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HomeMy WebLinkAbout026-133-002w%�-upp, IVAN -77 Tt t. Omw s. err. how I log n low "M OWNS: Q-nww-�p Mot ON: .� ........... yL:j,��O p W um, p MMM m WAM HIS 0 7� -Ij A ma WYOT Moo -77 t. Omw s. i. TOT "M OWNS: .� ........... yL:j,��O p 026-133-002 06-209 t OXLEY NOTES 2551 NORTH VILLA AVE, PALERMO Cont: WHAT CHEER CO ELEC APN• Owner. Site Addmss- Contractor Type of Pemft �u I F OFFICE COPY j Address ZSU / -oQ °'r 4�n y Lu_" GAS r Meter By Date ELECTRIC r) Meter By .00celol'! Date SPECIAL CONDMONS CHECKED BY _ SRA FLOOD CERTIFICATE EQUIRED i FIRE SPRINKLERS REQUIRED SPECIAL INSPECITON ITEIMS VERIFY USE PERMIT CONDITIONS =, SUBSTANDARD HOUSING LETTER. Q ENCROACtt4AENT Pawff REIHSPECTKNI FEE PAID 2` ENV HLTH CLEARANCE r. 'cam tIj_ DATE JOB FBrALED: �GNATURE: i _. OK O = Not OK M A" -N. U FAC :T U `R, E D HOMES- M I .S C E' L LSA N E'O U S -' DATE PERMANENT FOUNDATION SOFT SET 1 ZoningSetbacks-Easements 2 Soils; Special MH Support Sketch2 3 Sewer, Loctn Testy FaItICIO-Concrete 4 Wtr Loctn Test -Easement Needed -Regulator 5 Elec Loc1n-DIrnrs-Gmd 'Amp—Concrete 6 Yard Gas; Lode Test Wrap Nat [� or LPQ Inch Sz Ft Lngth 7 Blckng; SzSpacing-Marriage Line 8 Gas; MH Test-Demand-Valve-Cnnctr 9 Elec MH Cntnty Test-Crossovers-Breakers-Cimcs, - 10 Drain; MH Test -Fall -Flex Cnnctr _ 11 Wtr & Sewer Connected -CIO to Grade 12 Gas and Electricity Tagged 13 Tie Dowr)s . Q Foundation ❑ 14 Exits 15 Cert of Occupancy 16 HUD LabeUlnsignia Numbers Serial Numbers _ _ _ _—DATE. O E C K S'C O V E R S'C A RP O R T S tG ARA G E S 1 ZoningSetbacks-Easements . Figs; SoilsSz-UpthSpacing-CnndrsSteel 3 Decks' GirdeWJoists-0cking-Bicing Stairs-DuardlHandrails 4 Wood Awii; Posts=Beams-Rfb•s-CnndrsStrthg_ Frmg=Brrng . 5 Alum Awn; Columns-CnnctnsSpllce4Decal-Enclsrs Carports; Wndws-Doors 7 Electric 8 Fnng;.Silts-AnchrsStuds-Rtlrs Triisses 9 Siding; Na fi6g-VeneerStucco4_ath 10 Roof. Shthg-Raofing 11 Ezt; Steps -Doors landings 12 Braced Wall pnls ' DATE JPOOLS 1 Setbacks -Easements 2 Sails; Compaction -Structure Stab. 3 Pool Structure; Steal-Cnnitns-Thiduress Dead Men4 In g 4 Elec Reptds/l ting; Distande=GFI 5 Elec fool Laing; 15 volts -GR 6 Elec.Enctsrs; Conduit Entries-Tominals-Listed 7Elec Bonding Metal vdW-Crdtrig Ems- W 8 Dec Grndng; Eqp wIT Crdtrig Eqp-Pool ightg Baocgs-Ern-pnD>oards4nsuitn-to Main Conduit 9 lieaM Q'epi; Apia 10 Plmb; Cir TestWtr Supply Test 11 Lt troche , 12-Endsr; Fencing-Atarms 13 Bonding. Diving board or. Slide , r ops .. r °�- - ` Pool Drawing � Nut RESIDENTIAL (Single & Duplex) DATE JUNOERFLOOR DATE IPLUMBING 1 Zoning -Setbacks -Easements -Rood -Slope 53 Wtr Htr, Vent-Acc-Cmbstn Air Baffle 2 Ftg Main; Soils-Elec Grnd Ftg Dpth 54 Wtr Pipe; Test & Anchr-Nail Prtctn 3 Ftg Garage; SoilsSteel-Eiec Grnd Ftg.Dpth 55 DWV; Test Fittings & Anchr•Nai! Prtctn 4 Ftg Porches/Decks; Soft -Steel Fig Dpth Sr- Shwr Pan; Test, First fir Tub Ace 5 St einw alis Main-, Steel-Blockouts-Wrapped 57 Test Tub & Shwr, 2nd fir - Tub Ace 6 Stemwalis Garage; Steel-Biockouts Wrapped 58 Gas Pipe; Sz & Anchm 6a Hold Downs and Special Anchm 59 Fine Sprinkler, Test 7 Slab, Steel Wrapped 60 Yard Gas Piping 8 Piers-Frpic Ftp -Steel 9 DWV; Fall -Fitting -Test -2 -way CIO -Sewer Test 10 UF, Gas Pipe; Sz Anchm-Sz Test 11 Wtr Pipe; Test-Anchm-RgltrService Test 12. Elec Undrgrnd DATE M E C H A N-1 C A L 13 Plenums & Ducts; CImc-MaterialSupport-Insultn 61 AC Ducts Insulin & Support 14 GirdersSills-Anchr BoltsJotsts Vnts-Cripples 62 Vent Fan, Exhaust abv Insulin 15 Ace & VnUtn 63 Condensate Drain & Ovrflw, Sz & Grade 16 insulation 64 Furnace -Vent Acc-Comb Air RhTdVent 115 Outlet 65 Attic Ace & Pttfrin if Furnace in attic DATE FRAMING 17 Sills Proper Materials & Andrrs DATE IFINAL 18 9Vatls Studs-Naitirig Spaclrig & Braces-PlatesSound 66 Ext Steps -Door & SideLt Prtci naandings 19 Bearing Walls ovef Girder$.) flr Nailing 67 Smoke Detector 20 Draft Stop in Walls (rat ki�of)- 68 Furnace Vnts-Clmc-Comb, Air-Cnnctr 21 Fire Stops; Furred Ceilings—Stairs—Chasers—Tubs 22 &earius-bi &-Bearidg• in Garage; abv-fir-Duds-Meth Prtctn Headers 69 Bedroom Exiting 70 GFl A Bath Fxtrs & Tub Ace -Spa 24 Ceiling Joist fir Tjes-P�li Roof Brit cuss -"g 71 GFI Are Fault 25 Frple Tie, o f fype A Throat Clrnc 72 Elec Trim & Subpnt, Breaker Szs & Labels 26 Attic A&r Si &Runt Stop -Ins Baffles 73 Sbairs, Guardniandralis _ 27 Bdrm Wrtdws or�zFting DoomSiff Ott & Dimensions 74 Frplc or Stove, Clmc-Hearth 28 GarageFve Priori Fr�mhrg-RC dArinel 75 See Outlets at Wood Pnl, int & Ext 29 Prprty Line Fvewall & Opngs _ 76 Kuhn, Fxtr & Appinq Grad-Alr-Gap•Cooldng Cunt 30 Ext Doors -One 3 --Check Gai6de 3rd_ Story, 2 Exits 77 Elec Outlets & Rcptcs of Kichn Counter 31 Stairs; Width-Hdrm y -Fire Prtctn 78 Garage Fire Door; Swing -landing -Closure 32 Plywd on Roof Ovr'hng4Wc Vnts-Rftr O iirgm 79 AC Dud In Garage -Damper. 33 Siding -Nailing Veneer - 80 Wtr Htr; Vnts-Clmc-Com Air Cnnctr-PRY; abv fit 34 Stucco Lath -Weep Saeed-Fndtn Vnts-Undrfir Ace Mech Prtdn; LPG Appince Undr House 3" drain 35 Glazing Area-Gtass PrtcttSkyl-ts-Plastic . 81 Pimb; Elec & Mech Eqp Listed for Loctn 36 Shear Walls; Nalling-Bolts 82 Elec Rcptds in Garage (GM Romex Prtcb 37 Brace Int/Ext Wail pnls 83 Insults-FoartrL.00ked in Attic 38 Insuitri-Walls-Ceilings 84 Guard Rals & Deck Cnstrctn-Post Caps 39 Infiltration-Walts-Wndws 85 Fndn Vnts & Crawl Hole Door Dm & Wood -Earth 86 Cirnc Dmge Planters Yes Q No 4 QTS d 0.6° 87. Stucco Brown -Finish 88 AC Unit Dscnnct, Elec-Pimb 89 Vnts abv Roof, Pimb-Appinc-Frple-Clint to Opngs 90 Wtr Well, Dzennd, Elec, Plmb 91 Ext Elec Trim, GFl Rcptcl-Undrgmd DATE JELECTRICAL 40 Fxtr & Tmsfmtr Clme-Ins Prtctn 41 Elec Rcptcls Spacing-Lts & Switches at Doors 92 Vntltn thru House 42 Sz Boxes & No Of Cndctm Stapled 93 Glass Prtctn 43 Romex Installed Close to Edge of Studs & CJ 94 Corrections from previous lirspdns 44 Eqp Gmd made up wRdech Fstnrs 95 Gas Test -Meters Tagged, Gas-Elec 4S Gmdng Electrode Bond Gas & Wtr 96 Wtr & Sewer Cnncd-C/O to grade -Hp Appnrl 46 2 Appinc Cires In Ktchn & Cndctr Sz GR 97 Energy Cmpinc Cert-Otluer Certs AL 47 Subfeed Wire Sz isCU orHNO 98 Address Posted CU orAL " AC Wire Sz QaPCU 99 Fire Sprinkler 48 Range Clic Q, orAL Oven Circ Qa Q CU orAL Insulated Neutral ❑Yes 4r s` 49 Service -Riser Cndctrs & Gmd Mala Dsrnnd 50 Eqp Clines pnis-Motors-Meth Eqp 51 Clothes Closet L1Shwr LI -Spa Lt 52 Smoke Detector d cid o gsr COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 County Center Drive • Oroville, CA • (530) 538-7541 CORRECTION 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 call for re -inspection when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact the Building Inspector as indicated below. '041-c v -l- T "4 Sk 1 G Date ' l �' /�� Inspector4- IL REV 4/05 Phone # FOR RE -INSPECTION CALL: 538-7636 OR 891-2834 a BUTTE COUNTY Y °UT TF° DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT ° ° 24 HOUR INSPECTION 9: (530) 638-7636 (OROVILLE) (530) 891-2834 (CHICO) °Q _qi. ' Y o OFFICE #: (536) 538-7541:. : C0,0 U N'�-L LICENSED CONTRACTORS DECLARATION 1 hereby affirm under, penalty of. perjury. that I am' licensed under Issued Date: 08/30/2006. APN: 026-133-002-000 provisions of Chapter 9.(commencing with Section 7000) of Division 3.of ,the Business and'Professions Code, and my license Is in full force and effect. Site Address: 255.1 NORTH VILLA*AVE PAL License Class : License Number.. Map.lndex: Date: Conyactor.'' Description:. ELE SER CHANGE OWNER -BUILDER DECLARATION I hereby'afflrm under penalty of perjury that I am exempt from, the - Contractors' Slate •License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a .Owner: OXLEY WILLIAM S & DEBRA D permit to construct, alter, Improve; demolish, orrepalr anystnicture, prior 2551 NORTH VILLA AVE to its issuance, .also requires the ,applicant for such permit to file a statement he or she Is licensedpursuapt,to the provisions of I ' PALERMO, CA signed that the Contractor's Slate License Law.(Chapt& 9 commencing with Section •95968 ` 7000) of Division.3 of the Business and Professlons Code) or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 703.1:5.by *any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): p 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 for. sale (Sec. 7044; Business and Professions. Applicant: OXLEY WILLIAM'S &DEBRA D or offered Code: The Contractors' 'state License Lawdoes not apply to an t 2551 NORTH VILLA AVE', owner. of propertywho builds. or improves'thereon, and who does PALERMO, CA such work himself or he}self or through his or her own employees, 95968 ' provided that such, Improvements,are not Intended or offered for ' sale. If however-, the building orlmprovements are sold•within one year. of completion, the owner -builder will have the burden of _ • proving that he or'she did. not .build or Improve for the purpose of. sale.). I, as owner 'of. the property, 'am exclusively contracting with . Licensed contractors to construct -the project.(Sec. 7044, Business ' )Contractor:". WHAT CHEER CO and Professions Code. The Contractors' State License, Law does.GEORGE not apply. to an owner of property who•.builds or Improves theregn, . ' CHOUINARD who contracts for such. projects with a contractor(s) licensed' and pursuant to the Contractors' State License taw.). 139 PINEDA.LE ' 95966 O I;am Exempt underArticl f lFie Business and Pro esslons Code 530-533-4453 . . Date: 8OO Owner: License #: 610519 WORKERS'.COMPENSATION.DECLARATIO.lq t 1 her affirm under penalty orperjury•one of the following declarations; ❑ I have and will maintain a certificate of consent to self -Insure for workers' compensation, as provided, for by. Section 3700 of the Architect: Labor Code,.for the performance of the work for which this permit Engineer: is issued. .i O l- have and . will maintain workers' compensation Insurance, as required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number.are: I - Total Square Ft:. 0 S.F:.. i. earner; I Valuation:. °$0.00 Policy #: 'Census Code: I certify that in the performance of `the work for which this permit is . 'Issued In any manner so as to 1 1 •• - I shall, not employ any person " become subject .to the workers' compeneallon laws of Califomla, and agree that if I should become subject to the workers' provisions of Sectlon 3700 of the Labor Code, I shall, compensation forthwith orpply with those provisions. Date: Applicant: WARNING: 'Failure to securfL e workers' mpensation coverage is unlawful, and,shall subject an employer to criminal penalties and one hundred thousand dollars (5100,000), +in addition to the cost of compensation, damages as provided. for In Section.3708.'of the Labor code, Interest, and attorneys fees. l CONSTRUCTION LENDING AGENCY This permit Is hereby Issued under the applicable provisions of the Butte County Code and/or---. Resolullo s do work I Tested a ve or which fees have been paid. I hereby affirm that there is a construction lending agency for the . O performance of the work for which this permit is Issued (Sec 3097 Civ.) By . Dater Name: PERMITIEXPI",c4n'Li v D e Address: { 0 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533 and 25534 of the Califomla Health and Safely Code, which regulate the storage, "• handling and use of hazartlous materials..: 1 i to the scheduled construction of this project. 0 Notification in accordance with Section 19827.5 -of California Health, & Safety Code Is not applicable ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above in is correct, I It Is unlawful r. r the dui' authonzed.agenl of the owner. I agree to comply with and.lhat.l am the owne, o y ,. to alter the substance of any official form or document of'Butte' County..I hereby all county and state laws relating ao building construction. acknowledge authorize representatives of Butte Counly to enter upon the'above mentioned property for Inspection "purpo Print Narpe: Signature: (/ Date. ­,. ate; caner 0 Contractor 0 'Agent for Owner O Agent for Contractor , ' Butte.County Department of Development Services- I`1 O T E S 7.County Center Drive, Oroville• CA 95965 , 530 "a-7601 °o pct -` 4tjecounty n�tidds 1 RESIDENTIAL / APN: 026-133-002 06-1069 — " OXLEY, WILLIAM Owner., 2551 N-VILL'A AVE, PALERMO i Site Address: Cont: OWNER _ l; RE -ROOF' . Contractor. Type of Permit i - 11 f 1 J t SPECIAL CONDITIONS CHECKED BY - SRA . FLOOD CERTIFICATE EQUIRED FIRE SPRINKLERS REQUIRED SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUBSTANDARD HOUSING LETTER ENCROACHMENT PERMIT REINSPECTION FEE PAID ENV HLTH CLEARANCE e OK -,MANUFACTURED HOMES MIS;C"ELLANE "O.US . DATE PERMANENT FOUNDATION Lj SOFT -SET DATE ID E C K S•C O V E R S'C A R P O R T S `G A R A G E S ' 1 Zoning -Setbacks -Easements 1 Zoning -Setbacks -Easements - 2 Soils; Special MH Support Sketch 2 Ftgs; Soils-Sz-DpthSpacing-CnnclrsSteel 3 Sewer, Loctn-Test; FaIUC/O-Concrete 3 Decks, Girders/Joists-Dcking-Brcing 4 Wtr; Loctn-Test-Easement Needed -Regulator Stairs-Duard[Handrails 5 Elec Loctn-Clrncs-Grnd Am -Concrete - 4 Wood Awn;.Posts-Beams-Rftrs-Cnnctrs-Shthg 6 Yard Gas; Loctn-Test-Wrap -- Nat or LPQ Frmg-Brcng Inch Sz Ft Lngth 5 Alum Awn; Columns-CnncinsSplice-Decal-Enclsrs T Blckng; Sz-Spacing-Marriage Line .. 6 Carpgrts; Wndws-Doors 8" Gas; MH Test-Demand-Valve-Cnnctr 7 Electric 9 Elec MH'Cntnty Test- Cross overs -Breakers -Clrncs 8 Fnng; Sills'-Anchrs-Studs-Rftrs-Trusses 10 Drain; MH Test -Fall -Flex Cnnctr 9 Siding; Nailing-VeneerStvcco-Lath 11 Wtr & Sewer Conriected-00 to Grade' 10 Roof; Shthg-Roofing. "12 Gas and Electricity Tagged 11 Ext; Steps-Doors4-andings 13 Tie Downs Q Foundation 0 12 Braced Wall pnls -14 Exits 15 Cert of Occupancy, r e d 16 HUD LabeUlnsignia Numbers Serial Numbers °' DATE JPOOLS 1 Setbacks -Easements 2 Soils; Compaction -Structure Stability 3 Pool Structure; Steel-Cnnctns-Thickriess Dead Men-t.inin9 4 Elec Rcptcls/Lting; Distance -GR 5 Elec Pool Lting; 15 volts-DFI 6 Elec Enclsrs; Conduit Entries Terminals -•Listed " 7 Elec Bonding; Metal w!5-Crcltng Egp-Htr 8 Elec Gmdng; Eqp w15' Crcltng Eqp-Pool Ightg •, Bokes-Endsrs=pnlboards-lnsultn to Main Conduit 9 Health Dept Appy 10 Plmb; Cir Test-Wtr Supply Test 11 Lt Niche 12 Enc[sr, Fencing -Alarms 13 Bonding, Diving board or Slide e o� e`- dr tl Pool Drawing OK Not OK RESIDENTIAL (Single & Duplex) DATE JUNDERFLOOR DATE IPLUMBING I Zoning -Setbacks -Easements -Flood -Slope 53 Wtr Htr; Vent-Acc-Cmbstn Air Baffle 2 Ftg Main; Soils-Elec Grnd Fig Dpth 54 Wtr Pipe; Test & Anchr-Nail Prtctn 3 Fig Garage; Soils-Steel-Elec Grnd Ftg Dpth" 55 DWV; Test Fittings & Anchr Nail Prtctn 4 Ftg Porches/Decks;-Soils-Steel Fig Dpth ' 56 Shwr Pan; Test; First fir -Tub Acc 5 Stemwalls Main; Steel-Blockouts-Wrapped 57 Test Tub & Shwr, 2nd fir - Tub-Acc 6 Stemwalls. Garage; Steel-Blockouts-Wrapped 58 Gas Pipe; Sz & Anchrs 63 Hold Downs and Special Anchrs 59 Fire Sprinkler, Test 7 Slab, Steel Wrapped 60 Yard Gas Piping 8 Piers-Frplc Ftg-Steel 9 DWV; Fall -Fitting -Test -2 -way ClOSewer.Tests 10 UF, Gas Pipe; Sz Anchrs-Sz Test `�• d 11 Wtr Pipe;•Test-Anchrs-Rgltr-Service Test 12 Elec Undrgrnd DATE IM E C H A N I C A L 13 Plenums & Ducts; Clrnc-MaterialSupportdnsultn 61 AC Duas Insults & Support 14 Girders-Sills-Anchr BoltsJoists-Vnts-Cripples 62 Vent Fan, Exhaust abv Insulin 15 Acc & Vntltn 63 Condensate Drain & Ovrfiw, Sz & Grade 16"Insulation 64 Furnace -Vent Acc-Comb Air RtrnNent 115 Outlet 65 Attic Acc & Pltfrm if Furnace in attic . vTa` d ac o' m DATE IFRAMING 17 Sills Proper Materials & Anchrs DATE IFINAL 18 Walls Studs -Nailing Spacing & Braces-PlatesSound 66 Ext Steps -Door & SideLt Prtctn-landings 19 Bearing Walls over Girders & fir Nailing 67 Smoke Detector 20 Draft Stop in Walls (rat proof) 68 Furnace Vnts-DIrnc-Comb, Air-Cnnctr 21 Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs In Garage; abv-fir-Ducts-Mech Prtctn 22 Headers & Beams-Sz & Bearing 69 Bedroom Exiting 23 Hangers -Post Caps-Anchrs-Cnnctns 70 GFl & Bath Fxtrs & Tub Acc-Spa 24 Ceiling .foist-Rflr Ties-Purlin-Roof Brac TrussShthg 71 GFl Arc Fault 25 Frplc Ties or Type A Flue-Frplc Throat Clmc 72 Elec Trim & Subpnl, Breaker Sts & Labels 26 Attic Acc; Sz & Rmx Prtctn-Draft Stop -Ins Baffles 73 Stairs, Guard/Handrails 27 Bdrm Wndws or Exiting Doors -SM. Ht & Dimensions 74 Frplc or Stove, Cimc-Hearth 28 Garage Fire PrtcIn Framing -RC Channel 75 Elec Outlets at Wood Pnl, Int & Ext 29 Prprty Line Firewall & Opngs 76 Ktchn, Fxtr & Appinc; Grnd-Air-Gap-Cooking Clrnc 30 Ext Doors -One X -Check Garage 3rd Story, 2 Exits 77 Elec Outlets & Rcptcls at Ktchn Counter 31 Stairs; Width-Hdrm-Rise-Run-Landing-Fire Prictn 78 Garage Fire Door, Swing -Landing -Closure 32 Plywd on Roof Ovrhng-Attic Vnts-Rftr Outrgrs 79 AC Duct in Garage -Damper 33 Siding -Nailing Veneer 80 Wtr Htr; Vnts-Clncc-Com Air Cnnctr-PRV; abv fir 34 Stucco Lath -Weep Screed-Fndtn Vnts-Undrfir Acc Mech Prtctn; IPG Appince Undr House 3" drain 35 Glazing Area -Glass P rictn-SkyLts -Plastic 81 Plmb; Elec & Mech Eqp listed for Loctn 36 Shear Walls; Nailing -Bolts 82 Elec Rcptcls in Garage (GFl) Romex Prtctn 37 Brace Int/Ext Wall pnls 83 Insults -Foam -Looked in Attic 38 Insultn-Walls-Ceilings 84 Guard Rails & Deck Cnstrctn-Post Caps 39 Infiltration-Walls-Wndws 85 Fndn Vnts & Crawl Hole Door Drn e & Wood Earth 86 Clrnc Dmge Planters EYes MNo 87 Stucco Brown -Finish o'er �'� 88 AC Unit Dscnnct, Elec-Plmb 89 Vr is abv Roof, Plmb-Appinc-Frplc-Clmc to Opngs 90 Wtr Well, Dscnnct, Elec, Plmb 91 Ext Elec Trim, GFl Rcptcl-Undrgmd DATE ELECTRICAL 40 Fxtr & Tmsfrmr Clmcans Prtctn 41 Elec Rcptcls Spacing-Lts & Switches at Doors 92 Vntitn thru House 42 Sz Boxes & No Of Cndctrs Stapled 93 Glass Prtctn 43 Rornex Installed Close to Edge of Surds S CJ 94 Corrections from previous Inspctns 44 Eqp Grnd made up w/Mech Fstnrs 95 Gas Test -Meters Tagged, Gas-Elec 45 Gmdng Electrode Bond Gas & Wtr 96 Wtr & Sewer Cnnctd-D/O to grade -HD Apprvl 46 2 Appinc Cires in Kichn & Cndctr Sz GFl 97 Energy Cmpinc Cert -Other Certs 47 Subfeed Wire Sz Q, O CU or DAL 98 Address Posted AC Wire Sz IP DCU or DAL 99 Fire Sprinkler 48 Range Circ gaCU or MAL 'Oven Circ pa CU orAL HNO Insulated Neutral Yes 0 49 Service -Riser Cndctrs & Grnd Main Dscnnct 50 Eqp Clmrs pnls-Motors-Mech Eqp 51 Clothes Closet Lt-Shwr Lt -Spa Lt " 52 Smoke Detector BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING�PERMIT 24 HOUR INSPECTION#: (530) 638-7638'(OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541. . PERMIT NO. BP061069 LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I 'am licensed under Issued Date: 05/09/2006 APN: 026-133:002-000 provisions of Chapter.9 (commencing with Section,7000) of Division 3 of the Business and Professions Code, and my license is In full force and effect. Site Address: License Class : License Number: 2551 NORTH VILLA AVE.PAL Date: contractor Map Index: OWNER -BUILDER DECLARATION Description re'rOof 18 Squares 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: OXLEY WILLIAM S & DEBRAD permit to construct; alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a , 2551 NORTH VILLA AVE signed statement that he or she is licensed pursuant to the provisions of PALERMO, CA the Contractor's State License Law (Chapter 9 commencing with Section 9596$ 7000) of Division 3 of.the,Business and Professions Code) or that he or she'is exempt therefrorim and the basis for the alleged exemption. Any violation 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 Applicant: OXLEY WILLIAM S.& DEBRA D Code: The Contractors' State.License Law does not apply town 2551 NORTH VILLA AVE owner of property who builds or Improves thereon, and who does such work himself or herself or through his or her own employees, PALERMO, CA provided that such improvements are not Intended or offered for 95968 sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of proving that he or she'did not build or improve for the purpose of sale.). ❑ I, as owner of the property, , am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business. and Professions Code. The: Contractors' State License Law does Contractor: not apply to an owner of property who builds or improves thereon, and who contracts forsuch projects with a contractor(s) licensed pursuant to the Contractors'. State License Law.). ❑ I am.E empt under Article4-51' a Business and Professions Code ( Date: G Owner:.,:t WORKERS' COMPENSATION DECLARATION/ License #: I hereby affirm under penalty of perjury one of the following declarations: ❑ 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 Architect: is issued. Engineer: ❑ 1 have' and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carver. Total Square Ft: 0 S.F. Policy #: Valuation: $0.00 Census Code: 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 ttie workers' compensation laws of California; and agree that if I should become subject to the workers' compensation at of Section 3700 of the Labor Code, I shall' forthwith comply with those provisions. L - Date: L5 i DCr� Applicant: 'WARNING: . Failure to secure workers'compensation coverage is' unlawful, and shall subject an employer to criminal penalties and.one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. „ --CONSTRUCTION-LENDING-AGENCY'"- `This'permit Is• by i ed ndert T plica provisions of the Butte County Code and/or ^~ I hereby affirm that there Is'a construction lending agency for the Resolution o do wo' indicate ve for h fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) Date:^ Name: By r PERMIT EXPIRES 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. ' ❑ Notification in accordance with Section 19827.5 of California Health 8 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, thai 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 unlawful to alter the substance of any official form or document of Butte County. I hereby authorize repr6sseenttativesofof Butte County to enter upon the above mentioned property for inspection pu b Print Name: (DA Signature: Date: �7 Owner ❑ Contractor ❑ Agent for Owner ❑ Agent for Contractor o.. If n1_1a_nd nn i (O 0 0 0 k 0 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES 0 BUILDING PERMIT 0 24 HOUR INSPECTION A: (530) 538J636 (OROVILLE) (530) 891-2834 (CHICO) 0 0 OFFICE #: (636) 538-7541 a LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury: that I am licensed. under Issued Date: 08/30/2006 APN: 026-133-002-000 provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the business.and Professions Code, and my license Is in full force and Site'Address: 2551 NORTH VILLA AVE, PAL effect. License Class License Number. 'M ap Index: Date: Contractor. Description: ELE SER CHANGE OWNER -BUILDER DECLARATION I hereby affirm under. penalty of perjury •that I am exempt from the Contractors' State License Law 1. for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a Owner: OXLEY WILLIAM S & DEBRA D permit to cons tru ct, �alter, improve, demolish, or repair any structure, prior 2551 -NORTH VILLA AVE 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 PALERMO, CA the Contractor's State License Law (Chapter 9 commencing with Section :95968 7000) of Division 3 of the Business and Professlons:Code) or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation 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).). CI 1, as owner of the property, or. my 6mploye6s with wages as. (heir ' sole compensation, will do the. work, and the structureis not Intended or offered for sale (Sec. 7044, Blusiness and Professions Applicant: OXLEY WILLIAM S & DEBRA D. Code: The Contractors' State License.Law does not apply to an 2551 NORTH VILLA AVE, owner of property who builds or lmprovps.*thei�eon, and who does PALERMO, CA such work himself or herself or through his or.her own employees., 95968 provided that such improvements are not Intended or offered for sale. If however, the building or Improvements are sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or Improve for the purpose. of, sale.). as owner of. the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business Contractor: WHAT CHEER CO and Professions Code. the Contractors' State License, Law does not apply to an owner of pr6pehy who builds or lmpr8ves thereqn,, GEORGE CHOUINARD and who contracts for such projects with a contractor(s) licensed' pursuant to the Contractors' State License Law.). 139 PINEDALE 95966 0. 1 am Exempt under Articlq-4f the Business and Pro essions Code 530-533-4453 XJ Owner: Date: -3-0-10--& -k!�CA114;kI License #:.610519 WORKERS' COMPENSATION DECLARATIO� I hereby affirm under penalty of perjury one of the following declarations: 0 1 have I and will maintain a certificate of consent to> self-] n sure, for workers' compensation, as provided for by Section 3700 of the Architect: Labor Code, for the performance of the work for which this permit Engineer: is Issued. 1 have and will maintain workers' compensation Insurance; as .0' required by. Section 3700 the Labor Code, for the perfoftnance of ermit is issued. My - workers' compensation the work for which this permit insurance carrier and policy 6umber.are. Total Square Ft: Carrier: Valuation: $0.00 Policy # Census Code: 1 I certify that in the performance of the work for which this permit Is any in any manner so as to issued, I shall not employ person 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 6P. forthwith ply with thos6'provislons. forthwith co ply w,,n muse rA Date: nt- Applica-nt:- WARNING: 'Failure to -secure workers' 4ompensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), In addition to the cost of compensation damages as provided for In Section .3706 of the Labor code, Interest,,and attorney's fees. _7_ ..... .... CONSTRUCTION LENDING AGENCY - ons of the Butte County Code and/or This permit Is hereby Issued under the applicable provisl Resolutio s d� work I li:ated a ve or which fees have been paid. I hereby affirm that there is a constructlon.lending agency for the performance of the work for which this permit is issued (Sec 3097 Civ.) By. Date:, Name: PERMIT EXPIRES ON: _rLD&e) Address: 0 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of - the California Health and Safely Code, which regulate the storage, handling and use of. hazardo6 s, materials. I" not applicable to the scheduled construction of this project. El Notification in accordance with Section 198.27.5 of Califomla Health & Safety Code, s 0 Attached are cop . les 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 Is,unlawful to alter the substance of any official form or document of Butte County. I hereby all county and state laws relating to building construction. I acknowledge It authorize representatives of Butte-Counly to enter upon the above mentioned properly for inspection purpo;es.-\ Print Name, rd 1C FA Signature: . . V 60 Date: 13016 P4awn& 0 Contractor C3 Agent for Owner. O -Agent for Contractor a 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 OF APPLICATION Website: www.buttecounty.net/dds "PLEASE PRINT CLEARLY" OWNER INFORMATION Last Name O Name i Narp �D^ Address zlz�-5' , t 1 • X11 1, 6L City , State State Phone 5- 41 _ K 7 >, ! Fax E-mail . C"33 _ t.�L{�3 J APPLICANT INFORMATION CONTRACTOR Name Cx I. Address City _ City State State. Zip Phone C"33 _ t.�L{�3 J Fax E-mail State License Number Lic. #60 5 ` Class APPLICANT INFORMATION ARCHITECT/ENGINEER Name City er /V�8 Address Phone C 3 � / _c_! 7 � �J `�! I City _ E-mail - State Zip Phone Address Fax E-mail Lot # State License Number APPLICANT INFORMATION Name bf-, Address Ir - City er /V�8 States f- Zip 7✓6 P' (�• Phone C 3 � / _c_! 7 � �J `�! I Fax E-mail - APPLICANT SIGNATURE X For office use only: Zoning p' Pte` Flood Zone SRA Yes No Occ. If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. Type Const. Subdivision Name Address Map Book Page Lot # PlannerDate Approved: OVER FOR SUBMITTAL REQUIREMENTS K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc PERMIT NO. BP�' BIN # PROJECT LOCATION"', Prope Address d r p' Pte` Cros_s3 tree n' WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address Description or Sco a of Work: Sq FT- Living Garage Open Cov ❑ 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, anew 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. Received by: Amount: Bldg SRA Receipt #: Sheriff SMIP I Date: Page -1 of 2 Total REV 8-12-05 SUBMITTAL & PERMIT REQUIREMENTS 'TheJollowing 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 manual, (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. Building Permit Application Without Required Clearances Form ❑ 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 foF 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. ❑ Legal description from current recorded grant deed, ❑ Copy of M.H. Title, Title transfer, or MCO. ❑ 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 8-12-05 BUTTE COUNTY .DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24• HOUR INSPECTION: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 LICENSED CONTRACTORS DECLARATION' ,' 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: 05/09/2006 ' APN: 026m`133 002-000 . the Business and Professions Code, and my license is in full force and effect. • _ Site'Add�ess License Class : License Number: 2551 NORTH VILLA AVE PAL Date: contractor: Map Index: OWNER-BUILDER DECLARATION Description: f@ rOOf 18 SCIUBr@S' 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: OXLEY'WILLIAM S &.DEBRA D permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance; also requires, the z applicant for such permit to file a 2551_ NORTH VILLA AVE. " signed statement that he or she is licensed pursuant to the provisions of PALERMO, CA the Contractor's State License Law (Chapter 9 commencing with-Secuon 7000) of Division 3 of the Business and Professions Code) or that he or 95968 she is exempt therefrom and the basis for the alleged exemption. Any violation of-Section 7031.5 byanyapplicant 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 Applicant: OXLEY WILLIAM S8, DEBRA D Code: -The Contractors' State License Law does not apply to an 2551 NORTH VILLA AVE, owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, PALERMO, CA provided that such Improvements are not intended or offered for 95968 sale. If however, the building or improvements are sold within one year of completion, the owner-builder will have the. burden of proving that he or she did not build or improve for the purpose of sale.). - ❑ I, as owner .of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does' Contractor: not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). ❑ I am E empt under ( Article a Buslness and Professions Code Date:,G `� Owner, WORKERS' COMPENSATION DECLARATIO License #: I 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 Architect: r is issued. Engineer: ❑ I have and will maintain workers' compensation insurance,as required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier: Total Square Ft: 0 S.F. . Policy #: Valuation: Census Code: 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 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 p C forthwith comply /hwithh those provisions. l .I l/ Date: Sl� Applicant r_ Qi -WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and, one I hundred thousand dollars '($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest; and attorney's fees. ` CONSTRUCTION LENDING AGENCY This permit is eby i ad under t plica provisions of the Butte County Code and/or I hereby affirm that there is a construction lending agency for the Resolution o dor d irate ove for h'fees have been paid. performance of the work for which this permit is issued.(Sec 3097 Civ.) / Name: By:, Date: PERMIT EXPIRES ON:. Address: Date)- ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section•19827.5 of California Health & Safety Code is not applicable to the scheduled construction, of this project. Cl 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 bra Co%�u''n�t�y to enter upon the above mentioned property for inspection pu • Print Name: 4Jr-�1/1 �A ( )A Signature: Date: �;,5 ZO�F' -T VOwner O Contractor Ll Agent for Owner Ell Agent for Contractor 111��� B. C. Building Permit0l-.16-04 pg 1 BUTTE.COUNTY ' DEPARTMENT OF DEVELOPMENT SERVICES c• BUILDING PERMIT APPLICATION; 0 AND SUBMITTAL REQUIREMENTS p 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO:.(530) 891-2834 p- + ; OFFICE #: (530) 538-7541 A FEE WILL'BE REQUIRED AT TIME OF APPLICATION Website: www.buttecounty.nWdds r **PLEASE PRINT CLEARLY**' .CONTRACTOR OWNER "INFORMATION Las am i ame_ Addr s A-, City. / r' Fax State fl . Zip .&_� Ph on _ O Fax:; E-mail .CONTRACTOR Name 0 W7, F2A If 4,Z Address/ Wi City b Stat' Zip �s Phone �. �:. Q . Fax Email , Lic. # Class ' ,APPLICANT INFORMATION " ARCHITECT/ENGINEER Name City Stat Address Phones. O Fax City - State Zip ' Phone - Fax E-mail State License Number ,APPLICANT INFORMATION " Nam b rf/\ Address V� City Stat Zip ` Phones. O Fax E-mail PROJECT LOCATION Property Address y - Wi� e ross Street WORKER'S COMPENSATION Policy Number Carrier , If hiring anyone other than license contractors, a certificate of worker.'s compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address Description or Scope of Work:. Sq,FT- Living Garage Open Cov ❑ 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 APPLICANT IGNATURE refundable: X Received by,: Amount. �( Bldg For office use only: Zonind ' " Flobd Zone SRA Yes No`. Oco. Type Const. Subdivision Name Map BookPage Lot # Planrier Date Approved:. ' (/ SRA Receipt #` �4 (9 Sheriff ' SMIP . Other Date: l� OVER FOR SUBMITTAL REQUIREMENTS Total K:\FORMS\BUILDING FORMS\BldgApplSubRgmts:doc Page 1 of 3 REV 8-42-05 SUBMITTAL & PERMIT REQUIREMENTS r 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 1N 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 AIC for Non -Residential Buildings. 06, .Manufactured homes: (A) Installation manual., (B) Marriage line info, (C)�Floor Plan, (D) Tie down'or frid plans; 'e all in duplicate " ❑ 7. Metal bidgs: (A) Metal:Bldg.Plans, (B) Find 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. Building Permit Application Without Required Clearances Form ❑ 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). F1 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. ❑ Legal description from current recorded grant deed, ❑ Copy of M.H. Title, Title transfer, or MCO. ❑ 12. Sanitation and site plan approval from the Environmental Health Department. If you have questions or would like additional information regardintg 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 3 REV 8-12-05 OWNER-BiUIILDFR 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, inprocessing and issuing your building permit. No building permit will be issued until this verification.is received. I personally plan to provide the major labor and material for construction of this proposed property improvement: YES i NO [ ]. 2. ` I HAVE`b<] 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: PHONE: CONTRACTOR'S LICENSE NO: 4. I plan to provide portions of the work, but I have hired the following person to coordinate,; supervise, and provide the major work: NAME: . ADDRESS: "PHONE CONTRACTOR'S LICENSE NO S -I will provide some of the work, but I have contracted (hired) the. following,persons to provide.,, - the work indicated: 'NANvIE' ADDRESS PHONE TYPE OF WORK SIGNED' - PROPERTY OWNER 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, Butte County Department of Development Services ADMINISTRATION ` BUILDING t GIS ` PLANNING 7 County Center Drive Oroville, CA 95965 (530) 538-7541 Telephone (530) 538-2140 Facsimile OWNER -BUILDER INFORMATION Dear Property Owner: An.applica'don for a building permit has been submitted in your name listing*yourself as the builder of the 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 your plan► to subcontract, you should be aware of the following information for your benefit and protection: o If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $200 or more for the entire project and such persons are not licensed as contractors or subcontractors, then you may be an employer. o If you are an employer, you must register with the state and federal government 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. o There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to workers' compensation insurance. o For more specific information about your obligations under federal law, contact 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 orthrough their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractor 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 contacting the Contractors' State License Board in your community or at 1020 N Street, Sacramento;,balifornia 95814. Please complete and:retum the enclosed owner -builder verification from so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. Sincerely, Scott Rutherford Chief Building Inspector NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code.