HomeMy WebLinkAbout024-270-04724-27-47
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Permit#508-87B(new sf ol- o
24-27-47
ermtk-�0"'6-87E(ele/508-87-)- -
024-270-047. PERMIT#94-2041\,
BURBANK, JAMES & ESTELLE
.121 SHELDON RD., GRIDLEYZ�ii
ADD 62/1200 WING & OFF/FATLY RM ADD/SF
024-270-047 PERMIT#94-3107
BURBANK, JAMES & ESTELLE
121 SHELDON RD. GRIDLEY.'.
EXTEND GAS BP#94-2401/SF_� I-
,0247-'27,70'7047 96-0966,. B,E
BURBANK' 'James
121 Sheldon Avenue, Gridle'
(new storage bldg)/}. (� �%
V'= OK
O = Not OK ' +
Not Applicable
Not Ready MOBILE HOMES . .
` =�
Date MOBILE HOME UTILITIES (Plans) OK except #'s Date
1. Zoning Requirements - Setbacks - Easements '
2. Soils; Special MH Support Sketch
3. Sewer; L.ocabon-Test-Fall-C/0-Concrete715
4. Water; Location -Test -Easement Needed (Sketch)
5. Electricity; Location-Clearances-Gmd-/ /Amp -Concrete
6. Gas; Location -Test -Wrap; / /'L'ft.
/ /Nat. or/ /"L"ft./ /LPG
7. Well Clearance & Disconnect
8. Utility Clearance
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date MOBILE HOME INSTALLATION (Plans) OK except #'s
1. Zoning Requirements -Setbacks Easements
2. Footings; Size -Spacing -Marriage Line
3. Gas; MH Test -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/0 to Grade -HD Approval
8. Gas and Electricity Tagged
9. Tie Downs -Type -Installation Cert.
10. Exits; Insp.-Sketch
11. Cert of Occupancy
I
Date Card B-1Date Card B-1
Date Card B-1 Date Card B-1
MISCELLANEOUS,
?/Footings; Soils-Size-DepthSpacing-Connectors-Steel
3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -1
4. Wood Awn.; Posts-Beams-Rftrs.-Connectors
Shthg: Rfg: Bracing
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. -Carports; indows-Doors
E ectric JC4 u G' : 5
8. Fnng.; Sils-AnchorsStuds-Rftrs-Trusses
v
Date U �%(7 Card B-1 Date & 7-y� Card B-1 IL 1`5
Date Card B-1 AtS 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/S Circulating Equip. -Pool Lghtg.
Boxes-Enclosures-Panelboards-Ins. to Main in Conduit
9. Health Department Approval
10. Plumb.; Cir. Test -Water Supply Test .
Date Card B-1 Date Card B-1
I Date Card B-1 Date Card B-1
J=OK
O=Not OK
= Not Applicable
Not Ready RESIDENTIAL (;
=
Date UNDERFLOOR (Plans) OK except tf's r
1. Zoning -Setbacks -Easements -Flood -Slope
2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth
3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth
4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth
5. Stemwalls, Main; Steel -Bloc kouts-Wrapped
6. Stemwalls, Garage; Steel- Bloc kouts-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 -Anchor -Regulator -Service Test
12. Electric; Underground
13. Pienums & Ducts; Clearance -Material -Support -Ins.
14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
15. Access & Ventilation -
16. Insulation
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date PLUMBING (Permit),OK except a's
16. Water Htr.: Vent -Access -Combustion Air -Baffle
17. Water Pipe: Test & Anchor -Nail Protection
--------------------
18. D.W.V.: Test -Fittings & Anchor -Nail Protection
------------------------------------------------- ---
----- --19.-Shower Pan: Test. First Floor -Tub Access-
------------------------
20. Test Tub & Shower. Second Floor -Tub Access
- - - -------------------------------------
21. Gas Pipe Size & Anchors
--------------
------ --------------------------------------------------------------------------
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date ELECTRICAL (Permit) OK except n's
22. Fixture & Transformer Clearance -Ins. Protection
----------------------------------------------------------------
23. Elec. Receptacles Spacing -Lights & Switches at Doors
------- - ------ - -------------------------------------- ------- -
24. Size Boxes & No. of Conductors -Stapled
---------- --------------------------------- ----------
25. Romex Installed Close to Edge of Studs & C.J.
_
- ------------------------------ -..........
26. Equip Ground made up w/Mech. Fastners-Bond Gas & Water
------------------------------------------------------ ---- - ----- ----.--- ._....----
27. 2 Appliance Circuts in Kitchen & Conductor Size,GFI
------------------------------------------ ------ --
28. Subfeed Wire Size ga. Cu or AI-A.C. Wire Sze ga.
Cu or At
--- --------' - - ------------------- ..
29. Range Circ. ga. Cu or AI -Oven Circ. r ga. Cu or Al.
Insulated Neutral ❑ Yes ❑ No
-------------------- --------------------------------------------- ----------..._. ..
30. Service -Riser Conductors & Ground -Main Disconnect
----- - ----- . -----.... ---... ........
31. Equip. Clearances Panels-Motors-Mech. Equip.
--------- - - --- . . ...................... - -- -
32. Clothes Closet Light -Shower Light -Spa Light
------------------------------------ ---- - ----- ----
33. Smoke Detector
------------------------------ ----- --------------------- Card B-1
-
----------- .._.................... ---- -------- _... .......... ... ... ..
Date Card B-1 Date Card B-1
Date MECHANICAL.(Permit) OK except rr's
34. A.C. Ducts Insulation & Support
----------------...------ ------._._.._.....----......._..... ... ... .. _.
35. Vent Fan: Exhaust above insulation
---------------------------- -._... _-_.._..._ --- - -. ... ..
36. Condensate Drain & Overflow: Size & Grade
-------- -- -- ..... ... _.. ... ...._ ..... ..
37. Furnance-Vent: Access -Comb. Air -Return Air Vent -115 outlet
---------- ....... ....... .. _ ... ...
38 Attic Access & Platform if Furnance in Attic
---- . ....... ..
Date Card B-1 Date Card B-1
- - ....... . ... . ..... .
Date Card B-1 Date Card B-1
Date FRAMING (Plans) OK except n's
39. Sils. Proper Material & Anchors
40 Walls Studs -Nailing. Spacing & Bracing -Plates -Sound
..... ... ... .. .. - ---- -- -- . ...... .
41. Bearing Walls over Girders & Floor Nailing
42 Draft Stop in Walls (rat proof)
- ------ --- ...
43. Fire Stops: Furred Ceilings -Stairs -Chases -Tub
---------------
44.
----...------ 44. Headers & Beam -Sze & Bearing
Tingle & Duplex)
Date FRAMING (Continued)
45. -,Hangers- Post Caps -Anchors -Connectors _
46. Cing. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Rfng.
47. Fireplace Ties or Type A Flue -Fireplace Throat clearance _
48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions
50. Garage Fire Protection Framing
--------------
--------- - --- 51I.Property Line Firewall & Openings _
52. Ext. Doors -One T -Check Garage -3rd Story. 2 Exits
-------------
-------------
--------------------- ---------------------
53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers
55` Siding -Nailing Veneer
-------- -------------------------
56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access
57. Glazing Area -Glass Protection -Skylights -Plastic
58. Shear Walls:'Nailin Bolts
________ 59. -Insulation -Walls -Ceilings
-----------------------
60. Infiltration -Walls -Windows
Date Card B-1 Date - Card B-1
---------------- ---------------------
Date Card B-1 Date Card B-1
Date FINAL (Plans) OK except n's
61. Ext. Steps -Door & Sidelight Protection -Landings
62. Smoke Detector
-- ---------------------------------------- -
63. Furnace: Vents -Clearance -Comb. Air -Connector -
In Garage: Above Floor-Ducts-Mech. Protection
---------------------------------------------
64. Bedroom Exiting
65' G.F.I & Bath Fixtures & Tub Access -Spa
66. Elec. Trim & Subpanel: Breaker Sizes & Labels
..--- - --------------------------
67. Stags & Rails
--- ----------------------------------------
68. Fireplace or Stove: Clearances -Hearth
---.----------------------------------- -
69 Elec. Outlets at Wood Panel: Int. & Ext.
--- ..------------------------ -- ----------
70. Kit.Fixt. & Appliance: Grnd.-Air Gap -Cooking Clearance
--------------
71. - - ------------------------------------- --
71. Elec. Outlets & Receptacles at Kit. Counter
...... ... .... ------------------ ----------
72. Garage Fire Door: Swing -Landing -Closer
73.
73. A.C. Duct in Garage -Damper
.....------•------------------------
----- ------
74. Wtr. Htr.: Vents -Clearance -Comb. Air-Connector-P.R.V.
In Garage: Above Floor-Mech. Protection
------------------------------ ----
75. Plb.. Elec. & Mech. Equip. Listed for Location
- --------------------- --------------------- -
76. Elec. Receptacles in Garage: (G.F.I.)-Romex Protection
.. ... ........ - -------------------------------------------
7,. Insulation -Foam -Looked in Attic ❑ Yes
------ ---------------------------------------------
78. Guard Rails & Deck Construction -Post Caps
.. -- ----------------------------------------------- --
79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth
Clearance Looked under Floor ❑ Yes_
---- ---------------------------
80. Following instldl.t Drive ❑ Yes ❑ No: Walks ❑ Yes ❑ No:
Planters ❑ Yes ❑ No
--------------------------------------- - ---------
81. Stucco. Brown -Finish
- - - - - -- - - - - - - - - -- - _...---------------------------------------
82 A C. Unit: Disconnect. Electrical. Plumbing
. ... ... ... ... ... ... --- ---------------------------------------
83. Vents Above Roof: Plbg.-Appliance-Fireplace.-Clearance to
Openings
_ ... _ --- - - - - - - ---. _-----------------------------
84 Water Well: Disconnect. Electrical. Plumbing
.----------------------- ---------------
85 Exterior Elec. Trim: G.F.I. Receptacle -Underground
- ----- -------------------------------
86 Ventilation Throughout House
..-. ..----------------
---- ----------------
87 Glass Protection
_. - ----------- --------------------
88. Corrections trom Prev10US Inspections
89 Gas Test -Meters Tagged: Gas -Electric
.. . .. -------------------------------------------------
90
---_ ---------------------------------------
90 Water & Sewer Connected-C'O to Grade -HD Approval
----------
..------------------------------
91 Energy Compliance Certificate -Other Certificates
------------------------ --------------------
Date Card B-1Date 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 (916) 538-75 NO.
APPLICATI6N AND PERMIT -��� P R T
ASSESSOR PARCEL NUMBER 024-270-047
ZONING
BUILDING PERMIT
OWNER
JAMES RITREANK
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
76R IT i3,R94-nn
OWNERS MAILING ADDRESS
CONTRACTOR'S NAME
BURNIF TAYLOR
TELEPHONE
674-1446
CONTRACTORS MAILING ADDRESS
PC) BOX 515 SLITTER, CA 959,92
Fireplace
CONSTRUCTION LENDER
NONE
UNKNOWN
Total Valuation $
Filing Fee
$ 20.00
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER NONE
LICENSE NO.
Plan Checking Fee
$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEERS MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
PERMITFEE
_ 272.4
PLUMBING PERMIT
Filing Fee 20.00
Each Trap
7.00
LOT NO.
SUBDNISION'S NAME
PARCEL MAP
Solar or heat pump water heater
23.00
Water piping
15.00
USEOFSTRUCTURE
SF ❑ Duplex ❑ Mobilehome ❑ Other STOR.AG RT fir_
s€cl L
Each gas water heater or vent
15.00
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
TYPE OF WORK
New IX Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑
Describe Work:
Mobile Home ISI GI W1
920.00
PERMITFEE
$
Contractor
ELECTRICAL PERMIT
Filinq Fee 20:00
Main Service a00V OR LESS
( 200A OR LESS )
23.00
Main Service ( 200A TO 1000A )
46.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license is in full force and effect.
License Class % Lic. No. O OWNER -BUILDER DE LARAT ON
I hereby affirm under penalty of perjury that I am exempt frorfi 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
0 construct il% project.
Q' I am exempt ypoer Sec. Business and Professions Code for this
reason � n tee-
WORKERS' M ENSATION 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
NEW CONST, DWELLING OCCUR
OR ADDNS. ( 8 ACC. BIDS. )
SOO C
3.50 FT.. 26 V•85
NEW CONST. / MULTI.OUTLET
NON-RESID. \ BRANCH CIRCUITS )
97.50
( 8 POWER APPARATUS )
SINGLE OUTLET CIR.
Ex. Occup. ( OUTLET OR FIXTURES )
20 Q 1.00
�L 30
FIXED APPLNS. OR
Ex. Occup. ( OUTLETS (RESID.) EA )
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
PERMITFEE
$ 46.85
Contractor
MECHANICAL PERMIT
Filing Fee 20.00
9
Heating
Cooling
Hood
6.50
Ventilation
PERMITFEE
$
Contractor
Policy Number
(The above sections need not be completed if the permit is for work of a valuation
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
wor rs' compensation provisions of section 3700 of the Labor Code, I shall
f ith�complywithh,,thha provisions.
X Date ��
a ure of Applicant - dner ontractor ❑ Agen
An OSHA permit is required for excavations over 60",,deep and dem Rion or construction
of structures over 3 stories in height. /�?
Mobile Home Installation Fee
$
Energy Inspection Fee Is
OCC
CONST. TYPE
TOTAL FEE $ 319.30
HA2.
I D. FEES
IMP
FLOOD
_
CDF
PARCEL PID HD
ISSUE
This permit is hereby issued under tt)e applicable provisions
of the Butte County Code and/or Resolutions to do work
indicated above for which fees have been paid.
By Date
PERMITEXPIRESON !� ��z
(Date)
Receipt No. 195371 — 139.45// )9,
WHITE-D.D.S.-E.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
�+"`"ter t,..-�.., ..r%,.-rv,-..i��y.-.::-vt ......i...-.s'v:�.s.�, s .•-r�'t... �.r^�' �rr.C:yrruii rsY*�i"•:..av!""���.'ts.:ir--r^-'•-.ti�.i: . ,.
COUNTYOF BUTTE - DEPARTMENTOF DEVELOPMENT SERVICES -BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA95965 - TELEPHONE (916) 538-7541
y
PERMIT APPLICATION DATA SHEET
OWNER V a Ydl C' .S (� U i C! 4 A P. o. v) � � / � O(
Proposed Building Use 1f G Building Inspector Date %
W 4t
At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance:
DATE RECEIVED BY
1. All items have been submitted........................................ .
2. Plot plans, 3/4 sets, signed by preparer of plans. ..........................
3. Complete plans, 3/4 sets, signed by preparer of plans. ......................
4. Engineered plans and calcs, 3/4 sets, with wet signature on plans. ............. `
5. Hazardous Material Form.............................................
6. Energy Design Compliance and supporting documentation . ..................
7. Statement of Intent for Non-Heated and A/C Buildings. ......................
8. Engineered truss details and layout in duplicate (required prior to plan check). ....
9. MobilehomeMvd rxtanufacturer's installation instructions, 2 sets. .............
10. Fees of $ S . .....................................
11. Impact fees as shown on attached schedule. ............................. .
12. California Department of Forestry plan approval/fees. ...................... .
13. Flood elevation letter (100 year flood) by C l�fornia Engineer. ...............: : ..
14. Sanitation and plot plan approval V � v Ile Health Department. ........ .
15. City of Chico plumbing permit..........................................
16. Plot plan and business license approval from City of Biggs/Gridley. .............
17. Planning approval for (A) Use: (B) Parking: . .........
18. Contact Land Development.about (A) Improvements (B) Drainage. .......... .
19. Driveway permit (construction approval required prior to occupancy).. ........... .
20. Pre-inspection for P��"�e�O" actor
required. . to Building Inspector (Date)
21. Contractor's license information. (No., Name Style, Classification). ..............
22. Certificate of Workmans Compensation Insurance. ..........................
23. Owner-Builder Verification (Given to owner , Mail to owner _). ...........
24. Recorded copy of Agricultural Acknowledgement Statement. ..................
25. Letter of signature authorization.........................................
26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... .
27. Letter of intent on building use. ........... .............................. .
28. Mobilehome utility clearance. ..........................................
................
29. Documentation of legal access . ..................... :..................
30. Documentation of 50% subdivision developed or (A) Road improvements completed
and (B) Parcel meets zoning area and frontage requirements. ...............
31. Existing violations/expired permits........................................
332. Plan check list.
wt333. , .........�6. 5 _lS -Yle
4.
When- you issue thep)0 it, Rr?xss as follows: Mail owner. Mail to contractor.
K Telephone �I� �` 17710 and hold for pickup at office. Deliver with inspector.
Other
Parcel Creation • �
Acreage Applicant , Date
Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date
Copy of plans sent Health Dept. Fire Dept. Other Date By
The following data must be submitted prior to permit issuance: (Circle new item not checked above).
1. Index permit for above item o.
2. Additional items required:ffho!\_�u :P21LN4�W-at"
,
`513' CDO SM-i�-g
Contractor, designer, owner, was advised of above required data by _ phone -mail Cot,er by _ Date
Contractor, designer, owner was advised of above required data by _ phone -mail unter by _ Date
Plans checked by Date Plans approved by Date Jam'/S
Sets of plans on hold in File cabinet AP folder
Copy - Department of Public Works
TO: Building Department
FROM: Environmental Health
SUBJECT: Sanitation Clearance
/ a l cm-
.x. USN
Plot Plus A -A -A
11
10.w Plea AUschad
Sot to B.D. —
-20,0 -'R
Owner Location � ,40,.w ' AP#
Plan Approved for: Sewage Disposal Water Supply: Public Private Well
Clearance for . Other C59ZV, 4-(5C-- 3 c,� �.
Hold fin'for:
Final learance O.K. for:
Environmental Health Specialist
Q/a"
Da6/7
a
0`f7
May 14, 1996�Lq
TO THE BUILDING DEPARTMENT
BUTTE COUNTY
4
The proposed storage building we plan to build will be used
to store miscellaneous items and a camper.
I
COON
Br o�
nFc�a�rT
UILDING; r .
BUTTAppgo� G
\JD
RESIDENTIAL
024-270-047 PERMIT#94-2041
BURBANK, JAMES & ESTELLE
121 SHELDON RD., GRIDLEY
ADD 62/1200 WING & *OFF/FMLY RM ADD/SF-
V=OK
O = Not OK
N Applicable MOBILE HOMES
Date/Initials MOBILE HOME UTILITIES (Plana) OK except #'s
1. Zoning Requirements -Setbacks -Easements
2. Soils; Special MH Support Sketch
3. Sewer; Location -Test -Fall -C/O Concrete '
4. Water; Location -Test -Easement Needed (Sketch)
-5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete
6. Gas; Location -Test -Wrap: / /"L"ft.
/ /"Nat. or/ /" L" h./ /"LPG
7. Well Clearance & Disconnect
8. Utility Clearance '
Date/Initials MOBILE HOME INSTALLATION (Plans) OK except #'s
1. Zoning Requirements -Setbacks Easements
2. Footings; Size -Spacing -Marriage Line
3.. Gas; MH Test -Demand -Valve -Connector
4. Electricity; MH Test -Crossovers -Breakers -Clearances
5. Drain; MH Test -Fall -Flex Connector
6. Water; MH Test -Regulator -Connector
7. Water and Sewer Connected -C/O to Grade -HD Approval
8. Gas and Electricity Tagged -
9. Exits; Insp.-Sketch
10. Cert. of Occupancy
MISCELLANEOUS
Date/Initial DECKS, COVERS, CARPORTS, OARAOES, (Plans)OK except #'s
1. Zoning Requirements -Setbacks -Easements
2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel
3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails
4. Wood Awn.; Posts-Beams-Rftrs.-Connectors
Shthg.-Rfg.-Bracing
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Carports; Windows -Doors
7. Electric
8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses
9. Siding; Nailing -Veneer -Stucco -Mesh
10. Roof; Shthg-Roofing
11. Ext.; Steps -Doors -Landings
Date/Initials POOLS (Plans) OK except #'s
1. Setbacks -Easements
2. Soils; Compaction -Structure Stability
3. Pool Structure; Steel -Connections -Thickness
Dead Men -Lining
4. Elec.; Receptacles and Lighting, Distances-GFI
5. Elec.; Pool Lighting; 15 volts-GFI
6. Elec.;Enclosures; Conduit Entries -Terminals -Listed
7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater
8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg.
Boxes -Enclosures- Pane lboards-Ins. to Mein in Conduit
9. Health Department Approval
10. Plumb.; Cir. Test -Water Supply Test
V=OK
O=Not OK
- = Not Applicable RESIDENTIAL '(Single & Duplex)
= Not Ready
Date/Initials UNDERFLOOR Plans OK except #'s
U99 C . oning-Setbacks-Easements-Flood-Slope
07 -if 1 7 Main; Soils-Elec. Grnd.-/ /' Fig. Depth
3. Fig., Garage; Soils-Steel-Elec. Grnd.-/ /" Fig. Depth
4. Fig., Porches & Decks; Soils -Steel-/ /Ftg. Depth
emwalls, 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 -Anchor -Regulator -Service Test
12. ctric; Underground
enums & Ducts; Clearance -Material -Support -Ins.
rders-Sills-Anchor Bolts -Joists -Vents -Cripples
Access & Ventilation
16. Insulation
Date/Initials PLUMBING Permit OK except #'s
Ol9rHtr.; Vent -Access -Combustion Air -Baffle
ipe; Test & Anchor -Neil Protection
D.W.V.; Test -Fittings & Anchor -Nail Protection
mower Pan; Test, First Floor -Tub Access
-20r. -test Tub & Shower, Second Floor -Tub Access
as Pipe; Size & Anchors
Date/initials ELECTRICAL Permit OK except #'s
FixtWe & Transformer Clearance -Ins. Protection
lec. Receptacles Spacing -Lights & Switches at Doors
ize oxes & No. of Conductors -Stapled
Romex Installed Close to Edge of Studs & C.J.
Equip. Ground made up w/Meth. Fastners-Bond Gas & Water
7. 2 Appliance Circuts in Kitchen & Conductor Size/GFI
-Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga.
Cu or.Al
___V.--Frange Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al.
Insulated Neutral ❑ Yes ❑ No
-�0'Seryice-Riser Conductors & Ground -Main Disconnect
811—Equip. Clearances Panels -Motors -Mach. Equip.
. lothes Closet Light -Shower Light -Spa Light
-__33r&mo1%Detector
Date/Initials MECHANICAL (Permit) OK except #'s
.-_.34--A-C-Ducts Insulation & Support
Vent Fan; Exhaust above insulation
. Condensate Drain & Overflow; Size & Grade
mance-Vent; Access -Comb. Air -Return Air Vent -115 outlet
Attic Access & Platform if Furnance in Attic
Date/Initials FRAMING (Plans) OK except #'s
{ _39.-Sils, Proper Material & Anchors
1 �_Ae.-Walls Studs -Nailing, Spacing & Bracing -Plates -Sound
41. Bea ing Walls over Girders & Floor Nailing
aft Stop in Walls (rat proof)
Stops; Furred Ceilings -Stairs -Chases -Tub
4. Headers & Beam -Size & Bearing
Date/Initials FRAMING (Continued)
,dangers -Post Caps -Anchors -Connectors
Ing. Joist-Rftr. ties-Purlin=roof Brac-Truss-Shthng.-Rfng.
replace Ties or Type A Flue -Fireplace Throat clearance
ttic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
�19-81fRh. Windows or Exiting Doors -Sill Hgt. & Dimensions
r-�arage Fire Protection Framing
61. arty Line Firewall & Openings
Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits
-&3-9hrI sem•, Width -Headroom -Rise -Run -Lending -Fire Protection
.1 plywood on Roof Overhang -Attic Vents -Rafter Outriggers
X55. -Siding=Nailing Veneer
56. ash -Drip Screed -Fd. Vents-Underflr. Access
LA7rG aKing Area -Glass Protection -Skylights -Plastic
ear Walls; Nailing -Bolts
59. Insulation -Walls -Ceilings
re io Wa s -Windows
Date/Initialslens OK except #'s
teps-Door & Sidelight Protection -Landings
2. Smok Detector
8 urnace; Vents -Clearance -Comb. Air -Connector -
In Garage; Above Floor -Ducts -Mach. Protection
Bath Fixtures & Tub
68rElec,,17rim & Subpanel; Breaker Sizes & Labels
63-I'Stairs & Rails
-48-Fireplace or Stove; Clearances -Hearth
_6W-1C1eS._Outlets at Wood Panel; Int. & Ext.
/.9. Kit.Fixt. & Appliance; Grnd: Air Gap -Cooking Clearance
7 c. Outlets & Receptacles at Kit. Counter
32- 43waye-Fire Door, Swing -Landing -Closer
LIrAve—twain Garage -Damper
fir. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.
In G ge; Above Floor -Meth. Protection
7 . Ib., Elec.,.& Mach. Equip. Listed for Location
7 . ec. Bgceptacles in Garage; (G.F.1.)-Romex Protection
nsulati n -Foam -Looked in Attic ❑ Yes
7 . uer ails& Deck Construction -Post Caps
7 dn. Vents & Crawl Hole Door-Drainagge & Wood -Earth
Cle "Looked under Floor O Yes
ollowing instld.; Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No;
Planters ❑ Yes ❑ No
co; Brown -Finish
A.C,!Jnit; Disconnect, Electrical, Plumbing
83 -'Vents Above Roof; Plbg: Appliance -Fireplace. -Clearance to
Openings
-$4-j%st dell; Disconnect, Electrical, Plumbing
AT Ex!oerrtlec. Trim; G.F.I. Receptacle -Underground
entuatt6 Throughout House
Comments at Final:
from Previous
Gas -Electric
& Sewer Connected -C/O to Grade -HD
Certificates
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541PERMIT o.
APPLICATION AND PERMIT ��^�
ASSESSOR PARCEL NUMBER 24-270%X 047
—
SR1 ZONING
BUILDING PERMIT
OWNER
JAMES & ESTELLE BURBANK
TELEPHONE
846-5488
SO. FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS'245
121 SHELDON RD GRIDLEY CA 95948
R 45,610-00
CONTRACTOR'S NAME
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
LENDER'S MAILING ADDRESS
Filing Fee $
20,00
Permit Fee $
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee $
33960
Energy Plan Checking Fee $
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty $
BUILDING ADDRESS 121 SHELDON RD
PERMIT FEE $
ons- n
GRIDLEY
PLUMBING PERMIT
Filing Fee 20.00
Each Trap
7.00 sr, nn
Solar or heat pump water heater
23.00
LOT NO. 3
1 SUBDIVISION'S NAME
PARCEL MAP
52-66
Water piping
15,00
Each gas water heater or vent
15.00
USE OF STRUCTURE
SF ❑X Duplex O Mobilehome ❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
15 00
Mobile Home S G 1 W
@20.00
TYPE OF WORK
New O Addition ❑ Remodel O Utilities O Installation O Other
Describework: ADD 61/1200 WING TO OFFICE/FAMILY RM
PERMIT FEE J$
10 .00
Contractor
ELECTRICAL PERMIT
Filing Fee 20.00
NEW HVAC
Main Service ( 100V OR LESS 200AORLESS )
23.00 23.00
Main Service ( 200A TO 1000A )
46.00
NEW OCCUP.
OR ADDNS.T- ( D BEACCGBLDS. )
3.50 F°; 47.75
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one)
❑ 1 am a licensed under provisions of Chapter 9, Division 3 of the Business and
Professions Code and my license is in full force and effect.
License No. Classification
O I, as the owner, 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)
1� I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044)
O 1 am exempt under Sec. Business and Professions Code
forthis reason
NEW CONST. MULTI -OUTLET
NON-RESID. ( BRANCH CIRCUITS )
@7.50
( POWER APPARATUS )
& SINGLE OUTLET CIR.
Ex. Occup. ( OUTLET OR FIXTURES )
20 @ 1.00
BAL. 0 .50
Ex. Occup.FIXED APPLNS. OR
( OUTLETS (RESID.1 EA. )
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
WORKER'S COMPENSATION INSURANCE
1 declare under penalty of perjury (check one):
O This permit is for $100.00 (valuation) or less.
O I have placed on file with the County of Butte Dept. of Development Services,
Building Division 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 Worker's
Compensation laws of California.
Notice to Applicant: If after making this statement, should you become subject to the
Worker's Compensation provisions of the Labor Code, you must forthwith comply with
such provisions or this permit will be revoked.
PERMIT FEE $
90.75
Contractor
MECHANICAL PERMIT
Filing Fee 20.00
Heating DUALPAK 2
30.00
Cooling
30.00
Hood
6.50 6.50
Ventilation
PERMIT FEE $
76.50
Contractor
I certify that I have read this application and state that the above information is correct.
I agree to comply to all Butte County Ordinances and California 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 against said
County in consequence of the granting of this permit.
X Date 9 y
Si ture of Applicant Owner ❑ Contractor O Agent
n OSHA permit is required for excavations over 5"0" deep and demolition or
construction of structures over 3 stories in height.AMC
Mobile Home Installation Fee $
Energy Inspection Fee $
46.00
DCC
CONST. TYPE
TOTAL FEE $
HAZ.
I D. FEES
I IMP
I FLOOD
I COF
I PARCEL I PIDND
ISSUE
X
This permit is hereby issued under the applicable provisions
of Butte$1, County Code and/or Resolutions to do work
dicve fq`r which fees have been paid.
B L� Date
P� MITEXPIRESON
(Date)
/-7�n , 77
Receipt NO. ISO ! ,530 6 X 7S,p
WHITE-D.D.S.-B.D. Rr.A INK -INSPECTOR GOLDENROD-APPLIC
�i��ti.. .�..ri'-iT �y,�'VS`r(��,�:..-�+yrw✓f/..�'�L�•''ia' f..,w�'4...v.°'.,ry�t�iy�,�;-�(.",�,t7"�ei.,%...r.�r+ �,-2"�:tttir+ue.T�'lir"�PnM.i,.-iyrst•'.'.svw•i.r'w..t.�a,..".,. n,,, w^Y ...-�-..-- .. • ...t.w . ;..r•. .�.,
C0UNTY,OF BUTTE - DEPARTMENTOF DEVELOPMENTSERVICES -BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA95965 -TELEPHONE (916) 538-7541
APPLICATION DATA SHEET
Proposed Building Use
At time of permit application, I was advised the following data must be submitted prior to permit processing afid/or issuance:
{t DATE RECEIVED BY
a -
1. All items have been submitted . ................................. �..... .
2. Plot plans„ 3/4, ,Ipets, signed by preparer of plans . ......................... .
3. Complete plans, 3/4 sets, signed by preparer of plans . ......................
4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . .............
Hazardous Material Form.
EEW�E rgy Design Compliance and supporting documentation . ............... .ement of Intent for Non -Heated and A/C Buildings . ....................... .
Engineered truss details and layout in duplicate (required prior to plan check). .. .
M ,biloshome a�and afiuf cturer' install�n instructions, 2 sets. ...........
eps of $ ... �L�� .......:. .
�' r
1. Impact act fees as shown on attache schedu e. Lr.... ........
12. California Department of Forestry plan approval/fees.................. .
Flood elevation letter (100 year flood y California Engineer . ................. .
Sanitation and plot plan approval Health Department . ............
15. Eity of Chico plumbing permit. ..... ..............................
Plot plan and business license ap4ar v ity of Biggs/Gridley. .............
17. Planning approval for (A) Use: �(B) Parking: °•
18.Contact Land Development about A) Improvements (B) Drainage. ...........
19. Driveway permit (construction approval required prior to occupancy). . .
PreaI s'edion requeV
20. Pre -inspection for required. .. to Building Inspector (Date)
21. Contractor's license information. (No., Name Style, Classification) . ..............
22. Certificate of Workmans Compensation Insurance . ......................... � -
23. Owner -Builder Verification (Given to owner , Mail to owner _) ............
24. Recorded copy of Agricultural Acknowledgement Statement . ..................
25. Letter of signature authorization . ........................................
26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... .
27. Letter of intent on building use . ........................................ .
28. Mobilehome utility clearance . ..........................................
29. Documentation of legal access . ..................... ; ..................
30. Documentation of 50% subdivision developed or (A) Road improvements completed
and (B) Parcel meets zoning area and frontage requirements . ...............
31. Existing violations/expired permits.
.......................
32. Plan check list . .....................................................
33.
W en u issue the permit, process as follows: Mail to ow er. Mail to contractor.
Telephone T Y6 _ raj rfand hold for pickup ato%, office. Deliver with inspector.
Other
Parcel Creation"
Acreage Applicant ate t
Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date
Copy of plans sent Health Dept. Fire Dept. then Date By
The following data must be submitted prior to permit ,i sua c n it a em eked above).
1. Index permit for above items No. G -
2. Additional items required:
`€tt
Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date
Contractor, designer, owner, was advised of above required data by —AS)�,�' e _ mail Counter by _ Date
Plans checked by Date Plan ppro'y'�rd by Date "
Sets of plans on hold in File cabine A fo?c(er
Copy - Department of Public Works _
ADMINISTRATIVE PERMIT
BUTTE COUNTY PLANNING DEPARTMENT August 15. 1994
DATE
94122
PERMIT NO.
024-270-047
ASSESSOR'S PARCEL NO.
Pursuant to the provisions of the Zoning Ordinance of the County of Butte and the special
conditions set forth below: James Burbank is hereby granted an Administrative Permit
in accordance with application filed: June 20, 1994 to allow a detached Senior Citizen
dwelling unit on property zoned SR -1 (Suburban Residential, 1 acre parcels) located on
the north side of Sheldon Avenue, approximately 1500 feet east of highway 99, in the
Gridley area.
I. Failure to comply with the conditions specified herein as the basis for
approval of application and issuance of Permit, constitutes cause for the
revocation of said permit in accordance with the procedures set forth in the
Butte County Zoning Ordinance, including Butte County Code Section 24-
62.
2. Unless otherwise provided for in a condition to an Administrative Permit, all
conditions must be completed by the permittee within 12 months of the
delivery of the countersigned permit to the permittee.
3. If any use for which an Administrative Permit has been granted is not
established within one year of the date of receipt of the countersigned
permit by the permittee, the permit shall be come null and void and
reapplication shall be required to establish the use.
4. The terms and conditions of this permit shall run with the land and shall be binding
upon and be to the benefit of the heirs, legal representatives, successors, and
assigns of the Permittee.
SPECIAL CONDITIONS:
1. The "living area," meaning.the interior habitable floor space area of a dwelling unit
including basements and attics, but not including a garage or any accessory
structure, shall not exceed 1,200 square feet.
2. The senior citizen dwelling unit is intended for the sole occupancy of one (1) adult
62 years of age or over or two (2) adult persons, one of whom is 62 years of age
or over. An affidavit of compliance with the age requirements of this section shall
c be recorded in the office of the Recorder prior to issuance of building permits.
aD 5z Said affidavit shall include the legal description of the lot or parcel and shall
PO a:l
7,a constitute a covenant running with the land, binding upon the original owners and
10 On their heirs, successors and assigns, limiting the occupancy of the senior citizen
dwelling unit to the conditions described in this section.
3. The senior citizen dwelling .unit.shail not be sold as a separate unit unless a parcel
containing the unit is created in compliance with the e)asbng zoning and
subdivision ordinances and the resulting density is in conformance with the
General Plan.
4. Two off-street parking spaces shall be provided for the senior citizen dwelling unit
in addition to the parking spaces required for the primary dwelling unit.
5. Adequate sewer and water facilities shall be provided subject to the approval of
Environmental Health Department.
6. All site development standards as required by the zoning district in which the unit
is located shall be met.
7. Maintain at least a 12 ft. wide access to the rear of the property for fire protection
purposes.
8. Provide an all weather access for a 40,000 pound fire apparatus to all structures.
9. The approval of this permit constitutes approval only to the extent that the project
complies with the Butte County Code end all other applicable regulations.
10. The requirements of all concerned governmental agencies having jurisdiction by
law, including but not limited to the issuance of appropriate permits, shall be met.
NOTE CONCERNING ALL COUNTY CONDITIONS OF APPROVAL:
"Minor changes may be approved administratively by the Director of Development
Services upon receipt of a substantiated written request by the applicant. Prior to such
approval, verification shall be made by each Department or Division that the modification
is consistent with the application, fees paid and environmental determination as
conditionally approved. Changes deemed to be major or significant in nature shall require
a formal application for an amendment."
NOTE: Issuance of this Administrative Permit does not waive requirement of obtaining
Building and Health Department permits before starting construction and their approvals
prior to use or occupancy, nor does it waive any other requirements.
, Planning Manager
cc: Land Development Division
Building Division
Health Department
Department of Forestry
INSULATION CPR'f,IE1.CATP
................ .............. ...
NUMnPAAND STREET UT
COUNTY 1.O'1 NIIMRPR - ----- --- -
DF.SCRi.PTi.ON OF INSTAi LATION �-- -- -----------�
ROOF
MATER 1 At. ARAiQIi NAMP _
1'ri1CKlQRSSZinchen)^- TURRHAL
IIATTS or BLANKET TYPR BATTS 11RANU NAMP CfR'I'A1.N'I'F,F.D
T111CKNPSS(inches)--- a TiIaRMAL RRSISTANCa(R-VA1.UP.) R- _
LOOSE FILL TYPR-FIBEBCL6SS .BRAND NAMP 1NSULSAFE I11 �-
CONTRACTOR'S MIN INSTALLED.WT Ib MINIMUM Tii1CKN9SS % T�- IN(,iiP
MANUFACTURP.R'S I.NSTAIA.P0 UT l'PR St? PT ACHRiVR TiIERMA1. RR I.STAN(;P.(R-VA1,1iP.) R-
PXTPRLOR WALL. ---
MATERIAL F1B_F.RGLASS ARAND NAMP. CERTAINTEED
t11ICItNRSS(inches)__` TUPRHAI, RESLSTANCP,(R VALUE.) ---R_/3_--- _--
RAISRD FLOOR
MATERIAL—FIBERGLASS _ BRAND NAS CERTAINTEED
Ti1C1RNRSS(inches)�� T1IPRHAL RPSI.STANC,P(R-VAI,IiP) R-
SLAB FLOOR
MATERIAL BRAND HARP
Tli[CRN6SS inches THERMAL.
WIDTU(inthes)
1`01111DATION WALL ,
MATPRiAi.. BRAND NAMP
TillCVNESSTrncNp-- TUERHAL RPS1S'CANCP(R-VAL,IIf j --�--- -- --"
DECLARATION
I hereby certify that thr above insulation was innintl.ed ,in the bnildinp, nt: tile, Location in r.onforNhrrnrp w(th the Current Bui.laing Energy Stnndnrds for new
residential buil.dingA cohidinod in titlt 24 of. the California Adminntrntive Code.
Gene,ra�Contractor .Bui�7et��- — 1..%cense Rtimhet--------- _
Si.pnnture• and Tic -le
HAWKINS INDUSTRIES, INC. _ 622184
Nub-Contrrrctoi�•i.nari�•a[jon tt9t�ileij�— — - ---------------___..__..-.---•--_-__--
t.cen
_ c � - �-5f3CRRTAItif .
199'---
Date
Si f;natdre .sn i.t le - =--of--- --
COUNTY OF BUTTE
BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
1469 Humboldt Road, Chico, CA - (916) 891-2751
7 County Center Drive, Oroville, CA - (916) 538-7541
747 Elliott Road, Paradise, CA - (916) 872-6307
CORRECTION NOTICE
OWNER PERMIT NO.
A routine inspection indicates that the following violations of Butte County Ordinances exist at
the above address and should be corrected. Please notify this office when correction of work
is completed. If you have any questions pertaining to this matter, or need additional explanation,
please contact tjA office immediately.
Date 110
REV 10/92
Inspector.
COUNTY OF BUTTE
y BUILDING DIVISION
DEPARTME14T OF DEVELOPMENT SERVICES
1469 Humboldt Road, Chico, CA - (916) 891-2751
7 County Center Drive, Oroville, CA - (916) 538-7541
747 Elliott Road, Paradise, CA - (916) 872-6307
CORRECTION NOTICE
OWNER — PERMIT NO. a
A routine inspection indicates that the following violations of ButtemCounty Ordinances exist at
the above address and should be corrected. Please notify this office when correction of work
is completed. If you have any questions pertaining to this matter, or need additional explanation,
please con this office immediately.
s6 /Pos. / l vL
Date Inspector
REV V /92
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISIO
7 County Center Drive - Oroville, California t15965 - Telephone (916) 538-7 PERMIT NO.
APPLICATION AND PERMIT �� _ I -
ASSESSOR PARCEL NUMBER
094-97-0-047
ZONING
SRI
BUILDING PERMIT
OWNER JAD4ES & ESTELLE BURBANK
TF,�EQF1S1"E5488
(�
SQ. FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS 121 SHELDON RD GRIDLEY, 95948�L
CONTRACTOR'S NAME BERNIE TAYLOR
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
LENDER'S MAILING ADDRESS
Filing Fee $
20.00
Permit Fee $
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee $
Energy Plan Checking Fee $
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty $
BUILDING ADDRESS
PERMIT FEE $
PLUMBING PERMIT
Filing Fee 20.00
Each Trap
7.00
Solar or heat pump water heater
23.00
LOT NO.
SUBDIVISION'S NAME
PARCEL MAP
Water piping
15,00
Each gas water heater or vent
15.00
USE OF STRUCTURE
SFLX Duplex O Mobilehome ❑ Other
SPECIFY
Gas piping system 1 5 outlets
15.00 15-00
Building sewer
15.00
Mobile Home S G I W
@20.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other X]
Describe Work: EXTEND GAS
PERMIT FEE $
Contractor
,
ELECTRICAL PERMIT
Filing Fee 20.00
RE 94-2401
Main Service (10111 LESS
OOAORLESS )
23.00
Main Service ( 200A TO 1000A )
46.00
NEW CONST. DWELLING OCCUP.
OR ADDNS. ( & ACC. BLOS. )
So.
3.50 FT.
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one)
❑ I am a licensed under provisions of Chapter 9, Division 3 of the Business and
Professions Code and my license is in full force and effect.
License No. Classification
O I, as the owner, 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)
J.1, as the owner, am exclusively contracting with licensed contractors. (Sec 7044)
❑ I am exempt under Sec. Business and Professions Code
forthis reason
NEW CONST. MULTI -OUTLET
NON,RESID. ( BRANCH CIRCUITS )
@7.50
( POWER APPARATUS )
& SINGLE OUTLET CIR.
Ex. Occup. ( OUTLET OR FIXTURES )
20 @ 1.00
BAL. @ .50
FIX ED APPws.OR
EX. OCCUp. ( OUTLETS IRESID.1 EA. )
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
WORKER'S COMPENSATION INSURANCE
1 declare under penalty of perjury (check one):
❑ This permit is for $100.00 (valuation) or less.
❑ 1 have placed on file with the County of Butte Dept. of Development Services,
Building Division a Certificate of Workmen's Compensation Insurance or a
Certificate of Consent to Self -insure.
Ix I shall not employ any person in any manner so as to become subject to the Worker's
Compensation laws of California.
Notice to Applicant: If after making this statement, should you become subject to the
Worker's Compensation provisions of the Labor Code, you must forthwith comply with
such provisions or this permit will be revoked.
PERMIT FEE $
Contractor
MECHANICAL PERMIT
Filing Fee 20.00
Heating
Cooling
Hood
6.50
Ventilation
PERMIT FEE $
Contractor
I certify that I have read this application and state that the above information is correct.
1 agree to comply to all Butte County Ordinances and California 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 against said
County in consequence of the granting of this permit.
x�Y;� R dA Date �� y — t7,41
Signa ure of Applicant - caner ❑ Contractor ❑ Agent
An OSHA permit is required for excavations over 5"0" deep and demolition or
construction of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
0cC
CONST. Tr PE
TOTAL FEE $ 35.00
HA?.
1 D. FEES
IMP
I FIOOD
I CDF
I PARCEL I PD
HD
ISSUE
This permit is hereby issued under the applicable provisions
of the Butte County Code and/or Resolutions to do work
indicated above for which fees have been paid.
By6%Date
PERMIT EXPIRES ON
rDetel
Receipt No. 170724
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
l it
1234CERTIFICATE OF COMPLIANCE: Residential Page 1. Cl
Project -Title: BURBANKf Run: 787. 24 -Aug -94
Project Address: 121 SHELDON BURBANK
GRIDLEY, CA.
Building,Title: BURBANK Building Permit; #
Document,Author: MICHAEL, F. SROKA
Telephone: 742-6148 Plan Check / Date
Compliance Method: CALRES2 Version 1.31 Field Check / Date
Climate Zone: 11 -
GENERAL INFORMATION
Conditioned Floor Area: 533 ft2
Building Type: SFD Single Family Detached
Building Front Orientation: 180 deg (South)
Number of Dwelling Units: 1.00
Floor Construction Type: Raised floor
BUILDING SHELL INSULATION
Component Insul Assembly
Type R -value U -value, Location/Comments
--------------- ---------------- ----------------------------------------
Door 0 0 .330 Outside ' / FRONT
Door 0 "0.330 Outside / SIDE
Wall 13, 0.088 Outside`
Floor 0.037 Crawlspade
Ceiling E8 0.025 Attic
FENESTRATION
Area U- Interior Exterior Overhang Frame
Orientation (ft2) value Panes Shading Shading and Fins Type
----------------- ------ ----- ----- "---------- ---------- -------- --------
Window West 49.0 0.750 2 Whtk p Bug Screen Overhang Metal
Window East 34.0 00.750 2 Wht,,Dr-ape Bug Screen Overhang Metal
THERMAL MASS Area Thick
Type Exposed? (ft2) (in) Location/Comments
None
HVAC SYSTEMS
Duct Location
Type. Efficiency. and R -value
Furnace 0
—81 5]"A Attic R-4.2` Wo
Air. cond. -- central pc kg 11 ,OOi�SEER Attic R-4.2��
C10 oft 3:4
MW
NXV��
p9,0
CJERTIFICATE OF COMPLIANCE: Residential Page 2 CF -1R
Project Title: BURBANK: Run: 787 24 -Aug -94
WATER HEATING SYSTEMS
Distrib Water Water # of Energy Volume Wrap
System Name Type Heater Name Heater Type Htrs Factor (gal) R-val
-------------=----------------------------------- ---- ------ ------ -----
Standard—Gas Standard StandardGas•• Storage gas 1. 0.60 40 12
WATER HEATING SYSTEMS MISC
SPECIAL FEATURES, REMARKS, AND NOTES
None
COMPLIANCE STATEMENT
This certificate of compliance lists the building features and performance
specifications needed to comply with the Energy Standards in Title 24, Parts 1
and 6, of the California Code of. Regulations, and,the Administrative regulations
to implement them. This certificate has been signed by the individual with
overall design responsibility. When this certificate of compliance is submitted
for a single building plan to be built in multiple orientations, any shading
feature that is varied is indicated in.the Special Features, Remarks, and Notes
section.
Solar savings
Solar system
Wood stove
Wood
stove
System Name
------------
fraction
-------------
type
------ - -----
boiler?
----------
boiler pump?
-------------
Sta-ndard_ Gas---
No,
Nb
WATER HEATER/BOILER
DETAILS
Rated
Pilot
Water
Recovery
Input Standby
Tank
Light
Heater Name
Efficiency AFUE
(kBtuh)
--------------
Loss R -value
-------
(Btuh)
------
------------
StandardGas
---------- ----
77%
-- 36.00
--
--
ti
--
HYDRONIC DISTRIBUTION AND TERMINALS
Pipe
Pipe
Insul Insul
System/Name
Type
-------------
Number run
------ --------
(ft) diam
---------
(in)
thck (in) R -value
--------- -------
--------------
None
SPECIAL FEATURES, REMARKS, AND NOTES
None
COMPLIANCE STATEMENT
This certificate of compliance lists the building features and performance
specifications needed to comply with the Energy Standards in Title 24, Parts 1
and 6, of the California Code of. Regulations, and,the Administrative regulations
to implement them. This certificate has been signed by the individual with
overall design responsibility. When this certificate of compliance is submitted
for a single building plan to be built in multiple orientations, any shading
feature that is varied is indicated in.the Special Features, Remarks, and Notes
section.
CERTIFICATE
OF COMPLIANCE: Residential
Page 3
CF -1R
Project Title: BURBANK
Run: 787
24 -Aug -94
DESIGNER OR
OWNER
DOCUMENTATION AUTHOR
WHO CARES
MICHAEL F. SROKA
N/A
DESIGN & DRAFTING SERVICE
WHO CARES
4140 DAN AVENUE
MARYSVILLE, CA.
846-5488
742-6148
Lic #.
Signed
Date
Signed
Date
ENFORCEMENT
AGENCY
Name:
Title
Agency:
Telephone:
Signed
Date,
COMPUTER METHOD SUMMARY Page 1 C -2R
Project Title: BURBANK Run: 787 24 -Aug -94
Project Address: 121 SHELDON BURBANK
GRIDLEY, CA.
Building Title: BURBANK Building Permit #
Document Author: MICHAEL F. SROKA
Telephone: 742=6148 P1an'Check / Date
Compliance Method: CALRES2 Version 1.31 Field Check / Date
Climate Zone: 11
ENERGY USE SUMMARY (kBtu/ft2-yr)
Energy Use Standard Design Proposed Design
Space
Heating
13.92
16,62
Space
Cooling
20.06
20.58
Water
Heating
31.12
26.46
Total
Azm
65.10
63.66
GENERAL INFORMATION
Complies
Yes
Conditioned Floor Area: 533 ft2
Building Type: :SFD Single Family Detaclied
Building Front Orientation: 180 deg (South)
Number of Dwelling Units: 1.00
Number of Stories: 1
Floor Construction Type: Raised floor
Number of Conditioned Zones: 1
Total Conditioned Volume: 4264 ft3
Conditioned Footprint.Area: 533 ft2
Ground Floor Area: 533 ft2
BUILDING ZONE INFORMATION
Floor Vent Vent
Zone Area Volume Thermostat- Height Area
Name (ft2) (ft3) Type Type (ft). (ft2)
HOUSE 533 4264 Conditioned CEC Standard 280" 8.3
OPAQUE SURFACES
co
Surface
Area
U-
Insl
Tru
Slr
Construction
Type
(f,t2)
value
Rval
Azm
T1t
Gns.
Type
Location/Comments
Zone = HOUSE
Door
17.8
0.330
0
180
90
Yes
2868
Outside / FRONT
Door
17.8
0.330
0
270
90
Yes
2868
Outside / SIDE
Wall
89.2
0.088.
13
180
90
Yes
W131.2x4.16
'Outside
Wall
253.2
0.088
13
270
90
Yes
W13.2x4.16
Outside
Wall
107.0
0.088
13
0
90
Yes
W13.2x4.16
Outside
Wall
286.0
0.088
13
90
90
Yes
W13.2x4.16
Outside
Floor
533.0
0.037
19
--
180.
No
FC19.2x8.16
Crawlspace
Ceiling
533.0
0.025
38
--
0
Yes
R38.2x4.24
Attic
EOMPUTER METHOD SUMMARY Page 2 .0-2R
Project Title: BURBANK Run: 787 24 -Aug -94
PERIMETER LOSSES
Insul
Perimeter Length: F2 Insul Depth
Type (ft) Factor R-val (in) Location/Comments
------------------- ------ ----- ------ ---------------------------------
None
FENESTRATION SURFACES
Glazing'
Fenestration Area Tru Open Frame 'Charactr.
Name Type (ft2) Azm Tlt Type` Type Name Comments
Zone = HOUSE
W1 Wind 9.0 270 '90 Slider Metal U=.75
W2 Wind 40:0 270 90 Slider Metal U=.75
W3 Wind' 18.0 90 90 Slider Metal U=.75
W4 Wind. 12.0 90 90 Slider ,Metal U=.75
W5 Wind 4.0. 90 .90 Slider Metal U=.75
GLAZING CHARACTERISTICS
Glazing
Charactr Glazing # of, U- SC Gls Interior SC Int Exterior Sc Ext
Name Type Panes value Only Shade Type, Shade Shade Type Shade
U=.75 Clear 2 0.750 0.880, Wht Drape 0.620 Bug Screen 0.870
OVERHANGS
Fenestration
-------------------------- Above Left Right
Name Height Width Depth Glazing Extension,Extension
W1 310" 31
0" 200" 0.1
0" 2010" 1710"
W2 618" 610" 210 0'0" 310 3110"
W3 3'011 660" 210" 010 410" 301011
.
W4 3'0" 4'0" '2"0" 010" 2210" 14'-0".
W5 2'01' 2'0", 2'0" O' b" 3710"i 110$1
FINS Left Fin Right Fin
Fenestration Exten Dist Exten Dist
-------------------------- Fin Fin above to Fin Fin above to
Name Height Width Depth Height'glzng glzing Depth Height glzng glzing
None
COMPUTER METHOD.SUMMARY Page 3 C -2R
Project Title: BURBANK' Run: 787 24 -Aug -94
THERMAL MASS
Vol Cond-
Area Thck Heat duct- Construction Insd
Mass Name (ft2) (in) Cap ivity Type Rval Location/Comments
None
SOLAR GAIN DISTRIBUTION
Fenestration Winter Summer Targetted
Name Fraction Fraction Thermal Masse Comments
------------ -------- -------- ------------ -------- -- -
None
HVAC SYSTEMS
Duct Location
System Name System Type Efficiency and R -value
Zone HOUSE
GAS80 Furnace 0.80 AFUE Attic R-4.2
AC11.00 Air cond. -- central pckg: 11.00 SEER Attic R-4.2
WATER HEATING SYSTEMS
Distrib Water Water V 6f Energy Volume Wrap
System Name Type Heater Name Heater Type Htrs Factor (gal) R-val
Standard Gas Standard StandardGas Storage gas 1 0..60 40 12
WATER HEATING SYSTEMS MISC
Solar savings 'Solar system Wood stove WooT stove
System Name fraction type- boiler? boiler pump?
------------ ------------- --- --- - ----------------------------
Standard Gas -- -- No No
WATER HEATER/ROILER.DETAILS
Rated Pilot
Water Recovery Input Standby Tank Light
Heater Name Efficiency A•FUE' (kBtuh) Loss .R -value (Btuh)
------------ ---------- ------------------------- -------
StandardGas 7796 - 36..00 -- -- --
r
COMPUTER METHOD SUMMARY Page 4 C -2R.
Project Title: BURBANK Run: 787 24 -Aug -94
HYDRONIC DISTRIBUTION AND TERMINALS
Pipe ;Pipe Insul Insul
System/Name Type Number run (ft) diam (in) thck (in) R -value
--------------------------- ------ -------- --------- --------- -------
None
SPECIAL FEATURES, REMARKS,•AND NOTES
None
----------------------------------------------------------------------------
r
'
Mandatory Measures Checklist: Residential MF -1 R
NOTE: Lowrise residential buildings subject to the Standards must contain these measures regardless of the compliance
approach used. Items marked with an asterisk (') may be superseded by more stringent compliance requirements
listed on the Certificate of Compliance. When this checklist.,Is incorporated into the Rermjt documents, the features
noted shall be considered by all parties as binding minimum component performance specifications for the
mandatory measures whether they are shown elsewhere in the documents or on this checklist only.
DESCRIPTION��
DESIGNER
ENFORCEMENT
Building Envelope Measures
* §150(a): Minimum R-19 ceiling insulation.
- $
§150(b): Loose fill insulation manufacturer's labeled R -Value.
* §I50(c): Minimum R-13 wall insulation in framed walls (does not apply to exterior mass walls).
3
* §I50(d): Minimum R-13 raised floor insulation in framed floors; minimum R-8 in concrete raised floors.
§150(1): Slab edge insulation - water absorption rate do greater than 0.3%, water vapor transmission rate no
greater than 2.0 perm/inch.
--(�
§118: Insulation specified or installed meets California Energy Commission quality standards.
Indicate type and form.
§116.17: Fenestration Products, Exterior Doors and Infiltration/Exfiltration Controls
a. Doors and windows between conditioned and unconditioned spaces designed to limit air leakage.
b. Manufactured fenestration products have label with certified U -value, and infiltration certification.
c. Exterior doors and windows weath6rstripped; all joints and penetrations caulked and sealed.
§150(g): Vapor barriers mandatory in Climate Zones 14 and 16 only.
§1 50(Q: Special infiltration barrier installed to comply with §151 meets Commission quality standards.
b
§150(e): Installation of Fireplaces, Decorative Gas Appliances -and Gas Logs
1. Masonry and factory -built fireplaces have:
a. Closeable metal or glass door
b. Outside air intake with damper and control
c. Flue damper and control
2. No continuous burning gas pilots allowed.
Space Conditionfng, Water Heating.and'Plumbing System Measures
§110 -13: HVAC equipment, water heaters, showerheads and faucets certified by the Commission.
§150(i): Setback thermostat on all applicable heating systems.
§15001: Pipe and Tank Insulation
1. Indirect hot water tanks (e.g., unfired storage tanks or backup solar hot water tanks) have insulation
blanket (R-12 or greater) or combined into insulation (R-16 or greater).
2. First 5 feet of pipes closest to water heater tank, non -recirculating systems, insulated (R-4 or greater).
.3. All buried or exposed piping insulated in recirculating sections of hot water system.
4. Cooling system piping below 55°F insulated.
5. Piping insulated between healing source and indirect hot water tank.
* §150(m): Ducts and Fans I '
1. Ducts constructed, installed and sealed to comply with UMC Sections 1002 and 1004; ducts insulated
to a minimum installed value of R-4.2 or ducts enclosed entirely within conditioned space.
2. Exhaust tan systems have backdraft or.,automatic dampers .. I ,
3. Gravity ventilating systems serving conditioned space have either automatic or readily accessible;
manually operated dampers..
§114: Pool and Spa Heating Systems and Equipment
1. System is certified with 78% thermal efficiency, on-off switch,.weatherproof operating instructions,
no electric resistance heating and no pilot light.
2. System is installed with:
a. At least 36' pipe between filter and heater for future solar heating.
b. Cover for outdoor pools or outdoor spa.
L�
3. Pool system has -directional inlets and a circulation pump time switch'.
§115' Gas-fired central furnace, pool heater, spa heater or household cooking appliance have no
continuously buring pilot light. (Exception: Non -electrical cooking appliance with pilot < 150 Btu/hr.)
Lighting Measures
§150(k): 40 lumens/watt or greater for general lighting in kitchens and rooms with water closets; and
recessed ceiling fixtures IC (insulation cover) approved.
Revised January 1992
P
1'234CERTIFICATE OF COMPLIANCE: Residential Page 1 C
--------------------------------------------------------------------------------
Project Title: BURBANK2 Run: 791 24 -Aug -94
Project Address: 121 SHELDON BURBANK2
GRIDLEY, CA.,
Building Title: BURBANK2 Building Permit #
Document Author: MICHAEL F. SROKA
Telephone: 742-6148„, Plan Check / Date
Compliance Method: CALRES2 Version 1.31 Field Check / Date
Climate. Zone: 11
--------------------------------------------------------------------------------
GENERAL INFORMATION
Conditioned Floor'Area:
Building Type:
Building Front Orientation:
Number of Dwelling Units:',
Floor Construction Type.:
BUILDING SHELL INSULATION
Component Insul
Type R -value
--------------- --------
Door 0
Wall' r3
Floor 19
Ceiling 38
FENESTRATION
942 ft2
SFD Single Family Detached
180 deg (South)
1.00
Raised floor
Assembly
U -value- Location/.Comments
--------
-7 --------------------------------------
0.330 Outside,/ FRONT
0.088 Outside
0.037 Crawlspace
0.025 Attic
THERMAL MASS.- . .
Type Exposed?
None
HVAC SYSTEMS
Interior
Shading
Std Drape
Std Drape
Std Drape
Exterior
Shading
Bug Screen
Bug Screen
Bug Screen
Area . Thick
(ft2), (in) Location/Comments
Type
Furnace
Air cond.,-- central pckg
Duct Location
Efficiency and R -value
---------- -------------
0�80 AFUE� Attic R-4.2
1-1--.0'0—SEER Attic R-4.2
Overhang Frame
and Fins Type
Overhang Metal
Overhang Metal
Overhang Metal
Area
U -
Orientation
(ft2)
value
Panes
Window West
4.0
0.750
2
Window North
24.0
0.750
2
Window East
65.4
0.750
2
THERMAL MASS.- . .
Type Exposed?
None
HVAC SYSTEMS
Interior
Shading
Std Drape
Std Drape
Std Drape
Exterior
Shading
Bug Screen
Bug Screen
Bug Screen
Area . Thick
(ft2), (in) Location/Comments
Type
Furnace
Air cond.,-- central pckg
Duct Location
Efficiency and R -value
---------- -------------
0�80 AFUE� Attic R-4.2
1-1--.0'0—SEER Attic R-4.2
Overhang Frame
and Fins Type
Overhang Metal
Overhang Metal
Overhang Metal
4
CERTIFICATE OF COMPLIANCE: Residential Page 2 CF -1R
Project Title: BURBANK2 Run: 791 24 -Rug -94
--------------------------------------------------------------------------------
--------------------------------------------------------------------------------
t
WATER HEATING SYSTEMS
Distrib Water Water # of Energy Volume Wrap
System Name Type Heater Name Heater Type Htrs Factor (gal) R-val
------------ ----------------------------------- ---- ------ ------ -----
Standard as _S�tandard�Standa-r-dG.a.s..-w.Stor-ag-e wga-s2
WATER HEATING SYSTEMS.MISC
Solar. savings Solar system Wood stove Wood stove
System Name fraction type boiler? boiler pump?
------------ ------------- --------- -- -=-------- -------------
Standard Gas -- -- No No,
WATER HEATER/BOILER DETAILS
.Rated Pilot
Water Recovery' Input Standby Tank Light
Heater Name Efficiency AFUE (kBtuh) 'Loss, R -value (Btuh)
StandardGas 77% -- 36.00 -- -- --
HYDRONIC DISTRIBUTION AND TERMINALS
Pipe Pipe Insul Insul
System/Name Type Number run (ft) diam (in) thck (in) R -value
None I I I '
'SPECIAL FEATURES, REMARKS, AND NOTES
None
COMPLIANCE STATEMENT
This certificate of compliance lists the building features and performance
specifications needed to comply with the Energy Standards in Title 24, Parts 1
and 6, of the California Code of Regulations, and -the Administrative regulations
to implement them. This certificate has been signed by the individual with
overall design responsibility. When this certificate of compliance is submitted
for a single building plan to be built'in multiple orientations, any shading
feature that is varied is indicated in the Special Features, Remarks, and Notes
section.
CERTIFICATE�OF COMPLIANCE:
Residential
Page 3 CF -1R
Project Title:
BURBANK2
Run: 791 24 -Aug -94
DESIGNER OR OWNER
DOCUMENTATION AUTHOR
WHO CARES
MICHAEL F. SROKA.
N/A
DESIGN & DRAFTING SERVICE
WHO CARES
41.40 DAN -AVENUE'
MARYSVILLE, CA.
846-5488
742=6148
Lic #:
Signed
Date
Signed Date
ENFORCEMENT AGENCY
Name:
Title:
Agency:
Telephone'.:
Signed
Date:
COMPUTER METHOD SUMMARY Page 1 C -2R
---------------------------------------------------------------------------------
Project Title: BURBANK2 Run: 791 24 -Aug -94
Project Address: 121 SHELDON BURBANK2
GRIDLEY, CA.
Building Title: BURBANK2 Building Permit #
Document Author: MICHAEL F. SROKA
Telephone: 742-6148 Plan Check / Date
Compliance Method: CALRES2 Version 1.31 Field Check / Date
Climate Zone: 11
ENERGY USE SUMMARY (kBtu/ft2-yr
Energy -Use Standard Design
Space Heating 13.97
Space.Cooling 15.97
Water Heating 19.71
Total 49.65
GENERAL INFORMATION
Proposed Design
---------------
13.87
12.28
17201
-------- Complies.
43.16 Yes
Conditioned Floor Area: 942 ft2
Building Type: SFD Single Family Detached
Building Front Orientation: 180,deg (South)
Number of Dwelling Units: 1,.00
Number of Stories: 1
Floor Construction Type: � Raised floor
Number of Conditioned Zones: 1
Total Conditioned Volume: .7536 ft3
Conditioned Footprint Area: 942 ft2
Ground Floor Area: 942 ft2
BUILDING ZONE INFORMATION
Floor
Zone Area Volume
Name (ft2) (ft3) Type
HOUSE 942 7536 Conditioned
OPAQUE SURFACES
Vent
Thermostat Height
Type (ft)
`CEC Standard 210"
Vent
Area
(ft2)
9.3
Surface
Area
U-
Insl
Tru
Slr
Construction
Type
---------- ------------
(ft2)
value
Rval
----
Azm
---
Tlt
---
Gns
---
Type
------------
Location/Comments
-------------------------
Zone = HOUSE
Door
17.8
0.330
0
180'
90
Yes'2868
Outside / FRONT
Wall
234.2
0.088
13
180
90
Yes
W13.2x4.16
Outside
Wall
280.0
0.088
13
270
'90
Yes
W13.2x.4.16
Outside
Wall
232.'0
0.088
13
0
90
Yes
W13.2x4.16
Outside
Wall
22'2.6
0.088
13
90.1
90
Yes
W13.2x4.16
Outside
Floor
942.0
0.037
19
-.--180
No
FC19.2x8.16
Crawlspace
Ceiling
942.0
0.025
38
--
0
Yes
R38.2x4.24
Attic
COMPUTER METHOD.SUMMARY Page 2, C -2R
Project Title: BURBANK2 Run:, 791 24 -Aug -94
PERIMETER LOSSES
Insul
Perimeter Length F2, Insul Depth
Type (ft) Factor R-val (in) Location/Comments
None
FENESTRATION SURFACES
Glazing
Fenestration Area.Tru Open Frame Charactr
Name_ Type,(ft2) Azm Tlt Type Type Name Comments
-------------- ---- ----- - --------------------------- ----------------
Zone = HOUSE
Wl Wind 4.0 270 90 Slider Metal U=.75
W2 Wind 12".0 0 90 Slider- Metal U=.75
W3 Wind 12.0 0 90 Slider Metal U=.75
W4 Wind 12.0 90" 90 Slider Metal" U=.75
W5 Wind 53.4. 90 90 Slider MetalU=.75
GLAZING CHARACTERISTICS
Glazing
Charactr Glazing # of U- SC'Gls Interior SC Int Exterior SC Ext
Name.. Type Panes value Only Shade Type Shade Shade Type Shade
------
U=.75,- Clear 2 0.75_0 0.880 Std Drape 0.780 Bug Screen 0.870
OVERHANGS
Fenestration-
---------------------------
enestration.------------------- ------ Above 'Le,ft` Right
Name Height Width Depth Glazing Extension Extension
Wl 210'1 21011 2.�0ll 0„1f0,l 16.0 310
W2 .310,E 410,1 2,010 010" 28'0" 0101'
W3 310" 4'0" 210" 0'0" 101
0 18.1
0"
W4 310" 4'0" 200" 0'0" 24'0" 8'0"
W5 618" 8 , 0„ .2'.011 4 4 , 011 241011
FINS Left Fin Right Fin
Fenestration Exten Dist Exten Dist
--------=----------------- Fin Fin above to. Fin Fin above to
Name Height Width Depth Height glzng,g`lzing Depth Height glzng glzing
None
COMPUTER METHOD SUMMARY Page 3 C -2R
ProJect Title:, BURBANK2 Run: 791 24 -Aug -94
THERMAL MASS
Vol Cond
Area Thck Heat•duct- Construction Insd
Mass Name (ft2) (in) Cap,ivity.Type Rval Location/Comments
None
SOLAR GAIN DISTRIBUTION
Fenestration Winter Summer Targetted
Name Fraction Fraction Thermal -Mass Comments
None
HVAC SYSTEMS
Duct Location
System Name System Type Efficiency and R -value
Zone = HOUSE
GAS80 Furnace 0,80 AFUE Attic R-4.2
AC11.00 Air Gond. -- central pckg,' 11.00 SEER Attic R-4.2
WATER HEATING SYSTEMS
Distrib Water Water # of Energy Volume Wrap
System Name Type Heater Name Heater.Type Htrs Factor (gal) R-val
------------------------------------------------- ---- ------ ------ -----
Standard Gas Standard StandardGas Storage gas 1 0.60 40 12
WATER HEATING SYSTEMS MISC
Solar savings Solar system Wood stove Wood stove
System Name fraction type boiler? boiler pump?
Standard Gas -- -- No No
WATER HEATER/BOILER DETAILS
Rated Pilot
Water Recovery Input Standby Tank Light
Heater Name Efficiency AFUE (kBtuh) Loss R -value (Btuh)
StandardGas 77% --. 36.00-
Mandatory Measures Checklist: Residential W-1 R
NOTE: Lowrise residential buildings subject to the Standards must contain these measures regardless of the compliance
approach used. Items n'a'ked with an asterisk (') may be superseded by more stringent compliance requirements
listed on the Certificate of Compliance. When this checklist.,is incorporated into the permit documents, the features
note(' shall be considered by all parties as binding minimum component performance specifications for the
rnanr'atory measuios whether they are shown elsewhere in the documents or on this checklist only.
DESCRIPTION .moi/l1,�/j� I DESIGNER I ENFORCEMENT
Building Envelope Measures
* §150(a): Minimum R-19 ceiling insulation.
§150(b): Loose fill insulation manufacturer's labeled R -Value.
* §150(c): Minimum R-13 wall i6sulalion in framed walls (does not apply to exterior mass walls).
* §I50(d): Minimum R-13 raised floor insulation in framed floors; minimum R-8 in concrete raised floors.
§150(1): Slab edge insulation - water absorption rate do gieate� than 0.3%, water vapor transmissipn rate no
greater than 2.0 porn/inch.
§118: Insulation specified or installed meets California Energy Commission quality standards.
Indicate type and form.
§116-17: Fenestralion Products, Exlerior'Doors and InfiltratioNExfrl[ration Contids
a. Doors and windows between conditioned and unconditioned spaces designed to limit air leakage.
b. Manufactured fenestration products have label with certified U -value, and infiltration certification.
c. Exterior doors and windo•vs weallOrstripped; all joints and penetrations caulked and sealed. „
§150(g): Vapor barriers maidalmy In Climate Zones 14 and 16 only.
§ I50(0: Special infiltration barrier installed to comply with §151 meets Commission quality standards.
§I50(e): Installation of Fireplaces, Decorative Gas Appliances and Gas Logs
1. Masonry and factory -built fireplaces have:
a: Closeable metal of glass door
b. Outside air intal;Fl witli damper and control
c. Flue damper and control
2. No continuous burning gas pilots allowed.
Space Conditioning, Water Heating and,Piumbing System Measures
§110-13: HVAC equipment, water heaters, showerheads and faucets certified by the Commission.
§150(i): Setback thermostat on all applicable healing systems.
§1500): Pipe and lank Insulation
1. Indirect hot water tanks (e.g., unfired storage tanks or backup solar hot water tanks) have insulation
blanket (R-12 or greater) or combined inleriorlexterior insulation (5-16 or greater).
2 First 5 feet of pipes closest to water heater tank, non -recirculating syste.r,s, insulated (R-4 orgreatei).
3. All buried or exposed piping insulated in recirculating sections of hot wit+rr system."'
4. Cooling system piping below 55°F insulated.
5. Piping insulated between healing source and indirect hot water tank.
* §I50(m): Ducts and Faris
1. Ducts constructed, installed and sealed to comply with UMC Sections 1002 and 1004; ducts insulated
to a minimum installed value of R-4.2 or ducts enclosed entirely wit1iiil conditioned space.
2. Exhaust fan systems have backdraft or.,aulomatic dampers
3. Gravity ventilating systems serving conditioned space have either automatic or readily accessible,
manually operated 1ampers.. ,
§114: Pool and Spa Heating Systems and Equipment
1. System is certified with 78% thermal efficiency, on-off switch, weatherproof operating instructions,
no electric resistance heating and no pilot light.
2. System is installed with: , • ,
a. At least 36' pipe between filter and healer for future solar healing.
b. Cover for outdoor pools or outdoor spa. '
3. Pool system has directional inlets and a circulation pump time switch.
§115; Gas-fired cenlial furnace, pool heater, spa heater or hqusehold cooking appliance have no
continuously buring pilot light. (Exception: Non -electrical cooking appliance with pilot < 150 Blulhr.)
Ughting Measures
§150(k): 40 lumenstwatt or greater for general lighting in kitchens and rooms with water closets; and
recessed ceiling fixtures IC (insulation cover) approved.
Revised January 1992
a
RESIDENTIAL PLAN CHECKING GUIDE 8/91
(S.F., DUPLEX & MISC. ONLY)
` Bldg. Permit # � 0
OWNER �� A.P. #- dam.
GENERAL
Plan Checke
EY�rng requirements: (sideyards and number of permitted living units).
�ql ation.
lans signed by designer.
�l Proper description of work on application.
Existing violations on property.
6 tems on data sheet. (W.C., fees, Health, Developer Fees, License law, etc).
Recorded notice of violation.
PLOT PLAN
Complete parcel size and dimensions.
Setbacks, sideyards, easements, etc.
Other buildings or structures.
Grading, fills, drainage.
Flood hazard.
Special conditions on creation map,
ustible, and foundations).
FAU & FAS road setback.
(noise, CDF, fire sprinklers, non -comb -
Building or utilities across lot lines (Record form).
FLOOR PLAN
Complete to scale plan with dimensions.
Required windows for light and ventilation (Sec. 1205).
Required windows for second exit (Sec. 1204).
Skylights (Chapter 34 & Sec. 5207).
,,,-Human impact glass (Sec. 5406).
/Required room sizes, ceiling heights (Sec. 1207).
GFCIs in baths, garage, kitchen, and exterior outlets (Article 210-8).
Light fixtures, switches, receptacles, and exterior receptacles for main-
tenance of mechanical equipment.
Locations of water heater, heating and cooling equipment, other electrical
or gas equipment.
Garage firewall, door size, and closer (Sec..503(d)(3)).
1 - 3'0" exterior exit door (sec. 3304 (f).
Fireplace and wood stove.location, alcoves, and clearance.
Smoke detectors (Sec. 1210).
:'Plumbing fixtures, water closet clearances and shower size.
STRUCTURAL DETAILS
Standard bracing or engineered design,(Table 25V)
Unusual shape, size, or split level house requiring lateral design.
Clerestory requiring balloon framing and/or engineering.
Three story building requiring engineered calculations and plans.
Foundation plan complete enough to construct building.
Floor construction details complete enough to construct building.
Elevations and wall construction details complete enough to construct
Roof construction details complete enough to construct building.
T Fireplace construction details and calcs if necessary.
0 -.-Rafter ties or bearing ridge beam.
Garage door or porch header sizes.
Stud heights.
Adobe soils - special foundation design.
4k Retaining walls requiring design.
5-: Special Inspe ion required:
building
8/91
RESIDENTIAL PLAN CHECKING GUIDE
MISCELLANEOUS ITEMS TO LOOK OUT FOR
Stairway details: landings, rise and run, head clearance, handrails
(Sec. 3306).
Guardrail details (Sec. 1711 & 3306(j).
�- Brick or stone veneer (Chapter 30).
:'—Exterior plaster - weep screeds (Sec. 4706).
roper roof pitch for roof convening (Chapter 32).
Roof covering type - (fire hazard).
Foam insulation - protection.
'--36" halls and stairways.
Living area over garage - complete 1 -hour separation required on garage side
including supporting walls and posts, etc.
. Two exits on three-story dwellings (sec. 3303 & see Mezannines - 1716).
. Atti access and ventilation (Sec. 3205).
nderfloor access and ventilation (Sec. 2516).
Combustion air for.fuel burning appliances - L.P.G. requirements.
Noise requirements on duplexes.
Energy design.
Clashing at all exterior openings.
DF responsible area requirements.
r-
BUTTei6OUNTY FIRE
_C1317-FIRE-
Aso seMng: u 1C=
CITY OF %GS
CITY OF GRIDLEY FIRE ® R
David R. Minton
Battalion Chief
2544 HWY. 32
icHICO, CALIFORNIA 95926
(916) 895,6506
t
E.H. USE ONLY
Plot Plan Atnched
Floor Plm Att&dW
Seat to B.D. K — '
TO: . Building Department
FROM: Environmental Health
SUBJECT: Sanitation Clearance
Owner Location
Plan Approved for: Sewage Disposal Water Supply: Public
Clearance for bedroom mobi a home. O er
ZrL•_ &-%-
Hold final for:
Final clearance O.K. for:
NOTE:
Environmental Health Specialist
8/92
Y -17 -
AP1i t�
�7-
Private Well
Date
'=:t,'�,�r�%i'f"�"���"��"�`n'�=''�."r.``��5',�•`�,�i�ct';�:� '�";"� j �"%';S�'='.Yss',:'='1`"r.�r—,�� 'r-�.wwr1:.,.��...Arrl��h"Qy-
• aux: ! -�
- � y
BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM
(One Form Per Building)
School -District 0, ` Building Department No.
A.P. Number Jurisdiction ❑ City ❑ County
Property Owner
Property Location/Address 11-2-1
S/L/y �(/ �✓��
1
Subdivison Lot No.
Residential Development ❑ ❑ Sq. Footage
No. of Living MHI Addition (Group R)
Units `
Commercial/Industrial Sq. Footage
9
District Identification No.
. School District certifies that Z!li1.u�'iit.1
# (Applicant)
(Street Address) (Phone Number)
(City)
has complied with the requirements of Resolution No.
representing S 6 square feet.
Sc
Paid by Check # /,
Bank Number -.22_&
Paid by Cash /
// - 9 39%
(Zip Code)
by payment of $
❑ Check.here if fee received represents "Full Mitigation".
/// AW
Date
Remarks:
If, subsequent to the School District Representative signing this Butte County Schools Impact Fee
Certification Form, the School District is notified by the applicable Local Planning Agency that this project
is being reviewe&under the California Environmental Quality Act (CEQA), this project may be subject to
additional school fees to fully mitigate its impact on the school district's schools.
White (applicant), Yellow (building department), Pink (school district) reeform.wk, (aiea)
;14
PERMIT NO.
508'87B
PERMIT EXPIRES
3,IV
OWNER WAYNE
K
BATES
CONTR. owner
ASSESSOR PARCEL
24-27-47
:LOCATION 121.Shelton Ave, Gridley
v
n
p
Temp. Power Pole
�
Called PG&E
j
Temp. Elec. Service
Called PG&E
Temp. Gas .Service '
i:•
Called PG&E
JOB FINALED (Date)
` r
N
Signature
V OK
O Not OK
= Not Applicable MOBILEHOMES'
= Not Ready
MISCELLANEOUS
Date
-MOBILEHOME UTILITIES (Plans) OK except #'s
1. Zoning Requirements -Setbacks -Easements
2.. Soils; Special MH,Support- Sketch
3. Sewer; Location -Test -Fall -C/0 -Concrete
Date
DECKS, COVERS, CARPORTS, ETC. (Plans) OK except #'s
1. Zoning Requirements -Setbacks -Easements _
2. Footings; Size -Depth -Spacing -Connectors
3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails
4. Water; Location -Test -Easement Needed (Sketch)
5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete
4, Wood Awn.; Posts-Beams-Rftrs;-Con nec.-Shthg.-Rfg.-Bracing
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Gas; Location -Test -Wrap:/ /"L"ft:/ /"Nat. or/ /"L"ft./ P, LPG
7. Utility Clearance
6. Carports; Windows -Doors
7. Elec.
Card -BI
Date Card -BI Date
Card -BI
Date Card -B1. Date
Card -BI
Date
Date Card -BI Date
MOBILEHOME INSTALLATION (Plans) OK except #'s
Card -BI
Date
Date Card -B1 Date
POOLS (Plans) OK except #'s
.1. Zoning Requirements -Setbacks -Easements .
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-Crossover s- Brea kers-Clearances
4, Elec.; Receptacles and Lighting; Distances-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/O to Grade -HD Approval
7. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater
8. Gas and Electricity Tagged _
8. Elea; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghtg.
Boxes -Enclosures- Pane Iboards- 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-1
Date Card -BI Date_
Card BI
Date Card -BI Date
Card 6-1
Date Card -BI Date"""-
Card -BI
Date Card -BI Date
J = OK
0 = Not OK
= Not Applicable = Not Ready RESIDENTIAL (Single and Duplex)
Date
UN
FLOOR Plans OK except#'s
Date
FRAMING (Continued)
-
1.
Zoning requirements -Setbacks -Easements
4&.
Pmpert7-ttne Firewall & Openings
2.
I-Elec. Grnd.- / /" Ftg. Depth
49.
IS44-Beers-One 3' -Check Garage -3rd story, 2 exits
-
Ftg., Garage: Soils -Steel- / /" Ftg. Depth
50.
room -Rise -Run -Landing -Fire Protection
4•
a s; Soils -Steel- / /" Ftg. Depth
5
_
ywuud un oof Overhang -Attic Vents -Rafter Outriggers
aia:Stsel-Blackouts-Wrapped-Slab
52.
_
Siding -Nailing -Veneer
Stemwalls, Garage; Steel-Blockouts-Wrapped-SI
5k-6tnese-Meah-Drip
Screed-Fdn. Vents-Underflr. Access
_-
7.
kka,,
-Test-2 way C/O -Sewer Test
_
54_fl =- i Area -Glass Protection -Skylights -Plastic
5&,Sbear-Yda , Nailing -Bolts
6as Pipe, 9ize--*rrc*ors
10
_ -Anchors-Regulator-Service Test
11.
1 •
nd
P I entrirs-&-DUCTS-Clearance-Material-Support-Ins.
_
13.
- nchor Bolts -Joists -Vents -Cripples
Card -B
Card -BI
Card -BI
Date i Card -BI Date
Date Card -BI Date
Date Card -BI Date
Card -BI
0,,n
Dat Card -BI Date
Date
FI
tans) OK except'#'s
Card -BI Date Card -BI Date
Date
PLUMBING (Permit) OK except #'s
6.
Ext. Steps -Door ir)elight Protection -Landings
57.
etector
Card -BI
Card -BI
14.
16.
17.
18.
19.
Water Ht.: Vent -Access -Combustion Air
Water Pipe: Test & Anchors -Nail Protection
D.W.V.: Test-Fttngs & Anchors -Nail Protection
Shower Pan: Test, First Floor -Tub Access
Test Tub -& Shower, 2nd Floor -Tub Access
Gas Pipe: Size & Anchors
Date _ Card -BI _ Date
Date Card -BI Date
5&r--Fwaace;_Vents-Clearance-Comb. Air -Connector -
In Garage; Above Floor-Ducts-Mech. Protection
59. xt tng -
60. s''& Tub Access
� Elec. Trim & Subpanel; Breaker Sizes -Labels
62. emirs Ilaiis
63. rances-Hearth
6 anel; Int. & Ext.
65
e; Grnd.-Air Gap -Cooking Clearance
66. acles at Kit. Counter
Date
ELECTRICAL Permit OK except #'s
e oor; Swing -Landing -Closer
68"
A.G Pool iR Garage--UaFmper
Card B -I
Card B -I
20.
21.
21.
22.
23.
24.
25.
26.
27.
Fixture & Transformer Clearance -Ins. Protection
Elec. Receptacles Spacing -Lights _& Switches at Doors
Size Boxes & No. of Conductors -Stapled
Romex Installed Close to Edge of Studs & C.J.
Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water
2 Appliance Circuits in Kitchen & Conductor Size
Subfeed Wire Size / / ga. Cu or Al-A.C. Wire Size / / ga. Cu or Al
Range Circ. / / ga. Cu or -Al -Oven Circ. / / ga. Cu or Al,
Insulated Neutral Yes _ No -
Service -Riser Conductors & Ground -Mai n_D_isconnect
Equip. Clearances: Panels. Motors-Mech. Equip.
Clothes Closet light -Shower Light _
Date Card -BI _ Date - _
Date Card -BI Date
6
r.; ents-Clearance-Comb. Air-Connector-P.R.V.-
Garage; Above Floor-Mech. Protection
• 70.
., Elec. & Mech. Equip. Listed for L t0n
1.
Elec. Receptacles in Garage; (G. -Romex Protec.
72.
- - oo a to Wit; E] Yes
73,
s ec onstru ton -Post Caps
74
6fiy'Door-Drainage& Wood -Earth Clearance
Looked under Floor ❑ Yes
75.
Following insstld. P_P.ve s ❑ No; Walks ❑ oNON
Planters lis [J No
7
77.
-
- es-Brkr. & Cond. Size -115V Outlet
78
- liance-Firepl.-Clearance to Opngs.
79.
trical, Plumbing
8
xterior Elec. Trim; G.F.I. Receptacle -Underground
, g
use
run6
Date
MECHANICAL (Permit) OK except #'s
Corrections from Previous Inspections
-- e ers Tagged; Gas -Electric
Card -BI
Card -61
31.
32.
33•
34.
35.
A.C. Ducts. Insulation & Support _ _ - - _
Vent Fan: Exhaust above Insulation _ -
Condensate Drain & Overflow: Size _& Grade
Furnace -Vent: Access -Comb. Air -Return _Air Vent -115V outlet
Attic Access & Platform if Furnace in Attic
Date Card -BI Date - _
Date Card -81 Date
85.ater
& Sewer C cted-C/O to Grade -HD Approval
8
ompliance Certificate -Other Certificates
- -
Card-BICard-BI
Card -BI TT
Date
Date Card -BI Date
Card -BI
Date Card -BI Date
Date
F AMING(Plans) OK except #'s
Com
lents at Final:
36 Sills, Proper Material & Anchors
37. Walls: Studs -Nailing, Spacing & Bracing -Plates -Sound
X38. Bearing Walls over Girders & Floor Nailing
-Walls (rat proof)
4 rred CeiIings_Stairs=Chases-Tub
41 Header &Beam -Size & Bearing
42. gers-Post Caps -Anchors -Connectors
3. Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfnq.
pe A Flue -Fireplace Throat
45. ess. Size & Romex Protection -Draft Stop -Ins. Baffles
46. Bd i w 'or Exiting Doors -Sill Hgt. & Dimensions -
47. G�ago_944:�lion Framing
_
-
(NOTE An entry must be made each time you visit job site)
J COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - OroviIIe.,CaIifornk..95965 - Telephone 916/534-4541
APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER
p/,]C
ZO�N
BUILDING PERMIT
OWNS
TELEPHONE
0 / 6/
SQ. FT. OCC. BUILDING VALU TION
OW ER'S M LING ESS
N RACY R
TELEPHONE
O NTR ACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation Is
1 �-
Filing Fee
$ 10,00
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$ J �• a
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$ 0j , '7!
BUILDING ADDRESS
Permit fee
$
PLUMBING PERMIT
FiIingFee 10.00
'
Each Trap
2.00
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAME
PARCE MAP
�--6 1�
Water piping
5.00
Each pas water heater or vent
5.00
USE OF STRUCTURE
SF❑ Duplex❑ Mobilehome❑ Other
SPECI FY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home S I G I W
10.00 ea
TYPE OF WORK
New Addition ❑ R model[:]Utilities ❑ Installation❑ Other ❑
Describe work: LJ 0 4 _
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service jp0 AMPOR1 OR
10.00
Main service EA. ADO'L too AMP
2.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
❑ I am licensed under provisions of Chapt. 9, Div. 3 of the BUslnesS
and Professions Code and my license is in full force and effect.
License No. Classification
[!]' I. as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract -Mobile
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONST. DWELLING OCCUP.& LCGS , h¢sgft
New CONSTR.( AUC
TB OUTLET
NON-RESID BRANCH CIRC ITS 2.50 ea '
POWER APPARATUS &)
(SINGLE OUTLET CIR,
Ex. Occu zAL030
p OUTLETS OR FIXTURES BL0r
FIXED PR
Ex. Occup. OUTLETS (RESID )EA.1 2.00
Temporary service 10.00
Home Facilities 15.00
Misc. Wiring
g 15.00
Permit Fee $
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ 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.
Ce I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
Contractor
MECHANICAL PERMIT
Filing Fee 10.00
Heating
Cooling
g
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.
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
against said County in consequence o the granting of this permit.
F
X Date
Signature of Ap Icant — Owner Contractor ❑ Agent ❑
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
TOTAL PERMIT FEE $ 1°7;7 S
OCCu P,NS
c
I Loo
PARCEL
PD
D
9ISSu
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIRECTJM OF PUBLIC
By
P T EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date
Receipt No. %
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
COUNTY OF BUTTE - DEPARTMENT. OF,. PUBLIC WORKS - BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE,' CaA_''L"` P6RNIA 95965 - TELEPHONE: 916/534-4541
OWNER
Proposed Building
PERMIT APPLICATION DATA SHEET
Permit No.
A. P. No. _
Building Inspector
Date 1
At time of permit application, I was advised the following data must be submit't'ed prior to permit processing
andJor issuance: DATE RECEIVED APPROVED
1. All items have been submitted. . . . . .
Plot plans in up+rca a/♦t�ficate, signed by preparer of .pl:ans.._., 42 ez
Complete plans in ,,upli'�/triplicate, signed by preparer of plans
4. omplete engineered pla plans and calcs, with wet signature on plans.
5. Plans with Energy Design Compliance Statement. . . . . .
6. CUSD ''Fees Paid'' Stamp on Floor Plan . . . . . . . .
7 Statement of Intent for Non -Heated and AC Buildings.
8. Fees of $/'+�, , . , , , , ,
9. Letter of signature authorization.
��Z10. Sanitation approval from G/ealth Dept.
1. Planning approval for (A) Use: (B) Parking:
12. Certificate of Workmen's Compensation Insurance. . . . . .
13. Contractor's License Information (no., name style, classif.)
14. Owner -Builder Verification (Given to owner❑, Mail to owner ❑,), 5
_15. Improvements may be required. . . . . . . . . . . .
16. Mobilehome Installation Data. . . . . . . . . .
Pre-Inspec.request to t ,
17. Pre -Inspection for Required. Building Inspector (Date)
18. Recorded copy of Agricultural Acknowledgment Statement.
19. Driveway Permit.
20. Plot plan approval from city of
21.
22.
Wh�issue the permit, process as follows: Mail to: wner, Mail to contractor.
Telephone -� and hold for pickup ffice, Deliver w/inspector.
Other
Copy of plans sent Health Dept., Fire Dept., Other Date
The following data must be submitted prior to per 't i sua ce: (Circle new item not checked above).
1. Index permit for above items No.
2. Additional items required:
Contractor, designer, owner, was advised of above required data by_phone----nail—counter by date
Contractor, designer, owner, was advised of above required data by —phone _maII—counter by date
Plans checked
Copy—DPW
Date Plans approved by
Sets of plans on hold in File cabinet AP folder
Date
3-jl�
- Flours: 10:00 a.m. - 3:00 p.m.
- l o Juiidin; Departrr; int ti . 'I"
,-
From,: �Environmental Hoath t:
Subject: Sanitation Clearance
Owner Location AP//
Plan Approved for: Sewage disposal �� rater supply d
Hold final for: r;::ter supply
Final clearance O.K. for: cater supply
Clearance for bedroor: w.obil.e home. Other — S
N077,
z -zs �-z
'Sanitarian Date
i
To: .juiiding Departi-nent ��-• r;y .
Froin: �Environmental
tic<ath
,
Subject: Sanitation
Clearance
i
lw
l Zt S a-.
Z Al -- Z 7 y7
Ovher
Location d
AI?V
Plan Approved for:
Sewage dispoe;al
grater supply
. Hold final for:
r;uter supply
Final clearance O.K.
for:
crater supply
Clearance for
bedrooir m.obil.e
hoire. Other,
NO E; ac
r•
COUNTY OF BUTTE - Department of Public Works
7 County Center Drive, Oroville,.CA 95965
OWNER -BUILDER VERIFICATION
Attention Property Owner:
Phone: 916-538-7541
An 'owner -builder" building-pe"rmit 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 materials for.construction of
the proposed property improvement (yes or no).
2. I (have/) signed an application for a building permit
for the proposed work.
3. I have contracted with the following person (firm) to provide the proposed
construction:
Name
Address City
Phone Contractors 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
Address City
Phone Contractors 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
Social Security Number
Date
r
NOTE: This Owner -Builder Verification is sent to.you as required by Sections 19831 and
19832 of the California Health and Safety Code.
This verification must be completed and returned to our office before we are, per-
mitted to issue the permit.
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville,-£alifbk,,a 959E5 - Telephone 916/534-4541
APPLICATION AND PERMIT
;PERMIT NO, ,
D V�/
ASSESS�`//,OPARCEL NUMBERZ
..///% j
�JIN.
i!
BUILDING PERMIT
OUR TELEPHONE
OWNER' �,2ING ADDRESS
SQ. FT. OCC.1 BUILDING VALUATION
CONTRACTOR'SNAME TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER UNKNOWN
LENDER'S MAILING ADDRESS
Total Valuation Is
Filing Fee
Permit Fee
$ 10.00
$
ARCHITECT OR ENGINEER LICENSE NO. '
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Plan Checking Fee
Energy Plan Checking Fee
Penalty
$
$
$
BUILDING ADDRESS
Permit fee
$
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAME
PARCEL MAP
S
Water piping
5.00
Each qas water heater or vent
5.00
USE OF STRUCTURE
SF ElDuplex❑ Mobilehome❑ Other -��11 /1/7
Or SPECIFY
Gas piping system 1 - 5 outlets
1 5.00
Building sewer
5.00
Mobile Home I S I G I W
10.00ea
TYPE OF WORK
New❑ Add ition❑ R model❑ Utilities❑ Installation[] Other�
Describe work: ? 4 "� sl A 7` Y95; I /ph i / _
S20—�
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
600V OR LESS
Main service 100 AMP OR LESS
10.00
Main Service EA, ADD'L 100 AMP
2.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full force and effect.SINGLE
License No. Classification
I, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
ontract-
ors.
ors.(Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONST. / DWELLING OCCUP.gd 21/2 �
0sgft
cl S 174)
New DDNS.( A ULTB
OUTLET
NON-RESID BRANCH CIRC ITS 2.50 ea
POWER APPARATUS &)
OUTLET CIR.
Ex. Occup( 20®e0C
c p OUTLETS OR FIXTURES SAL@30
FIXED PR
Ex. Occup. OUTLETS IRESID,IEA.1 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring
g 15.00
Permit Fee $ ljL
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
®/I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
Contractor
MECHANICAL PERMIT
Filing Fee 10.00
Heating
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.
t 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 consequag2t. of the granting of this per i
%� Date ��
Signature o pplicant — Owner UL -o' Contractor ❑ Agent ❑
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 storiesinheight.
Mobile Home Installation Fee $
Energy Inspection Fee $
TOTAL PERMIT FEE $
aCCUP,
CONST.TYPE
__[FLOOD
PARCEL
PD
ND
ssuE
This permit is hereby issued under the applicable provi-
;ions of the Butte County Code and/or resolutions to do
+vork indicated above for which fees have been paid.
DIRECTOR OF PUBLIC WORKS
3Y��' ���- rys - Date
HERMIT EXPIRES Date —/
Receipt No. , D T
WNITE•D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT
COUNTY OF BUTTE - Department of Public Works
7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541
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 youi.building permit: No building permit
will be issued until this verification is received.
1. I personally plan to provide the major labor and materials for construction of
the proposed property improvement (yes or no)
2. I (have/have not) signed an application for a building permit
for the proposed work.
3. I have contracted with the following person (firm) to provide the proposed -
construction:
Name
Address City
Phone Contractors 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
Address City
Phone Contractors 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 /� ti+ CO.,
Social Security Number
Date -1,4A'7
NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and
19832 of the California Health and Safety Code.
This verification must be completed and returned to our office before we are per-
mitted to issue the permit.
r �j
c ��
tte oun y
`•i A is ? ,A 1. V/ _A , , 0 E A I 1 i
- PLANNING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965-3397
TELEPHONE: (916) 538.7601
FAX: (916) 538-7785
August 24, 1994
James Burbank
121 Sheldon Avenue
Gridley, CA 95948
Re: Administrative Permit,.AP024=_270=047
Dear Mr. Burbank:
Enclosed is your validated Administrative Permit No. 94-122 to allow an attached Senior
Citizen dwelling unit on property zoned SR -1 located on the north side of Sheldon
Avenue, approximately 1500 feet east of Highway 99, in the Gridley area.
Every Administrative Permit expires and is automatically null and void without further
action by the County if the Activity or use for which the Administrative Permit was granted
has not been actively. and substantially commenced within one year of the date of its final
approval.
Should you have any questions regarding this matter, please contact Stephen Hackney
of this office Monday through Thursday, between the hours of 8:00 a.m. and 4:00 p.m.
Very truly yours,
BKH:bd
Enclosure
cc: Building Division
Land Development Division
Environmental Health
Department of Forestry
r "•
ADMINISTRATIVE PERMIT
BUTTE COUNTY PLANNING DEPARTMENT August 15, 1994
DATE
94-122
PERMIT NO.
024-270-047
ASSESSOR'S PARCEL NO.
Pursuant to the provisions of the Zoning Ordinance of the County of Butte and the special
conditions set forth below: James Burbank is hereby granted an Administrative Permit
in accordance with application filed: June 20, 1994 to allow a detached Senior Citizen
dwelling unit on property zoned SR -1 (Suburban Residential, 1 acre parcels) located on
the north side of Sheldon Avenue, approximately 1500 feet east of highway 99, in the
Gridley area.
I. Failure to comply with the conditions specified herein as the basis for
approval of application and issuance of Permit, constitutes cause for the
revocation of said permit in accordance with the procedures set forth in the
Butte County Zoning Ordinance, including Butte County Code Section 24-
62.
2. Unless otherwise provided for in a condition to an Administrative Permit, all
conditions must be completed by the permittee within 12 months of the
delivery of the countersigned permit to the permittee.
3. If any use for which an Administrative Permit has been granted is not
established within one year of the date of receipt of the countersigned
permit by the permittee, the permit shall be come null and void and
reapplication shall be required to establish the use.
4. The terms and conditions of this permit shall run with the land and shall be binding
upon and be to the benefit of the heirs, legal representatives, successors, and
assigns of the Permittee.
SPECIAL CONDITIONS:
The "living area," meaning the interior habitable floor space area of a dwelling unit
including basements and attics, but not including a garage or any accessory
structure, shall not exceed 1,200 square feet.
2. The senior citizen dwelling unit is intended for the sole occupancy of one (1) adult
62 years of age or over or two (2) adult persons, one of whom is 62 years of age
or over. An affidavit of compliance with the age requirements of this section shall
be recorded in the office of the Recorder prior to issuance of building permits.
Said affidavit shall include the legal description of the lot or parcel and shall
constitute a covenant running with the land, binding upon the original owners and
their heirs, successors and assigns, limiting the occupancy of the senior citizen
dwelling unit to the conditions described in this section.
3. The senior citizen dwelling unit shall not be sold as a separate unit unless a parcel
containing the unit is created in compliance with the existing zoning and
subdivision ordinances and the resulting density is in conformance with the
General Plan.
4. Two off-street parking spaces shall be provided for the senior citizen dwelling unit
in addition to the parking spaces required for the primary dwelling unit.
5. Adequate sewer and water facilities shall be provided subject to the approval of
Environmental Health Department.
6. All site development standards as required by the zoning district in which the unit
is located shall be met.
7. Maintain at least a 12 ft. wide access to the rear of the property for fire protection
purposes.
8. Provide an all weather access for a 40,000 pound fire apparatus to all structures.
9. The approval of this permit constitutes approval only to the extent that the project
complies with the Butte County Code and all other applicable regulations.
10. The requirements of all concerned governmental agencies having jurisdiction by
law, including but not limited to the issuance of appropriate permits, shall be met.
NOTE CONCERNING ALL COUNTY CONDITIONS OF APPROVAL:
"Minor changes may be approved administratively by the Director of Development
Services upon receipt of a substantiated written request by the applicant. Prior to such
approval, verification shall be made by each Department or Division that the modification
is consistent with the application, fees paid and environmental determination as
conditionally approved. Changes deemed to be major or significant in nature shall require
a formal application for an amendment."
NOTE: Issuance of this Administrative Permit does not waive requirement of obtaining
Building and Health Department permits before starting construction and their approvals
prior to use or occupancy, nor does it waive any other requirements.
Planning Manager
cc: Land Development Division
Building Division
Health Department
Department of Forestry
APPROVED
DEVELOPME
elL
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