HomeMy WebLinkAbout007-360-032r
t�
Ray E. Johnson, Jr.
3006 Godman Ave., lot 32, North Park 4`
Sub, Chico 7
Permit.#6343-79B,P,E,M(new single
family) lo/t/o? / .
'--007-369-032, 05-0568
BARTIMIOLI'
'3006 GODMAN'AVE, CHINO
,Cont: OWNER i U,` a
B07-1629 '007-360-032
MISCELLANEOUS,,'Window/Glass Door
9..WINDOW.S 1 -PATIO DOOR
3006 GODMAN AVE
SADLER; MATTHEW r `'
In
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1-4
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
SADLER, MATTHEW Building Garage Remdl/Addn
325 CRATER LAKE DR
CHICO, CA 95973 Other Porch/Patio Total
(530)979-0553
FEE INFORMATION
DBMSC Window/Sldng GIs Dr-Repl $232.00
• LICENSED CONTRACTOR'S DECLARATION
Contractor (Name) State Contractors License No. / Class / Expires
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 - 07/27/2007
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' Compensation insurance carrier and policy number are;
Cartier: Policy Number: Exp. Date:
(This section need not be completed if the permitis or onsundtdollars ($100) or ess.
❑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.
X
07/27/2007
Signature Date
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL,
AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL 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)
Lender's Address
City
State Zip
Balance Due: $0.00 Receipt No:
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 the 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 permit 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
LLLLJJJJ 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
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 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.).
❑ I AM EXEMPT under Section B. & P.C. for this
IX W �.g _ 07/27/2007
Owner's Signature Date
I hereby certify that I have read this application and stale that the above information is correct. I agree
to comply with all City and County ordinances, rules, regulations, and State 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 property for inspection purposes. I hereby certify that I am the
pr y o r or authorized to act on ropert o fs behalf.
`+S, +
07/27/2007
Name of Permittee [SIGN] - Print v Date
dwner 1:1 Contractor OR; ElAgent for Owner DAgent for Contractor
FILE COPY
PROJECT INFORMATION
Site Address:
3006 GODMAN AVE
Owner:
Permit No: B07-1629
APN:
007-360-032
SADLER, MATTHEW
Permit type:
MISCELLANEOUS
325 CRATER LAKE DR
Issued Date: 07/27/2007 By TMP
Subtype:
Window/Glass Door
CHICO, CA 95973
Expiration Date: 07/26/2008
Description:
9 WINDOWS 1 PATIO DOOR
(530) 979-0553
Occupancy: Zoning: R1 0(
SADLER, MATTHEW Building Garage Remdl/Addn
325 CRATER LAKE DR
CHICO, CA 95973 Other Porch/Patio Total
(530)979-0553
FEE INFORMATION
DBMSC Window/Sldng GIs Dr-Repl $232.00
• LICENSED CONTRACTOR'S DECLARATION
Contractor (Name) State Contractors License No. / Class / Expires
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 - 07/27/2007
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' Compensation insurance carrier and policy number are;
Cartier: Policy Number: Exp. Date:
(This section need not be completed if the permitis or onsundtdollars ($100) or ess.
❑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.
X
07/27/2007
Signature Date
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL,
AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL 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)
Lender's Address
City
State Zip
Balance Due: $0.00 Receipt No:
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 the 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 permit 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
LLLLJJJJ 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
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 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.).
❑ I AM EXEMPT under Section B. & P.C. for this
IX W �.g _ 07/27/2007
Owner's Signature Date
I hereby certify that I have read this application and stale that the above information is correct. I agree
to comply with all City and County ordinances, rules, regulations, and State 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 property for inspection purposes. I hereby certify that I am the
pr y o r or authorized to act on ropert o fs behalf.
`+S, +
07/27/2007
Name of Permittee [SIGN] - Print v Date
dwner 1:1 Contractor OR; ElAgent for Owner DAgent for Contractor
FILE COPY
BUTTE COUNTY
DEPARTMENT Off' DEVELOPMENT SERVICES
BUILDING PERMIT APPLICATION.
OFFICE #: (530) 538-7541 FAX #: (530) 538-2140
A FEE WILL BE REQUIRED AT TIME OF APPLICATION
Website: w. rw.buttecounty.net/dds
**PLEASE PRINT CLEARLY**
OWNER INFORMATION
Last Na
F' f�
Ma" ddress
CityG �Cv
Sta� Zip,
Phones , 5 3
Fax
E-mail
APPLICANT INFORMATION
CONTRACTOR
Name
City
Address
Zip
City
Fax
State
Zip
Phone
Fax
E-mail
Lic. #
Class
APPLICANT INFORMATION
ARCHITECT/ENGINEER
Name
City
Address
Zip
City
Fax
State
Zip
Phone
Fax
E-mail
State License Number
APPLICANT INFORMATION
Name
Address
City
State
Zip
Phone
Fax
E-mail
APPLICANT SIGNATURE
X
PERIMIT
NO.
�A'7-
BIN #
PROJECT LOCATION
AP# , !J
Property Address
City
WORKER'S COMPENSATION
Policy Number
Carder
If hiring anyone other than license contractors, a certificate of worker's
compensation must be shown at the time of permit issuance.
LENDING AGENCY
Name
Address
DESCRIPTION OR SCOPE OF WORK:
Sq FT- Living Garage Open Cov
❑ Structure Built without Permits
❑ Proposed Change of Occupancy
(Note previous use):
For office use only:
Zoning
Flood Zone
SRA
Yes
No
Occ.
Type Const.
NATES RESIDENTIAL
F007-360-032 OS
-0563
PERMIT NO. BARTIMIOLI _, yy
3006 GODMAN AVE, CHICO
" Cont: OWNER
RE ROOF (32)
SPECIAL CONDITIONS
CHECKED
BY
SRA
FLOOD CERTIFICATE REQ.
FIRE SPRINKLERS REQ.
SPECIAL INSPECTION ITEMS
VERIFY
USE PERMIT CONDITIONS
SUB -STANDARD HOUSING LETTER
e
JOB FINALED(D
Signature, rL
r
SPECIAL CONDITIONS
CHECKED
BY
SRA
FLOOD CERTIFICATE REQ.
FIRE SPRINKLERS REQ.
SPECIAL INSPECTION ITEMS
VERIFY
USE PERMIT CONDITIONS
SUB -STANDARD HOUSING LETTER
e
JOB FINALED(D
Signature, rL
J=OK
0 = Not OK
Not . =
Not Ready Applicable
DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s
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-Grnd-/ /Amp -Concrete
6.
Gas; Location -Test -Wrap;-/ P' L 'ft.
/ P Nat. or/ P' L "ft./ P LPG
7.
Well Clearance & Disconnect
8.
Utility Clearance
10.
Roof; Shthg-Roofing
11.
Ext.; Steps -Doors -Landings
Date
12.
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
MOBILE HOME INSTALLATION (Plans) OK except #'s
Card B-1 Date Card B-1
1.
Zoning Requirements -Setbacks -Easements
Card B-1 Date Card B-1
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 -Connector
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
10.
Plumb.; Cir. Test -Water Supply Test
11.
Light Niche
Date
12.
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
PERMANENT END SYSTEM (ONLY)
Card B-1 Date Card B-1
1.
Zoning Requirements -Setbacks -Easements
Card B-1 Date Card B-1
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
r�
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 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 -Panel boards- 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
0 = 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. Grnd.-/ /" 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
FINAL (Plans) OK except #'s
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
72.
Elec. Outlets at Wood Panel, Int. & Ext.
Date
73.
Card B-1 Date Card B-1
Date
74.
Card B-1 Date Card B-1
Date
ELECTRICAL (Permit) OK except #'s
Garage Fire Door; Swing -Landing -Closure
24.
Fixture & Transformer Clearance -Ins. Protection
A.C. Duct in Garage -Damper
25.
Elec. Receptacles Spacing -Lights & Switches at Doors
Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V.
in Garage; Above Floor-Mech. Protection
26.
Size Boxes & No. of Conductors Stapled
Plb.; Elec. & Mech. Equip. Listed for Location
27.
Romex Installed Close to Edge of Studs & C.J.
Elec. Receptacles in Garage (F.F.I.)-Romex Protection
28.
Equip. Ground made up w/Mech Fasteners -Bond Gas & Water
Insulation -Foam -Looked in Attic
29.
2 Appliance Circuits in Kitchen & Conductor Size GFI
Guard Rails & Deck Construction -Post Caps
30.
Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or Al
Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth
31.
Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or Al
Insulated Neutral O Yes O No
Clearance Looked under Floor O Yes
32.
Service -Riser Conductors & Ground Main Disconnect
Following Instld./Drive O Yes O No/Walks O Yes 0 No/Planters 0 Yes 0 No
33.
Equip. Clearances Panels-Motors-Mech. Equip.
Stucco Brown -Finish
34.
Clothes Closet Light -Shower Light -Spa Light
A.C. Unit Disconnect, Electrical -Plumbing
35.
Smoke Detector
Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings
87.
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
MECHANICAL (Permit) OK except #'s
90.
36.
A.C. Ducts Insulation & Support
91.
37.
Vent Fan, Exhaust above insulation
92.
38.
Condensate Drain & Overflow, Size & Grade
93.
39.
Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet
94.
40.
Attic Access & Platform if Furnace in Attic
Date
Address Posted
Card B-1 Date Card B-1
Date
Fire Sprinkler
Card B-1 Date Card B-1
Date
FRAMING (Permit) OK except #'s
Date
41.
Sills Proper Materials & Anchors
Date
42.
Walls Studs -Nailing Spacing & Braces -Plates -Sound
Comments at Final:
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.
Cling. Joist-Rftr. Ties- Purl in -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.
Infiltration -Walls -Windows
Date
Card B-1 Date Card B-1
Date
Card 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.
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. Duct in Garage -Damper
77.
Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V.
in Garage; Above Floor-Mech. Protection
78.
Plb.; Elec. & Mech. Equip. Listed for Location
79.
Elec. Receptacles in Garage (F.F.I.)-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 O Yes
_
83.
Following Instld./Drive O Yes O No/Walks O 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.
Fire 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
BUILDING PERMIT
24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO)
OFFICE #: (530) 538-7541
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 penally of perjury that I am exempt from the
Contractors' Slate 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 Slate 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).):
1, as owner of the property, or my employees with wages as their
sole compensation, will do the work, and the structure is not
Intended or offered for sale (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' Slate 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' Stale License Law.).
❑ I am Exempt under Article 3 of the Business and Professions Code
Dale: - Owner:
WORKERS' COMPENSATION DECLARATION
I hereby affirm under penally 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 the Labor Code, for the performance of
the work for which this permit is issued. My workers' compensation
insurance carrier and policy number are:
PERMIT NO.
BP050568
Issued Date: 03/03/2005 APN: 007-360-032-000
Site Address: 3006•GODMAN AVE CHI
Map Index:
Description: re roof 32 squares
Owner: BARTIMIOLI ALLEN A & ELLEN L
3006 GODMAN AVE
CHICO, CA
95973-0415
Applicant: BARTIMIOLI ALLEN A & ELLEN L
3006 GODMAN AVE
CHICO, CA
95973-0415
Contractor:
r .
License #:
Architect:
Engineer:
Carrier:
Total 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: c�2�
issued, I shall not employ any person in any manner so as to `
become subject to the workers' compensation laws of California, I f
and agree that if I should become subject to the workers' v I
compensation provisions of Section 3700 of the Labor Code, I shall 4
forthwith comp y with lhos�ovisions. %
Dale: �} v
Applicant:�`'�
WARNING: Failure to secure workers' compensation coverage is
unlawful, and shall subject an employer to criminal penalties and one
hundred thousand dollars (8100,000), 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 hpr6by Issued uqOW41,re applpblb provisions of the Butte County Code and/or
I hereby affirm that there is a construction lending agency for the Resolutions Edo work InA ca ed ove for hich es have been paid.
performance of the work for which this permit is Issued (Sec 3097 Civ.) / `� Date: S
Name: By.
PERMIT EXPIRES ON: ^ _O
Address: I—
O 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 19627.5 of California Health & Safety Code is not applicable to the scheduled construction of this project.
❑ Attached are copies of the required E.P.A. notificatlon 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 f9cm�or document of Butte Count I hereby
authorize representatives of Butte County to
enter upon the rabove mentioned property for inspection pur o `��
f' I �/ 1 1 ` ! J� �! 1 I ( — Signature:-.'
Print Name: �
Date:
Cl Contractor ❑ Agent for Owner ❑ Agent for Contractor
P r Ruildinn Permit 01-16-04 D° 1
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT
24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO)
OFFICE #: (530) 538-7541
LICENSED CONTRACTORS 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 : 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 Slate 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).):
jd 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' Stale 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.).
❑ 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,
and who contracts for such projects with a contractor(s) licensed
pursuant to the Contractors' State License Law.).
O I am Exempt under Article 3 of the Business and Professions Code
Date: - Owner:
WORKERS' COMPENSATION DECLARATION
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.
❑ 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:
PERMIT NO.
BP050568
Issued Date: 03/03/2005 APN: 007-360-032-000
Site Address: 3006 ,GODMAN AVE CHI
Map Index:
Description: re roof 32 squares
Owner: BARTIMIOLI ALLEN A & ELLEN L
3006 GODMAN AVE
CHICO, CA
95973-0415
Applicant: BARTIMIOLI ALLEN A & ELLEN L
3006 GODMAN AVE
CHICO, CA
95973-0415
Contractor:
License #:
Architect:
Engineer:
Carrier:
Total Square Ft: 0 S. F.
Zissued,
#: Valuation: $0.00
certify that in the performance of the work for which this permit is Census Code:
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' 4
compensation provisions of Section 3700 of the Labor Code, I shall
forthwith comp y with thoswovisions. r
Date: `,IJ
Applicant:/ /
WARNING: Failure to secure workers' compensation coverage is
unlawful, and shall subject an employer to criminal penalties and one
hundred thousand dollars ($100,000), in addition to the cost of
compensation, damages as provided for in Section 3706 of the Labor
code, interest, and attorney's fees.
CONSTRUCTION LENDING AGENCY
I hereby affirm that there is a construction lending agency for the
performance of the work for which this permit is issued (Sec 3097 Civ.)
This permit is hyedby Issued aFolv':
Resolutions do work indl datBy:
PERMIT EXPIRES
sions of the Butte County Code and/or
have been paid.
MM
Address: I fuare/
❑ 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 slate laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official f or document of ButteCount I hereby
authorize representatives of Butte County to enter upon the above mentioned property for inspection pur o
Print Name: mil ( I/ 1 o 1 Y 1 ( Signature:
Date:
0 Contractor O Agent for Owner ❑ Agent 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 OF APPLICA TION
Website: www.buttecounty.net/dds
"PLEASE PRINT CLEARLY"
•
Last Na=
Name
./
�♦
MNA
.�-�� Iii • �
.
State
APPLICANT
CONTRACTOR
Name
Cit
Address
• • ON i r
City
I Yes
State
Zip
Phone
Type Const.
Fax
E-mail
Map Book
Lic. #
Class
APPLICANT
ARCHITECT/ENGINEER
Name
Cit
Address
• • ON i r
City
I Yes
State
Zip
Phone
Type Const.
Fax
E-mail
Map Book
State License Number
APPLICANT
1 � � 1 O lN\ &I. f_►
Addres—
I
Cit
Flood Zone
• • ON i r
SRA
I Yes
For office use only:
API 07— 3 "
ty
Zoning
Cit
Flood Zone
WORKER'S COMPENSATION
SRA
I Yes
I No
Occ.
LENDING AGENCY
Type Const.
Subdivision Name
REV 2-24-05
Map Book
Page
Lot #
Planner
Date Approved:
OVER FOR SUBMITTAL REQUIREMENTS
K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc Page 1 of
PERMIT
NO.
os6
BIN #
LOCATION
API 07— 3 "
ty
Property Address
Cit
Cross tre t �s �.
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.
SMIP
LENDING AGENCY
Name
Address
Description or Scope of Work:
L/
Sq. Footage
U Structure Built without Permits
O 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:
Amount: Bldg
SRA
Receipt #: �> �
Sheriff
J
SMIP
Dater/
Other
Total
2
REV 2-24-05
Of ,
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).
❑ 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
KAFORMS\BUILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2 REV 2-24-05
I 6343-79B P,E,N
PERMIT NOJ i
PERMIT; EXPIRES •
,--''O WNER Ray E. Johnson, Jr.
CONTR. owner
44-38-102 port.
LOCATION (A.P. )
3006 Godman Ave., lot 32, North Park Sub,
Chico
'Y
• .5
I:
^ i
V
• iit - '
W
A1�
Temp. Power Pori
Called PG&E
PEI.e Serv. Q
C�Ied PG&E J
fmifflIrGas Serv. J�
Called PG&Ey /�—�0 F/SW 710
JOB
FINALED '
(Date)
(Signa re)
Y
:.i t
1.
�Z-,s
r
Fntra?c D Sidelight
Lection
Smo�e D-_ecto-
Lrrzace-- . s Clear nc-es.`Co., SLstion Air Connecto_ ,p Garr.Se-Hi ig:ht!00!
ectio
5. _
Bed roc
6.
G.F . & Lhqe 3.:ttures
E 1 ec tric 1rLn 1
p?
O
9.
Fireolace orStve--Cle 1nces,
HeA .
10.
-e ,_ c- P_
11.
Fixtu,_ s & Appliances itc'ne
Gro--AirCookina ranee
12.
Electrical Outlets & Rec es
at Kitche inter
13.
Gara22 Fite Door --S, & Lai
Clo
•
Wat - - ,.s, Clea es,
Comb::si.i r, P ., Connect?
arae ight &
16. Firms &
17. Electrical Receptacles in Garage _zx Protect
18. Insulaticn--Foy--Looked i]g Ati-yc—/ — /` Yes
19. Steasat 9.Do6,-4�-�Land i.ngs
20. G' —mj—&—f�Ts —L, u_Eic x�c�iV_1
21. Foundation Vents &. Crawl hole Door --Drainage &- W -Earth earances-- -
Lcoked Under Floor = Yes S'
22. Fol'•-owi_^o Installed: Drive. Yesj No; Walks / s 1__j No; Planters or
Wi i? galls %—/ YesNo---Creatir.7 Drainage Problems 7-7 Yes �f"PZ-1qo
23. ._.C. Unit--Dis ect, Clear n ,- re_a Cordy _ i ee--115V 9
24. Vents Abave Roof---P1Lm+bina. Wppliances, -Fireplace—Clearance to Openings
25. 6iater Well-Disconnect._ectrical. PIL:.,
26. Exte-ior ylectr' Trim & G.F.I, e I:acle
27. Ventilation Thsahout House
28- Class Prot _ion
30. Gas Test --Meters T gQed-Gas El�Eric
31. Water Sep21y & Sewa,e ted
32.32. Ener --y Compliance Ce ficateCe ficate
33. Sign Job Card
PTL OF ABOVE COMPLETED % % .EYCEP'i
Signed- Date:
A30VE LTSTF.D CORRECTIONS M-TLETED SIGN JO
S igged : Date•a' Z.
-4-
? PLUM LNiG-•,Above Floori, -:tit Zio.
1. Water Heater--Vent--Access--Combustion Air
2. Water Pine --Test & Anchors --Nail Protection
3.
Drain Pipe--Test--Fittings & Anchors --Bail. Protection
47" Test IQ
4.
Shower Pan --Test, First floor --Tub Access
5.
!est Tub & Shower, second floor --Tub Access
6.
Gas Pipe --Size & anchors
S --a Job Card
.- -- ------------------------------
ALL. OF. ABOVE CWMPLETED L,i EXCEPT
Signed:
ABOVE LISTED CORRECTIONS CO?�LETED
Date:
Date:
1..
ELECTRICAL Above Floor
Clearance & Insulation Protection at Flush Light Fixtures
Permit 1;0.
2.
Elec. Receotacles Spacing --Lights & Switcl.les at Doors
3.
Size Boxes & No. of Conductors --Stapled
4.
Ron -ex Installed Gose to Edge of Studs & C.J.
5.
Equip. Ground made up w/:fech. Fasteners
6.
2 Appliance Circuits in Kitchen & Conductor Size
7.
Sub Feeders --Wire size Q ga. Cu or Al, Breaker Size
hsulate'd Neutral, Yes Q .No Q
Amp.--
.8.
Range Circuit Q ga. Cu or 'Al, - Breaker Size QAmp.--Oven Circuit ga. Cu or Al,
Breaker Size Q Amp.
.9. .Service
-=Riser Conductors & Ground
10.
Bond Gas & I -later Pipes
11.
Clothes Closet Light --Shower Light
r
12.
Sim Job Card
ALL OF DOVE COMPLETED L—r EXCEPT
_...
:- ._ .._ . .... _ Signed:
�OVE LISTED -CORRECTIONS COMPLETED
�B
Date:
Date: -
-1.
MECHANICU--Above Floor
A.C. Ducts --Insulation & Support
_- _Permit No.
2.
Vent Fan --Exhaust Above Insulation
.3.
Condensate Drain & Overflow --Size & Grade
4. Furnace--Vent--Access-Conb.Air--Return Air Vent --115V Outlet
5. Attic Access & Platform if Furnace in Attic
6. Sia -n Job Card
ATL OF ABOVE COMPLETED EXCEPT d
Signed: Date:
ABOVE LISTED CORRECTIONS COMPLETED Date:
I
..
-3-
., E R S E T
COMPANYH-
I
LICENSED CONTRACTOR /.
Phone: 342-4764
P.O. Box 628 — Durham, California 95938
INSULATION (Batted or Blown)
Date 19
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 �
ManufactureraL/J- Thickness/Type R Value /
CEILINGS
Batts: Manufacturer Thickness R Value
Blown: Manufactur Thickness No. Bags � Wt./Bag
�
Sq. Ft. Covered r �a R Value /
FLOORS
Manufacturer Thickness/Type
SLAB ON GRADE
Manufacturer Thickness/Type
Width of Insulation Inches
FOUNDATION WALLS
Manufacturer Thickness/Type
GENERAL CONTRACTOR
R Value
R Value
R Value
LICENSE NUMBER
BY f 7`11ra ir DATE 4_
INSUL ION TRAC R LICENSE NUMBER
TITLE [(� DATE
ACCEPTED
SAVE ENERGY - INSULATE!
ME COMPANY
(Authorized Repraantativa)
MKI
W
RESIDENTIAL
7
ENERGY CONSERVATION STANDARDS
C?NS�NCTION COMPLIANCE CERTIFICATE
jt
THIS IS TO CERTIFY THAT ENERGY CONSERVATION REQUIREMENTS HAVE BLI--.N
INSTALLED IN CONF_ORMONCE WITI
i CUItRENT ENERGY CONSERVATION REGULATIONS
AT
(location)
BUTLDING.,fERMIT NO. 1835/3 —767.5
A.P. NO
THE FOLLOWING HAVE BEEN INSTALLED AS PER APPROVED PLANS: sAj
(Check each #em or wri
te N/A if not appltq4010)
INS
ULATION: CLAt ING:
ge,
Fdn. Special (Insulated) -
Slab Ed W411 Single Glazed
Floors
oo
r
s
_ CERT. & LABELED
WDS.Walls & SLIDING DRS.
Ceilp&IRoofWEATHERSTRIPPED DRS.
Ducts
ucts BACK DAMPERED FANS
Circl
Sj
Circu4ting Pi INTERMITTENT IGNITION DEVICE
PP OV�
APPROVED HEATER APPLIANCES
A PP O'Vt
PPR0VED,,WTR. HTR.
I DECLARE THAT ALL REQUIRED ITEMS AS NOTED ABOVE HAVE SEEM !NSTALLED
IN ACCORDANCE WITH THE ENERGY CONSERVATION REQUIREMENTS'ANA AGREE TO A r I
THE CWP�,�MSS OF THIS, C99TIFICATE AS SUBMITTED.
In
sulattoR Applicator Name
• Signature of, (please print)
Insul4tion Applicator
State Contr4ct.orol'o
License No.
General,Cgutractor/Owpo; Name_ 4=
Al
(please print)
Signa
Gener4j. Cont;4ctqr/Owpe &A X�
Date
h4 pW
e. Contra
at ctors
St
n -se No,
z7�< �• J ' ;�'�o�f"4•w •t r•S k�t } I' .t�+�
(OF
A . I I
RI
jF
ni
;'e
THIS CERTI �WICAT-E MST 8E ON FILE WITH THE BUILDING DEPARTMENT PRIOR TO
REQUESTING FINAL INSPECTION AND SHALL BE POSTED'IN A CONSPICUOUS LOCATION
WITHIN THE DWELLING.
77
INKLERS
T
Mesh c —
MECHANICAL
Scratch
Heating
Brown—I
}
Finish
COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS
Interior Lath
BUILDING INSPECTION RECORD
Door Closer
Final
BUILDING BUILDING (Cont'd)
PLUMBING
Setback
Firewall
Soil Pipih
Forms
Parapets
,. 1st Floor
Main Bldg.
i Restroom Finish
2nd Floor
Footings
Windows
3rd Floor
StemwaII
Siding
To out
Slab
Z/ 2.lcv Roof Sheathing
etz
Water Piping
Piers
Roofing
Sewer
Garage
Fdn. Vents
Fixtures
Footings
1,,7 Garage Vents
Water Htr.
Stemwa I I
v -
"Insulation
Heaters
Slab
Prov. for ph sically
Appliances
Carport
handicaped
Conformance of ex.
Gas Piping &Test
Footings
structure
Temp. Gas
Slab
Final
Sanitation
Patio
FIREPLACE
I Final
Footings
Footing
I ELECTRICAL
INKLERS
T
Mesh c —
MECHANICAL
Scratch
Heating
Brown—I
ooling
Finish
Ducts —
Interior Lath
Ventilation
Door Closer
Final
MOBILEHOME UTILITIES ------------------
Elec. Service
Water Piping
Sewer
MOB16EUOME INSTALLATION - - - - - - - - - - - - - - Support
Water Piping
Drainage
DATE REMARKS OR CORRECTIONS_
i
Grd. Fault Prot.
Service
Temp. Pole
Underground
Permanent
Final
Elec. Pedestal
Gas Piping
Elec. Continuity
Cyan Piping _
(NOTE: An entry must be made on this form each time you visit the job site.)
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - , Oroville, California 95965
Telephone: 534-4541
APPLICATION AND PERMIT
V
BUILDING
Owner XA C 7�(bwz 0 -,\)'2SQ.
FT. OCC. BUILDING VALUATION
? S Qv. 00
Mailing Address O X I o c)
1460 _T O 00
4
C L 1 C o ��
Tel ghone No.
3 co J 7,
Contractor
It.
Mailing Address
V11
Fireplace aQ,(�
Total Valuation Ole,,�Q
Telephone No.
Permit Fee ,00
Building Address
Plan Checking Fee&/or Penalty
Permit Fee 00
UC
PLUMBING No. @ FEE
PERMIT FILING FEE $3.00
Each Trap 1.50
Lo 3Z h vte wQ C� 0
Repair drainage or vent piping 1.50
A. P. o. '-3 (v2 Pp�P.T`)
Zav9 a
Water piping 1.50 / 5
Each gas water heater or vent 1.50 [ SO
F sVW.Qwkw
I Fire Dept.
Fire Zone
I Lf,��ePermit
Gas piping system 1 - 5 outlets 1.50 1 150
EQA
Parking
Planes
Parcel
Declaration
Parcel Ma p
60' R/W
Im r
p ovements
ach additional outlet .30
Building sewer 5.00
I g an!R c d Parcel A vel
Plans Approval
Lawn sprinkler system 2.00
NEW ADDITION ❑ UTILITIES ❑ OTHER ❑
Permit Fee $
$ (1
ELECTRICAL No. @ FEE
PERMIT FILING FEE $3.00 .�(�
Main service 100 AMP OR00V OR SLESS 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 CONST. (PIMING OCCUP. Y
OR ADDNS. LOGS. 2�sgft
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:
NEW CONSTR BRANCH CIR T
NON.CRESID.ONST � BRANCH CIRCUITS) 2.50ea
NEWCONSTR.POWER APPARATUS 8
NON . RES I D. (SINGLE OUTLET CIR.
Ex. OCcup(OUTLETS OR FIXTURES 50@�
BAL@1
FIXED ALNS
Ex. Occup. (OUTLETS P(RESID )REA) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
License No.34444&9 Classification
Misc. Wiring 6.25
I am exempt from the Contractors License Laws of the State of California.
Permit Fee $ wo$
�C
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.00
❑I have placed on file with the County of Butte a certificate of
Workmen's Compensation Insurance.
Z.KI 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 $3.00 100
Heating %� j`
:ri<
Cooling 1400�QD
Ventilation
Hood 2.00
Permit Fee $ QU
$ /3, 4.v
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 buildinq construction, and hereby
Land Development Fee
$ ar)
TOTAL PERMIT FEE
/0
authorize represe tat" es of the County of Butte to enter upon the
e -men to rty for ins ection purposes.
Date f
ture of Permi or A ent
Receipt N .
White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant
This permit is hereby issued under the applicable provisions of
the Butte County Code and/or resolutions to do work indicated
above for which fees have been paid..
DIRECTO F PUBLIC WORKS
ey Date l k1-12- ?/
wilding permit expires Date / 12 -.P-Z
' Y COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS — BUILDING DIVISION
7 County Center Drive — 0ro4)11e,yCa'lifornia 95965 — Telephone 534-4541
^L
PERMIT APPLICATION BATA SHEET i
OWNER
Proposed Building Use
Permit fee based upon:/ -
P on :/-
Building Inspector
At time of permit application, (-
issuance
Complete Contract Price
(explain ),Z
advised the following data must
Permit No. // ,`
A.P. No. L -i (4 --'3 q 4 U)_
DPW Valuation
Date 10//// / `7
submitted prior to permit processing and/or
DATE RECEIVED APPROVED
1. All items have been submitted...................................................................
2. Plot plans in duplicate/triplicate...............................................................
3. Complete plans in duplicate/triplicate...................................................
4. Complete engineered plans and calcs.....................................................
5. Plans with Energy Design Compliance Statement ............................
6. State Energy Forms No. ....................
7. Statement of Intent for Non -Heated & AC Buildings ...................
8. Fees of $..................................................
9. Letter of signature authorization.............................................................
10. Sanitation approval from Health Dept....
11. Planning approval for .............
12. Certificate of Workmen's Compensation Insurance ........................
13. Contractors License Information (no., name style,
classification) ...............................
14. Improvements may be required. Contact Land
Development Section of Dept. Public Works (see
addressbelow).................................................................................................
15. Pre -inspection for required. Pre-inspec.request to
16. Other bldg.inspector (date)
Wheh you issue the permit, process as follows: Mail to owner Mail to contractor.
V Telephone d 1'4' IGS and hold for pickup at r N-1 ro office. Deliver w/inspection.
Other r
�A,ppIica
Date�['"�
Copy of plans sent Health Dept., Fire D'ept., -'-_Other Date—
During the plan checking process, the following data must be submitted prior to permit issuance:
(For required items not checked above at time of application, circle item.)
1. Index permit for above Items No.
2. Additional items required:
(Contractor, Designer, Owner) was advised of above required data by Telephone
Mail
Other
By Date
Plans checked by Date
Plans approved by — Date / � ` .7
OTHER:
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X
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Vons M U.f
ThWset'of Olo'ns and, spe�cMca+?ons MU.
-4awf 1+0-
W0fb"n.+he job at all -fini'es and it is Uhlaw I f., out
some wit
''.Gnvp chanq4 or ctitercs+ions on
-wriffe"'Orkssion from the, Department of Public
W
7r
O
f Butte.,
?U19
flu,
Jb
14
7LT_
HIMIRMOM
:7
the Bl4q. Setback shall be 5 ff. from WO
side property .141ne -and 56 ff, from the
vty
.,AenTerurte of the road, permitting a maxi
4num of a 2 ff. ire overhang but entirell,
easerhefits;
- — - — - — - — — — - - J
M
'0Fs ,
KvNa�H. FAKK 1.2 U P�2p 1 V 10�
.:See Master' Plan on 'file for building
w, j
r �I%PL071aQ3 '2 3(.o
Rog
g -
v� i
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PG 'T �'ZDI
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SII fi=r' 7 a
OrrtiA N I ��`��c� �� kzLli
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,V This set oflans and s acificrytinns MUST Rte \•
kept on the iob at all ti►nees rind it is u�nl�v.+jl to \� The Bldg. Setback shall bo 5 ft• fr th
side property lino and SO ft, fI'()M *
maR'p any chances or alt^, ons on sssrne without centerline of the road, pornlit4419 A ma)
written permission from the Department of Public mum of a 2 ft. eave overhang but ntlro
Works, County of Butte.
61W MAt 4 Avec �! u out of all easements;
BUTTE COUNTY
DFPARTMENt-
ROVED
N 111-1 see Master Plan on file for •buildiAg -7
pens.