HomeMy WebLinkAbout040-670-01600- &'70-010
Ad9�65A-968— 0:
SCI-IUSTER, STEVE"
1812 PASSATIEMPO, C
ELECTRIC SERVICE
040-670-016 0
SABIN, JULIA
1812 pasatiempo
NSF 4 bdr.
040-670-016
SABIN-STEPHEN'S,
1812 PASA TIEMPO, CHICO
Cont: ADONIS POOLS
POOL(MSTR#01-507)
MISCEL 6 ¢1A Ad
POOL HOUSE: L 4
1812 PASATIEMPO DR
STEPHENS, DARRYL/SABIN,
..3 BUTTE COUNTY
° �0 Tr ° DEPARTMENT OF DEVELOPMENT SERVICES
° ° BUILDING PERMIT
° ° 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO)
o - - o OFFICE #: (536) 538-7541
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
the Business and Professions Code, and my license Is in full force and
effect. �-•�
License Class : G License 8mber.
Date: _ Contractor:
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the
Contractors' State License Law for the following reason (Sec. 7031.5
Business and Professions Code: Any city or county which requires a
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
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
she is exempt therefrom and the basis for the alleged exemption. Any
violation of Section 7031.5 by any applicant for a permit subjects the
applicant to a civil penalty of not more than rive hundred dollars ($500).):
O I, as owner of the properly, 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
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
sale. If however, the building or improvements are sold within one
year of completion, the owner -builder will have the burden of
proving that he or she did not build or improve for the- purpose of.
sale.).
❑ I, as owner of the property, am exclusively contracting with
licensed contractors to construct the project (Sec. 7044, Business
and Professions Code. The Contractors' State License, Law does
not apply to an owner of property who builds or Improves therepn„
and who contracts for such projects with a contractors) Iicensed'
pursuant to the Contractors' State License Law.).
❑ 1 am Exempt underArticle 3 of the Business and Professions Code
Dale: Owner:
WORKERS' COMPENSATION DECLARATION
I hereby affirm under penally of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -Insure for
workers' compensation, as provided for by Section 3700 of the
Labor Code, for the performance of the work for which this permit
is Issued.
❑ 1 have and will maintain workers' compensation Insurance, as
required by Section 3700 the Labor Code, for the performance of
the work for which this permit is issued. My workers' compensation
insurance carrier and policy number.are:
Carrier:
Policy #:
❑ 1 certify that in the performance of the work for which this permit Is
issued, I shall not employ any person in any manner so as to
become subject to the workers' compensation laws of California,
and agree that if I should become subject to the workers'
compensation provisions of Section 3700 of the Labor Code, I shall
forthwith comply with those provisions.
Date:
Applicant:
WARN ING:Failure tecure workers' compensation coverage is
unlawful, and shall ject an employer to criminal penalties and one
hundred thousand dollars (5100,000), In addition to the cost of
compensation, damages as provided for in Section .3706 of the Labor
code, interest, and attorney's fees.
PERMIT NO.
BP061973
Issued Date: 08/30/2006 APN: 040-670-016-000
Site Address: 1812 PASATIEMPO DR DUR
Map Index:
Description: POOL MASTER.01-507
Owner: STEPH.ENS DARRYL G & JULIA L SABIN
1812 PASATIEMPO DR
DURHAM, CA
95938-9524
Applicant: ADONIS POOLS
12 PHEASANT -RUN COURT
CHICO, CA 95973
530-891-1197
Contractor: ADONIS POOLS
12 PHEASANT RUN COURT
CHICO, CA 95973
530-891-1197
License #: 266839
Architect:
Engineer:
Total Square Ft:
Valuation:
Census Code:
CONSTRUCTION LENDING AGENCY., inis.F
I hereby affirm that there is a construction lending agency for the . Resol
performance of the work for which this permit is Issued (Sec 3097 Civ.)
Name:
By:_
Address:
,- -L)
It Is heregy
is to do/Noi
PERMIT EXPIRES 0
0 S. F.
$0.00
Issued under the Ilcable provisions of the Bull
•k Indicated above f9k which fees have been paid.
Date: J
0-6
zW�=
County Code and/of
❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safely Code, which regulate the storage,
handling and use of hazardous materials.
❑ Notification in accordance with Section 19827.5 of California Health & Safety Code Is not applicable to the scheduled construction of this project.
O Attached are copies of the required E.P.A. notification forms.
I•hereby certify that I have read this application, that the above Information Is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with
all county and slate laws relating to building construction. I acknowledge It Is unlawful to alter the substance of any official form or do ument of Butte County. I hereby
authorize representatives of Butte County to enter up th bove mentioned property for Inspection purposes.
Print Name: / 1-jQ L4+ Signature:
Dale:
0 Owner 0 Contractor 0 Agent for Owner Agent for Contractor
0
0
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT APPLICATION
AND SUBMITTAL REQUIREMENTS
24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834
OFFICE #: (530) 538-7541
A FEE WILL BE REQUIRED AT TIME OF APPLICATION
OWNER
Name
Address
City Ch jLr
Zip
Phone®
Fax
E-mail
ARCHITECT N INE
CONTRACTOR
Name
a
Address/�,
�/ �y
City
Fax 342. " 3 J-7 2-
Stated
/�'
Zip
Phone
Lot#
Fax
E-mail
Date Approved:
Llc. #�lOg Clas� Jr
ARCHITECT N INE
Name CAL 8864 M
Address 3 0L,—r GAgjUE� LA rje
city C" 1 c v
State CA
1 'PT 5
Phone . .Z _
Fax 342. " 3 J-7 2-
E-mail
E -mail
shale uoefe;e Number
$ (o$rJ.j
APPLICANT NAME
Name pt�o i`i iS �gpl.r�
Address v2- P o CW C_, A-& -V P- U r J C(
City c o l c o
State CA
Zip 9 9-l.
Phone Sq t _ 1191
Fax �'q 1 —1 1019
E-mail
For office use n
-
Zoning
Flood Zone ' SRA Yes No
Occ.
Type Const
Subdivision Name
Map Book
Page
Lot#
Planner
Date Approved:
UVEB FOR SUBMITTAL REQUIREMENTS
T
PERMIT
TZ J97
BP
BIN #
LOCATION
AP# i
WAdreSSA���
Cross street
WORKER'S COMPENSATION
Policy Number 01) 6 014 7 -
Carder
Carrier S -Ce C0ilk? WS. R,WD
Hhhtng anyone other than Ikense contractors, a cord icate of worker's
compensation must be shown at the time of permit issuance.
LENDING AGENCY
Name
Address
D cjiptlono
cope of Work:
G1- i
51/U t M IM t W 6� Pbo(_
Sq. Footage
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.
Received . Amount:
SRA
Receipt #: � � � _Sheriff
Q nVl SMTP
Date: (P 00 other
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 :
www.buttecounty.net/dds -
OWNER: Ga�yASSESSOR PARCEL NUMBER
Proposed Building Use1 JU Permit Technician: Date: ` Le -6
Items required in order to apply for a permit All boxes MUST be licked OR marked NA in or er t pply.
d? 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. y
❑ 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 stam ed and wet-si ned b the en ineer. - - - -�
10 Flood Elevation Certificate, wet -stamped and signed, in duplicate:
❑ 11. Hazardous Material Form.
12. Acknowledgement of building permit application without required clearances.
❑4ainji't
13. Other
r Remsneeded to issue the permit. (May require additional plan review upon receipt of the following items.)
Sanitation and site plan approval from the Environmental Health Department in ❑ Chico ❑ Oroville, as applicable
❑ Fire Sprinklers
❑ 16. Agricultural Buffer clearance and site plan approval from the Ag Commissioner's office '
❑ 7. Soils Report and/or Engineered Foundation required.
r .❑ 18...Erosion Control Plan Required.
19. Fees as shown on the attached Schedule of Fees Due Sheet. - -� :. �_f � �G✓ w tJ-Y r t
❑ 20. City of Chico Plumbing permit. 4.4- )
❑ 21. Site plan and business license approval from the City of Biggs.
❑ 22. California Department of Forestry plan approval ❑ paid. ' X
p' 23. Planning approval for (A) Use: (B)Parking: (C) Parcel Check:
❑ 24. Contact Land Development about _ Improvements, _Drainage.
❑ 25. Fire Marshall Review (commercial projects only).
-6 26. NPDES Form
❑ 27. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy).
❑ 28. Contractor's license information. (Number, Name Style, Classification).
❑ 29. Worker's Compensation Carrier and Policy Number. .
❑ 30. Owner -Builder Verification (_ Given to owner, _ Mailed to owner).
❑ 31. Letter of Signature authorization.
❑ 32. Recorded copy of Agricultural Acknowledgment Statement. 3'
❑ 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 �a I and hold for pickup.
I have been informed of the above items and requirements for obtaining a building permit -
Applicant: �Cl��l �' d Date:
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, and other department costs are not refundable.
Oriainal-Awlicant
r"
`
6 TV BUTTE
Received from T Sul RE EIPT
71e Sum of 4 5
.`
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For
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CHECK Title
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___ ,30)"°,511 rm By
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COUNTY OF BUTTE -DEPARTMENT OFbEVELOPMENT SERVICES -BUILDING DIVISION
7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140
PERMIT APPLICATION DATA SHEET�'-
�°
OWNER: ASSESSOR PARCEL NUMBER
Proposed Building Use Uyl G 1C 1� Permit Technician: Date: LeG
Items required in order to apply for a permit All boxes MUST be checked OR marked NA in ordei t apply.
lip 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.
❑ 4. Engineered truss details and layouts in duplicate. No faxesl
❑ 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 AIC for Non -Residential Buildings.
�'k0 8. Manufactured homes: (A) Installation manual, including marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in
duplicate.
❑ Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicpte. All of these
st be stampedand wet -signed b the engineer.
' Flood Elevation Certificate, wet -stamped and signed, in duplicate. ok S ee y'Lood Uk. f-
., ❑ 1 Hazardous Material Form C r dsC
12. Acknowledgement of building permit application without required clearances.
❑ 13. Other
R /a! items needed to issue the permit (May require additional plan review upon receipt of the following items.)
14 Sanitation and site plan approval from the Environmental Health Department in ❑ Chico ❑ Oroville, as applicable
❑ Fire Sprinklers............................................................................................
❑ 16. Agricultural Buffer dr and site plan apr from the Ag Commissioner Sent by
❑ 17: Soils Report and/or Engineered Foundation required .....................:....................
❑ sion Control Plan Required...................................................:.. ......
19 as shown on the attached Schedule of Fees Due Sheet T- ..... t. � ...
❑ 20. City of Chico Plumbing permit........................................................................
❑ 21. Site plan and business license approval from the City of Biggs ..............................
❑ 22. California Department of Forestry Ian approval Elpaid. Sent by: fir...
t9' 23.. Planning approval for (A) Use: t (B) Parking: (C) Parcel Check: ...... 1 0
❑ 24. Contact Land Development about -Improvements, -Drainage ........................
0 25. Fire Marshall Review (commercial projects only). Sent by: ......................
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 ..........................................
❑ 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 �� �� C I and hold for pickup.
I have been informed of the above items and requirements for obtaining a building permit.
Applicant �t L D C-�j Date:'
1. Index permit appTicatio �e above items numbered: Plan Check Letter
2. Additional items required t1. 1 G
Cbntractor, 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 ab ,ve data b ❑ phone, 11 mail, El counter, by Date:
Plans reviewed by: -v� Date: ` .'cPlans approved by: /�l�e.� Date:
Structural reviewed by: Date: Structural approved by: Date:
Note transfer by: Date:
�" .,y Yellow: Building Division
� �: Ci ci_r �
Y:;=3;af..•
e,o
Public
r.� o C f B U t t e
IAND DEVELOPMENT DNISION
J. Michael Crump, Director
V. Storm Water Management Program
;\ 7 County Center Drive
Oroville, CA 95965
p�UC WfoF�s (530) 538-7266
(FAA 538-7171
National Pollutant Discharge Elimination System (NPDES) Phase 11
Construction Storm Water Permit and Storm Water Pollution Prevention
Pian (S1lPPP) Acknowledgement (LESS THA1tid 1,4CRE�
Project Description:
Project Location and/or Parcel Number:
6 0/o� &
AA 0
c.
r
By signing below, L the project owner/owner's agent, certify that this project WILL NOT DISTURB
1 acre or more of land and that L 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.
Butte County Department of Development Services ,$' *rFo
7 County Center Drive
Oroville, CA 95965
(530) 538-7601 Telephone
(530) 538-7785 Facsimile c0U Nay
BUILDING PERMIT APPLICATION WITHOUT REQUIRED CLEARANCES
I request and authorize the Building Division to process this building pen -nit application through the plans
examination process WITHOUT first obtaining all necessary, related permits and clearances from other
regulatory entities, including but not limited to, Planning, Environmental Health, . Land Development,
County Fire, and Agriculture.
I hereby acknowledge:
I need to submit applications for septic and/or well to Butte County Environmental Health
immediately.
® I ant required to bring the approved Environmental Health site plan and approved sanitation
clearance to the Building Division as soon as clearance is obtained
0 I am responsible for notifying Development Services, in writing, to stop processing of the
application and to arrange for disposition of plans
The Building Division will process the application through the plans examination process, as submitted,
without input from other regulatory entities that could prohibit issuance of the building_ permit or rgquire
submission of amended building plans to the Building Division. Once the plans examination process
begins, there will be no refund of plans examination fees. Any changes requiring submission of amended
plans to the Building Division will incur additional fees.
Within one year from the date of application for a building permit, all other required permits and clearances
from other entities must be obtained for the permit to be issued. Failure to obtain these permits/clearances
will void the application.
Typically other required permits/clearances include, but are not limited to, verification the parcel was
legally created, adherence to. all mitigations and conditions imposed on the parcel at time of creation, as well
as zoning requirements, legal access, and applicable set -backs and environmental issues (fire, agriculture
buffer zones, and habitat/species).
Please print: cp 70,914
Applicant Name: ��Z,`jjf �LN APN:
e -
Building site address: �j��✓i� Permit No.:
I have read, understood and accept the terms and conditions as expressed herein as indicated by my
submission of the above -referenced building permit application and my signature below:
Z'Z 5 t. ��_ � I � - -.,. e
SIG AT F APPLICANT DATE
NOTES
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RESIDENTIAL
r —10-; 1-44-10--(. v--, 7-a=otco
02-0346
SABIN, JULIA
I 1812:.PASATIEMPODR, CHIC(
NSF 4Bk
0/cffeo
OFFICE COPY
Address
GAS
ll
Meter By -Z DateDate
ELECTRIC
Meter By Date
,SPWAL,CONDITIONS
CHECKED,
BY
FLOOD CERTIFICATE REQ. --
FIRE SPRINKLERS REQ.
SPECIAL INSPECTION ITEMS
VERIFY
USE PERMIT CONDITIONS
.SUB -STANDARD HOUSING LETTER
11111 ii, o:
JOB FINALED (Date) i v -'o
Signature �dcyo�
V= OK
0 = Not OK
= Not Applicable
= '
Not Ready
MOBILE HOMES
Date
MOBILE HOME UTILITIES (Plans) OK except #'s
Date MOBILE HOME INSTALLATION (Plans) OK except #'s
1.
Zoning Requirements -Setbacks -Easements
2.
2.
Soils; Special MH Support Sketch
Gas; MH Test -Demand -Valve -Connector
3.
Sewer; Location -Test -Fall -C/O -Concrete
5.
4.
Water, Location -Test -Easement Needed (Sketch)
Water; MH Test -Regulator -Connector
5.
Electricity; Location-Clearances-Grnd-/ /Amp -Concrete
8.
6.
Gas; Location -Test -Wrap;-/ /" L'ft.
/ /'Nat. or/ /"L"ft./ PLPG
a
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 Cent.
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
I
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- Bea ms- Rhrs.-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.
Light Niche
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
✓ = OK
0 = Not OK
= Not Applicable RESIDENTIAL (E
= Not Ready
Date Un rfloor (Plans) OK except #'s
ning-Setbacks- Ease ments-Flood -Slope
Fn; Soils -Flet. Grnd.-/ /" Ftg. Depth
arage; Soils-Steel-Elec. Grnd.-/ P' Ftg. Depth
tg., Porches & Decks; Soils -Steel-/ f, j' Ftg. Depth
:±!: � mwi , Main; Sfeel- Blockouts-Wrapped
St alts, Garage; Steel-Blockouts-Wrapped
Hold Downs and Special Anchors
lab, Steel -Wrapped
�iers-Fireplace Ftg.-Steel
W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test
1 , Gas Pipe; Size Anchors - Yard Gas Piping; Size Test
11/Water Pipe; Test -Anchors -Regulator -Service Test
A. Zlenums & Ducts; Clearance -Material -Support -Ins.
1 irders-Sills-Anchor Bolts-Joists-Vents-Criooies
1,9. Access & Ventilation PQ 0" 1/M y
1;6. Insulation 14
Date Card 13-1 Date Card B-1
Date N—Card B-1 Date Card B-1
Date G (Permit) OK except #'s
W r Htr.; Vent -Access -Combustion Air Baffle
1 ater Pipe; Test & Anchor -Nail Protection
Ot a D.W.V.; Test Fittings & Anchor -Nail Protection
0. Shg4er Pan; Test, First Floor -Tub Access
est Tub & Shower, Second Floor -Tub Access
Gas Pipe; Sixe & Anchors
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
ELF
J,CTRICAL (Permit) OK except #'s
�pKre & Transformer Clearance -Ins. Protection
Ele eceptacles Spacing -Lights & Switches at Doors
nsula ' -Fo n'r-Looked in Attic
iz oxes & No. of Conductors Stapled
8
on�nstalled Close to Edge of Studs & C.J.
quip. and made up w/Mech Fasteners -Bond Gas & Water
n. VBents & Crawl Hole Door Drainage & Wood -Earth
ytianca Circuits in Kitchen & Conductor Size GFI
ubt Wire Size / /g. Cu or AI-A.C. Wire Size / / ga Cu or At
ange Circle/ e / g or AI -Oven Circ. / / ga Cu or Al
Insulated Neutral ❑ Yes O No
Foll ' g Inslld./Drive es o/Walks — J No/Planters s !J
31. Service -Riser Conductors & Ground Main Disconnect
q learances Panels-Motors-Mech. Equip.
to s Closet Light -Shower Light -Spa Light
.C. Unit Disconnect, Electrical -Plumbing
moke Detector
85.
Vents Above Roof, Plbg-Appliance-Fireplace-Clea rance to Openings
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
MEC ICAL (Permit) OK except #'s
C. Cts Insulation & Support
Ve ' ation Throughout House
e_LPan, Exhaust above insulation
. Con ate Drain & Overflow, Size & Grade
r -Vent Access -Comb. Air -Return Air Vent 115 outlet
Correction om Previous Inspections
QS,4t'lic Access & Platform if Furnace in Attic
91. Gas t -Meters Tagged, Gas -Electric
92A Water & Sewer Connected -C/O to Grade -HD Approval
93
Ener4g�Compliance Certificate -Other Certificates
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
AMING (Permit) OK except #'s
it roper Materials & Anchors
Date
s Studs -Nailing Spacing & Braces -Plates -Sound
Card B-1 Date Card B-1
B ring Walls over Girders & Floor Nailing
DS in Walls (rat proof) r
Fir tops, Furred Ceilings -Stairs -Chasers -Tubs
eaders & Beams -Size & Bearing
w
jingle & Duplex
Date FRAMING (Continued)
ngers-Post Caps -Anchors -Connectors'
Cf . J 'st-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting'-Rfng.
it I Ties or Type A Flue -Fireplace Throat Clearance
9 A Access; Size & Romex Protection -Draft Stop -Ins. Baffles
��Vdr5A,Pldows or Exiting Doors -Sill Ht. & Dimensions
5 ar a 're Protection Framing
5 r arty Line Firewall & Openings
xt. Dors-One 3' -Check Garage 3rd Story, 2 Exits
54. S irs; Width -Headroom -Rise -Run -Landing -Fire Protection s
PI>Woodgn Roof Overhang -Attic Vents -Rafter Outriggers
�-Nailing Veneer
2 3/j, Styyco Mesh -Drip Screed -Fd. Vents-Underflr. Access
ng Area -Glass Protection-Sk lights -Plastic
hea alts; Nailing -Bolts
rsce Interior/Exterior Wall Panels
Dated Card B-1�-,02!�44Date Card B-1
Dat �k Card 13-1 Date Card B-1
Date INAL (Plans) OK except #'s
xt. a oor & Sidelight Protection -Landings
e Detector
fy5/Furnac ents-clearance-Comb. Air -Connector -
I araoe:A'6ove Floor-Ducts'=Mech. Protection
Fixtures & Tub Access -Spa
6 ec im & Suboanel. Breaker Sizes & Labels
71—Fife e or Stove, Clearance -Hearth
7 lec. O Wood Panel, Int. & Ext.
72. . F' . & ppliance; Ground -Air Gap -Cooking Clearance
7 ec utlet Receptacles at Kit. Counter
7 arao ire Deer Swino-Landina-Closure
7.6-17ir. Htr.; Verlts=Clearance-Comb. Air Connector-P.R.V.
in Garaga bove Floor-Mech. Protection
7
ac. & Mech. Equip. Listed for Location
Elec. Receptacles in Garage (F.F.I.)-Romex Protection
79.
nsula ' -Fo n'r-Looked in Attic
8
and s & Deck Construction -Post Caps
8
n. VBents & Crawl Hole Door Drainage & Wood -Earth
Clearance Looked under F r Yes
5110
82.
Foll ' g Inslld./Drive es o/Walks — J No/Planters s !J
Stucco Brown -Finish
84.
.C. Unit Disconnect, Electrical -Plumbing
85.
Vents Above Roof, Plbg-Appliance-Fireplace-Clea rance to Openings
86.
Water Well, Disconnect, Electrical, Plumbing
87.
Exterior eC Trlm, G.F.I. Receptacle -Underground
88.
Ve ' ation Throughout House
Glass Protection
90.
Correction om Previous Inspections
91. Gas t -Meters Tagged, Gas -Electric
92A Water & Sewer Connected -C/O to Grade -HD Approval
93
Ener4g�Compliance Certificate -Other Certificates
ddress Posted
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Comments at Final:
INTER-DEPATIjk ENTAL MEMORANDUM
f z
TO: BUILDING DIVISION, OROVILLE
FROM: , ENVIR. HEALTH, CHICO
DATE: %
RELEASE ENV. HEALTH HOLD ON BUILDING FINAL FOR:
OWNER NAME: S SEPTIC: t/ WELL:
AP#: d Y7 -/<V a-&%'ADDRESS/LOCATION:R
Comments: CxL 0
i ..2..- .. . _ r ;% yirl _ VVI _ /. �._. - .-" : ♦ - - I
GL/memos/releaseho Id
-70 0)-. 7
0�
I
1 -z
_ COUNTY'OF BUTTE
BUILDING DIVISION f
DEPARTMENT OF DEVELOPMENT SERVICES'
,, .411 Main Street • Chico, CA • (530) 891-2751
'7�County Center Dive-- - Oroville, CA • (530) 538-7541 '
CORRECTION NOTICE
OWNER PERMIT NO. `moi
V
A routine inspection indicates that the following violations of butte county Ordinances exist at the
above address and should be corrected. Please notice this office when correction of work is 4`
completed. If you ave any questions pertaining to this matter, or need additional explanation, '
please contact s office immediately. y
• � D' l � .(r
(�' Lam(/!//` !// `
� (/ �/% � �f�%7.�
/��
.r e i
n
,N
Date
Inspector
REV t0 2
�'
`?.� � -Aa' T - r T i^ ' 1F^r - „�--� _ _ _+4i � .. •. _ N\n - T -i T -.. w .. T .�
COUNTY OF BUTTE
BUILDING DIVISION ............ ...
DEPARTMENT OF DEVELOPMENT SERVICES
V• n
411 Main Street - Chico, CA - (530) 891-2751
'( 7 County Center Drive - Oroville, CA - (530) 538-7541
CORRECTION NOTICE
213'/X/ Opt -o3 �a
OWNER PERMIT NO.
iL* A routine inspection indicates that the following violations of butte county Ordinances exist at the
above address and should be corrected. Please notice this office when correction of work is
>� completed. If you have any questions pertaining to this matter, or need additional explanation,
r: please contact this office immediately.
P� IA ,haw G-�2 l lair LG -i ii
COUNTY OF BUTTE
BUILDING DIVISION'
DEPARTMENT OF DEVELOPMENT SERVICES
411 Main Street • Chico, CA • (530) 891-2751
7 County Center Drive • Oroville, CA • (530) 538-7541
CORRECTION NOTICE
OWNER PERMIT NO. -
A routine inspection indicates that the following violations of butte county Ordinances exist at the,
above address and should be corrected.- Please notice this office when correction of work is -
completed. If you have any questions pertaining to this matter, or need additional explanation,
please contact this office immediately.
1,611A14
�c
n;
.t,
_i;
''COUNTY OF BUTTE - )
- BUILDING DIVISION f
DEPARTMENT OF. DEVELOPMENT SERVICES
411 Main Street • Chico, CA • (530) 891-2751
7 County Center Drive • Oroville, CA • (530) 538-754.1
CORRECTION NOTICE
SSI 8w Da-
r.
OWNER PERMIT NO.
A routine inspection indicates that the following violations of butte county Ordinances exist at the
above address and should be corrected' Please notice this office when correction of work is
o fileted. I you have any questions pertaining to this matter, or need additional explanation,
ase c t ct this office immediately.
All
r/�✓ X25
r p.
S
...ki
A
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
- 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538 -75th -0346 PERMIT NO.
'(Rev V, 196) - --- APPLICATION AND PERMIT
ASSESSORij�FjC N�l B�}_ ^16
ZONING
BUILDING PERMIT
OWNER �JMIA SABIN
efi7
TE MOwE4 _ `5
tS(3 tGIJVI
SO. FT. OCC. BUILDING VALUATION
3970 R �� 54 • Q�3
OWNERS
"'�"�k'°°�`RODKSIDE DR, CHICO 95928
966 U (' 18.0
7 363.+,x;
CONTRACTOR'S NAME
TELEPHONE
L
1527 Qn 4 •3 13.00 19 ,5 0
CONTRACTORS MAILING ADDRESS
CONSTRUCTION LENDER
Fireplace
LENDER'S MAIUNG ADDRESS
Total Valuation $ Z.51 619.1
.s i
ARCHITECT aff"PEIL4
r�T
UCENSE NO.
Filen Fee
$ 20.00
Permit Fee
$1171.-%
WCHITECT GIN U ES§§
� � Ate+ CHICO
Plan Checking Fee
$ /61.50
BUILDING ADDRESS 1812 PASA TIFlM !R+ CHICO
Energy Plan Checking Fee
$j./
$
PERMIT FEE
$
LOT NO. 16
SUBDIVISIONS NAME FAIR OUS
1
PARCEL MAP
PLUMBING PERMIT
Filing Fee 20.00
USEOFSTRUCTURE
SF CYA Duplex ❑ Mobilehome ❑ Other
SPECIFY
Each Trap
'1.4 7.00 91
Solar or heat pump water heater
1 23.00
Water piping
15.0015.x:
Each gas water heater or vent
15.00
TYPE OF WORK
New Ca Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑
Describe Work: Work: NSF 4 BR
Gas piping system 1 - 5 outlets
15.00 1wi.
Building sewer
15.00
Mobile Home I S I G I W
@20.00
PERMIT FEE
$ It}�.LiiY
ELECTRICAL PERMIT
Filing Fee 20.00
LESS
Main Service zo.A OR LESS
23.002, >
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.PSING
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 200A TO IOooA
46.00
NEW CONST. DWELLING OCCUP.
NEW ONST. (
3.50F7. 2. i-'
MUL.Tco Er
NON -REBID.
97.50
CIR. OWERLE APPARATUS
8 OUTLET
OUTLET OR FIXTURES
Ex. Occup.BAL
20 @ I'00
o •50
Ex. Occup. DuFTT,EEDA galp•OEp
5.00
Temporary Service
1 23.00
Mobile Home Facilities
20.00
Misc. Wirin
23.00
PERMIT FEE
S �1 . %.1
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 theT
performance of the work for which this permit is issued.
❑ 1 have and will maintain workers' compensation insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permit is issued.
My workers' compensation insurance carrier and policy number are:
Carrier
MECHANICAL PERMIT
Filing Fee 20.00
Heating
'2(;.;;,;.
Coolingzu.10
Hood
6.50j.
Ventilation
'4• �.'•_.
r Ire place
[:
'�'"`
PERMIT FEE
$1 �. •'�'
Policy Number
(The above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
❑ 1 certify that in the performance of the work for which this permit is issued, I shall
not employ any person in any manner so as to become subject to workers'
compensation laws of California, and agree that if I should become subject to the
workers' compensation provisions of section 3700 of the Labor Code, I shall
forthwith comply with those provisions.
fof
X'v""" Date
Signre of Applicant - r Owner ❑Contractor ❑Agent
An OSHA permit is required for excavations over 60" deep and demolition or construction
of structures over 3 stories in height.
Mobile Home Installation Fee
$
Energy Inspection Fee $ 46.0(,%
occ
icy
coNST. TYPE
�,'_� TO AL FEE $;?=44. `a
HAZ.
...
D. FEES IM
° r
�OryD
CDF
�,•�
PARCyEL PD
'HD+
v
ISsuE
This permit is hereby issued under the applicable provisions
the Butte CountyCode and/or Resolutions to do work
indicated above for which fees have been paid.
y ,
By ,tcil k` !.� /L1+•�' Date
PERMIT EXPIRES ON
Date
ReceiptNo. 343t11[!O/$tSb4.3U s/.. cif
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
_14 1(%`4
CLIMATE PRO® FIBER GLASS BLOWING WOOL '
Your home has been professionally insulated to provide
a guaranteed thermal resistance.
HoA EOwNER.'S NAAf
ADDRESS
CYTY 1_ STATE . ZIP
RECORD OF INSTALLATION
INCHES
BATTS AND ROLLS. -
R -VALUE THICKNESS AREA INSULATED
CEILINGS
BLOVNING• WOOL
T NEW CONSTRUCTION
SQ. FT.
IF RETROFIT:
❑ RETROFIT
IN.
IN. 211 r
DEPTH OF PREVIOUS
_
S
IN
INSULATION _
NU\1BER OF BAGS USED
SQ. IT.
SQ. FT,
this, dg, should.
sq. ft. of installed'
1 q (
310
SQ. FT.
AREA INSULATED
`J
ESTIMATED R -VALUE OF
(R) of »;
So. Fl:
PREVIOUS INSULATION.
THICKNESS OF INSULATIONI
(ON
'TYPE(S)
5/4 in:..
INCHES
OF PREVIOUS
INSULATION IN ATTIC
R -VALUE OF INSULATION
-31
1. • �8% Fn
INCHES
BATTS AND ROLLS. -
R -VALUE THICKNESS AREA INSULATED
CEILINGS
i
IN. 4 4
SQ. FT.
Q
WALLS i `
To obtain an
s
IN.
IN. 211 r
SQ. IT.
SQ. IT.
_
S
�j
FLOORS ` `
_ p
' O
N. ^
N. � �7 �
SQ. IT.
SQ. FT,
this, dg, should.
sq. ft. of installed'
IN.
SQ. FT.
CLIMATE PRO. BAG WEIGHT - 25 LR_ NOMINOI
R -VALUE
f :THTC NESSrr
t.. 1000-S& FT.
t NET. 0 ERAGE.1.
MINPER' d F71GHT.-
To obtain an
s
l%'Installed ,.:
The.number of bags '.: '
Contents. of .,;
The weight per .
insulation , 4
a; , "insulatwn: '�
i''S per. 1000 sq. -ft of
this, dg, should.
sq. ft. of installed'
• Taistanf2 r. _I
r
s�j1. should not{.'r � =r
h,- net.area'Sh0'uld not.
_ not. cover - ,.
.,sq
-shoulda
(R) of »;
#- ;, f be less than i` °� ,`
,
M,.Ibe less than::.
more than:
not be lessahani,
5/4 in:..
. 7:0 r "
:142 sq:, ft
0.176' lbs.'. . .
. 19
1. • �8% Fn
79.9 s
sq.
0.3F31bs. <
-22"
w;t
i.t w- 110 In
z" 14'6"
68.4`sq: ft.
,
0.365Ibs.,
26
f,.: =x'114 in:. I
17:2.
58.0. sq. ft:.
0.431, lbs.
-30
' 13Ari.,
20.0.
50.0 sq. ft :
0:500 lbs..
38M
1 " 161/, in.. ` M
26.3+ '
38.0 sq. fr . z
0.689 lbs;,.
44'
ti 18'/< int' z
s
': ti 3015'' _
32.9 sq., fr::
0.763 lbs.. .w
50
_ 20:4 in:.: `
35.5-'28.2.
sq.. ft.
0.886 lbs.:
60
r 23% in.
43:01
23.2'sq. ft.
1.076 lbs.
INSULATION �CONTRACTOR SIGNATUREnn A O` \•ten 1 DATE
A I
COMPANY (.� Mst�ftDDRESS-`7 l] V t�M 1/U�Y [1 PHONE
HOME BUILDER SIGNATURE
DATE
COMPANY ADDRESS PHONE
✓r
Johns Manville
BIC -194 7197
m 1997.1ohns Manville Coroonition
Johns Manville Corporation, P.O. Box 5108, Denver, CO 80217.5108, Internet: http://www.im.com. For more information call 1-800-6543103.
q&c(—t3
'- - .:,- .-. �j -•gWi: q,.vYr 'c- .. :�;r....m.?,:-s•.•+'V+ynr.�: �: F:: -+.a .y-A;.:Yvyrr+. ..r.: a:• .,,..,�...„G•rro. 2 ..-rm .wx7
040-050 068 02-1043
SCHUSTER,STEVE
1812 PASSATIEMPO' CHICO
ELECTRIC SEWCEL'
i
- 1 .
1
FFICE.COPY
t �� Address
{Meter
Meter By $t Date
a
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERyIJ NO.
(Rev. 12/96) APPLICATION AND PERMIT off-� ;;�5
ASSESSOR PARCEL NUMBER f J
ZONING
BUILDING PERMIT
OWNER _ /
;� re J G �_ ,� r '' ! �"/
TELEPHONE
k.�„ i ,.�
SO. FT. OCC. BUILDING VALUATION
OWNERS MAILING ADDRESS A
CONTRACTOR'S NAME ` ' /
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
CONSTRUCTION LENDER
Fireplace
LENDER'S MAILING ADDRESS
Total Valuation Is
ARCHITECT OR ENGINEER
LICENSE NO.
Filen Fee
$ 20.00
Permit Fee
$
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee
$
BUILDINGADDRESS r / v
Energy Plan Checking Fee
$
$
i
PERMIT FEE
$
LOT NO.SUBDIVISIONS
NAME
PARCEL MAP
PLUMBING PERMIT
Filing Fee 20.00
Each Trap
7.00
USEOFSTRUCTURE
SF ❑ Duplex ❑ Mobilehome ❑ Other r )Zr A
SPECIFY
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 ❑
Describe Work: r
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home I S I G I W
@20.00
PERMIT FEE
$
ELECTRICAL PERMIT
Filing Fee 20.00
Main Service zoo�OR
23.00 . j
_ 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.a
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:
111,011, 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
WORKERS—COMPENSATION DECLARATION
I 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
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.)
Lt 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.
J
X ��,,, _ r Date ") J- f
Signature of Applicant - ❑ Owner ❑ Contractor ❑ Age—nt l I
An OSHA permit is required for excavations over 60" deep and demolition or construction
of structures over 3 stories in height.
Main Service zooA To I000A
46.00
NEW CONST. DWEWNG OCCUP.
OR ADDNS. ( a ACC. OOS.
SO
3.50 So
NEW CONST. RANCHO CIRCUITS @7.50
PSINGLE OUTLET COWER APPARATUS
IR.
Ex. Occup. en0 @ 1.00
OUTLET OR FIXTURES.50
FlXED APPLNS. OR 5.00
Ex. Occup. ouTLFTs RESIO. EA
Temporary Service 23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
PERMIT FEE $
MECHANICAL PERMIT Filing Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEE $
Mobile Home Installation Fee $
Energy Inspection Fee $
OCC
CONST. TYPE
TOTAL FEE $
HAZ.
I D. FEES IMP
I FLOOD
I CDF
PARCEL
PD
HD
ISSUE
This permit is hereby issued under
of the Butte County Code and/or
indicated above for which fees have
By
PERMIT EXPIRES ON
the applicable provisions
Resolutions to do work
been paid.
Date
Date '
Receipt No. {.� �''�
WHITE-D.D.S.-B.D. CANARY --ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
l
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive - Oroville, California 95965 - Telephone (530) 538-7541 PRI No.
(Rev. 12/96) APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER�.f/1 y q^�r% r//
•-V ✓l/�l/ (�
ZONING
BUILDING PERMIT
OWNER
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
• OWNERS MAILING ADDRESS
CONTRACTOR'S NAME
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 MAILING ADDRESS
Plan Checking Fee
$
BUILDING ADDRESS
/4?/ L SSS �-� �
Energy Plan Checking Fee
$
C C
$
PERMIT FEE
S
LOT NO.�j'
Q
SUBDrv'f' AME -W ` A -
PARCEL MAP
PLUMBING PERMIT
Fling Fee 20.00
U EOFVSTRUCTURE
) �
SF ❑ Duplex ❑ Mobilehome ❑ Other �4 ae$)
L
SpECIFv
Each Trap
7.00
Solar or heat um 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 ❑
Describe Work: e.Aet-2 rif _ G-�✓
Gas piping stem 1 - 5 outlets
15.00
Buildingsewer
15.00
Mobile Home I S I G W
920.00
PERMIT FEE
$
ELECTRICAL PERMIT
Filing Fee 20.00
aDOV OR LESS
Main Service 2DDA OR LESS
23.00
LICENSED CONTRACTOR'S DECLARATION
1 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.PSING
License Class Lic. No.
OWNER -BUILDER DECLARATION
1 hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law fo a 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 ?DOA TO I
46.00
NEW CONST. DWELLING OCCUP.
U
ADDNS. ( AU'.
3.50x.
NOR
EW CONST. M u�rLEr
NON-RESID.
07.50
8 OUTLET OOWELER APpARATUs
IR.
Ex. OCCu OUTLET OR FIXTURES
j 20 @''DD
94L @ .50
Ex. Occup. OFF EA R61D °EA
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
PERMIT FEE
$ W3
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.
Cl 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
Policy Number
(The above sections need not be completed if the permit is for work of a valuation
one hundred dollars ($100) or less.)
112( 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 /1 Date LJI /' (�(p I VZ_
Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent'
An OSHA permit is required for excavations over 60" deep and demolition or construction
of structures over 3 stories in height.
MECHANICAL PERMIT
Filing Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEE $
Mobile Home Installation Fee $
Energy Inspection Fee $
OCC
CONST. TYPE
TOTAL FEE $
HAZ.
D. FEES IMP
FLOOD
CDF
PARCEL
PD
HD
ISSUE
This permit is hereby issued under
of the Butte County Code and/or
indicated above for which fees have
By
PERMIT EXPIRES ON
the applicable provisions
Resolutions to do work
been paid.
Date ` L
Date
Receipt No. & _
WHITE-D.D.S.-B.D. CANARY --ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
INTER -DEPARTMENTAL MEMORANDUM
TO: Scott Rutherford, Building Department
FROM: Tom Loushi e, R.E.H.S., Environmental Health
SUBJECT: Fairway Oaks Subdivision, Sewage Disposal
DATE: May 10, 2002
Sewage disposal permit have been issued to the following owners at Fairway Oaks
Subdivision:
Stephen Schuster, Lot 8 Pasa Tiempo Drive
2. Thomas Beckman, Lot 13 Pasa Tiempo Drive
3. Julie Sabin, Lot 16 Pasa Tiempo Drive
The sewage treatment facility is not yet completed. In addition to not issuing a building
final per our "Hold" request of the Environmental Health release, the homes should not
be approved for occupancy until completion of the bonded improvements regarding
sewage disposal. If you have any questions, please call this office.
TL/gl/septidfai rwayoaksho Id
INTER -DEPARTMENTAL MEMORANDUM
TO: Scott Rutherford, Building Department
FROM: Tom Loushi e, R.E.H.S., Environmental Health
SUBJECT: Fairway Oaks Subdivision, Sewage Disposal
DATE: May 10, 2002
Sewage disposal permit have been issued to the following owners at Fairway Oaks
Subdivision:
1. Stephen Schuster, Lot 8 Pasa Tiempo Drive HG — (o ?_ $�
2. Thomas Beckman, Lot 13 Pasa Tiempo Drive J' 6 /1
0. Julie Sabin, Lot 16 Pasa Tiempo Drive yG — (of? — /G
The sewage treatment facility is not yet completed. In addition to not issuing a building
final per our "Hold" request of the Environmental Health release, the homes should not
be approved for occupancy until completion of the bonded improvements regarding
sewage disposal. If you have any questions, please call this office.
TL/gl/septicdairwayoakshold
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