HomeMy WebLinkAbout025-110-005'COA74PL-AINT GIVEN TOO.INSP.
DATE:-Z�2--W'
COM PLAINT TO INSPECTOY
9
A I
J.T. RICKER 25-11-5
LOIS Dos Rio65d, 900' N/of East
Biggs Hwy, East..Bi.9gs
Permit412 - 0 1 -8 OE (e le ser ch) S F
025-110-005 94-0107B-
SANDERSON, GARY K.
306 7 ..DOS., RIOS,. BIGGS'-��V-0�1 196
STEM WALL�UNIDER EXIST HOUSE & YPLACE
& ENLARGE DECK/SF
025-110-005 PERMIT#94-1617
SANDERSON, GARY K.
3067 DOS RIOS, BIGGS
COTN: DON HORST
A D COV AREA/SF
025-110-005 03-0079
SANDERSON, GARY
3067 DOS RIOS RD., BIGGS
STARK ARRESTER (WOODSTOVE)
02-5
X49
COUNTY OF BUTTE ::4
BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES A
411 Main Street * Chico, CA e (530) 891-2751
7 County Center Drive - Oroville, CA - (530) 538-7541
CORRECTION NOTICE
>
OWNER PERMI-T-NO.
A routine inspection indicates that the following violations of butte county Ordinances exist at the
above address and should be corrected. Please notice this office when correction of work is
completed. If you have any questions pertaining to this matter, or need additional explanation,
please contact this office immediately.
pc:—/�L V2�-? -7- LA
L-A--) 0 (7N 7-6 (-),E- 14
Date � 2 -/F-6 Z- Inspector
REV 10/92 '�
A 7"
17 025;-fl;@j
25-11-5
J.T. RICI<ERe
e
VU/S Dos Rios?eRa,f;:9� N�/c/f East
Biggs Hwy, East Biggs
'3�ermit#120-80E(ele ser ch) SF
025-110-005 94-0107B
SANDERSON, GARY K.
3067 DOS RIOS, BIGGS
STEM WALL UNDER EXIST HOUSE & ;�PZE
& ENLARGE DECK/SF
025-110-005 PERMIT#94-1617
SANDERSON, GARY K.
3067 DOS RIOS, BIGGS
COTN: DON HORST.
ADD COV AREA/SF 7/ 194
+
BUTTE COUNTY DEVELOPMENT SERVICES
COMPLAINT FORM
DONO' This information is not available'to the public!!!!!!!
Ar COPY FOR THE P UBLic OR THE FIELD INSpECTOI?..
The f011Owing information is required for Housing Complaints and the
Complainant AMISIT BE the person living at the complaint address!
COMPI
Address:
Phone
3035
All 2)3
unbe.r:
The above information is not available to the public!!!!!!!
(2)
07 0 34 27 29 - 02,
21053 � 441,314 , -
4L
C17,10342-1729-02
91352-4 44"`3
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
ITelephone (530) 538-75403,009?0.
7 County Center Drive broville, California 95965
(Rev. 12/96) APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER
025-110-005
ZONING
BUILDINGPERMIT
OWNER TELEPHONE
VNITTIEDN
S I , N 1I
OWNEWS MAIULNG ADDRESS J-UJJ
2 P,10S RD. BIGGS. GA 9594:7
SO. FT. OCC. BUILDING VALUATION
CONTRACY-ORP, aM;4;)Q9
azia
TELEPHONE
I -
coNTRAcTbAs MAILING ADDRESS
CONSTRUCTION LENDER
Fireplace I-
oo
LENDER'S MAILING ADDRESS
__7��E
_50o
Total Valuation
ARCHITECT OR ENGINEER
NO.
Filing Fee
20.00
Permit Fee
$35.00
ARCHITECT OR ENGINEEIR'S MAILING ADDRESS
Plan Checking Fee
$
BUILDING ADDRESS
3067 DOS RIOS '-,D, KGGS
Energy Plan Checking Fee
$
$
PERMIT FEE
$ 55.00
LOT NO.
SUBONISION'S NAME
PARCEL MAP
PLUMBING PERMIT
Filing Fee 20.00
USEOFSTRUCTURE
SF 0 Duplex 0 Mobilehome 0 Other
SPECIFY
Each Trap
1 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 0 Addition 0 Remodel 0 Utilities 0 Installation 0 Other 0
Describe Work: WOODSTOVE STAR!7 ARRESTM�
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home I S I G I W
920.00
PERMIT FEE
$
ELECTRICAL PERMIT
Filing Fee 20-00
Main Service *.*."A OR�
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.
License Class Lic. No.
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors License
L for the following reason:
1, as owner of the property, or my employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
0 1, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
0 1 am exempt uAr Sec Business and Professions Code for this
reason ^NJ �:� —/—
WORKERS' COMPENSATTON DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
0 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.
0 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 permitis 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
forthwith comply wi those provisions.
X —A V --V/ _Icll� Date
Signature of A61icant - 0 Owner '[3 Contractor 0 Ag6nt
An OSHA permit is required fo ti s over 60" deep and demolition or construction
of structures over U4ries in b_eig
A494 0-7 �111 � It—/--
Main Service 200A TO 1000A
46.00
NEW CONST. DWELLING OCCUP. so.
OR ADONS. & ACC. BLDS . 3.50FT.
NEW CONST. OUTLET
_NON-RESID. X&H, CIRCUITS @7.50
OWER APPARATU
.LEOUTLE
&PSIN CIR.
20 @ 1.00
Ex. Occup. OUTLET OR FIXTURES BAL @ .50
Ex. Occup. .%EDTA '(.=-.)0E',,
5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring 23.00
PERMIT FEE $
MECHANICAL PERMIT Filing Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEIE $
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
CONST. TYPE
TOTALFEE$ 55.00
]AZ. D. E IMP FLOOD COF PARCEL I PO
This mit is hereby issued under the
of th Cc a and/or
e a
inclica a U:b h'c fees have
By
PERMIT EXPIRES ON
I
applicable provisions
Resolutions to do work
been pai
Da ONO
A\
11ID164P
4w I , I
Receipt No. 'Cow— I W t / 1-1 Ir—T—)
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDEN ROD -APPLICANT
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
N 7 County Center Drive , Oroville, California 95965 * Telephone (530) 538-1541
(Rev.12/,96) APPLICATION AND PERMIT eu:�M!q-
ASSESSORPAACEL"u-ER
L
46.001
ZONHQ
BUILDING PERMIT
77
@740
POWER APPARATIJIS
SmGLE Ounzr cut
SO. Fr. OCC. BUILDING VALUA'nON
_ 0=
:V_ - occup. ovnEr OR F=uRm
r r
:r
= 9
BALM AO
AA
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
114sc. Wiring
23.00
CONW=R'S -MAR= ADDRESS
.MECHANICAL PERMIT
Filing Fee 20.00
Heating
COt&"=Cn= LENDER
Head
6-5 0
I.&MER'S MAMM ADDRESS
Fireplace 0a,
Total Valuation
ARCHffECr OR ENMI19M
UCENSE NO.
Filin Fee
$
20.00'
AROWECT OR 84GNEBM MA00 ADDRIES8
Permit Fee
Plan Checldnq Fee
"J""Am"E's
2
d S 4-),4 rj
Energy Plan ChecMng Fee
$
rd
PERMIT FEE
LOTM Smiammm
Kum
PAACEML -
PLUMBING 'PERMIT
Filing Fee 20.00
Each Trap .
1
7.00
USEOFSTRUCTURE
I
Solar or heat pump water heater
_7Waie;
23.00
SF 0 Duploc E3 Mobilehome E3
Other
piping
15.00
SPECIFY
Each gas water heater or vent
15.00.
TYPE OF WORK
Gas piping system I - 6 outlets
15.00
New 0 Addition 0 R977
IrAallalicri E3
Building sew er
15.00
Lbbile Home I S I G I W
L&20.00
Describe Work -
PERMIT FEE
$
-ELECTRICAL PERMIT —,
I Filing Feel 20.00
Main Service ( 2M OR LESS
5m OR LE ) 1
1 23.001
*PERMT FEE PAlb
SRA
SHOUFF I
OTM.
AMOUNT RECEXVjjt>
*Aacwr wmumk (;5AL 7
* TO at KN zwo W#mm
ReceiptNo,
WHITE-O.D.S.-B.D. CANARY -ASSESSOR PINK-INSPECTOK GOLDEN ROD -APPLICANT
Main Service 2M TO IOWA
a
46.001
OR A7107MM DwaLff".
& A=Mff�
SO.
NEW MIJUI-OUTIM
,._M_
mor&RESID BROCH Cmm RM
@740
POWER APPARATIJIS
SmGLE Ounzr cut
_ 0=
:V_ - occup. ovnEr OR F=uRm
r r
:r
= 9
BALM AO
Ex. Occup. c=A=,'yRA
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
114sc. Wiring
23.00
PERMIT FEE
.MECHANICAL PERMIT
Filing Fee 20.00
Heating
Cooling
Head
6-5 0
PERMIT FE#. $
Mobile Home Installation Fee $
Energy Inspection Fee $ . �
DCC =='rmTTOT FEE $, --
KAZ_ I IL FEES I IMP I FLOOD I CDF I PARCEL I FrD I MD I MSUIE
This permit Is hereby Issued under the applicable provisions
of the Butte County Code and/or Resolutions to do w*ork
Indicated above for which fees have been paid.
BY Date
PERMIT EXPIRES ON
O.B.- I
OWNER -BUILDER VERIFICATION
Attention Property Owner: -
An "owner-buildee' 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 pen -nit will be issued until this
verification is received.
I personally plan to provide the ajor labor and materials for construction of the proposed
property imp vement : YES NO 0
2. 1 HAI HHAVE NOT 11 signed an application for a building'p'ertnit for the proposed work.
3. 1 have contracted with the following person (firm) to provide the proposed construction:
NAME:
ADDRESS: CITY:
PHONE: CONTRACTOR'S LICENSE NO.
4. 1 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: CONTRACTOR'S LICENSE NO.
5. 1 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-
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 arepermitted to issue thepermit.
OVER
04-4`
I OWNER BUILDER INFORMATION
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-buildee'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 $300 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 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 carry 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,
C
Nfic elC.Vidira,,C.B.O.�
I�B
r)
M ger, BLilding Inspection
NOTE. This Owner -Builder Information is required by Section 19830 of the California Health andSafely Code.
OVER
25-11-5 P
J.T. RICMR el
.0, 4- :,i,
0 N/of E "4
p
4PLAINT GIVEN TOO 4;F5d, 9 ast a
JNSP. LOIS Dois Rio
E
/of s�
90
ast Biggs
E: 1& 6-2— Biggs Hwy, E
se h SF
L(ee
c i gg
li", Permit#120-80E(ele ser c
9 10
C
4 0 7
025
-110-005 94-0107B
';4�, �� �`,'
SANDERSON, GARY K.
'OMPLAINT TO INSPECTOR S
3067 DOS RIOS,. BIGG 9
STEM WALL UNDER EXIST HOUSE & YP ZE
"J,
& ENLARGE DECK/SF
4*4
025-110-005 PERMIT#94-1617
SANDERSON, GARY K. V.f
3067 DOS RIOS, BIGGS-
COTN: DON HORST
ADD COV AREA/SF
1- fit 4r�
025-110-005
03-0079
SANDERSON, GARY
3067 DOS RIOS RD., BIGGS
STARK ARRESTER (WOODSTOVE) r
A
RESIDENTIAL
0- 05 PERYlIT#94-1617
0 5-li 0
SANDERSON, GARY K.
3 067 DOS RIOS, BIGGS
COTN: DON HORST
ADD COV AREA/SF
I
JOB FINAL D (13
Signature
V OK
0 Not OK
Not Applicable
Not Ready RESIDENTIA�
Date UNDERFLOOR (Plans) OK except If's
1. Zoning -Setbacks -Easements -Flood -Slope
2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth
3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth
4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth
5. Sternwalls, Main; Steel -Bloc kouts-Wrapped
6. Sternwalls, Garage; Steel-Blockouts-Wrapped
6a. Hold Downs and Special Anchors
7. Slab; Steel -Wrapped
8. Piers -Fireplace Ftg.-Steel
-9. D.W.V.; Fall- Fitting -Test -2 Way C/0 -Sewer Test
10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test
11. Water Pipe; Test -Anchor -Regulator -Service Test
12. Electric; Underground
13. Pienums & Ducts; Clearance -Materia I-Suppo rt- Ins.
14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
15. Access & Ventilation
16. Insulation
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date PLUMBING (Permit).OK except #'s
-16. Water Htr.: Ven t -Access -Combust ion Air -Baffle
17. Water Pipe; Test & Anchor -Nail Protection
18. D.W.V.: Test -Fittings & Anchor -Nail Protection
19. Shower Pan: Test. First Floor -Tub Access
20. Test -Tub & Shower. -Second Floor -Tub Access ---- - ---- - ----
21. Gas Pipe: Size & Anchors
Date Card B-1 Date Card B-1
- --- - ----- - --------
Date Card B-1 Date Card B-1
Date ELECTRICAL (Permit) OK except 4's
22. Fixture & Transformer Clearance -Ins. Protection
- -------------- --
23. Elec. Receptacles Spacing -Lights & Switches at Doors
------- 24.--Size-Boxes-&-N.o. of- Cond ucto rs-Sta pled
25. Romex Installed Close to Edge of Studs & C.J.
-- - ---------- ---------------
26. Equip. Ground made up w/Mech. Fastners-Bond Gas & Water
27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI
- -----------------------------------------------
28. SUbfeed Wire Size ga. Cu or AI-A.C. Wire Size ga.
Cu or Al
--- - -------------------------------- - ------- I -------------------------------------
29. Range Circ. / / ga. Cu or Al -Oven Circ. / / ga. Cu or Al.
Insulated Neutral 0 Yes 0 No
-------------------------------------------- - -------------------------------
30. Service -Riser Conductors & Ground -Main Disconnect
---------------------------- -- - -- - ---------------------_-
--------------- 31-.-Equi-p.-Clea-rances Panel s- Moto-rs- Mech. Equip.
32. Clothes Closet Light -Shower Light -Spa Light
Smoke -Detector ----------------------- - -------------------------
--------------------------------------------- I --- ---------------------------------
Date Card 13:1. Date Card B- I
-------------- ----- - -----------------------------------------------------
Date Card B-1 Date -Card B-1
Date MECHANICAL (Permit) OK except i; s
34. A.C. Ducts Insulation & Support
-- --------- ------------------------------------- 7 --------- -----------------------
35. Vent Fan: Exhaust above insulation
---------------------------------------- ---------------
36. Conden�ate Drain & Overflow: Size & Grade
------------ __ - - --------------------------------- ------- -----------
37. Furnance-Vent: Access -Comb. Air -Return Air Vent- 115 outlet
------ ---------------- -- --------------------------------
38. Attic Access & Platform if Furna-ice in Attic
-------------------
-- ---------------------------- - __ ------ -------------------------------------
Date Card B-1 Date Card B-1
------------ --
Date Card B-1 Date Card B-1
Date FRAMING (Plans) OK except 4's
39. Sils. Proper Material & Anchors
------- ---------------- --------------------------------------- - ----------
40. Walls Studs -Nailing. Spacing & Bracing -Plates -Sound
- -- - --- -- ---- -- -- -- - - - -- --- - - ------- - ----------- ------------- -- ---------------_--
41. Bearing Walls over Girders & Floor Nailing
---------- - ----------------------------- -------------
42. Draft Stop in Walls (rat proof)
-------------------------------- -----------------
43. Fire Stops: Furred Ceilings -Stairs -Chases -Tub
----------- - ---------------------- - - ---------- - -- - -
44. Headers & Beam -Size & Bearing
"Ingle & Duplex)
Date FRAMING (Continued)
45. Hangers -Post Caps -Anchors -Connectors
46. CIng. Joist-Rftr. ties-Purlin -roof Brac-Truss-Shthng.-Rfng.
47. Fireplace Ties or Type A Flue -Fireplace Throat clearance
48. Attic Access: Size & Romex Protection - Draft Stop -Ins. Baffles
Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions
50.- Garage Fire Protection Framing
Property Line Firewall & Openings
52. Ext. Doors -One T -Check Garage -3rd Story, 2 Exits
---- - - ----- 53.-S-tairs: Width -Headroom -Rise-Run- Landing-Fi re Protection
----------- 54-. plywood on Roof Overhang -Attic Vents -Rafter Outriggers
55. Siding -Nailing Veneer
56. Stucco Mesh -Drip Screed -Fd. Vents- nderfIr. Access
57. Glazing Area-Gla�s Protection -Skylights -Plastic
--------------
----------- - 58. Shear Walls: -Nailing -Bolts
59.- Insulation -Walls -Ceilings
------------- 60.- Infiltration-Walls-winclows
--------------- - -- - -----
------- - -------------- - ----
D-a-t e --------- --Card B-1__ Date Card B-1
Date Card B-1 Date Card B-1
Date FINAL (Plans) OK except 4's
61. Ext. Steps -Door & Sidelight Protection- Land i ngs
--- -------------
------------ 62..- Smoke Detector
63. Furnace: Vents -Clea ran ce-Comb. Air -Connector -
In Garage: Above Floor-Ducts-Mech. Protection
-----------------
64. Bedroom Exiting
------------ 65.-G.-F.I.-& Bath Fixtures & Tub Access -Spa
-------------- 66.- Elec. Trim & Subpanel: Breaker Sizes & Labels
------------ 67.- Stairs _&RaiIs__
68. Fireplace or Stove: Cl�a ra nces- Hearth
-------------- -
-- ----- - - - - -- 69.-Elec._Ou_tlets at Wood Panel: Int. & Ext.
70. Kit.Fixt. & Appliance: Grnd.-Air Gap -Cooking Clearance
------ ----------------------
71. Elec. Outlets & Receptacles at Kit. Counter
___ -------- - -------
- ------ 72,. -Garage -Fire Door: Swing -Landing -Closer
------- ------ 73.-A.C. Duct in Garage -Damper
74. Wtr. Htr.: Vents -Clearance -Comb. Air-Connector-P.R.V.
In Garage: Above Floor-Mech. Protection
75. Plb.. Elec. & Mech. Equip. Listed for Location
----------------------------------
76. Elec. Receptacles in Garage: (G.F.I.)-Romex Protection
---- --------
--------------- 7;-.-Insulation-Foam-Looked in -Attic-_ 0 Yes
Guard -Rails & Deck -Const ruct ion -Post Caps
79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth
Clearance Looked under Floor 0 Yes
-------------------------- - --------- - --- - ---
80. Following instId. ' Drive D Yes 0 No: Walks 0 Yes 0 No:
Planters 0 Yes 0 No
--------------------------- ----
------------- 81.- Stucco:- Brow -n -Finish -----
82. A'C. Unit: Disconnect, Electrical, Plumbing
------ ------- ----------------- -
83. Vents Above Roof: Plbg.-Appliance-Fireplace.-Clearance to
Openings
84. Water Well: Disconnect, Electrical, Plumbing
------------------------------
85. Exterior Elec. Trim: G.F.I. Receptacle- Unde rg round
.............
86. Ventilation Throughout House
... ........ - -----------------
87. Glass Protection
... ...... ........ I ----------- I ------------
88. Corrections from Previous inspections
------ ------- ------- ----------- ---- - - - - - ---------
-89. G as Test -Meters Tagged: Gas -Electric
90. Water & Sewer Connected -C/O to Grade -HD Approval
-- --- ------- ____ -
91. Energy Compliance Certificate -Other Certificates
------ -------------------------- - ------
------ -------------------------------
Date Card B-1 Date Card B-1
-- ------------------ -----------
Date Card B-1 Date Card B-1
- --------------------------- - ---------
Date Card B-1 --Date Card B-1
Comments at Final:
-- - ----------------------------------------
V = OK
O= Not OK
= Not Applicable
= Not Ready MOBILE HOMES
Date
MOBILE HOME UTILITIES (Plans) OK except ft's
DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s
1. Zoning Requirements -Setbacks -Easements
1. Zoning Requirements -Setbacks -Easements
2. Footings; Soils-Size-Depth-Spacing-Connectors-SteeI
2. Soils; Special MH Support Sketch
3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails
3. Sewer: Location -Test -Fall -C/0 Concrete
4. Wood Awn.; Posts- Beam s- Rft rs.-Con necto rs
Shthg.-Rfg.-Bracing
4. Water: Location -Test -Ease men t Needed (Sketch)
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete
6. Carports; Windows -Doors
6. Gas; Location -Test -Wrap: / /"U'ft.
/ P'Nat. or/ /"L"ft./ /"LPG
7. Electric
7. Well Clearance & Disconnect
8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses
8. Utility Clearance
9. Siding; Nailing -Veneer -Stucco -Mesh
10. Roof; Shthg-Roofing
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B -I
Date
MOBILE HOME INSTALLATION (Plans) OK except It's
Card B-1 Date Card B-1
1. Zoning Requirements -Setbacks Easements
Card B-1 Date Card B-1
2. Footings; Size -Spacing -Marriage Line
POOLS (Plans) OK except If's
3. Gas; MH Test -Demand -Valve -Connector
1. Setbacks- Easements
4. Electricity; MH Test -Crossovers -Breakers -Clearances
2. Soils; Compaction -Structure Stability
5. Drain; MH Test -Fall -Flex Connector
3. Pool Structure; Steel -Connections -Thickness
Dead Men -Lining
6. Water; MH Test -Regulator -Connector
-4. Elec.; Receptacles and Lighting, Distances-GF1
7. Water and Sewer Connected -C/O to Grade -HD Approval
5. Elec.; Pool Lighting; 15 volts-GFI
8. Gas and Electricity Tagged
6 . Elec.; Enclosures; Conduit En tries -Term i na Is- Listed
9. Exits; Insp.-Sketch
7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater
10. Cert. of Occupancy
8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg.
Boxes-Enclosures-Panelboards-Ins. to Main in Conduit
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
i
MISCELLANEOUS
Date
DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s
1. Zoning Requirements -Setbacks -Easements
2. Footings; Soils-Size-Depth-Spacing-Connectors-SteeI
3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails
4. Wood Awn.; Posts- Beam s- Rft rs.-Con necto rs
Shthg.-Rfg.-Bracing
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Carports; Windows -Doors
7. Electric
8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses
9. Siding; Nailing -Veneer -Stucco -Mesh
10. Roof; Shthg-Roofing
11. Ext.; Steps- Doors -Landings
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
POOLS (Plans) OK except If's
1. Setbacks- Easements
2. Soils; Compaction -Structure Stability
3. Pool Structure; Steel -Connections -Thickness
Dead Men -Lining
-4. Elec.; Receptacles and Lighting, Distances-GF1
5. Elec.; Pool Lighting; 15 volts-GFI
6 . Elec.; Enclosures; Conduit En tries -Term i na Is- Listed
7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater
8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg.
Boxes-Enclosures-Panelboards-Ins. to Main in Conduit
9. Health Department Approval
10. Plumb.; Cir. Test -Water Supply Test
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-754 67RMIT /NO.
APPLICATION AND PERMIT �Z/
ASSESSOR PARCEL NUMBER 025-110-005
ZONING A5
BUILDING PERMIT
OWNER
GARY K. SANDERSON
TELEPHONE
868-1633
SQ. FT. OCC. BUILDING VALUATIV
624—.Ug—
OWNER'S MAILING ADDRESS
3067 DOS RIOS RD BIGGS, CA 95948
CONTRACTOR'S NAME
DON HORST
TELEPHONE
1533-6842
CONTRACTOR'S MAILING ADDRESS
12218 CONCOW RD
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation Is
LENDER'S MAILING ADDRESS
Filing Fee $
20.00
Permit Fee $
19.00
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee $
23.00
Energy Plan Checking Fee $
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty $
BUILDING ADDRESS '1067 DDS RIDS
PERMIT FEE $
62.00
BIGGS, CA 9594R
PLUMBING PERMIT
Filing Fee 20.00
Each Trap
7.00
Solar or heat pump water heater
23.00
Water piping
15.00
LOT NO.
SUBDIVISION'S NAME
PARCEL MAP
Each gas water heater or vent
15.00
USE OF STRUCTURE
SF ff Duplex 0 Mobilehome Q Other
SPECIFY
Gas piping system 1 5 outlets
15.00
Building sewer
15.00
Mobile Home S G I W
@20.00
TYPE OF WORK
New 0 Addition Ck Remodel 1:1 Utilities 0 Installation 0 Other 0
DescribeWork:
PERMIT FEE
Contractor
ELECTRICAL PERMIT
Filing Fee 20.00
Main Service "O"I's I
200A OR LESS 1
23.00
Main Service 200A TO 1000A
46.00
NEW CONST. DWELLING OCCUP.
OR ADONIS. & ACC.BLDS.
0 So
3.5—FT.
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one)
0 1 am a licensed under provisions of Chapter 9, Division 3 of the Business and
Professions Code and my license is in full force and effect.
LicenseNo. dc) 536� b Classification
1:1 1, as the own&, 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)
1, as the owner, am exclusively contracting with licensed contractors. (Sec 7044)
1 am exempt under Sec. Business and Professions Code
for this reason
NEW CONST. MULTI -OUTLET
NON.RESID. BRANCH CIRCUITS
@7.50
POWER APPARATUS
SINGLE OUTLET CIR,
Ex. Occup. OUTLET OR FIXTURES
20 @ 1.00
SAL. @ .50
OFIXED APPLNS. OR
Ex. Occup. OUTLETS (RESID.) EA.
5.00
Temporary Service
23.00
Mobile Home Facilities
'20.00
Misc. Wiring
23.00
WORKER'S COMPENSATION INSURANCE
1 declare under penalty of perjury (check one):
U -This permit is for $100.00 (valuation) or less.
1 have placed on file with the County of Butte Dept. of Development Services,
Building Division 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 Worker's
Compensation laws of California.
Notice to Applicant: If after making this statement, should you become subject to the
Worker's Compensation provisions of the Labor Code, you must forthwith comply with
such provisions or this permit will be revoked.
PERMIT FEE $
Contractor
MECHANICAL PERMIT
Filing Fee 20.00
Heating
Cooling
Hood
6.50
Ventilation
PERMIT FEE $
Contractor
I certifythat I have read this application and state thatthe above information is correct.
I agree to comply to all Butte County Ordinances and California State Laws relating to
building construction, and hereby authorize iepresentatives of the County of Butte to
entet upon the above mentioned property for inspection purposes.
1 also agree to save, indemnify and keep harmless the County of Butte against all
ties, judgments, cost and expenses which may in any way accrue against said
Cou in consequence o Khe gra ting of this permit.
Date 'a-
Signature of Applicant - Q Owner C-ontractor 13 Agent
An OSHA permit is required for excavations over 5"0" deep and demolition or
construction of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
C
CONST. TYPE
TOTAL FEE $ 62.00
I I
HAZ.
I D. FEES
I IMP
I FLOOD
I CDF
PARCEL PD
1.
This permit is hereby issued under the applicable
of the Butte County Code and/or Resolutions
indicated above for which fees have been
BY
PERMIT EXPIRES ON 6A
0&1�)
provisions
to do work
paid.
ate
h,
k
t
ReceiptNo. (,73�6
WHITE-D.D.S.-B.D. CANARY-ASIESSOR PINK -INSPECTOR COLD ENRO D-APPLIC ANT
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46618 0 Nor
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a ]Caw practices
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a Butiding, P'Iul III's Ideoh oal
Code i and
National glectj ic Code.
In
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Ll 7
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ALL STRUMIRES AND EOUIPMERT INCLUDING
OVERHANGS VH: LL 03-: CLE -AR, 0"z ALL EASEMENTS.
�A SE -T BAr-'-K 0,,F /0 tr-f� THE SIM"i AND
"FIC U-41,5
/0 ' I=T. AND
:?5 Fr.. F -ROM THIE SHAI-i- BE
CLEAR OF S79 AikM EQUIPMIENT EXCEPT
FOR A 2 Fr. EAVE OVERHANG.
DUTM CWHI-Y
aULDING
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LUMCER SPECIFICATIONS
TOP CHORD 2X4 w2 DF -L
DOT CHORD 2X1, C01131'R. OF -L
WESS W STAr4OAR0 OR STUD DF -L
prrinfr r'011tr%[tIEIIT3
ALL 13111111140L �;I:0:13 nl.0 3.5- EXCEPT AS vorEO:
NOTE: LocnTE SPLICES AT t/5
L:(TIILR LI,U 0 Ili . 14EL I D(CATEO.
.ltlOTE:-1X3-CO;lT(W)Of.1S LATERAL COLUFII
fiTTACHLO T.0-11EB-I.'Ii�IRE-ENDICATED-DY-(x].J
ALTERNATE LUMBER SPECIFICATIONS
TOP CHORD 2x4 #1 REM -FIR
BOT CHORD 2x4 02 NEM -FIR
S 0 k1) <=� 9- 10- .5 0 n
COUNTY OF 13UTTE
BUILDING DEPT
JUN 0 8 1994
MEMBER FORCES FROM LEFT TO RIGHT:
TOP CHORD Borron CHORD WEBS PEncr(ONS
T 1= -2086 0 I= t925 R t= 77 11 rEPICTICA a B 1= 10313
r 2= -14tO 0 2= 025 N 2= G= 77 RInCTIC3 a 13 035
r 3= -1410 0 3= 19`5 H 5= (,So
T 4= -.1016 B 4= . 1,53-5
vs�
nnrivr, nr%En rEwn isn mi Tj
TRUSS LnA9 ING I CO;I I 'W', 9J 5 1-7-:0;:
LL*L)L Oil TCIF C110,10 = :�O.O FSF
0L C11 CC(L(I.*fo = 10.0 KA-
TOTr.L LCo.0 = cij,.oCr.�r
5 PSF CEILIIIG rEr"JCT[n:l r I` . 111�/O' D,�Y I:C;I.L)
LOAD DURATION II.CliEnSE 1.,25
1c^ tN
rq. lciSw
be (4 v- ai of ccrA Ir e— L,
rLIIIE COTI:fcu IV
R-5000 I UBC 1 24-00 " O.C.1 4/7/89
AN,, ANYTRUS ( RD OES I GN
NO. B-32686 I fILE. T -31 -5 -40 -
mm
T RUS W A
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LET OR E!CEE 0 HE
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1.,Z I .,;1 :111 V1.1111: f*Ct-:i!WCt`1- 11:1111 IZECESSPI'T. 15 11:;1 OETE!in'!;Ef) CT
lu llis!t 111.1 10 IS 0111�1!11E 1I.E ,�,�rE OF SEL!'W"AIMATT OF IrLyMIL.
'I
lifflC *T rRIMI 111 0 m-.1 coci 2.05 -94
COUNTYOF BUTTE - DEPARTMENTOF DEVELOPMENT SERVICES -BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE,dALIFOliNIA95965 -TELEPHONE (916)538-7541
PERMIT APPLICATION DATA SHEET
OWNER ZI X Pb1o.
Proposed Building Use 11010 Building Inspector �5� Date 62M
At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance:
DATE RECEIVED BY
f15��j. All items h e been submitted . ........................................
lkt� 2. Plot plansP4 sets, signed by preparer of plans . ..........................
3. Complete plans, 3/4 sets, signed by preparer of plans . ......................
4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . .............
5. Hazardous Material Form . ............................................
6. Energy Design Compliance and supporting documentation . ..................
\3�- Statement of Intent for Non -Heated and A/C Buildings .......................
Engineered truss details and layout in duplicate (required prior to plan check).
9. Mobilehome data and manufactu(er's installation instructions, 2 sets . ...........
10. Fees of $ .",.7 .................................
A
11. Impact fees as shown on attached schedule .....................................
12. California Department of Forestry plan approval/fees .........................
. lood elevation letter (100 year flood) by California Engineer ...................
4. Sanitation and plot plan approval Health Department . ............
I City of Chico plumbing permit . .........................................
16. Plot plan and business license approval from City of Biggs/Gridley . .............
17. Planning approval for (A) Use: (B) Parking: .. ........
18. Contact Land Development.a bout (A) Improvements (B) Drainage . ...........
in nrixintAin cirmit 1fnncfr"f-finn n rr%vni ra "irimrl rir%r tn rirr" mnt- I
y v 1`1 y - - - -F;n;4;sp-e-cti-on- r6q-u-e-sF-
20. Pre -inspection for required. to Building Inspector (Date)
21. Contractor's license information. (No., Name Style, Classification) . ..............
22. Certificate of Workmans Compensation Insurance . ..........................
23. Owner -Builder Verification (Given to owner Mail to owner . ...........
24. Recorded copy of Agricultural Acknowledgement Statement . ..................
25. Letter of signature authorization . .........................................
26. Copy of recorded deed of parcel creation and 60 right of way to a public road ......
27. Letter of intent on building use . ..................... ....................
28. Mobilehome utility clearance . ..........................................
29. Documentation of legal access . ....................... i ..................
30. Documentation of 50% subdivision developed or (A) Road improvements completed
and (B) Parcel meets zoning area and frontage requirements . ...............
31. Existing violations/expired permits . .............................. je
32. Plan check list . ................................ ....
33.
34.
Wh(�n s ' ue the er it, process as follows: bl'o- Mail to owi�pr. Mail to contractor.
�Telssjhonel;�W&-Za. and hold for pickup at office. Deliver with inspector.
Other
Parcel Creation
Acreage Applican�t Date
Copy of Haz-Mat form sent Health Dept. Fire Dept. _ Air Pollution Date
Copy of plans sent Health Dept. _ Fire Dept. Other - Date By_
The following data must be submitted prior to permit issuance: (Circle new item not checked above);--,
1. Index permit for above items No.
2. Additional items required:
Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date
Contractor, designer, owner, was advised of above required data by _ phone - mail Counter by _ Date
Plans checked by - Date Plans approved by Date
Sets of plans on hold in File cabinet AP folder
Copy - Department of Public Works
TO: Building Department
FROM: Environmental Health
SUBJECT: Sanitation Clearance
Pot Phn Aftched
Flow Phn Aftchad
Scot to B.D. 4, b2w�
P 0 k�s RL"
Otvner Location AP#
Plan Approved for: Sewage Disposal Water Supply:. Pub4c Private Well_L
CI=V,w�r ��roo���Other
(0 -Ij
Hold final for:
Final clearance O.K. for:
NOTE:
cAd V�)Rn� le"n aL�� ��
Environmental Health, Specialist �Ij i�7 Date��
8/92
-11
f- 4" - �
r4A
,rr
("7
V
Q
c�
AFFRUVLD
Butte County
Environmental Health
�q
Date
Wn Ture—T-
Yr -, A p /A ; - - r--
A-Pk-&s--j)-6S-
eRVIM"I"amtsi
JUN 1994
Oroville. cauf0mia
C- e- N 'r E r-, 1-1 ' oA 0 To InOL15C
H c) u c-, c-- To Prx)Pct4(l L%)--C-
p F7,0, Poptel J..O
its
GArAje- +o c7
S Gpvp�mc +o Pi -t rn o . S e
_ 15'
sutte, Count
BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965-3397
TELEPHONE: (916) 538-7541
FAX: (916) 538-2140
GARY K. SANDERSON RE: Building Permit #94-1617
3067 DOS RIOS RD Expiration Date: 6/9/95
BIGGS, CA q5948 A_P_ #025-110-005
With ref erence to� the above subje " ct, our records indicate that your
building permit expires on the above date and your permit falls into the
category.marked below:
Permit work started, but not completed. Permit may be renewed
for 1/2 the original building permit fee (plus a $20.00 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 30 days of the expiration date,
all work must cease until a new building permit has been issued.
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 PORies of the application form.
[X1 No inspections have been made on permit work. Inspections are
required to verify code compliance. We are unable to renew a
permit where the work has not been started and inspected prior
to permit expiration. After expiration of your permit, no work
may be started until a new permit has been issued.
If our records are in, error or should you have any questions concerning
this matter, please contact the OROVILLE of f ice.
Thank you for your prompt attention concerning this matter.
Yours very truly,
Michfael C.1 Vieira, C.B.O.
MCV:ahb Manager, Building Inspection
Attachments
Chico Office - 1469 Humboldt Rd/891-2751
Paradise Office - 747 Elliott Rd/872-6307
"'RESIDENTIAL
025-110-005 94-0107B
SANDERSON, GARY K.
3067 DOS RIOS, BIGGS
STEM WALL UNDER EXIST HOUSE & REPLACE
& ENLARGE DECK/SF
ck
JOB FINALED
Signature
V OK
0 Not OK
Not Applicable
Not Ready
RESIDENTIAL, (Single & Duplex)
Date/initials UhIffERFL0OR (Plans) OK except #'a
L,o,"1. Zoning-Setbacks-Easoments-FISRd-Slope
'%w-12�_Ftg., Main; Soils-Elec. Grnd.-&;0-F!§. Depth
3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ i" Ftg. Depth
4 . Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth
5. Sternwalls, Main; Steel-Blockouts-Wrapped
6. Sternwalls, Garage; Steel-Blockouts-Wrapped
6a. Hold Downs and Special Anchors
7. Slab; Steel -Wrapped
L,4. -Pie rs-Fi replace Ftg.-Steel
9. D.W.V.; Fall -Fitting -Test -2 Way C/0 -Sewer Test
10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test
11. Water Pipe; Test -Anchor -Regulator -Service Test
16. Insu
Date/initials PLUMBING (Permit) OK excej* �s
16. Water Htr.; Vent-!spegs--Combustion Air -Baffle
17. Water Pipe; T_oe'& Anchor -Nall Protection
18. D.W.V.iWt-FittIngs & Anchor-NaJi Protection
19. ��ar Pan; Test, First Floor -Tub Access
g90"Test Tub & Shower, Second Floor -Tub Access
21 . Gas Pipe; Size & Anchors
Date/initials ELECTRICAL (Permit) OK except #'a
22. Fixture & Transformer Clearance -Ins. Protection
_23.-Elec. Receptacles Spacing -Lights & Switches at Doors
_,24. Size Boxes & No. of Conductors -Stapled
L.,,Eh Romex Installed Close to Edge of Studs & C.J.
2y EquiO. Ground made up w/Mech. Fastners-Bond Gas & Water
'--27. 2 Appliance Circuts In Kitchen & Conductor Size/GFI
28. Subfeed Wire Size ga. Cu or Al-A.C. Wire Size ga.
Cu or Al
29. Range Circ. ga. Cu or Al -Oven Circ. ga. Cu or Al.
Insulated Neutral 0 Yes 13 No
30. Service -Riser Conductors & Ground -Main Disconnect
31. Equip. Clearances Panel s-Motors-Moch. Equip.
32. Clothes Closet Light -Shower Light -Spa Light
-33. Smoke Detector
Date/Initials MECHANICAL (Permit) OK except
34. A.C. Ducts Insulation !-Ld-rPort
35. Vent Fan; Exhaupwi%o-ye insulation
36. Condensalwilfrain & Overflow; Size & Grade
37. Fupa4e-vent; Access -comb. Air -Return Air Vent -1 15 outlet
38,41tic Access & Platform if Furnance In Attic
uate/inmais FBAMING (Plans) OK except #'a
L,olo�39. _Sils, Proper Material & Anchors
nd
-L,-41. §!!"g Walllpv6r Girders & Floor Nailing
i � �.aft %erin wells (rat proof)
,AT I.Jorg-Stops; Furred Ceilings -Stairs -Chases -Tub
Headers &
Date/initials FRAMING (Continued)
L_-16. Hangpmaftst Caps -Anchors -Connectors
- __46-11&g. Joist-Rftr. tles-Purlinm-roof Brac-Truss-Shthng.-Rfng.
____4Z_Ehypt9re'TIes or Type A Flue -Fireplace Throat clearance
Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
-49.-IRITM-Windows or Exiting Doors -Sill Hgt. & Dimensions
Fire Protection Framing
,__54--Pr0Veriy Line Firewall & Openings
1 52, Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits
"'--53. St�jrst, Width -Head room-Rise-Run-Landi ng -Fire Protection
on Roof Overhang -Attic Vents -Rafter Outrigi
ailing Veneer
lash -Drip Screed -Fd. Vents-Underfir. Access
Date/initials FIN!L (Plans) OK except #'a
ir & Sidelight Protection -Land Inge
L --t-2. Smoke Detector
,-63 -Flu -mace-, Vents -Clearance -Comb. Air -Connector -
In Garage; Above Floor-Ducts-Mech. Protection
__-64--135Ur-6om Exiting
___-6 ".-F: 1. & Bath Fixtures & Tub Access -Spa
66. Elec. Trim & Subpanel; Breaker Sizes & Labels
______67-Stalrs & Rails
,,6191_-71r�ieplace or Stove; Clearances -Hearth
L�'69- Elec. Outlets at Wood Panel; Int. & Ext.
,_--7-0, Kit-Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance
ZL-E4ec-Outtats & Receptacles at Kit. Counter
7.2, G rage Fire Door, Swing -Landing -Closer
_Z3_AZ_Duct in Garage -Damper
_tftLJAU.; Vents -Clearance -Comb. Air-Connector-P.R.V.
In Garage; Above Floor-Mech. Protection
I'ac. &-Mach. Equip. Listed for Location
_-711--Efec. Receptacles In Garage; (G.F.I.)-Romex Protection
. L_--?"�sulation-Foam-Looked In Attic 0 Yes
�.. - �uvd Rails & Dock Construction -Post Caps
u--79--Fdn. Vents & Crawl Hole Door-Drainag & Wood -Earth
Clearance Looked under Floor Yes
,4..�. �Jng instid.; Drive C3 Yes 13 No; Walks 0 Yes 13 No;
Planters 13 Yes 13 No
&t -Stucco; Brown -Finish
Unit; Disconnect, Electrical, Plumbing
____83 -V-ents' Above Roof; Plbg.-Appliance-Fireplace.-Clearance to
Openings
-44.-Wifer Well; Disconnect, Electrical, Plumbing
Elec. Trim; G.F.I. Receptacle-Underg round
____8&-VbntiIatIon Throughout House
Q!!�rotection
Corrections from Previous Inspections
29 Gas T t -Meters Tagged; Gas -Electric
Sewer Connected -C/O to Grade -HD Approval
1,,"91. Energy Compliance Certificate -Other Certificates
Cornawnts at Final:
V= OK
0 = Not OK.
- ='Not Applicable
* =.Not Ready MOBILE HOMES
Date/initials MOBILE HOME UTILITIES (Plans) OK except #'a
1. Zoning Requirements -Setbacks -Easements
2. Soils; Special MH Support Sketch
3. Sewer; Locatlon-Test-Fall-C/0 Concrete
4. Water; Location -Test-Easement Needed (Sketch)
5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete
6. Gas; Location -Test -Wrap: / /"U'ft.
/ P'Nat. or/ /%"ftJ P'LPG
7. Well Clearance & Disconnect
8. Utility Clearance
Date/initials MOBILE HOME INSTALLATION (Plans) OK except #'a
1. Zoning Requirements -Setbacks Easements
2- Footings; Size -Spacing -Marriage Line
3.. Gas; MH Test -Demand -Valve -Connector
4. Electricity; MH Test-Crossovers-Breakere-Clearances
5. Drain; MH Test -Fall -Flex Connector
6. Water; MH Test -Regulator -Connector
7. Water and Sewer Connected -C/0 to Grade -HD Approval
8. Gas and Electricity Tagged
9. Exits; Insp.-Sketch
10. Carl. of Occupancy
MISCELLANEOUS
Date/initial DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'a
1. Zoning Requirements-Setbacks-Easementa
2. Footings; Sol Is-Size-Depth-Spac Ing -Connectors -Steel
3. Decks; Griders, and/or Joists-Decking-Braclng-Stairs-Ralls
4. Wood Awn.; Posts-Beams-Rftrs.-Connectors
Shthg.-Rfg.-Bracing
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
& Carports: Windows -Doors
7. Electric
8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses
9. Siding; Nailing -Veneer -Stucco -Mesh
10. Roof; Shthg-Rooflng
11. Ext.; Steps -Doors -Landings
Date/initials POOLS (Plans) OK except #'a
1. Setbacks -Easements
2. Soils; Compaction -Structure Stability
3. Pool Structure; Steel -Connections -Thickness
bead 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-Enclosu res -Pane I boa rds- Ins. to Main In Conduit
9. Health Department Approval
10. Plumb.; Cir. Test -Water Supply Test
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive - Orqville,lqa1ifornia 95965 - Yelephone (916) 538-75A PERMIT
I
APPLICATION AND PERMIT
L -7z -)-
ASSESSOR PARCEL NUMBER
025-110-005
ZONING
A-5
BUILDING PERMIT
OWNER
GARY K. SANDERSON
TELEPHONE
-64(i-45�54
SQ. FT. OCC. BUILDING VALUATION
OWNEWS MAILING ADDRESS
184 EAST GRIDLEY RD GRIDLEY, CA 95948
EST 9,nno-nn
442 R 94-199-00
CONTRACTOR'S NAME OWNER
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNYNOWN
A
Total Valuation 1$ a,)
nn
LENDER'S MAILING ADDRESS
Filing Fee 07
20.00
Permit Fee $
00
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee $
265
Energy Plan Checking Fee $
23 00
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty $
BUILDING ADDRESS 3n67 DOS RTOS
PERMIT FEE $
Agn 917�
BIGGS
PLUMBING PERMIT '
'r - ' -
Filing ee 20.00
Trap
7.00
—Each
Solar or heat pump water heater
23.00
Water piping
15.00
LOT NO.
SUB'", SION'S NAME
PARCEL MAP
Each gas water heater or vent
15.00
USE OF STRUCTURE
SF NX Duplex 0 Mobilehome 0 Other
SPECIFY-
Gas piping system 1 5 outlets
15.00
Building sewer
15.0
Mobile Home S G I W
@20.00
TYPE OF WORK
New 0 Addition CX Remodel CX Utilities 1:1 Installation 0 Other 1:1
OescribeWork: INST-ALL STED4 WAI I UNDER EXISTIN(; S4
AND INSTALL ADDITION
PERMIT FEE 1$
Cont . ractor
ELECTRICAL PERMIT
Filing Fee 20.00
Main Service 600V OR LESS
200A OR LESS
23.00
Main Service 200A TO 1000A
46.00
NEW CONST. DWELLING OCc P. )448
OR ADONS. a ACC.BLDSU
3.5, so'. 5 68
FT.'.
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one)
Q I am a licensed under provisions of Chapter 9, Division 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 compensation, will do
the work, and the structure is not intended or offered for sale. (Sec 7044)
Q 1, as the owner, am exclusively contracting with licensed contractors. (Sec 7044)
El I am exempt under Sec. Business and Professions Code
forthis reason
NEW CONST. MULTI -OUTLET
.NON-RESID. BRANCH CIRCUIT.
@7.50
POWER APPARATUS
( & SINGLE OUTLET CIR. 1
Ex. Occup. OUTLET OR FIXTURES
20 @ 1.00
BAL. @ .50
Ex. Occup. GFIX ED APPLINS. OR
UTI FTS (RESID) EA
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
WORKER'S COMPENSATION INSURANCE
1 declare under penalty of perjury (check one):
Q This permit is for $ 100.00 (valuation) or less.
Q I have placed on file with the County of Butte Dept. of Development Services,
Building Division a Certificate of Workmen's Compensation Insurance or a
Certificate of Consent to Self -insure.
Q Ishall not employ any person in any manner so asto become subject to the Worker's
Compensation laws of California.
Notice to Applicant: If after making this statement, should you become subject to the
Worker's Compensation provisions of the Labor Code, you must forthwith comply with
such provisions or this permit will be revoked.
PERMIT FEE
Contractor
MECHANICAL PERMIT
Filing Fee 20.00
Heating
Cooling
Hood
6.50
Ventilation
PERMIT FEE $
Contractor
I certifythat I have read this application and state thatthe above information i's correct.
1 agree to comply to all Butte County Ordinances and California State Laws relating to
building construction, and hereby authorize representatives of the County of Butte to
entei, 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 t e granting of this permit.
X Date QJ
A94_tl��
Signature of Afplicain�-_CCOwner _0 Contractor 1:1 Agent
An OSHA permit is required for excavations over 5"0" deep and demolition or
construction of structures over 3 stories in heigh
Mobile Home Installation Fee $
Energy Inspection Fee $
OCC
CONST. TYPE
I
TOTAL FEE $5VrA—. &5 --
-T
HAZ.
I D,7S
I IMP
—
;TOO7D
COF
I PARCEL �PD
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)
Receipt NO. 155910 — 123.95 &3
WHITE-D.D.S.-B.D. CANARY -ASSESSOR APINK-INSPECTOR GOLD ENRO D-APPLIf-AN T
�V
COUNTY OF BUTTE
BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
1469 Humboldt Road, Chico, CA d"(916)11991-2751
7 County Center Drive, Oroville, CA - (916) 538-7541
747 Elliott Road, Paradise, CA - (916) 872-6307
C R, CTION NOTIC�,',
OR
<
OWNER PERMIT NO.
A routine inspection indicates that the following violations of Butte County Ordinances exist at
the above address and should be corrected. Please notify this office when correction of work
is comple I ted. If you have any questions pertaining to thisrpatter, or need additional explanation,
pl t hi offitodiatel
/, y
c
Zo�;�"-- OZ/ 25—A4
COUNTY OF BUTTE'
BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
1469 Humboldt Road, Chico, CA- (915) 1391-2751
7 County Center Drive, Oroville, CA - (9- 6) 538-7541;.
747 Elliott Road, Paradise, CA - (916)- 872-6307 Owl, -
F
PECTION N0T10Eqz/—v,,
OWNER PERMIT N6-.
A routine inspect* icates that the following violations of Butte County Ordinances exist at
t* ic-t
C�
the a!b2ovo�=,..s and should be corrected. Please notify this office when correction of work
iv-vo—n pleterif.. ojp� ;2uestions )Z?X* in1to 1pis matter,,?r need�412gqiional ex I t,
'c ' ' y _p
0
c
;1, a(. 0
cr
fi
plea�e: n, a .. I iUn Mr A
4W
—ElLool
Clqto,�"5—
P" PA Z-. 6 coo Aj r
i4
�z
REV 10/92
Insulation Certificate
BUILDING OWNER: BUILDING PERMIT
BUILDING LOCATION:
)6 �z
Description of Installation
ROOF
Material Brand Name
Thickness (inches) Thermal Resistance (R -Value)
CEILING
8 C —6
B= or Blanket T Brand Name
Tbickfi6ss (inch Thermal Resistance (R -Value)
Lo�se Fill Type Brand Narn�.'-
Contractor's minimum installed weightle...- inches
lb Minimum thickness.
Manufacturer's installed weight per square foot to acheive Thermal Resistance (R -Value)
V EXTERIOR WALL
— -- .-.,p
Material,
Thickness (inches)
RAISED FLOOR
Material -
Thickness .(inches)
SLAB FLOOR
- Material.
.—Thickness,(inches).
Width (inches)
FOUNDATION WALL
Material,
Thickness (inches).
Brand Name
Thermal Resistance'(R-Vil I ue)
Brand Name
nermal Resistance (jk--Valu-eT--
Brand Name
ei
Thermal Resistanc A-Valu6)
Brand Name A.
Thermal ResistanceA-Valui e -j
Declaration
I hereby certify that the abov6 insulation was installed in the building at the above location in conformance with
the current Building Energy Efficiency Standards for new residential buildings contained in Title 24 of the
California Administrative Code.
Icense Number'-.'-*
G')ftal Contractor (Builder) . I .
signature and 7"ide Date
Sub -Contractor (Insulation Installer)
SignatureandTide
Ucense Number"
. . Date I .: . .
THIS CERTIFICATE mUST.BE PROVIDED To THE BUILDING DEPARTMENT PRIOR TO.FINAL INSPECTION
APPROVAL AND* A COPY SHATJ BE POST!ED WITHIN THE BUILDING.
JANUARY 1993
COUNTY OF BUTTE4- De�artment of Public Works
7 County Center Driv4, Oroville, CA 95965 Phone: 916-533e7541
OWNER-BUILDER_VERIFICATION
A.ttention 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 buildini permit. No building permit
will be issued until this verification is received.
1. 1 personally plan to provide the major labor and materials for construction of
the proposed property improvement (yes or no)
2. I.(have/ha've not) ki e- signed an application for a building permit
for the proposed work.
3. 1 have contracted with the following person (firm) to provide the propos ed
construction:
Name'
Address City
Phone Contractors License No.
4. 1 plan to provide portions of this work, but I have hired the following person
to coordinate, supervise, and provid*e the major work:
Name
Address City
Phone Contractors License No.
5. 1 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 — AM,
Zvt4wt=&e N_ I
Date
NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and
1983.2 of the California Health and Safety Code.
This verification must be,completed and returned to. our 6ffice-before we are per-
mitted to issue the permit.
COUNTYOF BUTTE - DEPARTMENTOF DEVELOPMENT SERVICES -BUILDING DIVISION
14 7 COUNTY CENTER DRIVE - OROVILLE,CALIFORNIA95965 -TELEPHONE (916)538-7541
OWNER
Proposed Building
PERMIT APPLICATION DATASHEET
A. P N
Building Inspector Date
At time of t application, I was advised the following data must be submitted prior to permit processing and/or issuance:
DATE RECEIV ED By
-4 A items have been submitted . ........................................
�Plot plans,474 sets, signed by preparer of plans . ..........................
nmplete plans, 3/4 sets i signed by preparer of plans . ......................
4. Engineered plans and ca csW4 sets, with wet signature on plans . .............
5. Hazardous Material Form . ...............................................
6. Energy Design Compliance and supporting documentation . ..................
7 Statement of Intent for Non -Heated and A/C Buildings . ................
Engineered truss details and layout in duplicate (required prior to plan checki.
9. Mobilehome.4ata ao manufacturer's installation instructions, 2 sets . ...........
Fees of $ .7 2,W 0 394.1?� .....................................
143 14� Impa t fees -aig-shown on attached schedule. . Sc.15 .5 ......................
12. California Department of Forestry plan approval/fees .........................
A3. Flood elevation letter (100 year flood) by California Engineer .....................
6VV�','�'Sanitation and plot plan approval Health Department . ............
15. City of Chico plumbing permit . .........................................
16. Plot plan and business license approval from City of Biggs/Gridley . .............
17. Planning approval for (A) Use: (B) Parking: . .........
18. Contact Land Development.about (A) Improvements (B) Drainage ............
_A9. Driveway permit (construction approval required prior to occupancy). . . .
�r94� r6q,uest
Rice sperAiGA for F89UiFe Bu, -P sp
L91LI ADe owi r_ - 11i:g In odor Date)
21. Contractor's license ifformation. (No., Name Style, Classification) . ..............
22. Certificate of Workmans Compensation Insurance . ..........................
23. Owner -Builder Verification (Given to owner , Mail to owner ) ............
24. Recorded copy of Agricultural Acknowledgement Statement . ..................
25. Letter of signature authorization . ........................................
26. Copy of recorded deed of parcel creation and 60 right of way to a public road ......
27. Letter of intent on building use . .........................................
2B. Mobilehome utility clearance . ..........................................
29. Documentation of legal access . ..................... ; ..................
30. Documentation of.50% subdivision developed or (A) Road improvements completed
and (B) Parcel meets zoning area and frontage requirements . ...............
_aj,-6_isting violations/expired permits . ......................................
lltflt� Plan check list . ........................................................
33.
-34.
When you Issue thie er �ft,roces, as follows: Mail to ne Mail to contractor.
Telephon . and hold for pickup at 'a 77J office. Deliver with inspector.
Other
Parcel Creation Date
Acreage Applicant
Copy of Haz-Mat form sent Health Dept. Fire Dept. _ Air Pollution Date
Copy of plans sent Health Dept. _ Fire Dept. Other Date . �
The following data must be submitted
1. Index permit for above itemAo.
2. Additional items required: --G7
nq% item ot checked above).
I 110 11
Contractor, designer, o=vke'�r,.�s advised of above required data by L --phone mail — Counter
r wa.
Contractor, designer, r, was advised of above required data by �:7-�one mail Counter
Plans checked by Date Plans approved by 41 10-1
Sets of plans on hold in File cabinet AP folder
Copy - Department of Public Works
By_
Date.
N)Date Z,4�-_J9;
Date
HAI, I ISE ONI-)�
-Pi,un Atiached
Fio"r Phm Aliadwd
S�111 to It. 1).
TO: BUIlding Department
FROM: Envi roil nien tal Health
SUBJECT: Sanitation Clearance
Plan Approved for: Sewa,,e Disposal
Z:,
Clearance for k —J>e I �oo
Hold final for:
Final clearance O.K. for:
NOTE:
Environmental Health Specialist
8/92
ocation
\Vater Supply: PL11flic
t
AP#
Private Well—&—
�-Ieh, m, -)qqq.
Date
79- -1WWr--JfjV
".fwv
I � -eis, I . ,
BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM
(One Form Per Building)
School District C- S Building Department No.
A.P. Number IC) - W!S: Jurisdiction city &Zf—Count,y�.
Property Owner
Property Locatic
Subdivison
1; :r
�Residdntial Develop ent
2a 6 F
xcewe � lie
Commercial/industrial
No. of Living MHl
Units
F=--
Lot No.
Sq. Footage
Ad- (Group R)
F-1 Sq. Footaqe
District Identification No.
% - , - - , , , -- , , - , - - , - - - - - - J - - , - - - , - - , - - , - - - , , , , -1
Z/ School District certifies that r7l�p ,- -7
. d sn
(Applicant)
(Street Address)
State)
(City)
has complied with the requirements of Resolution No.
representing square feet.
J
Sph ol-Distri t Representative
Paid by Check Number
Bank Number
Paid by Cash
(Phone N
(Zip
by payment of $
Datd
Remarks: Ze-'5-:5 '.
If, subsequent to *the School District Representative signing this Butte County Schools Impact Fee
Certification Form, the School District is notified by 1he applicable Local Planning Agency that this project
is being reviewed under the California Environmentad Quality Act (CEQA), this project may be subject to
additional school fees to fully mitigate its impact on the school district's schools.
I
VVkde (applicant), Yellow (building department), Pink (school district) feeformmkl (4/92)
Or
8/91
RESIDENTIAL PLAN CHECKING GUIDE
(S.F., DUPLEX-& MISC. ONLY)
Bldg. Permit # qL
OWNER A. P. # Opl, 5_-
//0 —
GENERAL Plan Checker 812
Ring requirements: (sideyards and number of permitted living units).
lue
,��,�Valuation.
5�.'�Plans si,ned by designer.
Pro description of work on application.
vielat4efis e -pr-Gp F-ty.
ms
I�Irtems oln data sheet. (W.C., fees, Health, Developer Fees, License law, etc).
PLOT PLAN
1 e_��hml t e parcel size and dimensions.
t tbacks, sideyards, easements, etc.
r
��Other buildings or structures.
��ge.
6. Special conditions on creation map, (noise, CDF, fire sprinklers, non-comb-
ustible, and foundations).
7. FAU & FAS road setback.
8. Building or utilities across lot lines (Record form).
FLOOR PLA
Complete to scale plan with dimensions.
'R- A5omo
equired windows for light and ventilation (Sec. 1205).
J, pRequired-windows for second exit (Sec. 1204).
hts (Chapter 34 & Sec. 5207).
k 4Ht 4ma n 1
,Tj npr n mpact glass (Sec. 5406)..
ceiling heights (Sec. 1207).
I n;CIs in baths, garage, kitchen, and exterior outlets (Article 210-8).
Light fixtures, 'switches, receptacles, and exterior receptacles for main-
V�i
��enance of mechanical equipment.
Locations of water heater, heating and cooling equipment, other electrical
,or gas equipment.
exterior exit door (sec. 3304 (f).
,%troke detectors (Sec. 1210).
Plumbing fixtures, water closet clearances and shower size.
STRUCTURAL DETAILS
21-I'Standard bracing or engineered design (Table 25V)
4___-,44:��� hid 1 g e
di__-I�oundation plan complete enough to construct building.
f��z-Floor construction details complete enough to construct building.
J. Jlevations and wall construction details complete enough to construct building
Roof construction details complete enough to construct building.
9. _i -p" �-fqjjq qnd-ea-l-��s�sar
r or porch hC��er sizes.
9_0_r��
1R' Stud heights.
'�A 8/91
RESIDENTIAL PLAN CHECKING GUIDE
MISCELLANEOUS ITEMS TO LOOK OUT FOR
Stairway details: landings, rise and run, head clearance, handrails
��. 3306).
49�Guardrail details (Sec. 1711 & 3306(j).
Proper roof pitch for roof convering (Chapter 32).
&--'-Roof covering type - (fire hazard).
7. Foam inselat4man ---p-r��on.
ttT-Wa-ys -
9. JL V t 11 CI e r=qFRpIe4-tQ
],Tlot, t ill !Irs ji:ii;!, postg-,--e-t�c.
16).
422 -'-Attic access and ventilation (Sec. 3205).
Underflor access and ventilation (Sec. 2516).
1-3—.--. air f
-nts -8-R
nergy desIgn
g
OF as�hin at 71 exterior openings.
TT
RESIDENTIAL PLAN CHECKING GUIDE
MISCELLANEOUS ITEMS TO LOOK OUT FOR
.--Slia�r-way s
,__�ec. 3306).
Guardrail details (Sec..1711 & 3306(j).
. . .. .... .....
Feam iRs 12tion - j)-��n.
9. -Livifl-s gar-�e ed
and pests, ete.
IrG.3-41 --Quits Q-1 1111X -e s (see.
1101LID
#- 4 --*r-- eeemes-&-a44-xzatilat-i-���)
��Underfloor access and ventilation (Sec. 2516).
19. (;Q;RbU
-14—.4-0 �*�' s .
15—
Flashing at all exterior openings.
G43F L espon
CP I �C -5;9Z 7'
4;"
> VZ- ec i" v
0,
or, --,m
EIIA
.1
8/91
01::r A/f 4J
-7
11-7
jr
49 Valuation.
3 Plans signed by designer.
Proper description'of work on application.
GR PEOpe
0
(D Items on data sheet. (W.C., Mej!:H lth Developer Fees, License law, etc).
PLOT PLAN
Complete parcel size and dimensions.
Setbacks, sideyards, easements, etc.
(D Other buildings or structures.
4-r�����ge.
-57
uqt�ble' and �ebft4aj-� .
& --B,, j IAJ Reeefd �sfm).
FLOOR PLAN
0 Complete to scale plan with dimensions.
c. 1205).
3 Reqwj:r-ed w+n4aws fur second exit E -Se -L— HEM).
6 - R a q u L r a d i —o om- —s -iii, z -e e j g 4+ t s - - (,S ex-- 12 0 -7
Q T -; -I,+- e
or gas equipment.
42. F r-"Ieee efid woed
Smoke detectors (Sec. 1210).
STRUCTURAL DETAILS
C) Standard bracing or engineered design (Table 25V)
if -- st -- r -
Foundation plan complete enough to construct building.
Floor construction details complete enough to construct building.
ng
8. Reef- e
Y-
"'9—�Garage =oor �®r �ealer �size�:
P.
L.C�W
8/91
RESIDENTIAL
PLAN CHECKING GUIDE
(S.F., DUPLEX & MISC.-ONLY)'
Bldg. Permit
# e�
OWNER (17
A. P. #
Z42 eP 5
Plan Checker
GENERAL
k�.Zoning requirements:
(sideyards
and number of permitted
living gnits)*.
49 Valuation.
3 Plans signed by designer.
Proper description'of work on application.
GR PEOpe
0
(D Items on data sheet. (W.C., Mej!:H lth Developer Fees, License law, etc).
PLOT PLAN
Complete parcel size and dimensions.
Setbacks, sideyards, easements, etc.
(D Other buildings or structures.
4-r�����ge.
-57
uqt�ble' and �ebft4aj-� .
& --B,, j IAJ Reeefd �sfm).
FLOOR PLAN
0 Complete to scale plan with dimensions.
c. 1205).
3 Reqwj:r-ed w+n4aws fur second exit E -Se -L— HEM).
6 - R a q u L r a d i —o om- —s -iii, z -e e j g 4+ t s - - (,S ex-- 12 0 -7
Q T -; -I,+- e
or gas equipment.
42. F r-"Ieee efid woed
Smoke detectors (Sec. 1210).
STRUCTURAL DETAILS
C) Standard bracing or engineered design (Table 25V)
if -- st -- r -
Foundation plan complete enough to construct building.
Floor construction details complete enough to construct building.
ng
8. Reef- e
Y-
"'9—�Garage =oor �®r �ealer �size�:
P.
L.C�W
P '. ;;
RESIDENTIAL PLAN CHECKING GUIDE
MISCELLANEOUS ITEMS TO LOOK OUT FOR
8/91
1. Stairway details: landings, rise and run, h,ead clearance, handrails
(Sec. 3306).
2. Guardrail details (Sec. 1711 .& 3306(j).
3. Brick or stone veneer (Chapter 30).
4. Exterior plaster - weep screeds (Sec. 4706).
5. Proper roof pitch for roof convering (Chapter 32).
6. Roof covering type - (fire hazard).
7. Foam insulation - protection.
8. 36" halls and stairways.
9. Living area over garage - complete 1 -hour separation required on garage side
including supporting walls and posts, etc.
10. Two exits on three-story dwellings (sec. 3303 & see Mezannines - 1716).
11. Attic access and ventilation (Sec. 3205).
12. Underfloor access and ventilation (Sec. 2516).
13. Combustion air for fuel burning appliances - L.P.G. requirements.
14. Nol se requirements on duplexes.
15. Energy design.
16. Flashing at all exterior openings.
17. CDF responsible area requirements.
-C
'14ZC
ID4-5 StZe
�w4trlv_ 6 1,X
CY4 OCT, .1
g w --r -v- 6 FTy, FT- 6 =7-
Y 16 F'17
'*'4y aot 5LKY ^CrCYL-
�ce
AA16 14- -r
/Ui
I . � _%�
RESIDENTIAL PLAN CHECKING GUIDE 8/91
(S.F., DUPLEX & MISC: ONLY)
Bldg. Permit # 6`7
OWNER j!�A4ttj A.P. # jl�_S" - // 0 a 0 0 S'
GENERAL .1 Plan Checker i569
1. Zoning requirements: (sideyards and number of permitted living units).
2. Valuation.
3. Plans signed by designer.
4. Proper description of work on application.
5. Existing violations on property.
6. Items on data sheet. (W.C., fees, Health, Developer Fees, License law, etc).
7. Recorded notice of violation.
PLOT PLAN
1.
2.
3.
4.
5.
6.
I
Complete parcel size and dimensions.
Setbacks, sideyards, easements, etc.
Other buildings or structures.
Grading, fills, drainage.
Flood hazard.
Special conditions on creation map,
ustible, and foundations).
FAU & FAS road setback.
(noise, CDF, fire sprinklers, non -comb -
Building or utilities across lot lines (Record form).
FLOOR PLAN
1. Complete to'scale plan with dimensions.
2., Required windows for light and ventilation (Sec. 1205).
3. Required windows for second exit (Sec. 1204).
4. Skylights (Chapter 34 & Sec. 5207).
5. Human impact glass (Sec. 5406).
6. Required room sizes, ceiling heights (Sec. 1207).
7. GFCIs in baths, garage, kitchen, and exterior outlets (Article 210�8).
8. Light fixtures, switches, receptacles, and exterior receptacles for main-
tenance of mechanical equipment.
9. Locations of water heater, heating and cooling equipment, other electrical
or gas equipment.
10. Garage firewall, door size, and closer (Sec. 503(d)(3)).
11. 1 - 3'0" exterior exit door (sec. 3304 (f).
12. Fireplace and wood stove location, alcoves, and clearance.
13. Smoke detectors (Sec. 1210).
14. Plumbing fixtures, water closet clearances and shower size.
STRUCTURAL DETAILS
1. Standard bracing or engineered design (Table 25V)
2. Unusual shape, size, or split level house requiring lateral design.
3. Clerestory requiring balloon framing and/or engineering.
"4. Three story building requiring engineered calculations and plans.
5. Foundation plan complete enough to consiruct building.
6. Floor construction details complete enough to construct building.
7. Elevations and wall construction details complete enough to construct building
8. Roof construction details complete enough to construct building.
9. Fireplace construction details and calcs if necessary.
10. Rafter ties or bearing ridge beam.,
11. Garage door or porch header sizes.
12. Stud heights.
13. Adobe soils - special foundation design.
14. Retaining walls requiring design.
15. Special Inspection required.
Phone: 916-538-7541
RE: 4L�14-xr
A.P. #
With reference to the above subject:
DATE: 9 V - 6
Attached is:
_-,Application f or permit Utilities Installation Sheet
-Building Plans __Mobilehane Installation Information Sheet
-Engineered Calculations ____Jypical Plan Sheet
Owner -Builder Verification Fm -List of Codes Enforced
FiWe need the following information prior to permit processing and/or issuance
Permit application signed and caqpleted where indicated with all copies returned.
�_--�fot plans, 3/4 sets, signed by preparer of plans.
____gcn9lete plans, 3/4 sets, signed by preparer of plans.
—Engineered plans and calcs, 3/4 sets, with wet signature on plans.
–�L�ardous Material Form
J��Energy Design Ccmpliance and supporting documentation.
—Statement of Intent for Nm -Heated and A/C Buildings.
-Engineered truss details and layout in duplicate.
data and manufacturer's installation instructions, 2 sets.
_Fees of $ , payable to Butte County Treasurer.
—Inpact fees paid.
__jCalifornia Department of Forestry plan approval/fees.
___ylood elevation letter (100 year flood) by California Engineer.'
___§anitaticn and plbt plan approval Heal th Department.
___pity of Chico plumbing pern-dt.
-Plot plan and business license approval fran City of Biggs/Gridley.
approval f or
__I.band Devel opment. (a) Iffprovements (b) Drainage.
____priveway pern-dt (approval of construction required prior to occupancy)'
Contractor's license information (No. Name Style, Class) or exeffption statement.
___Sertif icate of Workmans Compensation Insurance.
---_pwner-Builder Verification Form.
Recorded copy of Agricultural Acknowledgement Statemnt.
of signature authorization.
copy of recorded deed of parcel creation and -60' right of way to a public road.
____better of intent on building use.
____Mobilehcme utility clearance.
of legal access.
____pocumentation of 50% subdivision ideveloped or (a) Road inprovements ccupleted and
(b) Parcel mets zoning area and frontage requirements.
___jExisting violations/expired petm-dts resolved.
____plan check list data and revisions.
— — sets of plans in accordance with changes marked in red.
[]-dther:
ct-il- --ar
Should you have any questions concerning the above, please contact
of this office.
DP: ahb
Yours v
David Purvis
Manager-, Building Inspection
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
PERMIT NO.
7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-754
APPUCAT1*01N. ANbPERMIT
AsgEL-soyt —rARcEL NUMBER
ZONING
BUILDING PERMIT
OWNER
)<
SQ. FT. OCC. �,,QIUII,�VALUATION
OWNEWS 7,1ypqDRESS k
IKI�l Gr-dk!, 9d (ay -1
\4 ZQ
r-)
CONTRACTOR'S NAME
TELEPHONE
-:7,,_2 A INA
4ct
I Ly
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNIENOWN
Total Valuation $
LENOEWS MAILING ADDRESS
Filing Fee
20.00
Permit Fee $
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checkj,(g Fee $
Energy n Checking Fee $
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penal t/ $
.ON
BUILDING ADDRESS -5067
PERMIT FEE $
!Zg
PI UMBING PERMIT
Filing Fee 20.00
h Trap
0
1
Solar heat pump water heater
Water piplhg,
15.00
LOT NO. SUB01111SION'SNAME
PARCEL MAP
Each gas wataqeater or vent,,-'
15.00
USE OF STRUCTURE
SAF Duplex Q Mobilehome 0 Other
SPECIFY
G
Gas piping syste-Nk- 5 0,4�ts
15.00
kBuilding sewer
15.00
M
Mobile Home X G NV I
TYPE OF WORK
New Q Addition ID Remodel C1 Utilities Q Installation Q Other
Describe Work:G- 16 M UJAL"u, OVDb X((;l
6-
I,-,'
— /, PERMIT PKE $
-
Contractor
ELECTRICAL PERMIT \Filing
Fee/ 20.00
Main Service "108 LESS
200A OR LESS )
�\no)d
Main Service 200A TO 1000A )
4,§/00
NEW CONST. DWELLING OCCUP.
OR ADDNS. & ACC. SLOS.
0.
X.!k,SFT.
CONTRACTORS LICENSE ILAW
I declare under penalty of perjury (check one)
,r I I
* I am a licensed under provisions of Chapte 9, Di ision 3 of the Business and
.rc a a d eff,
Professions Code and my license is in full force a effect.
License No. Classification
'r
* 1, as the owner, or my employees with wages a their sole compensation, will do
the work, and the structure is not intended orioffered for sale. (Sec 7044)
1, as the owner, am exclusively contracting i h licensed contractors. (Sec 7044)
El I am exempt under Sec. Business and Professions Code
for this reason
.NEW CONST. MULTI -OUTLET
NOWRESID. BRANCH CIRCUITS
@7.50',,
POWER APPARAT S
SINGLE OUTLET UCIR
Ex. Occup. ( OUTLET OR FIXTURESX
I
20 @ 1.00
BAL. 6) .50
F XED APPLNS. OV I,
Ex. Occup. ( OUITLETS (RESIOAA. 1
5.00
Temporary Service
23.00
Mobile Home Faciliti
Misc. Wiring
WORKER'S COMIPENSATtbNINSURANCE
I declare under penalty of perjury (check one)
0 This permit is for $ 100.00 (valuation) or/less.
0 1 have placed on file with the County of Butte Dept. of Development Services,
Building Division a Certificate of W rkmen's Compensation Insurance or a
Certificate of Consent to Self -insure I
0 Ishall not employ any person in any madner so asto become subject to the Worker's
Compensation laws of California.
Notice to Applicant: If after making this Itement, should you become subject to the
Worker's Compensation p ovisions of thetabor Code, you must forthwith comply with
r I
such provisions or this permit will be revoked.
PERMIT FEE $
Contractor
MECHANICAL PERMIT
J.,Rrng Fee 1 20.00
Heating
Cooling
Hood
6.5
Ventilation Z'
PERMIT FEE $
Z
Contractor V
I certify that I have read this application qnd state that the above information is correct.
I agree to comply to all Butte County Ordinances and California 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 Date
Signature of Applicant - 0 Owner Q Contractor Q Agent
An OSHA permit is required for excavations over 5"0" dee W and de 40 lition or
construction of structures over 3 stories in height.
Mobile Home Installation Fee
T -L
Energy Inspection Fee
-
[ s
occ
CONST. T K
TOTAL FEE $
L
HAZ,
1 0. FEES
IMP
I FLOOD I COr
17T��D
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.
DIRECTOR OF PUBLIC WORKS
Y. —Date
PERMITEXPIRESON Ware)
Receipt No.
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDEN ROD-APPLIC ANT
hf-
ot- A-
1417�
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES'�;- BUILDING DIVISION
7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO.
APPLICATION AND PERMIT W -C2,107.
ASSESSOR PARCEL NUMBER
025-110-005
ZONING/4
BUILDING PER
/Md
OWNER
GARY K, SANDERSON,
TELEPHONE
846-4554
SQ. FT. OCIC. BL)KDING VALUATION
EST — .000.
OWNEFFS MAILING ADDRESS
184 EAST GRIDLEY iu\ . GRIDLEY, CA 95948
2-74 —0— X _j_ -_7_V- ,
7y
CONTRACTOR'S NAME
OWNER
TELEPHONE
z
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valu.0- J
LENDER'S MAILING ADDRESS
Filing Fe s
--20-0e
Permi ee $
6_4_�
ARCHITECT OR ENGINEER
LICENSE NO.
PI!/CheckinXW.,;j*' s
_407%
2�ergy Plan Checking Feek $
023190
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty s
BUILDING ADDRESS
1067 DDS RIDS,
ygo. g PERMrE FEE
PLUMBING PERMIT
Filin6Fee 20.00
Each Trap
7.00
Solar or heat pump water heater X 1
23.00
Water piping I
15.00
LOT NO.
SUBDIVISION'S NAME
PARC�,41`
Each gas water heater or veAt
.
15.00
USE OF STRUCTURE Z
SF)W, Duplex Q Mobilehome Q Other
1 SKCIFY/
Gas piping system 1 - 5p6tiets
15.00
Building sewer
15.00
Mobile Home Jyj G I W 1—
@20.00
TYPE OF WORK
TYPE OF WORK
Rern.del Utliti. C) lnstalla�tionll Q�
New 0 Addition Remodel Utilities 0 installation 0 th 0
DescribeWork: P__ -V DT A
STE
PERMIT FEE $
Contractov
EVCTRICAL PERMIT
Filing Fee 20.00
6200V OR
Mainyervice ( LESS
OOA Oil LESS
23.00
DV
Mai Service 200A TO I OOOA
46.00
NE =T. OWE OCCU
a LLINGBLC
0 A ACC. DS
3.5 0 IS -4 6 e
CONTRACTORS LICENS LAW
I declare under penalty of perjury (check one)
0 1 am a licensed under provisions of Chapte 9, Division 3 of the Business and
h t -Xind
Professions Code and my license is in full rce and effect.
fu 11 rce
ti
License No. Classificatio
1911, as the owner, or my employees with their sole compensation, w' d
w es–as
the work, and the structure is not inten ad or o I ffered for sale. (Sec 7044
0 1, as the owner, am exclusively contrac g with licensed contractors. (Se 044)
0 1 am exempt under Sec. Business and Professi sCode
forthis reason
AEW CONST. MULTI -OUTLET
ON.RESID. J BRANr. CIRCUITS
@7.50
POWER APPARATUS
( & SINGLE OUTLET CIR
Ex. Occup. OUTLET OR FIXTURES
E
20 @ 1.00
BAL. 0 .50
E OFIXED APPINS. OR
Ex. Occup. UTLETS (RESID.) EA. I
5.00,
Temporary Service
2 3,66
Mobile Home Facilities
I X0.00
Misc. Wiring
WORKER'S E �SATION INSURANCE
Co� P E N /CE
f pe rju ry (c h k 0
I declare under penalty o' c ne):
'00 ILI
0 This permit is for $' .00 (va .21, n,) or less.
i
0 1 have placed on file with the Co nty of Butte Dept. of Develo ment Services,
f Devel. menl
Building Division a Certificate Workmen's Compensatio Insurance or a
Certificate of Consent to Self -ins re.
t t
Ai shall not employ anyperson'nan mannersoastobecomesu Ject to the Worker's
Compensation laws of California'
Notice to Applicant: If after making th s statement, should you ecome subject to the
I I
Worker's Compensation provisions of e Labor Code, you mu forthwith comply with
such provisions or this permit will be (reoked.
I
PERMIT
C
CoNractor
'MECHANICAL PERfoft
Filing Fee 20.00
rHeating\
Cooling
Hood
H
6.50
Ventilation
PERMIT FEE $
Contrac®r
I C t i 0 s t t t t t
I certify that I have read this application and state that the ove information is correct.
p a n and a 2eha he
I agree to comply to all Butte County Ordinances and Cal' ornia State Laws relating to
0 nt d nan e S a nd a' 0
u y 0 r I c n C .
building construction, and hereby authorize representa i as of the County of Butte to
entei upon the above mentioned property for inspecti n purposes.
I , I
I also agree to save, indemnify and keep harmles the County of Butte against all
y p r_I S t
liabilities, judgments, costs, and exp i enses which m y in any way accrue against said
r t
County i g 0 t is p r . t.
quence of the grantin Of this per it.
f i
X _/,C� Date
Signature of Apoicant - 9k dwndY Q Contractor El Agent
An OSHA permit is required for excavations over 5"0" deep and demolition or
construction of structures over 3 stories in height.
Mobil ome Instalkion Fee I s
Ene/gy inspection Fee\ $If
cc
CONST. TYPE
TOI'�%L FEE$ J -r laa_;�5
HAZ. D. FEES
IMP
1. ?LOOD
CDF I PARCEL
klP�D14
HD I ISSUE
This permit is hereby issued under the applicable
of the Butte County Code and/or Resolutions
indicated above for which fees have been
DIRECTOR OF PUBLIC WORKS
B
PERMIT EXPIRES ON
I Date)
provisions
to do work
paid.
Date
Receipt No. 155910
WHITE-D.D.S.-B,D, CANARY SSESSOR PINK -INSPECTOR GOLDENROD-APPLICAN�
/ g, :
.1 f-5— [.
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES, BUILDING DIVISION
7 County Center Drive, oroville CA 95965
Phone: 916-538-7541
RE: GARY SANDERSON
A.P. # 025-110-005
With reference to the above subject:
Attached is:
for permit
Building Plans
Engineered Calculations
Owner -Builder Verification Fm
DATE: 1/25/94
Mobilehome Utilities Installation Sheet
Mobilehome Installation Information Sheet
_Typical Plan Sheet
List of Codes Enforced
We need the following information prior to permit processing and/or issuance:
Permit appl, tion signed and completed where indicated with all copies returned.
, 1 '�
XX Plot plans (D4 sets, signed by preparer of plans.
-Complete plans, 3/4 sets, signed by preparer of plans.
-Engineered plans and calcs, 3/4 sets, with wet signature on plans.
Hazardous Material Form
XX Energy Design Compliance and supporting documentation.
Statement of Intent for Non -Heated and A/C Buildings.
XX Engineered truss details and layout in duplicate.
MoSilehome data and manufacturer's installation instructions, 2 sets.
XX Fees of $ 1 payable to Butte County Treasurer.
--XTImpact fees paid.
California Department of Forestry plan approval/fees.
Flood elevation letter (100 year flood) by California Engineer.
--XTSanitation and plot plan approval Health Department.
City of Chico plumbing permit. .
-Plot plan and business license approval from City of Biggs/Gridley.
Planning approval for
Land Development (a) Improvements (b) Drainage.
-.Driveway permit (approval of construction required prior to occupancy).
Contractor's license information (No. Name Style, Class) or exemption statement.
Certificate of Workmans Compensation Insurance.
Owner -Builder Verification Form.
Recorded copy of Agricultural Acknowledgement Statement.
Letter of signature authorization.
Copy of recorded deed of parcel creation and 60' right of way to a public road.
Letter of intent on building use.
Mobilehome utility clearance.
Documentation of legal access.
Documentation of 509,; subdivision developed or (a) Road improvements completed and
(b) Parcel meets zoning area and frontage requirements.
Existing violations/expired permits resolved.
XXPlan check list data and revisions.
� - sets of plans in accordance with changes marked in red.
Other: (1). Submit complete floor plan of exist s/f & addition with all doors & windows
(2). Indicate new addition location and its use drawn to scale.
on
Should you have any questions concerning'the above, please contact Tom May
-of this office.
MCV: Ahb
Y�pyrs very tr ly,
Mid ael C. tieira,. C.B.O. ---
Manlaer, Bu'ildina Inspection
900
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
7 County Center Drive — Oroville, California 95965
Telephone: 534-41J41
APPLICATION AND PERMIT
autnorize representatives or ine L;ounxy OT t3uiie to enter upon ine
above-mentioned property for inspection purposes.
X Date
Signature of Permitee or Agent I
Receipt No.
White-D.P.W. — Yellow -Assessor — Pink -inspector — Goldenrod-Appli cant
This permit is hereby issued under the applicable provisions of
the Butte County Code and/or resolutions to do work indicated
above for which fees have been paid.
DIRECTOR OF PUBLIC WORKS
L
By Date
Building permit expires Date
BUILDING
Owner L
SO. F T. OCC. BUILDING VALUATION
Mai I ing Address L -1 1 i
T Te lephone No.
j
Contractor
Mai I ing Address
Fireplace
Total Valuation
Telephone No.
Permit Fee
Building Address, 10. L k,
PlanChecking Fee&/orPenalty
Permit Fee
PLUMBING No.1 @ FEE
PERMIT FILING FEE $3.00
Each Trap 1.50
Repair drainage or vent piping 1.50
A. P. No.
Zoning & Planning
Water piping 1.50
Each gas water heater or vent 1.50
Fees I
W.C.
Sanitation
FireDept.
FireZone
Use Permit
Gas piping system 1 - 5 outlets 1.50
EQA
Parking
Plans
I Parcel
I Declaration
I Parcel Map
1 60' R/W
Improvements
Each additional outlet .30
Building sewer 5.00
Bldg. PI—ons Rec'd
Parcel Approval
Plans Approval
Lawn sprinkler system 2.00
NEW ADDITION UTILITIES OTHER
Permit Fee $
ELECTRICAL No. @ FEE
PERMIT FILING FEE $3.00
600V OR LESS
Main service 100 AMP OR LESS 5.00
Single Family Duplex Mobil Home Others
Main service EA. ADO'L 100 AMP 2.50
—
OVER 600V
Main service 100 AMP OR LESS 25.00
Main service EA. ADOIL 100 AMP 1.00
NEW CONST. ( DWELLING OCCUP. s)
OR A ... S. ACC,BLDGS. �20 sq ft
CONTRACTORS LICENSE LAW
I am licensed under the provisions of Chapter 9, Div. 3, of the
State of California Business & Professions Code under the name
style of:
NEW.CONSTR. (MULTI -OUTLET
NON RESID, BRANC- CIRCUITS) 12.50eal
NEW.CONSTR. (POWER APPARATUS
NON RESID. SINGLE OUTLET CIR.
Ex. Occur)(OUTLETS OR FIXTI[RES) SBOA@L :74
(FIXED A LNS OR
Ex. Occup. OUTLETSPP(RESI'D.) EA) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
License No. Classification
Misc. Wiring 6.25
I am exempt from the Contractors License Laws of the State of California.
Permit Fee $ i
MECHANICAL No. @ FEE
WORKMEN'S COMPENSATION INSURANCE
1 am aware of the provisions of Section3700 of the California Labor
Code which requires every employer to be insured against liability
for Workmen's Compensation.
EJI have placed on file with the County of Butte a certificate of
Workmen's Compensation Insurance.
ED"I certify that in the performance of the work for which this
permit is issued I shall not employ any person in any manner
so as to become subject to the Workmen's Compensation Laws of
California.
PERMIT FILING FEE $3.00
Heating
Cooling
Ventilation
Hood 2.00
Permit Fee $
$
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
I Land Development Fee
$
I
TOTAL PERMIT FEE
autnorize representatives or ine L;ounxy OT t3uiie to enter upon ine
above-mentioned property for inspection purposes.
X Date
Signature of Permitee or Agent I
Receipt No.
White-D.P.W. — Yellow -Assessor — Pink -inspector — Goldenrod-Appli cant
This permit is hereby issued under the applicable provisions of
the Butte County Code and/or resolutions to do work indicated
above for which fees have been paid.
DIRECTOR OF PUBLIC WORKS
L
By Date
Building permit expires Date
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
7 County Center Drive — Oroville, California 95965
Tel eph_one:.,534-4541
APPLICATION AND PERMIT
/4 5 77 A -eo /
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes.
X Date 'Pk::2
10007 gnature of Permitee or Agent
Receipt No. 7� L(5-/&
White-D.P.W. — Yellow-Asse5sor — Pink -Inspector — Golden rod-Appli cant
This permit is hereby issued under the applicable provisions of
the Butte County Code and/or resolutions to do work indicated
a r which fees have been paid.
1 9 J R F B�LIC WORKS
R �C P 0 P.
Date
Lpto— - b- ---qtp y (
Building permit expires Date — I —
BUILDING IV%
Owner
SQ. F T. OCC. BUILDING VALUATION
1Z
MailingAddress
I Telephone No.
Contractor 0
Mai I ing Address
Fireplace
Total Valuation
Telephone No.
Permit Fee
Building Addresstu
PlanChecking Fee&/orPenalty
Permit Fee $
E-4
PLUMBING No.1 @ FEE
PERMIT FILING FEE $3.00
Each Trao 1.50
jF166 -5
Repair drainage or vent piping 1.50
A. P. No.
ZoniA �_Planning
Water piping 1.50
Each gas water heater or vent 1.50
F dos' I
W-6
se"+-t�
Fi re Dept.
Fi re Zone
Use Permit
Gas piping system 1 - 5 outlets 1.50
EQA
1 Parking
Plans
I Parcel
I Declaration
I Parcel Map
60' R/W
I Improvements
Each additional outlet .30
Building sewer 5.00
Bldg_F1_a_n_s_R_e—cra
Parcel Approval
Plans Approval
Lawn sprinkler system 2.00
NEW ADDITION [:] UTILITIES OTHER
Permit Fee $
1 440
ELECTRICAL No. @ FEE
PERMIT FILING FEE $3.00 -3,06
600V OR LE SS
Main service 100 AMP OR LESS 5.00 6�,O e�
Single Family LC- Duplex Mobil Horne Others
Main service EA. ADD -L 100 AMP 2.50 Z.,;-40
OVER 600V
Main service 100 AMP OR LESS 25.00
Main service EA. ADD -L 100 AMP 1.00
NEW CONST. I DWELLING OCCUP. �20 sq ft
OR ADDNS. % ACC.BLDGS.-
CONTRACTORS LICENSE LAW
I am licensed under the provisions of Chapter 9, Div. 3, of the
State of California Business & Professions Code under the name
style of:
NEW CONSTR. JMULTI.OUTLET
NON RESID, % BRANCH CIRCUITS) 12.50ea
'"NEW.CONSTP- POWER APPARATUS.9
NON RESID. (SINGLE OUTLET CIR
Ex. Occuo(OUTLETS OR FIXTIIRES I BAZLQ�`I'C4
FIXED APPLNS OR
Ex. Occup.(OUTLETS (RESI*D.) EA) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
License No. Classification
Misc. Wiring 6.25 245'
01 am exempt from theContractors License Lawsof theStateof California.
Permit Fee $ _75-
IG775
WORKMEN'S COMPENSATION INSURANCE
I am aware of the provisions of Section3700 of the California Labor
Code which requires every employer to be insured against liability
for Workmen's Compensation.
EJI have placed on file with the County of Butte a certificate of
Workmen's Compensation Insurance.
Dd> I certify that in the performance of the work for which this
F-J permit is issued I shall not employ any person in any manner
so as to become subject to the Workmen's Compensation Laws of
California.
MECHANICAL No. @ FEE
PERMIT FILING FEE $3.00
Heating
Cooling
Ventilation
Hood 2.00
Permit Fee $
$
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
Land Development Fee
$
TOTAL PERMIT FEE
Is )Gl—/,
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes.
X Date 'Pk::2
10007 gnature of Permitee or Agent
Receipt No. 7� L(5-/&
White-D.P.W. — Yellow-Asse5sor — Pink -Inspector — Golden rod-Appli cant
This permit is hereby issued under the applicable provisions of
the Butte County Code and/or resolutions to do work indicated
a r which fees have been paid.
1 9 J R F B�LIC WORKS
R �C P 0 P.
Date
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Building permit expires Date — I —