HomeMy WebLinkAbout058-300-007058-300-007 PERMIT#97-1116
MCCALL, Clark & Alice
3942 Yellow Wood Rd., Oroville
Mobilehome Utilities
ELECTRIC A0 _2 (9 a2 (-p
GAS LINE L-10 3/l/ a?d'
COMPACTION TEST REQ?�
SUPPORT STRUCTURE REQ?
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RESIDENTIAL
PERMIT" 058-300-007 PERMIT#97-1116
jMCCALL, Clark & Alice j
PERMIT' 3942 Yellow.Wood Rd., Oroville �
Mobilehome Utilities p 1p
OWNER �/ / 7 7
i'
CONTR.
ASSESSOR PARCEL
LOCATION
0
0
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A}�
1
ii
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A
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Temp. Power Pole
Called PG&E
Temp. Elec. Service
Called Pb&E
Temp. Gas Service
Called PG&E
:JOB FINALED (Date)
f' Signature
t
.t
i}
P
V=OK
O = Not OK
- =Not Ap licable
'=Not Ready MOBILE HOMES
Date I
MOBILE HOME UTILITIES (Plans) OK except #'s
✓
1.,�o6ing Requirements - Setbacks - Easements
Loof
.Soils; Special MH Support Sketch
11. Ext.; Steps -Doors -landings
3. ewer, Location -Test -Fall -C/O -Concrete
12. Braced Wall. Panels
Water, Location -Test -Easement Needed (Sketch)
Electricity; Location-Clearances-Gmd-/ /Amp -Concrete
Le
Ga's; Locati�o jTest-Wrap/• � mit.
/Nat. orh0 ,11 -"ft./ VifLPG
Card B-1 Date Card B-1
7. Well Clearance & Disconnect
POOLS (Plans) OK except #'s
Utility Clearance
1. Setbacka-Easements
2. Soils; CompactionStructure Stability
Date". )Card B-1 ate Card B-1
Date
Card B-1 Date Cana 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-DemamWalve-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
12. Permanent Foundation Only: license Decal
Date Card B-1 Date Card B-1
uate Card B-1 Date Card B-1
MISCELLANEOUS
Date DECKS, COVERS, CA�� ARA ES Plans) OK except #'s
1. Zoning Requirements -Setbacks -Easements
2. Footings; SoilsSize-Depth-Spacing-Connectors-Steel
3. Decks; Girders and/or Joists-Decking-BracingStairs-Rails
4. Wood Awn.; Posts-Beams-Rttrs.-Connectors
Shthg.-Rfg: Bracing.
5. Alum. Awn.; Columns-ConnectionsSplice-Decal-Enclosures
6. Carports; Windows -Doors
7. Electric
8. Frmg.; Sils-AnchorsStuds-Rttrs-Trusses
9. Siding; Nailing-VeneerShxx*-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. Setbacka-Easements
2. Soils; CompactionStructure Stability
3. Pool Structure; Steel -Connections -Thickness
Dead Men -Lining
4. Elec.; Receptades and Lighting, Distance-GFI
5. Elec.; Pool Lighting; 15 Volts-GFI
6. Elec.; Enclosures; Conduit Entries -Terminals -Listed
7. Elec.; Bonding; Metal w/8 -Circulating Equip. -Heater
8. Elec.; Grounding; Equip. w/5 Circulatirl9 Equip. -Pool Lghtg.
Boxes-Enclosures-Panelboards-Ins. to Main in Conduit
9. Health Department Approval
10. Plumb.; Cir Test -Water Supply Test
11. Light Niche
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
✓ = OK
0 = Not OK
- = Not Applicable
. = Not Ready
Date UNDERFLOOR (Plans) OK except #'s
1. ZoningSetbacks-Easments-FloodSlope
2. Ftg., Main; Soils-Elec. Gmd. / /` Ftg. Depth
RESIDENTIAL (Single & Duplex)
Date
3.
Ftg. Garage; Soils-Steel-Elec. Gmd/ /' Ftg. Depth
4. Ftg. Porches & Decks; SoilsSteel-/ C Ftg. Depth
5.
Stemwalls, Main; Steel-BlockoutsAAfrapped
6.
Stemwalls, Garage; Steel-Blockouts-Wrapped
6a.
Hold Downs and Special Anchors
50.
7. Slab, Steel0rapped
8.
Piers -Fireplace Ftg.Sted
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.
Pienums & Ducts; Clearance -Material -Support -Ins.
14. Girders -Sills -Anchor BoltsJoists-Vents-Crippies
15. Access & Ventilation
Glazing Area -Glass Protection -Skylights -Plastic
16.
Insulation
Shear Walls; Nailing -Bolts
60. Brace Interior / Exterior Wall Panels
Date
61.
Card B-1 Date Card B-1
Date
62. Infiltration -Walls -Windows
Card B-1 Date Card B-1
Date
PLUMBING (Permit) OK except #'s
17. Water Htr.; Vent -Access -Combustion Air Baffle
Date
18.
Water Pipe; Test & Anchor -Nail Protection
Date
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; Sae & Anchors
66.
Bedroom Exiting
Date
67.
Card B-1 Date Card B-1
Date
68.
Card B-1 Date Card B-1
Date
69.
ELECTRICAL (Permit) OK except #'s
23.
Fixture & Transformer Clearance -Ins. Protection
24.
Elec. Receptacles Spacing -Lights & Switches at Doors
25.
Size Boxes & No. of Conductors Stapled
26.
Romex Installed Close to Edge of Studs & C.J.
27.
Equip. Ground made up w/Mech Fastners-Bond Gas & Water
28.
2 Appliance Circuts in Kitchen & Conductor Size GFI
29.
Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / /ga Cu or AI
77.
30.
Range Circ. / / ga Cu or AI -Oven Circ. / / ga Cu or AI
Insulated Neutral 0 Yes 0 No
78.
31.
Service -Riser Conductors & Ground -Main Disconect
79. Insulation -Foam -Looked in Attic
32.
Equip. Clearances Panels -Motors -Meth. Epuip.
33.
Clothes Closet Light -Shower Light -Spa Light
34.
Smoke Detector
83.
Stucco Brown -Finish
Date
84.
Card B-1 Date Card B-1
Date
85.
Card B-1 Date Card B-1
Date
86.
MECHANICAL (Permit) OK except #s
35.
A.C. Ducts Insulation & Support
36.
Vent Fan, Exhaust above insulation
37.
Condensate Drain & Overflow, Size & Grade
38.
Fumance-Vent Access -Comb. Air -Return Air Vent 115 outlet
91.
39.
Attic Access & Platform if Furnace in Attic
92.
Water & Sewer Connected -C/0 to Grade -HD Approval
93.
Energy Compliance Certificate -Other Certificates
Date
Cana B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
FRAMING (Plans) OK except #'s
40.
Sits Proper Materials & Anchors
41.
Walls Studs -Nailing Spacing & Braces -Plates -Sound
42.
Bearing Walls over Girders & Floor Nailing
43.
Draft Stop in Walls (rat proof)
44. fire Stops, Furred Ceilings -Stairs -Chasers -Tubs
45.
Headers & Beams -Size & Bearing
Date
FRAMING (Continued)
46. Hangers -Post Caps -Anchors -Connectors
47.
Cling. Joist-Rftr. Ties-Purlin-roff Brac.-TrussShting: Rfng.
48.
Fireplace Ties or Type A Flue -Fireplace Throat clearance
49. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
50.
Bdnn. Windows or Exiting Doors -Sill Hgt. & Dimensions
51.
Garage Fire Protection Framing
52.
Property Line Firewall & Openings
53.
Ext Doors -One 3 -Check Garage 3rd Story, 2 Exits
54.
Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
55.
Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
56.
Siding -Nailing Veneer
57. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access
58.
Glazing Area -Glass Protection -Skylights -Plastic
59.
Shear Walls; Nailing -Bolts
60. Brace Interior / Exterior Wall Panels
61.
Insulation-Wa IIs -Ceilings
62. Infiltration -Walls -Windows
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
FINAL (Plans) OK except #'s
63.
Ext Steps -Door & Sidelight Protection -Landings
64.
Smoke Detector
65.
Furnace; Vents -Clearance -Comb, Air-Conector-
In Garage; Above Floor -Ducts -Meth. Protection
66.
Bedroom Exiting
67.
G.F.I. & Bath Fixtures & Tub Access -Spa
68.
Elec. Trim & Subpanel, Breaker Sizes & Labels
69.
Stairs & Rails
70.
Fireplace or Stove, Clearance -Hearth
71.
Elec. Outlets at Wood Panel, Int. & Ext.
72.
Kit. Fixt. & Appliance; Ground. -Air Gap -Cooking Clearance
73.
Elec. Outlets & Recepticales at Kit. Counter
74.
Garage Fire Door; Swing -Landing -Closure
75.
A.C. Duct in Garage -Damper
76. Wtr. Htr; Vents -Clearance -Comb. Air Connector-P.R.V.
In Garage; Above Floor -Meth. Protection
77.
Plb., Elec. & Mach. Equip. Listed for Location
78.
Elec. Receptacles in Garage (G.F.I.)-Romex Protection
79. Insulation -Foam -Looked in Attic
80. Guard rails & Deck Construction -Post Caps
81.
Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth
Clearance Looked under Floor 0 Yes
82.
Following Instld./Drive 0 Yes 0 NolWalks 0 Yes 0 No/Planters 0 Yes 0 No
83.
Stucco Brown -Finish
84.
A.C. Unit Disconnect, Electrical -Plumbing
85.
Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings
86.
Water Well, Disconnect, Electrical, Plumbing
87.
Exterior Elec. Trim, G.F.I. Receptacle -Underground
88.
Ventilation Throught House
89.
Glass Protection
90. Corrections from Previous Inspections
91.
Gas Test -Meters Tagged, Gas -Electric
92.
Water & Sewer Connected -C/0 to Grade -HD Approval
93.
Energy Compliance Certificate -Other Certificates
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Comments at Final:
COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES- BUILDING DIVISION
7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO.
(Rev.12/96) APPLICATION AND PERMIT ' li 11 Lo
ASSESSOR PARCEL NUMBER
058-300-U07
ZONING
f r-5
BUILDING PERMIT
OWNEfj-IARK J. & ALICE C. WCALL
TELEPHONE
SO, FT, OCC. BUILDING VALUATION
OWNW"WIDORM3, YANKEE HILL, CA 95965-4083
CONT"ME
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
CONSTRUCTION LENDER
LENDER'S MAILING ADDRESS
'
Fireplace
Total Valuation $
ARCHITECT OR ENGINEER
UCENSE NO.
Filing Fee $
%2-0.00
Permit Fee $
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee $
2J.Uti
BUILDING ADDRESS 3942 YELLOW WOOD RD., OROVILLE
Energy Plan Checking Fee $
PERMIT FEE _
23.00
IAT NO.
S UBDNISION'S NAME
PARCEL MAP
PLUMBING PERMIT
Fling Fee 20.00
USEOFSTRUCTURE
SF ❑ Duplex.❑ MobilehomeyG' Other
SPECIFY
Each Trap
7.00
Solar or heat pump water heater
23.00
Water piping
15.00
Each as water heater or vent
15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities 6XInstallation ❑ Other ❑
Describe Work:
Gas piping system 1 - 5 outlets J
15.00
Building sewer
15.00
Mobile Home S .G 1 W I
@20.00.
PERMIT FEE $
8u.uu
ELECTRICAL PERMIT
Filing Fee 20.00
Main Service . V OR LES9
zoOA OR LESS
23.00 ' 00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
.
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license is in full force and effect.P
License Class LIC. NO.
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
$141 I, as owner of the property, or my employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
❑ I, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
❑ 1 am exempt under Sec. Business and Professions Code for this
reason
Main Service 200A TO 1000A
46,00
NEW CONST. DWELLING OCCUR
OR ADDNS. ( d ACC. BUDS.
sD
3.5¢FT.
NEW CONST. MULTI -OUTLET
NON-RESID. A C'RC
97.50
OWER APPARATUS
d SINGLE OUTLET OIR.
Ex. Occup. OUTLET OR FIXTURES
20 @ 1'00
SAL 0 .50
Ex. Occup. OUTLET. (RES D.OEA
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00 LU. {JU
Misc. Wirina
23.00
PERMIT FEE $
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
❑ 1 have and will maintain workers' compensation insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permit is issued.
My workers' compensation insurance carrier and policy number are:
Carrier
MECHANICAL PERMIT
Fling Fee 20.00
Heating
Cooling
Hood
6.50
Ventilation
PERMIT FEE $
Policy Number
(The above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
O, I certify that in the performance of the work for which this permit is issued, I shall
not employ any person in any manner so as to become subject to 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.
/ _
X ��r_� /c h1L!�_Date _� - O_I 1 7 _
Signature of Applicant - 0 Owner ❑ Contracto_r ❑ Agent
An OSHA permit is required for excavations over 60" deep and demolition or construction
of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
CONST. TYPE TOTAL FEE $
HAZ.
D. FEES ,IMP '
FLOOD
CDF
PARCEL PD
HD
ISSUE
This permit is hereby issued under the applicable provisions
of the Butte County Code and/or Resolutions to do work
indicated above for which fees have been paid.
r .•+�' "'
By r. r Date
PERMIT EXPIRES ON l `, / I -_
I Date
ReceiptNo. ZZ.UZZ
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
COUNTY OF BUTTE
APARTMENT
BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
411 Main Street, Chico, CA - (916) 891-2751
7 County Center Drive, Oroville, CA - (916) 538-7541
1
CORRECTION NOTICE
ER v PtRrMft—NO.
A routine inspection indicates that the following violations of Butte County Ordinances exist at
the above address and should be corrected. Please notify this office when correction of work
is completed. If you have any questions pertaining to this matter, or need additional explanation,
alease contact this office immediately.
REV 10192
COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION
7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO.
(Rev. 12/96) APPLICATION AND PERMIT 92' I / I (P
ASSESSOR P 300 BER
ZONING fr-5
BUILDING PERMIT
OWNEhARK J. & ALICE C. MCCALL
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
OWNEV IWNOGADD (83, YANKEE HILL, CA 95965-4083
CONTbQMrME
TELEPHONE '
CONTRACTOR'S MAILING ADDRESS
CONSTRUCTION LENDER
Fireplace
LENDER'S MAILING ADDRESS
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee
$
Permit Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Plan Checking Fee
$
BUILDING ADDRESS
3942 YELLOW WOOD RD., OROVILLE
Energy Plan Checking Fee
$
$
PERMIT FEE
S
LOTNO.
SUBDIVISION'S NAME
PARCEL MAP
PLUMBING PERMIT
Filing Fee 20.00
USEOFSTRUCTURE
SF ❑ Duplex ❑ Mobilehome)ff Other
SPECIFY
Each Trap
7.00
Solar or heat pump water heater
23.00
Water piping
15.00
Each gas water heater or vent
15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel 11Utilities �}( Installation ❑ Other ❑
Describe Work:
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home
@20.00 0.00
PERMIT FEE
S 80.00
ELECTRICAL PERMIT
Filing Fee 20.00
Main Service 600V OR
23.0023.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license is in full force and effect.
License Class Lic. No.
OWNER -BUILDER DECLARATION
1 hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
�1 I, as owner of the property, or my employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
❑ I, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
❑ 1 am exempt under Sec. Business and Professions Code for this
reason
Main Service 200A TO 1000A
46.00
NEW CONST. DWELLING OCCUP.
OR ADDNS. ( s ACC. BLDS.
So
3.50FT;
NEW CONST. MULTI.OUTLET
NON-RESID.BRANCHCIRCUITS
97.50
POWER APPARATUS
8 SINGLE .UCIR.
Ex. Occup. OUTLET oRFaTUREs
201•00
BAL @ .50
LNS
Ex. Occup. ourLE Ds RES D.OEA
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00 20.00
Misc. Wiring
23.00
PERMIT FEE
$ 63.00
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
❑ 1 have and will maintain workers' compensation insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permit is issued.
My workers' compensation insurance carrier and policy number are:
Carrier
MECHANICAL PERMIT
Filing Fee 20.00
Heating
Cooling
Hood
6.50
Ventilation
PERMIT FEE
S
Policy Number
(The above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
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 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.
fM 4/ p q
X /14 _1eM Date � D, /=9 7 _
Signature of Applicant - $ Owner ❑ Contractor ❑ Agent
An OSHA permit is required for excavations over 60" deep and demolition or construction
of structures over 3 stories in height.
Mobile Home Installation Fee
$
Energy Inspection Fee $
occ
CONST. TYPE 16V.00
TOT FEE $
HAZ.
D. FEES MP FLOG
CDF AR
PD HD ISSIJ�
This permit is hereby issued under
of the Butte County Code and/or
indicated above for which fees have
B y
PERMIT EXPIRES ONHITE-D.D.S.-B.D.
the applicable provisions
Resolutions to do work
been paid.
at G 7
Dafe
weceiptNo.2Z?�LZ
CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
-COUNTY OF BUTTE DEPARTMENT OF DE
7 COUNTY CENTER DRIVE - OROVILLE, C,
PERMIT APPLICAI
j�'jT•s:;;��:f1M�+'�'�k-+S'�v' n'.. r;���i(•�-iF'.`;.'�Y:7f�l"!�sS^t.�17'.:t•�.a:'y TY � ,
OPMENT SERVICES - BUILDING DIVISION
JRNIA 95965 - TELEPHONE (916) 538-7541
DATA SHEET
r"
OWNER: e,, ��( {�/� C I ASSESSOR PARCEL NUMBER: 0 U — O O %
Proposed Building Use: j 4 1-1 d� Building Inspector: Date:, /2 9 7
At time of permit application, I was advised the following data must be submitted prior to permit p cro essing and/or issuance:
1• Date Received By
❑ 1. 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! ---------
06. Energy Design Compliance and supporting documentation. -------------------------------------------
❑ 7. Statement of Intent for Non -Heated and A/C Buildings. ------------------------------------------------
El8. Hazardous Material Form. ---------------------------------------------------------------------------------
❑9. Manufactured Home data and installation instructions including Tie Down Specifications.---------
,
❑ 10. Fees of $ ----------------------------------------------------------------------------
Iv " pact fees as shown on the attached schedule. - ------ --- --- --- -------------------------------
1_ -
California Department of Forestry plan approv fees.-----------------------------
❑ 13. Flood elevation certificate. ------------------------------ -------------------------------------------------
044-Wi itoo/ation and plot plan approval j5joj Iealth Department. ---------------------------------
❑ 15. City of Chico plumbing permit. -------------------------------------------------------------------------
❑ 16. Plot plan and business license approval from the City of Biggs. -------------------------------------
❑ 7. Planning approval for (A) Use: (B) Parking: -------------------------.
Contact Land Development about ❑ Improvements, ❑ Drainage, Legal Parcel. ---------=-------== `--
❑ 19. Encroachment Permit for driveway (construction approval 'prior to occupancy). ----------------------------
❑20. Pre-inspectionor required. Request to Building Inspector on (Date)
E121. Contractor'sjlicense information. (Number, Name Style, Classification). ------------------------------------
0 22. Workers' Compensation carrier and policy number. --------------------
023. Owner -Builder Verification (Given to owner ❑, Mailed to owner ❑).
❑ 24. Letter of signature authorization. ------------------------------
Ay925. Recorded copy of Agricultural Acknowledgment Statement.
❑ 26. Letter of intent on building use. ------------•
❑27. Manufactured Home utility clearance. -----
028. Existing violations and/or expired permits.
1129. 11433 A, ❑Grant Deed, ❑ M.H. Title, 0 Check to H.C.D $
3 0. Other: O'i'l. r
When you issue the permit, process
`ATelephone -33— 2336
lows ❑ Iva 1 to owner, ❑Mail to contractor.
and hold for pickup at _ office. ❑ Deliver with inspector.
1
5- _
Applicant: /y 4� Date: ✓' % — % J
Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, ❑ Air Pollution Date: By:
Copy of plans sent ❑ Health Department, ❑ Fire Department, ❑ Other: Date: By:
1. Index permit application for the above items numbered: >L ❑ Plan Check List
2. Additional items required:
Contractor, designer, owner, was advised of the above required data by phone, ❑ mail, ❑ Building Division counter, by Date:' 9 7
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 required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date:
Contractor, designer, o er wa advised of the above required data by ❑ phone, ❑ mail, ❑ Buildin Di 'sion ounter, by Date:
Plans reviewed by: Date: - Plans approved by: J Date:
Sets of plans odholdJA ❑ Plan Cabinet, ❑ A.P. folder. Note transfer by: Date:
Yellow Copy - Department of Development Services, Building Division.
y
TO: Building Department
FROM: Environmental Health
SUBJECT: Sa itat%ionlJClearance /A J
ov ✓- l � G(.lfi I/(/v0 4P4
c'- 4" X19-JI(ovi
Ow# r Location
E.H. USE OI l��Y
Plot Plan Attached
Floor Plan Attached
Sent to
S'� -_?d - c17
Plan Approved for ewage Disposal Water Supply: Public
Clearance for elling. Other
Hold final for:
Final clearance O.K. for:
NOTE:
Environmental Health -Specialist
8/96
AP#S�il'>>�
Private Well
Date
O.B.- I
OWNER -BUILDER VERIFICATION
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 materials for construction of the proposed
property improvement: YES 1 d NO ❑
2. I HAVE K 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: y�yE
ADDRESS:
CITY:
PHONE: CONTRACTOR'S LICENSE NO.
4. I plan to provide portions of this work, but I have hired the following person to coordinate,
supervise, and provide the major work:
NAME: V ox" (t
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
�o�vE
SIGNED:
PROPERTYOWNER:
SOCIAL SECURITY NUMBER:
DATE: --- :Z 9— 9 7
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.
OVER
OWNER BUILDER INFORMATION
Dear Property Owner:
O.B.- 1
An application for a building permit has been submitted in your name listing yourself as the builder of property
improvements specified.
For your protection, you should be aware that as "owner -builder" you are the responsible parry 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 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 family, 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 withholding, federal social security taxes,
workers compensation insurance, disability insurance costs, and 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 worker's compensation insurance.
♦ For more specific information about your obligations under Federal Law, contract 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 contracting the Contractors 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 that you
are aware of these matters. The building permit will not be issued until the verification is returned.
+Mage'rC,BZi1diirng
��1
a, C.B.O.
Inspection
NOTE. This Orvner-Builder Information is required by Section 198.30 of the California Health and Safety Code.
OVER
(Rev. 12/96)
COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO.
APPLICATION AND PERMIT ��-' / ���I
ASSESSOR PARCEL NUMBER
— 3Da v V
ZOO"_q
K
BUILDING PERMIT
OWNERTELEPHONE
SO. FT. OCC. BUILDING VALUATION
OWNERS` JU pQESS
CONTRACTOR'S NAME ^��
TELEPHONE '
CONTRACTOR'S MAIUNO ADDRESS
CONSTRUCTION LENDER
Fireplace
LENDER'SMAIUNG ADDRESS
'
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE NO.
Fee
$�
—Filing
Permit Fee
$ -
ARCHITECT OR ENGINEERS MAIUNG ADDRESS
Plan Checking Fee
$
BUILDINGADDa=A&h
O r
Energy Plan Checking Fee
$
$
ra ,
PERMIT FEE
s 23 a
LOT NO. SUBDIVISION'S NAME PARCEL MAP
PLUMBING PERMIT
Filing Fee 20.00
Each Trap
7.0023.00
USEOFSTRUCTURE
SF ❑ Duplex O Mobilehome/ff'-pther
SPECIFY
Solar or heat um water heater
Water piping
15.00
Each as water heater or vent
15.00
TYPE OF WORK
New O Addition ❑ Remodel ❑ Ulilities installation ❑ Other O
Describe Work: t/�,
��
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Hom S G,
@20.006
PERMIT FEE
S 0,061
ELECTRICAL PERMIT
Fling Fee 20.00
Main Service 2o0A OR LESS
23.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license is in full force and effect.
License Class Lic. No.
-BUILDER DECLARATION
1 hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
O 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.
O 1, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
O 1 am exempt under Sec. Business and Professions Code for this
reason
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
O 1 have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
❑ 1 have and will maintain workers' compensation insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permit is issued.
My workers' compensation insurance carrier and policy number are:
Carrier
Policy Number
(The above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
❑ 1 certify that in the performance of the work for which this permit is issued, I shall
not employ any person in any manner so as to become subject to workers'
compensation laws of California, and agree that if I should become subject to the
workers' compensation provisions of section 3700 of the Labor Code, I shall
forthwith comply with those provisions.
X Date
Signature of Applicant - [3Owner O Contractor ❑ Agent
An OSHA permit is required for excavations over 5'0• deep and demolition or construction
of structures over 3 stories in height.
Main Service POA TO I000A
46.00
NEW CONST. DWELLING UP. s0
OR ADONS. ( d ACC. BIOS. 3.5CFT.
=20 o.' M;T'-ovrLEr @7.50
POWER APPARATUS
d SINGLE OUTLET CIR.
EX. OCCU OUTLET OR FIXTURES BAL O �.w
OWNER
FIXED APPLNS. OR
Ex. Occup. OUTLETS RESID. EA 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00 2�.00
Misc. Wiring 23.00
PERMIT FEE $ 60
MECHANICAL PERMIT Fling Fee 20.00
Heating
Coolin
Hood 6.50
Ventilation
PERMIT FEE $
Mobile Home Installation Fee $
10C
Energy Inspection Fee $
Occ
CONST. TYPE
TOTAL FEE $
HA2. 1 0. FEES
IMP FLOOD
I COF
PARCEL I PD I NO
I ISSUE
This permit is hereby issued under
of the Butte County Code and/or
indicated above for which prw�_r
By
PERMIT EXPIRES ON
the applicable provisions
Resolutions to do work
e been paid.
/p�To�
ReceiptNo. ZZ 2—/ Z
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
,y REVEI�1 ED BY
F]approved
TTE CO1 FIRE DEPT.
F. CREPT' oY FORESTRY
a: submitted
approved roved w th conditions
�o per attachec �"�eet.
L�q
/I Acus 97
iunature Date
44
re
;_T t So ALL STRUCTURES AND EQUIPMENT INCLUDING
sor � W ERHANGS SHALL BE CLEAR OF ALL EASEMENTS. n
SET BACK OF 3a — FT. FROM THE SIDE AND a
11'0 FT. FROM THE REAR PROPERTY LINES AND
FT. FROM THE ROAD CENTERILINE SHALL BE
D / f tOCLEAR OF STRUCTURES AND EQUIPMENT EXCEP
F.OR A 2 FT. EAVE O�'ERHAIG• The attach Flee Sate
K _40irequiremen must be oompleW
as .. and approved
h b Q
yC y V
Cor h¢ C.1
out o AL Mahriah i VLadmonship scif •e b
Aoeordance wifh Recognized GoQd Proe.Vkos oa
f of 'a. qud'r1p proscribed for the Spefcified we ie !�
8uitding, Plumbing do M 'col CAdr we
101101.f6Cftad Ci&
Dk
t tJe Wq ` leis at at P44 Wd wsr. 7C W.. ,
Y on fhe job of oN Hmes vndlit h unlawm
.*nate any changes or olferofloru on :ams with".
s+tflsn Peron from fhe Dopd�1�����. .
ower poke I- e5 C3 i
` A permit will be required for the
(I -installation of the mobilehome.
F - tear _
IQ/
APPROVE
.CDF FIRE SAFE REQUIREMENTS
?7-0r t lnG of
AP# PERMIT # NAME
Under authority of PRC 4290, the following checked items are required
by the Butte County Fire Department and are made a part of this permit.
These requirements are minimums and.will be superseded by Butte County
local regulations which equal or exceed these standards. Field
inspections will be made by the Butte County Building Department for
compliance.
0,1 1272.00 Maintenance of Defensible Space. To ensure continued
maintenance of properties in conformance with these
standards and measures and to assure continued avail-
ability, access and utilization of the defensible space
provided for in these standards, annual maintenance
must -be provide for by the land owner.
Driveway Standards
1:)(1 1273.02 Surface. All driveway surfaces and structures (bridges,
1273.07 culverts and other appurtenant structures which supple-
ment the roadway bed or shoulders) shall provide unob-
structed access to conventional drive vehicles, includ-
ing sedans and fire apparatus weighing up to 40,000
pounds.
1273.03 Grade. Not to exceed 16 percent unless paved.
I 1273.04 Driveway Radius
[ 1. No roadway shall have,a horizontal inside radius of
curvature of less than 50 feet and additional sur-
face width of 4 feet. shall be added to curves of 50-
100 feet radius; 2 feet to those from 100-200 feet.
[�} 2. The length of vertical curves inroadways exclusive
of gutters, ditches and drainage, structures designed
to hold or divert water shall be not less than 100
feet.
1273.05 Turnarounds. If required, will have a minimum turning
radius of 40 feet from the center of the road.
[�] 1273.05 Turnouts. Shall be a minimum of 10 feet wide and 30
feet long with a minimum 25 foot taper on each end.
[`{C] 1270.10 Width. All driveways shall provide a minimum 10 foot
traffic lane and unobstructed vertical clearance of 15
feet along its entire length.
Page 1 of . 3. .
S?- 3 0 - 0 Gl 7 -i 1I � n( G �.
AP # PERMIT # NAME
[ 1273.10 Turnouts. Driveways exceeding 150 feet in length, but
less than 800 feet in length, shall provide a turnout
near the -midpoint of the driveway. Where a driveway
exceeds 800 feet, turnouts shall be provided no more
than 400 feet apart..
[�] 1273.10 Turnaround. A turnaround shall be provided at all
building sites on driveways over 300 feet in length and
shall be within 50 feet of the building.
1273.11 Gates
[�] 1. Gate entrances shall be at least two feet wider than
the roadway it serves.
[�] 2. The gates must be located at least 30 feet from the
roadway and shall open to allow a vehicle to stop
without obstructing traffic on that roadway.
[ ] 3. Where a one-way road with a single traffic lane
provides entrance, a 50 foot turning radiusshall be
used.
Fuel Modification
1276.01 Setback for Structure Defensible Space.
[ 1. All parcels 1 acre aid larger shall provide a mini-
mum 30 foot setback for buildings and accessory'
buildings from 411 property lines and/or the center
of the road.
[ ] 2. For parcels less than 1 acre, local jurisdiction
shall provide for the same practical effect. See
Other Requirements below.
1276.02 Disposal of Vegetation and Fuels. Disposal, including
chipping, burying, burning or removal to a landfill site
approved by the local jurisdiction, of flammable
vegetation .and fuels caused by site development and
construction, road and driveway construction and fuel
modification shall be completed prior to completion of
road construction �r fi:ial inspection of a building
permit.
Page 2. -of 3
a
0-0
AP # PERMIT # NAME
Other Recruirements
[ ] If Building Setback is 15 to 30 Feet:
- Class A or B roof
- Enclosed eaves
[ ] If Building Setback is Less Than 15 Feet
Choose any 3 of the following:
- Metal or no doors on side toward property line with insuffi-
cient setback
- Class A or B roof with enclosed eaves
- Interior automatic spri_zkler,system per NFPA 13-D
- Glass area not to exceed 1_0% of wall area toward property
line with insufficient setback,
- Siding from the following list:
Stucco - 3 coat
Hardi-Board or Plank
Masonry
Masonry veneer
Metal
Other Butte County Fire Department approved materials
Date Signature
Page 3 of 3
te
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t
LAND DEVELOPMENT
BUILDING / ENVIRONMENTAL HEALTH - PERMIT CLEARANCE Building Permit No. �- / 1!�o
>� �{aztj
OWNERS A P.
NAME: NUMBER:, Jl_ 30c)
PRINT LAST NAME FIRST
COUNTY ZONING I to
DESIGNATION: FLOOD ZONE: FLOOD MAP:
APPROVED: \ CONDITIONALLY APPROVED: RESOLVE PROBLEMS PRIOR TO APPROVAL:
' �...—,PARCEL CREATION BY DEEDS OR MAP ✓ 2Z. I I iR c'
DEED INFORMATION: Cv hjC_ow (Zh
r;)ARrL0 GR ItrGo 'rPM
DATE OF CREATION:
LEGAL ACCESS PROVIDED: YES NO
COMPLIES WITH COUNTY STANDARDS FOR DEED CREATION
COMMENTS/CONDITIONS:
DEED REFERENCE:
LEGAL ACCESS REQUIRED: YES NO
YES NO
MAP INFORMATION:
DATE OF RECORDING I Za % LOT BOOK -73 PAGE I S
COMPLIANCE WITH OLD SUBDIVISION LOT ORDINANCE REQUIRED? (MAP RECORDED PRIOR TO BOOK 17 OF MAPS AT
PAGE 23): YES v� NO . IF YES, MARK APPROPRIATE ITEM(S) BELOW:'
A. Construct road to B. Meet parcel size required by zone. C. Meet current E.H.D. requirements.
�CHECK SPECIAL CONDITIONS WHICH APPLY TO MAP: ALL FEES TO BE PAID TO THE BU/LD/NG DIVISION UNLESS OTHERWISE NOTED.
1. Maintain a 50 ft. building setback from centerline of road-
_ 2. Maintain a ft.building setback from right-of-way/centerline of
3. Comply with Zoning code for building setback from road.
4. Maintain a 100 ft. leachfield setback from all existing wells.
%C 5. Maintain a 100 ft. leachfield setback from .S P 9 I N & S
6. Pay water tender fees in the amount of $ to Battalion Number of the Butte County Fire Department.
X7. Meet the Fire Safe Regulations of Butte County and P.R.C. 4290.
8. Connect to a public water supply.
_ 9. Connect to a public sewer system.
_ 10. Automatic fire suppression sprinkler systems shall be installed in all residential structures in accordance with the National
Fire Protection Association Standard for the installation of sprinkler systems in one and two family dwellings and mobile
homes, NFPA Standard 13D, unless a pressurized community water system, with hydrants that meet Fire Department
specifications, serves the parcel.
_ 11. Pay T.D.D. (Thermalito Drainage District) fee in the amount of S_
12. Meet the requirements of the Department of Fish and Game for the preservation of oak trees. (See phone number below)
0
13. Obtain approval from the Department of Fish and Game for vegetation removal. Contact Fish & Game at 916-355-7010.
—14. A traffic mitigation fee for each new or additional living unit shall be paid. Pay the amount of $ as stated
in the Oroville Area Traffic Mitigation Fee Agreement. Payment to be made to the Planning Division.
_ 15. All new residential buildings shall be constructed to comply with the requirements of the Uniform Building Code for seismic
safety. Mobile homes shall be constructed on a permanent foundation system which complies with the Seismic Zone 3
requirements of the Uniform Building Code.
16. Deer Mitigation fees are to be paid, if such fees have been adopted by the Butte County Board of Supervisors.
X 17. Pay school impact mitigation fees.
X 18. A development impact fee for sheriff facilities shall be paid pursuant to the provisions of Chapter 3, Article II of the Butte
County Code.
_ 19. Wood stoves and fireplace inserts shall be EPA approved and designed to meet the emission requirements of the California
Clean Air Act of 1988 as amended.
_ 20. If any cultural resources are encountered during ground disturbing activities, all work shall cease in the area of the find
pending examination of the site by a professional archaeologist. This person would then be able to assess the site
significance and suggest appropriate mitigation measures.
Y21. SEE 73M 19 v2 L5:)CA-1f1orr/3– 0 V= eAS e:M.1E-N–f S
22.
23.
24.
25.
26.
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020A
En'-onmental Health
st-moc-
wit
70oUllt, �' Uenter Drive
Oroville, Ca
61,;
Q u AP
OWNER
PERMIT"��
NH UTIL. CLEARANCEDATE ; ; - 2 3 g'
INSPECTOR K `� 9
ELECTRIC
GAS
Support
Struc.
Compactio
Test Re .
Service
Size
OtherPipe
Load
Type.
Size
Length
YES NO
YESI NO
A)b�
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