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007-360-003
t01ay E. Johnson, r. 669 Waterford Dr., lot 3, North Parr r Sub, Chico `Permit ;'3650-79B,P,E,M(new single/ family) Iva .007-360-003 OS -1464 PUCKETT, ROBERT. 718 WATERFORD DR, CH Cont: OWNER \\ REPLACE WINDOWS/DQO�;n\ 007-360-003 W 055,-1771 TUCKETT ZIA 718 WATERFORD DR, CHICO \ Cont: D.S. ROOFING RE ROOF,30 SQ'S COMP +007=360'003 06 1098 P.UCKETT,'ROBERT _ 718 WATERFORD DR CHICO Cont: OWNER PLUMBING, MISC REPA v Y B06-271 1 " .T 007-360-003 MISCELLANEOUS' `: ',Electrical -ELE FOR LIGHT., 718 WATERFORD DR�, -r,4 . ' FISHKIN, MARTHA B07-2073 "` '-• + ;007-360=003' MISCELLANEOUS `�,:r Wall Furnace REPLACE 80% UPFLOW.•HEATER ' 718_WATERFORD DR -FISHKIN; JOSHUA,- - .��--�•��-t R� _; �° { (o � chl-coi'� BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #:(530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #:(530) 538-7541 FAX#: (530) 538-2140 WEBSITE: www.buttecounty.net\dds PROJECT INFORMATION _ Site Address: 718 WATERFORD DR Owner: Permit NO: B07-2073 APN: 007-360-003 FISHKIN, JOSHUA Issued Date: 10/04/2007 By KCG Permit type: MISCELLANEOUS 718 WATERFORD DR Subtype: Wall Furnace CHICO, CA 95973 Expiration Date: 10/03/2008 Description: REPLACE 80% UPFLOW HEATER Occupancy: Zoning: RI 0( Contractor Applicant: Square Footage: DEER CREEK HEATING & AIR DEER CREEK HEATING & Al Building Garage Remdl/Addn PO BOX 171 PO BOX 171 VINA, CA 96092 VINA, CA 96092 (530)839-2545 (530)839-2545 Other Porch/Patio Total FEE INFORMATION - DBM Heater (Wall) $58.00 Total Charged: $58.00 Fees Paid: $58.00 Balance Due: $0.00 Receipt No: B4874 LICENSED CONTRACTOR'S DECLARATION OWNER/ BUILDER DECLARATION Contractor (Name) State Contractors License No. / Class / Expires I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License DEER CREEK HEATING & AIR 865703 / C10 / 10/31/2007 Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am licensed under provisions of Chapter 9 (commencin with Section 7000) of Division 3 of the Business and Professions Code, and my license pursuant to the provisions of the Contractors License Law [Chapter 9 (commencing with Section 7000) is in orce an act. of Division 3 of the Business and Professions Code] or that he or she is exempt therefrom and the X basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil of not more than five hundred dollars 10/04/2007 penalty [$500j; Please check one of the following: Cont ors Sign ure Date ❑ I, AS OWNER OF THE PROPERTY, OR MY EMPLOYEES WITH WAGES AS,THEIR SOLE COMPENSATION, WILL DO THE WORK, AND THE STRUCTURE IS NOT INTENDED OR OFFERED FOR SALE (Sec. 7044, Business and Professions Code: The Contractors License Law does not apply to an owner of the property, who builds or improves thereon, and who does •WORK RS' COMPENSATION DECLARATION I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: HAVE the work himself or herself or through his or her own employees, provided that such improvements ❑I AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR are not intended or offered for sale. If, however, the building or improvement is sold within one WORKERS' COMPENSATION, as provided for by Section 3700 of the Labor Code, for the year of completion, the owner -builder will have the burden of proof that he or she did not build or performance of the work for which this permit is issued. improve for the purpose of sale.). HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by ❑ I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Code: action 3700 of the Labor Code, for the performance of the work for which this permit is issued. My Workers' Compensation insurance The Contractors License Law dows not apply to an owner of the property who builds or improves carrier and policy number are; thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the State Fund 1838947 10/01/2007 Policy Number: Exp. Date: Contractors License Law.). (This section need not be completed if the permit is or ons a hundred dollars ($100) or less.) ❑ I AM EXEMPT under Section B. & P.C. for this reason: ❑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 Workers' Compensation laws of Califomia, and agree that if I should become subject to the workers' X 10/04/2007 compensation provisions of Section 3700 of the I shall forthwith comply with those Owner's Signature Date pr 10/04/2007 - I hereby certify that I have read this application and state that the above information is correct. I agree to comply with all City and County ordinances, rules, regulations, and State laws relating to building ignatU Date W NTNG: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless Butte County, its officers, agents and employees from any and all claims and liability for personal AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE injury, including death, and property damage caused arising out of, in any way connected with HUNDRED THOUSAND DOLLARS $100,000, IN ADDITION TO THE COST OF COMPENSATION, ( ) the issuance of this permit. I hereby acknowledge thatt is issuance of this pea rmit does not authorize the DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte ATTORNEY'S FEES. Count to enter a above mentioned property for inspection purposes. I hereby certify that I am the any o e or authorized to act on the property owners behalf. 0/04/2007 CONSTRUCTION LENDING AGENCY- I HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for 0 Print - Date the performance of the work for which this permit is issued. (3097 civ. code) :3N Owner Contractor OR; Agent for Owner Agent for Contractor FILE COPY Lenders Address City State Zip rL5 Pk1 W BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION OFFICE #: (530) 538-7541 FAX #: (530) 538-2140 A FEE WILL BE REQUIRED AT TIME OFAPPLICATION Website: www.buttecounty.net/dds **PLEASE PRINT CLEARLY** APPLICANT INFORMATION WNER INFORMATION Last Name Mailing Address 17 First a �Ok City / n l; Stateok—1 zip, ip 9S -f 7j Phone Fax E-mail Phone APPLICANT INFORMATION ARCHITECT/ENGINEER Name City to Address Phone Fax City to Zip Phone Fax E-mail State License Number APPLICANT INFORMATION Name Address City to Zip Phone Fax E-mail II&WOVA, 01"j, PERMIT NO. 807-207� BIN.# PROJECT LOCAT/O API 3 Property Address DAIn � df f -L/✓ CR WORKER'S COMPENSATION Policy Number 42 "-"' ? S&F / �Z/17__M Carrier S�F'4m i-- 6�xkb If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AG Name Address DESCRIPTION OR SCOPE OF WORK: (jam < Z lel ELO k) Sq FT- Living Garage Open Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): For office use only: Zoning FloodZone SRA Yes No Occ. Type Const. BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES INSPECTION CARD 24 Hour Inspection Line: (530) 538-7636 (Oroville) (530) 891-2834 (Chico) Office: (530) 538-7541 Fax: (530) 538-2140 Website: www.buttecounty.net/dds Permit No: B06-2711 Issued: 11/27/2006 Address: 718 WATERFORD DR CHICO APN: 007-360-003 Permit Subtype: Electrical Owner: FISHKIN, MARTHA "" ' 4; O'd 7,ia..l-.1 W rd Applicant: FISHKIN, MARTHA Description: ELE FOR LIGHT MUST BE ON JOB SITE JOB SHALL BE READY PRIOR TO CALLING FOR INSPECTION. THE INSPECTION CARD AND APPROVED PLANS MUST BE AVAILABLE FOR EACH INSPECTION OR THE INSPECTION WILL NOT BE MADE AND A RE -INSPECTION FEE MAY BE ASSESSED. ALL PLAN REVISIONS MUST BE APPROVED BY THE COUNTY BEFORE PROCEEDING Inspection Type IVR INSP DATE Setbacks 132 Foundations / Footings 111 Pier/Column Footings 122 Grade Beams 114 Eufer Ground 216 Forms/Steel/Holdowns 122 Do Not Pour Concrete Until Above are Signed Pre -Slab 124 Gas Test 404 Masonry Grout 120 Masonry Bond Beam 119 Underfloor Framing 149 Underfloor Ducts 319 Shear Transfer 136 Under Floor Plumbing 412 Under Slab Plumbing 411 Gas Piping 403 Do Not Install Floor Sheathing or Slab Until Above Signed Rough Framing 128 Rough Plumbing 406 Rough Mechanical 316 Rough Electrical 208 Gas Piping 403 Roof Nail 129 Shower Pan/Tub Test 408 Fire Sprinkler 702 Do Not Insulate Until Above Signed Wall Insulation 117 Ceiling Insulation 118 Do Not Cover Until Above Signed T -Bar Ceiling / RC 145 Gas Test 404 Stucco Lath 142 Stucco Scratch 143 Stucco Brown 144 Building Final 802 Electrical Final 803 Mechanical Final 809 Plumbing Final 813 Project Final 801 •0 PERMITS BECOME NULL AND VOID 1 YEAR COMMENCED, YOU MAY PAY FOR A 1 YEAR RENEWAL 30 DAYS PRIOR TO EXPIRATION Inspector Copy r BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #:(530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #:(530) 538-7541 FAX#: (530) 538-2140 WEBSITE: www.buttecounty.net\dds PROJECT INFORMATION Site Address: 718 WATERFORD DR Owner: Permit No: B06-2711 APN: 007-360-003 FISHKIN, MARTHA Issued Date: 11/27/2006 By AAM Permit type: MISCELLANEOUS 718 WATERFORD DR Subtype: Electrical CHICO, CA 95973 Expiration Date: 11/27/2007 Description: ELE FOR LIGHT (530) 342-7563 Occupancy: Zoning: R1 0( Contractor Applicant: Square Footage: CHICO ELECTRIC, FISHKIN, MARTHA Building Garage RemdUAddn 36 WEST EATON ROAD 718 WATERFORD DR CHICO, CA 95973 CHICO, CA 95973 Other Porch/Patio Total (530)891-1933 (530)342-7563 FEE INFORMATION ` 15 or 20 amp (enter circuits) $27.45 LICENSED CONTRACTOR'S DECLARATION - Contractor (Name) State Contractors License No. / Class / Expires CHICO ELECTRIC 454345 / B C-10 / 04/30/2008 I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am licensed under provisions of Chapter (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. X 11/27/2006 Contractor's Signature Date I ' WORKERS' COMPENSATION DECLARATION I I 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 WORKER'S COMPENSATION INSURANCE, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My Workers' Compansation'insurance carrier and policy number are; Carrier: ZENITH INSURANCEpolicy Number. Z067728702 Exp. Date:10/01/2007 (This section need not be completed if the permit is or on? e- und�llars ($100) or less.) 11 CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS LJ 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 C e, I shall forthwith comply with those provisions. P • - , WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CML FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND ATTORNEY'S FEES. CONSTRUCTION LENDING AGENCY I HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for the performance of the work for which this permit is issued. (3097 civ. code) Lenders Address City State Zip Balance Due: $0.00 Receipt No: ` B972 OWNER / BUILDER DECLARATION I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of lhe.Contractor's 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 peril subjects the applicant to a civil penalty of not more than five hundred dollars [$500]; Please check one of the following: ❑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 Contractor's License Law does not apply to an owner of the property, who builds or improves thereon, and who does the 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 improvement is sold within one year of completion, the owner -builder will have the burden of proof that he or she did not build or el, provefor the purpose of sale.). AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED ONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Code: The Contractor's License Law dows not apply to an owner of the property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractor's License Law.). ElI AM EXEMPT under Section Signature B. 8 P.C. for this reason: 11/27/2006 Date I hereby certify that I have read this application and state that the above information is correct. I agree to comply with all City and County ordinances, rules, regulations, and Slate laws relating to building construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless Butte County, its officers, agents and employees from any and all claims and liability for personal injury, including death, and property damage caused by, arising out of, or in any way connected with the issuance of this permit. I hereby acknowledge that issuance of this permit does not authorize the use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte County to enter the above mentioned party for inspection purposes. I hereby certify that I am the ����roe owner or m auth ize ct on the r arty gwner's behalf. /s��,,.... . - -11/27/2006 Owner ❑ Contractor OR. Agent for Owner DAgent for Contractor FILE COPY Y BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND' SUBMITTAL REQUIREMENTS OFFICE #: (530) 538-7541 FAX #: (530) 538-2140 A FEE WILL BE REQUIRED AT TIME OFAPPLICA TION Website: www.buttecounty.net/dds "PLEASE PRINT CLEARLY* APPLICANT SIGNATURE /W?A'fr—J;, � i For office use only: OWNER INFORMATION Last Name ' e t e t4 irst a rvla e Mailing Address State lJ /tet/ r -Ford1 e, City 3 Fax State Z• �- 3 Phone 7 �✓ 7 J-� Fax E-mail APPLICANT SIGNATURE /W?A'fr—J;, � i For office use only: CONTRACTOR Name Flood Zone Address Occ. City C ], Subdivision Name State lJ Zip Phone 3 Fax E-mail I Lic. # 2�,) Class APPLICANT SIGNATURE /W?A'fr—J;, � i For office use only: ARCHITECT/ENGINEER Name Flood Zone Address Occ. City Subdivision Name State Zip Phone f2 Fax E-mail State License Number APPLICANT SIGNATURE /W?A'fr—J;, � i For office use only: APPLICANT INFORMATION Name Flood Zone Address Occ. City Subdivision Name Sta Zip 5� Phone W f2 Fax E-mail APPLICANT SIGNATURE /W?A'fr—J;, � i For office use only: Zoning Property Address/ V T -1 Urd Flood Zone SRA I Yes I No Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: PERMIT NO. -;1-71( BIN # PROJECT LOCATION Bldg Property Address/ V T -1 Urd Cites, � Cross Street Sheriff 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: o Sq FT- Living Garage Open Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order torenew 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: Amount: Bldg SRA Receipt #: Sheriff SMIP Other Date: Total RECORDING REQUESTED BY: Fidelity National Tide Company of California Escrow No.: 0&703160 -BLS Locate No.: CAWM08.09SS-0004-0000703160 TMe No.: 06 -703160 -BD When Recorded Mail Document and Tax Statement To: Mr. and Mrs. Robert Fishkin et al 718 Waterford Drive Chico, CA 95973 200670050434 Recorded 11d:C FLE 18.88 Official Records I [AX 372.98 County of I Butte I CAwhu J. 614im 1 County Clerk-Recorderl I IUP 89:041 273ep-2M 1 Paqe 1 of 2 APN: 007-360-003 SPACE ABOVE THIS LINE FOR RECORDERS USE GRANT DEED The undersigned grantors) declare(s) Documentary transfer tax Is $372.90 [ x ] computed on full value of property conveyed, or [ ] computed on full value less value of liens or encumbrances remaining at time of sale, [ X ] Unincorporated Area City of FOR A VALUABLE CONSIDERATION, receipt of which Is hereby acknowledged, Robert R. Puckett a marled man as his sole and separate property herebyGRANT(S)to Joshua Ben Fishkin, A Single Man, and Martha Small Fishkin and Robert Fishitint" Wife and Husband, ALL As Joint Tenants the following described real property In the County of Butte, State of California: SEE EXHIBIT "A" ATTACHED HERETO AND MADE A PART HEREOF DATED: September 18, 2006 STATE OF CALIFORNIA COUNTY OF Butte -- ON before me, Notary Public (here insert name and title of the officer), personally appeared Robert R. Puckett. personally known to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose names) Is/are subscribed W the within instrument and acknowledged to me that he(she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) ate, executed the instrument. Witness my hand and official seal. Signature � C a 44 QUA Q (Seal) Robert R. Puckett B. CANADAS COMM. #1379401 NOTARY PUBLIC - CAUFORIM GLENN COUNTY @MY Comm. Expires Nov. 6,2W5 MAIL TAX STATEMENTS AS D)RECTED ABOVE Fa213 (Rev 7/96) GRANT DEED (grdnt)(06-W Escrow No.: 06.703160 -BLS Locate Na: CARTM958-0958-0004-=703160 Title No.: 06-703160-13D EXHIBIT "A” THE LAND REFERRED TO HEREIN BELOW IS SITUATED IN THE UNINCORPORATED AREA, COUNTY OF BUTTE, STATE OF CALIFORNIA AND IS DESCRIBED AS FOLLOWS: Lot 3, as shown on that certain Map entitled, "North Park Subdivision Phase P, filed In the Office of the County Recorder of Butte County, California, on May 4, 1979, In Book 66, of Maps, at Page(s) 82 and 83. MOTES _ RESIDENTIAL ` -PERMIT NO. . ••__'''. � � 007-360-003 - ,, ~. • 05-1771 PUCKETT i 718 WATERFORD D y R, CHICO Mt - Cont: D.S. ROOFING ' RE ROOF 30 SQ'S COMP SPECIAL CONDITIONS , ' CHECKED r BY SRA ' FLOOD CERTIFICATE. REQ- ' FIRE SPRINKLERS REQ.. ` SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS - SUB -STANDARD HOUSING LETTER f ♦ • Al - - 3 - JOB FINALED (Date) ' • - Signature _ j • -a J SPECIAL CONDITIONS , ' CHECKED r BY SRA ' FLOOD CERTIFICATE. REQ- ' FIRE SPRINKLERS REQ.. ` SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS - SUB -STANDARD HOUSING LETTER f ♦ • Al - - 3 - JOB FINALED (Date) ' • - Signature _ = OK = Not OK =NtRady'1e MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer, Location-Test-Fall-C/0Concrete 4. Water, Location -Test -Easement Needed (Sketch) S. Electricity; Location-Clearances-Gmd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap;-/ /" L'ft. / P Nat or/ /" L "ftJ P LPG 7. Well Clearance 8, Disconnect 8. Utility Clearance 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 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water, MH Test-Regulator-Connectoe 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch 11. Cert of Occupancy Date Cana B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PERMANENT END SYSTEM (ONLY) 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. - Blocking 4. Gas; MH Test -Demand -Valve 5. Electricity; MH Test 6. Water, MH Test 7. Water and Sewer Connected 8. Gas and Electricity Tagged 9. Exits 10. License Decals 11. Verify #'s with Office 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 POOLS (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 Vofts-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 Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche 12. Enclosure; Fencing -Alarms Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 J=OK o = Not OK Not Applicable . = Not Ready RESIDENTIAL (Single & Duplex) Date UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Gmd.-/ P' Ftg. Depth 3. Ftg-, Garage; Soils-Steel-Elec. Gmd.-/ /" 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 16. Insulation 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 23. Fire Sprinkler, Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 24. Fixture & Transformer Clearance -Ins. Protection 25. Elec. Receptacles Spacing -Lights & Switches at Doors 26. Size Boxes & No. of Conductors Stapled 27. Romex Installed Close to Edge of Studs & C.J. 28. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water 29. 2 Appliance Circuits in Kitchen & Conductor Size GFI 30. Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or Al 31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or AI Insulated Neutral 0 Yes 0 No 32. Service -Riser Conductors & Ground Main Disconnect 33. Equip. Clearances Panels -Motors -Meth. Equip. 34. Clothes Closet Light -Shower Light -Spa Light 35. Smoke Detector Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 36. A.C. Ducts Insulation & Support 37. Vent Fan, Exhaust above insulation 38. Condensate Drain & Overflow, Size & Grade 39. Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet 40. Attic Access & Platform 9 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 41. Sills Proper Materials & Anchors 42. Walls Studs -Nailing Spacing & Braces -Plates -Sound 43. Bearing Walls over Girders & Floor Nailing 44. Draft Stop in Walls (rat proof) 45. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 46. Headers & Beams -Size & Bearing Date FRAMING (Continued) 47. Hangers -Post Caps -Anchors -Connectors 48. Ging. Joist-Rftr. Ties- Purlin-Roll Brac.-Truss-Shting.-Rtng. 49. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 51. Bdrm. Windows or Exiting Doors -Sill Ht & Dimensions 52. Garage Fire Protection Framing -RC Channel 53. Property Line Firewall & Openings 54. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 55. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 57. Siding -Nailing Veneer 58. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 59. Glazing Area -Glass Protection -Skylights -Plastic 60. Shear Walls; Nailing -Bolts 61. Brace Interior/Exterior Wall Panels 62. Insulation -Walls -Ceilings 63. I nfittration-Walls-Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except Its 64. Ext. Steps -Door & Sidelight Protection -Landings 65. Smoke Detector 66. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 67. Bedroom Exiting 68. G.F.I. & Bath Fixtures & Tub Access -Spa 69. Elec. Trim & Subpanel, Breaker Sizes & Labels 70. Stairs & Rails 71. Fireplace or Stove, Clearance -Hearth 72. Elec. Outlets at Wood Panel, Int. & Ext. 73. Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance 74. Elec. Outlets & Receptacles at Kit. Counter 75. Garage Fire Door, Swing -Landing -Closure 76. A.C. Dud in Garage -Damper 77. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor -Meth. Protection 78. Plb.; Elec. & Mech. Equip. Listed for Location 79. Elec. Receptacles in Garage (F.E1.)-Romex Protection 80. Insulation -Foam -Looked in Attic 81. Guard Rails & Deck Construction -Post Caps 82. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor 0 Yes 83. Following InstldJDrive 0 Yes 0 No/Walks 0 Yes 0 No/Planters 0 Yes 0 No 84. Stucco Brown -Finish 85. A.C. Unit Disconnect, Electrical -Plumbing 86. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 87. Water Well, Disconnect, Electrical, Plumbing 88. Exterior Elec. Trim, G.F.I. Receptacle -Underground 89. Ventilation Throughout House 90. Glass Protection 91. Corrections from Previous Inspections 92. Gas Test -Meters Tagged, Gas -Electric 93. Water & Sewer Connected -C/O to Grade -HD Approval 94. Energy Compliance Certificate -Other Certificates 95. Address Posted 96. Fre Sprinkler 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: Butte County Department of Development Services. eu� re, aaFa IN OT ES R 7 County Center Drive, Oroville, CA 9596S _ (530) S38-7601 vnvw.but[Ecounty neVdds euw< 1 APN Owner. Site Address: Contractor. Type of Permit_ W O S /77/:. RESIDENTIAL 007-360-003 "'06-100-8--,. PUCKETT, ROBERT 718 WATERFORD DR, CHICO Cont: OWNER PLUMBING, MISC REPAIR _ ~ CHECKED BY SRA FLOOD CERTIFICATE EQUIRED FIRE SPRINKLERS REQUIRED SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUBSTANDARD HOUSING LETTER ENCROACHMENT PERMIT REINSPECTION -FEE PAID ENV HLTH CLEARANCE DATE JOB FINALED- — I SIGNATURE:- d = OK nv MANUFACTURED HOMES MISCELLANEOUS DATE PERMANENT FOUNDATION SOFT -SET 1 Zoning -Setbacks -Easements 2 Soils; Special MH Support Sketch 3 Sewer; Loctn-Test; FalUC/O-Conuete 4 Wtr; Loctn-Test-Easement Needed -Regulator 5 Elec Loctn-Clrncs-Grnd Amp -Concrete 6 Yard Gas; Loctn-Test-Wrap . Nat 0 or LPQ Inch Sz Ft Lngth 7 Blckng; Sz-Spacing-Marriage Line 8 Gas; MH Test-Demand-Valve-Cnnctr 9 Elec MH Cntnty Test-Crossovers-Breakers-Clrncs 10 Drain; MH Test -Fall -Flex Cnnctr 11 Wtr & Sewer Connected -/O to Grade 12 Gas and Electricity Tagged 13 Tie Downs Q Foundation Q 14 Exits 15 Cert of Occupancy 16 HUD Label/Insignia Numbers Serial Numbers DATE_ D E C K S'C O V E R S'C A R P O R T S `GARAGE S i Zoning -Setbacks -Easements 2 Ftgs; Soils-Sz-DpthSpacing-CnnctrsSteel 3 Decks, Girders/Joists-Dcking-Brcing Stairs-Guard/Handrails 4 Wood Awn; Posts -Beams -Rftrs-Cnnctrs-S hth g Frmg-Brcng 5 Alum Awn; Columns-CnnctnsSplice-Decal-Enclsrs 6 Carports; Wndws-Doors 7 Electric 8 Frmg; Sills-Anchrs-Studs-Rftrs-Trusses 9 Siding; Nailing -Veneer -Stucco -Lath 10 Roof; Shthg-Roofing 11 Ext; Steps -Doors -Landings 12 Braced Wall pnis DATE POOLS 1 Setbacks -Easements 2 Soils; Compaction -Structure Stability 3 Pool Structure; Steel-Cnnctns-Thickness Dead Men -Lining 4 Elec Rcptcls/Lting; Distance-GFI 5 Elec Pool Lting; 15 volts-DFI 6 Elec Enclsrs; Conduit Entries Terminals -Listed 7 . Elec Bonding; Metal w/5'-Crcltng Egp-Htr 8 Elec Gmdng; Eqp w15' Crcltng Eqp-Pool Ightg Bokes-EnclsrsTrilboards-Insultn to Main Conduit 9 Health Dept Apprvl 10 Plmb; Cir Test-Wtr Supply Test. 11 Lt Niche 12 Enclsr; Fencing -Alarms 13 Bonding, Diving board or Slide Pool Drawing OK Not OK RESIDENTIAL (Single & Duplex) UNDERFLOOR 1 Zoning -Setbacks -Easements -Flood -Slope 2 Ftg Main; Soils-Elec Grnd Ftg Opth 3 Ftg Garage; Soils-Steel-Elec Grnd Ftg Opth, 4 Ftg Porches/Decks; Soils -Steel Ftg Opth 5 Stemwalls Main; Steel-Blockouts-Wrapped 6 Stemwalls Garage; Steel-Blockouts-Wrapped 69 Hold Downs and Special Anchrs 7 Slab, Steel Wrapped 8 Piers-Frplc Ftg-Steel 9 DWV; Fall -Fitting -Test -2 -way CIO -Sewer Test 10 UF, Gas Pipe; Sz Anchrs-Sz Test 1l Wtr Pipe; Test-Anchrs-Rgltr-Service Test 12 Elec Undrgrnd 13 Plenums & Ducts; Clrnc-MaterialSupport4nsultn 14 GirdersSills-Anchr BolisJoists-Vnts-Cripples 15 Acc & Vntltn 16 Insulation �c c DATE IFRAMING 17 Sills Proper Materials & Anchrs 18 Walls Studs -Nailing Spacing & Braces-PlatesSound 19 Bearing Walls over Girders & fir Nailing 20 Draft Stop in Walls (rat proof) 21 Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 22 Headers & Beams-Sz & Bearing 23 Hangers-PostCaps-Anchrs-Cnnctns, 24 Ceiling Joist-Rftr Tres-Purlin-Roof Brac TrussShthg 25 Frplc Tres or Type A Flue-Frplc Throat Clmc 26 Attic Acc; Sz & Rmx Prtctn-Draft Stop -Ins Baffles 27 Bdrm Wndws or Exiting Doors -Sill! Ht & Dimensions 28 Garage Fire Prtctn Framing -RC Channel 29 Prprty Line Firewall & Opngs 30 Ext Doors -One T -Check Garage 3rd Story, 2 Exits 31 Stairs; Width-Hdrrn-Rise-Run-Landing-Fire Prtctn 32 Plywd on Roof Ovrhng-Attic Vnts-Rfir Outrgrs 33 Siding -Nailing Veneer 34 Stucco Lath -Weep Screed-Fndtn Vnts-Undrflr Acc 35 Glazing Area -Glass P rtctn-SkyLts-Plas tic 36 Shear Walls; Nailing -Bolts 37 Brace Int/Ext Wall pnls 38 Insultn-W alts -Ceilings 39 Infiltration-Walls-Wndws s s` o'er m o'er e` DATE JELECTRICAL 40 Fxtr & Tmsfrmr Clmc4ns Prtctn 41 Elec Rcptcls Spacing-Lts & Switches at Doors 42 Sz Boxes & No Of Cndctrs Stapled 43 Romex Installed Close to Edge of Studs & CJ 44 Eqp Grnd made up w/Mech Fstnrs 45 Gmdng Electrode Bond Gas & Wtr 46 2 Appinc Cires in Ktchn & Cndctr Sz GFI 47 Subfeed Wire Sz ga ❑ CU or ❑AL AC Wire Sz 9. ❑ CU or ❑ AL 48 Range Circ ga ❑CU orQAL Oven Circ ga ❑CU or ❑AL Insulated Neutral E]Yes ❑No 49 Service -Riser Cndctrs & Grnd Main Dscnnct 50 Eqp CImcs pnls-Motors=Mech Eqp 51 Clothes Closet Lt-Shwr Lt -Spa Lt 52 Smoke Detector uq�t PLUMBING 53 Wtr Htr; Vent-Acc-Cmbstn Air Baffle 54 Wtr Pipe; Test & Anchr-Nail Prtctn 55 DWV; Test Fittings & Anchr Nail Prtctn 56 Shwr Pan; Test, First flr-Tub Acc 57 Test Tub & Shwr, 2nd flr - Tub. Acc 58 Gas Pipe; Sz & Anchrs 59 Fire Sprinkler; Test 60 Yard Gas Piping DATE MECHANICAL 61 AC Ducts Insultn & Support 62 Vent Fan, Exhaust abv Insultn 63 Condensate Drain & Ovrflw, Sz & Grade 64 Furnace -Vent Acc-Comb Air RtrnfVent 115 Outlet 65 Attic Acc & Pltfrm if Furnace in attic o'er DATE FINAL 66 Ext Steps -Door & SideLt Prtctn-Landings 67 Smoke Detector 68 Furnace Vnts-CImc-Comb, Air-Cnnctr In Garage; abv-flr-Ducts-Mech Prtctn 69 Bedroom Exiting 70 GF1 & Bath Fxtrs & Tub Acc-Spa 71 GFl Arc Fault 72 Elec Trim & Subpnl, Breaker Sts & Labels 73 Stairs, Guard/Handrails 74 Frplc or Stove, Clmc-Hearth 75 Elec Outlets at Wood Pnl, Int & Ext 76 Ktchn, Fxtr & Appinc; Grnd-Air-Gap-Cooking Clrnc 77 Elec Outlets & Rcptcls at Ktchn Counter 78 Garage Fire Door, Swing -Landing -Closure 79 AC Duct in Garage -Damper 80 Wtr Htr; Vnts-DImc-Com Air Cnnctr-PRV; abv flr Mech Prtctn; LPG Appince Undr House 3- drain 81 Plmb; Elec & Mech Eqp Listed for Loon 82 Elec Rcptcls in Garage (GFI) Romex Prtctn 83 Insultn-Foam-Looked in Attic 84 Guard Rails & Deck Cnstrctn-Post Caps 85 Fndn Vnts & Crawl Hole Door Drnge & Wood -Earth 86 Clrnc Drnge Planters Q Yes ❑ No 87 Stucco Brown -Finish _ 88 AC Unit Dscnnct, Elec-Plmb 89 Vnts abv Roof, Plmb-Appinc-Frplc-DIrnc to Opngs 90 Wtr Well, Dscnnct, Elec, Plmb 91 Ext Elec Trim, GFI Rcptcl-Undrgrnd 92 Vntltn thru House 93 Glass Prtctn 94 Corrections from previous Inspctns 95 Gas Test -Meters Tagged, Gas-Elec 96 Wtr & Sewer Cnnctd-CIO to grade -HD Apprvl 97 Energy Cmpinc Cert -Other Certs 98 Address Posted 99. Fire Sprinkler NOTES ! RESIDENTIAL - - PERMIT NO. } 007-360-003 05-1464 PUCKETT, ROBERT'} 718 WATERFORD DR, CHICO 9' Cont: OWNER REPLACE WINDOWS/DOOR to k JOB FINALED (Date Signature ,# at t !i ------------------- - • O V k JOB FINALED (Date Signature Ja0K 0= Not OK . = Not Applicable . =Not Readyeady = MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer, Location -Test -Fall -C/O -Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity, Location-Clearances-Gmd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap;-/ P' L'ft. / P Nat or/ /" L W P LPG 7. Well Clearance & Disconnect 8. Utility Clearance 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 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water, MH Test-Regulator-Connecto? 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch 11. Cert of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PERMANENT END SYSTEM (ONLY) 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Blocking 4. Gas; MH Test -Demand -Valve 5. Electricity; MH Test 6. Water, MH Test 7. Water and Sewer Connected 8. Gas and Electricity Tagged 9. Exits 10. License Decals 11. Verifv #'s with Office 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 Cana B-1 Date Card B-1 Date POOLS (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 Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche 12. Enclosure; Fencing -Alarms Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 J=OK o = Not OK = Not Applicable = Not Ready RESIDENTIAL (Single & Duplex) Date UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils -Sec. Gmd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /' 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 16. Insulation 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 23. Fire Sprinkler, Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 24. Fixture & Transformer Clearance -Ins. Protection 25. Elec. Receptacles Spacing -Lights & Switches at Doors 26. Size Boxes & No. of Conductors Stapled 27. Romex Installed Close to Edge of Studs & C.J. 28. Equip. Ground made up w/Meth Fasteners -Bond Gas & Water 29. 2 Appliance Circuits in Kitchen & Conductor Size GFI 30. Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or AI 31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or AI Insulated Neutral O Yes O No 32. Service -Riser Conductors & Ground Main Disconnect 33. Equip. Clearances Panels-Motors-Mech. Equip. 34. Clothes Closet Light -Shower Light -Spa Light 35. Smoke Detector Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 36. A.C. Ducts Insulation & Support 37. Vent Fan, Exhaust above insulation 38. Condensate Drain & Overflow, Size & Grade 39. Fumace-Vent Access -Comb. Ait-Return Air Vent 115 Outlet 40. 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 41. Sills Proper Materials & Anchors 42. Walls Studs -Nailing Spacing & Braces -Plates -Sound 43. Bearing Walls over Girders & Floor Nailing 44. Draft Stop in Walls (rat proof) 45. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 46. Headers & Beams -Size & Bearing Date FRAMING (Continued) 47. Hangers -Post Caps -Anchors -Connectors 48. Ging. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting: Rtng. 49. Fireplace Ties or Type AFlue-Fireplace Throat Clearance 50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 51. Bdrm. Windows or Exiting Doors -Sill Ht & Dimensions 52. Garage Fire Protection Framing -RC Channel 53. Property Line Firewall & Openings 54. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 55. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 57. Siding -Nailing Veneer 58. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 59. Glazing Area -Glass Protection -Skylights -Plastic 60. Shear Walls; Nailing -Bolts 61. Brace Intedor/Exterior Wall Panels 62. Insulation -Walls -Ceilings 63. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Cana B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 64. Ext. Steps -Door & Sidelight Protection -Landings 65. Smoke Detector 66. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 67. Bedroom Exiting 68. G.F.I. & Bath Fixtures & Tub Access -Spa 69. Elec. Trim & Subpanel, Breaker Sizes & Labels 70. Stairs & Rails 71. Rreplace or Stove, Clearance -Hearth 72. Sec. Outlets at Wood Panel, Int. & Ext. 73. Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance 74. Elec. Outlets & Receptacles at Kit. Counter 75. Garage Fire Door, Swing -Landing -Closure 76. A.C. Duct in Garage -Damper 77. Wtr. Htc; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 78. Plb.; Sec. & Mech. Equip. Listed for Location 79. Elec. Receptacles in Garage (FFI.)-Romex Protection 80. Insulation -Foam -Looked in Attic 81. Guard Rails & Deck Construction -Post Caps 82. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor D Yes 83. Following Instld/Drive 0 Yes O No/Walks O Yes O No/Planters O Yes O No 84. Stucco Brown -Finish 85. A.C. Unit Disconnect, Electrical -Plumbing 86. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 87. Water Well, Disconnect, Electrical, Plumbing 88. Exterior Elec. Trim, G.F.I. Receptacle -Underground 89. Ventilation Throughout House 90. Glass Protection 91. Corrections from Previous Inspections 92. Gas Test -Meters Tagged, Gas -Electric 93. Water & Sewer Connected -C/O to Grade -HD Approval 94. Energy Compliance Certificate -Other Certificates 95. Address Posted 96. Fre Sprinkler 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: COUNTY OF BUTTE; ` ... . , . • ... .... .. { BUILDING DIVISION ., DEOARTMENT OF DEVELOPMENT SERVICES 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 call for re -inspection when correction of work is completed. If you have any questions pertaining to this matter, or need additional -: explanation, please contact the Building Inspector as indicated below. Date fo Inspector REV 4/05 Phone # FOR RE -INSPECTION CALL: 538-7636 OR 891-2834 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 PERMIT NO. BP061098 PERMITS BECOME NULL AND VOID 1 YEAR FROM THE DATE OF ISSUANCE, OR IF WORK 1S'DONE IN VIOLATION OF ANY COUNTY OR STATE LAWS. LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date: 05/11/2006 APN: 007-360-003-000 the Business and Professions Code, and my license is in full force and effect. License Mass : License Number: Site Address: 718 WATERFORD DR CHI Date: Contractor: Map Index: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Description: PLUMBING, MISC REPAIRS 2 FIXTURES Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior Owner: PUCKETT ROBERT R to its issuance, also requires the applicant for such permit to file a 718 WATERFORD DR signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 commencing with Section CHICO, CA 7000) of Division 3 of the Business and Professions Code) or that he or 95973-0452 she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): I, as owner of the property, or my employees with wages as their 111 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: PUCKETT ROBERT R owner of property who builds or improves thereon, and who does 718 WATERFORD DR such work himself or herself or through his or her own employees, CHICO, CA provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one 95973-0452 year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). ❑ 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, Contractor: and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). ❑ I am Exempt under Article 3 of usinEop rofessions Code r—//-406 Date: Owner• License #: WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit Architect: is issued. ❑ I have and will maintain workers' compensation insurance, as Engineer: required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier: Total Square Ft: 0 S. F. Policy #: Valuation: $0.00 A] I Certify that in the performance of the work for which this permit is ��- Census Code: 111 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: -_ 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 pI'ca ble provisions of the Butte County Code and/or This permit is hereby issued under theaf I hereby affirm that there is a construction lending agency for the Resolutions to work indicated ab ree or which fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) Date: LJ CO Name: BY �o - / / / c Address: PERMIT EXPIRES ON: Date I 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. Print Name: Signature: Date: Owner ❑ Contractor ❑ Agent for Owner ❑ Agent for Contractor B. C. Building Permit 01-16-04 pg 1 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OFAPPLICA TION Website: www.buttecounty.net/dds "PLEASE PRINT CLEARLY" OWNER INFORMATION Last Name v first e o� Address City State ZipF67��3 Phone �g 3-� Fax E-mail APPLICANT INFORMATION CONTRACTOR Name City Address Zip City Fax State Zip Phone Map Book Fax E-mail Planner Lic. # Class APPLICANT INFORMATION ARCHITECT/ENGINEER Name City Address Zip City Fax State Zip Phone Map Book Fax E-mail Planner State License Number APPLICANT INFORMATION Name Address City State Zip Phone Fax E-mail APPLICANT SIGNATURE X For office use only: Zoning Property Address Flood Zone Cross Street SRA I Yes I No Occ. Type Const. Subdivision Name Map Book PageT�7 Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS PERMIT NO!��. // S' _ 6C BP BIN # PROJECT LOCATION Property Address City Cross Street 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: LTJ Sq FT- Living J. Garage Open Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. I I Received by -61P_ Amount: <(0. Bldg I I K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc Page 1 of 2 OKA Receipt #: ` ! �o' Sheriff SMIP r Date: Othe Total REV 8-12-05 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 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. ❑ 5. Statement of Intent for`Non-heated and A/C for Non -Residential Buildings. ❑ 6. Manufactured homes: (A) Installation manual, (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. Building Permit Application Without Required Clearances Form ❑ 12. Hazardous Material Form (for Commercial Buildings only). 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. ❑ Legal description from current recorded grant deed, ❑ Copy of M.H. Title, Title transfer, or MCO. ❑ 12. Sanitation and site plan approval from the Environmental Health Department. If you have questions or would like additional information regarding this process, please contact a Permit 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 8-12-05 912 "x BUTTE COUNTY PERMIT NO. DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT P051771 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 PERMITS BECOME NULL AND VOID 1 YEAR FROM THE DATE OF ISSUANCE, OR IF WORK IS DONE IN VIOLATION OF ANY COUNTY OR STATE LAWS. LICENSED CONTRACTORS DECLARATION _ I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date: 07/06/2005 APN: 007-360-003-000 the Business and Professions Code, and my license is in full force and effect. License Class: Cr_ 3� LI er, a Numb S %`vD Site Address: 718 WATERFORD DR dHI —QJ pate: Q contractor: Map Index: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Description: RE ROOF 30 SQ'S COMP Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior Owner: PUCKETT ROBERT R to its issuance, also requires the applicant for such permit to rile a 718 WATERFORD DR signed statement that he or she is licensed pursuant to the provisions of the Contractor's Stale License Law (Chapter 9 commencing with Section CHICO, CA 7000) of Division 3 of the Business and Professions Code) or that he or 95973-0452 she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): ❑ I, as owner of the property, or my employees., with wages as their sole compensation, will do the work, and - the structure is not Intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an Applicant: D.S. ROOFING owner of property who builds or improves thereon, and who does 650 BROOKHAVEN DRIVE such work himself or herself or through his or her own employees, PARADISE CA provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one 95969 year of completion, the owner -builder will have the burden of (530) 877-7752 proving that he or she did not build or Improve for the purpose of sale.). .❑ 1, as owner of the property, am exclusively contracting with licensed contractors. to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or Improves thereon, Contractor: D.S. ROOFING and who contracts for such projects with a contractor(s) licensed 650 BROOKHAVEN DRIVE pursuant to the Contractors' State License Law.). PARADISE CA ❑ 1 am Exempt under Article 3 of the Business and Professions Code 95969 . - (530) 877-7752 Date: Owner: License #: 856760 WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the.following declarations: ❑ 1 have and will maintain a certificate of consent to self -Insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit Architect: is issued. ❑ I have and will maintain workers' compensation insurance, as Engineer: required by Section 3700 the Labor Code; for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and -policy number are: Carrier: ' otal Square Ft: 0 S. F. Policy #: Valuation: $0.00 1 certify that in the performance of the work for which this permit Is Census Code: issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. '7 Date: Applicant: WARNING: Failure to secure workers' compensation coverage Is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. /] CONSTRUCTION LENDING AGENCY This permit is reby Issued under th . pplicable provisions of the Butte County Code and/or I hereby affirm that there is a construction lending agency for the the for which this is issued (Sec 3097 CIv.) Resolutions do work indicted ab ve for which fees have been paid. performance of work permit By' Date: Name: j PERMIT EXPIRES ON: /•r 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. CO', Notification in accordance with Section 18627.5 of California Health & Safely Code is not applicable to the scheduled construction of this project. ❑ Attacfied 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 substanc ny official for or documeJollieCounty. I hereby "authorize representatives of Butte to enter upon the above mentioned property for inspection purp ses. 1County 'T Print Name: i ((� Signature: Date: Zoos, O OwnerContractor 0 Agent for Owner 0 Agent for Contractor o�13TrBUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES o o BUILDING PERMIT APPLICATION 0 0 AND SUBMITTAL REQUIREMENTS o - '• _ 0 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 p==g'�' p OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OF APPLICATION �OURl'�y Website:—www.buttecounty.net/dds "PLEASE PRINT CLEARLYYX CONTRACTOR OWNER Last Name City 0, ULA I S e_ F' am Address - r City C E-mail State Zip Phone S,15 Q O 1 a Fax E-mail State License Number CONTRACTOR Name —bs Address s �r City 0, ULA I S e_ State i1 q C..b Zip? . 6y Phone S � Fax •� � S s E-mail Lic. # 4B -? 6O Cl ss APP CANT SIGNATURE For office use only: ARCHITECT/ENGINEER Name 6 Address SRA City State State Zip Phone E-mail Fax E-mail Planner State License Number APP CANT SIGNATURE For office use only: APPLICANT NAME Name � 6 Addres SRA City State Zip Phone 877 5&25Fax 87 E-mail Page APP CANT SIGNATURE For office use only: Zoning Pro ert Address �/ l / Flood Zone Cross Street SRA I Yes I No Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc PERMIT BIN 9 LOCATION AP# 007— 360 - 0/ CJCJ Pro ert Address �/ l / Ci C / GO Cross Street 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: (a-eauetj Sq. Footage ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be - REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. Page 1 of 2 Received by: Amount: /(©�- C� Bldg A95s lck SRA Receipt #: Sheriff t O� SMIP Other Date:` /— / �' C �, CJ ( Total REV 2-24-05 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 PERMIT NO. BPO51464 ti. c. nuaing Permn u i- io-04 py i 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: 06/06/2005 APN:.007-360-003-000 the Business and Professions Code, and my license is in full force and effect. License Class : license Number: Site Address: 718 WATERFORD DR CHI Map Index: Date: Contractor: Description: REPLACE 10 WINDOWS & 1 FRENCH DOOR 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 Owner: PUCKETT ROBERT R permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such. permit to file a 718 WATERFORD DR signed statement that he or she is licensed pursuant to the provisions of CHICO, CA 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 95973-0452 she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Applicant: PUCKETT ROBERT R Code: The Contractors' State License Law does not apply to an 718 WATERFORD DR owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, CHICO, CA . provided that such improvements are not intended or offered for 95973-0452 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 Contractor: 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 3of th� ss and Professions Code `4O-0,_ Date: Owner: P License #: WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit Architect: is issued. Engineer: ❑ 1 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: Total Square Ft: 0 S. F. Policy #: Valuation: $0.00 Census Code: 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 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' WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY This permit is h feby issued under tl}e ap licable provisions of the Butte`County Code and/or I hereby affirm that there is a construction lending agency for the the work for which this is issued (Sec 3097 Civ.) Reso utions t� o work indicated a ve f r.which fees have been paid. performance of permit By: Date: Name: PERMIT EXPIRES ON: Address: I (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. 9 t.,ar / '. C k O7 Signature: Print Name` 7/[ Date: 'Owner ❑ Contractor ❑ Agent for Owner ❑ Agent for Contractor ti. c. nuaing Permn u i- io-04 py i BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OFAPPLICA TION Website: www.buttecounty.net/dds "PLEASE PRINT CLEARLY" OWNER Last Name First ame o!s>=o Address City Ch�cO State C� Zip 9Sy�73 Phone 3 Z Fax E-mail APPLICANT NAME CONTRACTOR Name City ck CO Address Zip'75-1 � 3 City Fax State Zip Phone Page Fax E-mail Date Approved: Lic. # Class APPLICANT NAME ARCHITECT/ENGINEER Name City ck CO Address Zip'75-1 � 3 City Fax State Zip Phone Page Fax E-mail Date Approved: State License Number APPLICANT NAME Name life Address ag a lad oe— ,; } 4- lVglerliiee Ar City ck CO State Zip'75-1 � 3 �g3- Dgzy PaE Fax Type Const. APPLICANT SIGNATURE X For office use only: Zoning j & I Flood Zone I SRA I Yes I (;q�D Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS KAFORMS\BUILDING FORMS\BldgApplSubRgmts.doc PERMIT NO. BIN # LOCATION J Property Address � t'l% Iyer oro? City _ Ct'1<<o Cross Street 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: l n %I© e, Sq. Footage ❑ 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. 1n order to renew action on an application after expiration, a new application, plans and fee will be required. 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-TAmount: Gy Bldg Receipt #: V� / SRA Sheriff SMIP Date: Other Total Page 1 of 2 REV 2-24-05 e 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 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. ❑ 5. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 6. Manufactured homes: (A) 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). 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). E]9. Letter of Signature authorization (if required). ❑ 10. Recorded copy of Agricultural Acknowledgment Statement. ❑ 11. El Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ 12. Sanitation and site plan approval from the Environmental Health Department. If you have questions or would like additional information regarding this process, please contact a Permit 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 2-24-05 c'. PERMIT NO. 3650-79B,P.E.M y" PERMIT EXPIRES ii OWNER Ray E. Johnson, Jr. owner CONTR. 1 44-38-102 port. LOCATION (A.P. o� ) p669 Waterford Dr., lot 3, North Park. Sub, Chico T i k Temp. Power Pole Called PG&E� ,- Tarp. Elea Serv. Called PG&E Temp. Gas•Serv. 1 t JOB FINALED (Datej``%� (Signature) j ...,• _- 108 RESIDENTIAL ENERGY CONSERVATION STANDARDS CONSTRUCTION COMPLIANCE CERTIFICATE THIS IS TO CERTIFY THAT ENERGY CONSERVATION REQUIREIMENTS HAVE BEEN INSTALLED IN 2NFORMANCE WITH CURRENT ENERGY CONSERVATION REGULATIONS AT�1�T S 410* -'=xdR►� (location) BUILDING PERMIT NO. A. P. NO. THE FOLLOWING HAVE, BEEN INSTALLED AS PER APPROVED PLANS. (Check each item or write N/A if not applicable) INSULAT ION : CLA 7. INC : Slab Edge. Single Glazed Fdn. Walls Special (Insulated)_ Floors CERT. & LABELED WDS. Walls /e-// & SLIDING DRS. Ceiling/Roof �'-/ 5WP.ATHIRSTRIPPED DRS. Ducts _ �y` T:.�;. �.� 11'EI;F:J) rpNq _ tiirculat i ng Pipes ✓' 11.11,I0lll"J L'NT IGNITION- DEVIC)JS APPRCVEI) HEATER C;-`kT. APPLIANCE'S APPROVED WTR.IITR'.' I DECLARE THAT ALL REQUIRED ITEMS AS NOTED ABOVE HAVE BEEN INSTALLED IN ACCORDANCE WITH THE ENERGY RJ?QUIRI-7mrNTS AND AGREE TO TltE. COMPLI'TENESS OF THIS CERTIF-WA•I.I: A; ?nsul-ation Applicator Nrtmc _ Si}-.Ilatrir.r of (nlc.r .c print) ir.,ul..lt:ion Applicator SLato Contractors i.i. cnsc No. r., r.cral Contractor/Owner Name (I� Lcrl .c p ii•n;itl.,rC of prhit) . Ge!wi:al Contractor/ ,r Date 2 �A,J 60 S . ltc. Contractors License No. N THIS CERTIFICATE MUST BE ON FIT.,E WITH THE BUILDING DEPARTMENT PRIORTO REQUESTING FINAL INSPECTION AND SHALL BE POSTED IN A CONSPICUOUS LOCATIaN W11:IIN THE DWELLING. , COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD Gl/ BUILDING BUILDING (Cont'd) PLUMBING Setback Firewall 2/� Soil Piping Forms Para ets 1st Floor Main Bldg. Restroom Finish L/ 2nd Floor Footings Windows 3rd Floor Stemwall SlabRoof Sidina Sheathin gg To out Water Piping Piers Roofing (.�� Sewer Garage Fdn. Vents Fixtures L� Footings Stemwall , Garage Vents Insulation Water Htr. Ll Heaters Slab Carport Footings Prov. for physically — handica ed Conformance of ex- structure Appliances Gas Piping & Tes l0 Temp. Gas Slab Final "" © Sanitation .ft✓C� FIREPLACE Final o Footin s fq/?�49_ 7 C Footing ELECTRICAL Masonry Walls Throat Rou h Reinf. Steel Final Fixtures ` Bond Beam FIRE SPRINKIERS Motors �— Framing e1101 Test Water Htr. �---�— Stucco i r k� Final Subpanels r-� Mesh MECHANICA Grd. Fault Prot. d----`� Scratch Heating Ll Service Brown d Cooling Temp. Pole - Finish - Ducts Underground Interior Lath Ventilation Permanent Door Closer Final 'Final — Q MOBILEHOME UTILITIES ------------------ Elec- Service Elec. Pedestal Water Piping Sewer Gas Piping MOSILEHOME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping DATE :REMARKS OR CORREC tON �/ w .. (NOTE: An entry must be made on this form each time you visit the job site.) f C� ERS' ET , . pp -pp COMPANY QI as LICENSED CONTRACTOR Phone: 342-4764 P.O. Box 628 — Durham, California 95938 INSULATION (Batted or Blown) Date 19� To -5/1-1-3B THIS IS TO CERTIFY THAT INSULATION HAS BEEN INSTALLED IN CONFORMANCE WITH THE CURRENT ENERGY REGULATIONS, CALIFORNIA ADMINISTRATIVE CODE, TITLE 25, STATE OF CALIFORNIA, IN THE BUILDING LOCATED AT:. Street Lot Number Tract No. EXTERIOR WALLS Manufacturedo 0),=— Thickness/Typed 3 c�� R Value CEILINGS Batts: Manufacturer Thickness R Value /) Blown: Manufacturer � Thicknesses �` No. Bags Wt./Bag Sq. Ft. Covered/ R Value FLOORS Manufacturer Thickness/Type R Value SLAB ON GRADE Manufacturer Thickness/Type R Value Width of Insulation Inches FOUNDATION WALLS Manufacturer Thickness/Type R Value GENERAL CONTRACTOR LICENSE NUMBER BDATE INTRSE NU MBS B TITLE ��G1LL� DATE ( DATE) ACCEPTED SAVE ENERGY - INSULATE! �.�• COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WO 7 County Center Drive - Oroville, California 95965 �Q�^ Telephone: 534-4541 APPLICATION AND PERMIT (� Receipt No' / I L V tJ® White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant Building permit expires Date U BUILDING Owner SQ. FT. OCC. BUILDING VALUATION -7 JR, . olc� Mailing Address D ca C_ 10 Telephone No. G O� Contractor Mailing Address Fireplace Total Valuation • O Telephone No. Permit Fee �� Building Address Plan Checking Fee&/or Penalty Permit Fee PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 Y,<> ID Each TraD 1.50 Llp o✓LA e C Cs Repair drainage or vent piping 1.50 C�&&-r A. P. No. �" p 1 /d0� Zoning 8 ns Water piping 1.50 r -6 Each gas water heater or vent • 1.50 -� Fees W. lS ' 'on Fire Dept. Fire Zone Us ennit Gas piping system 1 - 5 outlets 1.50 EQA Parking Plans Parcel Declaration rcel 60' R/W Improvements Each additional outlet .30 Building sewer 5.00 ��, �g. I�s e�0 arcel A rovoI PI s Approval Lawn sprinkler system 2.00 —+I NEWU ADDITION ❑ UTILITIES ❑ OTHER ❑ Permit Fee $ I cf. 46 cf$ f �$ ELECTRICAL No. @ I FEE PERMIT FILING FEE $3.00 GC Main service 100 AMP ORV OR SLESS 5.00 Single Family Duplex ❑ Mobil Home ❑ Others ❑ Main service EA. ADD'L 100 AMP 2.50 Main service OVER 25.00 100 AMPP OR LESS O I, Main service// EA. ADO'L 100 AMP 1.00NEW CONS. OR ADDNST l ACC` C P 4) 22 sq ft CONTRACTORS LICENSE LAW 1 am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: NEW , U T CHUTE T NON.RESIESID� BRANCH CIRCUITS) 2.50ea a. NEW CONSTR. POWER APPARATUS5, NON.RESID. SINGLE OUTLET CIRC Ex. Occur)(OUTLETS OR FIXTIiRES BAL�1 FIXED ALNS Ex. Occup. ( OUT ETS P(RESID )KEA) 1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ t MECHANICAL No. @ FEE WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the .performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California PERMIT FILING FEE $3.00 ?,C90 Heating (,SO ' I_ — Cooling �Qa Ventilation HoodA 2.00 •� Permit Fee $ ,Oa $ 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 represent fives of the County of Butte to enter upon the ab - oned r perty for inspection purposes. Date Lure of erml r A t Land Development Fee $ TOTAL PERMIT FEE 30 5 C This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated Zaboveor which fees have been paid. I R OF UBLIC WORKS Date �-2 C Receipt No' / I L V tJ® White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant Building permit expires Date U To: BUILDING DEPARi?- .tiT Sewage and/or Water and or Ad- itioa. Clearance(5) 0iy1iER LOLA1 ION Plans are approved for: Sewaoe Disposal Water Sup?1�j iiold up final for: nater Supply. Final Giearance ok for: W at er supply Clearance is for a � bedroom h c_e r mobile home). Other 1addition (s) Will .be $2illt2: iai: �aC� This set of plans and specifications MUST be kept on the job at all times and it is unlawful to ` make any changes or alterations on same without written permission from the Department of Pub- lic Works. County of Butte. the Bldg. Setback shall he 5 ft. from the side property I;ne and 50 ft. from the centerline of the road, permitting a maxi- mum of a 2 ft. ea'de overhang but entirely out of all ease --L _. Septic system and location of build- ing drain stub -out to be Butte County Health De s per quiremenf.s .--__.--.—.-. I ii • R.- I I "� 19C Ci � �t i !.,ri � X11 '?'; �, i4 � ,a. L. ✓,/1/ b� . - � i l 9 l< i r' '610 BUILDING DEPARTMEM APPROVED L v / fl%c a Ot A:'_"/S -1- 4 . .J 0 /,e V_5 40N _/A--, v 0 VE -4 a r- ,e A �-'