HomeMy WebLinkAbout031-272-024031-272-d=A 02-08
GREENE, BOB MALE
1018 NEVADA ST., ORO
TERMITE REPAIR-REMODE /O /
FOUNDATION, RE -WIRE & RE- MB
031-272-024 04-0451
GREENE,ROBERT
1018 NEVADA ST, OROVILLE
NEW PRI DET GARAGE
'BUTLER, Corbin 209-69B
o
V
1-272
1018 Nevada Ave., Oroville
CONTR: Foothills C st., 18 Jean Lane, Chico, c
( partial reroof)
J
1 .0
i
7
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.
SP040461
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: 04/12/2004 APN: 031-272-024-000
the Business and Professions Code, and my license is in full force and
effect.
License Class: License Number:
Site Address: /U/ g I -&,4610L S'F� U' foville
Date: Contractor:
Map Index:
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the
Description: NEW DETACHED GARAGE(768 SQ. FT)
Contractors' State License Law for the following, reason (Sec. 7031.5
Business and Professions Code: Any city or county which requires a
permit to construct, alter, improve, demolish, or repair any structure, prior
Owner: GREENE ROBERT A
to its issuance, also requires the applicant for such permit to file a
signed statement that he or she is licensed pursuant to the provisions of
the Contractor's State License Law (Chapter 9 commencing with Section
7086 BUNKER HILL IMINE ROAD
7000) of Division 3 of the Business and Professions Code) or that he or
OROVILLE CA 95965
she is exempt therefrom and the basis for the alleged exemption. Any
violation of Section 7031.5 by any applicant for a permit subjects the
530-5234992
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
Applicant: GREENE ROBERT A
owner of property who builds or improves thereon, and who does
such work himself or herself or through his or her own employees,
provided that such improvements are not intended or offered for
sale. If however, the building or improvements are sold within one
year of completion, the owner -builder will have the burden of
proving that he or she did not build or improve for the purpose of
sale.).
❑ I, as owner of the property, am exclusively contracting with
licensed contractors to construct the project (Sec. 7044, Business
and Professions Code. The Contractors' State License Law does
not apply to an owner of property who builds or improves thereon,
Contractor:
and who contracts for such projects with a contractor(s) licensed
pursuant to the Contractors' State License Law.).
❑ I am Exempt under Article 3 o Business nd rofessions Code
Date: /y -L( Owner: A k I
License #'
WORKERS' COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
'
❑ I have and will maintain a certificate of consent to self -insure for
workers' compensation, as provided for by Section 3700 of the
Labor Code, for the performance of the work for which this permit
is issued.
Architect:
❑ I have and will maintain workers' compensation insurance, as
Engineer:
required by Section 3700 the Labor Code, for the performance of
the work for which this permit is issued. My workers' compensation
insurance carrier and policy number are:
Cartier.
Total Square Ft: 0 S.F.
Policy #:
Valuation: $0.00
I certify that in the performance of the work for which this permit is
Census Code:
issued, I shall not employ any person in any manner so as to
become subject to the workers' compensation laws of California,
and agree that if I should become subject to the workers'
Section 3700 the Labor Code, I
compensation provisions of of shall
forthwith comply with those
• ,
�� f I /(/, b
provisions.
Date:
tSIR q0
Applicant:
WARNING: Failure to secure workers' compensation coverage is
unlawful, and shall subject an employer to criminal penalties and one
hundred thousand dollars ($100,000), in 'addition to the cost of
compensation, damages as provided for in Section 3706 of the Labor
code, interest, and attorney's fees.
CONSTRUCTION LENDING AGENCY
This permit is hereby issued under the applicable provisions of the Butte County Code and/or
I hereby affirm that there is a construction lending agency for the
Resolu6 s o do work indicate abovefor which fees have been paid.
performance of the work for which this permit is issued (Sec 3097 Civ.)
` Q
Name:
By: Date:
Address:
PE IT EXPIRES ON: J
If f(Date)
❑ I hereby Gertify 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 an I form or curvt e of Butte County. I hereby
authorize representatives of Butte County to enter upon the above mentioned property for inspection purposes.
r&4 A R�l
Print Name: 1\ 6 Signature:
Date:
Owner ❑ Contractor ❑ Agent for Owner ❑ Agent for Contractor
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT APPLICATION
24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO)
OFFICE #: (530) 538-7541
GIr-eeNc,
PERMIT
NO.
(3)4-051
DATE:
z-
APN: 2 / r �- O
J
ZONING: R,
NEAREST CROSS STRE
C`T'
l D
SITE ADDRESS: (
CITY, ZIP:
0190 v 1 f I F
OWNER NA nn
PHONE
F l9�
S 3 ^ rl Z
STREET ADDRESS: /
FAX
l0 �W /
CITY, ZIP:
W k4
E-MAIL
APPLICANT NA
PHONE:
STREET ADDRESS:
FAX
7
CITY, ZIP:
E-MAIL
CONTRACTOR N ``
PHONE:
a b Q
C,
SR - 2 e'14
STREET ADDRESS:
FAX
CITY, ZIP:
EMAIL
LICENSE NUMBER I i
�� � �
UCENSE TYPE
/1C {� Je..t=N
ARCHITECT/ENGINEER NAME:
PHONE
STREET ADDRESS:
FAX:
JO '9 ovpc
CITY, ZIP:
LICENSE NUMBER
E AAAIL
DESCRIPTION OR SCOPE OF WORK:
❑ Structure Built without permits
❑ Proposed Change of Occupancy (note previous use)
p -L 47 g(3 C, , e-czm��L�Z o rc 4 Dl;-'q-NR&6
EXPIRATION OF APPLICATION
Applications for which a permit has not been issued will expire one year after the date of application. In order to renew
action on an application after expiration, a new application, plans and fees will be required.
REQUEST FOR REFUNDS
Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to
the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan
checked and other department costs are not refundable.
For office use only:
Notes:
Application Received by: Date:
Receipt number: � / Amount Received:
B. C. Bulldinn Permit n,_7uu r ,)
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 1 (-� 4
OWNER:_' .1/ J ( "��t�'{�'l'� ASSESSOR PARCEL NUMBER
Proposed Building Use: �le(,(� �r � �Q �� Counter Technician: (4 Date: ;;� " -04
Items required in order to apply for a permit. A'll boxes MUST be checked OR marked NA in order to apply.
_ff11j ite 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.
D 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. Letter from Engineer or Architect for truss design review.
❑ 6. Energy compliance design and supporting documentation in duplicate.
❑ 7. Statement of Intent for Non -heated and A/C for Non -Residential Buildings.
❑ 8. Manufactured homes: (A) Data sheets and installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fid plans, all in
duplicate.
❑ 9. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these
must be stamped and wet -signed by the engineer.
❑ 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate
❑ 11. Site plan and business license approval from the City of Biggs
K❑ 2. Letter of intent for non-residential buildings
13. Detached Accessory Building Form filled out by the owner
14. Hazardous Material Form
15. Sanitation and site plan approval from the Environmental Health Department in ❑ Chico ❑ Oroville, as applicable.
❑ 16. Other
Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.)
❑ 17. Fire Sprinklers............................................................................................
❑ 18. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by
❑ 19. Soils Report and/or Engineered Foundation required ................................
*..............
❑ 20. Erosion Control Plan Required........................................................................ ........
❑ 21. Fees as shown on the attached Schedule of Fees Due Sheet ..............................
❑ 22. Ulty of Uhlco Plumbing permit........................................................................
23. California Department of Forestry plan approval ❑ paid. Sent by: .............
24. Planning approval (A) Use:(? J.<_(B)Parking: (C) Parcel Check: '2--2_-7-a9
❑ 25. Contact Land Development about _ Improvements, _ Drainage .........................
26. NPDES Form.............................................................................................
27. Encroachment Permit for driveway from the Public Works Dept ...........................
❑ 28. Pre -Inspection for required.......
❑ 29. Contractor's license information. (Number, Name Style, Classification) ...................
❑ 30. Worker's Compensation Carrier and Policy Number..........................................
1f 31. Owner -Builder Verification (_ Given to owner, _Mailed to owner) .....................
❑ 32. Letter of Signature authorization....................................................................
❑ 33. Recorded copy of Agricultural Acknowledgment Statement .................................
❑ 34. Manufactured home utility clearance...............................................................
❑ 35. Existing violations and/or expired permits.........................................................
❑ 36. Deed Restriction.........................................................................................
El 37. ❑ Grant Deed, 11M.H. Title/Statement of Facts, El Letter from Legal Owner, ❑ Check to H.C.D. $
❑ 38. Other:
❑ 39. Other:
When issued Telephone C -2 -BSc /T=/ /"/r) or and hold for pickup.
I have been informtO of the above iteV)s and requirements for obtaining a building permit.
Applicant: Date: 9_ / �L - q
1. Index permit applicatio for the above items numbered: 1 Plan Check Letter
2. Additional items re
Contractor, designe , , was advised of the above data by Wphone, ❑ mail, ❑ counter, by Date: 12J `1
Contractor, designer, owner, was advised of the ab ve data by ❑ phone, ❑ mail, ❑ co nter, by Date:
Plans reviewed by: C�L_Date: •D Plans approved by: ^- Date Z - o
Structural reviewed by: Date: Structural approved by: Date:
Note transfer by: Date:
Yellow: Building Division
Vw�
� hrch
National Pollutant Discharge Elimination ' System (NPDES) Phase II
Construction Storm Water Permit and Storm Water Pollution
Prevention Plan (SWPPP) Acknowledgement [LESS THAN 1 ACREI
Project Title:
By signing below, I, the project owner/owner's agent, certify that I am aware that a construction
project that disturbs 1 acre or more of land requires a Construction Storm Water Permit from the
State Water Resources Control Board and that it is my responsibility to submit a Notice of Intent
(N.O.I.), a Storm Water Pollution Prevention Plan (SWPPP), and a check for $700.00 made
payable to the State Water Resources Control Board to obtain such a permit if my project
disturbs I acre or more of land. I, further, certify that this project will not disturb 1 acre or
more of land. I am aware that submitting false and/or inaccurate information may result in
revocation of grading and/or other permits or other sanctions provided by law.
Signed: C, AA,�
Title: 'n -.,
Date: R - / q
M,
OWNER -BUILDER VERIFICATION
Attention Property Owner:
An "owner -builder" building permit has been applied for in your name and bearing your signature.
Please complete and return this information at your earliest opportunity to avoid unnecessary delay
in processing and issuing your building permit. No building permit will be issued until this
verification is received.
1. I personally plan to provide the major labor and materials for construction of the proposed
property improvement: YES 0 NO ❑
2. I HAVE.❑ HAVE NOT ❑ signed an application for a building permit for the proposed work
3. I have contracted with the following person (firm) to provide the proposed construction:
NAME:
ADDRESS: may:
PHONE:
CONTRACTOR'S LICENSE NO.
4. I plan to provide portions of this work, but I have hired the following person to coordinate,
supervise, and provide the major work:
NAME:
ADDRESS:
PHONE: —CONTRACTOR'S LICENSE NO.
5. I will provide some of the work but I have contracted (hired) the following persons to provide
the work indicated:
NAME ADDRESS PHONE TYPE OF WORK
SIGNED:
PROPERTYOWNER:
SOCIAL SECURITY NUMBER:
DATE:
NOTE. This Owner -Builder Verification is required by Section 19831 and 19832 of the
California Health and Safety Coda This verification must be completed and
returned to our office before we are permitted to issue the permit.
OVER
I OWNER BUILDER INFORNI[ATION �
Dear Property Owner.
An application for a building permit has been submitted in your name listing yourself as the builder of property
improvements specified.
For your protection, you should be aware that as "owner -builder" you are the responsible parry of record on such
a permit. Building permits are not required to be signed by property owners unless they are personally performing their
own work. If your work is being performed by someone other than yourself; you may protect yourself from possible
liability if that person applies for the proper permit in his or her name.
Contractors are required by law to be licensed and bonded by the State of California and to have a business
license from the city or county. They are also required by law to put their license number on all permits for which they
apply.
If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should
be aware of the following information for your benefit and protection:
♦ If you employ or otherwise engage any persons other than your immediate family, and the work (including materials
and other costs) is $300 or more for the entire project, and such persons are not licensed as contractors or
subcontractors, then you may be an employer.
0 If you are an employer, you must register with the State and Federal Governments as an employer and you are
subject to several obligations including state and federal income tax withholding, federal social security taxes,
workers compensation insurance, disability insurance costs, and unemployment compensation contributions.
♦ There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious
with respect to worker's compensation'iinsurance.
♦ For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and,
if you wish, the U.S. Small Business Administration). For more specific information about your obligations under
State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents.
If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their
work personally or through their own employees, without a licensed contractor or subcontractor, only under limited
conditions.
A frequent practice of unlicensed persons professing to be contractors is to secure an "owner builder" building
permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building
permits are not required to be signed by property owners unless they are performing their own work personally.
Information about licensed contractors may be obtained by contracting the Contractors State License Board in your
community or at 1020 N Street, Sacramento; CA. 95814.
Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you
are aware of these matters. The building permit will not be issued until the verification is returned.
�I
Ivlic 1 C. Vi ira, C.B.O.
ger, Building Inspection
NOTE: This Owner-Builderinformadon is required by Section 19830 of the California Health and Safety Code
BUTTB.COUNTY
AGRICULTURAL BUFFER NOTIFICATION AND/OR
UNUSJJAL CIRCUMSTANCES REQUEST
Butte County requires a 300 foot buffer between neighboring agricultural operations and a residence. This
dimension is based on environmental assessments and studies. The Agricultural Commissioner may identify
unusual circumstances where the 300 foot buffer cannot be met on existing parcels. This exception is not
available for lots being created, divided or subdivided.
Owner or Authorized Agent must complete the following and return with the required site plan to:
Development Services Department, 7 County Center Drive, Oroville, CA (530) 538-7601
Name: lAry, O rp 16 R EF, it)
Phone:
Mailing Address: 111 HAAM Y AP ee-iV#ALSS.e 7 � "
E -Mail address /S,E,e �-; AOL .Cc,m
Assessor's Parcel Number..
Reason you believe you qualify for the unusual circumstances exception:
Owner or Authorized Agent's signature Date
UNUSUAL CIRCUMSTANCES DEFINITION:
An exceptional or extraordinary condition .where the existing lot size or shape or an existing improvement
(well, septic systems, structures etc.) does not allow for the standard condition of a 300 -foot buffer zone.
SITE PLAN REQUIREMENT. submit 4 copies with this form
Refer to the Site Plan Submittal handout f&specific requirements
InternalDept �Contact Info:.........................................................................................
..............
❑ Env. Health 0 Planning' E3 Building Other
Contact Person: Phone:
FORWARDTHIS FORM TO LARRY IN DEVELOPMENT SERVICES FOR PROCESSING
........................
.....................................................
For Agrlcuitural C..OmnllsSlOner Office use *o't-r-
tre completed aft*er submittal)................................................»...
DISCRETIONARY PERMITS (Planning)
LJ Exception
Recommended MIINISTERIAL PERMIITS Buildin
❑ Exception NOT Recommended � Exception Granted with the
following conditions:
Reason/Conditions/Specific setbacks from adjacent agricultural operations: ov, ,
ra
Department Signature:
Date: A//li
7/1103
NOTES
RESIDENTIAL
031-272-011 02-0881
GREENE, BOB
1018 NEVADA ST., OROVILLE
TERMITE REPAIR -REMODEL
FOUNDATION, RE -WIRE & RE -PLUMB
11 SPECIAL CONDITIONS 11
SRA
FLOOD, CERTIFICATE REQ.
FIRE SPRINKLERS REQ.
SPECIAL INSPECTION ITEMS
VERIFY
USE PERMIT CONDITIONS
SUB -STANDARD HOUSING LETTER
j OFFICE COPY
Address
I
GAS
Meter B Date
I: ELECTRIC
Meter By Da?• 27— L
JOB FINALED (Date)
Signature (2�z
CHECKED
BY
V= OK
0 = Not OK
= Not Applicable MOBILE HOMES
= Not Ready
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-G'rnd-/ /Amp -Concrete
6. Gas; Location -Test -Wrap;-/ P L'ft.
/ P Nat. or / /"L°ft./ PLPG
7. Well Clearance & Disconnect
8. Utility Clearance
MISCELLANEOUS
Date
DECKS, COVERS, CARPORTS GARAGES (Plans) OK except #'s
Date
Zoning Requirements -Setbacks -Easements
Card B-1 Date Card B-1
Date
Footings; Soils -Size -Depth -Spacing -Connectors -Steel
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
Date
11.
Cert. of Occupancy
Date
12.
Permanent Foundation Only; License Decal
Date
FINAL (Plans) OK except #'s
Date
1.
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 l
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
FINAL (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 in Conduit
9. Health Department Approval
10. Plumb.; Cir. Test -Water Supply Test
11. Light Niche
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
V = OK
0 = Not OK
- = Not Applicable
= Not Ready
RESIDENTIAL (%c
Date
ate
Underfloor (Plans) OK except #'s
Card B-1
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, Ste el- Bloc kouts-Wrapped
6.
Stemwalls, Garage, Steel-Blockouts-Wrapped
Date
6a.
Hold Downs and Special Anchors
Date
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.
i
14.
Girders -Sills -Anchor Bolts-Joists-Vents-Crippies
15.
Access & Ventilation
16.
Insulation
Date
Card'B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
FLULIMBING (Permit) OK except #'s
1;(.
-Water Htr.; Vent -Access -Combustion Air Baffle
Water Pipe; Test & Anchor -Nail Protection
1
D.W.V.; Test Fittings & Anchor -Nail Protection
Shower Pan; Test, First Floor -Tub Access
-
Tub & Shower, Second Floor -Tub Access
Date
Gas Pipe; Sixe & Anchors
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
ELECTRICAL (Permit) OK except #'s
2
fixture & Transformer Clearance -Ins. Protection
24. EI eceptacles Spacing -Lights & Switches at Doors
Siz xes & No. of Conductors Stapled
2 ex Installed Close to Edge of Studs & C.J.
Equip. Ground made up w/Mach Fasteners -Bond Gas & Water
,8. ppliance Circuits in Kitchen & Conductor Size GFI
29. ed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or AI
0. Range Circle/ ga Cu or AI -Oven Circ. / / ga Cu or Al
I ated Neutral U Yes U No
Service -Riser Conductors & Ground Main Disconnect
A / 4d2 -Equip. Clearances Panels-Motors-Mech. Equip.
33. 58Kes Closet L
Smoke Detector
to I
Card B-1 Date
Card B-1
ate
Card B-1 Date
Card B-1
Date
VECHANICAL (Permit) OK except #'s
3e A.C. Ducts Insulation & Support
36. Vent Fan, Exhaust above insulation
Condensate Drain & Overflow, Size & Grade
F ace -Vent Access -Comb. Air -Return Air Vent 115 outlet
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
0. Sills Proper Materials & Anchors
41 IIs Studs -Nailing Spacing & Braces -Plates -Sound
Bearing Walls over Girders & Floor Nailing
43 aft p in Walls (rat proof)
44. F' Stops, Furred Ceilings -Stairs -Chasers -Tubs
Headers & Beams -Size & Bearing
jingle & Duplex)
Date FRAMING (Continued)
46. H rs-Post Caps -Anchors -Connectors
10"Cling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss .Shting.-Rfng.
ce Ties or Type A Flue -Fireplace Throat Clearance
Atti ccess; Size & Romex Protection -draft Stop -Ins, Baffles
5 drm. Windows or Exiting Doors -Sill Ht. & Dimensions
51. rage Fire Protection Framing
2. ro rty Line Firewall & Openings
xt. oors-One T -Check Garage 3rd Story, 2 Exits
5 t rs; W dth-Headroom-Rise-Run-Landing-Fire Protection
5 P ood on Roof Overhang -Attic Vents -Rafter Outriggers
Sidin - ilin eer
cco Mesh -Drip Screed -Fd. Vents-Underflr. Access
Gla g Area Glass Protection -Skylights -Plastic
59 ar Walls, Nailing -Bolts
&eSz Interior/Exterior Wall Panels
Insulation -Walls -Ceilings
62. I nfi Itration- Walls -Windows
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date FINAL (Plans) OK except #'s
tXr3. E -: Steps -Door & Sidelight Protection -Landings
Z>elsmolke Detector
465 rnace Vents -clearance -Comb, Air -Connector --
In Garage; Above Floor-Ducts-Mech. Protection
edroom Exiting
F I. & Bath Fixtures & Tub Access -Spa
Elec. Trim & Subpanel, Breaker Sizes & Labels
rq
r tove, Clearance -Hearth
lec. Outlets at Wood Panel, Int. & Ext.
L73!,�Fixt. & Appliance; Ground -Air Gap -Cooking Clearance
ec. Outlets & Receptacles at Kit. Counter
74 ng -Landing -Closure
uc m Garage- amper
r. Htr.; Vents -Clearance -Comb. Air Connect r-P.R.
1p.6er ,T tection
Plb., Elec. & Mech. Equip. Listed for Location
eptacles in Garage (F.F.I.)-Romex Protection
0o ed in Aftic
80. G onstruction-Post Caps
Crawl Hole Door Drainage & Wood -Earth
Clearance Looked under Floor U Yes
,Yes U No/Walks J Yes J No/Planters J Yes U No
wn- inish -
j� �..C_.Uqit Disconnect, Electrical -Plumbing
ants Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings
Q6. WaWr Well, ectrical, Plumbing
87 xterior Elec. Trim, G.F.I. ReceptacleJ�
entilation Throughout House
ass Protection
90. Corrections from Previous Inspections
eSt-G- Test -Meters Tagged, Gas -Electric
92. Via 6 er*-5vvmTCunnetted-C/O to Grade -HD Approval
9a_ERe5rmp ,ante Certificate -Other Certificates
Address Posted
Date d/rjLCard 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:
x.
" h
COUNTY OF BUTTE'S
BUILDING DIVISION .
-- DEPARTMENT OF DEVELOPMENT SERVICES
411'Main Street.* Chico, CA (530) 891-2751 =
7 County Center Drive • Oroville,.CA • (530) 538 -7541 -
CORRECTION NOTICE
t.
OWNER PERMIT N.Q.
A routine inspection indic s that the following violations of butte county Ordinances'exist at the -
above address and s uld be corrected. Please notice this office when correction of work is"
completed. If yo ave y questions pertaining to this matter, or need additional explanation,
please coma is of a immediately.
�.001<
eA�
��
�-
d D u Vis/ �� - _ �
: •-_,
v a 1GZ-_
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z 6
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en+c i10
i S
Date
`-Inspector
REV 10/92
COUNTY OF BUTTE ;
BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
411 Main Street • Chico, CA • (530) 891-2751
7 County Center Drive • Oroville, CA • (530) 538-7541 r
CORRECTION NOTICE
n' 496 I
PERMIT NO.
A routine Inspection Indicates that the following violations of butte county Ordinances exist at the
above address and should be corrected. Please notice this office when correction of work is
completed. If you have any questions pertaining to this matter, or need additional explanation,
hklaase contact this office immediately. ;
8�
�f
Date 6 - Inspectors_
REV 10/92
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-754 �I NO.
(Re V'12/96) APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER
ZONIW
BUILDING PERMIT
OWNER
GREENS BOB
TELEPHONE
532-4092
SQ. FT. OCC. BUILDING VALUATION
EST mmx
.OWNERS MMUNG ADDRESS
CA O O'
CONTRACTOR'S NAME
TE ON
1 0 , 000 • 00
CONTRACTORS MAIUNG ADDRESS
CONSTRUCTION LENDER
Fireplace
LENDER'S MAIUNG ADDRESS
Total Valuation $61=
10, 000.00
ARCHfTECT OR ENGINEER
LICENSE NO.
Fee
$ 20.00
—Filing
Permit Fee
$ XX- 117.00
ARCHITECT OR ENGINEERS MAIUNG ADDRESS
Plan Checking Fee
$
BUILTf.fgREN., V,A,DA ST., OROVILLE
Energy Plan Checking Fee
$
PERMIT FEE
$X= 137.0
LOT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT
Fling Fee 20.00
Each Trap
3 7-0021.00
USEOFSTRUCTURE
SF,Q Duplex ❑ Mobilehome ❑ Other SPECIFY
Solar or heat pump water heater
23.00
Water piping
15.00 15.00
Each gas water heater or vent
15.001
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other
Describe Work: TF'RMTTF RFPATR – TREWDFT • F1ILZMATION,
RE -WIRE & RE -PLUMS
Gas piping system 1 - 5 outlets
15.00 15.00
Building sewer
15.00
Mobile Home S G W
920.00
PERMIT FEE
$
ELECTRICAL PERMIT
Fling Fee 20.00
Main Service mss
23.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that 1 am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license is in full force and effect.
License Class Lic. No.
OWNER -BUILDER DECLARATION
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 sow
46.00
NEW CONST. DWELLING CCU
NG OCCUP.
OR ADDNS. ( a ACC. BLDS.
SO
3.50 FF 28-00
NON-RESID. MULTI- OUTLET
@7.50
PSO APPARATUS
a swfil F ounEr c,R
Ex. Occup. OUTLET OR FWTURES
� °' 50
FTXED APPLNS. OR
Ex. Occup. ourLETs RESID. EA
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
PERMIT FEE
$ 45.00
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
CI I 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 d the permit is for work of a valuation
of one hundred dollars ($100) or less.)
❑ 1 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
w 'comp nsa ' provisions of section 3700 of the Labor Code, I shall
c p w' se provisions.
O
X Pl Date – 2—
Signature Nf Applica t - Owner ❑ Contractor ❑ Agent
An OSHA permit is required for excavations over 5'0" deep and demolition or construction
of structures over 3 stories in height.
MECHANICAL PERMIT
Fling Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation 4.50
PRE- INSPE CTION
PERMIT FEt $ 54.50
Mobile Home Installation Fee $
Energy Inspection Fee
$
OCC
CONST. TYPE
TOTAL FEE $XMM 325.5(
HAz
D. FEES IMP
I FLOOD
I COP
I PARCEL
I PD
1 HU
1 ISSUE
This permit is hereby Issued under
of the Butte County Code and/or
indicated abov for which fees have
By
PERMIT PIRES N
the applicable provisions
Resolutions to do work
been paid.
Date (,
fa
Receipt No. d%
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK-INSPEC OR GOLDEN D -APPLICANT
COUNTY OF BUTTE
DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE. CALIFORNIA 95965 - TELEPHONE (530) 538-7541
SCHEDULE OF FEES DUE
OWNER U1 �liy b A.P. # 031-2-7-2--0//
PROPOSED BUILDING USE
IC (M l ✓epa.� K'" VT(hOde ( �� ejC 1 1 /1y SEDATE
J RECEIPT # DATE REC.
V 1. BUILDING PERMIT FEES
--Balance Due ........................................................ $
--Additional Fees Due ............................................ $
--Additional Fees Due ............................................ $
--Revised Plan Checking Fee ................................. $
2. SCHOOL DISTRICT FEES
(paid at District Office)
3. SHERIFF FEES (paid at Building Division)
Residential .................................... x $360.00 = $
Units
Commercial (sq. ft.) ......................
4. URBAN AREA FEES
Residential ...........................
Sq. ft.
x $0.03 = $
# Units Amt.
Commercial (Sq. ft.) ............. x
Sq. ft. Amt.
5. RECREATION DISTRICT FEES
6. THERMALITO DRAINAGE DISTRICT FEES
$510.00 (paid at Building Division)
7. SRA FIRE INSPECTION AND PLAN CHECK
$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 du ' g the Ian checking pfycess.
APPLICANTy 1 CI / V..LI l DATE
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 - Building Div. 2nd Copy - Applicant 3rd Copy - Owner (Rev. 6/00)
OWNER -BUILDER VERIFICATION
Attention Property Owner:
An "owner -builder" building permit has been applied for in your name and bearing your signaame.
Please complete and return this information at your earliest opportunity to avoid unnecessary delay
in processing and issuing your building permit. No building permit will be issued until this
verification is received.
I personally plan to provide the major labor and materials for construction of the proposed
(Dproperty improvement: YES 0 NO ❑
2 I HAVE t HAVE NOT ❑ signed an application for a building permit for the proposed aodc.
3. I have contracted with the following person (firm) to provide the proposed construction:
NAME:
ADDRESS: CITY:
PHONE:
CONTRACTOR'S LICENSE NO.
4. I plan to provide portions of this work, but I have hired the following person to coordinate,
supervise, and provide the major work:
NAME:
ADDRESS:
PHONE:
CITY:
CONTRACTOR'S LICENSE NO.
I will provide some of the work but I have contracted (hired) the following persons to provide
the work indicated:
NAME ADDRESS PHONE TYPE OF WORK
SIGNED:
PROPERTYOWNER:
NOTE: This Owner -Builder Verification is required by Section 19831 and 19832 of the
California Health and Safety Code. This verification must be completed and
returned to our office before we are permitted to issue the permit.
OVER
OWNER BUILDER INFORMATIOY
Dear Property Owner:
An application for a building permit has been submitted in your name listing yourself as the builder of property
improvements specified.
For your protection, you should be aware that as "owner -builder" you are the responsible parry of record on such
a permit. Building permits are not required to be signed by property owners unless they are personally performing their
own work. If your work is being performed by someone other than yourself, you may protect yourself from possible
liability if that person applies for the proper permit in his or her name.
Contractors are required by law to be licensed and bonded by the State of California and to have a business
license from the city or county. They are also required by law to put their license number on all permits for which they
apply.
If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should
be aware of the following information for your benefit and protection:
♦ If you employ or otherwise engage any persons other than your immediate family, and the work (including materials
and other costs) is S300 or more for the entire project, and such persons are not licensed as contractors or
subcontractors, then you may be an employer.
♦ If you are an emplover, you must register with the State and Federal Governments as an employer and you are
subject to several obligations including state and federal income tax withholding, federal social security taxes,
workers compensation insurance, disability insurance costs, and unemployment compensation contributions.
♦ There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious
with respect to worker's compensation insurance.
♦ For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and,
if you wish, the U.S. Small Business Administration). For more specific information about your obligations under
State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents.
If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their
work personally or through their own employees, without a licensed contractor or subcontractor, only under limited
conditions.
A frequent practice of unlicensed persons professing to be contractors is to secure an "owner builder" building
permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building
permits are not required to be signed by property owners unless they are performing their own work personally.
Information about licensed contractors may be obtained by contracting the Contractors State License Board in your
community or at 1020 N Street, Sacramento, CA. 95814.
Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you
are aware of these matters. The building permit will not be issued until the verification is returned.
i rely,
Mic el C. Vi ira, C.B.O.
M ger, Building Inspection
NOTE: Th is Owner -Builder Information is required by Section 198.0 of the Californla Health and Safety Code -
OVER
PRE -INSPECTION REPORT
OWNER: DATE:
LOCATION: I ,J--
NCV�zzja
1 A.P. #• ' 031' Z7a1 - 01
CONTRACTOR: �> �-Q ZONING:
PRE-INSPETIONFOR:�'h-�Wlcfc- Ike ca,✓— {�Z+'Y��C�Q� ✓ GltiI� i Si l�u�c� &yrd, , a
DATE TO INSPECTOR: y ��0� �� PERMIT HdSTORY:( )NONE ()4 AS FOLLOWS:
BUILI)MG INSPECTOR'S REPORT
Building Deseriptlon:
CommerciaWsage: _
Residential/! of Units:
Currently Occupied
AbandonedNacant
Electric: /
Yes � No Electric cuercndy On Off
Condition of Electric
Gas:
Natural,ZL Propane None Currently On,_,::f�04
Obvious Problems:
Sanitation:
Plumbing Working
Well Working Potable Water,
Obvious SewageProblems �✓[�
ACTION RECOMMENDED: LSSUE: HOLD FOR
InsPesd Date
Sketch buildings on reverse and indicate location on proper