Loading...
HomeMy WebLinkAbout024-300-01024-30-10 �D. Fa 1.� 7D RONG, SIS Glenn - Dr.,130' W/of Larkin, 1 arkin, lot 10, G ey Permit #_%896-75BjP,E,M single family) 41 V%41 2 Duane ares Moss * 1563 Glen Ellen Dr., lot 10, Gordon Est., Gridley Permit #2796-81B P E(new private swimming pool) 024-300-010 04-2131 ZAMZOW, NORBERT 1563 GLENN ELLEN DR, G Cont: BILLS ROOFING k RE -ROOF -p�� 00 / ��� I N 'CF' M O BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 FAM (530)538-2140 WEBSITE: www.buttecounty.neAdds PERMIT NO. VJBP042131 LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000 ,}Yio -7T �. Issued Date' 07/16/2004 APN'' 024-300-010-000 the Business and Professions Code, and my license is i �orCe rid effect. License Class: License Number: Site Address: 1563 GLENN ELLEN DR GRI Date:�,4`ontractor.r,_i�lz— Map Index: Description: RE -ROOF (30 SQ.) OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior Owner: ZAMZOW NORBERT E & FLORA J 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 State License Law (Chapter 9 commencing with Section 1563 GLEN ELLEN DR 7000) of Division 3 of the Business and Professions Code) or that he or GRIDLEY, CA she is exempt therefrom and the basis for the alleged exemption. Any 95948 violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions r Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does , Applicant: ZAMZOW NORBERT E & FLORA J such 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 improvements are sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' Stale License Law.). Contractor: BILL'S ROOFING ❑ I am Exempt under Article 3 of the Business and Professions Code GRAHAM, BILL 1770 KOFFORD ROAD Date: Owner: GRIDLEY,'CA 95948 530-846-3981 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 License #: 801512 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 workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of Architect: the work for which this permit is issued. My workers' compensation Engineer'' insurance carrier and policy number are: Carrier: Total Square Ft: 0 S. F. I L n Valuation: $9.0!�a Policy #: I certify that in the performance of the work for which this permit is issued. 1 shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, Census Code:( ' and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date: Applicant: WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY This pe i is ic ble pro isions of the Butte County Coda anrVOr 1 hereby affirm that thereis a construction lending agency for the j(rebJis.0Were Reso1 io t is fe ve been paid. performance of the work for which this permit is issued (Sec 3097 Civ.)' By Jr Date: Name: PERMIT EXPIRES ON: 69 15 Address: (Dat&41 ❑ 1 hereby certify that•the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. Cl Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with to building construction. 1 acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby all county and state laws relating to authorize representatives of u County to enter uponthe bove mentioned property for inspection purposes. Print Name: Signature:a Date: 0 Owner W—C-6-ntractor 0 Agent for Owner 0 Agent for Contractor BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 FAX#: (530)538-2140 WEBSITE: www.buttecounty.net\dds PERMIT NO. BP042131 LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000 Issued Date: 07/16/2004 APN: 024-300-010-000 the Business and Professions Code, and my license is effect. License Class: License Number: Site Address: 1563 GLENN ELLEN DR GRI Date:f2;e�6-&,�dontractor. g i Map Index: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Description: RE -ROOF (30 SQ.) Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior Owner: ZAMZOW NORBERT E & FLORA J 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 State License Law (Chapter 9 commencing with Section 1563 GLEN ELLEN DR 7000) of Division 3 of the Business and Professions Code) or that he or GRIDLEY, CA she is exempt therefrom and the basis for the alleged exemption. Any 95948 violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does Applicant: ZAMZOW NORBERT E & FLORA J such 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 improvements are sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). Contractor: BILL'S ROOFING ❑ 1 am Exempt under Article 3 of the Business and Professions Code GRAHAM, BILL 1770 KOFFORD ROAD Date: Owner: GRIDLEY, CA 95948 530-846-3981 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 License #: 801512 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 the Labor Code, for the performance of Architect: the work for which this permit is issued. My workers' compensation Engineer: 9 insurance carrier and policy number are: Carrier: Total Square Ft: 0 S. F. Policy #: W__,_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 Valuation: $0.00 become subject to the workers' compensation laws of California, Census Code: and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. ^© Date: Applicant: WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages s provided for in Section 3706 of the Labor code, interest, and attorney's fees. e D �q CONSTRUCTION LENDING AGENCY This pe i is reb is u n er a tic ble pro isions of the Butte County Code anft/Or I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec 3097 Civ.) Resol io t do i t d o r is fe a been paid. / MO Name: BY: Date: PERMIT EXPIRES ON: Dat Address: ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby authorize representatives of u e County to enter upZthebove mentioned property for inspection purposes. I Print Name:% ( �C:� ��i Signature:�i/j o —� Date: �/ — �C — c) 0 Owner Eel ontractor ❑ Agent for Owner 0 Agent for Contractor w BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OF APPLICATION "PLEASE PRINT CLEARLY" APPLICANT NAME CONTRACTOR OWNER Last Name City /-0"/- first Nam Address i / �e u'/a City Fax E-mail Fax Zp Phone State License Number Fax E-mail LENDING AGENCY Name APPLICANT NAME CONTRACTOR Name Address l n6l -� 77D City /-0"/- Stat Zip� Phone VL % Fax E-mail Fax Lic. # Class APPLICANT NAME ARCHITECT/ENGINEER Name City Address Zip City Fax State Zip Phone Map Book Fax E-mail Planner State License Number APPLICANT NAME Name Address City State Zip Phone Fax E-mail APPLICANT SIGNATURE X For office use only: Zoning AP# v p Flood Zone -• SRA Yes I No Occ• Type Const Subdivision Name Map Book Page Lot # Planner Date Approved: UVtK FUR SUBMITTAL REQUIREMENTS K:IFORMM3L)ILDING F(�RMC\R►rinAnn�C��ha..'..f� a,. PERMIT � I N vp�' BIN # Descript' or SZell- of Work: 42 Sq. Footage ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. Re %efd bye Amount: I/� Receipt # 0 g SRA Sheriff SMIP Other Total LOCATION AP# v p , 7opeAde City Cross Street WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address Descript' or SZell- of Work: 42 Sq. Footage ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. Re %efd bye Amount: I/� Receipt # 0 g SRA Sheriff SMIP Other Total SUBMITTAL REQUIREMENTS The following'drawings and specifications must be submitted to the Building Division in order to apply fora permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND W INK. Residential, New, Remodels, Additions, and Accessory Structures: ❑ 1. 3 Site Plans, signed by the preparer. NO GRAPHPAPER! ❑ 2. 3 Complete sets of plans, signed by the preparer. NO GRAPH PAPER! OR 3 Sets Engineered'plans (if required)' with wet signature on plans AND 2 sets of stamped and signed calculations.- ❑ 3. 2 Engineered truss details andllayouts (if required) (NO FAXES!). ❑ 4. Letter from Engineer or Architect for truss design review. ❑ 5. 2 Energy compliance design and supporting documentation. (Note: Not required for additions to mobile or modular homes.) ❑ 6. 2 Flood Elevation Certificate, wet -stamped and signed (if required). ❑ 7. Detached Accessory Building Form, filled out by the property owner (if required). ❑ 8. Sanitation and site plan approval from the Environmental Health Department\ ❑ '9. Metal Buildings: (A) Metal Bldg Plans, (B) Fnd plans and calcs iii triplicate, (C) Elevations in triplicate, (D) Floor plans in triplicate, All of these must be stamped and wet -signed by the engineer. Mobile, Manufactured, or Modular Homes: ❑ 1. 3 Site Plans, signed by the preparer. NO GRAPHPAPER! ❑ 2. 2 Data sheets and installation instruction manual. ❑ 3. 2 Marriage line information. ❑ 4. 2 Floor plans. ❑ 5. 2 Engineered Tie Downs or Foundation plans. ❑ 6. Sanitation and site plan approval from the Environmental Health Department. ❑ 7. 2 Flood Elevation Certificate, wet -stamped and signed (if required). Commercial, New, Additions and Remodels: ❑ 1. 4 Site Plans, signed by the preparer. NO GRAPHPAPER! ❑ 2. 4 Engineered plans with wet signature on plans AND 2 sets of stamped and signed calculations, with code analysis. ❑ 3. 2 Engineered truss details and layouts (if required) (NO FAXES!). ❑ 4. Letter from Engineer or Architect for truss design review. ❑ 5. 2 Energy compliance design and supporting documentation (if required). ❑ 6. 2 Flood Elevation Certificate, wet -stamped and signed (if required). ❑ 7. Statement of Intent for Non -heated and A/C (if required). ❑ 8. Metal Buildings: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate, (D) Floor plans in triplicate, All of these must be stamped and wet -signed by the engineer. ❑ 9. Letter of intent. ❑ 10. Hazardous Material Form. ❑ 11. Sanitation and site plan approval from the Environmental Health Department. If you have questions or would like additional information regarding this process, contact a Permit Application Assistant at (530) 538-7541. , r _ OVER FOR BUILDING PERMIT APPLICATION K:TORMSSUILDING F0RMS\BIdgApp1SubRgmts.doc �i ; Page 2 of 2 REV 6-16-04 •a =� 1 A PERMIT NO.' 2796-81B,P,E PERMIT EXPIRES_ 7 L,� ,Z�U OWNER Duane,& Karen Moss a CONTR. owner ASSESSOR PARCEL 24-30-10 LOCATION 1563 Glen Ellen Dr., lot10,Gordon Estates, Gridley Temp. Power Pole Called PG&E Temp. Elec. Service C , Called PG&E Temp. Gas Service U Called PG&E JOB FINALED (Date) Signature J = OK O = Not OK " =Not Applicable MOBILEHOMES MISCELLANEOUS = Not Ready Date MOBILEHOME UTILITIES (Plans) OK except N's 1. Zoning Requirements—Setbacks—Easements 2. Soils; Special MH Support—Sketch Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except H's ' 1. Zoning Requirements—Setbacks—Easements 2. Footings; Size—Depth—Spacing—Connectors t 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—Rftrs.—Connec.-Shthg.—Rfg.—Bracing 5. Electricity; Location—Clearances—Grnd.—/ / Amp—Concrete 5. Alum. Awn.; Columns—Connections—Splice—Decal—Enclosures 6. Gas; Location—Test—Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG 7. Utility Clearance 6. Carports;Windows—Doors 7. Elea Card -BI Date Card -BI Date Card -BI Date Card -BI Date _ Card -BI Date Card -BI Date Card -BI Date Card -Bl. Date' Date MOBILEHOME INSTALLATION (Plans) OK except H's Date _ POOLS ans) OK except #'s 1. Zoning Requirements—Setbacks—Easementset s—Easements 2. Footings; Size—Spacing—Marriage Line oils; Compaction—Structure Stability ` 3. Gas; MH Test—Demand—Valve—Connector oo Structure: Stee l—Con nw+ons—Thicknacs—Dea =L*44m-- 4. Electricity; MH Test—Crossovers—Breakers—Clearances Elec.; Receptacles and Lighting; Distances—GF1 . 5. Drain; MH Test—Fall—Flex Connector 5. Elec.; Pool Lighting; 15 volts—GFI 6. Water; MH Test—Regulator—ConnectorElec.- nclosures; Conduit Entries—Terminals—Listed 7. Water and Sewer Connected—C/O to Grade—HD Approval le Bonding; Metal w/5'—Circulating Equipment—Heater 8. Gas and Electricity Tagged . Elec.; Grounding; Equip. w/5'—Circulating Equip.—Pool Lghtg. Boxes—Enclosures—Panel boards—Ins. to Main in Conduit 9. ealth Department Approval 9. Exits; Insp.—Sketch 10. Cert. of Occupancy F 0. Plumb; Cir. Test—Water Supply Test Card B -I Date Card -BI Date Card -BJ�Date Card-BI Date Card B -I Date Card -BI Date c Card-BI(2Xo Date %U :T—e) Card -BI Date t OK = Not OK = Not Applicable = Not Ready RESIDENTIAL (SIngleand Duplex) Date UNDERFLOOR Plans OK except #'s _Date FRAMING (Continued) 1. Zoning requirements -Setbacks -Easements 48. Property Line Firewall & Openings 2. Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth 49. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 3. Ftg., Garage; Soils -Steel- / /" Ftg. Depth 50. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 4. Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth 51. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab 52. Siding -Nailing -Veneer 6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab 53. Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access 7. Piers -Fireplace Ftg.-Steel 54. Glazing Area -Glass Protection -Skylights -Plastic 8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test 55. Shear Walls; Nailing -Bolts 9. Gas Pipe; Size -Anchors 10. Water Pipe; Test -Anchors -Regulator -Service Test 11. Electric; Underground 12. Plenums & Ducts; Clearance -Material -Support -Ins. 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI _ Date Card -BI Date Card -BI Date Card -BI Date Date FINAL (Plans) OK except q's 56. Ext. Steps -Door & Sidelight Protection -Landings Card -BI Date Date Card -BI Date �. PLUMBING (Permit) OK except q's 14. Water Ht.; Vent -Access -Combustion Air 57. 58. Smoke Detector Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 15. Water Pipe; Test & Anchors -Nail Protection 16. D.W.V.; Test-Fttngs & Anchors -Nail Protection 59. Bedroom Exiting 17. Shower Pan; Test, First Floor -Tub Access 60. G.F.I. & Bath Fixtures & Tub Access 18. Test Tub & Shower, 2nd Floor -Tub Access 61. Elec. Trim & Subpanel; Breaker Sizes -Labels 19. Gas Pipe; Size & Anchors 62. 63. Stairs & Rails Fireplace or Stove; Clearances -Hearth Card -BI Date Card -BI Date 64. 65. Elec. Outlets at Wood Panel; Int. & Ext. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Card -BI Date 66. Elec. Outlets & Receptacles at Kit. Counter Date ELECTRICAL Permit OK except p's 67. Garage Fire Door; Swing -Landing -Closer 68. A.C. Duct in Garage -Damper 20. Fixture & Transformer Clearance -Ins. Protection 69. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 21. Elec. Receptacles Spacing -Lights &Switches at Doors 22. Size Boxes & No. of Conductors -Stapled 70. Plb., Elec. & Mech. Equip. Listed for Location 71. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 23. Romex Installed Close to Edge of Studs & C.J. 24. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 72. Insulation -Foam -Looked in Attic ❑Yes73. 25. 2 Appliance Circuits in Kitchen &Conductor Size Guard Rails & Deck Construction -Post Caps _ _ 26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or AI 74. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 27. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or At, Insulated Neutral []Yes ED No 75. Following instld.: Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters Dyes ❑No 28. Service -Riser Conductors & Ground -Main Disconnect 76. Stucco; Brown -Finish 29. Equip. Clearances; Panels-Motors-Mech. Equip. 77, A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet 30. Clothes Closet Light -Shower Light 78. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. 79. 80. Water Well; Disconnect, Electrical, Plumbing Exterior Elec. Trim; G.F.I. Receptacle -Underground Card B -I Date Card -BI Date 81. Ventilation throughout House Card B -I Date Card -BI Date 82. Glass Protection Date MECHANICAL (Permit) OK except N's 31. A.C. Ducts; Insulation & Support 83. _ Corrections from Previous Inspections 84. Gas Test -Meters Tagged; Gas -Electric 85. Water & Sewer Connected -C/0 to Grade -HD Approval _ 32. Vent Fan; Exhaust above Insulation 86, Energy Compliance Certificate -Other Certificates _ 33. Condensate Drain & Overflow; Size & Grade 34. Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet 35. Attic Access & Platform if Furnace in Attic - Card -BI Date Card -BI Date Card -BI _Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date FRAMING(Plans) OK except q's Comments at Final: 36. Sills; Proper Material & Anchors 37. Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound _ 38. Bearing Walls over Girders & Floor Nailing 39. Draft Stop in Walls (rat proof) _ 40. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 41. Header & Beam -Size & Bearing 42. 43. 44. Hangers -Post Caps -Anchors -Connectors Cing. Joist-Rflr. Ties- Purlin - Roof Brac.-Truss-Shthng.-Ring. Fireplace Ties or Type A Flue -Fireplace Throat _ 45. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 46. _Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 47. Garage Fire Protection Framing (NOTE: Anentrymust be made each time youvisit jobsite) COUNTY OF BUTTE'- DEPARTMENT OF PUBLIC WORKS PERMIT NO. „ 7 County Center Drive - Oroville, California 95965 -Telephone 916/534-4541 APPLICATIOWAND PERMIT All ASSESSOR PARCELUMBER 1-4-30—,10 ZONING A -v BUILDING PERMIT OW ER n' /E AI�P-� n0SS /vC TELE 7�/ q6 C7 SO. FT. OCC. BUILDING VALUATION !J. OO POOL -00 OW[J�R yl LING Ap RE S /S1/D_ � ELGEA/ D fGf' 05 �+ CONTRACTOR'S NAME TELEPH NE CONTRACTOR'S MAILING ADDRESS Fireplace CON Un/�NER �r ,{ q M '/L,y.�'yp CA/ UNKNOWN Total Valuation $ OOQ 029 Filing Fee $ 10.00 LENDER'S MAILING ADDRESS- /Q-Pi%�/v6 �%— Permit Fee $ S2_Ot7 AR HITEC % 6 ENGI5ER �� / �ICEM E�N9• I//� !//�•� N �' (O Plan Checking Fee $ G, 00 Penalty $ ARCIJ-,I, TY„E�T O EN,�,It�E AI� ADD F3 �S5� YU A permit fee $ 00 BUIL(XJOJ,dV f��DRE,SL75LM1l�/ /.`J 1 PR/ VE PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Repair drainage or vent piping 5.00 C,e,l,t)&C— Water piping ,Qa LOT NO. /� SUBDIVISION NA"%E ,Cc- C j Di ISION N / �— ST %ES PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE / SF ❑ Duplex❑ Mobilehome❑ Other 5tJ11'4641A7 119004_.Lawn SPECIFY Building sewer sprinkler system 5.00 TYPE OF WORK New Addition❑ Remodel❑ Utilities ❑ Installation❑ Other ❑ Describe work: Permit Fee $ /,S _0C Contractor ELECTRICAL PERMIT. Filing Fee 10.00 Main service 60Ov OR LESS 100 AMP OR LESS 5.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. ( DWELLING OCCUP.y\ OR ACDNS. ACC. BLDGS. / 20 sq ft " CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑NON.RESID. I am licensed under provisions of Chapt.9, Div. 3 of the Business and Professions Code and m license is in full force and effect. y 1 License No: Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) F -1I am exempt under Sec. ,Business and Professions Code for this reason NEW CONSTR U I -OUTLET 2,50 ea NON.RESID BRANCH CIRCUITS NEW CONSTR I POWER APPARATUS p - %SINGLE OUTLET CIR. 50L@250 OU Ex. Occup. o DR FIXTURES BAL 1 XTED FIAPPLNS, OR Ex. Occup.(ouTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring OOL, W 7.50„S D Permit Fee $ . 5 0 Contractor MECHANICAL PERMIT Filing 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 $ 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. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against s ounty in consequence of the granting of this permit. X Date f� �.3 Signature of Applicant— Owner Contractor ❑ Agent El 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 $ TOTAL PERMIT FEE $ 2� S� OCCUP. GROUP I TYPE OF CONST. I PARCEL r PD ND ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR—OF PUBLIC By PE IT EXPIRES Date _ the applicable provi- resolutions to do fees have been paid. WORKS Date -7— 7-7— 7— ; 7-P� Receipt No. 5S7 `f` / WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT P B" -j _E"; M II !6 -75 P'# PERMIT NO. 589 P E M MH UTIL. :PERMIT NO. T PERMIT EXPIRES WNER R. D. Armstrong i. CON TR. owner LOCATION (A.P 24-30-10 —SIS Glenn Ellm Dr., 130' W/of Larkin, lot #10, Gridley Temp. Power Pole Called PG&E de Temp. Elec. Sery Z2 C27 C Iled PG&E Te p. Gas Serv. Called PG&E JOB FINALED (Date) (Signature) DATE REMARKS OR CORRECTIONS A-1 Z/ -7/(P /ll 6 `Z4` COUNTY OF BUTTE — DEPARTMENT OF' PUBLIC -WORKS BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBING Setback Firewall Soil Piping Forms ' --e'! Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor Stemwall Siding To out / Slab Roof Sheathing Water Piping Piers / Roofing Sewer Garage Fdn. Vents Fixtures gL Footings Garage Vents d Water Htr. Stemwall Slab % Prov. for physically handicapped Heaters Appliances Carport Footings f Conformance of ex. structure Gas Piping & Test v Temp. Gas ' Slab Final Sanitation Patio FIREPLACE Final Footings Footing s � ELECTRICAL Masonry Walls Throat �_ Rough Reinf. Steel Final Fixtures _ Bond Beam r FIRE SPRINKLE.RS Motors 3ex, Framing Test Water. Htr. Stucco Final Subpanels Mesh MECHANI AL Grd. Fault Prot. % Scratch Heating Service r Brown Cooling Temp. Pole Finish Ducts Underground �— Interior Lath Ventilation Permanent Door Closer fiZ 7% Final 62/'� �7 s Final DATE REMARKS OR CORRECTIONS A-1 Z/ -7/(P /ll 6 `Z4` 14&Aws i i. Fiber -Glass ln`:b_ lation,, �. BUILDERS INSULATION STATEMENT BLOWN INSULATION 'or Manufacturer's minimum thickness to•,provlde the level of insulation resistance (R) Values ' as shown: ';.. R Values are determined.in accordance with ASTM C-687 and C-236. Conforms to Federal Specification HHI-1030A. This insulation has been installed in conformance with the above recom- mendations to provide a -value .t of;R using bags of insula- tion tion to cover square fget,wof:rarea. r Insulation Contractor'(Sign) ' Builder (Sign) Company Name =s Company Name �; BATTS AND BLANKET Date R INSULATION R INSULATION VALUE THICKNESS VALUE THICKNESS R-22 61/2" R-13 35/a" R-19 ,i'r 6" R-11 31/2" Meets Federal 1i Specification HHI-521E Fiber glass batts or rolls have been installed in accordance with the manufacturer's recommendation to provide an R -Value of4 �Z in the ceiling,in the exterior walls, in the floor or crawl space perimeter. I sulation Contractor (Sign) / Builder (Sign)1_1'j 6/6mpany Name Company Name 2 -6 76 CSG -32-11-C Date It CERTAIN -TEED PRODUCTS CORPORATION. P.O. BOX 860, VALLEY FORGE, PA. 19482 CEAiAIfITEED L�z�£ COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Orovi Ile, California 95965 -77 Telephone: 534-4541 - APPLICOWON 'AND PERMIT `^ mviesentatives UI me county of twtte to enter upon the above-mentioned pro erty for inspection purposes. X Date7s Signature o-P,errmitteee or Ag Receipt No. zS 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 F PUBLIC WORKS By Date �1-z wilding permit expires Date —� ` 76 BUILDING ` Owner SO. FT. OCC. BUILDING VALUATION ' 1Z got)Mailing Address Telephone No. Fireplace % rj"0 Contractor Total Valuation Mailing Address Permit Fee Plan Checking Fee&/or Penalty Telephone No. Permit Fee $ Building Address s sPLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 ,p () c(% Trap 1.5014 , 11Each Repair drainage or vent piping 1.50 Water piping 1.50 Each 9A water heater or vent 1.50 A. P. No. v- ,.� o Zoning &Planning Gas piping system 1 - 5 outlets 1.50 , Each additional outlet .30 Fe S i on Fir t. 're`11-Z a Use Permit Parking Parcel EOA Plans Declaration Parcel a ' R/W Improve nts Building sewer 5.00 Lawn sprinkler system 2.00 Bldg. P ns Recd c Parcel Kpp'i!oval Plans Approval Permit Fee $ -S NEW ADDITION ❑ UTILITIES ❑ OTHER ❑ ELECTRICAL No.1 @ FEE PERMIT FILING FEE $3.00 Main service 600V OR L 100 AMP ORSLESS 5.00 Main service EA. ADD'L too AMP 2.50 Single Family Duplex ❑ Mobil Home ❑ Others ❑ Main service OVER 600V 100 AMP OR LESS 25.00 Main service EA. ADD•L 100 AMP 1.00 NEW CONS. DWEL- INOR ADDNST ( AC C L BLDG S.CCUP. & Q) 20 sq ft Q NEW CONSTR. MULTI.OUTLET NON.RESID. ( BRANCH CIRCUITS) 2.50ea • NEW CONSTR. POWER APPARATUS &) NON.RESID. (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: Ex. Occup(OUTLETS OR FIXTURES)@� BAL�1 Ex. Occu FIXED APP LNS. OR {�• ( OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 FT 1 am exempt from the Contractors License Laws of the State of California. Permit Fee $ e O� 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. rV 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 @ FEEPERMIT FILING FEE $3.000 (� Heatingi� Cooling Ventilation Hood 2.00 Permit Fee $ $ I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby TOTAL PERMIT FEE $ `^ mviesentatives UI me county of twtte to enter upon the above-mentioned pro erty for inspection purposes. X Date7s Signature o-P,errmitteee or Ag Receipt No. zS 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 F PUBLIC WORKS By Date �1-z wilding permit expires Date —� ` 76 VANCOUVER GRAND FORT EVERM WENAiCMEE SEATTLE r +� rG1AC1ER MINOT TACOMA✓ ATIONAI GREAT FANS FARGO `► RARK MEIE�Jy MOORHE SPOKANE GREAT i PORTLAND BUTTE pLLINGS NORTHERN TO CALIFORNIA i N®v, l i 1q 75' . A .���. -4 C a 6075 3001] PRINTED IN U.S.A. . \1