HomeMy WebLinkAbout039-270-0331
BUILDING CODE VIOLATION
30 DAY
BUILDING CODE VIOLATION
0 DTTER: SENG�
BU:AY�LTTE
CODE VIOLATION
10 R: SENT:3%a7�2
AP 39-27-33
A.M. Taylor
3896 Ord Ferry Rd., Dayton
(BLDG. GARAGE & WORKSHOP W/O PERMITS -
5/14/81)
39-27-33
Permit #2432-8r1B(new pri.det.garage
& storage)
039-270-033#98-2396
TAYLOR, ART
3896 ORD FERRY RD. DAYTON
BUTTE ROOFING CO A716141,A716141,.
REROOF �z'41%9
Of
039-270-033 02-019.1
VAN ORNUM, LORI
3869 ORD FERRY RD, CHICO
CONT: TRI COUNTY ELECTRIC
CHANGE OUT 100AMP SERVICE
r3896
-270-033 02-0562
N ORNUM, LORIE
ORD FERRY RD, DAYTON
CONT: DAWSON
DEMO SHED
039-270-033 04-3596
VAN ORNUM, LORI
3896 ORD FERRY RD, DAYTO
CONT: OWNER\ i
UP/GRD ELEC TO 200AMP
� � �-
i r^A�__ ['�1
M .I �' I -: � V V
11
NOTES !
RESIDENTIAL
PERMIT NO. _'-039-270-033 _ 04-3596-`
VAN ORNUM, LORI
3896 ORD FERRY RD, DAYTON.
+ CONT: OWNER
UP/GRD ELEC TO 200AMP
SPECIAL CONDITIONS
SRA
FLOOD CERTIFICATE REQ.
FIRE SPRINKLERS REQ.
SPECIAL INSPECTION ITEMS
:1 VERIFY
t
USE PERMIT CONDITIONS
, SUB -STANDARD HOUSING LETTER
Ilk7
Y�
OFFICE COPY
CHECKED
BY
Address'q ` b 0 l
117Y�cw
GAS
Meter By Date
ELECTRIC
Meter By. Date_
,j
JOB FINALED at �v
1124
• L
Signature
s
,tr
SPECIAL CONDITIONS
SRA
FLOOD CERTIFICATE REQ.
FIRE SPRINKLERS REQ.
SPECIAL INSPECTION ITEMS
:1 VERIFY
t
USE PERMIT CONDITIONS
, SUB -STANDARD HOUSING LETTER
Ilk7
Y�
OFFICE COPY
CHECKED
BY
Address'q ` b 0 l
117Y�cw
GAS
Meter By Date
ELECTRIC
Meter By. Date_
,j
JOB FINALED at �v
1124
• L
Signature
J=OK
0 = Not OK
. = NotReadyable MOBILE HOMES
Date
MOBILE HOME UTILITIES (Plans) OK except #'s
Zoning Requirements -Setbacks -Easements
1.
Zoning Requirements -Setbacks -Easements
3.
2.
Soils; Special MH Support Sketch
Wood Awn.; Posts-Beams-Rftrs-Connectors
Shthg-Frg-Bracing
3.
Sewer; Location -Test -Fall -C/O -Concrete
6.
4.
Water; Location -Test -Easement Needed (Sketch)
Electric
5.
Electricity; Location-Clearances-Grnd-/ /Amp -Concrete
9.
6.
Gas; Location -Test -Wrap;-/ /" L'ft.
/ P Nat. or/ /" L "ft./ P LPG
Roof; Shthg-Roofing
7.
Well Clearance & Disconnect
8.
Utility Clearance
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
MOBILE HOME INSTALLATION (Plans) OK except #'s
1.
Zoning Requirements -Setbacks -Easements
2.
Footings; Size -Spacing -Marriage Line .
3.
Gas; MH Test -Demand -Valve -Connector
4.
Electricity; MH Test -Crossovers -Breakers -Clearances
5.
Drain; MH Test -Fall -Flex Connector
6.
Water; MH Test -Regulator -Connector i
7.
Water and Sewer Connected -C/0 to Grade -HD Approval
8.
Gas and Electricity Tagged
9.
Tie Downs -Type -Installation Cert.
10.
Exits; Insp.-Sketch
11.
Cert. of Occupancy
Date
Card B-1 Date Card B-1
Date
Card B-1 , Date Card B-1
Date
PERMANENT END SYSTEM (ONLY)
1.
Zoning Requirements -Setbacks -Easements
2.
Footings; Size -Spacing -Marriage Line
3.
Blocking
4.
Gas; MH Test -Demand -Valve
5.
Electricity; MH Test
6.
Water; MH Test
7.
Water and Sewer Connected
8. Gas and Electricity Tagged '
9.
Exits
10.
License Decals
11.
Verify #'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- Panel boards- 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-Blockouts-Wrapped
6.
Stemwalls, Garage; Steel- Bloc kouts-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
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
FINAL (Plans) OK except #'s
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
72.
Elec. Outlets at Wood Panel, Int. & Ext.
Date
73.
Card B-1 Date Card B-1
Date
74.
Card B-1 Date Card B-1
Date
ELECTRICAL (Permit) OK except #'s
Garage Fire Door; Swing -Landing -Closure
24.
Fixture & Transformer Clearance -Ins. Protection
A.C. Duct in Garage -Damper
25.
Elec. Receptacles Spacing -Lights & Switches at Doors
Wtr. Htr; Vents -Clearance -Comb. Air Connector-P.R.V.
in Garage; Above Floor-Mech. Protection
26.
Size Boxes & No. of Conductors Stapled
Plb.; Elec. & Mech. Equip. Listed for Location
27.
Romex Installed Close to Edge of Studs & C.J.
Elec. Receptacles in Garage (F.F.I.)-Romex Protection
28.
Equip. Ground made up w/Mech Fasteners -Bond Gas & Water
29.
2 Appliance Circuits in Kitchen & Conductor Size GFI
82.
30.
Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or Al
31.
Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or Al
Insulated Neutral ❑ Yes ❑ No
83.
32.
Service -Riser Conductors & Ground Main Disconnect
84.
33.
Equip. Clearances Panels-Motors-Mech. Equip.
85.
34.
Clothes Closet Light -Shower Light -Spa Light
86.
35.
Smoke Detector
87.
Water Well, Disconnect, Electrical, Plumbing
Date
Exterior Elec. Trim, G.F.I. Receptacle -Underground
Card B-1 Date Card B-1
Date
Ventilation Throughout House
Card B-1 Date Card B-1
Date
MECHANICAL (Permit) OK except #'s
36.
A.C. Ducts Insulation & Support
37.
Vent Fan, Exhaust above insulation
38.
Condensate Drain & Overflow, Size & Grade
39.
Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet
40.
Attic Access & Platform if Furnace in Attic
Date
96.
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
FRAMING (Permit) OK except #'s
Card B-1 Date Card B-1
41.
Sills Proper Materials & Anchors
Card B-1 Date Card B-1
42.
Walls Studs -Nailing Spacing & Braces -Plates -Sound
43.
Bearing Walls over Girders & Floor Nailing
44.
Draft Stop in Walls (rat proof)
45.
Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs
46.
Headers & Beams -Size & Bearing
Date
FRAMING (Continued)
47.
Hangers -Post Caps -Anchors -Connectors
48.
Cling. Joist-Rftr. Ties- Purlin-Roll Brac.-Truss-Shting.-Rtng.
49.
Fireplace Ties or Type A Flue -Fireplace Throat Clearance
50.
Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
51.
Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions
52.
Garage Fire Protection Framing -RC Channel
53.
Property Line Firewall & Openings
54.
Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits
55.
Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
56.
Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
57.
Siding -Nailing Veneer
58.
Stucco Mesh -Drip Screed -Fd. Vents-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.FI. & 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 ❑ Yes
_
83.
Following Instld./Drive O Yes O No/Walks O Yes O No/Planters ❑ Yes O No
84.
Stucco Brown -Finish
85.
A.C. Unit Disconnect, Electrical -Plumbing
86.
Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings
87.
Water Well, Disconnect, Electrical, Plumbing
88.
Exterior Elec. Trim, G.F.I. Receptacle -Underground
89.
Ventilation Throughout House
90.
Glass Protection
91.
Corrections from Previous Inspections
92.
Gas Test -Meters Tagged, Gas -Electric
93.
Water & Sewer Connected -C/O to Grade -HD Approval
94.
Energy Compliance Certificate -Other Certificates
95.
Address Posted
96.
Fire Sprinkler
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Comments at Final:
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT
24 HOUR INSPECTION #: (530) 538-7636 (OROVIL'LE) (530) 891-2834 (CHICO)
OFFICE All: (530) 538-7541 FAM (530)538-2140
WEBSITE: www.buttecounty.netldds
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 penalty of perjury that I am exempt from the
Contractors' State License Law for the following reason (Sec. 7031.5
Business and Professions Code: Any city or county which requires a
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 Slate 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 five hundred dollars ($500).):
)a 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' 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.).
❑ 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
Date: Owner:
WORKERS' COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for
workers' compensation, as provided for by Section 3700 of the
Labor Code, for the performance of the work for which this permit
is issued.
❑ I have and will maintain workers' compensation insurance, as
required by Section 3700 the Labor Code, for the performance of
the work for which this permit Is Issued. My workers' compensation
insurance carrier and policy number are:
Carrier:
Policy ft:
Ili 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, I shall
forthwith comply with those provisions.
Date: - - V
Applicant
WARNING: Failure to secure workers' compensation coverage Is
unlawful, and shall subject an employer to criminal penalties and one
hundred thousand dollars ($100,000), in addition to the cost of
compensation, damages as provided for in Section 3706 of the Labor
code, Interest, and attorney's fees.
CONSTRUCTION LEND1NG AGENCY
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.)
Address:
PERMIT NO.
BP043596
Issued Date: 12/22/2004 APN: 039-270-033-000
Site Address: 3896 ORD FERRY RD DAY
Map Index:
Description: install new subpanel up -grade elect. sery to 200
Owner: VAN ORNUM LORI
3896 ORD FERRY RD
CHICO, CA
95928-8918
Applicant: VAN ORNUM LORI
Contractor:
License #: -
Architect:
Engineer:
Total Square Ft: 0 S. F.
Valuation: $0.00
Census Code:
-This permitis he eby issued under tie a plicable provisions of t e Butte County Code anrVor
Resoluflons to work Indicated alSove �r/,which fees have been paid.
Bv: 1 /L.IM11!G 1 II/,/I/ Date: !
PERMIT EXPIRES ON: 7
❑ I 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 8 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 l am the owner rthe dulylathorized ag oft a owner. I agree to comply with
all county and state laws relating to building construction. I acknowledge It is unlawful to alter thesubstanc ofany officrm or do ant fButteCounty. thereb
authorize rep1resentatives of Butte County to enter upon t�h�e anbove mentioned property for inspect' n urp d.Print Name: ✓C) �l y �\11a/fit � ,� Y v 1 Sig ature: 2,,
Date: rr� � - C. t_.I
Owner Q Contractor `—❑ Agent for Owner - ❑ Agent for Contractor
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT
24 HOUR INSPECTION #: (530) 538-7636 (OROVIL'LE) (530) 891-2834 (CHICO)
OFFICE #: (530) 538-7541 FAM (530)538-2140
WEBSITE: www.buttecounty.netldds
PERMIT NO.
BP043596
LICENSED CONTRACTORS DECLARATION
I hereby affirm under penalty of perjury that I am licensed under
Issued Date: 12/22/2004 APN: 039-270-033-000
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.
Site Address: 3896 ORD FERRY RD DAY
License Class: License Number:
Map Index:
Date: Contractor:
Description: install new subpanel up -grade elect. sery to 200
OWNER43UILDER DECLARATION
1 hereby affirm under penalty of perjury that I am exempt from the
a
Contractors' State 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
Owner: VAN ORNUM LORI
to its issuance, also requires the applicant for such permit to file a
3896 ORD FERRY RD
signed statement that he or she is licensed pursuant to the provisions of
the Contractor's State License Law (Chapter 9 commencing with Section
CHICO CA
7000) of Division 3 of the Business and Professions Code) or that he or
95928-8918
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).):
J� 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: VAN ORNUM
Code: The Contractors' State License Law does not apply to an
LORI
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.).
❑ 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,
Contractor:
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
Date: Owner:
License #: -
WORKERS' COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for
workers' compensation, as provided for by Section 3700 of the
Labor Code,'for the performance of the work for which this permit
Architect:
is issued.
❑ I have and will maintain workers' compensation insurance, as
Engineer:
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
2- 1 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:
App licant•
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.
6
/
CONSTRUCTION LENDING AGENCY
This permit is he eby issued under tlPe'g�plicable provisions of the Butte County Code anrUor
I hereby affirm that there is a construction lending agency for the
of the work for which this permit Is issued (Sec 3097 Civ.)
Resolutions to db work Indicated @bovejbr which fees have been paid.
performance
B ,`� Date:J�_y
Name:
y' c�
-
Address:
PERMIT EXPIRES ON:��� v� el
Date
❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safely 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 em the owne rjthe duly a thor-zed ag of t e owner. I agree to comply with
all county and state laws relating to building construction. I acknowledge it is unlawful to alter htf y official rm or do ant f Butte County. I here
authorize representatives of Butte County to enter upon the above mentioned property for inspPrint
Mrp
� Ce-A(I 'Sig
Name: ✓� �l 1Yy 1
`'
Date: v
/Agent
1L_ Owner ❑ Contractor for Owner 0 Agent for Contractor
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT APPLICATION
AND SUBMITTAL REQUIREMENTS
24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834
OFFICE #: (530) 538-7541
A FEE WILL BE REQUIRED AT TIME OF APPLICATION
Website: www.buttecounty.net/dds
- "PLEASE PRINT CLEARLY"
34r office use only:
OWNER
Last Name
-
first ame
_32096 ORD
6ft2-
CityC 'Co
State
State�0
Zip S'
Phoneax
&, 9
Fax
E-mail
E-mail
Lic. #
34r office use only:
CONTRACTOR
Name
-
Address
1 ,
L�
City
State
State
Zip
Phone
E-mail
Fax
E-mail
Date Approved:
Lic. #
Class
34r office use only:
ARCHITECT/ENGINEER
Name
-
Address
1 ,
L�
City
State
State
Zip
Phone
E-mail
Fax
E-mail
Date Approved:
State License Number
34r office use only:
APPLICANTNAME
Name
Flood Zone
Addr s 6
1 ,
L�
CityNX L�
State
Zip
pne,3O �
ax
E-mail
t
34r office use only:
Zoning
ddr, ss
M
Flood Zone
Cro s Street
SRA Yes
I No ,
Occ.
Type Const.
Subdivision Name Map
Book
Page
Lot #
Planner
Date Approved:
OVER FOR SUBMITTAL REQUIREMENTS
K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc
PERMIT
NO.
BP
BIN #
LOCATION
AN
ddr, ss
M
Ci
fC U
Cro s Street
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:
C� O 411'
Sq. Notage
O Structure Built without Permits
O Proposed Change of Occupancy
(Note previous use):
EXPIRATION OF APPLICATION
Applications for which a permit has not been issued will expire one
year after the date of application. In order to renew action on an
application after expiration, a new application, plans and fee will be
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.
Page 1 of 2
Received by. Amount: L��L) Bldg
SRA
Receipt #: v Sheriff
SMIP
Other
Date/'q -� /(� �j G%'/�
Total
REV 7-27-04
e
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 /N 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. (Note: Not required for additions to
mobile or modular homes.)
❑
5.
Statement of Intent for Non -heated and A/C for Non -Residential Buildings.
❑
6.
Manufactured homes: (A) Data sheets and installation inst, (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.
Detached Accessory Building Form filled out by the owner (if required).
❑
12.
Hazardous Material Form (for Commercial Buildings only).
❑
13.
Sanitation and site plan approval from the Environmental Health Department.
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).
❑
7.
Worker's Compensation Carrier and Policy Number.
❑
8.
Owner -Builder Verification (if required).
❑
9.
Letter of Signature authorization (if required).
❑
10.
Recorded copy of Agricultural Acknowledgment Statement.
❑
11.
❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner (for 433A's).
If you have questions or would like additional information regarding this process, contact a Permit
Application Assistant at (530)538.7541.
EXPIRATION OF APPLICATION
Applications for which a permit has not been issued will expire one year after date of application. In order to renew action
on an application after expiration, a new application, plans and fees will be required.
REQUEST FOR FEE REFUNDS
Refunds can only be made upon written request by the person who paid the fee. The request must be made within two
years from the date of fee payment on permits not issued, and two years from the date of permit issuance for permits
issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan
check fees for work plan checked and other department costs are not refundable.
OVER FOR BUILDING PERMIT APPLICATION
KAFORMS\BUILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2 REV 7-27-04
N
March 27, 2002
Mr. Van Ornum:
3896 Ord Ferry Road
Chico, CA 95928
RE: Formal Warning Notice
Building Code Violation
I;Irtte Co
L A N D O F N A T U R A L W E A L T H A N D B E A U T Y
3896 Ord Ferry Road Chico, CA 95928
AP # 039-270-033
Dear Mr. Van Ornum:
BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
7 COUNTY CENTER DRIVE • OROVILLE, CALIFORNIA 95965-3397
TELEPHONE: (530) 538-7541
FAX: (530) 538-2140
This is a formal warning notice. Pursuant to Butte County Code (BCC) Section 41-2, we sent
you a courtesy notice dated March 11, 2001, notifying you that you are in violation of the BCC,
and 1998 California Building Code (CBC), at the above -referenced location. As of this date, the
following violations still exist:
Violation is for failure to obtain the required inspections and approvals from this office
for the installation of a new electrical service and miscellaneous electrical wiring.
(a) Section 106.1 Permits Required
(b) Section 108.1 Inspections Required
(c) Section 108.4 Inspection Approval Required Before Use or Occupancy
(d) Section 3405 Change in Use Requires Conformance to Code
The above violations(s) shall be corrected or abated by you by submitting three (3) complete sets
of plans, applying for the required permits, and paying the appropriate fees, including penalties.
After permit issuance and field authorization to proceed, the work must be completed and
approved by this office within the permit specified time.
This is your final warning. Unless you contact this office and make the proper
arrangements to correct or abate the violation(s) voluntarily, within ten (10) days from the
date of this letter, enforcement shall be pursued through the issuance of a citation
(ordering you to appear in court) for said violation(s) and for failing to comply with this
warning letter.
Upon conviction of said violation(s) or of failing to comply with this letter, the court shall
impose penalties (fines) and a Notice of Violation shall be recorded in accordance with Butte
County Code Section 41-7. The Notice of Violation shall include a description of the premises
the violation concerns, a description of the violation, the date of your conviction and the action
necessary to correct or abate the violation(s).
Mr. Van Ornum:
March 27, 2002 `
Page 2
Should you have any questions concerning this matter, please contact Scott Rutherford or
Michael C. Vieira in this office at the address or telephone number listed above.
Sincerely,
Scott Rutherford
Chief Building Inspector
SR:th
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
PROOF OF SERVICE BY MAIL
I am a citizen of the United States and employed in the County of Butte. I am,
and was at the time of the service hereinafter mentioned, over the age of eighteen years
and not a party to the within action. 'My business address is Department of
Development Services, Building Division. # 7 County Center Drive, Oroville, California
95965. 1 am readily familiar with the County's practice for collection and processing of
correspondence/documents for mailing with the United States Postal Service and that
said correspondence/documents are deposited with the United States Postal Service in
the ordinary course of business on the same day.
On March 11, 2002, aforegoing 30 -Day Letter on the person(s) named below
by placing a true copy thereof in_a sealed envelope, with first class postage thereon fully
paid, addressed as indicated below, and by placing said envelope
In the appropriate place within the Department of Development Services
where mail is collected for mailing with the United States Postal Services
on the same day.
X In the United States Postal Service Mail in Oroville, California.
Mr. Van Ornum
3896 Ord Ferry Road. Chico, CA 95928
AP# 039-270-033
I declare under penalty of perjury under the laws of the State of California on March 27,
2002 at Oroville, California.
Tammy Holt
March 11, 2002
Mr. Van Ornum
3896 Ord Ferry Rd.
Chico, CA 95928
RE: Building Code Violation
3896 Ord Ferry Rd., Chico, CA 95928
AP # 039-270-033
Dear Mr. Van Omum:
�,eutte
couftfq
D OF NATURAL WEALTH AND BEAUTY
BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
7 COUNTY CENTER DRIVE • OROVILLE, CALIFORNIA 95965-3397
TELEPHONE: (530) 538-7541
FAX: (530) 538-2140
This is a courtesy notice to notify you that you are in violation of the Butte County Code, as
follows, at the above -referenced location.
Failure to obtain the required permits, inspections and approvals from this office for new
electrical service and miscellaneous electrical wiring.
Since permits and inspections are required for the above work, application must be made for the
required permits and the appropriate fees paid. All work must stop until these permits are issued
and you are authorized by our field inspector to proceed. The field authorization cannot be made
until the existing work is inspected and approved.
It is the County's goal to obtain voluntary compliance with the Butte County Code. However,
you should be advised that Butte County has an active Code Enforcement Program which
provides an effective means of enforcement if voluntary compliance is not obtained.
Enforcement may be pursued through the issuance of citations, fines and the recording of a
Notice of Violation including a description of the action necessary to abate the violation.
You have thirty (30) days to voluntarily comply with the above directions or to present an
acceptable plan for abatement or corrective actions to be taken by you. Should you have any
questions concerning this matter, please contact Scott Rutherford or Michael Vieira in this office
at the address or telephone number listed above.
Sincerely,
Scott Rutherford
Chief Building Inspector
SR: th
cc: Assessor
i
-..... _'..�.
butte ®�
LAND OF NATURAL W E A L T H AND BEAUTY
BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
7 COUNTY CENTER DRIVE • OROVILLE, CALIFORNIA 95965-3397
February 8, 2002 TELEPHONE: (530) 538-7541
FAX: (530)538-2140
Mr. Van Ornum
3896 Ord Ferry Rd.
Durham CA 95938
RE: Building Code Violation
3896 Ord Ferry Rd., Durham CA 95938
AP # 039-270-033
Dear Mr. Van Ornum: `
This is a courtesy notice to notify you that you are in violation of the Butte County Code, as
follows, at the above -referenced location.
Failure to obtain the required permits, inspections and approvals from this office for new
electrical service.
Since permits and inspections are required for the above work, please submit three (3) complete
sets of plans, apply for the required permits, and pay the appropriate fees. All work must stop
until these permits are issued and you are authorized by our field inspector to proceed. The field
authorization cannot be made until the existing work is inspected and approved.
It is the County's goal to obtain voluntary compliance with the Butte County Code. However,
you should be advised that Butte County has an active Code Enforcement Program which
provides an effective means of enforcement if voluntary compliance is not obtained.
Enforcement may be pursued through the issuance of citations, fines and the recording of a
Notice of Violation including a description of the action necessary to abate the violation.
You have thirty (30) days to .voluntarily comply with the above directions or to present an
acceptable plan for abatement or corrective actions to be taken by you. Should you have any
questions concerning this matter, please contact Scott Rutherford or Michael Vieira in this office
at the address or telephone number listed above.
Sincerely,'
Scott Rutherford
Chief Building Inspector
out
cc: Assessor
1ASi s Assessor
Name TAYLOR ARTHUR M LIVING TRUST �I
Asmt`#'
Status
Tax
I Fee1--270-033-000390 ]!
JACTIVE Status:Date
-- -
000 NORMAL OV!NERSHIP ]ITRA 070 019
Addrl TAYLOR ARTHUR M TRUSTEE j
- - -
Addr2 921 E HONEYSUCKLE GLEN CT
Situs.
3896':ORD FERRY RD', DAY j
Addr3 COEUR D ALENE ID 83815-6555
Base Dt 01!01!1982
Land
Fixtures
Growing
Total L&I
Fix. RP____0
MH FP
i PP
_ 7;608;
18,269;
25 877
, �d
0;
0
Addr4 _ _ _ jj
— - — -- --
C-AIAgPresStructure
r� Etal
Bonds
J Multi Situs
-1
I Flag1
Flagg
Comments 3927003300 CONVERTED 09/08/88
CreatingDoc# 198819999999 JD ate'
_
Current Doc#�995R28738 -_� Date 08/23/1995
Killing Doc# �`` Datel�=—�
i I
Asmt Desc TOWN OF D_ AYTO� SuplCntLip
ZoningA40 j}
Dwell
Acres0:33; N1C 039
Asmf FP Pen
fJ Tax PP Pen
Appeal Pending
r Split Pending
q
Exempt
Net26T87ij
RIG#��
T1R DtF_
RIC Stat
_ 0,
_ -7
PHY
OWN.
EXP
TAX
HON. 1 ATT
SIT
f �'I� I ► �►�
JL & Findll.�
-_ _ __ _ _- _- 112001
Isa, 07/25/2001 3;27,21 PM
February 8, 2002
Mr. Van Ornum
73-�8��9,.6 Ord Ferry Rd.-
-haw-GA-95-9-38 dvk\1_10
utfe Count
LAND OF NATURAL WEALTH AND BEAUTY
BUILDING DIVISION ,
DEPARTMENT OF DEVELOPMENT SERVICES
7 COUNTY CENTER DRIVE • OROVILLE, CALIFORNIA 95965-3397
ti TELEPHONE: (530) 538-7541
FAX: (530) 538-2140
1� 5qa 81
RE: Building Code Violation
3896 Ord Ferry Rd., Durham CA 95938
AP # 039=270=933
Dear Mr. Van Ornum:
This is a courtesy notice to notify you that you are in violation of the Butte County Code, as
follows, at the above -referenced location.
Failure to obtain the required permits, inspections and approvals from this office for new
- electrical service. ck-r\d mise. e. -p_�; ,� w r r i vt
Since permits and inspections are required for the above work, to
o , apply for the required permits, and pay the appropriate fees. All work must stop
until these permits are issued and you are authorized by our field inspector to proceed. The field
authorization cannot be made until the existing work is inspected and approved.
It is the County's goal to obtain voluntary compliance with the Butte County Code. However,
you should be advised that Butte County has an active Code Enforcement Program which
provides an effective means of enforcement if voluntary compliance is not obtained.
Enforcement may be pursued through the issuance of citations, fines and the recording of a
Notice of Violation including a description of the action necessary to abate the violation.
—" -- You have thirty (30) days to voluntarily comply -with the above directions or to present an
acceptable plan for abatement or corrective actions to be taken by you. Should you have any
questions concerning this matter, please contact Scott Rutherford or Michael Vieira in this office
at the address or telephone number listed above.
Sincerely,
Scott Rutherford
Chief Building Inspector
SR: tp
cc: Assessor
TO VOL
COUNTY OF BUTTE To e4�
,SENDER vs o
BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES RUSON cHr"&fo
X .03211
7 COUNTY CENTER DRIVE Ulld8iMe&--RefuM LU Co
OROVILLE, CALIFORNIA 95965-3397 Attempted.,Not Anawn
PB METE, A -
Insufficient A& 703468012-8- POLTAGE
reA—.- *k
No Seth strod-d
RETURN SERVICE REQUESTED No Stich 6ft;
Do not remail in this eftwolopo
I
Mr. Van Ornum
'fF 3896 Ord Ferry Rd.
Aft) Durham CA 95938
FIRSI CLASS
kv e14
A A A P A R--AA RAN.
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7,County Center Drive • Oroville, California 95965 • Telephone (530) 5nXXXXX.
41 PERMIT NO.
(Rev. 12/96) APPLICATION AND PERMIT 02-0191
39ASSESSORPARCEL NUMBER ZONING
-270-033
BUILDI P
RMIT
OWNER TELEPHONE
ORI VAN ORNUM 8(4-2665
SO. FT. OCC. BUILDING VALUATION
• OWNERS MAILING ADDRESS
896 ORD FERRY RD CHICO 95928
CONTRACTOR'S NAME
RI—COUNTY ELECTRIC 8
TELEPHONE
1-582
CONTRACTORS MAIUNG ADDRESS
554 CUMMINGS RD DURHAM 95938
CONSTRUCTION LENDER
Fireplace
LENDER'S MAILING ADDRESS
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee
$ 20.00
Permit Fee
$
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee
$
BUILDINGADDRESS
3896 ORD FERRY -RD, CHIGO
Energy Plan Checking Fee
$
$
PERMIT FEE
$
LOT NO.
SUBDNISIOWS NAME
PARCEL MAP
PLUMBING PERMIT
Filing Fee 20.00
USEOFSTRUCTURE
SF [X Duplex ❑ Mobilehome ❑ Other
SPECIFY
Each Trap
1 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 R] Installation ❑ Other ❑
Describe Wl°ftN4E, 100AMP v
�e��R�I�E
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home S G W
920.00
PERMIT FEE
$
ELECTRICAL PERMIT
Filing Fee 20.00
600OR LESS
Main Service 2a0A OR LESS
23.00 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.POWER
License Class /_� - /O Lic. No. ,2��y3
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,
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 contractorsMisc.
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
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 comly with those provisions.
X L Date _
Signature of Ap • I' nt - ❑ Owner ❑ Contractor ❑ Agent
An OSHA permit is required for excavations over 60" deep and demolition or construction
of structures over 3 stories in h fight.
Main Service 200A TO 1000A 46.00
NEW CONST. OWEwNG OCCUP. s0
OR ADDNS. ( 8 ACC. BLDS. 3.5QFT.
NON-RESID. MULTI -O11 UTLET @7,50
APPARATUS
& SINGLE OUTL 7 CIR.
Ex. OCCU OUTLET OR FD(TURES
20 BALO .50 @ .50
Ex. Occup. oFIxLI A D OFR,p 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Wiring23.00
PRE INSPECTION 23.00
PERMIT FEE $
MECHANICAL PERMIT Filing Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEE $
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
CONST. TYPE
TOTAL FEE $ 66.0
HAZ.
D. FEES IMP
FLOOD
CDF
ppRCEL
PD
HD
ISSU
This permit is hereby issued under
of the Butte County Code and/or
indicated above for which fees have
By d
PERMIT EXPIRES ON
I
the applicable provisions
Resolutions to do work
been paid.
/ y� D2
D to (/
10f
Receip 3. 30&a 1013
WHITE-D.D.S.-B.D. CANAR . SSESSOR PIN -INSPECTOR GOLDENROD -APPLICANT
" CQUNTY.OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES-BUILDIN n (VISION
7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)53 21
PERMIT APPLICATION DATA SHEET
/ e 3 031 0 D
OWNER.` �� U''1 VN ASSESSOR PARCEL NUMBER
Proposed Building Use: Counter Technician: �. Date: 1 ` 2� `
IItems required in order to apply for a permit. All boxes MUST be checked OR marked NA "in order to apply.
,�LI! 1.. Plot plans, 3 o 4 sets, signed by the preparer of the plans.
2. Complete plan s;3 or 4 sets, signed by the preparer of the plans.
❑ 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations.
f' Engineered truss details and layouts in duplicate. No faxes! `
0 Energy compliance design and supporting documentation in duplicate.
❑ 6. Manufactured homes: (A) Data sheets and installation instructions, (B) Marriage -line information, (C) Floor Plan, (D) Tie down or
foundation plans, all in duplicate.
7. Metal buildings: (A) Metal Building Plans, (B) Foundation plans and calculations,in triplicate, (C) Elevation views in triplicate.
(D) Floor plans in triplicate. All of these must be stamped and wet -signed by the en -ineer.
Items required for initial plan review. If checked items have not been received, plan review cannot proceed. The permit will'be
indexed and returned to the plan review line-up when required items are received.
- Date Received By
❑ 8. Flood Elevation Certificate,'wet-stamped and signed, in duplicate ................................ .
❑ 9. Plot plan and business license. approval from the City of Biggs.....ik.............................. 's..
❑ 10. Letter of intent for non-residential buildings................................:........................
❑ 11. Detached Accessory Building Form filled out by the owner ......................................
❑ 12. Hazardous Material Form......:..`:.....................................................................
I] 13. Other s:
Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.)
❑ 14.
❑ 15.
❑ 16.
❑ 17.
❑ 18.
❑ 19.
❑ 20.
22.
❑ 23.
❑ 24.
❑ 25.
❑ 26.
❑ 27.
❑ 28.
❑ 29.
❑ 30.
Fees as shown on the attached Schedule of Fees Due Sheet .....................................:.
Statement of Intent for Non -heated and A/C Buildings ............................................. .
Sanitation and plot plan approval from the Environmental Health Department in
City of Chico Plumbing permit..........................................................................
California Department of Forestry plan approval ❑ paid. Sent by: ...^..................
Planning approval for (A) Use: (B)Parking: (C) Parcel Check:
Contact Land Development about ❑ Improvements, ❑ Drainage ...............................
Encroachment Permit for—driveway, the $ubU Works Dept. (construction approval prior to occupancy).
Pre -Inspection for J t�G IC G. J V 16 required ................
s
Contractor's license information. (Number, Name Style, Classification) ......................
Worker's Compensation Carrier and Policy Number...... V. . ...:..............................
Owner -Builder Verification (❑ Given to owner, ❑ Mailed to owner) .....................
Letter of Signature authorization....................................................................
Recorded copy of Agricultural Acknowledgment Statement ......:.............................
Manufactured home utility clearance................................................................ \.
Existing violations and/or expired permits.........................................................
❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $
❑ 3,1. Other:
When issued Telephoneand hold for pickup.
I have been inform of the above items and requirements for obtaining a building permit.
Applicant: ' Date:
,."1. Index permit applicatr n for the above items numbered:
t` 2. Additional items required
Contractor, designer, owner, was advised of the above data by D" phone, ❑ mail, ❑ counter, 6y _
Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by_
Plans reviewed by: Date: Plans approved by:
Structural reviewed by: Date: Structural approved by:
Note transfer by: Date:
Yellow: Building Division
r�
Plan Check Letter
_Date:
_Date:
Date:_
Date:
-:v t 2/96)
vw ENOiKat
I_L
G ✓1
C
-�Krccr ow Ug140711 MAJUNO n00N197
,-U Fumes%
)r#40 I tusavtlONt rw!
vruvtito, %,allrornta 95965 • Telephone (530) 538.7541 _•�"'
77 APPLICATIONAND PERMIT .a PERMIT N-
BUILDING PERMIT
h viii`^ T p NtZ(a(,s SO FT. OCC BUILOING
_ / (�JgC/� N I VALUATION
USEOFSTRUCTURE
Duplex O Mobilehome O Other
N
W
'2
TYPE OF WORK
9w O Addition O Remodel ❑ Ublitles Inttallabon Other O
99Cribe Work: r ` tJ d�
"PERAIT FEE PAM
SRA • .
SHERIFF
OTHER
AMOUNT RECEIVEp
*RE VT NV -AM 3 3 -7.2-3 q
" TO EE !VT =N" tip COAQUITER
Fireplace
Total Valuation E
_fling Fee L
Permit Fee i
Plan Checkin Fee b
Energy Plan Checking Fee i
s
PERMIT FEE I
PLUMBING PERMIT
Each Trap
Solar or heat Pump water heater
Water piping
Each gas water heater or vent
Gas fin stem 1 .5 outlets
Buildingsewer
Mobile Home S G I W
PERMIT FEE t
ELECTRICAL PERMIT
Main Service ( 8DO1 on u<ss
200A OR
Main Service ( sou To IOWA 1
Ex. Ore -tin / ounE►no nr --
20 0o
Hong Poe 20.00
7.00
23.00
15.00
15.00
15.00
1 5.00
@20.00
ng Feel 20.00
23.00 Z�
48.00
3.5e;°
Ex. OCcu iD¢o'10Oue• on
owner, olo FA
MAL 't .w
5.00
Temporary Service
23.00
Mobile Home Facilibes
20.00
Mise. Wirin
23.00
PERMIT FEE
S
MECHANICAL PERMIT
Fling Fee 20.00
Heating
Cooling
Hood
8.50
Ventilation
PERMIT FEE
8
Mobile Home Installation Fee
$
Energy Inspection Fee S
occ co~r TvK TOTAL FEE $
KAZ 0. oto &up Roo0 coo,
0"M ro b esu
Ihis permit is hereby Issued under the applicable provisions
of the Butte County Code and/or Reeolutlons to do work
indicated above for which fees have been paid.
By Date
PERMIT EXPIRES ON
PRE -INSPECTION REP
. ORT
OWNER: �G� �/1 61'11 (A
LOCATION: 1-3N 6-6ed
CONTRACTOR:(IaA�wrr C
PRE-1NSPETION FOR 4 /��O %`(-'t', c S
DATE: . Z S , 0 Z
A.P.
ZONING:
DATE TO INSPECTOR PERROT HLSTORY:( ) NONE ( ) AS FOLLOWS:
BUUMING nYSPEC-FOR'S REPORT
Building Description:
ResidentialMt of Units:
Currently Occupied
Abandoned/Vacant
Electric:
Yes, No .Electric currently On Off
Condition of Electric (Y y- , Gt%/w lxe
Gas:
j
Natural Propane C/ None Currently On Off
Obvious Problems:_
Sanitation: �/ C
Plumbing Working
Well Working Potable Water LC— `
Obvious Sewageproblems /Vy
/ - i'CrA i iJ (6� % I 4 /1 /c'4x1c
ACTION RECOMMENDED%•) ISSUE: HOLD FOR 5(,,
Inspector:
Dat
Sketch buildings on reverse and, indicate location on property.
APU
0(,0
��� --
r
I
. , !
Q/` IG t%�
r•Krs www Ao se
/l_r O rr
:ON4Ct��OK/t ^ WLt
Ob t�1.CflOM IEwQ
-�.cn s �.raati Awe■
AC-r►tCT OA (A0#41q
+CNTCCT OR Voosyam-s WAA,w ADORES,
.43440 ADO Ss 3
)T'dO I suawdoNlimw
APPLICATIONAND PERMIT v
PERMIT Syr
84iMMO BUILDING PERMIT
s iOCC FT. SO
ZCo(,S BUILDING VALUATION
I-
USEOFSTRUCTURE
O Wbilehome O Other
TYPE OF WORK
0-(
I
2(
esu O Addition O Remodel O tA%og Installation Other O ---� --
ascribe Work:
r
"PERMIT FEE Pulp
SRI
SHERIFF
AAkbVNT RECEIVED
�aEcc r Nvmm 3 37C`i
" To Ee FVr Iwo coAA vm
Fireplace
PERMIT
Filln Feel 20.00
Main SAfVICB
Total Valuation i
23.00 Z `A
Main Service
Filing F"
;
NSM/ CONST, �
OR ADONS.
Permit Fee
=
20 00
Pian Checkin Fee
L
MECHANICAL PERMIT
Energy Plan Checking Fee
t
Coolin
t
Hood
PERMIT FEE
S
PLUMBING PERMIT
Filing Fee 20.00
Each Trao
7.00
Solar or heat pump water heater
23.00
Water piping
15.00
Each gas water heater or vent
15.00
Gas piping system I . S outlets
15.00
Building sower
15.00
W
Mobile Home S [E-7w—
PERMIT FEE I S
ELECTRICAL PERMIT
Filln Feel 20.00
Main SAfVICB
Axv OR L"
200A OR LESS
23.00 Z `A
Main Service
30" TO 10004
48.00
NSM/ CONST, �
OR ADONS.
Owni OCCUR
A Acc. lLDf.
3.Sts°
4Ot+A6�0 ( NEW cOf4T.YULMOVTLU
-
�•r
07.50
EX. OCCu OVTVT On n n%MEI
7O a 1-**_ MAL .30 1
OFWD
EX. OCCU vnXs cf,O EA.
S.Oo
Tem Orar Service
23.00
Mobile Home Facilities
20.00
Misc. Wirin
23.00
rz•- V\ C .,Q-
Z-3`
PERMIT FEE
f
MECHANICAL PERMIT
Filing Fee 20.00
Heatin
Coolin
Hood
0.50
VentilnSon
PERMIT FEL: !
Mobile Home Instailatlon Fee S
Energy Inspectlon Fee S
«e «~* n•c TOTAL FEE $
"� o. nto sur n000 cor ►Rata 0-0w es"
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 boon pald.
By Data
PERMIT EXPIRES ON
v
d
0
i r r • .kOU�1TY OF BUTTE r '
_d,C��lu3a"!'�':;P;��.tsar•rai';2��Ea1aS,w46L'.}'� ,u.� v:aa+�a! gvwsrasra��z.i1,-r;i57irs?:;-,k7�:i�?i�id+'t'.
BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
411 Main Street • Chico, CA • (530),891-2751
7 County Center Drive • Oroville, CA • (530) 538-7541
CORRECTION NOTICE
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.
M, v ,v,a�
• i
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive • Oroville, California 95965 • Telephone (530) PERMIT No.
(Rev. 12/96) APPLICATION AND PERMIT
ASSESSORPARCELNUMBER
�� 3
ZD G�
,�3UILDINGPERMIT
OWNER
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
. OWNER'S MAIUN Aja ESS n /�
/` ���```••'W_ 9fTELEPHONE
S:"
CONTRACT0 NA(_
ME
CONTRACTORS MAILING 'ADDRESS
CONSTRUCTION LENDER
LENDER'S MAIUNG ADDRESS
Fireplace
Total Valuation $
ARCHITECT OR ENGINEER
UCENSE NO.
Filing Fee $ 20.00
Permit Fee $ 15-00
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee $
BUILDINGADDRESS a.�
c -JC 17 (0
Energy Plan Checking Fee $
.
PERMIT FEE $ 35. CO
LOT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT Fling Fee 20.00
USEOFSTRUCTURE
n URE ,�Q /-
SF ❑ Duplex ❑ Mobilehome A Other (J& 1�3b.� 10 x o 1C�
SPECIFY
Each Trap 7.00
Solar or heat um 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 ❑Buildin
Describe Work: 0-10 o , A&_0 0
Oh'1
Gas piping system 1 - 5 outlets 15.00
sewer 15.00
Mobile Home I S I G I W @20.00
PERMIT FEE $
ELECTRICAL PERMIT Fling Fee 20.00
aOOV OR LE
Main Service zo.A 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.P
License Class Lic. No.
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law jor the following reason:
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.
❑ 1, 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 zooA TO 1000A 46.00
NEw CONST. DWELLING CUP. 3.5Qs
AC
OR o�T. (
M ou.TLS.
NON•RESIO. u 97.50
OWER APPARATUs
d SINGLE OUTLET CIR.
EX. OCCU OUTLET OR FD(TUREs BAL I. 0
FlXED APPLNS. OR
Ex. Occup. S.00
ouTLErs RESID. EA .
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wirina 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
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 f I should become subject to the
workers' compensation provisions of section 3700 of the Labor Code, I shall
forth co se provisions.
X Date
Signature of Applicant - ❑ Owner Contractor ❑ Agent
An OSHA permit is required for excavations 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 $
Mobile Home Installation Fee $
Energy Inspection Fee $
OctCONST.
TYPE
TOTAL FEE $
HAZ. D. PEES
FLOOD
CDF
PARCEL
Po
HD
ISSUE
This permit is hereby issued under the applicable provisions
Of the a County Code and/or Resolutions to do work
indica d above for which fees have been paid.
�t ` �a
By Date 7
PERMIT EXPIRES ON 3^` 7-C)3
Date
Receipt No. 3 O 31.'S• &D
WHITE-D.D.S.-B.D. CANARY -AS ESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
Name TAYLOR ARTHUR M LIVING TRUST
Addrl ITAYLOR ARTHUR M TRUSTEE
Addr2 921 E HONEYSUCKLE GLEN CT
Addr3 I COEUR D ALE NE ID 83815-6555
Addr4
Comments 13927003300 CONVERTED 09/08/88
Creating D oc# 198819999999 D ate
Current Doc#1,9951928738 Dake 08231995
Killing Doc# Date
Asmt D esc T OWN O F DAYT O N S uplCnk F
Zoning IA40 Dwell
Acres 1 0.33 N iC 039
PHY
r,,,l-,,l po.Im
EXP
Asmt # 039-270-033-000 Fee # 039-270-033-000'0�
Status ACTIVE Status Date
Tax 000 INORMALONERSHIP TRA 070-019
Situs 13896 ORO FERRY RD DAY
Base D k 101 /01 /1982
Land
Structure
Fixtures
G rowing
Total L&I
Fix. RF
MH PP
PP
Exempt
AgPres
j�
E tal
0
N otes
0
B ands
0
multi Situs
Flag1
Flagg
Asmt PP Pen
Tax PP Pen
Appeal Pending
Split Pending
Land
Structure
Fixtures
G rowing
Total L&I
Fix. RF
MH PP
PP
Exempt
7,608
18,269
0
0
25,877
0
0
0
0
Net 25,877
Ric#F—
T1R DII
R!C Stat
HON I ATT I allT I APR
71177 n -a 1nr innn-4 n n-7 na r'%L J
'.( BUTTE COUNTY ENVIRONMENTAL HEALTH DEPARTMENT
HAZARDOUS MATERIALS AND EMMISSIONS QUESTIONNAIRE
(A Building Permit cannot be approved without this completed form.)
BUILDING PERMIT NUMBER
APN
Firm Name
Address /��42L 6,02;?,
Nature of Business ��-�C�l�,-1 �'®7t%7/� C �i✓�
Contact Person ` LO-�✓ 6¢'�.�1:�5� /(J J Phone #
' 1. Does your business or that' of your tennants handle, store, or_ transport hazardous materials?.
IZNO 13 YES
NOTE: Hazardous materials are defined as -any material that, because of its quantity, concentration, or
physical or chemical characteristics, poses a significant present or potential hazard to human
health and safety or to the evironment if released into the the workplace or the environment.
"Hazardous Materials" include, but are not limited to, hazardous chemicals, hazardous waste,
paints, oils, lubricants, fuels, flammables, combustibles, corrosives, gases, and any material which
a handler or the administering agency has a reasonable basis for believing to be injurious to the
health and safety of persons or harmful to the environment if released.
2. Do you or will your future tenants handle store, or transport 55 gallons, 500 pounds, or 200 cubic feet (at
standard temperature 4 pressure), or formulation containing hazardous material?
NO C3 YES
891-2727
If you answered YES to 1 or 2, contact the Butte County Environmemtal Health Department (916-WkW for
a review of the project.
3. Is the business/facility/operation to be located within 1000 feet or the outer boundry of a school or
sYiool site?
NO 0 YES
IF YES, name of school.
4. Does the business/facility/operation have the potential to emit any air pollutants; e.g., dust, soot, odors,
fu es, vapors, or other volatile compounds?
NO O YES
IF YES, contact the Butte County Air Pollution Control District (916-891-2882) for permit requirements.
I In Q
Owner or Authorized Company Representative D :�) �
ISsgnatuie) IDatel
BCEHO BCAPCD
The applicant has met or is meeting the applicable requirements of Section 25505,
25533, and 25534 of the Health and Safety Code and the requirements for a permit
from the Butte County Air Pollution Control District.
0 The Above Regulations Do Not Apply To This Facility.
BCEHD Signature Date
BCAPCD Signature Date
May 1995 WHITE - Building Dept 0 YELLOW - Em Health 0 PINK - APCD 0 GOLDENROD - Fire Dept. 3.26
Demolition Permits
Asbestos Notification Statement
Date
AP#
Pursuant to section 19827.5 of the California Health and Safety Code, all
demolition permit applicants are required to fill out this form.
"19827.5. A demolition permit shall -not be issued by any city, county,
city and county, or.state and local agency which is authorized to issue Ory
demolition permits as to any building or structure except upon the receipt
from the permit applicant of a copy of each written asbestos notification
- regarding-the.building'-that has been required to.be submitted to the United _
States Environmental Protection Agency or to a designated state agency, or
both;-pursuant,'to*,Part g61~of,•Title 40 of• the_ Code of Federal Regulations, . _
or the successor to that part. The.permit may be issued without the applicant
submitting a copy of the written notification if the applicant declares that
-the notification isnot applicable to the. -scheduled demolition project. The
permitting agency may require the applicant.,to make the declaration in writing,
or it may incorporate the applicant's response.on the demolition permit appli-
cation.."
Attached is a copy of my written asbestos notification to the United States
Environmental Protection Agency for the demolition project located at
Signature of Applicant
8R
I hereby declare that a written asbestos notification to the United States
Environmental Protection Agency is not applicable to this demolition project.
Signature of Applicant
May 1995 3.27
-COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES- BUILDING DIV�,S10N
8-7
7 County Center Drive - Oroville� California 95965 - Telephone (916) 53 1 , IIRRMIT NO.
(Rev.12/96) ' APPLICATION AND PERMITIle
`���
ASS ESSOR PARCEL NUMBERw ^ Oy 0�-3
/
ZONING
BU DINGPERMIT
OWN �.r
TELEPHONE
•
SQ. FT. OCC. BUILDING VALUATION
OW ER'S MAILING ADD 55
9.p RACTO 'S
V /T.0 •
I TELEPHONE s
�� A.J
C RACTO 'S MAILING ADDRESS-'
•40.
CONSTRUCTION LENDER A
Fireplace
LENDER'S MAILING ADDRESS
'
Total Valuation $
Q.�L
ARCHITECT OR ENGINEER
�
LICENSE NO.
Filing Fee
$ 20.00
Permit Fee
$
ARCHITECT OR ENGINEERS MAIUAG ADDRESS
Ai
Plan Checking Fee
$
BUILDING ADDRESS
Energy Plan Checking Fee
$
�`,/
' PERMIT FEE
$
LOT NO.
SUBDIVISION'S NAME V (-
PARCEL MAP'
PLUMBING PERMIT
Filing Fee 20.00
.%USEOFSTRUCTURE
M, :.....
'SF Duplex.❑. Mobilehomef❑ Other,
s 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
*I TYPE OF.WORK '
New ❑ Addition ❑ Remodel O Utilities ❑ Installation O0 Other
Describe Work: �lil1! - �r9j•» ,� J ,n,r/
J �7'
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home S G W
@20.00
PERMIT FEE
S
ELECTRICAL PERMIT
Fling Fee 20.00
Main Service= ioono mss
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 ful for ae and effect.POWER
License Class.? LIC. NO. � 7�,e,
OWNER -BUILDER DECLARATION
1 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,
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 t
Main Servico . ( 200A TO I000A
46.00
NEW CONST. DWELLING OCCUR
OR ADDNS. 4i ( s Acc. BLos.
SO
3.5¢FT:
NEW CONST. MULTI.OUTLET
NON-RESID. BgANC C
7.50
APPARATUS
d SINGLE OUTLET CIS.
Ex. Occup. oLmFroR FIXTURES
20 @' 00
BAL @ .so
LNS
Ex. Occup. ourLEEDrs RES 6.OEA
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.
cc sation insurance carrier d policy number are:
My workers' n
Carrier :X1 �. J. f/;e/
MECHANICAL PERMIT
Filing Fee 20.00
Heating
Cooling
Hood
6.50
Ventilation
PERMIT FEE
$
Policy Number 97A ,,J9r01:-3'
(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.
Date //e?��.F__
Signa Lire of App (cant - ❑ Owner ❑ Contractor Agent
An OSHA permit is required for excavations over 60" deep and demolition or construction
of structures over 3 stories in height.
Y.
Mobile Home Installation Fee
$
Energy Inspection Fee $
occ
CONST. TYPE
TOTAL FEE $ 35 co
HAZ.'
D. FEES IMP
I FLOOD
CDF
PARCEL I 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 Date tiA
V
PERMIT EXPIRES ON /cg�5
Date
Receipt No. 0
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
011
t
COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES-BUILDINGDIVj7County Center Drive - Oroville, California 95965 -Telephone (916) 538-7 1PERMIT NO.
(Rev.12/96) APPLICATION AND PERMIT (;�C_�
ASSESSOR PARCEL NUMBER J _ �r�
ZONING
BU DING PERMIT
OWN
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
OW ERs MAILING AD SS
3010
.0V
RACTO 'S NAM TELEPHONE '
Ll pL • ��
RACTO 5 MAILING ADDRESS
.D 9
CONSTRUCTION LENDER
Fireplace
LENDER'S MAILING ADDRESS
' I4
Total Valuation $
ARCHITECT OR ENGINEER
UCENSE NO.
Filing Fee $
2.�-0.00
Permit Fee $
gA/V
ARCHITECT OR ENGINEERS IVAIUK ADDRESS
Plan Checking Fee $
BUILDING ADDRESS
Energy Plan Checking Fee $
$
PERMIT FEE $
!JD
LOT NO.
-
SUBDIVISION'S NAME
PARCEL MAP
PLUMBING PERMIT
Filing Fee 20.00
USEOFSTRUCTURE
SF XDuplex ❑ 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: t
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home S G W
@20.00
PERMIT FEE S
ELECTRICAL PERMIT
Filing Fee 20.00
E00V OR LESS
Main Service 2..A 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 ful force and and effect.
License Class & ! Lic. No. ��c�n
OWNER -BUILDER DECLARATION
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,
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' cc sat'on ins rance carrier d policy number are:
Carrier 01
Policy Number
(The above sections need not be competed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
❑ 1 certify that in the performance of the work for which this permit is issued, I shall
not employ any person in any manner so as to become subject to workers'
compensation laws of California, and agree that if I should become subject to the
workers' compensation provisions of section 3700 of the Labor Code, I shall
forthwith comply with those provisions.
41 1
X ��-- Date —�—
Signa ure of App Icant - ❑ Owner–M Contractor gent
An OSHA permit is required for excavations over 60" deep and demolition or construction
of structures over 3 stories in height.
Main Service To 46.00so
WEE200A
CCU000A
NEW CONST. DWELLING OCCUP. SO
FT.
OR ADDNS. ( 8 ACC. BUDS. 3.5¢NEW
COS
NON -RES DT ANC I CFTC IUETS @7.50
POWER APPARATUS
8 SINGLE OUTLET CIR.
Ex. Occup.20 p OUTLET OR FIXTURES I.00BAL .50
FIAPLINISI
Ex. Occup. OUTLED ETSPRES D.OEA 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring 23.00
PERMIT FEE
MECHANICAL PERMIT Fling Fee 20.00
Heating
Cooling
Hood
6.50
Ventilation
PERMIT FEE $
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
CONST. TYPE
TOTAL FEE $ 0z
HAZ.
D. FEES
IMP
FLOOD
COF
PARCEL PD
I HD
I ISSUE
This permit is hereby issued under the applicable
of the Butte County Code and/or Resolutions
indicated above for which fees have been
By Date
PERMIT EXPIRES ON
Date)
provisions
to do work
paid.
_
.� S
Receipt No.
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
r
2432-81B
PERMIT NO.
PERMIT EXPIRES
OWNER Arthur Taylor
CONTR.
owner
ASSESSOR PARCEL
39-27-33
3896 Ord
Ferry Rd., Dayton
LOCATION
Temp. Power Pole
Called PG&E
Temp. Elec. Service
Called PG&E
Temp. Gas Service
CalledPG&E
--
/Date)
rj
JOB FINALED --07
Signature
rl
rf
1
J = OK
0 = Not OK �, t
= Not Applicable
= Not Ready RESIDENTIAL (Single and Duplex)
�
Date
UNDERFLOOR Plans OK'exce tq's t
Date
FRAM Continued
1.
Zoning requirements -Setbacks -Easements
roper Line Firewall & Openings
"
2.
FW., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth
4
xt. Doors -One 3' -Check Garage -3rd story, 2 exits
-
Fig., Garage; Soils -Steel- Ftg. Depth
50.
- m- ise-Run-Landing-Fire Protection
4.
Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth
ang-Attic Vents -Rafter Outriggers
5.
S walls, Main; Steel-Blockouts-Wrapped-Slab
tding-N i ' g-Veneer--
7.
temwalls, Garage; Steel-Blockouts-Wrapped-S
Piers -Fireplace Ftg.-Steel
53-11usee
5
M8611 BM Screed-Fdn. Vents-Underflr. Access
s Protection -Skylights -Plastic
8.
D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test
55.
ailing -Bolts
9. Gas Pipe; Size -Anchors -
10.
Water Pipe; Test -Anchors -Regulator -Service Test
11.
Electric; Underground
12.
Plenums & Ducts; Clearance -Material -Support -Ins.
13.
Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
Card -BI
Card -BI
Date - and -BI Date
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -B
Date g and -BI Date
Date
FINAL (Plans) OK except N's
Steps -Door & Sidelight Protection -Landings
Card -BI
Date
V Date Card -BI Date
'PLUMBING (Permit) OK except p's
57
e ^ tartar
14.
Water Ht.; Vent -Access -Combustion Air
learance-Comb. Air -Connector -
In Garage; Above Floor-Ducts-Mech. Protection
15. Water Pipe; Test & Anchors -Nail Protection
16.
D.W.V.; Test-Fttngs & Anchors -Nail Protection
tng
17.
Shower Pan; Test, First Floor -Tub Access
ixtures & Tub Access
18.
Test Tub & Shower, 2nd Floor -Tub Access
ec. rim ubpanel; Breaker Sizes -Labels
19.
Gas Pipe; Size & Anchors
6
6
; Clearances -Hearth
6
a ood Panel; Int. & Ext.
Card -B
Date Card -BI Date
_
nce; Grnd.-Air Gap -Cooking Clearance
Card- I
Date Card -BI Date
eptacles at Kit. Counter
Dat
ELECTRICAL Permit OK except q's
67
wing-Landing-Closer
to arage-Damper
20.
Fixture & Transformer Clearance -Ins. Protection
69.-
earance-Comb. Air-Connector-P.R.V.-
In Garage; Above Floor-Mech. Protection
21. Elec. Receptacles Spacing -Lights & Switches at Doors
22.
Size Boxes & No. of Conductors -Stapled
7
eyh: Equip. Listed for Location
23.
Romex Installed Close to Edge of Studs & C.J.
Garage; (G.F.I.)-Romex Protec.
24.
Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water
72.
'FieuA0+orr=Poa tff2Looked in Attic E] Yes
25.
2 Appliance Circuits in Kitchen & Conductor Size
7
Construction -Post Caps
_
26.
Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or All
7
wl Hole Door -Drainage & Wood -Earth Clearance
Looked under Floor ❑ Yes
27.
Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al,
Insulated Neutral ❑Yes ❑No
ollowing instld.: Drive E) Yes o; Walks E]Yes EJ No;
Planters ❑Yes ❑No
28.
Service -Riser Conductors & Ground -Main Disconnect
76^3t,>�e�Browa-Finish
29.
Equip. Clearances; Panels-Motors-Mech. Equip.
77.•
nett-Clrnces-Brkr. & Cond. Size -115V Outlet
30.
Clothes Closet Light -Shower Light
78.
V g,-Appliance-Firep 1. -Clearance to Opngs.
79
c lectrical, Plumbing
80. •
,
ec. nm; G.F.I. Receptacle -Underground
Card -I
Date Card BI Date
81,E
uaghoU 71ouse
Card/3-1
Date Card -BI Date
82
Dat
MECHANICAL (Permit) OK except q's
83.
ous Inspections
84.
ed; Gas -Electric
31.
A.C. Ducts; Insulation & Support
85.
cted-C/O to Grade -HD Approval
_
32.Vent
Fan; Exhaust above Insulation
g
tificate-Other Certificates
_
33.
Condensate Drain & Overflow; Size & Grade
34.
Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet
Attic Access & Platform if Furnace in Attic
Card -BI
Date - r and -BI Date
Card -BI
_
_Date Card -BI Date
Card -BI
Card -BI
Date Card -BI Date
Date Card -BI Date
Comments at Final:
Card -BI Date Card -BI Date
Date FRAMI G Plans) OK except q's
ills; Proper Material & Anchors
Walls; Studs-NaHirtg-,"Spacj,pg-rrBrac$Tg--Plates-Sound
_
38.
39.
irders & Floor Nailing
t proof)
40..
in s -Stairs -Chases -Tub
- -
Header & Beam -Size & Bearing
42.
H e)'ets-Posh pis- nchors-Connectors
Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng. _
Fireplace Throat
Protection -Draft Stop -Ins. Baffles
46.
ors -Sill Hgt. & Dimensions
47-
r;iragp Firp Prntar•tign Framing
(NOTE: An entry must be made each time you visit job site)
= OK f
= Not OK
= Not Applicable MOBILEHOMES MISCELLANEOUS
= Not Ready
Date
MOBILEHOME UTILITIES'(Plan.$) OK except q's
1. Zoning Requirements -Setbacks -Easements
Date
DECKS, COVERS, CARPORT$, ETC. (Plans) OK except #'s
1, Zoning Requirements -Setbacks -Easements
2.Soils; Special MH Support -Sketch
_
2. Footings; Size -Depth -Spacing -Connectors
3. Sewer; Location -Test -Fall -C/0 -Concrete
3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails
4. Water; Location -Test -Easement Needed (Sketch)
4. Wood Awn.; Posts-Beams-Rftrs.-Connec.-Shthg.-Rfg.-Bracing
5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Gas; Location -Test -Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG
6. Carports; Windows -Doors
7. Utility Clearance
7. Elec.
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date
Date Card -BI Date
MOBILEHOME INSTALLATION (Plans) OK except k's
1. Zoning Requirements -Setbacks -Easements
Card -BI
Date
_
Date Card -BI Date _
POOLS (Plans) OK except N's
1, Setbacks -Easements
2. Footings; Size -Spacing -Marriage Line
2. Soils; Compaction -Structure Stability
3. Gas; MH Test -Demand -Valve -Connector
3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining
4. Electricity; MH Test -Crossovers -Breakers -Clearances
4, Elec.; Receptacles and Lighting; Distances-GFI
5. Drain; MH Test -Fall -Flex Connector
5. Elec.; Pool Lighting; 15 volts-GFI
6. Water; MH Test -Regulator -Connector
6. Elec.; Enclosures; Conduit Entries -Terminals -Listed
7. Water and Sewer Connected -C/0 to Grade -HD Approval
7. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater
8. Gas and Electricity Tagged
8. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghtg.
Boxes -Enclosures -Panel boards -Ins. to Main in Conduit
9. Exits; Insp.-Sketch
10. Cert. of Occupancy
9. Health Department Approval
10. Plumb; Cir. Test -Water Supply Test
Card B -I
Date Card -BI Date
Card -BI
Date Card -BI Date
Card B -I
Date Card -Bl Date
Card -BI
Date Card -BI Date
COUNTY OF BUTTE - DEPART)# ENT OF PUBLIC WORKS P}RMIT NO.
7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541
t .� � (7l( 777"
APPLICATION AND PERMIT AA -1 _
MBER Z Y `
ASSESSOR P=RCEL NUMBER �J7 r Q
BUILDING PERMIT
OWN TQELEPHONE
(/ Q/ �
SO. FT. ,OCC. BUILDING VALUAT
f j
t/ O0
OWNER' MAILING ADDR SSS
CONTR CTO NAME
N
EL PHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
C S TRUC TIIjONN,J LENDER _
UNKNOWN
Total Valuation
O
Filing Fee
Q
$ 10,00
LENDER'S MAILING ADDRESS
Z( Lf r .• G 2
Permit Fee
$ V,00
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$ Ov
Penalty
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee
$
BUILDING ADDRESS
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
Repair drainage or vent piping
5.00
Water piping
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Each qas water heater or vent
5,00
Gas piping system 1 - 5 outlets
USE OF STRUCTU
SF ❑ Duplex[] Mobilehome❑ Other
SPECI FV
Building sewer
wn sprinkler system
5.00
TYPE OF WORK
New [&� Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑
Describe work:0-5-711;5ELECTRICAL
Permit Fee
$
Contractor
PERMIT
Filing Fee 10.00
Main service DOOV OR LESS
100 AMP OR LESS
5.00
Main service EA. ADD'L 100 AMP
2,50
NEW CONST. ( DWELLING OCCUP.EI\
OR ADDNS. ACC. BLDGS. /
22 sq ft
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
19/1, 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 am exempt under Sec. , Business and Professions Code
for this reason
NNEW ON -RESIT R. BMUL RANCH CIRCTITS 2.50 ea
NEW CONSTR, ( POWER APPARATUS e'
NON-RESID, SINGLE OUTLET CIR.
S OR FI,
Ex. Occup OUTLETS OR FIXTURES a ��
ITLE
OR
Ex. Occup.(OUTLETS (RESID,) EAJ 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 7.50
Permit Fee
$
Contractor
MECHANICAL PERMIT
FiIirig Fee 10.00
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
f Consent to Self -Insure.
7i 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.
Heating
Cooling
Hood
3.00
Ventilation
Permit Fee
3
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
again id unty in nseq nce of the granting of this permit.
X Date /16-3a — � �
Signature of Applicant — Owner Contractor ❑ Agent ❑
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
TOTAL PERMIT FEE $ ra%.00
Oc Cu P. GROUP
I TYPE DF CONST.
JP11CFLJ
PD
H
ISSUE
This permit is hereby issued under
sions -f the Butte County Code and/or
work indicated above for which
DIRECT F PUBLIC
By
PES IT EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
DaQ-7-7
�p
�..- ✓� ��
Receipt No. J ,3 / �L�
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT
.- _ -ct.
i
• utte ount
LAND OF NATURAL WEALTH AND BEAUTY
DEPARTMENT OF PUBLIC WORKS
CLAY CASTLEBERRY, Director
7 COUNTY CENTER DRIVE, OROVILLE, CALIFORNIA 95965
Teleohone: (916) 534-4541
H. W. McDONALD
Deputy Director
Junes 17, 1981
A-11. Traylor RE: Building Permit
F.O. Box 1039 A.P. # 39-27-33
Chico, CA.- 95927
near t*.:Toylor z
With reference to the above subject, we have been advised by one of our building
inspectors that you have not obtained the required permits and inspections from
this office for the work you are doing as follows:
Garage and workshop ori your property located on 3896 Ord ferry 8d..
Dayton.
Since permits and inspections are required by both State and County laws, please
contact this office within ten (10) days of the date of this letter, submit two (2)
complete sets of plans, apply for the required permits, and pay the appropriate
fees„ Including,RoggItios.
All work must stop until you obtain these permits and are authorized by our field
inspector to proceed. This field authorization cannot be made until the existing
work is inspected and approved.
Your cooperation in resolving this matter would certainly be appreciated. Should
you have any questions concerning this matter, please contact this office.
Yours very truly,
Clay Castleberry
Director of Public Works
JFG:dd
cc: Building Inspector Chico.
• ��P5a8L3iGfr .
J.F. Glander
Chief Building Inspector
It
File No.
BUTTE COUNTY (For Action 1, 2,3)
Public Works Dept. (For Information V)
Director
Dep. Dir.
Sec.
Rd. & Br. Mtce.
Shop & Yards
Bldg. Insp. Admin.
D&C / Traffic
Const.
Rd. Des.
Br. Des.
Sur. & Loc.
Transp.
R/W
Mapping
Land Dev.
Ref. Disp.
Ding. / S. I.
Sub. & Pcl. Maps
Permits
3
Owner:
BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS
SPECIAL IN9PECTIbN REPORT
A. P.
a
Address: Date of Inspection 3 -ice
Tenant: /��!/a�EGf_ Inspec
Building Location:
Type of Inspection requested:
1. Housing __..l 2. F inan"cc ing
L-4. Other (specify) C1
Present use of building:
" 3. Change of Occupancy to
ew- A � � I -"-
A. Sanitation (Housing)
1. Water closet: '.`.
2. Lavatory:
3. Bathtub or shower:
4. Kitchen sink:
5. Hot and cold water to fixtures:
6. He facilities: �
7. Natural light and ventilation:
8. Room and space requirements:
9. Bedroom window or door for second exit:
10. Infestation of insects, vermin, or rodents:
11. Copnecti.or to sewage disposal:
12. Connection to water supply:
13. Rubbish and garbage facilities:
14. Comments:
B. Structural
1. Piers and footings:
2. Floor construction:
3. Wall construction:
4. Ceiling and roof construction:
5. Fireplaces:
6. Com, ents-
C. Electrical
1. Service and ground:-
2.
round:_2. Receptacle-
3.
eceptacle-3. Fusing:
4. Comments:
D. Plumbing
1. Fixtures connected and vented:
2. Gas water heater:
3. Gas heating vents_
4. Comments:
E Other
I . Maintenance and repair:
2. Fire hazards:.--.-
3. Safety hazards:'
4. Weatl!er protection:
5. T.Juderfloor and attic ventilation:
6. Conurents,- .
F. Commercial Buildings
1. Roof covering:_
2. Distance to property lines:
3. Physically handicapped:
4. 2est"oom floors and walls:
5. Exits: -
6. Improvements:
7. zorung:_ .
8. Cour, eiit.,
G. Field Pro'hlezis or V i o I at i o v s
1. Problem c-^ VA.,0
e- lation (give noinplete. description}
2. Wt:,ataction taken (give complete description)
j-
fj Z, ZZ4
ac- rec(-mnt*cn(1ed:
3. w
T7 A. ','--nformation only - f
�Hold for tcn (10.) days, then wri-,.-c I.e.tter.
c- write 1O. -ter.
T7 D. other:
9
Jr A,. -�
W
9