HomeMy WebLinkAbout040-240-034--
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61�2 4 - 3 4
FROGEIR HAM-ELTON lit Mull, 8p
�285 Serviss St, DurhamPermit #5535-78E(ele ser ch) SF.
THOMAS M. CRETE
2389 Serviss"St,'Durha V,
�Permit#3841-88B,P'E,M a�d it 11
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040-240-034 PERMIT#96-1412
ASHLEY, Eugene
2389 Serviss St. D ham
f 040-240-034 05-06S8
23SqSPRUSS ST, ob
Colit: OWNER.
ADD BDR-N4/I/2B F)7777
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NOTES
RESIDENTIAL
PERMIT NO. _' 040-240-034
Cont: 0"WNER.
MADD BDRM/i;2PTHS:0FFlQE
Y."
a
SPECIAL CONDITIONS
SRA
FLOOD CERTIFICATE REQ.
FIRE SPRINKLERS REQ.
SPECIAL INSPECTION ITEMS
VERIFY
USE PERMIT CONDITIONS
SUB -STANDARD HOUSING LETTER
OFFICE'COPY
Address
CHECKED
BY
GAS Date'
Meter BY� fS
ELECTRIC�I_pate
Meter BY
'--r
JOB FINALED (Date)
Signature
J=OK
0 = Not OK
r = NotReadyahle 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-Clearances-Grnd-/ /Amp -Concrete
6. Gas; Location -Test -Wrap;-/ /" L 'ft.
/ P Nat. or/ /" L "ft./ P 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 -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
Date PERMANENT END SYSTEM (ONLY)
1. Zoning Requirements -Setbacks -Easements
2. Footings; Size -Spacing -Marriage Line
3. Blocking
4. Gas; MH Test -Demand -Valve
5. Electricity; MH Test
6. Water; MH Test
7. Water and Sewer Connected
8. Gas and Electricity Tagged
9. Exits
10. License Decals
11. Verify #'s with Office
Date . Card B-1 Date Card B-1
Date Card B-1 Date Card B-1'
MISCELLANEOUS
Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s
1.
Zoning Requirements -Setbacks -Easements
2.
Footings; Soils -Size -Depth -Spacing -Connectors -Steel
3.
Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails
4.
Wood Awn.; Posts- Beams-Rftrs-Connectors
Shthg-Frg-Bracing
5.
Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6:
Carports; Windows -Doors
7.
Electric
8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses
9. Siding; Nailing -Veneer -Stucco -Mesh
10. Roof; Shthg-Roofing
11. Ext.; Steps -Doors -Landings
12. Braced Wall Panels.
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date POOLS (Plans) OK except #'s
1. Setbacks -Easements
2. Soils; Compaction -Structure Stability
3. Pool Structure; Steel -Connections -Thickness
Dead Men -Lining
4. Elec.; Receptacles and Lighting, Distance-GFI
5. Elec.; Pool Lighting; 15 Volts-GFI
6. Elec.; Enclosures; Conduit Entries -Terminals -Listed
7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater
8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg.
Boxes- Enclosures- Panelboards-Ins. to Main Conduit
9. Health Department Approval
10. Plumb.; Cir. Test -Water Supply Test
11. Light Niche
12. Enclosure; Fencing -Alarms
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
= OK
= NotOK
Applicable
= Not Applicable RESIDENTIAL (Single & Duplex)
= Not Ready
Date
FR
47.4
(Continued)
angers -Post Caps -Anchors -Connectors
Date
UNDE5RoI150R,ans) OK except #'s
Cling. Joist-Rftr. Ties- Purlin-Roll Brac.-Truss-Shting.-Rtng.
oni etbacks-Easements-Flood-Slope
Fireplace Ties or Type A Flue -Fireplace Throat Clearance
g., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth
Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
3.
Ftg., Garage; Soils-Steel-Ele . Grnd.-/ /" Ftg. Depth
Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions
4.
Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth
Garage Fire Protection Framing -RC Channel
5.
Stemwalls, Main; Steel-Blockouts-Wrapped
Property Line Firewall & Openings
6.
Stemwalls, Garage; Steel-Blockouts-Wrapped
Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits
6a.
Hold Downs and Special Anchors
Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
7.
Slab, Ste l -Wrapped
Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
8.
PiersFlireplace Ft .-Steel
Siding -Nailing Veneer
9.
D .V.; Fall -Fitting -Test -2 Way C/O -Sewer Test
Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access
1
UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test
Glazi Area -Glass Protection -S ylights-Plastic
11.
Water Pipe; Test -Anchors -Regulator -Service Test
War Walls; Nailing -Bolts
12.
ElectripUnclerground
Brace Interior/Exterior W9 Panels
13.
P ums & ucts; Clearance -Material -Support -Ins.
Insulation -Walls -Ceilings
Girders Bolts-Joists-Vents-Crippies
Infiltration -Wall i ows
15.
s & entilation
Card B-1 Date (r r Card B-1
16.
Insula
Card B-1 ( Date Card B-1
Date
FINAL (Plans) OK except #'s
Date
Card B-1 Date Card B-1
Date
. Smoke Detector
Card B-1 Date Card B-1
Date
PLUMBING (Permit) OK except #'s
6j
17.
Water Htr.; Vent -Access -Combustion Air Baffle
68.
18.
Water Pipe; Test & Anchor -Nail Protection
69.
19.
D:W.V.; Test Fittings & Anchor -Nail Protection
70.
20. Shower Pan; Test, First Floor -Tub Access
21.
Test Tub & Shower, Second Floor -Tub Access
22.
Gas Pipe; Sixe & Anchors
23.
Fire Sprinkler; Test
74.
Elec. Outlets & Receptacles at Kit. Counter
Date
75. Garage Fire Door; Swing -Landing -Closure
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
ELECTRICAL (Permit) OK except #'s
24.
Fixture & Transformer Clearance -Ins. Protection
70.
Elec. Receptacles in Garage (F.F.I.)-Romex Protection
lec. Receptacles Spacing -Lights & Switches at Doors
80.
26^�Size Boxes & No. of Conductors Stapled
81.
Romex Installed Close to Edge of Studs & C.J.
82.
Equip. Ground made up w/Mech Fasteners -Bond Gas & Water
29.
2 Appliance Circuits in Kitchen & Conductor Size GFI
_
30.
Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or AI
31.
Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or All
Insulated Neutral 0 Yes 0 No
32.
Service -Riser Conductors & Ground Main Disconnect
86. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings
33.E
ui . Clearances Panels-Motors-Mech. Equip.
Water Well, Disconnect, Electrical, Plumbing
Clothes Closet Light -Shower Light -Spa Light
kterior Elec. Trim, G.F.I. Receptacle -Underground
IC
Smoke Detector
Ventilation Throughout House
90.
Date ] '
Card B-1 L., ( Date Card B-1
Date
Card B-1 Date Card B-1
Date
MECHANICAL (Permit) OK except #'s
93.
36.
A.C. Ducts Insulation & Support
37. Vent Fan, Exhaust above insulation
38.
Condensate Drain & Overflow, Size & Grade
96.
39.
Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet
_to
40.
Attic Access & Platform if Furnace in Attic
Date
B-1 Date Card B-1
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Card B-1 Date Card B-1
Date
FRAMING
(Permit) OK except #'s
Sills Proper Materials & Anchors
4
Walls Studs -Nailing Spacing & Braces -Plates -Sound
41.
Bearing Walls over Girders & Floor Nailing
44.
Draft Stop in Walls (rat proof)
45.
Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs
e.
Headers & Beams -Size & Bearing
Date
FR
47.4
(Continued)
angers -Post Caps -Anchors -Connectors
Cling. Joist-Rftr. Ties- Purlin-Roll Brac.-Truss-Shting.-Rtng.
49.
Fireplace Ties or Type A Flue -Fireplace Throat Clearance
50.
Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions
52.
Garage Fire Protection Framing -RC Channel
53.
Property Line Firewall & Openings
54.
Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits
55.
Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
56.
Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
57.
Siding -Nailing Veneer
58.
Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access
59.
Glazi Area -Glass Protection -S ylights-Plastic
60.
War Walls; Nailing -Bolts
Brace Interior/Exterior W9 Panels
62.
Insulation -Walls -Ceilings
63.
Infiltration -Wall i ows
Date
Card B-1 Date (r r Card B-1
Date
(Le-
Card B-1 ( Date Card B-1
Date
FINAL (Plans) OK except #'s
64.
. Steps -Door & Sidelight Protection -Landings
. Smoke Detector
66. Furnace Vents -clearance -Comb, Air -Connector -
In arage; Above Floor-Ducts-Mech. Protection
6j
edroom Exiting
68.
G.F.I. & Bath Fixtures & Tub Access -Spa
69.
Elec. Trim & Subpanef, Breaker Sizes & Labels
70.
Stairs & Rails
71.
Fireplace or Stove, Clearance -Hearth
72.
Elec. Outlets at Wood Panel, Int. & Ext.
73.
Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance
74.
Elec. Outlets & Receptacles at Kit. Counter
75. Garage Fire Door; Swing -Landing -Closure
76. A.C. Duct in Garage -Damper
77.
Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V.
i Garage; Above Floor-Mech. Protection
Ib.; Elec. & Mech. Equip. Listed for Location
70.
Elec. Receptacles in Garage (F.F.I.)-Romex Protection
80.
Insulation -Foam -Looked in Attic
81.
Guard Rails & Deck Construction -Post Caps
82.
Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth
Clearance Looked under Floor 0 Yes
_
83.
Following Instld./Drive O Yes 0 No/Walks O Yes 0 No/Planters O Yes O No
84.
Stucco Brown -Finish
85. A.C. Unit Disconnect, Electrical -Plumbing
86. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings
87.
Water Well, Disconnect, Electrical, Plumbing
88.
kterior Elec. Trim, G.F.I. Receptacle -Underground
Ventilation Throughout House
90.
Glass Protection
91.
Corrections from Previous Inspections
92.
Gas Test -Meters Tagged, Gas -Electric
93.
ater & Sewer Connected -C/O to Grade -HD Approval
Energy Compliance Certificate -Other Certificates
95. Address Posted
96.
Fire Sprinkler
Date -
_to
Card B-1 f Date Card B-1
DateCard
B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Comments at Final:
insulation Certificate .
BUILDING LOCATION:
Description of installation
ROOF
Material
Thickness (inches)
Brand Name
'Ibemml Resistance (R -Value) -
CEILING Brand Name a
Batt or Blanket_Type. (R
_Thermal Resistance -Value )
Thickness ('orches) Brand Name
Loose Fill Typelb Minimum thickness inches
Contractor's minimum installed weight/ft Value
Manufacturer's installed weight per square foot to acheive Thermal Resistance (R- )
EXTERIORMALL Brand Name
Matenal Thermal Resistance (R -Value)
Thickness (inches)
RAISED FLOOR
Material
Thickness (inches)
SLAB FLOOR
Material
Thickness (inches)
Width (inches) _
FOUNDATION WALL
Brand Name 0_)o
Thermal Resistance (R -Value)
Brand Name
Thermal Resistance (R -Value)
Brand Name
Material -IrmalResistance (R -Value)
Thickness (inches) `
Declaration
uilding at thabove location in conformance
I hereby certify that the above insulation was installed new resdential buildings contained in Title 24 of the with current Building Energy Efficiency St
California Administrative Code.
.✓..f//J.I_�����1JII� / � Jam/
Sub -Contractor (Insulation lr staUer)
Signature and Title
License Number
Date
License Number
Date
THIS CERTIFICATE MUST.BE PROVIDED TO ,�ING.DEPNG r PRIOR TO FINAL 'INSPECTION
AVPPnVAi. AND A COPY SHALL BE POSTED __ . -. -,.^^
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.
BPO50688
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: 05/20/2005 APN: 040-240-034-000
the Business and Professions Code, and my license is in full force and
effect.
License Class : License Number:
Site Address: 2389 SERVISS ST DU.R
Date: • Contractor:
Map Index:
Description: addition br, ba, .office (346)
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: DONOHUE MICHAEL F &KRISTINA L
permit to construct, alter, improve, demolish, or repair any structure, prior
to its issuance, also requires the applicant for such permit to file a
signed statement that he or she is licensed pursuant to the provisions of
2389 SERVISS ST
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
she is exempt therefrom and the basis for the alleged exemption. Any
95938
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
Code: The Contractors' State License Law does not apply to an
Applicant: DONOHUE MICHAEL F &KRISTINA L
owner of property who builds or improves thereon, and who does
such work himself or herself or through his or her own employees,
provided that such improvements are not intended or offered for
2389 SERVISS ST
sale. If however, the building or improvements are sold within one
year of completion, the owner -builder will have the burden of
DURHAM, CA
proving that he or she did not build or improve for the purpose of
95938
sale.).
❑ 1, as owner of the property, am exclusively contracting with
licensed contractorsto construct the project (Sec. 7044, Business
and Professions Code. The Contractors' State License Law does
not apply to an owner of property who builds or Improves thereon,
and who contracts for such projects with a contractor(s) licensed
pursuant to the Contractors' State License Law.).
Contractor:
Code
❑ I am Exempt under Article 3 the usin s aMiz
Date: dd a3
Owner:`=Z;
WORKERS'COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
❑ I have and will maintain a certificate of consent to self -insure for
License #:
workers' compensation, as provided for by Section 3700 of the
Labor Code, for the performance of the work for which this permit
is issued.
❑ I have and will maintain workers' compensation insurance, as
required by Section 3700 the Labor Code• for the performance of
Architect:
the work for which this permit is issued. My workers' compensation
Engineer:
insurance carrier and -policy number are:
Carrier:
Policy #:
I certify that in the
Total Square Ft: 346 S.F.
performance of the work for which this permit is
issued, I shall not employ any person in any manner so as to
Valuation: $22,490.00
become subject to the workers' compensation laws of California,
Census Code:
and agree that if I should become subject to the workers'
r
I
compensation provisions of Section 3700 of the Labor Code, I shall
forthwith comply with those provisions.
l
t
Date:
Applicant-t"-
pplicant:WARNING:
� D
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 permi s hereby issue and a ap cable pr visions of the Butte County Code and/or
I hereby affirm that there is a construction lending agency for the
Resoluti s to do w indicat above r which as have been paid.
performance of the work for which this permit is issued (Sec 3097 Civ.)
Name:
By: ' Date:
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 18827.5 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
ail county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form oil doc ent of Butte County. I hereby
2uthorize represe tative§ of Butte County to enter upon the above mentioned property for Inspection purposes.
Print Name: C hJ Q� pM ha le Signature:
Date: J 0105�
Owner 0 Contractor ❑ Agent for Owner 0 Agent for Contractor
s�ao 3.�
TT COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT APPLICATION
AND SUBMITTAL REQUIREMENTS , 1
24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834
OFFICE #: (530) 538-7541 1
A FEE WILL BE REQUIRED AT TIME OFAPPLICA TION , ` 0
Website: www.buttecounty.net/dds "t
"PLEASE PRINT CLEARLY"
9W
OWNER
Last ND O
First Name �G
Address sCp� 5 S l
City r )_ a 01
f_'f
State
Zip 3 g
Phone S19;?
0 p F3
Fax
E-mail
FA INK CA
WNW,, I ME FAM i � W00"
For office use nly:
CONTRA TOR
Name
SG/r1S PS
Address
Occ.
City
State
Zip
Phone
Planner
Fax
E-mail
Lic. #
Class
FA INK CA
WNW,, I ME FAM i � W00"
For office use nly:
ARCHITECT/ENGINEER
Name
To PYt
SG/r1S PS
Address
Occ.
City Ira
State
Zip
Phone
Planner
Fax
E-mail
State License Number
FA INK CA
WNW,, I ME FAM i � W00"
For office use nly:
APPLICANT NAME
Name I if
D
Address
Occ.
City
Subdivision Name
Stat@
Zip% 3
Phone 9
/ � - O
Planner
Fax
E-mail
FA INK CA
WNW,, I ME FAM i � W00"
For office use nly:
Zoning Flood Zone
Property Address� '57r
SRA I es
Cross Street '
Occ.
Type Const.
Subdivision Name
Map Book
Page
Lot #
Planner
Date Approved:
OVER FOR SUBMITTAL REQUIREMENTS
K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc
PERMIT
NO.
\
RP
LOCATION
AP# o YO - 03 /
Property Address� '57r
C�uelo!,/ r^�
Cross Street '
WORKER'S COMPENSATION
Policy Number
Carrier
If hiring anyone other than license contractors, a certificate of worker's
compensation must be shown at the time of permit issuance.
LENDING AGENCY
Name
Address
Page 1 of 2
Description or Scopef Work:
CLQ'/^ /OI'T D Ga`I" YIiI Gv/
Q/ a Op C
Sq. Footage L/
❑ 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.
Rece'ved by: Amount: 3 T" J 15 Bldg
SRA
Receipt #: Sheriff
a' SMIP
Date:3 Other
2 Total
REV 2-24-05
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 A/C for Non -Residential Buildings.
❑ 6. Manufactured homes: (A) installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in
duplicate.
❑ 7. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor
plans in triplicate. All of these must be stamped and wet -signed by the engineer.
❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate (if required).
❑ 9. Site plan and business license approval from the City of Biggs.
❑ 10. Letter of intent for non-residential buildings.
❑ 11. Detached Accessory Building Form filled out by the owner (if required).
❑ 12. Hazardous Material Form (for Commercial Buildings only).
Remaining items needed to issue the permit. Additional items may be required after Plan Check and Planning
review (May require additional plan review upon receipt of the following items.)
❑
1.
Agricultural Buffer clearance and site plan approval from the Ag Commissioner's office (if required).
❑
2.
Impact Fees.
❑
3.
California Department of Forestry plan approval (if required).
❑
4.
NPDES Form.
❑
5.
Encroachment Permit for driveway from the Public'Works Dept. (construction approval prior to occupancy).
❑
6.
Contractor's license information. (Number, Name Style, Classification).
❑
7.
Worker's Compensation Carrier and Policy Number.
❑
8.
Owner -Builder Verification (if required).
❑
9.
Letter of Signature authorization (if required).
❑
10.
Recorded copy of Agricultural Acknowledgment Statement.
❑
11.
❑ Grant Deed, ❑ M.H. Title/Statement of Facts.
❑
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
KAFORMS\BUILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2 REV 2-24-05
Butte County Department of Development Services
YVONNE CHRISTOPHER, DIRECTOR
.0
7 County Center Drive
Oroville, CA 95965
co
(530) 538.7601 Telephone
(530) 538-7785 Facsimile
®TO:.
'
FROM:
LO
C4
SUBJECT:
O
DATE:
WILLDAN
O�vT
rFO
0 0
o o
�_
cOU N'�y
Scott Rutherford (530) 538-7160
srutherford@buttecounty. net
Plans Transmittal For Review Per Contract
3/22/2005
Applicant: Donohue, Michael I Permit No: 05-0688
Project Type: JAdd Bdrm/Bath/Office APN: 1 040-240-0,34
100% 70%
Plan Check Fees $ 340.94 $ 238.66
$ 340.94 $ 238.66
WILLDAN Fee $ 238.66
Copies Attached: Qty
Chk
Application
Site Plan Review
FEMA Elevation Certificate
Building Plans
Truss Calculations
Energy Calculations
Structural Calculations
Residential Plan Review Guide
Residential Construction Requirements
Other
Other
G1 . o6vg
COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION
7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140
PERMIT APPLICATION DATA SHEET
ONER: U ny�,��� ASSESSOR PARCEL NUMBER 60�
W `,:/ a .G
Building Proposed J . v
p g Use: � ��. 1 � o \ Permit Technician: Date:
Items required in order to apply for a permit. All boxes MUST be checked OR marked NA in order t pply.
A 1. Site plans, 3 or 4 sets, signed by the preparer of the plans.
2. Complete plans, 3 or 4 sets, signed by the preparer of the plans.
❑ 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations.
L 4. Engineered truss details and layouts in duplicate. No faxes!
❑ 5. Letter from Engineer or Architect for truss design review.
6. Energy compliance design and supporting documentation in duplicate.
❑ 7. Statement of Intent for Non -heated and A/C for Non -Residential Buildings.
❑ 8. Manufactured homes: (A) Installation manual, including marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in
duplicate.
❑ 9. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these
must be stamped and wet -signed by the engineer.
❑ 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate.
❑ 11. Letter of intent for non-residential buildings
❑ 12. Hazardous Material Form
❑ 13. Acknowledgement of building permit application without required clearances.
❑ 14. Other
Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.)
15. Sanitation and site plan approval from the Environmental Health Department in ❑ Chico ❑ Oroville, as applicable
16. Fire Sprinklers............................................................................................
❑ 17.- Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by
❑ 18. Soils Report and/or Engineered Foundation required ...........................................
411<!20>ees
19. Erosion Control Plan Required........................................................................ as shown on the attached Schedule of Fees Due Sheet..............*.'.*.'.'.*.'.'.'.*.*.*.*.*.*.'.',
❑ 21. City of Chico Plumbing permit........................................................................
❑ 22. Site plan and business license approval from the City of Biggs ..............................
California Department of Forestry plan approval ❑ paid. Sent by: .. .. .
24. Planning approval for (A) Use: (B)Parking: (C) Parcel Check:..!..... S S
❑ Contact Land Development about _ Improvements, _ Drainage .........................
26. NPDES Form.............................................................................................
❑ 27. Encroachment Permit for driveway from the Public Works Dept ...........................
❑ 28. Contractor's license information. (Number, Name Style, Classification) ...................
❑ 29. Worker's Compensation Carrier and Policy Number ..........................................
TZ 30. Owner -Builder Verification ( _ Given to owner, _Mailed to owner) .....................
❑ 31. Letter of Signature authorization....................................................................
❑ 32. Recorded copy of Agricultural Acknowledgment Statement .................................
❑ 33. Existing violations and/or expired permits.........................................................
❑ 34. Deed Restriction..........................................................................................
❑ 35. ❑ Legal description, ❑ M.H. Title, title search, registration or MCO .........................
❑ 36. Other:
❑ 37. Other:
When issued Telephone M • {�n_99 and hold for pickup.
I have been informed of
requirements for obtaining a building permit.
Applicant: Date: ��� Date: ls't5
1. Index permit application for the above items numbered: 1 Plan Check Letter
2. Additional items required
Contractor, designer, owner, was advised of the above data by ❑ phone, ❑mail, ❑ counter, by Date:
Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date:
Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date:
Plans reviewed by: Date: Plans approved by: i Date:
Structural reviewed b : Date: 4 Structural approved by: Date:
Note transfer by: Date:
Yellow: Building Division
nO
N
E.H. USE GNLV
Plot Plan Anachod-�_
t' ROOF Plan Attached
Sent to !�
TO: Building Department
FROM: Environmental Health
SUBJECT: Sanitation Clearance
Owner Location AP# w
Plan Approved for: Sewage Disposal Water Supply: Public f Private Well
Clearance for dwelling. Other
riow nnai rvr:
Final clearance O.K. for:
NOTE:
Environmental Health Specialist
8/96
COUNTY OF BUTTE v
DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 COUNTY CENTER DRIVE, OROVILLE, CA 95965 TELEPHONE (530)538-7541
SCHEDULE OF RECEIPT OF FEES
OWNER r 6Yi C2i\LA �� A.P. #
PROPROSED BUILDING USE l b I \ DATE 0;
RECEIPT # C.
1. BUILDING PERMIT FEES
--- Balance Due ..................... $ ✓✓✓ l I l l
--- Additional Fees Due........... $
--- Revised Plan Checking Fee.... $
`2. SCHOOL DISTRICT FEES_ j v�
(paid at School District Office) (form available after Plan Check)
3. SHERIFF FEES (paid at Building Division)
Residential............ X $360.00 =$
Units
Commercial (sq. ftg.)..... X $0.03 = $
Sq. Ftg.
4. URBAN AREA FEES (paid at Building Division)
Residential (per unit)..... X = $
# Units Amt.
Commercial (Sq. Ftg.).... X = $
' Sq. Ftg. Amt.
S. RECREATION DISTRICT FEES Y-hQ
(paid at Recreation District Office) (form available after Plan Chgck)
6. THERMALITO DRAINAGE DISTRICT FEES
$510.00 (paid at Building Division)
7. SRA FIRE INSPECTION AND PLAN CHECK FEE
...$89M (paid at Building Division)
8. WATER TENDER FEES BATTALION #
$200.00 (paid at Building Division)
9. NORTH CHICO SPECIFIC PLAN (paid at Building Division)
Residential Zone
Zone
Co�unercial (sq. ftg.) .........
may be changed during t139 plan
APPLICANT
X =$
# Units Amt.
_X
Sq. Fig.
bove fees are required to be paid prior to issuance of the permit. These fees
DATE :Z
Pursuant to Government Code Section 66020, you are hereby notified that items, 2, 3, 4, 5, 6, 8, 9, and 10 above may have been imposed on your project. You
have 90 days from the date of approval of the project or from the imposition of the above mentioned items during which you may protest. The requirements for a
protest are specified in Government Code Section 66020(a).
Original -Building Division Yellow -Applicant Pink -Owner (rev. 2/2003)
�'.�': �,"ir�< .i:Y ?: v�i p.. t�3..: a ���`i
"99` ).UR_g�!x���VER B'U JD RBB?l I IC TIO T;
P.�x..S.row_-i!Y.Axu.4.x.. •w :... ....a _:SD J.... .....?.. .,
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 or labor and material for construction of this proposed
property improvement: YES [ NO [ ].
2. I HAVE [,K] HAVE NOT [ ] signed an application for a building permit for the proposed
work.
3. I have contracted with the following person (firm) to provide the proposed construction:
NAME: .
ADDRESS:
PHONE:
CONTRACTOR'S LICENSE NO:
4. I plan to provide portions of the work, but -I have hired the following person to coordinate,
supervise, and provide the major work:
NAME: _
ADDRESS:
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:
DATE:
NOTE: This Owner -Builder verification is required by Section 19831 and 19832 of the California
Health and Safety Code.
This verification must be completed and returned to our office before we are permitted to issue the
permit.
Rev'd 11/4/2004
Butte County Department ®, f Development Services
ADMINISTRATION * BUILDING * GIS * PLANNING
7 County Center Drive
Oroville, CA 95965
(530) 538-7541 Telephone
(530) 538.2140 Facsimile
Dear Property Owner:
An application for a building permit has been submitted in your name listing yourself as the builder of the property
improvements specified.
For your protection. you should be aware that as "owner -builder" you are the responsible party of record on such a
pen -nit. 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 your plan to subcontract, you should be
aware of the following information for your benefit and protection:
o If you employ or otherwise engage any persons other than -your immediate family, and the work (including materials
and other costs) is $200 or more for the entire project and such persons are not licensed as contractors or
subcontractors, then you may be an employer.
o If you are an employer, you must register with the state and federal government as an employer and you are subject
to several obligations including state and federal income tax withholding, federal social security taxes, workers'
compensation insurance, disability insurance costs, and unemployment compensation contributions.
o There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious
with respect to workers' compensation insurance.
o For more specific information about your obligations under federal law, contact 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 "owner -builder" building
permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building
permits are not required to be signed by property owners unless they are performing their own work personally.
Information about licensed contractors may be obtained by contacting the Contractors' State License Board in your
community or at 1020 N Street, Sacramento, California 95814.
Please complete and return the enclosed owner -builder verification from so that we can confirm that you are aware
of these matters. The building permit will not be issued until the verification is returned.
U�
Mic el C. Vieirl, C.B.O.
Ma ager, Building Inspection
NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code.
�Q PRT"tENT
° �U T TF
�m
0
O
cOUNI
oA Department ®f Public Works
C o u n t y o f B u t t e
O
C ]. Michael Crump, Director LAND DEVELOPMENT DIVISION
p Storm Water Management Program
7 County Center Drive
Oroville CA 95965
AU44L1C WORD`' (5.30) 538-7266
(FAX) 538-7171
National Pollutant Discharge Elimination System (NPDES) Phase ll
Construction Storm Water Permit and Storm Water Pollution Prevention
Plan (SWPPP) Acknowledgement [LESS THAN 1 AGRQ
Project Description:
Project Location and/or Parcel Number: ✓ 8? SPP V/SS 57 -
Due H DueH r% 2,15,939
By signing below, I, the project owner/owner's agent, certify that this project WILL NOT DISTiJRB
1 acre -or more of land and that I, therefore, do not need to apply for a Construction Storm Water Permit
from the State of California Regional Water Quality Control Board. Phased projects that contain
multiple site build -outs of less than one acre but when combined with subsequent phases total more
than one acre of disturbed soil will require a Construction Storm Water Permit from the State of
California Regional Water Quality Control Board.
I am aware that. submitting false and/or inaccurate information or failure to apply for a Construction
Storm Water Permit from the State of California Regional Water Quality Control Board for a project
that disturbs one acre or more of land may result in revocation of grading and/or other permits or other
sanctions provided by law.
Signed: cd
Title: Dots!/) P
Date: 3—
Less than 1 Acre NPDES & SWPPP Compliance Certification
Butte County Storm Water Management Program
Revised 5/24/04
_N;�U WILLDAN
Serving Public Agencies
April 25, 2005
Scott Rutherford
Butte County Building Department
7 County Center Drive
Oroville, CA 95965
(530) 538-7169
(530) 538-2140 FAX
SUBJECT: COUNTY OF BUTTE PLAN REVIEW APPROVAL
Willdan Project No: 14353-1500
Jurisdiction Job No: 05-0688
Assessor's Parcel No: 040-240-034
Description: Add BdrmBath/Office
Dear Mr. Rutherford:
117 C Street
Marysville, California 95901
530/749.2373 fax 530/749.2199
www.wilidan.com
Willdan has completed a plan review of submitted plans and documents for the above referenced project
and recommends your approval with the conditions noted on the 2nd page of this letter. The plans and
documents provided for this review that have been found in compliance with the applicable codes are:
➢ Plans: Two (2) copies, sheets CS through S2.1 dated 02/14/05 by Golden Sun Designs
➢ Energy Calculations: Two (2) copies, dated 02/24/05 by Golden Sun Designs
➢ Truss Calculations: Two (2) copies dated 03/08/05 by Mark Wegener, P.E.
The plans have been stamped with the Willdan approval stamp and dated the date of this letter. According to
our previous letters relating to this project, the superseded plans and documents will be discarded within 10
days unless we receive other instructions.
On the pages to follow is the identification of the codes and standards applicable to the project, a code
analysis, conditions -of -approval and identification of any deferred submittals.
\ / W I LLDAN Ma s Street
Marysville, California 95901
Serving Public Agencies 530/749.2373 fax 530/749.2199
www.willdan.com
APPLICABLE CODES
Unless noted otherwise, all comments are based on requirements of the 2001 California Building
Standards Code found in the California Code of Regulations, Title 24:
• Part 2, known as the California Building Code and abbreviated herein as "CBC"
• Part 3, known as the California Electrical Code and abbreviated herein as "CEC"
• Part 4, known as the California Mechanical Code and abbreviated herein as "CMC"
• Part 5, known as the California Plumbing Code and abbreviated herein as "CPC"
• Part 6, known as the California Energy Code, and Energy Commission Standards, and
abbreviated herein as "CECS"
CODE ANALYSIS
Our plan review revealed the following information regarding the occupancy designation, type of
construction, and other pertinent features. This information is consistent with that shown on the plans and
permit documentation.
Specific
Type of
Type of
15` Floor 2° Floor
Total
Sprinklers
Stories
Use
Occupancy
Construction
Sq Ft S Ft
S Ft
Dwelling
R-3
V -N No
1 346 NA
346
Addition
CONDITIONS OF APPROVAL
1. Approval is contingent upon the review, requirements and approval of other departments
and/or agencies that have jurisdiction over this project.
2. Revisions and/or notes as red -lined on the plans.
DEFERRED SUBMITTALS
Our plan review reveals no deferred submittals noted at this time.
SPECIAL INSPECTION NEEDS
Our plan review reveals no special inspection needs pursuant to CBC 1701.
Si9i'-TC'""Y'c2
l
Plans Examiner
Ce: Alice Mefford, E-mail: amefford@buttecounty.net
Michael Donohue, 2389 Serviss St, Durham, CA 95938
Pae• 2 of 2
County of Butte Permit .Number 05-0688
Wil.ldan Project Number 14353-1500
BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM
` (One form per Building)
+ �+ School District Building Department No. 5
A.P. Number v+D Jurisdiction: Q City County
Property Owner
Property Location/Addres�� s ►,l � �
Subdivision �'� Lot No.
w
{ 3Residential Development Q Q " Q Sq. Footage
r No of Living Mobile Home dfi9 'Supplemental to (Group R)
Units Installation Conversion Permit #
*(No foundation Inspection)
...........................»........................................ ......................... .
Deed Restricted Sq. Footage
(Attach a signed copy of Deed Restriction and Notice of Limited Use Facility document)
Commercial/Industrial Q Q Sq. Footage
New Addition (Including Exterior
Roofed Areas)
+8s� 5
Building Department Representative Date
District Identification No.
UN 1 F-103 School District certifies that
(Applicant)
3 gQz . 09 �f,3
(Street -'Address)
(Phone Number)
(City)
(State) (Zip Code)
has complied with the requirements of Resolution No.
0q— by payment of $
representing square feet.
2926 $
FULL MRIGATION $
S.- Z O - o 5 -
School District Representative
School
Date
/ 5 �lJ� l lJN7�Yz S�
Paid by Check # A Remarks: 44
Notice: You may protest the Imposition of the fess Identified above by submitting a written protest to the District, in compliance with
Govemmsrht Code Section 66020(a), within 90 days from the data hes are paid. Failure to submit a timely written protest wlll'prohibit
you from challenging the Imposition of the hes in any court action.
M, subsequent to the School District Representative signing this Bulb County Schools Impact Fee Grtltcatlon Farm, the School District Is
rrotified by the applicable Local Planning Agency that this project Is being revistved under the CaltWnis Environmental Guslty Act (CEQA),
this project may be subject to additional school fees to fully mIdgete. is Impact on the school dbtkft schools.
White (applicant), Yellow (building department), Pink (school district) feeform.* 410/03►dmm
[m
BUTTE COUNTY DEVELOPMENT FEE CERTIFICATION FORM
0 FEATHER RIVER RECREATION AND PARK DISTRICT (FRRPD)
0 CHICO AREA RECREATION AND PARK DISTRICT (CARD)
0 PARADISE RECREATION AND PARK DISTRICT (PRPD)
DURHAM RECREATION AND PARK DISTRICT (DRPD)
Assessor Parcel Number (s) ()L vO " b L-� Building Permit Number
Property Owner (s)
Project Location /Address
Subdivision Name
New Development
Alteratio ddition )
Mobile home
Assessable Sq. Ftge
Type of Residential Development (check one)
Demo Permit (date issued
Comments:
Single Family -Detached
Non -Residential to Residential
Mobile home replacement
Building Department 1Ze resentative Date
o 4b, 64 8-2
Single Family -Attached
Multi -Family Dwelling
verified by Assessor Department
verified by Building Department
0 FRRPD 0 CARD 0 PRPD k DRPD certifies that:
Mike _Ponolnue '3017,-0983
Applicant Name Phone Number
2-'3S9 S eXv c ss 2i—Du—#—h c X�n if i9- C16 8�
Mailing Address City State Zip
Has complied with requirements of the Butte County Board of Supervisors Resolution No. Q4— i0_7
by Payment of:
Dwelling Units @ $
Square Feet @ $
Remarks:
Paid by Check No: Paid by Cash
Recreation and Park District Representative
v.\rnnt, RC\RI ITT nnl( FnRTviC\narl _rPr ctandard fnrm rev ].doc
per unit for a total of $
per sq foot for a total of $
Receipt No:
Date
040-240-034 PERMIT#96-1412
ASHLEY, Eugene
2389'Serviss St., Durham
Reroof/SF
1
0
I
i
t
{ .
F
1
0
I
}
COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION
7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541` PERMIT NO.
APPLICATION AND PERMIT `
ASSESSOR PARCEL NUMBER . (`,^/e ///� T
70rej
ZONING
BUtt6ING PERMIT
'OWNER�,-
T� ON =��
SO. FT OCC. BUILDING VALUATION
OWNERS MA NG A%BFB Ii+ t4,
S
CONTRACTOR'S NAME-rr7
TELEPHONE
CONTRACTORS MAILING ADDRESS
>
Fireplace
CONSTRUCTION LENDER
UNKNOWNTotal
Valuation $
Filing Fee $ 20.00
LENDER'S MAIUNG ADDRESS "�-�.
Permit Fee $ �• D Q
ARCHITECT OR ENGINEER
LICENSE NO.
I
Plan Checking Fee $t
Energy Plan Checking Fee $ '
ARCHITECT OR ENGINEER'S MAILING ADDRESS f}
Penalty $
BUILDING ADDRESSj57r ...::'-
,j
:. - PERMITFEE $
•
PLUMBING PERMIT Filing Fee 20.00
Each Trap 7.00
LOTNO.
C
SUBDIVISION'S NAME !i!••
PARCEL MAP
Solar Or heat pump water heater 23.00
Water piping 15.00
t
kUSEOFSTRUCTURE- i
SF Q ''Cup exl ❑ Mobilehome ❑ Other i
_ SPECIFY
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 Bw—
Describe Work: C( d c%li!�'
r
Mobile Home IS I GI W @20.00
PERMITFEE $
Contractor
ELECTRICAL PERMIT Filina Fee 20:00
Main ServiceE00V OR LESS
( 200A OR LESS ) 23.00
Main Service ( 200A TO t000A ) 46.00
a
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisiops 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 SO.
OR ADONs. ( a BLDS. ) 3.SQ FT.
NEW CONST. MULTI -TI- OUTLET
NON-RESID. ( BRANCH CIRCUITS ) 97.50
POWER APPARATUS
\ 8 SINGLE OUTLET CIR. )
Ex. Occup. ( OUTLET OR FIXTURES ) BA0 @ I.50
Ex. Occup. OUTLETS ETS(RES DJOERA ) 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.)
Iq� 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
orthwith comply with tho5 provisions. --
C /
X o Date �1m
Signature of Applicant - Owner ❑ C ntractor ❑ Agent
An OSHA permit is required for excavations over 5'0" deep and demolition or construction
of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
OCC
CONST. TYPE
TOTAL FEE $ UQ
HA2.
D. FEES
IMP FLOOD
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 w i'ch fees have been paid.
By J /�• •�,-• Date
�!
PERMITEXPIRESONITE-D.D.S.•B.D. (Date)
ceiptNo. 1!Sgq 7"
CANliRYIASSESSOR PINK -INSPECTOR GOLDEN ROD•APPL]CANT
L
11
COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVIS
7 County Center Drive - Oroville, California 9,965 - Telephone (916) 538-75 / PERMIT NO.
APPLICATIONAND PERMIT (p
ASSESSOR PARCEL NUMBER elU _ Q�
ZONING
BU.1tbING PERMIT
OWNER°N
_/
SO. OCC. BUILDING VALUATION
OWNERS NG /1 -7/i�� ]� � I
7 Ik�l 1LT1
CONTRACTOR'S NAME
TELEPHONE
CONTRACTORS MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UN -OWN
Total Valuation $
Fling Fee $ 20.00
LENDER'S MAIUNG ADDRESS
Permit Fee $ '.d -d
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee $
Energy Plan Checking Fee $
ARCHITECT OR ENGINEERS MAILING ADDRESS
Penalty $
BUILDINGADDRESS3 ,.� S
PERMITFEE $
O
PLUMBING PERMIT Fling Fee 20.00
Each Trap 7.00
LOT NO. SUBDIVISIONS NAME
PARCEL MAP
Solar or heat pump water heater 23.00
USEOFSTRUCTURE
SF 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 ❑ AdditionRemodeldel ❑ Utilities ❑ Installation ❑ Other E —
Describe Work: P-046
--
Mobile Home S G W @20.00
PERMITFEE $
Contractor
ELECTRICAL PERMIT Filina Fee 20.00
Main Service a OV OR LESS
( zo0A 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,
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:
❑ 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.
1, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
❑ 1 am exempt under Sec. Business and Professions Code for this
reason
NEW CONST. DWELLING OCCUR SO.
OR ( 8 ACC. BUDS. ) 2 FT.
CNS.
NEW CONST. MULTI -OUTLET
NON-RESID. ( BRANCH CIRCUITS ) 7.50
( POWER APPARATUS )
8 SINGLE OUTLET US .
k20
Ex. Occup. (OUTLET OR FIXTURES ) I.00 .Se
Ex. Occup. (oFT%ED (REN . OR
RRA ) 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring 23.00
PERMITFEE s
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' cc m ensation provisions of section 3700 of the Labor Code, I shall
provisions.
forthwith com ly With?,//,
X r,,,Jo
t
. -- Date --
Signaturdof Applicant - Owner ❑ C ntractor ❑ Agnt
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 $
occ
CONST. TYPE
TOTAL FEE $
HA2.
I D. FEES
I IMP
I FLOOD
I 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 w h fees have been paid.
B Date
n
PERMIT EXPIRES ON_ �� — �2
(Date)
p tis L
Recei tNo.
WHITE-D.D.S.-B.D. CANAR ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
O.B.- I
.•:v:•::::::::: •i:•iii:�iih......v ::?i0iii::•iii}iiri4?..... ........ n.....A:'L: iiiiii+i:?•iii:•ii:??J: iiiiiii:??J:4i:Li::::xw: w:::::::: n•:.w::::.v::. .vn:• .. $
.....«.vv:C?6:4i:?•ii:4:?•iiii}i:^:•i:??•: ii:•:????:��\vv:.v: a•...
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.
2.
3.
I personally plan to provide the major labor and materials for construction of the
proposed property improvement: YES[ ] NO[ ].
I HAVE(A HAVE NOT[ ] signed an application for a building permit for the
proposed 'work
I have contracted with the following person (firm) to provide the proposed
vvawu asvaava►
NAME:
ADDRESS: CITY:
PHONE: c >D CONTRACTOR'S LICENSE NO.
4. I plan to provide portions ofthis 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 (lured) the following persons to
provide'the work indicated:
NAME ADDRESS PHONE TYPE OF WORK
SIGNED:
PROPERTY OWNER:
SOCIAL SECURITY NUMBER:_
DATE:
NOTE: This owner -Builder Verification is required by Section 19831 and
19832 of the California Health and Safety Code.
This verification must be completed and returned to our office before
we are permitted to issue the permit.
OVER
Dear Property Owner:
An application for a building permit has been submitted in your name listing yourself as the builder of
property improvements specified
For your protection, you should be aware that as "owner -builder" you are the responsible party of record
on such a permit. Building permits are not required to be signed by property owners unless they are personally
performing their own work. If your work is being performed by someone other than yourself, you may protect
yourself from possible liability if that person applies for the proper permit in his or her name.
Contractors are required by law to be licensed and bonded by the State of California and to have a
business license from the city or county. They are also required by law to put their license number on all permits
for which they apply.
If you plan to do your own work, with the exception of various trades that you plan to subcontract, you
should be aware of the following information for your benefit and protection:
0 If you employ or otherwise engage any persons other than your immediate family, and the work (including
materials and other costs) is 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 costs, and unemployment compensation contributions.
0 There may be financial risks for you if you do not carry out these obligations, and these risks are especially
serious with respect to worker's compensation insurance.
0 For more specific information about your obligations under Federal Law, contract the Internal Revenue
Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your
obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial
Accidents.
If the structure is intended for sale, property owners who are not licensed contractors are allowed to
perform their work personally or through their own employees, without a licensed contractor or subcontractor, only
under limited conditions.
A frequent practice of unlicensed persons professing to be contractors is to secure an "ownerbuilder"
building permit, erroneously implying that the property owner is providing his or her own labor and material
personally. Building permits are not required to be signed by property owners unless they are performing their own
work personally.
Information about licensed contractors may be obtained by contracting the Contractors State License
Board in your community or at 1020 N Street, Sacramento, CA. 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.
Sin crel L,. • :•.
I
Michail C. Vieira, C.B.O.
Manager, Building Inspection
NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code.
OVER
7-" 0/1�
7,5
PERMIT NO. 3841-88B, P, E,;M
jv
,'
PERMIT EXPIRES.4.d `,
OWNER THOMAS M. CRETE
4 Q�
/ '
/ ®
owner
11
'ASSESSOR
PARCEL 4b'24-34
LOCATION 2389 Serviss St, Durham
_a
id
C
(
Temp. Power Pole
Called PG&E
Temp. Elec. Service
Called PG&E
Temp. Gas Service
Called PG&E
JOB FINALED (Date)
Signature
i
= OK
0 = Not OK
MOBILE HOMES
MISCELLANEOUS
f' Not Readyable
=
Date
MOBILE HOME UTILITIES (Plans) OK except #'s
Date
DECKS, COVERS,CARPORTS,GARAGES, (Plans)OK except #'s
1. Zoning Requirements -Setbacks -Easements
1. Zoning Requirements -Setbacks -Easements N_
2. Soils; Special MH Support -Sketch
2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel
3. Sewer; Location -Test -Fall -C/O -Concrete
3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails
f
4. Water; Location -Test -Easement Needed (Sketch)
4. Wood Awn.; Posts- Beam s-Rftrs.-Connec.-
Shthg.-Rfg.-Bracing
5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete
6. Gas; Location -Test -Wrap: / PV ft.
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Carports; Windows -Doors
/ /"Nat. or/ /"L"ft./ /"LPG
7. Utility Clearance
7. Elec.
8. Frmg; Sills-Anchors-Studs-Rftrs-Trusses
9. Siding; Nailing -Veneer -Stucco -Mesh
Card -B1
Date Card -B1 Date
10. Roof; Shthg-Roofing ti
Card -B1
Date Card -B1 Date
11. Ext.; Steps -Doors -Landings
Date
MOBILEHOME INSTALLATION (Plans) OK except #'s
1. Zoning Requirements -Setbacks -Easements
Card -B1
Date Card -B1 Date
2. Footings; Size -Spacing -Marriage Line
Card -B1
Date Card -B1 Date
3. Gas; MH Test -Demand -Valve -Connector
4..Electricity; MH Test -Crossovers -Breakers -Clearances
Date
POOLS (Plans) OK except #'s
5. Drain; MH Test=Fall-Flex Connector
1. Setbacks -Easements
6. Water; MH Test -Regulator -Connector -
2. Soils; Compaction -Structure Stability
7. Water and Sewer Connected -C/O to Grade -HD Approval
3. Pool Structure; Steel -Connections -Thickness -
8. Gas and Electricity Tagged
Dead Men -Lining
9. Exits; Insp.-Sketch
4. Elec.; Receptacles and Lighting, Distances-GFI
10. Cert. of Occupancy
5. Elec.; Pool Lighting; 15 volts-GFI
-
6. Elec.; Enclosures; Conduit Entries -Terminals -Listed
7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater
Card -B1
Date Card -61 Date
8. Elec.: Grounding; Equip. w/5' -circulating Equip. -Pool Lghtg.
Boxes-Enclosures-Panel board s -Ins. to Main in Conduit
Card -B1
Date Card -B1 Date
9. Health Department Approval
10. Plumb.; Cir. Test -Water Supply Test
Card -B1
Date Card -B1 Date
Card -B1
Date Card -B1 Date -�
_
U
i
OV,
= Nat
- RESIDENTIAL (Single and Duplex)
="Not Applicable
= •Not Ready
Date
UND FLOOIP (P ns) -OK except #'s
Date FRAAAG (Continued)
on' g -S cks;-Easements-Flood-Slope
4 angers -Post Caps -Anchors -Connectors
tg., Main; s-Steel-Eke--C'Tir d.-/ L/" Ftg. Depth
AelfIng. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng.
th
4 s or Type A Flue -Fireplace Throat Clearance
4 tg., Porches & Decks; Soils -Steel-/ /"Ftg. Depth
Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
5 Stemwalls, Main; Steel-Blockouts-Wrapped
4"d-rm. Windows or Exiting Doors -Sill Hgt. & Dimensions
d
5PJ arage Fire Protection Framing
Slab; Steel -Wrapped
'perty Line Firewall & Openings
A..-Firepleee-Rtg.rS l
5?. �. Doors -One 3' -Check Garage -3rd story, 2 exits
W.V.; Fall -Fittings -Test -2 way C/O -Sewer Test
53 S "rs th-Headroom-Rise-Run-Landing-Fire Protection
1UxGas Pipe; Size -Anchors
1.4 --Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
19(Water Pipe; Test -Anchors -Regulator -Service Test
.4581ding-Nailing Veneer
1�(Electric; Underground
cco Mesh -Drip Screed -Fd. Vents-Un-derflr. Access
13XPlenums & Ducts; Clearance-Material-Supprt-Ins.T.
azi g Area -Glass Protection -Skylights -Plastic
1443irders-Sills-Anchor Bolts -Joists -Vents -Cripples
5 . e Walls ailin olts
15Ansulationsulatio
-Clg.
nfiltration-Walls-Wndws
Card -131
(AA3 Date/ � Card -81 Date
Card -B1
Date Card -B1 Date
Card -131 Date12-a1 Card -B1 pate
Card -61 S' 9A Ll Card -B1 Date
Date
PLU ING (Permit) OK except #'s
Ht. Vent -Access -Combustion Air -Baffle
Date FINA Plans) OK except #'s
ater Pipe; Test & Anchors -Nail Protection
j61. . teps-Door & Sidelight Protection -Landings
V.;,Test-Fttngs & Anchors -Nail Protection
moke Detector
1 . wer Pan; Test, First Floor -Tub Access
Fiir or-
In - uc s- ec r action
Test Tub & Shower, 2nd Floor -Tub Access
24,6as Pipe; Size & AnchorsQ1,435dropm-Exiting
Bath Fixtures & Tub Access -6134 -
rim & Subpanel; Breaker Sizes -Labels
Card -81
- Date -/ - and -B1 Datefairs
&Rails
Card -81
Da and -81 Date
Date ELECTRICAL (Permit) OK except #'s
re & Transformer Clearance -Ins. Protection
7,VokitFi5R. & Appliance; Grnd. -Air Gap -Cooking Clearance
1 eptacles Spacing -Lights & Switches at Doors
lec. Outlets & Receptacles at Kit. Counter
izeJOax6s & No. of Conductors -Stapled
mex Installed Close to Edge of Studs & C.J.
�.O
quip. Ground made up w/Mach. Fasteners on r
tr. Htr.; nts-Cle nc b. Air-Connector-P.R.V.-
In ge; Above Flo r -Meeh. Protection
Appliance Circuts in Kitchen & Conductor ize/G.F.I.
l b., Elec. & Mech. Equip. Listed for Location
28t-Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / /ga.Gafage
Cu or Al
tec.
2S -Range Circ. / ga. Cu or AI -Oven Circ. / / ga. Cu or Al.
Ins lated Neutral Yes No
74nsulation-FoamtLooked in Attic ❑Yes
- s
36 -Service -Riser Conductors & Ground -Main Disconnect'
s & Crawl Hole Door -Drainage & Wood -Earth
Clea r 11 Yes
3 quip. Clearances Panels-Motors-Mech. Equip.
.
3 lothes Closet Light -Shower Light -Spa Light
s Drive -❑ Yes ❑ No; Walks ❑ Yes ❑ No;
Planters ❑ Yes ❑ No
35 --Smoke Detector
- is
Card -B1 ea
t. DateVZ .V-& Card -B1 a Date7__/,6"Jq.
A. nit; Disconnect, Electrical, Ply—Bing
Card -131
19 Dat � Card -B1 Date
ents Above Roof; Plbg.-Appl ce- '
Opewlrtg3.
Date
MEC ICAL (Permit) OK except #'s
a , um ing
i3
C. Ducts Insulation & Support
xter"w Elec. Trim; G.F.I. Receptacle-Lhtdergr6Tnd
36;-V"ent Fan; Exhaust above insulation
q§_1h5n-tiIa!jan throughout House
de
Protection
- t8WCorrectionVrom
Previous Inpections
Jam. Meters Tagged; Gas -Electric
39r -Attic Access & Platform if Furnace in Attic
nergy Co nce Certific -Other Certificates
F:Card-B1
Card-B1
. Datef2-N Card -B1 &+ Date I—L-
Card-B1.-���D;p
Card -B1 Date
Dat r/ko 6!Cjard-B1 Date
Card -B1 Date` Card -B1 Date
Date FRAMI (Plans) OK except #'s
3 roper Material &Anchors
Card -B1 Dat��j/ 9 Card -B1 Date
Comments at Final:
IIs Studs -Nailing, Spacing & Bracing -Plates -Sound
e ring Walls over Girders & Floor Nailing
ss ,,r.-6� z o
raft top in Walls (rat proof)
4 tops; Furred Ceilings -Stairs -Chase -T
ader & Beam -Size & Bearing
(NOTE: An entry must be made each time you visit job site)
+ ENERGY INSTALLATION CERTIFICATE
nn �yQ00
Building Owner (-� l .�� Building Permi//t�� # _nO 4 ' p
Building Location X2' 3 SEPIASS Sr. Du? -ON k l�iq -2019C\
DESCRIPTION OF INSULATION
ROOF
Material blv Brand Name 14,
Thickness(inches) TAI A Thermal Resistance ( alue)
EXTERIOR WALL ,,�^
Material r 11 �> Brand Name (`j� ��N�l7ti�U�r
Thickness(inches) 61Thermal Resistance(R Value)
CEILING
9
Batt or Blanket Type M L
Brand NameOAXY}Sj(UCj-
Thickness(inches) '�
Thermal Resistance(R V lue) 2 -
Loose Fill Type
Brand Name
Minimum Thickness(Inches) ' '�'.Number of Bags Wt. per bag
Area covered(ft.2)�(gt! 1T IYL)
Thermal Resistance(R Value)
FLOOR, ELEVATED
Material
Brand Name �`
Thickness(inches) fL
Thermal Resistance( Value)
FLOOR, SLAB
Material_ I a,
Brand Name
Thickness(inches
Thermal Resistance(Value)
Width(inches)
FOUNDATION WALL
Material i ry
Brand Name
Thickness(inches)
Thermal Resistanc (R Value)
I hereby certify that the above insulation was installed in the above building,
is consistent with approved building department plans and attachments and con-
foyc}s with requi p of Cha ter 2-53
of State of C i o nia Energy Requirement
FIRM NAME/
STATE CONTRA 0 'S LICENSE NO.
�r_�.M � lt�—
SIGNATURE OF INSTALLATION APPLICATOR
9J-1 1 9
ATE
I hereby certify th
Building Department
ance standards and
(FIRM NAME)
OF BUI
e required features, devices, and equipment, a� shown on the approved
plans and attachments have been installed and conform to the appli-
Chapter 2-53 of the State of California Energy requirements.
ci
OW Z (Please Print) STATE CONTRAC R' LICENSE NO.
tA-
OWNER
AiA
HVAC FIRM NAh /OL ER (Please Print)
Iq 1A
SIGNATURE OF HVA CONTRACTOR/OWNER
0. �11 /<R 4 11 R7
DAT
O J
A
DATE
E
THIS CERTIFICATE MUST BE ON FILE WITH THE BUILDING DEPARTMENT PRIOR TO FINAL INSPECTION
APPROVAL AND A COPY SHALL BE POSTED WITHIN THE BUILDING.
SEPTEMBER 1988
`, a ,. - .. .. � ..,•h a;F'�...:�:*•.,a .:� ..-R+.r4'A"* . �" �'�` - .. ..:5. ._. ati.���,r.c.,a.�`v�4M'�f'!
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-2751
` 7 County Center Drive, Oroville — Phone: 538-1541
747 Elliott Road, Paradise— Phone: 872-6307
,i
CORRECTION NOTICE
i lJ
lnspecto'l��-'
Ij Date
i
OWNER —� PERMIT NO.
A routine inspection indicates that the following violations of County Ordinance
exist at the above address and should be corrected. Please notify this office
when correction of work is completed. If you have any question pertaining to this
fi
matter, or need additional explanation, please contact this office immediately.
y C7 L j'P>'
Ilk
e- c -(CI .4 b r t.... < r r4 O O i
[, 641k rec_r.SS 6G/ -e -c- . �i� b .0 17U.C-60�^^
..
r6u :d rCr-e 5,' / -1741r6 o/,,,,T 0,,
I'L 6-c.i�. ass e rC- of ✓L�
w Gc i
Lb✓� rc�c- b�L G, w tf o �e( GGCaJr
i
Ucv. ir►SZT14--L- 6 �.
-v �a K�a0--SO 4t rGUcle
u.. -
C% •` �� ; ,.
i lJ
lnspecto'l��-'
Ij Date
i
�w -* . <a r,,...-� -' �•>-•..-..... !;, � � bice—,
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
CORRECTION NOTICE
OWNER PERMIT NO.
r'
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
matter, or need additional explanation, please contact this office immediately.
H ' I
ld✓ , de 16- ," • � Oft ors '
you -%)e � 6/ l
ode 66 x, e 6-ka 6,46oe !n 54����6n
/O 2 C c, <; y
�'LeG ., e r �Oo/ ri� arocc !' =b-,
aart-� O k f o �i✓c iurt'e P l��cr Io �� C
9
w.
f
Inspector. LDi� Date r Z —/ —
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541
-APPLICATION AND PERMIT
ASSES n PAR I -NUMB
ZONI
BUILDING PERMI
DW
TELEPHONE
SQ. FT. O C. BUILDING VALUATION
OW R'S MA IN AIDDRESS
N U
Q
e
f S
CON A T R'S N9AMMEE
Y
TELEPHONE
-
CONTRACTOR' MAILING ADDRESS
Fireplace
CONS UCTION LENDER
UNKNOWN
Total Valuation $
Filing Fee
$ 10.00
LEND. 5 MAILING ADDRESS
Permit Fee
$
ARC I ECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Energy Plan Checking Fee
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS '
Permit fee
$
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAMEPARCEL
MAP
Water piping
5.00
Each qas water heater or vent
5.00
USE OF STRUCTURE
SF Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home I S G W
0.00 ea
�,r TYPE OF WORK
New Addition lAl Remodel Utilitie ❑ In Ilation Other ❑
Describe work: 777��� `
t
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 100 AMP ORSLESS
10.00
Main service EA. ADD'L 100 AMP
2.50 .
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full force and effect.
-
License No. Classification
1, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONST. / DWELLING OCCUP.8d) +/zQsgft
OR ADONS. 1 ACC. BLDGS. I
NEW CONSTR. MULTI -OUTLET 2.50 ea
NON.RESID BRANCH CIRC ITS
POWER APPARATUS e
SINGLE OUTLET CIR.
Ex. Occup(OUTLETS OR FIXTURES 20050t
eALO 30
FIXED . OR
EX. Occup. OUTLETS TS (RES(REBID.) EA. 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 15.00
Permit Fee $
Contractor
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ 1 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.
1 shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
MECHANICAL PERMIT
FiIingFee 10.00
Heating
Cooling
Q
Hood
3.00
Ventilation
permit Fee
$ -
Contractor
I certify that'I have read this application and state that the above information
is co t. I agree to comply to all County Ordinances and State Laws relating
to bu' d ng constructs and hereby authorize representatives of the County of
Butt to nter upon t above-mentioned property for inspection purposes.
all i ilities, judg and expenses which may in any way accrueJ�7
ag n said County in conseq a granting of this permit.
X Date
I t o agree to save i demnify nd keep harmless the County of Butte against[By_
Signature of Applican — Owner❑ Contractor ❑ Agent ❑
An OSHA permit is required for excavations over 5'0" deep and demolition or coristruct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
'
TOTAL PERMIT FEE $ ,
CUP.
c rP
JSC;J��DJPA
eeeL
PD
NDOF sve
his permit is hereby issued under the applicable provi-
ons of the Butte County Code and/or resolutions to do
ork indicated above for which fees have been paid.
DIRECTO"IF PUBLI WORKS
C /�`�
.`y Date /yam
PERMIT EXPIR ate
Receipt No.
WNITE-O.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION
7 COUNTY CENTER DRIVE -±.OR44
VILLE,CALIFORNIA 95965 - TELEPHONE: 916/538-7541
4 . p
PERMIT APPLICATION DATA SHEET VPermit No.
OWNER /10 m Q Y C' TW
o.
Proposed Building Use k9F Building Inspector—&&Date 11 AV
At time of permit application, I was advised the following data must be submitted prior to permit processing
and:/or issuance: DATE RECEIVED APPROVED
1. All items.hav=1irLW.Lcate,
mitted. . . . . . . . . . . . ,
Plot plans in signed by preparer of plans.DE .
3. Complete plans inicat iplicate, si ne .b are�o? planes
4. Complete engineered plans and calcs, w ti hYwe signature on plans.
1,-,'5. Tris w�"ith Energy Design Compliance Statement. . . . . .
6. Irl Wl School District "Fees Paid'-' Stamp�on Floor Plan.
Statement of Intent rIY
ated and AC Buildings.
—4 8. �Feesi� °$. . . . . . .
�. .:< `..-
9. Letter of signature author' at . . . . . . .
Sanitation approval from •� I C Health Dept.
11. Planning approval for (A) Use: (B) Parking:
12. Certificate of Workmen's Compensation Insurance. . . . . .
A3. Contractor's License Information (no., name style, classif.)
I 14. Owner -Builder Verification (Given to owner, Mail to ownerE])
_15. Improvements may be required. . . . . . . • . • • • ,
16. Mobilehome Installation Data. . . . . . . . . .
Pre-Inspec. request to (Date)
17. Pre -Inspection for Required. Building Inspector
18. Recorded copy of Agricultural Acknowledgment Statement.
19. Driveway Permit.
20. Plot plan approval from city of
Engi�red truss in duplicate (req *red rior to plan heck).
22. ! y r C� ' fi p 1n A,;
When you issue the permit, process as follows: U Mail to owner, Mail to contractor.
Telephone '�cf and hold for pickup `�office Deliver w/inspector.
Other /
'LAW
Applicant (M::Date—
Copy
of plans sent Health Dept., Fire Dept., Other Date
The following data must be submitted r to permit issuance: (Circle new item not checked above).
1. Index permit for above items No.,/ice
2. Additional items required:
Contractor, designer, owner, was advised of above required data by—phone---mal [—counter by date
Contractor, designer, owner, was advised of above required data by—phone —mal l—counter by date
Plans checked by Date Plans approved Date
.Sets of plans on hold inFile cabinet AP folder
j Y�
Copy—DPW 1
TO Building Department
FROM: Environmental Health
SUBJECT: Sanitation Clearance
,:.0
!
Owner Location AP#
Plan Approved for: Sewage Disposal Water Supply
Hbld final for: Water Supply
Final clearance O.R. for: / Water Supply
Clearance for _ bedro.om mobile ome . Other. * I,Vg e s . a•• v �49zz
NOTE.s*
or
Sanitarian Date
• 9
COUNTY OF BUTTE - Department of Public Works
7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541
OWNER -BUILDER VERIFICATION
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 or no)
2. I (have/have not) signed an application for a building permit
'for the. proposed work.
3. I have contracted with the following person (firm) to provide the proposed
construction:
Name
Address City
Phone Contractors License No.
4. I plan to provide portions of this work, but I have hired the following person
to coordinate, supervise, and provide the major work:
Name
Address City
Phone Contractors License No.
5. I 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
S ig n
NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and
19832 of the California Health and Safety Code. '
This verification must be completed and returned to our office before we are per-
mitted to issue the permit.
Yi
..,rw-,�.�;re•Mis�,...,-c`7Y':•..r� .� .ter^..:..stir/'�.Nas'.r-.f..n'.'rH_,��,y,.r,,+�'�+..,�"r.�-+rraw�c^t:r'-rk7�i��-r`+,mow•--^..,.'1-1'T'•,{�-..:1--.ti- .- . - ,z.,�.
BUTTE COUNTYjSCHOOLS DEVELOPMENT FEE CERTIFICATION FORM
(One.Form per Building)
Li
A.P. Numbei R 011T��Building Department No.
School District r' City Q County � Jurisdiction
Property Owner
Project Location/Address pl�Ale r j/' ISS
t`
Subdivision,' '�►.*^ , Lot Number
Resident a. De�7e1opment:
Sq. Footage (P
# of Living MHI Addition (Group R)
Units
• r
XCommercial/Industrial:
f New
Sq. Footage
Addition'(Including Exterior
A Roofed Areas)
=ive
Date
L
*******************************************************************
District_ Id No. /el4
School District certifies that
(Applicant Name) ".(Phone Number)
Street Address)
(City) (State) (Zip Code)
has complied with the requirements of Resolution No.
by the payment of $ 49O, e¢4 representing��� f t
of District Representative
PAID BY CHECK NO. �.�
BANK NO gQ- f �/ 2~l
PAID BY CASH
REMARKS:
square ee .
Date
white -applicant, yellow -building department, pink -school district
SCHOOL . FEE (5/88)
r
E
FORM 7
ADDITIONS TO RESIDENTIAL BUILDINGS ENERGY SHEET
PACKAGE "A" (kdUitiofis)
Owner Climate Zone
Permit # �/ �� 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 conversions, 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
WALL
FLOOR
SLAB
GLAZING
SHADING
ZONE 11
R-30
R-11
R-11
R-7
U-.65 (Dual)
SOUTH - OPTIMUM OVERHANG
or .36 Shading Coefficient
WEST - .36 Shading Coefficient
LOOSE FILL INSULATION (Density)
ZONE 16
R-
R -1
R-19
R-7
U-.65 ual)
INFILTRATION CONTROL (Weatherstrip_.doors, certified windows, caulking)
DUCTS PER UNIFORM MECHANICAL CODE - Ch. .iO
LIGHTING KITCHEN & BATH NOT LESS THAN 25 LUMENS/WATT
MAXIMUM GLAZING 16% OF AREA PLUS REMOVED GLAZING
NEW HEATING, VENTILATING, AIR CONDITIONING AND HOT WATER SYSTEMS. IN
CONJUNCTION.,WITH AN ADDITION SHALL BE INSTALLED AS SHOWN ON BACK.
OF THIS SHEET.
OTHER NEI. fi.
7
i
x/85'
*1 HEATING VENTILATING, AIR CONDITIONING SYSTEM
(A) Heating
❑ Central Gas Furnace- i
(brand and model number) SE
Btu/hr
(heating capacity)
❑ Heat Pump
(brand and model number) ACOP
Btu/hr
(heating capacity at
❑ Active Solar !
type (liquid or air) Collector brand and
ft2
model number solar fraction collector area collector
orientation collector tilt rated y-intercept
rated slope
❑ Other
(describe)
*1 (B) Cooling
❑ Electric Air Conditioner
(brand and model number) (seasonal EER)
Btu/hr
(cooling capacity at 95°F)
❑ Electric Heat Pump
EER
Btu/hr
(cooling capacity at 95°F)
❑ Other
(describe)
DOMESTIC WATER SYSTEM i
❑ (A) Gas Only Gallons
(brand and model number) (tank size)
❑ Heat Pump w/Electric Backup
_ (brand and model number)
Gallons
2 (tank size)
❑ * Active Solar
(collector brand and model number)
(rated y-intercept) (rated slope) (solar fraction)
ft
2
(backup heater type, brand and model number) (collector area)
(collector orientation) (collector tilt)
❑ Location 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: Summer design temperature °, cooling load BTU
*2 Submit T.I.P.S.E. chart'or other approved s tem (form # o document sizing of
solar panels.
® DESIGN COMPLIANCE STATEMENT: The above b ilding design a is thgoe
equirements of
Title 24, Part 2, Chapter 2-53 of the Cal fornia Adminis r tion
A
1
3o'41-ZS ZS
�AJ
851-89B
PERMIT NO.
Z PERMIT EXPIRES L_ 1:3— 90
OWNER THOMAS_, CRETE
t
CONTR. owner
ASSESSOR PARCEL 40-24-34
a 'LOCATION 2389 Serviss St, Durham
I
i
f
3
r
Temp. Power Pole
Called PG&E
Temp. Elec. Service
Called PG&E
Temp. Gas Service
Called PG&E
JOB FINALED (Date)
i
Signature
= OlF '
0=Not OK
= Not Readyable MOBILE HOMES MISCELLANEOUS
Date
MOBILE HOME UTILITIES (Plans) OK except #'s
Date
DEC ,C 's
1. Zoning Requirements -Setbacks -Easements
. o • g Requirements -Setbacks -Easements
2. Soils; Special MH Support -Sketch
&4pff ngs; Soils-Size-Depth-Spacing-Connec s-Stee
3. Sewer; Location -Test -Fall -C/O -Concrete
ecks; Girders and/or Joists- ing-B ing-- rs-Ra4e-
4. Water; Location -Test -Easement Needed (Sketch)
-A. Wood--Awn--,--P-o�eams-Rftrs.-onnec.-
Shthg_.Afgra6ng
5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete
6. Gas; Location -Test -Wrap: / /"L"ft.
/ /"Nat. or/ /"L"ft./ /"LPG
- one os s
6.-Gefports-V*nxtovrs--DUUFs
7. Utility Clearance
7-E 07
9.'--U;- cco-
Card-B1
Date Card -Bt Date
Card -B1
Date Card -B1 Date
1 -- '
Date
MOBILEHOME INSTALLATION (Plans) OK except #'s
1. Zoning Requirements -Setbacks -Easements
Card -B1
Dat Card -61 Date
2. Footings; Size -Spacing -Marriage Line
Card -B1
Date Card -81 Date
3. Gas; MH Test -Demand -Valve -Connector
4. Electricity; MH Test -Crossovers -Breakers -Clearances
Date
POOLS (Plans) OK except #'s
5. Drain; MH Test -Fall -Flex Connector
1. Setbacks -Easements
6. Water; MH Test -Regulator -Connector
2. Soils; Compaction -Structure Stability
7. Water and Sewer Connected -C/O to Grade -HD Approval
3. Pool Structure; Steel -Connections -Thickness -
Dead Men -Lining
8. Gas and Electricity Tagged
9. Exits; Insp.-Sketch
4. Elec.; Receptacles and Lighting, Distances-GFI
10. Cert. of Occupancy
5. Elec.; Pool Lighting; 15 volts-GFI
6. Elec.; Enclosures; Conduit Entries -Terminals -Listed
7. Elec.; Bonding;. Metal w/5' -Circulating Equip. -Heater
,
Card -Bt
Date Card -81 Date
8. Elec.;Grounding; Equip. w/5' -circulating Equip. -Pool Lghtg.
Boxes-Enclosures-Panelboards-Ins. to Main in Conduit
Card -131
Date Card -81 Date
9. Health Department Approval
10. Plumb.; Cir. Test -Water Supply Test
Card -B1
Date Card -B1 Date
Card -B1
Date Card -B1 Date
0 = Not OK
- = Not Applicable RESIDENTIAL (Single and Duplex)
= Not Ready
Date
UNDERFLOOR (Plans) OK except #'s
Date
FRAMING (Continued)
1. Zoning -Setbacks; -Easements -Flood -Slope
45. Hangers -Post Caps -Anchors -Connectors
2. Ftg., Main; Soils-Steel-Elec. Grnd.-/ * /" Ftg. Depth
46. Cing. Joist-Rftr. Ties -Purl in -Roof Brac.-Truss-Shthng.-Rfng.
3. Ftg., Garage; Soils -Steel-/ /" Ftg. Depth
47. Fireplace Ties or Type A Flue -Fireplace Throat Clearance
4. Ftg., Porches & Decks; Soils -Steel-/ /"Ftg. Depth
48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
5. Stemwalls, Main; Steel-Blockouts-Wrapped
49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions
6. Stemwalls, Garage; Steel-Blockouts-Wrapped
50. Garage Fire Protection Framing
7. Slab; Steel -Wrapped
51. Property Line Firewall & Openings
8. Piers -Fireplace Ftg.-Steel
52. Ext. Doors -One T -Check Garage -3rd story, 2 exits
9. D.W.V.; Fall -Fittings -Test -2 way C/O -Sewer Test
53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
10. Gas Pipe; Size -Anchors
54. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
11. Water Pipe; Test -Anchors -Regulator -Service Test
55. Siding -Nailing Veneer
12. Electric; Underground
56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access
13. Plenums & Ducts; Clearance-Material-Supprt-Ins.
57. Glazing Area -Glass Protection -Skylights -Plastic
14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
58. Shear Walls; Nailing -Bolts
15. Insulation
59.Insulation-Walls-Cig.
60. Infiltration-Walls-Wndws
Card -B1
Date Card -B1 Date
Card -B1
Date Card -131 Date
Card -B1
Date Card -B1 Date
Card -B1
Date Card -131 Date
Date
PLUMBING (Permit) OK except #'s
16. Water Ht. Vent -Access -Combustion Air -Baffle
Date
FINAL (Plans) OK except #'s
17. Water Pipe; Test & Anchors -Nail Protection
61. Ext. Steps -Door & Sidelight Protection -Landings
18. D.W.V.; Test-Fttngs & Anchors -Nail Protection
62. Smoke Detector
19. Shower Pan; Test, First Floor -Tub Access
63. Furnace; Vents -Clearance -Comb. Air -Connector -
In Garage; Above Floor -Ducts -Mach. Protection
20. Test Tub & Shower, 2nd Floor -Tub Access
21. Gas Pipe; Size & Anchors
64. Bedroom Exiting
65. G.F.I. & Bath Fixtures & Tub Access -Spa
66. Elec. Trim & Subpanel; Breaker Sizes -Labels
Card -B1
Date Card -B1 Date
67. Stairs &Rails
Card -B1
Date Card -B1 Date
68. Fireplace or Stove; Clearances -Hearth
69. Elec. Outlets at Wood Panel; Int. & Ext.
Date
ELECTRICAL (Permit) OK except #'s
70. Kit. Fixt. & Appliance; Grnd. -Air Gap -Cooking Clearance
22. Fixture & Transformer Clearance -Ins. Protection
71. Elec. Outlets & Receptacles at Kit. Counter
23. Elec. Receptacles Spacing -Lights & Switches at Doors
72. Garage Fire Door; Swing -Landing -Closer
24. Size Boxes & No. of Conductors -Stapled
73. A.C. Duct in Garage -Damper
25. Romex Installed Close to Edge of Studs & C.J.
74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.-
In Garage; Above Floor-Mech. Protection
26. Equip. Ground made up w/Mech. Fasteners -Bond Gas &Water
27. 2 Appliance Circuts in Kitchen & Conductor Size/G.F.I.
76. Plb., Elec. & Mech. Equip. Listed for Location
28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / /ga.
Cu or Al
76. Elec. Receptacles in Garage; (G.F.I.)-Romex Prdtec.
71. Insulation -Foam -Looked in Attic ❑Yes
29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al.
Insulated Neutral Yes No
78. Guard Rails & Deck Construction -Post Caps
30. Service -Riser Conductors & Ground -Main Disconnect
79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth
Clearance Looked under Floor ❑ Yes
31. Equip. Clearances Panels-Motors-Mech. Equip.
80. Following instld.; Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No;
Planters ❑Yes ❑ No
32. Clothes Closet Light -Shower Light -Spa Light
33. Smoke Detector
81. Stucco; Brown -Finish
Card -131
Date Card -8/ Date
82. A.C. Unit; Disconnect, Electrical, Plumbing
Card -131
Date Card -B1 Date
83. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to
Openings.
Date
MECHANICAL (Permit) OK except #'s
84. Water Well; Disconnect, Electrical, Plumbing
34. A.C. Ducts Insulation & Support
85. Exterior Elec. Trim; G.F.I. Receptacle -Underground
35. Vent Fan; Exhaust above insulation
86. Ventilation throughout House
36. Condensate Drain & Overflow; Size & Grade
87. Glass Protection
37. Furnace -Vent; Access -Comb. Air -Return Air Vent -115 outlet
88. Corrections from Previous Inpections
38. Attic Access & Platform if Furnace in Attic
89. Gas Test -Meters Tagged; Gas -Electric
90. Water & Sewer Connected -C/O to Grade -HD Approval
91. Energy Compliance Certificate -Other Certificates
Card -131
Date Card -B1 Date
92. Roofing Certificate
Card -131
Date Card -B1 Date
Card -131
Date Card -B1 Date
Card -131
Date Card -81 Date
Date
FRAMING (Plans) OK except #'s
Card -131
Date Card -131 Date
39. Sills, Proper Material & Anchors
Comments at Final:
40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound
41• Bearing Walls over Girders & Floor Nailing
42. Draft Stop in Walls (rat proof)
43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub
44. Header & Beam -Size & Bearing
(NOTE- An entry must be made each time you visit iob site)
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, Califorhia 95965 - Telephone: 916/538-7541
APPLICATION AND PERMIT
�f
P�/ NO.
ASSESSOR PARCEL t2BER
ZO G—f )
BUILDING PERMIT
OWPMR
o(KOOWN
T EP ON%V
cam'^'J
SO. FT. OCC. BUILDING VALUATION
'S ILI ADDRESS
Serv, ssr
CONTRACTOR'S NAME
TELEPHONE
'CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation Is
LIJ�EENND•�EER'4(�MAAIILING ADDRESS
Filing Fee
$ 1000
Permit Fee
$ 17,50
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
,$
Energy Plan Checking Fee
$
ARCHITECT MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
Permit fee
9
PLUMBING PERMIT
Filing Fee 10.00
79
0 ` rV
Each Trap
2,00
_/yam
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Water piping
5.00
Each qas water heater or vent
5.00
USE OF STRUCTURE
SF Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home S G W
0.00 ea
TYPE OF WORK
New ❑ Addition N Remodel ❑ Utilities ❑ Installation❑ Other ❑
Describe work:
L�
Penult Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 100 AMP ORSLESS
10.00
Main service EA. ADD'L 100 AMP
2.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
am licensed under p
❑ provisions of Cha t. 9, Div. 3 of the Business
and Professions Code and my license is in full force and effect.
License No. Classification
1, as the owner, or my employees with Wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ 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
NEW CONST. DWELLING occuP.el ,
OR ADDNS. ACC. SLOGS. Osgft
NEW CONST R. TI -OUTLET
NON.RESID BRA C CIRC TS [2.50 ea
POWER APPARATUS 6
SINGLE OUTLET CIR. )
Ex. OccU OUTLETS OR FIXTURES
p 20030tSALO 30
FIXED APPLNS. OR
Ex. Occup. OUTLETS (RESID.) EA.) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 15.00
Penult Fee $
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, -should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
Contractor
MECHANICAL PERMIT
Filing Fee 10.00
Heating
Cooling
g
Hood
3,00
Ventilation
permit Fee
f
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 b Iding construction, and hereby authorize representatives of the County of
But a to enter upon t above-mentioned property for inspection purposes.
I a o agree to save indemn and keep harmless the County of Butte against
all liabilities, j penses which may in any way accrue
a air'ssaid Count ns ce of the granting of this permit.
X Date —
Signature of Applicant — Owner 0 Contractor ❑ Agent
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
TOTAL PERMIT FEE o
OCCUP.
CONST.TTPC
JSCOOL[;��]N
PARCEL
PD
ND Issue
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated ab for which
By /TIE UB
PERMIT EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
IC WORKS
Date
'� ,/
Receipt No.
WHITE-D.P.W., YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT
S � r
COUNTY OF BUTTE - DEPARTMENT
,,OF PUBLIC WORKS -BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541
E
PERMIT APPLICATION DATA SHEET
Permit No.
OWNERt �_ f —
A. P. No.
r
Proposed Building Use Building Inspector_ Date
At time of permit application, I was advised the following data must be submitted prior to permit processing and/or is6uance:
DATE RECEIVED APPROVED
1. All items have been submitted . ....................................
2. Plot plans in duplicate/triplicate, signed by preparer of plans ........
3. Complete plans in duplicate/triplicate, signed by preparer of plans . .
4. Complete engineered plans and calcs, with wet signature on plans ..
5. Energy Design Compliance and supporting documentation .........
6. Statement of Intent for Non -Heated and AC Buildings ..............
7. Engineered truss details and layout in duplicate (required prior to plan check)
8. Mobilehome installation data including manufacturer's installation
instructions.......................................................
9. Fees of $ ..........................
10. Chico Urban Area fees paid ........................................
11. Park fees paid .....................................................
12. School District fees paid .................
13. Sanitation approval from Health Department ...
14. City of Chico plumbing permit ......................................
15. Plot plan and business license approval from City of r
(see City for other requirements)
16. Planning approval for (A) Use -.—(B) Parking: .........
17. Improvements may be required. tt'
18. Driveway permit (construction approval required prior to occupancy) ...
19. Pre -Inspection for required .... Pre-Inspec. request to
Building Inspector (Date)
20. Contractor's license information (No., Name Style, Classification) .......
21. Certificate of Workmans Compensation Insurance ....................
22. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ........
23. Recorded copy of Agricultural Acknowledgment Statement ............
24. Letter of signature authorization ..................................... 0
25.
26.
When you issue the permit, process as follows: Mail to owner. Mail to contractor.
_i.Z Telephone a—J SI and hold for pickup at�"office. Deliver w/inspector.
Other / /1 (\
C
Applicant m Date d �—
Copy of plans sent Health Dept., Fire Dept., Other Date
The following data must be submitted prior to permit issuance: (Circle new item not checked above),
1. Index permit for above items No.
2. Additional items required:
Contractor, designer, owner, was advised of above required data by_phone---jnaii_counter by date
Contractor, designer, owner, was advised of above required data by—phone —ma II—counter by date
Plans checked by Date Plans approved by Date
Sets of plans on hold in File cabinet AP folder
Copy—DPW
TO Buildinv Department
FROM: Environmental Health
SUBJECT: Sanitation Clearance
Owner Location AP#
Plan Approved for: Sewage Disposal Water Supply
Hold final for: Water Supply
Final clearance O.K..for: Water Supply
Clearance for _ bedroom mobile home. Other li—
NOTE * * *
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Sani arian Date
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COUNTY OF BUTTE - Department of Public Works
7 County Center Drive, Oroville, CA 95965
OWNER=BUILDER VERIFICATION
Phone: 916-538-7541
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 or no)
2. I (have/have not) C, signed an application for a building permit
for the proposed work.
3. I have contracted with the following person (firm) to provide the proposed
construction:
Name
Address City
Phone Contractors License No.
4. I plan to provi a portions of this work, but I have hired the following person
to coordinate u ervise, and provide the major work:
Name
Address City
Phone Contractors License No.
5. I will provide some of the work but I have contracted (hired) the following
persons to provide the work indicated:
Name r Address Phone Type of Work
Signed:
Property Owner )_Inmm�
Social Securit Num
Date
NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and
19832 of the California Health and Safety Code.
This verification must be completed and returned to our office before we are per-
mitted to issue the permit.
c
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
7 County Center Drive — Oroville, California 95965
Tel eptione: 534-4541
APPLICATION AND PERMIT
e
BUILDING
_
Owner
SQ. FT. OCC. BUILDING VALUATION
Mailing Address
Telephone No.
Contractor"
Mailing Address
Fireplace
Total Valuation
Telephone No.
---
Permit Fee _
Building Address
Plan Checking Fee&/or Penalty
Permit Fee
PLUMBING No.1 @ FEE
PERMIT FILING FEE $3.00
Each TraD 1.50
Repair drainage or vent piping 1.50
A. P. No. Zoning & Planning
Water piping 1.50
Each gas water heater or vent 1.50
Fees
W. C.
Sanitation
FireDept.
FireZone Use Permit
Gas piping system 1 -5 outlets 1.50
EQA
Parking
Plans
I Parcel
I Declaration
Parcel Map
1 60' R/W
Improvements"
Each additipnal outlet .30
—
Building sewer 5.00
Bldg. Plans Rec'd
Parcel A proval
Plans Approval
Lawn Sprinkler System gs" 2.00
NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ❑ ,
Permit Fee $
$
ELECTRICAL No. @ FEE
PERMIT FILING FEE $3.00
Main service 100 AMP ORV OR LE LESS5.00
Single Family ❑ Duplex Mobil Home Others ❑
Main service EA. ADO'L 100 AMP 2.50
Main service OVER e00V 25.00
100 AMP OR LESS
Main service EA. AOD'L 100 AMP 1.00
NEW CONS. DWELING OOR ADONST ( ACCLBLDGS,CCUP, S� 20sgft
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:
T
NEW RESID, BRANCH CIRCUITS-
NON-RESID, (BRANCH CIRCUIT_5 2.50ea
NEW C ON ST R.POWER APPARATUS a
NON -RES ID. (SINGLE OUTLET CIR.
Ex. OccuD(OUTLETS OR FIXT11RESFIXED
APLNS.
Ex. Occup.(OUTLETSP(RESID,)REA) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
License No. Classification
Misc. Wiring 6.25
I am exempt from the Contractors License Laws of the State of Cali fomia.
Permit Fee $
$ ,i ' "•
MECHANICAL No. @ 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.
PERMIT FILING FEE $3.00
Heating
Cooling
Ventilation
Hood 2.00
Permit Fee $
$
1 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 relatinq to buildinq construction, and hereby
Land Development Fee
$
TOTAL PERMIT FEE
$
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes.
X Date
Signature of Permitee 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 PUBLIC WORKS
By Date
auilding permit expires Date
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
7 County Center Drive — Oroville, California 95965
Telephone: 534-4541
APPLICATION AND PERMIT
authorize representatives or the (;ounty of t3utte to enter upon the
above-mentioned property for inspection purposes.
Xi� Date
Si ture of Permitee or Agent
Receipt No. _i _P ( -f < a
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.
DIRECTO,fbOF PUBLIC WORKS
BYDate—� f' %
Uilding per�itex�piresDate
BUILDING
OwnerSQ.
C re
FT. OCC. BUILDING VALUATION
Mailing Address
-
Tel
Contractor
Mailing Address
Fireplace
Total Valuation
Telephone No.
Permit Fee
Building AddressPlan
V l
Checking Fee&/or Penalty
Permit Fee
PLUMBING No.1 @ FEE
PERMIT FILING FEE $3.00
Each Trap 1.50
Repair drainage or vent piping 1.50
A. P. No. Zoning 8 Planning
��
Water piping 1.50
Each gas water heater or vent 1.50
F4615
�6etriietivfl
Fire Dept.
Fire Zone Use Permit
Gas piping system 1 - 5 outlets 1.50
EQA
Parking
Plans
Parcel
Declaration
Parcel Map
60' R/W
I Improvements
Each additional outlet .30
Building sewer 5.00
Parcel Approval
Plans Approval
Lawn sprinkler system 2.00
NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER
Permit Fee $
$
C_ 45
ELECTRICAL No. @ FEE
PERMIT FILING FEE $3.00
Main service 100v OR LESS
+oo AMP OR LESS 5.00
Single Family Duplex Mobil Home
9 Y P ❑ Q Others ❑
Main service EA. ADD'L 100 AMP 2.50
Main service OVER e00v 25.00
100 AMP OR LESS
Main service/ EA. AOD'L 100 AMP 1.00
NEW CONST. DWE`BLDGS.LING Ccup. Y\ 2¢Sgft
OR ADDNS. \ ACC
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
st %� le of:
NEW RESID. BRANCH CIR T
NON.CONST l BRANCH CIRCUITS) 12.50ea
NEW CONSTR. (POWER APPARATUS a
NON.RESID. SINGLE OUTLET CIR.
Ex. OCCuo(OUTLETS OR FIXTIIRES BAL2j
x. CCU FIXED APP LNS. OR
EQ2.00
P• ( OUTLETS (RESID.) EA)
Temporary service 10.00
1
`
Mobile Home Facilities' 15.00
License No. Classification
Misc. Wiring 6.25
I am exempt from the Contractors License Laws of the State of Cal ifomia.
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
o as to become subject to the Workmen's Compensation Laws of
California.
FEE
MECHANICAL N0.1 @PERMIT
FILING FEE $3.00
Heating
Cooling
Vent Non
Hood 2.00
-
Permit Fee $
$
1 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
Land Development Fee
is
TOTAL PERMIT FEE
$'
141
authorize representatives or the (;ounty of t3utte to enter upon the
above-mentioned property for inspection purposes.
Xi� Date
Si ture of Permitee or Agent
Receipt No. _i _P ( -f < a
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.
DIRECTO,fbOF PUBLIC WORKS
BYDate—� f' %
Uilding per�itex�piresDate
0
❑. .. >407707 W"I M.
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