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HomeMy WebLinkAbout028-110-02928-11-29 GENE DAVIS NE cor @ inters Pleasant Grove Ln & La Porte Rd, Bangor Permit#1256-83B.P.E,M(new single family) 28-11-29 Permi.t#2901-84B(lst ranewal/1256-83) iN 28-11-29 GENE DAVIS NE cor @ inters Pleasant Grove Ln & La Porte Rd, Bangor Permit#1256-83B.P.E,M(new single family) 28-11-29 Permi.t#2901-84B(lst ranewal/1256-83) CN firs I PERMIT NO. PERMIT EXPIRES OWNER GENE DAVI.$- CONTR. owner ASSESSOR PARCEL 28-11-29 LOCATION NE cor @ inters Pleasant Grove Ln & LaPorte Rd,, Bangor h, OFFICE COPY Address V4_ Temp. Powe, GAS Date46 Called F Mete, B ELECTRIC Date la Temp. Elec. Meter BY Called PL, - Temp. Gas Service Cal led PG&E JOB FINALE[ Signature J = Ok 0 = Not OK — = Not Applicable * = Not Ready MOBILEHOMES MISCELLANEOUS Date MOBILEHOME UTILITIES (Plans) OK except q's - - 1. Zoning Requirements—Setbacks-Easements Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except N's 1. Zoning Requirements—Setbacks—Easements 2. Soils; Special MH Support—Sketch 2. Footings; Size—Depth—Spacing—Connectors 3. Sewer; Location—Test—Fall-C/0—Concrete 3. Decks; Girders and/or Joists—Decking—Bracing-Stairs—Rails 4. Water; Location—Test—Easement Needed (Sketch) 4• Wood Awn.; Posts—Beams—Rftrs.—Connec.—Shthg.—Rfg.—Bracing_ 5. Electricity; Location—Clearances—Grnd.—/ / Amp—Concrete _ 5. Alum. Awn.; Columns—Connections-Splice—Decal—Enclosures 6. Gas; Location—Test—Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG 6. Carports; Windows—Doors 7• Utility Clearance 7. Elec. Card -BI Date Card -BI — Date i .Card -BI Date Card -BI Date Card -BI Date Date Card -BI Date it . MOBILEHOME INSTALLATION (Plans) OK except N's _ Card -BI Date Date Card -BI Date _ POOLS (Plans) OK except H's 1. Zoning Requirements—Setbacks—Easements 1. Setbacks—Easements �. 2. Footings; Size—Spacing—Marriage Line 2. Soils; Compaction—Structure Stability 3. Gas; MH Test—Demand—Valve—Connector 3. Pool Structure; Steel—Connections—Thickness—Dead Men—Lininc 4. Electricity; MH Test—Crossovers—Breakers—Clearances 4•' Elec.; Receptacles and Lighting; Distances—GFI 5. Drain; MH Test—Fall—Flex Connector 5. Elec.; Pool Lighting; 15 volts—GFI 6. Water; MH Test—Regulator—Connector 6. Elec.; Enclosures; Conduit Entries—Terminals—Listed 7. Water and Sewer Connected—C/0 to Grade—HD Approval 7, Elec.; Bonding; Metal w/5'—Circulating Equipment—Heater, B. Gas and Electricity Tagged 8. Elec.; Grounding; Equip.w/5'—Circulating Equip.—Poollghtg. Boxes—Enclosures—Panel boards—Ins. to Main in Conduit 9. Exits; Insp.—Sketch 10. Cert. of Occupancy ' 9. Health Department Approval 10, Plumb; Cir. Test—Water Supply Test Card B -I Date Card -BI Date Card -BI Date Card -BI ` Date Card B -I Date Card -BI Date Card -BI Date Card -BI Date owwv� .ate ON OIL 0 = Not OK Not Applicable. {� = Not Really RESIDENTIAL (Single and Duplex) Date UNDERF R Plans) OK exceptp's Date FRAMING (Continued) on' quirements-Setbacks-Easements 4 Line Firewall & Openings Main; Soils-Steel-Elec. Grnd.- /" Ftg. Depth . Ext Doors -One 3' -Check Garage -3rd story, 2 exits 3. Ftg., Garage; Soils -Steel- /VAC Depth-7VAWCO Fits✓rs; eadroom-Rise-Run-Landing-Fire Protection 4,\ Ftg., Porches & Decks; Soils -Steel ­ n_/ /" Ftg. Depth lywood on Roof Overhang -Attic Vents -Rafter Outriggers _ IIs, Main; Steel-Blockouts-Wrap Siding -Nailing -Veneer t wa Garage;-Blocko -Wrapped 53. S o Mesh -Drip Screed- . ents-yPd6rfIr. Ac ess s -F' a Fig. -S lazing Area -Glass 96tection-Sky ' is -PI c 8. D. .: Fitti -T -2 way C/O -Sewer Test Shear Walls; Nailing -Bolts 9. Gas Pipe ize-An rs �10. Water ipe; Te An rs-ReeJekt4er-S erground 1 Plenums Duct ; Clearance- terial uppgp-ins. 3. Gird -Si -Anchor -Jot -Ve-6ropp�e� Card-BIDate , Q17C -BI JgW - Card -BI Date Date Card -BI Date Card -BI Date Card -BI Date ar I r and -BI Date Date FINAL (Plans) OK except q's Card -BI Date /2r =Card -Bl Date Date PLUMBING (Permit) OK except q's t. Steps -Door & Sidelight Protection -Landings 57�m6%e Detector 14. Water Ht.; Vent -Access -Combustion Air 8. Furnace; Vents -Clearance -Comb. Air -Connector - I arage; Above Floor-Ducts-Mech. Protection 5. Water Pipe; Test & Anchors -Nail Protection W.V.; Test-Fttngs &Anchors -Nail Protection Bedroom Exiting _ an; a first Floor -Tub Access wer, 2nd Floor -Tub Access 6 .I. & Bath Fixtures &Tub Access �61ec. Trim & Subpanel; Breaker Sizes -Labels Gas Pipe; Size & Anchors 62. JaOs`-19� Rails 01- Fir ce or Stove; Clearances -Hearth EI Outlets at Wood Panel; Int. & Ext. Card -BI Date Card -BI Date _ • Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI Date _ ,.SCard-BI Date Date ELECTRICAL Permit OK except N's 66 ec. Outlets & Receptacles at Kit. Counter X67 rage Fire Door; Swing -Landing -Closer 68.. Duct in Garage -Damper _ 20. lure & Transformer Clearance -Ins. Protection � Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In.Gge; Above Floor-Mech. Protection :lec .Receptacles Spacing -Lights &Switches at Doors 70 70 b., Elec. &Mech. Equip. Listed for Location - e Boxes & No. of Conductors -Stapled 1 .IeE Receptacles in Garage; (G.F.I.)-Romex Protec. bmex Installed Close to Edge of Studs & C.J. ---- - E . Ground made up w/Mech. Fasteners -Bond Gas & Water -if. -Foam-Looked in Attic ❑Yes oed Rails & Deck Construction -Post Caps 2 Appliance Circuits in Kitchen &Conductor Size If Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes _ - 26. Sub feed Wire Size / / ga. Cu or Al-A.C. Wire Size / / ga. Cu or Al 2,P -Mange Circ. /ga. o At Oven Circ. / / ga. Cu or AI, j — Insu I dNeutr ,, El No 75• Following instld.: Drive ❑ Yes E] No; Walks [I Yes [I No; PI is ❑Yes ❑No — ervice-Riser Conductors & Ground -Main Disconnect tucco; Brown -Finish ---[L uip. Clearances; Panels-Motors-Mech. Equip. 77, nit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet _— --- ht -Shower Light_ t Ve -Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. ---------- -- 7 ater Well; Disconnect, Electrical, Plumbing 80. rior Elec. Trim; G.F.I. Receptacle -Underground d B -I Day,2 Card -BI _ Date ! Card B -I Date Card -BI Date V ilation throughout House 8 Glas rotection Date MECHANICAL (Perm,it) OK except q's , 83. _ orrections from Previous Inspections 4. Test -Meters Tagged; Gas -Electric 31. A.0 tion & Support r32_�LeF[+e-E�chaust above Insulation _-aaAeRsete Brain_& Overilow; Size & Grade j 86• Water & Sewer Connected -C/O to Grade -HD Approval Energy Compliance Certificate -Other Certificates t^^F •^�^ Access-Comb._Air-Return Air Vent -115V outlet 1 ------fie �- 35. ttic AQcess & Platform if Furnace in Attic - - ----- --- Card -BI Date Card -BI Date C��^BI Date ,/Q—Ca—rd-Bl Date �"'- '_ Card -BI Dated -BI Date Card -BI Date and -BI Date Card -BI Date Card -BI Date Comments at Final: 1'"`� Date FR I (Plans) OK except q's _ills; Proper Material & Anchors _ - _alls; Studs -Nailing, Spacing & Bracing -Plates -Sound W. Bearing Walls over Girders & Floor Nailing___ _3 Draft Stop in Walls (rat proof) _ ire Stops; Furred Ceilings -Stairs -Chases -Tub >Ieader &_Beam -Size & Bearing __ --- — -�--_ - �l�4 ,'ef�i/// angers -Post Caps -Anchors -Connectors - - ng. Jo, -Rftr. Ties-Purlin-Ro/of Brac.-Truss-Shthnq.-Rfnq. . Fi epf�Ties or Type A Flue -F yep�.cy�� - 45. ttic Access: Size & Romex Protection -Draft Stop -Ins. Baffles _ - Bdr Windows or Exiting Doors -Sill HgL_& Dimensions—_--- - arage Fire Protection Framing (NOTE: Anentrymust be made each time youvisit jobsite) COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS. 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 534-4541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext.•57 -.CORRECTION NOTICE OWNER PERMIT NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional. explanation, please contact this office immediately. ;t; ; �7 W JUGS, af.s ' Inspector Date r 'Oft COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS —•196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Orovi Ile — Phone: 534-4541 Skyway and Elliott Road, Paradise— Phone: 872-2961, Ext. 57 CORRECTION NOTICE BUILDING OR PROPERTY ADDRESS A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. Inspector \_' ��ii Date '� �'" 63 COUNTY OF BUTTE BUILDING DIVISION 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 CORRECTION NOTICE .t, OWNERC - O —2G / , /1J PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances ext 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 copt ct this office immediately. ,�ng /� A5 Date 1p / &�� Inspector REV 10/92 J COUNTY OF BUTTE - DEPARTMENt OF PUBLIC WORKS ` 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 • — ( . � APPLICATION AND PERMIT PERMIT N0: , ASSESSOR PARCEL NUMBER 28-11-29 ZONING A5 BUILDING PERMIT OWNER Gene Davis TELEPHONE SO. FT. OCC, BUILDING VALUATION 1st Renewal OWNER'S MAILING ADDRESS P.O. Box 234 Bangor, CA 95914 CONTRACTOR'S NAME Owner TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER None UNKNOWN Total Valuation is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ 145.00 ARCHITECT OR ENGINEER None LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ 155.00 BUILDING NEcorner @ inters. Pleasant Grove Ln & LaPorte Rd. PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar Water Heater 20.00 Ban or Water piping 5.00 LOT NO.SUBDIVISION NAME PARCEL MAP Each qas Water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SFkR Duplex❑ Mobilehome❑ Other SPECIFY Building sewer 5.00 Mobile Home S I G I W 10.00e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other Describe work: 1st renewal of Permit #1256-83 _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.&` OR ADDNS. ACC. BLDGS. / 21/20sgit - CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR MULTI -OUTLET 2,50 ea .N-RES'..BRANCH CIRC ITS NEW CONSTR POWER APPARATUS .&) NON -RES ID. SINGLE OUTLET CIR. Ex. Occup 20050a p�OUTLETS OR FIXTURES SAL®30 FIXED APPLNS, OR EX. OCCup. OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate /bf Consent to Self -Insure. ?�Jf I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3.00 Ventilation Permit Fee $ Contractor 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue ag��i'd County in consequence of the granting of this permit. Q C Q %�,YC�— ' �i��� Date ! �✓ D Signature of Applicant — Owner Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ 155.00 OCCUP. GROUP I TYPE OF CONST. PARCEL PD I NO I ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which D E TOR 0 PUBLIC BY PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date 6-6-85 Receipt No. �[ JIM WHITED. P. W., YELLOW -ASS SSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - D Oartment of Public Works 7 County Center Drive, Oroville, CA. 95965 Phone: 916-534-4541 OWNER -BUILDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name'and bearing your signature. Please complete and return this information in the envelope provided at your earliest opportunity to avoid unnecessary delay in processing and issuing your build- ing permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) 2: I (have/have not) signed an application for a building permit for the proposed work.. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address. City Phone Contractors License No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: 'Name Address Phone Type of Work Signed Property Owner Social Security number — -: Date NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Orovillp, Calt ornia 95965 -Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT N0. /') ASSESSOR PARC L NUMBER` ZON O � BUILDING PERMIT owNE� / E � n, /l SAV/✓C/NG NE SO. FT. OCC. BUILDING VALUA ON Jf OWNER'S n /� / nL �DR/F Sit^/ / /�///V (�%�� / �� ,V 2Z/ 6-O 00,0 rM CONTRACTOR'S NAME ®W� TELEPHONE CONTRACTOR'S MAILIN11 G ADDR SS Fireplace 1wq,5 /A/S01-9 % 2-j00, O C7 CONSTRUCTION LEN UNKNOWN Total Valuation $ , QQ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ 12.00 ARCHITECT OR ENGI LICENSE NO. Plan Checking Fee $ S 0() Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ �L06"O BUI}p E ADDRESS l��S, PLE19s,4A17 /V PLUMBING PERMIT Filin Fee 10.00 9 Each Trap 0 2.00 CO Solar Water Heater 20.00 Water piping 5.00 S00 LOT NO. SUBDIVISION NAME PARCEL NAP Each qas water heater or 5.00 1570a Gas piping system 1 - 5 outlets 5.00 5ioo ,—/ USE OF STRUCTURE L7 Duplex❑ Mobilehome❑ Other SPECIFY Building sewer 5.00 5,L90SF Mobile Home I S1 GJWJ 10.00e TYPE OF WORK New Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe work: Permit Fee $ -,90 Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 0V OR LE 100 AMP ORSLESS 10.0049,00 Main service EA. ADD'L too AMP 2.50 Z NEW CONST. / DWELLING OR ADDNS. C ACC, BLD , 2�sQSgft a 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 m license is in full force and effect. y License No. Classification X-1 I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR.( ULTI.OUT ET NO N•RESID `BRANCH CIRCUITS) 2.50 ea NEW CONST R. POWER APPARATUS &\ NON-RESID. SINGLE OUTLET CIR. / Occup(OUTLETS OR FIXTURES 6AL®aoQ Ex. Occu BAL030 FIXED APP LNS. OR r A Ex. OCCUp. OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 r UO Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ , Contractor MECHANICAL PERMIT Filing Fee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Heating 000 6,00 C P 4t Cooling )0__A0,00 ,00 Hood 3.00 0a Ventilation Permit Fee $ E!a Contractor 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue again s County in con nce of the granting of this permit. zThis X L- ' ' • Date Signature of Applicant — OwnerlZ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3�sttoriiess in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ 0 OCCu P. GROUP I TYPE of ONST. PARCEL PD HD SSU permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECT OF PUBLIC By PE T EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date Receipt N0. U 2`1"' 1'(D WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT t; COUNTY OF BUTTE - DEPARTMEN_OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - ORO61 E, CALIFORNIA 95965 - TELEPHONE: 916/534-4541 {Jyy J � f PERMIT APPLT"CATION DATA SHEET f VIS No. OWNER 6 r=AIF DAV IS A. P. No. Proposed Building Use Permit Fee Based Upon: Complete Contract Price DPW Valuation / Other (Explain) Building Inspector _/ '' Date 5-3,43 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. . 3. Complete plans up /triplicate. . . . . . . . 4. Complete engineered plans and calcs. . . . . . . . . 5. Plans with Energy Design Compliance Statement. . . . . . 6. State Energy Forms No. 7 Statement of Intent for Non -Heated and AC Buildings, . 8. Fees of $ . . . . . . . . f9. Letter of signature authorization. . . . . . . . . O� 10. Sanitation approval from ArJ.",Al Health Dept. �3 11.1 Planning approval for (A) Ude: (B) Parking: 12. Certificate of Workmen's Compensation Insurance. 13. Contractor's License Information (no., name style, classif.) 14. Owner -Builder Verification (Given to owner❑, Mail to owner ❑ ) 15. Improvements may be required. . . . . . . . . 16. Mobilehome Installation Data. . . . . . . . . •Pre-Inspec._request to (Dote) �17. Pre -Inspection for Required. Bu;ldin Ins ector (� 18. Other F — D /� la v� When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and h�for pickup at 1-a office. Deliver w/inspector. Other Applicant s� r Date�� Copy of plans sent Health Dept., Fire Dept., Other Date During the plan checking process, the following data must be submitted prior to permit issuance: (For required items not checked above at time of alication, circ -re item.) 1. Index permit for above Items No. 2. Additional items required: (Contractor, Designer, Owner) was advised of above required data by Telephone Mail j@ther B Date Plans checked by Date Plans approved by Date Other: Copy—DPW J rro" 'r r�-oi•r: n 1i 1,-2;-, u:. c it cl I &2Q1 �4A, 4 moo_ I,O tiJn /7Qy`D�-.,(: ^�rO': v� _or: �•.l a cpVater Osc_ ztm-l�. �lr Ii''c?l tor. teeter. su �1� Final clearance O.'K, for: - ..titer sup��J Clea _'-ce Tor �_ bedroor-4abalahoma.. 0the J COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA. 95965 , Phone: 916-534-4541 OWNER -BUILDER VERIFICATION Attention Property Owner:' An "owner -builder" building permit has been applied for in your name'and bearing your signature. Please complete and return this information in the envelope provided at your earliest opportunity to avoid unnecessary delay in processing and issuing your build- ing permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) _ 2. I (have/have not) signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. 4. I plan to provide portions of this work; but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work Signed: Property Owner _ Social Security number Date -- NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. OFFICIAL Return to, DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT 9, )j'!'E CCJUNTY- C•sz,:: FOR RESIDENTIAL DEVELOPMENT Rr «;rDSRDIM Section 26-8.1 of the Butte County Code requires this acknowledgementJ� 6 12 o? PFS 4^a be recorded prior to issuance of a building permit. The property described herein is adjacent to land or included CLERK:-RFCGfi©%R:, within an area zoned for a ricultural ur oses,83 and residents of FEE this property may be subject to inconveniences or discomfort arising 1 8`354 from the use of agricultural chemicals, including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occa- sionally generate dust, smoke, noise, and odor. Butte County has established agricul- tural zones which have as a priority use for productive agricultural purposes, and residents within said zones and on adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows: Date: r State of�� ) SS. County of J e ) r�11111i1Ei11!UUMIlA8 ""111119ti11"n" MMI OFFICIAL SEAL JOHN A. STANTON 'ID NOTARY PUBLIC, CALIFORNIA C ' COUNTY OF BUTTE My Commission Expires January 20, 1984 ■IIIIIIIIUIIYIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIi11111111111� i Present A.P. NO. PROPERTY OWNERS: On this the ash day of k✓ M , 19—k 3, before me, the undersigned Notary Public, personally appeared �^ _ - -)Ck �S �.Q v cx�O.�S C"'�` known to me to be the person(s) whose name(s) S subscribed to the within instrument and acknowledged that —t -kc -1 executed the same for the purposes therein contained. IN WITNESS WHEREOF, I hereunto set my hand and official seal. Notar Public RESIDENTIAL PLAN CHECKING GUIDE (S.F., DUPLEX, & MISC. ONLY) Bldg. OWNER A.P. A. GENERAL Zoning requirements (sideyards and parking). Valuation. Signature by R.C.E. or Architect (if required). B.'L PLOT PLAN Complete parcel size and dimensions. Setbacks, sideyards, easements, etc. Other buildings or structures. Grading, fills, drainage. Permit # ,4a1Z # - 29 14-1 C. FLOOR PLAN Complete to scale plan with dimensions. 1L� Required windows for light and ventilation (Sec. 1405). --3! Required windows for second exit (Sec. 1404). Allowable glazing for energy requirements (20% max. per State law). Human impact glass (Sec. 5406).• .F� Required room sizes, ceiling heights (Sec. 1407). G.F.C.I.'s in baths and exterior outlets (Sec. 210-8). �! Light fixtures, switches, receptacles, and exterior receptacles for maintenance of mechanical equipment. �3! Locations of water heater, heating & cooling equipment, other electrical or gas equipment, and plumbing fixtures. 1. Garage firewall, door size, and closer (Sec.'503(d)(4)). 3'0" exterior exit door (Sec. 3303d). ;. Fireplace location. Smoke detectors (Sec. 1413). D:.. STRUCTURAL DETAILS . _Foundation plan complete enough to construct building. or construction details complete enough to construct building. Elevations and wall construction details complete enough to construct Roof construction details complete enough to construct building. eplace construction details and calcs if over one-story in height. Sufficient data and details to satisfy energy insulation requirements E. MISLFIrLLANEOUS ITEMS TO LOOK OUT FOR CCX plywood on exposed locations and'overhangs. Stairway details (Sec. 3305). guardrail details '(Sec. 1716). $rick or stone veneer (Chapter 30). terior plaster - weep screeds (Sec-. 4706 & 4708). per roof pitch for roof covering (Chapter 32). after ties or bearing ridge beam. A=4dequate ge door or porch header sizes. bracing. >< Living area over garage.- complete 1 -hour separation walls and posts, etc. Two (2) exits on three-story dwellings (Sec. 3302). building. (State law). required including supporting COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS P RMT O. 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT O?Ad e)/161-85 ASSESSOR PARCEL NUMBER 28-11-29 ZONING BUILDING PERMIT -OWNER Gene Davis TELEPHONE S0. FT. OCC, BUILDING VALUATION OWNER'S MAILING ADDRESS P.O. Box 234 Ban or CA 95914 CONTRACTORS N ME ower TELEPHONE 2nd rpnpwal permit CONTRACTOR'S MAILING ADDRESS Fireplace t��ISTRUCTION LENDER ii UNKNOWN Total Valuation $ Filing Fee $ 10.00 L D LENDER'S MAILING ADDRESS Permit Fee $ 145 OQ nOteYECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ 155 00 BUILDING ADDRESS PLUMBING PERMIT Filing Fee 10.00 Pleasant Grave & LaPorte Rd. Each Trap 2.00 Solar Water Heater 20.00 Bangor Water piping 5.00 LOT NO. SUBDIVISION NAMEPARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SF ® Duplex❑ Mobilehome❑ Other SPECIFY Building sewer 5.00 Mobile Home S I G I W 10.00 e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Uti lities ❑ Installation❑ Other ❑ Describe work: 2nd renewal Permit #1256-81 — (1st renewal #2901-84) Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee .10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.& OR ADONS. ACC. BLDGS. 2tftsgft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for %s ason NEWCONSTFZ If MULTI -OUTLET 2,50 ea NON .RESID BRANCH CIRCUITS) NEW CONSTR. POWER APPARATUS & NON.RESID. %SINGLE OUTLET CIR. 2oeaos Ex. Occup OUTLETS OR FIXTURES eALeso Ex. Occup. OUED P OUTLETS (RESID.)REA.) 2.00 Temporary. service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor MECHANICAL PERMIT Filing Fee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare undLfr Penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ 1 have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue Inst said County in consequence of the granting of this permit. Date ignature of Applicant — Owner ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ 155.00 OCCUP. GROUP TYPE OF CONST. PARCEL PD Ho ssDE This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Date PERMIT EXPIRES Date 6-6-86 Receipt No. WHITE-D.P.W.. 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