HomeMy WebLinkAbout042-600-00892-759B ,
42-60=08
DILLAVOU, Brian &..Karen
2449 Guynn Ave, Chico
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replace_deck/sf,'
.... 042-600-008 } - `„ :: u�03 3859
DILLAVOU; BRIAN
2449 GUYNN AVE, CHICO
Cont: FOUR SEASONS ROOFING
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COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO.
(Rev. 12/96) APPLICATION AND PERMIT
03.3850
ASSESSORS NNUMBERR_OO , 0O 8
Y `O
ZONINGA -
BUILDING PERMIT
OWNER_
TELEPHONE
'34ci 1
SO, FT. OCC. BUILDING VALUATION
. OWNERS MAWNG DESS �� ^ /ti II
(_(
AACONLHf+CTOR'S
_ME
�Q_ c
TEELELEP11HHOON✓'E�-11I
TORS MAILING ADDRESS �
CONSTRL ON LENDER
Fireplace
LENDER'S MAILING ADDRESS
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee
$ 20.00
Permit Fee
$ 33.E
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee
$
BUILDING ADDRESS _ ` `
JIB`. Jl \VIEnergy
Plan Checking Fee
$
$
PERMIT FEE
S 53 0=
LOT NO.
SUBONISIONS NAME
PARCEL MAP
PLUMBING PERMIT
Filing Fee 20.00
USEOFSTRUCTURE
SF tta4uplex ❑ 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: O(S'T�'�``�11�// l 1
Ute- rt eV l -�
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home IS I G W
@20.00
PERMIT FEE
$
ELECTRICAL PERMIT
Fling Fee 20.00
a00VOR LESS
Main Service 20.A 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 full -force and effect. n,, //,
License Class 1 Lic. No. �— I V
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 astheir 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
AIerformance of the work for which this permit is issued.
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�`7j71Q%i 1Z'� �T tic--( f✓ '��
Policy Number �,
(The above sections need not be completed ff the permit is for work of a valuation
of one hundred dollars ($100) or less.)
1 certify that in the performance of the work for which this permit is issued, I shall
not employ any person in any manner so as to become subject to workers'
compensation laws of California, and agree that if I should become subject to the
workers' compensation provisions of section 3700 of the Labor Code, I shall
forthwith comply with those provisions.
X )i�1 Date s �_
Signa ure of Applicant I. ❑ Owneractor ❑ Agent
An OSHA permit is required for excavation r 60" deep and demolition or construction
of structures over 3 stories in height.
Main Service 200A TO 1000A 46.00
NEW CONST. DWELLING OCCUP. s0
OR ADDNS. ( 6 ACC. BUDS. 3.50FT:
NEW CONST.
NON -RES D. MULTRANCI.OUTLET
gG 7.50
POWER APPARATUS
8 SINGLE OUrLE7 CIR.
Ex. Occup. OUTLET OR FIXTURES 20Q1'00
BAL @ .SO
ED
Ex. Occup. o. RESS,,D,DE 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 FEt $
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
CONSATYPE❑
TOTALFEE$
HAZ.
IMP
FLOOD
CDF
PARCEL
pD
HD
ISSUE
This permit is hereby issued under
of the Butte unty Code and/or
indica ed a e for which fees have
PERMIT PIRES
the applicable provisions
Resolutions to do work
been paid.
]�.,��
Dat
p�0.3,4> 'd
Dete
Receipt No. 344-23 5
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
R S DE TIAL.
42-60-08 92-759B
DILLAVOU, Brian & Karen
2449 Guynn Ave, Chico
replace' deckcfsf ,� � 0-/y
JOB FINALE
Signature
rY� .-. - � �<�.. _ � _<-'�iC]s•"SNi�a.Tei.'a�.tC57�'SJi."G:�.r$�Y�ti�.--_�,..-.
COUNTY OF BUTTE
t• DEPARTMENT OF PUBLIC WORKS
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
D,1 /C. va CA �� � 5-.5 F
OWNER PERMIT MO.
A routine inspection indicates that the following violations of Butte County Ordasances east 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 additionalexplairmd=,
please cpntact this office immediately.
--
'�'ir i a � y
nnfe
&"t f !' 47" S.C4f Led
Date :�2 l6 '�Z Inspector rv��
REV 11/91
J=OK
O = Not OK '
Not Applicable
' =`
Not Ready MOBILE HOMES
Date
MOBILE HOME UTILITIES (Plans) OK except #'s
8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses
1. Zoning Requirements -Setbacks -Easements -
9. Siding; Nailing -Veneer -Stucco -Mesh
2. Soils; Special MH Support Sketch
10. Roof; Shthg-Roofing
3. Sewer; Location -Test -Fall -C/O Concrete
11. Ext.; Steps -Doors -Landings
4. Water; Location -Test -Easement Needed (Sketch)
5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete
6. Gas; Location -Test -Wrap: / /"L"ft.
/ /"Nat. or/ /" L" it./ /"LPG
Card B-1 Date Card B-1
7. Well Clearance & Disconnect
Card B-1 Date Card B-1
8. Utility Clearance
POOLS (Plans) OK except #'s
1. Setbacks -Easements •�\ �i
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
MOBILE HOME INSTALLATION (Plans) OK except #'s
5. Elec.; Pool Lighting; 15 volts-GFI
1. Zoning Requirements -Setbacks Easements
6. Elec.: Enclosures; Conduit Entries -Terminals -Listed
2. Footings; Size -Spacing -Marriage Line
7.Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater
3. Gas; MH Test -Demand -Valve -Connector
8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg.
4. Electricity; MH Test -Crossovers -Breakers -Clearances
Boxes -Enclosures -Panel boards -Ins. to Main in Conduit
5. Drain; MH Test -Fall -Flex Connectors
9. Health Department Approval
6. Water; MH Test -Regulator -Connector'
10. Plumb.; Cir. Test -Water Supply Test
7. Water and Sewer Connected -C/O to Grade -HD Approval
8. Gas and Electricity Tagged
9. Exits; Insp.-Sketch
10. Cert. of Occupancy
Card 8-1 Date Card B-1
Date
Card 8-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
i
i
I',
MISCELLANEOUS
Date DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s
1. Zoning Requirements -Setbacks -Easements
2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel
3. Decks; Griders 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-Anchors-Studs-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 •�\ �i
2. Soils; Compaction -Structure Stability
3. Pool Structure; Steel -Connections -Thickness
Dead Men -Lining
4. Elec.; Receptacles and Lighting, Distances-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 -Panel boards -Ins. to Main in Conduit
9. Health Department Approval
10. Plumb.; Cir. Test -Water Supply Test
Date
Card 8-1 Date Card B-1
Date
Card 8-1 Date Card B-1
V=9K,
O Aot OK
NApplic
ot
Readyable RESIDENTIAL (:
Date UND LOOR (Plans) OK except k's
. Zoning -Setbacks -Easements -Flood -Slope li
2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth
3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth
4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth
5. Stemwalls, Main; Steel -Bloc kouts-Wra pped
6. Stemwalls, Garage; Steel-Blockouts-Wrapped
6a. Hold Downs and Special Anchors
7. SI , Steel -Wrapped
iers-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 &-/p--%ZCard B-1 oog6 Date Card B-1
Date Card B-1 Date Card B-1
Date PLUMBING (Permit),OK except a's
16. Water Hir.: Vent -Access -Combustion Air -Baffle
17. Water Pipe; Test & Anchor -Nail Prote on
--------------- ----- ----------------
18. D.W.V.: Test -Fittings & Anchor- Protection
-------------------- -- ------------------
_ 19. Shower Pan; Test. First Floo ub Access
20. Test Tub & Shower, Sec d Floor -Tub Access
21. Gas Pipe: Size & An ors
----------- Date Card Z-1
Date ------------Card-B-1-------------------Date CardDate Card B-1
Date ELECTRICAL (Permit) OK except N's
22. Fixture & Transformer Clearance -Ins. -Protection - - -----------
23. Elec. Receptacles Spacing -Lights & Switches at Doors
------------- ------- ---- ----------------------------------------------
24. Size Boxes & No. of Conductors -Stapled
25. Romex Installed Close to Edge of Studs C.J.
--------------- q --P---------- -----p--------��Faa
----------------------- ---
26. Equip. Ground made u w! Mech. ers-Bond Gas & Water
------------------ ------------------------ --------- -------------------
27. 2 Appliance Circuts in Kitchen ductor Size!GFI
-------------------Z ---------------------------------------------- ------
28. SuWire Sizer i ga. or AI-A.C. Wire Size ! / ga.
Cu or -Al
29. Ranirc. ! ga. or AI -Oven Circ. / / ga. Cu or Al.
InsNeutral ❑ Yes ❑ No
30. Seriser nductors & Ground -Main Disconnect
---------------------------------------------------------------------- -
31. le nces Panels-Motors-Mech. Equip.
---------------------------------------
32. Cloloset Light -Shower Light -Spa Light
---------------------------------33.Smetector
----------------------------------------------- ----------------------------------
Date Card B_1 Date Card -B-1 ---------- - ------------------------------
Date Card B-1 Date Card B-1
Date MECHANICAL (Permit) OK except N's
34. A.C. Ducts Insulation & Support
--------------------------------------- ----------- -- - ----
------------------------
35. Vent Fan_Exhaust abov _nsulatT-
---------- ------------------------------
36.
----------------------------
36. Condensate Drain verflow: Size & Grade
--------------------------- ------------------------------------------------------
37.
---------------------------------------- ----
37. Furnance-Vent: cress -Comb: Air -Return Air Vent -115 outlet
------------------------------ ---------------------------------------------------
38. Attic Acres Platform if Furnance in Attic
------------------------------- - - -- - --------------------------------------
Date Card -B-1 Date Card -B-1 ---------------------------------------------------------------------------------
Date Card B-1 Date Card B-1
Date FRAMING (Plans) OK except a's
39. Sils. Proper Material & Anchors
------- ------ -- ---------------------------------- -------------
------ -
40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound
--------------------------------------------------- --
41. Bearing Walls over Girders & Floor Nailing
----------------------- -----------------------------------
4Z Draft Slop in Walls (rat pro�in
------------------------------------------------------------------------
43. Fire Stops; Furred Ceilingsases-Tub
------------------------------------
S-St
A.-+ieedeas & Beam -Size
')ingle & Duplex) _
Date FRAMI ntinued)
45. 6tors
- 46. Cing. Joist-Rftr. ties -Pu rlin-roof Brac-Truss-Shthng.-Rfng.
47. Fireplace 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 P
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. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access
_ 57. Glazing Area -Glass Protection -Skylights- Plastic
- 58. Shear Walls: -Nailing -Bolts
59. Insulation -Walls -Ceilings
--------------
------------ 60. Infiltration -Walls -Windows
Date 6-ft-CardB-rate Card B-1
Date -7-2 -/ Card B- A 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 -Meeh. Protection
--------- - -
64. Bedroom Exiting
.---------------
---------- -- ------------ --
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.
------- ---- 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
-----------------------------------------
77. Insulation -Foam -Looked in Attic ❑ Yes
78. Guard Rails & Deck Construction -Post Caps
79. Fdn Vents & Crawl Hole Door -Drainage & Wood -Earth
Clearance Looked under Floor- 11Yes
------------------------------------------
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 -
86. Ventilation Throughout House
---------------
_----
F>ly! Corrections from Previous Inspections
-------------
---------- ---------------------------------
89. Gas -Test- MetersTagged; Gas -Electric
__ ____ _ 90. Water & Sewer Connected -C/O to Grade -HD Approval
91. Energy Compliance Certificate -Other Certificates
--------------- - --------- -----
Dat �jy Card B_1 -- Date Card B-1
Date -------------- Card_B-t Date _ Card B-1
Date Card B-1 Date Card B-1
Comments at Final:
/ COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Orovllle, Callforpla 95965 - Telephone, 916/538-7541
APPLICATION AND PERMIT
PERMIT NO.
ASSESSOR PARCEL NUMBER
042-600-008
ZONING
AR
BUILDING PERMIT
/
OWNER
Brian Allen & Karen Lee Dillavou
TELEPHONE
345-8371
SQ. FT. OCC. BUILDING VALUATION
660 8,580.00
OWNER'S MAILING ADDRESS
2449 Gu nn Ave. Chico 95926
CONTRACTOR'S NAME
Owner
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
1
Total Valuation $ 8,580-00
Filing Fee $ 15.00
LENDER'S MAILING ADDRESS
Permit Fee $
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee 45-00
Energy Plan Checking Fee $
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty $
BUILDING ADDRESS
Permit fee
PLUMBING PERMIT Filing Fee 15.00
2449 Guynn Ave., Chico
Each Trap 5.00
Solar or heat pump water heater 20.00
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Water piping 7.00
Each qas water heater or vent 7.00
USE OF STRUCTURE
SF[2 Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets 5.00
Building sewer 15.00
Mobile Home S I G I W @ 15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ®
Describe work: Rep laC eck
Permit Fee $
Contractor
ELECTRICAL PERMIT Filing Fee 15.00
Main service 600V OR LESS 18.50
200A OR LESS
Main service 200ATO1o0OA) 37.50
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 Professions Code and my license Is In full force and effect.
Icense No. Classification
I, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONST. / DWELLING OCCUPM 3.64 sq.ft.
OR ACDNS. l ACC. BLDGS.
NEW CONSTR. ULTI.OUTLET
NO N.R ESID BRANCH CIRC ITS @ 5.00
POWER APPARATUS 6
SINGLE OUTLET CIR.
EX. OCCU 20 76
p OUTLETS OR FIXTURES
FIXED APLNS.
Ex. OCCUp. OUTLETS PIRESID IREA.) I 3.00
Temporary service 15.00
Mobile Home Facilities 15.00
Misc. Wiring
9 15.00
Permit Fee $
—
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
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.
Contractor
MECHANICAL PERMIT FiIingFee 15.00
Heating
Cooling
Hood 6.50
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 Countyot
Butte to enter upon the above-mentioned property for inspection purposes.
I also Lea indemnify and keep harmless the County of Butte against
all bilients, costs, and expenses which may in any way accrue
a inst sn consequence of the granting of this permitG
Date �e �2,
Si not of Applicant — Owner Contractor ❑ Agent ❑
An SHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.OR
Mobile Home Installation Fee $
Energy Inspection Fee $
OCC
CONST TYPE
TOTAL FEE $150.00
HAz OFEES
IMP FLOOLy
�/
CDF
PARCEL
—
PO
HD
ISS
This permit is hereby issued under the applicable provi-
sions of the Butte County Code and/or resolutions to do
work indicated ab a for wh-4 fees have been paid.
PU IC WORKS
By Date Z7
PE IT EXPIR S Date�L
it
Receipt No. 109979
WHITE-D.P.W., YELLOW -ASSESSOR. PINK -INSPECTOR, GOLDENROD -APPLICANT
COUNTY OF BUTTE - DEPARTM NT OF PUBLIC WORKS - BUILDING DIVISION +
.11 =- —•-i •
7 COUNTY CENTER DRIVE - OROVI' LE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541
PERMIT APPt-fCAT10I9 DATA SHEET
Permit No.
OWNER_l�
Proposed Building Use �lo c.6 Z4l"'Z 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 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. Hazardous Material Form ..........................................
6. Energy Design Compliance and supporting documentation .........
7. Statement of Intent for Non -Heated and AC Buildings ..............
8. Engineered truss details and layout in duplicate (required prior to plan check)
9. Mobilehome installation kdata including manufacturer's installation
instructions.......................................................
10. Fees of $
11. Chico Urban Area fees paid .......................................
12. Park fees paid ....................................................
Z. chool Dialer' fees paid ..............
14. Sanitation approval from G Heal ,Department y—� - 9 �
..
15. City of Chico,plumbing permit..sTlir?'Pcr .(07, G!!........
16. Plot plan and business license approval from City of
(see City for other requirements) (�
17. Planning approval for (A) Use: (B) Parking: ......
18. Improvements may be required. Contact Land Development Section DPW
19. Driveway permit (construction approval required prior to occupancy)
20. Pre -Inspection for required Pre-inspec. request to
Building Inspector (Date)
21. Contractor's license information (No., Name Style, Classificatioh),`,..
22. Certificate of Workmans Compensation Insurance ..................
23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) .....
- Recorded copy of Agricultural Acknowledgment Statement .........
25. Letter of signature authorization .................... . .
26.
27.
When you issue the permit, process as follows: Mail to owner. Mail to contractor.
Telephone and hold for pickup at office. Deliver w/inspector.
Other I i
Appl i
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 submitted prioermit issuance: (Circle new item not checked above).
1. Index permit for above items No. __ If W-7-
2. Additional items required: t YXG, /( C, 2� L,cJo�r`�"Se.� ��fT
7��
Contrac.toE,_designer, otiffer, was advised of above required data by_phone_lnail—counter by_C&>_..date j— 2
Contractor, designer, owner, was advised of above required data by_phone_mallr_counter by date
Plans checked by Date Plans approved by !"1 6tlZ pa w- 'Z'4 -
Sets
Sets of plans on hold in
Copy—DPW
File cabinet AP folder
�
TO
FRW
SUBJECT:
Buildina Department
Environmental Health
Sanitation Clearance
1//✓f'7 02 �l e f. 6/ 17/7 A : Gl'-G�ij
Owner Locati AP#
Plan Approved for:
Hold final for:
Sewaqe Disposal X Water Supply
Water Supply
Final clearance O.R. for: Water Supply
Clearance for 3 bedroom home. Other
NOTE ,s • �X >S 7 / a,r'' > l/ Sc HCl i c
;aOit�a ian Date
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, Califosnla 95965 - Telephone: 916,'538-7541
APPLICATION AND PERMIT
PERMIT NO.
ASSESSOR PA C L..yUMBER
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ZONI
121
1 BUILDING PERMIT
O NER
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TEL PHONE
S0. FT. OCC. BUILDING VAL ATION
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I
CONTRACTOR'S NAME
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
Filing Fee
$ 15.00
LENDER'S MAILING ADDRESS
Permit Fee
$ 0 0
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDIN AODRE$8-\ / "- / �
Permit fee
$
PLUMBING PERMIT
Filing Fee 115.00
Each Trap
1 5.00
Solar or heat pump water heater
1 20.00
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Water piping
7.00
Each qas water heater or vent
7.00
USE OF STRUCTURE
SF)Jr Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer15.00
Mobile Home JSTG W
@ 15.00
TYPE OF WORK �,{
New F11 Additio Remodel❑ Utilities[] Install ation❑ Other,l�Cl
Describe work: � ��
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 15.00
Main service 200AORLELESS
18.50
Main service 200ATOI000A1
37.50
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 Professions Code and my license is in full force and effect.
License No. Classification
as the owner, or my employees with wages as their sole compen-
9)SIation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. Business and Professions Code
for this reason
NEW CONST./ DWELLING OCCUP.8\
OR ADONS. ( ACC. BLDGS. rr
3.64sq.ft.
NEW CONST" ULTI-OUTLET
NON-RESID BRANCH CIRC ITS
@ 5.00
( POWER APPARATUS 61
SINGLE OUTLET CIR.
Ex. Occup(OUTLETS OR FIXTURES
20 76d
A
FIXED APPLNS. OR
Ex. Occup. OUTLETS (RESID.) EA
I 3.00
Temporary service
15.00
Mobile Home Facilities
15.00
Misc. Wiring
9
15.00
Permit Fee
$
—
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notf 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.
Contractor
MECHANICAL PERMIT
Filing Fee 1 15.00
Heating
Cooling
Hood
6.50
Ventilation
permit Fee
$
L202ntractor
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 Countyot
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
against said County in consequence of the granting of this permit.
X Date
Signature of Applicant — Owner❑ Contractor ❑ Age t
An OSHA permit is required for excavations over 5'0" deep an a olition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee S
Energy Inspection Fee $
occ
CONST TYPE
i
I TOTAL FEE $ S
HAz
I DFEES I
IMP
FLOOD
CDF
I PARCEL
HD
I ISSUE
This permit is hereby issued under the
cions of the Butte County Code and/or
work indicated above for which fees
DIRECTOR OF PUBLIC
By
PERMIT EXPIRES Date
applicable provi-
resolutions to do
have been paid.
WORKS
Date
Receipt No. 72-31
WHITE-O.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT
COUNTY OF BUTTE - Department or °ubl is �;or'.cs
1 Councy Cancer Drive, Oroville, CA 95967 Phone: 916-538-7541
OWNER -BUILD E.4 VERIFICATION
Attention Property Owner:
An "owner -builder" building permit has been applied for in your name and 'bearing
your signature.
Please complete and return this information at your earl -est opportunity to avoid
unnecessary 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 labor and materials for construction of
the proposed property improvement (yes or no) £.s'
2. I (have/have not)_X1,,Wf 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:
Name
Address City
Phone Contractors 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:
Name
Address City
Phone Contractors License No.
5. I will provide some of the work but I have contracted (hired) the following
persons to provide the work indicated:
Name Address Phone T;. -pe of Work
Signed:
P_ooerty Ownea
Social Secu it
Data ?Ilrl 2
MOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and
19832 of the California Health and Safety Code.
11
This verification must be completed and returned to our office before we are per-
mitted to issue the permit.
C BUILDING DEpT�
MAR 1 8 1s.42
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BUTTE COUNTY
BUILDING DEPARTMENT
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CITY OF GRIDLEY
IMPROVEMENT PLAN APPROVAL
❑,SITE GRADING AND DRAINAGE
IVI STREET FRONTAGE IMPROVEMENTS
j UTILITY SERVICES
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DATE: o
RAY D. ROLLS, CITY ENGINEER
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