HomeMy WebLinkAbout031-281-063,
I
31-281-63
ecilia Lahr
39 Thermalito Ave., Orovilleyr-7�,
erm t #1535-76B(remove door,relocate 2
indows & add sliding door/SF)
31-281-63 2100-89E
OLRY,•Scott t `
839 Thermalito'Ave, Oroville
(upgrade el'ec)SF
-3
L,031-281-063 PERMIT#96-0499
0LRY, Scott ;
'839 Thermaltio Ave.,'Oroville
,Add Bedroom & . Bath/sF
j
03178�063
SCOY �/ 1, 96-1378 E
839alito Avenue, Orovlle
(elech/96-0499)
>'
r'
-RESIDENTIAL
r
031-281-063 PERMIT#96-0499
OLRY, Scott ,
839 Thermal•tio Ave., Oroville
Add Bedroom & Bath/SF
s/
1r OFFICE COPY =�
1 ,
Address
GAS
Meter By Date
E L E C TRICJ2,5�t—�
Meter By Da
JOB FINALED (Date) ✓ ��
Signature �/
V=OK ,
0 = Not OK
Not
'=Nody
tRea�le MOBILE HOMES
Date
MOBILE HOME UTILITIES (Plans) OK except #'s
DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s
1. Zoning Requirements - Setbacks - Easements
1. Zoning Requirements -Setbacks -Easements
2. Soils; Special MH Support Sketch
2. Footings; Soils-Size-Dep"pacing-Connectors-Steel
3. Sewer; Location -Test -Fall -C/O -Concrete
3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails
4. Water, Location -Test -Easement Needed (Sketch)
4. Wood Awn.; Posts-Beams-Rftrs.-Connectors
Shthg: Rfg: Bracing
5. Electricity; Location-Clearances-Gmd-/ /Amp -Concrete
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Gas; Location -Test -Wrap; / /'L'ft.
/ /Nat. or/ /'L°ft./ /LPG
6. Carports; Windows -Doors
7. Well Clearance & Disconnect
7. Electric
8. Utility Clearance
8. Frmg.; Sils-AnchorsStuds-Rftrs-Trusses
9. Siding; Nailing -Veneer -Stucco -Mesh
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
Card B-1 Date Card B-1
2. Footings; Size -Spacing -Marriage Line
Card B-1 Date Card B-1
3. Gas; MH Test -Demand -Valve -Connector
POOLS (Plans) OK except #'s
4. Electricity; MH Test -Crossovers -Breakers -Clearances
1. Setbacks -Easements
5. Drain; MH Test -Fall -Flex Connector
2. Soils; Compaction -Structure Stability
6. Water; MH Test -Regulator -Connector
3. Pool Structure; Steel -Connections -Thickness
Dead Men -Lining
7. Water and Sewer Connected -C/0 to Grade -HD Approval
4. Elec.; Receptacles and Lighting, Distance-GFI
8. Gas and Electricity Tagged
5. Elec.; Pool Lighting; 15 Volts-GFI
9. Tie Downs -Type -Installation Cert.
6. Elec.; Enclosures; Conduit Entries -Terminals -Listed
10. Exits; Insp.-Sketch
7. Elec.; Bonding; Metal w/6 -Circulating Equip. -Heater
11. Cert of Occupancy
8. Elec.; Grounding; Equip. w/5 Circulating Equip. -Pool Lghtg.
Boxes-Enclosures-Panelboards-Ins. to Main in Conduit
9. Health Department Approval
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
K.
MISCELLANEOUS
Date
DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s
1. Zoning Requirements -Setbacks -Easements
2. Footings; Soils-Size-Dep"pacing-Connectors-Steel
3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails
4. Wood Awn.; Posts-Beams-Rftrs.-Connectors
Shthg: Rfg: Bracing
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Carports; Windows -Doors
7. Electric
8. Frmg.; Sils-AnchorsStuds-Rftrs-Trusses
9. Siding; Nailing -Veneer -Stucco -Mesh
10. Roof; Shthg-Roofing
11. Ext.; Steps -Doors -Landings
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/6 -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
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
'J OK
O = Not OK
= Not Applicable
Not Ready RESIDENTIAL (Single & Duplex)
=
Date UN FLOOR (Plans) OK except ft's
zo g -Setbacks -Easements -Flood -Slope
tg., Main;'Soils-Elec. Grnd.-/ /" Ftg. Depth
3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth
4. FW,,"Porches Porches & Decks; Soils -Steel-/ /Ftg. Depth
L. Stemwalls, Main; Steel -Bloc kouts-Wrapped
6. Stemwalls, Garage; Steel -Bloc kouts-Wrapped
6a. Hold Downs and Special Anchors
7. Slab el -Wrapped
ers-Fireplace Ftg.-Steel
9.' .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 -Anchor -Regulator -Service Test
12. Electric; Underground
13. Pienums & Ducts; Clearance -Material -Support -Ins.
1 ird ills -Anchor Bolts -Joists -Vents -Cripples
15 cess & Ventilation
16. Insulation
Date ardIB-1 Date Card B-1
Date Card B-1 Date Card B-1
Date PLUMBING (Permit) OK except n's
16 a f Htr.: Ve-nt-Access-Combustion Air -Baffle
--------------------
---------- -- - - -- - - - -
- -- ----- ----- - ---- ------
7. ater Pipe: Test & Anchor -Nail Protection
-------- F------------ ---------------------------- - ------
C_,118.
-----
8. D.W.V.: Test -Fittings & Anchor -Nail Protection
------------------------------------------------- --- ---
19. Shower Pan: Test. First Floor -Tub Access
---------------------------------------------
20. - Test - -&-Shower.- & -Shower.-Second Floor -Tub Access
------------------------ -----------------------------
--------------
21. Gas Pipe: Size & Anchors
--------------------------------------------------------------------------------
Date Card B-1Date Card B-1
------------------------------------------------ ---------- ---------
Date Card B-1 Date Card B-1
Date ELECTRICAL (Permit) OK except rr's
2 - Fixture & Transformer Clearance -Ins. Protection
------------ ------------------------------------------------- -----
Elec. Receptacles Spacing -Lights & Switch -es at Doors
----- ' 'e Boxes & No. of Conductors -Stapled
25. �e
- x Installed Close to Edge of Studs & C.J. -- -- -------------------------------------------
-------- --- - ------ ----------------------- -------. ..
26. Equip Ground made up w/Mech. Fastners-Bond Gas & Water
---------------------- -------------------------------- - --- - -------- --- --- --
27. 2 Appliance Circuts in Kitchen & Conductor Size,GFI
-------------------------------------------- --- --- --
28. Subfeed Wire Size ga. Cu or AI -A.0 Wire Size ga
Cu or At
------- - ---------------------------------------------------- --
29. Range Circ. r , ga. Cu or AI -Oven Circ. i ' ga. Cu or Al.
Insulated Neutral ❑ Yes ❑ No
30. Service -Riser Conductors & Ground -Main Disconnect
31. Equip earances Panels-Motors-Mech. Equip
----- - ------------------- - ---
2. thes Closet Light -Shower Light -Spa Light
--- - - -- ---------------- --
Smoke Detector
--------------------------- --- - ...- .....-----.... ... ... . ..... .
Date Card B-1 Date Card B-1
-
-------- ----------. - ......... ... .... .....
--- ... ... ... ... ... .
Date Card B-1 Date Card B-1
Date MECHANICAL (Permit) OK except a's
34. A.C. Ducts Insulation & Support
------- ------ -- . --- . ----- -- . - .................
35. Vent Fan: Exhaust above insulation
-------------- ------ --- .. .. _....-- -- ---
36.
- ..
36. Condensate Dram & Overflow: Size &Grade
------ --- ------------- ....... ... ... .... .. . . .
37 Furnance-Vent: Access -Comb. Air -Return Air Vent -115 outlet
38 Attic Access & Platform if Furnance in Attic
. f
...... _. JA�.1`..
------ ------ --- ---
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date F ING (Plans) OK except n's
39 Si . Proper Material & Anchors
AO AlIfT
s Studs -Nailing. Spacing & Bracing -Plates -Sound
-
n Walls over Girders & Floor Nailin
Dra top in Walls (rat proof)
r
..............tops: Furred Ceilings -Stags -Chases -Tub
It eadetrs & Beam -Size & Bearing
Date FRAMING (Continued)
a
2s -Post Caps -Anchors -Connectors _
V _ 'Ing. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Rfng.
Ir a Ties or Type A Flue -Fireplace Throat clearance
-=----------�--��p-1-e-'C ----- -- -
D�Fs.ccess; Size & Romex Protection -Draft Stop -Ins. Baffles
---------------- --- -
9. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions
------ �ara a Fire Protection Framing
--S1!Property Line Firewall & Openings
xt. Doors One 3' -Check Garage -3rd Story, 2 Exits
-------------------- ------- ----------------
air idth-Head room -Rise -Run- Landing -Fire Protection
plywood on Roof Overhang -Attic Vents -Rafter Outriggers
ding -Nailing Veneer
-----------------
ucco Mesh -Drip Screed -Fd. Vents-Underflr. Access
----------'.----------- ---- --
lazing Area -Glass Protection -Skylights -Plastic
ear Walls: Nailing -Bolts
,-------------- l
---------- 59. Insulation -Walls -Ceilings y/ -
L90'lnfiltration-Walls-Windows
Dat Card B-1 DateCard B-1
DAqy Date Card B-1
Date FINAL (Plans) O except P's
��x-t reps- oor & i- light Protection -Landings
HYSmoke Detector
------ ---- ---- ----------------------------- - -
6 nate Vent - learance-Comb. Air -Connector -
I ara e: Above Floor -Ducts -Meth. rotection
.. .-- ... - .-----------------------
'Bed m Exiting
.I. & Bath Fixtures & Tub Access -Spa
-- .. . - -----------------------
Elec. Trim & Subpanel: Breaker Sizes & Labels
------ ---- ---- ---------------------
i r,
.. ... . . -...............................
81eaFances-Hearth
lec. Outlets at Wood Panel: Int. & Ext.
7 e: Grnd.-Air Gap -Cooking Clearance
-------------------------- --------------
u eptacles at Kit. Counter -- --
72. - Garage - re oor_ Swing -Landing -Closer ----_
a -Damper
...... ....---...-- -- ----------------------------- ----
7 -Comb. Air-Connector-P.R.V.
In rage: Above Floor -Meth. Protection
b.. Elec. & Mech. Equip. Listed foocation
...... ....... Plr L-------------- ------------------------- -
7 rage: (G.F.I.)-Romex Protection
--- --�----------------------------------
i/Insul tion -Foam -Looked in AtticV'Y@S
7 u a is & Deck Construction -Post Caps
--------- -----------------------------------------------
. ... ......
----------- --
Fdn. Vents & Crawl Hole Door- Drainag�ood-Earth
Clearance Looked under Floor Yes
.. ...-------------- ---
80 Following insild� Drive ❑ Yes ❑ No: Walks/ ❑ Yes ❑ No:
Planters ❑ Yes ❑ N-+� f_________
u �o: own- rash
it: Disconnect Electrical. Plumbing --
ents Ab ve Roof; Plbg.-Appliance-Fire lace. -Clearance to
Ope gs __
it isconn ct. Elect al, Plumbing -- ------ Exterior Elec > , G I ece t e -d
entlation Throughout House
--------- --------------------------
d as Protection
d Corrections from Previous Inspections
as Test- a ers agged: Gas -Electric
9 ewer Connected -CIO to Grade -HD Approval
- -----------------------
-----
ner9y
------------ --------------nergy Compljance Certificate-OtherCertificates
------------------------
------- .--------------------------------
Date/iZCl-�/ 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: tt .. ``
Insulation Certificate
BUILDING OWNER:BUILDING (`J/L 7 BUILDING PERMIT #: �'/ ( — 0
BUILDING LOCATION*:--':.
Description of Installation
ROOF
Material
Thickness (inches)
Brand Name
Thermal Resistance (R -Value)
CEILING
azt Blanket Type C Z `' Brand Name
C>/C---
Thickness (inches) / Thermal Resistance -Value)
Loose Fill Type �-' Brand Name
Contractor's minimum installed weight/ftlb Minimum thickness inches
Manufacturer's installed weight per square foot to acheive Thermal Resistance (R -Value)
EXTERIOR WALL
Material •L Brand Name n&C
Thickness (inches) ? y, Thermal Resistance (R -Value)
RAISED FLOOR
Material
Thickness (inches)
SLAB FLOOR
Material
Thickness (inches)
Width (inches)
FOUNDATION WALL
Material
Thickness (inches)
Declaration
Brand Name
Thermal Resistance (R -Value)
Brand Name
Thermal Resistance (R -Value)
Brand Name
Thermal Resistance (R -Value)
I hereby certify that the above insulation was installed in the building at the above location in conformance with
the current Building En rgy Efficiency Standards for new residential buildings contained in Title 24 of the
Sub -Contractor (Insulation Installer)
Signature and Title
License Number
—20-- j'7
Date
License Number
Date
THIS CERTIFICATE MUST.BE PROVIDED TO THE BUILDING DEPARTMENT PRIOR TO FINAL INSPECTION
APPROVAL AND A COPY SHALL BE POSTED WITHIN THE BUILDING.
JANUARY 1993
COUNTY OF BUTTE - DEPARTMFENT OF DEVELOPMENT SERVICES -BUILDING DIVISION
7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMI
APPLICATION AND PERMIT 7 2
ASSESSOR PARCEL NUMBER 031-281-063
ZONING AR
BUILDING PERMIT
OWNER
SCOTT OLRY
TELEPHONE
SQ. FT. OCC. BUILDING VALUATION
180 R 9,720.00
OWNER'SMAILING ADDRESS
171 N. KAREN AVE VI 12
CONT EST 10,000.00
CONTRACTOR'S NAME TELEPHONE
SAME
CONTRACTORS MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
NONE
UN -OWN
Total Valuation is 19 720.00
Fling Fee $ 20.00
LENDER'S MAILING ADDRESS
Permit Fee $ 207.00
ARCHITECT OR ENGINEER
NONE
LICENSE NO.
Plan Checking Fee $ 134.55
Energy Plan Checking Fee $
23.00
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty $
BUILDINGADDRESS
839 THERMOT. TO AVE
PERMITFEE $ 384.55
PLUMBINGPERMIT Filing Fee 20.00
Each Trap 3 7.00 21.00
LOT NO.
SUBDIVISION'S NAME
PARCEL MAP
Solar or heat pump water heater 23.00
USEOFSTRUCTURE
SF CX Duplex ❑ Mobilehome ❑ Other
SPECIFY
Water piping 15.00 15.00
Each gas water heater or vent 15.00
Gas piping system 1 - 5 outlets 15.00
Building sewer 15.00 5.00
TYPE OF WORK
New ❑ Addition Remodel ❑ Utilities ❑ Installation ❑ Other ❑
Describe Work: NEW ROOF STRUCTURE & REMODEL
Mobile Home S G Ew7 920.00
PERMITFEE S
Contractor
ELECTRICAL PERMIT Filinq Fee 20:00
Main Service OOOV 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
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,
�c 11 will do the work, and the structure is not intended or offered for sale.
�+J 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. SO.
OR ( a ACC. BUDS. ) 3.SQ Fr.
NEW CONST. MULTI.OUTLET
CNS
NON-RESID. ( BRANCH CIRCUITS ) 97.50
( POWER APPARATUS )
8 SINGLE OUTLET CIR.
Ex. Occup. ( OUTLET OR FIXTURES ) 20 @ 1.00 {
BAL .00 i
EX. Occup. (OFIXED UTLETS PPLNS. OR
) EA ) 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring 23.00
PERMITFEE $ 2
4ontractor
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
❑ 1 have and will maintain workers' compensation insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permit is issued.
My workers' compensation insurance carrier and policy number are:
Carrier
MECHANICAL PERMIT Fling Fee 20.00
Heating RE
Cooling
Hood 6.50
Ventilation
PERMITFEE S 35.00
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 p y a person in any manner so as to become subject to workers'
cc p satio la sof ifornia, and agree that if I should become subject to the
rkers' cc pens ti pr visions of section 3700 of the Labor Code, I shall
fo hwith om wi h s provisions.
X _ Date �
o pplic nt - ❑ Owner Contractor ❑ Ag€nt
An OSHA permit is required for excavations over 5'0" deep and demolition or construction
of structures over 3 stories in height. ;S
Mobile Home Installation Fee $
Energy Inspection Fee $ 4b. U07
occ
CONST. TYPE
TOTAL FEE $ 562.85
HA2.
D. FEES
IMP
FZD
K
CDF pqR .CEL
�-
Po HD
ISSUE
This permit is hereby issued under the applicable p ions
of the Butte County Code and/or Resolutions to do wor
indic a above for whic fees h e been paid.
By Date S 6
PERMIT XPIRESON 6 If 7
(Date)
Receipt No. 194641 - 179.05// &3, -Ill /
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
COUNTY OF BUTTE
A BUILDING DIVISION
r.. DEPARTMENT OF DEVELOPMENT SERVICES
1469 Humboldt Road, Chico, CA - (91.6) 891-2751
7 County Center Drive, Oroville, CA - (916) 538-7541
747 Elliott Road, Paradise, CA - (916) 872-6307
CORRECTION NOTICE
OWNER PERMIT NO.
a
A routine inspection indicates that the following violations of Butte County Ordinances exist at
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.
Date 1 c1 Inspector
REV 10/92
;COUNTY OF BUTTE
BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
1469 Humboldt Road, Chico, CA - (916) 891-2751
7 County Center Drive, Oroville, CA - (916) 538-7541
747 Elliott Road, Paradise, CA - (916) 872-6307
CORRECTION NOTICE
OWNE PERM TNO.
y t £
A routine inspection indicates that the loll owing:yiolations of Butte County Ordinances exist at
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 conAct this office immediately.
�{ ✓ . "
Date —
REV 10/92
COUNTY OF BUTTE
'BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
1469 Humboldt Road, Chico, CA - (916) 891-2751
7 County Center Drive, Oroville, CA - (916) 538-7541
747 Elliott Road, Paradise, CA - (916) 872-6307
CORRECTION NOTICE
PERMIT N
A routine inspection indicates that the following violations of Butte County Ordinances exist at
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,
Date/ 9 — r -j,'7 — // Inspector
REV 10/92
ti
Date/ 9 — r -j,'7 — // Inspector
REV 10/92
R��I.S.St".��°"� . �jYf•.�-...we.isca`yr;+MxtY���87c'�'S.'i,�ty;,�r'!L. �i3'�ti�*"l
COUNTYOF BUTTE - DEPARTMENTOFDEVELOPMENTSERVICES -BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA95965 - TELEPHONE (916) 538-7541
PERMIT APPLICATION DATA SHEET
OWNER Joe- O 0 G rX P No.
Proposed Building Use Building Inspector 4A Date
At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance:
DATE RECEIVED BY
1. All items have been submitted. ......:................................. .
2., Plot plans, 3/4 sets, signed by preparer of plans . ..........................
3. Complete plans, 3/4 sets, signed by preparer of plans . ..................... .
4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . .............
5. Hazardous Material Form . .............................................
6. Energy Design Compliance and supporting documentation . ................. .
7. Statement of Intent for Non -Heated and A/C Buildings . ......................
8. Engineered truss details and layout in duplicate (required prior to plan check). ....
9. Mobilehome at a anuf cturer's installation instructions, 2 sets. ...........
-10. Fees of $ cP-_4 318 -. FSO ...../
s4bd- . .
11. Impact fees a o on a tac a sc "e�iPe. ..®. ���
12. California Department of Forestry plan approval/fees. .. .....................
13. Flood elevation letter (100 year flood) by California Engineer. .. ............ .
WA 14. Sanitation and plot plan approval Health Department . ............
15. City of Chico plumbing permit. .........................................
f 16. Plot plan and business license approval from City of Biggs/Gridley. .............
17. Planning approval for (A) Use: (B) Parking: . .........
¢ 18. Contact Land Development about (A) Improvements (B) Drainage.
19. Driveway permit (construction approval required prior to occupancy). .. .
20. Pre -inspection for required. oBuilding Inspectorr (Wte
21. Contractor's license information. (No., Name Style, Classification) . ..............
22. Certificate of Workmans Compensation Insurance . ..........................
23. Owner -Builder Verification (Given to owner , Mail to owner _). .......... .
24. Recorded copy of Agricultural Acknowledgement Statement . ..................
25. Letter of signature authorization . ....................................... .
26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... .
27. Letter of intent on building use . .........................................
28. Mobilehome utility clearance . ..........................................
29. Documentation of legal access . ..................... :..................
30. Documentation of 50% subdivision developed or (A) Road improvements completed
and (B) Parcel meets zoning area and frontage requirements . ...............
31. Existing violations/expired permits . ......................................
32. Plan check list . .....................................................
33.
34.
Wt�e,►a you issue th it �qro ss as follows: MAto owner. Mail to contractor.
_�_ Telephone�W 40 and hold for pickup at UM ffice Deliver with inspector.
Other
Parcel Creation p 59
Acreage Applica Date (�
Copy of Haz-Mat form sent Health Dept. - Fire Dept. Air Pollution Date
Copy of plans sent Health Dept. Fire Dept. Other Date By
The following data must be submitted prior to permit issuance: (Circle new item not checked above).
1. Index permit for above items No.
2. Additional items required:
Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date '
Contractor, designer, owner, was advised of above required data by _ phone _ ailCAunter by _ Date
Plans checked by Date. Plans approved by Date3-6
Sets of plans on hold in File cabinet AP folder
Copy - Department of Public Works .
SCOTT OLRY
171 N. KAREN AVE
CLOVIS, CA 93612
Re: B.P.#96-0499
ffu He Co"nt
BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965-3397
TELEPHONE: (916) 538-7541
FAX: (916) 538-2140
3/19/96
A.P.# 031-281-063
With reference to the above subject, attached is:
[ X] Plan Check List
[ ] Red Marked Calculations
[ ] Red Marked Plans
[ ] Other
Action Required:
[ Comply With Plan Check List
[ ] Resubmit Plans lith Revisions As Required
[ ] Return All Original Materials and Revised Plans to the Building Department.,
[ ] Other
Should you have any questions, please contact this office at the address or
phone number listed above.
Sincerely,
MARTHA WHITNEY - PLAN CHECKER
V
C •
'Permit Applicant: SCOTT OLRY Permit. Number: 96-0499
h
Amessor Parcel Number: 031-281-063 Date: -3/19/q6
?ire above referenced building . plans were reviewed by this office. Provide additional
information and/or make revisions to plans, specifications and calculations as follows:
1. PROVIDE CONTRACTORS ESTIMATE FOR REMODEL WORK.
IPROVIDE TOTAL SPAN FOR NEW ROOFED AREA.. PROVIDE COMPLETE ROOF FRAMING PLAN
SHOWING BEARING. CURRENTLY PURLINS BEAR MID-AIR.
FLOOR PLAN SHOWS 10' SPAN FOR NEW ADDITION. CONSTRUCTION DETAIL FOR FLOOR SHOWS
12'.. CORRECT.
/4! PROVIDE CONSTRUCTION DETAILS FOR EXISTING CARPORT AND.DEN AS YOU ARE ADDING 3
NEW HEADERS AND PERIMETER FOUNDATION.
ELEVATION VIEWS REQUIRED SHOWING WINDOW 5 - VIEWS REQUIRED.
/ PROVIDE DIMENSIONS FOR EXISTING HOUSE.
J'. BRACING PER 2326.11.3.
/ NOTE: EXCLUDE 1 X 4 LET -IN -BRACE FROM`TYPICAL" DETAIL.
I
If you wish to discuss any requirements, you may contact me at (916) 538-75.11 between 1: 00
P.M. and 4:00 P.M. Monday through Thursday.
MARTHA WHITNEY - PLAN CHECKER
BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM
(One Form ,,Per Suilding) .
School District aelp 0#1 , on Building Department No.
A.P. Number 011- l-0&3 Jurisdiction: 0 City FV County
Property Owner n1 r , t/
Property Location/Address
Q
Ale
cl
Subdivison
Lot No.
Residential Development
®
Sq. Footage
No. of Living
MHI
Addition
(Group R)
Units
Commercial/Industrial
!
0
Sq. Footage
_
New
Addition
(Including Exterior
`
Roofed Areas)
Building Department
sen t'ive
Date
..
(Floor Plans reviewed by School District Personnel)
9 60104
District Identification No.
l %(J, E
School District certifies that
(Applic nt) ;,
(Street Address)
(Phone umber)
9
(City) _ (State) (Zip Code)
�. has complied with the requirements of Resolution No./O.� = 90 by payment of $
representing �,�() square feet. AB 2926 $
1 FULL MITIGATION $
i
f Distt Rgp esentative `" i Date
7
Paid by Check # , �, .Remarks: 44 4- 'p
AW
Bank Number
` Paid by Cash r
1
If, subsequent to the School Distric 11Representative signing this Butte County Schools Impact Fee
Certification Form, the School Distri& is notified by the applicable Local, Planning Agency that this project
is being reviewed under the Califomia Environmental Quality Act (CEQA), this project may be subject to
additional school fees to fully mitigate its impact on the school district's schools..,... —
White (applicant), Yellow (building department), Pink (schobl district) feeformmkl (11/94)dmm
/
i
031-281-063
SCOTT OLRY
839 THERM ALITO AVE
OROVILLE
w
COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION
7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 _ 3 ERMIyNO.
._ APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER 031-281-063
ZONING
BUILDING PERMIT %
C
OWNER Styy��t OT RY
SCM 1KtRREN
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
S
OWNERMAILING ADDRESS 171 N. AVE VIS' 93612
CONTRACTOR'S NAME BED STR NG E n� IC
J11� N.\V �••� •r•l.�l AJ.lr
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
Filing Fee $ 20.00
LENDER'S MAILING ADDRESS
Permit Fee $
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee $
Energy Plan Checking Fee $
ARCHITECT OR ENGINEERS MAILING ADDRESS
Penalty $
BUILDING ADDRESS 839 THERMALITO AVE
PERMITFEE $
PLUMBINGPERMIT Filing Fee 20.00
OROVILLE
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 O Duplex ❑ Mobilehome ❑ Other
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: ELE SERV CHANGE FOR BP#96-4499
—
Mobile Home I S I G W @20.00
PERMITFEE $
Contractor
ELECTRICAL PERMIT Filinq Fee 20.00
Main Service aOOV 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
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
NEW CONST. DWELLING OCCUP. • SO.
OR ( 8 ACC. BUDS. ) 3.50 FT.
CNS.
NEW CONST. MULTI -OUTLET
NON-RESID. ( BRANCH CIRCUITS ) 97.50
( & PSINGOWER APPARATUS )
LE OUTLET CIR.
Ex. Occup. (OUTLET OR FIXTURES) BAL @ 1.50
Ex. Occup. ( OUTLETS (FIXED ARPLINS. OR
ES D.) EA) 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.
❑ 1 have and will maintain workers' compensation insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permit is issued.
My workers' compensation insurance carrier and policy number are:
Carrier
MECHANICAL PERMIT Filing Fee 20.00
g
Heating
Cooling
Hood 6.50
Ventilation
PERMITFEE $
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 employ any person in any manner so as to become subject to workers'
compefisation laws of California, and agree that if I should become subject to the
wo)kers' compensat provisions of section 3700 of the Labor Code, I shall
forthwith co ly 'it t e ryovlsions.
s�
X/� _ Date
Sgna�ure-of Appicant"-)�Owr ❑ Contr for ❑Agent
An OSHA permit is required for excavations over 5'0" deep and demolition or construction�
of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
DCC
CONST. TYPE
TOTAL FEE $ 43,00
HAZ.
I D. FEES
I IMP
FLOOD
CDF
PARCEL
PD HD
ISSUE
This permit is hereby issued under the applicable provisions
of the Butte County Code and/or Resolutions to do work
;indlicatebove for which fees have been paid.
Date l
/O�� ��
PERMITEXPIRESOf�%7 /
(Date)
Receipt No. 201930
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
g COUNTY OF BUTTE- DEPARTMkNT OF DEVELOPMENT SERVICES -BUILDING DIVISION
7 .County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541ERMI NO.
APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER 031-281=063
ZONING
BUILDING PERMIT
OWNER SCOTT OLRY
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS 171 N. KAREN AVE CLOVIS, 93612
CONTRACTOR'S NAME BED STR ANG ELECTRIC
TELEPHONE
CONTRACTORS MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNIWOWN
Total Valuation Is
Fling Fee
$ 20.00
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDINGADDRESS 839 THERMALITO AVE
PERMITFEE
$
OROVILLE
PLUMBING PERMIT
Filing Fee 20.00
Each Trap
7.00
LOT NO.
SUBDNISION'SNAME
PARCEL MAP
Solar or heat pump water heater
23.00
Water piping
15.00
USEOFSTRUCTURE
SF q Duplex ❑ Mobilehome ❑ Other
SPECIFY
Each gas water heater or vent
15.00
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
TYPE OF WORK j�
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other CT
Describe Work: ELE SERV CHANGE FOR BP#96-0499
—
Mobile Home I S I GI W 1
920.00
PERMITTEE
$
Contractor
ELECTRICAL PERMIT
Filina Fee 20:00
Main Service ( 200A ORLEss )
23.00 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
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,
Xwill 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 OCCURSO.
OR ( 8 ACC. BIDE. )
3.5Q FT.
CNS.
NEW CONST. MULTI -OUTLET
NON-RESID. ( BRANCH CIRCUITS )
@7.50
( POWER APPARATUS )
8 SINGLE OUTLET CIR.
Ex. Occup. ( OUTLET OR FIXTURES)
20 @ 1.00
BAL 0 .SO
Ex. Occup. (oFIXEEDTs RES D.OR
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
PERMITFEE
$ 43,00
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.
❑ 1 have and will maintain workers' compensation insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permit is issued.
My workers' compensation insurance carrier and policy number are:
Carrier
MECHANICAL PERMIT
Filing Fee 20.00
Heating
Cooling
Hood
6.50
Ventilation
PERMITFEE
$
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 a oy any person in any manner so as to become subject to workers'
co sation laws of California, and agree that if I should become subject to the
wo ens' compensati provi 'ons of section 3700 of the Labor Code, I shall
forth co ly i y7mons.
X _ Date
I App (cant - w r ❑ Contra for ❑ Agent
An OSHA permit is required for excavations over '0" deep and demolition or construction
of structures over 3 stories in height.
Mobile Home Installation Fee
$
Energy Inspection Fee $
Occ
CONST. TYPE
TOTAL FEE $ 43.00
HAZ.
0. FEES
IMP
FLOOD
CDF
PARCEL
PD HD
ISSUE
This permit is hereby issued under the applicable provisions
of the Butte County Code and/or Resolutions to do work
indicate dove for which fees have been paid.
/� ��
y �Q Date
PERM ITEXPIRES N S tP AZ
(Date)
Receipt No. 201930
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK•INSPECTOR GOLDENROD -APPLICANT
a PRMIT NO. 1535-76B
PERMIT EXPIRES
OWNER Cecilia Lahr
coNTR_ owner
LOCATION (A.P. 31-381-63
839 Thermalito Ave., Oroville
. a
1
4 �
r
Temp. Power Pole
Called PG&E
Temp. Elec. Serv.
CalledP &E
Temp. s Serv.
C led PG&E
J B
INALED
(Date)
(Signature)
(NOTE: An entry must be made on this form each time you vislt the job site.)
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
BUILDING INSPECTIOR-RECORD
'
BUILDING BUILDING (Cont'd)
PLUMBING
Setback
Firewall
Soil Piping
Forms
Parapets
1st Floor f.
Main Bldg.
Restroom Finish
2nd Floor
Footings
Windows 411.zz4zri
3rd Floor
Stemwall
S i d i n g
To out
Slab
Roof Sheathing
Water PipingJ
Piers
Roofing
Sewer
Garage
Fdn. Vents
Fixtures
Footings
Garage Vents
Water Htr.
Stemwall
Slab
Prov. for physically
handicapped
Heaters
Appliances
Carport
Footings
Conformance of ex.
structure
Gas Piping & Test
Temp. Gas
Slab
Final ai 7Sanitation
Patio
FIREPLACE.
Final
Footings
Footing
EL TRIC
Masonry Walls
Throat
Rough
Reinf. Steel
Final
Fixtures
Bond Beam
FIRE'16PROKLERS
Motors
Fr ming
Test V
Water Htr.
Stucco
Final A,
Subpanels
Mesh
M E0 HAN AL
Grd. Fault Prot.
Scratch
Heating
Service
Brown
Y Cooling
Temp. Pole
Finish
Ducts
Underground
Interior Lath
Ventilation ?
Permanent
Door Closer
Final
Final
i
DATE REMARKS OR CORRECTIONS
�Ov
ILA
(NOTE: An entry must be made on this form each time you vislt the job site.)
COUNTY OF BUTTE — ,DEPARTMENT OF PUBLIC WORKS
7 County Center Drive — Uroville, California 95965
Tel arphone: 5.34-4541
APPLICATION AND PERMIT
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes.
r
X X Date 4-i _76
Signature of Permiitee'e''orAgent
Receipt No. I'�t--) Jor�``tJ_—�
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant
This permit is hereby issued under the applicable provisions o-
the Butte County Code and/or resolutions to do work indicatec
above for which fees have been paid.
DIRECTOR OF PUBLIC WORKS
B;� D�perm�itexp�ires Date
BUILDING
Owner CEG' ` LA
SQ. FT. OCC. BUILDING VALUATION
Mailing Address MA C,)TO AQ ,
O^ — 6
(�
Telephone No.
Fireplace
Contractor 0W 111 C__
Total Valuation ZCpp
Mailing Address
Permit Fee
Plan Checking Fee &/or Penalty
Telephone No.
Permit Fee $
OC
Building Address��j�(ZM A (A—I-�
PLUMBING No. @ FEE
PERMIT FILING FEE $3.00
Each Trap 1.50
Repair drainage or vent piping 1.50
Water piping 1.50
Each gas water heater or vent 1.50
A. P. No. 2
Z
Zoning & Planning
Gas piping system 1 - 5 outlets 1.50
Each additional outlet .30
Sep4atien
I Fire Dept.
Fire Zone
Use Permit
Building sewer 5.00
EQA
Parking
Plans
Parcel
Declaration
Parcel Ma P
60R/W
'
Improvements
Lawn sprinkler system 2.00
Bldg. PL'ns Rec'd
Parce�val
Plans'' Approval
Permit Fee $
NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER
ELECTRICAL No. @ FEE
PERMIT FILING FEE $3.00
�e OVE Q 0 C P, f`.QC A7f-- ^gyp
Main service 100 AMP ORLESS5.00
w tm tDow s AbD rSt i 0i" G pwR,
Main service EA. ADD'L too AMP 2.50
Single Family ® Duplex ❑ Mobil Home ❑ Others ❑
Main service VER 600V
t0 0 AMP OR LESS 25.00
Main service EA. ADD•L too AMP 1.00
NEW CONST OR ADDNS. ( ACCLBLDGS.CCUP. &� 22sgft
NEW CONSTR. MULTI.OUTLET
NON-RESID. BRANCH CIRCUITS 2.50ea
NEW CONSTR. (POWER APPARATUS &)
NON-RESID. SINGLE OUTLET CIR.
CONTRACTORS LICENSE LAW
I am licensed under the provisions of Chapter 9, Div. 3, of the
State of California Business & Professions Code under the name
style of:
250
Ex. Occup(OUTLETS OR FIXTURES) BAL@@I
Ex. Occu FIXED APPLNS. OR
P•(OUTLETS (RESID.) EA) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Lice se No. Classification
Misc. Wiring 6.25
I am exempt from the Contractors License Laws of the State of Cali fomia.
Permit Fee $
$
WORKMEN'S COMPENSATION INSURANCE
1 am aware of the provisions of Section3700 of the California Labor
Code which requires every employer to be insured against liability
for Workmen's Compensation.
❑ I have placed on file with the County of Butte a certificate of
+ /Workmen's Compensation Insurance.
U certify that in the performance of the work for which this
permit is issued I shall not employ any person in any manner
so as to become subject to the Workmen's Compensation Laws of
California.
MECHANICAL No. @ FEE
PERMIT FILING FEE $3.00
Heating
Cooling
Ventilation
Hood 2.00
Permit Fee $
$
I certify that I have read this application and state that the above
information is correct. I agree to comply to all County Ordinances
and State Laws relating to building construction, and hereby
TOTAL PERMIT FEE
$ OC
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes.
r
X X Date 4-i _76
Signature of Permiitee'e''orAgent
Receipt No. I'�t--) Jor�``tJ_—�
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant
This permit is hereby issued under the applicable provisions o-
the Butte County Code and/or resolutions to do work indicatec
above for which fees have been paid.
DIRECTOR OF PUBLIC WORKS
B;� D�perm�itexp�ires Date
N,
i
F
COUNTY OF BUTTE -DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541
APPLICATION AND PERMIT
PERMIT NO..
blit
t—
ASSESSOR PARCEL NUMBER
- �_/
ZONING
BUILDING PERMIT
OWNER
Se -r 7 o Ile y
TELEPHONE
SQ. FT. UCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS
.rj )
CCI.TRACTOF'S NAME
TELEPHONE
CONTRACTOR'S MA;LI.VZ; ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
LENDER'S MAILING ADDRESS
Filing Fee
$ 10.00
Permit Fee
$
ARCHITECT OR ENGINEER_
LICENSE NO.
Plan Checking Fee
a
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Energy Plan Checking Fee
$
Penalty
$
BUILDING ADDRESS
Permit fee
=
772
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2,00
Solar or heat pump water heater
20.00
LOT NO.SUBDIVISION
NAME
PARCEL MAP
Water piping
5,00
Each Qas water heater or vent
5.00
USE OF STRUCTURE
SIX Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home S I G I W
4.1 0.00 ea
TYPE OF WORK
New ❑ Addition Remodel ❑ Utilities ❑ Installation[; Other j�j
Describe work: (f "o, d
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 1 10.00
V ORMain service 8100 AMP ORSLESS
10.00
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
I am licensed under provisions of Chapt. 9, Div. 3 of the BuSlnesS
and Professions Code and my license is in full force and effect.
License No. Classification
I, as the owner, or my employees with wages as their sale compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
Main service EA. ADD'L 100 AMP
2.50
NEW CONST. DWELLING OCCUP.y ,
OR ACDNS. ACC. BLDGS. h¢sgft
NEW CONSTR -MULTI-OUTLET 2.50 ea
NO N•R ESLD BRANCH CIRCUITS)
POWER APPARATUS &)
SINGLE OUTLET CIR.
O
EOccup(OUTLETS OR FIXTURES .2z01030
Ex. Ccu o ALO30
FIXED APLNS.
Ex. Occup. OUTLETS IPRESID IKEA.) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 15.00
..SL
Permit Fee $
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
Lj The permit is ;or S100.00 (vaivation) or less.
I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -insure.
I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
Contractor
MECHANICAL PERMIT
Filing Fee 10.00
Heating
Cooling
Hood
3,00
Ventilation
permit Fee
$
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the Countyot
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to s e, indemnify and keep harmless the County of Butte against
all liabilities, dgments, costs and xpenses which may in any way accrue
against aid C unty in s c o the granting of this permit.
%� � Date /—�
Signature of Applicant — OwA/erZ Contractor ❑ AgentW
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
TOTAL PERMIT FEE $
OC CUP.
CON3T.TYP[
ISCHOOLIF1.10001PARCILI
PD
J_-6
ISSUE
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIRECTOR OF PUBLIC
By ,^.^_^
the applicable provi- .
resolutions to do
fees have been paid.
WORKS
Date
Receipt No.TS__2,
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, OroviIle — Phone: 538-7541
747 Elliott Road, Paradise— Phone: 872-6307
CORRECTION NOTICE
T NO.
A routine inspection indicates that the following violations of County Ordinance
exist at the above address and should be corrected. Please notify this office
when correction of work is completed. If you have any question pertaining to this
matter, or need additional explanation, please contact this office immediately.
1r�rl!-;tet, E bY110 Sh /ZOCIV VA) so wo
7 Mz Sv G er2&D /nth o- lee ei igoi
COUNTY OF BUTTE - DEPART,MENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541
APPLICATION AND PERMIT
PERMIT NO
r
ASSESSOR PARCEL%R—
ZONING
l -
BUILDING PERMIT
OWNER
�e 7-:;- d Z, ---e y
TELEPHONE
S0. FT. OCC. BUILDING VALU ION
OWNER'S MAILING ADDRESS
a
CONTRACTOR'S NAME
TELEPHONE
CONTRACTOR'S MAi LING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation Is
LENDER'S MAILING ADDRESS
Filing Fee
$ 10.00
Permit Fee
$
ARCHITECT OR ENGINEER_LICENSE
No.
Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Energy Plan Checking Fee
$
Penalty
$
BUILDING ADDRESS
Permit fee
$
PLUMBING PERMIT
Filing Fee 10.00
CSL
Each Trap
2,00
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAME PARCEL MAP
Water piping
5,00
Each qas water heater or vent
5,00
��,, USE OF STRUCTURE
SF.YV Duplex❑ Mobilehome❑ Other
�� �� SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home S I G I W
0.00 ea
TYPE OF WORK
New ❑ Addition Remodel ❑ Utilities ❑ Installation❑ Other
Describe work: _i
Permit Fee
$
Contractor
i
ELECTRICAL PERMIT
Filing Fee 10.00
00V OR Main service 100 AMP ORSLES$
10.00
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
F-1NON-RESID
I am licensed under provisions of Chapt. 9, Div. 3 Of the Business
and Professions Code and my license is in full force and effect.
License No. Classification
1, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
Main service EA. ADD'L 100 AMP
2.50
NEW CONST. DWELLING OCCUP.a
OR ADDNS. ACC. BLDGS. )
,/2¢Sgft
NEW CONSTR. M ULT'_OUTLET2.50
. BRANCH CIRCUITS)
ea
/POWER APPARATUS e
(SINGLE OUTLET CIR.
EX. OCCU OUTLET$ OR FIXTURES
p
200930
BAL030
FIXED APPLNS. OR
Ex. Occup. OUTLETS (RESID.) EAJ
2.00
Temporary service
10.00
Mobile Home Facilities
15.00
Misc. Wiring
15.00
Permit Fee
$
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
Contractor
MECHANICAL PERMIT
Filing Fee 10.00
Heating
Cooling
g
Hood
3,00
Ventilation
penult Fee
$
Contractor
I certify that I have read this application and state that the above information
1s correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the Countyot
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to s e, indemnify and keep harmless the County of Butte against
all liabilities, dgments, costs&,caxpenses which may in any way accrue
against aid C untyin s granting is this permit.
X _ y
Date
Signature of Applicant — Ow er Contractor ❑ AgentW
i n OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structure's 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
TOTAL PERMIT FEE $
OCCUP.
CONST.TYPE
SCHOOL
FLOOD
PARCEL
PD
NO
159
This permit is hereby issue u er
sions of the B to Countyo and/or
work indicated above for w ' -h fees
D E O F ELIC
BY
PERMIT EXPIRES Date_
the applicable provi-
resolutions to do
have been paid.
WORK
Data
—,�—
s
,over
Receipt NO. '�J �-� 2
WHITE-D.P.W., YELOW-A- S�R. PINK -INSPECTOR. GOLDINROO-APPLICANT
rt. tCOUNTY OF BUTTE - DEPARTMENT 'WF PUBLIC WORKS - BUILDING DIVISION
�. 7 COUNTY CENTER DRIVE - OROVILL'E, CALIFORNIA 95965 - TELEPHONE: 916/538-7541
• .n
PERMIT APPLICATION DATA SHEET -w-�
Permit No.
OWNER Jl Zle A. P. No.
Proposed Building Use Building Inspector Date
At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance:
DATE RECEIVED APPROVED
1. All items have been submitted. ....................................
2. Plot plans in duplicate/triplicate, signed by preparer ofyplans........
3. Complete plans in duplicate/triplicate, signed by preparer of plans .. _
4. Complete engineered plans and calcs, with wet signature on plans ..
5. Energy Design Compliance and supporting documentation .........
6. Statement of Intent for Non -Heated and AC Buildings ..............
7. Engineered truss details and layout in duplicate (required prior to plan check)
8. Mobilehome installation data including manufacturer's installation
instructions.......................................................
9. Fees of $
10. Chico Urban Area fees paid ........................................
11. Park fees paid .....................................................
12. School District fees paid .................
13. Sanitation approval from Health Department ...
14. City of Chico plumbing -permit ......................................
15. Plot plan and business license approval from City of
(see City for other requirements)
16. Planning approval for (A) Use: (B) Parking:
17. Imp ements may be required.
Ae ay permit (constructi.gn approval required prior to occupancy) .. .
re -Inspection for �_,—c required • , , , Pre-Inspec. request to
q ..Building Inspector
Contractor's license information (No., Name Style, Classification) ...... .
21. Certificate of Workmans Compensation Insurance .... .
22. Owner -Builder Verification (Given to owner ❑, Mail to owne ) ........
23. Recorded copy of Agricultural Acknowledgment Statement ............ Z zie
�—
24. Letter of signature authorization .....................................
25.
26. ,ahs..
When you issue the permit, process as follows: Mail to owner. Mail to contractor.
Telephone and hold for pickup at office. Deliver w/inspector.
Other
Applicant
Date
Copy of plans sent Health Dept., Fire Dept., Other Date
The following data must be submitted prior to permit issuance: (Circrl° new item not checked above).
1. Index permit for above items No.
2. Additional items required:
Contractor, designer, owner, was advised of above required data by_phone---nall—counter by date
Contractor, designer, owner, was advised of above required data by—phone —ma ll—counter by date
Plans checked by
Copy -DPW
Date Plans approved by
Sets of plans on hold in File cabinet AP folder
Date
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7
(%Iy�fR COUNTY OF BUTTE - Department of Public Works
0 W ��� C o 7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541
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 or no)
2. I (have/have not) signed an application for a building permit
for the proposed work.
I have contracted with the following person (firm) to provide the proposed
construction:
Name
Address City
Phone Contractors License No.
I plan to provide portions of this work, but I have hired the following person
to coordinat sup rvi a and provide the major work:
Name H _
Address City
Phone ntractors 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
signea:
Property Owner Vt�
Social Security Number
Date '!!5'`- Z�- - CEI
NOTE: This Owner -Builder Verification is.sent to you as required by Sections 19831 and
19832 of the California Health and Safety Code.
This verification must be completed and returned to our office before we are per-
mitted to issue the permit.
I