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HomeMy WebLinkAbout035-222-027° " AP 35-22.2-27 4855 Lincoln Blvd., Oroville Perm it 5295-77P E (11til EM SUPPORT STRUC., .COMPAC ION TEST 35-222-27 35-221-27 Permit #2647-78B(3 new awnings/NH) T3Vermit-#� 2758-82E(ele s/C & clean up), jGroc Store Net _ontr: Webster Elect OrovUlle r 035-222-027 05-0933 BEAVERS, MARKET 4855 LINCOLN BLVD, OROV Com: OWNER Z D NEW SRV PNL&MISC WIRI ` ^ | " � � r � - [ / ^ � - . ' ! "=� � ~ � . . � -° ,~ � . AP 35-22.2-27 4855 Lincoln Blvd., Oroville Perm it 5295-77P E (11til EM SUPPORT STRUC., .COMPAC ION TEST 35-222-27 35-221-27 Permit #2647-78B(3 new awnings/NH) T3Vermit-#� 2758-82E(ele s/C & clean up), jGroc Store Net _ontr: Webster Elect OrovUlle r 035-222-027 05-0933 BEAVERS, MARKET 4855 LINCOLN BLVD, OROV Com: OWNER Z D NEW SRV PNL&MISC WIRI ` ^ | " � � r � - [ / ^ � - . ' ! "=� � ~ t 0 9 5295-77 P,E • - PERMIT NO. •� PERMIT EXPIRES OWNER Don. Rill ing CONTR. owner LOCATION (A.P. 35-222-27 ) 4855 Lincoln Blvd., Oroville E A Temp. Power Pole Called PG&E Temp. Elec. Serv. s Called PG&E r Temp. Gas Serv. 'Z3' CaLED [led PG&E ' Jols A�> 2-3- 7 - r FIN (Da (Signature) f MOBILEHOME INSTALLATION INSPECTION CHECK LIST 1. Is the mobilehome located wk6h required separation from lot lines and buildings and generally conform to plot plan? Yes No 2. Does the mobilehome have.required clearances above ground? (Sec.5085) Yes t -/No 3. Are footings and supports properly sized, spaced, and braced as�er approved plans? (Note possible variation at spring shackles.) (Sc. 5082 & 5083) Yes_ No 4. Is the mobilehome level? (Sec. 5088) Yes_ No ' 5. If,�than a single unit, are crossover connections properly installed? (Sec. 5088) Yes No 6. Water A. Is Bible connector of adequate size and properly installed (1/2" ID min.)? (Sec. 5566) Yes_ No B. Test - Does water piping withstand working pressure or 50 lbs. air test? Yes_ No C. Backflow - If coach is not Stao ifornia approved, does station have backflow device and pressure -relief valve? Yes_ o 7. Wastes and Drains f/ A. Is connection made with Schedule 40 DWV and have flex connectors at each end? Yes No B. Does it have minimum k" per foot slope and is it properly supported? Yes v No C. Are any leaks detected in drainage system after running gallons of water through each fixture including washing machine standpipe? Yes_ No D. If coach is not State of C 1 fia approved, does station have required trap and vent? Yes_ Nov 8. Gas Piping and Gas Vents ` A. Connector - Is mobilehome connected to the gas supply with an approved 3/4" minimum mobilehome connector not more than 6 ft, long?. Note: .,All,piping is to be at least as large as the mobome gas line inlet without reductions other than the mobilehome connector. Yes_ No B. Test OK as per following procedure? Yes_ No 1. Open all appliance connector valves. 2. Shut off appliance burner and pilot valves. 3. Air test with manometer to 10"-14" water column, or test with slope gauge (minimum 6oz.-maximum 8 oz.) calibrated in tenth pound increments. Test for 10 min, without drop. 4. Connect gas meter to mobilehome with connector, turn on gas, test connections with soapy water. C. Are all appliance vents properly installed? Yes,/ / N o _ 9. Electrical ' A. Is service large enough to provide adequate amperage -to mobilehome (must equal rating of mobilehome with a minimumo 100 amp) and other facilities on lot, i.e., water pumps, garage, cabana, etc.? Yes No B. Is there proper clearances around panels? ..Yes No C. Is power'supply cord,or feeder assembly properly fused? Yes v No_ D. Is continuity test satisfactory as per the following procedure? Yesl- No 1.• De -energize electrical wiring system of the mobilehome at the pedestal_ 2. Make sure that the power supply cord or feeder assembly conductors, including neutral conductor, have been disconnected: 3. Switch all breakers and switches in the mobilehome to the "on" position. 4. Connect one lead of a test instrument to the mobilehome grounding conductor and apply the other lead to each mobilehome supply conductor, including neutral. S. ,All non-current, carrying metal parts of the mobilehome (aluminum siding, gas line, water line), including fixtures and appliances, shall be tested for continuity from such equipment and the grounding conductor. - 6. Upon completion of the above procedure, the power supply cord or feeder assembly conductors shall be connected to the site service equipment. A further continuity test shall then be made between the grounding electrode and the chassis of the mobilehome. Upon satisfactory completion of the electrical tests, the lot or site service equipment may be approved for energizing. 10. Is job card signed by Health Department for water and sanitation? 11. If everything okay, sign off -card and tag services. MLEHOME DATA y Manufacturer and/or Namest le (/V '• Length r� o Width Vehicle -Serial No. - to 57 r.1 D -7 3 � State Identification No. i Additional Information or Comments: 7 COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS - BUILDING INSPECTION RECORD BUILDING ABUILDING (Cont'd) X PLUMBING Se ack Atewall Sh Piping For Pa ets 1 Floor Main Idg. Resiloom Finish 2nAFloor Foo 'n s Windo s 3rd FNQor Stem II Siding To out Slab Roof She hing Water Pi In Piers Roofing Sewer Garage Fdn. Vents X Fixtures Footings Stemwa I I Garage Vents Insulation Water Htr. Heaters Slab Carport Footings Prov. for ph sical handica ed Conformance of ex. structure Appliances Gas PI Ing &Test Temp. Gas Slab Final Sanitation Patio FIREP ACE Final Footings Footing ELECTRICAL Masonry Walls Throat Rough Reinf. Steel Final Fixtures Bond Beam FIRE SPRINKLERS Motors Framing Test Water Htr_ btucco Final Subpanels Mesh MECHANICAL Grd. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final MOBILEHOME UTILITIES Elec. Service/,P,5-,#-/,/—/'P'2),Elec. Pedestal 11-17-27A6PE Water Piping 77 F. Sewer t 7 7 Gas Piping t �� BILEHOME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping DATE REMARKS OR =RRECTIONS .4 /_T 7/7 ef (NOTE: An entry must be made on this form each time you visit the job site.) COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE OROVILLS, CALIF. - 534-4541 CERTIFICATE OF OCCUPANCY This mobilehome has been installed in accordance with the requirements of the California Administrative Code, Title 25, Chapter 5, under permit number, -7-7 for the following location: Owder , ,601 'rt a Owner's Address C� Mobilehome�/j Mf�g�?-//7 Model Year Insignia No?! J-' 6,7;3,�36 00 7 Serial P It is hereby certified for occupancy at the above described location and may be occupied. Director of Public Works Date 3/- B Y THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED _ J_ z COL:NTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - UtoviIle, California 95965 Telephone: 534-4541 Q / APPLICATION AND PERMIT ... -ct.-c.�cn wuvca vI L i VUUrlty UI DUttG tL CIIICI UPUI) tll@ above-mentioned property for inspection purposes. X JL_Zk Date I Si4bature of Permiteeeor Agent Receipt No. 1-70(099 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. DIRECTORPUBLIC WORKS By Date _//— 7-1-7 7 ` Building permit expires Date � BUILDING IVY Own 1' 1N el SQ. FT. OCC. BUILDING VALUATION Mailing Address — Telephone No. Fireplace Contractor LO d a • ; S/C,S Total Valuation Mailing Address (3 4SX Permit Fee PI an Checking Fee &/or Penalty 1 r, Tele hone No J ��? Permit Fee Building Address PLUMING No.. @ FEE PERMIT FILING FEE $3.00 J ce I x) h,J Each Trap 1.50 • 0 u te Repair drainage or vent piping 1.50 Water piping 1.50 / �!( d �UIS�• W 3 Each gas water heater. or vent 1.50 A..P. No. 3 " Z Z '� Z — Z % Zoning 8 Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 F W ire Dept. FireZone Use Permit Building sewer 5.00 EQA I Parking Plans I Parcel Declaration Parcel Ma p 60' R/W Im rovements P Lawn sprinkler system 2.00 Bldg. ons Rec'd Parcel provol Pla pproval Permit Fee $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ® ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 ) qc Main service eoov OR OR L 100 AMP OR LESS 5.00 Main service EA. ADD'L 100 AMP 2.50 Single Family ❑ Duplex ❑ Mobil Home [A Others ❑ Main service 00 AMP OR LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 NEW CONST. DWELING OR ADDNS. ( ACCLBLDGS,CCUP. &) 2�sgft 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 & Prof ssi ns Code under the name style of: c Q, ©� J �S Ex. Occup(OUTLETS OR FIXTURES) SO BAL� Ex. Occu FIXED APPLNS. OR P'( 2.00 OUTLETS (RESID.) EA) Temporary service 10.00 Mobile Home Facilities 15.00 �1 License No.,2 7 J Classification Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. 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. ❑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 Workmen's Compensation Laws of California. MECHANICAL No.1 @ FEEPERMIT FILING FEE J$3.00 Heating ' Cooling Ventilation Hood 2.00 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 TOTAL PERMIT FEE ... -ct.-c.�cn wuvca vI L i VUUrlty UI DUttG tL CIIICI UPUI) tll@ above-mentioned property for inspection purposes. X JL_Zk Date I Si4bature of Permiteeeor Agent Receipt No. 1-70(099 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. DIRECTORPUBLIC WORKS By Date _//— 7-1-7 7 ` Building permit expires Date � �v �!t'GiJI'1l16�g%J ZZ61 6 ►� A 6N r S'''°Ln �i7and �o �J & yo 'UNnood3Q 1. Owner's name: 2. Installer's na BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA. PHONE: ••534-4.541 MOBILEHOME INSTALLATION SHEET 3. Is the site currently under permit? Yes %/ No (If yes, furnish permit numberSa9,5-f72 (If yes, identify the load and size: OR Is the site an existing site? Yes / / No is the mobilehome site gas pipe size? ---------------------- • --- - ( in. ) (If yes, furnish two (2) plot plans.) is the type of gas service? Natural LPG 4.' Will the mobilehome be located at least 5 ft. away from septic tank and leach fields and is the gas pipe length from meter or tank to .clear of all setbacks and easements? Yes / / No --- (If no, clarify ) (This information not required if pipe length less than 6 ft. on natural gas . or less than 50 ft. on LPG.) 5. What is the mobilehome electrical rating? --------------=-------- ` Q Amps 6. What is the mobilehome site service rating? --------------------- Amps 7.'• What is'the mobilehome site circuit breaker rating? ------------- J O U Amps 8. Is there any other electric load to be served by the mobilehome site service? --------------------------------------------------- Yes / / No (If yes, identify the load and size: (Load) (Amps) 9. What is the mobilehome site gas pipe size? ---------------------- • --- - ( in. ) 10. What is the type of gas service? Natural LPG ------------- � 11. What is the gas pipe length from meter or tank to the mobilehome? 12. What is the mobilehome gas demand? ------ --------------------- (BTU) (This information not required if pipe length less than 6 ft. on natural gas . or less than 50 ft. on LPG.) ` MOB' HOME SUPPORT DATA Mobilehome Mfr. �'�� ��iJ % Setup Model No. K ZY Year Width (ft.) Length �r/., & (ft.) ExpAado Size*. -v-. ft. (Draw support details below) • L On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation manual and structural setup .sheets (if, -knot on file with the County of Butte). .-A Center Support Locations 'ft.}Z3n. (in.) (in.) J"V �o *If center piers are other than drawn above, draw in locations, spacing, and dimensions. Footings (check one) 1. Wood either pressure treated or fdn. grade. 2. Concrete pad. 3. Other, specify Supports (check one) Ly 1. Concrete block 2. Concrete piers 3. Steel piers / 4. •Other, specify tax 30 ! Footing SizTypical eort (in � ).K in. ) _ Max. Pier Spacing (ft.) an-.') _(�Max. ) Overhang BUTTE COUNTY BUILDING DEPARTMENT APPROVED P itI St��ue. -ros3 Itsz. Nc . A? lac . � ELEC , C.'k1 Yrs tic _ YRS N Al z u •� � l u •� � 1j ! N COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — UroviIle, California 95965 Tel epfione: 534-4541 APPLICATION AND PERMIT above-mentioned pro r- o inspection purposes. V v y M~v X Date Id— l Signature o P4tee or Agent Receipt No. 1 *703a 7 White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant I nis 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. DIRECT�OFU WORKS By Date Building permit expires Date /0—^L 7F BUILDING Owner Do h SQ. FT. 1 OCC. BUILDING VALUATION Mailing Address 1 J I � V ` Teiepho e�J ! J Fireplace Contractor Total Valuation Mailing Address Permit Fee Plan Checking Fee&/or Penalty Telephone No. Permit Fee Building Address8 I V ncolh PLUMBING No. @ FEE PERMIT FILING FEE $3.00 0 4., 1 t� Each. Trap 1.50 Repair drainage or vent piping 1.50 7ontna Verificagen 0nIV Water piping • 1.50 Each gas water heater or vent 1.50 A. P. No. .- n G r Gas piping system 1 - 5 outlets 1.50 t� Each additional outlet .30 FireDept. I Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration ParcelMap P 60' R/W Im r p ovem2.ts Lawn sprinkler system 2.00 Bldg. P and s Rec Par I proval PIa Approval Permit Fee $ NEW ADDITION ❑ ❑ UTILITIES OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE J$3.00 Main service 600V OR LESS L� 100 AMP OR LESS 5.00 J Main service EA. ADD'L 100 AMP 2.50 Single Family ❑ Duplex ❑ Mobil Home 2--,- Others ❑ ER Main service 10 0 AMP oR LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 NEW CONST. DWELLING OCCUP. & OR ADDNS. ( ACC. BLDGS. • ) 2¢Sgft NEW CONSTR. MULTI -OUTLET NON.RESID. BRANCH CIRCUITS)2.50ea NEW CON5TR (POWER APPARATUS &,, NON -REST D. (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 of: Ex. Occup(OUTLETS OR FIXTURES BAL@2'-t FIXED APLNS.style Ex. Occup. ( OUTLETS PRESID.)REA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 -A I am exempt from the Contractors License Laws of the State of California. 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. -,�dI 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 @ I FEEPERMIT —No.1 FILING FEE J$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 A0 �SQ TOTAL PERMIT EE above-mentioned pro r- o inspection purposes. V v y M~v X Date Id— l Signature o P4tee or Agent Receipt No. 1 *703a 7 White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant I nis 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. DIRECT�OFU WORKS By Date Building permit expires Date /0—^L 7F _......_.__ v u i, 1, - - �. ' (: The Bldg. Setback shall be 115 ft. from the ! side property line and 50 ft. from the centerline ,of the road, perr litting a maxi . h, urv� of a 2 fteove overha g but entirely- . , ( out of. all easements. i •. W permit will be re fired for the All, utility .connections insta cation ®f the : iobilehome, located within shall be third sectioi - 4 ft, outside the rear on the left °f the mobile . home. ad) side Of the home I�_..------- — mobile - L,4 NOTE.; -=All Ma+erials Workmanship S:I,c,II Be in f Accordance with: Recognized Good Proctices and of a quality prescribed for A' Saec fieri use in the Uniform Building, plumbing & Machanica, Codes and �the National Electrical Code. F; Ibis set of plans and specifications MUS1 rsr pt on the job at all times and. if is unlawful. to 'ake any changes or alterations on same withow written permisson from the Department of Public ' orks. Countv of 8,1"p gIJTTE C NTY 8 MG DEPARTMENT ' APPRO . { . - l ti� 1? h t 2647-78B ' € PERMIT N0. o PERMIT EXPIRES i OWNER Don Rilling CONTR. Arro--LLCUP , Oro-gi 11 e 35-222-27 q LOCATION (A.P. ) { 4855 Lincoln Blvd., "rov ille i J 4; � M1 i s 1 t« I3 • t • Y • T i 4 Temp. Power Pole Called PG&E Temp. Elec. Serv. Called PG&E Temp. Gas Serv. Called PG&E • FINALED 71 (Date) (Sig lure) Setback Forms Main Bldg. Footings Stemwal I Slab Piers Garage Footings Stemwa I I Slab Carport Footings Slab Patio Footings Masonry Walls Reinf. Steel COUNTY OF BUTTE — DEPARTMENT -OF PUBLIC WORKS BUILDING INSPECTION RECORD ILDING BUILDING (Cont'd) PLUMBING Firewall Soil Piping Parapets 1st Floor Restroom Finish 2nd Floor Windows 3rd Floor Siding ' • To out Roof Sheathing - Water Piping Roofing Sewer Fdn. Vents Fixtures Garage Vents Insulation Water Htr. Heaters Prov: for physically handica e. Conformance of ex. r Appliances Gas Piping & Test Temp. Gas Final Sanitation FIREPLACE Final Footinq EL gond pea FIRE SPRINKLERS Motors Framing l 652-4- % J Test Water Htr. Stucco Final Subpanels Mesh MECHANICAL Grd. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final MOBILEHOME UTILITIES ------------------ Elec. Service Elec. Pedestal Water Piping Sewer Gas Piping BI E OMEINSTALLATI N --------------Support Elec. Continuity Water Piping Drainage Gas Piping DATE REMARKS OR CORRECTIONS (NOTE: An entry must be made on this form each time you visit the job site.) f COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 Telephone: 534-4841 APPLICAfION AND PERMIT N authorize represen Ives of the County of Butte to enter upon the above-mentioned rop rty for inspection purposes. X Date 5 'gnature ermitee or Agent Receipt No. % 7c3 �j' 4.1 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. IR T OF P IC WORKS �Jzz/ //-- r Date Building permit expires Date BUILDING Owner �l 1 LL - i1� SQ. FT. OCC. BUILDING VALUATION Mai I I ddress:jmd Telephone No. (F Fireplace Contractor r_ u Total Valuation Mailing Address I Permit Fee PIanCheck ingFee &/orPen aIty tJ]i(, k -1 F _ Telephone No. S-14) 7 Permit Fee $ Building Address t�g� k YQ v1 PLUMBING No.1 @ I FEE PERMIT FILING FEE J$3.001 8 tJ IL(—C—Each Trap 1 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No.2S---z7_--7• 0 z -7 Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 F s W< SMVTQ7 6h Fire Dept. FireZone Use Permit Building sewer 5.00 EQA PPlan arkins Declaration Parcel Map 60' R/W Improvements Lawn sprinkler system 2.00 Bldg. s Recd Parcel Llb<ovaI Plans proval Permit Fee $ NEW ADDITION ❑ UTILITIES ❑ OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service 610v OR LESS 100 AMP OR LESS 5.00 Main service EA. ADD'L 100 AMP 2.50 Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service 1100EAMP OR LESS 25.00 Main service EA. ADO'L 100 AMP 1.00 �'tC CGT (II /" �' j i•Z I 1 �i7 (Q CSU NEW NEW CONST. DWELLING OCCUP. & OR ADDNS. ( ACC. BLDGS.. ) 20Sq ft NEW CONSTR. MULTI -OUTLET NON.RESID. (BRANCH CIRCUITS) 2.50ea ,y UV N C..L `at-i/ J NEW NON•RESID CONSTR. (SINGLE OOWER UT LETTCIR.& 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:EX. r_ i2_0 ^ 1_u X4 C Ex. Occup(ou TLETs OR FIXTURES)@L�# BAL R`1 OCCU FIXED APPLNS. OR P•(OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No.qW((JClassification Misc. Wiring 6:25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Wor n's Compensation. have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. 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 Workmen's Compensation Laws of California. MECHANICAL No.1 @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 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 TOTAL PERMIT FEE $ 2 authorize represen Ives of the County of Butte to enter upon the above-mentioned rop rty for inspection purposes. X Date 5 'gnature ermitee or Agent Receipt No. % 7c3 �j' 4.1 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. IR T OF P IC WORKS �Jzz/ //-- r Date Building permit expires Date •s� L/. ' L NOTES RESIDENTIAL 35-222-027 - PERMIT NO. �. OS -0933 � BEAVERS, MARKET f 4855 LINCOLN BLVD, OROVILLE Cont: OWNER NEW SRV PNL&cMISC WIRING } k t t A V. SPECIAL CONDITIONS + CHECKED t BY SRA k FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. } - SPECIAL INSPECTION ITEMS VERIFY '!� USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER .1 • �.I. 1 t, OFFICE COPY f t Address �� L1,iz8/,J �P GAR\ � ' Meter By Date ELECTRIC �'� Z� Meter By Date K . JOB FINALED (Date) ` Signature J =OK 0 = ,Not OK NotApplic. =N tReadyable 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/0-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/0 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- Enclosures- Panel boards- 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 -Blockouts-Wrapped 6. Stemwalls, Garage; Steel -Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab, Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -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 Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 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 72. Elec. Outlets at Wood Panel, Int. & Ext. Date 73. Card B-1 Date Card B-1 Date 74. Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s Garage Fire Door; Swing -Landing -Closure 24. Fixture & Transformer Clearance -Ins. Protection A.C. Duct in Garage -Damper 25. Elec. Receptacles Spacing -Lights & Switches at Doors Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 26. Size Boxes & No. of Conductors Stapled Plb.; Elec. & Mech. Equip. Listed for Location 27. Romex Installed Close to Edge of Studs & C.J. Elec. Receptacles in Garage (F.FI.)-Romex Protection 28. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water Insulation -Foam -Looked in Attic 29. 2 Appliance Circuits in Kitchen & Conductor Size GFI Guard Rails & Deck Construction -Post Caps 30. Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or Al Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth 31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or Al Insulated Neutral 0 Yes O No Clearance Looked under Floor Cl Yes 32. Service -Riser Conductors & Ground Main Disconnect Following Instld./Drive 0 Yes 0 No/Walks 0 Yes 0 No/Planters O Yes O No 33. Equip. Clearances Panels-Motors-Mech. Equip. Stucco Brown -Finish 34. Clothes Closet Light -Shower Light -Spa Light A.C. Unit Disconnect, Electrical -Plumbing 35. Smoke Detector Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 87. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 90. 36. A.C. Ducts Insulation & Support 91. 37. Vent Fan, Exhaust above insulation 92. 38. Condensate Drain & Overflow, Size & Grade 93. 39. Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet 94. 40. Attic Access & Platform if Furnace in Attic Date Address Posted Card B-1 Date Card B-1 Date Fire Sprinkler Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s Date 41. Sills Proper Materials & Anchors Date 42. Walls Studs -Nailing Spacing & Braces -Plates -Sound Comments at Final: 43. Bearing Walls over Girders & Floor Nailing 44. Draft Stop in Walls (rat proof) 45. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 46. Headers & Beams -Size & Bearing Date FRAMING (Continued) 47. Hangers -Post Caps -Anchors -Connectors 48. Cling. Joist-Rftr. Ties-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.FI.)-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 Cl Yes _ 83. Following Instld./Drive 0 Yes 0 No/Walks 0 Yes 0 No/Planters O Yes O 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/0 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: ........... COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES - 7 County Center Drive e Oroville, CA • (530) 538-7541 r. CORRECTION NOTICE AA (OWNEH PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please call for re -inspection when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact the B ilding Inspector as indicated below. 7ry( 1, q oo nVA kA FOR RE -INSPECTION CALL: 538-7636 OR 891-M4 3. Date Inspecto REV 4/05 Phone # yah ylY .-7 a FOR RE -INSPECTION CALL: 538-7636 OR 891-M4 3. Date Inspecto REV 4/05 Phone # FOR RE -INSPECTION CALL: 538-7636 OR 891-M4 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 LICENSED CONTRACTORS DECLARATION I hereby afflrm under penally of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class : License Number: Date: Contractor: 'OWNER -BUILDER DECLARATION I hereby affirm under penally of perjury that I arri exempt from the Contractors' Slate License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a permit to construct, alter, Improve, demolish, or repair any structure, prior to its Issuance, also requires the applicant for such permit to file a signed statement that he or she Is licensed pursuant to the provisions of the Contractors Slate 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 penally of not more than five hundred dollars ($500).): X® I, as owner of the properly, 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' Slate License Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, provided that such Improvements are not Intended or offered for sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or Improve for the purpose of sale.). ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or Improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' Slate License Law.). ❑ 1 am Exempt under Article 3 of the Business and Professions Code Dale: �OS Owner: ^^.� WORKERS' COMPENSATION DECLARATION 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 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: Carrier: PERMIT NO. BPO50933 Issued Date: 04/11/2005 APN: 035-222-027-000 Site Address: 4855 LINCOLN BLVD ORO Map Index: Description: NEW SERVICE PANEL& MISC WIRING FOR GARAGE Owner: BEAVERS MARKET LLC DBA BEAVERS MARKET 4855 LINCOLN BLVD OROVILLE, CA 95966-6924 Applicant: BEAVERS MARKET LLC DBA BEAVERS MARKET 4855 LINCOLN BLVD OROVILLE, CA 95966-6924 Contractor: License #: Architect: Engineer: I Total Square Ft: 0 S. F. Polley ff: Valuation:. $0.00 I certify that in the performance of the work for which this permit Is Census Code: issued, I shall not employ any person In any manner so as to become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Dale: '� I Applicanl:_,:,Q, WARNING: Fallure to secure workers' compensation coverage Is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), In addition to the cost of compensation, damages as. provided for In Section 3706 of the Labor code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY I hereby affirm that there Is a construction lending agency for the performance of the work for which this permit Is Issued (Sec 3097 Civ.) Name: 00 1 permit Is fa a Is ed under the applicable provisions of the Butte C unty Code and/or )IV on �t Indicate bove for 'yMch fees. have been paid. �•, in PERMIT EXPIRES Address: 1—. ❑ I hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification In accordance with Section 19827.5 of California Health & Safely Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information Is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. 1 acknowledge It Is unlawful to alter the substance of any official form or document of Butte County. I hereby authorize representatives ntof Butte County to enter upon the above mentioned property for Inspection purposes. Print Name: �Q �! / Ohi ✓P/$ Signature: `r ..� Dale: jLyl..Owner ❑ Contractor ❑ Agent for Owner ❑ Agent for Contractor o r u,dtrti.,n P.—it WAR -04 nn 1 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. BP05093.3 PERMITS BECOME NULL AND VOID 1 YEAR FROM THE DATE OF ISSUANCE, OR IF WORK IS DONE IN VIOLATION OF ANY COUNTY OR STATE LAWS. LICENSED CONTRACTORS DECLARATION s I hereby affirm under penalty of perjury that I am licensed under Issued Date: 04/11/2005 APN: 035-222-027-000 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 effect. j Site Address: 4855 LINCOLN BLVQ ORO License Class : License Number: I Map Index: Date: Contractor: Description: UPGRADE EXISTING PANEL, MISC WIRING OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the IN GARAGE Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Cade: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior Owner: BEAVERS MARKET LLC to its issuance, also requires the applicant for .such permit to file a signed statement that he or she is licensed pursuant to the provisions of DBA BEAVERS MARKET the Contractor's State License Law (Chapter 9 commencing with Section 4855 LINCOLN BLVD 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 OROVILLE, CA 95966-6924 violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penally of not more than five hundred dollars ($500).): I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and -the- structure Is not Intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an Applicant: BEAVERS MARKET LLC owner of property who builds or improves thereon, and who does DBA BEAVERS MARKET such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for 4855 LINCOLN BLVD sale. If however, the building or Improvements are sold within one OROVILLE, CA 95966-6924 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.). O I, as owner of the property, am exclusively contracting 'with licensed contractors. to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or Improves thereon, Contractor: and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). ❑ 1 am Exempt under Articl of the Business and Professions Code - Date: Owner: License #: WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: O 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. Architect: ❑ 1 have and will maintain workers' compensation insurance, as Engineer: required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier: Total Square Ft: 0 S. F. Policy #: Valuation: $0.00 I certify that In the performance of the work for which this permit is Census Code: issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date: Applicant: WARNING: Failure to secure workers' compensation coverage Is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), In addition to the cost of compensation, damages as provided for in Section 3708 of the Labor code, interest, and attorney's fees. v CONSTRUCTION LENDING AGENCY This permit is hereby ued under a applicable provisions of the Butte County Code and/or I hereby affirm that there is a construction lending agency for the Resolutions to do ork indica wh' fees ave been paid. ! / L/—/ b performance of the work for which this permit is Issued (Sec 3097 Civ.) / _- :7 Dale: Name: By' f J Address: PERMIT EXP ES 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 111827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. O 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 stale laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby '2uthorize repre tatives of Butte County to enter upon the above mentioned property for Inspection purpQl Print Name: c-��I {�/g(%C�'�5 Signature: Date: �L 5 ,Owner ❑ Contractor 0 Agent for Owner 0 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 M (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OF APPLICATION Website: www.buttecounty.nettdds �� �^ �1.(.� ( *** Z ACSE /PRINT CLEARLY** OWNER Last Nam ✓� -r.e 5 irst Na e Address,,/,,,,__,5_ Al « A l'v City 1-O V I / P Stat Zip % G� Phone,,-,-, - /7/7 Fax E-mail APPLICANT NAME CONTRACTOR Name City Address Zip City Fax State Zip Phone Book Fax E-mail Planner Lic. # Class APPLICANT NAME ARCHITECT/ENGINEER Name City Address Zip City Fax State Zip Phone Book Fax E-mail Planner State License Number APPLICANT NAME Name d W t!,L' Address City State Zip Phone Fax E-mail APPLICANT SIGNATURE X PD --" For office use 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 K TORMSWILDING FORMS\BldgApplSubRgmts.doc PERMIT NO. BIN # LOCATION AP# C� Property Address City Cross Street WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit. issuance. LENDING AGENCY Name Address Page I of 2 Description or Scope of Work: �W ��Pc rlt�L Sr'rvrcP 4rrr�e Sq. Footage ❑ 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. Re ived by: Amount: 5 Bldg SRA Receipt #: Sheriff SMIP Date: L V -- Other �otal REV 2-24-05 SUBMITTAL. & PERMIT REQUIREMENTS The following drawings and specifications;'mus`t 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. ❑ I Site plans, 3 or 4 sets, signed by the preparerof the plans. No graph paper! .4 ❑ 2.. Complete plans, 3 or 4 sets; signed by, the preparer of the plans (No graph paper!) OR Engineered plans, 3 or�4 sets, with -wet signature on plans AND .2 sets of stamped and signed calculations. ❑ 3• Engineered.truss details and layouts in duplicate (if required). No faxes! ❑ - 4. ' Energy compliance -design acid supporting documentation in duplicate. ❑ 5. Statement of Intentfor Non -heated and AIC for Non -Residential Buildings. 116. Manufactured homes: (A)'installation inst, (B) Marriage line info, (C)' Floor Plan,,(D) Tie down or fnd plans, all in duplicate. ❑ 7. Metal bidgs: (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).. Remaining items needed to issue the permit. Additional items may be required after Plan Check and Planning review (May require additional plan review upon receipt of the following items.) ❑ 1. Agricultural Buffer clearance and site plan approval from the Ag Commissioner's office (if required). ❑ 2. Impact Fees. ❑ 3. California Department of Forestry.plan approval (if required). ❑ . •4. NPDES, Form. ❑ 5. Encroachment Permit for driveway from'the Public Works Dept. (construction approval prior to occupancy); ❑ . 6::• Contractor's license'information• (Number, Name Style, Classification). ❑ 7. Worker's Compensation Carrier and Policy Number. 0 8. Owner -Builder Verification (if required). ❑ 9. Letter of Signature authorization (if required). ❑ 10. Recorded copy of Agricultural Acknowledgment Statement. ❑ 11. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts. ' ❑ 12. Sanitation and site plan approval from the Environmental Health Department. 3` If you have questions or would: like' additional information regarding this process, please. contact a Permit Assistant at (530)538.7541. EXPIRATION OF APPLICATION `�_'• Applications for which a permit has'not been issued will expire one year after date of application. In order to.renew action on an application after expiration, a new application, plans and fees will be required. f 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.' i- OVER FOR BUILDING PERMIT APPLICATION KAFORMSMILDING F0RMS\BIdgApp1SubRgmts.doc Page 2 of 2 5 REV 2-24-05 it J"'-II�OloT; P:S�":..'+?�=�^i7�i�`:�::ii^.'.;iS?.%i.+`.��i�,'.40t`]'.x:-:-... .r _ .,,,,_;;,;;. ... `�. `t' � Ih-t+'.,,: T`T'r':•: �:;� :r... .: .,.... 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 / personally plan to provide the major labor and material for construction of this proposed property improvement: YES [ ] NO [ ]- 2..) \I HAVE [x] HAVE NOT [ ] signed an application for a building permit for the proposed !work. 3. I have contracted with the following person (firm) to provide the proposed construction: NAME: _ ADDRESS: PHONE: CONTRACTOR'S LICENSE NO: 4. I plan to provide portions of the work, but I have hired the following person to coordinate, supervise, and provide the major work: NAME: ADDRESS: PHONE: CONTRACTOR'S LICENSE NO: 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: NAME ADDRESS PHONE TYPE OF WORK SIGNED: PROPERTY OWNER: /oma DATE: y // --OS NOTE: This Owner -Builder verification is required by Section 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. Rev'd 11/4/2004 .butte County Department ®f Development Services ADMINISTRATION * BUILDING * GIS * PLANNING 7 County Center Drive Oroville, CA 95965 (530) 538-7541 Telephone (530) 538-2140 Facsimile Dear Property Owner: p" An application for a building pen -nit has been submitted in your name listing yourself as the builder of the property improvements specified. For your protection you should be aware that as "owner -builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper pen -nit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that your plan to subcontract, you should be aware of the following information for your benefit and protection: o If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $200 or more for the entire project and such persons are not licensed as contractors or subcontractors, then you may be an employer. o If you are an employer, you must register with the state and federal government as an employer and you. are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers' compensation insurance, disability insurance costs, and unemployment compensation contributions. o There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to workers' compensation. insurance. o For more specific information about your obligations under federal law, contact the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under state law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their ''own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "owner -builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contacting the Contractors' State License Board in your community or at 1020 N Street, Sacramento, California 95814. Please complete and return the enclosed owner -builder verification from so that we can confirm that you are aware of these matters. The building permit will, not be issued until the verification is returned. C. Vieir4 C.B.O. Building Inspection NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code. 0 5, oc,`7 o � v J 00 00 I 1 N � M b x �y COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. C 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541-`.- �'- ' APPLICATION AICD PERMIT w r, ASSESSOR PARCEL NUMBER .3 �,r ,�!�a -.� r7 ZONING C �,,�. BUILDING PERMIT OWNER [� n '` . tAS /// V� A� Ihir*'�\ A�Ir TELEPHONE S0. FT. OCC. BUILDING VALUATION ' O WNER'S`MAILING ADDRUS— CON/T�R ASC T O R'SNM �•++� ^� �� `LT�ELEPH�pO N'`E �.J f% `� .0 J,3.. I r tS ? 11 - - CONTRACTOR'S MAILING ADDRESS (., C U 1_+'11 As. � Fireplace CONSTRUCTION LE NDER t, 1 V UNKNOWN Total Valuation $ Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER rt LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS 1 Permittee $ BUILDING �jADDRESS ' PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Repair drainage or vent piping 5.00 ]^ Water piping LOT NO. SUBDIVISION NAMEPARCEL MAP Each qas water heater or vent 5,00 Gas piping system 1 - 5 outlets USE OF STRUCTURE C SF ❑ Duplex ❑ Mobi lehome ❑ Others ��-�' 1 t4V � �� � SPECIFY Building sewer Lawn sprinkler system p y 5.00 TYPE OF WORK New ❑ Addition ❑ Remodel ® Utilities ❑ Installation[] Other Q'` Describe work: �!�?�-` � %f' �� - t ! t� r -'600V Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 OR LESS Main service 100 AMP OR LESS /jft_ti /O /�� 00 ,0 Main service EA. ADD'L 100 AMP 2.50 �� U NEW CONST. \ DWELLING OCCUP.51) OR ADDNS. ACC. BLDGS. I 20 Sq ft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check One): Dam licensed under provisions of Chapt. 9, Div. 3 of the Business50@25C and Professions Code and my license is in full force and effect. License No. 3lw6 T CS Classification e".' - ��'a ❑ I, 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)��•6n ❑ 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 NEW CONSTR I.OUTLET 2,50 ea NON.RESID BRANCH CIRCUITS) NEW CONSTR. I POWER APPARATUS 6 NON-RESID. %SINGLE OUTLET CIR. / Ex. Occup OUTLETS OR FIXTURES BAL@1 EX. Occup.(OUTLETS P(RESID.)REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7:50 Permit Fee $ !% Contractor MECHANICAL PERMIT Filing Fee 10.00 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. Q...-1 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. Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor 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 authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes.. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. �f �f�r,J� �.��f� X /!'J� • ��-- �- Date �" Sig ature of Applicant — Owner ❑ Contractor -'''Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ �x j'(J OCCUP. GROUP I TYPE OF CONST. PARCEL PD No I ISSUE This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do work indicated above for which fees have been aid. p DI ECTOR OF PUBLIC WORKS ,,,.1, ��' „ S By, o �� � l � Dr (-rs/,j �L PERMIT EXPIRES (Date J rover /3 Receipt No. / 14 � / WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE 3 �+ DEPARTMENT OF PUBLIC WORKS �--- * 196 Memorial Wa Chico — Phone: 891-2751 •>. , 7 County Center Drive, Orovi Ile — Phone: 534-4541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE - BUILDING OR PROPERTY ADDRESS - 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. -- v r- Inspector Date / 411—<Z7? " yummu, r, g Mro, COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKSPE0. 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541/-4kFJONAND FAPPLICt TPERMIT ASSESSPR RCEL NUMBER ZO ING �� BUIL NG PERMIT OWN Rt J.L 111 1-112 NS TELEPHONE SQ. FT. 0 BUILDING VALUATION - OWNE 'S MAILING ADDR COIWCT R'S ME T LEI -RP 52,L CONTRAC OR'S MAILING ADDRE S ro Fireplace CONSTRUCTION L NDER UNKNOWN Total Valuation' Is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee ,$' Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDRESS 5 PLUMBING PERMIT FilingFee Filin Fee 10.00 Trap 2.00 Repair drainage or vent piping 5.00 Water piping LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets USE OF STRUC URE SF ❑ Duplex❑ Mobilehome❑ Other(—% YDe !��It e— PECIFY Building sewer Lawn sprinkler system 5.00 TYPE OF WORK New F1 Addition q Remodel Util'ties Installation❑ Other Describe work: C —U 0 Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 00V OR Main service 100 AMP ORSLESS 00 06a Main service EA. ADD'L 100 AMP 2.50 r DWELLING OCCUP.) NEW CONST. \ y OR ADONS. ACC. BLDGS. _ 2P sq ft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): 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.,3��/�6 Classification C'—�� ❑ I, 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 NEW CONSTR -OUTLET 2,50 ea NO BRANCH CIRC ITS NEW CONST R. /POWER APPARATUS &I NON.RESID. \SINGLE OUTLET CIR. EX. OCCUp OUTLETS OR FIXTURES 2i BAL FIXED APPLNS. OR EX. OCCUp.�OUTLETS (RESID.) EA. 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring &50 co Permit Fee $ Contractor MECHANICAL PERMIT Filing Fee 10.00 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 onsent to Self -Insure. 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. 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 County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X�-•-� Date '%�� 2_ Sure of Applicant — Owner ❑ Contractor ©Agent ❑ 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 $ TOTAL PERMIT FEE $ / occuP. GROUP I TYPE OF CONST. PARCEL PD HD I ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DJ EC R OF PUBLIC By PERMIT EXPfRES' FDate the applicable provi- resolutions to do fees have been paid. WORKS ,own Date�� Receipt No. ���� WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT . 7� V V/ vll wl L. / l VIP" 1 L_ L%V /L_ LFII Kt i I3 G V LoPTV L1 "� a.C, .aE .►�. '- sAs �? ` PARCEL �ti�. m �l G- / b . ADORES 3 cU f SHEET - ---y�G OF SHEET; DESCRIPTION OF BUILD/NG ``O SSOSHAPE CONSTRUCTION 'STRUCTURAL EXTERIOR FRONT LIGHTING AIR CONDfrIONl ROOM AND FINISH DETAIL t Light / Fiome LRB i/ot Wiring Reofiiiq Coofinq FLOORS FLOOR FIN/SH INTERIOR FIN! ROOMS ' % _ Sub -Standard Unfinished Recessed K.T. Condr//l Forced .. cleony B / 2 TRIM 3 y Top. Material Grade IYo//s Cei/tri. ARCHITECTURE Standard Concrete SC.Briek Transom: ax., cable..6rov/ly ' 'duiirid. s/ore G/! //eovy Brick Br. Fix foreS Wa// Uni/ f0 e e s/o�ies s ecia/ P Reinforced TeiioCo/Jo P/oleG/oss in Few Cheap FioorUniJ Office USE TYPE Pi/asters stucco Sheet 6/ass in Av . Med. ZoneUnil Lobby Aportmenl FOUNDATION Ci, Bond Becm Melo/ Wood Mony Good Centro/ • Ro// Goro a Concrete Curloin WO&S Bulkhead: L' I G " Lovolory Hotel Porlilions: Z ROOF PLUMBING steam L.vin + Lofi Reinforced F/oJo Poor Good 110t No pining Markel Por'/yWo// Trusses Bock Tiim: Bed Olfice Light Neovy fixtures Oil Burner Both Slore jo<<. e_- ConcF/oorb WoJerHeoter M-B.T, U. Kitchen Theatre` WoodF/oor Composition I Lighting Gas I jeclecl"�i SubF/oor Tile 1 7ii77 1 OropCeilMq' WoterSoflener CONSTRUCT/ON RECORD EFFEC. APPR. NORMAL % GD00 RATING (E,G,A,F,P) BATH a LAVATORY DETAIL Permit YEAR YEAR Amours! Dole No. for emoin'g a Arch. Func. Con- Stora eSaoce Work- SHOWER 4 e Table o 'and F1 ISH FIXTURES q FI• N. Cife gttr, aeon form Cu bd /oset m�ship F/Dors i3o//s Wc. Lo. Tub Ur. T e Erode St. T, ,D. finish / 24 oe /0-27 49 2 LZ�' , i f ��ifu �� �I/ SPECIAL FEATURES Refrigeration: Bdi/1-in Beds:.. flevotors: spr.67k/err: COMPUTATION Q RoL.L Appraiser& Dote mei /// � �,�/ h n/ 72G 7- q /z. I( -g-9 (.126 IfF 24 44 L64 Unit Area Cosf UnitCos nrr Cost n/ Unit- UnitUn Cost Cosf Cosi it Cost Cost Cost r� ! a30 1,70 fa'o y� f 3sv zzo 3� 2? (qpr ;J�% Yop.od G¢O %ran •*- J .r yo . v v .3 0 0 3a r� Zu e�D D D .x`•-00 S 2$G; o p o4,t 21 S 7 Al V)asl� �3 Y.00 ) ac. ! f 9�Goc. TOTAL NORMAL % GOOD a-- �'� D R.C.L.N.. ` t --i� - % 1 soo AH -53059-48 CARLISLE. S. F. �,a"Ij �/(, .S'•l� . ,eh1.Ig I , 3f". AV N %0 6,3g --2Z2 -62.7 CASE * C f, 6.013 8 f:e vt cLo p,u�4,,y ca -P. w " 14 CL 5110" C, SCAICec5 M K`T SAXI Q_33. .17)7 1-0� -AP�I�D -. D coir V,)OLO�2 re _ y-.ect�� �' r41 ^ �. � � 8 ' � . � � � ^ `\^ �