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HomeMy WebLinkAbout026-191-016_ `Qom 7 026-191-016 PERMITN25-0380 ! LOR, Cher 2310 Williams Ave.,o Replace Sliding glass door w/window man 2' 026-191-016 04-1149 LOR,CHER 2310 WILUAMS AVE, PALERi HALED CONT: OWNER . --- RE-ROOF S o� 1,; V I BUTTE COUNTY DEPARTMENT OF DEVIELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 FAX#: (530)538-2140 WEBSITE: www.b6ttecounty.nettdcls PERMIT NO. BP041149 LICENSED CONTRACTORS DECLARATION I hereby affirm under penally of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date' 04/23/2004 APN'' 026-191-016-000 the Business and Professions Code, and my license Is in full force and t effect. License Class: License Number:.- Site Address: 2310 WILLIAMS AVE PAL Date: Contractor. Map Index: Description: RE -ROOF (16 SQ.) OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' Stale License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a permit to construct, alter, Improve, demolish, -or repair any structure, prior Owner: LOR CHER & SOUA XIONG to its Issuance, also requires the applicant for such permit to file a 2310 WILLIAMS AVENUE signed statement that he or she Is licensed pursuant to the provisions of the Contractor's Stale License Law (Chapter 9 commencing with Section PALERMO, CA 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 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): lA I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure Is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an t Applicant: LOR CHER & SOUA XIONG owner of property who builds or Improves thereon, and who does such work himself or herself or through his or her own employees, 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.). '/� ❑ I, as owner of the property, am exclusively contracting with I (/ licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' Slate License Law does t 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' Slate License Law.). ❑ 1 am Exempt under Article 3 of the Business and Professions Code Date: &434/_ Owner: C G L I License #: WORKERS' COMPENSATION DECLARATION I hereby affirm under penally 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 (Architect: Labor Code, for the performance of the work for which this permit Is Issued. IEngineer: ❑ 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: '1 ' Carrier. Policy #: Total Square Ft: 0 S. F. 'Valuation: $0.00, Census Code: 1 certify that in the performance of the work for which this permit is Issued, I shall not employ any personany manner become subject to the workers' compensation laws of California,lo and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. �•—�O � Date: 5q - 1 Applicant: CCL//O 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 pe it i ereb is e u d rt e a li a e rov' ions of he Butte County od'e'andi r" I hereby affirm that there is a construction lending agency for the Resott�oa- o do ort e v or ee ha e b n d. �� 4 performance of the work for which this permit Is Issued (Sec 3097 Civ.) By {////// Date: Name: 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 Safely 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. ❑ 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 duty authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. 1 acknowledge it is unlawful to alter the substance of any officlal form or document of Butte County. I hereby authorize representatives of Butte County to enter upon the above mentioned property for Inspection purposes. Print Name: C�`f�/ U �-r// r____ ` rr Signature: Date:J/ Owner 0 Contractor 0 Agent for Owner O Agent for Contractor •;: COUNTY OF BUTTE `- BUILDING DIVISION rr=. DEPARTMENT OF DEVELOPMENT'SERVICES 'rr 411 Main Street • Chico, CA • (530) 891-2751 7 County Center Drive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE R - /(Y PERMIT A routine inspection indicates that the following violations of butte county Ordinances exist at the above address and should be corrected. Please notice this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, -. nln.ec —nt—f }hio nffinn i—Ai.f.k, �s 71 ` s k Date � �� Inspector ',r REV 10/92 Received fro `.-%' `/Vk-,! Ile Sum of ) "w fl For:R AL Received: r CASH (] CHECK r. OD BUSINESS FORMS • (530) 743-8511 Form 75702 r.OF BUTTE ;i ri R eeiar RTMENTC DING RECEIPT i AM Received By.111 Title By i' 95700 BUTTE COUNTY r DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 FAX#: (530)538-2140 WEBSITE: www.buttecounty.netldds PERMIT NO. BP041149 LICENSED CONTRACTORS DECLARATION I hereby affirm under penally of perjury that 1 am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date' 04/23/2004 APN' 026-191-016-000 ' the Business and Professions Code, and my license Is In full force and effect. License Class: License Number; . Site Address: 2310 WILLIAMS AVE PAL Date: Contractor: Map Index: Description: RE -ROOF (16 SQ.) OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a permit to construct, alter, Improve, demolish, or repair any structure, prior Owner: LOR CHER & SOUA XIONG to its Issuance, also requires the applicant for such permit to rile a 2310 WILLIAMS AVENUE signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 commencing with Section PALERMO, CA 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 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): 1A 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: LOR CHER 8r SOUA XIONG Code: The Contractors' State License Law does not apply to an pp owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, 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 (hat 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 not apply to an owner of property who builds or Improves thereon, Contractor: and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). ❑ 1 am Exempt under Article 3 of the Business and Professions Code Ila& eGZ Date: Owner. License #: WORKERS' COMPENSATION DECLARATION 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. O 1 have and will maintain workers' compensation Insurance, as Engineer: 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: Cartier: Total Square Ft: 0 S. F. Policy #: Valuation: $0.00 I certify that in the performance of the work for which this permit is Census Code: Issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and 'agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall those forthwith comply with provisions. 6 T Date: 41 Zs -4/5 Applicant: �• C L//D 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 attorneys fees. CONSTRUCTION LENDING AGENCY This pe it i ereb is e u d r t e a a e rov' ions of he Butte County ode and/pr I hereby affirm that there Is a construction lending agency for the Res 11 o do o e v or ee he e b n d. performance of the work for which this permit is issued (Sec 3097 Civ.) By Date: Name: 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 & Safely Code is not applicable to the scheduled construction of this project. O Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above Information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby authorize representatives of Butte County to enter upon the above mentioned property for Inspection purposes. Print Name: � ��� z_- a' Signature: Date: Ca /2 I z©z/ owner E3Contractor E)Agent for Owner 0 Agent for Contractor BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 PERMIT NO. BP 1I0 DATE: / 14- / A APN: 07 1 ZONING: OWNER'§ LAST NAME: OWZj 'S FIRST NAME: PHONE: -7 STREET ADDRESS: FAX: CITY, ZIP: (� O E-MAIL: SITE ADDRESS:It W CITY, ZIP: NEAREST CROSS STREET: TRACT/LOT A APPLICANT NAME: PHONE: STREET ADDRESS: CITY, ZIP: E-MAIL: CONTRACTOR NAME: PHONE: STREET ADDRESS: FAX: CITY, ZIP: E-MAIL: LICENSE NUMBER LICENSE TYPE: ARCHITECT/ENGINEER NAME: PHONE: STREET ADDRESS: FAX: CITY, ZIP: LICENSE NUMBER: E-MAIL: DESCRIPTION OR SCOPE OF WORK: 1101i P AS ❑ 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 fees 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. For office use only: Notes: Application Received by: Date: Receipt number:Amount Received: gi� 3q5-) 00 D Master application 3-"4 OWNER -BUILDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearimgyour signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will .be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement: YES)iL NO ❑ ' 2.:1 HAVE.r- HAVE NOT ❑ signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: NAME: ADDRESS: CITY:' PHONE: CONTRACTOR'S LICENSE NO. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: NAME ADDRESS PHONE TYPE OF WORK SIGNED- �OPFR�pC NOTE: This Owner -Builder Verfcation is required by Section 19831 and 19832 of the California Health and Safety Coda This verification must be completed and returned to our office before we are permitted to issue the permit. OVER OWNER BUILDER INFORMATION Dear Property Owner. O.B-I An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified. For your protection, you should be aware that as "owner -builder" you are the responsible party of record on such a permit Building permits are not required to be signed by property owners unless they are personally performing their own work If your work is being performed by someone other than yourself you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: 0 If you employ or otherwise engage any persons other than your immediate family, and the work (Including materials and other costs) is $300 or more for the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. 0 If you are an employer, you must register with the State and Federal Governments as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers compensation insurance, disability insurance costs, and unemployment compensation contributions. There may be financial risks for you if you do not cant' out these obligations, and these risks are especially serious with respect to worker's compensation insurance. For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration), For more specific information about your obligations under State Law, contact time Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "owner builder" building Permi% erroneously implyumg 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 perfomming their own work personally. Inforn=0n about licensed contractors may be obtained by contracting the Contractors State License Board in your community or at 102014 Street, Sacramento, CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. ly. lvfic I C. Vi C.B.O. er, Building Inspection NOTE: T&is Owner -Bu ilderinformmion is required by Section.19930 of the California Health and Safety Code OVER • ' RESIDENTIAL 026-191-016 PERMIT#95=0380 LOR, Cher 2310 Williams Ave., Palermo Replace Sliding glass door w/window JOB FINALED (Bate) Signature J=OK O = Not OK =Not Applicable Not Ready MOBILE HOMES = Date MOBILE HOME UTILITIES (Plans) OK except #'s Date DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s 1. Zoning Requirements -Setbacks -Easements 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Sewer; Location -Test -Fall -C/O Concrete 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Water; Location -Test -Easement Needed (Sketch) 4. Wood Awn.; Posts -Bea ms- Rftrs.-Connectors 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete Shthg.-Rfg.-Bracing 6. Gas; Location -Test -Wrap: / /" L" ft. 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures / /"Nat. or/ /"L"ft./ /"LPG 6. Carports; Windows -Doors 7. Well Clearance & Disconnect 7. Electric 8. Utilily Clearance 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh _ 10. Roof; Shthg-Roofing Date _ Card B-1 Date Card B-1 11. Ext.; Steps -Doors -Landings Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks Easements Date Card B-1 Date Card B-1 2. Footings; Size -Spacing -Marriage Line Date Card B-1 Date Card B-1 3. Gas; MH Test -Demand -Valve -Connector Date POOLS (Plans) OK except #'s 4. Electricity; MH Test -Crossovers -Breakers -Clearances 1. Setbacks -Easements 5. Drain; MH Test -Fall -Flex Connector 2. Soils; Compaction -Structure Stability 6. Water; MH Test -Regulator -Connector 3. Pool Structure; Steel -Connections -Thickness 7. Water and Sewer Connected -C/O to Grade -HD Approval Dead Men -Lining 8. Gas and Electricity Tagged 4. Elec.; Receptacles and Lighting, Distances-GFI 9. Exils; Insp.-Sketch 5. Elec.; Pool Lighting; 15 volts-GFI 10. Cert. of Occupancy 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Date Card B-1 Date Card B-1 Boxes -Enclosures -Panel boards -Ins. to Main in Conduit Date Card B-1 Date Card B-1 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS ,F J=OK O = Not OK = Not Applicable Not Ready RESIDENTIAL (; = Date UNDERFLOOR (Plans) OK except ff's 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 5. Stemwalls, Main; Steel -Bloc kouts-Wra pped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -fitting -Test -2 Way C/O -Sewer Test 10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit),OK except ft's 16. Water Hir.: Vent -Access -Combustion Air -Baffle -------------------------------------------------- 17. Water Pipe; Test & Anchor -Nail Protection --------------- 18. D.W.V Test -Fittings & Anchor -Nail Protection -------------------- - ------------------- 19. Shower Pan: Test. First Floor -Tub Access 20. Test -Tub & Shower, -- Second Floor -Tub Access ------------------------ ------------------ 21. Gas Pipe: Size & Anchors Date Card B-1Date Card B-1 ---------- ----------------- -------------- ----------------------- Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except a's 22. Fixture & Transformer Clearance -Ins. Protection ----------------------------- --------- --------------------------------- 23. Elec. Receptacles Spacing -Lights & Switches at Doors ---- ------------------------------------------------------------------ - - 24. Size. Boxes & No_ of Conductors --Stapled - 25. Romex Installed Close to Edge of Studs & C.J. ----------------------------------------------------------- ---------------- 26. Equip Ground made up w!Mech. Fastners-Bond Gas & Water 27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI --------------------------------------------- 22. Subfeed Wire Size r / ga. Cu or AI-A.C. Wire Size r / ga. Cu or Al ------------------------------ ----------------- 29. Range Circ. ! I ga. Cu or AI -Oven Circ. / ! ga. Cu or Al. Insulated Neutral ❑ Yes ❑ No ------------------------------------------------ 30. Service -Riser Conductors &Ground -Main Disconnect ---------------------------------------------- 31. -Equip Clearances Panels-Motors-Mech. Equip. 32. Clothes Closet Light -Shower Light -Spa Light ------------------------------------ ----- - - 33. Smoke Detector --------------------------------------------------------------------------------- Date Card B-1 Date Card B-1 ------------------------------------------------------------------------------------ Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except a's 34. A.C. Ducts Insulation & Support 35. Vent Fan: Exhaust above insulation ------------------------ --------------------------------------- 36. Condensate Drain & Overflow: Size & Grade 37. Furnance-Vent: Access -Comb. Air -Return Air Vent -115 outlet ------------------ - -------- -- ---- --- -- ---- -------- Attic -Access-&. Platform if Furnance in Attic ------------------------------------------------------------------------- .Date and B-1 Date Card Date -B-1 and B-1 Date Card B-1 Date FR ING (Plans) OK except ft's ------- ------ 39. -- Sils. Proper Material & Anchors - --------------------------------------------------------------- Walls Studs -Nailing. Spacing & Bracing -Plates -Sound 41. Bearing Walls over Girders & Floor Nailing 42. ----- ----------------------------------------------------------- Draft Stop in Walls (rat proof) ----------- 43. --------------------------------- ------------------------------------------------------ Fire Stops: Furred Ceilings -Stairs -Chases -Tub ----------------------------------- 44. Headers & Beam -Size & Bearing jingle & Duplex) Date FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connectors 46. Cing. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Ring. 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions _-_ 50. Garage Fire Protection Framing 51. Property Line Firewall & Openings _ 52. Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits ------------ 53. _Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection ----------- --54.-plywood on Roof Overhang -Attic Vents -Rafter Outriggers ---- ----- 55. Siding -Nailing Veneer 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 57. Glazing Area -Glass Protection -Skylights -Plastic 58. Shear Walls; Nailing -Bolts 59. Insulation -Walls -Ceilings 60. Infiltration -Walls -Windows -------------------------- Date Card B-1 - Date Card B-1 --------------- Date -------------Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except tf's 61. Ext. Steps -Door & Sidelight Protection -Landings 62. Smoke Detector ------------------------- - 63. Furnace: Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Meth. Protection --------- ----------------- 64. Bedroom Exiting ---------------- 65.-- G.F.I.& Bath Fixtures & Tub Access -Spa ---------------- 66. Elec. Trim & Subpanel: Breaker Sizes & Labels ----------------- 67. ----------- 67. Stairs & Rails ---------------- ---- ------------ - 1 68. Fireplace or Stove: Clearances -Hearth 69. Efec. Outlets at Wood Panel: Int. & Ext. 70. Kit Fixt_& Appliance_Grnd_Air Gap -Cooking Clearance 71. Elec. Outlets & Receptacles at Kit. Counter -------------_ 72. -Garage--Door: oor_Swing-Landing-Closer ---------------------- 73. A.C. Duct in Garage -Damper 74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage: Above Floor -Meeh. Protection 75. Plb__Elec_ & Mech. Equip. Listed for Location 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protection ---------------------------------------- 7i. Insulation -Foam -Looked in Attic 0 Yes ------------------------------- -------------- ------------ - -- 78. Guard Rails & Deck -Construction -Post Caps 79. Fdn Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 80. Following instld.; Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑ Yes ❑ No -8 1-. Stucco, Brown -Finish 82. A.C. Unit; Disconnect. Electrical, Plumbing - ------------------------------------------------- 83. Vents Above Roof; Plbg.-Appliance-Fireplace.-Clearance to ------------------Openings------------------------ --- 84. Water Well; Disconnect, Electrical, Plumbing ------------------------------ .85.-.Exterior-Elec.-Tri-m: ---------------------------85.ExteriorElec.Trim; G.F.I. Receptacle -Underground 86. Ventilation Throughout House --- - -----...----- ---------------- ------------------------ 87. Glass Protection ...------------------------------ 88. - - - -------- 88. Corrections from Previous Inspections - - - - -- - -- --------------- -------------------- 89. Gas -Test -Meters -Tagged: Gas -Electric 90. Water & Sewer Connected -C/O to Grade -HD Approval 91. Energy Compliance Certificate -Other Certificates - ------ -- - -- -- ---- -- --- - ---- - Oat e Card B-1 Date Card B-1 Date Card B-1 Date - Card B-1 -------- -------------------------------- - Date Card B-1 Date Card B-1 Comments at Final: COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DI SION 7 .County Center Drive - Oroville, California 95965 - Telephone (916) 538.' ._ P APPLICATION AND PERMIT `7 � ASSESSOR PARCEL NUMBER 026-191-016 U zO III NG BUILDING PERMIT OWNER CHER LOR TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 2310 WILLIAIMS AVE PALERMO 95968 EST 500.00 CONTRACTOR'S NAME OWNERTELEPHONE CONTRACTORS MAILING ADDRESS Fireplace CONSTRUCTION LENDER NONE UNKNOWN Total Valuation Is LENDER'S MAILING ADDRESS Filing Fee $ 20,00 Permit Fee $ 15.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 23.00 Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDINGADDRESS 23 WILLIAMSPLUMBING PERMITFEE $ 58.00 PALERMO, 95968 PERMIT Filing Fee 20.00 Each Trap 7.00 LAT NO. SUBDIVISIONS NAME PARCEL MAP Solar or heat pump water heater 23.00 USEOFSTRUCTURE SF M Duplex ❑ Mobilehome ❑ Other SPECIFY Water piping 15.00 Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Additicn ❑ Remodel ❑ Utilities ❑ Installation ❑ Other IN Describe Work: REPLACE SUING- LASS DOOR WITH LUI= Mobile Home I S I GI W 1 @20.00 PERMITFEE g Contractor ELECTRICAL PERMIT Filina Fee 20:00 Main Service EOOV OR LESS ( 200A OR LESS ) 23.00 Main Service ( 200A TO I000A ) 46.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: • Or I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the properly, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason NEW CONST. DWELLING OCCUP. OR ADDNS. ( a C. BLDS. ) SO. 3.52 FT. NEW CONST. MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS ) @7.50 POWER APPARATUS ) 8 SINGLE OUTLET CIR. Ex. Occup. OUTLET OR FIXTURES) zo p 1.00 BAL 30 EX. Occup. ourLEEDrs (RESID.) ( ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ Contractor WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) a 091" 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X r—A/% On -_ Date ( '� _ Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee Is Energy Inspection Fee Is OCC CONST. TYPE TOTAL FEE $ c�p nn HAZ I D. FEES I IMP FLOOD COF PARCEL PD HD ISSUE This permit is hereby issued under the of the Butte County Code and/or indicated ve for which fees have BY PERMITEXPIRESON applicable provisions Resolutions to do work a paid. Datee (Date) Receipt No. 175522 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE Department of Development Services Building Division Oroville: 7 County Center Dr., Oroville CA 95965 Ph: 916-538-7541 Chico: 1469 Humboldt Rd., Chico CA 95928 Ph: 916-891-2751 OWNER -BUILDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I ersonally plan to provide the major labor and materials for construction of the proposed property improvement or no) 2. I eave not). signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractor's License No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name -- Address City Phone Contractor's License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work Signed: Property Owner _ Social Security Number Date 3 •- '9— NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are. permitted to issue the permit. i /, m CD �. o CD � � L OR 02 Z v v0 o y -� burr O