HomeMy WebLinkAbout031-255-01731-255-f'�
Debbie May a O 1-2
934 Thermalito Ave., Oroville U400 )
contr: Tom Rogers. Const., Orovi.11e;
Permit #4690-79B,P,E,M new sin le
ALE
family) �QD
q _
031-255-0171 .� 03-00 ��®
POTTS, ROBERT �> _
031-255-017 02-3 HALL 934 THERMALITO AVE., OR.
POTTS, ROBERT 1(- 2 i -p CONT: M &r M CONST.
934 THERMALITO AVE., OIt ADDITION, REMODEL
CONT: M&r CONVERSION M&M CONST. CONST.
RE -ROOF &r NEW FASCIA BOARDS
031-255-017 03-0055 031-255-017 04-07 9 ,
POTTS, ROBERT Hill, Gary
934 THERMALITO AVE., 934 Thermalito Ave Orovil e
CONT: M &z M CONST. Cont: Hightower, Brett
DETACHED GARAGE C70 Roof to HVAC
031-255-017 061111
HILL, GARY
934 THERMALITO, OROVILLE
Cont: T DOWNING
TRUSS ROOF
I
151
0/7
I
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT
24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO)
OFFICE #: (530) 538-7541
PERMIT NO.
BP061111
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 penalty of perjury that I am licensed under
provisions of Chapter 9 (commencing with Section 7000) of Division 3 of
Issued Date: 06/07/2006 APN: 031-255-017-000
the Business and Professions Code, and my license is in full force and
effect. R
OT 6�
License Class: 'J License Number:
Site Address: 934 THERMALITO AVE ORO
Date: r��L�GI Contractor. % �� ^'� �'�
Map Index:
Description: FIRE DAMAGE- 15 TRUSS, ROOFING, '
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
RESET SAME SIDING
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
Owner: HILL GARY W & SHANNON
signed statement that he or she is licensed pursuant to the provisions of
the Contractor's State License Law (Chapter 9 commencing with Section
934 THERMALITO 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
95965-4427
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: T DOWNING CONSTRUCTION
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
1351 E 9TH ST
proving that he or she did not build or Improve for the purpose of
CHICO, CA 95928
sale.).
❑ I, as owner of the property, am exclusively contracting with
(530) 894-3473
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: T DOWNING CONSTRUCTION
❑ I am Exempt under Article 3 of the Business and Professions Code
Date: owner.
1351 E 9TH ST
CHICO, CA 95928
WORKERS' COMPENSATION DECLARATION
ereby affirm under penalty of perjury one of the following declarations:
(530) 894-3473
ave 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 #: 803263
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:
All—e
Engineer:
Carrier. lrl-t-
060 K Z`
Policy#:
❑ 1 certify that in the performance of the work for which this permit is
Total Square Ft: 0 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: $0.00
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: -S
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 her ssudd under the applicable 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 permit is issued (Sec 3097 Civ.)
Resolutio icated above for which fees have been paid. �t
f
_ O
By: Date: l
Name:
PERMIT EXPIRES ON: ` O
Address:
Date
❑ I hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage,
handling and use of hazardous materials.
❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project.
❑ Attached are copies of the required E.P.A. notification forms.
I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with
all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby
authorize representatives of Butte County to enter upon the above mentioned property for inspection purposes.
Print Name:i �- e W �� Signature:
Date:
❑ owner Contractor AZt 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 WILL BE REQUIRED AT TIME OFAPPLICA TION
Website: www.buttecounty.net/dds
"PLEASE PRINT CLEARLY"
CONTRACTOR
OWNER INFORMATION
Last Name j
Address `� -2j- DA
irst Name
Address �`
City
City ,yf a��
Zip��f��
State
Zip
Phoney
E'rDATOP w'%' G"Gum -ilLic.#Pp376
Fax
E-mail
State License Number
CONTRACTOR
Name -T—)DO w ^ r
c�nZ
Address `� -2j- DA
Address
City G(60
City
State(-
Zip��f��
Phone 6 f� 3 17,�
Phone
Fax TOL
E'rDATOP w'%' G"Gum -ilLic.#Pp376
E-mail
Class
APPLICANT SIGNATURE
For office use onI
ARCHITECT/ENGINEER
Name
/
4
Address
+A"
City
Occ.
State
Zip
Phone
LENDING AGENCY
Fax
E-mail
Lot #
State License Number
APPLICANT SIGNATURE
For office use onI
APPLICANT INFORMATION
Name
/
4
Address
+A"
City
Occ.
State
Zip
Phone
LENDING AGENCY
Fax
E-mail
Lot #
APPLICANT SIGNATURE
For office use onI
Zoning
Flood Zone
AT
SRA I Yes
No
Occ.
WORKER'S COMPENSATION
Type Const.
Subdivision Name
LENDING AGENCY
Map Book
Page
Lot #
Planner
Date Approved:
OVER FOR SUBMITTAL REQUIREMENTS
K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc Page 1 of 2
i
PERMIT
NO. t j
BP
BIN N
PROJECT LOCATION
R ceiv y: Amount:
'OMT re
AT
a
C�
Cross Street
WORKER'S COMPENSATION
Policy Number ODDyz �G "7/dds�
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 ar Open Cov
❑ Structure Built without Permits
O 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.
REV 8-12-05
R ceiv y: Amount:
93—Bldg
AT
SRA
Receipt #:
U�
Sheriff
SMTP
Date 1
Other
b{n
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
KAFORMS\BUILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2 REV 8-12-05
�v....>.'„-. .:;✓�^i:,-;.y. .-�.. v,! -.ti.... l:.-� r ...ft. h^"ti=4,.�-.�.' ,v"fvL:u'-:.�Yv „'kn..•. ,.. ..M. -.a, i Y
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
OWNER: \ (-ASSESSOR PARCEL NUMBERl
Proposed Building Use: Permit Technician: Date: G
items required in order to apply for a permit. All boxes MUST be checked OR marked NA in orde A6 apply.
❑ 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.
4. Engineered truss details and layouts in duplicate. No faxesl
❑ 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) Installation manual, including marriage line info, (C) Floor Plan, (D) Tie down or fid plans, all in
duplicate.
❑ 9. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and talcs 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. Hazardous Material Form
❑ 12. Acknowledgement of building permit application without required clearances.
❑ 13. Other
Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.)
❑ 14. Sanitation and site plan approval from the Environmental Health Department in ❑ Chico ❑ Oroville, as applicable
❑ 15. Fire Sprinklers............................................................................................
❑ 16. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by
❑ 17. Soils Report and/or Engineered Foundation required ...........................................
❑ 18. Erosion Control Plan Required........................................................................ '
❑ 19. Fees as shown on the attached Schedule of Fees Due Sheet ..............................
❑ 20. City of Chico Plumbing permit........................................................................
❑ 21. Site plan and business license approval from the City of Biggs ..............................
❑ 22. California Department of Forestry plan approval ❑ paid. Sent by:
❑ 23. Planning approval for (A) Use: (B) Parking: (C) Parcel Check: ............
❑ 24. Contact Land Development about _ Improvements, _ Drainage ........................
❑ 25. Fire Marshall Review (commercial projects only). Sent by: ......................
❑ 26. NPDES Form.............................................................................................
❑ 27. Encroachment Permit for driveway from the Public Works Dept ...........................
El 28. Contractor's license information. (Number, Name Style, Classification) ...................
❑ .29. Worker's Compensation Carrier and Policy Number ..........................................
❑ 30. Owner -Builder Verification ( _ Given to owner, _Mailed to owner) .....................
❑ 31. Letter of Signature authorization....................................................................
❑ 32. Recorded copy of Agricultural Acknowledgment Statement .................................
❑ 33. Existing violations and/or expired permits.........................................................
❑ 34. Deed Restriction..........................................................................................
❑ 35. ❑ Legal description, ❑ M.H. Title, title search, registration or MCO .........................
Cl 36. Other:
❑ 37. Other:
When issued Telephone 15-16,
hold for picku %�
I have been inform irements for obtaining a building permit. u
Applicant: - - -- Date:
I. Index permit application for the above items numbered: Plan Check Letter
2. Additional items required
Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date:
Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date:
Contractor, designer, owner,yr s advised of the abo a ata by ❑ phone, ❑ mail, ❑ counter, b Date:
Plans reviewed by: l Date: Plans approved by:Date:
Structural reviewed by: Date: Structural approved by: Date:
Note transfer by: Date:
Yellow: Building Division
K/Building/Plan Check/Data Sheets/data sheet page 2 9.27.05
Re: Downing_Tim
MiTek Industries, Inc.
7777 Greenback Lane
Suite 109
Citrus Heights, CA, 95610
Telephone 916/676-1900
Fax 916/676-1909
The truss drawing(s) referenced below have been prepared by MiTek Industries, Inc. under my direct supervision
based on the parameters provided by Endeavor Homes.
Pages or sheets covered by this seal: R21163499 thru R21163499
My license renewal date for the state of California is March 31, 2007.
May 8,2006
Tingey, Palmer
BUTTE COUNTY
BUILDING DIVISION
APPROVED
The seal on these drawings indicate acceptance of professional engineering responsibility solely for the
truss components shown. The suitability and use of this component for any particular building is the
responsibility of the building designer, per ANSI/TPI-2002 Chapter 2.
Job
rues
rasaType
DEFL
y
floc)
DOWNING–TIM
A
FINK
1
1
821163499
Vart(LL)
-0.09
2-9
>999
240
Job Reference(optional)
nzuu s Jul 13 [Wo MI I ex uwustnes, Inc. Mon May 08 08:21:38 2006 Page 1
-2-0-0 6-414 12-M 17-7-2 24-0.0 26.0-0
2.0-0 6-414 5-7.2 5.7-2 6-414 2-0-0
Scale = 1:45.4
4x5 =
sxo —
5xe =
3x4 =
8-0-0 16-0-0 24-0-0
8-0-0 8.0.0 8-0-0
V
Id
LOADING(psf)
SPACING 2-0-0
CSI
DEFL
in
floc)
I/defl
L/d
PLATES GRIP
TCLL 16.0
Plates Increase 1.15
TC 0.22
Vart(LL)
-0.09
2-9
>999
240
MT20 220/195
TCDL 10.0
Lumber Increase 1.15
BC 0.43
Vert(TL)
-0.21
8-9
>999
180
BCLL 0.0
Rep Stress Incr YES
WB 0.26
Horz(TL)
0.05
6
n/a
n/a
BCDL 10.0
Code UBC/ANSI95
(Matrix)
Weight: 94 lb
LUMBER BRACING
TOP CHORD 2 X 4 DF N0.1&Btr TOP CHORD
BOT CHORD 2 X 4 DF No.1&Btr BOT CHORD
WEBS 2 X 4 DF Std
REACTIONS (Ib/size) 2=965/0-3-8,6=965/0-3-8
Max Horz2=73(load case 5)
Max Uplift2=-119(load case 3), 6=-119(load case 4)
FORCES (lb) - Maximum Compression/Maximum Tension
TOP CHORD 1-2=0/32, 2-3=1985/97, 3-4=1780/76, 4-5=1780/77, 5-6=1985/98, 6-7=0/32
BOT CHORD 2-9=-7411829,8-9=0/1246,6-8=18/1829
WEBS 3-9=-314/128, 4-9=0/604, 4-8=0/604, 5-8=314/128
Sheathed or 4-6-11 oc pudins.
Rigid ceiling directly applied or 10-0-0 oc bracing.
NOTES
1) Unbalanced roof live loads have been considered for this design.
2) Wind: ASCE 7-98; 90mph; h=25ft; TCDL=6.Opsf; BCDL=6.Opsf; Category ll; Exp B; enclosed; MWFRS gable end zone; cantilever left and
right exposed ; end vertical left and right exposed; Lumber DOL=1.33 plate grip DOL=1.33.
3) This truss has been designed for a 10.0 psf bottom chord live load nonconcurrent with any other live loads.
LOAD CASE(S) Standard
BUTTEC"OUNTY
BUILDING AVISO N
�OQ?,pFESS/pNgl
S.
�
C 06433;a
*\ 5��-1-47 /*
May 8,2006
0 WARND7G - Verib design pammetem and R84D NOTES ON T8r$ AND DVMMED MITES REFERENCE PAGE 8U-7473 RSFORE U66. 7777 Greenback Lane m
DesiIggn valid f« use only with MITek connectors. This design B based only upon parameters shown, and k for an individual building component. Suite 108
Applicability of design parameniers and proper Incorporation of componentpo y ng designer- not tens designer. Bracing shown Citrus Heights, CA, 95610
is res nsiblll of building
Is for lateral support of individual web members only. Additional temporary bracing to insure stabRty during construction is the responsiblllity of the
erector. Addfional permanent bracing of the overall structure Is the responsibility of the building designer. For general guidance regarding
fabrication, quality control, storage, delivery, erection and bracing, consult ANSI/TPII Quality Criteria, DSB-89 and BCSII Building Component M T®kms
Safety Information available from TeM
Truss Plate Institute, 5113 D'Onofrio Drive, adison, WI 53719.
It
Symbols
Numbering System
A General Safety Notes
PLATE LOCATION AND ORIENTATION
Failure to Follow Could Cause Property
3/4 `Center plate on joint unless x, y
offsets are indicated.
Dimensions are in ff-in-sixteenths.
6-4$ dimensions shown in ft -in -sixteenths
u Damage or Personal In
9 Injury
Apply plates to both sides of truss
1. Additional stability bracing for truss system, e.g.
and securely seat.
diagonal or X -bracing, is always required. See BCSI1.
-'/1
2. Never exceed the design loading shown and never
1 2 3
TOP CHORDS
C1-2 C2a
4
stack materials on inadequately braced trusses.
3. Provide copies of this truss design to the building
designer, erection supervisor, property owner and
o WEBS tea,
all other interested parties.
For 4 x 2 orientation, locate
Oz U �+�' p
4. Cut members to bear tightly against each other.
plates 0 -'ad' from outside
U .° T_
a " U
CL
5. Place plates on each face of truss at each
edge of truss.
O
joint and embed full Knots and wane at joint
y'
C7-8 C6-7 C51-6
locations are regulated by ANSI/TPI1.
BOTTOM CHORDS
`This symbol indicates the
required direction of slots in
8 7 6 5
6. Design assumes trusses will be suitably protected from
connector plates.
the environment in accord with ANSI/TPII I.
`Plate location details available In MRek 20/20
7. Unless otherwise noted, moisture content of lumber
shall not exceed 19% at time of fabrication.
software or upon request.
JOINTS ARE GENERALLY NUMBERED/LETTERED CLOCKWISE :—
AROUND THE TRUSS STARTING AT THE JOINT FARTHEST,
8. Unless expressly noted, this design is not applicable for
PLATE SIZE
THE LEFT.
use with fire retardant or preservative treated lumber.
The first dimension is the width
CHORDS AND WEBS ARE IDENTIFIED BY END JOINT
NUMBERS/LETTERS. L
9. Camber is a non-structural consideration and is the
truss fabricator. General is to
4 x 4 perpendicular to slots. Second
iL ` *'
responsibility of practice
camber for dead load deflection.
dimension is the length parallel
to
� �;
Ix
slots.
� �
10. Plate type, sae, orientation and location dimensions
LATERAL BRACING
CONNECTOR PLATE CODE APPROVALS �
shown indicate minimum plating requirements.
Indicated by symbol shown and/or
BOCA 96-31, 95-43, 96-20-1, 96-67, 84-32JM
11. Lumber used shall be of the species and sae, and
in all respects, equal to or better than that
by text in the bracing section of the
specified.
output. Use T, I or Eliminator bracing
if indicated.
ICBO 4922, 5243, 5363, 3907
12. Top chords must be sheathed or purlins provided at
spacing shown on design.
BEARING
SBCCI 9667, 9730, 96046, 9511, 9432A
13. Bottom chords require lateral bracing at 10 ff. spacing,
Indicates location where bearings
or less, if no ceiling is installed, unless otherwise noted.
(supports) occur. Icons vary but
reaction section indicates joint
14. Connections not shown are the responsibility of others.
®
number where bearings occur.
15. Do not cut or alter truss member or plate without prior
approval of a professional engineer.
Industry Standards:
®
MiTek
16. Install and load vertically unless indicated otherwise.
ANSI/TPI1: National Design Specification for Metal
Plate Connected Wood Truss Construction.
DSB-89: Design Standard for Bracing.
BCSI1: Building Component Safety Information,
Guide to Good Practice for Handling,
Installing & Bracing of Metal Plate
Connected Wood Trusses.
MRek Engineering Reference Sheet: MII-7473
® 2004 MRek®
INCIDENT NUMBER
EVENT NUMBE
LOCAL FIRE NUMBE
STATE FIRE NUMBER
CASE NUMBER
LOCATION 1934THERMALITO AV.
_._._............ ..... .-.-__
RP YANG HER PAO I PHONE NUMBE
WILDLAND FIRES ❑ ESTIMATED ACRES
STRUCTURE FIRE RESIDENTIAL
OTHER FIRE
MEDICAL AIDS
PSA/OTHER
HAZ MAT
Billable Incident ❑
COMMENTS
'EHICLE FIRE INSIDE A
iARAG E
EMD ❑ OES ❑ Interesting Event ❑d
U1 -0-- rel ❑
3965( LOGGED B JT
10204 Wt Jlgt nra`i,Frw RO JENKINS
I=AAk Qfgfq;F�{fq i ffl oem. BI
7..,. W .
i aq+ru. E" MEDICS
' PRAA9 ECC ElJ .. ........
I REPORT METHO 9i 11
FIRE INFORMATION
FIRE INFO SENT HO JEMAIL I BY JGW "s TO STA 63
7 -DAY LOGGED INITIALS TB l
INCIDENT NAM ITHERMALITO
START DATE 4/ 6/2006 START TIME 9^03'
DIAMOND # 5.0
CAUSE VEHICLE
LAND US DOMESTIC
ACRES _- _01 TYPE OF ACRE _.._,.
DIAMOND 5 ONLY $ DAMAGE TYP fAl L OTHER
DOLLAR DAMAGE F 10000.00 SAVE 20000.00j
INJURIES/FATALITIE ❑
# CIVILIAN INJURIES 0€ # CIVILIAN FATALITIES OE
# FF INJURIE 0' # FF FATALITIES 0
FC -40 INFORMATION
!,4u , ► r New Incide It*,
FC -40 ElDATE OF FCO INC
AGENCY INC # INC P#
FC -40 COMP DATEs FC -4O COMP BY f
County Notifications n EARS Hard Copy Recieved ❑ EARS Checked Agenst EARS Computer ❑
4- NOTES
RESIDENTIAL
PERMIT NO.
031-255-017 04-0752
HILL, GARY
934 THERMALITO AVE OROVIL.LE
Cont: HIGHTOWER, BRETT
C/O ROOFTOP HVAC
SPECIAL CONDITIONS
CHECKED
BY
SRA
FLOOD CERTIFICATE REQ.
FIRE SPRINKLERS REQ.
SPECIAL INSPECTION ITEMS
VERIFY
USE PERMIT CONDITIONS
SUB -STANDARD HOUSING LETTER
JOB FINALED (Date Q
Signature
J=OK
0 = Not OK
. = Not Readyable
DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s
MOBILE HOMES
Date
MOBILE HOME UTILITIES (Plans) OK except #'s
1.
Zoning Requirements-Setbacks-Easements
2.
Soils; Special MH Support Sketch
3.
Sewer; Location-Test-Fall-C/O-Concrete
4.
Water; Location-Test-Easement Needed (Sketch)
5.
Electricity; Location-Clearances-Grnd-/ /Amp-Concrete
6.
Gas; Location-Test-Wrap;-/ /" L 'ft.
/ /' Nat. or / /" L "ft./ P LPG
7.
Well Clearance & Disconnect
8.
Utility Clearance
10.
Roof; Shthg-Roofing
11.
Ext.; Steps -Doors -Landings
Date
12.
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
MOBILE HOME INSTALLATION (Plans) OK except #'s
Card B-1 Date Card B-1
1.
Zoning Requirements-Setbacks-Easements
Card B-1 Date Card B-1
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
10.
Plumb.; Cir. Test -Water Supply Test
11.
Light Niche
Date
12.
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
PERMANENT END SYSTEM (ONLY)
Card B-1 Date Card B-1
1.
Zoning Requirements-Setbacks-Easements
Card B-1 Date Card B-1
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-Panel boards- 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
J=OK
0 = Not OK
- = Not Applicable
. = Not Ready
RESIDENTIAL (Single & Duplex)
Date UNDERFLOOR (Plans) OK except #'s
1.
Zoning -Setbacks -Easements -Flood -Slope
2.
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 - Bloc kouts-Wrapped
6.
_
Stemwalls, Garage; Steel -Bloc kouts-Wrapped
6a.
Hold Downs and Special Anchors
7.
Slab, Steel -Wrapped
8.
Piers -Fireplace Ftg.-Steel
9.
D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test
10.
UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test
11.
Water Pipe; Test -Anchors -Regulator -Service Test
12.
Electric Underground
13.
Plenums & Ducts; Clearance -Material -Support -Ins.
14.
Girders -Sills -Anchor Bolts-Joists-Vents-Crippies
15.
Access & Ventilation
IP
Date FRAMING (Continued)
16.
Insulation
48.
Cling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rtng.
49.
Date
50.
Card B-1 Date Card B-1
Date
Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions
Card B-1 Date Card B-1
Date
PLUMBING (Permit) OK except #'s
Property Line Firewall & Openings
17.
Water Htr.; Vent -Access -Combustion Air Baffle
55.
18.
Water Pipe; Test & Anchor -Nail Protection
Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
19.
D.W.V.; Test Fittings & Anchor -Nail Protection
58.
20.
Shower Pan; Test, First Floor -Tub Access
Glazing Area -Glass Protection -Skylights -Plastic
21.
Test Tub & Shower, Second Floor -Tub Access
61.
22.
Gas Pipe; Sixe & Anchors
23.
Fire Sprinkler; Test
71.
Fireplace or Stove, Clearance -Hearth
Date
72.
Card B-1 Date Card B-1
Date
73.
Card B-1 Date Card B-1
Date
ELECTRICAL (Permit) OK except #'s
Elec. Outlets & Receptacles at Kit. Counter
24.
Fixture & Transformer Clearance -Ins. Protection
Garage Fire Door; Swing -Landing -Closure
25.
Elec. Receptacles Spacing -Lights & Switches at Doors
A.C. Duct in Garage -Damper
26.
Size Boxes & No. of Conductors Stapled
Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V.
in Garage; Above Floor-Mech. Protection
27.
Romex Installed Close to Edge of Studs & C.J.
Plb.; Elec. & Mech. Equip. Listed for Location
28.
Equip. Ground made up w/Mech Fasteners -Bond Gas & Water
Elec. Receptacles in Garage (F.F.I.)-Romex Protection
29.
2 Appliance Circuits in Kitchen & Conductor Size GFI
Insulation -Foam -Looked in Attic
30.
Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or Al
Guard Rails & Deck Construction -Post Caps
31.
Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or Al
Insulated Neutral ❑ Yes ❑ No
Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth
32.
Service -Riser Conductors & Ground Main Disconnect
Clearance Looked under Floor ❑ Yes
33.
Equip. Clearances Panels-Motors-Mech. Equip.
Following Instld./Drive ❑ Yes ❑ No/Walks ❑ Yes ❑ No/Planters ❑ Yes ❑ No
34.
Clothes Closet Light -Shower Light -Spa Light
Stucco Brown -Finish
35.
Smoke Detector
A.C. Unit Disconnect, Electrical -Plumbing
86.
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
MECHANICAL (Permit) OK except #'s
89.
36.
A.C. Ducts Insulation & Support
90.
37.
Vent Fan, Exhaust above insulation
91.
38.
Condensate Drain & Overflow, Size & Grade
92.
39.
Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet
93.
40.
Attic Access & Platform if Furnace in Attic
Date
Energy Compliance Certificate -Other Certificates
Card B-1 Date Card B-1
Date
Address Posted
Card B-1 Date Card B-1
Date
FRAMING (Permit) OK except #'s
Date
41.
Sills Proper Materials & Anchors
Date
42.
Walls Studs -Nailing Spacing & Braces -Plates -Sound
Date
43.
Bearing Walls over Girders & Floor Nailing
Comments at Final:
44.
Draft Stop in Walls (rat proof)
45.
Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs
46.
Headers & Beams -Size & Bearing
IP
Date FRAMING (Continued)
47.
Hangers -Post Caps -Anchors -Connectors
48.
Cling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rtng.
49.
Fireplace Ties or Type A Flue -Fireplace Throat Clearance
50.
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. Doors -One 3' -Check Garage 3rd Story, 2 Exits
55.
Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
56.
Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
57.
Siding -Nailing Veneer
58.
Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access
59.
Glazing Area -Glass Protection -Skylights -Plastic
60.
Shear Walls; Nailing -Bolts
61.
Brace Interior/Exterior Wall Panels
62.
Insulation -Walls -Ceilings
63.
Infiltration -Walls -Windows
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
FINAL (Plans) OK except #'s
64.
Ext. Steps -Door & Sidelight Protection -Landings
65.
Smoke Detector
66.
Furnace Vents -clearance -Comb, Air -Connector -
In Garage; Above Floor-Ducts-Mech. Protection
67.
Bedroom Exiting
68.
G.F.I. & Bath Fixtures & Tub Access -Spa
69.
Elec. Trim & Subpanel, Breaker Sizes & Labels
70.
Stairs & Rails
71.
Fireplace or Stove, Clearance -Hearth
72.
Elec. Outlets at Wood Panel, Int. & Ext.
73.
Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance
74.
Elec. Outlets & Receptacles at Kit. Counter
75.
Garage Fire Door; Swing -Landing -Closure
76.
A.C. Duct in Garage -Damper
77.
Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V.
in Garage; Above Floor-Mech. Protection
78.
Plb.; Elec. & Mech. Equip. Listed for Location
79.
Elec. Receptacles in Garage (F.F.I.)-Romex Protection
80.
Insulation -Foam -Looked in Attic
81.
Guard Rails & Deck Construction -Post Caps
82.
Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth
Clearance Looked under Floor ❑ Yes
83.
Following Instld./Drive ❑ Yes ❑ No/Walks ❑ Yes ❑ No/Planters ❑ Yes ❑ No
84.
Stucco Brown -Finish
85.
A.C. Unit Disconnect, Electrical -Plumbing
86.
Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings
87.
Water Well, Disconnect, Electrical, Plumbing
88.
Exterior Elec. Trim, G.F.I. Receptacle -Underground
89.
Ventilation Throughout House
90.
Glass Protection
91.
Corrections from Previous Inspections
92.
Gas Test -Meters Tagged, Gas -Electric
93.
Water & Sewer Connected -C/O to Grade -HD Approval
94.
Energy Compliance Certificate -Other Certificates
95.
Address Posted
96.
Fire Sprinkler
Date
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:
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.neAdds
PERMIT NO.
BP040752
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: 03/17/2004 APN: 031-255-017-000
the Business and Professions Code, and my license is in full force and
effect.
License Class: C^C�l.� 7 �� ���5 I
License Number.
Site Address: 934 THERMALITO AVE ORO
Date: 17 Contractor. 3ot�
Map Index:
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the
Description: CHANGE OUT ROOF TOP HVAC UNIT
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
„ n
Owner: HILL GARY W & SHANNON
to its issuance;;• also requires the applicant for such permit to file a
signed'�Iatement that'he or she is licensed pursuant to:the provisions of, .
934 TNERMALITO AVE
the'Contractor's State License Law (Chapter 9 commericing'wtth Secti6n
OROVIL' LE, CA '
7000)-of,Divisiom3, of:the Business and Professions Code) or that he or '
9pt 5965-4427
she is :exemtherefrom and the basis for the alleged exemption.. Any.
violation.:of Secfion 7031.5 by any applicant for a permit subjects the
applicant to a civil penalty of not more than five hundred dollars ($500) )
- "
❑ I,4s-6wner6f1he 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. Tris Confradors' Sfate License Law does not' a I" 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
4665 ZINFANDEL DRIVE
sale. If however, fte uilding or improvements are sold within one
CHICO, CA 95928
year of completion, the owner -builder will have the burden of
proving that he or she did not build or im'p'rove for the purpose of
530-893-3562
sale.).
p.�„l,.:as_.owner,..pf,..thg,,.F3[op6fEY.,.,am,ex�lusnQlX,..cnntretti49.,.wlth...
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.impro4es thereon;
Contractor: HIGHTOWER, BRETT
,and .who contracts,.for.such projects with a contractor(s) licensed
pursuant to the Contractors' State License Law.).
4665 ZINFANDEL DRIVE
❑ ,.,I am�Exemptvhder Article 3 of the Business and. Professions;Code .
CHICO, CA, 95928
Date: Owner.
530-893-3562
License #:,,6.08551,.
, . WORKERS'. COMPENSATION,DECLARATIo.N
I hereby affirm under penaltyof perjury one of the following?declarations.
❑ f have andwill, maintain a certificate of consent to selfansure for
`
workers compensation, asovided for.,bSection 3700 of; the
pr Y
Labor.Code,,for the performance of the work for which this permit
Architect:
is issued.
❑" I:'._have'and"wilt°maintain workers compensationmsurance; as
Engineer'"
required by Section 3700 the Labor Code, for. the perforrmance; of
the work for which this permit Is issued. My workers'`compensation
insurance carrier -and policy -number are:
Garner.
Total Square Ft: 0 S.F.
Policy#.al
ati
Ce�S S Code:
certify that in the performance of the work for which this permit is
f issued, I shalt.. not employ, any,. -person in any manner, so. as to
become subject to wortcers'. compensation. laws of Califomia,
2
%�i" ti j' 'JC% LP
.ihe
I l� t 1�
and agree that..if I should.• become subject to,•.the workers'
compensation.peovisions of Section 3700 of the LaborCode, I shall
forthwith comply with,those provisions..
Date :"2- D'
.-Applicant! _.... .
WARNING: Failure to secure workers compensation coverage; is.
unlawf il;:.and shall,,subject an employer to criminal penaffies and one
hundred, -thousand 'dollars -($100,000), in:'addition to .the' cost of
compensation, damages as"provided for in Section.3708 of -the Labor
code, interest, and. attorney's fees. .
-- CONSTRUCTION LENDING. AGENCY
I hereby affirm that there is a construction lending agency for the
performance of the work for which this permit Is Issued (Sec 3097 Civ.)
This peon' is hereby issued u der the applicable provisions of the Butte County Code and/or -
Resolu �0 o work indjc�at ab a for which fees have been paid.
L ,: l %% /
BY 3 ` - v
Name:
Date: f
PERMIT EXPIRES ON: �
Date
Address:
1 hereby ceiftfy'thaf the u`se"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 Califomia Health 8 Safety Code is not applicable to the scheduled construction of this project.
❑ Attached are copies of the required E.P.A. notification forms.
I hereby certify that I have read this application, that the above Information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with .
all county and stat6laws relating to.building'construction., I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. thereby
authorize. representatives of Butte to enter upor%the above mentioned property for inspection purposes.
�Ztyl
Pnnl Name: �L'Y Signator&:
Date: . - v
0 Owner 0 Contractor ' ❑ Agent for Ownergent for Contractor
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.
BP040752
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: 03/17/2004 APN: 031-255-017-000
the Business and Professions Code, and my license is in full force and
effect. Gc&S s
Cr7
License Class: L7 License Number:
Site Address: 934 THERMALITO AVE ORO
Date: t7` Contractor. l�',���r
Map Index:
Description: CHANGE OUT ROOF TOP HVAC UNIT
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
�.-�......�._,.,..., .m„,.Rw..
permit to construct, alter, improve, demolish, or repair any structure, prior
- Owner: HILL GARY W & SHANNON
to its issuance; also requires the applicant for such permit to file a
934.THERMALIT.O AVE
signed tatement that'he or she is licensed,, pursuant to�the provisions of,',?,
the'Contractor's State License Law (Chapter 9'commericing'with Section
• : ,.: - .. s
OROVILLE, CA' ` s
7000)fohDivision-3 of,the Business and Professions Code) or that fie or ?1;
95965-4427
S6 is"exempt therefrom'and the basis for,the-alleged ;exemption. Any.
7031.5 a'for" permit sutilects
; : r t
a
vjolation;.:of Section by any applicantthe
applican".t to a rJvii- enalty.of not more than five hundred'dollars
t\+�r :+1�1. �:�:`..
.'.`7 s. . ,. •:ri'✓ c. .:.. 1ir.,a�,.,>,®,,..,ten .e..a ,•.�,.... ."w
❑ I,"as•owner.of"the property, or my employees with wages as their
sole compensation, will do the work, and the structure is not
intended or offered for sale (Sec. 7044, Business and Professions
""'-`Codi3"The Con'�ractors''S�ta%L"icense Law doesnot applq��o a`n"'
"`°"`""`Applicant:''HIGHTOWER;`BR'ETT'"'"`�; "�" �"�"`'�` '�'-�'
owner.of property who builds or,.improves- thereon, and, who does
such work himself or tierselt or'through`fiis,or her own employees,
provided that such improvements are ,not intended or offered
4665 ZINFANDEL DRIVE
_'for
= said. If'however the'95uilding or`improvementsere sold within'one
CHICO, CA 95928
year of completion, the owner -builder will have the burden of
530-893-3562
)•proving'that he or. she .did not -build of "improve -for the. purpose of
sale.).
as_.ownerwoj thga,p4opgrty,,,,ern,,exGysiyely,.„cAntracting„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.impmdes thereon;
Contractor: HIGHTOWER, BRETT
sagd.who,contracts,forsuch projects,with a;contractor(s),ic.ensed
,.pursuant to the Contractors' State License Law.)..
- 4665 ZINFANDEL DRIVE
❑ , Tam ExemptiunderArticle 3.ofthe Business and Professions:.Code,
CHICO,,CA, 95928
530-893-3562
Date.Owner.
License # . 60,8551
n „ WQRKERSr cOMPENSATION'bttLAR�4TION t�
14,9- reby affirm under,penaltyiol"perjury one of"the following declarations '
Cl `; I:1have,and;will„maintain a certificate of consent to self nsure for
workersYcompensation,_ as provided.4pr,,.by Section,,3700,, of.:the
” Labor..Code,,for,the performance of -the work for which this permit
Architect:
is;issued..
`❑` ti"I'tiave`and`will;
required by,Sei t on -3700, the Labor; Code, for the performance; of
"the work forwhich ttiis•pemiitis issued.__My worlSers compensation
insurance tamer and policy number are "
Tota 0 S. F.
I Square Ft:
_ ._ . ...
Popcy#
Ce;,a�atid�,j - §�0
sCode:
which
certrfy that in the performance of the!work for this permit is
issued,_ t shalli not ,employyany ,-person. in any, manner.so. as,to
-�(� � Q
�, "become subject workers': compensation ;laws of,Califomia,
% f � , /
.1.•to;the
aril agree Ahpat if:. I. shouId, .become ,b the ,workers'
9 -f
1
tom nsation rowswns of tfje Lalwr Code, I shall
pe Section 760 of, L
forthwith comply with those provisions.
Date:- . D
' Applicantr
:-
WARNINGFailure to 'secure workers corn' 'nsation coverage, -is-
unlawl',:.a
fund shall4subject'an employer to` criminal' penalties' and oris
«, r...=nom n - ••• --_
hundred Zthousand:'dollars ,($100,000), in -'addition; "to'.dhe' cost' of
compensation, damages as'prwided for in`Section;3706 of:the'Labor
code, interest and attorney's fees
.,.- .,., -:-,
CONSTRUCTION LENDING; AGENCY,
I hereby affirm that there is a construction lending agency for the
performance of the work for wmithich'this peris issued'(Sec 3097 Civ.)'`l
-This pe d' is hereby issueder the applicable provisions of the Butte County Code and/or
Resole,io o work indjcat ab a for which fees have been paid.
3-0-0
Name:
By Date:
`� u
Address:
PERMIT EXPIRES ON:
Date
O"`"1 hereby certify`tha4-the':use`ofchi r6cilityshall comply:witKSections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage,
handling and use of hazardous materials.
O . ' Notification in,accordance with Section "19827:5 of'Califomia' Health & Safety Code is not applicable to the scheduled construction of this project.
LI -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 I 'relating.to.bwlding construction. I acknowledge itis unlawful to alter the substance of any official form or document of Butte County. I hereby
authohze representatives of Butte County to enter uponahe above mentioned property for inspection pu se's.'
1
5 '
Pnnt Name: Signature:
!
Date. ,,.!
❑ Owner' ❑ ' Contractor0 Agent for Owner Agent for Contractor
BUTTE COUNTY PERMIT NO.
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT APPLICATION
24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) �I r ���2
OFFICE #: (530) 538-7541 ` l
DATE I
AVN: ZONING:
NEAREST CFtD55 FrREEr. TRAC11wi1k
SITE ADDRESS:
34 h
CRY, zIP:
OWNER NAME: 051 f I
srREEr ADDRESS:
�Y 1 l �
FAX .
'� �rbJi 11�
SU%&.
APPLICANT NAME:
PHONE
STIiMTADDRESS: —
FAX
CrN.ZIP:
E-MIAG:
CONTRACTOR NAME:
P��-3�
sT,iEETAt)DRESS:
ZIP
E-MML
LICENSE Nummm
ARCHITECT/ENGINEER NAME:
PHON=
SnMET ADDRESS
FAX
CITY. ZIR
LICENSE NUMBER
EW1a:
DESCRIPTION OR SCOPE OF WORK:
❑ Structure Built without pennft
❑ 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 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: ' I
Receipt number:
p 3o (P L, Amount Received:
B. C. Building Permit 01-23.04 pg 2
NOTES
RESIDENTIAL
031-255-017 03-0056
PERMIT NO. _ POTTS, ROBERT
934 THERMALITO AVE., OROVILLE
CONT: M & M CONST.
ADDITION, REMODEL Esc CONVERSION
11 SPECIAL CONDITIONS 11
SRA
FLOOD CERTIFICATE REQ.
FIRE SPRINKLERS REQ.
SPECIAL INSPECTION ITEMS
VERIFY
USE PERMIT CONDITIONS
SUB -STANDARD HOUSING LETTER
1
i
-6
JOB FINALED (Date)
-i
Signature 44
CHECKED
BY
J=OK '
0 =Not OK
NotAppli
+ = NotReadyble
MOBILE HOMES
Date MOBILE HOME UTILITIES (Plans) OK except #'s
1.
Zoning Requirements -Setbacks -Easements
2.
Soils; Special MH Support Sketch
3.
Sewer; Location -Test -Fall -C/O -Concrete
4.
Water; Location -Test -Easement Needed (Sketch)
5.
Electricity; Location-Clearances-Grnd-/ /Amp -Concrete
6.
Gas; Location -Test -Wrap;-/ /" L 'ft.
/ P Nat. or/ /" L "ft./ P LPG
7.
Well Clearance & Disconnect
8.
Utility Clearance
MISCELLANEOUS
Date
Date
Card B-1 Date Card B-1
Date
Card B-1
Card B-1 Date Card B-1
Date
MOBILE HOME INSTALLATION (Plans) OK except #'s
Card B-1
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
POOLS (Plans) OK except #'s
Card B-1 Date Card B-1
Date
Setbacks -Easements
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
MISCELLANEOUS
Date
Date
Card B-1
Date
Card B-1
Date
Card B-1
Date
Card B-1
3.
Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails
4.
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
J=OK
0 = Not OK
- = Not Applicable
. = Not Ready
RESIDENTIAL (Single & Duplex)
Date UNDERFLOOR (Plans) OK except #'s
1. ;Am ing-Setbacks- Easements- Flood -Slope
Ftg., Main; Soils-Elec. Grnd.-/ P' Ftg. Depth
tg., Garage; Soils-Steel-Elec. Grnd.-/ P' Ftg. Depth
A!!2 4. Ftg, Porches & Decks; Soils -Steel-/ /" Ftg. Depth
✓ 5. jAmwalls, Main; Steel-Blockouts-Wrapped
Hold Downs and Special Anchors
It
7.
8.
Slab, Steel -Wrapped
Piers -Fireplace Ftg.-Steel
9.
D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test
10.
UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test
11.
Water Pipe; Test -Anchors -Regulator -Service Test."
12.
Electric Underground f
13.
Plenums & Ducts; Clearance -Material -Support -Ins.
14.
Girders -Sills -Anchor Bogs-Joists-Vents-Crippies
15.
Access & Ventilation
Date FRA G (Permit) OK except #'s
Sills Proper Materials & Anchors
4 s Studs -Nailing Spacing & Braces -Plates -Sound
Bearing Walls over Girders & Floor Nailing
44. Draft Stop in Walls (rat proof)
45. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs
46. Headers & Beams -Size & Bearing
Date
16.
Insulation
47-TH
n ers-Post Caps -Anchors -Connectors
Date
-,Cling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rtng.
Card B-1 Date Card B-1
Date
Fireplace Ties or Type A Flue -Fireplace Throat Clearance
Card B-1 Date Card B-1
Date
PLUM (Permit) OK except #'s
ater Htr.; Vent -Access -Combustion Air Baffle
18.
21.
22.
ter Pipe; Test & Anchor -Nail Protection
.V; Test Fittings & Anchor -Nail Protection
Shower Pan; Test, First Floor -Tub Access
Test Tub & Shower, Second Floor -Tub Access
Gas Pipe; Sixe & Anchors
23.
Fire Sprinkler; Test
xt. Doors -One 3' -Check Garage 3rd Story, 2 Exits
Date
Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
ELECTRICAL (Permit) OK except #'s
61.
24.
Fie & Transformer Clearance -Ins. Protection
62.
2
ec. Receptacles Spacing -Lights & Switches at Doors
63.
�6ySize
Boxes & No. of Conductors Stapled
27..A
nex Installed Close to Edge of Studs & C.J.
Card B-1 Date Card B-1
Equip. Ground made up w/Mech Fasteners -Bond Gas & Water
FINAL (Plans) OK except #'s
29.
2 Appliance Circuits in Kitchen & Conductor Size GFI
Ext. Steps -Door & Sidelight Protection -Landings
30.
Subfeed Wire Size./ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or Al
Smoke Detector
31.
Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or AI
Insulated Neutral ❑ Yes ❑ No
Furnace Vents -clearance -Comb, Air -Connector -
In Garage; Above Floor-Ducts-Mech. Protection
32.
Service -Riser Conductors & Ground Main Disconnect
Bedroom Exiting
33.
E ' . Clearances Panels-Motors-Mech. Equip.
G.F.I. & Bath Fixtures & Tub Access -Spa
Clothes Closet Light -Shower Light -Spa Light
Elec. Trim & Subpanel, Breaker Sizes & Labels
35.
Smoke Detector
Stairs & Rails
71.
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
MECHANICAL (Permit) OK except #'s
74.
36.
A.0 cts Insulation & Support
75.
Garage Fire Door; Swing -Landing -Closure
ent Fan, Exhaust above insulation
76. A.C. Duct in Garage -Damper
38.
Condensate Drain & Overflow, Size & Grade
Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V.
in Garage; Above Floor -Meth. Protection
39.
Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet
Plb.; Elec. & Mech. Equip. Listed for Location
40.
Attic Access & Platform if Furnace in Attic
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date FRA G (Permit) OK except #'s
Sills Proper Materials & Anchors
4 s Studs -Nailing Spacing & Braces -Plates -Sound
Bearing Walls over Girders & Floor Nailing
44. Draft Stop in Walls (rat proof)
45. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs
46. Headers & Beams -Size & Bearing
Date
FRAMING (Continued)
47-TH
n ers-Post Caps -Anchors -Connectors
IA,
-,Cling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rtng.
49.
Fireplace Ties or Type A Flue -Fireplace Throat Clearance
50.
Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
Windows or Exiting Doors -Sill Ht. & Dimensions
5f" ^dT3tJ9 it Protection Framing -RC Channel
o ine Firewall & Openings
xt. Doors -One 3' -Check Garage 3rd Story, 2 Exits
Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
plywood on Roof Overhang -Attic Vents -Rafter Outriggers
iding-Nailing Veneer
58. Stucco Mesh -Drip Screed -Fd. Vents-Underllr. Access
59. Glazing Area -Glass Protection -Skylights -Plastic
60.
Shear Walls; Nailing -Bolts
61.
Brace Interior/Exterior Wall Panels
62.
Insulation -Walls -Ceilings
63.
Infiltration -Walls -Windows
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
FINAL (Plans) OK except #'s
64.
Ext. Steps -Door & Sidelight Protection -Landings
65.
Smoke Detector
66.
Furnace Vents -clearance -Comb, Air -Connector -
In Garage; Above Floor-Ducts-Mech. Protection
67.
Bedroom Exiting
68.
G.F.I. & Bath Fixtures & Tub Access -Spa
69.
Elec. Trim & Subpanel, Breaker Sizes & Labels
70.
Stairs & Rails
71.
Fireplace or Stove, Clearance -Hearth
72.
Elec. Outlets at Wood Panel, Int. & Ext.
73.
Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance
74.
Elec. Outlets & Receptacles at Kit. Counter
75.
Garage Fire Door; Swing -Landing -Closure
76. A.C. Duct in Garage -Damper
77.
Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V.
in Garage; Above Floor -Meth. Protection
78.
Plb.; Elec. & Mech. Equip. Listed for Location
79,
Elec. Receptacles in Garage (F.F.I.)-Romex Protection
80.
Insulation -Foam -Looked in Attic
81.
Guard Rails & Deck Construction -Post Caps
82. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth
Clearance Looked under Floor ❑ Yes
_
83.
Following Instld./Drive ❑ Yes ❑ No/Walks ❑ Yes Cl No/Planters ❑ Yes ❑ No
84. Stucco Brown -Finish
85.
A.C. Unit Disconnect, Electrical -Plumbing
86.
Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings
87.
Water Well, Disconnect, Electrical, Plumbing
88.
Exterior Elec. Trim, G.F.I. Receptacle -Underground
89.
Ventilation Throughout House
90. Glass Protection
91.
Corrections from Previous Inspections
92.
Gas Test -Meters Tagged, Gas -Electric
93.
Water & Sewer Connected -C/O to Grade -HD Approval
94.
Energy Compliance Certificate -Other Certificates
95.
Address Posted
96.
Fire Sprinkler
Date
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 - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 �D
Mev. 12)66) APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER
031-255-017
ZONING
AIR
BUILDING PERMIT
T En
TELEPHONE
_ n
SQ. FT. OCC. BUILDING VALUATION
320 36 11 520.00
. OWNER'S MAILING ADDRESS --
1501 EASTCHESTMEr, TONG POKE., CA 93436
30 @ R 4,320.00
CONTRACTOR'S NAME
M&MCONST
TELEPHONE
CONTRACTORS MATING ADDRESS
r
ON LENDER '
Fire lace
rL-EN.ER'SIUNG ADDRESS
Total Valuation $R
ENGINEER
LICENSE NO.
Fee
$ 20.00
—Filing
Permit Fee
$
ARCHITECT OR ENGWEERS MAILING ADDRESS
Plan Checking Fee
$ 1,1 „
BUILDING ADDRESS
9341r" i ,I r,
Energy Plan Checking Fee
$
$
PERMIT FEE
ZS
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
15.0015.00
Each gas water heater or vent
15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑
Describe Work: ADDITION, .c�0J0DEL C1 COWERSION TO
SINGL? FAMILY
Gas piping system 1 - 5 outlets
15.00 5.00
Building sewer
15.001-5.00
Mobile Home S G W
Q20.00
PERMIT FEE
$ 36.00
ELECTRICAL PERMIT
Fling Fee 20.00
Main Service 2°0o°ov o, LE.S
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
License Class _�/� [ Lic. No. '% S
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
❑ 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.
❑ 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 above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
Q' I certify that in the performance of the work for which this permit is issued, I shall
not employ any person in any manner so as to become subject to workers'
compensation laws of California, and agree that if I should become subject to the
workers' compensation provisions of section 3700 of the Labor Code, I shall
forthwith comply with those provisions.
X �„�,/�$ Date / /O 8 -/CG 'Y
S gnature of Applicant - ❑ Owner ❑ Contractor ❑ Agent
An OSHA permit is required for excavations over 5'0" deep and demolition or constructionof structures over 3 stories in height.
Main Service 200AWEE TO 1000A
46.00
NEW CONST. DWELLINGOCCUP. SO8
OR ADDNS. ( a ACC. BIDS. 3.50FT.
N-RESID. MULTI.OUTLET @7,50
POWER APPARATUS
A SINGLE AP=
CIR
Ex. Occup. ouTLETORFDcruREs.50
eA20 @ 1.00
Ex. Occup. oUTLEEDT3 MESIo.OEA
5.00
Temporary Service
23.00
Mobile Home Facilities 20.00
Misc. Wiring
23.00 23�
PERMIT FEE $rj
MECHANICAL PERMIT Fling Fee 20.00
Heating 15.00
Coolin X SW = cooler
Hood 6.50
Ventilation
duct extension i c; nn
PERMIT FEE 350.00
Mobile Home Installation Fee $
Energy Inspection Fee $46.00
Occ
CONST
TOTAL FEE $
D I P FL D
CDF
PARCFJr
✓
pp HD
This perm' s hereby issued under
of th -e- County ode and/or
inWich fees have
B'� v
PERMIT EXPIRES ON
I
the applicable provisions
Resolutions to do work
been paid.
D to
Dee
Receipt No. hZ
WHITE-D.D.S.-B D. CANARY -ASSESS PINK -INSPECTOR GOLDENROD -APPLICANT
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
OWNER: ASSESSOR PARCEL NUMBER )
Proposed Building Use: +51�7� 416,g Counter Technician: Date:
Items required in order to apply for a permit. All boxes MUST be checked OR marked NA in order to apply.
1. -Plot plans, 3 or 4 sets, signedty 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.
❑ .4. Engineered truss details and layouts in duplicate. No faxes!
19A 5. Energy compliance design and supporting documentation in duplicate.
❑ 6. Manufactured homes: (A) Data sheets and installation instructions, (B) Marriage line information, (C) Floor Plan, (D) Tie down or
foundation plans, all in duplicate.
❑ 7. Metal buildings: (A) Metal Building Plans, (B) Foundation plans and calculations in triplicate, (C) Elevation views in triplicate.
(D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer.
Items required for initial plan review. If checked items have not been received, plan review cannot proceed. The permit will be
indexed and returned to the plan review line-up when required items are received.
Date Received By
❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate ................................
❑ 9. Plot plan and business license approval from the City of Biggs ....................................
❑ 10. Letter of intent for non-residential buildings.........................................................
❑ 11. Detached Accessory Building Form filled out by the owner .....................................
❑ 12. Hazardous Material Form...............................................................................
❑ 13. Other ....
Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following ite s�
14. Fees as shown on the attached Schedule of Fees Due
❑ 15. Statement of Intent for Non -heated and A/C Buildings ................................. .....
.9-16. Sanitation and plot plan approval from the Environmental Health Department in
❑ 17. City of Chico Plumbing permit........................................................................
❑ 18. California Department of Forestry plan approval ❑ paid. Sent_ by: ......................
❑ 19. Planning approval for (A) Use: c3K- (B)Parking: (C) Parcel Check: 2 2J.- m
❑ 20. Contact Land Development about ❑ Improvements, ❑ Drainage ...............................
❑ 21. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy).
❑ 22. Pre -Inspection for required ................
❑ 23. Contractor's license information. (Number, Name Style, Classification) ......................
❑ 24. Worker's Compensation Carrier and Policy Number ..............:..............................
❑ 25. Owner -Builder Verification (E] Given to owner, El Mailed to owner) .....................
❑ '26. Letter of Signature authorization....................................................................
❑ 27. Recorded copy of Agricultural Acknowledgment Statement ....................................
❑ 28. Manufactured home utility clearance...............................................................
❑ 29. Existing violations and/or expired permits.........................................................
❑ 30. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, El Letter from Legal Owner, ❑ Check to H.C.D. $
❑ 31. Other:
When issued Telephone,' _3 1Yand hold for pickup.
I have been informed of the above items and requirements for obtaining a building permit.
Applicant: ����� Date:
1. Index permit application for the abovjL ms umbered: Plan Check Letter
2. Additional items required
r-dnt-raOF designer, owner, was advised t above data by phone, 4W,044W - g
ontractor, designer, owner, was advised of the ab e d to by El phone,- ;❑' mail, El count 'enr, by Date:
Plans reviewed by: (� Date: b Plans approved by: P6 Date:
Structural reviewed by: Date: Structural approved by: Date:
Note transfer by: Date:
COUNTY OF BUTTE
DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541
SCHEDULE OF FEES DUE /� di
OWNERL A.P. # (1 �1'-�oiSS- 617
PROPOSED BUILDING USE IA901�1 a 4-o bvi4y 4A D
IEC IPT # DATE REC,
1. BUILDING PERMIT FEES .oe�
Balance Due ....................... $ 4,2qq
Additional Fees Due ................. $
Additional Fees Due ................. $
Revised Plan Checking Fee ..... .....$J
2. SCHOOL DISTRICT FEES 0 (00lG
�]WiQfi al
(paid at District Office) (Available after Plan Check)
3. SHERIFF FEES (paid at Building Division)
Residential ...................... x $360.00 = $
Units
Commercial (sq. ft.) ............... x $0.03 = $
Sq. ft.
4. URBAN AREA FEES (paid at Building Division)
Residential ................... -x-=$
# Units Amt.
Commercial (sq. ft.) ............ -x-=$
Sq. ft. Amt.
5. RECREATIONAL DISTRICT FEES
(paid at District Office) (Available after Plan Check)
6. THERMALITO DRAINAGE DISTRICT FEES
$510.00 (paid at Building Division)
V'^y1y tT' SRA FIRE INSPECTION AND PLAN CHECK
T
$89.00 (paid at Building Division)
8. WATER TENDER FEES (Battalion # )
$200.00 (paid at Building Division)
9. CSA 87 TRAFFIC FEE
$2500.00 (paid at Building Division)
10. OTHER
At time of permit application, I was advised the above fees are required to be paid prior to issuance of the building permit. These fees
may be changed during the plan checking process.
APPLICDATE 44 ?'/D -
Pursuant to Government Code Section 66020, you are hereby notified that items 2, 3, 4, 5, 6, 7, 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 - Buiding Div. 2nd Copy - Applicant 3rd Copy - Owner ' (Rev. 6100)
ti �, ,., � -�:,a� tt.n` ., ..:�w ,; ;}> ? .. ,.... "r'�:{:.frFC.:s/<ryr„, �• ,���,�:,f .; j �r .�.:�:s1 g�?� ... .i _ .. rK .s'. � .,,i.:.; . t •..�
BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM
(One form per Building)
School District " y- "i-� ^ Builds
�-�Y ' n9 Department No.
A.P. Number �� v� Jurisdiction: City County.
Property Owner G'
Property Location/Address J
Subdivision
Residential Development
No of Living Mobile Home
Units Installation
�r
Commercial/Industrial
Lot No.
,_.._.............................. ._.._._...._.._............................................. ..,
's Sq. Footage
-
*Supplemental to (Group R)
Conversion Permit #
*(No foundation inspection):
Sq Footage
(Including Exterior
RoofedAreas)
Date
.'. (FI r Plans revie d tW School District Personnel) f
District Identification No.
l�Il lAtf l�j ! .. School District certifies that �l Udt/UJ�
(Applicant)
r
(Stro Address) - (Phone Number)
cl� ..Ve
`
.(City) (State) (Zip Code) -
has with the wthe requirements of Resolution No. F - tltD by payment of $ 4.0
w
representing square feet. IAM 2926 $
FULL MITIGATION $
• � s
p - ,
School' District Representative Date
-A
Paid by: Check
1
T18rkS: s
1 Notice: You may protest the imposition of the fees identified above by submitting a written protest to the District, In compliance with
Govemment'Code Section 66020(a), within 90 days from the, date fees are paid. Failure to submit a timely written protest will prohibit
you from challenging the imposition of the fees in any court ecti_on.
If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is
notified b the applicable Local Planning A ncy that this
y ng ge project is being reviewed under the California Environmental Quality Act (CEnAI,
this project may be subject to additional. school fees toifully mitigate its impact on the school district's schools. _
White (applicant), Yellow (building, department), Pink (school district) ; V feeform.xls 110/981dmm.
vy,
Insulation Certificate
BUILDING OWNER: 1
1-2> 7`T3
BUILDING LOCATION:
Description of Installation
BUILDING
ROOF
Material Brand Name
Thickness orches) Thermal Resistance (R -Value)
CEILING
Batt or Blanket Type Brand Name
Thickness Cinches) Thermal Resistance. (R -Value)
Loose Fill Type Brand Name
Contractor's minimum installed weighdit lb Mutimtun thickness inches
Manufacturer's installed weight per square foot to acheive Thermal Resistance (R -Value)
EXTERIOR WALL
Material Brand Name
Thickness (inches) Thermal Resistance (R -Value)
RAISED FLOOR
Material
Thickness (inches)
SLAB FLOOR
Material
Thickness (inches)
Width (inches)
FOUNDATION WALL
Material
Thickness (inches)
Declaration
Brand Name
Thermal Resistance (R -Value)
Brand Name
Thermal Resistance (R -Value)
Brand Name
Wrmal Resistance (R -Value)
0 - il e -00-Y Z
I hereby certify that the above insulation was installed in the building at the above location in conformance with
the current Building Energy Efficiency Standards for new residential buildings contained in Title 24 of the
California Administrative Code.
General Contractor (Builder) IrLicense Number
Signature and Title • Date
Sub -Contractor (Insulation Installer)
Signature and Title
License Number
Date
THIS CERTIFICATE MUST.BE PROVIDED TO THE BUILDING DEPARTMENT, PRIOR TO FINAL INSPECTION
APPROVAL AND A COPY SHALL BE POSTED WITHIN THE BUILDING.
JANUARY 1993
NOTES
RESIDENTIAL
PERMIT NO. _ 031-255-017 03-0055 N
POTTS,-ROBERT
934 THERMALITO AVE., OROVILLE
CONT: M & M CONST.
DETACHED GARAGE
SPECIAL CONDITIONS
CHECKED
BY
SRA
FLOOD CERTIFICATE REQ.
FIRE SPRINKLERS REQ.
SPECIAL INSPECTION ITEMS
VERIFY
USE PERMIT CONDITIONS
SUB -STANDARD HOUSING LETTER
JOB FINALED Date)
Signature
J=OK
0 = Not OK
= Not Xd"Yable MOBILE HOMES
« =Not II��
Date MOBILE HOME UTILITIES (Plans) OK except #'s
1. Zoning Requirements -Setbacks -Easements
2. Soils; Special MH Support Sketch
3. Sewer; Location -Test -Fall -C/O -Concrete
4. Water; Location -Test -Easement Needed (Sketch)
5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete
6: Gas; Location -Test -Wrap;-/ P' L'ft.
/ - /'Nat. or/ P' L "ft./ P LPG
7. Well Clearance & Disconnect
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
MISCELLANEOUS
Date DECKS„GOVERS, CARPORTS, GARAGES (Plans) OK excerpt #'s
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
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
Date
Card B-1 Date
Card B-1
Date
2.
Card B-1 Date
Card B-1
Date
PERMANENT END SYSTEM (ONLY)
4.
1.
Zoning Requirements -Setbacks -Easements
5.
Elec.; Pool Lighting; 15 Volts-GFI
2.
Footings; Size -Spacing -Marriage Line
Elec.; Enclosures; Conduit Entries -Terminals -Listed
3.
Blocking
8.
4.,
Gas; MH Test-
9.
Health Department Approval
5.
Electricity; MH Test
Plumb.; Cir. Test -Water Supply Test
6.
Water; MH Test
12.
7.
Water and Sewer Connected
8.
Gas and Electricity Tagged
Card B-1 Date -= Card B-1
Date
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„GOVERS, CARPORTS, GARAGES (Plans) OK excerpt #'s
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
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-Panel boards- 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
J=OK
0 = Not OK
- = Not Applicable
. = Not Ready
RESIDENTIAL (Single & Duplex)
Date
UNDERFLOOR (Plans) OK except #'s
Hangers -Post Caps -Anchors -Connectors
1.
Zoning -Setbacks -Easements -Flood -Slope
49.
2.
Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth
Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
3.
Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth
52.
4.
Ftg., Porches & Decks; Soils -Steel-/ P' Ftg. Depth
Property Line Firewall & Openings
5.
Stemwalls, Main; Steel-Blockouts-Wrapped
55.
6.
Stemwalls, Garage; Steel-Blockouts-Wrapped
Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
6a.
Hold Downs and Special Anchors
58.
7.
Slab, Steel -Wrapped
Glazing Area -Glass Protection -Skylights -Plastic
8. Piers -Fireplace Ftg.-Steel
Shear Walls; Nailing -Bolts
9.
D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test
Elec. Trim & Subpanel, Breaker Sizes & Labels
10.
UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test
Stairs & Rails
11.
Water Pipe; Test -Anchors -Regulator -Service Test
Fireplace or Stove, Clearance -Hearth
12.
Electric Underground
Elec. Outlets at Wood Panel, Int. & Ext.
13.
Plenums & Ducts; Clearance -Material -Support -Ins.
Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance
14.
Girders -Sills -Anchor Bogs-Joists-Vents-Crippies
Elec. Outlets & Receptacles at Kit. Counter
15.
Access & Ventilation.
Garage Fire Door; Swing -Landing -Closure
16.
Insulation
A.C. Duct in Garage -Damper
77.
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
PLUMBING (Permit) OK except #'s
80.
17. Water Htr.; Vent -Access -Combustion Air Baffle
18.
Water Pipe; Test & Anchor -Nail Protection
19.
D.W.V.; Test Fittings & Anchor -Nail Protection
_
20.
Shower Pan; Test, First Floor -Tub Access
21.
Test Tub & Shower, Second Floor -Tub Access
22.
Gas Pipe; Sixe & Anchors
23. Fire Sprinkler; Test
A.C. Unit Disconnect, Electrical -Plumbing
86.
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
ELECTRICAL (Permit) OK except #'s
89.
24.
Fixture & Transformer Clearance -Ins. Protection
90.
25.
Elec. Receptacles Spacing -Lights & Switches at Doors
91.
26.
Size Boxes & No. of Conductors Stapled
92.
27.
Romex Installed Close to Edge of Studs & C.J.
93.
28.
Equip. Ground made up w/Mech Fasteners -Bond Gas & Water
94.
29.
2 Appliance Circuits in Kitchen & Conductor Size GFI
95.
30.
Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or Al
96.
31.
Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or Al
Insulated Neutral ❑ Yes ❑ No
32.
Service -Riser Conductors & Ground Main Disconnect
33.
Equip. Clearances Panels-Motors-Mech. Equip.
34.
Clothes Closet Light -Shower Light -Spa Light
35.
Smoke Detector
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
MECHANICAL (Permit) OK except #'s
36.
A.C. Ducts Insulation & Support
37.
Vent Fan, Exhaust above insulation
38.
Condensate Drain & Overflow, Size & Grade
39.
Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet
40.
Attic Access & Platform if Furnace in Attic
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
FRAMING (Permit) OK except #'s
41.
Sills Proper Materials & Anchors
42.
Walls Studs -Nailing Spacing & Braces -Plates -Sound
43.
Bearing Walls over Girders & Floor Nailing
44.
Draft Stop in Walls (rat proof)
45.
Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs
46.
Headers & Beams -Size & Bearing
r
t
Date FRAMING (Continued)
47.
Hangers -Post Caps -Anchors -Connectors
48.
Cling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rtng.
49.
Fireplace Ties or Type A Flue -Fireplace Throat Clearance
50.
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. Doors -One 3' -Check Garage 3rd Story, 2 Exits
55.
Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
56.
Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
57.
Siding -Nailing Veneer
58.
Stucco Mesh -Drip Screed -Fd. Vents-Underfir. Access
59.
Glazing Area -Glass Protection -Skylights -Plastic
60.
Shear Walls; Nailing -Bolts
61.
Brace Interior/Exterior Wall Panels
62.
Insulation -Walls -Ceilings
63.
Infiltration -Walls -Windows
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
FINAL (Plans) OK except #'s
64.
Ext. Steps -Door & Sidelight Protection -Landings
65.
Smoke Detector
66.
Furnace Vents -clearance -Comb, Air -Connector -
In Garage; Above Floor-Ducts-Mech. Protection
67.
Bedroom Exiting
68.
G.F.I. & Bath Fixtures & Tub Access -Spa
69.
Elec. Trim & Subpanel, Breaker Sizes & Labels
70.
Stairs & Rails
71.
Fireplace or Stove, Clearance -Hearth
72.
Elec. Outlets at Wood Panel, Int. & Ext.
73.
Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance
74.
Elec. Outlets & Receptacles at Kit. Counter
75.
Garage Fire Door; Swing -Landing -Closure
76.
A.C. Duct in Garage -Damper
77.
Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V.
in Garage; Above Floor-Mech. Protection
78.
Plb.; Elec. & Mech. Equip. Listed for Location
79.
Elec. Receptacles in Garage (F.F.I.)-Romex Protection
80.
Insulation -Foam -Looked in Attic
81.
Guard Rails & Deck Construction -Post Caps
82.
Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth
_
Clearance Looked under Floor ❑ Yes
83.
Following Instld./Drive O Yes ❑ No/Walks ❑ Yes ❑ No/Planters O Yes ❑ No
84.
Stucco Brown -Finish
85.
A.C. Unit Disconnect, Electrical -Plumbing
86.
Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings
87.
Water Well, Disconnect, Electrical, Plumbing
88.
Exterior Elec. Trim, G.F.I. Receptacle -Underground
89.
Ventilation Throughout House
90.
Glass Protection
91.
Corrections from Previous Inspections
92.
Gas Test -Meters Tagged, Gas -Electric
93.
Water & Sewer Connected -C/O to Grade -HD Approval
94.
Energy Compliance Certificate -Other Certificates
95.
Address Posted
96.
Fire Sprinkler
Date
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 - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
4 41 7 County Center Drive • Oroville, California 95965 o Telephone (530) 538-7541 g�1
(Rev. 12/96) APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER
031-255-017
ZONING
`a
BUILDING PERMIT
OWNER
POTTS . ROBERT `'05-7
TELEPHONE
7-191,9
SQ. FT. OCC. BUILDING VALUATION
768 t` —18y 13,824.00
. OWNERS MAILING ADDRESS
15 Z'�ST CHESNn.. POKE,
CONTRACTOR'S NAME
M M CONST
TELEPHONE
CONTRACTORS MAILING ADDRESS
BOX CA 99969
CONSTRUCTION LENDER '
Fireplace
LENDER'S MAIUNG ADDRESS
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee
$ 20.00
Permit Fee
$
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee
$
99,45
BUILDING AD DRESS
, n2mm ir,
Energy Plan Checking Fee
$
$
PERMIT FEE
$272.45
LOT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT
Fling Fee 20.00
Each Tra
7.00
USEOFSTRUCTURE
SF ❑ Duplex ❑ Mobilehome ❑ Other
SPECIFY
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: DE -A LED GrRAGE
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home S G W
@20.00
PERMIT FEE
S
ELECTRICAL PERMIT
Fling Fee 20.00
Main Service z�osi oa'.ss
Main Service soaA To t000A
23.00
46.00
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.
License Class / z r Lic. No. % 5% �% ?L
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
❑ I, as owner of the property, or my employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
❑ I, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
❑ I am exempt under Sec. Business and Professions Code for this
reason
NEW CONST. DW ELLWG OCCUR
OR ADDNS. 8 ACC. BIDS.
SO
`3.50FT.
T.
NOWRNEW 61p. MULTI.OUT N
@7,50
POWER APPARATUS
a SINGLE ounET aR
Ex,ccu , OUTLET OR For7UREs
O
sAl 3 I
Ex. Occu . OU O. I. °APP
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
PERMIT FEE
$ 46.88
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
MECHANICAL PERMIT
Fling Fee 20.00
Heating
Cooling
Hood
6.50
Ventilation
PERMIT FEt
$
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.)
I certify that in the performance of the work for which this permit is issued, I shallTOTAL
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 `��,yyai iJ_------ Date / �O Y�C�
Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent
An OSHA permit is required for excavations over 60" deep and demolition or construction
of structures over 3 stories in height.
Mobile Home Installation Fee
$
Energy Inspection F $
ST. r
FEE $ 319.33
FEES IMP FLOOD CDF PARCEL PD HD
1 71—
hereby issued under the
County Code and/or
Vindicaabovefor which fees have
PERMIT EXPIRES ON
applicable provisions
Resolutions to do work
been paid.
ate �3
to
ReceiptB. D.qOR
WHITE -D.D.S.-CA ESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
+4 L`� � .1 r�✓�`"-�ri..1.w w-v1fi ,?i��'^�{"�'�Q •57�'.a.�, i��'�%$+'/j�rh-�Y.'ri �%.i'G-r�.�.t�� v{-r5:+��i1Jl�"'`'
10 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
OWNER: ASSESSOR PARCEL NUMBER ,�� �GI
Proposed Building Use: , IA 4 e Counter Technician: Date:
Items required in order to apply for a pe'rjnit. All boxes MUST be checked OR marked NA in order to apply.
�.. Plot plans, 3 or 4 sets, signedty the preparer of the plans.
2. Complete plans, 3 or 4 sets, signed by the preparer of the plans.
O 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations.
''4. Engineered truss details and layouts -in duplicate. No faxes!
❑ 5. Energy compliance design and supporting documentation in duplicate.
❑ 6. Manufactured homes: (A) Data sheets and installation instructions, (B) Marriage line information, (C) Floor Plan, (D) Tie down or
foundation plans, all in duplicate.
❑ 7. Metal buildings: (A) Metal Building Plans, (B) Foundation plans and calculations in triplicate, (C) Elevation views in triplicate.
(D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer.
Items required for initial plan review. If checked items have not been received, plan review cannot proceed. The permit will be
indexed and returned to the plan review line-up when required items are received.
Date Received
By
❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate ................................
❑ 9. Plot plan and�usiness license approval'from the City of Biggs ....................................
❑ 10. Letter of intent for non-residential buildings......................................................:..
❑ 11. Detached Accessory Building Form filled out by the owner .....................................
❑ 12. Hazardous Material Form...............................................................................
_
❑ 13. Other
Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.)
❑ 14. Fees as shown on the attached Schedule of Fees Due Sheet .......................................
❑ 5. Statement of Intent for Non -heated Buildings and A/C Buildin s ............. . .. ...........'
-' " "'.
anitation and lot lanapproval from the Environmental Health Department in
p p
❑ 17. City of Chico Plumbing permit.......................................................................:
` 3OW 18. California Department of Forestry plan approval ❑ paid. Sent_ by: ......................
❑ 19. Planning approval for (A) Use: 0)-1-_ (B)Parking: (C) Parcel Check:
❑ 20. Contact Land Development about ❑ Improvements, ❑ Drainage ...............................
❑ 21. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy).
❑ 22. Pre -Inspection for required ................
❑ 23. Contractor's license information. (Number, Name Style, Classification) ......................
❑ 24. Worker's Compensation Carrier and Policy Number ..............:..............................
❑ 25. Owner -Builder Verification (❑ Given to owner, ❑ Mailed to owner) .....................
❑ 26. Letter of Signature authorization.....................................................................
❑ 27. Recorded copy of Agricultural Acknowledgment Statement ....................................
❑ 28. Manufactured home utility clearance.........................................................: ......
❑ 29. Existing violations and/or expired permits........................................................: ..
❑ 30. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $
❑ 31. Other:
When issued Telephone / and hold for pickup.
I have been informed of the above items and requirements for obtaining a building permit.
Applicant: - Date: _1 e R-/®
1. Index permit application for the above items numbered: Plan Check Letter
2. Additional items required
Contractor, designer, owner, was advised cf the above data by ❑ phone, ❑ mail, ❑ counter, by Date: _
Contractor, designer, owner, was advised of the abo e dat by ❑ phone, P, mail, El counter, by Date:
Plans reviewed by: 9-61 Date: a Plans approved by: -Date:
Structural reviewed by: Date: Structural approved by: Date:
Note transfer by: Date:
NOTES
RESIDENTIAL
PERMIT NO. _ 031-255-017 02-3165
POTTS, ROBERT
934 THERMALITO AVE., OROVILLE
CONT: M&M CONST.
RE -ROOF &r NEW FASCIA BOARDS
SPECIAL CONDITIONS
SRA
FLOOD CERTIFICATE REQ.
FIRE SPRINKLERS REQ.
SPECIAL INSPECTION ITEMS
VERIFY
USE PERMIT CONDITIONS
SUB -STANDARD HOUSING LETTER
JOB FINALED (Date)
Signature
Y•. r
CHECKED
BY
J=OK
0 = Not OK
= Not Readyable
MOBILE HOMES .
Date MOBILE HOME UTILITIES (Plans) OK except #'s
1.
Zoning Requirements -Setbacks -Easements
2.
Soils; Special MH Support Sketch
3.
Sewer; Location -Test -Fall -C/O -Concrete
4.
Water; Location -Test -Easement Needed (Sketch)
5.
Electricity; Location-Clearances-Grnd-/ /Amp -Concrete
6.
Gas; Location -Test-Wrap; -/ /" L 'ft.
/ P Nat. or / /" L "ft./ P LPG
-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
7.
Well Clearance & Disconnect
2.
8.
Utility Clearance
Pool Structure; Steel -Connections -Thickness
Dead Men -Lining
4.
Elec.; Receptacles and Lighting, Distance-GFI
5.
Elec.; Pool Lighting; 15 Volts-GFI
6.
Date
7.
Card B-1 Date Card B-1
Date
Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg.
Boxes-Enclosures-Panelboards-Ins. to Main Conduit
Card B-1 Date Card B-1
Date
MOBILE HOME INSTALLATION (Plans) OK except #'s
Plumb.; Cir. Test -Water Supply Test
1.
Zoning Requirements -Setbacks -Easements
12.
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
J=OK
0 = Not OK
- = Not Applicable
. = Not Ready
RESIDENTIAL (Single & Duplex)
Date UNDERFLOOR (Plans) OK except #'s
1.
Zoning -Setbacks -Easements -Flood -Slope
2.
Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth
3.
Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth
4.
Ftg., Porches & Decks; Soils -Steel-/ P' Ftg. Depth
5.
Stemwalls, Main; Steel-Blockouts-Wrapped
6.
Stemwalls, Garage; Steel-Blockouts-Wrapped
6a.
Hold Downs and Special Anchors
7.
Slab, Steel -Wrapped
8.
Piers -Fireplace Ftg.-Steel
9.
D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test
10.
UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test
11.
Water Pipe; Test -Anchors -Regulator -Service Test
12.
Electric Underground
13. Plenums & Ducts; Clearance -Material -Support -Ins.
14.
Girders -Sills -Anchor Botts-Joists-Vents-Crippies
15. Access & Ventilation
16.
Insulation
Date
54.
Card B-1 Date Card B-1
Date
55.
Card B-1 Date Card B-1
Date
PLUMBING (Permit) OK except #'s
Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
17.
Water Htr.; Vent -Access -Combustion Air Baffle
Siding -Nailing Veneer
18.
Water Pipe; Test & Anchor -Nail Protection
Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access
19.
D.W.V.; Test Fittings & Anchor -Nail Protection
Glazing Area -Glass Protection -Skylights -Plastic
20.
Shower Pan; Test, First Floor -Tub Access
Shear Walls; Nailing -Bolts
21.
Test Tub & Shower, Second Floor -Tub Access
Brace Interior/Exterior Wall Panels
22. Gas Pipe; Sixe & Anchors
62.
23.
Fire Sprinkler; Test
63.
Infiltration -Walls -Windows
Date
Date
Card B-1 Date Card B-1
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Card B-1 Date Card B-1
Date
ELECTRICAL (Permit) OK except #'s
64.
24.
Fixture & Transformer Clearance -Ins. Protection
65.
25. Elec. Receptacles Spacing -Lights & Switches at Doors
26.
Size Boxes & No. of Conductors Stapled
27.
Romex Installed Close to Edge of Studs & C.J.
28.
Equip. Ground made up w/Mech Fasteners -Bond Gas & Water
29.
2 Appliance Circuits in Kitchen & Conductor Size GFI
30.
Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or Al
31.
Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or Al
Insulated Neutral O Yes 0 No
32.
Service -Riser Conductors & Ground Main Disconnect
33.
Equip. Clearances Panels-Motors-Mech. Equip.
34.
Clothes Closet Light -Shower Light -Spa Light
35.
Smoke Detector
76.
A.C. Duct in Garage -Damper
Date
77.
Card B-1 Date Card B-1
Date
78.
Card B-1 Date Card B-1
Date
MECHANICAL (Permit) OK except #'s
Elec. Receptacles in Garage (F.F.I.)-Romex Protection
36.
A.C. Ducts Insulation & Support
Insulation -Foam -Looked in Attic
37.
Vent Fan, Exhaust above insulation
Guard Rails & Deck Construction -Post Caps
38.
Condensate Drain & Overflow, Size & Grade
Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth
39.
Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet
Clearance Looked under Floor ❑ Yes
40.
Attic Access & Platform if Furnace in Attic
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
FRAMING (Permit) OK except #'s
86.
41.
Sills Proper Materials & Anchors
87.
42.
Walls Studs -Nailing Spacing & Braces -Plates -Sound
88.
43.
Bearing Walls over Girders & Floor Nailing
89.
44.
Draft Stop in Walls (rat proof)
90. Glass Protection
45.
Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs
Corrections from Previous Inspections
46.
Headers & Beams -Size & Bearing
Date FRAMING (Continued)
47. Hangers -Post Caps -Anchors -Connectors
48. Cling. Joist-Rftr. Ties -Pullin -Roll Brac.-Truss-Shting.-Rtng.
49. Fireplace Ties or Type A Flue -Fireplace Throat Clearance
50. 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. Doors -One 3' -Check Garage 3rd Story, 2 Exits
55.
Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
56.
Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
57.
Siding -Nailing Veneer
58.
Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access
59.
Glazing Area -Glass Protection -Skylights -Plastic
60.
Shear Walls; Nailing -Bolts
61.
Brace Interior/Exterior Wall Panels
62.
Insulation -Walls -Ceilings
63.
Infiltration -Walls -Windows
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
FINAL (Plans) OK except #'s
64.
Ext. Steps -Door & Sidelight Protection -Landings
65.
Smoke Detector
66.
Furnace Vents -clearance -Comb, Air -Connector -
In Garage; Above Floor-Ducts-Mech. Protection
67.
Bedroom Exiting
68.
G.F.I. & Bath Fixtures & Tub Access -Spa
69.
Elec. Trim & Subpanel, Breaker Sizes & Labels
70.
Stairs & Rails
71.
Fireplace or Stove, Clearance -Hearth
72.
Elec. Outlets at Wood Panel, Int. & Ext.
73.
Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance
74.
Elec. Outlets & Receptacles at Kit. Counter
75.
Garage Fire Door; Swing -Landing -Closure
76.
A.C. Duct in Garage -Damper
77.
Wtr. Htr; Vents -Clearance -Comb. Air Connector-P.R.V.
in Garage; Above Floor -Meth. Protection
78.
Plb.; Elec. & Mech. Equip. Listed for Location
79.
Elec. Receptacles in Garage (F.F.I.)-Romex Protection
80.
Insulation -Foam -Looked in Attic
81.
Guard Rails & Deck Construction -Post Caps
82.
Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth
Clearance Looked under Floor ❑ Yes
_
83.
Following InstldJDrive O Yes 0 No/Walks 0 Yes O No/Planters 0 Yes O No
84.
Stucco Brown -Finish
85.
A.C. Unit Disconnect, Electrical -Plumbing
86.
Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings
87.
Water Well, Disconnect, Electrical, Plumbing
88.
Exterior Elec. Trim, G.F.I. Receptacle -Underground
89.
Ventilation Throughout House
90. Glass Protection
91.
Corrections from Previous Inspections
92.
Gas Test -Meters Tagged, Gas -Electric
93.
Water & Sewer Connected -C/O to Grade -HD Approval
94.
Energy Compliance Certificate -Other Certificates
95.
Address Posted
96.
Fire Sprinkler
Date
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:
(Rev. 12/96)
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541
APPLICATION AND PERMIT
PERMIT NO.
02-3165
ASSESSOR PARCEL NUMBER
031-255-017
ZONING
737-19
BUILDING PERMIT
8
OWNER -
E
SO. FT. OCC. BUILDING VALUATION
18
1,080.00
. OWNERS "UNG ADDRESS
1501 XK East Mesnut EKKKKEM Inno,
Const VaIUE!
1000.00
CONTRACTOR'S NAME
Maj Const.1533-6342
TELEPHONE
'
CONTRACTORS "UNG ADDRESS
P.O/Box: 746 1 Orovillp 95965
CONSTRUCTION LENDER .
Fireplace
LENDER'S MAILING ADDRESS
Total Valuation is
1,180.00
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee
$ .420.00
Permit Fee
$ 29.00
ARCHNECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee
$
BUILDINGADDRESS
Energy Plan Checking Fee
$
PERMIT FEE
$
LOTNIo
JJ
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT
Fling Fee 20.00
Each Tra
7.00
USE OF STRUCTURE
SF ❑ Duplex ❑ Mobilehome ❑ Other
SPECIFY
Solar or heat um 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: Re -Rook Comp. 18SQ
& new faS14 Boards
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home ISI GI W
920.00
PERMIT FEE
S
ELECTRICAL PERMIT
Fling Fee 20.00
Main Service noon oa mss
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. Lic. No.
License Class G
j3 3 y /
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
❑ I, as owner of the property, or my employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
❑ I, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
❑ 1 am exempt under Sec. Business and Professions Code for this
reason
Main Service 200A TO 1000A
46.00
NEW CONST. DWELLING OCCUP,
OR ADDNS. ( a AGC. BLDS.
So
3.50FT.
Fx)µRES,D MULTI.OUTLET
97,50
POWER APPARATUS
8 SWOLE OUTLEr CIR.
Ex. Occup. OUTLET OR FIXTURES
B 9 1:w
Ex. Occup. OUn�°r I.6 o.) El
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring23.00
PERMIT FEE
S
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 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
MECHANICAL PERMIT
Fling Fee 20.00
Heating
Cooling
Hood
6.50
Ventilation
PERMIT FEt
S
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.)
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
forthwith comply with those provisions.
X �r-�—�/ ��—�---" Date // ��c XU 7
Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent
An OSHA permit is required for excavations over 60" deep and demolition or construction
of structures over 3 stories in height.
Mobile Home Installation Fee
$
Energy Inspection Fee $
OCC
CONST. TYPE
TOTAL FEE $ 49.00
HAz.
D FEES IMP
FLOOD
CDF
PARCEL
PD
X
HO
ISSUE
This permit is hereby issued under
of the Butte County C nd/or
indicated ove for w ' h f shave
PERMIT EXPIRES ON
the applicable provisions
Resolutions to do work
been paid.
Date/
Dete
ReceiptNo. 364372 / $49.00
WHITE-D.D.S.-B.D. CANARY -ASSESSOR , PINK -INSPECTOR GOLDENROD -APPLICANT
j4tA C,(G
PERMIT NO. 4690-79B,P,E,M
i
PERMIT EXPIRES��V
OWNER
Debbie May
CONTR. Tom Rogers Const., Orovilie
31-255-14
i LOCATION (A.P. )
i
934 Thermalito Ave., Oroville
r
Temp Power Pole
Balled PG&E
Temp. Elec. Serv. 0
Called PG&E Ly—
emp. Gas Serv.
Called PG&E
JOB
FINALED
(Date)
(Signature)
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
BUILDING INSPECTION RECORD '
BUILDING BUILDING (Cont'd) PLUMBING
SetbackFirewall Soil Piping
Forms Parapets 1st Floor
Main Bldg. Restroom Finish - 2nd Floor
Footings 'Z - - - 4/�9 Windows 3rd Floor
Stemwall Siding To out Ci
Slab Roof Sheathing O Water PI i /,
Piers Roofing CA, Sewer
Garage Fdn. bents i/ Fixtures
Footings-C-- 2 Garage bents Water Htr.
Stemwall Insulation - Heaters
Slab r g Prov. for physically �_ Appliances
Carport handica ed Gas Pip ng & Test
Conformance of ex//
Footings structure Temp. Gas
SlabFinal Sanitation
Patio FIREPLACE Final r 9
Foot in s , Footing ELECTRICAL
-
Masonry Walls Throat Rough C3 -e4�^1
Reinf. Steel Final Fixtures
Bond Beam FIRE SP INKLERS Motors
Framing L/ Test Water Htr.
Stucco Final Subpanels
Mesh MECHANICAL Gid. Fault Prot.
Scratch Heatina Service
Brown Cooling Temp. i
Finish Ducts Underground
Interior Lath Ventilation Permanent
.,Door Closer Final /i - Final `
1;MOBILEHOMEUTILITIES --------------- Elec. Service Elec. Pedestal
Water Piping Sewer Gas Piping
"ILEHOME INSTALL8110R- - - - - - - - - - - - Support Elec. Continuity
Water Piping Drainage Gas Piping
DATE REMARKS OR CORRECTIONS
V
9- y_ z 9' /S--7a7I e-- co,s
SiZ- 4- ulv o,& ,c;A40
ce-7 9-
1-7;?- q�/ rz1f
(NOTE: An entry must be made on this form each time you visit the job site.)
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965
•.,, Telephone: 534-4541
APPLICATION AND PERMIT v /
authorize representatives or the L;ounty or tsutte to enter upon the
above-mentioned property for inspection purposes.
Date - 7�e
Signature of Permite o IZKW
AgReceipt No.
White-D.P.W. - YA751 Piscw-tor - Goldenrod -Applicant
This permit is hereby issued under the applicable provi I�n�ofpO
the Butte County Code and/or resolutions to do work �el�re�
above for which fees have been paid.
DIRECTGF,VQF PUBLIC WORKS
By Date X,13-7
B ' ding permit expires Date — t 7-6
BUILDING 411
Owner
SQ. FT. OCC. BUILDING VA DATION
410 0
Mailing Address
q
Telephone No.
0 1/
Contractor TQM LZS C0A� / N ('Q.
Mailing Address O p( ue qA_C�l.c
Fireplace
Total Valuation
n.�
Qeo viL,E_(_s CA-
Telepho a No.
Permit Fee
Building Address 714,=VML) � /6_
Plan CheckingFee&/or Penalty
Permit Fee ,
PLUMBING No.1 @ FEE
PERMIT FILING FEE $3.00
Each Trap 1.50 -7.S()
per,,'
64)( 44-4
Repair drainage or vent piping 1.50
+�
A. P. N0. 31- L.�S- I
VV
onln & PI nning
Water piping 1.50 ,S0
Each gas water heater or vent 1.50 1,50
F es
C.
Sao tion Fire Dept.
Fire Zone
Use Permit
Gas piping system 1 - 5 outlets 1.50 /
EQA
Parking Parcel
Plans Declaration
Parcel ap
60' R/W
Improvements
Each additional outlet .30
Building sewer 5.00
Bldg. Plans Recd
I Parc A Eroval I
Plans Ap val
Lawn sprinkler system 2.00
NEW ADDITION ❑ UTILITIES ❑ OTHER ❑
Permit Fee $ 15.00
/s
ELECTRICAL NO. @ FEE
PERMIT FILING FEE $3.00 ?,00
Main service 100 AMP OR0V OR LESS5.00
Single Family Duplex Mobil Home ❑ Others ❑
Main service EA. ADD'L 100 AMP 2.50
Main service OVER s O 25.00
100 AMP OR LESS
Main service EA. ADD'L 100 AMP 1.00
NEW OR ADDNST DG OC.CUP. 51 22 sq ft 22,90
II "G f O
CONTRACTORS LICENSE LAW
I am licensed under the provisions of Chapter 9, Div. 3, of the
State of Californiax.
ia Business &Professions Code under the name
le of:
style
NEW CONSTR / ULTI. UTL T
` BRANCH CIRCUITS 2.50ea
NN
N W CONST R. (POWER APPARATUS p
NON-RESID. SINGLE OUTLET CIR.
//OUTL50@2a¢
Occup ETS OR FIXTIIRES
l BAL@1
Ex. Occu FIXED APPLNS. OR
p•(OUTLETS (RESID.) EA) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
��6/ /` n
License No.(� Classification 4
Misc. Wiring 6.25
I am exempt from the Contractors License Laws of the State of California.
Permit Fee $ 7,
$ %
MECHANICAL No. @ 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.
have placed on file with the County of Butte a certificate of
1 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.
PERMIT FILING FEE $3.00 ?i,CDD
Heating UJALL ReAT '4 l./,cq
Cooling W 3,00 ,QO
Ventilation
Hood 2.00 p6
Permit Fee $ J2.00
$ 12- OO
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
Land Development Fee
$ 2_S -OD
two
TOTAL PERMIT FEE Ph J `—
authorize representatives or the L;ounty or tsutte to enter upon the
above-mentioned property for inspection purposes.
Date - 7�e
Signature of Permite o IZKW
AgReceipt No.
White-D.P.W. - YA751 Piscw-tor - Goldenrod -Applicant
This permit is hereby issued under the applicable provi I�n�ofpO
the Butte County Code and/or resolutions to do work �el�re�
above for which fees have been paid.
DIRECTGF,VQF PUBLIC WORKS
By Date X,13-7
B ' ding permit expires Date — t 7-6
RESIDENTIAL PLAN CHECKING GUIDE
(S.F., DUPLEX, & MISC. ONLY)
Bldg.
OWNER ► e _ A P.
A. GENERAL
Zoning requirements
2. Valuation.
Signature by R.C.E.
(sideyards and parking).
or Architect (if required).
B. PLOT PLAN
Complete parcel size and dimensions.
Setback$, sideyards, easements, etc.
Other buildings or structures.
Grading, fills, drainage.
Permit # D '7
4#
C. FLOOR PLAN
_,v Complete to scale plan with dimensions.
X2!7 Required windows for light and ventilation (Sec. 1405).
Required windows for second exit (Sec. 1404).
417 Allowable glazing for energy requirements (20% max. per.State law).
Human impact glass (Sec. 5406).
W Required room sizes, ceiling heights (Sec. 1407).
G.F.C.I.'s in baths and exterior outlets (Sec. 210-8).
G8! Light fixtures, switches, receptacles, and exterior receptacles for maintenance of
mechanical equipment.
,9:• Locations of water heater, heating & cooling equipment, other electrical or gas
equipment, and plumbing fixtures._
.4e. Garage firewall, door size, and.closer (Sec. 503(d)(4)).
-Tf 1 - 3'0" exterior exit door (Sec. 3303d).
Fireplace location.
,1.3-f` Smoke detectors (Sec. 1413) .
D. STRUCTURAL DETAILS
Foundation plan complete enough to construct building.
-I" Floor construction details complete enough to construct building.
31*' Elevations and wall construction details complete enough to construct
_-4'."9 Roof construction details complete enough to construct building.
Fireplace construction details and calcs if over one-story in height.
Sufficient data and details to satisfy energy insulation requirements
building.
(State law).
E. MISCELLANEOUS ITEMS TO LOOK OUT FOR
oYITO CCX plywood on exposed locations and overhangs.
Stairway details (Sec. 3305).
,o--`. Guardrail details (Sec. 1716).
Brick or stone veneer (Chapter 30).
Exterior plaster - weep screeds (Sec. 4706 & 4708).
�6� Proper roof pitch for roof covering (Chapter 32).
,,-7e Rafter ties or bearing ridge beam.
08: Garage door or porch header sizes.
,r,9� Adequate bracing.
Living area over garage - complete 1 -hour separation required including supporting
walls and posts, etc. ft
Two (2) exits on three-story dwellings (Sec. 3302).
RES IDENT IAL
ENERGY CONSERVATION STANDARDS
CONSTRUCTION COMPLIANCE CERTIFICATE
THIS IS TO CERTIFY THAT ENERGY CONSERVATION REQUIREMENTS HAVE BEEN
INSTALLED IN CONFORMANCE WITH CURRENT ENERGY CONSERVATION REGULATIONS
AT
(location)
BUILDING PERMIT N0. Q� ��+%�l� P,�'%1�l A. P. N0. _ 7�
THE FOLLOWING HAVE BEEN INSTALLED AS PER APPROVED PLANS:
(Check each item or write N/A if not applicable)'
INSULATION:
Slab Edge.
Fdn. Walls
Floors
Walls
Ceiling/Roof
Ducts
Circulating Pipes
APPROVED HEATER
APPROVED WTR.HT
GLAZING:
Single Glazed
Special (Insulated)
CERT. & LABELED WDS.
& SLIDING DRS.
WEATHERSTRIPPED DRS.
1114 -e -
BACK DAMPERED FANS
INTERMITTENT IGNITION 151fVICES
CERT. APPLIANCES If/10-
I DECLARE THAT ALL REQUIRED ITEMS AS NOTED ABOVE HAVE BEEN INSTALLED
IN ACCORDANCE WITH THE ENERGY CONSERVATION REQUIREMENTS AND AGREE TO
THE COMPLETENESS OF THIS CERTIFICATE AS SUBMITTED.
Insulation Applicator Name
Signature of (please print
Insulation Applicator
General Contractor/Owner Name
Signature of
General Contractor/Owner
1
State Contrac� qrs 17
7 __�+}.9—�9SQ
License No. �
ease print) 9
Date V/
State Contract
License No.
THIS CERT IF ICATE MUST BE ON FILE WITH THE BU ILD ING DEPARTMENT PRIOR TO
REQUESTING FINAL INSPECTION AND SHALL BE POSTED IN A CONSPICUOUS LOCATION
WITHIN THE DWELLING.
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