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HomeMy WebLinkAbout047-440-042nU .'A Status: JISSUED. 1 APN: 0470440.042.000 Site Address: 113821 GARNER LN_CHI Map Index: 1 Owner (Title): IWILSON JEREM'ff & CATHEI Froject Title: t Contractor: CHICO ELECTRIC_ Applicant: ICHICO ELECTRIC 1 Contr Phone: (530) 891-1933 Architect: I Contr. Lic. Zx 454345 1 Engineer: I Description: ICHANGIE OUT.EX ELEC PANEL' r. UpMp E sW FB..k Permii Type: ;ELEC_ _ 1 Commercial (YIN): Fee Summary Required m Issue Permit Issuance Fee: $0.00 Mechanical Fees: $0.00. Contractor Lic: Travel/Documentation: J $0.00 Flumbing Fees: $0.00 Pre-Insp: Planning: Investigation Fees: $0.00 Electrical Fees: k `$55.00 Owner/Builder: Ej Health: Total MPE Fees: _$55.00 Water: J Fire: TOTAL FEES: $_55.00 NPDES: PW -Land Dvlmt: J Fees Paid: $0.00 Workers Comp: �' PW Encroach: J Balarce Due: =0.00 Sign Authorization: �q J Plan Check: Applied: 0!/06/2005) Approved: Issued: 09/06/2005) Finaled: Key Dates BP Renewal: Expired: Voided: Census Data Census Class Code: r l Spacial Districts TaxRate Area 10105 i High School District: CHICO _ 1 Elementary School District: JWOT.FOUND_IN JABLE j Water: (C _ t Sewer: r t Rec Dist: Intialized: 09/]6/2005) KIONES�J Wednesday, September 20, 2006 Counter Karen Person Payment Date Permit Number Receipt Number Check Number or Cash Parcel Number Applicant Received From Development Services BUILDING DIVISION Ver. 1.0 r 9/6/2005 05-2386 I 435499 15608 047-440-042 CONLEYMILSON I CHICO ELEC Total Received $55.00 I Total Fees To Collect E $55.00 Notes: Fund 10 (Bldg Permits) $55.00 I) SRA Fees (Fire) $0.00 I SHR Fees (Sheriff) $0.00 SMIP $0.00 Copies/Document Sales $0.00 CUA (Chico Urban Area) $0.00 TUA (Therm. Urban Area) $0.00 Water Tender Btln #= $0.00 West Chico Fire Station $0.00 AVA Restitution- Payment $0.00 Recorders Fees (N.O.C) $0.00 Thermalito Drainage $0.00 Oroville Area Traffic NSF (Non Sufficient Funds) $0.00 Notice of Violation $0.021 NCSP Trails System $0.00 NCSP Roads/Bridges $0.00 NCSP Storm Drainage $0.00 NCSP Fire Station $0.00) NCSP Parks Type $0.00 Value $0.00 REQUEST FOR AUDITOR'S CERTIFICATE AND TREASURER'S RECEIPT DEPARTMENT: DEVELOPMENT SERVICES - BUILDING DIVISION DATE: 9/7/2005 BAG NUMBER: 328 DEPOSIT NUMBER: 46 RANGE OF RECEIPTS: 435481-435511 MONEY COLLECTED: 9/6/2005 FUND FUND DEPT ACCT CASH DESCRIPTION TITLE CODE CODE CODE CODE AMOUNT BLDG PERMITS BLDG INSPCTN L0010= 440001 g '4210500` �101001�'$ �8 686:05' REMOVE NOTICE OF VIOLATION GENERAL FUND 0010 440001 4350903 101001 $ CHRG ON RET CHECK BLDG INSPCTN 0010 440001 4610105 101001 $ AVA COURT ORD RESTIT REIM AVA CRT ORD 0010 440001 4617252 101001 $ COPIES COPY SALES 0010 440001 4711910 101001 $ WITNESS FEES BLDG INSPCTN 0010 440001 4712523 101001 $ - RECORDERS FEES GENERAL FUND 0010 470001 4613701 101001 $ - FIRE PLNG APPL FEE (SRA) FIRE PROTECTN 0100 450001 4617240 101001 $ 760.00 SMIP FEES SMIP FEES 1001 280 1011298 $ 7.43 SHERIFF DEVELOPMENT (SHR) SHER DEVL FEE 1800 280 1011811 $ 257.00 CHICO URBAN STREET IMPROVEMENT CHICO URBAN AREA 1800 280 1011815 $ OROVILLE AREA TRAFFIC OROVILLE TRAFFIC 1800 280 1011817 $ CHICO VECINO DRAINAGE TRUST CHICO VECINO 1800 280 1011821 $ THERMALITO DRAINAGE THERM. DRAINAGE 1800 280 1011822 $ DRAINAGE DEPOSIT TRUST DRAINAGE DEP. TRUST 1800 280 1011823 $ SUB -DIVISION DRAINAGE TRUST SUB -DIV. DRAINAGE TRUST 1800 280 1011824 $ NCSP -TRAILS SYSTEM NCSP - TRAILS SYSTEM 1800 280 1011888 $ - NCSP - ROADS & BRIDGES NCSP - ROADS & BRIDGES 1800 280 1011889 $ NCSP • STORM DRAINAGE NCSP - STORM DRAINAGE 1800 280 1011890 $ NCSP - FIRE STATION NCSP - FIRE STATION 1800 280 1011891 $ - NCSP-PARKS NCSP-PARKS 1800 280 1011892 $ - CWIF - GENERAL GOVT. FACILITIES CWIF-GEN. GOVT. FACILITIES 1808 280 101001 $ 489.89 CWIF - GENERAL GOVT. EQUIPMENT CWIF•GEN. GOVT. EQUIP 1810 280 101001 $ 225.94 CWIF - LIBRARY - FACILITIES CWIF-LIBR - FACILITIES 1825 280 1011826 $ 177.51 CWIF • LIBRARY - MATERIALS CWIF-LIBR - MATERIALS 1825 280 1011827 $ 119.41 CWIF - LIBRARY • VEHICLE & EQUIPMENT CWIF-LIBR - VEH & EQUIP 1825 280 1011828 $ 3.56 CWIF - ROADS & BRIDGES (NCSP/CUA) CWIF-ROADS & BRIDGES 1831 280 1011001 $ 709.87 CWIF - SHERIFF - FACILITIES CWIF-SHR - FACILITIES 1840 280 1011841 $ 230.64 CWIF -SHERIFF -VEHICLE & EQUIPMENT CWIF-SHR - VEH & EQUIP 1840 280 1011842 $ 112.54 CWIF - FIRE - FACILITIES CWIF-FIRE - FACILITIES 1851 280 1011852 $ 269.96 CWIF • FIRE - VEHICLE & EQUIPMENT CWIF-FIRE • VEH & EQUIP 1851 280 1011853 $ 521.10 WATER TENDER FEE BATTALION #7 1851 280 1011867 $ TOTAL $ 12,570.90 Revised 7/1/2005 PREPARED BY: Gwyn Benedict ext 7604 Revised 7/1/2005 DATE 9/7/2005 BAG It 328 DEPOSIT # 46 RANGE OF RECEIPTS: 435481-435511 MONEY COLLECTED: 9/6/2005 DEPARTMENT OF DEVELOPMENT SERVICES DEPOSIT SHEET - BUILDING DIVISION Page 1 of 3 10 -0100 -1001 -10 -10 -10 -10 -10 -10 -1800 BUILDING PERMITS FIRE - SRA SMIP FEE REMOVE NOTICE OF VIOLATION RETURN CHECK FEE AVA COURT RESTITUTION COPIES PUBLIC SALES WITNESS FEES RECORDERS FEES STREET IMPROVEMENT PERMIT# RECEIPT# 4210500 4617240 280 4350903 4610105 4617252 4711910 4712523 4613701 280 101001 101001 1011298 101001 101001 101001 101001 101001 101001 1011815 052375 435481 $ 55.00 052376 435486 $ 527.90 $ 95.00 052377 435487 $ 55.00 052379 435489 $ 110.00 052380 435491 $ 110.00 052381 435492 $ 450.92 $ 95.00 052382 435493 $ 1,636.18 052383 435494 $ 219.96 052382 435495 $ 109.98 $ 95.00 052201 435496 $ 90.00 $ 0.16 042010 435497 $ 109.98 052385 435498 $--329.94 $ 95.00 052386 435499 $ 55.00' '-052387-1- 435501 $ 55.00 051881 435502 051287 435503 $ 54.99 052391 435504 $ 110.00 052392 435505 $ 837.58 $ 95.00 052389 435506 $ 837.58 $ 95.00 052388 435507 $ 1,356.04 $ 95.00 052390 435507 $ 340.94 052394 435508 $ 60.00 052393 435509 $ 631.40 $ 95.00 051370 435510 $ 405.16 $ 7.27 052395 435511 $ 137.50 $ 81686.05 $ 760.00 $ 7.43 $ - $ - $ - $ - $ - $ - $ - Page 1 of 3 Revised 7/1/2005 DATE 9/7/2005 BAG # 328 DEPOSIT # 46 RANGE OF RECEIPTS: 435481-435511 MONEY COLLECTED: 9/6/2005 DEPARTMENT OF DEVELOPMENT SERVICES DEPOSIT SHEET - BUILDING DIVISION Page 2 of 3 TRAILS SYSTEM STORM DRAINAGE ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- Page 2 of 3 Revised 7/1/2005 DATE 9/7/2005 BAG # 328 DEPOSIT # 46 RANGE OF RECEIPTS: 435481-435511 MONEY COLLECTED: 9/6/2005 DEPARTMENT OF DEVELOPMENT SERVICES DEPOSIT SHEET - BUILDING DIVISION Page 3 of 3 PREPARED BY: Gwyn Benedict ext 7604 DATE: 9/7/2005 SHERIFF - SHR Page 3 of 3 PREPARED BY: Gwyn Benedict ext 7604 DATE: 9/7/2005 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 PERMIT NO. BP052386 LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under Issued Date: 09/06/2005 APN: 047-440-042-000 provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and Site Address: 13821 GARNER LN CHI effect. /� �/ 2C� Li Number: /� J ` LicenseQCla se Map Index: Date: / BS Contractor: `%7C0 Description: CHANGE OUT EX ELEC PANEL 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 Owner: WILSON JEREMY P & CATHERINE A OBER Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a 13821 GARNER LN signed statement that he or she is licensed pursuant to the provisions of CHICO, CA 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 95926 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 Applicant: CHICO ELECTRIC 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, 36 WEST EATON ROAD provided that such improvements are not intended or offered for CHICO, CA 95973 sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of (530) 891-1933 proving that he or she did not build or improve for the purpose of sale.). ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does Contractor: CHICO ELECTRIC 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.). 36 WEST EATON ROAD ❑ I am Exempt under Article 3 of the Business and Professions Code CHICO, CA 95973 (530) 891-1933 Date: Owner: License #: 454345 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 Architect: is issued. Engineer: El 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 a licy number are: Carrier: Total Square Ft: 0 S.F. Policy #: Uig Z Q Irni, Valuation: $0.00 Census Code: ❑ 1 certify that in the performance of the work for which this 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' compensate n p ovisions of Section 3700 of the Labor Code, I shall forthwith/ m with those provisions. O as Date: ]i 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 s provided for in Section 3706 of the Labor code, interest, and attorney's. fees. CONSTRUCTION LENDING AGENCY— — --" This permit is hereby issued under the applicable provisions of the Butte County Pode d/or I hereby affirm that there is a construction lending agency for the Resolutions fo w k indicated above for which fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) Name: By: Date: a Address: PERMIT EXPIRE (Date) O 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 own9f. 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 officia form or d eYounty. I hereby authorize representatives of Butte County to enter upon the above mentioned property for inspection purposes. Print Name: Signature: Date: Q 0 Owner ❑ Contractor El. Agent for Owner Agent for Contractor SPECIAL CONDITIONS CHECKED BY SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER OFFICE COPY Address GAS Meter By ate ELECTRIC�%�� Meter By VID.te LCA JOB FINALED (Date) Signature ��va4 )ocj Vz'-,_A d=OK o -Not OK = Not Ra . =Not Readyeady M®BILE HOMES Date MOBILE HOME UTUTiES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Sols; Special MH Support Sketch 3. Sewer, Location -Test -Fall -C/O -Concrete 4. Water, Location -Test -Easement Needed (Sketch) 5. Electricity, Location-Clearances-Gmd-/ /Amp -Concrete 6. Gas; Locadon-Test-Wrap;-/ P L'fL / P Nat or/ /" L'ftJ P LPG 7. Well Clearance & Disconnect 8. Utility Clearance - 10. Roof; Shthg-Roofing 11. Ext; Steps -Doors -Land_ ngs Date Card B-1 Date Card B-1 Date Card B-1 .,Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except Its Date 1. Zoning Requirements -Setbacks -Easements Date 2. Footings; Size -Spacing -Marriage Une 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-Connedot 7. Water and Sewer Connected -C/O to Grade -HD Approval B. 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. -Ughf Niche Date Card B-1 • Date Card B-1 Date Card B-1 Date • . Card B-1 Date PERMANENT END SYSTEM (ONLY) Date 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing`' Marriage Une 3. Blockirig • _ 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-Decat-Endosures 6. Carports; Windows -Doors 7. Electric 8. Frrng.; SiUs-Anchors-Studs-Rftrs-Trusses 9. Siding; Naffing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext; Steps -Doors -Land_ ngs 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-StructureStabTrty 3. Pool Structure; Steel -Connections -Thickness Dead Men-Uning 4. Elec.; Receptacles and Ughting. Distance -GR 5. Elec.; Pool Ughting; l5 Volts -GA. 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elea; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elea; Grounding; Equip. w/5' Circulating Equip.' -Pool Lghtg. Boxes'Enclosures-Panelboards-Ins. to Main Conduit 9: Health Department Approval 10. • Plumb.; Cir. Test -Water Supply Test 11. -Ughf Niche 12. -Enclosure; Fencing -Alarm Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 I - OK r - Not OK wt ApDliMme Not Ready RESIDENTIAL (Single & Duplex) date UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Gmd. / P' Ftg. Depth 3. Ftg., Garage; Sols-Steel-Elec. Gmd./ P Ftg. Depth 4. Ftg., Porches & Decks; SoiLs-Steel-/ /' Ftg. Depth S. 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/0 -Sewer Test 10. UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts-Joists-Verrts-Crippies 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s 17. Water Htr.; Vent -Access -Combustion Air Baffle 18. Water Pipe; Test & Anchor -Nail Protection 19. D.W.V.; Test Fittings & Anchor -Nail Protection 20. Shower Pan; Test, First Floor -Tub Access 21. Test Tub & Shower, Second Floor Tub Access 22. Gas Pipe; Sixe & Anchors 23. Fire Sprinkler, Test Date Cana B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 24. Future & Transformer Clearance -Ins. Protection 25. Elec. Receptacles Spacing -lights & Switches at Doors 26. Size Boxes & No. of Conductors Stapled 27. Romex Installed Close to Edge of Studs & C.J. 28. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water 29. 2 Appliance Circuits in Kitchen & Conductor Size GFl 30. Subfeed Wire Size/ /ga. Cu or AI -AC. Wire Size/ /ga Cu or AI 31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or Al Insulated Neutral ❑ Yes O No 32. Service -Riser Conductors & Ground Main Disconnect 33. Equip. Clearances Panels -Motors -Meth. Equip. 34. Clothes.Closet Light -Shower Light -Spa Light 35. Smoke Detector Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 36. A.C. Ducts Insulation & Support 37. Vent Fan, Exhaust above insulation 38. Condensate Drain & Overflow, Size & Grade 39. Fumace-Vent Access -Comb. Ait-Retum Air Vent 115 Outlet 40. Attic Access & Platform ff Furnace in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s 41. Sills Proper Materials & Anchors 42. Walls Studs -Nailing Spacing & Braces -Plates -Sound 43. Bearing Walls over Girders & Floor Nailing 44. Draft Stop in Walls (rat proof) 45. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 46. Headers & Beams -Size & Bearing Date FRAMING (Continued) 47. Hangers -Post Caps -Anchors -Connectors 48. Cling. Joist-Rftr. Ties-Purlin-Roll Brac: Truss-Shting: Rtng. 49. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 51. Bdrm. Windows or Exiting Doors -Sill HL & 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. KiL Fid. & Appliance; Ground -Air -Gap -Cooking Clearance 74. Elec. Outlets & Receptacles at Kit. Counter 75. Garage Fire Door, Swing -Landing -Closure 76. A.C. Dud in Garage -Damper 77. Wtr. Htr.; Verrts-Clearance-Comb. Air Connector-P.R.V. in Garage; Above Floor -Meth. Protection 78. Plb.; Elec. & Mech. Equip. Listed for Location 79. Elec. Receptacles in Garage (F.El.)-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 h AdJD&e 0 Yes ❑ NoNValks 0 Yes O WPla iters O Yes O No 84. Stucco Brown -Finish 85. A.C. Unit Disconnect, Electrical -Plumbing 86. Vents Above Roof, Plbg-Appriance-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 APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 - CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OF APPLICA TION Website: www.buttecounty.net/dds **PLEASE PRINT CLEARLY** OWNER INFORMATION Last Name )( ' NMIt� Address 13 City O Slates � l l� Zip Phon D 31 p Z(� J Fax E-mail ME"d1w.l. ,SMWN For office use only: CONTRACTOR Name Flood Zone Address zo City n City State I Zip Phones W_ ��,? ll Phone Fax E-mail E-mail Lic. ME"d1w.l. ,SMWN For office use only: ARCHITECT/ENGINEER Name Flood Zone Address Address v? City City State Zip Phone Phone Fax E-mail E-mail State License Number ME"d1w.l. ,SMWN For office use only: APPLICANT INFORMATION Name Flood Zone Cross Street Address v? I Yes City CEtr C State /J Subdivision Name Map Phone ©p��p33 xZ��i �y l /ZipD9?��3 Fax ��Tq� D�C� E-mail Date Approved: ME"d1w.l. ,SMWN For office use only: Zoning 1Ptgperty Address Y' W _ 1 I LY)t( ( Flood Zone Cross Street SRA I Yes No Occ. I Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc Page 1 of 2 PERMIT NO. BP:-. BIN # PROJECT LOCATION AP# 042. 1Ptgperty Address Y' W _ 1 I LY)t( ( }� �� Cross Street WORKER'S COMPENSATION Policy Number 7 - Carrier Carrier s ,a/&4 If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address Description or S ope of Work: Sq FT- Living Garage Open Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. Received b : Amount: Bldg SRA 9 Receipt #: 4 9 / Sheriff SMIP Other Date:n Total REV 8-12-05 SUBMITTAL & PERMIT REQUIREMENTS The following drawings and specifications must be submitted to the Building Division in order to apply for a permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK ❑ 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. No graph paper! ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans (No graph paper!) OR Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 3. Engineered truss details and layouts in duplicate (if required). No faxes! ❑ 4. Energy compliance design and supporting documentation in duplicate. ❑ 5. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 6. Manufactured homes: (A) Installation manual, (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. Building Permit Application Without Required Clearances Form ❑ 12. Hazardous Material Form (for Commercial Buildings only). Remaining items needed to issue the permit. Additional items may be required after Plan Check and Planning review (May require additional plan review upon receipt of the following items.) ❑ 1. Agricultural Buffer clearance and site plan approval from the Ag Commissioner's office (if required). ❑ 2. Impact Fees. ❑ 3. California Department of Forestry plan approval (if required). ❑ 4. NPDES Form. ❑ 5. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 6. Contractor's license information. (Number, Name Style, Classification). ❑ 7. Worker's Compensation Carrier and Policy Number. ❑ 8. Owner -Builder Verification (if required). ❑ 9. Letter of Signature authorization (if required). ❑ 10. Recorded copy of Agricultural Acknowledgment Statement. ❑ 11. ❑ Legal description from current recorded grant deed, ❑ Copy of M.H. Title, Title transfer, or MCO. ❑ 12. Sanitation and site plan approval from the Environmental Health Department. If you have questions or would like additional information regarding this process, please contact a Permit Assistant at (530) 538-7541. EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after date of application. In order to renew action on an application after expiration, a new application, plans and fees will be required. REQUEST FOR FEE REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made within two years from the date of fee payment on permits not issued, and two years from the date of permit issuance for permits issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. OVER FOR BUILDING PERMIT APPLICATION KAFORMSWILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2 REV 8-12-05