HomeMy WebLinkAbout035-420-076�7
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Sunbeam Const.
2244 Oak Knoll
Way, lot 128, Crestwood
Sub #2, Oroville
Permit #534 79B P,E�P(new sin,le
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ERMIT#95-'2474
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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
V%TBSITE: www.buttecounty.net\dds
PROJECT INFORMATION
Z_Z
Site Address: 2244 OAK KNOLL WAY
Owner:
--------
Pennit No: B07-2431
APN: 035-420-076
BOWKER SHAWN MARIE S,
Issued Date: 12/06/2007 By TAW
Permit type: MISCELLANEOUS
2244 OAK KNOLL WAY
Subtype: Siding/Stucco
OROVILLE, CA 95966
Expiration Date: 12/05/2008 ,
Desc . ription: REMOVE AND REPLACE 50 LINE)
(530) 533-3831.
Occupancy: Zoning: RI 0(
Contractor
Applicant:
I Square Footage:
NICK EVANS
Building Garage RemdUAddn
1180 NUNLEY ROAD
PARADISE, CA 95969
Other Porch/Patio Total
(530) 521-2423
FEE INFORMATION
DBMSC Stucco/Siding-Stone/Bric $116.00
Total Charged: $116.00 Fees Paid: $116.00
Balance Due: $0.00 Receipt No: B5458
-��LICENSED CONTRACTOR'S DECLARATION�
--OWNER/ BUILDER DECLARATION -
Contractor (Name) State Contractors License No. / Class / Expires
I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License
Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that
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
I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am licensed under provisions of Chapter 9
(commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license
pursuant to the provisions of the Contractors License Law [Chapter 9 (commencing with Section 7000)
is in full force and effect.
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
X 12/06/2007
the applicant to a civil penalty of not more than five hundred dollars [$500];
Please check one of the following:
Contractors Signature Date
011, As OWNER OF THE PROPERTY, OR MY EMPLOYEES WITH WAGES AS THEIR SOLE
kZ11 COMPENSATION, WILL DO THE WORK, AND THE STRUCTURE IS NOT INTENDED OR
OFFERED FOR SALE (See. 7044, Business and Professions Code: The Contractors License
Law does not apply to an owner of the property, who builds or improves thereon, and who does
—.,WORKERS'COMPENSATION DECLARATION _.:�
I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations:
the work himself or herself or through his or her own employees, provided that such improvements
I HAVE AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR
are not intended or offered for sale. If, however, the building or improvement is sold within one
WORKERS' COMPENSATION, as provided for by Section 3700 of the Labor Code, for the
year of completion, the owner -builder will have the burden of proof that he or she did not build or
performance of the work for which this permit is issued.
improve for the purpose of sale.).
I HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE,
1, As OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED
as required by
CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Code:
Section 3700 of the Labor Code, for the performance of the work for which this permit is issued.
The Contractors License Law dows not apply to an owner of the property who builds or improves
My Workers' Compensation insurance carrier and policy number are;
thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the
Contractors License Law.).
Carrier: Policy Number: Exp. Date:
(This section need not be completed if the permit -is -For one —hundred dollars ($100)_o_rFes_s.)
ElI AM EXEMPT under Section B. & P.C. for this reason:
CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS
SSUED, 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'
X 12/06/2007
compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those
Owner's Signature Date
provisions.
X 12/06/2007
I hereby certify that I have read this application and state that the above information is correct. I agree
to comply with all City and County ordinances, rules, regulations, and State laws relating to building
I
Signature Date
WARNING: FAILURE TO SECURE WORKERS'COMPENSATION COVERAGE IS UNLAWFUL,
construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless
Butte County, its officers, agents and employees from any and all claims and liability for personal I
AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE
injury, including death, and property damage caused by, arising out of, or in any way connected with
HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION,
the issuance of this permit. I hereby acknowledge that issuance of this permit does not authorize the
DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND
use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte
ATTORNEYS FEES.
County to enter the above mentioned property for inspection purposes. I hereby certify that I am the
rope owner in authorized to act on the property owners behalf.
A/kl r,11X 12/06/2007
1 -1 11 1
CONSTRUCTION: LENDING AGENCY
I HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency tor
Name of Permittee ISIGN] Print Date
the performance of the work for which this permit is issued. (3097 civ. code)
E] Owner 1:1 Contractor OR: MAgent for Owner E]Agent for Contractor
I FILE COPY I
Lender's Add ress city St.7 — — — TT -1
Butte County Department of Development Services 0 T
TIM SNELUNGS, DMEMR I PETE CALARCO, ASSISTANT DMECTOR 0
7 County Center Drive 0 0
Oroville, CA 95965 0 0
(530) 538-7601 Telephone 0 0
(530) 538-2140 Fax 110
www.buittecounty.netttids
OWNER-BUELDER INFORMATTON
An application for a building parnithais been submitted myour name listinyourselfas the buildcrofthe property improvements; spmific&
For your protection you should be aware that as 'Ourrucr-builder' you art the responsible psity of.ccor on such a pennit. Building permits art not required to be signed
by property owners unless they at Pcfs0n&UY perf(mmmg thin, am work. Ifyotur work is ben perfinamod by sconcone offia am yocaracl� you may protect yourscifftom
possible liability ifthas person applies for the proper permit in his or her narne.
Contractors arc required by law to be licensed and handed by the State ofCalilarnia and to have, a
law to put their license number on di permits for which they apply business license from the city or county. Tlicy are also required by
If You Plan to do your own work with the exception of various onda that you plan to subcontract, you should be aware of the f f
protection: ollowing information or yaw benefit and
0 If you employ or affierwise cnPga any persons Other am your immediate family. and the work (including materials and otha costs) is Ssoo or mom for the entire
project and such persons are not licensed as contractim; or subcantracturs� then you may be an employer
• If you we an employer, you must cestes with Ole am and federal government as an employer and you am subject to several obligations including state and federal
• race= nor withholding. federal social socurily taxes, workers/ compensation mxurancc� dmAility unsimunce,costs. and unemployment compensation contributions.
• Them may be finainciial risio; to yaa tfyou do not carry out these obligations, and dkesc rislas are cqxcWly serious with respect to WO*CFV ODMPMSation insi�
For more specific inkimatiorn about your obligations under federal law, Contact the latcrual Revenue Service (and, if U.S. Small
Administration). For more specific infiarroation about your obligations under am low, you wish, the business
AccidenaL contact the Department ofBmcffi Payments and the Division ofladustrial
Ifthe structure is attended for salc� property owners who we ant licensed cantractors am allowed to perform their wait personally or through thm own employees,
without a license contractor or subcontractor, only under limited conditions.
A ficquent practice ofunificcused persons professing to be contractor is to secure an *owner-buildee building permit erroneously implying am the pmeiri, owner is
providing his or her own labor and matcrial personally. Building peirmits; am not required to be signed by property owners unless they me Perfisrung their own work
P--Wty.
Information about licensed cmmwtors may be obtained by conwing the CommcftW State UOcmc Bouft animated tcicph= infiormannom system at I-BW321
-CI.SB (2752) or by acOming thier websitc, at www.CSLB.coigav,.
PLEASE COMPLETE AND RETURN THE ENCL.OSED OWNER -BUILDER VERIFICATION FORM SO THAT WE CAN CONFIRM THAT YOU ARE
AWARE OF THESE MATrERS. THE BUILDING PERMIT WELL NOT BE ISSUED UNM.L THE VERIFICATION IS RETURNED.
OWNER BURDER VERIFICATION
PLEASE COMPLETE THIS FORM AS REQUIRED By THE STATE OF CALIFORNIA (SENATE BILL NO 931 EFFECTIVE pjLy 1, 1980). NO BUILDING
PERMIT WILL BE ISSUED UNTIL THIS VERIFICATION IS RECEIVED.
1. 1 PERSONALLYP-01,TO PROVIDE THE MAJOR LABOR AND MATERIALS FOR CONSTRUCTION OF THE PROPOSED pROPERTy
IMNROVhMENK��ORNO).
2- 1 (HAVEIRAVENOT) SIGNED AN APPLICATION FOR A BUILDING PERMIT FOR THE PROPOSED WORV
3. 1 HAVE CONTRACTED WITH THE FOU.0W[NG PERSON
.1— LN9 TO PROVIDE THE PROPOSED CONSTRUCTION:
ADDRESS CITY
P LICENSENO---
4. 1 PLAN TO PROVIDE PORTIONS OF THE WORK, BUT I HAVE HIRED THE FOU -OWING PERSON TO COORDINATF� SUPERVISE, AND PROVIDE
THE MAJOR WORK.
NAME
ADDRESS
PHONE CTORS LICENSE NO
S. I WILL PROVIDE SOME OF THE WORK BUT I HAVE CONTRACTED (HIRED) THE FOUDWING PERSONS TO PROVIDE THE WORK INDICATED:
NAM ADDRESS PHONE DTEOFWO
Description: REMOVE AND REPLACE 50 LWEAR FEET OF SEDING
Reference Number. B07-2431
Applicant Name: NIC�K EVANS
Ownees Name: BOVAKER SHAVM MAREF S, AP #: 035-420-06
BUTTE COUNTY PERMIT
DEPARTMENT OF DEVELOPMENT SERVICES NO.
BUILDING PERMIT APPLICATION
OFFICE#: (530)538-7541 FAX#:(530)538-2140
A FEE WILL BE REQUIRED A T TIME OF APPLICA TION
Website: www.buttecounty.net/dds
"PLEASE PRINT CLEARLY**
OWNER INFORMATION
Last Name
&S -j k K -- .
First Name
1 11 � r I
Mailing Address ?-Z,'f 4- 0-ik KiJ1
cityc;�V.") ut
State,,
1p
Phone �'3 +Fax
_
x
E-mail
CONTRACTOR
Name
Address
city
State
Zip
Phone
Fax
E-mail
Lic. #
Class
APPLICANT INFORMATION
ARCHITECTIENGINEER
Name
City
Address
zip
City
Fax
State
Zip
Phone
Fax
E-mail
State License Number
APPLICANT INFORMATION
Name 0—V q ') �
Address ZZLO Al&,,� V
City
State
zip
Phone Y.),
Fax
E-mail
APPLICANT SIGNATURE
X
PROJECTLOCATION
API 4::5 j�— - tfr)_0 _ C)l L
Property Address U-4 L /(!� v ) ) U� )Z
City X
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 FT- Living Garage Open Cov
• Structure Built without Permits
• Proposed Change of Occupancy
(Note previous use):
For office use only:
----7
Zoning
Flood�
SRA
Occ.
Type Const.
AT&T Yahoof Mail - icfimbedit@,yaho6.C-o-M.
page 1.1 of 1.
Print - Close Windo W*
classic
Date: Wed, 28 Nov 2007 13:46`421 -0800'(PST)
From: "Shawn -Marie Bowker" <srngrarnrnyb@yahoo.c6rn>
... . .......... ........... .. ......... . . . .. .....
To: itfirn bed it@�bcgl.6bal.ntt
To Whom it May Concern: - My, name is -Shawn-Made Bowker, I reside at 2,244 Oak Knoll'.way. in Oroville, CA. I
am currently, unable to come into your- office, to apply for a: permit due to poor health.. My friend. Nick Evans will
be.coming in.to,get.a permit. He.is planning to help me replace the siding on part of my house.that.is coming
off.' Your assistance in this:matter is greatly appreciated. Sincerely, Shawn -Marie Bowker
Never miss a thing'. Make Yahoo your'homepage
4 x ec-6
it
http://us.f8l3,mail.yahoo.com/ym*/Show]Letter?box=liibox&Msgid--9888 756470 -342,11- 11/29/20 -*0-77
Butte County Department of Development Services
TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR
7 County Center Drive
Oroville, CA 95965
(530) 538-7601 Telephone
(530) 538-2140 Fax
www.buttecounty.net/dds
OWNER -BUILDER INFORMATION
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 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 protectyourselffrom
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 you plan to subcontract, you should be aware of the following information foryour benefit and
protection:
If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $500 or more for the entire
project and such persons are not licensed as contractors or subcontractors, then you may be an employer.
a 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
a income tax withholding, federal social security taxes, workers/ compensation insurance, disability insurance- costs, and unemployment compensation contributions.
There may be financial risks to you if you do not carry out these obligations, and these risks are especially serious with respect to workers' compensation insurance.
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 ofindustrial
Accidents.
If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through thier own employees,
without a license contractor or subcontractor, only under limited conditions.
A frequent practice of unlicensed persons professing to be contractor 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's automated telephone information system at 1-800-321
-CLSB (2752) or by accessing thier website at www.CSLB.ca.gov.
PLEASE COMPLETE AND RETURN THE ENCLOSED OWNER -BUILDER VERIFICATION FORM SO THAT WE CAN CONFIRM THAT YOU ARE
AWARE OF THESE MATTERS. THE BUILDING PERMIT WILL NOT BE ISSUED UNTILL THE VERIFICATION IS RETURNED.
OWNER BUILDER VERIFICATION
PLEASE COMPLETE THIS FORM AS REQUIRED BY THE STATE OF CALIFORNIA (SENATE BILL NO. 831 EFFECTIVE JULY 1, 1980). NO BUILDING
PERMIT WILL BE ISSUED UNTIL THIS VERIFICATION IS RECEIVED.
I PERSONALLY PLAN TO PROVIDE THE MAJOR LABOR AND MATERIALS FOR CONSTRUCTION OF THE PROPOSED PROPERTY
IMPROVEMENT. (YES OR NO)
2. 1 (HAVE/RAVE NOT) SIGNED AN APPLICATION FOR A BUILDING PERMIT FOR THE PROPOSED WORK.
3. 1 HAVE CONTRACTED WITH THE FOLLOWING PERSON (FIRIV� TO PROVIDE THE PROPOSED CONSTRUCTION:
ADDRESS CITY
PHONE CONTRACTORS LICENSE NO_
4. 1 PLAN TO PROVIDE PORTIONS OF THE WORY, BUT I HAVE HIRED THE FOLLOWING PERSON TO COORDINATE, SUPERVISE, AND PROVIDE
THE MAJOR WORK:
NAME
ADDRESS CITY
PHONE CONTRACTORS LICENSE
5. 1 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
Description: REMOVE AND REPLACE 50 LINEAR FEET OF SEDING
Reference Number: B07-2431
Applicant Name: NICK EVANS
Owner's Name: BOWKER SHAWN MARIE S, AP 035-420-076
Signature of Property Owner: Date:
BUTTE COUNTY FEE SUMMARY
7 County Center Drive
Oroville, CA 95965
Department of Development Services
Phone (530) 538-7541 Fax (530) 538-2140
Permit Number: B07-2431
Job Address: 2244 OAK KNOLL WAY
Contractor:
9
Printed: 11/29/2007
3:18 pm .
Fee Description Account Number Fee Amount Paid Date Pmt Amt
DBMSC Stucco/Siding-Stone/Bric
0010-440001-4210500-1010 $116.00 11/29/2007 $116.00
116.00
$116.00
Printed By: Gwyn Benedict Balance Due: $0.00
At the time of permit application, I was advised the above fees are required prior to issuance of the
permit. These fees may change during the plan checking process.
Signature:
Date: 11/29/2007
Pursuant to Government code Section 66020, you are hereby notified those items listed above may have been imposed on your project. You have 90 days
from the date of approval of the project or from the impostion of the above referenced items during which you may request a protest. The requirments
for a protest, are specified in Government Code Section 66020(a).
Butte County Department of Development Services
TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR
7 County Center Drive
Oroville, CA 95965 -
(530) 538-7601 Telephone
(530) 538-2140 Fax
www.buttecounty.net/dds
PERMIT APPLICATION DATA SHEET
Reference Number: B07-2431 Date: 11/29/2007
Location: 2244 OAK KNOLL WAY By: GLB
Parcel Number: 035-420-076 Sub pe: Sidinji/Stucco
Owner Name: BOWKER SHAWN MARIEE S, one: (530) 533-3831
Description: REMOVE AND REPLACE 50 LINEAR FEET OF SEI)ING //;�
The above permit application has the following Clearances required prior to
indicated below regarding specific requirements pertaining to your permit app
Yes No DRAINAGE DISTRICTS
51
Thermalito Irrigation District, 410 Grand Avenue, Oroville CA 51
533- 00
E] E] LOAPUD, 1960 Elgin Street, Oroville CA 95966 - (530)17
0
1:1 E] City of Chico, 545 Vallombrosa, Chico CA 95926 - (530 95-4711
E
PARKS & RI
Chico Area Recreation District, 545 Valloi
E3 Durham Park & Recreation District, 9447
Feather River Recreaction & Park Distric
Paradise Parks & Recreation, 6626 S"
El
E3
F1
13
El
1:1
E]
issuance. Please contact each department
5 - (530) 533-0740
)ros(ahico CA 95926 - (530) 895-4711
,4 ay.
lid ay, Durham CA 95938 - (530) 345-1921
4200 Myers Street, Oroville CA 95966 - (530) 533-2011
Paradise CA 95969 - (530) 872-6393
Biggs Unified School District, 300 B treet, Biggs CA 95917 - (530) 868-1281
Chico Unified School District, I I East 7th Street, Chico CA 95926 - (530) 891-3006
Durham Unified School Distri 4920 Putney Drive, Durham CA 95938 - (530) 895-4675
Gridley School District, 429 agnolia, Gridley CA 95948 - (530) 846-4723
Marysville School Distric , 1919 B Street, Marysville CA 95901 - (530) 741-6000
Oroville Elementary S ool District, 2795 Yard Street, Oroville CA 95966 - (530) 532-3000
Oroville Union High 211 Washington Ave, Oroville CA 95966 - (530) 538-2300 Ext:105
Paradise Unified chool District, 6696 Clark Road, Paradise CA 95969 - (530) 872-6400
OTHER
Recorded co of Agricultural Acknowledgment Statement- See Attached Instructions
City of Bi gs Planning Department, 3016 Sixth Street Biggs CA 95917 - (530) 868-5447
OthW:
Other:
Other:
Signature of Property Owner:
FILE
Date: 11/29/2007
Butte County Department of Public Works
J. MICHAEL CRUMT, DIRECTOR
LAND DEVELOPMENT DIVISION
Storm Water Managment Program
7 County Center Drive
Oroville, CA 95965
(530) 538-7266 Telephone
(530) 538-7171 Fax
www.buttecounty.net/dds
0,Y-1 =k.T__m-70ZrJ-
0
0
0
0
^C4;J.,fC . .
National Pollutant Discharge Elimination System (NPDES) Phase 11 Construction Storm
Water Permit and Storm Water Pollution Prevention Plan (SWPPP) Acknowledgment
[LESS THAN 1 ACRE I
Reference Number:
B07-2431
Date:
11/29/2007
Location:
2244 OAK KNOLL WAY
By:
GLB
Parcel Number:
035-420-076
Sub Type:
Siding/Stucco
Owner Name:
BOWKER SHAWN MARIE S,
Phone:
(530) 533-3831
Description:
REMOVE AND REPLACE 50 LINEAR FEET OF SIDING
By signing below, I the project owner/owners' agent, certify that this project WILL NOT DISTURB I acre or more
of land and that I therefore, do not need to apply for a Construction Storm Water Permit from the State of California
Regional Water Quality Control Board. Phased projects that contain multiple site buildouts of less than one acre but
when combined with subsequent phases total more than one acre of disturbed soil will require a Construction Storm
Water Permit from the state of California Regional Water Quality Board.
I am aware that submitting false and/or inaccurate information or failure to apply for a Construction Storm Water
Permit from the State of California Regional Water Quality Control Board for this project that disturbes one acre or
more of land may -result in revocation of grading and/or other permits or other santions provided by law.
Signed:
Title:
FILE
Date: 11/29/2007
WTO
FROM
0 REPRESENTING
DATE MEJ PHONE F-1 CV+7 E-MAIUPROFS
F-1 TELEPH6NED' El PLEASE CALL/E-MAJL WAS IN,
W'ANTSITO"SEE YOU
F-1 RETURNED CALL F� WILL CALL AGAIN
El INFORMATION
El
NOTE AND RE-ROUTE
REPLY
0- &MMENT
[]
NOTE AND RETURN
El
my SIGNATURE
E INVESTIGATE
E]
NOTE AND FILE
'Y '
COF M�. k
El CONTACT ME
FOR SIGNATURE
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Fo�INARoED PER
REOUEST
0 MESSAGEIREMARKS
0 BY
MESSAGE TRANSMITTAL STATE OF CALIFORNIA
STD. 7 (REV. 5-96) jp%OSP00 43893
Butte County Department of Development Services
TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR
7 County Center Drive
Oroville, CA 95965
(530) 538-7601 Telephone
(530) 538-2140 Fax
www.buttecounty.net/dds
NOTICE TO BUILDERS
Before your building permit can be issued, your plans must be checked for compliance with the California Building Codes. In
addition, your plans are routed to other regulatory entities including but not limited to PlanninyPublic Works, Environmental
Health, and the California Department of Forestry for their clearances and approvals. The. are some things you can do to
expedite your permit:
• Make sure your application is complete.
• Be responsive to requests from County departments for any /aitional materials or requirements.
The Building Division places its highest priority on processing building permits as ickly as possible and each day that passes
without a complete application adds to processing time.
Every permit issued by the Building Official shall expire and become null andvoid if the work authorized by such permit is not
started or completed within one year from the date of issuance of such rmit. A permit may be renewed (for a fee) prior to
e ofsuch P r
progress as
ade I he 01
ttee s pay'
rk overed b'
g or
expiration an indefinite number of times, provided construction progress as been documented by the Building Division during
each year during scheduled inspections. No changes may be made i he original plans and specifications for such work. In
order to reinstate action on a permit after expiration, the permittee s 11 pay a new full permit fee and additional plan checking
and documentation may be required. Upon completion of work overed by this permit, please contact this office for final
inspection. As a reminder to you, it is illegal to occupy this b i ding or any portion of the building for which this permit is
issued without a final inspection.
EXPIRATION OF PERMIT
Application for which a permit has not been issued
CATION AND REFUND POLICY
expire one year after date of application.
Refunds may only be made upon written request P� the person who originally paid the fees. Refunds for permit applications
(not yet issued) must be requested within vo y�rs from the date of fee payment. Fees paid at the time of application are
tw
for Plan Check and administration. The Plan k portion of fees is reftindable only if the permit is cancelled or withdrawn
before any plan checking is done. Buildi Division costs will be deducted prior to authorizing a reftind and a charge of
"I
$54.99 to process the refund application wil e assessed. Refunds on permits (issued) may be requested prior to the expiration
of the permit, provided no work has been ne pursuant to the permit. An Inspection may be required (and deducted from any
k
reftind amount) to determine no work wa done.
Fee/refund information can be read orjAine at http://municiDalcodes.lexisnexis.com/codes/butteco/
Reference Number: B07-2431
Location: 2244 OAK
Parcel Number:
Owner Name
Signature of Appl
WAY
SHAWN MARIE S,
AND REPLACE 50 LINEAR FEET OF SEDING
FILE
Date: 11/29/2007
Phone: (530) 533-3831
Date: 11/29/2007
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0 -420-076— -2474
35 PERMIT#95
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2244 Oak Knoll Way, Oroville
Cont; Skilled Bldrs
�Ad.d�.�Cov Patio,Dog Port,Vinyl Siding/SF
V
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�.1013 FINALED (Dat
Signature
V = OK
0 =Not OK
Not Applicable -
Not, Ready MOBILE HOMES
Date MOBILE HOME UTILITIES (Plans)'OK ei6�pt #'s D I
1. Zoning Reqdieements-Setba�ki-Easements-"�"-'-'-'-'.*"
2. Soils; Special'MH Support Sketch
3. Sewer; Location -Test -Fall -C/O Concrete 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs , -Rails !P-
jel�ood Awn.; Posts-Beams-Rftrs.LConnectors
Shthg.-Rfg.-Bracing
S. Alum. Awn.: Col urn ns -Con n act ions-Spi ice- Deca I- Eric losu res
6. Carports; Windows -Doors
7. Electric
Footi
M I SCELLA NEOU
e�tors-steei
)j,
4. Water: Local i6n-Test- Ease men I Needed (Sketch)
-Electric i ty;'Locati on -Clea r6 nces -Grnd -/Amp-Concrete
6. Gas: Location -Test-Wra p: /' P'L-ft.
/ P'Nat. or/ P'L"ftJ /"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 #'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-Cleafances
5. Drain; MH Test -Fall -Flex Connector
6. Water; MH Test -Regulator -Connector
7. Water and Sewer Connected -C/O to Grade -HD Approval
8. Gas and Electricity Tagged
9. Exits; Insp.-Sketch
10. Cert. of Occupancy
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses
9. Siding; Nai I i ng -Veneer-Stucco- Mesh
10. Roof; Shthg-Roofing
21. Ext.; Steps -Doors -Landings
Date 1446 �'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-,Qonnections-Thickness
Dead Men -Lining
4. Elec.; Receptacles and Lighting, Distances-GFI
5. Elec.; Pool Lighting; 15 volts -GF]
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-Enclosu res -Pane I boards- Ins. to Main in Conduit
9. Health Department Approval
10. Plumb.; Cir. Test -Water Supply Test
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
V = OK
0 Not OK
Not Applicable
Not Ready RESIDENTIAL (S
Dat r., UNDERFLOOR (Plans) OK except #'s
1. Zon i ng -Setbacks- Ease ments-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. Sternwalls, Main; Steel -Bloc kouts-Wrapped
6. Sternwalls. 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/0 -Sewer Test
10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test
11. Water Pipe: Test -Anchor -Regulator -Service Test
12. Electric: Underground
13. Pienums & Ducts; Clearance -Material -Support- Ins.
14. Girders -Sills -Anchor Bolts -Joi sts-Ven ts-Cripples
15. Access & Ventilation
16. Insulation
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date PLUMBING (Permit) OK except #'s
Water Htr.: Vent -Access -Combustion Air-Baffie - - --- - ------------
17. Water Pipe: Test & Anchor -Nail Protection
18. D.W.V.: Test -Fittings & Anchor -Nail Protection
19. Shower Pan: Test. First Floor -Tub Access
20. -Test -Tub & Shower, Second Floor -Tub Access
21. Gas Pipe: Size & Anchors
-_ _ - ---------------------- - ------------------------ - ---- - -------------------
Date Card B-1 Date Card B-1
- ----------------- - ---- - -------
Date Card B-1 Date Card B-1
Date ELECTRICAL (Permit) OK except #*s
---------- - 22.- Fixture-& Transformer Cleara n-ce- Ins. -Protect ion ------------------
23. Elec. Receptacles Spacing -Lights & Switches at Doors
- ---------------------------------------------- - --------------
24. Size Boxes & No. of Cond uctors- Stapled
------ - - ---------- - ---- ---- ------ --------------------- --- ---------------- ------ ----
25 Romex Installed Close to Edge of Studs & C.J.
----------- - -- - --------------------------------------------------
26. Equip Ground made up w�Mech Fastners-Bond Gas & Water
--------- ---------------------------------- ------- -- ---- ------------------
27 2 Appliance Circuts in Kitchen & Conductor Size'GFI
28. Subfeed Wire Size/ /ga. CuorAI-A.C. Wire Size! /ga.
Cu or At
----- ---------------------------------- --------------------------------------------
29. Range Circ. / I ga. Cu or Al -Oven Circ. / / ga. Cu or Al.
Insulated Neutral 0 Yes 0 No
--------------- ---------------------------------------------------------------------
30. Service -Riser Conductors & Ground -Main Disconnect
--------------------------------------------------------------------------------- --
31. Equip. Clearances Panels- Motors-Mech. Equip.
- - - -------------------------------------------------
32. Clothes Closet Light -Shower Light -Spa Light
33. Smoke Detector
------- ------- I -- - -------------------------------------------------------------
------------------------------- ---------------------------------------------------
Date Card B-1 Date Card B-1
.. I I . I ------- --------------- --- --- ------------------------------------------
Date Card B- I Date Card B-1
Date MECHANICAL (Permit� OK except O's
34. A.C. Ducts Insulation & Support
----------------------------------------------------------------------------
35. Vent Fan: Exhaust above insulation
-------------
36. Condensate Drain & Overflow' Size & Grade
-- ----------- ------- ------------------------ ---- -- --
37. Furnance-Vent: Access -Comb. Air -Return Air Vent- I IS outlet
38 Attic Access & Platform it Furnance in Attic
..... ------- --------_----------------- ------- ------- - ---------------
------ ------- --- --- ------- --
Date Card B-1 Date Card B-1
Date Card B- I Date Card B-1
Date FRAMING (Plans) OK except -Is
39 Sils. Proper Material & Anchors
40 Walls Studs -Nailing, Spacing & Bracing-Plates-SOLind
41 Bearing Walls over Girders & Floor Nailing
42 Draft Stop in Walls (rat proof)
43, Fire Stops. Furred Ceilings -Stairs -Chases -Tub
44 Hf�aders & Beam -Size & Bearing
ingle & Duplex)
Date FRAMING. (Continued)
45. Hangers -Post Caps -Anchors -Connectors
46. CIng. Joist-Rftr. ties-Purlin -roof Brac-Truss-Shthng.-Rfng.
47. Fireplace Ties or Type A Flue -Fireplace Throat clearance
48. Attic Access: Size & Romex Protection -Draft Stop -Ins. Baffles
49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions
50. Garage Fire Protection Framing
51. Property Line Firewall & Openings
52.- Ext. -Doors-One T -Check Garage -3rd Story. 2 Exits
53. S airs: Width -Headroom -Rise -Run -Landing -Fire Protection
54.. plywood on Roof Overhang -Attic Vents -Rafter Outriggers
Siding -Nailing Veneer
56. -Stucco Mesh -Drip Screed -Fd. Vents-UnderfIr. Access
57. Glazing Area -Glass Protection -Sky[ ig hts- Plastic
58. Shear Walls: Nailing -Bolts
59. Insulation -Walls -Ceilings
60. Infiltration-Walls-Winclows
------- - ----- ___
---- -------------
Date -Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date FINAL (Plans) OK except If's
61. Ext. Steps -Door & Sidelight Protection -Landings
62. Smoke Detector
63. Furnace: Vents -Clearance -Comb. Air -Connector -
In Garage: Above Floor-Ducts-Mech. Protection
64. Bedroom Exiting
65._.G.F.I._& Bath Fixtures & Tub Access -Spa
66. Elec. Trim & Subpanel: Breaker Sizes & Labels
-- - --------------
67. Stairs & Rails
----------------------------------- -------
68. Fireplace or Stove: Clearances -Hearth
-------------- -------------------------- __
69. Elec. Outlets at Wood Panel: Int. & Ext.
-----------------------------
70. Kit.Fixt. & Appliance: Grnd.-Air Gap -Cooking Clearance
------ ---------------------
71. Elec. Outlets & Receptacles at Kit. Counter
--------------------------------------
72. Garage Fire Door: Swing -Landing -Closer
---------------
-73.-.A. C.- Duct- in -Garage- Damper
74. Wtr.Htr..Vents-Clearance-Comb.Air-Connector-P.R.V.
I n Garage: Above Floor-Mech. Protection
75. Plb.. Elec. & Mech. Equip. Listed for Location
- -------- --------- -
------------- 76.. Elec.-Receplacles-in Garage: (G.F.I.)-Romex Protection
-------------- 7-;-.-Insulation-Foam-Looked in_Attic_____ 0 Yes
------------- 78. Guard -Rails & Peck -Const -ruction -Post Caps
79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth
...... .......... Clearance Looked -under Floor---- 0 Yes
80. Following instId.: Drive 0 Yes 0 No; Walks 0 Yes 0 NO:
Planters 0 Yes 0 No
--- ------------------------------- - - - -- - -
81. Stucco: Brown -Finish
-----------------------------------------
82. A.C. Unit: Disconnect. Electrical. Plumbing
------ --- --------------------------------
83. Vents Above Roof: Plbg.-Appliance-Fireplace.-Clearance to
Openings
------ ------------------------ --------------- - - - - - -- -
84. Water Well: Disconnect, Electrical. Plumbing
--- -----------------------
85. Exterior Elec. Trim: G.F.I. Receptacle -Underground
......... ... .. .- - ---------
86. Ventilation Throughout House
------- --- -------- ----- ------- -- - ---- - -----
87. Glass Protection
----------------
88 Corrections from Previous inspections
Gas Test -Meters Tagged: Gas -Electric
90. Water & Sewer Connected-C,'O to Grade -HD Approval
------ ------- -
91 Energy Compliance Certificate -Other Certificates
-----------------
----- -----------------
Date Card 0-1 Date Card B-1
- --------------------------
Date Card _B- I Date Card B- I
Date Card B _ I Date Card B-1
Comments at Final:
--- ---------- -----------------
COUNTY OF BUTTE - DEPARTMENTOF DEVELOPM ENT 13 ERVICES- BUILDING DIVISION
7 County Center Drive - Oro�ille, Ca�lifornia 95965 - Telephone (916) 538-754
APPLICATION AND PERMIT 1?f� - V
ASSESSOR PARCEL NUMBER 035-420-076
NI RI
BUILDINGPERMIT
OWNER SHAWN MARIE B014KER
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
OWNERS MAILING ADDRESS 2244 OAK KNOLL WAY OROVILLE
490 coy 59460.00
CONT. 6,000.00
CONTRACTORS NAME SKILLED BLDRS
PHONE
CONTRACTORS MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
OWN
Total Valuation Is i -i
zL(;o nn
LENDERS MAILING ADDRESS
Filing Fee
$ 20.00
Permit Fee
s
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$ 8/./5
Energy Plan Checking Fee
$
ARCHrrECT OR ENGINEERS MAILING ADDRESS
—Penalty
$
BUILDINGADDRESS 2244 OAK KNOLL WAY
PERMITIFEE
$ 242.75
OROVILLE
PLUMBINGPERMIT
Filing Fee 20.00
Each Trap
7.00
LOT NO.
SUBDIVISIONS NAME
EL MAP
Solar or heat pump water heat-er
23.00
USEOFSTRUCTURE
SF)g Duplex 0 Mobilehome 0 Other
SPECIFY
Water piping
15.00
Each gas water heater or vent
15.00
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
TYPE OF WORK
New 0 Addition 0 Remodel 0 Ublities 0 Installation 0 Other 0
Describe Work: 16X20, & 1OX10 COV. PATIO &
DOG PORT AND VINYL SIDING.
Mobile Home ISI GI Wr
@20.00
PERMITFEE
$
Contractor
ELECTRICAL PERMIT
Filing Fee 2 0.'0 0
OR LESS
Main Service 8.000VA OR LESS
23.00
Main Service 200A TO 1000A
FNEW
46.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license is i full force and effect.
License Class Lic. No.
. k
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
0 1, as owner of the property, or my employees with wages astheir sole compensation,
will do the work, and the structure is not intended or offered for sale.
0 1, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
0 1 am exempt under Sec. Business and Professions Code for this
reason
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
0 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.
0 1 have and will maintain workers' compensation insurance, as required by Section
3700of the Labor Code, forthe performanceof work for which this permitis issued.
My workers' compensation insurance carrier and policy number are:
Carrier
EW CONST. DWELLING OCCUP.
AD DN. ACC. BLDS.
so
3.50 Fr.
C S
NEW CONST. MVLTI-OUTLET
_ NON-RESID. BRANCH CIRCUITS
@7.50
&POWER APPARATUS . )
NGLE OUTLET CIR.
Ex. Occup. ( OUTLET OR FDCTURES
20 @ 1.00
SAL Q .50
( OFIXED
Ex. Occup. LETAPPLNS. 0 R
UT S (RESID. EA.
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
PERMITFEE
$
Contractor
MECHANICAL PERMIT
Filing Fee 20.00
Heating
Cooling
Hood
6.50
Ventilation
PERMITFEE
$
Contractor
Policy Number
(The above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
0 1 certify that in the performance of the work for which this permit is issued, I shall
not employ any person in any manner so as to become subject to workers'
compensation laws of California, and agree that if I should become subject to the
workers' compensation provisions of section 3700 of the Labor Code, I shall
forthwith comply with th e pr sions.
X Date /9<,-
Srigu�e_of Applicant - 0 Owner ER Contractor 0 Ag�en
A SHA permit is required for excavations over 60" deep and demolition or construction
si-
of structures over 3 stories in height.
Mobile Home Installation Fee 7T$—
Energy Inspection Fee Is
occ
CONST. TYPE
I
TOTAL FEE $ 242.75
H 0. fES
I IMP
I FLOOD
__ ___ T
FCDFTPARCEL PD
ISSU
This permit is hereby issued under
of the Butte County Code and/or
indicated above for which fees have
By
N__1V
PERMITEXPIRES ON 4A
/
the applicable provisions
Resolutions to do work
been paid.
Date ld_11�45_
/1-7 41
"
rR,ceiptNo. 186010
W, D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT I
A0,00
gd
-V-7' 421.re
COU NTYOF BUTTE - DEPARTMENT QF DEYIELOPMJEN BUILDING DIVISION
.TSERVICES
7COUNTYCENTERDRIVE - OROVILLE, CALIFORNIA 95965. - -MLEPHONE(916)538-7541
'PERMIT APPLICATION DA 1ASHEET
OWNER -C)W .03S - 4 �)O -)07
Proposed Building Use 0,n).013-1jZ M W JS(�- Building Inspector Date
At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance:
DATE RECEIVED By
1 1 All items have been submitted . ........................................
2. Plot plans, 3/4 sets, signed by preparer of plans.
3. Complete plans, 3/4 sets, signed by preparer of plans.
4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . .............
5. Hazardous Material Form . ............................................
6. Energy 1?esign Compliance and supporting documentation . ..................
7. Statement of Intent for Non -Heated and A/C Buildings . ......................
8. Engineered truss details and layout in duplicate (required prior to plan check) . ....
9. Mobilehome data and manufacturer's installation instructions, 2 sets . ...........
10. Fees of $ . ................... ......................
11. Impact fees as shown on attached schedule.
12. California Department of Forestry plan approval/fees .........................
13. Flood elevation lette� (1100 year flood) by California Engineer ...................
FS�14. Sanitation and plot plan approval ��. Health Department . ............
15. City of Chico plumbing permit . .............................................
16. Plot plan and business license approval from City of Biggs/Gridley . .............
17. Planning approval for (A) Use: (B) Parking:
18. Contact Land Developmenta bout (A) Improvements (B) Drainage .............
19. Driveway permit (construction approval required prior to occupancy) .............
-in IreInspection request
20. Pre spection for required. to Building Inspector Date)
21. Contractor's license information. (No., Name Style, Class'ification) . ............
22. Certificate of Workmans Compensation Insurance . ....................
23. Owner -Builder Verification (Given to owner Mail to owner ........
24. Recorded copy of Agricultural Acknowledgement Statement . ..............
25. Letter of signature authorization ...........................................
26. Copy of recorded deed of parcel creation and 60 right of way to a public.road. .;: . . .-
27. Letter of intent on building use . .......................................
28. Mobilehome utility clearance . ....................................
29. Documentation of legal access . ..................... ; ............
30. Documentation of 50% subdivision developed or (A) Road improvements completed
and (B) Parcel meets zoning area and frontage requirements . ...............
31. Existing violation s/expi red permits . ......................................
32. Plan check list . .....................................................
33.
34.
When you issue the permit, process as follows:- Mai�V owner Mail to contractor.
IZ Telephone and hold for pickup at, )(eW i office. Deliver with inspector.,
Other ev
Parcel Creation
Acreage Applicant Date
Copy of Haz-Mat form sent Health Dept. - Fire Dept. _Air Pollution Date
Copy of plans sent Health Dept. _ Fire Dept. Other Date By_
The following data must be submitted prior to permit issuance: (Circle new item not checked above).
1. Index permit for above items No.
2. Additional items required:
Contractor, designer, owner, was advised of above required data by _ phone - mail Counter by _ Date
Contractor, designer, owner, was advised of above required data by _ phone - mail Counter by _ Date
Plans checked by Date Plans approved by (::;7/ qS,,)nL5_ Date 10-16,ar
Sets of plans on hold in File cabinet AP folder
Copy - Department of Public Works
PERMIT NO. V48-j9B,PE,M
A
PERMIT EXPIRES
6�NER� Sunbeam Const.-
CONTR. owner
35-13-121 port.,'
LOCATION (A.P.
Q
2244 Oak Knoll Way, lot 128, Crestwood -/Sub
#2, Oroville
Temp. Power Pole
Called PG&E
Temp. Elec. Serv. V/ 70
Called PG& E
Tjep. Gas Serv.
C
alied PG&E
JOB
FINALED-
(Date)
(Signatu�p�
Setback
Forms
Main Bldg.
Footing
Stem"V
Slab
Piers
Garage
Footings
Stemwall
Slab
Carport
Footings
Slab
Patio
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
IRTU LD!IPG INSPECTION RECORD
" � 7
�r 71
BUILDING I BUILDING (Cont'd) PLUMBING
Firewall yl-�l
Final
Soil Pipinq.
Parapets
FIRE SPRINKLERS
1st Floor
Restroom Fln14
Test
2nd Floor
Windows
;2 gZ-2: � Z! ?k
3rd Floor
Siding
MECHANI!;6L
Topout
Roof Sheathln;��
Heatina
Water Piplog
Roofing
Z��
Sewer
Fdn. Vents ------
Ducts
Fixtures
Garage Ventsc,
-,4 �- / ;' 7,
Water Htr.
Insulation
V,0�� jtxA--xg�ZP
Heaters
Prov. for phy9fcally
handicappe
Conformance of ex.
strLLGIWe
AppliaAces
Gas Piping & Test
Temp. Gas -
E
L
ral
Reinf. Steel
Final
Fixtures
Bond Beam
FIRE SPRINKLERS
Motors
Framing
Test
Water Htr.
Stucco
Final
Subpanels
Mesh
MECHANI!;6L
Gird. Fault Prot.
Scratch
Heatina
Service
Brown
Cooling
Temp. Pole
Finish
Ducts
Underground
Interior Lath -1
7 7Z,-
MOBILEHOMCUTILITIEt --/ ------------------ ff—lec. Service —'Ere—c Pedestal
Water Piping Sewer Gas Piping
=1 E QME INSTALLAISN -------------- Support Elec. Continuity
Water Piping Drainage Gas Piping
DATE REMARKS OR CORRECTIONS
iL -7
6 x
X
z7
Ar
(NOTE: An entry must be made on this form each time you visit the job site.)
M E C H A N I -C A L
r11-1, T
[:) Permit
j tkiderf loor, Stage
Underfloor Supply Plenum: (1) One-story.- (2) Clearances. (3) Combustible
material. (4) Insulation and vapo'r,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, cleanoutd,
plumbing, etc.
Uj Combustion Air: (1) Size.
EIRefrigerant Piping: .(I),Material. (2) Support. (3) Fittings. (4) Insulation.
Fram* R Stage
0 Heating: (1) Approved appliances.. (2) Accessibility..(3) Clearances.
(4) Combustion air.
2 /Vent and Connec'tor: (1) Approved. (2) Size.'(3) Clearances. (4) Cap.'
(5) Termination.
Ea�c_ts: (1) Materials. (2) Size. (3) Support. (4) Fittings. (5) 1 Insulation.
(6) Fire Damper.
_Q__Rg�fr ige rant Piping: (1) Material. (2) Support. (3) Fittings..(4) Insulation.
(5) Condensate drain. I
QKna I
Heating: (1) Accessibility. (2) Combustion air. (3).Safety*controls.
(4) Mectrical connection. (5) Fuel shut-off.
Cooling: (1) Accessibility. (2) Support. 0) Controls. (4) Pressure relief
valves. (5) Class 2 refrigerant.
5/79
P L U M B I N G
Check List
� P �mit
'r rm"r
Undeloor Stage
17 D.W.V.: (1) Sizing. (2) Materials. (3) Fittings. (4) Grade & Su port.
(5) Cleanouts & Accessibility. (6) Clearances. (7) Rough -i n Locations.
E1* (8) Wrapping. (9) Test -.including "Ts".. (10) Additional test 'not
required.*
Water: (1) Sizing. (2) Materials. (3) Support. (4) Test. (5) Wrapping.
0* (6) Dissimilar metals. (7) Service regulator -installed or not required.*
Gas: (1) Sizing. (2) Materials. (3) Support. (4) Log Lighter. (5) Wrapping.
M/iFr=ving Stage (Top 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.
(14) Additional 2nd flo,or test not required.*
��Wa 'er . (1) Pipe Test. (2) Mixer Valves. (3) Support. (4) Roof drains.
glas- (1 ize. (2) Materials-. (3) PR Valve Drain.
a:ter HeatSer- (1) Vent. (2).Lot*a't'ion.�.-(3).'Pk.Valv6 Drain.
Ef"Final
D.W.V.: (1) Connected to sewer system. (2) Special systems'.
=ater. (1) Water Source. (2)'Shut-off. (3) Anti -siphon Valves.
E�Gas: (1) Test..(2) Connectors.
i7liater Heater: (1) Location. (2) Accessibility. (3)'Clearances.-(4) Stability.
(5) 18" Garage Floor. (6) Mechanical protection. (7) Combustion i Air.
(8) Draft Diverter. (9)*Vent Connector. (10) Vent. (11) Shut-off and
connector. (12) PR Valve & Drain.
3/1�xtures: (1) Approved. (2) Sitability. (3) Clearances. (4) Trapped.
(5) Connections. V4—Cross-connections. (-;�-Dishwasher Air Gap.
5/79
I
RESIDENTIAL
ENERGY CONSERVATION STANDARDS
CONSTRUCTION COMPLIANCE CERTIFICATE
THIS IS TO -CERTIFY THAT ENERGY CONSERVATION REQUIREMENTS HAVE BEEN
INSTALLED IN CONFORMANCE WITH CURRENT ENERGY CONSERVATION REGULATIONS
AT 7,_�e J 7-j a -) QQ c-=7
,(location)
'BUILDING PERMIT NO.
A -�- P. NO.
THE FOLLOWING HAVE BEEN INSTALLED AS PER APPROVED PLANS:
(C�eck each item or write N/A if not applicable)
INSULATION:
Slab Edge.
Fdn. Walls
Floors --
Walls ko-, —
Ceiling/Roof A�?
Ducts
Circulating/Pipes
APPROVED HEATER 4�F S
APPROVED WTR.HTR."'
GLAZING:
Single Glazed
Special (Insulated) PIC-_ <
CERT. & LABELED WDS.
& SLIDING DRS.
WEATHERSTRIPPED DRS.
BACK DAMPERED FANS ZlIXE
INTERMITTENT IGNITION JEVId–ES'
CERT. APPLIANCES. 6/jF:7g�
I �
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*
(please print)
Signature of
Insulation Applicator
State Contractors
License No.
Ce r_;4t_r_a /Owner Name
(please print)
Signature of Date
State Contractors
License No.
THIS CERTIFICAT - E MUST BE ON FILE WITH THE BUILDING DEPARTMENT PRIOR TO
REQUESTING FINAL INSPECTION AND SHALL BE POSTED IN A CONSPICUOUS LOCATiON
WITHIN THE -DWELLING.
Permit#
I.NSULATION CERTIFICATION
Number and Street
City County
Crestwood Sub, Unit 2
-Lot 128
Subdivision
Lo I Number
DESCRIPTION OF INSTALLATION
ROOF
Material
Stand Name
Thickness -(inches)
Thermal Resistance JR Value)
EXTERIOR WALL
Material Fiberglass
Stand Name Certainteed
Thickness, iinches) 3k
Thermal Resistance (R Value) -
CEILING'
7
Batt or Blanket TVpe
Brand Name
Thickness (inches)
Thermal Resistance IR Value)
LooseFiliType- Fiberglass
Brand Name
Minimum Thickness (inches) 8L,"
Number of bags 18 Weight per bag 25 �ib
Area Covered (ft 912
Ther mal Resistance (R Value), 25
FLOOR,ELEVATED
Material
Brand Name
Thickness (inches)
Thermal. Resistance (R Value)
FLOOR.SLAB
Material
Brand Name
Thickness (inches)
Thermal Resistance j'R Value)
Width (inches)
FOUNDATION WALL
Material
Brand Name
Thickness (inches)
Thermal Resistance (R Value)
HEATING SYSTEM Gas Furnace
Make
Model Drscription
Rated Bonnet Capacity
DECLARATION
I hereby cenify that the above insulation was
installed in the building at the above location ir. conformance with the
current regulations setting Energy Conservation Sti�clards for new geside.niial buildings (located in Title 241,ofthe,
California Administrative Code).
nME AM CONSTRUCTION .CO., LICENSE #133200
General Contractor (builder) License Number
z
Dd'te
,,If yr Sl�nalu_,e'lihd Tin.
VfSTICA
Hawkin T--1.+ -,on
378407'
Sub.�Fo tractor (lft�un3�pC_hcator) License Number
-10-8
_Tres. 3
Signature and Title Date
CERTIFICATE REVIEWED BY T-1 a t e
BIN -029 -n- �,_r n—s p-i-e.c. on Office)
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965
4 Tele7phbne: �34-4541
APPLICATION AND PERMIT 7
BUILDING
Owner SQ. F-T�. OCC. BUILDINGkuoLUATI&;7"
MailingAddress
-coo
TelephoneNo. C4 64
lyz&. IN(11�d 11a41-IJ4211 1.,1Z -2:Z_-2 I �, -I� f
Contractor
Mailing Address
Telephone No.
Building Address
Zoning & Plan5nini
A. P. No.3s- /-'-"
F&4 b -Cl Svqz�� I F i re Dept. F i re Zone Use Permit
EQA I Parking I Parcel on I Parcel Map 1 60' R/W Improvemen
Plans Declarati
_'A11414"R010 P arcel 1;�P�ro P
NEW 9 ADDITION [] UTILITIES OTHER
Single Family Duplex Mobil Home Others
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:
License No,
10 1 am exempt f rom the Contractors L i cense Laws of the State of Cal i forn i a. Permit Fee
MECHANICAL
WORKMEN'S COMPENSATION INSURANCE PERMIT FILING FEE
I am aware of the provisions ot Section3700 of the California Labor Heatina .<7) "
Code which requires every employer to be insured against liability
for Workmen's Compensation.
E] 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
L-7- 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.
Classification
Fireplace I
Total Valuation
Permit Fee
PlanChecking Fee&/orPenalty
Permit Fee
$
.1,
$
PLUMBING
No.1
@
FEE
PERMIT FILING FEE $3.00
_3 , 00
Each Trap 1.50
Repair drainage or vent piping 1.50
Water piping 1.50
Each gas water heater or vent 1.50
Gas piping system 1 - 5 outlets 1.50
/,SO.
,E-ach additional outlet .30
Building sewer 5.00
Lawn sprinkler system 2.00
Permit Fee
$
7
ELECTRICAL
No.
@
FEE
I—
PERMIT FILING FEE, $3.00
Main service 600V OR LE SS
100 AMP OR LESS 5.00
Main service EA. ADD -L 100 AMP 2.50
OVER 600V
Main service 100 AMP OR LESS 25.00
Main service EA. ADD'L 100 AMP 1 1 1.0011
NEW CONST. I DWELLING OCICJJP_%A1I 1,3.+ � � ##I
% '7 / t
IRCUITS
Ex. OCCU13(OUTLETS OR FIXT11P
FIXED APPLNS* OR
Ex. Occup.(OUTLETS (RESID.) E
Temporary service
Mobile Home Facilities
Misc. Wirina
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 proper y for inspection purposes.
Yvm-k, DateZA1117141.
Si4AA'oture of Permitee or Agent
Receipt No.
White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod-Appli cant
:5
Cooling
2.00
10.00
15.00
6.25
$
$3.00
Ventilation I
Hood 2.00 .0 V
Permit Fee $ $ J )i- I
Land Development Fee $
TOTAL PERMIT FEE
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.
DIR OR PUBLIC WORKS
By Date
Building permit expires Date ?_
_511
NOTE:—All Materials & Workman;hiP Shall Be in
Acc6rdonce with Recognized Gf-4 Practices a4*
of'o quality prescribed fo'lr I the'.SPWIed use in ther
Uniform Building, Plumbing & -Me�hdnical Codes and
the National Electrical Code.
7Z -9a
I 1A r / 0 A/
kept set of
� 017 fh P/Oft
Moke 0 e job Ond
Wr;ff, ny cho Of 0// t. sPec;p1cOf.
Work. ft Pe,,M - �ges .. o/fitnes oryd - 10"s A41JS-T
C Issior, erof;,,,, it *
6_0 Is U4 OWPI / .4je
of 8,,r" the 1) 017 sqM , L, to
ffe epart ent 0 With -
Of
A
5
file 16t 10jAxInC3 -
$Aasw Plan on opt 1 /.1 ;*** : .
1P
7
L
./a R 41 z
0,41Z le'IVOLL WAY
The Mg. Setback shall be 5 ft. fr*h ths
orerty line and 50 ft. from
side pim
cenfortne of the road. permitting a mald-
Wasm a 2 ft. ecive overhang but. entir6f BUME Cou"TT,
91. Of! easetments. SUIMING DEPARTMoff
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