HomeMy WebLinkAbout035-222-013(C
-- - AREA
Butte Coun 035-222-0131' �" 06-1105
NOTES e T County C WARREN, TIMOTHY.
�c p'1 (530) 538.7 4860 VIRGINIA AVE, OROVILLE
1_1(0 IJF}Y3L� TO C-741AI � - LEFT Cont: ARTIC AIRE OF CHICO
FURNANCE(WALL), i
C142p
WITH 0WiQ&/L 1tit </?bnf-( l-%'6 `— .� �.� '� r• sS �.
APN: Permit No.
Owner:
Site Address:
Contractor:
Type of Permit:
I
SRA
FLOOD CERTIFICATE EQUIRED
FIRE SPRINKLERS REQUIRED
SPECIAL INSPECTION ITEMS
VERIFY
USE PERMIT CONDITIONS
SUB -STANDARD HOUSING LETTER
ENCROACHMENT PERMIT
REINSPECTION FEE PAID
ENV HLTH CLEARANCE
DATE JOB FINALED:
SIGNATURE: 9
CHECKED BY
i
A1C•
I
SRA
FLOOD CERTIFICATE EQUIRED
FIRE SPRINKLERS REQUIRED
SPECIAL INSPECTION ITEMS
VERIFY
USE PERMIT CONDITIONS
SUB -STANDARD HOUSING LETTER
ENCROACHMENT PERMIT
REINSPECTION FEE PAID
ENV HLTH CLEARANCE
DATE JOB FINALED:
SIGNATURE: 9
CHECKED BY
+=OK
0 -Nal
,RESIDENTIAL (Single & Dut)fe•x)
UAift JUNDERFLOOR
DATE IPLUMBING
1 Zoning -Setbacks -Easements -Flood -Slope
53 Wtr Htr; Vent-Acc-Cmbstn Air Baffle
2 Ftg Main; Soils-Elec Grnd Ftg Dpth
54 Wtr Pipe; Test & Anchr-Nail Prtctn
3 Ftg Garage; SoilsSteel-Elec Grnd Ftg Dpth
55 DWV; Test Fittings & Anchr Nail Prtctn
4 Ftg Porches/Decks; Soils -Steel Fig Dpth
56 Shwr Pan; Test, First fir -Tub Ace
5 Stemwalls Main; Steel-Blockouts-Wrapped
57 Test Tub & Shwr, 2nd fir - Tub Ace
6 Stemwalls Garage; Steel-Blockouts-Wrapped
58 Gas Pipe; Sz & Anchrs "
6a Hold Downs and Special Anchrs
59 Fire Sprinkler; Test
7 Slab, Steel Wrapped
60 Yard Gas Piping
8 Piers-Frpic Ftg-Steel
9 DWV; Fall -Fitting -Test -2 -way CIO -Sewer Test
10 UF, Gas Pipe; Sz Anchrs-Sz Test
11 Wtr Pipe; Test-Anchrs-RgltrService Test
12Elec Undrgrnd
DATE M E C H A N I C A L
13; Plenums & Ducts; Cirnc-MaterialSupport4nsultn
61 AC Ducts Insultn & Support
14 GirdersSills-Anchr BoltsJoists-Vnts-Cripples
62 Vent Fan, Exhaust abv lnsultn
15 Ace & Vntltn
63 Condensate Drain & Ovrfiw, Sz & Grade
16 Insulation
64 Furnace -Vent Ace -Comb Air Rtrn/Vent 115 Outlet
65 Attic Ace & Pltfrm if Furnace in attic
DATE IFRAMING
17 Sills Proper Materials & Anchrs
DATE _FF I N A L
18 Wails Studs -Nailing Spacing & Braces-PlatesSound
66 Ext Steps -Door & SldeLt Prtctn-Landings
-19 Bearing Walls over Girders 8 -fir Nailing
67 Smoke Detector
20 Draft Stop in Walls (rat proof)
68 Furnace Vnts-Clmc.-Comb, Air-Cnnctr
21 Fire Stops,'Fiirreif CeilingsStairs-Chasers-Tubs
In Garage; abv-fir-Ducts-Meth Prtctn
22 Headers &Beams-S4&°Bearing
69 Bedroom Exiting
23 Hangers -Post Caps-Anchrs-Cnnctns
70 GFI & Bath Fxtrs & Tub AccSpa
24 Ceiling Joist-Rftr Ties-Purlin-Roof Brac-TrussShthg
71 GFI Arc Fault
25 Frpic Ties or Type A Flue-Frpic Throat Cirnc
72 Elec Trim & Subpnl, Breaker Szs & Labels
26 Attic Ace; Si &'Rmx Prtctn-Draft Stop -Ins Baffles
73 Stairs, Guard/Handrails
27 Bdrm Wndws or ExitingDoorsSill Ht & Dimensions
.
74 Frpic or Stove, Clmc•Hearth
28 Garage Fire Prtctn Framing -RC Channel
75 Elec Outlets at Wood Pnl, Int & Ext
29 Prprty Line Firewall .& Opngs
76 Ktchn, Fxtr & Appinc; Grnd-Air-Gap-Cooking Cirnc
30 Ext Doors -One 3' -Check Garage 3rd Story, 2 Exits
77 Elec Outlet's & Rcptcls at Ktchn Counter
31 Stairs; Width-Hdrm-Rise-Run-Landing-Fire Prtctn
78 Garage Fire Door; Swing -Landing -Closure
32 Plywd on Roof Ovrhng-Attic Vnts-Rftr Outrgrs
79 AC Duct in Garage -Damper
33 Siding -Nailing Veneer
80 Wtr Htr; Vnts-Cirnc-Com Air Cnnctr-PRV; abv fir
34 Stucco Lath -Weep Screed-Fndtn Vnts-Undrflr Ace
Mech Prtctn; LPG Appince Undr House 3" drain
35 Glazing Area -Glass PrtctnSkyLts-Plastic
81 Plmb; Elec & Mech Eqp Listed for Loctn
36 Shear Walls; Nailing -Bolts
82 Elec Rcptcls in Garage (GFI) Romex Prtctn
37 Brace Int/Ext Wall pnls
83 Insultn-Foam-Looked in Attic
38 Insultn-Walls-Ceilings
84 Guard Rails & Deck Cnstrctn-Post Caps
39 Infiltration-Walls-Wndws
85 Fndn Vnts & Crawl Hole Door Drnge & Wood -Earth
86 Cirnc Drnge Planters ❑ Yes ❑ No
°
87 Stucco Brown -Finish
88 AC Unit Dscnnct, Elec-Plmb
89 Vnts abv Roof, Plmb-Appinc-Frpic-Cirnc to Opngs
DATE ELECTRICAL
90 Wtr Well, Dscnnct, Elec, Plmb
91 Ext Elec Trim, GFI Rcptcl-Undrgrnd
40 Fxtr & Trnsfrmr Clrnc4ns Prtctn
41 Elec Rcptcls Spacing-Lts & Switches at Doors
92 Vntltn thru House
42 Sz Boxes & No Of Cndctrs Stapled
93 Glass Prtctn
43 Romex Installed Close to Edge of Studs & CJ
94 Corrections from previous Inspctns
44 Eqp Grnd made up w/Mech Fstnrs
95 Gas Test -Meters Tagged, Gas-Elec
45 Grndng Electrode Bond Gas & Wtr
96 Wtr & Sewer Cnnctd-C/O to grade -HD Apprvl
46 2 Appinc Cires in Ktchn & Cndctr Sz GFI
97 Energy Cmpinc Cert -Other Certs
47 Subfeed Wire Sz ga ❑ CU or ❑ AL
98 Address Posted
AC Wire Sz ga ❑CU or F-1 AL
99 Fire Sprinkler
48 Range Circ ga ❑CU or ❑AL
Oven Circ 9a [—ICU or ❑AL
Insulated Neutral ❑ Yes ❑ No
°s° s` °gym`
49 Service -Riser Cndctrs & Grnd Main Dscnnct
50 Eqp Clrncs pnis-Motors-Mech Eqp
51 Clothes Closet Lt-Shwr Lt -Spa Lt
52 Smoke Detector
•=OK
0 = Not OK
MANUFACTURED HOMES
MISCELLANEOUS
DATE PERMANENT FOUNDATION, SOFT -SET
1 ZoningSetbacks-Easements
2 Soils; Special MH Support Sketch
3 Sewer; Loctn-Test; FaIVC/O-Concrete
4 Wtr; Loctn-Test-Easement Nebded-Regulator
5 Elec Loctn-Clrncs-Grnd 'Amp -Concrete
6 Yard Gas; Loctn-Test-Wrap Nat ❑ or LP[:]
Inch Sz Ft Lngth
7 Blckng; SzSpacing-Marriage Line
8 Gas; MH Test-Demand-Valve-Cnnctr
9 Elec MH Cntnty Test-Crossovers-Breakers-Clrncs
10 Drain; MH Test -Fall -Flex Cnnctr
11 Wtr & Sewer Connected -C/O to Grade
12 Gas and Electficity Tagged
13 Tie Downs' ❑ Foundation ❑
14 Exits
15 Cert of Occupancy
16 HUD Label/Insignia Numbers Serial Numbers
DATE D E C K S•C O V E R S'C A R P O R T S'G A R A G E S
1 Zoning -Setbacks -Easements
2 Ftgs; SoilsSz-DpthSpacing-CnnctrsSteel
3 Decks, Girders/Joists-Dcking-Brcing .
Stairs-Guard/Handrails
4 Wood Awn; Posts-Beams-Rftrs-CnnctrsShthg.
Frmg-Brcng µ
5 Alum Awn; Columns-CnnctnsSplice-Decal-Enclsrs
6 Carports; Wndws-Doors
7 Electric
8 Frmg; Sills-AnchrsStuds-Rftrs-Trusses
9 Siding; Nailing -Veneer -Stucco -Lath
10 Roof, Shthg-Roofing
11 Ext; Steps -boors -Landings
12 Braced Wall pnls
DATE IPOOLS
1 Setbacks -Easements
2 Soils; Compaction Structure Stability
3 Pool Structure; Steel-Cnnctns-Thickness
Dead Men -Lining
4 Elec Rcptcls/Lting; Distance-GFI
5 Elec Pool Lting; 15 volts-GFI
6 Elec.Enclsrs; Conduit Entries -Terminals -Listed
7 Elec Bonding; Metal. w/5'-Crcltng Egp-Htr
8 Elec Grndng; Eqp w/5' Crcitng Eqp-Pool Ightg
Boxes-Enclsrs-pnlboardsansultri to Main Conduit
9 Health Dept Apprvl
10 Plmb; Cir Test-Wtr Supply Test .
11 Lt Niche ;
12 Enclsr; Fencing -Alarms
13 Bonding, Diving board or. Slide
°' 0c °
Pool Drawing
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.
BP061105
LICENSED CONTRACTORS DECLARATION
I hereby affirm under penalty of perjury that I am licensed under
Issued Date: 05/12/2006 APN: 035-222-013-000
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: 4860 VIRGINIA AVE ORO
effect, f /L���
n
License Class:i2) - License Number: :�J r--�a1
Map Index:
Date: 5(o Contractor: L (�(
Description: wall furnace
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: WARREN TIMOTHY SR
Business and Professions Code: Any city or county which requires a
4860 1/2 VIRGINIA AVE
permit to construct, alter, improve, demolish, or repair any structure, prior
to its issuance, also requires the applicant for such permit to file a
OROVILLE, CA
signed statement that he or she is licensed pursuant to the provisions of
95966-7306
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
Applicant: ARTIC AIRE OF CHICO INC
intended or offered for sale (Sec. 7044, Business and Professions
Code: The Contractors' Stale License Law does not apply to an
owner of property who builds or improves thereon, and who does
2350 PARK AVENUE
such work himself or herself or through his or her own employees,
CHICO, CA 95928
provided that such Improvements are not Intended or offered for
530-895-3330
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: ARTIC AIRE OF CHICO INC
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
2350 PARK AVENUE
pursuant to the Contractors' State License Law.).
CHICO, CA 95928
❑ 1 am Exempt under Article 3 of the Business and Professions Code
530-895-3330
Date: Owner:
License #: 234913
WORKERS' COMPENSATION DECLARATION
I hereby affirm under penally of perjury one of the following declarations:
O 1 have and will maintain a certificate of consent to self -insure for
Architect:
workers' compensation, as provided for by Section 3700 of the
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.
nn
Carrier:&L L n Q Y -an
Valuation: $0.00 -�
Policy #: 1C1 LJ9_WZ0 [0A
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
-b
become subject to the workers' compensation laws of California,
b
and agree that if I should become subject to the workers'
compensation provisions of Section 3700 of the Labor Code, 1 shall
forthwith comply with those•provisions.
Date: -
V
Applicant:Y4EL
WARNING: Failure to secu workers' compensation coverage Is
I'�
` /
unlawful, and shall subject an employer to criminal penalties and one
hundred thousand dollars ($100,000), in addition to the cost of
compensation, damages as provided for in Section 3706 of the Labor
code, interest, and attorney's fees.
CONSTRUCTION LENDING AGENCY
This pe N hereby i, d and a app' able provisions of the Butte County Code and/or
I hereby affirm that there is a construction lending agency for the
Resol ions to do wo indicat above f which fees have been paid.
� 2 U
performance of the work for which this permit is issued (Sec 3097 Civ.)
B 7
y: - " - Date:
Name:
� _0
Address:
PERMIT EXPIRES ON: -
Date
O 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.
O Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project.
❑ Attached are copies of the required E.P.A. notification forms.
I hereby certify that I have read this application, that the above Information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with
all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official fo document of Butte County. I hereby
authorize representatives of Butte County to enter upon the above mentioned property for Inspection purpose . r
,
Print Name: rr Signature:
Date:
0 Owner 0 Contractor ❑ Agent for Owner Agent for Contractor
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT
24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO)
OFFICE #: (530) 538-7541
PERMIT NO.
BP061105
LICENSED CONTRACTORS DECLARATION
Issued Date: 05/12/2006 APN: 035-222-013-000
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
Site Address: 4860 VIRGINIA AVE ORO
effect.
`./L���;
License Class:9) 9-0- License Number:
Map Index:
Date: �O Contractor: XLk C_
I
Description: wall furnace
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: WARREN TIMOTHY SR
Business and Professions Code: Any city or county which requires a
4860 1/2 VIRGINIA AVE
permit to construct, alter, improve, demolish, or repair any structure, prior
to its issuance, also requires the applicant for such permit to file a
OROVILLE, CA
signed statement that he or she is licensed pursuant to the provisions of
95966-7306
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 properly, or my employees with wages as their
sole compensation, will do the work, and the structure is not
Applicant: ARTIC AIRE OF CHICO INC
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
2350 PARK AVENUE
such work himself or herself or through his or her own employees,
CHICO, CA 95928
provided that such improvements are not intended or offered for
530-895-3330
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
Contractor: ARTIC AIRE OF CHICO INC
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
2350 PARK AVENUE
pursuant to the Contractors' State License Law.).
CHICO, CA 95928
❑ 1 am Exempt under Article 3 of the Business and Professions Code
530-895-3330
Date: Owner:
License #: 234913
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
Architect:
workers' compensation, as provided for by Section 3700 of the
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: OLE�.naii .r'Ctn e
E1
Valuation: $0.00
1
Policy #:�� )��1 �`1 4 I (la
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:
Applicant:
�D
WARNING: Failure to serl workers' compensation coverage Is
�Iv
unlawful, and shall subject an employer to criminal penalties and one
hundred thousand dollars ($100,000), in addition to the cost of
compensation, damages as provided for in Section 3706 of the Labor
code, interest, and attorney's fees.
CONSTRUCTION LENDING AGENCY
This per s hereby i d and a app' able provisions of the Butte County Code and/or
I hereby affirm that there Is a construction lending agency for the
Resol •ons to do wo indicat above f which fees have been paid.
2
performance of the work for which this permit is issued (Sec 3097 Civ.)
--a
By: Date:
Name:
/2-0 -7
Address:
PERMIT EXPIRES ON:
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 duly authorized agent of the owner. I agree to comply with
all county and state laws relating to building construction. I acknowledge it Is unlawful to alter the substance of any official fo document of Butte County. I hereby
authorize representatives of Butte County to enter upon the above mentioned property for inspection purposes.
Print Name: r, Signature:
Date:
0 Owner 0 Contractor ❑ Agent for Owner Agent for Contractor
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 APPLICATION
"PLEASE PRINT CLEARLY"
OWNER
Last Name •
irst line
Address t' ^
City State
Zip
Phon Fax
E-mail
For office usi only:
CONTRACTOR
Name
r
,
Address
k
City C
I No
State
Zip
Phone
J'
Fax
E-mail
Planner
Uc. 349 12) #
Class
For office usi only:
ARCHITECT/ENGINEER
Name
,
Address
e.
City
I No
State
73
Phone
S��J +
Fax
E-mail
Planner
State License Number
For office usi only:
APPLICANT NAME
Name
,
Address
e.
City
I No
State CA
Zp
Phone5AD`
S��J +
Fax _ 30
Email
Planner
For office usi only:
Zoning
Property Address
Flood Zone
Cross Street
SRA
I Yes
I No
Occ.
Type Const
Subdivision Name
Map Book
Page
Lot #
Planner
Date Approved:
OVER FOR SUBMITTAL REQUIREMENTS
PERMIT
NO.
Bpt,)6 j/
BIN #
LOCATION
AP# p �;5- p
Property Address
City
r�v►���
Cross Street
WORKER'S COMPENSATION
Policy Numhpr
Carrier -�
r
If hiring anyone other than license contractors, a certificate of worker's
compensation must be shown at the time of permit issuance.
LENDING AGENCY
Name
Address
Description or Scope of Work:
Sq. Footage
O Structure Built v4thout Permits
D 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 SSby: Amount:
VL'�'. LL
U�
Receipt #: q
v'
�V
Dat / I Z
O
SRA
Sheriff
SMIP
Total