HomeMy WebLinkAbout040-280-06840-28-68 '
Terry Ferris
1237 Stanford Lane, Durham
Permit #I07Q ; (a`�,�l;etgo /SF)
040-28.0-068' • l'�r. ,PPERMIT#96-0093
WOODS, Michaela
9.119 'Stanford Ln.'; 'Durham
'Add' "Su - ni6om. & Ele' Ser' Ch/SF
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40-28-68 '
Terry Ferris
1237 Stanford Lane, Durham
Permit #I07Q ; (a`�,�l;etgo /SF)
040-28.0-068' • l'�r. ,PPERMIT#96-0093
WOODS, Michaela
9.119 'Stanford Ln.'; 'Durham
'Add' "Su - ni6om. & Ele' Ser' Ch/SF
0
REST
NTIAL
040-280-068 PERMIT#96-0093
WOODS, Michael
9119 Stanford Ln.-, Durham
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REST
NTIAL
040-280-068 PERMIT#96-0093
WOODS, Michael
9119 Stanford Ln.-, Durham
Add Sunroom & le S Ch/SF
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OFFICE COPY ,
'
/, q e
Address q6 ` w
�1"►/wiY / � � �
GAS
Meter By "
Date
ELECTRIC
Meter By Date �7
W
JOB FINALED
(Date)
)Signature
�i
i
V OK
O = Not OK
= Not Applicable
Not Ready RESIDENTIAL (;
=
Date UNDERFLOOR (Plans) OK except tf'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. Stemwalls, Main; Steel-Blockouts-Wrapped
6. Stemwalls, Garage; Steel -Bloc kouts-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/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 Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date PLUMBING (Permit),OK except a's
16. Water Htr.: Vent -Access -Combustion Air -Baffle
17. Water s Anchor -Nail Protection
--------------- ----- - - ------ --------------------------
----- - 18. D. e - tin or -Nail Protection
-- - - ------------------------------------
19. ow r P n or -Tub Access
20 Test S d Floor Tub Access
------------ ------ --------------------- -- - -
----------- 21. Gas Pipe
-
------------------------------------- - --
----------------------
Date Card B-1 Date--- ---------- Card B-1
---------------------- - ----- -------------- -- -- - -- -
Date Card B-1 Date Card B-1
Date ELECTRICAL (Permit) OK except tr's
22. Fixture & Transformer Clearance -Ins. Protection
-------------------------------------------------------------------------------
--- - - 23. Elec. Receptacles Spacing -Lights & Switches at Doors
-- - - - ---- -------------------------------------------
24. Size Boxes & No. of Conductors -Stapled
----- ---- - - - ---------- - ---------- -- ------------------I.._._...
25. Romex Inst
------------- d Close to- Edge of Studs & C.J.
------ -- -- - -- ---....- --
26. Equip d ade up w/Mech. Fastners-Bond Gas & Water
--- -------- ` - -------------------------- --- .--- - -------------------
27. 2 Ap lir uts i Kitchen & Conductor Size GFI
----------------.... - - - - --- - -------------------------- ....
28. Subf a ga. or AI-A.C. Wire Size ga.
Cu or
--------------------------
29.
----------------------- 29. Range irc. n Circ. ga. Cu or Al.
Insulated Ne t ❑ No
--------------------------------- -------------------------------- ..
30. Service -R' er n and -Main Disconnect
------------ ........ ......
31 Equip_Cle s- s-Mech. Equip.
-------------- .._. .1 ...... ....... ..
32. Clothes Cl' Li hi ht -Spa Light
--- - -- -- -- - - - - ---------._.....
33. Smoke Detector /
------------- - - ...._.. - �... -
.................. --............. .... ........ .....------. ........................ ..
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 lauon &Support
-----------------... - - - -................................. ....... ..
35. Vent Fa aust a ove nsulation ,
--------------5...Ve... .... _ .. ._....._._. ... ... ....... ..
36. Conden t i O fl e &Grade
-------------- -----..._.. ... ... . ..:... ....... .
37. Furnanc t: A c r -Return Air Vent•115 outlet
- - ............ ..
38. Attic Acc s & i Ft nce in Attic
...... ---- -... ....... . _ ... .. I.. . .. . . .. .. ..
----------- ---• - -.B..1---. .. v.
Date Card B -t D e Card B-1
-
--
----------- - ....... ....... ....... ... . . .. . . ..
Date Card B -I 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
--.........
.................... ... ... .
42. Draft Stop in Walls (rat proof)
-
....._.....------.......-.._._... .__.. .-....------- .... .
43. Fire Stops: Furred Ceilings -Stairs -Chases -Tub
_
....... . .......... _.......... ..... .. .......... .. .. .... ..
44. Headers & Beam -Size & Bearing
lIngle & Duplex)
Date FRAMING (Continued)
45. Hangers -Post Caps -Anchors -Connectors _
46. Cing. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Rfng.
47. Fireplace TiAs or Type A Flue -Fireplace Throat clearance
48. Attic Acce s; Size & Romex Protection -Draft Stop -Ins. Baffles
49. Bdrm. Wi ws r Exiti g s -Sill Hgt. & Dimensions
50. Garag tectio
------------------------- -- --------- 51. Prop _rtee Fi & , penings _
52. Ext. rs- heck Garage -3rd Story, 2 Exits
53. _Stairs; adroom-Rise-Run-Landing-Fire Protection
54. plywo Ro erhang-Attic Vents -Rafter Outriggers
---------------------- ---- ----
55. Sidi' aili neer
--------------------- - -- -
56. Stucc creed -Fd. Vents-Underflr. Access
-----------------------
57. Glazin as Protection -Skylights -Plastic
-------------------- --- --- -
58. She- Nailing -Bolts
---------------------------------
59..s ati -Walls-Ceilings
----------------------------
60. Infiltration -Walls -Windows
----------------------
- -- - -- -------------------------------- -
Date Card B-1 Date- Card B-1
..-----------------------------------------
Date Card B-1 Date Card B-1
Date FINAL (Plans) Ok except p's
61. Ext. Steps -Door & Sidelight Protection -Landings
--------------------- - -
62. Smoke Detector
63. Furnace: Vents -Clearance -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 & Rails
---- ------------------------
68. Fireplace or Stove: Clearances -Hearth
._..------------------------------- -
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 -Meth. 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 ❑ Yes
-------------------------------------------------
78. Guard Rails & Deck Construction -Post Caps
...... _------------------------------------------------ --
79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth
Clearance Looked under Floor ❑ Yes
--------------
80. Following instldDrive ❑ 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
----------- -----------------------
87 Glass Protection
.. .... ...... _..------------------------------
88. Corrections from Previous Inspections
------------------------------------------ ---
----------------------------------
89 Gas Test -Meters Tagged: Gas -Electric
_.. ....... -----------------------------------
90. Water & Sewer Connected-CrO to Grade -HD Approval
.------- -----------------------------------
91. Energy Compliance Certificate -Other Certificates
-- -- - --
-
Dat
Date Card B-1 Date Card B-1
. .. .... ..........
------------------------------------
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B -t
Comments.at Final:
V=OK
0 = Not OK
_ "otApphcable -
• = Not Ready MOBILE HOMES
Date
MOBILE HOME UTILITIES (Plans) OK except #'s
nin Requirements -Setbacks -Easements
Soils-Size-DepthSpacing-Connectors-Steel
3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails
1. Zoning Requirements - Setbacks - Easements
4. Wood Awn.; Posts-Beams-Rftrs.-Connectors
Shthg: Rfg.-Bracing
2. Soils; Special MH Support Sketch
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
3. Sewer; Location -Test -Fall -C/0 -Concrete
6. Carpo mdows-Doors
4. Water; Location -Test -Easement Needed (Sketch)
ectric
5. Electricity; Location-Clearances-Gmd-/ /Amp -Concrete
$iPffii nchors-Studs-Rftrs-Trusses
6. Gas; Location -Test -Wrap; / ^:ft.
/ /Nat. or/ M2 t./ /LPG
flooTidling; Nailing Veneer -Stucco -Mesh
7. Well Clearance & Disconnect
10. Roof; Sh oofing
8. Utility Clearance
11& -EV. -Steps -Doors -Landings
Date
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
MOBILE HOME INSTALLATION (Plans) OK except #'s
1. Setbacks -Easements
1. Zoning Requirements- Setbacks Easements
2. Soils; Compaction -Structure Stability
2. Footings; Size -Spacing -Marriage Line
3. Pool Structure; Steel -Connections -Thickness
Dead Men -Lining
3. Gas; MH Test -Demand -Valve -Connector
4. Elec.; Receptacles and Lighting, Distance-GFI
4. Electricity; MH Test -Crossovers -Breakers -Clearances
5. Elec.; Pool Lighting; 15 Volts-GFI
5. Drain; MH Test -Fall -Flex Connector
6. Elec.; Enclosures; Conduit Entries -Terminals -Listed
6. Water; MH Test -Regulator -Connector
7. Elec.; Bonding; Metal w/6 -Circulating Equip. -Heater
7. Water and Sewer Connected -C/0 to Grade -HD Approval
8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg.
Boxes-Enclosures-Panelboards-Ins. to Main in Conduit
8. Gas and Electricity Tagged
9. Health Department Approval
9. Tie Downs -Type -Installation Cert.
10. Plumb.; Cir. Test -Water Supply Test
10. Exits; Insp.-Sketch
11. Cert of Occupancy
Date
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
MISCELLANEOUS
Date
DECKS, OVERS, CARPORTS, GARAGES Plans OK except #'s
rtings;
nin Requirements -Setbacks -Easements
Soils-Size-DepthSpacing-Connectors-Steel
3. Decks; Girders 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. Carpo mdows-Doors
ectric
$iPffii nchors-Studs-Rftrs-Trusses
flooTidling; Nailing Veneer -Stucco -Mesh
10. Roof; Sh oofing
11& -EV. -Steps -Doors -Landings
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
POOLS (Plans) OK except #'s
1. Setbacks -Easements
2. Soils; Compaction -Structure Stability
3. Pool Structure; Steel -Connections -Thickness
Dead Men -Lining
4. Elec.; Receptacles and Lighting, Distance-GFI
5. Elec.; Pool Lighting; 15 Volts-GFI
6. Elec.; Enclosures; Conduit Entries -Terminals -Listed
7. Elec.; Bonding; Metal w/6 -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) 538-7541 PERMIT 4O.
APPLICATION AND PERMIT 96 -00 9i8
ASSESSORBARCEL NUMBER
040-280-068
ZONING
A-10
BUILDING PERMIT
OWNER
MICHAEL WOODS
TELEPHONE
894-6111
SO, FT, OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS
9119 STANFORD LN., DURHAM
201 R 10251.
CONTRACTOR'S NAME
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER -
UNIOJOWN
Total Valuation Is
LENDER'S MAILING ADDRESS
Filing Fee $
20.00
Permit Fee $
126.00
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee $
81.90
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Energy Plan Checking Fee $
Penalty $
BUILDINGADDRESS 9119 STANFORD LN., DURHAM
PERMITFEE $
227.90
PLUMBING PERMIT
Fling Fee 20.00
Each Trap
7.00
LOT NO.
SUBDIVISION'S NAME
PARCEL MAP
Solar or heat pump water heater
23,00
USEOFSTRUCTURE
SF iXM)uplex ❑ Mobilehome ❑ Other
SPECIFY
Water piping
15.00
Each gas water heater or vent
15.00
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
TYPE OF WORK
New ❑ Addition XX Remodel ❑ Utilities ❑ Installation ❑ Other ❑
Describe Work: _SUNROOM & ELE SEF► CHANGE
Mobile Home S G W
@20.00
PERMITFEE $
Contractor
ELECTRICAL PERMIT
Filina Fee 20.00
Main Service 000V OR LESS
( 200A OR LESS )
23.00 0
Main Service ( 200A TO 1000A )
46.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9(commencing ) with Section 7000 of Division 3 of the Business and Professions Code,
and my license is in full force and effect.
'cense Class Lic. No.
OWNER -BUILDER DECLARATION
1 hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law. or 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.
❑ 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
NEW CONST. DWELLING OCCUP.
OR ADONS. ( 8 ACC. BUDS. )
SO,
3.50 FT.
NEW CONST. MULTI.OUTLET
NON-RESID. ( BRANCH CIRCUITS )
97.50
( POWER APPARATUS )
8 SINGLE OUTLET CIR.
r
Ex. Occup. (OUTLET OR FIXTURES)
20 Q 1.00
BAL 50
FIXED APP WS. OR
Ex. Occup.
p' ( OUTLETS (RESID.) EA)
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
PERMITFEE $
43.00
Contractor
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
❑ 1 have and will maintain workers' compensation insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permit is issued.
My workers' compensation insurance carrier and policy number are:
Carrier
MECHANICAL PERMIT
Filing Fee 20.00
Heating
Cooling
Hood
6.50
Ventilation
PERMITFEE $
Contractor
Policy Number
(The above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
I certify that in the performance of the work for which this permit is issued, I shallTOTAL
not employ any person in any manner so as to become subject to workers'
compensation laws of California, and agree that if I should become subject to the
workers' compensation provisions of section 3700 of the Labor Code, 1 shall
forthwith comA wit ose provisions.
'
X 411__ Date %��--
Signe*ur;efpplicant - Owner ❑ Contractor ❑ Agent
An OSHA permit is required for excavations over 5'0" deep and demolition or construction
of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
Occ
CONST. TYPE
FEE $ 270.90
HAZ. 1 D. FEES
IMP
FLA
CD PAR
PD HD
This permit is hereby issued under the applicable provisions
of the Butte County Code and/or Resolutions to do work
indicated above for which fee have been paid.
B Date
PERMITEXPIRESON_ ' z//
—/-_(Date)
Receipt No. 190547
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
°i.j:,01.66UNTYOF BUTTE - DEPARTMENTOF.DEVELOPMENTSERVICES - BUILDING DIVISION
4 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 -TELEPHONE
(916) 538-7541
PERMIT APPLICATION DATA SHEET
OWNER Ph No.
Proposed Building Use Hwy` Building Inspector Y.P Date
At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance:
DATE RECENED BY
1. All items have been submitted . ........................................
2. Plot plans, 3/4 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 . ................/
7. Statement of Intent for Non -Heated and A/C Buildings . ............. `.. .
8. Engineered truss details and layout in duplicate (required prior to plan check). ....
9. Mobilehome data and manufacturer's installation instructions, 2 sets. ...........
- 10. Fees of $.........................................
11. Impact fees as shown on attached schedule . ............=................. .
12. California Department of Forestry plan approval/fees. ........................
13. Flood elevation letter (100 year flo ) by California Engineer. . .
Le�14. Sanitation and plot plan approval t (� 6 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. .......... .
19. Driveway permit (construction approval required prior to occupancy). .. P .
reanspedion request
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 . ..................... :..........
...:... .
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 . ......................................
32. Plan check list . .................................................... .
33.
34.
Wh "eu issue theM*r K7��s as follows: Mail to owner. Mail to contractor.
Telephone 9 and hold for pickup at office. Deliver with inspector.
Other
Parcel Creation/411Acreage Applicant 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 1.
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 Co ter by _ Date
Plans checked by Date Plans approved by Date�A&
Sets of plans on hold in File' cabinet AP folder s
� N
Copy - Department of Public Works
/^LH, V-SEONLY
t � Plat Pin AftcW
Fkm'Pin AmwbW
Sent to B.D.,Z-/S /PL—/
TO: Building Department
FROM: Environmental Health
SUBJECT: Sanitation Clearance
9M ���4,pj �� - tlt�A6�6
Owner Location APAP
Plan Approved for: Sewage Disposal Water Supply: Public Private Well
Clearance for bedroom mobile home. Other �roon:�
Hold final for:
Final clearance O.K. for:
NOTE:
Env' nmental Health Specialist
�Ly�
to
O.B.-1
Attention Property Owner:
An "owner -builder" building permit has been applied for in your name and bearing your
signature.
Please complete and return this information at your earliest opportunity to avoid
unnecessary delay in processing and issuing your building permit. No building permit will
be issued until this verification is received.
1. I personally plan to provide the major labor and materials for construction of the
proposed property improvement: YES[ NO[ ].
2. I HAVE[XJ HAVE NOT[ ] signed an application for a building permit for the
proposed work.
3..I have contracted with the following person (firm) to provide the proposed
construction:
NAME:
ADDRESS: CITY:
PHONE: CONTRACTOR'S LICENSE NO.
4. I plan to provide portions of this work, but I have hired the following person to
coordinate, supervise, and provide the major work:
NAME:
ADDRESS: CITY:
PHONE: CONTRACTOR'S LICENSE NO.
5. I will provide some of the work but I have contracted (hired) the following persons to
provide'the work indicated:
NAME ADDRESS PHONE TYPE OF WORK
SIGNED:
PROPERTY OWNER:
SOCIAL SECURITY NUMBER:
DATE: �l
NOTE: This owner -Builder Verification is required by Section 19831 and
19832 of the California Health and Safety Code.
This verification must be completed and returned to our office before
we are permitted to issue the permit.
OVER
Dear Property Owner:
An application for a building permit has been submitted in your name listing yourself as the builder of
property improvements specified.
For your protection, you should be aware that as "owner -builder" you are the responsible party of record
on such a permit. Building permits are not required to be signed by property owners unless they are personally
performing their own work. If your work is being performed by someone other than yourself, you may protect
yourself from possible liability if that person applies for the proper permit in his or her name.
Contractors are required by law to be licensed and bonded by the State of California and to have a
business license from the city or county. They are also required by law to put their license number on all permits
for which they apply.
If you plan to do your own work, with the exception of various trades that you plan to subcontract, you
should be aware of the following information for your benefit and protection:
0 If you employ or otherwise engage any persons other than your immediate family, and the work (including
materials and other costs) is $300 or more for the entire project, and such persons are not licensed as
contractors or subcontractors, then you may be an employer.
0 If you are an employer, you must register with the State and Federal Governments as an employer and you are
subject to several obligations including state and federal income tax withholding, federal social security taxes,
workers compensation insurance, disability insurance costs, and unemployment compensation contributions.
0 There may be financial risks for you if you do not carry out these obligations, and these risks are especially
serious with respect to worker's compensation insurance.
0 For more specific information about your obligations under Federal Law, contract the Internal Revenue
Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your
obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial
Accidents.
If the structure is intended for sale, property owners who are not licensed contractors are allowed to
perform their work personally or through their own employees, without a licensed contractor or subcontractor, only
under limited conditions.
A frequent practice of unlicensed persons professing to be contractors is to secure an "ownerbuilder"
building permit, erroneously implying that the property owner is providing his or her own labor and material
personally. Building permits are not required to be signed by property owners unless they are performing their own
work personally.
Information about licensed contractors may be obtained by contracting the Contractors State License
Board in your community or at 1020 N Street, Sacramento, CA. 95814.
Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm
that you are aware of these matters. The building permit will not be issued until the verification is returned.
Sin'c/brel
Michail C. Vieira, C.B.O.
Manager, Building Inspection
NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code.
OVER
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BUTTE COUNTY
BUIDING DERARTNENT
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COUNTY OF BUTTE
,. BUII QjNG DIVISION
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DEPARTMENT OF DEVELOPMENT SERVICES
�`.. 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
is yzr
' CORRECTION NOTICE
OWNER PERMIT NO.
rti 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 completed. If you have any questions pertaining to this matter, or need additional explanation,
' please contact this office immediately.
Y'S Date �'"2� Inspector
REV 10/92
t' " 669;38B,E
PERMIT NO. .
f` PERMIT EXPIRES. /V
OWNER Terry Ferris
CONTR. owner
LOCATION (A.P. 40-28-68
1237 Stanford Lane, Durham
11
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ti
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9
Temp. Power Pole
Called PG&E
Temp. Elec. Serv.
C [led PG&E
Teml Gas Serv.
Called PG&E
J�B
FINALED
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS:
BUILDING INSPECTION RECORD
Mesh ME NICAL ault Prot.
Scratch Heating
Brown Cooling 4m Pswe__
Finish Ducts [htdawrnun&
interior L-ain ventilation
Door Closer I Final Final
MOBILEHOME UTILITIES - - - - - - - - - - - - - - - - - - Elec. Service Elec. Pedestal
Water Piping Sewer Gas Piping
W12BILEHOME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity
Water Piping Drainage Gas Piping
DATE REMARKS OR CORRECTIONS
c
J
/ r
or
(NOTE: An entry must be made on this form each time you visit the job site.)
BU!LDING
BUILD NG (Cont'd)
PLUMBING
Setback —
Firewall
Soil Piping
Forms -�
g'--�
Parapets
1st Floor
Main Bldg.
Restroom Finish V
2nd Floor
Footings
Windows
3rd Floor
Stemwa1l —
Siding -- 2 — %
To out
Slab
Roof Sheathing
Water Piping
Piers
— /d 7
Roofing
Sewer
Garage
Fdn. Vents
Fixtures
Footings
Stemwa I I
Insulation AI
Water Htr.
Heaters
Slab
Carport
Footings
ov. for h sic-
COMMcex
s1 a
Appliances
Gas Piping & Test
Temp. Gas
Slab
Final
Sanitation
Patio
FIREPL CE
Final
Footings
Footing
ELECTRICAL
Masonry Walls
Throat
Rough
Reinf. Steel
Final
Fixtures
Bond Beam
FI E SPRINKLERS
Motors
Framing 4
-20 —%
Test
r"W_--
Mesh ME NICAL ault Prot.
Scratch Heating
Brown Cooling 4m Pswe__
Finish Ducts [htdawrnun&
interior L-ain ventilation
Door Closer I Final Final
MOBILEHOME UTILITIES - - - - - - - - - - - - - - - - - - Elec. Service Elec. Pedestal
Water Piping Sewer Gas Piping
W12BILEHOME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity
Water Piping Drainage Gas Piping
DATE REMARKS OR CORRECTIONS
c
J
/ r
or
(NOTE: An entry must be made on this form each time you visit the job site.)
R ? COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
7 County Center Drive — Oroville, California 95965
Telephone: 534-4541
APPLICATION AND PERMIT
Qtnt r%lktr-
Xl09'-7
Owner I
SQ. FT. OCC. BUILDING VALUATION
2
Mai I ing Address
Gin
Te epho e
Fireplace
Contractor
Total Valuation
Mailing Address
Permit Fee
Plan Checking Fee &/or Penalty
e
Tlephone No.
Permit Fee
''QQ
Building Address03 7 In a
PLUMBING No. @ FEE
PERMIT FILING FEE $3.00
Each Trap 1 1.50
Repair drainage or vent piping 1.50
Water piping 1.50
Each gas water heater or vent 1.50
A. P. No Zoning &Planning
Gas piping system 1 - 5 outlets 1.50
Each additional outlet .30
FeKW
S i ion
Fire Dept.
I Fire Zone Use Permit
Building sewer 5.00
EQA
Parking
Plans
Parcel
Declaration
Parcel Ma P
60' /W
Im provements
Lawn sprinkler system 2.00
Bldg.PI s Rec'd
Parcel Approval
Plans Approval
Permit Fee $
NEW ❑ ADDITION UTILITIES ❑ OTHER
ELECTRICAL No. @
;FEJE
PERMIT FILING FEE $3.00
Main service 80001 OR 0 AMP ORLESS5.00
Main service EA. ADO'L too AMP 2.50
Single Family Duplex ❑ Mobil Home ❑ Others ❑
OVR 600V
Main service 100E
EAMP OR LESS 25.00
Main service EA. ADD'L 100 AMP 1.00
NEW CONST. DW E L CCUP. & 22sgft O
OR ADDNS. ACC D ) ,
NEW CONSTR. M LTI-OUTLET
NON•RESI D. BRANCH CIRCUITS) 2.50ea
NEW CONSTR. POWER APPARATUS &
NON•RESID. (SINGLE OUTLET CIR.
CONTRACTORS LICENSE LAW
I am licensed under the provisions of Chapter 9, Div. 3, of the
State of California Business & Professions Code under the name
style of:
Ex. Occ Up(OUTLETS OR FIXTURES) BAL@1
Ex. Occup. (OUT LETSP(RESID )REA) 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 $ GD
t_
WORKMEN'S COMPENSATION INSURANCE
1 am aware of the provisions of Section3700 of the California Labor
Code which requires every employer to be insured against liability
for Workmen's Compensation.
❑ I have placed on file with the County of Butte a certificate of
Workmen's Compensation Insurance.
I certify that in the performance of the work for which this
permit is issued I shall not employ any person in any manner
so as to become subject to the Workmen's Compensation Laws of
California.
MECHANICAL No.1 @ FEEPERMIT
FILING FEE J$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
TOTAL PERMIT FEE
!cNIcamnouvaa VI the VUunty UI 6utle to enter upon ine
:ab>ove_ment'ed property for inspection purposes.
r
X Date
Signoture ermitee or Agent
Receipt No. 1690 3 1
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant
This permit is hereby issued under the applicable provisions of
the Butte County Code and/or resolutions to do work indicated
above for which fees have been paid.
DIRECTOR OF BLIC WORKS
By Date .2—,';Z / — 7?
Building permit expires Date 2—Z/—
- All Materic+ls R W rkrnnnship Shall Be in
NOTE. (. ^irl P --rices and
sivality �*P'�r'�'^.` '„ ��`'e use in the
Of a
Uniform Buildingr Machanical Codes and
L OT 69 the National Electrical Code. t
The Bldg Setback shall be 5 ft. from
side property line and 50 it. from
centerline of the road, permi-ri•irrg a rr
1r.u10 of a 2 ft. eave overtmog but ent
out of all easements.
;�y' 7�
BUTTE COUNTY
,BUILDING DEPARTMENT
�PP�O.�IED
sTA. IVFOP D LN.
This set of plans and sp;cificctionv MUST ba
cept on the job at all times :and it io Unlawful to
hake any changes or alterations on same without
written permisson from the bepartment of Public
Works, County of Butte -
Sept:
c
utte.Septic sygtem and location of build-
ing to be as per
Butte County Health Dept. Re -
au i remenj�s.
SHE G
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A LF, j yor
OuRiiA�{ ,
CALIF. 9593$
70
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This set of plans and specifications MUST be
kept on the job at all times and it is unlawful to
make any changes or alterations on same with-
out written permission from the Department of
267 Ft public Works, County of Butte.
yU Ft
9119 Stanf ord bane
El
ALL MRIJ01WI ES AND EQUIPMENT ENT iNCLUDIN'd
OVERHANGS S14AI.:L BE CSR OF ALL ER:aEMEN S.
A y;l;' n BACK OF /0 FT. ira;W THE -QlDE AND
FT. FROM T KE ; s R PROPERTY LINEA ,aMn
AC..,..... FT- M9041i4 THE ROAD CEMTEF31_INE SHALL 32
WAR OF 8—RUCTURES AND EQUIPMENT EXC' Efrr
FOR A 2 Fr. EAVE OVERHANG.
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EI®Vf1i4Si��u.u�a��.
�r E B 14 1996
Chico, California
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s `9 `,e 1"=30"
30` BUTTE COUNTY
BUILDING DEPARTMENT
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