HomeMy WebLinkAbout024-281-018S.H. McKey - A. P. 24 42811W
Corner Obermeyer & Gilstrap, Gridley
--/j:P.erm.i-t--209-7-lB (convert _garage .to.
W
Aliving area)
Permit#4058-80B(reroof) SF
SAM McKEYV% sg y
291 Obermeyer Ave, Gridley
PErmit#251-89B(add open deck)SF
24 281-�
SAM McKET-,j,-;4-A'--I.
Next to291 Oberme,
ker, Gri ey,
Permit#250-89B,E(
hew garage
24-281
Permit#2903-89E(elec upg de)
I
1��9
COUNTY OF BUTTE - Depart ent of Public Works
7 County Center Drive, O.roville, CA 95965:
OWNER -BUILDER VERIFICATION
Phone: 916-538-7541
Attention Property Owner:
An 'owner -builder" building permit has been applied for.in your name and'bear.ing
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/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
1
Signed:
Property Owner
Social Securitymber
Date
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.
KENNETH O. REIMERS ,
*" Butte County Assessor.
25 County Center Drive
Oroville, CA 95965-3382
(530) 538-7721 Fax (530) 538-7991
01\iI S E E
Date: 9 -.. 2;e�- 0 S
REQUEST FOR COMBINATION OF ASSESSOR'S PARCELS
V REQUEST FOR SEPARATION OF ASSESSOR'STARCELS (AS ESTABLISHED BY A PRIOR
SUBDIVISION OR PARCEL MAP)
A.P. Number(s):0-a(+- (a� I 4) 1 K
���1✓ �5®Q�J
Requested by: Sam 030-,
S --
PLEASE NOTE THE FOLLOWING CAREFULLY! '
1. This request will be processed under conditions regulated by this Department. If approval is NOT granted, owner(s) will
be notified.
2. Title must be held exactly the same on all parcels.
3. " All owners MUST sign this request. -
4. Parcels must be contiguous. If the properties.are separated by a road, right of way, or easements, the Assessor will
determine, within his discretion, whether or, not to combine the properties:
5. All parcels must be in the same tax rate area.
All taxes on the parcel must be current..
7. A combination may be irreversible and may be binding on,all future owners of property.
8. Assessor's Parcels are created--by-the Assessor solely to implement the administration of property tax laws and have no
necessary relationship to land use and should.not be considered to always be a legally created parcel for building
purposes. The term "PARCEL" used in zoning, building and sanitation. laws, does not necessarily refer to Assessor's
Parcels.
9. The application will be reviewed by Development Services to insure illegal parcels are not created.
Owner(s) Name (as shown on A'ssessor's records):
Telephone (daytime phone):
Address: 0 ci
If there are improvements on any of the lots, please indicate Which lot they are on: SOy'Pr% hCk-` •�- D-� �1 t
Owner's Signature(s): '
DEVELOPMENTAL SERVICES: (please review and return within 10 working days)
,viewed by:- -"pp roved: Rejected: (reasons attached)
Date received: Date returned:
Rev. 06/03 ((c:word/msoffice/winword/forms/Mapping Parcels Combination Separation390) A/O 390
-
PTN. S 1/2 SEC. 6, T.17N. R.H. M.D.B.&M.
GRIDLEY COLONY NO. 2 Fol
• S88'27'00'E " - 660 .
- 189.8 250.22 - - 189.98
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260 O • - 189.8 �____ 249.93 � 189.97
99.96 99.96 89.97 -
89.84 - .76 ACt .76 ACt
[.36 ACt 35 ACt .35 ACt .34 ACf 5 48 ACt
o .77 ACt .33 ACf
A 4
.83 ACt O O
O O O 10
11 10 O O 18 8
89.87 - 84.59 85.4 199.98 • t60 .100
loo 100 100 too
OBERMEYER AVE.
Assessor's Map No. 24-28
LOTS 6 & 7 GRIDLEY COLONY N0. 2 M.O.R. BK 4 PG 41 County of Butte, Calif.
COUNTRY HOMES NO. 1 M. 0. R. BK. 28 PG. 45. & 46
REVISED: 8-89
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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 andreturn 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) IleS
2. I (have/have not) es signed an ap lication fora building permit
for the proposed wort.
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 Secur' Number —
Date
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.
PERMIT NO. 251-89B '
PERMIT EXPIRES
} ' OWNER SAM McKEY
CONTR. Owner
r ASSESSOR PARCEL 24-281=07
LOCATION
291 Obermeyer-Ave, Gridley
i .
s, : ,
= OK
0 = Not OK
MOBILE HOMES
' = Not Ready MOBIL
MISCELLANEOUS
Date
MOBILE HOME UTILITIES (Plans) OK except #'s
Date
DECKS,COVERS,CARPORTS, GARAGES, (Plans)OK except #'s
1. Zoning Requirements -Setbacks -Easements
c ohing Requirements -Setbacks -Easements
2. Soils; Special MH Support -Sketch
y . Footi s; Soils -Size -Depth -Spacing -Connectors -Steel
3. Sewer; Location -Test -Fall -C/O -Concrete
ecks; Girders and/or Joists -Decking -Bracing -Stairs -Rails
4. Water; Location -Test -Easement Needed (Sketch)
4,_ oed—Awn—.,—Posts-Beams-Rftrs.-Connec.-
Shthg.-Rfg.-Bracing
5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete
6. Gas; Location -Test -Wrap: / P'U ft.
/ /"Nat. or/ /"L"ft./ /"LPG•6-Carpor
5-A+irm: Awn-,Cotumns-Connections-Splice-Decal-Enclosures
Windows -Doors
7. Utility Clearance
7-E�
8. Frmg; Sills-Anchors-Studs-Rftrs-Trusses
97 -Sid ai —ng -Veneer -Stucco -Mesh
Card -B1
Date Card -81 Date
10-Roof-'SFithg Roofing
Card -61
' Date Card -B1 Date
xt.; Steps -Doors -Landings
Date
MOBILEHOME INSTALLATION (Plans) OK except #'s
1. Zoning Requirements -Setbacks -Easements
Card -B1
Dat, /,S Card -61 Date
2. Footings; Size -Spacing -Marriage Line
Card -61
Datl:� Card -131 Date
3. Gas; MH Test -Demand -Valve -Connector
4. Electricity; MH Test -Crossovers -Breakers -Clearances
Date
POOLS (Plans) OK except #'s
5. Drain; MH Test -Fall -Flex Connector
1. Setbacks -Easements
6. Water; MH Test -Regulator -Connector
2. Soils; Compaction -Structure Stability
7. Water and Sewer Connected -C/O to Grade -HD Approval
3. Pool Structure; Steel -Connections -Thickness -
Dead Men -Lining
8. Gas and Electricity Tagged
9. Exits; Insp.-Sketch
4. Elec.; Receptacles and Lighting, Distances-GFI
10. Cert. of Occupancy
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- Enc losures-Panel boards- Ins. to Main in Conduit
Card -61 Date Card -81 Date
Card -B1
Date Card -B1 Date
9. Health Department Approval
10. Plumb.; Cir. Test -Water Supply Test
Card -131
Date Card -B1 Date
Card -B1
Date Card -131 Date
= OK
0 = Not OK
Applicable
- =Not Applicable RESIDENTIAL (Single and Duplex)
= Not Ready
Date
UNDERFLOOR (Plans) OK except #'s
Date
FRAMING (Continued)
1. Zoning -Setbacks; -Easements -Flood -Slope
45. Hangers -Post Caps -Anchors -Connectors
2. Ftg., Main; Soils-Steel-Elec. Grnd.-/ /" Fig. Depth
46. Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Ring.
3. Fig., Garage; Soils -Steel-/ /" Ftg. Depth
47. Fireplace Ties or Type A Flue -Fireplace Throat Clearance
_
4. Fig., Porches & Decks; Soils -Steel-/ /"Ftg. Depth
48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
5. Stemwalls, Main; Steel- Bloc kouts-Wrapped
49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions
6. Stemwalls, Garage; Steel-Blockouts-Wrapped
50. Garage Fire Protection Framing
7. Slab; Steel -Wrapped
51. Property Line Firewall & Openings
8. Piers -Fireplace Ftg.-Steel
52. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits
9. D.W.V.; Fall -Fittings -Test -2 way C/O -Sewer Test
53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
10. Gas Pipe; Size -Anchors
54. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
11. Water Pipe; Test -Anchors -Regulator -Service Test
55. Siding -Nailing Veneer
12. Electric; Underground
56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access
13. Plenums & Ducts; Clearance-Material-Supprt-Ins.
57. Glazing Area -Glass Protection -Skylights -Plastic
14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
58. Shear Walls; Nailing -Bolts
15. Insulation
59. Insulation-Walls-Clg.
60. Infiltration -Wal Is-Wndws
Card -131
Date Card -B1 Date
Card -B1
Date Card -B1 Date
Card -B1
Date Card -131 Date
Card -B1
Date Card -B1 Date
Date
PLUMBING (Permit) OK except #'s
16. Water Ht. Vent -Access -Combustion Air -Baffle
Date
FINAL (Plans) OK except #'s
17. Water Pipe; Test & Anchors -Nail Protection
61. Ext. Steps -Door & Sidelight Protection -Landings
18. D.W.V.; Test-Fttngs & Anchors -Nail Protection
62. Smoke Detector
19. Shower Pan; Test, First Floor -Tub Access
63. Furnace; Vents -Clearance -Comb. Air -Connector -
In Garage; Above Floor-Ducts-Mech. Protection
20. Test Tub & Shower, 2nd Floor -Tub Access
21. Gas Pipe; Size & Anchors
64. Bedroom Exiting
65. G.F.I. & Bath Fixtures & Tub Access -Spa
66. Elec. Trim & Subpanel; Breaker Sizes -Labels
Card -131
Date Card -B1 Date
67. Stairs & Rails
Card -131
Date Card -B1 Date
68. Fireplace or Stove; Clearances -Hearth
69. Elec. Outlets at Wood Panel; Int. & Ext.
Date
ELECTRICAL (Permit) OK except #'s
70. Kit. Fixt. & Appliance; Grnd. -Air Gap -Cooking Clearance
22. Fixture & Transformer Clearance -Ins. Protection
71. Elec. Outlets & Receptacles at Kit. Counter
23. Elec. Receptacles Spacing -Lights & Switches at Doors
72. Garage Fire Door; Swing -Landing -Closer
24. Size Boxes & No. of Conductors -Stapled
73. A.C. Duct in Garage -Damper
25. Romex Installed Close to Edge of Studs & C.J.
74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.-
In Garage; Above Floor-Mech. Protection
26. Equi Ground made u w/Mech. Fasteners -Bond Gas &Water
P• P
27. 2 Appliance Circuts in Kitchen & Conductor Size/G.F.I.
75. Plb., Elec. & Mech. Equip. Listed for Location
28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / /ga.
Cu or Al
76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec.
77. Insulation -Foam -Looked in Attic ❑Yes
29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al.
Insulated Neutral Yes No
78. Guard Rails & Deck Construction -Post Caps
30. Service -Riser Conductors & Ground -Main Disconnect
79, Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth
Clearance Looked under Floor ❑ Yes
31. Equip. Clearances Panels-Motors-Mech. Equip.
80. Following instld.; Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No;
Planters ❑ Yes ❑ No
32. Clothes Closet Light -Shower Light -Spa Light
33. Smoke Detector
81. Stucco; Brown -Finish
Card -B1
Date Card -B1 Date
82. A.C. Unit; Disconnect, Electrical, Plumbing
Card -B1
Date Card -81 Date
83. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to
Openings.
Date
MECHANICAL (Permit) OK except #'s
84. Water Well; Disconnect, Electrical, Plumbing
34. A.C. Ducts Insulation & Support
85. Exterior Elec. Trim; G.F.I. Receptacle -Underground
35. Vent Fan; Exhaust above insulation
86. Ventilation throughout House
36. Condensate Drain & Overflow; Size & Grade
87. Glass Protection
37. Furnace -Vent; Access -Comb. Air -Return Air Vent -115 outlet
88. Corrections from Previous Inpections
38. Attic Access & Platform if Furnace in Attic
89. Gas Test -Meters Tagged; Gas -Electric
96. Water & Sewer Connected -C/O to Grade -HD Approval
91. Energy Compliance Certificate -Other Certificates
Card -B1
Date Card -131 Date
92. Roofing Certificate
Card -61
Date Card -B1 Date
Card -131
Date Card -131 Date
Card -B1
Date Card -B1 Date
Date
FRAMING (Plans) OK except #'s
Card -131
Date Card -B1 Date
39. Sills, Proper Material & Anchors
Comments at Final:
40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound
41. Bearing Walls over Girders & Floor Nailing
42. Draft Stop in Walls (rat proof)
43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub
44. Header & Beam -Size & Bearing
(NOTE: An entry must be made each time you visit job site)
JCOUNTY OF BUTTE -DEPARTMENT OF PUBLIC WORKS PERMIT N Z
7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541/
APPLICATION AND PERMIT
ASS E SOR=ARL �U=BER
i+
zOttlIN6
BUILDING PERMIT
OWNn
l�
E Ho E
SQ. FT. OCC. BUILDING VALUATION
O NER'S MA ADDRESS
00
�►�kL�s
C RAC7 R'S NAME
TELEPHO E
C NTRACTOR'S MAILING ADDRESS
Fireplace
CoNfiTPUCTION LENDER
UNKNOWN
Total Valuation $
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCH T CT 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 10.00
Each Trap
2.00
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAME PARCEL MfP
Water piping
5.00
Each qas water heater or vent
5.00
USE OF STRUCTURE
SF X Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home S I G I W
O.00ea
TYPE OF WORK
New F-1 Addition Remo I❑ Utilit' ❑ stallation❑ Other
Describe work:
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 100 AMP ORV OR LESS10.00
Main service EA. ADD'L too AMP
2.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full force and effect.
License No. Classification
1, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ 1, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ 1 am exempt under Sec. , Business and Professions Code
for this reason
NEW CONST. DWELLING OCCUP.N
OR ADONS. ACC. BLDGS. 1/20sq ft
NEW CONSTR. MULTI -OUTLET
NON.RESID .BRANCH CIRC ITS 2.50 ea
POWER APPARATUS &)
SINGLE OUTLET CIR.
Ex. OCCUp(OUTLETS OR FIXTURES 20050t
BALD 30
FIXED APPLNS. OR
Ex. Occup. OUTLETS (RESID.) EA.) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring
g 15.00
Permit Fee $
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
�l j 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
g
Hood
3,00
Ventilation
permit Fee
$
Contractor
I certify that I have read this application and state that the above information
1s correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the Countyot
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte againstOCCUP,
all liabilities, judgments, costs, and expenses which may in any way accrue
against said my in conseque a of the granting of this permit.
X �,c D1✓ `
Signature of Applicant — Own Contractor ❑ Agent ❑
An OSHA permit is required for xcovnt)ons over 5'0" deep and demolition or construct-
ion of structures over 3 stories in hei
Mobile Home Installation Fee $
Energy Inspection Fee $
s Ll
TOTAL PERMIT FEE
CON ST.TYPE
SCHOOL
LO
417
PARCE
1
PD
NO 39U
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
IRE OR PUBLIC
By
PERMIT EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date Z -
Z�
Receipt No.
WNITE-D.P.W.. YELLOW-ASDESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
i
OWNER
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLErCALIPOJRNIA 95965 - TELEPHONE: 916/538-7541
PERMIT APF'LIC�TION DATA SHEET
Permit Nn_
Proposed Building Use
At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance:
DATE RECEIVED APPROVED
1. All items have been submitted . ....................................
2. Plot plans in duplicate/triplicate, signed by preparer of plans........
3. Complete plans in duplicate/triplicate, signed by preparer of plans ..
4. Complete engineered plans and calcs, with wet signature on plans ..
5. Energy Design Compliance and supporting documentation .........
6. Statement of Intent for Non -Heated and AC Buildings ..............
7. Engineered truss details and layout in duplicate (required prior to plan check)
8. Mobilehome installation data including manufacturer's installation
instructions.......................................................
9. Fees of $ ..........................
10. Chico Urban Area fees paid ........................................
11. Park fees paid .....................................................
1 chool District fees paid .................
Sanitation approval from + Health Department ...
14. City of Chico plumbing permit ......................................
15. Plot plan and business license approval from City of
(see City for other requirements)
16. Planning approval for (A) Use: (B) Parking: .........
17. Improvements may be required.
18. Driveway permit (construction approval required prior to occupancy) ...
Pre-Inspec. request to
19. Pre -Inspection for required ...... Building Inspector
20. Contractor's license information (No., Name Style, Classification) .......
21. Certificate of Workmans Compensation Insurance .................... .
22. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ... .
23. Recorded copy of Agricultural Acknowledgment Statement ............
24. Letter of signature authorization .....................................
25.
26.
Date)
When you issue the permit, process as follows: Mail to owner. Mail to contractor.
Telephone and hold for pickup at office. Deliver w/inspector.
Other
Appl ica
Date ^ 3D 9
Copy of plans sent Health Dept., Fire Dept., Other Date
The following data must be submitted prior to permit issuance: (Circle new item not checked above).
1. Index permit for above items No.
2. Additional items required:
Contractor, designer, owner, was advised of above required data by_phone---nail_counter by date
Contractor, designer, owner, was advised of above required data by—phone—mail—counter by date
Plans checked by l ca Date c>2'-6 Plans approved by 02E� Date c>2'
Sets of plans on hold in File cabinet AP folder
Copy—DPW
W
TO Buildino_ D,eV,`&rtment + -
FROM:. Environmental Health
SUBJECT: Sanitation Clearance
C411
Owner. Loca ion AP#
Plan Approved for.: Sewage Disposal--, Water Supply
Hold final for: Water Supply
Final clearance O.K. for: Water Supply
Clearance for bedroom mobile home. Others/�
NOTS**
Sanitarian Date 7
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Orovllle, California 95965 - Telephone: 916/538-7541
APPLICATION AND PERMIT
PERMIT NO.
ASSESSOR PAR EL NU R
OWNER
BUILDING PERMIT
TELEPHONE
SO, FT, OCC. BUILDING VALUATION
OWNE 'S MA I G ADDRES
-95 9---/TOQNTRACTOR'S
NAME
TELEPHONE
'
CONTRACTOR'S MAILING ADDRESS
Fireplace
CON T 6;ION LENDER
UNKNOWNIE
Total Valuation $
LENDER'S MAILING ADDRESS
ARCHITECT OR ENGINEER LICENSE No.
Filing Fee
$ 10.00
Permit Fee
Plan Checking F
Energy Plan Checking Fee
$
$
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
BUILDING ADDRESS
Penalty
Permit fee
$
S 7. a 5
L
PLUMBING PERMIT
Filing Fee 10.00
LOT NO. SUBDIVISION NAME PARCEL MAP
Each Trap
2.00
Solar or heat pump water heater
Water piping
20.00
500
Each qas water heater or vent
S,OQ
USE,QF STRUCT RE
SF Duplex[] MobilehomOther J: %[ J F— 1 • ( }R
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home - S GW
0.00 ea.
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation[] Other
Describe work:
5 T
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 8100 AMP ORSLESS
10.00
-00'CONTRACTORS LICENSE LAW
I declare under pe al of perjury (check one):
�-.
❑ I am licensed under p sof Chapt. 9, Div. 3 of the Business
and Professions Code and my license Is In full force and effect.
License No. Classification
❑Ex.
I, as the owner, Or my employees with wages a$ their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for IVIS reason
Main service EA. ADO'L 100 AMP
2,550
NEW CONST. DWELLING OCCUP.ei
OR ADONS. ( ACC. BLDGS. /x¢sgft
NEW CONSTR. U TI -OUTLET
NON -RESID BRANCH CIRC ITS 2.SOea
POWER APPARATUS e
( SINGLE OUTLET CIR.
Ex. Occup(OUTLETS OR FIXTURES 20030c
e ALO 30
OCCU FIXED APPLNS. OR
p• OUTLETS (RESID.) EA.) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 15.00
Permit Fee $
WORKMEN'S COMPENSATION INSURANCE
I declare and enalty of perjury (check
❑ The permit is for $100.0 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
300
Ventilation
Permit Fee
$
Contractor
ai
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 Countyoi
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
nst said County in consequence of the granting of this permit.
X Date
Ignature of Applicant — Owner ❑ Contractor ❑ Agent ❑
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home installation Fee $
Energy Inspection Fee $
—
TOTAL PERMIT FEE $ .y--c�f
OC CUP.
CON 3T.TTP[
sENool
PLoaD
PARCCL
PD
No
59VE
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIRECTOR OF PUBLIC
By
PERMIT EXPIRES Date�5-9�
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date
Receipt No.
WHIT[-D.P.W.• YELLOW-A3e C330R. PINK -INSPECTOR. GOLDENROD -APPLICANT
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Orovi Ile — Phone: 538-7541
747 Elliott Road, Paradise— Phone: 872-6307
CORRECTION NOTICE
5 --e ,V._ 1M <:- V 'e '-A I sy -'s Or
OWNER PERMIT NO.
A routine inspection indicates that the following violations of County Ordinance
exist at the above address and should be corrected. Please notify this office
when correction of work is completed. If you have any question pertaining to this
matter, or need additional explanation, please contact this office immediately.
Pin G % � 13 Y ccs .� ✓
rG
Inspector. /���( 6) Date 2 ^//,C
•. S
PERMIT NO. 250-89B, E
PERMIT EXPIRES Ao,
r .
OWNER SAM MrKFY
CONTR. nwnPr
ASSESSOR PARCEL 24-281•-06
LOCATION Gi1strapAv ;,Gridley
T11Rt North of 291 Obermeyer
t'
k _ -
,1
1 •
j
k
"
Temp. Power Pole
i
Called PG&E
• w
Temp. Elec. Service
t`
Called PG&E
Temp. Gas Service
Called PG&E
JOB FINALED (Date)
Signature
=OK .,
0 = Not OK
= Not Readyable MOBILE HOMES
Date MOBILE HOME UTILITIES (Plans) OK except #'s
1. Zoning Requirements -Setbacks -Easements
2. Soils; Special MH Support -Sketch
3. Sewer; Location -Test -Fall -C/O -Concrete
4. Water; Location -Test -Easement Needed (Sketch)
5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete
6. Gas; Location -Test -Wrap: / P'U ft.
/ /"Nat. or/ /"L"ft./ /"LPG
7. Utility Clearance
Card -131 Date Card -131 Date
Card -B1 Date Card -61 Date
Date MOBILEHOME INSTALLATION (Plans) OK except #'s
1. Zoning Requirements -Setbacks -Easements
2. Footings; Size -Spacing -Marriage Line
3. Gas; MH Test -Demand -Valve -Connector
4. Electricity; MH Test -Crossovers -Breakers -Clearances
'5. Drain; MH Test -Fall -Flex Connector
6. Water; MH Test -Regulator -Connector
7. Water and Sewer Connected -C/O to Grade -HD Approval
8. Gas and Electricity Tagged
9. Exits; Insp.-Sketch
10. Cert. of Occupancy
Card -131 Date Card -81 Date
Card -131 Date Card -B1 Date
MISCELLANEOUS
Date DEQNS,COVERS,CARPORTS,GARAGES, (Plans)OK except #'s
Z ng Requirements -Setbacks -Easements
Lr'Footings; Soils -Size -Depth -Spacing -Connectors -Steel
3. Becks; Girders and/or Joists -Decking -Bracing -Stairs -Rails
4. Wood Awn.; Posts-Beams-Rftrs.-Connec.-
Shthg.-Rfg.-Bracing
,- -&turn-Awn.; Columns -Connections -Splice -Decal -Enclosures
s
lec.
ae"Frmg; Silll-ATich4W-StudowAftrS-'TTaex3-
iding; Nailiry Verner-&twgxa_-Meeh
10. ; Shth¢RooWng
11. 6xt.; SteptjDoor
Card -B1 Dat Card -81 Date y
Card-131�y/1,,Q Dates'-;/( jCard-61 Date
Date POOLS (Plans) OK except #'s
1. Setbacks -Easements
2. Soils; Compaction -Structure Stability
3. Pool Structure; Steel -Connections -Thickness -
Dead Men -Lining
4. Elec.; Receptacles and Lighting, Distances-GFI
5. Elec.; Pool Lighting; 15 volts-GFI
6. Elec.; Enclosures; Conduit Entries -Terminals -Listed
7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater
8. Elec.;Grounding; Equip. w/5' -circulating Equip. -Pool Lghtg.
Boxes- Enclosures-Panel boards- Ins. to Main in Conduit
9. Health Department Approval
10. Plumb.; Cir. Test -Water Supply Test
ICard -B1 Date Card -131 Date
Card -61 Date Card -61 Date
= OK
o = NotOK
RESIDENTIAL (Single and Duplex)
- =Not Applicable
= Not Ready
Date UNDERFLOOR (Plans) OK except #'s
Date FRAMING (Continued)
1. Zoning -Setbacks; -Easements -Flood -Slope
45. Hangers -Post Caps -Anchors -Connectors
2. Ftg., Main; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth
46. Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng.
3. Ftg., Garage; Soils -Steel-/ /" Ftg. Depth
47. Fireplace Ties or Type A Flue -Fireplace Throat Clearance
4. Ftg., Porches & Decks; Soils -Steel-/ /"Ftg. Depth
48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
5. Stemwalls, Main; Steel-Blockouts-Wrapped
49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions
6. Stemwalls, Garage; Steel- Blockouts-Wrapped
50. Garage Fire Protection Framing
7. Slab; Steel -Wrapped
51. Property Line Firewall & Openings
8. Piers -Fireplace Ftg.-Steel
52. Ext. Doors -One T -Check Garage -3rd story, 2 exits
9. D.W.V.; Fall -Fittings -Test -2 way C/O -Sewer Test
53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
10. Gas Pipe; Size -Anchors
54. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
11. Water Pipe; Test -Anchors -Regulator -Service Test
55. Siding -Nailing Veneer
12. Electric; Underground
56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access
13. Plenums & Ducts; Clearance-Material-Supprt-Ins.
57. Glazing Area -Glass Protection -Skylights -Plastic
14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
58. Shear Walls; Nailing -Bolts
15. Insulation
59. Insulation-Walls-Clg.
60. Infiltration-Walls-Wndws
Card -B1 Date Card -B1 Date
Card -61 Date Card -B1 Date
Date PLUMBING (Permit) OK except #'s
16. Water Ht. Vent -Access -Combustion Air -Baffle
17. Water Pipe; Test & Anchors -Nail Protection
18. D.W.V.; Test-Fttngs & Anchors -Nail Protection
19. Shower Pan; Test, First Floor -Tub Access
20. Test Tub & Shower, 2nd Floor -Tub Access
21. Gas Pipe; Size & Anchors
Card -131 Date Card -B1 Date
Card -B1 Date Card -131 Date
Date ELECTRICAL (Permit) OK except #'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/Meth. Fasteners -Bond Gas & Water
27. 2 Appliance Circuts in Kitchen & Conductor Size/G.F.I.
28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / /ga.
Cu or Al
29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al.
Insulated Neutral Yes No
30. Service -Riser Conductors & Ground -Main Disconnect
31. Equip. Clearances Panels-Motors-Mech. Equip.
32. Clothes Closet Light -Shower Light -Spa Light
33. Smoke Detector
Card -B1 Date Card -B1 Date
Card -B1 Date Card -B1 Date
Date MECHANICAL (Permit) OK except #'s
34. A.C. Ducts Insulation & Support
35. Vent Fan; Exhaust above insulation
36. Condensate Drain & Overflow; Size & Grade
37. Furnace -Vent; Access -Comb. Air -Return Air Vent -115 outlet
38. Attic Access & Platform if Furnace in Attic
Card -B1 Date Card -B1 Date
Card -131 Date Card -131 Date
Date FRAMING (Plans) OK except #'s
39. Sills, 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. Header & Beam -Size & Bearing
Card -B1 Date Card -61 Date
Card -B1 Date Card -131 Date
Date FINAL (Plans) OK except #'s
61. Ext. Steps -Door & Sidelight Protection -Landings
62. Smoke Detector
63. Furnace; Vents -Clearance -Comb. Air -Connector -
In Garage; Above Floor -Ducts -Meth. Protection
64. Bedroom Exiting
65. G.F.I. & Bath Fixtures & Tub Access -Spa
66. Elec. Trim & Subpanel; Breaker Sizes -Labels
67. Stairs & 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. Elec. Outlets & Receptacles at Kit. Counter
72. Garage Fire Door; Swing -Landing -Closer
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 Protec.
77. 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 instld.; Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No;
Planters ❑ Yes ❑ No
81. Stucco; Brown -Finish
82. A.C. Unit; Disconnect, Electrical, Plumbing
83. Vents Above Roof; Pibg.-Appliance-Firepl.-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 from Previous Inpections
89. Gas Test -Meters Tagged; Gas -Electric
90. Water & Sewer Connected -C/O to Grade -HD Approval
91. Energy Compliance Certificate -Other Certificates
92. Roofing Certificate
Card -61 Date Card -B1 Date
Card -B1 Date Card -B1 Date
Card -B1 Date Card -B1 Date
Comments at Final:
(NOTE: An entry must be made each time you visit job site)
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-754.1
APPLICATION -AND PERMIT
f
PERMIT NO.
ASSESSOR PAAC4LNUM R
ZONIN
BUILDING PERMIT
OWNS
TE H�O--N�EJ
v/
SO. FT. OCC. BUILDING VALVA ON
OW R' . A LIN - ADDRE S
CO T A TO R'S
E EPHONE
CON RAC OR'S MAILIPM ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation Is
Filing Fee $ 10.00
LENDER'S MAILING ADDRESS
Permit Fee $
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
A$. $
Energy Plan Checking Fee
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty $
BUILDING ADDRESS
Av G
Permit fee $
PLUMBING PERMIT Filing Fee 10.00
Each Trap 2.00
Solar or heat pump water heater 20.00
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Water piping 5.00
Each qas water heater or vent 5.00
USE OF STRUCTURE
SF,R Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets 5.00
Building sewer 5.00
Mobile Home S I GW 10.00e .
TYPE OF WORK
New ❑ Additions❑ Remodel ❑ Utilities ❑ Installation❑ Other
Describe work: X,_
AZ2---. �c�0 -
Permit Fee $
Contractor
ELECTRICAL PERMIT FilingFee 10.00
Main service 100 AMS
P ORLESS 10.00 fro -
Main service EA. ADD'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
1, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONST. DWELLING OCCUP.& ,
OR ACDNS. ACC. BLDGS. 2/z¢sgft
TLET
NEW CONSTRESID, RANCH CIRCUITS)2,50 ea
NON-RESID BRANCH CIRC ITS
POWER APPARATUS &)
SINGLE OUTLET CIR. )
Ex. Occu 20
p OUTLETS OR FIXTURES eAL030
FIXED APP LNS. OR
Ex. Occup. OUTLETS (REST D.I EA.) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring
9 15.00
Permit Fee $ S
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.
FZA I shall not employ any person in any manner so as to become subject
L'\ 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.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
against sal aunty in conce of the granting of this permit.
Xnseq �_�? 13
LZ Date
Signature of Applicant — O ner �9, Contractor ❑ Agent ❑
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
CONST TYPE
TOTAL FEE $
HAzI-POIssuE
CUA
PARK
SCHL
FLD
PAR
HD
permit is hereby issued under the applicable provi-
__._ns
_ions or the Butte County. Code and/or resolutions to do
work indicated above for which fees have been paid.
DIRECTOR OF PUBLIC WORKS
By (2jt&gDate
PERMI' XPIRES Date
Receipt No.jscgs
WHITE-D.P.W., YELLOW -ASST SSOR. PINK -INSPECTOR, GOLDENROD -APPLICANT
J. __. " , " " _ , , , - - '' _ -_ - -_ -_ --- - _ -, , - --- , " , - , - i i''
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERIT N
7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541,
APP&ATA AND -PERMIT
ASSESSOR PAC L yUMB
/ r
ZONI
BUILDI G PERMIT
o n PHONE
OW.'f�JE 'S MAILI DDRESS
CX V c f
SO. FT. OCC. BUILDING VALUATION
TR C70R' NA T
C PHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CO 5 RUCTION LENDER UNKNOWN Tot ai Valuation $
1
LENDER'S MAILING ADDRESS Filing Fee
Permit Fee
$ 10.00
$
AR,tjTECT OR ENGINEER LICENSE No.
AM ira
ARCHITECT OR ENGINEER'S MAILING ADDRESS a
Plan Checking Fee
Energy Plan Checking Fee
Penalty
$
$
$
BUILDING ADDRESS
Permit fee
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2,00
C
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAME
PARCEL M P
Water piping
5,00
Each qas water heater or vent
5.00
USE OF STRUCT E
SF❑ Duplex❑ Mobilehome❑ Other At�Building
Fr
Gas piping system 1 - 5 outlets
5.00
sewer
5.00
Mobile Home S I G I W
0.00 ea
TYPE OF WORK
New)d Addition ❑ Remodel ❑ Utilities ❑ Installation[] Other ❑
Describe work:
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
I
Main service 100 AMP OR00V OR LESS10.00
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.
License No. Classification
1, as the owner, or my employees with wages as their sole compen-
` sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code .
for this reason
OR ADDNST ( DWELING DWELLINGSCCU . 1/4$gft
4-1
NEwWONSTR U TI.OUTLET
NO N.R ESID .BRA CH CIRC ITS 2.50 ea
POWER APPARATUS &)
SINGLE OUTLET CIR.
Ex. OCCUp(OUTLETS OR FIXTURES 2ALI 30
BL0
FIXED APPLNS. OR
Ex. Occup. OUTLETS (RESID.) EA.1 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wirin 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.
❑ 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
FiIingFee 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 County of
Butte to enter upon the above-mentioned property for inspection purposes.
81also b9it liabilities, judgments, costs, and
andeexpenseharmless
s which may in anof y way utte against
accrue
against sat ounty in conseque a of the granting of this permit.
X Date
Signature of Applicant — Own Contractor ❑ Agent
An OSHA permit is required for ovations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in eight.
Mobile Home Installation Fee $
Energy Inspection Fee $.
TOTAL PERMIT FEE
cecul.
CONST.TT c
V
j�
JSCNOOLJF,��JP
ARCEL
P
ND 90E
his permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
REC R O BLIC
By
PERMIT EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Q'
D'aatta �9
v^ D
Receipt No.
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
I
• 1
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION
7 COUNTY CENTER DRIVE - ORAELEE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 +
PERMIT APPLICATION DATA SHEET !
Permit No.
OWNER vA. P. No. "-�n-
Proposed Building Use /�ICI '1 Building Inspector Date n y
At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance:
DATE RECEIVED APPROVED
1. All items have been submitted. ..... ` ...............................
2. Plot plans in duplicate/triplicate, signed by preparer of plans........
3. Complete plans in duplicate/triplicate, signed by preparer of plans ..
4. Complete engineered plans and calcs, with wet signature on plans ..
5. Energy Design Compliance and supporting documentation .........
6. Statement of Intent for Non -Heated and AC Buildings ..............
7. Engineered truss details and layout in duplicate (required prior to plan check)
8. Mobilehome installation data including manufacturer's installation
instructions.......................................................
9. Fees of $ ..........................
10. Chico Urban Area fees paid ........................................
11. Park fees paid .....................................................
—Wi1° chool Dista t fees paid .................
. Sanitation approval from Z re Health Department ...
14. City of Chico plumbing. permit ......................................
15. Plot plan and business license approval from City of
(see City for other requirements)
16. Planning approval for (A) Use: (B) Parking: .........
17. Improvements may be required.
18. Driveway permit (construction approval required prior to occupancy) ...
Pre-Inspec. request to
19. Pre -Inspection for required ...... Building Inspector (Date)
20. Contractor's license information (No., Name Style, Classification) .......
21. Certificate of Workmans Compensation Insurance ....................
22. Owner -Builder Verification (Given to owner o, Mail to owner ❑) ........
23. Recorded copy of Agricultural Acknowledgment Statement ............
24. Letter of signature authorization ......................................
25.
26.
When you issue the permit, process as follows: A Mail to owner. Mail to contractor.
Telephone and hold for pickup at office. Deliver w/inspector.
Other
Applicant Date /-30 -9
Copy of plans sent Health Dept., Fire Dept., Other Date
The following data must be submitted prior to permit issuance: (Circle new item not checked above).
1. Index permit for above items No.
2. Additional items required:
r
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 —ma II—counter by date
Plans checked by �-5 Date a Plans approved by Date -
0
Sets of plans on hold in File cabinet AP folder
Copy—DPW
TO Buildina Department
FROM: Environmental Health
SUBJECT: Sanitation Clearance
Owner. Location AP#
Plan Approved for: Sewage Disposal `Water Supply.
Hold final for: Water`Supply
Final clearance O.K. for: Water Supply
Clearance for bedroom mobile home. Other %� ra"P� Jv� (A10I
NOTE ***
Sanitarian
Date
P
161-71
E
PERMIT EXPIRES
, 1OWNER S. H. McKey
CONTR: owner
LOCATION (A.P. 24-281-7
Corner Oberr
,peyer & Gilstrap, Gridley
x
COUNTY OF BUTTE
Department of Public Works
BUILDING INSPECTION RECORD
Zoning
Setback
Forms
Foundation
Piers & Girders
Fireplace
Rgh. Plumbing
Bond Beam
Lath & Plaster
Rein. Steel
Gas Piping & Test
Found..Vents`
Framing
Pimg. Topout
Rough Elec.
Wtr. Htr.
Furnace
Kitchen Vent
Firewall
Garage Vents
Sanitation & Water
ELECTRIC
GAS
BUILDING
Temporary
Temporary
Cert. of Occup.
Final
Final
Final
DATE
REMARKS
OR CORRECTIONS
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965
Phone: X533-1230, Ext. 259
APPLICATION AND BUILDING PERMIT
Permittee Owner • - . ; `"� /
/ ./� . / L�
A. P. No.
Mailing Address /
-'¢ L i f . 7 y
`— r t • t
Fire Zone
Zoning
Contractor :' i
..
'Sanitation
4--
Planning
Mailing Address
Plans
Fees
W.C.
BLDG. Address- ^' "�- -
- t+
�. # ,: : �J
R W
Encroac 6 e t
NEW ADDITION
REPAIRS OTHER �*^''
F O U N D A T 10 N
67- '- �%
f :'
MATERIAL
EXTERIOR
PIERS
Others - %
a / 4, ,.,
, -,
Width at Top
Single
USE OF STRUCTURE Familyr0
Multi
Duplex Q Dwelling
Width at Bottom
6-z-
Shall Be in
Others
th i o t&ial
ractices an
SQ. FT.
OCC. '
BUILDING VALUATION
i
m
�'
l r �e
` �CSI�LE
SPA
.IN se irsP
Girders
e� -; i'.
ad , tor
ode, and
ainn
11 Uni orn
n Ist_s
Joists - 2nd F! o
lectr
cal Co6e*
Fireplace
r e
Joists - Ceiling
`�
f •.- �'�
Total Valuation
�
7 7 l
Exterior Sttlds
�
Permit Fee
%Plan
Interior Studs
Checking Fee &/or Penalty
Roof Rafters
.� �/
is 4
Total Permit Feey
r �
Bearing Walls
UU11111AGTORS LIGE111115E LAIN
A. LICENSED CONTRACTORS COMPLETE THE FOLLOWING:
I am licensed under the provisions of Chapter. 9, Div. 3, of the State of California Business & Professions Code under the name
styleof..............................................................................................................................................................................................:.................................................
License No . ........................... Classification............................................... and certify that the aforesaid license is in -full force and effect.
B. OWNER -BUILDER & OTHERS COMPLETE THE FOLLOWING:
I am exempt from the Contractors License Laws of the State of California under Sec. 7031.5 because (check one):
0 I am the owner of the above property and I will contract to have all of the above work performed by licensed contractors.
t (Sec. 7044).
I am the owner of the above property and do not intend to offer it for sale for one year from the date of completion of the
i improvements. (Sec. 7044).
Basis,, if any, for other -statutory exemption...................................................................................:..............................................................................
....................................................................................................................................................................................................................................................................
WORKMEN'S COMPENSATION INSURANCE
I am aware of the provisions of Section 3700 of the California Labor Code which requires every employer to be insured against liabil-
ity for Workmen's Compensation. I have placed on file with the County of Butte a certificate of compliance or proof of exemption
pursuant to Section 3800.
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./•`
4
.,,+ '1 .. f fi 4-1 Date - .-
..n.....
.............-�......?............. `.........................
SIGNATURE OF PERMITTEE OR AGENT
ReceiptNo ................... r.................................................................................
This BUILDING PERMIT is hereby issued under the appli-
cable provisions of County resolutions and/or ordinances.
DIRECTOR OF PUBLIC WORKS
By................................................. .................................. Date ......:.......................
Permit Expires Date..
IR
s
�v�
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965
PHONE: 533-1230, Ext. 259
h APPLICATION AAD ELECTRICAL PERMIT
Permittee Owner A. P. No.
.,
Mailing Address
Contractor
Mailing Address > ,,
A
BLDG. Address
DESCRIPTION OF WORK
NEW 0 ADDITION F__j METER SERVICE
OTHERS:
Remarks:
PERMIT F'IL.ING FEE
No.
Fee
32.00
Supplementary Filing Fee
1.00
Main Service
Sub -panel less) or (mor12)
Each
Range, Dryer or Water Heater
Each LOO
Oven, Cook -Top or Space Heater
Each __50
Light Fixtures
First 2D .20
Each Additional . .10
USE OF STRUCTURE
Single Multi
Family 0 Duplex Q Dwelling 0
OTHERS:
Remarks:
Receptacles„ Switches & Fiuure Outlets
First 20 :20
Each Additional .10
Hood, Exhaust Fan or F.A. Furn Motor
Each .50
Evap. Cooler, Gar. Disp. or Dishwasher
Each .50
Air Conditioner or Heat Pump
Waver Pum
Misc. Wiring
TOTAL
FEE
CONTRACTORS LICENSE LAW
A. LICENSED CONTRACTORS COMPLETE THE FOLLOWING:
I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name
styleof......................................................................................................................................................................................._.-...............................................».. ,
License No. ............................I Classification .............................................. , and certify that the aforesaid license is in full force and effect.
B. OWNER -BUILDER & OTHERS COMPLETE THE FOLLOWING:
I am exempt from the Contractors License Laws of the State of California under Sec. 7031.5 because (check one},
I am the owner of the above property and I will contract to have all of the above work performed by licensed contractors.
( Sec. 7044).
I am the owner of the above property and do not intend to offer it for sale for one year from the daze of completion of the
improvements. (Sec. 7044).
QBasis, if any, fox;other statutory exemption....................................................................................................._..»...._........... r........_._.. ».».. ..
WORKMEN'S COMPENSATION INSURANCE
I am aware of the provisions of Section 3700 of the California Labor Code which requires every employer to be insured against liabil-
ity for Workmen's Compensation..I have placed on file with the County of Butte a certificate of compliance or proof of exemption
pursuant to Section 3800.
I certify that I have read this application and state that the above in-
formation is correct. I agree to comply with all County ordinances and
State Laws relating to building construction, and hereby authorize repre- This ELECTRICAL PERMIT is hereby issued under the appli-
sentatives of the County of Butte to enter upon the above mentioned cable provisions of County resolutions and/or ordinances.
property, --for inspection purposes.
/ DIRECTOR OF PUBLIC WORKS
X Date
.............................. .../...
........
SIGNATURE OF PERMITTEE...... OR AGENT
By........................................................... Date , ........ ..........
Receipt No ........i :............
0
4.
tZa .6'
14-000
Gly
�-,�
Temp. Power Pole
Called PG&E
Temp. Elec. Serv.
E,F
Called PG&E
Temp. Gas Serv.
C fled PG&E
B -
FINALED � r
(�
gnature)
F
i
is
C Y OF BUTTE — DEPARTMEN-i OF PUBLIC WORKS _
BUILDING INSPEC 1140HZ,ORD
'BUILDING
BUILDING (Cont'd)
I PLUMBING
Setback
Firewall
I Soil Piping'
Forms
Parapets
1st Floor
Main Bldg.
Restroom Finish
+ 2nd Floor
Footings
Windows
I 3rd Floor
Stemwall
Siding
To out
Slab
Roof Sheathing
Water Piping
Piers
Roofing —
Sewer
Garage
Fdn. Vents
Fixtures
Footings
Stemwa l l
Garage Vents
Insulation
Water Htr.
Heaters
Slab
Carport
Footings
Prov. for physically
handica ed
Conformance of ex.
structure
i Appliances
.Gas Piping &Test
1 Temp. Gas
Slab
Final
Sanitation
Patio
FIREPLACE
Final
Footings
Footing
M ELECTRICAL
Masonry Walls
Throat
I Rou h
Reinf. Steel
Final
Fixtures
Bond Beam
FIRE SPRINKLERS
Motors
Stucco -
Final
Subpanels
Mesh
MECHANICAL
Grdi Fault Prot.
Scratch
Heating
Service
Brown
Cooling
Temp. Pole
Finish
Ducts
Underground
Interior Lath
Ventilation
Permanent
Door Closer
Final
Final
MOBILEHOME UTILITIES ------------------
Elec- Service
Elec. Pedestal :
Water Piping
MJBILEHOME INSTALLATION - - - - - - - - - - - - - -
Sewer
Support
Gas Piping
Elec. Continuity
Water Piping
Drainage
Gas Piping
DATE
REMARKS OR CORRECTIONS
(NOTE: An entry must be made on this form each time you vis t the job site.)
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541'
APPLICATION AND PERMIT
' PERMIT,NOn
ASS 550 PARCEL N BER
�---
ZO ING
—Z.3
BUILDING ERMIT '
ow
TELE PH E
SO. FT. OCC. BUILDING VALUATION
WnER'S MAILING-ADIDRESS
mmq
91 0 b— mekq
N TO -R'S A T LEPHONE
-
CONTRACTOR'S MAILING ADDRESS'- -
CONSTRUCTION LENDER
UNKNOWN
Fireplace
Total Valuation $
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER A 11
LICENSE NO.
Plan Checking Fee,
$
Penalty
$
ARCHITECT OR ENGINEER'S MAILING AD ESS
•
Permit fee
$
BUIL I ADDRE -.
•
PLUMBING PERMIT
Filing Fee 3.00
Each Trap
2.00
Repair drainage or vent piping
2.00
Water piping
LOT NO.
SUBDIVISION NAME PARC L MA
Each qas water heater or vent
2.00
Gas piping system 1 - 5 outlets
USE OF STRUCTURE
SF DOplex❑ Mobilehome❑ Other '
SPECIFY
Building sewer
Lawn sprinkler system
2.00
TYPE OF WORK
New ❑ Addition ❑ qmodelE3 Uti I - s ❑ Instal lation ❑ Other
Describe work: 0'— W S A
DJ
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 3.00
Main service 1000 AMP ORSLESS
5.00
Main service EA. AOD'L 100 AMP
2.50
NEW CONST. ( DWELLING OCCUP.&
OR ADDNS. ACC. BLDGS.
20sgft
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
❑ I am licensed under provisions of Chapt.•9, Div. 3 of the Business
and Professions Code and my license is in full force and effect..
License No. Classification
❑ I, as the owner, or my employees with wages.as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. Business and Professions Code
for this reason
NEW CONSTR ULTI-OUTLET 2,50 ea
NO N.R ESID BRANCH CIRC ITS
NON -_RES R (SINGLE OUTLETTUS &)
Ex. Occup(OUTLETS OR FIXTURES 5AL@11
BL@1Oa
FIXED APPLNS• OR
Ex. Occup.(oUTLETS (RESID,) EAJ 2.00
Temporary service
10.00
Mobile Home Facilities 15.00
Misc. Wiring 6.25
Permit Fee $
Contractor
- WORKMEN'S COMPENSATION INSURANCE
1 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.
ffi I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
MECHANICAL PERMIT
FiIingFee 3.00
Heating
Cooling
Hood
2.00
Ventilation
permit Fee
$
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the Countyot
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
against said ounty in consequent of the granting of this permit..
~'
X W 9roel Date f�
Signature of Applicant — Owne Contractor F-1Agent ❑
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 $
Land Development Fee $
TOTAL PERMIT FEE $ o
OCCUP. GROUP
TYPE DF CONST.
JPAR.CELJ PD
I HD I ISSUE
This permit is hereby issued under the applicable provi-
.sions of the Butte County Code and/or resolutions to do
-work indicated above for which fees have been paid.
DI F PUBLIC WORKS
_
By Date
PERMIT EXPIRES Date �-
Receipt No. Z/ Ly
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
i COUNTY OF BUTTE
"VEEP'AMMENT OF PUBLIC WORKS
- 695 Oleander Avenue, Chico — Phone 343-4211, Ext. 70
:..�• 7'Count)''Cerrter;4Drive, Oroville — Phone 534-4341' -
Skyway and Elriott Ro df� Paradise — Phone 877-3435
CORRECTION TICE
I
i
BUILDING OR PROPERTY ADDRESS
I
A routine inspection Indicates that the following violations of County Ordinance
exist at the above address and should be corrected. Please notify this office
when correction of work is completed. If you have any question pertaining to this
matter, or need additional explanation, please contact this officg immediately.
`l
`FJ
�`
1'uY�rJ _ . Ate• .� •'
c
Inspector Date
UM
zo_'
G0 X z3 Covc
!moo r c. h
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��ora
4
unsforr
L+e�ia,idd�jlo t , 1'"% 2�4
42
Peers �'' C"o(PO arp �.
5' 0. �f .
A setback of 5 ft. from the
property linos and Fe.,b cl
of 50ft. fr_ m.
centerline shf:�
structures orec -;lp ent
for a 2 ft. eave ovcrhana
Y C^ Er
s
�r q• .w ,� f r � F .. �' 1 � K"- 1 ' I
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i'
v
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4
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L+e�ia,idd�jlo t , 1'"% 2�4
42
Peers �'' C"o(PO arp �.
5' 0. �f .
A setback of 5 ft. from the
property linos and Fe.,b cl
of 50ft. fr_ m.
centerline shf:�
structures orec -;lp ent
for a 2 ft. eave ovcrhana
Y C^ Er
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I I %i7 P, /7-/ if pt
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the
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shall be �,�oylietl1rie
l'q
,,NcWres ot eq C.. !
(pil
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if f2 WtY'tr-
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Provide 1/2" x 10" and or boll's
@ 6' O.C. max. and within
12" of joints.
SMS' 6F Olwo's M, d Ml S'? N,
—1— IOU!
wri-I �On permission from '211c Depc�linncif of POP,
Works, Cc-iniy of Buffq,
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