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040-170-092
•�f#qJQZR4/Z6 9%47 A . P. 40-17-9� QuidERALTERS , �+ �. W/S Cummings Rd 1/1Q; mi . S. of Reed Lane, Durha`:r .., a \Permit 252-74B (addition) r '040-17 0-092 Rj, 96-2205 B r1ROSS,`'Cecil�:,' 9489�Cummings Road, Du am i � � Y;�•s�•}�,��... •,..,. �,.- PERMIL 0 s =:� ' . � ' 040=170-092 , • .; . � ��R OSS,'Cecil�9489 Cummings Rd.% -DurhEle for'Garage BP#9622 �OSS, 92' �`. 06 1455 CIL*& EILEEN ' x r . r 9489 CUMMINGS RD, DURHAM Cont: CHICO ROOFINaCO- •RE ROOF„•- 1 1 , i i _ 1 a ~ 1 j f 1 , 252-74B PERMIT NUMBER - B d i P E 3:. PERMIT EXPIRES y; OWNER Jerry Walters k}. CONTR: Owner J LOCATI'N (A.P. 40-17- W/S Cummings Rd.; 1/10 mi.' S: of Reed Lane, Durham COUNTY OF BUTTE ! Department of Public Works BUILDING INSPECTION RECORD Zoning Setback Forms' Foundation Piers & Girders Fireplace : Rgh. Plumbing Bond Beam Lath & Plaster' Rein. Steel_ Gas Piping & Test Found. Vents Framing' Plmg. Topout Rough Elec. W4r. Htr. Furnace Kitchen Vent Firewall Garage Vents Sanitation & Water . ELECTRIC GAS BUILDING Temporary Temporary Cert. of Occup. Final Final Final . DATE REMARKS OR CORRECTIONS • • �3 — its � �� `' �u �`�� � �, �,��� aCr�r cep iD �C/ 1-11 1 %sysT� �'����✓a L'��/�2�L;';/ ��T G�G.� , Ile- /c/ 6; YO . � ��, �a/��� ow,✓.� -� � .�d��a�, Caw >,�y s7� � .� � .. . �0 3 3 �iid cv-�� .� �v� ��� • 3T SHEET m .No. m C" m rn 144 "1 t -f F -H w 1.-� w` w Date m m m r" m m w W W W w w Remarks Date m m m m rrs r" w " w ,U w ul Remarks MARKING EXAMPLE r ' 6 . _ = 4 T Date, 11 rrz m m rn m rn,,_. - Hi l -H H-4 +-H I. -H .+-" W W 61-A W L" UW IT' ' ~ L �' L MEN v * . #' r Tax Arca Cads. ' ? r 21&R.RE H. 0 B. 12 A 4 0 Q 0 6 60 26.73 Ac. a ; Zii4:a 27b.5 535.74 5 4 52 ►� 4i 73 �•i 130 �, } PCL. 1 5 AC. N 3.53 Ac. 3.43Ac. 4.5 Ac. 25 /.OAt 689.40 PCL.3 0963 . - a %1.04c 12 91 99 _ a �.� 45 I �6 I.`54Ac. Q_ 535 8 3- - - - /937 7 8 • 23.51 Ac. I -140T909-36 909.36 i 689.40 _ \ J 5 '336.53 j O o � 9 /Q M ?. \ A \:34Ac. 16.53AC. A\ '7LEl6fEVT Arf.OR. Bk:6 Ag. 16 /D 33Ac . C PCL. 1 5 AC. h 25 689.40 PCL.3 9 99 ® o Pf1160-52 o PCL ? �'t 689.40 380.5/ r 7c'.75 895.9: 368,4" 5602.7 9 9.55Ac. l5-27Av. Z 79 72 128 k ..' ; s 12 U t 64 78 NOTE—ASSESSOR'S PARCEL BLOCK & LOT NUMBERS SHOWN IN CIRCLES , COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WOR S a\ ` 7 County Center Drive —' Oroville, California 95965 i P11 Telephone: 534-4541 V\ APPLICATION AND PERMIT i authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. t X Date f —•2J /Sign urebrPer itee or Agent Receipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF BLIC WORKS By nate f --3L %S�' Building permit expires Data BUILDING Owner/ z' a l Gf S SQ. FT. OCC. BUILDING VAL ATION Mailing Address Telephone No. Fireplace Contractor G Total Valuation Mailing Address51aow Permit Fee -, Plan Checking Fee&/orP y CJ Telephone Na. Permit Fee $ $ Building AddressPLUMBING No. @ FEE PERMIT FILING FEE $2.00 Each Trap 1.50 d Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. o. -, `� — C1 Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fees C. /ice 7i Sanitatio Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration Parcel Ma P 60' R/W Im rovements P Lawn sprinkler system 2.00 Bldg. PRec'd P pprov I Plan royal Permit Fee $ $ NEW ❑ ADDITION UTILITIES ❑ OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service incl. 1 meter Additional meters, each 1.00 Sub -panel (12 or less) (more than 12) Single Family Duplex ❑ Mobil Home ❑ Others ❑ Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 Light fixtures 20 P2 Receps., switches & fix outlets CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: Hood, Ex. Fan or F.A. Furn. Motor 1.00 Evap. cooler, gar. disp. or D.W. 1.00 Air conditioner or heat pump Water pump Mobil Home Facilities 5.00 Temp. Power Pole 5.00 License No. Classification Misc. wiring nI am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. . @ FEEPERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby TOTAL PERMIT FEE $ �d authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. t X Date f —•2J /Sign urebrPer itee or Agent Receipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF BLIC WORKS By nate f --3L %S�' Building permit expires Data L liielL%1 7- e -r l C2Cc 0103.3 l�iio�w4y eco, CA - (916)891-,2751:-, ter Drive, Oroville, CA - (916).538-7541- 747 916).38-7541•747 Elliott Road, Paradise, CA - (T1 6) 872-6307 CORRECTION NOTICE X05 5 q#47 -03o 0 ,PWNER PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances.exist at ?he above address and should be corrected. Please notify this office when correction of work As completed. If you have any questions pertaining to this matter, or need additional explanation, ple a contact this office immediately. WS /c1 IYv /F le STS/ 1?t 0 D fi;0E, v U Y � ' S*ee 9095 r?Ate /,/ I Date 3 l r t / Inspector REV 10/92 X �. COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive - Oroville,- California 95965 - Telephone (916) 54-7541 PERMIT NO. APPLICATION AND PERMIT �7- ASSESSOR PARCEL NUMBER 040-170-092 ZONING 45 BUILDING PERMIT OWNER) CECTL ROSS1 TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS n/ 740 r i ADITRIJAM (CONTRACTOR'S NAME TELEPHONE CONTRACTORS MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNI(NOWN Total Valuation $ Filing Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDING ADDRESS 9489 CUMMTNGS PERMITFEE $ PLUMBINGPERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Solar or heat pump water heater 23.00 USEOFSTRUCTURE SF Q Duplex ❑ Mobilehome ❑ Other SPECIFY Water piping 15.00 Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other'S Describe work: ELECTRICAL IN EXISTING GARAGE — BP 96-2205 520 SQ FT Mobile Home I S I GI W 920.00 + PERMITFEE S Contractor ELECTRICAL PERMIT Filinq Fee 20.'00 Main ServiceE00v OR LESS ( 200A OR LESS ) 23.00 Main Service ( 200A TO 1000A ) 46.00 LICENSED CONTRACTOR'S DECLARATION i I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason NEW CONST. DWELLING OCCUR OR ADDNS. & ACC. BLDS. 3.52 FT. SO. ( ) 18.20 NEW CONST. MULTI.OUTLET NON-RESID. ( BRANCH CIRCUITS ) 97.50 ,POWER ( POWER APPARATUS ) OUTLET CIR. Ex. Occup. (OUTLET OR FIXTURES ) zo @ I. BAL .5000 LNS.) Ex. Occup. I FIXEEDrs POR 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00�7' Misc. Wiring 23.00 J j PERMITFEE $ Contractor WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation r PERMITFEE $ Contractor +I Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith complywith`those provisions. / �y���+� t X ez (Jt�_____ Date ~ % C( -en,( Signature of Applicant - la' Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee_ $ w Energy Inspection Fee Is occ jj CONST. TYPE VN TOTAL FEE $ 36.20 HAZ. 1 D. FEES IMP FLOOD A CDF PARCEL PD HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By P/%/)i d Q/J� BC 11J`L_� Date �'" �t p PERMIT EXPIRES ON 'p 0 -�dD.D.S.-B:D. (Date) No. ,(� 7 � �/ E CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT U 040-170-092 -PERMIT#97-0300 ROSS, Cecil 9489 Cummings Rd., Durham Ele for Garage BP#96-2205 t i X COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES - BUILDIN DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 8-7541,q t7_ PERMIT NO. l APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 040-170-092 - ZD"I"G B ILDING PERMIT OWNER TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS CONTRACTOR'S NAME TELEPHONE CONTRACTORS MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNMOWN Total Valuation is Filing Fee $ 20.00 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 9489 CUMMINGS PERMITFEE $ PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Solar or heat pump water heater 23.00 USEOFSTRUCTURE SF [R Duplex ❑ Mobilehome ❑ Other SPECIFY Water piping 15.00 Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other �] Describe Work: ELECTRICAL IN EXISTING GARAGE BE 96-2205 520 SO ET Mobile Home ISI GI W1 920.00 PERMITFEE gContractor ELECTRICAL PERMIT Filinq Fee 20:00 Main Service a00V OR LESS \ ( 2000A OR LESS J 23.00 Main Service ( 200A TO I000A ) 46.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law Pr the following reason: I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason NEW CONST. DWELLING OCCUP. OR ADONS. ( a ACC. BLDS. ) so. 3.5¢ Fr.18-20 NEW CONST. MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS ) 97.50 ( POWER APPARATUS ) 8 SINGLE OUTLET CIR. Ex. Occup. (OUTLET OR FIXTURES) 20 0 50 BAL .00 FIXED APLNS. Ex. Occup. (ORESD. 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ Contractor WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 9 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall / not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall f rthwith comply ose provisions. f� X _w�_____ Date 9— 11 / 7 _ Signature of Appli ant Oner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee Is occ U CONST. TYPE VN TOTAL FEE $ 38.20 HA2. D. FEES IMP FLOOD A CDF PARCEL PD HD ISSUE This permit is hereby issued under tale applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. p By ^ Date pp 1401/ ' PERMITEXPIRESON �} 'aq0 -7© I (Date) Receipt No. .20 9--;1-6 WHITE-D.D.S.-B. CANARY -ASS SOR PINK -INSPECTOR GOLDENROD -APPLICANT O.B.- I .t:.::i:::: �:;tiuu•iw:::' ::..�.u... uv,: .4; u: Wpt,Mv'< :.: � . ..:: .... ..ii•... :...:::..: ..:\� ^::. � : ur\u:.v.:...^.:2.unV::•Ch,' - :u : tii.,vi^��'pOC:'�A. w.. �, i� i, - Attention Property Owner-. An "owner -builder" building permit has been applied for in your name and bearing your. signature. . Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement: YES] . NO[ ]. 2. I HAVE[] HAVE NOT[ ] signed an application for a building permit for the proposed work- 3. ork3. I have contracted with . the following person (firm) to provide the proposed construction: NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: NAME: ADDRESS: CITY- PHONE: CONTRACTOR'S LICENSE NO. 5. I will provide some of the work but I have contracted (hired) the following persons to provide'the work indicated: NAME ADDRESS PHONE TYPE OF WORK SIGNED: PROPERTY OWNER: S� SOCIAL SECURITY NUMBER: i\ DATE: 0 9 7 NOTE: This owner -Builder Verification is required by Section 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. O VE R Dear Property Owner. An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified For your protection, you should be aware that as "owner -builder" you are the responsible parry of record on such a permit Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: 0 If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is 5300 or more for the ' entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. 0 If you are an employer, you must register with the State and Federal Governments as an employer and you' are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers compensation insurance, disability insurance Cosmo, and unemployment compensation contnbutions. 0 There may be financial risks for you if you do not carry out these obligations, and these risks arc especially serious with respect to worker's compensation insuranCe. 0 For more specific information about your obligations under Federal Law, contract -the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "ownerbuilder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners -unless they are performing their own I work personally. Information about licensed contractors may be obtained by contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento, CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. Singel , •:, ._ Michail C. V eira, C.B.O. Manager, Building Inspection OTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code. OVER - t p W RE&MENTIAL 040-17-0-092 96-2205 B l ROSS, Cecil 9489 Cummings Road, Durham (new garage) 300 UNk -Cf 17 JOB •FINALED (Date) Signature V=OK - O = Not OK Not •=Not Ready 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-CY"oncrete 4. Water, Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearances-Gmd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap; / fVft. / /Nat. or/ tVft./ /LPG w 7. Well Clearance & Disconnect 8. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements- Setbacks Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 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 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS VERS, CARPORTS, GARAGES(Plans) OK except #'s ning R uirements-Setbacks-Easements tings; Soils-Size-DepthSpacing-Connectors-Steel 00 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors 5. Alum. Awn.; 6. Carports: W .. /' ni gArrmcm Sils-AnchorsStuds-Rftrs-TnwX-s nx't� 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Lendings Date . Card B-1 ffAM4 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 -GR 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/6 -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool LBhtg. 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 ✓ = OK O = Not OK - = Not Applicable * = Not Ready RESIDENTIAL (Single & Duplex) Date UNDERFLOOR (Plans) OK except #'s 1. Zoning-Setbacks-Easments-Flood-Slope 2. Ftg., Main; Soils-Elec. Gmd.-/ J' Ftg. Depth Date 3. Ftg. Garage; Soils-Steel-Elec. Gmd/ P' Ftg. Depth 4. Ftg. Porches & Decks; Soils -Steel-/ / Ftg. Depth 47. 5. Stemwalls, Main; Steel-Blockouts Wrapped 48. 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 49. 6a. Hold Downs and Special Anchors 50. 7. Slab, Steel -Wrapped 51. 8. Piers -Fireplace Ftg.-Steel 52. 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 53. 10. UF. Gas Pipe; Size Anchors - Yard Gas Piping; Size Test 54. 11. Water Pipe; Test -Anchors -Regulator -Service Test 55. 12. Electric Underground 56. 13. Pienums & Ducts; Clearance -Material -Support -Ins. 57. 14. Girders -Sills -Anchor Bolts -Joists Vents-Crippies 58. 15. Access & Ventilation 59. 16. Insulation 60. Brace Wall Panels Date Insulation -Walls -Ceilings Card B-1 Date Card B-1 Date Infiltration -Walls -Windows Card B-1 Date Card E-1 Date PLUMBING (Permit) OK except #'s 17. Water Htc; Vent -Access -Combustion Air Baffle Date 18. Water Pipe; Test & Anchor -Nail Protection Date 19. D.W.V.; Test Fittings & Anchor -Nail Protection 20. Shower Pan; Test, First Floor -Tub Access 21. Test Tub & Shower, Second Floor -Tub Access 22. Gas Pipe; Sixe & Anchors 66. Bedroom Exiting Date 67. Card B-1 Date Card B-1 Date 68. Card B-1 Date Card B-1 Date 69. ELECTRICAL (Permit) OK except #'s 23. Fixture & Transformer Clearance -Ins, Protection 24. Elec. Receptacles Spacing -Lights & Switches at Doors 25. Size Boxes & No. of Conductors Stapled 26. Romex Installed Close to Edge of Studs & C.J. 27. Equip. Ground made up w/Mech Fastners-Bond Gas & Water 28. 2 Appliance Circuts in Kitchen & Conductor Size GFI 29. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or Al 30. Range Circ. / / ga Cu or AI -Oven Circ. / / ga Cu or Al Insulated Neutral 0 Yes 0 No 31. Service -Riser Conductors & Ground -Main Disconect 32. Equip. Clearances Panels-Motors-Mech. Epuip. 33. Clothes Closet Light -Shower Light -Spa Light 34. Smoke Detector 82. Following Instld./Drive 0 Yes 0 No/Walks 0 Yes 0 No/Planters 0 Yes 0 No Date 83. Card B-1 Date Card B-1 Date 84. Card B-1 Date Card B-1 Date 85. MECHANICAL (Permit) OK except #'s 35. A.C. Ducts Insulation & Support 36. Vent Fan, Exhaust above insulation 37. Condensate Drain & Overflow, Size & Grade 38. Furnance-Vent Access -Comb. Air -Return Air Vent 115 outlet 39. Attic Access & Platform if Furnace in Attic 91. Gas Test -Meters Tagged, Gas -Electric 92. Water & Sewer Connected -C/O to Grade -HD Approval Date 93. Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except #'s Date 40. Sits Proper Materials & Anchors Date 41. Walls Studs -Nailing Spacing & Braces -Plates -Sound Date 42. Bearing Walls over Girders & Floor Nailing Comments at Final: 43. Draft Stop in Walls (rat prool) 44. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 45. Headers & Beams -Size & Bearing Date FRAMING (Continued) 46. Hangers -Post Caps -Anchors -Connectors 47. Cling. Joist-Rftr. Ties-Purlin-roff Brac.-Truss-Shting: Rfng. 48. Fireplace Ties or Type A Flue -Fireplace Throat clearance 49. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 50. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 51. Garage Fire Protection Framing 52. Property Line Firewall & Openings 53. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 54. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 55. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 56. Siding -Nailing Veneer 57. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 58. Glazing Area -Glass Protection -Skylights -Plastic 59. Shear Walls; Nailing -Bolts 60. Brace Wall Panels 61. Insulation -Walls -Ceilings 62. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 63. Ext Steps -Door & Sidelight Protection -Landings 64. Smoke Detector 65. Furnace; Vents -Clearance -Comb, Air-Conector- In Garage; Above Floor-Ducts-Mech. Protection 66. Bedroom Exiting 67. G.F.I. 8 Bath Fixtures & Tub Access -Spa 68. Elec. Trim & Subpanel, Breaker Sizes & Labels 69. Stairs & Rails 70. Fireplace or Stove, Clearance -Hearth 71. Elec. Outlets at Wood Panel, Int. & Ext. 72. Kit. Fixt. & Appliance; Ground. -Air Gap -Cooking Clearance 73. Elec. Outlets & Recepticales at Kit. Counter 74. Garage Fire Door; Swing -Landing -Closure 75. A.C. Duct in Garage -Damper 76. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. In Garage; Above Floor -Meth. Protection 77. Plb., Elec. & Mech. Equip. Listed for Location 78. Elec. Receptacles in Garage (G.F.I.)-Romex Protection 79. Insulation -Foam -Looked in Attic 80. Guard rails & Deck Construction -Post Caps 81. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor 0 Yes 82. Following Instld./Drive 0 Yes 0 No/Walks 0 Yes 0 No/Planters 0 Yes 0 No 83. Stucco Brown -Finish 84. A.C. Unit Disconnect, Electrical -Plumbing 85. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 86. Water Well, Disconnect, Electrical, Plumbing 87. Exterior Elec. Trim, G.F.I. Receptacle -Underground 88. Ventilation Throught House 89. Glass Protection 90. Corrections from Previous Inspections 91. Gas Test -Meters Tagged, Gas -Electric 92. Water & Sewer Connected -C/O to Grade -HD Approval 93. Energy Compliance Certificate -Other Certificates 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: r � i r V Date ►J t ` I Inspector REV 10/92 _. 7 COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE y C -o OWNER PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at ;a .:.:.� the•above address and should be corrected. Please notify this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation,; please cont this office immediately. C c 2v vW'D O 'tv v n , h .A r � i r V Date ►J t ` I Inspector REV 10/92 _. 7 COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE OSS 9( ZZO�- OWNER PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction -of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. Date (v` (O Inspector REV 10/92 COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVI ION VX 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-754L PERMIT. APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 040-170-092 ZONING A10 "40 BUILDING PERMIT OWNER TELEPHONE SO. FT. OCC. BUILDING VALUATION 520 U 9360 OWNERS MAILING ADDRESS 9489 0MTNGS RD CONTRACTOR'S NAME STEVE DRATIMOND TELEPHONE 1343-8384 CONTRACTORS MAILING ADDRESS 3311 NORD AVE Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Fling Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ 117.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 76.00 Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDINGADDRESS 8 CUI�MIINGS PERMITFEE $ 213.00 PLUMBINGPERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO. SUBDIVISIONS NAME PARCEL MAP Solar Or heat pump water heater 23,00 USEOFSTRUCTURE SF fX Duplex ❑ Mobilehome ❑ Other SPECIFY Water piping 15.00 Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Ublibes ❑ Installation ❑ Other Nl Describe Work: GARAGE Mobile Home --[§] G W 920.00 PERMITFEE g Contractor ELECTRICAL PERMIT Filina Fee 20:00 Main Service / a0OV OR LESS 200A OR LESS ) 23.00 Main Service ( 200A TO 1000A ) 46.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is Null force and effect. `l 9 l ^ License Class Lic. No. }/ OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason NEW CONST. / DWELLING OCCUP. OR ADDNS. \ & Acc. BLDS. ) SO. 3.5¢ F,. NEW CONST. MULTI.OUTLET NON-RESID. ( BRANCH CIRCUITS ) 97.50 ( 8 SIPOWER NGLE APPARATUSOUTLET US ) Ex. Occup. (OUTLET OR FD(TURES) BAL 0 1 50 EX. Occup. OUFIXED TLETS (RESID.OR 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ Contractor WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMITFEE S Contractor Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, 1 shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply Wi those provisions. X Date — 2/ Si ature of A icant - ❑ Owner Contractor ❑ Agent An OSHA per it is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee is ` CONS TOT L F $ 213 HAZ. D.� CDF PAR° j.. PD HD S This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. BYZ&XA(07�Date�}� �® g PERMITEXPIRESON IO 7 (DA) °` / / Receipt No. tiP / 17 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT F] COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 APPLICATION AND PERMIT PERMF ASSESSORPARCEL NUMBER_ ! -z— m A _ BUILDING PERMIT OWNER c G d SS TELEPHONE ZS% SO. FT. OCC. BUILDING VALUATION OWNER'S MAAING ADO S v97 &/S p CONTRACTOR'S NAMEU �q D m TELEPHONE V 3 -'8 3 CONTRACTOR'S MAILING ADDRESS o n 61& I Fireplace CONSTRUCTION LENOEA `- UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Fling Fee $ 20.0 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. plan Checking Fee $ , ARCHITECT OR ENGINEERS MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ euaolNOAooREssPERMITFEE � r �pI S -/ / ( PLUMBING PERMIT Fling Fee 20.0 Each Trap 7.00 IDT NO. SUBONIBION9 NAME PARCEL MAP Solar or heat pump water heater 23,00 USEOFSTAUCTURE SF - Duplex ❑ Mobilehome ❑ Other SPECIFY Water piping 15.00 Each gas water heater or vent _-5 15.00 Gas piping system 1 outlets. 15.00 TYPE OF WORK New ❑ Addition C3Remodel 13Utilities ❑ Installation C3Other Z7 Describe Work: ` Building sewer 15.00 Mobile Home IS I G I W420.00 PERMITFEE S Contractor ELECTRICAL PERMIT Filino Fee 20:00 Main Service800v OR LESS ( 200A OR LESS ) 23.00 Main Service ( 200A To I000A ) 46.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions 'of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,POWERGLE and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner.of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason NEW CONST. OWELLINGOC OR ADONS. ( a ACC. ZCSUP. ) 3.5¢ FT. P. NEW CONST. MULTI -OUTLET NON-RESIO. BRANCH CIRCUITS ) 97.50 APPARATUS (6 SINOUTLET CIR! ) Ex. Occup. ( OUTLET OR FIXTURES OR p 1.00 O BAL Q .so EX. Occup. FI%EDAPPLNS. OR (ouTLErs i ESLD.) EA ) 5.00 Temporary Service 23.00 " Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ Contractor WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6,50 Ventilation PERMITFEE S Contractor Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers compensation laws of California, and agree that 0 1 should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X Date Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 50" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ 3 --- HA Z. D. FEES IMP I ROOD CDF ( PARCEL I PO HO ISSUE This permit is hereby issued under the applicable of the Butte County Code and/or Resolutions indicated above for which fees have been By Date PERMITEXPIRESON provisions to do work paid. ReceiptNo. WWITF"n n c _C n COUNTYOF BUTTE - DEPARTMENTbF DEVELOPMENT SERVICES -BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA95965 -TELEPHONE (916) 538-7541 OWNER Proposed Building Use PERMIT /20yS APPLICATION DATA SHEET ,e Building Inspector No. b �a ^ l %U Date - Zy 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. ...............OZ�. 12 California Department of Forestry plan approval/fees. .. -. . , .deo zae Flood elevation letter (100 year flogl) by California Engineer. .. ......... Log . . 14. Sanitation and plot plan approval �� Health Department. ............ / 15. City of Chico plumbing permit. ........ ............................. . 16. Plot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B) Parking: . ......... 18. Contact Land Development.about (A) Improvements (B) Drainage. .......... . 19. Driveway permit (construction approval required prior to occupancy). .. . 20. Pre -inspection for Prey"spe °"'e turest required. . . to Building Inspector (Date) 21. Contractor's license information. (No., Name Style, Classification) . .............. 22. Certificate of Workmans Compensation Insurance . .......................... 23. Owner -Builder Verification (Given to owner , Mail to owner ) ............ 24. Recorded copy of Agricultural Acknowledgement Statement . .................. 25. Letter of signature authorization ......................... . 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... . 27. Letter of intent on building use . ......................................... 28. Mobilehome utility clearance . .......................................... 29. Documentation of legal access . ..................... :.................. 30. Documentation of 50% subdivision developed or (A) Road improvements completed t and (B) Parcel meets zoning area and frontage requirements. 31. Existing violations/expired permits . ...................................... 32. Plan check list . ..................................................... 33. 34. u issue th p rmi p{ se s as follows: Mail to owner. Mail to contractor. y WL��PTelephone _ >7 • and hold for pickup at office. Deliver with inspector. Other Parcel Creation Acreage Applica v Date Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior to permit isMe: (Circle new item not checked above). 1. Index permit for above items No. // 2. Additional items required: Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Contractor, designer, owner, was advised of above required data by _ phone _ mail Coun er by _Date -�-� Plans checked by Date Plans approved by Date /v ' Q Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works TO: Building Department FROM: " Environmental Health SUBJECT: Sanitation Clearance E.H. USE fJNLY Pbt Plan AlmcLad , t/ Floor Plan AMOA Smt to B.D. ,� 9 z-� � L-1 CD Owner Location AP# Plan Approved, for: Sewage Disposal Water Supply: Public Private Well Clearance for bedroom mobile home. Other I Hold final for: Final clearance O.K. for: NOTE: kvironmental Health Specialist Date 8/92 i IN Butte County Department of Development Services. ov Tf- AaEA I `t OT ES' 7 County Center Drive, Oroville, CA 95965 . (530) 53a-7601 vrww.04ttecounty ney0S �opHcy 1 RESIDENTIAL 040-170-092 06-1455 VI APN: _ROSS,.CECIL & EILEEN, _ r Owner- 1 9489 CUMMINGS RD, DURHAM' . --Cont:-CHICO ROOFING CO - - Site Address: I RE ROOF Contractor. Type of Permit: 1 .f . 7 i ! t 1 • SPECIAL CONDITIONS CHECKED BY SRA FLOOD CERTIFICATE EQUIRED FIRE SPRINKLERS REQUIRED SPECIAL_ INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUBSTANDARD HOUSING LETTER ENCROACHMENT PERMIT REINSPECTION FEE PAID ENV HLTH CLEARANCE D-3 o FF WfZH,4rn / Agr-ro Al DATE JOB FINALED: y SIGNATURE: `�"�"V� Y ►� W"� 2 . =OK o = Not OK MANUFACTURED HOMES DATE " PERMANENT FOUNDATION LJ SOFT -SET 1 Zoning -Setbacks -Easements 2 Soils; Special MH Suppo(t Sketch 3 Sewer; Loctn-Test; FalUC/0-Concrete 4 Wtr; Loctn-Test-Easement Needed -Regulator 5 Elec Loctn-DIrncs-Grnd Amp -Concrete 6 Yard Gas; Loctn-Test-Wrap . Nat O or LPO Inch Sz Ft Lngth 7 Blckng; Sz-Spacing-Marriage Line 8 Gas; MH Test-Demand-Valve-Dnnctr 9 Elec MH Cntnty Test-Crossovers-Breakers-DIrncs 10 Drain; MH Test -Fall -Flex Cnnctr 11 Wtr & Sewer Connected -C/O to Grade 12 Gas and Electricity Tagged 13 Tie Downs O Foundation O 14 Exits 15 Cert of Occupancy 16 HUD Label/Insignia Numbers Serial Numbers lie qk s` a` Drawing MISCELLANEOUS DECKS'COVERS+C ARP 0RTS •GARAGES 1 Zoning -Setbacks -Easements 2 Ftgs; Soils -Sz-OpthSpacing-Cnnctrs-Steel 3 Decks, Girders/Joists-Dcking-Brcing Stairs-Guard/Handrails 4 Wood Awn; Posts-Beams-Rftrs-Cnnctrs-Shthg Frmg-Brcng 5 Alum Awn; Columns-CnnctnsSplice-Decal-Enclsrs 6 Carpgrts; Wndws-Doors 7 Electric e Frmg; Sills=Anchrs-Studs-Rftrs-Trusses 9 Siding; Nailing -Veneer -Stucco -Lath 10 Roof; Shthg-Roofing 11 Ext; Steps -Doors -Landings -12 Braced Wall pnls m 1 Setbacks -Easements 2 Solts;.CompactionStructure Stability 3 Pool Structure; Steel-Cnnctns-Thickness Dead Men -lining 4 Elec Rcptcls/Lting; Distance-GFI 5 Elec Pool Lting; 15 volts-GFI 6 Elec Enctsrs; Conduit Entries Terminats-Listed 7 Elec Bonding; Metal w15'-Drcltng Egp-Htr 8 Elec Gmdng; Eqp w15' Crcltng Eqp-Pool Ightg Bokes-EndsrsTnlboardsdnsultn to Main Conduit 9 Health Dept Apprvl 10 Plmb; Cir Test-Wtr Supply Test 11 Lt Niche 12 Enclsr, Fencing -Alarms 13 Bonding, Diving board or Slide ds' = OK Not OK RESIDENTIAL (Single & Duplex) DATE JUNOERFLOOR DATE PLUMBING 1 ZoningSetbacks-Easements-Flood-Slope 53 Wtr Htr; Vent-Acc-Cmbstn Air Baffle 2 Ftg Main; Soils-Elec Grnd Ftg Opth 54 Wtr Pipe; Test'& Anchr-Nail Prtctn 3 Ftg Garage; Soils-Steel-Elec Grnd Ftg Opth. 55 DWV; Test Fittings & Anchr Nail Prtctn 4 Ftg Porches/Decks; Soils -Steel Ftg Opth 56 Shwr Pan; Test First fir -Tub Acc. 1 7 5 Stemwalls Main; Steel-Btockouts Wrapped 57 Test Tub & Shwr, 2nd fir - Tub•Acc 6 Stemwalls Garage; Steel-Blockouts-Wrapped 58 Gas 'Pipe; Sz & Anchrs 64 Hold Downs and Special Anchrs 59 Fire Sprinkler; Test 7 Slab, Steel Wrapped 60 Yard Gas Piping 8 Piers-Frplc Ftg-Steel 9 DWV; Fall -Fitting -Test -2 -way CIO -Sewer Test 10 UF, Gas Pipe; Sz Anchrs-Sz Test °'� o� 4. o`s 1..j Wtr Pipe; Test-Anchrs-RgltrService Test 12 Elec Undrgmd DATE M E C H A N I C A L 13 Plenums & Ducts; Clrnc-MaterialSupport-Insultn 61 AC Ducts Insultn & Support 14 GirdersSills-Anchr Bolts Joists-Vnts-Cripples 62 Vent Fan, Exhaust abv Insultn 15 Acc & Vntltn 63 Condensate Drain & Ovrflw, Sz & Grade 16.Insulation 64 Furnace -Vent Acc-Comb Air Rtrn/Vent 115 Outlet 65 Attic Acc & Pltfrm if Furnace in attic 412, m d 0 DATE IFRAMING 17 Sills Proper Materials & Anchrs DATE IFINAL 18 Walls Studs -Nailing Spacing & Braces-PlatesSound 66 Ext Steps -Door & SideLt Prtctn-Landings 19 Bearing Walls over Girders & fir Nailing 67 Smoke Detector 20 Draft Stop in Walls (rat proof) 68 Furnace Vnts-Clrnc-Comb, Air-Cnnctr. 21 Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs In Garage- abv-fir-Ducts-Mech Prtctn 22 Headers & Beams-Sz & Bearing 69 Bedroom Exiting 23 Hangers -Post Caps-Anchrs-Cnndns 70 GFI & Bath Fxtrs & Tub Acc-Spa Z4 Ceiling Joist-Rftr Ties-Purlin-Roof Brac TrussShthg 71 GFI Arc Fault 25 Frplc Tres or Type A Flue-Frplc Throat Clmc 72 Elec Trim & Subpnl, Breaker Sts & Labels 26 Attic Acc; Sz & Rmx Prtctn-Draft Stop4ns Baffles 73 Stairs, Guard/Handrails 27 Bdrm Wndws or Exiting Doors -Sill Ht & Dimensions 74 Frplc or Stove, Clmc-Hearth 28 Garage Fire Prtctn Framing -RC Cliannel 75 Elec Outlets at Wood Pnl, Int & Ext 29 Prprty line Firewall & Opngs 76 Ktchn, Fxtr & Appinc; Grnd-Air-Gap-Cooking Clrnc 30 Ext Doors -One T -Check Garage 3rd Story, 2 Exits 77 Elec Outlets & Rcptcls at Ktchn Counter 31 Stairs; Width-Hdnn-Rise-Run-landing-Fire Prtctn 78 Garage Fire Door, Swing -Landing -Closure 32 Plywd on Roof Ovrhng-Attic Vnts-Rftr Outrgrs 79 AC Duct in Garage -Damper 33 Siding -Nailing Veneer 80 Wtr Htr; Vnts-OImc-Com Air Cnnctr-PRV; abv fir 34 Stucco Lath -Weep Screed-Fndtn Vnts-Undrflr Acc Mech Prtctn; LPG Appince Undr House 3" drain 35 Glazing Area -Glass Prtctn-Sl yLts-Plastic 81 Plmb• Elec & Mech Eqp Listed for Loctn 36 Shear Walls; Nailing -Bolts 82 Elec Rcptcls in Garage (GFI) Romex Prtctn 37 Brace Int/Ext Wall pnls 83 Insultn-Foam-Looked in Attic 38 Insultn-Walls-Ceilings 84 Guard Rails & Deck Cnstrctn-Post Caps 39 Infiltration-Walls-Wndws 85 Fndn Vnts & Crawl Hole Door Drnge & Wood -Earth 86 Clrnc Drnge Planters ❑Yes ❑No o o' 0`s 87 Stucco Brown -Finish 88 AC Unit Dscnnct, Elec-Plmb 89 Vnts abv Roof, Plmb-Appinc-Frplc-Clmc to Opngs DATE JELECTRICAL 90 Wtr Well, Dscnnct, Elec, Plmb 40 Fxtr & Tmsfrmr Clmc4ns Prtctn 91 Ext Elec Trim, GFI Rcptcl-Undrgrnd 41 Elec Rcptcls Spacing-Lts & Switches at Doors 92 Vntltn thru House 42 Sz Boxes & No Of Cndctrs Stapled 93 Glass Prtctn 43 Romex Installed Close to Edge of Studs & CJ 94 Corrections from previous Inspctns 44 Eqp Grnd made up w/Mech Fstnrs 95 Gas Test -Meters Tagged, Gas-Elec 45 Gmdng Electrode Bond Gas & Wtr 96 Wtr & Sewer Cnnctd-C/O to grade -HD Apprvl 46 2 Appinc Cires in Ktchn & Cndctr Sz GFI 97 Energy Cmpinc Cert -Other Certs 47 Subfeed Wire Sz 92 ❑ CU or ❑ AL 98 Address Posted AC Wire Sz 92 CU.,DAL 99. Fire Sprinkler 48 Range Circ 9. ❑CU or 0 A Oven Circ 92 (!]cu or ❑ AL Insulated Neutral ❑Yes ❑No °+' d� m 49 Service -Riser Cndctrs & Grnd Main Dscnnct 50 Eqp Cimc-s pnls-Motors-Mech Eqp 2 -o 7 51 Clothes Closet Lt-Shwr LtSpa Lt ( w�� 52 Smoke Detector �' WS 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. BP061455 B. C. Building Permit 01-16-04 pg 1 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: 06/19/2006 APN: 040-170-092-000 the Business and Professions Code, and my license is in full force and effect. License class: ZZber: Site Address: 9489 CUMMINGS RD DUR Date: 4� Contractor: Map Index: Description: REROOF W/COMP (30) 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: ROSS 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 ROSS CECIL & EILEEN TRUSTEES signed statement that he or she is licensed pursuant to the provisions of 9489 CUMMINGS RD the Contractor's State License Law (Chapter 9 commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or DURHAM, CA 95938 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).): ❑ 1, 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: CHICO ROOFING COMPANY Code: The Contractors' State License Law does not apply to an CRANE, BILL owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, 540 MADRONE AVENUE provided that such improvements are not intended or offered for CHICO CA 95926 sale. If however, the building or improvements are sold within one , year of completion, the owner -builder will have the burden of 530-892-9021 proving that he or she did not build or improve for the purpose of BILLCRANE@CHICO.COM 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: CHICO ROOFING COMPANY not apply to an owner of property who builds or improves thereon, CRANE, BILL and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). 540 MADRONE AVENUE ❑ I am Exempt under Article 3 of the Business and Professions Code CHICO, CA 95926 530-892-9021 Date: Owner: BILLCRANE@CHICO.COM License #: 775265 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 Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier: otal Square Ft: 0 S. F. Policy #: 4,u, 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 complywith those provisions. Date: (G d C/ Applicant: W WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor -code, interest, and attorney's fees._ CONSTRUCTION LENDING AGENCY This permit is here d under theaplicable provisions of the Butte County Code and/or I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec 3097 Civ.) Resolutions to a indi ted above r which fees have been paid. n Name: By: 919 l Date: 1 KJ Address: PERMIT EXPIRES ON: l ' 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. 1 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 repre, tntative))s of Butte to center upon the above mentioned property for inspection purges�@5S. /County Print Name: 1 U� l�/�� N 1� Signature:) d� Date: ❑ Owner m Contractor ❑ Agent for Owner ❑ Agent for Contractor B. C. Building Permit 01-16-04 pg 1 BUTTE COUNTY PERMIT DEPARTMENT OF DEVELOPMENT SERVICES NO. BUILDING PERMIT APPLICATION t �I yC� AND SUBMITTAL REQUIREMENTS lQ `7J 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 BP OFFICE #: (530) 538-7541 BIN # A FEE WILL BE REQUIRED AT TIME OFAPPLICA TION Website: www.buttecounty.net/dds **PLEASE PRINT CLEARLY" OWNER INFORMATION Last Name ^ 1-( C.? l ( first Name Address 8 c City � State Zip . Phone �,!` Fax �`*J E-mail CONTRACTOR Name ` Address City Stag_ Zipqt?7 Phone gtr, � � Fa Z-23 g�- E-mail Lic. # Clas APPLICANT SIGNATURE X For office use only: ARCHITECT/ENGINEER Name ;blr,-�1 v �. Address Yes City Occ. State Zip Phone Page Fax E-mail Date Approved: State License Number APPLICANT SIGNATURE X For office use only: APP (CANT INFORMATION Name ;blr,-�1 v �. Address Yes City Occ. State _7P7 Subdivision Name Phone Page Fax E-mail Date Approved: APPLICANT SIGNATURE X For office use only: Zoning Flood Zone City SRA Yes No Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc PROJECT LOCATION AP# �G� Property Address, Com' City Cross Street SRA WORKER'S COMPENSATION Policy Number Carrier' . If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address Description or Scope of Work: 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 required. REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. Page 1 of 3 REV 8-12-05 Rete'ed by: Amount: b_ "` Bldg SRA Rg�pt��� I Sheriff SMIP Dkt f. (r (1 v /� / `_� Other I t �o Total Page 1 of 3 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 faxes! ❑ 4. Energy compliance design and supporting documentation in duplicate. ❑ 5. Statement of Intent for Non -heated and AIC 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 KAFORMSWILDING F0RMS\131dgApp1SubRgmts.doc Page 2 of 3 REV 8-12-05 _ 0 4L& No. 3067-0077 ` ELEVATION CERTIFICATE FEDERAL EMERGENCY MANAGEMENT AGENCY NATIONAL FLOOD INSURANCE PROGRAM ATTENTION: Use of this ceriilteatA eves not provide a waiver of the flood insurance purchase requirement This form is used "to provide elevation information Hetes .,r• :� ensure compliance with applicable community floodQ� management ordlrtanees. to determine the proper insurance prer:uu:n rate, and/or to support a request for a letter of Map Amendment or Revision (t.OMA or LOMR). instructions for completing this torn can be found on this folkwitftg pages. SECTION A PROPERTY INFORMATION auILONG OWER S NAME _ CECIL ROC -5 MR tWSUNW48 CONVWK USE PDXYNufrsot - NUMM STREET ADORE (Wil%ld 9 Apt. Unn• iwte uaYa 91dy Numow) OR RDI. ROUTE AND BOX WOMBER NIC 9409 • 9•a OrAF % DESCRIPTION (lot and Mock Numberv. etc.) 9489 Cumming ;.3.3 Dur CITY STATE ZIP CODE SECTION 8 FL000 IN8URAmce RATE MAP (FIRM) INFGRMATION Provide the following from the prcoer FIRM (See Instructions): TCH I. COUML* r Nwra� - .,,,�; : 1t teEA i 3uFL1x DATE OF G1fIY INDEX e. Ctlild ZONE a BASE Ian W0a.p ) 060017 .) -' 4 B 9/29/89 A 156- UV I 7. Indicate the elevation datum >>ste�::hsed on the FiRM for Base Flood ©evations (BFt-):UNaVD'29 ❑Other (desaibe on back) 8. For Zones A or V. where no =` s ovided on the FIRM, and the community has established a SFE for this buiiding site, indicate the community's 8FE:I ' _! feet NGVD (or other FIRM dablm•see Section B. item 7). SECTION C BUILDING ELEVATION INFORMATION 1. Using the Elevation Certificate Instructions, indicate the diagram number frorf .,the diagrams found on Pages 5 and 8 that best describes the subject buldrg*9 .5�'erence level _R . 2(a). FIRM Zones At -A30, AE, ;%)-i .a A (with BFE): The top of the reference level floor from the selected diagram is at an elevation of l k l l tS .& feet NC -V^ !:,r other FIRM datum -see Section B, item 7). (b).'FIRM tones V1430, VE, rc MUI SFE). Thb bottom of the lowest horizontal structural member of the reference level from the selected diagram• is at ar •� evaiion of; ' .I feet NGVD (or other FIRM datum -see Seaton B. tem 7). (c). FiRM Zone A (without BF -' floor used as the reference level from the selected diagram is L-IW.W feet adore ❑ or below Eli (check one) th^ nir;hast grade adjacent to the building. (d). FiRM Zone AO. The floor .isec as the reference level from the selected diagram is U J •U feet above ❑ or below ❑ (check one) the highest grade the building. If no flood depth number is available. is the building's lowest floor (reference level) elevated in accorda: ,':F N�tn. the community's floodplain management ordinance? ❑ Yes ❑ No C] Unknown 3. Indicate the elevation datum :;ys'er. •• used in determining the above reference level elevations: ❑ NGVD 79 ❑ Other (describe under Comments on Page N the elevation datum used in measuring the elevadons Is different /hen that used on the FIRM (see Section B, :,'� n : hen convert the elevations to the datum system used OR the FIRM and show the conversion equation under Comments on Page 2.) �.. _ .... 4. Elevadon reference mark used, acpaars on FIRM: ❑ Yes No (See InstruICbons on Page 4) - 5• The reference level elevatior is based on: Lactual cormtructlon Q cottstrucdo drtawingts (NOTE: use of consnciib,, arawirgs is only valid if the bt d7ding does not yet have the ref9fBltCe let�9i Abor 1n Rhee.! which case this cerdRWO will only .^e ,afie for the building during rhe course of owstrtuffcn. A posf•Consurxdan Elovadon CeroWcate wN he reyuir6*d once con5nur110"' is complete.) 6- The elevation of the lowest ;rasp rhmedlatety adjacent to the building isd 1 11151 •L f6et NCiVO (or other FIRM datum -see Section B, Item 7). SECTION 0 COMMUNITY INFORMAMON 1. it the community official responsible for verifying building elevations sp011es that the reference..levet Indicated In Section C. Item 1 is not the lowest floor as retired n the community's floodplain management ordinance. the elevation of the bukeng's'fowest floor• as defined by the ordir:ar. R .s: L l t l -LU feet NGVD (or other FIRM' daluffi s e'Secdon 8..Rem 7). -7 2. Date of'the start of construe -icr nr substantial improvement _. — -- sea Avec Ali OOPMrALS FOn1dVS SEE REVERSE SIDE FOA CONnNUATIC.N