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HomeMy WebLinkAbout031-242-016port. Noth Sierra 'Const. 788 Colusa Ave., lot #12, Orloville Permit #796-77B,P,E,M(new single family) 31-242-8 port. Permit #1307-77B(ad 1 fqo_t. age for permit #796-77)- 1 91�,2717 7 0317242-016 ' ' ; 04-08337 GATES, PAT &, LINDA 719.8 -N :COLAAVE* OROVI L CONT: WHEELER CONST ADD NOTES RESIDENTIAL ll v PERMIT N( d3l t f , f f , ' o(f 67y 5; ` SPECIAL. CONDITIONS �;.. CHECKED M_ _ BY SRA FLOOD CERTIFICATE REQ. . FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS " VERIFY USE PERMIT CONDITIONS SUB, -STANDARD HOUSING LETTER N r t •� f.f • }gtril JOB .FINALED (Date) t Signature. J=OK 0 = Not OK . = NotApplicable Not Ready 1. MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 3. 1. Zoning Requirements -Setbacks -Easements Wood Awn.; Posts- Beams- Rftrs-Connectors Shthg-Frg-Bracing 2. Soils; Special MH Support Sketch 6. 3. Sewer; Location -Test -Fall -C/O -Concrete Electric 4. Water; Location -Test -Easement Needed (Sketch) 9. 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete Roof; Shthg-Roofing 6. Gas; Location -Test-Wrap; -/ /" L'ft. / P Nat. or/ /" L "ft./ P LPG 12. 7. Well Clearance & Disconnect Light Niche 8. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch 11. Cert. of Occupancy Date Card B-1 Date Card B-1 " Date Card B-1 Date Card B-1 Date PERMANENT END SYSTEM (ONLY) 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Blocking 4. Gas; MH Test -Demand -Valve 5. Electricity; MH Test 6. Water; MH Test - • - 7. Water and Sewer Connected •- 8. Gas and Electricity Tagged 9. Exits 10. License Decals 11. Verify #'s with Office. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Beams- Rftrs-Connectors Shthg-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosures- Panelboards=Ins. to Main Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test " 11. Light Niche 12. Enclosure; Fencing -Alarms Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 = OK = Not OK = Not Applicable = Not Ready RESIDENTIAL (Single & Duplex) Date UND FLOOR (Plans) OK except #'s e Z ing-Setbacks-Easements-Flood-Slope Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Xemwalls, Garage; Steel- Blockouts-Wra ed Hol Downs and Special Anchors DoV.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test UF, Gas Pipe; Size Anchors -Yard Gas Pipinq; Size Test Test-Anchors-Requlator-Service Test 12. Elec Underground 13. P.Lenums & Ducts; Clearance -Material -Support -Ins. 1'4%Girders-Sills-Anchor Bolts-Joists-Vents-Crippies 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date and B-1 =4 Date Card B-1 Date PLUMBING (Permi4 OK except #'s 17. Water Htr.; Vent -Access -Combustion Air Baffle 18. Wal,-rPipe; Test & Anchor -Nail Protection W..; Test Fittings & Anchor -Nail Protection 20. S06wer Pan; Test, First Floor -Tub Access est Tub & Shower, Second Floor -Tub Access Gas Pipe; Sixe & Anchors 23. Fire Sprinkler; Test Date Ir rage; Above Floor-Ducts-Mech. Protection Card B-1 Date Card B-1 Date -`Cling.. Joist-Rftr. Ties- Purlin-Roll Brac.-Truss-Shting.-Rtng. Card B-1 Date Card B-1 Date ELECT AL (Permit) OK except #'s Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 24-'FixXre & Transformer Clearance -Ins. Protection 52. 25. lec. Receptacles Spacing -Lights & Switches at Doors Property Line Firewall & Openings 26. Size Boxes & No. of Conductors Stapled 55. 27. Romex I stalled Close to Edge of Studs & C.J. on Roof Overhang -Attic Vents -Rafter Outriggers 28. E � . Ground made up w/Mech Fasteners -Bond Gas & Water 58. AUelTAppliance Circuits in Kitchen onductor Size GFI GI ng Area -Glass Protection -Skylights -Plastic 30. Subfeed Wire Size//ga. Cu AI- .C. Wire Size/ 0 /galtar Al . 31. Range Circle/ /§a Cu or Al -Oven Circ. / ga Cu I Insulated Neutral O Yes O No sulation-Walls-Ceilings 32. Servic -Riser Conductors & Ground Main Disconnect Card B-1 Date Card B-1 33. E p. Clearances Panels-Motors-Mech. Equip. 84. Stucco Br - inish r` I lothes Closet Light -Shower Light -Spa Light Disconnect, Electrical -Plum i rig, 35. Smoke Detector nnect, Electrical, Plumbing Date Card B-1 Date Card B-1 Date lass Protection Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s Gas T s Tagged, Gas -Electric -07-A C . Ducts Insulation & Support 37. Vent Fan, Exhaust above insulation dress Posted 8 Condensate Drain & Overflow, Size & Grade 3 Fur ace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet 0 ttic Access & Platform if Furnace in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMI!�G (Permit) OK except #'s ills Proper Materials & Anchors 2' s Studs -Nailing Spacing & Braces -Plates -Sound Bearing Walls over Girders & Floor Nailing 44. Draft S!qp in Walls (rat proof) 45. Fir tops, Furred Ceilings -Stairs -Chasers -Tubs Headers & Beams -Size & Bearing Date FRAMI ontinued) Ir rage; Above Floor-Ducts-Mech. Protection ers-Post Caps -Anchors -Connectors Aa -`Cling.. Joist-Rftr. Ties- Purlin-Roll Brac.-Truss-Shting.-Rtng. 49. F place Ties or Type A Flue -Fireplace Throat Clearance & Subpanel, Breaker Sizes & Labels Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 51. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 52. Garage Fire Protection Framing -RC Channel 53. Property Line Firewall & Openings 54. Ext. ors -One 3' -Check Garage 3rd Story, 2 Exits 55. S Irs; Width -Headroom -Rise -Run -Landing -Fire Protection 56 -'Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 57. Siding -Nailing Veneer 58. Stucc esh-Drip Screed -Fd. Vents-Underflr. Access 59. GI ng Area -Glass Protection -Skylights -Plastic 60. Aear Walls; Nailing -Bolts . BrXe Interior/Exterior Wall Panels .WZ- sulation-Walls-Ceilings 63. Infiltration- Is indows Date -P-;-- Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 64. F teps-Door & Sidelight Protection -Landings 66- Smoke Detector 66. Furnace Vents -clearance -Comb, Air -Connector - Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: Ir rage; Above Floor-Ducts-Mech. Protection Bedroom Exiting 68. G.FI &Bath Fixtures &Tub Access Spa 59-'Gt�;�im & Subpanel, Breaker Sizes & Labels 7 Stairs & Rails 71. Fireplace or Stove, Clearance -Hearth 72. Elec. Outlets at Wood Panel, Int. & Ext. 7 ixt. & Appliance; Ground -Air -Gap -Cooking Clearance ec. Outlets & Receptacles at Kit. Counter Swing -Landing -Closure uc m arage-Damper 7VtjliLb arance-Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection Mech. Equip. Listed for Location lec. Receptacles in Garage (F.FI.)-Romex Protection nsulation-Foam-Looked in Attic ails & Qock Construction -Post Caps n. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor Cl Yes _ 8 ollowin Instld./Drip ❑ Yes NoNV ks O Y o/Planters O Yes O No 84. Stucco Br - inish r` I 85.. Disconnect, Electrical -Plum i rig, ents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings nnect, Electrical, Plumbing erior Elec. Trim, G.F.I. Receptacle -Underground ntil 'on Throughout House lass Protection 9 rrections from Previous Inspections °' Gas T s Tagged, Gas -Electric 93.-weq. r Connected -C/O to Grade -HD Approval Energy Compliance Certificate -Other Certificates Cl dress Posted nak Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street - Chico, CA - (530) 891-2751 7 County Center Drive • Oroville, CA - (530) 538-7541 CORRECTION, NOTICE 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 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. '0 A Z Date Inspector4M REV 10/92 U . ` COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street • Chico, CA (530) 891-2751 7 County Center Drive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE 0�3T WNER PERMIT NO. G• . 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. Weit %LOV10, Date ��� U ( Inspector REV 10/92 I .k, BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 FAX#: (530)538-2140 WEBSITE: www.buttecounty.net\dds PERMIT NO. BP040833 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: APN: 031-242-016-000 the Business and Professions Code, and my license is in full force and effect.C,� License Class: License Number: 52 Site Address: 788 COLUSA AVE ORO Date: Contractor: ez �/ Z Map Index: Description: add new kitchen (370) remodel old kitchen 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: GATES PATRICK CHARLES & LINDA SUSAN 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 788 COLUSA AVE 7000) of Division 3 of the Business and Professions Code) or that he or OROVILLE, CA she is exempt therefrom and the basis for the alleged exemption. Any 95965 violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does Applicant: GATES PATRICK CHARLES & LINDA SUSAN 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.). f ❑ 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.). Contractor: JOHN WHEELER CONSTRUCTION ❑ I am Exempt under Article 3 of the Business and Professions Code r Date: Owner: P O BOX 5262 - OROVILLE, CA 95965 WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: (530) 534_5950 ❑ 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 License #: 586797 is issued. _ 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 Architect' insurance carrier and policy/number are: Engineer: / 7-i Carrier: /�7l—a Policy #: (/ 44 ❑ 1 certify that in the performance of the work for which this permit is Total Square Ft: 370 S.F. issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, Valuation: $24,050.00 and agree that if I should become subject to the workers' Census Code' 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. ,07 el - CONSTRUCTION LENDING AGENCY This permit is hereby issued under the applicable provisions of the Butte County Code a_nrVor I hereby affirm that there is a construction lending agency for the Resoluti to do work indi ted a for hich fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) Name: BY C Date: CJ J Address: PERMIT EXPIRES ON: W ate ❑ 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. 1 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 f9rrn or document of Butte County. I hereby authorize representatives of Butte County to enter upon the above mentioned property for inspection purposes. Print Name: Z�/-/K 6Z v " Signature: ❑ Owner contractor ❑ Agent for Owner ❑ Agent for Contractor J M1 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE (530 8-7541 Pi n PERMIT NO. BP G 0.8 � (DATE:APN: _ it ZONING: WNER'S LAST NAME: OWNER'S FIRST NAM : PHONE: t -v-,"4-z"'h 5-3 3-- � STREET ADDRESS:-- J L / s FAk CITY, ZIP :' , � la J � E-MAIL: SITE ADDRESS: CITY �IP:N �vv� (� - ID N T C¢R� STREET: CT/LOT # BALL APPLICANT NAME: J PHON . STREET ADDRESS: n W � FAX CITY. ZIP E-MAIL: CONTRACTOR NAME: �' s� PHONE: STREET ADDRESS: �,/�a �7� / �v � � J / L FAK CITY, ZIP: n / E-MAIL: LICENNUMBER �i LICEN � G E: ARCHITECT/ENGINEER NAME: PHONE: STREET ADDRESS: FAX: CITY, ZIP: LICENSE NUMBER: E-MAIL: DESCRIPTION OR SCOPE OF WORK:3610 H ❑ Structure Built without permits ❑ Proposed Change of Occupancy (note previous use) �+Tv -T2A -V1G Dn-f4I -A&6 Fz;�S t,e ;X 0-7c)O EXPIRATION OF APPLICATION -11 Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fees will be required. REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. For office use only: (v` Notes: Application Received by: Date: Receipt number: Amount Received: f';p�'1 +' ."`"'j, i�lrrya.:� �uL?`s+�x-+r.�-wr+�ae-.„-•.=:.:.r-..r.,q'�7t�,r-.;r7j-':+,Y*-.1Ki+.tiir^ir�..d`xrw,,rar,, c�j`"""'�.Y1-� .�.. -. .,. . -r:o S-• C. 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 r� OWNER: -'G ASSESSOR PARCEL NUMBER v ✓ Proppsed,Building Use: Counter Technician: _Date: Items required in order to apply for a'permit./An boxes MUST be cliecked OR marked NA in oraiefjo apply. C�` '� 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. 9@ 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 du licate. ❑ 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 i,�16v 15. Sanitation and site plan approval from the Environmental Health Department in ❑ Chico ❑ Oroville, as applicable�l..� ❑ 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.... ea.;,...07_ 22. City of Chico Plumbing permit........................................................................ 23. California Department of Forestry plan approval ❑ paid. Sent by: ............. 60� 24. Planning approval (A) Use: C'4<� (B)Parking: (C) Parcel Check: 4 -`L - O�-j ❑ 25. Contact Land Development about _ Improvements, _ Drainage ......................... -C 26. NPDES Form............................................................................................. ❑ 27. Encroachment Permit for driveway from the Public Works Dept ........................... ❑ 28. Pre -Inspection for required....... ❑ 29. Contractor's license information. (Number, Name Style, 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..............................:..................................................I....... ❑ 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: 0 �, Date: 4/0' 1. Index permit -application for the above items numbered: PI Check Letter 2. " al items required Co cto designer, owner, was advised of the above data byone, ❑ mail, ❑ counter, by Date: or, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑counter, I Date: Plans reviewed by: Date: Plans approved by: Date Structural reviewed by: &f Date:_Ott Structural approved by: Date: Note transfer by: Date: Yellow: Building Division ,1 COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE, CA 95965 TELEPHONE (530)538-7541 SCHEDULE OF RECEIPT•OF FEES OWNER A.P. # ✓� `i'�•yl PROPROSED BUILDING USE DATE ` RECEIPT # DATE REC. 1. BUILDING PERMIT FEES --- Balance Due ..................... $ --- Additional Fees Due........... $ ---vi d Plan Checking Fee.... tCHOOL DISTRICT FEESby",C) (paid at School District Office) (form available Pl n Chec PM T 0 3. SHERIFF FEES (paid at Building Division) Residential............ X $36 =$ Units Commercial (sq. ftg.)....: X $0.03 $ Sq.Ftg. 4. URBAN AREA FEES (paid at Building Division) Residential (per unit)..... X = $ #Units Amt. Commercial (Sq. Ftg.)..,.. X s = $ ' Sq. Ftg. Amt. i 5. RECREATION DISTRICT FEES (paid at Recreation District Office) (form available after Plan Check) 6. THERMALITO DRAINAGE DISTRICT FEES $510.00 (paid at Building Division) 7. SRA FIRE INSPECTION AND PLAN CHECK FEE $89.00 (paid at Building Division) ' 8. WATER TENDER FEES BATTALION # $200.00 (paid, at Building Division) 9. NORTH CHICO SPECIFIC PLAN (paid at Building Division) Residential Zone X = $ r Zone # Units Amt. r ' Commercial (sq. ftg.) ......... X = $ Sq. Fig. Amt.' ' 10. OTHER At time of permit application, I was advised the above fees are required to be paid prior to issuance of the permit. These fees R may be changed durin a lan checki g p ocess. APPLICANT DATE �- � �• ��� Pursuant to Goverdment Code Section 66020, you are hereby notified that items, 2, 3, 4, 5, 6, 8, 9, and 10 above may have been imposed on your project. You have 90 days from the date of approval of the project or from the imposition of the above mentioned items during which you may protest. The requirements for a protest are specified in Government Code Section 66020(a). ' Original -Building Division Yellow -Applicant Pink -Owner (rev. 2/2003) 0 tO BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM/O� 35 � (One form per Building) School District bs�rt -Building Department No. A.P. Number wV-orq,9" JUlbdiction: city County Property Owner Property Location/Address Subdivision Lot No. ...................... ... ............................... a ...................................... 3 Residential Development Sq. Footage -70 No of Living Mobile Home Kd!:R7V­> *Supplemental to (Group R) Units Installation -::-Zon Orrsion Permit # *(No foundation Inspection) .................................. ..................................... ! .................. ... ..... Deed Restricted Sq. Footage (Attach a signed copy of Deed Restriction and Notice of Limited Use Facility document) Commercial/industrial New Addition Building Department Sq. Footage (including Exterior Roofed Area Date District Identification No. 04.0178 School District certifies that (Applicant) 00 A (Street Address) (Phone Number) )k2A V1- A of 1&� (City) I - (State) (Zip Code) has complied with the requirements of Resolution No. 0 by payment of $ representing 57o square feet. IAB 2926 IFULL MITIGATION School District Representative. Date Paid by Check # _10 Remarks: 5-100 Nafte: You may protest the Imposition of the feesldentlfled above by submitting a written "ad to the District, In compliance with Government Code Section 66020(a), within 90 days from On date ton are paid. Failure to submit a timely written protest will'prohlbit you from challenging the Imposition of the two In any court action. K. subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is Notifiedbythe sWl 11 local Planning Agency that this project is bNng rw *vmd under tie CMftrn a EMAmnnunW Quality Act (CEQA). this project may be subject to additional school to" to hilly mitigate. Us Impact on the school districro schools. White (applicant), Yellow (building department), Pink (school district) feeformads (10/03)d1mrn �--1 BUTTE COUNTY PERMIT NO. DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE: (530W58-7541 N v ' T CROSSSTREET: )T M. VT . N A L,L* APPLICANT NAME: , STREET ADDRES : M � -,dC FAX:PHONY. FAX CITY. ZIP- i ; E-MAIL: CONTRACTOR NAME: PHONE: _ STREET ADDRESS: J �7� % / L 17 FAX: ,= CITY. ZIP: � � n / / J C � E-MAIL: LICENSE NUMBER r' LICENSE TYP s ARCHITECTIENGINEER NAME: PHONE STREET ADDRESS: FAX: CITY, ZIP: LICENSE NUMBER E -MAIL - DESCRIPTION OR SCOPE OF WORK: ❑ Structure Built without permits ❑ Proposed Change of Occupancy (note previous use) � D -T-2A F) G ab n-f4i 04)I & �' � is 7`� X &-7 c10 EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fees will be required. REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. For office use only: Notes: Application Received by: Date: Receipt number: Amount Received: - National Pollutant .Discharge Elimination System (NPDES) Phase II Construction Storm. Water Permit and . Storm Water Pollution 4 Prevention Plan (SWPPP) Acknowledgement [LESS THAN 1 ACRE1 Project Title: VL , By signing below, I, the project-owner/owner's agent, certify that I am aware that a construction project that disturbs'l acre or more of land requires a Construction Storm Water Permit from the State Water Resources Control Board and that it is my responsibility to submit a Notice of Intent (N.O.I.), a Storm Water'Pollution Prevention Plan (SWPPP), and a- check for $700.00 made payable to the State -Water Resources' Control' Board to obtain such a permit if my project distuibg 1 acre or more of land. I, further, certify that this project will not disturb 1 acre or more of land. I am aware that submitting false and/or inaccurate information may result in revocation of grading and/or other permits or other sanctions provided by law. , Signed: Title: G6 r �u fav Date: • 796-77B,P,E,M ;PERMIT NO. t PERMIT EXPIRES OWNER North Sierra Const. . CONTR. owner s + LOCATION (A.P. 31=242-S' Port. 788 6e� spa Ave., oroville lot #12 f{y { :y t" s Temp. Power Pole Called PG&E �jTemp. Elec. Serv. Called PG&E Temp. Gas Serv. Called PG&E a•r� �i� JOB �yy� FINALED /l � (Date) + (Sign ure) Jj i !( 1 COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBING Setback z Firewall Soil Pipin Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Stemwall Windows %7 Sldin -------------�-- 3rd Floor To out Slab Piers Roof Sheathing Roofing Water Piping Sewer Garage Fdn. Vents A.> Fixtures Footings Garage Vents i' Water Htr. Stemwal Insulation j7' Heaters Slab Carport Footings Prov. for physically handica ed Conformance of ex. structure Appliances Gas Pi ing & Test Temp. Gas j Slab Final Sanitation " Patio F REPLACE Final Footings FootinE ECTR Masonry Walls Th—t ► o......ti 14 177 Bond Beam i f, 1 FIRE SPRINILL-019' I Motors v`— "0<.// U _ awccv i , Final Subpanels Mesh // MECHANICAL Grd. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish o2 Ducts -7 Underground Interior Lath a Ventilation '` �` Permanent -7 Z Door Closer �% % Final Final 4 MOBILEHOME UTILITIES -­-­---------- ---------- Elec_ Service Elec. Pedestal Water Piping Sewer # Gas Piping OBILEHOME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity } Water Piping - Drainage Gas Piping DATE �-, -�REMA,%R��K,S,�O�R CORRECTIONS C/ d/ '��'i""" "` a q" 0 ` e.r17 7`4c1 0 /C op n. /VY' C� C A 01, 77 Vv0 (NOTE: An entry must be made on this form each time you visit the job site.) a THIS IS TO CERTIFY THAT INSULATION HAS BEEN INSTALLED IN CONFORMANCE WITH THE CURRENT REGULA- TIONS, CALIFORNIA ADMINISTRATIVE CODE, TITLE }25; STATE OF CALIFORNIA, IN THE BUILDING LOCATED AT: Street Lot Number Tract No. EXTERIOR WALLS 3 ���_ 41, Manufacturer Thickness/Type R Value CEILINGS Batts: Manufacturer Thickness R Value Blown: Manufacturer�•Thickness No. Bags Wt./Bag Sq. Ft. Covered R Value �1 ' FLOORS- � Manufacturer Thickness/Type /Z-- R Value SLAB ON GRADE Manufacturer Thickness/Type R Value Width of Insulation _ -----------inches FOONDAT16N WALLS Manufacturer n Thickness/Type R Value GENERAL CONTRACTO LICENSE No. BY TI — DATE IN AT CO ',I OR: HAWKINS INS LATION CO. LICENSE No. 15-925 BY `� � TLE `'� '� _ DA 7 7 PERMIT N0. 1307-77B Temp. Power Pole Called PG&E y Temp. Elec. Serv. Called PG&E G Temp. Gas Serv. Called PG&E JOB FINALED (Date) (Signature) 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 Siding To out Slab Roof Sheathing Water Piping Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings StemwaI l Garage Vents Insulation Water Htr. Heaters Slab Carport Footings Prov. forphysically handica ed Conformance of ex. structure Appliances Gas Piping & Test Temp. Gas Slab Final Sanitation Patio FIREPLACE Final Footings Footing ELECTRICAL Masonry Walls Throat Rouc3h Relnf. 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 Finish Ducts Underground ' Interior Lath Ventilation Permanent Door Closer Final Final MOBILEHOME UTILITIES ------------------- Elec- Service Elec. Pedestal Water Piping Sewer Gas Piping OB16EHOME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping DATE REMARKS OR CORRECTIONS (NOTE: An entry must be made on this form each time you visit the job site.) r-CCAINTY OF'BUTTE DEPAFi rMENT OF PUBLIC WORKS 7 County Center Drive — OroviIIe, California 95965 ! Telephone: 534-4541 APPLICATION AND PERMIT auuwl—u 1Cwuaelltauve5 ul mu wunty ul nurse to enter upun the above-mentioned property for inspection purposes. X X Date 'z7 - gn ure P of mitee or Agent eceipt 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 aid. DIRECTOR P BLIC WORKS BY Date 3— Z — 7 R, ilding permit expires Date 7 BUILDING Owner � SO. FT. OCC. BUILDING VALUATION - 1116 —r ltilv, Me IN Mailing. Address O , ho �nP Fireplace Contractor 14 4 Total Valuation (jO Mai I i ng Address Permit Fee, PI an Checking Fee &/or Penal ty • Telephone Na. Permit Fee $ Building Address ' n WC PLUMBING No. @ FEE. PERMIT FILING FEE $3.00 3,00 Each Trap 1.50 2,0-0 DRepair drainage or vent piping 1.50 Water piping 1.50 ISO Zoning Verification Only Each gas water heater or vent 1.50 A. P. No :3 �- � 2 � � �ZO4 Gas piping system 1 - 5 outlets 1:50 .' d Each additional outlet .30 Fee kTW. a ion Fire Dept. Fire Zone Use Permit Building sewer 5.00,Q -O EOA Parking Parcel Plyan�s� Declar ion Parcel Map 60' R/W ents Improve ' Lawn sprinkler system 2.00 1'r d�PlanS 42eE1Bv arcel Approval Plon Approval Permit Fee $ a $ ; NEW ADDITION ❑ UTILITIES ❑ OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 ,0 Main service 6001 OR LESS 5.00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 2.50 Single Family ®- Duplex ❑ Mobil Home ❑ Others ❑ OVER 600V Main service 100 AMP OR LESS 25.00 Main service EA. ADD•L 100 AMP 1.00 - NEW CONS.• OR ADDNST ( DWEACCLBL GS.c 2(tsgft 3 r NEW CONSTR. (MU TILET 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 style of: , / Ex. Occup(OUTLETS OR FIXTURES) BAL 109 FIXED APPLNS. OR Ex. Occup. (OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 ��7/ License No. T ?/ Classification Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ - /0 s..3 le WORKMEN'S COMPENSATION INSURANCE I 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. j 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. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating �d Cooling ,Cyd Ventilation ' Hood 2.00 2,Q+ -O Permit Fee $ $ z I certify that 1 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 2,5 TOTAL PERMIT F E $ auuwl—u 1Cwuaelltauve5 ul mu wunty ul nurse to enter upun the above-mentioned property for inspection purposes. X X Date 'z7 - gn ure P of mitee or Agent eceipt 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 aid. DIRECTOR P BLIC WORKS BY Date 3— Z — 7 R, ilding permit expires Date 7 THERMALITO IRRIGATION DISTRICT 410 GRAND AVENUE OROVILLE, CALIFORNIA 95965 TELEPHONE 533-0740 CSA 26 SEWER SERVICE APPLICATION AND CONNECTION PERMIT Service Address: `fes-":, ' .f_ Owner's Name: �f � • .� �-( hh. =� Date: f ' -7 Address: ^��''�� �'`j Acct.'No: A. P. No: Phone: 3 �l �z No. Units- Applicant/Agent: 41 Ti% Address: Agents Proof: Fees: Phone: Application' _ Preliminary Review By: A � ','Ile, Date: �" ��' 7 f Arrearage CSA 26 Remarks: SC -0 R 1st mo. S.C. Other Total Fees �` 7�r '✓ Collected By: AQ -L Date: . ' -2 7 -7 Field Review By: Date: Remarks: MONTHLY SERVICE'CHARGES WILL COMMENCE AUTOMATICALLY UPON: ❑ Date of TID approval of completed building sewer (early connection). ❑ 30 days after.date above, or on date of D.P.W. approval of. .completed building sewer, whichever comes first ("existing construction", prior to Mar. 5, 1974). 0 180 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 oe The Bldg. Setback shaft 6e 5 ft. from --z side property line and 50 ft. from the centerline Of the road, permitting a maxi- ": mum of a 2.ft. eave overhang but entirely' e out of all" easements. This set of plans and speclficationsmu'S'T kept on the job of all tees n-nd s make any charcosor a4ir,�7';nns on same w*!fli,uf, written permission from -the •Department of Public Works, County of Butte. z -- NOTE: --,All Materials & Workmanship-- -Sh6tl- Accordance with Recogn-ize,-&,Go'od' - of a quality prescribed for the'4,Specified ."*6'tin'',''!Ii4 Uniform Building, Plurnbing & Mechanjcai "C"b" es an the National Electrical Code. tee Master Plan on Tile Tor,4i"', O P! Ing plans. l 1 COUNTY OF BUTTE — DENARTMENT OF -PUBLIC WORKS• County Center.Drive — OroviIle, California 95965 7 • Telephone: 5:4-4541 IA� / APPLICATION AND PERMIT. • BUILDING Owner ° yC S0. FT: OCC BUILDING VALUATION Mailing Address O� ' • Telephone No. Fireplace Contractor ons, lA Total Valuation S aQ Mailing Address Permit•Fee awlQ(j Plan Checking Fee &/or Penalty • Telephone No. !® Permit Fee- . $ Building Address p8 �- �� , PLUMBING No. . FEE 7ft Ct PERMIT FILING FEE $3.00 • 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. Z O Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 s Saaitati•on Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration Parcel Ma p 60' R/W Im rovements p Lawn'sprinkler system.. 2.00 4Vf 9� `<R cd Parcel Approval Plans Approval Permit Fee $ $ NEW '❑' ADDITION ❑ UTILITIES ❑ OTHER ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Q�, 7 OR L Main service 10000 AMP ORSLESS 5.00 ' Main service ,EA. ADD -L 100 AMP 2.50 ' Single Family Duplex ❑ Mobil Home ❑ Others ❑ Main serviceOVER 600V . 100 AMP OR LESS 25.00 Main service/ EA. ADO'L 100 AMP 1.00 ' - - NEW OR ADDNST \ DACCLBLDGS,LING CCUP. &) 2¢sgft NEW CONSTR. MULTI.OUTLET - - NON-RESID." (BRANCH.CIRCUITS) 2.50ea '� • NEW CONSTR.• (POWER APPARATUS & , NON RES,D. 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) BAL@1 EX. OCCU FIXED APPLNS. OR P•(OUTLETS (RESID.) EA) 2•00 Temporary service 10.00 t Mobile Home Facilities 15.00 I License No.+Zg 16 S Classification Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee , $ $ WORKMEN'S COMPENSATION INSURANCE I 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. Phl have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. r ❑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. • MECHANICAL - No. @ FEE F PERMIT FILING FEE $3.00 'Heating Cooling Ventilation Hood 2.00 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 . TOTAL PERMIT FEE $ aU lnUI ice ICNl VotllllalIVtl0 UI 1110 I,UUIIIY UI DUlle IU enler UPUn,1ne above-mentioned property for inspection purposes. X Date -5 Si atur o Per e! a or Agent A Receipt No. 1,6,9 `T�a 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 PD`BLIC WORKS By Date'! Building permit expires Date - 3