HomeMy WebLinkAbout039-440-027t
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39-44-0Y
W'lliam Smith 0 -
1f//S S ,app. 'S -of Hegan Lane,
Chico le W119 �gy
contr: Chico m Pools, Chico
--Pe-r-mi-t_IA388-7-76B,P, private
swimming pool)
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317 -may
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CONT R:,o ' ico`
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..Const..,U Chico _ s
Pe47-7 B (addition)
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39-44-27 ----�
JUDIT AN
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Contr: ARK Enterpr RAO..Q
PErmit#3398-87B,E(remo /per.SI-#43-8'
39-44-27 Ili
Cont Ely Roofing ,(
PE it#3495-87L(reroof/SF)
39=4`4 27
._ 146�90B
DUNBAR`'` '-,
,Don .;
728S - ,
kyw- Ave,' Cfiico t `
(reroof/sf) - Q J
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039-440-027
DUNBAR, DON OS -0555
728 SKYWAY CHICO
Cont: QUEVEDO CONST
KITCHEN REMODEL
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39-44-0Y
W'lliam Smith 0 -
1f//S S ,app. 'S -of Hegan Lane,
Chico le W119 �gy
contr: Chico m Pools, Chico
--Pe-r-mi-t_IA388-7-76B,P, private
swimming pool)
` i r
317 -may
---3ra Compton— -=--- - - —
728 Skyway
CONT R:,o ' ico`
e
..Const..,U Chico _ s
Pe47-7 B (addition)
r
39-44-27 ----�
JUDIT AN
728 Skyway,
Contr: ARK Enterpr RAO..Q
PErmit#3398-87B,E(remo /per.SI-#43-8'
39-44-27 Ili
Cont Ely Roofing ,(
PE it#3495-87L(reroof/SF)
39=4`4 27
._ 146�90B
DUNBAR`'` '-,
,Don .;
728S - ,
kyw- Ave,' Cfiico t `
(reroof/sf) - Q J
,
039-440-027
DUNBAR, DON OS -0555
728 SKYWAY CHICO
Cont: QUEVEDO CONST
KITCHEN REMODEL
-05
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NOTES RESIDENTIAL
PERMIT NO 039-440 027 05-0555
i DUNBAR, DON
728 SKYWAY, CHICO r
" Cont: QUEVEDO CONST j
+ I KITCHEN REMODEL
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SPECIAL CONDITIONS
CHECKED
BY
SRA
FLOOD CERTIFICATE REQ.
Al
FIRE SPRINKLERS REQ. .
SPECIAL INSPECTION ITEMS G
VERIFY ;
USE PERMIT CONDITIONS
SUB -STANDARD HOUSING LETTER
l
2 -
" JOB FINALED(D
Signature
-'=OK
,9 = Not OK
< = Not Readyable
DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s
MOBILE HOMES
Date
MOBILE HOME UTILITIES (Plans) OK except #'s
1.
Zoning Requirements -Setbacks -Easements
2.
Soils; Special MH Support Sketch
3.
Sewer; Location -Test -Fall -C/0 -Concrete
4.
Water; Location -Test -Easement Needed (Sketch)
5.
Electricity; Location-Clearances-Grnd-/ /Amp -Concrete
6.
Gas; Location -Test -Wrap;-/ P' L 'ft.
/ P Nat. or/ P' L "ft./ P LPG
7.
Well Clearance & Disconnect
8.
Utility Clearance
10.
Roof; Shthg-Roofing
11.
Ext.; Steps -Doors -Landings
Date
12.
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
MOBILE HOME INSTALLATION (Plans) OK except #'s
Card B-1 Date Card B-1
1.
Zoning Requirements -Setbacks -Easements
Card B-1 Date Card B-1
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
7.
Water and Sewer Connected -C/O to Grade -HD Approval
8.
Gas and Electricity Tagged
9.
Tie Downs -Type -Installation Cert.
10.
Exits; Insp.-Sketch
11.
Cert. of Occupancy
10.
Plumb.; Cir. Test -Water Supply Test
11.
Light Niche
Date
12.
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
PERMANENT END SYSTEM (ONLY)
Card B-1 Date Card B-1
1.
Zoning Requirements -Setbacks -Easements
Card B-1 Date Card B-1
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-/ P' 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/0 -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
FRA
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
PLUMBING (Permit) OK except #'s
ling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rtng.
17.
Wat tr.; Vent -Access -Combustion Air Baffle
1
a Pi e; Test & Anchor -Nail Protection
1 .
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
55.
23.
Fire Sprinkler; Test
56.
Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
Date
Siding -Nailing Veneer
Card B-1 Date Card B-1
Date
Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access
Card B-1 Date Card B-1
Date
ELECT AL (Permit) OK except #'s
60.
fixture & Transformer Clearance -Ins. Protection
25.
Elec ptacles Spacing -Lights & Switches at Doors
62. Insulation -Walls -Ceilings
r ox 2s & No. of Conductors Stapled
63. Infiltration- Windows
Date
o Installed Close to Edge of Studs & C.J.
Date
Card B-1 Date Card B-1
quip. Ground made up w/Mech Fasteners -Bond Gas & Water
FINAL (Plans) OK except #'s
29.
2 Appliance Circuits in Kitchen & Conductor Size GFI
Ext. Steps -Door & Sidelight Protection -Landings i
30.
Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or Al
Smoke Detector
31.
Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or Al
Insulated Neutral 0 Yes O No
Furnace Vents -clearance -Comb, Air -Connector -
In Garage; Above Floor-Ducts-Mech. Protection
32.
Service -Riser Conductors & Ground Main Disconnect
Bedroom Exiting
33.
Equip. Clearances Panels-Motors-Mech. Equip.
G.F.I. & Bath Fixtures & Tub Access -Spa
34.
Clothes Closet Light -Shower Light -Spa Light
Elec. Trim & Subpanel, Breaker Sizes & Labels
35.
Smoke Detector
Stairs & Rails
71.
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
MECHANICAL (Permit) OK except #'s
36.
A.C. Ducts Insulation & Support
75.
37.
Vent Fan, Exhaust above insulation
76.
38.
Condensate Drain & Overflow, Size & Grade
77.
39.
Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet
78.
40.
Attic Access & Platform if Furnace in Attic
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date FRA.VAG (Permit) OK except #'s
Sill oper Materials & Anchors
IIs Studs -Nailing Spacing & Braces -Plates -Sound
Bearing Walls over Girders & Floor Nailing
44. Draft Stop in Walls (rat proof)
45. Fe Stops, Furred Ceilings -Stairs -Chasers -Tubs
PO�Headers & Beams -Size & Bearing
Date
FRA
(Continued)
ers-Post Caps -Anchors -Connectors
ling. 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- Windows
Date
Card_ 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 i
65.
Smoke Detector
66.
Furnace Vents -clearance -Comb, Air -Connector -
In Garage; Above Floor-Ducts-Mech. Protection
67.
Bedroom Exiting
68.
G.F.I. & Bath Fixtures & Tub Access -Spa
69.
Elec. Trim & Subpanel, Breaker Sizes & Labels
70.
Stairs & Rails
71.
Fireplace or Stove, Clearance -Hearth
72.
Elec. Out!at Wood Panel, Int. & Ext.
73.
Kit.,PKr& Appliance; Ground -Air -Gap -Cooking Clearance
ec. 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 (FF.I.)-Romex Protection
80.
Insulation -Foam -Looked in Attic
81.
Guard Rails & Deck Construction -Post Caps
82.
Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth
Clearance Looked under Floor 0 Yes
_
83.
Following Instld./Drive 0 Yes O No/Walks 0 Yes 0 No/Planters O 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.
En y Compliance Certificate -Other Certificates
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
PERMIT NO.
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT BPO50555
24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO)
OFFICE #: (530) 538-7541
LICENSED CCNTRACTORS DECLARATION
,
I hereby affirm under perally of perjury that' I am licensed under
provisions of Chapter 9 (commencing with Section 7000) of Division 3 of
Issued Date- 04/18/2005 APN: 039-440-027-000
the Business and Professions Code, and my license is in full force and
'
effect.
License Class : License Number:
Site Address: 728 SKYWAY AVE CHI
Dale: Contractor:Map
Index:
Description: KITCHEN REMODEL 209 SQ.FT.
OWNER GUILDER DECLARATION
I hereby affirm under penally of perjury that I am exempt from the
Contractors' Slate License Law for the following reason (Sec. 7031.5
Business and Professions Code: Any city or county which requires a
permit to construct, alter. Improve, demolish, or repair any structure, prior
Owner: DUNBAR DON
to its issuance, also regyires the applicant for such permit to file a
728 SKYWAY AVE
signed statement that he or she Is licensed pursuant to the provlslons of
CHICO CA
the Contractor's Stale License Law (Chapter 9 commencing with Section
7000) of Division 3 of the Business and Professions Code) or that he or
95928
she is exempt therefrom and the basis for the alleged exemption. Any
t (530) 895-8902 HOME (530) 89575024 WORK
violation of Section 7031.5 by any applicant for a permit subjects the
applicant to a civil penalty of not more than five hundred dollars ($500).):
❑ I, as owner of the property, or my employees with wages as their
sole compensation,. will do the work, and the structure is not
Intended or offered for sale (Sec. 7044, Business and Professions
Applicant: DUNBAR, DON
Code: The Contractors' Slate License Law does not apply to an
728 SKYWAY
owner of property who builds or Improves thereon, and who does
such work himself Q herself or through his or her own employees,
CHICO CA
provided that such improvements are not Intended or offered for
95928
sale. If however, the building or improvements are sold within one
year of compleliorL 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' Slate License Law does
-Contractor: QUEVEDO'CONSTRUCTION COMPANY
not apply to an owner of properly who builds or Improves thereon,
and who contracts for such projects with a contractor(s) licensed
pursuant to the Contractors' State License Law.).
12039 CENTERVILLE RD
CHICOCA
O I a Exempt under Article 3 of the Business and Professions Code
95928
95928
Date: O C owner:
530-342-2472
WORKERS' COMPENSATION DECLARATION
I hereby affirm under perally of perjury one of the following declarations:
License #:
O I 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.
Architect:
❑ - I have and will maintain workers' compensation Insurance, as
Engineer:
9
required by Section 3700 the Labor Code, for the performance of
the work for whlcl' this permit Is issued. My workers' compensation
insurance carrier and policy number are:
Carrier:
Total Square Ft: 0 S.F.
Policy a:
Valuation: $0.00
1 certify that in the performance of the work for which this permit Is
Census Code:
issued, I shall r.ot 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 omply.with provisions.
htthose
Date:
AppIIcanL aD
WARNING: Failure to secure workers' compensation coverage
an employer to criminal penalties and on%
�junlawful,
AtWe,117f L /
and shall eubJect
hundred thousand dollars ($100,000), In addition to the cost of
compensation, damages as provided for In Section 3706 of the Labor
fees.
/�� / / 4(1141
code, Interest, and attorney's
_►{� _
14MV 12
CONSTRUCTION LENDING AGENCY Thls permit II' hereby Issued unde ,die plicable provisions of the Butte County Code and/or
Re olulio o do work In above or Which fees have been paid.
I hereby affirm that there Is a construction lending agency for the
performance of the cork for which this permit Is Issued (Sec 3097 Civ.) By Date.
Name:
PERMIT EXPIRES ON: U C�
Address: (Dare)
❑ 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.
Section 19827.5 of California Health & Safety Code Is not applicable to the scheduled construction of this project.
O Notification in accordance with
❑ Attached are copies of the required E.P.A. notification forms.
the Information Is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with
I hereby certify that I have read this application, that above
and state! laws relating to building construction. I acknowledge It Is unlawful to alter the substan a of any official rm or document of Bulla County. I hereby
all county
authorize rep live/+s.of•Bult County to ente�ryupon the above mentioned property for inspection purposes.
' ✓ Signature:
Print Name: V
Date:
- A[•,wrier ❑ Contractor ❑ Agent for Owner ❑ Agent for Contractor
�"�' B. C. Building Permit 01-16-04 on 1
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT APPLICATION
AND SUBMITTAL REQUIREMENTS
24 HOUR fNSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834
OFFICE #: (530) 538-7541
A FEE WILL BE REQUIRED AT TIME OFAPPLICATION
Website: www.buttecounty.nettdds
2 t�� *r7LEQ,? PRINT CLEARLY"
APPLICANT NAME
ARCHITECT/ENGINEER
OWNER
city CO
AI
Last Name�K�r
Zi S9Ze
First
Address
,M3
Ave
Phone
City
, W
E-mail
State
Zip 9�5y+n
Phone
(�110Z
14
Fax
E-mail
o0 -
da;' 0.
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APPLICANT NAME
ARCHITECT/ENGINEER
Name
city CO
AI
Address
Zi S9Ze
City
Fax
State
Zip
Phone
Date Approved:
Fax
E-mail
State License Number
APPLICANT NAME
Name —b0 YL D 0/�Y
(U
Address
v� .
city CO
AI
St64
Zi S9Ze
Phone OZ It
oZ w
Fax
E-mail
O at . p(u &14 AV- I, dc) ' , C'4 0
APPLICANT SIGNATURE
X
For office use only:
AP# I`7
w /'�/j... /ti) /
Zoning -
Occ.
Flood Zone SRA Yes o
Tye Const. VAI
Subdivision Name
Sheriff
SMIP
Map Book
Page
Lot #
Planner
Date Approved:
OVER FOR SUBMITTAL REQUIREMEN I 5
KAFORMS\BUILDING FORMS\BldgApplSubRgmts.doc
PERMIT
NO.
BIN #
LOCATION
AP# I`7
w /'�/j... /ti) /
Property Adcjt�ss_
, ^ � 4ve
Cit
Cross Street
Sheriff
SMIP
WORKER'S COMPENSATION
Policy Number 2Z OZ S .?
Carrier gS+q Czm
ne
If hiring anyone other than license contrictors, a certificate of worker's
compensation must be shown at the time of permit issuance.
LENDING AGENCY
Name
Address
De n or Sco a of Work:
Sq. Foots //
Irl
❑ Structure Built without Permits
❑ Proposed Change of Occupancy
(Note previous use):
EXPIRATION OF APPLICATION
Applications for which a permit has not been issued will expire one
year after the date of application. In order to 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.
Received by.. Amount:
C77
'7 2 - ' Bldg
SRP,
Receipt #:.4
Sheriff
SMIP
Page 1 of 2
Date3 ';�OS
Total
REV 7-27-U4
SUBMITTAL & PERMIT REQUIREMENTS
The following drawings and specifications must be submitted to the Building Division in order to apply for a
permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK.
❑ 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. No graph paper!
❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans (No graph paper!) OR
Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations.
❑ 3. Engineered truss details and layouts in duplicate (if required). No faxes!
❑ 4. Energy compliance design and supporting documentation in duplicate. (Note: Not required for additions to
mobile or modular homes.)
❑ 5. Statement of Intent for Non -heated and AIC 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)5387541.
EXPIRATION OF APPLICATION
Applications for which a permit has not been issued will expire one year after -date of application..ln order to renew action
on an application after expiration, a new application, plans and fees will be required.
REQUEST FOR FEE REFUNDS ti . t
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
COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICE&B.UILDIN..G DIVISION
7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140
PERMIT APPLICATION DATA SHEET
OWNER: / ASSESSOR PARCEL NUMBER
Proposed Building Use: Yljoh,Qq Counter Technician: Date:
Items required in order to apply for a permit. All boxes MUST be checked OR marked NA in order to apply.
❑ 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. .
2. Comolete plans, 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.
❑ 4. Engheered truss details and layouts in duplicate. No faxes!
❑ 5. Letter from Engineer or Architect for truss design review.
❑ 6. Ene.-gy compliance design and supporting documentation in duplicate.
❑ 7. Statement of Intent for Non -heated and A/C for Non -Residential Buildings.
❑ 8. Manufactured homes: (A) Data sheets and installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in
duplicate:
❑ 9. 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.
❑ 10. Rood Elevation Certificate, wet -stamped and.siigned, in duplicate
❑ 11. Site plan and business license approval from the City of Biggs
❑ 12. Letter of intent for non-residential buildings
❑ 13. Detached Accessory Building Form filled outby the owner
❑ 14. 'hazardous Material Form
❑ 15. Sanitation and site plan approval from the Environmental Health Department in ❑ Chico ❑ Oroville, as applicable.
❑ 16. Other
Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.)
❑ 17. Fire Sprinklers............................................................................................
❑ 18. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by
❑ 19. Soils Report and/or Engineered Foundation required ........................................... ........
20L Erosion Control Plan Required........................................................................
21:. Fees as shown on the attached' Schedule.of Fees Due Sheet .............................
❑ 22. City of Chico Plumbing permit ........... .:................................................... ..........
❑ 23. California Department of Forestry plan.approval ❑ paid. Sent by: -.
❑ 24. Planning approval (A) Use: (B)Parking: (C) Parcel Check:
❑ 25. Contact Land Development about _ Improvements, _ Drainage ...... :......... ; ........
❑ 26. NPDES Form.............................................................................................
❑ 2.7. Encroachment Permit for driveway from the Public Works Dept ...........................
28. Pre -Inspection for required.......
29. Contractor's license information. (Number, Name Style, Classification) ...................
30. Worker's Compensation Carrier and Policy Number ..........................................
❑ 31. Owner -Builder Verification (_ Given to owner, _Mailed to owner) .....................
❑ 32. Letter of Signature authorization......................................:...........
.."""..........
❑ 33. Recorded copy of Agricultural Acknowledgment Statement... ...............................
❑ 34. Manufactured home utility clearance...............................................................
❑ -35. Existing violations and/or expired permits.........................................................
❑ 36. Deed Restriction.........................................................................................
1:137. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $
❑ 38. Other:
❑ 39. Other:
When issued Telephone Z!5 and hold for pickup.
I have been informed of the above items and requirements for obtaining a building permit.
Applicant: I Date: �� ///C S
1. IndEx permit applica' on for the above items numbered:' Plan Check Lett r
2. Addtional items re /
Contractor, design o s advised of the above data by phone, ❑ mail, ❑ counter, by Date:
Contractor, designer, owner was advised . f the abo dat by ❑ phone, ❑ mail, ❑ counter, by Date:
Plans reviewed by: Date t75 Plans approved by: Date
Structural reviewed by:In Date: Structural approved by: Date:
Note: transfer by: Date:
E t Yellow: Building Division
COUNTY OF BUTTE
DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541
SCHEDULE OF FEES DUE
BUILDING USE
BUILDING PERMIT FEES
--Balance Due ......................................
--Additional Fees Due ..........................
--Additional Fees Due ..........................
--Revised Plan Checking Fee ...............
.................. $
.................. $
.................. $
.................. $
2. SCHOOL DISTRICT FEES
(paid at District Office)
3. SHERIFF FEES (paid at Building Division)
Residential .................................... x $360.00 = $
Units
Commercial (sq. ft.) ...................... x $0.03 = $
Sq. ft.
4. URBAN AREA FEES
Residential ............................ x = $
# Units Amt.
Commercial (Sq. ft.) ............. x
Sq. ft. Amt.
5. RECREATION DISTRICT FEES
6. THERMALITO DRAINAGE DISTRICT FEES
$510.00 (paid at Building Division)
7. SRA FIRE INSPECTION AND PLAN CHECK
$89.00 (paid at Building Division)
8. WATER TENDER FEES (Battalion # )
$200.00 (paid at Building Division)
9. CSA 87 TRAFFIC FEE
$2500.00 (paid at Building Division)
A.P. #
ZJ <7
DATE
RECEIPT #
DATE REC.
,42 6194
A -17�6-iP
10. OTHER
At time of permit application, I was advised the above fees are required to be paid prior to issuance of the building permit. These fees
may be changed during the plan checking process.
APPLICANT
DATE /Z [ y s
Pursuant to Government Code Section 66020, you are hereby notified that items 2, 3, 4, 5, 6, 7, 8, 9, and 10 above may have been
imposed on your project. You have 90 days from the date of approval of the project or from the imposition of the above mentioned
items during which you may protest. The requirements for a protest are specified in Government Code Section 66020(a).
Original - Building Div. 2nd Copy - Applicant 3rd Copy - Owner (Rev. 6/00)
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COMPLAINANT
ADDRESS:
PHONE NUMBER:
OTHER COMMENTS •
f'
39-44-27 1462-90B
DUNBAR, Don
728 Skyway Ave, Chico
(reroof/sf)
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO.
' 7 County Center Drive - Oroville, California 959Q5 - Telephone:,916/538-7541 _
I Viz
APPLICATION AND PERMIT
ASSESSOR WCEL NUMBER
o 39-4-27-
ZONING
,.
BUILDING PERMIT
OWNER
D895-8902
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
40 I;q. Cnmp 2,400,00
OWNER'S MAILING ADDRESS
728 Sk Ave CHi
CONTRA C TOR'S NAM
Owner
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
C;ON STRUCTION LENDER
UNKNOWN
Total Valuation 112,400,00
Filing Fee
$ 10,00
LENDER'S MAILING ADDRESS
Permit Fee
$ 38.50
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
,$'
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
.
Permit fee
$ 48.50
PLUMBING PERMIT
Filing Fee 10.00
---' 728 Skyway Ave., Chico
Each Trap
2.00
Solar or heat pump water heater
20.00
LOT NO.
lb
SUBDIVISION NAME
Skyway Homes Unit 1
PARCEL MAP
;
Water piping
5.00
Each qas water heater or vent
5.00
USE OF STRUCTURE,
SF EJ Duplex[] Mobilehome❑ Other
SPECIFY .
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home S I G I W
10.00e
TYPE OF WORK t
New ❑ Addition ❑ Remodel )
❑ Utilities ❑ Installation❑ Other ®
f
Describe work: 1 _
40 Sq, romp, �
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
i
1
Main service 6001 OR LESS
100 AMP OR LESS
10.00
Main service EA. ADD'L 100 AMP
2.50
CONTRACTORS LICENSE LAW
I'declare under penalty of perjury (check one):
❑ I am licensed under provisions Of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full -force and effect.
License No. Classification
I�(1I, as the owner, or my employees with wages as their sole compen-
i sation, will do the work,and the structure is not intended oj offered
for sale. (Sec. 7044)
El 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.tr�-
OR ACDNS. ( ACC. BLDGS.
2/zQsgft
NEW RESIO,CONSTRANCH TLET
CIRCUITS)
NON -R ESID BRANCH CIRC ITS
2.50 ea
POWER APPARATUS &)
SINGLE OUTLET CIR.
Ex. Occup(OUTLETS OR FIXTURES
BAL@AL030
FIXED APPLNS. OR
EX. Occup. OUTLETS 1RFjSID.1 EA.�
2.00
Temporary serv'�
10.00
Mobile Home Facilities
15.00
Misc. Wiring
15.00
Permit Fee
$
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
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 j
MECHANICAL PERMIT
Filing Fee 10.00
Heating
Cooling
Hood
3.00
Ventilation
Permit Fee
$
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the County of
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
may in any way accrue
against said�County in onis permit
all li•a,bilities, judgme s 3afnat
X
Signature of Applicant — Own.,;K Contractor ❑ Agent ❑
An OSHA permit is required for e4covations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee
$
OCC
CONST TYPE
TOTAL FEE $ 48.50
HAZ
CUA
PARK
SCHL
FLD
PAR
PD
Ho
Issue
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which fees
A
DIRECT R OF PUBLIC
By / _
PERMIT EXPIRES Date ��!
the applicable provi-
resolutions to do
have been paid.
WORKS
_
//Date s 11 o
�/
Receipt No. / 7 /
WHITE-O.P.W., YELLOW -ASST SSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO.
7 County Center Drive - Oroville, California 95965 -Telephone: 916/538-7541 __--1 5 —�1 I
APPLICATION.AND PERMIT y
ASSESSOR PAaCEL NUMBER [ZONING
- 39-4—SR-1BUILDING
PERMIT
OWNER
Don Dunbar895_9024
TELEPHONE
895-8902
S0. FT. OCC. BUILDING VALUATION
40 Sq- Cnmp 2,4nn-on
OWNER'S MAILING ADDRESS
72 S wM Ave.
CONTRACTOR'S A
Ownpr
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation 1$2.4no.nn
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
Permit tee
$ 48.50
PLUMBING PERMIT
Filing Fee 10.00
728 Skyway Ave. Chico
Each Trap
2.00
Solar or heat pump water heater
20.00
LOT NO.SUBDIVISION
16
NAME
Skyway Homes Unit 1
PARCEL MAP
Water piping
5.00
Each qas water heater or vent
5.00
USE OF STRUCTURE
SF [X Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home I S I G JW I
10.00e
TYPE OF WORK
New❑ Addition F-1 Remodel[] Utilities❑ Installation❑ Other [M
Describe work: _
40 Sq. Comp.
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 600V OR LESS
100 AMP OR LESS
10.00
Main service EA. ADD'L 100 AMP
2.50
CONTRACTORS LICENSE LAW
I'declare under penalty of perjury (check one):
❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full force and effect.
License No. Classification
Lg I, as the owner, or my employees with wages as their sole compen-
T_ 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)
❑ 1 am exempt under Sec. , Business and Professions Code
for this reason
NEW CONST. DWELLING OCCUP.&
OR ACDNS. ( ACC. BLDGS.
2/:¢sgft
NEW CONSTR ULTI-OUTLET
NON.R ESID BRANCH CIRC ITS
2,50 ea
POWER APPARATUS h
(SINGLE OUTLET CIR.
Ex. Occup( OR FIXTURES
0 a 50t
2AL@30
9AL@30
FIXED APPLNS. OR
EX. Occup. OUTLETS (RESIO EA.)
2.00
Temporary service
10.00
Mobile Home Facilities
15.00
Misc. �Virin g
15.00
Permit Fee
$
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
�} I shall not employ any person in any manner so as to become subject
f to the W. C. laws of California.
Notice to Applicant: If after making tHis statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
Contractor
MECHANICAL PERMIT
Filing Fee 10.00
Heating
Cooling
Hood
3.00
Ventilation
permit Fee
$
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the County of
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
costsxpenses which may in any way accrue
all I' ilities, judg;i�o�njuen2certhe
against s ounty granting of this permit.
X ate j�J^
Signature of Applicant — OwnerX Contractor ❑ Agent ❑
An OSHA permit is requaired for cavations over 5'0" deep and demolition or construct-
ion of structures over 3 stooriiees inheight.
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
CONST TYPE
ALL
TOTAL FEE $ 48.50
0
HAz
CUA
PARK
ELD
PAR
HD
IssuE
Th;s permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which fees
DIT OF PUBLIC
_
Byho
PERMIT EXPIRES Date
the applicable provi-
resolutions to do
have been paid.
WORKS
/
ate �
Receipt No. 5to/ 7 �J
WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT
4
COUNTY OF BUTTE - Department of Public Works
7 County.Center Drive; 6roville, CA 95965 Phone: 916-538-7541
OWNER -BUILDER VERIFICATION
Attention P=operty 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 :(yes or�no) _
-J .
I {have/have not) signed an application for a building permit
for the proposed work.
3.
I have contracted with the following person (firm) to provide the proposed
construction
Name
Address City
Phone Contractors License No.
4. I plan to provide portions of this work, but I have hired the following person
to coordinate, supervise, and provide the major work:
Name
Address City
Phone Contractors License No.
5. I gill 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
f Social Securit umber `-/-
Date ?U
NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831.and
19834 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.
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO.
7 County Center Drive - OG-)vllle, California 95965 - Telephone: 916/538-7541
APPLICATION,AND PERMIT
ASSESSOR PPsR CEL_VUZONING
3 S �6
BUILDING PERMIT
OWNER
V PH�/ O
SO. FT. OCC. BUILDING VALUATION
C%
OW 5 MAILING DDRESS
2 e Ll� iw JV4 CHic o' c"'. 5/'f 16
CONTRACTOR'SI__tNAAME
Li / ' 4/z-
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation I $ Z'/O
LENDER'S MAILING ADDRESS
Filing Fee
$ 10.00
Permit Fee
$ e, 5,0
ARCHITECT OR ENGINEER
LICENSE No.
Plan Checking Fee
$
Energy Plan Checking Fee
$
ARCHITECT OR ENSINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
�72_,B
Permit fee
$
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2,00
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAME
s{C W,Q �r•tCS t
PARCEL MAP
Water piping
5,00
Each qas water heater or vent
5,00
USE OF STRUCTURE
SFP--Duplex[] Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home S G W
0.00e
TYPE OF WORK
New ❑ Additio /Remodel ❑ Utilities ❑ Installation❑ Other [�,
Describe work: S�c r'^��
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 100 AMP ORV OR LESS10.00
Main service EA. ADD'L 100 AMP
2.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Proifessions Code and my license is in full force and effect.
License No. Classification
1, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
ontract-
ors.(Sec. 7044)
ors.
❑ I am exempt under Sec. , Business and Professions Code
for this eason
NEW CONST. DWELLING OCCUP.tr
A )
New
, h¢sgft
CONSTR` ULTBI.OUTLET
NON.RESID BRANCH CIRCUITS)
12.50 ea
POWER APPARATUS tr
SINGLE OUTLET CIR.
Ex. Occup�OUTLETS OR FIXTURES
200
eALo30ao
FIXED APPLNS. OR
EX. Occup. OUTLETS (RESID.) EA./
2.00
Temporary service
10.00
Mobile Home Facilities
15.00
Misc. lyirin g
15.00
Permit Fee
$
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consant to Self -Insure.
j I shall -lot employ any person in any manner so as to become subject
to the A'. 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
FiIingFee 10.00
Heating
Cooling
Hood
3.00
Ventilation
Permit Fee
$
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the 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
1 liabilities, judgments, co s, and expenses which may in any way accrue
agar�Saidoy y . conse ence of the granting of this permi
—�}
X Date `
Sign lure of Applicant — Owner Contractor ❑ Agent ❑
An OSHA permit ;s required for excava ions over 5'0" deep and demolition or construct-
ion of structures over 3 sto_ries in height.
Mobile Home Installation Fee $
i
Energy Inspection Fee $
occ
CONST TYPE
�j 6n_
TOTAL FEE $ `7
HAz
CUA
PARK
SCHL
FLD
PAR
PO
HD ISSUE
This permit is nereby issued under
sions of the Butte County Code and/or
work indicated above for which fees
DIRECTOR OF PUBLIC
By
PERMIT EXPIRES Date
the applicable provi-
resolutions to do
have been aid.
p
WORKS
Date
Receipt No.���/3
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION
4, , , ` .
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541
PERMIT APPLICATION DATA SHEET
Permit No.
OWNER A. P..No.
Proposed Building Use Building Inspector Date
At time f permit application, I was advised the following data must be submitted prior to permit processing and/or issuance:
DATE RECEIVED APPROVED
1. All items have been submitted . ....................................
2. Plot plans in duplicate/triplicate, signed by preparer of plans........
3. Complete plans in duplicate/triplicate, signed by preparer of plans ..
4. Complete engineered plans and calcs, with wet signature on plans . .
5. Hazardous Material Form ..........................................
6. Energy Design Compliance and supporting documentation .........
7. Statement of Intent for Non -Heated and AC Buildings ..............
8. Engineered truss details and layout in duplicate (required prior to plan check)
9. Mobilehome installation data including manufacturer's installation
instructions ................................................... .
10. Fees of $ ........................
11. Chico Urban Area fees paid .......................................
12. Park fees paid ....................................................
13. School District fees paid ..............
14. Sanitation approval from Health Department
15. City of Chico plumbing permit... ...............................
16. Plot plan and business license approval from City of
(see City for other requirements)
17. Planning approval for (A) Use: (B) Parking: ......
18. Improvements may be required. Contact Land Development Section DPW
19. Driveway permit (construction approval required prior to occupancy)
20. Pre -Inspection for required Pre-inspec. request to
Building Inspector (Date)
21. Contractor's license information (No., Name Style, Classifications ...
22. Certificate of Workmans Compensation Insurance ..................
23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) .....
24. Recorded copy of Agricultural Acknowledgment Statement .........
25. Letter of signature authorization ............. iA i .................
26.
27.
When you issue the permit, process as follows: Mail to owner. Mail to contractor.
Telephone and hold for pickup at office. Deliver w/inspector.
Other
Applicant 1 Date S v '(
Copy of plans sent Health Dept., Fire Dept., Other Date
The following data must be submitted prior to permit issuance: (Circle new item not checked above).
1. Index permit for above items No.
2. Additional items required:
Contractor, designer, owner, was advised of above required data by_phoneJnail—counter by ..date
Contractor, designer, owner, was advised of above required data by—phone —ma il—counter by date
Plans checked by Date - Plans approved by Date
Sets of plans on hold in . File cabinet AP folder
Copy—DPW
'i.
i
+
t- r
`J{
PERMIT NO. 3398-87B, E
. PERMIT EXPIRES lO �JS �0 .
t OWNER JUDITH McMAHAN
'* t CONTR. ARK Ent
ASSESSOR -PARCEL 39=44-27
LOCATION wa
728 Skyway, Chico
r
t+r}
f
r
1
. ite • � f
i f
+
�•
)
r
t Temp. Power Pok
Called PG&E
Temp. Elec. Service
Called PG&E
Temp. Gas Service
Called PG&E Qb
JOB FINALED (Date) "!
Signature
= OK .
0 = Not OK
- = Not Applicable
` = Not Ready MOBILE HOMES •
MISCELLANEOUS
Date
MOBILE HOME UTILITIES (Plans) OK except #'s
Date
DECKS,COVERS,CARPORTS,GARAGES, (Plans)OK except #'s
1. Zoning Requirements -Setbacks -Easements
1. Zoning Requirements -Setbacks -Easements
2..Soils; Special MH Support -Sketch
2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel
3. Sewer; Location -Test -Fall -C/O -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
6. Gas; Location -Test -Wrap: / P L"ft.
/ P'Nat. or/ P'L"ft./ /"LPG
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Carports; Windows -Doors
7. Utility Clearance
7. Elec.
8. Frmg; Sills-Anchors-Studs-Rftrs-Trusses
9. Siding; Nailing -Veneer -Stucco -Mesh
Card -B1
Date Card -B1 Date
10. Roof; Shthg-Roofing
Card -B1'...
Date Card -B1 Date
11. Ext.; Steps -Doors -Landings
Date
MOBILEHOME INSTALLATION (Plans) OK except #'s
1. Zoning Requirements -Setbacks -Easements
Card -B1
Date Card -B1 Date
2. Footings; Size -Spacing -Marriage Line
Card -B1
Date Card -B1 Date
3. Gas; MH Test- Demand-Valve=Connector
4. Electricity; MH Test -Crossovers -Breakers -Clearances
Date
POOLS (Plans) OK except #'s
5. Drain; MH Test -Fall -Flex Connector
1. Setbacks -Easements
6. Water; MH Test -Regulator -Connector
2. Soils; Compaction -Structure Stability
7. Water and Sewer Connected -C/O to Grade -HD Approval,
3. Pool Structure; Steel-Connections-Thickness-
Dead Men -Lining
8_.Gas.and Electricity Tagged
9. Exits; Insp.-Sketch'
4. Elec.; Receptacles and Lighting, Distances-GFI
10. Cert. of Occupancy
5. Elec.; Pool Lighting; 15 volts-GFI
6. Elec.; Enclosures; Conduit Entries -Terminals -Listed
7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater
Card -B1,
Date Card -B1 Date
8. Elec.; Grounding; Equip. w/5' -circulating Equip. -Pool Lghtg.
Boxes-Enclosures-Panelboards-Ins. to Main in Conduit
Card -B1
Date Card -B1 Date
9. Health Department Approval
_
-
16
10. Plumb.; Cir. Test -Water Supply Test
Card -B1
Date Card -B1 Date.
Card -B1
Date Card -B1 Date
0
= OK
0 = Not OK
- =Not Applic;x+ble RESIDENTIAL ,(Single and Duplex)
= Not -,Ready '
Date UNDERFLOOR (Plans) OK except #'s
Date FRAMING (Continued)
1. Zoning requirements -Setbacks -Easements
44. Hangers -Post Caps -Anchors -Connectors
2. Ftg., Main; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth
45. Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng.
3. Ftg., Garage; Soils -Steel-/ /" Ftg. Depth
46. Fireplace Ties4r Type A Flue -Fireplace Throat
4. Ftg., Porches & Decks; Soils -Steel-/ /"Ftg. Depth
47. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
5. Stemwalls, Main; Steel-Blockouts-Wrapped
48. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions
6. Stemwalls, Garage; Steel-Blockouts-Wrapped
49. Garage Fire Protection Framing
7. Slab; Steel -Wrapped
50. Property Line Firewall & Openings
8. Piers -Fireplace Ftg.-Steel
51. Ext. Doors -One T -Check Garage -3rd story, 2 exits
9. D.W.V.; Fall -Fittings -Test -2 way C/O -Sewer Test
52. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
10. Gas Pipe; Size -Anchors
53. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
11. Water Pipe; Test -Anchors -Regulator -Service Test
54. Siding -Nailing Veneer
12. Electric; Underground
55. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access
13. Plenums & Ducts; Clearance-Material-Supprt-Ins.
56. Glazing Area -Glass Protection -Skylights -Plastic
14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
57. Shear Walls; Nailing -Bolts
15. Insulation
58. Insulation-Walls-Clg.
59. Infiltration-Walls-Wndws
Card -131 Date Card -B1 Date
Card -131 Date Card -131 Date
Date PLUMBING (Permit) OK except #'s
16. Water Ht. Vent -Access -Combustion Air
17. Water Pipe; Test & Anchors -Nail Protection
18. D.W.V.; Test-Fttngs & Anchors -Nail Protection
19. Shower Pan; Test, First Floor -Tub Access
Card -B1 Date Card -B1 Date
Card -131 Date Card -131 Date
Date FINAL (Plans) OK except #'s
60. Ext. Steps -Door & Sidelight Protection -Landings
61. Smoke Detector
62. Furnace; Vents -Clearance -Comb. Air -Connector -
(NOTE: An entry must be made each time you visit job site)
20. Test Tub & Shower, 2nd Floor -Tub Access
In Garage; Above Floor-Ducts-Mech. Protection
21. Gas Pipe; Size & Anchors
63. Bedroom Exiting
64. G.F.I. & Bath Fixtures & Tub Access -Spa
65. Elec. Trim & Subpanel; Breaker Sizes
Card -B1
Date Card -B1 Date
-Labels
66. Stairs & Rails
Card -81
Date Card -131 Date
67. Fireplace Stove; Clearances
or -Hearth
Date
ELECTRICAL (Permit) OK except #'s
68. Elec. Outlets at Wood Panel; Int. & Ext.
22. Fixture & Transformer Clearance -Ins. Protection
69. Kit. Fixt. & Appliance; Grnd. -Air Gap -Cooking Clearance
23. Elec. Receptacles Spacing -Lights & Switches at Doors
70. Elec. Outlets & Receptacles at Kit. Counter
24. Size Boxes & No. of Conductors -Stapled
71. Garage Fire Door; Swing -Landing -Closer
25. Romex Installed Close to Edge of Studs & C.J.
72• A.C. Duct in Garage -Damper
26. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water
73. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.-
In Garage; Above Floor-Mech. Protection
27. 2 Appliance Circuits in Kitchen &Conductor Size
74. Plb., Elec. & Mech. Equip. Listed for Location
28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / /ga.
Cu or Al
75. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec.
29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al.
Insulated Neutral Yes No
76. Insulation -Foam -Looked in Attic 0 Yes
77. Guard Rails & Deck Construction -Post Caps
30. Service -Riser Conductors & Ground -Main Disconnect,
78. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth
Clearance Looked under Floor 0 Yes
31. Equip. Clearances Panels-Motors-Mech. Equip.
32. Clothes Closet Light -Shower Light -Spa Light
79. Following instld.; Drive 0 Yes 0 No; Walks 0 Yes 0 No;
Planters 0 Yes 0 No
80. Stucco; Brown -Finish
Card -61
Date Card -B1 Date
81. A.C. Unit; Disconnect, Electrical, Plumbing
Card -61
Date Card -81 Date
82. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to
Openings.
Date
MECHANICAL (Permit) OK except #'s
83. Water Well; Disconnect, Electrical, Plumbing
33. A.C. Ducts Insulation & Support
84. Exterior Elec. Trim; G.F.I. Receptacle -Underground
34. Vent Fan; Exhaust above insulation
85. Ventilation throughout House
35. Condensate Drain & Overflow; Size & Grade
86. Glass Protection
36. Furnace -Vent; Access -Comb. Air -Return Air Vent -115 outlet
87. Corrections from Previous Inpections
37. Attic Access & Platform if Furnace in Attic
88. Gas Test -Meters Tagged; Gas -Electric
89. Water & Sewer Connected -C/O to Grade -HD Approval
90. Energy Compliance Certificate -Other Certificates
Card -131
Date Card -131 Date
Card -131
Date Card -131 Date
Card -B1 Date Card -B1 Date
Date
FRAMING (Plans) OK except #'s
Card -131 Date Card -131 Date
38. Sills, Proper Material & Anchors
Card -81 Date Card -B1 Date
39. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound
Comments at Final:
40. Bearing Walls over Girders & Floor Nailing
41. Draft Stop in Walls (rat proof)
42. Fire Stops; Furred Ceilings -Stairs -Chases -Tub
43. Header & Beam -Size & Bearing
(NOTE: An entry must be made each time you visit job site)
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-2751,
7 County Center Drive, Orovi Ile — Phone: 538-7541
747 Elliott Road, Paradise — Phone: 872-6307
CORRECTION NOTICE
7y)/, e)%1 ia" e ..
OWNER
T NO.
A routine inspection Indicates that the following violations of County Ordinance
exist at the above address and should be corrected. Please notify this office ,
when correction of wor is completed. If you have any question pertaining to this
matter, or need ad ' o; explanation, please contact this office Immediately.
All
Inspector
�.. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Orov Ile, California 95965 - Telephone: 916/538-7541 Y ✓
APPLICATION AND PERMIT
NUMBER
ASSESSO JCZ
ZONING
V.
BUILDING PERMIT
OWNER /*
`
TELEPHONE
SQ. FT. OCC. BUILDING VALU ON
OWR•S Cyt AIL�G ADO ESS
�A � Q
CONTRACTOR'S AME
TEL PHONE
CO �TfR ACTOR'S MAILING ADDRE
`(p [ S
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
BUILDING ADDRESS
Permit fee
!$ $
PLUMBING PERMIT
Filing Fee 10.00
c�
Each Trap
2.00
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Water piping
5.00
Each qas water heater or vent
5.00
USE OF STRUCTURE
SF�V Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home S I G I W
10.00 ea
TYPE OF WORK
New❑ Addition❑ Remodel Utilities ❑ Installation❑ Other[]
Describe work: —
j
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service (1011 OR LESS
100 AMP OR LESS
10.00
Main service EA. ADD'L 100 AMP
2.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (Check One):
I am licensed under provisions of Chapt. 9, Div. 3 of the Business/POWER
9 and Profess o scp and my license is in ful orce and effect.
License No.y;` (_ -1 Classification /
El 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)
❑ 1 am exempt under Sec. , Business and Professions Code
for this reason
NEW CONST. DWELLING OCCUP.BI �20sgff
OR ADDNS. ACC. BLDGS. ,
NEW CONSTR. TI -OUTLET 2,50 ea
NON-RESID BRANCH CIRCUITS)
APPARATUS e
(SINGLE OUTLET CIR.
EX. OCCUp(OUTLETS OR FIXTURES SALO 30
eALe 30
EX. Occup. OUTLFIXEETS PRESID )REA.1 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 15.00
g
Permit Fee $
Contractor
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.
MECHANICAL PERMIT
Filing Fee 10.00
Heating
Cooling
Hood
3.00
Ventilation
penult 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.
1 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
agains id'�con quence of the granting of this permit..
X Date _
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 Horge Installation Fee
$
Energy Inspection Fee $
TOTAL PERMIT FEE $
occuP.
CONST.TYPE
SCHOOL P o
PARCEL
q__::4'
llrsuc
141/
This permit is hereby issued under
sions the Butte County Code and/or
work in icated ave for which
R rTOR OF PUBLIC
BY
PERMIT EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
f
Date
5O
Receipt No.
WHITE-O.P.W., YELLOW -ASSESS . PINK -INSPECTOR. GOLDENROD -APPLICANT
COUNTY OF BUTTE - DEPARTMENT SOF PUBLIC WORKS - BUILDING DIVISION
w'f ' 7 COUNTY CENTER DRIVE - ORQ.VIJ:L4.QAL'IFOR NIA 95965 - TELEPHONE: 916/538-7541 ,
PERMIT APPLICATION DATA SHEETy' o
Permit No. -i
OWNER _��p/% ✓� //% ,' / A. P. No.
11 1
Proposed Building Use d L� Building Inspector Date
At time of permit application, I was advised the following data must be submitted prior to permit processing
issuance: DATE RECEIVED APPROVED
\,and/or
�f, 1. All items have been submitted. . . . . . . . . . . —
2. Plot plans in duplicate/triplicate, signed by preparer of plans. _
3. Complete plans in duplicate/triplicate, signed by preparer of plans.
4. Complete engineered plans and calcs, with wet signature on plans.
5. Plans with Energy Design Compliance Statement. . . . . .
6. School District "Fees Paid" Stamp on Floor Plan.
7 Statement of Intent for Non -Heated and AC Buildings.
8. Fees of $ . . . . . . . .
9. Letter of signature authorization. . . . . . . . '
10. Sanitation approval from _ Health Dept. . .
11. Planning approval for (A) Use: (B) Parking:
12. Certificate of Workmen's Compensation Insurance. . . . . .
13. Contractor's License Information (no., name style, classif.)
_14. Owner -Builder Verification (Given to owner❑, Mail to owner ❑ )
_.__..._15. Improvements may be required . . . . . . . . . . . . .
.16. Mobilehome Installation Data. . . . . . . . . .
Pre-Inspec. request to (Date)
17. Pre -Inspection for_.--__-. _. _ _._--._ Required. Building Inspector
18. Recorded copy of Agricultural Acknowledgment Statement.
19. Driveway Permit. —
20. Plot plan approval from city of
21.
22. — — --
When, you issue the permit, process as follows: Mail to owner; ail to contractor.
Telephone 3�-2 and hold for pickup af_:�i�fice, Deliver w/'inspector.
Other
Copy of plans sent Health Dept.; Fire Dept., Other Date
The following data must be submitted prior to permit issuance
1. Index permit for above items No.
2. Additional items required: —___—
(Circle new item not checked above).
7.
Contractor, designer, owner, was advised of above required data by_phone_mail_counter by •>date —
Contractor, designer, owner, was advised c? above required data by_phone_mail—counter by date
Plans checked by Date Plans approved by Date 0rr��O
Sets of plans on hold in File cabinet AP folder
Copy—DPW
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 -.Telephone: 916/538-7541
APPLICATION AND PERMIT
PER IT
.
ASSESSOR PARCEL NUMBER
51 c Q�
ZONING
BUILDING PERMIT
OWNER�-'�"� yin
J I �L/ a
TELE HONE
SQ. FT. OCC, BUILDING VALUATION
OWN 'S AILINS. A RESS
i
CON2bt(CI� NAML71 A�
E�
CONTPLEPHO
CONTR/( TOR• MAILING,ADDRESS
o '700 &A & C4 4949 a 7
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER -
LICENSE NO.
Plan Checking Fee
$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS ,
Penalty.
$
BUILDING ADDRESS .� ^ �`J A
�
Penult fee
$ 40
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAME PARCEL MAP
Water piping
5.00
Each qas water heater or vent
5.00
USE OF STRUCTURE
SF Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home S G W
0.00 ea
TYPE OF WORK
New F] Addition Remodel] Utilities[] Installation[] Other[
Describe work- �J
(/
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.001,
Main service 600V OR LESS
100 AMP OR LESS
10.00
Main service EA. ADD'L 100 AMP
2.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
I am licensed under provisions of Chapt. 9, Div. 3 of the Business
wand Professi n Code and my license is in full force and effect.
'1_ld
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)
ElI, 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.EI) '/z¢sgft
OR ADDNS. ACC. BLDGS.
NEW CONSTR. '.OUTLET 2,50 ea
NON.RESID .BRA C CIRC TS
POWER APPARATUS e
(SINGLE OUTLET CIR. I
Ex. Occup OUTLETS OR FIXTURES BAL03 0
FIXED AP
Ex. Occup. OUTLETS PLISIS (RESID )REA.) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 15.00
Permit Fee $
Contractor
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
-'1207,,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,.shouId 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.
MECHANICAL PERMIT
Filing Fee 10.00
Heating
Cooling
Hood
3.00
Ventilation
permit Fee
$
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the Countyof
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree t ave, indprrinify and keep harmless the County of Butte against
al liabili ju costs, and expenses which may in any way accrue
ga' st 'd c uence of the granting of this permit.
%� C��o 0/
Date r
�������p�
$igno re of App cant — Owner ❑ Contractor ❑ Agenr�
An 0 A permit is required for excavations over 5'0" deep o2 demmo Ition or construct-
of structures over 3 stories in height.
Mobile Home Installation Fee
$
Energy Inspection Fee $
TOTAL PERMIT FEE $
OCCOP.
CONST.TYPc
ISCHOOLIFLOOOIPARCFL
PD
NO
ISSUE
This p it is hereby issued under
sions of the Butte County Code and/or
wor in a o e for which
�
R CTOR OF PUBLIC
By `,���
PERMIT EXPIRES Date
the applicable provi-
resolutions to do
fees have been aid.
p
WORKS
Date 2l o g
IV�k
,ion
Receipt No. d���a
WNIT[-D. P. W., TLILOW-ASelSSO R, PINK -INSPECTOR. GOLDEN RDD -APPLICANT
,�,'�'.i�rir �'Y�i'Y{rte �. ''�f5 ``�-l'h'YY 'ti•t"wy.,a '+`P'",'Lw•r�M'4`^AV
...'Mew s.�` t't..,rCYyfy-.tl i+q-""+9.j�' .t'n`X'!'Y^ w,7,lfr A"a,'•h
y COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION i
7 COUNTY CENTER DRIVE - OROVILLE;+CALIFORNIA 95965 - TELEPHONE: 916/538-7541 +
PERMIT �APPLICkf A DATA SHEET
Permit No.
OWNER � � A. P. No. ��T V
Proposed Building Use /c®0� ��//% Building Inspector Date ?
At time of permit application, I was advised the following data must be submitted prior to permit processing
and/or issuance: DATE RECEIVED APPROVED
1. All items have been submitted. .. . . . . . . . . .
2. Plot plans in duplicate/triplicate, signed by preparer of plans. _
3. Complete plans in duplicate/triplicate, signed by preparer of plans,
4. Complete engineered plans and calcs, with wet signature on plans.
5. Plans with Energy Design Compliance Statement. . . . . .
6. School District "Fees Paid" Stamp on Floor Plan.
7 Statement of Intent for Non -Heated and AC Buildings,
8. Fees of $ . . . . . . . .
9. Letter of signature authorization. . . . . . . .
10. Sanitation approval from _ Health Dept.
\ 11. Planning approval for (A) Use: (B) Parking:
v Certificate of Workmen's Compensation Insurance.Q*1Sr. 5y//11/A
13. Contractor's License Information (no., name style, classif.) —
_14. Owner -Builder Verification (Given to owner❑, Mail to owner ❑)
_.—_..._15. Improvements may be required. . . . . . . . . . . .
16. Mobi lehome Installation Data. . . . . . . . . .
Pre-Inspec. request to (Dote)
17. Pre -Inspection for .-___-. ..._.._. _ Required. Building Inspector
18. Recorded copy of Agricultural Acknowledgment Statement.
19. Driveway Permit. —
20. Plot plan approval from city of_
21.-
22. --*a
_—
When, you issue the permit, process as follows: Mail to owner, !'ail to contractor.
Telephone and hold for pickup at office, Deliver w/inspector.
Copy of plans sent Health Dept., Fire Dept., Other Date
The following data must be submitted prior to permit issuance: (Circle new item not checked above).
' { w
1. Index permit for above "items No.
2. Additional, items required: —_—
i
Contractor, designer, owner, was advised of above required data by—phone ___rnail—counter by date
Contractor, designer, owner, was advised c? above required data by—phone —ma il—counter by date
Plans checked by
Sets of plans on hold in
Copy—DPW !
Date Plans approved by Date
File cabinet AP folder
/�iy#tlA N
335- t-?
� BIZ N %� -Z;�. /-7�t4
�-
s • o�
❑ Complaint -Date _
❑ Ocher -Date
BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS
SPECIAL INSPECTION REPORT
Owner:- JUDITH (- McMA-HA-A _
Address:
p o 130X 6 4zq 3
Tenant:
Building Location: IU 5,x;'6 1g ; 0,141G0
Type of Ins3ection requested:
ZONING ' u
A.P. # 3,7-�Iq-Z7
Date of Ins ec ion 22 SEPI %
Inspector
/ / 1. Housing /�. Financing / / 3.. Change of Occupancy to
4. Work W/0 Permit / / 5. Other (speciy)
Present use of building: Roe, , �Mrl, 6 -Mr- COIJ/16595C-6 07D FX"' • RM
A. Sanita_lon' (Housing)
1. Water closet:
2. Lavatory:
3'. Bathtub or shower:
4. Kitchen sink:
5. Hot and cold water to fixtures:
6. Heating 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. Connection to sewage disposal:
12. Connection to water supply:
13. Rubbish and garbage facilities:
14. Stairs:(Rise, Run, headroom, 1HR, Tolerance$,Handrails)
15. Comments:
B. Structural
1. Piers and footings:
2. Floor construction:_ VNC OV/0L PA710 SGA8
3. Wall construction: sTY660 EY,7 . IAO Phr IeL
4. Ceiling and roof construction: 6 4
5. Fireplaces: AjbAj rVA1rvW1A)4 44� e4l No fA1 9Z 6AF9V11-
6.. Comments: #0 rl,- tzar-, C/ems'4i0xE�c- s.,y. ,bon ra rr0V7e (flz , &Port -b CoMFusf
C. Electrical
.L.
2.
3.
4.
Service and ground:
Receptacles:
Fusing:
Comments:
r
D. Plumbing
1. Fixtures connected and vented:
2. Gas water heater:
3. Gas heating vents:
4. Comments:
E. Other
1. Maintenance and repair:
2. Fire hazards:
3. Safety hazards:
4. Weather protection:
5. Underfloor and attic ventilation:
6. Energy::
7. Comments:
F. Commercial Buildings
1. Roof covering:
2. Distance to property lines:
3. Physically handicapped: _
4. Restroom floors and walls:
5. Exits:
6. Improvements:
7. Zoning:
8. Comments:
G. Field Problems or Violations
1. Problem or violation (give complete description):
2. What action taken (give complete description):
3. What action recommended:
A. Information only - file.
B. Hold for ten days, then write letter.
%] C. Write letter.
/ /.D. Other:
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS i
7 County Center Drive - Oroville California 95965
Telephone: 534-4541
A..PPLICATION FOR SPECIAL INSPECTION
Owner 1 U of t 1 1 C / G Gc l'1 2�. A. P. No./ 7 7 2 "f
Mailing Address P �% &7X_ V y7 3 151,x,., 60, 4. ?4��-7Telephone No.
Applicant)
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Telephone No 3�,/�
Mailing Address
2ilXCV.,
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9_c5- e77
Building Location %o�
I hereby request.,,a special -inspection -of the following building:
1. Dwelling (if only a portion, specify) /0 tx /11fa ow; Ak
2. Apartment House (if only a portion, specify)
3. Commercial (specify present occupancy)
4. Other (specify)
I am requesting a special inspect on,.Jor `the purpose of:
1. Moving the building,. .
2. Financing (specify agency) Case No.
3. Change of occupancy to
4. Other. (specify) P
I„hereby certify that'I will obtain the necessary permits and make any necessary corrections,
alterations, or repairs required by. ,the County of Butte, as a result of this inspection, to comply
with building and housing code requirements. I also certify that prior to the use or occupancy
of this building, I/will complete the above required corrections,, alterations, or repairs, or,
if the building is,presently occupied, I will complete the above required corrections, alterations,
or repairs within. hirty (30) days.
I certify that I -Have read this application and state the above information is correct and hereby
authorize repres-4ntatives of the County of Butte to enter upon the above-mentioned property for
inspection purposes.
%
Date - �� -B '
-
S`ignature of 'Own -6r
Fee paid $ Receipt Noir
1st -DPW - 2nd -Inspector - 3rd -Applicant
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STANDARD STRUCTURAL PEST CONTROL INSPECTION REPORT
(WOOD -DESTROYING PESTS OR ORGANISMS)
This is on inspection report only - not a Notice of Completion.
ADDRESS OF BLDG. NO STREET CITY Chico DATE OF INSPECTIONPROPERTY
_
INSPECTED 728 Skyway Avenue CO. CODE 04-1441 {August 31, 1987-~
FIRM NAME AND ADDRESS Aflix stamp here on Bonrd Copy Only
LYLE E. WOOD TERMITE COMPANY A LICENSED PEST CONTROL
2134 Kennedy Avenue OPERATOR IS AN EXPERT IN
HIS FIELD. ANY QUESTIONS
Chico, CA 95926 (916) 343-3141 RELATIVE TO THIS REPORT
SHOULD BE REFERRED TO HIM.
FIRM LICENSE NO 4387 CO REPORT NO. (it ony)805-87
I STAMP NO. 508876P I
Inspection Ordered by (Name and Address) Coldwell Bankers 1350 E Lassen Ave #1; Chico (Julie J ..)
Report Sent to (Name and Address) Commonwealth
Title Co. P.O. Box 63; Chico
Owner's Name and Address Judy McMahan
728 Skyway Avenue • Chic
Name and'Address of a Party in Interest
1
Original Report 0 Supplemental Report C1 Limited Report 0 Reinspection Report 0 No. of Pages:
YES CODEJ SEE DIAGRAM BELOW YES CODE SEE DIAGRAM BELOW YES CODE SEE DIAGRAM BELOW YES CODE SEE DIAGRAM BELOW
S•Subterroneon Termites B•Beetles•Other Wood Pests
Z-Dompwood Termites X EM -Excessive Moisture Condition
K -Dry -Wood Termites FG-Foulty Grode Levels
X SL -Shower Leaks IA•Inoccessible Arens
X F•Fungus or Dry Rot EC•Eorth•wood Contocts
CD -Cellulose Debris FI -Further Inspection Recom.
1. SUBSTRUCTURE AREA (soil conditions, accessibility, etc.)
Dry - adequate access
2. Was Stoll Shower water tested? Yes Did floor coverings indicate leaks? Yes - BAth- Shower - See note
3. FOUNDATIONS (Type, Relation to Grade, etc.)
Concrete - above grade
4. PORCHES ... STEPS ... PATIOS
Concrete - appear sealed
b. VENTILATION (Amount Relation to Grade etc)
Adequate amount - above grade
6. ABUTMENTS ... Stucco walls, columns, arches, etc.
None
7. ATTIC SPACES (accessibility, insulation, etc.)
Insulated• - accessible
B. GARAGES (Type, accessibility, etc.)
Attached 2 car - accessible
9.OTHER
Overhang - See below
DIAGRAM AND EXPLANATION OF FINDINGS (This report is limited to structure or structures shown on diogram.)
General Description Occupied 1 story 1 family frame & stucco residence with attached 2 car garage.
Shake roof. Inspection Tag Posted (location) SUB AREA 8-31-87
Other Inspection Tags LYLE E. WOOD TERMITE CO. Insp.Tag 8-14-86 Sub area
No opinion is rendered nor responsibility assumed for conditions existing or subsequently
found to exist in any of the following noted inaccessible areas that are a part of this
~ structure at the time of our inspection - furnished interiors; inaccessible attics or por-
tions thereof; the interior .of hollow walls; spaces between a floor or. porch deck and
the ceiling or soffit below; stall showers over finished ceilings,; such structural seg-
ments as porte cocheres, enclosed bay windows, buttresses, and similar areas to which
there is no access without defacing or tearing out lumber, masonry or finished work;
built-in cabinet work; floors beneath coverings and installed appliances, areas where
storage conditions or locks make inspection impracticable.
NOTE: Roofing shows signs of ware but does F F F F
CONCRETE PATI
not appear to leak at this time. CONCRETE CONCRETE
STALL SHOWER: PORCH I r-1 FLOOR
1. Stall shower is
leaking through
floor into sub
area. SL on diagram.
FLOOR COVERINGS: N.
2. Floor cove at the EM
hall bath found,
.buckled by apparent
splash over. EM
on diagram.
drHER
L* --
3. t found in overhang sheeting
RECOMMENDATIONS:
1.
2.
3.
SL
FE
TE
H CONCRETE
FLOOR
FIAPL GARAGE
CONCRETE PO CH
REP:.ACE
and rafter ends at rear overhang. F on diagram.
W
S N
E
Remove base & floor tile in shower, replace any fungus -damaged structure with treated
lumber; install leak -proof pan and replace tile.
Replace damaged floor cover and any damaged underlayment in hall bath.
Replace the damaged overhang sheeting and --rafter ends at rear.
If requested by the person ordering this report, -)a reinspection of the structure
will be performed. This request must be within 4 months of'the date of this
"A l inspection and there will be a reinspection fee.
Inspected by r)ENNIS WOOD License No...4387 Signa
lure _��/—���V_V�
YOU ARE ENTITLED TO OBTAIN COPIES OF All REPORTS AND COMPLETION NOTICES ON THIS PROPERTY FILED WITH THE BOARD DURING THE PRECEDING TWO
YEARS UPON PAYMENT OF A $2.00 SEARCH FEE TO STRUCTURAL PEST CONTROL BOARD..' 430 HOWE AVENUE. SACRAMENTO, CA. 15925.
Judith McMahan
P.O. Box 6443
Chico, CA 95927-6443.
Dear FIs. McMahan:
September 24, 1987
RE: Special Inspection #43-87
A.P. #39 -44 -27 -
With reference to the above subject and your request for inspection of a por-
tion of the covered patio converted to family room, and the pool and related
equipment, the inspection was made on September 22, 1987.
The covered patio was converted to a family room without permits and inspec-
tions. The pool and equipment was installed under permit and some inspections
were made although a final was never obtained.
We therefore made a reasonable visual inspection, without going on the roof,
under the building, or in the attic, and found the family_ room conforms with
the intent of the Housing Code requirements except for the following items
which must be done or resolved:
Family Room:
,1) Verify the existence of a 1 HR firewall between garage and family
room.
�2) Provide complying steps at entry to family room from kitchen -hall.
(3) Provide complying steps or landing' to exterior at sliding glass
door.
(4) Verify sliding glass door assembly is safety glass.
(S) Verify footings were installed at exterior walls.
.
(6) Verify adequate support is .provided for roof and ceiling framing.
Provide constructionwsedtion indicating framing for approval.
�y'rr
(7) '' Repair or replace dry rotted rafters/roof sheatfiing=ra-t - overhang.,,
(8) Gas line, gas log; hood, and vent are not permitted as installed;
either remove or replace in an approved manner.
Pool:
(1) Provide cover for pool light junction box.
4l'
i
Letter.- to,'Judith McMahan (RE: Special Inspection #43-87, A.P. #39-44-27)•
Septebber',24, 1987
Page 2.
f
(2) Eliminate exposed wiring at pool panelboard and yard lighting.
(3) !Disconnect and eliminate wood fired pool heating. equipment or obtain
permits and show approvals for use.
This inspection by the County.of Butte does not act as a guarantee or warranty
as to the internal soundness of said work.
It is nowi in order for you to. apply for the required permits to do the above
work and pay the appropriate fees.
The permits must be obtained and the above listed items completed within 30
days of the date of this letter.
Should you .have any questions concerning this matter; please contact this
office.
,f
MCV:ahb
cc: RolfiDornsei_f, 600 Main St., Chico, CA
Yours very truly,
William Cheff
Director of Public Works
4 -
id ael C: Vieira
Supervising Building Inspector.
95928
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This set of plans and specifications MUST bip
kept on the job of alb times and it is unlawful to
make any changes or alterations on some without
written permission from the Department of Publisa
Works, County of Butte;
BUTTE COUNTY
BUIL IVIG DEPARTMENT
.APPROVED
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COS a dcticeS
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rdane w� rNal
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