HomeMy WebLinkAbout022-203-011i
Frank Deniz
NIS
ryde Rd., 12 mi.W.of Hwy9'9E, Big'is
contr:Burl Woodward, Gridley �
ermit #2152-79B,P,E,M(add bedroom,bat�t
r model/SF) /Y
22-203-11
�Permlt #.1615-82P,E(util ,MH)_
ELECy�' -�r8� 200 2 g
GAS 8 2 a�2- PSS
SUPPORT STR -ETURE RE
COMPACTION TEST REQ,*�.O
22-203-11 - AMA. Contr O -S hitt' c• MH Ser, Vina
AMA.
Perm�' d 1705=82MHI �-
Isa ed
>open
1
.254 Pryde Rve,
>'Permit#1588-87ft11
�Permit A1560-88588-87)
022-203-011 05-1604
FRANK, DENIZ
250 PRYDE AVE, BIGGS
Cont: GEORGE &SONS ROOFING
RE ROOF
22-203-11 _
PErmit#66-88A(Agricultural Bldg Exemp��
Shade for cows)
NOTES RESIDENTIAL
PERMIT NO. _..022-203-011
FRANK, DENIZ 05-1604
250
PRYDE AVE, BIGGS
Cont: GEORGE &SONS ROOFING
RE ROOF
.t
r
SPECIAL CONDITIONS
CHECKED
BY
SRA
FLOOD CERTIFICATE REQ.
FIRE SPRINKLERS REQ.
SPECIAL INSPECTION ITEMS
VERIFY
USE PERMIT CONDITIONS
SUB -STANDARD HOUSING LETTER
r
. z
JOB FINALED (Date)
12 Signature
�_.�%�
J=OK
0= Not OK
. = Not Applicable
. =Not Ready
MOBILE HOMES
Date
MOBILE HOME UTILITIES (Plans) OK except #'s
1. Zoning Requirements -Setbacks -Easements
2. Soils; Special MH Support Sketch
3. Sewer, Location -Test -Fall -C/O -Concrete
4. Water, Location -Test -Easement Needed (Sketch)
5. Electricity; Location-Clearances-Gmd-/ /Amp -Concrete
6. Gas; Location -Test -Wrap;-/ /" L'ft.
/ P Nat. or/ /" L "ftJ P LPG
7. Well Clearance & Disconnect
8. Utility Clearance
10. Roof; Shthg-Roofing
11. Ext.; Steps -Doors -Landings
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
MOBILE HOME INSTALLATION (Plans) OK except #'s
Date
1. Zoning Requirements -Setbacks -Easements
Date
2. Footings; Size -Spacing -Marriage Line
3. Gas; MH Test -Demand -Valve -Connector
4. Electricity; MH Test -Crossovers -Breakers -Clearances
5. Drain; MH Test -Fall -Flex Connector
6. Water, MH Test-Regulator-Connectoe
7. Water and Sewer Connected -C/O to Grade -HD Approval
8. Gas and Electricity Tagged
9. Tie Downs -Type -Installation Cert.
10. Exits; Insp.-Sketch
11. Cert of Occupancy
10. Plumb.; Cir. Test -Water Supply Test
11. Light Niche
Date
Cana B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
PERMANENT END SYSTEM (ONLY)
Date
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
Cana B-1 Date Card B-1
Date
Card B-1 Date Card B-1
MISCELLANEOUS
Date
DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s
1. Zoning Requirements -Setbacks -Easements
2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel
3. Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails
4. Wood Awn.; Posts-Beams-Rftrs-Connectors
Shthg-Frg-Bracing
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Carports; Windows -Doors
7. Electric
8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses .
9. Siding; Nailing -Veneer -Stucco -Mesh
10. Roof; Shthg-Roofing
11. Ext.; Steps -Doors -Landings
12. Braced Wall Panels
Date
Card B-1 Date Cana 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-Panelboards-Ins. to Main Conduit
9. Health Department Approval
10. Plumb.; Cir. Test -Water Supply Test
11. Light Niche
12. Enclosure; Fencing -Alarms
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
J =OKOK
® 9e
D = NotAp
=Notprica6le
RESIDENTIAL (Single & Duplex)
-
= Not Ready I
Date UNDERFLOOR (Plans) OK except #'s
1. Zoning -Setbacks -Easements -Flood -Slope
2. Ftg., Main; Soils-Elec. Gmd.-/ /" Ftg. Depth
3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth
4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth
5. Stemwalls, Main; Steel-Blockouts-Wrapped
6. Stemwalls, Garage; Steel-Blockouts-Wrapped
6a. Hold Downs and Special Anchors
7. Slab, Steel -Wrapped
8. Piers -Fireplace Ftg.-Steel
9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test
10. UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test
11. Water Pipe; Test -Anchors -Regulator -Service Test
12. Electric Underground
13. Plenums & Ducts; Clearance -Material -Support -Ins.
14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies
15. Access & Ventilation
16. Insulation
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
PLUMBING (Permit) OK except #'s
17. Water Htr.; Vent -Access -Combustion Air Baffle
18. Water Pipe; Test & Anchor -Nail Protection
19. D.W.V.; Test Fittings & Anchor -Nail Protection
20. Shower Pan; Test, First Floor -Tub Access
21. Test Tub & Shower, Second Floor -Tub Access
22. Gas Pipe; Sixe & Anchors
23. Fire Sprinkler, Test
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
ELECTRICAL (Permit) OK except #'s
24. Fixture & Transformer Clearance -Ins. Protection
25. Elec. Receptacles Spacing -Lights & Switches at Doors
26. Size Boxes & No. of Conductors Stapled
27. Romex Installed Close to Edge of Studs & C.J.
28. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water
29. 2 Appliance Circuits in Kitchen & Conductor Size GFI
30. Subfeed Wire Size/ /ga. Cu or AI -AC. Wire Size/ /ga Cu or AI
31. Range Circle/ /ga Cu or AI -Oven Circ_ / /ga Cu or AI
Insulated Neutral 0 Yes 0 No
32. Service -Riser Conductors & Ground Main Disconnect
33. Equip. Clearances Panels-Motors-Mech. Equip.
34. Clothes Closet Light -Shower Light -Spa Light
35. Smoke Detector
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
MECHANICAL (Permit) OK except #'s
36. A.C. Ducts Insulation & Support
37. Vent Fan, Exhaust above insulation
38. Condensate Drain & Overflow, Size & Grade
39. Fumace-Vent Access -Comb. Ait-Return Air Vent 115 Outlet
40. Attic Access & Platform if Furnace in Attic
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
FRAMING (Permit) OK except #'s
41. Sills Proper Materials & Anchors
42. Walls Studs -Nailing Spacing & Braces -Plates -Sound
43. Bearing Walls over Girders & Floor Nailing
44. Draft Stop in Walls (rat proof)
45. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs
46. Headers & Beams -Size & Bearing
Date FRAMING (Continued)
47. Hangers -Post Caps -Anchors -Connectors
48. Cling. Joist-Rftn Ties-Purlin-Roll Brac: Truss-Shting.-Rtng.
49. Fireplace Ties or Type AFlue-Fireplace Throat Clearance
50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
51. Bdrm. Windows or Exiting Doors -Sill Ht & Dimensions
52. Garage Fire Protection Framing -RC Channel
53. Property Line Firewall & Openings
54. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits
55. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
57. Siding -Nailing Veneer
58. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access
59. Glazing Area -Glass Protection -Skylights -Plastic
60. Shear Walls; Nailing -Bolts
61. Brace 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 0 Yes
83. Following InstldJDrive 0 Yes 0 No/Walks 0 Yes 0 No/Planters 0 Yes 0 No
84. Stucco Brown -Finish
85. A.C. Unit Disconnect, Electrical -Plumbing
86. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings
87. Water Well, Disconnect, Electrical, Plumbing
88. Exterior Elec. Trim, G.F.I. Receptacle -Underground
89. Ventilation Throughout House
90. Glass Protection
91. Corrections from Previous Inspections
92. Gas Test -Meters Tagged, Gas -Electric
93. Water & Sewer Connected -C/O to Grade -HD Approval
94. Energy Compliance Certificate -Other Certificates
95. Address Posted
96. Fire Sprinkler
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Comments at Final:
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
0 BUILDING PERMIT
)0 24 HOUR INSPECTION M (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO)
OFFICE t!: (530)538-7541 FAM (530)538-2140
0 1% 08 0
1110W
WEBSITE: www.buttecounty.netWds
ANN K.,
1UJN
provisions of Chapter 9 (commencing withi Section 7000) of Division 3 of
Issued Date: 06/21/2005 APN:022-203-011-000
the Business and Professions Code, and my iicense is in full force and
effect.
3
Site Address: 250 PRYDE AVE BIG
License Class License Number:
'4.
0 1 - : _. - Zoe- C_W��
0
Map Index:
PERMIT NO.
BPO51604
:?,iLICENSED CONTRACTORS DECLARATION
I.hereby aWirin",6;dei, penalty 6f'tierjury. that -I am li6ensed under
provisions of Chapter 9 (commencing withi Section 7000) of Division 3 of
Issued Date: 06/21/2005 APN:022-203-011-000
the Business and Professions Code, and my iicense is in full force and
effect.
3
Site Address: 250 PRYDE AVE BIG
License Class License Number:
'4.
0 1 - : _. - Zoe- C_W��
0
Map Index:
'..
Date. 16
Description: re roof.21 squaies
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 Profession ' s.Code: Any city or county which requires a
Owner: DENIZ FRANK W & I RE N E, REVOCABLE__—.,_,,,
.
permit to construct, alter, improve, demolish, or repair any structure, prior,
to its issuance; ;also r such permit
,pIsp requires the applicant to to file-
TRUST
i
s ned'stateipbqt th5t'he or she is licensed pursuant to'thi) provisions ofd
��"k -NDEN LZ-FI3A,N6�YV & IREN9 TRUSTEES
the Contractors S'11ate"Libense Law (Chapti�"9'Z:bni"m'erici'nb'with'Sebtio'n
'C
DBA FOUR DS RANCH
7000),,4VDiviii8n'3�of,tfie Business and Professions Code) or that
sheis i"exempt therefroriVind the basis f9r�4he;aI!ege0, exemption,., Any
250,PRYDE,.AVE,-95917
violation -.offSect.i6ri,'-7631.6 by any aj);3Iic'a'n'i'f6r 'a 'perimiti.siubje
subjects the
L
e4ilty 6f not more than five hundred dollars ,(t6o0) ) ."
1, ai owner of the property, 'or "my' employees with wages as their
sole compensation, 'will, do'the Work, and the structure is not
Code: act6rs'SGe,Lic'e'n s��e - Law does. not apply to an
Applicant: GEORGE & SONS ROOFING
owner, or property who builds or improves thereon, and',who does
'
iuch)�ork hims61f 6�1 herself his or her own enployees,
;j
_ , . . I
provid dthat such improvements are not intended 6ioffered. for
1090 HURLETON ROAD
If however, the 66ildm'g-'o:r'im'O'rovein'ia"htsl'i'rb�soid within one
,,,'sale:
year of completioh, the owner -builder will have the burden of
OROVILLE, CA 95966
"7"proving 'that he or she did-notb uild'br 1 ' improve for -the purpose of
530-589-4443
sale
Gwe
,,U,,.aj,,,a.s,,,Qwner...of,.the ,.Propert ,.am,'exclusi.vely,.contra,cting with,
licensed contractoTstts:conrtrUcCthdproj6ct (Sec. 7044, Business
and Professions Code.;,The Contractors' State License Law does
not a ply.to an,owner.of property,who builds or improves thereon,
p
Contractor: GEORGE & SONS ROOFING
s a
..,-,and who:contra,ct for..§uch projects,with a,contr ctor(s), licensed
ON, -,,pursuant to the Contractors' State License Law.).,,.. -
7,
1090 HURLETON ROAD
b Xm
I am Eept underArticle 3 ofthe Busine,��-,qqd Professions Codek
F.'-,.'�*bRbViLLE�dA-.'} 95966
Date Owherl
530-589-4443
.,.si?,,1,..,-WORKERS'%COMPENSAT16N'DEi:LAkATloh'-,
I hereby affirm -,"under - penalty of perjury'one of the following declarations!.'
License` .' 682.274
O ':,(,have and:will maintain a certificate of consent to self-risure for
ll
workers'Jcoiripiinsation,!as provided,for. by Section 3700,of-the
'performance
L6bor'6;e,:for the of the work for which. this permit
sued _4
40.
'U/16have
~j Architect:
and -,wil-1,7maintain, workers;. compensation, insurance, as
Engineer:
,required 0
t 3
by1,.Secion,70,the Labor -Code, for. performaP 01
I B f
. - i 11 �
...,,,,,t.he work for.which this permit -ii issued.' My workers'• corn ns 'i.11
insurance carrierand policy�number are:
V. T
Carrier: VI->
Total Square Ft: 0 S. F.
Valuation: $0.00
Ea rcewl; that!in the,performanc6 .0'f'4he ;work for which this permit- is
.:issued ,,61%shall 'not emplbyiany,'pergon iri :anyimanner-so as-tto
become, subject1o, the,, Workers': compensation laws, of.- California,
,and vagree., that!, if.,. I should -zbecome; subject .to the, workers'
Census Code:
compensation provisions,of Section 3700 of the Labor, Code, I.shall
,,.forthwith comply with those provisions.
Date:
%
WARNING 'coverage
e ers'�'eompei;iition is.
Na
unIawfuI,-'an&ishiiI` subject -an employef to, criminal- penalties' and one
.7
�"
hundred thousanadoI4rs-'.($100,000),,4:iri -addition to the' cost of
compensition,'daniages ai'pr6ided for.in'Section 370.6 of the Labor
interest and aftorney'sfebs.%.j.,
.code,
".CONSTRUCTION LENDINGAGENCY
This permit is her issue under ea icButte Cnunly Codpand/cwr
Aiujw PAr e wovisions of the Bi
I hereby affirm, that there is a construction lending agency for the
Resolution, tadd-worlin sated ovaltir whictAes have been paid.
performance' of the work 'foihic'h this "permit is issued *(See 3097 Civ.)
Nan
t�e.
By: Date:
PERMIT E)� 5IRES ON:
Address:
(Date)
Y*1he're hereby b that .lhjB.yspo�ithis,,facilily,shallcomply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage,
..hand li q
9- and use -of hazardous m
0 --;-,Notifi6ation in'accoirdance'With Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project.
Ktt"ac'R'�6d"a'r*e'*c,-,o-,p-i-es- of the required E.P.A. notif6tio,ii'iorms.,
I hereby certify that I have read ,this ,6' application, that the above information is -correct: and that I am the owner or the duty authorized agent of the owner.- I agree to comply with
-fi PPI
_�nd
all co n state reiiihn'g t.buildfing construction. I acknowledge it is unlawful to altir,the substance of any official form Butte County. I hereby
or 9?Cument of
_jpoii 'mentioned
authorize
..th6� Butte
representatives of ounty to enter 66 above property for inspection.!urpoM. k -,
PrintNam Signature:._
71
Dat �
P,
ZI Owner. ontractor 0 Agent for Owner Q Agent for Contractor
UW4 I
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT APPLICATION
AND SUBMITTAL REQUIREMENTS
24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834
OFFICE #: (530) 538-7541
A FEE WILL BE REQUIRED AT TIME OFAPPLICA TION
Website: www.buttecounty.net/dds
"PLEASE PRINT CLEARLY"
CONTRACTOR
OWNER
Last Name
t °
first Name
Address
n _
City
S
Lic. a,277
ZiPhone
Page
4la^l171
±FE
E-mail
State License Number
CONTRACTOR
Name
1
Address o
5
City ° Q
StarZi
Zip
Phone s � q _efw3
Fax
E-mail
Lic. a,277
CJas
APPLICANT NAME
ARCHITECT/ENGINEER
Name
City
Address
Zip
City '
Fax
State
Zip
Phone
Page
Fax
E-mail
Date Approved:
State License Number
APPLICANT NAME
Name
Ala
Address
City
State
Zip
Phone
Fax
E-mail
AP NT SIGNATURE
X
For office Wse onl .
Zoning
Flood Zone
City
SRA
I Yes
I No
Occ.
Type Const.
Subdivision Name
Map Book
Page
Lot #
Planner
Date Approved:
OVER FOR SUBMITTAL REQUIREMENTS
PERMIT
NO.
o 6b
BIN #
LOCATION
AP#
Property Address
City
Cross Street
WORKER'S COMPENSATION
Policy Number
Carrier .7F
�a\
If hiring anyone other than lic nse contractors, a certificate of worker's
compensation must be shown at the time of permit issuance.
LENDING AGENCY
Name
Address
:2 Description or Scope of Work:
Sq. FootaA S
❑ 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.
>D
Received by: Amount: Bldg
SRA
Receipt #: 31 Unv
0
Sheriff
MIP
Other
Date: l .
Total
K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc Page 1 of 2 REV 2-24-05
SUBMITTAL & PERMIT REQUIREMENTS
The following drawings and specifications must be submitted to the Building Division in order to apply for a
permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK.
❑ 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. No graph paper!
❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans (No graph paper!) OR
Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations.
❑ 3. Engineered truss details and layouts in duplicate (if required). No faxes!
❑ 4. Energy compliance design and supporting documentation in duplicate.
❑ 5. Statement of Intent for Non -heated and AIC for Non -Residential Buildings.
❑ 6. Manufactured homes: (A) installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in
duplicate.
❑ 7. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor
plans in triplicate. All of these must be stamped and wet -signed by the engineer.
❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate (if required).
❑ 9. Site plan and business license approval from the City of Biggs.
❑ 10. Letter of intent for non-residential buildings.
❑ 11. Detached Accessory Building Form filled out by the owner (if required).
❑ 12. Hazardous Material Form (for Commercial Buildings only).
Remaining items needed to issue the permit. Additional items may be required after Plan Check and Planning
review (May
require additional plan review upon receipt of the following items.)
❑
1.
Agricultural Buffer clearance and site plan approval from the Ag Commissioner's office (if required).
❑
2.
Impact Fees.
❑
3.
California Department of Forestry plan approval (if required).
❑
4.
NPDES Form.
❑
5.
Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy).
❑
6.
Contractor's license information. (Number, Name Style, Classification).
❑
7.
Worker's Compensation Carrier and Policy Number.
❑
8.
Owner -Builder Verification (if required).
❑
9.
Letter of Signature authorization (if required).
❑
10.
Recorded copy of Agricultural Acknowledgment Statement.
❑
11.
❑ Grant Deed, ❑ M.H. Title/Statement of Facts.
❑
12.
Sanitation and site plan approval from the Environmental Health Department.
If you have questions or would like additional information regarding this process, please contact a
Permit Assistant at (530)538.7541.
EXPIRATION OF APPLICATION
Applications for which a permit has not been issued will expire one year after date of application. In order to renew action
on an application after expiration, a new application, plans and fees will be required.
REQUEST FOR FEE REFUNDS
Refunds can only be made upon written request by the person who paid the fee. The request must be made within two
years from the date of fee payment on permits not issued, and two years from the date of permit issuance for permits
issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan
check fees for work plan checked and other department costs are not refundable.
OVER FOR BUILDING PERMIT APPLICATION
KAFORMS\BUILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2 REV 2-24-05
t
1
4a
PERMIT NO.
' PERMIT EXPIRES �� v
Ovy.R
RANK' TR NF DFNT7 —
CONTR.
ASSESSOR PARCEL 22_20'A_1 1
LOCATION 954 PrVdp AVPL Biggs
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F
—16
Temp. Power Polo
Celled PG&E
}Temp. Eloc. Sorvl
# Called PG&E
!Temp.
Goo Servict
CaI1cdPG8E
JOE) FINALEO Q
Signaluto__...
Card 8-1
Cud -Bt Date Cad -BI Date
Card -BI Date Card -BI Oa:e
-!Q
Not Aptlicable MOBILEHOMES MISCELLANEOUS
o Not Ready
to MOBILENOME UTILITIES (Plonal OK *.Capt o'S
Date DECK OVERS. CARPORTS, ETC. (Plans) OK *.cavi If s
1. Zoning Requitements-S*Ibscks-Easements
�2 � ROQulrements-fNlbaCks-Esaerna+ts
"II/F t'nps, Slte-Oepth-Spscnnq-Connocta_s_ — --- __
2. Solis; Spoclal MH Support-bkolcA —`_---
2. Sewer; Location-TaSl-Fittt-C/0-.Concrete
S Decks; Girders and/or Joists-Decking-Brocino-Stags-R311S
a. Mater; Location -Test -Easement Needed (Sketch)
a. Wood Awn.: Pos's-BwmS-Rlirs.-Connec.-Shing.-Rtg.-Orecinp
S. Alum. Awn.: Columns-Connections-Spl'-ce-Decal-Enclosures
S. Electricity; Location-Clesrencee-Grnd.-/ / Amp -Concrete
8. Gas: Locatlort-Test-Mrap:/
_.._... _
B. Carports; Mindpra-Doors
7. Utility Clearance
7. Else. -- —
Card -81 Date Card -BI Date
Card -81 Card -81 Date
- Cerd,8l Dste Cord -BI Date
Card -81 Date Cad -BI Date
Data SIOBILENOME INSTALLATION (Plans) OK except a's
Date POOLS (Plans) OK except u's
I. Zoning Requirements-Setbacks-Easoaanls
1. Sotbacks-Easements
2. Footirps: Size -gone Inq-Marrlags Line
2. Soils: Compact i on-Struc I we Stability
3. Gas: 104 Test-Datrmrtd-Volvo-CaurMctor
J. Pool Structure: Steel -Connections -Thickness -Dead Men -Linin
♦. Electricity; UN Teat-Crossovers-aleekers-Clearencoo
a. Elae.: Receptacles and LigMIng: Distances-GFI
B. Drain: ►IN Test -Fall -Flea Connector
S. Elec.: Pool Lighting: 15 volts--GFI
8. Mater: MH Test -Regulator -Connector
8. Elec.; Enclosures; Coseuit Entriae-Torminals-Lieted
- T. Water and Sewer Conetscted-C/O to Grado-HO Approval
7. Etae.; Bonding; Metal w/5* -Circulating Equipment-Meator
8. Gas and Electricity Tagged
8. Elm: Grounding; Equip. w/S'-Circulating Equip. -Pool Lghnp. -
Boxes-Enclosures-Panelboads-Ina. to olein in Conduit
9. Exits: Insp.-Sketch
• 10. Cpl. of Occupant
.9. Health Department Approval
10. Plumb; Cir. Test -Mater Supply Test
Card 8-1
Cud -Bt Date Cad -BI Date
Card -BI Date Card -BI Oa:e
-!Q
- ' Nor Apph,old--
Nm RI•RESIDENTIAL (Singloyand Duploj
• le.i,Wy . n
O.11n IINDF.RFLOOn 121,1n• OK exrt' I O's
tlnitt
FRAYING (Conl,nu-Ml
Loniny rcquucmenla-Satbn, ks_Etsertrnts ..
69.
A.C. Duct in Gera, -,e
-t.
----- .....--- ----- ------_-
2. Fig.. Main; Sells -Steel -Flet. Ornd.- / / - -
__._..,..__....-.___... _-....._...--- FI OODIh `
Ftp.,
----'?46.
40.
Ptopetly Onix Fir3ewall A
_. _ .._ ----_
E■I,•Oorv&- --
'' ----
3. GarapC. Smb-Steel- / /" Ft . De to
- - -- - - - - - - --- - Q --p
50.
...---` -_ -
- - --d storY_2 n■rt
Stalrf. Mldlh_Needroom_grse - s
a, Ftp., Patches & Uock3; Soils -Sleet- /
- .----- ..- /.' Fig. Depth
---
-
51.
-` -- - - y---___Ru^-Landiny_plre P. --
Plywood on Rool
- 5. $tomwall,, Yalll, $LOCI-BlOfkouls-scat -�- "---------
DDOd-$lab
'---- ------
- '-
Uveitis c Ion
---------._ _ rte -Attic Venj3_4
Slaing_Na,l,ng`Vonnor her Ou"Igge,s
___
6. Slemwalls, Garage, Slam -BI -Wrapped -Slab -i -
7. ---
Rorrex Instil loo Close to Edge of Studs 6 C.J.
_52.
53.
-
Stucco kAtsn-0: ,p Scracd_Fdn,
Pers-Fneplaco Fig. -Steel -'--
- -i -
-----
-- 8. D.W.V_.:-Foil-Fllilnp3_T_ast-2 way C/0-S1i
24.
54.
-55.
Vents_ Undorflr, Access
Glazing Aroa-Glass Protection -Skylights -?last-
-Walis:
Toot
'--- 9. Gas P_Ipo;_Slzo-Anchors_
insu!a!ion- Foam-Loo►ed in Attic L-. Yes
25.
Shear Nollinp_Bolls c
-- -_ 10. IYator Pipe. Teal-Anchors-RopulatOr-Sorvico Test
73.
Gard Raos S Deck Construction -Pest Caps
26.
- 11, Electric. Urd_erpro_und --
--
74'
- �^
12. Plenums 6 Dutt3; Clearance-ktal6nal-Support-ins.'
_Size
Range Circ. i / pa. Cu or AI -Oven Circ. / / ga. Cu or Al. -
- -- 13. Gude,s-$1113_ AnchO! 00ILS-JeiSl3-Venis-Cripples - -
Card -81
-
Date Card -BI
_
--
Card -81
-- ..^8.
Date
Date Card -61 Data
CarO•BI - Dale ' - - -
Card -81 Date
Cad -81
Planers •Yes No
Date Cara -BI COtn
Card -01 Da10 Card -BI Data
Data
FINAL
(Plan OK
Dale PLUstl�ING (Permit) OK except u's
14. Ivalor HI., Vent-Access-Comouslion Air
15. Maier Pipe: Test 8 Anctwrs-Nail Protection
16. D -W -V_.: Test-Fttngs 6 Artichors-Nall Protection
17, $Rower l __. __ . F_irsI FIOor_Tub Access
I.C. Test Tub 6 Shower. 2nd Flop -Tub Access
ue
19. Gas Plpe. SA Anchors
=artl_DI Dais - Card -el Date
:a,tl•91 Date Card-BIOats
s oxo t / a
56. Ent, Stops -Odor 6 Sldeltgnt Protat(on_Landinn•
57. Sa,oke Defects
58. Inmate: Vents-Georanco-Comb, Air -Connector_
In Garage: Above Flocr_Ducts-Mach Protection
59. Bedroom Exlirng
60. G.F.I. b Bath Fixtures 6 Tub ACCa93
61. Eloc, Trim d SubPOnel: Breaker Sizes -Labels
62. Stairs a Rails
63. Fireplace or Stove: Clearances -Hearth
64. E(ec. Outtals at wood Panel: Int. 8 Ext.
65. Kit. Fiat. IS Appliance' Grnd.-Air Gap -Cooking Clearance
66. Elec. Outlets 6 Receptacles at KIL Counter
,.I!e ELECTnICAL Pern,,l OK except v's---
67.
Garage Ftre Door; Swln4_LanOlnq-Closer
69.
A.C. Duct in Gera, -,e
20.
Fixture 6 Trznstormer Clearance -Ins. Protection
69.
dtr. Hlr.: Vents-Clearanco-Cans. Air-Connector-P.R.11.-
21.
Elec. Receptacles Spacing -Lights 6 Switches at Doors
__
In Gara;o: Above Floor-MeCh Protection
22.
Size Boxes 8 No. of Conductors -Stapled
70.
Ptb., Elec. 6 Uech. Equip. Listed for Location
23.
Rorrex Instil loo Close to Edge of Studs 6 C.J.
71,
Elec. Receptacles In Gwago: (G.F.I.)-Rcnex Proiec.
24.
_Eiu,p. Ground made up w,uech. Fasteners -bond Gas 6 Waie,
72.
insu!a!ion- Foam-Loo►ed in Attic L-. Yes
25.
2 Appliance Circuits in Kitchen 6 Conductor Size
73.
Gard Raos S Deck Construction -Pest Caps
26.
Sub!eed Hire Size / pa. Cu a AI_A,C, Wire i r pa. Cu or Al
74'
FCn. Vents 8 Crawl Hole Dow-Dratna;e 6 wood -Earth Clearance
27.
_Size
Range Circ. i / pa. Cu or AI -Oven Circ. / / ga. Cu or Al. -
_Looked under Floor �� Yes
Insulated Neutral _ Yes No
75.
Following insild.: Drive 'Yes J No: Walks [Yes [ No;
-- ..^8.
Service-R,ser Canductots b Grp_ - - - - -"-
Main Disconnect.
Planers •Yes No
29.
-"_
Equip. Clearances: Panels-laotpa-Mech._Equip,
76.
Stucco: Brown -Finish
-_-
30.
Cloltlrs Closet Lipnt-Shaarer LIgM -"-' "-'-'
_ ____77•
A.C. Unit. Dlaconnacl-Ctrnces-Brkr. IS Cord. Size -115V Outiet
_ . _._
78. Vents Above Root. PICg.-Appliance-Firepl.-Clearance to Opngs.
" - ' - •--- - --- ---
-• J9.
aster Y7011. Disconnect, Electrical, Plumbing -
aid B-!
Dile card -131 - " --
Oate
80.
Eitter,or E!ec. Trim, G.F.I. Receptacle -Underground
,ud B -I
_
D•11C Card•BI ..__-.--- - • --- -
Date
81,
Ventilal,On throughout House
82.
Glass Protection
IaIE
a:d•(tI
.I,O pt
MECHANICAL tPernot) OK except a's
31. A.G. Ducts Insulation S Support
3:. Vent Fan. Exhaust above tnsutauon -
33. Concrnsale Drain 6 Overflow. Size 6 Grade
34. Furnace -Vent Access -Comp, An -Return Air Vent -115V ovUrt
35. Attic Accts: & Platform 0 Fu•nacc in Attic -
O.m' Cato Rt Date
[),Ili• Carrt•Bt ❑a,,, -
04' FRANtNG,P1.utet OK v cvnl v•r,
Jb. $ill•.. P10c •t M.Ovo,al 6 Ant rims
J7. IY.III•. tiiuit•.-N.nlntd. Spm ,n•l 6 it.... r,ul-1'Lur�•-`•nand
; 11, Ih•u,n•l :. 111:, nv,•I Buil,.•,-, d ('I(1n, Nodm,•
1,1. t't,lll \hilt ni W,ill•. (1.11 (4t,e1)
d0. f u. '•lul" f w•r.l C"01119 •, .jLu,•. .l'11.1.r•, .tun
It il,•.ub, A IL•,un S..". & It ..... ....
l
I .'. li .•..1,•�� 1',, .1l .til•, ..An, I„n•, t,nin�'t l�uti
11. iii.,. ,, •••.I 1111•. 1 ii 1',n lin Ilunl It•., -till.. '.,,1I,,,il, -. 11',
•11 1 ..y•1 ,, t I .. . ,,, 1 ,1•,• A V lu, - f ,rail ,: t• I hnt.,l
1 A-, A, ., .. •• .• 11•.n�• . {• ,dr. l_,l 14u11 It,1, • lu•.. ILNIir.
.1 •. 11 I, �, .� �.1,,.� , 1 •1 i.l 11,. H11 tOJ t. ♦ Itinq'pvl.
63. Corrections from Previous Inspections
84. Gas Tess-Melors Tagged: Gas_ -Electric
6S. tra:�r 6 Sewer Connected -C/O to_Grede-HD Approval
-- 86. Enoroy Compliance Centticate-Other Certificates
-C 0-i Card -01 _ 0 111 .
Card -BI _ 0.11c - - --- Card -Si -_--Data
_- --'- -
Caro BI tarn Cain 91 Dare
,F1 � - , -
. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS' PERMIT NO
7 County Center Drive - Oroville, California 95965 -Telephone: 916/538-7541 /�(�
APPLICATIONIND PERMIT l
A SESSOR PARCEL NUMBER
12-203-11
ZONING
BUILDING PERMIT
OWNER
FRANK & IRENE DENIZ
TELEPHONE
868-1171
SQ. FT. OCC, BUILDING VALUATION
OWNER'S MAILING ADDRESS
250 Pryde Ave., Biggs, CA 95917
CONTRACTOR'S NAME
OWNER
TELEPHONE
1st renewal permit
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
NONE
UNKNOWN
Total Valuation $
Filin Fee
g
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee @ 1 FEE
$ 14.00
ARCHITECT OR ENGINEER
NONE
LICENSE NO.
Plan Checking Fee
,$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS 254 PRYDE AVE.
Permit fee
$ 24.00
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
BIGGS
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAME PARCEL MAP
Water piping
5.00
Each qas water heater or vent
5.00
USE OF STRUCTURE
SF ❑ Duplex❑ Mobilehome® Other open deck
sPECI FY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home S G W
0.00 ea
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation— Other E]
Describe work: i
1st renewal of permit #1588-87 j
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
j
Main service OOOV OR LESS
100 AMP OR LESS
10.00
Main service EA. ADD'L 100 AMP
2.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (Check One):
❑ 1 am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full force 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 Jhjs reason
NEW CONST. ( DWELLING OCCUP.M) /20sgft
OR ADDNS. ACC. BLDGS. ,
NEW CONSTR. I.OUTLET 2.50 ea
NON.RESID BRANCH CIRCUITS)
POWER APPARATUS e
(SINGLE OUTLET CIR.
Ex. Occu SAL@30
p OUTLETS OR FIXTURES 200030
FIXED APPLNS. OR
Ex. Occup. OUTLETS (RESID.) EA.1 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 15.00
g
Permit Fee $
Contractor
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ 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
Filing Fee 10.00
Heating
Cooling
Hood
3.00
Ventilation
permit Fee
Contractor
$
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 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 s, and expenses which may in any way accrue
n d Count r in c nsequ nce of the granting of this permit.
. f
Date
Pign;ature of Applicant — Owner Conerocror ❑ Agent ❑
An OSHA permit is .required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
TOTAL PERMIT FEE $ 24.00
OCCuP.
CONST.TYPE
SCHOOL
FLOOD
PARCEL
P11
I HD
I ISSUE
This permit is hereby issued under the applicable provi-
sions of the Butte County Code and/or resolutions to do
work indicated above for which fees have been paid.
_ DIRECTOIVO PUBLIC WORKS
BY Dates Z —� V
PERMIT EXPIRE Date 5-21-89
Receipt No.
WHITE-O.P.W., YELLOW-AS2C380R. PINK -INSPECTOR. GOLDENROD -APPLICANT
r,
�doM�, .� �t��
s ate_ r
COUNTY OF BUTTE - Department of Public Works
7 County Center Drive', Oroville, CA 95965 Phone: 916-538-7541 '
OWNER -BUILDER VERIFICATION
Attention Property Owner:
An "owner -builder" building permit has been applied for in your name and bearing
your signature.
Please complete and return this information at your earliest opportunity to avoid
unnecessary delay in processing and issuing your building permit. No building permit
will be issued until this verification is received.
1. I personally plan to provide the major labor and materials for construction of
the proposed property improvement (yes or no)
2. I (have/have not) A signed an application for a building permit
for the proposed work.
3. I have contracted with the following person (firm) to provide the proposed
construction:
Name
Address City
Phone Contractors License No.
4. I plan to provide portions of this work, but I have hired the following person
to coordinate, supervise, and provide the major work:
Name
Address City
Phone Contractors License No.
5. I.will provide some of the work but I have contracted (hired) the following
persons to provide the work indicated:
Name Address Phone Type of Work
Signed: I WWV,Q -2
Property Owner
Social Security Number
Date
NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and
19832 of the California Health and Safety Code.
This verification must be completed and returned to -our office before we are per-
mitted to issue the permit.
{
I.
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKSPE M�I/T
7 County Center Drive - Oroville, California X5965 - Telephone: 916/538-75410:�
S/
APPLICATION AND PERMIT o
ASSESSOR ARCEL NUMB R-
O/(I03
ZONING
BUILDING PERWTJ
OWNER
rQh Ck ,Lr&n
�►1 :;1
TELEPHON
/
S0. FT. OCC, BUILDING
VALUATION
OWNER'S AILING DDRE 5
45 r e- ve-
s
CONT ACTOyRR''S NAM
W •e yl-
TELEPHONE
CON-T-RACTOR'S MAILING ADDRESS
Fireplace
CONSTAUCTION LENDER
UNKNOWN
Total Valuation Is
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$
ARC I.. ECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Energy Plan Checking Fee
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
Permit fee
$
PLUMBING PERMIT
Filing Fee 1 10.00
Each Trap
2.00
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAME
CEL MAP
Water piping
5.00
Each qas water heater or vent
5.00
USE OF STRUCTURE
SF ❑ Duplex[] MobilehomelM Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home S I G 1W
10.00 ea'
TYPE OF WORK
New❑ Addition❑ Remodel Utilities In tallation❑ Other
Describe work: IS
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service SOOV OR LESS
100 AMP OR LESS
10.00
Main service EA. ADD'L 100 AMP
2.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check.one):
❑ I am licensed under provisions Of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full force 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
OR ADDNST DWEACCLLIN GOCCUP.&) S.
yzQsgft
NEW CONSTRMULTI-OUTLET
NON-RESID BRANCH CIRC ITS
2.5020
POWER APPARATUS 6
SINGLE OUTLET CIR. )
Ex. FIXTURES
200500
200030
FIXED APPLNS. R
EX. Occup. OUTLETS ((RESID,)EA.)
2.00
Temporary service
10.00
Mobile Home Facilities
15.00
Misc. Wiring
15.00
Permit Fee
$
Contractor
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ 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
Filing Fee 10.00
Heating
Cooling
Hood
3.00
Ventilation
permit Fee
$
Contractor
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 representatives of the Countyot
Butte to enter upon the above-mentioned property for inspection purposes.
I 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
against saLd County in cons uence of the granting of this permit
L
X Date ✓
Signature of Applicant — Owner ontractor ❑ Agent ❑
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
TOTAL PERMIT FEE $
CONST*TYPEJ
PLO PARCEL
/
PD
I ;1
ISSu
This permit is hereby issued under
sions of the Butte County. Code and/or
work indicated above for which
DIRECT R OF PUBLIC
/J
By9 1
PE T EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date S"2-140
`^
U -7-%
-
Receipt No.
WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT
..,.,,n..c y.—_: � -.. Y/t.7+ •••. I ` �� .r!•'L+"7r f f4s 4f , ..• (. _//JJ , T.
COUNTY OF BUTTE - DEPARTMENT OF, PUBLIC WORKS - BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLEr, CAJ OFsNIA 95965 - TELEPHONE: 916/534-4541
PERMIT APPLICATION DATA SHEET
Permit No.
OWNER ✓0n /< F h Z A. P. No.
r
Proposed Building Use 010e K /OcAZ& Building Inspector Date S ��
At time of permit application, I was advised the following data must be submitted prior to permit processing
and:/or issuance: DATE RECEIVED APPROVED
All items have been submitted. . . . . . . . . . .
Plot plans 4i uplicate iplicate, signed by preparer of plans. .404
3. Complete pl ns i uplicate/triplicate, signed by preparer of lans.
4. Complete engineered plans and calcs, with wetsignatureon plans.
5. Plans with Energy Design Compliance Statement. . . . . .
6. CUSD "Fees Paid" Stamp on Floor Plan . . . . . . . .
7 Statement of Intent for Non -Heated and AC Buildings.
8. Fees of $ . . . . . . . .
Letter of signature author Iza
_1;1 Sanitation approval from ✓'� U I/l Health Dept.
11. Planning approval for (A) Use: (B) Parking:
12. Certificate of Workmen's Compensation Insurance. . . . . .
13. Contractor's License Information (no., name style, classif.)
14. Owner -Builder Verification (Given to owner, Mail to owner ❑•),
_15. Improvements may be required. . . . . . , , , , ,
16. Mobilehome Installation Data. . . . . . . . . .
17. Pre -Inspection for
Pre-Inspec. request to (Dote)
Required. Building Inspector
18. Recorded copy of Agricultural Acknowledgment Statement.
19. Driveway Permit.
20. Plot plan approval from city of
21.
22.
When you issue the per It, proce s as follows: Mail to owner, Mail to contractor.
Telephone 4 �lj an hold (° pickup atnz,-4 fice, Deliver w/inspector.
ther 0 VCd� i 1
00/opyof
ApplicalDateplans sent Health Dept., Fire Dept„ Other Date
The following data must be submitted prior to permit issuance: (Circle new item not checked above).
1. Index permit for above items No. —4-
2. Additional items required:
Contractor, designer, owner, was advised of above required data by_phone---nall—counter by date
Contractor, designer, owner, was advised of above required data by—phone _mal l—counter by date
Plans checked by Date Plans approved by—_ADate
Sets of plans on hold in File cabinet AP folder
Copy—DPW
— Flours: 10:00 a.m. - 3:00 p.m.
IC
TO Buildinv Department
FROM: Environmental Health
SUBJECT: Sanitation Clearance
Owner ocation AP#
Plan Approved for:
Hold final for:
Sewage Disposal
Water Supply
Water Supply
Final clearance O.R. for: . Water Supply
Clearance for _._— bedroom mobile home. Other 45?x_17 —,
COUNTY OF BUTTE - Department of Public Works
7 County Center Drive, Oroville, CA 95965 Phone: 916.538=7541
OWNER -BUILDER VERIFICATION
Attention Property Owner:
An 'owner -builder" building permit has been applied for in your name and bearing
your signature.
Please complete and return this information at your earliest opportunity to avoid
unnecessary delay in processing and issuing your building permit. No building permit
will be issued until this verification is received.
1. I personally plan to provide the major labor and materials for construction of
the proposed property improvement (yes or no)
2. I (have/have not) signed an application for a building permit
for the proposed work.T
3. I have contracted with the following person (firm) to provide the proposed -
construction:
Name
Address City
Phone Contractors License No.
4. I plan to provide portions of this work, but I have hired the following person
to coordinate, supervise, and provide the major work:
Name
Address City
Phone Contractors License No.
5. I will provide some of the work.but I have contracted (hired) the following
persons to provide the work indicated:
Name Address Phone Type of Work
Signed: ,
Property Owner
Social Security Number
Date
NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and
19832 of the California Health and Safety Code.
This verification must be completed and returned to our office before we are per-
mitted to issue the permit.
S A setback of 5 ftfrom the
property lines and a setback
of 50ft. from the road
centerline shall be clear of
structures or equipment except
' for a 2 ft. eave overhang.
O
U
flims _
1
NOif:—All Materials & Workmanship Shall De v
Accbrdance with Recognized Good Practices ano
of a quality prescribed for the Specified use in the
Uniform Building, Plumbing & Machanical Codes and
the National Electrical Code. "
r
This set of plcins and specifications MUST be
kept on the job at all times- and it is unletWful +6
make � 4ny changes or alterations on same wiff Wi
written permission from the Department of PuMe
Works, County of Butte.
'UM r-rA E
WELDING DEPART
��VE,
z
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541
AGRICULTURAL BUILDING EXEMPTION PERMIT
PE MI N�
Agricultural building is defined as follows: Agricultural building is a structure designed and constructed to
house farm implements, hay, grain, poultry, livestock, or other horticulutral products. This structure shall not
be a place of human habitation or a place of employment where agricultural products are processed, treated,
or packaged, nor shall it be a place used by the public.
ASSESSOR PARCEL NO.
c
ZONING
OWNERPHONE
,
NO.
Y'
OWNER'S ADD ESS
Vylvdl- Ave.
LOCATION OF BUI ING
r
USE OF BUILDING
SIZE OF STRUCTURE)
[bZ� X
�p 6 SQ. FT.
TYPE OF CONSTRUCTION:
WOOD FRAME -STEEL � CONCRETE OTHER (Specify)
TYPE OF SIDING
ROOF COVERING
FLOOR
e
a_
`
:JE
ESTIMATED COST OF CONSTRUCTION.
AG Buildings shall comply with the building front, side, and rear yard requirements of the applicable County
Ordinances as followsp.,
FRONT 4t SIDES
S
.
REAR
AG Buildings shall be a minimum of five (5) feet from any septic tank or leach fields.
AG Buildings less than 1000 sq. ft. in floor area shall be located a minimum of 6 feet from a residence, 10 feet
from a mobilehome, and 23 feet from a commercial building.
AG Buildings greater than 1000 sq. ft. in floor area shall be located a minimum of 23 feet from a residence and
a mobilehome, and 40 feet from a commercial building.
I declare under penalty of perjury that the building will be used as stated above and the proposed use
conforms with the AG Building definition. If any change in use or occupancy of the building is made, I will
contact the Department of Public Works and will obtain any necessary permits, inspections, and approvals to
comply with the requirements in effect at that time and before occupancy.
DateSignature of Owner !�-
Permit Fee - $25.00 The above described AG Building is exempt from a building permit.
Receipt No. I J a 6,b Director of Public Works
By � Date
White - DPW, Yellow - Assessor, Pink - B. L, Goldenrod - Applicant
2152-79B,P,E,M
. "
:PERMIT NO. 4
PERMIT EXPIRES '113to�e
OWNER Frank Dp;a;z
1CONTR.
-Burl Woodward, Gridley
' 22-203-11
! LOCATION (A.P.
N/S Pryde Rd., 12 mi.W.of Hwy 99E, Biggs
,1`
{
�i
t
• I�
.r
t
:r.
Temp. Power ole
Called G&E
Temp. Erhec. Serv. F
Ca6Ped PG&E
$- TempeGas Serv.
Called PG&E
OB ltFINALED(D
I
' o
t �
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
BUILDING INSPECTION RECORD
BUILDING
BUILDING (Cont'd)
—
PLUMBING
Setback i
Firewall
Soil Piping
Ventilation
Forms
Parapets
1st Floor
Final - -
Main Bldg.
Restroom Finish
2nd Floor
Water Piping
Footin sr7�
StemwalI
Windows
Siding
3rd Floor
To out
Support
Slab VRoof
Piers 5ap
Sheathin �5��
Roofing - rC100
Water Piping
Sewer
Gas Piping
Garage U
Fdn. Vents --
Fixtures
Footings
Stemwa l l
Garage Vents ---------
Insulation
Water Htr.
Heaters
Slab
Carport
p
Footings
Prov. for phsically
handica el
Conformance of ex.
structure
Appliances
Gas PI in
Temp. Gas
00
_
Slab
Final
Sanitation
Patio
FIREPLAC
Final
Footings A
Footing Q
ELECTRICAL
Masonry Wall
Throat %
Rough
a - Q:�
Reinf. Steel
- %i al
Fixtures
Bond Beam
FIRE SPJUNVI E RS
Motors
Framing - ` -
Test
Water Htr.
Stucco
Final
Subpanels
Mesh
MECHA46CAL
Grd. Fault Prot.
Scratch
Heating
Service
Brown
Cooling
Temp. Pole
Finish
Ducts
Underground
Interior Lath
Ventilation
Permanent
Door Closer
Final-��
Final - -
MOBILEHOME UTILITIES ----------•-------
Elec- Service
Elec. Pedestal
Water Piping
Sewer
Gas Piping
MOBILEHOME INSTALLATION - - - - - - - - - - - - - -
Support
Elec. Continuity
Water Piping
Drainage
Gas Piping
DATE REMARKSOR C RRECTIONS
A:�-�-�
/6, 9 '
(NOTE: An entry must be made on this form each time you visit the job site.)
{{{VVVA+ ld
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965
• Telephone: 534-4541
APPLICATION AND PERMIT
aurnorize represenrarlves or me vounry or tsurre ro enter upon me
above-mentioned property for inspection purposes.
Dat
Signature of Permitee or Agent
Receipt No.
White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant
This permit is hereby issued under the applicable provisions of
the Butte County Code and/or resolutions to do work indicated
above for which fees have been paid.
DIRECTOR OF PUBLIC WORKS
By��!/ Date6/-,7 - Jt
uilding permit expires Date y _,P0
BUILDING
Owner
SQ. FT. OCC. BUILDING VALUATION
5-7 / / S 60 =—
Mailing Address
Telephone No.
Contractor
Mailing Address
Fireplace
Total Valuation
Tele hone No.
(p.
Permit Fee
Building Address r
Plan Checking Fee &/or Penalty
Permit Fee ,
C?i
�2 %,9�c C,2 h
PLUMBING No.1
@
FEE
PERMIT FILING FEE
$3.00
3,00
Each Trap 1.50
Repair drainage or vent piping 1.50
A. P. No.
Zoning-& Pfonning
Water piping
1.50
/.may O
Each gas water heater or vent 1.50 .i,'t)
Ves
.
fSa 'on
Fire Dept.
Fire Zone
Use Permit
Gas piping system 1 - 5 outlets 1.50
EQA
Parking
Plans
Parcel
Declaration
Parcel Map
60' R/W
Improvements
Each additional outlet .30
Building sewer 5.00 ,
�' ,/
,5+145. Plans Recd I
Parcel A royal
PI ppravol
Lawn sprinkler system 2.00
NEW ❑ ADDITION B4 UTILITIES ❑ OTHER ❑
Permit Fee $
ELECTRICAL No.1
@
FEE
PERMIT FILING FEE
$3.00
(`JC
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 s
100 AMP O OR LESS
25.00
Main service EA. ADD'L 100 AMP 1.00
NEW CONST. (/ DWE UP. N
OR ADDNS. l ACC B / 20sgft -,Q•O
CONTRACTORS LICENSE LAW
I am licensed under the provisions of Chapter 9, Div. 3, of the
State of Caljfornia Business & Professions Code under the name
sty `
�4Z cj
NEW CON RES] M LTI.OU IR T
NON RES] .( BRANCH CIRCUITS)
2.50ea
NEW CONSTR. (POWER APPARATUS B
NON-RESID. `SINGLE OUTLET CIR.
Ex. Occuo(OUTLETS OR FIXTtIRES B L;;
FIXED APP LNS. OR
Ex. Occup- (OUT LETS (RESID.) EA) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
c�
License Not, UJ u Classification
Misc. Wiring 6.25
❑ I am exempt from the Contractors License Laws of the State of California.
Permit Fee
$
$-53,m
MECHANICAL No.
@
FEE
WORKMEN'S COMPENSATION INSURANCE
1 am aware of the provisions of Section3700 of the California Labor
Code which requires every employer to be insured against liability
for Wor en'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
C5
Heating /21 V
u'm
Cooling +,'a
Ventilation
Hood 2.00 `o',,
Permit Fee $
$ 5(
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
Land Development Fee
$
TOTAL PERMIT FEE
$
aurnorize represenrarlves or me vounry or tsurre ro enter upon me
above-mentioned property for inspection purposes.
Dat
Signature of Permitee or Agent
Receipt No.
White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant
This permit is hereby issued under the applicable provisions of
the Butte County Code and/or resolutions to do work indicated
above for which fees have been paid.
DIRECTOR OF PUBLIC WORKS
By��!/ Date6/-,7 - Jt
uilding permit expires Date y _,P0
LABEL
27.
NUMBER GRADE
WESTERN RED CEDAR
Manufactured and graded in accordance with Uniform
Building Code standard 32-8 end inspected by
INSPECTION SERVICES, INC.
10510 Nottingham Road • Edmonds, WA 98020
Research Report / AA•5W
I
3/4"x 24" (1.91cm x 61cm) HEAVIES
I HANDSfPLIT& RESAWN
LAME CEDAR PRODUCTS
2825 Mohawk Road o Springfield, OR 97401
Phone (503) 747-4831
s
tAl
LABEL
27.
NUMBER GRADE
WESTERN RED CEDAR
Manufactured and graded in accordance with Uniform
Building Code standard 32-8 end inspected by
INSPECTION SERVICES, INC.
10510 Nottingham Road • Edmonds, WA 98020
Research Report / AA•5W
I
3/4"x 24" (1.91cm x 61cm) HEAVIES
I HANDSfPLIT& RESAWN
LAME CEDAR PRODUCTS
2825 Mohawk Road o Springfield, OR 97401
Phone (503) 747-4831
#1 6,706 �
PERMIT NO. Y' 1635-82P;E
PERMIT EXPIRES
OWNER Frank Deniz
CONTR. Owner
ASSESSOR PARCEL 22-20311
LOCATION NIS Pryde Avetx4e, app 200' E. of_
Irrigation Canal, Biggs
r
a
,I -
Temp. Power Pole
u'
Called PG&E
-£lec. Service Z
f
z Called PG&E
Temp. Gas Service
,=,,,,,
Cal led PG&E
f � —
JOB FI ALED (Date)
t
B
Signature
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE
OROVILLE, CALIF. -4534-4541
CERTIFICATEOF"OCCUPANQ
This mobilehome has been installed in accordance with the requirements
of the California Administrative Code, Title 25, Chapter 5, under permit
number l7oS k ?-for the following location: AIA Pi6.1f,.5 /adJ�
Ape '7wr f5 r- ,I Kok ( C,0 -f- (oL,-- CAIVA, L A i C-C�. S
Owner. FAUt ll- T-),-- N( Z s
Owner's Address -2-' d P2 (l;> k-- /Qy r'k -
<< &�1-
Mobilehome Mfg. �f� ��- SJ— Model a Year
Insignia No.CAL ok2,1q-0159Serial No.
0
It is hereby certified for occupancy at the above dg scribed location and
maybe occupied. ,
Directt r of Public Works /
Date C5 -�— $y �/��Lrte.
f
THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS -RELOCATED `
White - Owner, Yellowjnstaller, Pink-- D.P.W.
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
matter, or need additional explanation, please contact this office immediately.
1 1 �
l Z 1f-- 1W7- ON
Inspector 't f �I i c/1 ff /, Date %- ✓
J = OK
0 = Not OK
— = Not Applicable MOBI-LEHOMES MISCELLANEOUS
* = Not Ready
Date MOB HOME UTILITIES (Plans) OK except N's
Date
DECKS, COVERS, CARPORTb, CTC. (Plans) u, „xcept h
Zoning Requirements—Setbacks—Easements
1, Zoning Requirements—Setbacks—Easements
2. Soil ; Special Mb Support—Sketch
2. Footings; Size—Depth—Spacing—Connectors
ew , ocation—Test—Fall-C/0—Concrete
3. Decks; Girders and/or Joists—Decking—Bracing—Stairs—Rails
fe4a-terLocation—Test—Easement Needed (Sketch)
4. Wood Awn.; Posts—Beams—Rftrs.—Connec.—Shthg.—Rfg. [tracing
lectricity; Location—Clearances—Grnd.—/ / Amp—Concrete
5. Alum. Awn.; Columns—Connections—Splice—Decal—Enc,ris„res
s; ovation—Test—Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ P, LPG
6. Carports; Windows—Doors
7 Utility Clearance
7. Elec.
C &dBI ate Card -BI Date
Card -BI
Date. Card -BI Date
Card -13 Date rd -BI Date
Card -BI
Date Card -BI Date
DateOBILF�FiOME INSTALLATION (Plans) OK except N's
Date
_
POOLS (Plans) OK except k's
o equ i rements—Setbacks— Easements
1. Setbacks—Easements
ootings; Size—Spacing—Marriage Line
2. Soils; Compaction—Structure Stability
�—Demand —Valve—Connector
3. Pool Structure; Steel—Connections—Thickness—Dead Men—Lining
4, Elec.; Receptacles and Lighting; Distances—GFI
ctricity; MH Test—Cross rsBre rs—Clea nces
rain; MH Test—Fall—Flex Connector
5. Elec.; Pool Lighting; 15 volts—GFI
6. ter; MH Test—Regulator—Connector
6. Elec.; Enclosures; Conduit Entries—Terminals—Listed
7. ater and Sewer Connected—C/0 to-Grade—HD Approval
7. Elec.; Bonding; Metal w/5'—Circulating Equipment—Heater
8. nd Electricity Tagged
8. Elec.; Grounding; Equip. w/5'—Circulating Equip.—Pool Lghtg.
"Boxes—Enclosures—Panelboards—Ins. to Main in Conduit
s; Insp.—Sketch
10. Cert. of Occupancy
9. Health Department Approval
10. Plumb; Cir. Test—Water Supply Test
Card -BI
Date Card -BI Date
C B atd-BI Date
Card B -I Date Card -BI Date
Card -BI
Date Card -BI Date
J = OK
0 = Not OK
= Not Read cable RESIDENTIAL (Single and Duplex)
Ready
Date
UNDERFLOOR Plans OKexcept #'s
Date
FRAMING (Continued)
1.
Zoning requirements -Setbacks -Easements
48.
Property Line Firewall & Openings
2.
Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth
49.
Ext. Doors -One 3' -Check Garage -3rd story, 2 exits
3.
Ftg., Garage; Soils -Steel- / /" Ftg. Depth
50.
Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
4. Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth
5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab
51.
52.
Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
Siding -Nailing -Veneer
6. Stemwalls, Garage; Steel -B lockouts -Wrapped -S lab
53.
Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access
7.
Piers -Fireplace Ftg.-Steel
54.
Glazing Area -Glass Protection -Skylights -Plastic
-
8.
D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test
55.
Shear Walls; Nailing -Bolts
9. Gas Pipe; Size -Anchors
10.
Water Pipe; Test -Anchors -Regulator -Service Test
11.
Electric; Underground
12.
Plenums & Ducts; Clearance -Material -Support -Ins.
13.
Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date
Date Card -BI Date
FINAL (Plans) OK except q's
56. Ext. Steps -Door & Sidelight Protection -Landings
Card -BI
Date
Date Card -BI Date
PLUMBING (Permit) OK except q's
57.
Smoke Detector
14.
Water Ht.; Vent -Access -Combustion Air
58.
Furnace; Vents -Clearance -Comb. Air -Connector -
In Garage; Above Floor-Ducts-Mech. Protection
15. Water Pipe; Test & Anchors -Nail Protection
16.
D.W.V.; Test-Fttngs & Anchors -Nail Protection
59.
Bedroom Exiting
17.
Shower Pan; Test, First Floor -Tub Access
60.
G.F.I. & Bath Fixtures & Tub Access
18.
Test Tub & Shower, 2nd Floor -Tub Access
61.
Elec. Trim & Subpanel; Breaker Sizes -Labels
_
19.
Gas Pipe; Size & Anchors
62.
Stairs & Rails
63.
Fireplace or Stove; Clearances -Hearth
64.
Elec. Outlets at Wood Panel; Int. & Ext.
Card -BI
Date Card -BI Date
65.
Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance
Card -BI
Date
Date Card -BI Date
ELECTRICAL Permit OK except q's
66.
Elec. Outlets & Receptacles at Kit. Counter
67.
Garage Fire Door; Swing -Landing -Closer
68.
A.C. Duct in Garage -Damper
20.
21.
Fixture & Transformer Clearance -Ins. Protection
Elec. Receptacles Spacing -Lights &Switches at Doors
69.
Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.-
In Garage; Above Floor-Mech. Protection
70.
Plb., Elec. &Mech. Equip. Listed for Location
22.
Size Boxes No. of Conductors -Stapled
71.
72•
Elec. Receptacles in Garage; (G.F.I.)-Romex Protec.
Insulation -Foam -Looked in Attic E] Yes
23. Romex Installed Close to Edge of Studs & C.J.
24.
Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water
73.
Guard Rails & Deck Construction -Post Caps
25.
2 Appliance Circuits in Kitchen &Conductor Size
74.
Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance
Looked under Floor ❑ Yes
26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or At
27.
Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al,
Insulated Neutral DYes El No
75.
Followinginstld.: Drive Yes No; Walks
❑ ❑ El Yes ❑ No;
Planters Dyes ❑No
28.
Service -Riser Conductors & Ground -Main Disconnect
76.
Stucco; Brown -Finish
29.
Equip. Clearances; Panels-Motors-Mech. Equip.
77•
A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet
-_
30.
Clothes Closet Light -Shower Light
78.
Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs.
-
-
79.
Water Well; Disconnect, Electrical, Plumbing
Card B -I
--
Date_ Card -BI Date
80.
Exterior Elec. Trim; G.F.I. Receptacle -Underground
81.
Ventilation throughout House
Card B-1
Date Card -BI Date
82.
Glass Protection
Date
MECHANICAL (Perrr,it) OK except #'s
83.
_
Corrections from Previous Inspections
84.
Gas Test -Meters Tagged; Gas -Electric
31.
A.C. Ducts; Insulation & Support
85.
Water & Sewer Connected -C/O to Grade -HD Approval
_
32.
Vent Fan; Exhaust above Insulation
86.
Energy Compliance Certificate -Other Certificates
_33.
Condensate Drain & Overflow; Size & Grade
_
34.
Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet
Card -BI
.Ca d -BI
35.
--
Attic Access -& Platform if Furnace in Attic
Date - _ _ Card -BI_ Date
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Date
FRAMING(Plans) OK except q's
Comments at Final:
Sills; Proper Material & Anchors
_
_
_36.
37.
38.
3_9.
40.
Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound
Bearing Walls over Girders & Floor Nailing _
Draft Stop in Walls (rat proof)
Fire Stops; Furred Ceilings -Stairs -Chases -Tub
_
41.
42.
43.
44.
Header & Beam -Size & Bearing
Hangers -Post Caps -Anchors -Connectors
Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthnq.-Rfnq.
Fireplace Ties or Type A Flue -Fireplace Throat
_
45.
46.
47 ,
Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
Bdrm._Windows or Exiting Doors -Sill Hgt. & Dimensions ----
Garage Fire Protection Framing
(NOTE: An entry must be made each time you visit jobsite)
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
�v Z
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.
r
rr FMS 5 ��/'� .; 1:iie) 0a, Lc.
t-oIL /,V%i-/ ox", ,�_ PA�✓5�� snit.
r�GK Q6
Q0 4l-'>
/!✓ c. r71 -Lt_ R -in, -0
J� -
Inspecto� J `� of `,�• ,% '� Date tam �f �---�
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS t
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
01
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.
Inspector ' �� y �` ` Date
a
60
O00
e
t )► �
--` �- --•-- —'-- Z. Oma.
�i O
� �_.�� _
a
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Ic-4-
wit t..S
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO.
7 County Center Drive - Orovitle, California 95965 - Telephone 916/534-45
APPLICATION AND PERMIT
ASSESSOR PARCEL NUMB 1 ZONI
G
BUILDING PER IT
OWNER TELEPHONE
Y P,41
SQ. FT. OCC. BUILDIIM VALUATION
OWNER'S MAILING KESS
CONTRACTOR'S NAME ,w
Y\
T L HONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
7
Total Valuation $
Filing Fee
$
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
9Y�
LICENSE NO.
Plan Checking Fee
Penalty
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee
$
BUILDIN AD 41TFAS S
S
PLUMBING PERMIT
Filing Fee 10.00
f-eL,%4
Each Trap
2.00
Repair drainage or vent piping
5.00
Water piping
r
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Each qas water heater or vent
5.00
Gas piping system 1 - 5 outlets
USE OF STRUCTURE
SF ❑ Duplex❑ Mobilehomep_�_O'ther
SPECIFY
Building sewer
,DO
Lawn sprinkler system
5.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities Installation ❑ Other ❑
Describe work:
Permit Fee
$ e3p 100
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 1101 OR LESS
100 AMP OR LESS
00 O.�l
•
Main service EA. ADD'L 100 AMP
2.50 (�
NEW CONST. ( DWELLING OCCUP.y)
OR ADONS. \ ACC, BLDGS.
20 sq ft
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check One):
❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full force 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 CONSTR. I.OUTLET 2.50 ea
NON.RESID BRANCH CIRC ITS
NEW CONSTR ( POWER APPARATUS e)
NON.RESIO. SINGLE OUTLET CIR.
Ex. Occup OUTLETS OR FIXTURES 500250
00
IXED APPLNS. OR
Ex. Occup.(OUTLETS (RESID.) EA. 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 7.50
Permit Fee $
Contractor
MECHANICAL PERMIT
FiIingFee 10.00
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ 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.
E�'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.
Heating
Cooling
Hood
3.00
Ventilation
permit Fee
3
Contractor
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 representatives of the Countyot
Butte to enter upon the above-mentioned property for inspection purposes.
I 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
against said County in consequence of the granting of this permit.
X Date �� g—
��
Signature of Applicant — Owner Contractor ❑ Agent ❑
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
structures over 3 stories in height.eiptNo.
Mobile Home Installation Fee $
TOTAL PERMIT FEE $
OCCUP. GROUP
I TYPE OF CONST.
F
IPARCE
PD
Igo,
✓
ISSUE
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIRE C OF PUBLIC
ByDateE-D.P.W.,
PERM X IRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
rion,Cof
����
YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
1 ,
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT N0.
7 County Center Drive - Oroville, California 95965 - Telephone 916/534-454114 CU 01-
APPLICATION AO PERMIT 41'
ASSESSOR PARCEL NUMBER
ZONING
BUILD G PERMIT
OWNER
V).?,
TELEPHONE
SO. FT. CC BUILDING VALUATION
OWNER'S MAILING ADDRESS
CORAC TORS NA Fj
TELEPH_ONE j
C N ACTO •S MAILING ADDRESS
�
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$ C)
Penalty
$
ARCHITECTARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee
$
BUILDING ADDRESS
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
Repair drainage or vent piping
5.00
Water piping
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Each qas water heater or vent
5.00
Gas piping system 1 - 5 outlets
USE OF STRUCTURE
SF ❑ Duplex[] Mobilehomeg?`�Dther
SPECIFY
Building sewer
Lawn sprinkler system
5.00
TYPE OF WORK
New ❑ Addition Rodel ❑ Uti ities ❑ installation Other ❑
Describe work: /`z�/L /"��t'!Ll%� �� ��i
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 100 AMP OR00V OR LESS5.00
Main service EA. ADD'L too AMP
2.50
NEW CONST. `( DWELLING OCCUP.$)
OR ADDNS. ACC. BLDGS.
20 sq
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
I am licensed under provisions of Chapt. 9, Div. 3 of, the Business
and Professions Code and my license is in full force and effect.
77
License No. 31 2- l 2-; Classification C- � /
❑ 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
NNEW ON-RESID R BRANCH CIRCUITS) 2.50 ea
NEw CONSTR. (POWER APPARATUS e�
NON-RESID. \SINGLE OUTLET CIR.
w @ z5¢
Ex. OCCUp OUTLETS OR FIXTURES BALM
FIXED APPLNS. OR
EX. Occup.�OUTLETS (RESID,) EA. 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 7.50
Permit Fee $
Contractor
MECHANICAL PERMIT
Filing Fee 10.00
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
Consent to Self -Insure.
�f'
L� 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.
Heating
Cooling
Hood
3.00
Ventilation
permit Fee
$
Contractor
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 representatives of the Countyot
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnif and keep harmless the County of Butte against
all liabilities, judgme s, cc ts, and expenses which may in any way accrue
against id County in ons uence the granting of this permit.
��_
X ate aZ
Signature of Applicant - Owner ❑ Contractor Agent ❑
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures oovverr�/3 stories in height.
Mobile Home Installation Fee $ v
TOTAL PERMIT FEE $
OCCUP. GROUP
TYPE OF CONST.
PARCEL
PD
HD
199U
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIRECTOR OF P BLIC
By
PERMIT EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date — 0�
Receipt No. (OA WS
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
i
ej,
MOBILEHOME SUPPORT DATA
If other,than•single wide,
Mobilehome Mfr. FAkL414,S' ' furnish Setup Model No.Gpk l3,6 a Year Ra
Width—P V (ft.) Box Length 6 V (ft.) Tagalong or Expando Size ft. x ft.
(SHOW SUPPORT DETAILS BELOW)
On all mobilehomes manufactured after October 7, 1973; furnish manufacturer's installation
manual and structural setup sheets (if not on file with the County of Butte).
All center supports measured from front of
mobilehome unless otherwise specified. `.
(ft.)(in;)
Center support
locations*
1,3 ' a "
(ft.)(in.)
(ft.)(in.)
34/ 8
(ft.)(in.)
16 V"ee
(ft.)1 (in.)
NtavSingle
a x 3a'
(in.) (in.),,.
Center support
footing sizes
(in.)
3D "x,,,/ a
(in.) (in.)
(in.) (in.)
36 /0,fC 3G''
Det
*If center piers are other than drawn above,
draw in. -locations, spacing, and dimensions.
Footings (check one)
0' 1. Wood either
pressure treated or
foundation grade.
D 2. Other (specify)
Supports (check one)
Concrete block.
E] 2: Other (specify)
Tagalong or Expando,'
show support details.
1a''x,3o -- +Typical Support
(in.) (in.) Footing Size
Max. Pier Spacing
Max. Overhang
(ft.)(in.)
/705-8Z
BU•CTE C:OUN ( t
BUILDING DEPARTMEW
APPROVED
BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS
7 County Center Drive, Oroville, CA.
PHONE: 534-4541
MOBILEHOME INSTALLATION SHEET
1. Owner's name: I'M 7" /f E U/ E Al I Z
2. Installer's name:
3. Is the site currently under permit?. Ye5 /4,-/ No / / •
(If yes, furnish permit number ) OR
Is the site an existing site? Yes / / No / 7K
(If yes, furnish two (2) plot plans.)
4. Will the mobilehome be located at least 5 ft. away from septic tank and leach fields and
clear of all setbacks and easements? Yes LLZ No
( If no, clarify
)
5.
What
is the mobilehome electrical rating?
D a
Amps
6.
What
is the mobilehome site service rating? ---------------------
D o
Amps
7..
What
is the mobilehome site circuit breaker rating? -------------
IQ D o
Amps
8.
Is there any other electric load to be served by the mobilehome
site
service? ---------------------------------------------------
Yes
No
(If yes, identify the load and size: (Load)
(APs)
9.
What
is the mobilehome site gas pipe size? ----------------------
(in.)
10.
What
is the type of gas service? ----------------------------- Natural/%
LPG
11.
What
is the gas pipe length from meter or tank to the mobilehome?
(ft.)
12.
What
is the mobilehome gas demand? ------------------------------
(BTU)
(This information not required if pipe length less than 6 ft.
on natural
gas
or less than 50 ft. on LPG.)
r • Ff
Y f �
A
Iq
; 1. i tN0 E: AI P ateri
a
s&W
Work m
an ,
r
,. shi'
Sh' I _
a
I This_ sit of plans acid speclfica#ions .HEIST fie 3 ' i jAcc rte' nce :with Recognized Good Practices' a- d
}
pt on the job at allitimes and itis unlav ful [�'; I ` ,o lquality prescribed for the Specified use in tI '
aka any changes or alterations on sam with- E iUnif,orm; Building, Plumbing'& Mechanical Codes
t writien permission from the Depart lnt of I I nd Ithe NA' nal Electrical Code.
blit Works, Count� of Butts{�COW)
U iliif ' connections shall be w* In ' ; i RANK
4 Ft.bf the mobilehome, eit' er
die '•ly behind or within +ne r �r
A setback of 5 ft. fr6m the i�loVr�t
h If if the roadside (lef j of t eM. b ;ehome.
AMC��� property lines and a, setback:
of 50ft. from the ro6d Z50
centerline shall be clear of
'structures or equipment:excen�
�_fo5► for a 2 ft. eave overhang.
A perm will b required fc the
install n of ne mobileho , ie. AT ;
i
BUTTE 1�',OUN"M
r i B IL®INt, D PARTMEN
Return to DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT�tD
OUTTE' COUNTYR.
FOR RESIDENTIAL DEVELOPMENT I'":f1f�PipS Pt �t,i': `, "_. r •�
Section 26-8:i of the Butte County Code requires this acknowledgement JUN
be recorded prior to issuance of a building permit.
The property described herein is adjacent to land or included RK-RECO�o€R
within an area zoned for agricultural purposes, and residents of FEE
this property may be subject to inconveniences or discomfort arising 82-18-730
frpm 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:
104
05, 6, 0,9 10,ll, 12 and 13, is shown on that
ain mail ontItled, "9uhdivioion of 0nstott Tract,
to County, California", which map was recorded in
0 office of the Recorder of the County of Butte,
to of California, D009mber % 1910 in Book 0 of
' pn, at page 220
, x
Date: 6—,)9 -
PROPERTY OWNERS:
State of California ) On this the 22n(I day of .T„nP , 1952,
Butte ) SS. before me, the undersigned Notary Public, personally
County of . ) appeared
1_pmlmlmlmmnlulmmniuuumummmlmummmnmimmmmimmxnnmmuux!umumxmrsummmxm
OFFICIAL SEAL
R�
JOYCE CLARK
s ® NOTARY PUBLIC•CALIFORNIA
FRINCIP AL OFFICE IN
BUTTE COUNTY _
My Commission Expires Sept. 6,1985
�umulmnumuxumtmmnnixumnluxmlummmnuuuuuulmunmmununncmnmxuunmrxmnunnnni
Irene Deniz'
known to me to be the person(s)whose name(s) ;G
subscribed to the within instrument and acknowledged
that sI;Q executed the'same for the purposes
therein contained.
IN WITNESS WHEREOF, I hereunto set my hand and official
seal.
�JocoetClark
art' Pubic
Present A.P. NO. °�� �o����� i END OF DOCUMENY
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ILLI 1 (
A PPROVED
4
a
The minimum STATE RESIDENTIAL ENERGY REQUIREMENTS for this building is r
t,
,f Ci �q. ?� +t-pegrea Clays and Design Temp. are:
Insulation: Glazing,
�r
Slab edge - R �" Single-allowods sq. ft..._.
1 .
Fdn. Walls • - - • R ".. �"' `- Singse-actual; sq. ft.: . _...VV I
n �-^ i.i� ' CJ, GCltl+711Qrr i sq. f.s..�- - 1
Floors - - - . - �,.«�M � � ,""^"" J
Walls I - » .. F �,� ,s..�. � S . y PP r«a�t.��i; sq, ft .Y C�,�" t
,. r •e not required r x r i. 4
Coiling/Roof � ,,...♦ ..._ r
:r. t
nita r & rs
Ceti* f>n IZ
Circulating pipes
Ducts Table 10'D U.MW;:P Swislgsng Doors weatharstr pp
. �, �. r A. r ,
u p
,K! b
'1.
s� st` Fans back damperad 1!
Htg. & A.C.. �� F:-tc,
Exhaust gr:r w
F """` Gas Pilots �ntermstfent sgnstsan
Type
crt'sfiad_.. �...t f RM
BTU Max. '" .,4 , u ,.Ail Appl►ances�,, p, .
Wtr. Htr. Type . Other:_ N
r E . `4
ire ,. _ �
A :rms.Ma, ,nye,.w:. �..� x'_saa-.amu«..,♦._�..s n.:.+.«w�,..,nwn+r _ ,... '..�.:: w..ia.'
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