HomeMy WebLinkAbout022-350-058022-350-058 PERMIT #97-2396
C.H.I.P. - LgLJ8-
•(BECERRA, Jose & Ana)
,1460 Trent St., City of Biggs
New Single Family �Yli�ly�ji
IQ
5
RESIDENTIAL
PERMIT NO.
F022-350-058 PERMIT #97-2396
C.H.I.P. --Lot #8
(BECERRA, ose na)
1460 Trent St., City of Biggs
New Single Family
PERMIT EXPIRES
n
OWNER
CONTR.
ASSESSOR PARCEL •-
".LOCATION
.? -2- A'6' 41 e".vds 0100r D E
9.- 9 8 2.N.
OFFICE COPY
Address l�; i / .
GAS
Meter By Date
..ELECTRI
Meter By Dat
OFFICE COPY
Temp. PoJ Address
1
Ca • tied GAS
I
Meter By Dates
Temp. Ele4 ELECTRIC
Meter By Date
Called
Temp. Gas Service
Called PG&E
JOB FINALED (Date)
Signature
COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES- BUILDING DIVISION
7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 97-2395 PERMIT NO.
(Rev. 12/96) APPLICATION AND PERMIT
ASSESS p2jo Nii"—'vJ8
ZONING��
BUILDING PERMIT
OWNER
,10SE AND ANA 91M XX BECERRA
TELEPHONE
SO. Fr. OCC. BUILDING VALUATION
12521 R
67,608.W
OWNERS MAILING ADDRESS
483 U
8,6M94, C
CONTRACTOR'S NAME
%=R
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
CONSTRUCTION LENDER
CHIP
[Fireplace
LENDER'S MAIUNG ADDRESS
'
Total Valuation $
► • 00
ARCHITECT OR ENGINEER
GR , PRITZ
LICENSE NO.
G 21
Filing Fee
$ 20.00
Permit Fee
$ 536.0c
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee
$ 3. OC
BUILDING ADDRESS tT MEET
460
Energy Plan Checking Fee
$ L •
$
CULLY 19BIGr.S,
PERMIT FEE
t 00• ix
LOT NO.
SUBDIVISION'S NAME
PARCEL MAP
PLUMBING PERMIT
Fling Fee 20.00
USEOFSTRUCTURE
SF 111 Duplex ❑ Mobilehome ❑ Other
SPECIFY
Each Trap
8 7.00 56.00
Solar or heat pump water heater
23.00
Water piping
15.00
Each gas water heater or vent
15.00
TYPE OF WORK
New D Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑
Describe Work: 1,1ASTER #
PLAN' 1252
Gas piping system 1 - 5 outlets
15.00
is 00
Building sewer
15.00
Mobile Home S G W
920.00
PERMIT FEE
13K.
ELECTRICAL PERMIT
Fling Fee 20.00
600V OR LESS )
Main Service AOR LESS
23.00 •
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
(commencing
aH
nd my license is in full force and effect.
License Class LIC. No.
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
❑ I, as owner of the property, or my employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
1, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
❑ 1 am exempt under Sec. Business and Professions Code for this
- reason
TO
Main Service To
46.00
NEW CONST. DWELLOCCUCUP.
EE
OR ADDNS. ( d ACC. BUDS.
SO • V
3.SQFr:
NON-RESND? MULTI -OUTLET
CIRCUITS
@7,50
POWER APPARATUS
d SINGLE OUrLET CIR.
OUTLET OR FIXTURES
Ex. Occup.BAl
20 I'50
.so
Ex. Occup. ouTELErs a SESE Io.)
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wirina
23.00
PERMIT FEE
$ 103.70
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
❑ 1 have and will maintain workers' compensation insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permit is issued.
My workers' compensation insurance carrier and policy number are:
Carrier
Policy Number
(The above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
I certify that in the performance of the work for which this permit is issued, I shall
not employ any person in any manner so as to become subject to workers
compensation laws of California, and agree that if I should become subject to the
workers' compensation provisions of section 3700 of the Labor Code, I shall
forthwith comply with those prions.
/� I r
X 'Ulf j'�L M__ ate ��� 7_
Signature of Applicant - ❑ Owner ❑ Contractor Agent
An OSHA permit is required for excavations over 60" deep and demolition or construction
of structures over 3 stories in height.
MECHANICAL PERMIT
Filing Fee 20.00
Heating 15.00
Cooling 15 ,00
Hood 6.50 6,50
Ventilation 4 29.00
PERMIT FEE $ 65.50
Mobile Home Installation Fee $
Energy Inspection Fee $ 46.W
•
occ
CONST. TYPE
TOTAL FEE $ A5 n
=HAZ.JES
IMP
FLOOD
CDF
PARCEL
pp
I HD
Is
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.
M�//11/y$
By Date
p
PERMIT EXPIRES ON
%Date
Receipt NO. u.vV -� Vlt �o� .L
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
V=OK
0 = Not OK
Not • =
Applicable MOBILE HOMES
NotReady
Date
MOBILE HOME UTILITIES (Plans) OK except #'s
7. Well Clearance & Disconnect
1. Zoning Requirements - Setbacks - Easements
8. Utility Clearance
2. Soils; Special MH Support Sketch
7. Electric
3. Sewer; location Test -Fall -C/0 -Concrete
8. Frmg.; Sils-AnchorsStuds-Rtov-Trusses
4. Water; Location-TesE asement Needed (Sketch)
Card B-1 Date Card B-1
5. Electricity; Location-Clearances-Gand-/ /AmpCancrete
Card B-1 Date Card B-1
6. Gas; Location -Test -Wrap; / /,LfL
MISCELLANEOUS
Date DECKS, COVERS, CARPORTS, GARAGES (Plana) OK except #'a
1. 'Zoning Requirements, -Setbacks -Easements
2. Footings; SCIsSize-De "pacing -Connectors -Steel
3. Decks; Girders and/or Joists -Decking Bracing -Stairs -Rails
/ /Nat or/ /L'R/ /LPG
7. Well Clearance & Disconnect
8. Utility Clearance
7. Electric
8. Frmg.; Sils-AnchorsStuds-Rtov-Trusses
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
MOBILE HOME INSTALLATION (Plans) OK except #'s
1. Zoning Requirements -Setbacks Easements
2. Footings; Sime -Spacing -Marriage Line
Date
3. Gas; MH Test DernarKWalveConnector
Date
4. Electricity; MH Test -Crossovers -Breakers -Clearances
Date
S. 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
12. Permanent Foundation Only: License Decal
8. Elec.; Grounding; Equip. wB Circulating Equlp.-Pool Lghtg.
Boxes-Enclosures-Panelboards4ns. to Main in Conduit
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
MISCELLANEOUS
Date DECKS, COVERS, CARPORTS, GARAGES (Plana) OK except #'a
1. 'Zoning Requirements, -Setbacks -Easements
2. Footings; SCIsSize-De "pacing -Connectors -Steel
3. Decks; Girders and/or Joists -Decking Bracing -Stairs -Rails
4. Wood Awn.; Posts-Beams-Rftrs.-Connectors
Shft.-Rfg.-Bracing
5. Alum. Awn.; Columns-ConnecdwsSplice-0ecal-Encbsures
6. carports; Windows -Doors
7. Electric
8. Frmg.; Sils-AnchorsStuds-Rtov-Trusses
9. Siding; NailingaleneerStucco-Mesh
10. Roof; Shthg-Roofing
11. Ext; Steps-Doom4 endings
12. Braced WaII.Panels
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
POOLS (Plans) OK except N's
1. Setbacks -Easements
2. Sols; Compaction -Structure Stability
3. Pod Structure; Steel -Connections -Thickness
Dead Men -Lining
4. Elec.; Receptacles and Lighting, Distance-GFI
5. Elec.; Pool Lighting; 15 Volts-GFl
6. Elec.; Enclosures; Conduit Entries-Terminals-Usted
7. Elec.; Bonding; Metal wX-Circulating Equip.+Ieater
8. Elec.; Grounding; Equip. wB Circulating Equlp.-Pool Lghtg.
Boxes-Enclosures-Panelboards4ns. to Main in Conduit
9. Flealth Department Approval
10. Plumb.; Cir. Test -Water Supply Test
11. Licht Niche
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
✓ = OK
O= Not OK RESIDENTIAL
- = Not Applicable
= Not Ready
Date UNDERFLOOR (Plans) OK except #'s
1. Zoning-Setbacks-Easments-FloodSlope
2. FA ., Main; Soils-Elec. Gmd. / P Ftg. Depth
Ftg. Garage; Soils-Steel-Elec. Gmd/ P Ftg. Depth
4. Ftg. Porches & Decks; SoilsSteel-/ P Ftg. Depth
5. Stemwalls, Main;'Steel-Blockouts-Wrapped
6. Stemwalls, Garage; Steei-Blockouts-Wrapped
6a Hold Downs and Special Anchors
oft
7. , Slab, SteeWVrapped
ra 167- Piers -Fireplace Ftlq.Sted
9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test
10. UP Gas Pipe; Size Anchors - Yard Gas Piping; Size Test
11. Water Pipe; Test -Anchors -Regulator -Service Test
12. Electric Underground
13. Pienums & Ducts; Clearance-MaterialSupport-Ins.
14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
15. Access & Ventilation
16. Insulation
Date6--) Card B-1 Date Card B-1
Date � and B-1 ' Date Card B-1
Date PLUMBING (Permit) OK except #'s
(/t7. W ter Htr.; Vent -Access -Combustion Air Baffle
Water Pipe; Test & Anchor -Nail Protection
19. D.W.V.; Test Fittings & Anchor -Nail Protection
20. Shower Pan; Test, First Floor -Tub Access
31,Test Tub & Shower, Second Floor -Tub Access
22. Gas Pipe; Sae & Anchors
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date ELECTRICAL (Permit) OK except #'s
23. Fbtture & Transformer Clearance Ins. Protection
4. EI eceptacles Spacing -Lights & Switches at Doors
Size Boxes & No. of Conductors Stapled
oInstalled Close to Edge of Studs & C.J.
qui round made up w/Mech Fastners-Bond Gas & Water
Appliance Circuts in Kitchen & Conductor Size GFI
29. Su Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or AI
Range Circ./� Cu or AI -Oven Circ. / / ga Cu or AI
Insulated Neu al 0 Yes 0 No
31. Service -Riser Conductors & Ground -Main Disconect
Date Card B-1 Date Card B-1
Date FRAMING (Plans) OK except #s
' Proper Materials & Anchors
1.ts'Studs-Nailing Spacing & Braces -Plates -Sound
ring Walls over Girders & Floor Nailing
W Sto 'rr-Walls (rat proof)
Z. R ps, Furred Ceilings -Stairs -Chasers -Tubs
Headers & Beams -Size & Bearing
(Single & Duplex)
Date FRAMING (Continued)
46.__Kangers-Post Caps -Anchors -Connectors
%,-"47. Cling. Joist-Rftr. Ties-Purlin-roll Brac: TrussShting: Rfng.
48. ace les or Type A Flue -Fireplace Throat clearance
,47 Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
Bdrm. Windows or Exiting Doors -Sill HgL & Dimensions
Garage Fire Protection Framing
- t-b2-17roperty Line Firewall & Openings
Ext'. Doors -One 3 -Check Garage 3rd Story, 2 Exits
. rrs• tti Headroom Rise Run landing -Fire Protection
on Roof Overhang -Attic Vents -Rafter Outriggers
Siding -Nailing Veneer
57. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access
58. G 'ng Area -Glass Protection -Skylights -Plastic
Shear Wall ailing -Bolts
erior / Exterior Wall Panels ✓ % -`
61. Insulation -Walls -Ceilings ,
62. Infiltration-WallsAVindows
Date _, /7Card B-1 3 Da aril B-
Dat + and B-1ate Card Eri
Date FINAL (Plans) OK except #'s
63. Ext Steps -Door & Sidelight Protection -Landings
64. Smoke Detector
65. Furnace; Vents -Clearance -Comb, Air-Conector-
In Garage; Above Floor -Ducts -Meth. Protection
66. Bedroom Exiting
67. G.F.I. & Bath Fixtures & Tub Access -Spa
68. Elec. Trim & Subpanel, Breaker Sizes & Labels
69. Stairs & Rails
70. Fireplace or Stove, Clearance -Hearth
71. Elec. Outlets at Wood Panel, Int. & Ext.
72. Kit. Fat. & Appliance; Ground. -Air Gap -Cooking Clearance
73. Elec. Outlets & Recepticales at Kit. Counter
74. Garage Fire Door; Swing -Landing -Closure
75. A.C. Duct in Garage -Damper
76. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V.
In Garage; Above Floor -Meth. Protection
77. Plb., Elec. & Mech. Equip. Listed for Location
78. Elec. Receptacles in Garage (G.FI.)-Romex Protection
79. Insulation -Foam -Looked in Attic
80. Guard rails & Deck Construction -Post Caps
81. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth
Clearance Looked under Floor 0 Yes
82. Following Instld./DrW 0 Yes 0 No/Walks 0 Yes 0 No/Planters 0 Yes 0 No
83. Stucco Brown -Finish
84. A.C. Unit Disconnect, Electrical -Plumbing
85. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings
86. Water Well, Disconnect, Electrical, Plumbing
87. Exterior Elec. Trim, G.F.I. Receptacle -Underground
88. Ventilation Throught House
89. Glass Protection
90. Corrections from Previous Inspections
91. Gas Test -Meters Tagged, Gas -Electric
92. Water & Sewer Connected -C/O to Grade -HD Approval
93. Energy Compliance Certificate -Other Certificates
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. Egt - learances Panels -Motors -Meeh. Epuip.
q Iott e�Closet Light -Shower Light -Spa Light
moke Detector
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
MECHANICAL (Permit) OK except #'s
35. A.C. Ducts Insulation & Support
36S, / t Fan, Exhaust above insulation
37. C9,0ensate Drain & Overflow, Size & Grade
Fumance-Vent Access -Comb. Air -Return Air Vent 115 outlet
39, 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 (Plans) OK except #s
' Proper Materials & Anchors
1.ts'Studs-Nailing Spacing & Braces -Plates -Sound
ring Walls over Girders & Floor Nailing
W Sto 'rr-Walls (rat proof)
Z. R ps, Furred Ceilings -Stairs -Chasers -Tubs
Headers & Beams -Size & Bearing
(Single & Duplex)
Date FRAMING (Continued)
46.__Kangers-Post Caps -Anchors -Connectors
%,-"47. Cling. Joist-Rftr. Ties-Purlin-roll Brac: TrussShting: Rfng.
48. ace les or Type A Flue -Fireplace Throat clearance
,47 Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
Bdrm. Windows or Exiting Doors -Sill HgL & Dimensions
Garage Fire Protection Framing
- t-b2-17roperty Line Firewall & Openings
Ext'. Doors -One 3 -Check Garage 3rd Story, 2 Exits
. rrs• tti Headroom Rise Run landing -Fire Protection
on Roof Overhang -Attic Vents -Rafter Outriggers
Siding -Nailing Veneer
57. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access
58. G 'ng Area -Glass Protection -Skylights -Plastic
Shear Wall ailing -Bolts
erior / Exterior Wall Panels ✓ % -`
61. Insulation -Walls -Ceilings ,
62. Infiltration-WallsAVindows
Date _, /7Card B-1 3 Da aril B-
Dat + and B-1ate Card Eri
Date FINAL (Plans) OK except #'s
63. Ext Steps -Door & Sidelight Protection -Landings
64. Smoke Detector
65. Furnace; Vents -Clearance -Comb, Air-Conector-
In Garage; Above Floor -Ducts -Meth. Protection
66. Bedroom Exiting
67. G.F.I. & Bath Fixtures & Tub Access -Spa
68. Elec. Trim & Subpanel, Breaker Sizes & Labels
69. Stairs & Rails
70. Fireplace or Stove, Clearance -Hearth
71. Elec. Outlets at Wood Panel, Int. & Ext.
72. Kit. Fat. & Appliance; Ground. -Air Gap -Cooking Clearance
73. Elec. Outlets & Recepticales at Kit. Counter
74. Garage Fire Door; Swing -Landing -Closure
75. A.C. Duct in Garage -Damper
76. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V.
In Garage; Above Floor -Meth. Protection
77. Plb., Elec. & Mech. Equip. Listed for Location
78. Elec. Receptacles in Garage (G.FI.)-Romex Protection
79. Insulation -Foam -Looked in Attic
80. Guard rails & Deck Construction -Post Caps
81. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth
Clearance Looked under Floor 0 Yes
82. Following Instld./DrW 0 Yes 0 No/Walks 0 Yes 0 No/Planters 0 Yes 0 No
83. Stucco Brown -Finish
84. A.C. Unit Disconnect, Electrical -Plumbing
85. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings
86. Water Well, Disconnect, Electrical, Plumbing
87. Exterior Elec. Trim, G.F.I. Receptacle -Underground
88. Ventilation Throught House
89. Glass Protection
90. Corrections from Previous Inspections
91. Gas Test -Meters Tagged, Gas -Electric
92. Water & Sewer Connected -C/O to Grade -HD Approval
93. Energy Compliance Certificate -Other Certificates
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Comments at Final:
<- COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 97_2396 PERMIT NO.
(Rev. 12/96) APPLICATION AND PERMIT
ASSE$$pji{ARC.f}L IM �
Z0NINO�ITY
BUILDING PERMIT J
OWNER
JOSE AND ANA RXNXKKX RECERRA
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
199931 R
67,608 -nn
OWNER'S MAILING ADDRESS
481 IT
8,60894-C
CONTRACTOR'S NAME
OWNER
TELEPHONE "
48 (1,
694-00
CONTRACTORS MAIUNG ADDRESS
CONSTRUCTION LENDER
CHTP
Fireplace
LENDER'S MAIUNG ADDRESS
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE NO.
Film Fee $
20.00
Permit Fee $
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Plan Checking Fee $
- UL
BUILDING ADDRESS
460 TRENT STREET
Energy Plan Checking Fee $
23.00
$
NBIGGS
PERMIT FEE $
LOTNg..
SUBDIVISION'S NAME
PARCEL MAP
PLUMBING PERMIT
Filing Fee 20.00
USEOFSTRUCTURE
SF ¢0 Duplex ❑ Mobilehome ❑ Other
SPECIFY
Each Trap q
7.00 96.00
Solar or heat pump water heater
23.00
Water piping
15.00
Each as water heater or vent
15.00
TYPE OF WORK
New Xl Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑
Describe Work: MASTER # q q 2n
PLAN 1252
Gas piping system 1 - 5 outlets
15.00-1-S.
Building sewer
15.00
15 00
Mobile Home S G W
920.00
PERMIT FEE $
136.00
ELECTRICAL PERMIT
Filing Fee 20.00
Main Service 2o0AORLESS
23.00 23.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that 1 am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license is in full force and effect.
License Class Llc. No.
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
❑ I, as owner of the property, or my employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
I, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
❑ 1 am exempt under Sec. Business and Professions Code for this
reason
Main Service zooA TO I000A
46.00
NEW CONST. DWELLING OCCUP. 1 3
ADDNS. (
3.5¢F . 0.70
NOR
EW CONST. MUALCTIC-OurDcs
IF C CI c Ts
@7.50
_N
PowER APPAUS
8 SINGLE OUTLET CIR.
Ex. Occup. OUTLET OR FIXTURES
z0@''50
BAL @ .SO
Ex. Occup. OUTELETS RES D.)D APPLNS
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
PERMIT FEE $
103. 7O
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
❑ 1 have and will maintain workers' compensation insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permit is issued.
My workers' compensation insurance carrier and policy number are:
Carrier
Policy Number
(The above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
I certify that in the performance of the work for which this permit is issued, I shall
not employ any person in any manner so as to become subject to workers
compensation laws of California, and agree that if I should become subject to the
workers' compensation p ovisions of section 3700 of the Labor Code, I shall
fort with comply tho a provis' ns.
L
X _ ate ��/�_
Sign re of Applicant - Owner ❑Contractor Agent ///---
An OSHA permit is required for excavations over 5'0" d ep and demolition or construction
of structures over 3 stories in height.
MECHANICAL PERMIT Filing Fee 20.00
Heating 15.00
Cooling
Hood 6.50
Ventilation
PERMIT FEE $ 69-50
Mobile Home Installation Fee $
Energy Inspection Fee $ 46.00
occ
CONST. TYPE
TOTAL FEE $
HA2.
--�
D. FESS IMP
1�/
FLOOD
CDF
PARCEL PD
HD
ISS
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.
f6� '�' "v / �2- 440
By Date
PERMIT EXPIRES ON 2 7
Dere
ReceiptNo. $827.20
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
` COUNTY OF BUTTE -DEPARTME` TOt�,'
ELOPMENT SERVICES-BUILDINGDIVISION
7 County Center Drive - Oro 'Ile,fornia 95965 - Telephone (916) 538-7541 PE IT NO.
(Rev.12/96) APPLI AN AND PERMIT "�Ryz
ASSESSQyCL///PARC ""=B _
NIN -
BUILDING PERMIT
OWNERrT
os
e�er�ra.
Te HONE
SO. FT. OCC. BUILDING VALUATION
OWNERS MAILING ADDRESS
I3S5
CONTWACTORS NAME
f
TELEPHONE
'T
CO TOR'S MAILING ADDRESS
CONST C O LEND
LENDER'S MAILING ADDRESS
Fireplace
Total Valuation $
ARCH OR ENGINEER
e; t2—
U ENSE NO .
Filing Fee
$ 20.00
ARCHITECT OR INEERS MAILING ADDRESS
Permit Fee
$ 63
Plan CheckingFee
$
reiit BUILDING ADDRESS
Energy Plan Checking Fee
$
r
$
PERMIT FEE iTe
LOTNO.
SUBDIVISIONS NAME
PARCEL M#
PLUMBING PERMIT
Fling Fee 20.00
USEOFSTRUCTURE
SF Duplex ❑ Mobilehome O Other
SPECIFY
Each Trap
81 7.00
Solar or heat pump water heater
1 23.00
Water piping
15.00 IS Q
TYPE OF WORK
New Y( Addition O Remodel ❑ Utilities O Installation ❑ Other O
Describe Work: r .0—
l c; �� �`
Each gas water heater or vent
15.00
Gas piping system 1 - 5 outlets 15.00 Q
Building sewer 15.00 I 010
Mobile Home S I G W 920.00
PERMIT FEE
S
ELECTRICAL PERMIT
Filing Feel 20.00
Main Service 600V OR LESS
200. OR lEBS
23.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license is in full force and effect.
License Class Llc. No.
OWNER -BUILDER DECLARATION
1 herebyaffirm under penalty of perjury that I am exempt from the Contractors License
P hY P 1 rY P
Law for the following reason:
❑ 1, as owner of the property, or my employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.Mobile
❑ 1, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
❑ 1 am exempt under Sec. Business and Professions Code for this
reason
Main Service 200A TO I000A
46.00
NEW CONST. DWELLING OCCUP.
OR ADONS. ( 6 AM. ams.
SO
3.5¢x :
HEW CONS T.MULTFOUTLET
NON-RESID
1x7,50
POWER APP.RATUs
8 SINGLE OUR ET CIR.
Ex. Occup. OUTLET OR FIXTURES
8 0 1.w
Ex. Occup. FIXED APPLNS. OR
DUTLETS RESID. EA
5.00
Temporary Service
23.00
Home Facilities
20.00
Misc. Wiring
23.00
PERMIT FEE
t O
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
O 1 have and will maintain workers' compensation insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permit is issued.
My workers' compensation insurance carrier and policy number are:
Carrier
Policy Number
(The above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
❑ 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 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.
X Date
Signature of Applicant - O Owner ❑ Contractor Agent
An OSHA permit is required for excavatio s o er 5'0"d7ep d de olition or construction
of structures over 3 stories in height. Q`t l
MECHANICAL PERMIT Fling Fee 20.00
Heating I
Cooling
Hood 6.50
Ventilation
PERMIT FEE $ Gi
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
coNsr. TYPETOTAL FEE $ �"
HAZ' D. FEES IMP
FLOOD
COF
PARCEL I PO
I "I ISSUE
This permit is hereby issued under
of the Butte County Code and/or
indicated above for which fees have
By
PERMIT EXPIRES ON
the applicable provisions
Resolutions to do work
been paid.
Date
Date
ReceiptNo. ^' ?Jp,
WHITE-D.D.S.-B.D. CAN Y -ASSESSOR PINK -I ECTOR GOLDENROD -APPLICANT
COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916) 538-7541
PERMIT APPLICATION DATA SHEET
OWNER, '(- ASSESSOR PARCER: Caa-. 3SZ) -0S^6 It)- U
Proposed Building Use: E UL, LQ e Building Inspector: _%W,Date: / "7
At time of permit application, I was advised the following data must be submitted prior to permit proess' gnd/or issuance:
Date Received By
22. .All items have been submitted.-------------------------------
Plot plans, 3/4 sets, signed by the preparer of plans. ------
03. Complete plans, 3/4 sets, signed by the preparer of plans. -----------------------------------------------------
04. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans. --------
❑ 5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! ------------------
❑6. Energy Design Compliance and supporting documentation. ----------------------------------------------------
❑ 7. Statement of Intent for Non -Heated and A/C Buildings. ---------------------------------------------------------
❑ 8. Hazardous Material Form.------------------------------------------------------------------------------------------
❑ . Manufactured Home da anted installation instructions including Tie Down Specifications.------------------
1 . Fees of $-----=-------------------------------------- ---------------------------------------
�1. Impact fees as shown on the attached schedule. -�� -----------------------------------•
❑ 12. California Department of Forestry plan approval/fees-----------
❑ 13. Flood elevation certificate. ----------------------------------------------------------
❑ 14. Sanitation and plot plan approval Health Department. -------------
❑ 15. City of Chico plumbing permit. ----------------------------------------------------------------------
Plot plan and business license approval from the City of Biggs. ----------------------------------
❑ 17. Planning approval for (A) Use: (B) Parking: -------------
! ❑ 18. Contact Land Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel. -----------
!
❑ 19. Encroachment Permit for driveway (construction approval prior to occupancy). ---------------
020. Pre -inspection for
required. Request to Building Inspector on
021. Contractor's license information. (Number, Name Style, Classification). ------------------------------------
❑ 2. Workers' Compensation carrier and policy number. -----------------------------------------------------------
9Owner-Builder Verification (Given to owner Mailed to owner 0) - --------------------------------------
4 Letter of signature authorization.--------------------------------------------------------------------------------
❑25. Recorded copy of Agricultural Acknowledgment Statement. --------------------------------------------------
❑26. Letter of intent on building use. -----------------------------------------------------------------------------------
❑27. Manufactured Home utility clearance. ---------------------------------------------------------------------------
❑28. Existing violations and/or expired permits.----------------------------------------------------------------------
❑2 0433 A, ❑Grant Deed, ❑ M.H. Title, Cl Check to H.C. $
cher: 5 l� l� L'� 2 �1 b�'l j
When you issue the permit, process as follows 6 Mail to owner, ❑Mail to contractor
❑Telephone
and hold for pickup at
office. ❑ Deliver with inspector.
Applicant:
Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, ❑ Air Pollution
Copy of plans sent ❑ Health Department, ❑ Fire Department, ❑ Other:
Date:
Date:_ By:
Date: By:
(Date)
1. Index permit application for the above items numbered: ❑ Plan Check List
2. Additional items required:
Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by
Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by _
Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by _
Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by
Plans reviewed by: Date: Plans approved by: Date:
Sets of plans on hold in o Plan Cabinet, ❑ A.P. folder. Note transfer by: Date:
Yellow Copy - Department of Development Services, Building Division.
Date:
Date:
Date:
Date:
.B.-1
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 ❑ NO ❑
2. I HAVE ❑ HAVE NOT ❑ 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: CONTRACTOR'S 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: CONTRACTOR'S 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:
PROPERTYOWNER:
SOCIAL SECURITY NUMBER:
DATE:
NOTE. This Owner -Builder Verification is required by Section 19831 and 19832 of the
California Health and Safety Code. This verification must be completed and
returned to our office before we are permitted to issue the permit.
OVER
OWNER BUILDER INFORMATION
Dear Property Owner:
O.B.- I
An application for a building permit has been submitted in your name listing yourself as the builder of property
improvements specified.
For your protection, you should be aware that as "owner -builder" you are the responsible party of record on such
a permit. Building permits are not required to be signed by property owners unless they are personally performing their
own work. If your work is being performed by someone other than yourself, you may protect yourself from possible
liability if that person applies for the proper permit in his or her name.
Contractors are required by law to be licensed and bonded by the State of California and to have a business
license from the city or county. They are also required by law to put their license number on all permits for which they
apply.
If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should
be aware of the following information for your benefit and protection:
♦ If you employ or otherwise engage any persons other than your immediate family, and the work (including materials
and other costs) is 5300 or more for the entire project, and such persons are not licensed as contractors or
subcontractors, then you may be an employer.
♦ If you are an employer, you must register with the State and Federal Governments as an employer and you are
subject to several obligations including state and federal income tax withholding, federal social security taxes,
workers compensation insurance, disability insurance costs, and unemployment compensation contributions.
♦ There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious
with respect to worker's compensation insurance.
♦ For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and,
if you wish, the U.S. Small Business Administration). For more specific information about your obligations under
State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents.
If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their
work personally or through their own employees, without a licensed contractor or subcontractor, only under limited
conditions.
A frequent practice of unlicensed persons professing to be contractors is to secure an "owner builder" building
permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building
permits are not required to be signed by property owners unless they are performing their own work personally.
Information about licensed contractors may be obtained by contracting the Contractors State License Board in your
community or at 1020 N Street, Sacramento, CA. 95814.
Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you
are aware of these matters. The building permit will not be issued until the verification is returned.
rely,
Mic el C. Vi ira, C.B.O.
Ma ger, Building Inspection
NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code.
OVER
N�'iei'iso;;;�'"�J'T���'Y's`k-.�+•'4��iS�''q:,,�p4Tiy,�'1�""�Gw'sn..",�.+'KC`°'7Y��;.�1'x'10.'�;5r<+rntlrli'u�: �f�vl'¢'�'��s �+'^i�.�' SC. i',�::.ls`�.Y�„1:'y!:'�..�r:�.�.-ii
BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM
(One Forcri Per Building)
School District, 08A>>`[=' Building Department No.
A.P. Number Oz _z -n5A Jurisdiction: City County '
Property Owner Ci e..et f r
r
Property Location/Address
Subdivison
Residential Development
Commercial/Industrial
Building Department
0
New
91- 0;
'
Lot No. UV
0 Sq. Footage / s
Addition (Group R)
Addition
(Floor Plans reviewed by School District Personnel)
Sq. Footage
(Including Exterior
Roofed Areas)
Date
District Identification No. /D�p
School District certifies that Ce
APPlicant)
Lf2 D
(Street Address) (Phone Number)
(State) (Zip Code)
has complied with the requirements of Resolution No. by payment of $
representing. " square feet. As 2926 $
FULL MITIGATION $
h of D t ' epr s tative Date
Paid by Check #�/
Remarks:
Bank Number
Paid by Cash
If, subsequent to the School District Representative signing this Butte County Schools Impact Fee
Certification Form, the School District is notified by the applicable Local,Planning Agency that this project
is being reviewed under the California Environmental Quality Act (CEQA)', this project_ may be subject to
additional school fees to fully mitigate its impact on the school district's schools.
White (applicant), Yellow (building department), Pink.(school district)- feeformmk, (11/94)dmm
G
PROPOSED 3 -BEDROOM
/ 2-13ATH RESIDENCE OF
1252 SQ. FT.
0
4
M
0
ELEC. SERVICE � o
LOCATION OF
TELEPHONE,
ELECTRIC, &
TV TRENCH -
77.1'
SITE PLAN
MODEL# 12 5 2
47' —151
Continuous Fencing to be 1 x6
6' high dog-earI Western Cedg,
AD ELEV +92.20'
0' P.U.E.
PROPERTY LINE JS
10' TO FACE OF CURB •
C
Lot 8
460 TRENT ST.
2" PVC UNDER
DRIVEWAY
FOR IRRIGATION
r�r+►�SYSTEM
WATER LINE
+�*♦
+♦
t� ►:
��♦#97401
nas-approved ftm"mMCneo p,er
20' TO CENTER LINE OF ROADWAY items: mect to the followl,
Curb, ger, sidewalks, ER
TRENT STREE ' Ys a aPPuritenances to a"�' necessary nonr
NOTES • Per City standards be in on all abu
1. SIDE .YARD SWALES SHALL BE PRESERVED.ride nlsh floor to a �� 0'
above finis
2. ENTIRE FRONT YARD LANDSCAPE SHALL BE dilater, serer an elecir
COMPLETED PRIOR TO FINAL INSPECTION OF be installed Pe► i stand sse• nnections
EACH PROPERTY. W shell ecf dr '
3. ENTIRE FRONT YARD LANDSCAPE SIw ��r R
IRRIGATED BY AN AUTOMATIC IRR16j�O�� aA v�`
SYSTEM. i CONCRETE
SOUTHFIELD MANOR ACPPRO
EALAWN
ALIFORNIAMA5VER- 5
COMMUNITY HOUSING IMPROVEMENT PROGRAM PO�J SHRUBS
q?-23RCo
SCALE 1 " = 20'
OWNER: JOSE BECERRA 460 TRENT ST. AP#022-350-058rT4/97
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