HomeMy WebLinkAbout042-580-04842-58-48.
WEBB BROTHERS
1792 Heron Ln,lot 21.Sil.vPr.trPPII Chico
Contr: Webb Homes FkaA
Permit#314-87B,P,E,M(new single famiy)
042-580-048 0 '17
WELLS, LAWRENCE - 90
794 SKYLARK DR, CHICO .
I Cont: RRR ROOFING
REROOF/SF ..
1
y
I i
11
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BUTTE CO TY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT
24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO)
OFFICE #: (530) 538-7541 FAX#: (530)538-2140
WEBSITE: www.buttecounty.net\dds
PERMIT NO.
P041790
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: 06/21/2004,- APN: 042-580-048-000
the Business and Professions Code, and my license is in full force and
effect.
License Class: License Number:
Site Address: 794 SKYLARK DR CHI
Date: Contractor:
Map Index:
Description: RE ROOF 32 SQ. COMP
p
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the
Contractors' State License Law for the following reason (Sec. 7031.5
Business and Professions Code: Any city or county which requires a
permit to construct, alter, improve, demolish, or repair any structure, prior
Owner: WELLS LAWRENCE E & ERIN L TRUST
to its issuance, also requires the applicant for such permit to file •a
signed statement that he or she is licensed pursuant to the provisions of
the Contractor's State License Law (Chapter 9 commencing with Section
WELLS LAWRENCE E & ERIN L TRUSTEES
7000) of Division 3 of the Business and Professions Code) or that he or
794 SKYLARK DR
she is exempt therefrom and the basis for the alleged exemption. Any
CHICO,'CA 95926
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
7—z/
sole compensation, will do the work, and the structure is not
l
intended or offered for sale (Sec. 7044, Business and Professions
` Code: The Contractors' State License Law'does not'apply to�ari'
owner of property who builds or improves thereon, and who does
{applicant: WELLS LAWRENCE E & ERIN L TRUST
such work himself or herself or through his or her own employees,
provided that such improvements are not intended or offered for
sale. If however, the building or improvements are sold within one
year of completion, the owner -builder will have the burden of
proving that he or she did not build or improve for the. purpose of
sale.).
Or ,1,.,,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,
and who contracts for such projects with a contractor(s) licensed
pursuant to the Contractors' State License Law.).
Contractor: RRR ROOFING
❑ I am Exempt under Article 3 of the Business and Professions Code
716 HAZEL STREET
Date: owner:
CHICO, CA 95928
530-345_9646
WORKERS' COMPENSATION DECLARATION
1 hereby.affirrn under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for
License #: 717351
workers' compensation, as provided for by Section 3700 of the
Labor Code, for the performance of the work for which this permit
is.issued.
❑ I have and will maintain workers', compensation insurance,' as'
required by Section 3700 the Labor Code, for the performance of
Architect:
the work for which this permit is issued. My workers' compensation
Engineer:
g
insurance carrier and policy number are:
Carrier:
Total Square Ft: 0 S. F.
Policy #:
❑ I 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
become subject to the workers' compensation laws of•Califomia,
Census Code:
and agree that if I should become subject to the workers'
i
compensation provisions of Section 3700 of the Labor Code, I shall
forthwith comply with those provisions.
Date:
GG
v
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.
CONSTRUCTION LENDING AGENCY
This permit is hereby issued under the applicable provisions of the Butte County Code and/or
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:
❑ 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 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 ❑ Contractor 0 Agent for Owner 0 Agent for Contractor
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT
24 HOUR INSPECTION M (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO)
OFFICE M (530) 538-7541 FAM (530)538-2140
WEBSITE: www.buttecounty.net\dds
PERMIT NO.
BP041790
LICENSED CONTRACTORS DECLARATION
1 hereby affirm under penalty of perjury that I am licensed under
provisions of Chapter 9 (commencing with Section 7000) of Division 3 of
Issued Date: 06/21/2004 APN: 042-580-048-000
the Business and Professions Code, and my license is in full force and
effect.
License Class: _ License Number: _1`71 r7 361
Site Address: 794 SKYLARK DR CHI
Date: Contractor. ?=,eQ
Map Index:
Description: RE ROOF 32 SQ. COMP
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the
Contractors' State License Law for the following reason (Sec. 7031.5
Business and Professions Code: Any city or county which requires a
permit to construct, alter, improve, demolish, or repair any structure, prior
Owner: WELLS LAWRENCE E & ERIN L TRUST
to its issuance,•also requires the applicant for such permit to file -a
signed statement that he or she is licensed pursuant to the provisions of
the'Contractor's State'License Law (Chapter 9 commencing with Section
WELLS LAWRENCE E & ERIN L TRUSTEES
7000) of Division 3 of the Business and Professions Code) or that he or
794 SKYLARK DR '
she is'exempt therefrom and the basis for, the, alleged: exemption. Any
violation of Section 7031.5 by any apptioanCfor'a permit subjects the
CHICO;•CA 95926
applicant,to :a' civil,penalty,of not more than five hundred dollars '($500).) -
❑ Cas 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
Coife: The -Contractors` Sfaf&License L`aw does not apply to an
- "' ""- '- ` �" "" ' "✓'- 'Wi6N`" -"'w `-"`"" ' " "" " "�-
,,owner of property who builds or.improves thereon, and who does
Applicant: WELLS LAWRENCE E & ERIN L TRUST
such work himself or herself or through his or her own employees,
provided that such improvements are not intended or offered for
sale. If however, the building or improvements are sold within one
year of completion, the owner -builder will have the burden of
proving that he or.she did not build or improve for the purpose of
sale.).
owner„of,,the,-,property„,am,exclusivel.ycontracting„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,
and who contracts for such projects with a contractor(s) licensed
- pursuant to the Contractors' State License Law.).
Contractor: RRR ROOFING
❑ I am Exempt under Article 3 of the Business and Professions Code
716 HAZEL STREET
Date: owner:
_ CHICO, CA 95928.
CHIC 5_9646
WORKERS.COMPENSATION DECLARATION •.
I hereby affirm under penalty of penury one of the following declarations: .
❑ I have, and'will.maintain a certificate of consent to self -insure for
.
workers' compensatjon, as provided .for by Section 3700 of the
., _,�.• �..,.. _ .
License M 717351
Labor Code, for the performance of the work for which this permit
is issued.
1 have and WiVmaintain-workers'`compensation insurance, as
required by Section 3700 the Labor Code, for the performance of
Architect:
the work for which this permit is issued. My workers' compensation
Engineer:
insurance carrier and policy numbber are:
Carrier.dkab-1 10J(,� C�
Total Square Ft: 0 S. F.
1���1^—(�J
Policy #: ix�5 (X� I rl N 3_D
❑- I 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
become, subject to the workers' compensation laws of California,
Census Code:
,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:
A
•Applicant: - �” W�---� •
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 permit is hereby issued under the applicable provisions of the Butte County Code and/or
I hereby affirm that there is a construction, lending agency for the
Resolutions to work indicated above r w ich fees have been paid.
performance of the work for which this permit is issued Sec 3097 Civ.
p ( )
/9 a 4
Name:
By:L�2M2&LO Date: lJ
PERMIT EXPIRES ON:
Date
Address:
0 '- ` I hereby certify that the use of this facility shall comply with Section`s 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 represent Lives of Butte County to enter upon the above mentioned property for inspection purposes.
Print,Nar t Signature:
Date: 01,0k.. I
❑ Owner ❑ Contractor ❑ Agent for Owner XAgent 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 OF APPLICATION
APPLICANT NAME
CONTRACTOR
OWNER
Name
C C
rii �r
Address
CityState
ICA
Zip
Phone
8 _
l
Fax
E-mail
Map Book
State License Number
APPLICANT NAME
CONTRACTOR
Name
l �t1
Address
rii �r
City
G , G O Stated,
Zip
Phone
Fax
E-mail
Lic.# 2I d
Class
APPLICANT NAME
ARCHITECT/ENGINEER
Name
City
Address
Zip
City
Fax
State
Zip
Phone
Type Const.
Fax
E-mail
Map Book
State License Number
APPLICANT NAME
Name
Address
City
State
Zip
Phone 5 `g_
Fax
E-mail
APPLICANT SIGNATURE
X �—
For office use only:
Zoning
Flood Zone
SRA
I Yes
I No
Occ.
Type Const.
Subdivision Name
Map Book
Page
Lot #
Planner
Date Approved:
OVER FOR SUBMITTAL REQUIREMENTS
PERMIT
NO.
d�
BP '7q
BIN #
LOCATION
AP# 0L4Q — 5 80 — OLA e)
Property Address
L P—
Cross Street
WORKER'S COMPENSATION
Policy Number
rIL4 3
Carrier
64
If hiring anyone other than license contractors, a certit►cate of worker's
compensation must be shown at the time of permit issuance.
LENDING AGENCY
Name
Address
K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc Page 1 of 2
Description or Scope of Work:
c
3d
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 by: Amount: l < `S� Bldg
SRA
Receipt #: Sheriff
SMIP
Date:Other
_ 1-0J / ) -56Total
REV 4-30-04
...
SUBMITTAL 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.
Residential, New, Remodels, Additions, and Accessory Structures:
❑ 1. 3 Site Plans, signed by the preparer. NO GRAPH PAPER!
❑ 2. 3 Complete sets of plans, signed by the preparer. NO GRAPH PAPER! .
❑ 3. 3 Engineered plans (if required) with wet signature on plans AND 2 sets of stamped and signed
calculations.
❑ 4. 2 Engineered truss details and layouts (if required) (NO FAXES!).
❑ 5. Letter from Engineer or Architect for truss design review.
❑ 6. 2 Energy compliance design and supporting documentation: (Note: Not required for additions to
mobile or modular homes.)
❑ 7. 2 Flood Elevation Certificate, wet -stamped and signed (if required).
❑ 8. Detached Accessory Building Form, filled out by the property owner (if required). 1
❑ 9. Sanitation and site plan approval from the Environmental Health Department.
❑ 10. Metal Buildings: (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.
Mobile, Manufactured, or Modular Homes:
❑ 1. 3 Site Plans, signed by the preparer. NO GRAPHPAPER!
❑ 2. 2 Data sheets and installation instruction manual.
❑ 3. 2 Marriage line information.
❑ 4. 2 Floor plans.
❑ 5. 2 Engineered Tie Downs or Foundation plans.
❑ 6. Sanitation and site plan approval from the Environmental Health Department.
❑ 7. 2 Flood Elevation Certificate, wet -stamped and signed (if required).
Commercial, New, Additions and Remodels:
❑ 1. 4 Site Plans, signed by the preparer. NO GRAPH PAPER!
❑ 2. 4 Engineered plans with wet signature on plans AND 2 sets of stamped and signed calculations,
with code analysis.
❑ 3. 2 Engineered truss details and layouts (if required) (NO FAXES!). .
❑ 4. Letter from Engineer or Architect for truss design review.
❑ 5. 2 Energy compliance design and supporting documentation (if required).
❑ 6. 2 Flood Elevation Certificate, wet -stamped and signed (if required).
❑ 7. Statement of Intent for Non -heated and A/C (if required).
❑ 8. Metal Buildings: (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.
❑ 9. Letter of intent.
❑ 10. Hazardous Material Form.
❑ 11. Sanitation and site plan approval from the Environmental Health Department. .
If you have questions or would like additional information regarding this process, contact a Permit
Application Assistant at (530) 538-7541.
OVER FOR BUILDING PERMIT APPLICATION
KAFORMS\BUILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2
REV 4-30-04
I
314-8 B,P,E,M -
* ' PERMIT NO.
PERMIT EXPIRES ••' �-
OWNER WEBB BROTHERS
CONTR. Webb Homes
ASSESSOR PARCEL 42-58-48
LOCATION 1792 Heron Ln, lot 21,Silvertree II
}
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Called PG&E
Temp. Gas Service
Called PG&E
JOB FINALE[
Signature
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Oroville — Phone: 534-4541
Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57
CORRECTION NOTICE
A routine inspection indicates that the following violations of County Ordinance
exist at the above address and should be corrected. Please notify this office
when correction of work is completed. If you have any question pertaining to this
matter, or need additional explanation, please contact this office immediately.
--
r,
Inspector " Date—L{ a 51
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS .
' 196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Orovi Ile — Phone: 538-7541
747 Elliott Road, Paradise — Phone: 872-6307
CORRECTION NOTICE
OWNER PERMIT NO.
A routine inspection indicates that the following violations of County Ordinance
exist at the above address and should be corrected. Please notify this office
when correction of work is completed. If you have any question pertaining to this
matter, or need additional explanation, please contact this office immediately.
`1
Inspector Date �eY
H
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SIIAS'I.'A INSULATION
........ . .
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1:i -!T!, -T')IZ' NO.
S.IY,N/VY(lk1l-: or INTI.:
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DtIJ,.I1;iII),1 1)4- 1 1:; v: •a I it:,./. im:; I -a 1, Lcd
re;Iwixed h.y 1 t'. I Co f,i I , ov:,
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THIS C'1-:RT1V.I'CATi-: I'l.: cH :.'1 1.1-: .:iTii 1111I.: 1;!I; kli![:k:I)I-:I1AkT;-I;-:I4T PRIOR l'o 14A I,
INSPECTION AP11NOVA1. ANI; A I".., THE. IR111,I),IHIG.
1.
I" II I 1 I I
i
J,='OK
0 = Not OK
- = Not Applicable
* = Not Ready
RESIDENTIAL (Single and Duplex)
Date UNDE LOOK Plans) OK except N's
__4-";prIfngrequirements-Setbacks-Easemen
2.�"F ., Main; Soils-Steel-Elec. Gr / /" Fig.
3. Fig., Garage; Soils -Steel- / /' Ftg. Depth
4. Fig., Porches & Decks; Soils -Steel- / /'' Ftg.
alts ain: Steel-Blockouts-Wrapped-Slqvl
6. Ste_"_ alls, Garage; Steel-Blockouts-Wrapped-SI
C> Pi -Fireplace Ftg.-Steel
.W. V.: Fall -Fittings -Test -2 way C/O -Sewer Test
9 Gas Pipe; Size -Anchors
_ Water Pipe: Test -Anchors -Regulator -Service Test
11. Electric: Underground
12. Plenums &_Ducts; Clearance -Material -Support -Ins.
13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
Card-B_�e Date'a//7 Card -BI Date
Card -BI Date T Card -BI Date
Date P UMBING (Permit) OK except U's
Water Ht .Ven Access -Combustion Air
1 ater Pipe: Test & Anchors -Nail Protection
Vt D. V.: Test-Fttngs & Anchors -Nail Protection
17. ower es First Floor -Tub Access
� �Test Tub & Shower, 2nd Floor -Tub Access
10/Gas Pipe: Size & Anchors
Gard -BI k Date 4/) Card -BI Date
/ g/�--- - ---
Card-BI Date ( Card -BI Date
Date ELECTRICAL (Perrrit) OK except p's
20/ Fixture & Transformer Clearance -Ins. Protection
2' Elec. Receptacles Spacing -Lights _& Switches at Doors
?,/Size Boxes & No. of Conductors -Stapled _
23 Romex Installed Close to Edge of Studs & C.J.
i
Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water
2 Appliance Circuits in Kitchen & Conductor Size
Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al
2 Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al,
Insulated Neutral Yes __No
Service -Riser Conductors & Ground -Main Disconnect _
Equip. Clearances: Panels -Motors -M_ ech. Equip. _
�0. Clothes Closet Light -Shower Light
Card g -I �� Date
X'7` -Bi _Date _
Card B-1 Date Card -BI Date
Date M C ANICAL (Peirr•it) OK except N's
A.C. Ducts. Insulation & Support
Vent Fan: Exhaust above Insulation
Condensate Drain & Overflow: Size_& Grade
Furnace -Vent: Access -Comb. Air -Return Air Vent -115V outlet
Vit itis_ latform Furnace in Attic
Card -BI Date Card -BI r. Date
Card -Bl Date Card -BI Date
Date FPAMING(Plans) OK except p's
76. Sills, Proper Material & Anchors
3 Walls: Studs -Nailing, Spaoing & Bracing -Plates -Sound
3 Bearing Walls over Girders & Floor Nailing
- Draft Stop in Walls (rat proof)
(40p Fire Sicps:_Furre_ Ceilings _Stairs ass T_u_b
Header & Beam -Size & Bearing
4f. Ha ers-Post Caps -Anchors -Connect rs
40 Cl -Rftr. Ties-Purlin oof Sra -Truss-Shihnq.-Rfnq.
or Type A Flue -Fireplace Throat
Attic Access. Size & Romex Protection -Draft Stop -Ins. Baffles
Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions
Garage Fire Protection Framing
(NOTE-Anentrymust be made each time youvisit jobsite)
Date FR,61ING (Continued)
Property Line Firewall & Openings
4. xt. Doors -One 3' -Check Garage -3rd story, 2 exits
59-
,, Width -Headroom -Rise -Run -Landing -Fire Protection _
Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
ids g -Nailing -Veneer
ucco Mesh -Drip Screed-Fdn. Vents-Underflr. Acce
Glazing Area -Glass Protection -Skylights -Plastic
55 . Shear Walls; Nailing -Bolts
Card -BI Date _ Card -BI Date
Card-BIA00271 Date Card -BI Date
Card -BI Date Card -BI Date
Date FINAL (Plans) OK except N's
Ext. Steps Door & Sidelight Protection -Landings
Smoke Detector
Furnace; Vents -Clearance -Comb. Air -Connector-
In Garage; Above Floor -Ducts -Meth. Protection
Bedroom Exiting
G.F.I. & Bath Fixtures & Tub Access
Elec. Trim & Subpanel; Breaker Sizes -Labels
Rails
Fireplace or Stove; Clearanc earth
Elec. Outlets at Wood Panel; I & xt.
Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance
j Elec. Outlets & Receptacles at Kit. Counter
W7A Garage Fire Door; Swing -Landing -Closer
A.C. Duct in Garage -Damper
Wtr. Htr.; Vents -Clearance -Comb. Air -Connector -P. .V.-
% In Garage; Above Floor -Meth. Protection
Fib., Elec. & Mech. Equip. Listed for Location
:_�:4Guard
lec. Receptacles in Garage; (G.F.I.)-Romex Protec.
sulation-Foam-Looked in Attic Yes
Rails & Deck Constructs -2 o C
dn. Vents & Crawl Hole D oor-'BfeilTiageWood-Earth Clearance
^ Looked under Floor ❑ Yes \
Followin'�ristld. , rive f Yes ❑ No: Walks Yes E] No;
Planter es fro
Stucco;.B wn- ish
_ A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet
Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs.
_ '7�"�W1aJPs Well; Disconnect, Electrical, Plumbing
Exterior Elec. Trim; G.F.I. Receptacle -Underground
_ Ventilation thr ghoul House
_ Glass Prote ion
_84 Correctio fr Previous Inspections
t -Meters agged; GailElectric
Water & Sewer Connected -C/O to Grade -HD Approval
Energy Compliance Certificate -Other Certificates
Card -BI Date Card -BI Date
Card -BI Date Card -BI Date
Card -BI Date Card -BI Date
Com ients at Final:
= OK ,
= Not OK
= Not Applicable MOBILEHOMES MISCELLANEOUS
= Not Ready
Date
MOBILEHOME UTILITIES (Plans) OK except k's
1. Zoning Requirements -Setbacks -Easements
Date
DECKS, COVERS, CARPORTS, ETC. lPlansj OK except #'s
1. Zoning Requirements -Setbacks -Easements
2. Soils; Special MH Support -Sketch
_
2. Footings; Size -Depth -Spacing -Connectors
3. Sewer; Location -Test -Fall -C/0 -Concrete
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
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date
Date Card -BI Date
MOBILEHOME INSTALLATION (Plans) OK except it's
1, Zoning Requirements -Setbacks -Easements
2. Footings; Size -Spacing -Marriage Line
Card -BI
Date
Date Card -BI Date
POOLS (Plans) OK except N's
1. Setbacks -Easements
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
5. Drain; MH Test -Fall -Flex Connector
4. Elec.; Receptacles and Lighting; Distances-GFI
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 Lghig.
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-1
Date Card -BI Date
Card -BI
Date Card -BI Date
Card B-1
Date Card -BI Date
Card -BI
Date Card -BI Date
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS ERMIT N0.
7 County Center Drive - Oroville, California 95965 -Telephone 916/534-4541 V
4
APPLICATION AND PERMIT L
ASSESS R PA CEL NU R
ZON G n
r`' J
BUILDING PERMI
OWN
T€ "
S0. FT. 0 C. BUILDING V UATION
K
OW 'S L NG A ft ESS It
ATh In r
O A R'S NA
c!7e
TELEPHONE
�.
C TRA O 'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOW
Total Valuation $
Filing Fee
$ 10,00
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHIT CT OR ENGINEER
LICENSE No.
Plan Checking Fee
$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
Permit fee
$ 41/0
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00 1,20
Solar or heat pump water heater
20.00
LOT NO.
SUB ISJN NAME
PARCEL MAP
Water piping
5.00 �D
Each qas water heater or vent
5.00
USE OF STRUCTURE
SF Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home S I G I W
0.00 ea
TYPE OF WORK
NewAddition ❑ Re el ❑ Utilities ❑ I t Ilation5 Other ❑
Describe work: '' _
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 100Y OR LESS10010.00
1AMP OR LESS
�Q
Main service EA. ADD'L 100 AMP
2.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Profession Code and m_y license is in full fornd effect.
License No. 7/ 9Z51 Classification IJ
❑ 1, 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
OR ADDNST (ACCELING LBLDGOCCS. '/2Qsgft
NEW CONST" ULTI.OUTL
NON.RESID BRANCH CIRCUITS2.50 ea
POWER APPARATUSe
(SINGLE OUTLET CIR.
Ex. Occup(OUTLETS OR FIXTURES 20@50C
a AL030
FIXED APLNS.
EX. DCCUp. OUTLETS P(RESID )REA.1 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. �yirin 15.00
g
17)
Permit Fee $ ,
Contractor
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
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
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 1 10.00
Heating
Cooling
g
77
Hood
3.00 ,
Ventilation
permit Fee
$
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.
1 also agree to save, indemnify and keep harmless the County of Butte againstocc=Pl
all liabilities, judgments, costs, and expenses which may in any way accrue
against sai County in ons uence of the granting of this permit.
X&
Date �^ %
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 $
Energy Inspection Fee $ r
TOTAL PERMIT FEE $
c
F
PARCE
Pa
Ho s u
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIRECT R OF PUBLIC
BY
PER EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date r'
��
Receipt NO.
WHITE-D.P.W., YELLOW-ASS[SSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT
rtt,�
Return -to DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT 8S
FOR RESIDENTIAL DEVELOPMENT 9"13S,7
— U
Section 26-8.1 of the Butte County Code requires this acknowledgement
be recorded prior to issuance of a bLEilding permit.
The property described herein is adjacent to land or included NOT
within an area zoned for agricultural purposes, and residents of this ORIGINAL PARED
RENT
property may be subject to inconveniences or discomfort arising from ORIGINALDOCUMeNT
the use of agricultural chemicals, including, but not limited to herbicides, pesticides,
and fertilizers; and from the pursuit of agricultural operations including, but not limited
to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust,
smoke, noise, and odor. Butte County has established agricultural zones which have as a
priority use for productive agricultural purposes, and residents within said zones and on
adjacent property should be prepared to accept such inconvenience or disconform from normal,
necessary farm operations.
All that real property situate in the County of Butte, State of California, described
as follows:
Being a portion of Lot 25, as said Lot is shown on the Map entitled,
"Map of the Second Subdivision of the John Bidwell Rancho", which Map
was filed in the Office of the Recorder of the County of Butte, State of
California, on September 17, 1900, in Map Book 5, at Page 27, more parti-
cularly described as follows:
Col-IME14CING at the Northwest corner of said Lot 25.; thence along the
North line of said Lot 25 East 120.00 feet to the true point of beginning
for the herein described parcel; thence from said point of beginning and
continuing along said North line East 532.23 feet; thence leaving said lot
line South 601.73 feet; thence .•lest 223.97 feet to a point on the Westerly
line of Bidwell Avenue; thence along said Westerly line the following
courses and distances: North 25° 42' West 70.69 feet; North 47° 34' West
99.00 feet; North 80° 55' West 66.00 feet; and South 720 24' West, 146.20
feet; thence leaving said line North 504.74 feet to the point of beginning.
Date: 9/2
,
raIdeim n Date
oy,7e A. Storz ate
PR ,PERTY 0 TRS:
c
Dou as A. Fleimann Date
State of -/California ) -/ On this the 2-j 7` day of September , 1986 , before
Butte ) SS. me, the undersigned Notary Public, personally appeared
County of )
Joyce A. Storz and Gerald J. Heimann -------------------
, Personally known to me. 'LXX Proved to me on the basis
■nun,�„,n,nmuununnnununununMIM r3 '—
OFFICIAL SEAL = of satisfactory evidence.
a 7 RANDY COY = to be the person(s) whose names) are subscribed to
NrnAAY PUBLIC - CAUFORNIA the within instrument and acknowledged that they
COUME7 OF BUTTE executed the same for the purposes therein contained.
f Comm. fx Mo
XP. r 5, 1989 = IN WITNESS WIiEREOF, I hereunto set my hand and official seal.
iI1111E EE 11111111i11i,1111 U,7, �:,111IQ
P. No.
rd -is-- �P (Pc) r t
No ry Public
i1
i
COUNTY OF BUTTE - DEPARTMENT..OF. PUBLIC WORKS - BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/534-4541
y �
PERMIT APPLICATION DATA SHEET '
Permit No. L
OWNER //Pjj. A. P. No.
Proposed Building Use /t/� Building Inspector ( Date 2A"IM�
At time of permit application, I was advised the following data must be submitted prior to permit processing
andJor issuance: DATE RECEIVED APPROVED
1. All items have been submitted. . . . . . . . . . . .
2. Plot plans in duplicate. /triplicate, signed by preparer of plans.
3. Complete plans in duplicate. /triplicate, signed by preparer of plans.
4. Complete engineered plans and calcs, with wet signature on plans.
5. Plans with Energy Design Compliance Statement. . . . . .
6. CUSD ''Fees Paid" Stamp on Floor Plan . . . . . . . .
7 Statement of Intent for Non -Heated and AC Buildings.
8. Fees of $ . . . . . . . .
9: Letter of signature authorization.XA Ji
t1 , Sanitation approval from G N CO CS, W* j ealth Dept. • . �tlt 106 1l0 .0
11. Planning approval for (A) Use: (B) Parking: .
12. Certificate of Workmen's Compensation Insurance. . . . . .
13. Contractor's License Information (no., name style, classif.)
' 14. Owner -Builder Verification (Given to owner[], Mail to owner ❑ ),
_15. Improvements may be required. . . . . . . . . . . . ti
16. Mobi lehome Installation Data. . . . . . . . . .
17. Pre -Inspection for
Pre-Inspec. request to (Dote)
Required, Building Inspector
18. Recorded copy of Agricultural Acknowledgment Statement.
19. Driveway Permit.
20. Plot plan approval from city of
21.
22.
Whe you issue the percmit, processas follows: Mail tg caner, Mail to contractor.
Telephone/"� and hold for pickup a _ `e office, Deliver w/inspector.
Other
Applicant Date
Copy of plans sent Health Dept., Fire Dept., Other Date
The following data must be submitted prior to permit issuance: (Circle new item not checked above).
1. Index permit for above items N.
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 —mal l—counter by date L('2�V Plans checked by Date Plans approved byVDate
Sets of plans on hold in File cabinet AP folder
— Flours: 10:00 a.m. - 3:00 p.m.
Copy—DPW
log. 9
l
,711
is f plat ss , cif c tions UST be
P k n it is lawful to s
�O\ changes or on sa a w+ out
pe Drt
mission fro �.#�e�pa
, me t oi#
-4 o ntv of B 4
0 See Masfer plan ort file #or-�
furod details. i
' O -
o41
C3 L4,
-
' � -' I
-
�
O _ A� e bdc o 5 ft. from the , COUWy �+
<�.� ty lin sand
a setback !�"% _ °; ( _
_ — the roads UILD! G. EPARTM I;
'centerline s all be clear of o "`
�p R
structures o equipmer�i except « : 1-09:0�4a overhang. ' ,-_ ` for 7�
,
OF COMIANCE WM
W? Cllr W MINXCB 2465
District certifies tW
AWL 1"ut)
74
(Stato) ZFITY—
has complied withversdremants of Orr —t)co
rigarding CP710 �71
on Assessorvwcei 9 Dy v4s
MW UGFU q
Psymont of fees of S or oxcvuLi Df 8
School Impact uAtivait oa rVmatif Onted
011,67,�77