HomeMy WebLinkAbout042-610-035I�.
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ont.r...Gle.b.b..HomesPermit��561-87B,P,E,M(new
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042-610-035 02LANGE,
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MIKE & TAMMI796
BRANDBENBURY, CCONT:
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BLUE HAVEN PO
1 POOL
042-610-035' 05-2067
LANGE, MICHEAL &TAMA '
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7,96 BRANDONBURY LN, C"AE
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Cont: C & C ROOFING .�
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PERMIT N0,
RESIDENTIAL
042-610-035 OS -2067
LANGE, MICHEAL &TAMARA
796 BRANDONBURY LN, CHICO
Cont: C & C ROOFING
RERROF
SPECIAL CONDITIONS
CHECKED
BY
SRA
FLOOD CERTIFICATE REQ.
FIRE SPRINKLERS REQ.
SPECIAL INSPECTION ITEMS
VERIFY
USE PERMIT CONDITIONS
SUB -STANDARD HOUSING LETTER
C.
JOB FINALED (Dat !
Signature
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT
24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO)
OFFICE #: (530) 538-7541
LICENSED CONTRACTORS DECLARATION
I hereby affirm under penalty of perjury Jh.at I am* licensed under
provisions of Chapter 9 (commencing with Section 700b) of,Division 3 of
the Business and Professions Code, and my:license is in full force and
effect. -----y �sS
License Class : License Number:
Date: � Contractor: C RGG
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
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
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 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
Code: The Contractors' State License Law does not apply to an
owner of property who builds or improves thereon, and who does
such work himself or herself or through his or her own employees,
provided that such improvements are not intended or offered for
sale. If however, the building or improvements are sold within one
year of completion, the owner -builder will have the burden of
proving that he or she did not build or improve for the purpose,of
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,
and who contracts for such projects with a contractor(s) licensed
pursuant to the Contractors' State License Law.).
❑ 1 am Exempt under Article 3 of the Business and Professions Code
Date: Owner:
WORKERS' COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for
workers' compensation, as provided for by Section 3700 of the
Labor Code, for the performance of the work for which this permit
I have and will maintain workers' compensation insurance, as
required by Section 3700 the Labor Code, for the performance of
the work for which this permit is issued. My workers' compensation
insurance carrier and policy numbgt are:
Carrier: 5— // v 1'�
Policy #: a be l o
❑ 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 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:
-v5
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.
PERMIT NO.
BP052067
Issued Date: 08/03/2005 APN: 042-610-035-000
Site Address: 796 BRANDONBURY LN CHI
Map Index:
Description: REROOF W/COMP (30)
Owner- LANGE MICHAEL T & TAMARA F (CB DVA)
796 BRANDONBURY LN
CHICO, CA
95926
Applicant: C & C ROOFING
CHRIS POTTHAST
PO BOX 337
PARADISE, CA 95967
530-873-0744
Contractor: C & C ROOFING
CHRIS POTTHAST
PO BOX 337
PARADISE, CA 95967
530-873-0744
License #: 650850
Architect:
Engineer:
Total Square Ft:
Valuation:
Census Code:
0 S. F.
$0.00
CONSTRUCTION LENDING AGENCY i nis permit is nereo
I hereby affirm that there is a construction lending agency for the Resolutions t o
performance of the work for which this permit is issued (Sec 3097 Civ.)
Name: By:
PERMIT EXPIRES 0
Address:
issued under ttTe applicable provisions of the Butte
k indicated above for which fees have been paid.
N
Cod and/or
❑ 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, th t th above information is correct, and that I am the owner or the d ly authorized e t of the owner. I agree to comply with
all county and state laws relating to building cons ucti n. I acknowledge it is unlawful to alter the substance of any cial for or cu ent of Butte County. I hereby
authorize representative Butte County to ente u n the above mentioned�ro�erty for inspection purposes.
Print Name: (' ' v ✓ Va S Signature: V
Date:
0 Owner
Contractor
❑ Agent for Owner
❑ Agent for Contractor
J=OK
0- Not OK
. = Not RGle
. =Not Readyeady
MOBILE HOMES
Date
MOBILE HOME UTILITIES (Plans) OK except #'s
1. Zoning Requirements -Setbacks -Easements
2. Soils; Special MH Support Sketch
3. Sewer, Location -Test -Fall -C/O -Concrete
4. Water; Location -Test -Easement Needed (Sketch)
S. Electricity; Location-Clearances-Gmd-/ /Amp -Concrete
6. Gas; Location -Test -Wrap;-/ /" L'ft.
/ P Nat. or/ r LW P LPG
7. Well Clearance & Disconnect
8. Utility Clearance
Date
Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date MOBILE HOME INSTALLATION (Plans) OK except #'s
1. Zoning Requirements -Setbacks -Easements
2. Footings; Size -Spacing -Marriage Line
3. Gas; MH Test -Demand -Valve -Connector
4. Electricity; MH Test -Crossovers -Breakers -Clearances
5. Drain; MH Test -Fall -Flex Connector
6. Water, MH Test-Regulator-Connectoe
7. Water and Sewer Connected -C/O to Grade -HD Approval
8. Gas and Electricity Tagged
9. Tie Downs -Type -Installation Cert.
10. Exits; Insp.-Sketch
11. Cert. of Occupancy
Date Cana 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-Uning
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
= OK
= Not OK
= Not Appricable
= Not Ready
RESIDENTIAL (Single & Duplex)
Date UNDERFLOOR (Plans) OK except #`s
1. Zoning -Setbacks -Easements -Flood -Slope
2. Ftg., Main; Soils-Elec. Gmd.-/ /" Ftg. Depth
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
8. Piers -Fireplace Ftg.-Steel
9. D.W.V.; Fall-Frtting-Test-2 Way C/0 -Sewer Test
10. UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test
11. Water Pipe; Test -Anchors -Regulator -Service Test
12. Electric Underground
13. Plenums & Ducts; Clearance -Material -Support -Ins.
14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies
15. Access & Ventilation
16. Insulation
Date
FRAMING (Continued)
Date
Card B-1 Date Card B-1
Date
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
57. Siding -Nailing Veneer
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
ELECTRICAL (Permit) OK except #'s
24. Fixture & Transformer Clearance -Ins. Protection
25. Elec. Receptacles Spacing -Lights & Switches at Doors
26. Size Boxes & No. of Conductors Stapled
Date
27. Romex Installed Close to Edge of Studs & C.J.
Date
28. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water
Date
29. 2 Appliance Circuits in Kitchen & Conductor Size GFI
30. Subfeed Wire Size/ /ga. Cu or AI -AC. Wire Size/ /ga Cu or AI
31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or AI
Insulated Neutral O Yes O No
32. Service -Riser Conductors & Ground Main Disconnect
33. Equip. Clearances Panels -Motors -Meth. Equip.
34. Clothes Closet Light -Shower Light -Spa Light
35. Smoke Detector
70. Stairs & Rails
Date
Card B-1 Date Card B-1
Date
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 9 Furnace in Attic
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
FRAMING (Permit) OK except #'s
41. Sills Proper Materials & Anchors
42. Walls Studs -Nailing Spacing & Braces -Plates -Sound
43. Bearing Walls over Girders & Floor Nailing
44. Draft Stop in Walls (rat proof)
45. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs
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 AFlue-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 -Botts
61. Brace Interior/Exterior Wall Panels
62. Insulation -Walls -Ceilings
63. Infiltration -Walls -Windows
Date
Card 8-1 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. & Ed.
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 (FF.I.)-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 InstldJDrive 0 Yes 0 No/Walks O Yes O NoRlanters 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. Fre 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 (OROVILLE) (530)'891-2834 (CHICO)
OFFICE #: (530) 538-7541
PERMIT N0.
BPO52067
ti. c. rwn°ing vermn ui-ia-ug pg i
" LICENSED CONTRACTORS DECLARATION
I hereby 'affirm under penalty of perjury.�hat•I am: licensed under.
provisions of Chapter 9 (commencing with Section 7000) of. Division 3 of f
Issued Date: 08/03/2005 APN: 042-610-035-000
the Business and Professions Code, and my,license is in full force. and • ±
effect. °s• pe
License D J U
Site Address: 796 BRANDONBURY LN CHI
License Class.:, Number:
rC6C PG6 r
Map Index:
Date: Contractor:
Description: REROOF W/COMP (30)
OWNER -BUILDER DECLARATION
1 hereby affirm under penalty of perjury that I am exempt from the
Contractors' State.License Law for the following reason .(Sec. 7031.5
Business and Professions Code:. Any city or county which requires a
Owner: LANGE MICHAEL T & TAMARA F (CB DVA)
permit to construct, alter, .improve, demolish, or repair any structure, prior
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
796 BRANDONBURY LN
the Contractor's State:License Law (Chapter 9 commencing with Section
CHICO CA
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
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).):
❑ 1, as owner of the property, or my employees with wages as their
sole compensation, will do the work, and the structure is not
intended or offered for sale (Sec. 7044, Business and Professions
Code: The Contractors' State License Law does not apply to an
Applicant: C & C ROOFING
owner of property who builds or improves thereon, and who does
CHRIS POTTHAST
such work himself or herself or through his or her own employees,
provided that such improvements are not intended or.offered for
PO BOX 337
sale. If however, the building or improvements are sold within one
year of completion, the -owner-builder will have the burden • of
PARADISE CA 95967
,
proving that he or she did not build or improve for the purpose of
530-873-0744
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: C & C ROOFING
and who contracts for such projects with a contractor(s) licensed
pursuant to the Contractors' State License Law.).
CHRIS POTTHAST
PO BOX 337
ElI am Exempt under Article 3 of the Business and Professions Code
PARADISE, CA 95967
Date: Owner:
530-873-0744
License #: 650850
WORKERS' COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
❑ I 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'
ssued.
Architect:
I have and will maintain workers' compensation insurance, as
Engineer:
required by Section 3700 the Labor Code, for the performance of
the work for which this permit is issued. My workers' compensation
insurance carrier and policy numb are:
5E
Carrier.
Total Square Ft: 0 S. F.
Policy #: avL _ 05
Valuation: $0.00
❑ 1 certify that in the performance of the work for which this permit is
Census Code:
issued, I shall not employ any person in any manner so as to
become subject to the workers' compensation laws of California,
and agree that if I should become subject to the workers'
compensation provisions of Section 3700 of the Labor Code, I shall
forthwith comply with those provisions.
C).5
Date:
Applicant: &I =
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 s 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 Count Cod and/or
I hereby affirm that there is a construction lending agency for the
Resolutions t o k indicated above for which fees have been paid.
XV
performance of the work for which this permit is issued (Sec 3097 Civ.)
Name:
gy: Date:
PERMIT EXPIRES 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, th t th above information is correct, and that I am the owner or the d ly authorized e t of the owner. I agree to comply with
all county and state laws relating to building cons ucti n. I acknowledge it is unlawful to alter the substance of any cial for or cu ent of Butte County. I hereby
authorize representative Butte County to ente u n the above mentionedrproperty for inspection purposes.
a S
Print Name: v v Signature:
✓
Date: V
❑ OwnerContractor ElAgent for Owner ❑ Agent for Contractor
ti. c. rwn°ing vermn ui-ia-ug pg i
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
Website: www.buttecounty.net/dds
"PLEASE PRINT CLEARLY"
PP I A ' T SIGNATURE
X jV
For office use only:
OWNER
Last Name
Name
First Name
Address
Cry r1 p�
City
L
StateGP�
ip 01 Z
[[ •��
Phone o
o
C
Fax
E-mail
r U t{
PP I A ' T SIGNATURE
X jV
For office use only:
COffR,_ACTOR
Name
Name
Address
Address
City
No
Addres
.
Phone
State
UA rJ<
13—)
City
r U t{
Sta�
,
Phone
-I
Fax
o�
_ U
E-mail
Lic. #
Class
PP I A ' T SIGNATURE
X jV
For office use only:
ARCHITECT/ENGINEER
Name
tl L
Address
Address
City
No
Slate
Zip
Phone
State
Fax
E-mail
D ?
State License Number
PP I A ' T SIGNATURE
X jV
For office use only:
APPLICANT NAKE
Name
tl L
Efe&t 1___'
,Inn
Address
I Yes I
No
City
Type Const.
Subdivision Name
State
Zi�
Phone_
D ?
Date Approved:
Fax
E-mail
PP I A ' T SIGNATURE
X jV
For office use only:
Zoning
Property Address
yr
Flood Zone
Efe&t 1___'
,Inn
SRA
I Yes I
No
Occ.
Type Const.
Subdivision Name
Map Book
Page
Lot #
Planner
Date Approved:
OVER FOR SUBMITTAL REQUIREMENTS
K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc
PERMIT
NO.
BP
BIN #
LOCATION
AP# DLI ;1- — 6
Property Address
yr
City l e�
�r
Efe&t 1___'
,Inn
WORKER'S COMPENSATION
Policy Number
Carrier -- '—
S i -t- v
If hiring anyone other than license contractors, a certificate of worker's
compensation must be shown at the time of permit issuance.
LENDING AGENCY
Name
Address
D scriptig79 or Scope of Work:
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.
Page 1 of 2
Date: `3 I bC) Other
l Total
REV 2-24-05
Amount: �v
_Bldg
W
SRA
Receipt #:
Sheriff
SMIP
Page 1 of 2
Date: `3 I bC) Other
l Total
REV 2-24-05
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.
❑ 5. Statement of Intent for Non -heated and A/C for Non -Residential Buildings.
❑ 6. Manufactured homes: (A) 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).
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).
❑ 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.
❑ 12. Sanitation and site plan approval from the Environmental Health Department.
If you have questions or would like additional information regarding this process, please contact a
Permit 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
KAFORMS\BUILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2 REV 2-24-05
NOTES
F
RESIDENTIAL
.��. .:+,'i X17 �iu:IA
(042=610=035 _ ! 02-1343
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SPECIAL CONDITIONS
CHECKED
BY
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FLOOD CERTIFICATE REQ.
FIRE SPRINKLERS REQ. ,'
SPECIAL INSPECTION ITEMS
VERIFY
USE PERMIT CONDITIONS
SUB -STANDARD HOUSING LETTER
JOB FINALI
Signatu
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RESIDENTIAL
.��. .:+,'i X17 �iu:IA
(042=610=035 _ ! 02-1343
fLANGE;�IvIIKE I& TAMMIE
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�CONT:fBLUE HAVEN POOff'-IISES
POOL
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SPECIAL CONDITIONS
CHECKED
BY
SRA
FLOOD CERTIFICATE REQ.
FIRE SPRINKLERS REQ. ,'
SPECIAL INSPECTION ITEMS
VERIFY
USE PERMIT CONDITIONS
SUB -STANDARD HOUSING LETTER
JOB FINALI
Signatu
✓ OK
0 = Not OK
- = Not Applicable MOBILE HOMES
= Not Ready
Date MOBILE HOME UTILITIES (Plans) OK except #'s
1. Zoning Requirements -Setbacks -Easements
2. Soils; Special MH Support Sketch
3. Sewer; Location -Test -Fall -C/O -Concrete
4. Water; Location -Test -Easement Needed (Sketch)
5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete
6. Gas; Location -Test -Wrap;-/ /" L'ft.
/ P Nat. or / /"L"ft./ PLPG
MISCELLANEOUS
Date
7.
Well Clearance & Disconnect
1.
8.
Utility Clearance
2.
Footings; Soils -Size -Depth -Spacing -Connectors -Steel
3.
Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails
Date
Wood Awn.; Posts- Bea ms- Rftrs.-Connectors
Shthg.-Frg-Bracing
Card B-1 Date Card B-1
Date
Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
Card B-1 Date Card B-1
Date
MOBILE HOME INSTALLATION (Plans) OK except #'s
1.
Zoning Requirements -Setbacks -Easements
2.
Footings; Size -Spacing -Marriage Line
3.
Gas; MH Test -Demand -Valve -Connector
4.
Electricity; MH Test -Crossovers -Breakers -Clearances
5.
Drain; MH Test -Fall -Flex Connector
6.
Water; MH Test -Regulator -Connector
7.
Water and Sewer Connected -C/O to Grade -HD Approval
Date
8.
Gas and Electricity Tagged
Date
9.
Tie Downs -Type -Installation Cert.
Date
10.
Exits; Insp.-Sketch
11.
Cert. of Occupancy
12.
Permanent Foundation Only; License Decal
of Structure;. Steel -Connections -Thickness
• Dead Men -Lining
Date
4.
Card B-1 Date Card B-1
Date
5.
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- Bea ms- Rftrs.-Connectors
Shthg.-Frg-Bracing
5.
Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6.
Carports; Windows -Doors
7.
Electric
8.
Frmg.; Sills-Anchors-Studs-Rhrs-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 1311 Date Card B-1
Date
AL (Plans) OK except #'s
S acks-Easements
Soil ompaction-Structure Stability
of 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- Pan elboards-Ins. to Main in Conduit
9.
Health Department Approval
10.
Plumb.; Cir. Test -Water Supply Test
11.
Light Niche zy Z,
Date
Card Date Card B-1
Date
Card B -T Date Card B-1
9
✓ = OK
0 = Not OK
- = Not Applicable = Not Ready
RESIDENTIAL (;
Date
46.
Underfloor (Plans) OK except #'s
1.
Zoning -Setbacks -Easements -Flood -Slope
2.
Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth
3.
Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth
4.
Ftg., Porches & Decks; Sails -Steel-/ P' Ftg. Depth
5.
Stemwalls, Main; Steel- Blockouts-Wrapped
6.
Stemwalls, Garage; Stee l-Blockouts-Wrapped
6a.
Hold Downs and Special Anchors
7.
Slab, Steel -Wrapped
8.
Piers -Fireplace Ftg.-Steel
9.
D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test
10.
UF, Gas Pipe; Size Anchors - Yard Gas Piping; Size Test
11.
Water Pipe; Test -Anchors -Regulator -Service Test
12.
Electric Underground
13.
Plenums & Ducts; Clearance -Material -Support -Ins.
14.
Girders -Sills -Anchor Bolts -Joists- Vent s-Crippies
15.
Access & Ventilation
16.
Insulation
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
63.
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
70.
Fireplace or Stove, Clearance -Hearth
Date
71.
Card B-1 Date Card B-1
Date
72.
Card B-1 Date Card B-1
Date
73.
ELECTRICAL (Permit) OK except #'s
23.
Fixture & Transformer Clearance -Ins. Protection
24.
Elec. Receptacles Spacing -Lights & Switches at Doors
25.
Size Boxes & No. of Conductors Stapled
26.
Romex Installed Close to Edge of Studs & C.J.
27.
Equip. Ground made up w/Mech Fasteners -Bond Gas & Water
28.
2 Appliance Circuits in Kitchen & Conductor Size GFI
29.
Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or At
30.
Range Circle / / ga Cu or Al -Oven Circ. / / ga Cu or At
Insulated Neutral Q Yes Q No
31.
Service -Riser Conductors & Ground Main Disconnect
32.
Equip. Clearances Panels-Motors-Mech. Equip.
33.
Clothes Closet Light -Shower Light -Spa Light
34.
Smoke Detector
85.
Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings
Date
86.
Card B-1 Date Card B-1
Date
87.
Card B-1 Date Card B-1
Date
88.
MECHANICAL (Permit) OK except #'s
35.
A.C. Ducts Insulation & Support
36.
Vent Fan, Exhaust above insulation
_
37.
Condensate Drain & Overflow, Size & Grade
38.
Furnace -Vent Access -Comb. Air -Return Air Vent 115 outlet
r
39.
Attic Access & Platform if Furnace in Attic
94.
Address Posted
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
FRAMING (Permit) OK except #'s
Comments at Final:
40.
Sills Proper Materials & Anchors
41.
Walls Studs -Nailing Spacing & Braces -Plates -Sound
42.
Bearing Walls over Girders & Floor Nailing
43.
Draft Stop in Walls (rat proof)
44.
Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs
45.
Headers & Beams -Size & Bearing
Dingle & Duplex)
Date
FRAMING (Continued)
46.
Hangers -Post Caps -Anchors -Connectors
47.
Cling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Ring.
48.
Fireplace Ties or Type A Flue -Fireplace Throat Clearance
49.
Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
50.
Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions
51.
Garage Fire Protection Framing
52.
Property Line Firewall & Openings
53.
Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits
54.
Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
55.
Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
56.
Siding -Nailing Veneer
57.
Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access
58.
Glazing Area -Glass Protection -Skylights -Plastic
59.
Shear Walls; Nailing -Bolts
60.
Brace Interior/Exterior Wall Panels
61.
Insulation-Walls-Ceifings
62.
Infiltration -Walls -Windows
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
FINAL (Plans) OK except #'s
63.
Ext. Steps -Door & Sidelight Protection -Landings
64.
Smoke Detector
65.
Furnace Vents -clearance -Comb, Air -Connector -
In Garage; Above Floor-Ducts-Mech. Protection
66.
Bedroom Exiting
67.
G.F.I. & Bath Fixtures & Tub Access -Spa
68.
Elec. Trim & Subpanel, Breaker Sizes & Labels
69.
Stairs & Rails
70.
Fireplace or Stove, Clearance -Hearth
71.
Elec. Outlets at Wood Panel, Int. & Ext.
72.
Kit. Fixt. & Appliance; Ground -Air Gap -Cooking Clearance
73.
Elec. Outlets & Receptacles at Kit. Counter
74.
Garage Fire Door; Swing -Landing -Closure
75.
A.C. Duct in Garage -Damper
76.
Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V.
in Garage; Above Floor-Mech. Protection
77.
Plb., Elec. & Mech. Equip. Listed for Location
78.
Elec. Receptacles in Garage (F.F.I.)-Ramex Protection
79.
Insulation -Foam -Looked in Attic
80.
Guard Rails & Deck Construction -Post Caps
81.
Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth
Clearance Looked under Floor ❑ Yes
82.
Following Instid./Drive J Yes J NoNJalks J Yes D No/Planters J Yes J No
83.
Stucco Brown -Finish
84.
A.C. Unit Disconnect, Electrical -Plumbing
85.
Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings
86.
Water Well, Disconnect, Electrical, Plumbing
87.
Exterior Elec. Trim, G.F.I. Receptacle -Underground
88.
Ventilation Throughout House
89.
Glass Protection
90.
Corrections from Previous Inspections
91.
Gas Test -Meters Tagged, Gas -Electric
92.
Water & Sewer Connected -C/O to Grade -HD Approval
93.
Energy Compliance Certificate -Other Certificates
94.
Address Posted
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:
COUNTY OF BUTTE t
BUILDING DIVISION
Y
DEPARTMENT OF DEVELOPMENT SERVICES
411 Main Street • Chico, CA • (530) 891-2751 s
7 County Center Drive • Oroville, CA • (530) 538-7541
CORRECTION NOTICE
d
OWNER PI:HM1I Ivy.
A routine inspection indicates -that the following violations of butte county Ordinances exist at the
above address and should be corrected. Please notice this office when correction of work 'is
completed. If you have any questions pertaining to this matter, or need additional explanation,
please contact this office immediately.
�q
-0A
`a
_ d
e -
~ rvs
m
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 I RkRYIT}O•
(Rev. 12/96) S APPLICATION AND PERMIT 00
ASSESSOR PARCEL NUMBER
042-610-035
ZONING
BUILDING PERMIT
ow ER_
NC,E, MIX,E & T�,HIIIE
TELEPHONE
894-6453
SO. FT. OCC. BUILDING VALUATION
OW 5MAILING ADDRESS
6 PRANDE173URY CHICO CA 95927
CO CTOR'S NAME
UE RWal POOLS
TELEPHONE
899-8445
corTeToFAIRCHILD SUITE 100A CHICO CA 95973
CONSTRUCTION LENDER
Fireplace
LENDER'S MAILING ADDRESS
Total Valuation $19.200.00
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee $
20.00
Permit Fee $
207.00
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Plan Checking Fee $
2-3-00
BLIILDIjJG AD BP.APdDE1TBLn.Y CHICO U. 95927
/CSG
Ener Plan Checking Fee
Energy s
$
PERMIT FEE $
LOT NO.
SUBDNISIOWS MIME
PARCEL MAP
PLUMBING PERMIT
Fling Fee 20.00
Each Trap
7.0023.00
USEOFSTRUCTURE
SF 6 Duplex ❑ Mobilehome ❑ Other
SPECIFY
Solar or heat um water heater
Water piping
15.00 1 9_00
Each gas water heater or vent
15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other IR
Describe Work: 001 master #503-97
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home I S I G I W
920.00
PERMIT FEE $
ELECTRICAL PERMIT
Fling Fee 20.00
OR LE
Main Service PGOA 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. I p(67 { /
License Class �l LIC. NO. UU
CSL
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
Main Service ZOOA TO lOooA
46.00
NEW CONST. DWELLING OCCUP.
OR ADONS. ( a ACC. BLDS.
SO
3.5¢FT.
NEW Io muLTI.OUTLET
@7.50
POWER APPARATUS
a SINGLE OUTLET CIR.
E(, OCCU OUTL£T OR FDCTURES
�L �:�
Ex. Occup. ouTLEEDrs Aea I ERa
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
Pool P1 Pr -tri r-
io-no
PERMIT FEES
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' co en ation insurance carrier and policy number are:
Carrier JTA a WPPERMIT
Policy Number &7_ r -f iro 4
(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 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 iS th se provis• ns.
X o Date —�--
Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent
An OSHA permit is required for excavations over 5'0" deep and demolition or construction
of structures over 3 stories in height.
MECHANICAL PERMIT Fling Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
FEt $
Mobile Home Installation Fee $
Energy Inspection Fee $
Occ
CONST. TYP
TOTAL FEE $
HAZ.
[��d IMP
OOD
CDF
PARCEL
PD HD
ISS
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.
-2
By 4�44 D e
EXPIRES ON 7ITE-D.D.S.-B. Dafe
rReceiptNo..-. 391890 !'IR35 (10PERMIT
D. CANARY -ASSES SOR PINK -INSPECTOR GOLDENROD -APPLICANT
COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION
7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140
PERMIT APPLICATION DATA SHEET
OWNER: _. ty ' * ASSESSOR PARCEL NUMBER 0 7 P- 6IO-&1-35
Proposed Building Use: 0 Ne"i P00 -L C
Counter Technician: Date: ✓ -g-O¢r
Items required in order to apply for a permit. All boxes MUST be checked OR marked NA in order to apply.
L. Plot plans, 3 or 4 sets, signed by the preparer of the plans.
-92. Complete plans, 3 or 4 sets, signed by the preparer of the plans. I
❑ 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations.
❑ 4. Engineered truss details and layouts in duplicate. No faxes!
❑ 5. Energy compliance design and supporting documentation in duplicate.
❑ 6. Manufactured homes: (A) Data sheets and installation instructions, (B) Marriage line information, (C) Floor Plan, (D) Tie down or
foundation plans, all in duplicate. _
❑ 7.. Metal buildings: (A) Metal Building Plans, (B) Foundation plans and calculations in triplicate, (C) Elevation views in triplicate.
(D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer.
Items required for initial plan review. If checked items have not been received, plan review cannot proceed. The permit will be
indexed and returned to the plan review line-up when required items are received.
Date Received By
❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate ................................
❑ 9. Plot 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 .....................................
❑ 12. Hazardous Material Form...............................................................................
❑ 13. Other I ...
Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.)
014. Fees as shown on the attached Schedule of Fees Due Sheet ...................................
15. Statement of Intent for Non -heated and A/C Buildings .................. e e.... _ `) 1
Sanitation and plot plan approval from tt a Environmental Health Department in
❑ 17. City of Chico Plumbing permit .................. '
❑ 18. California Department of Forestry plan approval ❑ paid. Sent by: ?" '
❑ 19. Planning approval for (A) Use: (B)Parking: (C) Parcel Check:
El 20. Contact Land Development about ❑ Improvements, ❑ Drainage ............................... r
❑ 21. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy).
❑ 22. Pre -Inspection for required ................ I
❑ 23. Contractor,'s license information. (Number, Name Style, Classification) ...................... j
❑ 24. Worker's Compensation Carrier and Policy Number ..............:............................... i
❑ 25. Owner -Builder Verification (❑ Given to owner, ❑ Mailed to owner) ..:..................
❑ 26. Letter of Signature authorization....................................................................
❑ 27. Recorded copy of Agricultural Acknowledgment Statement .................................... .'
❑ 28. Manufactured home utility clearance...............................................................
❑ 29. Existing violations and/or expired permits.........................................................
❑ 30. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $ ,
❑ 31. Other: '
When issued Telephone V9,1-81,9 9 3 and hold for pickup.
I have been infor ed of th abo e i s d require ents for obtaining a buildin permit. 1
►G, V
Applicant. Date:
1. Index permit application for the above items numbered: Plan Check Letter
2. Additional items required
Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date:
Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: t
Plans reviewed by: //1 �, Date: ,ry Z'1- 62- Plans approved by: Date: _-5-.21-o3
Structural reviewed by: Date: Structural approved by: Date:
Note transfer by: Date: 1F
Yellow: Building Division
\j
PROJECT ADORESb I
CITY OF CHICO
Bidwell Avenue. Silvertree Subd. #2
AP.P_ LICATION /PERMIT
441 MAIN St
C-31 134'-65' I � 1'"R 3
E OF APPLICATION
.1u1 14 1987
TYPIE ilk 0011 L
VN SFR
042-15-16, 25 27
EA IN IW SO. RES. UNITS
1 oer 1n
PERMrrwD. '�'
379
Purl No.
OWNER:
Sl1BDIVISIOrV
WErVAR.
NO. STORIES ZONING
VALUATIDN
1iLDLi USE
Webb Bros.
Silvertree Subd. #2
: ly' Count
OWNERS ADDRESS:
PHONE:
BLDG. USEIDESCRIPTION OF wow,
MASTER PLAN
389 C Connors Cout
�', - 891-3351
Ldter" l connection
to existingsewer
`a"""'°" Baur -R
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main - Add to C
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'JVi 09N P-11 B RE W fFED POR B�,'M 1 —R 411 003P ANO�-
refs O�ON OR CONS"WroN s sfa cn6Rd cvm a crams of fna.R
� ❑ � - � ❑
f+llalc - a nou -
LIC6NSED CONTRACIUIIS DECLARATION
OT4,'- PLUMBING PERMIT
PROCESSING
FEE
ENCROACHMENT PERMrrS
REQ ❑
I Mrebr elllrm the t am I{oert9ed ands Cha prvr stns of ClupLer g (mmmendnhgwM
FOCTURE TRAP
Sedlan 700D) d Dh61m s d tho E�ndnDas ens Code` std my Ilcerfse b In
nd n>r� anted erred. B 19
BOLDING SEVER
Dam 711/ R7_ Uu,�actQ I
' WATER HEATER AND/OR -VENT'
GAS S TEM
OWNF3i BUILD DECIMATION
INML. ALTER R AIrWATER PIPE'
I horebf Ifrom Ce License Lar lar the 1a0oag
m=mPwleabrns
_
t �
neasarl (gem� city ar Courtly wtitlr legalre9
Code:Anny
'
a pertH1 toaansttucL ever, Irrprave. da molaN or repair mWsIrt1cbae, Prior lob tssu rfoe,
file a dyied slmral ir
also requires the for such panni b m eerd Ue is ImnsW
puts uar� to tte sbm d the Corbad0i's Lbense Law (Chaptar 9 (Danrnerfdrg vlfCr
SoC60a 7000) D(vtelon 3 the adProllessIms Code] thel he iseoempl
� TONAL PLUMBING FEES
480
SUMMARY OF FEES
01 and nessaor
Morelrom and he bass for the alleged eamption. Arty N WUm al Section, 70M.5 by am
Ecanl bersbleds the appocard 10 a civil dd m
p• penatty nora than fhs hr,rrAed
.00
PROCESSING
BUILDING PLAN CHECK
(semra =m
❑ Las ownerofftpfoyeRy,orruyemyio svmhwawsastheir ado ownperuelim•
QTY. ELECTRK:AL PERNT
FEE
SS APPLICATION
will do the work.ardThe stmcwreIsnolIntended ororteredkuBBlelSec.7044,BuslnessSERVICE
.
and Processions Code: The CCrrberlDfs Ucahse Lew doesnd apply to an a mer or prop
er4rwtobuilds orimprovesvfemon wWwhodoessuchwor%hinxllior xthhiaimn
CIRCUITS
OFFSITE IMPROVEMENT PLAN CHECK
enp1oyeea provided thelsuch tr� rovernores ararot tnerbtdoroffered brae . n, hD«-
ever, Me bu/dilg or Inix.er entre sdd withinr a,- 0011,1 heowrer tliidar
ACCEPT. SWITCH, OTHER OUTLET
ENERGY PLAN CHECK (EST.)
wfD(ravetheburdendprov4fgcharhedbnotbindo If mp—forthePurposedsera.)
POWER APPARATUS
❑ ,L as owaher d Cre paperty am of piuiil efy omYaring v horsed wrftrauas to
oorstrud the ptoJeel (Sea 7044, Buregess arts P Dns Code: The CmbadorS
APPUANOE
SKINS w
TOTAL FEES PAYABLE ATfd�d
an civneir pvpefty
naliav�
nVectskir rprgas%ithaootraimor{s IidpiserittidheCoitractoe
IJoense Ler.►.TINE
OF APPLICATIO
❑ I ern eaernSmpl under SB. A P. C. for this reason
Code 011718(
ELE&TIR
BUILDING PERMrT
WOR1(EIRS' OOMPENSATION DECLARATION
p�Ilr�;
ELECTRICAL PERMIT
I hereby affirm dhal I have a 6org5cffie d eonsarM to salbinsure, a a cericate of VArrk-
j�� A '
OCESSQd6
PLUMBING PERMR
W CampensBTnn Insurarfoe, craoartifl d copy theredIS= 380 Lm. V.}
OTY. ME A
FEE
PbIlcyNa 0301914 0 early
INSTALL FURN.
MECHANICAL PERMIT
❑ Dertled oopy U hereby hnrrdshea
Cartried copy is Bad 100 the oil buI dots
BOBLERICOMPRESSOR
SANITARY SEWER CONNECTION
n— 7114187 APWkaryl +
MECH EXHAUST - HOODIDUCT
STORM DRAINAGE
VENT FAN SINGLE DUCT
CERTIFICATE t7F E%E ION FFIZZ S-
INSURANCE
COOLING
OFFSRE IN-LIEUOOMPENSATION
OFFSrTE IMPROVEMENT'S INSP.
(Tlhls gm*m need riot be eoingiWed If the perm Is for one hundred dollars (51D0) or
I certly hat IR the portorme ica at the work lot wrich Ws wmn is Issue& I steak nor err-
SPECIAL INSPECTION
pb�� en ih arra manner so as a beoome srbjed m the Millwrs' conparisaWn,
L� c' ° �:•
TOTAL MECHAMCAL FEES
SCHOOL
Dale AppOcem
NOTICE TO APPUCIWT. ti, atter maldng this CerdhcM of ENempWri, you should be-
REMARKS:
cone hrtbJed to tfeNbtkers' Corn d the Lebor Cade, you must brt►
=Ion=
with tallplj wnh Bldl provdsbns w the pemit steal be deemed revoked.
• COINISTRUCTION LENDING AGENCY
1 Z%Pv eflirm that tbhlre Is a landlrg span/ tar he pertameroo d the
eWnsShmX"n
wpdc tar hrMah tlrls porrrfit IsiBsued ISec, 3087, Crv. C.►.
APPROVED BY
THISAPPIZAPM
Lenda/S Nemo
••
BEDMAPERIR
I rl.ender9 Address
x
� WHVUMff�
TOTAL FEES PAYABLE AT
.
e IcerDsytiatlhave madtcapp Bcatlanendstate thatthe above inromiatiDnkeenew.
MUEOFPERMISSUANCE
480 00 Ck
I ages to 'nit' at and o0urhy ondthmoes and steep lairs roWnfg to bufdtg
oorastr i;L reprosentatives of Ihls city to ewer upon the move•
SIGNAn IR OF APPLICANT OR AGENT
�"nlBntOned Prepah' Ior Irspeclion wM--
NE
OWNER 0 CONTRACTOR cX AGENT ❑
kt VALIDATION
05/23/2002 THU 09:15 FAX
/ LOT #
�L 53
%- 54
55
OL 56
p�C..
57
® 5&
i< 59
6'I
Gly 62
acs 63
64
v�.-
IN.
SILVER TREE II
ADDRESS
STREET
ALTERNATE
772
Brandonbury
Ln.
778
If
784
"
790
796
795
789
If
"
783
777
if
"
J 1720 Flamingo Road
1726
Flamingo Road
�P
1732
If rl
1738
1744
1750
770 Skylark Drive
0004/004
d;
),PERMIT NO. 561-87B, P, E,M
'
� [ PERMIT EXPIRES
a OWNER WEBB BROTHERS
i
CONTR. Webb Homes
'4
-ASSESSOR PARCEL
t LOCATION 796 Brandonbury Lnjot 56,Chico
OFFICE COPY
Address
GAS
Meter By Date -
EL
ECTRIC
ateELECTRIC i Date Meter By
a;l CO"P' OFFICE
\ 1
«!,
Address lq�)j
_i
gi
Meter 6y Date `
'! E`EG1RtG 1
i Meter BY
Temp. Power Pole
r'
Called PG&E
Temp. Elec. Service
Called PG&E
Temp. Gas Service
r�
Called PG&E
r
JOB FINALED (Date)' <-
i
r Signature __...
L
J = OK
0 = Not OK
- = Not Applicable
* = Not Ready
MOBILEHOMES MISCELLANEOUS a ..
Date
IMOBILEHOME UTILITIES (Plans) OK except N's
1. Zoning Requirements -Setbacks -Easements
Date
DECKS, COVERS, CARPORTS, ETC. (Plans) OK except N's
1. Zoning Requirements -Setbacks -Easements
2. Soils; Special MH Support -Sketch
_
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; Locatior-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 H's
1. Zoning Requirements -Setbacks -Easements
Card -BI
Date
Date Card -BI Date
POOLS (Plans) OK except N's
1 • Setbacks -Easements
2. Footings; Size -Spacing -Marriage Line
2. Soils; Compaction -Structure Stability
3. Gas; MH Test -Demand -Valve -Connector
4. Electricity; MH Test -Crossovers -Breakers -Clearances
3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining
4, Elec.; Receptacles and Lighting; Distances-GFI
5. Drain; MH Test -Fall -Flex Connector
5. Elec.; Pool Lighting; 15 volts-GFI
6. Water; MH Test -Regulator -Connector
6. Elec.; Enclosures; Conduit Entries -Terminals -Listed
7. Water and Sewer Connected -C/O to Grade -HD Approval
7, Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater
8. Gas and Electricity Tagged
8. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghtg.
Boxes -Enclosures -Panel boards -Ins. to Main in Conduit
9. Exits; Insp.-Sketch
10. Cert. of Occupancy
9. Health Department Approval
10. Plumb; Cir. Test -Water Supply Test
Card -BI
Date Card -BI Date
Card B -I Date Card -BI Date
Card B -I
Date Card -BI Date
Card -BI
Date Card -BI Date
"Wi
0 =`Not OK
- = Not Applicable
Not Ready RESIDENTIAL (Single and Duplex)
.= -
- t -
Date
UNDE R Plans OK except N's
Date FRgrot1NG.(Continued)
_
lk,,Vning requirements-setbacks-EaspfKents
41KP
perty Line Firewall & Openings
F Main; Soils-Steel-Elec. d.- / /" Ftg. Depth
49
Ext.9pors-One 3' -Check Garage -3rd story, 2 exits -
—
Ftg., Garage; Soils -Steel- / /" Ftg. Depth Z
59•!V�Trs;
Width -Headroom -Rise -Run -Landing -Fire Protection
—
4. P rches & Decks; Soils -Steel- / /" Ftg. pth
5
ywood on Roof Overhang -Attic Vents -Rafter Outriggers
S walls, Main; Steel-Blockouts-Wrapped-S
iding-Nailing-Veneer
`
Stemwalls, Garage; Steel-Blockouts-Wrapped-S
53.
S o Mesh -Drip Screed-Fdn. Vents-Underfir. Access_
7. Pier -F' t=�� Grp Steel
9/f7W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test
5"G
55
_
laziNrea-Glass Protection -Skylights -Plastic
-(Me-ar Walls; Nailing -Bolts
Gas Pipe; Size -Anchors
10. Water Pipe: Test -Anchors -Regulator -Service Test
11. Electric; Underground y
12. Plenums & Ducts; Clearance -Material -Support -Ins.
13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
Card -BI
Date O Card -BI Date
_
-Q
_Card
Card -BI
-BI
Date// 2-11;P- Card -BI Date
Date ( ; ard-BI Date
Card-BDate
Z Card -BI DateCard-BDate11' Card -BI Date
S
Date FINAL ans) OK except M's
Date
PLUMBING ( ermit) OK except q's
Steps -Door & Sidelight Protection -Landings
7
SytoKe Detector
Card -BI
Card -BI
1 WaterHt.: Vent -Access -Combustion Air
Wate tpe: Test & Anchors -Nail Protection
V.: Test-Fttngs & Anchors -Nail Protection
Shower P n: Test, First Floor -Tub Access
18. tib & Shower, 2nd Floor -Tub Access
1 as Pipe: Size & Anchors
_
/r Date _ _ Card -BI Date
Date 2ZCard BI - Date
Furn ; Vents -Clearance -Comb. Air-Connector-
I arage; Above Floor -Ducts -Meeh. Protection
room Exiting
. & Bath Fixtures & Tub Access
Elec. Trim & Subpanel; Breaker Sizes -Labels
--b2'7!ltta, Rails
ireplace or Stove; Clearances -Hearth
-44. Elec. Outlets at Wood Panel; Int. &Ext.
5 it�ixt. & Appliance; Grnd.-Air Gap-CookingClearance
EI c. Outlets & Receptacles at Kit. Counter
Date
ELE L
APerrr,it OK except q's
Garage Fire Door; Swing -Landing -Closer
• ts-A.C�luet
in Garage -Damper
Gard B I
Card B -I
2 xI 8 Transform_ er Clearance -Ins. Protection
21.eceptacles Spacing -Lights & S_witches at Doors
22. a Boxes & No. of Conductors -Stapled
Installed Close to Edge of Studs & C.J.o<Receptacles
23.�.px
2Ground made up w/Mech. Fasteners -Bond Gas & Water
ance Circuits in Kitchen &Conductor Size
2 . �wraed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or AI
27. Range,Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al,
I ated Neutral Yes J _No _ _
2 vice -Riser Conductors & Ground_Main_Disconnect_
E p. Clearances: Panels-Motors-Mech Equip.
3 Clothes Closet Light -Shower Light - _
019 Date Card: Bl Date —_ -�
Daje Card -BI Date
'69o'Wt-r.
Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.-
In Garage; Above Floor -Meth. Protection
lec. & Mech. Equip. Listed for Location
in Garage; (G.F.L)-Romex ec.
--72.�Guard
Insulation -Foam -Looked in Attic
Rails &Deck Construction -Post Caps
ared'�Fdn.
r�
Vents & Crawl !-tole Door -Drainage & Wood -Earth Clearance
LqDked under Floor ❑ Yes
ollowing instld.:ve ❑ Yes ❑ No; Walks ElYes E]No;
P rs ❑ jQPr
❑ No
Stucc .; Br -Finish
7
.Cit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet
7a.—Tents
Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs.
149 -,-Water
Well; Disconnect, Electrical, Plumbing
rior Elec. Trim; G.F.I. Receptacle -Underground
.
Ve 'dation throughout House
V!nlass
Protection
Date
ME A�LICAL (Perrcit) OK except #'s
x!!8 -
_
ections from Previous Inspections
Ga -. st-Meters Tagged; Gas -Electric //
Card -BI
Cad-BI
C. ucis. Insulation &Support _ _ _ - -
an: Exhaust above Insulation
3 �Con
3 sateDrain & Overflow: Size _& Grade _
F �rnace-Vent: Access -Comb. Air -Return Air Vent -_11.5_V outlet _
3 Attic Access &Platform if Furnace in Attic
-
ff? Dale Card -BI Date _
Date Card -BI Date
J§,o4Vater
& Sewer Connected -C/O to Grade -HD Approval
88,
Energy Compliance Certificate -Other Certificates
- '—
Card -BI
Date Card -BI Date
Card -BI
_
Date Card -BI Date
Card -BI
Date Card -BI Date
Date
FRA NG Plans) OK except q's
Com tents at Final:
3 s- Proper Material & Anchors
37 Is suds -Nail ng, Spacing & Bracing -Plates -Sound
38. ri g°Walls over Girders & Floor Nailing
3 -top n Walls (rat proof)
4 ire Stops: Furred Ceilings-Stairs_Chases-_Tub_ _
4 d ^Beam -Size & Bearing
ngers ost Caps -Anchors -Connectors
Cl . Joist-Rftr. Ties-Purlin- oof Brac!-Truss-Shlhnq.-Rfnq.
it ace Ties or Type � la Throat
4 tic Access: Size & re a -Draft Stop -Ins. Baffles
rm. Windows or Exiting oors I Hgt. & Dimensions
4Y,1 Garage Fire Protection Framing_
_
(NOTE, Anentry must be made each time youvisit jobsite)
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Oroville — 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.
n. e P C E i A J
r -a
r
Inspector. Date a ��
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
VWNtH 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 addit nal—explanation, please contact this office immediately.
Inspector. Date
'r COUNTY OF BUTTE
+ DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Oroville — 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.
Inspector. Date i3
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKSPERMIT NO.
7 County Center Drive - Oroville, California 95965- Teiepiione 916/534-454/` 1/ d
APPLICATION AND PERMIT I
ASSESSOR PARCEL NUMBER I
L4 I S
ZONING
ASR
BUILDING PERMIT
OWNER
Wphh Brothers
TELEPHONE
891 - 3-151
SQ. FT. OCC.1 BUILDING VALUATION
774T_ R 69,600
OWNER'S MAILING ADDRESS
M 7,392
CONTRACTOR'SNAME
TELEPHONE
192 Ov 1,920
CONTRACTOR'S MAILING ADDRESS
Fireplace 0 1,000
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $ 19,912
Filing Fee
$ 10,00
LENDER'S MAILING ADDRESS
Permit Fee
$ 373.00
AGHITECT OR ENGINEER
Ione
LICENSE NO.
Plan Checking Fee
$ 15.00
Energy Plan Checking Fee
$ 15.00
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
Permit fee
$ 413.00
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00 6,00
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAME PARCEL MAP
Water piping
5.00 5,00
Each qas water heater or vent
5.00 5,00
USE OF STRUCTURE
SFIX Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00 5,00
Building sewer
5.00 15.00
Mobile Home is G W
10.00ea
TYPE OF WORK
New,& Addition❑ Remodel[:] Utilities[] Installation❑ Other ❑
Describe work: Master #36-82_
Permit Fee
$ 46.00
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 1000V OR 0 AMP ORLESS10.00
Main service EA. ADD•L too AMP
2.50
CONTRACTORS LICENSE LAW
1 declare under penalty of perjury (check one):
❑ I am licensed under provisions of Chapt. 9, Div. 3 of the BUslnesS
and Professions Code and my license is in full forc�and effect.
3 7/ / ( r5
License No. Classification
❑ 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
NEW CONST. DWELLING Oc
New CONSTR.( A )
'�LDGS.z2sgf 6.70
OUTLE��T��
MULTI -OUTLET
NON.RESID BRANCH CIRC ITS
2.50 ea
POWER APPARATUS d
(SINGLE OUTLET CIR.
Ex. Occup(OUTLETS OR FIXTURES
ewLa 30
SALO 30
FIXED APPLNS. R
Ex. Occup. OUTLETS (RESID,)EAJ
2.00
Temporary service
10.00
Mobile Home Facilities
15.00
Misc. byirin g
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.
ErrEr( have placed on file with the County of Butte Building Department
- 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.
Contractor
MECHANICAL PERMIT
Filing Fee 1 10.00
Heating Dual Pak
6.00
Cooling
g
6.00
Hood
3.00 3.TO-
Ventilation
3.00
permit Fee
$ 28.00
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 against
all liabilities, judgments, costs, and expenses which may in any way accrue
against sai unty In cu u ce of the granting of this permit.
X aZ3-g,
Date
Signature of App ;cant - 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 $ 30,00
593.70
TOTAL PERMIT FEF_/
occuP.
�3
CONST.TYPc
-V I✓
F
PARC
PD ND Iseu
This permit is hereby issued under
sions of the Butte County Code and/or
work ' dicated a ve for which fees
IR TPR OF PUBLIC
BY
PERMIT EXPIRES Date_
the applicable provi-
resolutions to do
have been paid.
WORKS
Date %J
Receipt No.?
WHITE-D.P.W., YELLOW-ASSE330R, PINK -INSPECTOR, GOLDENROD -APPLICANT
IF-
�-���r'*�,;#-=..:'�...:�•��:::� ':.sem=-����--�-�
i
P COUNTY OF BUTTE - DEPARTMENT OF. PUBLIC ,WORKS - BUILDING IVISION
7 COUNTY CENTER DRIVE - OROVI LLE, CALIFORNIA 95965 TELEPHONE:( 91 /534-4541
V
PERMIT APPLICATION DATA SHEET
.
Permit No
ti
OWNER A. P No.
Proposed Building Use it U — 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.
lans with Energy Design Compliance Statement. . . . . .
CUSD "Fees Paid" Stamp on Floor Plan . . . . . . . .
7 Statement of Intent for Non -Heated and. AC Buildings.
8. Fees of $ . . , , , , ,
�� Letter of signature author //i►►z tion.
Sanitation approval from l `c n e Health Dept.
--
11. Planning approval for (A) Use: (B) Parking:
112. 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. . . . . . . . . . . .
16. Mobilehome Installation Data. . . . . . . . . .
Pre-Inspec. request to (Date)
Pre -Inspection for Required. Building Inspector
O 18. Recorded copy of Agricultural Acknowledgment Statement.
—1KDriveway Permit.
20. Plot plan approval from city of
21.
22.
Wh you issue the permit,_process as follows: Mailowner, Mail to contractor.
Telephone OQ 3s / and hold for pickup aPoffice, Deliver w/inspector.
Other
Applicant Date
Copy of plans sent Health Dept., Fire Dept., Other Date
The following data must be submitted prior to
1. Index permit for above items No.
2. Additional items required:
it issuance: (Circle new item not checked above).
Contractor, designer, owner, was advised of above required data by_phone---nail—counter by
Contractor, designer, owner, was advised of above required data by—phone —ma ll—counter by
Plans checked by
Copy—DPW
Date Plans approved by
Sets of plans on hold in File cabinet AP folder
date
date
to 4Ifo
— Flours: 10:00 a.m. - 3:00 p.m.
6TEBB HOMES _ Permit Nc._
.I E N E RGY C t ft T I F ICAT ION•
LOT #56 - BRANDONBURRY CT. SILV'ERTREE II - PHASE VI
LOCATION A.Y. No.
DESCRIPTION OF INSULATION
ROOF
Material
Thickness(inches)
EXTERIOR WALL
Katerial FiberglaGc
Thickness(inches) 3"'
CEILING i
Batt or Blanket Type Batts
Thickness(inches) 10'
Loose Fill Type Insu1 Saf _ '' TT
Minimum ThicknesWnche>•'i lit,
FLOOR, ELEVATED
Material
Thickness(inches)
FLOOR, SLAB
Material_ _
Thickrne s s (inches )
Width (inches)
F OUADATION WALL
Material _
Thickness (i.nches)
Brand Name
. Thermal Resistance (R Value)
Band Name CPrtai ntaari
Thermal Resistance(R Value) R-13
Brand Name Certainteed
Thermal Resistance(R Value) R-30
Brand Name rertainteed
Number of'Bags Wt. per bag lb.
t..c aiuoa i�CJ:Lo ..4TiG%�a� aauC� i\—.J�
Brand Name
Thermal Resistance(R Value)
Brand Name
Thermal Resistance(R Value)
Brand Name
Thermal Resistance(R Value)
I hereby certify that the above insulation was installed in the above building
in confonnance with the State of California Energy Requirements.
SHASTA INSULATIO 272941
I �,V`tE/OW ' STATE CONTRACTOR'S LICENSE NO.
11/12/87
TURE OF 1 TSTA .LA'1. t 1'L DATE
I hereby certify aIle above insulation and all required items as shown on the
Building Departt:ient approved plans a;.id attachments have been installed as
required by the State of California :anergy Requirements.
All equipment, devices and materials :are of the quality prescribed or are
specifically approved by the State of California.
X714CM
4KAHE/UWNLR (Please print) STATE CONTRACTOR'S LICENSE NO.
cl,�e S, e; s. /�2 --5-- J?%
SIGNATURE OF GENERAL CONTRACTOR/OWNiCR DATE
THIS CERTIFICATE MUST BE ON FILE WI`th THE BUILDING DEPARTMENT PRIOR TO FINAL
INSPECTION APPROVAL AND A COPY SHALL, BE. POSTED WITHIN THE BUILDING.
Januc n-� 1984
PLAN 228A
1787 SQ.FT.
4, 0 rf,4 L- 15 7 ,
�a�4z ss -
N 94.'70'
I
17
:7 ��e
A setback of 5 t. fro�
22� Q •
r, property lines a d
_ a e ba k
of 50ft. from th r
\9 centerline shall * , �r . f� ---
(o•Q �..
structures or equ rrefvt
4
_�� -.. 6 • �— for a 2 ft. eave o rhang.
- :o- (58� iPf - -
„phis set of plans and spec fica'tfons% M ST be
the job at all times an it is unla 0f to _
- - ,• . �'_`� : make a y changes or a{teratio: o . th-
dhut:ritt n permission from the Depar rr ent of r
Public ks, County of Butte. „�...
:2 s See Master Plan on file or-ksuil ing
12 ans.X9.9z
59 —!
5 7 ,4
.777
105
r - - -
T. . _.-....
• (0 ; BUTTE C®UNI ----
_ B ILDING DEPART i EqT'; �^ �
PPR®V D.
------� �� :.
y 155. I�oN.T 5.
(Q 2 S.,j
;�J/ �� � ;N .. i _,. N•fi S:.... -�` 100 N Y . I --- p
Wet down'GUNITE twice.dail for seven^daR f
i 1
T �, r1 Q.Q.. � [ r1R - •,. ,
. ,•� Vii. t (�
(9!'I"
L
t,
i
0345
BLUE.-HNNIE
BLUE HAVEN OFFICE:
3 :i 0.�s
. I
arA
1-16
t �L
O
rn
Pt an+er
Area,
Ex;5�t
i
GENERAL POOL SPECIFICATIONS: (Temp.#
EXCAVATION
Accu) Front 10
d[i'Ca Sh the Dig
Remove Dirt
Remove Stump(s) Nu
Remove Fence &M
Replace Fence /VM
Remove Concrete k—S. F.
Sawcut Concrete AA Ft.
STEEL 1 40
Expansive Soil Steel Pattern BH
PLUMBING a�
Filter Run Ftg:
Return Lines
P -Trap —B/Wash Line
Gas Line ' Ftg
Drill Drive—(
ELECTRICAL
Run
�� L
Run Bye��'Ftg
GUNITE
Love Seat
Swim Out (vC3
Ext. 2nd Step L
R.B.B.-iLj in. X Ft.
.B.B. in. X Ft.
OPING
Type
Type
Spa
e
3
DECKING
Type S 13-7-
Color
LTColor
Risers
Footings AID
Mastic "b
Drains t\z
EQUIPMENTFilter
Type Size
`1
Pump HP
2 Sr
'k
Smart Box
Yes
l&
Smart Pure
Yes
No'
Smart Light
Yes ,
No
- f rril-liE
500 W Li ht
Yes
mci
Smart Vac II
4A
No
Heater BTU
O
rn
Pt an+er
Area,
Ex;5�t
i
GENERAL POOL SPECIFICATIONS: (Temp.#
EXCAVATION
Accu) Front 10
d[i'Ca Sh the Dig
Remove Dirt
Remove Stump(s) Nu
Remove Fence &M
Replace Fence /VM
Remove Concrete k—S. F.
Sawcut Concrete AA Ft.
STEEL 1 40
Expansive Soil Steel Pattern BH
PLUMBING a�
Filter Run Ftg:
Return Lines
P -Trap —B/Wash Line
Gas Line ' Ftg
Drill Drive—(
ELECTRICAL
Run
�� L
Run Bye��'Ftg
GUNITE
Love Seat
Swim Out (vC3
Ext. 2nd Step L
R.B.B.-iLj in. X Ft.
.B.B. in. X Ft.
OPING
Type
Type
Spa
e
3
DECKING
Type S 13-7-
Color
LTColor
Risers
Footings AID
Mastic "b
Drains t\z
EQUIPMENTFilter
Type Size
`1
Pump HP
2 Sr
S
Smart Box
Yes
l&
Smart Pure
Yes
No'
Smart Light
Yes ,
No
- f rril-liE
500 W Li ht
Yes
mci
Smart Vac II
4A
No
Heater BTU
Nat
Pro
Div. Board
Slide
Water Feature
PLASTER
1
Color W
SPA
Size
In
Out
Plumbing Run
Dam Wall Length
Number of Jets
Blower Hp
Yes _
No
Remote Model #
Spa Side Switch
Yes
No
Smart Light
Yes
No
100 Watt Light
Yes
No
/ BUYER
Initial
• Approve above specification
• Approve equipment location c,r�
• Understand that decking shown is for illustration purposes only and
understand that they are to receive 14 C�o square feet of deck.
l
SianahK� Date •5 z -o L..
Prepaired Espec Ily For:
9.DlRIU
W
trees \" V t o n�W1 W r
APPROV9E City h (C.11 Zip ✓ �/
Home Phone Work Phone
� 0:.A SS
Designer , Ke l Job No.
& Block Tract
Mapsco No. ?/ Y
s;�BUYER'SRESPONSIBILITY r - BLUE HNNIEN PODLS-(. 3 4'-Lt614 fenced per -cal code r (Q
.Gates to be,self=closing'end seH;latcfting *�- Since 1854
r �Wet'down GUNITE twice'daI! for seven days. ,
s..- ,.�„ P
». BLUE HAVEN OFFICE: - � l Lz)
.e O
ALL STRUCTURES AND EQUIPMENT INCLUDING
- - - - - 0VE
'AHANGS SHALL BE CLEAR OF ALL:EASEMENTS.
A. SET BACK OF S FT. FROM THE SIDE AND
FT. FROM THE REAR PROPEITTY LINES AND
_ FT. FROM THE ROAD CENTERLINE SHALL BE
CLEAR OF STRUCTURES AND EQUIPMENT EXCEPT
FOR A 2 Ff. EAVE OVERHANG. _
S
3� �vA
_...7
E Lec-4'
' E �ClSC
� 1
'POO
.� � RQStOed1�Q,•
{ pA u 54,e, . 5D'r
�a� day
,IT WUNTY
- _ PU LDOW DEPARNEW
APPRoao
GENERAL POOL SPECIFICATIONS: (Temp.#
Mapsco No.
."y q
A•,®r 6
C� SUR. Q ( .
PMA M
PERIMETER: / AREA:39`x'M
MLN H:
POOL CAPACITY:
L DEPTHS:
TURNOVER RATE: Firs.
EXCAVATION
DECKING
A Front `Le;
�l
Type f— l A
Shu Dig
Color Atlb
Remove Dirt S
Risers
Remove Stump(s) AO
Footings
Remove FenceiV7t
Mastic PO
Replace Fence
Drains
Remove Concrete S.F.
Sawcut Concrete Ft.
EQUIPMENT
F'IterType Size 9 a
STEEL
Pum HP 2 S 1 S
Expansive Soil Steel Patterns
Smart Box Yes
PLUMBING
Smart Pure Yes o
25Smart
Light Yes
Filter Run Ftg:
Return Lines 2 Soo..
Light Yes
P -Trap _ B/Wash Line
Smart Vac II No
Gas Line Ftg
Drill Drive
Heater BTU Nat Pro
Div. Board
ELECTRICAL
Slide
Run By iD Fig
Water Feature
GUNITE
Love Seat Z
PLASTER
Swim Out 1,in
Color !62"
Ext. 2nd Step /116
SPA 1046
R.B.B. Nb in. X Ft.
R.B.B. iVT in. X Ft.
Size In Out
Plumbing Run
COPING I
Dam Wall Length
Type Go "m ( t k e.—
Number of Jets
TILE
Blower Hp _Yes_ No
Type
Remote Model #
Spa Dam /`/%)
Spa Side Switch Yes No
Accent Tyle
Smart Light Yes No
100 Watt Light Yes No
BUYER
Initials
• Approve above specification
• Approve equipment location
• Understand that decking shown is for illustration purposes only and
understand that they are to receive
square fget of deck.
Signature
Date S LZ,I DZ
Prepalred Especially For:
Street
City C Ink l.7
zip CVZ
Home Phone
Work Phone
Designer
Job No.
Lot Block Tract
I�
Mapsco No.
."y q
A•,®r 6
�T
m
/ \
-, � • S/ �
-
� �..
�T
-
� �..