HomeMy WebLinkAbout007-340-037;q "Yi '
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1
Dan Drake
3138 Coronado Rd., lot 48, Joshua Tree
#2, Chico
Per •t #3798-78B(new.siggle family)
(• 007-340-03799-2661 y
BOSMAN, HANK
3138 CORONADO RD.; cHIco
CONTR: ' OWNER
REMODEL KITCHEN
007-340-037 01-0027
BOSMAN, HANK
3138 CORONADO RD., CHICO
CONTR:OWNER S
I ST RENEWAL BP # 99-2661(KITCHEN)
070-340-037 01-] 76
BOSMAN,,HAN
3138 CORONAD r..
1 CONT: OWNER' .
NEW GARAGE I^fit
007-340-037 ;04-3]04
'�BOSMAN; HANK i
r
F- # X3138 CORONADO .RD;'CHICOContARTICvAIRE CHICOREPLACE PACKAGE UNIT
007-340-037 .. 04-3539
BOSMAN, HANK
3138 CORONADO RD, CHICO
Cont: OWNER
ONE TIME TO FINAL 01-0027'
1•
06'7'340.037 D�-35y1
l�0 5 M NAI . .
5,'3, rwiv A-Do 9-b.
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NOTES RESIDENTIAL
- Cao 7- 3 e -lo- 037
t - = 01-1376
BOSMAN, HANK
3138 CORONADO RD. CFHCO
CONT: OWNER
NEW GARAGE
(� .y e r v I
S
i
II SPECIAL CONDITIONS II
SRA
FLOOD CERTIFICATE REQ.
FIRE SPRINKLERS REQ.
SPECIAL INSPECTION ITEMS
VERIFY
USE PERMIT CONDITIONS
SUB -STANDARD HOUSING LETTER
JOB FINALED (Date)
Signature
CHECKED
BY
✓ = OK
0 = Not OK
- = Not Applicable
= Not Readv
RESIDENTIAL (Single & Duplex)
Date
80.
Underfloor (Plans) OK except #'s
1.
Zoning -Setbacks -Easements -Flood -Slope
2.
Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth
3.
Ftg., Garage; Soils-Steel-Elec. Grnd.-/ P' Ftg. Depth
4.
Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth
5.
Stemwalls, Main; Steel-Blockouts-Wrapped
6.
Stemwalls, Garage; Steel-Blockouts-Wrapped
6a.
Hold Downs and Special Anchors
7.
Slab, Steel -Wrapped
8.
Piers -Fireplace Ftg.-Steel
9.
D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test
10.
UF, Gas Pipe; Size Anchors - Yard Gas Piping; Size Test
11.
Water Pipe; Test -Anchors -Regulator -Service Test
12.
Electric Underground
13.
Plenums & Ducts; Clearance -Material -Support -Ins.
14.
Girders -Sills -Anchor Bolts-Joists-Vents-Crippies
15.
Access & Ventilation
Date
16.
Insulation
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
PLUMBING (Permit) OK except #'s
17.
Water Htr.; Vent -Access -Combustion Air Baffle
18.
Water Pipe; Test & Anchor -Nail Protection
19.
D.W.V.; Test Fittings & Anchor -Nail Protection
20.
Shower Pan; Test, First Floor -Tub Access
21.
Test Tub & Shower, Second Floor -Tub Access
22.
Gas Pipe; Sixe & Anchors
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
ELECTRICAL (Permit) OK except #'s
23.
Fixture & Transformer Clearance -Ins. Protection
24.
Elec. Receptacles Spacing -Lights & Switches at Doors
25.
Size Boxes & No. of Conductors Stapled
26.
Romex Installed Close to Edge of Studs & C.J.
27.
Equip. Ground made up w/Mech Fasteners -Bond Gas & Water
28.
2 Appliance Circuits in Kitchen & Conductor Size GFI
29.
Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size/ / ga Cu or At
30.
Range Circle / / ga Cu or Al -Oven Circ. / / ga Cu or Al
Insulated Neutral ❑ Yes ❑ No
31.
Service -Riser Conductors & Ground Main Disconnect
32.
Equip. Clearances Panels-Motors-Mech. Equip.
33.
Clothes Closet Light -Shower Light -Spa Light
34.
Smoke Detector
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
MECHANICAL (Permit) OK except #'s
35.
A.C. Ducts Insulation & Support
36.
Vent Fan, Exhaust above insulation
37.
Condensate Drain & Overflow, Size & Grade
38.
Furnace -Vent Access -Comb. Air -Return Air Vent 115 outlet
39.
Attic Access & Platform if Furnace in Attic
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date FRAMING (Permit) OK except #'s
40. Sills Proper Materials & Anchors
41. Walls Studs -Nailing Spacing & Braces -Plates -Sound
42. Bearing Walls over Girders & Floor Nailing
43. Draft Stop in Walls (rat proof)
44. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs
45. Headers & Beams -Size & Bearing
Date
80.
FRAMING (Continued)
46.
Hangers -Post Caps -Anchors -Connectors
47.
Cling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting. -Rfng.
48.
Fireplace Ties or Type A Flue -Fireplace Throat Clearance
49.
Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
50.
Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions
51.
Garage Fire Protection Framing
52.
Property Line Firewall & Openings
53.
Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits
54.
Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
55.
Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
56.
Siding -Nailing Veneer
57.
Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access
58.
Glazing Area -Glass Protection -Skylights -Plastic
59.
Shear Walls; Nailing -Bolts
60.
Brace Interior/Exterior Wall Panels
61.
Insulation -Walls -Ceilings
Date
62.
Infiltration -Walls -Windows
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
FINAL (Plans) OK except #'s
63.
Ext. Steps -Door & Sidelight Protection -Landings
64.
Smoke Detector
65. Furnace Vents -clearance -Comb. Air -Connector -
In Garage; Above Floor-Ducts-Mech. Protection
66. Bedroom Exiting
67. G.F.I. & Bath Fixtures & Tub Access -Spa
68. Elec. Trim & Subpanel, Breaker Sizes & Labels
69. Stairs & Rails
70. Fireplace or Stove, Clearance -Hearth
71. Elec. Outlets at Wood Panel, Int. & Ext.
72. Kit. Fixt. & Appliance; Ground -Air Gap -Cooking Clearance
73. Elec. Outlets & Receptacles at Kit. Counter
74. Garage Fire Door; Swing -Landing -Closure
75. A.C. Duct in Garage -Damper
76. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V.
in Garage; Above Floor-Mech. Protection
77. Plb., Elec. & Mech. Equip. Listed for Location
78. Elec. Receptacles in Garage (F.F.I.)-Romex Protection
79. Insulation -Foam -Looked in Attic
80.
Guard Rails & Deck Construction -Post Caps
81.
Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth
Clearance Looked under Floor Q Yes
82.
Following Instld./Drive J Yes J No/Walks J Yes D No/Planters J Yes J No
83.
Stucco Brown -Finish
84.
A.C. Unit Disconnect, Electrical -Plumbing
85.
Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings
86.
Water Well, Disconnect, Electrical, Plumbing
87.
Exterior Elec. Trim, G.F.I. Receptacle -Underground
88.
Ventilation Throughout House r
89.
Glass Protection
90.
Corrections from Previous Inspections
91.
Gas Test -Meters Tagged, Gas -Electric
92.
Water & Sewer Connected -C/O to Grade -HD Approval
93.
Energy Compliance Certificate -Other Certificates
94.
Address Posted
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,
- = Not Applicable
= Not Ready
MOBILE HOMES
Date
MOBILE HOME UTILITIES (Plans) OK except #'s
Zoning Requirements -Setbacks -Easements
1.
Zoning Requirements -Setbacks -Easements
Footings; Soils -Size -Depth -Spacing -Connectors -Steel
2.
Soils; Special MH Support Sketch
Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails
3.
Sewer; Location -Test -Fall -C/O -Concrete
Wood Awn.; Posts- Bea ms- Rftrs.-Connectors
Shthg.-Frg-Bracing
4.
Water; Location -Test -Easement Needed (Sketch)
Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
5.
Electricity; Location-Clearances-Grnd-/ /Amp -Concrete
Carports; Windows -Doors
6.
Gas; Location -Test -Wrap;-/ /" L'ft.
/ P Nat. or / /"L"ft./ PLPG
Electric
7.
Well Clearance & Disconnect
Frmg.; Sills-Anchors-Studs-Rftrs-Trusses
8.
Utility Clearance
Siding; Nailing -Veneer -Stucco -Mesh
10.
Roof; Shthg-Roofing
11.
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
MOBILE HOME INSTALLATION (Plans) OK except #'s
1.
Zoning Requirements -Setbacks -Easements
2.
Footings; Size -Spacing -Marriage Line
3.
Gas; MH Test -Demand -Valve -Connector
1.
4.
Electricity; MH Test -Crossovers -Breakers -Clearances
2.
5.
Drain; MH Test -Fall -Flex Connector
3.
6.
Water; MH Test -Regulator -Connector
4.
7.
Water and Sewer Connected -C/O to Grade -HD Approval
5.
8.
Gas and Electricity Tagged
6.
9.
Tie Downs -Type -Installation Cert.
7.
10.
Exits; Insp.-Sketch
8.
11.
Cert. of Occupancy
9.
12.
Permanent Foundation Only; License Decal
10.
Plumb.; Cir. Test -Water Supply Test
Date
Light Niche
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; Soils -Size -Depth -Spacing -Connectors -Steel
3.
Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails
4.
Wood Awn.; Posts- Bea ms- Rftrs.-Connectors
Shthg.-Frg-Bracing
5.
Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6.
Carports; Windows -Doors
7.
Electric
8.
Frmg.; Sills-Anchors-Studs-Rftrs-Trusses
9.
Siding; Nailing -Veneer -Stucco -Mesh
10.
Roof; Shthg-Roofing
11.
Ext.; Steps -Doors -Landings
12.
Braced Wall Panels
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
FINAL (Plans) OK except #'s
1.
Setbacks -Easements
2.
Soils; Compaction -Structure Stability
3.
Pool Structure; Steel -.Connections -Thickness
Dead Men -Lining
4.
Elec.; Receptacles and Lighting, Distance-GFI
5.
Elec.; Pool Lighting; 15 Volts-GFI
6.
Elec.; Enclosures; Conduit Entiies-Terminals-Listed
7.
Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater
8.
Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg.
Boxes- Enclosures- Pane lboards-Ins. to Main in Conduit
9.
Health Department Approval
10.
Plumb.; Cir. Test -Water Supply Test
11.
Light Niche
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
'COUNTY OF -BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive - Oroville, California 95965 - Telephone (530) 538-7541 PERMIT NO.
(Rev. 12/96) APPLICATION AND PERMIT 0 1 ` 119(c
ASSESSOR PARCEL NUMBER
007-340-037
ZONING
1 -
BUILDING PERMIT
OWNER
TELEPHONEHANK 9-1243
SO. FT. OC�C. BUILDINGVALUATION
9 [ 17#280.00
. OWNERS MAILING ADDRESS
3138 a)RNADO RD. A95923
CONTRACTOR'S NAME
TELEPHONE
CONTRACTORS MAILING ADDRESS
CONSTRUCTION LENDER
Fireplace
LENDER'S MAILING ADDRESS
Total Valuation $ 17.280.00
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee $ 20.00
Permit Fee $ 189.00
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee $ 122, 5
BUILDINGADDRESS
3138 CORONADC? RD- CHIW9, CA 95923
Energy Plan Checking Fee $
$
PERMIT FEE $ 331.85
LOT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT Filing Fee 20.00
USEOFSTRUCTURE
SF ❑ Duplex ❑ Mobilehome ❑ Other GARAGE
SPECIFY
Each Trap 7.00
Solar or heat pump water heater 23.00
Water piping 15.00
Each gas water heater or vent 15.00
TYPE OF WORK
New EX Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑
Describe Work: DETACH® GARAGE
Gas piping system 1 - 5 outlets 15.00
Building sewer 15.00
Mobile Home S G W 920.00
PERMIT FEE $
ELECTRICAL PERMIT Fling Fee 20.00
600VOR LESS
Main Service 2o.A OR LESS 23.00
,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.
License Class Lic. No.
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.
1, 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
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 permitis issued.
My workers' compensation insurance carrier and policy number are:
Carrier
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
f=rthh omply with those provisions.
I
X wit - Date _ e �� �� ( _
Signat re of Applica'fit - 1( 0 ner ❑ Contractor ❑ Agent
An OSHA permit is required for excavations over 60" deep and demolition or construction
of structures over 3 stories in height.
Main Service TO 46,00
200ALICENSED
NEW CONST. DWEWEL NG OCCUCUP. SO
OR ADDNS. ( 6 ACC. BLDS. 3.50FT. 33.60.
NEW
NOREOSIIDDT. MULTI -OU CUI @7,50
TS
POWER APPARATUS
& SINGLE OUTLET CIR.
Ex. Occup. OUTLET OR FIXTURES 20°'.0°
BAL @ .SO
Ex. Occup.. OFuTLeEDTs A D� 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring 23.00
PERMIT FEE $ ��•
MECHANICAL PERMIT Fling Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEI: $
Mobile Home Installation Fee $
Energy Inspection Fee $
OCC
CONST. TYPE
TOTAL FEE $ 385.45
HAZ
D IM
FLOOD
C9F
/
PARCEL
PO
HD
�/
ASUE
},
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.
s-�/��
By Date r�
PERMIT EXPIRES ON��/y t
Date
Receipt No. rfs ��/ (
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD•APPLICANT
jr+v'.(tiit►,.a-�`„.:..-+....1..r#win-w's`+r-!+»!�.,-.+----•e-. r _ r ,�-_ +.. ' •. ..:..-�.... .--w- . `. ~
A t i
COUNTY OF BUTTE. t;
BUILDING DIVISION
DEPARTMENT,OF DEVELOPMENT SERVICES
411 Main Street-- Chico, CA • (530)'891-2751
7 County Center Drive • Oroville, CA •'(530) 538-7541
CORRECTION NOTICE
OWNER PERMIT NO.
A routine inspection indicates that the following violations of butte county Ordinances exist at the
above address and should be corrected. Please notice this office when correction of work is
completed. If you have any questions pertaining to this matter, or need additional explanation,
please contact this office immediately.
���✓j� �' LAG' �v �G G/�S /<✓ /Z/7
/i1i z9,v17L&-?S /--,' /</-7-
LM
ld _
Date G Inspector
REV 10/92 �/q�=r
NOTES RES `iENTIAL -
r 007-340,037� —
PERMIT NO... -HANK-
313.8
OI i3��
. BOSMAN, HANK- — - - - --
313.8 CORONADO RD., CHICO
CONTR: -OWNER ,
REMODEL .KITCHEN _
c
)
SPECIAL S
CHECKED
BY.
SRA
FLOOD CERTIFICATE REQ.
f
p FIRE SPRINKLERS REQ.
SPECIAL INSPECTION ITEMS
x VERIFY
r�
iUSJE PERMIT CONDITIONS
SUB -STANDARD HOUSING LETTER
�; cy irtsc�c CCK 3
i
JOB FINALED (Date) r ��
i
Signature )
V = OK
0 = Not OK
- = Not Applicable =Not Ready
RESIDENTIAL (:
Date
' 46.
Underfloor (Plans) OK except #'s
47.
1.
Zoning -Setbacks -Easements -Flood -Slope
Fireplace Ties or Type A Flue -Fireplace Throat Clearance
2.
Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth
50.
3.
Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth
Garage Fire Protection Framing.
4.
Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth
53.
5..
Stemwalls, Main; Steel-Blockouts-Wrapped
Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
6.
Stemwalls, Garage; Steel-Blockouts-Wrapped
56.
6a.
Hold Downs and Special Anchors
Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access
7.
Slab, Steel -Wrapped
59.
8.
Piers -Fireplace Ftg.-Steel
61.
9.
D.W.V.; Fall -Fitting -Test -2 Way C/0 -Sewer Test
Infiltration -Walls -Windows
10.
UF, Gas Pipe; Size Anchors - Yard Gas Piping; Size Test
Date
11.
Water Pipe; Test -Anchors -Regulator -Service Test
Card B-1 - Date -Card B-1
12.
Electric Underground
63.
13.
Plenums & Ducts; Clearance -Material -Support -Ins.
Smoke Detector
14.
Girders -Sills -Anchor Bolts-Joists-Vents-Crippies
66.
15.
Access & Ventilation
G.F.I. & Bath Fixtures & Tub Access -Spa
16.
Insulation
69.
Stairs & Rails
70.
Date
i 71.
Card B-1 Date Card B-1
Date
Kit. Fixt. & Appliance; Ground -Air Gap -Cooking Clearance
Card B-1 Date Card B-1 }
Date
74.
PLUMBING (Permit) OK except #'s
75.
17.
Water Htr.; Vent -Access -Combustion Air Baffle A-
Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V.
in Garage; Above Floor-Mech. Protection
18.
Water Pipe; Test & Anchor -Nail Protection
78.
19.
D.W.V.; Test Fittings & Anchor -Nail Protection
Insulation -Foam -Looked in Attic
20.
Shower Pan; Test, First Floor -Tub Access ,
81.
21.
Test Tub & Shower, Second Floor -Tub Access
Clearance Looked under Floor ❑ Yes
22.
Gas Pipe; Sixe & Anchors
83.
Stucco Brown -Finish
84.
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
87.
ELECTRICAL (Permit) OK except #'s
88.
23.
Fixture & Transformer Clearance -Ins. Protection,
Glass Protection J
24.
Elec. Receptacles Spacing -Lights & Switches at Doors '
91.
25.
Size Boxes & No. of Conductors Stapled
Water & Sewer Connected -C/O to Grade -HD Approval
26.
Romex Installed Close to Edge of Studs & C.J.
94.
27.
Equip. Ground made up w/Mech Fasteners -Bond Gas & Water
28.
2 Appliance Circuits in Kitchen & Conductor Size GFI
Date Card B-1 Date Card B-1
29.
Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or AI
30.
Range Circle / / ga Cu or Al -Oven Circ. / / ga Cu or Al
Insulated Neutral 0 Yes O No
31.
Service -Riser Conductors & Ground Main Disconnect
32.
Equip. Clearances Panels-Motors-Mech. Equip.
33.
Clothes Closet Light -Shower Light -Spa Light
34.
Smoke Detector
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
MECHANICAL (Permit) OK except #'s
35.
A.C. Ducts Insulation & Support
36.
Vent Fan, Exhaust above insulation
37.
Condensate Drain & Overflow, Size & Grade
38.
Furnace -Vent Access -Comb. Air -Return Air Vent 115 outlet
39.
Attic Access & Platform if Furnace in Attic
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
FRAMING (Permit) OK except #'s
40.
Sits Proper Materials & Anchors
41.
Walls Studs -Nailing Spacing & Braces -Plates -Sound
42.
Bearing Walls over Girders & Floor Nailing
43.
Draft Stop in Walls (rat proof)
44.
Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs
45.
Headers & Beams -Size & Bearing
fin le & Duplex)
Date
FRAMING (Continued)
' 46.
Hangers -Post Caps -Anchors -Connectors
47.
Cling. Joist-Rttr. Ties- Purlin-Roll Brac.-Truss-Shting.-Ring.
48.
Fireplace Ties or Type A Flue -Fireplace Throat Clearance
49.
Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
50.
Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions
51.
Garage Fire Protection Framing.
52.
Properly Line Firewall & Openings
53.
Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits
54.
Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
55.
Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
56.
Siding -Nailing Veneer
.57.
Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access
58.
Glazing Area -Glass Protection -Skylights -Plastic
59.
Shear Walls; Nailing -Bolts
�- -� 60:' Brace Interior/Exterior Wall Panels
61.
Insulation -Walls -Ceilings
I 62.
Infiltration -Walls -Windows
r
,
Date
Card B-1 Date Card B-1
Date
Card B-1 - Date -Card B-1
Date
FINAL (Plans) OK except #'s
63.
Ext. Steps -Door & Sidelight Protection -Landings
64.
Smoke Detector
65.
Furnace Vents -clearance -Comb, Air -Connector -
In Garage; Above Floor -Ducts -Mach. Protection
66.
Bedroom Exiting
67.
G.F.I. & Bath Fixtures & Tub Access -Spa
68.
Elec. Trim & Subpanel, Breaker Sizes & Labels
69.
Stairs & Rails
70.
Fireplace or Stove, Clearance -Hearth
i 71.
Elec. Outlets at Wood Panel, Int. & Ext.
72.
Kit. Fixt. & Appliance; Ground -Air Gap -Cooking Clearance
73.
Elec. Outlets & Receptacles at Kit. Counter
74.
Garage Fire Door; Swing -Landing -Closure
75.
A.C. Duct in Garage -Damper
j 76.
Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V.
in Garage; Above Floor-Mech. Protection
77.
Plb., Elec. & Mech. Equip. Listed for Location
78.
Elec. Receptacles in Garage (F.F.I.)-Romex Protection
79.
Insulation -Foam -Looked in Attic
80.
Guard Rails & Deck Construction -Post Caps
81.
Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth
Clearance Looked under Floor ❑ Yes
82.
Following Instld./Drive U Yes G No/Walks 0 Yes O No/Planters 0 Yes J No
83.
Stucco Brown -Finish
84.
A.C. Unit Disconnect, Electrical -Plumbing
S 85.
Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings
86.
Water Well, Disconnect, Electrical, Plumbing
87.
Exterior Elec. Trim, G.F.I. Receptacle -Underground
88.
Ventilation Throughout House
89.
Glass Protection J
90.
Corrections from Previous Inspections
91.
Gas Test -Meters Tagged, Gas -Electric
92.
Water & Sewer Connected -C/O to Grade -HD Approval
93.
Energy Compliance Certificate -Other Certificates
94.
Address Posted
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:
'
" = ox
0 = Not OK
-=,NotApplicabld
= Not Ready
MOBILE HOMES
Date
MOBILE HOME UTILITIES (Plans) OK except #'s
Footings; Soils -Size -Depth -Spacing -Connectors -Steel
1.
Zoning Requirements -Setbacks -Easements
MOBILE HOME INSTALLATION (Plans) OK except #'s
2.
Soils; Special MH Support Sketch
Zoning Requirements -Setbacks -Easements
3.
Sewer; Location -Test -Fall -C/O -Concrete
Footings; Size -Spacing -Marriage Line
4.
Water; Location -Test -Easement Needed (Sketch)
Gas; MH Test -Demand -Valve -Connector
5.
Electricity; Location-Clearances-Grnd-/ /Amp -Concrete
Electricity; MH Test -Crossovers -Breakers -Clearances
6.
Gas; Location -Test -Wrap;-/ /" L'ft.
/ P Nat. or/ /"L"ft./ /'LPG
Drain; MH Test -Fall -Flex Connector
7.
Well Clearance 8 Disconnect
Water; MH Test -Regulator -Connector
8.
Utility Clearance
Date
1.
Card B-1 Date Card B-1
Date
Footings; Soils -Size -Depth -Spacing -Connectors -Steel
Card B-1 Date Card B-1
Date
MOBILE HOME INSTALLATION (Plans) OK except #'s
Wood Awn.; Posts-Beams-Rftrs.-Connectors
Shthg.-Frg-Bracing
1.
Zoning Requirements -Setbacks -Easements
6.
2.
Footings; Size -Spacing -Marriage Line
Electric
3.
Gas; MH Test -Demand -Valve -Connector
4.
Electricity; MH Test -Crossovers -Breakers -Clearances
Card B-1 Date Card B-1
5.
Drain; MH Test -Fall -Flex Connector
Card B-1 Date Card B-1
6.
Water; MH Test -Regulator -Connector
FINAL (Plans) OK except #'s
7.
Water and Sewer Connected -C/O to Grade -HD Approval
Setbacks -Easements
8.
Gas and Electricity Tagged
Soils; Compaction -Structure Stability
9.
Tie Downs -Type -Installation Cert.
Pool Structure; Steel -Connections -Thickness
Dead Men -Lining
10.
Exits; Insp.-Sketch
Elec.; Receptacles and Lighting, Distance-GFI
11.
Cert. of Occupancy
Elec.; Pool Lighting; 15 Volts-GFI
12.
Permanent Foundation Only; License Decal
Elec.; Enclosures; Conduit Entries -Terminals -Listed
7.
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; Soils -Size -Depth -Spacing -Connectors -Steel
3.
Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails
4.
Wood Awn.; Posts-Beams-Rftrs.-Connectors
Shthg.-Frg-Bracing
5.
Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6.
Carports; Windows -Doors
7.
Electric
8.
Frmg.; Sills-Anchors-Studs-Rftrs-Trusses
9.
Siding; Nailing -Veneer -Stucco -Mesh
10.
Roof; Shthg-Roofing
11.
Ext.; Steps -Doors -Landings
12.
Braced Wall Panels
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
FINAL (Plans) OK except #'s
1.
Setbacks -Easements
2.
Soils; Compaction -Structure Stability
3.
Pool Structure; Steel -Connections -Thickness
Dead Men -Lining
4.
Elec.; Receptacles and Lighting, Distance-GFI
5.
Elec.; Pool Lighting; 15 Volts-GFI
6.
Elec.; Enclosures; Conduit Entries -Terminals -Listed
7.
Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater
8.
Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg.
Boxes- Enclosures-Panelboards-Ins. to Main in Conduit
9.
Health Department Approval
10.
Plumb.; Cir. Test -Water Supply Test
11.
Light Niche
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Butte County Department of Development Services
7 County Center Drive
Oroville, CA 95965
(530) 538-7601 Telephone
(530) 538-7785 Facsimile
ADMINISTRATION * BUILDING * GIS * PLANNING
12/21/04
Sheryl Bosman
3138 Coronado Road
Chico, CA 95973 '
Re: Permit Number: 01-1376
APN: 007-340-037
Upon review of the above -referenced permit file by the County Building Official, it has been determined
that a refund cannot be processed for the following reason(s):
❑ Refunds can only be made upon written request by the person who paid the fees, whose name is
on the receipt issued for the fees paid.
❑ The request is over two years from the date of the fee payments on this non -issued pen -nit.
I
® The request is over two years from the date of the permit issue.
❑ The request is over two years from the date of permit issuance and.construction work has been
done.
❑ Filing fees and plan check fees for work plans checked are not refundable.
The above determinations have been made in accordance with Butte County Code 3-41(t). You may
view Butte County Code online at http://municipalcodes.Iexisnexis.com/codesibutteco/.
❑ Other reason: Due to the processing regarding your.permit application, there are no remaining
fees to be reimbursed to you.
Should you have further questions about this matter, please contact this office between 8:00 am and 4:00
pm, Monday through Friday.
Sincerely,
Diane Lewellen, OAIII
Administrative Division
enclosure
03
�urrF Butte County Department of Development Services
Building Division
O O
o
7 County Center Drive
o
cOUN'�y Oroville, CA 95965 (530) 538-7541 ��
lLtb4
REFUND REQUEST APPLICATION
REFUND POLICY - Butte County Code 3-41(t)
1. Refunds can only be made upon written request by the person who paid the fees, whose name is on
t he receipt issued for the fees paid. Any refund checks will be made payable to the name on the receip
2. The request must be made within two years from the date of fee payments on permits not issued, and two
years from the date of permit issuance for permit— s issues -r n�ruction work has been done. -
3. Filing fees and plan check fees for work plans checked are not refundable.
4. Fees paid to other County Departments are not covered by this claim.
INSTRUCTIONS: Submit this application to Development Services for determination of refundable fees. A claim will be
generated for any fees to be refunded and sent to the address below for signature (by the person whose name is on the
receipt) and return to Development Services for paVment processing.
CLAIMANT'S NAME
,......:..�;;:ri:;-aa•::,r:=.,_::1r-;'s:.::�; =i'.Pi'�+aC:..„.. .. r....... ;.: cES:ii:;s-::c .:.:
MAILING ADDRESS: l 3 tr
PHONE: (S3U )G! f :�
�.
ASSESSORS PARCEL NO.: .0 Q -7 - : ..�..D d. 3
[Please use one claim form per permit.]
BLDG PERMIT NO.:
Receipt No. 1 Receipt No. 2 Receipt No. 3
i 5
d t
RECEIPT NO.: T
- — =
Check those fees which you wish to have considered for refund:
Building Permit Fees =Sheriff Fees =SRA Fees (CDF Fire Planning)
=Other (specify):
(Plans for cancelled permits will be disposed of within 10 working days upon submission of a
Reauest for Refund. If you want the plans, you may pick them up prior'to that time.
(q p L `
Signature Date
K:/Forms/Refund Application 082203
�uTrF Butte County Department of Development Services,
GOA\ 0 Building Division
G
O = == � 0 7 County Center Drive
o --:-_ o
CouNTy Oroville, CA 95965 (530) 538-7541 blvemRM
REFUND REQUEST APPLICATION
REFUND POLICY -Butte County Code 3-41(t)
1. Refunds can only be made upon written request by the person who paid the fees, whose name is on
the receipt issued for the fees paid. Any refund checks will be made payable to the name on the receipt.
2. The request must be made within two years from the date of fee payments on permits not issued, and two
years from the date of permit issuance for permits issued - if no construction work has been done.
3. Filing fees and plan check fees for work plans checked are not refundable.
4. Fees paid to other County Departments are not covered by this claim.
INSTRUCTIONS: Submit this application to Development Services for determination of refundable fees. A claim will be
generated for any fees to be refunded and sent to the address below for signature (by the person whose name is on the
receipt) and return to Develo ment Services for payment processing.
CLAIMANT'S NAME:
S Kejr S(.(,r
3 \3'� COCD r\�aAD
MAILING ADDRESS:
(530 ) gq1 L - 1 aU-22 ti
PHONE:
ASSESSOR'S PARCEL NO.:
J- 34--Q - jO 53
(Please use one claim form per permit.] __
BLDG PERMIT NO.:
Receipt No. 1
Receipt No. 2
Receipt No. 3
Z S 3
RECEIPT NO.:
~
RECEIPT DATE:
��� •��
RECEIPT AMOUNT:
REASON FOR REFUND REQUEST:
Check those fees which you wish to have considered for refund:
Building Permit Fees =Sheriff Fees =SRA Fees (CDF Fire Planning)
=Other (specify):
Plans for cancelled permits will be disposed of within 10 working days upon submission of a
Request for Refund. If you want the plans, you may ick them up prior to that time.
ignature V7
K:/Forms/Refund Application 082203
(yuaie
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
:t 7 County Center Drive - Oroville, California 95965 - Telephone (530) 538-7541 PER IT NO.
(Rev.) 2/96) r1. APPLICATION AND PERMIT P/
ASSESSOR MSCEL ITJISdER x.
007-340-037
ZONING
BUILDING PERMIT
OWNER
BOSMAN, HANK
TELEPHONE
891-1243
SO. FT. OCC. BUILDING VALUATION
VAL ,
OWNERS MAILING ADDRESS
3138 CORONADO ROAD CHICO 95973
CONTRACTOR'S NAME
OWNER
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
CONSTRUCTION LENDER
Fireplace
LENDER'S MAILING ADDRESS
Total Valuation $ 4 .000.00
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee $ 20.00
Permit Fee $ 63.00
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee $ 40.95
BUILDING ADDRESS
3138 CORONADO ROAD, CHICO
Energy Plan Checking Fee $
$
PERMIT FEE S
LOT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT Fling Fee 20.00
USEOFSTRUCTURE
SF C5[ Duplex ❑ Mobilehome ❑ Other
SPECIFY
Each Trap 7.00
Solar or heat pump water heater 23.00
Water piping 15.00
Each gas water heater or vent 15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑
Describe Work: REMODEL KITCHEN
Gas piping system 1 - 5 outlets 15.00
Building sewer 15.00
Mobile Home S G W @20.00
PERMIT FEE $
ELECTRICAL PERMIT Filing Fee 20.00
Main Service 200AORLESS 23.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license is in full force and effect.
License Class Lic. No.
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors License
L w 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
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
Main Service Zoon TO t 46.
NEW CONST. DWELLING OCUP. SO
0 so
OR ADDNS. ( & ACC. BLDS. 3.5¢FT.
NEW RESjp. ' MULTI.OUTLET 97,50
OWER APPARATUS
d PSINGLE OUTLET CIR.
.00
EX. Occup. OUTLET OR FIXTURES BAL @ I. 0
Ex. Occup. oimFTS RaID )ea 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring 23.001 23.00
PERMIT FEE $ 43.00
MECHANICAL PERMIT Fling Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEt 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.)
❑ 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
rthwith comply h those provisions.
� J�r�jL�
X Date / _/ /
/ /—/I
signature of Applicant - Owner ❑ Contractor ❑ Agent
An OSHA permit is required for excavations over 60" deep and demolition or construction
of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
Occ
CONST. TYPE
TOTAL FEE $ 10.00
z
HAZ.
D. FEES I
I FLOOD
CDF AR
HD
This permit is hereby issued under the applicable provisions
of the Butte County Code and/or Resolutions to do work
indicated above for which fees have been paid.
By /Date/Z a154�
PERMIT EXPIRES ON /ZI/ZOOO
Date
ReceiptNo. dtgal $166.00
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
z
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive - Oroville, California 95965 - Telephone (530) 538- 7541' PERMIT-.
.
tRev.12/96) APPLICATION AND PERMIT �9' 6
A99!99OAPARCEL Nu ZDNNG BUILDING. PERMIT
OWNER
OWNERSMA wo 99
CONTRACTOR'S NAM`EU DA
CONTRACTORS MAIUNO ADDRESS
CONSTRUCTION LENDER
LENDER'S MAIUNO ADDRESS
ARCHITECT OR ENOINEER
ARCHITECT OR ENGINEER'S MAEJNO ADDRESS
SUILDNOADDRESS
r LrrNONe so. FT. I ccRALDING VALUATION
-- -
3
TELEPHONE -----i-----• i -- --
I
LOT NO. I SUO M910NI NAME I PARCEL
USEOFSTRUCTURE
SFg7 Duplex ❑ Mobllehome ❑ Other
sPEDIFlr
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other —
NO.
Total Valuation 1 $000-00
Filing Fee $ 20.00
Permit Fee S
Plan Checking Fee $
Energy Plan Checking Fee I $ .�--
a
PERMIT FEE 1 $ Q
PLUMBING PERMIT I /FilingFeel 20.00
Each Trap 7.00
Solar or heat pump water heat 23.00
Water piping / 1 15.00
Each gas water heater or ent 15.00
Gas piping system 1 - outlets 15.00
Building sewer 15.00
Mobile Home G W 920.00
PERMIT FEE S
ELECTRICAL PERMIT Fling Fee 20.00
Main Service ow mss 23.00
Main Service 200A TO 1000A 46.00
NEW CONST. DWELLING OCCUP. 3.StLso.
OR ADDNS. 6 ACC. BIDS.
NEW CONS I. MULTFOUTLET.
NON•RESID. @7.50
POWER APPARATUS
& SINGLE OUTLET cm
EX. Occup. OLrrLEr OR FIXTURES 20 * I'00
SAL 4 .SO
EX. Occup. p � •°� 5.00
Temporary .Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring 23.00 2300
PERMIT FEE S 443.00
MECHANICAL PERMIT Fling Feel 20.00
Heating
Cooling
Hood 6.50
Ventilation
P RMIT FEE S
Mobile Home Installation Fee S
Energy Inspection Fee I S
°C CONST,TYPE TOTAL FEE $ , p�
HA2. O. FEES IMP I FLOOD i CDF i PARCEL NO I ISSUE
i
i
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 Date _
PERMIT EXPIRES ON
'��+'�''��hY r% .,u+�"'f %"{YYLi�""`Y"i')j �iA�,►1'*'^%'r�iir,;;,�tj�gd��1Y7�►,pry,�•'�"„*-.Ib••1•r.,•*-^>>"�i::-'T`+'�--.s.. J�,M ...
-71
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541
PERMIT APPLICATION DATA SHEET
OWNER: ASSESSOR PARCEL NUMBER: (')(�� " 3 Li O - D3�
Proposed Building Use: E-Yi 5,1 .S P: 0 Building Inspector: Date: 1 1- I q -99
At time of errmit application, I was advised the following data must be submitted prior to permit processing and/or issuance:
Date Received By
. All items have been submitted ---------------------------------------------------------------------------------------
02. Plot plans, 3/4 sets, signed by the preparer of plans. ------------------------I------------------------------------
03. Complete plans, 3/4 sets, signed by the preparer of plans. --------------- -----------------------------------
04. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans. --------
❑ 5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! ------------------
❑ 6. Energy Design Compliance and supporting documentation. ----------------------------------------------------
❑ 7. Statement of Intent for Non -Heated and A/C Buildings. ---------------------------------------------------------
❑ 8. Hazardous Material Form. ------------------------------------------------------------------------------------------
❑9. Manufactured Home data and installation instructions including Tie Down Specifications .------------------
❑ 10. Fees of $ -------------------------------------------------------------------------------------
❑ 11. Impact fees as shown on the attached schedule. -----------------------------------------------------------------
❑ 12. California Department of Forestry plan approval/fees. ---------------------------------------------------------
❑ 13. Flood elevation certificate.----------------------------------------------------------------------------------------
❑14. Sanitation and plot plan approval Health Department. -------------------------------------------
❑ 15. City of Chico plumbing permit. -----------------------------------------------------------------------------------
❑ 16. Plot plan and business license approval froI the City of Biggs. ----------------------------------------------
1117. Planning approval for (A) Use: 0 IC _ (B) Parking: --------------------------
❑ 18. Contact Land Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel. -----------------------
❑ 19. Encroachment Permit for driveway (construction approval prior to occupancy). ----------------------------
0 20. Pre -inspection for required Request to Building Inspector on - (Date)
❑21. Contractor's license information. (Number, Name Style, Classification).
022. Workers' Compensation carrier and policy number. -----------------------
E123. Owner -Builder Verification (Given to owner ❑, Mailed to owner ❑). -
024. Letter of signature authorization. --------------------------------------------
❑25. Recorded copy of Agricultural Acknowledgment Statement. --------------
0 26. Letter of intent on building use. -----------------------------------------------
027. Manufactured Home utility clearance. ---------------------------------------
028. Existing violations and/or expired permits.----------------------------------
1:114.
---------------------------------
029. 0433 A, ❑Grant Deed, ❑ M.H. Title, ❑ Check to H.C.D $
E130. Other:
When you issue the penr-nn�it, ocess as follows ❑ Mail to owner, n❑� ait to contractor.
❑Telephoneqq +^� of and hold for pickup at (� office. ❑ D 'ver with inspector.
J Applican Date:.
Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, ❑ Air o ution Date: By:
Copy of plans sent ❑ Health Department, ❑ Fire Department, ❑ Other: Date: By:
Index permit application for the above items numbered:
2. Additional items required
it -i9-49
❑ Plan Check List
Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date:
Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date:
Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Buildin�Divis' n counter,by Date:
Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Buil 'n counter, by Date -
Plans reviewed by: Date: Plans approved by: Date: / Z
Sets of plans on hold in ❑ Plari :Cabinet, ❑ A.P. folder. Note transfer by: Date:
!-'.,.,.,_Tl-+..,o..t..file..eL......e.:«c.......:...... n..:u:_-
B E A U T Y
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965-3397
TELEPHONE: (530) 538-7541
FAX: (530) 538-2140
Re: Building Permit # 99-2661
Expiration Date: 12-1-00
A.P.# 007-340-037
With reference to the above subject, our records indicate that your building permit expires on the above date
1 and your permit falls into one of the category marked below:
VA Permit work started, but not completed. Permit may be renewed for 1/2 the original building permit
fee (plus a $20.00 filing fee). The renewal permit will extend the building permit for an additional
year from the original expiration date. Should you not renew your permit within 30 days of the
expiration date, all.work must cease until a new building permit has been issued. For your convenience,
we are enclosing a renewal application form and owner -builder form to be completed and signed by
you where indicated and returned to this office together with the fee shown. Please return all copies
of the application form.
[ ] No inspections have been made on permit work. Inspections are required to verify code compliance.
We are unable to renew a permit where the work has not been started and inspected prior to permit
expiration. After expiration of your permit, no work may be started until a new permit has been issued.
[ ] A final inspection has not been made on permit work. Final inspection approval is required before
occupancy. Our field inspector has verified that the building is occupied. Occupancy must cease until
a final inspection can be made and final approval given. You have 30 days to voluntarily cease
occupancy or to present an acceptable plan for abatement or corrective actions to be taken by you.
If our records. are in error or should you have any questions concerning this matter, please contact the
CHICO office.
Thank you for your prompt attention concerning this matter.
Yrs very truly,
C. Vieira, C.B.O.
Building Inspection
MCV:lt
Attachments
Chico Office - 411 Main Street, Chico / 891-2751
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COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO.
(Rev.12/96) APPLICATION AND PERMIT G ;!!)/"4Z97
ASSESSOR PARCEL NUMBER
0010340-037
ZONING
BUILDING PERMIT
OWNER HANK BOSMAN
TELEPHONE
743
SO. FT. OCC. BUILDING VALUATION
OWNERS MAILINGADDRESS8
3138 CORON 4
CONTRACTOR'S NAME
OWNER
TELEPHONE
CONTRACTORS MAILING ADDRESS
CONSTRUCTION LENDER
Fireplace
LENDER'S MAILING ADDRESS
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE NO.
Filin Fee
$ 20.00
Permit Fee 2
$ 31.50
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee
$
BUILDING ADDRESS
3138 MRONAW RT), M
Energy Plan Checking Fee
PERMIT FEE
$ 51.50
LOTNO:".. •• .:. DBL11CfS1OlJ'S PLIMF •' +•nw ik :t+M:.::,Y. 1044
PARCEL.AMR."
s.—� -�-►- .. +P •-.:.. ;-
'PLUMBIN�PERMI�- • Flirt -"Fee --'20.00
Each Trap
7.00
USEOFSTRUCTURE
SF ❑ Duplex ❑ Mobilehome ❑ Other
SPECIFY
Solar or heat pump water heater
23.00
Water piping
15.00
Each gas water heater or vent
15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑
Describe Work: IST RENEWAL PERMIT 99-2661 U=EN)
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home ISI GI W1
1 @20.00
PERMIT FEE
$
ELECTRICAL PERMIT
Fling Fee 20.00
Main Service 2o0AORLE: S
23.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that 1 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.
License Class Lic. No.
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
Main Service To 10013A
46.00
NEW CONST. DWELLMICi OCCUP.
WE
OR ADDNS. & ACC. BLDS.
SO
3.50FT.
NEW CONST.
NOWRESID. MULT.' CRR UITS T
@7.50
POWER APPARATUS
8 SINGLE OUTLET CIR.
Ex. OCCU . OUTLET OR FIXTURES
20 ®, 00
SAL .S0
Ex. Occup. oFirrEttDrs RFS °Ea
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wirina
23.00
PERMIT FEE
$ . 1._
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 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
Policy Number
(The above sections need not be completed if the permit is for work of a valuation
n 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
forthwith comply wi those provisions.
X Date
SignituWof A plicart - wner ❑ Contractor ❑ Agent
An OSHA permit is requir(d fo excavations over 60" deep and demolition or construction
of structures over 3 stories in height.
MECHANICAL PERMIT
Filing Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEE $
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
12 .3
CONST. TYPE
U.-1
TOTAL FEE $ 51.50
HAZ.
D. FE
IMP
FLOOD
CDF
PARCEL
PD
HD
I SUE
This permit is hereby issued under the applicable provisions
of the Butte County Code and/or Resolutions to do work
indicated indicated above for which fees have been paid.
/- 4-1- O
r p
By t' 1^:.�Y 4-f 1%E� Date
PERMIT EXPIRES ON 12-1-01
Data
Receipt No. aO!%ltl)c71
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
1
le
^.i
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO.
(Rev.12/96) APPLICATION AND PERMIT C, �� M47
ASSESSOR PARCEL NUMBER
0077340-037
ZONING
BUILDING PERMIT
OWNER
HANK BOSMAN
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
. OWNERS MAILING ADDRESS
3138 CORONADO RD CHICO 95973
CONTRACTOR'S NAME
OWNER
TELEPHONE
CONTRACTORS MAILING ADDRESS
CONSTRUCTION LENDER
Fireplace
LENDER'S MAILING ADDRESS
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE No.
Filing Fee
$ 20.00
Permit Fee 63.00/2
$ 31.50
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee
$
BUILDINGADDRESS
3138 CORONADO RD, C14Trn
Energy Plan Checking Fee
$
$
PERMIT FEE
$ 51.50
LOT NO.
SUBDNISIONS NAME
PARCEL MAP
PLUMBING PERMIT
Fling Fee 20.00
Each Trap
7.00
USEOFSTRUCTURE
SF ❑ Duplex ❑ Mobilehome ❑ Other
SPECIFY
Solar or heat pump water heater
23.00
Water piping
15.00
Each gas water heater or vent
15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑
Describe Work: 1ST RENEWAL PERMIT 99-2661 (KITCHEN)
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home ISI GI W1
@20.00
PERMIT FEE
S
ELECTRICAL PERMIT
Fling Fee 20.00
Main Service 200AORLES3
23.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license is in full force and effect.FSING
License Class Lic. No.
OWNER -BUILDER DECLARATION
1 ereby affirm under penalty of perjury that I am exempt from the Contractors License
L 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
Main Service 200A 1000A
TGING
46.00
NEW CONST. DWELLING CUP.
OCCU
OR ADDNS. ( ti ACC. BLDs.
SO
3.50'
NONNEW RESID. T. MULTI-OUTLEr
97,50
8 E OUTLET DWELLLAPPARATUS
CIR.
Ex. Occup. OUTLET OR FDCTUREs
" O ,.pp
BAL O .50
R.
Ex. Occup. GFlx s A OE
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wirina
23.00
PERMIT FEE
$
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
I 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.
I have and will maintain workers' compensation Insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permit is issued.
My workers' compensation insurance carrier and policy number are:
Carrier
MECHANICAL PERMIT
Filing Fee 20.00
Heating
Cooling
Hood
6.50
Ventilation
PERMIT FEE
$
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
wo kers' compensation provisions of section 3700 of the Labor Code, I shall
fo with c mply w' those provisions.
X '(1 `/ Date v
Sign t e of Applican - Owner ❑Contractor ❑Agent
An OSHA permit is requir d fo excavations over 5'0" deep and demolition or construction
of structures over 3 stories in height.
Mobile Home Installation Fee
$
Energy Inspection Fee $
2� 3
TOTAL FEE $ 51.50
HAZ.
D. FE IMP
I FLOOD
CDF
PARCEL
I PD
ND
ISSUE
This permit is hereby issued under the applicable provisions
of the Butte County Code and/or Resolutions to do work
indicat above for which fees have been paid.
By _ Date
PERMIT EXPIRES ON 12-1-01
I Date
ReceiptNo. 3d 911)9
WHITE-D.D.S.-B.D.CANARY-ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
i
4
4
!LAND OF NATURAL WEALTH AND BEAUTY
BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
7 COUNTY CENTER DRIVE • OROVILLE, CALIFORNIA 95965-3397
TELEPHONE: (530) 538-7541
FAX: (530) 538-2140
Re: Building Permit # 99-2661
Expiration Date: 12-1-00
A.P. # 007-340-037
With reference to the above subject, our records indicate that your building permit expires on the above date
and your permit falls into one of the category marked below:
[x Permit work started, but not completed. Permit may be renewed for 112. the original building permit
fee (plus a $20.00 filing fee). The renewal permit will extend the building permit for an additional
year from the original expiration date. Should you not renew your permit within 30 days of the
expiration date, all work must cease until a new building permit has been issued. -For your convenience,
we are enclosing a renewal application form and owner -builder form to be completed and signed by
you where indicated and returned to this office together with the fee shown. Please return all copies
of the application form.
[ J No inspections have been made on permit work. Inspections are required to verify code compliance.
We are unable to renew a permit where the work has not been started and inspected prior to permit
expiration. After expiration of your permit, no work may be started until a new permit has been issued.
r
[ ] A final inspection has not been made on permit work. Final. inspection approval is required before
occupancy. Our field inspector has verified that the building is occupied. Occupancy must cease until
a final inspection can be made and final approval given. You have 30 days to voluntarily cease
occupancy or to present an acceptable plan for abatement or corrective actions to be taken by you.
If our records are in error or should you have any questions concerning this matter, please contact the
CHICO office.
Thank you for your prompt attention concerning this matter.
Y.gyrs very truly,
Mich el C. Vieira, C.B.O. ry
Manger, Building Inspection
MCV:lt
Attachments
Chico Office - 411 Main Street, Chico / 891-2751
Attention Property Owner:
An "owner -budder" 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 budding permit.iOW '.
be issued until this verification is received.
1. I personally plan provide the majorrIf and materials for consC�uction ofproposed pro improvement : XENO[ . D..
2. I HAVE[ .j HAVE NOT[ . D signed a:a: application for - boding per� Sor thz
proposed work ...:
• 4r' : 4
3. I have contracted with the following person (firm) to 'provide -the 'proposed
construction: _
NAME:
PHONE: CONT'RACTOR'S LICENSE NO..:. .:,..
4. I plan to provide portions of this -work, but I have hired_ the following person 'to
coordinate, supervise, and provide the major work:
NAME:
ADDRESS: -- CTI'Y:
PHONE: CONTRACTOR'S LICENSE NO.
5. I will provide some of the work but I have contracted (hired) the following4ehM to
provide the work indicated: - =
NAME ADDRESS PHONE TYPE OF WORK
SIGNED:
k PROPERTY OWNER:
SOCL-kL SECURITY NUMBER:
X DATE:
I -q- -",-)
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.
2.26
ue.. ♦ y'1
Dear Property Owner. a
An application for a building permit has. been submitted in your name listing yourself as the builder of
property improvements specified. 7.
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 requirnd by law to put their license number on all permits
for which they apply.
If you plan to do your own work, witk the exception of various trades that you plan to subcontract, you
should be aware of the following information for your benefit and protection:
0 If you employ or otherwise engage any*persoiis other than your immediate family, and the work -(mclu hng
materials and other costs) is $300 or more for the entire project, and such persons are not licensed as
contractors or subcontractors, then you may be an employer.
0 If you are an employer, you must register with the State and Federal Governments as an employer and. you. are
subject to several obligations including state and federal income tax withholding, federal social soaurity taxes,
workers compensation insurance, disability insurance costs, and unemployment compensation contributions.
0 There may be financial risks for you if you do not carry out these obligations,'and these risks are.especiany
serious with respect to worker's compensation insurance.
0 For more specific information about your obligations under Federal Law, contract the Inteinal Revenue
Service (and, if you wish, the U.S. Small Business Administration). For more specific Wormation about your y
obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial C
Accidents.
If the structure is intended for sale, property owners who are not licensed contractors are.allowed to
perform their work personally or through their own employees, without a licensed contractor or subcontractor, only
under limited conditions.
A frequent practice of unlicensed persons professing to be contractors is to secure an "ownerbuilder"
building permit, erroneously implying that the property owner is providing his or her own labor and material
personally. Building permits are not required to be signed by property owners unless they are performing their oovn
work personally.
Information about licensed contractors may be obtained by contracting the Contractors State License
Board in your community or at 1020 N Street, Sacramento, CA 95814.
Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm
that you are aware of these matters. The building permit will not be issued until the verification is returned . ..
Sincerely,
Michael C. Vieira, C.B.O.
Manager, Building Inspection
NOTE: This O�-ne:-Builder Information is required by Section 19830 of the California Health and Safety Code.
Mav 1995 2.21
(Rev.12/96)
`UOUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive • Oroville, California 95965 .• Telephone (530) 538-7541 PERMIT NO.
APPLICATION AND PERMIT C) % -)39 (P
ASSESSOR PARCEL NUMBER
007-340-037
ZONING
BUILDING PERMIT
OWNER
HANK
891HONE
SQ. FT. OCC. BUILDING VALUATION
960 U 17,280.00
. OWNER'S MAILING ADDRESS
31-18 CORNADO RD. CHTCO,CA 95923
CONTRACTOR'S NAME
QWNFR
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
CONSTRUCTION LENDER
Fireplace
LENDER'S MAILING ADDRESS
Total Valuation $ 17 280.00
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee $ 20.00
Permit Fee $ 189.00
ARCHITECT OR ENGINEERS MAIUNG ADDRESS
Plan Checking Fee $ 122.85
BUILDING ADDRESS
3138 CORONADO RD. CHICO CA 95923
Energy Plan Checking Fee $
$
PERMIT FEE $ 331.85
LOT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT Filing Fee 20.00
USEOFSTRUCTURE
SF ❑ Duplex ❑ Mobilehome ❑ Other GARAGE
SPECIFY
Each Trap 7.00
Solar or heat pump water heater 23.00
Water piping 15.00
Each gas water heater or vent 15.00
TYPE OF WORK
New EX Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑
Describe Work: DETACHED GARAGE
Gas piping system 1 - 5 outlets 15.00
Building sewer 15.00
Mobile Home I S G W Q20.00
PERMIT FEE $
ELECTRICAL PERMIT Fling Fee 20.00
'ORMain Service 200A OR LESS 23.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license is in full force and effect.
License Class Lic. No.
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
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
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
orkers' compensation provisions of section 3700 of the Labor Code, I shall
f rthwith;mp with those provisions.
X Date ��
Signat re of Applld-nt'-,W OwNir ❑ Contractor ❑ Agent
An OSHA permit is required for excavations over 60" deep and demolition or construction
of structures over 3 stories in height.
Main Service 200A TO +000A 46.00NEW
CONST. DWELLING OCCUR SO
OR ADDNS. ( a ACC. BLDS. 3.5¢-.
ASSID ' MULTBRANCI.OUTLET CG 7,50
PSOr AP=US
a wG. ovnEr CIR.
EX. Occup. OUTLET OR FCRUREs BAL @x.00 .50
Ex. Occup.OFlvr. Aa ) E 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wirina 23.00
PERMIT FEE $ 53.60
MECHANICAL PERMIT Filing Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEt $
Mobile Home Installation Fee $
Energy Inspection Fee $
OCC CONST. TYPE
TOTAL FEE $ 385.45
HAz.
D IM
FLogD ?F
/
PARCEL
HD suE
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 Date d�W4:�l
PERMIT EXPIRES ON �6/�
Date
^eiptNo
�ti-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
:"COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
' 7 County Center Drive I> Oroville, California 95965 • Telephone (530) 538-754 / / 7PERMIT NO.
!Rev 12/96, APPLICATION AND -PERMIT
ASSESSOR PARCEL NUMBER0-7^ZONING
0-037
1
I
BUILDING PERMIT
OWNER yj - /
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
3 3 C D 2 •v adzl
CONTRACTOR'S NAMEv�� _ /
�/
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
CONSTRUCTION LENDER
Fireplace
LENDER'S MAILING ADDRESS
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee
$ 20.00
Permit Fee
$
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee
$
SUILDINGADDRESS
Energy Plan Checking Fee
$
CWl C 0
313g$
PERMIT FEE
$
LOT NO. SUBDIVISION'S NAME PARCEL MAP
PLUMBING PERMIT
Fling Fee 20.00
Each Trap
7.00
USEOFSTRUCTURE
Solar or heat pump water heater
23.00
SF ❑ Duplex ❑ Mobilehome ❑ Other
Water piping
15.00
Each gas water heater or nt
15.00
TYPE OF WORK
Gas piping system 1 - outlets
15.00
New Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑
Building sewer
15.00
Mobile Home S I G I W
920.00
Des'. a Work:
PERMIT FEE
t
L
ELECTRICAL PERMIT
Fling Fee 20.00
Main Service x'ow oa mss
23.00
Main Service 200A TO 1000A
46.00
NEW CONST. / DWELLING OCCUR
OR ADONS. ` 6 ACC. SILOS.3.5Q
Sat X12 - / 0r
FT.;,JJ 6
.
NEW CONS . MUL71.0 UTIFT
NON-RESIO.
@7.50.
'
POWER APPARATUS
& SINGLE OUTLET CIR.
'
EX. Occup. OUTLET OR FURLREs
�� ':�
t EX. OCCU FIXED APPLNS. OR
OUTLETS RESID. EA
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
i
Misc. Wiring
23.00
I
PERMIT FEE
1b
MECHANICAL PERMIT
Fling Fee 20.00
Heating
I
Cooling
Hood
6.50
Ventilation
PERMIT FEI:
S
-
Mobile Home Installation Fee
$
$r.
Energy Inspection Fee
TYPE p cy
occ i coNsTOTAL FEES 3 V r 7-s
dqr
MA: D. FEES LMP FL000
�
COF PARCEL PO HO ISSUE
This permit is hereby issued under the applicable provisions
of the Butte County Code and/or Resolutions to do work
Vindicated above for which fees have been paid.
By
Date ----
^"
PERMIT EXPIRES ON
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES
f .. OWNER'S STATEMENT OF USE - DETACHED ACCESSORY BUILDING
PN: ONE: BUILDING PMT. #
00� - 30 037
OWNER: /V PHONE:
MAIL ADDRESS:
SITE ADDRESS:
PROPOSED USE:
PLEASE ANSWER QUESTIONS 1-20. PLEASE EXPLAIN YES ANSWERS (2-18) IN THE SPACE PROVIDED ON THE REVERSE OF THIS FORM. (PLEASE
PRECEDE EACH COMMENT WITH RELATED QUESTION N)
GENERAL INFORMATION:
Will this building have insulated floor, walls, or ceiling?
Yes:
No:
15.
Will this building be heated or cooled?
Yes:
No: x
—�
1. Is there a primary dwelling on the property?
Yes:
No:
4--
2. Is the structure already � bui under construction, or under notice of code violation?
Yes: No:
Yes:
3. Will items produced in this building be offered for sale?
Yes:
No:
x
No:
19.
What type of floor covering will the building have?
4. Will the public have access to this building?
Yes:
No:
5. Will any advertising, on or off site, be associated with the use of this building?
Yes:
No:
6. Will this building be occupied at any time as a sleeping quarters?
Yes:
No:
7. Will this building be occupied at any time as an eating area?
Yes:
No:
8. Will this building be occupied at any time as a cooking area?
Yes:
No:
%<1
9. Will this building be occupied at any time as a living area?
Yes:
No:
x
SITE CONDITIONS:
10. Is the structure foundation within 5' of septic tank or 10' of leach lines? Yes: ^ No:
11. Is any portion of the proposed structure located closer than 20' to your front property line? Yes: No:
12. Do you plan to add a driveway or modify existing access to a county maintained road? Yes: No:
13. Will the proposed structure encroach within any recorded easement? Yes: No:
CONSTRUCTION FEATURES:
14.
Will this building have insulated floor, walls, or ceiling?
Yes:
No:
15.
Will this building be heated or cooled?
Yes:
No: x
—�
16.
Will this building have a water closetttoilet?
Yes:
No:
17.
Will this building have a sink?
Yes:
No:
18.
Will this building have a water heater? t t
Yes:
No:
19.
What type of floor covering will the building have?
20.
What type of wall covering will the building have? f%4n25!' Pkz- i�,-
ADDITIONAL INFORMATION:
I hearby affirm under penalty of perjury the above Infromation is true and correct. I understand that any changes to the use, or character of use, of this building will
require permits from the permitting authority. I understand that Real Estate Disclosure laws require disclosure of this Information if or when offered for sale.
OWNER'S SIGNATURE DATE OWNER'S SIGNATURE DATE
FOR DEPARTMENTAL USE 6
REVIEWED BY: DATE:
COMMENTS:
• -aM
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541
PERMIT APPLICATION DATA SHEET
OWNER: �aS ASSESSOR PARCEL NUMBER: 2 - 3YO - O3
Proposed Building Use: J Building Inspector: '` �^ Date: (,'Z 71--;>
At time of permit applicati n, I was advised the following data must -be submitted prior to permit p egging and/or issuance:
Date Received By
❑ 1. All iiems have been submitted --------------------------------------------------------------------------------------
E12. Plot plans, 3/4 sets, signed by the preparer of plans. ------------------------------------------------------------
03.
-----------------------------------------------------------
❑3. Complete plans, 3/4 sets; signed by the preparer of plans. -----------------------------------------------------
04. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans. --------
❑ 5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! ------------------
❑6. Energy Design Compliance and supporting documentation. ----------------------------------------------------
❑ 7. Statement of Intent for Non -Heated and A/C Buildings. ---------------------------------------------------------
❑ 8. Hazardous Material Fonm. ------------------------------------------------------------------------------------------
❑ 9. Manufactured Home data and installation instructions including Tie Down Specifications .------------------
❑ 10. Fees of $ -------------------------------------------------------------------------------------
❑ 11. Impact fees as shown on the attached schedule. -----------------------------------------------------------------
❑ 12. California Department of Forestry plan approval fees. - - ---- ------------------------------------------
13. Flood elevation certificate. ----------------------------------------------------------------------------------------
Sanitation and plot plan approval l<�Iealth Department. ------------------------------------------
❑ C: of Chico plumbing permit. ----------------------------------------------------------------------------------
❑ 16. Plot plan and business license approval from the City of Biggs. ----------------------------------------------
❑ 17. Planning approval for (A) Use: (B) Parking:
❑ 18. Contact Land Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel.-----------------------
1119.
----------------------❑19. Encroachment Permit for driveway (construction approval prior to occupancy). ----------------------------
020. Pre -inspection for required Request to Building Inspector on (Date)
_.
❑ 2 1. Contractor's license information. (Number, Name Style, Classification). ------------------------------------
El 22.
-----------------------------------
❑22. Workers' Compensation carrier and policy number. ---------------------
1123. Owner -Builder Verification (Given to owner ❑, Mailed to owner ❑).
❑24. Letter of signature authorization. ------------------------------------------
025. Recorded copy of Agricultural Acknowledgment Statement. -----------
026. Letter of intent on building use. --------------------------------------------
027. Manufactured Home utility clearance. -------------------------------------
❑28. Existing violations and/or expired permits. -------------------------------
0 29. ❑433 A, ❑Grant Deed, ❑ M.H. Title, ❑ Check to H.C.D $
030. Other:
When you issue the permit, process as follows ❑ Mail to owner, ❑Mail/to contractor.
Telephone 1 y3 and hold for pickup at C<JI< _9j office. ❑ Deliver with inspector.
Applicant: A"w-Date:
Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, ❑ Air Pollution Date: By:
Copy of plans sent ❑ Health Department, ❑ Fire Department, ❑ Other: Date: By:
1. Index permit application for the above items numbered: ❑ Plan Check List
2. Additional items required:
,..
Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date:
Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date:
Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date:
Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building D* isi counter, by Datf:
Plans reviewed by: Date: Plans approved by: Date:
Sets of plans on hold in ❑ Plan Cabinet, ❑ A.P. folder. Note transfer by: Date:
r
VA]mv I nnir - C ;n Q...1A.*_ .
Y +7,0 .
l
fi
USE ONLY
Plot Plan Anachad
Floor PlanA� chad
Sant to S.D'P—
I�ot �,►� t
TO: Building Department
FROM: Environmental Health
SUBJECT: Sanitation Clearance
3132- 7— 3 4,n — o37
Owner Location AP#
Plan Approved for: Sewage Disposals Water Supply:
Clearance for . -dvaef ing. Other Z4 ",c 44 ` S�iaa u;Ie.
Hold final for:
Final clearance O.K. for:
(VOTE:
Public Private Well A
Environmental Health Specialist Date
8/96
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT
24 HOUR INSPECTION #: (530) 538-7636 (OROVIL'LE) (530) 891-2834 (CHICO)
OFFICE #: (530) 538-7541 FAX#: (530)538-2140.
WEBSITE: www.buttecounty.net\dds
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
the Business and Professions Code, and my license is in full force and
effect.
License Class: License Number:
Date: Contractor.
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
to its issuance, also requires the applicant for such permit to file a
signed statement that he or she is licensed pursuant to the provisions of
the Contractor's State License Law (Chapter 9 commencing with Section
7000) 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 the
applicant to a civil penalty of not more than five hundred dollars ($500).):
O 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
owner of property who builds or improves thereon, and who does
such work himself or herself or through his or her own employees,
provided that such improvements are not intended or offered for
sale. If however, the building or improvements are sold within one
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.).
l� 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,
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 ajnndd Professions Code
Date:' ly l Le Owner: S�n 1 .�!5>y - r
WORKERS' COMPENSATION DECLARATION
I hereby affirm under penalty of pedury 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.
O I.have and will maintain workers' compensation insurance, as
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:
Policy #:
I'I certify that in the performance of the work for.which this permit is
issued, 1 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.
Date: I yip
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.
PERMIT NO.
BP043541
Issued Date: 12/16/2004 APN: 007-340-037-000
Site Address: 3138 CORONADO RD CHI
Map Index:
Description: RE -ROOF (14 SQ)
Owner: BOSMAN HANK J L & SHERYL R (CB DVA)
3138 CORONADO RD
CHICO, CA
95973-0306
(530) 891-1243
Applicant: BOSMAN HANK J L & SHERYL R (CB DVA)
3138 CORONADO RD
CHICO, CA
95973-0306
(530) 891-1243
Contractor: RRR ROOFING
716 HAZEL STREET
CHICO, CA 95928
530-345-9646
License #: 717351
Architect:
Engineer:
Total Square Ft: 0 S.F.
Valuation: $0.00
Census Code:
41674 a 6 1 W-:117 / a • (6 -04--
CONSTRUCTION LENDING AGENCY This permit 's hereby issued under the applicable provisions of the Bntte County Codn 2nrvor .
I hereby affirm that there is a construction lending agency for the Resolution to do work indicated above for which fees have been paid.
performance of the work for which this permit is issued (Sec 3097 Civ.) Name: By. Date:PEOMI ON: f' 1 ' ((o ' 05
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
authorize representatives of Butte County to enter upon the above mentioned property for inspection purposes. /C
Print Name: ��.� 6D S VY -\-C . Signature:
Date:
a�Owner
❑ Contractor
❑ Agent for Owner
❑ Agent for Contractor
(0
0
0
0
�0
BUTTE COUNTY
0 DEPARTMENT OF DEVELOPMENT SERVICES
0 BUILDING PERMIT APPLICATION
0 AND SUBMITTAL REQUIREMENTS
O 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834
0 OFFICE #: (530) 538-7541
A FEE WILL BE REQUIRED AT TIME OFAPPLICATION
Website: www.buttecounty.neUdds
"PLEASE PRINT CLEARLY*
OWNER
Last N mo S ry\_O�� first Name
Address 313 Cz 1b vy�cjt) o
City 0(
City 6 I w
State
Zip'9� 13
Phone , I �� 3
Fax
E-mail
CONTRACTOR
Name fl -00--A
Address 1 3S -
City 0(
State
Zip
Phone1 _ c�
Fax
E-mail
Lic. #
Class
APPLICANT NAME
ARCHITECT/ENGINEER
Name
Address 3 �>� YLLC o ILS V} � �{
Address
ZCipl'( SG(�
City
E-mail
State
Zip
Phone
Book
Fax
E-mail
Planner
State License Number
APPLICANT NAME
Name
)mac- i\
Address 3 �>� YLLC o ILS V} � �{
State, , �,�
City ,t ('o
ZCipl'( SG(�
Phone �G I ^) Fax
E-mail
APPLICANT SIGNATURE
x C�
For office use only:
Zoning
Property Address � &fDa /I /t
GSD ad101h
Flood Zone
CrossS��reet
6—'MC((To r\
SRA
Yes
I No
Occ.
Type Const.
Subdivision Name Map
Book
Page
Lot #
Planner
Date Approved:
PERMIT
NO.
BP,c 4-3541
BIN If
LOCATION
Property Address � &fDa /I /t
GSD ad101h
City
I (,d
CrossS��reet
6—'MC((To r\
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. Footage 1 Li 00 Y e b-� C,c, i
❑ 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.
Received by: w Amount: 710-- Bldg
OVER FOR SUBMITTAL REQUIREMEN 15 L
K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc Page 1 of 2
Receipt#: +1 g7cT D -
Date: 1 O- j lA • 0 4
SRA
Sheriff
SMIP
Other
116.— Total
REV 7-27-04
SUBMITTAL & PERMIT REQUIREMENTS
The following drawings and specifications must be submitted to the Building Division in order to apply for a
permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND /N INK.
❑
1.
Site plans, 3 or 4 sets, signed by the preparer of the plans. No graph paper!
❑
2.
Complete plans, 3 or 4 sets, signed by the preparer of the plans (No graph paper.!) OR
Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations.
❑
3.
Engineered truss details and layouts in duplicate (if required). No faxes!
❑
4.
Energy compliance design and supporting documentation in duplicate. (Note: Not required for additions to
mobile or modular homes.)
❑
5.
Statement of Intent for Non -heated and A1C for Non -Residential Buildings.
El
6.
Manufactured homes: (A) Data sheets and installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down
or fnd plans, all in duplicate.
❑
7.
Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor
plans in triplicate. All of these must be stamped and wet -signed by the engineer.
❑
8.
Flood Elevation Certificate, wet -stamped and signed, in duplicate (if required).
❑
9.
Site plan and business license approval from the City of Biggs.
❑
10.
Letter of intent for non-residential buildings.
❑
11.
Detached Accessory Building Form filled out by the owner (if required).
❑
12.
Hazardous Material Form (for Commercial Buildings only).
❑
13.
Sanitation and site plan approval from the Environmental Health Department.
Remaining
items needed to issue the permit. Additional items may be required after Plan Check and Planning
review (May
require additional plan review upon receipt of the following items.)
❑
1.
Agricultural Buffer clearance and site plan approval from the Ag Commissioner's office (if required).
❑
2.
Impact Fees.
❑
3.
California Department of Forestry plan approval (if required).
❑
4.
NPDES Form.
❑
5.
Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy).
❑
6.
Contractor's license information. (Number, Name Style, Classification).
❑
7.
Worker's Compensation Carrier and Policy Number.
❑
8.
Owner -Builder Verification (if required).
❑
9.
Letter of Signature authorization (if required).
❑
10.
Recorded copy of Agricultural Acknowledgment Statement.
❑
11.
❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner (for 433A's).
If you have questions or would like additional information regarding this process, contact a Permit
Application Assistant at (530)538.7541.
EXPIRATION OF APPLICATION
Applications for which a permit has not been issued will expire one year after date of application. In order to renew action
on an application after expiration, a new application, plans and fees will be required.
REQUEST FOR FEE REFUNDS
Refunds can only be made upon written request by the person who paid the fee. The request must be made within two
years from the date of fee payment on permits not issued, and two years from the date of permit issuance for permits
issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan
check fees for work plan checked and other department costs are not refundable.
OVER FOR BUILDING PERMIT APPLICATION
KAFORMSWILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2 REV 7-27-04
y BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
. BUILDING PERMIT
24 HOUR INSPECTION #: (530) 538-7636 (OROVIL'LE) (530) 891-2834 (CHICO)
OFFICE #: (530) 538-7541 FAX#: (530)538-2140
WEBSITE: www.buttecounty.net\dds
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
the Business and Professions Code, and my license is in full force and
effect.
License Class: License Number:
Date: Contractor:
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
to its issuance, also requires the applicant for such permit to file a
signed statement that he or she is licensed pursuant to the provisions of
the Contractor's State License Law (Chapter 9 commencing with Section
7000) 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 the
applicant to a civil penalty of not more than five hundred dollars ($500).):
O� 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
owner of property who builds or improves thereon, and who does
such work himself or herself or through'his or her own employees,
provided that such improvements are not intended or offered for
sale. If however, the building or improvements are sold within one
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,
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
_.10AWAK
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
is issued.
❑ I . have and will maintain workers' compensation insurance, as
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:
Policy #:
ur 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 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.
Dale: /^1,=
Applicant: �JXr e k4
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
performance of the work for which this permit is issued (Sec 3097 Civ.)
PERMIT NO.
BP043539
Issued Date: 12/16/2004 APN: 007-340-037-000
Site Address: 3138 CORONADO RD CHI
Map Index:
Description: ONE TIME TO FINAL 01-0027 (KITCHEN
REMODEL) & DUPLICATE PLAN FEE
Owner: BOSMAN HANK J L & SHERYL R (CB DVA)
3138 CORONADO RD
CHICO, CA
95973-0306
Applicant: BOSMAN HANK J L & SHERYL R (CB DVA)
Contractor:
License #:
Architect:
Engineer:
Total Square Ft: 0 S. F.
Valuation: $0.00
Census Code:
4-11079 --1 :tII®,`-' ►-I•1(c-o4-
This perm: 's hereby issued under the applicable provisions of the Bntte County Code anNor
Resolution to do work indicated above'tor which fees have been paid.
11 • !%-04-
By:
Date:
oc ■AIr 1voloce AM.
Address: I 1 / !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 l 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 forth or document of Butte County. I hereby
authorize representatives of Butte
County to enter upon the above mentioned property for inspection purposes. n /
Print Name: Jki► v I 1 _ ��(1 YTLt y ) 'Signature: 6 `_C —�Z l `
Date: (a' 1 `b
Owner
❑ Contractor
❑ Agent for Owner
❑ Agent for Contractor
0
0YI M 1, ' 1L ti � f IG ION
tcm�..�frr.+�.� �vs,.u...an.r�.. ��,.:c x.. ws,..:;a,; 1 rnt
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 pernlit will be issued until. this
verification is received.
)(I.- I personally plan- to provide the major labor and material for construction of this proposed
property improvement: YES [ NO [ ].
k2. I HAVE ['fJ 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:
4
NAME:
ADDRESS:
,PHONE: CONTRACTOR'S LICENSE NO:
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:
I will provide some of the work but I have contracted (hired) the following persons to provide
the work indicated:
NAME ADDRESS PHONE TYPE OF WORK
SIGNED: ;
PROPERTY OWNER: (SYYZa:k
fk/DATE: � -�,- � k �e (o
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
ADMINISTRATION • BUILDING' GIS * PLANNING
7 County Center Drive
Oroville, CA 95965
(530) 538-7541 Telephone
(530) 538-2140 Facsimile
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 thanyourself, 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 $200 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 contractors 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 in your
community or at 1020 N Street, Sacramento, California 95814.
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.
-vim
Miclfael C. Vieir4 C.B.O.
Marfager, Building Inspection
NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code.
r �
BUTTE COUNTY
DEPARTMENT OF DEVELOPMEN SERVICES
BUILDING PERMIT
24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO)
OFFICE #: (530) 538-7541 FAM (530)538-2140
WEBSITE: www.buttecounty.netWds
PERMIT NO.
BP043204
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: 11/03/2004 APN: 007-340-037-000
the Business and Professions Code,•and my license is in full force and
effect.
License Class : License Number: Gh FAQ)
, Site Address: 3138 CORONADO RD CHI
Date:%t -3 - USN Contractor.
Map Index:
Description' 4#t-e—
OWNER43UILDER 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
fit
Business and Professions Code: Any city or county which requires a
Owner: BOSMAN HANK J L & SHERYL R (CB DVA)
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 pursuant to the provisions of
CORONADO RD
3138 3138 C R
the Contractor's State License Law (Chapter 9 commencing with Section
7000) 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
95973-0306
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
owner of property who builds or improves thereon, and who does
Applicant: ARTIC AIRE OF CHICO INC
j pp
such work himself or herself or through his or her own employees,
provided that such improvements are not intended or offered for
2350 PARK AVENUE
sale. If however, the building or improvements are sold within one
year of completion, the owner -builder will have the burden of
CHICO, CA 95928
proving that he or she did not build or improve for the purpose of
530-895-3330
sale.).
❑ I, as owner of the property, am exclusively contracting with
l �-
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,
and who contracts for such projects with a contractor(s) licensed
Contractor: ARTIC AIRF OF CHICO INC
pursuant to the Contractors' State License Law.).
2350 PARK AVENUE
❑ I am Exempt under Article 3 of the Business and Professions Code
CHICO, CA 95928
Date: Owner:
530-895-3330
WORKERS' COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
License #: 234913
❑ 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: I . V - /
❑ 1 have and will maintain workers' compensation insurance, as
required Section the Labor Code, for the performance of
l
Engineer'
the work for which thisis permit is issued. Wly workers' compensation
for
�l
insurance carrier and policy number are:
Carrier:
Total Square Ft: 0 S. F.
Policy #: LAJ L.:rL_ <A 3i 5 G7 3,57 l
+
Valuation: $0.00
-1 -1 -certify
2 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.
t�
Date:
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.
//
/ 6L/
CONSTRUCTION LENDING AGENCY
I hereby affirm that there is a construction lending agency for the
This permit is h43reby issued under the applicable provisions of the Butte Count Cods ?nrUc*
Resoluf ns to do work indicated bove or which fees have been paid.
performance of the work for which this permit is issued (Sec 3097 Civ.)
Date:
Name:
BY'
PERMIT EXPIRES ON:
Address:
Dat
❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safely Code, which regulate the storage,
handling and use of hazardous materials.
❑ Notification in accordance with Section 1982%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 purpoo s.
Print Name: c-_, 1 �� Signature:
Date: -3 l7
0 Owner ❑ Contractor ❑ Agent for Owner O— Agent for Contractor
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.netldds
PERMIT NO.
BP043204
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: 11/03/2004 APN: 007-340-037-000
the Business and Professions Code, and my license is in full force and
effect. h
License Class: - e �� License Number: G 3qQ 13
Site Address: 3138 CORONADO RD CHI
Date -.%I -'3 - 04 Contractor. (zl�ruR
Map Index:
,trLtK'
Description: 'P
OWNER -BUILDER DECLARATION
1 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
Owner: BOSMAN HANK J L & SHERYL R (CB DVA)
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 pursuant to the provisions of
3138 CORONADO RD
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
,
she is exempt therefrom and the basis for the alleged exemption. Any
95973-0306
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: ARTIC AIRF OF CHICO INC
PP
owner of property who builds or improves thereon, and who does
such work himself or herself or through his or her own employees,
provided that such improvements are not intended or offered for
2350 PARK AVENUE
sale. If however, the building or improvements are sold within one
CHICO, CA 95928
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
530-895-3330
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,
and who contracts for such projects with a contractor(s) licensed
Contractor: ARTIC AIRE OF CHICO INC
pursuant to the Contractors' State License Law.).
2350 PARK AVENUE
❑ I am Exempt under Article 3 of the Business and Professions Code
CHICO, CA '95928
Date: Owner:
530-895-3330
WORKERS' COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
License #: 234913
❑ 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:— �, (aKYl1✓�L.lc,
Total Square Ft: 0 S. F.
Policy#: S 3 3,57 1
Valuation: $0.00
��
W' I certify that in the of the work for which this is
performance permit
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.
Date:
Applicant:
-J V
WARNING: Failure to secure workers' compensation coverage is
/ — C
unlawful, and shall subject an employer to criminal penalties and one
hundred thousand dollars ($100,000), in addition to the cost of
compensation, damages as provided for in Section 3706 of the Labor
code, interest, and attorney's fees.
l/ 3 6 L/
CONSTRUCTION LENDING AGENCY
I hereby affirm that there is a construction lending agency for the
This permit is reby issued under the applicable provisions of the Birtte Count CodR 2nNc+r
Resoluf ns to do work indicated bove or which fees have been paid.
performance of the work for which this permit is issued (Sec 3097 Civ.)
/
,!
Name:
By' Date:
PERMIT EXPIRES ON:
Address:
Dat
❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage,
handling and use of hazardous materials.
❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project.
❑ Attached are copies of the required E.P.A. notification forms.
I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with
all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby
authorize representatives of Butte County to enter upon the above mentioned property for inspection purpo�$p�ass.
,
Print Name: �� (J� 1�� Signature:
Date: 1. - -3 l7
❑ Owner 0 Contractor ❑ Agent for Owner 0-A'gent for Contractor
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
"PLEASE PRINT CLEARLY"
APPLICANT SIGNATURE
X
For office use only:
OWNER
Laste
rn
irs�[J me 1
11 L
Addr
1
CitySM
I Cn
City
\ co
Stat,
.
Phone Em
_a
Fax
E-mail
Lic'z 'C% el t
APPLICANT SIGNATURE
X
For office use only:
CONTRACTOR
Name AY22V
t� 1Y1�3
Address,��j
SAi'Yl.�
CitySM
I Cn
Cx 4
�b .
-Phone-Fax
Lot #
Fax
E-mail
Date Approved:
Lic'z 'C% el t
as ZID
APPLICANT SIGNATURE
X
For office use only:
ARCHITECT/ENGINEER
Name
t� 1Y1�3
Address
SAi'Yl.�
City
Subdivision Name
State
Zip
Phone
Lot #
Fax
E-mail
Date Approved:
State License Number
APPLICANT SIGNATURE
X
For office use only:
APPLICANT NAME
Name
t� 1Y1�3
Address
SAi'Yl.�
City
Subdivision Name
State
Zip
Phone
Lot #
Fax
E-mail
Date Approved:
APPLICANT SIGNATURE
X
For office use only:
AP# ':�L>L/ O -7
Zoning
Flood Zone SRA I Yes No
Occ.
WORKER'S COMPENSATION
Type Const.
Subdivision Name
If hiring anyone other than license contractors, a certificate of worker's
compensation must be shown at the time of permit issuance.
Map Book
Page
Lot #
Planner
Date Approved:
PERMIT
NO.
BPO Y 27 20
BIN #
LOCATION
AP# ':�L>L/ O -7
Property Address
,J\ —5,E?
Citt
uo
Cross Street
WORKER'S COMPENSATION
Policy Number
U.l i2,c 3'b 7
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:
e c UZ-1
Sq. Footage
❑ Structure Built without Permits
❑ Proposed Change of Occupancy
(Note previous use):
OVER FOR SUBMITTAL REQUIREMENTS U
KAFORMS\BUILDING FORMS\BldgApplSubRgmts.doc Page 1 of 2
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.
Receive Amount:
Recei t
Date: // ///a (
REI/ 7-27-04
SUBMITTAL & PERMIT REQUIREMENTS
The following drawings and specifications must be submitted to the Building Division in order to apply for a
permit.
INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK
❑
1.
Site plans, 3 or 4 sets, signed by the preparer of the plans. No graph paperl
❑
2.
Complete plans, 3 or 4 sets, signed by the preparer of the plans (No graph paperl) OR
Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations.
❑
3.
Engineered truss details and layouts in duplicate (if required). No faxes!
❑
4.
Energy compliance design and supporting documentation in duplicate. (Note: Not required for additions to
mobile or modular homes.) '
❑
5.
Statement of Intent for Non -heated and A/C for Non -Residential Buildings.
❑
6.
Manufactured homes: (A) Data sheets and installation inst, (B) Marriage line info; -(C) Floor Plan, (D) Tie down
or fnd plans, all in duplicate.
❑
7.
Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor
plans in triplicate. All of these must be stamped and wet -signed by the engineer.
❑
8.
Flood Elevation Certificate„wet-stamped and signed, in duplicate (if required).
❑
9.
Site plan and business license approval from the City of Biggs.
❑
10.
Letter of intent for non-residential buildings.
❑
11.
Detached Accessory Building Form filled out by the owner (if required).
❑
12.
Hazardous Material Form (for Commercial Buildings only).
_3—S,anitatiflnand_site plan-appioNalAomtbe_EnvironentaLHealtbDeparfm.ent
Remaining
items needed to issue the permit. Additional items may be required after Plan Check and Planning
review
(May
requireadditional plan review upon receipt of the following items.)
❑
1.
Agricultural Buffer clearance and site plan approval from the Ag Commissioner's office (if required).
❑
2.
Impact Fees.
❑
3.
California Department of Forestry plan approval (if required).
❑
4.
NPDES Form.
❑
5.
Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy).
❑
6.
Contractor's license information. (Number, Name Style, Classification).
❑
7.
Worker's Compensation Carrier and Policy Number.
❑
8.
Owner -Builder Verification (if required).
❑
9.
Letter of Signature authorization (if required).
❑
10.
Recorded copy of Agricultural Acknowledgment Statement.
❑
11.
❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner (for 433A's).
If you have questions or would like additional information regarding this process, contact a Permit
Application Assistant at (530)538-7541.
EXPIRATION OF APPLICATION
Applications for which a permit has not been issued will expire one year after date of application. In order to renew action
on an application after expiration, a new application, plans and fees will be required.
REQUEST FOR FEE REFUNDS
Refunds can only be made upon written request by the person who paid the fee. The request must be made within two
years from the date of fee payment on permits not issued, and two years from the date of permit issuance for permits
issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan
check fees for work plan checked and other department costs are not refundable.
OVER FOR BUILDING PERMIT APPLICATION
KAFORMS\BUILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2 REV 7-27-04
r �l E R S E`T Id
COMPANY
LICIN@ID CONTRACTOR
Insulation —Weatherstripping — Accoustical Tile
(Purchaser)
(No. and Street)
(City and State)
P. 0. Box 3506
Chico, California
Phone 342-4764
Date—
'/as
ate '/as � T�
fy — //6
THIS IS TO CERTIFY THAT INSULATION HASVBEEN INSTALLED IN CONFORMANCE WITH
THE CURRENT ENERGY REGULATIONS, CALIFORNIA ADMINISTRATIVE CODE, TITLE 25,
STATE OF CALIFORNIA, IN THE BUILDING LOCATED AT:
Street Lot Number
EXTERIOR WALLS /n• 2'1�11 Manufacturer A Thickness/Type
CEILINGS
Tract No.
R Value l/
Batts: Manufacturer Thickness ,�✓✓✓/ R Value 1 i
Blown: Manufacturer s �- Thickness ��' A— No. Bags Wt./B
t ./B
�g
• Sq. Ft. Covered T �C)� R Value /
FLOORS
Manufacturer Thickness/Type R Va!ue
SLAB ON GRADE
Manufacturer Thickness/Type -R Value
Width of Insulation Inches
FOUNDATION WALLS
Manufacturer Thickness/Type R Value
GE ER CO A R LICENSE NUMBER
BY �%T1Y, L`E dy / DATE
NSULATI N��//TRACTOR U� k(P yk �-�A LICENSE NUMBER 12 /A��{��� j r
BY �.-iI Yl� 7`_ (..��TITLE Ia[._/r ,li�l�t_J DATE �E / ,/ Cl
SAVE ENERGY - INSULATE!
(DATE)
ACCEPTED HERSETH COMPANY
(Authorized Representative
;'PERWIIT NW 3798-78B
4 �9
PERMIT EXPIRES wz�
OWNER Dari Drake
}
aCONTR. owner
44-43-18 port.
'LOCATION (A.P. )
3138 Coronado Rd., lot 48, Joshua Tree#2,
Chico
i
i
i
i
1 '
o .
t
Temp. Power Pole
Called PG&E
Temp. Elec. Serv. ,L,
Called PG&E
Tem . Gas Serv.
Caiip,l PrULF
JOB
FINA
n
CANTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
BUILDING INSPECTION RECORD
BUILDING
BUILDING (Cont'd)
- PLUIIABING
Setback r
Firewall C�/�
Soil Piping
Forms `
Parapets
1st Floor—
Main BI g.
Restroom Finish
2nd Floor
Footin s
Windows
3rd Flo
Stemwal/
Siding
To out
Slab
Roof Sheathing [/
Water Pi in
Piers
Roofing
Sewer
Garage
Fdn. Vents -----
Fixtures
Footin s —
StemwaII
Garage Vents
Insulation
Water Htr.
Heaters
Slab (/
Carport
Footings —
Provfor physically
handca ed
i
Conformance of ex. r
structure �—
Appliances
Gas Piping &Test
Temp. Gas
Slab
Final
Sanitation
Patio
FIREPLACE
Final 7 --7
Footings
Footing
ELECTRICAL
Masonry Walls
Throat
Rough —�
Relnf. Steel
Final
Fixtures Z�
Bond Bea
FIRE SPRINKLERS
Motors
Framing
Test
Water Hir.
Stucco
Final -----
Subpanels G�
Mesh
MECHANICAL
Gird. Fault Prot. G�
Scratch
Heating —''—'— r
Service
Brown
Cooling �—
Temp. Pole
Finish
Durts
undnrnrnund 0 /
Interior Lath I Ventilation "— Permanent
Door Closer I Final — Final J% --
MOBILEHOME UTILITIES ------------------ Elec- Service Elec. Pedestal
Water Piping Sewer Gas Piping
OBILEHOME INSTAL6AT®= .............. Support Elec. Continuity
Water Piping Drainage Gas Piping
DATE RE ARKS OR COR TIONS
11-17- 7- 7 8'���� �orL��r.�� �,� ,dam
(NOTE: An entry must be made on this form each time you"visit the job site.)
To: BUILDING DEPAaTINIEYT
Frc l: ENVIRONNENTAL HEALTH
Re: Sewage and/or Watei• and/or Addition Clearance(s)
01INER LOCATION �'- . APM
f Pies. 2T2 approved for:. Sewage Disposal Water Supply
Ifold up final for: Water Supply
Final C,leai arses ok for: Water. Supply
Clearance is for a _bedroom (hone e).- Other
The additions) will be
Sanitarian Date
tW .
w COUNTYDEPARTMENTOF BUTTE OF PUBLIC WORKS
s ! w 7 County Center Drive — Oroville� California 95965 O_
Telephone: 534-4541
APPLICATION AND PERMIT
Owner
Mai ling Address v- O t /YL ->y- /I/ It g
Clyt
Contractor <�
Mailing Address
Building Address
A(% 719t
A. P. �
Telephone o.
Y7—�f� Y
Telephone No.,
e
a
a
F., sL5n I Fire Dept. I Fire Zone Use Permit
EQA IParking Parcel
Plans I Declaration I Parcel Map 1 6�R/W I Improvemgents
F*-1P4oAr_-nt'd` Parcel AFArroval I Plans Approval
NEW 9 ADDITION ❑ UTILITIES ❑ OTHER ❑
Single Family Duplex ❑ Mobil Home ❑ Others ❑
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:
License No. Classification
_ BUILDING •
SQ. FT. OCC. BUILDING VALUATION
Fireplace
Total Valuation
Permit Fee
Plan Checking Fee &/or Penalty
Permit Fee
PLUMBING
PERMIT FILING FEE
Each Trap
Repair drainage or vent piping
Water piping
Each gas water heater or vent
Gas piping system 1 - 5 outlets
Each additional outlet
Building sewer
Lawn sprinkler system
Permit Fee
BAL@l0al
ELECTRICAL
PERMIT FILING
FEE
Main service
600V OR LESS
100 AMP OR LESS
Main service
EA. ADO'L 100 AMP
Main service
OVER 600V
100 AMP OR LESS
Main service
EA. ADD'L 100 AMP
NEW CONST. (DWELLING
OR ADDNS. \
OCCUP. S
ACC. BLDGS.
NEW CONSTR.
n u_RFCI n.
(MULTI -OUTLET
RRANCH CIRCUITS
$3.00
1.50
1.50
1.50
1.50
1.50
.30
5.00
2.00
$3.00
5.00
2.50
25.00
1.00
Xi
FEE
FEE
EX. OCCUD(OUTLETS OR FIXTURES
BAL@l0al
FIXED APPLNS. OR
EX. OCCU P•(OUTLETS (REST D.) EA)
2.00
Temporary service
10.00
Mobile Home Facilities
15.00
Misc. Wirino
6.25
I am exempt from the Contractors License Laws of the State of California. Permit Fee
WORKMEN'S COMPENSATION INSURANCE MECHANICAL
PERMIT FILING FEE
I am aware of the provisions of Section3700 of the California Labor Heating
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 Cooling
Workmen's Compensation Insurance.
$3.00
I certify that In the performance of the work for wh(ch th(s Ventilation
permit is issued I shall not employ any person in any manner
so as to become subject to the Workmen's Compensation Laws of . Hood 1 1 2.00
California. 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
authorize representatives of the County of Butte to enter upon the
above -m i ed property for ins a tion purposes.
X Date
ignature of P it Agent
Receipt No.
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant
Land Development Fee $ 0C,
TOTAL PERMIT FEE 11 $ 82
This permit is hereby issued under the applicable provisions of
the Butte County Code and/or resolutions to do work indicated
above for which fees have been paid.
DIRECTOR OF BLIC WORKS ,p
By ate 7—� z� 7y
B ding permit expires Date 7 —,- Z ? y'
.JO51-ILIA' TREE . 5LI50/VISION ulV/T. . 2-,-
11 .
[ y4.27 !r
N •�
l
4
Lstfury
1ae� on
Seem detc►�s.
fur 1 �-
f .
NOTELAII Materials I Workmanship Shall Be In f ,
Ann-orrinnce with Re.co, nized Good Practices and
of a quality prescribed or the Specified use in the
°niform Building, Plumbing & Machanical Codes and
the National Electrical Code.
1
Sket ,rb ovea���C►
C),e,p d<
a
E 4�,%
i �•,,/
this set of �pla s and specifications MU
kept on the job ai all times and it is unla cBU COUNTY !
make `; any changes or alterations on same
written permisson rom the Department of Public BUILDING DEPARTMENT i
Works, County of Butte.
�1
74./b
010VEDAPP !
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
7 County Center Drive — Oroville, California 95965
Telephone: 534'4541 1
APPLICATION AND PERMIT
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes.
NlLkll�6r�Date `
Signature of Permitee or Agent
Receipt No. I L .1 S3
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.
IR /OF PUBLIC WORKS
By Cil/" N� Date 1�
dui permit expires Date
01
BUILDING
Owner D2910
SO. FT. OCC. BUILDING VALUATION
Mailing Address
Telephone No.
Contractor r
yk
Mailing Address
Fireplace
Total Valuation
Telephone a.
Y'= -on -a a I S
Permit Fee
Building Address
Plan Checking Fee&/or Penalty
Permit Fee
PLUMBING No.1 @ FEE
PERMIT FILING FEE $3.00
Each Trap 1.50 ,
®
Repair drainage or vent piping 1.50
A. P. No.,,4 r 90
Zoning & Planning
Water piping 1.50
Each gas water heater or vent 1.50
F
1i'4,1,
Fire Dept. Fire Zone
Use Permit
Gas piping system 1 -5 outlets 1.50 4-b
EOA
Parking
Plans
Parcel
Declaration
Parcel Map
60' R/W
Improvements
Each additional outlet .30
Building sewer 5-00
04 ans I
Parcel 1,r ... I
Plans Approval
Lawn sprinkler system 2.00
NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER
Permit Fee $
$
U jjyfj A '� �'�
ELECTRICAL No. @ FEE
PERMIT FILING FEE $3.00
Main service 600V OR LESS
100 AMP OR LESS 5.00
Single Family Duplex ❑ Mobil Home ❑ Others ❑
Main service EA. ADD'L 100 AMP 2.50
Main service OVER 600V 25.00
100 AMP OR LESS
Main service/ EA. ADD'L 100 AMP 1.00
NEW CONSTDWELING
OR ADDNS. C ACCLBLDGS.CCUP. S� 22sgft
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:
D& K//�� P�
TLET
NEW CONSTR BRANCH CIRCUITS)
NON.RESID � BRANCH CIRCUITS 2.50ea
NEW CONSTR (POWER APPARATUS 9
NON-RESID. SINGLE OUTLET CIR.
Ex. Occup{OUTLETS OR FIXTIIRES 50@250
BAL@1
FIXED APLNS.
Ex. Occup.(OUTLETSPRESID )REA) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
License No. Classification �� 3
Misc. Wiring 6.25
❑ I am exempt from the Contractors License Laws of the State of California.
Permit Fee $
$
WORKMEN'S COMPENSATION INSURANCE
1 am aware of the provisions of Section3700 of the California Labor
Code which requires every employer to be insured against liability
for Work en's Compensation.
ave 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. @ FEE
PERMIT FILING FEE $3.00
Heating
Cooling
Ventilation
Hood 2.00
Permit Fee $
$
I certify that I have read this application and state that the above I
information is correct. I agree to comply to all County Ordinances
and State Laws relating to building construction, and hereby
Land Development Fee
Is
TOTAL PERMIT FEE
$
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes.
NlLkll�6r�Date `
Signature of Permitee or Agent
Receipt No. I L .1 S3
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.
IR /OF PUBLIC WORKS
By Cil/" N� Date 1�
dui permit expires Date
01
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
7 County Center Drive — OroviIIe, California 95965
Telephone: 534-4541
_ APPLICATION AND PERMIT
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes.
X AL/AM Date
Signature of Permitee or Agent
Receipt No. / 7VS
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.
DI CT OF PUBLIC WORKS
By Date /
4attiidh g"permit expir s Date
BUILDING
Owner
SQ. FT. OCC. BUILDING VALUATION
Mailing Address TO / Wp
r
S
Telephone No.
Contractor C
Mailing Addressasa Lj
Fireplace
Total Valuation
Jel phone �N� . �
Permit Fee
Building Address_
PIan Checking Fee&/or Penalty
Permit Fee
PLUMBING No.1 @ FEE
PERMIT FILING FEE $3.00
Each Trap 1.50
Repair drainage or vent piping 1.50
/
— �3j `! %JDRT
A. P. No. ,
Zoning & Planning
Water piping 1.50
Each gas water heater or vent 1.50
s
Sir
Fire Dept.
Fire Zone
Use Permit
Gas piping system 1 - 5 outlets 1.50
EQA
Parking
I Plans
ParcelEach
Declaration
I Parcel Map
60' R/W
I Improvements
additional outlet .30
Building sewer 5.00
Plans - 'd
Parcel Ap royal
Plans Approval
Lawn sprinkler system 2.00
NEW JV ADDITION ❑ UTILITIES ❑ OTHER
Permit Fee $
3 7 29_79
ELECTRICAL No.1 @ FEE
PERMIT FILING FEE $3.00
Main service 100V OR 5.00
00 AMP ORSLFSS
Single Family/ Duplex ❑ Mobil Home ❑ Others ❑
Main service EA. ADD'L 100 AMP 2.50
Main service OVER eoov 25.00
100 AMP OR LESS
Main service EA. ADD'L 100 AMP 1.00
NEW CONST.( OR ADDNS. ACCLBLOGSLING CCUP. Y) 20sgft
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
styl" of: �/)
!? L't'WA
NEW CONSTMULTI.OUTL T
NON.R RESID BRANCH CIRCUITS) 12.50ea
NEW CONST R POWER APPARATUS e
NON.RESID.SINGLE OUTLET CIR.
Ex. Occuo(OUTLETS OR FIXT11RES B L:;
Ex. Occup. (OFUTLETSP(RESID )REA) 2.00
Temporary service 10.00
-
—A
Mobile Home Facilities 15.00
License No. f Z� Classification
Misc. Wiring 6.25
❑ I am exempt from the Contractors License Laws of the State of Califomia.
Permit Fee $
$
MECHANICAL No @ FEE
WORKMEN'S COMPENSATION INSURANCE
1 am aware of the provisions of Section3700 of the California Labor
Code which requires every employer to be insured against liability
for Workmen's Compensation.
CffI 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.
PERMIT FILING FEE $3.00 .00
Heating do
Cooling �p
Ventilation
Hood 2.00
Permit Fee $
$7-370
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 relatinq to buildinq construction, and hereby
Land Development Fee
$
TOTAL PERMIT FEE
$ D(
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes.
X AL/AM Date
Signature of Permitee or Agent
Receipt No. / 7VS
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.
DI CT OF PUBLIC WORKS
By Date /
4attiidh g"permit expir s Date
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS -
7 County Center Drive - Oroville, California 95965
Telephone: 534-4541'
APPLICATION AND PERMIT
authorize representatives of the County of Butte to enter upon the
above-mentioned roperty for inspection purposes.
�7w
X 2;.� Date
Signature of Permi ee or Ag t
Receipt No.
White-D.P.W. - Yel ow -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.
DI EC O OF PU IC WORKS Q�
B Date U
Building permit expires Date
BUILDING
Owner I N R,KG
SQ. FT. OCC. BUILDING VALUATION
Mai I i ng Address
Telephone No.
Contractor 0-4 1:-LEC_-T'fZ1 C, 1 iV
Mailing Address qq3 OLIVE 144jy
Fireplace
Total Valuation
p V 1 LLE CAL r 5t 9 b _
CALIF
Telephone No.
Permit Fee
Building Address
Plan Checking Fee&/or Penalty
Permit Fee
1 c o rz- to At). __RJ.
PLUMBING No.1 @ FEE
PERMIT FILING FEE $3.00
Each Trap 1.50
{_bj 4 $ G5 ALLA 1 e -es` *4'V- C=A«C'
Repair drainage or vent piping 1.50
A. P. No. -4 4 -- 43 - % S- C -.> ,Z-T✓Zan
ng & Planning
Water piping 1.50
Each gas water heater or vent 1.50
Fk s
W�
SeR+iaticr}
Fire Dept.
Fire Zone
Use Permit
Gas piping system 1 - 5 outlets 1.50
EQA
Parking
Plans
ParcelEach
Declaration
I Parcel Map
1 60' R/W
Improvements
additional outlet .30
Building sewer 5.00
Bldg. F Ree -Z!
Parcel A roval T
Plans Approval
Lawn sprinkler system 2.00
NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER JZ
Permit Fee $
$
'L eC' /Gl4L 7&A 0Z 37 FF -79
ELECTRICAL No. @ FEE
PERMIT FILING FEE $3.00 , pb
Main service 600V OR LESS
100 AMP OR LESS 5.00
Single Family Duplex ❑ Mobil Home ❑ Others ❑
Main service EA. ADD'L 100 AMP 2.50
Main service OVER e O 25.00
100 AMP OR LESS
Main service EA. ADD'L 100 AMP 1.00
NEW CONST. ( DWELLING OcCUPe\ 20sq ft , Q
OR ADDNS. ACC. BLDGS. //
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 of1�,. �
NEW CONSTR. MULTI -OUTLET
NON.RESID ( BRANCH CIRCUITS 2.50ea
NEW CON ST R. (POWER APPARATUS 8
NON-RESID. (POWER
OUTLET CIR.
Ex. Occuo(OUTLETS OR FIXTURES B LN
Ex. Occup.(OUTLETS (PR ESID.)RE A) 2•00
Temporary service 10.00
Mobile Home Facilities 15.00
License No. 3os 36s Classification G ly
Misc. Wiring 6.25
❑ 1 am exempt from the Contractors License Laws of the State of California.
Permit Fee $ .q O
MECHANICAL No. @ FEE
WORKMEN'S COMPENSATION INSURANCE
1 am aware of the provisions of Section3700 of the California Labor
Code which requires every employer to be insured against liability
yWrkmen's Compensation.
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 1 shall not employ any person in any manner
so as to become subject to the Workmen's Compensation Laws of
California.
PERMIT FILING FEE $3.00
Heating
Cooling
Ventilation
Hood 2.00
Permit Fee $
$
1 certify that I have read this application and state that the above
information is correct. I agree to comply to all County Ordinances
and State Laws relating to building construction. and hereby
Land Development Fee
$
TOTAL PERMIT FEE
$ C
authorize representatives of the County of Butte to enter upon the
above-mentioned roperty for inspection purposes.
�7w
X 2;.� Date
Signature of Permi ee or Ag t
Receipt No.
White-D.P.W. - Yel ow -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.
DI EC O OF PU IC WORKS Q�
B Date U
Building permit expires Date
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