Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Home
My WebLink
About
024-300-018
i 5 --24-30-18� eRoy-Hilbers 562 Eat=t Gridley Rd., Gridley Permit �k5331-80B,E(conv.grocery tore :o cabinet sho k 4 ) 14' -30 CHARLIE LCQJ S 5 -62_ -East Gd�ey Rd Gridley Permi5-80B(inst. inter wall & ;exhaust fan for paint booth) J 24_-30-18 ELSIE' CLEGG 562 East Gridley Rd, Gridley Contr: Hilbers Const, Gridley Permit#988-83E(ele seri Ifor 2 .water PuW) �fy► 24-30-18 Contr: Hilbers Const nQ QQD 3 Permit#1915-84E(ele ser water pumps) 24-30-18 _ . 384 .90 HILBERS , Leroy 580 �E Gridley 'Rd ,� Gridley (sf -remodel/addition), 024=300-018 PERMIT#95-1236 HILBERS, Leroy 586 E Gridley Rd., Gridley �/ Q Reroof/SF `� 1� 1 ,024-300-018 PERMIT#97 0656 DUALITE, INC. Sid e550 East Gridley Rd.,le Cont: Western Sign Co . Ele Ser for..Sign' 024-300-018. 03-3201 HILBERS, LEROY 576 E GRIDLEY RD, GRID' MkED Cont: OWNER RE ROOF W/ COMP B07-0884 024-300-018 MISCELLANEOUS Electric Panel ELECT. SERVICE UP�" GRADE 10 TO 586 E GRIDLEY RD 1'I , HILBERS, NADENE & LEROY,CP.,.., • i ' r Butte County. Department of-Developme►it Services 0 TTFo TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR ° ° o o 7 County Center Drive a -'' --_�= to r Oroville, CA 95965 _ .(530)53&7601 Telephone (530) 538-7785 Facsimile www.buttecounty.net/dds www.buttegeneralplan.net 1 ,U.S. Postal ServiceT. CERTIFIED MAILi,, RECEIPT I .r- Only; ADMINISTRATION * BU Er October 10, 2008 `P�ge $ r Certified Fee {� ,� _ ... - Postmark Qilberseroy ,, C3 " +gRetamReceiptFee Here 1698 Portofino Dr.. o1 (Endorsement Required) o' Yuba City, CA, 95993 s 0 Reorse entReryEee I (Endorsement Required) Total Postage & Fees ,s +� I ent To a w r., ,. J 4 I , CERTIFIED MAIL 01'-� �:-� z• 1 0ireer, Apt'No.t------------- ._ ... .... j O or PO Box No. • .1 t, .. t f t 'r � : , r P • _ ' I a M1 I Qy,.Stete, N#; -------------- .-- -------- Re: --' ...... ... ........:..... Re: Administrative Permit ADM08-0026 iForm;„ August APN: 024-300-018 Larkin Road/ East Gridley Road, #570 E. Gridley Road, Butte County. Dear Me. Hilbers: ' Enclosed are the original and one copy of your conditional Administrative Permit No. ADM08-0026. Please sign both copies and return the original to this division as soon as possible. Once validated by the signature of the, Planning Manager, the Administrative Permit No. ADM08-0026 to allow a weekend flea market on APN: 024-300-018, located at #570 East Gridley Road, will be returned to you by mail. Should you have any questions regarding this matter, please contact this office between 7:30 a.m. and 4:30 p.m., Monday through Friday. Sincerely, Steve Troester, Senior Planner - cc: Land Development Div_ isi Environmental Health Department of Forestry GIS ' Butte County Department of -Development Services TIM SNELLINGS, DIRECTOR I PETE CALARCO,'ASSISTANT DIRECTOR r' 7 County Center, Drive Oroville, CA 95965 (530) 538-7601 Telephone (530) 538-7785 Facsimile ' www.buftecounty.net/dds www.buttegeneralplan.net ADMINISTRATIVE PERMIT for TEMPORARY USE TO: Leroy Hilbers FROM: Charles Thistlethwaite, Planning Manager DATE: October 10, 2008 File #: ADM08-0026 PURPOSE: Administrative Permit for Weekend Fle . arket on APN 024-300-018 for a Temporary Use located at 570 East Gri Road, on ,property zoned MC -2 (General Commercial). PERMIT REQUIREMENTS: Pursuant to tte County Code Section 24-300(a) (2), Leroy Hilbers is hereby granted approval for a temporary ekend flea market use, as shown on the attached site plan dated October 2, 2008, subject,to the fol ing requirements: 1) Operation of this use is li ed to Friday, Saturday, and Sunday only, 7:00 AM to 7:00 PM or sunset, whichever is earl' r. 2) The permittee shall sure that there are a minimum of forty (40) on-site parking spaces in compliance with ctions 24-240 and 240-240.10, as show on approved site plan. No customer or vendor park' may take place in the public 'rights of way. 3) No outdo overnight storage of materials for sale is permitted: , 4) Permi e shall ensure that bathroom facilities are available in the service station as shown on the app ed site plan. 5) ny food sales must comply with all requirements of the Butte County Public Health 6) Permit ,may be reviewed by County staff at any time during the permit period. to confirm conformance to conditions of this permit. t , ADM08-0026, Weekend Flea Market on APN 024-300-018 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 AD10 Og (530) 538-7785 Facsimile ADMINISTRATIVE PERMIT FOR TEMPORARY USES APPLICATION Mailinia Address: E-mail Address: MM n4v 2-ro r= t yV%5r* Phone # Iobyl�-,%nQ-r 1 -53o ®6-7/--7 - Assessor's Parcel Number for Site: A l� J 02 } 3on--- 8 1 A Street Address of Site: 53D Reason for Administrative Permit: v::Le4�,- MP��iGf� 11 3 INCLUDE SEVEN (7) COPIES OF A SITE PLAN drawn to standard engineering scale. Additional copies of the map shall be made available to county departments upon request. All maps shall be drawn on sheets no larger than 11 "x17" and folded to 8"" X 11 ". A digital copy of the plan is encouraged. The plan must include: a. Name and business address of the applicant or person who prepared the map. b. The Assessor Parcel Number(s) and the street address. C. Property lines, lot dimensions and any applicable easements of record or proposed. d. Dimensioned locations of existing and proposed public and private improvements on the property (including, but not limited to, buildings, driveways, parking areas, wells, septic tanks, sewer lines, leach fields, utilities, signage, storm drainage systems and lighting ). Label all items shown on the map. e. Show private road access, ,if any, and route(s) to a public road. f. Show all adjoining properties including those on a private road, if any. g. North arrow and scale of drawing. h. All documents and maps shall be clear and legible. I certify that the above information i§ correct and that I have read Butte County Code Section 24-300 (on the reve e ' e f t is application.) Applicant's Signature: Date: �•-4 (over) 'SITE PLAN :... - ... .............. *': ....... ...... ......... ...... 7- ..... .. ...... ..... . .. ... . ... . ..... . . ............. ..... j............i-....1..::.............. . . . ... ........ . ..... ................. . ................ Tacoti ie U45 dlly-11.4 F -AST 4KIOLEY P -0A X) T W tj 6T F MIL FLEA /A,RWET- 4ATt-. 5i,bL-j.- IC C11U01tT1YT-`1- OCT 0 2 2008 DEVELOPMENT iZ SERVICES -4 4-4 ADh 0 8-,002.6 Assessors Parcel Number.. ZOE - Owner Name - AdOess / Phone No. Sfte Loddon 4(E LAO',3 C- -zm� �0 Ci RA -M is F C- LIN% 7r e. CN) ope�ll�1 f2 7 7 2.7. OPEN 0R\A1,R. KA ET,. - t - L0 W ATH5R prRA�1T=Tf Wz- :00 \At 11.3*TV_- <--.-:------ ...... ...... . .................. ..... ...... ..... ........... ..... . ..... : ........... ................. ....... ........... ...... . ........... ........... ........... ..... ........................ ............... ..... El F21 — ID ILI 2 scale: i„ T FOR OFFICE USE ONLY PROVIDE FOR ALL Zoning: ADJACENT PARCELS SIZE (AC): ;t 2 a General Plan Desig: ZONING: Size, Acres 2.GEN PLAN: AOT USES: 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) 538-7785 Facsimile www. butteco u nty. neVdds www.butteaeneralolan.net ADMINISTRATION * BUILDING * PLANNING 0 TO: Leroy E Hilbers 1698 Portofino Dr Yuba City, CA 95993-1678 (530) 671-7727 (home) (530) 701-1645 (cell) ' FROM: Tim Snellings, Director Department of Development Services DATE: December 8, 2008 ' File #: ADM08-0026 PURPOSE: Administrative Permit for. Weekend Flea Market on APN 024-300-018 as a Temporary Use located at 570 East Gridley Road; on property zoned "C-2 (General Commercial). Dear Mr. Hilbers, This is in follow up to your application referenced above (copy here attached) for a flea - market use on APN 024-300-018. On October 2, 2008 when you applied for this permit, Steve Troester, Senior Planner•in this department believed the appropriate mechanism '-for review and approval of this use was through an Administrative Permit pursuant to. Butte County Code Section 24-145(d)(1) (i.e. as, a temporary uses _ within' the C-2 General Commercial zone). On my -review of=this application, I have determined that an. Administrative .Permit is not • the appropriate' mechanism for review and'approval of the proposed use in the C-2 zone. Under Butte County Code Section 24-40 (a), the- land uses allowable under an .Administrative Permit are limited to those specifically authorized in that zoning district. The C-2 Zone does not provide for a flea market or any similar type of use as an Administrative Permit.' However, the C-2 zone does allows all the uses permitted in the,C-1 zone Uses in the C-1 zone which are allowed subject to a "use permit" include: "...used car sales, used or. secondhand goods, pawn shops, refreshment stands... and other uses which are of similar character." (BCC Sec. 24-140 (c)(3)). ' 1 1 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) 538-7785 Facsimile www. butteco u nty. neVdds www.butteaeneralolan.net ADMINISTRATION * BUILDING * PLANNING 0 TO: Leroy E Hilbers 1698 Portofino Dr Yuba City, CA 95993-1678 (530) 671-7727 (home) (530) 701-1645 (cell) ' FROM: Tim Snellings, Director Department of Development Services DATE: December 8, 2008 ' File #: ADM08-0026 PURPOSE: Administrative Permit for. Weekend Flea Market on APN 024-300-018 as a Temporary Use located at 570 East Gridley Road; on property zoned "C-2 (General Commercial). Dear Mr. Hilbers, This is in follow up to your application referenced above (copy here attached) for a flea - market use on APN 024-300-018. On October 2, 2008 when you applied for this permit, Steve Troester, Senior Planner•in this department believed the appropriate mechanism '-for review and approval of this use was through an Administrative Permit pursuant to. Butte County Code Section 24-145(d)(1) (i.e. as, a temporary uses _ within' the C-2 General Commercial zone). On my -review of=this application, I have determined that an. Administrative .Permit is not • the appropriate' mechanism for review and'approval of the proposed use in the C-2 zone. Under Butte County Code Section 24-40 (a), the- land uses allowable under an .Administrative Permit are limited to those specifically authorized in that zoning district. The C-2 Zone does not provide for a flea market or any similar type of use as an Administrative Permit.' However, the C-2 zone does allows all the uses permitted in the,C-1 zone Uses in the C-1 zone which are allowed subject to a "use permit" include: "...used car sales, used or. secondhand goods, pawn shops, refreshment stands... and other uses which are of similar character." (BCC Sec. 24-140 (c)(3)). ' 1 It is for this reason that the Department of Development Services has determined that a. use permit application is the appropriate mechanism for review and approval, of the . proposed flea market use (i.e. that use being like or similar to "used or secondhand goods sales" allowed by use permit in the C-1 zone)., Because of this determination, ;the Department is refunding the Administrative, Permit, application fee to you. We have attached'a use permit application should you wish to pursue the proposed flea ' market use, on. your property. The review and approval process for a discretionary project involves a substantial level of subjective review, public comment,. and a public hearing before the Planning Commission. Discretionary actio6s of the Planning Commission may be appealed to the. .Board. ' ' Y Please accept our apology for the delay in reviewing your application and providing you this determination. Should you; have any additional questions on this' determination, please contact Planning Manager Charles Thistlethwaite at (530) 538-6572, or cthistlethwaitea-buttecounty. net.. ' Sincerely, h Tim Snellings, Direc • r ' Department of De elopment Services Per BCC Section 24-300 (a)(b), temporary uses' allowed in a commercial or industrial zone by ' Administrative Permit include: a construction office; fairs, festivals, rodeos, sporting events, carnivals, • and circuses; and Christmas tree lots. The C-2 zone does not specifically list a flea market (or any other substantially `similar use) as a permitted use, accessory use, conditional use, or use allowed by administrative permit. o- Lo ri,-- ��UZ� I BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES INSPECTION CARD MUST BE ON JOB SITE 24 Hour Inspection Line: (530) 538-7636 (Oroville) (530) 891-2834 (Chico) Office: (530) 538-7541 Fax: (530) 538-2140 Website: www.buttecounty.net/dds Permit No: B07-0884 Issued: 04/25/2007 Address: 586 E GRIDLEY RD Area: GRIDLEY Owner: HILBERS, NADENE & LIAPN: 024-300-018 Applicant: HILBERS, NADENE & LIMap Page: Permit Type: Electric Panel y 3 Description: ELECT. SERVICE UP GRADE 100 TO 200 A AREA 1 Flood Zone: None SRA Area: No Front Setback: Side Setback: Rear Setback: Other Setback: Minimum Setback From Centerline of Street: ALL PLAN REVISIONS MUST BE APPROVED BY THE COUNTY BEFORE PROCEEDING Inspection Type IVR INSP DATE Setbacks 132 Foundations / Footings 111 Pier/Column Footings 122 Grade Beams 114 Eufer Ground 216 Forms/Steel/Holdowns 122 Do Not Pour Concrete Until Above are Signed Pre -Slab 124 Gas Test House 404 Gas Test Yard 404 Masonry Grout 120 Masonry Bond Beam 119 Underfloor Framing 149 Underfloor Ducts 319 Shear Transfer 136 Under Floor Plumbing 412 Under Slab Plumbing 4,11 Gas Piping 403- 03-Do DoNot Install Floor Sheathing or Slab Until Above Signed Holdowns/Straps 122 Shearwall/B.W.P.-Interior 135 Shearwall/B.W.P.-Exterior 135 Roof Nail/Drag Trusses 129 Do Not Install Siding/Stucco or Roofing Until Above Signed Rough Framing 128 ' Rough Plumbing 406 Rough Mechanical 316 Rough Electrical 208 Gas Piping 403 Shower Pan/Tub Test 408 Fire Sprinkler Test 702 Fire Sprinkler Final 702 Building Final 802 Electrical Final 803 Mechanical Final 809 Plumbing Final 813 Pool Final 802 Mobile Home Final 802 Inspection Type I IVR I INSP DATE Do Not Insulate Until Above Signed Wall Insulation 117 Ceiling Insulation 118 Do Not Cover Until Above Signed T -Bar Ceiling / RC 145 Stucco Lath 142 Stucco Scratch 143 Stucco Brown 144 Swimming Pools Setbacks 132 Pool Plumbing Test 504 Gas Test 404 Pre-Gunute 506 Pool Elec/Bonding/Light Nitch 502 Pool Fencing/Alarms/Barriers 503 Pre -Plaster 507 Manufactured Homes Setbacks 132 Blocking/Underpining 612 Tiedown/Foundation System 611 Site Utilities/Trench Insp. 137 Gas Test I OFFICE COPY I Manometi, • Bldg Permit: 1 Continuit}' Skirting/S; Address: Manufacti Date of M GAS By: Date: Model NaElectric By. Date:)- ZS Serial Nui T Length x I I Insignia: Public Works Fina 538-7681 Fire Department/CDF 538-7111 Env. Health Final 538-7281 Sewer District Final "PROJECT FINAL 801C_ IS -(o —C -rrolect r inai is a t:ernncate of occupancy for (Kesiaennal only) PERMITS BECOME NULL AND VOID 1 YEAR FROM THE DATE OF ISSUANCE. IF WORK HAS COMMENCED, YOU MAY PAY FOR A 1 YEAR RENEWAL 30 DAYS PRIOR TO EXPIRATION ;Inspector Copy ,w I COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES , 7 County Center Drive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE OWNER PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please call for re -inspection when correction of work is completed. If you have any questions pertaining to this matter, or need additional planation, please contact the Building Inspector as indicated below. yY rC� r" r S L Ile ,-moo i n �_ Date Inspector L 1 A REV 4/05 Phone # FOR RE -INSPECTION CALL:-, -.'538-7636 OR 891-2834 T tF BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES • BUILDING PERMIT 24 HOUR INSPECTION #:(530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) cOUNZy OFFICE #:(530) 538-7541 FAX#: (530) 538-2140 WEBSITE: www.buttecounty.net\dds PROJECT INFORMATION Site Address: 586 E GRIDLEY RD Owner: Permit No: B07-0884 APN: 024-300-018 HILBERS, NADENE & LEROY C Permit type: _ MISCELLANEOUS 1698 PORTOFINO DR Issued Date: 04/25/2007 By TMP Subtype: ' Electric Panel YUBA CITY, CA 95993 Expiration Date: 04/2.4/2008 Description: ELECT. SERVICE UP GRADE 100 7 (530) 671-7727 Occupancy: Zoning: C2 Contractor Applicant: Square Footage: OWNER HILBERS, NADENE & LEROI Building Garage Remdl/Addn 1698 PORTOFINO DR YUBA CITY, CA 95993 Other Porch/Patio Total (530)671-7727 FEE INFORMATION .. DBE Single Phase Service-Resid $55.00- - LICENSED CONTRACTOR'S DECLARATION Contractor (Name) State Contractors License No. / Class / Expires OWNER I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am licensed under provisions of Chapter (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. X 04/25/2007 Contractors 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; Total Charged: $55.00 Fees Paid: $55.00 Balance Due: $0.00 Receipt No: B2788 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: ❑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 LL� CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions 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.). Cartier: Policy Number: Exp. Date: (This section need not be completed if the permit is for one hundred dollars ($100) or ess. 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^visigme of Section 3700 of the Labor Code, I shall forthwith comply with those X 04/25/2007 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. 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) Lenders Address City State Zip I AM EXEMPT under Section B. & P.C. for this reason: n l: X 04/25/2007 Owners signatufqf 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 o or am aulhpriz d to act on the property owners behalf. - �� d [ t Q YS 04/25/2007 Name of Permittee [SIGN] Print Date INOwner Contractor �R. 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 PLAN TO PROVIDE THE MAJOR LABOR AND MATERIALS FOR CONSTRUCTION OF THE PROPOSED PROPERTY IMPROVEMENT. (�7OR NO) 2.I (HAVE VE NOT) SIGNED AN APPLICATION FOR A BUILDING PERMIT FOR THE PROPOSED WORK. 3. I HAVE CONTRACTED WITH THE FOLLOWING PERSON (FIRM) TO PROVIDE THE PROPOSED CONSTRUCTION: NAME ADDRESS CITY PHONE CONTRACTORS LICENSE NO 4. I PLAN TO PROVIDE PORTIONS OF THE WORK, BUT I HAVE HIRED THE FOLLOWING PERSON TO COORDINATE, SUPERVISE, AND PROVIDE THE MAJOR WORK: NAME ADDRESS CITY PHONE CONTRACTORS LICENSE NO 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: ELECT. SERVICE UP GRADE 100 TO 200 AMP Reference Number: B07-0884 Applicant Name: HILBERS, NADENE & LEROY CP Owner's Name: HILBERS, NA EROY CP AP c Signature of Property Owner: Date :024-300-018 BUTTE COUNTY o�����0 DEPARTMENT OF DEVELOPMENT SERVICES o o BUILIDING PERMIT APPLICATION ° o OFFICE #: (530) 538-7541 FAX #: (530) 538-2140 c - —=�- a A FEE WILL BE REQUIRED AT TIME OF APPLICA TION Website: www.buttecounty.neVdds C�41N **PLEASE PRINT CLEARLY" OWNER INFORMATION Last Name Al ,/ First Name/^7 c� Mailing Addtess City State Zip Phone".'G-1 (_ Z 1. Fax E-mail ] 717 16 4 APPLICANT INFORMATION CONTRACTOR Name City Address Zip City Fax State Zip Phone Fax E-mail Lic. # Class APPLICANT INFORMATION ARCHITECT/ENGINEER Name City :Addtess. Zip City Fax State Zip Phone Fax E-mail State License Number APPLICANT INFORMATION Name Address City State Zip Phone Fax E-mail PERMIT NO. �6T Op BIN N PROJECT LOCATION API D Property Address Cityt~�-- 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 ' DESCRIPTION OR SCOPE OF WORK: r %P> Sq FT- Living Garage Open Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): For office use only: Zoning FloodZone SRA Yes No Occ. Type Const. COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive Oroville, California 95965 • Telephone (530) 538-7541 (Rev.12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 024-30 - ZONING BUILDING PERMIT OWNER TEROY- TELEPHONE SO. FT. OCC. BUILDING VALUATION 60 @ 1 840.00 .OWNER'S MAILING ADDRESS 1692 PROTOFINO DR YUBA CITY 95993 CONTRACTORS NAME 0WNM TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ 840.00 ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 23.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING576S E GRIDLEY RD GRIDL EY Energy Plan Checking Fee $ $ PERMIT FEE $ 43.00 LOT NO. SUBDNISION'SNAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: RFROOF W/MME Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home ISI GI W1 920.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 800VOR LESS Main Service zaOA OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.PSING License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. •❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO 1000A 46.00 NEW CONST. DW EWNG OCCUP. OR ADDNS. ( a ACC. S. SO 3.52FT; p°�,pT' MULTBRANCI.OUTLET eG 7.50 a OUTLET OWELER APPARATUCIR.S oun.ET OR FDrruREs Ex. Occup.BAL 20 @ 1.00 @ .50 Ex. Occup.°�XTLEE°Ts" RaID,°�a 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall fo ith ply with those provisions. X Date�0— 1A-'-©3 Signature of p icant - ❑ Owner ❑ Contractor ❑ Agent An OSHA per it' required for excavatio s over 5'0" deep and demolition or construction of structures r 3 tories in heig Receipt No. MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 43.00 HAZ. D. FEES IMP FLOOD CDF PARCEL PD HD 5SU This per it is hereby issued under the applicable provisions of the e n Code and/or Resolutions to do work indicat bov f c fe s have been paid. �O�/& By - ate OF PERMIT EXPIRES ON Date ) 1W_1 WHITE-D.D.S.-B.D. CANA -ASS SSOR PINK -INSPECTOR GOLDENROD -APPLICANT i COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION P�I o. 7 County Center Drive s Oroville, California 95965 • Telephone (530) 538-7541 ^ �, P �(`II Rev. 12/96) APPLICATION AND PERMIT (J CJ nc gnRPAROELNUMBERsi7/ r, --2 ^A: � / 20MNG SUtLDINGPERMIT OWNER CONSTRUCTION UDIDER LENDER'S MAIUNG ADDRESS ARCHRECT OR ENGINEER ARCIQTECT OR ENGINEERS MAILING ADDRESS 0 rE3 SUMVSION'SNAME USEOFSTRUCTURE lex ❑ Mobilehome ❑ Other TYPE OF WORK New 13 Addition 13 Rem E3Uh}�6es stoal Describe Work://(�/ PERMIT FEE PAID $ " " ✓ � SRA ,.. $ SHERIFF $ OTHER $ AMOUNT RECEIVED DATE RECEIVED 10 I�P RECEIPT # -3clo TION Fireplace PERMIT FEE $ Total Valuation $ Fling Fee 20.00 Main Service NO' Filing Fee $ 20.00 Permit Fee $ taw CONST. Plan Checkin Fee $ OR ADDNS. \ Energy Plan Checking Fee $ _o ) $ PERMIT FEE $ PLUMBING PERMIT Fling Fee 20.00 Each Tr 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 0 1 10 Gas i in stem 1 - 5 outlets 5.00 Building s6wer 15.00 Mobile Ho W @20.00 Ex OCCU . PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service mervA on E S 23.00 Main Service 200A TO IOWA 46.00 taw CONST. DWELLIM OCCUP. 3.5ttFT OR ADDNS. \ d ADC. BIDS. _o ) @7.50 Ex OCCU . OLMU OR FaTURES @ .50 Ex. Occup. RXED APPUIS. DR OUTLETS ESID.] Ea 5.00 Temporary Se .23.00 Mobile Home Facilities 20.00 Wisc. Wiring 23.00 PERMIT FEE 3 MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling U-1u� 6.50 PER E $ Mobile Home In ation Fee $ Energy Inspection Fee $ =c CONST. TTP£ TOTAL FEE $ HAZ q FEES IMP I FM7 CDF I PARCEL I FD I ND I SSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By Date PERMIT EXPIRES ON /Date) O.B.- I OWNER -BUILDER YERIFICATION 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. CI,�I personally plan to provide the major labor and -materials for construction -of the proposed property improvement-: YES K -NO Il , �2I HAVEk HAVE NOTE] signed an application for a building permit for the proposed work. I have contracte th the foo g person (firm) to provide the proposed'construction: NAME rrets ADDRESS: CITY: 14 PHONE, -67/—; % CONTRACTOR'S LICENSE NO. 4. I plan to provide portions of this work, but.I-have hired the following person to coordinate, supervise, and provide the major work: NAME: ADDRESS: CITY• y PHONE: CONTRACTOR'S 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 SIG D; PROPERTYOWNER: A •� �W/'Z-0 NOTE. This Ow er-Builder Verification is required by Section 19831 and 19832 of the California Health and Safety. Code. This verification must be completed and returned to our office Before we are permitted to issue the permit OVER OWNER BUILDER INFORMATION Dear Property Owner: O.B.- 1, An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified. For your protection, you should be aware that as "owner -builder" you are the responsible party ofrecord 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: , I . ♦ If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $300 or more for the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. 0 If you are an employer, you must register with the State and Federal Governments 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 for you if you do not cant' out these obligations, and these risks are especially serious with respect to worker's compensation insurance. ♦ For more specific information about your obligations under Federal Law, contract 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 their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors 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 contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento, CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. rely, Mic el C. Vi ira, C.B.O. M ger, Building Inspection NOTE. This Owner -Builder Informadon is required by Section 19830 of the California Health and Safety Code. OVER COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERI O/ (Rev.12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT 024-300--018 OWNER TELEPHONE SO. FT. OCC. BUILDING VALUATION 1" 60 @ 14 840.00 . OWNERS MAILING IRltOMFINO DR YM CITY 95993 CONTRACTORRSS7]NAME TELEPHONE OWNER CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER p E LENDER'S MAIUNG ADDRESS r g Fireplace Total Valuation $ 840.00 ARCHITECT OR ENGINEER UCENSE NO. _ Filing Fee $ 20.00 ARCHITECT OR ENGINEERS MAIUNG ADDRESS L Permit Fee $ 23.00 Plan Checking Fee $ BUILDING ADDRESS 576 E GRIDLEY RD9 GRIDLEW Energy Plan Checking Fee $ $ PERMIT FEE $ 4 .00 LAT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 i Each Trap 7.00 USEOFSTRUCTURE ' Solar or heat pump water heater 23.00 SF ❑ Duplex ❑ Mobilehome ❑ Other Water piping 15.00 SPECIFY Each gas water heater or vent 15.00 TYPE OF WORK Gas piping system 1 - 5 outlets 15.00 New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ _ Building sewer 15.00 Describe Work: REROOF WICOMP Mobile Home I S I G I W @20.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 a00V OR LESS Main Service 200A OR LESS 23.00 ' Main Service WOOL TO 46.00so LICENSED CONTRACTOR'S DECLARATION OCU000A NEW CONST. owEtt.ING Occup. I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter ORR,,,,ADONS. ( MUL�TIC-ou�rLS. 3.5Qso. Fr. 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, NON-RESID. c @7.50 and my license is in full force and effect.POWER APPARATUS License Class Lic. No. - a SINGLE OUTLEr CIR. 20 @ 1.00 OWNER -BUILDER DECLARATION i Ex. Occup. ounET oR FocruREs 84L @ .so 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License = Ex. Occup. p�Mg PR °EA 5.00 Law for the following reason: Temporary Service 23.00 ©, 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. Mobile Home Facilities 20.00 ❑ I, as owner of the property, am exclusively contracting with licensed contractors s Misc. Wiring 23.00 to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this S reason PERMIT FEE WORKERS' COMPENSATION DECLARATION MECHANICAL PERMIT Fling Fee 20.00 I hereby affirm under penalty of perjury one of the following declarations: Heating ❑ 1 have and will maintain a certificate of consent to self -insure for workers' Cooling compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. Hood 6.50 ❑ I have and will maintain workers' compensation insurance, as required by Section Ventilation 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier PERMIT FEE $ Policy Number Mobile Home Installation Fee $ (The above sections need not be completed if the permit is for work of a valuation Energy Inspection Fee $ of one hundred dollars ($100) or less.) 13 1 certify that in the performance of the work for which this permit is issued, I shall occ CONST. TYPE FEE $ 43.00 not employ any person in any manner so as to become subject to workers' LTO,AL "compensation laws of California, and agree that if I should become subject to the :H:AZ. p. FEES FLOOD CDF PARCEL POISSU workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith,61amply with those provisions. This permit is hereby issued under the applicable provisions of the Butte Cty Code and/or Resolutions to do work X Date �I. "' �� T indicated abov f 1c fess have been paid. Signature of Ap'plicarit - ❑Owner ❑Contractor ❑Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures 'ear 3 tories in heig t. �J By ate r /CL ReceiptNo. ./ PERMIT EXPIRES ON WHITE-D.D.S.-B.D. CANARD -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT afe 024-300-018 03-3201 HILBERS, LEROY 576 E GRIDLEY_RD, GRIDLEY Cont: OWNER RE ROOF W/ COMP ,, , �. ., . .. .: �. ...:. ate, w �. .: w.: ...�� ri�� .:.y,,..r ..5: ,�.� �a;� ++n.r:ra+.[y xe;v +r--a.�� r.. � r�rn. .,�vro .✓,7.` -s -••,.e.*-,,.— .,,-.-.yr- Y ,� '� .�. �� F• .f .. �.t . .v '_. a. - 7 .. �� •! COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISIO 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-75417 PERMIT NO. (Rev. 12/96) APPLICA110N AND PERMIT - 0( - ASSESSOR PARCEL NUMBER 024-300-018 ZONING BUILDING PERMIT OWNER DUALITF INC. TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS CONTRACTOR'S NAME WESTERN SIGN CO. TELEPHONE CONTRACTOR'S MAILING ADDRESS 0221 A E.NMPRISB DR. nIVIONID SPRINGS CA CONSTRUCTION LENDER KONJF LENDER'S MAILING ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEERLICENSE r101 NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 550 E GRIDLEY FD., GRIDLEY Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO.SUBDNISDN'S NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SIGH SPECIFY Each Trap 7.00 - Solar or heat pumpwater heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities f. Installation ❑ Other ❑ Describe Work: ELECTRIC FOR SIG17, —Gas piping system 1- 5 outlets 15.00 Building sewer 15.00 Mobile Home I S G W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 EOO Main Service 200A V OR "EsOR LESSs 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license i in full forcrand effect. /� License Class( -'-9',., Lic. No. J 1741 / OWNER-BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service ( 200A To I000A 46.00 NEW CONST. DWELLING OCCUP. SO OR ADDNS. ( a ACC. BLOB. 3.545 NON -RES DT NE-ANCH UT TS g7,50 OWER APPARATUS a SINGLE OUTLET CR. Ex. Occup. OUTLET OR FIXTURES20@ ' 50 Ex. Occup. ouTlEErs REUSIo.DERa 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 30 00 PERMIT FEE $ 50.00 WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. 10 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier rr{ ki-. /, - , / MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE S Policy Number 47 r1 /�Zq (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X �'C /I )7,-) .1 I ! L i_1, ate _ f Signature of Applicant - ❑ Owner ❑ Contractor VAgent" An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 50.00 HAZ. I D. FEES IMP I FLOOD CDF PARCEL I PD HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. / r? � d i1 /� n By f.6^�" Ud." / Date 7 s � / PERMIT EXPIRES ON1�//� Date rReceiptNo. 11U WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISIO 7 County Center Drive - Oroville, California.,95965 - Telephone (916) 538-7541 PERMIT N.O. (Rev. 12/96) APPLICATION AI4D PERMIT 7^ ASSESSOR PARCEL NUMBER 024-300-018 ZONING BUILDI G PERMIT OWNER DUALITE, INC. TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS CONTRACTOR'S NAME WESTERN SIGN CO. TELEPHONE ' CONTRACTOR'S MAILING ADDRESS 6221 A ENTERPRISE DR., DIAMOND SPRINGS CA CONSTRUCTION LENDER NONE Fireplace LENDER'S MAIUNG ADDRESS Total Valuation $ ARCHITECT OR ENGINEER NONE LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 550 E. GRIDLEY RD. GRIDLEY Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDIVISION'S NAMEPARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SIGN SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities CX Installation ❑ Other ❑ Describe Work: ELECTRIC FOR SIGN Gas piping system 1- 5 outlets 15.00 Building sewer 15.00 Mobile Home S I G I W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 a00V OR UE Main Service 20.AORLESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license i full forr�nd effect. f��� ` License Class � Lic. No. OWNER-BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service ( To 46.00 NEW CONST. OWEWNG OCCUCUP. EL OR ADDNS. ( 8 ACC. BLDS. SO 3.51tFT; NON -R S.. ANCI-OUTLCIRCUITS@.50 PowER APPARATUS 8 SINGLE OUTLET CIR. Ex. Occup.OUTLET DR FocruREs zo p 1.00 BAL (49.so Ex. Occup. ouTLEJETs A IES o.DEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 J30.00 PERMIT FEE 50.00 WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier --ylC , Policy Number Ll,?f')J9 (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the wo rs' compensation provisions of section 3700 of the Labor Code, I shall orth th comply with those provisions. ' ��� __ ate _ ._fit/_� Signature of Applicant - ❑ Owner ❑ Contractor `Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 50.00 HAZ. D. FEES IMP FLOOD CDF PARCEL PD HD ISSUE This permit is hereby issued under of the Butte County Code and/or indicated aboveAwDate By PERMIT EXPIRES ON the applicable provisions Resolutions to do work een paid. �j rte / cJ J Date Receipt No. 210384 - WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT % "IN rr 024-`,3;00-018 x r PERMIT#95-12`36 v' 'HILBERS, Leroy 586 -E Gr idley, Rd . ; Gridley Reroof/SF ' n COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVI ON 7 .County,ICenter Drive'- Oroville, California45965 - Telephone (916)% 538-7 1 PERMIT NO. APPLICATION AND PERMIT - A69ES OYY-°C'NWR/18 - , ' !_,. J ZONING BUI ING PERMIT OWNEfL TROY f714rB_ TELEPHONE SO_ FT, OCC. BUILDING VALUATION ERSOIN115M01 W N ELLEN DR., GRIDLEY CA 95948 1 25 @60 1500 CONTRACT^�Ofj�S LJAME TELEPHONE CONTRACTOR'S MAILING ADDRESS LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and may license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) Q] 1 certify that in.the performance of4the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation.rprovisions.of section 3700 of the Labor Code, I shall fo wito ly with those provisions. 0(1 X _ Date Signature of // plicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA per4it is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. JL 1 v4.w Receipt No. _ WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT Main Service ( 000V OR LESS 200A OR LESS Main Service ( 200A TO 1000A OR ADDNS. \ 8 ACC. BLDS. / J.bC FT NEW CONST. MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS ) (ci)7.50 20:00 ��re9 \ & SINGLE OUTLET CIR. / Fireplace Ex. Occup. ( OUTLET OR FIXTURES) 20 Q 1.00 CONSTRUCTION LENDER UNKNOWN NONE Total Valuation $ FIXED APLNS.Ex. Occup. (OUTLETS(RESD.)EA ) 5.00 LENDER'S MAILING ADDRESS F Filing Fee $ 20,00 20.00 ° Permit Fee $ 35.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee NONE } Energy Plan Checking Fee ARCHITECT OR ENGINEER'S MAILING ADDRESS $ $ Penalty $ BUILDINGADDRESS 586 E. GRIDLEY RD., GRIDLEY PERMITFEE S 55.00 PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Solar Or heat pump water heater 23.00 Water piping 15.00 USEOFSTRUCTURE Each gas water heater or vent 15.00 SF ❑� Duplex ❑ Mobilehome ❑ Other Gas piping system 1 - 5 outlets 15.00 SPECIFY Building sewer 15.00 TYPE OF WORK Mobile Home S I G I W1:::::F 920.00 New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other 0[ Describe Work: REROOF W/COMP PERMITFEE $ Contractor LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and may license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) Q] 1 certify that in.the performance of4the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation.rprovisions.of section 3700 of the Labor Code, I shall fo wito ly with those provisions. 0(1 X _ Date Signature of // plicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA per4it is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. JL 1 v4.w Receipt No. _ WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT Main Service ( 000V OR LESS 200A OR LESS Main Service ( 200A TO 1000A OR ADDNS. \ 8 ACC. BLDS. / J.bC FT NEW CONST. MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS ) (ci)7.50 20:00 ��re9 \ & SINGLE OUTLET CIR. / Ex. Occup. ( OUTLET OR FIXTURES) 20 Q 1.00 BAL Q .SO FIXED APLNS.Ex. Occup. (OUTLETS(RESD.)EA ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ Contractor MECHANICAL PERMIT I Filing Fee 1 20.00 1 Heating Cooling Hood 6.50 Ventilation I PERMITFEE $ 0 Contractor Mobile Home Installation Fee Is Energy Inspection Fee is occ ICONST. TYPE TOTAL FEE $ 55.00 HAZ. I D. FEES IMP I FLOOD- I CDFPARCEL PD HD ISSU This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work in cat Bove for which fees hav ben paid. B1 A�&11 6/8/95 �_Date . 6/8/96 PERMITEXPIRESON COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVI ON 7 .County Center Drive - Oroville, 4,'alifoi�7ia 95965 - Telephone (916) 538-7 1 PERMIT NO. APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 024-300-018 ZONING BUI ING PERMIT OWNERLEROY HILB�RS TELEPHONE SO, FT, OCC. BUILDING VALUATION 25 @60 1500 OWNER'S MAILING ADDRESS 1567 GLENN ELLEN DR., GRIDLEY CA 95948 CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTORS MAILING ADDRESS Fireplace CONSTRUCTION LENDER NON; UNKNOWN Total Valuation $ Filing Fee $ 20,00 LENDER'S MAILING ADDRESS Permit Fee $ 35.00 ARCHITECT OR ENGINEER NONE LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDING ADDRESS 586 E. GRIDLEY RD.', GRIDLEY PERMITFEE $ 55.00 PLUMBINGPERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO. SUBDIVISIONS NAME PARCEL MAP Solar Or heat pump water heater 23.00 Water piping 15.00 USEOFSTRUCTURE SF ❑K Duplex ❑ Mobilehome ❑ Other SPECIFY Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other [X T r Describe Work: _ REROOF n/COD4P Mobile Home I S I G W @20.00 PERMITFEE g Contractor ELECTRICAL PERMIT Filina Fee 20.'00 Main Service000v OR LESS ( 200A OR LESS ) 23.00 Main Service ( 200A TO 1000A ) 46.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason NEW CONST. DWELLING OCCUP. \ OR ADDNS. ( 8 ACC. BUDS. / so. 3.50 FT. NEW CONST. MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS ) 97.50 / & POWER APPARATUS ) SINGLE OUTLET CIR. Ex. Occup. (OUTLET OR FIXTURES) 20 Q 1.00 BAL 0 .50 EX. Occup.. ( OUTLETS(RES oR .OA) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc . Wiring 23.00 PERMITFEE S Contractor WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing g Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shallTOTAL not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall fc wit o ly with those provisions. G �+ X &L, Date ' O T Signature of plicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA per t is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee Is Energy Inspection Fee Is OCC CONST. TYPE FEE $ 55.00 HAZ. I D. FEES IMP I FLOOD I COF PARCEL PD HD SSU This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicat bove for whiVch fees hav b n paid. 6/8/95 B Az ate PERMITEXPIRESON 6/8/96 (Date) Receipt No. 176268 I WHITE-D.D.S.-E.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT e Attention Property Owner: , An "owner -builder" building permit, has been applied for'inyyour, name and bearing your signature. Please complete and return this information 'gat• 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 themajor labor and" materials for construction of the proposed property improvement YESi ] NO[ .j. 2. I HAVE[ KI 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: L e- F�o , l b e ✓s ADDRESS: P--16eJA_ ' CITY: PHONE: - CONTRACTOR'S LICENSE NO. 4.. I plan to provide portions of this work; but I have hired the following person to coordinate, supervise, and provide the major.work: _ w NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 5. I will provide some of the work but I have contracted (hired) the following. persons to-. provide the work indicated: NAME t ADDRESS ... PHONE,. - TYPE OF WORK SIGNED: PROPERTY OWNER: SOCIAL SECURITY NUMBER: NOTE: This owner -Builder Verification is required by Section 19831 and' 19832 of the California Health and Safety Code. - This verification must be completed and returned to our office before we are permitted to issue the permit. s , OVER " Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of 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: 0 If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $300 or more for the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. 0 If you are an employer, you must register with the State and Federal Governments as an employer and you are subject to several obligations including state and federal.income tax wiihholding,.federal social security taxes, workers compensation insurance, disability insurance costs, and unemployment compensation contributions. 0 There may be financial risks for you if you do not arty out these obligations, and these risks are especially serious with respect to worker's compensation insurance. 0 For more specific information about your obligations under Federal Law, contract 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 their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "ownerbuilder" 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 contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento, CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. Sincerel Michael C. Vieira, C.B.O. Manager, Building Inspection NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code. OVER COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS '7 County Center Drive - Orovlller California 959E5 - Telephone: 916/538-7541 APPLICATION AND PERMIT r ;6. PERMIT NO. %:2: 9d ASSESSOR RC NUMBER 24-30-18 ZONING „t BUILDING PERMIT OWNER TELEPHONE 846-3993 OWNER'S MAILING AODR s9 1 e Gridley 95948 SO. FT. OCC. BUILDING VALUATION 240 deck 1,200.00 CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Nonp LENDER'S MAILING ADDRESS Total Valuation Is Filing Fee Permit Fee 1.200.00 $ 10.00 $ 20.50 ARCHITECT OR ENGINEER LICENSE NO. Nnnp ARCHITECT OR ENGINEER'S MAILING ADDRESS Plan Checking Fee Energy Plan Checking Fee Penalty $ 15.00 $ $ BUILDING ADDRESS 980 F. Gridley Rd., Gridley Permit fee $ 45.50 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 ®X Duplex[] Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G W 0.00ea TYPE OF WORK New AdditioRemodel❑ Utilities❑ Installation❑ Other XDescribe work: deck 12 x 20 _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 800V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification. 0�1I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors.(Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST.( DWELLING OCCUP. OR ADDNS. ACC. SLOGS. m , �20Sgft NEW CONSTF MULTI -OUTLET NON.RESID BRANCH CIRC ITS ea POWER APPARATUS e (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 9A 090 FIXED AL Ex. OCCup. OUTLETS P(RESID,)REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor 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 becomesubject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling g Hood 3.00 I 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 upo he above mentioned property for inspection purposes. I also ogre to ave, indemnify and keep harmless the County of Butte against all liab50 ili s, udg ents, osts, and expenses which may in any way accrue against s C u i on eq nce of the granting of this permit. �_ qI X Date Signature of Applicant — OwnerN 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 $ mCc CONST TYPE TOTAL FEE $ 45. HAz. cUA PARK SCHL FLD CDF PAR Po l H ISSUE this permit is hereby issued under the applicable provi- 3ions of the Butte County.Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS 3y Date PERMIT EXPIRES Date Receipt No. g -I WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR, GOLDENROD -APPLICANT 0. - COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE,,CiALIbORNIA 95955 - TELEPHONE: 916/539-7541 PERMIT APPLICA ON DATA SHEET ' Permit No. OWNER _ n °' , [A. P. No. 02 y – 30- /t3' � Proposed Building Use Building Inspector —�� Date At time of permit application, I was advised the following data must be�submitted prior to permit processing and/or issuance: ` DATE RECEIVED APPROVED All items have been submitted. Plot plans in duplicate/triplicate, signed by preparer of plans ........ 3. Complete plans in duplicate/triplicate, signed by preparer. of plans . . 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Hazardous Material Form .......................................... 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings ............... 8. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation instructions....................................................... 10. Fees of $ ........................ 11. Chico Urban Area fees paid ....................................... 12. Park fees paid .................................................... 13. School District fees paid .............. 4. Sanitation approval from 0 eo 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) Parking: ...... 18. Improvements may be required. Contact Land Development Section DPW 19. Driveway permit (construction approval required prior to occupancy) 20. Pre -Inspection for required Pre-Inspec. request to Building Inspector (Date) 21. Contractor's license information (No., Name Style, Classificati0n) ... 22. Certificate of Workmans Compensation Insurance .................. 23. Owner -Builder Verification (Given to owner ❑, Mail to owner o) ..... 24. Recorded copy of Agricultural Acknowledgment Statement ......... 25. Letter of signature authorization ................................... 26. 27. Whe you issue the permit, process as follow: � Mail to owner. Mail to contractor. 1/ Telephone and hold for pickup ato ice. Deliver w/inspector. Other Applicant DateI Copy of Haz-Mat form sent Health Dept. Fire Dept. v Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By I The following data must be submitted prior to permit iss ce: (Circle new item not checked above). 1. Index permit for above items N6. % 2. Additional items required: Contractor, designer, owner, was. advised of above required data by +phone_-snail—counter by date Contractor, designer, owner, was advised of above required data by —phone _maII—counter by date Plans checked by Copy—DPW Sets of plans on hold in Date Plans approved by File cabinet AP folder Date i t TO Buildingb\ Department FROM: Environmental -Health SUBJECT: Sanitation Clearance Ln Omer Location AP# Plan Approved for: Sewage Disposal Water Supply Hold final for: Water Supply Final clearance O.K. for: Water Supply Other I clearance for �----� NOTE * * * Da Senitari n COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Osoville, CA 95965 OWNER -BUILDER VERIFICATION Attention Property Owner: Phone: 916-538-7541 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) 2. 1 (have/have not) signed an application for a building permit for the proposed work.. 3. I have contracted with t e following person (firm) to provide the proposed construction:. Name Address City Phone Contractors License No. 4. I plan to provide portions -of this work, but I have hired the following person to coordinate,&erdse, and provide the major work: Name �/ RIQ_ Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work Signed: Property Owner Social Security Number Date f / 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: t RESIDENTIAL 24-30--:18 384-90B,E' HILBERS,-' Ler6y Hwy,' Gridley (additioq &:-remodel/sf) 41,92j)d JOB FINALE Signature J=OK 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 7, Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card 13 -l's Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks Easements 2. Footings; Size -Spacing -Marriage Line N 3. Gas; MH Test -Demand -Valve -'Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector , `-., 6. Water; MH Test -Regulator -Connector' 7. Water and Sewer Connected -C/O to Grade -HD Approval S. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 10. Cert. of Occupancy t^ 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-Easemen s ; b 2. Footings; Soils-Size-Depth-Spacing-Connectors�8teel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs: Coonectors Shthg: Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors i 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 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 -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.;Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip'. -Pool Lghtg. Boxes-Enclosures-PaneIboards- 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 V OK O = Not OK. - = Not Applicable Not Ready RESIDENTIAL (Single & Duplex) ' = Date UND FLOOR (Plans) OK except #'s �1. Zo ' -S�tbacks-Easements-Flood-Slope Fhb; Main; Soils-Elec. Grnd.-/ /" Ftg. Depth el-Elec. Grnd.-/ /" Ftg. Depth s; oils -Steel-/ /Ftg. Depth Stemwalls, Main; Steel -Bloc kouts-Wrapped lockouts -Wrapped old Downs and Special Anchors 41-11 Le -Piers- Fireplace Ftg.-Steel I est -2 Way C/O -Sewer Test 1 e- nc ors 1 c or- egulator-Service Test 1 n ergroun 1'A Ne ts; Clearance -Material -Support -Ins. 3 _9Dirders-Sills-Anchor Bolts -Joists -Vents -Cripples 15. Insulation Dated _ Card B-1 Date Card B-1 Dat Card B-1 Date Card B-1 Date PLUMBING (PermiA K except #'s 16. Water Htr.; Vent -Access -Combustion Air -Baffle 17. Water Pipe; Test & Anchor -Nail Protection 18.D.W.V.; Test -Fittings & Anchor -Nail Protection 19.Shower Pan; Test, First Floor -Tub Access 20. Test Tub & Shower, Second Floor -Tub Access 21. Gas Pipe; Size & Anchors Oate Card B-1 Date Card B-1 / Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 2e Fixture & Transformer Clearance -Ins. Protection Elec. Receptacles Spacing -Lights & Switches at Doors Size Boxes & No. of Conductors -Stapled Romex Installed Close to Edge of Studs & C.J. 26. Equip. Ground made up w/Mech. Fastners-Bond Gas & Water ircuts in Kitchen & Conductor Size/GFI -2879n d Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al rc. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral 0 Yes ❑ No --aQ_Servt jser Conductors & Ground -Main Disconnect --3'I Equip. Clearances. Panels-Motors-Mech. Equip. -92--C�Closet Light -Shower Light -Spa Light 05 Smoke Detector Date _%d Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL: (Perm ) OK except #'s 34. A.C. Ducts Insulation & Support 35. Vent Fan; Exhaust above insulation 36.Condensate Drain & Overflow; Size & Grade 37. Furnance-Vent; Access -Comb. Air -Return Air Vent -115 outlet 38. Attic Access & Platform if Furnance in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except #'s A. Sils, Proper Material & Anchors 0. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound Bearing Walls over Girders & Floor Nailing Draft Stop in Walls (rat proof) 3. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 4 . Headers & Beam -Size & Bearing Date FRAMING (Continued) Hangers -Post Caps -Anchors -Connectors ,46' Cing. Joist-Rftr. ties-Purlin—roof Brac-Truss-Shthng.-Rfng. '217'. T-irepface-Ties or Type A Flue -Fireplace Throat clearance Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles B Windows or Exiting Doors -Sill Hgt. & Dimensions ^j6') Garage Fire Protection Framing y Line Firewall & Openings Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits Z-59-- tairs; Width -Head room-Rise-Run-Landinq-Fire Protection plywood on Roof Overhang -Attic Vent4-Rafter Outriggers X. Stucco Mesh -Drip Screed -Fd. Vents=Underflr. Access ,i7."Glazing Area -Glass Protection -Skylights -Plastic. r8 alls; Nailing -Bolts 60. Infiltration -Walls -Windows Dateq— Card B-1 Date Card B-1 Date Card B-1� G Date Card B-1 Date II Plans OK exc t #'s 61. Ext. Steps -Door & Sidelight Protection -Landings ivofZ Smoke Detector 63. Furnace; Vents -Clearance -Comb. Air -Connector - n Garage; Above Floor-Ducts-Mech. Protection 64. Bedroom Exiting rtiSf F.I. & Bath Fixtures & Tub Access -Spa �_f Elec. Trim & Subpanel; Breaker Sizes & Labels ---SZ—Stairs & Rails 88 -Fireplace or Stove; Clearances -Hearth Elec. Outlets at Wood Panel; Int. & Ext. �AFixt. & Appliance; Grnd.-Air Gap -Cooking Clearance 71 EIec. Outlets & Receptacles at Kit. Counter 72. Garage Fire Door; Swing -Landing -Closer 32rit-C. Duct in Garage -Damper 74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage; Above Floor-Mech. Protection T5:-Pib., Elec. Mech. Equip. Listed for Location le eceptacles in Garage; (G.F.I.)-Romex Protection 7 sulation- Foam- Looked in Attic 0 Yes 78 Guard & Deck Construction -Post Caps n. Vents & Crawl Hole Door -Drainage ood- Clearance oked under Floor Yes 3 80. Foll g instld.; Drive O Yes 0 No; Walks s No; anters ❑ YeX ❑ No Stile o; Br -Finis C. Unit; Disconnect, Electrical, Plumbing Vents Above Roof; Plbg.-Appliance-Fireplace: Clearance to Openings _ X89 ater Well; Disconnect, Electrical, Plumbing terior Elec. Trim; G.F.I. Receptacle -Underground Ventilation Throughout House 87. Glass Protection Corrections fr m Previous Inspections as Tes - ters Tagged; Gas -Electric !r& Sewer Connected -C/O to Grade -HD Approval QWffEnergy Compliance Certificate -Other Certificates Date-, Card B-1 Date Card B- 1-Date(.� Card B-1, Date Card B-1 Date t Card B-1 Date Card B-1 Comments at Final: (NOTE: An entry must be made each time you visit job site) W'"711114092 Leroy Hilbers. 1567 Glen Ellen Dr. Gridley, CA 95948 6utte COunii LA.N'D OF NATURAL WEALTH AND BEAUTY DEPARTMENT OF PUBLIC WORKS WILLIAM (Bill) CHEFF, Director 7 COUNTY CENTER DRIVE t OROVILLE, CALIFORNIA 95965 Telephone: (916) 538-7541 January 14, 1991 RONALD D. MCELROY Deputy Director RE: Building Permit No. 384-90 Expiration Date2-13-91 (A. P. No. .24-30-18 ) With reference to the above subject, our records indicate that your Building Permit exnirPs on the above date. Building permits are valid for one year and should construction be started but not completed by the expiration date of.the permit, the permit shall be renewed for 2 the original Building Permit Fee (plus a $10.00 "Filing Fee"). The renewal permit will extend the Building Permit for an -additional year from the original expiration date.. Should you not renew your permit within thirty days of the expiration date, it cannot be renewed and all work must cease until a new building permit is issued. If.your construction is completed or should you have any questions concerning this matter, please contact the Oroville office. For your convenience, we are enclosing a renewal application form and owner - builder form to be completed and signed by you where indicated and returned to this office together with the fee shown. Please return all copies of the application form. Thank you for your prompt attention concerning this matter. JFG:aam Attachments: Permit Application Owner -Builder Information Owner -Builder Verification cc: Building Inspector - Yours very truly, William Cheff Director of Public Works F. Glander ief Building Inspector Chico -196 Memorial Way/891-2751 Paradise - 745 Elliot Rd./877-6im COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 538-7541 747 Elliott Road, Paradise Phone: 872-6307 CORRECTION NOTICE OWNER PERMIT NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of woris completed. If you have any question pertaining to this matter, or need additio al explanation, please contact this office immediately. ric-a U / l�,C� N Co*( o . v rev t sl, ! S %cJ Cc o . s" o. 5 ,%L-/> 4c v •v i 7- /;J Wiw�vzv S t� � v ,� v,v ,d �•e ��s� • fU Date/—/ 7- T Inspector _ A- CTt:.i�-'ia.+=-r"�r�'. �;,£ti�''�...k; �...�sP,:;��I �+.yt,,.._.:•:a �.y.�c-:...-e. .-...�--.J'-S-?:'1 COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751.,, 7 County Center Drive, OroviIle — Phone: 538-7541 747 Elliott Road, Paradise — Phone: 872-6307 -rCORRECTION NOTICE OWNER' PERMIT NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office _ when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact his office immed ately. 1 30 o�d as v4��,. d K. ?-Y S 1°4 // % -/ 3., `j i � N S-(� Ci �� .�H^ 6 IC. Z l.r�Te � Tom✓ ,,,{ e� Inspector /G//i Date ��. LOCATIO ROOF / MATERIAL THICKNESS - EXTERIOR WALL ------- ENERGY CERTI /�-'�\ B ^ ,' T � A. P. ^ .00 1 ME |E��AL RESISTANCE (R VALUE) n*/�R7AL THICKNESS (I CH'ES)_./ THERMAL RESISTANCE (R VALUE) CEILING I THICKNESS THERMAL RESISTANCE (R VALUE) LOOSE FILL TYPF FIBERGLASS BRAND NAME 'INTEED ,umu,ur/ rnuCcocpImumESr unu��n-OF-uAb TPER BAG 25 LB- AREA COVERED (SQ FT) THERMAL RESISTANCE �R'VALUE) FLOOR, _ COVER -1 ELE MATERIAL NAMECERTgINTEED__ /,�ICn SS (INCHES) THERMAL RESISTANCE (R VALUE) FLOOR,,/SLAB MATGRIAL BRAND NAME - F °,^`.nwcoo THERMAL RESISTANCE (R VALUE) /UNDATION WALL -------- �ATERIAL BRAND NAME THICKNESS (INCHES) THERMAL RESISTANCE (R VALUE) I HEREBY CERTIFY THAT THE ABOVE INSULATION WAS INSTALLED IN THE ABOVE BUILDING IN CONFORMANCE WITH THE STATE OF CALIFORNIA ENERGY REQUIREMENTS. HAWKINS INSULATION FIRM NAME/OWNER 379407 STATE CONTRACTOR'S LICENSE NO. SIGNATURE DATE I HEREBY CERTIFY THE ABOVE INSULATION AND ALL REQUIRED ITEMS AS SHOWN ON THE BUILDING DEPARTMENT APPROVED PLANS AND ATTACHMENTS HAVE BEEN INSTALLED AS REQUIRED BY THE STATE OF CALIFORNIA ENERGY' REQUIREMENTS. ALL EQUIPMENT, DEVICES AND MERTIALS ARE OF THE QUALITY PR- . CRIBED OR ARE SPECIFICALLY APPROVED BY THE STATE OF CALIFORNIA. - FIRM NAME/OWNER - �fu"m/uRE GEN. CONTRACTOR/OWNER' STATE CONTRACTOR'S LICENSE NO. DATE -1- ° r~ COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive yOroville,paliforn.ia 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. 3�-9� ASSESSOR PARCEL NUMBER 24-30-18 ZONING C2 BUILDING PERMI OWNER Leroy Hilbers TELEPHONE 673-2947 SQ. FT. OCC. BUILDING VALUATION 315 R 12,600 OWNER'S MAILING ADDRESS 1567 Glen Ellen Dr, Gridley 95948 est cost 100 CONTRACTOR'S NAME Owner TELEPHONE .1 CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDERUNKNOWN Total Valuation $ 12,700 Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $98.50 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 49.2-5 Energy Plan Checking Fee $15,00, ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ B DING ADDRESS 0 {#e�+-r��-r'1& Gridley Permit fee - $172.75. PLUMBING PERMIT Filing Fee 10.00 r y�� Ct Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each pas water heater or vent 5.00 USE OF STRUCTURE SF FC1 Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home I S I G JW 1 10.00e TYPE OF WORK New ❑ Addition ® Remodel ❑ Utilities ❑ Installation[] Other ❑ Describe work: Remodel and Add 2 Bedrooms _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 6001 OR LESS10.00 100 AMP OR LESS 0, Main service EA. ADO'L 100 AMP 2.50 _ CONTRACTORS LICENSE LAW 1 declare under penalty of perjury (check One): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is In full force and effect. License No. Classification 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. ( DWELLING OCCUP.tr\ OR ADDNS. ACC. BLOGS. 21/zQsgft 6.30 NEW CONSTR. ULTI-OUTLET NON-RE510BRANCH CIRC ITS 2,50 ea POWER APPARATUS tr (SINGLE OUTLET CIR. Ex. Occup(ouT LE TS OR FIXTURES 120 (9 9AL0S30 FIXED APPLNS. OR Ex. Occup. OUTLETS (RESIO.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ 16.30 Contractor 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. MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter on the above-mentioned property for inspection purposes. I also r o s ve,indemnify and keep harmless the County of Butte against all li il' i s, dgmen s, costs, and expenses which may in any way accrue again a' C unty i ansequence of the granting of this permit. %� Date l��D Signature of App ' ant — Owner ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $30.00 occ CONST TYPE TOTAL FEE $ 2 9.05 HAz cuA PARK scHl LD AR o HD sJE This permit is nereby issued under sions of the Butte County Code and/or work indicated above for which fees �eOgbF PUBLIC By PERMIT EXPIRES Date tate applicable pro vi- resolutions to io have been paid. WORKS z Date�`��✓- Receipt No. �--- WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville;- Califorhia 95965 - Telephone: 916.%538-7541 APPLICATION AND PERMIT ASSESSOR PARcE IUMBER, �S Z°NII !f: BUILDING PERMIT " OWNER TELEPHONE SO. FT. OCC. BUILDING VALUATION 1 'ER'S OWNMAILING ADORE 5 ,r CON ACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation S Filing Fee S 10,00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS/yO� Permit fee $ S 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 Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 1 A 110.00 e TYPE OF WORK New ❑ Addition Remodel ❑ Utilitiiepess�❑ Installation[] ,^�,^�Other ❑ Describe work: I� nbe-- `- Apo I I Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 I Main service 1011 OR LESS 100 AMP OR LESS ,_;.. 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ 1 am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason OR ADDNST DWELLIN GOCCUP.&\ BS./ 2yz¢sgft 3 NEW CONSTR. ULTI.OUTLET NON-RESIO BRANCH CIRC ITS 2.50 ea POWER APPARATUS e SINGLE OUTLET CIR. EX. DCCUp(OUTLETS OR FIXTURES o0@50t 20.@30 FIXED PR Ex. Occup. OUTL TS IRESID IEA.� 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 S100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling g Hood 3.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information 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. Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑ I 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 d TOTAL FEE1—[ HAz I CUA I PARK I SCHL FLD PAR PJ HD ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By PERMIT EXPIRES Date the appiicable provi- resolutions to do have been paid. WORKS Date Receipt No, WHITE-D.P.W.. YELLOW -ASSESSOR. PINK-INWIVCTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET Permit No./ OWNER 4_02��_ ,� A. P. No. �4_��"1'C Proposed Building Use Building Building Inspector/ _ Date ��1� T't ,C, At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted . ......................... * * * . ... 2. Plot plans in duplicate/triplicate, signed by preparer of plans........ 3. Complete plans in duplicate/triplicate, signed by preparer of plans .. 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Hazardous Material Form .......................................... 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings .............. 8. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation instructions....................................................... 10. Fees of $ ........................ 11 Chico Urban Area fees paid ....................................... Park fees paid .............. . .. ... ........................ 3. �- '� School District fees paid .............. 14. Sanitation approval fromHealth 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) Parking: ...... 18. Improvements may be required. Contact Land Development Section DPW 19. Driveway permit (construction approval required prior to occupancy) 20. Pre -Inspection for required Pre-Inspec. request to Building Inspector (Date) 21. Contractor's license information (No., Name Style, Classifications ... 22. Certificate of Work mans Compensation Insurance .................. 23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ..... t 24. Recorded copy of Agricultural Acknowledgment Statement ......... 25. Letter of signature author�ation................................... eOZ 26. 1< / v t, 27. � �L� e� W en you issue the permit, process as follows: Mail to owner. Mail to contractor. C Telephone 67 '2(747 and hold for pickup at office. Deliver w/inspector. Date�! %— Q -e-) Copy of plans sent Health Dept., Fire Dept., Other Date The following data must be submitted prior to pRrmA issuance -. (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by phone____rnail—counter by.dateZ-3 Contractor, designer, owner, was advised of above required data by— phone-mall- Plans checked by Copy—DPW Date Plans approved by: Sets of plans on hold in . File cabinet AP folder by date —Date TO Buildinv Department FROM: Environmental Health SUBJECT: Sanitation Clearance.. Owner Lo ation AP# Plan Approved for: Sewage Disposal Water Supply _ Hold final for: Final clearance O.R. for: 'Clearance for. Z- bedroom home. NOTE *** Other Water Supply Water Supply Sanitaria Date COUNTY OF BUTTE_r Dapartt�ent of Public_ Works 7 County Center Drive,.Orovil,le, 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 cigajor labor and -materials for construction of the proposed property i rovement :(yes or no) 2. I (have/have not signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction:. Name Address City Phone Contractors License No. 4. •I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address.. Phone Type of Work Signed: Property Owner Social Securit Number Date NOTE: This Owner -Builder Verification is stent 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 ise.ue the permit. BUTTE COUNTY SCHOOLS'DEVELOPMENT FEE CERTIFICATION FORM - (One -Form per•Building) A.P: Number,..�q—_30l4 Building Department No. i School District �(�`� City D County ® Jurisdiction Property Owner Project Location/Address Subdivision Lot Number Residential Development:6 Sq. Footage J # of Living MHI Addition (Group R) Units Commercial/Industrial: a Sq. Footage New Addition (Including Exterior Roofed Areas) `✓Building Department esentative °D A ******************************************************************* (Floor Plans reviewed by School District Personnel) District Id No. /15 9 /,(1 School District certifies that ApplVicant Name - _-:5 77'5 Phone Number % "j, (City) (/ (State) (Zip Code) has complied with the requirements of Resolution No. by the payment of $ representing 311-5- square feet. /School District Representative ' Date PAID BY CHECK NO. BANK NO PAID BY CASH white -applicant, yellow -building department, pink -school district SCHOOL.FEE (8/88) FO R M '7 ADDITIONS TO RESIDENTIALBallILDINGS ENERGY SHEET PACKAGE "A" (Additions) Owner s Climate Zone' Permit # 0 �w Floor Area. 3Z.5 The following data showing mandatory and required features of Package "A" shall be installed for additions -to dwellings.; -Additions to dwellings include room additions, converting garages and patios to,living areas, house moves that add footage and attic conversions, and any space that is existing non -conditioned space that is converted to conditioned space. Remodeling of existing conditioned space is not included. ZONE 11 ONE APPLIES TO NEW AREA ® CEILING R-30" R- h WALL R-11-, R- 9 FLOOR ' R-11 R 19 SLAB R-7 -7 GLAZING U-.6.5" (Dual) -.65 (Dual) SHADING SOUTH - OPTIMUM OVERHANG or .36 Shading Coefficient WEST - .36 Shading Coefficient LOOSE'FILL INSULATION (Density) 4p INFILTRATION CONTROL (Weatherstrip doors,"certified windows, caulking) VAPOR BARRIER (Zone 10- DUCTS 6) DUCTS PER UNIFORM MECHANICAL CODE = Ch. 10 LIGHTING KITCHEN & BATH NOT LESS THAN 25 LUMENS/WATT p'MAXIMUM GLAZING 16% OF•AREA.PLUS REMOVED GLAZING NEW HEATING, VENTILATING, AIR CONDITIONING AND HOT WATER SYSTEMS IN. CONJUNCTION -WITH AN,ADDITION SHALL BE•INSTALLED AS SHOWN ON BACK" 'OF -,THIS" SHEET,. OTHER 12/85 *1 HEATING VENTIIATING AIR CONDITIONING SYSTEM (A) Heating ❑ Central Gas Furnace % (brand and model number) SE Btu/hr (heating capacity) ❑ Heat Pump (brand and model number) ACOP Btu/hr (heating capacity at 47°F) ❑ Active Solar type (liquid or air) Collector brand and ft2 model number solar fraction collector area collector orientation collector tilt 'rated y -intercept rated slope ❑ Other (describe) *1 r (B) Cooling ❑ Electric Air Conditioner (brand and model number) (seasonal EER) Btu/hr (cooling.capacity at 95°F) ❑ Electric Heat Pump • EER Btu/hr (cooling capacity at 95°F) ❑ Other (describe) DOMESTIC WATER SYSTEM 13(A) Gas Only Gallons (brand and model number) (tank size) 13 Heat Pump w/Electric Backup (brand and model number) Gallons (tank size) E3 Active Active Solar (collector brand and model number) (rated y -intercept) (rated slope) (solar fraction) 2 ft (backup heater type, brand and model number) (collector area) (collector orientation) (collector tilt) ❑ Location of Solar Panels ❑ Other (Describe) *1 Submit documentation of sizing heating and cooling equipment by Manual J, sizing charts (form X64) or other approved methods, section 2-5352(8), and fill out the following: Heating: Winter design temperature °, elevation ', heating load BTU elevation factor x heating load a maximum outlet capacity gas furnace BTU Cooling: Summer design temperature ', cooling load BTU *2 Submit T.I.P,S.E. chart'or other approved system (form #5) to document sizing of solar panels. ® DESIGN COMPLIANCE STATEMENT: The above building desi eets the requirements of Title 24, Part 2, Chapter 2-53 of the Calif or Ad nis ration Code. SIGNATU F BUILDING DESIGNER OR APPLICANT COUNTY OF BUTTE.- DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone: 916.'538-7541 APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER _ — —----------- ZONING — .r---- --- — -- -.UIL i-NGRERMLZ=._ OWNER TELEPHONE 73�-2947 $O. FT. OCC. BUILDING VALUATION I st renewal OWNER'S AILING ADDRESS CON' T7 c. ri R t'. v 48 CONTRA TOR'SNAME p1 TELEPHONE CON R' C OR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation S LENDER'S MAILING ADDRESS ARCHITECT OR ENGINEER LICENSE No. Filing Fee S 10.00 W Permit Fee Q FFX Plan Checking Fee $ .25 ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee Penalty $ BUILDING ADDRESS Permit fee $ 5 •15 PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. UBDIVISION NAME is PARCEL MAP Water piping 500 Each Oas water heater or vent 5,00 USE OF STRUCTURE wl] Duplex[] Mobiiehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home I S I G JW IO.00e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Otheia❑ Describe work: ifat renewal Of PP#384--90 Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service eoov OR LESS 100 AMP OR LESS 10.00 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract - ors. (Sec. 7044) ❑ I am exempt under Sec. . Business and Professions Code for this reason Main service EA. AOO'L 100 AMP 2,50 NEW CONST. OWELLING OCCUP.e OR AOONS. ACC. SLOGS. ) /:esgft 'NEW CONSTR. VON-RMULTI_OUTLETITS ESID BRANCH CIRC' 2.50 ea Powell APPARATUS e SINGLE OUTLET CIR. ) / EX. OCCUp\OUTLETS OR FIXTURES 20050, eAL:'30, Ex. Occup. FIXEO APPLN S. OR OUTLETS IRESID., EA.) 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): ❑I The permit is for $100.00 (valuation) or less. r- I have placed on file with the County of Butte Building Department L� a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ 1 shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling 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 permit. X Oate Signature of Applicant - Owner ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- on of structures over 3 stories in height. . Mobile Home Installation Fee $ Energy Inspection Fee g occ CONST TYPE TOTAL FEES 39.25 HAz I CUA I PARK I SCHL I PLO I PAR vo ,0 1 ISSUE This permit is nere0y issued unser sions of the Butte Ccunty Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By PERMIT EXPIRES Date 2-11-42. the appiicaole provl- resolutions to do have been paid. WORKS Date Receipt No. WNITC-a J.W.. YELLOW-ASSC330n, PILAR-INSOCCTOR, r.OLOCNe00-APPLICANT 5/89 RESIDENTIAL PLAN CHECKING .GUIDE (S.F., DUPLEX & MISC. ONLY) / Bldg.. Permit # -3 17'_C76 A.P. # _13y -3o OWNER GENERAL /Zoning requirements: (sideyards and number of permitted living units). QY Valuation. /3 -.—Plans signed by designer. 4. Energy Design and Compliance. �! Existing violations on property. Items on data sheet. PLOT PLAN ZComplete parcel size and dimensions � . Setbacks, sideyards, easements, etc. , Other buildings or structures. ,Grading, fills, drainage. Flood hazard. '6,jSpecial conditions on -creation map or compliance document. fj FAU & FAS road setback. r FLOOR PLAN l: Complete to scale plan -with dimensions. _ =2�Required windows for light and ventilation (Sec. 1 205). 3' Required windows for second exit (Sec.•1204)._ n ��Skylights (Chapter 34 & Sec. 5207). an impact glass (Sec. 5406). `(r. equired room sizes, ceiling heights (Sec. -1207).- - �FCIs in baths, garage, and exterior outlets (Article 210-8). --.8'Light fixtures, switches, receptacles, and exterior .receptacles for maintenance /of mechanical equipment. 9. Locations of water heater, heating and cooling equipment, other electrical or gas equipment, and plumbing fixtures. 'r _J -G arage firewall, door size, and closer (Sec. 503(d)(3)).`, 310" exterior exit door (Sec. 3304(e)). -1-2—Fireplace and wood stove location, alcoves, and clearance. �3. Smoke detectors. (Sec. 1210). '' w STRUCTURAL DETAILS ,.I./ Foundation plan complete enough to construct building. door construction details complete enough to construct building. ._3--L-levations and wall construction details complete enough•to construct building. Roof construction details complete enough to construct building._., -5 -- fireplace construction details and talcs if necessary. �. MISCELLANEOUS ITEMS TO LOOK OUT FOR 1 Stairway details: landings, rise and run, head clearance, handrails (Sec. 3306). /Guardrail details (Sec. 1711 & 3306(j)). ,3' Brick or stone veneer (Chapter 30). 5/89. RESIDENTIAL PLAN CHECKING GUIDE MISCELLANEOUS ITEMS TO LOOK OUT FOR (CONY D) Exterior plaster - weep screeds (Sec. 4706). ,5. Proper roof pitch for roof covering (Chapter 32). 6. Roof covering type - (fire hazard). 7. Rafter ties or bearing ridge beam. arage door or porch header sizes. ';—.—'_Adequate bracing. -19.-'tiving area over garage - complete 1 -hour separation required on garage side including supporting walls and posts, etc. 417. two exits on three-story dwellings (Sec. 3303 & see Mezannines - 1716). Attic access and ventilation (Sec. 3205). Underfloor access and ventilation (Sec. 2516). �M Combustion air for fuel burning appliances. -15 Noise requirements on duplexes. fib. Adobe soils - special foundation design. t-7:`Retaining walls requiring design. 1-8: Unusual shape, size, or split level house requiring lateral design. —1 -9 -.-Flashing at all exterior openings. „„ ., cwt.,.,, ,-., 'il�� ,.:�-�.;.i'"F � s<-,=.�� "� :'."•*v .� :` :✓r�"T.... -.�-�y..-2- .. _ -.. ,...--- -^— ..r _,- - ..,.. .--.. .. _.. Cod COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville,,alifoTia 95965 - Telephone 916/534-4541 APPLICA HON AND PERMIT ASSESSOR PARCEL NUMBER } ► ,! ZONING BUILDING PERMIT OWNER r TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNER'S_MAI LING ADDRESS CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING` ADDRESS '', .' i►, 1 ) { '�Z ,1 Fireplace CONSTRUCTION LENDER 1 I, Ki1 :J UNKNOWN , Total Valuation $ Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER r( rw\ 1 LICENSE 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 Solar Water Heater 20.00 r 1 Water piping 5.00 LOT NO.SUBDI VISION NAME PARCEL MAP t Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome❑ Other SPECIFY Building sewer 5.00 Mobile Home S G W 10.00 e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Instal Iation ❑ Other ❑ Describe work: �- `��' `��C' ��� r Z — • i r, •� 7 Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 AMP ORSLESS 10.00 loO' ;'rr=- - ti Main service EA. ADD'L 100 AMP 2.50 �> NEW CONST. DWELLING OCCUP.& OR ADDNS. ( ACC. BLDGS. 2/20sgft - - - ONTRACTORS LICENSE LAW I declare under penalty of"perjury (check One): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. ' ' Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW C'ONSTR ULTI-OUTLET 2,50 ea NON-RESID BRANCH CIRC ITS NEW CONSTR. ( POWER APPARATUS &I NON-RESID. SINGLE OUTLET CIR. Ex 20e50t . Occup(o OR FIXTURES eALeso XED FIXED APPLNS. OR A EX. Occup. OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor MECHANICAL PERMIT FiIingFee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. 1 have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ 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 1 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 permit. "� X - I f \ �' Date �� - /r' Signature of Applicant — Owner ❑ Contractor Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ I TOTAL PERMIT FEE $ = occuP. GROUP I TYPE OF CONST. PARCEL PD HD ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which I DIRECTOR OF PUBLIC P, By - PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date Receipt No. r WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, C;%liforrifir 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT NO. ASSESSO PAR � ELNU BER ZONING BUILDING PERMIT OWNER TELEPHONE SQ. FT. OCC. BUILDING VALUA N OWNER LING AD ES Dr CONTRA T R'S NAME 41 yrs S TELEPHONE CONTRACTOR'S MAI G ADDRESS Ii Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation is Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDRESS PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar Water Heater 20.00 �..t� Water piping 5.00 LOT NO. SUBDIVISION NAME PARCEL M P Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome❑ Other SPECIFY Building sewer 5.00 Mobile Home S G W 10.00 e TYPE OF WORK New Addition❑ R model❑ U ilities Installation❑ Other ❑ Describe work: C •2 Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 C JLC.� V Gam+ Main service 800v OR LESS 100 AMP OR LESS 10.00 /D,00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.& OR ADDNS. ACC. BLDGS. 2t/20sgft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect.t. License No. A19 a: Classification % I ❑ 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) ❑ 1, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR ULTI-OUTLET 2,50 ea NON-RESID BRANCH CIRC ITS NEWCONSTR. POWER APPARATUS &\ NON-RESID.. SINGLE OUTLET CIR. / . ExOCCUp\OUTLETS OR FIXTURES BA ®30 FIXED APPLNS. OR EX. Occup. OUTLETS (RESID.) EA.1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ / Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ft7i' I have placed on file with the County of Butte Building Department LN 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. MECHANICAL PERMIT Filing Fee 10.00 " Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to r upon the above-mentioned property for inspection purposes. I also a ree to e, indemnify and keep harmless the County of Butte against all Iia Ii ' ju gments, costs, and expenses which may in any way accrue agains i C my in conseq1enc of the granting of this permit. 6 Date �I Signature Of licant — Owner ❑ Contractor [� nt ❑ An OSHA Pe mit is required for excavations over 5'0" deep and demolition or construct- ion of structures overp3 sstoorries in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ !' V OCCUP. GROUP TYPE oP CONST. PARCEL PDM ISSUE This r it is hereby issued under sion,- of a Butte Co my Code and/or wor in t abov for which 1 C OA`OF PUBLIC BY PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date G/iL Receipt No. l b Maa13 WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT -"--�~ Permit#988--- � Elsie Clegg - yj —/r COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2161 7 County Center Drive, Oroville — Phone: 534-4541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CO,"ECTION NOTICE MIT NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this yffice Immediately. "v Ins Datef- COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2794 7 County Center Drive, Oroville — Phone: 534-4541 Skyway and Elliott Road, Paradise— Phone: 872-2961, Ext. 57 CORRECTION NOTICE BUILDING OR PROPERTY ADDRESS ►] A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. Ins Date NA �q9 7— Yati+-O . CCe�QS� C1� 1 COUNTY OF BUTTE—DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATIGN•AND' PERMIT PE MI,T NO. ASSESSOR PARCEL NU B ZONING +-� BUILDING PERMIT OWN TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRES - - CONTR TR'S NAME PLEPHONE R3 C O NT_� O R M/L� L N G� IA'R ESS_ I •Eyr 1/vrr� V' '�!^� ►1� 111— Fireplace , CONSTRUCTION LENDER UNKNOWN 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 MAIL"ING ADDRESS Permit fee $ BUILDING ADC� R Ll S •� ` PLUMBING PERMIT Filing Fee 10.00 I t Each Trap - 2.00 Solar Water Heater 20.00 Water piping 5.00 LOT NO.SUBDIVISION NAME PARCEL 1 AP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SF ❑ Duplex ❑ Mobi lehome ❑ Other SPECIFY Building sewer 5.00 Mobile Home S G W 10.00 e TYPE OF WORK New Addition❑( Remodel Utilitie ❑ Installation❑ Other❑ Describe work: �' r Wer �i • Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELING OR ADDNS. ( ACCLBLDGS.CCUP.&) 2'/20sgft - CONTRACTORS LICENSE LAW I declare under penalty of perjury (Check One): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Profess' s ode and m license is in f I force and effect. . �/� y License No. 20) Q-)7 Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW NON .R ESID. BRANCH CIRCITS CONS TRMU LF( 2.50 ea NEW CONSTR POWER APPARATUS ) NON-RESID. (SINGLE OUTLET CIR. / , .20@50c Ex. Occup(o OR FIXTURES BALO a00 FIXED FIXED APP LNS. OR A EX. Occup. OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ 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 Countyot Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, ju ents, costs, and expenses which may in any way accrue against sai o ty n consequ npe of the granting of this permit. X Date 1 �•..3 Signature of Appli ant — OWner❑ Contractor Agen An OSHA permit is required for excavations over'S' "deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ OCCUP. GROUP I TYPE OF CONST, PARCEL PD ND ISSUE • 'This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which R CT R OF PUBLIC P By. Y PERMIT EXPIRES to ����' the applicable to do resolutions to do fees have been paid. WORKS Date Receipt No. WHITE-D.P.W.. YELLOW -ASSESSOR. PINK-INSPECTOR,GOLDEN ROD -APPLICANT �CQ6y �s L J �O VPERMIT 6055-80B NO. -"-' �/� /y PERMIT EXPIRES Charlie 7 �, G� `S A OWNER - CONTR. owner 24-30-18 ASSESSOR PARCEL 562 East Gridley Rd., Gridley LOCATION a t Y r 1 ' �I 1 5 Temp. Power Pole Called PG&E t.. Temp. Elec. Service L Called PG&E ✓ Temp. Gas Service7 &E rt CalledP JOB VLED (D e) T Signature JL I } V=OK 0 = Not OK - = Not Applicable MOBILEHOMES e MISCELLANEOUS * Not Ready Date - MOBILEHOME UTILITIES (Plans) OK except N's 1. Zoning Requirements -Setbacks -Easements Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except q's 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support -Sketch 2. Footings; Size -Depth -Spacing -Connectors 3. Sewer; Location -Test -Fall -C/0 -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; LocationTest-Wrap:/ /"L"ft./ /"Nat. or/ P'L"ft./ /"LPG 6. Carports; Windows -Doors 7. Utility Clearance _ 7. Elec. Card -BI Card -BI Date Date Card -BI Date Date Card -BI Date MOBILEHOME INSTALLATION (Plans) OK except N's 1. Zoning Requirements -Setbacks -Easements Card -BI Card -BI Date Date Card -BI Date Date Card -BI Date POOLS (Plans) OK except N's 1. Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 2. Soils; Compaction -Structure Stability 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining 4. Elec.; Receptacles and Lighting; Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/0 to Grade -HD Approval 8. Gas and Electricity Tagged 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7• Elec.; Bonding; Metal w/5'-Circulating.Equipment-Heater 8. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghtg. Boxes -Enclosures -Panel boards -Ins. to Main in Conduit 9. Exits; Insp.-Sketch 10. Cert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test -Water Supply Test Card B -I Date Card -BI Date Card -BI Date Card -BI Date Card B -I Date Card -BI Date Card -BI Date Card -BI Date t •t f't, ' i ✓ = OK 0 = Not OK = Not Applicable = Not Ready RESIDENTIAL )Single and Duplex) y Date UNDERFLOOR Plans OK except N's Date FRAMING (Continued) 1. Zoning requirements -Setbacks -Easements Property Line Firewall & Openings 2. Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth 09"7Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 3. Ftg., Garage; Soils -Steel- / /" Ft . Depth 9C:` Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 4. Ftg., Porches & Dec s; Soils -Steel- /" Ftg. Depth 'T Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 5. Stemwalls, Main; Ste-Blockouts- rapped -Slab `92" ySiding-Nailing-Veneer 6. Stemwalls, Garage; St I-Blocko s -Wrapped -Slab Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access 7. Piers -Fireplace Ftg.-Aieei 1 44, Glazing Area -Glass Protection -Skylights -Plastic S&P -Shear Walls; Nailing -Bolts 8. D.W.V.: Fall -Fittings- st- way C/O -Sewer Test 9. Gas Pipe; Size -Anchors 10. Water Pipe; Test -Anchors eguIator-Service Test 11. Electric; Underground 12. Plenums & Ducts; Clea nce- terial-Support-Ins. 13. Girders -Sills -Anchor olts-Jois -Vents-Cripples Card -BI aQ1 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 Card -BI Date Card -BI Date Date PLUMBING (Permit) OK except p's 56. Ext. Steps -Door & Sidelight Protection andings 57. Smoke Detector _ 14. Water Ht.; Vent-Access-Combustio Air 58. Furnace; Vents -Clearance -Comb. fir -Connector - In Garage; Above Floor-Ducts-Me4h. Protection 15. Water Pipe; Test & Anchors -Nail Pr tection 16. D.W.V.; Test-Fttng Anchors -N it Protection 59. Bedroom Exiting 17. Shower Pan; Test, ,irst loor-T Access 60. G.F.I. & Bath Fixtures & Tub Yccess 18. Test Tub & Shower,':2nd ff)Ror-VUb Access 61. Elec. Trim & Subpanel; Break/r Sizes -Labels 19. Gas Pipe; Size & Anchors 62. Stairs & Rails 63. Fireplace or Stove; Cleara es -Hearth 64. Elec. Outlets at Wood Pa I; Int. & Ext. Card -BI Date C d -BI Date 65. Kit. Fixt. & Appliance; rnd.-Air Gap -Cooking Clearance Card -BI Date and -BI Date 66. Elec. Outlets & Race p cles at Kit. Counter Date ELECTRICAL Permi K except q' 67. Garage Fire Door; Sw ng -Landing -Closer 68. A.C. Duct in GaragFiLDamper 20. Fixture & Transformer Cleara a -Ins. Protection 69. Wtr. Htr.; Vents- earance-Comb. Air-Connector-P.R.V.- In Garage; Above loor-Mech. Protection 21. Elec. Receptacles Spacing- fights &Switches at Doors 22. Size Boxes & No. of Cond ctors-Stapled 70. Plb., Elec. & Mgfch. Equip. Listed for Location 71. Elec. Receptavies in Garage; (G.F.I.)-Romex Protec. 23• Romex Installed Close Id Edge of Studs & C.J. 24. Equip. GIVundmade/w/mech. Fasteners -Bond Gas & Water 72. Insulation- F am -Looked in Attic ❑Yes 25. 2 Appli a Circu' in Kitchen &Conductor Size 73. Guard Rails Deck Construction -Post Caps 26. Subfeed i e Si / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or At 74. Fdn. Venty& Crawl Hole Door -Drainage & Wood -Earth Clearance Looked urper Floor ❑ Yes 27. Range irc. / ga. Cu or AI -Oven Circ. / / ga. Cu or Al, Insula d e tral ❑Yes ❑No 75, Followi4 instld.: Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planter ❑Yes ❑No 28. Servi Riser Conductors & Ground -Main Disconnect 76. Stucc Brown -Finish 29. Equ' . Clearan s; Panels-Motors-Mech. Equip. 77, A.C. nit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet 30. Clothes Closet L'ght-Shower Light 78. Ven Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. 79. W er Well; Disconnect, Electrical, Plumbing 80. 4terior Elec. Trim; G.F.I. Receptacle -Underground Card B -I Date Card -BI Date 81. entilation throughout House Card B -I Date and -BI Date 82. Glass Protection Date MECHANICAL (Permit) OK cept q's 8 Corrections from Previous Inspections 4. Gas Test -Meters Tagged; Gas -Electric 31. A.C. Ducts; Insulation upport 85. Water & Sewer Connected -C/O to Grade -HD Approval 32. Vent Fan; Exhaust abOe Insulation 86. Energy Compliance Certificate -Other Certificates 33. Condensate Drain Overflow; Size & Grade 34. Furnac en s -Comb. Air -Return Air Vent -115V outlet _T 35. Atti Acce & Platforme 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: Sills; Proper Material &Anchors -'Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound _ .38_- Bearing Walls over Girders & Floor Nailing -29.• Draft Stop in Walls (rat proof) 40.. --Fire Stops; Furred Ceilings -Stairs -Chases -Tub __41. Header & Beam -Size & Bearing _ Hangers -Post Caps -Anchors -Connectors i1e.15"Ing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthnq.-RfnQ. _ %77 -Fireplace Ties or Type A Flue -Fireplace Throat 14!; --Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 4f, drm. Windows or Exiting Doors -Sill Hgt. & Dimensions 4Z --Garage Fire Protection Framing (NOTE: An entry must be made each time you visit job site) r CERTIFICATE OF OCCUPANCY This,building has been constructed and completed in accordance with the requirements"of the Uriiform'Building Code under permit number 6055-80 for the following: r Use Classification Faint Booth for Cabinet Shop Address or Location 562 E. Gridley Rd., Gridley Group H-2 occupancy; Type V-1 hr. construction. It is hereby certified for the occupancy described above and may be occupied. Date Director of Public Works March 1, 1981 By POST IN A CONSPICUOUS PLACE J, ' &/a,Pfjer (Over) NOTICE A new Certificate of Occupancy is required if the use or occupancy of this building changes. This Certificate of Occupancy shall be posted in a conspicuous place and is not to be removed by other than the Building Inspector. �} COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT N 7 Goy Center Drive - Oroville, California 959E5 -Telephone 916/534-4541 �eMS7U APPLICATION AND PERMIT .00-9k AA ASSESS R PARCEL MBER Z NTNG BUILDING P o T.F,LyEPHO E� Se ' OWNER'S MAILING A DR r rldu CONTRACTOR'S NAME TELEP ONE bw LAev- CONTRACTOR'S MAILING ADDRESS SQ. FT. OCC. BUILDING VALUATION Fireplace CONSTRUCTION LENDER /V -" UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ .2Dr0.6 ARCHITECT OR ENGINEER LICENSE NO. ARCHITECT OR ENGINEER'S MAILING ADDRESS Plan Checking Fee Penalty Permit fee $ $ $ t BUILDING ADD ESS 1112-4 4 SI .PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Repair drainage or vent piping 5.00 Water piping LOT NO. SUBDIVISION NAME PARCEL AP Each qas water heater or vent 5.00 Gas piping system 1 - 5 -outlets USE OF STRUCT�yRE DuplexMobilehome❑ Other + Q SF ❑ ❑ / SPEISIFY Building sewer Lawn sprinkler system 5.00 TYPE OF WORK New ❑ Addition ❑ Remodel Utilities ❑ Installation ❑ Other1w Describe work: to cs t 1fo rl o r Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service DOOV OR LESS 100 AMP OR LESS 5.00 Y Main service EA. ADD'L 100 AMP 2.50 VNEW CONST. ( DWELLING OCCUP.8i OR ADDNS. ACC. BLDGS. // 20 sq it CONTRACTORS LICENSE LAW I declare under penalty of perjury (check One): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification (� I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR-OUTLET 2,50 ea NON-RESID BRA CH CIRC ITS NEW CONSTR. / POWER APPARATUS 6� NON-RESID. %SINGLE OUTLET CIR. Ex. Occup OUTLETS OR FIXTURES 50@25 FIXED APPLNS. OR Ex. Occup.(OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 ' Mobile Home Facilities 15.00 Misc. Wiring 7.50 Penult Fee $ 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. ❑ 1 have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. 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 I 61DIQ 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 Iia ilities, judgments, costs, and expenses which may in any way accrue�� aga• st rd County in onsequence of the anting of this per mi . X Date Signature of Applicant — ner ❑ Contractor ❑ Agent ❑ l.. C ,SGC An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ o OCCUP, GROUP I TYPE OF 1C�ONST. 'v 111 IPARCE P No ISSu This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTO PUBLIC By PERM EXPIRES Date_ the applicable provi- resolutions to do fees have been paid. WORKS Date 'y stories Receipt No. L)-, WHITE-D.P.W., YELLOW -ASS! SOR, PINK -INSPECTOR, GOLDENROD -APPLICANT ,. �. "'ti, rt `y ) 7 7„j P, nf... •y, br. i � 2 �.. r .,kms, -.. . �, , i -S• �'t ..n, 5r".4.✓,:•,Cr`" j.. _h , •* r '. ..y ..r :. y . �? a �P' h aN� Af.,,tr: M3r}'o •a. '� .� ^'K+..� Y T. 4w` N. � s X: 7 .,c . y � t s?. r'L�+ �.. K.x Y. - � Lx 'Y=,, ,�7+"' �`�' K�?`t .�a'�" s$yy [ ..',i 6..q• ��''L�' iX rtt r ."..y,Sr, ��k d� 7 � r ®�� •�.ry �yrrlr "� `i-�.' ..2�M11 �a Jyy.,, t •�, �'��t '�yr� y r, t�+y �'i ori R, v.w, ,�; e��T'� ; ."i.. '''�'* �. ,' � j* 1N Ay'•: {r+>h *C� �uf �A � .i � �Cy!,r�rc� ly �'ia�..rl n�r,�,� rw'�`y �9 �! ,r us�'`� r�N•d . - N Y •C >n• uS r S. ii' f � ik i.Ya -L r* aR:'i �,na YSr _ , ,4 t t ( r' } .: `_i ... `. � ! .., z� .. � NJ bJ s+s�$ J0. f ;�z 4 y.'R u^� rp w �' rf{ �.: f) :.§ -• , _ 7jam .. V. 'A �- � lot b S or I %CAL vIla3ooTN LocANIoY{ OCT la '11%� Uct CL • EXIT 'ft SEC 1 L r {I - 3oc�TN r v�1LL r < _ W •STN, •.• • -Tic WcTtQ C L �+ vIla3ooTN LocANIoY{ OCT la '11%� Uct CL • EXIT 'ft SEC 1 .2 : .1i+ � _ !� i �k y 1. •• ,j'� �..ss*yaa.:wo-f .. ♦{ 2.• ,• 8,11 .(R• 17 _BUT.Te Co v.K:..s ..rte '•i ii-; r. a S1 Mj C��, '•*. s r is} t s s ..'t i cc^uk- •h.�s�,5� .I rA' s r _ ..:` _ p {* , A ��� tit. ., i r - _ 9. � *k _ � �r �1'','G'� �.1, '���r ,e :Y��� ��� '�w� "" ,> y ��a• s. I h� ��e.�� � �� �! ��� `� �y � r � •F :� ��r� r� 2 �ur�,�S ya1��� ..jx, a r [i• r A '�.ti, ' ���� - ± k ►pLq wr {I r� WcTtQ C L �+ Q vw, R Mc �Ls:, .2 : .1i+ � _ !� i �k y 1. •• ,j'� �..ss*yaa.:wo-f .. ♦{ 2.• ,• 8,11 .(R• 17 _BUT.Te Co v.K:..s ..rte '•i ii-; r. a S1 Mj C��, '•*. s r is} t s s ..'t i cc^uk- •h.�s�,5� .I rA' s r _ ..:` _ p {* , A ��� tit. ., i r - _ 9. � *k _ � �r �1'','G'� �.1, '���r ,e :Y��� ��� '�w� "" ,> y ��a• s. I h� ��e.�� � �� �! ��� `� �y � r � •F :� ��r� r� 2 �ur�,�S ya1��� ..jx, a r [i• r A '�.ti, ' ���� - ± k 100 op Ve CIO irk /1 "� WE SIArc E S. ki UME COUNTY .IX.NG DEPARTMEM �PPRC VED On ops Cp.3/t4 P� 14 �D WA A lientilatian of Spray Booths and Spray Finishing :areas. Seca 14:2067(a)—All spraying areas shall be provided with me- chanical ventilation adequate to prevent the dangerous accumulation of vapors. (b) Mechanical ventilation shall be kept in operation at all times while spraying operations are being conducted and for a sufficient time thereafter to allow vapors from drying coated articles and dry finishing material residue to be exhausted. (c) Each spray booth shall have an independent exhaust duct sys- tem discharging to building exterior, except multiple cabinet spray booths in which identical spray finishing material is used with a com- bined frontal area of not more than 18 square feet may have a common exhaust. If more than one fan serves one booth, all fans shall be so interconnected "hat one fan cannot operate without operating all. (d) Electric motors driving exhaust fans shall not be placed inside booths or ducts. Fan rotating element shall be nonferrous or nonspark- ing or the casing shall consist of or be lined with such material. (e) Belts shall not enter duct or booth unless belt and pulley within the duce or booth are tightly enclosed. (f) Exhaust ducts shall be constructed of steel having a thickness not _less than indicated in the Table below: r —` DIAMETER OF DUCT MINIMUM THICKNESS 8" or less No. 24 U. S. gauge Over 8" to 18" inclusive No. 22 U. S. gauge Over 18" to 30" inclusive No. 20 U. S. gauge Over 30" No. 18 U. S. gauge he discharge point for exhaust d;.ciss in a paint spray booth shall Cbe'not less than 6 feet from adjoining combustible construction nor re than 25seet from adjoining exterior wall openings. EXCEPTION: -The -discharge -point -for -exhaust -ducts in water wash spray booths is not required. (g) Exhaust ducts shall have a clearance from unprotected com- bustible construction or material of not less than 18 inches. If com- bustible construction is provided with the following protection applied to all surfaces within 18 inches, clearances may be reduced to the distances indicated. 1.. No. 28 gauge sheet metal on %-inch asbestos millboard.................................................................•...... 12 inches 2. No. 28 gauge sheet metal on Ys -inch asbestos millboard spaced out 1 inch on noncombustible spacers ................................................ 9 inches 3. No. 22 gauge sheet metal on 1 -inch rockwool batts reinforced with wire mesh or the equivalent ........ 3 inches (h) Air exhausted from spraying operations shall not be recir- culated. ' V 88 i Storage and Handling of Flammable or Combustible Liquids Sec. 14.207. (a) The storage and handling of flammable or com- bustible liquids shall be in accordance with Article 15 of this Code apd shall also conform to the provisions of this Section. } (b) Where the quantity of liquid in 5 -gallon and smaller containers; other than original sealed containers, exceeds a total of 10 gallons, it .. + shall be stored in a storage cabinet conforming to Section 15.403 or in storage or mixing rooms conforming to Section 15.404. (c) Original closed containers, approved portable tanks, approved safety cans or a properly arranged system of piping shall be used for bringing flammable or combustible liquids into spray finishing areas. Open or glass containers shall not be used. (d) Containers supplying spray nozzles shall be of closed type or I provided with metal covers kept closed. Containers not resting on floors shall be on noncombustible supports or suspended by wire cables. Containers supplying -spray nozzles by gravity flow shall not exceed 10 gallons capacity. (e) All containers or piping to which is attached a hose or flexible 1 connection shall be provided with a shutoff valve at the connection. Such valves shall be kept shut when not in use. (f) Heaters shall not be located in spray booths nor other locations F_ subject to the accumulation of deposits or combustible residue. (g) If flammable or combustible liquids are supplied to spray noz- ' zles by positive displacement pumps, pump discharge line shall be provided with an approved relief valve discharging to pump suction or a safe detached location. (h) Whenever flammable liquids are transferred from one container to another both containers shall be effectively grounded. Piping sys- •1 tems for flammable liquids shall be permanently grounded. Fire Protection Equipment W 14.208. Portable fire protection equipment shall be provided DSec. r:. near all spraying areas as provided for extra hazardous occupancies in 0 NFPA pamphlet No. > 0. "p iZOperations and Maintenance M Sec. 14.209. (a) All spraying areas shall be kept free from the O 0 accumulation of deposits of combustible residues as practical, with O'Tt O cleaning conducted daily if necessary. C (b) Scrapers, spuds or other such tools used for cleaning purposes \ :s7 Z shall be of non -sparking material. rn (c) Residue scraping and debris contaminated with residue shall n be immediately removed from premises and properly disposed of. Z (d) The use of solvents for cleaning operations shall be restricted to Class II and III liquids except solvents with flash points not less than those normally used in spraying operations may be used for clean - .. 1 89 It, { t ! 0 5331-80$,E PERMIT NO. PERMIT EXPIRES zzz�w—/ OWNER LeRoy Hilbers 1� { CONTR. Owner t t� ASSESSOR PARCEL4-30-18 {• LOCATION 562 East Gridley Rd., Gridley ti F� rt f j ' ♦d ' r, i Y' s� ,1 !t i` r . Temp. Power Pole Called PG&E "1 4 Temp. Elec. Service y Called PG&E Temp. Gas Servi t z Called PG&E J F NALED (Date) r. _Q t Signature �f t t d J =OK O = Not OK = Not Applicable MOBILEHOMES = Not Ready MISCELLANEOUS Date MOBILEHOME UTILITIES (Plans) OK except Cs _ 1'. Zoning Requirements -Setbacks -Easements Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support -Sketch 2. Footings; Size -Depth -Spacing -Connectors 3. Sewer; Location -Test -Fall -C/0 -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 1 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Gas; Location -Test -Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG 6. Carports; Windows -Doors 7. Utility Clearance 7. Elec. Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date Card -BI Date _ MOBILEHOME INSTALLATION (Plans) OK except k's 1. Zoning Requirements -Setbacks -Easements Card -BI Date Date Card -BI Date POOLS (Plans) OK except It's 1, Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 2. Soils; Compaction -Structure Stability 3. Gas; MH Test -Demand -Valve -Connector 3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 4. Elec.; Receptacles and Lighting; Distances-GFI 5. Elec.; Pool Lighting; 15 volts -GF] 6. Water; MH Test -Regulator -Connector 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Water and Sewer Connected -C/0 to Grade -HD Approval 7, Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater 8. Gas and Electricity Tagged 8. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghig. Boxes -Enclosures -Panel boards -Ins. to Main in Conduit 9. Exits; Insp.-Sketch 10. Cert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test -Water Supply Test Card B -I Date Card -BI Date Card -BI Date Card -BI Date Card B-1 Date Card -BI Date Card -BI Date Card -BI Date ! AJ ' 1 � I t ! AJ V = OK 0 = Not OK - = Not Applicable * = Not Ready RESIDENTIAL (Single and Duplex) C Date UNDERFLOOR Plans' OK except H's DateFRAUMGG (Continued) 1. Zoning requirements-Setbacks/Easements 4 . 1 & Openings -97 0 j 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 & De s; Soi -Steel- / /" Ftg. Depth 51. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 5. Stemwalls, Main; StdelNQ I ckouts-Wrapped-Slab 52. Siding -Nailing -Veneer 6. Stemwalls, Garage; Steel lockouts -Wrapped -Slab 53. Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access 7. Piers -Fireplace Ft• .-S el 54. Glazing Area -Glass Protection -Skylights -Plastic 8. D.W.V.: Fall -Fittings- est -2 ay C/O -Sewer Test 55. Shear Walls; Nailing -Bolts 9. Gas Pipe; Size-Ancho 10. Water Pipe; Test=An ors-Regulat -Service Test 11. Electric; Undergr u 12. Plenums & Duct learance-Mate ial-Support-Ins. 13. Girders -Sills -Anchor Rn is -Vents-Cripples Card-BIvp' Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date FINA ans) OK except k's Card -BI Date Card -By Date Date PLUMBING (Permit) OK excep q's Ext. Steps -Door & Sidelight Protection -Landings Sl.- ST*oke Detector 14. Water Ht.; Vent -Access Combustion Air nace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 15. Water Pipe; Test & An ors -Nail Protection 16. O.W.V.; TestVFttngsj& Anchors -Nail Protection -59: 0e�m Exiting 17. Shower Pan; irst Floor -Tub Access fi>Z.�-�-I• & Bath Fixtures & Tub Access 18. Test Tub & 4hov$4N,,Znd Floor -Tub Access ri Clec. Trim & Subpanel; Breaker Sizes -Labels 19. Gas Pipe; S z Anch s 6Q--Mairs & Rails 1Q --Fireplace or Stove; Clearances -Hearth IV IN,Gd.�lee. Outlets at Wood Panel; Int. & Ext. Card -BI Date Card -BI Date &5__K+ _Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Card -BI Date 6G-E�ec. Outlets & Receptacles at Kit. Counter Date ELECTRICAL Permit OK except 's U_ Carage Fire Door; Swing -Landing -Closer _ 68•-*rerDuct in Garage -Damper 20. Fixture & Tr sformer Clear nce-Ins. Protection 16T.--WTf -Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 21. a es S Lights &Switches at Doors Elec. ReceBoxes �--�--Elec. & Mech. Equip. Listed for Location 22. Size Boxes & N Co Co dEdge -Stapled 196 Eye, Receptacles in Garage; (G.F.I.)-Romex Protec. 23. Romex Installed C s to Edge of Studs & C.J. lQ 24. Equip. Ground mad w/Mech. Fasteners -Bond Gas &Water j?rlwcL]at ion -Foam -Looked in Attic ❑Yes 73. Guard Rails &Deck Construction -Post Caps 7# ---Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 25. 2 Appliance Cir its i Kitchen &Conductor Size 26. Subfeed Wireyrze / / Cu or AI-A.C. Wire Size / / ga. Cu or Al 27. Range Circ .#/ / ga. Cu AI -Oven Circ. / / ga. Cu or Al, Insulated Neutral ❑Yes No .71 Following instld.: Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑Yes ❑No 28. Service -Riser Conductors & ound-Main Disconnect ITI� 6tbcco; Brown -Finish 29. Equip. Clearances; Panels -Mot s-Mech. Equip. -?7--A,C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet 30. Clothes Closet Light -Shower Lig t -?8-Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. 70 --Water Well; Disconnect, Electrical, Plumbing 80. Ex or Elec. Trim; G.F.I. Receptacle -Underground Card B -I Date Card -BI Date entilation throughout PJIMM- 82. Glass Protection Card B -I Date Card -BI Date Date MECHANICAL (Permit) OK except q's orrections from Previous Inspections X84.-6as Test -Meters Tagged; Gas -Electric 31. A.C. Ducts; Insulation & Support -85---Water & Sewer Connected -C/O to Grade -HD Approval 32. Vent Fan; Exhaust above Insulatio nergy Compliance Certificate -Other Certificates _ 33. Condensate in & Overflow; sioee & Grade 34. Furnace-V@ttt; A ss -Com Air -Return Air Vent -115V outlet 35. Attic Access\& Platfo Furnace in Attic Card -B ate 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 p's 36. Sills Proper Material & Anchors Comments at Fi I 37. Walls; Nuds-Nailing, bacing & Bracing -Plates -Sound - - L 1, T.C21,(L _ 38. Bearing_ Its over rders & Floor Nailing %K/ Akk..4} 39. Draft Stop Walls rat proof) 40. FireSto s; rr Ceilin s -Stairs -Chases -Tub Z 41. Header & Bea Size & Bearing U ii- 42. 43. 44. Hangers-Pos CX chors-Connectors Clog. Joist ftrPurlin-Roof Brac.-Truss-Shthng.-Rfng. _ Fireplace ies oA Flue -Fireplace Throat nt 4_5. _Attic Ac ess; Size & Ro x Protection -Draft Stop -Ins. Baffles 46. Bdrm. 96ndows or Exiting Nors -Sill Hgt. & Dimensions 47. Gara Fire Protection F g (NOTE: Anentrymust be made each time youvisit jobsite) COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT N0. -•• �+COiInty enter Drive - Oroville, California 95965 - Telephone 916/534-4541 / U APPLICATION AND PERMITAfi v III/ ASSESSO PA CEL NUM R .• ZONING _ ` BUILDING PEAAIT toJT)A, OWN R I - TELEPHONE SO. FT. OCC -1 BUILDING VALUATION OWNER'S MAILIN A DR SS )11 D CONTRA OR'S NAME EL HONE S . CONT A T AI IN ADDRESS R-71:2 Ci14^,x�r_ ONSTRU TION LENDER UNKN WN Fireplace Total Valuation 1 $ LENDER'S MAILING ADDRESS Permit Fee $ , a� ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ (V� Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ X0 BUILDING ADDRESS PLUMBING PERMIT Filing Fee Each -Trap 2.00 Repair drainage or vent piping 2.00 r - , Water piping LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 2.00 Gas piping system 1 - 5 outlets USE OF STRUCTU SF ❑ Duplex❑ Mobilehome❑ Other SPECIFY Building sewer Lawn sprinkler system 2.00 TYPE OF WORK New ❑ Additionea - Remodel ❑ Ut,lities ❑ Instal Other Describe work: r k _ I VN ea o 4/--1 Z�,Q'[`y� Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee foo Main service 600V OR LESS 100 AMP OR LESS 5.00 3 lV_ Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELLING OCCU.P.& OR ADDNS. ( ACC. B- S. 2Msgft CONTRACTORS LICENSE LAW ' I declare under penalty of perjury (check one): • I I am licensed under provisions of Chapt. 9, Div. 3 of the Business50@251 T` and Professions Code and my license is in full force and effect. ^� � License No. 0 1 l Classification __ 16 , ❑ 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 MULTI -OUTLET 2,50 ea NONRESID. BRANCH CIRC ITS NEW CONSTR POWER APPARATUS 8 NON .RESI D. (SINGLE OUTLET CIR. e(7�;/ Ex. Occup(OUTLETS OR FIXTURES BAL@101 FIXED APPLNS, OR Ex. Occup.((RESID,) EAJ 2.00 Temporary service 10.00 Mobile Home Facilities_ 15.00 Misc. Wiring 6.25 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or -less. YIAJ 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. MECHANICAL PERMIT FiIingFee 3.00 Heating . Cooling Hood 2.00 Ventilation Permit Fee $ Contractor 1 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 agr t sav ,indemnify and keep harmless the County of Butte against all I abil' jud ents, costs, and expenses which may in any way accrue -against i Co in eq nce of the granting of this permit. X co��'�`—J Date 1� - 2-/O® Signature of App rant - Owner❑ .Contractor ❑ Agent [i An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures ov'e'rstories in height. Mobile Home Installation Fee $ Land Development Fee $ TOTAL PERMIT FEE $ �t Dcc P. c�quP b ^ TYPE OF CONST. ;✓ ., PARC L PD "ND ssuE This permit is hereby issued under . sions of the Butte County Code and/or work indicated above for which DIRE OR OF PUBLIC By P IT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date It— `l-� lin` a3 Receipt No. �"�V�7 WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD_ -APPLICANT ,COUNTY' -OF BUTTE . r DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE OROVILLE, CALIF. - 534-4541 CERTIFICATE OF OCCUPANCY This building has been constructed and completed in accordance with the requirements of the Uniform Building Code under permit number 5331 -SO for the following: Use Classification _ Cabinet ° mDP Address or Location 562 E. Gridley Rd. e Gr- ii ny HI -3 & Group 1--2 occupancy; Type V— IN construction. It is hereby certified for the occupancy described above and may be occupied. Director of Public Wor�-S Date B POST IN A CONSPICUOUS PLACE / {1 (Over) NOTICE A new Certificate of Occupancy is required if the use or occupancy of this building changes. This Certificate of Occupancy shall be posted In a conspicuous place and Is not to be removed by other than the Building Inspector. f cX_l 26 r r'�`V � '1 d ►�T K r4_ 1 l� u, � f� It r 411W_ "FIN A V rv,t/l I��W 1✓'\'.. tj _.. -11 I ti l i w.i RY \.3 L " �- DRAWN ff:. L. CHECKED DATE CALE A,SStioNN JOB NO. SHEET OF SHEETS I ti l i w.i RY \.3 DRAWN ff:. L. CHECKED DATE CALE A,SStioNN JOB NO. SHEET OF SHEETS MR 1 will �i a A 1� A U4,D. (�ql I F D�K r7, DRAWN 0 T-. CHECKED DATE 41— SCALE JOB NO. $MEET OF 1 SHEE -rail, I Jq- 3d � /g / gi A r-1- � Atli 1 711717711:1 I ■ m