HomeMy WebLinkAbout040-280-0494UAGLE, Dale 128-67B
.:93-67E 4
............... ...
040-280-049 00-30 ) +0-
2,8-4�9 Midway app 2mile south of Durham/HERMES, CARL ;addition
9115 MIDWAY, DURHAM CA 9%
CONTIZ: RON BUNCH av
WATER REPAIRS, SHE
ETRDCK
040.280.049 02-269 INALED
JOYNER,GREG O
9115 MIDWAY, DURHAM
REPLACE EX ELECTRIC SER
VIC
r+
of
A
�"MAN _-P LAND OF NATURAL WEALTH AND BEAUTY
PLANNING DIVISION
�- a? DEPARTMENT OF DEVELOPMENT SERVICES
�' � M101,
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965-3397
TELEPHONE: (530) 538-7601
FAX: (530)538-7785
January 31, 2003
Attention: Parke Noble
Evans Appraisal
1014 Sheridan Ave.
Chico, CA 95927
FAX: 342-4453
Re: Burn down letter for 9115 Midway, Durham, CA (AP 040-280-049)
To Whom it May Concern:
The above referenced parcel is currently zoned SR -1, (Suburban Residential, 1 acre parcels). This
zone allows for a single-family dwelling.
Should the dwelling be catastrophically destroyed it may be reconstructed to the same exact footprint
within one year, provided it will not be placed within the required building setback areas and meets
sanitation codes in effect at the time of reconstruction.
The setback requirements for the SR -1 zoning are 25 feet from the edge of the ultimate right-of-way
of the road and 10 feet side and rear yard property lines.
This parcel is not located within a (SRA) State Responsibility Area fire hazard designated area.
Should you have any further questions, please contact this office between the hours of 8:00 a.m. and
4:00 p.m., Monday through Friday, at 530-538-7212.
Si .rely,
Diana Shuey
Planning Technician II + `
1% CC: Building Division
J�
a
040-280-049 02-2695
JOYNER,.GREG ;
9115 MIDWAY, DURHAM
REPLACE EX ELECTRIC SERVICE
OFFICE COPY.
Address
GAS
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Meter By
Date
ELECTRIC
cl�
Date�Q' 7
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F'
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-754 P RMIT o
(Rev. 12/96) APPLICATION AND PERMIT G �-'aZg6-
ASSESSOR PARCEL NUMBER cllt /�
ZONS n ,
1,519-9361-
BUILDINGPERMIT
OWNER
nJUCA
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
OWNERSP�IIJN
. 'psv A I ✓V C
�wy(� v
`
959,97:7
CONTRACTOR'S NAME
TELEPHONE
CONTRACTORS MAILING ADDRESS
CONSTRUCTION LENDER
Fireplace
LENDER'S MAIUNG ADDRESS
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee $ 20.00
Permit Fee $
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee $
BUILDING ADDRESS
Energy Plan Checking Fee $
$
PERMIT FEE $
LOT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT Filing Fee 20.00
Each Trap 7.00
USEOFSTRUCTURE
SF; Duplex ❑ Mobilehome ❑ Other
SPECIFY
Solar or heat pump water heater 23.00
Water piping 15.00
Each gas water heater or vent 15.00
TYPE OF WORK
New ❑ Addition ❑ (Remodel ❑ Utilities ❑ Installation C3 Other ff.
Describe Work: ) ���_ y.��[,E�-4 ,���
+ y 1
Gas piping system 1 - 5 outlets 15.00
Building sewer 15.00
Mobile Home I S I G I W @20.00
PERMIT FEE S
ELECTRICAL PERMIT Fling Feel 20.00
Main Service zo.A OR LESS 23.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license is in full force and effect.POWER
License Class Lic. No.
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
I, as owner of the property, or my employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
❑ I, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
❑ 1 am exempt under Sec. Business and Professions Code for this
reason
Main Service TO I 46.00so
WEE200A
NEW CONST. DWELLING OCCUP. SO
U
OR ADDNS. a ACC. eLDS. 3.5QFT:
r,GµFIES'D T. MULTI.O'Rg 97,50
APPARATUS
8 .INOLE OurLET CI R.
20
Pon
Ex. Occup. OImPTORURES BAL o': o
Ex. Occup. ouriEEDrs(RRE�sI ) E 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring 23.00
PERMIT FEE $
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a cerfificate of consent to self -insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
❑ 1 have and will maintain workers' compensation insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permit is issued.
My workers' compensation insurance carrier and policy number are:
Carrier
Policy Number
(rhe above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
I certify that in the performance of the work for which this permit is issued, I shall
not employ any person in any manner so as to become subject to workers'
compensation laws of California, and agree that if I should become subject to the
workers;,compensation provisions of section 3700 of the Labor Code, I shall
forthwith comply with those provisions.
X Date !U VCT
Signature of ¢pli�a.t - wfne p1�Contractor ❑Agent
An OSHA permt r�gfuired for excavations over 5'0" deep and demolition or construction
of structures over 3 stories in ie ght.
MECHANICAL PERMIT Fling Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEE $
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
3
o_ • .TYPE (43-00 I
TOTAL FEE $ "t 3 , �(�
HAZ.
D. FE IMP
FLOOD
CDF
PARCEL
PD
HD
ISSUE
f,f
This permit is hereby issued under the applicable provisions
of the Butte County Code and/or Resolutions to do work
indicat d above for which fees have been paid.
/} �7i_
ByT ,7/na a&.C', �cc� Date 7 c>,* 0,;
PERMIT EXPIRES ON 7 d& 70.3
Date
Receipt No. 9(e)0 -3W 4 4%3-aD
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
F2
�l
- I
COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION
7 County Center Drive Oroville, California 95965 • Telephone (530) 538-754 P R o
(Rev. 12/96) APP LICATION AND PERMIT C�
ASSESSOR PARCEL NUMBER ®_oe?c0._ ( I
OO C�_
`i' aI
ZONS 2 `
BUILDING PERMIT
OWNER
c
TELEPHONE
T61-430
SO. FT. OCC. BUILDING VALUATION
.OWNER'S `LI�{.r )( , / 50
V/
95-9 ^ 3
Yom(
CONTRACT 'S//L`ff//NA//ME
TELEPHONE
CONTRACTORS MAILING ADDRESS
CONSTRUCTION LENDER
Fireplace
LENDER'S MAILING ADDRESS
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee
$ 20.00
Permit Fee
$
ARCHITECT OR ENGINEERS MAIUNG ADDRESS
Plan Checking Fee
$
BUILDING ADDRESS
Energy Plan Checking Fee
$
PERMIT FEE
$
LOT NO.
SUBDNLSIOWS NAME
PARCEL MAP
PLUMBING PERMIT
Filing Fee 20.00
Each Trap
7.00
USEOFSTRUCTURE
SFX Duplex ❑ Mobilehome ❑ Other
SPECIFY
Solar or heat pump water heater
23.00
Water piping
15.00
Each gas water heater or vent
15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Otheer�,,K
Describe Work: 166 0�9�
Gas piping system 1 - 5 outlets
15.00
Buildingsewer
15.00
Mobile Home S G W
@20.00
PERMIT FEE
S
c
ELECTRICAL PERMIT
Fling Fee 20.00
OO O
Main Service 20.A0A ORR "ss'
23.00 3,00
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..11N.
License Class Lic. No.
DECLARATION
I 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.
❑ 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
Main Service TO
46.00So
CCU000A
NEW CONST. DWEWNG OCCUP.
W:O
OR ADDNS. ( 8 ACC. BLDS.
SO
3.5¢FT.
tNpµRc ,. MULTI.OUTLET
@7,50
SPOINGLE OUTLET WER APPARATUCIRS .
Ex. Occu OUTLET OR FORUREs
Zu � 1.00OWNER-BUILDER
BAL @ .SO
Ex. Occup. GF"cLITLEEo�A RM.ORX
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wirina
23.00
PERMIT FEE
_
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
❑ I have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
❑ I have and will maintain workers' compensation Insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permit is issued.
My workers' compensation insurance carrier and policy number are:
Carrier
MECHANICAL PERMIT
Fling Fee 20.00
Heating
Cooling
Hood
6.50
Ventilation
PERMIT FEE
$
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.)
XTOTA%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'
comp sation laws of California, and agree that if I should become subject to theLoll
w Impensation provisions of section 3700 of the Labor Code, I shall
I ith c ply with those provisions.
p��l�J/-
Date 7 7C)a _
Signature of Ii a t - -Contractor ❑ Agent
An OSHA perm) ' r wired or a cavations over 60" deep and demolition or construction
of structures over 3 stories in eight.
Mobile Home Installation Fee
$
Energy Inspection Fee $
occ3
TYPE
L FEE $ (43 . oo
HAz.
D. FE MP
FLOOD
COF
PARCEL
PD
HD
ISSUE
This permit is hereby issued under
of the Butte County Code and/or
indicat above for which fees have
By
PERMIT EXPIRES ON
the applicable provisions
Resolutions to do work
been paid.
Date
1
C) (0
Date
Receipt No. >
WHITE-D.D.S.-B.D. CANARY - ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
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
- ur` building permit. No building permit will be issued until this
in processing and issuing yo
verification'is received.
1. I personally plan to provide the n�afor labor.and materials for construction of the proposed
. , {.. p/
property impr went: YES NO C3
2. I HAVE HAVE NOT 0 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:
.'`.•" , Y` ADDRESS. CITY:
PHONE: CONTRACTOR'S LICENSE NO.
x 4. I plan to provide portions of this work, but I have hired the following person to coordinate,
supervise, and provide the major work:
NAItilE:
ADDRESS: Com:
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:
X PROPERTYO
SOCIAL SECURITY NUMBER:
D<DATE: 19 12— G'Z o Z
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
N:
OWNER BUILDER INFORIVIATION
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 subcontraM you should
be aware of the following information for your benefit and protection:
♦ Ifyou employ or otherwise engage any persons other than your immediate family, and the work (including materIab
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.
♦ 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.
♦ 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.
♦ 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 "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 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.
Mr rely,
A 6k,
WVC.B.O.
M C
er,
Building Inspection
NOTE: Tint Owner -Builder Information is required by Section 19830 of the CaWornla Health and Safety Coda
OVER
5
SPECIAL CONDITIONS
SRA
FLOOD CERTIFICATE REQ.
FIRE SPRINKLERS REQ.
SPECIAL INSPECTION ITEMS
VERIFY
USE PERMIT CONDITIONS
SUB -STANDARD HORSING LETTER
I
JOB FINALED Date
Signature
CHECKED
BY
RESIDENTIAL
040-280-049 00-3065 I
HERMES, CARL
9115 MIDWAY, DURHAM CA
CONTR: RON BUNCH
WATER REPAIRS, SHEETROCK
l�
5
SPECIAL CONDITIONS
SRA
FLOOD CERTIFICATE REQ.
FIRE SPRINKLERS REQ.
SPECIAL INSPECTION ITEMS
VERIFY
USE PERMIT CONDITIONS
SUB -STANDARD HORSING LETTER
I
JOB FINALED Date
Signature
CHECKED
BY
V= OK
0 = Not OK
- = Not Applicable =Not Ready RESIDENTIAL (Single &
Date Underfloor (Plans) OK except #'s
1. Zoning -Setbacks -Easements -Flood -Slope
2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg, Depth
3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ P' Ftg. Depth
4. Ftg., Porches & Decks; Soils -Steel-/ P Ftg. Depth
5. Stemwalls, Main; Steel-Blockouts-Wrapped
6. Stemwalls, Garage; Steel-Blockouts-Wrapped
6a. Hold Downs and Special Anchors
7. Slab, Steel -Wrapped
8. Piers -Fireplace Ftg.-Steel
9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test
10. UF, Gas Pipe; Size Anchors - Yard Gas Piping; Size Test
42. Bearing Walls over Girders & Floor Nailing
43. Draft Stop in Walls (rat proof)
44. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs
45. Headers & Beams -Size & Bearing
v" 1
Duplex) .0'- -..•
Date FRAMING (Continued) -
46. Hangers -Post Caps -Anchors -Connectors
47. Cling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rfng.
48. Fireplace Ties or Type A Flue -Fireplace Throat Clearance
49. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
50. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions
51. Garage Fire Protection Framing
52. Property Line Firewall & Openings
53. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits
54. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
55. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
56. Siding -Nailing Veneer
57. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access
58. Glazing Area -Glass Protection -Skylights -Plastic
59. Shear Walls; Nailing -Bolts
60. Brace Interior/Exterior Wall Panels
61. Insulation -Walls -Ceilings,
62. Infiltration -Walls -Windows
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date FINAL (Plans) OK except #'s
xt. Steps -Door & Sidelight Protection -Landings
Smoke Detector
umace Vents -clearance -Comb, Air -Connector -
In Garage; Above Floor-Ducts-Mech. Protection
rffom Exiting
G.F.I. & Bath Fixtures & Tub Access -Spa
lec. Trim & Subpanel, Breaker Sizes & Labels
airs & Rails
Clearance -Hearth
5-71. Elec. Outlets at Wood Panel, Int. & Ext.
it. Fixt. & Appliance; Ground -Air Gap -Cooking Clearance
at Kit. Counter
a Door; Swing -Landing -Closure
e19_A.C_D,Zt in Garage -Damper
Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V.
in,aa-rage; Above Floor-Mech. Protection
7PI Plb., Elec. & Mech. Equip. Listed for Location
Receptacles in Garage (F.F.I.)-Romex Protection
7g �nEnfation-Foam-Looked in Attic
u its & Deck Construction -Post Caps
Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth
Clearance Looked under Floor O Yes
oto ' stld./Drive J Yes J No/Walks J Yes J No/Planters :j Yes J No
Stucc n -Finish
A.0 sconnect, Electrical -Plumbing
Vents I'- - Roof, Plbg-Appliance-Fireplace-Clearance to Openings
isconnect, Electrical,
Trim, G.F.I. Recepta
roughout House
0 orrections from Previous Inspections
s est -Meters Tagged, Gas -Electric
r ater & Sewer Connected -C/O to Grade -HD Approval
nergy Compliance Certificate -Other Certificates
mess Posted
Date 7,213 Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Comments at Final:
11.
Water Pipe; Test -Anchors -Regulator -Service Test
12.
Electric Underground
13.
Plenums & Ducts; Clearance -Material -Support -Ins.
14.
Girders -Sills -Anchor Bolts -Joists- Vent s-Crippies
15.
Access & Ventilation
16.
Insulation
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1 r
Date
PLUMBING (Permit) OK except #'s
17.
Water Htr.; Vent -Access -Combustion Air Baffle
18.
Water Pipe; Test & Anchor -Nail Protection
19.
D.W.V.; Test Fittings & Anchor -Nail Protection
20.
Shower Pan; Test, First Floor -Tub Access
21.
Test Tub & Shower, Second Floor -Tub Access '
22.
Gas Pipe; Sixe & Anchors
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
ELECTRICAL (Permit) OK except #'s
23.
Fixture & Transformer Clearance -Ins. Protection
24.
Elec. Receptacles Spacing -Lights & Switches at Doors
25.
Size Boxes & No. of Conductors Stapled
26.
Romex Installed. Close to Edge of Studs & C.J.
27.
Equip. Ground made up w/Mech Fasteners -Bond Gas & Water
28.
2 Appliance Circuits in Kitchen & Conductor Size GFI
29.
Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or At
30.
Range Circle / / ga Cu or AI -Oven Circ. / / ga Cu or At
Insulated Neutral O Yes ❑ No
31.
Service -Riser Conductors & Ground Main Disconnect
32.
Equip. Clearances Panels-Motors-Mech. Equip.
33.
Clothes Closet Light -Shower Light -Spa Light
34.
Smoke Detector
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
MECHANICAL (Permit) OK except #'s
35.
A.C. Ducts Insulation & Support
36.
Vent Fan, Exhaust above insulation
37.
Condensate Drain & Overflow, Size & Grade
38.
Furnace -Vent Access -Comb. Air -Return Air Vent 115 outlet
39.
Attic Access & Platform if Furnace in Attic
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
FRAMING (Permit) OK except #'s
40.
Sills Proper Materials & Anchors
41.
Walls Studs -Nailing Spacing & Braces -Plates -Sound
42. Bearing Walls over Girders & Floor Nailing
43. Draft Stop in Walls (rat proof)
44. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs
45. Headers & Beams -Size & Bearing
v" 1
Duplex) .0'- -..•
Date FRAMING (Continued) -
46. Hangers -Post Caps -Anchors -Connectors
47. Cling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rfng.
48. Fireplace Ties or Type A Flue -Fireplace Throat Clearance
49. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
50. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions
51. Garage Fire Protection Framing
52. Property Line Firewall & Openings
53. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits
54. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
55. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
56. Siding -Nailing Veneer
57. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access
58. Glazing Area -Glass Protection -Skylights -Plastic
59. Shear Walls; Nailing -Bolts
60. Brace Interior/Exterior Wall Panels
61. Insulation -Walls -Ceilings,
62. Infiltration -Walls -Windows
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date FINAL (Plans) OK except #'s
xt. Steps -Door & Sidelight Protection -Landings
Smoke Detector
umace Vents -clearance -Comb, Air -Connector -
In Garage; Above Floor-Ducts-Mech. Protection
rffom Exiting
G.F.I. & Bath Fixtures & Tub Access -Spa
lec. Trim & Subpanel, Breaker Sizes & Labels
airs & Rails
Clearance -Hearth
5-71. Elec. Outlets at Wood Panel, Int. & Ext.
it. Fixt. & Appliance; Ground -Air Gap -Cooking Clearance
at Kit. Counter
a Door; Swing -Landing -Closure
e19_A.C_D,Zt in Garage -Damper
Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V.
in,aa-rage; Above Floor-Mech. Protection
7PI Plb., Elec. & Mech. Equip. Listed for Location
Receptacles in Garage (F.F.I.)-Romex Protection
7g �nEnfation-Foam-Looked in Attic
u its & Deck Construction -Post Caps
Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth
Clearance Looked under Floor O Yes
oto ' stld./Drive J Yes J No/Walks J Yes J No/Planters :j Yes J No
Stucc n -Finish
A.0 sconnect, Electrical -Plumbing
Vents I'- - Roof, Plbg-Appliance-Fireplace-Clearance to Openings
isconnect, Electrical,
Trim, G.F.I. Recepta
roughout House
0 orrections from Previous Inspections
s est -Meters Tagged, Gas -Electric
r ater & Sewer Connected -C/O to Grade -HD Approval
nergy Compliance Certificate -Other Certificates
mess Posted
Date 7,213 Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Comments at Final:
4; Q
/= OK N
0 = Not OK
- = Not Applicable MOBILE HOMES
= Not Ready
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./ PLPG
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
8.
-Approval
Gas and Electricity Tagged
9.
Tie Downs -Type -Installation Cert.
10.
Exits; Insp.-Sketch
11.
Cert. of Occupancy
12.
Permanent Foundation Only; License Decal
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
FINAL (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 in Conduit
9. Health Department Approval
10. Plumb.; Cir. Test -Water Supply Test
11. Liaht Niche
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7` County Center Drive Oroville, California 95965 • Telephone (530) 538-7541P RMIT NO.
(Rev. 12/96) APPLICATION AND PERMITa 5
ASSESSARCELNUMBER
R0�+0-280-049
ZONING
j
BUILDING PERMIT
OWNERCARL HER)CS
T899 NE
SO. FT. OCC. BUILDING VALUATION
EST 8,000.00
.OWNERS MAILING ADDRESS
9115 MIDWAY DURHAM 95938
CONTRACTOR'S NAME
RON BUNCH
TELEPHONE
91-1104
CONTRACTORS MAILING ADDRESS
9 LAGUNA CT CHICO 95928
CONSTRUCTION LENDER
Fireplace
LENDER'S MAILING ADDRESS
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee $ 20.00
Permit Fee $
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee $
SUILDINGADDRESS
9115 MIDWAY,
Energy Plan Checking Fee $
$
PERMIT FEE S
LOT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT Filing Fee 20.00
USEOFSTRUCTURE
SF CX Duplex ❑ Mobilehome ❑ Other
SPECIFY
Each Trap 7.00
Solar or heat pump water heater 23.00
Water piping 15.00
Each as water heater or vent 15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other 15
Describe Work: WATER REPARI, SHEETROCK CEILING, ROOF
REPAIR
Gas piping syste!!! 1 - 5 outlets 15.00
Building sewer 15.00
Mobile Home I s I G I W I@20.00
PERMIT FEE S
ELECTRICAL PERMIT Filing Fee 20.00
Main Service '.OA OR LESS 23.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license is in full force and effect.
License Class H/W I No. �%ARA / 3
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
❑ I, as owner of the property, or my employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
❑ I, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
❑ 1 am exempt under Sec. Business and Professions Code for this
reason
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
perto—rmance of the work for which this permit is issued.
I 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%s "4:1,../GN
Policy Number pV6 - ca / Z`{Z�S
(The above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
❑ 1 certify that in the performance of the work for which this permit is Issued, I shall
not employ any person in any manner so as to become subject to workers'
compensation laws of California, and agree that H I should become subject to the
workers' compensation provisions of section 3700 of the Labor Code, I shall
)forthiwi ith those provisions.
X �_ Date / Z -Z5 -0 6
Signs ure of Applicant - ❑ Owner FContractor ❑ Agent
An OSHA permit is required for excavations over 60" deep and demolition or construction
of structures over 3 stories in height.
Main Service 200A TO 1000A 46.00
NEW CONST. DWEwNG OCCUP. 3.51tso
OR aNS. (
MUAu�i ou�TLEST
NON•RESID. @7.50
POWER APPARATUS
8 SINGLE OUTLET CR.
Ex. Occup. OUTLET OR FDRURES B20 ® 1.W
FIXED O
Ex. Occup. ouT Ts AEsio1EA. 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc.*Wiring 23.00
PERMIT FEE S
MECHANICAL PERMIT Filing Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEt S
Mobile Home Installation Fee $
Energy Inspection Fee $
Occ
CONST. TYPE
TOTAL FEE $ 119.00
HAZ.
D. FEES IMP
I FLOOD
I CDF
PARCEL
PD
I HD
ISSUE
This permit Is hereby Issued under the applicable provisions
of the Butte County Code and/or Resolutions to do work
indicated ab for which fees have been paid.
Da /
PERMIT EXPIRES ON c5r)—c-11 '-
ata
ReceiptNo. 309368/$119.00
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT