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HomeMy WebLinkAbout062-190-028i( 062-190-028 PERMIT#95-1628 HEATHORN 314 Lakeside Way, Lake Madrone Cont; DASL New HVAC/SF,,,�.9'/� r Bill Heathorn _ E/S Lakesi'Hb,Way, app.75"S9 of Old Mill Rd., lot 49,'Spring Valley, Lake Madrae contr:Mountain Development, Oroville Per it #4644-8 ;P E add r • 'e ? r PERMIT NO. 4644-80B,P,E PERMIT EXPIRES_ !qhs ^ OWNER Bill Heathobn • r �. CONTR. Mountain Development, Oroville ASSESSOR PARCEL 62-19-22 ' 1 LOCATION E/S Lakeside Way, app.75'S.of Old Mill Rd., lot 49, Spring Valley,Laki! Madrone • ft i j� 1 a s Temp. Power Pole Called PG&E — r r Temp. Elec. Service Called PG&E Temp. Gas Service 4 Cal led PG&E JOB FIN ED (Date) S �� E i Signature .a J = OK 0 = Not OK ' - = Not Applicable RESIDENTIAL (Single and Duplex) * = Not Ready Date UNDE LOOK Plans OK exce t#'s Date FRAMING (Continued) oning requirements—Setbacks—Easements -4V--Wqp2rty Line Firewall & Openings !7t: f, ., ain; Is—S el—Elec. Grnd.— / . /'' Ftg. Depth xt. Doors—One 3'—Check Garage -3rd story, 2 exits F ., G e; S ' s.S3oaI_ / /" Ftg. Depth Stairs; Width—Headroom—Rise—Run—Landing—Fire Protection _6.—Ftg., Porches & Decks; Soils—Steel— / /" Ftg. Depth •A4—PI wood on Roof Overhang—Attic Vents—Rafter Outriggers ­-_',. emwalls, Main; Steel—Blockouts—Wrapped—Slab Siding—Nailing—Veneer temwalls, G e; Steel —18fovkoals­*revWdc 7. Piers—Fireplace Ftg.—Steel 317—Stucco Mesh—Drip Screed—Fdn. Vents—Underflr. Access t=- Mazing Area—Glass Protection—Skylights—Plastic 8. D.W.V.: Fall—Fittings—Test-2 way C/O—Sewer Test ear Walls; Nailing—Bolts 9. Gas Pipe; Size—Anchors 10. Water Pipe; Test—Anchors—Regulator—Service Test 11. Electric; Underground 12. Plenums & Ducts; Clearance—Material—Support—Ins. 13. Girders—Sills—Anchor Bolts—Joists—Vents—Cripples Card -BI to — S'0 Card -BI Date Card -BI Date Card -BI Date 42.0 Card -BI Date Card -BI Date Card -BI Date rd -BI Date Date FINtans) OK except N's Card -BI Date Card -BI Date Date PLUMBING (Permit) OK except q's r Ht.; Vent -Access -Combustion Air . Ext. Steps -Door & Sidelight Protection -Landings ^5T."Smoke Detector Vents -Clearance -Comb. Air - In Garage; Above Floor-Ducts-Mech. Protection Connector -* -Ater Pipe; Test & Anchors -Nail Protection D.W.V.; Test-Fttngs & Anchors -Nail Protection --57-1reTroom Exiting ath Fixtures & Tub Access Siower Pan; Test, First Floor -Tub Access e}8�Test Tub & Shower, 2nd Floor -Tub Access Elec. Trim & Subpanel; Breaker Sizes -Labels X49 --Gas Pipe; Size & Anchors 92: '64e#s & Rails trey ace or Stove; Clearances -Hearth .64U-C4eewjQuUets at Wood Panel; Int. & Ext. Card -BI Date( -tor kO Card -BI Date it. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Card -BI Date nr_ffreC_Cholets & Receptacles at Kit. Counter Date ELECTRICAL Permit OK except #'s-@&.- ftg�75rage Fire Door; Swing -Landing -Closer - -A-C-uc in Garage -Damper 20. Fixture & Transformer Clearance -Ins. Protection y1.-�lec. Receptacles Spacing -Lights &Switches at Doors tr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 8 Mech. Equip. Listed for Location tze Boxes & No. of Conductors -Stapled Owoolftec. Receptacles in Garage; (G.F.I.)-Romex Protec. @@--IRSDfation-Foam-Looked in Attic E] Yes aa,.'-Qpmex Installed Close to Edge of Studs & C.J. 2* -Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water .,ails & Deck Construction -Post Caps ppliance Circuits in Kitchen &Conductor Size n. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes _ Subfeed Wire Size / k1 ga. r AI- r AI wLW. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu o[ Al, Insulated Neutral []Yes ED No o o ng instld.: Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑Yes ❑No service -Riser Conductors & Ground -Main Disconnect ucc rown-Finish Sr- --@9r-Equip. Clearances; Panels-Motors-Mech. Equip. 7 .C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet 30. Clothes Closet Light -Shower Light 78r•40errts Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. Card 3 I Card B -I Datq(0 -L Card -BI Date Date Card -BI Date er Well; Disconnect, Electrical, Plumbing error e . Trim; G.F.I. Receptacle -Underground 84v--}.. tiltionthroughout House g&.-eftysProtection Date MECHANICAL (Permit) OK except M's _ 83__Cerrceliene-4rom Previous Inspections 84r-9aSTest-Meters Tagged; Gas -Electric _ A.C. ucts; Insulation & Supp rP - 32. 32. Vent n; Exhaust above ulation 33. Condensa Drain & _ rilow; Size &Grade gCr-WaTsT"dr Sewer Connected -C/O to Grade -HD Approval aaCompliance Certificate -Other Certificates Card -BI Card -BI 34. Furnace -Vent ss -Comb. Air -Return Air Vent -115V outlet 35. Attic Access Iatfo f Furnace in Attic a Card-BIe Date Card -BI �te Card-61/1-37)ate Card -BI Date Card- Date Card -BI Date Card -BI Date Card -BI Date Comments at Final: Date FRA Plans) OK except p's _ S §.LUs, Proper Material & Anchors Walls: Studs -Nailing, Spacing _& Bracing -Plates_ -Sound '11" Bearing Walls over Girders & Floor Nailing_ _ raft Stop in Walls (,at proof)_ _ Mire Stops; Furred Ceilings -Stairs -Chases -Tub _ Wider & Beam -Size & Bearing _ X42-44angers-Post Caps -Anchors -Connectors 43. - 75v�s-S h t apQ •-H roil. fireplace Ties or Type A Flue -Fireplace Throat Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles -TO-Sdrm. Windows or Exiting Doors -Sill Hpt. & Dimensions �7.�arage Fire Protection Framing _ _ (NOTE: An entry must be made each time you visit jobsite) J =GK 0 = •Not OK = Not Applicable MOBI'LEHOMES * = Not Ready MISCELLANEOUS 'Date MOBILEHOME UTILITIES (Plans) OK except N's 1. Zoning Requirements -Setbacks -Easements Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support -Sketch 2. Footings; Size -Depth -Spacing -Connectors 3. Sewer; Location -Test -Fall -C/0 -Concrete _ 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Water; Location -Test -Easement Needed (Sketch) 4. Wood Awn.; Posts- Beams-Rftrs.-Connec.-Shthg.-Rfg.-Bracing 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete _ 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Gas; Location -Test -Wrap:/ '/"L"ft./ P'Nat. or/ /"L"ft./ /"LPG 6. Carports; Windows -Doors 7. Utility Clearance 7. Elec. Card -BI Date + Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date Card -BI Date MOBILEHOME INSTALLATION (Plans) OK except q's 1. Zoning Requirements -Setbacks -Easements Card -BI Date Date Card -BI Date POOLS (Plans) OK except N's 1. Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 2. Soils; Compaction -Structure Stability 3. Gas; MH Test -Demand -Valve -Connector 3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining 4. Electricity; MH Test -Crossovers -Breakers -Clearances 4. Elec.; Receptacles and Lighting; Distances-GFI 5. Drain; MH Test -Fall -Flex Connector 5. Elec.; Pool Lighting; 15 volts-GFI 6. Water; MH Test -Regulator -Connector 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Water and Sewer Connected -C/0 to Grade -HD Approval 7. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater 8. Gas and Electricity Tagged 8. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghtg. Boxes -Enclosures -Panel boards -Ins. to Main in Conduit 9. Exits; Insp.-Sketch 10. Cert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test -Water Supply Test Card B -I Date Card -BI Date Card -BI Date Card -BI Date Card B -I Date Card -BI Date Card -BI Date Card -BI Date COUNTY OF BUTTE - DEPARTME NIS OF PUBLIC WORKS PERM T �"o A 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541/V,� (J APPLICATION AND PERMIT ASSES OR Pt EL UMBER �p 1—/�-Z7 G % `14% FILIA)f BUILD 4 PERMIT Ol? t/.� �>�qw-m 1 N 2POWNER'S TELEPHONE SO. FT. OCC. BUILDING VALUAT ON - `•O� MAILING ADDRESS C Vb, !/V•MECVftV#0M&tfr TE. �L5EP`9 I0D(%C.o%Y8`--��;V �s" [Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ f , Oc LENDER'S MAILING ADDRESS Permit Fee $ go,pp ARCHITECT OR EN GI LICENSE NO. Plan Checking Fee $ A0.00 Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ Q 0 BUIL G ADDRESS E � �/Cs/%�C !.(J/� iaorp, IV7�s_ PLUMBING PERMIT Filing Fee®.00 Each Trap 2.00 Z-0-0 Repair drainage or vent piping 2.00 Water piping Jar co LOT N00 su E „� PARCEL MAP Eaco qas water heater or vent 2.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF Duplex❑ Mobilehome❑ Other SPECIFY Building sewer Lawn sprinkler system 2.00 ,-,� TYPE OF WORK New F-1AdditionI� Remodel ❑ Uti lities ❑ Installation ❑ Other ❑ Describe work: �C{ — Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee /0.00 Main service 100 AMP OROR LE SLESS 5.00 Main service EA. ADD'L too AMP 2.50 NEW CONST. DWELLING OC�+ OR ADDNS. ( ACC. BLOGS. (Q 2P Sq ft �s•3CJ CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full for c and effect. a71 — License No. j1� 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) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and. Professions Code for this reason NEW 1_01ID R BRANCH MULTI -OUTLET ITS 2.50 ea NEW CONSTR.POWER APPARATUS 11\ NON-RESID, (SINGLE OUTLET CIR. 1 Ex 50 @ 25c . Occup(o Ts OR FIXTURES BAL@10¢ FIXED Ex. Occup.(OUT ETS (RESID,)REA.1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 6.25 Permit Fee $ 2;g7, 3 Contractor WORKMEN'S COMPENSATION INSURANCE 1 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. MECHANICAL PERMIT FiIingFee 3.00 Heating Cooling Hood 2.00 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. 1 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 C n in sequence of the granting of this permit. t- Date Signature of Applicant — Owner ❑ Contractors Agent ❑ An OSHA permit is required for excavations over 5'0 ' deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Land Development Fee $ TOTAL PERMIT FEE $ OCCUP. GROUP r I TYPE DF C.N.I. ✓ PARCEL t PD Z ND ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DI TOR OF UBLIC / =$ By/'\� PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS y/�t _ Date L '� Receipt No. !� WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT w t, i y yr� elf} _- OFFICE COPY Address GAS Date Meter By ELECTRIC pate Meter By 4 y t COUNTY OF BUTTE=DEPARTMENT OF DEVELOPMENT SERVICES= BUILDING DIVISION F 7 County Center Drive - Oroville,, CAlif6rnia•95965 - Telephone (916) 538-7541 PERMIT NO. APPLICATION AND PERMIT' ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT OWNER HEATMRN TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS CONTRACTOR'S NAME TELEPHONE DASL CONTRACTORS MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER - LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS i f Penalty $ BUILDINGADDRESS 114 LATERIDE. WAY PERMITFEE $ LAID? MADIRM PLUMBINGPERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO. SUBDIVISION'S NAME PAR. L MAP Solar or heat pump water heater 23.00 USEOFSTRUCTURE SF [X Duplex ❑ Mobilehome ❑ Other sPECIF, Water piping 15.00 Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 js.pp Building sewer 15.00 TYPE OF WORK Newry❑ Addition ❑ `ERemodel ❑ U ilities ❑ Installation D Other Describe Work: NWHVAC Mobile Home I S I G W r 920.00 PERMITFEE $ 35.00 Contractor ELECTRICAL PERMIT Filing Fee 20.'00 ' Main Service a00V OR LESS ( 200A OR LESS ) 23.00 Main Service ( 200A TO 1000A ) 46.00 LICENSED CONTRACTOR'S DECLARATION 1 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. -A-5.3 OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: I 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 sae. ❑ 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 t NEW CONST. DWELLING OCCUR OR ACDNS. ( 8 ACC. BLDS. ) SO. 3.50 FT. NEW CONST. MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS ) @7.50 ( & POWER APPARATUS ) SINGLE OUTLET CIR. Ex. Occup. (OUTLET OR FURORES ) 20 Q 1.00 SAL so Ex. Occup. ( OUTLETS RES D.)EA) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ 43.00 Contractor WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations) D 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 of the Labor Code, for the performance of work for which this permit is issued. My workers' compens tion �osurance carrier and policy number are: Carrier 77 �/ -v3 %7 /G7 /l9 ?Y�r /�► �y MECHANICAL PERMIT Filing Fee 20.00 Heating MO(W BM1 15.00 CoolingrJ (� Hood 6.50 Ventilation PERMITFEE $ •LAJ Contractor Policy Number— U Z5 or,Mobile (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) f ❑ 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 fo hwith com ly with those provisions. X ,,u _ 1zt Date Si nature o Applicant - ❑ Ow er D Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. Home Installation Fee Is Energy Inspection Fee Is OCC CONST. TYPE TOTAL FEE $ 128.00 HAZ. I D. FEES I IMP I FLOOD CDF PARCEL PD I HD ISSU This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work s have been paid. indicateAL: 471 y/��-� BY Date / PERMITEXPIRESON % % � fiv (Date) ReceiptNo. 180704 I WHITE-D.D.S.-G.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT 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 ASSESSOR PARCEL NUMBER 062-190-028 ZONING BUILDING PERMIT OWNER HFATHORN TELEPHONE SO, Fr, OCC. BUILDING VALUATION OWNERS MAILING ADDRESS 314 LAKESIDE WAY BERRY CREF4 CONTRACTOR'S NAME DASL TELEPHONE CONTRACTORS MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 20.00 LENDER'S MAILING ADDRESS - Permit Fee $ ARCHITECT OR ENGINEER - - LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ' ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDINGADDRESS 314 LAKESIDE WAY PERMITFEE $ LAKE M-A-DR.ONE PLUMBINGPERMIT Filing Fee 20.00 Each Trap 1 7.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Solar Or heat pump water heater 23.00 USEOFSTRUCTURE SF CX Duplex ❑ Mobilehome ❑ Other SPECIFY Water piping 15.00 Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ] Describe Work: NEW HVAC Mobile Home IS I GI W @20.00 PERMITFEE $ 35.00 Contractor ELECTRICAL PERMIT Filinq Fee 20:00 Main Service / eoov OR LESS 200A OR LESS ) 23.00 Main Service ( 200A TO 1000A ) 46.00 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 C �� Lic. No.�53 OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ 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 NEW CONST. DWELLING OCCUP. OR ADDNS. ( & ACC. BUDS. ) SO. 3.52 F7. NEW CONST.MULTI.OUTLET NON-RESID. ( BRANCH CIRCUITS ) @7.50 ( POWER APPARATUS ) & SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES) 20 Q 1.00 BAS -So Ex. Occup. OUTLEEDTS (REs o.)ea ( ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE g Contractor 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' compens tion�l0suranc� carrier eyed p Icy number are: Carrier % f7I �'!7 %a 7-,- 1 MECHANICAL PERMIT Filing Fee 20.00 Heating 000 T 1 Cooling TON 15-00 19.00 Hood 6.50 Ventilation PERMITFEE S 5 Contractor Policy Number O (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, l shall fo hwith cc ly with those provisions. a X� Date "—� S gna ure o pplicant - ❑ O er Contractor ❑ Agent An OSHA rmit is required for excavations over 50" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 128.00 HA2. I D. FEES IMP I FLOOD I COF PARCEL I PD I HD ISSU This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated v wh ch fees have been paid. By /u/" Date / ?ZIA� PERMITEXPIRESON -71f W (pate) ReceiptNo. 180704 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - BUILDING DIVISION' DEPARTMENT OF DEVELOOMIk 4ERVICES 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 I CORRECTION NOTICE } CA 4,'- -� 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 notify this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, /please contact this office immediately. fi L!/ 9K 7n lieu 112 /' —,I.P r�7/ r /7 , Date Inspector --- REV 10W -- f. „ c,,r+..^s�..,�,ar:-'^i:p� j ice, .r �` �r„'1:�+:r"�r,h.�A.YCi_.�r+�.'�'^*'M1+1'"7•A*'`..'yrriJ�T:'1'�,»r.,'>� . C�OUN�VQa BUTTE - DEPARTMENTOFDEVELOPMENT SERVICES -BUILDING DIVISION lob 7COUNTY CENTER jDRIVE -OROVILLE, CALIFORNIA95965-TELEPHONE (916)538-75411%�w• �., PERI IT APPLICATION DATA SHEET OWNER t? -Y� 6 V` t� ,A A. P. No. n Iva _/ go --Q.�!/ Proposed Building Use Building Inspector Date At time of p it application; I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY ,1. All items have been submitted ......................................... 2. Plot plans, 3j4 sets, signed by preparer of plans . .......................... t.. 3. Complete plans, 3/4 sets, signed by preparer of plans . ...................... 4. Engineered plans and 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 . ..................... . 8. Engineered truss details and layout in duplicate (required prior to plan check). .... 9. Mobilehome data and manufacturer's installation instructions, 2 sets. ........... "s 10. Fees of $ . ......................................... 11. Impact fees as shown on attached schedule. 12. California Department of Forestry plan approval/fees. ....................... . 13. Flood elevation letter (100 year flood) by California Engineer. 14. •Sanitation and plot plan approval Health Department . ........... . i ° '{ 15. City of Chico plumbing permit. .......................:: �. 16. Plottplan and business license approval from City of Biggs/Gridley. . . 17. Planning approval for (A) Use: (B) Parking: ........ 18. Contact�Land Development about (A) Improvements (B) Drainage. 19. Driveway permit (construction approval required prior to occupancy). .. - l5n; ;sped60n request ^. 20. Pre -inspection for required. . to Building inspector (bate) 21. Contractor's license information. (No., Name Style, Classification) . .............. . 22. Certificate of Workmans Compensation Insurance . ........................... . 23. 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.......................I................. . 30. Documentation of 50% subdivision developed or (A) Road improvements completed f and (B) Parcel meets zoning area and frontage requirements. ................. 31. Existing violations/expired permits . ...................................... 32. Plan check list . ..................................................... 33. 34• S ti When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for pickup at office. -1 -1e -liver with inspector. Other Parcel Creation Acreage Applicant Date Copy of Haz-Mat form sent o Health Dept. Fire°Dept. Air Pollution Date Copy of plans sent Health Dept. �y Fire Dept'. Other Date By The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by _ phone _ mail,*,. V., Counter by _'Date Contractor, designer, owner, was advised of above required data by _ phone _ m it c'Tcoynier by _ Date Plans checked by Date Plans approved by ' ',T' ,42 f"""' ; Date Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works