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HomeMy WebLinkAbout024-290-00624-29-6 fBILL PEARSALL NIS Hollis Lane, 450' E. f Hwy 99, lot 6, Gridley Permit #6499-75B,P M(new single fay milt') 024-29-0-006 96-1050 B.,E BREITAG, Paul & Sandra 45 Hollis Lane, Gridley (add dining room)SF. --/ �jj�° 024-290-006, PERMIT#96-1316. BREITAG, Paul & Sandy 45 Hollis Ln., Gridley�, Cont; Artic Aire New. AC/SF I 6 MT ac i, i' :1 +5i . i7 = .`jj� .. l'r . JOB' FINALED (Date ` � ( Signature i V=OK O = Not OK '=t ble MOBILE HOMES MISCELLANEOUS Not Ready Date MOBILE HOME UTILITIES (Plans) OK except #'s Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks - Easements 1. Zoning Requirements -Setbacks -Easements - 2. Soils; Special MH Support Sketch 2. Footings; Soils-Size-Depth-Spacing-ConnectorsSteel 3. Sewer; Location -Test -Fall -C/O -Concrete - 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Water, Location -Test -Easement Needed (Sketch) 4. Wood Awn.; Posts-Beams-Rttrs.-Connectors 5. Electricity; Location-Clearances-Gmd-/ /Amp -Concrete Shthg: Rfg.-Bracing 6. Gas; Location -Test -Wrap; / /"L'ft. 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures / /Nat. or/ / L"ft./ /LPG 6. Carports; Windows -Doors 7. Well Clearance & Disconnect 7. Electric 8. Utility Clearance 8. Frmg.; Sils-AnchorsStuds-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing Date Card B-1 Date Card B-1 11. Ext.; Steps -Doors -Landings Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks Easements f Date Card B-1 Date Card B-1 2. Footings; Size -Spacing -Marriage Line 1Date Card B-1 Date Card B-1 3. Gas; MH Test -Demand Valve -Connector Date POOLS (Plans) OK except #'s 4. Electricity; MH Test -Crossovers -Breakers -Clearances 1. Setbacks -Easements - 5. Drain; MH Test -Fall -Flex Connector 2. Soils; Compaction -Structure Stability .6. Water; MH Test -Regulator -Connector 3. Pool Structure; Steel -Connections -Thickness 7. Water and Sewer Connected -C/O to Grade -HD Approval Dead Men -lining 8. Gas and Electricity Tagged 4. Elec.; Receptacles and Lighting, Distance-GFI 9. Tie Downs -Type -Installation Cert. 5. Elec.; Pool Lighting; 15 Volts-GFI 10. Exits; Insp.-Sketch 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 11. Cert of Occupancy _ -- - - . - 7. Elec.; Bonding; Metal w/6 -Circulating Equip. -Heater ' - y 8. Elec.; Grounding; Equip, w/5 Circulating Equip. -Pool Lghtg. `K Boxes-Enclosures-Panelboards-Ins. to Main in Conduit Date Card B-1 Date Card B-1 9. Health Department Approval Date Card B-1 Date - - Card B-1 10. Plumb.; Cir. Test -Water Suppty Test Date Card B-1 Date Card B-1' Date Card B-1 Date Card B-1 1 1 � f -T= OK O 'ot OK , = cable Not RESIDENTIAL (Single ' =t Ready Date (Plans) OK except q's Zoning -Setbacks -Easements -Fl 2d -Slope S 2. Ftg., Main; Soils-Elec. Grnd.A;4L.Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-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 n'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 DateCard B-1 ------------------------ ------------------------- --------------- --- ------ Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except A's 22. Fixture & Transformer Clearance -Ins. Protection -------------------------------------------------------------------------------- � Elec. Receptacles Spacing -Lights 8 Switches at Doors --------- - - - - - -- -- - ---- ---------- oxes & No. of Conductors -Stapled ---------- ---------- -- - 25. Ro z Installed Close to Edge of Studs & C.J. --- --------------------------------------------- - - Equip. Ground made up wrMech. Fastners-Bond Gas & Water ------------------------------------------- 27. ------------------ 27. 2 Appliance Circuts in Kitchen & Conductor Size,GFI ------------------------ ------------- --........... -- 28. Subfeed Wire Size ga. Cu or AI-A.C. Wire Size • ga. Cu or Al ------------------------------------------------ 29. Range Circ r ' ga. Cu or AI -Oven Circ. I r ga. Cu or Al. Insulated Neutral 0 Yes ❑ No ----- -------------------------------------------- _ -- - --- -- _..... . . 30. Service -Riser Conductors & Ground -Main Disconnect ------- ....----......_.._ ..... ....... 31 Equip. Clearances Panels-Motors-Mech. Equip. - - -----------------. - ...-. ....... .. 32 lothes Closet Light -Shower Light -Spa Light 3 Smoke Detector --------------- ---------...--- --- --------1___-- . ....... ....... ....... .. Date Card B-1 Date Card B-1 - --- - .... .. .......... ............ ... ....... ... Date Card B-1 Date Card B-1 Date MEC ANICAL (Permit) OK except a's ---- 4. A.C. Ducts Insulation & Support --- - ------- ........................... ... ... .. 35. Vent Fan: Exhaust above insulation 36 Condensate Dram & Overflow. Size & Grade 37. Furnance Vent: Access -Comb.. Air -Return Air Vent -115 outlet 38 Attic Access & Platform if Furnance in AlliC ........ .. Date Card B -t Date Card B-1 Date Card B-1 Date Card B-1 Date FR NG,(Plans) OK except 4's v3�9 s. Proper Material & Anchors 0. s Studs -Nailing. Spacing & Bracing -Plates -Sound t B ng Walls over Girders & Floor Nailing 2 t top in Walls (rat proof) 3 F Stops. Furred Ceilings -Stags -Chases -Tub . Headers & Beam -Size & Bearing & Duplex) Date FRAMING (Continued) ----43-;_Hangers-Post Caps -Anchors -Connectors _ �46. Cing. Joist-Rftr. ties -Purl in -roof Brac-Truss-Shthng.-Rfng. - 4 pies or Type A Flue -Fireplace Throat clearance 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles Cdr Windows or Exiting Doors -Sill Hgt. & Dimensions arage Fire Protection Framing 1. Property Line Firewall & Openings --------- - ------------------ - Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits 53. iLs=Wrdth=Headroom-Rise-Run-Landing-Fire Protection plywood on Roof Overhang -Attic Vents -Rafter Outriggers 55. Siding- g Veneer --------------------- ------------ 6 cco Mesh -Drip Screed -Fd. Vents-Underflr. Access ------ 57. Glazing Area -Glass Protection -Skylights -Plastic \/Sid. hear Walls: Nailing -Bolts nsulation-Walls-Ceilings ---------- - ----------------------- - 0. Infiltration -Walls -Windows --------------------------------------------------- Dat and B-1 Date _ Card B-1 Date Car -1 Date Card B-1 Date FIN A tans) exce s xt. s -D & Sidelig rotection 68�moke Detector 63. Furnace Vents -Clearance -Comb. Air -Connector - In Garage: Above floor -Ducts -Meth. Protection -f"S athFixtures &Tub Access -Spa (Xilec. Trim & Subpanel: Breaker Sizes & Labels - - -- -------- ------------------ 65�-SiauF.-BrRatts r tove: earances-Hearth ... _. -. .._..------------------------------- 6 Panel: Int. & Ext. ..... - - - - _..---------------- i----------- ------ -- pp lance, rnd.-Air Gap -Cooking Clearance _---------------------------------------- -- 7 u e s & Receptacles at Kit. Counter ng_Landing-Close r ...... ....._-- -- -- ---------per----------- ----- 74' .. -Comb. Air-Connector-P.R.V. In Garage: Above Floor -Meth. Protection 5. Ib.. Elec. & Mech. Equip. Listed for Location - - ------------- ----- ...... ..... ---- -------------------------------------- - .I.)-Romex Protection Insulation -Foam -Looked in Attic O Yes --------------------------------------------- ---- - ----------- onstruction-Post Caps _iA_5 n. Vents & Crawl Hole Door -Drainage & Wood -Earth Clear ce Looked under Flo o 0 Yes ---------------- ollowmg instld.: Drive Yes No: Walks Yes O No: b Planters 0 Yes v -o_ 81. tuc rown finish C t: sconne Ele ca Plu -- l ---------- - Above Roof. Plbg.-Appliance-Fireplace.-Clearance to Openings isconnecl. Electrical, Plumbing ----------- ----------------- - ---------- ----- 5 e Elec. Tnm: G.F.I. Receptacle_Underground ------ n enti Throughout House.------_---. la rotection...... ..-------------- -- --------- al orrections from Previous Inspections i3 - gged: Gas -Electric -------------------------------------- d-CrO to Grade -HD Approval . �Comp�hance -- ----- -------------------------------- Eneeruf tate-Other Certificates Date �i .Card B-1 Date _ _Card B-1 - Date�.�� � Card B-1 5 _..Date - -- -- Card B-1 - ---- Date Card B-1 Date Card B-1 Comments at Final: N� Q�e r✓ ✓ _CoIL__ ��-- ��--------------- INSULATION CERTIFICATE " BOB FIGHTER ' 45 HOLLZS LANE GRIDLEY NUMBER &'40 STREET • clrY BUTTE COUNTY SUBDIVISION -- — — --_�_ �— LOT NUMBER DESCRIPTION OF INSULATION 1. ROOF MATERIAL BRAND NAME THICKNESS (INCHES) THERMAL RESISTANCE (R -VALUE) 2. CEILING BATT OR BLANKET TYPE BATTS . BRAND NAME CERTAINTEED THICKNESS (INCHES) 10 THERMAL RESISTANCE (R -VALUE) 30 LOOSE FILL TYPE BRAND NAME CONTRACTOR'S MIN INSTALLED WEIGHT/FT2 LB MINIMUM THICKNESS (INCHES) MANUFACTURER'S INSTALLED WEIGHT PER SQUARE FOOT TO ACHIEVE THERMAL RESISTANCE 3. EXTERIOR WALL FRAME TYPE WOOD MATERIAL BATTS THICKNESS (INCHES) 3j EXTERIOR FOAM SHEATHING MATERIAL THICKNESS (INCHES) 4. RAISED FLOOR MATERIAL THICKNESS (INCHES) 5. SLAB FLOOR MATERIAL THICKNESS (INCHES) PERIMETER INSULATION DEPTH (INCHES) 6. FOUNDATION WALL MATERIAL BRAND NAME 4 CERTAINTEED THERMAL RESISTANCE (R -VALUE) 13' BRAND NAME THERMAL RESISTANCE (R -VALUE) BRAND NAME THE RMAL.RESISTANCE (R -VALUE) BRAND NAME THERMAL RESISTANCE (R -VALUE) d BRAND NAME THICKNESS (INCHES) THERMAL RESISTANCE (R -VALUE) --------------------- DECLARATION I HEREBY CERTIFY THAT THE ABOVE INSULATION WAS INSTALLED IN THE BUILDING AT THE ABOVE LOCATION IN CONFORMANCE WITH THE CURRENT ENERGY EFFICIENCY STANDARDS FOR RESIDENTIAL BUILDINGS. (TITLE 24, PART 6, CALIFORNIA CODE OF REGULATIONS) AS INDICATED ON THE CERTIFICATE OF COMPLIANCE, WHERE APPLICABLE. JUNE 14, 1996 2, 3 DATE ITEM #'S DAN HANSEN BRANCH MANAGER : t r COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION • 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541PERMIT NO. APPLICATION AND PERMIT 96 _ ao ASSESSOR PARCEL NUMBER 024-290-006 ZONING R1 BUILDING PERMIT OWNER PAUL & SANDRA BREITAG TELEPHONE SQ. FT. OCC. BUILDING VALUATION 428 R 23 112.00 OWNERS MAILING ADDRESS 45 HOLLIS LN GRIDLEY CONTRACTOR'S NAME BOB FICHTER TELEPHONE CONTRACTORS MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ 23.112.00 Filing Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ 243.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 157.95 Energy Plan Checking Fee $ 23.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDINGADDRESS 45 HOLLIS LN PERMITFEE $ 443.95 PLUMBINGPERMIT Filing Fee 20.00 GRIDLEY Each Trap 7.00 LOT NO. SUBDNISroN'S NAME PARCEL MAP ,Solar or heat pump water heater 23.00 Water piping 15.00 USEOFSTRUCTURE SF ❑X Duplex ❑ Mobilehome ❑ Other SPECIFY Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑X Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: DINING ROOM — Mobile Home I S I GI W 1 920.00 PERMITFEE $ Contractor ELECTRICAL PERMIT Filinq Fee 20:00 Main Service a V oR LESS ( z00 OR LESS ) 23.00 Main Service ( 200A TO I000A ) 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 II force and effect. /�/ License Class Lic. No. � 3 / 6� OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason NEW CONST. DWELLING OCCUP. OR ADDNS. ( 8 ACC. BUDS. ) SD. 3.50 FT. 14 NEW CONST. MULTI.OUTLET NON-RESID. ( BRANCH CIRCUITS ) 97.50 POWER APPARATUS (8 SINGLE OUTLET CIR. ) Ex. Occup. OUTLET OR FUTURES ( ) 20 @ ,.00 BAL .SO EX. Occup. OUTLETS E APPLNI.OR 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ Contractor WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier 0. * ol,, L/ [' MECHANICAL PERMIT Filing Fee 20.00 9 Heating Cooling Hood 6.50 Ventilation PERMITFEE S Contractor - Policy Number CD©� (C-9 / -- (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shallTOTAL not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. t Date�� �� �LnPuret - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or constru Onrj/2C/-16 of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee Is OCC CONST. TYPE FEE $ 524.90 HA2. I D. FEES I IMP I FLOOD I CDF PARCEL PD HD ISSUE This permitis hereby " sued under the of the tte unty Code and/or ind' ate e f r hich fees have PERMITEXPIRESON applicable provisions Resolutions to do work been paid. Date (Date) ( ReceiptNo. 195570 — 220.95//�D! Q 303, �'jS WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD- LICANT 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) 872-6307Y CORRECTION NOTICE' 13r -e- OWNER PERMIT NO. "M A routine inspection indicates that the following violations of Butte County Ordinances exist at f 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 this office immediately. } / 4e u-) N. C O OST SLI C C .T: 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 s 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 this office immediately. a1 I� � - -/ I'--' ��o �,0 � 4,1 �1,, Ile- e- /e f / e i r e- , / -k 5' -kA -t tA --k -S i � a cs +�7 C M -- - L, , ff Date %" : 'r Inspector r't $:5,e vim, REV 10/92' 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 pfc-� -dos 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 this office immediately. c if f , r 'b+ _ r • • Y a u ,l -•-Y�, 7j r� a'Rf? Date —/&tpectory Al .3.14 REV 10192 COUNTYOF BUTTE -DEPARTMENT OF,DEVELOPMENT SERVICES -BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 -TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET OWNER 16 r'•2 t + Q No. b6 Proposed Building Use AZb>.I,1 SF Building Inspector Date 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. ............ .......................... . 1 '1 Plot plans, 3/4 sets, signed by preparer of plans. .� a3 -gc !zn 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. Aazardous Material Form . ........................................... rEnergy Design Compliance and supporting documentation .................... (W7. atement of Intent for Non -Heated and A/C Buildings. ...................... gineered truss details and layout in duplicate (required prior to plan check). .... S x27'/4 12-3 . 9. Mobilehom at an eefacturer's installation instructions, 2 sets. ..........F �? Fees of $ �® . .......... .. . . Impact fees as showflyon attached schedule. . , oo (. . . 12. California Departmefi"'t of Forestry plan approval/fees. . ......... . 13. Flood elevation letter (100gyear flood) byCalifornia Engineer . ................. . f Sanitation and plot plan approval. U 1 t e– Health Department . ..c'�i-�i� G City of Chico plumbing permit . ......................................... 16. Plot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) LAse, (B) Parking: . ......... 18. Contact Land Development about (A) Improvements (B) Drainage. .......... . 19. Driveway permit (construction approval required prior to occupancy). . . . Pre pection for _, P`� e;;60" n?qu� — 20required. . to Building lnspedor (Date) C tractrs license information. (No., Name Style, Casss�r qpn).t`G ....... `f Workmans Compensation Insurance. P.O. . 23. Owner -Builder Verification (Given to owner , Mail to owner _). ......... . 24. Recorded copy of Agricultural Acknowledgement Statement . .................. u' 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 . ...................................... ltl Plan check list . ..................................................... 34. Wl ecu issue thetWit_ prQc��ss as follows: Mail to owner. Mail to contractor. tt11 Telephone °Q'Kpp (p(p 1 and hold for pickup at ar"d V t 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 1. Index permit for above items No. 2. Additional items required: above). Con ractor, designer, owner, was advised of above required data by _p phone _ mail Counter by _ Date _5-(_S.% Contractor, designer, owner, was advised of above required data by _ phone —mail Counter by _ Date Plans checked by Date Plans approved by G 113Zor4s Date_ 5-29 -96 Sets of plans on hold in _ File cabinet AP folder Copy - Department of Public Works l TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance . usB orn Pwc Psm AuanW Flow PIM Uw to B.D. Owner Location APAP Plan Approved for: Sewage Disposal Water Supply: Public Private Well Clearance for Hold final for: Final clearance OX. for: NOTE: 0\� Rq L20 - 1 19 LQ Environmental Health Specialist Date Q/o� , i� �'C'fxei"P"7¢+f:,..,r..,,..�,•„�^'.T �j"7.-y,;;Y�e-.-�.r..,,.i..-^nF-ti,.�£1:�`�,ir�t,..'*SR..�.'f...�'_.'St'r,'L"'r �'P"'�e.+'ti `,Y:Y'V^� n.;...•irwz.r'�PY3r5:rri.:�t.nfjT�f=: .,. ,. ..i ,• * BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM ' a (OnerFoft Per Building) School District 1Building Department No. Number (�a4 —c��jh--pp/��^ Jurisdiction: 0 City unty "e-N.P. _ ( Property Owner Property Locatic Subdivison _ F k Residential Development No. of Living MHI Units 3A. CommercialAndustrial AAAA-1�n [;��Sq. Footage ? Addition (Group R) Sq. Footage (Including Exterior Roof d Areas) sly ; '0 Date (Floor Plaris reviewed by School District Personnel) ' District Identificatio No. S 9 (o !� V~Sc/hool District ceifiZs . i t)1at 41 ,(Street Address)' ;, (Phone Number) (City) (State) (Zip Code) has complied with the requirements of Resolution No. //��! g`� by payment of'$ 4P— representing square feet. AB 2926 $ FULL MITIGATION $ 3//4(/96 Sc bol District epresentative Date Paid by Check # Remarks: Qlll?lQe,� ti 's 9 lJ Bank Number Paid by Cash 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 reviewed 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) feeform.wk, (, 1/94)dmm Y T•,. r . PERMIT NO. 6499-75B,P_ ,E,M 1. P E M MH UTIL. PERMIT NO. PERMIT EXPIRES ! 'TOWNER Bill Pearsall CONTR. owner "ILOCATION (A.P. 24-29-6 ) i VIS Hollis Lane, 450' E. of. Hwy 99, lot##6 ..'Gridley. . U M f Temp. Power Pole Called PG& /mac Temp. Elec. erv. � Called G&E Temp. s Serv. a C led PG&E J ?;. INALED (Date) (Signature) COUNTY OF BUTTE — DEPARTMENT -OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDINP BUILDING (Cont'5) P UMBING Setback t ? Firewall Soil Piping G� Forms Parapets �----'-- —' 1st Floor i Main Bldg. Z7-24y4_1�f0 Restroom Finish 2nd Floor Footings Windows 3rd Floor Stemwall Siding To out �' e Slab 2 G Roof Sheathing Water Piping/ Z Piers Roofing Sewer Garage Fdn. Vents — Fixtures Footings % % Garage Vents Water Htr. Stemwall Slab / Prov. for physically handicapped Heaters Appliances Carport Footings Conformance 9f ex,, structure %� ' Gas Piping & Test Temp. Gas 6, Slab Final Sanitation Patio FIREPLACE Final Footin s Footing ELECTRICAL Masonry Walls Throat Reinf. Steel Final Bond Beam FIRE SPRINKLEBS- Framing Test Stucco Final Mesh 07 a % MECMANIC , Scratch 6 Wod eatin 1 Brown Cooling Finish Ducts Interior Lath Ventilation Door Closer Final0(4 d i DATE REMARKS OR CORRECTIONS .l Rou h Z % Fixtures re Motors Water Htr. Subpanels Grd. Fault Prot. 'l r Service 'Z Temp. Pole Underground Permanent Final -s THIS IS TO CERTIFY THAT INSULATION HAS BEEN INSTALLED IN .CONFORMANCE WITH THE CURRENT REGULA- TIONS, CALIFORNIA ADMINISTRATIVE CODE, TITLE 25, STATE OF CALIFORNIA, IN THE BUILDING LOCATED AT: Street Lot Number Tract No. EXTERIOR WALLS ,, l Manufacturers/�r' ( Thickness/Type R Value . CEILINGS �o Batts: Manufactures ` Thickness R Value Blown: Manufacturer Thickness No. Bags Wt./Bag Sq. Ft. Covered R Value FLOORS Manufacturer Thickness/Type R Va SLAB ON GRADE Manufacturer Thickness/Type R Valu,- Width alueWidth of Insulation +aches FOUNDATION WALLS Manufacturer Thickness/Type R Value GENERAL CONTRACTOR LICENSE No BY TITLE — DATE INSULA N l ACTOHAWKINS INSULATION CO. LICENSE No. 15-925 1 � a BY TITLE _ DATE-- �� - COUNTY OF BUTTE UEPARTMENT OF PUBLIC WORKS 7 County Center Drive Oroville, California 95965 Telephone: 534-4541 y/ f 7,5 APPLICATION AND PERMIT •+n !cV!caciaUveS UI L"e VUunly UI t5ulie IU enter upon ine above-mentioned property for inspection purposes. Signature of Permitee oor/Agent Receipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF P B IC WORKS By Date �— b� 7 (a,ilding permit expires Date �— 7� BUILDING Owner SQ. FT. OCC. BUILDING VALUATION lIF�T /79 qQ Mailing Address3U/ �L Gl/"-Lv4A aAP1e__1 CC/ Telephone No. Fireplace Contracto 44 Total Valuation Mailing Address Permit Fee _ Plan Checking Fee&/or Penalty Telephone No. Permit Fee ^ Building Address PLUMBING No. @ FEE PERMIT FILING FEE $3.00 -3,00 Each Trap 1,50 (7,00 Repair drainage or vent piping 1.50 Water piping 1.50 6 Each gas water heater or vent 1.50 ��Gl.� / A. P. No. / tG Zoning & Planning Gas piping system 1 -5 outlets 1.50 ,Lr Each additional outlet .30 F s S601�on I Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans Parcelrce'T Declaration N%a 60' R/W Im provements Lawn sprinkler system 2.00 '97 ans Recd 16arcel Ap Plans Approval Permit Fee $ $ 5 NEW,�Z ADDITION ❑ UTILITIES ❑ OTHER ❑ ELECTRICAL No.1 @ FEE PERMIT FILING FEE $3.00 .Q Main service 10000 AMP 'IV OR OR ESLESS 5.00 Main service EA. ADD -L 100 AMP 2.50 Single Family ' Duplex ❑ Mobil Home ❑ Others ❑ OVR 60 Main service 100E EAMP oR LESS 25.00 Main service EA. ADD•L 100 AMP 1.00 NEW CONST. DWELLING OCCUP & OR ADDNS. ( ACC. SLOGS./7 ) 2¢'Sgft , NEW CONSTR. (MULTI -OUT -LET NON-RESID. ( BRANCH CIRCUITS) 2.50ea • NEW CONST. POWER APPARATUS 8 NON.RESIRD. SINGLE OUTLET CIR. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of ��f Lr/�/�+ L` M �•e%/-�.�"-��-- Ex. Occup(OUTLETS OR FIXTURES) 50@BAL1a FIXED APP LNS. OR ) Ex. Occup. p• (OUTLETS (RESID) EA 2 00 Temporary service 10.00 . Mobile Home Facilities 15.00 �� ` License No 0' / K, Classification i, Misc. Wiring 6.25� ADO ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee Y. WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑ I have placed on file with the County of Butte a certificate of Workmen's'Compensation Insurance. ❑I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No.1 @ I FEEPERMIT FILING FEE $3.00 Axd Heating `4d Cooling Ventilation Hood 2.00 '�� p0 Permit Fee $ $ I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby TOTAL PERMIT FEE •+n !cV!caciaUveS UI L"e VUunly UI t5ulie IU enter upon ine above-mentioned property for inspection purposes. Signature of Permitee oor/Agent Receipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF P B IC WORKS By Date �— b� 7 (a,ilding permit expires Date �— 7� 01,- lilans and spc'cittcatlons N.Ja1 uc ce t on the job ail times and it is c n�< :'ul tc: make an changes or alter:1*inns C•n `- l" ' "" ' wrlttan permisson froin the De;j:rtrr,- �t of Public Works, County of Butte. 1 5' NDTE:--AN Nin+,j,is R W114��n.�.,n S!,, -.f( Be �1! rnrticy^�e with R^r',qn!• M4 r,�...i P -- }'••Qs and Of a qurylif%? orescrihn-1 fnr 'hn crn_•�• ,.; use in the Uniform Bu'ldinq, Pkimbing & Machanical Codes and the National Electric -cd Co -de.._.___.__________ A/L- go '•. o" 1 go• -o" 1. CO 1R�> 7S fOhl 5 �ET_1�lEENL7N&:STRAA1 -FN.A: REQ.. t" 00 TH_!CT-R� QDI2��T:i3 .�3L_T7'E_ C©LINTY:. va o � i �rs't�]Al _�l�Cu _7-iil�TA. _L:LA-TT�1.i7�� _: 17fIV STJ3a7D —P/S'UUPr- R T.i--j_ _ 1A1 A eTT_&3�F1.rL'i"! ?= 9UUOATIOzT S�ALL_F= L I1C1 `.Septic system and location of build- ing drain stub -out to be as per Butte Coun Health Dept. Re- quirements. 5CALC O I S- zo'-0'° SEPT 1 C TANK' h See Master Pian n file for building clans. /2=0� - TxiC--KORTZ OAITA-E--S EPg PAT/GV BCTiv79-EA! TPF- 5J= }JAGF A8SOAF TlOAI SV5TZ'M AND WGLLR.MAY 5_9�_ RTT UC -r --V :_TO- 50 j7_ Tvl4 rrk -THE-StJRFACr .."SaIL:OR Su4Sp/! 'RrrC i~ 1VING 7,44-r. SF �YAGF Com= L- r-1- L- CT1V &L V. -'SEPARA7�D =: FROM THE WATC-R SUPPLY ---1 �O�PMATJd,cl-Z3Y"A,C! �xr.61J5l1�'�;- COUTI000U5 1MPERY10VS. SrRATA OF CLAY, NAROPAXJ ROCK, QCT• RS•PER .-Tpj�_.1Y.A. — PG!"c'MOTLAT/O�tt 7 LOT "H O L L I S L A N E BUTTE COUNTY - 140L L J At� GRIDL&Y, G p he Bldg. Setback shall be 5 ft. fro. BUILDING DEPARTMLNI rhe site property line and 50 ft. from DRAWq 5Y, rhe centerline of the road, permitting APPROVED G & )Jl! R081111 SOJU PN,745- 807.4 -- E_LE VA T Jou VrTG -//9G 5a �T.I4GUJr 46 '-o" Jo, `O 0 h See Master Pian n file for building clans. /2=0� - TxiC--KORTZ OAITA-E--S EPg PAT/GV BCTiv79-EA! TPF- 5J= }JAGF A8SOAF TlOAI SV5TZ'M AND WGLLR.MAY 5_9�_ RTT UC -r --V :_TO- 50 j7_ Tvl4 rrk -THE-StJRFACr .."SaIL:OR Su4Sp/! 'RrrC i~ 1VING 7,44-r. SF �YAGF Com= L- r-1- L- CT1V &L V. -'SEPARA7�D =: FROM THE WATC-R SUPPLY ---1 �O�PMATJd,cl-Z3Y"A,C! �xr.61J5l1�'�;- COUTI000U5 1MPERY10VS. SrRATA OF CLAY, NAROPAXJ ROCK, QCT• RS•PER .-Tpj�_.1Y.A. — PG!"c'MOTLAT/O�tt 7 LOT "H O L L I S L A N E BUTTE COUNTY - 140L L J At� GRIDL&Y, G p he Bldg. Setback shall be 5 ft. fro. BUILDING DEPARTMLNI rhe site property line and 50 ft. from DRAWq 5Y, rhe centerline of the road, permitting APPROVED G & )Jl! R081111 SOJU PN,745- 807.4 -- E_LE VA T Jou VrTG -//9G 5a �T.I4GUJr 024=290-006 PERMIT#96-1316' BREITAG ,.Paul & Sandy 45;;Hollis Ln. ',:Grid,le. , y. Cont; Artic-A1 re , Neia `.AC/SF �6— COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIV SION 7 .County Center Drive - Oroville, .California 95965 - Telephone (916) :=1(9/ PERMIT NO. APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER ZONING BU DING PERMIT OWNER+ a a TELEPHONE 846-5724 SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 45 HOLLIS N RDE,Y CONTRACTOR'S NAME AR IC AIRE TELEPHONE 895-3330 CONTRACTORS MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER UCENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDING ADDRESS 45 HOLLIS LN GRIDLEY PERMITFEE $ PLUMBINGPERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO. SUBDNIS ION'S NAME PARCEL MAP Solar or heat pump water heater 23.00 Water piping 15.00 USEOFSTRUCTURE SFS Duplex ❑ Mobilehome ❑ Other SPECIFY Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: NEW AC Mobile Home I S I G W 1 @20.00 PERMITFEE $ Contractor ELECTRICAL PERMIT FilinQ Fee 20:00 Main Service a V OR LESS ( 200A OR LESS ) 23.00 Main Service ( 200A TO IOOOA ) 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. ) k License Class Lic. No. a c,J >i OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ 1, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason NEW CONST. DWELLING OCCUR SD. OR ADDNS. ( a ACC. BIDS. ) 3.50 FT. NEW CONST. MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS ) 97.50 POWER APPRATUS ( a SINGLE OUATLET CIR. ) Ex. Occup. (OUTLET OR FIXTURES ) a4L Ia I.50 Ex. Occup. ( OFIXED . EA ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE _ Contractor WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. Q'I 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 lrl t,r e_, R MECHANICAL PERMIT Filing Fee 20.00 9 Heating Cooling 20. OC Hood 6.50 Ventilation PERMITFEE $ Contractor Policy Number a -0 10 14 / (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X L�y/jA.. Date _ �-/ i � Signature of Applicant - ❑ Owner Q,Contractor ❑ Agent An OSHA permit is required for excavations over 50" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee Is OCC CONST. TYPE TOTAL FEE $ 4 HAZ. I D. FEES I IMP I FLOOD I CDF PARCEL 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. By .t t. Date PERMITEXPIRESON � "� 7— 45�77 (Date) ReceiptNo. 195456 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE- DEPARTMENT OE DEVE;.OPMENT SERVICES -BUILDING DIV ON 7 County Center Drive - Orovillee, California 95965 - Telephone (916) 538- 41^ PERMIT NO. APPLICATION AND PERMIT �/ ASSESSOR PARCEL NUMBER 02/--290-006 ZONING BU LDING PERMIT OWNER TELEPHONE 846-5724 OWNER'S MAILING ADDRESS 45 HOLLIS LN, RDEY SO. FT. OCC. BUILDING VALUATION CONTRACTOR'S NAME AR IC AIRE TELEPHONE 895-3330 CONTRACTORS MAILING ADDRESS 28 -AR NNW 14WY 32, CHICO Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 20.00 LENDER'S MAIUNG ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDINGADDRESS 45 HOLLIS LN GRIDLEY PERMITFEE $ PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Solar or heat pump water heater 23.00 Water piping 15.00 USEOFSTRUCTURE SF)(1 Duplex ❑ Mobilehome ❑ Other SPECIFY Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: NEW AC Mobile Home S GI W111 920.00 PERMITFEE $ Contractor ELECTRICAL PERMIT Filina Fee 20:00 Main Service000V 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. �J License Class Lic. No. a�3 7 cl''/ OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason NEW CONST. DWELLING OCCUP. OR ( 8 ACC. BUDS. ) 3.50FT. N. CNS. NEW CONST. MULTI.OUTLET NON-RESID. ( BRANCH CIRCUITS ) @7.50 ( POWER APPARATUS ) 8 SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) 20 Q I.00 BAL 50 Ex. Occup. (OUTLEETSAPPLNS. OR RES D.) EA) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE S Contractor WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. 001"'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' com ensation insurance carrier and policy number are: Carrier j/ MECHANICAL PERMIT Filing Fee 20.00 9 Heating Cooling 20.0 Hood 6.50 Ventilation PERMITFEE $ Contractor Policy Number SA_Imlo-1-/ / / 3 (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X 9(p ��--_--- Date _��= Signature of Applicant - ❑ Owner p -Contractor ❑ Agent An OSHA permit is required for excavations over 50" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE e HAZ. D. FEES IMP FLOOD 7F PARCEL PD HD ISSUE This permit is hereby issued under the of the Butte County Code and/or indicated above for which fees have By ` PERMITEXPIRESON applicable provisions Resolutions to do work been paid. Date 7— (Date) rReceiptNo. 195456 HITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT