HomeMy WebLinkAbout042-090-062'COMPLAINTGIVE TO INSPECTOR
3q D;y
BUILDING CODE VIOLATION
3 �c- -'7 R�scnf-
BUILDING CODE VIOLATION
30 DAY
BUILDING CODE VIOLATION
10 DAY LETTER: SENT:
KI
i. T-7-
A.P. 42-09-� CoZ
HOBSON
app. 27 Hwy. 32 app. 4801 west of
Kennedy Ave., C
Permit 810-73P,E
(utilities for mobi e home)
A.P. 42-09-2K (9 2
GSON
app. 275' 32 4801 west of
Kennedy Ave . , Chic
CONTR: Denco Awning pp hico
Permit 1815-73B
(awning for mobile home Y* _
,/ 42-09-62
W�gZMda
.,app250'N.of Hwy 32,app.470
pri
N.of Kennedy Ave., Chico
Permit #3215 B,E(new pri•garage&
I
workshops
-- 042-090-062
04-2-5i'
MARSHALL, VAN 29 SI
21 INDIGO LN, CH ICO
CUNT: OWNER
REPLACE EX PANEL/MISC WIR
60%-7.2'1k(SC nM4)D12--090- OCo`�.
VA0\41) Van 3fiudyv'��, lalur��ee .
zl 71ndclb W -
Replace e Qtfical TQneI
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SENDER:. Complete items 1, 2, and 3.
,Add your address in the "RETURN TO" space on
reverse.
h The following service is requested (check:one)
PrShow to whom and date delivered............
—4
C3 Show to whom, date.and address of delivery...._g
❑ RESTRICTED DELIVERY
Show.to whom and date delive-'ed ........
C3 RESTRICTED DFLIVERY.-
Show to whom, date, and address of delivery,.$
(CONSULT POSTMASTER FOR FEES)
2. ARTICLE ADDRESSED TO:
Dan Mandilla
Rt. 1, Box 379C
Chico, CA. 95926
3. ARTICLE DESCRIPTION:
REGISTERED NO., CERTIFIED NO. INSURED NO.
748759
Wways obtain signature of addressee or agent)'
I have received the article described above.
SIGNATURE -Okddressee OAuthorized agent
'4
DATE OF DELIVERY
DELI'
5. ADDREESS'(Comp!ir-a onfy it requested)
J�
6. UNABLE TO DELIVER 13SCAUSE:C
L E RK—s-
11Wti,
j;rGPD---t971r300-459.
UNITED STATES POSTAL SERVICE
OFFICIAL BUSINESS
Print your name, address, and ZIP Code in the spare below.
• Complete items 1, 2, and 3 on the reverse.
• Attach to front of article if space permits. 94
otherwise affix to back of article.
• Endorse art&ia "Return Receipt Requestet'"
adjacent to number. A
5 (Nam of Sender)
RETURN
TO
County of Buttg
Dept. of Public Work
7 County ISenter Driv
Orovilfe, Calitotnia
95965
J
PENALTY ID PAYMENT ATE
USE TO AVOID PAYMENT
OF POSTAGE. $300
u®av
t or P.O. Baa
ATTN : Bldg. Dept. " (qty, State, and 7.� Code)
i
� Id
File No
BUTTE COUNTY (For Action 1, 2,3)
Public Works Dept. (For Information ✓)
Director
Dep. Dir.
Sec.
Rd. & Br. Mtce.
Shop & Yards
Bldg. Insp. Admin.
D&C / Traffic
Const.
Rd. Des.
Br. Des.
Sur. & Loc.
Transp.
R/W
Mapping
Land Dev.
Ref. Disp.
Drng. / S. 1.
Sub. & Pcl. Maps
Permits
AP 42-09-62
RECEIPT FOR CERTIFIED MAIL
POSTMARK
OR DATE
12/1/80
RESTRICTED DELIVERY......................................................................
SPECIAL DELIVERY (extro fee required)
PS Form 3800 NO INSURANCE COVERAGE PROVIDED— (See or er side)
Jan. 1976 NOT FOR INTERNATIONAL MAIL GPO: 1975-0-591-452
SENT TO Dan Mandilla
STREET AND NO.
Rt. 1, Box 379C
LO
P.O., STATE AND ZIP CODE
Chico, CA. 95926
T-
OPTIONAL SERVICES FOR ADDITIONAL FEES
1. Shows to whom and date delivered ..........
RETURN With delivery ....................
I�5
Jy
restricted .e
RECEIPT D y, Shows to whom, date and where delivered
delivery
H
SERVICES With restricted .......................g
POSTMARK
OR DATE
12/1/80
RESTRICTED DELIVERY......................................................................
SPECIAL DELIVERY (extro fee required)
PS Form 3800 NO INSURANCE COVERAGE PROVIDED— (See or er side)
Jan. 1976 NOT FOR INTERNATIONAL MAIL GPO: 1975-0-591-452
STICK POSTAGE STAMPS TO ARTICLE TO COVER POSTAGE (first class or airmail
CERTIFIED MAIL FEE, AND CHARGES FOR ANY SELECTED OPTIONAL SERVICES. (see f�
I. If you want this receipt postmarked, stick the gummed stub on the left portion of the address
side of the article, leaving the receipt attached, and present the article at a post office service
window or hand it to your rural - carrier. (no extra charge)
2. If you do not want this receipt postmarked, stick the gummed stub on the left portion of
the address side of the article, date, detach and retain the receipt, and mail the article.
3. If you want a return receipt, write the certified -.mail number and your name and address on
a return receipt card, Form 3811, and attach it to the back of the article by means of the
gummed ends. Endorse front of article RETURN RECEIPT REQUESTED.
4. If you want delivery restricted to the addressee, or to an authorized agent of the addressee,
endorse RESTRICTED DELIVERY on the front of the article. Check the approfrTate blocks in
Item 1 of the return receipt card.
5. Save this receipt and present it if you make inquiry.
-Oun
LAND. 01 NATURAL' WEA LT.H:::AND BEAUTY
�- DEPARTMENT OF -PUBLIC WORKS
CLAY CASTLEBERRY Director
7 COUNTY CENTER DRIVE, OROVILLE, CALIFORNIA 95965
Teleahone: (916)'534-4541
.'H W McDONALD
Deputy Director.'.: .
December. l A 19�fl
CERTIFIED MAIL
Dan Mudill RE:. Building. Permit
Rt. 1, Box 379CA.P # 42.-009,42
chino, CA., 95926
Dear Mr. Nazidtl1w,
With reference to the above subject, on Nwembear 4; 1983, we wrote you a letter
requesting that you obtain the.required permits -and inspections from this office
for the work you are doing as follows:
On. your property "off the north "sMe' o . Hwy: 32 behind ISe> ',rAvc. in'
Chico, you have constructed a garagip and workshop".
Since we.have not heard from -you -concerning this matter, unless you have obtained
the required permits within ten (10) days of the.date you receive this letter, the
matter will be referred to the proper authorities for appropriate action.
Should you have any questions concerning this matter, please contact us.
Yours very truly,
Clay Castleberry
Director of Public Works
JFG:dd
cc: Building Inspector Chico
Assessor
-� (�
J.F. Glander
Chief Building Inspector
File No.
BUTTE COUNTY (For Action 1, 2,3)
Public Works Dept. (For Information J)
Director
Dep. Dir.
Sec.
Rd. & Br. Mtce.
Shop & Yards
Bldg. Insp. Admin.
D&C / Traffic
Const.
Rd. Des.
Br. Des.
Sur. & Loc.
Transp.
R/W
Mapping
Land Dev.
Ref. Disp.
Drng. / S. I.
Sub. & Pcl. Maps
Perm its
• utte ount(J
LAND OF NATURAL WEALTH AND BEAUTY
DEPARTMENT OF PUBLIC WORKS
L� CL %y GAS I LEBERRV, Director
cV'M 7 COUNTY CENTER DRIVE, OROVILLE, CALIFORNIA 95965
,;,r,,•t: ;-'Lail : ,''• : t
Toloohone: (916) 534-4541
H. W. McDONALD
Rff vwber 4,_ 193.-0 Deputy Director
Dan Mandillo RE: Building Permit
at. 10 Sox 3790 A.P. # 42«09.62
Chico, CA. 95926
War k1r. Mattailla:
With reference to the above subject, we have been advised by one of our building
inspectors that you have not obtained the required permits and inspections from
this office for the work you are doing as follows:
On your .propotty off the north side of Hwy. 32 bahind Kennedy Avenue in Chico,,
you lmva constructed ted a gara,e and workshop.
Since permits and inspections are required by both State and County.laws, please
contact this office within ten (10) days of the date of this letter, submit two (2)
complete sets of plans, apply for the required permits, and pay the appropriate
fees.
All work must stop until you obtain these permits and are authorized by our field
inspector to proceed. This field authorization cannot be made until the existing
work is inspected and approved.
Your cooperation in resolving this matter would certainly be appreciated. Should
you have any questions concerning this matter, please contact-this office.
Yours very truly,
Clay Castleberry
Director of Public Works
JFG:dd
cc: Building Inspector » Chic*
Assessor
J.F. Glander
Chief Building Inspector
(16—�(a
J�tz s a /term
cz
�;//4 6�cv
l� ��r Aot
Jim DeYoung
Albert Santos
Una Mae Pati:
?ton & Barbara Hawkins
Kenneth & Ida wells
Julius Jess
William Lane
Ora Ridge Properties
Oro Ridge Propearties
Holiday Marko -t
C. a'`egnes
Wendell R. .=datman
Veraon Swanson
George Mandville
Lloyds. Andes
Doug Starr
Heur. y Raker
William Martin'
Howard Clark
N:}rty Walton
Cully T. Payreq
Jacob Schrener
Frank Boatwright, Oxo
Hal iflav Pools, Chico
olidkay Pools, Chico
Kelley & Kelley, Oro.
Kelley & Kelley, Oro.
Tom Mehringer Const.
L� cmk Gorst. , Or il.le _-
Oro Ridge Prop., Oro. �
Rudy hill., Oroville ,
m -
u.
Holiday Fools, Chico •
Franklifi Tr . Sal.es,Chl
KERS Lindsey, i3aradis
m
D. L. Const., Chico
Deic€a kffl Sales, Chic
C'Iemons— Davin �f Sal,
BUTTE COUPTY DEPAR1`M M OF PUBLIC_WORYS
`SPECIAL I14SPECTION REPORT
Oder:
Address:&4/�61( �71�G� �iGv
Tenant:
Building Location:
Type of Inspection requested:
1. Housing / / 2. FF inanc ing
Ltf-4. Other (specify)/f /e ,
Present use cf buildinp:
A. Sanitation (I�ou�ingj
A. P.
Date of
Inspecto
3. Change of Occupancy to
P
1. Vater closet:
2. Lavatory:
3. Bathtub or shower' � - - --
4. Kitchen sink: _
5. Hot and cold water to fixtures:
6. Heating facilities:
7. Natural light and ventilation:
8. Room and space requirements:
9. Bedroom window or door for second exit:_
10. Infestation of insects, vermin, or rodents:_
11. Connection to sewage disposal.:
12. Cornection to grater supply:
13. Rubbish and garbage facilities:
14. Coratents:
B. Structural
1. Ps.ers and footings:
2. Floor constriction:
3. Wall construction: _ __
4. Ceiling and roof construction:
5. Fireplaces:
6. CranenYs:
C. Electrical
�i. Sergi*icc end ;round:
2. Rece7ta.cles:
3. Fusiag:_ __
4. Coamnrt s :
D. Plumbin&
1. Fixtutes
2. I=u,s water
c:onnectc-d and vented:
heater:
3. Cres heating vexl;:s:
4. Coments
t io5za-Z/ �0
A-;3
E. Other
1 Maintenance and repair: t
2. Fire hazards:
3.. -Safety hazards:
4. Weather protection:
5. Underfloor and attic ventilation: -
6. -'Comments:
F. Commercial Buildings
1. Roof covering:
2. Distance to property lines:
3. Physically handicapped: `
4. Restroom floors and walls:
5. Exits:
6. Improvements:
7. Zoning:
8. Comments:
G. Field Problems or Violations
1. Problem or violatiq (g.ive compete description): Xl- r'/
2. Whatacctiion taken (givecompl/ete description) :
3. What actiofi recommended:
77A. Information only - fi - ;y�y
/ / B. Hold for ten,(10) days, then write letter,
e
/ C. Write letter.
7 D. Other:
..
r
i
3215-81B,E
PERMIT NO.
PERMIT EXPIRES -
A
Dan Mardilla
OWNER
I
,k
i
3215-81B,E
PERMIT NO.
PERMIT EXPIRES -
Dan Mardilla
OWNER
owner
CONTR.
42-09-62
i
ASSESSOR PARCEL
+
W/S pri.rd.,app.250'N.of Hwy 32,
LOCATION
app.470'N.of Kennedy Ave.,Chico
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�
'
Temp. Power Pole
Called PG&E
Temp. Elec. Service
e
Called PG&E
Temp. Gas Service
Cal led PG&
JOB F
I — Si
J = OK
0 = Not OK
- =Not Applicable .MOBILEHOMES MISCELLANEOUS
= Not Ready
Date
MOBILEHOME UTILITIES (Plans) OK except N's
1. Zoning Requirements -Setbacks -Easements
Date
DECKS, COVERS, CARPORTS, ETC. (Plans) OK except N's
1. Zoning Requirements -Setbacks -Easements
2. Soils; Special MH Support -Sketch
3. Sewer; Location -Test -Fall -C/0 -Concrete
2. Footings; Size -Depth -Spacing -Connectors
3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails
4. Water; Location -Test -Easement Needed (Sketch)
4. Wood Awn.; Posts-Beams-Rftrs.-Connec.-Shthg.-Rfg.-Bracing
5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Gas; Location -Test -Wrap:/ /••L"ft./ /"Nat. or/ /"L"ft./ /"LPG
6. Carports; Windows -Doors
7. Utility Clearance
7. Elec.
Card -BI
Card -BI
Date
Date Card -BI Date
Date Card -BI Date
MOBILEHOME INSTALLATION (Plans) OK except q's
1, Zoning Requirements -Setbacks -Easements
Card -BI
Card -BI
Date
Date Card -BI Date
Date Card -BI Date _
POOLS (Plans) OK except N's
1. Setbacks -Easements
2. Footings; Size -Spacing -Marriage Line
2. Soils; Compaction -Structure Stability
3. Gas; MH Test -Demand -Valve -Connector
3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining
4. Electricity; MH Test -Crossovers -Breakers -Clearances
4, Elec.; Receptacles and Lighting; Distances-GFI
5. Drain; MH Test -Fall -Flex Connector
5. Elec.; Pool Lighting; 15 volts-GFI
6. Water; MH Test -Regulator -Connector
6. Elec.; Enclosures; Conduit Entries -Terminals -Listed
7. Water and Sewer Connected -C/0 to Grade -HD Approval
7• Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater
8. Gas and Electricity Tagged
8. Elec.; Grounding; Equip.w/5'-Circulating Equip. -Pool Lghtg.
Boxes -Enclosures -Panel boards -Ins. to Main in Conduit
9. Exits; Insp.-Sketch
10. Cert. of Occupancy
9. Health Department Approval
10. Plumb; Cir. Test -Water Supply Test
Card B -I
Date Card -BI Date
Card -BI
Date Card -BI Date
Card B -I
Date Card -BI Date
Card -BI
Date Card -BI Date
J=OK
0 = Not OK
= Not Applicable
= Not Ready RESIDENTIAL (Single and Duplex)
�
Date
UNDE LOOR Plans OK exce t#'s
Date FRAMING (Continued)
L,Ioning
requirelnenIs-Setbacks-Easements
erty Line Firewall & Openings
Soils-Steel-Elec. Grnd.- / /" Ftg. Depth
. Ext. Doo One 3' -Check Garage -3rd story, 2 exits
g., Garage; Soils -Steel- / /" Ftg. Depth
eadro -Rise-Run-Landing-Fire Protection
4-.44@.--Rer&%s & Decks; Soils -Steel- / /" Ftg. Depth
5 . P ywood on verhang-A is Vents -Rafter Outriggers
s, Main; Steel-Blockouts-Wrapped-Slab
Siding ai g- eneer.
emwalls, Garage; Steel -Blockouts-Wrapped-Slab
'59r-Stacau-Mh-Drip Screed-Fdn. Vents-Underflr. Access
i---4444-
F-iceplace Ftg.-Steel
S,4_eazing rea-G lass Protection -Skylights -Plastic
-6.
B.W.V . Fall -Fittings -Test -2 way C/0 -Sewer Test
iling-Bolts
-Q__GaseipE Size -Anchors
Test- nchors-Regulator-Service Test
t2:-
ftenaMr& Ducts; Clearance -Material -Support -Ins.
13.
Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
Card -BI Date and -BI Date
Card -BI at Card -BI Date
Card -BI Date Card -BI Date
Card -BI
Date Card -BI Date
Date FINA tans) OK except q's
Card -BI Date / Card -BI Date
Date
PLUMBING�(Permit) OK except q's
14. Water Ht.; Vent -Access -Combustion Air
54 -Ext. Steps -Door & Sidelight Protection -Landings
a ector
58.--F-umeee,-Vents-Clearance-Comb. Air -Connector -
In Garage; Above Floor-Ducts-Mech. Protection
15. Water Pi e; Test & Anchors -Nail Protection
16.
D.W.V.; est-Fttngs & Anchors -Nail Protection
ung
17.
Shower P ; Test, First Floor -Tub Access
-66--t3-F-t-&-B'ath-Fixtures & Tub Access
18.
Test Tub Shower, 2nd Floor -Tub Accessbpanel;
Breaker Sizes -Labels I
19.
Gas Pipe; ize & Anchors
1�2,-Blairs'&-Raals-
6 ._FitPPI.@..o_x_Stove; Clearances -Hearth
64_E-leo_Qutaets-at-Wood Panel; Int. & Ext.
Card -BI
Date Card -BI Date
_ 65. Kit _EixL_&-Appliance; Grnd.-Air Gap -Cooking Clearance
Card -BI
Date Card -BI Date
'-66--Elec-Ouilats-& Receptacles at Kit. Counter
,6T-.-Geraee a Door; Swing -Landing -Closer
Date
ELECTRIC Permit OK except q's
min Garage -Damper
20.
Fixture `Transformer Clearance -Ins. Protection
'6g.-Wtr.-Htr.'Vents-Clearance-Comb. Air-Connector-P.R.V.-
In Garage; Above Floor-Mech. Protection
21.
Elec. Rec ptacles Spacing -Lights &Switches at Doors
70, Mech. Equip. Listed for Location
22.
Size Boxes & No. of Conductors -Stapled
-7-3,-�leo,-Reeeptacles in Garage; (G.F.I.)-Romex Protec.
23. Romex InstA led Close to Edge of Studs & C.J.
24.
Equip. Groun made up w/Mech. Fasteners -Bond Gas & Water
?Q_ -Foam -Looked in Attic ❑Yes
d_�eReiiS & Deck Construction -Post Caps
25.
2 Appliance C cults in Kitchen & Conductor Size
Fdn. Vents & Crawl Hole Do D ainage & Wood -Earth Clearance
Lo ked under Floor VE
26. Subfeed Wire Si e / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or At
27.
Range Circ. / ga. Cu or AI -Oven Circ. / / ga. Cu or At,
Insulated Neutral ❑Yes 0 N
ollowing instld.:• Drive Yes o; Walks El
Planters ❑Yes o
28.
Service -Riser Con uctors & Ground -Main Disconnectown-Finish
29.
Equip. Clearances; an otors-Mech. Equip.
.-+, nit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet
30.
Clothes Closet Ligh ho i h
Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs.
isconnect, Electrical, Plumbing
Trim; G.F.I. Receptacle -Underground
Card B I
Date Card -BI Date
Ve �l ti roughout House
Card B -I
Date Card -BI Date
I -Protection
Date
MECHA ICAL (Perrr,it) OK except q's
_
orrections from Previous Inspections
ters Tagged; Gas -Electric
31.
A.C. ucts; Insulation & Support
�r Connected -C/O to Grade -HD Approval
-
32.
Vent n; Exhaust above Insulation
e@-Ertergy-Gympliance Certificate -Other Certificates
33.
Condens to Drain & Overflow; Size & Grade
34.
Furnace- ent; Access -Comb. Air -Return Air Vent -115V outlet
35.
Attic Acces &Platform if Furnace in Attic
-
Card -BI Dat Card -BI Date
Card -BI
_-
_Date Card -BI Date
Card -BI Dat Card -BI Date
Card -BI
Date Card -BI Date
Card -BI Date Card -BI Date
Comments at Final:
Date FRAMG P ans) OK except q's
i Proper Material & Anchors
_ _
suds -Nailing, Spacing & Bracing -Plates -Sound
_
e ng Walls over Girders & Floor Nailing
raft Stop in Walls (rat proof)
_
red Ceilings -Stairs -Chases -Tub
_
4_
& Beam -Size & Bearing
/ /
lTi
111
t Caps -Anchors -Connectors
�ng.Rftr. Ties-Purlin-Roof Brac. ru S thng.-Rfng.
�aceTvesor Type A Flue -Fireplace Throat
ccess; size & Romex Protection -Draft Stop -Ins. Baffles
or Exiting Doors -Sill Hgt. & Dimensions
re Protection Framing
(NOTE: Anentry must be made each time you visit job site)
1
COUNTY OF BUTTE - DEPART•MENT OF PUBLIC WORKS PERMIT NO.
7 County Center Drive - Oroville, California 95965 - Telephone 916/534 41
'APPLICATION
AND -PERMIT
ASS ESSO R,P ARCEL MBER • ZO a G V
-- _ . Z -- ?_
111
BUILDING PERMIT
O WNE TELEPHONE
Al � f
SO. FT. OCC. BUILDING VALUATION
OWNER'S -MAILING ADD SS
!/JAI
CONTRACTOR'S NAME
TELEP NE
CONTRACTORMAILING A DRESS
Fireplace
CONSTRUCTION LENDER _
UNKNOWN
Total Valuation $
05
Filing Fee
$ 10,00
LENDER'S MAILING ADDRESS
Permit Fee
$ Q
ARCHITECT OR ENGINEER
Alst✓_
LICENSE NO.
Plan Checking Fee
$
Penalty
y
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit tee
$
BUILD ADD ESS
If �/r n/
PLUMBING PERMIT
FiIing Fee 10.00
Each Trap
2.00
Repair drainage or vent piping
5.00
C
Water piping
LOT NO.
SUBDIVISION NAMEPARCEL
MAP
Each qas water heater or vent
5,00
Gas piping system 1 - 5 outlets
USE OF STRUCJPRE
SF ❑ Duplex❑ Mobilehome❑ Othe L��j�Sia/�•
SPECI FY
Building sewer
Lawn sprinkler system
5.00
TYPE OF WORK
New Addition ❑ Remodel ❑ Utilities ❑ installation El Other ❑
Describe work:
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 100 AMP ORSLESS
5.00
Main service EA. ADD'L 100 AMP
2.50
NEW CONST. DWELLING •b� 20 sq it v
OR ADDNS. ACC 'BLDG _
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
ElI am licensed under provisions of Chapt. 9, Div. 3 of the BUS Ines$
and Professions Code and my license is in full force and effect.
License No. Classification
I, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONSTR .OU LET 2.50 ea
NON -RESID BRANCH CIRCUITS)
APPARATUS &I
NEWCONSTR. (SINGLE
NON .RESID. SINGLE OUTLET CIR. /
EX. Occup OUTLETS OR FIXTURES BAL@1
IXED APPLNS. OR00
EX. Occup.�OUTLETS (RE -SID.) EA. 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Wiring 7.50
tftrmlt
F $
Contractor
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
ILLI 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
Filing Fee 10.00
Heating
Cooling
Hood
3.00
Ventilation
Permit Fee
S
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the County of
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue�r�
against Qsaid _County in consequence<of the granting of this permit.
X ,,c` — A. Date �i 'a y
Signature of Applicant — Owner'® 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 $
TOTAL PERMIT FEE
OCCUP. GROUP
TYPE OF CONST.
w/
A
[__JPARCELJ
PD
I/
HD SSuE
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIRECTOR OF P BLIC
/� T
By -
PERMIT EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date
—
Receipt No.,S If2G. 7_ 7
WNITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
7 County Center Drive — Oroville, California 95965
Telephone: L=k2k 534-4541
APPLICATION AND PERMIT
authorize re esentati4veounty of Butte to enter upon the
above -men ed propection purposes.
X ate �tignature ofPermt %
Receipt No. /
White-D.P.W. — Pink -Inspector — Goldenrod -Assessor — Yellow -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,RUBLIC WORKS
BYDate J—
Building Permit Expires Date =
BUILDING
Owner
SO. FT. OCC. BUILDING VALUATION
Mailing Address 7 m
J J ,
Fireplace
Contractor ,AJ I AJ
Total Valuation
Ori
Mailing Address
12
Permit Fee
Plan Checking Fee &/oal
'G
G% U
Permit Fee
$
UPJ
$ 15
Building Address s (.//
PLUMBING
No.1
@
FEE
PERMIT FILING FEE $2.00
Each Trap 1.50
/
r/ Ile
Repair drainage or vent piping
1.50
Water piping 1.50
r-1644 C.0
Each gas water heater or vent 1.50
A. P. No.— (%�— 5 r
r a Each
Zoning
Gas piping system 1 - 5 outlets
1.50
additional outlet .50
Fire Zone
Fire Dept.
Sanitation
Planning
Building sewer 5.00
Plans
Fees _ —
W. C. R/W
Encroachment
Lawn sprinkler system 2.00
Iul
NEW ADDITION❑ OTHER ❑
Permit Fee
$
$
ELECTRICAL
No.
@
FEE
PERMIT FILING FEE $3.00
Main service incl. 1 meter
Additional meters, each
1.00
Sub -panel (12 or less) (more than 12)
USE OF STRUCTURE Single Family ❑ Duplex ❑ Others ❑
Range, dryer or water heater 1.00
le
Oven,
Oven, Cook -top or space heater
1.00
fixtures
Receps., switches & fix outlets
CONTRACTORS LICENSE LAW
I am licensed under the provisions of Chapter 9, Div. 3, of the
State of California Business & Professions Code under the name
style of:
Hood, Ex. Fan or F.A. Furn. Motor
1.00
Evap. cooler, gar. disp. or D.W. 1.00
Air conditioner or heat pump
Water pump
Misc. wiring
rs
License No. Qe /SClassification
❑ I am exempt from the Contractors License Laws of the State of California.
Permit Fee
$
$
WORKMEN'S COMPENSATION INSURANCE
1 am aware of the provisions of Section3700 of the California Labor
Code which requires every employer to be insured against liability
for Workmen's Compensation.
❑ I have placed on file with the County of Butte a certificate of
rkmen's Compensation Insurance.
1. certify that in the performance of the work for which this
prmit is issued I shall not employ any person in any manner
so as to become subject to the Workmen's Compensation Laws of
California.
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 L ws relating t b 'Iding construction, and hereby
MECHANICAL
No.
@
FEE
PERMIT FILING FEE $3.00
Heating
Cooling
Ventilation
Permit Fee $
n
$
$
TOTAL PERMIT FEE
$ i
authorize re esentati4veounty of Butte to enter upon the
above -men ed propection purposes.
X ate �tignature ofPermt %
Receipt No. /
White-D.P.W. — Pink -Inspector — Goldenrod -Assessor — Yellow -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,RUBLIC WORKS
BYDate J—
Building Permit Expires Date =
T,
r
er/>"f�j tlzCi�
I'll t0 v r
p:a✓�c/ e-�.u�rd ri �-�
e �.r- T✓j'� �t�tl r �Lc
-� �-7 73
ho o •N,o-� r�
x
72-
�� r>
i
•
COUNTY' OF BUTTE = DE RTMENT OF PUBLIC WORKS `
7 County Center Drive Oroville, California 95965
Telephone: 5' 30, F_;ztK259 534-4541
APPLICATION AND PERMIT
f44 -7.�
+ I
`
BUILDING
Ownerli /—� fl) :c/1
a/!
SQ. FT. OCC. BUILDING VALUATION
Mailing Address U /30 V _R4(' 'r
Fireplace
Contractor r -G..
Total Valuation
Mailing Address �jp �.
Permit Fee
Plan Checking Fee&/or Penalty
Permit Fee $
$
Building Address—
n M��7 /� /�'''
PLUMBING No.. @ FEE
PERMIT FILING FEE $2.00 �.�' -
r i �/
? ^. nr> ,� p r r,r_1 n /�s �� yr��/
Each Trap 1.50
/
14 r ' �' r ��
Repair drainage or vent piping 1.50
Water piping. -1.50 J
.n , I%da .30a%�_ S ' �!G e3 �'�
Each gas water heater or vent 1.50
t
A. P. No. Q -- Q — !. j
°Zoning
Gas piping system 1 - 5 outlets 1.50 f �;
Each additional outlet .50
Fire Zone
Fire Dept:
Sanitation
Planning
Building sewer 5.00 7-pU
Plans f'�
Fees vJ
W. C.
R/W
Encroachment
Lawn sprinkler system 2.00
, t
NEW ❑ ADDITION ❑ OTHER Q
Permit Fee $
$/0.00—
AAO �/ / el �_.�
ELECTRICAL No. @� FEE
PERMIT FILING FEE $3.00•Gv
Main service incl. 1 meter '74 vU
Additional meters, each 1.00
Sub -panel (12 or less) (morethan12)
USE OF STRUCTURE Single Family 0, Duplex ❑ Others ❑
Range, dryer or water heater 1.00
'
-0=Light
Oven, Cook -top or space heater 1.00
fixtures el alo-
Receps., switches & fix outlets —hal 0 10
CONTRACTORS LICENSE LAW
I am licensed under the provisions of Chapter 9, Div. 3, of the
State of California Business & Professions Code under the name
style of:
Hood, Ex. Fan or F.A. Furn. Motor 1.00
Evap. cooler, gar. disp. or D.W. 1.00
Air conditioner or heat pump
Water pump /-" (, U
Misc. wiring `
License No. Classification
0 I am exempt from the Contractors License Laws of the State of California.
Permit Fee $
$'Z v O
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.
0 I certify that in the performance of the work for which this
permit is issued I shall not employ any person in any manner
so as to become subject to the Workmen's Compensation Laws of
California.
MECHANICAL No. @ FEE
PERMIT FILING FEE $3.00
Heating
Cooling
Ventilation
Permit Fee $
$
I certify that I have read this application and state that the above
Y pp
information is correct. I agree to comply to all County Ordinances
and State Laws relating to building construction, and hereby
(State Fee for Strpng Motion $0.07/$1000 Evaluation
nstrumentation rogram
$
TOTAL PERMIT FEE
$2.1-
auutunce representatives of ine county of tsutte to enter upon the
above-mentioned property for inspection purposes.
Date.
Signature of Permitee or Agent
Receipt No.
White-D.P.W. — Pink -Inspector — Goldenrod -Assessor — Yellow -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
LY• r��` _ _..P _
BDate 3 - 757-1 3
' U
�� Building Permit Expires Date'S- 2 5- 7 �/
ti
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORK
7 County Center Drive - Oroville, California 95965 O �D-.-73
Telephonrp 534-4541-
APPLICATION
34.-454.1APPLICATION AND PERMIT
aurnunce representatives of the county of butte to enter upon the
above-mentioned property for inspection purposes.
X A1J&,,&_ z, �� Date
Signature of Permitee or Agent
Receipt No. _%D ¢40% _
White-D.P.W. — Pink -Inspector — Goldenrod -Assessor — Yellow -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
Date 2-74-11
Building Permit Expires Datel- S-7
BUILDING
Owner !G�
SQ. FT. OCC. BIJILDING VALUATION
Mailing Address
S^^ a
Fireplace
Contractor u/ Gam•
Total Valuation
Mailing Address
Permit Fee
PI an Checking Fee &/or Penalty
Permit Fee $
$
Building Address -
PLUMBING No. @ FEE
_
PERMIT FILING FEE $2.00 v�
Q14RID t
Each Trap 1.50
g? FN
Repair drainage or vent piping 1.50
Water piping 1.50 _L
i- 1po Ce
Each gas water heater or vent 1.50
A. P. No. — Q - 4 joni
g —
Gas piping system 1 - 5 outlets 1.50
Each additional outlet .50
Fire Zone
Fire Dept.
Sanitation
Planning
Building sewer 5.00 :00
Plans �
Fees I' ---W.
R/W
Encroachment
Lawn sprinkler system 2.00
NEW ❑ ADDITION ❑ OTHER
Permit Fee $
$/6.00
ELECTRICAL No. @ FEE
PERMIT FILING FEE $3.00 0
Main service incl. 1 meter v
Additional meters, each 1.00
Sub -panel (12 or less) (more than 12)
USE OF STRUCTURE Single Family E& Duplex ❑ Others ❑
Range, dryer or water heater 1.00
`/
5!4
Oven, Cook -top or space heater 1.00
Light fixtures209025 Tiu
Receps., switches & fix outlets
CONTRACTORS LICENSE LAW
I am licensed under the. provisions of Chapter 9, Div. 3, of the
State of California Business & Professions Code under the name
style of:
Hood, Ex. Fan or F.A. Furn. Motor 1.00
Evap. cooler, gar. disp. or D.W. 1.00
Air conditioner or heat pump
Water pump
Misc. wiring
t G Gam "00
License No. Classification
I am exempt from the Contractors License Laws of the State of California.
Permit Fee
WORKMEN'S COMPENSATION INSURANCE
1 am aware of the provisions of Section3700 of the California Labor
Code which requires every employer to be insured against liability
for Workmen's Compensation.
❑ I have placed on file with the County of Butte a certificate of
Workmen's Compensation Insurance.
I certify that in the performance of the work for which this
permit is issued I shall not employ any person in any manner
so as to become subject to the Workmen's Compensation Laws of
California.
MECHANICAL No. @ FEE
PERMIT FILING FEE $3.00
Heating
Cooling
Ventilation
Permit Fee $
$
I certify that I have read this application and state that the above
information is correct. I agree to comply to all County Ordinances
and State Laws relating to building construction, and hereby
tate Fee for Str ng Motion
nstrumentation �rogram $0.07/$1000 Evaluation
$
TOTAL PERMIT FEE
$ Z
aurnunce representatives of the county of butte to enter upon the
above-mentioned property for inspection purposes.
X A1J&,,&_ z, �� Date
Signature of Permitee or Agent
Receipt No. _%D ¢40% _
White-D.P.W. — Pink -Inspector — Goldenrod -Assessor — Yellow -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
Date 2-74-11
Building Permit Expires Datel- S-7
IL
1815-73B .
PERMIT NUMBER - B
P
E
PERMIT EXPIRES �-a� -74�-
OWNER Gary Hobson
CONTR:. Denco Awning Supply, Chico
LOCATION (A.P. 42_09-1+5 )
app. 275' n/s Hwy..32 4801 west of Kennedy•Ave,
Chico
G�
C"
1 , ,
r
s
COUNTY OF BUTTE
Department of Public Works
+ BUILDING INSPECTION RECORD
Zoning
Setback
Forms
Foundation
Piers & Girders
Fireplace
Rgh. Plumbing
Bond Beam
Lath & Plaster
Rein. Steel
Gas Piping & Test
Found. Vents
Framing
Plmg. Topout
Rough Elec.
Wtr. Htr.
Furnace
Kitchen Vent
Firewall
Garage Vents
Sanitation & Water
ELECTRIC
GAS
BUILDING
Temporary
Temporary
Cert. of Occup.
Final
Final
Final
DATE
REMARKS OR CORRECTIONS
s
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT
24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO)
OFFICE #: (530) 538-7541 FAM (530)538-2140
WEBSITE: www.buttecounty.netldds
PERMIT NO.
BP042951
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: 10/14/2004 APN: 042-090-062-000
the Business and Professions Code, and my license is in full force and
effect.
License Class: License Number:
Site Address: 21 INDIGO LN CHI
Date: Contractor:
Map Index:
Description: new panel, mist wiring, pre -inspect
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the
Contractors' State License Law for the following reason (Sec. 7031.5
Business and Professions Code: Any city or county which requires a
Owner: MARSHALL VAN
permit to construct, alter, improve, demolish, or repair any structure, prior
to its issuance, also requires the applicant for such permit to file a
555 VALLOMBROSA AVE #2
signed statement that he or she is licensed pursuant to the provisions of
CHICO, CA
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
95926-4077
she is exempt therefrom and the basis for the alleged exemption. Any
violation of Section 7031.5 by any applicant for a permit subjects the
applicant to a civil penalty of not more than five hundred dollars ($500).):
❑ I, as owner of the property, or my employees with wages as their
sole compensation, will do the work, and the structure is not
intended or offered for sale (Sec. 7044, Business and Professions
Applicant: MARSHALL- VAN
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
'C _
sale.).
❑ I, as owner of the property, am exclusively contracting with
t — -
licensed contractors to construct the project (Sec. 7044, Business
and Professions Code. The Contractors' State License Law does
Contractor: I U�
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.).
❑ 1 am Exempt under Article 3 of the Business and Professions Code
Date: Owner:
License #:
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
Architect:
is issued.
Engineer:
❑ 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:
Total Square Ft: 0 S. F.
Valuation: $0.00
Census Code:
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:
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.
CC)
CONSTRUCTION LENDING AGENCY
This permit is hereby issued under the applicable provisions of the Butte County COdR anftr
I hereby affirm that there is a construction lending agency for the
Resolutions to do work indicated above for which fees have been paid.
performance of the work for which this permit is issued (Sec 3097 Civ.)
Name:
By: Date:
PERMIT EXPIRES ON:
Date
Address:
❑ I hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage,
handling and use of hazardous materials.
❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project.
❑ Attached are copies of the required E.P.A. notification forms.
I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with
all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby
authorize representatives of Butte County to enter upon the above mentioned property for inspection purposes.
Print Name: Signature:
Date:
❑ Owner 0 Contractor ❑ Agent for Owner ❑ Agent for Contractor
PRE -INSPECTION REPORT
OWNER: G�11
l �
LOCATION:
CONTRACTOR:
REASON FOR PRE -INS:
DATE TO INSPECTOR:
Building Description:
Commercial/Usage:
Residential # of Units:
Currently Occupied
Abandoned/Vacant:
DATE: 10 "
L �
A.P. # (J-0 , 09 b• U� �
ZONING:.
PERMIT HISTORY '
( )NONE (}() SEE ATTACHED
BUILDING INSPECTOR'S REPORT
(Yes
( ) No
Electric:
Electric Currently On () Off
Condition of Electric
Gas:
Currently (1Xj On ( )Off
Condition 0 ;
Sanitation:
Plumbing Worldng ('Yes ( ) No
Obvious Sewage Problems ( ) Yes (o .
ACTION RECOMMENDED:
Hold for permits or verify:
Mobile home # of Units:
ISSUE ( Yes () No
Inspector• g
Date: / lk �L_
COMPLAINT GIVEN TO INSPECTOR
30
BUILDING CODE VIOLATION
BUILDING CODE VIOLATION
30 DAY
BUILDING CODE VIOLATION
10 DAY LETTER: SENT: -?-I/- D --
tllhHOBSON
A,P. 42-09 Oq 2- 0 tO
�J
p. 27 Hwy. 32 app. 4801 west of,
Kennedy Ave., C
Permit 810-73P)E '-:;1z.X-7
(utilities for or mobi e home)
A.P. 42-:09--mo4-62
SON
app. 275' 32 480 west of
y c
�L-KennedyAve.j Chic
C AV w� i7g PP h�i c�o
CONTR: Denco Awning P
Permit
. t 1 1
ermit 1815-7-3B
(awning for mobile fiolme)
42-09-62
b/a?kM
w/s pri3d.,aPP250'N of Hwy 32,app.470'
N.of Kennedy Ave- Chico
IE(new pri-garage&
PPerwjjt #3215 1B,
workshop)
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 REO UIRED AT TIME OF APPLICA TION
"PLEASE PRINT CLEARLY"
OWNER
CONTRACTOR
Last Name/1 CX r S ` I
ust Name
f , y�
Address ��' t ij�!' ^ � SS'S
(�n ��p A. h d'Q.-
City GX c; 0 State
Zp S- 72 G
Phone ��� �_ � � 7 � Fax
Phone
E-mail
Fax
•
CONTRACTOR
Name
City
Address
SRA
City
Fax
State
Zip
Phone
Map Book
Fax
E-mail
Planner
Uc. #
Class
APPLI CANT N ME
ARCHITECTIENGINEER
Name
City
Address
SRA
City
Fax
State
73p
Phone
Map Book
Fax
E-mail
Planner
State license Number
APPLI CANT N ME
Name
Address -
City
State 715p-
SRA
Phone
Fax
E-mail
APPLICAtiT SIGNATURE
X
For office use only:
Zoning
Property Address✓`I L
2 l .L� �- I c O ti
Flood Zone
Cross Street
if wC3 Ci s �{ v.
SRA
I Yes
No
Occ.
Type Const
SubcNWton Name
Map Book
Page
pt #
Planner
Date Approved:
PERMIT
NO.�
SBP /
BIN #
LOCATION
AP# C) �( �) , (: C6�
Property Address✓`I L
2 l .L� �- I c O ti
/
TF7k
Cross Street
if wC3 Ci s �{ v.
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 ofpermit issuance.
LENDING AGENCY
Name
Address
Description or Scope of Work,
L - ,
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
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 b : Amount Bldg
SRA
Receipt P Sheriff
SMIP
Date: 1 Other
BUTTE COUNTY
0 DEPARTMENT OF DEVELOPMENT SERVICES
0 BUILDING PERMIT APPLICATION
o AND SUBMITTAL REQUIREMENTS
0 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 - CHICO: (530) 891-2834
0 OFFICE #: (530) 538-7541
' A FEE WILL BE REO UIRED AT TIME OF APPLICATION
"PLEASE PRINT CLEARLY"
OWNER
CONTRACTOR
Last NameM cL r S 0"')I
ust Name f u
Address SS`S V n �/p C-3
City C G 1 C o
State
C of
zip 7 S ?S 6
Phone �� �_ -7.
Fax
Map Book
E -nae
E-mail
A
0 -2 -
APPLICANT NAME
CONTRACTOR
Name -
City
Address
Zip
City
Fax
State
Zip
Phone
Map Book
Fax
E-mail
Planner
Lic. #
Class
APPLICANT NAME
ARCHITECT/ENGINEER
Name
City
Address
Zip
City
Fax
State
Zip
Phone
Map Book
Fax
E-mail
Planner
State License Number
APPLICANT NAME
Name Q2L
Address
City
State
Zip
Phone
Fax
E-mail
APPLICANT SIGNATURE
X O� w
For office use only:
Zoning
Property Address
D L
Flood Zone
-
SRA
Yes
No
Occ.
Type Const.
Subdivision Name
Map Book
Page
Lot #
Planner
Date Approved:
OVER FOR SUBMITTAL REQUIREMENTS
PERMIT
NO.
BP
BIN #
LOCATION
An a , o O . o
Property Address
D L
Gti
Cross Street
/Y w C. 3 7
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 ofpermit issuance.
LENDING AGENCY
Name
Address
Description or Scope of Work:
Sq. Footage IN W t I�)
❑ Structure Built without Pemifts
❑ Proposed Change of Occupancy
(Note previous use):
EXPIRATION OF APPLICATION
Applications for which a permit has not been issued will expire one
year after the date of application. In order to renew action on an
application after expiration, a new application, plans and fee will be
REQUEST FOR REFUNDS
Refunds can only be made upon written request by the person who
paid the fee. The request must be made prior to the expiration of the
permit and no construction work has been done. Filing fees, plan
check fees for work plan checked and other department costs are not
refundable.
Received Amount ' `� Bldg
Receipt #
�(
Date: t
SRA
Sheriff
SMIP
Total
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 paperl
❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans (No graph paper!) OR
Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations.
❑ 3. Engineered truss details and layouts in duplicate (if required). No faxesl
❑ 4. Energy compliance design and supporting documentation in duplicate. (Note: Not required for additions to
mobile or modular homes.)
❑ 5. Statement of Intent for Non -heated and A/C for Non -Residential Buildings.
❑ 6. Manufactured homes: (A) Data sheets and installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down
or find 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).
13. Sanitation and site plan approval from the Environmental Health Department.
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 1. Agricultural Buffer clearance and site plan approval from the Ag Commissioner's office (if required).
7 2. Impact Fees.
7 3. California Department of Forestry plan approval (if required).
:1 4. NPDES Form.
7 5. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy).
7 6. Contractor's license information. (Number, Name Style, Classification).
7 7. Worker's Compensation Carrier and Policy Number.
3 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, ❑ Letter from Legal Owner (for 433A's).
F you have questions or would like additional information regarding this process, contact a Permit
1pplication Assistant at (530)538.7541.
EXPIRATION OF APPLICATION
.pplications for which a permit has not been issued will expire one year after date of application. In order to renew action
n an application after expiration, a new application, plans and fees will be required.
REQUEST FOR FEE REFUNDS
efunds can only be made upon written request by the person who paid the fee. The request must be made within two
gars from the date of fee payment on permits not issued, and two years from the date of permit issuance for permits
sued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan
leck fees for work plan checked and other department costs are not refundable.
OVER FOR BUILDING PERMIT APPLICATION
FORMSWILDING F0RMS1BIdgADD1SubRamts.doc pnne l .,f o
r�OUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION
7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140
n PERMIT APPLICATION DATA SHEET
OWNER:!` �� ! ASSESSOR PARCEL NUMBER v 1 C)q v�o
Proposed Building Use: Counter Technician: ' Date:
Items required in order to apply fora permit. All boxes MUST be checked OR marked NA in order to ' ply. /
❑. 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 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) Data sheets and installation inst, (B) 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. Site plan and business license approval from the City of Biggs
❑ 12. Letter of intent for non-residential buildings
❑ 13. Detached Accessory Building Form filled out by the owner
❑ 14., Hazardous Material Form
❑ 15. Sanitation and site plan approval from the Environmental Health Department in ❑ Chico ❑ Oroville, as applicable.
❑ 16. Other
Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.)
❑ 17. Fire Sprinklers...................................................................................:........
❑ 18. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by
❑ 19. Soils Report and/or Engineered Foundation required ........................................... ........
❑ 20. Erosion Control Plan Required........................................................................ ........
❑ 21. Fees as shown on the attached Schedule of Fees Due Sheet ..............................
❑ 22. City of Chico Plumbing permit........................................................................
❑ 23. California Department of Forestry plan approval ❑ paid. Sent by: .............
❑ 24. Planning approval (A) Use: (B)Parking: (C) Parcel Check:
❑ 25. Contact Land Development about _ Improvements, _ Drainage .........................
❑ 26. NPDES Form ................... - -
❑/ 27. Encroachment Permit for driveway from the Pu p lic Works Dept ..........................
I/ 28. Pre -Inspection for C2, i required.......
❑ 29. Contractor's license information. (Amber, Ninle Style, Classification) ...................
❑ 30. Worker's Compensation Carrier and Policy Number ..........................................
❑ 31. Owner -Builder Verification (_ Given to owner, _Mailed to owner) .....................
❑ 32. Letter of Signature authorization......................................:.............................
❑ 33. Recorded copy of Agricultural Acknowledgment Statement .................................
❑ 34. Manufactured home utility clearance...............................................................
0 35. Existing violations and/or expired permits.........................................................
❑ 36. Deed Restriction.........................................................................................
0 37. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $
❑ 38. Other:
0 39. Other:
When issued Telephone I IT In and hold Wr pickup.
I have been info
rmed of the above items nd requirements for obtaining a building permit.
Applicant: Date:
1. Index permit application for the above items numbered:
2. Additional items required
Plan Check Letter
Contractor, designer caner, s advised of the above data by phone, ❑ mail, ❑ counter, by - Date: /a' /�✓ _�
Contractor, designer, nef, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date:
Plans reviewed by: Date: Plans approved by: Date:
Structural reviewed by: Date: Structural approved by: Date:
Note transfer by: Date:
Yellow: Building Division
Nv )o►re, 61aVb