HomeMy WebLinkAbout030-430-016030-430-016 PERMIT#00-0307
MACHEDO, Mary
1668 Leta Ln., Oroville M
Cont: Disaster Response
Repair.Sewer Damage to Dry Wall/SF
030-430-016 06-1396
MCGRAW, PATRICIA
1668 LETA LN, OROVILLE
Cont: GREENE R SON ROOFING
RE ROOF
'f
r
Butte County Department of Development Services
NOTES 7 County Center Drive, Oroville. CA 95965
(530) 538-7601 wvw.p4q!,--Wnty.n@U(As
RESIDENTIAL
APN: Permit No.
Owner
Site Address:
Contractor.
Type of Permit -
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
CHECKED BY
+=OK
0 Not OK
MANUFACT.:URED HOMES
MUS'C'ELLAWE 0MS-
DATE PERMANENT FOUNDATION SOFT -SET
-1. Zoning -Setbacks -Easements
2 Soils; Special MH Support Sketch
.3 Sewer; Lorin -Test; Fall/C/O-Concrete
4 Wtr; Loctn-Test-Easeinent Needed -Regulator
5, Elec Loctn-Clrncs-Grnd - Amp-Conuete
6 Yard Gas; Loctri Test -Wrap: Nat[] or LP"
Inch Sx Ft Lngth
7 Blckng; SiSpacing-Marriage Line
8• Gas; MH Test-Demand-Valve-Cnrtctr
S Elec MH Cntnty Test-Crossovers-Breakers-Clrncs
10 Drain; MH Test -Fall -Flex Cnnctr
d1 Wtr & Sewer Connected -CIO -to Grade
12 Gas and Electricity Tagged
13 Tie Downs Q . Foundation 0
14 Exits
15 Cert of Occupancy
16 HUD Label/insignia Numbers Serial Numbers
' -_DATE ID E C K S'C O V E R S -C A R P O R T S -G A R A G E S
1 ZoningSetbacks-Easements •
2 Ftgs; SoilsSz 3pthSpacing-CnnctmSt_eel
3 Decks, Girders/Joists-Dcldng-Brcing
Stairs-Guard/Handralls
4 Wood Awn; Posts-Beams-Rftrs-CnnctrsShthg.
Frmg-Brcng ;
5 Alum Awn; Columns-CnnctnsSpiice4)ecal-Enclsrs
6 Carports; Wndws-Doors .
7 Electric
8 Frmg; Silts-AnchrsStuds4blft Trusses
8 Siding; Nailing-VeneerStucco-Lath "
10 Roof. Shthg-Rooting
11 Ext; Steps -Doors -Landings'
12 Braced Wall pnls "
DATE IPOOLS
1 Setbacks -Easements
2 Soils; Compaction Structure Stability.
3 Pool Structure; Steel-Cnnchm-Thickness
Dead Men -Lining
4 Etec Rcptcls1Lting; Distance-GF1
5 Elec Pool Lting; 15 volts-GFI
6 EIec.Enclsrs; Conduit Entries-Terminalsd.1sted
7 Elec Bonding; Metal w/5'-Crc tng &p-Htr
8 Elec Grndng; Eqp w/5' Crcttng Eqp-Pool Ightg
Boxes-Enclsrs- inIboardsansultnto Main Conduit
9 Health Dept AppM . .
10 Phnb; Cir Test-Wtr Supply Test
11 Lt Niche ,
12 Enclsr. Fencing -Alarms
13 Bonding, Diving board or Slide
Pool Drawing
0 — Not
RESIDENTIAL (Single & Duplex)
DArE JUNDERFLOOR
1 ZoningSetbacks-EasementsfioodSlgm
2 Ftg Main; Soils-Elec Gmd Fig Dpp
3 Ftg Garage; SoilsSteel-Elec Grnd Ftg_Dpth
4 Ftg Porches/Decks; SollsSteel Ftg Dpth
5 Stemwalls Wain; Steel -Blackouts -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 C/0 -Sewer Test
10 UF, Gas Pipe; Sz Anchrs-Sz Test
11 Wtr Pipe; Test-Anchrs-RgltrService Test
12_ Elec Undrgmd
13 Plenums & Ducts; Clmc-MaterialSupportansultn
14 GirdersSills-Anchr Bolts -Joists Vnts-Cripples
15 Ace & Vntitn
16 Insulation
o� 4:� d41�
DATE IFRAMING
17 Sills Proper Materials & Anchrs
18 Walls Studs -Nailing Spacing & Braces -Plates -Sound
19 Bearing Walls over Girders ,& fir Nailing
20 Draft Stop in Walls (rat proof)
21 Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs
22 Headers B Beams-Sz &' Bearing
23 Hangers -Post Caps-Anchrs-Cnnctns
24 Ceiling Joist-Rftr Ties-Purlin-Roof Brac TrussShthg
25 Frplc Ties or Type A Floe; *rplc Throat Clmc
26 Attic A%c; Sz &-Rmx Prtctn-Draft Stop -Ins Baffles
27 Bdrm Wndws or Exiting Doors -Sill Ht & Dimensions
28 Garage Fire Prtctn Framing -2C Channel
29 Prprty.Llne.Firewall & Opngs
30 Ext Doors -One X -Check Garage 3rd Story, 2 Exits
31 Stairs; Width-Hdnii4Use-Run4-anding-Fire Prtctn
32 Plywd on Roof Ovrhng-Attic Vnts4tnr 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 Int/Ext Wall pnls
38 Insu ltn-W ails -Ceilings
39 Infiltration Walls-Wndws
40
DATE JELEETRICAL
40 Fxtr & Trnsfrmr Clmd4ns 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 Gmd made up w/Mech Fstnrs
45 Gmdng Electrode Bond Gas & Wtr
46 2 Appinc Cires In Ktchn & Cndctr Sz GF]
47 Subfeed Wire Sz ga Q CU or HAL
AC Wire Sz ga ❑ CU or AL
48 Range Circ 9aCU or H AL
Oven Circ ya CU or H AL
Insulated Neutral Yes H No
49 Service -Riser Cndctrs & Gmd Main Dsennct
50 Eqp Cimcs pnls-Motors-Meth Eqp
51 Clothes Closet Lt-Shwr Lt -Spa Lt
52 Smoke Detector
DATE
IPLUMBING
53 Wtr Htr; VentAcc-Cmbstn Air Baffle
54 Wtr Pipe; Test & Anchr-Nail Prtctn
55 DWV; Test Fittings & Anchr_Nall Prictn
56 Shwr Pan; Test, First fir -Tub Ace
57 Test Tub & Shwr, 2nd fir - Tub Ace
58 Gas Pipe; Sz & Anchrs
59 Fire Sprinkler, Test
60 Yard Gas Piping
DATE
IMECHAiTICAL .,
61 AC Ducts Insultn & Support
62 Vent Fan, Exhaust abv Insultn
63 Condensate Drain & Ovrfiw, Sz & Grade
64 Furnace -Vent Acc-Comb Air Rtm/Vent 115 Outlet
65 Attic Ace & Pltfrm If Furnace In attic
41'
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 GFl & Bath Fxtrs & Tub AccSpa
71 GFl Are Fault
72 Elec Trim & Subpnl, Breaker Szs & Labels
73 Stairs, GuardlHandralls
74 Frplc or Stove, Clmc-Hearth
75 Elec Outlets at Wood Pnl, Int & Ext
76. Ktchn, Fxtr & Appinc; Gm"rGap-Cooking Clmc
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 (GF) Romex Prtctn
83 Insultn-Foam-Looked in Attic
84 Guard Rails & Deck Cnstrctn-Post Caps
85 Fndn Vnts & Crawl Hole Door D & Wood -Earth
86 Clmc Dmmge Planters Yes HNo
87 Stucco Brown-Flnish
88 AC Unit Dscnnct, Elec-Plmb
89 Vnts abv Roof, Pimb-Appinc-Frplc-Clmc to Opngs
90 Wtr Well, Dscnnct, Elec, Pimb
91 Ext Elec Trim, GFl Reptcl-Undrgmd
92 Vntltn thru House
93 Glass Prtctn
94 Corrections from previous Inspctns
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) 638-7636 (OROVILLE) (530) 891-2834 (CHICO) ,.
OFFICE #: (530) 538-7541
PERMIT NO.
BP06,1396
workers' compensation, as provided for by Section 3700 of the
Labor' Code, for the performance of the work for which this permit
LICENSED CONTRACTORS DECLARATION .. `
Is issued. :
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: 06/12/2006 APN: 030=430=016-000
the Business and Professions Code, and my license is In -full force and
required. by Section 3700 the Labor Code, for the performance of
effect. _ ��
Site Address: 1668 LETA LN ORO.• '
License Class : License Number:
Li
,
Date: i_Lontractor: e�, �.
Map index:
Description: RE=ROOF (20 SQ)
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that, I am exempt from -:the
valuation: $0.00
Contractors' State License 'Law for the following reason (Sec. 7031.5
Business and Professions Code: Any city. or county.which requires a
Owner: MCGRAW PATRICIA ADA .
LI
'permit to construct, alter, improve; demolish, or repair any structure, prior.
to Its Issuance, also requires the.applicant.for,such.permit to file a
1668 LETA LN
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'
95965
7000) of Division 3 of the Business and Professions Code) or that he or
f I CU t
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
W • ' �- o
applicant to a civil penalty of not more than five hundred dollars ($500).):
W
❑ 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. GREENE & SON ROOFING
Code: The Contractors' State License Law does not apply to an,
unlawful, and shall subject an employer to criminal penalties and one
owner of property who builds or Improves thereon, and who does
such work himself or herself or through his or her own employees,
PO_ BOX 2467
provided that such Improvements are not intended or offered for'
PARADISE,' CA 95967-2467
sale. If however, the building or Improvements are sold within one
year of completion, the owner -builder will have the burden of.
530-873-3940
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
Contractor: GREENE & SON ROOFING
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.).
PO BOX" 2467
PARADISE, CA 95967-2467
❑ I am Exempt under Article 3 of the Business and Professions. Code
530-873-3940
Dater Owner.
License #: 275057
WORKERS' COMPENSATION DECLARATION
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
at—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: l�rf%� -
Total Square Ft: 0 S.F
valuation: $0.00
Policy#:
Census Code:
❑ I certify that in the performance of the work for which this permit is
issued,' I shall not -employ any person in any manner'so as to
j f,
.become" subject to the workers' compensation laws of California,
.3 100
and agree that if I'should become subject to the workers'
compensation provisions of Section 3700' of the Labor Code, I shall
f I CU t
forthwith comply with those provisions."
Date:
W • ' �- o
W
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 ResoI 11 ! s to do work indicate ab o a for which fees have been paid r
performance.of the work for which this permit is issued (Sec 3097 Civ.) - 2
Name: By: 1 • ` Date: �- L CJ\O
PERMIT EXPIRES ON:
Address: Date
❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and -25534 of the California Health and Safety Code, which regulate the storage,
handling and use of hazardous materials.
❑ Notification in accordance with Section 19827.5 of California Health, & Safety Code isnot 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, thaCthe above information is correct, and that I am the owner or the duly. authorized agent of the owner. I agree to comply with
all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. 'I hereby
authorize representatives of Butte County to enter upon the above mentionedproperty for inspection purposes.
Print Name: �[� � 1?�•f� e- l Signature:
'Date:
O, Owner ontractor Ell Agent for Owner l7 Agent for Contractor
'Igor
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDINGf
fPERMIT
24 HOUR INSPECTION.#: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO)
OFFICE M (530) 538-7541
B. U. Building Permit M-10-1.14 pg I
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: 06/12/2006 APN: 03043.0-016-000
the Business and Professions Code, and my license is In full force and
effect'
r S�
Site Address: 1668 LETA LN ORO
License Class_.: License Number:
Date:�ontractor: Q,u�
Map Index:
Description: RE -ROOF (?0 SQ);
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury, that I am exempt from the'
Contractors' State License Law for thefollowing'reason (Sec:'7031.5'
'
Business and Professions Code: Any city or..county, which requires a"
OWneC:.MCGRAW'PATRICIA ALIDA'
permit to construct, alter, improve, demolish', or repair any,structure, prior
to its issuance, also' requires, the applicant for such permit to file a
1668 LETA LN .
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 subjectsthe
applicant to a civil penalty of not more than five hundred dollars ($500),): ;
❑ 1, 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: GREENE & SON ROOFING _
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,
PO BOX 2467
provided that such improvements are not intended or offered for
PARADISE, CA 95967-2467
sale.. If however, the building or improvements are sold within one
530-873-3940
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.).
O 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: GREENE & SON ROOFING
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.).
PO BOX 2467
PARADISE, CA 95967-2467
EllI am Exempfunder Article 3 of the Business and.Professions Code
530-873-3940
Date: Owner:
License M 275057
WORKERS' COMPENSATION DECLARATION.
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:
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: ttrf/[1
Total Square Ft: 0 S. F.
Policy#:
Valuation: $0.00
Census Code:
❑ 1 certify that in the performance of the work for which this permit is
issued, I shall not employ any person in any manner so as to
`
O
S�o
become subject to the workers' compensation laws of California,
and agree that if I should become subject to the workers'
a��
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
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
work for this is issued 3097 Civ.)
Resol do s to do work indicate abo a for which fees have been. paid.
performance of the which permit (Sec
:. Date: 7- .
By: l 12'G VJ
Name:
. ,
l
PERMIT EXPIRES ON:
Address:
Date
0 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 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. [hereby
authorize representatives of Butte Country toenter uponthe-abovementioned property for inspection purposes:
Print Name: � L,p�l1/ Signature:
Date:
❑ Owner Contractor O' Agent for Owner ❑ Agent for Contractor '
B. U. Building Permit M-10-1.14 pg I
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT "SERVICES._.
BUILDING PERMIT. APPLICATION
AND SUBMITTAL REQUIREMENTS
24`HOUR INSPECTIONtt: 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**
APPLICANT SIGNATURE
'
PERMIT
NO.
BPo V l
BIN
. x
PROJECT LOCATION
OWNER INFORMATION
Last e•
r�4 `ri
vifyrs c
Address
City
city
State
State
4.
Zi �
Phone
ZI �7
Jr92
Fax -,
E-mail •
!_
APPLICANT SIGNATURE
'
PERMIT
NO.
BPo V l
BIN
. x
PROJECT LOCATION
CONTRACTOR
Name
(�i'�•P C/•P
�1 tri±! ,,�'
Address
F D,
Carrier . ST- f2 r:�l
city
J�111
Phone
St twl
ZI �7
Jr92
Phone IFax
X73 39
0
E mail
Date Approved: -
Lip. #
CI
APPLICANT SIGNATURE
'
PERMIT
NO.
BPo V l
BIN
. x
PROJECT LOCATION
ARCHITECT/ENGINEER
Name..
Address
WORKER'S COMPENSATION
•City,
Carrier . ST- f2 r:�l
State
Zip
Phone
Address
Fax
E mail .
Page
State License Number
APPLICANT SIGNATURE
'
PERMIT
NO.
BPo V l
BIN
. x
PROJECT LOCATION
APPLICANT INFORMATION
Name
Address
WORKER'S COMPENSATION
City
Carrier . ST- f2 r:�l
State.
LENDING AGENCY
Phone
Address
Fax
E-mail ,.
Page
APPLICANT SIGNATURE
'
PERMIT
NO.
BPo V l
BIN
. x
PROJECT LOCATION
AP# 030. y V OI
Propert ddr s
k1
Cross St r t
WORKER'S COMPENSATION
Policy Num et: Z .
Carrier . ST- f2 r:�l
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
Descriptio or Scope -of ork: -
�
Sq FT- Living . Garage Open Cov
ElStructure Built without Permits
El' 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
X ' �'" Received by: Amount: Bldg
For office use only:
- •
Zoning
Flood Zone
SRAM Yes
No
Occ.
Type Const.
Subdivision Name.
Map Book .
Page
Lot #
Planner
Date Approved: -
SRA
Receipt #: j j ! 3 Sheriff
0 20 4! SMTP
Date: (ZI `2 Other
yd
OVER FOR SUBMITTAL REQUIREMENTS Total
K:\FORMS\BUILDING FORMS\BldgApplSubRgmts..doc Page 1 of 3 . 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.
r_111. 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 per 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
K1FORMS\BUILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 3 REV 8-12-05
030-430-016> PERMIT#00-0307'
MACHEDO, Mary.
"1668 Leta. Ln. , Orovlle-
Cont: Disaster Response
Repair Sewer Damage to. Dry Wall/SF
14
COUNTY -OF BUTTE -'DEPARTMENT OF DEVELOPMENT SERVICES !;BUILDING! DIVISION
7 County Cerifigr -Drive' * Orov.ille, California 95965. • Teiephone,(530)'538'-75 PERM
(Rev. 12/96) APPLICATION AND PERIL ,1.
ASSESSOR PARCEL NUMBER
A13A_/:gin
zomfia
BUIPffINGPERMIT '
Zy 46,71,2W
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
750 000
0
.OWNERS MWaDRFSS
Ibbb LN9 0R0VI=7'.
CO RACTO R'S NAME.
RESPONSE
TELEPHONE
1224-2323,
CONTRACTORS MAILING ADDRESS
CONSTRUCTION LENDER
Fireplace
LENDERS MAILING ADDRESS .
Total Valuation 1 $ THIp,00
ARCHITECT OR ENGINEER
LICENSE NO:
Filing.Fee $ 20.00
Permit Fee $ 21.00
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan'Checking Fee
BUILMGADDRE s
1666 11,TA W OROVIUZ
Energy Plan Checking Fee $
PERMIT FEE $ 41.00
.LOTNO.
V SUBDIVISIONS NAME
P—E!LjMAP'
PLUMBING PERMM, Filing Fee 20.00
Each Trap
USEOFSTRUCTURE
SF 0 Duplex 0 Mobileh om e .0 Other
SPECIFY
Solar or heat pump water23.00 ,
heater,
Water piping, 15.00
Each as, Water heater -or vent 15.00"
TYPE OF WORK
New C] Addition 0 Remodel 0 Ufilities'0- installation 0 Other O.
Describe Work: �WAIR.SEM DAMAGE DRY %AU
piping system 1 5 outlets 15.00
—Gas
Building sewer .15.00
1.10obile Home -IS I - GI WT, .920.00
PERMIT FEE
ELECTRICAL PERMIT Filing Fee 20.00
Main Service '.."A DR mss 23.00
LICENSED CONTRACTOR'S DECLARATION I
I hereby. affirm 'under pe . nalty of perjury . that I.arn licensed u , rider I pi�ovisions!of, . Chapter .
of .A Code,
(comrn6ncing with Section 70qo). of Division, 3 the Business and Profess!9 S,
and license is in full force and effect.
My
License Class
OWNER -BUILDER DECLARATION
acto Lice6sii s
�6by affirm.under penalty.,of perjury that.1 am�exempt from*the Contr rs
Lew fob the!followlng reason:ervice
.0 1', aso"er ofthe'pro perty, or my employees with wages as their, sole compensation,
I
will do the work, and •the -structure is not intended -or offered for sale.,
0 1, as' owner of, the property, am exclusively contracting .with'. licensed, con tractors r...Mist:
toLconstruct the project.
"Lunder Sec; Buisin'ess and Profes�ions, Code for this
11 -1 am" exemptPERMIT
reason
Ma in'Servic6 —TO -!000A 46.00
NEW CONST. DWELLING so
OR ADDNS. UP.- 3..50FT.'
NEW CONST.: MULTI -OUTLET
NOWRESID. LU
BRANC.N. ITS' @7.50
'POWER AP= US %
SINGLE CIR.
20 @ 1.00
Ex, Occup., OUTLET OR FxruIREs SAL @ .50
DAP * GERA • i
Ex., dccup. o= (Pn=.) 5.00
Temporary S 23.,00,
'i'
Mobile Facilities c lities 20.00
Wiring 23.00,
FEE
TION
WORKERS' COMPENSATION 'DECLARA I
l,hereby affirm under penalty of Perjury one of the following-declaratibn * s:
ave'and will.rnaintain a certificate, of consent to self-iAsure for. workers'
compensation, as'provided for by section 3700 of the Labor Code,' f6r'the
performance of the work for which this permit ls.IS-'S'Ued.
1 0 1 have and will.. maintain workers' compensation Irfsuranc6, as required by Section
3700 of the Labor Code, for the,performance of work for which this permit is issued.
My workers compensation insurance carrierand policy ,number are:,
Carrier
'
7 MECHANICAL PERMIT Filing Fee 20.00
Heating
Hood. 6.50
Ventilation
-:PERM E
IT IF
Policy Number 'i.:Li)WV'3'�J,h3<00�gc
(The ab ove sections need not be - completed If the permitlis for work of alvaluation
of one hundred -dollatril($1100).or less.)
0 1 certify that. in the pe for which this permit,is, issued, I shall
not employ 'any pers6n I n.any manner so as to become Subject to' workers'
c0rnp&Asation laws of California, and agree that ifI'should become subject to the
workers ,.compensati provisions of section ,3700 of, the Labor Code, .l shall
.-on
forthwith comply4ith,thosre provisions j
Date f
_SigWt—e of Applicant'- ❑ Owner 0 Contractor, 0 Agerft'
An OSHA permit is,required for excavations over 60"Cleep and demolition or construction
An
of structures o4er 3 stories in height..
_Mobile Home _Inili4I;t8`n?PJqe 7
Energy'Inspection Pee
OCC
CONSI TVPE
'TOTAL EE --41.00: I
F
HA2.
D. FEES IMP
FLOOD
CDF
PARCR7
HD
ISSUE
This permit Is hereby Issued underthe applicable provisions
of the Butte County Code and/or Resolutions to do work
indicated above for which fees have been.paid.
B, Date ll`
PERMIT EXPIRES ON hit, A
ReceiptNo.. ;& tor)
wHITE-D.D.S,7P.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
1
COUNTY OF BUTTE - DEPARTMENT OF DEV€LOPMENT SERVICES - BUILDING DIVIS
7 County Center Drive *Oroville, California 95965 • Telephone (530) 538-75 PFURMIT NO.
(RevA2/96) APPLICATION AND PERMIT
.ASSESSOR PARCELNUMBER
ZONING.
BUI INGPERMIT
MARY MACHED0
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
50.00
T�i���I ETA ALN, OROVILLE
CONTRACTOR'S NAME
DISTASTER RESPONSE
TELEPHONE
224-2323
CONTRACTORS MAIUNG ADDRESS
CONSTRUCTION LENDER ,.
Fireplace
LENDER'S MAIUNG ADDRESS
Total Valuation $ 750.00
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee $
20.00
Permit Fee $
ARCHITECT OR ENGINEERS MARINO ADDRESS
Plan CheckingFee $
a V oWopa
11t L,C�lA IN, OROVIUE
Energy Plan Checking Fee $
$
PERMIT FEE S41,001
LOT NO.
SUBDNIS IONS NAME
PARCEL MAP
PLUMBING PERMIT
Filing Fee 20.00
USEOFSTRUCTURE
SF ❑ Duplex ❑ Mobilehome ❑ Other
SPECIFY
Each Trap
7.00
Solar or heat pump water heater
23.00
Water piping
15.00
Each as water heater or vent
15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Unities ❑ Installation ❑ Other ❑
Describe work: REPAIR SEWER DAMAGE DRY WALL
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home I s I G w
.020.00
PERMIT FEE $
ELECTRICAL PERMIT
Filing Fee 20.00
Main Service 2,'v OR LESS
23.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license is in rforce and effect /
License Class Lic. No. ���!
OWNER -BUILDER D ATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
❑ I, as owner of the property, or my employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
❑ I, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
❑ 1 am exempt under Sec. Business and Professions Code for this
reason
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
❑ 1 have and will maintain workers' compensation insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permit is issued.
My workers' o p sation insuran a carrier and olicy umber are:
Carrier I.b CV\
Policy Number i�QL— Q SE
(The above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
❑ 1 certify that in the performance of the work for which this permit is issued, I shall
not ploy any person in any manner so as to become subject to workers'
mpe tion laws of California, and agree that f I should become subject to the
workers compen pr visions of section 00 O f the Labor Code, I shall
forthwit comp ith a provisi '' j
Date l
Ig na ure of Ap ica ❑ Owner ❑ Contractor ❑ Age t
An OSHA perm' i quired for excavations over 60" deep and demolition or construction
of structures over 3 stories in height.
Main Service ZOOA TO 1000A
46.00
NEW CONST. DWELLING OCCUP.
OR ADDNS. & ACC.glos.
SO
3.50x:
INONRESID. ANCHO RCUT
07,50
- POWER APPARATUS
&.SINGLE OUTLET CIR
Ex. Occu ouTLEroRPrxTLIREs a�®'�
Ex. Occup. DUT ETAPP
Ao .°� 5.00
Temporary Service
23.00
Mobile Home Facilities 20.00
Misc. Wiring
23.00
PERMIT FEE $
MECHANICAL PERMIT Filing Fee 20.00
Heating
—Cooling
Hood
6.50
Ventilation
PERMIT FEP $
Mobile Home Installation Fee $
Energy Inspection Fee $
Occ
CONST. TYPE
TOTAL FEE $ 41.00
HAz
D PEES IMP
FLOOD
CDF
PARCEL
PD
HD
ISSUE
This permit is hereby Issued under the applicable
of the Butte County Code and/or Resolutions
indicated above for which fees have been
BZ4r, 7Date
PERMIT EXPIRES, ON
provisions
to do work
paid.
r2
to
Receipt No. TO
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT�SERVICES--.BUILDING DIVISION=_
7 County .Center Dive Oroville, Ci liforhia,.95965 � Telephone -(530) ,538=7541 -- .pEgµT r'-
(Rev?J9t3) ..APPLICATION AND PERMIT
"Ass0i6AFAAMkRAI iA
D°'"O '
BUILDINGi PERMIT
�."
SO 'FT.;; OCC. BUILDING -;;;7A UATION
OWMMS MALMO
Rs
TnsrwMa
' COMaTftX*T Q u�0Ei1 •- _
- - ,
uMVM MALMO AODRps �
Fre lace
Total Valuation i
' -
ARCWrlCT OA ENOY+L91 -
,
uccwsE No.
Fifin Fee S 20.(..
Permit Fee-
-
ARCWWr 04 EUOlr� I MALMO ADO WN
Plen. CheckingFee S .
suaDrgADDRess l
Ener . Plan Checking FeeLila—
PERMIT FEE _
r
uor►o
suatrvenrn►we
r""cM YA°
PLUMBING PERMIT MlIng Fee 20.0
USEOFSTRUCTURE
SF Duplex O Mobilehome O Other
aPeery
Each Tr 7.00
Solar or hent • um water Heater 23.00 .
Water piping t 5.00 .'
Each as water. heater or vent '-A,5.00 '
.TYPE OF_ WORK
New 0 Addition- 0 - Remodel 0 LMI& s O-lnab&tJon O Other
Deacrlbi' Work:
dae piping stem t - 5.outlets 15.00
Building sewer 1,5.00
Mobile Home S G W Q20.00
PERMIT FEE S
ELECTRICALPERMITFitln `Fee 20.C.
Main Service o0 'o. versa 23.00
_ —•---- - --
x :
-
•,'.
1,' f
_
` Y
C
+
o € ' ' _ ;
_r r
O .,.
Main .Service 2000, TO 1000 46.00
NEW co.a . DrYau+o occvP. 3 5asa
OR ADDAIS. a ACC. RDs. R.
wuLnourLer' ^^7.50
NOMRE9t0. :fir
POWER APPAA W - -
a cIa
EX. OCCU OUTM OR FDRNRS SAL e .w .
►DIED AMINO OR -
Ex. Oceu ovYIETs esw. EA 5.00
-Temporary Service 23.00
Mobile Home Facilities 20.00
Wsc. Wiring23.00
PERMIT FEE _
MECHANICAL PERMIT Feng Fee 20.C-
Heatin
Cooling
'Hood 6.50
Ventilation
PERMIT FEt S
Mobile Home Installation Fee.. S
Energy Inspection Fee. S
occ
Col6T. TYPE
TOTAL FEE $
IMP....F=O
PARCEL PO
iO l 6
This permit is hereby issued under.the applicable provisic,
ntdl�cntedunbove for whiunty ch tees he Resolutions to do .wc
have been`:paid "
Ly; Date �--.
RMIT.EXPIRES ON-
:
BUTTE COUNTY DEVELOPMENT SERVICES
Complainant:
Address:
Phone Number:
Other Comments:
:;.:,-:.. 'he:°�Iiov�:�n orma�rbn# S.tl�lrc�, sy..,..}.t,: f r 5
:.,..,..
a
Inspector must draw a plot plan with all building locations:
Y
Additional comments, from Inspector:_
2-
COUNTY OF BUTTE
BUILDING; DIVISION � 4 R'
DEPARTMENT OF DEVELOPMENT SER'
411 'Main Street • Chico, CA •:(530) 891
7 County Center Drive • Orovllle, CA • (53.0); f
CORRECTION NOTICE
WNER
A routine inspection indicates that the following violations of butte noun
above.address'and should be corrected.: Please -notice this office't:w
"completed: lfyou have any 'questions pertaining to this matter or nel
please contact this office immediately.
Y-
1
3 fop
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