HomeMy WebLinkAbout058-550-021-021 92=2798P;E'
MILLER, Eugene'-'& Nona
� Chalal;r Rd, Orovi-lle F
'travel tray,' utilities
ELE
GAS �� �G_-9L
'COMPACTION TEST REQ
SUPPORT STRUCT REQ
058-550-021 01-2357
MILLER, EUGENE f/ t7
11346 CHARLAIR, OROVILL
NEW METER.MW
a
dal
I
I
OFFICE COPY
Address
ELECTRIC
'a
Me't6r b
Date
(Rev. 12/96)
(COUNTY OF BUTTE - DEPARTMENT 0P DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541
APPLICATION AND PERMIT
PERMIT NO.
ASSESSOR PARCEL NUMBER
ZONING
BUILDING PERMIT
OWNER
TELEPHONE
SQ. FT. OCC. BUILDING VALUATION
. OWNERS MAWNG ADDRESS
11T ta`CA 95%5
CONTRACTOR'S NAME _-
TELEPHONE
CONTRACTORS MAILING ADDRESS
CONSTRUCTION LENDER
Fireplace
LENDER'S MAIUNG ADDRESS
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee $ 20.00
Permit Fee $
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee $
BUILDwoADDRESS
11346 QWWR RD. OROVIUL- CA 95965
Energy:LPlan Checking Fee $
$
PERMIT FEE $
LOT NO.
SUBDIVISIONS NAME
PARCEL,MAP
PLUMBING PERMIT Fling Fee 20.00
Each Trap 7.00
USEOFSTRUCTURE
SF ❑ Duplex ❑ Mobilehome 01 Other
SPECIFY
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 ❑ Ublities ❑ Installation ❑ OtherOF
Describe Work: M PM AM RECONN=
Gas piping system 1 - 5 outlets 15.00
Building sewer 15.00
Mobile Home I S I GI W1 .00
7
PERMIT FEE $
ELECTRICAL PERMIT Fling Fee 20.00
600VOR LIE
Main Service 20.A OR LESS 23.00 23,,()o
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
hereby affirm under penalty of perjury that I am exempt from the Contractors License
Lap for the following reason:
d 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 said.
❑ I, as owner of the -property, am exclusively contracting with licensed contractors
to construct the project.
I am exempt under Sec. Business and Professions Code for this
reason
WORKERS' COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
I have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
❑ I have and will maintain workers' compensation Insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permit is issued.
My workers' compensation insurance carrier and policy number are:
Main Service 200A TO 1000A 46.00
NEW CONST, DWELLING OCCUP. SO
OR ADDNS. ( i ACC BLDS. 3.5QFT:
NEW CONS MULTI -OUTLET
NONRESID. @7.50
POWER APPARATUS
8 SINGLE OUTLET• CIR.
ounEr OR FD(TURES 20 @ 1.00
Ex. Occup. BAL @ ,50
LNS.I
Ex. Occup..OUTLEEDTSA RD,o� 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wirino 23.00
PERMIT FEE $
MECHANICAL PERMIT Fling Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FET: $
.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.) -
KM_ I certify that in the performance of the work, for which this+permit is issued, I shall
y
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' compensationprovisions of section 3700 of the bo r Code I shall
forthwith comply wftose provisi s
f�
�p4 / "' /_
aignatureApplicant - ❑O2NO �Con;_act_o`O Ager}k'
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
coNsr. rvvE
TOTAL FEE $ 43.00
HAZ.
D. FEES
IMP
I FLOOD
I CDF
PARCEL
I PD
I HD
ISSUE
This permit is hereby issued under the applicable provisions
of the Butte CountyCode and/or Resolutions to do work
indicated above for hich fees have been paid.
By Date(/' (/
PERMIT EX4RE ON -/1
Date—
Receipt No. 3t'x�
922I43.00
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO.
(Rev. 12/96) APPLICATION AND PERMIT -
�1 �3et,3
ASSESSOR PARCEL NUMBER
059-550-021
ZONING
BU I LDI NG P ERM IT
OWNER
MIT JER
TELEPHONE
SO, Fr, OCC. BUILDING VALUATION
. OWNERS MAI NG ADDRESS
11346 CHARLATE RD_ ORMITE, CA 95965
CONTRACTORS NAME
OWNFIR
TELEPHONE
CONTRACTORS MAILING ADDRESS
CONSTRUCTION LENDER
Fireplace
LENDERS MAILING ADDRESS
Total Valuatlon Is
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee $ 20.00
Permit Fee $
ARCHITECT OR ENGINEERS MAIUNG ADDRESS
Plan Checking Fee $
BUILDING ADDRESS
11346 CHARILAIR RD. OROVI= CA 95965
Energy Plan Checking Fee $
$
PERMIT FEE $
LAT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT Filing Fee 20.00
USEOFSTRUCTURE
SF ❑ Duplex ❑ Mobilehome CK Other
SPECIFY
Each Trap 7.00
Solar or heat pump water heater 23.00
Water piping 15.00
Each as water heater or vent 15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other
Describe Work: NEW METER AND RECONNECT
Gas piping system t - 5 outlets 15.00
Building sewer 15.00
Mobile Home S G W 920.00
PERMIT FEE $
ELECTRICAL PERMIT Fling Fee 20.00
voLE
Main Service 2o0A OR LESS 23.00 23.0
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
I hereby affirm under penalty of perjury that I am exempt from the Contractors License
for the following reason:
13-=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.
I 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:
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.
❑ 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.)
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 or Cod I shall
forthwith comply wit ose pro �/
�—V,)- t/✓/ —
�a D
nature • Applicant - ❑ Owner ❑ Contractot Age
An OSHA permit is required for excavations over 60" deep and demolitio or construction
of structures over 3 stories in height.
Main Service 200A TO 1000A 46.00
NEW CONST. DWELLING OCCUP. SO
OR ADDNS. ( 6 ACC. BLDS. 3.50FT.
NON-REOSID MULTI.OU C. @7.50
POWER APPARATUS
8 SINGLE OUTLET CIR.
OUTLET OR FIXTURES 20 O 1.00
Ex. Occu BAL o .50
Ex. Occup.- DFucLIT aF� DRQ 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring 23.00
PERMIT FEE $
MECHANICAL PERMIT Fling Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEt $
Mobile Home Installation Fee $
Energy Inspection Fee $
Occ
CONST. TYPE
TOTAL FEE $ 43.00
HAZ,
D. FEES IMP
FLOOD
CDF
pgRCEI
pp HD
ISSUE
This permit is hereby issued under the applicable provisions
in the Butte County Code and/or Resolutions to do work
indicated above for which fees have been paid.
# �j 9
B Date
PERMIT EXP ON 1,7 Y/ % _1
Data
Receipt No. 33220943 00
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD•APPLICANT
.B -
. 4 1
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-b,-b,NO O
(��I HAVE HAVE NOT 0 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:
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:
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
D:
PROP)
SOCIA
ED)TE:
NOTE:
This Owner -Builder Verification is required by Section 198.31 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:
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 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 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.
IMirely,
16�,
el C. Vi iia, C.B.O.ger, Building Inspection
NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code
OVER
CLAIMAN'
ADDRESS
CITY & ST
COUNTY OF BUTTE
Oroville, California
GENERAL CLAIM
DATE OF CLAIM: 2 O
IMPORTANT. -
SEE INSTRUCTIONS
SUBM// GLA/M /U Ut/'A/i/M&IV / K&C;&/V//VCs UUUUS UH JtHV/GtS ON REVERSE
SIDE
ATE
DESCRIPTION OF CLAIM (DESCRIBE FULLY TO AVOID DELAY)
AMOUNT
PERMIT FEES EXEMPT PER BUTTE COUNTY CODE SECTION 3-40.5 WAIVER OF FEES
FOR POE FIRE (AP#058-550-021, BP#01-2357, RECEIPT#332209, DATED 9/19/01,
OWNER: EUGENE MILLER.)
FEES PAID $43.00
TOTAL
$43.
00
he undersigned, declare under penalty of perjury that the services or articles claimed have been performed or delivered, and that this claim is true
J correct as stated. /� I,ted this day of �.AR,
at ( � r0 C/ I U . Calif.
Signature of Claimant
to undersigned, hereby certify that, to the best of my knowledge, the services or articles cified above h bee performed or dellwed snd
3t there is a Budget Appropriation I ) or Specific Board Approval I I (Check one) for the am .
ted this 8TH day of JAN. , t 9200?at OROVILLE , Calif.
Dopa ent Head or Authorised Deputy
!pt. Code 440-002 Exp. Code 4210500 PAYABLE FROM CON!;(L'Rnc PTnN PFRMTTC —FUND
!pt. Code Exp. Code PAYABLE FROM FUNO
tpt Code Exp. Code PAYABLE FROM FUND
14 DO NOT WRITE BELOW THIS LME - AUDITOR'S USE ONLY
DEPT. & SUB. PROJ. SUB. OBJ. CLAIM NO. INV. NO. INV. DATE ENCUMS. GROSS AMT.
LAIMA TN NAME
MAILING ADDRESS -
ASSESSOR PARCEL #:
RECEIPT NUMBER(S)
I i . .
REFUND CLAIM APPLICATION
r L4 r� r n/ r M I l l t=_ �
Request a refund of fees paid on the above receipt number(s) for the following reasons:
P l,� c�.�v► �v-f- a -t-� fro 1�� i 1z. C. S
Please refund any applicable fees in the following categories: (Check those. categories
which you wish to have refunded.)
(Building Permit Fees ( ) '-Sheriff Fees
( ) SRA Fees (CDFtFire Planning) ( ) Urban Area Fees
Disposition of Plans: ;
( ) Plans returned to me at counter
( y Please mail plans to me at above address.
( ) Please dispose of plans.
DATE __
E DATE AN_D:SIGN THE ATFTACHED.f000NTY OF£BUTTE`GENERAL. CLAIM
- DOWOT-COMPCETE�.ANYWHER INFORMATION ON THAT FORM:
• C.ETVE
OEC 12 2001
BUTTE COUNTY
PLANNING DIVISION
FOR BUILDING DIVISION USE:
Receipt Information:
Number:
Date:
Issued To:
Amount:
Fees Retained:
Processing Fee:
Bldg Filing Fee:
Plbg Filing Fee:
Elec Filing Fee:
Mech Filing Fee:
Energy P/C Fee:
Plan Check Fee:
Inspection Fee: '
SRA Fee:
Total Amount Retained
TOTAL REFUND DUE
I
H
A—"
RESIDENTIAL
058-55-0-021 x-92-2798P,E
MILLER, Eugene & Nona
1134/6 Chalair Rd, Oroville
travel trailer utilities
OX19
OFFICE COPY
Address
GAS
Meter By_
ELECTRIC
Meter By—
JOB FINALED (Date)
Signature
J=OK
0 = Not OK i
Not Not Ready, MOBILE HOMES
Date MOVILE HOME UTILITIES Plans OK except #'s
Zoping Requirements -Setbacks -Easements
Soil pecial MH Support Sketch
Sewer cation -Test -Fall -C/0 Concrete
er; Location -Test -Easement Needed (Sketch)
Electricity; Location-Clearences-Gr mp-Concrete
C�Gas; Location-Test-Wr p: ; /"L"ft.
l/,I /"Nat. orl, LPG
7 ell Clearance & Di c nnect
8. Utility Clearance
Date Card B-1 Date Card B-1
Date // Z Card B-1 Date Card B-1
Date OBILE 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/O to Grade -HD Approval
8. Gas and Electricity Tagged
9. Exits; Insp.-Sketch
10. Cert. of Occupancy
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
MISCELLANEOUS
Date DECKS, COVERS, CARPORTS, GARAGES, (farts)OK except #'s
1. Zoning Requirements -Setbacks -Easements %
2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel
3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails
4. Wood Awn.; Posts- Bea ms- Rftrs.-Connectors
Shthg.-Rfg.-Bracing
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Carports; Windows -Doors
7. Electric
8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses
9. Siding; Nailing -Veneer -Stucco -Mesh
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 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, Distances-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 in Conduit
9. Health Department Approval
10. Plumb.; Cir. Test -Water Supply Test
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 UNDERFLWR (Plans) OK except #'s
1. Z.iing-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-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 -Anchor -Regulator -Service Test
12. Electric; Underground
13. Pienums & Ducts; Clearance -Material -Support -Ins.
14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
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 h's
16. Water Htr.: Vent -Access -Combustion Air -Baffle
--------- --------- ----------------------------
17. Water Pipe: Test & Anchor -Nail Protection
18. D.W.V.; Test -Fittings & Anchor -Nail Protection
------------- - - ----------------
19. Shower Pan; Test. First Floor -Tub Access
20. Test -Tub & Shower, -Second Floor -Tub Access
---------------- -----------------
21. Gas Pipe; Size & Anchors
Date Card B-1 Date Card B-1
-----------------------------------------------------------------
Date Card B-1 Date Card B-1
Date ELECTRICAL (Permit) OK except ft's
22. Fixture & Transformer Clearance -Ins. Protection
- ------------------
23.
- - -------
23. Elec. Receptacles Spacing -Lights & Switches at Doors
24. Size Boxes & No. of Conductors -Stapled
--------- -------------------------------------------------------------
25. Romex Installed Close to Edge of Studs & C.J.
26. Equip. Ground made up w!Mech. Fastners-Bond Gas & Water
----------- - - -------------------------------
27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI
----------------------------------------------------------
28. Subfeed Wire Size i r ga. Cu or AI-A.C. Wire Size i / ga.
or AI
------------- ---Cu ------------------------------------------------------- -----
29. Range Circ. ! ga. Cu or AI -Oven Circ. / / ga. Cu or Al.
Insulated Neutral Yes No
---------- -----------------------------------------------------------------
30. Service -Riser Conductors & Ground -Main Disconnect
-------------------------------------------------------
31. Equip. Clearances Panels-Motors-Mech. Equip.
32. Clothes Closet light -Shower Light -Spa Light
---------- --------------------------------------------------------
33. Smoke Detector
--------------------------------------------------------------------------------
Date Card B-1 Date Card B-1
------------------------------ -------------------------------------- ----------
Date Card B-1 Date Card B-1
Date MECHANICAL (Permit) OK except #'s
34. -.A. -C.- Ducts Insulation & Support
-------------------------------------------------------------------------------
35. Vent Fan: Exhaust above insulation
-------------- - ------------- ----------------------------------------------- -
36. Condensate Drain & Overflow: Size & Grade
------------------------- .----- -
37. Furnance-Vent: Access -Comb Air -Return Air Vent -115 outlet
--- ------------------------------ -------------------------------------------
38. Attic Access & Platform if Furnance in Attic
---------------------------------------------------------------------------------
Date Card B-1 Date Card B-1
-------------------------------------------------------------------------------
Date Card B-1 Date Card B-1
Date FRAMING (Plans) OK except a's
39. Sils. Proper Material & Anchors
-- -- - ------------------------------------------------------------- -
40. Walls Studs -Nailing. Spacing & Bracing -Plates -Sound
------------------------------------------------------
41. Bearing Walls over Girders & Floor Nailing
---- ------------------ ----------------- -------------------------
42. Draft Stop in Walls (rat proof)
----------- -------------------------------------------------------------
43. Fire Stops: Furred Ceilings -Stairs -Chases -Tub
------------- ----------------- --------------------------------------
44. Headers & Beam -Size & Bearing
Date FRAMING (Continued)
--v
45. Hangers -Post Caps -Anchors -Connectors _
46. Cing. Joist-Rftr. ties-Purlin -roof Brac-Truss-Shthng.-Rfng.
47. Fireplace Ties or Type A Flue -Fireplace Throat clearance
48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions
50. Garage Fire Protection Framing
51. Property Line Firewall & Openings
52. Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits
53. _Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers
55. Siding -Nailing Veneer
---------------------------
56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access
--------------------- ---
57. Glazing Area -Glass Protection -Skylights -Plastic
---------------------
58. Shear Walls; Nailing -Bolts
59. Insulation -Walls -Ceilings
60. Infiltration -Walls -Windows
Date Card B-1 Date
Date Card B-1 - Date
Card B-1
Card B-1
Date FINAL (Plans) OK except ti's
_________ 61. Ext. Steps -Door & Sidelight Protection -Landings
62. Smoke Detector
-------------------------- -
63. Furnace; Vents -Clearance -Comb. Air -Connector -
In Garage; Above Floor -Ducts -Meth. Protection
64. Bedroom Exiting
--- ----------------------------------
65. G_F.I_& Bath Fixtures & Tub Access -Spa
66. Elec. Trim & Subpanel; Breaker Sizes & Labels
----------------
67. Stairs & Rails
68. Fireplace or Stove: Clearances -Hearth
-------------- -----------------------
69. Elec. Outlets at Wood Panel: Int. & Ext.
-- .....--- ---------------------------
70. Kit.Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance
71.-Elec.-Outlets & Receptacles at Kit. Counter
72. Garage Fire Door: Swing -Landing -Closer
-------------- ------------------------ - -
73. A.C. Duc_t in Garage -Damper
74. Wtr. Htr Vents -Clearance -Comb. Air-Connector-P.R.V.
In Garage; Above Floor -Meth. Protection
------------ -----------------------
75. Plb.. Elec. & Mech. Equip. Listed for Location
-----------------
76. Elec. Receptacles in Garage: (G.F.I.)-Romex Protection
77. Insulation -Foam -Looked in Attic Yes
-------------78.-Guard-Rails & Deck -Co nst ruction- Post Caps
-------------------------- -
79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth
Clearance Looked under Floor ❑ Yes
80. Following instld.; Drive 0 Yes 0 No; Walks ❑ Yes ❑ No;
Planters ❑ Yes ❑ No
----------------------------------------- -----
81. Stucco: Brown -Finish
82 A.C. Unit: Disconnect. Electrical, Plumbing
- - - -- - --- -- ------------------------- -
83. Vents Above Roof; Plbg.-Appliance-Fireplace.-Clearance to
Openings _
84. Water Well; Disconnect, Electrical, Plumbing
----------------------------------- -- 9 --
85. Exterior Elec. Trim: G.F.I. Receptacle -Under round
- - - - - - - -------------- ------
86. Ventilation Throughout House
-- --- ----------------------------
87. Glass Protection
88. Corrections from Previous Inspections
------------------- ----------------------------------------
89. Gas -Test -Meters -Tagged: Gas -Electric
90. Water & Sewer Connected -C/O to Grade -HD Approval
------------------------------
91. 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 PUBLIC WORKS
7 County Center Drive - Orovllle, Californla 95965 - Telephone: 916,`536.7541
APPLICATION. AND PERMIT
PERMIT NO.
Z_;44ao
ASSESSOR PARCEL NU B
053-550-021
ZO I
FP, 2
-
BUILDING PERMIT
OWNER
-EUGENE & NONA MILLER
TELEPHONE
534-1265
S0. FT. OCC- BUILDING VALUATION,-
OWNER'S MAILING ADDRESS
11300 A MILLER FLAT ROAD OROVILLE 95965
CONTRACTOR'SNAME
OWNER
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
LENDER'S MAILING ADDRESS
Filing Fee
$ 15,00
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$ 20.00
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
��99 ESS
BUILD& CHALAIR ROAD OROVILLE 95965
Permit fee
$ 20,00
PLUMBING PERMIT
Filing Fee 15.00
E^ �+
C J C kCL %e o DOp S0
Each Trap
5.00
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Water piping
7.00
Each qas water heater or vent
7.00
USE OF STRUCTURE
SF ❑ Duplex❑ Mobilehome[� Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
15.00
Mobile Home S I G I WE=]
@ 15.00 45.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities[X Installation❑ Other ❑
Describe work: T T 8 X 40 �
Permit Fee
$ 60.00
Contractor
ELECTRICAL PERMIT
Filing Fee 15.00
Main service 200AORLESS
18.50
Main service 200ATO1000Al
37.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check One):
❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business(POWER
and Professions Code and my license is in full force and effect.
` License No. Classification
.,
I, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure Is not intended or offered
for sale. (Sec. 7044)
El I,
I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 044)
❑ I am exempt under Sec. Business and Professions Code
for this reason
NEW CONST. / DWELLING OCCUP.&)
OR ACDNS. % ACC. BLDGS.
3.64 q.ft.
NEW CONSTRULT'.OUTLET
NON -REST BRANCH CIRC ITS
5 00
APPARATUS &)
(SINGLE OUTLET CIR.
EX. OCCup(OUTLETS OR FIXTURES
20 76d
LL 8 4F;a4
FIXED APPLES. OR
EX. OCCUp. OUTLETS IRESID.1 EA.�
I 3.00
Temporary service
15.00
Home Facilities
15.00
Misc. IlVirin 9
15.00
Permit Fee
$ 48.50
—
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
Contractor
MECHANICAL PERMIT
Filing Fee 1 15.00
Heating
Cooling
Hood
6.50
Ventilation
Permit Fee
$
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the Countyot
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
against said County in consequence of jhee granting of this permit.
21�(�,���-�'-�/ Date
Signature of Applicant — Owner F1 Contractor ❑ Agent ❑
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over S stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
OCC
CONST TYPE
TOTAL FEES 123.50
HAz DFEES IMP I FLOOD
CDF
PARCEL
P
HD.
,V/
ISS
'—
This permit is hereby issued under the
cions of the Butte County Code and/or
work indicat above f hich fees
RE O PUBLIC
By
PE MI EX (RES Date
applicable provi
resolutions to do
have been paid.
WORKS
Date
Receipt No. 199459
WHITE-D.P.W., YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT
I
TO: Building Department
FROM: Encroachment Permit Section
RE: Driveway Clearance
r� 9
AP #
owner location
Driveway permit 4 -0 -Ye Ayele Xe/ has been issued for the above property.
n b
date
sign re
.
i
COUNTY OF BUTTE - DEPARTMENT; ORPUBLIC WORKS' BUILDING DIVISION
.� s
7 COUNTY CENTER DRIVE - OROVILL�E*f'AL FORNIA; 95965 - TELEPHON=E (916) 538,x,7541
PERMIT APPLICATION DATA SHEET,
OWNER ELI v/(/ /��%� �LL ��-/ P. No. 62-51- -S
Proposed Building Use , Building Inspector Date
At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance:
DATE RECEIVED BY
J 1. All items have been submitted . ....................................... .
—�/ ' [ 2. Plot plans, 3/4 sets, signed by preparer of plans. ..........................
3. Complete plans, Y3/4 sets, signed by preparer of plans . ......................
4. 'Engineered plans�Tnd calcs, 3/4 sets, with wet signature on plans . .............
5. Hazardous Material Form. ............................................
6. Energy Design Compliance and supporting documentation . ..................
7. Statement of Intent for Non -Heated and A/C Buildings . ......................
g. Engineered truss details and layout in duplicate (required prior to plan check). .... i
9. Mobilehome data and manufacturer's installation instructions, 2 sets. .......... .
10. Fees of$ ..........................................
11. Impact fees as shown on attached schedule . ............................. .
12. California Department of Forestry plan approval/fees. ....................... .
Flood elevation letter (100 year flood) by California Engineer . ............... .
14. Sanitation and plot plan approval _ L Health Department. ............
15. City of Chico plumbing permit . ........................................ .
16. Plot plan and business license approval from City of Biggs/Gridley. .............
17. Planning approval for (A) Use: (B) Parking:,- ----. �-
& Contact Land Development about (A) Improvements (B) Drainage. ........ .
19. Driveway permit (construction approval required prior to occupancy). . .
20. Pre -inspection for to Building
�eq�� —
required. . . to Building Inspector (Date)
21. Contractor's license information. (No., Name Style, Classification) . ..............
22. " ertificate of Workmans Compensation Insurance . ..........................
Owner -Builder Verification (Given to owner , Mail to owner _) .
24. Recorded copy of Agricultural Acknowledgement Statement . .................. ,.
25. Letter of signature authorization. .....................................
26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... .
27. Letter of intent on building use . ..........................................
28. Mobilehome utility clearance . ..........................................
29. Documentation of legal access . ........................................
30. Documentation of 50% subdivision developed or (A) Road improvements completed
and (B) Parcel meets zoning area and frontage requirements. ............... D
31. Existing violations/expired permits . ......................................
Plan the k list . ........ OK ..... .... #'
When you issue the permit, process as follows: 4.1 Mail to owner. Mail to contractor.
Telephone and hold for pickup at office. Deliver with inspector.
Other
Parcel Creation A
Acreage A� j ��G� s�/ !. Date
Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date
Copy of plans sent Health Dept. Fire Dept. Other Date' By
The following data must be submitted prior
1. Index permit for above items No.
Additional items required:
ircle new item not checked above).
Contractor, designer, o r, was advised of above required data by one _ mail Counter bDate
Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date
Plans checked by Date Plans approved by _`l �fLD <</ Date,,f
Sets of plans on hold in File cabinet AP folder
Copy - Department of Public Works
TO tuhdinc Department
FROM: Environmental Health
SUBJECT: Sanitation Clearance
'
owner Location AP#
-'
Plan Approved for:
Hold final for:
?anal clearance O.K. for:
Sewage Disposal
Clearance for C� bedroom mobile home. other
NOTE
Water Supply _L
Water Supply
Water Supply
1
�— ate
sSanit ian
COUNTY OF BUTTE - Deaartment of Public Works
7 County Center.Drive, Oroville, CA 95965. Phone: 916-538-7541
OWNER -BUILDER VERIFICATION
Attention Property Owner:
An 'owner -builder" building permit has been applied for in your name and bearing
your signature...
Please .complete anal -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 fo.r-construction of
the proposed property improvement (yes or no)
2. I (have/have not) ,�" v 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 City
Phone- Contractors 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
Address City
Phone . .:.., _ :._:.. Contrac.tors 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:
orkSigned:
Property Owner
Social Security Number
Date
NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and
19832 of the California Health and Safety Code.
This verification must be completed and returned to our office before we are per-
mitted to issue the permit.
40T2AIII'M'a'terials,-& Workmanship Shalt B"
A rdance with Recognized Good Practices
of quaiity prescribed for the Specified luse in
U iform Building, Plumbing & Mechwi al Coc
th National Electrical Code.
in
�d
ne
s and
�N
U
``) �o to f � l ...... _ :._.._.: .�-�-.,.ase,,.. i � � 1• � I
ON
kept
Location of structures &
equipment shall be as show
& clear of all easements.
yu i� 1. sit /,VG StT6 c
I3U��-
COUNTY
BYILDING DEPARTMENT
APPR®VED _..
• ` \ �\Y
3 set of pians and specifications MUST be
in the job at all times and it is uniaWfL:l to
any changes or alterarions on same withcu..
i permission from the Department of Public
County of Butte.
caw 0
N m
r
APPROVED
Butte County
Environmental Health
DateGd19
%W Sig tur
=B.F'ooM t/-
Howse e►- Mob/f-.
/000 G,e/ SFPt�ti
900 A M F )5!1;c -
r; .4
5!IF
Return to DPW
AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT
FOR RESIDENTIAL DEVELOPIMENT �k
Section 26-8.1 of the .Butte
County Code.
Q�� (
requires.this acknowledgement
prior to issuance of a building
be recorded.
permit...
X4p �4�,�,
ONr� ACCEPTED
FOR RECORDIiVG
The property described herein
is adjacent
AT
8:01 A.M.
to land or included within an
area zoned
4 19.92
for agricultural purposes, and
residents
SEP
of this property may be subject to incon-
veniences or discomfort arising from the
use of agricultural chemicals, including,
but not limited to herbicides, pesticides,
and fertilizers; and from the pursuit
of agricultural operations including,
but not limited to cultivation, plowing,
spraying, pruning, and harvesting which
occasionally generate dust, smoke, noise, and odor.
tural zones which have as a priority use for productive
within said zones :and on adjacent property should be
or discomfort from normal, necessary farm operations.
BUTTE COUNTY RECORDER
Butte County has established agricul-
agricultural purposes, and residents
prepared to accept such inconvenience
All that real property., situate in .the County of Butte, State of California, described as
follows:
DESCRIPTION-
All
FSCRIPTION
All that certain real property situate in the County of Butte, State of California,.
described as follows:
Parcel' 2, as shown on that certain Parcel Map of a portion of the .Southeast
quarter of Section 34, Tow nsWp 22 North, Range 3 East, M.D.B. do M., which
map was filed in the office of the Recorder of the County. of Butte, State of
California, March 26, 1973 in Book 55 of Parcel Maps, at page 82.
TOGETHER WITH a right of way for road and public utility purposes over the
roads shown on said Parcel Map.
Date: PROPERTY OWNERS:
0
State of % ) On this the 1 day of oO�e4rl 19',: before me, the
) SS. undersigned Notary Public, personally appeared
County of �o )
'�Nrnaerrrrorrrr�stsrrr
RICHARD FEUERSTEIN J' Personally known to me- E] Proved to me on the' -basis
NOTARY PUBLIC -CALIFORNIA ■ of satisfactory evidence.
Bimecowly 'to be the person(s) whose name(s) /s
tiry s�«+ExvKeaFeo. �e. �oea soubscribed to the within instrument and acknowledged that A&
�����""""•means smassmWxecuted the same for the purposes therein contained. IN WITNESS
WHEREOF, I hereunto set my hand and official seal.
Present A. P. No. J(`
Notary Public