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HomeMy WebLinkAbout027-060-060BUTTE COUNTY DEPARTMENT OF DEVVLOPMENT SERVICES INSPECTION CARD 24 Hour Inspection Line: (530) 538-7636 (Oroville) (530) 891-2834 (Chico) Office: (530) 538-7541 Fax: (530) 538-2''140 Website: www.buttecounty.net/dds Permit No: B06-2456 Issued: 10/17/2006 Address: 346 CYNTHIANN LN PALERMO APN: 027-060-060 Permit Subtype: Remodel Owner: DANIEL, LISA C & MARC TRAVIS Applicant: BUILDRITE CONSTRUCTION & RESTO Description: REPLACE WATER DAMAGED DRYWALL MUST BE ON JOB SITE JOB SHALL BE READY PRIOR TO CALLING FOR INSPECTION. THE INSPECTION CARD AND APPROVED PLANS MUST BE AVAILABLE FOR EACH INSPECTION OR THE INSPECTION WILL NOT BE MADE AND A RE -INSPECTION FEE MAY BE ASSESSED. ALL PLAN REVISIONS MUST BE APPROVED BY THE COUNTY BEFORE PROCEEDING Inspection Type IVR INSP DATE Setbacks 132 Foundations / Footings 111 Pier/Column Footings 122 Grade Beams 114 Eufer Ground 216 Forms/Steel/Holdowns 122 Do Not Pour Concrete Until Above are Signed Pre -Slab 124 Gas Test 404 Masonry Grout 120 Masonry Bond Beam 119 Underfloor Framing 149 Underfloor Ducts 319 Shear Transfer 136 Under Floor Plumbing 412 Under Slab Plumbing 411 Gas Piping 403 Do Not Install Floor Sheathing or Slab Until Above Signed Rough Framing 128 Rough Plumbing 406 Rough Mechanical 316 Rough Electrical 208 Gas Piping 403 Roof Nail 129 Shower Pan/Tub Test 408 Fire Sprinkler 702 Do Not Insulate Until Above Signed Wall Insulation 117 Ceiling Insulation 118 Do Not Cover Until Above Signed T -Bar Ceiling / RC 145 Gas Test 404 Stucco Lath 142 Stucco Scratch 143 Stucco Brown 144 Building Fina 802 Electrical Final 803 Mechanical Final 809 Plumbing Final 813 Project Final 801 Q� PERMITS BECOME NULL ANIY VOID 1 YEAR FROM THE DATE OF ISSUANCE. IF WORK HA COMMENCED, YOU MAY PAY FOR A 1 YEAR RENEWAL 30 DAYS PRIOR TO EXPIRATION Inspector Copy yY 7 County Center Drive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE 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 -1 explanation, please contact the Building Inspector as indicated below. ; / J Date, t l Inspector REV 4/05 Phone # �� .. FOR RE -INSPECTION CALL: 538-7636 OR 891-2834 . . . . . . . . . . . . . . . . . . . . 1. l ; .... . . . . . . . . . . . . - COUNTY OF BUTTE ` BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 County Center Drive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE 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 -1 explanation, please contact the Building Inspector as indicated below. ; / J Date, t l Inspector REV 4/05 Phone # �� .. FOR RE -INSPECTION CALL: 538-7636 OR 891-2834 x COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 County Center Drive • Oroville, CA • (530) 538-7541 -- CORRECTION NOTICE UWNER PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at R 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. C31 S. i V a r N Date Inspector REV 4/05 Phone # c S ' FOR RE -INSPECTION CALL: 538-7636 OR 891-2834 9 ':tet 1 r' BUTTE COUNTY 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.net\dds PROJECT INFORMATION Site Address: 346 CYNTHIANN LN. Owner: Permit NO: B06-2456 APN: 027-060-060 DANIEL, LISA C & MARC TRA WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, Issued Date: 10/17/2006 By KCG _ Permit type': MISCELLANEOUS 346 CYNTHIANN LN Subtype: Remodel OROVILLE, CA 95966 Expiration Date: 10/17/2007 Description: REPLACE WATER DAMAGED DR. - Occupancy: Zoning: ARMS Contractor Applicant: Square Footage: BUILDRITE CONSTRUCTION & RESTO BUILDRITE CONSTRUCTIOP Building Garage Remdl/Addn 1200 W EAST AVENUE 1200 W EAST AVENUE ; CHICO, CA 95926 CHICO, CA 95926 Other Porch/Patio Total (530)891-0333 (530)891-0333 ; FEE INFORMATION Supplemental Inspection $109.98 LICENSED CONTRACTOR'S DECLARATION Contractor (Name) State Contractors License No. / Class / Expires BUILDRITE CONSTRUCTION & CSLB-689238 / B C15 / 05/31/2008 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: X 10/17/2006 Contractor's Signature Date 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 is issued. ❑I HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by _ Section 3700 of 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: GRANITE STATE IN:Policy Number: WC1967449 Exp. Dale:03/01/2007 (This section need not be completed if the permit is or one hundred ollars ($100) or less. ❑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 forthwith comply with those provisions. ' total unargea: 31U9.98 tees rata: $111.119.98 Balance Due: $0.00 Receipt NO:' B548 tr OWNER /BUILDER DECLARATION I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's License Law [Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions 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]; Please check one of the following:. 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 License Law does not apply to an owner of the property, who builds or improves thereon, and who does the 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 improvement is sold within one year of completion, the owner -builder will have the burden of proof that he or she did not build or improve for the purpose of sale.). I - FI, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Code: The Contractor's License Law dows not apply to an owner of the property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractor's License Law.). 0 I AM EXEMPT under Section B. a P.C. for this reason: t X 10/17/2006' - Owner's Signature Date X 10/17/2006 I hereby certify that I have read this application and state that the above information is cored. I agree Signature Date to comply with all City and County ordinances, rules, regulations, and State laws relating to building WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless Butte County, its officers, agents and employees from any and all claims and liability for personal AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE injury, including death, and property damage caused by, arising out of, in any way connected with HUNDRED THOUSAND DOLLARS $100,000, IN ADDITION TO THE COST OF COMPENSATION, ( ) the issuance of this permit. I hereby acknowledge that issuance of this pea rmit does not authorize the DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND use or occupancy -of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte ATTORNEY'S FEES. -County to enter the above mentioned property for inspection purposes. I hereby certify that I am the CONSTRUCTION LENDING AGENCY property owner or am authorized to act on the property owner's behalf. 1 10/17/2006 1 HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for Name of Permittee [SIGN] Print Date the performance of the work for which this permit is issued. (3097 civ. code) I r . _ . Owner Contractor OR Agent for Owner Agent for Contractor Lenders Address City State zip INSPECTOR COPY - =Y = BUTTE COUNTY 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.net\dds LICENSED CONTRACTOR'S DECLARATION Contractor (Name) State Contractors License No. / Class /, Expires BUILDRITE CONSTRUCTION & CSLB-689238 / B C15 / 05/31/2008 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 ful /and:�ct. , 10/17/2006 Contractor's Si Date WOR ERS' 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 pend nce of the work for which this permit is issued. AVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by Section 3700 of 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: GRANITE STATE IN -Policy Number: WC1967449 Exp. Date:03/01/2007 (This section need not be completed a the permit is or one hundred dollars ($100) or less. ❑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 provisio s of Section 3700 of the Labor Code, I shall forthwith comply with those provisi s. X l 10/17/2006 Signature Date WARNING: FAILUR E RE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF.COMPENSATION, DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND ATTORNEYS FEES. CONSTRUCTION LENDING AGENCY I HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for the performance of the work for which this permit is issued. (3097 civ. code) Lenders Address . City State . Zip Total Charged: $109.98 , Fees Paid: $109.98 Balance Due: $0.00 Receipt No: B548 OWNER/ BUILDER DECLARATION I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions 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); Please check one of the following: 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 Contractor's License Law does not apply to an owner of the property, who builds or improves thereon, and who does the 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 improvement is sold within one year of completion, the owner -builder will have the burden of proof that he or she did not build or improve for the purpose of sale.). EI, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Code: The Contractor's License Law dows not apply to an owner of the property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed pursbant to the Contractor's License Law.). ❑ I AM EXEMPT under Section B. & P.C. for this reason: Owners Signature 10%17/2006 Date I hereby certify that I have read this application and state that the above information is correct. I agree to comply with all City and County ordinances, rules, regulations, and State laws relating to building construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless Butte County, its officers, agents and employees from any and all claims and liability for personal injury, including death, and property damage caused by, arising out of, or in any way connected with the issuance of this permit. I hereby acknowledge that issuance of this permit does not authorize the use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte County to enter the above mentioned property for inspection purposes. I hereby certify that I am the gopefj y n ar am thorizedd to act on the pro arty owner' behalf. :, # t�C_ 10/17/2006 Owner, ' Contractor OR: El Agent for Owneggent for Contractor FILE COPY PROJECT INFORMATION Site Address: 346 CYNTHIANN LN Owner: Permit NO: B06-2456 APN: 027-060-060 DANIEL, LISA C &'MARC TRA Issued Date: 10/17/2606 By KCG Pen -nit -type: MISCELLANEOUS 346 CYNTHIANN LN Subtype: Remodel OROVILLE, CA 95966 Expiration Date: 10/17/2007 Description: REPLACE WATER DAMAGED DR: Occupancy: Zoning: ARMS Contractor Applicant: Square Footage: BUILDRITE CONSTRUCTION & RESTO BUILDRIT.E CONSTRUCTIOr Building Garage Remdl/Addn 1200 W EAST AVENUE 1200 W EAST AVENUE CHICO, CA 95926 CHICO, CA 95926 Other . Porch/Patio Total (530)891-0333 (530)891-0333 FEE INFORMATION Supplemental Inspection. $109.98 LICENSED CONTRACTOR'S DECLARATION Contractor (Name) State Contractors License No. / Class /, Expires BUILDRITE CONSTRUCTION & CSLB-689238 / B C15 / 05/31/2008 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 ful /and:�ct. , 10/17/2006 Contractor's Si Date WOR ERS' 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 pend nce of the work for which this permit is issued. AVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by Section 3700 of 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: GRANITE STATE IN -Policy Number: WC1967449 Exp. Date:03/01/2007 (This section need not be completed a the permit is or one hundred dollars ($100) or less. ❑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 provisio s of Section 3700 of the Labor Code, I shall forthwith comply with those provisi s. X l 10/17/2006 Signature Date WARNING: FAILUR E RE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF.COMPENSATION, DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND ATTORNEYS FEES. CONSTRUCTION LENDING AGENCY I HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for the performance of the work for which this permit is issued. (3097 civ. code) Lenders Address . City State . Zip Total Charged: $109.98 , Fees Paid: $109.98 Balance Due: $0.00 Receipt No: B548 OWNER/ BUILDER DECLARATION I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions 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); Please check one of the following: 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 Contractor's License Law does not apply to an owner of the property, who builds or improves thereon, and who does the 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 improvement is sold within one year of completion, the owner -builder will have the burden of proof that he or she did not build or improve for the purpose of sale.). EI, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Code: The Contractor's License Law dows not apply to an owner of the property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed pursbant to the Contractor's License Law.). ❑ I AM EXEMPT under Section B. & P.C. for this reason: Owners Signature 10%17/2006 Date I hereby certify that I have read this application and state that the above information is correct. I agree to comply with all City and County ordinances, rules, regulations, and State laws relating to building construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless Butte County, its officers, agents and employees from any and all claims and liability for personal injury, including death, and property damage caused by, arising out of, or in any way connected with the issuance of this permit. I hereby acknowledge that issuance of this permit does not authorize the use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte County to enter the above mentioned property for inspection purposes. I hereby certify that I am the gopefj y n ar am thorizedd to act on the pro arty owner' behalf. :, # t�C_ 10/17/2006 Owner, ' Contractor OR: El Agent for Owneggent for Contractor FILE COPY _Z ._ 4 BUTTE COUN'T'Y DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS OFFICE #: (530) 538-7541 FAX #: (530) 538-2140 A FEE WILL BE REQUIRED AT TIME OFAPPLICA TION Website: www.buttecounty.net/dds "PLEASE PRINT CLEARLY" APPLICANTVGNAJUPE 1, NOR, .—FoRn For office use only: OYVNgR INFORMATION Last N r A o� irst Name Mailing r s N City i Zip Phon F _ Statel Zip E-mail Lic. t�' O C� � Fax E-mail APPLICANTVGNAJUPE 1, NOR, .—FoRn For office use only: CONTRACTOR Name 44 m Address Type Const. Address Map Book State City C Phone Stat Zip Phon F _ 3 Fax E-mail Lic. t�' O C� � C.I�ss C� APPLICANTVGNAJUPE 1, NOR, .—FoRn For office use only: ARCHITECT/ENGINEER Name 44 m Address Type Const. City Map Book State Zip Phone E-mail Fax E-mail State License Number APPLICANTVGNAJUPE 1, NOR, .—FoRn For office use only: -.-----APPLICANT INFORMATION Name Address 44 m City Type Const. State,/' Map Book Phone 3 Fax y E-mail APPLICANTVGNAJUPE 1, NOR, .—FoRn For office use only: Zoning Flood Zone SRA I Yes No Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: PERMIT NO. IS BIN # PROJECT LOCATION AP# Property Add s 3 ah n Cit Cross ree WORKER'S COMPENSATION Policy Number n j Carrie 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 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 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. IReceived by: Ur Amount: * 1 Bldg I SRA Receipt #: Sher &A C623J Date: 10�17CG, W SMIP Total n or cope of Work: De7IT-P GIC N Q WtAA,,j Lj Rpmt �a 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 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. IReceived by: Ur Amount: * 1 Bldg I SRA Receipt #: Sher &A C623J Date: 10�17CG, W SMIP Total BUTTE COUNTY DEPARTMENT OF DEVELOPMENT :SERVICES BUILDINd PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 FAX#: (530)538-2140 WEBSITE: www.buttecounty.net\dds 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 the Business and Professions Code, and my license is in full force and effect. License Class: C lL " nse Number:%_�_ Date: A, //m�7 Contractor: S 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 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 the Contractor's State License Law (Chapter 9 commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or 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).): ❑ 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 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 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, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). ❑ I am Exempt under Article 3 of the Business and Professions Code Date: Owner: WORKERS' COMPENSATION DECLARATION 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 is issued. O 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: Policy #: D--I`�.erlify 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 forthwith comply with those provisions. Date: d ' Applicant: DIE PERMIT NO. BP041714 r 1 Issued Date: 06/16/2004' APN: 027-060-060-000 Site Address: 346 CYNTHIANN LN PAL Map Index: Description: REPL ELEC SVC 200 AMP Owner: DANIEL MARC TRAVIS & CRUIKSHANK-DANIEL LISA 346 CYNTHIANN LN OROVILLE, CA 95966-8022 4 f Applicant: PAUL'S ELECTRIC 625 MISSION OLIVE RD OROVILLE, CA 95966 ! 530-589-4100 t I I Contractor: PAUL'S ELECTRIC 625 MISSION OLIVE RD f OROVILLE, CA 95966 530-589-4100 License #: 376492 Architect: Engineer: Total Square Ft: Valuation: Census Code: WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject ari 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. OFFICE COPY Address -Pat - ELECTRIC Meter By - Date � *4 $110--, C, , l 4 • o4 -- CONSTRUCTION LENDING AGENCY This permif is hereby issued under the applicable provisions of the Butte County Gods 2nr7/or I hereby affirm that there is a construction lending agency for the. Resolution to do work indicated above for which fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) _� C, . 1 0+Name: By:—Z — Date: PERIT XPIRES ON: �o • 116 • O S Address: mate) ❑ 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 t ner or the duly Guth zed 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 s bstance of any offi ' orm or document of Butte County. I hereby authorize rep ves of Butte County to enter upon the above mentioned property for inspection durposes. Print Name: L \��=l�iJ�=ice—_ Signature: Date: ❑ Owner Contractor ❑ Agent for Owner 13 Agent for Contractor COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street- Chico, CA •- (530) 891 -�751 k. El , 7 County Center Drive •.0roville, CA * (530) 538-7541 'CORRECTION NOTICE ­ Z ZZ Y -OWNER PERMIT NO. I',` =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, please contact this office immediately. Z, 35. 4, si Er Date Inspector REV 10/92.. BUTTE COUNTY 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.net\dds PERMIT NO. BP042216 LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that 1 am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date: 07/26/2004 APN: 027-060-060-000 the Business and Professions Code, and my license is in full force and effect. License Class: License Number: Site Address: 346 CYNTHIANN LN PAL Date: Contractor. Map Index: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Description: REPLACE EX HVAC 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: DANIEL MARC TRAVIS & to its issuance, also requires the applicant for such permit to file a CRUIKSHANK-DANIEL LISA signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 commencing with Section 346 CYNTHIANN LN 7000) of Division 3 of the Business and Professions Code) or that he or OROVILLE, CA she is exempt therefrom and the basis for the alleged exemption. Any 95966-8022 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 Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does Applicant: DANIEL MARC TRAVIS & such work himself or herself or through his or her own employees, CRUIKSHANK-DANIEL LISA ' 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.). 1, 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, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). Contractor: SUBURBAN PROPANE LP ❑ 1 am Exempt under Article 3 of tha8usiness and Profepsioo Code P O BOX 206 Date: Ownr- WHIPPANY, NJ 07981-0206 (973) 503-9102 -L WORKERS' CO ENSATION DECLARATION 1 hereby affirm under penalty of peryury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for License N: 722767 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 the Labor Code, for the performance of Architect: the work for which this permit is issued. My workers' compensation Engineer: insurance carrier and policy number are: Carrier: Total Square Ft: 0 S. F. Policy #: I certify that in the performance of the work for which this permit is Valuation: $0.00 issued. I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, Census Code: and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date: Applicant: WARNING: ailure 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 rani erebissued under the applicable provisions of the Butte County Coda anrvnr /{ I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec 3097 Civ.) Res 6rk indicated above for which fees have been paid. . - b Name: By: �y Dayte: Address: PERMIT EXPIR S 0 : (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 & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby authorize represe tatives of Butte County to enter upon the above mentioned property for inspection purpos Print Name: � Signature: Date: Ll ��` ---✓✓✓ ywner 13 Contractor ❑ Agent for Owner ❑ Agent for Contractor 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 "PLEASE PRINT CLEARLY" PERMIT NO. f:Ii►F:i APPLICANT NAME Name Address City State Zip Phone Fax E-mail 1 APPLICANT SIGNATURE X For office use only: Zoning Flood Zone SRA I Yes I No Occ. I Type Const Subdivision Name Map Book Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than license contractors, a cerfificafe of worker's . compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address Description or Scope of Work: _ ,f Sq. Footage ❑ 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 REQUEST FOR REFUNDS Refimds 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 refimdable. Received by: Amount: Bldg --A ff SRA Receipt'#: Sheriff qo(A�6 SMIP Date: /�� Other Total SUBMITTAL REQUIREMENTS The following drawings and specifications must be submitted to the Building Division in order to apply fora permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND WINS. Residential, New, Remodels, Additions, and Accessory Structures: ❑ 1. 3 Site Plans, signed by the preparer. NO GRAPHPAPER! ❑ 2. 3 Complete sets of plans, signed by the preparer. NO GR,4PHPAPER! OR 3 Sets Engineered. plans (if required) with wet signature on plans AND2. sets of stamped and signed calculations. ❑ 3. 2 Engineered truss details and layouts (if -required) (1VO FAXES!). F .❑ 4. Letter from Engineer or Architect for truss design review. ' ❑ 5. 2 Energy compliance design and supporting documentation. (Note: Not required for additions to ` mobile or modular homes) ❑ 6. 2 Flood Elevation Certificate, wet -stamped and signed (if required). ❑ 7. Detached Accessory Building Form, filled out by the property owner (if required). ❑ 8. Sanitation and site plan approval from the Environmental Health Department: • , ❑ 9. Metal Buildings: (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 stamued and wet-signed'by the engineer. Mobile, Manufactured, or Modular Homes: ❑ . 1. 3 Site Plans, signed by the preparer. NO GRAPHPAPER.i ❑ 2. 2 Data sheets and installation instruction manual. ` ❑ 3. 2 Marriage line information. + ❑ 4.. 2 Floor plans.. ❑ 5. .t 2 Engineered Tie Downs or Foundation plans. • ` o 6. Sanitation and site. plan, approval from the Environmental Health Depaftinent. ❑ 7. C' 2 Flood Elevation Certificate, wet -stamped and signed (if required).. ; Commercial, New, Additions and Remodels: ❑ 1. 4 Site Plans, signed by the preparer. NO GRAPHPAPER! ❑ 2. 4 Engineered plans with wet signature on plans ANIS 2 sets of stamped and signed calculations, with code analysis. ❑ 3. 2 Engineered truss details and layouts (if required) (NO FAXES!). } ❑ 4. Letter from Engineer or Architect for truss design review. ❑ 5. 2 Energy compliance design and supporting documentation (if required). ❑ 6. - 2 Flood Elevation Certificate, wet -stamped and signed (if required). ❑ 7. Statement of Intent for Non -heated and A/C (if required). ❑ 8. Metal Buildings: (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. ❑ 9. Letter of intent. ❑ 10. Hazardous Material Form. ❑ 11. Sanitation and site plan approval from the Environmental Health Department. If you have questions or would like additional information regarding this process, contact a Permit Application Assistant at (530) 538-7541. OVER FOR BUILDING PERMIT APPLICATION 'TOPWSSUILDING FORMS\BIdgApp1SubRgmts.doc Pam 2 of 9 BUTTE COUNTY 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.net\dds PERMIT NO. BP041714 LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under ,provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date: 06/16/2004 APN'' 027-060-060-000 the Business and Professions Code, and my license is in full force and effect. License Class: Number: 7& 1( 9 7— Site Address: 346 CYNTHIANN LN PAL ;nse Date: Contractor. G S Map Index: Description: REPL ELEC SVC 200 AMP OWNER -BUILDER DECLARATION I hereby affirm under penaltyalty of of perjury that I am exempt from the p Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a DANIEL MARC TRAVIS & permit to construct, alter, improve, demolish, or repair any structure, prior Owner: to its issuance, also requires the applicant for such permit to file a CRUIKSHANK-DANIEL LISA signed statement that he or she is licensed pursuant to the provisions of 346 CYNTHIANN LN the Contractor's State License Law (Chapter 9 commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or OROVILLE, CA she is exempt therefrom and the basis for the alleged exemption. Any 95966-8022 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 Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does Applicant: PAUL'S ELECTRIC 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 625 MISSION OLIVE RD year of completion, the owner -builder will have the burden of OROVILLE, CA 95966 proving that he or she did not build or improve for the purpose of 530-589-4100 sale.). ❑ 1, 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, and who contracts for such projects with a contractor(s) licensed Contractor: PAUL'S ELECTRIC pursuant to the Contractors' State License Law.). ❑ 1 am Exempt under Article 3 of the Business and Professions Code 625 MISSION OLIVE RD OROVILLE, CA 95966 Date: Owner: 530-589-4100 WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: License #' 376492 ' ❑ 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. ❑ I have and will maintain workers' compensation insurance, as Architect: required by Section 3700 the Labor Code, for the performance of Engineer: the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier: Total Square Ft: 0 S. F. Policy#: Dl_r_-�rtity that in the performance of the work for which this permit is Valuation: $0.00 issued, 1 shall not employ any person in any manner so as to Census Code: become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date: d 7 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 damages for in Section 3706 the Labor compensation, as provided of code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY This permit is hereby issued under the applicable provisions of the Butte County Code. end/or I hereby affirm that there is a construction lending agency for the Resolution to do work indicated above for which fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) � 6 (� • 04 By: nL— ` t�a�c -'^ Date: Name: lv • I • O PER IT PIRES ON: 5 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. ❑ 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 amt ner or the duly auth zed agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge itis unlawful to alter the s pstance of any offi ' orm or document of Butte County. I hereby authorize re ves of ButteCountyto enter upon the above mentioned property for inspection Ourposes. Print Narr `` L Signature: Date: 0 Owner Contractor 13 Agent for Owner 13 Agent for Contractor 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 OWNER Name Q ,l Address City City State Zi s p State Ile Phone _5-3�c q(0 Fax E-mail APPLICANT NAME CONTRACTOR Name City Address Zip Address s p State Ile Cit Map Book State Zip v t` State License Number C Pho J;� e, fi ti Fax E-mail Lic. # CI�sIs /0 Z APPLICANT NAME ARCHITECT/ENGINEER Name City Address Zip City Fax State Zip Phone Map Book Fax E-mail Planner State License Number APPLICANT NAME Name Address City State Zip Phone Fax E-mail APPLICANT SIGNATURE I/ XN1X For office use only: Zoning Flood Zone SRA I Yes I No Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS PERMIT NO. BPo41-714 BIN # LOCATION AP# 0�7� �(oO . ofo Property Address 34-& C NTrr,.4,,jJ o,eo Cross 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. Footage ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc Page 1 of 2 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 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: k-) ,1c-- Amount: ( I Q. — Bldg Receipt #: 4-04s::759 1, Date: (o� 4-104, SRA Sheriff SMIP Other L92_:=Total REV 4-30-04 SUBMITTAL REQUIREMENTS The following drawings and specifications must be submitted to the Building Division in order to apply for a permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK. Residential, New, Remodels, Additions, and Accessory Structures: ❑ 1. 3 Site Plans, signed by the preparer. NO GRAPH PAPER! ❑ 2. 3 Complete sets of plans, signed by the preparer. NO GRAPH PAPER! ❑ 3. 3 Engineered plans (if required) with wet signature on plans AND 2 sets of stamped and signed calculations. , ❑ 4. 2 Engineered truss details and layouts (if required) (NO FAXES!). ❑ 5. Letter from Engineer or Architect for truss design review. ❑ 6. 2 Energy compliance design and supporting documentation: (Note: Not required for additions to mobile or modular homes.) ❑ 7. 2 Flood Elevation Certificate, wet -stamped and signed (if required). ❑ 8. Detached Accessory Building Form, filled out by the property owner (if required)., ❑ 9. Sanitation and site plan approval from the Environmental Health Department. ❑ 10. Metal Buildings: (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. Mobile, Manufactured, or Modular Homes: ❑ 1. 3 Site Plans, signed by the preparer. NO GRAPHPAPER! ❑ 2. 2 Data sheets and installation instruction manual. ❑ 3. 2 Marriage line information. ❑ 4. 2 Floor plans. ❑ 5. 2 Engineered Tie Downs or Foundation plans. ❑ 6. Sanitation and site plan"approval from the Environmental Health Department. ❑ 7. 2 Flood Elevation Certificate, wet -stamped and signed (if required). Commercial, New, Additions and Remodels: ❑ 1. 4 Site Plans, signed by the preparer. NO GRAPH PAPER! ❑ 2. 4 Engineered plans with wet signature on plans AND 2 sets of stamped and signed calculations, with code analysis. ❑ 3. 2 Engineered truss details and layouts (if required) (NO FAXES!). ❑ 4. Letter from Engineer or Architect for truss design review. ❑ 5. 2 Energy compliance design and supporting documentation (if required). ❑ 6. 2 Flood Elevation Certificate, wet -stamped and signed (if required). ❑ 7. Statement of Intent for Non -heated and A/C (if required). ❑ 8. Metal Buildings: (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. ❑ 9. Letter of intent. ❑ 10. Hazardous Material Form. ❑ 11. Sanitation and site plan approval from the Environmental Health Department. If you have questions or would like additional information regarding this process, contact a Permit Application Assistant at (530) 538-7541. OVER FOR BUILDING PERMIT APPLICATION KAFORMS\BUILDING F0RMS\BIdgAPP1SubRgmts.doc Page 2 of 2 REV 430-04 :t PRE -INSPECTION REPORT' OWNER: �,o�;,) c Wit— DATE: 1 4- 04 LOCATION: 34-& CY&4T�4 AT%lkl k; A.P. #. b?7• 60co • 0(60 CONTRACTOR: ZONING: REASON FOR PRE -INSPECTION DATE TO INSPECTOR: - b PERMIT HISTOR x ,) NONE ) SEE ATTACHED BUILDING INSPECTOR'S REPORT TM Building Description: Commercial/Usage: . Residential # of Units: Mobile home # of Units: Currently Occupied r 0 A Yes ( ) No Abandoned/Vacant: 111 Electric: , , Electric Currently On ( ) Off Condition of Electric Gas: , Currently (,)On ( ) Off Condition Sanitation: Plumbing Working ( ) Yes ( ) No 1. , Obvious. Sewage Problems ( ) Yes ( ) No ACTION RECOMMENDED: ISSUE Yes ( ) No i Hold for permits or verify: .Inspector: � ' r � - . Date: WRTCYT RTTTT,DTNGS' nN REVERSE AND•INDICATE LOCATION ON PROPERTY: