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HomeMy WebLinkAbout005-397-010, 6 Anita aix 609 7j x 1316 Jackson St . , ,plot _16, Chico r,Perm t IP1453-78$;P;E;M(new"singl-e -- kmily) t . 5-397-10 3997-89M DOMINICK,', Anita " 1316:JacksorMt; Chico t tR..r • Con_s Reliance Appliance tC ' .B07-1-238 005-397=010 MISCELLANEOUS =.R6 -Roof REROOF I I SQ 1316 JACKSON ST a Yr y WURM, ANITA M f , 6 • J t p Lo�c+7�C"l i �■e BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #:(530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #:(530) 538-7541 FAX#: (530) 538-2140 WEBSITE: www.buttecounty.net\dds PROJECT INFORMATION Site Address: 1316 JACKSON ST Owner: Permit NO: B07-1238 APN: 005-397-010 WURM, ANITA M Issued Date: 06/06/2007 By AAM Permit type: MISCELLANEOUS PO BOX 1066 Subtype: Re -Roof DURHAM, CA 95938 Expiration Date: 06/05/2008 Description: REROOF 11 SQ (530) 894-1413 Occupancy: Zoning: AR Contractor Applicant: Square Footage: WURM, ANITA M Building Garage Remdl/Addn PO BOX 1066 DURHAM, CA 95938 Other Porch/Patio Total (530)894-1413 FEE INFORMATION DBMSC Re -Roofing $116.00 Total Charged: $116.00 Fees Paid: $116.00 Balance Due: $0.00 Receipt No: B3403 LICENSED CONTRACTOR'S DECLARATION OWNER / BUILDER DECLARATION Contractor (Name) State Contractors License No. / Class / Expires I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed 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 pursuant to the provisions of the Contractor's License Law [Chapter 9 (commencing with Section 7000) is in full force and effect. of Division 3 of the Business and Professions Code] or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects X 06/06/2007 the applicant to a civil penalty of not more than five hundred dollars [$500]; Please check one of the following: , Contractor's Signature Date © I, AS OWNER OF THE PROPERTY, OR MY EMPLOYEES WITH WAGES AS THEIR SOLE COMPENSATION, WILL DO THE WORK, AND THE STRUCTURE IS NOT INTENDED OR WORKERS' COMPENSATION DECLARATION OFFERED FOR SALE (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of the property, who builds or improves thereon, and who does I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: the work himself or herself or through his or her own employees, provided that such improvements ❑I HAVE AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR are not intended or offered for sale. If, however, the building or improvement is sold within one WORKERS' COMPENSATION, as provided for by Section 3700 of the Labor Code, for the year of completion, the owner -builder will have the burden of proof that he or she did not build or performance of the work for which this permit is issued. improve for the purpose of sale.). I HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by E] ❑ I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Code: Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. The Contractor's License Law dows not apply to an owner of the property who builds or improves My Workers' Compensation insurance carrier and policy number are; thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractor's License Law.). Carrier: Policy Number. Exp. Dale: (This section need not be completed if the permit is or one hundred dollars ($100) or ess. ❑ I AM EXEMPT under Section B. & P.C. for this reason: CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS LTJ ISSUED, I shall not employ any person in any manner so as to become subject to the Workers' Compensation laws of California, and agree that if I should become subject to the workers'X 06/06/2007 compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those Owner's Signature Date provisions. XW 06/06/2007 I hereby certify that I have read this application and state that the above information is correct. I agree to comply with all City and County ordinances, rules, regulations, and State laws relating to building Signature Date WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless Butte County, its officers, agents and employees from any and all claims and liability for personal AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE injury, including death, and property damage caused by, arising out of, or in any way connected with HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, the issuance of this permit. I hereby acknowledge that issuance of this permit does not authorize the DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte ATTORNEY'S FEES. County to enter the above mentioned property for inspection purposes. I hereby certify that I am the property owner or am authorized to act on the property owner's behalf. CONSTRUCTION LENDING AGENCY I, w (�.V�,,� 06/06/2007 1 HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for Name of Permittee [SIGN] Print Date the performance of the work for which this permit is issued. (3097 civ. code) PQOwner ElContractor OR. Agent for Owner Agent for Contractor FILE COPY Lender's Address City State Zip Butte County Department of Development Services TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR 7 County Center Drive Oroville, CA 95965 (530) 538-7601 Telephone (530) 538-2140 Fax www.buttecounty.net/dds OWNER -BUILDER INFORMATION An application for a building permit has been submitted in your name listing yourself as the builder of the property improvements specified. For your protection you should be aware that as "owner -builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: ° If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $500 or more for the entire project and such persons are not licensed as contractors or subcontractors, then you may be an employer. ° If you are an employer, you must register with the state and federal government as an employer and you are subject to several obligations including state and federal ° income tax withholding, federal social security taxes, workers/ compensation insurance, disability insurance costs, and unemployment compensation contributions. There may be financial risks to you if you do not carry out these obligations, and these risks are especially serious with respect to workers' compensation insurance. ° For more specific information about your obligations under federal law, contact the Internal Revenue Service (and; if you wish, the U.S. Small business Administration). For more specific information about your obligations under state law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through thier own employees, without a license contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractor is to secure an "owner -builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contacting the Contractors' State License Board's automated telephone information system at 1-800-321 -CLSB (2752) or by accessing thier website at www.CSLB.ca.gov. PLEASE COMPLETE AND RETURN THE ENCLOSED OWNER -BUILDER VERIFICATION FORM SO THAT WE CAN CONFIRM THAT YOU ARE AWARE OF THESE MATTERS. THE BUILDING PERMIT WILL NOT BE ISSUED UNTILL THE VERIFICATION IS RETURNED. OWNER BUILDER VERIFICATION PLEASE COMPLETE THIS FORM AS REQUIRED BY THE STATE OF CALIFORNIA (SENATE BILL NO. 831 EFFECTIVE JULY 1, 1980). NO BUILDING PERMIT WILL BE ISSUED UNTIL THIS VERIFICATION IS RECEIVED. 1. I PERSONALLY PL TO PROVIDE THE MAJOR LABOR AND MATERIALS FOR CONSTRUCTION OF THE PROPOSED PROPERTY IMPROVEMENT. ES OR NO) 2. IQ✓ 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 THE 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 Description: REROOF 11 SQ Reference Number: B07-1238 Applicant Name: WURM, ANITA M Owner's Name: WURM, ANITA M AP # : 005-397-010 Signature of Property Owner: dja_i'__Yo Date: (o 2 f¢ �0 E BUTTE COUNTY o�����0 DEPARTMENT OF DEVELOPMENT SERVICES 0 o BUILDING PERMIT APPLICATION C OFFICE #: (530) 538-7541 FAX #: (530) 538-2140 a A FEE WILL BE REQUIRED AT TIME OF APPLICATION Website: www.buttecounty.net/dds ®UN**PLEASE PRINT CLEANLY** OWNER INFORMATION Last Name W c.- First Nam Mailing Address Po D� City .� ��� Stat Zi sm 3 S— Phone ,/ Fax E-ree+ C'L.? CONTRACTOR Name Address City State Zip Phone Fax E-mail Lic. # Class APPLICANT INFORMATION ARCHITECT/ENGINEER Name City '-Address - City Fax State Zip Phone Fax E-mail State License Number APPLICANT INFORMATION Name Address City State Zip Phone Fax E-mail APPLICANT SIGNATURE '1 W I\ PERMIT NO. nl-ia3F BIN # PROJECT LOCATION AP# _ COS Property Address C,/C st City c -o /4 - WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address DESCRIPTION OR SCOPE OF WORK: Sq FT- Living Garage Open Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): For office use only: Zoning Flood Zone SRA Yes No Occ. Type Const. I i K ��y „-1 ���r.•-y. T•. -..-.w... .-„ ,.:'.a..rv`gW^"•�v�:�'�'7'•iso{a+"h�T:f�:n�;T'"°crfxH•?a'�:i6LCi9s�►,S'�!"+14e'"'�c�f.�'1°^ni,�"F'+�rH""r'r•'4•dY',"�, 2�,'"s�.""„'1+.•"""'" e ` 5-397-10 3997-89M.' •DOMINICK, Anita 1316,Jackson St, Chico ContR: Reliance -Appliance I (htg & AC)SF ` �e COUNTY OF BUTTE - 4E,PA ITT,M/ANT OF PUBLIC WORKS 7 County Center Drive - Oroville, Cafi"nia 95965 - Telephone: 916/538-7541 APPLICATION AND )PERMIT PERMIT NO. 2 77 ASSESSOR PA _EL NU BER'I O ZONI a BUILDING PERMIT OWNER TELEPHONE 5H,�r�s- SO. FT. OCC. BUILDING VALUATION OW ER'S MAI INC ADDR ES CONTRACTOR'S NAME TELEPHONE om r lw - - RFL 6 l 3Y _751AII CONTRACTOR'S -% MAILING ADDRESS a IVOAO 4.1c CHI C 0 Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ PLUMBING PERMIT Filing Fee 10.00 / 1 6 r `�� k f ��� / J Each Trap 2.00 Solar or heat pump water heater 20.00 LOT O. SUBDIVISION NAME//JJ SOUCH."s IH4 �VVd PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF K Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home I S I G JW I 1 10.00. TYPE OF WORK New ❑ Addition ❑ Remo el ❑ Utilities ❑ InstallationjV Other ❑ Describe work: /'► GN•e��e Det" _ 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 CONTRACTORS LICENSE LAW I declare nder penalty of perjury (check one): 1 am licensed under provisions of Chapt. 9, Div. 3 of the�Business and Professions Code and my license is in full for a and effect. License No. `q1 J � Classification _` -� �_ F11, as the owner, or my employees with wages as their Sol compen- sation, will do the work,and the structure is not intendedbr offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.& OR ADDNS. ACC. BLDGS. 2�,20sgft NEW CONSTR. ULTI.OUTLET NON.RESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS .&) SINGLE OUTLET CIR. EX. OCCUp(OUTLETS OR FIXTURES .0 6 50t 12 06090 FIXED APPLNS. OR Ex. Occup. OUTLETS IRESID.1 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 �f Consent to Self -Insure. shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT FiIingFee 10.00 Heating C /QOX 67-V6 f 6 �c Coolin g ^ J^% 6 Hood 3.00 Ventilation permit Fee i,J L� $ 2 S Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilitin judgments,/costs,,and expenses which may in any way accrue against,ssa�iid ouvtty in co%se�que�hc/e of trh�e'granting of this permit. X `C (/`� "l/ t/Ll.� X Date 1 f-2 " �� Signature of Applicant — Owner El Contractor gent An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 storiesinheight. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ u, HAz CUA PARK SCHL FLD PAR PD HD ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which fees DIRECTO SOF PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS Date T /� ` �r/ O Receipt No. � 3 / WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE -PV1EfiT&NT OF PUBLIC 7 County Center Drive - Oroville, California 95965 - Telephone: APPLICATION AND PERMIT WORKS PERMIT NO. 916/538-7541. ASSESSOR PA L NU BER — (0 ZONINA � TR BUILDING PERMIT OWNER ��0� TELEP 3 S•'.HONONE E SQ. FT. OCC. BUILDING VAL &TION OWIER''MAILIONy ADORES 100 cp// �:J\.-J CONTRACTOR'S NAME GR l TELEPHONE 3 3- 9y CONTRACTOR'S MAILING ADDRESS / 7/z 1V,0A0 4./c Cyle-a C� _95-c72.6 Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 10.00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS Permit fee $ PLUMBING PERMIT Filing Fee 10.00 �J Each Trap 2,00 Solar or heat pump water heater 20.00 LOT%'O. SUBDQQIVISION NAME 9 OOI)CKERS [,n/o 4dJ PARCEL MAP WaterI In P P 9 5,00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF N' Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 10-00ea, TYPE OF WORK New ❑ Addition ❑ Remo el ❑ Utilities ❑ InstallationZl Other ❑ Describe work: H/jr✓, e O J F-1 Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 AMP ORV OR LESS10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare der penalty of perjury (Check One): I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professi- s Code nd m license is in full fore 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 CONST. DWELLING OCCUP.y OR ADDNS. ( ACC. BLDGS. I F22sgft NEW CONSTR ULTI.OUT LET NON.RESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS &) (SINGLE OUTLET SIR. / Ex. Occup( OUTLETS OR FIXTURES EA 030 Ex. OCCUp. OUTTS ((RESID,)REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $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 f Consent to Self -Insure. IV/,,.shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT FiIingFee 10.00 Heating C lax 6V_1 k 16 Cooling >S �✓ ov �' 6 Hood 3.00 Ventilation permit Fee "i Fee— $ 2,5 Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabili ' ju ments, osts and ex enses which may in any way accrue against id ou t in co sequ ce f t granting of this permit. X D r ��o Signature of Applicant — Owner ❑ ContractorAgent ❑ An OSHA permit is required for excavations over S'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ S 013 HAZ CUA PARK SCHL FLD PAR PD HD ISSUE This permit is hereby issued under sions or the Butte County. Code and/or work indicated above for which fees DIRECTO F PUBLIC By PER T EXPIRES Date the applicable provi- to resolutions to do have been paid. WORKS Date A4 �-?J_ + o Receipt No. 19 (; J WNITC-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - DEP ARTM T��7 PILIC "WORKS -BUILDING IV ION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965•- TELEPHONE: 916/538-7541 I PERMIT APPLCEATIO.N•DATA SHEET y, Permit No. OWNER �r✓/ T 6 .���.✓� A. P. No. `7 % Proposed Building Use %/FE 10k'�6��g a Building Inspector L5r/ Date 2� 4/ At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1.. All items have been submitted . ................................... . 2. Plot plans in duplicate/triplicate, signed by preparer of plans........ 3. Complete plans in duplicate/triplicate, signed by preparer of plans .. 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Hazardous Material Form....' ......................................... 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings .............. 8. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation instructions........................................................ 10. Fees of $ ........................ 1�1. Chico Urban Area fees paid ....................................... ,12. Park fees paid ...................................................... 13. School District fees paid .............. 14. Sanitation approval from Health Department 15. City of Chico plumbing permit ..................................... 16. Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: ...... 18. Improvements may be required. Contact Land Development Section DPW 19. Driveway permit (construction approval required prior to occupancy) 20:�Fre-Inspection for required Pre-Inspec. request to I ' Building Inspector (Date) 21. Contractor's license information (No., Name Style, Classifications ... 22. Certificate of Workmans Compensation Insurance .................. ,rr23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ..... -� 24. Recorded copy .of Agricultural Acknowledgment Statement ......... Z 25. rLetter of signature authorization ................................... 26:` frWhen you i-ssue the permit, process as follows: Mail to owner. / Mail to contractor. t -Telephone and hold for pickup at office. Deliver w/inspector. ( Other f A-ppl icant I Date Copy of plans sent Health Dept., Fire Dept., Other Date 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---nail—counter by ..date Contractor, designer, owner, was advised of above required data'by_phone—mal l—counter by date f Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy—DPW PERMIT NO. 1454=78B,2,E,M %9 PERMIT EXPIRES/ / 'OWNER Anita Felix �,CONTR. nwnPr '.LOCATION (A.P. 46-117-3 port. 1316 Jackson St., lot 16, Chico l- r - :fs I' A' I k Temp. Power Pole r1z a Called PG&E law wr Elec. Serv. Called PG&E S" 2 B" Q Gas Serv. 6-37-7 e qftO' Called PG&E 4- JOB FINALED (Date) (Signature _. .. - -, � 1 � � �� .. t � _ � . - � � -k i x�' r _. .. - -, � 1 � � �� .. t � _ � . - � � -k t `iCOUNTY OF BUTTE — DEWRTMENT OF PUBLIC WORKS t - BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) I PLUMBING Finish Setback114 Firewall Soil Piping Ventilation % Forms JV 1P Parapets 1st Floor Final — - Main Bldg. Restroom Finish 2nd Floor Water Piping Footings Windows 3rd Floor Support Stemwal l Sidin -X-7P To out d --- Gas Piping Slab Roof Sheathing , 7k- Water Piping Piers Roofing 6_ f ---7g Sewer Garage Fdn. Vents Fixtures - % Footings VLt StemwaI I Garage Vents nsulation Water I tr. �� Heaters S -+ Slab - - Carport Footings Prov. for physically-�--- handica ed Conformance of ex. structure Appliances Gas Piping & Test Co Z C Temp. Gas Slab Patio Final FIREPLACE Sanitation off, .1- -ZY Final Footings Footing ELECTRICAL t Masonry Walls Throat Rou h Reinf. Steel Final - Fixtures r Bond Beam FIBE SPRINKLERS Motors Framing Test Water Htr. Stucco FinalSub anels Mesh MECHANICAL Grd. Fault Prot. 9 .- Scratch Heating -Ir- 79 Service Brown Cooling Temp. Pole Finish Ducts ca, 2A Underground5 Interior Lath Ventilation % Permanent Door Closer Final _7 Final — - MOBILEHOMEUTILITIES ------------------ Elec- Service Elec. Pedestal Water Piping Sewer Gas Piping MOBILEHOME INS LATION - - - - - - - - - - - - - - Support Elec. Continuity 1 Water Piping Drainage Gas Piping DATE REMARKS OR CORRECTIONS Sof cav v 71 (NOTE: An entry must be made on this form each time you visit the job site.) 70, azc. or 2e_'/O_` Lod 16 9�-Scrverto & Anita -Felix Batn. 898 Colorado St. & 1320 Jackson �V.L�r'.�•i .. Isv•v.z11V:i x 2._ _. 0: for: i.i. az- r:•= ! :, f of . a 3 bed_- c-,,:) C;3 c'_' d^b' le C ,1 _46-11-7@3 march 31, 1978 �� e THIS IS TO CERTIFY THAT INSULATION HAS BEEN INSTALLED IN CONFORMANCE WITH THE CURRENT ENERGY REGULATIONS. CALIFORNIA ADMINISTRATIVE CODE, TITLE 2S, STATE OF CALIFORNIA. IN THE BUILDING LOCATED AT: 1316 Jackson ree o Number Tract No. EXTERIOR WALLS J- M Thickness/Typal f i b e r g l A Value 11 Manufacturer ��� CEILINGS Batti:� Manufacturer Thickness R Value `Blown: Manufacturer R"�T=M Thickness— - - R yf'f-No. Bags =Wt./Bag2_S _ Sp. Ft. Covered 1000 R Value 19 FLOORS —�7 Manufacturer Thickness/Type R Value SLAB ON -GRADE Manufacturer Thickness/Type R Yalu* f Width of Insulation Inches FOUNDATION WALLS Manufacturer _ Thickness/Type R value GENERAL ,CONTRACTOR Ty •.�T / ,^_ ` LICENSE NUMBER i2,9 G G % By TITLE OATI�"-"F�� 7� IN27 CONT CT 0 LICENSE NUMBER 212461 B TITLE Owner DATE 6 /7 .COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive = Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT -70 _T;T BUILDING Owner -A io x SQ. FT. OCC. BUILDING VALUATION Mai l i n AddressV1T-Q1hIa_Zt c one o. Tel h41 r Contractor T r Fireplace OD Total Valuation rM Mailing Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee $ Building Address +,' .Q',) �+ � PLUMBING No• @ FEE PERMIT FILING FEE $3.00 5, 1 Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Aj , Si tW my Each gas water heater or vent 1.50 A. P. Na._ I �3 OY� ZaZg I n Gas piping system 1 - 5 outlets 1.50 f o Each additional outlet .30 Fe W . Sa) ion Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Par )ng Plans Parcel Declaration Parcel Ma P 60' R/W ImprovementsLawn sprinkler system 2.00 Bld ec Parc Approval Plans Ap val NEW ADDITION ❑ UTILITIES ❑ OTHER ❑ Permit Fee $ $ ELECTRICAL No.1 @ FEE PERMIT FILING FEE $3.00 r Main service soov OR LESS 100 AMP OR LESS 5.00 .• Main service EA. ADD'L 100 AMP 2.50 Single Family Duplex ❑ Mobil Home ❑ Others ❑ OVER 60 Main service 00 AMP OR LESS 25.00 Main service EA. ADD•L 100 AMP 1.00 NEW OR ADDNSC-NST. ( DC CUP. &) 20sgft OL.00 NEW CONSTR. M I -OU TLET NON-RESID. BRANCH CIRCUITS) 12.50ea NEW CONST. POWER APPARATUS & NON- R 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. Occup(OUTLETS OR FIXTURES) 50 BAL� Ex. Occu FIXED APPLNS. OR P• ( OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Lic se No. Classification Misc. Wiring ��25 I am exempt from the Contractors License Laws of the State of California. Permit Fee $ 4W $ WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of orkmen'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 @ I 'FEE _No.1 PERMIT FILING FEE J$3.00 HeatingsSD,AL% TV Cooling Ventilation Hood 2.00 Permit Fee $ $ 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 , 1 - TOTAL PERMIT FEE $ authorize representatives of the county of Butte to enter upon the above-mentioned property for inspection purposes. x z Date —3/, zZe. Signature of Permiiteeeenorr Agent Receipt No. 1:74- CVA- W 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. DIRECTO F P BLIC WORK�Si By Date _`-1—%-7 P Building permit expires Date PA RESIDENTIAL PLAN CHECKING GUIDE .F., DUPLEX, -& MISC. ONLY) Bldg. Permit # �.. .. j V' A.P. # A.GENERAL = Zoning requirements (sideyards and parking). fie! Valuation. Signature by R.C.E. or'Architect (if required). B. PLOT PLAN .,,Complete parcel size and dimensions. Setbahkq, sideyards, easements, etc. Other buildings or structures. Grading, fills, drainage. C. FLOOR PLAN Complete to scale plan with dimensions. Required windows for light and ventilation (Sec. 1405). 110 ,3� Required windows for second exit (Sec. 1404). Allowable glazing for energy requirements (20% max, per.State law). `5l' Human impact glass (Sec. 5406). -e Required room sizes, ceiling heights (Sec. 1407). 7. G.F.C.I.'s in baths and exterior outlets (Sec. 210-8). '8! Light fixtures, switches, receptacles, and exterior receptacles for maintenance of mechanical equipment. Locations of water heater, heating & cooling equipment, other electrical or gas equipment, and plumbing fixtures. • Garage firewall, door size, and closer (Sec. 503(d)(4)). <1�1 - 3'0" exterior exit door (Sec. 3303d). ;Z. Fireplace location., ;i3 Smoke detectors (Sec. 1413). D. STRUCTURAL DETAILS Foundation plan complete enough to construct building. a<"' Floor construction details complete enough to construct building. �3�Elevations and wall construction details complete enough to construct Roof construction details complete enough to construct building. Sireplace construction details and calcs if over one-story in height. ufficient data and details to satisfy energy insulation requirements E. MISCELLANEOUS ITEMS TO LOOK OUT FOR CCX plywood on exposed locations and overhangs. 6Stairway details (Sec. 3305). 3'. Guardrail details (Sec. 1716). 4fl Brick or stone veneer (Chapter 30). t5: Exterior plaster - weep screeds (Sec. 4706 & 4708). Proper roof pitch for roof covering (Chapter 32). -7�.Rafter ties or bearing ridge beam. 8. Garage door or porch header sizes. building. (State law). 6Adequate bracing. 5. Living area over garage - complete 1 -hour separation required including supporting walls and posts, etc. 01. Two (2) exits on three-story dwellings (Sec. 3302).