HomeMy WebLinkAbout025-220-01125-22-11
PHIL GUS SOFOS ..ZELLER, Carl 15_43B
80 Watt Ln., Oroville 1191P
♦r
.._......-`._. 25-22-11 { 25-2212
ermit #40-86 - AgriculturAl bldg e/s Watt Lane off Oro Gridley Hwy at
Robinson Corners, Oroville
CONTR: Cardinal Homes, Yuba City
025-220-0 �Q1-1443
MAIM e, H tte
---[==
80 Watt Lane, Palermo --
Cont: Exclusive Property M e��inent O )
Reroof/SF
5�
025-220-011 03-025
HOLLAND, WILLIAM'
80 WATT LN., OROVILLE \N .V
COVERED DECK
� t
µ I �
025-220-011 03-0627
1I y
HOLLAND, WILLIAM } Q
80 WATT LN, OROVILLE
ADDITION TO SF & GARAGE I-
.�_._._. _ 'c._
t
I
J=OK
0= Not OK RESIDENTIAL (;
- = Not Applicable
. = Not Ready
Date UN F OR (Plans) OK except #'s
nin -Setbacks-Easements-Flood-Slope
2. F ., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth
t a ge; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth
11f:5 ., orches & Decks; Soils -Steel-/ /" Ftg. Depth
5 IIs, Main; Steel-Blockouts-Wrapped
6. mwalls, Garage; Steel-Blockouts-Wrapped
6a. Hold Downs and Special Anchors
7. Slab, Steel -Wrapped
8. Piers- ire lace Ftg.-Steel
Date Card B-1 Date Card B-1
Date MECHANICAL (Permit) OK except #'s
R6A.q_Ducts Insulation & Support
Vent Fan, Exhaust above insulation
8. 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 Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date FRAMING (Permit) OK except #'s
ills Proper Materials & Anchors
12e007111s Studs -Nailing Spacing & Braces -Plates -Sound
4 ing Walls over Girders & Floor Nailing
D Stop in Walls (rat proof)
. Fir tops, Furred Ceilings -Stairs -Chasers -Tubs
eaders & Beams -Size & Bearing
Tingle & Duplex)
Date FRA ontinued)
477 rs-Post Caps -Anchors -Connectors
4 . Cling. Joist-Rftr. Ties- Purl in- Roll Brac.-Truss-Shting.-Rtng.
4 ace ies or Type A Flue -Fireplace Throat Clearance
All ccess; Size & Romex Protection -Draft Stop -Ins. Baffles
B i dows or Exiting Doors -Sill Ht. & Dimensions
ge Fire Protection Framing -RC Channel
5.O'PEoggrty Line Firewall & Openings
Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits
5 S idth-Headroom- Rise- Run- Land ing- Fire Protection
Plywood on. Roof Overhang -Attic Vents -Rafter Outriggers
Ing -Nailing Veneer
. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access
Glazing Area Glass Protection -Skylights -Plastic
Cl 60. r ails; Nailing -Bolts equ
B e Interior/Exterior Wall Panels
6 . Insulation -Walls -Ceilings
63. Infiltration -Walls -Windows
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
r
i
NOTES
I .
q12- 0/0 -7 A�rlcv af
t-
1
1
E Steps -Door & Sidelight Protection -Landings
S ke Detector
Furnace Vents -clearance -Comb, Air -Connector -
In arage; Above Floor-Ducts-Mech. Protection ,
room Exiting Er
& Bath Fixtures & Tub Access -Spa
Elec. Trim & Subpanel, Breaker Sizes & Labels
i9-9tans-&'Ftalls
learance-Hearth
lec. Outlets at Wood Panel, Int. & Ext.
pp lance; Ground -Air -Gap -Cooking Clearance
uplaules at Kit. Counter
75VGarage Fire Door; Swing -Landing -Closure
arage-Damper
r. Htr.; Vents -Clearance -Comb. Air Connect -P.R.V.
in Garage; Above Floor-Mech. Protection ;
Elec. & Mech. Equip. Listed for Location
lec. Receptacles in Garage (F.F.I.)-Romex Protection
nsulation-Foam-Looked in Attic
84. ec Construction -Post Caps
82. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth
_ Clearance Looked nder Floor ❑ Yes
83. Followina lnstld./DKe O Yes O No/Walks O Yes_ O No/Planters O Yes Cl No
84. Stucco
Electrical -Plumbing
gRIVents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings
e , isconnect, Electrical, Plumbing
x for Elec. Trim, G.F.I. Receptacle -Underground
LW.Ventilation Throughout House
ass Protection
! rrections from Previous Inspections
as st-Meters Tagged, Gas -Electric
a��aZ & Sewer Connected -C/O to Grade -HD Approval
_
r94 - _'energy Compliance Certificate -Other Certificates
Date = D %- Card B-1 Date Card B-1
Date %— Card B-1 Date Card B -1B-1 Date Card B-1
Date Card B-1 Date Card B-1
Comments at Final:
{ RESIDENTIAL
S ( 025-220-011
PERMIT NO. HOLLAND, WILLIAM
80 WATT LN, OROVILLE
ADDITION TO SF & GARAGE
41
N
03-062277
V '
SPECIAL CONDITIONS
CHECKED
BY
SRA
FLOOD CERTIFICATE REQ.
FIRE SPRINKLERS REQ.
SPECIAL INSPECTION ITEMS
VERIFY
USE PERMIT CONDITIONS
SUB -STANDARD HOUSING LETTER
i
1
JOB FINALED
I
Signature
.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
.17
FV
13. Plen ms & Ducts; Clearance -Material -Support -Ins.
1 Irders-Sills-Anchor Bolts-Joists-Vents-Crippies
Access & Ventilation
16. Insulation
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
P GING (Permit) OK except #'s
17..j; er Htr.; Vent -Access -Combustion Air Baffle
18 er Pipe; Test & Anchor -Nail Protection
D.W. ; Test Fittings & Anchor -Nail Protection
hower Pan; Test, First Floor -Tub Access
2 . es Shower, Second Floor -Tub Access
as Pipe; Sixe & Anchors
23. Fire Sprinkler; Test
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
ELECTRICAL (Permit) OK except #'s
24. Fixtur & Transformer Clearance -Ins. Protection
2 ec. Receptacles Spacing -Lights &Switches at Doors
Ize Boxes & No. of Conductors Stapled
Iomex
Installed Close to Edge of Studs & C.J.
quip. Ground made up w/Mech Fasteners -Bond Gas & Water
2a-TWp_p_1ianceni cuits in Kitchen & Conductor Size GFI
i6�5ubfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ d9f4ga Cu or Al
31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or Al
Insulated Neutral ❑ Yes O No
32 Genrie+rRt52r Conductors & Ground Main Disconnect
Clearances Panels-Motors-Mech. Equip.
340'C-lothes Closet" Light -Shower Light -Spa Light
300"S-moke Detector
Date
Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date MECHANICAL (Permit) OK except #'s
R6A.q_Ducts Insulation & Support
Vent Fan, Exhaust above insulation
8. 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 Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date FRAMING (Permit) OK except #'s
ills Proper Materials & Anchors
12e007111s Studs -Nailing Spacing & Braces -Plates -Sound
4 ing Walls over Girders & Floor Nailing
D Stop in Walls (rat proof)
. Fir tops, Furred Ceilings -Stairs -Chasers -Tubs
eaders & Beams -Size & Bearing
Tingle & Duplex)
Date FRA ontinued)
477 rs-Post Caps -Anchors -Connectors
4 . Cling. Joist-Rftr. Ties- Purl in- Roll Brac.-Truss-Shting.-Rtng.
4 ace ies or Type A Flue -Fireplace Throat Clearance
All ccess; Size & Romex Protection -Draft Stop -Ins. Baffles
B i dows or Exiting Doors -Sill Ht. & Dimensions
ge Fire Protection Framing -RC Channel
5.O'PEoggrty Line Firewall & Openings
Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits
5 S idth-Headroom- Rise- Run- Land ing- Fire Protection
Plywood on. Roof Overhang -Attic Vents -Rafter Outriggers
Ing -Nailing Veneer
. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access
Glazing Area Glass Protection -Skylights -Plastic
Cl 60. r ails; Nailing -Bolts equ
B e Interior/Exterior Wall Panels
6 . Insulation -Walls -Ceilings
63. Infiltration -Walls -Windows
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
r
i
NOTES
I .
q12- 0/0 -7 A�rlcv af
t-
1
1
E Steps -Door & Sidelight Protection -Landings
S ke Detector
Furnace Vents -clearance -Comb, Air -Connector -
In arage; Above Floor-Ducts-Mech. Protection ,
room Exiting Er
& Bath Fixtures & Tub Access -Spa
Elec. Trim & Subpanel, Breaker Sizes & Labels
i9-9tans-&'Ftalls
learance-Hearth
lec. Outlets at Wood Panel, Int. & Ext.
pp lance; Ground -Air -Gap -Cooking Clearance
uplaules at Kit. Counter
75VGarage Fire Door; Swing -Landing -Closure
arage-Damper
r. Htr.; Vents -Clearance -Comb. Air Connect -P.R.V.
in Garage; Above Floor-Mech. Protection ;
Elec. & Mech. Equip. Listed for Location
lec. Receptacles in Garage (F.F.I.)-Romex Protection
nsulation-Foam-Looked in Attic
84. ec Construction -Post Caps
82. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth
_ Clearance Looked nder Floor ❑ Yes
83. Followina lnstld./DKe O Yes O No/Walks O Yes_ O No/Planters O Yes Cl No
84. Stucco
Electrical -Plumbing
gRIVents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings
e , isconnect, Electrical, Plumbing
x for Elec. Trim, G.F.I. Receptacle -Underground
LW.Ventilation Throughout House
ass Protection
! rrections from Previous Inspections
as st-Meters Tagged, Gas -Electric
a��aZ & Sewer Connected -C/O to Grade -HD Approval
_
r94 - _'energy Compliance Certificate -Other Certificates
Date = D %- Card B-1 Date Card B-1
Date %— Card B-1 Date Card B -1B-1 Date Card B-1
Date Card B-1 Date Card B-1
Comments at Final:
{ RESIDENTIAL
S ( 025-220-011
PERMIT NO. HOLLAND, WILLIAM
80 WATT LN, OROVILLE
ADDITION TO SF & GARAGE
41
N
03-062277
V '
SPECIAL CONDITIONS
CHECKED
BY
SRA
FLOOD CERTIFICATE REQ.
FIRE SPRINKLERS REQ.
SPECIAL INSPECTION ITEMS
VERIFY
USE PERMIT CONDITIONS
SUB -STANDARD HOUSING LETTER
i
1
JOB FINALED
I
Signature
rl
J = OK
0 = Not OK
= Not Ready
MOBILE HOMES
Date MOBILE HOME UTILITIES (Plans) OK except #'s
1. Zoning Requirements -Setbacks -Easements
2. Soils; Special MH Support Sketch
3. Sewer; Location -Test -Fall -C/O -Concrete
4. Water; Location -Test -Easement Needed (Sketch)
5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete
6. Gas; Location -Test-Wrap; -/ /" L 'ft.
/ P Nat. or/ P' L "ft./ P LPG
7. Well Clearance & Disconnect
8. Utilitv Clearance
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; 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
MISCELLANEOUS
Date
11. Cert. of Occupancy
1.
Zoning Requirements -Setbacks -Easements
Date
2.
Footings; Soils -Size -Depth -Spacing -Connectors -Steel
Card B-1 Date
Card B-1
Date
Card B-1 Date
Card B-1
Date
PERMANENT END SYSTEM (ONLY)
5.
Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
1. Zoning Requirements -Setbacks -Easements
6.
Carports; Windows -Doors
2. Footings; Size -Spacing -Marriage Line
7.
Electric
3. Blocking
8.
Frmg.; Sills-Anchors-Studs-Rftrs-Trusses
4. Gas; MH Test -Demand -Valve
9.
Siding; Nailing -Veneer -Stucco -Mesh
5. Electricity; MH Test
10.
Roof; Shthg-Roofing
6. Water; MH Test
11.
Ext.; Steps -Doors -Landings
7. Water and Sewer Connected
12.
Braced Wall Panels
8. Gas and Electricity Tagged
9. Exits
Card B-1 Date Card B-1
10. License Decals
Card B-1 Date Card B-1
11. Verify #'s with Office
POOLS (Plans) OK except #'s
1. Setbacks -Easements
Date
2.
Soils; Compaction -Structure Stability
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- Panel boards- Ins. to Msin 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
"COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive • Oroville, Laliforr>ia 95965 • Telephone (530) 538-7541 PERMIT NO.
(Rev. 12/96) APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER
025-220-011
ZONING
A-5
BUILDING PERMIT
OWNER
TELEPHONE
SO. Fr, OCC. BUILDING VALUATION
. OWNERS MAILING ADDRESS
So Watt T.al3p Qro�;Jllp CA
38 R 39852.00
CONTRACTORO&Mpr'S NAME
TELEPHONE
662 U 11916.00
CONTRACTORS MAILING ADDRESS
CONSTRUCTION LENDER
LENDER'S MAILING ADDRESS
Fireplace
$
Total Valuation 51768.00
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee
$ 20.00
ARCHITECT OR ENGINEERS MAILING ADDRESS
Permit Fee
$423.50
Plan Checking Fee
$275.27
BUILDING ADDRESS
80 Watt Lane Oroville
Energy Plan Checking Fee
$ 23.00
$
PERMIT FEE
$741.77
IAT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT
Filing Fee 20.00
USEOFSTRUCTURE
SF ❑ Duplex ❑ Mobilehome ❑ Other
SPECIFY
Each Trap
1 7.00 28.00
Solar or heat pump water heater
23.00
Water piping
15.00 15.00
Each gas water heater or vent
15.00 15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑
Describe Work: addition to SF and Garage
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00 15-00
Mobile Home J S I G I W
920.00
PERMIT FEE
$
ELECTRICAL PERMIT
Fling Fee 20.00
Main Service aoov GR LEss
zo.A OR LESS
23.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000 of Division 3 of the Business and Professions Code,
( 9 )
and 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�f the following reason:
H/ 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
I to construct the project.
`❑ 1 am exempt under Sec. Business and Professions Code for this
reason
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
❑ I have and will maintain workers' compensation Insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permit is issued.
My workers' compensation insurance carrier and policy number are:
Carrier
Policy Number
(The above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
13-11 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 comp) with those provisions.This
X A Date 1,3
Signature of Applicant - Owner ❑ Contractor ❑ Agent
An OSHA permit is required for excavations over 60" deep and demolition o on truction
of structures over 3 stories in heit.
Recei tNo. 7� - /
p
Main Service 200A TO 1000A 46.00
NEW CONST. DWELLING OCCUR
OR ADONS. ( s ACC. BLDS.
SO
3.5
NEW
NEW CONST. MULTI.0UTLET
NON•REs10. @7.50
Pow. APPARATUS
8 SINGLE OUTLET CIR.
20
Ex. Occup. OUTLET OR FD(TURES BAL @ 1.50
Ex. Occup. O(ITLETS Ra D.oEA 5.00
Temporary Service
23.00
Mobile Home Facilities ( 20.00
Misc. Wiring ! 23.00
PERMIT FEE $ 69.00
MECHANICAL PERMIT Fling Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
extend ducts,
PERMIT FEE $35.00
Mobile Home Installation Fee $
Energy Inspection Fee $46 00
occ
CONST. TYPE
TOTAL FE $ 999.77
HAZ.
D. I
CDF
PAR EL
Pfd
/
ISs E
permit is hereby issued under the
of the Butte County Code and/or
indicate ove for which fees have
By
PERMIT EXPIRES ON
applicable provisions
Resolutions to do work
been paid.
ate O
04
D e
WHITE-D.D.S.-B.D. CANARY-OrSSESSOR PINK- PECTOR GOLDENROD -APPLICANT
COUNTY OF BUTTE
" r BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
411 Main Street • Chico, CA • (530) 891-2751
7 County Center Drive • Oroville, CA • (530) 538-7541
CORRECTION NOTICE
OWNER PERMIT NO.
u
A routine inspection indicates that the following violations of butte county Ordinances exist at the
above address and should be corrected. Please notice this office when correction of work is
completed. If yoq have any questions pertaining to this matter, or need additional explanation,
please contac is office immediately.
/ Cid 6 P J1n IL" C r.i rte 4 Ar
ev7
It 1011 YihG C �l I� t (/ C ;44,
i
Date Inspector %
REV 10/92
COUNTY OF BUTTE
BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
411 Main Street • Chico, CA • (530) 891-2751
7 County Center Drive • Oroville, CA •x(530) 538-7541
V- •, ,'..
/�'v
nCORRECTION NOTICE
0"'-Q F' -7 -66z?
OWNER PERMIT NO.
A routine inspection indicates that the following violations of butte county Ordinances exist at the
above address and should be corrected. Please notice this office when correction of work is
completed. If you have any questions pertaining to this matter, or need additional explanation,
please contact this office immediately. /
�r z._
Date �� Inspectors��
REV 10/92
CERTIFICATION OF INSULATION
ADDRESS OR TRACT SACRAMENTO BUILDING PRODUCTS
KATHY HOLLAND LOT #
80 WATT LANE X 1309 MELODY ROAD, MARYSVILLE, CA 95901 LIC #202026
605 S. AUBURN STREET, GRASS VALLEY, CA 95945 LIC #202026
3881 BENATAR WAY, SUITE A, CHICO, CA 95928 LIC #202026
8924 AIRPORT ROAD, REDDING, CA 96002 LIC #202026
DATE INSULATION COMPLETED: 12/10/03
SQUARE FEET) SQUARE FEET) SQUARE FEET)
TYPE OF INSULATION - TYPE OF INSULATION TYPE OF INSULATION
MATERIAL. -FIBERGLASS -MATERIAL FIBERGLASS - MATERIAL _ FIBERGLASS _
FORM BATTS FORM BATTS / BLOW F
MANUFACTURER'S MANUFACTURER'S
PRODUCT I.D. PRODUCT I.D.
MANUFACTURER MANUFACTURER
CT OC KN
ORM BATTS
MANUFACTURER'S
PRODUCT I.D.
MANUFACTURER
CT OC KN BAGS CT OC KN
R -VALUE R -VALUE APPLIED MIN INSTALLED
INSTALLED APPLIED THICKNESS INSTALLED THICKNESS WEIGHT PER R -VALUE INSALLED APPLIED THICKNESS
__ SQUARE FOOT I
19
51/2 " 138 1 143/4 "
KNEE WALLS IF R -VALUE IS OTHER THAN WALLS ABOVE
MATERIAL FORM R VALUE MANUFACTURER
FIBERGLASS BATTS CT OC KN
AIR INFILTRATION SEALANT
MATERIAL MANUFACTURER
- FOAM - _ ""-" HILTi �-
HANDY -FOAM
THIS IS TO CERTIFY THAT INSULATION AND OR SEALANT HAS BEEN INSTALLED IN CONFORMANCE WITH APPLICABLE
CODES, MATERIAL STANDARDS AND REGULATIONS.
SIGNATURE - INSULATION CONTRACTOR TITLE DATE
MANAGER 12n2/03
SIGNATURE - GENERAL CONTRACTOR TITLE DATE
REMARKS
COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION
7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140
PERMIT APPLICATION DATA SHEET
OWNER: ASSESSOR PARCEL NUMBER
Proposed Building Use: C.�(.� /� �/ ��rc �+ nter Technician: - / Date:.
Items required in order to apply fora permit.. AlLboxes LMUST be checked OR marked NA in order to apply.
jP L. Plot plans, 3 or 4 sets, signed by the preparzr of the plans. .
-:P--2: Complete plans, 3 or 4 sets, signed by the preparer of the plans.
❑ 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations.
Engineered truss details and layouts in duplicate. No faxes!
Energy compliance design and supporting documentation in duplicate.
❑ 6. Manufactured homes: (A) Data sheets and installation instructions, (B) Marriage line information, (C) Floor Plan, (D) Tie down or
foundation plans, all in duplicate.
❑ T. Metal buildings: (A) Metal Building Plans, (B) Foundation plans and calculations in triplicate, (C) Elevation views in triplicate.
(D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer.
Items required for initial plan review. If checked items have not been received, plan review cannot proceed.. The permit will be
indexed and returned to the plan review line-up when required items are received.
Date Received By
(P8. lood Elevation Certificate, wet -stamped and signed, in duplicate................................lot plan and business license approval from the City of Biggs .....................................
❑ 10. Letter of intent for non-residential buildings.........................................................
❑ 11. Detached Accessory Building Form filled out by the owner .....................................
❑ 12. Hazardous Material Form...............................................................................
❑ 13. Other
e aining items needed to issue the permit. (May require additional plan review upon receipt of the follo ing items.)
1 ees as shown on the attached Schedule of Fees Due Sheet .......................................
15. Statement of Intent for Non -heated and A/C Buildings..................................�....n
16. Sanitation and plot plan approval from the Environmental Health Department in
❑ 17. City of Chico Plumbing permit.........................................................................
❑ 18. California Department of Forestry plan approval ❑ paid. Sent by: ......................
❑ 19. Planning approval for (A) Use: 0, % (B)Parking: (C) Parcel Check: 3— )3--
0 20. Contact.Land Development about ❑ Improvements, ❑ Drainage ...............................
❑ 21. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy).
❑ 22. Pre -Inspection for required ................
❑ 23. Contractor's license information. (Number, Name Style, Classification) ......................
❑ 24. Worker's Compensation Carrier and Policy Number ..............:..............................
❑ 25. Owner -Builder Verification (❑ Given to owner, ❑ Mailed to owner) .....................
❑ 26. Letter of Signature authorization....................................................................
❑ 27. Recorded copy of Agricultural Acknowledgment Statement ....................................
❑ 28. Manufactured home utility clearance...............................................................
❑ 29. Existing violations and/or expired permits.........................................................
❑ 30. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $
❑ 31. Other:
When issued Telephone — and hold for pickup.
3//
I have been informed oft e above ite s and requirements for obtaining a buil ing permit. wi f�e,,;�l� Tl>ooJ
&A)icant: / Da
1. Index permit application for the abovgjt ms numbered: 'Al Plan Check Letter
2. Additional items required ON
V
Contractor, designer a was advised of the e' a ❑mail, ❑counter, by Date:
Contractor, designer, caner as dvised of the aboAAve,��d.,ata by phone, ❑ mail; ❑ counter, by Date:
Plans reviewed by: 5 `�� Date: �J Plans approved by: Date: 512'R
Structural reviewed by: Date: Structural approved by: Date:
Note transfer by: Date:
Yellow: Building Division
r i
Ne "e �ed�
Ga l
!i
%p d
r e:�
�uas�l(
,c) -5-6)(4z;-7
TO: Building Department
FROM: Environmental Health
SUBJECT: Sanitation Clearance
k
E.H. USE ONLY
Piot Ase AnecMd
Real Plan Ana ad
Sant Sa ®.D..!-7 /,n
Owner Location AP#
Plan Approved for: Sewage Disposals Water /Supply- Public Private Wel
Clearance for dwelling. Other L2L> SID Mh -(��i ►�,�F� #-- (; At Qn 0
Hold final for:
Final clearance O.K. for:
NOTE:
-�7�
Environmental Health Specialist Date
8/96
COUNTY Ol' BUTTE
DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541
OF FEES DUE
OWNER
PROPO D BiJII DING USE C'�,�, • Gi/1G� ,-e
DING PERMIT FEES $ ; � -7
Balance Due ..................... .
Additional Fees Due ................. $
Additional Fees Due ................. $
Revised Plan Checking Fee .............$
SCHOOL DISTRICT FEES
(paid at District Office) (Available after Plan Check)
3. SHERIFF FEES (paid at Building Division)
Residential x $360.00 = $
Units
Commercial (sq. ft.) ............... x $0.03 = $
Sq. ft.
4. URBAN AREA FEES (paid at Building Division)
Residential ................... -x-=$
# Units Amt.
Commercial (sq. ft.) ............ -x-=$
Sq. ft. Amt.
5. RECREATIONAL DISTRICT FEES
(paid at District Office) (Available after Plan Check)
6. THERMALITO DRAINAGE DISTRICT FEES
$510.00 (paid at Building Division)
7. SRA FIRE INSPECTION AND PLAN CHECK
$89.00 (paid at Building Division)
8. WATER TENDER FEES (Battalion #
$200.00 (paid at Building Division)
9. CSA 87 TRAFFIC FEE
$2500.00 (paid at Building Division)
10. OTHER
A. P. # �—.S�' 02�--��
DATE J
RECEIPT # jE C.
At time of permit application, I was advised the above fees are required to be paid prior to issuance of the building permit. These fees
may be changed during the plan checking process.
OLICANT
Pursuant to Government Code Section 66020, you are hereby notified that items 2, 3, 4, 5, 6, 7, 8, 9, and 10 above may have been
imposed on your project. You have 90 days from the date of approval of the project or from the imposition of the above mentioned
items during which you may protest. The requirements for a protest are specified in Government Code Section 66020(a).
Original - Buiding Div. 2nd Copy - Applicant 3rd Copy - Owner • (Rev. 6/00)
p
I
,.,, ga. Y .. a. ; -� .n t � .' ?n � _ _ ;r. .. r. ... ... . � ..... .. .. ..... • i
BUTTE. COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM
(One form per Building)
School District Building Department No.
A.P. Number aZ 5 2. 20— / 1 Jurisdiction: City County
Property Owner.
Property Location/Address
Subdivision Lot No.
Residential Development
Commercial/Industrial
Wap.~ Building Department
s
No of Q Living
Units
New
Mobile
Installation
Addition
..................................................................................................................
Sq. Footage
AdBitioN 'Supplemental to
Conversion Permit #
'(No foundation inspection);
.............................................................................................................
t
Sa. Footaae
13g
(Group R)
(Including Exterior
Roofed Areas)
Date .,-
(Floor Plans reviewed by School District Personnel)
District Identification No. 1
(X% IV School District certifies that
I J (Applicant)
`W) ��� � �` a
(Street Address) (Phone Number)
f�
Ems%.rte
(City)
has complied with the requirements of Resolution No.
representing square feet.
School District Representative
I
Paid by Check # �„�' Remarks:
(Zip Code)
by payment of $
AB 2926 s
FULL MITIGATION f
Date
Notice: You may protest the imposition of the fees identified above by submitting a written protest to the District, in compliance with
Government Code Section 660201a), within 90 days from the date fees are paid. Failure to submit a timely written protest will prohibit
you from challenging the imposition of the fees in any court action.
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 (CEQAI,
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) V feeform.xls (10/98)dmm
13
O.B.- I
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. personally plan to provide the ajor labor and materials for construction of the proposed
6 - property impr ement : YES r NO ❑
I HAVE HAVE NOT ❑ signed an application for a building pe t for the proposed work.
3. I have contracted with the following person (firm) to provide proposed construction:
NAVIE:
ratleMNIX
4. I plan to provide por-ttons of this
supervise, and provide the or
NAME:
ADDRESS:
PHONE:
CITY:
'S LICENSE NO.
but I have hired the following person to coordinate,
CITY:
CENSE NO.
5. I will prov' a some of the work but I have contracted (hired) ollowing persons to provide
the w indicated:
N ADDRESS PHONE TY OF WORK
SIGNED:
PROPERTYOWNER:
SOCIAL SECURITY NUMBER:
DATE: To
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
O.B.- I
OWNER BUILDER INFORMATION I
Dear Property Owner:
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 tliey
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 $300 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.
YrelyMC. Vi ira, C.B.O.M, Building Inspection
NOTE. This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code.
OVER
PLAN REVISION
Please complete the following information in order to process your submittal. If this form is not complete, correc
and legible. it may cause a delay in processing.
Owner's Name:A,0 Received By.- Date: -
r� 3
A.P. #: 2 20 — i Permit#• �3 —
Y3
Time:
ContactPhoneNumber: ' Y3'SD
Purpose of submittal:
❑ Permit Application Data Item
❑ Engineering
❑ Plan Revision
❑ Requested by Building Inspector or Correction Notice - Inspector's Name:
equested By Plan's Examiner - Examiner's Name: d SShc
❑ Other:
If you are revising a plan which has already been issued, submit two(2) drawings reflecting the revisions for plan
review. If engineering is involved in this revision, the engineer must put his requirements on these drawings and
stamp and sign the drawings. Include two (2) sets of wet signed engineering. Revised drawingc mast_ clearly show
chanees monosed and locationiinvolved.
When Approved, Process as Follows:
❑ Mail to Owner at this address:
❑ Mail to Contractor at this address:
❑ Call . and hold for pickup at the ❑ Chico Office 13 Oroville Office
❑ Deliver with next inspection.
Revised Plan Check Fee: ❑ 546.00 Receipt #: ' -onal Fees Not Required
Additional fees may be due based upon complexity and time involved to process this submittal.
Additional Fees: Receipt #:
-.- -PLAN REVISION
Please complete the following information in order to process your submittal. If this form is not complete, corset
and legible. it may cause a delay in processing.
Owner's Name: (LUA Received B. =Date: -
A.P.
Permit Time: �3 ,
ContactPhoneNumber.
Purpose of submittal:
O Permit Application Data Item
O Engineering
❑ Plan Revision
O Requested by Building Inspector or Correction Notice - ect is Name:
Requested By PIan's Examiner- Examiner's Name:
O Other:
If you are revising a plan which has already been issued, submit two(2) drawings reflecting the revisions for plan
review: If engineering is involved in this revision, the engineer must put his requirements on these drawings and
stamp and sign the drawings. Include two (2) sets of wet signed engineering. Revised drawings must clearly show
When Approved, Process as Follows:
O Mail to Owner at this address:
O Mail to Contractor at this address:
Cl Call . and hold for pickup at the ❑ Chico Office ❑ Oroville Office
❑ Deliver with next inspection.
Revised Plan Check Fee: C3 546.00 Receipt #: O Additional Fees Not Required
Additional fees may be due based upon complexity and time involved to process this submittal.
Additional Fees: Receipt #:
FEDERAL EMERGENCY MANAGEMENT AGENCY C,
trATION'At. FLOOD INSURANCE. PROGRAh? I
ELEVATION CERTIFICATE
Important: Read the instructions on pages 1 - 7.
SECTION A - FROPERTY OWNER INFORMATION FcrInsuance Ccr:;ary Use:
EUILDI G O'TlNER'S NAMESECTION
Number
( LL r i Y It. BLL A w D
BUILDING STREET ADDRESS (Inc!udir,g A;t., Urit, Suite, and/or Eidg. No.) OR P.O. ROUTE AND EOX N0. Company MAIC Ncrber
W /rT T LA Nts
CITY STATE ZIP CODE
62GUl(-LE 9S�i�S
PROPERTY DESCRIPTION (Lot and Elccl• Numbers, Tax Parcel Nunber, Legal Descr'pticn, etc.)
HK o25 -22o -nn
BUILDING USE (e.g., Residential, Ncn-res!denbal, Additicn, Accessory, etc. Use Comments section if necessary.)
lbt-wn A -f
LATITUDE/LONGITUDE (OPTIONAL) HORIZONTAL DATUM: SOURCE: GPS (Type):
or 1#.') —I NAD 1927 L_I NAD 1983 �–I USGS Quad Map LI Other. /-4
SECTION B - FLOOD INSURANCE RATE NIAP (FIRM) INFORhtATION
61. NFIP COMMUNITY NAME & COM%IUNITY NUMBER 82. COUNTY NAME B3. STATE
EG. MAP AND PANEL 65. SUFFIX 66. FIR, ! INDEX 67. FIRM PANEL 83. FLOOD E9. BASE FLOOD EL EVATION(S)
NUMBER DATE EFFECTIVEJREVISED DATE ZONE(S) I (Zcne AO, use derth cf Cccding)
6Loc,n - I.13o . C UNE I9g$ 1 6
198 X' 'A' `� E' ,
B10. Indicate the source of the Base Flecd Elevation (BFE) data or base flood depth entered in 69.
1_1 FIS Profile 1>�f FIRM 1_1 Community Determined 1_1 Other (Describe):
B 11. Indicate the elevation datum used for the BFE in 89: IX NGVD 1929 1_1 NAVD 1989 1_1 Other (Describe):
612. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? I-1 Yes X! No
Designation Date:
SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED)
C1. Building elevations are based on: JXICons, ruction Drawings* I_IBuilding Under Cons;ruc"on' I_IFinished Construction
'A new Elevation Certificate will be required when construction of the building is complete.
C2. Building Diagram Number I (Select the building diagram most similar to the building for which this certificate is being completed - see
pages 6 and 7. If no diagram accura:e!y represents the building, provide a sketch or photograph.) -
C3. Elevations - Zones Al -A30, AE, AH, A (with BFE), VE, V1 -V30, V (with BFE), AR, -ARIA, AR/AE, A1TA1-A30, AR'AH, AR/AO
Complete Items C3a-i below according to the building diagram specified in Item C2. State the datum used. If the datum is different from
the datum used for the BFE in Section B, convey, the datum to that used for the BFE. Shovi field measurements and datum conversion
calculation. Use the space provided or the Comments area of Section D or Section G, as approprate, to document the datum conversion.
Datum ) C-, M2!9 Conversion/Comments
Elevation reference mark used Gf"L-T-Q''yS eLZ(- Does the elevation reference marls used appear on the FIRM? tees No
G a) Top of bottom Boor (including basement or enclosure) 98 . O ft.(m)
0 b) Top of next higher Boor NA _ ft.(m) t �Q QROFE
0 c) Bottom of lowest horizontal structural member (V zones only) ►J 4- _ ft.(m)L
o
0 d) Attached garage (top of slab) N� _ ft.(m) E
0 e) Lm est e!evation of machinery and/or equipment �. .
servicing the building _ ft.(m)
`�
0 f) Lowest adjacent grade (LAG) q-7 .9 ft.(m) z V)
O g) Highest adjacent oracle (HAG) �1Pi f;.(n)
0 h) No. of germane, t openings (Fccd vents) within 1 ft. above adjacent grade E`/'`� q�F�� �VI L
0 .i) Total area of all permanent openings (flood vents) in C3h N a sq. in. (sq. cm) CALIF
SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT
This certification is to be signed and sea!E-d by a land surveyor, engineer, or architect aut,
1 certify that the information in Sections A, B, and C on this certificate reprasenls my best, AI
I understand that any false statement may be punishable by fine or imprisonment under 18 U.
CERTIFIER'S NAME LICENSE
COMPANY NAME
GLU L L. I (,J 6 t KJ
ADDRESS CITYS STATE C ZIP CODE TTc
SIGNATURE ��� DATE , TELEPHONE
�Jn
� r -e
PPLIA Fnrm Al -11 At Ir: Q4
CF - F`<f \/FRCP CIr1F FnR r:n xrwli IA
/ /e.rRl AC:F.Q LI I pRrN/Ini I.: FIItTIn�1�
IMPORTANT: In these spaces, copy the corresponding information from Section A. For Insurance ComoanyUse:
BUILDING STREET ADDRESS (Including Apt., Unit, Suite, and/or Bldg. No.) OR P.O. ROUTE AND BOX NO. �I Policy Number
SCO L.kJ ATT LATJF i
CITY STATE ZIP CODECompany NAI -Number -
Q(LUtJICC.E C� ���5�
SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION (CONTINUED)
Copy both sides of this Elevation Certificate for (1) community official, (2) insurance agent/company, and (3) building owner.
COMMENTS
I-1 Check here if attachments
SECTION E - BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO and ZONE A (WITHOUT BFE)
For Zone AO and Zone A (without BFE), complete Items E1 through E3. tf the Elevation Certificate is intended for use as supporting
information for a LOMA or LOMB -F, Section C must be completed.
E1. Building Diagram Number (Select the building diagram most similar to the building for which this certificate is being completed —
see pages 6 and 7. If no diagram accurately represents the building, provide a sketch or photograph.)
E2. The top of the bottom floor (including basement or enclosure) of the building is 1-L1 ft.(m) I-i-lin.(cm) J___1 above or 1-1 below
(check one) the highest adjacent grade.
E?.. For Zone AO only: If no flood depth number is available, is the top of the bottom floor elevated in accordance with the community s
floodplain management ordinance? 1-1 -Yes 1-1 No 1-1 Unknown. The local official must certify this information in Section G.
SECTION F - PROPERTY OWNER (OR OWNER'S REPRESENTATIVE) CERTIFICATION
The property owner or owner's authorized representative who completes Sections A, B, and E for Zone A (without a FEMA -issued or
community -issued BFE) or Zone AO must sign here.
PROPERTY OWNER'S OR OWNER'S AUTHORIZED REPRESENTATIVE'S NAME
ADDRESS
SIGNATURE
COMMENTS
STATE ZIP CODE
DATE TELEPHONE
1-1 Check here if attachments
SECTION G - COMMUNITY INFORMATION (OPTIONAL)
The local official who is authorized by law or ordinance to administer the community's floodplain management ordinance can complete
Sections A, B, C (or E), and G of this Elevation Certificate. Complete the applicable items) and sign below.
G1. 1-1 The information in Section C was taken from other documentation that has been signed and embossed by a licensed surveyor,
engineer, or architect who is authorized by state or local law to certify elevation information. (Indicate the source and date of the
,elevation rdata in the Comments area below.)
G2!,1_l A community official completed Section E for a building located in Zone A (without a FEMA -issued or community -issued BFE) or
Zone AO.
G3. 1-1 The following ihformation (Items G4 -G9) is provided for community floodplain management purposes.
G4. PERMIT NUMBER I G5. DATE PERMIT ISSUED I 6. DATE CERTIFICATE OF COMPLIANCE/OCCUPANCY
ISS
G7:,T'nis permit has been issued for:' 1_1 Nevr Construction 1-1 Substantial Improvement
G8. Elevation of as -built lowest floor (including basement) of the building is: _ ft.(m) Datum:
G9. BFE or (in Zone AO) depth of flooding at the building site is: _ fL(m) Datum:
LOCAL OFFICIAL'S NAME TITLE
COMMUNITY NAME TELEPHONE
SIGNATURE DATE
COMMENTS
Check here if attachments
FEMA Form R1_11 At Ir: QQ k PPPI Ar:FC Al I PRF nni IC Fni-nn .q
DRAWN BY:
J. FINLAY
DATE:
3-11-03
SCALE:
NONE
JOB:
HOLLAND-
/ '` /
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2.OF2
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LIVING � •
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19'•11'x3'5'
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i DINING
STORAGE
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�: I fb'•6•x B -f 1'
8'5•x6:11'\ \.b—_ ._
_— __ __ _
i:..���_...��_�-:__ I � _ I!r�9'.G' ��0 --�{� �'-6'�6a'�]:I��a•-t' 6'-8'
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1637 sq f7
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DRAWN BY:
J. FINLAY
DATE:
3-11-03
SCALE:
NONE
JOB:
HOLLAND-
/ '` /
SHEET
2.OF2
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--,.:210.0'
660.0' -
-- - - -- j
APPROVCu
Butte Cour 4
Envimnmental enith
360.0' 11
N �--Q
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1,64 n
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BILL AND XATHY HOLLAND
80 WATT LANE OROVILLE, CA 95965
(530) 846-4350
J=OK
0 = Not ok
. = NotReadyable
Date
MOBILE HOMES
MOBILE HOME UTILITIES (Plans) OK except #'s
1. Zoning Requirements -Setbacks -Easements
Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails
' 2.
Soils; Special MH Support Sketch
Card B-1 Date Card B-1
3.
Sewer; Location -Test -Fall -C/O -Concrete
Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
4.
5.
Water; Location -Test -Easement Needed (Sketch)
Electricity; Location-Clearances-Grnd-/ /Amp -Concrete
7.
6.
Gas; Location -Test -Wrap;-/ P' L 'ft.
/ P Nat. or/ P' L "ft./ P LPG
Sills-Anchors-Studs-Rftrs-Trusses
7.
Well Clearance & Disconnect
3.
8.
Utility Clearance
Ext.; Steps -Doors -Landings
12.
Braced Wall Panels
5.
Elec.; Pool Lighting; 15 Volts-GFI
Date
Card B-1 Date Card B-1
Date
r Date
Card B-1 Date Card B-1
MOBILE HOME INSTALLATION (Plans) OK except #'s
1. Zoning Requirements -Setbacks -Easements
8.
2.
3.
Footings; Size -Spacing -Marriage Line
Gas; MH Test -Demand -Valve -Connector
9.
4.
Electricity; MH Test -Crossovers -Breakers -Clearances
10.
5.
6.
Drain; MH Test -Fall -Flex Connector
Water; MH Test -Regulator -Connector
11.
7.
Water and Sewer Connected -C/O to Grade -HD Approval
12.
8.
Gas and Electricity Tagged
9.
Tie Downs -Type -Installation Cert.
10.
Exits; Insp.-Sketch
11.
Cert. of Occupancy
Date
Card B-1 Date Card B-1
Date
Date
Card R-1 Date Card B-1
PERMANENT END SYSTEM (ONLY) .
1. Zoning Requirements -Setbacks -Easements
2.
3.
Footings; Size -Spacing -Marriage Line
Blocking
4.
Gas; MH Test -Demand -Valve
5.
Electricity; MH Test
6.
Water; MH Test
7.
8.
Water and Sewer Connected
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
matings; Soils -Size -Depth -Spacing -Connectors -Steel
/ 3.
Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails
4.
Wood Awn.; Posts- Beams- Rftrs-Connectors
Card B-1 Date Card B-1
Shthg-Frg-Bracing
Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6.
Carports; Windows -Doors
7.
Elect is
-15r-,FT-mg.;
Sills-Anchors-Studs-Rftrs-Trusses
9.
'Sid in • ailing -Veneer -Stucco -Mesh
3.
oof; 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-Watcr Supply Tc3t
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 (;
Date
UNDERFLOOR (Plans) OK except #'s
86.
1. Zoning -Setbacks -Easements -Flood -Slope
87.
2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth
88.
3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ P' Ftg. Depth
89.
•4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth
90. Glass Protection
5. Stemwalls, Main; Steel-Blockouts-Wrapped
Corrections from Previous Inspections
6. Stemwalls, Garage; Steel-Blockouts-Wrapped
Gas Test -Meters Tagged, Gas -Electric
6a. Hold Downs and Special Anchors
Water & Sewer Connected -C/O to Grade -HD Approval
7. Slab, Steel -Wrapped
Energy Compliance Certificate -Other Certificates
8. Piers -Fireplace Ftg.-Steel
Address Posted
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
Date
11. Water Pipe; Test -Anchors -Regulator -Service Test
Date
12. Electric Underground
Comments at Final:
13. Plenums & Ducts; Clearance -Material -Support -Ins.
14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies
15. Access & Ventilation
16. Insulation
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
PLUMBING (Permit) OK except #'s
17. Water Htr; Vent -Access -Combustion Air Baffle
18. Water Pipe; Test & Anchor -Nail Protection
19. D.W.V.; Test Fittings & Anchor -Nail Protection
20. Shower Pan; Test, First Floor -Tub Access
21. Test Tub & Shower, Second Floor -Tub Access
22. Gas Pipe; Sixe & Anchors
23. Fire Sprinkler; Test
72. Elec. Outlets at Wood Panel, Int. & Ext.
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
ELECTRICAL (Permit) OK except #'s
24. Fixture & Transformer Clearance -Ins. Protection
25. Elec. Receptacles Spacing -Lights & Switches at Doors
26. Size Boxes & No. of Conductors Stapled
27. Romex Installed Close to Edge of Studs & C.J.
28. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water
29. 2 Appliance Circuits in Kitchen & Conductor Size GFI
30. Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or Al
31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or Al
Insulated Neutral O Yes O No
_
32. Service -Riser Conductors & Ground Main Disconnect
33. Equip. Clearances Panels-Motors-Mech. Equip.
34. Clothes Closet Light -Shower Light -Spa Light
35. Smoke Detector
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
MECHANICAL (Permit) OK except #'s
36. A.C. Ducts Insulation & Support
37. Vent Fan, Exhaust above insulation
38. Condensate Drain & Overflow, Size & Grade
39. Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet
40. Attic Access & Platform if Furnace in Attic
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
FRAMING (Permit) OK except #'s
41. Sills Proper Materials & Anchors
42. Walls Studs -Nailing Spacing & Braces -Plates -Sound
43. Bearing Walls over Girders & Floor Nailing
44. Draft Stop in Walls (rat proof)
45. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs
46. Headers & Beams -Size & Bearing
'ingle & Duplex)
Date
FRAMING (Continued)
86.
47. Hangers -Post Caps -Anchors -Connectors '
87.
48. Cling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rtng.
88.
49. Fireplace Ties or Type A Flue -Fireplace Throat Clearance
89.
50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
90. Glass Protection
51. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions
Corrections from Previous Inspections
52. Garage Fire Protection Framing -RC Channel
Gas Test -Meters Tagged, Gas -Electric
53. Property Line Firewall & Openings
Water & Sewer Connected -C/O to Grade -HD Approval
54. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits
Energy Compliance Certificate -Other Certificates
55. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
Address Posted
56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers '
Date
57. Siding -Nailing Veneer
Date
58. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access
Date
59. Glazing Area -Glass Protection -Skylights -Plastic
Comments at Final:
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 DraSnage & Wood -Earth
Clearance Looked under Floor O Yes
_
83. Following Instld./Drive O Yes O No/Walks O Yes O No/Planters O Yes O No
84. Stucco Brown -Finish
85.
A.C. Unit Disconnect, Electrical -Plumbing r y
I
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 i
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Comments at Final:
NOTES RESIDENTIAL
PERMIT NO. _ 025-220-011 03-0253 `� x
HOLLAND, WILLIAM
80 WATT LN., OROVILLE
COVERED DECK
SPECIAL CONDITIONS
SRA
FLOOD CERTIFICATE REQ.
FIRE SPRINKLERS REQ.
SPECIAL INSPECTION ITEMS
VERIFY
USE PERMIT CONDITIONS
SUB -STANDARD HOUSING LETTER
JOB FINALED (Date)
Signature
CHECKED
BY
�l� v. . r. W.� tet_—,s-.. t �-. -�. - ��, ... . � ^ ori- ter•-_•,_.. �': :�`Vi
C UNTY OF BUTTE
_ -B ILDING DIVISION
DEPARTMEN OF DEVE'LOPMENT SERVICES. - --
411 Main Street • Chico, CA • (530) 891-2751
` 7 County Center Drive • Oroville, .CA • (530) 538-7541
rCORRECTION NOTICE
OWNER '� PERMIT NO.
A routine inspection indicates that the following violations of butte county Ordinances exist at the
above address and should be corrected. Please notice this office when correction of work is
completed. If you have any questions pertaining to this matter, or need additional explanation,
please contact this office immediately.
n, q�6e�-rj
Date s
REV 1
A
COUNTY OF BUTTE
BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
- 411 Main Street - Chico, CA - (530) 891-2751
7 County Center Drive - Oroville,,CA - (530) 538-7541
CORRECTION NOTICE
U O c. f ���— 03-6Zs3
WO R PERMIT NO.
A routine inspection indicates that the following violations of butte county Ordinances exist at the
above address and should be corrected. Please notice this office when correction of work is
completed. If you have any questions pertaining to this matter, or need additional explanation,
�lease contact this office immediately.
I
11
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO.
(Re v.12/96) APPLICATION AND PERMIT 0--5' --3 C,-
ASSESSOR PARCEL NUMBERZONING
ASSESSOR
025-220-011
A-
BUILDING PERMIT
OWNER
-IOLLMD,. WILLIAM
TELEPHONE
.346-4390
SO. FT. OCC. BUILDING VALUATION
350 C 4990-00
.OWNER'S MAILING ADDRESS t
30 I7ATT LiJ.. 0'10VILLE Q� 95965
CONTRACTOR'S NAME
0b1I z'i
TELEPHONE
CONTRACTORS MAILING ADDRESS
CONSTRUCTION LENDER
Fireplace
LENDER'S MAILING ADDRESS _
Total Valuation $ 4550.00
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee $
20.00
Permit Fee $
72.00
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee $
46.90
BUILDING ADDRESS
80 WA >i
Energy Plan Checking Fee $
PERMIT FEE $
138.80
LAT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT
Fling Fee 20.00
USEOFSTRUCTURE
SF ❑ Duplex ❑ Mobilehome ❑ Other
SPECIFY
Each Trap
7.00
Solar or heat pump water heater
23.00
Water piping
15.00
Each gas water heater or vent
15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑
Describe Work: C0VE2ED DECK
Gas piping stem 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home S G W
@20.00
PERMIT FEE S
ELECTRICAL PERMIT
Fling Fee 20.00
Main Service zaOA OR LESS
23.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license is in full force and effect.PSING
License Class Lic. No.
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law f r 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.
11 I, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
I am exempt under Sec. Business and Professions Code for this
reason
Main Service Tot
46.00so
NEW CONST. DW ,%NG OCCUP.
U
OR ADDNS. ( a ACC. BLDS.
SO
3.50FT.
NON-RESIDONST. MULTI.OU CUI
97,50
a OUTLET COWELER APPARATUS
IR.
Ex. Occup. OUTLET oRFocruREs
20 Q'•00
SAL @ .50
Ex. Occup. oFUTLEEDTS R�,,D EA
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wirin
23.00
PERMIT FEE $
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
Lave and will maintain a certificate of consent to self -insure for workers'
mpensation, as provided for by section 3700 of the Labor Code, for the
rformance of the work for which this permit is issued.
ve and will maintain workers' compensation Insurance, as required by Section
00 of the Labor Code, for the performance of work for which this permit is issued.
workers' compensation insurance carrier and policy number are:
rrier
MECHANICAL PERMIT
Fling Fee 20.00
Heating
Cooling
Hood
I 6.50
Ventilation
PERMIT FEE $
icy Number
e above sections need not be completed if the permit is for work of a valuation
one hundred dollars ($100) or less.)
rtify 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 eh se provisS. -
to a of Appli ant - Owner ❑ Contractor 13 Agent
An OSHA permit is required for excavations over 60" deep and demolition or construction&OW4��
of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
U
CONST. TYPE
VN TOTAL FEE $
HAZ. D. FEES IMP FLOOD I CDF I PARCEL PD HD E
Thi permit is hereby issued under the applicable provisions
o the Butte County Code and/or Resolutions to do work
dicated above for which fees have been paid.
ti
By Date r� v
PERMIT EXPIRES ON
pyre
Receipt No.,ALO jI 977 19737
WHITE-D.D.S.-B.D. CANAR - S SSOR PINK -INSPECTOR GOLDENROD -APPLICANT
a, COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION
7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140
PERMIT APPLICATION DATA, SHEET
OWNER.f 1 s4' _ASSESSOR PARCEL NUMBER C;L5C a-0 0
Proposed,Building Use: �_ �.�. Counter Technici Date:
Items required in order to apply for a permit. All oxes MUST be checked OR marked NA in order to apply.
-t5-j1. . Plot plans, 3 or 4 sets, signed,�y the preparer of the plans.
.'Complete plans, 3 or 4 sets, signed by the preparer of the plans.
3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations.
i ❑ 4. Engineered truss details and layouts in duplicate. No faxes!
t❑ 5. Energy compliance design and supporting documentation in duplicate. r,
❑ 6. Manufactured homes: (A) Data sheets and installation instructions, (B) Marriage line information,;(C) Floor Plan, (D) Tie down or
foundation plans, all in duplicate. j
❑ 7. Metal buildings: (A) Metaf Building Plans, (B) Foundation plans and calculations in triplicate, (C) Elevation views in triplicate.
(D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer.
Items required for initial plan review. If checked items have not been received, plan review Annot proceed. The.permit will be
indexed and returned to the plan review line-up when required items are received.
Date Received By
❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate ................................
❑ 9. Plot plan and business license approval from the City of Biggs ....................................
❑ 10. Letter of intent for non-residential buildings.........................................................
❑ 11. Detached Accessory Building Form filled out by the owner .....................................
❑ 12. Hazardous Material Form............................................................................... _
❑ 13. Other
Remaining items needed to issue the permit. (May require additional plan review upon receipt of the followinj items.)
❑ 14. Fees as shown on the attached Schedule of Fees Due Sheet .......................................
❑ 15. Statement of Intent for Non -heated and A/C Buildings ...........................................
it16. Sanitation and plot plan approval from the Environmental Health Department in eD , ?
17. City.of Chico Plumbing permit.........................................................................
❑ 18. California Department of Forestry plan approval ❑ paid. Sent by: ...........
...
❑ 19.
• ❑ 20.
El21.
❑ 22.
El23.
❑ 24.
❑ 25.
❑ 26.
❑ 27.
❑ 28.
❑ 29.
❑ 30.
........
Planning approval for (A) Use: 0 iZ (B)Parking: (C) Parcel Check:
Contact Land Development about ❑ Improvements, ❑ Drainage .............'..............
Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy).
Pre -Inspection for required ................
Contractor's license information. (Number, Name Style, Classification) ......................
Worker's Compensation Carrier and Policy Number ..............:..............................
Owner -Builder Verification (❑ Given to owner, ❑ Mailed to owner) .....................
Letter of Signature authorization....................................................................
Recorded copy of Agricultural Acknowledgment Statement ....................................
Manufactured home utility clearance...............................................................
Existing violations and/or expired permits; ........................... A.,,.,,....,...............
❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter.from Legal Owner, ❑ Check toFI.C.D. $
❑ 31. Other: '
When issued Telephone -- and hold for pickup.
I have been informed of the above items and requirements for obtaining a building permit.
PPl ant: 4A'� D e: �'- 9 0�
It
1. Index permit application for the above items numbered: Plan Check Letter
2. Additional items required
Contractor, designer, owner, was advised cfthe above data by ❑ phone, ❑ mail, ❑ counter, by Date: _
Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑, counter, by Date:_
Plans reviewed by:.. M Date: Plans approved by: Date:
Structural reviewed by: Date: Structural approved by: Date:
Note transfer by: Date:
Yellow: Building Division
e 3 -co x"1
E.H. UAE ONLY
PlotPlan Attechod
Floor Man Attached
Rent to B.D. .1 -.—
TO: Building Department
FROM: Environmental Health
SUBJECT: Sanitation Clearance 1 r .M
ba
Owner Location AP#
Plan Approved for: Sewage Dispose ater Su ply: Public Private Well
Clearance for dwelling. Other �• �'
Hold final for:
Final clearance O.K. for:
NOTE:
ental Health Specialist
8/96 �, f
Date
Ii.
O.B.- I
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.
personally plan to provide the major labor and materials for construction of
P Y P P J the proposed
property imprpvement :YES Er"'NO ❑
2. I HAVE; HAVE NOT ❑ signed an application for a building permit for the proposed work.
I have contracted with the following person (firm)'to provide the proposed construction:
NAME:
DDRESS• CITY:
PHO + . CONTRACTOR'S LICEN NO.
4. 1 plan to provide ions of this work, but I have d the following person to coordinate,
supervise, and provide ajor work:
NAME:
ADDRESS: CITY:
PHONE: NTRACTO LICENSE NO.
5. I will provide some of the ork but I have contracted d) the following persons to provide
the work indicated:
NAME ADDRESS PHONE TYPE OF WORK
SIGNED:
PROPERTYOWNER:
SOCIAL SECURITY NUMB
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
O.B.- I
OWNER BUILDER INFORMATION
Dear Property Owner:
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 '$300 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.
M ger, Building Inspection
NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code
OVER
,6v 11�,e
D 45ral i
nco&RTMENT
BUILU11W V ED
p p R
A- ''
L
L x�sT.,q
PLANNING DIVISION- BUILDING PLAN APPROVAL
i3
Use:Date:
----K---
Parking: LandscaOng:-------
Other• n
Signature:
��°f 01-- �- ? •� -TQC --._`.
9
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4
025-220-011 01-1443, ,
MAIVEAUX, Harriette e
80 Watt Lane, Palermo
Cont: Exclusive Property Management
Reroof/SF
r
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive - Oroville, California 95965 - Telephone (530) 538-7&4'1 PERMIT NO.
(Rev. 12/96) APPLICATION AND PERMIT 01-1443
ASSESSOR PARCEL NUMBER 025-
ZONING
-5-
BU ING PERMIT
OWNER
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
28 ag 1680
OWNERS MAILING ADDRESS
661 F ST., PAID A1,70 CA 9430,3
CONTRACTOR'S NAME
EXCLUSIVE PROPERTY MANAGEMENT
TELEPHONE
533-1153
CONTRACTORS MAILING ADDRESS
. 1340 WN'IMN Sr. 2 ORMUZ CA 9
CONSTRUCTION LENDER
Fireplace
LENDER'S MAIUNG ADDRESS
Total Valuation $ 1680
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee $
20.00
Permit Fee $
39.00
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee $
BUILDING ADDRESS
80 WATT PALM40 CA 95%8
Energy Plan Checking Fee $
PERMIT FEE $
59.00
LOT NO.
SUBDIVISION'S NAME
PARCEL MAP
PLUMBING PERMIT
Fling Feel 20.00
USEOFSTRUCTURE
SF ❑ Duplex ❑ Mobilehome ❑ Other
SPECIFY
Each Trap
7.00
Solar or heat pump water heater
23.00
Water piping
15.00
Each gas water heater or vent
15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Udlides ❑ Installation ❑ Other ❑
Describe Work: RF WE WRQ W 28 SQ
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home I S I G I W 1
@20.00
PERMIT FEE S
ELECTRICAL PERMIT
Fling Fee 20.00
Main Service zoOA OR LESS
23.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license is in full force andeffect.
License Class I Lic. No.
OWNER -BUILDER DECLARATION
hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
❑ I, as owner of the property, or my employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
❑ I, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
❑ 1 am exempt under Sec. Business and Professions Code for this
reason
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
44- 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 I have and will maintain workers' compensation Insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permit is issued.
My workers' compensation insurance carrier and policy number are:
Carrier 5 -lx : .0•hP 1.J5, 1:—d4
Policy Number K76 AL -11"I - 00 Ck�I1 7 2
(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 �' .� / 'T Date
Sigriature of Applicant = i ,Owner ❑ Contractor ❑ Agent
An OSHA permit is required for excavations over 60" deep and demolition or construction
of structures over 3 stories in height.
Main Service 200A TO 1000A 46.00NEW
CONST. DWELLING OCCUP. s0
OR ADDNS. ( i ACC. BLDS. 3.5QFT,
NNIpµRRIp, MULTI.OUTLET1. 97.50
POWER APPARATUS
6 SINGLE OLfTLET CIR.
20 .00
FIXTURESEX. Occup.. OUTLET OR FIXTURES BAL ®1.30
FIXI
Ex. Occup. OUTLETS REslrs OR 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring23.00
PERMIT FEE s
MECHANICAL PERMIT Fling Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEt $
Mobile Home Installation Fee $
Energy Inspection Fee $
OCC
CONST. TYPE
TOTAL FEES 59.00
NAZ,p
FEES IMP
I FLOOD
CDF
I PARCEL
I PD
1 HD
ISSUE
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.
��� b-14-2001
By, Date
PERMIT EXPIRES ON 6-14-2W2
Data
Receipt No. 325103 59, W3
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DTVI N
.'11'7 County Center Drive a Oroville, California 95965 • Telephone (530) 538-7 1 PERMIT NO.
(Rev. 12/96) ' APPLICATION AND PERMIT 01-1443
ASSESSOR PARCEL NUMBER 025-220-0
ZONING
BUXDINGPERMIT
OWNER
HArriette maiveau
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
28 sq 1680
. OWNERS MAILING ADDRESS
661
CONTRACTORS NAME TELEPHONE
EXCLUSIVE PROPERTY MANAGEMENT 533-1153
CONTRACTORS MAILING ADDRESS
. 1340 HUNTOON ST. QRQVIUE CA 95965
CONSTRUCTION LENDER
LENDERS MAILING ADDRESS
Fireplace
Total Valuation $ 1680
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee $
20.00
Permit Fee $
39.00
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee $
BUILDINGADDRESS
80 WATT PALERMO CA 95968
Energy Plan Checking Fee $
$
PERMIT FEE $
59.00
LOT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT
Fling Fee 20.00
USEOFSTRUCTURE
SF ❑ Duplex ❑ Mobilehome ❑ Other
SPECIFY
Each Trap
7.00
Solar or heat pump water heater
23.00
Water piping
15.00
Each as water heater or vent
15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑
Describe work: REROOF W/COMP 28 SQ
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home ISI GI W1
920.00
PERMIT FEE t
ELECTRICAL PERMIT
Fling Fee 20.00
Main Service 200A OR'SS
23.00
LICENSED CONTRACTOR'S DECLARATION
1 hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license is in full force and effect.
License Class LIC. NO.
OWNER -BUILDER DECLARATION
1 hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
❑ I, as owner of the property, or my employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
❑ I, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
❑ 1 am exempt under Sec. Business and Professions Code for this
reason
Main Service 200A TO 1000A
46.00NEW
CONST. DWELLING OCCUP.
OR ADONS. ( & ACC. BIDS.
SO
I,DµR61D MULTI.OUTLET
@7,50
POWER APPARATUS
8 SINGLE OUTLET CIR.
Ex. Occup. OUTLET OR FIXTURES
20 O '• 50
BAL @ .50
Ex. Occup.. ouTlFrs R6 D°EA
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wirino
23.00
PERMIT FEE $
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
06- 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.
Elm I have and will maintain workers' compensation Insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permit is issued.
My workers' compensation insurance carrier and policy number are:
Carrier�1 ��� e-0-11 r' a015. rl_. b
MECHANICAL PERMIT Fling Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEt S
Policy Number -11-1-00 bbll S Z
(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'
co pensation laws of California, and agree that if I should become subject to the
w rkers' compensation provisions of section 3700 of the Labor Code, I shall
f rthwith comply with thos provisi ns.
It I'llof
Date
caner ❑Contractor ❑Agent
ure of ppiicant Jfr
An OSHA permit is requirexcavations over 5'0" deep and demolition or construction
of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
CONST. TYPE
TOTAL FEE $ 59.00
HAZ.
D. FEES IMP
FLOOD
CDF
PARCEL
I PD
I HD
ISSUE
This permit is hereby issued under the applicable provisions
the Butte County Code and/or Resolutions to do work
indicated bove for whi shave been paid.
Date 6-14-2001
PERMIT EXPIRES ON 6-14-2002
to
Receipt No. 325103 59.001
WHITE-D.D.S.-B.D. CANARY-ASSESSO PINK -INSPECTOR GOLDENROD -APPLICANT
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541
AGRICULTURAL BUILDING EXEMPTION PERMIT
PERMIT NO.
19 — . l6a
Agricultural building is defined as follows: Agricultural building is a structure designed and constructed to
house farm implements, hay, grain, poultry, livestock, or other horticulutral products. This structure shall not
be a place of human habitation or a place of employment where agricultural products are processed, treated,
or packaged, nor shall it be a place used by the public.
ASSES R P R EL O
--�
ZONINGAS
OWNP
PHONE
_QWND D R ENj
' 4 k
V,
e L� D
LOC TION OF BUILDIN
Jt
tanin-i V -
USE OF BUI ING
_E_
to— I a
SIZE OF STRU RE
va
X = ��an
SO. FT.
TYPE OF CONSTRUCTION:
WOOD FRAME STEEL
CONCRETE
In,,
__X_
OTHER (Specify)
TYPE OF SIDING
ROOF COV R,NG
FLOOR TYPE
ESTIMATED COST OF CONSTRUCTION
AG Buildings shall comply with t,h e building front, side, and rear yard requirements of the applicable County
Ordinances as follows: ,SO
—ti-pA
FRONT,
SIDES
REAR S
AG Buildings shall be a minimum of five (5) feet from any septic tank or teach fields.
AG Buildings less than 1000 sq. ft. in floor area shall be located a minimum of 6 feet from a residence, 10 feet
from a mobilehome, and 23 feet from a commercial building.
AG Buildings greater than 1000 sq. ft. in floor area shall be located a minimum of 23 feet from a residence and
a mobilehome, and 40 feet from a commercial building.
I declare under penalty of perjury that the building will be used as stated above and the proposed use
conforms with the AG Building definition. If any change in use or occupancy of the building is made, I will
contact the Department of Public Works and will obtain any necessary permits, inspections, and approvals to
comply with the requirements in effect at that time and before occupancy.
Date 1//0 4"1' Signature of Owner
Permit Fee - $25.00 The above described AG Building is exempt from a. building permit.
Receipt No. ��5 / Director of Public Works
��
By Date
White - DPW, Yellow - Assessor, Pink - B.I., Goldenrod - Applicant
File No. . 11
BUTTE COUNTY (For Action 1, 2, 3)
Public Works Dept. (For Infprmction t/ )
Director
Dep. Dir.
Sec.
Rd. & Br. Mtce.
Shop & Yards
Bldg. Insp. Admin.
Design Engr.
Bridge Engr.
Constr. Engr. Ir
Surveys
Mapping
T ran sp.
Land Dev.
Drng. /S.I.
Sub. & Pcl. Maps
Permits
Addr.
Phil Gus Sofos
227 9th Avenue
San Mateo, CA 94402
Dear Mr: Sofos:
June 10, 1986
RE: Building Permit
A.P. #25-22-11
With reference to the above subject, we have been advised by one of our
building inspectors that you. have not obtained the required permits and
inspections.from this office for the work you are doing as follows:
Constructing three structures on your property located at 80 Watt
Lane, Oroville.
Since permits and inspections are required. by .both State and County laws,
please contact this office within ten days of the date of.this letter, submit
two complete .sets of- plans, apply for the required permits, and pay the
appropriate fees, including penalties.
All work must stop until you obtain these, permits and are authorized by
our field inspector to proceed. This field authorization cannot be made
until.the existing,work is inspected,and approved.
Your cooperation in resolving this matter would certainly be appreciated.
Should you have any questions concerning this matter, please contact this
office.
JFG:ahb
cc: Building Inspector- Oroville
Assessor
Yours very truly,
William Cheff
Director of Public Works
Original signed by
• J. F. Glande•
J.F. Glander
Chief Building Inspector
0--complaint-Date
OtFi� -Date
Owner:
Addres
7
Tenant: '
Building Location:
0
BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS
SPECIAL INSPECTION REPORT
W cEtL Al/
9
ZONING A5
A P. #aS-��—�1
OA
Date of Inspection
Inspector .
Type of Inspection requested:
1. Housing 7/ 2. Financing 3. Change of Occupancy to
1!�L `�. Work W/O, Permit / / 5. Other (specify) 4-_-)
Present use of building: '
A. Sanitation (Housing)
1. Water closet: t
2. Lavatory: i
3. Bathtub or shower: 1
4. Kitchen sink: i
5. Hot and cold water to fixtures:
6. Heating facilities: !
7. Natural light and ventilation:
8. Room and space requirements:
9. Bedroom window or door for second exit:
10. Infestation of insects, vermin, or rodents:
11. Connection to sewage disposal:
12. Connection to water supply:
13. Rubbish and garbage facilities:
14. Stairs :(Rise, Ru''n, headroom, I'RR, Tolerances, Handrails)
15. Comments:
B. Structural
1. Piers and footings:
2. Floor construction:,.
3. Wall construction:
4. Ceiling and roof construction:
5. Fireplaces:
6. Comments:
C. Electrical
1. Service and ground:
2. Receptacles:
3. Fusing:�
4. Comments:
0
D.
E.
Plumbing
1. Fixtures connected and vented:
2. Gas water heater:
3. Gas heating vents:
4. Comments:
Other
1. Maintenance and repair:
2. Fire hazards:
3. Safety hazards:
4. Weather protection:
5. Underfloor and attic ventilation:
6. Energy:
7. Comments:
F. Commercial Buildings
1. Roof covering:
2. Distance to property lines:
3. Physically handicapped:
4. Restroom floors and walls:
5. Exits:
6. Improvements:
7. Zoning:
8. Comments:
G. Field Problems or Violations
1. Pblet or viol tion (givcomplete description:
'- -
2. What action paken 472 (g ve complete descriptio ):
1 t �1
3. Wha action recommended:
A. Information only - file.
4<B. Hold for ten days, then write letter.
C. Write letter.
D. Other: