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HomeMy WebLinkAbout025-240-050�__-25-24-50 2505-,91B ` / r V1� 5198E(s) 461 E (vinyl siding;sf) 1075 PALERMO ` ) ` ' � OROVILLED� ' | u | COVERED PATIO (fireplace)\ � . . . ` 'fin},- � � � 1 �`,F��\� v NOTES r RESIDENTIAL ,t 025-240-050 00-2851 HOWARD, VIRGINIA 1075 PALERMO RD. OROVILLE CONTR; OWNER 4 COVERED PATIO f r t { I SPECIAL CONDITIONS CHECKED BY SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER JOB FINALED (Date) Signature r ,/ = OK 0 = Not OK = Not Applicable = Not Ready MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s Footings; Soils -Size -Depth -Spacing -Connectors -Steel 1. Zoning Requirements -Setbacks -Easements 4. 2. Soils; Special MH Support Sketch Shthg.-Frg-Bracing 3. Sewer; Location -Test -Fall -C/O -Concrete 6. 4. Water; Location -Test -Easement Needed (Sketch) FIedrc 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete 9. 6. Gas; Location -Test -Wrap;-/ /" L'ft. / P Nat. or/ /"L"ft./ PLPG Roof; Shthg-Roofing 7. Well Clearance & Disconnect 12. + 8. Utility Clearance 11. Light Niche Date Card B-1 Date Card B-1 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 Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch 11. Cent. of Occupancy 12. Permanent Foundation Only; License Decal Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements .o- 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Bea ms- Rftrs.-Connectors 1. Setbacks -Easements Shthg.-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. ' FIedrc 5. Elec.; Pool Lighting; 15 Volts-GFI 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 FINAL (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 in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 ,/ = OK 0 = Not OK = Not Applicable = Not Ready Date Underfloor (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg , Garage; Soils-Steel-Elec. Grnd.-/ P' Ftg. Depth 4. Ftg , Porches & Decks; Soils -Steel-/ P' Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel- Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab, Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF, Gas Pipe; Size Anchors - Yard Gas Piping; Size Test 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists- Vent s-Crippies 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s 17. Water Htr.; Vent -Access -Combustion Air Baffle 18. Water Pipe; Test & Anchor -Nail Protection 19 D.W'.V.; Test Fittings & Anchor -Nail Protection 20. Shower Pan; Test, First Floor -Tub Access 21. Tesl Tub & Shower, Second Floor -Tub Access 22. Gas Pipe; Sixe & Anchors Date Card 3.1 Date Card B-1 Date Card 3.1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 23. Fixture & Transformer Clearance -Ins. Protection 24. Elec. Receptacles Spacing -Lights & Switches at Doors 25. Size Boxes & No. of Conductors Stapled 26. Romex Installed Close to Edge of Studs & C.J. 27. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water 28. 2 Appliance Circuits in Kitchen & Conductor Size GFI 29. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or Al 30. Range Circle / / ga Cu or AI -Oven Circ. / / ga Cu or At Insulated Neutral ❑ Yes O No 31. Service -Riser Conductors & Ground Main Disconnect 32. Equ p. Clearances Panels-Motors-Mech. Equip. 33. Clothes Closet Light -Shower Light -Spa Light 34. Smoke Detector Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 35. A.C- Ducts Insulation & Support 36. Vent Fan, Exhaust above insulation 37. Condensate Drain & Overflow, Size & Grade 38. Furnace -Vent Access -Comb. Air -Return Air Vent 115 outlet 39. Attic Access & Platform if Furnace in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 RESIDENTIAL (Single & Duplex) Date FRAMING (Permit) OK except #'s 40. Sills Proper Materials & Anchors 41. Walls Studs -Nailing Spacing & Braces -Plates -Sound 42. Bearing Walls over Girders & Floor Nailing 43. Draft Stop in Walls (rat proof) 44. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 45. Headers & Beams -Size & Bearing Date FRAMING (Continued) 46. Hangers -Post Caps -Anchors -Connectors 47. Cling. Joist-Rftr. Ties-Purlin-Roff Brac.-Truss-Shting.-Rfng. 48. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 49. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 50. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 51. Garage Fire Protection Framing 52. Property Line Firewall & Openings 53. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 54. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 55. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 56. Siding -Nailing Veneer 57. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 58. Glazing Area -Glass Protection -Skylights -Plastic 59. Shear Walls; Nailing -Bolts 60. Brace Interior/Exterior Wall Panels 61. Ins ulation- Walls -Ceilings 62. 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 63. Ext. Steps -Door & Sidelight Protection -Landings 64. Smoke Detector 65. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 66. Bedroom Exiting 67. G.F.I. & Bath Fixtures & Tub Access -Spa 68. Elec. Trim & Subpanel, Breaker Sizes & Labels 69. Stairs & Rails 70. Fireplace or Stove, Clearance -Hearth 71. Elec. Outlets at Wood Panel, Int. & Ext. 72. Kit. Fixt. & Appliance; Ground -Air Gap -Cooking Clearance 73. Etec. Outlets & Receptacles at Kit. Counter 74. Garage Fire Door; Swing -Landing -Closure 75. A.C. Duct in Garage -Damper 76. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 77. Plb., Elec. & Mech. Equip. Listed for Location 78. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 79. Insulation -Foam -Looked in Attic 80. Guard Rails & Deck Construction -Post Caps 81. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 82. Following Instld./Drive D Yes J No/Walks J Yes J No/Planters J Yes J No 83. Stucco Brown -Finish 84. A.C. Unit Disconnect, Electrical -Plumbing 85. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 86. Water Well, Disconnect, Electrical, Plumbing 87. Exterior Elec. Trim, G.F.I. Receptacle -Underground 88. Ventilation Throughout House 89. Glass Protection 90. Corrections from Previous Inspections 91. Gas Test -Meters Tagged, Gas -Electric 92. Water & Sewer Connected -C/O to Grade -HD Approval 93. Energy Compliance Certificate -Other Certificates 94. Address Posted Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: _ f r.•�-..-.-..•..�.,-..�.......`--vv-..r.--+.r.-... rw-�,•.-.^.w--rl.�rr'- .... .�-�,,.T"•'v-..`.���...'�...... ... -� •��� v....-."`ti-.^--r'�...+ti-.M",.ti..'r w .. , 1 COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 P RMI NO. - AD (Rev.12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 025-24-0-050 ZONING BUILDING PERMIT OWNER VIRGINIA HOWARD TELEPHONE 534-0687 SQ. FT. OCC. BUILDING VALUATION .OWNERS MAILING ADDRESS 1075 PALERMO ROAD, OROVILLE 95965 CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation $ nRo ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 1075 PALERMO ROAD, OROVILLE Energy Plan Checking Fee $ $ PERMIT FEE S 109-10 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SFS)( 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 ❑ Unities ❑ Installation ❑ Other Describe Work: COVERED PATIO Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home ISIGI W1 1 1 @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service *on oR, LE:: 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law f9r the following reason: V 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. ❑ 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is Issued. My workers' compensation Insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed If the permit is for work of a valuation /of one hundred dollars ($100) or less.) M/0 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X / Date I/ .9 � ed Si natur pplicant -) Owner ❑ Contractor 13Ag n -- An OSH ermit is required for excavations over 60" deep and demolition or construction of struct es over 3 stories in height. Main Service 200A TO 1000A 46.00 NEW CONST. DW EwNG OCCUP. SO OR ADDNS. ( a ACC. BLns. 3.50FT: ND REBID MULTI.OITTLET @7.50 POWER APPARATUS a.sINGLE oLnLrT cIR. Ex. OCCu OUnETORFIXTURES 20@''0° 9AL p .so Ex. Occup. DurELErsp. ,D°ER,, 1 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirino 23.00 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 FEE $ 109.10 HAZ. D. FE IMP _ FLooD CDF PARCEL PD HD SSU This permit is hereby Issued under of the Butte County Code and/or indicated above for which fees have ByALC?�Datep PERMIT EXPIRES ON 1 the applicable provisions Resolutions to do work been paid. /V l 0 ReceiptNo. 30 -WHITE-D.D.S.-B.D. CANARY -A ESSOR PINK -INSPECTOR GOLDENROD -APPLICANT 7 COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive a Oroville, California 95965 a Telephone (530) 538-7541 PERMIT NO. kev. 12/9,16) APPLICATION AND PERMIT ABSESSORPARC&NUMOLDC�� D ©S� mw 2�s BUILDING PERMIT OWNER � '` 3 � S l S0. FT. OCC. BUILDING VALUATION O OWNERS WAUM AD D y Dow Rs NAM! , TELEPHONE CONTRACTOR'S MAuwo ADDRESS CONSTRUCTION LENDER LEroERs MNLINo ADDRESS Fire lace Total Valuation $ ARCHREGT OR ENGINEER LICENSE NO• Filing Fee >S 20.00 Permit Fee AACm"cT OR ENGINEERS MAILING ADDRESS Plan Checking Fee OULDem ADDRESS Energy Plan Checking Fee >b PERMIT FEE LOT No. elAloivlSioNswLME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 Each Trn 7.00 USEOFSTRUCTURE Solar or heat pump water heater 23.00 SF ❑ Duplex ❑ Mobilehome ❑ Other Water piping 15.00 sPWFy Each gas water heater or vent 15.00 r TYPE OF WORK Gas piping system 1 - 5 outlets 15.00 New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installp6pn ❑ Other ❑ Building sewer 15.00 Mobile Home I S I G IW Q20.00 Describe Work: PERMIT FEE t ELECTRICAL PERMIT Filing Fee 20.00 Main Service avow o�R L�Ess 23.00 Main Service 200A TO IOOOA 46.00 CONST.OWELLNG OCCUP. 3.5CF°, OR ACDNS. a ACC. SIDS. NON•RESIO.MULTI-OUTLETBRANCH CIRCUrTS Q7.50 POWER APPARATUS a SINGLE OURET CR OvrET OR F=mm 1L 0 x.50 EX. OL:CU aw Q ,yo Ex. Occup. P� sloop 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ MECHANICAL PERMIT Fling Fee 720.00 *PERMIT FEE PAID $ Heating SRA $ Cooling SHERIFF $ Hood 6.50 _ Ventilation OTHER $ $ PERMIT FEN: t Mobile Home Installation Fee $ $ Energy Inspection Fee E occ CONST • 7 TOT L FEE S AMOUNT RECEIVED $ "AZ 0. FEES '" `°FI P"' FO I This permit Is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work -2 Indicated above for which fees have been paid. *RECEIPT NUMBER -'r,0 <D// * TO BE PUT INTO CO R By Date PERMIT EXPIRES ON r� COUNT' OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541 PERMIT APPLICA TION DA TA SHEET OWNER: ASSESSOR PARCEL ER: Proposed Buildin Use: Building Inspector: Date: O At time of permit application, I . as advised the following data must be submitted prior to permit processing and/or issuance: Date Received By ❑ _1/111 items have been submitted.-------------------------------------------------------------------------------------- 1ot plans, 3/4 sets, signed by the preparer of plans. --------------{ - --- - - ------ /��3'. Complete plans, 3/4 sets, signed by the preparer of plans. ------------ ------------------ ❑4. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans. -------- ❑ 5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! E16. Energy Design Compliance and supporting documentation.---------------------------------- 117. --------------------------------- ❑7. Statement of Intent for Non -Heated and A/C Buildings. --------------------------------------------------------- 118. -------------------------------------------------------- ❑8. Hazardous Material Form. ------------------------------------------------------------------------------------------ ❑9. Manufactured Home data and installation instructions including Tie Down Specifications .------------------ 010. -----❑10. Fees of $------------------------------------------------------------------------------------- ❑ 11. Impact fees as shown on the attached schedule. ------- ❑ 12. California Department of Forestry plan approval/fees. ❑ 1 elevation certificate. ---------------------------------------------------------------------------------------- anitation and plot plan approva� Health Department. ------------------------------------------- ❑ 15. CCity of Chico plumbing permit.----------------------------------------------------------------------------------- ° ❑ 16. Plot plan and business license approval from the City of Biggs. -----=---------------------------------------- � ❑ 17. Planning approval for (A) Use: (B) Parking: -------------------------- ❑ 18. Contact Land Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel. --------------------- 17 - El 19. Encroachment Permit for driveway (construction approval prior to occupancy). ------------------------- -- ❑20. Pre -inspection for required. Request to Building Inspector on (Date) ❑21. Contractor's license information. (Number, Name Style, Classification). ------------------------------------ ❑ 22. Workers' Compensation carrier and policy number. --------------------- 023. Owner -Builder Verification (Given to owner ❑, Mailed to owner ❑). 1124. Letter of signature authorization. ------------------------------------------ 025. Recorded copy of Agricultural Acknowledgment Statement. ----------- 1126. Letter of intent on building use. ------------------------------------------------------------------- ❑27. Manufactured Home utility clearance. ------------------------------------------------------------ ❑ 28. Existing violations and/or expired permits. ------------------------------------------------------ ❑29. 0433 A, ❑Grant Deed, ❑ M.H. Title, ❑ Check to H.C.D $ 1130. Other: en ou issueAe pe 't, prp s �jfollows C3 Mail to owner, ❑/ t ontra tor. �Sfelephone / and hold for pickup aty�ofice. ❑ Deliver with inspector. Applicant: //1>4�Date:�1 Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, ❑ Air Poll don tion Date: By: Copy of plans sent ❑ Health Department, ❑ Fire Department, ❑ Other: ll Date: By: 1. Index permit application for the above items numbered: ❑ Plan Check List 2. Additional items required: Contractor, designer, owner, was advised of the above required data by ❑ phone, b mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Buildin Di ' counter, by Date: Plans reviewed by: Date: Plans approved by: Date: J2 • «0 (� Sets of plans on hold in ❑ Plan Cabinet, ❑ A.P. folder. Note transfer by: Date: Yellow Copy - Department of Development Services, Building Division. E.H..HUSE ,fir Plot Plan Attached Floor Plan Attac d Sent to B.D./ � TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance PQI ex-rnp Owner Location AP# Plan Approved for: Sewage Disposal Water Supply: Public Private Well Clearance forXdwelling. Other Hold final for: Final clearance O.K. for: NOTE: Environmental Health Specialist Date 8/96 -. i Attention Property Owner: ; An "owner -builder" building permit has been applied for in your name and bearing; your .. . .... signature. ;i.A•:F{ Please completesand return this information -.at iyour earliest -opportunity, to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. ' ` ' •' - 1. I personally plan to provide the major labor and materials for construction of the - proposed property improvement :YES[ A NO[-]. '. . --" 2. I HAVE[x] HAVE NOT[ ] signed an application for a building permit for the proposed work.. 3. -I have' ' contracted with . the following -person (firm) to provide the proposed construction: NAME.• ADDRESS•• CITY: PHONE: CONTRACTOR'S LICENSE NO.' 4. I plan to provide portions of this work, but I have hired the following 'person - to coordinate, supervise, and provide the major work: NAME: ADDRESS:: CITY: PHONE: CONTRACTOR'S LICENSE NO. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: NAME ADDRESS PHONE TYPE OF WORK SIGNED: %) DATE: ZL_�— DO 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 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 ane -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 yourseK _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 cityor 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 o erl-wit the exception of various trades that you plan to subcontract, you should be aware of the following information for ybqr benefit and protection - 0 If you employ or othpfwiw engagb—any)persoo other than your immediate family, and the work (including materials *and other(costs) ' 4100 or more r the entire project, and such persons are not licensed as contractors or subcodVactodvffien yod maype an employer. 0 if you are an employer, -yo" § 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. 0 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. 0 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 `"ownerbuilder" 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. . Siniarel Michail C. Vieira, C.B.O. . Manager, Building Inspection' NOTE: This Owner -Builder fi formation.is required by Section 19830 of the California Health and Safety Code. OVER `1 - s 1 , 1 APPROVED Butte County Environm Mal Health u ;1 Date glgnature ` dei IAJ rTE COW �. v n 00 --7451 y Y(a RIF �G ~NOTE:• I. TYPICAL UNDERFLOOR FOOTINGS ARE 140SQ X 6" THICK 2. FOOTINGS OVER 16" SQ MUST BE 12" DEEP J. ALL FOOTINGS ARE TO BE EXCAVATED INTO UNDISTURBED SOIL. 4. MAINTAIN CLEARANCES SHOWN UNLESS APPROVED WOOD OF NA TURAL RESISTANCE TO DECAY OR PRESSURE TREATED IS USED. 5. MAINTAIN REQUIRED CONCRETE COVER PER MANUFACTURER AT POST BASE INSTALLED IN CONCRETE PEDESTAL P B PIER BLOCK 8' MIN 6'7);K -, 14' SQ " t.. PICAL UNDERFLOOR PIER11FOO77NG OR UNDER DECK P/ER1FOO71NG PEDESTAL (MONOUTh PIER/F007ING POST BASE SLAB FLOOR I' STANDOFF 12" MIN T m �u VARIES WITH POST BASE & MONOLITHIC 0 P.`T:. f POST J9'AS i I I 17727,717 12" MIN P 7 FOOTING ON SLAB FLOOR �b3`�F'lS?S77NG - NO, SLAB FLOOR EXPOSED TO WEATHER OR WATER SPLASH OR IN BASEMENTS RESIDENTIAL POST AND PIER FOOTING DETAILS REv °A� scAtE r/�=r=o' DATE:• 4/92 r ro r BUTTE COUNTY BUILDING DEPARTMENT DWG: smrm2 STD 12.2 - May 1995 9.11 IL �o ON ct 0\19 �1 ...FIRE. DAMAGE. REPORT OWNER: C?Sl / Q �i Gt_ (A)DATE: S� LOCATION: to/? S Pa-, Q,rrni5 A.P. # CONTRACTOR: DATE TO INSPECTOR: Building Description: Residential/# of Units: Currently Occupied AbandonedNacant Electric: Yes No / Condition of Electric PERMIT HISTORY:( ) NONE • 'r /I . ,r XAS FOLLa 4a !' r BUILDING INSPECTOR'S REPORT Electric currently On Off r' Gas: Natural Propane___,ZNone Currently On Off Obvious Problems: Sanitation: / Plumbing Working Well Working Potable Water / Obvious SewageProblems. Description of Damaged Estimate Valuation of Damaged Area: Condition of Foundation: Mobile Home: Condition of Utilities: Inspector: Date Sketch building on reverse and indicate area of damage. �.�G COUh CDF/BUTTE COUNTY FIRE INCIDENT LOG DATE 1211611999 INCIDENT NUMBER 12341 REPORT TIME 11:09 LOCAL FIRE NUMBER 11086 STATE FIRE NUMBER 0 CASE NUMBER 0 LOCATION 11075 PALERMO RD. RP IVIRGIAN HONE NUMBER 5340587 COUNTY NOTIFICATIONS ® OES ❑ EMD ❑ PRA STATE WILDLAND FIRES El STATE ACRES STATE STRUCTURE FIRES STATE OTHER FIRE STATE MEDICAL AIDS STATE PSAlOTHER STATE HAZ MAT LOGGED BY LKD RO LOPEZ STATION # 72 MEDICS: OFFICER B2116 B R6 AGENCYID BUT LOCAL WILDLAND FIRES ❑ LOCAL ACRES LOCAL STRUCTURE FIRES RESIDENTIAL LOCAL OTHER FIRES LOCAL MEDICAL AIDS LOCAL PSA/OTHER: LOCAL HAZ MA INCIDENT NAME 1PALERM0 START TIME: 1100 CAUSE Imisc LAND USE IDOMESTIC ACRES: TYPE OF ACRES: DOLLAR DAMAGE 50001 LOCAL TYPE $ DAMAGE: JALL OTHER SAVE 100000 DIAMOND #: 15.0 INJURIES/FATALITIES ❑ # CIVILIAN INJURIES: =# CIVILIAN FATALITIES: Imo' FF INJURIES: FF FATALITIES FC -40 ❑ DATE OF FC40 INC SEN EMAIL STATION F72 DAN AGENCY INC #: INC P# O 7 -DAY © INITIALS DAN COMMENTS: 11FLUE POSSIBLE STRUCTURE ' 1� III NEXT RECORD II, LAST LOCAL FIRE # III LAST STATE FIRE# III LAST CASE # III III & as Aq - sc� 25-24-50 2505-91B HOWARD, Leslie & Virginia Y 1075•Palermo Rd, Oroville CHRISTEN {� y cont. AMRE i �� I SEN, AL 5198E(s) 46'�E (vinyl siding;sf) z <2j;-24-50 n/s'Palermo Rd., app 1000' E Power use Hi • Rd.,Oroville CONTR: A-1 sonny, 2041 Fogg Ave.,Orovi] (fireplace) r - - COUNTY OF BUTTE - DEPARTMELOF PUBLIC WORKS PERMIT NO. 7 County Center Drive • Orovllle, Califorriftalf, • 5 65 T-elephone: 916/536.7541 APPLICATIOPANPERMIT ASSESSOR PARCEL NUMBER 025-240-050 ZONING ARMH-2.5 BUILDING PERMIT OWNER LESLIE &VIRGINA HOWARD TELEPHONE 534--0687 SQ. FT,._ OCC. BUILDING VALUATION CONT EST 7,900 - OWNER'S MADDRESS 1075 PALERMO ROAD OROVILLE CONTRACTOR'SNAME '• AMREp TELEPHONE ' CONTRACTOR'S MAILING ADDRESS 1400 ENTERPRISE BLVD SAC Fireplace CONSTRUCTION LENDER UNKNOWN ry� Total Valuation $ ,900 Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ 68.50 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS1075PALERMO ROAD OROVILLE Permit fee $ 78.50 PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping , 5.00 Each etas water heater or vent 5.00 USE OF STRUCTURE SF v1 Duplex❑ Mobilehome❑ Other i SPECIFY i Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 0.00 ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Instal lationRl Other ElPermit Describe work: NEV VIM SIDING _ Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100V OR LESS 10.00 100 AMP OR LESS Main service EA. ADD•L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declarerunder penalty of perjury (check one): I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Profess' n e an my license is in full force and effect. License No. Classification, i ❑ I, as the owner, or my employees with wages as their sole compen- sation,. will do the work,and the structure is not intended or offered for sale. ISec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) El am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.8d` , OR AODNS. ACC. BLDGS. / /20sq ft NEW CONSTR.MULTI-OUTLET 2,50 ea NO N.R ESID BRANCH CIRC ITS POWER APPARATUS e SINGLE OUTLET CIR. ) Ex. Occup200sot P OUTLETS OR FIXTURES eALO 30 FIXED Ex. Occup. OUTLETS P(RESID )REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): L] yhe permit is for $100.00 (valuation) or less. U�/I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ Ishall not employ any person in any manner so as to become subject l to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling Hood 3.00 Ventilation permit Pee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree,to save, indemnify and keep harmless the County of Butte against all liabili,.t°Ie's, judgments, costs, and,expenses which may in any way accrue against said'County in consequence of thegranting of this permit. X ��G�/� f��� ��%J �/ Date Signature° of Applicant — Owner ❑ Contractor Agent ❑ ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $78.50 HAZ. can PARK SCHL FLD CDF PAR PD i HD. Issu This permit is hereby issued unoer the applicable provi- sions of the Butte County. Code and/or resolutions to do work indicated above fo which fees have been aid. �- /S 1� p IREC{iff`F PU LIC WORKS By tf�•r Date/ - ,i� PERMIT EXPIRES Date Receipt No. 96803 78.50 WHITE-D.P.W., YELLOW -ASD [S 90 R, PINK -INSPECTOR, GOLDENROD -APPLICANT / COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. J 7 County Center Drive - Oroville, California 95965_- ,plephone: 916/538-7541 / APPLICATION AND HERMITIQ ASSESSOR PARCEL NUMBER 025-240-050 ZSNMG ARMH-2.5 BUILDING PERMIT OWNER LESLIESIRGINA HOWARD TELEPHONE 534-0687 SO. FT. OCC.1 BUILDING VALUATION CONT EST 7,900 OWNER'S M DD E 1075 PALERMO ROAD OROVILLE CONTRACTOR'S NAME AMRE TELEPHONE CONTRACTOR'S MAILING ADDRESS 1400 ENTERPRISE BLVD SAC Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation is 7,900 Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ 68.50 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING A1075 PALERMO ROAD OROVILLE Permit fee $ 78.50 PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF [] Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 10.00 ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installationil Other ❑ Describe work: _ NEW VTYNT, SIDING Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service OOOV OR LESS 100 AMP OR LESS 10.00 Main Service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declar under penalty of perjury (check one): I am licensed under provisions of Chapt. 9, Div. 3 of the Buslnes$ and Profession a 8n my license is in full force and effect. License No. Classification. ` ❑ 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. / DWELLING OCCUP.eI OR ADDNS. ( ACC. SLOGS. , /2 OSq ft NEW CONSTR MULTI -OUTLET NON.RESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS tr (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20@ eA 0530 11 Ex. OCCUp. OUTLETS FIXED APPRESID )REAJ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ e permit is for $100.00 (valuation) or less. have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling g Hood 3.00 Ventilation - Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. save, indemnify and keep harmless the County of Butte against I 4na aljudgments, costs, and expenses which may in any way accrue agunt in consequen t granting of this permit. X / Date Siicant — Owner ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $78.50 HAz. cuA PARK SCHL FLD coF PAR PD I HD. ISSU This permit is hereby issued unser the sions of the Butte County. Code and/or work iodic d above fo which f IR.EC F PU I By PERMIT EXPIRES Date applicable provi- resolutions to do s have been paid. WORKS / at ( 9[ Receipt No. 96803 78.50 WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville. California 959651- -telephone: 916/538-7541 APPLICATION SID PERMIT ASSESSOR PARCEL NUMBER 2�(U -(� �Q ZCJN I N G 29 ( BUILDING PERMIT OWNER /� Lis/�'1° !' f7W /L TELEPHONE 5,3E(-06�? SO. FT. OCC. BUILDING VALUATION N�-' E51` O U OWNER'S MAILING A.DOR S o ZS & /6.40 G gSgG CONT ACT 'S NAME /11�� TELEPHONE CONTRACTOR'S MAILING ADDRESS C N - Pr�fl°(' fse ��� 'JVI �e�7"S�C Fireplace CONSTRUCTION LENDER I UNKNOWN Total Valuation Is a 0 Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ rQ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS/�/� �� o y�^ � e MI{/.o A Permit fee a 60 -5'0(/ PLUMBING PERMIT Filing Fee 10.00 �Sg6.5 Each Trap 2.00 ' Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME 11 PARCEL MAP 1 Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF)R Duplex❑ Mobilehome❑ -Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 0.00ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other Describe work: ct'i t'fiN �S;'. GNS/" Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 Main service EA. AOD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ 1 am licensed under provisions of Chapt. 9, Div. 3 of the Business/POWER and Professions Code and my license is in full force and effect. License No. Classification. ❑ i, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.a New DCONS. ( ACC. 2/,20sgft OUTLET NON.RESID BRANCH CIRC ITS 2.SOea APPARATUS e (SINGLE OUTLET CIR. Ex. OCCUp(OUTLETS OR FIXTURES 20G50C eAL03o FIXED Ex. DCCUp. P OUTLETS (RESID )REA.1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring g 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ Ishall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling g Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE Sd TOTAL FEE $ HAZ. CUA PARK SCHL FLo coF I PAR PC)I; .40.Issu= I I ! This permit is hereby issued unaer the applicable provi- sions or the Butte County. Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Date PERMIT EXPIRES Date Receipt No. /6e0_-3 l 7� WHITE-O.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT