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Home My WebLink About042-340-04142-34-41 BERNARD BOLSTAD �nAn 785 Churchill, Chico Contr: John Jpmes Miskella Rfg permit��2380,-86B._(reroof /SF,) _ 42-34-41 1685-91P GRISSOM; David & Kristine 785 Churchill Dr, Chico cont: Steve Hughes ._(gas line/sf ) ,a 0 ( 042-34-0-041 - -- 's 92-0222 GRISSOM, DAVID CONTR: OWNER 785 CHURCHILL DR, CHICO WINDOW,-SHEETROCK,,ELEC/SF 042-34-0-041 GRISSOM, David 95=1191:BPEM 785 Churchill Drive, Chico (room addition) SF �/31i5P 042-340-041 PERMIT#95-1442 GRISSOM, David 785 Churchill Dr., Chico Ele Ser Ch/SF 042-340-041 -•PERMIT#95-2547 GRISSOM, david r. 7$5 Churchill Dr., Chico Remodel/SF COPY 0� Plovn to 042-340-04.1. PERMIT#96-052.3' GRISSOM,,David_ 785 Chuchil],-Dr. ;_,Chico. /' l `A'dd/SF/�r 042=340-041 PERMIT#96-0850 GRISSOM, David •785 Churchill Dr., Chico Woodstove/SFe 042-34-0-041 99-0824 BPEM GRISSOM, David 785 Churchill Dr, Chico (enlarge master be�room) 41 0 r ENTIAL / U V' 042-340-041 PERMIT#96-0523 �a A;7- (2'� fi�o /4! GRISSOM, David 785 Churchill Dr., Chico Add/SF Vis_ /,�qa, as -- ,JOB FINALED (Date) Signature V=OK 0 = Not OK '= Applicable Nott Ready MOBILE -HOMES �. Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 1. Zoning Requirements - Setbacks - Easements 2. Footings; Soils-Size-DepthSpacing-Connectors-Steel 2. Soils; Special MH Support Sketch 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 3. Sewer; Location -Test -Fall -C/0 -Concrete 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg.-Rfg.-Bracing 4. Water, Location -Test -Easement Needed (Sketch) 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 5. Electricity; Location-Clearances-Gmd-/ /Amp -Concrete 6. Carports; Windows -Doors 6. Gas; Location -Test -Wrap; / P'L'ft. / /Nat. or/ P'L"ft./ /LPG 7. Electric 7. Well Clearance $ Disconnect 8. Frmg.; Sils-AnchorsStuds-Rftrs-Trusses 8. Utility Clearance 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s Card B-1 Date Card B-1 1. Zoning Requirements- Setbacks Easements Card B-1 Date Card B-1 2. Footings; Size -Spacing -Marriage Line POOLS (Plans) OK except #'s 3. Gas; MH Test -Demand -Valve -Connector 1. Setbacks -Easements 4. Electricity; MH Test -Crossovers -Breakers -Clearances 2. Soils; Compaction -Structure Stability 5. Drain; MH Test -Fall -Flex Connector 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 6. Water; MH Test -Regulator -Connector 4. Elec.; Receptacles and Lighting, Distance-GFI 7. Water and Sewer Connected -C/0 to Grade -HD Approval 5. Elec.; Pool Lighting; 15 Volts-GFI 8. Gas and Electricity Tagged 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 9. Tie Downs-Type4nstallation Cert. 7. Elec.; Bonding; Metal w/6 -Circulating Equip. -Heater 10. Exits; Insp.-Sketch 8. Elec.; Grounding; Equip. w/5 Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main in Conduit 11. Cert of Occupancy 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils-Size-DepthSpacing-Connectors-Steel 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sils-AnchorsStuds-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/6 -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 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 J=OK O = Not OK =Not Applicable Not Ready RESIDENTIAL (.E = Date UNDERFLOOR (Plans) OK except tf's 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ P' Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ P' Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 5. Stemwalls, Main; Steel -Bloc kouts-Wrapped 6. Stemwalls, Garage; Steel -Bloc kouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit),OK except a's 16. Water Htr.: Vent -Access -Combustion Air -Baffle -- ------------------------------------------------------------- 17. Water Pipe: Test & Anchor -Nail Protection - - -------------------- 18. D.W.V . Test -Fittings & Anchor -Nail Protection ----------------------------------------------------- 19. Shower Pan. Test. First Floor -Tub Access ------------------------------------- 20. Test Tub & Shower. Second Floor -Tub Access ------------------------------------------------------------------------- 21. Gas Pipe: Size & Anchors --------------------- Date Date ------- ----------------------------------------------------- Card B-1 Date Card B-1 Card B-1 Date Card B-1 Date EL TRICAL (Permit) OK except #'s -2f Fixture & Transformer Clearance -Ins. Protection --- y��- Receptacles Spacing -Lights &Switches at Doors ---------- Me _ _ _ __ 2K a Boxes & No. of Conductors -Stapled - ------------------------------------ - -- Romex Installed Close to Edge of Studs & C.J. -------------------------------------------------- - ---------------- . Equip. Ground made up wrMech. Fasiners-Bond Gas & Water ------------------------- ,210'2 ---- X2+!2 Appliance Circuts in Kitchen & Conductor S1zerGFI --------------------------------------------------------- - -------- _.. ... -. 2 . So bleed Wire Size ga. Cu or AI -A.0 Wire Size ga. Cu or At Range Circ. r ' ga. Cu or AI -Oven Circ. r ga. Cu or At. - Insulated Neutral ❑ Yes ❑ No ervice-Riser ---- --- Conductors &Ground Main Disconnect quip Clearances- Panel s- Motors- Mech Equip. . - --- - ----------- ---- -._ ._ Clothes Closet Light -Shower Light -Spa Light f. moke Detector ---------------- --------------- ---------------------- --- ... ....... . Date Card B-1 Date Card -B-1 ----- - - -- - --------- ------------- . - Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except a's 34. A.C. Ducts Insulation & Support ----- ----- ---- . . 35. Vent Fan: Exhaust above insulation - ---- - -.... -- _ --------------- - ......._. .. ... .. 36. Condensate Dram & Overflow. Size & Grade ----- ....... ._..... ... ... ... ... _... .. .. 37 Furnance-Vent: Access -Comb, Air -Return Air. Vent -115 outlet --------- ... ... ....... ... 38 Attic Access & Platform if Furnance in Attic Date Card B-1 Date Card B-1 ------------- ....... - ... . ... . ..... . Date rd B-1 Date Card B-1 Date FPAING (Plans) OK except P s 9 Proper Material & Anchors ` Is Studs -Nailing. Spacing & Bracing- Plates -Sound r ng Walls over Girders & Floor Nailing ft top in Wails proof) . A. .. . . . . /lui6tops: Furred Ceilings Stairs -Chases -Tub Headers & Beam -Si ze & Bearing 3,ngle & Duplex) Date FRAMING (Continued) K5--Hangers-Post Caps -Anchors -Connectors Cing. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Ring. 7 ireplace Ties or Type A Flue -Fireplace Throat clearance ----------- - -- - - 48. Attic Access: Size & Romex Protection -Draft Stop -Ins. Baffles 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 50. Garage Fire Protection Framing ---------------------------------- 51. Property Line Firewall & Openings ------------------------------------ - - _______ 52. Ext. Doors -One 3' -Check Garage -3rd Story. 2 Exits ______ 53. Stairs: Width -Headroom -Rise -Run -Landing -Fire Protection 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers 55. Siding -Nailing Veneer 56. S ucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 57. lazing Area -Glass Protection -Skylights -Plastic --------------- ----------- --- - 58. hear Walls: Nailing -Bolts ---------------------- - insulation -Walls -Ceilings 60. 60. Infiltration -Walls -Windows ---------------------------------------------- -- Date Card B-1 Date Card B-1 - ------------ ----- ------------------------ Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except n's 61. Ext. Steps -Door & Sidelight Protection -Landings 62. Smoke Detector -------------- ------------------------------ - 63. Furnace: Vents -Clearance -Comb. Air -Connector - In Garage: Above Floor -Ducts -Meth. Protection -- ------------------------ 64. Bedroom Exiting ------------------------------ 65 -- ------------------------65 G.F.I. & Bath Fixtures & Tub Access -Spa ...... ...... --- - - --- -------- 66. Elec. Trim & Subpanel: Breaker Sizes & Labels -- ----- - -- ------------------ 67. Stairs & Rails - ----------------------------------- 68. Fireplace or Stove: Clearances -Hearth .. --- _..------------------------------- 69 Elec. Outlets at Wood Panel: Int. & Ext. 70. Kit Fixt & Appliance Grnd.-Air Gap -Cooking Clearance - - - --------------------------- ---- 71 Elec. Outlets & Receptacles at Kit. Counter 72. Garage Fire Door Swing -Landing -Closer - 73. A.C. Duct in Garage -Damper ---- ------- ------------------------------ ------- 74. Wtr. Htr.: Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage: Above Floor-Mech. Protection . --- ------------------------------ ----- 75. Plb.. Elec. & Mech. Equip. Listed for Location - .----------------------------------- - 76. Elec_ Receptacles in Garage: (G.F.I.)-Romex Protection ----------------- ------------------ 7, Insulation -Foam -Looked Foin Attic - ❑ Yes - --- 78. Guard Rails & Deck Construction -Post Caps 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 80. Following instld, Drive ❑ Yes ❑ No: Walks ❑ Yes ❑ No: Planters ❑ Yes ❑ No --------------------- - --- ---------- 81. Stucco. Brown -Finish _ _..._..-.._..-------------------------------------- 82 A C Unit. Disconnect. Electrical, Plumbing . ... ... ... ... .. ._.------- --------------------------------- 83. Vents Above Roof. Plbg.-Appliance-Fireplace.-Clearance to Openings .... .........--------------------------------- 84 Water Well: Disconnect. Electrical, Plumbing . -. . - ---------------------- --------- ----- 85 Exterior Elec Trim. G.F.I. Receptacle -Underground . .. .. .-- . - ----- -------------------------------- d6 Ventilation Throughout House . . .. ---- ------------------ -------------------- 87 Glass Protection ----- - ------------------------------- 86 Corrections from Previous Inspections 89 Gas Test -Meters Tagged: Gas -Electric __...------ ------------------------------- 90 Water & Sewer Connected -C/O to Grade -HD Approval -- ---- -- -------------------------------- 91. Energy Compliance CerUhcate-Other Certificates - -- -- .. -- -------------------- Date Card 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: COUNTY OF BUTTE -DEPARTMENT OF -DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive - Oroville, balifornia 95965 - Telephone (916) 538-7541 PERMIT NO. APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 042-340-041 ZONING BUILDING PERMIT OWNER DAVID GRISSOM TELEPHONE 894-5231 SO. FT. OCC. BUILDING VALUATION 84 R 4 536 OWNERS MAILING ADDRESS CHURCHILL,785 `YV CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTORS MAIUNG ADDRESS Fireplace CONSTRUCTION LENDER UNMOWN Total Valuation $ Filing Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ 00 1-2700- ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ -0 Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDINGADORESS 785 CHURCHILL PERMITFEE $ PLUMBINGPERMIT Filing Fee 20.00 Each Trap 7.00 n LAT NO. SUBDIVISIONS NAME PARCEL MAP Solar Or heat pump water heater 23.00 Water piping 15.00 USEOFSTRUCTURE SF ff Duplex ❑ Mobilehome ❑ Other SPECIFY Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition EX Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: RE 95-1191 95-1442 95-2547 y Mobile Home S G W @20.00 PERMITTEE g Contractor ELECTRICAL PERMIT Filin Fee- 20:00 Main Service000v OR LESS ( 200A OR LESS ) 23.00 Main Service ( 200A TO 1000A ) 46.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION I hereby, affirm under penalty of perjury that I am exempt from the Contractors License L`w (the following reason: I,as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason NEW CONST. DWELLING OCCUR OR ( 8 ACC. BLOB. SO. CNS. NEW CONST. MULTI.OUTLET NON-RESID. ( BRANCH CIRCUITS ) 97.50 POWER APPARATUS (8 SINGLE OUTLET CIR. ) Ex. Occup. ( OUTLET OR FIXTURES ) 20 Q 1.00 BAL Q .SO Ex. Occup. (oFFIXED ELETS PLNS.JOR 5.00 Temporary Service 23.00 Mobile Home Facilities `. 20.00 Misc. Wiring 23.00 23.00 PERMITFEE $ 43.00 Contractor WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Policy Number (The above sections need not be completed if the permit is for work of a valuation Of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with t se provisions. jj Date3indicated Si naturecaner ❑Contractor ❑Agent X '�A, An OSHA xcavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee Is c 3 co ,W7 TOTAL FEE $ 21 HA . F S IMP FLOODCDF _ PARCEL PO HD IssU This permit i hereb issued under the of the Butte ty Code and/or above for whichfees have BY PE I XPIRESON applicable provisions Resolutions to do work been paid. Date Zg (Dais) Receipt No. 5 Q�� WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECT R GOL NROD-APPLICANT TO'd T28ES899TG WdZS:ZO 966T -S0-£0 ENGINEERED VV000 SYSTEMS- m, Certificate 040897 THE UNDERSIGNED MANUFACTURER HEREBY CERTIFIES that the structural wood products identified below and marked with a collective mark of American Wood Systems (AWS) were manufactured Aaccordance with the specifications indicated below. XK7 ANSI Standard A190.1-1992, for Structural Glued Laminated Timber Job Name Job Looagen _ AVE C- Cuslomere Oder No. WB -23296 Date B-31-95 Mrg's Order No 09-03539 1/2Z JLaL2 �/ F Slpnature ' — — Title BOISE CASCADE CORP. Company QUALITY CONTROL SUPERVISOR P. 0. BOX 50 Address _ Date BOISE, IDAHO 83728 IT IS HEREBY CERTIFIED that the structural glued laminated timber production of the above- named manufacturer which carries a collective mark of American Wood Systems (AWS) is subject to regular audit by American Wood Systems, such audit consisting of the inspection with reasonable frequency of the manufacturing process, with adequate sampling to verify the quality of glulam construction and the adequacy of glue bond. 4e��tteetio�,rr� WOOD 8#4 �OApQRAI�. .41i �� SEAL s g 4 by Thomas G. Williamson Executive Vice President AMERICAN WOOD ST$TW8 -A RELATED CORPORATION OF APA TO•d 1£8ZS899% DR sdBA11 N831SEIM BS:trT 966T-SO--.IJHW Insulation Certificate BUILDING OWNER: n, SS O /lam BUILDING PERMIT # : 9S - BUILDING LOCATION: 78S Ckt- d C -A W Cki c 9 S '� T3 Description of Installation ROOF Eadi-S� 6;11;0,13 Material Brand Name (,uL°.ti2. 6 o /✓t!3 Thickness (inches) Thermal Resistance (R -Value) 3 CEILING Batt or Blanket Type s XZ&:;tn Brand Name D We" (-1,01;1-2 'Thickness (inches) ib Yq Thermal Resistance (R -Value) 39 Loose FIi 1 Type Brand Name Contractor's minimum installed weightlft` lb Minimum thickness inches Manufacaurs's installed weight ger square foot w acheive Thermal Resistance (R -Value) EXTERIOR WALL �A Material Brand Name 'g" Thickness (inches) 'J (a. T ermalResistance (R -Value) l3 RAISED FLOOR - Material Thickness (incites) SLAB FLOOR Materiai Thickness (inches) Width (inches) FOUNDATION WALL Material Thickness (inches) Declaration Brand Name Thermal Resistance (R -Value) Brand Name The. -mal Resistance (R-Vaiue) Brand Name Thermal Resistance (R -Value) I he.:.bv ccrafv that the above insulation was installed in the building at the above location in conformance with the current Building Energy Eificienc.r Standards for new residential buildings contained in Title 34 of the California Administradve Code. Grnezal Coneactor c B eider) / ice ue Number Li Signature =a Ticie Dace S ub-Cuno-acwr (lasuiatcon instaiier) License Number Signature and Ticie Dace TIIIS CERTIFICATE MUST BE PROVIDED TO THE BUILDING DEPARTMENT PRIOR TO FINAL INSPECTION APPROVAL AND A COPY SHALL BE POSTED WIMIIN THE BUILDING. JANUARY 1993 COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 1469 Humboldt Road; Chico, CA - (916) 891-2751 t 7 County Center Drive, Oroville,'°CA - (916) 538-7541 �{ 747 Elliott Road, Pa`ra`dise, CA - (916) 872-6307 CORRECTION NOTICE OWNER ` ` PERMIT NO. �y r A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. Date "'7y Inspector REV 10/92 COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE Sola ER PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. Loop .Gv,t/ �s SIt IF y C ova p -y ,P46" �hvISA Z002 L V ff Date Inspector 1 REV 10192 COUNTY OF BUTTE ` BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307. CORRECTION' NOTICE `2 OWNER PERMIT NO. A routine inspection indicates that the following violations of Butte County Oidinances exist at the above address and should be corrected. Please notify this office when correction of work r is completed. If you have any questions pertaining to this matter, or need additional explanation, . please contact this office immediately. ' U i Date VV.-ct) Inspector REV 10/92 'Rv$+F��'•'..''yp��'�CnY�+'.i'��`'ltd"Tiiii+�'i44?�a';19��':�'�.�'�tlA'C��f�^•.'i�`.s��"�'`ws�cuTi'xr�r!ova.;t�,,,R,..,�,,,:,_c:.:fi.'ia•'�s1�r-..rt�e;..tr.a a,,�r��.�,.:K.., 1 • COUNTYOF BUTTE - DEP.4RTMENTOF DEVELQPMENTSERVICES -BUILDING DIVISION 7COUNTYCENTER DRIVE - OROVILLE, CALIFORNIA95965 -TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET OWNER I Cj/�l SSJ�✓\ A. P. No. 7 L ` 3'% Proposed Building Use 5//- Building Inspector Date At time of permit application, I was advised the following data must be submitted prior to permit processing, and/or issuance: DATE RECEIVED By. 1. All items have been submitted . ....................................... . 2. Plot plans, 3/4 sets, signed by preparer of plans. 3. Complete plans, 3/4 sets, signed by preparer of plans . ..................... . 4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. 5. Hazardous Material Form . ............................................ 6. Energy Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non -Heated and A/C Buildings . ...................... ' 8. Engineered truss details and layout in duplicate (required prior to plan check). .... 9 Mobilehome data and manufacturer's installation instructions, 2 sets. ........... _ Fees of $ 29'- 70 .......�................... fG 11. Impact fees as shown on attached schedule. �...:....�.�� . ...............'_ 12. California Department of Forestry plan approval/fees. ....................... . 13. Flood elevation letter (100 year flood) by California Engineer . ................. . 14. Sanitation and plot plan approval Health Department . ............ 15. City of Chico plumbing permit . ......................................... 16. Plot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B) Parking: . ......... 18. Contact Land Development about (A) Improvements (B) Drainage. ........... . 19. Driveway permit (construction approval required prior to occupancy). .. . . 20. Pre -inspection for Pia"fin Inspector required. . to Building Inspector (Date) 21. Contractor's license information. (No., Name Style, Classification) . .............. 22. Certificate of Workmans Compensation Insurance . .......................:. . 23. Owner -Builder Verification (Given to owner , Mail to owner _). .......... . 24. Recorded copy of Agricultural Acknowledgement Statement . .................. 25. Letter of signature authorization . ........................................ 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... . 27. Letter of intent on building use . ........................................ . 28. Mobilehome utility clearance . .................... .- .................. 29. Documentation of legal access. 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits . ...................................... 32. Plan check list. 33. 34. When u issue the ermitprocess as follows: Mail to owner. Mail to contractor. Telephoney �3� and hold for pickup at office. Deliver with inspector. Other Parcel Creation Acreage Applicant LCL^- Date iC1 g� Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitte rior permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was -advised of above required data by _ phone _ mail Counter by _ Date Contractor, designer, owner, was advised of above required data by _ phone -mail ounter by _ Date Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this informatien at your earliest opportunity to avoid unnec-essary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major Iabor and materials'for construction of the proposed property improvement: YES NO[ �. 2. I HAVEXJ HAVE NOTJ J signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: NA�i2E: ADDRESS: CITY: PHO YE: CONTRACTOR'S LICENSE NO. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: N'0M: _ ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: NA�NL E ADDRESS PHONE TYPE OF WORK SIGNED: PROPERTY OWNER SOCIAL, SECURITY NUMBER: DA NOTE: This owner -Builder Veriluation is required by Section 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. OVER O. B. - 1 .. .. :. .�• � .. : '�'��0��>:�:",.i:;iK::�:::�:;�'::''y'::;•::?:•::: ;..::::.: >::.:::.:.',..;•.iii Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified For your protection, you should be aware that as "owner -builder' you are the responsible parry of record on such a permit Building permits aro not required to be signed by property owners unless they arc personally performing their own work If your work is being performed by someone other than yourself; you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: 0 If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is S300 or more for the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. 0 If you are an employer, you must register with the State and Federal Goveriuments as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers compensation insurance, disability insurance costs, and unemployment compensation contributions. 0 There may be financial risks for you if you do not carry out these obligations, and these risks are espc.^:ally serious with respect to workers compensation insurance, 0 For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accideau. If the structure is intended for sale. property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors_ is to secure an "ownerbuilder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits arc not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contracting the Contractors State License Board in vour community or at 1020 N Street. Sacramento, CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. Sincerely Michael C. Vieira. C.B.O. Manager. Building Inspection NOT=: This Owncr-Builder Infortrmadon is required by Section 19830 of the Cziifornia Health and Safety Code. () VF R �^°*.�y�ti77.w-c^,7�1�t'rv"'r';�..R^riajvl'�"lt^:"..yti"iy'il•.rr�'P;s"r..£�f'��'►r?I�jt'iC'f�"i•►j�%int'a�tnll.�tihf:?h�,.`�`ta,s�F?ry�rlL+�7r.`c-.k ,,,,{ry,+�,�_,.�.,y� _, BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One Form Per Building) School District C H/ C Building Department No. G �L A.P. Number a`%Z - 3 YO ' D Y/ Jurisdiction: City County Property Owner ��A✓i [� C ,2 r J s a �, Property Location/Address Ck,.� 2 C- Subdivison Lot No. Residential Development Sq. Footage No. of Living MHI Addition (Group R) Units Commercial/Industrial 0 Sq. Footage New Addition. (Including Exterior Roofed Areas) QA� Buildi artment Representative Date (Floor Plans reviewed by School District Personnel) District Identification No. Al 79 School District certifies that .. (Applicant) (Street Address) (Phone Number) f (City) (State) (Zip Code) has complied with the requirements of Resolution No. ,J �g'7 / by payment of $ (f& representing 4/ square feet. As 2926 $ FULL MITIGATION $ Date Paid by Check # /(/ Remarks:% Bank Number Paid bjr-Cash If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act (CEQA), this project may be subject to additional school fees to fully mitioate its imaact on the school district's schools. White (applicant), Yellow (building department), Pink (school district) teeform.wkl (11/94)dmm -Z S T !o 224 po5r TO P5E-^-" / 4 4- D t= �P L`TwoD =ExT /.,j r, ro i 35 Fl�r_..Pa !NGS `-- ra-,T -'p ��-nom-; L 2x4 PT nr K (7wzl rVLA rpt , 7�j e-, nC-Tt--1 (_ T`-r.p t C/A -z._ T- k --j v L-0 -r uru S M ✓L.4) M k" tA,\1E, 16 5 C H\ -j K2 r— q i t- c, T);e iUl= o -YL - N 1A BU 1 1 �'�+"vfrsc a. �• S R0 3 AP Speed Prong for Easier A35 and Faster instaliation 4 m 24 m m m S,MPSDN StA35F1e. m� m m m0 �\ m A35F �— O Joists to Plate A Leg Inside 56 OCeiling Joists to Beam A341A35 FRAMIN ANCHORS The A35 anchor's exclusive bending slot allows instant, accurate field bends for all two- and three-way ties. Balanced, completely reversible design permits the A35 to secure a great variety of connections. MATERIAL: 18 gauge FINISH: Galvanized. Selected products available in stainless steel or Z -MAX coating; see Corrosion -Resistant Connectors. INSTALLATION: ■ A34—Use 8-8dx11/2" nails. ■ A35 and A35F—Use 12-8dx11/2" nails. • A35—Use 8-8dx11/2" nails for connection types A,, E and C1. • Use all specified fasteners. See General Notes. CODE NUMBERS: BOCA, ICBO, SBCCI No. NER-413, except load J for A35F. Dade County, FL No. 89-0131.1. City of L.A. No. RR 24947. Table loads are based on the 1991 NDS and may differ from code reports due to revision lag time. �► 142 — D A35 1. Allowable loads are for one anchor. When anchors are installed on each side of the joist, the minimum joist thickness is 3" 2. Roof loads are 125% of floor loads unless limited by other arteria. Floor loads may be adjusted for other load du'atons according to the code, provide e d they do not exceed those in the roof column. 3. omilust lrations show connections that could cause aoss-grain I nsion or bending of the woad during loading if not reinforced sufficiently. this case, mechanical reinforcement should be cons tiered. 0 Joists to Beams OTypical A35F Installations to Transfer Shear Forces 0 Copyright 1993 SIMPSON STRONGME COMPANX INC. ALLOWABLE MODEL TYPE OF DIRECTION LOADS NO. CONNECTION OF LOAD FLOOR ROOF (too) (125) A341❑ F, 345 365 F2 280 280 O A1, E 260 320 C1 170 170 A35 C A2 260 320 C2 260 315 D 150 150 F1 450 450 _ u F2 515 645 G I 500 500 , A35F L�j I J 265 I 265 H 440 440 2. Roof loads are 125% of floor loads unless limited by other arteria. Floor loads may be adjusted for other load du'atons according to the code, provide e d they do not exceed those in the roof column. 3. omilust lrations show connections that could cause aoss-grain I nsion or bending of the woad during loading if not reinforced sufficiently. this case, mechanical reinforcement should be cons tiered. 0 Joists to Beams OTypical A35F Installations to Transfer Shear Forces 0 Copyright 1993 SIMPSON STRONGME COMPANX INC.