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HomeMy WebLinkAbout029-142-002KIN Ray M. s%s le Ave. 150 ft- west of the Mi a ichvale Permit -4 -7 Move -In & Remodel) , RAY KINNER S/a Lin' e Ai; .150' west o dway` P 1996-73B 1st RENEWAL) 41ca QuJNGd- 29-142-2 Doyle Spain Jr. 1 Lindale Ave. ,-'Richdale .....` Permit�k24 0-81B(new ri.det.garage) i • I 029-142-002 04-2170 SPAIN, DOYLE 1209 LINDALE AVE, RICHVALE Cont: EAGAN ELECTRIC CHANGE OF SERVICE 029-142-002 04-2202 SPAIN, DOYLE 1209 LINDALE AVE, RICHVALE CONT: ARTIC AIRE HVAC C/O Y I' _ _ f c PRE- INSPECTION REPORT OWNER: LOCATION: CONTRACTOR: i U REASON FOR PRE-INSP 4ION --E DATE TO INSPECTOR: PERMIT HISTORY ( ) NONE SEE ATTACHED DATE: --") � 6 A.P. # ZONING: BUILDING INSPECTOR'S REPORT Building Description: Commercial/Usage:> Residential # of Units:�Ves Mobile home # of Units: Currently Occupied ( () No Abandoned/Vacant: Electric: Electric Currently (C,1- On () Off Condition of Electric Gas: Currently (� Off Condition Sanitation: Plumbing Working ( es Obvious Sewage Problems ( ) Yes ACTION RECOMMENDED: Hold for permits or verify: _ Inspector: ISSUE 6✓ O No ( o O Yes ( ) No ` Date: fJ'.:;_,7" 'FS 5 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" OWNER Last Name rJ irsl Name, Address L A C A,f f AJ e - City h v A. ( e- State ca zpQ�y`7 Phone i s� Fax b Email APPLICANT NAME CONTRACTOR, Name Name Address r N c 4, Address City±Faxe(' State City V� State ZIP Phone Fax Planner E-mail Class APPLICANT NAME ARCHITECT/ENGINEER Name Addres , t Address r N c 4, City City±Faxe(' State Zip Phone Fax E-mail Planner State License Number APPLICANT NAME Name Property Address w Addres , t Cross Street r N c 4, I Yes City±Faxe(' at Zip �� 7 Phone� E-mail Lot # APPLICANT SIGNATURE Xaw- i For office use oh . Zoning Property Address w Flood Zone Cross Street SRA I Yes I No Occ. Type Const Subdivision Name Map Book Page Lot # Planner Date Approved: PERMIT TP�go -; BIN # LOCA I AP# Ave - Property Address w C' Ch JC 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, l 5 c;a 0 Sq. Foo g j ❑ 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 napplication 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, plar. check fees for work plan checked and other department costs are no - refundable. Received by. Amount Bldg SRA Receipt # Sheriff Date: SMIP Other COUNTY OF BUTTE BUILDING DIVISION �a. DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street • Chico, CA • (530) 891-2751 7 County Center Drive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE ER -//V)/ PERMIT NO. 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. 46;�Ic 41411-1-1 >r� i BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 PERMIT NO. BP042202 PERMITS BECOME NULL AND VOID 1 YEAR FROM THE DATE OF ISSUANCE, OR IF WORK IS DONE IN VIOLATION OF ANY COUNTY OR STATE LAWS. LICENSED CONTRACTORS DECLARATION .Issued Date: 07/23/2004 APN: 029-142-002-000 1 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 Site Address: 1209 LI NDALE AVE RIC effect. License Class :EIL-20._ License Number. Map Index: 11_1 Date`` =2.7 O Contractor�2 (� Description: HVAC CHANGE OUT 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 Owner: SPAIN DOYLE T ;1R &LAUREL M Business and Professions Code: Any city or county which requires a 1209 LINDALE AVE permit to construct, alter, Improve, demolish, or repair any structure, prior RICHVALE, CA 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 95974 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 safe.). ❑ 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.). ❑ 1 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 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 p6licy number are: Carrier �t�^ L i Policy #: r r+. Yea ,a� C g �c. ❑ 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. Date: 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. Applicant: SPAIN DOYLE T JR & LAUREL M Contractor: ARTIC AIRE OF CHICO INC 2350 PARK AVENUE CHICO, CA 95928 530-895-3330 License #: 234913 Architect: Engineer: Total Square Ft: Valuation: C C d OFFICE COPY Address GAS Meter By Date ELECTRIC Meter By Da"_ 0 S IF $0.00 ensus o e. � • N iZ / 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 "PLEASE PRINT CLEARLY" OWNER Last Names i irst Name, r 11JJ Address 1 City h j a r e 1 Staten,,i—P?,s 7 Phone. ` v 1 Fax E-mail APPLICANT NAME ARCHITECT/ENGINEER CONTRACTOR, Flood Zone Name State(3,4, City Address State Zip Phone City i r �. C� State Zip Phone -� 1 Fax eC� E-mail[� .# Class APPLICANT NAME ARCHITECT/ENGINEER Name Flood Zone Address State(3,4, City Phone g g,a \ � State Zip Phone Page Fax E-mail Date Approved: State License Number APPLICANT NAME Name Addre , a r Flood Zone City ; e State(3,4, I No Phone g g,a \ � Fax E-mail APPLICANT SIGNATURE X �w- For office use only: Zoning Property Address Property Flood Zone SRA I Yes I No Occ. Type Const Subdivision Name Map Book Page Lot # Planner Date Approved: PERMIT N P BIN # LOCA I AN // e— © til - 'dtL �e Ave— Property Address Property C' Cross Street WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than license contractors, a cerdfrcate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address Description or Scope of Work: Sq. Foofag6 ❑ 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. f Received by: Amount Bldg SRA Receipt #: Sheriff � cJ Da e;.7 • Q 6 SMIP Other Total 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 PAPERI ❑ 2. 3 Complete sets of plans, signed by the preparer. NO GRAPH PAPERI OR 3 Sets Engineered plans (if required) with wet signature on plans AND 2 sets of stamped and signed calculations. ' ❑ 3. 2 Engineered truss details and layouts (if required) (NO FAXESI). ❑ 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 stamped and wet -signed by the en ' eer. Mobile, Manufactured, or Modular Homes: ❑ 1. 3 Site Plans, signed by the preparer. NO GRAPHPAPER! t ❑ 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 GRAPHPAPERI ❑ 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 FA)MS!). ❑ 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 BUELDING PERMIT APPLICATION.• AFORMSWILDING F0RMSXBIdgApp1SubRgmts.doc - Page 2 of 2 REV 6-16-04 COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET vd OWNER: � l� ASSESSOR PARCEL NUMBER v 0 �9 I �� Proposed Building Use: Counter Technician: Date: (c9' G _ Items required in order to apply for a permit.1 All bo es MUST be checked OR marked NA in ordkl'ollapply. ❑ 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 4. Engineered truss details and layouts in duplicate. No faxes! ❑ 5. Letter from Engineer or Architect for truss design review. ❑ 6. Energy compliance design and supporting documentation in duplicate. ❑ 7. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 8. Manufactured homes: (A) Data sheets and installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. ❑ 9. 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. ❑ 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate ❑ 11. Site plan and business license approval from the City of Biggs ❑ 12. Letter of intent for non-residential buildings ❑ 13. Detached Accessory Building Form filled out by the owner ❑ 14. Hazardous Material Form ❑ 15. Sanitation and site plan approval from the Environmental Health Department in ❑ Chico ❑ Oroville, as applicable. ❑ 16. Other Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) ❑ 17. Fire Sprinklers........................................................................................... ❑ 18. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by ❑ 19. Soils Report and/or Engineered Foundation required ........................................... ........ ❑ 20. Erosion Control Plan Required........................................................................ ........ ❑ 21. Fees as shown on the attached Schedule of Fees Due Sheet .............................. ❑ 22. City of Chico Plumbing permit........................................................................ ❑ 23. California Department of Forestry plan approval ❑ paid. Sent by: ............. ❑ 24. Planning approval (A) Use: (B)Parking: (C) Parcel Check: ❑ 25. Contact Land Development about _ Improvements, _ Drainage ......................... ❑ 26. NPDES Form............................................................................................ ❑ 27. Encroachment Permit fp)d ivew from C) P t4c W • r D - I ........................ 28. Pre -Inspection for r V "l quired....... ❑ 29. Contractor's license information. (Number, N1a ,r Sh(le, Classification) ................... ❑ 30. Worker's Compensation Carrier and Policy Number/ ......................................... ❑ 31. Owner -Builder Verification (_ Given to owner, _Mailed to owner) ..................... ❑ 32. Letter of Signature authorization .................................. .... :............................. ❑ 33. Recorded copy of Agricultural Acknowledgment Statement ................................. ❑ 34. Manufactured home utility clearance............................................................... ❑ '35. Existing violations and/or expired permits......................................................... ❑ 36. Deed Restriction......................................................................................... ❑ 37. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $ ❑ 38. Other: ❑ 39. Other: When issued Telephone and hold for pickup. I have been informed of the above items and requirements for obtaining a building permit. Applicant: 1. Index permit application for he abole it ms numbered: 2. Additional items required Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Plans reviewed by: Date: Plans approved by: Structural reviewed by: Date: Structural approved by: Note transfer by: Date: Date: 7- d J- '0 V Plan Check Letter Yellow: Building Division Date: Date: Date Date: BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 PERMITS BECOME NULL AND VOID 1 YEAR FROM THE DATE 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 the Business and Professions Code, and my license is in full force and effect. (`� �y- License Class :� _ License Number.!? Date: �3 0Z Contractor: . 0– MZ 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.). ❑ 1 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. ❑ 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 p6licy number are: Carder:�PS9_. 2 PERMIT NO,. BP042202 OR IF WORK IS DONE IN VIOLATION OF ANY COUNTY OR STATE LAWS. Issued Date: 07/23/2004 APN: Site Address: 1209 LINDALE AVE RIC Map Index: Description: HVAC CHANGE OUT Owner: SPAIN DOYLE T JR & LAUREL M 1209 LINDALE AVE RICHVALE, CA 95974 Applicant: SPAIN DOYLE T JR & LAUREL M Contractor: ARTIC AIRE OF CHICO INC 2350 PARK AVENUE CHICO, CA 95928 530-895-3330 License #: 234913 Architect: Engineer: Total Square Ft: 10 S. F. c� Valuation: $0.00 Policy #: C Jvt "2�' t `, % r c g I Census Code: ❑ 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 the workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date: Applicant: 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 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.) Address: This permit is hereby issued under the , Resolutions to do work JAdicated above PERMIT EXPIRES 7�-n Q57(5, GC> of the Butte County Code and/or been paid. — Date: ~ (J ❑ 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 8 Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification fortes. 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 natives of utte Cou rty t, o enter upon the above mentioned property for Inspection purposesi Pent Name: \\ Signature: Date: ❑ Owner ❑ Contractor Agent for Owner 13 Agent for Contractor PERMIT NO. 2410-81B PERMIT EXPIRES -11 a OWNER Doyle Spain, Jr. �i CONTR. owner 'R'MSSOR PARCEL 29-142-2 a LOCATION 1 Lindale Ave . , Richvale SW corner of Lindale & Midway, Richvale 1 Temp. Power Pole Called PG&E Temp. Elec. Servi Called PG&E Temp. Gas Service Cal led PG&E JOB FINALED (Date) ' U" Signature / 1'g v J OK 0 _= Not OK - = Not Applicable MOBILEHOMES - Not Ready MISCELLANEOUS Date MOBILEHOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support -Sketch 2. Footings; Size -Depth -Spacing -Connectors 3. Sewer; Location -Test -Fall -C/0 -Concrete 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rail; 4. Water; Location -Test -Easement Needed (Sketch) 4. Wood Awn.; Posts-Beams-Rftrs.-Connec.-Shthg.-Rig.-Bracing 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Gas; Location -Test -Wrap:/ /"L"ft./ /"Nal. or/ /"L"ft./ /"LPG 6. Carports; Windows -Doors 7. Utility Clearance 7. Elec. Card -BI Date Card -BI Date Card -BI Date Card -BI Date _ Card -BI Date Date Card -BI Date MOBILEHOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line Card -BI Date Date Card -.BI Date _ POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Gas; MH Test -Demand -Valve -Connector 3. Pool Structure; Steel -Connections -Thickness -Dead Men-Linrng 4. Electricity; MH Test -Crossovers -Breakers -Clearances 4, Elec.; Receptacles and Lighting; Distances-GFI 5. Drain; MH Test -Fall -Flex Connector 5. Elec.; Pool Lighting; 15 volts-GFI 6. Water; MH Test -Regulator -Connector 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Water and Sewer Connected -C/0 to Grade -HD Approval 7. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater 8. Gas and Electricity Tagged 8. Elec.; Grounding; Equip.w/5'-Circulating Equip. -Pool Lghtg. Boxes -Enclosures -Panel boards -Ins. to Main in Conduit 9. Exits; Insp.-Sketch 10. Cert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test -Water Supply Test Card B -I Date Card -BI Date Card -BI Date Card -BI Date Card B -I Date Card -BI Date Card -BI Date Card -BI Date V = OK 0 = Not OK - = Not Applicable * = Not Ready Date UNDERFLOOR (Plans) OK except H's 1. Zoning requirements -Setbacks -Easements 2. Fig., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. 3. Ftg., Garage; Soils -Steel- / /" Fig. Depth 4. Ftg., Porches & Decks; Soils -Steel- / /" Ftg. C 5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab 6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab 7. Piers -Fireplace Ftg.-Steel 8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test 9. Gas Pipe; Size -Anchors 10. Water Pipe; Test -Anchors -Regulator -Service Test 11. Electric; Underground 12. Plenums & Ducts; Clearance -Material -Support -Ins. 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples RESIDENTIAL(Single and Duplex) Card -BI Card -BI Date Card -BI Date Date Card -BI Date Date PLUMBING (Permit) OK except N's 14. Water Ht.; Vent -Access -Combustion Air 15. Water Pipe; Test & Anchors -Nail Protection 16. D.W.V.; Test-Fttngs & Anchors -Nail Protection 17. Shower Pan; Test, First Floor -Tub Access 18. Test Tub & Shower, 2nd Floor -Tub Access 19. Gas Pipe: Size & Anchors Card -BI Date Card -BI Date Card -BI Date Card -BI Date _Date ELECTRICAL (Permit) OK except q's 20. Fixture & Transformer Clearance -Ins. Protection 21. Elec. Receptacles Spacing -Lights & Switches at Doors 22. Size Boxes & No. of Conductors -Stapled 23. Romex Installed Close to Edge of Studs & C.J. 24. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 25. 2 Appliance Circuits in Kitchen & Conductor Size 26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or 27. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or At, Insulated Neutral ❑Yes E) No 28. Service -Riser Conductors & Ground -Main Disconnect 29. Equip. Clearances; Panels-Motors-Mech. Equip. 30. Clothes Closet Light -Shower Light Card B -I FRAMING (Continued) Date Card -BI Date Card B -I Property Line Firewall & Openings Date Card -BI Date Date MECHANICAL (Permit) OK except q's 31. A.C. Ducts; Insulation & Support _ 32. 33. 34. Vent Fan; Exhaust above Insulation Condensate Drain & Overflow; Size & Grade Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet 35. Attic Access & Platform if Furnace in Attic 54. Glazing Area -Glass Protection -Skylights -Plastic Card -BI _ _Date Card -BI Date Card -BI Date Card -BI Date Date FRAMING(Plans) OK except q's 36. Sills; Proper Material & Anchors _ 37. 38. 39. Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound Bearing Walls over Girders & Floor Nailing Draft Stop in Walls (rat proof) _40. Fire Stops; Furred Ceilings -Stairs -Chases -Tub _ 41. 42. 43. 44. Header & Beam -Size & Bearing Hangers -Post Caps -Anchors -Connectors Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shlhng.-Rfnq. Fireplace Ties or Type A Flue -Fireplace Throat _ 45. 46. 47. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles _Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions Garage Fire Protection Framing Date FRAMING (Continued) 48. Property Line Firewall & Openings 49. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 50. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 51. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 52. 53. Siding -Nailing -Veneer Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access 54. Glazing Area -Glass Protection -Skylights -Plastic 55. Shear Walls; Nailing -Bolts Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date FINAL (Plans) OK except q's 56. Ext. Steps -Door & Sidelight Protection -Landings 57. 58. Smoke Detector Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 59. Bedroom Exiting 60. G.F.I. & Bath Fixtures & Tub Access 61. Elec. Trim & Subpanel; Breaker Sizes -Labels 62. Stairs & Rails 63. Fireplace or Stove; Clearances -Hearth 64. 65. Elec. Outlets at Wood Panel; Int. & Ext. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance 66. Elec. Outlets & Receptacles at Kit. Counter 67. Garage Fire Door; Swing -Landing -Closer 68. A.C. Duct in Garage -Damper 69. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mecn. Protection 70. Plb., Elec. & Mech. Equip. Listed for Location 71. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 72. Insulation -Foam -Looked in Attic ❑Yes 73. Guard Rails & Deck Construction -Post Caps 74. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 75. Following instld.: Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters Dyes ❑No 76. Stucco; Brown -Finish 77. A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet 78. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. 79. Water Well; Disconnect, Electrical, Plumbing 80. Exterior Elec. Trim; G.F.I. Receptacle -Underground 81. Ventilation throughout House 82. Glass Protection 83. _ Corrections from Previous Inspections 84. Gas Test -Meters Tagged; Gas -Electric 85. Water & Sewer Connected -C/O to Grade -HD Approval 86, Energy Compliance Certificate -Other Certificates Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Comments at Final: (NOTE: An entry must be made each time youvisit jobsite) i COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKSPERMIT NO. / 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 ` APPLICATJON AND PERMIT � A ASSESSOR PARCEL NUMBER aq- ZO I B LDING PERMIT OWNE b S�1,,� T - ' - 1 V TELEP .NNE (J{y �'` SQ. FT. OCC. BUILDING VALUAT ON R'S MAILING AD RES 25,S4 V s CONTRACTOR'S NrAME ►\ V I ELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee ,$ 16r' O0 Penalty $,1 ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDR ES PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Repair drainage or vent piping 5.00 J Water piping LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets USE OF STRUURE� SF[:] Duplex❑ Mobilehome❑ Other�,I NLBrAA1 c"ilt - SPECIFY Building sewer Lawn sprinkler system 5.00 TYPE OF WORK New e' Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee •0.00 Main service DOOV OR LESS 100 AMP OR LESS 5.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.y\ OR ADDNS. ACC. BLDGS. 2� sq ft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ 1 am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR •OUTLET 2,50 ea NON.RESID. BRANCH CIRC ITS NEW CONSTR. POWER APPARATUS NON-RESID. SINGLE OUTLET CIR. Ex. Occup OUTLETS OR FIXTURES BAL@1 00 IXED APPLNS. OR EX. OCcup.(OUTLE TS (RESID.) EA. 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 Permit Fee $ Contractor MECHANICAL PERMIT FiIirig Fee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notce to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Heating Cooling Hood 3.00 Ventilation permit Fee S Contractor 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue again aid County conse ice of the granting of t permit. a X Date -' V.. -4 a Signoture of ap,pIiCan Own Contractor ❑ Agent ❑ An OSHA permit is required for ex ovations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ �5—qs, D OCCUP. GROUP I TYPE OF CONST. PARCEL I PD �/ HO ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR PUBLIC By PER EXPIRES Date the applicable praoi- resolutions to do fees have been pa d. WORKS Date :7—Z— E _,71 ��C��% 3 Receipt No. � WHITE-D.P.W.• YELLOW -ASSESSOR. PINK -INSPECTOR, GOLDENROD -APPLICANT vim.-..�. ti PERMIT NUMBER - B 469-728 S P 441-72P p E 438-72E fi 1, T PERMIT EXPIRES `T r oZ — 73 OWNER Ray M. Kinner 5 :CONTR: of r er LOCATION (A.P. 29-142-2 � s s Lindale Ave. x / 150 ft. west of the Midway, Richva,le } �r e: ti j. E A 4 Zoning _ Foundation Rgh. Plumbing Rein. Steel Framing Wtr. Htr. Firewall ELECTRIC Temporary Ln Final DATE r` COUNTY OF° BUTTE. ' " '" ":OepavtMen4'of` Public Works BUILDING INSPECTION RECORD Setback �/�� l a p— �— 7 Forms _d9go", Piers & Girders 4S2��'� /`S = Fireplace Bond Beam ,.� Lath & Plaster Gas Piping & Test Found. Vents Plmg. Topout Rough Elec. Furnace Kitchen Vent Garage Vents Sanitation & Water GAS '7 BUILDING Temporary +- �-wc ' �%� Cert. of Occup. Final Final REMARKS OR CO ECTIONS A5- • 4/ t. COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WA S 7 County Center Drive — Oroville, California 95965 Telephone: 533-1230, Ext. 259`t' / APPLICATION AND PERMIT - authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X. c Date v 72 oture of Permiteeeor Agent Receipt No. 9:2 A6 / White-D.P.W. — Pink -Inspector — Goldenrod -Assessor — Yellow -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS �!7 BY Date— Building Permit Expires—� �� BUILDING Owner /��/ SO. FT. OCC. BUILDING VALUATION Mailing Addresss--- Fireplace Contractor Total Valuation &0-1.�`- Mailing Address Permit Fee Plan Checking Fee&/or Penalty Permit Fee $ z3 ° Building Address �= PLUMBING No. @ FEE PERMIT FILING FEE $2.00 J� cry c1 �� Each Trap 1.50 Repair drainage or vent piping - 1.50 1-1-510 Water piping 1.50 s" Each gas waterheater or t 3 1.50 �3'a A. P. No. �� r�� _ Zoning Gas piping system 1 - 5 outlets ` 1.50 Each additional outlet .50 Fire Zone Fire Dept. Sanitation ,/ Planning Building sewer 5.00 Plans —_Fees ✓ I W. C. r/ R/W Encroachment Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ OTHER Q-- Permit Fee $ $22Uc 1� ELECTRICAL No. @ FEE PERMIT FILING FEE -$a-ao�Z.''"" Main service incl. 1 meter Additional meters, each 1.00 USE OF STRUCTURE Single Family Duplex ❑ Others ❑ Sub -panel (12 or less) (more than 12) Range, dryer or water heater 1.00 ' Oven, Cook -top or space heater 1.00 Light fixtures o Re ps., sw.Ahes & fix lets CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: Hood, Ex. FanorF.A. Furn. Motor 1.00 Evap. cooler, gar. disp. or D.W. 1.00 Air conditioner or heat pump Water pump Misc. wiring License No. Classification i am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ C/ c WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑ I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Permit Fee I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby tate Fee for $trJ� rg Motion $0.07/$1000 Evaluation nate Fee for n png Mm $ / TOTAL PERMIT FEE $ Z / authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X. c Date v 72 oture of Permiteeeor Agent Receipt No. 9:2 A6 / White-D.P.W. — Pink -Inspector — Goldenrod -Assessor — Yellow -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS �!7 BY Date— Building Permit Expires—� �� COUNTY OF BUTTE — DEPA'RTMENT OF PUBLIC 7 County Center Drive — Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT WORKS -7-3 uUU1V11 Ze 1VP1eJCAUCJ 11lV01 the County of Butte to enter upon the above-mentioned property for inspection purposes. X Al, Date 6 le,3 IIIat. of Permitee or Agent Receipt No. 1 0!7,0 f-� White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF.PUBLIC WORKS BY Date a- Building permit expires Date BUILDING Owner SQ. FT. OCC. BUILDING VALUATION Mailing Address • r Telephone No. Fireplace Contractor Total Valuation Mai I i ng Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee $ / J� $ I Building Address � PLUMdAG No.1 @ I FEE , PERMIT FILING FEE $2.00 Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No.-- Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 F besl . Sawiis4}vn I Fire Dept. I Fire Zone Use Permit Building sewer 5.00 EQA Parking I Plans Parcel Declaration Parcel Ma P 60' R/W Im provements Lawn sprinkler system 2.00 BI glans Recd Parcel Approval Plans Approval Permit Fee $ EW ❑ ADDITION UTILITIES ❑ OTHER ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 6 7;r Main service incl. 1 meter Additional meters, each 1.00 Single Family Duplex ❑ Mobil Home ❑ Others ❑ Sub -panel (12 or less) (more than 12) Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 Light fixtures ball Receps., switches & fix outlets b.Z.U(�22�3 CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: Hood, Ex. Fan or F.A. Furn. Motor 1.00 Evap. cooler, gar. lisp. or D.W. 1.00 Air conditioner or heat pump Water pump Mobil Home Facilities 5.00 Temp. Power Pole 5.00 License No. Classification Misc. wiring �iam exempt from the Contractors License Laws of the State of California. Permit Fee $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑ I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby TOTAL PERMIT FEE $ 77 7 uUU1V11 Ze 1VP1eJCAUCJ 11lV01 the County of Butte to enter upon the above-mentioned property for inspection purposes. X Al, Date 6 le,3 IIIat. of Permitee or Agent Receipt No. 1 0!7,0 f-� White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF.PUBLIC WORKS BY Date a- Building permit expires Date