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HomeMy WebLinkAbout056-110-051M~ w A.P. 56-11-51 - �GREN , Toby Cohasset-_.Rd.. 3rd lot north of School, Cohasset (Lot #17) C Permit-460-72B(New single family) AP 5 - -5 Permit# 792-75P. M(lst & 2nd_ REN_ EWALS & mech. permit)—.",aI' -ni U4-1456 MYRE, STEVE 9988 COHASSET RD CHICO Cont: EARLS PERF PLUMBING RELOCATE WASHER/LINES 056-116 10-051 MYRE, STEVEN 04-1744 9988 COHASSET RD, COHAS Cont: OWNER MISC ELE INALED 056-110-051 05-0924 r MYRE, STEVEN ' 9988 COHASSET RD, COHASSE INALE ` Cont: OWNER NEW WINDOWS 056-110-051 05-0926 MYRE, STEVEN 9988 COHASSETT .�D, COHASSETT Cont: JESSEE HEAT & Al j NEW LP HVAC- 056-1.10-051---- ------------05-1600• MYRE, STE VE 9988 COHASSET RD, COHASSET- Cont: WESTWOOD CONST FRNT PRCH EXT& ROOFING J i 056-110-051 05-2104 MYRE, STEVEN & TISHKA 9988 COHASSET RD, COH SSET� Cont: OWNER �^ WIDOWS(BAY) /'Y\ 056-110-051' 05-21.56 MYRE, STEVEN &TISHKA 9988 COHASSET RDN, COHASSET .Cont: WESTWOOD CONST j GAS FIREPLACE �o(I0� 056-110-051 AG 01-200 MYRE, STEVE _ COHASSET RD, CHICO AG EXEMPT PERMIT a/ e t f I! j ------------------------------- U"J NOTES RESIDENTIAL r PERMIT NO. ���� Slc� c U t✓ 2j� Q 056-110-051 05-2104 MYRE, STEVEN & TISHKA 9988 COHASSET RD, COHASSET Cont: OWNER WIDOWS(BAY) 11 SPECIAL CONDITIONS 11 CHECKED BY SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER JOB FINALED (Date) �3 a r Signature J=OK 0 =Not OK = NotRy ble . =Not Ready 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-Gmd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap;-/ P L'ft. / P Nat or/ P LW P LPG 7. Well Clearance & Disconnect 8. Utility Clearance 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s Date 1. Zoning Requirements -Setbacks -Easements Date 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-Connectot 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 Card B-1 Date Card B-1 Date Cana B-1 Date Card B-1 Date PERMANENT END SYSTEM (ONLY) Date 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. EJec.; Pool Lighting; 15 Volts-GFI 6. EJec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8: Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche 12. Enclosure; Fencing -Alarms Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 J =OK o = 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. Gmd.-/ r Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Gmd.-/ r Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ r Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab, Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall-Frtting-Test-2 Way C/0 -Sewer Test 10. UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 15. Access & Ventilation 16. Insulation Date 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 Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) .OK except #'s 24. Fixture & Transformer Clearance -Ins. Protection 25. Elec. Receptacles Spacing -Lights & Switches at Doors 26. Size Boxes & No. of Conductors Stapled 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 GFI 30. Subfeed Wire Size/ /ga. Cu or AI -AC. Wire Size/ /ga Cu or AI 31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or AI Insulated Neutral O Yes 0 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-Return Air Vent 115 Outlet 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 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 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 Cana 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 -Meth. 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 -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 0 Yes 83. Following InstldJDrive D Yes D NoMalks 0 Yes D No/Planters O 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 io 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.neAdds PERMIT NO. BP051600 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: 07/19/2005 APN: 056-110-051-000 the Business and Professions Code, and my license is in full force and effect. 780 Z$Z � Site Address: 9988 COHASSET RD COH License Class: License Number: Date.-,�/ / `OS Contractor. _ , Map Index: Description: ADD COV(80) 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: MYRE STEVEN J & TISHKA E-- permit to construct, alter, improve, demolish, or repair any structure, prior - - 9988 COHASSET RD to its issuarice;-also requires the applicant for such permit to file a 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 95973 7000) of Division 3,of'the Business and Professions Code) or that he or she is exempt therefrom and the basis -for, .the alleged exemption. Any violation of Section•"7031.5 by any applicant for a permit subjects the applicant to.a,civil: penalty, of not more than five hundred dollars ($500).): ❑ I, as owner of the properly, or my employees with wages as their sole compensation, will do the work, and the structure is not intended.or of[erpi:l forsale (SeC. 7U4a.,,Business..apdpGofessionS ......_..,. _AppllC.aflt:r MYRE STEVEN J & TISHi<a. E_ Code: The Contractors -State License Law does not apply to an 9988 COHASSET RD owner of property who. -builds or improves thereon, and who does CHICO, CA such work himself or herself or through his or her own employees, provided that such. improvements are not intended or offered for 95973 sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). ❑ 1, 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: WESTWOOD CONSTRUCTION SERVICES 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.). 1235 N EAL DOW AVE CHICO, CA ❑ . I am Exempt.uniler Article 3 of the -Business and'Professions Code, 95923 Date: o�vder: (530) 520-5305 CLASS B j LIC # 780252 •- tNORKERS:C.OMPENSATION DECLARATION License #: 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. Architect: ❑ I have and will maintain workers' compensation insurance, as Engineer: required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carder and policy number.are: Carrier: Total Square Ft: 80 S.F. Policy#: Valuation: $1,280.00 XI certify that in the performance of the work for which this permit is Census Code: issued. I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall n J forthwith comply with provisions. —those Date: / 1 ".-it— l % Q Applicant: ' t-7 - Iq -05 WARNING: ailure 'to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attomey's.fees. - . CONSTRUCTION LENDING AGENCY This permit is hereby issued under the applicable provisions of the Butte County Coda anrvnr I hereby affirm that there is a construction lending agency for the Resolutions to do work indicated e for which fees have been paid. Namerrmance of the work for which this permit is issued (Sec 3097 Civ.) �7 [� By.�im] )�r7� r, Date: I -19 — 0 0 rJ PERMIT EXPIRES ON: / _' G " O Cn Date Address: ❑ 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 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 rep rese�nntatt�iveees—of Butte County to enter upon the above mentioned property for inspection purposes. / Print Name�:� '�..� /� W�S%"Wo old Signature: L l� �L / C:� S❑ Date: `1 / 15— ElOwner Contractor 13 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 REQUIRED AT TIME OFAPPL/CATION /ISO, 60 "PLEASE PRINT CLEARLY" ' CONTRACTOR OWNER Last Name m City 0140 State First Name J�t✓�� Address 90106 /got_ �* Oa J Y I City tel. State CA Zip Phone o 22 Fax E-mail State License Number CONTRACTOR Name wa008 G-1-siru c,+ sere Address 123 5 Nems. I -L)ovj rive , City 0140 State ZikiS Phone 520 , G30 5 Fax Z,_ & —19 a E-mail Lic. #, frv2SZ I Class APPLICANT NAME ARCHITECT/ENGINEER Name tillk Address Zih S9 .Z City Fax O C, 2 — &.7 Q State Zip Phone Address Fax E-mail State License Number APPLICANT NAME C Name odd l ons L� S 1 Q 1 ceS Address (23 S lv City State 01 Zih S9 .Z Phone G .Z_ y -7 C1 Fax O C, 2 — &.7 Q E-mail I i SAW QS �W O d ®Sb� lobal. ne+ APPLICANT SIGNATURE For office use only: Zoning Flood Zone SRA I Cg I No Occ. Type Const. ljo Subdivision Name Map Book Page Lot # Planner Date Approved: PERMIT NO.y V BP BIN # LOCATION AP# o -051- o00 Property Address 9 9 p c� I �Sse� r 0 0 rl �,Q� C' Cross Street none, WORKER'S COMPENSATION Policy Number Carder 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 no vie, Address Description or Scope of Work: t Sq. Footage t? ❑ 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 GU' Amount: Bldg Receipt #: `.� Sheriff SMIP Other OVER FOR SUBMITTAL REQUIREMENTS U K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc Page 1 of 2 C�J tal �Ge�s GO REV 7-27-04 COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION' 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET OWNER: Mvr eASSESSOR PARCEL NUMBER ( S6 -11 �S/ ' 6.�aGS Proposed Building Use: Permit Technician: Date: Items required in order to apply for a permit. All boxes MUST be checked OR marked NA in order to apply. 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. O 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 4. Engineered truss details and layouts in duplicate. No faxesl 0 5. Letter from Engineer or Architect for truss design review. 0 6. Energy compliance design and supporting documentation in duplicate. O 7. Statement of Intent for Non -heated and AIC for Non -Residential Buildings. O 8. Manufactured homes: (A) Installation manual, including 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. 0 11. Letter of intent for non-residential' buildings ,012. Hazardous Material Form 13. Acknowledgement of building permit application without required clearances, ❑ 14. Other m ining items needed to issue the permit. (May require additional plan review upon receip of the following items.) 15. Sanitation and site plan approval from the Environmental Health Department in 11i ico ❑ Oroville, as applicable 16. Fire Sprinklers............................................................................................ ❑ 17. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by ❑ 18. Soils Report and/or Engineered Foundation required........................................... 19. Erosion Control Plan Required....................................................................... 20. Fees as shown on the attached Schedule of Fees Due Sheet... R ......... 21. City of Chico Plumbing permit........................................................................ O 22. Site plan and business license approval from the City of Biggs .............................. 0 23. California Department of Forestry Ian approval 0 paid. Sent by: f 24. Planning approval for (A) Use: Forestry (C) Parcel Check:. v .. 0 25. Contact Land Development about _ Improvements, _ Drainage ........................ 26. NPDES Form............................................................................................. ❑ 27. Encroachment Permit for driveway from the Public Works Dept ........................... ❑ 28. Contractor's license information. (Number, Name Style, Classification) ................... 0 29. Worker's Compensation Carrier and Policy Number ....................................... ❑ 30. Owner -Builder Verification ( _ Given to owner, _Mailed to owner) ..................... ❑ 31. Letter of Signature authorization..................................................................... O 32. Recorded copy of Agricultural Acknowledgment Statement ................................. ❑ 33. Existing violations and/or expired permits....................:..........,......................... ❑ 34. Deed Restriction .................................. ........................::............. ................. ❑ 35. D Legal description, ❑ M.H. Title, title search, registration or NICO ......................... 0 36. Other: ❑ 37. Other: When issued Telephone RV- and hold for pickup. I have been informed of the above items and requirements for obtaining a building permit. , Applicant: �G(.W� � Date: 1. Index permit application for the above items numbered: Plan Check Letter 2. Additional items re ed Contractor, design �ner as advised of the above data by Z'phone, 0 mail, O counter, - Date: Contractor, designer�er. was advised of the above data by O phone, ❑ mail, 0 counter, by Date: Contractor, designer, owner, was advised of the above data by ❑ phone, 0 mail, ❑ counter, by Date: Plans reviewed by: Date: Plans approved by: Date: Structural reviewed by- Date: Structural approved by: Date: Note transfer by: Date: Yellow: Building Division OWNER COUNTY OF BUTTE 1600 DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541 _ _ SCHEDULE OF FEES DUE PROPOSED BUILDING USE 1. BUILDING PERMIT FEES Balance Due ....................... $ Additional Fees Due ................. $ Additional Fees Due ................. $ Revised Plan Checking Fee .............$ 2. SCHOOL DISTRICT FEES (paid at District Office) (Available after Plan Check) 3. SHERIFF FEES (paid at Building Division) Residential ...................... x $360.00 = $ Units Commercial (sq. ft.) ................ x $0.03 = $ Sq. ft. 4. URBAN AREA FEES (paid at Building Division) Residential ................... -x-=$ # Units Amt. Commercial (sq. ft.) ............ -x-=$ Sq. ft. Amt. 5. RECREATIONAL DISTRICT FEES (paid at District Office) (Available after Plan Check) 6. THERMALITO DRAINAGE DISTRICT FEES $510.00 (paid at Building Division) 7. SRA FIRE INSPECTION AND PLAN CHECK $89.00 (paid at Building Division) 8. WATER TENDER FEES (Battalion #-- $200.00 $200.00 (paid at Building Division) 9. CSA 87 TRAFFIC FEE A.P. # DATE RECEIPT # - DATE REC. 3 %-7-12-0 $2500.00 (paid at Building Division) 10. OTHER / • 13 �� > At time of permit application, I was advised the above fees are required'to be paid prior to issuance of the building permit. These fees may be changed during the plan checking process. A APPLICANT DATE Pursuant to Government Code Section 66020, you are hereby notified that items 2, 3, 4, 5, 6, 7, 8, 9, and 10 above may have been imposed on your project. You have 90 days from the date of approval of the project or from the imposition of the above mentioned items during which you may protest. The requirements for a protest are specified in Government Code Section 66020(a). Original - Buiding Div. 2nd Copy - Applicant 3rd Copy - Owner (Rev. 6/00) Irr Butte CountyDepartment o.f Developnelit Sci-wces °�''TV .0 7 County Center Drive ° Oroville, CA 95965 (530) 538-7601 Telephone (530) 538-7785 Facsimile BUILDING PERMIT APPLICATION WITHOUT REQUIRED CLEARANCES I request and authorize the Building Division to process this building permit application through the plans examination process WITHOUT first obtaining all necessary, related permits and clearances from other regulatory entities, including but not limited to, Planning, Environmental Health, Land Development, County Fire, and Agriculture. I hereby acknowledge: O r need to submit applications for septic and/or well to Butte County Environmental Health immediately. • I km required to bring the approved Environmental Health site plan and approved sanitation clearance to the Building Division as soon as clearance is obtained e I am responsible for notifying Development Services, in writing, to stop processing of the application and to arrange for'disposition of plans. The Building Division will process the application through the plans examination process, as submitted, without input from other regulatory entities that could prohibit issuance of the building permit or require submission of amended building plans to the Building Division. Once the plans examination process begins, there will be no refund of plans examination fees.. Any changes requiring submission of amended plans to the Building Division will incur additional fees. Within one year from the date of application for a building permit, all other required permits and clearances from other entities must be obtained for the permit to be issued. Failure to obtain these permits/clearances will void the application. Typically other required permits/clearances include, but are not limited to, verification the parcel was legally created, adherence to. all mitigations and conditions imposed on the parcel at time of creation, as well as zoning requirements, legal access, and applicable set -backs and environmental issues (fire, agriculture buffer zones, and habitat/species). Please print: Applicant Name: V Il i d ll d COu�S 64)_&1 �i APN: 056- 00- '1-0d0 Building site address: % i`� G,� o%' Permit No.:, Com" / 64J 10 I have read, understood and accept the terms and conditions as expressed herein as indicated by my submission of the above -referenced building permit application and my signature below: AL, L�"_ 'n US S GNATURE OF APPLICANT DAT Copy to Applicant/EH/File K:Forms/B1dgPeritwithoutClearences 020705 Publiciorks Department of �oa C o u n t y O f g U t t e LAND DEVELOPMENT DIVISION ). Michael Crump. Director Storm Water Management Program 7 County Center Drive F` C Oroville. CA 95965 (530) 538-7266 ECIC WOF� (FAX) 538-7171 National Pollutant Discharge Elimination System (NPDES) Phase 11 Construction Storm Water Permit and Storm Water Pollution Prevention Plan (SWPPP) Acknowledgement BLESS THA�d 9 ,ACRE Project Description: 2 �% S J� 2 C) C Project Location and/or Parcel Number: By signing below, 1, the project owner/owner's agent, certify that this project WILL NOT DISTURB 1 acre or more of land and that L therefore, do not need to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board. Phased projects that contain multiple site build -outs of less than one acre but when combined with subsequent phases total more than one acre of disturbed soil will require a Construction Storm Water Pen -nit from the State of California Regional Water Quality Control Board. I am aware that submitting false and/or inaccurate information or failure to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board for a project that disturbs one acre or more of land may result in revocation of grading and/or other permits or other sanctions provided by law. Signed: Title: (�+ Date: BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class : License Number: Date: Contractor: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' Slate License Law for the following reason (Sec. 7031.5 Business and Professions Code:Any gity or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the .applicant to a civil penalty of not more than five hundred dollars ($500).): ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). ❑ I am Exempt under Article 3 of the Business and Professions Code Date: A77 I/UV Owner: WORKERS' COMPENSAT(ON 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. ❑ 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: Carrier: 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 become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date: ��� i ' ` M Applicant: ^reo 'e— u r -t WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec 3097 Civ.) Address: PERMIT NO. BPO52156 Issued Date: 08/11/2005 APN: 056-110-051-000 Site Address: 9988 COHASSET RD COH Map Index: Description: GAS FIREPLACE W/FRAMING, GAS AND ELEC Owner: MYRE STEVEN J & TISHKA E 9988 COHASSET RD CHICO, CA 95973 Applicant: MYRE STEVEN J & TISHKA E 9988 COHASSET RD CHICO, CA 95973 Contractor: WESTWOOD CONSTRUCTION SERVICES 1235 NEAL DOW AVENUE CHICO, CA 95926 530-892-8798 License #: 780252 Architect: Engineer: Total Square Ft: 0 S. F. Valuation: $0.00 Census Code: This permit is hereby iss ed under the applicable provisions of the Butte County Code and/or Resolutions to o ndicate bove for which fees have been paid. I By. Date: PERMIT EXPIRES 0 v 0 ❑ 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 all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or ocument of Butte County. I hereby authorize representatives of Butte County to enter upontheabove mentioned property for inspection purposes. Print Name: `, tY' i ' �A C� Signature: Date: I& 1 Vwner ❑ 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 REQUIRED AT TIME OFAPPLICA TION Website: www.buttecounty.net/dds **PLEASE PRINT CLEARLY" APPLICANT SIGNATURE X For office use only: OWNER Name Last Namen ,r ' J Address First amg T e fie. Address (3 Cr CQ!3 hc'�SQ� f 6 � j City �� 3 C O Map Book State Co 1�,Y -3 ,7 Phone Fax E-mail APPLICANT SIGNATURE X For office use only: ARCHITECT/ENGI Name Flood Zone Address SRA City No State Zip Phone Map Book Fax E-mail Planner State License Number APPLICANT SIGNATURE X For office use only: APPLICANT NAME Name Sfa0 Flood Zone Address SRA City No StateZq sci.� Phone Map Book Fax E-mail Planner APPLICANT SIGNATURE X For office use only: Zoning Property Address 9�g �h�ssC-f IRS( Flood Zone Cross Street SRA I Yes No Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS PERMIT J. /) ( 54 BIN # LOCATION (� J^ AP# V 64q l 1 Property Address 9�g �h�ssC-f IRS( Cit ° :ccs Cross Street WORKER'S COMPENSATION Policy Number Card r If hi ing 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 Scope of Work: it- �C, - ern � ✓� Sq. rootag6 ❑ 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 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. by: Amount: �J Bldg Receipt #: ` ,l � Sheriff v SMIP Date: Other JID Total K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc Page 1 of 2 REV 2-24-05 SUBMITTAL & PERMIT REQUIREMENTS ' The following drawings and specifications must be submitted to the Building Division in order to apply for a permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK ❑ 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. No graph paper! ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans (No graph paper!) OR Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 3. Engineered truss details and layouts in duplicate (if required). No faxes! ❑ 4. Energy compliance design and supporting documentation in duplicate. ❑ 5. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 6. Manufactured homes: (A) installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. ❑ 7. Metal 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). Remaining items needed to issue the permit. Additional items may be required after Plan Check and Planning review (May require additional plan review upon receipt of the following items.) ❑ 1. Agricultural Buffer clearance and site plan approval from the Ag Commissioner's office (if required). ❑ 2. Impact Fees. ❑ 3. California Department of Forestry plan approval (if required). ❑ 4. NPDES Form. ❑ 5. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 6. Contractor's license information. (Number, Name Style, Classification). ❑ 7. Worker's Compensation Carrier and Policy Number. ❑ 8. Owner -Builder Verification (if required). ❑ 9. Letter of Signature authorization (if required). ❑ 10. Recorded copy of Agricultural Acknowledgment Statement. ❑ 11. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts. ❑ 12. Sanitation and site plan approval from the Environmental Health Department. If you- have questions or would like additional information regarding this process, please contact a Permit Assistant at (530)538-7541. EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after date of application. In order to renew action on an application after expiration, a new application, plans and fees will be required. REQUEST FOR FEE REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made within two years from the date of fee payment on permits not issued, and two years from the date of permit issuance for permits issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. .. .OVER FOR BUILDING PERMIT APPLICATION KAFORMS\BUILDING F0RMS\BIdgApp1SubRgmts.doc Page 2 of 2 REV 2-24-05 -I 12FRAMING It is best to frame your fireplace after it is positioned and the vent system is installed. Use 2x4's and frame to local building codes. To install the fireplace face flush with the finished wall, position the framework to accomodate the thickness of the finished wall. MAINTAIN THESE MINIMUM CLEARANCES TO COM- BUSTIBLES: Fireplace framing - 0" to stand-offs (top, rear & sides) Fireplace finishing - 3" to sides, 7%'* to top of unit FIGURE 22: Framing Requirements Non-combustible material (brick, stone or ceramic tile) may protrude over the black painted surface of the fireplace front and is required for use in conjunction with the GD425 kit. This kit is designed to accommodate a noncombustible material to a maximum finished thickness of 3/,". SEE FIGURE 26 W415 -0157/A/09.14.00 A FIGURE 26 BLACK PAINTED FIREPLACE SURFACE Tiles must not protrude past' the inner edge of the fire: place frame to avoid inter- ference with the GD425 in- stallation. TILES It is not necessary to install a hearth extension with this fireplace system. Objects placed in front of the fireplace should be kept a minimum of 48" away from the front face. Combustible mantle clearance can vary according to the mantle depth. Use the graph to help evaluate the clear- ance needed. FIGURE 27 FIGURE 28 M H AE NI T G L H E T FIRESTOP 1" GAP FROM INSULATION STEEL* 2" GAP FROM VENTING STUD INSULATION �A SLEEVE r Nn FF TOP OF UNIT 1 I74ONCOME MATERIAL When using the optidpa7f r amental facia a d an - els, the minimum height from the top of the unit to the mantle is 7" **A steel stud header nd ditional combustible ho I Wiz � 1 ;:i BUILDING DIVISION APPROVED e11116'�� py. (13/ O8ddV Noos'ni® aNimine -UNnoo 3iine --f; a) m L I e tX� Ir J 12FRAMING It is best to frame your fireplace after it is positioned and the vent system is installed. Use 2x4's and frame to local building codes. To install the fireplace face flush with the finished wall, position the framework to accomodate the thickness of the finished wall. MAINTAIN THESE MINIMUM CLEARANCES TO COM- BUSTIBLES: Fireplace framing - 0" to stand-offs (top, rear & sides) Fireplace finishing - 3" to sides, 7%" to top of unit FIGURE 22: Framing Requirements FIGURE 25: FINISHING REQUIREMENTS Non-combustible material (brick, stone or ceramic tile) may protrude over the black painted surface of the fireplace front and is required for use in conjunction with the GD425 kit. This kit is designed to accommodate a noncombustible material to a maximum finished thickness of 1/4". SEE FIGURE 26 W415 -0157/A/08.14.00 FIS 26 BLACK PAINTED TILES FIREPLACE SURFACE_ Tiles must not protrude past #"� the inner edge of the fire-,- place ire-;place frame to avoid inter- ference with the GD425 in- stallation. It is not necessary to install a hearth extension with this fireplace system. Objects placed in front of the fireplace should be kept a minimum of 48" away from the front face. Combustible mantle clearance can vary according to the mantle depth. Use the graph to help evaluate the clear - rrrrr�r.� M H A E 5 NI T G 3 L H E T M TLE WIDTH � FIGURE 28 T) FIRESTOP 1' GAP FROM INSULATION STEEL* 2 GAP FROM VENTING STUD INSULATION SLEEVE 7" S ❑ FF 0 1 J L 4; t- 7q.VONCOMBUSTIBLE ��TO�PP OFF U�NIT' $ RIAL ED ' When using the optional ornamental facia and pan- els, the minimum height from the top of the unit to the mantle is 7". **A steel stud header is recommended, however tra- ditional combustible header material may be used. 11 w2sn%2 �c�_.Za; � tk F� Cpt z't ti it 3f FIGURE 25: FINISHING REQUIREMENTS Non-combustible material (brick, stone or ceramic tile) may protrude over the black painted surface of the fireplace front and is required for use in conjunction with the GD425 kit. This kit is designed to accommodate a noncombustible material to a maximum finished thickness of 1/4". SEE FIGURE 26 W415 -0157/A/08.14.00 FIS 26 BLACK PAINTED TILES FIREPLACE SURFACE_ Tiles must not protrude past #"� the inner edge of the fire-,- place ire-;place frame to avoid inter- ference with the GD425 in- stallation. It is not necessary to install a hearth extension with this fireplace system. Objects placed in front of the fireplace should be kept a minimum of 48" away from the front face. Combustible mantle clearance can vary according to the mantle depth. Use the graph to help evaluate the clear - rrrrr�r.� M H A E 5 NI T G 3 L H E T M TLE WIDTH � FIGURE 28 T) FIRESTOP 1' GAP FROM INSULATION STEEL* 2 GAP FROM VENTING STUD INSULATION SLEEVE 7" S ❑ FF 0 1 J L 4; t- 7q.VONCOMBUSTIBLE ��TO�PP OFF U�NIT' $ RIAL ED ' When using the optional ornamental facia and pan- els, the minimum height from the top of the unit to the mantle is 7". **A steel stud header is recommended, however tra- ditional combustible header material may be used. 11 Com_ f I CC uo IN 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. BPO52104 B. C. Building Permit 01-16-04 pg 1 LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under Issued Date: 08/08/2005 APN: 056-110-051-000 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 effect. Site Address: 9988 COHASSET RD COH License Class : License Number: Map Index: Date: Contractor: Description: REPLACE (1) BA WINDOW/SIDING (270) ON OWNER -BUILDER DECLARATIO N I hereby affirm under penalty of perjury that I am exempt from the SOUTHSIDE 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: MYRE STEVEN J & TISHKA E 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 9988 COHASSET RD the Contractor's State License Law (Chapter 9 commencing with Section CHICO, CA 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and the basis for the alleged exemption. Any 95973 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: MYRE STEVEN J & TISHKA E owner of property who builds or improves thereon, and who does gggg COHASSET RD such work himself or herself or through his or•her own employees, provided that such improvements are not intended or offered for CHICO, CA sale. If however, the building or improvements are sold within one 95973 year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, 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 he sines and Professions Code Date: S Owner: License #: 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. Architect: ❑ I have and will maintain workers' compensation insurance, as Engineer: required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier: Total Square Ft: 0 S.F. Policy #: Valuation: $0.00 l 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' compensation provisions of Section 3700 of the Labor Code, I shall forthwith co ply 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�code, interest, and attorney's fees. 4--b5o CONSTRUCTION LENDING AGENCY This permit is eby is ued under the applicable provisions of the Butte Co ty C999 a and/or I hereby affirm that there is a construction lending agency for the Resolutions t do ndicated bove for which fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) o BY Date: Name: PERMIT EXPIRES ON. Address: Date ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. I ❑ 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. Print Name:,�ie_O(p_ Signature: Date: owrier ❑ Contractor ❑ Agent for Owner ❑ Agent for Contractor B. C. Building Permit 01-16-04 pg 1 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 APPLICATION Website: www.buttecounty.net/dds "PLEASE PRINT CLEARLY** OWNER Last Name P First Nam T�o AddressSCT City � State C Zip<Z?C�� Phone ( Fax E-mail iAj APPLICANT NAME CONTRACTOR Name City Address Zip City Fax State Zip Phone Book Fax E-mail Planner Lic. # Class APPLICANT NAME ARCHITECT/ENGINEER Name City Address Zip City Fax State Zip Phone Book Fax E-mail Planner State License Number APPLICANT NAME Name Address City State Zip Phone Fax E-mail PP C T SIGNATURE X For offic use only: Zoning Bldg Flood Zone 'ye ' C (' SRA I Yes No Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc PERMIT NO. a s.ald BIN # LOCATION Amount: Bldg ess W99c�h e. c� 'ye ' C (' Cross Street Re eeiipjt #: ✓� o WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. Other LENDING AGENCY Name Address n Description or Scope of Work: S. 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 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. Received by: Amount: Bldg SRA Re eeiipjt #: ✓� o Sheriff SMIP Date: 465 Other Total Page 1 of 2 REV 2-24-05 SUBMITTAL & PERMIT REQUIREMENTS The following drawings and specifications must be submitted to the Building Division in order to apply fora permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK. f ❑ 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. No graph paper! ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans (No graph paper!) OR Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 3. Engineered truss details and layouts in duplicate (if required). No faxes! ❑ 4. Energy compliance design and supporting documentation in duplicate. ❑ 5. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 6. Manufactured homes: (A) installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in .duplicate. ❑ 7. Metal 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). Remaining items needed to issue the permit. Additional items may be required after Plan Check and Planning review (May require additional plan review upon receipt of the following items.) ❑ 1. Agricultural Buffer clearance and site plan approval from the Ag Commissioner's office (if required). ❑ 2. Impact Fees. ❑ 3. California Department of Forestry plan approval (if required). ❑ 4. NPDES Form. ❑ 5. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 6. Contractor's license information. (Number, Name Style, Classification). ❑ 7. Worker's Compensation Carrier and Policy Number. ❑ 8. Owner -Builder Verification (if required). ❑ 9. Letter of Signature authorization (if required). ❑ 10. Recorded copy of Agricultural Acknowledgment Statement. ❑ 11. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts. ❑ 12. Sanitation and site plan approval from the Environmental Health Department. If you have questions or would like additional information regarding this process, please contact a Permit Assistant at (530)538-7541. EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after date of application. In order to renew action on an application after expiration, a new application, plans and fees will be required. REQUEST FOR FEE REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made within two years from the date of fee payment on permits not issued, and two years from the date of permit issuance for permits issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. OVER FOR BUILDING PERMIT APPLICATION KAFORMSWILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2 REV 2-24-05 J:r ;.x:i�,�c��.s"i ����i.<•...,?i:. T ;.tx.'a?`;. ''. �;:y:q-�..ix���> - Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your 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 material for construction of this proposed property improvement: YES [ �,J NO [ ]. 2. I HAVE [`�_] HAVE NOT [ ] signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: NAME: _ ADDRESS: PHONE: CONTRACTOR'S LICENSE NO: 4. I plan to provide portions of the work, but I have hired the following person to coordinate, supervise, and provide the major work: NAME: _ ADDRESS: 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 SIGNED: PROPERTY OWNER: -Q_ DATE: NOTE: This Owner -Builder verification is required by Section 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. Rev'd 11/4/2004 Butte County Department of Development Services ADMINISTRATION `BUILDING ° GIS `PLANNING 7 County Center Drive Oroville, CA 95965 (530) 538.7541 Telephone (530) 538-2140 Facsimile .S"i` fiwa?..r.. EBTILxR:.-®`kY „TO Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of the property improvements specified. For your protection you should be aware that as "owner -builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that 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 your plan to subcontract, you should be aware of the following information for your benefit and protection: c, If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $200 or more for the entire project and such persons are not licensed as contractors or subcontractors, then you may be an employer. o If you are an employer, you must register with the state and federal government as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers' compensation insurance, disability insurance costs, and unemployment compensation contributions. o There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to workers' compensation insurance. o For more specific information about your obligations under federal law, contact the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under state law, contact the Department of Benefit Payments -and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "owner -builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contacting the Contractors' State License Board in your community or at 1020 N Street, Sacramento, California 95814. Please complete and return the enclosed owner -builder verification from so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. Z �� MicVael C. Vieir4 C.B.O. Ma4ager, Building Inspection NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code. NOTES !S ti i RESIDENTIAL PERMIT N0. !- 56-110-05�"­ OS -0926 MYRE, STEVEN 9988 COHASSETT RD, COHASSETT Cont: JESSEE HEAT & AIR NEW LP HVAC �,vwzc�-Cv� SPECIAL CONDITIONS SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER ,JOB FINALED (D 4 � Signature CHECKED BY J=OK 0 = Not OK = Not Applicable . = Not Ready 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/0 -Concrete Electric 4. Water; Location -Test -Easement Needed (Sketch) 9. 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete 10. 6. Gas; Location -Test -Wrap;-/ P' L'ft. / P Nat. or/ P' L "ft./ P LPG Ext.; Steps -Doors -Landings 7. Well Clearance & Disconnect 8. Utility Clearance Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements Date Soils; Compaction -Structure Stability Card B-1 Date Card B-1 Date 4. Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 6. 1. Zoning Requirements -Setbacks -Easements Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 2. Footings; Size -Spacing -Marriage Line 9. 3. Gas; MH Test -Demand -Valve -Connector Plumb.; Cir. Test -Water Supply Test 4. Electricity; MH Test -Crossovers -Breakers -Clearances 12. 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/0 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- Panelboards-Ins. to Main Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche 12. Enclosure; Fencing -Alarms Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 J=OK 0 = Not OK = Not Applicable . = Not Ready RESIDENTIAL (Single & Duplex) Date UNDERFLOOR (Plans) OK except #'s Hangers -Post Caps -Anchors -Connectors 1. Zoning -Setbacks -Easements -Flood -Slope 49. 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 52. 4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth Property Line Firewall & Openings 5. Stemwalls, Main; Steel -Blockouts-Wrapped 55. 6. _ Stemwalls, Garage; Steel -Blockouts-Wrapped Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 6a. Hold Downs and Special Anchors 58. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 7. Slab, Steel -Wrapped Shear Walls; Nailing -Bolts 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. 74. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 75. 15. Access & Ventilation 76. 16. Insulation 77. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection Date Plb.; Elec. & Mech. Equip. Listed for Location Card B-1 Date Card B-1 Date Elec. Receptacles in Garage (F.F.I.)-Romex Protection 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 87. Water Well, Disconnect, Electrical, Plumbing Date 88. Card B-1 Date Card B-1 Date 89. Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s Glass Protection 24. Fixture & Transformer Clearance -Ins. Protection Corrections from Previous Inspections 25. Elec. Receptacles Spacing -Lights & Switches at Doors Gas Test -Meters Tagged, Gas -Electric 26. Size Boxes & No. of Conductors Stapled Water & Sewer Connected -C/O to Grade -HD Approval 27. Romex Installed Close to Edge of Studs & C.J. Energy Compliance Certificate -Other Certificates 28. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water Address Posted 29. 2 Appliance Circuits in Kitchen & Conductor Size GFI Fire Sprinkler 30. Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or Al Card B-1 Date Card B-1 31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or Al Insulated Neutral 0 Yes O No Card B-1 Date Card B-1 32. Service -Riser Conductors & Ground Main Disconnect Card B-1 Date Card B-1 33. Equip. Clearances Panels-Motors-Mech. 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. Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet 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 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 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 (F.F.I.)-Romex Protection 80. Insulation -Foam -Looked in Attic 81. Guard Rails & Deck Construction -Post Caps 82. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth _ Clearance Looked under Floor O Yes 83. Following Instid./Drive O Yes 0 No/Walks 0 Yes 0 No/Planters O 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 PERMIT NO. DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT BPO50926 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 B. C. Building Permit 01.16-04 pg 1 LICENSED CONTRACTORS DECLARATION I hereby affirm under penally of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date: 04/11/2005 APN: 056-110-051-000 the Business and Professions Code, and my license is in full force and effect. License Class : License Number: Site Address: 9988 COHASSET RD COH Date: Contractor: Map Index: Description: NEW PROPANE HVAC 'OWNER -BUILDER DECLARATION . I hereby affirm under penally of perjury that I am exempt from the Contractors' Slate License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any, city or county which requires a Owner: MYRE STEVEN J & TISHKA E permit to construct, alter, Improve, demolish, or repair any structure, prior to its Issuance, also requires the applicant for such permit to rile a 9988 COHASSET RD signed statement that he or she is licensed pursuant to the provisions of CHICO, CA the Contractor's Stale License Law (Chapter 9 commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or 95973 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: MYRE STEVEN J & TISHKA E Code: The Contractors' State License Law does not apply to an 9988 COHASSET RD owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, CHICO, CA provided that such Improvements are not Intended or offered for 95973 sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or Improve for the purpose of sale.). I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does Contractor: JESSEE HEATING &AIR 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.). 3025 SOUTHGATE LANE ❑ I am Exempt under Article 3 of the Business and rofessions Code CHICO, CA 95928-7427 530-891-4926 Dale: � Owner: License #: 405424 WORKERS' COMPENSA ON DECLARATION 1 hereby affirm under penally 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. Engineer: ❑ 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: Carrier: Total Square Ft: 0 S.F. Valuation: $0.00 Policy #: Census Code: i1f, 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 1 should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall 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 code, interest, and attorney's fees. 61 4 -t�5_ Q CONSTRUCTION LENDING AGENCY This permit Is ereb Issued under the applicable provisions of the Butte County Code and/or I hereby affirm that there Is a construction lending agency for the performance of the work for which this permit is issued (Sec 3097 Civ.) Resolutions w k Indicated above for vyhich fees have been paid. Date: By...//`� Name: PERMIT EXPIRESV _e Address: (Ta I ❑ 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 & Safely Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby 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 certify all county and slate laws relating to building construction. I acknowledge It is unlawful to alter the substance of any offs r ocumenl of Butte County. I hereby authorize representatives of Butte County to enter upon the above mentioned property for inspection purposes )�Signature: Print Name: Date: A(7 wner ❑ Contractor ❑ Agent for Owner ❑Agent for Contractor B. C. Building Permit 01.16-04 pg 1 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OFAPPLICA TION Website: www.buttecounty.netldds **PLEASE PRINT CLEARLY** OWNER Last Name Y1 FirstNajne Pte. Address C; City t L -- Slat Zi" .� r Phone� � ..� ZI -i`'yJ 2Z Fax E-mail APPLICANT NAME CONTRACTOR Name Name J �� 3-I-e-cf; L Address Fax State City CUo C� Stat Fax Zip9 Phone Z Fax If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. E-mail LENDING AGENCY Lic. #y YZ,( Class APPLICANT NAME ARCHITECT/ENGINEER Name City .. Address Z5'.� �- J City Fax State Zip Phone Book Fax E-mail Planner State License Number APPLICANT NAME Name Address City .. State` Z5'.� �- J Phone Fax E-mail APPLICANT SIGNATURE X i For office Oe only: Zoning = AP# o=4--116 Flood Zone Pro edly Address iiS' SRA I Yes I No Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc PERMIT NO. BIN # Description or Scope of Work: Sq. Footage O Structure Built without Permits O 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 planchecked and other department costs are not refundable. Received by: LOCATION = AP# o=4--116 11a oC� Pro edly Address iiS' SMTP Cit t Cross Street WORKER'S COMPENSATION Policy Number Carrier 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 Scope of Work: Sq. Footage O Structure Built without Permits O 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 planchecked and other department costs are not refundable. Received by: Amount: Bldg SRA Receipt #: Sheriff SMTP Date: � 6S51%. Other Total Page 1 of 2 REV 2-24-05 n 4 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class: Licerise Number: Dale: Contractor: 'OWNER -BUILDER DECLARATION I hereby affirm under penally of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a permit to construct, alter. Improve, demolish, or repair any structure, prior to its Issuance, also requires the applicant for such permit to file a signed statement that he or she Is licensed pursuant to the provisions of the Contractor's Stale License Law (Chapter 9 commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not Intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' Slate License Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, provided that such Improvements are not Intended or offered for sale. It however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or Improve for the purpose of sale.). ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' Slate 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' Slate License Law.). ❑ I am, Exempt under Article 3 of the Business Professions Code c Dale: 7 /i Owner: -46E�L WORKERS' COMPE4QSATION DECLARATION I hereby affirm under penally of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -Insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit Is Issued. ❑ 1 have and will maintain workers' compensation Insurance, as required by Section 3700 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: Policy I certify that in the performance of the work for which this permit Is issued, 1 shall not employ any person In any manner so as to become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date: 6 `F Applicant: WARNING: Fallurod to secure workers' compensation coverage Is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), In addition to the cost of compensation, damages as provided for In Section 3706 of the Labor code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of the work for which this permit Is Issued (Sec 3097 Civ.) Name: PERMIT NO. BPO50924 Issued Date: 04/11/2005 APN: 056-110-051-000 Site Address: 9988 COHASSET RD COH Map Index: Description: TWO NEW WINDOWS Owner: MYRE STEVEN J & TISHKA E 9988 COHASSET RD CHICO, CA 95973 Applicant: MYRE STEVEN J & TISHKA E 9988 COHASSET RD CHICO, CA 95973 Contractor: License #: Architect: Engineer: Total Square Ft: 0 S. F. Valuation: $0.00 Census Code: This permit Is here Issued under the applicable provisions of the Butte County Code and/or Resol o ork In led above for vyhich fees have been paid. ' 1 By: Dal I G� PERMIT EXPIR S N: Address: I fuere/ ❑ 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 & Safely 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 1 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 f ocument of Butte County. I hereby authorize representatives of Butte County to enter upon the above mentioned property for inspection purposes. Print Name: C7 L� �Q ( �Sf P` Q Signature: Dale: Owner ❑ 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 REQUIRED AT TIME OFAPPLICA TION Website: www.buttecounty.net/dds "PLEASE PRINT CLEARLY" OWNER Last Namem FirstNajne Address vkeA E� Q City Stat Z Phone Zi .ZZ Fax E-mail APPLICANT NAME CONTRACTOR Name City Address I C.� Z J City Fax State Zip Phone Map Book Fax E-mail Planner Lic. # Class APPLICANT NAME ARCHITECT/ENGINEER Name City Address I C.� Z J City Fax State Zip Phone Map Book Fax E-mail Planner State License Number APPLICANT NAME Name Address S City St ` I C.� Z J Phone � Fax E-mail APPLICANT SIGNATURE Ix For office 4se only: Zoning Pro ely Address `i51 Flood Zone Cross Street SRA I Yes I No Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc PERMIT NO. BIN # LOCATION AP# a5 7 a Pro ely Address `i51 Cit L k i Cross Street WORKER'S COMPENSATION Policy Number Carrier 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 Page 1 of 2 D scription or Scope of Work: usip 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 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. Received by: Amount: C Bldg SRA Receipt #: Sheriff SMIP Dat . Other Total REV 2-24-05 SUBMITTAL & PERMIT REQUIREMENTS The following drawings and specifications must be submitted to the Building Division in order to apply for a permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK. ❑ 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. No graph paper! ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans (No graph paper!) OR ❑ 3. 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 AIC for Non -Residential Buildings. ❑ 6. Manufactured homes: (A) installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in ❑ duplicate. ❑ 7. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor Letter of Signature authorization (if required). ❑ plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate (if required). ❑ 9. Site plan and business license approval from the City of Biggs. ❑ 10. Letter of intent for non-residential buildings. ❑ 11. Detached Accessory Building Form filled out by the owner (if required). ❑ 12. Hazardous Material Form (for Commercial Buildings only).. Remaining items needed to issue the permit. Additional items may be required after Plan Check and Planning review (May require additional plan review upon receipt of the following items.) ❑ 1. Agricultural Buffer clearance and site plan approval from the Ag Commissioner's office (if required). ❑ 2. Impact Fees. ❑ 3. California Department of Forestry plan approval (if required). ❑ 4. NPDES Form. ❑ 5. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 6. Contractor's license information. (Number, Name Style, Classification). ❑ 7. Worker's Compensation Carrier and Policy Number. ❑ 8. Owner -Builder Verification (if required). ❑ 9. Letter of Signature authorization (if required). ❑ 10. Recorded copy of Agricultural Acknowledgment Statement. ❑ 11. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts. ❑ 12. Sanitation and site plan approval from the Environmental Health Department. If you have questions or would like additional information regarding this process, please contact a Permit Assistant at (530)538.7541. EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after date of application. In order to renew action on an application after expiration, a new application, plans and fees will be required. REQUEST FOR FEE REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made within two years from the date of fee payment on permits not issued, and two years from the date of permit issuance for permits issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. OVER FOR BUILDING PERMIT APPLICATION KAFORMSWILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2 REV 2-24-05 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.netldds PERMIT NO. 1744 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: 06/16/2004 APN: 056-110-051-000 the Business and Professions Code, and my license is in full force and effect. License Class : License Number: Site Address: 9988 COHASSET RD COH Date: Contractor. Map Index: Description: MISC WIRING TO RELOCATE A 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 RECEPTACLE 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 OWner:. MYRE STEVEN J & TISHKA E signed statement that he or she is licensed pursuant to•the.provisions of. the Contractor's State License Law (Chapter 9 commencing with Section 9988-COHASSET RD 7000) of Division 3 of the Business and Professions Code) or that he or, CHICO, CA she is -'exempt therefrom and the basis for the alleged; exemption. Any 95973'' violation of•Sectiori 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).):. C1, 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 ode: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon,.and•who does Applicant: MYRE STEVEN J & TISHKA E such work himself or herself or through his or. her own. employees, gggg COHASSET RD provided that such improvements are not intended or offered for sale. If however, the building or improvements are soli within one CHICO, CA year of completion, the owner -builder will have the burden of 95973 proving that he or she did not build or improve for the purpose of sale.). O I,, as•.owner_,,gf..the.,prope4y,.,..am-.e)clysiyply,,pop1jppling,with. licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an, owner of property..who,builds or improves thereon, and who contracts for such projects with a contractor(s) licensed Contractor: pursuant to the Contractors' State License Law.). ❑ . 1 am Exempt.under Article3 mes and Professions Code Date: Owner: WORKERS' COMPENSATION*DECLARATION 1 hereaffirm by arm under penalty of perjury one of the following declarations: License #: 131 have and will maintain a certificate of consent to self4hsure 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. ❑ 'have and will rimaintain'.workers'•:compensation insurance;'as Architect: required by Section 3700. the Labor Code, for. the performance of Engineer: the.work for which this permit is issued. My workers' compensation insurance carrier and policy number are:-. Cartier. Pony u: Total Square Ft: 0 S. F. :.._........_:.:.:.:.,:.:;...,,.....•. I certify that in the performance of the work for which this permit is Valuation: $0.00 issued, I shall. -not employ .any, person in any manner .so as to become subject to the workers' compensation laws of California, Census Code: and agree that if I should become subject to :the workers' , compensation provisions of Section 3700 of the Labor Code, I shall forthwith with those provisions. /comply Date: �/ �/U ✓ 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 3706'6f. the Labor ! jPG� J code, interest, and attomey's fees. tVJ ' LL - CONSTRUCTION LENDING AGENCY •. I hereby affirm that there is a construction lending agency for the: performance of the work for which this permit is issued (Sec 3097 Civ.) This permit is h y issued undo he applicable provisions of the Butte County Code and/or Resolutions t do rk indicated ve r which fees have been paid. / Name: By: Date: PERMIT EXPIRES ON: - 1 5—'0 S Address: Date O' I hereby certify'that the use of (his facility shalfcomply wi.6`8S ctions 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 dui • uthorized 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 substanc a ici form or d c ant of Butte County. I hereby authorize representatives of Butte to enter upon the above mentioned property for inspection pure /County Print Name:Signature: Date:—.6, Jd�Owner ❑ Contractor ❑ Agent for Owner ❑ Agent for Contractor a 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. BP041744 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: 06/16/2004 APN• 056-110-051-000 the Business and Professions Code, and my license is in full force and effect. License Class : License Number: Site Address: 9988 COHASSET RD COH Date: Contractor. Map Index: Description: MISC WIRING TO RELOCATE A OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the p Contractors' State License Law for the following reason (Sec. 7031.5 RECEPTACLE 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 Owner: MYRE,STEVEN J & TISHKA E ' ) signed statement that he or she is licensed pursuant to-the,provisions of •- "� � � ., . * . y • 9 the Contractor's State `License Law (Chapter 9 commencing with Section 9988-COHASSET RD ; 7000). of Division 3 of the Business and Professions Code) or that he or. _ . ,• CHICO, CA she is'exempt therefrom and the basis for the alleged exemption. Any: violation, of Section' 7031.5 by any applkc nt for a permit subjects the '. 95973' i;, t applicant to a civil penalty of not more than five hundred d6llars'($500).):-' ITI, 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? Tlie CoWactors''Siaie License Caw does'n'ot apply L ... ..•.... ,,. _gym µ N"„ owner of property who builds or improves thereon, and who does Applicant: MYRE STEVEN J & TISHKA E such work himself or herself or through his or, her own, employees, 9988 COHASSET RD provided" that such improvements are not intended or offered for sale. If however, the building or improvements are sold within* one CHICO, CA year of completion, the owner -builder will have the burden of 95973 proving that he or she did not -build or improve for the purpose of sale.). A I, _as. owner__ the,,,property,,,.am,zexclusvgly„Wcontracting_with_ licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an, owner of property.-who,builds or improves thereon, and who contracts for such projects with a contractor(s) licensed Contractor: pursuant to the Contractors' State License Law.). ❑ I am Exempt under Article3 sines and:Professions Code - Date: O Owner: 7151 WORKERS' COMPENSATION'DECLARATION I hereby affirm under penalty of perjury one of the following declarations: h License #: ❑ °I have and will.maintain a certificate of consent to self -insure for _ ,�•� workers' compensation,, as provided .for by Section 3.700 .of the Labor Code, for; the performance of, the work for which -this permit is issued., `❑'-I-have and will mainfam-workers 'Architect:- Insurance; as ,L .compensation required by Section 3700. the Labor Code, for the performance of Engineer: the.work for which this permit is issued. My workers'. compensation insurance carrier and policy number are: Carrier. Total Square Ft: 0 S. F. Policy 1 certify that in the performance of the work for which this permit is Valuation: $0.00 issued, I shall, not employ.any person, in any manner .so as to Census Code: 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 with those provisions. „ /comply Date: Applicant WARNING: Failure to 'secure 'workers” compensation coverage is. unlawful, land 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'bf the Labor code, interest; and attorney's fees.LL CONSTRUCTION LENDING AGENCY •. -, * I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec 3097 Civ.) This permit is h y issued un dehe applicable provisions of the Butte County Code and/or Resolutions t do rk indicated e r which fees have been paid. CJS Name: By: Date: PERMIT EXPIRES ON: Address: Date 'U.' I hereby certify that'the use of'this facility shall`comply witKSi; tioni"2'5505, 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 dui uthonized 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 substanc a ici form Ord ent of Butte County. I hereby authorize representatives of Butte to enter upon the above mentioned property for inspection purp /County Print Name:9 Signature: Date: // c( - Jd�Owner ❑ Contractor ❑ Agent for Owner 0 Agent for Contractor BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVMLE: (530) 538-7636 - CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OF APPLICATION LICANT SIGNATURE X / For office use only: OWNER Name E f,�U �-- Address 00 SSS City \ Stat Zi .� Phones �� - ow Z Fax E-mail Fax LICANT SIGNATURE X / For office use only: CONTRACTOR Name Address Address City I Yes State Zip Phone 1yp 79 lfz, Fax E-mail Fax Lic. # Class LICANT SIGNATURE X / For office use only: ARCHITECT/ENGINEER Name Address Address City I Yes State Zip Phone 1yp 79 lfz, Fax E-mail Fax State License Number LICANT SIGNATURE X / For office use only: APPLICANT NAME Name t' A, Address (iS V; I Yes City �f CO St 1yp 79 lfz, Phone 3d SLI.�Zz Fax E-mail Lot # Planner LICANT SIGNATURE X / For office use only: Zoning Flood Zone SRA I Yes I No Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS PERMIT a° ,I NN BP BIN # LOCATION AN 6Y _ I 0 - 0 � ( Property Address(::,,, �t Cross Street WORKER'S COMPENSATION Policy Number Carrier 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 Scope of Work: 0A, ,; C- - 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. Received by:nt: Bldg u �SRA Receipt #:q 057 1 Sheriff SMTP Date:(,-/ IP Out Other 55 -0 —) _ . . KAFORMS\BUILDING FORMS\BldgApplSubRgmts.doc Page 1 of 2 REV 4-30-04 J SUBMITTAL REQUIREMENTS i a , I The following drawings and specifications mu'st be submitted to the Building Division in order to apply fora permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK. ' Residential, New, Remodels, Additions, and Accessory Structures: ❑ L 3 .Site Plans, signed by the preparer. NO GRAPH PAPER! f: 112. 3 Complete sets of plans, signed by the preparer. NO GRAPH.PAPER!s , ❑ .3. 3 Engineered plans (if required) with wet signature on plans AND 2zsets of stamped and -signed calculations. ' • . . ❑ 4. 2 Engineered truss details and layouts (if required) (1VO FAXES!):` - ❑ 5. Letter from Engineer or Architect for truss design review. ❑ 6. 2 Energy compliance design and supporting documentation: (Note: Not required for additions to mobile or modular homes.) ❑ 7. 2 Flood Elevation Certificate, wet -stamped and signed (if required). ' ❑ 8. Detached Accessory Building Form, filled out by'the property owner (if required). ❑ 9. Sanitation and site plan approval from the Environmental Health Department. ❑ 10. Metal Buildings: (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. Mobile, Manufactured, or Modular Homes: ❑ 1. 3 Site Plans, signed by the preparer. NO GRAPH PAPER! ❑ 2. 2 Data sheets and installation instruction manual. ❑ 3. 2 Marriage line information. ❑ 4. 2 Floor plans. C ❑ 5. 2 Engirieered'Tie Downs or Foundation plans. ❑ 6. Sanitation and site plan approval from the Environmental Health Department. 1 ❑ 7. 2 Flood Elevation Certificate, wet -stamped and signed (if required).- . Commercial, New, Additions and Remodels: ❑ 1. 4 Site Plans, signed by the preparer. NO GRAPH PAPER! ❑ 2. 4 Engineered plans with wet signature on plans AND 2 sets of stamped and signed'calculations,. . with code analysis. ❑ 3. 2 Engineered truss details and layouts (if required),(NO,FAXES!); ❑ .4. Letter from Engineer or Architect for truss design -review. ❑ .5. 2 Energy compliance design and supporting documeritation (if required): ❑ 6. 2 Flood Elevation Certificate, wet -stamped and signed (if required).' ❑ 7. Statement of Intent for Non -heated and A/C (if required). ❑ 8. Metal Buildings: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations triplicate, (D) Floor plans in triplicate, All of these must be stamped and wet .-si ied by the engineer. ❑ ',9., Letter of intent. ; ❑ 10. Hazardous Material Form. ❑ 11. Sanitation and site plan approval from the Environmental Health Department: r . If you: have questions or would like additional information regarding this process, contact a Permit Application Assistant at (530) 538-7541. OVER FOR BUILDING PERMIT APPLICATION r KAFORMSWILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 -of 2 REV 4-30-04 i D.B.- I OWNER -BUILDER VERIFICATl[ON j Attention Property Owner. An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit No building permit' will be issued until this verification is received C) I personally plan to provide the major labor and materials for construction of the proposed property improvement: YES bV' NO 0 0 I HAVE K HAVE NOT 0 signed an application for a building permit for time proposed work.. 3. I have contracted with the following person (firm) to provide the proposed construction: NAME: ADDRESS: QTY: PHONE: CONTRACTOR'S LICENSE NO. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work NAML: 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 SIGNED: PROPERTYOWNER: DATE: NOTE: This Owner -Builder Verification is required by Section 19831 and 19832 of the California Health and Safety Coda This verykation must be completed and returned to our office before we are permitted to issue the permit: OVER OWNER BUILDER INFORMATION Dear Property Owner. An application for a budding permit has been submitted in your name listing yourself as the builder of property improvements specified. For your protect* you should be aware that as "owner4milder" you are the responsible party of record on such a permit Building permits are not required to lie signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself you may prated yourself from possble liability if that 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 subcontract, 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 f urdly, and the work (Including materials and other costs) is $300 or more for the entire project and such persons are not licensed as contractors or subcontractors; then you may be an employer. ♦ If you are an employer, you must register with the State and Federal Governments as an employer and you are subject to several obligations including state and federal income tax withholdmg; federal social security taxes, wod= compensation insurance, disability insuuaace costs, amid unemployment compensation contributions. ♦ There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to wow's compensation insurance. ♦ For more specific infimmiation about your obligations under Federal Law, contract the Imtemal Revenue Service (and, if you wish, the U.S. Small Business Administ-ation). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. Iftic structure is intended for sale, property owners who are not licensed contractors are allowed to per{ their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "owner builder" building pew ernoneously hpbbg that the property owner is providing his or her own labor and material personally. Building Permits are not required to be signed by property owners unless they are performing their own work personally. Infiamraiion about licensed contractors may be obtained by contacting the Cont actors State License Board in your community or at 1020 N Street; Sacramento, CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm dig you are aware of these matters. The building permit will not be issued until the verification is returned. y$ 'C1Vfic 1 C. V' ira, C.B.O. er, Burilding Inspection NOTE: M Owner -Builder Information is required by Seddon 19830 of &e California Seahk and Safety Code OVER 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.netldds PERMIT NO. BP041456 LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed un provisions of Chapter 9 (commencing with Section 7000) of Division 3 Issued Date: 05121/2004 APN: 056-110-051-000 the Business and Professions Code, and my license is in full force and effect. License Class: L -S (' Licrense Number: Site Address: 9988 COHASSET RD COH r-772,061 Ir.lOr.+�u-I1 °6 Date: 2t' © Contractor: ZGiS Jp[- Map Index: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Description: RELOCATE WASHER & DRYER (NEW Contractors' State License Law for the following reason (Sec. 7031.5 WATERPIPE &DWV) 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 Owner: MYRE STEVEN J & TISHKA E signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 commencing with Section 9988 COHASSET RD 7000) of Division 3 of the Business and Professions Code) or that he or CHICO, CA she is exempt therefrom and the basis for the alleged exemption. Any 95973 violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does Applicant: MYRE STEVEN J & TISHKA E such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed Contractor: pursuant to the Contractors' State License Law.). ❑ I am Exempt under Article 3 of the Business and Professions Code Date: Owner: WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of pedury one of the following declarations: License #: ❑ 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. AI have and will maintain workers' compensation insurance, as Architect: required by Section 3700 the Labor Code, for the performance of Engineer: the work for which this permit is issued. My workers' compensation insurance carder and policy number are: Carrier:c� a� /�cL-� Policy #:_ 0Z- �(o d �- 0 C( Total Square Ft: 0 S. F. ❑ 1 certify that in the performance of the work for which this permit is Valuation: $0.00 issued, I shall not employ any person in any manner so as to Census Code: become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date: 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 V code, interest, and attorney's fees. J(J '�� cepV�*`--t'(s UX CONSTRUCTION LENDING AGENCY This perm91sh reby issued der the applicable provisions of the Butte County Code anrUnr I hereby affirm that there is a construction lending agency for the the for this is issued 3097 Civ.) Resolutioork ind' t fe-for which fees have been paid. �= .111,I ` Cy performance of work which permit (Sec Name: By: Date: - Address: PERMIT EXPIRES ON: .J Date ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, 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 upon the above mentioned property for inspection purposes. Print Name: 4,14—t, lam° S Signature: Date: J Z ❑ Owner ❑ 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 REQUIRED AT TIME OF APPLICATION APPLICANT NAME OWNER Name S � O pc— Address Ct �i �b ',5,, �vP City L� L� ne , �� 3 F C) 3 3OFax State 64 Zip 1-15-5 ZG Phone 85`7 gy ��.� Clss� Fax E-mail Date Approved: APPLICANT NAME CONTRACTOR Name F, City Address �O fSoX 3 Z City ck"_n City State CQ Zip 55577 ne , �� 3 F C) 3 3OFax Type Const. ail E-mail Lic, # �� Z SSS Clss� APPLICANT NAME ARCHITECT/ENGINEER Name City Address Zip City Fax State Zip Phone Type Const. Fax E-mail Map Book State License Number APPLICANT NAME Name Address City State Zip Phone ��� 3 0 C�> Fax E-mail APPLICANT SIGNATURE X �— For offi use only: Zoning Flood Zone SRA I Yes No Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS PERMIT NO, BP BIN # // -- LOCATION API PropertyAddress Cross Street WORKER'S COMPENSATION Policy Number Z GC ky _ C� fir. Carrier 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 K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc Page 1 of 2 l,t� Llesc`pon or Scope of Work: /�r Q v C, ►/J ��n brtc" s� 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. Received Receipt #: vl T-2-71 Date: I (0, Vy Bldg SRA Sheriff SMIP Other II0 0 rM21 REV 4-30-04 SUBMITTAL REQUIREMENTS The following drawings and specifications must be submitted to the Building Division in order to apply fora permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK. Residential, New, Remodels, Additions, and Accessory. Structures: ❑ 1. 3 Site Plans, signed by the preparer. NO GRAPH PAPER! ❑ 2. 3 Complete sets of plans, signed by the preparer. NO GRAPH PAPER!` ❑ 13. 3 Engineered plans (if required) with wet signaiure on plans AND 2, sets of stamped -.and signed calculations: ❑ 4. 2 Engineered truss details and layouts (if required) (IVO FAXES.)..-, .I ❑ . 5. Letter from Engineer or Architect for truss design review. ❑ 6. 2 Energy compliance design and supporting documentation: (Note: Not required for additions to mobile or modular=homes.) ❑ - 7. 2 F166d Elevation Certificate, wet -stamped and signed (if required). ❑ 8. Detached Accessory, Building Form, filled out by the property,,'owner (if required)?. ' ❑ 9. Sanitation and site plan approval from the Environmental Health Department. ; ❑ 10. Metal Buildings: (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 thelengineer. Mobile, Manufactured, or Modular homes: ❑ 1. 3 Site Plans, signed by the preparer. NO GRAPHPAPERI ❑ . 2. 2 Data sheets and installation instruction manual. ❑ 3. 2 Marriage line _in_ form_ ation. ❑ -4.' 2 Floor plans -� ❑ 5. • - `2 Engineered Tie Downs or Foundation plans. ; ❑ 6. Sanitation and site plan approval from the Environmental Health Department. ❑ 7. 2 Flood Elevation Certificate, wet -stamped and signed (if required). Commercial, New, Additions and Remodels: ❑ 1. 4 Site Plans, signed by the preparer. NO GRAPH PAPER! ❑ 2. 4 Engineered plans with wet signature on plans AND 2 sets of stamped.and signed calculations, with code analysis. „ � t'� ❑ 3. e� 2 Engineered'truss details and layouts (if required) (NO FAXES!). ❑ 4. Letter from Engineer or Architect for truss design review. r I ❑ 5. *2 Energy compliance design and supporting documentation�(if required). C16. 2 Flood Elevation Certificate, wet -stamped and signed (if required). ' ❑ 7. Statement of Intent for Non -heated and A/C (if required). ' ❑ 8. Metal Buildings: (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. ❑ 9. Letter of intent. ❑ 10. Hazardous Material Form. ❑ 11. Sanitation and site plan approval from the Environmental Health Department. If you have questions or would like additional information regarding this process, contact a Permit Application Assistant at (530) 538-7541. OVER FOR BUILDING PERMIT APPLICATION KAFORMS\BUILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2 REV 4-30-04 f BUILDING DIVISION COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE — OROVILLE, CALIFORNIA 95965 — TELEPHONE: (530) 538-7541 AGRICULTURAL BUILDING EXEMPTION PERMIT PERMIT NO. Agricultural building is defined as follows: Agricultural building is a structure designed and constructed to house farm implements, hay, grain, poultry, livestock, or other horticultural products. This structure shall not be a place of human habitation or a place of employment where agricultural products are processed, treated, or packaged, nor shall it be a place used by the public. ASSESSOR PARCEL NO. ZONING �--- OWNER PHONE NO. s3o s� -oar. OWNER'S ADDRESS V LOCATION OF BUILDING(� S " i 1t9 (lore 1 h e -c . 'f rn a -r Qnm * ,s_ nc�-rih \zocher . 1 i 4' r, USE OF BUILDING SIZE OF STRUCTURE 'x 3 � so. FT. TYPE OF CONSTRUCTION: WOOD FRAME STEEL _,i� CONCRETE OTHER (Specify) TYPE OF SIDING ROOF COVERING FLOOR TYPE AG I ESTIMATED COST OF CONSTRUCTION $ U0 �mofeI AG Buildings shall comply with the mini um front, side, and rear yard setback requirements of the applicable County Ordinances as follows: 5 j , t,0 e A4K,yv p ` FRONT SIDES REAR AG Buildings shall be a minimum of five (5) feet from any septic tank or leach fields. AG Buildings less than 1000 sq. ft. in floor area shall be located a minimum of 6 feet from a residence, 10 feet from a mobilehome, and 23 feet from a commercial building. AG Buildings greater than 1000 sq. ft. in floor area shall be located a minimum of 23 feet from a residence and a mobilehome, and 40 feet from a commercial building. I declare under penalty of perjury that the building will be used as stated about, and the purposed use confirms with the AG Building definition. If any change in use or occupancy of the building is made, I will contact the Building Division and obtain any necessary permits, inspections, and approvals to comply with the requirements in effect at that time and before occupancy. Date �/'/3/D i Signature of Owner Permit Fee - $60.00 The above described AG Building is exempt from a bu "3 7W' � D PARC)zL Receipt No. �(�n FL q/ Manager Building Division (�— \ f. By White — DPW, Yellow — Assessor, Pink — B. I., Goldenrod —Applicant Date L 4 COUNTY OF BUTTE - DEPARTMENT OF &E-ViAOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE'OK6VILLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541 PERMIT APPLICATION DATA SHEET [y t OWNER: - Z �L� S ASSESSOR PARCEL 56 ( (O` / Proposed Building Use: Building Inspector:7 Date: ; Q,'), f' At time of permit application, I was advised the following data must be submitted prior to per it processing andlor iss ance: Date Received By All items have been submitted .------------------------------------------------------------------------------------- ❑ 2. Plot plans, 3/4 sets, signed by the preparer of plans. ------------------------------------------------------------ ❑ 3. Complete plans, 3/4 sets, signed by the preparer of plans. ----------------------------------------------------- 04. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans. -------- ❑ 5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! ------------------ 116. ----------------- ❑6. Energy Design Compliance and supporting documentation. ---------------------------------------------------- 117. --------------------------------------------------- ❑7. Statement of Intent for Non -Heated and A/C Buildings. --------------------------------------------------------- 118. Hazardous Material Form. ------------------------------------------------------------------------------------------ ❑9. Manufactured Home data and installationlin-c'tions including TiesDoA Specifications ------------------- El10. Fees of $ ------------------------------------------------------------------------------------- ❑ 11. Impact fees as shown on the attached schedule. ----------------------------------------------------------------- ❑ 12. California Department of Forestry plan approval/fees. --------------------------------------------------------- ❑ 13. Flood elevation certificate. ---------------------------------------------------------------------------------------- ❑ 14. Sanitation and plot plan approval Health Department. ------------------------------------------- ❑ 15. City of Chico plumbing permit. ❑ 16. Plot plan and business license approval from the City of Biggs. ---------------------------------------------- t ❑ 17. Planning approval for (A) Use: (B) Parking: -------------------------- 1:118. Contact Land Development about ❑ Improvements, ❑ Drainage, ❑ Legal P'arcel------------------------ 1119. ---------------------- ❑19. Encroachment Permit for driveway (construction approval prior to occupancy). ---------------------------- 0 20. Pre -inspection for required. Request to Building Inspector on (Date) 021. Contractor's license informatio (Nu6ber,, Name Style, Classification):'----------------------- '='--*=`- `= - ❑22. Workers' Compensation carrier and policy number. ----------- ----------------------------------------------- ❑23. Owner -Builder Verification (Given to owner ❑, Mailed to owner 0) - -------------------------------------- ❑24. Letter of signature authorization. --------------------------------------------------------------------------`------- ` 112 5. Recorded copy of Agricultural Acknowledgment Statement. -------------------------------------------------- ❑26. Letter of intent on building use.----------------------------------------------------------------------------------- .. ❑ 27. Manufactured Home utility clearance. --------------------------------------------------------------------------- ❑28. Existing violations and/or expired permits. ------' -------------------------------------------------------------- ❑29. 0433 A, ❑Grant Deed, ❑ M.H. Title, ❑ Check to H.C.D $ .--------------- -------------- E130. ❑30. Other: Wh you issue the permit rocefollows El Mail to owner, ❑Mail to contractor. elephone and hold for pickup at C 0 ffice eliver with inspector. Applican Date: % 10/3/ 0 Copy,, of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, ❑ Air ollution Date: By: Copy; of plans sent ❑ Health Department, ❑ Fire Department, ❑ Other: Date: By: 1. Index permit application for the above items numbered: ❑Plan Check List ' 2. Additional items required: / f Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Divisibn'counter�by Date: ' Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail,.q Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by , , Date: , Contractor, designer, owner, was advised of the above } mail, d � required datatby ❑ phone;�o tiiail; ❑ Building Division counter, by' ' ` • ' ' Date: Plans reviewed by: Date: Plans approved by" Date: Sets of plans on hold in ❑ Plan Cabinet, ❑ A.P. folder. Note transfer by: Date: Yellow Copy - Department of Development Services, Building Division. ` Monthly SPECIALS! Page 1 of 4 'NEW; Monthly Specials!! The Specials You have seen here were such a great hit that we are extending t Expiration date to September 30th 2000. So you can Shop around more and mal decision. You might find that we will provide you the best of the best. Let u; apples for apples. TIME '"D EST OF TIME ICIEST NOW IF 4 Stall Mare Motel Completely Ready For Set Up! *FOB MESA, AZ. 85210 FEATURES LESS! 4 - 5' High 4 Rail The Corral & Shade System 12'x12' Galvanized Pipe Corrals (1-7/8" x .069" 15Ga.) - 12' Breezeway - Corrals Fully Covered - Galvanized Steel R 5' High 4 Rail Gate Panels (1-7/8" x.069" 15Ga.). Now Only For .,39245* For Any Additional Options You May Have; Contact Your Nearest De http://www.portastall.com/summer.htm 9/19/01 (]2b e, -SS 0--+ \� i 2 (]2b e, -SS 0--+ \� r rj 7A. v PERMIT NUMBER . B .P 42.1-72P E422 -72E s .. PERMIT EXPIRES ---4-/,P- 73 tOWNER Toby Lundgren CONTR: Owner LOCATION (A.P. 56-11-51 e/s Cohasset Rd. 3rd lot no. of school, Cohasset COUNTY -OF BUTTE DATE Forms -'C ` Z —? Firepl6le Lath & Plaster �--✓� 77 Found. Vents • Rough Kitchen Vent -- Sanitation & Water BUILDING Cert. of Occup. Final 3 '—'�� REMARKS OR CORRECTIONS IE Department of Public Works BUILDINGGINSPX'CTION RECORD Z 7`- 2 Z--- Zoning ; Setback Ce t Foundation � 2-- Piers & Girders _ 9— Rgh. Plumbing R—1%' %L- Bond Beam Rein. Steel Gas Piping & Test Framing "✓ '—% Plmg. Topout m72, Wtr. Htr. iv Furnace Firewall-"�---�' Garage Vents" ELECTRIC Temporary ��"� 3 0 -'� �--�'" GAS Temporary _ I� �/d �7 — d -- Final Za "' %% Final J �!� 7 DATE Forms -'C ` Z —? Firepl6le Lath & Plaster �--✓� 77 Found. Vents • Rough Kitchen Vent -- Sanitation & Water BUILDING Cert. of Occup. Final 3 '—'�� REMARKS OR CORRECTIONS IE �9 ��7 J• �i ry.. z. r t i'+ e t fii _.�jr+.'�_ r y a*'i` Y Is y''aetii Si T+.-?aw J7 Y aP s y `v aP: t.Ft Lr'�e.-=< '�•x�xf'.i t �" ?�4 MEe � V- a x • � r}}� ^' _ I I 1F ">.''�', ,p"r' ' �a,^.�`t�ft'$Y W t r «sr r se iP � �3� y YA3r�}re'� yv' � x ��sxm r �� Fai•`+y ?. ,fit, L ��y'��5 looms { t 4p9i .:+ : i �#•s„' r f'. 9...... to �;� '� r:•?441 _ �wi �y�' to YC� X IMP, '�" y i�r =xAt J i , •s t °F"r�J ''t' °!'� •a1 u ^ 7re :^s.'S€�t�a yr �a iv �'t}�' �u� � � s � :; �,.r.'-�'^,.,�iIL �.•� � �::: •j }£FSS IV _,• :.,��S Sr +. '.a i _ �. ]. yrs'(. ._ '4 �i�'. J t'i.,� ��. .r, &i `4 y y� -YL stir. F. �� i G.�,.• q 19{i t � ��! Val � _ �C,Y'• f$W$" t Fy' eeke zu 2 �� 1k y d' •-cr`ii' ' d' �F�v 1 ! l & C T • v pl any" fke. d t. 71 �z.*t%� r' 2 4 t^"" �• r �y� ti• t e .A• C i:: 3•. ��r�w' x . �-rr�"G J'�^`,'�S",+ya 'e". 3`� :��� "`.'"� ! 'L;nf+"a.+�..NaS-0;s'SkW' `' •c ;o- y` r'r. R. -�`. #'-, �_ v�M.�ait �.� �.f2= •rkxt. 9G a. ..r.�n.,.ix.. r.� J J COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WO K 7 County Center Drive — OroviIle, California 95965 Telephone: 5ii41-4541 APPLICATION AND PERMIT '-'7 — _-- Receipt No.—qWhite-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant Building permit expires Date...�-'/��..� 4............ BUILDING Owner To 4aaD E SO. FT. OCC. BUILDING VALUATION 57- Mailing Addre y 70pK 1/5- Co StS FAJEWO L.- _ 7 � C !� Telephone No. Fireplace Contractor Q Total Valuation Mailing Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee $ $7110 Building Address LO T— 1 S C04,4aetPLUMBING No. @ FEE PERMIT FILING FEE $2.00 ^ dd lip%rte ^1. , ` t- c� b . 4(J 1` I� f'�Q� Each Trap 1.50 ,..,T Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. 5-4, Zoning ng &Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fees- Saai.Eati.pn Fire Dept. Fire Zone Use Permit Building sewer 5.00 EOA Parking Plans Parcel Declaration Parcel Ma P 60' R/W Im rovements P Lawn sprinkler system 2.00 -E6L44h--+4't1rr9­R-n'd I Parcel Approval Plans Approval Permit Fee $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ELECTRICAL No.1 @ FEE PERMIT FILING FEE 1 $3.00 Main service incl. 1 meter 4 Vii' ' Additional meters, each 1.00 Sub -panel (12 or less) (more than 12) Single Family Duplex ❑ Mobil Home ❑ Others ❑ Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 Light fixtures 2012 Receps., switches & fix outlets 20025 CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: Hood, Ex. Fan or F.A. Furn. Motor 1.00 Evap. cooler, gar. disp. or D.W. 1.00 Air conditioner or heat pump Water pump Mobil Home Facilities 5.00 Temp. Power Pole 5.00 License No. Classification Misc. wiring I am exempt from the Contractors License Laws of the State of California. Permit Fee WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California Labor which requires every employer to be insured against liability for Workmen's Compensation. ❑ I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. IR 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 Workmen's Compensation Laws of California. 1 certify that 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 aujhorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X�i ate Signature of Perm' 'VAgent . A �. MECHANICAL No. @ FEE PERMIT FILING FEE $3.0000 Heating o8 0Code Cooling Ventilation Hood 2,00 Permit Fee $ 7.DCi $ OE TOTAL PERMIT FEE 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 aid. DIRECTOR OF PUBLIC WORKS r^�,^rte' '-'7 — _-- Receipt No.—qWhite-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant Building permit expires Date...�-'/��..� 4............ COUNTY OF BUTTE — DEPARTMENT OF PUBLIC 7 County Center Drive — Oroville, California 95965 Telephone,:,533-130, Ext. 259 APPLICATION AND PERMIT WORD' *a a- auL"OrZe ieP esenu iaveS of ine County of Buite to enter upon the above-mentioned property for inspection purposes. X �� Date �y Sre of P rmitee or nt Receipt No. —Cf �� _ White-D.P.W. — Pink4nspector — Goldenrod -Assessor — Yellow -Applicant 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. DIRECTOR OF PUBLIC WORKS By //O�-� Date _—//—% 2__ Building Permit Expires Date�'��— BUILDING Owner — SQ. FT. OCC. BUILDING VALUATION ss z6 Mailing Address 4—ZJ Fireplace �ia.• ,.` ��p—u "' Contra r Total Valuation O Mailing Address Permit Fee Plan Checking Fee &/or Penalty Permit Fee $ $ = Building Address PLUMBING No. @ FEE PERMIT FILING FEE .— $2.00 .Z °L Each Trap j 1.50 16S� Repair drainage or vent piping 1.50 Water piping 1.50 Js� Each gas water heater or vent 1.50 A. P. No. r�—// 3 / J Zoning Gas piping system 1 - 5 outlets 1 1.50 Each additional outlet .50 Fire Zone Fire Dept. Planning Building sewer 5.00 Plans c/ Fees I W. C. TR /W Encroachment Lawn sprinkler system 2.00 NEW2 ADDITION ❑ OTHER ❑ Permit Fee $ $ �. ELECTRICAL No. @ FEE PERMIT FILING FEE $3% Main service incl. 1 meter Additional meters, each 1.00 Sub -panel (12 or less) (more tbon 12) _ .Z 42Y USE OF STRUCTURE Single Family Duplex ❑ Others ❑ Rakge, dryeror water heater ,Z 1.00 Oven, Cook -top or space heater 1.00 Light fixtures j ,� d Reps., switge s & fix &Klets CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: HolTd, Ex.°Fan or F.A. FLffn— Motor 4,@G- Evap. cooler, gar. disp. or D.W. 1.00 Air corMtfioner or heat pump / y Water pump Misc. wiring License No. Classification i am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE I*am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. have placed on file with the County of Butte a certificate of F-1 'Workmen's Compensation Insurance. 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 Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Permit Fee $ $ 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 tate Fee For Str ng Motion $0.07/$1000 Evaluatioh n;trumentation (grogram $ TOTAL PERMIT FEE $�%% auL"OrZe ieP esenu iaveS of ine County of Buite to enter upon the above-mentioned property for inspection purposes. X �� Date �y Sre of P rmitee or nt Receipt No. —Cf �� _ White-D.P.W. — Pink4nspector — Goldenrod -Assessor — Yellow -Applicant 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. DIRECTOR OF PUBLIC WORKS By //O�-� Date _—//—% 2__ Building Permit Expires Date�'��— NOTES RESIDENTIAL PERMIT N0. _ 056-110-051 05-0924 �} MYRE, STEVEN 9988 COHASSET RD, COHASSET Cont: OWNER NEW WINDOWS b5--61 Ze. 11 SPECIAL CONDITIONS 11 CHECKED BY SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER JOB FINALED (Date) Wlw ; 'Signature `�� c� ✓ ° J=OK 0 = Not OK Not . NotReadyable 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/0 -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 / /" L "ft./ P LPG 7. Well Clearance & Disconnect 8. Utility Clearance 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line POOLS (Plans) OK except #'s 3. Gas; MH Test -Demand -Valve -Connector Setbacks -Easements 4. Electricity; MH Test -Crossovers -Breakers -Clearances Soils; Compaction -Structure Stability 5. Drain; MH Test -Fall -Flex Connector Pool Structure; Steel -Connections -Thickness Dead Men -Lining 6. Water; MH Test -Regulator -Connector Elec.; Receptacles and Lighting, Distance-GFI 7. Water and Sewer Connected -C/0 to Grade -HD Approval Elec.; Pool Lighting; 15 Volts-GFI 8. Gas and Electricity Tagged Elec.; Enclosures; Conduit Entries -Terminals -Listed 9. Tie Downs -Type -Installation Cert. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 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) 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 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 J=OK 0 = Not OK RESIDENTIAL (Single & Duplex) - = Not Applicable _ ni,.� 0-d" 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 Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 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 70. 22. Gas Pipe; Sixe & Anchors 71. 23. Fire Sprinkler; Test 72. Elec. Outlets at Wood Panel, Int. & Ext. Date Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 76. A.C. Duct in Garage -Damper 24. Fixture & Transformer Clearance -Ins. Protection Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 25. Elec. Receptacles Spacing -Lights & Switches at Doors 26. Size Boxes & No. of Conductors Stapled 80. 27. Romex Installed Close to Edge of Studs & C.J. 81. 28. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water 82. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth 29. 2 Appliance Circuits in Kitchen & Conductor Size GFI Clearance Looked under Floor O Yes 30. Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or Al Following Instld./Drive C1 Yes O No/Walks O Yes O No/Planters O Yes O No 31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or Al Insulated Neutral O Yes O No Stucco Brown -Finish 32. Service -Riser Conductors & Ground Main Disconnect A.C. Unit Disconnect, Electrical -Plumbing 33. Equip. Clearances Panels-Motors-Mech. Equip. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 34. Clothes Closet Light -Shower Light -Spa Light Water Well, Disconnect, Electrical, Plumbing 35. Smoke Detector 89. Ventilation Throughout House Date Glass Protection Card B-1 Date Card B-1 Date Corrections from Previous Inspections Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 36. A.C. Ducts Insulation & Support 94. 37. Vent Fan, Exhaust above insulation 95. 38. Condensate Drain & Overflow, Size & Grade 96. 39. Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet 40. Attic Access & Platform if Furnace in Attic Date Card B-1 Date Card B-1 Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 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 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. I nfi Itration-Wal Is -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 (F.F.I.)-Romex Protection 80. Insulation -Foam -Looked in Attic 81. Guard Rails & Deck Construction -Post Caps 82. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor O Yes _ 83. Following Instld./Drive C1 Yes O No/Walks O Yes O No/Planters O Yes O No 84. Stucco Brown -Finish 85. A.C. Unit Disconnect, Electrical -Plumbing 86. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 87. Water Well, Disconnect, Electrical, Plumbing 88. Exterior Elec. Trim, G.F.I. Receptacle -Underground 89. Ventilation Throughout House 90. Glass Protection 91. Corrections from Previous Inspections 92. Gas Test -Meters Tagged, Gas -Electric 93. Water & Sewer Connected -C/O to Grade -HD Approval 94. Energy Compliance Certificate -Other Certificates 95. Address Posted 96. 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: 06/21/2005 14:16 FAX 5303439120 CINGULAR WIRELESS Wireless Services 1947 East 2& St. Suite 200 Chico Ca. 95928 Fax Cover Sheet Pans: Pa es: Z— Phone#: Date: 6 Re: CC: [A 001 ,e r� 5 Z1 ZI-- Comments: Please call the # below fo any problems with transmission. Thank You! th es M` TAY» SCJ ! Office # 530-896-04811 Fax# 530-896-0481 www,cingular.com i 0612112005 14:16 FNX 5303439120 LINGULAR WIRELESS 10002 4, U' ARNOLD SCHWARZENEGGER, Governor STATE OF CALIFORNIA—TME RESOURCES AGENCY DEPARTMENT OF FORESTRY AND FIRE PROTECTION Butte Unit 176 Nelson Avenue Oroville, Gardomia 95965 (530) 538-7111 EXEMPTION FROM REQUIRED BUILDING SETBACK (30FT,) ON PROPERTY OVER ONE ACRE AP# C� ` { I ' os { O PERMIT # Y��L DATE OF FIRE DEPARTMENT SITE INSPECTION: . FIRE DEPARTMENT INSPECTOR: EXEMPTION APPROVED FOR THE FOLLOW to SONS: (X)1. Building will be constructed with Class A or B roof covering, enclosed eaves and non-ombustible exterior siding (Nardi -board, 3 -coat stucco or similar approved material.) ( ) 2. Lot configuration andlor topography limitations. () 3. Natural or man-made landscape features will retard wildland fire spread (roads, driveways, water courses) on side of building with improper setback. ()(4. Other requirements or mitigations: _ _ N&ES ' RESIDENTIAL r PERMIT NO. _'0T6-110-051 _ 04-1456 MYRE, STEVE 9988 COHASSET RD, CFHCO Cont: EARLS PERF PLUMBING RELOCATE WASHER/LINES ti. v 5 2,Io7 CA LA r SPECIAL CONDITIONS - CHECKED_ BY . SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER .g } a. t� JOB FINALED (Date) "e\Signature a F i • r h ' RESIDENTIAL r PERMIT NO. _'0T6-110-051 _ 04-1456 MYRE, STEVE 9988 COHASSET RD, CFHCO Cont: EARLS PERF PLUMBING RELOCATE WASHER/LINES ti. v 5 2,Io7 CA LA r SPECIAL CONDITIONS - CHECKED_ BY . SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER .g } a. t� JOB FINALED (Date) "e\Signature a J=OK 0 = Not OK . = Not Readyable 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/0 -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;-/ P' L 'ft. / P Nat. or/ P' L "ft./ P LPG 12. 7. Well Clearance & Disconnect 8. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/0 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-Panelboards-Ins. to Main Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche 12. Enclosure; Fencing -Alarms Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 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- Bloc kouts-Wrapped 6. Stemwalls, Garage; Steel- Bloc kouts-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-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. WatV Htr.; Vent -Access -Combustion Air Baffle 51. ,r18. ter Pipe; Test & Anchor -Nail Protection rp TJ'A�- \1 D.W.V.; Test Fittings & Anchor -Nail Protection 53. 20. Shower Pan; Test, First Floor -Tub Access 54. 21. Test Tub & Shower, Second Floor -Tub Access 55. 22. Gas Pipe; Sixe & Anchors 56. 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 Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 61. 24. Fixture & Transformer Clearance -Ins. Protection 62. 25. Elec. Receptacles Spacing -Lights & Switches at Doors 63. Infiltration -Walls -Windows 26. Size Boxes & No. of Conductors Stapled Card B-1 Date Card B-1 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 66. 31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or Al Insulated Neutral 0 Yes 0 No 67. 32. Service -Riser Conductors & Ground Main Disconnect 68. 33. Equip. Clearances Panels-Motors-Mech. Equip. 69. 34. Clothes Closet Light -Shower Light -Spa Light 70. 35. Smoke Detector 71. Fireplace or Stove, Clearance -Hearth Date Elec. Outlets at Wood Panel, Int. & Ext. Card B-1 Date Card B-1 Date Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 36. A.C. Ducts Insulation & Support 37. Vent Fan, Exhaust above insulation 38. Condensate Drain & Overflow, Size & Grade 39. Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet 40. Attic Access & Platform if Furnace in Attic Date 80. Card B-1 Date Card B-1 Date 81. Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth 41. Sills Proper Materials & Anchors Clearance Looked under Floor 0 Yes 42. Walls Studs -Nailing Spacing & Braces -Plates -Sound Following Instld./Drive O Yes 0 No/Walks 0 Yes 0 No/Planters 0 Yes O No 43. Bearing Walls over Girders & Floor Nailing Stucco Brown -Finish 44. Draft Stop in Walls (rat proof) A.C. Unit Disconnect, Electrical -Plumbing 45. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 46. Headers & Beams -Size & Bearing Water Well, Disconnect, Electrical, Plumbing 88. 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 (F.F.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 0 Yes _ 83. Following Instld./Drive O Yes 0 No/Walks 0 Yes 0 No/Planters 0 Yes O No 84. Stucco Brown -Finish 85. A.C. Unit Disconnect, Electrical -Plumbing 86. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 87. Water Well, Disconnect, Electrical, Plumbing 88. Exterior Elec. Trim, G.F.I. Receptacle -Underground 89. Ventilation Throughout House 90. Glass Protection 91. Corrections from Previous Inspections 92. Gas Test -Meters Tagged, Gas -Electric 93. Water & Sewer Connected -C/O to Grade -HD Approval 94. Energy Compliance Certificate -Other Certificates 95. Address Posted 96. 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: NOTES RESIDENTIAL "056=110-051 - -`-` 05-1600 _� PERMIT N0. I MYRE .STEVE 9988 COHASSET RD, COHASSET I Cont: WESTWOOD CONST FRNT PRCH EXT& ROOFING I 1 SPECIAL CONDITIONS SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER 3ti - 3 4' JOB FINALED (Date) ) Signaturey CHECKED BY = OK = Not OK =Not= Not ReadyApplicMOBILE 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-Gmd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap;-/ /" Lt. / /Nat or/ /" L "ft1 P LPG 7. Well Clearance & Disconnect 8. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water, MH Test-Regulator-Connectot 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 MISCELLANEOUS )ate DECK 2, COVERS, CARPORTS, GARAGES (Plans) OK except #'s ZE0<K,� 9ning Requirements -Setbacks -Easements Tom' ootings; 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. Sidlno: Nailina'Veneer.4Stucco-Mesh 11. Ext.; Steps-DomLandinT Vr5 `�,✓GU 12. Braced Wall Panels Dates ,�, ; -L%,Qard B-1 ULX.`f Date Gard B-1 Date Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PERMANENT END SYSTEM (ONLY) 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 1. Zoning Requirements -Setbacks -Easements 5. Elec.; Pool Lighting; 15 Vofts-GFI 2. Footings; Size -Spacing -Marriage Line 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 3. Blocking 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main Conduit 4. Gas; MH Test -Demand -Valve 9. Health Department Approval 5. Electricity; MH Test 11. Light Niche 6. Water, MH Test 12. Enclosure; Fencing -Alarms 7. Water and Sewer Connected Date Card B-1 Date Card B-1 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 )ate DECK 2, COVERS, CARPORTS, GARAGES (Plans) OK except #'s ZE0<K,� 9ning Requirements -Setbacks -Easements Tom' ootings; 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. Sidlno: Nailina'Veneer.4Stucco-Mesh 11. Ext.; Steps-DomLandinT Vr5 `�,✓GU 12. Braced Wall Panels Dates ,�, ; -L%,Qard B-1 ULX.`f Date Gard 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 -GA 5. Elec.; Pool Lighting; 15 Vofts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche 12. Enclosure; Fencing -Alarms Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 J=OK 0 = Not OK = Not Appricable = Not Ready RESIDENTIAL (Single & Duplex) Date UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Gmd.-/ r Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ r Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ r 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 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 Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) .OK except #'s 24. Fixture & Transformer Clearance -Ins. Protection 25. Elec. Receptacles Spacing -Lights & Switches at Doors 26. Size Boxes & No. of Conductors Stapled 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 GFI 30. Subfeed Wire Size/ /ga. Cu or AI -AC. Wire Size/ /ga Cu or Al 31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or AI Insulated Neutral 0 Yes 0 No 32. Service -Riser Conductors & Ground Main Disconnect 33. Equip. Clearances Panels-Motors-Mech. 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-Return Air Vent 115 Outlet 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 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 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-Underfir. Access 59. Glazing Area -Glass Protection -Skylights -Plastic 60. Shear Walls; Nailing -Bolts 61. Brace Interior/Exterior Wall Panels 62. Insulation -Walls -Ceilings 63. Infittration-Walls-Windows Date Cana 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 (F.F.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 0 Yes 83. Following InstldJDrive 0 Yes 0 No/Walks 0 Yes 0 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: NOTES �a.rc4 RESIDENTIAL PERMIT NO. 056-110-051 05-2156 MYRE, STEVEN &TISHKA 9988 COHASSET RD, COHASSET Cont: WESTWOOD CONST GAS FIREPLACE SPECIAL CONDITIONS SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER .® CHECKED BY JOB FINALED (Date) / G/ - z�/� Signature Ujoo"I 7 --e-A J=OK 0 = Not OK = Not Applicable . = Not Ready MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except Its 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer, Location -Test -Fall -C/0 -Concrete 4. Water, Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearances-Gmd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap;-/ /" L'ft. / P Nat or/ P' LW P LPG 7. Well Clearance 8. Disconnect 8. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except Vs 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water, MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 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 Vs 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 ff'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-Panelboards-Ins. to Main Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche 12. Enclosure; Fencing -Alarms Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 J=OK o =Not OK =NotAApplicable RESIDENTIAL (Single & Duplex) • p = Not Ready Date UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Gmd. / r Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ P' Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ r Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Stab, 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 Card B-1 Date Card B-1 Date Card B-1 Date Card 8-1 Date PLUMBING (Permit) OK except #'s Date 17. Water Htr.; Vent -Access -Combustion Air Baffle Date 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. Fre Sprinkler, Test 69. Elec. Trim & Subpanel, Breaker Sizes & Labels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 24. Fixture & Transformer Clearance -Ins. Protection 25. Elec. Receptacles Spacing -Lights & Switches at Doors 26. Size Boxes & No. of Conductors Stapled 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 GFI 30. Subfeed Wire Size/ /ga. Cu or AI -AC. Wire Size/ /ga Cu or Al 31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or AI Insulated Neutral D 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 84. Stucco Brown -Finish Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 36. A.C. Ducts Insulation & Support 37. Vent Fan, Exhaust above insulation 38. Condensate Drain & Overflow, Size & Grade 39. Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet 40. Attic Access & Platform if Furnace in Attic Date Cana B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s 41. Sills Proper Materials & Anchors 42. Walls Studs -Nailing Spacing & Braces -Plates -Sound 43. Bearing Walls over Girders & Floor Nailing 44. Draft Stop in Walls (rat proof) 45. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 46. Headers & Beams -Size & Bearing Date FRAMING (Continued) 47. Hangers -Post Caps -Anchors -Connectors 48. Cling. Joist-Rftr. Ties-Purlin-Roll Brac: Truss-Shting: Rtng. 49. Fireplace Ties or Type AFlue-Fireplace Throat Clearance 50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 51. Bdrm. Windows or Exitinq Doors -Sill Ht & Dimensions 52. Garage Fire Protection Framing -RC Channel 53. Property Line Firewall & Openings 54. Ext. Doors -One T -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 Date Card B-1 Date Card B-1 Comments at Final: 62.Insulation-Walls-Ceilings 63. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Cana 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 (F.F.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 Cl Yes 83. Following lnstldJDrive 0 Yes 0 No/Walks D Yes O No/Planters O Yes 0 No 84. Stucco Brown -Finish 85. AC. Unit Disconnect, Electrical -Plumbing 86. Vents Above Roof, Pibg-Appliance-Fireplace-Clearance to Openings 87. Water Well, Disconnect, Electrical, Plumbing 88. Exterior Elec. Trim, G.F.I. Receptacle -Underground 89. Ventilation Throughout House 90. Glass Protection 91. Corrections from Previous Inspections 92. Gas Test -Meters Tagged, Gas -Electric 93. Water & Sewer Connected -C/O to Grade -HD Approval 94. Energy Compliance Certificate -Other Certificates 95. Address Posted 96. Fre Sprinkler Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: 1� PLAN VIEW Project Location: Steve and llohka KAye North 9S88CnhaeoetRoad APN:O5O-DO-051-O0U Cont John NLWestwood Westwood Construction Services 1235Neal Dow Avenue Chico, CA85020 10 ft. Lic.#7OO252 Plans designed byJohn Westwood 6X6 POSTS (SEE ELEVATION AND FOOTING SCHEDULE p3o. /n,ncHEo) ~ N U u . Project Location: Steve and Tishka Mye 9980C h etR d CONNECTIONo aem Road DETAILAPN: 056-110-051-000056-110-051-000 (VIEW SOUTH) Contractor� John VVWestwood Westwood Construction 8omices 1235Neal Dow Avenue Chico, C405926 Lic.#78O252 Plans designed byJohn Westwood /—\ 6X6 BEAM ROOF SUPPORT �� `/ /~\ | / a|Mpo0wCcoOo-SoS2POST CAP AND Ba3sT0MATCH POST & BEAM CONSTRUCTION 4X6 WOOD POST NOTE: WHERE MORE THAN ONE BEAM FRAMES INTO COLUMN, LARGEST BEAM RECEIVES POST CAP & OTHER BEAM/SRECEIVE TOP FLANGE HANGER. THIS DETAIL SHOWS NORTHERN SIDE DPPORCH (VIEW SOUTH). F�~" ~~~—'—' v r Q ' 5/8 SHEATHING COMPOSITION SHINGLES CONVENTIONAL FRAME PITCH: 5X12 2X8 RIDGE PEAK T0MATCH EXISTING ROOF (CONNECTION ToEXISTING ROOF SHOWN 0N ATTACHED DETAIL) 2X6 RAFTER Project Location: Steve and Tishka Mym ELEVATION 9988CoMmaaetRoad 8PN:U50-11O-U51-0U0 Contractor. - John W. Westwood ontractocJuhnW.VVeumvood North Westwood Construction Services 1235Neal Dow Avenue - Chico, CA 95926 Lin.#780252 Plans designed byJohn Westwood E OLLAR TIES, 24" ON CENTER 'X6 JOIST .-V SEE FOOTING SCHEDULE AND DETAIL BELOW SIMPaoNPOST TOBEAM CONNECTION TYPICAL �mmPOST W1xBA44 BASE SECT RU qCANJ RFINF PER PLAN REINFORCING: (3) #5 BOT EVY a IN I AN u`.;:.r, �$fti yi f ! k SA df 9 C�.i.6E Ji i f��kie R-)" d1,,i2,,, . 7 u� Dat Ig Lau e� UJI O wr,.e 6S� /i%o Site L-or-�;O Conte 63 Aell-I F '1811,11", �9 6 Ups sRUVA LHUSE ORL! A01 Plan Attach Row Man A itact ad Seal to S.D. TO: Building Department FROM: Environmental Health SUBJECT. Sanitation Clearance wrier Location AP# Plan Approved for: Sewage Disposal Water Supply: Public Private Well X Clearance for -dweIrme. Other Hold final for: Final clearance O.K. for: NOTE: (7 Y Environmental Health Specialist om n F OR Oft --IGF- USF- ONLY PKOVIE L a � s t