HomeMy WebLinkAbout025-150-018IJ
t 025-150-1 -
MOFFITT,.WARRE�I PI 4.�
r 1 963 PALM AVE BIGGS _
L MOTES ,r�^��z
'i Cont: A I C ELECTRIC r
ELEC SERV "
i
i
RES I D E N T I A L
APN: Permit No.
� Q
Owner. /" /SO
Site Address:
Contractor.
Type of Permit:
t.
OFFICE COPY
Address
GAS
Meter By Date
ELECTRIC /V
Meter By Date
3
SPECIAL CONDITIONS
CHECKED BY
SRA
FLOOD CERTIFICATE EQUIRED
FIRE SPRINKLERS REQUIRED
SPECIAL INSPECTION ITEMS
VERIFY
USE PERMIT CONDITIONS
SUBSTANDARD HOUSING LETTER
ENCROACHMENT PERMIT
REINSPECTION FEE PAID
ENV HLTH CLEARANCE
I
DATE JOB FINALED: �' ( V
'� _ SIGNATURE:
. = OK
o = Not OK
MANUFACTURED HOMES
MISCELLANEOUS
DATE PERMANENT FOUNDATION Lj SOFT -SET
DATE D E C K S'C O V E R S'C A R P O R T S 'GARAGE S
1 Zoning -Setbacks -Easements
1 Zoning -Setbacks -Easements
2 Soils; Special MH Support Sketch
2 Ftg§; Soils-Sz-0pihSpacing-CnnctrsSteel
3 Sewer; Loctn-Test; Fall/C10-Concrete
3 Decks, Girders/Joists-Dcking-Brcing
4 Wtr; Loctn-Test-Easement Needed -Regulator
Stairs-Guard/Handrails
5 Elec Loctn-Clrncs-Grnd Amp -Concrete
4 Wood Awn; Posts-Beams-Rftrs-Cnnctrs-Shthg
6 Yard Gas; Loctn-Test-Wrap . Nat 0 or LPO
Frmg-Brcng
Inch Sz Ft Lngth
5 Alum Awn; Columns-CnnctnsSplice-Decal-Enclsrs
7 Bickng; Sz-Spacing-Marriage Line
6 Carports; Wndws-Doors
8 Gas; MH Test-Demand-Valve-Cnnctr
7 Electric
9 Elec MH Cntnty Test-Crossovers-Breakers-CIrncs
8 Frmg; Sills-Anchrs-Studs-Rftrs-Trusses
10 Drain; MH Test -Fall -Flex Cnnctr
9 Siding; Nailing-Veneer-Stvcco-Lath
' 11 Wtr & Sewer Connected-dO to Grade
10 Roof; Shthg-Roofing
12 Gas and Electricity Tagged
11 Ext; Steps -Doors -Landings
13 Tie Downs ❑ Foundation ❑
12 Braced Wall pnls
14 Exits
1S Cert'of Occupancy
16 HUD Labelfinsignia Numbers Serial Numbers
DATE IP06LS
1 Setbacks -Easements
2 Soils; CompactionStructure Stability
3 Pool Structure; Steel-Cnnctns-Thickness
Dead Men -Lining
4 Elec Rcptcls/Lting; Distance-GFI
5 Elec Pool Lting; 15 volts-GFI
0
6 Elec Enclsrs; Conduit Entries Terminals -Listed
7. Elec Bonding; Metal w15'-Crcltng Egp-Htr
8 Elec Grndng; Eqp w/5' Crcltng Eqp-Pool Ightg
Bokes-EnclsrsTnlboards-Insultn to Main Conduit
9 Health Dept Apprvl
10 Plmb; Cir Test-Wtr Supply Test
11 Lt Niche
12 Enclsr-, Fencing -Alarms
13 Bonding, Diving board or Slide
r
Drawing
OK
Not OK
RESIDENTIAL (SIngla & Duplex)
DATE JUNDERFLOOR
1 Zoning-Setbacks-Easements-Flood-S(ope
2 Fig (Main; Soils-Elec Grnd Ftg Opth
3 Ftg Garage", Soils-Steel-Elec Grnd Ftg Dpth.
4 Ftg Porches/Decks; Soils -Steel Ftg Opth
5 Stemwalls Main; Steel-Blockouts-Wrapped
6 Stemwalls Garage; Stee(-Blockouts-Wrapped"
63 Hold Downs and Special Anchrs
7 Slab, Steel Wrapped
8 Piers-Frpic Ftg-Steel
9 DWV; Fall -Fitting -Test -2 -way CIO -Sewer Test
10 UF, Gas Pipe; Sz Anchrs-Sz Test
ij Wtr Pipe; Test-Anchrs-Rgltr-Service Test
12 Elec Undrgrnd
13 Plenums & Ducts; Clrnc-MaterialSupport-Insultn
14 GirdersSills-Anchr BoltsJoists-Vnts-Cripples
15 Acc & Vntltn
16 Insulation
.� ,
DATE IFRAMING
17 Sills Proper Materials & Anchrs
1B Walls Studs -Nailing Spacing & Braces-PlatesSound
19 Bearing Walls over Girders & fir Nailing
20 Draft Stop in Walls (rat proof)
21 Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs
22 Headers & Beams-Sz & Bearing
23 Hangers -Post Caps-Anchrs-Cnnctns
24 Ceiling Joist-Rffr Ties-Purlin-Roof Brac TrussShthg
25 Frpic Ties or Type A Flue-Frpic Throat Cimc
26 Attic Acc; Sz & Rmx Prtctn-Draft Stop -Ins Baffles
27 Bdrm Wndws or Exiting Doors -Sill Ht & Dimensions
28 Garage Fire Prtctn Framing -RC Channel
29 Prprty Line Firewall & Opngs
30 Ext Doors -One T -Check Garage 3rd Story, 2 Exits
31 Stairs; Width-Hdnn-Rise-Run-Landing-Fire Prtctn
32 Plywd on Roof Ovrhng-Attic Vnts-Rftr Outrgrs
33 Siding -Nailing Veneer
34 Stucco Lath -Weep Screed-Fndtn Vnts-Undrtlr Acc
35 Glazing Area -Glass Prtctn-SkyLts-Plastic
36 Shear Walls; Nailing -Bolts
37 Brace Int/Ext Wall pnls
38 Insultn-Walls-Ceilings
39 Infiltration -Walls -W ndws
41
�f
DATE JELECTRICAL _
40 Fxtr & Tmsfrmr Clmc4ns Prtctn
41 Elec Rcptcls Spacing-Lts & Switches at Doors
42 Sz Boxes & No Of Cndctrs Stapled
43 Romex Installed Close to Edge of Studs & CJ
44 Eqp Grnd made up w/Mech Fstnrs
45 Grndng Electrode Bond Gas & Wtr
46 2 Appinc Cires in Ktchn & Cndctr Sz GFI
47 Subfeed Wire Sz 9 ❑ CU or ❑AL
AC Wire Sz 93 ❑ CU or ❑ AL
48 Range Circ ga MCU or AL
'Oven Circ ga E]CU or El AL
Insulated Neutral Dyes ❑No
49 Service -Riser Cndctrs & Grnd Main Dscnnct
50 Eqp CImcs pnls-Motors-Mech Eqp
51 Clothes Closet Lt-Shwr Lt -Spa Lt
52 Smoke Detector
ugit 1PLUMBING
53 Wtr Htr; Vent-Acc-Cmbstn Air Baffle
54 Wtr Pipe; Test & Anchr-Nail Prtctn
55 DWV; Test Fittings & Anchr Nail Prtctn
56 Shwr Pan; Test, First flr-Tub Acc
57 Test Tub & Shwr, 2nd fir - Tub-Acc
58 Gas Pipe; Sz & Anchrs
59 Fire Sprinkler; Test
60 Yard Gas Piping
o `
DATE IMECHANICAL
61 AC Ducts Insultn & Support
62 Vent Fan, Exhaust abv Insultn
63 Condensate Drain & Ovrtlw, Sz & Grade
64 Furnace -Vent Acc-Comb Air Rtrn/Vent 115 Outlet
65 Attic Acc & Pltfrm if Furnace in attic
r �c
DATE IFINAL
66 Ext Steps -Door & SideLt Prtctn-Landings
67 Smoke Detector
68 Furnace Vnts-Clrnc-Comb, Air-Cnnctr
In Garage; abv-flr-Ducts-Mech Prtctn
69 Bedroom Exiting
70 GFI & Bath Fxtrs & Tub Acc-Spa
71 GFI Arc Fault
72 Elec Trim & Subpnl, Breaker S? -Is & Labels
73 Stairs, Guard/Handrails
74 Frpic or Stove, Clmc-Hearth
75 Elec Outlets at Wood Pnl, Int & Ext
76 Ktchn, Fxtr & Appinc; Grnd-Air-Gap-Cooking CImc.
77 Elec Outlets & Rcptcls at Ktchn Counter
78 Garage Fre Door, Swing -Landing -Closure
79 AC Duct in Garage -Damper
80 Wtr Htr; Vnts-Clmc-Com Air Cnnctr-PRV; abv fir
Mech Prictn; LPG Appince Undr House 3" drain
81 Plmb; Elec & Mech Eqp Listed for Lottn
82 Elec Rcptcls in Garage (GFI) Romex Prtctn
83 Insultn-Foam-Looked in Attic
84 Guard Rails & Deck Cnstrctn-Post Caps
85 Fndn Vnts & Crawl Hole Door Drnge & Wood -Earth
86 Clrnc Drnge Planters ❑ Yes ❑ No
87 Stucco Brown -Finish
88 AC Unit Dscnnct, Elec-Plmb
89 Vnts abv Roof, Plmb-Appinc-Frpic-CImc to Opngs
90 Wtr Well, Dscnnct, Elec, Plmb
91 Ext Elec Trim, GFI Rcptcl-Undrgrnd
92 Vntltn thru House
93 Glass Prtctn
94 Corrections from previous Inspctns
95 Gas Test -Meters Tagged, Gas-Elec
96 Wtr & Sewer Cnnctd-C/O to grade -HD Apprvl
97 Energy Cmpinc Cert -Other Certs
98 Address Posted
99, Fire Sprinkler
C'e:w Do 0
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.
BP060895
PERMITS BECOME NULL AND VOID 1 YEAR FROM THE DATE OF ISSUANCE, OR IF WORK IS DONE IN VIOLATION OF ANY COUNTY OR STATE LAWS.
LICENSED CONTRACTORS DECLARATION
I hereby affirm under penalty of perjury that I am licensed under
-z
Issued Date: 04/19/2006 APN: 025-150-018-000
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.�t 7
C
Site Address: 963 PALM AVE BIG
License Class: �b License Number:
Date: #Contractor. A =C L,rwd .
Map Index:
Description: electrical service up -grade & ag service
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
Owner: MOFFITT WARREN FAMILY TRUST
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
MOFFITT WARREN & DOROTHY C
the Contractor's State License Law (Chapter 9 commencing with Section
TRUSTEES
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
2532 LARKIN ROAD
violation of Section 7031.5 by any applicant for a permit subjects the
BIGGS, CA 95917
applicant to a civil penalty of not more than five hundred dollars ($500).):
❑ 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 (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,
Applicant: A I C ELECTRIC
provided that such improvements are not intended or offered for
sale. If however, the building or improvements are sold within one
286 WHITE
year of completion, the owner -builder will have the burden of
AVE
proving that he or she did not build or improve for the purpose of
CHICO, CA 95926
sale.).
(530) 899-7489
❑ 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.).
Contractor: A I C ELECTRIC
❑ 1 am Exempt under Article 3 of the Business and Professions Cade
286 WHITE AVE
Date: Owner:
CHICO, CA 95926
(530) 899-7489
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
License #: 817674
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
Architect:
required by Section 3700 the Labor Code, for the performance of
the work for which this permit is issued. My workers' compensation
Engineer:
insurance carrier and policy number are:
Carrier: 4t /1-7: 4 -
-Policy#:
Total Square Ft: 0 S. F.
Policy #:/ '7 30
❑ 1 certify that in the performance of the work for which this permit is
Valuation: $0.00
issued, I shall not employ any person in any manner so as to
become subject to the workers' compensation laws of California,
Census Code:
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:
Appli
t: W
IRNING:
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.Z
/�
0 - Cl
CONSTRUCTION LENDING AGENCY
This permit is her by issued under th plicable provisions of the Butte County Code and/or
I hereby affirm that there is a construction lending agency for the
Resolut' ns to d work indicated a ve r which fees have been paid.
performance of the work for which this permit is issued (Sec 3097 Civ.)
By: Date: -
Name:
Address:
PERMIT EXPIRES ON:Iy % /
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.
❑ 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 any5l9cial form or document of Butte County. I hereby
authorize representativ s of Butte County to enter upon the above mentioned property for inspection urposes. "
Print Name:Q 11/ LG / N( S Sig ature:
/
Date:
❑ Owner 3 -Contractor ❑ Agent for Owner ❑ Agent for Contractor
B. C. Building Permit 01-16-04 pg 1