HomeMy WebLinkAbout040-170-06262
a `040 "17=0-062'w,-
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._ .• . 92-4206
KIM, Robert
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1924 D Y. '
urham Dayton Hwy,''Dujh*rm
-contrc Gus Gore �`'-'additionconv,`carpor`titoge/sf
040-170 062 r ;a ;06 2095;x•
KIDD, ROBERT,""" Y' , ,,, • r� r ,
1924 DURHAM OROVILL HWY, ••
DURHAM i� •' 4 �` u; •ti;3 • `
` Corit: GREENE &SON RQ FING =`
.. RE ROOF."�^� W�v`Y Vis'
j
t ,
111(((LLL .
040-1.70-062 06-20951/
KIDD, ROBERT--,joc,-c•ec`x �cw',r�s o
'
t,
NOTES � j924,DURHAM OROVILLE HWY, .
v
Cont. GREENE & SON ROOFING
RE ROOF
RESIDENTIAL
APN: Permit Na
Owner_
Site Address:
Contractor.
Type of Permit
SPECIAL CONDITIONS ,
CHECKED BY
a SRA
Q FLOOD CERTIFICATE EQUIRED
Q FIRE SPRINKLERS REQUIRED
Q SPECIAL INSPECTION ITEMS
0 VERIFY
Q USE PERMIT CONDITIONS
Q SUBSTANDARD HOUSING LETTER '
Q ENCROACHMENT PERMIT
0 REULSPEcTION FEE PAID
0 FNV HLTH CLEARANCE
0 --
(�/ Jam, l�
DATE JOB FINALED-
{ SIGNATURE V
. =OK
0 = Not OK
MANUFACTURED HOMES
MISCELLANEOUS -
DATE I Lj PERMANENT FOUNDATION Lj SOFTSET
---_DATE DECKS -COVERS -CARPORTS •GARAGE S
1 ZoningSetbacks-Easements
1 ZoningSetbadcs-Easements
2 Soils; Special MH Support Sketch
2 Ftgs; SoilsSz-DpthSpacing•Cnnc rsSteel .
3 Sewer. Loctn-Test; FalUC/0-Concrete
3 Decks. GirderslJoists-0ddng-13rcing
4 Wtr. Lorin Test -Easement Needed -Regulator
Stairs-DuardlHandrails
5 Elec Loctn-Clmcs-Gmd 'Amp -Concrete
6 Yard Gas; Locin-Test-Wrap Nat ❑ or LPQ
4 Wood Awn; Posts-Beams4fts-_nnctrsShthg•
Frmg-Brcng
Inch Sz Ft Lngth
5 Alum Awn; Columns-CnnctnsSplice-Decal-Encisrs
7 Blckng; SzSpacing-Marriage Line
6 Carports; WndwsDoors
8 Gas; MH Test-Demand-Valve-Cnncir
7 Electric
9 Elec MH Cntnty Test-Crossovers-Breakers•Clmcs
8 Fang; Sills-AnchrsStuds-Rftrs Trusses
10 Drain; MH Test -Fall -Flex Cnnctr
9 Siding; Nailing -Veneer -Stucco -Lath
11 Wtr & Sewer Connected -C/O to Grade
10 Roof; Shthg-Roofing
12 Gas and Electricity Tagged
13 Tie Dowr)s Q Foundation ❑
11 Ext Steps•Ooors-Canddfrgs
12 Braced Wall pnls
14 Exits
15 Cert of Occupancy
16 HUD Label/Insignia Numbers Serial Numbers
��• �a'
DATE IPOOLS
1 Setbacks -Easements
2 Soils; Compaction -Structure Stability
3 Pool Structure; Steel-Cnnctns Thickness
Dead Men-Uning
4 Elec RcptdslLting; Distance-GFI
o,r tea` as a`
5 Elec tool 4ting; 15 volts-GFI
6 Elec.Enclkm; Conduit Entries-Tgrminals-Listed
7 Elec Bonding; Metal w1T-Crdtng Erp Itr
8 Elec Grndng; Eqp wIT Creitng Eqp-Pool Ightg
Boxerircisrs-pp1boards4nsultn•to Main Conduit
-
9 Health Dept Apptvl .
10 Plmb;'Cir Test-Wtr Supply Test
11 Lt Niche
12 Enclsr; Fencing -Alarms
13 Bor)dmg. Diving board or Slide
Drawing
= Not OK
RESIDENTIAL (Single & Duplex)
DATE JUNDERFLOOR DATE PLUMBING
1 Zoning -Setbacks -Easements -Rood -Slope
2 Ftg Main; Soils -Flee Gmd Ftg Dpth
3 Ftg Garage; SoftSteel-Elec Grnd Ftg Dpfh
4 Fig Parches/Decks; Soils -Steel Ftg Dpth
5 Stemwalls Main; Steel-Blodtouts Wrapped
6 Stemwalis Garage; Steel-Blorkouts Wrapped
6a Hold Downs and Special Anchrs
7 Slab, Steel Wrapped
8 Piers-Frplc Ftg-Steel
9 DWV; Fall -Fitting -Test -2 -way CIO -Sewer Test
10 UF, Gas Pipe; Sz Anchrs-Sz Test
11 Wtr Pipe; Test-Anchrs-RgltrService Test
12 Elec Undrgmd
13 Plenums & Ducts; Cimc-MaterialSupportarisultn
14 GirdersSills-Anchr Botts-Joists-Vnts-Cripples
15 Acc & Vntitn
16 Insulation
a'� d dd da
DATE 15RAMING
17 Sills Proper Materials & Antras
18 11Ualls Studs -Nailing SPacirig & Braces-PlatesSound
19 Bearing Walls ovet Girderd'.4-fir tlr Nailing
20 Draft Stop in Walls (rat Pro)f)'
21 Fire Stops; Ftirrea CeitingsStairs-:trasers Tubs
22 Headers & Bi!i n i &'Bearing'
23 Hangers-Pasf fps-Andestncins
.24 Gerling Jo1sf4U& Tjes-Pufir�-Roof Brac-TrussSMfig
25 Frpic Ties or `type A F1,uu�e.=.F �' c: Throat Clrnc
26 Attic Act S7'i Prt -0raft Stop -Ins Baffles
27 Bdrm Wndws or., Exiling Doors -Sill Ht & Dimensions
28 Garage Fire Prtri Framing -RC Charinel
29 Prprty Line Firewall Opngs' _
30 Ext Doors -One 3'- e' c c Gauge 3rd Story, 2 Exits
31 Stairs; Wdfh-Hdrm4tise-Run4-and`utg-Fire Prtctn
32 Plywd on Roof Ovrhng-Attic Vats -M Outrgrs
33 Siding -Naffing Veneer -
34 Stucco Lath -Weep Saeed-Fndtn Vnts-Undrf r Acc
35 Glazing Area -Glass PActnSkyLts-Plastic .
36 Shear Wags; Nailing -Bolts
37 Brace Int/Ext Wall pnts
38 Insultn-Walls-Ceilings
39 Infiltration -Walls Wndws
4
DATE JELECTRICAL
40 Fxtr & Tmsfmtr Cimc-Ins Prtctn
41 Elec Rrptcts Spacing-lts & Switches at Doors
42 Sz Boxes & No Of Cndctrs Stapled
43 Romex Installed Close to Edge of Studs & CJ
44 Eqp Gmd made up w/Mech Fstnm
45 Gmdng Electrode Bond Gas & Wtr
46 2 Appinc Cita in Ktchn & Cndctr Sz GFl
47 Subfeed Wire Sz ga DCU or DAL
AC Wire Sz gaO CU or AL
48 Range Clic ga CU or AL
Oven Circ ga D CU or DAL
Insulated Neutral DYes r-1 N.
49 Service -Riser Cndctrs & Gmd Main Dsrnnrt
50 Eqp Cimcs pnls-Motors-Meth Eqp
51 Clothes Closet L2Shwr Lt -Spa Li
52 Smoke Detector
o'er d� dr
53 Wtr Htr, Vent Acc-Cmbstn Air Baffle
54 Wtr Pipe; Test & Anchr-Nall Prtctn
55 DWV; Test Fittings & Anchr. Rail Prfcbt
56 Shwr Pan; Test, Fust fir Tub Arc
57 Test Tub & Shwt, 2nd fir - Tub Acc
58 Gas Pipe; Sz & Anchrs
59 Fire Sprinkler, Test
60 Yard Gas Piping
o'r mss` Sys
DATE MECHANICAL
61 AC Ducts Insultn & Support
62 Vent Fan, Exhaust abv Insulin
63 Condensate Drain & Ovrflw, Sz & Grade
64 Furnace -Vent Acc-Comb Air RtmNent 115 Outlet
65 Attic Acc & Pltfrin if Furnace In attic
Id
DATE IFINAL
66 Ext Steps -Door & SideL.t Prtctn-landings
67 Smoke Detector
68 Furnace Vnts-Cimc-Comb, Air-Cnnctr
In Garage; abv4lr-Ducts-Meeh Prtctn
69 Bedroom Exiting
70 GFl A Bath Fxtrs & Tub Acc-Spa
71 GFl Arc Faun
72 Elec Trim & Subpnl, Breaker Szs & Labels
73 Stairs, Guard/Handrails
74 Frplc or Stove, Clmc-Hearth
75 Elec Outlets at Wood Pnl, int & Ext
76 Ktchn, Fxtr & AppinC Grnil Air-GapSOoking Citric
77 Elec Outlets & Rcptcts at Kfchn Counter
78 Garage Fire Dobr, Swing -Landing -Closure
79 AC Dud in Garage -Damper.
80 Wtr Htr. Vnts-Clmc•Com Air Cnnctr-PRY; abv fir
Mech Prtctn; LPG Appince Undr House 3' drain
81 Pimb; Elec & Mech. Eqp Listed for Lode
82 Elec Rcptcls in Garage (GFT) Romex Prtctn
83 lnsultri-Foam-Looked in Attic
84 Guard Rails & Deck Cnstrc n -Post Caps
85 Fndn Vnts & Crawl Hole Door Drnge & Wood -Earth
86 Citric Dmge Planters DYes DNo
87, Stucco Brown -Finish
88 AC Unit Dscnnct, Elec-Plmb
89 Vnts abv Roof, PImb.Appinc-Frplc-Cimc to Opngs
90 Wtr Well, Dscnnct, Elec, Pimb
91 Ext Elec Trim, GFl Rcptcl4Jndrgmd
92 Vntttn ttuv House
93 Glass Prtctn
94 Corrections from previous Inspctns
95 Gas Test -[dieters Tagged, Gas-Elec
96 Wtr & Sewer Cnnctd-:10 to grade -HD Apprvl
97 Energy Cmpinc Cert -Oilier Certs
98 Address Posted
99 Fire Sprinkler
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT
24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO)
OFFICE #: (530) 538-7541
PERMIT NO.
BP062095
PERMITS BECOME NULL AND VOID 1 YEAR FROM THE DATE OF ISSUANCE, OR IF WORK IS DONE IN VIOLATION OF ANY COUNTY OR STATE LAWS.
LICENSED CONTRACTORS DECLARATION
I hereby affirm under penalty of perjury that I am licensed under
provisions of Chapter 9 (commencing with Section 7000) of Division 3 of
Issued Date: 08/30/2006 APN: 040-170-062-000_
the Business and Professions Code, and my license is in full force and
effect. -3 9 7n�ps-17
License Class : License Number:,, G /�,/�
Site Address: 1924 DURHAM OROVILLE HWY DUR
��77
Date: -3P-4 • Contractor. r ,BNL).�Oxi lFdeff'.?
Map Index:
Description:. RE -ROOF COMP 35 SQ'S 2 SQ'S FLAT
OWNER -BUILDER DECLARATION
1 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
Owner: KIDD ROBERT D TRUST
permit to construct, alter, improve, demolish, or repair any structure, prior
to its issuance, also requires the applicant for such permit to file a
KIDD ROBERT D TRUSTEE
signed statement that he or she Is licensed pursuant to the provisions of
1924 DURHAM DAYTON HWY
the Contractor's State License Law (Chapter 9 commencing with Section
DURHAM, CA 95938
7000) of Division 3 of the Business and Professions Code) or that he or
.
she is exempt therefrom and the basis for the alleged exemption. Any
violation of Section 7031.5 by any applicant for a permit subjects the
applicant to a civil penalty of not more than five hundred dollars ($500).):
❑ I, as owner of the property, or my employees with wages as their
sole compensation, will do the work, and the structure Is not
intended or offered for sale (Sec. 7044, Business and Professions
Applicant: GREENE & SON ROOFING
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,
PO BOX 2467
provided that such improvements are not intended or offered for
PARADISE, CA 95967-2467
sale. If however, the building or improvements are sold within one
year 'of completion, the owner -builder will have the burden of
530-873-3940
proving that he or she did not build or improve for the purpose of
sale.).
❑ 1, as owner of the property, am exclusively contracting with
licensed contractors to construct the project (Sec. 7044, Business
and Professions Code. The Contractors' State License Law does
Contractor: GREENE & SON ROOFING
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.).
PO BOX 2467
❑ 1 am Exempt under Article 3 of the Business and Professions Code
PARADISE, CA 95967-2467
530-873-3940
Date: Owner:
License #: 275057
WORKERS' COMPENSATION DECLARATION
I hereby affirm under penally of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for
workers' compensation, as provided for by Section 3700 of the
Labor Code, for the performance of the work for which this permit
Architect:
is issued.
Engineer:
I have and will maintain workers' compensation Insurance, as
required by Section 3700 the Labbr Code, for the performance of
the work for which this permit is issued. My workers' compensation
insurance carrier and policy number are:
Carrier: 2 J A -J _'e-
Total Square Ft: 0 S. F.
Policy M. / 75 3 L Jy
Valuation: $0.00
Census Code:
❑ I certify that in the performance of the work for which this permit is
issued, I shall not employ any person in any manner so as to
become subject to the workers' compensation laws of California,
and agree that if 1 should become subject to the workers'
compensation provisions of Section 3700 of the Labor Code, I shall
forthwith comply with those
%provisions.
Date: R 3 U
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.
L
✓W 4
CONSTRUCTION LENDING AGENCY
This pe it is hereby issued and he applicable provisions of the Butte County Code and/or
I hereby affirm that there is a construction lending agency for the
of the work for which this permit is issued (Sec 3097 Civ.)
Resol tions to work indicate a ove.for which fees have been paid.
performance
By: Date:
Name:
-
PERMIT EXPIRES ON:
Address:
Date -
❑ 1 hereby certify that the use of this facility shall comply with Sections 25505; 25533, and 25534 of the California Health and Safety Code, which regulate the storage,
handling and use of hazardous materials. 4
❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project.
❑ Attached are copies of the required E.P.A. notification forms.
I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with
all codhty and state laws relating to building construction. I acknowledge It is unlawful to alter the substance of any official form or document of Butte County. I hereby
authorize representatives of Buttes County to enter upon the above mentioned property for Inspection purposes.
y
Print Name: _� !=Yir'B� signature:i�f"
Dale:
❑ Owner Contractor Q Agent for Owner ❑ Agent for Contractor
ts. c. bumng vermit ui-ib-uv pg i
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT
24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO)
. OFFICE #: (530) 538-7541
PERMIT NO.
BP062095
PERMITS BECOME NULL AND VOID 1 YEAR FROM THE DATE OF ISSUANCE, OR IF WORK IS DONE IN VIOLATION OF ANY COUNTY OR STATE LAWS.
LICENSED CONTRACTORS DECLARATION
I hereby affirm under penalty of perjury that I licensed under
provisions of Chapter 9 (commencing with Section 700000 ) of Division 3 of
Issued Date: 08/30/2006 APN: 040-170-062-000 '
the Business and Professions Code, and my license is in full force and
effect.-3iy 7n�Os-�7
License Class : 7 License Number: G
Site Address: 1924 DURHAM OROVILLE HWY DUR'
/� � n
Date: 9" 3r7'D Contractor: l�rDxl 6ch';y4
Map Index:
Description:. RE -ROOF COMP 35 SQ'S 2 SQ'S FLAT
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
Owner: KIDD ROBERT D TRUST
permit to construct, alter, improve, demolish, or repair any structure, prior
to its issuance, also requires the applicant for such permit to file a
KIDD ROBERT D TRUSTEE
signed statement that he or she is licensed pursuant to the provisions of
1924 DURHAM DAYTON HWY
the Contractor's State License Law (Chapter 9 commencing with Section
DURHAM, CA 95938
7000) of Division 3 of the Business and Professions Code) or that he or
.
she is exempt therefrom and the basis for the alleged exemption. Any
violation of Section 7031.5 by any applicant for a permit subjects the
applicant to a civil penalty of not more than five hundred dollars ($500).):
❑ I, as owner of the property, or my employees with wages as their
sole compensation, will do the work, and the structure is not
intended or offered for sale (Sec. 7044, Business and Professions
Applicant: GREENE & SON ROOFING
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,
PO BOX 2467
provided that such improvements are not intended or offered for
PARADISE, CA 95967-2467
sale. If however, the building or improvements are sold within one
year of completion, the owner -builder will have the burden of
530-873-3940
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
Contractor: GREENE & SON ROOFING
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.).
PO BOX 2467
❑ 1 am Exempt under Article 3 of the Business and Professions Code
PARADISE, CA 95967-2467
530-873-3940
Date: Owner:
License #: 275057
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for
workers' compensation, as provided for by Section 3700 of the
Labor Code, for the performance of the work for which this permit
Architect:
is issued.
Engineer:
I have and will maintain workers' compensation insurance, as
required by Section 3700 the Lab6r Code, for the performance of
the work for which this permit is issued. My workers' compensation
insurance carrier and policy number are:
TY� 7 'f- }—u` 07 4
Carrier:
Total Square Ft: 0 S. F.
Policy #: / 7_�5 3 b �y
Valuation: $0.00
Census Code:
❑ 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 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:
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.
GJ"00
� �l
CONSTRUCTION LENDING AGENCY
This pe `it is hereby issued and he applicable provisions of the Butte County Code and/or
I hereby affirm that there is a construction lending agency for the
Resol tions to work indicate a ove.for which fees have been paid.
performance of the work for which this permit is issued (Sec 3097 Civ.)
Date: �
Name:
B y' �tJ-<%6�
PERMIT EXPIRES ON:
Address:
Date
❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage,
handling and use of hazardous materials.
❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project.
❑ Attached are copies of the required E.P.A. notification forms.
I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with
all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby
authorize representatives of Buttes County to enter upon the above mentioned property for inspection purposes.
Print Name:�%YSignature: 1
Z.—❑
OZ. -
Date: _
0 Owner Contractor 0 Agent for Owner ❑ Agent for Contractor
B. C. Building Permit 01-16-04 pg 1
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 OFAPPLICA TION
Website: www.buttecounty.net/dds
"PLEASE PRINT CLEARLY"
OWNER INFORMATION
Last Name
irs e
Address
City rdµ ��
Sta -
v
ip
Phone (gyp 57_ O l
Fax
E-mail
APPLICANT SIGNATURE
X
For office use only:
CONTRACTOR
Name
4
S c
Address
� D � ,g � � � � •
Cityd,'
�
State
ZipLM:
Phone
�y
Fax
E-mail
Lic. #
APPLICANT SIGNATURE
X
For office use only:
ARCHITECT/ENGINEER
Name
SRA
Address
I No
City
Type Const.
State
Zip
Phone
Lot #
Fax
E-mail
State License Number
APPLICANT SIGNATURE
X
For office use only:
APPLICANT INFORMATION
Name
SRA
Address
I No
City
Type Const.
State
Zip
Phone
Lot #
Fax
E-mail
APPLICANT SIGNATURE
X
For office use only:
Zoning
Flood Zone
SRA
I 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.
l'a-W
BIN #
PROJECT LOCATION
API#
Prope ddie ss n
Cit
Cross St et
WORKER'S COMPENSATION
Policy Number <•�5�� Z
Carrier
YT(;
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 cope of Work:
Sq FT- Living Garage Open Cov
❑ Structure Built without Permits
❑ Proposed Change of Occupancy
(Note previous use):
EXPIRATION OF APPLICATION
'Applications for which a permit has not been issued will expire one
year after the date of application. In order to 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:
zz t7 Bldg
SRA
/
Receipt #: �` ���
v- ✓ C4O
Sheriff
CRAID
Page 1 of 2
Other
Date: �� - �Z2 e, Total
REV 8-12-05
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 faxesl
❑ 4. Energy compliance design and supporting documentation in duplicate.
❑ 5. Statement of Intent for Non -heated and A/C for Non -Residential Buildings.
❑ 6. Manufactured homes: (A) Installation manual, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans,
all in duplicate
❑ 7. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor
plans in triplicate. All of these must be stamped and wet -signed by the engineer.
❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate (if required).
❑ 9. Site plan and business license approval from the City of Biggs.
❑ 10. Letter of intent for non-residential buildings.
❑ 11. Building Permit Application Without Required Clearances Form
❑ 12. Hazardous Material Form (for Commercial Buildings only).
Remaining items needed to issue the permit. Additional items may be required after Plan Check and Planning
review (May require additional plan review upon receipt of the following items.)
❑ 1. Agricultural Buffer clearance and site plan approval from the Ag Commissioner's office (if required).
❑ 2. Impact Fees.
❑ 3. California Department of Forestry plan approval (if required).
❑ 4. NPDES Form.
❑ 5. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy).
❑ 6. Contractor's license information. (Number, Name Style, Classification).
❑ 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. ❑ Legal description from current recorded grant deed, ❑ Copy of M.H. Title, Title transfer, or MCO.
❑ 12. Sanitation and site plan approval from the Environmental Health Department.
If you have questions or would like additional information regarding this process, please contact a
Permit Assistant at (530) 538-7541.
EXPIRATION OF APPLICATION
Applications for which a permit has not been issued will expire one year after date of application. In order to renew action
on an application after expiration, a new application, plans and fees will be required.
REQUEST FOR FEE REFUNDS
Refunds can only be made upon written request by the person who paid the fee. The request must be made within two
years from the date of fee payment on permits not issued, and two years from the date of permit issuance for permits
issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan
check fees for work plan checked and other department costs are not refundable.
OVER FOR BUILDING PERMIT APPLICATION
MFORMS\BUILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2 REV 8-12-05
R ID NTIAL
,x.040=17=p=p62 ------_._-._.
KIDD 92-4206 BPEM
, Robert
1924 Durham Dayton Hw
E contra Gus Gore y' Durham
addition, conv carport to garage/sf
2 -3-.93 /Vv c ->,v&- toc6o.
"'�° ;; � _� �3 - l,� :K��t � �✓/r .. /3;,.1..1,.._,_ M
a
!4
V� P9
f.
OFFICE COPY
Address
a
GAS 1
Meter By Y D'ate
ELECTRIC
Meter By Date
JOB FINALED (Date)
Signature /-�✓+�.^�
J=OK
O = Not OK
Not = Not Readyable MOBILE HOMES
Date
MOBILE HOME UTILITIES (Plans) OK except #'s
1. Zoning Requirements -Setbacks -Easements
2. Soils; Special MH Support Sketch
3. Sewer; Location -Test -Fall -C/O Concrete
4. Water; Location -Test -Easement Needed (Sketch)
5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete
6. Gas; Location -Test -Wrap: / /" L" ft.
/ /"Nat. or/ /"L"ft./ /"LPG
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-Marriaje,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 f r.%'- ;
7. Water and Sewer Connected -C/O to Grade -HD Approval
8. Gas and Electricity Tagged
9. Exits; Insp.-Sketch
10. Cert. of Occupancy
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; Griders and/or Joists -Decking -Bracing -Stairs -Rails
4. Wood Awn.; Posts-Beams-Rftrs.-Connectors
Shthg.-Rfg.-Bracing
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Carports; Windows -Doors
7. Electric
8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses
9. Siding; Nailing -Veneer -Stucco -Mesh
10. Roof; Shthg-Roofing
11. Ext.; Steps -Doors -Landings
Date 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, Distances-GFI
5. Elec.; Pool Lighting; 15 volts-GFI
6. Elec.;Enclosures; Conduit Entries -Terminals -Listed
7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater
8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg.
Boxes-Enclosures-Panelboards-Ins. to Main in Conduit
9. Health Department Approval
10. Plumb.; Cir. Test -Water Supply Test
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
J=OK
O = Not OK
Not
=NotReadyable RESIDENTIAL. (Single
Date UNDE LOOR (Plans) OK except #'s
1 oning-Setbacks-Easements-Flood-Slope
2.1ftg., Main; Soils-Elec..- au*-YZ/" Ftg. Depth
F49-Zarage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth
-2j-4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth
temwalls, Main; Steel -Bloc kouts-Wra pped
temwalls, Garage; Steel-Blockouts-Wrapped
-6e --Meld Downs and Special Anchors
•-�r9 ,, Steel -Wrapped
iers-Fireplace Ftg.-Steel
--9"077rV, Fall -Fitting -Test -2 Way C/O -Sewer Test
10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test
1 ater Pipe; Test -Anchor -Regulator -Service Test
12. Ele�nderground
1k,Oienums & Ducts; Clearance -Material -Support -Ins.
11L.JaiMeers-Sills-Anchor Bolts -Joists -Vents -Cripples
15. Access & Ventilation
16. Insulation
Date Card B-1 C$r4 Date Card B-1
Date Card B-1 Date Card B-1
Date PLUMBING (Permit),OK xcept #'s
16. Water Htr.: Vent -Access -Combustion Air -Baffle
--------------
_ i.yW er Pipe; Test & Anchor -Nail Protection
18 W.V.: Test -Fittings & Anchor -Nail Protection
hoover Pan; Test. First Floor -Tub Access r�jJ
-- Test Tiib & Shower. Second Floor -Tub Access
---------------
--g`as Pipe: Size & Anchors'
Gate ,Card B-1 Date Card B -1 ---
Date
- and B -- ----------------------- ---------
Date Card B-1 Date Card B-1
Date ELECTRICAL (Permit) OK except tr's
ixture_& Transformer Clearance -Ins. Protection
-- - Flee. Receptacles Spacing -Lights & Switches at Doors ----- --- -
O/ ------- ------
-----------------S''�e Boxes & No. of Conductors -Stapled
- -�25. Ro ex Installed Close to Edge of Studs _& C.J.
------------
_ Ground made'up w!Mech Fastners-Bond Gas & Water
---- -
----------------------------------------------------------------
---2•Appliance Circuts in Kitchen & Conductor Size/GFI
---------- ------ --------------------- ---LL-------------------------
-j26. ubfeed Wire Size r r ga. Cu or AI-A.C. Wire Size i / ga.
Cu or AI
�?) Range Circ. / I ga. Cu or AI -Oven Circ. / / ga. Cu or Al.
Insulated Neutral ❑ Yes ❑ No
-----------------------------------------------
-'W-Service-Riser Conductors & Ground -Main Disconnect
--------------------------------------------------------------------------------
Equip. Clearances Panels-Motors-Mech. Equip.
-----------R--.
-----------------------------------
Clothes Closet Light -Shower Light -Spa Light
---lose------Smoke Detector
- - - ---------------------
Date rd B- Date Card -B- 1
Date Card B-1 Date Card B-1
Date MECHANICAL (Permit) OK except ft's
34.- A.C. Ducts Insulation & Support
--------------------------------------------------------------------------------
- -----35.-Vent Fan:- Exhaust above insulation - -
36 Condensate Drain & Overflow: _Size e & Grade
--------------
37. Furnance-Vent. Access -Comb Air -Return Air Vent -115 outlet
- --------------------------- --------- -----------------------------------
------ 38. Attic -Access-&- Platform if Furnance in Attic
----------------------------------------- --------------------------------------
Date Card B-----------------------1 Date Card B-1
--- -------------------
Date Car -1 Date Card B-1
Date FRA G (Plans) OK except #'s
Sils Proper Material & Anchors
------ -----------
------------
-----------------------------------
---
all's Studs -Nailing. Spacing & Bracing -Plates -Sound
------- -- -----------------------------------------------
Bearing Walls over Girders &Floor Nailing
2. t Stop in Walls (rat proof)
----------- .-i Stops: Furred Ceilings -Stairs -Chases -Tubs
------------------------------
43.
ders & Beam -Size & Bearing
/. G - '.:
& Duplex)
Date FRAMING (Continued)
5 Hangers -Post Caps -Anchors -Connectors
6. Cing. Joist-RJtr_Iies-Purlin-roof Brac-Truss-Shthng.-Rfng.
replace Ties or Type A Flue -Fireplace Throat clearance
A_VWAccess, Size & Romex Protection -Draft Stop -Ins. Baffles
Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions
Ste Fire Protection Framing
--------- -- perty Line Firewall & Openings
Doors -One 3 -Check Garage -3rd Story, 2 Exits
------___Stairs; Width -Headroom Rise -Run -Landing -Fire Protection
04. plywood on Roof Overhang -Attic Vents -Rafter Outriggers
55. S'"'g-Nailing Veneer
-------------r- --- --
_�&Ayrco Mesh -Drip Screed -Fd. Vents-Underflr. Access
- _ lazing Area -Glass Protection -Skylights -Plastic
_ Shear Walls: Nailing-Bolts
Ins ----------- I- ion- e --i—
6 nfiltr on -Wal - ind s
Date and Date Card B-1
Date B-1 GG Date Card B-1
Date FINAL (Plans) OK except #'s
___ __________Steps -Door & Sidelight Protection -Landings
6 Smoke Detector
-------------------
60.Furnace: Vents -Clearance -Comb. Air -Connector -
In Garage_ Above Floor -Ducts -Meth. Protection
bedroom Ex
iti
6 .F.I. & Bath Fixtures & Tub Access -Spa
------ --- 6�Elec. Trim & Subpanel; Breaker Sizes & Labels
67-Srmrs & Rails
- i ---lace or Stove: Clearances -Hearth
64?. E . Outlets at Wood Panel: Int. & Ext.
--- 79-44 -Fixt & Appliance; Grnd.-Air Gap -Cooking Clearance
71..,94ee�-Outlets & Receptacles at Kit. Counter --
79-Gavage Fire Door: Swing -Landing -Closer
73..TA-G-Duct in Garage -Damper
------- -------------- -------- --------- --
74-WLr, Htr.: Vents -Clearance -Comb. Air-Connector-P.R.V.
In Garage: Above Floor -Meeh. Protection
Elec. & Mech. Equip. Listed for Location
7 Elec. Receptacles in Garage; (G.F.I.)-Romex Protection
7- . nsulation-Foam-Looked in Attic ❑ Yes
78`%71rrd Rails & Deck Construction -Post Caps
7 Vents &Crawl Hole Door -Drainage & Wood -Earth
C earance Looked under Floor ❑ Yes
Following instld.; Drive 0 Yes ❑ No; Walks ❑ Yes ❑ No;
}planters ❑Yes ❑ No
5-.(a.Jj4, i141. Stucco Brpwn-Finish
GCS--- a2 -A.0 Unit: Disconnect. Electrical, Plumbing
- --- - —
Oe
Vents Above Roof. Plbg -Appliance-Fireplace.-Clearance to
Openings
84,VAASier Well; Disconnect, Electrical, Plumbing
terior Elec. Trim:_G.F.I. Receptacle -Underground —
/Ventilation Throughout House
..N lass Protection
`S8.
�Corrrections from Previous Inspections — —
as Test -Meters Tagged; Gas -Electric ---_
2i
�/,Gater & Sewer Connected -C/O to Grade -HD Approval-
yy Energy Compliance Certificate -Other Certificates
---------------------------
DateCard 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:
OWNER
MCVP—"*` Mise;
`z
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Oroville — Phone: 538-7541 ;
747 Elliott Road, Paradise— Phone: 872-6307 -
3
CORRECTION NOTICE
PERMIT NO. e
4
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 work is completed. If you have any question pertaining to this I
matter, or need additional explanation, please contact this office immediately. v
�IVA�d ffI1CAmC
Permit No.
i--n--E- R G Y C E R T I F I C A T I O N
1924 Durham Dayton Hwy., Durham Ca. K.I.D.D. A.P. No.
LOCATION
DESCRIPTION OF INSULATION
ROOF
Material
Thickness(inches)
EXTERIOR WALL
Material FIBERGLASS BATTS
Thickness(inches)
6411
CEILING
Batt or Blanket Type FIBERGLASS BATTS
9111
Thickness (inches)
Loose Fill Type
Minimum Thicknesj(Inches)___�
Area covered(ft. )
FLOOR, ELEVATED
Material FIBERGLASS BATTS
Thickness (inchea) 64"
FLOOR, SLAB
Material
Thickness(inches)
Width(inches)
Brand Name
Thermal Resistance (R Value)_
Brand Name OWENS-CORNING
Thermal Re.sistance(R Value) R19
Brand Name OWENS-CORNING
Thermal Resistance(R Value) R30
Brand Name
Number of Bage Wt. per bag' lb.
Thermal Resistance(R Value)
Brand Name OWEN5-CORNING
Thermal Resistance(R Value) 819
Brand Name
Thermal Resistance(R Value)
FOUNDATION WALL Brand Name
Material
Thickness(inches) Thermal Resistance(R Value)
---------------
I hereby certify that the above oinsulation
Californlawas
Enetgyinstalled
Requi.remente�above building
In conformance with the State of
LOERKE INSULATION CO. INC. 499150
F NAME/OWNER STATE CONTRACTORS LICENSE NO.
April 26, 1993
]SIG, TUBE OF INS pi.. T'�.Q APPLICATOR
DATE
I hereby certify the Above insulation.and all require4 items as shown on the
Building Department approved plans and attachments have bleen installed as
required by the State of California Energy'Requirements.,
All equipment., devices and materials are of the quality prescribed or are
specifically approved by the State of California.
WS Q E & SONS. iii.
F3.0. Box 360 L"
DURHAM, CALIFORNIA 95938 4010
FIRM NAM$/
R. "(l�lease in STATE CONTRACTORS LICENSE NO.
eX-
- DATE
THIS
SIGNATURE OF (I •NERAL CONT CTOR OWNER
THIS CERTIFICATE MUST BE ON FILE WITH THE BUILDING DEPARTMENT PRIOR TO FINAL
INSPECTION APPROVAL. AND A COPY SHALL BE POSTED WITHIN THE BUILDING.
January 1984
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541
APPLICATION AND PERMIT
PERMIT NO.
ASSESSOR PARCEL NUMBER
-
ZONING
A-10
BUILDING PERMIT
OWNER Robert Kidd
TELEPHONE
SQ. FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS
24 Durham Dayton Hwy, Durham 95938
CONTRACTOR'S NAME TELEPHONE
Gore & Sons Builders 342-9258
j 24,894.00
150.00
28 C 364.00
CONTRACTOR'S MAILING ADDRESS
Box 360 Durham 95938
1,000.00
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $ 27 408.00
LENDER'S MAILING ADDRESS
ARCHITECT OR ENGINEER LICENSE NO.
Filing Fee $ 15.00
Permit Fee $229.50
Plan Checking Fee $
114.75
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Energy Plan Checking Fee $ 20.00
Penalty $
BUILDING ADDRESS
Permit fee $
379.25
1994 T)iJrhnm-DaVton m
PLUMBING PERMIT Filing Fee 15.00
Each Trap
Solar or heat pump water heater #20.00
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Water piping 7.00
Each pas water heater or vent 11 7.00 7.00
USE OF STRUCTURE
SF E Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets 11 5.00 5.00
Building sewer 15.00 15.00
Mobile Home S I G I W @ 15.00
TYPE OF WORK
New ❑ Addition ❑X Remodel ❑ Utilities ❑ Installation❑ Other ❑
Describe work: Bedroom and BAth Room &
Conversion of Carport to Garage
Permit Fee $ 64.00
Contractor
ELECTRICAL PERMIT Filing Fee 15.00
Main service 200AORLESS 1 18.50 18,50
CONTRACTORS LICENSE LAW
I declar rider penalty of perjury
P y p I y (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 N0-2-21: / Classification Q- /11•
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)
El 1, as the owner, am exclusively contracting with licensed contract -
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
Main service 200A TO IOOOA) 37.50
NEW CONST. / DWELLING OCC416t) 3.64sq.ft. 16.15
OR ADDNS. \ ACC. BLOGS. 4400 /
NEW CONSTR NON-RESID BRANCH CIRCUITS) ULTI.OUTLE@ 5.00
/POWER APPARATUS e\
(SINGLE OUTLET CIR. /
76
Ex. OCCup(OUTLETS OR FIXTURES L.
FIXED APPLNS. OR
Ex. Occup. OUTLETS (RESID•) EA./ 3.00
Temporary service 15.00
Mobile Home Facilities 15.00
Misc. Wiring -15.00
Permit Fee $ 49.65'
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
he permit is for $100.00 (valuation) or less.
I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
❑ I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
Contractor
MECHANICAL PERMIT Filing Fee 1 15.00
Heating Dual Pack 1 1 9.001 9.00
Cooling 1 9.00 9.00
Hood 6.50
Ventilation 1 4.50 .50
Permit Fee $ 37.50
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 ke harmless the County of Butte against
all liabilities, j ments, costs an penses which may in any way accrue
against sai u yin oris nc he granting of this permit.
X Date /07 - / 2
Signature Applicant - 0 er ❑ Contractor Agent ❑
An oSW permit is required for excavations over 5'0" deep and demolition or construct-
ion ofi"structures over 3 stories in height.
Mobile Home Installation Fee S
Energy Inspection Fee $ 40,00
occ
R-
CONST TYPE
VN
TOTAL FEE $ 570.40
HAz DFEES
IMP
FL D
COF
PARCEL
PD
H
Is WE�I
i
This permit is hereby issued under the applicable provi-
sions of the Bu ounty de and/or resolutions to do
work indica d o which fees have been paid.
D OF PUBLIC WORKS
By Datw"Z
PERMI PIRES Date J Z - // - q _
Receipt No. 129964
WNITC-D.P.W., YELLOW-A88C990R, PINK -INSPECTOR. GOLDENROD -APPLICANT
2''1+'�''"Y"6jt.....;: �•lan f.r...ti.•!_.-.'_."'i-`�,:�(t.-.�•>�'l-.�a-M r'*'' 7_.
COUNTYOF BUTTE - DEPARTMEN OF DEVELOPMENT SERVICES -BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVIGLE, CALIFORNIA 95965 -TELEPHONE (916) 538-7541
PE IT APPLICATION DATA SHEET
OWNER i A. P. No. /jQ 7Li(O2-
Proposed Building Use f5AdIJ Building Inspector Date mi/
At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance:
DATE RECEIVED BY
1. All items have been submitted . .. .................................... .
2. Plot plans, 3/4 sets, signed by preparer of plans.
3_ Complete plans, 3/4 sets, signed by preparer of plans . ......................
.4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . .............
5. Hazardous Material Form . ........................................... .
6. Energy Design Compliance and supporting documentation . ..................
7. Statement of Intent for Non -Heated and A/C Buildings . ......................
8. Engineered truss details and layout in duplicate (required prior to plan check). ....
9. Mobilehome data and manufacturer's installation instructions, 2 sets. ...........
10. Fees of $ ..........................................
11. Impact fees as shown on attached schedule. &4#41W. -:;,-A941I..............IL-
12. California Department of Forestry plan approval/fees. ....................... .
13. Flood elevation letter (100 year flood) by Calif Engineer . ............ : : :
4. Sanitation and plot plan approval ealth Department.
15. City of Chico plumbing permit . .........................................
16. Plot plan and business license approval from City of Biggs/Gridley. .............
17. Planning approval for (A) Use: (B) Parking:
18. Contact Land Development.about (A) Improvements (B) Drainage. ...........
19. Driveway permit (construction approval required prior to occupancy). ...P4�
1oA reap
20. Pre -inspection for required. . to BuBdmg Inspector. (Date)
21. Contractor's license information. (No., Name Style, Classification) . ..............
22. Certificate of Workmans Compensation Insurance . ..........................
23. Owner -Builder Verification (Given to owner ,Mail to owner ............
24. Recorded copy of Agricultural Acknowledgement Statement . ..................
X25. Letter of signature authorization . ........................................
26. Copy of recorded deed of parcel creation and 60 right of way to a public road. ... .
27. Letter of intent on building use . .........................................
28. Mobilehome utility clearance ................
.......................
29. Documentation of legal access . ..................... :..................
30. Documentation of 50% subdivision developed or (A) Road improvements completed
and (B) Parcel meets zoning area and frontage requirements . ...............
31. Existing violations/expired permits . ......................................
32.
list
33. P CkDP�; �Ar �1.......................................... -1 - ct , te4;r
34.
When yeu issue the permit, process as follows: Mail to owner. Mail to contractor.
Telephone,-4*!94K? and hold for pickup at 1941 office. Deliver with inspector.
Other
Parcel Creation
Acreage Applicant Date,,,a
Copy of Haz-Mat form sent Health Dept. Fire Dept. A"ir Pollution Da%
Copy of plans sent Health Dept. Fire Dept. Other Date By
The following data must be submitted prior to per , ssuan item not checked above).
1. Index permiffor above items No.
2. Additional items required: /,(2 �!�
- m^�T9
Contractor, designer, owner, was advised of above required data by _ phone -mail Counter by _ Date
Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date'
Plans checked by Date Plans approved by Date
Sets of plans on hold in File cabinet AP folder
Copy - Department of Public Works
1
TO: Building 15epartitient
FROM: Environmental Health
SUBJECT: Sanitation Clearance
F. Fj. LISE ONLY
Hot I'I.n Atlachal
ri„or Plan nuacl d
Y)I14;,'LA b <-m a
Owner Location AP#
Plan Approved for: Sewage Disposal Water Supply: Public Private Well
Clearance for bedroom mobile home. Other LAmamarIA bcam= Gif L-be2�. .
Hold final for:
Final clearance O.K. for:
NOTE:
/
4nUvi'ro"nmental Teallth Specialist
8/92
11:617-
Date
FLOOD PLAIN DECLARATION
I declare the actual value of the proposed construction work under build-
ing permit application at 1924 Durham Dayton Hwy. Durham, CA
A.P. # 040-170-062 for 461 Sq. Ft. Residential addition does
not equal or exceed the definition of "Substantial Improvement."*
I am aware the building site is in a flood -plain area, even though I
am not required to comply with the flood plain management -criteria.
PROPERTY OWNER Robert D. KiddXa7[
ADDRESS 1924 Durham Dayton Hwy._ Durham, .CA'95938
PHONE NO. (916) 895-0414
DATE 402
*Substantial. improvement is defined as.follows: Any repair, reconstruc-
tion, or improvement of a structure, the cost of which equals or exceeds
507 of the market value of the structure either,. (a) before the improvement
or repair is started, or (b) if the structure has. been damaged, and is being
restored, before the damage occurred.
NOTE: Documentation may be required to substantiate costs.
4:o':
'jk i�'Gr!�+9sdx :`Yr'�" ti�'�OwiL{Tin:-..i•?�kw�Av�p��tiy��'{=h+i�"i^iw7M"�,..F��
r
BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM
(One Form -Per Building)
School District..
/,r./-- "/eg"W
Building Department No.
A.P. Number' Jurisdiction
0
City .County
Property Owner 1&/_
i
Property Location/Address
Subdivison
Lot No.�
Residential Development
' •
Sq. Footage
No. of Living
MHI
Addition (Group R)
Units
Commercial/Industrial Sq. Footage
New ` Addition (Including Exterior
Roofed Areas)
Building Department Representative Date
(Floor Plans reviewed by School,D.istrict Pe'rr el), . �•--
.. ice
District Identification No. 40
Q/Ar/5lf/n School District certifies that'f /c�i�✓
(Applicant)
(Street Address) , f (Phone Number)
(City)
has complied with therequirements of Resolution No.
representingsquare feet.
ate) (Zip Code)
by, payment of $
}
• x
Date,
Paid by Check. Number Remarks`:.
Bank Number
Paid by Cash v
f
subsequent to the School District' Representative signing this Butte County Schools Impact'Fee
Certification Form, the School District is notified by the applicable Local Planning Agency that this project
is being, reviewed under the California Environmental Quality Act (CEQA), this project may be subject to
additional school fees to fully mitigate its impact on the school district's schools.
WIiiC (applicant), Yellow (building department), Pink :(school istrict) �. feeform.wkl (4/92)
;, -- COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone: 916:'538-7541
APPLICATION AND PERMIT
PERMIT NO.
ASSESSOR PARCEL NUMBERON
Qy 7
0- 2i
NG
��C)
BUILDING PERMIT
OWNER
T LEPHONE
SO. FT. OCC. BUILDING VALUATION
OWNER'SAIL INC �
2 A
�% ( L
934 m ,50
O
CONTRACTAME
us o E r S c�
vI eKS
TELEPHONE
3 Z-9.?56
Ci
CONT AoT�'�S MAILING ADD"
3aS[ �/
638
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation
L
LENDER'S MAILING ADDRESS
ARCHITECT OR ENGINEER LICENSE NO.
Filing Fee
$ 15.00
Permit Fee
Plan Checking Fee
$ �2�
$ L S
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Energy Plan Checking Fee
$ �20,cc:>
Penalty
$
BUILDING a ADDRESS
u✓ �� N
Permit fee
$ 3 rl q
PLUMBING PERMIT
Filing Fee 15.00
Each Trap
5.001 15 -
Solar
Solar or heat pump water heater
1 20.00
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Water piping
7.00 7, O3
Each qas water heater or vent
7.00 7. p�
USE OF STRUCTURE
SFfd Duplex❑ Mobilehome-❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00 5
Building sewer
15.00 /,5-,00
Mobile Home S G W
@ 15.00
TYPE OF WORK
New❑ Addition,_ %�emodel❑ Utilitie ❑ Installation[] Other ❑
Describe work: LY,Ctln ANS i'�A'ellf _
✓'�iAv�4- '�
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 15.00
Main service 200AORLESS
18.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
❑ I am licensed under provisions Of Chapt. 9, Div. 3 of the BUSIneS$
and Professions Code and my license Is In full force and effect.
License No.Classification
L_f I, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract -
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
Main service 200A TO 1000A)
37.50
NEW CONST. ( DWELLING OCc P.�\
OR ADONS. ACC. BLDG s-449
3.64sq.ft.
NEW CONST R. r ULTI-OUTL
NON- ESID BRACIRC ITS
NCH
5.00
(POWER APPARATUS y\
SINGLE OUTLET CIR. 1
Ex. Occup( OUTLETS OR FIXTURES
20 76d
FIXED APLNS.
Ex. Occup. OU LETS P(R ESID OR
I 3.00
Temporary service
1 15.00
Mobile Home Facilities
15.00
Misc. Wiring
15.00
Permit Fee
$ L
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
❑ I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
Contractor
MECHANICAL PERMIT
Filing Fee 15.00
Heating
Cooling
-
Hood
6.50
Ventilation�
_
Permit Fee
$ C�
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the County of
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
against said County in consequence of the granting of this permit.
X Date
Signature of Applicant — OwnerContractor Li ❑ r' Agent ❑
An OSHA permit is required for exco�at,ons over 5'0" deep and demolition or construct-
ion of structures over 3 stories In height.
Mobile Home Installation Fee $ a
Energy Inspection Fee $
o ccoNsT;//
�
TOTAL$,.5--70EE
HAz
OFEES
IMP F
coF PARCEL
PD
t,D ssuE
This permit is hereby issubd under the
sions of the Butte County Code and/or
Work indicat abo for which fees
OR F PUBLIC
By
PERMIT ES Date
applicable provi-
resolutions to do
have been paid.
WORKS
Date
Receipt No..
"NOTE-O.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. ;OLOENROO-APPLICANT
RESIDENTIAL PLAN CHECKING GUIDE
MISCELLANEOUS ITEMS TO LOOK OUT FOR
Stairway details: landings, rise and run, head clearance, handrails
I. (Sec. 3306).
!Guardrail details (Sec. 1711 & 3306(j).
ick or stone veneer (Chapter 30).
xterior plaster = weep screeds (Sec. 4706).
Proper roof pitch for roof convering (Chapter 32).
--Roof covering type - (fire hazard).
Foam insulation - protection.
halls and stairways.
r-ILiving area over garage - complete 1 -hour separation required on
including supporting walls and posts, etc.
wo exits on three-story dwellings (sec. 3303 & see Mezannines -
. Attic access and ventilation (Sec. 3205).
Underfloor access and ventilation (Sec. 2516).
3."'�ombustion air for fuel burning appliances - L.P.G. requirements.
r. Noise requirements on duplexes.
5$nergy design.
'.lashing at all exterior openings.
7-. CDF responsible area requirements.
8/91
garage side
1716).
RESIDENTIAL PLAN CHECKING GUIDE 8/91
(S.F., DUPLEX & MISC. ONLY) ll��
`Bldg. Permit #
OWNER A.P. #in
GENERAL �—
Plan Checker'
5oning requirements: (sideyards and number of permitted living units).
aluation.
Plans signed by designer.
Proper description of work on application.
- Existing violations on property.
6 terns on data sheet. (W.C., fees, Health, Developer Fees, License law, etc).
�: Recorded notice of violation.
PLOT PLAN
_-I, Complete parcel size and dimensions.
4.— Setbacks, sideyards, easements, etc.
Other buildings or structures.
Grading, fills, drainage.
Flood hazard.
Special conditions on creation map,
ustible, and foundations).
AU & FAS road setback.
(noise, CDF, fire sprinklers, non -comb -
Building or utilities across lot lines (Record form).
FLOOR PLAN
Complete to scale plan with dimensions.
.Required windows for light and ventilation (Sec. 1205).
Required windows for second exit (Sec. 1204).
Skylights (Chapter 34 & Sec. 5207).
Human impact glass (Sec. 5406).
Required room sizes, ceiling heights (Sec. 1207).
GFCIs in baths, garage, kitchen, and exterior outlets (Article 210-8).
Light fixtures, switches, receptacles, and exterior receptacles for main-
tenance of mechanical equipment.
Locations of water heater, heating and cooling equipment, other electrical
oL-gas equipment.
Garage firewall, door size, and closer (Sec. 503(d)(3)).
1 - 3'0" exterior exit door (sec. 3304 (f).
.Fireplace and wood stove location, alcoves, and clearance.
Smoke detectors (Sec. 1210).
Plumbing fixtures, water closet clearances -and shower size.
AILS
.Standard bracing or engineered design (Table 25V)
.Unusual shape, size, or split level house requiring lateral design.
Clerestory requiring balloon framing and/or engineering.
Three story building requiring engineered calculations and plans.
Foundation plan complete enough to construct building.
Floor construction details complete enough to construct building.
Elevations and wall construction details complete enough to construct
Roof construction details complete enough to construct building.
Fireplace construction details and calcs if necessary.
Rafter ties or bearing ridge beam.
Garage door or porch header sizes.
Stud heights.
:.dobe soils - special foundation design.
Retaining walls requiring design.
Special Inspection required.
building
Owner
ADDITIONS TO RESIDE&iTIAL BUILDINGS ENERGY SHEET
PACMGE '.:A" (Addi tions )
/ R
FORM 7
Climate Zone
Permit # Va °G Floor Area
The following data showing mandatory and required features of Package "A" shall .
be installed for additions to dwellings. Additions to dwellings include room
additions, converting garages and patios,to living areas, house moves that add
footage and attic coriversions, and any.space that is existing non -conditioned
space that is converted to conditioned space. Remodeling of existing conditioned
space is not included.
APPLIES TO.NEW AREA
CEILING
o WALL -
• FLOOR
SLAB
O. GLAZING
SHADING
SOUTH - OPTIMUM OVERHANG
i
ZONE 11 ZONE 16
R-30 E R-38
R-11 - E R-19
R-11 R-19
R-7 R-7
U-.65 (Dual) U-.65 (Dual)
or .36 Shading Coefficient
WEST - .36 Shading Coefficient
LOOSE FILL INSULATION (Density)
s INFILTRATION CONTROL (Weatherstrip door's, certified windows, caulking)
VAPOR BARRIER (Zone 16)
DUCTS PER UNIFORM MECHANICAL CODE - Ch. 10
® LIGHTING KITCHEN & BATH NOT LESS THAN 25 LUMENS/WATT
o MAXIMUM GLAZING 16% OF AREA PLUS REMOVED GLAZING�e
NEW HEATING, VENTILATING, AIR CONDITIONING A WAkTER S MS'IN
CONJUNCTION WITH AN ADDITION SHALL BE INS&L D�-IAS SHO9� BACK
OF THIS SHEET. xk
19LO
OTHER e•.
12/85
*1 HEATING, VENTIIATING. AIR CONDTTIO_NING SYSTEM
(A) Heating • • . . . _.
Q Cantral Gas Furnace %
(brand and model number) SE
Btu/hr
(heating capacity)
Q Heat Pump
.(brand and model number) ACOP
Btu/hr
(heating capacity at 47°F)
❑ Active Solar - -
type (liquid or air) Collector brand and
ft2
model number solar fraction collector area collector
oviencaciou collector tilt rated y-intercepc
rated slope
Q Other
(describe)
*1 (B) Cooling
Q Electric Air Conditioner
(brand and model number) (seasonal EER)
Btu/hr
(cooling capacity at 95°F)
Q Electric Heat Pump
EEE.
Btu/hr
(cooling capacity at 95°F)
❑ Other
(describe)
DOMESTIC WATER SYSTEM
Q (B) Gas Only Gallons
(brand and model number) (tank size)
Q Heat Pump w/Electric Backup
(brand and model number)
Gallons
2 (tank size)
Q * Active Solar
(collector brand and model number)
(rated y -intercept) (rated slope) (solar fraction)
ft2
(backup heater type, brand and model number) (collector area)
(collector orientation) (collector tilt)
❑ rAcation of Solar Panels
❑ Other
(Describe)
*1 Submit documentation of sizing heating and cooling equipment by Manual J, sizing
charts (form #4) or other approved methods, section 2-5352(g), and fill out the
following:
Heating: Winter design temperature °, elevation ', heating load BTU
elevation factor x heating load - maximum outlet capacity gas furnace
BTU
Cooling: Summe'r design temperature °, cooling load BTU
*2 Submit T.I.P.S.E. chart or other approved system (form 05) to document sizing of
solar panels.
® DESIGN COMPLIANCE STATEMENT: The above building des n mee the re uireme is o
Title 24, Part 2, Chapter 2-53 of the California Admig tza Aon Coda. jV
o�