR. S
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 fulrforce and effect.
License Class t_-) Lic. No. ! (� 1 !
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
❑ I, as owner of the property, or my employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
❑ I, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
❑ 1 am exempt under Sec. Business and Professions Code for this
reason
WORKERS' COMPENSATION DECLARATION
hreby affirm under penalty of perjury one of the following declarations:
I have and will maintain a certificate of consent to self -insure for workers'
y(1compensation, 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 c.� ( Ck W, �,- tLA— 2C
Main Service 200A TO 1000A
46.00
NEW CONST. ( DWELLING OCCUP.
BUDS.
3.50 F°; 1` • po
L? O
NEW CONST. MULACC.
NON•RESID.UTLET
97.50
PowEA APPARATUS
8 SINGLE OUTLET CIR.
Ex. Occup. OUTLET OR FOCTURES
84L @ .50
Ex. Occup. DFlx� Aa D OR,
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
PERMIT FEE
$ . 8G
MECHANICAL PERMIT
Fling Fee 20.00
Heating
Cooling
Hood
6.50
Ventilation
PERMIT FEE
$
Policy Number r (r L( `a 1 11 `S
(The above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
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.
,L�/ r Ci /
X %�4_/ �,k_.51� 1 I Date —1 -) J o�
Signatu"re of `Applicant - ❑ Owner ❑ Contractor ❑ Agent
An OSHA permit is required for excavations over 60" deep and demolition or construction
of structures over 3 stories in height.
��
Mobile Home Installation Fee $
Energy Inspection Fee $
Occ
CONST. TYPEJJ.
HAZ.
D. FEES IMPS
._ !��/
FL000
COF
PARCEL
Y/
PD ,HD
V I
ISE'
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.
IB 1
y!l / �_ I [/t FS .�� ��•� .�l f
Date
y 1_
PERMIT EXPIRES ONO /4 �( Q
1(Date)
ReceiptNo. ? t� ��_ V. ' �% 1/. ). �� 1�� �i%I 1'� l ri �.7 (}C�
WHITE -D.D.S.-B:D. CANARY -ASSESSOR r/PINK-INSPECTOR' GOLDENROD -APPLICANT
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive • Oroville, Californja 95965 • Telephone (530) 538-7541 3
(Rev.12/96). APPLICATION`AND PERMIT
ASSESSOR PARCEL NUMBER -
024-270-015
ZONING
C-2
BUILDING PERMIT
OWNER
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
80 U
8
640.00
. OWNERS MAILING ADDRESS
1230 HWY 99, GRIDLEY, CA 99948
CONrRACTOR'S NAME
TELEPHONE
CONTRACTORS MAILING ADDRESS
CONSTRUCTION LENDER
Fireplace
LENDER'S MAILING ADDRESS
Total Valuation $
8,640.00
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee
$
20.00
Permit Fee
$
108.00
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee
$
70.20
BUILDING ADDRESS 1930 HWY 99, GRIDLEY, CA 95948
Energy Plan Checking Fee
$
$
PERMIT FEE
$
198.20
LAT NO.
SUBDIVISION'S NAME
PARCEL MAP
PLUMBING PERMIT
Filing 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 ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑
Describe Work: DET GARAGE 20X24= 480
-Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home I S I G W
@20.00
PERMIT FEE S
ELECTRICAL PERMIT
Fling Fee 20.00
500VOR UE
Main Service za.A 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,
l Or
and my license is in fu ce and effect.
License Class Lic. No. 771 1 1) Il
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 IOooA
46.00
NEW CONST. OWEWNO OCCUP.
OR ADDNS. ( a ACC. OCS.
SO
`3•50FT. 16.80
X11 R�Os,oT MULTI -OUTLET
@7,50
POWER APPARATUS
asINGLE OUTLET CIR.
OUTLET OR FDCTURES
Ex. Occup.BAL_
20 @ 1.00
@ .so
Ex. Occup. o.EDAP°R.,6.,0
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
PERMIT FEE $
36, $Q
WORKERS' COMPENSATION DECLARATION
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.
❑ 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' apesati insuran carrier and policy number are:
Carried' a,
Policy Number r7 ( — 0
(The above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
not employ any person in any manner so as to become subject to workers'
compensation laws of California, and agree that f I should become subject to the
workers' qompensation provisions of section 3700 of the Labor Code, I shall
o wit mply with thos provisions.
).
X Date 9,-15—
Signat re Ii ant - ❑ Owner Contractor ❑ Agent
An OS p rmit is required for excavations over 5'0" deep and d molition or construction
of structures over 3 stories in h fight.
MECHANICAL PERMIT
Fling Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEE $
Mobile Home Installation Fee $
Energy Inspection Fee $
Occ
CONST. TYPE
235.00
HAZ.
p. F
PEES IMFLOOD
CDF
PggCEI
pp D
Iss
This permit is hereby issued under
of the Butte County Code and/or
indica ed above for which fee ha
y
RMIT EXPIRES ON
the applicable provisions
Resolutions to do work
been paid.
rrte 3
Date
Receipt No. %
WHITE-D.D.S.-T.D. CANAR 4SSESSOR PINK-INSPEC O G LDEN D -APPLICANT
COUNTY & BUTTE -DEPARTMENT Of DEVELOPMENT SERVICES -BUILDING DIVISION
7 County Center Drive, Oroville, CI-'9596Ph6ne (530)538-7541 Fax (530)538-2140
PERMIT' APPLICATION DATA SHEET
OWNER:4e6e(SGn , 11(1_SS C�� I ASSESSOR PARCEL NUMBER (JAS / O -6/s
Proposed Building Use: 142`1. (may &I-7 Counter Technician: (j'' Date: e7 -
Items
Items required in order to apply for a permit. NI boxes MUST be checked OR marked NA in order to apply.
V1. Site plans, 3 or 4 sets, signed by the preparer of the plans.
°' 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans.
❑ 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations.
❑ 4. Engineered truss details and layouts in duplicate. No faxes!
❑ 5. Energy compliance design and supporting documentation in duplicate.
❑ 6. Manufactured homes: (A) Data sheets and installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate.
❑ 7. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be
stamped and wet -signed by the engineer.
Items required for initial plan review. If checked items have not been received, plan review cannot proceed. The permit will be indexed and
returned to the plan review line-up when required items are received. ;.
Date Received By
❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate ................................
❑ 9. Site plan and business license approval from the City of Biggs ....................................
❑ 10. Letter of intent for non-residential buildings.........................................................
❑ 11. Detached Accessory Building Form filled out by the owner .....................................
❑ 12. Hazardous Material Form...............................................................................
❑ 13. Fire Sprinklers............................................................................................
❑ 14. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by
❑ 15. Other
Repining items needed to issue the permit. (May require additional plan review upon receipt of the following items.)
16. Fees as shown on the attached Schedule of Fees Due Sheet .......................................
7 Statement of Intent for Non -heated and A/C Buildings ..........................................
i
/W1 8. Sanitation and site plan approval from the Environmental Health Department in t P 1-17- M kAM
❑ 9. City of Chico Plumbing permit........................................................................
`111P0. California Department of Forestry plan approval ❑ paid. Sent by: ......................
0 21. Planning approval for (A) Use: Q? K (B)Parking: (C) Parcel Check:22-
0 22. Contact Land Development about ❑ Improvements, ❑ Drainage ................................
❑ 23. NPDES Form.............................................................................................
❑ 24. Encroachment Permit for driveway from the Public Works Dept .................................
❑ 25. Pre -Inspection for required ................
❑ 26. Contractor's license information. (Number, Name Style, Classification) ......................
❑ 27. Worker's Compensation Carrier and Policy Number .............................................
❑ 28. Owner -Builder Verification (❑ Given to owner, ❑ Mailed to owner) .....................
❑ 29. Letter of Signature authorization....................................................................
❑ 30. Recorded copy of Agricultural Acknowledgment Statement ....................................
❑ 31. Manufactured home utility clearance...............................................................
❑ 32. Existing violations and/or expired permits.........................................................
❑ 33. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner, El Check to H.C.D. $
El 34. Other: - It
When issued Telephone 6" and hold for pickup.
I have bee ' or a of the above item and requirements for obtaining a building permit. a
Applican r Date:
1. Index permiappl cation for the above items numbered: Plan Check Letter
2. Additional it r r quired
Contractor, des,ne , owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date:
Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, Date:
Plans reviewed by: Date: Plans approved by: Date:
Structural reviewed by: Date: Structural approved by: Date:
Note transfer by: Date:
Yellow: Building Division
w
E.14. US ONLY
Plot Plan Attechod
TO: Building Department
FROM: Environmental Health,
SUBJECT: Sanitation Clearance +
r.
i
Alz
5 5,6c ` ,d r_=,eso.c.) ZRLo 11W( -1'V2
Owner Location' AP#
Plan Approved for: Sewage Disposal ✓ Water Supply: Public Private Well -�
Clearance for dwelling. Other C120 x.25/
5
Hold final for:
Final clearance O.K. for:
NOTE:
Environmental Hea
8/96
V�
COUNTY OF BUTTE
DEPARTMENT OF DEVELOPMENT SERVICES —BUILDING DIVISION
7 COUNTY CENTER DRIVE, OROVILLE, CA 95965 TELEPHONE (530)538-7541
S EDULE OF.RECEIPT OF FEES c
OWNER %SQ A.P. # agg—
PROPROSED BUILDING USE / DATE
/ RECEIPT # DATE REC.
►/ 1. BUILDING PERMIT FEES g
--- Balance Due ..................... $ /
--- Additional Fees Due........... $
--- Revised Plan Checking Fee.... $ �t
2. SCHOOL DISTRICT FEES
(paid at School District Office) (form available after Plan Check)
3. SHERIFF FEES (paid at Building Division)
Residential............ X $360.00 =$ ,
Units
Commercial (sq. ftg.)..... X $0.03 = $
Sq.Ftg.
f
4. URBAN AREA FEES (paid at Building Division)
Residential (per unit)..... X = $
# Units Amt.
Commercial (Sq. Ftg.).... X = $
Sq. Ftg. Amt.
5. RECREATION DISTRICT FEES
(paid at Recreation District Office) (form available after Plan Check)
6. THERMALITO DRAINAGE DISTRICT FEES
$510.00 (paid at Building Division)
7. SRA FIRE INSPECTION AND PLAN CHECK FEE
$89.00 (paid at Building Division)
8. WATER TENDER FEES BATTALION #
$200.00 (paid. at Building Division)
9. NORTH CHICO SPECIFIC PLAN (paid at Building Division)
Residential Zone X = $
Zone # Units Amt.
Commercial (sq. ftg.) ......... X = $
Sq. Ftg. Amt.
10. OTHER
At time of permit applicati , I was advised the above fees are required to be paid prior to issuance of the permit. These fees
may be change uri t4e'l lan checking procxs. -
APPLICANT DATE
Pursuant to Govemment od Section 66020, you are hereby notified that items, 2, 3, 4, 5, 6, 8, 9, and 10 above may have been imposed on your project. You
have 90 days from the date of approval of the project or from the imposition of the above mentioned items during which you may protest. The requirements for a
protest are specified in Government Code Section 66020(a).
Original -Building Division Yellow -Applicant Pink -Owner (rev. 2/2003)
U
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES
OWNER'S,33' i'�ATEMENT 017-0 -S 8 "-',D'ETACHEIj ACCESSORY BUILDING
APN: ZONE:
BUILDING PMT. #
OWNER: PHONE:
MAIL ADDRESs-41
I. -All
7�7
SITE ADDRESS:
PROPOSED USE:
PLEASE ANSWER QUESTIONS 1-20. PLEASE EXPLAIN YES ANSWERS (2-18) IN THE SPACE PROVIDED ON THE REVERSE OF THIS FORM. (PLEASE
PRECEDE EACH COMMENT WITH RELATED QUESTION #)
GENERAL INFORMATION:
✓
1. Is there a primary dwelling on the property? Yes: No:
2. Is the structure already built, under construction, or under notice- of"code, violation? Yes:
3. Will items produced in this building be offered forsale? t. Yes: No:
4. Will the public have access to this building? Yes: No:
5. Will any advertising, on or off site, be associated with the use of this building? Yes: No:
6. Will this building be occupied at any time as a sleeping quarters? Yes: No: A"
60�
7. Will this building be occupied at any time as an eating area? Yes: No:
8. Will this building be occupied at any time as a cooking area? Yes: No:
9. Will this building be occupied at any time as a living area? Y6s: No:
SITE CONDITIONS:
10. Is the structure foundation within 5' of septic tank or leach lines? Yes: No:
11. Is any portion of the proposed structure located closer than 20' to your front property line? Yes: No:
12. Do you plan to add a driveway or modify existing access to a county maintained road? Yes: No:
13. Will the proposed structure encroach within any recorded easement? Yes. No: II
o.-
CONSTRU-CTION
CONSTRU-CTION FEATURES:
14. Will this building have insulated floor, walls, or -ceiling? Yes. No:
15 Will this building be heated or cooled? Yes No /VI
16 Will this building have a water closet/toilet? Yes. No.
I -I Will this building have a sink? Yes No:
181 Will this building have a water heater? Yes No
19 What type�of floor covering will the building have? _Z�ae4 �_`�eE
v
20 What type Of W211 covering will the building have? tr>'Ow6i
im
ADDITIONAL INFORMATION:
I hearby affirm under penalty of perjury the above infromation is.true and correct. I understand that any changes to the use, or character of use, of this building will
re 're permits from the permitting authority. I understand that Real Estate Disclosure laws require disclosure of this information if or when offered for sale.
I
i
14
I '
II O N S SIGNATURE TE OWNER'S SIGNATURE DATE
i! it
I
F11E?ARTMENTAL USE
EWED BY: DATE:
I�
I�
COMMENTS:
j
I
ui-10 0
3! COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive s Oroville, California 95965 • Telephone (530) 538-754 PERMIT NO.
Rev.12/96) APPLICATION' AND PERMIT
ASSESSOR PARCEL NUMBERU� �%� ZONI BUILDING PERMIT
OWNER U TELEPHONE 1� SO. FT. OCC. BUILDING VALUATION
Aia'tld`e=USSiP 4o, l0"
OWNERS MAID 71E �� 1
.ASNTRACTOR'S NAME
NfRACTORS MAILING ADDRESS
CONSTRUCTION LENDER
LENDER'S MAIUNG ADDRESS
Fireplace
Total Valuation $
ARCHITECT OR ENGINEER ..cnx nu.
ARCHRECT OR ENGINEERS MAILING ADDRESS
Flirt Fee $
Permit Fee $
Plan Checking Fee $
BUILDINGADDREs�
/
Energy Plan Checking Fee $
Temporary Service
$
Mobile Home Facilities
PERMIT FEE $
LOT NO. SUBDNISION'S NAME PARCEL MAP
PLUMBING PERMIT
ISSUE
Each Trap
USEOFSTRUCTURE
Solar or heat pump water heater
SF ❑ Duplex ❑ Mobilehome ❑ Other
Water
Water piping
SPECIFY
gas water heater or vent
TYPE OF WORK
Gas piping system 1 - 5 outlets
New ❑ Addition ❑ Remodel ❑ Unities ❑ Installation ❑ Other ❑
Buildingsewer
/-� —
Mobile Home S • G W
Describe Work: v
PERMIT FEE S
.PERMIT FEE PAID
SRA
SHERIFF
OTHER
AMOUNT RECEIVED $ 1 '1U • ZU
DATE RECEIVED 9- 1,5-O�
RECEIPT
ELECTRICAL PERMIT
l00V OR LESS
Main Service moAOR UES
Main Service 200A TO 1000A
NEW CONST. DWEWNG OCCUP.
OR ADDNS. & ACC. BLOS.
20.00
Fling Fee 20.00
7.00
23.00
15.00
15.00
15.00
15.00
@20.00
g Fee 20.00
23.00
46.00
S.5QF° I
i)7.50
EX. OCCU . OU LEr OR FIXTURES
BZ 3 .s0
Ex. Occup. Dr3 pLNS 6sID OEa
ouTLt
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wirina
23.00 /
I PERMIT FEE s 2nj_-0� 0
MECHANICAL PERMIT Fling Fee- 20.00
6.50
Ventilation
PERMIT FEI: $
Mobile Home Installation Fee $
Enerov InSDection Fee $ )
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
PERMIT EXPIRES ON
Date
TO L FEE $ G v
EC-^jCONSjTTYPE
FEES
O
CDF
p Q D HD
ISSUE
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
PERMIT EXPIRES ON
Date
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT APPLICATION
AND SUBMITTAL REQUIREMENTS
24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2534
OFFICE #: (530) 538-7541
A FEE WILL BE REO UIRED AT TIME OF APPLICATION
Website: www.buttecounty.net/dds
"PLEASE PRINT CLEARLY"*
OWNER INFORMATION
Last Name
£AYIDr2So/0
Name
ussG--1
Address 1 '30 ��
City. G2 / D LF
stat
zip �5 yyg
Phone530 - &q6- Z/a 26
Fax
E-mail
APPLICANT SIGNATURE
For office use only:
CONTRACTOR
Name
(__./)
"
Address
SRA
City
No
State
Zip
Phone
Book
Fax
E-mail
Planner
Lic. #
Class
APPLICANT SIGNATURE
For office use only:
ARCHITECT/ENGINEER
Name
(__./)
"
Address
SRA
City
No
State
Zip
Phone
Book
Fax
E-mail
Planner
State License Number
APPLICANT SIGNATURE
For office use only:
APPLICANT INFORMATION
Name
(__./)
"
Address
SRA
City
No
State
Zip
Phone
Book
Fax
E-mail
Planner
APPLICANT SIGNATURE
For office use only:
Zoning
Property Address
IA30 57476 /!w
Flood Zone
Cross Street
SRA
I Yes
No
Occ.
Type Const.
Subdivision Name Map
Book
Page
Lot #
Planner
Date Approved:
�1 fr- rf'%M r+ I IMRRI-rTAl. . nr_r_%I,.r1InCR1rr=jKITC
PERMIT
NO.
BIN 4
PROJECT LOCATION
A. 02 L(-2-70 --oi.'
Property Address
IA30 57476 /!w
City
6;21a L.�.
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:
ev.
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
�jr,,1
Amount: �, G6 Bldg
A�.
Receipt #:
v\�
Date: l V("
SRA
Sheriff
\ SMIP
Other
Total
SUBMITTAL & PERMIT REQUIREMENTS
The following drawings and specifications must be submitted to the Building Division in order to apply for a
permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK
❑ 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. No graph paper!
❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans (No graph paper!) OR
Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations.
❑ 3. Engineered truss details and layouts in duplicate (if required). No faxes!
❑ 4. Energy compliance design and supporting documentation in duplicate.
❑ 5. Statement of Intent for Non -heated and A/C for Non -Residential Buildings.
❑ 6. Manufactured homes: (A) Installation manual, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans,
all in duplicate
❑ 7. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor
plans in triplicate. All of these must be stamped and wet -signed by the engineer.
❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate (if required).
❑ 9. Site plan and business license approval from the City of Biggs.
❑ 10. Letter of intent for non-residential buildings.
❑ 11. Building Permit Application Without Required Clearances Form
❑ 12. Hazardous Material Form (for Commercial Buildings only).
Remaining items needed to issue the permit. Additional items may be required after Plan Check and Planning
review (May
require additional plan review upon receipt of the following items.)
❑
1.
Agricultural Buffer clearance and site plan approval from the Ag Commissioner's office (if required).
❑
2.
Impact Fees.
❑
3.
California Department of Forestry plan approval (if required).
❑
4.
NPDES Form.
❑
5.
Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy).
❑
6.
Contractor's license information. (Number, Name Style, Classification).
❑
7.
Worker's Compensation Carrier and Policy Number.
❑
8.
Owner -Builder Verification (if required).
❑
9.
Letter of Signature authorization (if required).
❑
10.
Recorded copy of Agricultural Acknowledgment Statement.
❑
11.
❑ Legal description from current recorded grant deed, ❑ Copy of M.H. Title, Title transfer, or MCO.
❑
12.
Sanitation and site plan approval from the Environmental Health Department.
If you have questions or would like additional information regarding this process, please contact a
Permit Assistant at (530) 538-7541.
EXPIRATION OF APPLICATION
Applications for which a permit has not been issued will expire one year after date of application. In order to renew action
on an application after expiration, a new application, plans and fees will be required.
REQUEST FOR FEE REFUNDS
Refunds can only be made upon written request by the person who paid the fee. The request must be made within two
years from the date of fee payment on permits not issued, and two years from the date of permit issuance for permits
issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan
check fees for work plan checked and other department costs are not refundable.
OVER FOR BUILDING PERMIT APPLICATION
KAFORMSWILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2 REV 8-12-05
. . Department of Development Services
Building Division
7 County Center Drive
Oroville, CA 95965
(530) 538-7541 (530) 538-2140 FAX...
GUARDRAIL DETAIL HANDOUT
Nailing shall comply with Table UBC 23 -II -B-1.
Lumber shall be at least Douglas Fir #2 or better (D.F. #2)..
Minimum concrete compressive strength shall be 2,500 psi at 28 days. (UBC 1922.2.4)
Minimum underfloor clearances from finish grade to wood joists is 18'; (UBC 2306.3)
and minimum 12" from the finish grade to wood girders or treated woad js required.
No wood shall be placed closer than 6" to earth unless it is foundation grade or
pressure treated. (UBC 2320.13)
4• Max. Min. 4 x 4 post
@ 5'- 0" o.c.
4'
!Max. Intermediate rails
36" Min. spacing shall
prevent the
passage of a 4"
diameter sphere.
v
Top ofTop of 3/4" clearance
Deck SIDE VIEW a' Max. Joist to the edge of
__he wood
Min. 2x pressure treated ledger member joist ,
Min. 2 — 3/8"x 2" lag
bolts or screws. Min. 2 - 1/2"
dia. thru
bolts required.
TYPICAL LEDGER GUARDRAIL
An approved post
If the deck/porch is 30" Pier posts greater / cap connection
or greater above the than 3,feet in height Girder or connect girder '
finish grade a guardrail is need to be diagonally and post with
required. braced between posts 1/2" plywd gussett
Past and 3 - 16d nails
- 4 - 1'6d nails or
i top & bottom
an approved .
post base connection
6" Min:
If using precast piers, 12" x 12" Footing 8" Min. embedment
wet set precast pier,
into concrete footing
TYPICAL PIER FOOTING
Guardrail 1997 UBC.xls
OWNER -BUILDER VERIFICATION
Attention Property Owner:
An "owner -builder" building permit has been applied for in your name and bearing your
signature.
Please complete and return this information at your earliest opportunity to avoid unnecessary.
delay in processing and issuing your building permit. No building permit will be issued until this
verification is received.
�1. I personally plan to provide the major labor and material for construction of this proposed
property improvement: YES[ X ] NO[ ].
2. I HAVE [ A ] HAVE NOT [ ] signed an application fora building permit for the proposed
work.
3. I have contracted with the following person (firm) to provide the proposed construction:
NAME:
ADDRESS:
PHONE: CONTRACTOR'S LICENSE NO:
4. I plan to provide portions of the work, but I have hired the following person to coordinate,
supervise, and provide the major work:
NAME:
ADDRESS:
PHONE:
CONTRACTOR'S LICENSE NO:
5. I will provide some of the work but I have contracted (hired) the following persons to provide
the work indicated:
NAME ADDRESS PHONE TYPE OF WORK
SIGNED:
PROPERTY OWNER:.
DATE:
NOTE: This Owner -Builder verification is required by Section 19831 and 19832 of the California
Health and Safety Code.
This verification must be completed and returned to our office before we are permitted to issue the
permit.
Rev'd 11/4/2004
0
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT
24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO)
OFFICE #: (530) 538-7541
PERMIT NO.
BPO53129
PERMITS BECOME NULL AND VOID 1 YEAR FROM THE DATE OF ISSUANCE, OR IF WORK IS DONE IN VIOLATION OF ANY COUNTY OR STATE LAWS.
LICENSED CONTRACTORS DECLARATION
I hereby affirm under penalty of perjury that I am licensed under
provisions of Chapter 9 (commencing with Section 7000) of Division 3 of
Issued Date: 11/22/2005 APN: 024-270-015-000
the Business and Professions Code, and my license is in full force and
effect.
License Class : License Number:
Site Address: 1230 HWY 99 GRI
Date: Contractor:
Map Index:
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the
Description: relocate, upgrade electric
Contractors' State License Law for the following reason (Sec. 7031.5
Business and Professions Code: Any city or county which requires a
permit to construct, alter, improve, demolish, or repair any structure, prior
Owner: HENDERSON RUSSELL C
to its issuance, also requires the applicant for such permit to file a
HENDERSON ELMA MAE DECD
( ) (LE)
signed statement that he or she is licensed pursuant to the provisions of
the Contractor's State License Law (Chapter 9 commencing with Section
1230 HWY 99
7000) of Division 3 of the Business and Professions Code) or that he or
GRIDLEY, CA 95948
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
nt to a civil penally of not more than five hundred dollars ($500).):
as owner of the property, or my employees with wages as their
ole compensation, will do the work, and the structure is not
F
tended or offered for sale (Sec. 7044, Business and Professions
ode: The Contractors' State License Law does not apply to an
Applicant: HENDERSON RUSSELL C
wner of property who builds or improves thereon, and who does
HENDERSON ELMA MAE (DEC'D) (LE)
such work himself or herself or through his or her own employees,
provided that such improvements are not intended or offered for
1230 HWY 99
sale. If however, the building or improvements are sold within one
GRIDLEY, CA 95948
year of completion, the owner -builder will have the burden of
proving 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 Professions Code. The Contractors' State License Law does
not apply to an owner of property who builds or improves thereon,
Contractor:
and who contracts for such projects with a contractor(s) licensed
pursuant to the Contractors' State License Law.).
❑ I am Exempt under Article 3 of the Business and Profe ions Code
-OS�wner:
Date: -Ll-
License #:
WORKERS' COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following• declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for
workers' compensation, as provided for by Section 3700 of the
Labor Code, for the performance of the work for which this permit
is issued.
Architect:
❑ I have and will maintain workers' compensation insurance, as
Engineer:
required by Section 3700 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:
Total Square Ft: 0 S. F.
Policy#:
that in the the for this is
Valuation: $0.00
'AlI certify performance of work which permit
issued, I shall not employ any person in any manner'so as'to
Census Code:
become subject to the workers' compensation laws of California,
and agree that if I should become subject to the workers'
compensation provisions of Section 3700 of the Labor Code, I shall
forthwith comply with those provisions.
Date:
Applicant:
WARNING: Failure to secure workers' compensation coverage is
1 r
unlawful, and shall subject an employer to criminal penalties and one
1
hundred thousand dollars ($100,000), in addition to the cost of
compensation, damages as provided for in Section 3706 of the. Labor
code, interest, and attorney's fees.
CONSTRUCTION LENDING AGENCY
This permit is reby issuedy er the ap I' able rovisions of the Butte County Code and/or
I hereby affirm that there is a construction lending agency for the
enpaid.
Resolutions o do work at abov77MZ�e
performance of the work for which this permit is issued (Sec 3097 Civ.)
11-22 CJ
Name:
By: Date:
PERMIT EXPIRE N: 63
Address:
(Date)
❑ I hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage,
handling and use of hazardous materials.
❑ Notification in accordance with Section 19827.5 of California Health 8 Safety Code is not applicable to the scheduled construction of this project.
❑ Attached are copies of the required E.P.A. notification forms.
I hereby certify that I have read this application, that the'above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with
all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of an official form or document of Butte County. I hereby
authorize representatives of Butte County to enter u/po`n the above mentioned property for inspection purpos
Print Name: f-!$� G� C
. /-�G/��-/�i0/iJ Signature:
Date:
caner ❑ Contractor ❑ Agent for Owner ❑ Agent for Contractor
B. C. Building Permit 01-16-04 pg 1
I •�
Butte County Department of Development Services. �urr� naEn
N® T E S 7 County Center Drive, Oroville, CA,95965
9 .
eCOUNSy•
(530) 538-7601-.buttecounty neVdds
'.t
RESIDENTIAL
APN: Permit No.
1-024-27044-5
— --
024-270-015
05-3129
Owner. HENDERSON, RUSSELL
1230 HWY 99, GRIDLEY
Site Address: Cont: OWNER
Contractor ! ELEC SERV RELOCATE
}
Type of Permit: '
OFFICE COPY
Address
GAS
Meter By Date
ELECT
Meter By S1M(Y104�s Date 0b
J
SPECIAL CONDITIONS
CHECKED BY
Fl SRA
0 FLOOD CERTIFICATE EQUIRED
0 FIRE SPRINKLERS REQUIRED
Q SPECIAL INSPECTION ITEMS '
Q VERIFY
USE PERMIT CONDITIONS
Q SUB -STANDARD HOUSING LETTER
tt Q ENCROACHMENT PERMIT
G Q REINSPECTION FEE PAID
L .Q ENV HLTH CLEARANCE
�(�r90L (Sff �LZ'X�N
-0U7f+ OFc(zibte/'
>g
- ` DATE JOS FINALED:
i 1 SIGNATURE: ckJ'�
tr .
4
4j
=OK
Not OK --
MANUFACTURED HOMES
MISCELLANEOUS
DATE PERMANENT FOUNDATIONSOFT-SET
1 Zoning -Setbacks -Easements
2 Soils; Special MH Support Sketch
3 Sewer; Loctn-Test; Fal1/C/0-Concrete
4 Wtr, Loctn-Test-Easement Needed -Regulator
5 Elec Loctn-Clrncs-Grnd Amp -Concrete
6 Yard Gas; Loctn-Test-Wrap Nat Q or LPQ
Inch Sz Ft Lngth
7 Blckng; Sz-Spacing-Marriage Line
8 Gas; MH Test-Demand-Valve-Cnnctr
9 Elec MH Cntnty Test-Crossovers-Breakers-Clrncs
10 Drain; MH Test -Fall -Flex Cnnctr
11 Wtr & Sewer Connected -CIO to Grade
12 Gas and Electricity Tagged
13 Tie Downs I]" Foundation []
14 Exits
15 Cert of Occupancy
16 HUD Label/Insignia Numbers Serial Numbers
DATE ID E C K S`C O V E R S`C A R P O R T S `G A R A G E S
1 Zoning -Setbacks -Easements
2 Ftgs; Solis -Sz-DpthSpacing-CnnctrsSteeI
3 Decks, GirderslJoists-Dcking-Brcing
Stairs-Guard/Handrails
4 Wood Awn; Posts -Be ams-Rftrs -Cnnctrs -S hth g
Frmg-Brcng
5 Alum Awn; Columns-CnnctnsSplice-Decal-Enclsrs
6 Carports; Wndws-Doors
7 Electric
8 Frmg; Sills-AnchrsStuds-Rftrs-Trusses
9 Siding; Nailing -Veneer -Stucco -Lath
10 Roof; Shthg-Roofing
11 Ext; Steps -Doors -Landings
12 Braced Wall pnls
° °\s
DATE IPOOLS
1 Setbacks -Easements
2 Soils; Compaction -Structure Stability
3 Pool Structure; Steel-Cnnctns-Thickness
Dead Men -Lining
4 Elec Rcptcls/Lting; Distance-GFI
5 Elec Pool Lting; 15 volts-GFI
6 Elec Encisrs; Conduit Entries -Terminals -Listed
7 Elec Bonding; Metal w/5'-Crcltng Eqp-Htr
8 Elec Grndng; Eqp w/S' Crcltng Eqp-Pool Ightg
Bones-Enclsrs-pnlboards-Insultn to Main Conduit
9 Health Dept Apprvl
10 Plmb; Cir Test-Wtr Supply Test
11 Lt Niche.
12 Encisr, Fencing Alarms
13 Bonding, Diving board or Slide
e.
m1 o,
- -
Pool Drawing
i
= OK
0 = Not OK
RESIDENTIAL (Single. & Duplex) I
DATE JUNDERFLOOR
1 Zoning -Setbacks -Easements -Flood -Slope
2 Ftg Main; Soils-Elec Grnd Ftg Dpth
3 Fig Garage; Soils-Steel-Elec Grnd Ftg Opth.
4 Ftg Porches/Decks; Soils -Steel Ftg Dpth
5 Stemwalls Main; Steel-Blockouts-Wrapped
6 Stemwalls Garage; Steel -BI ockouts-Wrapped
6a Hold Downs and Special Anchrs
7 Slab, Steel Wrapped
8 Piers-Frplc Ftg-Steel
9 DWV; Fall -Fitting -Test -2 -way C/0 -Sewer Test
10 UF, Gas Pipe; Sz Anchrs-Sz Test
11 Wtr Pipe; Test-Anchrs-Rgltr-Service Test
12 Elec Undrgrnd
13 Plenums & Ducts; Clrnc-MaterialSupport4nsultn
14 Girders Sills-Anchr Bolts -Joists -Vnts-Cripples
15 Acc & Vntltn
16 Insulation
DATE IFRAMING
17 Sills Proper Materials & Anchrs
18 Walls Studs -Nailing Spacing & Braces -Plates -Sound
19 Bearing Walls over Girders & fir Nailing
20 Draft Stop in Walls (rat proof)
21 Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs
22 Headers & Beams-Sz & Bearing
23 Hangers -Post Caps-Anchrs-Cnnctns
24 Ceiling Joist-Rftr Ties-Purlin-Roof Brac TrussShthg
25 Frplc Ties or Type A Flue-Frplc Throat Clrnc
26 Attic Acc; Sz & Rmx Prtctn-Draft Stop -Ins Baffles
27 Bdrm Wndws or Exiting Doors -Sill Ht & Dimensions
28 Garage Fire Prtctn Framing -RC Channel
29 Prprty Line Firewall & Opngs
30 Ext Doors -One 3' -Check Garage 3rd Story, 2 Exits
31 Stairs; Width-Hdrm-Rise-Run-Landing-Fire Prtctn
32 Plywd on Roof Ovrhng-Attic Vnts-Rftr Outrgrs
33 Siding -Nailing Veneer
34 Stucco Lath -Weep Screed-Fndtn Vnts-Undrflr Acc
35 Glazing Area -Glass P rtctn -SkyLts -Plastic
36 Shear Walls; Nailing -Bolts
37 Brace Int/Ext Wall pnls
38 Insultn-Walls-Ceilings
39 Infiltration-Walls-Wndws
DATE JELECTRICAL
40 Fxtr & Trnsfrmr CImc-Ins Prtctn
41 Elec Rcptcls Spacing-Lts & Switches at Doors
42 Sz Boxes & No Of Cndctrs Stapled
43 Romex Installed Close to Edge of Studs & CJ
44 E Grnd made up w/Mech Fstnrs
rndng Electrode Bond Gas & Wtr
46 2 Appinc Cires in Ktchn & Cndctr Sz GFI
47 Subfeed Wire Sz on ❑ CU or ❑AL
AC Wire Sz ga ❑CUor❑AL
48 Range Circ ga ❑ CU or ❑AL
Oven Circ ga ❑ CU or ❑ AL
Insulat d Neutral ❑Yes ❑No
9 rvic iser Cndctrs & Grnd Main Dscnnct
0 Clrncs pnls-Motors-Mech Eqp
1 Clothes Closet Lt-Shwr Lt -Spa Lt
52 Smoke Detector
DATE IPLUMBING
53 Wtr Htr; Vent-Acc-Cmbstn Air Baffle
54 Wtr Pipe; Test &Anchr-Nail Prtctn
55 DWV; Test Fittings & Anchr Nail Prtctn
56 Shwr Pan; Test, First fir -Tub Acc
57 Test Tub & Shwr, 2nd fir - Tub,Acc
58 Gas Pipe; Sz & Anchrs
59 Fire Sprinkler; Test
60 Yard Gas Piping
DATE IMECHANICAL
61 AC Ducts Insulin & Support
62 Vent Fan, Exhaust abv Insultn
63 Condensate Drain & Ovrflw, Sz & Grade
64 Furnace -Vent Acc-Comb Air Rtrn/Vent 115 Outlet
65 Attic Acc & Pltfrm if Furnace in attic
0
DATE IFINAL
66 Ext Steps -Door & SideLt Prtctn-Landings
67 Smoke Detector
68 Furnace Vnts-Clrnc-Comb, Air-Cnnctr
In Garage; abv-flr-Ducts-Mech Prtctn
69 Bedroom Exiting
70 GFI & Bath Fxtrs & Tub Acc-Spa
71 GFI Fault
ec Trim & Subpnl, Breaker Sts & Labels
73 Stairs, Guard/Handrails
74 Frplc or Stove, Clrnc-Hearth
75 Elec Outlets at Wood Pnl, Int & Ext
76 Ktchn, Fxtr & Appinc; Grnd-Air-Gap-Cooking Clrnc
77 Elec Outlets & Rcptcls at Ktchn Counter
78 Garage Fire Door; Swing -Landing -Closure
79 AC Duct in Garage -Damper
80 Wtr Htr; Vnts-Clmc-Com Air Cnnctr-PRV; abv fir
Mech Prtctn; LPG Appince Undr House 3" drain
81 PIS Elec & Mech Eqp Listed for Loctn
41,2lec Rcptcls in Garage (GFI) Romex Prtctn
83 Insultn-Foam-Looked in Attic
84 Guard Rails & Deck Cnstrctn-Post Caps
85 Fndn Vnts & Crawl Hole Door Drnge & Wood -Earth
86 Clrnc Drnge Planters ❑ Yes ❑ No
87 Stucco Brown -Finish
88 AC Unit Dscnnct, Elec-Plmb
89 Vnts abv Roof, Plmb-Appinc-Frplc-CImc to Opngs
90 Wtr Well, Dscnnct, Elec, Plmb
91 Ext Elec Trim, GFI Rcptcl-Undrgrnd
92 Vntitn thru House
93 Glass Prtctn
94 Corrections from previous Inspctns
95 Gas Test -Meters Tagged, Gas-Elec
96 Wtr & Sewer Cnnctd-CIO to grade -HD Apprvl
97 Energy Cmpinc Cert -Other Certs
98 Address Posted
99 Fire Sprinkler
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT
24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO)
OFFICE #: (530) 538-7541
PERMIT NO.
BPO53129
PERMITS BECOME NULL AND VOID 1 YEAR FROM THE DATE OF ISSUANCE, OR IF WORK IS DONE IN VIOLATION OF ANY COUNTY OR STATE LAWS.
LICENSED CONTRACTORS DECLARATION
I hereby affirm under penally of perjury that I am licensed under
provisions of Chapter 9 (commencing with Section 7000) of Division 3 of
Issued Date: 11/22/2005 APN: 024-270-015-000
the Business and Professions Code, and my license is in full force and
effect.
License Class : License Number:
Site Address: 1230 HWY 99 GRI
Dale: Contractor:
Map Index:
Description: relocate, upgrade electric
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the
Contractors' Stale License Law for the following reason (Sec. 7031.5
Business and Professions Code: Any city or county which requires a
permit to construct, alter, improve, demolish, or repair any structure, prior
Owner: HENDERSON RUSSELL C
to its issuance, also requires the applicant for such permit to file a
HENDERSON ELMA MAE DECD
( ) (LE)
signed statement that he or she is licensed pursuant to the provisions of
the Contractor's State License Law (Chapter 9 commencing with Section
1230 HWY 99
7000) of Division 3 of the Business and Professions Code) or that he or
GRIDLEY, CA 95948
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).):
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' State License Law does not apply to an
Applicant: HENDERSON RUSSELL C
owner of property who builds or improves thereon, and who does
HENDERSON ELMA MAE (DEC'D)
such work himself or herself or through his or her own employees,
.(LE)
provided that such improvements are not intended or offered for
1230 HWY 99
sale. If however, the building or improvements are sold within one
GRIDLEY, CA 95948
year of completion, the owner -builder will have the burden of
proving 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 Professions Code. The Contractors' State License Law does
not apply to an owner of property who builds or improves thereon,
Contractor:
and who contracts for such projects with a contractor(s) licensed
pursuant to the Contractors' Slate License Law.).
❑ I am Exempt under Article 3 of the Business and Prrofe ions CC,ode
.
Dale: �I� -D Owner:a�Ge�� /M�L�✓CSL
License #:
WORKERS' COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for
workers' compensation,, as provided for by Section 3700 of the
Labor Code, for the performance of the work for which this permit
is issued.
Architect:
❑ 1 have and will maintain' workers' compensation insurance, as
Engineer:
required by Section 3700 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:
Total Square Ft: 0 S. F.
Policy #:
Valuation: $0.00
I certify that in the performance of the work for which this permit is
Census Code: j I
Issued, 1 shall not employ any person in any manner so as to
�y v
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
V
forthwith comply with those provisions.
Date:
Applicant:
WARNING: Failure to secure workers' compensation coverage is
unlawful, and shall subject an employer to criminal penalties and one
hundred' thousand dollars ($100,000), in addition to the cost of
t
compensation, damages as provided for in Section 3706 of the Labor
code, interest, and attorney's fees.
CONSTRUCTION LENDING AGENCY
This permit is reby issued u er the ap I' able rovislons of the Butte County Code and/or
I hereby affirm that there is a construction lending agency for the
the for is issued
Resolutions o do work' cfi M above r hic e s ti� n paid. -
(j
performance of work which this permit (Sec 3097 Civ.)
Name:
By: Date:
PERMIT EXPIRES' N: / 'E 6
Address:
(Date
❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage,
handling and use of hazardous materials.
❑ Notification in accordance with Section 19827.5 of California Health 8 Safety Code is not applicable to the scheduled construction of this project.
❑ Attached are copies of the required E.P.A. notification forms.
I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with
all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of anyofficial form or document of Butte County. I hereby
authorize representatives of Butte County to enter upon the above mentioned property for inspection purpos .
Print Name: f -(SS G� C. NU�/c_c��/C�
- /�f�i' Signature:
Date: /—oZ2- D S�
wner O Contractor ❑ Agent for Owner ❑ Agent for Contractor
B. C. Building Permit 01-16-04 pg 1
... COUNTY OF BUTTE . • .. .
BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
7 County Center Drive • Oroville, CA • (530) 538-7541
CORRECTION NOTICE
f�
/Vz�1&w 6/J
OWNER PERMIT NO.:
. j
A routine inspection indicates that the following violations of Butte County Ordinances exist at 'A
the above address and should be corrected. Please call for re -inspection when correction of ;
work is completed. If you have any questions pertaining to this matter, or need additional - 'v
explanation, please contact the Building Inspector as indicated below. "*
-+--j
7
Date V —
REV 4/05
-------------
3
;3
"s
Inspector
Phone #
FOR RE -INSPECTION CALL:,.538-7636 OR 891-2834
va
Butte County Department of Development Services QTT
TIM SNELLINGS; DIRECTOR I PETE'CALARCO, ASSISTANT DIRECTOR o� F0
0 0
7 County Center Drive r�' ti o o
Oroville, CA 95965 0 - ,r _ o
(530) 538=7601 Telephone
(530) 538-2140 Facsimile _ -
www.buttecounty.net/dds '
ADMINISTRATION * BUILDING * PLANNING
November .16, 2006 `
Russell Henderson
1230 Hwy 99 /
Gridley CA 95948
RE: Building Code Violation
Location: 1230 Hwy 99 Gridley CA 95948
AP#: 024-270-015
Dear Russell Henderson;
This is a courtesy notice to notify you that you are in violation of the Butte County Code, at the above
referenced location for the failure to obtain the required permits, inspections and approvals from this office
for the following: -
Failure to final permit for detached garage.
Since permits and inspections are required for the above work, please submit three (3) complete sets of
plans, apply for the required permits, and pay the appropriate fees. All work must stop until these permits
are issued and you are authorized by our field inspector to proceed. The field authorization cannot be made
until the existing work is inspected and approved.
It is the County's goal to obtain voluntary compliance with the. Butte County Code. However, you should
be advised that Butte County has an active Code Enforcement Program which provides an effective means
of enforcement if voluntary compliance is not obtained. Enforcement may .be pursued through the issuance
of citations, fines and the recording of.a Notice of Violation including a description of the action necessary.
to abate the violation.
You have thirty (30) days to voluntarily comply with the above directions or to present an acceptable plan
for abatement or corrective actions to be taken by you: Should you have any questions concerning this
matter, please contact Bill Barron at 538-5367 or' -visit our office -located at 7 County Center Drive,
Oroville. Our hours •of operation are from 7:30 a.m. to 4.:30 p.m:
Sincerely,.
Bill Barron y
Supervisor, Building Inspections ;
BB: mjs
t Cc: Assessor
t"."' �"'_"°.sr'y-•`.- _.._-�""i r." ''.r' '"°�-,'°"b"' :*! �'rr`°"°': }.: i,,,.::: -?.: +.J'�.nr'a` N,_'Y�+nr
-' 024 27x0-015 J� t` 03 1034 ;
HENDERSON; RUSSELL }
11230 HWY99; GRIDLEY�',
�+
�} EMO SHOP
y t
1 V
t -
P
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BU LD G DIVISION +
7 County Center Drive • Oroville, California 95965 • Telephone (530) 38-7541 PERMIT'Np.
(Rev. 12/96) APPLICATION AND PERMIT1
ASSESSOR PARCEL NUMBER
024-270-015
ZONING
BUILDING PERMIT
OWNER
Russell Hinderson 846-4276
TELEPHONE
SO, Fr, OCC. BUILDING VALUATION
OWNERSZNGHW ADDRESS99 Gridle CA 95948
CONTRACTOR'S NAME
otex
TELEPHONE
CONTRACTORS MAILING ADDRESS
CONSTRUCTION LENDER
LENDER'S MAILING ADDRESS
Fireplace
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee $ 20.00
Permit Fee $
ARCHITECT OR ENGINEERS MAIUNG ADDRESS
Plan Checking Fee $
BUILDING ADDRESS
1230 99 29 Gridle CA
Energy Plan Checking Fee $
$
PERMIT FEE $ '49;
LOT NO.
SUBDIVISIONS NAME
PARCEL MAP
-nn
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 as water heater or vent 15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑
Describe Work: demo permit 35X60 s�p
Gas piping stem 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
500VOR LE
Main Service ZD.A 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 Lic. No.
OWNER -BUILDER DECLARATION
1 hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
❑ I, as owner of the property, or my employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
I, as owner of the property, am exclusively contracting with licensed contractors
to construct the project. .
❑ 1 am exempt under Sec. Business and Professions Code for this
reason
Main Service WDA TO 46.00
NEW CONST. DWELLING OCCUCCUP.SO
OR ADDNS. ( a ACC. BUDS. 3.5Q�;
N,OONN•RESDT MULTI.OUTLET
r @7.50
POWER APPARATUS
a SINGLE DLmET cIR.
Ex. Occup.OUTLET OR FD(TURES 204 1.00
s„L p .so
Ex. Occup. GFlxUTe�DSA Aa D OFR,p 5.00
TemDorary 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 Labor Code, for the performance of work for which this permit is issued.
My workers' compensation insurance carrier and policy number are:
Carrier
Policy Number
(The above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
I certify that in the performance of the work for which this permit is issued, I shall
not employ any person in any manner so as to become subject to workers'
compensation laws of California, and agree that if I should become subject to the
workers' compensation provisions of section 3700 of the Labor Code, I shall
rthwith comply tho e provisions.
X 1_� Date 0,�
Signature of Applicant -A Owner ❑ Contractor ❑ Agent
ovy
An OSHA permit is required for excavations0" deep and demolition or construction
of structures over 3 ores i h 'g /
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 $35.00
HAZ. I D FEES IMP I FLOOD CDF
HD ISSUE
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.
1 /� l�
B //I�%��ir! ff �/ Date//
�� _
PERMIT EXPIRES ON
Date
Receipt No.
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO.
(Rev. 12/96) APPLICATION AND PERMIT 03-1034
ASSESSOR PARCEL NUMBER
024-270-015
ZONING
BUILDING PERMIT
OWNER
Russell Hendersnn 846-4276
TELEPHONE
SO, Fr, OCC. BUILDING VALUATION
.OWNER'S MAILING ADDRESS
1230 Hwy 99 Gridley CA 95948
CONTRACTOR'S NAME
owner
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
CONSTRUCTION LENDER
LENDER'S MAIUNG ADDRESS
Fireplace
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee $
20.00
Permit Fee $19-00
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Plan Checkin Fee $
BUILDING ADDRESS
1230 Hwv 99 99 Gridley CA
Energy Plan Checking Fee $
$
PERMIT FEE $
LOT NO.
SUBDIVISION'S NAME
PARCEL MAP
PLUMBING PERMIT
Fling Fee 20.00
USEOFSTRUCTURE
SF ❑ Duplex ❑ Mobilehome ❑ Other
SPECIFY
Each Trap
7.00
-
Solar or heat um water heater
23.00
Water piping
15.00
Each aas water heater or vent
15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑
dpermit 35X60 shop
De�ribe Work: demo P P
Gas piping sy2tem 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home S G W
@20.00
PERMIT FEE S
ELECTRICAL PERMIT
Fling Fee 20.00
OVOR LE
Main Service .*OA 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.P
License Class Lic. No.
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law; for the following reason:
❑ I, as owner of the property, or my employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
I, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
❑ 1 am exempt under Sec. Business and Professions Code for this
reason
WORKERS' COMPENSATION DECLARATION
1 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
Main Service 200A TO 1000A
46.00
NEW CONST. DWELLING OCCUP.
OR ADONS. ( a ACC. BLDS.
s0
3.5¢FT.
,.,oµ=T. MULTI.OUTLET
97.50
OWER APPARATUS
8 SINGLE OUTLET CIR.
Ex. OCCU OUTLET OR FIXTURES
:0050
BAS @' 50
Ex. Occup. ouri' RE 6.OEA
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
PERMIT FEE t
MECHANICAL PERMIT
Fling Fee 20.00
Heating
Cooling
Hood
6.50
Ventilation
PERMIT FEE $
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.)
certify that in the performance of the work for which this permit is issued, I shallTOTAL
not employ any person in any manner so as to become subject to workers'IMP
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
/gifthwith comply w' h tho a provisions.
X �° Date ��
Signature of Applicant - Owner ❑ Contractor ❑ Agent
An OSHA permit is required for excavations over 60" deep and demolition or construction
of structures over 3 stories in height.y
Mobile Home Installation Fee $
Energy Inspection Fee $
occ �C�ONST.TYPE,I FEE $ 35.00
FLOOD COF PD HD ISSUE
This permit is hereby issued under the applicable provisions
of the Butte County Code /or Resolutions to do work
indicated bove for -whit ees ave been paid.
-'/�•' =
Ali
Date
PERMIT EXPIRES ON
Date
Receipt No.
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
O.B.- I
OWNER -BUILDER VERIFICATION
Attention Property Owner:
An "owner -builder" building permit has been, applied for in your name and bearing your signature.
Please complete and return this information at your earliest opportunity to avoid unnecessary delay
in processing and issuing your building" permit. No building permit will be issued until this
verification is received.
1. I personally plan to provide the`inajor labor and materials for construction of the proposed
property improvement: YES O NOD /v/A o2CUrUS ; 2c�G�U�
Al T
2• I HAVE ❑ HAVE NOT Xsigne4 an application for a building permit fora proposed work. By
3. I have.contracted with a following person (firm) to, provide the proposed construction: 0010,j, 2.
NAME:
ADDRESS: CITY:
PHONE: CONTRACTOR'S LICENSE NO.
4. I plan to provide portions of this work, but I have hired the following person to coordinate,
supervise, and provide the major work: •
NAME: et/ /�-
ADDRESS: CITY:
PHONE: CONTRACTOR'S LICENSE NO. A
5. I will provide some of the work but I have contracted (lured) the following persons to provide
the work indicated:
NAME ADDRESS PHONE TYPE OF WORK
SIGNED:
PROPERTYOWNER:
SOCIAL SECURITY NUMBER: ,
DATE:
NOTE: This Owner -Builder Verification is required by Section 19831 and 19832 of the
California Health and Safety Code. This verification , must be ' completed and
returned to our office before we are permitted to issue the permit
OVER
OWNER BUILDER INFORMATION
Dear Property Owner:
An application for a building permit has been submitted in your name listing yourself as the builder of property
improvements specified.
For your protection, you should be aware that as "owner -builder" you are the responsible party of record on such
a permit. Building permits are not required to be signed by property owners unless they are personally performing their
own work. If your work is being performed by someone other than yourself, you may protect yourself from possible
liability if that person applies for the proper permit in his or her name.
Contractors are required by law to be licensed and bonded by the State of California and to have a business
license from the city or county. They are also required by law to put their license number on all permits for which they
apply. . , ter'
If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should
be aware of the following information for your benefit and protection:
♦ If you employ or otherwise engage any persons other than your immediate family, and the work (including materials
and other costs) is '$300 or more for the entire project, and such persons are not licensed as contractors or
subcontractors, then you may bean employer.
♦ If you are an employer, you must register with the State and Federal Governments as an employer and you are
subject to several obligations including state and federal income tax withholding, federal social security taxes,
workers compensation insurance, disability insurance costs, and unemployment compensation contributions.
♦ There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious
with respect to worker's compensation insurance.
♦ For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and,
ifyou wish, the U.S. Small Business Administration). For more specific information about your obligations under
State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents.
If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their
work personally or through their own employees, without a licensed contractor or subcontractor, only under limited
conditions.
A frequent practice of unlicensed persons professing to be contractors is to secure -an "owner builder" building
permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building
permits are not required to be signed by property owners unless they are performing their own work personally.
Information about licensed contractors may be obtained by contracting the Contractors State License Board in your
community or at 1020 N Street, Sacramento, CA. 95814.
Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you
are aware of these matters. The building permit will not be issued until the verification is returned.
;rely,
el C. Vi ira, C.B.O.
M er, Building Inspection
NOTE. This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code.
OVER
cR ,
'PERMIT -NO. 5434-75B
P
'! E
M
4
MH U IL.
PERMIT NO.
PERMIT EXPIRES ,/ v'/�',x/ / v
owNER Thomas E. Henderson
Y
CONTR. owner
LOCATION (A.P. 24-27-15 )
/S Hwy 99E.,150' S. of Sheldon Ave.,Gridle
u•
W
Temp. Power Pole
Called PG&E
Temp. Elec.Serv.
Ca 11 d PG&E
Temp?Gas Serv. "
Cal led °PG&E
/JOB
FINALEDALED 7
(Date)
(Signa ure)
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
BUILDING INSPECTION" RECORD
BUILDING BUILDING (.Cont'd) PLUMBING
Setback Firewall Soil Piping
Forms Parapets V 1st Floor
Main Bldg. Restroom Finish A 2nd Floor
Footings Windows`0, 3rd Floor
Stemwall Siding To out
Slab Roof Sheathing Water Pi'in
Piers. Roofing Sewer
Garage Fdn. Vents Fixtures
Footings Garage Vents Water Htr.
Stemwall Prov. for physically Heaters
Slab handicapped Appliances
Carport Conformance of ev Gas Piping & T st
Footings structure Temp. Gas
Slab Final / Sanitation ice'
Patio :'`' FlEtEPLACE. Final
Footings Footing E CTRICAL _
Masonry Walls ` Throat Rough
Reinf. Steel Final Fixtures
Bond Beam FIRE SPRI LERS Motors
Framing Test x Water Htr.
Stucco Final Subpanels
Mesh MECH NI AL Grd. Fault Pr
Scratch Heating Service
Brown Cooling Temp. Pol
Finish Ducts Undergrotl6d
Interior Lath Ventilation Permanerit
Door Closer Final Final i
1
DATE % q REMARKS OR CORRECTIONS
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
7 County Center Dri 'e - proville, California 95965
Telephone: 5'-:4-4541
APPLICATION AND PERMIT
I BUILDING
Owner 01�%/+.S �\ /�'dl o�� SO. FT. OCC. BUILDING VALUATION
Mailing Address&T,2 4 0,K q30 ,
elphone No.
Fireplace
Contractor (It) �2 Total Valuation Qd Q ^
Mai I i ng Address Permit Fee
Plan Checking Fee &/or Penalty
Telephone No.
Permit Fee 40
Building Address L S, �,v g �, 6J�de PLUMBING No. FEE
PERMIT FILING FEE $3.. 00
k/C-1 Oh C5 R 001.e- V, Each Trap 1.50
Repair drainage or vent piping 1.50
Water piping 1.50
Each gas water heater or vent 1.50
A. P. No.
Zoning & Planning
Gas piping system 1 - 5 outlets 1.50
Each additional outlet ,30
Sarriwtatitll✓
Fire Dept.
Fire Zone
Use Permit
Building sewer 5.00
EQA
Parking
Plans
Parcel
Declaration
Parcel Ma p
60' R/W
Improvements
Lawn sprinkler system 2.00
B ec d
Parcel Approval
Plans Approval
Permit Fee $
$
NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER
ELECTRICAL No. @ FEE
PERMIT FILING FEE $3.00
LL, Ct.)
Main service incl. 1 meter
Additional meters, each 1.00
Sub -panel (12 or less) (more than 12)
-
Single Family Duplex ❑ Mobil Home ❑ Others ❑
Range, Cook -top or Oven 1.00
Water Heater or Space Heater 1.00
Light fixtures y a2
Receps„ switches & fix outlets
CONTRACTORS LICENSE LAW
I am licensed under the provisions of Chapter 9, Div. 3, of the
State of California Business & Professions Code under the name
style of:
Hood, Ex. Fan or F.A. Furn. Motor 1.00
Evap. cooler, gar. disp. or D.W. 1.00
Air conditioner or heat pump
Water pump
Mobil Home Facilities 5.00
Temp. Power Pole 5.00
License No. Classification
Misc. wiring
I am exempt from the Contractors License Laws of the State of California.
Permit Fee $
$
MECHANICAL No. @ FEE
WORKMEN'S COMPENSATION INSURANCE
1 am aware of the provisions of Section3700 of the California Labor
Code which requires every employer to be insured against liability
for Workmen's Compensation.
❑I have placed on file with the County of Butte a certificate of
Workmen's Compensation Insurance.
IaZ1 I certify that in the performance of the work for which this
}'= permit ,is issued I shall not employ any person in any manner
so as to become subject to the Workmen's Compensation Laws of
California.
PERMIT FILING FEE $3.00
Heating
Cooling
Ventilation
Hood 2.00
Permit Fee $
$
I certify that I have read this application and state that the above
information is correct. I agree to comply to all County Ordinances
and State Laws relating to building construction, and hereby
TOTAL PERMIT FEE
$ d ..
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes.
X�J d�Y• 6 P �/ s
Signature of Permitee or Agent
Receipt No. 137 % 7 Q -
White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant
This permit is hereby issued under the applicable provisions of
the Butte County Code and/or resolutions to do work indicated
above for which fees have been paid.
DIRECTOR OF PUBLIC WORKS
By Date
Building permit expires Date
Q4
5?Z.
X03- z�
BUTTE COUNTY
BUILDING DIVISION
APPROVED
4'
EAST
— 24'
o x FLOOR PLAN
0 5CALE: 1/4!= P-0"
NORTH a * 4" THICK, SLAB
7v * 12"X 1.2" -FOOTING
"GXGX 1=0X 10R -MESH
112" REBAR 2 RUNS
30G8 BRACE WALL PANEL5 TO BE 4x8
4X ! 2 FDR 7/ 1,G" 8" O.C. LP SMART PNL 51DING
I GX7 SECTIONAL DOOR
4 3 112" X 13 1 /2" X DHF- I :8E GI -15
WE5T
RUSSELL HENDER50N
1230 HIGHWAY 99
GRDLEY, CA 95948
51
a
lt1 M
50UTH
BUTTE COUNTY
BUILDING DIVISION
- APPROVE®
b�.
OVERLAP T.P.
@ CORNERS -moi
2X4 TRIMMER, TYP
2X4 P.T. _
51 LL PLATE
FIN. GRADE
12
4F/
4X 12
2X8 R DGE
2XG RAFTERS
@ I G11 O.C.
20 YEAR COMP051TION SHINGLES
15# FELT 0/ 7/1 G" OSB
2X BLOCKING
2X8 WALL TIES
@ 4"' O.C.
4X 12
51DING NAILING: 8d HD GALV. 4" CORNERS, 8" JOINTS, 12 FIELD
SHEARWALU ROOF NAILING: 8d HD GALV. G" EDGES, 12H FIELD
TYPICAL SECTION FRAMING
SCALE: 1/4"= P-0"
3
2X4 STUDS 52 11411 @ I G" O.C.
2X4 P.T. 5ILL
112"0 X 10" FDT BOLT @ G" O.C.
W/2"X2"X3/ 1 G" STL. PLT. WASHE
v
a
FILL
r4#i 4 RElf BAR
CV
Fc=2500 psi
2" MIN.
FOUNDATION DETAIL
SCALE: I"= 1'-0"
It
- DBL. T.P.
2X4@ I G" O.C.
CONCRETE. FOUNDATION
BUTTE COUNT
BUILDING DIVISION
APPROVED
7/1 G" 0513 SHEETING
STAGGERED W/ 15# 30 FELT
.20 YEAR COMPOSITION SHINGLES
CD
N
O
2X4 OUT—RIGGERS
-- @ 24" O.C. @ BOTH
GA13LE ENDS
— 2X8 RI DGE DM
2XG @ I G" O.C.
e 'OC OI 51MP50N H2.5 OR EQ. CLIPS AT EACH; RAFTER TO TOP PLATE
W/2X8 @ 4
WALL TI E5
ROOF PLAN
5CALE:.1 /4"
4/12 PITCH
Btj-T-rFOUNI,Y
OLONG (WISION
APPR®\JED
0
2XG @ I G" O.C.
e 'OC OI 51MP50N H2.5 OR EQ. CLIPS AT EACH; RAFTER TO TOP PLATE
W/2X8 @ 4
WALL TI E5
ROOF PLAN
5CALE:.1 /4"
4/12 PITCH
Btj-T-rFOUNI,Y
OLONG (WISION
APPR®\JED
EAST ELEVATION
SCALE: 114"= 1'-0"
5OUTH ELEVATION
SCALE: 114"= I '-O"
F(N. GRADE
BUTTE COUNTY
BUILDING DIVISION
APPROVED
1 All %J 1 Q 11 e' A A 1 C t /C\ iT `
f1N. GRADE
Wf-5T ELEVATION
SCALE: 1/4"= P-011
NORTH ELEVATION -
5CALE: 1/4"= I'-0"
BUTTE COUNT`
BUILDING DIVISION
APPROVED