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HomeMy WebLinkAbout043-390-002,',, Dennis Durkin & Wm. Drew 857 Carrgrove Ct., lot 2, Big Chico Cr -Est., Chico contr- Jerry Price, Chico Permit 11 4-8�1B,P, M(new gsigge family Op c 043=390-002 PERMIT#97-184 OPPY, Brian 857 Carrgrove -Ct., Chico Cont: Baird Roofing I� �Reroof/SF I 043-390-002 0 2' OPPY,' BRIAN & N;ANC INALE 857 CARRGROVE CT., �v ADD/SF f � t 7 t it 3 JOB FINALED (Dat Signature NOTES RESIDENTIAL PERMIT NO. j 04;-;90-002 0/ BP040672 OPPY, BRIAN & NANCY I r i 357 CARRGROVE CT., CHICO f ADD/S1= t t r SPECIAL CONDITIONS ` CHECKED BY SRA FLOOD CERTIFICATE REQ. j' FIRE SPRINKLERS REQ. Q SPECIAL INSPECTION ITEMS . t VERIFY USE PERMIT CONDITIONS ' SUB -STANDARD HOUSING LETTER f � t 7 t it 3 JOB FINALED (Dat Signature J=OK 0 = Not OK . = Not Readyable� DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 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) 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete 6. Gas; Location -Test-Wrap;-/ P' L'ft. / P Nat. or/ P' L "ft./ P LPG 7. Well Clearance & Disconnect 8. Utility Clearance 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date 12. Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s Card B-1 Date Card B-1 1. Zoning Requirements -Setbacks -Easements Card B-1 Date Card B-1 2. Footings; Size -Spacing -Marriage Line 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 8. Gas and Electricity Tagged 9. Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch 11. Cert. of Occupancy 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche Date 12. Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PERMANENT END SYSTEM (ONLY) Card B-1 Date Card B-1 1. Zoning Requirements -Setbacks -Easements Card B-1 Date Card B-1 2. Footings; Size -Spacing -Marriage Line 3. Blocking 4. Gas; MH Test -Demand -Valve 5. Electricity; MH Test 6. Water; MH Test 7. Water and Sewer Connected 8. Gas and Electricity Tagged 9. Exits 10. License Decals 11. Verify #'s with Office Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs-Connectors _ Shthg-Frg--Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining `. 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosures- Panel boards- 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 Applicable = Not Ready RESIDENTIAL (Single & Duplex) Date U_ NDgWLOOR (Plans) OK except #'s 15. Access & Ventilation Zo �ng-Setbacks-Easements-Flood-Slope 16. Insulation tg., 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 -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 -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-Vents-CriDDies Date FRAM!,Nrar(Permit) OK except #'s 15. Access & Ventilation ills Proper Materials & Anchors 16. Insulation ails Studs -Nailing Spacing & Braces -Plates -Sound 43. Datt7l Card B-1 Date Card B-1 Dat � Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s ders & Beams -Size & Bearing...,, 4^1 r Htr.; Vent -Access -Combustion Air Baffle J ater Pipe; Test & Anchor -Nail Protection . y *; Test Fittings & Anchor -Nail Protection _2Dr&h er Pan; Test, First Floor -Tub Access 9 b & Shower, Second Floor -Tub Access 92. 32�-Tas Pipe; Sixe & Anchors 93. 23. Fire Sprinkler; Test aAefnergy Compliance Certificate -Other Certificates Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s Date 24: Fixture ransformer Clearance -Ins. Protection Date Comments at Final: C.. eptacles Spacing -Lights & Switches at Doors rze Boxes & No. of Conductors Stapled 7. stalled Close to Edge of Studs & C.J. quip. Ground made up w/Mech Fasteners -Bond Gas & Water 29. 2 Appliance Circuits in Kitchen & Conductor Size GFI 30. Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or Al 31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or Al Insulated Neutral ❑ Yes ❑ No 32. Service-Ris 'Conductors & Ground Main Disconnect 33. Equip. earances Panels-Motors-Mech. Equip. 34. CI es Closet Light -Shower Light -Spa Light C&OOTmoke Detector i to EV>o Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANI (Permit) OK except #'s C. Ducts Insulation & Support 37. Vent Fan, Exhaust above insulation 38. Condensate Drain & Overflow, Size & Grade 39. Furnace- nt Access -Comb. Ait-Return Air Vent 115 Outlet 0. c Access & Platform if Furnace in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAM!,Nrar(Permit) OK except #'s 4 . ills Proper Materials & Anchors 2. ails Studs -Nailing Spacing & Braces -Plates -Sound 43. ,n g Walls over Girders & Floor Nailing Be 4 . D�op in Walls (rat proof) 4 ire St ps, Furred Ceilings -Stairs -Chasers -Tubs 4C ders & Beams -Size & Bearing...,, 4^1 Date FRAMING ontinued) 43, -1 -angers- Post Caps -Anchors -Connectors 48t,eltrg- Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rtng. 49. Fireplace Ties or Type A Flue -Fireplace Throat Clearance SO -'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. Plywo d on Roof Overhang -Attic Vents -Rafter Outriggers 7 ing-Nailing Veneer 58. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access zi a -Glass Protection -Skylights -Plastic 6 ear Walls; Nailiaq-Bolts Interior/Exterior Wall Panels Infiltration -Wal Is -Windows Date / ( Card B-1 Date Card B-1 Date ' Card B-1111, Date Card B-1 Date FINAL ns) -except #'s 4. t ps Door & Sidelight Protection -Landings 65r,Tmnkp Detector 66. Furnace Vents -clearance -Comb, Air-Connector- jw6arage; Above Floor -Ducts -Meth. Protection Bedroom Exiting 68. G.F.I. & Bath Fixtures & Tub Access -Spa 69. Elec. Trim & SubDanel. Breaker Sizes & Labels 70. Stairs & Rails 7L,Fiteplace or Stove, Clearance -Hearth 72. Elec. Outlets at Wood Panel, Int. & Ext. 73. Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance 74. Elec. Outlets & Receptacles at Kit. Counter 75. Garage Fire Door; Swing -Landing -Closure 76. A.C. Duct in Garage -Damper 77. Wtr. Htr; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 78. Plb.; Pbc. & Mech. Equip. Listed for Location 79. EUe6. Receptacles in Garage (F.F.I.)-Romex Protection 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 ❑ Yes _ 83. Followjpg Instld./Drive 0 Yes 0 No/Walks 0 Yes 0 No/Planters 0 Yes 0 No 84. cco Brown -Finish A. nit Disconnect, Electrical -Plumbing $ . Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 87. Wat ` Il, Disconnect, Electrical, Plumbing ror Elec. Trim, G.F.I. Receptacle -Underground . Ve ' tion Throughout House Glas rotection 9 orrections from Previous Inspections 92. Gas Test -Meters Tagged, Gas -Electric 93. W & Sewer Connected -C/O to Grade -HD Approval aAefnergy Compliance Certificate -Other Certificates 95. Address Posted 96. Fire Sprinkl Date - '� Card B-1 Date Card B-1 Date and B-1 Date Card B-1 Date Comments at Final: Card B-1 Date Card B-1 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 FAX#: (530)538-2140 WEBSITE: www.buttecounty.netWds ' PERMIT NO. BP040672 LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date: APN: 043-390-002-000 the Business and Professions Code, and my license is in full force and effect. License Class : License Number: Site Address: 857 CARRGROVE CT CHI Date: Contractor: Map Index: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Description: ADD(586)COVERED PORCH(190) Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions. Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior Owner: OPPY BRIAN J & NANCY C to its issuance, also requires the applicant for such permit to file a 857 CARGROVE CT signed statement that he or she is licensed pursuant to the provisions of 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 95926-7716 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 Applicant: OPPY BRIAN J & NANCY C owner of property who builds or improves thereon, and who does 857 CARGROVE CT such work himself or herself or through his or her own employees, CHICO CA provided. that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one 95926-7716 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.). l� I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business N and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, Contractor: and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). ❑ I am Exempt under Article 3 of the Business and Professions Code Date: Owner: License #• - WORKERS' COMPENSATION DttLARATION 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 Architect: is issued. ❑ 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 number are: Carrier. Total Square Ft: 586 S.F. Policy #: Valuation: $38,090.00 C7 I 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' 5_3 compensation provisions of Section 3700 of the Labor Code, I shall t forthwith comply with those provisions. '31 Date: _ 1 0 Applicant: Vx WARNING: Failure to sec a workers' comp tion coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY This permit is hereby issued under the applicable provisions of the Butte County Code and/or I hereby affirm that there is a construction lending agency for the Resoluti ns o do work indicated abov for w . ich fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) Q e SAZ Zo!�Address: Name:. By: Date: PERMIT EXPIRES ON:— ate _ ❑ l hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby authorize representatives of Butte County to enter upon the above mentioned property for inspection purposes. rC , Print Name: Signature: n. Date: M'bwner ❑ Contractor ❑ Agent for Owner ❑ Agent for Contractor' RuC 26 04 07,110 LUERKE INGULFIT10h CO.,'IMC-' 5309918560 P.1 LOEERXE JM)LAMON CO., INC. INWLATON CWTIFEATE Q�-r- MMMiMMMI-- MON MUM AFRMIPMAM VROOF Bow NW" rmniM Rabbon (R-VaW*_ 2. CISLINO BMW Now MM"a 7hQMIW RUM= Qtollaluo) Lam FM Typ c4nb,sdws atm. if W&Wft sq. -LM-6-jb. -vwnwmw*wwA35 Mawkd=ft kwWw "gam per ww" bd b adftn TbMw PA*N= (RVakn) S.WERMWALL TW.knw gntw)-��S - 4. PJAM PUM MwbKw ebush" RAII— lumwgm L " FLOOR I PEMMETM P84MMW e. FOUNDAMON WALL &Ed Nwo Jorm Memo Thamid Its os 0t-ValutsL Mind TftWM RWMWM TRMW R"bwM qt-vQtqQL---L Udwid — Brand Nam PjMbbM DEWPAMON Qp 90150 � v.. LLA Told 8128 EV2 Ntdw*AAOH ANWW wv 8S:80 00-9Z-9fltl COUNTY OF BUTTE • I � � - - � -.BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street • Chico, CA • (530) 891-2751 7 County Center Drive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE OWER PERMIT NO. A routine inspection indicates that the following violations of butte county Ordinances exist at the above address and sh 'Id be corrected. Please notice this office when correction of work is completed. If you h e any questions pertaining to this matter, or need additional explanation, ;;a, please contact th' office immediately) .' BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 FAX#: (530)538-2140 WEBSITE: www.buttecounty.net\dds PERMIT NO. BP040672 LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date: APN: 043-390-002-000 the Business and Professions Code, and my license is in full force and effect. License Class : License Number: Site Address: 857 CARRGROVE CT CHI Date: Contractor: Map Index: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Description: ADD(586)COVERED PORCH(190) Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior Owner: OPPY BRIAN J & NANCY C to its issuance, also requires the applicant for such permit to file a 857 CARGROVE CT signed statement that he or she is licensed pursuant to the provisions of 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 95926-7716 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).): ❑ 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: OPPY BRIAN J & NANCY C owner of property who builds or improves thereon, and who does 857 CARGROVE,CT such work himself or herself or through his or her own employees, CHICO CA provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one 95926-7716 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.). L17 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: 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: License #: WORKERS' COMPENSATION D/ LARATION " 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 Architect: is issued. ❑ 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 number are: Carrier. Total Square Ft: 586 S. F. Policy #: Valuation: $38,090.00 Census Code: 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. r�,_ Date: 10 "0li-) ID Applicant: WARNING: Failure to sero.L workers' comp tion coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY This permit is hereby issued under the applicable provisions of the Butte County Code and/or I hereby affirm that there is a construction lending agency for the Resoluti ns o do work indicated abov for w. ich fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) Name: By: Date: PERMIT EXPIRES ON: V� — Address: ate ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. 1 agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby authorize representatives of Butte County to enter upon the above mentioned property for inspection purposes. Y Print Name: Signature: Date: caner ❑ Contractor ❑ Agent for Owner 0 Agent for Contractor F BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 /}-10 PERMIT NO. DATE: 1-10-01- APN: 0H3 -Z10- 0o ZONING: A v s (� NEAREST CROSS STREET: ` _ ' `/V1") �2ACT/LOT#: z SITE ADDRESS: g� -� C Cl' d3cv- t-� acv e l2 ' 1C sL f -iJ - Bb Covee CITY, ZIP: Q V O 11 yy OWNER NAME:`r1 N O CS3O PHONEMS- --7 � Iv ) STREET ADDRESS: 8kr ca ro VQ +. FAX CITY, ZIP: n 0 n & E-MAIL: APPLICANT NAME: PHONE: ri O X30 °1S STREET ADDRESS: l 1 ' FAX: CITY, ZIP: y�C r7 E -MAIL - CONTRACTOR CONTRACTOR NAME: PHONE: STREET ADDRESS: FAX: CITY, ZIP: E-MAIL: LICENSE NUMBER LICENSE TYPE: ARCHITECT/ENGINEER NAME: PHONE: 1530 STREET ADDRESS: 0 r. S 10 �: CITY, ZIP:� Q26� 1� SE NUMBER: I 9 z E-MAIL: DESCRIPTION OR SCOPE OF WORK: rbc m 4yz h ❑ Structure Built without permits ❑ Proposed Change of Occupancy (note previous use) x 0 5OS C: -7A h9 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 fees will be required. 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. For office use only: Notes: Application Received by: Date: 3-�fl-oW Receipt number: '3� Amount Received: j B. C. Building Permit 01-23-04 pg 2 COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 PERM IT DATA SHEET . yo I o OWNER:090/ N 1 c ` - R V %�L ASSESSOR PARCEL NUMB 01-13 6Z Proposed Building Use: ��'1�" I 55 Counter Technician: Aate: -2-)- /0- " I jilte,required in order to apply for a permit. All boxes MUST be checked OR marked NA in order to *ply. 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. -8--- 4. Engineered truss details and layouts in duplicate. No faxes! -8�-- 5. Letter from Engineer or Architect for truss design review. 6. Energy compliance design and supporting documentation in duplicate. ❑ 7. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 8. Manufactured homes: (A) Data sheets and installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. ❑ 9. Metal bldgs: (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. ❑ 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate ❑ 11. Site plan and business license approval from the City of Biggs ❑ 12. Letter of intent for non-residential buildings ❑ 13. Detached Accessory Building Form filled out by the owner s ❑ 14. Hazardous Material Form s 15. Sanitation and site plan approval from the Environmental Health Department in ❑ Chico ❑ Oroville, as applicable. v 16. Other Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) ❑ 17. Fire Sprinklers........................-................................................................... ❑ 18. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by ❑ 19. Soils Report and/or Engineered Foundation required ........................................... ........ ❑osion Control Plan Required........................................................................ ........ :C ��2 PE as shown on the attached Schedule of Fees Due Sheet .............................. , /7 ❑. City of Chico Plumbing permit....:................................................................... _ \ ❑ 23. California Department of Forestry plan approval ❑ paid. Sent by: ............. ❑ 24. Planning approval (A) Use: Ne_'(B)Parking: (C) Parcel Check: 3-14,_ ❑ 25. Contact Land Development about _ Improvements, _ Drainage ......................... ❑ 26. NPDES Form............................................................................................. ❑ 27. Encroachment Permit for driveway from the Public Works Dept ........................... ❑ 28. Pre -Inspection for required....... ❑ 29. Contractor's license information. (Number, Name Style, Classification) ................... 30.. Worker's Compensation Carrier and Policy Number .......................................... 31. Owner -Builder Verification (Given to owner, _Mailed to owner) ..................... ❑ 32. Letter of Signature authorization.................................................................... ❑ 33. Recorded copy of Agricultural Acknowledgment Statement ................................. ❑ 34. Manufactured home utility clearance............................................................... ❑ 35. Existing violations and/or expired permits......................................................... ❑ 36. Deed Restriction......................................................................................... ❑ 37. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $ ❑ 38. Other: ❑ 39. Other: When issued Telephone and hold for pickup. I have been informed of the above items and requirements for obtaining a building permit. Applicant: K V \ l' O Date: \ - 1 ^ 0 1-) 1. Index permit application for the abov ite s numbered: PI n Ch4 Letter 2. Additional items required Contractor, designer,�0, was advised of the above data by p one, ❑ mail, ❑ counter, by Date: Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Plans reviewed by: Date: Plans approved by: Date: Structural reviewed by 0 Date: Structural approved by: Date: Note transfer by: h6cDate: -Q Yellow: Building Division live, TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance -.*° E.H. USE ONLY Plot Rea Attached TR 'door Ran Anached gentto-S.fl. ! '3f %r OvIner Location AP# Plan Approved for: Sewage Disposal — Water Supply: Public Private Well Clearance for dwelling. Other Hold final for: Final clearance O.K. for: NOTE: e /o� IL w / Environmental Health Specialist Date 8/96 COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE, CA 95965 TELEPHONE (530)538-7541 SCHEDULE OF RECEIPT OF FEES e ,� 01 OWNER U U��n "y � �. I 1 '&-0 . A.P. # PROPROSED BUILDING USE Q.t.1 I `:J DATE �j 0__0 `7 S g � / # 1. BUILDING PERMIT FEES RECEIPT DATE REC. T --- Balance Due ..................... $ ` --- Additional Fees Due........... $ ---Revised Plan Checking Fee.... $ 2. SCHOOL DISTRICT FEES (paid at School District Office) (form available after Plan Check) 3. SHERIFF FEES (paid at Building Division) Residential............ X. $360.00 =$ Units Commercial (sq. ftg.)..... X $0.03 = $ _ Sq.Ftg. 4. URBAN AREA FEES (paid at Building Division) Residential (per unit)..... X' $ _ # Units Amt. Commercial (Sq. Ftg.).... X Sq. Ftg. Amt. 5. RECREATION DISTRICT FEES (paid at Recreation District Office) (form available after Plan Check) 6. THERMALITO DRAINAGE DISTRICT FEES $510.00 (paid at Building Division) 7. SRA FIRE INSPECTION AND PLAN CHECK FEE $89.00 (paid at Building Division) 8. WATER TENDER FEES BATTALION # $200.00 (paid at Building Division) 9. NORTH CHICO SPECIFIC PLAN (paid at Building Division) Residential Zone X = $ Zone # Units Amt. Commercial (sq. ftg.) ......... X I= $ ` l Sq. Ftg. Amt. 10. OTHER �J S At time of permit application, I was advised the above fees are required to be paid prior to issuance of the permit. These fees may be changed during the plan checking process. APPLICANT Pursuant to Government Code Section 66020, )VU are hereby notified that i have 90 days from the date of approval of the project or from the imposition protest are specified in Government Code Section 66020(a). Original -Building Division Yellow -Applicant Pink -Owner 2, 3, 4, 5, 6, 8, 9, and 10 above may have been imposed on your project. You the above mentioned items during which you may protest. The requirements for a (rev. 2/2003) O.B.-I OWNER-BITILDER -VERIFICATION Attention Property Owner. 1- , An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit' will be issued until this verification is received. 'V I personally plan to provide the major labo and materials_ for construction of the proposed properly ' vement : YES ❑ NO I HAVE EY HAVE NOT 13 signed an application for a building permit for the proposed work. I have contracted with the following person (firm) to provide the proposed construction: NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 4. I plan to provide portions of this work, -but I have hired the following person to coordinate, r supervise, and provide the major work: ... . NAME: ADDRESS: CITY• PHONE: CONTRACTOR'S LICENSE NO. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: NAME ADDRESS PHONE -TYPE` OF WORK s SIGNED: PROPERTYOWNER: NOTE; This Owner -Builder Ver#kalion is required by'Section 19831 and 19832 of the California Health and Safety Coda This verifuazon must be completed and returned to our office before we are permitted to issue the permit. OVER OWNER BUILDERINFORMATION Dear Property Owner. O.B.- I An application for a building permit has been submitted in your name listing yourself as the budder of property improvernews specified. For your protection, yon should be aware that as "ownar4 udder" you are the responsible party of record on such a permit Building perriis are not required m tie signed by property owners unless they are personally perfi ming their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if dud person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcozift-act, you should be aware of the following information for your benefit and protection: If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is 1300 or more for the enfire project, and such persons are not licensed as contractors or subcontractors; then you may be an employer. If you are as employer, you must register with the State and Federal Governments as as employer and you are subject to several obligations inchuft state and Sderal income tax withholding, federal social security taxes, workers compensation insurance, disability insurance costs. and unemploymeut compensation contributions. ♦ Thele may be Snamcid risks fir you if yon do not carry out these obiiga ons, and these risks are especially serious with respell to worker's compensation insurance. ♦ For more specific mfianation about yoza obligations under Federal Law, contraa the Kemal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific infiormation about your obligations under State Law, contact the Department of Benefit Payments and the Division of inhist;a1 Accidents. If9ie Ouctrre is intended for sale, property owners who are not licensed contractom are allowed to perform their work personally or f rough their own employees, without a licensed contractor or subcontwwr, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secsae an "owner builder' building perm% am u' imPlyg that the property owner is providing his or her own labor and material personally. Building permar its e not required to be signed by property oovners unless they are perfonzing their own work personally. h&m1-6on about licensed cauft ars may be obtained by comdracting the Contractors State License Board in your community or at 1020 N Stree% SacrameatN CA. 95914. Please complete the "Owner Builder Verification" on the reverse side of oris form so that we can confirm that you are aware of these mattars. The building permit will not be issued until the verification is returned. y 1 1 C. VI na, C.B.O. Bmrlding Inspection NOTE: T kir Owner -Builder fnfommfion is required by Seddon 19830 ofBre CaUfbrnk Heakh and Safety Code OVER I -e School District A.P. Numbqr Property Owne BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One form per Building) 60 ri t- 6ed Building Departrnek W. O 06-7 2, Oq3 -310 - ODI Jurisdiction: City County + k)o+lcq Property Location/Address C. chf-~&o Subdivision Lot No. ........................... . .................................. ................... . .................. 771 Residential Development Q r€ Sq. Footage No of Living Mobile Home Addition/ *Supplemental to (Group R) Units Installation_ Conversion # Conversion *(Np foundation Inspection) ........................................................................ ! ....................... ..... Deed Restricted Sq. Footage (Attach a signed copy of Deed Restriction and Notice of Limited Use Facility document) Commercial/industrial 0 Sq. Footage New Addition (Including Exterior Roofed Areas) as) Building' Departm6KfRepresentative Date District Identification No. 0 i�o 17, L4 a's School District certifies that ES /7 ('a 4)) ?7:5 - 2/ (Street Address) 4 (Phone Number) (2 h /0-0 C!O- (City) (State) (Zip Code) A7 has complied with the requirements of Resolution No. by payment of $ lofo representing square feet. JAB 2926 $ HFULL MMGATION $ School District Representative Paid by Check # Remarks: Date Nodes: You may protest the Imposition of the to" Identified above by subenttting a written protest to the District, In compliance vAth awmriniern Code Section 66020(a), within 90 days from the date fees are paid. Failure to subn* a timely wfftten protest will'prohM you from challenging the Imposition of the fees In any court action. If, subsequent to the School District Representative signing this % Butte County Schools Impact Fee Certification Form, the School. District Is notified bythe appil II Local Planning Agency that this pr al r lsbeing review under the California Environmental Quality Act (CEQA) nits elect may be affect to additional school fese to fully mitigate.ft Impact on the school districtIs schools. White (applicant), Yellow (building department), Pink (school clis1rict)feeform.xis (10/03)dffun 'Z w Fm It ' I�IiQO O`i''SZ�:w Q i- Mi N 22OSBG1NOT A PART ' W, _ fa 3 . \io . ��� � ��� W • Win. ��. � � �-�:��>~ � � p ' � L.S. 3-734• • 14 OO 2-7 ?c. _ w 1 I � ,' 2000 � 2� , 2a2G�. �JJ "' 53:6 2l i2 wj a � , •• 0.2`7 .A�, A � s y I i30 00 to 9CogQ a 91 I ' ' 1 r S r 043-390-002. 'PERMIT# 9 7-E- 187-7' -OPPY, Brian -857 Ca'rrgrove Ct., Chico Cont: Baird, Roofing, Reroof/SF ,*.q....�.-.. ,�.-.,`. .;s�''-�:.c.. ;c'L: 't �:"-.y+•�,V -. ;.. ,` � --:ve_+, I .-.. s.,•F'�'�.r•,�.... , y-:�.., �"�,_ .. �n'My -.::1>��"P` �^•'F'. ^. COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-75-19-7-- PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT 1 ASSESSOR PARCEL NUMBER O yy3 _ 3 9v- oo42 ZONING A .5k BUILDING PERMIT a: OWNER ' Q ! V 191 In_ TELEPHONE ' SO. FT. OCC. BUILDING VALUATION 30 Ste• yvJ- '"� OWNER'S MAILING ADDRESS . C / 2& 2o� f T CONTRACTOR'S NAME (A I F (,v3v2- TELEPHONE ' 1631 - CONTRACTORS MAILING ADDRESS �33Z rr f N. CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS L Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $4(1-0(2 ARCHITECT OR ENGINEER'S MAILING ADDRESS ► I Plan Checking Fee $ BUILDING ADDRESS l�� A fCRVJ£ CW CJ Energy Plan Checking Fee $ $ ! PERMIT FEE $ /_ J0 LOT NO. SUBDIVISION'S NAME PARC MAP PLUMBING PERMIT Filing Fee 20.00 USE OF STRUCTURE ( `[ SF,& Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat'pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ dOther,IN' Describe Work: R£ Q oo r W Y' Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W 920.00 PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 Main Service 200A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that 1 am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is/ip full force and effect. C (/ License Class y Lic. No. (/1 )/ 7 � _ate— 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 ( 200A To 1000A 46.00 NEW CONST. DWELLING OCCUP. so OR ADONS. ( a ACC. BLOS. 3.50 so NOWRESIDT MULTI -OUTLET @7.50 POWER APPARATUS & SINGLE OUTLET CIA. EX. OCCU .00 OUTLET OR FIXTURES BAL Q I. 0 Ex. Occup. ourElFrs RES D.OEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ WORKERS' COMPENSATION DECLARATION 1 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 is issued. I 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' com\pensation insurance carrier and policy number are: Carrier )T4,7Z- MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number %1 7 JtS S`.7 - 4 r (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 with those provisions. n _ _ X I'. ��/�/A%j%!%���i� t Date _� F_�7— _ Signature oj)Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ G 4 vV HAZ. D. FEES IMP FLOOD CDF PARCEL pD HD ISSUE 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. /`j� / J,�, - �p 7 By .CJ a�►...,_ K ppDate J PERMIT EXPIRES ON Dale Receipt No. .I WHITE-D.D.S.-B.D: CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIV ON 7 County Center Drive - Oroville, California 95965 -Telephone (916) 538-7 1 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT _ ASSESSOR PARCEL NUMBER 6) �1 -3 9d- oo2 ZONING s BUILDING PERMIT OWNER Belky Py TELEPHONE SO. Fr- OCC. BUILDING VALUATION 3rd SR- Off - OWNER'S MAILING ADDRESS 252 C fled fC- CT - CONTRACTOR'S NAMETELEPHONE - .,i ' 2-I 3 CONTRACTOR'S MAILING ADDRESS E33 F-7-rA LAI,, CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS ' Total Valuation $ �QdJrQ� ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 1,0 p ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS - -C A Q-6ftoJ£ C Energy Plan Checking Fee $ l i/ PERMIT FEE S _on LOT NO. SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF,k Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat -pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other,% Describe Work: ���Oo Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S I G I W 920.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 R LESS Main Service 200A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is !,p full force and effect. License Class Lic. No. fJ LT n 111 Z ARA O 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 TO Main Service TO 46.00 NEW CONST. DWWELEE OCCUCUP. SO OR ADDNS. ( 6 ACC. BLDS. 3.5QFT; NS NON"R Co DT MUICTI-CUTLET 97.50 POWER APPARATUS 8 SINGLE OUTLET CIS. Ex. Occup. 20 Q I.00 OUTLET OR FIXTURES AL 0WNER-BUILDERDfC Ex. Occup. OUTL�E°TS(REESSID.DEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirina 23.00 PERMIT FEE $ 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. I 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 insuranc carrier and policy number are: Carrier �31-/- M,'524;1 Policy Number �17 SS' - (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 fort ith comply with those provisions. X __ Date p�--` �� ` %?_Q� — Signat e f Applicant - ❑Owner ❑ Co 'tractor ❑ 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 PERMIT FEE S Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ _ pp HAZ. D. FEES IMP I FLOOD I COI PARCEL PD I HD ISSUE 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. ,�, .✓ /y //1�✓7 - By �/ ppDate S7-28-9 7 PERMIT EXPIRES ON O_.3c9 -^J� I Date Receipt No. .0 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT I j PERMIT NO. 144-8 1B, P, E,;M�..­ PERMIT EXPIRES- 7Z OWNER '----.Durkin & Drew J% CONTR. Jerry Price., Chico ASSESSOR PARCEL 43-39-2 LOCATION 857 Carrgcr ve Ct. _lot 2, Big Chico Cr.Est., Chico Temp. Power Pole Called PG&E Temp. Elec. Service Called PG&E Temp. Gas Service Call PG&,/E JOB FINALED (Date)' V Signature I ill. wow, z c ca -1 ;u 0 0 oCD fi 0. C ill. wow, z oCD fi 0. C ill. wow, z F, If J = OK 0 = Not OK - = Not Applicable * = Not Ready (` RESIDENTIAI,,,(Single.and Duplex) Date UNDERFLOOR Plans OK except Ws Date FRAMI Continued Aeloning requirements -Setbacks -Easements 4 yoperty Line Firewall & Openings Main; Soils -Steel -EI rnd.- /j /" Ftg. DepthqgooS xt. Doors -One 3' -Check Garage -3rd story, 2 exits C:TTg., Garage; Soils -Steel- /I?, /" Ftg. Depth idth-Headroom-Rise-Run-Landing-Fire Protection g., Porches & Decks; Soils -Steel- / /" _FtgojLepth N. I od on Roof Overhang -Attic Vents -Rafter Outriggers emwalls, Main; Steel-Blockouts-Wrapped-S iding-Nailing-Veneer ails, Garage; Steel-Blockouts-Wrapped-Slab u esh-Drip Screed-Fdn. Vents-Underflr. Access ers-Fireplace Ftg.-Steel Glazing Area -Glass Protection -Skylights -Plastic V.: Fall -Fittings -Test way C/0 lewer Tes ailing-Bblts t+ze-Anchors est -Anchors -Regulator -Service Tes 4 19--E4es- W44derground 12 ts; Clearance -Material -Support -Ins. 19. Gi d p 60447 nch r Bol -Joists-Vents-Cripples Card BI Date Card -BI Date Card -BI -Dat Card -BI Date Card -BI Date Card -BI Date Card -BI <ZEDate Card -BI Date t Date FINW(Plans) OK except #'s Card -BI Dat Card -BI Date Date PLU NG (Permit) OK except #'s 5 t. Steps -Door & Sidelight Protection -Landings 5VSjnoke Detector W er Ht.; Vent -Access -Combustion Air 5L.—"Furnace; Vents -Clearance -Comb. Air -Connector - I Garage; Above Floor -Ducts -Meth. Protection W r Pipe; Test & Anchors -Nail Protection .; Test-Fttngs & Anchors -Nail Protection 5 . 4droom Exiting 1 hower-Pen-Tarsi, First Floor -Tub Access &V G,.F.I. & Bath Fixtures & Tub Access 18. ;F ''+U -rShower, 2nd Floor -Tub Access qVEIec. Trim & Subpanel; Breaker Sizes -Labels 1 as Pipe; Size & Anchors 62 FF ails lace or Stove; Clearances -Hearth wltipc. Outlets at Wood Panel; Int. & Ext. Card -BI Date Card -BI Date Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Card -BI Date Outlets & Receptacles at Kit. Counter Date ELE RICAL Permit OK except #'s 8t/6arage Fire Door; Swing -Landing -Closer uc in a -Dam er F' ture & Transformer Clearance -Ins. Protection /� I Wtr. Htr.; ent leara -Comb. Air-Connector-P.R.V.- I arage; Above oor-Meth. Protection c. Receptacles Spacing -Lights & Switches at Doors 7 P .,Elec. &Mech. Equip. Listed for S' a Boxes & No. of Conductors -Stapled 7 le .Receptacles in Garage; (G.F..)-Rome Protec ex Installed Close to Edge of Studs & C.J. 66—kr. ip. Ground made up w/Mech. Fasteners -Bond Gas & Water n lation-Foam-Looked in Attic 2 liance Circuits in Kitchen &Conductor Size Gird Rails & Deck Construction -Post Caps S ee*a-ZlrP-kt;e== .a. Q.W or AI-A.C. Wi ize / / ga. Cu o AI 74,/Fdn. 7t,416ilowing Vents & Crawl Hole r- ainage & Wood -Earth Clearance Looked under Floor injjjDrive s ❑ No; Walkses ❑ No; Planters es C1 No Rang irc. / / ga. Cu or AI Oven . Cu or AI, IpMated Neutral Oyes rvice-Riser Conductors Gr ain Disconnect own -Finish ip. Clearances; Panels -Mo ors-Mech. Equip. A. . Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet 3 Clothes Closet Light -Shower Light 7 ents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. I1; Disconnect, Electrical, Plumbing x 'or Elec. Trim; G.F.I. Receptacle -Underground Card B -I - Date Card -BI Date g entilation throughout House Card B -I f= Da Card -BI Date g s Protection Date MEC NI AL (Permit) OK except #'s 8 erections from PreviousUs ec ns ( Test -Meters LagW0099Electric Ducts; Insulation & Support er Sewer Con -C/O to Grade HD Approval Ve t Fan; Exhaust above Insulation ensate Drain & Overflow; Size & Grade Energy Compliance Certificate -Other Certificates._ At 341 -Furnace -Vent; Access -Comb. Air -Return Air.Vent-115V outlet mess & Platform if Furnace in Attic Card -BI Dated _ A/Card-BI Date Card -BI Date "/ Card -BI Date Card -BI Date Card -BI Date Card -BI Dat Card -BI Date Card -BI Date Card -BI Date Date FRA G(Plans) OK except #'s omments at Final: 3 S' s; Proper Material & Anchors lem Studs -Nailing, Spacing & Bracing -Plates -Sound /Walls; 36! aring Walls over Girders &Floor Nailing _ _�- D Stop in Walls (rat proof) 0_4 re Stops; Furred Ceilings -Stairs o. -Tub r �ader & Bea -Size & Bearing ers-Post Caps -Anchors -Connectors 4 ng Joist-Rftr. Ties-Purlin- of Brac.-Truss-Shthng.-Rfnp. 4 F' eplacP TiP§ 4Type e -Fireplace Throat A_ic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 4 m. Windows or Exiting Doors -Sill Hgt. & Dimensions Garage Fire Protection Framing (NOTE: Anentry must be made each time you visit job site) iy, Im JL= OK 0 = Not OK = Not'Applicable MOBILEHOMES * = Not Ready 40' ' MISCELLANEOUS I , Date MOBILEHOME UTILITIES (Plans) OK except q's 1. Zoning Requirements -Setbacks -Easements Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except q's 1. Zoning Requirements -Setbacks -Easements. _ 2. Soils; Special MH Support -Sketch 2. Footings; Size -Depth -Spacing -Connectors 3. Sewer; Location -Test -Fall -C/0 -Concrete 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Water; Location -Test -Easement Needed (Sketch) 4. Wood Awn.; Posts-Beams-Rftrs.-Connec.-Shthg.-Rfg.-Bracing 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Gas; Location -Test -Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG 6. Carports; Windows -Doors 7. Utility Clearance _ 7. Elec. Card -BI Date Card - BI Date Card -BI Date Card -BI Date Card -BI Date Date Card -BI Date MOBILEHOME INSTALLATION (Plans) OK except N'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 3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining 4. Electricity; MH Test -Crossovers -Breakers -Clearances 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 7. Water and Sewer Connected -C/0 to Grade -HD Approval 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 8. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghtg. Boxes -Enclosures -Panel boards -Ins. to Main in Conduit 10. Cert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test -Water Supply Test Card B-1 Date Card -BI Date Card -BI Date Card -BI Date Card B -I Date Card -BI Date Card -BI Date Card -BI Date -ERSET COMPANY - ucimeED CONTRACTOR• - r Phone: 342-4764 P.O. Box 628 - Durham, California 95938 RESIDENTIAL ENERGY CONSERVATION STANDARDS CONSTRUCTION COMPLIANCE CERTIFICATE THIS IS TO CERTIFY THAT ENERGY CONSERVATION REQUIREMENTS HAVE BEEN INSTALLED IN CONFORMANCE WITH CURRENT,,ENERGY CONSERVATION REGULATIONS 5 AT S% CARfZG2AVL GT" GI{IGo CAL -if, - (location) BUILDING PERMIT NO. /5/41 - 81 'A.P. NO. y3'3i -Z THE FOLLOWING HAVE BEEN INSTALLED AS PER APPROVED PLANS: (Check each item or write N/A if not applicable) INSULATION: SlabEdge A Fdn. Walls N/A Floors aa/ Walls ,V/3 Ceiling/Roof .� Ducts Circulating Pipes APPROVED HEATER Lam` APPROVED WTR.HTR. k,-' GLAZING: Single Glazed /V//4 - Special (Insulated) L'- CERT. /CERT. & LABELED'WDS. & SLIDING DRS. WEATHE RST RIPPED DRS. BACK DAMPERED FANS ✓' INTERMITTENT IGNITION DEVICES CERT. APPLIANCES I DECLARE THAT ALL REQUIRED ITEMS AS NOTED ABOVE HAVE BEEN INSTALLED IN ACCORDANCE WITH•THE ENERGY CONSERVATION REQUIREMENTS AND AGREE TO THE COMPLETENESS OF,THIS CERTIF ATE SUBMITTED. Insulation Applicator Name £ a Signature of (p ease pr'nt) Insulation Applicator State Contractors \ License No..=;�Oj 0 9 General Contractor/Owner Name (please print) Signature. of ` 1 General Contractor/Owner J Date ,Z v State Contractor License No. 3011-3 THIS CERTIFICATE MUST BE ON FILE WITH THE BU ILD ING DEPARTMENT PRIOR TO REQUESTING FINAL INSPECTION AND SHALL BE POSTED IN A CONSPICUOUS LOCATION WITHIN THE DWELLING. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PE MIT O 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 / APPLICATION AND PERMIT ASSESS R PARCEL N�IMBER i -I ZON G BUILDING PER o ER 112A kc, U I - Q, h-1 v T- TEL PHONE SQ. FT. OCC. BUILDING.VALUATION 4 OWNER'S MAILING ADDRESS CONT ACTOR'S ME r %2_ TELEPHONArep yCONTRACTO - 'S MAILING ADDRESS- t -W 7 6D CON TRUCTION LENtR UNKNOWN TOtaI ValUatlOn $ FilingFee $ 10.00 LENDER'S MAILING ADDRESS � � t Permit Fee $ 1177 QD ARCHITECTORENGINEER LICENSE NO. Plan Checking Fee ,$ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDRESS' " PLUMBING PERMIT Filing Fee 10.00 45, �r (� G Each Trap 2.00 Repair drainage or vent piping 5.00 Water piping LOT NO. DIVISION NAME t 13 ak PARCEL MAP - Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets ^ USE OF STRUCTURE SF Z Duplex❑ Mobilehome❑ Other SPECIFY Building sewer r , Lawn sprinkler system 5.00 J TYPE OF WORK New d Addition ❑ Remodel ❑ Utilities ❑ Instal Iation ❑ Other ❑ Describe work: I141 Penult Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service DOOV OR LESS 100 AMP OR LESS ,I►-/`� 5.00 Vl/ Main service EA. ADD'L 100 AMP 2.50 NEW CONST -('a/ OR ADDNS. \ AGC. G 2d sgft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): Tam licensed under provisions of Chapt. 9, Div. 3 of the Businessso Code a d my license is in ful force and effect. and Professions CfClassificationFIXED License No. �Z/ // ,� ❑ 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 CONSTR Lou L T 2.50 ea NON.RESID R BRANCH CIRC TS NEW CONSTR / POWER APPARATUS 61 NON.RESID. SINGLE OUTLET CIR. / @ 250 Ex. Occup OUTLETS OR FIXTURES BAL@1 LNS Ex. Occup.(OUTLETS P(RESID )R EA. 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 Penult Fee $ S Contractor MECHANICAL PERMIT Filing Fee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ,g4_I1have 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 beccme 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. HeatingZC) AA 13 j V tO Cooling .--- lfrm Hood 3.00 Ventilation Permit Fee S 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 iabilities, judgme , costs, and expenses which may in any way accrue agai t said C my in c serquence of the granting of this `permit'.-` X Date �1—�"� Signatur f ApPII ant - Owner ❑ Contractors Agent ❑ An OSHA rmit i required for excavations over 5'0" deep and demolition or construct- ion of strut es ov 3 stories in height. Mobile Home Installation Fee' $ TOTAL PERMIT FEE $ occuP GROUP / TYPE OF CONST. PARCEL t/ PD ND IseuE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECT F PUBLIC Byto PERM XPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS >-y-7-,e% :Z -Z Z__ , � Receipt No. �% �0/C/ WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT s" COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DPVISION ^;' 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 91.6%534-4541 Pq • r .'% (. . . A 1/ PERMIT APPLICATION DATA SHEET ,' "' I - OWNER Permit No. --7 A. P. No. C13 -9-3 9 Proposed Building Use Permit Fee Based,Upon: Compi"ete Contract Price 47' DPW Valuation Other (Explain) Building Inspector \ if Date 1 t4 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. . . . . . . . . . . 3. Complete plans in duplicate/triplicate. . . . . . . . . 4. Complete engineered plans and calcs. . . . . . . . . . 5. Plans with Energy Design Compliance Statement. . . . . . 6. State Energy Forms No. 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ . . . . . . . . Letter of signature authorization. , . 1 10. Sanitation approval from Health Dept.i% 71jv% 11. Planning approval for (A) Use: (B) Parking: . ff"I'2. 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. . . . . . . .,. . 17. Pre -Inspection for RequiredPre-Inspec. request to. Building Inspector (Date) 18. Other When you issue the permit, Iprocess as follows: —Mail o�wner. Mail to conri' cto — �Telephone43��5'�C and hold for pickup at itsoffice. Deliver w'/,inspector. Other n Applicant Date \`�Q� Copy of plans sent Health Dept., Fire Dept., Cither� Date r During the plan checking process, the following data must be submitted prior to permit issuance; (For required items not checked above at time of application, ircle item.) 1. Index permit for above Items No. , 1 2. Additional items• required: (Contractor, Designer, Owner) was advised of above required data by Telephone Mail Other By Date Plans checked by Date Plans approved by Date Other: Copy—DPW / To: Building Department From: Cnvironmental Health Subject: Sanitation Clearance el - vrc ca (�PP�/ Ll -3 �a ��9t aS" Owner Location ,Q/ J.0��,, if Plans approved for: Sewage Disposal Mater Supply Hold final for: dater Supply _ Final Clearance O.K. for: 4ater Supply Clearance for 3 bedroom �xomeg Other q Clearance for addition of �....�.� Note -9* Ua to San to r is n RESIDENTIAL PLAN CHECKING GUIDE (S yk. , DUPLEX, & DISC. ONLY) OWNER A. GENERAL Zoning.requirements (sideyards and parking). - .�!' Valuation, _`�.Signature by R.C.E. or Architect (if required). Bldg. Permit # A. P. B. PLOT PLAN Jf�/�ompllete parcel size and dimensions. .. Setbacka, sideyards,.easements, etc. meg! Other buildings or structures. ! � �✓ Grading, fills, drainage. C. FLOOR PLAN' Complete to scale plan with dimensions''. .0. Required windows for light'and ventilation (Sec. 1405). .3o.' Required windows for second exit (Sec. 1404). Allowable glazing for energy requirements (20% max.'per.State law). 0,;/' Human impact glass (Sec. 5406). /-Required room sizes, ceiling heights (Sec. 1407). '070 G.F.C.I.'s in baths and exterior outlets (Sec. 210-8). ,AO Light fixtures, switches, receptacles, and exterior receptacles for maintenance of echanical equipment. ` Locations of water heater, heating & cooling equipment, other electrical or gas xpment,.and'plumbing fixtures. Garage firewall, door size, and closer (Sec. 503(d)(4)). 3'0".exterior exit door (Sec. 3303d). 'replace location. Smoke detectors (Seca 1413). D.' STRT TRAL DETAILS undation plan complete enough to construct building. Floor construction details complete enough to construct building. Elevations and wall construction details complete enough to construct building. Roof construction details complete enough to construct building. 'replace construction details and calcs if over one-story in height. Sufficient data and details -to 'satisfy energy insulation requirements (State law).. E. MISCELLANEOUS ITEMS TO LOOK OUT FOR CCX plywood on exposed locations and overhangs. Stair-•yay details (Sec. 3305) . Guardrail details (Sec. 1716)•. ck or stone veneer (Chapter 30). Lerior plaster - weep screeds (Sec. 4706 & 4708). aoper roof pitch for roof covering (Chapter 32). fter ties or bearing ridge beam. / arage door or porch header sizes. �J. Adequate bracing. Living area over garage - complete 1 -hour separation required including supporting walls and posts,. etc. o Two (2) exits on three-story dwellings (Sec. 3302). NOTE., --All Materials & Workmanship Shall Be in 1 = - Accordance with Recognized Good Practices and _ of a quality prescribed for the Specified use in the Uniform Building, Plumbing & Mechanic -Q1 Codes and the National Electrical Code, 0 14 �. 2 y► � N Oi A PANT - v A setback of 5 ft. from the Z property lines and a setback of 50ft. from the road centerline shall be clear of ,4 structures or equipment except \1571 for a 2 ft. eave overhang. Gtr 3Z 11 141. CJ�1 Mr 18 w. FLAW Id 1 AST• ¢Ev. } - ?o VA -T -E 126 LT. OF r 2''I'IzFa.lts{ t'U 3 6- ' ' ... ilk � , • � \ t �o � � � , , PLAN l ^'►9 \ \4z�'�` �I:Ev 2 TV 64CA \ 0 N a%o7 2 w q 1.50 This set of plans and specifications MUST be®� �v cher. Matt on dile. dor buijdint kept on the job at a!1"times'p�i n�}wful to plans. make any changes or alter�or s oz's m�viithout written permission from the De artment of Public �u y /��a. -0Works, County of Butte. p%2 '7 BUILDING DEPARTMR47 IC�,Gy "V)EE K F—e' D