HomeMy WebLinkAbout035-420-006r
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Sunbeam Const.Co.
5300 Margo Lane, lot 120, Crestwood
Sub#2, Oroville
Permit #3865-79B,P,E,M(new single
family) 1)
035-420-006 05-1755
EDWARDS, JONATHON & LISA
5300 MARGO LNN, OROVILLE
Cont:OWNER
RE -ROOF �1/�l�J[�•�Q
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NOTES` - 3 RESIDENTIAL
.1
` PERMIT NO.
' a . 035-420-006 l 05-1755
EDWARDS, JONATHON &LISA
5300 MARGO LN, OROVILLE
Cont: OWNER 1
RE -ROOF
• •• .r • • ~'�• 1. ' . , �'� ���...
SPECIAL CONDITIONS
-CHECKED
7 : BY
r SRA
FLOOD CERTIFICATE REQ.
' FIRE SPRINKLERS REQ.
r • i SPECIAL INSPECTION ITEMS '
VERIFY
•
' USE PERMIT CONDITIONS -
SUB -STANDARD HOUSING LETTER
-
. r
JOB.FINALED (Date
1 Signature '
J=OK
0 = Not OK
. = Not Not
t
MOBILE HOMES
Date
MOBILE HOME UTILITIES (Plans) OK except It's
1. Zoning Requirements -Setbacks -Easements
2. Soils; Special MH Support Sketch
3. Sewer, Location -Test -Fall -C/O -Concrete
4. Water, Location -Test -Easement Needed (Sketch)
S. Electricity; Location-Clearances-Gmd-/,• /Amp -Concrete
6. Gas; Location -Test -Wrap;-/ /" L'ft.
/ P Nat. or/ - /" L W P LPG
7. Well Clearance & Disconnect
8. Utility Clearance
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
MOBILE HOME INSTALLATION (Plans) OK except It's
1. Zoning Requirements -Setbacks -Easements
2. Footings; Size -Spacing -Marriage Line
3. Gas; MH Test -Demand -Valve -Connector
4. Electricity; MH Test -Crossovers -Breakers -Clearances
S. Drain; MH Test -Fall -Flex Connector
6. Water, MH Test-Regulator-ConnectoP
7. Water and Sewer Connected -C/O to Grade -HD Approval
8. Gas and Electricity Tagged
9. Tie Downs -Type -Installation Cert
10. Exits; Insp.-Sketch
11. CerL of Occupancy
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date PERMANENT END SYSTEM (ONLY)
1. Zoning Requirements -Setbacks -Easements
2. Footings; Size -Spacing -Marriage Line
3. Blocking
4. Gas; MH Test -Demand -Valve
5. Electricity; MH Test
6. Water, MH Test
7. Water and Sewer Connected
8. Gas and Electricity Tagged
9. Exits
10. License Decals
11. Verify It'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 It's
1. Setbacks -Easements
2. Soils; Compaction -Structure Stability
3. Pool Structure; Steel -Connections -Thickness
Dead Men -Lining
4, Elec.; Receptacles and Lighting, Distance -GR
5. EJec.; 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-Panelboards-Ins. to Main Conduit
9. Health Department Approval
10. Plumb.; Cir. Test -Water Supply Test
11. Light Niche
12. Enclosure; Fencing -Alarms
Date Card B-1 Date Card B-1
Date . Card B-1 Date Card B-1
= OK
= Not OK
= Not Appriable
= Not Ready
RESIDENTIAL, (Single & Duplex)
Date UNDERFLOOR (Plans) OK except #'s
1. Zoning -Setbacks -Easements -Flood -Slope
2. Ftg., Main; Soils-Elec. Gmd.-/ /" Ftg. Depth
3. Ftg., Garage; Soils-Steel-Elec. 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 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-Underfir. 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. lasted 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 O Yes
83. Following InstldJDrive O Yes O No/Walks O Yes O WPlanters 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/O to Grade -HD Approval
94. Energy Compliance Certificate -Other Certificates
95. Address Posted
96. Fire Sprinkler
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Comments at Final:
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
PLUMBING (Permit) OK except #'s
17. Water Htr.; Vent -Access -Combustion Air Baffle
18. Water Pipe; Test & Anchor -Nail Protection
19. D.W.V.; Test Fittings & Anchor -Nail Protection
20. Shower Pan; Test, First Floor -Tub Access
21. Test Tub & Shower, Second Floor -Tub Access
22. Gas Pipe; Sixe & Anchors
23. Fire Sprinkler, Test
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
ELECTRICAL (Permit) OK except #'s
24. Fixture & Transformer Clearance -Ins. Protection
25. Elec. Receptacles Spacing -lights & Switches at Doors
26. Size Boxes & No. of Conductors Stapled
27. Romex Installed Close to Edge of Studs & C.J.
28. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water
29. 2 Appliance Circuits in Kitchen & Conductor Size GFI
30. Subfeed Wire Size/ /ga. Cu or APA.C. Wire Size/ /ga Cu or AI
31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or AI
Insulated Neutral O Yes O No
32. Service -Riser Conductors & Ground Main Disconnect
33. Equip. Clearances Panels-Motors-Mech. Equip.
34. Clothes Closet Light -Shower Light -Spa Light
35. Smoke Detector
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
MECHANICAL (Permit) OK except #'s
36. A.C. Ducts Insulation & Support
37. Vent Fan, Exhaust above insulation
38. Condensate Drain & Overflow, Size & Grade
39. Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet
40. Attic Access & Platform if Furnace in Attic
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
FRAMING (Permit) OK except #'s
41. Sills Proper Materials & Anchors
42. Walls Studs -Nailing Spacing & Braces -Plates -Sound
43. Bearing Walls over Girders & Floor Nailing
44. Draft Stop in Walls (rat proof)
45. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs
46. Headers & Beams -Size & Bearing
Date FRAMING (Continued)
47. Hangers -Post Caps -Anchors -Connectors
48. Cling. Joist-Rftr. Ties-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-Underfir. 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. lasted 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 O Yes
83. Following InstldJDrive O Yes O No/Walks O Yes O WPlanters 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/O to Grade -HD Approval
94. Energy Compliance Certificate -Other Certificates
95. Address Posted
96. Fire Sprinkler
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Comments at Final:
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT
24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO)
OFFICE #: (530) 538-7541 FAX#: (530)538-2140
WEBSITE: www.buttecounty.neAdds
PERMIT NO.
BPO51755
LICENSED CONTRACTORS DECLARATION
I hereby affirm under penalty of perjury that I am licensed under
provisions of Chapter 9 (commencing with Section 7000) of Division 3 of
Issued Date: 07/05/2005 APN: 035-420-006-000
the Business and Professions Code, and my license is in full force and
effect.
Site Address: 5300 MARGO LN ORO
License Class: License Number:
Map Index:
Date: Contractor:
Description:. RE -ROOF (27 SQ)
OWNER43UILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the
Contractors' State License Law for the following reason (Sec. 7031.5
Business and Professions Code: Any city or county which requires a
Owner: EDWARDS JONATHAN & LISA� �_••- -•,•�•=•-i-.••
permit to construct, alter, improve, demolish, or repair any structure, prior,
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5300 MARGO LN
to its issuance•„also requires the applicant for such permit to file a
signed statemen('ttiafhe or she is IicenseddpursSant td,'ttieiprbVisiobs of-
” • -' OROVILLE,`CA� x
the Contractor's State,License Law (Chapter 9'commencing with Section
95965-6961 t
7000) of Division 3.of 166 Business and Professions Code) or that he or�
she is exempt-therefrom=and the basis,•;for the alleged exemption:. Any;
violation of Sectiori:'7031.5 by any applicant for a permit subjects the,.
applicant to a civil.perialty•of not more than five hundred dollars ($500)..):.
!
1, as owner of the property, or my employees with wages as their
sole compensation, will do the work, and the structure is not
......intendgd..gr offered,for„safe, (Sec,JQ4A,. Business.and..Professions
Applicant:. EDWARDS•JONATHAN.. &. LISA, _.
Code: The Contractors' State License Law does not apply to an
5300 MARGO LN
:-owner-of•property who,.builds orJmproves thereon,.and who does
OROVILLE, CA
such work himselffor.herself or through his or her own,employees,
.- provided that, such„improvements, are not, intended or, offered, for
95965-6961
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- buijd'or improve for the purpose of
sale.).
•❑_...,..1;.•as..,owner..of...the:,property.,Yarm..exclusively.., contracting.. with.
licensed contractdrs'td codst'ruct the project (Sec. 7044, Business
--.and Professions. Code.. The Contractors' State License Law does
Contractor:
-not apply to an owner of property who builds or improves thereon,
.and who •contracts :for such projects with a contractor(s) licensed
�• K
pursuant to the Contractors' State License Law.).
❑ A am Exeinpt•,under Article 3 of he B siness;and rofes'signs Code'
r
Date: Owner -:
License #S'
WORKERS' COMPENSATION DECLARATION ..,
I hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for
-
workers' compensation, as provided for by Section 3700 of the
Architect:
Labor Code, for the performance of the work for which this permit
is issued. _ _
Engineer:.
❑ I have and will maintain workers' compensation insurance, as
—.-required by Section, 3700. the Labor -Code, for the performance of
the work for which this pemlit,is issued. My workers' compensation
., insurance carrier.and policy number are:. ,
Carrier:
Total Square Ft: 0 S.F.
Valuation: $0.00
Policy #:
Census Code:
❑ I certify that in the perforMance''of 1Iie 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:
t
00
lL,Q
t• 3 13
Applicant: -
WARNING: Failure to secure workers' compensation coverage is
unlawful, and shall subject an employer to criminal penalties and one
hundred thousand dollars ($100,000), in addition to the cost of
compensation, damages as provided for in Section 3706 of the Labor
code, interest, and attorney's fees. .. .....
CONSTRUCTION LENDING AGENCY
This permit is hereby issued under the applicable provisions of the Butte County CodR anrUnr
I hereby affirm that there is a:construction lending agency for the
Resolutions 1 do work indicated abo a for which fees have been paid.
performance of the work for which this permit is issued (Sec 3097 Civ.)
�i _ C _ �1�
at
Name:
ByI Date: / J lJ
PERMIT EXPIRES ON: r7' r. - VS
Address:
Date
❑ 1 hereby certify thM'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 s6te.11aws relating to building -construction: I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby
authorize representatives,of Butte County to enter upon the above mentioned property for inspection purposes.
S
14v\ W44
Print Name: V0 Signature: SZ6k4d1W
Date: ' /5 -QS
Owner ❑ 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 OFAPPLICA TION
Website: www.buttecounty.net/dds
* "PLEASE PRINT CLEARLY*"
OWNER
Last Name
W4�
First Name
D q Vt
Address X30 dare 0 �o,>^
City OMv;1 e
State CA
Zips
Phone 30 53z -)b y2
Fax _
E-mail
ec�uoarc�5 I(Dje.('� —�omin Ck.Covv� .
0
V
APPLICANT SIGNATURE
X
For office use only: .
CONTRACTOR
Name
S
Address
v\ ward
City
IV-f,l' a he
State
Zip
Phone
Phone 53a �32�i yZ Fax
Fax
E-mail
Planner
Lic. #
Class
V
APPLICANT SIGNATURE
X
For office use only: .
ARCHITECT/ENGINEER
Name
S
Address
v\ ward
City
IV-f,l' a he
State
Zip
Phone
Phone 53a �32�i yZ Fax
Fax
E-mail
Planner
State License Number
V
APPLICANT SIGNATURE
X
For office use only: .
APPLICANT NAME
Name —�
Son 1+
S
Cross Street V`
S�-tn aC1 Ve-
v\ ward
Address
5300
IV-f,l' a he
City 0rOvle
State
Subdivision Name
Phone 53a �32�i yZ Fax
E-mail
�ec�war�S
•r Son— u lni�z.Go
V
APPLICANT SIGNATURE
X
For office use only: .
Zoning
Property Address
53oo ur o Ltne
Flood Zone
Cross Street V`
S�-tn aC1 Ve-
SRA
I Yes
I No
Occ.
Type Const.
Subdivision Name
Map Book
Page
Lot #
Planner
Date Approved:
OVER FOR SUBMITTAL REQUIREMENTS
K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc
PERMIT
NO.
517551
BIN # %
LOCATION
AP#
Property Address
53oo ur o Ltne
City
Cross Street V`
S�-tn aC1 Ve-
WORKER'S COMPENSATION
Policy Number
Carrier
If hiring anyone other than license contractors, a certificate of worker's
compensation must be shown at the time of permit issuance.
LENDING AGENCY
Name
Address
Description or Scope of Work:
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
required.
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.
� 00
Received by:C? Amount: �(1 `) Bldg
Receipt M-43I�Z�
iff
IIr uL Other I
Date: c-� lJJ I � �o QJr
Total
Page 1 of 2
REV 2-24-05
SUBMITTAL & PERMIT REQUIREMENTS
The following drawings and specifications must be submitted to the Building Division in order to apply for a
permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND' IN INK.
❑ 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. No graph paper!
❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans (No graph paper!) OR
Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations.
❑ 3. Engineered truss details and layouts in duplicate (if required). No faxes!
❑ 4. Energy compliance design and supporting documentation in duplicate.
❑ 5. Statement of Intent for Non -heated and A/C for Non -Residential Buildings.
❑ 6. Manufactured homes: (A) installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in
duplicate.
❑ 7. Metal 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). -
El
4.
NPDES Form.
❑
5.
Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy).
❑
6.
Contractor's license information. (Number, Name Style, Classification).
❑
7.
Worker's Compensation Carrier and Policy Number.
❑
8.
Owner -Builder Verification (if required).
❑
9.
Letter of Signature authorization (if required).
❑
10.
Recorded copy of Agricultural Acknowledgment Statement.
❑
11.
❑ Grant Deed, ❑ M.H. Title/Statement of Facts.
❑
12.
Sanitation and site plan approval from the Environmental Health Department.,
If you have questions or would like additional information regarding this process, please contact a
Permit Assistant at (530)538-7541.
EXPIRATION OF APPLICATION
Applications for which a permit has not been issued will expire one year after date of application. In order to renew action
on an application after expiration, a new application, plans and fees will be required.
REQUEST FOR FEE REFUNDS
Refunds can only be made upon written request by the person who paid the fee. The request must be made within two
years from the date of fee payment on permits not issued, and two years from the date of permit issuance for permits
issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan
check fees for work plan checked and other department costs are not refundable.
OVER FOR BUILDING PERMIT APPLICATION
KAFORMS\BUILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2 REV 2-24-05
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 perm' it will be issued until this
verification is received.
XI. I 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:
DATE:.X41-5
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 Fount,' Department of Development Services
ADMINISTRATION `BUILDING' GIS `PLANNING
7 County Center Drive
Oroville, CA 95965
(530) 538-7541 Telephone
(530) 538-2140 Facsimile
` -00 ON WE �`N_Nk �, 0
•r_a Y..
Dear Property Owner:
An application for a building permit 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
pen -nit. Building permits are not required to be signed by property owners unless they are personally performing their own
work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if
that person applies for the proper permit in his or her name.
Contractors are required by law to be licensed and bonded by the State of California and to have a business license
from the city or county. They are also required by law to put their license number on all permits for which they apply.
If you plan to do your own work, with the exception of various trades that 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.
ti�
Mic7lel C. Vieir4 C.B.O.
Mailager, Building Inspection
NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code.
3865-79B P B M
r PERMIT EXPIRES
OWNER,, Sunbeam Const. Co.
.�
CONTR. owner
-05=1-3M=1-2i1—po:r�t=:. ��s���,
LOCATION (A.P. )
5300 Margo Lane, lot 120, Crestwood Sub#2,
Oroville
y, r'
• 1
t
F
i
Temp. Power�P01e
Called ,R''G&E
"Temp. El.�c. Serv._� 117a
CaI,J:.eed PG&E j
Temp. Gas Serv. 9Y
Called PG&E 2�1j
r JOB
RNALED
(Date)
(Signature
a
El
Setback
Forms
Main Bldg.
Footings
Stemwa,A I
Slab
Pier
Garage
Footings
Stemwa I I
Slab
Carport
Footi nas
Patio
Footings
isonry Walls
Reinf. Steel
Mesh
Scratch
Brown
Finish
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
BUILDING INSPECTION RECORD
BUILDING BUILDING JCon 'd)
Firewall
2j d
Soil Pipin
Parapets
1st Floor
Restroom Finish
Subpanels
2nd Floor
Windows
' '
3rd Floor
Siding
Temp. Pole
To out
aCZ of Roof Sheathin
-d`"
Water Piping
Roofing
;/,/v , 1,7
Sewer
Fdn. Vents
Fixture
Garage Vents
Insulation
22
Water Htr.
Heaters
Prov. for ph,61caligr
handicaooe
Appliances
Footin
H
IS
. - -,F ------------ t�Elec. Service
ex. Gas Piping &
Tem . Gas
2 Q Sa Ion
FI PLACE nal 194
MBING
L
Water Piping I Sewer - Gas Piping
BILEHOME INSTALLATION - - - - - - - - - - - - - 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.)
L
Fixtures C/
FIRE SPRINKLERS
Motors
Water Htr. �--�—
Subpanels
MECHANICAL
Grd. Fault Prot. e
d -11z
Service
Z- O
Temp. Pole
Underground
nent
4
Final
ec. Pedestal
Water Piping I Sewer - Gas Piping
BILEHOME INSTALLATION - - - - - - - - - - - - - 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.)
L
P L U M B I N G
Check List
��ermit
BUn:d:e:ir,f,T`oo'r Stage
D.W.V.: (1) Sizing. (2) Materials. (3) Fittings. (4) Grade & Support. ,
(5) Cleanouts & Accessibility. (6) Clearances. (7) -Rough -in Locations.
(8) Wrapping. (9) Test - including "Ts". (10) Additional test -not,
required.,
Water: (1) Sizing. (2) Materials. (3) Support. (4) Test. _(5).Wrapping.
(6) Dissimilar metals. (7) Service regulator installed or not required.*
Fl -Gas: (1) Sizing. (2) Materials. (3) Support. (4) Log Lighter. (5) Wrapping.
Fram' Sta e To Out
D.W.V.: (1) Size. (2) Vent Area & Termination. (3) Materials. (4) Fittings.
(5) Grade & Support._ (6) Cleanouts. (7) Traps. (8) Nail Protection.
(9)_Plumbing Access. (10) Toilet Clearances. (11) Shower size.
(12) Shower Pan Test. (13) Vents - turns, horiz., runs, loop, wet, etc.
El (14) Additional 2nd floor test not required.*
Water: (1) Pipe Test. (2) Miker Valves., '(3) Support. (4) Roof drains.-
Gs: (1) Size. (2) Materials. (3) PR Valve Drain.,
ater Heater: (1) Vent. (2).Location.(3).PR;Valve Drain.
Final
�-D.W.V.: (1) Connected to sewer system. (2) Special systems.
Q Water: (1) Water Source. (2) Shut-off. (3) Anti -siphon Valves.
Gas: (1) Test. (2) Connectors.:
Q W ter Heater: (1) Location. (2) Accessibility.. (3) Clearances. (4) Stability.
(5) 18" Garage Floor. (6) Mechanical protection. (7) Combustion Air.
(8) Draft Diverter. (9) Vent Connector. (10) Vent. (11) Shut-off and
connector. (12) PR Valve & Drain.
Fixtures: (1) Approved. (2) Stability. (3) Clearances. (4) Trapped.
. (5) Connections. (6) Cross -connections. -(7) Dishwasher Air'Gap.
5/79
MEC HAN•ICAL
Check List •
Permit
❑ Underfloor Stage
❑ Underfloor Supply Plenum: (1) One-story. (2) Clearances. (3) Combustible
material. (4) Insulation and vapor barrier. (5) Access. (6) Catch
receptacles and registers. (7) Fire -stopping. (8) Boots. (9) Supply
ducts. (10) Gas lines and plumbing cleanouts.
❑ Ducts: (1) Size. (2) Materials. (3) Support. (4) Fittings. (5) Wrapping.
(6) Insulation. (7) Clearances - ground, crawlspace, cleanouts,
plumbing, etc.
❑ Combustion Air: .(1) Size.
❑ Refrigerant Piping: (1) Material. (2) Support. (3) Fittings. (4) Insulation.
FramiRZ Stage
Heating: (1) Approved appliances. (2) Accessibility. (3) Clearances..
(4) Combustion air.
[E/jent and Connector: (1)Approved. (2) Size. (3) Clearances-. (4)'Cap.
(5) Termination.
:Ducts:. (1) Materials. (2) Size. (3) Support. (4) Fittings. (5) Insulation..
(6) Fire Damper.
efrigeraiit Piping: (1) Material. (2) Support. (3) Fittings. (4) Insulation.
(5) Condensate drain.
Fina
Heating: (1) Accessibility. (2) Combustion air..(3) Safety controls.
(4) Electrical connection. (5) Fuel shut-off.
�oiing: (1) Accessibility. (2) Support. (3) Controls. (4) Pressure relief
valves. (5) Class 2 refrigerant.
5/79
Sunbeam Const Co'
' k
Permit#
INSULATION
CERTIFICATION
Oroville
•'
N_umher and Street
_
City County
Crestwood Sub
_ lot 120
- Subdivision
- Lot Number
DESCRIPTION OF INSTALLATION
ROOF
Material
Brand Name
Thickness (inches)
Thermal Resistance (R Value)
EXTERIOR WAL.L
Material Fiberglass
Brand Name Certainteed
Thickness (inches) 3 211
Thermal Resistance (R Value)
CEILING
Batt or Blanket Type
Brand Name
Thickness (inchesl
Thermal Resistance (R Value)
Loose Fill Type Fiberglass
Brand Name Certainteed
Minimum Thickness (inches) 1111
Number of bags_ is Weight per bag Ib
Area Covered MT) 9l2
Thermal Resistance (R Value) 25.
FLOOR,ELEVATED
Material
Brand Name
Thickness (inches)
Thermal Resistance (R Value)
FLOOR, SLAB
Material
Brand Name
Thickness (inches)
Thermal Resistance IR Value)
Width finches)
FOUNDATION WALL
Material
Brand Name
Thickness (inches)
Thermal Resistance (R Value)
HEATING SYSTEM Gas Furnace
Make
Model Description
Rated Bonnet Capacity
DECLARATION
I hereby certify that the above insulation was installed in the building at the above location if.. conformance.with the
current regulations setting Energy Conservation Standards for new residential buildings (located in Title 24 of the
California Administrative Code).
3JNISEir- M CONSTRUCTION CO..
•� LICENSE #133200
_ General Contractor (duilder) License Number
r�'7s! fjn_ r VISTtt \ Signatur and Title Dite
l'9e'�e.��•s YiJti1 Pi
Hawkins IM111ftIon Cr��1nC. _�__._ 378407
Sub -Contractor (Insulation Applicator) License Number
2-4-80
Signature and Title Dale
CERTIFICATE REVIEWED BY Late
BIN -029 Ding inspection- Office)
1
ar
RES IDENT IAL
ENERGY CONSERVATION STANDARDS
CONSTRUCTION COMPLIANCE CERTIFICATE
THIS IS TO CERTIFY THAT ENERGY CONSERVATION REQUIREMENTS HAVE BEEN
INSTALLED IN CONFORMANCE WITH CURRENT ENERGY CONSERVATION REGULATIONS
(location
BUILDING PERMIT NO. A;P. NO.
THE FOLLOWING HAVE BEEN INSTALLED AS PER APPROVED PLANS:
(Check each item or write N/A if not applicable)
INSULATION:
Slab Edge.
Fdn. Walls
Floors
Walls A --i/
Ceiling/Roof_ 19-147
Ducts
Circulating ipes
APPROVED HEATER
APPROVED WTR.HTR.�_
GLAZING:
Single Glazed
Special (Insulated) yG S
CERT. & LABELED WDS.
& SLIDING DRS.
WEATHERSTRIPPED DRS.
BACK DAMPERED FANS c
INTERMITTENT IGNITION D VICES
CERT. APPLIANCES. Y-�
I DECLARE THAT ALL REQUIRED ITEMS AS NOTED ABOVE HAVE BEEN INSTALLED
IN ACCORDANCE WITH THE ENERGY CONSERVATION REQUIREMENTS AND AGREE TO..
THE COMPLETENESS OF THIS CERTIFICATE AS SUBMITTED.
Insulation Applicator Name
Signature of (please print)
Insulation Applicator
State,Contractors
License No.
-- --- --- -------/Owner Name �,,'tr2 jOEIzi �-� �;Zy2[1�:x-rmd
(please print
Signature of
8.-- _r , .. _ter .,., �r/ r Date �' 0
State Contractors
License No.
I
THIS CERT IF ICATE MUST BE ON ' F ILE WITH THE BU ILD ING DEPARTMENT PRIOR TO
REQUESTING FINAL INSPECTION AND SHALL BE POSTED IN A CONSPICUOUS LOCATION
WITHIN THE DWELLING.
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
7 County Center Drive , - Orqville, California 95965
Telephone: 534-4541
APPLICATION AND PERMIT
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes.
X _ Date
'gnature of PeeJrrmitee or Agent
Receipt No. g75 r3 -
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
abo for whichfee have been paid.
DI OF UBLIC WORKS
`r
Date
Building permit expires Da e r
BUILDING
Owner 5� �
SQ. FT. OCC. BUILDING VALUATION
& 00 &
Mailing Address % �' p dd
dp T Lp
Telephone No.
L -os fi4Z_-0S 4444E7510AW!s = 9!(8 ' 6 Y�St
p
Contractor
Mai I i ng Address
Fireplace
Total Valuation �� 0'a
Telephone No.
Permit Fee Btu
Building Address 00
PI anCheckingFee&/or Penalty
Permit Fee
@�
PLUMBING
No. @
FEE
PERMIT FILING FEE
$3.00
oa
Each Trap 1.50 �Z 57D
A '0�9 /_-77 /;7 0 )J0L,,,4,Lty
Repair drainage or vent piping 1.50
--
A. P. No. -� J -3— � P0��
�
/Zoning & onning
Water piping
1.50
Each gas water heater or vent 1.50 --�j
Fees
CeSa on I Fire Dept.
Fire Zone
Use Permit
Gas piping system 1 - 5 outlets 1.50 JM
Parking Parcel
EQA Plans Declaration
Pa 60' R/W
Improvements
Each additional outlet .30
Building sewer 5.00
�
Idg. PQo s Recd
Parce royal
PI pproval
Lawn sprinkler system 2.00
NEW 8 ADDITION ❑ UTILITIES ❑ OTHER ❑
Permit Fee $ Q
$
p
ELECTRICAL
No. @
FEE
PERMIT FILING FEE
$3.0000V
RC1
OR L
Main service 100 AMP ORSLESS 5.00
Single Family Duplex ❑ Mobil Home ❑ Others ❑
Main service EA. ADD'L 100 AMP 2.50
Main service OVER e00V
100 AMP OR LESS
25,00
Main service EA. ADD'L 100 AMP 1,00
NEW OR ADONST � AC gI G CCUP. 4) 20sgft
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
st le of:
y
NEW RESID,CONSTBRANCH IR T
NON-RESID ( BRANCH CIRCUITS)
12.50ea
NEW CONSTR. (POWER APPARATUS B
NON-RESID. SINGLE OUTLET CIR.
Ex. OCcuD{OUTLETS OR FIXTURES 5 L
EQ// FIXED APPLNS. OR
x. CCU 2.00
p•1OUTLETS (RESID.) EA)
Temporary service 10.00
Mobile Home Facilities 15.00
License No. Classification
Misc. Wiring 6.25
I am exempt from the Contractors License Laws of the State of California.
Permit Fee
$
a (o'
$
0-1 (e
MECHANICAL
No. @
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 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.
PERMIT FILING FEE
$3.00
3 �`
Heating ' V C70
64-5
[Cooling
Ventilation
Hood 2.00 Ub
Permit Fee $
$
Q
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
Land Development Fee
$
�(
TOTAL PERMIT FEE
$
�0 16 %,
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes.
X _ Date
'gnature of PeeJrrmitee or Agent
Receipt No. g75 r3 -
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
abo for whichfee have been paid.
DI OF UBLIC WORKS
`r
Date
Building permit expires Da e r
• --� - - - � as /
Phis sef bf Plant g c! tP'e ifica 'ons MU�
,keGt on fhe job at all times. and ' is unlawful to ;1
make any changes or Iteration 'on same with
written per fission fro th epart o Pub-
lic Works;.Coun utte,
30 .
.o
- See M -ter Plan on file for building
plans. ql
N.
P4 /0 FL C-"!1A r1OA1 3/5* 4
4144 AI .
' 10
A
• • v is "-G
e Bldg. SefbaA shall P. fit's
de $roperty line and 50 ft.fro the
enterGne of the road, per fitting a axi-
um of a 2 ft. eave over a g irely--- I3U�TE COiJ:NY31
�® •
vt of CM easements. SUE BUILDING DEPARTMEN1
ROVED
17e Vd 4 Ad
Eli, .88 �R/3 el GUrrF�
'�_.. ///7O OOI �I� MI�� _..�.:: y:l='LNi•, ®/�®�/�� �VI �� VO. N����®If/v//f
.j�,r• rT
r919 1dG76PF, CAPL/10CMMA, 9®OSP .-
G or