HomeMy WebLinkAbout039-240-014.19j-1201 BPE'
039 24-0-014`-
` CUMMINGS, ART 039
2668 BURDICK RD, DURHAM
�s.
REMODEL/SF
! 00-0290 B,F,
039-24-0-014
CUMMINGS, Art Chico
2668 Burdick Rd-, e SF)ehicle damag ' /
(repair v —
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039-24-0-014 00-0290 B,E:
CUMMINGS, Art
2668 Burdick Rd, Chico
(repair vehicle damage/SF)
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COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
Jr 7 �ountji Center Drive • Oroville, California 95965 • Telephone (530) 538-7541, PERMIT �o•
(Rev. 12/96) APPLICATION AND PERMIT 1,
„,� -,
ASSESSOR PARCEL NUMBER
93.9-240-014
ZONING
1 x':20
BUILDING PERMIT
OWNER, t
niu CGi T,,$iGS F��C.
TELEPHONE
i;'4-54;4
SQ. FT. OCC. BUILDING VALUATION
OWNERS MAILING ADDRESS
1 5u . a,.1 ;ZD. C"ItX CA :5928
CONTRACTOR'S NAME
TELEPHONE
CONTRACTORS MAILING ADDRESS
CONSTRUCTION LENDER
Fireplace A Ci)
LENDER'S MAIUNG ADDRESS
Total Valuation
120.00
ARCHITECT OR ENGINEER
LICENSE NO.
—Filing Fee $
Permit Fee - $
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee $
BUILDING ADDRESS
W L 4 k *
E ergy Plan Ch , kig Fee $.
PERMIT FEE $
a 55 (jam}
LOT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT
Filing Fee 20.00
USEOFSTRUCTURE
SF ❑• 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: id-1,1AIR MIC,1.. jiA�IAGF
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home I S I G I W
@20.00
PERMIT FEE $
ELECTRICAL PERMIT
Fling Fee 20.00
Main Service sDDA 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,
and my license is in full force and effect.
7
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:
❑ I, as owner of the property, or my employees with wages as their sole compensation,
kitlowill do the work, and the structure is not intended or offered for sale.
as owner of the property, am exclusively contracting with licensed contractors
construct the project' t• -
❑ 1 am exempt under Sec. Business and Professions Code for this
reason
Main Service TO tOooA
46.00
NEW CONST. D WEE.
& ACCOCCUP.
OR ADDNS. a ACC. BLDs.
SO
3.50
NON-REO41p. MULTI.OUTLET
97.50
POWER APPARATUS
a SINGLE OUTLET CIR.
Ex, OCCU OUTLET
eAL I;o
Ex. Occup. GRUTLt°TS RR�I E
5.qp
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wirin
23.
PERMIT FEE $
43.W
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
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
forthwith comply with those provisions.
Xf� Date _�
Signa ure of Appli -0 6wrw 6ocrirwMr-V7A-g ---
An OSHA permi ' equired for excav i ns over 60” deep and demolition or construction
of structures over 3 stories in height.
MECHANICAL PERMIT Fling Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEE S
Mobile Home Installation Fee $
Energy Inspection Fee $
Occ
CONST. TYPE
TOTAL FEE; 19E. OC,
HA2.
D. FEES IMP
FLOOD
CDF
PARCEL
PO
HD
Is
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 Date
PERMIT EXPIRES OND.S.-B.D: Date
o. /
CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
E
-�.:+.��.i-..rz...-..�r-�,e..-��,�.^•��tv+�.•.�o*,y-r-,r,-��t�a�=s4K€r�+c�:srci� .�•sn�e
COUNTY -OF BUTTE.',
BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
r 411,Main Street •Chico, CA • (530) 891-2751
` 7 County Center Drive • Oroville, CA (530) 538-7541
CORRECTION NOTICE
ftY) MQ I Al
OWNER PERMIT NO.
A routine inspection indicates that the following violations of butte county Ordinances exist at the
above address and should be corrected. Please notice this office when correction of work is
completed. If you have any questions pertaining to this matter, or need additional explanation,
please contact this office immediately.
T•
Glad n J� �5 fo
Date 0 Inspector
REV I ° 2 ��
�t
t
ht
N
Date 0 Inspector
REV I ° 2 ��
r���r.2~f- s � �c-c+ •�-: x ,µ:Vi A ,.. �
s^ L'
J•
COUNTY OF BUTTE
BUILDING DIVISION ^�*
DEPARTMENT OF DEVELOPMENT SERVICES
411 Main Street • Chico, CA • (530) 891-2751
i.i 7 County Center Drive • Oroville, CA • (530) 538-7541
f
.' CORRECTION NOTICE
OWNER PERMIT NO.
A routine Qspection indicates that the following violations of butte county Ordinances exist at the
above adress and should be corrected. Please notice this office when correction of work is
• completed. If you have any questions pertaining to this matter, or need additional explanation,
please contact this office immediately.
l 1 'd'
i L
—T
19 ,
LI✓4 �v
Date
REV 10/92
1*
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
- 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT .
(Rev. 12/96) APPLICATION AND PERMIT �Gr �� -
ASSESSOR PARCEL NUMBER
039-240-014
ZONING
A20
BUILDING PERMIT
DSP' CUNV..INGS INC.
894.5494
SO. FT. OCC. BUILDING VALUATION
OWNERS MAILING ADDRESS
1750 DAYTON RD., CHICO CA 95928
EST 10,000.00
CO��N�T7�RR77ACCT�TO��R'S NAME
OWNM
TELEPHONE
CONTRACTORS MAILING ADDRESS
CONSTRUCTION LENDER
LENDERS MAIUNG ADDRESS
Fireplace A 1.500.00
Total Valuation
�Q Q
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee $
20.00
Permit Fee $
135.00
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee $
BUILDING ADDRESS
�6n lTr r.D GHTGG _ DT�K�,j
Energy Plan Checking Fee $
PERMIT FEE $
LAT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT
Fling Fee 20.00
USEOFSTRUCTURE
SF ER Duplex ❑ Mobilehome ❑ Other
SPECIE`
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 EK
Describe Work: REPAIR VEHICLE DAMAGE
Gas piping system 1 - 5 outlets
15.00
Building sewer15.00
Mobile Home S G W
@20.00
PERMIT FEE S
ELECTRICAL PERMIT
Fling Fee 20.00
LESS
Main Service 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,
and my license is in U11 force and effect. // --
License Class Lic. No. (p to,3 f/ 4 y
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors license
Law for t e following reason:
❑ I s 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
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
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.)
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.
Date Od
Signature of Appli
An OSHA permi equired for excav I s over 60" deep and demolition or construction
of structures over 3 stories in height.
Main Service 200A TO 1000A 46.00NEW
CONST. DW NO OCCUP. so
OR ADDNS. ( g ACC, S.3.50FT.
NON•ReSID. RANCHO CIRCUITS
@7,50
POWER APPARATUS
& SINGLE OUTLET PIR.
EX. Occup. OUTLET OR FD=RES SAL O 1.S0
Ex. Occup. Gin FIXyrs R�n°Ea
5.00
Temporary Service
23.00
Mobile Home Facilities 20.00
Misc. Wiring 23.00
PERMIT FEE $ 43.00reason
MECHANICAL PERMIT Fling Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEE $
Mobile Home Installation Fee $
Energy Inspection Fee $
Occ
CONES . TYPE
TOTAL FEE $ 198.00
HAZ.
p. FEES IMP
FLOOD
CDF
PARCEL
PD
HD
5
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 Date 2 Q
PERMIT EXPIRES ON 2%Y ho it
Date
ReceiptNo.
WHITE-D.D.S.-B. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
P
Attention Property Owner:
An "owner -builder" building permit has been applied for in your name and bearing your
signature.
Please complete and return this information at' your earliest opportunity to avoid
unnecessary delay in processing and issuing your building permit. No building permit will
be issued until this verification is received.
1. I personally plan to provide the major labor and materials for construction of the
proposed property improvement.: Y NO[
2. I HAVE[ j HAVE NOT[ signed an application fora"budding permit for the
proposed work. +
3. I have contracted with the following person (firm) ' to provide. the proposed
construction -
NAME: tj
ADDRESS: 2-5—Yr. ; l (3 lou r-ZA CITY:
PHONE: 845-- 42loL ONTRACTOR'S 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: CONTRACTOR'S LICENSE NO.
5. I will provide some of the work but I have contracted (hired) the following persons to
provide the work indicated:
NAME ADDRESS PHONE TYPE OF WORK -
SIGNED:
PROPERTY OWNER:
SOCL-tL SECURITY NUMBER: �
DATE:
NOTE: This owner -Builder Verification is required by Section 19831 and
19832 of the California Health and Safety Code.
This verification must be completed and returned to our office before
we are permitted to issue the permit.
May 1995 .2.26
Dear Property Owner:
An application for a building permit has been submitted in your name listing yourself as the builder of
property improvements specified.
For your protection, you should be aware that as "owner -builder" you are the responsible party of record
on such a permit. Building permits are not required to be signed by property owners unless they are personally
performing their own work. If your work is being performed by someone other than yourself, you may protect
yourself from possible liability if that person applies for the proper 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 for your benefit and protection: '
0 If you employ or otherwise engage any persons other. than your immediate family, and the work (including
materials and other costs) is $300 or more for the entire project, and such persons are not licensed as
contractors or subcontractors, then you may be an employer.
0 If you are an employer, you must register with the State and Federal Governments as an employer and you. are
subject to several obligations including state and federal income tax withholding, federal social security taxes,
workers compensation insurance, disability insurance costs, and unemployment compensation contributions.
0 There may be financial risks'for"you if you do not carry out these obligations,'and these risks are especially
serious with respect to worker's compensation insurance.
0 For more specific information about your obligations under Federal Law, contract the Internal Revenue
Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your
obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial
Accidents.
If the structure is intended for sale, property owners who are not licensed contractors are allowed to
perform their work personally or through their own employees, without a licensed contractor or subcontractor, only
under limited conditions.
A frequent practice of unlicensed persons professing to be contractors is to secure an "ownerbuilder"
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 contracting the Contractors State License
Board in your community or at 1020 N Street, Sacramento, CA. 95514.
Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm
that you are aware of these matters. The building permit will not be issued until the verification is returned.
Sincerely,
Michael C. Vieira, C.B.O.
Manager, Building Inspection
NOTE: This O«ner-Builder Information is required by Section 19830 of the California Health and Safety Code.
May 1995 2.27
:-RESIDENTIAL
039-24-0-014 93-1201 BPE
CUMINGS, ART `
2668 BURDICK RD,-DURHAM'
REMODEL/SF )
1
JOB FINALED (Date) ® —
Signature
V=OK
O = Not OK
Not = Not Ready MOBILE
MOBILE HOMES
Datehnitials MOBILE HOME UTILITIES (Plana) OK except #'a
1. Zoning Requirements -Setbacks -Easements
2. Soils; Special MH Support Sketch
3. Sewer; Location -Teat -Fall -C/O Concrete
4. Water; Location -Teat -Easement Needed (Sketch)
5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete
6. Gas; Location -Test -Wrap: / /" L" ft.
/ /"Net. or/ /"L"ft./ /"LPG
7. Well Clearance & Disconnect
8. Utility Clearance
Date/Initials MOBILE HOME INSTALLATION (Plans) OK except #'s
1. Zoning Requirements -Setbacks Easements
2. Footings; Size -Spacing -Marriage Line
3.. Gas; MH Teat -Demand -Valve -Connector
4. Electricity; MH Teat -Crossovers -Breakers -Clearances
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
MISCELLANEOUS
Date/Initial DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'a
1. Zoning Requirements -Setbacks -Easements
2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel
3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails
4. Wood Awn.; Posts-Beams-Rftrs.-Connectors
Shthg: Rfg -Bracing
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Carports; Windows -Doors
7. Electric
8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses
9. Siding; Nailing -Veneer -Stucco -Mesh
10. Roof; Shthg-Roofing
11. Ext.; Steps -Doors -Landings
Date/Initials 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, Distances-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 in Conduit
9. Health Department Approval
10. Plumb.; Cir. Test -Water Supply Test
V=OK
O = Not OK
- = Not Applicable RESIDENTIAL
= Not Ready
Date/Initials UNDERFLOOR (Plans) OK except #'s
1. Zoning -Setbacks -Easements -Flood -Slope
2. Ftg., Main; Soils-Elec. Grnd.-/ /' Ftg. Depth
3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth
4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth
5. Stemwalls, Main; Steel-Blockouts-Wrapped
6. Stemwalls, Garage; Steel-Blockouts-Wrapped
6a. Hold Downs and Special Anchors
7. Slab; Steel -Wrapped
8. Piers -Fireplace Ftg.-Steel
9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test
10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test
11. Water Pipe; Test -Anchor -Regulator -Service Test
12. Electric; Underground
13. Plenums & Ducts; Clearance -Material -Support -Ins.
14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
15. Access & Ventilation
16. Insulation
Date/Initials PLUMBING (Permit) OK except #'s
16. Water Htr.; Vent -Access -Combustion Air -Baffle
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/initials ELECTRICAL (Permit) OK except #'a
22. Fixture & Transformer Clearance -Ins. Protection
23. Elec. Receptacles Spacing -Lights & Switches at Doors
24. Size Boxes & No. of Conductors -Stapled
25. Romex Installed Close to Edge of Studs & C.J.
26. Equip. Ground made up w/Meth. Fastners-Bond Gas & Water
27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI
28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga.
Cu or Al
29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al.
Insulated Neutral ❑ Yes ❑ No
30. Service -Riser Conductors & Ground -Main Disconnect
31. Equip. Clearances Panels -Motors -Meth. Equip.
32. Clothes Closet Light -Shower Light -Spa Light
33. Smoke Detector
Date/Initials MECHANICAL (Permit) OK except #'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 -115 outlet
38. Attic Access & Platform if Furnance in Attic
Date/Initials FRAMING (Plans) OK except #'s
39. Sils. Proper Material & Anchors
40. Wells Studs -Nailing, Spacing & Bracing -Plates -Sound
41. Bearing Walls over Girders & Floor Nailing
42. Draft Stop in Wells (rat proof)
43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub
44. Headers & Beam -Size & Bearing
Single & Duplex)
Date/Initials 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 3' -Check Garage -3rd Story, 2 Exits
53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers
55. Siding -Nailing Veneer
56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access
57. Glazing Area -Glass Protection -Skylights -Plastic
58. Shear Wells; Nailing -Bolts
59. Insulation -W al Is -Cel I ings
60. Infiltration -Walls -Windows
Date/Initials FINAL (Plans) OK except #'s
61. Ext. Steps -Door & Sidelight Protection -Landings
62. Smoke Detector
63. Furnace; Vents -Clearance -Comb. Air -Connector -
In Garage; Above Floor -Ducts -Mach. 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.
In Garage; Above Floor -Mach. Protection
75. Plb., Elec. & Mach. Equip. Listed for Location
76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protection
77. Insulation -Foam -Looked in Attic ❑ Yes
78. Guard Rails & Deck Construction -Post Caps
79. Fdn. Vents & Crawl Hole Door-Drainagge & Wood -Earth
Clearance Looked under Floor ❑ Yes
80. Following instld.; Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No;
Planters ❑ Yes ❑ 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
89. Gas Test -Meters Tagged; Gas -Electric
90. Water & Sewer Connected -C/O to Grade -HD Approval
91. Energy Compliance Certificate -Other Certificates
Comments at Final:
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone: 916.538-7541
APPLICATION AND PERMIT
PERMIT NO.
l
ASSESSOR PARCEL NUMBER
039-240-014
ZONING
A-20
BUILDING PERMIT
OWNER
Art Cummins Inc.
TELEPHONE
894-5494
SQ. FT. OCC. BUILDING VALUATION
Est. 3,000.00
OWNER'S MAILING ADDRESS
1750 Da ton Rd. Chico 95928
CONTRACTOR'S NAME
Owner
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation 1$3,000.00
LENDER'S MAILING ADDRESS
Filing Fee
$ 15,00
Permit Fee
$ 45.00
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$ 22.50
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
Permit fee
$ 82.50
PLUMBING PERMIT
Filing Fee 15.00
2668 Burdick Rd-,
Each Trap
3 1 5.04 15.00
Solar or heat pump water heater
1 20.00
LOT NO.,
SUBDIVISION NAME
PARCEL MAP
Water piping
1 7,00 7.00
Each qas water heater or vent
7.00
USE OF STRUCTURE
SF [I Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
11 15.00 19.00
Mobile Home I S I G JW I
@ 15.00
TYPE OF WORK
New ❑ Addition _J Remodel ❑ Utilities ❑ Installation❑ Other ❑
Describe work: Add Interior Bath & Remodel Family Room
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 15.00
Main service 600V OR LESS
200A OR LESS
18.50
Main service 200A TO 1000A)
_
37.50
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
I, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONST./ DWELLING OCCUP.�\
OR ACDNS. l ACC, BLDGS. I
3.60sq.ft.
NEW RES,O, ULTI.OUTLET
NON-RESID BRANCH CIRC ITS
@ 5.00
POWER APPARATUS &)
(SINGLE OUTLET CIR.
Ex. Occup(OUTLETS OR FIXTURES
20 @ 7611
FIXED APLNS.�
Ex. QCCUp. OUTLETS PIRESID IREAJ
I 3.00
Temporary service
15.00
Mobile Home Facilities
15.00
Misc. byirin g
15.00 15.00
Permit Fee
$ 30.00
—
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
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 15.00
Heating
Cooling
g
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 County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the Countyot
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.
XSSm�tAmtL- Date 23
Signature of Applicant — Owner ❑ Contractor ❑ Agent EX
An ion oofsHA structures tis over 3guired storiesoineheigvht Ions over 5'0" deep and demolition or construct-
Mobile Home Installation Fee S
En rgy Inspection Fee $
l
C E
TOTAL FEE
$ 164.50
HAZ D E
IMP
FLOG
COF
PARCEL
—�-
PD HD
Issu
This permit is hereby issued under the
Bions of a Butte County Code nd/or
worki ate above for hic fees
D ECT PUB C
BY
PERMI EXPI • ES Date ��
applicable provi-
resolutions to do
have been aid.
WORKS p
55
_d ? Zt
`T'�
Receipt No. 141048
WNITf-D.P.W., YELLOW -ASSESSOR, PINI( -INSPECTOR, GOLDENROD -APPLICANT
�y ��j' n'rbvlMrl��•�/ f1(}l'1L_ �►y� ./'r'fYr'_. V''�..i
COUNTYOF BUTTE - DEPARTMENTOF DF.VELOPMENT SERVICES -BUILDING DIVISION
7 COUNTYCENTER DRIVE - OROVILLE, CALIFWL41g95965 -TELEPHONE (916) 538-7541
' PERMIT APPLICATIONDATA SHEET
OWNER
Proposed Building Use i-1 6 uilding Inspector Date 3d
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. All items have beery submitted.........................................
2. Plot plans,•3/4 sets, signed by preparer of plans . ..........................
3. Complete plans, 3/4 sets, signed by preparer of plans," Q
4. Engineered plans and calcs, 3/4 sets, with wet signat on fabs. r.1'1q:"�/ . . .
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). ....
Mobilehome data and manufacturer's installation instructions, 2 sets. ...........
10. Fees of $ .........................................
. (D-Ampact fees as shown on attached schedule . ..............................
12. Cdlifornia Department of Forestry plan approval/fees....................... .
3 Flood elevation letter (100 year flood) by California Engineer. .. ............ .
14. Sanitation and plot plan approval 6- 5 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. .. o Building nspector (Date
f 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 . ......................................... P
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.
.When you issue the perm;wand
s as follows: Mai nn r. Mail to contractor.
Telephon hold for pickup at office. Deliver with inspector.
Other
Parcel Creation
Acreage Applicant ShjcN4T) 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
1. Index permit for above items No.
2. Additional items required:
not checked above).
Contractor, designer, owner, was advised of above required data by _ phon���Iiail Counter (_DateJAS
Contractor, designer, owner, was advised of above required data by _ phone _ mail Co me y _ Date
Plans checked by Date Plans approved by Date ZZ
Sets of plans on hold in File cabinet AP folder
Copy - Department of Public Works J_/v`_/�C9.;��p
ART CUMMINGS, INC.
10240 FIMPLE RD.
CHICO, CA 95928
(916)894.5494
L((3o/q 3
le 5 � '�� v f' c wee $ 7� c
ti
COUNTY OF BUTTE - Department, of Public Works
7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541
OWNER -BUILDER VERIFICATION
MAY 16 1993
Attention Property Owner:
An :owner -builder" building permit has.been applied for in your name and bearing
your signature.
Please complete and return this information at your earliest opportunity to avoid
unnecessary delay in processing and issuing your building permit. No building permit
will be issued,until this verification is received.
1. -1personally plan to provide the major labor and materials for construction of
the proposed property improvement yes or no)
2. I Pavavenot).'
. signed an application for a building permit
roposed work.
3. I have contracted with the following person (firm) to provide the proposed
construction: W' ^:
Name W A
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 : II _
Property Owner Art �urr�rn� T G b r-+kutr 7,
Social Sec rity Number
Date S0 [R -A .
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.
Ccs C44 CM