HomeMy WebLinkAbout031-273-012031-273-4R P 11
OLRY, Scott
PERMIT 1-23
1434 12th St., Oroville
Demo/Store
031-273-012`
OLRY, SCOTT
05-2059
1434 12TH ST, OROVILLE
Conr.OWNER
ELEC(PANEL)
_
/�J-�I`
.2A-ob
I U -JI -273-001
JOLRY, Scott
11434 12th St.,
Demo/Store
PERMIT#96-2306
Oroville
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COUNTY OF BUTTE- DEPARTMENT OF DEVELOPOENT SERVICES -BUILDING DIVISION'S
7 County Center Drive - Oroville, California 95965 =Telephone (916) 534.1 ', daTL�(/7
APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER 031-273—Ml
ZONING
ILDING PERMIT
OWNER 5COTr OLRY
TELEPHONE
SQ. FT. OCC. BUILDING
VALUATION
OWNERS MAILING ADDRESS 171 NORTH AYRE14 AVE CLOVIS a 93612
CONTRACTOR'S NAME 01ma
TELEPHONE
CONTRACTORS MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
Filing Fee $
20.00
LENDER'S MAIUNG ADDRESS
Permit Fee $
15,00
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee $
Energy Plan Checking Fee $
ARCHITECT OR ENGINEERS MAILING ADDRESS
I
Penalty $
BUILDINGADDRESS - 1434 12TH ST
PERMITFEE $
35X0
PLUMBINGPERMIT Filing Fee 20.00
OROVIM,
Each Trap
7.00
LOT No. SUBDIVISIONS NAME 6
PARCEL MAP
Solar or heat pump water heater
23.00
Water piping
15.00
USEOFSTRUCTURE
SF ❑ Duplex ❑ Mobilehome ❑ Other ' STORE
SPECIFY
Each gas water heater or vent
15.00
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other
Describe Work: DSO
—
Mobile Home S G W
920.00
PERMITFEE S
Contractor
ELECTRICAL PERMIT Filina Fee 20.00
Main Service / a00V OR LESS
200A OR LESS )
23.00
Main Service ( 200A TO 1000A )
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 Lic. No.
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors License
Lawfor the following reason:
`0 I, as owner of the property, or my employees with wages as their sole compensation,
I 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. DWELLING OCCUP.
DR ( s ACC. BUDS. )
SO.
3.50T
NEW CONST. MULTI -OUTLET
CNS
NON-RESID. ( BRANCH CIRCUITS )
97.50
POWER
/ POWER APPARATUS )
OUTLET CIR.
Ex. Occup. ( OUTLET OR FIXTURES)
20 @ 1.00
SAL Q .SO
Ex. Occup. ( ()FXXEEP
DTs UNS. OR )
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
PERMITFEE $
Contractor
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.
❑ I 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
Filing Fee 20.00
9
Heating
Cooling
Hood
6.50
Ventilation
PERMITFEE $
Contractor
Policy Number
(The above sections need not be completed 0 the permit is for work of a valuation
of one hundred dollars ($100) or less.)
` I certify that in Ithe 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' compenss@@ti n pfovisions of section 3700 of the Labor Code, I shall
forth, itb cc I' wig th'o pr'oJisions:� -
X \ . Date �� `5 (� _
`Signature of Applicant - Owner ❑, � ntractor ❑ Agent
An OSHA permit is required for excavations over 50" deep and demolition or construction
of structures &br-3�stories-in Height. • ` f _
Mobile Home Installation Fee $
Energy Inspection Fee Is
OCC
CONST. TYPE
TOTAL, FEE $ 35000
HAZ. C. FEESIMP
FLOOD
CDF
PARCEL
PD
HD
ISSUE
This permit is ereby issued under the applicable provisions
of the Butte County Code and/or Resolutions to do work
indicate a bove for which fees have been paid.
r
13Y Date / Y
PERMITEXPIRESON
(Dat®
Receipt No.
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDI
NGVISI
7 County Center Drive-�Oroville, Qolifornia 95965 - Telephone (916) PERMIT NO.
APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER 031-273-001
ZONING
ILDING PERMIT
OWNER SCOTT OLRY
TELEPtaNE
SO. FT. OCC. BUILDING VALUATION
OWNERS MAILING ADDRESS 171 NORTHT AKREN AVE CLOVIS, 93612
CONTRACTOR'S NAME OWNER
Y1`IL
TELEPHONE
CONTRACTORS MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNIPIOWN
Total Valuation Is
Filing Fee $
20.00
LENDER'S MAILING ADDRESS
Permit Fee $15.00
ARCHITECT OR ENGINEER
ucENSE NO.
Plan Checking Fee $
Energy Plan Checking Fee $
ARCHITECT OR ENGINEERS MAILING ADDRESS
Penalty $
BUILDINGADDRESST
1434 12T�-� ST
PERMITFEE $
35.00
. OROVILLE
PLUMBING PERMIT
Filing Fee 20.00
Each Trap
7.00
LOT NO.
SUBDIVISION'S NAME
PARCEL MAP
Solar Or heat pump water heater
23.00
Water piping
15.00
USEOFSTRUCTURE
SF ❑ Duplex ❑ Mobilehome ❑ Other STORE
SPECIFY
Each gas water heater or vent
15.00
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other CX
Describe Work: DEMO
Mobile Home I S I G W
@20.00
PERMITFEE _
Contractor
ELECTRICAL PERMIT
Alina Fee 20.00
Main ServiceSoov OR LESS
( 200A OR LESS )
23.00
Main Service ( 200A TO I000A )
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 Lic. No.
OWNER -BUILDER DECLARATION
1 hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
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
NEW CONST. DWELLING OCCUP.
OR ADDNs. ( a ACC.UTLE )
SO.
3.5Q Fr.
NEW CONST. MULTI-OUTLET
NON-RESID. ( BRANCH CIRCUITS )
97.50
POWER
NGLE OUTLET APPARATUS )
( d SINGLE CIR.
Ex. Occup. ( OUTLET OR FIXTURES )
20 O 1.00
BAL Q .50
Ex. Occup. ( OFIXED (REN o.OR )
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
PERMITFEE $
Contractor
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.
I 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
Filing Fee 20.00
9
Heating
Cooling
Hood
6.50
Ventilation
PERMITFEE i
Contractor
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 ploy any person In any manner so as to become subject to workers'
C ensation ws of California, and agree that if I should become subject to the
o kers' comp n ti p visions of section 3700 of the Labor Code, I shall
%fort it cc i h provisions.
X Date
re of Applican - Owner ❑ C ntractor ❑ Agent�
An OSHA permit is required for excavation ver 60" deep and demolition or construction
of structures over 3 stories in height.
Mobile Home Installation Fee Is
Energy Inspection Fee $
OCC
CONST. TYPE
I
TOTAL FEE $ 35.00
HAZ.
D. FEES
J IMP I FLOOD
CDF PARCEL I PD HD
ISSUE
This permit is hereby issued under the applicable
of the Butte County Code and/or Resolutions
indicate ve for which fees have been
I
B
PERMITEXPIRESON l�
provisions
to do work
paid.
Date
ate
Receipt No. -Is
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
/I
Demolition Permits
Asbestos NotificaeionTStatement
Date
AP#
Pursuant to section 19827.5 of the California Health and Safety Code, all
demolition permit applicants are required to fill out this form.
1119827.5. A demolition permit shall not be issued by any city, county,
city and county, or state and local agency which is authorized to -issue
demolition permits as to any building or structure except upon the.receipt
from the permit applicant of --a copy of each written asbestos notification
regarding the building -that as been required to be submitted to the United
-States Environmental Protection Agency or.to a designated state agency, or
-both,-pursuant to Part 61 of Title 40 of the Code of Federal -Regulations,
or the successor to.that part. The.permit may be issued without the applicant
submitting a copy of the written notification if the .applicant declares that
the notification is not applicable to the scheduled demolition project. The
permitting agency may require the applicant to make the declaration in writing,
or it may incorporate the applicant's response on the demolition permit appli-
cation."
Attached is a copy of my written asbestos notification to the United States
Environmental Protection Agency for the demolition project located at
Signature of H�,�,licorit
OR
I hereby declare that a written asbestos notification to the United States
Environmental Protection Agency is not applicab e to thi de lition project.
Signatureo Applicant
2/19/91
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.
personally plan to provide the major labor and materials for construction of the
proposed property improvement: YESNO[ ].
2.I HAVE HAVE NOT[ ] signed an application for a building permit for the
proposed ork.
I have contracted with the following person (firm) to provide the proposed
construction:
NAME:
ADDRESS: CTTY:
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: CTTY:
PHONE: CONTRACTOR'S LICENSE NO.
5. I will provide some of the work but I have contracted (hired) the following persons to
provide'the work indicated:.
NAME ADDRESS _ PHONE TYPE OF WORK
SIGNED:
PROPERTY OWNER:
SOCIAL SECURITY NUMBER:—
DATE:.
UMBER:DATE•
OTE: 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
Dear Property Owner:
An application for a building permit has been submitted in your name listing yourself as the builder of
property improvements specified
For your protection, you should be aware that as "owner -builder" you are the responsible party of record
on such a permit. Building permits are 'not required to be signed by property owners unless they are personally
performing their own work. If your work is being performed by someone other than yourself, you may protect
yourself from possible liability if that person applies for the proper permit in his or her name.
Contractors are required by law to be licensed and bonded by the State of California and to have a
business license from the city or county. They are also required by law to put their license number on -all permits
for which they apply.
If you plan to do your own work, with the exception of various trades that you plan to subcontract, you
should be aware of the following information for your benefit and protection:
0 If you employ or otherwise engage any persons other than your immediate family, and the work (including
materials and other costs) is $300 or more for the entire project, and such persons are not licensed as
contractors or subcontractors, then you may be an employer.
0 If you are an employer, you must register with the State and Federal Governments as an employer and you are
subject to several obligations including state and federal income tax withholding, federal social security taxes,
workers compensation insurance, disability insurance costs, and unemployment compensation contributions.
0 There may be financial risks for you if you do not carry out these obligations, and these risks are especially
serious with respect to worker's compensation insurance.
0 For more specific information about your obligations under Federal Law, contract the Internal Revenue
Service (and, if you wish, the U.S. Small Business Administration). For more specific information 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 "ownerbuilder"
building permit, erroneously implying that the property owner is providing his or her own labor and material
personally. Building permits are not required to be signed by property owners unless they are performing their own
work personally.
Information about licensed contractors may be obtained by contracting the Contractors State License
Board in your community or at 1020 N,Street, Sacramento, CA. 95814.
Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm
that you are aware of these matters. The building permit will not be issued until the verification is returned.
Sin1rel
Michail C. Vieira, C.B.O.
Manager, Building Inspection
NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code.
OVER
NOTES RESIDENTIAL
PERMIT N0. 03I-273-012 - — — - 05-2059
OLRY,SCOTT
1434 12TH STN, OROVILLE
Cont: OWNER
ELEC(PANEL)
OFFICE COPY
i
Address
GAS
Meter By Date
ELECTRIC S(m�Dat ' -06
Meter By �
1, T inP GFel
SPECIAL CONDITIONS
CHECKED
BY
SRA
FLOOD CERTIFICATE REQ.
FIRE SPRINKLERS REQ.
SPECIAL INSPECTION ITEMS
VERIFY
USE PERMIT CONDITIONS
SUB -STANDARD HOUSING LETTER
C
JOB FINALED (Date) �0—
Signature
J = OK
0- Not OK
_ a NotAppliReadyable
. =Not Ready
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-Gmd-/ /Amp -Concrete
6. Gas; location -Test -Wrap;-/ /' L'ft.
/ P Nat or/ /" L "ft1 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-Connectoe
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 Cana 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 Cana 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 -GR
5. Elec.; Pool Ughting; 15 Vofts-GFI
6. FJec.; Enclosures; Conduit Entries -Terminals -Listed
7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater
8: Elm; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg.
Boxes-Enclosures-Panelboards-Ins. to Main Conduit
9. Health Department Approval
10. Plumb.; Cir. Test -Water Supply Test
11. Light Niche
12. Enclosure; Fencing -Alarms
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
= OK
= Not OK
= Not App6able
Not Ready
RESIDENTIAL (Single & Duplex)
Date UNDERFLOOR (Plans) OK except #'s
1. Zoning -Setbacks -Easements -Flood -Slope
2. Ftg., Main; Soils-Elec. Gmd.-/ /" Ftg. Depth
3. Ftg_, Garage; Soils-Steel-Elec. Gmd.-/ /" Ftg. Depth
4. Ftg., Porches & Decks; Soils -Steel-/ /" 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-Frtting-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
16. Insulation
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date PLUMBING (Permit) OK except#'s
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
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date ELECTRICAL (Permit) OK except #'s
24. Fixture & Transformer Clearance -Ins. Protection
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 -Bo rLA ter
29. 2 Appliance Circuits in Kitchen & Conductor Size GFI
30. Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or AI
31. Range Circle/ /ga Cu or Al -Oven Circ. / /ga Cu or Al
In3VIvMd Neutral 0 Yes 0 No
Riser Conductors & Ground Main Disconnect
Sktquip. Clearances Panels -Motors -Meth. Equip.
34. Clothes Closet Light -Shower Light -Spa Light
35. Smoke Detector
Date(p tb -CG Card B-1 Q� S _ 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. Fumace-Vent Access -Comb. Ait-Return Air Vent 115 Outlet
40. Attic Access & Platform K 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. Wails 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
Date
FRAMING (Continued)
47. Hangers -Post Caps -Anchors -Connectors
48. Cling. Joist-Rftr. Ties-Pudin-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. Bdnn. Windows or Exiting Doors -Sill Ht & Dimensions
52. Garage Fire Protection Framing -RC Channel
53. Property Line Firewall & Openings
54. Ext. Doors -One X -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. C'Bath Fixtures & Tub Access -Spa
61.7 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. Dud 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 0 Yes
83. Following InstldJDrive 0 Yes 0 No/Walks 0 Yes 0 No/Planters 0 Yes 0 No
84. Stucco Brown -Finish
85. A.C. Unit Disconnect, Electrical -Plumbing
86. Vents Above Roof, Plbg-Appriance-Fireplace-Clearance to Openings
87. Wate�p I, Disconnect, Electrical, Plumbing
xterior Elec. Trim, G.F.I. Receptacle -Underground
89. Ventilation Throughout House
90. Glass Protection
91. Corrections from Previous Inspections
92. Gas Test -Meters Tagged, G is
93. Water & Sewer Connected -C/O to Grade -HD Approval
94. Energy Compliance Certificate -Other Certificates
95. Address Posted
96. Fire Sprinkler
Datt-2-0(p Card B-1 Q�� S, Date Card B-1
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Comments at Final:
COUNTY OF BUTTE'
-
BUILDING DIVISION
kY.
DEPARTMENT OF DEVELOPMENT SERVICES
7 County Center Drive • Oroville, CA • (530) 538-7541
-
CORRECTION NOTICE
D /Z,�
OWNER PERMIT NO.
A routine inspection indicates that the following violations of Butte County Ordinances exist at
the above address and should be corrected. Please call for re -inspection when correction of�l
work is completed. If you have any questions pertapitig to this matter, or need additional;'
.:.. ' .
explanation, please contact the Building Inspector as indicated below.
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Date ( Inspector
REV 4/05 Phone #
FOR RE -INSPECTION CALL: 538-7636 OR 891-2834
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.
BPO52059
LICENSED CONTRACTORS DECLARATION
I hereby affirm under penalty of perjury that I am licensed under
Issued Date: 08/02/2005 APN: 031-273-012-000
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
Site Address: 1434 12TH ST ORO
effect
License Class : License Number:
Map Index:
Date: Contractor.
Description: NEW ELECTRICAL SERVICE PANEL
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
Owner: OLRY SCOTT D &JANIE E
Business and Professions Code: Any'city or county which requires a
permit to construct, alter, improve, demolish, or repair any structure, prior
171 N KAREN AVE
to its Issuance, also requires the applicant. for such permit to file a
CLOVIS, CA
signed statement that he or she Is licensed pursuant to the provisions of
the Contractor's State License Law (Chapter 9 commencing with Section
93612
7000) of Division 3 of the Business and Professions Code) or that he or
she is exempt therefrom and the basis for the alleged exemption. Any
violation of Section 7031.5 by any applicant for a permit subjects the
applicant to a civil penalty of not more than five hundred dollars ($500).):
I, as owner of the property, or my employees with wages as their
sole compensation, will do the work, and the structure is not
Applicant: OLRY SCOTT D & JANIE E
intended or offered for sale (Sec. 7044, Business and Professions
171 N KAREN AVE
Code: The Contractors' State License Law does not apply to an
owner of property who builds or improves thereon, and who does
CLOVIS, CA
such work himself or herself or through his or her own employees,
93612
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.).
❑ 1, as owner of the property, am exclusively contracting with
licensed contractors to construct the project (Sec. 7044, Business
Contractor:
and Professions Code. The Contractors' State License Law does
not apply to an owner of property who builds or improves thereon,
and who contracts for such projects with a contractor(s) licensed
pursuant to the Contractors' State License Law.).
❑ 1 am Exempt under Article 3 e Business rofessions Code
Date:1L=� Owner
License #:
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
Architect:
Labor Code, for the performance of the work for which this permit
Engineer:
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
insurance carrier and policy number are:
Total Square Ft: 0 S. F.
Carrier:
Valuation: $0.00
Policy#:
Census Code:
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 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.
Date:
/') j t 2S
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 TENDING AGENCY -
Thi; p rr;:, Ss 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
performance of the work for which this permit is issued (Sec 3097 Civ.)
Resolutio s o do work igdicated bove f r which fees have been paid.
gyp, J1ly n
Name:
B Y l �'l!� !tl %' Date: �-L�IJ : )
PERMIT EXPIRES ON:—
Address:
Date
❑, 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage,
handling and use of hazardous materials.
❑ Notification in accordance with Section 19827.5 of California Health & Safety Code Is not applicable to the scheduled construction of this project.
❑ Attached are copies of the required E.P.A. notification forms.
.:I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the 'thorized 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 a o ficial form or do me f Butte County. I hereby
authorize representativoT utte County to ter upon the ab%over mentioned property for inspection purposes.
Print Name: f— vl�" Signature:
�2
Date:
34Owner 0 Contractor 0 Agent for Owner ❑ Agent for Contractor
4 AN
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT
24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO)
OFFICE #: (530) 538-7541
LICENSED CONTRACTORS DECLARATION
I hereby affirm under penalty of perjury that I am licensed under
provisions of Chapter 9 (commencing with Section 7000) of Division 3 of
the Business and Professions Code, and my license is In full force and
effect.
License Class : License Number.
Date: Contractor:
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the
Contractors' State License Law for the following reason (Sec. 7031.5
Business and Professions Code: Any city or county which requires a
permit to construct, alter, improve, demolish, or repair any structure, prior
to its issuance, also requires the applicant for such permit to file a
signed statement that he or she is licensed pursuant to the provisions of
the Contractor's State License Law (Chapter 9 commencing with Section
7000) of Division 3 of the Business and Professions Code) or that he or
she is exempt therefrom and the basis for the alleged exemption. Any
violation of Section 7031.5 by any applicant for a permit subjects the
applicant to a civil penalty of not more than five hundred dollars ($500).):
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
such work himself or herself or through his or her own employees,
provided that such improvements are not intended or offered for
sale. If however, the building or improvements are sold within one
year of completion, the owner -builder will have the burden of
proving that he or she did not build or improve for the purpose of
sale.).
❑ I, as owner of the property, am exclusively contracting with
licensed contractors to construct the project (Sec. 7044, Business
and Professions Code. The Contractors' State License Law does
not apply to an owner of property who builds or improves thereon,
and who contracts for such projects with a contractor(s) licensed
pursuant to the Contractors' State License Law.).
❑ 1 am Exempt under Article 3e Business rofessions Code
Dater_516�Tt
Owner
WORKERS' COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for
workers' compensation, as provided for by Section 3700 of the
Labor Code, for the performance of the work for which this permit
is issued.
❑ 1 have and will maintain workers' compensation insurance, as
required by Section 3700 the Labor Code, for the performance of
the work for which this permit is issued. My workers' compensation
insurance carrier and policy number are:
Policy
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 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.
Date:
Applicant:
WARNING: Failure to secure workers' compensation coverage is
unlawful, and shall subject an employer to criminal penalties and one
hundred thousand dollars ($100,000), in addition to the cost of
compensation, damages as provided for in Section 3706 of the Labor
code, interest, and attorney's fees. _
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.)
Address:
PERMIT NO.
BPO52059
Issued Date: 08/02/2005 APN: 031-273-012-000
Site Address: 1434 12TH ST ORO
Map Index:
Description: NEW ELECTRICAL SERVICE PANEL
Owner: OLRY SCOTT D & JANIE E
171 N KAREN AVE
CLOVIS, CA
93612
Applicant: OLRY SCOTT D & JANIE E
171 N KAREN AVE
CLOVIS, CA
93612
Contractor:
License #:
Architect:
Engineer:
Total Square Ft: 0 S. F.
Valuation: $0.00
Census Code:
4 55.°0
4'34 X323
Butte County Code and/or
Daid.
❑, 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage,
handling and use of hazardous materials.
❑ Notification in accordance with Section 19827.5 of California Health & Safety Code Is not applicable to the scheduled construction of this project.
❑ Attached are copies of the required E.P.A. notification forms.
I hereby certify that I have read this application, that the above Information is correct, and that I am the owner or thethorized 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 a o ldal form or dopymentq Butte County. I hereby
authorize representativ of Butte County to ter upon the above mentioned property for inspection purposes.
Print Name:—� Signature:
Date:
Owner
❑ Contractor
❑ Agent for Owner
❑ Agent for Contractor
(o
0
0
0(--
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v
BUTTE COUNTY
0 DEPARTMENT OF DEVELOPMENT SERVICES
0 BUILDING PERMIT APPLICATION
0 AND SUBMITTAL REQUIREMENTS
0 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834
0 OFFICE #: (530) 538-7541
A FEE WILL BE REQUIRED AT TIME OFAPPLICA TION
Website: www.buttecounty.net/dds
"PLEASE PRINT CLEARLY"
APPLICANT NAME
OWNER
Last Name
City
irst Name „ n
C�c�
Address 7/
L
NState
City /� / n�
State
�
Zip Q3
Phones _ 03l l
Fax
Fax
Emil
6 04@ A A koO-Co0—
APPLICANT NAME
CONTRACTOR
Name
City
Address
Zip
City
Fax
State
Zip
Phone
Type Const.
Fax
E mail
Map Book
Lic. #
Class
APPLICANT NAME
ARCHITECT/ENGINEER
Name
City
Address
Zip
City
Fax
State
Zip
Phone
Type Const.
Fax
E-mail
Map Book
State License Number
APPLICANT NAME
Name O �
Address
City
State
Zip
Phone
Fax
E-mail
For office use only:
/
AP# Q3 ( —L%
Zoning
^
l r '
Flood Zone
WORKER'S COMPENSATION
SRA
Yes
No
Occ.
LENDING AGENCY
Type Const.
Subdivision Name
Map Book
Page
Lot #
Planner
Date Approved:
OVER FOR SUBMITTAL REQUIREMENTS
K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc
PERMIT
NObSX5q
BIN #
LOCATION
/
AP# Q3 ( —L%
Property AddressCit
4- ZI'` S�
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Cross Street
WORKER'S COMPENSATION
Policy Number
Carrier
If hiring anyone other than license contractors, a certificate of worker's
compensation must be shown at the time of permit issuance.
LENDING AGENCY
Name
Address
Description or Scope of Work:
E 00 n, -P
v/ L - h
Sq. Footage -7& + Z,�X 3 c K I StiN�,
❑ Structure Built without Permits
❑ Proposed Change of Occupancy
(Note previous use):
EXPIRATION OF APPLICATION
Applications for which a permit has not been issued will expire one
year after the date of application. In order to renew action on an
application after expiration, a new application, plans and fee will be
Page 1 of 2
REQUEST FOR REFUNDS
Refunds can only be made upon written request by the person who
paid the fee. The request must be made prior to the expiration of the
permit and no construction work has been done. Filing fees, plan
check fees for work plan checked and other department costs are not
refundable.
Received by:�- V Amount: Bldg
SRA
Receipt #: q ` 4923 Sheriff.
SMIP
K__
Dater-2 -Os Other
�`
Total
REV 2-24-05
61
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!
E! 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 inst, (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).
El 9. Site 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 (if required).
❑ 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. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts.
❑ 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 FORMS\BId ISubR mts.doc e 2 of 2 REV 2-24-05
9APP 4 Page
yl' x z -os
�j 6
1.
PeAl
14
COUNTY OF BUTTE
�~ BUILDING DIVISION .
DEPARTMENT OF DEVELOPMENT SERVICES:
_..1469 Humboldt Road, Chico, CA - (916),801-27,51
7 County Center Drive, Oroville, CA-- (916) 538-7541 '-
747 Elliott Road, Paradise, CA - (916):872-6307.~
CORRECTION NOTICE
OWNEFY PERMIT NO.
A routine inspection indic esthat the following violations of Butte County Ordinances.existat .
the above address and should be corrected."Please notify this office when correction of work
is completed. If you have any questions pertaining to this matter„or need additional explanation,
please contact this office immediately.
REV 10/92
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Complainant:
Address:
Phone Number:
Other Comments:
i
BUTTE COUNTY DEVELOPMENT SERVICES
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:»,;�::;�:,>:;::?:x>>�s:�> ,?�i;;„z H ,.r�I�'>�11�P.�!712.;i0r1?tQ.�iO)'!•.iS3it[1Y�1Y��Q{k�s�D:��'�2�%i�1L�C�" .'• . . •.,�'�;>�, � •• 3:
r
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Inspector must draw a plot plan with all building locations:
Additional comments from Inspector.
` j
2
BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965-3397
TELEPHONE: (91 6)538-7541
FAX: (916) 538-2140
September 23, 1996
Scott D. & Janie E. Olry
171 North Karen Avenue
Clovis, CA 93612
RE: Building Code Violation A.P. #031-27-3-001
1434 12th Street, Oroville
Dear Mr, and Mrs. Olry:
This is a courtesy notice to notify you that you are in violation of the
Butte County Code, as follows, at the above -referenced location.
Failure to obtain the required permits, inspections and approvals from
this office for demolition of single family residence and store building
Since permits and inspections are required for the above work, apply for
the required permits and pay the appropriate fees. All work must stop until
these permits are issued and you are authorized by our field inspector to
proceed. The field authorization cannot be made until the existing work
is inspected and approved.
It is the County's goal to obtain voluntary compliance with the Butte County
Code. However, you should be advised that Butte County has an active Code
Enforcement Program which provides an effective means of enforcement if
voluntary compliance is not obtained. Enforcement may be pursued through
the issuance of citations, fines and the recording of a Notice of Violation
including a description of the action necessary to abate the violation.
You have thirty 30 days to voluntarily comply with the above directions
or to present an acceptable plan for abatement or corrective actions to
be taken by you. Should you have any questions concerning this matter,
please contact Scott Rutherford or Michael Vieira in this office at the
address or telephone number listed above.
Sincerely,
MCV:dms Micha 1 C. ge -eira,C.B.O.
Manager, Building Inspection
cc: Assessor
VIOLATION CHECK LIST
A.P. # 031-27-3-001 Address 1434 12TH STREET, OROVILLE
Owner IE E OLRY
Owner's Address
.Owner's Phone No. Supervisoral District
Tenant's Name Phone No.
Type of Violation in Detail with Code Section Priority No.
DEMOLISH SF RESIDENCE AND STORE BLDG
Specific Plot Plan with C/V Noted _yes no -Penalties Required
1st. Notice Sent 9/23/96
ate
Comments and/or Determination
2nd. Notice Sent
ate
Disposition For Citation Citation
Date (Date)
Department Recommendation to Court
Court Action
Notice of Violation Recorded
(Date)
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THERAI4 L /TO M. O. R. W,4 C G NOS. 4 8 6 _.,,•...-:�-- _. NOTE -ASSESSOR'S PARCEL BLOCK, _'- - : s --- County oF8�"g;fia#F.
LOT NUMBERS SHOWN
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