HomeMy WebLinkAbout005-421-029Rita Allen e
1625 D St., lot 3, Chico
contr: A-1 Const., Chico
Permit #6760-77B,P,E,M(new.�jsiingle
family) a4/ V'zp*///d
005-421-029 06-2050
REYES, MIGUEL '.
1625 D STREET, OROVILLB .
Cont: OWNER *,.!, _
REROOF
•` i
005=421=029 06-2050
o; 1 REYES, MIGUEL D-Gum,
Lu�a1625 D STREET, OROVILLE
NOTESCont: OWNERREROOF -
RESIDENTIAL
APN: Permit No.
Owner.
Site Address:
Contractor.
Type of Permit
f
j
CHECKED BY
SRA
FLOOD CERTIFICATE EQUIRED
FIRE SPRINKLERS REQUIRED T_
SPECIAL INSPECTION ITEMS
VERIFY
USE PERMIT CONDITIONS
SUBSTANDARD HOUSING LETTER
ENCROACHMENT PERMIT
REINSPECTION FEE PAID
ENV HLTH CLEARANCE
DATE JOB FINALED: q— 1,3 6ID
SIGNATURE 0 , %�.,Il%IL& 6k -Q—"'
RESIDENTIAL (Single
& Duplex)
DATE ITNOEFFFLOOR
DATE
PLUMBING
1 ZoningSetbacks-Easernents-FloodSlope
53 Wtr Htr- Vent-Acc-Cmbstn Air Baffle
2 Ftg Main; Soils -Flet Grnd Ftg Dpth
54 Wtr Pipe; Test & Anchr-Nail Prtctn
3 Ftg Garage; Soils-Steel-Elec Grnd Ftg Dpth
55 DWV; Test Fittings & Anchr Nail PrEctn
4 Ftg Porches/Decks; Soils -Steel Ftg Dpth
56 Shwr Pan; Test, First fir -Tub Ace
5 Stdmwalls Main; Steel-Blockouts Wrapped
57 Test Tubi & Shwr, 2nd fir - Tub Ace
6 Stemwalls Garage; Steel-Blockouts-Wrapped
58 Gas Pipe; Sz & Anchrs
6a Hold Downs and Special Anchrs
59 Fire Sprinkler; Test
7 Slab, Steel Wrapped
60 Yard Gas Piping
8 Piers-Frplc Ftg-Steel
9 DWV; Fall -Fitting -Test -2 -way CIO -Sewer Test
10 UF, Gas Pipe; Sz Anchrs-Sz Test
'
11 Wtr Pipe; Test-Anchrs-RgltrService Test
12 Elec Undrgrnd
DATE
M E C H A N'1 C A L
13 Plenums & Ducts; Clrnc*-mate rialSupport4nsultn +
61 AC Ducts Insultn & Support "
14 GirdersSills-SillsBoltsJoists Vnts-Cripples
'
62 Vent Fan, Exhaust abv Insultn
15 Acc & Vntitn
63 Condensate Drain & Ovrtlw, Sz &Grade
16 Insulation
64 Furnace -Vent Acc-Comb Air RhTWent 115 Outlet
65 Attic Are & Pitfrm if Furnace In attic
DATE FRAMING
17 Sills Proper Materials & Anchrs
DATE
FINAL
18 Walls Studs-Nailirig Spacing & Braces-PlatesSound
19 Bearing Walls over Girders tit fir Nailing
66 Ext Steps -Door & SIdeLt Prtctna andings
20 Draft Stop In Walls (rat Proof)
67 Smoke Detector
21 Fug Stops; Furred CeHingsStairs-Chasers Tubs
68 Furnace Vnts-Clmc-Comb, Air-Cnncir
In Garage; abv-flr-Ducts-Meth Prtctn
22 Headers & 13eamsSi &"Beafl4— _
'
69 Bedroom Exiting
23 Hange
rs-P•osfCaps-Anchrs-l;iurdns
70 GFl &Bath Fxtrs &Tub AccSpa
24 Ceiling Joist-Rftr Tes-PurRk-Roof Brac TrussShthg
71 GFl Are Fault
25 Frple Ties or Type A Flue F ' Ie Throat Clrnc
26 Attic �'
Aerti Sz & Rrirx tett-0rafi
72 Elec Trim & Subpnl, Breaker Szs & Libels
Pi Stop -Ins Baffles
27 Bdrm Wndws cr Exiting DoorsSiH Ht & Dimensions
73 Stairs, Guard/Handrails
28 Garage Fire PrtcM Framing -RC Chirinel
74 Frplc or Stove, Clmc-Hearth
75 Elec Outlets at Wood Pnl, Int & Ext
29 Prprty Line Firewall A Opncls' .
30 Ext Doors One 3' -Check Garage arc( Story, 2 Exits
76 Ktchn, Fxtr & Appinr, Grnd-Air-Gap-Cooking Clmc
31 Stairs; Wdth-Hdrm4Use-Run.:andiny-Fire Prtctn
77 Elec Outlets & Rcptcls at Ktchn Counter
78 Garage Fie Dobr, Swing -Landing -Closure
32 Plywd an Roof Ovrhng-Attic Vnts-Rftr Outrgrs
79 AC Duct In Garage -Damper -
33 Siding -Nailing Veneer
34 Stucco Lath Weep Saeed-Fndtn Vnts-Undrfir Ace -
80 Wtr Htr. Vnts-Clmc-Com Air Cnnctr-PRV; abv fir
35 Glazing Are PrtctnSkyLls-Plastic •
Mech Prtctn; LPG Appince Undr House 3' drain
81 Plmb; Elec & Mech Eqp Listed for Loctn
36 Shear Walls; Nailing -Bolts
82 Elec Rcptcls in Garage (GF) Romex Prtctn
37 Brace Int/Ext Wall pnls
• 83 Insults -Foam -Looked in Attic
• 38 Insults Walls -Ceilings
84 Guard Rails & Deck Cnstrctn-Post Caps
39 Infiltration Walls-Wndws
85 Fndn Vnts & Crawl Hole Door Dmge & Wood -Earth
86 Clmc Dmge Planters Q Yes Q No
4 43' d da
87 Stucco Brown -Finish
88 AC Unit Dscnnct, Elec-Plmb
89 Vnts abv Roof, Plmb-Appinc-Frplc-CIrnc to Opngs
DATE ELECTRICAL
40 Fxtr & Tmsfrmr Cimc4ns P
90 Wtr Well, Dscnnct, Elec, Pimb
91 Ext Elec Trim, GFl Reptcl-Undrgmd
41 Elec Rcptcts Spacing -Lis & Switches at Doors
92 Vntltn thru House
42 Sz Boxes & No Of Cndetrs Stapled
93 Glass Prtctn
43 Romex Installed Close to Edge of Studs & CJ
94 Corrections from previous Irispcbrs
44 Eqp Grnd made up w/Mech Fstnrs
95 Gas Test -Meters Tagged, Gas -Flee
45 Grndng Electrode Bond Gas & Wtr
96 Wtr & Sewer Cnnctd-C1O to grade -HD Apprvl
46 2 Appinc Cires in Kichn & Cndctr Sz GFl
47 Subfeed Wire Sz o, Dcti or DAL
97 Energy Cmpinc Cert -Other Certs
AC Wire Sz pa DCU or DAL
98 Address Posted
99 Fire Sprinkler
48 Range Clic 0 El CU or ❑AL
l Oven Circ Qa D Cu or DAL
Insulated Neutral ❑ Yes D No
49 Service -Riser Cndctrs & Grnd Main Dscnnct
50 Eqp Clmcs pnls-Motors-Meth Eqp
51 Clothes Closet Lt-Shwr Lt -Spa Lt
52 Smoke Detector
+=OK
a = Not OK
MANUFACTURED HOMES
MISCELLANEOUS -
DATE I Lj PERMANENT FOUNDATION SOFT -SET
----DATE D E C K S'C O V E R S -CA R P O R T S •GARAGE S
1 ZoningSetbacks-Easements
1 Zoning -Setbacks -Easements
2 Soils; Special MH Support Sketch
2 Figs; SoitsSz-0pthSpacing-CnnctmSteel
3 Sewer, Lode -Test; FaWCIO-Concrete
3 Decks, Girders/Joists-0cking-Brcing
4 Wtr, Loc n-Test-Easeinent Needed -Regulator
Stairs-GuardlHandrails
5 Elec Loctn-Dtrncs-Dmd Amp -Concrete
4 Wood Awn; Pasts-Beams-Rftrs-Cenci sShthg.
6 Yard Gas; Loctn Test Wrap Nat ❑ or LPQ
Frmg-Brcng
Inch Sz Ft Lngth
5 Alum Awn; Columns-CnnctnsSplice-Decal-Encisrs
7 Blckng; SzSpacing-Marriage Llne
6 Carports; Wndws-Doors
8 Gas; MH Test -Demand Valve-Cnndr
7 Electric
9 Elec MH Cntnty Test-Crossovers-Breakers-Cimcs
8 Frmg; Sills-AnchrsStuds-Rftrs Trtisses
10 Drain; MH Test -Fall -Flex Cnndr
9 Siding; Nailing -Veneer -Stucco -Lath
11 Wtr & Sewer Connected -CIO to Grade
10 Root; Shthg-Roofing
12 Gas and Electricity Tagged
11 Ext; Steps -Doors -Landings
13 Tie Downs Q Foundation ❑
12 Braced Wall pnls
14 Exits
15 Cert of Occupancy
a`
16 HUD Labellinsignia Numbers Serial Numbers
DATE IPOOLS
1 Setbacks -Easements
2 Soils; Compaction -Structure Stability
3 Pool Structure; Steel-Dnnctris Thickness
Dead Men -thing
4 Elec Rcptclsll.ting; Distance -GR
5 Elec Pool Lting;15 volts -GR
6 Elec.Ericfsrs; Conduit Entries -Terminals -listed
7'Elec Bonding; Metal wIT-Crcitng Eqp-HHtr
8 Elec Grndng; Eqp wIT Crcltng Egp-Pool Ightg
Boxgs-9nclsrs-pp1boaids4nsuItn-to Main Conduit
' 9 Health Dept Apprvl .
10 *Ptmb; Cir Test Wtr Supply Test
11 Lt Niche
12 Errcisr; Fencing -Alarms
13 Bonding, Diving board or Slide
Pool Drawing
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT
24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO)
OFFICE #: (530) 538-7541
PERMIT NO.
BP062050
PERMITS BECOME NULL AND VOID 1 YEAR FROM THE DATE OF ISSUANCE, OR IF WORK IS DONE IN VIOLATION OF ANY COUNTY OR STATE LAWS.
LICENSED CONTRACTORS 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 Issued Date: 08/25/2006 APN: 005-421-029-000
the Business and Professions Code, and my license is in full force and
effect.
License Class: License Number: Site Address: 1625 D ST CHI
Date: Contractor: Map Index:
OWNER -BUILDER DECLARATION Description: REROOF 12 SQ COMP
I hereby affirm under penalty of perjury that I am exempt from the p
Contractors' State License Law for the following reason (Sec. 7031.5
Business and Professions Code: Any city or county which requires a
permit to construct, alter, improve, demolish; or repair any structure, prior Owner: REYES MIGUEL & LUCILA
to its issuance, also requires the applicant for such permit to file a 1625 D ST
signed statement that he or she is licensed pursuant to the provisions of.
the Contractor's State License Law (Chapter 9 commencing with Section CHICO, CA
7000) of Division 3 of the Business and Professions Code) or that he or 95928-6216
she is exempt therefrom and the basis for the alleged exemption. Any
violation of Section 7031.5 by any applicant for a permit subjects the
applicant to a civil penalty of not more than Five hundred dollars ($500).):
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 offered for sale (Sec. 7044, Business and Professions
Code: The Contractors' State License Law does not apply to an Applicant: REYES MIGUEL & LUCILA
owner of property who builds or improves thereon, and who does 1625 D ST
such work himself or herself or through his or her own employees, CHICO, CA
provided that such improvements are not intended or offered for
sale. If however, the building or improvements are sold within one 95928-6216
year of completion, the owner -builder will have the burden of
proving that he or she did not build or improve for the purpose of
sale.).
1 ❑ 1, as owner of the property, am exclusively contracting with
licensed contractors to construct the project (Sec. 7044, Business
and Professions Code. The Contractors' State License Law does
not apply to an owner of property who builds or improves thereon, Contractor:
and who contracts for such projects with a contractor(s) licensed
pursuant to the Contractors' State License Law.).
❑ 1 am Exempt under Article 3 of the Business and Professions Code
Date: 2A 6 ner:fft-1 S
WORKERS' COMPENSATION DECLARATION License #:
I 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. Architect:
❑ 1 have and will maintain workers' compensation insurance, as Engineer:
required by Section 3700 the Labor Code, for the performance of
the work for which this permit is issued. My workers' compensation
insurance carrier and policy number are:
Carrier: 0 S. F.
Total Square Ft:
Policy #: Valuation: $0.00
1 certify that in the performance of the work for which this permit is Census Code:
j 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' Or/
compensation provisions of Section 3700 of the Labor Code, I shall
forthwith comply with those provisions. �( /�
Date: (// 1 V -60 / I J
Applicanlc� uc a V`�
WARNING: 'Failure to secure workers' compensation coverage is
unlawful, and shall subject an employer to criminal penalties and one
hundred thousand dollars ($100,000), in addition to the cost of
compensation, damages as provided for in Section 3706 of the Labor
code, interest, and attorney's fees.
CONSTRUCTION LENDING AGENCY - -This permit is hereby issued under the applicable provisions of the Butte County Code and/or
I hereby affirm that there is a construction lending agency for the Resol o tgdo wor i dica ed above for which fees have been paid.
performance of the work for which this permit is issued (Sec 3097 Civ.)
Name: By Date:
PERMIT EXPIRES ON
Address: Date -
❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage,
handling and use of hazardous materials.
❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project.
❑ Attached are copies of the required E.P.A. notification forms.
I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with
all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby
aultrorize representatives of Butte County to enter upon the above mentioned property for inspection pCV, .
rint Name: C Signature:
AIJ
Date:
❑ Owner ❑ Contractor ❑ Agent for Owner ❑ Agent for Contractor
B. C. Building Permit 01-16-04 pg 1
�I
a
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT
24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO)
OFFICE #: (530) 538-7541
PERMIT NO.
BP062050
PERMITS BECOME NULL AND VOID 1 YEAR FROM THE DATE OF ISSUANCE, OR IF WORK IS DONE IN VIOLATION OF ANY COUNTY OR STATE LAWS.
LICENSED CONTRACTORS 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
Issued Date: 08/25/2006 APN: 005-421-029-000
the Business and Professions Code, and my license is in full force and
effect.
License Class : License Number:
Site Address: 1625 D ST CHI
Date: Contractor:
Map Index:
Description: REROOF 12 SQ COMP
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the
Contractors' State License Law for the following reason (Sec. 7031.5
Business and Professions Code: Any city or county which requires a
permit to construct, alter, improve, demolish; or repair any structure, prior
Owner: REYES MIGUEL & LUCILA
to its issuance, also requires the applicant for such permit to file a
1625 D ST
signed statement that he or she is licensed pursuant to the provisions of
the Contractor's State License Law (Chapter 9 commencing with Section
CHICO, CA
7000) of Division 3 of the Business and Professions Code) or that he or
95928-6216
she is exempt therefrom and the basis for the alleged exemption. Any
violation of Section 7031.5 by any applicant for a permit subjects the
applicant to a civil penalty of not more than five hundred dollars ($500).):
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 offered for sale (Sec. 7044, Business and Professions
Code: The Contractors' State License Law does not apply to an
Applicant: REYES MIGUEL & LUCILA
owner of property who builds or improves thereon, and who does
1625 D ST
such work himself or herself or through his or her own employees,
CHICO, CA
provided that such improvements are not intended or offered for
sale. If however, the building or improvements are sold within one
95928-6216
year of completion, the owner -builder will have the burden of
proving that he or she did not build or improve for the purpose of
sale.).
❑ I, as owner of the property, am exclusively contracting with
licensed contractors to construct the project (Sec. 7044, Business
and Professions Code. The Contractors' State License Law does
\ not apply to an owner of property who builds or improves thereon,
Contractor:
and who contracts for such projects with a contractor(s) licensed
pursuant to the Contractors' State License Law.).
❑ I am Exempt under Article 3 of the Business and Professions Code
Date: 2A�ner:
License #:
WORKERS' COMPENSATION DECLARATION
I 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
Architect:
is issued.
❑ I have and will maintain workers' compensation insurance, as
Engineer:
required by Section 3700 the Labor Code, for the performance of
the work for which this permit is issued. My workers' compensation
insurance carrier and policy number are:
Carrier:
Total Square Ft: 0 S.F.
Policy#:
Valuation: $0.00
I certify that in the performance of the work for which this permit is
Census Code:
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'
compensation provisions of Section 3700 of the Labor Code, I shall
'
forthwith comply with those provisions.
Iry
Date:
��
/ I /
/ /,� � V`�
` v
� 1/0
Applicant (
WARNING: 'Failure to secure workers' compensation coverage is
unlawful, and shall subject an employer to criminal penalties and one
hundred thousand dollars ($100,000), in addition to the cost of
compensation, damages as provided for in Section 3706 of the Labor
code, interest, and attorney's fees.
CONSTRUCTION LENDING AGENCY " ` -- "-
I hereby affirm that there is a construction lending agency for the
-This permit is hereby issued under the applicable provisions of the Butte County Code and/or
Resol o tgdo work i di ed above for which fees have been paid.
performance of the work for which this permit is issued (Sec 3097 Civ.)
Date
Name:
By: Y'
:
PERMIT EXPIRES ON
Address:
Dale
❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage,
handling and use of hazardous materials.
❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project.
❑ Attached are copies of the required E.P.A. notification forms.
I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with
all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby
authorize representatives of Butte County to enter upon the above mentioned property for inspection p p e .
1
rint Name:. Ll —e Signature: .i
Date:
❑ Owner ❑ Contractor ❑ Agent for Owner + ❑ Agent for Contractor
B. C. Building Permit 01-16-04 pg 1
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 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.
3.'
I personally plan to provide the major labor and material for construction of this proposed
property improvement: YES'r\/) NO [ ].
I HAVE K] HAVE NOT [ ] signed an application for a building permit for the proposed
work.
I have contracted with the following person (firm) to provide the proposed construction:
NAME: _
ADDRESS:
PHONE:
CONTRACTOR'S 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:
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
SIGNE
PROPERTYOWNER: apn�.& 1226&Z
DATE:
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.
Rev'd 11/4/2004
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) 538-7785 Facsimile
www.buttecounty.netldds
OWNER -BUILDER INFORMATION
Dear Property Owner:
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 your plan to subcontract, you should be
aware of the following information for your benefit and protection:
o 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.
o 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.
o There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious
with respect to workers' compensation insurance.
o 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 their own employees, without a licensed contractor or subcontractor, only under limited
conditions.
A frequent practice of unlicensed persons professing to be contractor is to secure an "own er-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-CSLB (2752) or by accessing their website at www.CSLB.ca.gov.
Please complete and return the enclosed owner -builder verification from so that we can confirm that you are aware
of these matters. The building permit will not be issued until the verification is returned.
Sincerely,
Scott Rutherford Vion Manager, Building Divi
NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code.
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT APPLICATION
AND SUBMITTAL REQUIREMENTS
24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834
OFFICE #: (530) 538-7541
A FEE WILL BE REQUIRED AT TIME OFAPPLICA TION
Website: www.buttecounty.net/dds
"PLEASE PRINT CLEARLY"
APPLICANT INFORMATION
OWNER INFORMATION
Lt Name
City
irst Name
&Cle/
Addre s .
j
City
State
Zip
Phone
ax
E-mail—
E-mail
APPLICANT INFORMATION
CONTRACTOR
Name
City
Address
Zip
City
Fax
State
Zip
Phone
Map Book
Fax
E-mail
Planner
Lic. #
Class
APPLICANT INFORMATION
ARCHITECT/ENGINEER
Name
City
Address
Zip
City
Fax
State
Zip
Phone
Map Book
Fax
E-mail
Planner
State License Number
APPLICANT INFORMATION
Name
Address
City
State
Zip
Phone
Fax
E-mail
APPLICANT SIGNATURE
X
For office use only:
Zoning
Property Address
Flood Zone
Cross Street
fG �
SRA
I Yes
I No
Occ.
Type Const.
Subdivision Name
Map Book
Page
Lot #
Planner
Date Approved:
OVER FOR SUBMITTAL REQUIREMENTS
K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc
PERMIT
NO.
BP o6-;
BIN #
PROJECT LOCATION
AP# DDS- ��I —' O�
Property Address
City
C<1 co
Cross Street
fG �
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
De riptjjio^^n or Scope of Work:
/vC
Sq FT- Living Garage Open Cov
❑ Structure Built without Permits
❑ Proposed Change of Occupancy
(Note previous use):
EXPIRATION OF APPLICATION
Applications for which a permit has not been issued will expire one
year after the date of application. In order to renew action on an
application after expiration, a new application, plans and fee will be
REQUEST FOR REFUNDS
Refunds can only be made upon written request by the person who
paid the fee. The request must be made prior to the expiration of the
permit and no construction work has been done. Filing fees, plan
check fees for work plan checked and other department costs are not
refundable.
Page 1 of 2
REV 8-12-05
Ito
Received b Amount: •
Bldg
SRA
Receipt #:
Sheriff
N
SMIP
Date:
Other
Total
Page 1 of 2
REV 8-12-05
may, i 4&
6760-77B,.P,E,M
PERMIT NO.
PERMIT EXPIRES �/�
OWNER Rital Allen
CONTR. A-1 Const., Chico
LOCATION (A.P 46-161-19 port.
1625 D St., lot 3, Chico
Temp. Power Pole
Called PG&E
Temp. Elec. Serv. .7
Called PG&E
Temp/.Gas Serv.
JCalled PG&E
OB
FINALED
(Date)
(Signature)
Y
GtOUNTY OF EUTTE - DEP F TMENT OF PUBLIC WORKS.
Y BUILDING INSPECTION RECORD
Setback
MOBILEHOME UTILITIES ------------------ Elec_ Service Elec. Pedestal
Water Piping Sewer Gas Piping
E ME INSTALLATION - - - - - - - - - ----- Support Elec. Continuity
Water Piping Drainage Gas Piping
DATE REMARKS 0 21FIRECTIT
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(NOTE: An entry must be made on this form each time you visit the job site.)
THIS IS TO CERTIFY THAT INSMATION HAS BEEN INSTALLED IN CONFORMANCE WITH THE CURRENT ENERGY REGULATIONS,
CALIFORNIA ADMINISTRATIVE CODE, TITLE 25, STATE OF CALIFORNIA. IN THE BUILDING LOCATED AT: p�
1625 D St r, D =% �� I4!
!
StreetR141P
EXTERIOR MALLS
glass 11
Manufacturer J— M Thickness/Type 5" f i b e r R Value
CEILINGS
Batts: Manufacturer Thickness R Valua
Blown: Manufacturer ATI1 e r l g a r d Thickness sit No.' Bags 20 .- Mt./8824
41. Sq. Ft. Covered 1 D 0 0 R Value 19
FLOORS
Manufacturer Thickness/Type R Value
SLAB ON GRADE
Manufacturer Thickness/Type R Value
Width of Insulation Inches
FOUNDATION MALLS
Manufacturer Thickness/Type R Value
GENE,L�fiONTRACTOR �`�� r. --'may` LICENSE NUMBER
B �• TITLE DATE % O G
INSULATION•C NTRACTT ION LICENSE NUMBER 2 12 4 6 1
8Y ITLE Owner DATE 3/78
TO: Building Departament
FROM: Environmental Health
_RE: Sewage and/or Water Clearance
A 61 c � �� 9 �-
`' O,JNER LO kT IJDN AP NU14BER
Has been approved for: /
SEWAGE DISPOSAL
` WAITER SUPPLY
.6k4A Ct,_
Sanitarian
x/A XV
15a
to
�.
-• ��, COUNTY OF'BUTTE – DEPARTMENT OF PUBLIC WORKS ���777
7 County Center Drive - Oroville, California 95965 /
Tel ephohe. 534-4541 ((�
APPLICATION AND PERMIT �Cf
X X Date/ 2—
Signature
Signature of Permitee or Age
Receipt No,ami,
White-D.P.W. — Yellow -Assessor — Pink -Inspector •— Goldenrod -Applicant
the Butte County Code and/or resolutions to do work indicated
above for which fees have been paid.
DIRECTOR OF/FIUBLIC WORKS
BY Date
Building permit expires Date:3' 7�—
BUILDING
Owner ��
SO. FT. OCC. BUILDING VALUATION
Mailing Address
o Od o0
� 4 0
Telephone No.
Q
Fireplace
Contractor U
Total Valuation
Mailing AddressJ1 T
ZZ
Permit Fee , D
Plan Checking Fee &/or Penalty
f elephone No.
J �/S
Permit Fee $
Building Address
PLUMBING No. @ FEE
PERMIT FILING FEE J$3.001QQ
Each Trap jel 1,50 p
Repair drainage or vent piping 1.50
k�aU (1h
Water piping 1.50 �d
Each gas water heater or vent 1.50
A. P. o.
A-�
Z '
Gas piping system 1 - 5 outlets 1.50
Each additional outlet .30
es
-W1 G S i Fire Dept.
Fire Zone
Use Permit
Building sewer 5.00
EOA
Parking
Declaration
Parcel Map 0' R/W
Improvements
Lawn sprinkler system 2.00
Bldg. laps Rec'd
Parcel ADoval
Pla pproval
Permit Fee $
$ SOC
NEW ADDITION ❑ UTILITIES ❑ OTHER ❑
ELECTRICAL No. @ FEE
PERMIT FILING FEE $3.00 f oo
Main service 100 AMP OR011 OR LESS5.00
Main service EA. ADD -L 100 AMP 2.50
Single Family Duplex ❑ Mobil Home ❑ Others ❑
Main service 10 OVER
OR LESS 25.00
Main service EA. ADD'L 100J},AMP 1.00
NEW CONST DWELING
OR ADDNS. ( ACCLBLDG . r 2, &) 2¢sgft
NEW CONST R. (MULTI -OUTLET
NON.RESID. BRANCH CIRCUITS) 2.50ea
NEW CONSTSL 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. Occup(OUTLETS OR FIXTURES) @tea
BALFIXED@1
Ex. Occup.( OUTLETSP(RESID)REA) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
License No._32-1 7'91, Classification _
Misc. Wiring 6.25
,
❑ I am exempt from the Contractors License Laws of the State of California.
Permit Fee $ -Z-900
$ a 13P bo
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
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 $3.00 ,00
HeatingU �DO p ,
Cooling
Ventilation
Hood 2.00
Permit Fee $ , o d
$Illoo
I certify that I have read this application and state that the abovep
information is correct. I agree to comply to all County Ordinances
and' State Laws relating to building construction, and hereby
authorize representatives of the County of Butte to enter upon the
above-mentioned nrnnerty fnr incnontinn n„mneco
ala
R TOTAL PEWIT FEE
$ �d
This permit is hereby issued under the applicable provisions
of
X X Date/ 2—
Signature
Signature of Permitee or Age
Receipt No,ami,
White-D.P.W. — Yellow -Assessor — Pink -Inspector •— Goldenrod -Applicant
the Butte County Code and/or resolutions to do work indicated
above for which fees have been paid.
DIRECTOR OF/FIUBLIC WORKS
BY Date
Building permit expires Date:3' 7�—
T
RESIDENTIAL PLAN CHECKING GUIDE
(S.F., DUPLEX, & MISC. ONLY)
Bldg. Perm6V O —
/
A.P. # LEE / i
A. 'GENERAL
Zoning requirements (sideyards and parking).
Valuation.
3. Signature by R.C.E. or Architect (if required).
B. PLOT PLAN
Complete parcel size and dimensions.
Setbackq, sideyards, easements, etc.
/3. Other buildings or structures.
4. Grading, fills, drainage.
C. FLOOR PLAN
jt. Complete to scale plan with dimensions.
Required windows for light and ventilation (Sec. 1405).
Required windows for second exit (Sec. 1404).
Allowable glazing for energy requirements (20% max. per State law).
Human impact glass (Sec. 5406).
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.
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.- 3'0" exterior exit -door (Sec. 3303d).
12. Fireplace location.
13. Smoke detectors (Sec. 1413).
D. STRUCTURAL DETAILS
jI. Foundation plan complete enough to construct building.
xFloo�x construction details complete enough to construct building.
Elevations and wall construction details complete enough to construct
Roof construction details complete enough to construct building.
5. Fireplace construction details and calcs if over one-story in height.
6.. Sufficient data and details to satisfy energy insulation requirements
E. MISCELLANEOUS ITEMS TO LOOK OUT FOR
CCX plywood on exposed locations and overhangs.
2. Stairway details (Sec. 3305).
3. Guardrail details'(Sec. 1716).
4. Brick or stone veneer (Chapter 30).
5. Exterior plaster --weep screeds (Sec. 4706 & 4708).
Proper roof pitch for roof covering (Chapter 32).
Rafter ties or bearing ridge beam.
Garage door*or porch header sizes.
�3! Adequate bracing.
building.
(State law).
10. Living area over garage - complete 1 -hour separation required including supporting
walls and posts, etc.
11. Two (2) exits on three-story dwellings (Sec. 3302).
put
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