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HomeMy WebLinkAbout042-370-001ST. CLAIR CONTR. CO. �✓ W ��7f ' 21,-80 Guynn Ave., lot 1, Chico - Permit# 1771-75B;P,E,M(new SF) tviw V,u� 42-37-1 + HomerSheets 2480 Guynn Ave. -lot 1, -Chico Permit #1814-76B, (add patio cover & + deck/SF) �IL� t T �043.3 7O R-Gf rti98=2801uB �,�:-�fi•k;, RANT.;, bet. t .'1 r _"; Y �l 810 Meadow; Road,t: Chico � ;a ' z, s, t-(reroof/SF) comp Glen , Scw hukei . 042-370-001 F, -t _`ter ti 05-0064 ' ' RICCI, LOUIE 2430 GUYIVN A VE, �CHICO `' Cont: MCCLELLANDAIR :REP HVAC Q I l i' a^ r f r t r f • f l I i' a^ f I CWI> - NOTES RESIDENTIAL PERMIT NO. x042-370-001 . - 05-0064--) ! RICCI, LOUIE 2480 GUYNN AVE, CHICO l Cont: MCCLELLAND AIR REP HVAC �r SPECIAL CONDITIONS 11 SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER JOB FINALED (Dat cam' Signature �-✓ CHECKED BY f RESIDENTIAL PERMIT NO. x042-370-001 . - 05-0064--) ! RICCI, LOUIE 2480 GUYNN AVE, CHICO l Cont: MCCLELLAND AIR REP HVAC �r SPECIAL CONDITIONS 11 SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER JOB FINALED (Dat cam' Signature �-✓ CHECKED BY J=OK 0 = Not OK N tReadya°'e DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 3. 2. Soils; Special MH Support Sketch 4. 3. Sewer; Location -Test -Fall -C/O -Concrete 5. 4. Water; Location -Test -Easement Needed (Sketch) 6. 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete 7. 6. Gas; Location -Test -Wrap;-/ P' L 'ft. / P Nat. or/ P' L "ft./ P LPG 8. 7. Well Clearance & Disconnect 9. 8. Utility Clearance 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date Braced Wall Panels Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s Date 1. Zoning Requirements -Setbacks -Easements Date 2. Footings; Size -Spacing -Marriage Line 1. 3. Gas; MH Test -Demand -Valve -Connector 2. 4. Electricity; MH Test -Crossovers -Breakers -Clearances 3. 5. Drain; MH Test -Fall -Flex Connector 4. 6. Water; MH Test -Regulator -Connector 5. 7. Water and Sewer Connected -C/O to Grade -HD Approval 6. 8. Gas and Electricity Tagged 9. Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch 11. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PERMANENT END SYSTEM (ONLY) 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Blocking 4. Gas; MH Test -Demand -Valve 5. Electricity; MH Test 6. Water; MH Test 7. Water and Sewer Connected 8. Gas and Electricity Tagged 9. Exits 10. License Decals 11. Verify #'s with Office Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs-Connectors Shthg-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche 12. Enclosure; Fencing -Alarms Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 J=OK 0 = Not OK - = Not Applicable . = Not Ready RESIDENTIAL (Single & Duplex) Date UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope Card B-1 Date Card B-1 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth Card B-1 Date Card B-1 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab, Steel -Wrapped Date 8. Piers -Fireplace Ftg.-Steel Date 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test Date 10. UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test 41. 11. Water Pipe; Test -Anchors -Regulator -Service Test 42. 12. Electric Underground 43. 13. Plenums & Ducts; Clearance -Material -Support -Ins. 44. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 45. 15. Access & Ventilation 46. 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s 17. Water Htr; Vent -Access -Combustion Air Baffle 18. Water Pipe; Test & Anchor -Nail Protection 19. D.W.V.; Test Fittings & Anchor -Nail Protection 20. Shower Pan; Test, First Floor -Tub Access 21. Test Tub & Shower, Second Floor -Tub Access 22. Gas Pipe; Sixe & Anchors 23. Fire Sprinkler; Test 72. Elec. Outlets at Wood Panel, Int. & Ext. Date 73. Card B-1 Date Card B-1 Date 74. Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s Garage Fire Door; Swing -Landing -Closure 24. Fixture & Transformer Clearance -Ins. Protection A.C. Duct in Garage -Damper 25. Elec. Receptacles Spacing -Lights & Switches at Doors Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 26. Size Boxes & No. of Conductors Stapled Plb.; Elec. & Mech. Equip. Listed for Location 27. Romex Installed Close to Edge of Studs & C.J. Elec. Receptacles in Garage (F.FI.)-Romex Protection 28. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water Insulation -Foam -Looked in Attic 29. 2 Appliance Circuits in Kitchen & Conductor Size GFI Guard Rails & Deck Construction -Post Caps 30. Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or Al Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth 31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or Al Insulated Neutral O Yes O No Clearance Looked under Floor O Yes 32. Service -Riser Conductors & Ground Main Disconnect Following Instld./Drive O Yes O No/Walks O Yes O No/Planters O Yes O No 33. Equip. Clearances Panels-Motors-Mech. Equip. Stucco Brown -Finish 34. Clothes Closet Light -Shower Light -Spa Light A.C. Unit Disconnect, Electrical -Plumbing 35. Smoke Detector Date FRAMING (Continued) Date Hangers -Post Caps -Anchors -Connectors Card B-1 Date Card B-1 Date Cling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rtng. Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 36. A.C. Ducts Insulation & Support 37. Vent Fan, Exhaust above insulation 38. Condensate Drain & Overflow, Size & Grade 39. Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet 40. Attic Access & Platform if Furnace in Attic Date 55. Card B-1 Date Card B-1 Date 56. Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s Siding -Nailing Veneer 41. Sills Proper Materials & Anchors Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 42. Walls Studs -Nailing Spacing & Braces -Plates -Sound Glazing Area -Glass Protection -Skylights -Plastic 43. Bearing Walls over Girders & Floor Nailing Shear Walls; Nailing -Bolts 44. Draft Stop in Walls (rat proof) Brace Interior/Exterior Wall Panels 45. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs Insulation -Walls -Ceilings 46. Headers & Beams -Size & Bearing Date FRAMING (Continued) 47. Hangers -Post Caps -Anchors -Connectors 48. Cling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rtng. 49. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 51. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 52. Garage Fire Protection Framing -RC Channel 53. Property Line Firewall & Openings 54. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 55. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 57. Siding -Nailing Veneer 58. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 59. Glazing Area -Glass Protection -Skylights -Plastic 60. Shear Walls; Nailing -Bolts 61. Brace Interior/Exterior Wall Panels 62. Insulation -Walls -Ceilings 63. I nfi Itration-Wal Is -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 64. Ext. Steps -Door & Sidelight Protection -Landings 65. Smoke Detector 66. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 67. Bedroom Exiting 68. G.F.I. & Bath Fixtures & Tub Access -Spa 69. Elec. Trim & Subpanel, Breaker Sizes & Labels 70. Stairs & Rails 71. Fireplace or Stove, Clearance -Hearth 72. Elec. Outlets at Wood Panel, Int. & Ext. 73. Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance 74. Elec. Outlets & Receptacles at Kit. Counter 75. Garage Fire Door; Swing -Landing -Closure 76. A.C. Duct in Garage -Damper 77. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 78. Plb.; Elec. & Mech. Equip. Listed for Location 79. Elec. Receptacles in Garage (F.FI.)-Romex Protection 80. Insulation -Foam -Looked in Attic 81. Guard Rails & Deck Construction -Post Caps 82. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor O Yes _ 83. Following Instld./Drive O Yes O No/Walks O Yes O No/Planters O Yes O No 84. Stucco Brown -Finish 85. A.C. Unit Disconnect, Electrical -Plumbing 86. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 87. Water Well, Disconnect, Electrical, Plumbing 88. Exterior Elec. Trim, G.F.I. Receptacle -Underground 89. Ventilation Throughout House 90. Glass Protection 91. Corrections from Previous Inspections 92. Gas Test -Meters Tagged, Gas -Electric 93. Water & Sewer Connected -C/O to Grade -HD Approval 94. Energy Compliance Certificate -Other Certificates 95. Address Posted 96. Fire Sprinkler 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: BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVIL•LE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 FAX#: (530)538-2140 WEBSITE: www.buttecounty.netldds PERMIT NO. BPO50064 LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under 'd Date provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issue - 01/10/2005 APN: 042-370-001-000 the Business and Professions Code, and my license is in full force and effect. 2 Site Address: 2480 GUYNN AVE CHI License Class: C —a License Number. �7�� Date: O.O Contractor. i� [�, L /LG Map Index: OWNER -BUILDER DECLARATION Description: replace hvac package I hereby affirm under penalty of perjury that I am exempt from the Contractors' State.Llcense Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a Owner: RICCI LOUIE J & BEVERLY A JT permit to construct, alter, improve, demolish; or repair any structure, prior to its issuance, also requires the applicant for such permit to rile a 2480 GUYNN AVE 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 95926 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 five hundred dollars ($500).): ❑ I, as owner of the properly, or my employees with wages as their sole compensation, will do the work, and the structure is not MCCLELLAND AIR CONDITIONING, INC intended or offered for sale (Sec. 7044, Business and Professions Applicant: 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 690 THUNDERBOLT STREET sale. If however, the building or Improvements are sold within one CHICO, CA 95973 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 (530) 891-6202 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 thereon, Contractor: MCCLELLAND AIR CONDITIONING, INC and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). ❑ 'I am Exempt under Article 3 of the Business and Professions Code 690 THUNDERBOLT STREET Date: Owner. CHICO, CA 95973 WORKERS' COMPENSATION DECLARATION (530) 891-6202 I hereby affirm under penally of pedury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for License #: 345121 workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. I have and will maintain workers' compensation insurance, as Architect: required by Section 3700 the Labor Code, for the performance of Engineer: the work for which this permit Is Issued. My workers' compensation insurance carrier and policy number are: Carrier. S7-9Tc_ Policy #: o b S' 7 Total Square Ft: 0 S. F. 1 certify that in the performance of the work for which this permit is Valuation: $0.00 issued, I shall not employ any person in any manner so as to Census Code: 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: Ae_//, ,,, ,4. C L WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition 'to the cost of compensation, damages as provided for in Section 3706 of the Labor / code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY This Feis herebissue —nd he a licable provisions of the Butte County Cody enrVor rm that there is a construction lending agency for the Resoto do work I cat abov or which fees have been paid. performance of the work for which this permit Is Issued (Sec 3097 Civ.) K / / O Name: BY Date: PE XPIRES ON: /0 Address: Date ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. . ❑ Notification in accordance with Section 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 stale laws relating to building construction. I acknowledge It is unlawful to alter the substance of any official form or document of Butte County. 1 hereby authorize representatives of Butte County t -o• enter upon the above mentioned property for Inspection pu s s. Print Name. �yt��7T� Signature: Date: 0 `Owner ❑ Contractor ❑ Agent for Owner Agent for Contractor 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 OFAPPLICA TION **PLEASE PRINT CLEARLY** OWNER Last Name lFiml Name Address ed 45— C.- N Al City Cv State Zip Phone Fax E-mail CONTRACTOR Name Z Address City G� State Zip 1 —Phone o / --S'/ 3' E-mail Lic. # Class APPLICANT NAME ARCHITECT/ENGINEER Name City Address Zip City Fax State Zip Phone Lot # Fax E-mail Date Approved: State License Number APPLICANT NAME Name /� �2 �� Address City State Zip Phone Fax E-mail APPLICANT SIGNATURE X For office use only: AP# Q y'Z _ 0 Zoning Flood Zone SRA I Yes I No Occ. WORKER'S COMPENSATION Type Const. Subdivision Name If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. Map Book Page Lot # Planner Date Approved: PERMIT NO. BP05-006 BIN # LOCATION AP# Q y'Z _ 0 Property Address GU_r City Cross Street WORKER'S COMPENSATION Policy Number 0OZ12 / Carrier S 7.--9 Ung If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Mame Address Description or Scope of Work: �V-4 C_ G� 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 OVER FOR SUBMITTAL REQUIREMENTS 11 KAFORMS\BUILDING FORMS\BldgApplSubRgmts.doc Page 1 of 2 Received by: Amount: Receipt #1 0 10� �l Date: Bldg SRA Sheriff SMIP REV 7-27-04 SUBMITTAL & PERMIT REQUIREMENTS The following drawings and specifications must be submitted to the Building Division in order to apply for a permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK ❑ 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. No graph paper! ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans (No graph paper!) OR Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 3. Engineered truss details and layouts in duplicate (if required). No faxes! ❑ 4. Energy compliance design and supporting documentation in duplicate. (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 fnd plans, all in duplicate. ❑ 7. Metal bidgs: (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). n 13—SBnitatio sit . D1an-apploYaLfrom-tbe-EDAronmentaLHealthDepartment" Remaining items needed to issue the permit. Additional items may be required after Plan Check and Planning review (May require additional plan review upon receipt of the following items.) ❑ 1. Agricultural Buffer clearance and site plan approval from the Ag Commissioner's office (if required). ❑ 2. Impact Fees. ❑ 3. California Department of Forestry plan approval (if required). ❑ 4. NPDES Form. ❑ 5. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 6. Contractor's license information. (Number, Name Style, Classification). q 7. Worker's Compensation Carrier and Policy Number. ❑ 8. Owner -Builder Verification (if required). ❑ 9. Letter of Signature authorization (if required). ❑ 10. Recorded copy of Agricultural Acknowledgment Statement. ❑ 11. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner (for 433A's). If you have questions or would like additional information regarding this process, contact a Permit Application Assistant at (530)538-7541. EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after date of application. In order to renew action on an application after expiration, a new application, plans and fees will be required. REQUEST FOR FEE REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made within two years from the date of fee payment on permits not issued, and two years from the date of permit "issuance for permits issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. OVER FOR BUILDING PERMIT APPLICATION KAFORMSIBUILDING F0RMS\BIdgApp1SubRgmts.doc Page 2 of 2 REV 7.27-04 0< E COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 ��aPERJut� 0. (Rev. 12/96) APPLICATION AND PERMIT � �j ASSESSOR PARCEL NUMBb 1 ZOo BUILDINGPERMIT OWNER TELEPHONE SQ. FT. OCC. BUILDING VALUATION .OWNERS MAID 1 SS A ` /1 ` /WI (^I CONTRACTOR'S TELEPHONE Z-6 CONTRACTORS MAaADDRESn/,,,,_� CONSTRUCTION LENDER Fireplace LENDER'S MAKING ADDRESS Total Valuation $ S - I no ARCHITECT OR ENGINEER LICENSE NO. Filin Fee $ 20.00 Permit Fee $ 5. 00 ARCHITECT OR ENGINEERS MAIUNG ADDRESS Plan Checking Fee $ BUILDING ADDRESS I Energy Plan Checking Fee $ $ PERMIT FEE $ , LAT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF/11'Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: 1 S Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W Q20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service 200A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in f orce and effect. 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 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 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 shallTOTAL 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 com lywi ose provisions. X Date Signature o Applicant - 0 Owner FK`'Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Main Service zoo. TO 46.00 CCUOOOA NEW CONST. DWEWNG OCCUP. 3.5Q �. ORNEWDNS.( nBiuL�Tcou�rLS.. ..=T, 97.50 POWERSINGOAPPARATUS 8 IE UTLET CIR. Ex. Occup. OUTLET OR FIXTURES BAL p'.50 Ex. Occup. OFIXU Ds a� ' OR 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 +� PERMIT FEE $ MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ Occ T. TYPE FEE $ HA . D. IMP I FLOOD I COF PARCEL PO HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicate above for which fees have been paid. By atte; PERMIT EXPIRES ON � z �� —`1 q I Data ReceiptNo. Z T. ® WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT I •- RMIT NO. i'181lr-aM,P r. PERMIT EXPIRES DOWNER y Homer Sheets CONTR. owner LOCATION (A.P. 42-37-1 ) 2480 Guynn Ave., Chico t uJ+ r� e Y; t �Y ' t% Temp. Power Pole Called PG&E Temp. Elec. Serv. //Called PG&E Temp. Gas Serv. Called PG&E JOB � FINALED . (Date) (Signature) COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTIO(RECORD BUILDING ' BUILDING (Cont'd) PLUMBING Setback Firewall Soil Piping Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor Stemwall Siding To out Slab Roof Sheathing Water Piping Piers Roofing - Sewer Garage" Fdn. Vents Fixtures —4 Footings Garage Vents Water Htr. Stemwall Slab Prov. for physicall handicapped Heaters Appliances Carport Footings Conformance of a structure Gas Piping & Test Temp. Gas Slab Final C-2— 2-1-70p, Sanitation Patio FIREPLACE Final C Footings Footing EI-ItCTRICAL a'son ry Walls Throat Roucih Reinf. Steel Final Fixtures Bond Beam FIRE SPRINKLERS Motors 14amin Test Water Htr. !G Final Subpanels Mesh MECHANICAL Grd. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Underground Interior"Lath Ventilation Permanent Door Closer Final Final DATE ID` Q�'L ` -4v REMARKS OR CORRECTIONS P"U/O;E. R qA1 Ale OAIS' Ws ��p of �✓ol7s (NOTE: An entry must be made on this form each time you visit the job site.) COUNTY OF BUTTE — DEPAF0-MENT OF PUBLIC WORKS 7 County•Center Drive — (roville, California 95965 t Telephone: 634-4541 APPLICATION AND PERMIT "'Y""_�'^•'•�•� . G vVunay — UU— — 611LU1 UF/UII LI IU above-mentioned property for inspection purposes. ^ Date Signature of Per Ci ge or Agent Receipt No.J/ White-D.P.W. – Yellow -Assessor – Pink -Inspector – Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF POBLIC WORKS BY B ilding per�Rexp�iresate BUILDING Owner S' S`.0. FT. OCC. BUILD( G VALUATION Mailing Address O V&__4 v� a. Tel ..1, J J Fireplace Contractor Total Valuation 0 0 Mailing Address Permit Fee C) Plan Checking Fee alt (, Telephone No. Permit Fee $ 47 ` 40 Building Address -, PLUMBING No. @ I FEE PERMIT FILING FEE $3.00 , C Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 5 0 Each gas water heater or vent 1.50 A. P. No. -� Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fe W S n Fire Dept. Fire Zone I Use Permit Building sewer 5.00 EQA Parking Parcel Plan Declaration parcel Ma P 60' R/W Improvements P� Lawn sprinkler system 2.00 Bld ans Recd pproval PIA Appraval Permit Fee — -3s6::,-, $ _N NEW ❑ ADDITION. UTILITIES ❑ OTHER Q ELECTRICAL No.1 @ FEE PERMIT FILING FEE $3.00 / G Main service R 'Ess 5.00 100eoov AMoP 5•�� OR LESS Main service EA. ADO'L 100 AMP 2.50 Single Family Duplex ❑ Mobil Home ❑ Others ❑ Main service 100 OVER EAMP oR LESS 25.00 Main service EA. ADD'L too AMP 1.00 NEW CONST. DWELING OR ADONIS.( ACCLBLDGS.CCUP. &) 22sgft NEW CONSTR. MULTI -OUTLET NON.RESID. BRANCH CIRCUITS) '2.50ea NEW CONSTPOWER APPARATUS & NON_RESIR. D. (SINGLE OUTLET CIR. 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: Ex. Occup(OUTLETS OR FIXTURES)�'25a BAL@1 Ex. Occu //FIXED APPLNS. OR P•(oUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE I 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 Hood 2.00 Permit Fee $ $ 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby TOTAL PERMIT FEE $ S "'Y""_�'^•'•�•� . G vVunay — UU— — 611LU1 UF/UII LI IU above-mentioned property for inspection purposes. ^ Date Signature of Per Ci ge or Agent Receipt No.J/ White-D.P.W. – Yellow -Assessor – Pink -Inspector – Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF POBLIC WORKS BY B ilding per�Rexp�iresate s .PERMIT NO. 1771-15B,PP.E.M P i, E M MH UTIL. ;`PERMIT NO. s, PERMIT EXPIRES d-7 v - WNER t Construction ;LONTR. --', OCATION (A.P. 42-37-1 ) s 2480 Guynn Ave., lot 1, Chico Temp. Power Pole Called PG&E Temp. Elea Serv.i Called PG&E 70~ b ©O Temp. Gas Serv. PG&E ealled JOB r f FINALED (Date) (Signature DATE REMARKS OR CORRECTIONS &,AA .-GF x '3 8IIJ 0 K41 k -4-"J 4L rig, 7 e.Ur hlo c - / � S CAA -VC G� e,-(4 C C>CCX ' k D m mak. l AI ! �S-74 /4B -0v Cpr2,� /� S 0k147' TNiS % 1h -i ffouo v� %h,iz.. NEUJ p cvA! l- P.e ,v1<71, Sek V%A.M r- l8I COUNTY OF BUTTE_ZDEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBING Setback —a--75-'(Firewall _,10 Soil Piping G Forms Parapets ----- 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings ' Windows 3rd Floor StemwaII Siding — To out Slab Roof Sheathing Water Piping Piers 5- r. oofing 9"�6 �% ewer Garage — Fdn. Vents Fixtures Footings Garage Vents Water Htr. Stemwall Slab r. Prov. for physically handicapped Heaters Appliances �.. -^�— Carport Footings Conformance of ex. structure Gas Pi ing & Test Temp. Gas ---- Slab X Final Sanitation ; • i1 Patio FIREPLACg Final Footin s Footing ELECTRICAL Masonry Walls Throat - OZ — Z Rough Reinf. Steel X Final Fixtures 0� Bond Beam FIRE SPRINKLERS Motors Framing r. % Test k Water Htr. Stucco Final Subpanels Mesh MECH NICAGrd. Fault Prot. Scratch D/— 7 Heating 4041,_> Service Brown — ooIing Temp. Pole Finish Ducts Underground Interior Lath f l Ventilation /Q Permanent Door Closer n1 Final Q —'//3 Final DATE REMARKS OR CORRECTIONS &,AA .-GF x '3 8IIJ 0 K41 k -4-"J 4L rig, 7 e.Ur hlo c - / � S CAA -VC G� e,-(4 C C>CCX ' k D m mak. l AI ! �S-74 /4B -0v Cpr2,� /� S 0k147' TNiS % 1h -i ffouo v� %h,iz.. NEUJ p cvA! l- P.e ,v1<71, Sek V%A.M r- l8I 1<f GLI IA ADMINISTRATIVE CODE, TITLE 25. STATE CALIFORNIA, IN THE BUILDING LOCATED AT: Lot Number Tract I:xTER10R MALLS 1 n Manufactu �Ickness/Type` � value ELM Batts Manufacturer Thickness R value - Blanc: Manufacturer G Th knees No. Baas. 3 a Mt./Ba Sq. Ft. Covered R value FLOORS J - Manufacturer Thtckness/Type R value SLAB ON GRADE e Manufacturer Thickness/Type R value FOUNDATION MAILS Width of Insulation inches s/Type R value ICENSE RIiIER AA, -j— DATEt! -' - LICENSE HUMBER T0: Building •i)epartment FROIIII: Environmental Healt RE : Sewage and/or vdater Clearance OVNI ER LOCATION A .P#- Has been approved for: rdATER .SUPPLY S95-775 N COUNTY OF BUTTE — DEPARTMENT OF PUBL 7 Cburity Center Drive -- Oroville, California 959E Telephone: 534-4541 APPLICATION AND PERMIT I certify at I have read this application and state that the above inform i n is correct. I agree to omply to all County Ordinances and t e Laws relat'hg to b Iding nstruction, and hereby aut r' a representati soft Cou of Butte to enter upon the ab a tinned pro rty for ' p on p oses. C Date Signa=/z, r Agent ' Receipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant Y� a TOTAL PERMIT FEE $ 7 19lI 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 0 PUBLIC WORKS By Date S 7— �y t wilding permit expires Date 6, 2-7�, - BU DING Owner _5Y/J ' �lc�/i� C.0 SQ. FT. OCC. BUILDING VALUATION Mailing AddressJ;L,2•4/1p0, 3 J 21Gt7' AGO r 13407— Telephone No. 'L Fireplace 61-0 Contractor Total Valuation &' Mai I i ng Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee Building Address ;�L � eW PLUMBING No. @ FEE PERMIT FILING FEE $3.00 g,0`'0 �G Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 4g 41 Ph Each gas water heater or vent 1.50 A. P. No. `/2 —97 Zoning & Planning Gas piping system 1 - 5 outlets 1.50 1,6 Each additional outlet .30 Fees' Wd'/ S i tion Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking ss Parcel Declaration parcel Ma p 60' R/W Im rove nts p Lawn sprinkler system 2.00 y,F'I I g PI f' ec'd Parce oval Plans Xpprovol Permit Fee $ NEW �� • ADDITION ❑ UTILITIES ❑ OTHER ❑ ELECTRICAL No, @ FEE PERMIT FILING FEE $3.00 3" Main service incl. 1 meter IaVA414 1 —4, i-0 Additional meters, each 1.00, Sub -panel (12 or less) (morer o ,Q..� _ Single Family Duplex ❑ Mobil Home ❑ Others ❑ Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 L i g ht' f i xtu res bU d2 3sS� _ R s., swit s & fix ets 7J CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of Californi usiness & P sions Code u r the name style o 2(4 Hood, Ex. Fan or F.A. Furn. Motor 1'.00 Evap. cooler, gar, d or DW. 1.00 Air conditioner or heat panp Water pump Mobil Home Facilities 5.00 Temp. Power Pole 5.00 .� License No. Classification Misc. wiring ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ MECHANICAL No. @ FEE WORKMEN'S COMPENSATION INSURANCE I 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. ❑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 Workmen's Compensation Laws of California. PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ I certify at I have read this application and state that the above inform i n is correct. I agree to omply to all County Ordinances and t e Laws relat'hg to b Iding nstruction, and hereby aut r' a representati soft Cou of Butte to enter upon the ab a tinned pro rty for ' p on p oses. C Date Signa=/z, r Agent ' Receipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant Y� a TOTAL PERMIT FEE $ 7 19lI 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 0 PUBLIC WORKS By Date S 7— �y t wilding permit expires Date 6, 2-7�, ' am/' -fir � r op OhCvt S� OhCvt S� 11 "r , t aI :/ 6J/ ' ' ✓/�"�tLF� r cry TG C .o02—.* '' � .� •' 7 t� i C a '� .s �.�. r x. �, ► Rw�epi�� l�`rrrn� s {, z ,per C��s ZA `fop rail to be 42 in.: high wit' it�R �� � —. ��._ _ X inn"� c termediate mils to be not twEt' 1h. •i / = o lip, ort. 1r' �,. .gyp .. ��`' • . � 1.. �. � .. Z . � °` � � .' )Ir"i ibis scat of plans and siaecitications MUST Af o� G rdt • J S — ' eept on the job at all times and it is .unlawful tb 3 Z: �. �� e �'�t"p `IT %✓i�.�� ¢?r� make any changes or alteratl.i)nS'Qn sr<me without' > ":, \�,_.• ti y .✓ tvrcitsn. permisson from the Department of Public 7: Works, County of Butte. NOTE: -:—All Mryfe,-inls & Workmoms'hip Shaft Be int - Accordrr�re w;+h Goa *, i . d Proctices ant? ti of a qur1X+v nre!zcr,'. rf •for. +he 'Siaeci$ied use nv • Uniform Euilclinq, Pliar�`h'ing•. & Mach a -icalt Code^s ` the National Electrical Code. vi — — — 'COUNTY a n 3 UILDING DE U;RTMEN 0,0 13 i tP OVE ft / �i r A ,�