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HomeMy WebLinkAbout061-300-031061-300-031 05-1773 COTTEREL_L, CLIFFORD / F 460 IvIILSAP BAR RD, BE ° r Cont: ROBLES REMODEL 31- ACOTTRELL, Clifford ' 212-66E MC INTYRE, J. 608-69B** 760-67B* "110,6-70B***635_67E- 61-30=31" 0 Mi1sap Bar Rd., Brush Cree _ (power pole for trailer) -(ne single family) -Lot #12 -,Bald Rock Tra:cxi-:' + -67 (**REN WAL) ( 2ND & 3RD RENEWALS) __ �. ti - • - . - .��. [ it a ;Z ?v •yup. [4 , 1 i i y r C.fl r. M O ���'�� NOTES t cz ,RESIDENTIAL r PERMIT NO. r 061-300-031 OS -1773 ' COTTERELL, CLIFFORD t 460 MILSAP BAR RD, BERRY CREEK Cont: ROBLES t i REMODEL F rl r� r { f zL e ?aas QA P P w/, CnJtjoQ ? II /c,-6wW a.vo� ct, ot� Pc�13�2-70 1Q81- BC�Z(c (� SPECIAL CONDITIONS CHECKED BY SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER 3(0 - - Z ��F ©RO CiIU/DC7/U /d IS-3/,D-4PT ar-F JOB FINALED Date Signaturez %^� J=OK. 0 = Not OK . = Applicable NtReadyMOBILE 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;-/ /" L'ft. / P 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 -Manage 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-Connectoe 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch 11. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PERMANENT END SYSTEM (ONLY) 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Blocking 4. Gas; MH Test -Demand -Valve 5. Electricity; MH Test 6. Water, MH Test 7. Water and Sewer Connected 8. Gas and Electricity Tagged 9. Exits 10. License Decals 11. Verify #'s with Office Date Card B-1 Date - Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs-Connectors Shthg-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 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 Appriable = Not Ready RESIDENTIAL. (Single & Duplex) Date UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Gmd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Gmd.-/ /" 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 .V.; Fall -Fitting -Test -2 Way C/O -Sewer T .OcZ 1p0000t.1F. Gas Pipe; Size Anchors -Yard ping; Size Test Qr ater 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. 12g Tub & Shower, Second Floor -Tub Access 30 C� tDeQS 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 O No 32. Service -Riser Conductors & Ground Main Disconnect 33. Equip. Clearances Panels -Motors -Meth. Equip. 34. Clothes Closet Light -Shower Light -Spa Light 35. Smoke Detector Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 36. A.C. Ducts Insulation & Support 37. Vent Fan, Exhaust above insulation 38. Condensate Drain & Overflow, Size & Grade 39. Fumace-Vent Access -Comb. Ait-Return Air Vent 115 Outlet 40. Attic Access & Platform if Furnace in Attic Date Card B-1 Date Card B2 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. Bdrrn. 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. Bgpe lnterior/Exterior Wall Panels 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 58. 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. Dud in Garage -Damper p, 77. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-FIRof in Garage; Above Floor-Mech. 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 O Yes 83. Following InstldJDrive 0 Yes 0 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. 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: 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 LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury. that I am licensed under provisions of Chapter 9 (commencing with Sction 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class: // License Nu ber: Date: #-7 Contractor. A 6 y' � . 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 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.). ❑ 1 am Exempt under Article 3 of the Business and Professions Code Date: Owner: WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 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 of -the 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: ; to Applicant: PBP0517 30. Issued Date: 07/06/2005 APN: 061-300-031-000 Site Address: 460 MILSAP BAR RD BCK Map Index: Description: REMODEL KITCHEN AND BATHROOM, NEW METAL ROOF, 5 WINDOWS, ADD NEW PROPANE, NEW HEATING UNIT, SHEETROCK SOME CEILINGS, INSULATE AND SHEETROCK GARAGE, UPGRADE ELEC PANEL, MISC ELEC AND PLUMBING (250) Owner: COTTRELL CLIFFORD. C &.BUELAH (ESTATES OF) C/O PAMELA FRENCH 2156 GERBER AVE SACRAMENTO, CA 95817-1323 Applicant: ROBLES ALBERTO ROBLES 809 LATTIN RD BIGGS, CA 95917 530-86871800 Contractor: ROBLES ALBERTO ROBLES 809 LATTIN RD BIGGS, CA 95917 530-868-1800 License #: 842894 Architect: Engineer: Total Square Ft: Valuation: Census Code: 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. - - --- - ......_ _ .,.� �. �.�•. ` 111 "'---"""" CONSTRUCTION LENDING AGENCY This permit is hereb ^sst I hereby affirm that there is a construction lending agency for the Resolution • rk In performance of the work for which this permit is issued (Sec 3097 Civ.) Name: By: PERMIT EXPIRES 0 S. F. $0.00 above for which fees have been paid. / , Y� nim• ' lJ/ V Address: - I !Date O 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. O 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 representativ�ssoof Butte County to enter ruupon�e above mentioned property for inspection purposes. Print Name: 79.4 /�r/4//`t � Signature: � Date: :Zz-Z4/��r 0 Owner )Q Contractor 0 Agent for Owner 0 Agent for Contractor kti J. - COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 County Center Drive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE OWNER PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please call for re -inspection when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact the Building Inspector as indicated below. A L) 'FI;zCLA) A( -C F-02 S(�A-R PC-( /y i`/ F-rZcim Hou (7).Fgk«C� f nI (AT r i c- N cT c. 0? -(e- rig D2 /1( M -b S-►-A(_L/A!/n &( Date —c? -2 3 r D 57 Inspector V C tap 2f:4 H / Sc)< REV 4/05 Phone # 5Jyy a FOR RE -INSPECTION CALL: 538-7636 OR 891-2834 J BUTTE COUNTY Fo DEPARTMENT OF DEVELOPMENT SERVICES o BUILDING PERMIT 0 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) ' o OFFICE #: (530) 538-7541 FAX#: (530)538-2140 y WEBSITE: www.buttecounty.netldds PBP0517730- LICENSED CONTRACTORS DECLARATION 1 hereby affirm under penalty of. perjury that I am licensed under Issued Date: 07/06/2005 APN: 061-300-031-000 provisions of*Chapter9.(commencing with Section 7000) of Division 3 of the Business and Professions Code, and rriy license is in full force and effect. Site Address: 460 MILSAP BAR RD BCK License Class'. License Nubar: Y� Map Index: Date: *-Ipi— Contractor: �Y Description: REMODEL KITCHEN AND BATHROOM; NEW: OWNER -BUILDER DECLARATION METAL ROOF, 5 WINDOWS, ADD NEW I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 PROPANE, NEW HEATING UNIT, Business and Professions Code: Any -city or county which requires a SHEETROCK SOME CEILINGS, INSULATE permit to construct, alter, improve, demolish, or repair any structure, prior AND SHEETROCK GARAGE, UPGRADE 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 ELEC the Contractor's State License Law (Chapter 9 commencing with Section PANEL, MISC ELEC AND PLUMBING (250) 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 Owner: COTTRELL CLIFFORD C & BUELAH applicant to a civil penalty of not more than five, hundred dollars ($500).): (ESTATES OF) ❑ I, as owner of the property, or my employees with wages as their C/O PAMELA FRENCH sole compensation, will do the work„and the structure is not 2156 GERBER AVE intended or offered for sale (Sec. 704'4, Business and Professions Code: The Contractors' State License .Law does not apply to an SACRAMENTO, CA 95817-1323 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.). Applicant: ROBLES ❑ . I, as owner of the property, am exclusively contracting with ALBERTO ROBLES licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does 809 LATTIN RD not apply to an owner of property who builds or improves thereon, BIGGS, CA 95917 and who contracts for such projects with a contractor(s) licensed 530-868-1800 pursuant to the Contractors' State License Law.). ❑ 1 am Exempt under Article 3 of the Business and Professions Code Date: Owner: Contractor: ROBLES WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ALBERTO ROBLES ❑ I have and will maintain a certificate of consent to self -insure for 809 LATTIN RD workers' compensation, as provided for by Section 3700 of the BIGGS CA 95917 Labor Code, for the performance of the work for which this permit is issued. 530-868-1800 ❑ I have and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of License #: 842894 the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier: Architect: Policy Engineer: 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 Total Square Ft: 0 S. F. forthwith comply with those provisions. Valuation: $0.00 Date: 7� S Census Code: 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. CONSTRUCTION LENDING AGENCY This permit is herellb sssued.under the applicable provisions of the Butte Cnunty Code anrVor 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: Resolution i9>4rk Indicatag above for which fees have been paid. ” By: Date: PERMIT EXPIRES ` U Address: Date ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the Califomia Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health 8 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 enters upon a above mentioned property for inspection purposes. ��J PJ �� Print Name: / � Signature: Date: O Owner XContractor ❑ Agent for Owner ❑ Agent for Contractor �UTTFBUTTE COUNTY oo DEPARTMENT OF DEVELOPMENT SERVICES o o BUILDING PERMIT APPLICATION 0 o AND SUBMITTAL REQUIREMENTS o _ -• 0 24 HOUR INSPECTION#: OROVILLE`. (530) 538-7636 - CHICO: (530) 891-2834 oo OFFICE #: (530) 538-7541 CO,C.t A FEE WILL BE REQUIRED AT TIME OFAPPLICA TION c R Website: www.buttecounty.net/dds *`PLEASE PRINT CLEARLY** OWNER Last Name [ first Name D � Y. Address ,� Z S1v r 5 City State 6 Zip 3 g17 Phone Fax E-mail APPLICANT SIGNATURE X For office use only: ARCHITECT/ENGINEER CONTRACTOR Name Address SRA I Address No State City Phone Map Book State I Zip9f—! —71 -7 Phone State License Number Fax E-mail. Lic. #� Classes APPLICANT SIGNATURE X For office use only: ARCHITECT/ENGINEER Name / Q/f �Y'G� G �✓ Address SRA I City No State Zip Phone Map Book Fax E-mail Planner State License Number APPLICANT SIGNATURE X For office use only: APPLICANT NAME Name / Q/f �Y'G� G �✓ Address SRA I City No State Zip Phone Map Book Fax E-mail Planner APPLICANT SIGNATURE X For office use only: Zoning Property Address Flood Zone Cross Street G SRA I Yes I No Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS PERMIT NO('1'13 BIN # LOCATION AP# Property Address City Cross Street G 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: X. Foot " e ❑ Structure Built without Pe its ❑ 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: Amount: u Bldg SRA Receipt #: Sheriff t� � � SMIP - Other Date: �l Total 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 AJC 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-siqned 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). - 0 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 macWwithin 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 KAFORMSIBUILDING F0RMS0dgApp1SubRgmts.doc Page 2 of 2 REV 2-24-05 /.R- 466 66 * Milsap Bar Road House 95916 Pearl Shubert 916-215-1290 ROOF 50ft x 37 ft. = 1850 s ft Remove Shingles. Replace with metal roof. Y FLOORING 25x14 =350 Kitchen/living room 6x7 =42 cabinet/stove area 16x 14 =224 master room 9x6 =54 bathroom 9x17 =153 sewing room Total =823 sq ft Remove linoleum and replace with hardwood material. CEILING (dry -wall) 17 x 10 = 170 16x14= 224 total = 394 sq ft. Remove sq ceiling and put up sheet rock. HEATING Remove wood stove and electric stove. Add propane tank and propane stove. Also add heating unit to run off of propane. Duct work, vents etc. CABINETS Remove existing and put up new. (Customer to select) kitchen 66" longx26" deepx 3' high -complete covered countertop 64" long x 42" tall x 14" deep - wall mounted cabinet (over the previous one) 31" long x42"highx 14"deep- wall mounted on left side of sink 26" long x42" highx 14" deep — wall mounted on right side of sink 103" long x 26"deepx3 l" high — sink counter top cabinet with drawers below. Bathroom 6' long x 26" deep x 31" high- sink, counter top and drawers cabinet. r Bathroom other work - Remove shower and replace with tub. Remove toilet and replace with new toilet New sink and valves Drywall - Garage — ceiling 20x23= 460 sq ft Walls = 500 sq ft Total = 960 sq ft Total sheet rock needed = 1360 sq ft Insulate walls in garage — 500 sq ft. WINDOWS- Replace dual payne 3404 70x40.5 7004 7004 3404 CEILING FANS - Add, new fans in the living room and the master room. " ELECTRIC Upgrade — Main Panel