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Home My WebLink About043-690-042NOTES 5 RESIDENTIAL ft PERMIT NO. CA-34✓"l"-✓D 04-`�El sc) PCE& (�e Q!))7C�o 11 SPECIAL CONDITIONS 11 SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER J�5 ' JOB FINALED (D t vv JJJ/// Signature CHECKED BY J=OK 0 = Not OK . = NotReadyable 1. MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 3. 1. Zoning Requirements -Setbacks -Easements Wood Awn.; Posts-Beams-Rftrs-Connectors Shthg-Frg-Bracing 2. Soils; Special MH Support Sketch 6. 3. Sewer; Location -Test -Fall -C/O -Concrete Electric 4. Water; Location -Test -Easement Needed (Sketch) 9. 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete Roof; Shthg-Roofing 6. Gas; Location -Test-Wrap;-/ /" L'ft. / P Nat. or/ /" L "ft./ P LPG 12. 7. Well Clearance & Disconnect 8. Utility Clearance 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes -Enclosures -Panel boards -Ins. to Main Conduit 9. Health Department Approval Date 10. Card B-1 Date Card B-1 Date 11. Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s Enclosure; Fencing -Alarms 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line Card B-1 Date Card B-1 3. Gas; MH Test -Demand -Valve -Connector Card B-1 Date Card B-1 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 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PERMANENT END SYSTEM (ONLY) 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Blocking 4. Gas; MH Test -Demand -Valve 5. Electricity; MH Test 6. Water; MH Test 7. Water and Sewer Connected 8. Gas and Electricity Tagged 9. Exits 10. License Decals 11. Verify #'s with Office Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs-Connectors Shthg-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes -Enclosures -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 t r J=OK 0 = Not OK - = Not Applicable . = Not Ready RESIDENTIAL (Single & Duplex) Date 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; 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-Crippies 15. Access & Ventilation 16. Insulation Date FRAMING (Continued) Date Hangers -Post Caps -Anchors -Connectors Card B-1 Date Card B-1 Date Cling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rtng. Card B-1 Date Card B-1 Date 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 Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access Card B-1 Date Card B-1 Date Glazing Area -Glass Protection -Skylights -Plastic 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. Card B-1 Date Card B-1 28. Equip. 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 O Yes O No 32. Service -Riser Conductors & Ground Main Disconnect 68. G.F.I. & Bath Fixtures & Tub Access -Spa 33. Equip. Clearances Panels-Motors-Mech. Equip. Elec. Trim & Subpanel, Breaker Sizes & Labels 34. Clothes Closet Light -Shower Light -Spa Light Stairs & Rails 35. Smoke Detector Fireplace or Stove, Clearance -Hearth 72. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 75. 36. A.C. Ducts Insulation & Support 76. 37. Vent Fan, Exhaust above insulation 77. 38. Condensate Drain & Overflow, Size & Grade 78. 39. Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet 79. Elec. Receptacles in Garage (FF.I.)-Romex Protection 40. Attic Access & Platform if 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 83. 42. Walls Studs -Nailing Spacing & Braces -Plates -Sound 84. 43. Bearing Walls over Girders & Floor Nailing 85. 44. Draft Stop in Walls (rat proof) 86. 45. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 87. 46. Headers & Beams -Size & Bearing Date FRAMING (Continued) 47. Hangers -Post Caps -Anchors -Connectors 48. Cling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rtng. 49. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 51. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 52. Garage Fire Protection Framing -RC Channel 53. Property Line Firewall & Openings 54. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 55. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 57. Siding -Nailing Veneer 58. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 59. Glazing Area -Glass Protection -Skylights -Plastic 60. Shear Walls; Nailing -Bolts 61. Brace Interior/Exterior Wall Panels 62. Insulation -Walls -Ceilings 63. 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 64. Ext. Steps -Door & Sidelight Protection -Landings 65. Smoke Detector 66. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 67. Bedroom Exiting 68. G.F.I. & Bath Fixtures & Tub Access -Spa 69. Elec. Trim & Subpanel, Breaker Sizes & Labels 70. Stairs & Rails 71. Fireplace or Stove, Clearance -Hearth 72. Elec. Outlets at Wood Panel, Int. & Ext. 73. Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance 74. Elec. Outlets & Receptacles at Kit. Counter 75. Garage Fire Door; Swing -Landing -Closure 76. A.C. Duct in Garage -Damper 77. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 78. Plb.; Elec. & Mech. Equip. Listed for Location 79. Elec. Receptacles in Garage (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 ❑ Yes _ 83. Following Instld./Drive O Yes 0 No/Walks 0 Yes O No/Planters 0 Yes 0 No 84. Stucco Brown -Finish 85. A.C. Unit Disconnect, Electrical -Plumbing 86. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 87. Water Well, Disconnect, Electrical, Plumbing 88. Exterior Elec. Trim, G.F.I. Receptacle -Underground 89. Ventilation Throughout House 90. Glass Protection 91. Corrections from Previous Inspections 92. Gas Test -Meters Tagged, Gas -Electric 93. Water & Sewer Connected -C/O to Grade -HD Approval 94. Energy Compliance Certificate -Other Certificates 95. Address Posted 96. Fire Sprinkler Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 FAX#: (530)538-2140 WEBSITE: www.buttecounty.net\dds PERMIT NO. BP042654 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• - 09/09/2004 APN: 043-690-042-000 the Business and Professions Code, and my license is in full force and effect. License Class: License Number: Site Address: 80 ROSE AVE CHI Date: Contractor. Map Index: Description: RE -ROOF 20 SQ p OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a Owner: BRANDSTATT CLARK &SALLY TRUST 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 BRANDSTATT CLARK V &SALLY RICE 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 TRUSTEES she is exempt therefrom and the basis for the alleged exemption. Any 80 ROSE AVE ' violation of Section 7031.5 by any applicant for a permit subjects the five hundred dollars CHICO, CA 95928 applicant to a civil penalty of not more than ($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, Applicant: BRANDSTATT CLARK & SALLY TRUST 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 BRANDSTATT CLARK V & SALLY RICE proving that he or she did not build or improve for the purpose of TRUSTEES sale.). 80 ROSE AVE ❑ I, as owner of the property, am exclusively contracting with CHICO, CA 95928 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.). ❑ I am Exempt under Article 3 o B siness and Professions Code Contractor: Date: Owner !44-LZZZ 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 is issued. License #: ❑ 1 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 number are: Architect' Carrier: Engineer: Policy #: 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 Total Square Ft: 0 S. F. become subject to the workers' compensation laws of California, and agree that -if I should become subject to the workers' Valuation: $0.00 compensation provisions of Section 3700 of the Labor Code, I shall Census Code: forthwith comply with those provisions. Date: 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 Z4 f O I (�, �— GI Je) 4 4 - code, interest, and attorney's fees. code, M CONSTRUCTION LENDING AGENCY This permit is hereby issued under the applicable provisions of the Butte County Code ?nryor I hereby affirm that there is a construction lending agency for the Resolution to do work indicated above for which fees have been paid. - performance of the work for which this permit is issued (Sec 3097 Civ.) t,, �^A — ?, 9 - O it? -9 -64 - Name: Name: B . "`� Date: P RMIT XPIRES ON: q' `r • OS Address: Date ❑ I 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. O Attached are copies of the required E.P.A. notification forms. 1 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,,officlaj fo r document of Butte Co my I hereby authorize representatives of Butte County to enter upon the above mentioned property for inspection purpose�4 Print Name: _ i%. //L Signature: Date: 0 I�ZOwner 13 Contractor ❑ Agent for Owner 13 Agent for Contractor 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. BP042654 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: 09/09/2004 APN- 043-690-042-000 the Business and Professions Code, and my license is in full force and effect. License Class: License Number: Site Address: 80 ROSE AVE CHI Date: Contractor. Map Index: Description: RE -ROOF 20 SQ p OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a Owner: BRANDSTATT CLARK & SALLY TRUST 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 BRANDSTATT CLARK V &SALLY RICE 7000) of Division 3 of the Business and Professions Code) or that he or TRUSTEES she is exempt therefrom and the basis for the alleged exemption. Any 80 ROSE AVE 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).): CHICO, CA 95928 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, Applicant: BRANDSTATT CLARK & SALLY TRUST 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 BRANDSTATT CLARK V & SALLY RICE proving that he or she did not build or improve for the purpose of TRUSTEES sale.). ROSE AVE LI 1, I, as owner of the property, am exclusively contracting with CHICO, CA 95928 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.). ❑ I am Exempt under Article 3 o B s'in essand Professions Code Z ZZ -1 Contractor: 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 is issued. License #: ❑ 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 number are: Architect: Carrier Engineer: Policy #: 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 toTotal Square Ft: 0 S. F. become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' Valuation: $0.00 compensation provisions of Section 3700 of the Labor Code, I shall Census Code: forthwith comply with those provisions. Date: 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 .� 114 f O 1 (C>. qlq /04- code, interest, and attorney's fees. I CONSTRUCTION LENDING AGENCY This permit is hereby issued under the applicable provisions of the Butte County Code ?nrVor I hereby affirm that there is a construction lending agency for the Resolutionto do work indicated above for which fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) J �^A – q. 9 , D V Name: B "— Y � Date: P RMIT XPIRES ON: Q • Q • OS Address: Date ❑ i 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 o ty I hereby all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of an ffici for r document of Butte C77//0 authorize representatives of Butte County to enter upon the above mentioned property for inspection purpose Print Name: Signature: Date: Owner 13 Contractor ❑ Agent for Owner ❑ Agent for Contractor BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 - CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REO UIRED AT TIME OF APPLICATION "PLEASE PRINT CLEARLY" CONTRACTOR OWNER Last Name � City first Address Phone City C E-mail State Zp Z Phone r `7 Fax Fax E-mail License Number CONTRACTOR Name Address City St Zip Phone ax E-mail Lic. # Class ILI F I 1172-4 W_'A For office use only: ARCHITECT/ENGINEER Name Flood Zone Address L� City �jT— CC�� State Zip Phone V Fax E-mail VState License Number ILI F I 1172-4 W_'A For office use only: APPLICANT NAME Name Flood Zone Address L� City /� �jT— CC�� St VIA Z Phone ,,- Map Book Fax E-mail Planner ILI F I 1172-4 W_'A For office use only: Zoning Property Address Flood Zone Cross Street SRA Yes No Occ. Type Const Subdivision Name Map Book Page Lot # Planner Date Approved: PERMIT NO. BP 042 65 BIN LOCATION a43- 4.4?,D o Property Address Cross Street W6RL' R'S CZ>MP SATION Policy Number ) Az Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENC Name /) 'd Address Description or Scope of Work: Z 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. OVER FOR SUBMITTAL REQUIREMENT5 L K WORMSWILDING FORMS\BldgApplSubRgmts.doc Page 1 of 2 Received by: Amount: �� Bldg SRA J• Receipt #: Sheriff Date: 9-q -pq- SMIP Other 1 • / Total . REV 7-27-04 . SUBMITTAL & PERMIT REQUIREMENTS The following drawings and specifications must be submitted to the Building Division in order to apply for a permit.: INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND /N 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 faxesl ❑ 4. Energy compliance design and supporting documentation in duplicate. (Note: Not required for additions to - . m.obile.or modular homes.) ❑ 5. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 6. Manufactured homes: (A) Data sheets and installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. . ❑ 7. Metal 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. ❑ 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). — ❑ 13. Sanitation and site plan approval from the Environmental Health Department. 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, ❑ Letter from Legal Owner (for 433A's). If you have questions or would like additional information regarding this process, contact a Permit Application Assistant at (530)538-7541. EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after date of application. In order to renew action on an application after expiration, a new application, plans and fees will be required. REQUEST FOR FEE REFUNDS Ketunas 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 KAFORMSWILDING F0RMS\BIdgApp1SubRgmts.doc Page 2 of 2 REV 7-27-04 . O.B.-1 OWNER -]BUILDER VERMICATION Attention Property Owner. An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and retam 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. *1. I personally plan to provide the major labor and materials for constrv.ction of the proposed property improvement: YES NO ❑ k2. I HAVE HAVE NOT ❑ 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. . I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work NAMM: ADDRESS: CI'T'Y: PHONE: CONTRACTOR'S LICENSE NO. `the work indicated:: MARE ADDRESS PHONE TYPE OF WORK x DATE: 0 g- %- o NOTE. wner TUS O- alder Verificadon is required by Section 19831 and 19831 of the Cahfornia Health -and Safety. Code. Mir verification must be completed and returned to our of tee before we are permitted to issue the hermit OWNER BUILDER INFORMATION Dear Property Owner. B_z An � a g P=ak has been mbmh--d m yon � �g Y�lf as the budder of proP�Y specified For yourprotection, you should be aware that as "owner -builder' YOU am the responsible parfy ofreeord on such a PexmiL Big Permits are nbt requm-ed to be signed by ProPaW owners unless they are personally perfo own work- If your work is being performed by someone other, than rm�g heir liability if that person applies for the Y�Se1� you may Pmt Yourself from possible PmP�P� is his or her name. C=tractors are regaled by law to be licensed and bonded by the State Of California and to have a business license fivun the city or com�iy. They are also required by law to put their license number on all p= fts for which they apply. Ifyon plan to do your own work, WA the exon of various trades that you plan to be aware of the following fidmnafion far your benefit and protection; Yon should a Ifyon employ ar ase engage avy persons other thaw your immediate may, and the work (mch2ding nra�aals and other costs) is $300 or more for ire entire project; and such persons are not licensed as contractors or svb-1 actors, then you may be an employer. ♦ If you are an employer, you must register vft the State and Federal Gov=menb as as I subject to several obligations including s� and federal employer and you are W°ri�'.rs wmP , d mb'UY ice cosis� t� wiany)gneut rig, tial social ser,Mity taxes. ♦ Thome may be financial risco for and �� moa COQ wi& respect to woes comp °ut these obligations, and terse risks are especially serious ♦ Formore spe0151 infnlabon aboutyour obligations under Federal Law, 1f you wish, the U.S. Small Business .. . canfract the mal REve�e Service land, State La% contact the D � � For more sp--„cific baa about your obligations under apartment ofBenefit Payments and the Division Ofk&mtrW Ao dem, If tine structure is intended for sale, prop, owners who are not licensed caatra cure rs aaIlowed to perform their condions. personally � through the= � �1oY�, bout a licensed c ordraciar or subcant actor, only under limited A frequent practice of unlicensed persons PrOSssing P=% eaoaeo�usty implying that the to be actors is to secure an ¢owner, builder,, building Permit regaued to be signed prop owner Is rty o � � h� own labor turd OvM Vi & peraitl•. Building ii�sed may be obtained b are Pig their own work perssoaaIly. 'mtn"dm about or at 1020 H StreA S Y be yrs State License Board is your COMmanity , CA. 95814. Please complete the "Owner Builder veuficatioe on the reverse side of this form so that we can conform that are aware of these matters, The building P� will not be issued u no the verification is returned. you IMO-M.1 Z.r- 1 -1.'F - � .! • 1. ' 1! v .�. 1 ■ OTS Thir owner-BurUM sfomaraa is required by Sec art 13830 Of the CW011*HI-M m,dSafety Cods e.Iv \ x 043-690-042 -042 PERMIT#9 4-2001 A BRANDSTATT, CLARK' 80 ROSE AVE., CHICO CONT:YODER'S REFRIGERATION HVAC & ELE SER/SF '7/�` OFFICE COPY Address_B7i GAS -Meter By Date ELECTRIC Meter By Date COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, Califcmia 95965 - Telephone (916) 538-7541 / 7 _—QERMIT NO. APPLICATIOr�I AiND PERMIT `7 oAU ASSESSOR PARCEL NUMBER 043-690-042 ZONING SRI BUILDING PERMIT DINNER CLARK BRANDSTATT TELEPHONE SQ, FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 80 ROSE AVENUE CHICO 95928 cYODERiS REFRIGERATION 891.6017 CON �IND1SO HWY32 BLDG L CHICO 95926 Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is LENDER'S MARLING ADDRESS Fling Fee S 20.00 Permit Fee $ ARCHITECT OR ENGINEER ' ' LICENSE NO. Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS 80 ROSE AVENUE CHICO PERMIT FEE $ PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Water piping 15.00 Each gas water heater or vent 15.00 USE OF STRUCTURE — .tom t • .• . --C• SF (X Duplex O Mobilehome O Other SPECIFY Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G I W @20.00 TYPE OF WORK New O Addition O Remodel O Utilities (15 Installation O Other O Oescribework: REPLACE SPLIT SYSTEM HVAC & NEW ELEC SERV. PERMIT FEE g Contractor ELECTRICAL PERMIT Fling Fee 20.00 Main Service ( eoov OR LESS 200A OR LESS ) 23.00 Main Service ( 200A TO ICODA ) 46.00 NEW CONST. DWELLING OCCUP. SO OR AODNS. ( 8 ACC. BLOB. ) 3.SC FT, CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one) O 1 am a licensed under provisions of Chapter 9, Division 3 of the Business and Professions Code a y license is in full force nd ffect. !J j� License No. Classification (, (� C ' �� O 1, as the owner, 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) O I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) O 1 am exempt under Sec. Business and Professions Code forthis reason NEW CONST. MULTI -OUTLET NON•RESID. ( BRANCH CIRCUITS ) @7.50 ( POWER APPARATUS ) 8 SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) BA20 @ 1.00 Flxfo APPIrs. °R EX. Occup. ( OUTLETS IRESID.1 R ) S.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): O This permit is for $100.00 (valuation) or less. (� I have placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -insure. O 1 shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating 46,000 BTU 15.00 Cooling 3� TON 25.00 Hood H6.5 Ventilation PERMIT FEE S 6- Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all Butte County Ordinances and California 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 said County in consequence' off thegranting of this permit. X '� _:' �1 1 A ��r .C��'U Date �' u% G Signature of Applicant -U Owner ® Contractor O Agent An OSHA permit is required for excavations over 5"0" deep and demolition or construction of structures over 33 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ I 103.00 HAZ• 1 o. FEES I IMP I FLOOD I COF PARCEL PO HO 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. 1 By �� Date 3 J�,� PERMIT EXPIRES ON 1,,� L) efel Receipt No. f �i4 (' rC, (( % WHITE -0.0.S.•8.0. CANARY -ASSESSOR PINK -INSPECTOR COLD ENROO-APPLICANT COUNTY OF BUTTE - DEPARTMENT OF. DEVELOPMENT SERVICES - BUILDING DI R10� 7 County Center Drive - Oroville,�alifo#lii8- a 95965 - Telephone (916) 53 4 PERMIT No. APPLICATION .AND PERMIT' �0 ASSESSOR PARCEL NUMBER 043-690-042 ZONINGlJ SRI. OIDINT, L V C I PERMIT OWNER CLARK BRANDSTATT TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 80 ROSE AVENUE, CHICO 95928 CONTRACTOR'S NAME YODER'S REFRIGERATION TELEPHONE 891-6017 CONTRACTOR'S MAILING ADDRESS 3150 HWY 32 BLDG L CHICO 95926 Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 20,00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 80 ROSE AVENUE CHICO PERMIT FEE $ PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 LOT NO.SUBDIVISION'S NAME PARCEL MAP Each gas water heater or vent 15.00 USE OF STRUCTURE SF (X Duplex O Mobilehome O Other SPECIFY Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 TYPE OF WORK New O Addition O Remodel O Utilities 05 Installation O Other O Describework: REPLACE SPLIT SYSTEM HVAC & NEW ELEC SERV. PERMIT FEE $ Contractor ELECTRICAL PERMIT Filing Fee 20.00 Main Service ( BOOV OR LESS ) 23.00 2WA OR LESS 23.00 Main Service ( 200A TO IOOOA ) 46.00 NEW CONST. DWELLING OCC P. SO. OR ADONS. ( & ACC. BLDS. ) 3.50 FT. CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one) O I am a licensed under provisions of Chapter 9, Division 3 of the Business and P P Professions ode a d y license is in full force nd Offect. U - J ^ 01 - _3Q License No. Classification 111 Off, J U O I, as the owner, 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) OI, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) O I am exempt under Sec. Business and Professions Code forthis reason NEW CONST. MULTI -OUTLET •NON.RESID. ( BRANCH CIRCUITS ) @7.50 ( POW ER APPARATUS ) 8 SINGLE OUTLET CHR. Ex. Occup. ( OUTLET OR FIXTURES ) zo@,.5D BAL. 50 Ex. Occu FIXED APPNS. OR p' (OUTLETS (RESID.) EA. ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): O This permit is for $100.00 (valuation) or less. 1 have placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -insure. O I shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating 46,000 BTU 15.00 Cooling 31 TON 25.00 Hood 6.50 Ventilation PERMIT FEE $ 60.00 Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all Butte County Ordinances and California 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 said County in consequence of the granting of this permit. X 0 , Date q Signature of A licant Owner Contractor O Agent An OSHA permit is required for excavations over 5"0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 10 00 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 f By�,e/�OiJ1–� —Date PERMIT EXPIRES ON !(/ lOetel Receipt �%� 7l c�J D .D. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT