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HomeMy WebLinkAbout024-290-010-`~-- -- - — - --- - -^' -- -- ------ - -,--------- - ---�------- --�----~--- `~^- � K� +~ '24-29-10^ ` .. ` . . | / / | ` | ` 24-29-10. � |LarrZ & Gay Johns | | ,-; A 1contr: Servamatic Solar Sys., Chico ~ KLEIN, Darrelfyne 73 Hollis Ln,-Gr'idley- B08-0992 024-290-010 MISCELLAN90US Re-Roof REROOF COMP 23 SQ'S 73 HOLLIS LN ( � ' ' � ^ � ^ . . , � | = � ` CN qq::r CN G7 1 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT'SERVICES BUILDING PERMIT 24 HOUR INSPECTION (IVR): (530) 538-4365 OFFICE: (530) 538-7541 FAX#`. (530) 538-2140 ONLINE PERMIT/RENEWAL PAYMENTS: www.buttecounty.net\dds LICENSED CONTRACTOR'S DECLARATION Contractor (Name) State Contractors License. No. / Class / Expires 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. - X 05/29/2008 Contractor's Signature Date WORKERS' COMPENSATION DECLARATION I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: ❑I HAVE AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR WORKERS' COMPENSATION, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑I HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My Workers' Compensation insurance carrier and policy number are; Carrier: Policy Number: Exp. Date: (This section need not be completed if the permitis oris or on�llars ($100) oror esTs.) ❑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 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 05/29/2008 Signature Date WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND ATTORNEY'S FEES. I I CONSTRUCTION LENDING AGENCY I HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for the performance of the work for which this permit is issued. (3097 civ. code) Lender's Address City State Zip A Total Charged: $147.50 Fees Paid: $147.50 Balance Due: $0.00 Receipt No: B7495 OWNER / BUILDER DECLARATION I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed . pursuant to the provisions of the Contractor's License Law [Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code] or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars [$500]; Please check one of the following: Z'I, AS OWNER OF THE PROPERTY, OR MY EMPLOYEES WITH WAGES AS THEIR SOLE COMPENSATION, WILL DO THE WORK AND THE STRUCTURE IS NOT INTENDED OR OFFERED FOR SALE (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of the property, who builds or improves thereon, and who does the work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the owner -builder will have the burden of proof that he or she did not build or improve for the purpose of sale.). ❑I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Professions Code: The Contractors License Law dows not apply to an owner of the property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractors License Law.). I AM EXEMPT under Section B. & P.C. for this reason: 05/29/2008 Date I hereby certify that I have read this application and state that the above information is correct. I agree to comply with all City and County ordinances, rules, regulations, and State laws relating to building construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless Butte County, its officers, agents and employees from any and all claims and liability for personal injury, including death, and property damage caused by, arising out of, or in any way connected with the issuance of this permit. I hereby acknowledge that issuance of this permit does not authorize the use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte County to enter the above mentioned property for inspection purposes. I hereby certify that I am the property owner or am authorized to act on the property owners behalf. 13(-rr) --T /l/%n7A 05/29/2008 ,Owner E]ContractorOR Agent for Owner ❑Agent for Contractor FILE COPY PROJECT INFORMATION Site Address: 73 HOLLIS LN Owner: Permit NO: B08-0992 ' APN: 024-290-010 MOTA SIXTO J & MELVA, Issued Date: 05/29/2008 BY TMP Permit type: 'MISCELLANEOUS 73 HOLLIS LN Subtype: ' Re -Roof GRIDLEY, CA 95948 Expiration Date: 05/29/2009 Description: REROOF COMP 23 SQ.'S. (530) 846-5251 Occupancy:. Zoning: RI Contractor Applicant: Square Footage: MOTA SIXTO J & MELVA, Building Garage Remdl/Addn 73 HOLLIS LN GRIDLEY; CA 95948 Other ' . Porch/Patio Total (530)846-5251 FEE INFORMATION DBMSC Re -Roofing $147.50 • LICENSED CONTRACTOR'S DECLARATION Contractor (Name) State Contractors License. No. / Class / Expires 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. - X 05/29/2008 Contractor's Signature Date WORKERS' COMPENSATION DECLARATION I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: ❑I HAVE AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR WORKERS' COMPENSATION, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑I HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My Workers' Compensation insurance carrier and policy number are; Carrier: Policy Number: Exp. Date: (This section need not be completed if the permitis oris or on�llars ($100) oror esTs.) ❑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 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 05/29/2008 Signature Date WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND ATTORNEY'S FEES. I I CONSTRUCTION LENDING AGENCY I HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for the performance of the work for which this permit is issued. (3097 civ. code) Lender's Address City State Zip A Total Charged: $147.50 Fees Paid: $147.50 Balance Due: $0.00 Receipt No: B7495 OWNER / BUILDER DECLARATION I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed . pursuant to the provisions of the Contractor's License Law [Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code] or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars [$500]; Please check one of the following: Z'I, AS OWNER OF THE PROPERTY, OR MY EMPLOYEES WITH WAGES AS THEIR SOLE COMPENSATION, WILL DO THE WORK AND THE STRUCTURE IS NOT INTENDED OR OFFERED FOR SALE (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of the property, who builds or improves thereon, and who does the work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the owner -builder will have the burden of proof that he or she did not build or improve for the purpose of sale.). ❑I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Professions Code: The Contractors License Law dows not apply to an owner of the property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractors License Law.). I AM EXEMPT under Section B. & P.C. for this reason: 05/29/2008 Date I hereby certify that I have read this application and state that the above information is correct. I agree to comply with all City and County ordinances, rules, regulations, and State laws relating to building construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless Butte County, its officers, agents and employees from any and all claims and liability for personal injury, including death, and property damage caused by, arising out of, or in any way connected with the issuance of this permit. I hereby acknowledge that issuance of this permit does not authorize the use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte County to enter the above mentioned property for inspection purposes. I hereby certify that I am the property owner or am authorized to act on the property owners behalf. 13(-rr) --T /l/%n7A 05/29/2008 ,Owner E]ContractorOR Agent for Owner ❑Agent for Contractor FILE COPY Butte County Department of Development Services TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR 7 County Center Drive Oroville, CA 95965 (530) 538-7601 Telephone (530) 538-2140 Fax www.buttecounty.net/dds OWNER -BUILDER INFORMATION An application for a building permit has been submitted in your name listing yourself as the builder of the property improvements specified. For your protection you should be aware that as "owner -builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: ° If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $500 or more for the entire project and such persons are not licensed as contractors or subcontractors, then you may be an employer. ° If you are an employer, you must register with the state and federal government as an employer and you are subject to several obligations including state and federal ° income tax withholding, federal social security taxes, workers/ compensation insurance, disability insurance costs, and unemployment compensation contributions. There may be financial risks to you if you do not carry out these obligations, and these risks are especially serious with respect to workers' compensation insurance. ° For more specific information about your obligations under federal law, contact the Internal Revenue Service (and, if you wish, the U.S. Small business Administration). For more specific information about your obligations under state law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through thier own employees, without a license contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractor is to secure an "owner -builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contacting the Contractors' State License Board's automated telephone information system at 1-800-321 -CLSB (2752) or by accessing thier website at www.CSLB.ca.gov. . PLEASE COMPLETE AND RETURN THE ENCLOSED OWNER -BUILDER VERIFICATION FORM SO THAT WE CAN CONFIRM THAT YOU ARE AWARE OF THESE MATTERS. THE BUILDING PERMIT WILL NOT BE ISSUED UNTILL THE VERIFICATION IS RETURNED. OWNER BUILDER VERIFICATION PLEASE COMPLETE THIS FORM AS REQUIRED BY THE STATE OF CALIFORNIA (SENATE BILL NO. 831 EFFECTIVE JULY 1, 1980). NO BUILDING PERMIT WILL BE ISSUED UNTIL THIS VERIFICATION IS RECEIVED. 1. I PERSONALLY PLTO PROVIDE THE MAJOR LABOR AND MATERIALS FOR CONSTRUCTION OF THE PROPOSED PROPERTY IMPROVEMENT((YES R NO) 2. I (HAV VE NOT) SIGNED AN APPLICATION FOR A BUILDING PERMIT FOR THE PROPOSED WORK. 3.1 HA E 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 THE WORK, BUT I HAVE HIRED THE FOLLOWING PERSON TO COORDINATE, SUPERVISE, AND PROVIDE THE MAJOR WORK: 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 Description: REROOF COMP 23 SQ.'S Reference Number: B08-0992 Applicant Name: MOTA' SIXTO J & MELVA, Owner's Name: MOTA SIX10 J & MELVA, AP # : 024-290-010 Signature of Property Owner: ` Date: BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION" OFFICE #: (530) 538-7541 FAX #: (530) 538-2140 A FEE WILL BE REQUIRED AT TIME OFAPPLICATION Website: www.buttecounty.net/dds PLEASE PRINT CLEARLY PERMIT NO. )g C BIN # "When filed, this application and all supporting material becomes subject to the California Public Records Act. All public information related to this application is subject to public inspection and will be posted on the County's website for electronic access. APPLICANT INFORMATION OWNER INFORMATION Last Namen F i First ame Mailing Address O f City 2 1 State State Zip YO Phone I Fax E-mail Lic. # APPLICANT INFORMATION CONTRACTOR Name Address _7 Address City J I City State State Zip Phone Fax Fax E-mail Lic. # Class APPLICANT INFORMATION ARCHITECT/ENGINEER Name Address _7 Address City J I City State State Zip Phone Fax Fax E-mail State License Number APPLICANT INFORMATION Name '!. 6 Address _7 / /0///S City J I I Yes State Zi C Phone535 Fax E-mail APPLICANT SIGNATURE X PROJECT LOCATION AP# o C — -; G!_ �U Property Address Wo((IS S L w City 6 1 L les- WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than licensed contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address DESCRIPTION OR SCOPE OF WORK: coo I- ca2ayo 23 Sq FT- Living Garage Open Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): For office use only: Zoning Flood Zone SRA I Yes I No Occ. Type Const. :50 IN PERMIT NO. 3Y 5O-75B�P,E�M P E M "MH UTIL. �tiPERMIT NO. �7- PERMIT EXPIRES 76 "OWNER Bill Pearsall �CONTR. ,j;LOCATION (A.P. 24-29-10 n/s Hollis Lane, 9501 E. of Hwy 99, lot 10, A., Gridley ',A • a Temp. Power P"i-er 2� Called PG&E Temp. Elec. Serv. Called PG&E Temp. Gas Serv. Called PG&E 10 B � FINALED '(Date) (Signature) COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING IBUILDING (Cont'd) PLUMBING Setback °' '�� Firewall Soil Pipin Forms Parapets 1st Floor Main Bldg. RestroomFinis 2nd Floor Footings _/,j s'^ , Windows 3rd Floor StemwaII S i d i n To out / Slab Roof Sheathin ' Water Pip! Piers Roofing Sewer Garage Fdn. Vents Flxtures&L—i9/ Footin s Gara a Vent Water Ht Stemwal '— Slab Prov. for physically handicapped - Heaters Appliances. Carport Footings Conformance of ex. structure Gas Piping & Test jamp. Gas Slab Final Sanitation Patio - •. _ .FIREPLACE Final Footings Footing ELECTRICAL Masonry Walls' Throat Rou h — `--'-— Reinf. Steel Final Fixtures Bond Beam FIRE SPRINKLERS Motors Framing— Test Water Htr. Stucco Final Sub anels Mesh MECHANICAL Grd. Fault Prot. Scratch z —;I-- Heating Service29 Brow %5 Cooling - Temp. Pole Finis ��� Ducts Underground Interior Lath Ventilation Permanent Door Closeer_ -- Final `7 Final le —� . DATE 3 Y REM -ARKS OR CORRECTIONS R, t COUNTY OF BUTTE DEPARTMENT OF PUBLIC 'S 7 County Center Drive = Orovi Ile, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. u� Signature of rmitee or Agent Receipt No. �ZK3 772 White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By � ate .407 tiding permit expires Date BUILDING I Owner L SQ. FT. OCC. BUILDING VALUATION Mailing Address WCO Z ` �/) (�j Tele h�� ;_J�� �/ `j Fireplace Contractor Total Valuation Mai I i ng Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee , Building Address S LI L k)E PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 &. 0 -el, �Q Each Trap 1.50 eQ Repair drainage or vent piping 1.50 piping i 1.50 /15101 /®Water Each gas water heater or vent 1.50 -7 A. P. No. Z�'� / j v 2 Zoning & Planning Gas piping system 1 - 5 outlets / 1.50 Q Each additional outlet .30 Fees W.C. n Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Parcel Plans Declaration Parcel Ma 60' R/W Im rov nts p Lawn sprinkler system 2.00 METns Parcel dpfroyal Plan Approval Permit Fee $ 15-00.$7 N W ADDITION ❑ UTILITIES ❑ OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE / $3.00 p� Main service incl. 1 meter p O Additional meters, each 1.00 Sub -panel 02 or -less) (more than 12) .Sd Single Family Duplex ❑ Mobil Home ❑ Others ❑ Rpge, Cook -top or Oven 1.00 p p Water ter or Space Heater 1.00 Light fixtures b .1010 Re pp., swjA&qes & fixtylutlets 3 SO CONTRACTORS LICENSE LAW 1 am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: HoogEx. FanZt-F.A. Furn. Motor j 1.00 pp Evap. cooler, gar. disp. or D.W. 1.00 Air conditioner or heat pump Water pump Mobil Home Facilities 5.00 Temp. Power Pole 5.00 License No.j2 A'1?%t� Classification l Misc. wiring ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $2-3.7-51$ 23 < MECHANICAL No. @ FEE 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. 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. PERMIT FILING FEE $3.00 3.00 Heating O ¢DO Cooling Ventilation Hood J 2.00 2.00 Permit Fee $ $ I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby TOTAL PERMIT FEE $ ` authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. u� Signature of rmitee or Agent Receipt No. �ZK3 772 White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By � ate .407 tiding permit expires Date n COUNTY OF BUTTE — ' DEPARTMENT OF PUBLIC WORKS 7—nz --�� 7 County Center Drive. - Oroville, California 95965 `Telephone: 534-4541 APPLICATION AND PERMIT k1 auufufice Zlubentauves or the f,,ounty of tsutte to enter upon ine . above-mentioned property for inspection purposes. X D ' Signature f Permitee or gent , 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. REC OF PUBLIC WORKS By y Date 17,5 - Building permit BUILDING Owner SQ. FT. OCC. BUILDING VALUATION Mailing Address IS67 L(J rI Jelephone No. Fireplace Contractor U Total Valuation Mai I i ng Address Permit Fee Plan Checking Fee &/or Penalty Tlephone No. e Permit Fee Building Address /j/ PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. �- G— 0 Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 � Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration 60' R/W Im roJements p Lawn sprinkler system 2.00 r Parcel Approval Plans Approval Permit Fee $ $ NEW ADDITION UTILITIES ❑ OTHER Iler ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 .d?d Main service incl. 1 meter Additional meters, each 1.00 Sub -panel (12 or less) (more than 12) — Single Family Duplex ❑ Mobil Home ❑ Others ❑ Range, Cook -top or Oven 1.00- ` Water Heater or Space Heater 1.00 �2 Light fixtures y gl Receps„ switches & fix outlets CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the, name style of � Hood, Ex. Fan or F.A. Furn. Motor 1.00 Evap. cooler, gar. disp. or. D.W. 1.00 Air conditioner or heat pump Water pump t6 14_/,00 Mobil Home Facilities 5.00 Temp. Power Pole 5.00 . License No. Classification Misc. wiring ❑ 1 am exempt from the Contractors License Laws of the State of California. Permit Fee $ 10( MECHANICAL No. .@ FEE WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor, Code which. requires every employer to be insured against liability for Workmen's Compensation. ; I have placed on.file with the County of Butte a certificate of � Workmen's Compensation Insurance. I certify that in `the performance of the work for which this permit ,is issued I shall not employ ariy person in any manner so as to become subject to the Workmen's Compensation Laws of California. ' PERMIT FILING FEE $3.00 Heating + Cooling Ventilation Hood 1 2.00 Permit Fee $ $ I certify'that I have read this application and state that the above information is correct.'I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby TOTAL PERMIT FEE $ C auufufice Zlubentauves or the f,,ounty of tsutte to enter upon ine . above-mentioned property for inspection purposes. X D ' Signature f Permitee or gent , 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. REC OF PUBLIC WORKS By y Date 17,5 - Building permit 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'' Manufacture Thickness/Type Z R Value CEILINGSr Batts: Manufacture ��� Thickness v R Value Blown: Manufacturer Thickness No. Bags Wt./Bag FLOORS Sq. Ft. Covered R Value Manufacturer Thickness/Type R Value SLAB ON GRADE Manufacturer Thickness/Type R Value Width of Insulation ;nrhes FOUPmDATION WALLS GENERAL BY TITLE — DATE R Value No.42 02 INSULATION CONTRACTOR: HAWKINS INSULATION CO. LICENSE No. 215-925 BY //� TITLE DATE r 74K1 _ .3 3--m>- �A'rs ( A.t' ^cry -lo OIL) 's _� COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT NO. A/0 ASSESSOR PARCEL NUMBER 114 - « — /0 ZONING A- / BUILDING PERMIT OWNER 6- MCI ell TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS CONTRACTOR'S NAME ��k"U/IMf�nG SGLIa�c 5YS�Z%��s. /�: TELEPHONE gy3"�b7/ CONTRACTOR'S MAILING ADDRESS s, �7 ll-l!jdIlk4 L -, 7%Z1 iJ mi1%/Z1 (. f�/��%r 4` Fireplace _ CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEERLICENSE 4t4_Att_ NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDRESS PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Repair drainage or vent piping 5.00 R Water piping LOT NO.SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF ©�uplex❑ Mobilehome❑ Other SPECIFY Building sewer Lawn sprinkler system 5.00 501.. NA-- ` — a GV TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other Q' Describe work: �OL /l/% fl t�n,(1 Permit Fee $%� pU Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 1000V OR 0 AMP ORLESS5.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST'( DWELLING OCCUP.y\ OR ADDNS. ACC. BLDGS. 20 sq CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): Qr I am licensed under provisions of Chapt. 9, Div. 3 of the Businesseo and Professions Code and m license is in full force and effect. y License No. 3001 -HS Classification r ` 3G $G -N ❑ 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 I -OUTLET 2,50 ea NON -REBID BRANCH CIRC ITS NEw CONSTR. (POWER APPARATUS 6) NON-RESID. SINGLE OUTLET CIR. @ 24 Ex. OCCUp OUTLETS OR FIXTURES BAL@1 IXED APPLNS. OR Ex. Occup.(ouTLETS (RESID,) EA. 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 Permit Fee $ Contractor MECHANICAL PERMIT FiIirig Fee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Heating Cooling Hood 3.00 Ventilation permit Fee S Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X -�'� '�� Date f "- '" ?Z Signature of Applicant - Owner ❑ Contractor ❑ Agent ❑ An OSHA pe mit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ OCCOP. GROUP I TYPE OF CONST, I PARCEL PD I HD I ISSUE 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 the applicable provi- resolutions to do fees have been paid. WORKS r Date/- 7f. aL- Receipt No. ��9ii� WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT / COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT ASSESSOF7f/T/ PA2E NUMBER Z /`f —/v N ZONI / BUILDING PERMIT Ozy _e,�1 TELEPHONE SQ. FT. OCC.1 BUILDING VALUATION OWNER'S MAILING AE50RESS `.; UWO IW � 7SV , S ,C T X93 8 7/ CONTRACTOR'S MAILING ADD SS /!�� �, iz �/iG�i�l�s�u Ci#460 114- Fireplace CONSTRUCTION LENDER / Ur4 Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ Buy�YG AD EsG iS / PLUMBING PERMIT Filing Fee 10.00 _ Each Trap 2.00 Repair drainage or vent piping 5.00 Water piping LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets USE,OF STRUCTURE SF Duplex❑ Mobilehome❑ Other SPECIFY Building sewer Lawn sprinkler system 5.00 Qtl, 0.00 TYPE OF WORK New ❑ Addition Remodel ❑ Uti lyti s l Ins al,l L '❑ Other Describe work: BL�7/7 f�-%%l�°(�/ Permit Fee $ 50"96 Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 5.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. ( DWELLING OCCUP.8i OR ADDNS. ACC. SLOGS. 2¢ sq ft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. `3�IdGYs Classification C ---?C S��f ❑ 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 NEWC ONSTR '.OUTLET 2,50 ea NON-RESID BRANCH CIRC ITS NEW CONSTR POWER APPARATUS y NON.RESID. (SINGLE OUTLET CIR. 50@� Ex. Occup(o OR FIXTURES gqL Zvi IXED A Ex. Occup.(OUTLETS PLNS (RESID.)REA. 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 Permit Fee $ Contractor MECHANICAL PERMIT Filing Fee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): n The permit is for $100.00 (valuation) or less. Ute/ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Heating Cooling Hood 3.00 Ventilation 'permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against id County in consequence of the granting of this permit. X Date — ��Z Signature of A icant - Owner ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 33 storiesin height. (Mobile Home Installation Fee $' TOTAL PERMIT FEE $ Q Op( 9CCUP. GROUP TYPE OF CONST. PARCEL PD No 1550E This pe 't is hereby issued under ;ions f e Butte County Code and/or +for in ca ed ove for which CTOR OF PUBLIC 3Y r 2ERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date Receipt No. '✓ D (0 WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT RESIDENTIAL 24=29=10 ---- 3960-90B KLEIN,'-Darrellyne 73 Hollis Ln, Gridley (repairs per SI#49-90) JOB FINALE Signature j i d=dk O = Not OK Not = 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-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap: / /"L"ft. / /"Nat. or/ /"L" ft./ P'LPG Clearance Date Card B-1 Date Card B-1 Date . Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/0 to Grade -HD Approval 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 10. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS,. GARAGES, (Plans)OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Coonectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Colu" =Connections -Splice -Decal -Enclosures J-�. Carports; &s -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date " Card B 1 Date Card B-1 ln Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men-Lininq 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/S' Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 ✓=OK O = Not OK - = Not Applicable ' RESIDENTIAL (Single & 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-Elec. Grnd.-/ /" Fig. Depth 46. Cing. Joist-Rftr. ties -Pu rlin -roof Brac-Truss-Shthng.-Rfng. 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" 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 -Bloc kouts-Wrapped 50. Garage Fire Protection Framing 6a. Hold Downs and Special Anchors 51. Property Line Firewall & Openings 7. Slab; Steel -Wrapped 52. Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits 8. Piers -Fireplace Ftg.-Steel 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers 10. Gas Pipe; Size -Anchors 55. Siding -Nailing Veneer 11. Water Pipe; Test -Anchor -Regulator -Service Test 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 12. Electric; Underground 57. Glazing Area -Glass Protection -Skylights -Plastic 13. Pienums & Ducts; Clearance -Material -Support -Ins. 58. Shear Walls; Nailing -Bolts 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 59. Insulation -Walls -Ceilings 15. Insulation 60. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s Date Card B-1 Date Card B-1 16. Water Htr.; Vent -Access -Combustion Air -Baffle Date FINAL (Plans) OK except #'s 17. Water Pipe; Test & Anchor -Nail Protection 61. Ext. Steps -Door & Sidelight Protection -Landings 18. D.W.V.; Test -Fittings & Anchor -Nail Protection 62. Smoke Detector 19. Shower Pan; Test, First Floor -Tub Access 63. Furnace; Vents -Clearance -Comb. Air -Connector - 20. Test Tub & Shower, Second Floor -Tub Access In Garage; Above Floor-Ducts-Mech. Protection 21. Gas Pipe; Size & Anchors 64. Bedroom Exiting 65. G.F.I. & Bath Fixtures & Tub Access -Spa Date Card B71 Date Card B-1 66. Elec. Trim & Subpanel; Breaker Sizes & Labels Date Card B-1 Date Card B-1 67. Stairs & Rails Date ELECTRICAL (Permit) OK except #'s 68. Fireplace or Stove; Clearances -Hearth 22. Fixture & Transformer Clearance -Ins. Protection 69. Elec. Outlets at Wood Panel; Int. & Ext. 23. Elec. Receptacles Spacing -Lights & Switches at Doors 70. Kit.Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance 24. Size Boxes & No. of Conductors -Stapled 71. Elec. Outlets & Receptacles at Kit. Counter 25. Romex Installed Close to Edge of Studs & C.J. 72. Garage Fire Door; Swing -Landing -Closer 26. Equip. Ground made up w/Mech. Fastners-Bond Gas & Water 73. A.C. Duct in Garage -Damper 27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI 74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V. 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. In Garage; Above Floor-Mech. Protection Cu or Al 75. Plb., Elec. & Mech. Equip. Listed for Location 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protection Insulated Neutral ❑ Yes ❑ No 77. Insulation -Foam -Looked in Attic ❑ Yes 30. Service -Riser Conductors & Ground -Main Disconnect 78. Guard Rails & Deck Construction -Post Caps 31. Equip. Clearances Panels-Motors-Mech. Equip. 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth 32. Clothes Closet Light -Shower Light -Spa Light Clearance Looked under Floor ❑ Yes 33. Smoke Detector 80. Following instld.; Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑ Yes ❑ No Date Card B-1 Date Card B-1 81. Stucco; Brown -Finish Date Card B-1 Date Card B-1 82. A.C. Unit; Disconnect, Electrical, Plumbing Date MECHANICAL (Permit) OK except #'s 83. Vents Above Roof; Plbg.-Appliance-Fireplace.-Clearance to Openings 34. A.C. Ducts Insulation & Support 84. Water Well; Disconnect, Electrical, Plumbing 35. Vent Fan; Exhaust above insulation 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground 36. Condensate Drain & Overflow; Size & Grade 86. Ventilation Throughout House 37. Furnance-Vent; Access -Comb. Air -Return Air Vent -115 outlet 87. Glass Protection 38. Attic Access & Platform if Furnance in Attic 88. Corrections from Previous Inspections 89. Gas Test -Meters Tagged; Gas -Electric 90. Water & Sewer Connected -C/O to Grade -HD Approval Date Card B-1 Date Card B-1 91. Energy Compliance Certificate -Other Certificates Date Card 8-1 Date Card B-1 Date FRAMING (Plans) OK except #'s Date Card B-1 Date Card B-1 39. Sils, Proper Material & Anchors Date Card B-1 Date Card B-1 40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound Date Card 8-1 Date Card B-1 41. Bearing Walls over Girders & Floor Nailing Comments at Final: 42. Draft Stop in Walls (rat proof) 43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 44. Headers & Beam -Size & Bearing (NOTE: An entry must be made each time you visit job site) November 8, 1990 Darrellyne Klein .73 Hollis Lane Gridley, CA 9.5948 RE: Special Inspection'#49-90 A.P. #24-29-10 73 Hollis Ln, Gridley Dear FIs. Klein: With reference to the above subject and your request for inspection of the garage conversion at the above referenced location, the inspection was made on November 7, 1990. The conversion of garage -to family room was constructed by the previous owner without permits and inspections from this office, so we were not able to perform the required inspections durin construction. tile-therefore made a reasonable visual inspection, without going on, the roof, under the "building, or. ,in.the, attic and found the conversion .-.appears.to conform oto the intent.' of 'code..."requirements, except- .for the following items ;which must._be%dne,or.resolved:. ,l 1. fl electrical circuits are grounded. 2.peIr e additional window equal to 17.8 sq. ft., � openable. 1 This inspection by the County of Butte does not act as a guarantee or war- ranty as to the.internal soundness of said conversion. It is now in order 'for you to. submit complete plans in duplicate to this office including plot..plans, floorplans and structural details,.apply:for the required permits and pay the appropriate fees. 3 The permits must be obtained and above listed items completed within thirty (30) days of the date of this letter. Letter to Darrellyne Klein RE: Special Inspection #49-90 A.P.24-29-10 - Page 2 November '8, 1990 Should you have any questions concerning this matter, please contact .131od Taylor of this office at (916)538-7541. Yours very truly, - William Chef f Director of Public Vlorks � l l RT:ds Rod Taylor Building Standards Training Officer cc: .Assessor Building Inspector Glen Biggers, 1 Piedmont Circle, Chico CA 95926 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATI'dR A49 PERMIT ASSESSOR PARCEL NUMBERZONING 24-29-10 _ BUILDING PERMIT OWNER DARRELT.YNR KT.RTN TELEPHONE 846-6923 SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ in n ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 15 00 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ Bul N ADDRESS ollis Lane, Gridley Permit fee X $ �A• 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 I_f-XDuplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 1 110-00e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work:__ Repair per SI 49-90 Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 AMS P ORLESS 10.00 Main service EA. ADD'L 100 AMP 2.50, CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification 2,1, 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.OR ADONS, ( // ACC. BLDGS. DWELLING OCCUP.& 2/ZQsgft NEW CONSTR ULT' -OUTLET NON.RESIO BRANCH CIRC ITS 2.50 ea POWER APPARATUS &) (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20@802 DAL@ 30 FIXED AP LNS.Ex. Occup. OUTLETS P(RESID )REA.1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 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 FiIirig 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 County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this per it. �`� Q Date I �� Signature of Applicant — Ow ec.I� 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 AL TOTAL FEE $ Hqz CUA PARK FED PAR I PCfkr This permit is nereby issued under sions of the Butte County Code and/or work i ated above for which fees DIR PUBLI B PERMIT EXPIRES Date the applicable provi- resolutions to do ave been paid. RKS 11/15/90 % Receipt No. 8444'' V- $ yycl/.CZ WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - Departmeriit of Public Works 7 County Center Drive, Oroville, CA 95965 Phone 916-538-7541 OWNER -BUILDER VERIFICATION Attention.Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing 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) 22.. 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 TAcensa Mn -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 �Qo^� Social Sec rity Num er _�� --� , �� Date ---1_ o 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. , i •, a 2 11 y Z. t j -- - I . ------ -.__ This set of plans and specifications MUST be �:. kept on the job at all times and it is unlawful tc n than es or alterations on same with- �]► �Q..0 make any ant 0; / , . out written permission from the Deoartm ; coup . , Public \Nnrks. �rn '1-+-0 i �, It+� `b.8 �.r��'� �.�,, {� u DipA — II Mrxtericls & 1Worlcmanshi S4til Be in p �D 'Accordance wi �'::nized -ood� Practices and of a quality prescr's.e:� far the Sppecified use in the r �t. 1111CJ`G`� Unifar Building, l'lurrsbing & (vtechanica) Codes. and 1 Fhe National Electrical Code. Darrellyne Klein 73 Hollis Lane Gridley, CA 95948 RE: Special Inspection #49-90 73 Hollis Ln, Gridley Dear Ms. Klein: November 8, 1990 A.P. #24-29-10 With reference to the above subject and your request for inspection of the garage conversion at the above referenced location, the inspection was made on November 7, 1990. The conversion of garage to family room was constructed by the previous owner without permits and inspections from this office, so we were not able to perform the required inspections during construction. We therefore made a reasonable visual inspection, without going on the roof, under the building, or in the attic and found the conversion appears to conform to the intent of code requirements, except for the following items which must be done or resolved: 1. Verify electrical circuits are grounded. 2. Provide additional window equal to 17.8 sq. ft., 2 openable. This inspection by the County of Butte does not act as a guarantee or war- ranty as to the internal soundness of said conversion. It is now in order for you to submit complete plans in duplicate to this office including plot plans, floor plans and structural details, apply for the required permits and pay the appropriate fees. The permits must be obtained and above listed items completed within thirty (30) days of the date of this letter. fi 1 F,ti le No. BU TTE�CpUNTY s , Public Works Dept. Director Dep: Dir. Sec. Rd'. 8 Br. Mtce. Shop & Yards Bldg. Insp. Admin. Design Engr. Bridge Engr. Constr. Engr. Surveys Mapping Transp. Land Dev. Drng. /S.I. Sub. & Pcl. Maps Permits Addr. IFs; Acripq , 2, 3) (For Informs on �/ ) Letter to Darrellyne Klein RE: Special Inspection #49-90 A.P.24-29-10 Page 2 ;november 8, 1990 Should you have any questions concerning this matter, please contact Rod Taylor of this office at (916)538-7541. RT: ds Yours very truly, William Cheff Director of Public Works INA Rod Taylor Buildin- Standards Training Officer cc: Assessor Building Inspector Glen Biggers, 1 Piedmont Circle, Chico CA 95926 t' F 747f .x,K if - ri'€ t ..�^•y; Iy J.. 'V^" f .::IY"1,� els # .. t1:AC�"' 14 COUNTY OF BUTTE, �CDEPAR`TMENT -O yRUBLIC .WNkS) �4� 7 County Center Drive, Oroville, California 95965 /� Telephone : 538-7541� � � 9 — n APPLICATION,FOR SPECIAL INSPECTION / Owner Olen bi« 7 A.P. No. O?_4— 9l�lGlb v 0 Mailing Address ( ?I -ed Wa4*+ ru)(U Telephone No. Applicant «relM Telephone No. Mailing Address_ 7.3 H46t (alno. QZIA (oc�3 l %59�(worO 'Ce (i- SOdi Building Location f I hereby request a special inspection of the following building: , 1. Dwelling (if only a portion, specify) 11?I Ate_ 2. Apartment House (if only a portn,,specify) U 3. Commercial (specify present occupancy) © 4. Other(specify) ���0 /(kl (sP Y)���' l 1rnn1&" I am requesting a special inspection for the pukpose of: •tip 1." Moving the building. 2. Financing (specify agency) 3. 4. Change of occupancy to .Other (specify) Case No. I hereby certify that I will obtain the necessary permits and make any necessary correc- tions, alterations, or repairs required by the County of Butte, as a result of this inspec- tion, to comply with building and housing code requirements. I also certify that prior to the use or occupancy of this building, I will complete the above required corrections, alterations, or repairs, or; if the building is presently occupied, I will complete the above required corrections, alterations, or repairs within 30 days. I certify that I have read this application and hereby authorize representatives of the mentione prppert for inspection purposes. Signature o er Fee Paid $ S 0 1st-DPW/2nd-Inspector/3rd-Applicant and state the above information is correct County of Butte to enter upon the above - Date U*,� Igo Receipt No. G S iy_ ��u•" .._...d'(Y'.-�• ..) ='�.�Y 'rimae,,:t3Y�e..T(�!i.:7.r.:..r"RMft�►,.Jj ^� Frv�f'►i'-�iZ 7r�i.[�. '{ter. -^•.,i,...-. COUNTY!&,: BUTTE -DEPARTMENT OF PUBLIC .WORKS - BUILDING DIVISION �= , .' �. . ��t 1 .r• .ate !': f :rt s � 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 PERMIT APcPLICATION DATA SHEET Permit No. .1 OWNER �C 6 e Y A. P. o: r Proposed Building Use Building Inspector Date ?O At time of permit application, I was'advised the following datafnust be submitted prior to�permit processing and/or issuance: DATE RECEIVED APPROVED All items have been submitted. G.•m� 2. Plot plans in c , signed Eby preparer of plans ........ Q 3 v 3. Complete plans in duplicate/triplicate, signed'by preparer. of plans .. � 4. Complete engineered plans and calcs, with wet signature on plans .. ' 5. Hazardous Material Form .......................................... 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AG-lRuildings ............... 8. Engineered truss details and layout in duplicate (required prior to plan check) - 9. Mobilehome installation data including manufacturer's installation instructions ................ -- ..x. ,.. 10. Fees of $ 11. Chico Urban Area fees paid .............. .................... 12. Park fees paid .......................... .I........................ 13. School District fees paid .............. 14. Sanitation approval from Health Department 15. City of Chico plumbing permit ........... 16. Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval for (A) Use: (B,j-ftrking: ..... 18. Improvements may be required. Contact Land development Section DPW C- /19. Driveway permit (construction approval required prior to occupancy) 20. Pre -Inspection for ? required ,r.+, Pre-Inspec. request to ,Building Inspectorf - . (Date) 121. Contractor's license information _(No.,` Name St e, Classification) ...` `22. Certificate of Workmans Compensation Insurance,�?f` ............ �~ 23. Owner -Builder Verification (Given to,owner�o, Mail to owner ❑) ..... 24. Recorded copy of Agricultural Acknowledgment tatement ......... Z25. Letter of signature author ation J fb!11 6. l Q t/ O l4d` r P 27. t When you issue the permit, process follow i Mail to owner. Mail o contractor. Telephone and r pickup at office. /) `Deliver w/inspector. Other �/ -►r rAppl icate Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. -Fire Dept. Other Date By The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: t Contractor, designer, owner, w9s advised of above required data by_phone_—nail counter by ..date Contractor, designer, owner, was advised of above required data by—phone —mal I ^_counter by date Plans checked by Date Plans approved by Date ' Copy—DPW Sets of plans on hold in File cabinet AP folder ❑ Complaint -Date ❑ Other -Date BUTTE COUNTY -DEPARTMENT OF PUBLIC WORKS SPECIAL INSPECTION REPORT ZONING Owner: A.P. it Address: Date of Inspection Tenant: Inspector Building Location: Type of Inspection requested:- 1. equested:1. Housing "..2. Financing/_/ 3.' Change of Occupancy to 4. Work W/O Permit / / 5. Other (specify') Present use of. building: A. Sanitation (Housing) _ 1. Water closet: 2. Lavatory ? 3. Bathtub or shower: —4% kitchen sink: 5. Hot -and cold water to fixtures: i 6. Heating facilities: 7. Natural light and ventilation: 8. Room and space requirements: 9. Bedroom window or door for second exit: 10. Infestation of insects, vermin, or rodent 11. Connection to sewage disposal: 12. Connection to water supply: 13. Rubbish and garbage facilities: 14. Stairs:(Rise, Run, headroom, 1HR, Tolerance$,Handrails) 15. Comments: B. Structural 1. Piers and footings: 2. Floor constructio :' 3. Wall con structio 4. Ceiling o f construction: 5. Firealac - 6. C. Electrical 1. Service and ground: 2. Receptacles: 3. Fusing: 4. Comments- n L e � D. Plumbing 1. Fixtur connected and vented: 2. Gas wa er heater: 3. G s hea ing vents: 4. Com E. Other 1. Maintenance and re air: 2. Fire hazards: 3. Safety hazar s: 4. Weather pr t on: 5. Underfloor attic ventilation: 6. Energy:. 7. Comments: F. Commercial Build in s 1. Ro covering.; 2. Dist ce to roperty lines: 3. Physic ly andicapped: 4. Restroom oors and walls 5. Exits: 6. Improv ments• 7. Zonin 8. Comments: G. Field Problems or Violations 1. Problem or violation (give complete description): 2. What action taken (give complete description): _ 3. What action recommended: A. Information only - file. B: Hold for ten days, then write letter. %% C. Write letter. D. Other: I ti �b a e d • ��' I ti Show location of septic tank R required• 5' Min. Setbac._ — ,v N PLOT PLAN Min Scale: I"s 2d . • - •?---- Show .size of door t wi ndow openings Show an Show location of plumb on fixtures SIDE ELEVATION FLOOR .PLAN w= l-oa Min.Scale: %4 T r' ?,Ohl s.I -0 FRONT ELEVATION nein. Scale.1/4�- 1-0" TYPICAL FRAMING Min. Scale' %2 = I-0 so r size span lengths and spacing of all 9 rafters, joists, girders and pierblocka, f' sheathing and covering, exterior 1 coverings, insulation r- value, header size, etc. FOUNDATIONI PP_LAN Min. Scale: /�-�j n' Q r U TYP. PIER SECT. BB SECCArA FOJNDATION DETAILS Min. Scale: 3/4 = 1=0" AL LY INN PREPARING PLIANSBOTOETO BE USEBE SUBMITTEDS GUIDE ON TO BLDG. DEPARTMENT. Show all necessary dimensions, materials, sizes spacings li spans of structural members Show gas appliances, pluMbing fixtures, elect equips,appliance9)llghts,$witches) outlets and all other pertinent data, including water heater and heating and cooling equipment. NOTE- tt and signed on (1) AcIhplans by be esubrmitted ionfd hplicitae. g (2) Sonit�atfon permit �iu� be Issu3de �r.lor to building permit. (3) Building must be permitted use in zoned area. (4) All setpacks measured to closest portion of building. COUNTY OF BUTTE Dept. of Public Works 7 County Center Dr. Oroville, CA. 95965 PHONE: 916/538-75-'i .W I/4 OF. SEC.7. TWP L 7N. RGE.3E. M.D.B.&M. VILLAGE: - - z7 - :. • SUBDIVISION 4. 5 6 7 _ 8Y -.I 1 . .�00 12C9090 90-90 90 90 90 H 0 L L I S LANE.60' .90 90 90 90 90 r-- 90 g p 90 i 23. 22 21 n20 19 18 17 O 16 15 ul 23 22 21 20 19 r� I- 18 17 16 15.. . REC. 12-27 63 IN 31• M.O.R.•16