HomeMy WebLinkAbout022-350-0411 . - t
t�t�
ermit#r3147-88B,P,E,M�new single family'FDAGABERTO VASQUEZ
`
�022-'350-04 05-0569
Cont: OWNER
�
"
^
�
. '
'A DAGOBERTO
�
380Co EENHVAC
,
,
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT
24 HOUR INSPECTION M (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO)
OFFICE M (530) 538-7541
PERMITS BECOME NULL AND VOID 1 YEAR FROM THE DATE
LICENSED CONTRACTORS DECLARATION
I hereby affirm under penalty of perjury that I am licensed under
provisions of Chapter 9 (commencing with Section 7000) of Division 3 of
the Business and Professions Code, and my license is in full force and
effect. �a
License Class: L - z •O License Number: /- -7 Ir
Date: % A/ -3C_ Contractor: L__
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the
Contractors' State License Law for the following reason (Sec. 7031.5
Business and Professions Code: Any city or county which requires a
permit to construct, alter, improve, demolish, or repair any structure, prior
to its issuance, also requires the applicant for such permit to file a
signed statement that he or she is licensed pursuant to the provisions of
the Contractor's State License Law (Chapter 9 commencing with Section.
7000) of Division 3 of the Business and Professions Code) or that he or
she is exempt therefrom and the basis for the alleged exemption. Any
violation of Section 7031.5 by any applicant for a permit subjects the
applicant to a civil penalty of not more than five hundred dollars ($500).):
❑ I, as owner of the property, or my employees with wages as their
sole compensation, will do the work, and the structure is not
intended or offered for sale (Sec. 7044, Business and Professions
Code: The Contractors' State License Law does not apply to an
owner of property who builds or improves thereon, and who does
such work himself or herself or through his or her own employees,
provided that such improvements are not intended or offered for
sale. If however, the building or improvements are sold within one
year of completion, the owner -builder will have the burden of
proving that he or she did not build or improve for the purpose of
sale.).
❑ I, as owner of the property, am exclusively contracting with
licensed contractors to construct the project (Sec. 7044, Business
and Professions Code. The Contractors' State License Law does
not apply to an owner of property who builds or improves thereon,
and who contracts for such projects with a contractor(s) licensed
pursuant to the Contractors' State License Law.).
❑ 1 am Exempt under Article 3 of the Business and Professions Code
Owner:
WORKERS' COMPENSATION DECLARATION
I 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 the Labor Code, for the performance of
the work for which this permit is issued. My workers' compensation
insurance carrier and policy number are:
PERMIT NO.
BPO52470
OR IF WORK IS DONE IN VIOLATION OF ANY COUNTY OR STATE
Issued Date: 09/14/2005 APN: 022-350-041-000
Site Address: 380 TRENT ST. BIG
Map Index:
Description: hvac replace
Owner: VASQUEZ, DAGOBERTO
380 TRENT ST.
BIGGS, CA.
95917
Applicant: KLEEN AIR
1657 SILICA AVE
SACRAMENTO, CA
95815
Contractor: KLEEN AIR
1657 SILICA AVE
SACRAMENTO,CA
95815
License M 481974
Architect:
Engineer:
Carrier: '9TATt% F C," Total Square Ft: 0 S. F.
Policy#: / t040474a
Valuation: $0.00 /
Census Code:
❑ 1 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 workers' compensation laws of California,
and agree that if I should become subject to the workers'
compensation provisions of Section 3700 of the Labor Code, I shall
forthwith comply with those provisions. (�J
Date: �''" (�` aS Ul ��r
Applicant: ill
WARNING: Failure to secure workers' compensation coverage is
unlawful, and shall subject an employer to criminal penalties and one
hundred thousand dollars ($100,000), in addition to the cost of
compensation, damages as provided for in Section 3706 of the Labor
code, interest, and attorney's fees.
CONSTRUCTION LENDING AGENCY This per s hereby issu- and the appl' ble provisions of the Butte County Code and/or
I hereby affirm that there is a construction lending agency for the Resoluf ns to o wo �i icated bove f hich fees have been paid.
performance of the work for which this permit is issued (Sec 3097 Civ.) l� y
Name: By: Date:
Address: PERMIT EXPIRES ON:
❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage,
handling and use of hazardous materials.
❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project.
❑ Attached are copies of the required E.P.A. notification forms.
I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with
all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby
authorize representatives of Butte County to enter upon the above mentioned property for inspection purposes. „ _-n /-%
Print Name: E DwA GLS l Signature
Date: _q- (� O
0 Owner Contractor ❑ Agent for Owner Agent for Contractor
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 REOUIRED AT TIME OFAPPLICATION
Website: www.buttecounty.net/dds
"PLEASE PRINT CLEARLY"
APPLICANT NAME
OWNER
Las N m
UL /
FirstNva �e ,,
Zip
�-.
City
6 b S
State
Zip
Phone
Stat
Fax
E-mail
State License Number
APPLICANT NAME
CONTRACTOR
Name
City
Address
Zip
Address
Fax
State
r s
Cit �G
Map Book .
Stat
Z' i
Pho a
State License Number
Fax
E-mail
Lic.#�,
ClassZ<�,
APPLICANT NAME
ARCHITECT/ENGINEER
Name
City
Address
Zip
City
Fax
State
Zip
Phone
Map Book .
Fax
E-mail
Planner
State License Number
APPLICANT NAME
Name
Address
City
State
Zip
Phone
Fax
E-mail
APPLICANT SIGNATURE
X
i
For office use only:
Zoning
Property A sa 0 7 264 4�
Flood Zone
Cross Street
SRA
I Yes I
No
Occ.
Type Const.
Subdivision Name
Map Book .
Page
Lot #
Planner
Date Approved:
OVER FOR SUBMITTAL REQUIREMENTS
K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc
PERMIT
NO.
BP05- 2 LO O
BIN #
LOCATION
AP#0Z2_
Property A sa 0 7 264 4�
( Q
Cross Street
SRA
WORKER'S COMPENSATION
—Policy Number
Carrier
If hiring anyone other than license contractors, a certificate of worker's
compensation must be shown at the time of permit issuance.
LENDING AGENCY
Name
Address
Description or Scope of Work:
Sq. Footage
❑ Structure Built without Permits
❑ Proposed Change -of Occupancy
(Note previous use):
EXPIRATION OF APPLICATION
Applications for which a permit has not been issued will expire one
year after the date of application. In order to renew action on an
application after expiration, a new application, plans and fee will be
REQUEST FOR REFUNDS
Refunds can only be made upon written request by the person who
paid the fee. The request must be made prior to the expiration of the
permit and no construction work has been done. Filing fees, plan
check fees for work plan checked and other department costs are not
refundable.
Page 1 of 2
REV 2-24-05
Received by: Amount:
Bldg
SRA
Receipt #:
Sheriff
SMIP
Other
Date:
Total
Page 1 of 2
REV 2-24-05
PA-RCL,5Z, :�(-_ 7A7 �WL
SUBMITTAL & PERMIT REQUIREMENTS
The following drawings and specifications must be submitted to the Building Division in order to apply for a
permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK.
❑ 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. No graph paper!
❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans (No graph paper!) OR
Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations.
❑ 3. Engineered truss details and layouts in duplicate (if required). No faxes!
❑ 4. Energy compliance design and supporting documentation in duplicate.
❑ 5. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. _
❑ 6. Manufactured homes: (A) installation inst, (B) Marriage line info, (C) Floor. Plan, (D) Tie down or frid 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. 41
❑ 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.
NODES 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
KAFORMSWILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2 REV 2-24-05
I
NOTES
411, % 0 )fjsr
RESIDENTIAL
PERMIT N0,( 022-350-041 05-Wo!)
VASQUEZ,DAGOBERTO
380 TRENT ST, BIGGS
Cont: OWNER
RE ROOF (I6)
11 SPECIAL CONDITIONS 11
CHECKED
BY
SRA
FLOOD CERTIFICATE REQ.
FIRE SPRINKLERS REQ.
SPECIAL INSPECTION ITEMS
VERIFY
USE PERMIT CONDITIONS
SUB -STANDARD HOUSING LETTER
JOB FINALED (Date) _ 3//�Xc) f
Signature_(2
BUTTE GUUN 11
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT
24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO)
OFFICE #: (530) 538-7541
PEKIVIII NU.
BP050569
9
LICENSED CONTRACTORS DECLARATION
I hereby affirm under penalty of perjury that I am licensed under
provisions of Chapter 9 (commencing with Section 7000) of Division 3 of
Issued Date: 03/03/2005 APN: 022-350-041-000
the Business and Professions Code, and my license is in full force and
effect.
License Class : License Number:
Site Address: 380 TRENT ST BIG
Date: Contractor:
Map Index:
OWNER -BUILDER DECLARATION
I hereby affirm under penally of perjury that I am exempt from the
Description: re roof 16 squares
Contractors' State License Law for the following reason (Sec. 7031.5
Business and Professions Code, Any city or county which requires a
permit to construct, alter, Improve, demolish, or repair any structure, prior
Owner: VASQU EZ, DAGOBERTO
to its issuance, also requires the applicant for such permit to file a
signed statement that he or she is licensed pursuant to the provisions of
380 TRENT ST.
the Contractor's Slate License Law (Chapter 9 commencing with Section
BIGGS
7000) of Division 3 of the Business and Professions Code) or that he or
95917
she is exempt therefrom. and`the basis for the alleged exemption. Any
violation of Section 7031.5 by any applicant for a permit subjects the
applicant to a civil penally of not more than rive hundred dollars (8500).):
I, as owner of the property, or my employees with wages as their
sole compensation, will do the work, and the structure is not
Intended or offered for sale (Sec. 7044, Business and Professions
Code: The Contractors' State License Law does not apply to an
Applicant: VASQUEZ, DAGOBERTO
owner of property who builds or improves thereon, and who does
380 TRENT ST.
such work himself or herself or through his or her own employees,
provided that such improvements are not Intended or offered for
BIGGS
sale. If however, the building or improvements are sold within one
95917
year of completion, the owner -builder will have the burden of
proving that he or she did not build or improve for the purpose of
sale.).
❑ 1, as owner of the property, am exclusively contracting with
licensed contractors to construct the project (Sec. 7044, Business
and Professions Code. The Contractors' Slate License Law does
not apply to an owner of property who builds or improves thereon.
Contractor:
and who contracts for such projects with a contractor(s) licensed
pursuant to the Contractors' Stale License Law.).
O I am Exempt under Article 3 of the Business and Professions Code
Dale: Owner:
License #:
WORKERS' COMPENSATION DECLARATION
I 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.
Architect:
❑ 1 have and will maintain workers' compensation Insurance, as
Engineer:
required by Section 3700 the Labor Code, for the performance of
the work for which this permit Is issued. My workers' compensation
Insurance carrier and policy number are:
Carrier:
-
Total Square Ft: 0' S.F.
Policy 0:
Valuation: $0.00
I certify that in the performance of the work for which this permit is
Census Code: —
issued, I shall not employ any person in any manner so as to
become subject to the workers' compensation laws of California,
l
and agree that if I should become subject to the workers'
compensation provisions of Section 3700 of the Labor Code, I shall
forthwith comply with those provisions.
Ab ;
L/
Dale: 253-
- /
Applicant'
1
WARNING: Failure to secure workers' compensation coverage is
unlawful, and shall subject an employer to criminal penalties and one
hundred thousand dollars ($100,000), In addition to the cost of
compensation, damages as provided for in Section 3706 of the Labor
code, interest, and attorney's fees.
CONSTRUCTION LENDING AGENCY
e Butte County Code and/or
This permit i ' ereby Issue�de ie app�feeave
Resolulio to do wo Oicate above fopaid.6.
I hereby affirm that there is a construction lending agency for the
is issued 3097 Civ.)
performance of the work for which this permit (Sec
ByDate:
Name:
6'
PERMIT EXPIRES ON:
Address:
Date
❑ I hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage,
handling and use of hazardous materials.
❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project.
Cl Attached are copies of the required E.P.A. notification forms.
I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with
all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby
authorize representatives of Butte County to enter upon the above mentioned property for inspection purposes.
,/�
Print Name: 'i�CF I r ►"t 4 Gt'S u e 't Signature:
Date: / 0
. ,Owner ❑ Contractor ❑ Agent for Owner ❑ Agent for Contractor
D.......1 n1_iR_nA nn 1
J=OK
0 = Not OK
. = NotReadyable
DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s
MOBILE HOMES
Date
MOBILE HOME UTILITIES (Plans) OK except #'s
1.
Zoning Requirements -Setbacks -Easements Cr'> r 1; t;
2.
Soils; Special MH Support Sketch
3.
Sewer; Location -Test -Fall -C/O -Concrete
4.
Water; Location -Test -Easement Needed (Sketch)
5.
Electricity; Location-Clearances-Grnd-/ /Amp -Concrete
6.
Gas; Location -Test -Wrap;-/ /" L 'ft.
/ P Nat. or/ /" L "ft./ P LPG
7.
Well Clearance & Disconnect
8.
Utility Clearance
10.
Roof; Shthg-Roofing
11.
Ext.; Steps -Doors -Landings
Date
12.
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
MOBILE HOME INSTALLATION (Plans) OK except #'s
Card B-1 Date Card B-1
1.
Zoning Requirements -Setbacks -Easements
Card B-1 Date Card B-1
2.
Footings; Size -Spacing -Marriage Line
3.
Gas; MH Test -Demand -Valve -Connector
4.
Electricity; MH Test -Crossovers -Breakers -Clearances
5.
Drain; MH Test -Fall -Flex Connector
6.
Water; MH Test -Regulator -Connector
7.
Water and Sewer Connected -C/O to Grade -HD Approval
8.
Gas and Electricity Tagged
9.
Tie Downs -Type -Installation Cert.
10.
Exits; Insp.-Sketch
11.
Cert. of Occupancy
10.
Plumb.; Cir. Test -Water Supply Test
11.
Light Niche
Date
12.
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
PERMANENT END SYSTEM (ONLY)
Card B-1 Date Card B-1
1.
Zoning Requirements -Setbacks -Easements
Card B-1 Date Card B-1
2.
Footings; Size -Spacing -Marriage Line
3.
Blocking
4.
Gas; MH Test -Demand -Valve
5.
Electricity; MH Test
6.
Water; MH Test
7.
Water and Sewer Connected
8.
Gas and Electricity Tagged
9. Exits
10.
License Decals
11.
Verify #'s with Office
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
MISCELLANEOUS
Date
DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s
1.
Zoning Requirements -Setbacks -Easements
2.
Footings; Soils -Size -Depth -Spacing -Connectors -Steel
3.
Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails
4.
Wood Awn.; Posts-Beams-Rftrs-Connectors
Shthg-Frg-Bracing
5.
Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6.
Carports; Windows -Doors
7.
Electric
8.
Frmg.; Sills-Anchors-Studs-Rftrs-Trusses
9.
Siding; Nailing -Veneer -Stucco -Mesh
10.
Roof; Shthg-Roofing
11.
Ext.; Steps -Doors -Landings
12.
Braced Wall Panels
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
POOLS (Plans) OK except #'s
1.
Setbacks -Easements
2.
Soils; Compaction -Structure Stability
3.
Pool Structure; Steel -Connections -Thickness
Dead Men -Lining
4.
Elec.; Receptacles and Lighting, Distance-GFI
5.
Elec.; Pool Lighting; 15 Volts-GFI
6.
Elec.; Enclosures; Conduit Entries -Terminals -Listed
7.
Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater
8.
Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg.
Boxes- Enclosures- 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=OK
0 = Not OK
= Not Applicable
. = Not Ready
RESIDENTIAL (Single & Duplex)
Date
UNDERFLOOR (Plans) OK except #'s
1.
Zoning -Setbacks -Easements -Flood -Slope
Card B-1 Date Card B-1
2.
Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth
Card B-1 Date Card B-1
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
Date
8.
Piers -Fireplace Ftg.-Steel
Date
9.
D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test
Date
10.
UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test
41.
11.
Water Pipe; Test -Anchors -Regulator -Service Test
42.
12.
Electric Underground
43.
13.
Plenums & Ducts; Clearance -Material -Support -Ins.
44.
14.
Girders -Sills -Anchor Bolts-Joists-Vents-Crippies
45.
15. Access & Ventilation
16. Insulation
Headers & Beams -Size & Bearing
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
PLUMBING (Permit) OK except #'s
65.
17.
Water Htr.; Vent -Access -Combustion Air Baffle
66.
18.
Water Pipe; Test & Anchor -Nail Protection
67.
19.
D.W.V.; Test Fittings & Anchor -Nail Protection
68.
20.
Shower Pan; Test, First Floor -Tub Access
69.
21.
Test Tub & Shower, Second Floor -Tub Access
70. Stairs & Rails
22.
Gas Pipe; Sixe & Anchors
Fireplace or Stove, Clearance -Hearth
23.
Fire Sprinkler; Test
Elec. Outlets at Wood Panel, Int. & Ext.
73.
Date
Card B-1 Date Card B-1
Date
75.
Card B-1 Date Card B-1
Date
ELECTRICAL (Permit) OK except #'s
A.C. Duct in Garage -Damper
24.
Fixture & Transformer Clearance -Ins. Protection
Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V.
in Garage; Above Floor-Mech. Protection
25.
Elec. Receptacles Spacing -Lights & Switches at Doors
Plb.; Elec. & Mech. Equip. Listed for Location
26.
Size Boxes & No. of Conductors Stapled
Elec. Receptacles in Garage (F.F.I.)-Romex Protection
27.
Romex Installed Close to Edge of Studs & C.J.
Insulation -Foam -Looked in Attic
28.
Equip. Ground made up w/Mech Fasteners -Bond Gas & Water
Guard Rails & Deck Construction -Post Caps
29.
2 Appliance Circuits in Kitchen & Conductor Size GFI
Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth
30.
Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or Al
Clearance Looked under Floor O Yes
31.
Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or Al
Insulated Neutral O Yes O No
Following Instld./Drive Cl Yes 0 No/Walks 0 Yes 0 No/Planters 0 Yes 0 No
32.
Service -Riser Conductors & Ground Main Disconnect
Stucco Brown -Finish
33.
Equip. Clearances Panels-Motors-Mech. Equip.
A.C. Unit Disconnect, Electrical -Plumbing
34.
Clothes Closet Light -Shower Light -Spa Light
Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings
35.
Smoke Detector
Date
FRAMING (Continued)
Date
Hangers -Post Caps -Anchors -Connectors
Card B-1 Date Card B-1
Date
Cling. Joist-Rftr. Ties- Purlin-Roll Brac.-Truss-Shting.-Rtng.
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.
Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet
40.
Attic Access & Platform if Furnace in Attic
Date
55.
Card B-1 Date Card B-1
Date
56.
Card B-1 Date Card B-1
Date
FRAMING (Permit) OK except #'s
Siding -Nailing Veneer
41.
Sills Proper Materials & Anchors
Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access
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-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 Cl 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
BUILDING PERMIT
24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO)
OFFICE #: (530) 538-7541
PERMIT NO.
BPO50569
B. l:. buuainq Permnui -io-vv pyo i
LICENSED CONTRACTORS DECLARATION
I hereby affirm under penalty of perjury that I am licensed under
provisions of Chapter 9 (commencing with Section 7000) of Division 3 of
Issued Date: 03/03/2005 APN: 022-350-041-000
the Business and Professions Code, and my license is in full force and
effect.
License Class : License Number:
Site Address: 380 TRENT ST BIG
Date: Contractor:
Map Index:
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the
Description: re roof 16 squares
Contractors' State License Law for the following reason (Sec. 7031.5
Business and Professions Code: Any city or county which requires a
permit to construct, alter, Improve, demolish, or repair any structure, prior
Owner: VASQUEZ, DAGOBERTO
to its issuance, also requires the applicant for such permit to file a
signed statement that he or she is licensed pursuant to the provisions of
•380 TRENT ST.
the Contractor's State License Law (Chapter 9 commencing with Section
BIGGS
7000) of Division 3 of the Business and Professions Code) or that he or
95917
she is exempt therefrom and the basis for the alleged exemption. Any
violation of Section 7031.5 by any applicant for a permit subjects the
applicant to a civil penalty of not more than five hundred dollars ($500).):
I, as owner of the property, or my employees with wages as their
sole compensation, will do the work, and the structure is not
intended or offered for sale (Sec. 7044, Business and Professions
Code: The Contractors' State License Law does not apply to an
Applicant: VASQUEZ, DAGOBERTO
owner of property who builds or Improves thereon, and who does
380 TRENT ST.
such work himself or herself or through his or her own employees,
provided that such improvements are not Intended or offered for
BIGGS
sale. If however, the building or improvements are sold within one
95917
year of completion, the owner -builder will have the burden of
proving that he or she did not build or improve for the purpose of
sale.).
❑ I, as owner of the property, am exclusively contracting with
licensed contractors to construct the project (Sec. 7044, Business
and Professions Code. The Contractors' State License Law does
not apply to an owner of property who builds or improves thereon,
Contractor:
and who contracts for such projects with a contractor(s) licensed
pursuant to the Contractors' State License Law.).
❑ 1 am Exempt under Article 3 of the Business and Professions Code
Date: wner:
License #:
WORKERS' COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
❑ I have and will maintain a certificate of consent to self -insure for
workers' compensation, as provided for by Section 3700 of the
Labor Code, for the performance of the work for which this permit
Is Issued.
Architect:
❑ I have and will maintain workers' compensation insurance, as
Engineer:
required by Section 3700 the Labor Code, for the performance of
the work for which this permit Is issued. My workers' compensation
insurance carrier and policy number are:
Carrier:
Total Square Ft: 0 S. F.
Policy #:
Valuation: $0.00
I certify that in the performance of the work for which this permit is
Census Code:
issued, I shall not employ any person in any manner so as to
become subject to the workers' compensation laws of California,
0
and agree that if I should become subject to the workers'
compensation provisions of Section 3700 of the Labor Code, I shall
forthwith comply with those provisions.
Date: V I3 ! b g. - -
f
Applicant:6&L+W
WARNING: Failure to secure workers' compensation coverage is
unlawful, and shall subject an employer to criminal penalties and one
hundred thousand dollars (8100,000), in addition to the cost of
compensation, damages as provided for in Section 3706 of the Labor
code, interest, and attorney's fees.
CONSTRUCTION LENDING AGENCY
This permit I ereby Issued u e e applic provi 'ons of the Butte County Code and/or
I hereby affirm that there is a construction lending agency for the
the for this is issued (Sec 3097 Civ.)
Resolutio to do wor, icate above for 'ch fee ave been paid.
performance of work which permit
By:
Name:
2 /Date:
PERMIT EXPIRES ON: v
Address:
T
Date
❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage,
handling and use of hazardous materials.
❑ Notification In accordance with Section 19827.5 of California Health & Safely Code is not applicable to the scheduled construction of this project.
❑ Attached are copies of the required E.P.A. notification forms.
I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with
all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby
authorize representatives of Butte County to enter upon the above mentioned property for inspection purposes.
�'ll
Priht Name: t rn�(� Q S (� t/ f Z Signature:
Date: c 3 0
..Owner ❑ Contractor ❑ Agent for Owner ❑ Agent for Contractor
B. l:. buuainq Permnui -io-vv pyo i
BUTTE COUNTY PERMIT
DEPARTMENT OF DEVELOPMENT SERVICES NO.
BUILDING PERMIT APPLICATION
AND SUBMITTAL REQUIREMENTS
24 HOUR NSPECTION#: OROVILLE: (530) 538-7636 e CHICO: (530) 891-2834 BPDS_0�_
OFFICE #: (530) 538-7541 BIN #
A FEE WILL BE REQUIRED AT TIME OFAPPLICATION
Website: www.buttecounty.net/dds
**PLEASE PRINT CLEARLY**
CONTRACTOR
Name �—
Address
City
State
Zip
Phone
Fax
E-mail
Uc. #
Class
Page
ARCHITECT/ENGINEER
Name Q __
Address
City
State
Zip
Phone
Fax
E-mail
State License Number
APPLICANT NAME ,
Name
Address
City
State
Zip
Phone
Fax
E-mail
APPLICANT SIGNATURE
X} ��
For office use only:
Zoning
Flood Zone
SRA
Yes
I No
Occ.
Type Const.
Subdivision Name Map
Book
Page
Lot #
Planner
Date Approved:
OVER FOR SUBMITTAL REQUIREMENTS
v.. r, -.Hoer. ni ni niur� CnOnn C�ot.1..4 WHIG ihRnmtc Hi
LENDING AGENCY
Name
Address
Description or Scope of Work:
Sq. Footage
❑ 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.
C�
Recei d b , Amount: � Bldg
SRA
Receipt #: _, r� Sheriff
q 2s SMIP
NJ
Paoe 1 of 2
Date:
7 7 Total
REV 7-27-04 .
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. (Note: Not required for additions to
mobile or modular homes.)
❑
5.
Statement of Intent for Non -heated and A/C for Non -Residential Buildings.
❑
6.
Manufactured homes: (A) Data sheets and installation inst,.(B) Marriage line info, (C) Floor Plan, (D) Tie down
or fnd plans, all in duplicate.
❑
7.
Metal bidgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor
plans in triplicate. All of these must be stamped and wet -signed by the engineer.
❑
8.
Flood Elevation Certificate, wet -stamped and signed, in duplicate (if required).
❑
9.
Site plan and business license approval from the City of Biggs.
❑
10.
Letter of intent for non-residential buildings.
❑
11.
Detached Accessory Building Form filled out by the owner (if required).
❑
12.
Hazardous Material Form (for Commercial Buildings only).
❑
13.
Sanitation and site plan approval from the Environmental Health Department.
Remaining
items needed to issue the permit. Additional items may be required after Plan Check and Planning
review (May require additional plan review upon receipt of the following items.)
❑
1.
Agricultural Buffer clearance and site plan approval from the Ag Commissioner's office (if required).
❑
2.
Impact Fees.
❑
3.
California Department of Forestry plan approval (if required).
❑
4.
NPDES Form.
❑
5.
Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy).
❑
6.
Contractor's license information. (Number, Name Style, Classification).
❑
7.
Worker's Compensation Carrier and Policy Number.
❑
8.
Owner -Builder Verification (if required).
❑
9.
Letter of Signature authorization (if required).
❑
10.
Recorded copy of Agricultural Acknowledgment Statement.
❑
11.
❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner (for 433A's).
If you have questions or would like additional information regarding this process, contact a Permit
Application Assistant at (530)538-7541.
EXPIRATION OF APPLICATION
Applications for which a permit has not been issued will expire one year after date of application. In order to renew action
on an application after expiration, a new application, plans and fees will be required.
REQUEST FOR FEE REFUNDS
Refunds can only be made upon written request by the person who paid the fee. The request must be made within two
years from the date of fee payment on permits not issued, and two years from the date of permit issuance for permits
issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan
check fees for work plan checked and other department costs are not refundable.
OVER FOR BUILDING PERMIT APPLICATION
KAFORMS\BUILDING F0RIdIS0dgApp1SubRgmts.doc Page 2 of 2 REV 7-27-04
U
__.
IS
PERMIT NO. 3147-88B,P,E,M
PERMIT EXPIRES t� LP
owNER DAGA ERIE* VASQUEZ (CHIP)
s
CONTowner
ASSESSOR PARCEL 22-35—i-1
LOCATION. 2871 2ndSt,lot .31?jiqLty of Bigg
Temp. Power Pole
Called PG&E
Temp. Elec. Service '
Called PG&E
Temp. Gas Service
Called PG&E
JOB FINALED (Date) 3 _�-
Signature
a
Owner or Contractpr:u Permit No.
.
Energy CertificationLet
421 Bicfqs
L -0 -cation
A.P. No. !' ;; !:'::�°'k'�;,'•;,
y
ROOF
Material
Brand Name
Thickness ( inches)
R -Value
tn°=
EXTERIOR WALLS
"' ',
Material Fiberglass
Brand Name Ow. ns
corn-ing j':.':'
Thickness. ( inches) 3.5"
R -Value,
CEILINGS
_,•,;; :j'.:i,,.;, ;,
Batt or Blanket Type
Brand Name
,a';
Thickness (inches)
R -Value
Loose Fill Type Cellulose
Brand 'Name
:•..; .
Thickness - ( inches) 8. 3 ��
# of Bags __jL_Wt..:' per, Bag_gp#
Area Covered (sq: ft.) 1000 R -Value• In
"
`' "`
FLOOR, ELEVATED'
1
Material
Brand Name
;`'•
Thickness (inches)
R -Value
.
FLOOR, SUB
Material
Brand Name
Thickness (inches)
R -Value
I hereby certify that the
above insulation was installed r.
in the above building in
conformance with the
State of.
California Energy R uirements.
BUTTACAVOLI INDUSTRIES
{
1015 Yuba Street ,
svi
Vill
#335171
F a
Lic se
o , '. j
i ure f Con actor
Date
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico— Phone: 891-2751
7 County Center Drive, Orovi Ile — Phone: 538-7541 ..
747 Elliott Road, Paradise— Phone: 872-6307
CORRECTION NOTICE
OWNER
MIT NO.
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.
-.., y
V
c
Inspector ()i `y Date g r o
= OK
O= Not OK -
=Not Readyable MOBILE HOMES `
MISCELLANEOUS
Date MOBILE HOME UTILITIES (Plans) OK except #'s
Date
DECKS, COVERS,CARPORTS,GARAGES, (Plans)OK except #'s
1. Zoning Requirements -Setbacks -Easements
1. Zoning Requirements -Setbacks -Easements
2. Soils; Special MH Support -Sketch
2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel
3. Sewer; Location -Test -Fall -C/O -Concrete
3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails .
4. Water; Location -Test -Easement Needed (Sketch)
4. Wood Awn.; Posts-Beams-Rftrs.-Connec.-
Shthg.-Rfg.-Bracing
5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete
6. Gas; Location -Test -Wrap: / P' ft.
/ /"Nat. or/ PV ft./ /"LPG
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Carports; Windows -Doors
7. Utility Clearance
7. Elec.
8. Frmg; Sills-Anchors-Studs-Rftrs-Trusses
9. Siding; Nailing -Veneer -Stucco -Mesh
Card -131 Date Card -131 Date
10. Roof; Shthg-Roofing
Card -131 Date Card -81 Date
11. Ext.; Steps -Doors -Landings
Date MOBILEHOME INSTALLATION (Plans) OK except #'s
1. Zoning Requirements -Setbacks -Easements
Card -131
Date Card -61 Date
2. Footings; Size -Spacing -Marriage Line
Card -131
Date Card -131 Date
3. Gas; MH Test -Demand -Valve -Connector
4. Electricity; MH Test -Crossovers -Breakers -Clearances
Date
POOLS (Plans) OK except #'s
5. Drain; MH Test -Fall -Flex Connector `
1. Setbacks -Easements
6. Water; MH Test -Regulator -Connector
2. Soils; Compaction -Structure Stability
7. Water and Sewer Connected -C/O to Grade -HD Approval
3. Pool Structure; Steel -Connections -Thickness -
Dead Men -Lining
8. Gas and Electricity Tagged
9. Exits; Insp.-Sketch
4. Elec.; Receptacles and Lighting, Distances-GFI
10. Cert. of Occupancy
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 in Conduit
Card -B1 Date Card -B1 Date
Card -131 Date Card -81 Date
9. Health Department Approval
10. Plumb.; Cir. Test -Water Supply Test
Card -81
Date Card -131 Date
Card -131
Date Card -131 Date
=OK
o = NotOK
RESIDENTIAL, (Single and Duplex)
- =Not Applicable
= Not Ready '
Date UNDERFLOOR (Plans) OK except #'s
Zoning -Setbacks; -Easements -F od-Slope
Ftg., Main; Soils -Steel -EI -/ /" Ftg. Depth
Ftg., Garage; Soils -Steel-/ /" Ftg. Depth
Ftg., Porches & Decks; Soils -Steel-/ /"Ftg. Depth
Stemwalls, Main; Steel-Blockouts-Wrapped
6. Stemwalls, Garage; Steel-Blockouts-Wrapped
7. Slab; Steel -Wrapped
8. Piers -Fireplace Ftg.-Steel
of D.W.V.; Fall -Fittings -Test -2 way C/O -Sewer Test
10. Gas Pipe; Size -Anchors
11. Water Pipe; Test -Anchors -Regulator -Service Test
12. Electric; Underground
14 Plpniims & nurts; Clearance-Material-Supprt-Ins.
hor Bolts -Joists -Vents -Cripples
15. Insulation
Card -B Date _ Card -131 Date
Card -B1 Date Card -131 Date
Date PLUMBING (Permit) OK except #'s
Water Ht. Vent -Access -Combustion Air -Baffle
W r Pipe; Test & Anchors -Nail Protection
D.W.V.; Test-Fttngs & Anchors -Nail Protection
19 hoover Pan__st, First Floor -Tub Access
es u o r, 2nd Floor -Tub Access
21. Gas Pipe; Size & Anchors
Card -131 Dates: and -131 Date
Card -131 1<3 Date Card -131 Date
Date ELECTRICAL (Permit) OK except #'s
22. ixture & Transformer Clearance -Ins. Protection
11f3. Elec. Receptacles Spacing -Lights & Switches at Doors
04"Size Boxes & No. of Conductors -Stapled
Romex Installed Close to Edge of Studs & C.J.
�Fquip. Ground made up w/Meeh. Fasteners -Bond Gas & Water
2 Appliance Circuts in Kitchen & Conductor Size/G.F.I.
2 . i / / ga. Cu or AI-A.C. Wire Size / /ga.
Cu or Al
29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al.
nsulated Neutral Yes No
0. ervice-Riser Conductors & Ground -Main Disconnect
Equip. Clearances Panels-Motors-Mech. Equip.
ose Light -Shower Light -Spa Light
3. Smoke Detector
Card -131 �',� Dam},S:gtVard-131 Date
Card -131 Date Card -B1 Date
Date MECHANICAL (Permit) OK except #'s
&-344. &C. Ducts Insulation & Support
X. Vent Fan; Exhaustabove insulation
. Condensate Dr' & Ov low; Si-zd& Grade
Furnace -V Ac -Comb. ir-Return Air Vent -115 outlet
r & Platform if Furnace in Attic
Card-131('jp Date4�2j B and -B1 Date
Card -131 Date Card -Bi Date
Date FR ING (Plans) OK except #'s
Sills, Proper Material & Anchors
0. Palls Studs -Nailing, Spacing & Bracing—Plates-Sound
E4earing Walls over Girders & Floor Nailing
,Draft Stop in Walls (rat proof)
Loelmoire Stops; Furred Ceilings -Stairs -Chases -Tub
Header & Beam -Size & Bearing
Date FRAMING (Continued)
S..kiangers-Post Caps -Anchors -Connectors
l.46. Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng.
47,-F�'replac�e-Tir Type A Flue -Fireplace Throat Clearance
8. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
L rm. Windows or Exiting Doors -Sill Hgt. & Dimensions
Garage Fire Protection Framing
LR<Property Line Firewall & Openings
1&2 -Ext. Doors -One 3' -Check Garage -3rd story, 2 exits
-Headroom-Rise-Run-Landing-Fire Protection
,Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
5. Siding -Nailing Veneer
reed -Fd. Vents-Underflr. Access
j,TrGlazing Area -Glass Protection -Skylights -Plastic
olts
,g9 .Insulation -4 -Gil-
60. Infiltration-Walls-Wndws
-Card-B1' Dated -8 Card -81 Date
Card -B1 Date Card -B1 Date
Date FIN (Plans) OK except #'s
Steps -Door & Sidelight Protection -Landings
. Smoke Detector
urnace; Vents -Clearance -Comb. Air -Connector -
In Garage; Above Floor -Ducts -Meeh. Protection
groom Exiting
:I. & Bath Fixtures & Tub Access -Spa
lec. Trim & Subpanel; Breaker Sizes -Labels
airs Rails
68:-Fn-eTftce or Stove; Clearances -Hearth
69:-EfvC-'6utlets at Wood Panel; Int. & Ext.
70`.KPf. Fixt. & Appliance; Grnd. -Air Gap -Cooking Clearance
7 ec. Outlets & Receptacles at Kit. Counter
7z'_GasaQe-Fire Door; Swing -Landing -Closer
e-�uct in Garage -Damper
tr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.-
In arage; Above Floor -Meeh. Protection
I , Elec. & Mech. Equip. Listed for Location
7RIIElp.c. Receptacles in Garage; (G.F.I.)-Romex Protec.
7Pnsulation-Foam-Looked in Attic ❑ Yes
7@-Gl aTTrc flails & Deck Construction -Post Caps
44 -94w. -Vents & Crawl Hole Door -Drainage & Wood -Earth
Cle rance Looked under Floor ❑ Yes
ollowing instld.; Drive )EVes ❑ No; Walks es ❑ No;
Planters ❑ Yes %�Ner
STM -so; Brown -Finish
nit; Disconnect, Electrical, Plumbing
02-1'ents Above Roof; PIbg.-Appliance-Firep I. -Clearance to
ell; Disconnect, Electrical, Plumbing
Exterior Elec. Trim; G.F.I. Receptacle -Underground
8 eArfilation throughout House
8A,* tions from Previous Inpections
8 as Test -Meters Tagged; Gas -Electric
a1sr1& Sewer Connected -C/O to Grade -HD Approval
941—Energy Compliance Certificate -Other Certificates
92. Roofing Certificate
Card-BY/j,—/ Date%-23!!JCard-B1 Date
Card -81 Date Card -61 Date
Card -B1 Date Card -B1 Date
Comments at Final:
(NOTE: An entry must be made each time you visit job site)
J COUNT -00F BUTTE - DEFornia,95965-
ENT OF PUBLIC WORKS
7 County Center Drive - OroviIIQ,IC Telephone: 916/538-i
APPLICATION AND PERMIT
ZZ — 3 15
OWNERS
OWNER'S "'u,
ING ADDRESS
2 7 tr, U, CA
CONTRA TOR'S ITAME
0 L1//f e�
CONTRACTOR'S MAILING ADDJ
SO.
F :F--�� 6 -7z� , FT
{e
T'
BUILDING PERMIT
'C. BUILDING VALUATION
New Addition ❑ RMas
[IJ- Utilities ❑ Installation Other ❑ Permit Fee
Describe work: I e r -17-. 51'x'1 — T,5
Contractor
c
J, it. i 1 1,
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
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
E]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 A litany If after makin this statement sh Id b
S
Fireplace
ELECTRICAL PERMIT
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
10.00
154 914-11
Filing Fee
$
10,00
LENDER'S MAILING ADDRESS ,
Permit Fee
$
NEW CONSTR. I.OUTLET
NON-RESID BRANCH CIRCUITS)
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
/J=`
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
Temporary service
BUILDING ADDRESS
2CIAt
Permit fee
$
15.00
PLUMBING PERMIT
Filing Fee 10.00
C,
Each Trap
2.00
Solar or heat pump water heater
$
20.00
LOT NO.
SUBDIVISION NAME V I PARCEL MAP
Water piping
MEC" NICAL PERMIT
5.00
Each pas water heater or vent
5.00
USE OF STRUCTURE
SF Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home S I G JW 1
10.00 ea
TYPE OF WORK
3.00
Venti Iation
New Addition ❑ RMas
[IJ- Utilities ❑ Installation Other ❑ Permit Fee
Describe work: I e r -17-. 51'x'1 — T,5
Contractor
c
J, it. i 1 1,
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
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
E]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 A litany If after makin this statement sh Id b
S
pp g ou you ecome sublect Permit Fee
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked. Contractor
I certify that I have read this application and state that the above information Mobile Home Installation Fee
is correct. I agree to comply to all County Ordinances and State Laws relating Energy Inspection Fee
to building construction, and hereby authorize representatives of the Countyot
Butte to enter upon the above-mentioned property for inspection purposes. TOTAL PERMIT FEE
1 alt ' d if d k h I h C f
i _'
s
so agree o save, in e y an eep arm ass t e ounty o Butte against occuP. CONST. PC ISC71 FLOOD PAR"rL ✓ ND s�ua
all liabilities, judgments, costs, and expenses which may in any way accrue R3 t] 1/
against
sal County in consequent o the granting of this permit.
XThis permit is hereby Issued under the applicable provi-
Date sions of the Butte County Code and/or resolutions to do
Ir
Signatu a of Applicant — Owner ❑ Contractor ❑ Agent work indicated above for which fees have been paid.
An OSHA permit is required for excavations over 5'A" Jeepan molition or construct- REC OR PUBLIC WORKS
ion of structures over 3 stories in�he(igght.91
Receipt No. - [ (/• BY Date
WNITC-D.P.W., •CLLOW-ASOC330R, PINK-INSPC OR. GOLD IN ROD -APPLICANT PERMIT EXPIRES Date
ELECTRICAL PERMIT
Filing Fee
10.00
Main service eooV OR LESS
100 AMP OR LESS
10.00
Main service EA. ADD'L 100 AMP
2.50
NEW CONST DWELING
BLGS.
OR ADONS. ACCLD
Ifz¢sgft
NEW CONSTR. I.OUTLET
NON-RESID BRANCH CIRCUITS)
2,50 ea
POWER APPARATUS &)
l SINGLE OUTLET CIR.
'
Ex. Occup(OUTLETS OR FIXTURES
zooeoe
.ALO 30
FIXED APPNS
Ex. Occup. OUTLETS (RESID )KEA.)
2.00
Temporary service
10.00
Mobile Home Facilities
15.00
Misc. Wiring
15.00
Permit Fee
$
' Contractor
MEC" NICAL PERMIT
FiIingFee
10.00
Heating ce
6. z90
Cooling '
/0-0
Hood
3.00
Venti Iation
•---
pp g ou you ecome sublect Permit Fee
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked. Contractor
I certify that I have read this application and state that the above information Mobile Home Installation Fee
is correct. I agree to comply to all County Ordinances and State Laws relating Energy Inspection Fee
to building construction, and hereby authorize representatives of the Countyot
Butte to enter upon the above-mentioned property for inspection purposes. TOTAL PERMIT FEE
1 alt ' d if d k h I h C f
i _'
s
so agree o save, in e y an eep arm ass t e ounty o Butte against occuP. CONST. PC ISC71 FLOOD PAR"rL ✓ ND s�ua
all liabilities, judgments, costs, and expenses which may in any way accrue R3 t] 1/
against
sal County in consequent o the granting of this permit.
XThis permit is hereby Issued under the applicable provi-
Date sions of the Butte County Code and/or resolutions to do
Ir
Signatu a of Applicant — Owner ❑ Contractor ❑ Agent work indicated above for which fees have been paid.
An OSHA permit is required for excavations over 5'A" Jeepan molition or construct- REC OR PUBLIC WORKS
ion of structures over 3 stories in�he(igght.91
Receipt No. - [ (/• BY Date
WNITC-D.P.W., •CLLOW-ASOC330R, PINK-INSPC OR. GOLD IN ROD -APPLICANT PERMIT EXPIRES Date
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541
PERMIT APPLICATION DATA SHEET
Permit No.
OWNER 1, L7 0 aA.No G-6
Proposed'Building Use Building Inspector Date�7
At time of permit application, I was advised the following data must be submitted prior to permit processing
and./or issuance:
1. All items have been submitted.
2. Plot plans in duplicate/triplicate, signed by preparer of plans.
3. Complete plans in duplicate/triplicate, signed by preparer of plans.
4. Complete engineered plans and calcs, with wet signature on plans.
w Pla with Energy Design Compliance Statement.
School District "Fees Paid" Stamp on Floor Plan.
State4i4t of Intent for Non -Heated and AC Buildings,
Fees of $— LAI)
9. Letter of signature authorization.
10. Sanitation approval from Health Dept.
11. Planning approval for (A) Use:. (B) Parking:
12. Certificate of Workmen's Compensation Insurance. _
Contractor's License Information (no., name style, classif.)
Owner -Builder Verification (Given to owner❑ , Mail to owner ❑.
15. Improvements may be required. Contact Land Dev. Sec. of D.P.W.
16. Mobilehome Installation Data including manufacturer's installation instructions.
17. Pre -inspection for required.
18. Recorded copy of Agricultural Acknowledgment Statement.
Driveway Permit (Construction appr al required prior to occupancy).
Plot plan approval from city of (See city for other reqts).
1, Engi red trusses ip duplicate (requi epi prior to plan check).
1
When you iss the permit, proc ss as follows: Mail to owner. Mail to contractor..
Telephone and hold for pickup at office. Deliver w/inspector.
Other
NdL2aL �C?rl 1 °s '�
I Applicant
GENERAL INFORMATION
BUILDING DEPARTMENT OFFICES
Chico. . . . 196 Memorial Way
Phone: 891-2751
Hours: 8:00 a,m. - 10:00 a.m.
Orovi I le . . . 7 County Center Drive
Phone: 538-7541
Hours: 8:00 a.m. - 5:00 p.m.
Paradise. . 747 Elliott Road
Phone: 872-6307
Hours: 8:00 a.m. - 9:00 a.m,
Date
HEALTH DEFARTMENT OFFICES
Chico. 196 Memorial Way
Phone: 891-2727
Hours:. 8:00 a.m. - 9:00 a.m.
Oroville . , . 7 County Center Drive
Phone: 538-7281
Hours: 8:00 a.m. - 10:00 a.m.
Paradise. . . 747 Elliott Road
Phone: 872-6308
Hours: 8:00 a.m. - 9:00,a.m.
PLANNING DEPARTMENT — 7 County Center Drive, Oroville — Phone: 538-7601
— Hours: 10:00 a.m. - 3:00 P.M.
Original — Applicant
RECE.I V ED COUNTY OF BUTTE - Department of Public Works
SEP 19 1988 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) YES
2. I (have/have not) _ t.,A\rr signed an application for a building permit
for the proposed work.
3. I plan to Provide portions of this cork but
I have contracted with the follow .c1 ency
b to provide Nae-}rpeee<1
construction technical assistance to coordinate and sure ise the major work.
Name C'omrrninity FlQuslnq TlnprovPrrx�nt T'rocrram
Address 429 Norm-Rl Aw City Chico, Ch -
Phone 891-69-31 Contractors License No. 390764
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
N/A 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
Buttacavoli Industr. lol5 Yuba Str. Yuba City CA 741-2619 Insulation
Caldwell Ent., P.O. Box 787, Gridley, CA, 95948 846-4192 inets & COwl-er-oos
Coleman Concrete Constr., 91 Lone Tree Rd., Oroville, CA 534-3303
Cumberland Plumbing,40 Oakvale Ct , Oroville 534-0589 to inq
Foothill Electric, 5887 Orrin Lane Paradise, CA 877-1357 E ec ica
Fox CO., 3995 Olive Hca/., Oroville, CA, 533-27 0ea inq
Trojan Truss Co. P.O. Box 85, Orland, CA, 95963, 8G5-2 00 russes
Signed :
Property Owner T_�
Social Security Number
Date
ober 7-o U45 ueZ
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 rer.urned co our office before e arc per -
w
mitted to issue the permit.
5l0,04
�1 l
Io
fhllt a1�► of phna an
on the •ob
$S L. Riake an I at all.tin\
Y changes or alter
written Permisson from
Works, county of
v -gve_ \
A setback of 5 ft. from the
property lines and a setback
of 50ft. from the road
centerline shall be clear of
structures or equipment except
for a 2 �Wv
ang.
//�/./A�I
AFAO P-' 0V E: 0-
0O.TEG,s
I. PA '( \.iA rE Ir- s F VV E �-
�.. ELEcTP-1c. coµtlEcT�v�
FE ES.
2. PIL109- 'To O&COANc_(,
ALL UT1L1T1:e5 9 L.oT
IH Pe—oVEt-i6-vA s HOST
G o t-1 r l.'( w/ S LjB v i.,,j 5 i o rJ
r)o cQ M E"Ts.
,ations MUST be
it is unlawful to
On same without
\int of Publl.
PR-0posED
3. 6 P R.rl. I e ATt4
REor-r+GE
z .F.
Qe°Rllaster Plan on file for
structural details.
W %S
jE'
jPILYPaA+4
E
Mk - ?i:
I+AF-OL-n NATFIEL,v '
41T'1' r- rJG,iWEEtZ-
SITE PLAN PLAN N°• C
LOCATION:
Zb"1 I 2 ►-4 p sT EE F
PIG HoTTA Sd&Oi-/.1 5 1 o t4
&I C,L S1 Gq, ... .. .
AP No•
NOTBUTTE CQUN I Y
BUIL [ tGA%PA-,RjM[=-N'i
A yIPR.OV D
3��/ V
COMMUNITY... HOUSING
IMPROVEMENT PROGRAM
429 NORMAL AVE. CHICO
' LOT NO- 31
I OWNER:
I DATE': 2' JJ G-( 1988
SCALE: 1' -1-01
I
P A 'I'D WOV 0 1`
19891.
C
11.9 5'- 5"
I
-aEQRDoM
'n
210
db
B BATH
ell T:
QO
�q 0
wP L fqv
-4Fuz.,�
D I
o?
3'1.3
BEDROOM 0'3
T- 4"iL i 0-
-3ci=J;z 2- T.U.
AAs,L. 06=F=
cc 010
M G 010
Oil,
Ij
r,ARAGE
5/8'-rPS X COW GD.
03"A6-2"
I
Tu.
2.4 5*40 4440
Z--
50,4'
,\*,I C3,
14'-4'
FLOOR AREA 1000 -'5D.FT
GARAGE 2,?4
TOTAL 1294 50. FT.
C=f1cm.c-, m: Camul-Im M's SIM ON
OCrL U�-JT,-XT REWLtyrial,N'O. 87/88 01
Vjgq* VjjjZjCrj :School DID.11.rict% certifies th6t
VA
tyA 4?mpljc� wit ki f;';(n roqAramnto of
c,��rnrojng ,-' residential
t. -J(�m Vie). 87/0,,0 wI I
g""eruxtdri QA urlit(a) on.Assessor
parcelo,Xsenting Vosqu
are feet.
Date
❑ Oroville LQ Chico ❑ Paradise Mridley
Authorized Agent for 1835 Robinson St. 5th and Wall St. 6440 Skyway 650 Kentucky St.
Ticor Title Insurance P.O Box 811 P.O. Box 5173 P.O. Box 490 P.O. Box 949
Company of California Oroville, CA 95965 Chico, CA 95927 Paradise, CA 95967 Gridley, CA 95948
Serving the (916) 533-2414 (916) 894-2612 (916) 877-6262 (916) 846-4005
north stare since /929 FAX (916) 533-1589 �FAX (916) 894-0713 FAA3< (916) 872-5129 FAX (916) 846-0584
In reply please refer to:
Vern E. Drane office
County Manager
Gridley_]
October 31, 1988 order#
4-142401
DEPT. OF PUBLIC WORKS - BUILDI_NG INSPECTION DEPT.
COUNTY OF BUTTE
25 County_ Center Drive
Oroville, California, 959.65
r
Re: Lots 10, 13, 31, 32, 33 and 34
Pichotta Subdivision; Biggs
Gentlemen:
I am enclosing 6 checks.representing the building permit
.fees for the above numbered and referenced lots along with
a copy of the power of attorney appointing Community.
Housing Improvement Program which allows -'--them to'sign on'
behalf of the property owners for any permits, etc.
We have sent the checks directly.tothe City of -Biggs and
Biggs Unifidd'School District for the utility hook up .fees
and school fees.
I am sure that you will be contacted by Chico Housing Improvement
Program in the very near future with regard to the permits.
Thank you very much.
Sincerely yours,
BIDWELL TITLE & ESCROW COMPANY
Linda Wilson, Escrow Officer
LW/lw
Encl.
Formerly Oroville Title Co. O C
I
File No. _ m
BUTTE COUNTY (For Action 1, 2, 3)
Public Works Dept. (For Information f )
Director
Dep. Dir.
Sec.
Rd. & Br. Mtce.
Shop & Yards
I Bldg. Insp. Admin. I j. -'j I
Design Engr.
Bridge Engr.
Constr. Engr.
Surveys
Mapping
T ran sp.
Land Dev.
Drng. /S.I.
Sub. & Pcl. Maps
Permits
Addr.
so
g61, 1
syq� V
When recorded mail to:
'Chico Housing Improvement
429 Normal Avenue
Chico, CA 95928
ATTORNEY-IN-FACT AGREEMENT
I/We hereby appoint the Community Housing Improvement Program and/or any of its
authorized agents as my/our attorney-in-fact for the purpose of executing any
notices of completion, waivers of liens and/or stop notices and/or release of
liens and/or stop notices and building permits relating to that certain real
property described as follows:
All thAt certain land situate, lying and being in the County of Butte ,
State of California, described as follows:
Lot 3_ of Pichotta Subdivision , as shown on that certain map filed
for record in the office of the county Recorder of the County of Butte ,
State of California, on January 15 , 1988 , in Book 108 of Maps
and Surveys, at page 59
10/18/88
Date
Owner Da oberto Vasque C:.,
10/18/88
Date Owner .•..,
STATE OF CALIFORNIA On this 18th day of October in the year
County of Butte 19.88 , before me
Linda F. [Nilson , a Notary
Public, State of California, duly commissioned
and sworn, personally appearedC. Dagoberto
Vasquez & Adairma L. Vasquez ,
personally known to me or proved to me on t e
basis of satisfactory evidence) to be the
person(s) whose name(s) is/are subscribed to
the within instrument, and acknowledged to me
that (s)he executed the same.
IN WITNESS WHEREOF I have hereunto set my
hand and affixed my official seal in the
County of Butte
on the date set forth above in this
a OrFICIAL SEAL certificate.
LINDA F. WILSON -
NOTARYPUBUC CALIFORNIA
cIJT eCOUNTY Notary Public State of California
My Come cxi�ires Feb. 15,1992
2/15/1992
My commission expires
NOTES
E
I
7
PERMIT NO.
RESIDENTIAL.
r 022-350-041 05-2470
VASQUEZ,DAGOBERTO
380 TRENT ST., BIGGS
Cont: KLEEN
HVAC
J
i
SPECIAL CONDITIONS
CHECKED
BY
SRA
FLOOD CERTIFICATE REQ.
FIRE SPRINKLERS REQ.
SPECIAL INSPECTION ITEMS
VERIFY
USE PERMIT CONDITIONS
SUB -STANDARD HOUSING LETTER
JOB FINALED (Date)
4=OK
p= Not OK
_ = Not Rto
. =Not Ready eaQy
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. EJectricity; Location-Clearances-Gmd-/ . /Amp -Concrete
6. Gas; Location -Test -Wrap;-/ • : /° L'fL -:
/ P kat. 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-Connedot
7. Water and Sewer Connected -C/O to Grade -HD Approval
8. Gas and Electricity Tagged
9. Tie Downs -Type -Installation Cert-
ert10.
10.Exits; Insp.-Sketch
11. Cert of Occupancy "
10,.. Plumb.; Cir. Test -Water Supply Test• . •'
11.._Lighi Niche
Date
Card B-1 Date Cann B-1 _
Date
Cana 8-1 Date I.: :...... Card B-1
Date
PERMANENT END SYSTEM (ONLY)
DateCard
1. Zoning Requirements -Setbacks -Easements
2. Footings; S¢Spacing=Marriage Une ".' .:_
3 BIod6' - ...'
4.' Gas; MH Test=Dernarid_V !i • ._:. ' .. `
S. -Electricity, MH Test
6. Water, MH Test ::: ,..:: ; :. ' : • . .
::•:_'7.:water.and SewerConnected .
8. Gas and ElectricityTagged' ::`.: - --
•
9. Exits - -
10.: Ltcensebecals'.'^:.`'
11. Verify.#'s with Office
Date
Card B-1 ` ... ; Date • .'..: - Card B-.1.
Date.
Card B-1 bate Card B-1
MISCELLANEOUS
Date
DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s
1. Zoning Requirements -Setbacks -Easements
2. Footings; Soils-Size-Depth-Spaciny-Connectors-Steel
3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails
4. 'Wood Awn.; Posts-Beams-Rftm-Connectors
Shthg-Frg-Bracing
5.- Alum. Awn.; Columns-Cohnections-Splice-Decal-Endosures
6. Carports; Windows -Doors '
.J. 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 Pahels.: '
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 t,
2- Soils; Compaction -Structure Stability
3. Pool Structure; Steel -Connections -Thickness .
Dead, Men -Lining.
4. Elec.; Receptacles and Lighting. Distance-GFI
5. Elec.; Pool llghtiny; 15 Votts-GF!
6. Sec.: Enclosures; Conduit Entries -Terminals -Listed
7. Elec.; Bonding; Metal w/5'-Cirwlating Equip: Heater
8. Elea; Grounding; Equip. w/5' Circulating Equip. -Pool Lxlhtg.
Boxes-Enclosums-Panelboards-Ins. to Main Conduit
. 9: Health Department Appnival
10,.. Plumb.; Cir. Test -Water Supply Test• . •'
11.._Lighi Niche
12.. Enclosure; Fencing -Alarms
Date, .. ::
Card B-1 Date Card B-1
DateCard
B-1 '`' :'"`...:: .. Date Card B-1
oK '
Not OK
NotPIP-dy 4able -Not Appric
ReaRESIDENTIAL (Single & Duplex)
ate UNDERFLOOR (Plans) OK except #'s
1. Zoning -Setbacks -Easements -Flood -Slope
2. Fig., Main; Soils-Elec. Gmd.-/ P' Ftg. Depth
3. Fig., Garage; Sols-Steel-Elec. Gmd.-/ P' Ftg. Depth
4. Fig., Porches & Decks; Soils -Steel-/ P Fig. Depth
S. 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.
late
Card B-1 Date Card B-1
)ate
Card B-1 Date Card B-1
late
PLUMBING (Permit) OK -except #'s
17. Water Htr.; Vent -Access -Combustion Air Baffle
18. Water Pipe; Test & Anchor -Nail Protection
Date
19. D.W.V.; Test Fittings t Anchor -Nail Protection
Date
20. Shower Pan; Test, First Floor -Tub Access
Date
21. Test Tub & Shower, Second Floor -Tub Access
22. Gas Pipe; Sixe & Anchors
23. Fire Sprinkler, Test
38. Condensate Drain & Overflow, Size & Grade
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B=1
Date
ELECTRICAL (Permit) OK except #'s
Date
24. Fixture & Transformer Clearance -Ins. Protection
Date
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 GFl
30. Subfeed Wire Size/ /ga Cu or AI -AC. Wire Size! /ga Cu or Al
31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or Al
Insulated Neutral 0 Yes 0 No
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 & Bearina
Date FRAMING (Continued)
47. Hangers -Post Caps -Anchors -Connectors
48. Cling. Joist-Rftc 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. Bdnn. Windows or Exiting Doors -Sill HL & 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 -Fre 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. Infittration-Walls-Windows
Date Cana 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.FI. & Bath Fixtures & Tub Access -Spa
69. Elec. Trim & Subpanel, Breaker Sizes & Labels
70. Stairs & Rads
71. Fireplace or Stove, Clearance -Hearth
72. Elec. Outlets at Wood Panel, Int & Ext.
73. KiL Fut. & 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;trents-Clearance-Comb. Air Connector-P.R.V.
in Garage; Above Floor -Meth. Protection
7B. Plb.; Elec. & Mech. Equip: Listed for Location
79. Elec. Receptacles in Garage (F.El.)-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 tnstldJDrive 0 Yes 0 No/Walks O Yes 0 No/Plarrters O Yes O No
84. Stucco Brown -Finish
85. A.C. Unit Disconnect, Electrical -Plumbing
86. Vents Above Roof, Plbg-Appriance-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:
32. Service -Riser Conductors & Ground Main Disconnect
33. Equip. Clearances Panels -Motors -Meth. 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 it Furnace in Attic
Date
Cana B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
FRAMING (Pennit) 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 & Bearina
Date FRAMING (Continued)
47. Hangers -Post Caps -Anchors -Connectors
48. Cling. Joist-Rftc 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. Bdnn. Windows or Exiting Doors -Sill HL & 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 -Fre 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. Infittration-Walls-Windows
Date Cana 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.FI. & Bath Fixtures & Tub Access -Spa
69. Elec. Trim & Subpanel, Breaker Sizes & Labels
70. Stairs & Rads
71. Fireplace or Stove, Clearance -Hearth
72. Elec. Outlets at Wood Panel, Int & Ext.
73. KiL Fut. & 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;trents-Clearance-Comb. Air Connector-P.R.V.
in Garage; Above Floor -Meth. Protection
7B. Plb.; Elec. & Mech. Equip: Listed for Location
79. Elec. Receptacles in Garage (F.El.)-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 tnstldJDrive 0 Yes 0 No/Walks O Yes 0 No/Plarrters O Yes O No
84. Stucco Brown -Finish
85. A.C. Unit Disconnect, Electrical -Plumbing
86. Vents Above Roof, Plbg-Appriance-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: