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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.