HomeMy WebLinkAbout038-170-03538-17-35 2433-89E
�MEWES; Martha II I
8537 Taylor Ave, Durham
(electric upgrade & clean up)SF
038-170-035 ,,,PERMIT#97=.2290
TILLEY, Paul. D.
8577 Taylor Ave.'�, Chico
Replace Wall Htr/SF'' r0r� 0�1
038-170-035 06-0826
BOLES
8637 TAYLOR AVE, DURHAM,
Cont: OWNERdo
�fELEC SERV l3
v T G Butte County Department of Development Services. 0ei re RREA
1 t I C J 7 County Center Drive, Oroville, CA 95965 _
(530) 538-7601 vnvvv.buttecounty netidds c�U7�i 1
r
. 'RESIDENTIAL
APN: Permit No.
Owner. 038-170-035 06-0826
BOLES
Site Address: 8637 TAYLOR -AVE, DURHAM
! Cont: OWNER
Contractor. ! _ ELEC SERV _ . _ _ _ !
Type of Permit
OFFICE COPY
Address
GAS
Meter By Date
ELECTRb SIwIrv10e/S 3 C�(D
Meter By Date
SPECIAL CONDITIONS
CHECKED BY
❑ SRA
❑ FLOOD CERTIFICATE EQUIRED
❑ FIRE SPRINKLERS REQUIRED
❑ SPECIAL INSPECTION rTEMS
❑ VERIFY
❑ USE PERMIT CONDITIONS
❑ SUBSTANDARD HOUSING LETTER
❑ ENCROACHMENT PERMfT
❑ REINSPECTION FEE PAID
❑ ENV HLTH CLEARANCE
A-LIL6 14
DATE JOB FINALED:
SIGNATURE: �1.,Lx�O j�-„ ,�„ n . �Y Y ►��v"�y
= OK
o = Not OK
MANUFACTURED HOMES
" PERMANENT FOUNDATION " SOFT -SET
1 Zoning -Setbacks -Easements .
2 Soils; Special MH Support Sketch
3 Sewer; Loctn-Test; FaIUC/O-Concrete
4 Wtr; Loctn-Test-Easement Needed -Regulator
5 Elec Loctn-DIrncs-Grnd Amp -Concrete
6 Yard Gas; Loctn-Test-Wrap . Nat Q or LP❑
Inch Sz Ft Lngth
7 Blckng; Sz-Spacing-Marriage Line
8 Gas; MH Test-Demand-Valve-Cnnctr
9 Elec MH Cntnty Test-Crossovers-Breakers•Clrncs
10 Drain; MH Test -Fall -Flex Cnnctr
11 Wtr & Sewer Connected -00 to Grade
12 Gas and Electricity Tagged
13 Tie Downs 0 Foundation Q
14 Exits
15 Cert of Occupancy
16 HUD Label/Insignia Numbers Serial Numbers
MISCELLANEOUS
DEC KS'COVERS'CARPORTS`GARAGES
1 Zoning -Setbacks -Easements
2 Ftg3; Soils -Sz-0pihSpacing-Cnnctrs-Steel
3 Decks, Girders/Joists-Dcking-Brcing
Stairs-GuardlHandra ils
4 Wood Awn; Posts -Beams-Rftrs-Cnnctrs-Shthg
Frmg-Brcng
5 Alum Awn; Columns-CnnctnsSplice-Decal-Enclsrs
6 Carports; Wndws-Doors
7 Electric
8 Frmg; Sills-Anchrs-Studs-Rftrs-Trusses
9 Siding; Nailing -Veneer -Stucco -Lath
10 Roof; Shthg-Roofing
11 Ext; Steps -Doors4-andings
12 Braced Wall pnls
o4* o`s o'er �S`.
Drawing
1 Setbacks -Easements
2 Soils; Compaction -Structure Stability
3 Pool Structure; Steel-Cnnctns-Thickness
Dead Men -Lining
4 Elec Rcptcls/Lting; Distance-GFI
5 Elec Pool Lting; 15 volts-GFI
6 Elec Encisrs; Conduit Entries Terminals -Listed
7 Elec Bonding; Metal w]5*-Crcltng Egp-Htr
8 Elec Grndng; Eqp w15' Crcltng Eqp-Pool Ightg
Bokes-EncisrsTrilboards-lnsultn to Main Conduit
9 Health Dept Appivl
10 Plmb; Cir Test-Wtr Supply Test
11 Lt Niche
12 Enclsr, Fencing -Alarms
13 Bonding, Diving board or Slide
s
s`
Drawing
1 Setbacks -Easements
2 Soils; Compaction -Structure Stability
3 Pool Structure; Steel-Cnnctns-Thickness
Dead Men -Lining
4 Elec Rcptcls/Lting; Distance-GFI
5 Elec Pool Lting; 15 volts-GFI
6 Elec Encisrs; Conduit Entries Terminals -Listed
7 Elec Bonding; Metal w]5*-Crcltng Egp-Htr
8 Elec Grndng; Eqp w15' Crcltng Eqp-Pool Ightg
Bokes-EncisrsTrilboards-lnsultn to Main Conduit
9 Health Dept Appivl
10 Plmb; Cir Test-Wtr Supply Test
11 Lt Niche
12 Enclsr, Fencing -Alarms
13 Bonding, Diving board or Slide
OK
= Not OK
_ RESIDENTIAL (Single
& Duplex)
DATE JUNDERFLOOR
DATE
IFLUMBING
1 Zoning -Setbacks -Easements -Flood -Slope
53 Wtr Htr; Vent-Acc-Cmbstn Air Baffle
2 Ftg Main; Soils-Elec Grnd Ftg Dpth
54 Wtr Pipe; Test & Anchr-Nail Prtctn
3 Ftg Garage; Soils-Steel-Elec Grnd Ftg Opth•
55 DWV; Test Fittings & Anchr Nail Prtctn
4 Ftg Porches/Decks; Soils -Steel Ftg Opth
56 Shwr Pan; Test, First flr-Tub Acc
5 Stemwalls Main; Steel-Blockouts-Wrapped
57 Test Tub & Shwr, 2nd flr - Tub. Acc
6 Stemwalls Garage; Steel-B(ockouts-Wrap ped
58 Gas Pipe; Sz & Anchrs
64 Hold Downs and Special Anchrs
59 Fire Sprinkler; Test
7 Slab, Steel Wrapped
60 Yard Gas Piping
8 Piers-Frplc Ftg-Steel
9 DWV; Fall -Fitting -Test -2 -way CIO -Sewer Test
�
10 UF, Gas Pipe; Sz Anchrs-Sz Test
°'a
0��c
o`�c
Ll Wtr Pipe; Test-Anchrs-Rgltr-Service Test
12 Elec Undrgrnd
DATE
JMECHANICAL
13 Plenums & Ducts; Clrnc-MaterialSupport-Insultn
61 AC Ducts Insultn & Support
14 GirdersSills-Anchr BoltsJoists-Vnts-Cripples
62 Vent Fan, Exhaust abv Insultn
15 Acc & Vntltn
63 Condensate Drain & Ovrflw, Sz & Grade
16. Insulation
64 Furnace -Vent Acc-Comb Air Rtrn/Vent 115 Outlet
65 Attic Acc & Pltfrm if Fumace in attic
°4
C mac`
DATE IFRAMING
17 Sills Proper Materials & Anchrs DATE
IFINAL
18 Walls Studs -Nailing Spacing & Braces -Plates -Sound
66 Ext Steps -Door & SideLt Prtctn-Landings
19 Bearing Walls over Girders & fir Nailing
67 Smoke Detector
20 Draft Stop in Walls (rat proof)
68 Furnace Vnts-DIrnc-Comb, Air-Cnnctr
21 Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs
In Garage; abv-flr-Ducts-Mech Prtctn
22 Headers & Beams-Sz & Bearing
69 Bedroom Exiting
23 Hangers -Post Caps-Anchrs-Cnnctns
70 GFI & Bath Fxtrs & Tub Acc-Spa
24 Ceiling Joist-Rftr Ties-Purlin-Roof Brac TrussShthg
71 GFI Arc Fault
25 Frplc Ties or Type A Flue-Frplc Throat Clmc
72 Elec Trim & Subpnl, Breaker Szs & Labels
26 Attic Acc; Sz & Rmx Prtctn-Draft Stop -Ins Baffles
73 Stairs, Guard/Handrails
27 Bdrm Wndws or Exiting Doors -Sill Ht & Dimensions
74 Frplc or Stove, Clmc-Hearth
28 Garage Fire Prtctn Framing -RC Channel
75 Elec Outlets at Wood Pnl, Int & Ext
29 Prprty Line Firewall & Opngs
76 Ktchn, Fxtr & Appinc; Grnd-Air-Gap-Cooking Clrnc
30 Ext Doors -One T -Check Garage 3rd Story, 2 Exits
77 Elec Outlets & Rcptcls at Ktchn Counter
31 Stairs; Width-Hdrm-Rise-Run-Landing-Fire Prtctn
78 Garage Fire Door, Swing -Landing -Closure
32 Plywd on Roof Ovrhng-Attic Vns-Rftr Outrgrs
79 AC Duct in Garage -Damper
33 Siding -Nailing Veneer
80 Wtr Htr; Vnts-DImc-Com Air Cnnctr-PRV; abv fir
34 Stucco Lath -Weep Screed-Fndtn Vnts-Undrflr Acc
Mech Prtctn; LPG Appince Undr House 3' drain
35 Glazing Area -Glass Prtctn-SkyLts-Plastic
81 Plmb; Elec & Mech Eqp Listed for Loctn
36 Shear Walls; Nailing -Bolts
82 Elec Rcptcls in Garage (GFI) Romex Prtctn
37 Brace Int/Ext Wall pnls
83 Insultn-Foam-Looked in Attic
38 Insultn-Walls-Ceilings
84 Guard Rails & Deck Cnstrctn-Post Caps
39 Infiltration-Walls-Wndws
85 Fndn Vnts & Crawl Hole Door Drnge & Wood -Earth
86 Clrnc Drnge Planters ❑Yes ❑No
s
87 Stucco Brown -Finish
°'. - ° o'er m
88 AC Unit Dscnnct, Elec-Plmb
89 Wits abv Roof, Plmb-Appinc-Frplc-DIrnc to Opngs
DATE JELECTRICAL
90 Wtr Well, Dscnnct, Elec, Plmb
40 Fxtr & Tmsfrmr Clmcans Prtctn
91 Ext Elec Trim, GFI Rcptcl-Undrgrnd
41 Elec Rcptcls Spacing-Lts & Switches at Doors
92 Vntltn thru House
42 Sz Boxes & No Of Cndctrs Stapled
93 Glass Prtctn
43 Romex Installed Close to Edge of Studs & CJ
94 Corrections from previous Inspctns
44 E 'Grnd made up w/Mech Fstnrs
95 Gas Test -Meters Tagged, Gas-Elec
rndng Electrode Bond Gas & Wtr
96 Wtr & Sewer Cnnctd-C/O to grade -HD Apprvl
46 2 Appinc Cires in Ktchn & Cndctr Sz GFI
97 Energy Cmpinc Cert -Other Certs
47 Subfeed Wire Sz ga ❑ CU or ❑AL
98 Address Posted
AC Wire Sz . ❑ CU or ❑ AL
99. Fire Sprinkler
48 Range Circ ❑ CU or ❑AL
Oven Circ ya ❑ Cu or ❑ AL
Insul d Neutral ❑ Yes ❑ No
9 rvice-Riser Cndctrs & Grnd Main Dscnnct
50 Eqp Clrncs pnls-Motors-Mech Eqp
51 Clothes Closet Lt-Shwr Lt -Spa Lt
52 Smoke Detector
y -, 3S-
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT
24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO)
OFFICE #: (530) 538-7541
LICENSED CONTRACTORS DECLARATION
I hereby affirm under penalty of perjury that I am licensed under
provisions of Chapter 9 (commencing with Section 7000) of Division 3 of
the Business and Professions Code, and my license is In full force and
effect.
License Class:. License Number:
Date: Contractor:
OWNER -BUILDER DECLARATION
I hereby affirm under penally of perjury that I am exempt from the
Contractors' Slate License Law for the following reason (Sec. 7031.5
Business and Professions Code: Any city or county which requires a
permit to construct, alter, improve, demolish, or repair any structure, prior
to its issuance, also requires the applicant for such permit to file a
signed statement that he or she Is licensed pursuant to the provisions of
the Contractor's State License Law (Chapter 9 commencing with Section
7000) of Division 3 of the Business and Professions Code) or that he or
she Is exempt therefrom and. the basis for the alleged exemption. Any
violation of Section 7031.5 by any applicant for a permit subjects the
applicant to a civil penalty of not more than rive hundred dollars ($500).):
❑ I, as owner of the property, or my employees with wages as their
sole compensation, will do the work, and the structure is not
Intended or offered for sale (Sec. 7044, Business and Professions
Code: The Contractors' Stale License Law does not apply to an
owner of properly who builds or improves thereon, and who does
such work himself or herself or through his or her own employees,
provided that such improvements are not intended or offered for
sale. If however, the building or improvements are sold within one
year of completion, the owner -builder will have the burden of
proving that he or she did not build or improve for the purpose of
sale.).
t I, as owner of the property, am exclusively contracting with
licensed contractors to construct the project (Sec. 7044, Business
and Professions Code. The Contractors' State License Law does
not apply to an owner of property who builds or improves thereon,
and who contracts for such projects with a contractor(s) licensed
pursuant to the Contractors' State License Law.).
❑ I am Exempt under Article 3 of the Business and Professions Code
—I Date: 44—1 bta Owner:
WORKERS' COMPENSATION DECLARATION
I hereby affirm under penally of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for
workers' compensation, as provided for by Section 3700 of the
Labor Code, for the performance of the work for which this permit
is issued.
❑ 1 have and will maintain workers' compensation insurance, as
required by Section 3700 the Labor Code, for the performance of
the work for which this permit Is Issued. My workers' compensation
insurance carrier and policy number are:
PERMIT NO.
BP060826
Issued Date: 04/11/2006 APN: 038-170-035-000
Site Address: 8637 TAYLOR AVE DUR
Map Index:
Description: new electric service
Owner: BOLES G RUTH
TILLEY M JOAN & PAUL D
8577 TAYLOR AVE
DURHAM, CA 95938
Applicant: BOLES G RUTH
TILLEY M JOAN & PAUL D
8577 TAYLOR AVE
DURHAM, CA 95938
Contractor: BARKER ELECTRIC
P O BOX 8915
CHICO, CA 95927
530-342-4806
License #: 626363
Architect:
Engineer:
Carrier: Total Square Ft: 0 S. F.
Policy #: Valuation: $0.00
t� I certify that In the performance of the work for which this permit Is Census Code:
issued, I shall not employ any person In any manner so as to
.become subject to the workers' compensation laws of California,
and agree that if I should become subject to the workers' �]
compensation provisions of Section 3700 of the Labor Code, I shall
forthwith comply with those provisions.
Date:
I II
Applicant: �� f
WARNING: Failure to secure workers' compensat on 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 per iris—here s9' edZnde he applicable provisions of the Butte County Code and/or
I hereby affirm that there is a construction lending agency for the Res ions to d ork I dicate bove for which fees have been paid. /
performance of the work for which this permit Is Issued (Sec 3097 Civ.)
Name: BY �;/atDate:
Address: PERMIT EXPIRES ON: _ Z/a27
(Date)
❑ I hereby certify that the use of thls facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage,
handling and use of hazardous materials.
❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project.
❑ Attached are copies of the required E.P.A. notification forms.
I hereby certify that I have read this application, that the above information Is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with
all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby
authorize representatives of Butte County to enter upon the above mentioned property for Inspection purpose,
R
Print Name: C:�'^� Ue� ( I, L L 6 `/ Signature
Date:
Owner
❑ Contractor
❑ Agent for Owner
❑ Agent for Contractor
B. C. Building Permit 01.16-04 pg 1
.•- Q
,e,13Tr BUTTE COUNTY PERMIT
0 0 - DEPARTMENT OF DEVELOPMENT SERVICES NO.
0 BUILDING PERMIT -APPLICATION
o AND. SUBMITTAL REQUIREMENTS
0 24 HOUR [NSPECTIONg: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2534 BPO -6 C
o`_' p o OFFICE #: (530) 538-7541
A FEE WILL BE REO UIRED AT TIME OF APPLICATION BIN #
e0U t4l� Website: www.buttecounty.net/dds
"PLEASE PRINT CLEARLY"
Zoning
ARCHITECTIENGINEER
Name
I
Address
Yes
City
Occ.
State
Zip
Phone
Planner
Fax
E mail
State License Number
Date: I AoV
t (��
�
`�
APPLICANT INFORMATION
Name
Address
City
State
Zip
Phone
Fax
E-mail
,
APPLICANT SIGNATURE
X
'
For office use only:
Zoning
r— C50
Flood Zone
I
I SRA .1
Yes
I No
Occ.
Type Const.
Subdivision Name Map
Book Page Lot #
Planner
Date Approved:
C)VFR FOR SUBMITTAL REQUIREMENTS
PROJECT LOCATION .
AP# 3 %D
PropgrlyA�ddrs
Cross Street / /Y
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:
&�L-��1fL///C�'
Sq FT- Living Garage Open Cov,
❑ 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 renewlaction on an
application after expiration, a new application, plans and fee will be
REQUEST FOR REFUNDS
Refunds can only be made upon written request by the person who
paid the fee. The request must be made prior to the expiration of the
permit 'and no construction work has been done. Filing fees, plan
check fees for work plan checked and other department costs are not
refundable.
r— C50
Received by: Amount:
Bldg
C�
SRA
Receipt #: ' I I
'
—Sheriff
, f LA
�'I
SMIP
%%��,,
Other
Date: I AoV
t (��
�
`�
Total
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 AIC for Non -Residential Buildings.
❑ 6. Manufactured homes: (A). Installation manual, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans,
all in duplicate
❑ 7. Metal bldgs: (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. Building Permit Application Without Required Clearances Form .
❑ 12. Hazardous Material Form (for Commercial Buildings only).
Remaining items needed to issue the permit. Additional items may be required after Plan Check and Planning
review (May
require additional plan review upon receipt of the following items.)
❑
1.
Agricultural Buffer clearance and site plan approval from the Ag Commissioner's office (if required).
❑
2.
Impact Fees.
❑
3.
California Department of Forestry plan approval (if required).
❑
4.
NPDES Form.
❑
5.
Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy).
❑
6.
Contractor's license information. (Number, Name Style, Classification).
117.
Workers Compensation Carrier and Policy Number.
❑
8.
Owner -Builder Verification (if required).
❑
9.
Letter of Sig natu re.authorization (if required).
❑
10.
Recorded copy of Agricultural Acknowledgment Statement.
❑
11.
❑ Legal description from current recorded grant deed, ❑ Copy of M.H. Title, Title transfer, or MCO.
❑
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
KAFORMSWILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2 REV 8-12-05
!°'i37��j3c� 1 air�8''rt+�r"'%d�fq�l'c:A�tan
r
038-170-035 PERMIT#97-2290
TILLEY, Paul D..
8577 Taylor Ave., Chico
Replace Wall'Htr/SF
i% -
Q OOFFII%CE COPY
Address' -
GAS
Meter By Date 'U 2?'
ELECTRIC
Meter By Date
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7.41 PERMIT_NO.
(Rev. 12/96) APPLICATION AND PERMIT"��`�I!�
ASSESSOR PARCEL NUMBER
Z NING
BUI DINGPERMIT
OWNER
r .>a
TELEPHONE
Sp, FT, OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS
8%77 TAYIDR Avg. MIRRAM
CONTRACTOR'S NAME
owm
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
CONSTRUCTION LENDER
LENDER'S MAILING ADDRESS
'
Fireplace
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee
$ - 20.00
Permit Fee
$
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee
$
BUILDING ADDRESS
Energy Plan Checking Fee
$
PERMIT FEE
$
LOT NO.
SUBDIVISION'S NAME
PARCEL MAP
PLUMBING PERMIT
Fling Fee 20.00
USEOFSTRUCTURE
SF 0 Duplex ❑ Mobilehome ❑ Other
SPECIFY
Each Trap
7.00
Solar or heat pump water heater
23.00
Water piping
15.00
Each gas water heater or vent
15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑
Describe Work: REPLACE WALL HEATER
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home IS I G1 W
920.00
PERMIT FEE
S
ELECTRICAL PERMIT
Fling Fee 20.00
Main Service e00v oR LEss
200A OR LESS
23.00
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,
( 9 )
and my license is in full force and effect.8
License Class LIC. NO.
OWNER -BUILDER DECLARATION
1 hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
CYI, as owner of the property, or my employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
❑ I, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
❑ 1 am exempt under Sec. Business and Professions Code for this
reason
Main Service ( 200A TO 1000A
46,00
NEW CONST. DWELLING OCCUP.
OR ADDNS. ( & ACC. BLDS.
so
3.50FT,
NEW CONST. MULTI.OUTLET
NON-RESID. ANC CI
97.50
OWER APPARATUS
PSINGLE OUTLET CIR.
Ex. Occu OUTLET OR FDRURES
20 @ 1.00
BAL @ .50
Ex. Occup. ouT ET RESIo.1.
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
PERMIT FEE
$
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
❑ 1 have and will maintain workers' compensation insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permit is issued.
My workers' compensation insurance carrier and policy number are:
Carrier
MECHANICAL PERMIT
Filing Fee 20.00
Heating
15.00
Cooling
Hood
6.50
Ventilation
PERMIT FEE
S 35.00
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.)
P I certify that in the performance of the work for which this permit is issued, I shall
not employ any person in any manner so as to become subject to workers'
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.
X I"1 �A- jj_ j �,;•� ____ Date .� j_I
10
Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent
An OSHA permit is required for excavations ove 60" deep and demolition or construction
of structures over 3 stories in height.,,
Mobile Home Installation Fee
$
Energy Inspection Fee $
occ
CONST. TYPE
TOTAL FEE $ 35.00
HA2.
I D. FEES IMP
FLOOD
CDF
PARCEL I PD
I HD ISSUE
This permit is hereby issued under the applicable provisions
the Butte County Code and/or Resolutions to do work
indicated above for which fees have been paid.
By � J��--Date i.� y; 5 /lam
✓ L�
PERMIT EXPIRES ON / ) /
Dale
Receipt No. Z��7
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES-BUILDINGDI SION
7 County Center Drive - Oroville; California 95965 - Telephone (916) 538- 41 PERMIT NO.
(Rev.12/96) APPLIC.AfIdN AND PERMIT
ASSESSOR PARCEL NUMBER -170-035
38 — —
ENING
BU ING PERMIT
7
OWNER
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
OWNERS MAILING ADDRESS
8577 TAYLOR AVE- D11RHAM
CONTRACTOR'S NAME
TELEPHONE '
CONTRACTOR'S MAILING ADDRESS
CONSTRUCTION LENDER
LENDER'SMAIUNG ADDRESS
'
Fireplace
'. Total Valuation $
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee $ 20.00
Permit Fee $
ARCHITECT OR ENGINEERS MAILING ADDRESS - �1
Plan Checking Fee $
BUILDING ADDRESS R577 TAYTOR AVE
Energy Plan Checking Fee $
CHICO
PERMIT FEE $
LOT NO.
SUBDNISIOWS NAME
PARCEL MAP
PLUMBING PERMIT Fling Fee 20.00
USEOFSTRUCTURE
SF ki Duplex ❑ Mobilehome ❑ Other
SPECIFY
Each Trap 7.00
Solar or heat pump water heater 23.00
Water piping 15.00
Each as water heater or vent 15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑
Describe Work: REPLACE WALL HEATER.
Gas piping system 1 - 5 outlets 15.00
Building sewer 15.00
Mobile Home I S I G I W 920.00
PERMIT FEE $
ELECTRICAL PERMIT Fling Fee 20.00
Main Service EooV OR LESS
zooAoRLESS 23.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license is in full force and effect.
License Class LIC. NO.
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
H' I, as owner of the property, or my employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
❑ I, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
❑ 1 am exempt under Sec. Business and Professions Code for this
reason
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
❑ 1 have and will maintain workers' compensation insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permit is issued.
My workers' compensation insurance carrier and policy number are:
Carrier
Main Service 200A To I000A 46.00NEW
CONST. DWELLING OCCUR s0
OR ADDNS. ( a ACC. BLns. 3.5¢FT:
NON -RES D. NEW CONST. MULTI-ORANCH CIRCUT 97,50
POWER APPARATUS
8 SINGLE OUTLET CIR.
00
Ex. Occup. OUTLET OR FIXTURES a20 @' 50
;00
Ex. Occup. OUTEEDTs RES D.OEA L 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wirina 23.00
PERMIT FEE $
MECHANICAL PERMIT Fling Fee 20.00
Heating 15.00
Cooling
Hood 6.50
Ventilation
PERMIT FEE $ 35.00
Policy Number
(The above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
I certify that in the performance of the work for which this permit is issued, I shall
not employ any person in any manner so as to become subject to workers'
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
orthwith comply with those r visions.
�O^^ .��()-7
X kDate _G`j_1
Signature of Applicant - ❑ Owner ❑ Co tractor ❑ Agent
An OSHA permit is required for excavations ov r 60" deep and demolition or construction
of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
occ CONST. TYPE
TOTAL FEE $
HA2. D. FEES IMP FLOOD CDF PARCEL PD HD ISSU
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.
By pate U Z3
A,,�—u
PERMIT EXPIRES ON
Deta
Receipt No. 2
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
L
COUNTY OF BUTTE-UEPARTM'ENT OF PUBLIC WORKS
7 County Center Drive - Oroville, GaliIorni8:95965 - Telephone: 916/538-7541
APPLICATION AND PERMIT
PERMIT NO. ,
ASSESSOR yP A% CEL•`.'MIE
ll`C(I
ZONING
BUILDING PERMIT
OWNER
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS
COUTRAC TO, '5NAME • •
TELEPHONE
C 'T ACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation Is
LENDER'S MAILING ADDRESS
Filing Fee
$ 10.00
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
i
Penalty
$
BUILDING ADDRESS_
Permit fee
$
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAME
PA CEL MAP
Water piping
5,00
Each qas water heater or vent
5.00
USE OF STRUCTURE
SF,] Duplex❑ Mobilehome❑ Other I
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home Is
10.00 ea
TYPE OF WORK •
New❑ Addition❑ Remodel❑ Utilities❑ Installation[] Other]
Describe work: %/� �2 ��' �` ({^ %.�r�
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 100 AMP 001 OR LESS
RSLESS
10.00
Main service EA. ADD'L 100 AMP
2.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my lioenset is in full force and effect.
License No. Classification
1, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed: contract-
ors. (Sec. 7044) i
❑ I am exempt under Sec. Business and Professions Code
for this reason
1
NEW CONST. DWELLING OCC UP.y ,
/
DR ACDNS• ACC. BLDGS. zQsgft
NEW CONSTRES
NMULTI-OUTLET.CRCC 2,50 ea
NO N.R ESLD .BRA CH CIRC ITS
POWER APPARATUS &)
SINGLE OUTLET CIR.
EX. Occup OUTLETS OR FIXTURES 120 0 a t I
L0 0
FIXED APPLNS. OR
EX. Occup. OUTLETS (RESID.) EA.1 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. �Yirin 15.00 �..,..
9
! & 7'` /S—
Permit Fee $ �,..-
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):(
❑ The permit is for $100.00 (valuation) or less.
❑ I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
r I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
Contractor
MECHANICAL PERMIT
Filing Fee 10.00
Heating
Cooling
Hood
3.00
Ventilation
permit Fee
$
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the County of
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
against said County in consequence of the granting of this permit.
X -111 '4it, \' ;1%.II 1' � -7�/: 1, 1.'>f
�, Date
Signature of Applicant - Ownerj>�J Contractor ❑ Agent ❑
An OSHA permit is required for exctav'ations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
TOTAL PERMIT FEE $
OCCu P.
CONST.TTPC
ISCHOOLIFLOODIPARCELI
PD HIS
ISSUE
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIRECTO OF PUBLIC
BY
PERMIT EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
(,
Date
- �`
Receipt No.
WNITE-D.J.W.. YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
If1 �� 196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Oroville — Phone: 538-7541
747 Elliott Road, Paradise— Phone: 872-6307
CORRECTION NOTICE
RMI
A routine inspection indicates that the following violations of County Ordinance
exist at the above address and should be corrected. Please notify this office
when co r ction of work is completed. If you have any question pertaining to this
matter or need additional explanation, please contact this office immediately.
47 4-I.E/
Inspector Date
CO..--...yv_wr -ss�..., rsr ...^..-. .+� <<_v.1,:''r*w.�..a: _Y•s.�a�T.•�
#' UNTY OF BUTTE
=` DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-2751
. Pr 7 County Center Drive, Oroville — Phone: 538-7541
747 Elliott Road, Paradise— Phone: 872-6307
CORRECTION
ER
C
NOTICE
z�13-7 J' ;
PERMIT NO.
A routine inspection Indicates that the following violations of County Ordinance
exist at the above address and should be corrected. Please notify this office
when c rrection of work is completed. If you have any question pertaining to this
matt , or need additional explanation, please contact this office immediately.
G %l
Inspector Date
COUNTY OF BUTTE - BEPAPeTMENT OF PUBLIC WORKS
7 County Center Drive - Orovills, CalifDrnia 95965 - Telephone: 916/538-7541
APPLICATION AND PERMIT
PERM NO. r ,
ASSESSOR PARCEL N MBER
f _5
ZONING
-20
Y
BUILDING PERMIT
OWNER /� A/6S
TECnPHQNEQ
SO. FT. OCC. BUILD N VALUATION
0 'S MAILING ADDRESS
1
CO RACTO 'S NAME
TELEPHONE
CCMTRACTO 'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation Is
LENDER'S MAILING ADDRESS
Filing Fee
$ 10.00
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
,$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Energy Plan Checking Fee
$
Penalty
$
BUILDING ADDRESS �_92
Permit fee
$
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2,00
Solar or heat pump water heater
20.00
LOT NO.
SUBeCIVISION NAME PA CEL MAP
Water piping
55,00
Each qas water heater or vent
5.00
USE OF STRUCTURE
SFX Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home I S G W
0.00ea
TYPE OF WORK
New ❑ Addition ❑ Remodel Utilities ❑ Installation[] Other]
Describe work: `a✓ -ej
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 6101 OR LESS
100 AMP OR LESS
10.00
Main service EA. ADD'L 100 AMP
2.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (Check one):
❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full force and effect.
License No. Classification
�y
i"\►Y/Cf I, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
ontract-ors.(Sec. 7044)
ors. (Sec.
❑ I am exempt under Sec. , Business and Professions Code�-CC
for this reason
NEW CONST. DWELLING OCcuP. m` ,
OR ADDNS. ACC. BLDGS. / �Y0sgIt
NEW CONSTR. I.OUTLET
NON-RESID .BRA CH CIRC ITS
2.50 ea
POWER APPARATUS e
SINGLE OUTLET CIR.
Ex. OCCU OUTLETS OR FIXTURES 20960t
P BALI 30
FIXED APPLNS. OR
EX. Occup. OUTLETS IRESIO.1 EA.1 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 15.00
T
Permit Fee $
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
01- 1 shall not employ any person in any manner so as to become subject
44 to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shal I be deemed revoked.
Contractor
MECHANICAL PERMIT
Filing Fee 10.00
Heating
Cooling
g
Hood
3,00
Ventilation
penntt Fee
=
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the County of
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
against said County in consequence of the granting of this permit.
X J Date c
Signature of Applicant — Owneex Contractor ❑ Agent
An OSHA permit is required for excl/avvations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
TOTAL PERMIT FEE $
occuP.
I CO"ST.TYPEJ
SCHOOL
FLOOD
PARCEL
Po
HD
99UE
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIRE TO OF PUBLIC
By
P� IT EXPIRES Date/��V
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date ,_/ 1
Receipt No. �����
WNITE-O.P.W.. YELLOW-A9eE69OR. PINK -INSPECTOR. GOLDENROD -APPLICANT
_ .. .. - r.:r; ..- ... r r tv ..-a...�. +«.y. ,•, � _ y �..T ,. r -+. +rr'..`• . 'ns. �y .r _l. _ _.
•t
i
COUNTY OF BUTTE - DEPARTME.NT,OF PUBLIC WORKS - BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541
PERMIT APPLICATION DATA SHEET /"'�
Permit No.
OWNER �.d, —_ .f� A. P. X. :V_—_ , `7
Proposed Building Use Building Inspector Date o�
y � Y
At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance:
DATE RECEIVED APPROVED
1. All items have been submitted . ....................................
2. Plot plans in duplicate/triplicate, signed by preparer of plans........
3. Complete plans in duplicate/triplicate, signed by preparer of plans . .
4. Complete engineered plans and calcs, with wet signature on plans ..
5. Energy Design Compliance and supporting documentation .........
6. Statement of Intent for Non -Heated and AC Buildings ..............
7. Engineered truss details and layout in duplicate (required prior to plan check)
8. Mobilehome installation data including manufacturer's installation
instructions.......................................................
9. Fees of $ ..........................
10. Chico Urban Area fees paid ........................................
11. Park fees paid .....................................................
12. School District fees paid .................
13. Sanitation approval from Health Department ...
14. City of Chico plumbing- permit ..................................... .
15. Plot plan and business license approval from City of
(see City for other requirements)
16. Planning approval for (A) Use: (B) Parking: + .......
,17. Improvements may be required.
18. Driveway permit (construction approval required prior to occupancy) .
Pre-in19. Pre -Inspection for aJ22? &ej7', /% fi n required .... _Building request t°
—�T '""Building Inspector
20. Contractor's license information (No., Name Style, Classification) .......
21. Certificate of Workmans Compensation Insurance ....................
22. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ........
23. Recorded copy of Agricultural Acknowledgment Statement ............
24. Letter of signature authorization .....................................
25.
26.
When you issue the permit, process as follows: Mail to owner. Mail to contractor.
TelephonGaol and hold for pickup at office. Deliver w/inspector.
Other
Applicant_ )ld—, Q,,4re4,l Date
Copy of plans sent Health Dept., Fire Dept., Other Date
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----nail—counter by date
Contractor, designer, owner, was advised of above required data by—phone —mal l—counter by date
Plans checked by
Sets of plans on hold in
Copy—DPW
Date Plans approved by
File cabinet AP folder
Date
ate)
COUNTY.OF BUTTE - Department of .Public Works
7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541
OWNER -BUILDER VERIFICATION
Attention Property Owner:
An 'owner -builder" building permit has been applied for in your name and bearing
your signature.
Please complete and return this information'at your earliest opportunity to avoid
unnecessary delay in processing and issuing your building permit. No building permit
will be issued until this verification is received.
I personally plan to provide the major labor and materials for construction of
the.proposed property improvement (yes or no)
2. I (have/have not) 4,,�signed an application for a building permit
i for the proposed work.
3. I have contracted with the following person (firm) to provide the proposed
construction:
Name
Address City
Phone Contractors License No.
4. I plan to provide portions of this work, but I have hired the following person
to coordinate, supervise, and provide the major work:
Name
Address City
Phone Contractors 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
Social Security Nu `er
Date
NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and
19832 of the California Health and Safety Code.
This verification must be completed and returned to our office before we are per-
mitted to issue the ,permit.
f
s
t
ala ►M -e-. 'YV��