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031-246-005
CO_DEVIOLATION:_ 031-246-005 garbage & maintaining an unsafe structure 9-13-00:(10 day)-,611� t-oae, po, pgm� `031 Op & unsecured bldg. _ 30 day 7 1,-5-0.1 (see.Scot-J.) _._ 31-246-5 Bert J tjer 704 m 1�or e. , Orovil Perm t 1 69�77B(install 24peerimeter foun 'tions/SF) 31-246-5 John Bible - r Perm 221201-82B(rervof port of S/F & garade w/r IS F) _jV _ Petmit#3 ,9•-82B.,P,E,M-(repair fire damag IS - . 031-240-005. 01-0171 ' WILSON, PHILLIP 704 THERMALITO AVE., O ILLY CONTR:OWNER 1 REROOF & MISC ELECTRIC 031-246-005 05-3150 SCRUBY, DAVID & VICKIE 704 THERMOLITO AVE, OROVILLE Cont: OWNER ELEC SERV BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT_ 24 HOUR INSPECTION #: (530) 638-7636 (OROVILLE) (630) 891-2834 (CHICO) OFFICE #: (530) 638-7641 PERMIT NO. BPO53150 PERMITS BECOME NULL AND VOID 1 YEAR FROM THE DATE OF ISSUANCE, OR IF WORK IS DONE IN VIOLATION OF ANY COUNTY OR STATE LAWS. LICENSED CONTRACTORS DECLARATION I hereby affirm under penally of perjury that I am licensed under provisions of'Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date: 11/28/2005 APN: 031-246-005-000 the Business and Professions Code, and my license is in full force and effect. License Class : License Number: Site Address: 704 THERMALITO AVE ORO Date: Contractor: Map Index: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Description: upgrade elec service 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: SCRUBY DAVID M & VICKIE L to its issuance, also requires the applicant for such permit to file a 50 WALLY B LN signed statement that he or she is licensed pursuant to the provisions of the Contractor's Slate License Law (Chapter 9 commencing with Section OROVILLE, CA 7000) of Division 3 of the Business and Professions Code) or that he or 95966-5632 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 ap Ii nt to a civil penalty of not more than rive hundred dollars ($500).): 1, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' Slate License Law does not apply to an Applicant: SCRUBY DAVID M & VICKIE L owner of property who builds or improves thereon, and who does 50 WALLY B LN such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for OROVILLE, CA sale. If however, the building or improvements are sold within one 95966-5632 year of completion, the owner -builder will have. the burden of provingthat 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, Contractor: and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). O Iam E empt under Article 3 of the sin and Professions Code 0�7 Date: Owner. License #: WORKERS' COMPENSATION DECLARATION . I hereby affirm under penally 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. Architect: ❑ I have and will maintain workers' compensation insurance, as Engineer: required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier: Total Square Ft: 0 S. F.. Policy #: Valuation: $0,00 I 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 t os provi ions.0 - ` I Date: Z01 V I Applicant: WARNING: Failure to secure workers' compensation coverage is l unlawful, and shall subject an employer to criminal penalties and one 1 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 per is hereby issued u e e &pplicable provisions of the Butte County Code and/or I hereby affirm that there is a construction lending agency for the performance of the work for which this is issued (Sec 3097 Civ.) Reso ions to do work indi above or wh fees.have been paid. permit Name: By: Date: Address: PERMI . PIRES ON: (Da . te) ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safely 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. . O 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 offici f currien of Butte County. I hereby authorize representatives of Butte County to enter upon the above mentioned property for inspection pu s. �+ _Jr 1\ C U-13 Print Name: l Signature: c Date: 'Z 1 S ❑ Owner ❑ Contractor ❑ Agent for Owner ❑ Agent for Contractor B. C. Building Permit 01-16-04 pg 1' BUTTE COUNTY DEPARTMENT OF DEVELOPMENT.SERVICES BUILDING PERMIT APPLICATION AND. SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE I-VILL BE REQUIRED AT TIME OFAPPLICATION Website: www.buttecounty.net/dds x*PLEASE PRINT CLEARLYr APPLICANT INFORMATION OWNER INFORMATION Last Name State First N�ey�! t Address SU w LYCT�`C City. C)—V? J _ State ne Ci Faxail FE-m Date Approved: APPLICANT INFORMATION CONTRACTOR Name State Address Phone City State State Zip Phone E-mail Fax E-mail Date Approved: Lic. # Class APPLICANT INFORMATION ARCHITECT/ENGINEER Name State Address Phone City State Zip Phone Fax E-mail State License Number APPLICANT INFORMATION Name Address City State Zip - Phone Fax E-mail For office use only: Zoning Flood Zone Cit Ov �Z C SRA Yes I No Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: PERMIT NO. BPO: BIN ff .PROJECT LOCATION Propeqy Address ` / 0 4— ` HE fl4 ^ A-1. f 1� Cit Ov �Z C Cross Street r74! STS -2A— ' 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 Description or Scope of Work: Sq FT- Living Garage Open Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be required. REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has „been done. Filing fees, plan check fees for work plan checked—and other department costs are not refundable. Received by: z�? Amount: Bldg Receipt #�q V - Date: I 55Other Total 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 ori 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 KAFORMS\BUILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2 REV 8-12-05 OWNER -BUILDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary. delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the ryajor labor and material'for construction of this proposed property im .ovement: YES 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: NAME: ADDRESS: PHONE: CONTRACTOR'S LICENSE NO: 4. I plan to provide portions of the work, but_I have hired the following person to coordinate, supervise, and provide the major work:, NAME: ` ADDRESS: PHONE: CONTRACTOR' S LICENSE NO: 5. I will provide some of the work but I_ have contracted (hired) the following persons to provide the work indicated: NAME ADDRESS ..PHONE TYPE OF WORK SIGNED: PROPERTY OWNER- DATE:.- NOTE:, WNER:DATE:.NOTE:, This Owner -Builder verification is required by Section 19831 and 1983.2 of the California Health and Safety Code. This verification must be completed.and returned to our office before we are permitted to issue the permit. Rev'd 11/4/2004 Department of Development Services Building Division 7 County Center Drive Orov-We, CA 95965 (530) 538-7541 (530) 538-2140 FAX-.. GUARDRAIL DETAIL HANDOUT Nailing shall comply with Table UBC 23-11-13-1. Lumber shall be at least Douglas Fir #2 or better (D.F. #2).. Minimum concrete compressive strength shall be 2,500 psi at 28 days. (UBC 1922.2.4) Minimum underfloor clearances from finish grade to wood joists is 18'; (UBC 2306.3) and minimum 12" from the finish grade to wood girders or treated wood j'.s required. No wood shall be placed closer than 6" to earth unless it is foundation grade or pressure treated. (UBC 2320.13) m Top of Deck 1077771 Cr, - 4' Max. SIDE VIEW 4' Max. 36" Min. Min. 2x pressure treated ledger Min. 2 — 3/8"x ZW' lag bolts or screws. —� TYPICAL LEDGER If the deck/porch is 30" or greater above the finish grade a guardrail is required. Pier posts greater than 3 feet in height need to be diagonally braced between posts 4 - 16d nails or an approved post base connection If using precast piers, wet set precast pier into concrete footing Guardrail 1997 UBC.xls Min. 4 x 4 post @ 5'- 0" o.c. Intermediate rails spacing shall prevent the passage of a 4" diameter sphere. 4' Max. Top of 3/4" clearance Joist to the edge of -- �he wood member joist Min. 2 - 1/2" u dia. thru bolts required_ GUARDRAIL An approved post cap connection Girder or connect girder and post with 1/2" plywd gussett Post and 3 - 16d nails top & bottom 6" Min. 12" x 12" Footing 18" Min. embedment TYPICAL PIER FOOTING • % • + • � ' ; jj)` ' e COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING, DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 j R NO. (Rev. 12/96) APPLICATION AND PERMIT } IA�SS�ESS�O{R, P�AR�CyE4�NUMBER \AAT ZONING B U I LD I N G P ER M IT OWNER RUMP WILSON TELEPHONE 368 SO. FT. OCC. BUILDING VALUATION OWNERS MAIUNG ADDRESS 2010 FEATHER RIVER BLVD., Of�O{ UE. CA 95965 '�ry� 5 , 300 CONTRACTOR'S NAME 0114 i -l\ TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 15.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDINGADDRESS 704 TH1r�iMALITb AVE. OR(yVIILLL Energy Plan Checking Fee $ ' $ PERMIT FEE $ 35.DO LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF;❑► Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK ; New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ 1 Describe Work: R&MF & MC 3XIC Gas piping stem 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 v PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 Main Service z�o.A oa mss 23.00 LICENSED CONTRACTOR'S DECLARATION 1 hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: 0. I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service TO ,000A 46.00 NEW CONST. DWELLING =UP. W OR ADDNS. ( a Acc. e1 Ds. SO 3.50FT: "NOON-REESIOT. MULTI-OUTLET1. 97,50 POWER APPARATUS a SINGLE OUTLET MR. EX. Occup. OUTLET OR FD(TURES 200 .00 BAL Q ' .50 FIXED APPLNS. . OR Ex. Occup. ouTLETs RESIOEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirina 23.00 23.00 PERMIT FEE $ 43.00 WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: 0 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of.one hundred dollars ($100) or less.) 0,'oI 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 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. X i ���a` /'� /) •. _ Date / Signature of Applicant - P*Owner ❑ Contractor ❑ Agent An OSHA permits required for excavations over 60" deep and demolition or constructio/ of structures over 3 stories in height. ` MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE S Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST. TYPE TOTAL FEE $ 78.00 HAZ. D. FEES IMP I FLOOD I CDF PARCEL PO HD IS UE / 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. B y'u^� "'Date f PERMIT EXPIRES ON Date Receipt No. u41� WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION ,r 7 County Center Drive - Oroville, California 95965 - Telephone (530) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT N -el 71 031ASSE2SSORPARCEL NUMBER -46-005 ZONING BUILDING PERMIT OWNER PHILLIP WILSON TELEPHONE 534-7368 SO. FT. OCC. BUILDING VALUATION 5 300 . OWNERS MAILING ADDRESS 2010 FEATHER RIVER BLVD. OROVILLE CA 95965 CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAIUNG ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 1-5-00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDINGADDRESS 704 THERMALITO AVE. OROVILLE Energy Plan Checking Fee $ $ PERMIT FEE $ 35.00 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SFS Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: REROOF & MISC ELEC Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home ISI GI W1 @20.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 Main Service 2o0A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.POWER License Class LIC. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law forjhe following reason: as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The ab ve sections need not be completed if the permit is for work of a valuation e hundred dollars ($100) or less.) 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 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 fo hwith comply with th ovisions. X Date Si t re Ap// Icant - wner ❑ Contractor ❑ Agent An OSHA permitris required for excavations over 60" deep and demolition or constructio of structures over 3 stories in height. Main Service ( TO 46.00so DWE200ALLING CCU000A NEW coNsr. OwEUING Occup. 3.5¢F°; AD ONS. ( BUILDS. �Oi MULACC. ET NON REBID. CUITS@7.50 APPARATUS a SINGLE OUTLET CIR. 20 Q 1.00 Ex. Occup. OUTLET OR FDCTURES BAL @ .so Ex. Occup. OFIx�E�oTSA A. ORS 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 23, 00 PERMIT FEE $ 43.00 MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ 78.00 HAZ, I D. FEES IMP I FLOOD COF PARCEL po I HD I IS E 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. :BA(�te PERMIT EXPIRES ON et ReceiptNo. 314520 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 MainStreet • Chico, CA • (530) 891-2751 7 County Center Drive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE ER 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. Date' '' e� Inspector REV 10/92 Attention Property Owner: An "owner -builder" building permit has been applied for ' in your name and bearing your signature. Please complete and return this information at your earliest ;opportunity to: avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to' provide the major lab r and materials for construction of the proposed prope ' provement : YES[INO[ ]. 2. I HAVE[ AVE 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: NAME: ADDRESS: CITY: , PHONE: CONTRACTOR'S LICENSE NO. 4. I 'plan to. provide portions of this work, 'but I have hired the following peisonI to coordinate, supervise, and provide the major. work: '" NAME: ADDRESS.. v CITY: PHONE: CONTRACTOR'S LICENSE NO. •< 5. I will provide some of the work but I have contracted (hired) the followiPs-persons to provide the work indicated: - NAME ADDRESS PHONE i TYPE OF -WORK SIGNED: PROPERTY OWNER: S - DATE: NOTE: This owner -Builder Verification is required by Section 19831 and 19832 of the California Health'and Safety Code.:>_,; This verification must be completed and returned to our office'before we are permitted to issue the permit. IM Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified. For your protection, you should be aware that as "owner -builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may. protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be 'licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: • ' 0 If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $300 or more for the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. 0 If you are an employer, you must register with the State and Federal Governments as an employer and you are subject to several obligations including state and federal income tax withholding, federal socialsecurity taxes, workers compensation insurance, disability insurance costs, and unemployment compensation contributions. 0 There may be financial risks•for-you if you do not carry out these obligations,"and.these risks are especially serious with respect to worker's compensation insurance. 0 For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information aboutyour obligations under State Law, contact the Department of Benefit Payments and the Division'of Industrial Accidents. 3 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 contractors is to secure an "ownerbuilder" 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 contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento, CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm, that you are aware of these matters. The building permit will not be issued until the verification is returned. 1y, N is ael C:.Vi ira, C.B.O. ger, Building Inspection J NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code. 7` :� t 0 = Not UK 1 = Not Applicable MOBILEHOMES- - MISCELLANEOUS = -Not Ready Date MOBILEHOME UTILITIES (Plans) OK except H's` + 1. Zoning Requirements -Setbacks -Easements Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except k's 1'. Zoning Requirements ,Setbacks -Easements 2. Soils; Special MH Support -Sketch _ 2. Footings; Size -Depth -Spacing -Connectors 3. "Sewer; Location -Test -Fall -C/0 -Concrete _ 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Water; Location -Test -Easement Needed�(Sketch) 4. Wood Awn.; Posts-Beams-Rftrs.-Connec.-Shthg.-Rfg.-Bracing 5. Electricity; Location-Clearances-Grnd.-/ ••/ Amp -Concrete 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Gas; LocatiorrTest-Wrap:/ /"L"ft./ /"'Nat: or/ /"L"ft./ /"LPG 6• Carports`Windows-Doors-. 7. Utility Clearance _ 7. Elec. Card -BI Date Card -BI_. �•,*_ Date -e Card -BI Date Card -BI Date Card -BI Date Date Card -61, Date ' ` MOBILEHOME INSTALLATION (Plans) OK except H's 1. Zoning Requirements -Setbacks -Easements Card -BI Date _ Date Card -BI Date POOLS (Plans) OK except N's 1. Setbacks -Easements 2. Footings; Size -Spacing -Marriage -Line 2. Soils; Compaction -Structure Stability 3. Gas-, MH Test -Demand -Valve -Connector ' " 3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining 4. Electricity; MH Test-Crossovers-Breakers=Clearances t.. 4. Elec.; Receptacles and Lighting; Distances-GFI• 5. Drain; MH Test -Fall -Flex Connector 5. Elec.; Pool Lighting; 15 volts-GFI'` 6. Water; MH Test -Regulator -Connector 6:Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Water and Sewer Connected -C/O to Grade -HD Approval, 7, Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater 8. Gas and Electricity_ Tagged r 8. Elec.; Grounding; Equip.w/5'-Circulating Equip. -Pool Lghtg. Boxes -Enclosures -Panel boards -Ins. to Main in Conduit 9. Exits; Insp.-Sketch 10. Cert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test -Water Supply Test Card B -I Date Card -Bl' • Date = ` Card -B1- Date Card -BI L' ' Date". "���•. \ Card B -I Date Card -BI -, Date Card -BI Date Card -BI Date O =rNo OK' Not Applicable Not Ready RESIDENTIAL (Single and Duplex) , e Date UNDERFLOOR (Plans) OK except #'s Date FRAMING (Continued) 1. Zoning requirements -Setbacks -Easements operty Line Firewall & Openings 2. Ftg., Main; Soils-Steel-Elec. Grnd.- / /'' Ftg. Depth#W-Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 3. Ftg., Garage; Soils -Steel- / /" Ftg. Depth 50. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 4. Ftg., Porches & Decks; Soils -Steel- / /'' Ftg. Depth Plywood on Roof Overhang -Attic Vents -Rafter Outriggers - 5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab 52. Siding -Nailing -Veneer 6. Stemwalls, Garage; Steel-Blockouts-Wrapped=Slab 53. Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access - 7. Piers -Fireplace Ftg.-Steel 54. Glazing Area -Glass Protection -Skylights -Plastic 8. D.W.V.: Fall -Fittings -Test -2 way C/0 -Sewer Test 9. Gas Pipe; Size -Anchors 55. Shear Walls; Nailing -Bolts 10. Water Pipe; Test -Anchors -Regulator -Service Test 11. Electric; Underground 12. Plenums & Ducts; Clearance -Material -Support -Ins. 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples -BI Date//-/,?::'L6'ard-BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date FINAL (Rill s) OK except q's Ext. Steps -Door & Sidelight Protection -Landings Card -BI Date Date Card -BI Date PL ING (Permit'Acexcept O's 515 a Detector _ Water Ht. cess -Combustion Air Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Meth. Protection 4715. Water Pipe; Test & Anchors -Nail Protection 16. D.W.V.; Test-Fttngs & Anchors -Nail Protection S�rB'edroom Exiting Shower Pan; Test, First Floor -Tub Access f>d/G.F.I. & Bath Fixtures & Tub Access 18. Test Tub & Shower, 2nd Floor -Tub Access 6/rElec. Trim & Subpanel; Breaker Sizes -Labels _ _1.9_. Gas Pipe; Size & Anchors 62'.-Si�iTS & Rails lace or Stove; Clearances -Hearth fJec. Outlets at Wood Panel; Int. QjEr Card- I Date YCard-BI Date Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance C BI ��/ Date 1- Z f e'ard-TI Date F6/ETec. Outlets & Receptacles at Kit. Counter Date ELECTRICAL Fbff it OK except q's moire Door; Swing -Landing -Closer S8•-A'I7'&uct in Garage -Damper Fixture & Transformer Clearance -Ins. ProtectionNtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In -Garage; Above Floor -Meth. Protection - Alec. Receptacles Spacing -Lights &Switches at Doors 7 Plb., Elec. & Mech. Equip. Listed for Location _ize Boxes & No. of Conductors -Stapled 7i�ion-Foam-"tacIes in Garage; .)-Romex Protec. . Romex Installed Close to Edge of Studs & C.J. $*.-rq_uip. Ground made up w/Mech. Fasteners -Bond Gas & Water 72. Insulation -Foam -Looked in Attic *01m Attic Appliance Circuits in Kitchen &Conductor Size �� &Deck Construction -Post Caps - 26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or At 74. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor Wfes _jEerv,t 27. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al, Insulated Neutral Dyes ❑No 75. Following instld.: Drive �"" ❑ No; Walks es ❑ No; Planters �T�s ❑No -Riser Conductors & Ground -Main Disconnect 7 grown -Finish - a9i�quip. Clearances; Panels-Motors-Mech. Equip. 74#0'A.0 rt; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet -_- 30. Clothes Closet Light -Shower Light _ ents Above Roof Appliance-Firepl.-Clearance to Opngs. -- ----- ----- DisconnVeT, Electrical, Plumbing -------- D_ate� rd -BI Date J- xterior Elec. Trim; G.F.I. Receptacle -Underground 8i/Sentilation throughout House mss Protection Card B -I Date Card BI Date Date MECHANICAL (Perrnit) OK except q's _ orrections from Previous Inspections 94.--6es.S.est-Meters Tagged; Gas -Electric - 31. A.C. Ducts; Insulation & Support _a5�P, Sewer Connected -C/O to Grade -HD Approval _ 32. Vent Fan; Exhaust above Insulation 33. Condensate Drai Overflow; Size & Grade 86. Energy Compliance Certificate -Other Certificates _ 34. Furnace Ac_cess-Comb. Air -Return -Air Vent -115V outlet 35. Attic Access & Platform if Furnace in Attic Card- I _ C I Date �1 and -BI - %�� /^��_ _- Date Date //- .2.Q.-R�Zpd-BI Date Card -BI Date - Card -BI Date r. -Bl Date j -ap, Card -BI Date Card -BI Date Card -BI Date Date FRAM G(P*fs) OK except q's Comments at Final: _ _Sills; Proper Material & Anchors _ _ 37. _Walls; Studs -Nailing, Spacing_ & Bracing -Plates -Sound 38. Bearing Walls over Girders & Floor Nailing__ _ 39. Draft Stop in Walls (rat proof) _ _ Fire Stops; Furred Ceilings -Stairs -Chases -Tub 41. Header &_Beam -Size & Bearing 42. Hangers -Post Caps -Anchors -Connectors -- jii/Cing. Joist-Rftr. Ties-Purlin-Roof Trac.-Truss-Shthnq.-Rfnq. 44. Fireplace Ties or Type A Flue -Fireplace Throat /Attic Access: Size & Rom_ex Protection -Draft Stop -Ins. Baffles 46. Bdrm. Windows_ or Exiling Doors -Sill Hgt. & Dimensions _ 47. Garage Fire Protection Framing (NOTE: Anentrymust be made each time youvisit jobsite) n COUNTY OF BUTTE ' DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico.— Phone: 891-2751 7 County Center Drive, Orovi Ile — Phone:. 534-4541 Skyway and Elliott Road, Pafadise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE BUILDING OR PROPERTY ADDRESS A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, 'please contact this office immediately. r f C jr A t.� A" ! re J Inspector .' -- Date"• "�' Jy �. COUNTY OF BUTTE , DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone:,534-454j Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 _CORRECTION NOTICE BUILDING OR PROPERTY ADDRESS A routine inspection indicates that the following violations of County. Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, orr need additional explanation, 'please contactthis office immediately. Inspector Date/�"' s��•� COUNTY OF BUTTE -.DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville,,,Californ-a 95965 - Telephone 916/534-4541 APPLICATI'Oh -�1ND PERMIT L�� �•U MIT N0. f.. ASSESSOFI -PY,V = �ER 3 Z ZONING - BUILDING PERMIT tEj SQ. FT. OCC. BUILDING VALUATION / SOU 07A'I LAV I D 2LOAl -ST.V I // CONTRACTOR'S NAME W /VTELEPHONE eq C CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 10.00 LENDER'S MAILING AD RESS Permit Fee ARCHITECT OR ENGIN LICENSE NO. Plan Checking Fee - $ Penalty $ ARCHITECT OR ENGIN ER'S MAILING ADDRESS Permit fee $ S �Q� Bu oDIN ADq/j// � ,4" 7f!i � �/1T ��� PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Repair drainage or vent piping 5.00 Out C_ Water piping LOT NO. UBDIVISION NAME 7 -7 is -EL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF Duplex❑ Mobilehome❑ Other SPECIFY Building sewer Lawn sprinkler system 5.00 TYPE OF WORK New❑ Addition Remodel❑ Utilit'es Instal ation❑ Other " Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main seryice 1000V OR 0 AMP ORSLESS 5.00 Main service EA. ADD'L 100 AMP 2;50 NEW CONST. ( DWELLING OCCUP,&) OR ACDNS. ACC. BLDGS. _ / 20 sq ft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No: Classification i, as the owner, or my employees with wages as their sole compen- ration, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEWT-R°eslo R NC(MULTI-CUT CIRCT Ts 2.50 ea NEw CONSTR POWER APPARATUS e\\ NON-RESID. SINGLE OUTLET CIR. / 50 @ 25C Ex. OCCUp OUTLETS OR FIXTURES BAL@1 FIXED APPLNS. OR EX. Occup. �O UTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 Permit Fee $ Contractor MECHANICAL PERMIT Filing Fee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to -become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Heating Cooling Hood 3.00 Ventilation Permit Fee S Contractor I certify that I have read this application and state that the above.information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentio ed property for inspection purposes. I also agree to save, indemnify and eep harmless the County of Butte against all liabilit' s, judgm n , c s, d expenses which may in any way accrue ag inst s ) Count I on ed1 o h granting of this permit. %� ' Date �'�� i nature of Appli ant - Owner ❑ tractor ❑ Agent ❑ A OSHA permit is required for excovoti s over 5'0" deep and demolition or construct-TOii n of structures over 3 storesinheight.Receipt Mobile Home Installation Fee $ TOTAL PERMIT FEE $ 25-O C7 occuP. GROUP I TYPE OF CONST. PARCEL PD I HF ISSOE This er it is hereby issued under sio o e utte aunty Code and/or wo &qre�d 've for which OF PUBLIC y� PERMIT EXPIRES Date—ZZ�J the applicable provi- resolutions to do fees have been paid. WORKSi Date No.��IJ WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT - COUNTY OF BUTTE -. DEPA9 Meliiff CPQ PUBLIC WORKS• •� � PERMIT NO. 7 County Center Drive- Oroville, California 95965 -Telephone 916/534-4541Q`% • '- APPLICATION AND PERMIT. , ASSESSOR PARCEL NUMBER-� - ZON ING f_ ZLI&.- 5 . - BUILDING PERMIT'. DwNef��E 1& C iN` PH SQ. F -T. OCC. BUILDING VALUATI C� S . � Ei� MAX N GN DDR s� V/�.v V �C�C�C� ( ✓� I. CONTRACTOR'S NAME OW t f - TELEPHONE, z, CONTR,ACTOR'S MAILING ADDRESS Fireplace' CONSTRUCTION LENDS UNKNOWN - Total Valuation•• $ G' 57/O• n© Filing Fee $' - 10.00 LENDER'S MAILING ADDRESS _. - . Permit Fee $ 100 ARCHITECT OR ENGINE R LICENSE ND. '_Plan Checking Fee $ Penalty - $ ti ARCHITECT OR ENG EER'S MAILING ADDRESS .. Permit fee $ 5`�j t O(7 BUILDING DDR S � � r//_eX2 "fiLI PLUMBING PERMIT Filing Fee 10.00 Each Trap ^ 2:00 Solar Water Heater 20.00 Water,piping. 5.00 LOT NO. SUBDIVISION NAME PARCEL MAP Each qaS water heater or vent' 5.00 0Z? Gas piping system 1, - 5 outlets 5.00 �� USE OF STRUCTURE SF I"" Duplex❑ .Mobilehome❑ I Other- SPECIFY Building sewer 5.00 Mobile Home I S I G J,W I 10.00e TYPE OF WORK New ❑ -Additions❑ Remodel ❑ Uti litres ❑ Ins Ilation ❑ Other11` Describe work:' /—! DflM/� DIEL(/Mii . L�OIIE, ! 54(LARVA (PMel- iP�_�200FI Permit Fee $' ; 7 700 Contractor ELECTRICAL PERMIT ` ,Filing Fee 10.00 Main service 100v OR•LESS 100 AMPS OR LESS 10.00 O, 00 / �n-���• �• /� A/ /� �.— p�� ^ VEA Ai �G(i P I'r VGV/ e1ii / 6F— vGN 1 /- `� ! EW CONST I.e DWELLING 1000 AMP OR ADDNS. ACC. BLDG �)` ¢' , 1 2.50 Z,�V 2ksgft ,QQ CONTRACTORS LICENSE LAW 4' I declare under penalty of perjury (check one):1 ^i - ❑ I am licensed under provisions of Chapt. 9; Div. 3 of the BuSlneSs and' Professions Code and :my license is in full force and effect. License No. 01aSSIflCatlOn 1, 1 .Ex. I, *as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered ' for sale. (Sec. 7044) + ❑ I; 'as the owner, am exclusively contracting 'with licensed contract- ors..(Sec. 7044) . . t . • ❑ I am exempt under Sec. Business and Professions Code for this reason _ - NEW CONSTF;LULTI-OUTLET NON•RESID'. BRANCH CIRC ITS 2.50 ea NEW CONSTR. �. POWER APPARATUS &1 NON•RESID. SINGLE OUTLET^CIR. 1 , Ex. Occ Up(OUTLETS OR FIXTURES BA ®g OQ FIXED APPLNS, OR Occup. OUTLETS (RESID.) 'EA.) 2.00 Temporary service 10.00' , Mobile Home Facilities 15.00' Misc. Wiring 15.00' , -Permit Fee $ 15,115 +Contractor , MECHANICAL PERMIT Filing Fee 10.00 WORKMEN'S COMPENSATION INSURANCE ' ., I declare under penalty of perjury (check one): • , ,. ❑ The permit is for $100.00 (valuation) or less. % ❑ 1 have placed on file with the County of Butte Building Department a Certificate of. Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. • ' . I shall not employ any person in any manner so as to become subject to the W. C. laws of California. ' Notice to Applicant: If after making this statement; should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Heating (,( /�! 1nJ `Cooling ' Hood: e1.' 3.00 Ventilation permit Fee $ GV Contractor -. I certify that' I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify,and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in.any way, accrue against sai ounty in consequence of the granting of this/permit. X Date / ' Signature of Applicant — Owner Contractor`❑` Agent [I': An OSHA permit is required for ex o tions over 5'0" deep and demolition or construct-, ion of structures over 3 stories in heigh . Mobile Home Installation Fee' 'j $ _ ^ TOTAL PERMIT FEE $ I38.50 OCCUP. GROUP TYPE OF CONST.PARCEL .PD HD SSU - ' !This permit is hereby issued under si ins of the Butte County Code and/or work . indicated above for which DIRECT -QR OF -PUBLIC By. / EXPIRES Date the applicable provi- resolutions to do fees have been paid. -WORKS Date'����i��— Receipt No. ' � ' s ' `—PERPi WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT 1 i Owner: BUTTE COUNTY DEPARTMENT' OF PUBLIC WORKS SPECIAL INSPECTION' REPORT K-) , n _ Address: Tenant Building Location:` Type of Inspection requested: 1: Housing. 2.-F 3. -Change of Occupancy to -T—/'4-,.-Other (specify) Present use.of buildin A. Sanitation (Housing) .1. Water closet: 2. Lavatory: 3. Bathtub or shower: 4.: Kitchen sink:' 5. Hot and cold water to fixtures: 6. Heating'facilities: 7. Natural light and ventilation: 8. Room and space requirements: ...9..- Bedroom window or door for second exit:- 10. Infestation of insects, vermin,;or rodents: 11. �Connectio' to sewage disposal: 12. Connection to watei'.supply: i 13. Rubbish and garbage facilities: 14. Comments: B. Structural 'r 1. Piers and footings: 2. Floor construction: 3: Wall tonstruction: 4. Ceiling and:robf construction: 5. Fireplaces:' 6. . Comments: C. Electrical l.. Service and ground: 2. Receptac• es• ' 3.. Fusing: 4: Comment s: D. Plumb inR - 1. Futures connected and ven_ted:' ` 2. Gas water heater: 3. Gas heating vents: r 4... Comments: p E. Other. - 1. Maintenance -and repair: ` 2. Fire 'hazards: 3. Safety hazards: _ —---- ` 4; WeaV?er protection: ; 5. 1Jnderfloor and attic ventilation: 6: Corm:�ents F. Commercial Buildings 1. Roof covering: -`2-.- Distance to property lines: 3. Physically handicapped: 4; Rest:-ooi,1 floors land walls: -L. 5. Exits: I 6:._ Improvements 7. Zoning: ' 8. Comment. -i : G. Field Probl.r:is or ViclaLions 1. Problem o- -►iolation (give complete description): ?. What action taken (give compl ate -.i.escription) : •3. �y WhIat actinn r.ecomended: T7 P.. ' ".nfonuation only - f l<!. B. Hold for te:i (10) days, then write letter. ! / C. Write letter. D. Other: Temp. ,Power Pole Called PG&E Temp. Elec. Serv. Called PG&E Temp. Gas Serv: Called 'PG& E JOB FINALED (Date) (Signature) t kh COUNTY OF BUTTE — DEPART OF PUBLIC WORKS BUILDING INSPEC RIECORD BUILDING BUILDING (Cont'd) PLUMBING Setback Firewall Soil Piping Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor StemwaII Siding To out Slab Roof Sheathing Water Piping Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Stemwa I I Garage Vents Insulation Water Htr. Heaters Slab Carport Footings Prov. for physically handicaped Conformance of ex. structure Appliances Gas Piping &Test Temp. Gas Slab Final Sanitation Patio FIREPLACE Final Footings Footing ELECTRICAL Masonry Walls Throat Rou h Reinf. Steel Final Fixtures Bond Beam FIRE SPRINKLERS Motors Framing Test Water Htr. stucco Final Subpanels Mesh MECHANICAL Gird. 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 MON16EHOME INSTALLATION - - - - - • - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping DA REMARKS REMARKS OR CORRECTIONS (NOTE: An entry must be made on this form each time you visit the job site.) E X RI COUNTY OF,BUTT4E — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 . Telephoriz:'53#at41 APPLICATIONIND PERMIT QU II IUIILV IVVIUJUJIMIIVCJ UI LIJU t VUllly UI 6Ulle w enter upon Ine above-mentioned property for inspection purposes. x X Date Signature o ermitee or Agent Receipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees hav een paid. DIREMROPUBLIC WORKS BY Date 7 Building permit expires Date BUILDING Owner �� •,� SQ. FT. OCC. BUILDING VALUATION a/3,06,o a Mailing Address / Telephony Fireplace Contractor Total Valuation Mai l i ng Address Permit Fee i Plan Checking Fee &/or Penalty Telephone No. Permit Fee $ / �( Building Address %� - PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 L / Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. .� `r ✓ Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 F:bs SaA0,a4e.A Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Pla s Parcel Declaration Parcel a p 60' R/W Im rove nts p Lawn sprinkler system 2.00 Bldg. ans Rec'd P Approval ns Approval Permit Fee $ $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 A/ r4opjG �/�/ Main service eoov OR LESS 100 AMP OR LESS 5.00 5/ 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. AOD'L 100 AMP 1.00 ' NEW OR ADDNST ( DACCLBLDGLING OCCUP. &) 20sgft NEW CONSTR. MULTI.OUTLET NON-RESID. ( BRANCH CIRCUITS) '2.50ea ' NEW CONSTF;L 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 Y le of: Ex. Occup(OUTLETS OR FIXTURES) BAL�1 Ex. Occup. FIXED APP LNS. OR p•(0UTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 ® I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. 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 Cooling Ventilation �4_2.001 Hood 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 $ QU II IUIILV IVVIUJUJIMIIVCJ UI LIJU t VUllly UI 6Ulle w enter upon Ine above-mentioned property for inspection purposes. x X Date Signature o ermitee or Agent Receipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees hav een paid. DIREMROPUBLIC WORKS BY Date 7 Building permit expires Date t } �• tiquST his.set of pans an C: OD on 6n in .i of al! 4ir.ns ,\nd if is unl lwf l fo rrN�, Nnv chc_ nMges or m f��r ;I s on same without wriffe7 permission from the Department of Pubiic Works, County of Butte. Jt X_ l � i i NOTE:—All Materials & WcrLmanship Shall Be in Accordance with. Recognized Gcod Practices and of a clue.!ify prescribed for the Specified use in the Uniform Building, Numbing Mechanical Codes and the Pel rionaI Electrical Code. The Bldg. Setback shalt be 5 ft..from the siege property line and 50 ft.' from the. BUTTE COUNTY cenfer;*i e cf -'rhe road, pi tmitfing a maxi BUILDING DEPARTMENT of a 2 ft. eave overharig but entirely out of all eaisements. -. APPROVED- , -