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Butte County Department of Development Services •
IN O T E S 7 County Center Drive, Oroville, CA 95965 _
1
' "(530) 538-7601 —.byttgcoVntyneyos
RESIDENTIAL
AIN: 013'1_21T(-007 Permit No. D(0
Owner./�C� �''�� ��/�•►
Site Address:
Contractor. V rA
Type of Permit
f
,5
OFFICE COPY
Address
GAS Dated/"2���
Meter By
ELECTRIC
Meter By Date
SPECIAL CONDITIONS,
CHECKED BY
❑ SRA
❑ FLOOD CERTIFICATE EQUIRED F
❑ FIRE SPRINKLERS REQUIRED
Q SPECIAL INSPECTIONT EMS
❑ VERIFY k
❑ USE PERMIT CONDITIONS„
❑ SUBSTANDARD HOUSING LETTER
Q ENCROACHMENT PERMIT
❑ REINSPECTION FEE PAID '
❑ ENV HLTH CLEARANCE
Y-
� DATE JOS FlNAtED:
.. y
SIGNATURE:' dfr✓
t 5 NA
= OK
MANUFACTURED HOMES;
MISCELLANEOU-S
GATE PERMANENT FOUNDATION SOFT -SET
DATE ID E C K S'C O V,E R S'C A RPO RTS 'G A R A G ES
1 Zoning -Setbacks -Easements
1 Zoning -Setbacks -Easements • '_
2 Soils; Special MH Support Sketch
3 Sewer; Loctn-Test; FallIC/O-Concrete
2 Ftgs; Soils-Sz-Dpth- pacing-Cnnctrs-Steel
I 3 Decks, Girders/Joists-Dcking-Brcing
4 Wtr; Loctn-Test-Easement Needed -Regulator _
Stairs-Guard/Handrails
5 Elec Loctn-Clrncs-Grnd Amp -Concrete
6 Yard Gas; Loctn-Test-Wrap . Nat Q or LPQ
4 Wood Awn; Posts-Beams-Rftrs-Cnnctrs-Shthg
Frmg-13rcng
Inch Sz• Ft Lngth
5 Alum Awn; Columns-CnnctnsSplice-Decal-Enclsrs
7 Blckng; Sz-Spacing-Marriage Line
6 Carports; Wndws-Doors
8 Gas; MH Test-Demand-Valve-Cnnctr
7 Electric
9 Elec MH Cntnty Test-Crossovers-Breakers-Clrncs
8 Frmg; Sills=Anchrs-Studs-Rfirs-Trusses
7 10 Drain; MH Test -Fall -Flex Cnnctr
11 Wtr & Sewer Connected -C/O to Grade
9 Siding; Nailing -Veneer -Stucco -lath
10 Roof; Shthg-Roofing
12 Gas and. Electricity Tagged
11 Ext; Steps -Doors -Landings
13 Tie'Downs Q Foundation -Q,
12 Braced Wall pnls
14 Exits
15 Cert of Occupancy
16 HUD Labeinnsignia Numbers Serial Numbers
°�
DATE IPOOLS
1 Setbacks -Easements
"
2 Soils;.CompactionStructure Stability
-
3 Pool Structure; Steel-Cnnctns-Thickness
" Dead Men -Lining
4 Elec Rcptcls/Lting; Distance-GFI
5 Elec Pool Lting; 15 volts -CFI
6 Elec Enclsrs; Conduit Entries Terminals -Listed
7 Elec Bonding; Metal w/5'-Crcltng Egp-Htr
8 Elec Gmdng; Eqp w/5' Crclfig Eqp-Pool Ightg
' Bozes-EncIsrsTnlboards-Insultn to Main Conduit
' 9 Health Dept Apprvl
10 Plmb; Cir Test-Wtr Supply Test
11 Lt Niche ,
12 EncLsr, Fencing -Alarms
y
13 Bonding, Diving board or Slide
Pool Drawing `•
t'
•
. 9
= OK
Not OK
_ RESIDENTIAL (SIng Ia &
Duplex)
DATE JU140ERFLOOR DATE
PLUMBING
1 ZoningSetbacks-Easamen ts-Flood-Slope
53 Wtr Htr; Vent-Acc-Cmbstn Air Baffle
2 Ftg Main; Soils-Elec Grnd Ftg Dpth
54 Wtr Pipe; Test & Anchr-Nail Prtctn
3 Ftg Garage; Soils-Steel-Elec Grnd Ftg Dpth-
55 DWV; Test Fittings & Anchr Nail Prtctn
4 Ftg Porches/Decks; Soils -Steel Ftg Dpth
56 Shwr Pan; Test First flr-Tub Acc.
5 Stemwalls Main; Steel -Blackouts -Wrapped
57 Test Tub & Shwr, 2nd fir - Tub. Acc
6 Stemwalls Garage; Steel-Blockouts-Wrapped
58 Gas Pipe; Sz & Anchrs
61 Hold Downs and Special Anchrs
59 Fire Sprinkler- Test
7 Slab, Steel Wrapped
60 Yard Gas Piping
8 Piers-Frplc Ftg-Steel
9 DWV; Fall -Fitting -Test -2 -way CIO -Sewer Test
10 UF, Gas Pipe; Sz Anchrs-Sz Test
Tt Wtr Pipe; Test-Anchrs-Rgltr-Service test
12 Elec Undrgmd
DATE
MECHANICAL
13 Plenums & Ducts; Clrnc-MaterialSupport-Insultn
61 AC Ducts Insulin & Support
14 GirdersSills-Anchr BoltsJoists-Vnts-Cripples
62 Vent Fan, Exhaust abv Insults
15 Acc & Vntltn
63 Condensate Drain & Ovrtlw, Sz & Grade
16.Insulation
64 Furnace -Vent Acc-Comb Air Rtrn/Vent 115 Outlet
65 Attic Acc & Pltfrm if Furnace in attic
o' m
DATE IFRAMING
17 Sills Proper Materials & Anchrs DATE
FINAL
18 Walls Studs -Nailing Spacing & Braces-PlatesSound
66 Ext Steps -Door & SideLt Prtctn-Landings
19 Bearing Walls over Girders & fir Nailing
67 Smoke Detector
20 Draft Stop in Walls (rat proof)
68 Furnace Vnts-Clrnc-Comb, Air-Cnnctr.
21 Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs
In Garage- abv-fir-Ducts-Mech Prtctn
22 Headers & Beams-Sz & Bearing
69 Bedroom Exiting
23 Hangers -Post Caps-Anchrs-Cnnc ns
70 GFl & Bath Fxtrs & Tub Acc-Spa
24 Ceiling Joist-Rftr Ties-Purlin-Roof Brac TrussShthg
71 GFl Arc Fault
25 Frplc Ties or Type A Flue-Frplc Throat CImc
72 Elec Trim & Subpnl, Breaker Sts & Labels
26 Attic Acc; Sz & Rmx Prtctn-Draft Stopans Baffles
73 Stairs, Guard/Handrails
27 Bdrm Wndws or Exiting Doors -Sill Ht & Dimensions
74 Frplc or Stove, Clmc-Hearth
28 Garage Fire Prtctn Framing -RC Channel
75 Elec Outlets at Wood Pnl, Int & Ext
29 Prprty Line Firewall & Opngs
76 Ktchn, Fxtr & Appinc, Grnd-Air-Gap-Cooking Cime
30 Ext Doors -One T -Check Garage 3rd Story, 2 Exits
77 Elec Outlets & Rcptcls at Ktchn Counter
31 Stairs; Width-Hdrrn-Rise-Run-Landing-Fire Prtctn
78 Garage Fire Door, Swing -Landing -Closure
32 Plywd on Roof Ovrhng-Attic Vnts-Rffr Outrgrs
79 AC Duct in Garage -Damper
33 Siding -Nailing Veneer
80 Wtr Htr; Vnts-Clmc-Com Air Cnnctr-PRV; abv fir
34 Stucco Lath -Weep Screed-Fndtn Vnts-Undrflr Acc
Mach Prtctn- LPG Appince Undr House 3- drain
35 Glazing Area -Glass Prtctn-SkyLts-Plastic
81 Plmb; Elec & Mach Eqp Listed for Lottn
36 Shear Walls; Nailing -Bolts
82 Elec Rcptcls in Garage (GFl) Romex Prtctn
37 Brace Int/Ext Wall pnls
83 lnsultn-Foam-Looked in Attic
38 Insultn-Walls-Ceilings
84 Guard Rails & Deck Cnstrctn-Post Caps
39 Infiltration -Walls Wndws
85 Fndn Vnts & Crawl Hole Door Drnge & Wood -Earth
86 Clrnc Drnge Planters E)Yes QNo
S
• °mss
87 Stucco Brown -Finish
88 AC Unit Dscnnct, Elec-Plmb
89 Vnts abv Roof, Plmb-Appinc-Frplc-Clrnc to Opngs
DATE JELECTRICAL
90 Wtr Well, Dscnnct, Elec, Plmb
40 Fxtr & Tmsfrmr Clmcans Prtctn
91 Ext Elec Trim, GFl Rcptcl-Undrgrnd
41 Elec Rcptcls Spacing-Lts & Switches at Doors
92 Vntltn thru House
42 Sz Boxes & No Of Cndctrs Stapled
93 Glass Prtctn
43 Romex Installed Close to Edge of Studs & CJ
94 Corrections from previous Inspctns
44 Eqp Grnd made up w7Mech Fstnrs
95 Gas Test -Meters Tagged, Gas-Elec
45 Gmdng Electrode Bond Gas & Wtr
96 Wtr & Sewer Cnnctd-OIO to grade -HD Apprvl
46 2 Appinc Cires in Ktchn & Cndctr Sz GFl
97 Energy Cmpinc Cert -Other Certs
47 Subfeed Wire Sz 9 QCU or MAL
98 Address Posted
AC Wire Sz I QCU or 0 A
99. Fire Sprinkler
48 Range Circ 92 Q CU or 0 A
'Oven Circ 9. ❑ CU or ❑ AL
Insulated Neutral Oyes QNo
.�
49 Service -Riser Cndctrs & Grnd Main Dscnnct
50 Eqp Clrncs pnls-Motors-Mech Eqp
51 Clothes Closet Lt-Shwr Lt -Spa Lt
52 Smoke Detector
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT
24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO)
OFFICE #:. (530) 538-7541
LICENSED CONTRACTORS DECLARATION
I hereby affirm under penalty of perjury that I am licensed under
provisions of Chapter 9 (commencing with Section 7000) of Division 3 of
the Business and Professions Code, and my license is in full force and
effect.
License Class License Number:
Date: Contractor:
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the
Contractors' State License Law for the following reason (Sec. 7031.5
Business and Professions Code: Any city or county which requires a
permit to construct, alter, improve, demolish, or repair any structure, prior
to its issuance, also requires the applicant for such permit to file a
signed statement that he or she is licensed pursuant to the provisions of
the Contractor's State License Law (Chapter 9 commencing with Section
7000) of Division 3 of the Business and Professions Code) or that he or
she is exempt therefrom -and the basis for the alleged exemption. Any
violation of Section 7031.5 by any applicant for a permit subjects the
applicant to a civil penalty of not more than five hundred dollars ($500).):
9/1. 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
Code: The Contractors' State License Law does not apply to an
owner of property who builds or improves thereon, and who does
such work himself or herself or through his or her own employees,
provided that such improvements are not intended or offered for
sale. If however, the building or improvements are sold within one
year of completion, the owner -builder will have the burden of
proving that he or she did not build or improve for the purpose of
sale.).
❑ I, as owner of the property, am exclusively contracting with
licensed contractors to construct the project (Sec. 7044, Business
and Professions Code. The Contractors' State License Law does
not apply to an owner of property who builds or improves thereon,
and who contracts for such projects with a contractor(s) licensed
pursuant to the Contractors' State License Law.).
❑ 1 am Exempt under Article 3 of the Business and Professions Code
Date: � 2 - OL Owner: 'go 2,110
WORKERS' COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for
workers' compensation, as provided for by Section 3700 of the
Labor Code, for the performance of the work for which this permit
is issued.
❑ 1 have and will maintain workers' compensation insurance, as
required by Section 3700 the Labor Code, for the performance of
the work for which this permit is issued. My workers' compensation
insurance carrier and policy number are:
Carrier:
Policy
PERMIT NO.
BP060942
Issued Date: 04/25/2006 APN: 031-246-007-000
Site Address: 728 THERMALITO AVE ORO
Map Index:
Description: GAS LINE REPAIR
Owner: ISBELL FLYNN & SHIRLEY
1520 HAMMON AVENUE
OROVILLE, CA
95966
Applicant: ISBELL FLYNN & SHIRLEY
1520 HAMMON AVENUE
OROVILLE, CA'
95966
(530)533-6760
Contractor:
License #:
Architect:
Engineer:
Total Square Ft: 0 S.F.
Valuation: $0.00
❑ 1 certify that in the performance of the work for which this permit is Census Code:
issued, I shall not employ any person in any manner so as to
.become subject to the workers' compensation laws of California,
and agree that if I should become subject to the workers'
compensation provisions of Section 3700 of the Labor Code, I shall
forthwith comply with those provisions. :9 -ACJ ®I(�
Date: ` 1
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 Resol do s to do work IndicaI d. above for which fees have been paid.
performance of the work for which this permit is Issued (Sec 3097 Civ.)
Name: By: Date:
0 V)
Address:
PERMIT EXPIRES ON: j4 - 25— 07
rn,ra �
❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage,
handling and use of hazardous materials.
❑ Notification in accordance with Section 19827.5 of California. Health 8 Safety Code is not applicable to the scheduled construction of this project.
Cl 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. I hereby
authorize representatives of Butte County to enter upon the above mentioned property for inspection purposes.
Print Name: '' .5 k c � E, W -1 S `,,p T -I Signature
Date:
d2 Owner
❑ Contractor
❑ Agent for Owner
❑ Agent for Contractor
S. C. Building Permit 01.16-04 pg 1
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
' BUILDING PERMIT APPLICATION
AND SUBMITTAL REQUIREMENTS
24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834
OFFICE #: (530) 538-7541
A FEE WILL BE REQUIRED AT TIME OFAPPLICA TION
Website: www.buttecounty.net/dds
**PLEASE PRINT CLEARLY**
APPLICANT SIGNATURE
X �t�A_A 1/� CA41
For office use only:
OWNER INFORMATION
Last Name
SI
i arge�
Address
+0 tk 6 kOV_r
City
State
State
Zip
Phone
Fax
Fax
E-mail
Lic. #
APPLICANT SIGNATURE
X �t�A_A 1/� CA41
For office use only:
CONTRACTOR
Name
SI
Address
1 N (.,
City
City 0
State
Zip
Phone
Phone
Fax
E-mail
E-mail
Lic. #
Class
APPLICANT SIGNATURE
X �t�A_A 1/� CA41
For office use only:
ARCHITECT/ENGINEER
Name
SI
Address
1 N (.,
City
City 0
State
Zip
Phone
Phone
Fax
E-mail
E-mail
State License Number
APPLICANT SIGNATURE
X �t�A_A 1/� CA41
For office use only:
APPLICANT INFORMATION
Name
SI
Address
1 N (.,
Page
City 0
`;I
U
Stat
Zip
Phone
rax
E-mail
If hiring anyone other than license contractors, a certificate of worker's
compensation must be shown at the time of permit issuance.
APPLICANT SIGNATURE
X �t�A_A 1/� CA41
For office use only:
Zoning Flood Zone SRA I Yes No
Occ.
Type Const.
Subdivision Name
Map Book
Page
Lot #
Planner
Date Approved:
OVER FOR SUBMITTAL REQUIREMENTS
K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc
PERMIT
NO.
BP
BIN #
Page 1 of 3
Description or Scope Wo
a en
Sq FT- Living Garage Open Cov
❑ Structure Built without Permits
❑ Proposed Change of Occupancy
(Note previous use):
EXPIRATION OF APPLICATION
Applications for which a permit has not been issued will expire one
year after the date of application. In order to renew action on an
application after expiration, a new application, plans and fee will be
required.
REQUEST FOR REFUNDS
Refunds can only be made upon written request by the person who
paid the fee. The request must be made prior to the expiration of the
permit and no construction work has been done. Filing fees, plan
check fees for work plan checked and other department costs are not
refundable.
Received by: 6
Receipt #: %rolq I
Date: y-2�-QG
Amount: _ Bldg
SRA
Sheriff
SMIP
Other
Total
REV 8-12-05
LOCATION
AP#
�PROJECT
Property AddresCity
/
iaU�l
Cross Street
WORKER'S COMPENSATION
Policy Number
Carrier
If hiring anyone other than license contractors, a certificate of worker's
compensation must be shown at the time of permit issuance.
LENDING AGENCY
Name
Address
Page 1 of 3
Description or Scope Wo
a en
Sq FT- Living Garage Open Cov
❑ Structure Built without Permits
❑ Proposed Change of Occupancy
(Note previous use):
EXPIRATION OF APPLICATION
Applications for which a permit has not been issued will expire one
year after the date of application. In order to renew action on an
application after expiration, a new application, plans and fee will be
required.
REQUEST FOR REFUNDS
Refunds can only be made upon written request by the person who
paid the fee. The request must be made prior to the expiration of the
permit and no construction work has been done. Filing fees, plan
check fees for work plan checked and other department costs are not
refundable.
Received by: 6
Receipt #: %rolq I
Date: y-2�-QG
Amount: _ Bldg
SRA
Sheriff
SMIP
Other
Total
REV 8-12-05
SUBMITTAL & PERMIT REQUIREMENTS
The following drawings and specifications must be submitted to the Building Division in order to apply for a
permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK.
❑ 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. No graph paper!
❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans (No graph paper!) OR
Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations.
❑ 3. Engineered truss details and layouts in duplicate (if required). No faxes!
❑ 4. Energy compliance design and supporting documentation in duplicate.
❑ 5. Statement of Intent for Non -heated and A/C for Non -Residential Buildings.
❑ 6. Manufactured homes: (A) Installation manual, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans,
all in duplicate
❑ 7. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor
plans in triplicate. All of these must be stamped and wet -signed by the engineer.
❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate (if required).
❑ 9. Site plan and business license approval from the City of Biggs.
❑ 10. Letter of intent for non-residential buildings.
❑ 11. Building Permit Application Without Required Clearances Form
❑ 12. Hazardous Material Form (for Commercial Buildings only):
Remaining items needed to issue the permit. Additional items may be required after Plan Check and Planning
review (May require additional plan review upon receipt of the following items.)
❑ 1. Agricultural Buffer clearance and site plan approval from the Ag Commissioner's office (if required).
❑ 2. Impact Fees.
❑ 3. California Department of Forestry plan approval (if required).
❑ 4. NPDES Form.
❑ 5. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy).
❑ 6. Contractor's license information. (Number, Name Style, Classification).
❑ 7. Worker's Compensation Carrier and Policy Number.
❑ 8. Owner -Builder Verification (if required).
❑ 9. Letter of Signature authorization (if required).
❑ 10. Recorded copy of Agricultural Acknowledgment Statement.
❑ 11. ❑ Legal description from current recorded grant deed, ❑ Copy of M.H. Title, Title transfer, or MCO.
❑ 12. Sanitation and site plan approval from the Environmental Health Department:
If you have questions or would like additional information 'regarding this process, please contact a
Permit Assistant at (530) 538-7541.
EXPIRATION OF APPLICATION
Applications for which a permit has not been issued will expire one year after date of application. In order to renew action
on an application after expiration, a new application, plans and fees will be required.
REQUEST FOR FEE REFUNDS
Refunds can only be made upon written request by the person who paid the fee. The request must be made within two
years from the date of fee payment on permits not issued, and two years from the date of permit issuance for permits
issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan
check fees for work plan checked and other department costs are not refundable.
OVER FOR BUILDING PERMIT APPLICATION
KAFORMSWILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 3 REV 8-12-05
i •
. OWN -ER -BUILDER VERIFICATION
ICAT101`1 '
r
Attention Property Owner:
An "owner -builder" building permit has been applied for in your name and bearing your
signature.
Please complete and return this information at your earliest opportunity to avoid unnecessary
delay in processing and issuing your building permit. No building permit will be issued until this
verification is received.
1. I personally plan to, provide the ajor labor and material.for construction of this proposed
property improvement: YES S.
] NO[ ].
2. I HAVE [ ] HAVE NOT [ ] signed an application for a building -permit for the proposed ,
work: ,
3. I have -contracted with the following person (firm) to provide the proposed construction, t
NAME: '
ADDRESS:
PHONE: CON'TRACTOR'S LICENSE NO:
4. 'I plan to provide portions of the work, but I have hired the following person to coordinate, -
supervise, and- provide the major work:
NAME:
ADDRESS:
PHONE: CONTRACTOR'S LICENSE NO:
5. I will provide some of the work but I have contracted (hired) the following persons to provide
the work indicated: Y -
NAME ADDRESS PHONE., TYPE OF WORK
N
SIGNED:
PROPERTY OWNER $, A 4 a �A
DATE: 1 � � � � c �
NOTE: This Owner -Builder verification is required by Section 19831 and 19832 of the California
Health and Safety Code.. '
T'k„L, c7PrlG(`7+lr%n rmict }1P rrmmn1P+Pl1 nnrl rP-iirnPr1 tr% mir nfF;r`P 1-%PT/1TP tLP %rP nPT-m;i-+PA t!1 1CCl\P tiP
Butte County Department of Development user -Mites urr
ADMINISTRATION `BUILDING GIS PLANNING o �o
o o
7 County Center Drive o % o
Oroville, CA 95965 0 =;'�-:��t a
(530) 538-7541 Telephone
(530) 538-2140 Facsimile OU N�
OWNER -]BUILDER INFORMATION
Dear Property Owner:
An application for a building permit has been submitted in your name listing yourself as the builder of the property
improvements specified.
For your protection you should be aware that as "owner builder" you are the responsible party of record on such a
permit Building permits are not required to be signed by property owners unless they are personally performing their own
work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if
that person applies for the proper permit in his or her name.
Contractors are required by law to be licensed and bonded by the`Stat.e of California and to have a business license
from the city or county. They are also required by law to put their license number on all permits for which they apply.
If you plan to do'your own work, with the exception of various trades that your plan to subcontract, you should be
aware of the following information for your benefit and protection:
o If you employ or otherwise engage any persons other than your immediate family, and the work ('including materials
and other costs) is $200 or more for the entire project and such persons are not licensed as contractors or
subcontractors, then you may be an employer.
o If you are an employer, you must register with the state and federal government as an employer and you are subject
to several obligations including state and federal income tax withholding, federal social security taxes, workers'
compensation insurance, disability insurance costs, and unemployment compensation contributions.
o T here may be financial risks for you if you do not carry out these obligations, and these risks are especially serious
with respect to workers' compensation insurance.
o For more specific information about your obligations under federal law, contact the Internal.Revenue Service (and,
if you wish, the U.S. Small Business Administration). For more specific information about your obligations under
state law, contact the Department of Benefit Payments and the Division of Industrial Accidents.
If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their
work personally or through their own employees, without a licensed contractor or subcontractor, only under limited
conditions.
A frequent practice of unlicensed persons professing to be contractor is to secure an `owner -builder" building
Permit erroneously implying that the property owner is providing his or her own labor and material personally. Building
permits are not required to be signed by property owners unless they are performing their own work personally. -
Information about licensed contractors may be obtained by contacting the Contractors' State License Board in your
community or at 1020 N Street, Sacramento, California 95814.
Please complete and return the enclosed owner -builder verification from so that we can confirm that you are aware
of these matters. The building permit will not be issued until the verification is returned.
Sincerely,
AY6�
Scott Rutherford
Chief Building Inspector
NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code.
carbonless adams NC2583 2pA0T
STATEMENT
'AMQUNT-,. REM ITT ED
DETACH AND MAIL WITH YOUR REMITTANCE. YOUR CANCELLED CHECK ISYOUR RECEIPT
ah -w-
Butte County Department of Development Services-
IN O T ES 7 County Center Drive, Oroville, CA 95965
t _ r-
530 538-7601 coON�i
' ( ) vnnv.4µttecountynetidds 1
RESIDENTIAL
APN: Permit No.
031-246-007 06-0
Owner. 942
.
«ISBEL-L, FL•YNN-
Site Address: 728 THERMALITO AVE, OROVILLE
'
Contractor _�F GAS LINE REPAIR
Type of Permit:
1
i
f
x
s,
SPECIAL CONDITIONS
CHECKED BY
SRA
❑ FLOOD CERTIFICATE EQUIRED
❑ FIRE SPRINKLERS REQUIRED
Q SPECIAL INSPECTION ITEMS
Q VERIFY
Q USE PERMrr CON DMONS
Q SUBSTANDARD HOUSING LETTER
Q ENCROACHMENT PERMIT
❑ REINSPECTION FEE PAID
Q ENV HLTH CLEARANCE
F-1
+
DATE JOB FINALED:
SIGNATURE:
f
, =.OK
0 = Not OK
MA-NUFACTURED HOMES.
MISCELLANEOUS
f _
DATE PERMANENT FOUNDATION SOFT -SET
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 Zoning -Setbacks -Easements
1 Zoning -Setbacks -Easements
2 Soils; Special MH Suppoet Sketch
2 Ftg3; Soils-Sz-DpthSpacing-CnnctrsSteel
3 Sewer; Loctn-Test; FaIUC/O-Concrete
3 Decks, GirdersfJoists-Dcking-Brcing
4 Wtr; Loctn-Test-Easement Needed-Reyulator
' Stairs-Guard/Handrails ,
5 Elec Loctn-Clrncs-Grnd Amp -Concrete
4 Wood Awn; Posts-Beams-RftrsLCnnctrs-Shthg
6 Yard Gas; Loctn-Test-Wrap . Nat Q or LPQ.
Frmg-Srcng
Inch Sz Ft Lngth
5 Alum Awn; Columns-CnnctnsSplice-Decal-Enclsrs
7 Blckng; Sz-Spacing-Marriage Line
6 Carports; Wndws-Doors
8 Gas; MH Test-Demand-Valve-Cnnctr
7 Electric
9 Elec MH Cntnty Test-Crossovers-Breakers-DIrncs
" 8 Frmg; Sills=Anchrs-Studs-Rftrs-Trusses
10 Drain; MH Test -Fall -Flex Cnnctr
9 Siding; Nailing-VeneerStucco4-ath
' 11 Wtr & Sewer Connected -C/O to Grade
10 Roof; Shthg-Roofing
12 Gas and Electricity Tagged
11 -Ext; Steps -Doors -Landings
13 Tie Downs .� Foundation 0 _
12 Braced Walt pnls ,
14 Exits ,
15 Cert of Occupancy
a s`
16 HUD Labetlinsignia Numbers Serial Numbers
'
°'e 0�
f
DATE IPOOLS
`
1 Setbacks -Easements
2 Soils; Compaction -Structure Stability
3 Pool Structure; Steel-Cnnctns-Thickness .
Dead Men -Lining
4 Elec Rcptcls/Lting; Distance-GFi
5 Elec Pool Lting, 15 volts-GF1
6 Elec Encisrs; Conduit Entries -Terminals -Listed
7 Elec Bonding; Metal w15-Crcltng Egp-Htr
�8 Elec Grndng; Egpw/5' Crcling Eqp-Pool Ightg
Bones-Enclsrspnlboards4i sultn to Main Conduit
'9 Health Dept Apprvl
10'Plmb; Cir Test Wtr Supply Test
C
11 Lt Niche
12 Enclsr, Fencing -Alarms
' -
13 Bonding, Diving board or Slide
i � •
f _
1 w
rr'
OK
= Not OK
_ RESIDENTIAL (Single.&
Duplex)
DATE JUNOERFLOOR
DATE
IPLUMBING
1 ZoningSetbacks-Easements-Flood-Slope
53 Wtr Htr; Vent-Acc-Cmbstn Air Baffle
2 Ftg Main; Soils-Elec Grnd Ftg Dplh
.
54 Wtr Pipe; Test & Anchr-Nailf'rtctn
3 Ftg Garage; Soils -Steel -Flet Grnd Ftg Dpth,
55 DWV; Test Fittings & Anchr Nail Pctctn
4 Ftg Porches/Decks; Soils -Steel Ftg Dpth
56 Shwr Pan; Test, First flc-Tub Acc 1
5 Stemwalls Main; Steel-Blockouts-Wrapped
57 Test Tub & Shwr, 2nd fir - Tub•Acc
6 Stemwalls Garage; Steel-Blockouts-Wrapped
58 GasPipe; Sz & Anchrs
64 Hold Downs and Special Anchrs
59 Fire Sprinkler, Test
7 Slab, Steel Wrapped
60 Yard Gas Piping
8 Piers-Frplc Ftg-Steel
9 DWV; Fall -Fitting -Test -2 -way CIO -Sewer Test
10 UF, Gas Pipe; Sz Anchrs-Sz Test
°'
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o o'`• 0`�
ti Wtr Pipe; Test-Anchrs-Rgltr-Service Test
12 Elec Undrgrnd
DATE
MECHANICAL
13 Plenums & Ducts; Clrnc-MaterialSupport-Insults
61 AC Ducts Insulin & Support
14 Girders-Sills-Anchr Bolts,)oists-Vnts-Crip pies
62 Vent Fan, Exhaust abv Insultn
15 Acc & Vntltn
63 Condensate Drain & Ovrflw, Sz & Grade
16, Insulation
64 Furnace -Vent Acc-Comb Air Rtrn/Vent 115 Outlet
65 Attic Acc & Pltfrm if Furnace in attic
'6e__0•``
°� ��
0
DATE IFRAMING
17 Sills Proper Materials & Anchrs DATE
IFINAL
18 Walls Studs -Nailing Spacing & Braces -Plates -Sound
66 Ext Steps -Door & SideLt Prtctn-Landings
19 Bearing Walls over Girders & fir Nailing
67 Smoke Detector
20 Draft Stop in Walls (rat proof)
68 Furnace Vnts-Cirnc-Comb, Air-Cnnctr
21 Fire Stops, Furred Ceilings -Stairs -Chasers Tubs
In Garage- abv-fir-Ducts-Mech Prtctn
22 Headers & Beams-Sz & Bearing
69 Bedroom Exiting
23 Hangers -Post Caps-Anchrs-Cnnc ns
70 GFl & Bath Fxtrs & Tub Acc-Spa
24 Ceiling Joist-Rftr Tres-Purlin-Roof Brac TrussShthg
71 GFl Arc Fault
25 Frplc Ties or Type A Flue-Frplc Throat Cimc
72 Elec Trim & Subpnl, Breaker Sts & Labels
26 Attic Acc; Sz & Rmx Prtctn-Draft Stop -Ins Baffles
73 Stairs, Guard/Handrails
27 Bdrm Wndws or Exiting Doors-Sll Ht & Dimensions
74 Frplc or Stove, Cimc-Hearth
28 Garage Fire Prtctn Framing -RC Channel
75 Elec Outlets at Wood Pnl, Int & Ext
29 Prprty Line Firewall & Opngs
76 Ktchn, Fxtr & Appinc; Grnd-Air-Gap-Cooking Clrnc
30 Ext Doors -One 3' -Check Garage 3rd Story, 2 Exits
77 Elec Outlets & Rcptcls at Ktchn Counter
31 Stairs; Width-Hdrm-Rise-Run-Landing-Fire Prtctn
78 Garage Fire Door, Swing -Landing -Closure
32 Plywd on Roof Ovrhng-Attic Vnts-Rftr Outrgrs
79 AC Duct in Garage -Damper
33 Siding -Nailing Veneer
80 Wtr Htr; Vnts-OImc-Com Air Cnnctr-PRV; abv fir
34 Stucco Lath -Weep Screed-Fndtn Vnts-Undrflr Acc
Mech Prtctn; LPG Appince Undr House 3' drain
35 Glazing Area -Glass Prtctn-SkyLts-Plastic
81 Plmb; Elec & Mech Eqp Listed for Loon
36 Shear Walls; Nailing -Bolts
82 Elec Rcptcls in Garage (GFI) Romex Prtctn
37 Brace Int/Ext Wall pnls
83 Insults -Foam -Looked in Attic
38 Insults -Walls -Ceilings
84 Guard Rails & Deck Cnstrctn-Post Caps
39 Infiltration -Walls Wndws
85 Fndn Vnts & Crawl Hole Door Drnge & Wood -Earth
86 Cirnc Drnge Planters Dyes ❑No
°�• o °�' �s
87 Stucco Brown -Finish
88 AC Unit Dscnnct, Elec-Plmb
89 Vnts abv Roof, Pimb-Appinc-Frplc-Clrnc to Opngs
DATE E L E C T R I C A L
90 Wtr Well, Dscnnct, Elec, Plmb
40 Fxtr & Tmsfrmr Clmc4ns Prictn
91 Ext Elec Trim, GF] Rcptcl-Undrgrnd
41 Elec Rcptcls Spacing-Lts & Switches at Doors
92 Vntitn thru House
42 Sz Boxes & No Of Cndctrs Stapled
93 Glass Prtctn
43 Romex Installed Close to Edge of Studs & CJ
94 Corrections from previous Inspctns
44 Eqp Grnd made up w/Mech Fstnrs
95 Gas Test -Meters Tagged, Gas-Elec
45 Gmdng Electrode Bond Gas & Wtr
96 Wtr & Sewer Cnnctd-CIO to grade -HD Apprvl
46 2 Appinc Cires in Ktchn & Cndctr Sz GFl
97 Energy Cmpinc Cert -Other Certs
47 Subfeed Wire Sz 9a ❑ CU or ❑AL
98 Address Posted
AC Wire Sz 9. ❑ CU or ❑ AL
99. Fire Sprinkler
48 Range Circ 92 ❑CUor❑AL
'Oven Circ 9a ❑ CU or ❑ AL
Insulated Neutral ❑Yes ❑No °.•
.� s
49 Service -Riser Cndctrs & Grnd Main Dscnnct
50 Eqp CImcs pnls-Motors-Mech Eqp
51 Clothes Closet Lt-Shwr Lt -Spa Lt
52 Smoke Detector