HomeMy WebLinkAbout007-360-048• e .'.Yu - ..
\It _ Ray E. Johnson, Jr. v
724 Kings Canyon Way, lot 48, North
Park Sub, Chico
Permit #6506-79B,P,E,M(new sigle ;
• family)
s. _
007-360-048: • ' OS-2662
{
DAVIS, GLENN
.724 KINGS CANYON WY, CHICO
Cont: OWNER
HVAC
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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.
BP052662
t3. c. buud,ng rerm,t ui-io-ug pg 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: 09/29/2005 APN: 007-360-048-000
the Business and Professions Code, and my license is in full force and
effect.
se Class: License Number:
License
Site Address: 724 KINGS CANYON WAY CHI
Map Index:
Date: Contractor:
Description: HVAC REPLACEMENT
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: DAVIS GLENN W & CAROLINE M
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
724 KINGS CANYON WAY
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
CHICO, CA
she is exempt therefrom and the basis for the alleged exemption. Any
95973-0421
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: DAVIS GLENN W &CAROLINE M
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
724 KINGS CANYON WAY
sale. If however, the building or improvements are sold within one
year of completion, the owner -builder will have the burden of
CHICO, CA
proving that he or she did not build or improve for the purpose of
95973-0421
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.).
Contractor:
❑ 1 am Exempt under Article 3 o the Business and Professions Code
(
Date: ' '��Awner. \-a4-yL±•- a�=�
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
License #:
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
Architect:
required by Section 3700 the Labor Code, for the performance of
the work for which this permit is issued. My workers' compensation
Engineer:
insurance carrier and policy number are:
Carrier:
otal Square Ft: 0 S.F.
Policy #:
I certify that in the performance of the work for which this permit is
Valuation: $0.00
issued, I shall not employ any person in any manner so as to
become subject to the workers' compensation laws of California,
Census Code:
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: —,J Js—
D
miSq VX V
Applicant
WARNING: Failure to secure workers' compensation coverage is
�Y
unlawful, and shall subject an employer to criminal penalties and one
hundred thousand dollars ($100,000), in addition to the cost of
compensation, damages as provided for. in Section 3706 of the Labor
code, interest, and attorney's fees.
CONSTRUCTION LENDING AGENCY - - _ _
This.permit is hereby issued,under.the-applicable provisions.of the Butte County -Code and/or
I hereby affirm that there is a construction lending agency for the
Resol o to do wor indicate ov for which fees have been paid.
performance of the work for which this permit is issued (Sec 3097 Civ.)
Date:
Name:
Y
PERMIT EXPIRES ON:
Address:
Dat
❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage,
handling and use of hazardous materials.
❑ Notification in accordance with Section 19827.5 of California Health 8 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: Q `0 t h e V Gw �5 Signature:~�-
Date:
❑ Owner ❑ Contractor ❑ Agent for Owner ❑ Agent for Contractor .
t3. c. buud,ng rerm,t ui-io-ug pg 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
"PLEASE PRINT CLEARLY"
APPLICANT NAME
OWNER
Last Name
"'
irst Name
Address
C
Fax
S I.cJ A
City
Phone
State
Zip
.co
Planner
Lic. #
Class
Phon<qo LA — 7 s5 3
Fax
E -m it
v' a.
'
0 3 ts_5
APPLICANT NAME
CONTRACTOR
Name
City
Address
Zip
City
Fax
State
Zip
Phone
Book
Fax
E-mail
Planner
Lic. #
Class
APPLICANT NAME
ARCHITECT/ENGINEER
Name
City
Address
Zip
City
Fax
State
Zip
Phone
Book
Fax
E-mail
Planner
State License Number
APPLICANT NAME
Name
Address
City
State
Zip
Phone
Fax
E-mail
APPLICANT SIGNATURE
X
For office use only:
Zoning
Property Address
7,;t4 CaA�UA-xWi��Xew
Flood Zone
Cross Street
SRA
Yes
No
Occ.
Type Const.
Subdivision Name Map
Book
Page
Lot #
Planner
Date Approved:
PERMIT
NO.
BP 0,5.2 (o
BIN #
LOCATION
AP# D 0 U
Property Address
7,;t4 CaA�UA-xWi��Xew
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:
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.
OVER FOR SUBMITTAL REQUIREMENTS L
K:TORMS\BUILDING FORMS\BldgApplSubRgmts.doc Page 1 of 2
Received by: Amount: Bldg
Receipt #: L/3 7? 0v
Date:
SRA
Sheriff
SMIP
l Other
m
` �� �J S�• V v Total
KtV b -lb -U4
SUBMITTAL REQUIREMENTS
The following drawings and specifications must be submitted to the Building Division in order to apply
fora permit. INCOMPLETE SUBMITTALS WILL NOT BEACCEPTED. ALL PLANS MUST BE
LEGIBLE AND IN INK.
Residential, New, Remodels, Additions, and Accessory Structures:
❑ 1. 3 Site Plans, signed by the preparer. NO GRAPH PAPER!
❑ 2. 3 Complete sets of plans, signed by the preparer. NO GRAPH PAPER!
OR 3 Sets Engineered plans (if required) with wet signature on plans AND 2 sets of stamped and signed
calculations.
❑ 3. 2 Engineered truss details and layouts (if required) (NO FAXES!).
❑ 4. Letter from Engineer or Architect for truss design review.
❑ 5. 2 Energy compliance design and supporting documentation. (Note: Not required for additions to
mobile or modular homes.)
❑ 6. 2 Flood Elevation Certificate, wet -stamped and signed (if required).
❑ 7. Detached Accessory Building Form, filled out by the property owner (if required).
❑ 8. Sanitation and site plan approval from the Environmental Health Department.
❑ 9. Metal Buildings: (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.
Mobile, Manufactured, or Modular Homes: .
❑ 1. 3 Site Plans, signed by the preparer. NO GRAPHPAPER!
❑ 2. 2 Data sheets and installation instruction manual.
❑ 3. 2 Marriage line information.
❑ 4. 2 Floor plans.
❑ 5. 2 Engineered Tie Downs or Foundation plans.
❑ 6. Sanitation and site plan approval from the Environmental Health Department.
❑ 7. 2 Flood Elevation Certificate, wet -stamped and signed (if required).
Commercial, New, Additions and Remodels:
❑ 1. 4 Site Plans, signed by the preparer. NO GRAPH PAPER!
❑ 2. 4 Engineered plans with wet signature on plans AND 2 sets of stamped and signed calculations,
with code analysis.
❑ 3. 2 Engineered truss details and layouts (if required) (NO FAXES!).
❑ 4. Letter from Engineer or Architect for truss design review.
❑ 5. 2 Energy compliance design and supporting documentation (if required).
❑ 6. 2 Flood Elevation Certificate, wet -stamped and signed (if required).
❑ 7. Statement of Intent for Non -heated and A/C (if required).
❑ 8. Metal Buildings: (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.
❑ 9. Letter of intent.
❑ 10. Hazardous Material Form.
❑ 11. Sanitation and site plan approval from the Environmental Health Department.
If you have questions or would like additional information regarding this process, contact a Permit
Application Assistant at (530) 538-7541.
OVER FOR BUILDING PERMIT APPLICATION
KAFORMS\BUILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2 REV 6-16-04
J
ti
6506-79B P E M'
• PERMIT NO. a a a
y
yY
PERMIT EXPIRES �� \
OWNER Ray E. Johnson, Jr.
owner
CONTR.
44-38-102 port.
Fr LOCATION (A.P. )
724 Kings Canyon Way, lot 48, Nrth Park
SLb, Chico
F
~ Temp. Power Pole
Called PG&E n %
Temp. Elec. Serv. S'-1740
Called PG& 3- IS Sz SE
T+effW Gas rv.
Called PG&E 7-/7' F0 FISH
JOB
F� A LED
(DateKO
( ignature)
s',
c -
COUNTY OF BUTTE — DEPARTMENT O,FAPUBLIC WORKS
BUILDING INSPECTION RECORD
BUILDING
BUILDING (Cont'd)
PLUMBING
Setback
wal -- �2-
J
Soil Plpin
Forms I J,
Parapets
1st Floor
Main Bldg. W,
Restroom Finish
2nd Floor
Footings 110Windows
3rd Floor
Stemw
Siding
To out
Slab G% %
Piers
Roof Sheathing
Roofing
Water Pi In
Sewer
Garage
Fdn. Vents
Fixtures `-
Footings
StemwaII
Garage Vents
Insulation _ 2 ®
ter
Heaters
Slab
Carport
Footings
Prov. for ph slcally
handica ed
Conformance of ex.Gas
structure
_Appliances
Piping & Test 7 $
Temp. Gas
Slab
Final —
Sanitation
Patio
FIREPLACE
Final -- 2 % ,
Footings
FootingECTRIC
Masonry Walls
Throat
Rough
Reinf. Steel
Final
Fixtures
Bond Be m
FIRES RIN LERS
Motors
Framing a.
Stucco
Test
Final `�
Water Htr.
Subpanels
Mesh 3 — G
MECHANICAL
Gird. Fault Prot. N
Scratch
Heating
Service
Brown
coolingTemp.
Pole
Finish �
Ducts '" -- T9
Underground
Interior Lath
Ventilation
Permanent
voor Closer -1-214 Final Final \
MOBILEHOME UTILITIES Elec_ Service Elec. Pedestal
Water Piping Sewer s Piping
MOSILEHOME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity
Water Piping Drainage Gas Piping
DATE REMARKS OR //CORRECTIONS //JJ
Z l 7
v /
W � `
(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 Dri've' - Oroville, California 95965
' Telephone: 534-4541 �� J
APPLICATION AND PERMIT
By Date -AtE
Receipt N ` yLr_,f>8
White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant B ding permit expires Date
BUILDING
Owner®
SQ. FT. OCC. BUILDING VALUATIO
G__7 2� U
Mailing Address b gZ))( 706
Ct/' n
` /"[60
hone,N
(f J
Contractor
Mailing Address
Fireplace d GOO
Total Valuation 1
Telephone No.
Permit Fee .dam
Building Address
NIOS CA*HQIJ
Plan Checking Fee&/or Penalty
Permit Fee 13
OR
PLUMBING No. @ FEE
PERMIT FILING FEE $3.00
Each Trap 1.50 0�
I�
W UR A)(g/� soR C(#C-0
Repair drainage or vent piping 1.50
/� ,-,a "��� Pmt
A. P. NO. —/ tl'
/}� z
Zoning 8 anng
Water piping 1.50 /S j)
Each gas water heater or vent 1.50
F s
.C.
I an ' n
Fire Dept.
Fire Zone
Use Permit
Gas piping system 1 - 5 outlets 1.50
EQA
Parking
_.plans:.
Parcel
Declaration
Parcel M p
60' R/W
Improvemen
Each additional outlet .30
Building sewer 5.00
i 4 ti
B I s c'd
Parc roval
Plans Approval
Lawn sprinkler system 2.00
NEW -JADDITION ❑ UTILITIES ❑ OTHER ❑
Permit Fee $
$ �%
ELECTRICAL No. @ FEE
PERMIT FILING FEE $3.00 0
Main service 100 AMP OR00V OR LESS5.00
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. D OCCUP. 4
OR ADDNS. A c. GS. 20 sq ft �®
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 CIRCUITS) NON-RESID. BRANCH CIRCUITS 2.50ea
NEW CONSTR POWER APPARATUS 6
NON -RESID. SINGLE OUTLET CIR.
Ex. Occuo(OUTLETS OR FIXTIiRES e @L1.¢
FIXED ALNS
Ex. Occup. ( OUT ETS P(RESID.)REA) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
License No. Classification
Misc. Wiring 6.25
191 I am exempt from the Contractors License Laws of the State of California.
Permit Fee $ 1q 7O
$ ��
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 yv
Heating
. D U
Cooling 00
Ventilation
Hood 2.00
Permit Fee $ 13.00
$ 13
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 represen atives of the County of Butte to enter upon the
rove -m r petty for inspection purposes.
X—Date-6690V
Land Development Fee
$ 25,03
TOTAL PERMIT FEE
1$1,3012<
This permit is hereby issued under the applicable provisions of
the Butte County Code and/or resolutions to do work indicated
above for which fees have been paid.
DIRECTOR F PUBLIC WORKS
By Date -AtE
Receipt N ` yLr_,f>8
White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant B ding permit expires Date
PLU.MB I N G
Check'List
Permit
E] Underfloor Stage
® D.W.V.: .(1) Sizing. (2) Materials. (3) Fittings. (4) Grade & Support.
(5) Cleanouts & Accessibility. (6) Clearances. (7) Rough -in Locations.
�* (8) Wrapping. (9)'Test - including "Ts". (10) Additional test not
required.*
El Water: (1) Sizing. (2) Materials. (3) Support. (44) Test. (5) Wrapping.
®* (6) Dissimilar metals. (7) Service regulatorinstalled or not required.*
Gas: (1) Sizing. (2) Materials. (3) Support. (4) Log Lighter: (5) Wrapping.
®
FraminR Stage (Top Out
D.W.V.: (1) Size. (2) Vent Area & Termination. (3) Materials. (4) Fittings.
(5) Grade & Support. (6) Cleanouts. (7) Traps. (8) Nail Protection.
(9) Plumbing Access. (10) Toilet Clearances. (11) Shower size.
(12) Shower Pan Test. (13) Vents - turns, horiz., runs, loop, wet, etc.
❑* (14) Additional 2nd floor test not required.*
M Water: (1) Pipe Test. (2) Mixer Valves. (3) Support. (4) Roof drains.
Gas: (1) Size. (2) Materials. (3) PR Valve Drain.
® Water Heater: (1) Vent. (2).Locatione:(3).;.PR.Valv6 Drain.
0 Final
�—D.W.V.: (1) Connected to sewer system. (2) Special systems.
Water: (1) Water Source. (2) Shut-off. (3) Anti -siphon Valves.
0 Gas: (1) Test. (2) Connectors.
0 Water Heater: (1) Location. (2) Accessibility. (3) 'Clearance 9.`(4) Stability.
(5) 18" Garage Floor. (6) Mechanical protection. (7) Combustion Air.
(8) Draft Diverter. (9) Vent Connector. (10) Vent. (11) Shut-off and
connector. (12) PR Valve & Drain.
Q
Fixtures: (1') Approved. (2) Stability. (3) Clearances. -(4) Trapped.
(5) Connections. (6) Cross -connections. (7) Dishwasher Air Gap.
5/79
ME C HAN-ICAL
Check List •
❑ Permit
❑ Underfloor Sta e
❑ Underfloor Supply Plenum: (1) One-story. (2) Clearances. (3) Combustible
material. (4) Insulation and vapor barrier. (5) Access. (6)'Catch
receptacles and registers. .(7) Fire-stopping. (8) Boots. (9) Supply
ducts. (10) Gas lines and plumbing cleanouts.
❑ Ducts: (1) Size. (2) Materials. (3) Support. (4) Fittings. (5) Wrapping.
(6) Insulation. (7) Clearances - ground, crawlspace, cleanouts,
..plumbing, etc.'
❑ Combustion Air; (1) Size.
❑ Refrigerant Piping: (1) Material. (2) Support. (3) Fittings. (4) Insulation.
Framing'Stage
❑ Heating: (1) Approved appliances. (2) Accessibility. (3) Clearances.
(4) Combustion air.
❑ Vent and Connector: (1)Approved. (2) Size. (3) Clearances. (4),Cap.-
(5) Termination.
❑ Ducts: (1)'Materials. (2) Size. (3) Support. (4) Fittings. (5) Insulation.
(6) Fire Damper.
❑ Refrigerant Piping: (1) Material. (2) Support. (3) Fittings. (4) Insulation.
(5) Condensate drain.
❑ •Final
❑ Heating (1) Accessibility. (2) Combustion air. (3) Safety controls..
(4) Electrical connection. (5) Fuel shut-off.
❑ Cooling: (l)- Accessibility. (2) Support. (3) Controls. (4),Pressure relief
valves. (5) Class 2 refrigerant.
5/79
^r
_ ERSET
COMPANY
LICENSED CONTRACTOR
Phone: 342-4764
P.O. Box 628 — Durham, California 95938
INSULATION (Batted or Blown)
Date C' 1
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
Manufacturer, Thickness/Type R Value
CEILINGS
Betts: Manufacturer Thickness R Value)
Blown: Manufacture Thick ass /V No./age 2 6 Wt./Bag
Sq. Ft. Covered l R Value //yy
FLOORS
Manufacturer
SLAB ON GRADE
Thickness/Type R Value
Manufacturer Thickness/Type 'R Value
Width of Insulation Inches
FOUNDATION WALLS
Manufacturer Thickness/Type R Value
GENERAL CONTRACTOR LICENSE NUMBER
BY TI LE DATE �^
INSU TION O TRACT/���j�/a�✓ LICENSE NUMB R J
ITLE LW v SATE
( DATE)
/ACCEPTED
SAVE ENERGY - INSULATE!
H SH OMPANY
(Authorized Representative)
RESIDENTIAL
ENERGY CONSERVATION STANDARDS
CONSTRUCTION COMPLIANCE CERTIFICATE
THIS IS TO CERTIFY THAT ENERGY CONSERVATION REQUIREMENTS HAVE BEEN
INSTALLED IN CO,�ORMANCE WITH CURRENT ENERGY CONSERVATION MGULATIONS
BU ILD
�*vr:a�zvii� r
N0.-7
A.P. NO.
THE FOLLOWING HAVE BEEN INSTALLED AS PER APPROVED PLANS!
x.1j(..heFk each item or write NIA if not applicable)
INSULAT ION : GLAZING:
Slab Edge. Single Glazed
Fdn. Wails Special (Insulated)
Floors CERT. & LABELED WDS.
Walls" -11 & SLIDING DRS.
Ceilip$/RpofWEATHERSTRIPPED DRS.
Ducts - BACK DAMPERED FANS
Circulating Pipes INTERMITTENT IGNITION DEVICES
APPROVED HEATER CERT. APPLIANCES
APPROVED WTR.HTR.
I DECLARE THAT ALL REQUIRED ITEMS AS NOTED ABOVE HAVE BEEN.INSTALLED
IN ACCORDANCE WITH THE ENERGY CONSERVATION REQUIREMENTS AND AGREE TO
THE COMPLETENESS OF THIS CERTIFICATE AS SUBMITTED.
Insulation Applicator Name
Signature 'of (please print)
Insulation Applicator
State Contractors
License No.
General Contractor/Owner Name_t I -
Signature of
please print)
General Contractor/Owner Date
ate Coil tractors
License No.(o
C
THIS CERTIFICATE MUST BE ON FILE WITH THE BU IL'D ING DEPARTMENT PRIOR TO
REQUESTING FINAL INSPECTION AND SHALL BE POSTED IN A CONSPICUOUS LOCATION
WITHIN THE DWELLING.
0
lao.ZS ... i
The Bldg. Setback shall be 5 ft. from the
side property line and 50 ft. from the
centerline of the road, permitting a maxi-
Mu,m of a 2 f F. eave, overhang but entirely
of a6 easement&
0-1
oMd .
-:5O, 25 cco danc . �oteriols
!s •� �ti� e
w•
ata sY 5 qua SpA a°e a{ �� �\t6n or �'�+alify pre �r��eoo�s�i� �orkmonshin S
Or, ,%°�s !! ��t� o po o�t� the Qui1d,' e� for t� Ca,�d pr boll Be
. ? s e� b ° Q� dl,�e,, epee N fional Elect is C g &Ada ecif ed ute es and
s oa c4o !°r ��'�!e' °de• an'�ol Codes .the
v die oRpe� �� _ . I NwGj CANYON V� AY. and
e.5,
BUTTE COUNTY
BUILDING DEPARTMENT
•H PAKI<.. APPROVED
See Masfer plan on file #or building
�� 11 plans.
ArteA
175 L. -F, ' 7fE CH
r,
,
0
I
i�
L�
v�4
NO
The Bldg. Setback shall be 5 ft. from the
side property line and 50 ft. from the
centerline of the road, permitting a maxi-
Mu,m of a 2 f F. eave, overhang but entirely
of a6 easement&
0-1
oMd .
-:5O, 25 cco danc . �oteriols
!s •� �ti� e
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BUTTE COUNTY
BUILDING DEPARTMENT
•H PAKI<.. APPROVED
See Masfer plan on file #or building
�� 11 plans.
' Butte County Department of Development Services. e�T>E, Hasa
N° 0 T E S 7 County Center Drive, Oroville, CA 95965 e
t (530)538-7601 www.buttecounty neydds eecO°Nty•
RESIDENTIAL
APN: Permit No.
Owner: 007-36.0-048 05-2662 ..
DAVIS, GLENN
Site Address: 1;"724,KINGS CANYON•WY�CHICO`
Contractor: -
Cont:'OWNER
' r.
HVAC- -
Type of Permit
SPECIAL CONDITIONS
CHECKED BY
❑ SRA
❑ FLOOD CERTIFICATE EQUIRED
❑ FIRE SPRINKLERS REQUIRED
rSPECIAL INSPECTION ITEMS
❑ VERIFY
❑ USE PERMIT CONDITIONS
0 SUB -STANDARD HOUSING LETTER
❑ ENCROACHMENT PERMIT
❑ REINSPECTION FEE PAID
❑ ENV HLTH CLEARANCE
0
a
t
-
•
x.
s
SPECIAL CONDITIONS
CHECKED BY
❑ SRA
❑ FLOOD CERTIFICATE EQUIRED
❑ FIRE SPRINKLERS REQUIRED
rSPECIAL INSPECTION ITEMS
❑ VERIFY
❑ USE PERMIT CONDITIONS
0 SUB -STANDARD HOUSING LETTER
❑ ENCROACHMENT PERMIT
❑ REINSPECTION FEE PAID
❑ ENV HLTH CLEARANCE
0
+=OK
0 = Not OK
MANUFACTURED HOMES
MISCELLANEOUS
DATE PERMANENT FOUNDATION Lj SOFT -SET
1 Zoning -Setbacks -Easements
2 Soils; Special MH Support Sketch
3 Sewer; Loctn-Test; Fall/C/O-Concrete
4 Wtr; Loctn-Test-Easement Needed -Regulator
5 Elec Loctn-Clrncs-Grnd Amp -Concrete
6 Yard Gas; Loctn-Test-Wrap Nat ❑ or LP❑
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 -C/O to Grade
12 Gas and Electricity Tagged
13 Tie Downs ❑ Foundation ❑
14 Exits
15 Cert of Occupancy
16 HUD Label/Insignia Numbers Serial Numbers
DATE ID E C K S`C O V E R S`C A R P O R T S GARAGES
1 Zoning -Setbacks -Easements
2 Ftgs; SoilsSz-Dpth-Spacing-CnnctrsSteel
3 Decks, Girders/Joists-Dcking-Brcing
Stairs-Guard/Handrails
4 Wood Awn; Posts-Beams-Rftrs-Cnnctrs-Shthg
Frmg-Brcng
5 Alum Awn; Columns-CnnctnsSplice-Decal-Enclsrs
6 Carports; Wndws-Doors
7 Electric
8 Frmg; Sills-AnchrsStuds-Rftrs-Trusses
9 Siding; Nailing -Veneer -Stucco -Lath
10 Roof; Shthg-Roofing .
11 Ext; Steps -Doors -Landings
12 Braced Wall pnls
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-GFI
6 Elec Enclsrs; Conduit Entries -Terminals -Listed
7 Elec Bonding; Metal w/5'-Crcltng Eqp-Htr .
8 Elec Grndng; Eqp w/5' Crcltng Eqp-Pool Ightg
Boxes -En clsrs-pnlboards-1nsultn 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
41
°
Pool Drawing
o=OK
0 = Not OK
RESIDENTIAL (Single. & Duplex)
DATE UNDERFLOOR
DATE PLUMBING
1 Zoning -Setbacks -Easements -Flood -Slope
53 Wtr Htr; Vent-Acc-Cmbstn Air Baffle
2 Ftg Main; Soils-Elec Grnd Ftg Dpth
54 Wtr Pipe; Test & Anchr-Nail Prtctn
3 Ftg Garage; Soils-Steel-Elec Grnd Ftg Dpth.
55 DWV; Test Fittings & Anchr Nail Prtctn
4 Ftg Porches/Decks; Soils -Steel Ftg Dpth
56 Shwr Pan; Test, First flr-Tub Acc
5 Stemwalls Main; Steel -Blockouts-Wrapped
57 Test Tub & Shwr, 2nd fir - Tub Acc
6 Stemwalls Garage; Steel-Blockouts-Wrapped
58 Gas Pipe; Sz & Anchrs
6a Hold Downs and Special Anchrs
59 Fire Sprinkler; Test
7 Slab, Steel Wrapped
60 Yard Gas Piping
8 Piers-Frplc Ftg-Steel
9 DWV; Fall -Fitting -Test -2 -way C/0 -Sewer Test
��s
10 UF, Gas Pipe; Sz Anchrs-Sz Test
o° m` o° m`
11 Wtr Pipe; Test-Anchrs-Rgltr-Service Test
DATE IMECHANICAL
12 Elec Undrgrnd
61 AC Ducts Insultn & Support
13 Plenums & Ducts; Clrnc-MaterialSupport-Insultn
14 Girders-Sills-Anchr BoltsJoists-Vnts-Cripples
62 Vent Fan, Exhaust abv Insultn
_
15 Acc & Vntitn
63 Condensate Drain & Ovrfiw, Sz & Grade
16 Insulation
64 Furnace -Vent Acc-Comb Air Rtrn/Vent 115 Outlet
65 Attic Acc & Pltfrm if Furnace in attic
�` 09 0`
C C`
DATE FRAMING
17 Sills Proper Materials & Anchrs
DATE F I N A L
66 Ext Steps -Door & SideLt Prtctn-Landings
18 Walls Studs -Nailing Spacing & Braces -Plates -Sound
19 Bearing Walls over Girders & fir Nailing
67 Smoke Detector
20 Draft Stop in Walls (rat proof)
68 Furnace Vnts-Cirnc-Comb, Air-Cnnctr
21 Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs
in Garage; abv-flr-Ducts-Mech Prtctn
22 Headers & Beams-Sz & Bearing
69 Bedroom Exiting
23 Hangers -Post Caps-Anchrs-Cnnctns
70 GFI & Bath Fxtrs & Tub Acc-Spa
24 Ceiling Joist-Rftr Ties-Purlin-Roof Brac-TrussShthg
71 GFI Arc Fault
25 Frplc Ties or Type A Flue-Frplc Throat Clrnc
72 Elec Trim & Subpnl, Breaker Szs & Labels
26 Attic Acc; Sz & Rmx Prtctn-Draft Stop -Ins Baffles
73 Stairs, Guard/Handrails
27 Bdrm Wndws or Exiting Doors -Sill Ht & Dimensions
74 Frplc or Stove, Clrnc-Hearth
28 Garage Fire Prtctn Framing -RC Channel
75 Elec Outlets at Wood Pni, Int & Ext
29 Prprty Line Firewall & Opngs
76 Ktchn, Fxtr & Appinc; Grnd-Air-Gap-Cooking Cirnc
30 Ext Doors -One X -Check Garage 3rd Story, 2 Exits
77 Elec Outlets & Rcptcls at Ktchn Counter
31 Stairs; Width-Hdrm-Rise-Run-Landing-Fire Prtctn
78 Garage Fire Door; Swing -Landing -Closure
32 Plywd on Roof Ovrhng-Attic Vnts-Rftr Outrgrs
79 AC Duct in Garage -Damper
33 Siding -Nailing Veneer
80 Wtr Htr; Vnts-Clrnc-Com Air Cnnctr-PRV; abv fir
34 Stucco Lath -Weep Screed-Fndtn Vnts-Undrflr Acc
Mech Prtctn; LPG Appince Undr House 3" drain
35 Glazing Area -Glass Prtctn-SkyLts-Plastic
81 Plmb; Elec & Mech Eqp Listed for Loctn
36 Shear Walls; Nailing -Bolts
82 Elec Rcptcls in Garage (GFI) Romex Prtctn
37 Brace Int/Ext Wall pnis
83 Ins ultn-Foam-Looked in Attic
38 Ins ultn-WaIts-Ceilings
84 Guard Rails & Deck Cnstrctn-Post Caps
39 Infiltration-Walls-Wndws
85 Fndn Vnts & Crawl Hole Door Drnge & Wood -Earth
86 Clrnc Drnge Planters ❑Yes ❑No
Stucco Brown -Finish
1$187
0 o' m�
88 AC Unit Dscnnct, Elec-Pimb
89 Vnts abv Roof, Pimb-Appinc-Frpic-Clrnc to Opngs
90 Wtr Well, Dscnnct, Elec, Pimb
91 Ext Elec Trim, GFI Rcptcl-Undrgrnd
DATE JELECTRICAL
40 Fxtr & Trnsfrmr Clrnc-Ins Prtctn
41 Elec Rcptcls Spacing-Lts & Switches at Doors
92 Vntltn thru House
42 Sz Boxes & No Of Cndctrs Stapled
93 Glass Prtctn
43 Romex Installed Close to Edge of Studs & CJ
94 Corrections from previous Inspctns
44 Eqp Grnd made up w/Mech Fstnrs
95 Gas Test -Meters Tagged, Gas-Elec
45 Grndng Electrode Bond Gas & Wtr
96 Wtr & Sewer Cnnctd-C/O to grade -HD Apprvl
46 2 Appinc Cires in Ktchn & Cndctr Sz GFI
97 Energy Cmpinc Cert -Other Certs
47 Subfeed Wire Sz ga ❑ CU or [:I AL
98 Address Posted
AC Wire Sz ga ❑ CU or ❑ AL
99 Fire Sprinkler
48 Range Circ ga ❑ CU or ❑ AL
Oven Circ ga ❑ CU or ❑ AL
Insulated Neutral ❑ Yes ❑ No
o+`° e c o' o•�c
49 Service -Riser Cndctrs & Grnd Main Dscnnct
50 Eqp Clrncs pnls-Motors-Mech Eqp
51 Clothes Closet Lt-Shwr Lt -Spa Lt
52 Smoke Detector