HomeMy WebLinkAbout026-114-010r ,
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WALTER J. WHITE
17285 Lincoln Blvd., Palermo '
Permit "720-7°4B�� P;`E" (repair fire ,
r damage & plbg..and rewire hse.)
AF -114-08 �---
` Permit-?SB,E(garage and add.)
026-114=010', 0977:%•♦
� 'YOUNG`'FRANK',�,; �
7285 LINCOLN BLVD, PALERMO
,CONT. JW,ELECTRIC
°a.•; `•
UPGRDE'100 200 AMP
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NOTES s 1
RESIDENTIAL
. PERMIT NO. 26-114-U10 � -- - 05-0977
4
'
YOUNG, FRANK
7285 LINCOLN BLVD, PALERMO I
CONT: JW ELECTRIC
r,
UPGRDE 100-200 AMP
A
L
►
SPECIAL CONDITIONS
�F
CHECKED
BY
.. }
SRA
FLOOD CERTIFICATE REQ.
'h
FIRE SPRINKLERS REQ.
x
SPECIAL INSPECTION ITEMS
VERIFY '
USE PERMIT CONDITIONS.
1
4
SUB -STANDARD HOUSING LETTER
—.
OFFICE COPY '
Address__
I- A L Z2iy-�i
GAS
Meter By Date
rMeter
ELECTRIC
By Date
JOB FINALED (Date) _
-Signature
= OK
= Not OK
= NotReadya61e 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/ /" L "ft./ P LPG
7. Well Clearance & Disconnect
8. Utility 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-Requlator-Connector
7. Water and Sewer Connected -C/O to Grade -HD Approval
8. Gas and Electricity Tagged
9. Tie Downs -Type -Installation Cert.
10. Exits; Insp.-Sketch
11. Cert. of Occupancy
Date
Card B-1 Date
Card B-1
Date
Card B-1 Date
Card B-1
Date
PERMANENT END SYSTEM (ONLY)
4. Wood Awn.; Posts-Beams-Rftrs-Connectors
Shthg-Frg-Bracing
1. Zoning Requirements -Setbacks -Easements
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
2. Footings; Size -Spacing -Marriage Line
7. Electric
3. Blocking
8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses
4. Gas; MH Test -Demand -Valve
10. Roof; Shthg-Roofing
5. Electricity; MH Test
11. Ext.; Steps -Doors -Landings
6. Water; MH Test
7. Water and Sewer Connected
Card B-1 Date Card B-1
Date
8. Gas and Electricity Tagged
Date
POOLS (Plans) OK except #'s
9. Exits
1. Setbacks -Easements
10. License Decals
3. Pool Structure; Steel -Connections -Thickness
Dead Men -Lining
11. Verify #'s with Office
4. Elec.; Receptacles and Lighting, Distance-GFI
5. Elec.; Pool Lighting; 15 Volts-GFI
Date
Card B-1 Date
Card B-1
Date
Card B-1 Date
Card B-1
MISCELLANEOUS
Date
DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s
1. Zoning Requirements -Setbacks -Easements
2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel
3. Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails
4. Wood Awn.; Posts-Beams-Rftrs-Connectors
Shthg-Frg-Bracing
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Carports; Windows -Doors
7. Electric
8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses
9. Siding; Nailing -Veneer -Stucco -Mesh
10. Roof; Shthg-Roofing
11. Ext.; Steps -Doors -Landings
12. Braced Wall Panels
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
POOLS (Plans) OK except #'s
1. Setbacks -Easements
2. Soils; Compaction -Structure Stability
3. Pool Structure; Steel -Connections -Thickness
Dead Men -Lining
4. Elec.; Receptacles and Lighting, Distance-GFI
5. Elec.; Pool Lighting; 15 Volts-GFI
6. Elec.; Enclosures; Conduit Entries -Terminals -Listed
7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater
8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg.
Boxes- Enclosures- Panelboards-Ins. to Main Conduit
9. Health Department Approval
10. Plumb.; Cir. Test -Water Supply Test
11. Light Niche
12. Enclosure; Fencing -Alarms
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
J=OK
0 = Not OK
= Not Applicable
. =Not Ready RESIDENTIAL (Single & Duplex)
Date
UNDERFLOOR (Plans) OK except #'s
_
1.
Zoning -Setbacks -Easements -Flood -Slope
2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth
Cling. Joist-Rftr. Ties- Purlin-Roll Brac.-Truss-Shting.-Rtng.
3.
Ftg., Garage; Soils-Steel-Elec. Grnd.-/ P' Ftg. Depth
Fireplace Ties or Type A Flue -Fireplace Throat Clearance
4.
Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth
Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
5.
Stemwalls, Main; Steel-Blockouts-Wrapped
Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions
6.
_
Stemwalls, Garage; Steel-Blockouts-Wrapped
Garage Fire Protection Framing -RC Channel
6a.
Hold Downs and Special Anchors
Property Line Firewall & Openings
7.
Slab, Steel -Wrapped
Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits
8.
Piers -Fireplace Ftg.-Steel
9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test
Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
10. UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test
57. Siding -Nailing Veneer
11.
Water Pipe; Test -Anchors -Regulator -Service Test
12.
Electric Underground
13.
Plenums & Ducts; Clearance -Material -Support -Ins.
14.
Girders -Sills -Anchor Bolts-Joists-Vents-Crippies
15.
Access & Ventilation
16.
Insulation
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
FINAL (Plans) OK except #'s
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
Elec. Trim & Subpanel, Breaker Sizes & Labels
22.
Gas Pipe; Sixe & Anchors
Stairs & Rails
23.
Fire Sprinkler; Test
Fireplace or Stove, Clearance -Hearth
72.
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
ELECTRICAL (Permit) OK except #'s
75.
24.
Fixture & Transformer Clearance -Ins. Protection
76.
25.
Elec. Receptacles Spacing -Lights & Switches at Doors
77.
26.
Size Boxes & No. of Conductors Stapled
78.
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 0 Yes 0 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
86.
Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings
Date
87.
Card B-1 Date Card B-1
Date
88.
Card B-1 Date Card B-1
Date
MECHANICAL (Permit) OK except #'s
Ventilation Throughout House
36.
A.C. Ducts Insulation & Support
Glass Protection
37.
Vent Fan, Exhaust above insulation
Corrections from Previous Inspections
38.
Condensate Drain & Overflow, Size & Grade
Gas Test -Meters Tagged, Gas -Electric
39.
Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet
Water & Sewer Connected -C/O to Grade -HD Approval
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
Date
FRAMING (Continued)
_
47.
Hangers -Post Caps -Anchors -Connectors
48.
Cling. Joist-Rftr. Ties- Purlin-Roll Brac.-Truss-Shting.-Rtng.
49.
Fireplace Ties or Type A Flue -Fireplace Throat Clearance
50.
Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
51.
Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions
52.
Garage Fire Protection Framing -RC Channel
53.
Property Line Firewall & Openings
54.
Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits
55. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
56.
Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
57. Siding -Nailing Veneer
58. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access
59.
Glazing Area -Glass Protection -Skylights -Plastic
60.
Shear Walls; Nailing -Bolts
61.
Brace Interior/Exterior Wall Panels
62.
Insulation -Walls -Ceilings
63.
Infiltration -Walls -Windows
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
FINAL (Plans) OK except #'s
64.
Ext. Steps -Door & Sidelight Protection -Landings
65.
Smoke Detector
66.
Furnace Vents -clearance -Comb, Air -Connector -
In Garage; Above Floor-Ducts-Mech. Protection
67.
Bedroom Exiting
68.
G.F.I. & Bath Fixtures & Tub Access -Spa
69.
Elec. Trim & Subpanel, Breaker Sizes & Labels
70.
Stairs & Rails
71.
Fireplace or Stove, Clearance -Hearth
72.
Elec. Outlets at Wood Panel, Int. & Ext.
73.
Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance
74.
Elec. Outlets & Receptacles at Kit. Counter
75.
Garage Fire Door; Swing -Landing -Closure
76.
A.C. Duct in Garage -Damper
77.
Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V.
in Garage; Above Floor-Mech. Protection
78.
Plb.; Elec. & Mech. Equip. Listed for Location
79.
Elec. Receptacles in Garage (FF.I.)-Romex Protection
80.
Insulation -Foam -Looked in Attic
81.
Guard Rails & Deck Construction -Post Caps
82.
Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth
Clearance Looked under Floor O Yes
83.
Following Instid./Drive O Yes O No/Walks 0 Yes O No/Planters 0 Yes O No
84.
Stucco Brown -Finish
85.
A.C. Unit Disconnect, Electrical -Plumbing
86.
Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings
87.
Water Well, Disconnect, Electrical, Plumbing
88.
Exterior Elec. Trim, G.F.I. Receptacle -Underground
89.
Ventilation Throughout House
90.
Glass Protection
91.
Corrections from Previous Inspections
92.
Gas Test -Meters Tagged, Gas -Electric
93.
Water & Sewer Connected -C/O to Grade -HD Approval
94.
Energy Compliance Certificate -Other Certificates
95.
Address Posted
96.
Fire Sprinkler
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Comments at Final:
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT
24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO)
OFFICE #: (530) 538-7541
PERMIT NO.
BP050977
PERMITS BECOME NULL AND VOID 1 YEAR FROM THE DATE OF ISSUANCE, OR IF WORK IS DONE IN VIOLATION OF ANY COUNTY OR STATE LAWS.
LICENSED CONTRACTORS DECLARATION
I hereby affirm under penalty of perjury that I am licensed under
provisions of Chapter 9 (commencing with Section 7000) of Division 3 of
Issued Date: 04/15/2005 APN: 026-114-010-000
the Business and Professions Code, and'my license is in full force and
effect.
License Class: �. �O License Number: E
Site Address: 7285 LINCOLN BLVD PAL
Date: !Zontractor:�%g 4c
Map Index:
Description: UPGRADE FROM 100 T0200 AMP
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the
Contractors' State License Law for the following reason (Sec. 7031.5
Business and Professions Code: Any city or county which requires a
Owner: YOUNG FRANK H &SHARON E
permit to construct, alter, improve, demolish, or repair any structure, prior
to its issuance, also requires the applicant for such permit to file a
signed statement that he or she is licensed pursuant to the provisions of
7285 LINCOLN BLVD
the Contractor's State License Law (Chapter 9 commencing with Section
7000) of Division 3 of the Business and Professions Code) or that he or
PALERMO, CA
she is exempt therefrom and the basis for the alleged exemption. Any
95968
violatiori of Section 7031.5 by any applicant for a permit subjects the
applicant to a civil penalty of not more than five hundred dollars ($500).):
❑ I, as owner of the property, or my employees with wages as their
sole compensation; will do the work, and the structure is not
intended or offered for sale (Sec. 7044, Business and Professions
Code: The Contractors' State License Law does not apply to an
Applicant- J W ELECTRIC
owner of property who builds or improves thereon, and who does
pp
such work himself or herself or through his or her own employees,
6766 INDIAN DRIVE
provided that such improvements are not intended or offered for
MAGALIA CA
sale. If however, the building or improvements are sold within one
year of completion, the owner -builder will have the burden of
95954
proving that he or she did not build or improve for the purpose of
(530) 872-3409
sale.).
❑ I, as owner of the property, am exclusively contracting with
licensed contractors to construct the project (Sec. 7044, Business
and Rrofessions Code. The Contractors' State License Law does
not apply to an owner of property who builds or improves thereon,
and who contracts for such projects with a contractor(s) licensed
Contractor: J W ELECTRIC
pursuant to the Contractors' State License Law.).
6766 INDIAN DRIVE
❑ I am Exempt under Article 3 of the Business and Professions Code
MAGALIA, CA
95954
Date: Owner:
(530) 872-3409
WORKERS' COMPENSATION DECLARATION
.I hereby affirm under penalty of perjury one of the following declarations:
License #: 830362
❑ I have and will maintain a certificate of consent to self -insure for
workers' compensation, as provided for by Section 3700 of the
Labor Code, for the performance of the work for which this permit
is issued.
Architect:
❑ 1 have and will maintain workers' compensation insurance, as
required by Section 3700 the Labor Code, for the performance of
Engineer:
the work for which this permit is issued. My workers' compensation
insurance carrier and policy number are:
Carrier:
Total Square Ft: 0 S. F.
Valuation: $0.00
Policy#:
I certify that in the performance of the work for which this permit is
Census Code:
issued, I shall not employ any person in any manner so as to
become subject to the workers' compensation laws of California,
and agree that if I should become subject to the workers'
-
compensation provisions of Section 3700 of the Labor Code, I shall
forthwith comply with those provisions.
Date:
Applicant:
WAR;,.NG.. Failure to secure workers' compensation coverage is
unlawful, and shall subject an employer to criminal penalties and one
hundred thousand dollars ($100,000), in addition to the cost of
compensation, damages as provided for in Section 3706 of the Labor
fees.
code, interest, and attorney's
- CONSTRUCTION LENDING AGENCY --
applicable provisions of the Butte Coun_ty,Code and/or
-This p�rk
I hereby affirm that there is a construction lending agency for the
Resole for which fees have been pai/\performance
of the work for which this permit is issued (Sec 3097 Civ.)�-
V�Name: y'- � /lD
- U
PERMIT EXPIR S ON:
Address:
Date
❑ I hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage,
handling and use of hazardous materials.
O Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project.
❑ Attached are copies of the required E.P.A. notification forms.
I hereby certify that I have read this.application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with
all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance'of any official form or document of Butte County. I hereby
authorize representatives of Butte County to enter upon the above mentioned property for inspection purposes. .
r
/ _
Print Name '/ j l� a bSignature:
Date:
.Downer ❑ Contractor ❑ Agent for Owner went for Contractor
B. C. Building Permit 01-16-04 pq 1
:r
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT APPLICATION
AND SUBMITTAL REQUIREMENTS
24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834
OFFICE #: (530) 538-7541
A FEE WILL BE REQUIRED AT TIME OFAPPLICA TION
Website: www.buttecounty.net/dds
"PLEASE PRINT CLEARLY"
APPLICANT NAME
CONTRACTOR
OWNER
Last Name
/ r. ell
Zip
First N e
Address .�•
..l
�`
City P
Fax
E-mail
Statee-h
Zip
Phone S/
_ �3 7
Fax
E-mail
APPLICANT NAME
CONTRACTOR
Name
City
Address /'G 7//
Zip
City / C
Fax
State G
Zipg S9
Phone S3d,32I_
Fax
E-mail
E-mail
Lice_ �6^ 9303
C7 s
APPLICANT NAME
ARCHITECT/ENGINEER
Name
City
Address
Zip
City
Fax
State
Zip
Phone
Lot #
Fax
E-mail
State License Number
APPLICANT NAME
Name
Address
City
State
Zip
Phone
Fax
E-mail
1/1 ..P"Am
r
For office use only:
Zoning
Flood Zone
SRA.
I Yes
I No
Occ.
Type Const.
Subdivision Name
Map Book
Page
Lot #
Planner
Date Approved:
OVER FOR SUBMITTAL REQUIREMENTS
K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc
PERMIT
NO.
o5
DD
BIN #
1
LOCA TION
OCATIONAPI
/>
Property Address
Cit
Cross Street
WORKER'S COMPENSATION
Policy Number
Carrier
If hiring anyone other than license contractors, a certificate of worker's
compensation must he shown at the time of permit issuance.
Date:
1
LENDING AGENCY
Name
Address
Descri tion or Scope of Work:
a_ 0.w
Sq. Footage
❑ Structure Built without Permits
❑ Proposed Change of Occupancy
(Note previous use):
EXPIRATION OF APPLICATION
Applications for which a permit has not been issued will expire one
year after the date of application. In order to renew action on an
application after expiration, a new application, plans and fee will be
required.
REQUEST FOR REFUNDS
Refunds can only be made upon written request by the person who
paid the fee. The request must be made prior to the expiration of the
permit and no construction work has been done. Filing fees, plan
check fees for work plan checked and other department costs are not
refundable.
Page 1 of 2
REV 2-24-05
Receive by: Amount:
Bldg
SRA
Receipt #:
ISMIP
Sheriff
Date:
1
Other
Total
Page 1 of 2
REV 2-24-05
SUBMITTAL & PERMIT REQUIREMENTS
The following drawings and specifications must be submitted to the Building Division in order to apply for a
permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK.
❑ 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. No graph paper!
❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans (No graph paper!) OR
Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations.
❑ 3. Engineered truss details and layouts in duplicate (if required). No faxes!
❑ 4. Energy compliance design and supporting documentation in duplicate.
❑ 5. Statement of Intent for Non -heated and A/C for Non -Residential Buildings.
❑ 6. Manufactured homes: (A) installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in
duplicate.
❑ 7. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor
plans in triplicate. All of these must be stamped and wet -signed by the engineer.
❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate (if required).
❑ 9. Site plan and business license approval from the City of Biggs.
❑ 10. Letter of intent for non-residential buildings.
❑ 11. Detached Accessory Building Form filled out by the owner (if required).
❑ 12. Hazardous Material Form (for Commercial Buildings only).
Remaining items needed to issue the permit. Additional items may be required after Plan Check and Planning
review (May
require additional plan review upon receipt of the following items.)
❑
1.
Agricultural Buffer clearance and site plan approval from the Ag Commissioner's office (if required).
❑
2.
Impact Fees.
❑
3.
California Department of Forestry plan approval (if required).
❑
4.
NPDES Form.
❑
5.
Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy).
❑
6.
Contractor's license information. (Number, Name Style, Classification).
❑
7.
Worker's Compensation Carrier and Policy Number.
❑
8.
Owner -Builder Verification (if required).
❑
9.
Letter of Signature authorization (if -required).
❑
10.
Recorded copy of Agricultural Acknowledgment Statement.
❑
11.
❑ Grant Deed, ❑ M.H. Title/Statement of Facts.
❑
12,
Sanitation and site plan approval from the Environmental Health Department.
If you have questions or would like additional information regarding this process, please contact a
Permit Assistant at (530)538-7541.
EXPIRATION OF APPLICATION
Applications for which a permit has not been issued will expire one year after date of application. In order to renew action
on an application after expiration, a new application, plans and fees will be required.
REQUEST FOR FEE REFUNDS
Refunds can only be made upon written request by the person who paid the fee. The request must be made within two
years from the date of fee payment on permits not issued, and two years from the date of permit issuance for permits
issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan
check fees for work plan checked and other department costs are not refundable.
OVER FOR BUILDING PERMIT APPLICATION
KAFORMS\BUILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2 REV 2-24-05
JW ELECTRIC
530-321-0608
Cif' ._J tcJ Lcl-
y ..
CALIFORNIA LICENSE##830362
;PERMIT NO. 343— B E
7,1P
E
`QMH UTIL.
{PERMIT N0.
PERMIT EXPIRES
��CONTR.
oWNER Walter White
�" 'LOCATION (A.P. 26-114-08 )
7285 Lincoln Blvd., Oroville
,n
Temp. Power Pole
Called PG&E
Temp. Elec. Sery
Called PG&E
Temp. Gas Serv.
Called PG&E
JOB //
FINALED �" 2� ' Zb
(Dat
(Signatur ,�-
COUNTY OF BUTTE — DEPARTPAENT OF PUBLIC WORKS -
BUILDING INSPECTION IRE°CORD
BUILDING BUILDING (Cont'd) PLUMBING
Setback Firewall Soil Piping -
Forms Parapets 1st Floor.
Main Bldg. Restroom Finish 2nd Floor
Footings Windows 3rd Floor
Stemwall Siding To out
Slab Roof Sheathing Water Piping
Piers Roofing Sewer
Garage Fdn. Vents Fixtures
Footings Garage Vents Water Htr.
StemwaII Prov. for physically Heaters
Slab handicapped Appliances
Carport Conformance of ex. Gas Piping & Test
Footings structure Temp. Gas
Slab Final Sanitation
Patio FIREPLACE Final
Footings Footing ELECTRICAL
Masonry Walls Throat Rough
Reinf. Steel Final Fixtures
• Bond Beam FIRE SPRINKLERS Motors
Framing 7— — Test Water Htr.
Stucco Final Subpanels
Mesh ? — S MECHANICAL Grd. Fault Prot.
Scratch Heating Service
Brown Cooling Temp. Pole
Finish Ducts Underground
Interior Lath Ventilation Permanent '
Door Closer Final Final
DATE REMARKS/OR CORRECTIONS p
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COUNTY OF BUTTE — DEPART, IENTVF PUBLIC W R 17
7 County Center Drive' — Oroville, California 95965 3
Telephone: 534-4541
APPLICATION AND PERMIT i
- Icl+ Ica clllall v c a UI rl lc I�UUIILy UI OUIIC LU CIIICI UPUFI MU
abovee--mentioned property for i'nnspection purposes.
X pat
Signature of P mi tee or Agent
4�
Receipt No.
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant
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. '
DIRECTORtq PUBLIC WORKS
B _ Date 7,S
Building. permit expires Date.....................................?e.....
BUILDING
Owner� ���
Al '
SQ. FT. OCC. BUILDING VALUATION
®�ZE-4 a 0
O
Mailing Address
°
Telephone 140.'
71
Fireplace
Contractor
Total Valuation Z0 mo
Mailing Address
Permit Fee �'®c
Plan Checking Fee &/or Penalty
Telephone No.
Permit Fee $ n
$ QQ
Building Address'AA50A,-
EVC' 7A e; AlWe-
PLUMBING No. @ FEE
PERMIT FILING FEE $2.00
p
Each Trap 1.50
Repair drainage or vent piping 1.50
Water piping 1.50
Each gas water heater or vent 1.50 '
A. P. No. ��
Z
Zoning & Planning'
Gas piping system 1 - 5 outlets 1.50
Each additional outlet .30
�. SltFire Dept.
Fire Zone
Use Permit
Building sewer 5.00
EQA
Parking
Plans
Parcel
Declaration
Parcel M 60' R/W
Imrov mentstion
P
Lawn sprinkler system 2.00
Bldg.ec'dParce
Approval
Plan ° pproval
Permit Fee $
$
NEW ADDITION CK, UTILITIES ❑ OTHER ❑
ELECTRICAL No. @ FEE
PERMIT FILING FEE $3.00 ,00
144r
Main service incl. '1 meter
Additional meters, each 1.00
Single Family Duplex ❑ Mobil Home ❑ Others ❑
Sub -panel (12 or less) (more than 12)
Range, Cook -top or Oven 1.00
Water Heater or Space Heater 1.00
20 2.5 •��
Light fixtures be
Re s., sw SA fix 0,V34ts
CONTRACTORS LICENSE LAW
I am licensed under the provisions of Chapter 9, Div. 3, of the
State of California Business & Professions Code under the name
style of:
Hood, Ex. Fan or F.A. Furn. Motor 1.00
Evap. cooler, gar. disp. or D.W. 1.00
Air conditioner or heat pump
Water pump
Mobil Home Facilities 5.00
Temp. Power Pole 5.00
License No. Classification
Misc. wiring
I am exempt from the Contractors License Laws of the State of California.
Permit Fee $
WORKMEN'S COMPENSATION INSURANCE
I am aware of the provisions of Section3700 of the California Labor
Code which requires every employer to be insured against liability
for Workmen's Compensation.
❑ I have placed on file with the County of Butte a certificate of
Workmen's Compensation Insurance. '
�I R I certify that in the performance of the work for which this
permit is issued I shall not employ any person in any manner
so as to become subject to the Workmen's Compensation Laws of
California.
MECHANICAL No. @ FEE
PERMIT FILING FEE $3.00
Heating °
Cooling
Ventilation
Hood 1 1 2.00
Permit Fee $
$
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
TOTAL PERMIT FEE
$
- Icl+ Ica clllall v c a UI rl lc I�UUIILy UI OUIIC LU CIIICI UPUFI MU
abovee--mentioned property for i'nnspection purposes.
X pat
Signature of P mi tee or Agent
4�
Receipt No.
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant
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. '
DIRECTORtq PUBLIC WORKS
B _ Date 7,S
Building. permit expires Date.....................................?e.....
:T
4
r'
72.6-74B,P,E
;PERMIT NO.
f P
E
M
QMH UTIL.
?ERMIT NO.
PERMIT EXPIRES
WNER
Walter J. White
CONTR.
Owner
'LOCATION (A.P.
26-114=08 )
7285
Lincoln Blvd., Palermo
?i
J:
P
i�
r�
Temp. Power Pole
Called PG&E _
Temp. Elec. Serv.
Called PG&E
Temp. Gas Serv.
Called PG&E
L
i JOB
FINALED
(Date)
(Signature)
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS .
BUILDING INSPECTION RECORD
BUILDING BUILDING (Cont'd) PLUMBING
Setback Firewall Soil Piping
Forms Parapets 1st Floor
Main Bldg. }' Restroom Finish 2nd Floor
Footings Windows c5 3rd Floor
Stemwall Siding To out
Slab Roof Sheathing Water Pi p 1n
Piers Roofing Sewer
Garage Fdn. Vents Fixtures
Footings Garage Vents Water Htr.
Stemwall Prov. for physically' Heaters
Slab handicapped Appliances
Carport Conformance of ex. Gas Pi in &Test 0%
Footings structure Temp. Gas
Slab Final . Sanitation
Patio ' FIREPLACE Final v'1.
Footings Footing ELECTRICAL
Masonry Walls c Throat Rough
Reinf. Steel Final Fixtures
Bond Beam FIRE SPRINKLERS Motors
Framing r Test Water Htr.
Stucco Final Subpanels
Mesh MECHANICAL Grd. Fault Prot.
Scratch Heating Service
Brown Cooling Temp. Pole
Finish Ducts Underground
Interior Lath Veritilation Permanent
Door Closer Final Final
DATE REMARKS OR CORRECTIONS
s
Owner
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WOR
1
7 County Center Drive — Oroville, California 95965
Tel ophoge: 534-4541
APPLICATION AND PERMIT
BUILDING
zml
SQ. FT. OCC. BUILDING VALUATION
Mai I i ng Address /'� .0�--
1Teleph
ne No.
53 7134
Fireplace
Contractor Pv
Total Valuation
Mailing Address
Permit Fee
Plan Checking Fee &/or Penalty
Tlephone No.
e
Permit Fee
$
r
Building Address �
PLUMBING
No.1
@
FEE
PERMIT FILING FEE
$2.00
('
Each Trap
1.50
Repair drainage or vent piping
1.50
Water piping
1.50
Each gas ater heater or Afnt
1.50
A. P. No,--
Zoning & Planning
Gas piping system 1 - 5 outlets
1.50
Each additional outlet .30
Ff, s
Wl
Sait ion
Fire Dept.
Fire Zone
Use Permit
Building sewer
5.00
EQA I Parking Parcel
Plans Declaration
Parcel Ma P
60' R/W
Improvements
P
Lawn sprinkler system
2.00
Idg
Idg. Ions c d Parcel Approval
Plans Approval
Permit Fee
$
NEW LJ ADDITION ❑ UTILITIES ❑ OTHER ®�
ELECTRICAL
No.
@
FEE
PERMIT FILING FEE
$3.00
316
Main service incl. 1 meter
f� e
Additional mete ,each
1.00
Sub -panel (t or less) (more than 12)
Single Family Duplex ❑ Mobil Home thers ❑
Range, Cook -top or Oven
1.00
Water Heater or Space Heater
1.00
Ligh ixtures Oq
Red%s.,swifcfKs & fix lets
baldl0
CONTRACTORS LICENSE LAW
I am licensed under the provisions of Chapter 9, Div. 3, of the
State of California Business & Professions Code under the name
style of:
Hood, E Fan or F.A. Furn. Motor
1.00
Evap cooler, gar. disp. orD.W. 1.00
16
Air conditioner or heat pump
Water pump
Mobil Home Facilities 5.00
Temp. Power Pole
5.00
License No. Classification
Misc. wiring
IX I am exempt from the Contractors License Laws of the State of California.
Permit Fee
$
WORKMEN'S COMPENSATION INSURANCE
1 am aware of the provisions of Section3700 of the California Labor
Code which requires every employer to be insured against liability
for Workmen's Compensation.
❑I have placed on file with the County of Butte a certificate of
Workmen's Compensation Insurance.
I certify that in the performance of the work for which this
permit is issued I shall not employ any person in any manner
so as to become subject to the Workmen's Compensation Laws of
California.
MECHANICAL
No.
@
FEE
PERMIT FILING FEE $3.00
Heating
Cooling
Ventilation
Hood 2.00
Permit Fee $
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.
X Da `
Signature o ermitee or Agent
Receipt No. // ZI-3
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant
�:, cc
TOTAL PERMIT FEE I $
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.
DIRECTOR OF PUBLIC WORKS
r
BY Date 3!
ding permit �expiresDate...............3..'�<. 3....