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HomeMy WebLinkAbout031-274-00831-274-8 fie. Star Contr. 1075 Nevada Ave., lot 142, Oroville Permit #-78B,P,E,M(new single family) �'�� /�(D 031-274-008 OS-02- MURRAY 1071 NEVADA AVE, OROVifLLE Cont: AIR CARE NEW ROOF MNT HVAC NOTES RESIDENTIAL ' 031-274-008 05-0276 PERMIT NO MURRAY 1071 NEVADA AVE, OROVILLE Cont: AIR CARE NEW ROOF MNT HVAC SPECIAL CONDITIONS CHECKED BY SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER qq 3 c -Z JOB FINALED (Date) . Signature J=OK 0 = Not OK ldable . = Not Reay 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. / P Nat. or / P' 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- Enc losures- Panel board s -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 16. Insulation Date FRAMING (Continued) Date Hangers -Post Caps -Anchors -Connectors Card B-1 Date Card B-1 Date Cling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rtng. 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 57. Siding -Nailing Veneer Date 58. Card B-1 Date Card B-1 Date 59. Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s Shear Walls; Nailing -Bolts 24. Fixture & Transformer Clearance -Ins. Protection Brace Interior/Exterior Wall Panels 25. Elec. Receptacles Spacing -Lights & Switches at Doors Insulation -Walls -Ceilings 26. Size Boxes & No. of Conductors Stapled Infiltration -Walls -Windows 27. Romex Installed Close to Edge of Studs & C.J. Card B-1 Date Card B-1 28. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water Card B-1 Date Card B-1 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 ❑ 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 70. Stairs & Rails Date 71. Card B-1 Date Card B-1 Date 72. Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance 36. A.C. Ducts Insulation & Support Elec. Outlets & Receptacles at Kit. Counter 37. Vent Fan, Exhaust above insulation Garage Fire Door; Swing -Landing -Closure 38. Condensate Drain & Overflow, Size & Grade A.C. Duct in Garage -Damper 39. Furnace -Vent Access -Comb. Alt -Return Air Vent 115 Outlet Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 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 81. 41. Sills Proper Materials & Anchors 82. 42. Walls Studs -Nailing Spacing & Braces -Plates -Sound 43. Bearing Walls over Girders & Floor Nailing 83. 44. Draft Stop in Walls (rat proof) 84. 45. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 85. 46. Headers & Beams -Size & Bearing 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 BUI�DING PERMIT 24 HOUR INSPECTION #: (53d) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 FAM (530)538-2140 WEBSITEa www.buttecounty.net%dds LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am Jicensed 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. /1 4 I. License Class : � License Number. Date: ' Tnlractor. L) ua k v) e( OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury [hat I am exempt from the Contractors' Stale License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any c ty .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 Ole a signed statement that he or she is licensed pursuant to the provisions of the Contractors State License Law (Chapter 9. commencing with Section 7000) of Division 3 of the Business and Professions Code) or (hal he or she Is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permlt subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): O 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 properly 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-bullder will havethe burden of proving that he or she did not build or Improve for the purpose of sale.). ❑ I, as owner of the properly, am exclusively contracting wllh licensed contractors to construct the project (Sec. 7044, Business anrj Profdaslons Code. The Contractors' State License Law does not apply to an owner of properly who builds or Improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Lew.). ❑ '1 am Exempt under Article 3 of the Business and Professions Code Date: 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:% Carder.:- arrier. Lash-&) Policy #: / O 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 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 compply�with those provisions. Date:- Applicant. WARNING: rallure 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 3708 of the Labor code; interest, and attorney's fees. PERMIT NO. P050276' Issued Date: 02/04/2005 APN: 031-274-008-000 Site Address: 1071 NEVADA AVE ORO Map Index: Description: new roof mount hivac Owner: MURRAY OPAL 1071 NEVADA AVE OROVILLE, CA 95965-4232 Applicant: AIR CARE & REPAIR SERVICE PC) BOX 804 UKIAH, CA 95482 (707) 462-2021 Contractor: AIR CARE & REPAIR SERVICE P O BOX 804 UKIAH, CA 95482 (707) 462-2021 License #: 471898 Architect: Engineer: Square Ft: 0 S. F. Valuation: $0.00 Census Code: CONSTRUCTION LENDING AGENCY Thls p it Is her I hereby affirm that there is a coristructlan lending agency for the Res hone to do performance of the work for which this permit Is Issued (Sec 3097 CIV.) Name: By PERMIT EXPIRES ON: Address: NI°i�IIU provisions of the Bifle Counly CodA snrvor fees-hsva-been•pald— -- – Wv l Dale• /^ CO ❑ 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 10827.5 of California Health & Safely 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 Informallonis correct, and that I em the owner or the duly authorized agent of the owner. I agree to comply with all county and stale laws relating to building construction. i acknowledge Ills unlawful to eller the substance of ny official form or document of Bulls County. I hereby authorize represe tatives of Bulle aunty to enter upon the above mentioned property for inspection purpose lA rP I 1 f� P Signature: 7 ,' L_._.._,. Print Name: r Date:• - U Owner ElContractor ElAgent for Owner Agent for Contractor BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUDDING PERMIT 24 HOUR INSPECTION #: (536) 538-7638 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 FAM (530)538-2140 WEBSITEJ. www.buttecounty.netldds PERMIT NO. LICENSED CONTRACTORS DECLARATION I hereby affirm under penally of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date: 02/04/2005 APN: 031-274-008-000 the Business and Professions Code, and my license Is In full force and effect., License Class : C aO License Number.Site Address: 1071 NEVADA AVE ORO Date:.Contractor.U Map Index: OWNER -BUILDER DECLARATION Description: new roof mount hvac I hereby affirm under penalty of perjury that I am exempt from the Contractors' Stale License Law for the following reason (Sea 7031.5 Business and Professions Code: Any clly or county which requires a Owner: MURRAY OPAL permit to construct, eller. Improve, demolish; or repair any structure, prior to Its Issuance, also requires the applicant for such permit to file a 1071 NEVADA AVE signed statement that he or she Is licensed pursuant to the provisions of OROVILLE, CA the Contractor's State License Law (Chapter 9. commencing with Section 7000) of Division 3 of the Business and Professions Code) or (hal he or 95965-4232 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 Applicant: AIR CARE & REPAIR SERVICE Code: The Contractors' Stale 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, P O BOX 804 provided that such Improvements are not Intended or offered for UKIAH, CA 95482 sale. If however, the building or Improvements are sold within one year of completion, the owner-bullder will have the burden of (707) 462-2021 proving that he or she did not build or Improve for the purpose of sate.). ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professlons Code. The Contractors' Slate License Law does Contractor: AIR CARE & REPAIR SERVICE not apply to an owner of property who builds or Improves (hereon, and who contracts for such projects with a contractor(s) Ilcensed pursuant to the Contractors' State License Law.). P O BOX 804 ❑ I am Exempt under Article 3 of the Business and Professions Code UKIAH, CA 95482 (707) 462-2021 Date: Owner: WORKERS' COMPENSATION DECLARATION License #: 471898 I hereby affirm under penally of perjury one of the following declarations: . . ❑ 1 have and will maintain a certificate of consent to self -insure for„ workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit Architect: Is issued. Engineer: ❑ 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:¢ Carrier. OLAkEA1Aotal Square Ft: 0 S. F. Policy tl:2 Valuation: $0.00 •�(o i Census Code: ❑ 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 the workers' compensation laws of California, and agree the( 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: d - _Q Applicant. WARNIPJG_: Failure to secure workers' compensation coverage Is 2 J 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 3705 of the Labor code, Interest, and attorney's fees. CONSTRUCTION LENDING AGENCY This p it Is hereby esu a lire le provisions of the Butte Cnunly CodA enWor I hereby affirm that there is a construction lending agency for the Res Mons to do wo Icate abov for w ch fees have been paid. ^� S performance of the work for which this permit Is Issued (Sec 3097 CIv.) By Dale: Name: t�� © G 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 Safely Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification In accordance with Section 19827.6 of California Health S Safely 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 l am the owner or the duly authorized agent of the owner. I agree to comply with all county and stale laws relating to building construction. I acknowledge Il is unlawful to after the substance of ny official form or document of Butte County. I hereby authorize represe tatives of (B/�utte unty to enter upon the above mentioned properly for inspection purposo . Print Name: re ► `� e r ! -Signature: Dale: ❑ Owner C3 Contractor y C3 Agent for Owner ZAg.ntor Contractor LI 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 OF APPLICA TION Website: www.buttecounty.net/dds **PLEASE PRINT CLEARLY** CONTRACTOR OWNER Last Nam ' City irst Name Address 1 ! ( /U ockdol— City OroJ1 E-mail State CA Zip9sq &s Phone Fax Fax E-mail State License Number CONTRACTOR Name Vauc',Lty. Address 1 City StateCA_ Zip Phone 53 3 37 U l Fax S 3— / -1 �s E-mail Lic.# Phone APPLICANT NAME ARCHITECT/ENGINEER Name ; Address Zip City Fax State Zip Phone Map Book Fax Email Planner State License Number APPLICANT NAME Name Address City State Zip Phone Fax E-mail APPLICANT SIGNA X For office use only: Zoning PropertyAddress l aC�/� i Flood Zone Cross Street SRA Yes I No Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS PERMIT NO. BPo5_027, BIN # LOCATION Bldg PropertyAddress l aC�/� i Cityiw ry CJU[ I Cross Street Sheriff 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 Uescri�,,t:ion or Scope ofWork: ��. kodmtvl i iy – l'60 tC Sq, Footage 1:1 Structure 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 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-� Amount: Bldg SRA Receipt. (�� Sheriff SMIP Date: d� Other Total K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc Page 1 of 2 Ktv /-Z /-u4 9 IF 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 E-11. 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 faxesl ❑ 4. Energy compliance design and supporting documentation in duplicate. (Note: Not required for additions to mobile or modular homes.) ❑ 5. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 6. Manufactured homes: (A) Data sheets and 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). ❑ 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). ❑ 13. Sanitation and site plan approval from the Environmental Health Department. 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.:Califo.rnia_Departm�nt of Forestry plan approval (if required). ❑ 4. NPDES Form. ❑ 5.EncroachmentFerniit 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, ❑ Letter from Legal Owner (for 433A's). If you have questions or would like additional information regarding this process, contact a Permit Application 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\BIdgApp1SubRgmts.doc Page 2 of 2 REV 7-27-04 T ;._ _•.frEFMIT N0. 3338-78B,P,E,M PERMIT EXPIRESF 4P Star Contr. (OWNER (GONTR. owner LOCATION (A.P. 11-974-1 pnrt 1071 Nevada Ave., lot 142, Oroville Temp. Power Pole Called PG&E Temp. Elec�Serv. Called PG&E -46 Temp9'Gas Serv. ailed PG&E OB FINALED Footings I Footing ELECTRICAL Masonry Walls Throat Rough Relnf. Steel Final I Fixtures it Stucco I — Final Subpanels Mesh %21/7 y MECHANICAL Grd. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts oel r.Unde round Interior Lath V Ventilation Permanent Door Closer Final Final MOBILEHOME UTILITIES ------------------ Elec. Service Elec. Pedestal Water Piping Sewer Gas Piping MOBILEHOME INSTALLAIION - - - - - - - - - - - - - - Support Elec. Continuity �._. Water Piping Drainage Gas Piping ��- DATE REMARKS OR CORRECTIONS � r 1 l7/ , t (NOTE: An entry must be made on this form each time you visit the job site.) COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBING Setback Firewall Soil Piping Forms Parapets 1st Floor r�7 Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor StemwalI Siding To out Slab Roof Sheathing / Water PipingJ� Piers Rooting Sewer Garage Fdn. Vents 78' Fixtures Footings Stemwa I I Garage Vents Insulation Water Htr. Heaters Slab Carport Footings Prov. for phsically handica e. Conformance of ex. structure Appliances Gas Piping& Test Temp. Gas Slab Final7Y CQ Sanitation Patio FIR . LACE Final Footings I Footing ELECTRICAL Masonry Walls Throat Rough Relnf. Steel Final I Fixtures it Stucco I — Final Subpanels Mesh %21/7 y MECHANICAL Grd. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts oel r.Unde round Interior Lath V Ventilation Permanent Door Closer Final Final MOBILEHOME UTILITIES ------------------ Elec. Service Elec. Pedestal Water Piping Sewer Gas Piping MOBILEHOME INSTALLAIION - - - - - - - - - - - - - - Support Elec. Continuity �._. Water Piping Drainage Gas Piping ��- DATE REMARKS OR CORRECTIONS � r 1 l7/ , t (NOTE: An entry must be made on this form each time you visit the job site.) 'e- THIS IS TO CERTIF� AT INSULATION HAS BEEN INSTALLED IN CONFORMANCE WITH THE CURRENT REGULA- TIONS, CALIFORNIA ADMINISTRATIVE CODE, TITLE 125, STATE OF CALIFORNIA, IN THE BUILDING LOCATED AT: Street Lot Number Tract No. EXTERIOR MALLS/ Manufacturer Thickness/Type ��- R Value CEILINGS Batts: Manufacturer Thickness R Valu Blown: Manufacturer Thickness3� No. Bag Wt./Bag Sq. Ft. Covered R Valu FLOORS�� l� Manufacturer Thickness/Type R Valu SLAB ON GRADE Manufacturer Thickness/Type R Value Width of Insulation inches FOUNDATION WALLS Manufacture r Ihickns/Typ R Value GENERAL CONTRACTOR SQA— CENSE Na. BY LL— a TITLE WQ • _ DATE /0 • /�/— 7 INSULATION CCONTRALTO HAWKINS INSULATION CO., INC. LICENSE `No. /215-925 . BY -//G�1� TLE G`�'� DATE / �/ f( �'` _ COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS } r 7 County Center Drive - Oroville, California 95965 �. Telephone; 534-4541 APPLICATION AND PERMIT 10A authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. �(`2,�_&-"' =�, _ ate. Signature of Permitee or Agent Receipt No. I� � 7 LL White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF.RUBLIC WORKS By Date B ilding permit expires Date BUILDING Owner s ` i1 SQ. FT. OCC. BUILDING VALUATION e� t Q Mai I ing Address 1-9 J Telephone No. Contractor Mafiling Address 1 Fireplace Total Valuation i`\e Telephon / �� Permit Fee Buildin Address g Z e 7 S 2 Plan Checking Fee&/or Penalty Permit Fee ; PLUMBING No.1 @ I FEE PERMIT FILING FEE3.00 , Each Trap 1:50 "� '� 7�nitttg �evi$icafiion Onty Repair drainage or vent piping 1.50 A. P. No.� — Z r g Water piping 1.50 Each gas water heater or vent 1.50 F Sa Ion I Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking Plans ParcelEach Declaration Parcel Map 60' R/W Improvemen s additional outlet .30 Building sewer 5.00 Parce royal Plans Auroval Lawn sprinkler system 2.00 NEW ADDITION ❑ UTILITIES ❑ OTHER ❑ Permit Fee $ ELECTRICAL No. @ FEE , ' PERMIT FILING FEE $3.0000V OR Main service 100 AMP ORSLESS 5.00 �--�/ Single Family Duplex ❑ Mobil Home ❑ Others ❑ Main service EA. ADD•L 100 AMP 2.50 OVER Main service OVER 25 00 AMPP OR LESS O Main service// EA. ADD'L 100 AMP 1.00 ORNEW ACDNS. l WEACCL' P 4) 22sq ft CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: �' NEW CONSTR MU T NON.RESID BRANNCCHH CIRCUITS) 12.50ea NEW CONSTR. POWER APPARATUS 6 NON.RESID. SINGLE OUTLET CIR. Ex. Occun(OUTLETs OR FIXTIiRES I g L:; FIXED APPLNS, OR EX. Occup. (OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 �cLiL Mobile Home Facilities 15.00 License Nod- S Classification Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ MECHANICAL N04 @ 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 Workmen's Compensation Insurance. F1I 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 Anti Heating Cooling Ventilation Hood 2.00 A, Permit Fee $ $ 1 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 $ 16,r TOTAL PERMIT FEE( authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. �(`2,�_&-"' =�, _ ate. Signature of Permitee or Agent Receipt No. I� � 7 LL White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF.RUBLIC WORKS By Date B ilding permit expires Date this sit of plans and specifications MUST bo Rept on the job at all times and it is unlawful to make any changes or alterations on same without written permisson from 4he Department of Public Works, County of Butte. �-0T 14Z 8uZ7 E COu.I,lT� gCy3T :— � .►'�..t,, i��s F4 �i^ln,.���/�'"nSY0 SIsZI@ 00 ii gLWVT`:: T'-0, �T�r.�, ^.;.��1 1'�r •"R,'`���fcCe4 i�fle>a Sac'i en Use in 66 �9 ; "lashanica! Codes and 9=1!yizd Cade - The Bldg. Setback shall be 5 ft. from At sWO property line and 50 ft. from At � G taut <i.a of the r=d, permiiiert y murn of r, 2 t. eave avo&ejj�j. tilt. Nj a,* ei a ewemeaso 6EMEF C UNE M'0 10 xZD'Pill See Master Plan on file for building plans. BUTTE COUNTY BUILDING DEPARTMENI THERMALITO IRRIGATION DISTRICT 410 G{RAND AVENUE OROVILL.E, CALIFORNIA 95965 TELEPHONE 533-0740 ! I CSA 26 SEWER SERVICE APPLICATION AND CONNECTION PERMIT Service Address: le75� Owner's Name:3 % �- .. 1 ,�. .^�is : u ' Date: Address: / %��/� r��� .� � � ar?. ;., , ,���c'-c�. i Acct. No: A.P. No.: .'/ _.fY 7 - Phone: Phone: r �' "�— �r / 4' % No. Units: Applicant/Agent: I Agents Proof: Address: ' Fees: Phone: Application I f i Preliminary Review By:.�? Date: Arrearage CSA 26 Remarks: SC -OR Yr 1 st mo. S.C. Other Total Fees I Collected By: Date: / 2k Field Review By: 1 rs.-e .,-n Date: I Remarks: .fes _ _ . . ti,r I ._ . �`/y ,/' .•_�j� MONTHLY SERVICE CHARGES WILL COMMENCE AUTOMATICALLY UPON:- ❑ Date of TID approval of completed building sewer (early connection) ❑ 30 days after date above; or on date of D.P.W. approval of completed building sewer, which ever comes first ("existing construction", prior to Mar. 5, 1974). 180 days after date above, or on date of, D.P.W. approval of completed building sewer, which ever comes first ("new construction", after Mar. 5, 1974). 'I I • . DISTRIBUTION: WHITE - TID, YELLOW - APPLICANT, PINK - DPW, GOLDENROD - DPW WITID I