HomeMy WebLinkAbout007-150-111007-150�r7PERMITN97-0784
LUCAS, Lisa
2857 Burnap Ave., Chico
Con L': Tim Delmar
New Single Familv
r
SIDENTIAL
'007-15044t PERMIT#97-0784
LUCAS, Lisa
2857 Burnap Ave., Chico
Cont: Tim Delmar
New Single Family
r
y'
Y✓
r'
LFFIICE COPY
( "�!'�%pllDate i
r
OFFICE COPY
Address
GAS j
i
GAS
w Meter By _ Date
i
ELECTRIC I
Meter By D
JOB FINALED (Date) _
Signature
✓ = OK
0 = Not OK
- = Not Apl
= Not Re,
RESIDENTIAL (Single & Duplex)
Date n UNDERFLOOR (Plans) OK except #'s _
tl r– g0F[q., Main; Soils -Elea. Grnd.-/ P' Ftg. Depth
tg. Garage; Soils-Steel-Elec. Grnd/ P' Fig. Depth
4. Ftg. Porches & Decks; Soils -Steel-/ PFtg. Depth
6WSfemwalls, Main; Steel-Blockouts-Wrapped
tSpwsigils, Garage; Steel-Blockouts-Wrapped
old Downs and Special Anchors
_t-1115513, Steel -Wrapped
8. PiersFireolace Fto.-Steel
D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test
10.
UF. Gas Pipe; Size Anchors - Yard Gas Piping; Size Test
4"
W ipe; Test -Anchors -Regulator -Service Test
lectric Underground
13.
Pienums & Ducts; Clearance-Mater:al-Support-Ins.
14.
Girders -Sills -Anchor Bolts-Joists-Vents-Crippies
15.
Access & Ventilation
16.
Insulation
r 0Z
Card B46& Date Card B-1
Date
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card 6-1
Date
PLUMBING (Permit) OK except #'s
Al.
W er HIE; Vent -Access -Combustion Air Baffle
,41'Water
Pipe; Test & Anchor -Nail Protection
W.V.; Test Fittings & Anchor -Nail Protection
�0.
r Pan; Test, First Floor -Tub Access
,?'r
e�Shower, Second Floor -Tub Access
Date
Gas Pipe; Sixe & nchors
0.4
Card B- Date Card B-1
Date
Card B-1 Date Card B-1
Date
ELECTRICAL (Permit) OK except #'s
23.
Fixturo Transformer Clearance -Ins. Protection
24��.Receptacles
Spacing -Lights & Switches at Doors
26'–Size
Boxes & No. of Conductors Stapled
26!F
mex Installed Close to Edge of Studs & C.J.
27'
E2u Ground made up w/Mech Fastners-Bond Gas & Water
282
Appliance Circuts in Kitchen & Conductor Size GFI
29–S Lhfp d Wire Size / /ga. Cu or AI-A.C. Wire Size / /ga Cu or AI
3@�Rao3o-6ire. / / ga Cu or AI -Oven Circ. / / ga Cu or Al
Neutral n Yes n No
3 -Se -Riser Conductors & Ground -Main Disconect
E . Clearances Panels-Motors-Mech. Epuip.
.38' des Closet Light -Shower Light -Spa Light
Smoke Detector
Date, –1`!:59 Card B-1 1 5 LDate Card B-1
Date Card B-1 Date Card B-1
Date
MECHANICAL (Permit) OK except #'s
31ir.';,.Ducts Insulation & Support
3 en -, Exhaust above insulation
37 en ate Drain & Overflow, Size & Grade
3 . ance Vent Access -Comb. Air -Return Air Vent 115 outlet
Attic Access & Platform if Furnace in Attic
Date /
r 0Z
Card B46& Date Card B-1
Date
Card B-1 Date Card B-1
Date
GAMING (Plans) OK except #'s
Materials & Anchors
J>eO% s Studs -Nailing Spacing & Braces -Plates -Sound
Be ring Walls over Girders & Floor Nailing
9caft Stop in Walls (rat proof)
Fire Stops. Furred Ceilings -Stairs -Chasers -Tubs
_AflHeaders & Beams -Size & Bearing
Date FRAMING (Continued)
ar ost Caps -Anchors -Connectors
ling. Joist-Rttr. Ties-Purlin-roll Brac.-Truss-Shting: Rfng.
ep a ype A Flue -Fireplace Throat clearance
tti ess; Size.& Romex Protection -Draft Stop -Ins. Baffles
drm, V
jjaddws or Exiting Doors -Sill Hgt. & Dimensions
rage Fire Protection Framing
all & Openings
r-83–lxt. Doors -One 3 -Check Garage 3rd Story, 2 Exits
room -Rise -Run -landing -Fire Protection
A!PTwood on Roof Overhang -Attic Vents -Rafter Outriggers
56. Siding-Naflf Veneer
x f�c
Screed -Fd. Vents-Underflr. Access
ss
ar Walls; Nailing -Bolts
a( . Br all Panels
Insulation -Walls -Ceilings 2
V. Infiltration -Walls -W indows
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date FINAL (Plans) OK except #'s
JWExt Steps -Door & Sidelight Protection -Landings
64. oke Detector
umace; Vents -Clearance -Comb, Air-Conector-
arage; Above Floor-Ducts-Mech. Protection
6. Bedroom Exiting
. G.F . & Bath Fixtures & Tub Access -Spa
6 . Elec. Trim & Subpanel, Breaker Sizes & Labels
airs ails
irep ace or Stove, Clearance -Hearth
Outlets at Wood Panel, Int. & Ext.
K,tVFixt. & Appliance; Ground. -Air Gap -Cooking Clearance
7te"'Elec. Outlets & Recepticales at Kit. Counter
f4. Garage Fire Door; Swing -Landing -Closure
C. Duct in Garage -Damper
ZPI*IN'tr. Htr; Vents -Clearance -Comb. Air Connector-P.R.V.
In Garage; Above Floor-Mech. Protection
Plb., Elec. & Mech. Equip. Listed for Location
Elec. Receptacles in Garage G.F.I. -Romex Protection
.421-1" nsulation-Foam-Looked in Attic
L4&.–Iftard rails & Deck Construction -Post Caps
8IL.On. VBents & Crawl Hole Door Drainage & Wood -Earth
Clearance Looked under Floor 0 Yes
. Following Instld./Drive Yes 0 No/Walks 0 Yes No/Planters 0 Yes eo
Stucco Brown -Finish
Unit Disconnect, Electrical -Plumbing
W;, dents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings
�l�ter a f, Disconnect, Electrical, Plumbing
8n�or Elec. Trim, G.F.I. Receptacle -Underground
Ar Ventil Throught House
90. Slorrections from Previous Inspections
x'77-1 � iiF Gas Test -Meters Tagged, Gas -Electric
f92'W ter & Sewer Connected -C/O to Grade -HD Approval
9 . Energy Compliance Certificate -Other Certificates
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Comments at Final:
V=OK
0 = Not OK
=plicable
Not Reaadli MOBILE HOMES
Date
MOBILE HOME UTILITIES (Plans) OK except #'a
1. Zoning Requirements - Setbacks - Easements
2. Soils; Special MH Support Sketch
3. Sewer, Locatkxr-Test-Fell-CSO-Concrete
4. Water; Location- asement Needed (Sketch)
5. Electricity; Location-Clearances-Gmd-/ /Amp -Concrete
6. Gas; Location -Test Wrep; / A It.
/ /Nat or/ f0t./ /LPG
7. Well Clearance & Disconnect
8. Utility Clearance
9. Siding; NailingafeneerStucco•Mesh
10. Roof; Shthg-Roofing
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
MOBILE HOME INSTALLATION (Plans) OK except #'s
Date
1. Zoning Requirements- Setbacks Easements
Date
2. Footings; ShmSpacing-Maniage Line
Date
3. Gas; MH Test-Demand-Valae-Connector
4. Electricity; MH Test -Crossovers -Breakers -Clearances
5. Drain; MH Test -Fall -Flex Connector
6. Water; MH Test -Regulator -Connector
7. Water and Sewer Connected -C/0 to Grade -HD Approval
8. Gas and Electricty Tagged
9. Tie Downs -Type -Installation Cert.
10. Exits; Insp.-Sketch
11. Cert of Occupancy
9. Health Department Approval
10. Plumb.; Cir. TestWater Supply Test .
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
MISCELLANEOUS
Date
DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s
1. Zoning Requirements -Setbacks -Easements
2. Footings; SoilsSim-Dep"pacing-ConnechxsSteel
3. Decks; Girders and/or Joists )eddng-BmcingStairs-Rails
4. Wood Awn.; Posts-Beams-Rffre.-Connectors
Shthg.-Rfg.-Bracing
S. Alum. Awn.; Columns.ConnectionsSplice-Decal-Encosures
6. Carports; Windows -Doors
7. Electric
8. Frmg.; Sils-AnchorsStuds-Rftrs-Trusses
9. Siding; NailingafeneerStucco•Mesh
10. Roof; Shthg-Roofing
11. ExL; Steps -Doors -Landings
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
POOLS (Plans) OK except #'s
1. Setbacks -Easements
2. Soils; Compaction -Structure Stability
3. Pool Structure; Steel-ConnectionsThidaress
Dead Men -Lining
4. Elec.; Receptacles and Lighting, Distarnce-GFI
5. Elec.; Pool Lighting; 15 Volts GFI
6. Elec.; Enclosures; Conduit Entries-TerminalsUsted
7. Elec.; Bonding; Metal wX-Circulating Equip.+Ieater
8. Elec.; Grounding; Equip, w/8 Circulating Equip. -Pool Lghtg.
Boxes-Encosures-Panelboards4ns. to Main in Conduit
9. Health Department Approval
10. Plumb.; Cir. TestWater Supply Test .
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
COUNTY OF BUTTE- DEPARTMENT OF DEVE�OPME,NT SERVICES - BUILDING DIVISION
7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541q( �7PERMITel _
(Rev. 12/96) APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER
007-150-0417
ZONING
BUILDINGPERMIT
OWNER
LISA LUCAS
TEL ONE
SQ. FT. OCC. BUILDING VALUAT46N
OWNERS MAILING ADDRESS
810 GRAS CT, CHICO 95926
,
8712
CONTRACTOR'S NAME
TIM DELMAR
TELEPHONE '
894-6911
CONTRACTORS MAILING ADDRESS
14 PICIIAL M, CHICO 95928
CONSTRUCTION LENDER
LENDER'S MAILING ADDRESS
Fireplace
Total Valuation $
Q- pp
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee
$ 20.00
Permit Fee
$5,81-0,0
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee
$
BUILDING ADDRESS
BURNAP
Energy Plan Checking Fee
$ 23_ 00
$
PERMIT FEE
$ 1 LJO _ S
LOT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT
Fling Fee 20.00
USEOFSTRUCTURE
SF 1R Duplex ❑ Mobilehome ❑ Other
SPECIFY
Each Trap
7.00 _5
Solar or heat pump water heater
23.00
Water piping
15.00 00
Each gas water heater or vent
15.00 19-100
TYPE OF WORK
New IN Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑
Describe Work:
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00 15-00
Mobile Home S G W
920.00
PERMIT FEE
$ 115,00
ELECTRICAL PERMIT
I Fling Feel 20.00
Main Service zoo" oa mss
23.00 23. ao
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license is in full force and effect.17N.
License Class _6 Lic. No. 9 �
OWNER -BUILDER DECLARATION
1 hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
❑ I, as owner of the property, or my employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
❑ I, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
❑ 1 am exempt under Sec. Business and Professions Code for this
reason
To
Main Service TO
46.00
NEW CONST. DWELL
EE OCCUCUP.
OR ADONS. ( & ACC. BLDS.
SOQQ �I7
`3.50FT. (� ,3
NON -R S`.D.T MIAULTI.OUTLET
WITS
@7.50
SIPONGLE WER APPARATUST
OUTLECIR.
Ex. Occup.OUTLET OR FIXTURES
20 Q 1.00
SAL @@ .50
Ex. Occup. OUTIETSPRS D.DEA
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
PERMIT FEE
$, 3
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
❑ 1 have and will maintain workers' compensation insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permit is issued.
My workers' compensation insurance carrier and policy number are:
Carrier
MECHANICAL PERMIT
Filing Fee 20.00
Heating
15-o)
Cooling
-00
Hood
6.50 6_50
Ventilation
$O 17P 0
PERMIT FEE
_
$ _ S
Policy Number
(The above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
I certify that in the performance of the work for which this permit is issued, I shall
not employ any person in any manner so as to become subject to workers'
compensation laws of California, and agree that if I should become subject to the
workers' compensation provisions of section 3700 of the Labor Code, I shall
fort with complly with se provisions.
y/ Ip - 9" /
X Date 17_
Signature of Applicant - ❑ Owner XContractor ❑ Agent
An OSHA permit is required fore cavations over 60" deep and demolition or construction
of structures over 3 stories in h fight.
Mobile Home Installation Fee
$
Energy Inspection Fee $ 0
Occ
CONST. TYPE
TOTAL FEE $
HAZ. D. FE IMPFLOOD
._
CDF
PARC PD
HD SSUE
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.
By zleit� Date S-_5-47 _
PERMIT EXPIRES ON _S -9a
Date
ReceiptNorY - W (7 Z 2el % 6!7-
WHITE-D.D.S.-B.D. CANARY- SSESSOR NK -INSPECTOR GOL ENROD-APPLICANT
TO:
FROM:
SUBJECT:
E.H. USE
s,p'-� •• �� Plot Plan Attached
Floor
.Plan Atta d
Sent to B.D.
Building Department
Environmental Health
Sanitation Clearance
Lu cgs u r A tt _ 67-15- `/%
Owner location AP#
Plan Approved for: Sewage Disposal Water Supply: Public ovate Well
Clearance for . Other oc e—
f
Hold final for:
Final clearance O.K. for:
NOTE:
Environment"ealth Specialist
8/96
Date
COUNTYOF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES, }BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916) 538-7541
PERMIT APPLICATION DATA SHEET
Date 7
It LI S Y-0
Proposed Building Use Ale -
0 Cids
3,62 s //G Building Inspector
A P No
At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance:
DATE RECENED BY
1, All items have been submitted. ......
..................................
2. Plot plans, 3/4 sets, signed by preparer of plans.
3. Complete plans, 3/4 sets, signed by preparer of plans . ..................... .
4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............ .
5. Hazardous Material Form . ............................................
6. Energy Design Compliance and supporting documentation . ..................
7. Statement of Intent for Non -Heated. and A/C Buildings . ......................
8. ngineered truss details and layout in duplicate (required prior to plan check). ....
Mobilehome da anufacturer's installation instructions, 2 sets. ...........
10. Fees of $ 8�, :lv.................................Z
11. Impact fees as shown on attached schedule . ..............................
12. California Department of Forestry plan approval/fees. ....................... .
3 Flood elevation letter (100 year flood) by California Engineer. .. ............ .
4. Sanitation and plot plan approval 6W<r-' Health Department . ............
15. City of Chico plumbing permit . .........................................
16. Plot plan and business license approval from City of Biggs/Gridley. .............
17. Planning approval for (A) Use: (B) Parking: .........
� /18. Contact Land Development about (A) Improvements (B) Drainage. ......... .
t/ 19. Driveway permit (construction approval required prior to occupancy). ...... .
20. Pre -inspection for' lnslnse6�On `6q°�-
p required. . . to Building �nspedor r (Date)
21. Contractor's license information. (No., Name Style, Classification) . ..............
22. Certificate of Workmans Compensation Insurance . ..........................
23.Owner-Builder Verification (Given to owner Mail to owner _). .......... r
. Recorded copy of Agricultural Acknowledgement Statement . ................... 5 5:_17
25. Letter of signature authorization . ........................................
26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... .
27. Letter of intent on building use . ........................................ .
28. Mobilehome utility clearance . ......................................... .
29. Documentation of legal access . ..................... :..................
30. Documentation of 50% subdivision developed or (A) Road improvements completed
and (B) Parcel meets zoning area and frontage requirements . ...............
31. Existing violations/expired permits . .......................................
32. Plan check list . .....................................................
33.
34.
When you issue the permit. prpcess as follows: Mail to �we�G Mail to contractor.
_ Y Teleph.... Y' T V and hold for pickup at office. -Deliver with inspector.
Other
Parcel Creation q-1 (,a - 9 /7
Acreage Applicant Date
Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date
Copy of plans sent Health Dept. Fire Dept. Other Date By
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: l'
Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date
Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date
.Plans checked by Date Plans approved by Date
Sets of plans on hold in File cabinet AP folder
Copy -;Department of Public Works
.r;�;;7.s,ao'I:a'Y..jJ„�'•r1fY"i"V"�C�'4��fti+r�[�}+,��9'MY-J.'V�i't`j.,�r'��"-,�''�'»"".'^''Y'r..+.,n;`.-`..r.^-ti�r•,.,,,:^ll;,�,�.+.,-^.--n.,. <« -..-> .+ r�-°I"�:M>..-..-..rv.r .-...�
COUNTY OF BUTTE
DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 COUNTY CENTER DRIVE, OROVILLE CA 95965 TELEPHONE (916) 538 7541
/ SCHEDULE OF FEES DUE
OWNER L(S✓d' �uL/a:S A.P. f#
PROPOSED BUILDING USE / ' J�ti. '�/� DATE
REC 1t DATE REC
/I. BUILDING PERMIT FEES _ 17 „
-- Balance Due ................ $ . - �—r17 Z s�-
-- Additional Fees Due ............ $
-- Additional Fees Due ........... $
/�-- Revised Plan Checking Fee ....... $
V ; 2. SCHOOL DISTRICT FEES GLi < C 1=) �/
(paid at District Office) Z� z°
V 3. SHERIFF FEES (paid at Building Division)
Residential ........ x $360.00 = $ 36-0
Units
Commercial (sq.ft.)... x $0.03 = $
/4.
Sq.Ft.
URBAN AREA FEES (paid at Building Division
Residential (per unit) . X. / _ $ A?0 � -7 �
#Units Amt.
Commercial (sq.ft.) .. x =$
Sq. Ft. Amt.
06/5. RECREATION DISTRICT FEES
(paid at District Office)
6. THERMALITO DRAINAGE DISTRICT FEES
$425.00 (paid at Building Division) .
7. SRA FIRE INSPECTION AND PLAN CHECK
$89.00 (paid at Building Division) .
8. WATER TENDER FEES (Battalion # - )
$200.00 (paid at Building Division)
9. CSA 87 TRAFFIC FEE
$2500.00 (paid at Building Division) ,
10. OTHER
At time of permit application, I was advised the above fees are required to be paid prior to issuance of the
building permit. These fe s may be changed during the plan checking process.
,(APPLICANT DATE
Original -Owner Copy -Building Div. (Rev. 42/96)
�\.% ~ ■. .
22' COUNTY OF BUTTE
BUILDING DIVISIONS -i,
2 DEPARTMEHƒOFDE¥FLdPMENT SERVICES
d
1459 Humboldt Road, Chico, CA- af$ 891-2751
w' 7 County Center Drive, Omv k CA -a1$ 538-7541
E >
&\.
& . 747 Elliott Road, P m$»,CA-a]$ 872-6307
/
CORRECTION NOTICE
\1�f-- / / —U �9
..ow�R . PERMIT N6.
G< Aroutine . pec. n. . that +k�,_wgviolations u s� : untyod. _� s m
:
+ekaek _s edakubw���d��_eno¥%s�:e�« em6_o_o
< . mm + .■youh_ee¥� «eRspertaining to &._m�« _� additional exw_K_,
mem c lthis office m_a@¥.
3�mii
7/J , Yq~ Sco—,:fT� AC—etz—
�i1CROACHM`tNT PERMIT
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
7 COUNTY CENTER DRIVE, OROVILLE, CALIFORNIA, 95965
FAX: (916)-538-2140
Dwoiel ('Z,1se,,GuG�Uf
IIWE, the undersigned, hereby ap
under or over the county road
information except signature ups
NAME:
MAILING ADDRESS,LLL W
LOCATION.OF WORK TO BE.
1: C
2. D
3. U
4. O
In compli2
this form)
ve`"J
AftL
❑
du
-
iy (List Type):_
roue onduH
SPECIAL CO
APPLICATION
ighw-hys,;all in accorda
yped' br leg bly printed.
S
",&P, *-W•1XF— ' l I fr---MR-0-fs.
1 r �
.DATE:
E:
c�
L
Y COUNTY
RS BEFORE
TO BE DONE
16)-538-7681
PERMIT EXPIREy_z 3 _
permit to do the following work
dinances and general laws. (All
�r;..'❑ �Sidewalk:,;-' ❑ (PLEASE CHECK)-
-------`""` 6 ,..,s-s"�.--';,:-y •s�
y(t9r"above
cial conditic
IT GFtANTEqa-
rrrrs-co n_ ons! ming
on the back of
work shall conform to accompanying Detail Plans ❑ Special Conditions ❑.
Date Issued: L�- 7 - / Mike Crump
Director of Public Works
Surety: Yes �o 3� /, �j/f ��
Cvni��/inn nl #_- -/ -:2 / _ / (J R,r // `�
th.. 4 0
!PFl
�
S
.+ _,;moi .. T �:: ., ✓ 'f1 :J
1. ._
��'w"✓ir.'-" ._
rya
work shall conform to accompanying Detail Plans ❑ Special Conditions ❑.
Date Issued: L�- 7 - / Mike Crump
Director of Public Works
Surety: Yes �o 3� /, �j/f ��
Cvni��/inn nl #_- -/ -:2 / _ / (J R,r // `�
• RESIDENTIAL PLAN .CHECKING GUIDE
SINGLE FAMILY, DUPLEX AND MISCELLANEOUS ONLY
1 OWNER: L! S A L Gt C A S BUII,DINGPE ER: 27- Q 78 y
PLAN CHECKER: 619 So 4S A.P. NUMBER: 407- 150 — O ,y Z
GENERAL:
j/ Zoning requirements: (side yards and number of permitted living units).
2� Valuation. "
3! Plans signed by designer.
Proper description of work on application.
( Existing violations on property.
Items on data sheet, (Impact Fees, Environmental Health eveloper Fees etc.).
Recorded notice of violation.
PLOT PLAN:
.Y Complete parcel size and dimensions.
i Setbacks, side yards, easements, etc.
Other buildings or structures.
Grading, fills and/or drainage. " ;
5. Flood hazard.
�! Special conditions on creation map (Noise, S.R.A., Fire Sprinklers, Water Tender, Trees, etc.).
F.A.U. & F.A.S. road setback.
€ Building or utilities across lot lines (Record form).
FLOOR PLAN:
Complete to scale plan with dimensions.
Z Required windows for light and ventilation (Section 1203).
.Y Required windows for second exit (Section 310.4).
4' Skylights (Section 2409 & 2603.7).
9' Glazing in Hazardous Locations (Section 2406).
Required room sizes, ceiling heights (Section 310.6).
Y. G.F.C.I. in baths, garage, kitchen, wet bar and exterior outlets (N.E.C. 210).
Lights, switches, receptacles, and exterior receptacles for maintenance of mechanical equipment.
IV Location of water heaters, heating and cooling equipment, other electrical or gas equipment.
1� Garage firewall, door size and closer (Section 302.4).
kl" Minimum of one 3'0" exterior door (Section 1004.6).
1�V2� Fireplace and wood stove location, alcoves and clearance.
f 3'/ Smoke detectors (Section 310.9.1).
IX. Plumbing fixtures, water closet clearances and shower size.
STRUCTURAL DETAILS:
r Conventional Construction - Unusually Shaped Buildings (Section 2326.5.4).
Standard bracing or,engineered design (Section 2326.11.3).
-3" Clerestory requiring balloon framing and/or. engineering.
Three story building requiring engineered calculations and plans.
Foundation plan complete enough to construct building.
6! Floor construction details complete enough to construct building.
y. Elevations and wall construction details complete enough to construct building.
Roof construction details complete enough to construct building.
9! Rafter ties or bearing ridge beam.
1,6 Fireplace construction details and calc. if necessary.
V. Garage door and/or porch header sizes.
.12! Stud heights.
V. Adobe soils - special foundation design.
14' Retaining walls requiring design.
14' Special Inspection requirements.
11K Header size.
Sheetrock nailing inspection required?
July 1996 3.2
MISCELLANEOUS ITEMS TO LOOK OUT FOR:k
.
1. Stairway details: landings, rise and run, head clearance, handrails (Section 1006)
Guardrail details (Section 509).
e Brick or stone veneer (Section 1403).
4", e Exterior plaster - weep screeds (Section 2506).
8- 4 Proper roof pitch for roof covering (Section 1501).
6' Roof covering type : (fire hazard).
e Foam insulation I protection.
.8.- 36" halls and stairways.
A- Living area over garage - complete 1 -hour separation required on garage side including supporting walls and posts.
K Two exits on three - story dwellings (Section 1003).
K. Underfloor access and ventilation (Section 2317.7).
I,f.- Attic access and ventilation (Section 1505).
1.3- Combustion air for fuel burning appliances - L.P.G. requirements.
14- Noise requirements on duplexes.
16" Energy design.
1'6". Flashing at all exterior openings.
IRI C.D.F. responsible area requirements.
July 1996
3.3
b - ON
(�,��' -7q
"( BUTTE COUNTY PARKS DEVELOPMbNT FES CERTIFICATION FORM
CHICO AREA RECREATION AND PARK DISTRICT
Assessor Parcel Numbers) -7
Property Owner 6.13 lJ C,® .�
Project Location/Address Q(/)„� / ,O ✓/l n/.p/` �f'�/ e .
Subdivision Lot Number(s)
Residential Development: (check one)
Nw Development _Alteration/Addition _Mobilehome(s) _Non -Residential
to Residential
Total Number of Dwelling Units 01-V C_
Comment:
BL lding Department Representative Date
�r�r�r�r��c,��c�r*�c�r�r�r�r�rvr�r�r�rw�r�r�r �r�c�r�r�r�r�r�r�c�r�c�r�c�r�r,r�r�r�r�rw�r�r�r�r�r�r�r�r,r,��r�rtirrr�r�r�r�r�r�r*�r�r�r�c�rx*�r
Chico Area Recreation and Park District(CARD)certifies that
4 % 1'N� fly G �� �
(Applicant Name) (Phone Number)
I IL-1 OW t E
(Str'eet Address)
i
CAA I LQ (Olt
(City) (State) (Zip Code)
has. complied with the requirements of Butte Co..Resolution No. 90-140 by
payment for dwelling units @ $1.,189.for total payment of $ d %
CARD' Representati'v '
PAID BY CHECK NO. REMARKS:
BANK No. q11
PAID BY CASH
RECEIPT NO.
Distribution: White --Applicant
Pink --CARD
park.fee (form revised 11/90)
�"
Date
Yellow --Butte Co..'Building•Dept.
Goldenrod --City .of Chico Building Dept.
_ ,•" BUTTE., COUNTY SCHOOLS IMPACT FE,JE,CERTIFICATION FOR;si
,r K v''
(Oneform per Buikingl,f'-`
I
I;
(rioor runs reviewea Dy acnooi uistnct versonneii
District Identification No. 9x
tto^tel./� /nom
School District certifies that
(Applicant)
(Street Address)
(Phone Number)
(City) (State) (Zip Code)
Ai
.. 9�
has complied with the requirementsof Resolution No. '" by payment of $ cY1- (jj
representing 1 �`7r0 square feet.
School District Representative
Paid by Check` #
Remarks,
1[i�2926 $
ULL MITIGATION $
Date
Notice: You may protest the imposition of the fees identified above by submitting a written protest to the District, in compliance with
Government Code Section .66020(a), within 90 days from the date fees are paid. Failure to submit a timely written protest will prohibit
youfrom challenging the imposition of the fees in any court action.
If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is
notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act (CEQA),
this project may be subject to additional school fees to fully mitigate its impact on the school district's schools.
White (applicant), Yellow (building department), Pink (school district) feeform.xls (2/97)dmm
. TFectu;it to: AGRICULTURAL STATEMENT OF.;„CK OWLEDGENIENT
0 Building Division FOR RESIDENTIA DEVELOPMENT
• Section 26-8.1 of the Butte' County Cede requires this
acknowledgement be recorded prior to issuance of a building NOT COMPARED WITH
permit. _. ORl61NAL,llE�/tENT
The property described herein is adjacent to land or included
within an area zoned for agricultural purposes, and residents
of this property - may be subject to inconveniences or
discomfort arising from the- use of. agricultur l chemicals, 97 016249
including, but not. limited 'to herbicides, pesticides, and
�9§
fertilizers; and from the pursuit of agricultural operations
including, but not limited to cultivation, ,plowing, spraying,
pruning, - 'and harvesting which occasionally generate a
dust,smoke, noise, and odor. Butte County has established MAY ”` 5 QQ
agricultural zones which have as a priority.use for productive. ,r 1997
agricultural
agriculturalpurposes and residents within said zones and on
" adjacent propertyshould be prepared to accept such inconvenience cr t
' discomfort from normal,. necessary' farm operations.
All that real property situate in the County of Butte, State of California, described as follows:
SEE ATTACHED'DESCRIPTION....
PROPERTY
RLEY . N LUCAS
C
2 k
;
,
-State of Califmnia
• II.AJI lI.y of Mite •
Cn 4-30-97 befcre rre Julie L. Schulke l
.P�-"�llY � Shi rle�a_nne Lucas
persa-ally'knaan to rre (or,praed to rre rn the basis of satisfact ry evidlerce-) to be the.persm(s).gree
nares
(s). is/are sub�.ibed to the within irst ru and ack rIalecljed to rre that he/she/they e�z
X. in his/1 x1t1var authorized ' capacity (ies) , and that by hie/her/their sigratt (s) . rn the irtstnzmrrt
the p6r=(s), cr the'ettity q= behalf of vhich.the per-sm(s) acted, epi u the iretnmrt.
WITNESS my hand and official seal.•
Signatur
Juke L. Schd1ke
AP#•. 007-150-047-000 '.
r
Julie L. Schulke
COMM. 81092341
ONOTARY PUBLIC CALIFORNIAQ'
BUTTE COUNTY ' 0
• Comm. Exp. March 24. 2000
I
97-016249
T-97-016249
49
fl
97-016249,
R.c Fee9.00,
4t
I
cop 1.50
Recorded I
Check 10.50
Official Records I
County of
Butte
Candace J. Grubbs
Recorder
9:01am 5 -May -97 I
PUBL xx 2
I
U
r
DESCRIPTION'
THE LAND .REFERRED TO IN THIS REPORT IS SITUATED IN THE STATE OF
CALIFORNIA, COUNTY OF BUTTE, AND IS DESCRIBED AS FOLLOWS:
A PORTION OF THE NORTHWESTERLY ONE-HALF OF LOT 31, AS SHOWN ON THAT
CERTAIN MAP ENTITLED, "HOBART SUBDIVISION OF THE DANIEL BIDWELL
RANCHO", WHICH MAP'WAS RECORDED IN THE OFFICE OF THE RECORDER OF
THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON NOVEMBER 7,1904, IN
BOOK 4 OF MAPS, AT PAGE(S) 24, AND MORE PARTICULARLY DESCRIBED AS
FOLLOWS:
BEGINNING AT THE MOST NORTHERLY CORNER OF SAID LOT 31 IN THE CENTER
OF BURNAP AVENUE AND RUNNING THENCE ALONG SAID LINE SOUTH.36 DEG.
48' EAST 198.0 FEET; THENCE SOUTH 53 DEG. 12' WEST 165.0 FEET TO AN
IRON PIPE; THENCE SOUTH 36 DEG. 48' EAST 132.0 FEET TO AN IRON PIPE
IN THE SOUTHERLY LINE OF THE NORTHERLY ONE-HALF OF SAID LOT 31;
THENCE ALONG SAID LINE SOUTH 53 DEG. 12' WEST 165.00 FEET TO AN
IRON PIPE; THENCE NORTH 36 DEG. 48' WEST 330.00 FEET TO AN IRON
PIPE IN THE NORTHWESTERLY LINE OF SAID LOT 31; THENCE ALONG SAID
LINE NORTH 53 DEG. 12' EAST 330.00 FEET TO THE POINT OF BEGINNING.
4
. �'•°'..:, , tee► ..`' �i , }`x -_. �.."` _
150-66'7 12 PERMIT#95=1947 *Sa M6KAY, Robert A. . 3705B irk
f -NEWTON, Stephanie,*," f i _ - 3600E
3046 Burnap. A`v'e ,y Chico` �� 4
k
Corit, Disaster Res onse:� _+ I
bel 7.� (. r'i—(S- X07
•Repair,Fire'Da-mage%SF
.1. . �z = iw
3046 Burnap Ave.., Chico
(convert garage to living quarters) I;
i
9
' 4
I
�
i
r
�
-
. �'•°'..:, , tee► ..`' �i , }`x -_. �.."` _
150-66'7 12 PERMIT#95=1947 *Sa M6KAY, Robert A. . 3705B irk
f -NEWTON, Stephanie,*," f i _ - 3600E
3046 Burnap. A`v'e ,y Chico` �� 4
k
Corit, Disaster Res onse:� _+ I
bel 7.� (. r'i—(S- X07
•Repair,Fire'Da-mage%SF
.1. . �z = iw
3046 Burnap Ave.., Chico
(convert garage to living quarters) I;
i
9
' 4
ID
LrD
_f
March 21, 1990
Chico Valley Mortgage RE: Recent Correspondence
1074 East Avenue, Suite F
Chico, CA 95926
Attn:, Shirley Bunnell.
i •
With reference to the above subject and your letter dated,March 199
1990, this office issued Permit #3705B to convert a•garage to living
quarters at 3046 Burnap Avenue in Chico. + '
The work received final inspection and approval on,September'23,
1964.
Should you have any questions concerning this matter, please contact
this office. y
Yours very truly,
William Cheff.
Director of Public. Works
• � , P
J'FG:d.s J. F.,' Glander
{^ Chief*Building Inspector.
♦ _.
File No.
BUTTE COUNTY
r
c Works Dept
torDir.
Rd. & Br. Mtce.
Shop & Yards
Bldg.lnsp. Admin.
Design Eng'.
Bridge Engr.
Constr. Engr.
Surveys
Mapping
Transp.
_moi»
(F6 -r Action 1, Z 31
(For Information ✓ )
Land Dev.
Drng• X5.1-
Sub. & Pcl. MaPs
Permits
Add,.
1074 Fast Avenue. , ■ Suite F ■ Chico, California ■ (916) 342-5444 11 FAX. (916)'894-0452
March 19, 1990.
Butte -County Public Works Dept.
7 County Center
Oroviile, CA 95965
ATTN: ANN BRANDEL -
.Dear,Ann,
Per our telephone conversation on March ,19th at 10:45am, please,
issue•to Chico Valley Mortgage a written affirmation of the permit
acquired on the 3046 Brunap Ave. garage conversion. AP Number is
007-150'-007. .The lender needs to be assured the conversion was
inspected and approved. Please use Butte County letterhead.'
Your prompt response'is appreciated.
Thank you for your time,,
Oshey nell
Loan Processor
.- .. ; .w � -.. r. .'! .., , -. ..: ;�:^ a-ar n'^- �.,.q,.,y,. yt y..t..;rr r rxt �'+,.;.< guy s � ;•,.ri,���,+Wetsr+7JLA[Sx.°•'•ya�-,,A{,,ZiyN•.k'?�+� �r7':Y':d�ul�p�'p^��t;,jr'P^gs�rs.'b'C7'?e
007-150-007 PERMIT#95 1947.
+�
'NEWTON, Stephanie,,'.
3046 Burnap Ave . ,. Chico ,� r '
Cont; Disaster Response,
.i' Repair Fire Damage/SF �� �.7.`
t L
ISI ,
. t
1 =
_
COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION
7 County Center Drive - Orovill4, California 95965 - Telephone (916) 538-754 ERMIT NO.
APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER / ~ 15--- 007
/
ZONINGy� /
BUILDINGPERMIT
OWNER
Tg h 1i,q i- �w rrz.
TELEPHONE
,.
SO, FT. OCC. BUILDING VALUATION
O �'
OWNERS MAILING ADDRESS
^JT - -16.
CONTRACTOR'S NAME
rig
TELEPHONE
s 7162,
CONTRACTORS MAILING ADDRESS G
p C,// c pr . / %� '
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
Filing Fee $ 20.00
LENDER'S MAIUNG ADDRESS
Permit Fee $
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee $
Energy Plan Checking Fee $
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty $
BUILDINGADDRESSPERMITFEE
�Cy
$ '—
H 1
PLUMBINGPERMIT Filing Fee 20.00
Each Trap 7.00
LOT NO.
SUBDIVISION'S NAME
PARCEL MAP
Solar or heat pump water heater 23.00
USEOFSTRUCTURE
SF,G?"Duplex ❑ Mobilehome ❑ Other
SPECIFY
Water piping 15.00
Each gas water heater or vent 15.00
Gas piping system 1 - 5 outlets 15.00
Building sewer 15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other Kill,
Describe Work: _ F1 /f f OA, -,4 y Z
y
Mobile Home IS I GI W @20.00
PERMITFEE $
Contractor r
ELECTRICAL PERMIT Filina Fee 20:00
Main Service OOOV OR LESS
( 200A OR LESS ) 23.00
Main Service ( 200A To I000A ) 46.00
-
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter.
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,8
and my license is in full force and/effect. t
License Class / _ GJi, v/.vg !. ,Lic. No.BAL
OWNER' -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
❑ I, as owner of the property, or my employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
❑ I, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
❑ 1 am exempt under Sec. Business and Professions Code for this
reason
NEW CONST. DWELLING OCCUR SO.
OR NS. ( 8 ACG. BIDS. ) 3.5¢ FT.
C
NEW CONST.MULTI.OUTLET
NON-RESID. ( BRANCH CIRCUITS ) 97.50
_ ( POWER APPARATUS )
' SINGLE OUTLET CIR.
Ex. Occup. ( OUTLET OR FIXTURES) 20 Q � � ► -►
Ex. Occup. .' (OUTLETS ( RES DJEA } 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring 23.00
PERMITFEE $ 7.1"'-'
Contractor
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
❑ 1 have and will maintain workers' compensation insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permit is issueQ.
My workers' compensation insurance carrier and policy number are: �V
Carrier / ) r r/ 4 %
MECHANICAL PERMIT Filing Fee 20.00
9
Heating
Cooling
Hood 6.50
Ventilation
PERMITFEE $
Contractor
Policy Number (( -).]-2 ) „Z/2
(The above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
❑ 1 certify that in the performance of the work for which this permit is issued, I shallTOTAL
not employ any person in any manner so as to become subject to workers'
compensation laws of California, and agree that if I should become subject to the
workers' compensation provisions of section 3700 of the Labor Code, I shall
forthwith complyWith those provisions.
` I _
X Date _ _ -
A
Signai'ure of Applicant - ❑ Owne;�OCoXAgent
An OSHA permit is required for excavations over 5'0" deep and demolition or construction
of structures over 3 stories in height.
Mobile Home Installation Fee Is
Energy Inspection Fee Is
occ
CONST. TYPE
FEE $ cz
HA2.
D. FEES
IMP FLOOD
CDF
PARCEL PD HD
ISSUE
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.
X /`
B ,( _ /y� ' A T//"
Y _/ (� Daatte
PERMITEXPIRESON
(Date)
Receipt No. 2.r7
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
J
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive - Oroville, California b5965 - Telephone (916) 538-754} ERMIT NO.
APPLICATION AND PERMIT 7 � � ��/T
ASSESSOR PARCEL NUMBER -7-
1,57 ���
ZONINGM
BUILDING PERMIT
OWNER
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
OWNERS MAILING ADDRESS 9s9 7_7SO9'
3— &i(_ - �v C /�� C/►- 57
CONTRACTOR'S NAME
s^5 rk& Nar e-1-5
TELEPHONE
3!Y5- -2yS7.
CONTRACTOR'S MAILING ADDRESS
p e- CH/ 5
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
LENDER'S MAILING ADDRESS
Fling Fee $
20,00
Permit Fee $
ARCHITECT OR ENGINEER
UCENSE NO.
Plan Checking Fee $
Plan Checking Fee $ECT
'
ARCHITECT OR ENGINEERS MAILING ADDRESS
Penalty $
BUILDINGADDRESS 3o'/6 J
v
PERMITFEE $
y
�J
PLUMBING PERMIT
Filing Fee 20.00
Each Trap
7.00
LOT NO.
SUBDIVISION'S NAME
PARCEL MAP
Solar or heat pump Water heater
23.00
USEOFSTRUCTURE
SFja-'Duplex ❑ Mobilehome ❑ Other
SPECIFY
Water piping
15.00
Each gas water heater or vent
15.00
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other
Describe Work: Raiz p/dM-a-
Mobile Home IS I GI W1 920.00
PERMITFEE $
Contractor
ELECTRICAL PERMIT Filinq Fee 20:00
Main Service EOOV OR LESS
( 2ooA oR LEss )
23.00
Main Service ( 200A TO 1000A )
46.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license is in fu I force and effect.
License Class - /V Lic. No. 6 2 J'l y
OWNER -BUILDER DECLARATION
1 hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
❑ 1, as owner of the property, or my employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
❑ I, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
❑ I am exempt under Sec. Business and Professions Code for this
reason
NEW CONST, DWELLING OCCUP.
OR ADONS. ( 8 ACC. BLDS. )
SO.
3.50 FT.
NEW CONST. MULTI -OUTLET
NON•RESID. ( BRANCH CIRCUITS )
@7.50
( POWER APPARATUS )
8 SINGLE OUTLET CIR.
Ex. Occup. (OUTLET OR FIXTURES)
BAL 0':ao 1
FIXED APPLNS. OR
Ex. Occup.
p• ( OUTLETS (RESID.) EA)
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
PERMITFEE $
Contractor
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
❑ 1 have and will maintain workers' compensation insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permit is issued.
My workers' corrfpe sa Ion insurance carrier and policy number are:
Carrier ) iwJ � 1 N s u.a /a-rt/C �
`� ��PkZ
MECHANICAL PERMIT
Filing Fee 20.00
Heating
Cooling
Hood
6.50
Ventilation
PERMITFEE $
Contractor
Policy Number /SC'LJ Z)=D / 7
(rhe above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
❑ 1 certify that in the performance of the work for which this permit is issued, I shall
not employ any person in any manner so as to become subject to workers'
compensation laws of California, and agree that if I should become subject to the
workers' compensation provisions of section 3700 of the Labor Code, I shall
comply h those provisions.
�� r
X Date =_ - �—
Sign- ❑ Owne Contractor Agent
gureApplibant
An OSHA permit is required for excavations over 60" deep and demolition or constructionAM
of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee is
occ
CONST. TYPE
TOTAL FEE $ �Z
HAZ.
1 0. FEES
I IMP I FLOOD
I COF
PARCEL PD HD
ISSUE
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.
lr)k���
BY Date /
PERMITEXPIRESON
I(O e)
Receipt No. 1486) 1? 2-5
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT I
COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -
7 County Center Drive - Oroville, Califof=
i�'°'�y"�f9tN"kLi+�,rriy'tr�raifi+ •+.,..
COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION
b�
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA95965 - TELEPHONE (916) 538-7541
PERMIT APPLICATION DATA SHEET ` --
OWNER S�2�Oh /dnl�e �e�.ldo.1.�.� A. P. No.
Proposed Building Use itC-A4,--- Building Inspector
Date
At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance:
DATE RECEIVED BY
1. All items have been. submitted;' .. :.................................... .
2. Plot plans, 3/4 sets, signed bypreparer of plans . ..........................
3. Complete plans, 3/4 sets, signed by preparer of plans . ......................
4. Engineered plans and calcs, 3/4 sets, with wet.signature on plans . .............
5. Hazardous Material Form. .............::"'':.. .................. .
6. Energy Design Compliance and supporting documentation. -:%. ................
7. Statement of Intent for Non -Heated and A/C Buildings. .........:' ...........
8. Engineered truss details and layout in duplicate (required prior, to plan check)..,` .. .
9. Mobilehome data and manufacturer's installation instructions, 2 sets. .......
10. Fees of $ ......................... .............
11. Impact fees as shown ,on attached schedule. '?A>
12. California Department of Forestry plan approval/fees..........................
13. Flood elevation letter (100 year flood) by California Engineer . ................. .
14. Sanitation and plot plan approval Health Department . ........... .
15. City of Chico plumbing permit . ..........................................
16. Plot plan and business license approval from City of Biggs/Gridley. .............
17. Planning approval for (A) Use: (B) Parking:
18. Contact Land Development about (A) Improvements (B) Drainage. .......... .
19. Driveway permit (constru ion approval required prior to occupancy). .. .. .. .
Pre -inspection for /2t' _ required. .. oB�ild�9 asp q1
p q ��_� (Date)
21. Contractor's license information. (No., Name Style, Classification) . ............
22. Certificate of Workmans Compensation Insurance . ..........................
23. Owner -Builder Verification (Given to owner , Mail to owner ............
24. Recorded copy of Agricultural Acknowledgement Statement . ...................
25. Letter of signature authorization . ........................................
2& 'Copy of recorded deed of parcel creation and 60 right of way to a public road. .....
27. Letter of intent on building use . .........................................
28. Mobilehome utility clearance . ..........................................
29. Documental�n of legal access . ..................... :..................
30. Docume0a ion of 50% subdivision developed or (A) Road improvements completed
and (B) arcel meets zoning area -and frontage requirements . ...............
31. Existing violations/expired permits . ......................................
32. Plan check.list:.......................................................
33.
34. "r
When you issue the permit, procets as follows: Mail to owner. _Mail to�.contractor.
Telephone 9 yy-If/.3 and hold for pickup at C7/4 office. Deliver with inspector.
Other
Parcel Creation N
Acreage Applicant Date /� �,2 �Jr
Copy of Haz-Mat form sent. Health Dept. Fire Dept. Air Pollution Date
Copy of plans sentealth'Dept. Fire Dept. Other Date By
The following data must be submitted prior to permit issuance: (Circle new item not checked above).
1. Index permit for above items No.
2. Additional items required:
Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date
Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date
Plans checked by : 1 Date Plans,approved by Date
Sets of plans on hold in File cabinet AP folder
Copy - Department of Public Works
❑ B.I.N.
Location
0
REQUEST FOR INSPECTION Permit No. 7—/F— a C>%
vt"4j -
Owner. /UC 1i r/i� j ContractororTenant:
Complaint: --73 � 20 66 y -
BLDG.
PLUMB/MECH
ELECTRIC
M.H.I./M. H. U.
_RRE
Form
Rough
Rough
INSPECTION
Frame/Underfloor
Stucco Lath
Stucco
Stucco Brown
Top Out
Gas Piping/Test
Temp. Gas
Temp. Service
Service
Underground
Corrections
Final
-Housing
Job Status
Permit Renewal
Fireplace
Bond Beam
Insulation
Nailing
Sewer Piping
Water Piping
Shower Pan
Well Circuit
Light Niche
Verify Utilities
OTHER
Corrections
Corrections
Corrections
READYFOR !A.M.
INSPEC.ON l 19_ P.M.
Final
Final
Final
Date: Time: Note:
... .............
.. . .. .. . ........ ..
................. . ... ..
....................
..............�:::�t:?:.: �:.: •: .:.�::.�:.,t :::.�::.�:.{ .�e•. :���ha��l{4�. ............. . .........
OWNER: DATE: �// `'�
- 0
LOCATION: A.P* -2
CONTRACTOR: l a ZONING:
it
PRE -INSPECTION FOR:
DATE TO INSPECTOR:
PERMIT HISTORY: [']NONE J,, -]AS FOLLOWS:
TYPE OF OCCUPANCY:
BUILDING INSPECTOR'S REPORT
Building Description:
]Com
merd
?I residential/# of Units: Mobile Home: Yes[ No(
Currently Occupied.
AbandonedNacant.
Electric:
Electric is currently On ],Off
Condition of electrical?
Gas:
Natural
Propane( None[ Currently On O
Obvious problems:
Sanitation:
Plumbing working Yes('No[
Well: Yes[ ' �No[ Potable water: Yes[ No[
Obvious Sewage Problems:
Action Recommended: [i.- �ssue ']Hold for:
Inspector:
.. Date: