HomeMy WebLinkAbout038-190-04638-19-46 /
W.J. MILLIKAN
E/S Stanford Rd, app 12mit. S of Oro
Durham Hwy, Durham��
Permit #4003-78B(reroof) SF
038-19=0-046 ' 93=2291••B
WESNER, LEONARD
8976 STANFORD LN, DURHAM ,
REROOF/GARAGE /
c.o
038-190-046„ 04-2260
WESNER FAMILY TRUST, '
8976 STANFORD LANE, DU M
CONT: BAIRD ROOFING c O
REROOF
s
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038-19-0-046'` �; 93-2291 B
WESNER, LEONARD ,
Y - 8976 STANFORD LN, DURHAM
REROOF/GARAGE
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COUNTY Of BUTTE- DEPARTMENT -OF DEVELOPMENT SERVICES - BUILDING DIVISION
' �: PERMIT 6Q.
7 County Center Drive - Oroville, California 95965 -Telephone (916) 538-7541 /�
- � APPLICATFON-AND PERMIT
ASSESSOR PARCEL NUMBER
03R-190-4)46
ZONING
BUILDING PERMIT
OWNER
Leonard Wesner
TELEPHONE
345-2203
SQ• FT, OCC. BUILDING VALUATION
OWNEIYS MAILING ADDRESS
-8976 Stanford Lane Durham 95938
}�
8 . Comp 480.00
CONTRACTOR'S NAME
Owner
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $ 480.IUV
LENDER'S MAILING ADDRESS
" I
Filing Fee $ 20,00
Permit Fee $ 15.00
ARCHITECT OR ENGINEER
LICENSE
NO.
Plan Checking Fee $
Energy Plan Checking Fee $
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty $
BUILDING ADDRESS
PERMIT FEE $35.00
8()76 StAnford laan, DurbAm
PLUMBING PERMIT Filing Fee 20.00
Each Trap 7.00
t
Solar or heat pump water heater 23.00
Water piping 15.00
LOT NO.
SUBDIVISION'S NAME
PARCELIMAP
Each gas water heater or vent 15.00
USE OF STRUCTURE
SF ❑ Duplex (3Mobilehome ❑ Other GArage
SPECIFY
Gas piping system 1 - 5 outlets 15.00
Building sewer 15.00
Mobile Home S G W 20'00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation EIOther I
Describe Work: Reroof W/Comp• f
jMain
i
,
PERMIT FEE $
Contractor
ELECTRICAL PERMIT Filing Fee 20.00
Service ( BOOV ORLESS ) 23.00
200A OR LESS
Main Service ( 200A TO IOOOA ) 46.00
NEW CONST. DWELLING OCCUP. .
OR ADONS. ( & ACC. BLOS. ) 3.50 FTSD.
NEW CONST. MULTI -OUTLET
-NON -RESID. ( BRANCH CIRCUITS ) @7.50
CONTRACTORS LICENSE LAW f
I declare under penalty of perjury (check one) i
❑ I am a licensed under provisions of Chapter 9, Division 3 of the Business and
Code and my license is in full force and effect.
License No. Classification
I, as the owner, 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)
❑ I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044)
❑ I am exempt under Sec. Business and Professions Code
forthis reason I
( POWER APPARATUS )
8 SINGLE OUTLET CIR.
Ex. Occup. ( OUTLET OR FIXTURES ) B2 @100
Professions
Ex. Occu FIXED APPWS. .OR
p' OUTLETS (RESIDI EA5.00
( . )
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring 23.00
WORKER'S COMPENSATION INSURANCE
1 declare under penalty of perjury (check one):
❑ This permit is for $100.00 (valuation) or less. I
❑ 1 have placed on file with the County of Butte Dept. of Development Services,
Building Division a Certificate of Workmen's Compensation Insurance or a
Certificate of Consent to Self -insure.
I shall not employ any person in any manner so as to become subject to the Worker's
Compensation laws of California.
Notice to Applicant: If after making this statement, should you become subject to the
Worker's Compensation provisions of the Labor Code, you must forthwith comply with
such provisions or this permit will be revoked.
PERMIT FEE $
Contractor
MECHANICAL PERMIT Filing Fee 20.00
Heating
Cooling
Hood 6.50;
Ventilation
PERMIT FEE S
Contractor
I certify that I have read this application and state that the above information is correct.
I agree to comply to all Butte County Ordinances and California 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
;'.Count in consequence of the granting of this permit.
XL�C,(. 9 w�./iii/` Date />��/-) !
Signature of Applicant Owner O Contractor 13 Agent
'OSHA permit permit is required'. for excavations over 5"0" 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
HAZ-
D. FEES
IMP
FLOOD
CDF
PARCEL
PD
HD
ISSUE
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.
DIRECTOR OF PUBLIC WORKS,
By !y r�E Date
I PERMIT EXPIRES ON • / ...
/Date!
�f
Receipt No.
WHITE-D.D.S.-B.D. CANARY -ASSESSOR, •'PINK -INSPECTOR GOLDENROD -APPLICANT
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive - Oroville, Cakfornia 95965 - Telephone (916) 538-7541 PERMIT W
APPLICATION W�AND PERMIT �� �'�
ASSESSOR PARCEL NUMBER
ZONING
BUILDING PERMIT
OWNER -
rd Wesner
TELEPHONE
345-2203
SQ. FT. OCC. BUILDING VALUA ON
OWNER'S MAILILe Ras
8976 Stanford Lane Durham 95938
8 sq. Comp 480.00
CONTRACTOR'S NAME
Owner
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $ 480.00
LENDER'S MAILING ADDRESS
Filing Fee
$ 20.00
Permit Fee
$ 15.00
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
PERMIT FEE
$ 35.00
8976 Stanford Lai-rl, Durham
PLUMBING PERMIT
Filing Fee 20.00
Each Trap
7.00
Solar or heat pump water heater
1 23.00
LOT NO.
SUBDIVISION'S NAME
PARCEL MAP
Water piping
1 15,00
Each gas water heater or vent
15.00
USE OF STRUCTURE
SF ❑ Duplex ❑ Mobilehome ❑ Other GArage
SPECIFY
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home S G I W
@20.00
TYPE OF WORK
New ❑ Addition ❑ Remodel 1:1Utilities C3Installation ❑ Otheryb
Describe Work: Reroof w/Comp.
PERMIT FEE
$
Contractor
ELECTRICAL PERMIT
Filing Fee 20.00
Main Service ( 2100V OR LESS )
200A OR LESS
23.00
Main Service ( 200A TO IOOOA )
46.00
NEW CONST. DWELLING OCC P.
OR ADONS. ( & ACC. BLOS. )
So.
3.51" FT.
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one)
❑ I am a licensed underrovisions of Chapter 9, Division 3 of the Business and
P P
Professions Code and my license is in full force and effect.
License No. Classification
I, as the owner, 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)
❑ I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044)
O 1 am exempt under Sec. Business and Professions Code
forthis reason
NEW CONST. MULTI -OUTLET
•NON-RESID. ( BRANCH CIRCUITS )
@7.50
( POWER APPARATUS )
& SINGLE OUTLET CIR.
Ex. Occup. ( OUTLET OR FIXTURES )
20 @ 1.00
BAL. .50
Ex. Occup.FIXED APPLNS. OR
( OUTLETS (RESID.) EA. )
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
WORKER'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ This permit is for $100.00 (valuation) or less.
❑ I have placed on file with the County of Butte Dept. of Development Services,
Building Division a Certificate of Workmen's Compensation Insurance or a
Certificate of Consent to Self -insure.
I shall not employ any person in any manner so as to become subject to the Worker's
Compensation laws of California.
Notice to Applicant: If after making this statement, should you become subject to the
Worker's Compensation provisions of the Labor Code, you must forthwith comply with
such provisions or this permit will be revoked.
PERMIT FEE
$
Contractor
MECHANICAL PERMIT
Filing Fee 20.00
Heating
Cooling
Hood
6.50
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 Butte County Ordinances and California 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
Count in consequence of the granting of this permit.
X di 6 Date_2>
Signature of Applicant ,K Owner ❑ Contractor ❑ Agent
An OSHA permit is required for excavations over 5"0" 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
HAZ•
I D. FEES
I IMP
FLOOD
I CDF
I PARCEL I PD
HD
ISSUE
This permit is hereby issued under
of the Butte County Code and/or
indicated above for which fees have
DIRECTOgR�OF PUBLIC
BY �/ ""
PERMIT EXPIRES ON
the applicable provisions
Resolutions to do work
been paid.
WORKS
Date C J
/`
�`7
Date!
Receipt No. �% V"l3
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
COUNTYOF BUTTE - DEPARTMENTOF DOVELOPMENTSERVICES -BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA95965 - TELEPHONE (916) 538-7541
41
PERMIT APPLICATION DATASHEET � C
OWNER L�G��/ijx ("i
A. P. No.
l a -
/ 5 - � 6
Proposed Building UseT
Building Inspector_
Date
7 '/1- F-5
At time of per • it application, I was advised the following data must be submitted prior to permit processing and/or issuance:
DATE RECENED BY
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 Design 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 letter (100 year flood) by California Engineer . ................. .
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 Development about (A) Improvements (B) Drainage. .......... .
19. Driveway permit (construction approval required prior to occupancy). . .
20. Pre -inspection for required. .. e�°� :g Inspector
(Date)
21. Contractor's license information. (No., Name Style, Classification) . ..............
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 violations/expired permits . ......................................
32. Plan check list . .....................................................
33.
34. i
When you issue the permit, process as follows: Mail to owner. Mail to contractor.
Telephone and hold for pickup at office. Deliver with inspector.
Other
Parcel Creation �7� { .7, 1 2 ji3
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 Date
Sets of plans on hold in File cabinet AP folder
Copy - Department of Public Works
f
ComrL'' OF BU—, -r- - Droaz! =enc of PsbL:c '.;o -its
7 CJuncl Cancer Drive, OroviLLa, GA 9:963
:ention ?_cpercy Owner:
Owv�- 3U =L��� yc I_ IC�TZOci
�r
An "owner -builder" building pe=sic has\ .rn applied
ar, Signature.
Phone : 910-
for in your name and bearing
Please comelete and returZ ch -s iaforaacioa ac your earl -est 0000r_uaic to avoid
iecessary delay is processing and issuing your building perm-:. No building perm-=
Ll be issued until this verificacioa is received.
"i. I personally plan to provide the major labor and materials for ccnsc=uc--_on of
the proposed prooe=_y-morovemeac (yes or ao)
Z. I (have/have aoc) signed as applicatLoa for a building pe=Zi:
for the proposed wort.
3. I have'conc=ac=ed with the following persoa to provide the proposed
const=sccion:
Name
Address City
Phone CJat=actors License Ho.
4. I plan to provide port=pas of this work, but I have hired the following persoa
to coordinate, supervise, and provide the major work:
Name
Address City
Zhone C.-Jat=actCrs License No .
3. I will prow de same of the :Jori: but I have conc=ac=ad (aired) the foLlowing
persons cc provide the work is dicatad :
Na a,f p Ay=C�LCass ?'"one T'Ipe of Work.
�-X,Y aFP -
Signed:
Pope=_y Owner
Social Sec�•srit Number
i Dace T2 ev _PI /g 9 I
�s This Owner-3u-lder Verif=cation is sent to you as raquired by Sec=ions 19EII and
1982I of the Cali-arnia Eeaich and Sarecy Code.
This verification must be comolecad and returned to our office before we are per-
micced to issue c he permit.
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT
24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO)
OFFICE #: (530) 538-7541
PERMIT NO.
BP042260
PERMITS BECOME NULL AND VOID 1 YEAR FROM THE DATE OF ISSUANCE, OR IF WORK IS DONE IN VIOLATION OF ANY COUNTY OR STATE LAWS.
LICENSED CONTRACTORS DECLARATION
Issued Date: 07/30/2004 APN: 038-190-046-000
1 hereby affirm under penalty of perjury that I am licensed under
provisions of Chapter 9 (commencing with Section 7000) of Division 3 of
the Business and Professions Code, and my license is in full force and
Site Address: 8976 STANFORD LN DUR
effect.
License Class: License Number.
Map Index:
Date: Contractor.
Description: RE ROOF 10 SQ. GALVANIZED METAL
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the
Contractors' State license Law for the following reason (Sec. 7031.5
Owner: WESNER FAMILY TRUST
Business and Professions Code: Any city or county which requires a
WESNER LEONARD L & IONE NORMA
permit to construct, alter, Improve, demolish, or repair any structure, prior
TRUSTEES
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
8976 STANFORD LN
the Contractor's State License Law (Chapter 9 commencing with Section
DURHAM, CA 95938
7000) of Division 3 of the Business and Professions Code) or that he or
she is exempt therefrom and the basis for the alleged exemption: Any
violation of Section 7031.5 by any applicant for a permit subjects the
applicant to a civil penalty of not more than five hundred dollars ($500).):
❑ I, as owner of the property, or my employees with wages as their
sole compensation, will do the work, and the structure is not
intended or offered for sale (Sec. 7044, Business and Professions
Applicant: WESNER FAMILY TRUST
Code: The Contractors' State License Law does not apply to an
owner of property who builds or improves thereon, and who does
such work himself or herself or through his or her own employees,
provided that such improvements are not Intended or offered for
sale. If however, the building or improvements are sold within one
year of completion, the owner -builder will have the burden of
proving that he or she did not build or improve for the purpose of
sale.).
X1, 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
Contractor: BAIRD ROOFING CO
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.).
11025 MIDWAY
❑ I am Exempt under Article 3 of the Business and Professions Code
CHICO, CA 95928530-342-1631
Date: Owner.
License #: 631460
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
Architect:
is issued'
Engineer:
❑ 1 have and will maintain workers' compensation insurance, as
required by Section 3700 the Labor Code, for the performance of
the work for which this permit is issued. My workers' compensation
insurance carrier and policy number are:
Carrier:
Total Square Ft: 0 S. F.
Policy #:
Valuation: $0.00
Census Code:
I certify that in the performance of the work for which this permit is
issued, I shall not employ any person in any manner so as to
become subject to the workers' compensation laws of California,
and agree that if I should become subject to the workers'
compensation provisions of Section 3700 of the Labor Code, 1 shall
forthwith comply with those provisions.
Date:
Applicant:
WARNING: Failure to secure workers' compensation coverage is
unlawful, and shall subject an employer to criminal penalties and one
hundred thousand dollars ($100,000), in addition to the cost of
compensation, damages as provided for in Section 3706 of the Labor
code, interest, and attorney's fees.
Gv
CONSTRUCTION LENDING AGENCY
This permit is hereby issued under th piicable provisions of the Butte County Code and/or
I hereby affirm that there is a construction lending agency for the
performance of the work for which this permit Is Issued (Sec 3097 Civ.)
Name:
Resolutions o do work lndicated a ve or which fees have been paid.
BY Av Date: /
PERMIT EXPIRES ON:
Date
Address:
❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage,
handling and use of hazardous materials.
❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project.
❑ Attached are copies of the required E.P.A. notification fortes.
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 `C�o ty to a r upon the above mentioned property for inspection pure es.
�� 0—
tut
Print Name: !-r i L V GAY Signature: ��z�Y �•
�.q
Date: Y'
gOwner ❑ Contractor 0 Agent for Owner 13 Agent for Contractor
NOTES RESIDENTIAL
PERMIT NO.
0-3 t- /V 0 "�4
11 SPECIAL CONDITIONS 11
CHECKED
BY
SRA
FLOOD CERTIFICATE REQ.
FIRE SPRINKLERS REQ.
SPECIAL INSPECTION ITEMS
VERIFY
USE PERMIT CONDITIONS
SUB -STANDARD HOUSING LETTER
i
JOB FINALED (D
Signature /
J=OK
0 = Not OK
. = NotReadyable MOBILE HOMES
Date
MOBILE HOME UTILITIES (Plans) OK except #'s
1.
Zoning Requirements -Setbacks -Easements
2.
Soils; Special MH Support Sketch
3.
Sewer; Location -Test -Fall -C/O -Concrete
4. Water; Location -Test -Easement Needed (Sketch)
Wood Awn.; Posts- Beams-Rftrs-Connectors
Shthg-Frg-Bracing
5.
Electricity; Location-Clearances-Grnd-/ /Amp -Concrete
Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6.
Gas; Location -Test -Wrap;-/ P' L'ft.
/ P Nat. or/ P' L "ft./ P LPG
Carports; Windows -Doors
7.
Well Clearance & Disconnect
Electric
8.
Utility Clearance
Frmg.; Sills-Anchors-Studs-Rftrs-Trusses
9.
Siding; Nailing -Veneer -Stucco -Mesh
10.
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
POOLS (Plans) OK except #'s
4.
Electricity; MH Test -Crossovers -Breakers -Clearances
Setbacks -Easements
5.
Drain; MH Test -Fall -Flex Connector
Soils; Compaction -Structure Stability
6.
Water; MH Test -Regulator -Connector
Pool Structure; Steel -Connections -Thickness
Dead Men -Lining
7.
Water and Sewer Connected -C/O to Grade -HD Approval
Elec.; Receptacles and Lighting, Distance-GFI
8.
Gas and Electricity Tagged
Elec.; Pool Lighting; 15 Volts-GFI
9. Tie Downs -Type -Installation Cert.
6.
10.
Exits; Insp.-Sketch
7.
11.
Cert. of Occupancy
8.
Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg.
Boxes-Enclosures-Panelboards-Ins. to Main Conduit
9.
Health Department Approval
Date
Plumb.; Cir. Test -Water Supply Test
Card B-1 Date Card B-1
Date
Light Niche
Card B-1 Date Card B-1
Date
PERMANENT END SYSTEM (ONLY)
1.
Zoning Requirements -Setbacks -Easements
Date
2. Footings; Size -Spacing -Marriage Line
Card B-1 Date Card B-1
3.
Blocking
Card B-1 Date Card B-1
4.
Gas; MH Test -Demand -Valve
5.
Electricity; MH Test
6.
Water; MH Test
7.
Water and Sewer Connected
8.
Gas and Electricity Tagged
9.
Exits
10.
License Decals
11.
Verify #'s with Office
Date
Card B-1 Date Card B-1
Date
Card B-1 Date• Card B-1
MISCELLANEOUS
Date
DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s
1.
Zoning Requirements -Setbacks -Easements
2.
Footings; Soils -Size -Depth -Spacing -Connectors -Steel
3.
Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails
4.
Wood Awn.; Posts- Beams-Rftrs-Connectors
Shthg-Frg-Bracing
5.
Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6.
Carports; Windows -Doors
7.
Electric
8.
Frmg.; Sills-Anchors-Studs-Rftrs-Trusses
9.
Siding; Nailing -Veneer -Stucco -Mesh
10.
Roof; Shthg-Roofing
11.
Ext.; Steps -Doors -Landings
12.
Braced Wall Panels
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
POOLS (Plans) OK except #'s
1.
Setbacks -Easements
2.
Soils; Compaction -Structure Stability
3.
Pool Structure; Steel -Connections -Thickness
Dead Men -Lining
4.
Elec.; Receptacles and Lighting, Distance-GFI
5.
Elec.; Pool Lighting; 15 Volts-GFI
6.
Elec.; Enclosures; Conduit Entries -Terminals -Listed
7.
Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater
8.
Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg.
Boxes-Enclosures-Panelboards-Ins. to Main Conduit
9.
Health Department Approval
10.
Plumb.; Cir. Test -Water Supply Test
11.
Light Niche
12.
Enclosure; Fencing -Alarms
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
J=OK
0 = Not OK
- = Not Applicable
. = Not Ready
RESIDENTIAL (Single & Duplex)
Date UNDERFLOOR (Plans) OK except #'s
1.
Zoning -Setbacks -Easements -Flood -Slope
2.
Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth
3.
Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth
4.
Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth
5.
Stemwalls, Main; Steel- Bloc kouts-Wrapped
6.
_
Stemwalls, Garage; Steel-Blockouts-Wrapped
6a.
Hold Downs and Special Anchors
7.
Slab, Steel -Wrapped
8.
Piers -Fireplace Ftg.-Steel
9.
D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test
10.
UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test
11.
Water Pipe; Test -Anchors -Regulator -Service Test
12.
Electric Underground
13.
Plenums & Ducts; Clearance -Material -Support -Ins.
14.
Girders -Sills -Anchor Bolts-Joists-Vents-Crippies
15.
Access & Ventilation
16.
Insulation
Date
FRAMING (Continued)
Card B-1 Date Card B-1
Date
Hangers -Post Caps -Anchors -Connectors
Card B-1 Date Card B-1
Date
PLUMBING (Permit) OK except #'s
17.
Water Htr.; Vent -Access -Combustion Air Baffle
18.
Water Pipe; Test & Anchor -Nail Protection
19.
D.W.V.; Test Fittings & Anchor -Nail Protection
20.
Shower Pan; Test, First Floor -Tub Access
21.
Test Tub & Shower, Second Floor -Tub Access
22.
Gas Pipe; Sixe & Anchors
23.
Fire Sprinkler; Test
56.
Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
Date
57.
Card B-1 Date Card B-1
Date
58.
Card B-1 Date Card B-1
Date
ELECTRICAL (Permit) OK except #'s
Glazing Area -Glass Protection -Skylights -Plastic
24.
Fixture & Transformer Clearance -Ins. Protection
Shear Walls; Nailing -Bolts
25.
Elec. Receptacles Spacing -Lights & Switches at Doors
Brace Interior/Exterior Wall Panels
26.
Size Boxes & No. of Conductors Stapled
Insulation -Walls -Ceilings
27.
Romex Installed Close to Edge of Studs & C.J.
Infiltration -Walls -Windows
28.
Equip. Ground made up w/Mech Fasteners -Bond Gas & Water
Card B-1 Date Card B-1
29.
2 Appliance Circuits in Kitchen & Conductor Size GFI
Card B-1 Date Card B-1
30.
Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or AI
31.
Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or Al
Insulated Neutral 0 Yes 0 No
32.
Service -Riser Conductors & Ground Main Disconnect
33.
Equip. Clearances Panels-Motors-Mech. Equip.
34.
Clothes Closet Light -Shower Light -Spa Light
35.
Smoke Detector
69.
Elec. Trim & Subpanel, Breaker Sizes & Labels
Date
70.
Card B-1 Date Card B-1
Date
71.
Card B-1 Date Card B-1
Date
MECHANICAL (Permit) OK except #'s
Elec. Outlets at Wood Panel, Int. & Ext.
36.
A.C. Ducts Insulation & Support
Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance
37.
Vent Fan, Exhaust above insulation
Elec. Outlets & Receptacles at Kit. Counter
38.
Condensate Drain & Overflow, Size & Grade
Garage Fire Door; Swing -Landing -Closure
39.
Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet
40.
Attic Access & Platform if Furnace in Attic
Date
78.
Card B-1 Date Card B-1
Date
79.
Card B-1 Date Card B-1
Date
FRAMING (Permit) OK except #'s
Insulation -Foam -Looked in Attic
41.
Sills Proper Materials & Anchors
Guard Rails & Deck Construction -Post Caps
42.
Walls Studs -Nailing Spacing & Braces -Plates -Sound
Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth
43.
Bearing Walls over Girders & Floor Nailing
Clearance Looked under Floor 0 Yes
44.
Draft Stop in Walls (rat proof)
Following Instld./Drive 0 Yes 0 No/Walks O Yes 0 No/Planters 0 Yes 0 No
45.
Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs
Stucco Brown -Finish
46.
Headers & Beams -Size & Bearing
Date
FRAMING (Continued)
47.
Hangers -Post Caps -Anchors -Connectors
48.
Cling. Joist-Rftr. Ties- Purlin-Roll Brac.-Truss-Shting.-Rtng.
49.
Fireplace Ties or Type A Flue -Fireplace Throat Clearance
50.
Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
51.
Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions
52.
Garage Fire Protection Framing -RC Channel
53.
Property Line Firewall & Openings
54.
Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits
55.
Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
56.
Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
57.
Siding -Nailing Veneer
58.
Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access
59.
Glazing Area -Glass Protection -Skylights -Plastic
60.
Shear Walls; Nailing -Bolts
61.
Brace Interior/Exterior Wall Panels
62.
Insulation -Walls -Ceilings
63.
Infiltration -Walls -Windows
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
FINAL (Plans) OK except #'s
64.
Ext. Steps -Door & Sidelight Protection -Landings
65.
Smoke Detector
66.
Furnace Vents -clearance -Comb, Air -Connector -
In Garage; Above Floor-Ducts-Mech. Protection
67.
Bedroom Exiting
68.
G.F.I. & Bath Fixtures & Tub Access -Spa
69.
Elec. Trim & Subpanel, Breaker Sizes & Labels
70.
Stairs & Rails
71.
Fireplace or Stove, Clearance -Hearth
72.
Elec. Outlets at Wood Panel, Int. & Ext.
73.
Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance
74.
Elec. Outlets & Receptacles at Kit. Counter
75.
Garage Fire Door; Swing -Landing -Closure
76. A.C. Duct in Garage -Damper
77.
Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V.
in Garage; Above Floor-Mech. Protection
78.
Plb.; Elec. & Mech. Equip. Listed for Location
79.
Elec. Receptacles in Garage (F.F.I.)-Romex Protection
80.
Insulation -Foam -Looked in Attic
81.
Guard Rails & Deck Construction -Post Caps
82.
Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth
Clearance Looked under Floor 0 Yes
_
83.
Following Instld./Drive 0 Yes 0 No/Walks O Yes 0 No/Planters 0 Yes 0 No
84.
Stucco Brown -Finish
85.
A.C. Unit Disconnect, Electrical -Plumbing
86.
Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings
87.
Water Well, Disconnect, Electrical, Plumbing
88.
Exterior Elec. Trim, G.F.I. Receptacle -Underground
89.
Ventilation Throughout House
90.
Glass Protection
91.
Corrections from Previous Inspections
92.
Gas Test -Meters Tagged, Gas -Electric
93.
Water & Sewer Connected -C/O to Grade -HD Approval
94.
Energy Compliance Certificate -Other Certificates
95.
Address Posted
96. Fire Sprinkler
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Comments at Final:
X00 3 -
,.
tPOMIT NO. 4003-78BZI
AO
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• t, PERMIT EXPIRES
!OWNER W.J. Millikan
JCONTR. owner
LOCATION (A.P. 38-19-46 )
e/s Stanford Rd. approx. 12 mi. S. of Oro-Durham
Hwy., Durham
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Temp. Power Pole
Called R &E
Temp. EI,�'/c. Serv.
Ca4eed PG&E
} . TempGas Serv.
JJO
alled PG&E
O
• FINALED </O�Q
y (Date)
f •
t (Signature)
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
BUILDING INSPECTION RECORD
BUILDING
BUILDING (Cont'd)
PLUMBING
Setback
Firewall
Soil Piping
Forms
Parapets
1st Floor
Main Bldg.
Restroom Finish
2nd Floor
Footings
Windows
3rd Floor
StemwalI
Siding
To out
Slab
Roof Sheathing
Water Piping
Piers
Roofing
Sewer
Garage
Fdn. Vents
Fixtures
Footings
Stemwa I I
Garage Vents
Insulation
Water Htr.
Heaters
Slab
Carport
Footings
Prov. for physically
handicapped
Conformance of ex.
structure
Appliances
Gas Piping & Test
Temp. Gas
Slab
Final
Sanitation
Patio
FIREPLACE
Final
Footings
Footing
ELECTRICAL
Masonry Walls
I Throat
Rough
Reinf. Steel
I Final
c:..•...e�
trona tseam
FIRE SPRINKLERS
Motors
Framing
Test
Water Htr.
Stucco
Final
Subpanels
Mesh
MECHANICAL
Grd. Fault Prot.
Scratch
Heating
Service
Brown
Cooling
Temp. Pole
Finish
Ducts
Underground
Interior Lath
Ventilation
Permanent
Door Closer
Final
Final
MOBILEHOME UTILITIES ------------------ Elec. Service
Elec. Pedestal
Water Piping
Sewer
Gas Piping
OBILEH )ME INSTALLATION - - - - - - - - - - - - - - Support
Elec. Continuity
Water Piping
Drainage
Gas Piping
DATE
REMARKS OR CORRECTIONS
n
(NOTE: An entry must be made on this form each time you visit the job site.)
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS ^ ��
7 County Center Drive — Oroville, California 95965
Telephone: 5114-4541 l/
APPLICATION AND PERMIT
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes.
X Date — V
Signde off Permitee or Agents
Receipt No. —,1_7 9_6Z 0
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant
This permit is hereby issued under the applicable provisions of
the Butte County Code and/or resolutions to do work indicated
above for which fees have been paid.
BY0I WORKS
Date
_-13*W4hvrpermit expires Xte
BUILDING
Owner
rN
SO. FT. OCC. BUILDING VALUATION
Mailing Address� l
P
\_ �
�`
Telephone No.
Contractor JJJ V\
Mailing Address
Fireplace
Total Valuation
Telephone No.
Permit Fee
Building Address s12J'
Plan Checking Fee&/or Penalty
Permit Fee
PLUMBING No.1 @ FEE
PERMIT FILING FEE $3.00
Each Trap 1.50
Repair drainage or vent piping 1.50
A. P. NO. /
Zoning &Planning
Water piping 1.50
Each gas water heater or vent 1.50
o
FireDept. Fire Zone
Use Permit
Gas piping system 1 - 5 outlets 1.50
EQA
Parking
Plans
I ParcelEach
Declaration
Parcel Map
60' R/W
Improvements
additional outlet .30
Building sewer 5.00
�.Bbdg .el— 14,4 1
Parcel A royal I
Plans Approval
Lawn sprinkler system 2.00
NEW ADDITION ❑ UTILITIES ❑ OTHER
permit Fee $
$
ELECTRICAL No. @ FEE
PERMIT FILING FEE $3.00
Main service 600V OR
100 AMP ORSLESS 5.00
Single Family 01"Duplex ❑ Mobil Home ❑ Others ❑
Main service EA. ADD'L 100 AMP 2.50
Main service OVER soov 25.00
100 AMP OR LESS
Main service EA. ADD'L 100 AMP 1.00
NEW CONST. ( OR ADDNS. ACCLBL GS LING COUP. Sal 2P,Sq ft
I
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
le of:
NEW CONSTR. BRANCH CIRCUITS)
NON.RESID BRANCH CIRCUITS) 2.50ea
NEW CONSTR (POWER APPARATUS Q
NON-RESID. SINGLE OUTLET CIR.
Ex. Occup{OUTLETS OR FIXTIiRES B L,2
APPLNS. OR
Occup. (RESID.) EA) 2.00
Ex. OCCU (OUTLETS
Temporary service 10.00
Mobile Home Facilities 15.00
License No. Classification
Misc. Wiring 6.25
Uy I am exempt from the Contractors License Laws of the State of California.
Permit Fee $
$
WORKMEN'S COMPENSATION INSURANCE
1 am aware of the provisions of Section3700 of the California Labor
Code which requires every employer to be insured against liability
for Workmen's Compensation.
❑ I have placed on file with the County of Butte a certificate of
Workmen's Compensation Insurance.
® I certify that in the performance of the work for which this
permit is issued I shall not employ any person in any manner
so as to become subject to the Workmen's Compensation Laws of
California.
@
MECHANICAL No. FEEPERMIT
FILING FEE $3.00
Heating
Cooling
Ventilation
Hood 2.00
Permit Fee $
$
I certify that I have read this application and state that the above
information is correct. I agree to comply to all County Ordinances
and State Laws relating to building construction, and hereby
Land Development Fee
$
TOTAL PERMIT FEE
$
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes.
X Date — V
Signde off Permitee or Agents
Receipt No. —,1_7 9_6Z 0
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant
This permit is hereby issued under the applicable provisions of
the Butte County Code and/or resolutions to do work indicated
above for which fees have been paid.
BY0I WORKS
Date
_-13*W4hvrpermit expires Xte