HomeMy WebLinkAbout030-131-0294
CARROLL JACKSON
1281E B I GGS AVE.?,R OR I riE-p
PERMIT #LF42-766? LDG: EWER I NST
SF
30-131-29
WARNER DESS O
Permit#2666-85B(wood stove}SF
030-131-029 06-1416
-DEES
1284 BIGGS AVE, OROVILLE
Cont: OWNER
REROOF 4��"
lot
CA3 .'aI�JWi
i 030-131-029 -�-- 06-1416ZTr
DEES
N P T E S 1284 BIGGS AVE, ORO LE -
GRA!_ Cari1P
Cont: OWNER
REROOF
p
b �� e r i� Oc.IS E
APN: Permit Na
CHECKED BY
SRA
FLOOD CERTIFICATE EQUIRED
FIRE SPRINKLERS REQUIRED
SPECIAL INSPECTION ITEMS
VERIFY
USE PERMIT CONDITIONS
SUBSTANDARD HOUSING LETTER
ENCROACHMENT PERMIT
REINSPECTION FEE PAID
ENV HLTH CLEARANCE
r .
1-f E P-rn A:u TO
Y
E r r. I Z f si-,
DATE JOB FINALED: 7-- ( 7
SIGNATURE:O�kit(�
,! COUNTY OF BUTTE
t ` _ BUILDING DIVISION
' DEPARTMENT OF DEVELOPMENT SERVICES
r . 7 County Center Drive • Oroville, CA • (530) 538-7541
CORRECTION NOTICE
Srw �E�S n(n- I y I
}z OWNER PERMIT NO.
A routine inspection indicates that the following violations of Butte County Ordinances exist at
* the above address and should be corrected. Please call for re -inspection when correction of
work is completed. If you have any questions pertaining to this matter, or need additional
explanation, please contact the Building Inspector as indica below.
"mss
A
a .
:FE..
Date � Inspector
Yr !�
REV 4/05 Phone # – �' G22 -2—
FOR
FOR RE -INSPECTION CALL: 538-7636 OR 891-2834
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.
BP061416
B. C. Building Permit Ul-lb-U4 pg 1
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: 06/14/2006 APN: 030-131-029-000
the Business and Professions Code, and my license is in full force and
effect.
License Class : License Number:
Site Address: 1284 BIGGS AVE ORO
Date: Contractor:
Map Index:
Description: RE -ROOF 14 SQ
D@SCrI p ( )
OWNER -BUILDER DECLARATION
I hereby affirm under penally of perjury.that 1 am exempt from the
Contractors' State License Law for the following reason (Sec. 7031.5
Business and Professions Code: Any city or county which requires a
permit to construct, alter, improve, demolish, or repair any structure, prior
Owner: DEES WARNER & JOAN JT
to its issuance, also requires the applicant for such permit to file a
1284 BIGGS
signed statement that he or she is licensed pursuant to the provisions of
OROVILLE CA
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
95965
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).):
1, as owner of the properly, or my employees with wages as their
sole compensation, will do the work, and the structure is not
Intended or offered for sale (Sec. 7044, Business and Professions
Applicant: DEES WARNER & JOAN JT
Code: The Contractors' State License Law does not apply to an
1284 BIGGS
owner of property who builds or Improves thereon, and who does
such work himself or herself or through his or her own employees,
OROVILLE, CA
provided that such improvements are not intended or offered for
95965
sale. If however, the building or improvements are sold within one
year of completion, the owner -builder will have the burden of
(530) 534-5232
proving that he or she did not build or improve for the purpose of
sale.).
O 1, as owner of the property, am exclusively contracting with
licensed contractors to construct the project (Sec. 7044, Business
and Professions Code. The Contractors' Slate License Law does-
Contractor:
not apply to an owner of property who builds or improves thereon,
and who contracts for such projects with a contractor(s) licensed
pursuant to the Contractors' State License Law.).
O 1 am Exempt under Article the Business and Professions Code
/3'of
Owner.
Date:
License #:
ORKERS' 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
Architect:
is Issued.
Engineer:
❑ 1 have and will maintain workers' compensation insurance, as
required by Section 3700 the Labor Code, for the performance of
the work for which this permit is issued. My workers' compensation
insurance carrier and policy number are:
Carrier:
Total Square Ft: 0 S. F.
Policy#:
Valuation: $0.00
Census Code:
V1 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,
j I f1
and agree that if I should become subject to the workers'
I � f
compensation provisions of Section 3700 of the Labor Code, I shall
forthwith comply with those provisions.
tj SYn ( L)
Tr
Dale: 4(
/
14,0�(
S/ -"��
Applicant: !!��%L'7✓G'�
WARNING: Failure to secure workers' compensation coverage Is
unlawful, and shall subject an employer to criminal penalties and one
hundred thousand dollars ($100,000), in addition to the cost of
compensation, damages as provided for in Section 3706 of the Labor
code, Interest, and attorney's fees.
CONSTRUCTION LENDING AGENCY
This permit is hereby issued under the applicable provisions of the Butte County Code and/or
I hereby affirm that there is a construction lending agency for the
Resolutions to do work indicat d ab ve for which fees have been paid.
performance of the work for which this permit is issued (Sec 3097 Civ.) .
I
By' !/
Date: _+ `410 T
Name:
�lJ�
PERMIT XPIRES ON:
Address:
(Date)
❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage,
handling and use of hazardous materials.
O Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project.
O 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 represeptatives of Butte County to enter upon the above mentioned property for inspection purposes
)/)
Print Name: `def Alii !/ ���� Signature: -� &-,I
Date: . 4//�
g Owner ❑ Contractor ❑ Agent for Owner ❑ Agent for Contractor
B. C. Building Permit Ul-lb-U4 pg 1
•=OK
e = N.t OK
MANUFACTURED HOMES
MISCELLANEOUS -
DATE PERMANENT FOUNDATION SOFT -SET
1 Zoning -Setbacks -Easements
2 Soils; Special MH Support Sketch
3 Sewer; Loctn-Test; Fall/C/O-Concrete
4 Wtr; Loctn-Test-Easement Needed -Regulator
5 Elec Loctn-Cirncs-Grnd 'Am -Concrete
t W
6 Yard Gas; Loctn-TestNat F1 or LP❑
Inch Sz Ft Lngth
7 Bickng; SzSpacing-Marriage Line
8 Gas; MH Test -Demand Valve-Cnnctr
9 Elec MH Cntnty Test-Crossovers-Breakers-Clrncs
10 Drain; MH Test -Fall -Flex Cnnctr
11 Wtr & Sewer Connected -C/O to Grade
12 Gas and Electricity Tagged
13 Tie Downs ❑ Foundation ❑
14 Exits
15 Cert of Occupancy
HUD LabeUinsignia Numbers Serial Numbers
-'—.--DATE D E C K S -C O V E R S -C A R P O R T S'G A R A G E S
1 ZoningSetbacks-Easements
2 Ftgs; SailsSz-0pthSpacing-CnnctrsSteei
3 Decks, Girders/Joists-Ocking-Brcing
Stairs-Guard/Handrails
4 Wood Awn; Posts-Beams-Rftrs-CnnctrsShthg,
Frmg-Brcng
5 Alum Awn; Columns-CnnctnsSplice-Decal-Encisrs
6 Carports; Wndws-Doors
7 Electric
8 Fang; Sills-AnchrsStuds-Rftrs Tnisses
9 Siding; Nailing -Veneer -Stucco -Lath
10 Roof; Shthg-Rooting
11 Ext; Steps -Doors -Landings
12 Braced Wall pnls
*414116
DATE JPOOLA
1 Setbacks -Easements
2 Soils; CompactionStructure Stability
3 Pool Structure; Steel-Cnnctns-Thickness
Dead Men -Lining
4 Elec Reptcls/Lting; Distance-GFI
5 Elec Pool Lttng;15 volts-GFl
6 Elec.Enclsrs; Conduit Entries -Terminals -Listed
7 Elec Banding; Metal w/5'-Drcitng Egp-Htr
8 Elec Gmdng; Eqp w/5' Crcitng Eqp-Pool Ightg
Boxes-Enclsrs-pelboardsansultn to Main Conduit
9 Health Dept Ap'i4l
10 Plmb; Cir Test-Wtr Supply Test
11 Lt Niche ,
12 Enclsr; Fencing -Alarms
13 Bonding, Diving board or Slide
Pool Drawing
0 =Nat OK
RESIDENTIAL
(Single
&
Duplex)
DATE JUNDERFLOOR
DATE
IPLUMBING
1 Zoning -Setbacks -Easements -Flood -Slope
2 Ftg Main; Soils -Flee Grnd Ft4 Dpth
3 Ftg Garage; Soils-Elec Grnd Ftg Dpth
4 Ftg Porches/Decks; Soils -Steel Ftg Dpth
5 Stemwalls Wain; Steel-Blockouts Wrapped
6 Stemwalls Garage; Steel-Blockouts Wrapped
6a Hold Downs and Special Anchrs
7 Slab, Steel Wrapped
8 Piers-Frplc Ftg-Steel
9 DWV; Fall -Fitting -Test -2 -way CIO -Sewer Test
10 UF, Gas Pipe; Sz Anchrs-Sz Test
11 Wtr Pipe; Test-Anchrs-RgltrService Test
12. Elec Undrgmd
13 Plenums & Ducts; Clrnc-MaterialSupport4nsultn
14 GirdersSills-Anchr Bolts-Joists-Vnts-Cripples
15 Ace & Vntitn
16 Insulation
DATE JFRAMING
17 Sills Proper Materials & Anchrs
18 Walls Studs-Nailirig Spacing & Braces -Plates -Sound
19 Bearing Walls over Girders 8 fir Nailing
20 Draft Stop in Walls (rat proof)
21 Fire Stops,"Furred CeilingsStairs-Chasers-Tubs
22 Headers B Bearns-Sz4,Bearing,
23 Hangers-Posf'Caps-Anchrs-Cnnctns
24 Ceiling Joist-Rftr Ties-Purlin-Roof Brac TnrssShthg
25 Frplc Ties A
or Type Flue=Frplc Throat Clrnc
26 Attic ACC; Sz &•Rinx Pith r -biaft Stop -Ins Baffles
27 Bdrm Wndws or Exiting Doors -Sill Ht & Dimensions
28 Garage Fire Prtctn Framing -RC Channel
29 Prprty Line Firewall & Opngs'
30 Ext Doors -One 3' -Check Garage 3rd Story, 2 Exits
31 Stairs; Width-Hdrm-Rise-Run-Landing-Fire Prtctn
32 Plywd on Roof Ovrhng-Attic Vnts-Rftr Outrgrs
33 Siding -Nailing Veneer
34 Stucco Lath Weep Screed-Fndtn Vnts-Undrflr Ace
35 Glazing Area -Glass PrtctnSkyLts-Plastic .
36 Shear Walls; Nailing -Bolts
37 Brace IntiExt Wall pnls
38 Insultn-W al Is -Ceilings
39 Infiltration -Walls -W ndws
o' e`
DATE JELECTRICAL
40 Fxtr & Trnsfrmr Cirnc4ns Prtctn
41 Elec Rcptcls Spacing-Lts & Switches at Doors
42 Sz Boxes & No Of Cndctrs Stapled
43 Romex Installed Close to Edge of Studs & CJ
44 Eqp Grnd made up w/Mech Fstnrs
45 Grndng Electrode Bond Gas & Wtr
46 2 Appinc Cires in Ktchn & Cndctr Sz GFI .
47 Subfeed Wire Sz 9a ❑CU or ❑AL
AC Wire Sz 92 ❑ CU or ❑AL
48 Range Clic w F-1 CU or ❑AL
Oven Circ 9a ❑ CU or DAL
Insulated Neutral ❑ Yes ❑ No
49 Service -Riser Cndctrs & Grnd Main Dscnnct
50 Eqp Clrncs pnis-Motors-Mech Eqp
51 Clothes Closet Lt-Shwr Lt -Spa Lt
52 Smoke Detector
53 Wtr Htr; Vent Acc-Cmbstn•Air-Baftie
54 Wtr Pipe; Test & Anchr-Nail Prtctn
55 DWV; Test Fittings & Anchr. Nail Prtctn
56 Shwr Pan; Test, First fir -Tub Ace
57 Test Tuti & Shwr, 2nd fir - Tub Ace
58 Gas Pipe; Sz & Anchrs
59 Fire Sprinkler; Test
60 Yard Gas.Piping
DATE IMECHAN'1CAL
61 AC Ducts Insultn & Support
62 Vent Fan, Exhaust abv Insuitn
63 Condensate Drain & Ovrfiw, Sz & Grade
64 Furnace -Vent Acc-Comb Air RtmNent 115 Outlet
65 Attic Ace & Pltfrm if Furnace in attic
DATE IFINAL
66 Ext Steps -Door & SideLt Prtctn-Landings
67 Smoke Detector
68 Furnace Vnts-Clmc-Comb, Air-Cnnctr
In Garage; abv-flr-Ducts-Meth Prtctn
69 Bedroom Exiting
70 GFI & Bath Fxtrs & Tub Ace -Spa
71 GFI Arc Fault
72 Elec Trim & Subpni, Breaker Szs & Labels
73 Stairs, Guard/Handrails
74 Frplc or Stove, Cirnc-Hearth
75 Elec Outlets at Wood Pnl, Int & Ext
76 Ktchn, Fxtr & Appinc; Gmd Air -Gap -Cooking Clrnc
77 Elec Outlets & Rcptcls at Ktchn Counter
78 Garage Fire Door, Swing -Landing -Closure
79 AC Duct in Garage -Damper.
80 Wtr Htr, Vnts-Clmc-Com Air Cnnctr-PRV; abv fir
Mech Prtctn; LPG Appince Undr House 3' drain
81 Pimb; Elec & Mech Eqp Listed for Loctn
82 Elec Rcptcls in Garage (GFI) Romex Prtctn
83 Insultn-Foam-Looked in Attic
84 Guard Rails & Deck Cnstrctn-Post Caps
85 Fndn Vnts & Crawl Hole Door Dmge & Wood -Earth
86 Clmc Dmge Planters ❑ Yes [::]No
87 Stucco Brown -Finish
88 AC Unit Dscnnct, Elec-Pimb
89 Vnts abv Roof, Plmb-Appinc-Frplc-Cimc to Opngs
90 Wtr Well, Dscnnct, Elec, Pimb
91 Ext Elec Trim, GFI Rcptcl-Undrgmd
92 Vntitn thru House
93 Glass Prtctn
94 Corrections from previous Irispctns
95 Gas Test -Meters Tagged, Gas-Elec
96 Wtr & Sewer Cnnctd-C/O to grade -HD Apprvl
97 Energy Cmpinc Cert -Other Certs
98 Address Posted
99 Fire Sprinkler
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.
BP061416
B. C. Building Permit 01-16-04 pg 1
LICENSED CONTRACTORS DECLARATION
1 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: 06/14/2006 APN: 030-131-029-000
the Business and Professions Code, and my license is in full force and
effect.
License Class: License Number:
Site Address: 1284 BIGGS AVE ORO
Date: Contractor:
Map Index:
RE -ROOF 14 SQ)
Description: ( )
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the
Contractors' State License Law for the following reason (Sec. 7031.5
Business and Professions Code: Any city or county which requires a
permit to construct, alter, improve, demolish, or repair any structure, prior
Owner: DEES WARNER & JOAN JT
to its issuance, also requires the applicant for such permit to file a
1284 BIGGS
signed statement that he or she is licensed pursuant to the provisions of
OROVILLE, CA
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
95965
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
Applicant: DEES WARNER & JOAN JT
Code: The Contractors' State License Law does not apply to an
owner of property who builds or improves thereon, and who does
1284 BIGGS
such work himself or herself or through his or her own employees,
OROVILLE, CA
provided that such improvements are not intended or offered for
95965
sale. If however, the building or improvements are sold within one
year of completion, the owner -builder will have the burden of
(530) 534-5232
proving that he or she did not build or improve for the purpose of
sale.).
❑ I, as owner of the property, am exclusively contracting with
licensed contractors to construct the project (Sec. 7044, Business
and Professions Code. The Contractors' State License Law does
Contractor:
not apply to an.owner of property who builds or improves thereon,
and who contracts for such projects with a contractor(s) licensed
pursuant to the Contractors' State License Law.).
ddJProfessions Code
❑ I am Exempt under Article 3lof the Business and
Date: -Owner: (�1 �✓�� 'LL p�'�
License #:
ORKERS' COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
❑ I have and will maintain a certificate of consent to self -insure for
workers' compensation, as provided for by Section 3700 of the
Labor Code, for the performance of the work for which this permit
Architect:
is issued.
Engineer:
❑ I have and will maintain workers' compensation insurance, as
required by Section 3700 the Labor Code, for the performance of
the work for which this permit is issued. My workers' compensation
insurance carrier and policy number are:
Carrier:
Total Square Ft: 0 S. F.
Policy#:
Valuation: $0.00
VI certify that in the performance of the work for which this permit is
Census Code:
issued, I shall not employ any person in any manner so as to
become subject to the workers' compensation laws of Califomia,
and agree that if I should become subject to the workers'
v
compensation provisions of Section 3700 of the Labor Code, I shall
forthwith comply with those provisions.
Date: J/
Applicant:
WARNING: Failure to secure workers' compensation coverage Is
unlawful, and shall subject an employer to criminal penalties and one
hundred thousand dollars ($100,000), in addition to the cost of
compensation, damages as provided for in Section 3706 of the Labor
code, interest, and attorney's fees.
CONSTRUCTION LENDING AGENCY
This permit is hereby issued under the applicable provisions of the Butte County Code and/or
I hereby affirm that there is a construction lending agency for the
Resolutio to.d work indicaI d ab ve for which fees have been paid.
performance of the work for which this permit is issued (Sec 3097 Civ.)
i •6
By: Date: A
Name:
'
114rlJ�
Address:
PE RMIT XPIRES ON: ln-
Date
❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 255.33, and 25534 of the Callfomia 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 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 repn8sef+tatives of BuutttepCounty to enter upon the above mentioned property for inspection pu77,,_,,
hhe;Z/p ��h ��h� Signature:
Print Name: /1
Date: / / z
JO -Owner ❑ Contractor ❑ Agent for Owner ❑ Agent for Contractor
B. C. Building Permit 01-16-04 pg 1
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 OFAPPLICA TION
Website: www.buttecounty.net/dds
"PLEASE PRINT CLEARLY"
OWNER INFORMATION
Last Name _T)E:C-75 IF
irst Name (R N
vV
Address 12_94'2>1c=S A 0e_
City C) Roy l I �-e
StateCA-
z. 54(AS
Phone / �
Fax
E-mail
APPLICANT INFORMATION
CONTRACTOR
Name
City �
Address
Zip�5�6S
l
City
Fax
State
Zip
Phone
T7
Fax
E-mail
Lic. #
Class
APPLICANT INFORMATION
ARCHITECT/ENGINEER
Name
City �
Address
Zip�5�6S
l
City
Fax
State
Zip
Phone
T7
Fax
E-mail
State License Number
APPLICANT INFORMATION
Name >A E -R :Dee -S
Address 1234 1 Ao-e—
City �
State, „
Zip�5�6S
l
Phoneg3 r ^5Z3Z
`t
Fax
E-mail
APPLICANT SIGNATURE
X—
For office use only:
Zoning
Flood Zone
6ipovil�2
SRA
I Yes No
Occ.
Type Const.
Subdivision Name
Map Book
Page
T7
Planner
Date Approved:
OVER FOR SUBMITTAL REQUIREMENTS
K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc
PERMIT
NO.
BIN #
PROJECT LOCATION
AP# 0�
Property AddressCity
2kV- a166S Ahs
6ipovil�2
Cross Street 12�
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
Page 1 of 3
Description or Scope of Work:
Sq FT- Living Garage Open Cov
❑ Structure Built without Permits
❑ Proposed Change of Occupancy
(Note previous use):
EXPIRATION OF APPLICATION
Applications for which a permit has not been issued will expire one
year after the date of application. In order to renew action on an
application after expiration, a new application, plans and fee will be
required.
REQUEST FOR REFUNDS
Refunds can only be made upon written request by the person who
paid the fee. The request must be made prior to the expiration of the
permit and no construction work has been done. Filing fees, plan
check fees for work plan checked and other department costs are not
refundable.
Received by: 6 • Amount:
Receipt #: 'J i
Date: G -(q -Q V
O
$110 d Bldg
SRA
Sheriff
SMIP
Other
Total
REV 8-12-05
SUBMITTAL & PERMIT 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
❑ 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. No graph paper!
❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans (No graph paper!) OR
Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations.
❑ 3. Engineered truss details and layouts in duplicate (if required). No faxes!
❑ 4. Energy compliance design and supporting documentation in duplicate.
❑ 5. Statement of Intent for Non -heated and AIC for Non -Residential Buildings.
❑ 6. Manufactured homes: (A) Installation manual, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans,
all in duplicate
❑ 7. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor
plans in triplicate. All of these must be stamped and wet -signed by the engineer.
❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate (if required).
❑ 9. Site plan and business license approval from the City of Biggs.
❑ 10. Letter of intent for non-residential buildings.
❑ 11. Building Permit Application Without Required Clearances Form
❑ 12. Hazardous Material Form (for Commercial Buildings only).
Remaining items needed to issue the permit. Additional items may be required after Plan Check and Planning
review (May
require additional plan review upon receipt of the following items.)
❑
1.
Agricultural Buffer clearance and site plan approval from the Ag Commissioner's office (if required).
❑
2.
Impact Fees.
❑
3.
California Department of Forestry plan approval (if required).
❑
4.
NPDES Form.
❑
5.
Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy).
❑
6.
Contractor's license information. (Number, Name Style, Classification).
❑
7.
Worker's Compensation Carrier and Policy Number.
❑
8.
Owner -Builder Verification (if required).
❑
9.
Letter of Signature authorization (if required).
❑
10.
Recorded copy of Agricultural Acknowledgment Statement.
❑
11.
❑ Legal description from current recorded grant deed, ❑ Copy of M.H. Title, Title transfer, or MCO.
❑
12.
Sanitation and site plan approval from the Environmental Health Department.
If you have questions or would like additional information regarding this process, please contact a
Permit Assistant at (530) 538-7541.
EXPIRATION OF APPLICATION
Applications for which a permit has not been issued will expire one year after date of application. In order to renew action
on an application after expiration, a new application, plans and fees will be required.
REQUEST FOR FEE REFUNDS
Refunds can only be made upon written request by the person who paid the fee. The request must be made within two
years from the date of fee payment on permits not issued, and two years from the date of permit issuance for permits
Issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan "
check fees -for work plan checked and other department costs are not refundable.
OVER FOR BUILDING PERMIT APPLICATION
KAFORMSWILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 3 REV 8-12-05
OWNER -BUILDER VERIFICATION
Attention Property Owner:
An "owner -builder" building permit has been applied for in your name and bearing your
signature.
Please complete and return this information at your earliest opportunity to avoid unnecessary
delay in processing and issuing your building permit. No building permit will be issued until this
verification is received.
1. I personally plan to provide the major labor and material for construction of this proposed
property improvement: YES .[ %] NO [ ].
2. I HAVE [t/] HANE NOT [ ] signed an application for a building permit for the proposed
work-
3.
ork3. I have -contracted with the following person (firm) to provide the proposed construction:
NAME: _
ADDRESS:
PHONE:
CONTRACTOR'S LICENSE NO:
4. I plan to provide portions of the work, but I have hired the following person to coordinate,
supervise, and- provide the major work:
NAME: .
ADDRESS:
PHONE: CONTRACTOR'S LICENSE NO:
S. I will provide some of the work but I have contracted (hired) the following persons to provide
the work indicated:
NAME ADDRESS PHONE. TYPE OF WORK
SIGNED:
PROPERTY OWNER-
DATE:
WNER
DATE:
NOTE: This Owner -Builder verification is required by Section 19831 and 19832 of the California
Health and Safety Code.
Butte County Department of Development Ser -vices �AJsT
o�o
ADMINISTRATION `BUILDING `GIS `PLANNING /
0 o
00
7 County Center Drive 0 _=t* , , o
Oroville, CA 95965 0 o
(530) 538-7541 Telephone COU tj
(530) 538-2140 Facsimile
OWNER -BUILDER INFORMATION
Dear Property Owner.
An application for a building permit has been submitted in your name listing yourself as the builder of the property
improvements specified.
For your protection you should be aware that as "owner -builder" you are the responsible party of record on such a
permit Building permits are not required to be signed by property owners unless they are personally performing their own
work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if
that person applies for the proper permit in his or her name.
Contractors are required by law to be licensed and bonded by the State of California and to have a business license
from the city or county. They are also required by law to put their license number on all permits for which they apply.
If you plan to do your own work, with the exception of various trades that your plan to subcontract, you should be
aware of the following information for your benefit and protection:
o If you employ or otherwise engage. any persons other than your immediate family, and the work ('including materials
and other costs) is $200 or more for the entire project and such persons are not licensed as contractors or
subcontractors, then you may be an employer.
o If you are an employer, you must register with the state and federal government as an employer and you are subject
to several obligations including state and federal income tax withholding, federal social security taxes, workers'
compensation insurance, disability incus CC Casts, and unemployment compensation contributions.
o There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious
with respect to workers' compensation insurance.
o For more specific information about your obligations under federal law, contact the Internal Revenue Service (and,
if you wish, the U.S. Small Business Administration). For more specific information about your obligations under
state law, contact the Department of Benefit Payments and the Division of Industrial Accidents.
If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their
work personally or through their own employees, without a licensed contractor or subcontractor, only under limited
conditions.
A frequent practice of unlicensed persons professing to be contractor is to secure an "owner -builder" building
permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building
permits are not required to be signed by property owners unless they are performing their own work personally.
Information about licensed contractors may be obtained by contacting the Contractors' State License Board in your
community or at 1020 N Street, Sacramento, Califomia 95814.
Please complete and return the enclosed owner -builder verification from so that we can confirm that you are aware
of these matters. The building permit will not be issued until the verification is ret irned.
Sincerely,
Scott Rutherford
Chief Building Inspector
..,...... —.. _ tog to of tl.o r ouf#% r ;-A wonith anri Caf,-ty inti,
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO..
7 County Center Drive - Oroville, Crfornia 95965 - Telephone 916/534-4541 '
APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER
I- _.'J - I-- '..
ZONING
BUILDING PERMIT
OWNER
TELEPHONE
SO. FT.OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS
CONTRACTOR'S NAME
TELEPHONE
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
,$
Penalty
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee
$ �7, *�
BUILDING ADDRESS
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
Solar Water Heater
20.00
r}�O '' �• -
Water piping
5.00
LOT NO. SUBDIVISION NAMEPARCEL
MAP
Each qas water heater or vent
5.00
Gas piping system 1 - 5 outlets
5.00
USE OF STRUCTURE
SFQ Duplex❑ Mobilehome❑ Other
SPECIFY
Building sewer
5.00
Mobile Home S G W
10.00 e
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑
Describe work: ��"' a*-.: ' —
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 600V OR LESS
100 AMP OR LESS
10.00
Main service EA. ADD'L 100 AMP
2.50
NEW CONST.(DWELLING OCCUP.&
OR ADDNS. ACC. BLDGS.
t
2/208q ft
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business20es0a
and Professions Code and my license is in full force and effect.
License No. Classification
Q 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 CON5TR ULT' -OUTLET 2,50 ea
NON-RESID BRANCH CIRC ITS
NEW CONSTR. ( POWER APPARATUS &)
NON-RESID, SINGLE OUTLET CIR,
Ex. Occup(o TS OR FIXTURES BAL®3o
FIXXEEDD APPLNS, OR
EX. Occup. OUTLETS (RESID.) EA.1 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 15.00
Permit Fee $
Contractor
MECHANICAL PERMIT
FiIingFee 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.
Notice 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
$
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 Countyot
Butte to enter upon the above-mentioned property for inspection purposes.
1 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
against said County in consequence of the granting of this permit.
XDate
Signature of Applicant — Owner[D'Contractor ❑ Agent ❑
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
TOTAL PERMIT FEE $ jo
OCCUP. GROUP
I TYPE OF CONST,
PARCEL
PD
I ND
I ISSUE
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIRECTOR OF PUBLIC
,
BY
PERMIT EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS r
v
Date
' r tlj
Receipt No. �-
WHITE-D.P.W., YELLOW -ASSESSOR. PINK -INSPECTOR, GOLDENROD -APPLICANT
J _ COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
" 7 County Center Drive - Oroville, Califorhia 95965 - Telephone 916/534-4541
APPLICATrON AD PERMIT
PERMIT NO. /
ASSESSOR PARCEL NUMBER
30-131-29
ZONING
BUILDING PERMIT
OWN R
Q DEES
TELEPHONE
SQ. FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS
1284 Biggs Ave., Oroville, CA 95965
CONTRACTOR'S NAME
Owner
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace "All 1000
CONSTRUCTION LENDER
None
UNKNOWN
Total Valuation Is
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$ 17.50
ARCHITECT OR ENGINEER
None
LICENSE NO.
Plan Checking Fee
.$
Penalty
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee
$ 27.50
BUILDING ADDRESS
1284 Biggs Ave.
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
Solar Water Heater
20.00
Oroville
Water piping
5.00
LOT NO.
SUBDIVISION NAMEPARCEL
MAP
Each qas water heater or vent
5.00
Gas piping system 1 - 5 outlets
5.00
USE OF STRUCTURE
SFK1 Duplex❑ Mobilehome❑ Other
SPECIFY
Building sewer
5.00
Mobile Home JSTG W
10.00 e
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other X❑
Describe work: Wood Stove
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 600V OR LESS
100 AMP OR LESS
10.00
Main service EA. ADD'L 100 AMP
2.50
NEW CONST. DWELLING OCCUP.&
OR ADDNS. ACC, BLOGS.
t
2/20sgft
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
❑ I 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 NON -RESIT R BRANCH CIRCTITS 2.50 ea
&\
NEw NON -CONSTR. RESIT. ( ( SINGLE OUTLET CIRPOWER APPARATUS . /
ExOccu 20@500
. p�OUTLETS OR FIXTURES BAL®30
FIXED APPLNS. OR
Ex. OCCUp. OUTLETS (RESID.) EA.) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 15.00
Permit Fee $
Contractor
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ 1 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.
1 shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice 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.
MECHANICAL PERMIT
FiIingFee 10.00
Heating
Cooling
Hood
3.00
Ventilation
permit Fee
$
Contractor
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 authorize representatives of the Countyot
Butte to enter upon the above-mentioned property for inspection purposes.
1 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
agai/n�s�t�aid County in consequence of the granting of this permit. p
%�—"` d�� 1'/ "�� Date �'0 �
Signature of Applicant — Owner Contractor ❑ Agent ❑
An OSHA permit is required for excavations over 5'0" deep and demolition or construct -FT
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
TOTAL PERMIT FEE $ 27.50
OCCUP. GROUP
I TYPE OF CONST.
PARCEL
PD
HD
I ISSUE
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
OF P
BYZ
PERMIT EXPIRES Date
the applicable to do
resolutions to do
fees have been paid.
C WORKS
ate �Ilk 4
Receipt No.
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
r
i
PERMIT NO. 442—%6P
t P
E
M
a -
MH UTIL.
PERMIT NO.
rt
F PERMIT EXPIRES 1/29./77
OWNER CARROLL JACKSON
CONTR. OWNER
. LOCATION (A.P. 10-111 —29 )
1281E BIGGS AVE., OROVILLE
i
r�
I
i
I
Temp. Power Pole
Called PG&E
Temp. Elec. Serv.
Called PG&E
Temp. Gas Serv.
Called PG&E
JOB
. FINALED
(Dat-
..---`
(Signature)
1
THERMALITO IRRIGATION DISTRICT
410 GRAND AVENUE
OROVILLE. CALIFORNIA 95965
TELEPHONE 533-0740
CSA 26 SEWER SERVICE APPLICATION AND CONNECTION PERMIT
Service Address: 1 '7 - 1�, 44
d
Owner's Name: Cil.... T'.. r, n 1.1 Dat T 1 7 1 ct 75-
Address: L..� Z { `'f
./w. -� Acct. No.
57
r'a R -a •-.. � . 1 f- i � /i . '-� G�(n \ A.P. No?)n' 131 - zC
Phone: �-t '� No. Units:
Applicant/Agent:
�,y r Agents Proof:l�}%/�
Address:
Fees:
Phone:
Application $
Arrearage
Preliminary Review DateDn`C' 7 11.1 CSA 26
Remarks: SC -OR l
1st mo. S.C.
Other
Total Fees tfo��
Collected By:
Date:
Field Review B ® Date:
Remarks:
ri
MONTHLY SERVICE CHARGES WILL COMMENCE AUTOMATICALLY UPON:
E Date of TID approval of completed building sewer (early connection).
0 30 days after date above, or on date of D.P.W. approval of completed building sewer, which ever comes
first ("existing construction , prior to Mar. 5, 1974).
❑ 180 days after date above, or on'date of D.P.W. approval of, completed building sewer, which ever comes
first ("new construction", after Mar. 5, 1974).
DISTRIBUTION: WHITE - TID, YELLOW- APPLICANT, PINK - DPW, GOLDENROD - DPW to TID
COUNTY OF BUTTE — DEPARTMENT -OF PUBLIC WORKS
BUILDING INSPECTION RECORD
BUILDING
BUILDING (Cont'd)
PLUMBING
Setback
Firewall
Soil Piping
Forms
Parapets
1st Floor
Main Bldg.
Restroom Finish
2nd Floor
Footings
Windows
3rd Floor
Stemwall
Sidinq
To out
Slab
Roof Sheathing
Water Piping
Piers
Roofing
Sewer Z17,
Garage
Fdn. Vents
Fixtures
Footings
Gara a Vents
Water Htr.
Stemwall
Slab
Prov. for physically
handicapped
Heaters
Appliances
Carport
Footings
Conformance of ex.
structure
Gas Piping & Test
Temp. Gas
Slab
Final
Sanitation
Patio
FIREPLACE
Final
Footings Footing
Masonry Walls Throat Rough
Reinf. Steel Final Fixtures
Bond Beam FIRE SPRINKLERS Motors
Framing Test Water Htr.
Stucco Final Subpanels
Mesh MECHANICAL Grd. Fault Prot.
Scratch Heating Service
Brown Cooling Temp. Pole
a Finish Ducts Underground
r Interior Lath VentilationPerm anent
Door Closer Final Final
DATE REMARKS OR CORRECTIONS
C /0
E
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
7 County Center Drive — Oroville, California 95965
Telephone: 534-4541
APPLICATION AND PERMIT
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes.
X Date l` ��
Signature of Miiteee or Agent
Receipt No.
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.
D RE .TOR OF PUBLIC WORKS
li-sl ®ii //fid Date l t9— %k
permit expires Date / " o-2 ! ` 'T
BUILDING
Owner r✓ 4 a -2D ,44 J4G t S Q
SQ. FT. OCC. BUILDING VALUATION
Mailing Address u LC •
Telephone No.
Fireplace
Contractor
Total Valuation
Mailing Address
Permit Fee
Plan Checking Fee &/or Penalty
Telephone No.
Permit Fee
$
Building Address
PLUMBING
No.1
@
FEE
PERMIT FILING FEE $3.00
,� o
• 2 gel a cY es •
Each Trap 1.50
Repair drainage or vent piping
1.50
Water piping 1.50
(z es \l
Each gas water heater or vent 1.50
A. P. No.
Zoning 8 Planning
Gas piping system 1 - 5 outlets
1.50
Each additional outlet .30
FIw
Fire Dept.
Fire Zone
Use Permit
Building sewer 5.00
x.60
EQA
Parking
Plans
Parcel
Declaration
Parcel Map
60' R/W
Improvements
Lawn sprinkler system 2.00
Parcel Approval
Plans Approval
Permit Fee
$
. Bcs
$
NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER �
ELECTRICAL
No.
@
FEE
PERMIT FILING FEE $3.00
/ C �
cGfL—D I�c=Co ..,EfZ T CE"R�
Main service 100v OR LESS 5.00
100 AMP OR LESS
Main service EA. ADD'L 100 AMP
2.50
Single Family Duplex ❑ Mobil Home ❑ Others E:1Main
Main service OVER 6 OR LESS 25.00
service EA. ADD'L 100 AMP 1.00
NEW CONS. DWELING
OR ADDNST ( ACCLBLDGS.CCUP. &)
20sgft
NEW CONSTR(. MULTI.OUTLET
NON-RESID. BRANCH CIRCUITS) 2.50ea
NEW CONSTR. (POWER APPARATUS &)
NON-RESID. SINGLE OUTLET CIR.
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
st le of:
y
Ex. Occup(OUTLETS OR FIXTURES)50 R 25,
BAL@1
// FIXED APPLNS. OR
Ex. Occup• ( 2.00
OUTLETS (RESID.) EA)
Temporary service 10.00
Mobile Home Facilities 15.00
License No. Classification
Misc. Wiring 6.25
I am 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.
JKA 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 Workmen's Compensation Laws of
California.
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
MECHANICAL
No.
@
FEE
PERMIT FILING FEE $3.00
Heating
Cooling
Ventilation
Hood 2.00
Permit Fee $
$
TOTAL PERMIT FEE
$ .0C
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes.
X Date l` ��
Signature of Miiteee or Agent
Receipt No.
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.
D RE .TOR OF PUBLIC WORKS
li-sl ®ii //fid Date l t9— %k
permit expires Date / " o-2 ! ` 'T