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HomeMy WebLinkAbout042-600-00892-759B , 42-60=08 DILLAVOU, Brian &..Karen 2449 Guynn Ave, Chico 7 �- replace_deck/sf,' .... 042-600-008 } - `„ :: u�03 3859 DILLAVOU; BRIAN 2449 GUYNN AVE, CHICO Cont: FOUR SEASONS ROOFING RE ROOF a 'l'\D e rr. 1 O y FWm.jT M,,- C.fl COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT 03.3850 ASSESSORS NNUMBERR_OO , 0O 8 Y `O ZONINGA - BUILDING PERMIT OWNER_ TELEPHONE '34ci 1 SO, FT. OCC. BUILDING VALUATION . OWNERS MAWNG DESS �� ^ /ti II (_( AACONLHf+CTOR'S _ME �Q_ c TEELELEP11HHOON✓'E�-11I TORS MAILING ADDRESS � CONSTRL ON LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 33.E ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS _ ` ` JIB`. Jl \VIEnergy Plan Checking Fee $ $ PERMIT FEE S 53 0= LOT NO. SUBONISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF tta4uplex ❑ 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: O(S'T�'�``�11�// l 1 Ute- rt eV l -� Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home IS I G W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 a00VOR LESS Main Service 20.A 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. n,, //, License Class 1 Lic. No. �— I V 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 astheir 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 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 AIerformance of the work for which this permit is issued. 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�`7j71Q%i 1Z'� �T tic--( f✓ '�� Policy Number �, (The above sections need not be completed ff 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 )i�1 Date s �_ Signa ure of Applicant I. ❑ Owneractor ❑ Agent An OSHA permit is required for excavation r 60" deep and demolition or construction of structures over 3 stories in height. Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUP. s0 OR ADDNS. ( 6 ACC. BUDS. 3.50FT: NEW CONST. NON -RES D. MULTRANCI.OUTLET gG 7.50 POWER APPARATUS 8 SINGLE OUrLE7 CIR. Ex. Occup. OUTLET OR FIXTURES 20Q1'00 BAL @ .SO ED Ex. Occup. o. RESS,,D,DE 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEt $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONSATYPE❑ TOTALFEE$ HAZ. IMP FLOOD CDF PARCEL pD HD ISSUE This permit is hereby issued under of the Butte unty Code and/or indica ed a e for which fees have PERMIT PIRES the applicable provisions Resolutions to do work been paid. ]�.,�� Dat p�0.3,4> 'd Dete Receipt No. 344-23 5 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT R S DE TIAL. 42-60-08 92-759B DILLAVOU, Brian & Karen 2449 Guynn Ave, Chico replace' deckcfsf ,� � 0-/y JOB FINALE Signature rY� .-. - � �<�.. _ � _<-'�iC]s•"SNi�a.Tei.'a�.tC57�'SJi."G:�.r$�Y�ti�.--_�,..-. COUNTY OF BUTTE t• DEPARTMENT OF PUBLIC WORKS 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE D,1 /C. va CA �� � 5-.5 F OWNER PERMIT MO. A routine inspection indicates that the following violations of Butte County Ordasances east at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any questions pertaining to this matter, or need additionalexplairmd=, please cpntact this office immediately. -- '�'ir i a � y nnfe &"t f !' 47" S.C4f Led Date :�2 l6 '�Z Inspector rv�� REV 11/91 J=OK O = Not OK ' Not Applicable ' =` Not Ready MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 1. Zoning Requirements -Setbacks -Easements - 9. Siding; Nailing -Veneer -Stucco -Mesh 2. Soils; Special MH Support Sketch 10. Roof; Shthg-Roofing 3. Sewer; Location -Test -Fall -C/O Concrete 11. Ext.; Steps -Doors -Landings 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap: / /"L"ft. / /"Nat. or/ /" L" it./ /"LPG Card B-1 Date Card B-1 7. Well Clearance & Disconnect Card B-1 Date Card B-1 8. Utility Clearance POOLS (Plans) OK except #'s 1. Setbacks -Easements •�\ �i Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 5. Elec.; Pool Lighting; 15 volts-GFI 1. Zoning Requirements -Setbacks Easements 6. Elec.: Enclosures; Conduit Entries -Terminals -Listed 2. Footings; Size -Spacing -Marriage Line 7.Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 3. Gas; MH Test -Demand -Valve -Connector 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. 4. Electricity; MH Test -Crossovers -Breakers -Clearances Boxes -Enclosures -Panel boards -Ins. to Main in Conduit 5. Drain; MH Test -Fall -Flex Connectors 9. Health Department Approval 6. Water; MH Test -Regulator -Connector' 10. Plumb.; Cir. Test -Water Supply Test 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 10. Cert. of Occupancy Card 8-1 Date Card B-1 Date Card 8-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 i i I', MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors 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 #'s 1. Setbacks -Easements •�\ �i 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 -Panel boards -Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card 8-1 Date Card B-1 Date Card 8-1 Date Card B-1 V=9K, O Aot OK NApplic ot Readyable RESIDENTIAL (: Date UND LOOR (Plans) OK except k's . Zoning -Setbacks -Easements -Flood -Slope li 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. Stemwalls, Main; Steel -Bloc kouts-Wra pped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. SI , Steel -Wrapped iers-Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation 16. Insulation Date &-/p--%ZCard B-1 oog6 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit),OK except a's 16. Water Hir.: Vent -Access -Combustion Air -Baffle 17. Water Pipe; Test & Anchor -Nail Prote on --------------- ----- ---------------- 18. D.W.V.: Test -Fittings & Anchor- Protection -------------------- -- ------------------ _ 19. Shower Pan; Test. First Floo ub Access 20. Test Tub & Shower, Sec d Floor -Tub Access 21. Gas Pipe: Size & An ors ----------- Date Card Z-1 Date ------------Card-B-1-------------------Date CardDate Card B-1 Date ELECTRICAL (Permit) OK except N's 22. Fixture & Transformer Clearance -Ins. -Protection - - ----------- 23. Elec. Receptacles Spacing -Lights & Switches at Doors ------------- ------- ---- ---------------------------------------------- 24. Size Boxes & No. of Conductors -Stapled 25. Romex Installed Close to Edge of Studs C.J. --------------- q --P---------- -----p--------��Faa ----------------------- --- 26. Equip. Ground made u w! Mech. ers-Bond Gas & Water ------------------ ------------------------ --------- ------------------- 27. 2 Appliance Circuts in Kitchen ductor Size!GFI -------------------Z ---------------------------------------------- ------ 28. SuWire Sizer i ga. or AI-A.C. Wire Size ! / ga. Cu or -Al 29. Ranirc. ! ga. or AI -Oven Circ. / / ga. Cu or Al. InsNeutral ❑ Yes ❑ No 30. Seriser nductors & Ground -Main Disconnect ---------------------------------------------------------------------- - 31. le nces Panels-Motors-Mech. Equip. --------------------------------------- 32. Cloloset Light -Shower Light -Spa Light ---------------------------------33.Smetector ----------------------------------------------- ---------------------------------- Date Card B_1 Date Card -B-1 ---------- - ------------------------------ Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except N's 34. A.C. Ducts Insulation & Support --------------------------------------- ----------- -- - ---- ------------------------ 35. Vent Fan_Exhaust abov _nsulatT- ---------- ------------------------------ 36. ---------------------------- 36. Condensate Drain verflow: Size & Grade --------------------------- ------------------------------------------------------ 37. ---------------------------------------- ---- 37. Furnance-Vent: cress -Comb: Air -Return Air Vent -115 outlet ------------------------------ --------------------------------------------------- 38. Attic Acres 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 a's 39. Sils. Proper Material & Anchors ------- ------ -- ---------------------------------- ------------- ------ - 40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound --------------------------------------------------- -- 41. Bearing Walls over Girders & Floor Nailing ----------------------- ----------------------------------- 4Z Draft Slop in Walls (rat pro�in ------------------------------------------------------------------------ 43. Fire Stops; Furred Ceilingsases-Tub ------------------------------------ S-St A.-+ieedeas & Beam -Size ')ingle & Duplex) _ Date FRAMI ntinued) 45. 6tors - 46. Cing. Joist-Rftr. ties -Pu rlin-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' 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 50. Garage Fire Protection Framing P Property Line Firewall & Openings ; 52. Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits 53. _Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers --- ----- 55. Siding -Nailing Veneer 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access _ 57. Glazing Area -Glass Protection -Skylights- Plastic - 58. Shear Walls: -Nailing -Bolts 59. Insulation -Walls -Ceilings -------------- ------------ 60. Infiltration -Walls -Windows Date 6-ft-CardB-rate Card B-1 Date -7-2 -/ Card B- A Date Card B-1 Date FINAL (Plans) OK except N's 61. Ext. Steps -Door & Sidelight Protection -Landings --- ------------------ 62. Smoke Detector ---------------------- 63. Furnace: Vents -Clearance -Comb. Air -Connector - In Garage: Above Floor -Ducts -Meeh. Protection --------- - - 64. Bedroom Exiting .--------------- ---------- -- ------------ -- 65. G.F.I. & Bath Fixtures & Tub Access -Spa ------------------ 66. Elec. Trim & Subpanel: Breaker Sizes & Labels --------------- 67.�Stairs & Rails .` 68. Fireplace or Stove: Clearances -Hearth ------------------ 69. ------- ---- 69. Elec. Outlets 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 ----------------------------------------- 77. Insulation -Foam -Looked in Attic ❑ Yes 78. Guard Rails & Deck Construction -Post Caps 79. Fdn Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor- 11Yes ------------------------------------------ 80. Following instld.; Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑Yes ❑ No 81. Stucco: Brown -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 -Underground - 86. Ventilation Throughout House --------------- _---- F>ly! Corrections from Previous Inspections ------------- ---------- --------------------------------- 89. Gas -Test- MetersTagged; Gas -Electric __ ____ _ 90. Water & Sewer Connected -C/O to Grade -HD Approval 91. Energy Compliance Certificate -Other Certificates --------------- - --------- ----- Dat �jy Card B_1 -- Date Card B-1 Date -------------- Card_B-t Date _ Card B-1 Date Card B-1 Date Card B-1 Comments at Final: / COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Orovllle, Callforpla 95965 - Telephone, 916/538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER 042-600-008 ZONING AR BUILDING PERMIT / OWNER Brian Allen & Karen Lee Dillavou TELEPHONE 345-8371 SQ. FT. OCC. BUILDING VALUATION 660 8,580.00 OWNER'S MAILING ADDRESS 2449 Gu nn Ave. Chico 95926 CONTRACTOR'S NAME Owner TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN 1 Total Valuation $ 8,580-00 Filing Fee $ 15.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee 45-00 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee PLUMBING PERMIT Filing Fee 15.00 2449 Guynn Ave., Chico Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF[2 Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S I G I W @ 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ® Describe work: Rep laC eck Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 600V OR LESS 18.50 200A OR LESS Main service 200ATO1o0OA) 37.50 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. Icense 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 CONST. / DWELLING OCCUPM 3.64 sq.ft. OR ACDNS. l ACC. BLDGS. NEW CONSTR. ULTI.OUTLET NO N.R ESID BRANCH CIRC ITS @ 5.00 POWER APPARATUS 6 SINGLE OUTLET CIR. EX. OCCU 20 76 p OUTLETS OR FIXTURES FIXED APLNS. Ex. OCCUp. OUTLETS PIRESID IREA.) I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring 9 15.00 Permit Fee $ — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate 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 FiIingFee 15.00 Heating Cooling Hood 6.50 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 Lea indemnify and keep harmless the County of Butte against all bilients, costs, and expenses which may in any way accrue a inst sn consequence of the granting of this permitG Date �e �2, Si not of Applicant — Owner Contractor ❑ Agent ❑ An SHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height.OR Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST TYPE TOTAL FEE $150.00 HAz OFEES IMP FLOOLy �/ CDF PARCEL — PO HD ISS This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do work indicated ab a for wh-4 fees have been paid. PU IC WORKS By Date Z7 PE IT EXPIR S Date�L it Receipt No. 109979 WHITE-D.P.W., YELLOW -ASSESSOR. PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTM NT OF PUBLIC WORKS - BUILDING DIVISION + .11 =- —•-i • 7 COUNTY CENTER DRIVE - OROVI' LE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 PERMIT APPt-fCAT10I9 DATA SHEET Permit No. OWNER_l� Proposed Building Use �lo c.6 Z4l"'Z 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 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 kdata including manufacturer's installation instructions....................................................... 10. Fees of $ 11. Chico Urban Area fees paid ....................................... 12. Park fees paid .................................................... Z. chool Dialer' fees paid .............. 14. Sanitation approval from G Heal ,Department y—� - 9 � .. 15. City of Chico,plumbing permit..sTlir?'Pcr .(07, G!!........ 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, Classificatioh),`,.. 22. Certificate of Workmans Compensation Insurance .................. 23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ..... - Recorded copy of Agricultural Acknowledgment Statement ......... 25. Letter of signature authorization .................... . . 26. 27. When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver w/inspector. Other I i Appl i 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 prioermit issuance: (Circle new item not checked above). 1. Index permit for above items No. __ If W-7- 2. Additional items required: t YXG, /( C, 2� L,cJo�r`�"Se.� ��fT 7�� Contrac.toE,_designer, otiffer, was advised of above required data by_phone_lnail—counter by_C&>_..date j— 2 Contractor, designer, owner, was advised of above required data by_phone_mallr_counter by date Plans checked by Date Plans approved by !"1 6tlZ pa w- 'Z'4 - Sets Sets of plans on hold in Copy—DPW File cabinet AP folder � TO FRW SUBJECT: Buildina Department Environmental Health Sanitation Clearance 1//✓f'7 02 �l e f. 6/ 17/7 A : Gl'-G�ij Owner Locati AP# Plan Approved for: Hold final for: Sewaqe Disposal X Water Supply Water Supply Final clearance O.R. for: Water Supply Clearance for 3 bedroom home. Other NOTE ,s • �X >S 7 / a,r'' > l/ Sc HCl i c ;aOit�a ian Date COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, Califosnla 95965 - Telephone: 916,'538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PA C L..yUMBER pC '— 00_ 0 ZONI 121 1 BUILDING PERMIT O NER l� u TEL PHONE S0. FT. OCC. BUILDING VAL ATION o OWy�R'$ M NG ADO" S `�� w� �_ � I - qsl� 2_� !!\J (rte �((,�// G// /L,L I CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 15.00 LENDER'S MAILING ADDRESS Permit Fee $ 0 0 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDIN AODRE$8-\ / "- / � Permit fee $ PLUMBING PERMIT Filing Fee 115.00 Each Trap 1 5.00 Solar or heat pump water heater 1 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF)Jr Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer15.00 Mobile Home JSTG W @ 15.00 TYPE OF WORK �,{ New F11 Additio Remodel❑ Utilities[] Install ation❑ Other,l�Cl Describe work: � �� Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200AORLELESS 18.50 Main service 200ATOI000A1 37.50 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 as the owner, or my employees with wages as their sole compen- 9)SIation, 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.8\ OR ADONS. ( ACC. BLDGS. rr 3.64sq.ft. NEW CONST" ULTI-OUTLET NON-RESID BRANCH CIRC ITS @ 5.00 ( POWER APPARATUS 61 SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20 76d A FIXED APPLNS. OR Ex. Occup. OUTLETS (RESID.) EA I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring 9 15.00 Permit Fee $ — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notf 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 1 15.00 Heating Cooling Hood 6.50 Ventilation permit Fee $ L202ntractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X Date Signature of Applicant — Owner❑ Contractor ❑ Age t An OSHA permit is required for excavations over 5'0" deep an a olition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee S Energy Inspection Fee $ occ CONST TYPE i I TOTAL FEE $ S HAz I DFEES I IMP FLOOD CDF I PARCEL HD I ISSUE This permit is hereby issued under the cions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By PERMIT EXPIRES Date applicable provi- resolutions to do have been paid. WORKS Date Receipt No. 72-31 WHITE-O.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - Department or °ubl is �;or'.cs 1 Councy Cancer Drive, Oroville, CA 95967 Phone: 916-538-7541 OWNER -BUILD E.4 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 earl -est 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) £.s' 2. I (have/have not)_X1,,Wf 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 T;. -pe of Work Signed: P_ooerty Ownea Social Secu it Data ?Ilrl 2 MOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. 11 This verification must be completed and returned to our office before we are per- mitted to issue the permit. C BUILDING DEpT� MAR 1 8 1s.42 0 Yll BUTTE COUNTY BUILDING DEPARTMENT A P P R 0 V E D- ■■mm ■ m ME 0 HOME a E, •: ■_�.■■■■■■■■■■ ■0 Na BE m Yll BUTTE COUNTY BUILDING DEPARTMENT A P P R 0 V E D- D 937 93 /OT >-j / v (/" N We L q,,* f �ilJ �' d/!�i(/ S %l. I - .7 V �rliG CITY OF GRIDLEY IMPROVEMENT PLAN APPROVAL ❑,SITE GRADING AND DRAINAGE IVI STREET FRONTAGE IMPROVEMENTS j UTILITY SERVICES p n DATE: o RAY D. ROLLS, CITY ENGINEER Ob�ih ctrl �'?c-�ac�'t�tite✓1� perm;- �n� iY►s�II �r��,,,cu(Ic. I E ilo > ' 1 _ 5' res an cc - f x Q' I IU N . 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