HomeMy WebLinkAbout021-320-002. c ,a—�i—7-- —77:
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t s'MYERS, GREGntk. i`3 i# k sur tkf 3
I IS I W. LIBERTY•
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' NOTES RESIDENTIAL ,
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021-32b-002-1 � �s 03-155
PERMIT NO..-IvIYERS, GREG �--
1181 W. LIBERTY, GRIDLEY
Cont: HUNTER CONST
COVERED PATIO
j
/
pz
SPECIAL CONDITIONS
' JOB FINALED (Date) 4
' f Signature
I ,
CHECKED
BY
J=OK
0 = Not OK
. = NotReadyable MOBILE HOMES
Date
MOBILE HOME UTILITIES (Plans) OK except #'s
..
1.
Zoning Requirements -Setbacks -Easements
4. Wood Awn.; Posts- Beams- Rftrs-Connectors
Shthg-Frg-Bracing
2.
Soils; Special MH Support Sketch
3.
Sewer; Location -Test -Fall -C/O -Concrete
7. EI c
4.
Water; Location -Test -Easement Needed (Sketch)
5.
Electricity; Location-Clearances-Grnd-/ /Amp -Concrete
1 ,3ped)4Vall nels _
6.
Gas; Location -Test -Wrap;-/ /" L 'ft.
/• P Nat. or / /" L "ft:/ P LPG
Date
7.
Well Clearance & Disconnect
Card B-1 Date Card B-1
8.
Utility Clearance
1. Setbacks -Easements
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
MOBILE HOME INSTALLATION (Plans) OK except ft
1.
Zoning Requirements -Setbacks -Easements
2.
Footings; Size -Spacing -Marriage Line
3.
Gas; MH Test -Demand -Valve -Connector
4.
Electricity; MH Test -Crossovers -Breakers -Clearances
5.
Drain; MH Test -Fall -Flex Connector
6.
Water; MH Test -Regulator -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
Date
Card B-1 Date Card B-1
Date
Card B-1 Date 'Card B-1
Date
PERMANENT END SYSTEM (ONLY)
1.
Zoning Requirements -Setbacks -Easements
2.
Footings; Size -Spacing -Marriage Line
3.
Blocking
4.
Gas; MH Test -Demand -Valve
5.
Electricity; MH Test
6.
Water; MH Test
7.
Water and Sewer Connected
8.
Gas and Electricity Tagged
9.
Exits
10.
License Decals
11.
Verify #'s with Office
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
MISCELLANEOUS
Date
DECKS, COVE S, CARPORTS, GARAGES (Plans) OK except #'s
..
Z ' equirements-Setbacks-Easements
ootings; Soils -Size -Depth -Spacing -Connectors -Steel
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. EI c
rmg.; Sills-Anchors-Studs-Rftrs-Trusses
9. Siding; Nailing -Veneer -Stucco -Mesh
10. Roof; Shthg-Roofing
11. Ext.; Steps- D ors -Landings
1 ,3ped)4Vall nels _
A�6 _ .. ✓
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 PLUMBING (Permit) OK except #'s
17. Water Htr.; Vent -Access -Combustion Air Baffle
18. Water Pipe; Test & Anchor -Nail Protection
19. D.W.V.; Test Fittings & Anchor -Nail Protection
20. Shower Pan; Test, First Floor -Tub Access
21. Test Tub & Shower, Second Floor -Tub Access
22. Gas Pipe; Sixe & Anchors
23. Fire Sprinkler; Test
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date ELECTRICAL (Permit) OK except #'s
24. Fixture & Transformer Clearance -Ins. Protection
25.
Elec. Receptacles Spacing -Lights & Switches at Doors
26.
Size Boxes & No. of Conductors Stapled
27.
Romex Installed Close to Edge of Studs & C.J.
28.
Equip. Ground made up w/Mech Fasteners -Bond Gas & Water
29.
2 Appliance Circuits in Kitchen & Conductor Size GFI
30.
Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or Al
31.
Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or All
Insulated Neutral O Yes O No
Date
32.
Service -Riser Conductors & Ground Main Disconnect
47. Hangers -Post Caps -Anchors -Connectors
33.
Equip. Clearances Panels-Motors-Mech. Equip.
34.
Clothes Closet Light -Shower Light -Spa Light
50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
35. Smoke Detector
51. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions
52. Garage Fire Protection Framing -RC Channel
Date
53. Property Line Firewall & Openings
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
MECHANICAL (Permit) OK except #'s
36.
A.C. Ducts Insulation & Support
58. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access
37. Vent Fan, Exhaust above insulation
59. Glazing Area -Glass Protection -Skylights -Plastic
38.
Condensate Drain & Overflow, Size & Grade
39.
Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet
62. Insulation -Walls -Ceilings
40.
Attic Access & Platform if Furnace in Attic
Date
Card B-1 Date Card B-1
Card B-1 Date Card B-1
Date
Date
Card B-1 Date Card B-1
Date
FRAMING (Permit) OK except #'s
41.
Sills Proper Materials & Anchors
66. Furnace Vents -clearance -Comb, Air -Connector -
In Garage; Above Floor-Ducts-Mech. Protection
42.
Walls Studs -Nailing Spacing & Braces -Plates -Sound
43.
Bearing Walls over Girders & Floor Nailing
69. Elec. Trim & Subpanel, Breaker Sizes & Labels
44.
Draft Stop in Walls (rat proof)
45.
Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs
72. Elec. Outlets at Wood Panel, Int. & Ext.
46.
Headers & Beams -Size & Bearing
Date
FRAMING (Continued)
47. Hangers -Post Caps -Anchors -Connectors
48. Cling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rtng.
49. Fireplace Ties or Type A Flue -Fireplace Throat Clearance
50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
51. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions
52. Garage Fire Protection Framing -RC Channel
53. Property Line Firewall & Openings
54. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits
55. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
57. Siding -Nailing Veneer
58. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access
59. Glazing Area -Glass Protection -Skylights -Plastic
60. Shear Walls; Nailing -Bolts
61. Brace Interior/Exterior Wall Panels
62. Insulation -Walls -Ceilings
63. 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 0 Yes 0 No/Walks 0 Yes D No/Planters O 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:
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
- 7 County Center Drive - Oroville, California 95965 - Telephone (530) 538-7541P RMIT NO.
(Rev. 12/96) APPLICATION AND PERMIT 3 - ! s lie
ASSESSOR PARCEL NUMBER
ZONING
BUILDING PERMIT
OWNER
MMS GRA
TELEPHONE
846-6757
SO, FT. OCC. BUILDING VALUATION
OWNERS MAILING ADDRESS
1181 WEST LTRFR CT
140 Cov 1,820.00
CONTRACTOR'S NAME
MTE'R CUNSTRUGT70N
TELEPHONE
RL►6-- 5
door•�x�
CONTRACTORS MAILING ADDRESS
1705 F—RFN04 AVF. ._ T1 . A
CONSTRUCTION LENDER
f
LENDER'S MAILING ADDRESS -
Fireplace l
Total Valuation $ iin cin
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee $ 20.00
Permit Fee $ 54.00
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee $ 9M Z5
BUILDING ADDRESS
1181 w. LIBERTY CT. GRTnLFY
Energy Plan Checking Fee $
$
PERMIT FEE S 109.10
LOT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT Fling Feel 20.00
USEOFSTRUCTURE
SF (7; Duplex ❑ Mobilehome ❑ Other
SPECIFY
Each Trap 7.00
Solar or heat pump water heater 23.00
Water piping 15.00
Each gas water heater or vent 15.00
TYPE OF WORK
New g Addition El' Remodel ❑ Utilities ❑ Installation ❑ Other ❑
Describe Work: _ SLIDING GLASS EMR R CnAMED PATTO
Gas piping system 1 - 5 outlets 15.00
Building sewer 15.00
Mobile Home ISI GI WT—'-- @20.00
PERMIT FEE S
ELECTRICAL PERMIT Fling Fee 20.00
Main Service eo.OR LESS
200AA OR LESS 23.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license is in full force and effect. ?�
License Class Lic. NO. A
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 200A TO 1000A 46.00NEW
CONST. DWELLING OCCUP. SO
OR ADDNS. ( a ACC. BLDS. 3.5¢FT:
NON-ROE,SIDT MULTI -OUTLET RANCH CIRCUITS @7,50
POWER APPARATUS
& SINGLE OUTLET CIR.
Ex. Occup. OUTLET OR FDRURES Eng @' 0
Ex. Occup. OFUL pS REESS,D OEp 5.0d
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring 23.00
PERMIT FEE $
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
of one hundred dollars ($100) or less.)
0, 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 f I should become subject to the
workers' compensation provisions of section 3700 of the Labor Code, I shall
forthwith comply lith1those provisions.
r�,�.� r
X 11 (,� l y- /__Date - '�2�
Signatuhe_`p f Ap�licsnt ` 01 Owner �doContractor ❑Agent
An OSHA permit is required for excavations over 5'0" dee and demolition or construction
of structures over 3 stories in height. r
MECHANICAL PERMIT Fling Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEE S
Mobile Home Installation Fee $
Energy Inspection Fee $
Occ
CONSgYPE aTAL FEE $ 109 19
HAZ.
—
p. IMJ� P/
FLOOD
O
COF
— —
PARCEL
PD/
HD
UE ,
This permit is hereby issued under the applicable provisions
of the Butte County Code and/or Resolutions to do work
indicated' -above for ich fees have been paid.
� � I
yi '�/1 �/ Date 1-2 Z
i '4 i
PERMIT EXPIRES ON ' 7 /7 Z IV `AA t'
% Delep
Receipt No. ` 49• S i �/�
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -IN PECTO GOLDY'NROD-APPLICANT
COUNTY OF BUTTE
BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
411 Main Street • Chico, CA • (530) 891-2751
7 County Center Drive • Oroville, CA • (530) 538-7541
CORRECTION NOTICE
OWN PERMIT NO.
A routine inspection indicates that the following violations of butte county Ordinances exist at the
above address and should be corrected. Please notice this office when correction of work is
completed. If you have any questions pertaining to this matter, or need additional explanation,
please contact this office immediately.
Date r/ �� v Inspector
REV 10/92
-COUNTY OF BUTTE"
BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
411 Main Street • Chico, CA • (530) 891-2751
7 County Center Drive • Oroville, CA • (530) 538-7541
CORRECTION NOTICE
7L_j 7- Sri
IMP PV PERMIT NO.
A routine inspection indicates that the following violations of butte county Ordinances exist at the
above address and should be corrected. Please notice this office when correction of work is
completed. If you have any questions pertaining to this matter, or need additional explanation,
pleas-e-ooRtact this office immediately.
Date /1 — 3 > In
REV r10/92
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-754b /3_ MIT NO.
(Rev:12/96) APPLICATION AND PERMIT 516
ASSESSOR PARCEL NUMBER
021-320-002
ZONING
r BUILDING PERMIT
OWNER
MYERS GREG8415-6797
TELEPHONE y
SO. FT. OCC. BUILDING VALUATION
. OWNERS MAIUNG ADDRESS
1181 WEST LIBER
140 Coy 1,820-00
CONTRACTOR'S NAME
HUNTER CONSTRUCTION846-5095
TELEPHONE
new door 500.00
CONTRACTORS MAIUNG ADDRESS
1205 FRENCH
CONSTRUCTION LENDER
Fireplace
LENDER'S MAIUNG ADDRESS
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE NO.
Pilin Fee
$ 20.00
Permit Fee
$ 54.00
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan CheckingFee
$ MW 35-10
ESS
BUILDINGAD1181 w. LIBERTY CT. GRIDLEY
Energy Plan Checking Fee
$
$
PERMIT FEE
$ 1-09.10
LAT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT
Filing Fee 1 20.00
USEOFSTRUCTURE
SF M Duplex ❑ Mobilehome ❑ Other
SPECIFY
Each Trap
1 7.00
Solar or heat pump water heater
23.00
Water piping
15.00
Each gas water heater or vent
15.00
TYPE OF WORK
New TO Addition R Remodel ❑ Utilities ❑ Installation ❑ Other ❑
Describe Work: SLIDING GLASS DOOR & cowgm PATm
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home I S I G I W
@20.00
PERMIT FEE
$
ELECTRICAL PERMIT
Fling Fee 20.00
Main Service .OA OR LESS
23.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license is in full force and effect.
License Class Lic. No. / 7y A
o OWNER -BUILDER CLARATI N
DE
I hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
❑ I, as owner of the property, or my employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
❑ I, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
❑ 1 am exempt under Sec. Business and Professions Code for this
reason
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
❑ 1 have and will maintain workers' compensation Insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permit is issued.
My workers' compensation insurance carrier and policy number are:
Carrier
Policy Number
(The above sections need not be completed if the permit is for work of a valuation
/of one hundred dollars ($100) or less.)
�j/ 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' compensati n provisions of section 3700 of the Labor Code, I shall
forthwith co it those provisio S. +
q
Date / ' ���
na tpfA licant Owner �o'ntractor ❑ Agent
6A required for excavations over 50" deep and demolition or construction
of structures over 3 stories in height. i J
Main Service 200A TO 1000A 46.00
NEW CONST. DWELLING OCCUP.3,5a SO.
ACC. FT
ORw c "ter. (
uBUDSST
M
NON•RESID. BRANCH CIRCUITS@7.50
POWER APPARATUS
& SINGLE OUTLET CIR.
20 Q 1.00
Ex. Occu . oUTErORFIXTURES BAL@ .50
Ex. Occup. OUTLEEDrs AEsln°.R. 5.00
Temporary Service
23.00
Mobile Home Facilities 20.00
Misc. Wiring
23.00
PERMIT FEE $
MECHANICAL PERMIT Filing Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEE $
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
CONST. TYPE
VN XTAL FEE $
HAZ.
D F IMP
FlAOD
X
CDF
--
PARCELPD
H
ISSUE
This permit is hereby issued under
of the Butte County Code and/or
in a e f r hich fees have
Ahb
PERMIT EXPIRES ON
I
the applicable provisions
Resolutions to do work
been paid.
Date 22
ZZ
at
Receipt No. .21R, 5 9
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -I PECTO GOLD ROD -APP ANT
0
.COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
.� f7 County Center Drive • Oroville, California 95965 • Telephone (530) 5 8-7541 ` PERMIT NO
APPLICATION AND PERMIT �'� `► s3
ASSESsoRPAFICMWAGER BUILDING PERMIT
owNER j"��
�"E/ 7� is
U'
SQ. FT. OCC. BUILDING VALUATION
Yo Gc,! 2 �
owNET+s w�eJNa AODREbi
23.00
COMT NONE
rEr—
SUELEWW"EZ;i
O�
no
23.00
Eg-a AcmRr. u%ww ADDRESS
Z-C)
DER
LFIreplace
'
LENDDDREG^�
Total Valuation S —'
rsC-T
NEER
LKEME "O•Ffin
Fee S 20.00
Permit Fee S
wEMS MA M ADDREss
Plan Checking Fee b'
(<:;&�
+o. CUMVISI0Ns MWE
USEOFSTRUCTURE
eF "i%IP-r ❑ Nbbilehome ❑ Other
TYPE OF WORK
New ❑ Addition 0 Remodel ❑ Utilities ❑ .Instakf on ❑. Other ❑ _
Describe Work- 1�5LQt AL- S
0 �(A Y- 4 -
FIA 1(0�t
PERMIT FEE S
ELECTRICAL PERMIT Firing Fee 1 20.00
Main Service ou on LE56 23.00
Main Service zow To somA 46.00
nuNEW Ar. i DwEuMo o uP. 1 I 3.5¢r
. E)L Occup. ounFT OR FD WRES
Energy Plan Checking Fee S -
Ex. Occup. ov�vnEzs=10L
s
Temporary Service
23.00
PERMIT FEE S
20.00
PLUMBING PERMIT Firing Fee 20.00
23.00
-
Solar or heat pump water heater 23.00
`water piping 15.00
Each gas water heater or vent 15.00
Gas piping wf&lem' 1 - 5 outlets 15.00
BuBding sewer 15.00
;Mobna Home. I S I G I W @20.00
PERMIT FEE S
ELECTRICAL PERMIT Firing Fee 1 20.00
Main Service ou on LE56 23.00
Main Service zow To somA 46.00
nuNEW Ar. i DwEuMo o uP. 1 I 3.5¢r
. E)L Occup. ounFT OR FD WRES
B41 O I" .
Ex. Occup. ov�vnEzs=10L
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
W=. Wiring
23.00
PERMIT FEE S 41
MECHANICAL PERMIT Ffing Fee 1 20.00
6.50
PERMIT FEt S
Mobile Home installation Fee L
Energy Inspection Fee S
MPE
TO AL FEE$
KA -Z. I D. FEES 1 *011 FLO40 I �=F EL � UE
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
PERMIT EXPIRES ON
Dale _
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COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION
7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140
PERMIT APPLICATION DATA SHEET
OWNER: C2 e // e AL L ASSESSOR PARCEL NUMBER d 2 3 Z 0 O 02-
v
Proposed Building Use: A-e-/� Counter Technician: Date:
Items required in order to apply for a permit. All boxes MUST be checked OR marked NA in order to apply.
T2 lot plans, 3 or 4 sets, signed,�y the preparer of the plans.
-
Complete plans, 3 or 4 sets, signed by the preparer of the plans.
IQ,�,a-Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations.
ngineered truss details and layouts in duplicate. No faxes!
P15 -,,,Energy compliance design and supporting documentation in duplicate..''`, r
"/Manufactured homes: (A) Data sheets and installation instructions, (B) Marriage line information, (C) Floor Plan, (D) Tie down or
oundation plans, all in duplicate. ,�-
Metal buildings: (A) Metal Building Plans, (B) Foundation plans and calculations in triplicate, (C) Elevation views in%riplicate.
(D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer.
Items required for initial plan review. If checked items have not been received, plan review cannot proceed. The.permit will be
indexed and returned to the plan review line-up when required items are received.
Date Received By
❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate ................................
❑ 9. Plot 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 .....................................
❑ 12. Hazardous Material Form...............................................................................
❑ 13. Other
R ining items needed to issue the permit. (May require additional plan review u on receipt of the following items.)
4 18 4s-
14. Fees as shown on the attached Schedule of Fees Due Sheet .......................................
5. Statement of Intent for Non -heated and A/C Buildings .........................................
16. Sanitation and plot plan approval from the Environmental Health Department in
❑ 17. City of Chico Plumbing permit.........................................................................
❑ 1A -,"California Department of Forestry plan approval ❑ paid. Sent by: ......................
0/19. Planning approval for (A) Use: O�)Z (B)Parking: . (C) Parcel Check:
❑ 20. Contact Land Development about ❑ Improvements, ❑ Drainage ...............................
❑ 21. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy).
❑ 22. Pre -Inspection for required ................
❑ 23. Contractor's license information. (Number, Name Style, Classification) ......................
❑ 24. Worker's Compensation Carrier and Policy Number ..............:..............................
❑ 25. Owner -Builder Verification (❑ Given to owner, ❑ Mailed to owner) .....................
❑ 26. Letter of Signature authorization ................... I.
❑ 27. Recorded copy of Agricultural Acknowledgment Statement ....................................
❑ 28. Manufactured home utility clearance...............................................................
❑ 29. Existing violations and/or expired permits.........................................................
❑ 30. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $
❑ 31. Other:
When issued Telephone 9Y6 - 5o , and hold for pickup.
I have been infprped of the abgVe/items and requirements for obtaining a building permit
Date: -�5 —,sz9 `A3
1. Index-pefmit aApHcation for the above items numbered: A, IV Plan Check Letter
2. Additional items required
Contractor, designer, owner, was advised cf the above data by phone, 0 mail, ❑ counter, by Date:
Contractor, designer, own , was advised of the above data b ❑ phone, ❑ mail,. ❑ coTtC;—Date:
Date-
Plans reviewed by: Date: 0 Plans approved by:
Structural reviewed by: Date: Structural approved.by: Date:
Note transfer by: Date:
Yellow: Buildine Division
I E.H. USE ONLY
#� Plot Plan Attached
'Floor Plan Attache
Sento B.D. / D
TO: Building Department
FROM: Environmental Health
SUBJECT: Sanitation Clearance
OR -61 6 jj� It) L11 LLj, b LM 4� C2 a- C-) D,
Owner Location AP#
Plan Approved for: Sewage Dispos'al-� Water Supply: P blic Priv to Well
Clearance for dwelling. Other /D x l �� 0U"4I?j ,j , A h -, (J J YC
Hold final for:
Final clearance O.K. for:
NOTE:
Environmental Health Specialist
8/96
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