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(
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` SPECIAL. CONDITIONS
�;.. CHECKED
M_ _ BY
SRA
FLOOD CERTIFICATE REQ.
. FIRE SPRINKLERS REQ.
SPECIAL INSPECTION ITEMS
" VERIFY
USE PERMIT CONDITIONS
SUB, -STANDARD HOUSING LETTER
N
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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