HomeMy WebLinkAbout007-450-0787
`,,Alv'inco
.7588 Grand Tdton Way, Chico
,.Permit # 2102-82B,P,E,M(new single.famil
cpntr:.Webb-Bros Cont Chico
07-450-078 -1884
99
_PFEffER, JANE
'84
.588 GRAND TETON, CI-HCO'
Co�
T' CONTR: BILL KEARNS
.,k- KITCHEN REMODEL
007'450
B07-097§"'
MISCELLANEOUS R86m'Addn-First stryr
ADDI , . TION-�B k;l �BAi - (765) &,R . EMO DEI
':518,GRAND TETON,WAYtz
NEE'
FEIFERIA
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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 FAX#: (530) 538-2140
WEBSITE: www.buttecounty.net\dds
PROJECT INFORMATION
Site Address: 588 GRAND TETON WAY
Owner:
Permit No: B07-0979
APN: 007-450-078
PFEIFER JANE E,
Issued Date: 9/18/2007 By GLB
Permit type: MISCELLANEOUS
588 GRAND TETON WAY
Subtype: Room Addn-First Stry
CHICO, CA 95973
Expiration Date: 9/17/2008
Description: ADDITION- BR, BA (765) & REMOI
(530) 342-6500
Occupancy: Zoning: R1 0(
Contractor
Applicant:
Square Footage:
HOME - PREP
HOME - PREP
Building Garage Remdl/Addn
3017 SANDI DRIVE -
3017 SANDI DRIVE
765 138
CHICO, CA 95973
CHICO, CA 95973
Other Porch/Patio Total
(530) 897-0274
(530) 897-0274
257 1,160
FEE INFORMATION
DBEH Building Review Fee $75.70
DBF Room Addition - First Stor $428.92
DBMSC Room Addition -First Stor $643.39
DBOMSCF Supplemental Plan Chec $115.98
DBSMIP Residential $5.38
PW DRAINAGE $0.00
Total Charged: $1,269.37 Fees Paid: $1,269.37
Balance Due: $0.00 Receipt No: B4682
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
HOME -PREP C756653 / /
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
(comn 'ng with Section 000) of Division 3 of the Business and Professions Code, and my license
pursuant to the provisions of the Contractor's License Law [Chapter 9 (commencing with Section 7000)
is in f II fo a eff
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
X 9/18/2007
the applicant to a civil penalty of not more than five hundred dollars [$500);
Please check one of the following:
Cont actoes Signature Date
❑ 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
WORKERS' COMPENSATION DECLARATION
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
I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations:
the work himself or herself or through his or her own employees, provided that such improvements
❑I HAVE 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.).
I 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:
Section 3700 of the Labor Code, for the performance of the work for which this permit is issued.
The Contractor's License Law dows not apply to an owner of the property who builds or improves
My Workers' Compensation insurance carrier and policy number are;
thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the
Contractor's License Law.).
Carrier: Policy Number: Exp. Date:
(This section need not be completed if the permit is oror on�llars ($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
LLL���JJJ 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'
X 9/18/2007
com sation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those
Owner's Signature Date
pro s.
X 9/18/2007
I hereby certify that I have read this application and slate that the above information is correct. I agree
to comply with all City and County ordinances, rules, regulations, and Slate laws relating to building
Sig atDate
WARNING: 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
idewalk, street, or subsidewalk. I hereby authorize representatives of Butte
use or occupancy o4athorized
ATTORNEYS FEES.
Co to enter thementioned property for inspection purposes. I hereby certify that I am the
Pr a o y or to act on the property owners behalf.
9/18/2007
CONSTRUCTION LENDING AGENCY
1 HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for
Name of Permittee [SIGN] Print Date
the performance of the work for which this permit is issued. (3097 civ. code)
Owner Contractor OR; Agent for Owner aAgent for Contractor
FILE COPY
Lender's Address City State Zip
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT APPLICATION
OFFICE #: (530)5')8-7541 FAX #: (530) 538-2140
A FEE WILL BE REQUIRED AT TIME OFAPPLICATION
Website: www.buttecounty.net/dds
**PLEASE PRINT CLEARLY**
OWNER INFORMATION
('„
Last Name ?f646'_
First Name lavie
\J
Mailing Address 6✓0.�
City CVA-1,0State
�
Zip
Phone �`� Z �58�
Fax
E-mail
CONTRACTOR
Name
Address 3�1� S�JAi p2
City Ge{�
StateC,N
Zip S 5?3
Phone &q—) C)17)
Fax Saves
E-mail \�no►'- 0 Sb�g lo�-1-hit
-�5('0 (o s -5
1 Class
APPLICANT INFORMATION
ARCHITECT/ENGINEER
Name
td7dress
Address
State
City
Phone
State
Zip
Phone
� —�Z��-
Fax
E-mail
State License Number
APPLICANT INFORMATION
Name
td7dress
City
State
Zip
Phone
Fax
E-mail
APPLICANK SIGNATURE
X
PERMIT
NO.
0. &A—
BIN #
PROJEC�T�LOCAT/ON
API " �/SO V
Property Address S �g da.�, tf '" ocx-
City 1 �"
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 WORii:
o% 'V►kcgcQeA
Sq FT- Living Garage Open Cov
❑ Structure Built without Permits
❑ Proposed Change of Occupancy
(Note previous use): �66y'
(4' )
For office use only:
Zoning
FloodZone
SRA
Yes No
Occ.
Type Const.
CUS
� -C'•r --� . ......� ., w ._� . .-...' .....+.,• . .. - .-. �'a-....,n-�...^�.. ,..y:-......rte--Y.....r �r .r �. -1 .... •. � . i.-^-. . �� f.� � �:i.' i .
BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM
(One form per Building)
School District �hf /�bVI'?1�'+F�l� Building Department No.
n Tax Rate Area No.
A.P. Number �Q%-'� /� Jurisdiction: = City County
Property Owner deli- yrz p AC�o r 4 r
Property Location/Address
Subdivision'
Residential Development
No of Living
Mobile Home
Units
Installation
Commercial/Industrial 0 0
New Addition
Building Department Representative
9 -
Lot No.
T 0 r) I?7G/
..................................................................................... Q
Sq. Footage,,� 805
�'aditionD/ -Supplemental to (Group R)
Conversion Permit # Cr. Demo -
i *(No foundation inspection) existing sq. ft. see attached
:...................................................................................................
Net total sq. ft.
Deed Restricted Sq. Footage
(Attach a signed copy of Deed Restriction and Notice of Limited Use Facility document)
Sq. Footage
(Including Exterior
Roofed Areas)
Date
District Identification No.
School District certifies that
(Payor)
(Street Address) (City) / (State) (Zip Code) (Phone Number)
r
has complied with the requirements of Resolution No. CJ�J/ by payment of $
representing square feet. IAB 2926 $
FULL MITIGATION $
School District Representative Date
Paid by Check # / Remarks:
Notice: You may protest the imposition of the fees identified above by submitting a written protest to the District, in compliance with
Government Code Section 66020(a), within 90 days from the date fees are paid. Failure to submit a timely written protest will prohibit
you from challenging the imposition of the fees in any court action. /
If, subsequent to the SchoolDis�ct Representative signing this Butte County Schools Impact Fee Certification Form, the School District is
notified by the applicable Ncal Planning Agency that this project is being reviewed under the California Environmental Quality Act (CEQA),
this project may be subject to additional school fees to fully mitigate its impact on the school district's -schools.
White
White (school distnct), Yellow (building department), Pink (applicant) feeform.xls (12i06)dm7
Butte County Department of Public Works
J. MICHAEL CRUMP, DIRECTOR
LAND DEVELOPMENT DIVISION
Storm Water Managment Program
7 County Center Drive
Oroville, CA 95965
(530) 538-7266 Telephone
(530) 538-7171 Fax
www.buttecounty.net/dds
((C
1.70
National Pollutant Discharge Elimination System (NPDES) Phase II Construction Storm
Water Permit and Storm Water Pollution Prevention Plan (SWPPP) Acknowledgment
[LESS THAN 1 ACRE 1
Reference Number:
B07-0979
Date:
05/04/2007
Location:
588 GRAND TETON WAY
By:
KEJ
Parcel Number:
007-450-078
Sub Type:
Room Addn-First Str
Owner Name:
PFEIFER JANE E,
Phone:
(530) 342-6500
Description:
ADDITION- BR, BA (765) & REMODEL (138) COV (257)
By signing below, I the project owner/owners' agent, certify that this project WILL NOT DISTURB 1 acre or more
of land and that I therefore, do not need to apply for a Construction Storm Water Permit from the State of California
Regional Water Quality Control Board. Phased projects that contain multiple site buildouts of less than one acre but
when combined with subsequent phases total more than one acre of disturbed soil will require a Construction Storm
Water Permit from the state of California Regional Water Quality Board.
I am aware that submitting false and/or inaccurate information or failure to apply for a Construction Storm Water
Permit from the State of California Regional Water Quality Control Board for this project that disturbes one acre or
more of land may result in revocation of grading and/or other permits or other santions provided by law.
Signed: omi
Title:
FILE
Date: 05/04/2007
Butte County Department of Development Services
TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR
7 County Center Drive
Oroville, CA 95965
(530) 538-7601 Telephone
(530) 538-2140 Fax
www.buttecounty.net/dds
PERMIT APPLICATION DATA SHEET
Reference Number:
B07-0979
Date:
05/04/2007
Location:
588 GRAND TETON WAY
By:
KEJ
Parcel Number:
007-450-078
Sub Type:
Room Addn-First Str
Owner Name:
PFEIFER JANE E,
Phone:
(530) 342-6500
Description:
ADDITION- BR, BA (765) & REMODEL (138) COV (257)
❑
11
The above permit application has the following Clearances required prior to permit issuance. Please contact each department
indicated below regarding specific requirements pertaining to your permit application.
Yes No DRAINAGE DISTRICTS
❑ ❑ Thermalito Irrigation District, 410 Grand Avenue, Oroville CA 95965 - (530) 533-0740
❑ ❑ LOAPUD, 1960 Elgin Street, Oroville CA 95966 - (530) 533-2000
❑ ❑ City of Chico, 545 Vallombrosa, Chico CA 95926 - (530) 895-4711
PARKS & RECREATION DISTRICTS
E Chico Area Recreation District, 545 Vallombrosa, Chico CA 95926 - (530) 895-4711
❑ Durham Park & Recreation District, 9447 Midway„Durham CA 95938 - (530) 345-1921
Feather River Recreaction & Park District, 1200 Myers Street, Oroville CA 95966 - (530) 533-2011
Paradise Parks & Recreation, 6626 Skyway, Paradise CA 95969 - (530) 872-6393
Signature of Property Owner:
FILE
Date: 05/04/2007
SCHOOL DISTRICTS
Biggs Unified School District, 300 B Street, Biggs CA 95917 - (530) 868-1281
hico Unified School District, 1163 East 7th Street, Chico CA 95926 - (530) 891-3006
Durham Unified School District, 4920 Putney Drive, Durham CA 95938 - (530) 895-4675
❑
❑
Gridley School District, 429 Magnolia, Gridley CA 95948 - (530) 846-4723
❑
E]
Marysville School District, 1919 B Street, Marysville CA 95901 - (530) 741-6000
❑
11
Oroville Elementary School District, 2795 Yard Street, Oroville CA 95966 - (530) 532-3000
❑
❑
Oroville Union High, 2211 Washington Ave, Oroville CA 95966 - (530) 538-2300 Ext: 105
C]
Paradise Unified School District, 6696 Clark Road, Paradise CA 95969 - (530) 872-6400
Signature of Property Owner:
FILE
Date: 05/04/2007
OTHER
Recorded copy of Agricultural Acknowledgment Statement- See Attached Instructions
City of Biggs Planning Department, 3016 Sixth Street Biggs CA 95917 - (530) 868-5447
Other:
Other:
❑
❑
Other:
Signature of Property Owner:
FILE
Date: 05/04/2007
J
Butte County Department of Development Services
TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR
7 County Center Drive
Oroville, CA 95965
(530) 538-7601 Telephone
(530) 538-2140 Fax
www.buttecounty.net/dds
NOTICE TO BUILDERS
Before your building permit can be issued, your plans must be checked for compliance with the California Building Codes. In
addition, your plans are routed to other regulatory entities including but not limited to Planning, Public Works, Environmental
Health, and the California Department of Forestry for their clearances and approvals. There are some things you can do to
expedite your permit:
0 Make sure your application is complete.
0 Be responsive to requests from County departments for any additional materials or requirements.
The Building Division places its highest priority on processing building permits as quickly as possible and each day that passes
without a complete application adds to processing time.
Every permit issued by the Building Official shall expire and become null and void if the work authorized by such permit is not
started or completed within one year from the date of issuance of such permit'. - A permit may be renewed (for a fee) prior to
expiration an indefinite number of times, provided construction progress has been documented by the Building Division during
each year during scheduled inspections. No changes may be made in the original plans and specifications for such work. In
order to reinstate action on a permit after expiration, the permittee shall pay a new full permit fee and additional plan checking
and documentation may be required. Upon completion of work covered by this permit, please contact this office for final
inspection. As a reminder to you, it is illegal to occupy this building or any portion of the building for which this permit is
issued without a final inspection.
EXPIRATION OF PERMIT APPLICATION AND REFUND POLICY
Application for which a permit has not been issued will expire one year after date of application.
Refunds may only be made upon written request by the person who originally paid the fees. Refunds for permit applications
(not yet issued) must be requested within two years from the date of fee payment. Fees paid at the time of application are
for Plan Check and administration. The Plan Check portion of fees is refundable only if the permit is cancelled or withdrawn
before any plan checking is done. Building Division costs will be deducted prior to authorizing a refund and a charge of
$54.99 to process the refund application will be assessed. Refunds on permits (issued) may be requested prior to the expiration
of the permit, provided no work has been done pursuant to the permit. An Inspection may be required (and deducted from any
refund amount) to determine no work was done.
Fee/refund information can be read on-line at http://municipalcodes.lexisnexis.com/codesibutteco/
Reference Number: B07-0979 Date: 05/04/2007
Location: 588 GRAND TETON WAY
Parcel Number: 007-450-078
Owner Name: PFEIFER JANE E, Phone: (530) 342-6500
Description: ADDITION- BR, BA (765) & REMODEL (138) COV (257)
Signature of Property Owner:
FILE
Date: 05/04/2007
BUTTE COUNTY FEE SUMMARY Printed: 05/04/2007
7 County Center Drive 3:01 pm
Oroville, CA 95965
Department of Development Services
Phone (530) 538-7541 Fax (530) 538-2140
Permit Number: B07-0979
Job Address: 588 GRAND TETON WAY
Contractor: HOME - PREP
3017 SANDI DRIVE CHICO, CA 95973
Fee Description
Account Number
Fee Amount
Paid Date Pmt Amt
PW DRAINAGE
CSD 775 - SUDAD Ditch
DBEH Building Review Fee
1821-0-280-1011975
$0.00
DBMSC Room Addition -First Stor
0021-540013-4614901-1010
$75.70
05/04/2007 $75.70
DBF Room Addition - First Stor
0010-440001-4210500-1010
$643.39
DBSMIP Residential
0010-440001-4210500-1010
$428.92
05/04/2007 $428.92
1001-0-280-1011298
$5.38
Printed By: Karen Jones
19153.39
$504.62
Balance Due: $648.77
At the time of p rmit appli ation, I was advised the above fees are required prior to issuance of the
permit. These e s y ge during the plan checking process.
Signature: Date: 05/04/2007
Pursuant to Government code Section 66020, you are hereby notified those items listed above may have been imposed on your project. You have 90 days
from the date of approval of the project or from the impostion of the above referenced items during which you may request a protest. The requirments
for a protest are specified in Government Code Section 66020(a).
0
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cit
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P-G-MODIF-L ADDITION
PFE I FC-R,/FtARB, C -F-1 -Rs
500 CP -AND TIET-OW WAY - CI -FICO, CA.
THOMAS W. NORLIE
. A R C H I T E C T
569 E. 18 ST. CHICO, CA. 95)26 (530) 8947287
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07-450-078'
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GRAND TETON, CHICO • " '
CONTR: BILL KEARNS,'
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COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541E1AIT 0-
(Rev.12/96) APPLICATION AND PERMITS -�-`
ASSESSOR PARCEL NUMBER
007-45-0-079
ZONING
Ri
BU I LDI NG P ERM IT
OWNER
TELEPHONE
SO.. FT. OCC. BUILDING VALUATION
ES 000.0 0
OWNERS MAILING ADDRESS
59R GRAND T.17TON
CONTRACTOR'S NAME
BILL ]KEARKS
TELEPHONE
CONTRACTORS MAILING ADDRESS
WX 31411, CHIM 95977
CONSTRUCTION LENDER
[Fireplace
LENDERS MAILING ADDRESS
Total Valuation $3 000.00
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee $
20.00
Permit Fee $
54.00
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee $
BUILDING ADDRESS
588 GRW TETON
Energy Plan Checking Fee $
PERMIT FEE $
74.M
LOT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT
Fling Fee 20.00
USEOFSTRUCTURE
SF ❑ Duplex ❑ Mobilehome ❑ Other
SPECIFY
Each Trap
7.007.00
Solar or heat pump water heater
23.00
Water piping
15.0013.00
Each gas water heater or vent
15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑
Describe Work:
KITCHEN REM DEL
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home I S I G I W
@20.00
PERMIT FEE $4/
--UV
ELECTRICAL PERMIT
Fling Fee 20.00
0*0R LES
Main Service 2o.A VOR LESS
23.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,NON
and my license is in full force and effect. _ )
License Class �:. - L Lic. No. .'r't_r'
OWNER -BUILDER DECLARATION
1 hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
❑ I, as owner of the property, or my employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
❑ I, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
❑ 1 am exempt under Sec. Business and Professions Code for this
reason
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
❑ I have and will maintain workers' compensation insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permit is issued.
My workers' compensation insurance carrier and policy number are:
Carrier
Main Service 200A TO tOooA
46.00
NEW CONST. DWFILIC. OCCUP. SO
OR ADDNS. ( a Acc. sLDs. 3.5,s
RESID. MULTI.Oz. 97.50
POWER APPARATUS
a SINGLE OUTLET CIR.
20 @ 100
Ex. OCCU . OUTLET OR FDTTUREs BAL 10
Ex. Occup. ovr RESID.OEA
5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring 23.00 •
PERMIT FEE t •
MECHANICAL PERMIT Fling Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEE $
Policy Number
(The above sections need not be completed if the permit is for work of a valuation
V.one hundred dollars ($100) or less.)
�pil certify that in the performance of the work for which this permit is issued, I shall
not employ any person in any manner so as to become subject to workers'
compensation laws of California, and agree that if should become subject to the
workers' compensation provisions of section 3700 of the Labor Code, I shall
forthwith comply with those provisions.
X ^,� Date r z(`_�
Signature of Applicant - ❑ Owner O—Cbntractor ❑ Agent
An OSHA permit is required for excavations over 60" deep and demolition or construction
of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
OCC
CONST. TYPE
TOTAL FEE $ 159.00
HAZ.
D. FEES IMP
FLOOD
CDF
PARCEL
PO
HO
ISSU
This permit is hereby issued under the applicable provisions
of the Butte County Code and/or Resolutions to do work
indicated above for whicp fees have been paid.
f ,,
Byf� v� Date . /1
PERMIT EXPIRES ON l f
ate
Receipt No. `--��!'' �'—`r':� '� '�
WHITE-D.D.S.-B.D. PINK -INSPECTOR GOLDENROD -APPLICANT
r,.
fly COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT PO.
(Rev. 12/96) APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER
007-45-0-078
ZONING
R1
BUILDING PERMIT '
OWNER
JANE PERIFER
TELEPHONE
345-6200
SO. FT. OCC. BUILDING
VALUATION
EST 3 000.00
.OWNER'S MAILING ADDRESS
988 GRAND TETON
CONTRACTOR'S NAME
'BILL KFARNS
TELEPHONE
895-8588
CONTRACTOR'S MAILING ADDRESS
BOX 1241, CHICO 95997
CONSTRUCTION LENDER
Fireplace
LENDER'S MAILING ADDRESS
Total Valuation $3,000.0
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee $
20.00
Permit Fee $
54.00
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee $
BUILDINGADDRESS 588 GRAND TETON
Energy Plan Checking Fee $
PERMIT FEE $
74. 00
LAT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT
Filing Fee 20.00
USEOFSTRUCTURE
SF ❑ Duplex ❑ Mobilehome ❑ Other
SPECIFY
Each
7.007.00
Solar or heat um water heater
23.00
Water piping
15.00
Each as water heater or vent
15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑
Describe Work:—Mobile
KITCHEN REMODEL
Gas piping stem 1 - 5 outlets
15.00
Building sewer
15.00
Home ISI G W1
920.00
PERMIT FEE S
ELECTRICAL PERMIT
Fling Fee 20.00
Main Service ZODA OR LESS
23.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license is i full f rc and effect. a�
License Class — Lic. No. 0
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
❑ I, as owner of the property, or my employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
❑ I, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
❑ 1 am exempt under Sec. Business and Professions Code for this
reason
Main Service Zoog To
46. 00
OCU000A
NEW CONST. DWELLING OCCUP.
OR ADDNS. ( a ACC. BL DS.
SO
so
3.5¢FT.
NEW ONST MULTI -
REBIDANCHOUTLET
97,50
POWER APPARATUS
a SINGLE OUTLET CIR.
Ex. Occup. OUTLET OR FDCTURES
.00
920 @ 1. 0
FIX
Ex. Occup. ouriErs .a.) Asn
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00 23.00
PERMIT FEE $
43.00
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
❑ I have and will maintain workers' compensation insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permit is issued.
My workers' compensation insurance carrier and policy number are:
Carrier
Policy Number
(The above sections need not be completed if the permit is for work of a valuation
9t -one hundred dollars ($100) or less.)
I certify that in the performance of the work for which this permit is issued, I shall
not employ any person in any manner so as to become subject to workers'
compensation laws of California, and agree that if I should become subject to the
workers' mpensation provisions of section 3700 of the Labor Code, I shall
forthw' ply with t1lose provisions.
XDate E -Ca
Signature of Appli nt - ❑ Owner 0' on! ❑ gent °
An OSHA permit is required fore ations over�5'0"ep and demolition or construction
of structures over 3 stories i t.
MECHANICAL PERMIT Fling Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEE $
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
CONST. rrPE
TOTAL FEE $ 159.00
HAZ.
1 D. FEES IMP
I FLOOD
CDP
pARC0.
PD
HD
ISSU
This permit is hereby issued under the applicable provisions
of the Butte County Code and/or Resolutions to do work
indicated above for whi fees have been paid.
By Date
PERMIT EXPIRES ON6(1
De to
Receipt No. Z
WHITE-D.D.S.-B.D. CANARY-ASSE OR PINK -INSPECTOR GOLDEN RO -APP ICANT
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive - Oroville, California 95965 - Telephone (530) 538-7541 IT jvo.
(Rev. 12/96) , APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER ,
S
ZONING
BUILDING PERMIT
OWNER�1,4
eZZ Z
TE ONE
3 y5-Lza�
SO. FT, OCC. BUILDING VALUATION
OWNER'S MALING ADORES9
CONTRACTOR1TE
NE
COMA/CORS MALINO ADDRESS
C •,7 C✓
CONSTRUCTION LENDER
Fireplace
LENDER'S MAILING ADDRESS
Total Valuation $ 3 OZ
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee $ 20.00
Permit Fee $
ARCHITECT OR ENGINEERS MALUNG ADDRESS
Plan Checking Fee $
BUILDING ADDRESS
l/
CJJ(
Energy Plan Checking Fee $
$
PERMIT FEE $
LOT No.
SLJBDIvsIONS NAME
PARCEL MAP
PLUMBING PERMIT Filifig Fee 20.00
USEOFSTRUCTURE
SF ❑ Duplex ❑ Mobilehome ❑ Other
sPECIFY
Each Trap 7.00
E7r
Solar or heat pump water heater 23.00
Water piping 15.00 f
Each as water heater or vent 15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ stallation ❑ Other ❑
Describe Work: ��-cl���'V /��� _
Gas piping system t - 5 outlets 15.00
Building sewer 15.00
Mobile Home S G W @20.00
PERMIT FEE $ Z
ELECTRICAL PERMIT Fling Fee 20.00
Main Service zOOow OR
mss 23.00
-
- ---- --
'
in Service 20oA TO IOOOA 46.00
NEW CONST. / OWE71UTq oCCUP. 3,5Qso.
OR ADDNS. \ b ACC. OCS. FT.
NEW CONS MULTFOUTLET
NON-RESID. 97.50
PSOr APPAMTUS
8 SINGLE OUTLET CIR
OUTLET OR FIXTURES kL ®I'50
EX. OCCU BIN p ,sp
APPLNS
Ex. Occup. a ET ,°�A. 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring
"23.0011-'-
PERMIT FEE $
MECHANICAL PERMIT Fling Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEt $
Mobile Home Installation Fee $
Energy Inspection Fee $
°"
CONST. TYPE TOTAL FEE $ /s-47--�
HAZ.
D. FEES IMP
I FLOOD
CDF
I PARCEL
I PD
HD ISSUE
This permit is hereby issued under the applicable provisions
of the Butte County Code and/or Resolutions to do work
indicated above for which fees have been paid.
By Date
PERMIT EXPIRES ON
eml
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
-'7 Counfy Center Drive - Oroville, California 95965 - Telephone 916/534-4541
APPLICATION AND PERMIT
PERMIT NO.
A
ASSESSOR P RCE L UMBE
- OV
ZONI G
BUILDINOFAMIT
OWNER
7
TELEPHONE
SO. FT. O Ci. BU DING VALUATION
OWNER S MAILING ADDRESS
70
[,5�tob
,00
CONT R' NAME
TELEPHONE
r
�n
W
�77-A/
/0VO
CQ TRACTOR'S MAI�NG ADDRESS
NG
A-4 9
I9
1.0�L NDER
CONSTRUY,/
•L/J`d
UNKNOWN
Total Valuation $
o0
Filing Fee
g
$ 10.00
LENDER' MAILING ADD SS
9 , L
Permit Fee
$ 7,50
ARCHITECT OR.ENGINEER
LICENSE NO.
Plan Checking Fee
$ . 7-5-
SARCHITECT
Penalty
$
ARCHITECTOR ENGINEER'S MAILING ADDRESS
Permit fee
$
BUILDING ADDRESS
evqAfb -Te:�T bd
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00 ,CO
Repair drainage or vent piping
5.00
Water piping
5,-0,9
LOT NO.
7 If
SUBDJ� ION NAME �J > /L�
SAV/ /CJ.--/ � . Pl/04 S 66
PARCEL MAP
8,10-36
water heater or vent
5.00 0
Gash piping
piping system 1 - 5 outlets
�, pp
-,/ USE OF STRUCTURE
SF_,I6'J Duplex❑ Mobilehome❑ Other
SPECIFY
Building sewer
,O0
Lawn sprinkler system
5.00
/ TYPE OF WORK
New U Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑
Describe work:
1ev- .-/t
Permit Fee
$ , ®V
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 10ov OR LESS
100 AMP OR LESS
o
O o
Main service EA. ADD'L 100 AMP
2.50
NEW CONST. DWELLING OC
OR ADDNS. ( ACC. BLDGS.
2S qft ,00
CONTRACTORS LICENSE LAW
I declar under penalty of perjury (check one):
I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professiggs ode anmy license is in full orce and effect.
License No. Classification
❑ I, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW NON -RESIT P_ BRANCH CIRCTITS 2.50 ea
NEW CONSTR. /POWER APPARATUS e(
NON-RESID. (SINGLE OUTLET CIR. J
50@25e
Ex. Occup(OUTLETS OR FIXTURES BAL@1
FIXED APPLNS, OR
Ex. Occup.(ouTLETs (RESID•) EA.) 2.00
Temporary service 10.00 /0-00
Mobile Home Facilities
15.00
Misc. Wiring 7.50
Permit Fee $ 0
Contractor
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
0- I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
❑ I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
MECHANICAL PERMIT
FiIirig Fee 10.00
Heating (v 0CC7
1 4,00
'S 09-Y 7- $ iS 1-45"
Cooling 3
(0Co0
Hood
3,00 3, oD
Ventilation
Permit Fee _
$ 25, c; -p
Contractor
1 certify that I have read this application and state that the above.information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the County of
Butte to enter upon the above-mentioned property for inspection purposes.
1 also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
t
againsaid County in consequence of the granting of this permit.
X D to
Signature of Applicant - Owner
g pp ❑ Contractor Age
An OSHA permit is required for excavations over 5'0" deep and de olition or co struct-
ion of structures over 3 storiesin height. r
Mobile Home Installation Fee $
TOTAL PERMIT FEE _7
OCCUP. GROUP
-3
I TYPE OF CONST.
w/
IY
PARC
PD
HD
550E
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIRECTOR OF PUBLIC
;By-DateWHITE-D.P.W.,
EXPIRES Date_
the applicable provi-
resolutions to do
fees have been aid.
p
WORKS
Receipt No. 5 -�J� 0�. OCA
YELLOW -ASSES OR, PINK-INSPE R, GOLDENROD -APP /CANT l0ER
352 Vto rosa
Return to DPW kGRICULTURAL STATEMENT OF ACT31OWLEDGEMENT Chi o, alif..
• FOR RESIDENTIAL DEVELOPMENTSUTTE
Section 25-8a of the Butte County. Code requires this acknowledgement,. -OFDS RE
be recorded prior to issuance of a building permit. iROVii.l.EE
The prop rty described herein is adjacent to land or included `��� 12 11 2Q Af,�G?
within_ an ar a zoned for agricultural purposes, and residents of ELEANOR Iq. 6ECKER
this property may subject to inconveniences. or discomfort arisir4ERK - RECURDER
from the use of agricultural chemicals, including, but not limited to herbicides,
pesticides, and fertilizers; and from the pursuit of agricultural operations including,
but not limited to.cultivation, plowing, spraying, pruning, and harvesting which occa-
sionally generate dust, smoke, noise, and odor. Butte County has established agricul-
tural zones which have as a priority use for productive agricultural purposes, and
residents within said zones and on adjacent property should be prepared to accept such
inconvenience or discomfort from normal, necessary farm operations.
All that real property situate in the County of Butte, State of California,'
described as follows: Located in North Park Subdivision.
Lots 77,78,79,80,81,82,83,84,85,86,87,88,89,91,92,93,94,95,96,97,
98,99,100,101,102,103,104,105,106,107,108,109,110,111,11.2,113,114,
115,116,117,118,119,120,121,122,123,124,125,126,127,128,129,130,
131,132,133,134,135,136,137, and 138. Lot 90.
Date: Jul 6, 1982
ALVINCO
PROPERTY OWNERS:
TO 1945 CA (8-74)
(Corporation)jig.
fl
TITLE INSUP.ArqgF
STATE OF CALIFORNIA AND TRUST o
COUNTY OF Butte% `S ATICOR COMPANY
On July'6, 1982 1
before me, the undersigned, a Notary Public in and for said
State, personally appeared Mack W. Hill -v
known to me to be the_ Treasurer
rn
known to me to"be --- --'—"— Secretary
of the corporation that. executed the- within Instrument, '
known to me to be the persons who executed the within _
Instrument on behalf of the corporation -therein named, and
acknowledged to me that such corporation executed the ,� -• Mi
A w OFFICIAL SEAL
within instrument pursuant to its by-laws. or a resolution of ICHERYL J. JINKS I
its board of directors. '��.NOTARY PUBLIC CALIFORNIA
WITNESS my hand and official seal.
Signatur -
Pt PRINCIPAL OFFICE IN
SHASTA COUNTY
My Commission Expires July 12, 19U
(This area oND OaIF DOCUMENT
ly
dged
es
f ficial
w
0
0
co:)
C3
rn
I
�. -COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Orovi Ile — Phone: 534-4541
Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57
CORRECTION NOTICE
lb -6
BUILDING OR PROPERTY ADDRESS
A routine inspection indicates that the following violations of County Ordinance
exist at the above address and should be corrected. Please notify this office
when correction of work is completed. If you have any question pertaining to this
optt!j4-or need additional explanation, please contact this office immediately.
a
•1/-fEL% /GI/JLII !a% Gd�f. -��/% o�� '� /:[/17/�
Inspector 'v/ G" `/i/A/ Date
,....:z_
County of Butte
DEPARTMENT OF PUBLIC WORKS
ri 695 Oleander Ave., Chico — 343-4211, Ext. 70
7 County Center Dr., Oroville — 534-4541
Skyway and Elliott Rd.,. Paradise — 877-3435
CORRECTION NOTICE
........... �/.'.. z �0. z..:r
Building or Property Address
A routine inspection indicates that the following
violations of County Ordinance exist at the above
address and should be corrected. Please notify this
office when correction of work is completed. If you
have any question pertaining to this matter, or need
additional explanation, please contact this office
immedia ely.
!....�x.......L��....�...,r. for��sr............
....................`....�....................................
..........................................
ke,.
Dalef�-�f ..,....... Inspector .. ........................... ...................
Do Not Remove This Tag
(400-4)
County, of Butte
n DEPARTMENT OF PUBLIC WORKS
< < 695 Oleander Ave., Chico — 343-4211, Ext. 70
7 County Center Dr., Oroville — 534-4541
Skyway and Elliott Rd., Paradise — 877-3435
CORRECTION NOTICE
Building or Property Address
A routine inspection indicates that the following
violations of County Ordinance exist at the above
address and should be corrected. Please notify this
office when correction of work is completed. If you
have any question pertaining to this matter, or need
additional explanation, please contact this office
immediately.
. , od ....... .s ......X .VK ...... ..a .........
l.J.......(A.................................................................
L .n
� ....�/Wwvl
6 .....��'.�C �..•.�/�t/�. �� �o�......
(r� ag/.... ./..!:4.50 ... ..........................
........................................................................................................................
Date/2.4-1 ...... Inspector .. ........................ ...............
Do Not Remove This Tag
(400-4)
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
' 196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Oroville — Phone: 534-4541
Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57
CORRECTION NOTICE
BUILDING OR PROPERTY ADDRESS
A routine inspection indicates that the following violations of County Ordinance
exist at the above address and should be corrected. Please notify this office
when correction of work is completed. If you have any question pertaining to this
jr� , or need additional explanation, please contact this office immediately.
Inspector G�w �v *� DateZ—
! •.;"
a' CQUNTY OF BUTTE -'--
DEPARTMENT OF PUBLIC WORKS
:j 196 Memorial Way, Chico — Phone: 891-2751
` 7 County Center Drive, Oroville — Phone: 534-4541
` Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57
CORRECTION NOTICE
BUILDING OR PROPERTY ADDRESS
A routine inspection indicates that the following violations of County Ordinance
exist at the above address and should be corrected. Please notify this office
when correction of work is completed. If you have any question pertaining to this
matter, need additional explanation, please contact this office immediately.
Inspector Date
�7 lei s/1Ds'`
PERMIT NO. - 2102-82B,P,E,M
PERMIT EXPIRES s
OWNER Alvinco
CONTR. Webb Bros. Const, Chico
ASSESSOR PARCEL 44=74:-78
LOCATION 588 Grand Teton Way, Chico
1'ot ��78 North Park Sub.
s
Temp. Power Pole 7—,I�b
ailed PG&E y
6we(-��e�ii1
Temp. lec. Service
Called PG&Ey
T� Gas Service
Called PG&E
JOB FINALED (Date)
Signature
RF.STnRNTTAT.
ENERGY CONSERVATION STANDARDS
CONSTRUCTION COMPLIANCE CERTIFICATE
THIS IS TO CERTIFY THAT ENERGY CONSERVATION REQUIREMENTS HAVE BEEN
INSTALLED IN CONFORMANCE WITH CURRENT ENERGY CONSERVATION REGULATIONS
AT a��� Grand Teton Way ,Coi 7$
(location)
BUILDING PERMIT NO. Z/02-- P2- A. P". NO. ZfS=7 Y- 7P
THE FOLLOWING HAVE BEEN INSTALLED AS PER APPROVED PLANS:
(Check each item or write N/A if not applicable)
INSULATION: GLAZING:
Slab Edge // _ Single Glazed t�
Fdn. Walls Al 1A Special (Insulated)
Floors CERT. & LABELED WDS.
Walls�' & SLIDING DRS. . L�
Ceiling/Roof _22 WEATHERSTRIPPED DRS.
Ducts ABACK DAMPERED FANS L
Circulating Pipes Z -'INTERMITTENT IGNITION DEVICES
APPROVED HEATER HEATER CERT. APPPLIANCES �L-
APPROVED WATER HEATER z,—
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 NTTrH0T.Snw Tmg11A1.1InN INC
(please print)-..
Signature of .
Insulation Applicator
General'Contractor/Owner Name
Signature of
General Contractor/Owner
State Contractors
License No. AGR Cr;
please print
Date
State Contractors
License No.
THIS CERTIFICATE MUST BE ON FILE WITH THE BUILDING DEPARTMENT PRIOR TO
REQUESTING FINAL INSPECTION AND SHALL BE POSTED IN A CONSPICUOUS LOCATION
WITHIN THE DWELLING.
J = OK
0 = Not OK
- = Not Applicable
* = Not Ready
MOBIL.EHOMES
MISCELLANEOUS
1
Date
MOBILEHOME UTILITIES (Plans) OK except N's
1. Zoning Requirements -Setbacks -Easements
Date
DECKS, COVERS, CARPORTS, ETC. (Plans) 0, oxcept k .
1. Zoning Requirements -Setbacks -Easements
2. Soils; Special MH Support -Sketch
2. Footings; Size -Depth -Spacing -Connectors
3. Sewer; Location -Test -Fall -C/0 -Concrete
3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails
4. Water; Location -Test -Easement Needed (Sketch)
4, Wood Awn.; Posts-Beams-Rftrs.-Connec:-Shthg.=Rfg. -Bracing
5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete
5. Alum. Awn.; Columns-Connections-Splice-Decal-Enc.oc..res
6. Gas; LocatiorYTest-Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG
7. Utility Clearance
6. Carports; Windows -Donis t 7_
7. Elec.
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date Card -Bi Date
Date
MOBILEHOME INSTALLATION (Plans) OK except N's
1, Zoning Requirements -Setbacks -Easements
Date
POOLS (Plans) OK except N's
1. Setbacks -Easements.
2. Footings; Size -Spacing -Marriage Line
2. 'Soils; Compaction -Structure Stability
3. Gas; MH Test -Demand -Valve -Connector
4. Electricity; MH Test -Crossovers -Breakers -Clearances
3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining _
4. Elec.; Receptacles and Lighting; Distances-GFI
5. Drain; MH Test -Fall -Flex Connector
5. Elec.; Pool Lighting; 15 volts-GFI
6. Water; MH Test -Regulator -Connector
6. Elec.; Enclosures; Conduit Entries -Terminals -Listed
7. Water and Sewer Connected -C/0 to Grade -HD Approval
7. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater
8. Gas and Electricity Tagged
8. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghtg.
Boxes -Enclosures -Panel boards -Ins. to Main in Conduit
9. Exits; Insp.-Sketch
10. Cert. of Occupancy
9. Health Department Approval
10. Plumb; Cir. Test -Water Supply Test
Card B -I
Date Card -BI Date
Card -BI
Date Card -BI Date
Card B -I
Date Card -BI Date
Card -BI
Date Card -BI Date
0 = Not OK
- = Not Applicable
Nrjt ReadyeadyRESIDENTIAL (Single and Duplex)
��-
Date UNDER OR Plans OK except#'s Date FRAMING (Continued)
o c s
g requirements-Setba-Easement ac,
ain; Soils -Steel -E - / /" Ftg. Depth . Ext. Doors -One 3' -Check Garage-3rd-etery--9eitrts
Garage; Soils -Steel- / /" Ftg. Depth 69. 611airs!1Widt A'ca -Q-11 andinn Fire P rPrtion
tS,rPorches & Decks; Soils -Steel- / /" Ft pth 5 ywood on Roof Overhang-AtJja-"nts-RafteLOuttiggers
______4:;;
-- _ to tills, Main; Steel-Blockouts-Wrapped i g-, g-tteneer
emwalls, Garage; Steel-Blockouts-Wrapped G53.tucco-Dri eed-F4,r. ire., s-UgderMr-- Mss
_i_ - a ea-G4es&.j2wtection-Sky la}e�
�) W.Y. Fittings T / e est a s; Nailing -Bolts
s Pipe; Size -Anchors
l tato ervi 'eyc
-It Electric; Underground
,t2-- Plenums & Ducts; Clearance -Material -Support -Ins.
44 -Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI Dat z tj Card -BI Date
Card -BI Date L Card -BI Date
Card -BI IV Date ' Card -BI Date
Card -BI el t Date I Card -BI Date ! L
Card -BI Dat -�L Card -BI Dat!/_s' 31 Date FINAL (bans) OK except #'s
xt. Steps -Door & Sidelight Protection -Landings
Date PLUM MG (Permit K except #'s Smoke Detector
_ Water Ht.; t-AcceS';-Comb ion Air Y_- tor -
Water Pipe; Teae& rs-Nail tion I 'on
W.V.; T-Fttpg" An s -Nail Pr n 5 Boom Exiting
hower Pan; Test, First Floor-Tki4i-A.eeses 4/17d C , 60-�G_.F.1. & Bath Fixtures &-+eb-Access
_ 1 -*mess 6�1. c. Trim & Subpanel; BrpqjjaeSizes-La6elel
_
-.10-"'Gas Pipe; Size & Anchors
ireplace or Stove; Cleamfi6es-Hq@r
I; Int. & Ext.
Card -BI Date%- Z%4Z Card -BI Date Kit. & e -Ai ookin •3+eararice
Card -81 Date Card -BI Date 6 c. Outlets & Receptacles at Kit. Counter
$?--Garage Fire Door; SWjW- L -CWAe&_--�
Date ELECTRICAL Permit OK except t #'s68 r
Fixture & T ^cr^gym^• ^'^ -^ce-Ins. coon r. Htr.; V-Clearaaef-Co i -Co or- . .-
c. Recaoaeiees Spacing -Lights Iq.Garage; AlD.ue'Floor-Mec ection
8a,$torkCl� t Doors
oxes & No. of Conductors to 7 Plb., Elec. &Mech. Equip. Listed for Location
_ 2 omex Installed Close to Edge of Studs & C.J. 7 Receptacles in Garage; ((3`E.1'j-RomexcPsetetr
761-�Tnsulation-F91U Looked in Attic des
2 quip. Ground made up w/Mech. Fasteners -Bond 8fter
7 - ost.r3ars
Appliance Circuits in Kitchen & Conductor Size or -Drainage & Wood -Earth Clearance
ubfeed Wire Size / / ga. Gwm-AI-A.C. Wire Size //0 ga. Cu er-AI L es
27! Range Circ. / / ga; ttmr At Oven Circ. / / ga. Cu or At, Following instld.: Drive es [:)No; Walks []No;
Insylailed Neutral es [I No Platers es
Service-R4-seF-6end ors & Gawnif Mai onnect 7 ucco; Br n -F' '
29. Equip. Clearances; Panels-Motors-Mech. Equip. .0 nit; Disc ct-C s -Br ie -11 e
7g ents Above Roof; .-A ce-Fi .-Clear Opngs.
--- — Electrical, Plumbing
-� x rior Elec. Trim; G.F.I. Receptacle- and
Card B -I Date ?7, -Card -BI Date �&I--,Ventilation throughout House
Card B -I !/1P1� Dat,!t_ J Z Card -BI Date 'on -
8 nspection
Date MECHANICAL (Perrr.it) OK except #'s_
Gas T' -Meters Tagged;
__lie ent Ducts; Insulation & Support r & Sewer netted -C/O rade-HD Approval
_ _ _ Fan; Exhaust above Insulation , Energy Compliance Certificate -Other Certificates
& Overflow; Size & Grade
_
34,-V _ t-115jQ_IIutle
;36 Art'r 4rraec R platform if Furnace in Attic
Card -BI Date Card -BI Date
Card -BI Date �eCard-BI D
- -- ate Card -BI Date Card -BI Date
rd-BDate
Ca -61 Card -BI Date
Card -BI Date p Card -BI Date
Date FRAMIlls; Plans) OK except #'s Comments at Final:
_ 3 iProper Material & Anchors
3a_- alls; S4edS-Naitlipg-Spacing & �Herrtg-P131es-Surd
aft Stop in Walls (rat proof)
4tK�rrre §ln2s; Furred TA S
4 eader & Beam -Size Bearing
_-
4 ang --Post s -AW, e-Conisettfrs
4 ng. Joist-R44r--q P-13onfRrac.-ss-Shit -Rf
�re ,or Typal,, lue-Fmeptac�T?r I
ttic Access; SLzP_-BrRom_ex _
4 o__rm. Windows or Exiting Doors -Si imensions _
rage Fire Protection Framing
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