HomeMy WebLinkAbout062-310-025Q
62-31-25 & 26
R®Y NOBLE' s,�e 6c 26
S/S @end o Oa r, 4 mi off Sugar Pine
- Rd, lots 97 & 98, Bald Rock
Contr: LIberty Const, Oro u
er.mit. 4k4097 --79B _R _E=M(new--S-/-F-) F6
a
62-31-25 &26
Contr: iberty Construction
Permit#46 �9-80B(-install--wood
stove)Sf
;WL W//I:
o 62-31-25 & 26
Contrountain Development, Oroville
Per #153-83B,P,E(addition/SF)
062-310-025 03-0134
DUNN, ROGER
5 OAK DR., BERRY CREEK
CONT: GEORGE ROOFING
RE -ROOF
062-310-025 �� � 05-20/02
DUNN
5 OAK DR,
Cont: GEORGE ROOFING
RE ROOF(REPLACE TUSSES)
S
NOTES RE IDENTIAL
PERMIT NO.
I WEI WiA.� � �l
O(bIVO e6Utia 6pFwoUED T2uS5 eACCS
Mo �nnl« �T�Ty2S �atS-r!�(-tom
�0
-062-310-025 05-2002
DUNN
5 OAK DR, Crlee�
Cont: GEORGE R00 ING
RE ROOF( REPLACE TUSSES)
SPECIAL CONDITIONS
SRA
FLOOD CERTIFICATE REQ.
FIRE SPRINKLERS REQ.
SPECIAL INSPECTION ITEMS
VERIFY
USE PERMIT CONDITIONS.
SUB -STANDARD HOUSING LETTER
3771-f.- ttrt SL
I _6 Ed actt
an & C)6LJe- 1) r-
r•
JOB FINALED (Date)
Signature
CHECKED
BY
t
J=OK
O=Not OK
-NotApplic
. = Not Ready able
MOBILE HOMES
Date
MOBILE HOME UTILITIES (Plans) OK except #'s
'
1. Zoning Requirements-Setbacks-Easements
Date
2. Soils; Special MH Support Sketch
3. Sewer, Location-Test-Fall-C/O-Concrete
1. Zoning Requirements -Setbacks -Easements
4. Water, Location-Test-Easement Needed (Sketch)
S. Electricity; Location-Clearances-Gmd-/ /Amp-Concrete
6. Gas; Location-Test-Wrap;-/ /" L'ft.
/ P Nat. or/ /" L °ftJ P LPG
3. Blocking
7. Well Clearance & Disconnect
8. Utility Clearance
5. Electricity; MH Test
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
MOBILE HOME INSTALLATION (Plans) OK except #'s
1. Zoning Requirements-Setbacks-Easements
2. Footings; Size-Spacing-Marriage Line
9. Exits
3. Gas; MH Test-Demand-Valve-Connector
4. Electricity; MH Test-Crossovers-Breakers-Clearances
5. Drain; MH Test-Fall-Flex Connector
11. Verify #'s with Office
6. Water, MH Test-Regulator-Connectoe
7. Water and Sewer Connected-C/O to Grade-HD Approval
8. Gas and Electricity Tagged
Card B-1 Date
9. Tie Downs-Type-Installation Cert.
Date
10. Exits; Insp.-Sketch
Card B-1
11. Cert. of Occupancy
Date
Cana 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 Cana 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. Sec.; Receptacles and Lighting, Distance-GFI
5. Elec.; Pool Lighting; 15 Volts-GFI
6. Elec.; Enclosures; Conduit Entries -Terminals -Listed
7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater
8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg.
Boxes-Enclosures-Panelboards-ins. to Main Conduit
9. Health Department Approval
10. Plumb.; Cir. Test -Water Supply Test
11. Light Niche
12. Enclosure; Fencing -Alarms
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
J=OK
0 = Not OK
- = NotAppricable
. = 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. Grnd.-/ /" Ftg. Depth
4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth
5. Stemwalls, Main; Steel-Blockouts-Wrapped
6. Stemwalls, Garage; Steel-Blockouts-Wrapped
6a. Hold Downs and Special Anchors
7. Slab, Steel -Wrapped
_ 8. Piers -Fireplace Ftg.-Steel
9. D.W.V.; Fall -Fitting -Test -2 Way C/0 -Sewer Test
10. UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test
11. Water Pipe; Test -Anchors -Regulator -Service Test
12. Electric Underground
13. Plenums & Ducts; Clearance -Material -Support -Ins.
14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies
15. Access & Ventilation
16. Insulation
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date PLUMBING (Permit) OK except #'s
17. Water Htr.; Vent -Access -Combustion Air Baffle
18. Water Pipe; Test & Anchor -Nail Protection
19. D.W.V.; Test Fittings & Anchor -Nail Protection
20. Shower Pan; Test, First Floor -Tub Access
21. Test Tub & Shower, Second Floor -Tub Access
22. Gas Pipe; Sixe & Anchors
23. Fire Sprinkler, Test
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date ELECTRICAL (Permit) OK except #'s
24. Fixture & Transformer Clearance -Ins. Protection
25. Elec. Receptacles Spacing -Lights & Switches at Doors
26. Size Boxes & No. of Conductors Stapled
27. Romex Installed Close to Edge of Studs & C.J.
28. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water
29. 2 Appliance Circuits in Kitchen & Conductor Size GFI
30. Subfeed Wire Size/ /ga. Cu or AI -AC. Wire Size/ /ga Cu or Al
31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or Al
Insulated Neutral 0 Yes O No
Date FRAMING (Continued)
47. Hangers -Post Caps -Anchors -Connectors
48. Cling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting: Rtng.
49. Fireplace Ties or Type AFlue-Fireplace Throat Clearance
50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
51. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions
52. Garage Fire Protection Framing -RC Channel
53. Property Line Firewall & Openings
54. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits
55. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
57. Siding -Nailing Veneer
58. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access
59. Glazing Area -Glass Protection -Skylights -Plastic
60. Shear Walls; Nailing -Bolts
61. Brace Intedor/Exterior Wall Panels
62.Insulation-Walls-Ceilings
63. Infiltration -Walls -Windows
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date FINAL P ) OK except #'s
54- teps-Door & Sidelight Protection -Landings
Smoke Detector
66. Furnace Vents -clearance -Comb, Air -Connector -
In Garage; Above Floor-Ducts-Mech. Protection
67. Bedroom Exiting
68. G.F.I. & Bath Fixtures & Tub Access -Spa
69. Elec. Trim & Subpanel, Breaker Sizes & Labels
70. Stairs & Rails
71. Fireplace or Stove, Clearance -Hearth
72. Elec. Outlets at Wood Panel, Int. & Ext.
73. Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance
Outlets & Receptacles at Kit. Counter
75. Garage Fire Door, Swing -Landing -Closure
76. A.C. Duct in Garage -Damper
77. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V.
in Garage; Above Floor-Mech. Protection
78. Plb.; Elec. & Mech. Equip. Listed for Location
79. Elec. Receptacles in Garage (FFI.)-Romex Protection
80. Insulation -Foam -Looked in Attic
81. Guard Rails & Deck Construction -Post Caps
82. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth
Clearance Looked under Floor 0 Yes
83. Following InsUdJDdve 0 Yes 0 NQMalks 0 Yes 0 No/Planters O Yes 0 No
84. Stucco Brown -Finish
85. A.C. Unit Disconnect, Electrical -Plumbing
86. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings
87. Water Well, Disconnect, Electrical, Plumbing
88. Exterior Elec. Trim, G.F.I. Receptacle -Underground
89. Ventilation Throughout House
90. Glass Protection
49-Co-rrections from Previous Inspections
92. Gas Test -Meters Tagged, Gas -Electric
93. Water & Sewer Connected -C/O to Grade -HD Approval
94. Energy Compliance Certificate -Other Certificates
95. Address Posted
96. Fire Sprinkler
Date -(up 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:
32. Service -Riser Conductors & Ground Main Disconnect
33. Equip. Clearances Panels-Motors-Mech. Equip.
34. Clothes Closet Light -Shower Light -Spa Light
35. Smoke Detector
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
MECHANICAL (Permit) OK except #'s
36. A.C. Ducts Insulation & Support
37. Vent Fan, Exhaust above insulation
38. Condensate Drain & Overflow, Size & Grade
39. Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet
40. Attic Access & Platform if Furnace in Attic
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
FRAMING (Permit) OK except #'s
41. Sills Proper Materials & Anchors
42. Walls Studs -Nailing Spacing & Braces -Plates -Sound
43. Bearing Walls over Girders & Floor Nailing
44. Draft Stop in Walls (rat proof)
45. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs
46. Headers & Beams -Size & Bearing
Date FRAMING (Continued)
47. Hangers -Post Caps -Anchors -Connectors
48. Cling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting: Rtng.
49. Fireplace Ties or Type AFlue-Fireplace Throat Clearance
50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
51. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions
52. Garage Fire Protection Framing -RC Channel
53. Property Line Firewall & Openings
54. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits
55. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
57. Siding -Nailing Veneer
58. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access
59. Glazing Area -Glass Protection -Skylights -Plastic
60. Shear Walls; Nailing -Bolts
61. Brace Intedor/Exterior Wall Panels
62.Insulation-Walls-Ceilings
63. Infiltration -Walls -Windows
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date FINAL P ) OK except #'s
54- teps-Door & Sidelight Protection -Landings
Smoke Detector
66. Furnace Vents -clearance -Comb, Air -Connector -
In Garage; Above Floor-Ducts-Mech. Protection
67. Bedroom Exiting
68. G.F.I. & Bath Fixtures & Tub Access -Spa
69. Elec. Trim & Subpanel, Breaker Sizes & Labels
70. Stairs & Rails
71. Fireplace or Stove, Clearance -Hearth
72. Elec. Outlets at Wood Panel, Int. & Ext.
73. Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance
Outlets & Receptacles at Kit. Counter
75. Garage Fire Door, Swing -Landing -Closure
76. A.C. Duct in Garage -Damper
77. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V.
in Garage; Above Floor-Mech. Protection
78. Plb.; Elec. & Mech. Equip. Listed for Location
79. Elec. Receptacles in Garage (FFI.)-Romex Protection
80. Insulation -Foam -Looked in Attic
81. Guard Rails & Deck Construction -Post Caps
82. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth
Clearance Looked under Floor 0 Yes
83. Following InsUdJDdve 0 Yes 0 NQMalks 0 Yes 0 No/Planters O Yes 0 No
84. Stucco Brown -Finish
85. A.C. Unit Disconnect, Electrical -Plumbing
86. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings
87. Water Well, Disconnect, Electrical, Plumbing
88. Exterior Elec. Trim, G.F.I. Receptacle -Underground
89. Ventilation Throughout House
90. Glass Protection
49-Co-rrections from Previous Inspections
92. Gas Test -Meters Tagged, Gas -Electric
93. Water & Sewer Connected -C/O to Grade -HD Approval
94. Energy Compliance Certificate -Other Certificates
95. Address Posted
96. Fire Sprinkler
Date -(up 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 <=7
BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
7 County Center Drive • Oroville, CA • (530) 538-7541
CORRECTION NOTICE
ung d S- ao�=
OWNER PERMIT NO.
A routine inspection indicates that the following violations of Butte County Ordinances :exist
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
Uo
r S
Inspector f 0/7 /111-0 p c cA
`r
Phone #
t
SPECTION CALL: 538-7636 OR 891-2834
�`
COUNTY OF BUTTE
BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
7 County Center Drive • Oroville, CA • (530) 538-7541
CORRECTION NOTICE
OWNERIM
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.
J ~tel
IVL) � A-0
tk., k.
It", V11170d
0,
Date Inspector
REV 4/05 Phone#
FOR RE -INSPECTION CALL:
538-7636 OR 891-2834
w :tib
Clear Day
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
LOr2.
PERMIT.NO.
BP052002-
LICENSED CONTRACTORS DECLARATION
I hereby affirm under penalty of perjury that I am licensed under
provisions of Chapter 9 (commencing with Section 7000) of Division 3 of
Issued Date: 07/28/2005 APN: 062-310-025-000
the Business and Professions Code, and my license is in full force and
effect.
License Class: B&C- •3 2 License Number: ,KV- y(
Site Address: 5 OAK DR BCK
Date: ZL-19-1�0 Contractor. GE02(ii RDUF�A/Z'
Map Index:
Description: REPLACE 5 TUSSES, REROOF (17)
OWNER43UILDER DECLARATION
1 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 pity or county which requires a
Owner: DUNN ROGER & DARLA
permit to construct, alter, improve, demolish, or repair any structure, prior;
t-, •- "�; :: ;• : " :,.- : --. '
P 0 BOX 305
'to its "jssu in5e;-also requires the applicant for such permit to file"a"
Sigsial@irtepf�ttiat he or she is licensed�pursuant.('o tfie`;provisjdhs of "
.:-` - ;= `"BEFM`-CREEK GA^"
the Contractor s Siatg-Licgnse Law (Chapter d,cbmriencing wCh Section
95916
7000)ibf-Ulvi6on:.3:of�the Business and Professions Code) or that he. or'
she`iv;exemp't therefr6nif-and the basis; for.thq ;allegqo,pxeM.ption;• Any;,
"• ",-,:: "." ,, ,. ; . 9
violation of SecSion703.1 .5 by any applicant for a pemlitsu jecls theti
applicant,to:
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive • Oroville, California 95965 • Telephone (530538-7541 PER IT N04
(Rev.12/96) - APPLICATION AND PERMIT V -
ASSESSOR PARCEL NUMBER
`•/
ZONING
BUILDINGPERMIT
OWNER
TELEPHONE
SO. �, OCC. BUILDING VALUATION
`!
OWNERS MAW ''ADDRESS
(!a . • 9s'9��
C RACTOR'S NAME / TELEPHONE
CONTRACTORt MAILING ADDRESS
CONSTRUCTION LENDER J
Fireplace
LENDER'S MAILING ADDRESS
Total Valuation $ DD
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee $ 20.00
Permit Fee $
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee $
BUILDING ADDRESS • // /
Energy Plan Checking Fee $
PERMIT FEE $ % ia)
LOT NO.
SUBDIVISION'S NAME
PARCEL MAP
PLUMBING PERMIT Fling Fee 20.00
Each Trap 7.00
USEOFSTRUCTURE
SF W Duplex ❑ Mobilehome ❑ 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 Utilities ❑ Installation Other ❑
Describe Work: 11 11-4
t
Gas piping system 1 - 5 outlets 15.00
Building sewer 15.00
Mobile Home I S I G W @20.00
PERMIT FEE $
• - A - J �. - -' b1
ELECTRICAL PERMIT Fling Fee 20.00
Main Service noon OR LEo0 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. � /
C -- ?j� Lic. No. n
License Class y �p� to
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
Main Service 200A TO 1000A 46.00
NEW CONST. DW NG OCCUP. SO
GR ADONS• a Acc. BLDS. 3.50 Fr.
I,DµR61DT MULTI•oUTLET @7.50
POWER APPARATUs
d SINGLE OUTLET CIR.
zo p i.50
EX. OCCU OUTLET OR FIXTURES SAL @ .50
Ex. Occup. ounEEOTs(RRES,6.) 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring 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 insurancecarrier and policy number are:
Carrier f f 44
Policy NumberA A-47 10,4:,1' —,5q4 - %) a.
(The above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
❑ 1 certify that in the performance of the work for which this permit is issued, I shall
not employ any person in any manner so as to become subject to workers'
compensation laws of California, and agree that if I should become subject to the
workers' compensation provisions of section 3700 of the Labor Code, I shall
forthwith comply with those provisions.
X /41G Date % /$- -4 3
Signature of Applicant - '❑ Owner ❑ Contractor ❑ Agent
An OSHA permit is required for excavations over 60" deep and demolition or constructionbV
of structures ov r Ilei h '
MECHANICAL PERMIT Filing Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEE $
Mobile Home Installation Fee $
Energy Inspection Fee $
OCC
CONST. TYPE
TOTAL FEE $ % a
HAZ.
D FEES IMP
FLOOD
CDF PARCEL
PO
HD
ISSUE
This permit is hereby issued under the applicable provisions
of the Vutte County Code and/or Resolutions to do work
indicatpdlabovb for which fees have been paid.
B V t/VDate
Y 1 /'1
PERMIT EXPIRES ON
ate
/stories�in.
ReceiptNo. ai � /ILI
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
062-310-025 03-0134
DUNN, ROGER
5 OAK DR., BERRY CREEK
CONT: GEORGE ROOFING
RE -ROOF.
0
Clear Day
BUTTE COUNTY _
DEPARTMENT OF DEVELOPMENT SERVICES-----,
BU4L-DING- PERMIT
ERVICES"..,..A-'-
BUaLDING-PERMIT
24 HOUR INSPECTION #,, J530) 538-7636.(OROVILLE) (530) 891-2834 (CHICO)
OFFICE #: (530) 538-7541 FAX#: (530)538-2140
WEBSITE: www.buttecounty.neAdds
Lott
PERMIT NO.
BPO52002
LICENSED CONTRACTORS DECLARATION
I hereby affirm under penalty of perjury that I am licensed under
provisions of Chapter 9 (commencing with Section 7000) of Division 3 of
Issued Date: 07/28/2005 APN: 062-310-025-000
the Business and Professions Code, and my license is in full force and
effect.
License Class: �� G- ,3 � License Number: �S?7G,(
Site Address: 5 OAK DR BCK
Date: 28 o Contractor: 6EOR6,5 gDoFIA16
Map Index:
Description: REPLACE 5 TUSSES,sREROOF (17)
OWNER•BUILDERDECLARATION
1 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,
,w.• Owner: DUNN ROGER & DARLA
- • . i
to its, issuancie°ralso requires the applicant for such permit to file a'
; r. f ,-••�• . ; t`. , , s ,,,
- t '" ;` ' P 0 BOX 305 . ti'i<;s :` I� ,'. i
signed sta(gmemj�tf�at he or she is licensed�pursuarit to7ttie'proGisiohs Off,
. : ( `�- .' <<;:;C ; BERRY CREEK +CA ^'
the Cbntractoristate•License Law (Chapter 0 commencing with Section
'
t
'�''= 95916 t
7000),'of DlwS4 o146 Business and Professions Code) or that he or .
.: 't '. �' .. g
i. '.'
she i5, exempt therefrortfand the basis, for, the ;alleged;exemQtion,. Any{
y
vwlatwn•of�b"ecyon';703.1.5 by any applicant: for a permitzubjeclS theaA'.,
} 6
applicant' a ivil penalty:of not more than five hundred dollars ($500))
{
❑ I, as owrSer of the property, or my employees with wages as their
sole compensation, will do the work, and the structure is not
" q,,,�nt@pdg. o�,g(tgre�,jarRsaie,(SQc �7Q44, )3us�ness and.;lwfofgss ogs ,
- -..... ,Appl.icant:..GEORGE,ROO.SING•—.-,-...-.,.—.,.......,�
Code: The-_Contractprs'iState License -Law does not apply to an
.,_.owner of, property who builds or; improves thereon,, and,who_does
<such,worlt,hjpself or;heraejf or through his or•her own employees,
6810 LINCOLN BLVD
r ` RTNid.ed jhairsuch improvements, are, not, intended or offered,for
OROVILLE, CA 95966
,sale. I however, the building orr improvemeAs are sold' within one
• o_
'" year of completion, the owner -builder will. have the burden of
(530) 533-6393
,,,,,r „
proving'that -ne•or- she did -not build `or improve for --the purpose of
sale.).
O _ l,,<as-,•awner..�f the, property„�am4exclusively contracting with.
licensed contractors to construct:the,pr6ject:(Sec. 7044, Business
�.v;and-Professions Code.!: The Contractors' State License Law does
Contractor: GEORGE ROOFING
not apply!to an owner of property.who builds or improves thereon,
;,,,and who.contracts, for. such projects with_a,contractor(s) licensed
�,,,,,»_, �•„ „• w
pursuant to the Contractors
�,^�
_, E
-. "r , ,,
_ ,
OROVILLE, CA 95966 -. 'r="T '.
} ;
0 r' I'am Exempt under Article 3 of the Business and Profession Code ,;'s'
f•'
(530) 533'=6393' ` t
Date: Owner
�•• 4
:License #: 452266
rt ;;1,., ',WORkFRS:COMPENSAiibN DECLARATION;,.? -
%'
Thereby affiim under penalty of perjury one -of the following daGarations:
❑ %1 have •and.` will, maintain a certificate of consent to self -insure for
� f t•-� -- � . » ••- • �^»--r,.w.T.
workerj;',i:otnpensation, as provided for.,by-Section 3700.of•the
Labor,Cod%.fpr,the performance oJ.the work for which this permit
Architect:
is issued.:, •�,�,��:,R::,
Jai t have 'and ,.will�maintain;:workers'; compensation,.insurance, as
�. ...Engineer:.,•-".. _.__.. _..r,.,.,, ...,.-�.-,.:.:_,_..� . ,u,"......,,..» ,.> ..r w:„•
-,� ,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: .ST�7 'FcrN%_;'
Total Square Ft: 0 S. F.
'I ^_
Valuation: $0.00
Policy#: 272—'��1�6~
Census Code: .,... ... .
O I certify that in therperformance'of the -.work for which this permit is
issued;eYt shall fnot,employ�any, person-iri•'any manner so as to
become' subject to the'.workers' compensation laws of California.
and , agree thatrj if' I - should.;become” subject : to the workers'
compensation provisions of Secfion.3700 of the Labor Code, I shall
, forthwit comply with those provisions , •
i, f ; r'
Date: B
WARNING FaGure` to secure rworkers' compensation coverage is
�•�: ,.
unlawful; and 1hajl "subject an employer to'criminat'penatties and one
hundred"thousand•'dollir§'.($100,000);Nin71 addition to the cost of
compensation,bamages as^provided for'ih-Section'3706 of the Labor
code,Jnterest,And attomey's.,fees,,-,,c:_.�. .,,, . 9 .M.-..
CONSTRUCTION LENDING'AGENCYa
I hereby affirm that there is -a construction lending agency for the
This permit's hereb issued under the applicable provisions of the Butte Cnunty CMp a or
Resolutions o rk indicat d above for which fees have been paid.
performance of' work for which this permit is issued (Sec 3097 Civ.)
Name:.
B,, ( Q Date: V
PERMIT EXPIRES Qf : v
Address:
Date
❑ I hereby certify that the use:of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage,
handling and use of hazardous materials. , , • . .� c., �,
❑ = Notification in accoia nce-with Section 19827.5 of California' Health & Safety Code is not applicable to the scheduled construction of this project.
❑ Attached are cop es of,the required E.P:A.' notification forms. • - -. �-
I hereby certifyAhat I have read this application, that the above informaiion is corect, and that 1 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 Countjto'enter upon the above mentioned property for inspection purposes
Pnnt Name Signature:
' •� � - •' ., _. ..... 1
Date . •�OYJ�
•zy
u : ;' �t,,O-Owner, `� +^ r`.. - Contractor 0 Agent for Owner ❑ Agent for Contractor
Clear Day
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING -PERMIT
24 HOUR INSPECTION #((530) 938-7636_(-OROVILLE) (530) 891-2834 (CHICO)
OFFICE 0(530) 538-7541 FAX#: (530)538-2140
WEBSITE: www.buttecounty.net\dds
ral;c /_ Ui
PERMIT NO.
BP052002
LICENSED CONTRACTORS DECLARATION
I hereby affirm under penalty of perjury that I am licensed 'under
provisions of Chapter 9 (commencing with Section 7000) of Division 3 of
Issued Date: 07/28/2005 APN: 062-310-025-000
the Business and Professions Code, and my license -is in full force and
effect.
License Class: BSC- ,3 i License Number: iS-2%G,/,
Site Address: 5 OAK DR BCK
Date:v'g o Contractor. CaBo2Li� RD41 LA a
Map Index:
Description: REPLACE 5 TUSSES, REROOF (17)
OWNER43UILDERDEcLARAT16N
I hereby affirm under penalty of perjury that I am exempt from the
Contractors' State License Law for the following reason (Sec. 7031.5
Business and Professions Code: Any city or county which requires a
Owner: DUNN ROGER & DARLA
permit to construct, alter, improve, demolish, or repair any structure, prior.
•.• -".
to its .jssuanee;-;also requires the applicant for such permit to file"a,•
P O BOX 305 -• • -
signed s(atolneril'.i al"he or she is licensed'Our-suantt6rthe?,pro4isiolns of;-
BERRiY CREEK',.;CA "
the Con tractor's; Slate Licgnse Law (Chapter 9 com�rien'cing`with 8'ection,
7000) of fllvisiort3-'dillie Business and Professions Code) or that he•or;
95916
she'i5";exempt therefrom}"'and the basis; for th_e alleged,.exemption,: Any:.
-(or
_...
?
violation•of;-b�ecygr;'"703-1 _5 by any applicant a pemlit;subjects the.
applicant,toa�iyitpenalty:of not more than five hundred tlolla�s;($500) ); i
❑ I, as,dWndr•of the property, or my employees. with wages as their
sole compensation, will do the work, and the structure is not
t,Qn t9.d .. ,Qre •.(or sale,t.. 04 , a�n .pr,. . ygg.
.,,.,_..�ln .«d ...,_or off. d, ..-.• $:ec•,.7„a „Bus Hess., .,dam ofe si s ,
..; Appi.icant:.,.GE,ORGE.RO.O.EIN.G.:
.:n . _,..,.::>.._:.:.,,,....,....,...,..............,,, .....-......
Code: The•Contractors':State License.Law-does:not apply to an
_;;owner of. property who:,builds or: improves thereon,,.aAd,,who does
such,work,hi(rfself or;herselfor thrpugh-his :or her own employees,
6810 LINCOLN BLVD
provided that uch.improvements are.not intended or offered. for
§ "If however, tiie building or improvements "are sold within one
ale:
OROVILLE, CA 95966
year•.of completion, the owner -builder will have the burden of
(530) 533-6393
proving that"he or -she did -not build'orimprove for -•the purpose of
sale.).
„❑,.,-.,f;..as.••:awoer,.,of :the.•.property,..,am:,exclusively..,.contractinJen
licensed contracto s•ao corf6tructthe,prbject:(Sec. 7044, B
,..:;and Professions Code.:. The Contractors' State License La
Contractor: GEORGE ROOFING
;. not apply:to an,owner of property. who builds or.improves t
and who .contracts. for such projects with._a.contractor(s) li
:-•. pursuant to the Contractors State. License.Law.)::
6810 LINCOLN BLVD
O I"am,ExemptunderArticle3.of.theBusiness;and;Profession
.... 5966
RQVILLE. CA 9
... -,,:, .�:.:� :.; . - • •,. •,_.:.. ; , ... - . -,.
(3) 33-6393
Dates... • ..,;:. .Owner:=
License #: 452266
•_:,,...':VORKERS' C.OMPENSA710NDECLARATI.ON:,::.,
thereby a( irm.underpenalty of:perl'ury one of the following declar
❑ ':. f.haVe and..will, maintain a certificate of consent to self -insure for
workers;,:compensation,• as provided. for,by.Section 3700,of4he
Architect:
Labor.Code,.for the performance of: the work for which this permit
is issued. . ..:.:.
,.,
n ine.er:..:. -....
1 have and :•wilt; maintairi=..workers'- compensation ";insurance, as
required;by.Section 37p0:>the Labor:.Code,-for: the performance of
the •work for. which this permitis issued.• tvly workers' -compensation
insurance;carrier andpolicynumber. are::%:; ,
Carrier: STi37wN:::: r
Total Square Ft: 0 SF
Valuation: $0.00
G6
Pokey #: 2 72 — s9
:,,::;>>,.,..::...z.<:,..u:.:y:.:;::F.::;:,;z•...�-.:,:, . .,;::...:: ; ":.:.,:j..
Census Code.
O I certify thal in'4he perforinance"of,the.work for which this permit is
r Tissued;*-, f shall<inot.: employ any person: it "any manner so as to
become:subject to the'_workers` compensation Taws of California,
and agree; .thq :if: I..should. become- subject to the workers'
compensation provisions;of Section -3700 of the Labor Code, I shall
forthwithcomply with; those provisions.
Date:".
WARNING:r`"Failure`'ta secure rworkers'' compensation coverage is -
unlawful; and'�s` iall"subject'an e'm"plo"ye'r -to criminal penalties and one
hundred"'thousand 'dollars "($100,000); `in -`addition 16 -the cost 'of
compensation; damages as provided for- in`Section 3706 of -the Labor
.. code,:interest;, and attomey.'s.,fees;,:.;. ,: ':.. . .... ........
CONSTRUCTION LENDING AGENCY •
This permit is hereb issued under the applicable provisions of the Butte Cnunty Cody 2n pr
I hereby.affirrn that there is"a construction lending agency for the
Resolutions tp,do rk indicat d above for which fees have been paid.
performance of the work for which"this permit is issued (Sec 3097 Civ.)'
��
Name:
By; i Date:
�s
Address:
PERMIT EXPIRES
Date
❑ " f 1, hereby certifydhat.the use_Af this facility.shall -comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage,
:handling and use of,hazardous.materials..:
❑ Notification in'ac. o&dance with Section 19827:5 of California Health & Safety Code is not applicable to the scheduled construction of this project.
❑`Attached are copies.otfhe 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.stafe:laws relating to build ing,construction.' •I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby
authorize,rep�esentatives of Butte County to eiiter.upon the above mentioned property for inspection purposes
�r.�SignaPriritNatui e:
O.Owner; ".` • ..' :: Contractor ❑ Agent for Owner ❑ Agent for Contractor
V //'GO'1GVV 9 .,...,.,......... ... "".....
Clear Day
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING -PERMIT
24 HOUR INSPECTION I!Jt`(530) 538-7636_(.OROVILLE) (530) 891-2834 (CHICO) .
OFFICE #: (530)-9364 FAX#: (530)538-2140
WEBSITE: www.buttecounty.netldds
2 of l
PERMIT NO.
BPO52002
LICENSED CONTRACTORS DECLARATION
I hereby affirm under penalty of perjury that I am licensed under
provisions of Chapter 9 (commencing with Section 7000) of Division 3 of
Issued Date: 07/2$/2005 APN: 062-310-025-000
the Business and Professions Code, and my license is in full force and
effect.
License Class : B� C' .3 � License Number: ���7ti4
Site Address: 5 OAK DR BCK
Date: `8 o Contractor. 6EO�W,5- kpoy:'we
Map Index:
Description: REPLACE 5 TUSSES, RER00F (17)
OWNER -BUILDER DECLARATION
1 hereby affirm under penalty of perjury that I am exempt from the
Contractors' State License Law for the following reason (Sec. 7031.5
Business and Professions Code: Any city or county which requires a
..�..,..
Owner:. DUNN ROGER & DARLA
permit to construct, alter, improve, demolish, or repair any structure, prior,
•• •
to its.issuanM,.-;3lso requires the applicant for such permit to filers`
_ P 0 BOX 305
signed statglneol-tfZal he or she is licensed.'puTsuant.tdrthW,0Yovisiohs of
.... .: -
"` ' "BE CREE A
RfY K; -C
the Contractor's;Siate License Law (Chapte' i� commencing'wiih Section.
" 95916
7400); bf-b14iori .3: 6,61lie'Business and Professions Code) or that he•or. ;
S' e is`;exempt theref66and the basisfor thg allegeo,exe{npp�tion,. Any;.
?
violation•:of SeG�igrj'47031 5 by any applicant fora permit subji:cis tlie..
j
applicant,to"a^ciy llpenalty:of not more than five hundred Bolla/5($500),) :f
n
O I, as•owrierof the property, or my employees with wages as their
sole compensation, will do the work, and the structure is not
inS,QLldecj,al,.oftgred..dRr sale,jS;gc. 7Q, ;Buginess a1Gd professions
,,,,,;•„,,,,,.,..Appl.ican,t:,.GE,O.RGE..ROQ.FIN.G.:
Code: The.Contmctors'iState License-La.w•does not apply to an
owner of. property who.,builds or: improves thereon,,. and, who does
.ouch:work;hi(nsel.o�:.herself, r,through:his or her own employees,
6810 LINCOLN BLVD
provided that euch.improyements.are not intended or offered. for
OROVILLE, CA 95966
sale. 1f However, hie building o'r improvements'are sold within one
year completion, the owner -builder will have the burden of
(530) 533=6393
„of
'. proving'that -he-or-she did. -not build :or improve for -•the purpose of
sale.). '
_...... _.......... .. .. _ ...... _..._........
.: ❑�, ..�I,,.•as..•:nwnee:,o1•,..the:property,::..am,:,exGusivety,.„wntracting _with...
,. .. ... .. ..
licensed contractors•:to con'stnict:1he.pr6ject:(Sec. 7044, Business
•,.:;and Professions Code., The Contractors' State License Law does
Contractor: GEORGE ROOFING
-. not apply•to an.owner of property.who builds or.improves thereon,
and whocontracts. for such projects with. a. contractor(s) licensed
„
pursuantto.theContractors'Statp;LicenseLaw;)::6810
LINCOLN BLVD
❑ r: I am,Exempt under Article 3, -of -the Business:and:Professions.Code'-:
...• .OROVILLE., CA ,95966
_.....
(530) 533,6393,,-;
33=6393°-
ate
ate...;:•:. ;Owner
-
-License #: 452266
:.::, : • •,W,ORKERS' COMPENSATION DECLARATION:,::.
thereby:affiirn,under penalty of perjury one:of the following declarations:
❑ ':. Khave and.`.wil1. maintain a certificate of consent to self -insure for
-: -
workers;;,compensation, as provided for,by..Section 3700. of the
Architect:
Labor,Code,.for the performance of -the work for which this permit
is issued. _
n. •„ �,, :.:,:>�., ;:. .::::. •.:..:..: ... ....:...t:..,r,., .:...�-.:.:n, �.:x::.:,.: .:.....
I. have andrwill,,maintain,,,workers'• compensation :insurance, as
__:......Eng in.. ............. ...v ., _v...w ..... _ .,....:
required; by .Section 37OO:,the Labor- •. Code,: for the performance of
the work: for. this -permit -is issued.. My workers' compensation
insurance; carrier and;policy number are:' .
Carrier: S%47ZF
0 SF
Total Square Ft:•
Policy ft: 2 72
Valuation: $0.00
ry - - ...:3.:....:,:>.: . ,.......;..u:...,.. .,.. ......
Census Code:
❑ 1 certify that .in thePperfortnarice"oPthe work�for which this permit is
..:issued; :: shalt/; not.: employ any,pi rson;.in. -any manner so as to
become subject to the -workers° compensation. laws .of:California,
and agree.:.that;aif; I ,should.'become'- subject to the. workers'
compensation provisions;of Sec6on.3700 of the Labor Code, I shall
forthwith comply with, those provisions.
Dater
.............
Applicant: .r.vq.: �•. ,......... ..
WARNING::.;
BUTTE COUNTY.
DEPARTMENKF DEVELOPMENT SERVICES
BUILDING PERMIT APPLICATION
AND SUBMITTAL REQUIREMENTS
24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834
. OFFICE #: (530) 538-7541
A FEE WILL BE REQUIRED AT TIME OF APPLICATION
Website: www.buttecounty.net/dds
"PLEASE PRINT CLEARLY*
APPLICANT SIGNATURE
X
For office use onl
OWNER
Last Name
City
;B��4Ry
First Name
G
Address
69/0 L/NCOL IV el_
City
Address
StateCAZip
9S96
5.0�/�
City
Fax
State
Zip
Phone
Fax
E-mail
Lic.#5226.6
APPLICANT SIGNATURE
X
For office use onl
CONTRACTOR
Name
City
;B��4Ry
Address
G
Address
69/0 L/NCOL IV el_
City
0"I&I/l G LE
StateCAZip
9S96
Phone
Fax
Fax
0114M// G
State License Number
E-mail
a6c 96, 60"
Lic.#5226.6
g C
APPLICANT SIGNATURE
X
For office use onl
ARCHITECT/ENGINEER
Name
City
;B��4Ry
Address
SRA
City
Yes
State
Zip
Phone
Type Const.
Fax
E-mail
0114M// G
State License Number
APPLICANT SIGNATURE
X
For office use onl
APPLICANT NAME
Name
City
;B��4Ry
Flood Zone
SRA
SRA
Yes
Address
Occ.
Type Const.
69162 1ivC9L1V &Z-
LCity
City
0114M// G
State
ZiP�
Phone
_?o 5 33 6 9.3
Fax `_6-77-620-1
E-mail
.
@ a 6c c - cow„
APPLICANT SIGNATURE
X
For office use onl
API
Zoning
City
;B��4Ry
Flood Zone
SRA
SRA
Yes
No
Occ.
Type Const.
Subdivision Name
Address
Map Book
Page
Lot #
Planner
Date Approved:
OVER FOR SUBMITTAL REQUIREMENTS
K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc
PERMIT
NO.
BIN #
LOCATION
API
Property Address
� 0,9& Die
City
;B��4Ry
ss Street
r
SRA
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:
CE ,q,0k .l AAID
c—A4CKE1? ??e4,SSrS 6-R60F
Sq. Footage 1,/ 3 Z
❑ Structure Built without Permits
❑ Proposed Change of Occupancy
(Note previous use):
EXPIRATION OF APPLICATION
Applications for which a permit has not been issued will expire one
year after the date of application. In order to renew action on an
application after expiration, a new application, plans and fee will be
REQUEST FOR REFUNDS
Refunds can only be made upon written request by the person who
paid the fee. The request must be made prior to the expiration of the
permit and no construction work has been done. Filing fees, plan
check fees for work plan checked and other department costs are not
refundable.
Received by:
Amount: Bldg
SRA
Receipt #: A �
�r;5-4 (o 3
Sheriff
SMTP .
I I
loq'P 4 / ' /9 TotDate: � b
Page 1 of 2
REV 2-24-05
SUBMITTAL & PERMIT REQUIREMENTS
The following drawings and specifications must be submitted to the Building Division in order to apply for a
permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK.
❑ 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. No graph paper!
❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans (No graph paper!) OR
Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations.
❑ 3. Engineered truss details and layouts in duplicate (if required). No faxes!
❑ 4. Energy compliance design and supporting documentation in duplicate.
❑ 5. Statement of Intent for Non -heated and A/C for Non -Residential Buildings.
❑ 6. Manufactured homes: (A) installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in
duplicate.
❑ 7. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor
plans in triplicate. All of these must be stamped and wet -signed by the engineer.
❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate (if required).
❑ 9. Site plan and business license approval from the City of Biggs.
❑ 10. Letter of intent for non-residential buildings.
❑ 11. Detached Accessory Building Form filled out by the owner (if required).
❑ 12. Hazardous Material Form (for Commercial Buildings only).
Remaining items needed to issue the permit. Additional items may be required after Plan Check and Planning
review (May
require additional plan review upon receipt of the following items.)
❑
1.
Agricultural Buffer clearance and site plan approval from the Ag Commissioner's office (if required).
❑
2.
Impact Fees.
❑
3.
California Department of Forestry plan approval (if required).
❑
4.
NPDES Form.
❑
5.
Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy).
❑
6.
Contractor's license information. (Number, Name Style, Classification).
❑
7.
Worker's Compensation Carrier and Policy Number.
❑
8.
Owner -Builder Verification (if required).
❑
9.
Letter of Signature authorization (if required).
❑
10.
Recorded copy of Agricultural Acknowledgment Statement.
❑
11.
❑ Grant Deed, ❑ M.H. Title/Statement of Facts.
❑
12.
Sanitation and site plan approval from the Environmental Health Department.
If you have questions or would like additional information regarding this process, please contact a
Permit Assistant at (530)538-7541.
EXPIRATION OF APPLICATION
Applications for which a permit has not been issued will expire one year after date of application. In order to renew action
on an application after expiration, a new application, plans and fees will be required.
REQUEST FOR FEE REFUNDS
Refunds can only be made upon written request by the person who paid the fee. The request must be made within two
years from the date of fee payment on permits not issued, and two years from the date of permit issuance for permits
issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan
check fees for work plan checked and other department costs are not refundable.
OVER FOR BUILDING PERMIT APPLICATION
KAFORMSMILDING F0RMS\BIdgApp1SubRgmts.doc Page 2 of 2 REV 2-24-05
Job Truss Truss Type - __.
�Oty Ply-...---
OUNNO102 AlCOMMON R8188696
4 1 DUNN
Longfellow Lumber Co., Inc., Chico, Ca. 958F28_7434 -4.201 SR1 s Oct 17 2002 MTek Industries(onte�nFri Jan 03 14:25:27 2003 Page 1
-1.0-074-11
!- I �I 1¢1.8 20.10
2.0,0 -• .. 2830 Vt 30.3.0--
7.411 6.813 6�11-114 7-4.10
5x6 = Scale = 1:53.5
I�
0
3x4 = 3X4 = 3x4 =
9.7-10 16.7-7
- 28.30
9.7.10 8 11-13
9.7.9
Plate Offsets (X,Y): (6:0.0.1,0.0.01, 18:.0-1-15,0.1-81
LOADING (psf)
TCLL 16.0
SPACING .2-0-0
Plates Increase 1.25
DEFT in (loc)
I/defl
PLATES GRIP
TCDL 10.0
Lumber Increase 1.25
7WB0.20
Vert(LL) -0.19 8-10
Vert(TL) -0.36 8-10
>999
>936
M1120 220/195
BOLL 0.0
BCDL
Rep Stress Incr YES
Horz(TL) 0.05 6
n/a
7.0
Code UBC97/ANSI951st
LC LL Min 1/defl = 240
Weight: 143 Ib
LUMBER BRACING
TOP CHORD 2 X 6 OF SS -G TOP CHORD Sheathed or 6-0-0 oc purlins.
BOT CHORD 2 X 4 OF No.1-G
BOT CHORD Rigid ceiling directly applied or 10.0.0 oc bracing.
WEBS 2 X 4 DF Std -G
REACTIONS (Ib/size) 2=1034/0.3-8, 6=1034/0-3.8
Max Horz 2--16(load case 3)
Max Uplift 2=-17(Ioad case 5)-, 6=.17(load case 5)
FORCES (lb) - First Load Case Only
TOP CHORD 1-2=18, 2.3=-1657, 3-4=-1439, 4-5=-1439, 5-6--1658, 6.7=18
BOT CHORD 2.10=1515, 9-10-1048,
8.9=1048, 6-8=1515
WEBS 3.10=-309, 4-10=468, 4-8-469, 5.8=-309
NOTES v :i-,ri
1) This truss has been checked for unbalanced loading conditions.
:a
€r
2) This truss has been designed for the wind Loads generated by 75 mph winds at 25 ft above ground level,
using 10.0 psf top chord dead load and 7.0 psf bottom chord dead load, 100 ml from hurricane oceanline,
on an occupancy category I, condition I enclosed building; of dimensions 45 ft by 24 It with exposure C
ASCE 7.93 per UBC97/ANSI95 If end verticals or cantilevers exist, they are exposed to wind. If porches
exist, they are'not exposed to wind. The lumber DOL increase is 1.33, and the plate grip increase is 1.33
3) This truss has been designed for a 10.0 psf bottom chord live load nonconcurrent with any other live loads
per Table No. 16-B, UBC -97.
4) A plate rating reduction of 20% has beenapplied for the green lumber members.
5) This truss has been designed with ANSI/TPI 1.1995 criteria.
LOAD CASE(S) Standard
OQRpFESSIOi
G ANo,��!'�,2
�Q�.�`
NO- C171
M 6-30.05
,A WARNING - Verify design petramererl and READ NOTES ON THIS AND REVERSE SIDE BEFORE USE
Design valid for use only with MITek connectors. This design is based only upon parameters shown, and Is lot an Individual
building component to be Installed and loaded verlically. Applicability of design parameters and proper Incorporation of
component Is responsibility of building designor - not truss designer. Bracing shown is lot lateral support of individual
web members only. Additional temporary bracing to insure stability during construction Is the responsibility of Ihevrector.
Additional permanent bracing of the overall structure is the responsibility of the building designer. For general guidance
iegarding fabrication• quality control, storage, delivery, erection, and bracing, consul) OST -88 Quality Standard, DSB-
89 Bracing Specification, and HIB -91 Handling Installation and Bracing Recommendation available from Truss
Plate Irislllule, 583 D'Onofrfo Drive, Madison, WI 53719
iP/P
NN"'
MTek Industries, Inc.
srq�
\� or
January 6,2003
oNS3181SHN1 �31!W H95 0!-£OOZ
9 -uer
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES -BUILD G DIVISION
7 County Center Drive • Oroville, California 95965 a Telephone (530 538-7541 9�W�
(Rev. 12/96) APPLICATION AND PERMIT � (J
ASSESSOR PARCEL NUMBER Q _ Q
ZONING
BUILDING PERMIT
OWNER
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
OWNER'S MAI KESS oxf ///��
li(IVi
RACTOR'S NAME
TELEPHONE
`
07 3 —62
CONTRACTO MA NG ADDR S //
4glo E t / 6_
CONSTRUCTION LENDER
Fireplace
LENDER'S MAILING ADDRESS
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE NO.
—Filing Fee $
20.00
Permit Fee $
ARCHITECT OR ENGINEERS MAIUNG ADDRESS _Y
Plan Checking Fee $
BUILDING ADDRESS
o
Energy Plan Checking Fee $
$
PERMIT FEE $
dp
LOT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT
Filing Fee 20.00
USEOFSTRUCTURE
SF 5( Duplex ❑ Mobilehome ❑ 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: 77&9A%
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home IS I GI W
@20.00
PERMIT FEE $
ELECTRICAL PERMIT
Fling Fee 20.00
000V OR LESS
Main Service 200A 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 C '- Z 9 Lic. No. 4s -;La 1p
OWNER -BUILDER DECLARATION
I 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
Main Service 200A TO 1000A
46.00
NEW CONST. DWELLING OCC P.
OR ADONS. ( 8 ACO. BLDS.
SO
3.5¢FT.
NOµREOSIDT MULTI -OUTLET currS
@7,50
POWER APPARATUS
8 SINGLE OUTLET CIR.
Ex. Occup. OUTLET OR FDRURES
20 .00
BAL Q 1. 0
Ex. Occup. oLFirT tRREES,6.) F.
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
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 7!�uranc arrier and policy number are:
Carrier t to , f
Policy Number _ _ ..<.:...� (e- n_ -L
(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 CLL d4la Date % As- -0 3
Signature of Applicant - Owner ❑ Contractor ❑ Agent
An OSHA permit is required for excavation ver 5'0" lei 1 d ep and demolition or construction
of structures o r s
MECHANICAL PERMIT
Filing Fee 20.00
Heating
Cooling
Hood
6.50
Ventilation
PERMIT FEE $
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
CONST. TYPE
TOTAL FEE $ ®(�
HAZ. D. FEES IMP FLOOD COF
This permit is hereby issued under the applicable
of the tte County Code and/or Resolutions
indicat d abo r wh h fees have been
By Datk
PERMIT EXPIRES ON !�
PARCEL Po HD UE
provisions
to do work
paid.
I
Receipt No.
WHITE-D.D.S.-B.D. CANARY --ASSESSOR PIN -IN PECTOR GOLDENROD-APPLICANT(ate)
CJ
0
PER11iIT N0. • •4097-79B,P,E,M
PERMIT EXPIRES
F7,h
OWNER ROY NOBLE
CONTR. Liberty'Const, Oro
LOCATION (A.P. 62-11-95 & 26 1
S/S @ end of Oak. Dr, 4 mi off Sugar Pine Rd,
Bald Rock
}
Y
1 �+
t
yyyy 1
� • 1
M
i
• � 1
1
Temp. Power Pole
�. Called PG&E
em p pElec. Serv. —
Called PG&E U�
Temp Gas Serv.
t alled PG&E
i
• B
FINALED
(Date
( ignature)
f
C,
'Page 3 of 4
31 24"
.
�
'
: .
A�
PROTECTED WALL
Models 101 and 105
FIGURE NO.2
LNPRU,ECTED WALT
o'
U
O
g
0
PROTECTED WALL
MINIMUM CLEARANCES TO COMBUSTIBLES, USING LISTED LOW HEAT
DOUBLE, TRIPLE OR INSULATED APPLIANCE CHIMNEY AND CHIMNEY
.CONNECTOR.,
Combustible Wall Combustible Wall
15vt" 6"m 8 J�.• m
DOOR 81•
21" ii hF 000 8 E
t6" u 99TH /B•. 9 6 v
F+
' NEARTH E%TENSION
tiS
/
TOP VIEW - WALL INSTALLATION 04'
TOP VIEW • CORNER INSTALLATION
MINIMUM CLEARANCES TO COMBUSTIBLES USING SINGLE WALL
CHIMNEY CONNECTOR.
Combustible Wall Combustible Wall
1B B 2s;� 3
22
1 m
8" ,r33"3 H
O
DOOR 8.. E hF9 00 8 E
21• m y� /s. q B,. m
16.. U
+f
HEARTH EXTENSION SSS/O
ti
TOP VIEW - WALL INSTALLATION TOP VIEW - CORNER INSTALLATION
MINIMUM CLEARANCES TO PROTECTED WALLS USING SINGLE WALL
CHIMNEY CONNECTOR.
PROTECTED WALL PROTECTED WALL
J
J
U
O
if
Report No. 3340
MINIMUM CLEARANCES FOR RESIDENTIAL INSTALLATION
NON-COMBUSTIBLE EXISTING FIREPLACE FRONT
g — _
7 12 �'• 12 COMBUSTIBLE TRIM
7
3 MINIMUM
8" STOVE
m .
m
F I
0 24
STOVE
COMBUSTIBLE HEARTH
I MIN THICKNESS -
40
a' Noie: Models 601 and 605 require only
minimum 3/B -inch -thick hearth extension.
Models 301, 305, 60.1 and 605 '
FIGURE NO.3
MINIMUM CLEARANCES TO COMBUSTIBLES. USING LISTED LOW HEAT
DOUBLE, TRIPLE OR INSULATED APPLIANCE CHIMNEY AND CHIMNEY
CONNECTOR.
Combustible Wan Combustible Watl
8.. �33.. m
DOOR 8" O
21 • a 'S�c 00 6 _
• E
HEARTH EXTENSION
TOP VIEW - WALL INSTALLATION /0
TOP VIEW • CORNER INSTALLATION
MINIMUM CLEARANCES TO COMBUSTIBLES USING SINGLE WALL
CHIMNEY CONNECTOR.
Combusi.ble Wall COmbLstibie Wan
a 8
2111 Yr" �i d• 3�. 3
DOORO
8.. E yS9 00 8' E
16"
•Fj.
HEARTH EXTENSION • SE'S/O
y
TOP VIEW - WALL INSTALLATION TOP VIEW - CORNER INSTALLATION .
MINIMUM CLEARANCES TO PROTECTED WALLS USING SINGLE WALL
CHIMNEY CONNECTOR.
PROTECTED WALL PROTECTED WA.LL
Models 701 ES and 705ES
FIGURE NO.4
NOTE I" REAR CLEARANCE WITH
LISTED LOW HEAT CHI4NET
Models 901 and 905
FIGURE NO.5
3
Q
U
O -
R
I%
I%
PROTECTED WALL
Models 101 and 105
FIGURE NO.2
LNPRU,ECTED WALT
o'
U
O
g
0
PROTECTED WALL
MINIMUM CLEARANCES TO COMBUSTIBLES, USING LISTED LOW HEAT
DOUBLE, TRIPLE OR INSULATED APPLIANCE CHIMNEY AND CHIMNEY
.CONNECTOR.,
Combustible Wall Combustible Wall
15vt" 6"m 8 J�.• m
DOOR 81•
21" ii hF 000 8 E
t6" u 99TH /B•. 9 6 v
F+
' NEARTH E%TENSION
tiS
/
TOP VIEW - WALL INSTALLATION 04'
TOP VIEW • CORNER INSTALLATION
MINIMUM CLEARANCES TO COMBUSTIBLES USING SINGLE WALL
CHIMNEY CONNECTOR.
Combustible Wall Combustible Wall
1B B 2s;� 3
22
1 m
8" ,r33"3 H
O
DOOR 8.. E hF9 00 8 E
21• m y� /s. q B,. m
16.. U
+f
HEARTH EXTENSION SSS/O
ti
TOP VIEW - WALL INSTALLATION TOP VIEW - CORNER INSTALLATION
MINIMUM CLEARANCES TO PROTECTED WALLS USING SINGLE WALL
CHIMNEY CONNECTOR.
PROTECTED WALL PROTECTED WALL
J
J
U
O
if
Report No. 3340
MINIMUM CLEARANCES FOR RESIDENTIAL INSTALLATION
NON-COMBUSTIBLE EXISTING FIREPLACE FRONT
g — _
7 12 �'• 12 COMBUSTIBLE TRIM
7
3 MINIMUM
8" STOVE
m .
m
F I
0 24
STOVE
COMBUSTIBLE HEARTH
I MIN THICKNESS -
40
a' Noie: Models 601 and 605 require only
minimum 3/B -inch -thick hearth extension.
Models 301, 305, 60.1 and 605 '
FIGURE NO.3
MINIMUM CLEARANCES TO COMBUSTIBLES. USING LISTED LOW HEAT
DOUBLE, TRIPLE OR INSULATED APPLIANCE CHIMNEY AND CHIMNEY
CONNECTOR.
Combustible Wan Combustible Watl
8.. �33.. m
DOOR 8" O
21 • a 'S�c 00 6 _
• E
HEARTH EXTENSION
TOP VIEW - WALL INSTALLATION /0
TOP VIEW • CORNER INSTALLATION
MINIMUM CLEARANCES TO COMBUSTIBLES USING SINGLE WALL
CHIMNEY CONNECTOR.
Combusi.ble Wall COmbLstibie Wan
a 8
2111 Yr" �i d• 3�. 3
DOORO
8.. E yS9 00 8' E
16"
•Fj.
HEARTH EXTENSION • SE'S/O
y
TOP VIEW - WALL INSTALLATION TOP VIEW - CORNER INSTALLATION .
MINIMUM CLEARANCES TO PROTECTED WALLS USING SINGLE WALL
CHIMNEY CONNECTOR.
PROTECTED WALL PROTECTED WA.LL
Models 701 ES and 705ES
FIGURE NO.4
NOTE I" REAR CLEARANCE WITH
LISTED LOW HEAT CHI4NET
Models 901 and 905
FIGURE NO.5
3
Q
U
O -
R
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
695 Oleander-Avenue,'Chico — Phone 343-4211, Ext. 70
7 County Center Drive, Oroville — Phone 534-4541
Skyway and Elliott Road, Paradise — Phone 877-3435
CORRECTION NOT,ICE
BUILD10 OR PROPERTY ADDRESS
A routine inspection indicates that the following violations of County Ordinance
exist at the above address and should be corrected. Please notify this office
when correction of work is completed. If you have any question pertaining to this
matter, or need additional explanation, please contact this office immediately.
40
Inspector Date
Brown Cooling em
Finish Ducts oder round
Interior Lath Ventilation Permanonk
Door Closer Final ,2. r Final
MOBILEHOMEUTILITIES ----- Elec. Service Elec. Pedestal
Water Piping Sewer Gas Piping
MO§ILEHOME INSTALLATION - - - - - - - - - - - - Support Elec; Continuity
Water Piping Drainage Gas Piping
DATE REMARKS OR CORRECTIONS
94
l� �1
(NOTE: An entry must be made on this form each time you visit the job site.)
COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS
BUILDING INSPECTION RECORD
BUILDING BUILDING (Cont'd)
P UMBING
Setback
Firewall
Soil Piping
�-7�Z271
Forms
Parapets
1st Floor
.
Main Bldg.
Restroom Finish
2nd Floor
Footings
Windows
3rd Floor.
Stemwall
Siding
To out
212
Roof Sheathing 2-
Water Pi in
Piers
Roofing 1 6" -.:!- c3
Sewer
Garage
Fdn. Vents -;L0:2
Fixtures
'>p
Footings
Stemwall
Garage Vents
'� Insulation
Water Htr.
Heaters
- >o _ O
-
Slab
Carport
Footings
Prov. for physically
handicaped
Conformance of ex.
structure
Appliances - a - c� ---
Gas Piping &Test
Temp. Gas
Slab
Final '-
Sanitation
Patio
FIREPLACE
Final
2 -
Footings
Footing
ELECTRICAL --
Masonry Walls
Reinf. Steel
Throat c-
Final P 2 -
Rou h L
Fixtures
Bond Bea
FIRE SPRINKLERS
Motors
Framing`
3 Test
Water Htr.
Stucco
Final
Subpanels
Mesh
MECHANICAL
_
Grd. Fault Prot.
Scratch
Heatina
Service
Brown Cooling em
Finish Ducts oder round
Interior Lath Ventilation Permanonk
Door Closer Final ,2. r Final
MOBILEHOMEUTILITIES ----- Elec. Service Elec. Pedestal
Water Piping Sewer Gas Piping
MO§ILEHOME INSTALLATION - - - - - - - - - - - - Support Elec; Continuity
Water Piping Drainage Gas Piping
DATE REMARKS OR CORRECTIONS
94
l� �1
(NOTE: An entry must be made on this form each time you visit the job site.)
5�,,O
WOO b 77Y
✓� off, C. L
Y�4-7 46tkru) 7-2> wc454eo T
V T7 Q Tn'P'KTT T A T
ENERGY CONSERVATION STANDARDS
CONSTRUCTION COMPLIANCE CERTIFICATE
THIS IS TO CERTIFY THAT ENERGY CONSERVATION REQUIREMENTS HAVE BEEN
INSTALLED IN CONFORMANCE WITH CURRENT ENERGY CONSERVATION REGULATIONS
AT Lot `9? Oak Drive, Berry Creek`
(location)
BUILDING PERMIT NO. q%--7 A;P. NO.O?%'T 9(-c;2
THE FOLLOWING HAVE BEEN INSTALLED AS PER APPROVED PLANS:
(Check each item or write N/A if not applicable)
INSULAT ION : j ��
Slab Edge. N
Fdn. Walls
Floors R-11 PibeEglass
Walls R-11
Ceiling/Roof R-19
Ducts 1" Fiberglass
Circulating Pipes
APPROVED HEATER
APPROVED WTR.HTR._
GLAZING:
Single Glazed Dbl Insul
Special (Insulated)
CERT. & LABELED WDS.
& SLIDING DRS.
WEATHERSTRIPPED DRS. Vly
BACK DAMPERED FANS ►�
INTERMITTENT IGNITION DEVICES
CERT. APPLIANCES V
I DECLARE THAT ALL REQUIRED ITEMS AS NOTED ABOVE HAVE BEEN INSTALLED
IN ACCORDANCE WITH THE ENERGY CONSERVATION REQUIREMENTS AND AGREE TO
THE COMPLETENESS OF THIS CERTIFICATE AS SUBMITTED.
Insulation Applicator Name Liberty Construction
Signature of
(please print)
Insulation Applicator C� /
State Contractors' t�
License No. 355453
General Contractor/Owner Name Liberty Construction
( Pease print)
Signature of `
General Contractor/Owner Date 12/21/79
State Contractors
License No.,�355453
4,.
THIS CERTIFICATE MUST BE ON FILE WITH THE BUILDING DEPARTMENT PRIOR TO
REQUESTING FINAL INSPECTION AND SHALL BE POSTED IN A CONSPICUOUS LOCATION
WITHIN THE DWELLING.
P L U M B I N G
Check List
❑ Permit
❑ Underfloor Stage y
❑ D.W.V.: (1) Sizing. (2) Materials. (3) Fittings. (4) Grade & Support.
(5) Cleanouts & Accessibility. (6) Clearances. (7) Rough -in Locations.
❑:� (8) Wrapping. (9) Test - including "Ts". (10) Additional test not
required.*
❑ Water: (1) Sizing. (2) Materials. (3) Support. (4) Test. (5) Wrapping.
❑* (6) Dissimilar metals. (7.) Service regulator installed or not required.*
❑ Gas: (1) Sizing. (2) Materials. .(3) Support. (4) Log Lighter. (5) Wrapping.
❑ Framing Stage To _Out
D.W.V.: (1) Size. (2) Vent Area & Termination. (3) Materials. (4) Fittings.
(5) Grade & Support. (6) Cleanouts. (7) Traps. (8) Nail Protection.
(9) Plumbing Access. (10) Toilet Clearances. (11) Shower size.
(12) Shower Pan Test. (13) Vents - turns, horiz., runs, loop, wet, etc.
❑* (14) Additional 2nd floor test not required.%',
❑ Water: (1) Pipe Test. (2) Mixer Valves. (3) Support. (4) Roof drains.•
❑ Gas: (1) Size. (2) Materials, (3) PR Valve Drain.
❑. Water Heater: (1) Vent. (2.).Location. (3).PR Valve Drain.
Final
=D.W.V.: (1) Connected to sewer system. (2) Special systems.
❑ Water: (1) Water Source. (2) Shut-off., (3) Anti -siphon Valves.
Gas: (1) Test. (2) Connectors.
❑ Water Heater: (1) Location. (2) Accessibility..(3) Clearances. (4) Stability.
(5) 18" Garage Floor. (6) Mechanical protection. (7) Combustion Air.
(8) Draft Diverter. (9) Vent Connector. (10) Vent. (11) Shut-off and
connector. (12) PR Valve & Drain.
❑
Fixtures: (1) Approved. (2) Stability. (3) Clearances. (4) Trapped.
(5) Connections. (6) Cross -connections. (7) Dishwasher Air Gap.
5/79
r
M E C H A N I C A L
Check List
❑ Permit
Underfloog Stage
❑ Underfloor Supply Plenum: (1) One-story. (2) Clearances. (3) Combustible
material. (4) Insulation and vapor barrier. (5) Access. (6) Catch
receptacles and registers. (7) Fire -stopping. (8) Boots. (9) Supply
ducts. (110) Gas lines and plumbing cleanouts.
❑ Ducts: (1) Size. (2) Materials. (3) Support. (4) Fittings. (5) Wrapping.
(6) Insulation. (7) Clearances -.ground, crawlspace, cleanouts,
plumbing, etc.
❑ 'Combustion Air: (1) Size.
❑ Refrigerant Piping: (1) Material. (2) Support. (3) Fittings. (4) Insulation.
❑ Framing Stage
❑ Heating: (1) Approved appliances. (2) Accessibility. (3) Clearances.
(4) Combustion air.
❑ Vent and Connector: (1) Approved. (2) Size. (3) Clearances. (4) Cap..
(5) Termination.
❑ Ducts: (1) Materials. (2) Size. (3) Support. (4) Fittings. (5) Insulation.
(6) Fire Damper.
❑ Refrigerant -Piping: (1) Material. (2) Support. (3) Fittings. (4) Insulation.
(5) Condensate drain.
❑ Final
❑ Heating: (1) Accessibility. (2) Combustion air. (3) Safety controls.
(4) Electrical connection. (5) Fuel shut-off.
❑ Cooling: (1) Accessibility. (2) Support. (3) Controls. (4) Pressure relief
valves. (5) Class 2 refrigerant.
5/79
COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965
Telephone: 534:4541
APPLICATION AND PERMIT
GUlnvrlLe r CJerllailVe U1 Ine UUun v idle IV enlef UIJUn Ine
above -me er for 'sect' n ose
X - _ate 7 lo�17 if
Signature of Permiteeee orAgan
Receipt No. rA
a V ?l
White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant
This permit is hereby issued under the applicable provisions of
the Butte County Code and/or resolutions to do work indicated
above for which fees have been paid.
DIRECTOR OF BLIC WORKS
By Date 7'_
Building permit expires Date _ /V3-3:�[
BUILDING
OwnerSO.
FT. OCC. BUILDING
ACMATION
Q -a. o 0
Mai I i ng Address
tr� O �
Telephone No.
o CPO
a�
11e Sip
J
Contractor
Mailing Address
Fireplace �� ��
0
� p
Total Valuation 1, 7(�
v
Telephone No.
3
Permit Fee
Building Address
Plan Checking Fee&/or Penalty
Permit Fee
Xi
PLUMBING No.
@
FEE
PERMIT FILING FEE
$3.00
Q
Each Trao 1.50
Repair drainage or vent piping 1.50
C_
A. P. N0. + '� - ��v
ening & PI Hing
Water piping
1.50
--Z�
Each gas water heater or vent 1.50
Fly ion Fire Dept.
Fire Zone
Use P it
Gas piping system 1 - 5 outlets 1.50
EQA
Parking
Plans
arcel
Declaration
Parcel p
60' R/W
Improvements
Each additional outlet .30
Building sewer 5.00
Lawn sprinkler system 2.00
Bldg. Pla ._ed
Parc4zrovol
Plans Appr a
NEW ADDITION ❑ UTILITIES ❑ OTHER ❑
Permit Fee $
ELECTRICAL No.
@
FEE
PERMIT FILING FEE
$3.00
Q�
Main service 600V OR LESS
100 AMP OR LESS 5.00
Single Family Duplex ❑ Mobil Home ❑ Others ❑
Main service EA. ADD'L 100 AMP 2.50
Main service OVER
100 AMPP OR LESS O
25.00
Main service EA. ADD'L 100 AMP 1.00
NEW CONST. ! DW IpIG -bP. Y) 22sgft
OR ADDNS. AC �6
CONTRACTORS LICENSE LAW
I am licensed under the provisions of Chapter 9, Div. 3, of the
State of California Business & Professions Code under the name
style of:
TL T
NON.CONS (MULTI-OUT
NEW RESID, M BRANCH
BRANCH CIRCUITS)
2.50ea
NEW CONSTR. (POWER APPARATUS &
NON-RESID. SINGLE OUTLET CIR.
EX. OCcuo(OUTLETS OR FIXTIIRES BAL@1
FIXED APPLNS. OR
EX. Occup. OUTLETS (RESID.) EA) 2.00
Temporary service 1 10.00
Mobile Home Facilities 15.00
License No.� Classification "
Mise. Wiring 6.25
LL Gam, W
❑ I am exempt from the Contractors License Laws of the State of California.
Permit Fee
$
$
MECHANICAL No.
@
FEE
WORKMEN'S COMPENSATION INSURANCE
I am aware of the provisions of Section 3700 of the California Labor
Code which requires every employer to be insured against liability
for Workmen's Compensation.
have placed on file with the County of Butte a certificate of
Workmen's Compensation Insurance.
❑I certify that in the performance of the work for which this
permit is issued I shall not employ any person in any manner
so as to become subject to the Workmen's Compensation Laws of
California.
PERMIT FILING FEE
$3.00
3.CN2:I,
Heating /W A97w , da
% !=,
Coling
Ventilation
+2,00
Hood ,Oct
Permit Fee $ a
$
I certify that I have read this application and state that the above
information is correct. I agree to comply to all County Ordinances
State Laws relating to building, construction, and hereby
Land Development Fee
$
TOTAL PERMIT FEE
,7712K
IQ7
GUlnvrlLe r CJerllailVe U1 Ine UUun v idle IV enlef UIJUn Ine
above -me er for 'sect' n ose
X - _ate 7 lo�17 if
Signature of Permiteeee orAgan
Receipt No. rA
a V ?l
White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant
This permit is hereby issued under the applicable provisions of
the Butte County Code and/or resolutions to do work indicated
above for which fees have been paid.
DIRECTOR OF BLIC WORKS
By Date 7'_
Building permit expires Date _ /V3-3:�[
z 6.A?-
Toc
agp4ri nt
Fr vak Healthmeg, s
G:y �•s_.•�... ;:A�" ._. 'S1p�CFA ..x' '4,y9 :mx� ' �.....••••'�'S:t[IG.4i:T•iSi TV.'1C•S�L�iL�.V.� 11�� .c3T��..p`.���� _ .:._�'c:�L_....._�;'.4'X�Sa:ZG.:237 C���� �y�yp/d �yOC S(/�//J
1102A I'll Sas Jlfton Mater 5-upply
FInAll alearance O.r. Sfon.,
77
e f mw a Indro= M4-4 &XIS k,,mw, Otho, r
k-loamme, for a&itlom cf
COUNTY OF BUTTE — DEPARTMEN-T OF P4JBLIC WORKS — BU,IL•DI-NG DIVISION
7 County Center Drive — 0roville, California 95965 — Telephone 534-4541
PERMIT APPLICATION DATA SHEET
OWNER X . (/I—
Proposed Building Use -
Permit fee based upon:
Building Inspector
At time of permit
issuance:
1.r
2.
3.
4.
5.
6.
7.
8.
10.
v 12.
13.
14.
15.
16.
Permit No.
x A.P. No.
12,- a..i
v � r
Complete Contract Price -DPW Valuation
__O�Wr (explain)
%_.. Date ZZ
on, I was advisedhe following data must be submitted prior to,permit processing and/or
DATE RECEIVED APPROVED
All items have been submitted...................................................................
Plot plans in duplicate/triplicate...............................................................
Complete plans in duplicate/triplicate...................................................
Complete engineered plans and calcs.....................................................
Plans with Energy Design Compliance Statement ............................
State Energy Forms No. ....................
Statement of Intent for Non -Heated & AC Buildings ...................
Fees of $ :............
Letter of signature authorization.............................................................
Sanitation approval from 1,%49 C0 ,1 L Lcf- Health Dept....
Planning approval for .............
Certificate of Workmen's Compensation Insurance ........................
Contractors License Information (no., name style,
classification) ...............................
Improvements may be required. Contact Land
Development Section of Dept. Public Works (see
addressbelow) . ............... :................................................................................
Pre -inspection for required. Pre-inspec. request to
bldg. inspector L date
Other
When you issue the permit, process as follows: Mail. to owner
Telephone and hold for pickup at
Other /7
Applicant �.•/.-f�i
i
IVlail to contractor.
_office. Deliver w/inspection.
Date
Copy of plans sent Health Dept., Fire Dept., LV Other IDate—
During the plan checking process, the following data must be submitted prior to permit issuance:
(For required items not checked above at time of application, circle item.)
1. Index permit for above Items No.
2. Additional items required:
(Contractor, Designer, Owner) was advised of above required data by
Plans checked by
Plans approved by
OTHER:
Copy/DPW
Date
Date
Telephone
Mail
Other
Date
OWNER
'
A. GEI\ RAL
. Zoning requirements
Valuation.
Signature by R.C.E.
RESIDENTIAL PLAN CHECKING GUIDE
(S.F., DUPLEX, & MISC. ONLY)
Bldg. Permit # -7f
A.P. # r2 7cj/— ,.1 S )_4 )
(sideyards and parking).
or Architect (if required).
B. PLOT PLAN
Complete parcel size and dimensions.
Setbacks, sideyards, easements, etc.
Other buildings or structures.
Grading, fills, drainage.
C•. FLO R PLAN
Complete to scale plan with dimensions.
Required windows, for light and ventilation (Sec. 1405).
Required windows for second exit (Sec. 1404).
Allowable glazing for energy requirements (20% max. per,State"law).
sem` Human impact glass (Sec. 5406).
Required room sizes, ceiling heights (Sec: 1407).
�. G.F.C.I.'s in baths and exterior outlets (Sec. 210-8).
ee Light fixtures, switches, receptacles, and exterior receptacles for maintenance of
mechanical equipment.
.� Locations of water heater, heating & cooling equipment, other electrical or gas
equipment, and plumbing fixtures.
Garage firewall, door size, and closer (Sec. 503(d)(4)).
1 - 3'0" exterior exit door (Sec. 3303d).
Fireplace location.
Smoke detectors (Sec. 1413).
D. STRUCTURAL DETAILS
,,1/ Foundation plan complete enough to construct building.
Floor construction details complete.enough to construct building.
�,,3:'� Elevations and wall construction details complete enough to construct
,o4e Roof construction details complete enough to construct building.
;15-.1., Fireplace construction details and calcs if over one-story in height.
,66''Sufficient data and details to satisfy energy insulation requirements
building.
(State law).
E. MISCELLANEOUS ITEMS TO LOOK OUT FOR
CCX plywood on exposed locations and overhangs.
Stairway details (Sec. 3305).
�3Guardrail details (Sec. 1716).
Brick or stone;veheer (Chapter 30).
>5 Exterior plaster - weep screeds (Sec. 4706 & 4708).
Y0,.�6. Proper roof pitch for roof covering (Chapter 32).
Rafter ties or bearing ridge beam.
e8lio Garage door "or porch header sizes.
,09. Adequate. bracing.
,.;1U� Living area over garage - complete 1 -hour separation required including supporting
walls and posts, etc.
1 Two (2) exits on three-story dwellings (Sec. 3302).
M'. 4699-80
q
PERMIT NO. 153-83B,P,E
1 { PERMIT EXPIRES
I-
OWNER L. NOBLE
' CONTR. Mountain Development, Oroville
ASSESSOR PARCEL 62-31-25 & 26
LOCATION S/S @ end of Oak Dr, 4 mi off Sugar.
Pine Rd, Berry Creek
w
1
i
Temp. Power Pole
a
{ Called PG&E
Temp. Elec. Servi
Called PG&E
ttt Temp. Gas Servici
P
Called G&E
JOB FINALED (Date)
Signature
7
d=OK
0 = Not OK
- = Not Applicable
= Not Ready
MOBILEHOMES
MISCELLANEOUS
Date
MOBILEHOME UTILITIES (Plans) OK except N's
1. Zoning Requirements -Setbacks -Easements
2. Soils; Special MH Support -Sketch
Date
DECKS, COVERS, CARPORTS, ETC. (Plans) OK except a's
1. Zoning Requirements -Setbacks -Easements
2. Footings;Size-Depth-Spacing-Connectors
r
3. Sewer; Location -Test -Fall -C/0 -Concrete
MISCELLANEOUS
Date
MOBILEHOME UTILITIES (Plans) OK except N's
1. Zoning Requirements -Setbacks -Easements
2. Soils; Special MH Support -Sketch
Date
DECKS, COVERS, CARPORTS, ETC. (Plans) OK except a's
1. Zoning Requirements -Setbacks -Easements
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-Rfirs.-Connec.-Shthg.-Rfg.-Bracing__
5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete
6. Gas; Location -Test -Wrap:/ /"L" ft./ /"Nat. or/ /"L"ft./ /"LPG
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
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 #'s
1. Zoning Requirements -Setbacks -Easements
Card -BI
Date
Date Card -BI Date _
POOLS (Plans) OK except it's
1. Setbacks -Easements
2. Footings; Size -Spacing -Marriage Line
2. Soils; Compaction -Structure Stability
3. Gas; MH Test -Demand -Valve -Connector
4. Electricity; MH Test -Crossovers -Breakers -Clearances
3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining
4. Elec.; Receptacles and Lighting; Distances-GFI
5. Drain; MH Test -Fall -Flex Connector
6. Water; MH Test -Regulator -Connector
5. Elec.; Pool Lighting; 15 volts-GFI
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-1
Date Card -BI Date
Card -BI
Date Card -BI Date Y
J = OK
0 = Not OK '
- = Not Applicable RESIDENTIAL (Single and Duplex)
* = Not Ready
Date
UNDERFLOOR (Plans) OK except#'s
Date'
FRAMING Continued
Zoning requirements -Setbacks -Easements
48.
P erty Line Firewall & Openings
tg., Main; Soils-Steel-Elec. Grnd.- f`=' Ftg. Depth
xt. Doors One 3' -Check Garage -3rd story, 2 exits
3. -Steel- / /" Ftg. Depth
5
th-Headroom-Rise-Run- Land ing- Fire Protection
e Gtr:^•.,, ;�;�� Decks; Soils -Steel- / /" Ftg. Depth
emwalls, Main; Steel-Blockouts-Wrapped-Slab
5`
n Roof Overhang -Attic Vents -Rafter Outriggers
iding-Nailing-Veneer
6e--fiecage; Steel-Blockouts-Wfapped-Slab
5
cc esh- rip Screed-Fdn. Vents-Underflr. Access
X-11ii-ers- Ftg.-Steel
54roGlazing
Area -Glass Protection -Skylights -Plastic
-s--l1_W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test
55,
SM"jrWafT1^Tailing-Bolts
9. Gae-Pi"! Bize-Anchors
ater Pipe; Test -Anchors -Regulator -Service Test
1 c ric; Underground
12,-+'feneRl ucts; Clearance -Material -Support -Ins.
1 irders-Sills-Anchor Bolts -Joists -Vents -Cripples
to and -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
atey �" Card -BI Date
Date
FINA ans) OK except #'s
Card -BI Date Card -B1 Date
Date
PLUMBING (Permit) OK except #'s
4A. -#peter Ht.; Vent -Access -Combustion Air
Ext. Steps -Door & Sidelight Protection -Landings
57__e.�r
58.
59_..Eprimorn
Furnace r nce-Comb. Air -Connector-
In arage; Above Floor-Ducts-Mech. Protection
Fxitinn
_
ater ipe; Test & Anchors -Nail Protection
_
Test-Fttngs & Anchors -Nail Protection
17,-eheveUrPan; Test, First Floor -Tub Access
6
& Tub Access
_ _
1a_34eFitb & Shower, 2nd Floor -Tub Access
. Trim & Subpanel; Breaker Sizes -Labels ff
19.-6esPipE; Size & Anchors
62•
— -
-
63.
Fireplace or Stove; Clearances -Hearth o6 /,
- —
utlets at Wood Panel; Int. & Ext.
-BI
ate - -BI Date
6
pp ante; Grnd.-Air Gap -Cooking Clearance
Card -BI
,Card
Date Card -BI Date
eceptacles at Kit. Counter
Date
ELECTRICAL Permit OK except #'s
671,
re ' g -Landing -Closer
68.
-Damper
-_
. Fixture & Transformer Clearance -Ins. Protection
69.
Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.-
ove oor-Mech. Protection
SEI Receptacles Spacing -Lights &Switches at Doors
70.e
@w4r-Mech. Equip. Listed for Location
Size oxes & No. of Conductors -Stapled
71,
• in Garage; (G. F.I.)-Romex Protec.
_
o Installed Close to Edge of Studs & C.J.
72.
- oked in Attic ❑ Yes
-
quip. Ground made up w/Mech. Fasteners -Bond Gas & Water
and Rails Deck Construction -Post Caps
-
26 /+onl�e Circuits in Kitchen & Conductor Size
74.
ents & Crawl Hole Door -Drainage & Wood -Earth Clearance
Looked under Floor ❑ Yes
26�"SRTTTf32��7Re Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or AI
_
—
27. Range Circ. / ga. Cu or AI -Oven Circ. / / ga. Cu or Al,
_nsula_ted Neutral [jYes ❑No__
28 r Conductors & Ground -Main Disconnect
75,
F e ❑ Yes ❑ No; Walks ❑ Yes ❑ No;
Planters Oyes EJ -No
76
- _
2 ra ces; Panels-Motors-Mech. Equip.
77.
ct-Clrnces-Brkr. & Cond. Size -115V Outlet
-_
Clothes Closet Light -Shower Light —
ove oof; Plbg.-Appliance-Firepl.-Clearance to Opngs.
------------------ ---
f
506 -Date �Q 7 Card -BI Date
Card B-1 Date Card -BI Date
Date MECHANICAL (Permit) OK except #•s
79.
ect, Electrical, Plumbing
xteri lec. Trim; G.F.I. Receptacle -Underground
entilation throughout House
aa*ass
rotection _
orre rom Previous Inspections
8
e Tagged; Gas -Electric
31. ucts', nsulation & Support
r & Sewer Connected -C/O to Grade -HD Approval
nergy Compliance Certificate -Other Certificates
_-
32. at , Exhaust above Insulation
33. ate Drain _& Overilow; Size & Grade
)en
_____34.
ce ent;Access-Comb. Air -Return Air Vent -115V outlet
35.Acce & Platform if Furnace in Attic
Card -BI
Card -BI
Date - Card -BI - Date
Date —Card -BI Date
a I
Dated - Card -BI Date
and -BI
Card -BI
Date Card -BI Date
Date Card -BI Date
Date
FRAMI (Plans) OK except #'s
Comments at Final:
S/ills; Proper Material & Anchors_
-7J�w _Stu_ds-Nailing, Spacing & Bracing -Plates_ -Sound
g Walls over Girders & Floor Nailing__ -_
Draft Stop in Walls (rat proof)
_
Furred Ceilings -Stairs -Chases -Tub
ead eam-Size & Bearing_
angers -Post Caps -Anchors -Connectors
ng. Joist-Rftr. Ties-Purlin -Roof Brac.-Truss-Shttm__ fnp
Fireplace Ties or Type A Flue -Fireplace Throat
45-�et7iC^SXcM , Size & Romex Protection -Draft Stop -Ins. Baffles
46+-•9drnr-W�s or Exiting Doors -Sill Hgt. & Dimensions _
dT�'BFre Protection Framing
(NOTE: An entry must be made each time youvisit jobsite)
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Orovi Ile — Phone: 534-4541
Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57
CORRECTION NOTICE
BUILDING OR PROPERTY ADDRESS
A routine inspection indicates that the following violations of County Ordinance
exist at the above address and should be corrected. Please notify this office
when correction of work is completed. If you have any question pertaining to this
mat'/ r need additional explanation, please contact this office immediately.
Inspectors&)"0)/,/ / A/44 't:✓! Date
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-2751
.7County Center Drive, Orovi Ile — Phone: 534-4541
Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57
CORRECTION NOTICE
BUILDING OR PROPERTY ADDRESS
A routine inspection indicates that the following violations of County Ordinance
exist at the above address and should be corrected. Please notify this office
when correction of work is completed. If you have any question pertaining to this
matter, or need additional explanation, please contact this office immediately.
Crf 1 7
t
Ins ectorX - at
r e—
!. �,
1 I
DRIJAL
ENERGY CONSERVATION STANDARDS
CONSTRUCTION COMPLIANCE CERTIFICATE
'fills IS TO CERTIFY THAT ENERGY CONSERVATION ILEQUIREMI:'NTS HAVE BEEN
INSTALLED IN CONFOI"CE WITH CURRENT ENE Y CONSERVATION RECUI.ATIUNS
AT Baldrock Road Oroville 1)
{�►
(lOCati011)
1BUI7.DING PERMIT N0. 1A -'A
THE FOLLOWING HAVE BEEN INSTALLED AS PER APPROVED PLr11;S:
(Check each item or write N/A if not applicable)
INSULATION:
Slab Edge
Int,V)1. lral l s CT FG 31 1
FloorsgVFG 3-1,11 R-11
Walls CT FG 611 R-19
Ceiling/RooiCT/FG 1 R-19
Ducts
Circulating Pipes
APPROVED HEATER
AP1'ROVCD IJTR.IffR.
CLA2INC :
S iul;lc C1azed
Special (Insulated)
CERT. 6; L1DlLED WUS.
& SLIDING Di(S.
WEATIILRSTRIPPED T.
BACK DAMPaLQ FANS_N 'VICES _
INTELOII-ITL14T IGNITIO��
CERT. APPLIANCES �� fes►
I DECLARE THAT ALL REQUIRED ITEMS AS NOTED ABOVE !LAVE BEEN INSTALLED
IN ACCO IWA14CE WITH TIIF . ENERGY CONSERVATION REQUIREMENTS AND AGREE TO
THE COWLGTENESS OF THIS CERTIFICATE AS SUBMITTED.
Insulation AIlpllcato
Signature of
Insulation Applicato
---UU wuLrac6vr6
CC110ral Contractor/owner Name Liccnso. _318407
Sign3Lure of P case print)
General Contractor/Owner
• Date � 2
State Contracto s
License No.
THIS CERTIFICATE MU'grq*4g ON FILE WITH THE BU ILD INC DEPAEtTMEIri P KIUK TU
1ILQ1ESTINC FATAL INSPECTION AND SHALL BE POSTED IN A CONSPICUOUS LOCATIOB�
W rIIIIN TIIG U%4r1.1.ING.
COUNTY OF BUTTE-EPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroyille, California 95965 - Telephone 916/534-4541
A
APPLICATION -AND PERMIT
ASS S OR PARCEL NUMBER ,
- 3 % 25 2%
ZO ING
BUIL NG PERMIT ld.
OW�OR A0 w�
((J[
TELEPHONE
S0. FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS
•�^
AME 1/OONTRACTOR'S
LEP 0
r �+� p�
CNTRACTOR
MAILING ADDRESS
3900 FC-AITREZ 911162 81-VID. 0,L?0VXLE e1+
CONSTRUCTION LENDER
UNKNOWN
Fireplace
Total Valuation $ -%
LENDER'S MAILING ADDRESS
Permit Fee
$ Q,.G 0
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Penalty
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee
$ ;Z 0, 00
BUIL INGAMVRESS ,
/�
S C—A) i OF CA A?1(/OE-
PLUMBING PERMIT
Filing Fee 3.00
0rF SV %9 Z PIIV E - R7
0
Each Trap
2.00
Repair drainage or vent piping
2.00
,BALD eoC4
Water piping
j�O�1T O.
7 / 98
SUBDIVISION NAME
PARCEL MAP
Each 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 ❑ Addition Remodel [i Utilities [IInstallation❑ Other
Describe work:/ ST,4t& A100Z) S'I-V VC-
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 3.00
Main service 100 AMP OR001 OR LESS5.00
Main service EA. ADD'L too AMP
2.50
NEW CONST. ( DWELLING OCCUP,&)
OR ADDNS. ACC. BLDGS.
22 sq ft
CONTRACTORS LICENSE LAW
I declar der penalty of perjury (check one): .
Iunam licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and m license is in full fprce and effect.
'' //mo�ii'' y �
License No. a� 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 CONSTR ULTI-OUTET 2.50 ea
NON-RESID BRANCH CIRLC ITS
NEW CONSTR. POWER APPARATUS .&
NON.RESID. (SINGLE OUTLET CIR.
50 @ 25C
Ex. Occup(O TS OR FIXTURES BAL@10¢
FIXED APPLNS, OR
FIXED
Ex. Occup.(OUTLETS (RESID.) EA.) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 6.25
Permit Fee $
Contractor
MECHANICAL PERMIT
Filing Fee 3.00
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.
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, ' ments, costs, and expenses which may in any way accrue
against said u ns 'q nc of the granting of this permit.
X Date �f7
Signature of Applicant — Owner ❑ Contractor ❑ 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 $ --_70,00
OCCUP. GROUP
TYPE OF CONST:
I
PARCEL
PD
HD
SSUE
This mit is hereby issued under
sio s of the Butte County Code and/or
w k i at abo a for which
E OR OF PUBLIC
By v�
PERMIT EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date 9,/2- i
"/2
Receipt No. C
WHITE-D.P.W-. YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
COUNTY OF BUTTE - DjiVARZMENT OF PUBLIC WORKS
VVV y 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541
APPLICATION AND PERMIT
PERMI NO.�3
ASSES�O PARCEL',�/ ,NUMBER �
/pO(i
`Q_
ZONING
BUILDING PERMIT
O ER
0c,
TELEPHONE
S0. FT. OC BUILDING VALUATION
MAICING ADDRESS
ab i
CON CTOR'S AME
T LEPHONE
log-? 7
/_
iVn)
eeVNT TO MAILING AD R S
,
Fireplacein
ONSTRUCT ON LENDERUNKNOWN
Total Valuation
Filing Fee
$ 110.00
LENDER'S MAILING ADDRESS
Permit Fee
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
Penalty
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee
,0 ,
BUILD I ADDP.ESS C
I
PLUMBING PERMIT
Filin gFee 10.00
Vlr�t ?J e I
Each Trap
2.00 kDo
Solar Water Heater
20.00
Water piping
5.00 ,
LOT NO.
SUBDIVISION NAME JOARCEL MAP
Each qas water heater or vent
5.00
Gas piping system 1 - 5 outlets
5.00
� �USE OF STRUCTURE
SF Lv1/ Duplex ❑ Mobi lehome ❑ Other
SPECIFY
Building sewer
5.00
Mobile Home S I G I W
10-00e
—, � TYPE OF WORK
New F-1 Add ition T Remodel ❑ Utilities ❑ Installation❑ Other ❑
Describe work:
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 600V OR LESS
100 AMP OR LESS
10.00
Main service EA. ADD'L 100 AMP
2.50
OR ADDNST ACCLB LDGS.NEW CONSDWELING 0?
yy��
2t�20sQft V
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 Professio s ode and my license is in full ke and effect.
License No. Classification
El1, 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 CONSTR ULTI.OUTL T 2.50 ea
NON.RESID, BRANCH CIRCUITS)
NEW CONSTR. (POWER APPARATUS &)
NON RES,D. \SINGLE OUTLET CIR.
Ex. Occup(OUTLETS OR FIXTURES 20@501
FIXED APPLNS. OR
Ex. Occup. OUTLETS (RESID.) EA.) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 15.00
Permit Fee $ 2111
Contractor
MECHANICAL PERMIT
Filing Fee 10.00
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.
Heating
Cooling
Hood
3.00
Ventilation
permit Fee
$
Contractor
1 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 alsFiie save, indemnify and keep harmless the County of Butte against
all Iijudgments, s, penses which may in any way accrue✓againunty in co a en a granting of this permit. ,p
X Date�� fig_ d
Sig re of Applicant — Owner ❑ Contractor ® Agent F1work
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
$
TOTAL PERMIT FEEgpf, 00$
occ=P�OUP
TYPE o�oNST.
PARC�I
PD
HD
ISSUE
This permit is hereby issued under
sions of the Butte County Code and/or
indicated above for which
DIRECTOR F PUBLIC
By
P IT EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Dated'
/ r7
Receipt No. Z3�c iv ��ZS 3� Sd
WHITE-D.P. Y_LLOW-ASSFSSOR, INK -INSPECTOR, OL DENROD-APPL ANT
Ii I'
J
t li
l i
- . -
' 1
BUTTG COUNn
This set of plans and specifications MUST be NOTE: -All Materials & Workmanship Shall Be l �•�� ReAmG-*JA--'
<M RUIL®ING DEPARTMEN
kept on the job at all times and it is unlawful tc Accordance with Recognized Good Practices and
make any changes or alterations on same with- of a quality prescribed for the Specified use in the A O p R O V F Q
out written permission from the Department of Uniform Building, Plumbing & Mechanical Codes.
Public Works, County of Butte. an4 the National Electrical Code.
yrs
I
A,
V
A setback of 5. ft. from the
property lines and a setback
of 50ft. from the road
centerline shall be clear of
structures or equipment except
for a 2 ft. eave overhang.
BUTTE C( -)U- IN I I
RUILDLNG DF -PARTMEN
APPROVED
a
iS
0mo
?� z
M,
th
�:
;y
NP
4-11
i
a
0mo
?� z
M,
i
The minimum STATE RESIDENTIAL ENERGY REQUIREMENTS for ims bulid%@
Of .... AP ........... sq. -...Degree Days, and A&---
Design Temp. ares'
Insulation:
Glazing:
Slab edge -0-
5 -,.a flow- 4;
sq. ft.
Fdn. Walls R -07
S:
sq.
Floors - R—&W
'(6-80
Walls . . . . . . . -Kms..
sq. ff. U0100
Ceiling/Roof
vaw
r,;5 r scn., -ed
IF Circulating pipes?W_N!WUAI.,
Wis. &'Urs.
& labeled
Ducts Table 1.0-L) UJM.C.
Hfg. & A.C.:
ExhLusi- Faris
dannpored
Type MeOD 7T0VL=
Gas Filc",rs
ignition
BTU ' Mix.. M —
All Appliances
certif
certified
Wfr. Hfr.-'Type GX11" PC,
Other:
9
0G waw r I
�x�5T1 a G
axe-
E0
70=7
_
1
y� Provide adequate Clea nce ���'
�orotection and a Ty p -A Flue.
"U-G r GDOA"
Jd�LY , A21"
J A Cr L Z
BUT - COU N I t
` d BUILDING DEPARTMEN ,
3
APPROVED
i 026 Al
_ jZ ZZ A�sSEM,R�( � �D • _ _ .� _
.2�.6 ta,6-
Top rail to be 36 in. high with
intermediate rails to be not
over 9 in. apart.
2 A & . Deck:
posr CAP (TYP.)
a,,l /%-v� Sii las
A ' 0 - c.'
� y
-1
Provide'/2" x 10" anchor bolts
@ 6' O.C. max. and within
12" of joints.
y�. y,r
•1 1j 8' L �Z
FooTiiJ4 5 /"1,�9 SAW c'l �'f-.41�� j/ 2-6:
WET Am(-"o2,s
j F-V
AI.L F"" 10 h
@ I lo' o • c.. ,,,--I
=t`
2"XV - 9AP06514
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X'i Dt4(;c)n1AC_-_
ezvmct) S�/�
(oPa eoiv ajas)
6U 11 E COUN I I
iUILDING DEPARTMEN'
APPR V C5
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