HomeMy WebLinkAbout064-400-029_ M_ � :.. . n•,+ix_ - .. _. _..._. .. 'l+r.:'•+ir`,xy/+�%"'-".y�R. . - .ice.... +e..^ -.e+- :.�•.4�jI'• • f .. _.�4 - ^".+•j�,.+�wt._ �.ti,,,� y •` _
64-40-29
west Snyder r
35 Bliss Ct., lot 125, PP#5, MagalilL
contr: �4#4�989QBP,E,M(new
Darby, Magalia `
Permit sing
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Permit
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NOTES
PERMIT NO.
t
e
RESIDENTIAL.
r 064-400-029 05-2488
SNYDER SHIRLEY FAMILY, TRUST
6325 BLISS CT, MAGALIA
Cont: RELIANCE PROPANE
GAS STOVE y
11 SPECIAL CONDITIONS
SRA
FLOOD CERTIFICATE REQ.
FIRE SPRINKLERS REQ.
SPECIAL INSPECTION ITEMS
VERIFY
USE PERMIT CONDITIONS
SUB -STANDARD HOUSING LETTER
CHECKED
BY
`
OFFICE
COPY �
I
!� Address
I
.
GAS
1 Meter By_ l�// D,0/e '
ELECTRIC
Meter By
Date
L
t
JOB FINALED (Date)
J=OK
o =Not OK
_= Not ReadyApplicable
. =Not Ready
MOBILE HOMES
Date
MOBILE HOME UTILITIES (Plans) OK except fi's
1. Zoning Requirements -Setbacks -Easements
2. Soils; Special MH Support Sketch
3. Sewer, Location -Test -Fall -C/O -concrete
4. Water Location -Test -Easement Needed (Sketch)
5. ElectricityLocation-Clearances-Gmd-/ , /Amp -Concrete
6- Gas; Location -Test -Wrap;-:/ - L'ft •:
/ P Nat or / . /" L 'AJ .: P LPG -
7. Well Clearance & Disconnect
8. Utility Clearance ..
10. Roof; $hthg-Roofing - _,i
11. ExL; Steps, -Doors -Landings :
Date
Card B-1 Date Card B-1
Date
Card B-1 : Date - : Card B-1
Date
MOBILE HOME INSTALLATION (Plans) OK except #'s
Date
I., Zoning Requiremerits-Setbacks:Easements
Date
2. Footings; Size-Spacing-Mairiage Line
3. Gas; MH Test -Demand -Valve -Connector
4. Electricity; MH Test=Crossovers-Breakers-Clearances
S. Drain; MH Test-Fall-Flek Connector
6. Water, MH Test-Regulator-Connectoe
7. Water and Sewer Connected -C/O to Grade -HD Approval
8. Gas and Electricity Tagged
9. Tie Downs -Type -Installation Cert
10. Exits", Insp.-Sketch
11. Cert of Occupancy
10,.. Plumb..; Cir. Test -Water Supply. Test...
11., -Light Niche ....
Date
Card B-1 : Date. Card
Date
Card B-1 Date .. ... : -Card B-1
Date
PERMANENT END SYSTEM.(ONLY)
DateCard
1. Zoning Re'quirem'4errts-Setbacks-Easements
2. Footings; S¢e Spaang-=Marriage Line. ` .' . -: l
" 3 Blociarig
4.'' Gas; MH Test-D6tnarid-Valve ` .:.. _
S. city, MH Test
6. Water, MH Test
:::-7.. Water. and Sdwer:Connected
8. Gas and Electri*Tagged'
-
:,.
'.'10.: License Decals
11. Verify.#'s with Office
Date
Card B-1 Date`_... Card 6-1
Date.
Card B-1 . Date Card B-1
MISCELLANEOUS
Date
DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except g'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-Spric -.Decal-Enciosures
6: Carports; windows -Doors
7. Electric
8. Frmg ; Silts-Anchors-Studs-Rftrs-Tnisses
9. Siding; NN1ing-l/eneer-Stucc6-Mesh
10. Roof; $hthg-Roofing - _,i
11. ExL; Steps, -Doors -Landings :
.12. Braced Wap Panels '
Date
Card B-1 Date Card B-1
Date
Card B-1 Date -Card B-1
Date
POOLS (Plans) OK except fps
1. Setbacks -Easements
2. Soils; Compaction -Structure StabTrty
3. Pool Structure; Steel Connections -Thickness .
Dead Men -Lining.
4. Elec.; Receptacles and Lighting. Distance-GFI
5. Elec.; Pool Lighting; 15 Vofts-GF!
6. Elec.; Enclosures; Conduit Entries -Terminals -Listed
7. Elec,; Bonding Metal w/5'-C"urulating Equip. -Heater
8.: Elec.' Ground 'utg; Equip. WS' -Ciir utating Equip. -Pool Lghtg.
Boxes=Enclosures-Panelboards-Ins. to Main Conduit
9._ HeaM Department Approval
10,.. Plumb..; Cir. Test -Water Supply. Test...
11., -Light Niche ....
12. Enclosure; Fencing-Alamris
Date
Card B-1 Date Card B-1
DateCard
f3-1 Date ' .Card 6-1
rsat CK '
I;ztrpprscable RESIDENTIAL (Single & Duplex)
k6t Ready
UNDERFLOOR (Plans) OK except #'s
1. Zoning -Setbacks -Easements -Flood -Slope
2. Ftg., Main; Sols-Elec. Gmd. / . r Ftg. Depth
3. Ftg., Garage; Soils-Steel-Elec. Gmd.-/ /" Ftg. Depth
4. Ftg., Porches & Decks; Soils -Steel-/ /' Ftg. Depth
5. Stemwalls, Main; Steel-Blockouts-Wrapped
6. Stemwalls, Garage; Steel-Blockouts-Wrapped
6a. Hold Downs and Special Anchors
7. Slab, Steel -Wrapped
8. Piers -Fireplace Ftg.-Steel
9. D.W.V ; Fall -Fitting -Test -2 Way C/O -Sewer Test
10. UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test
11. Water Pipe; Test -Anchors -Regulator -Service Test
12. Electric Underground
13. Plenums & Ducts; Clearance -Material -Support -Ins.
14. Girders -Sills -Anchor BOIts-Joists-Vents-Crippies
15. Access & Ventilation
16. Insulation.
de Cana B-1 Date Card B-1
rte Card B-1 Date Card B-1
ate PLUMBING (Permit) 6K -except #'s
17. Water Htr.; Vert -Access -Combustion Air Baffle
18. Water Pipe; Test 8; Anchor-Narl'Protection
19. D.W.V; Test Fittings & Anchor -Nal 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
late Card B-1 Date Card B-1
late Card B-1 Date Card B=1
)ate ELECTRICAL (Permit) OK except #'s
24. Fixture & Transformer Clearance -Ins. Protection
25. Sec. Receptacles Spacing -Lights & Switches at Doors
26. Site 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 lgtchen & Conductor Size GFI
30. Subfeed Wire Size/ /ga Cu or AI -AC. Wire Sizel /ga Cu or Al
31. Range Circle/ '1ga Cu or Al -Oven Circ. ! /ga Cu or Al
Insulated Neutral O Yes O No
32- Service -Riser Conductors & Ground Main Disconnect
_ 33. Equip. Clearances Panels -Motors -Meeh. Equip.
34. Clothes Closet Light -Shower Ught-Spa Light
35. Smoke Detector
Date Card B-1 Date Card B-1
Date Card B-1 Date Cana B-1
Date MECHANICAL (Permit) OK except #'s
36. A.C. Ducts Insulation & Support
37. Vent Fan, Exhaust above insulation
38. Condensate Drain & Overflow, Size & Grade
39. Fumace-Vent Access -Comb. Ait-Retum Air Vent 115 Outlet
40. Attic Access & Platform it 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
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 A Flue -Fireplace Throat Clearance
50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
51. Bdrm. Windows or Exiting Doors -Sill HL & Dimensions
52. Garage Fre 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-Nairing Veneer
58. Stucco Mesh -Drip Screed -Fd. Vents-Underilr. Access
59. Glazing Area -Glass Protection -Skylights -Plastic
60. Shear Walls; Nar7ng-Botts
61. Brace Interior/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 (Plans) OK except #'s
64. Ext. Steps -Door & Sidelight.Protection-landings
65. Smoke Detector
66. Furnace Vents -clearance -Comb. Air -Connector -
In Garage; Above Floor-Ducts-lylech. Protection
67. Bedroom Exiting
68. G.FI. & Bath Fixtures & Tub Access -Spa
69. Elec. Trim & Subpanel, Breaker Sizes & Labels
70. Stairs & Rads
71. Fireplace or Stove. Clearance -Hearth
72. Elec. Outlets at Wood Panel, Int & Ext.
73. Kit Fiat. & Appliance; Ground -Air -.Gap -Cooking Clearance
74. Elec. Outlets & Receptacles at Kit Counter
75. Garage Fire Door, Swing -Landing -Closure
76. A.C. Duct in Garage -Damper
77. Wtc HV.; Vents -Clearance -Comb. Air Connector-P.R.V.
in Garage; Above Floor -Meth. Protection
78. Plb.; Elec. & Medi. Equip: Listed for Location
79. Elec. Receptacles in Garage (FF.I.)-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 13 Yes
83. Following InstldJDrive D Yes O No/Walks O Yes O No/Planters O Yes O No
84. Stucco Brown -Finish
85. A.C. Unit Disconnect, Electrical -Plumbing
86. Vents Above Roof, Plbg-Appriance-Fireplace-Clearance to Openings.
87. Water Well, Disconnect, Electrical, Plumbing
88. Exterior E)ec. Trim, G.F.I. Receptacle -Underground
89. Ventilation Throughout House
90. Glass Protection
91. Corrections from Previous Inspections
92. Gas Test -Meters Tagged, Gas -Electric
93. Water & Sewer Connected -C/O to Grade -HD Approval
94. Energy Compliance Certificate -Other Certificates
95. Address Posted
96. Fire Sprinkler
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Comments at Final:
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT
24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO)
OFFICE #: (530) 538-7541
PERMIT NO.
BP052488
PERMITS BECOME NULL AND VOID 1 YEAR FROM THE DATE OF ISSUANCE OR IF WORK IS DONE IN VIOLATION OF ANY COUNTY OR STATE LAWS.
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: 09/14/2005 APN: 064-400-029-000
the Business and Professions Code, and my license is in full force and
effect.
License Class : License Number. 7
�
Date: Contractor: �L 11me,
Site Address: 6325 BLISS CT MAG
Map Index:
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the
Description: FREESTANDING L/P GAS STOVE AND TANK
Contractors' Stale 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
Owner: SNYDER SHIRLEY M FAMILY TRUST
to its issuance, also requires the applicant for such permit to file a
signed statement that he or she Is licensed pursuant to the provisions of
the Contractor's State License Law (Chapter 9 commencing with Section
SNYDER SHIRLEY MARIE TRUSTEE
7000) of Division 3 of the Business and Professions Code) or that he or
P O BOX 1660
she is exempt therefrom and the basis for the alleged exemption. Any
violation of Section 7031.5 by any applicant for a permit subjects the
MAGALIA, CA 95954
applicant to a civil penalty of not more than five hundred dollars ($500).):
❑ I, as owner of the property, or my employees with wages as their,
sole compensation, will do the work, and the 'structure is not
intended or offered for sale (Sec. 7044, Business and Professions
Code: The Contractors' State License Law does not apply to an
owner of property who builds or improves thereon, and who does
Applicant: RELIANCE PROPANE
such work himself or herself or through his or her own employees,
provided that such improvements are not intended or offered for
sale. If however, the building or improvements are sold within one
6426 SKYWAY
year of completion, the owner -builder will•have the burden of
proving that he or she did not build or Improve for the purpose of
PARADISE, CA 95969
sale.).
530-872-9200 x206
❑ I, as owner of the property, am exclusively contracting with
licensed contractors to construct the project (Sec. 7044, Business
and Professions Code. The Contractors' State License Law does
not apply to an owner of property who builds or Improves thereon,
and who contracts for such projects with a contractor(s) licensed
pursuant to the Contractors' State License Law.).
Contractor: RELIANCE PROPANE
❑ I am Exempt under Article 3 of the Business and Professions Code
6426 SKYWAY
Date: Owner:
PARADISE, CA 95969
530-872-9200 X206
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
License M 734318
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
Architect:
required by Section 3700 the Labor Code, for the performance of
the work for which this permit is issued. My workers' compensation
Engineer:
insurance carrier and policy number are:
Carrier:
Policy % -7 2 2,21 — G Z
Total Square Ft: 0 S. F.
❑ 1 certify that in the performance of the work for which this permit is
Valuation: $0.00
issued, I shall not employ any person in any manner so as to
Census Code:
become subject to the workers' compensation laws of California,
and agree that if I should become subject to the workers'
compensation provisions of Section 3700 of the Labor Code, I shall
forthwith comply with tho a provisions.
Date:
Applicant: L
WARNING: Failure to secure workers' compensation coverage Is
unlawful, and shall subject an employer to criminal penalties and one
hundred' thousand dollars ($100,000), in addition to the cost of
compensation, damages as provided for in Section 3706 of the Labor
code, interest, and attorney's fees.
CONSTRUCTION LENDING AGENCY
This permit is hereby issued under the applicable provisions of the Butte County Code and/or
I hereby affirm that there is a construction lending agency for the
Resolutions to d ' ndicated above for which fees have been paid. j
performance of the work for which this permit is issued (Sec 3097 Civ.)
9 1 I /, , `�►
Name:
Date:
By: LLJ
Address:
PERMIT EXPIRES 0
- • (Date)
❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage•
handling and use of hazardous materials.
❑: Notification in accordance with Section 19827.5 of California Health 8 Safety Code is not applicable to the scheduled construction of this project.
❑ Attached are copies of the required E.P.A. notification forms.
I hereby certify that I have read this application, that the above information Is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with
all county and state laws relating to building construction. I acknowledge It is unlawful to alter the substance of any official form or document of Butte County. I hereby
authorize representatives of Butte County to enter upon the above mentioned property for inspection purposes.
Print Name: t�Jl a "� an Signature:
Date: U S
i
,❑ Owner ❑ Contractor ❑ Agent for Owner for Contractor
BUTTE COUNTY •
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT
24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO)
OFFICE #: (530) 538-7541
PERMIT NO.
BPO52488
PERMITS BECOME NULL AND VOID 1 YEAR FROM THE DATE OF ISSUANCE, OR IF WORK IS DONE IN VIOLATION OF ANY COUNTY OR STATE LAWS.
LICENSED CONTRACTORS DECLARATION
I hereby affirm under penalty of perjury that I am licensed under
provisions of Chapter 9 with Section 7000) Division 3 of
sion Code,
the Business and Professions Code, and my license is in full force and
fu
Issued Date: 09/14/2005 APN: 064-400-029-000
effect.
License Class : License Number. 11'31
Site Address: 6325 BLISS CT MAG
p7
Date: Y(fS Contractor: RBL >Q�r
Map Index:
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am' exempt from the
Description: FREESTANDING L/P GAS STOVE AND TANK
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
Owner: SNYDER SHIRLEY M FAMILY TRUST
to its issuance, also requires the applicant for such permit to file a
signed statement that he or she is licensed pursuant to the provisions of
the Contractor's State License Law (Chapter 9 commencing with Section
SS SHI
SHIRLEYNYDER MARIE TRUSTEE
7000) of Division 3 of the Business and Professions Code) or that he or
she is exempt therefrom and the basis for the alleged exemption. Any1660
O BOX
violation of Section 7031.5 by any applicant for a permit subjects the
MAGALIA, CA 95954
applicant to a civil penalty of not more than five hundred dollars ($500).):
❑ I, as owner of the property, or my employees with wages as their
sole compensation, will do the work, and the 'structure is not
intended or offered for sale (Sec. 7044, Business and Professions
Code: The Contractors' State License Law does not apply to an
owner of property who builds or improves thereon, and who does
Applicant: RELIANCE PROPANE
pp
such work himself or herself or through his or her own employees,
provided that such improvements are not intended or offered for
sale. If however, the building or improvements are sold within one
6426 SKYWAY
year of completion, the owner -builder will have the burden of
proving that he or she did not build or improve for the purpose of
PARADISE, CA 95969
sale.).
530-872-9200 x206
❑ I, as owner of the property, am exclusively contracting with
licensed contractors to construct the project (Sec. 7044, Business
and Professions Code. The Contractors' State License Law does
not apply to an owner of property who builds or improves thereon,
and who contracts for such projects with a contractor(s) licensed
pursuant to the Contractors' State License Law.).
Contractor: RELIANCE PROPANE
❑ I am Exempt under Article 3 of the Business and Professions Code
6426 SKYWAY
Date: Owner:
PARADISE, CA 95969
530-872-9200 X206
WORKERS' COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for
License #: 734318
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
Architect:
required by Section 3700 the Labor Code, for the performance of
the work for which this permit is issued. My workers' compensation
Engineer:
insurance carrier and policy number are:
1
Carrier:�t{7{ �n
Total Square Ft: 0 S. F.
Policy #: (o % -77?,?-- 0Z
❑ I certify that in the performance of the work for which this permit is
Valuation: $0.00
issued, I shall not employ any person in any manner so as to
Census Code:
become subject to the workers' compensation laws of California,
and agree that if I should become subject to the workers'
compensation provisions of Section 3700 of the Labor Code, I shall
forthwith comply with tho a provisions.
�7 c
Date:'
Applicant: ti
WARNING: Failure to secure workers' compensation coverage Is
unlawful, and shall subject an employer to criminal penalties and one
hundredthousand dollars ($100,000), in addition to the cost of
compensation, damages as provided for in Section 3706 of the Labor
code, interest, and attorney's fees.
CONSTRUCTION LENDING AGENCY
This permit is hereby issued under the applicable provisions of the Butte County Code and/or
I hereby affirm that there is a construction lending agency for,the
Resolutions to d ' ndicated above for which fees have been paid.
performance of the work for which this permit is issued (Sec 3097 Civ.)
l
Name:
By: Date: LJJ
Address:
PERMIT EXPIRES O -__
Date
❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage,
handling and use of hazardous materials.
❑, Notification in accordance with Section 19827.5 of California Health 8 Safety Code is not applicable to the scheduled construction of this project.
❑ Attached are copies of the required E.P.A. notification forms.
1 hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with
all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby
'authorize representatives of Butte County to enter upon the above mentioned property for inspection purposes.
� " `� Qn
Print Name: Signature:
Date: ILI D S
,❑ Owner ❑ Contractor . 0 Agent for Owner for Contractor
-'pq b PERAUT
BUTTE COUNTY NO.
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT APPLICATION
AND SUBMITTAL REQUIREMENTS BP
24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 - CHICO: (530) 891-2834 BIN #
OFFICE #: (530) 538-7541
A FEE WILL BE REQUIRED AT TIME OFAPPLICATION
APPLICANT NAME
CONTRACTOR
OWNER
Name
CityState
. PARADISE,
�(
Address
Zip
.G A,y
city
A4
�t
Stat
Zipc�`��
Phone
Page
Lot #
Fax
E-mail
Date Approved:
APPLICANT NAME
CONTRACTOR
Name
Address
(;426 SKYWAY
-
CityState
. PARADISE,
Zip
CA
Zip
Phone 872,_9200
Occ.
Fax
E-mail
Subdivision Name
Uc. # 343
Class
APPLICANT NAME
ARCHITECT/ENGINEER
Name
Address
G
City
Zip
State
Zip
Phone
Occ.
Fax
E-mail
Subdivision Name
State ucense Number
APPLICANT NAME
Name
Sar, e Cvn�iRlk/
Address
City
State
Zip
Phone
Fax
'
E-mail
APPLICAIYT SIGNATURE
X
For office use only:
Zoning
Flood Zone
SRA
I Yes
No
Occ.
I Type Const. `
Subdivision Name
Map Book
Page
Lot #
Planner
Date Approved:
OVER FOR SUBMITTAL REQUIREMENTS
K:\FORMSMILDING FORMS\BldgApplSubRgmts.doc
LOCATION
AP#
6 L�a' 29ra
Property Address 02,5 61155
0 -Street , n � 4 //
WORKER'S COMPENSATION
Policy Number
772-z- v�
...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
Page 1 of 2
Description or Scope of Work:
tn5 E- I/ a�� OrJ9 ,q L
Sq. Footage
O Structure Built without Permits
O 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: 5 5 Bldg
SRA
Receipt #: n (� Sheriff
SMIP
Date:. 1. J C Other
U J
Total
REV 4-30-04
�Q ,
e �•� PERMIT NO. 4989-80B,P,E,M
PERMIT EXPIRES
OWNER Forrast Snyder
CONTR. H. Don Darby, Magalia
ASSESSOR PARCEL 64-40-29
LOCATION 35 Bliss Ct.,lot 125, PP#5, Magalia
A '
9•
Al
5!+
—r,
K
41t9 Temp. Power Pole
P �r
Called PG&E
8'
Temp. Elec. Service
Called PG&E/
e
e`
Temp. Gas Ser ic6
Called PG&E
JOB +ALED (Date) '4Z-)
'
^ Signature
J = OK
0 = Not OK '
- = Not Applicable MOBILEHOMES MISCELLANEOUS
' = Not Ready
Date
MOBILEHOME UTILITIES (Plans),OK except N's
1. Zoning Requirements -Setbacks -Easements
Date
DECKS, COVERS, CARPORTS, ETC. (Plans) OK except,N'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.-Shing.-Rfg.-Bracing
5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Gas; Location -Test -Wrap:/ /"L"ft./ /"Nat. or/ P'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 N's
Card -BI
Date
Date Card -BI Date
POOLS (Plans) OK except q's
1. Zoning Requirements -Setbacks -Easements
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
9. Exits; Insp.-Sketch
8. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghig.
Boxes -Enclosures -Panel boards -Ins. to Main in Conduit
10. Cert. of Occupancy
9. Health Department Approval
10. Plumb; Cir. Test -Water Supply Test
Card B-1
Date Card -BI Date
Card -BI
Date Card -BI Date
Card B-1
Date Card -BI Date
Card -BI
Date Card -BI Date
I
J = OK
O = Not OK +
= Not Applicable = Not Ready RESIDENTIAL (Single and Duplex)
Date
UNDERFL R Plank OK except #'s
Date FRAMI Continued
1. Z req ' ements-Set cks-Easements
;yplsrty Line Firewall &Openings
2. ; Soils -Elea Grnd.- / /" Ftg. Depthxt.
Doors -One 3' -Check Garage -3rd story, 2 exits
tg., Garage; Soils -Steel- / /" Ftg. Depth
54.-6leir3-WVff-Headroom-Rise-Run-Landing-Fire
Protection
4. tg., Porches & Decks; Soils -Steel- / /" Ftg. Depth
wood on Roof Overhang -Attic Vents -Rafter Outriggers
St6mwalls, Main; Steel-Blockouts-Wrapped-Slab
Siding -Nailing -Veneer
6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab
%.-&0oeee-MMh-Drip
Screed-Fdn. Vents-Underflr. Access
7 P'-Firepla F Steel
$A-.G4ering Area -Glass Protection -Skylights -Plastic
D.W.V.: Fall tings-Te way C/O -Sewer Test
%_.8hear Walls; Nailing -Bolts
9. fts Pipe, - nc ors
ater Pipe; Tic -Reg ator-S rvice Test
11 ric; Underground
1 Plenums s; Cle ce-Mal4Aal-Support-Ins.
1 , ,rders- - -Joist - ents-C ' p es
CardMtK�i
A
toCar -BI Date
Ar
CAM -131
ate and -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date it Card -BI Date
Date FINAL
(PIay6�OK except N's
Card -BI ate / Card -BI Date
Date
PLUMBING (Permit) OK except q's
56.
E teps-Door & Sidelight Protection -Landings
5
moke Detector
t4-wAe4e-Nt.; Vent -Access -Combustion Air
99.
Furnace; Vents -Clearance -Comb. Air -Connector -
lin Garage; Above Floor-Ducts-Mech. Protection
_
&W Pipe; Test & Anchors -Nail Protection
(AWD.W.V.; Test-Fttngs & Anchors ail Protection
droom Exiting
r�@Mewer Pan; Test, First Floor -Tub Access
G. .I. & Bath Fixtures & Tub Access
Wr-TUffliT'ub & Shower, 2nd Floor -Tub Access
EK.
lec. Trim & Subpanel; Breaker Sizes -Labels
Card-
t_Qv-fQa-Ripe; Size & Anchors
Dateand-BI Date
firs & Rails
or Stove; Clearances -Hearth
utlets at Wood Panel; Int. & Ext.
t. F' . & Applianca; Grnd.-Air Ga -Cookie Clearance
Ca -BI
ate rd -BI Date
68.
ec utlets & Receptacles at Kit. Counter
arage 're Door; Swing -Landing -Closer
A. . Duc to Gara e -Damper
Date ELECTRICAL Permit OK except N's
fixture & Transformer Clearance -Ins. Protection(
`QIP
Ir.; Vents-Cln Garage; Above Floor-Mech. Protectionearance-Comb. Air -Connector
lec. Receptacles Spacing -Lights &Switches at Doors
70.
P le &Mech. Equip. Listed for Loc '
2 Si oxes & No. of Conductors -Stapled
lecon
c tacles in Garage; (G.F.I.)- x Prote
Romex Installed Closet d e f Studs & C.J.
quip. Ground made up w/Mech. Fasteners -Bond Gas & Water
72•
Insul noam-Looked in Attic E) Yes
73.
III
Guard Is &Deck Construction -Post Ca
-
Appliance Circuits i Kitchen &Conductor Size
74.
Fdn. Vents & Crawl Hole oor-Drainage art learance
Looked under FloorYOes
_ 26. Subfeed Wire Size / ga. Cu o I A.C. Wire Size / / ga. Cu o AI
27. Range Circ. / / gd. Cu o Oven Circ. / / ga. Cu or Al,
Insulated Neutral Q'(es ❑No
75,
_
Following instld.: Dr^iv/e es ElNo; Walks ❑ Yes ❑ No;
Planters ❑Yes
28. Service -Riser Conductors & Ground -Main Disconnect
76.
fish
29. Equip. Clearances; Panels-Motors-Mech. Equip.
77,
A.C..I)nit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet
Light -Shower Light
78,
V s Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs.
79.
onnect, Electrical, Plumbing
80.
Exteri Trim; G.F.I. Receptacle -Underground
Card -1
Date �} and -BI Date
81.
Venti o throughout House
C d B -I
Dat i rd -BI Date
82.
Glass' rotection
Date
MEC ANICAL (Permit) OK except k's
83.
Corr e ' 'from Pr vious Inspections
84.
Gas st-Meters agged; Gas -Electric
A. ucts; Insulation & Support
85.
Water & S e nn C/O to Grade -HD Approval
ent Fan; Exhaust above Insulation
86.
Energy Compliance Certificate -Other Certificates
_
3 o sate Drain & Overflow; Size &
O-krurnace-Vent; Access -Comb. Air etur a 115V outlet
35. Attic Access & Platform if Furnace in At i
Card -BI
Date Card -BI Date
Card- I_
Date • Card -BI Date
Card -BI
Date Card -BI Date
CI
Date and -BI Date
Card -BI
Date Card -BI Date
Date
FRAM G(Plans) OK except q's
t
Comments at Final:
3 Sills; Proper Material & Anchors
3W -17 -alts; Studs -Nailing, Spacing & Bracing -Plate Sound
38!�'[ie ring Walls over Girders &Floor Na
3�!D op in Walls (rat proof)
!
_
Fire Stops; Furred Ceilings -Stairs -em- Tub
Bader & Beam -Size & Bearing
4_-",__H gers-Post Caps -Anchors -Connectors
_GGGIng. Joist-Rftr. Ties-Purlin-Roof Brac.-Tr s-Sh ng.-Rfn .
lace Ties or Type A Flue -Fireplace Throat
r
ttic Access; Size & Romex Protection -Draft Stop Ins
drm. Windows or Exiting Doors -Sill Hgt. & Dimensio
_
arage Fire Protection Framing
(NOTE: An entry must be made each time youvisit jobsite)
PERMIT NO. 5439-8�B.E
PERMIT EXPIRES
OWNER Forrest Snyder
CONTR. H. Don Darby, Magalia
ASSESSOR PARCEL 64-40-29
35 Bliss Ct., lot 125, PP#5;. Maga.
LOCATION
.i
I?
Temp. Power Pole
Called PG&E
v Temp. Elec. Service
Called PG&E
Temp. Gas Service
Cal led PG&E
JOB FINALED (Date)
Signature
I
V = OK
0 = Not OK
- = Not Applicable MOBILEHOMES
* = Not Ready
MISCELLANEOUS
Date
MOBILEHOME UTILITIES (Plans) OK except b's
1. Zoning Requirements -Setbacks -Easements
Date
DECKS, COVERS, CARPORTS, ETC. (Plans) OK except (1'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./ /"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
2.1 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/O to Grade -HD Approval
7. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater
8. Gas and Electricity Tagged
9. Exits; Insp.-Sketch
8. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghtg.
Boxes -Enc losures- Pane lboards-Ins. to Main in Conduit
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
J = OKL�/`G
0 = Not OK
= Not Applicable
* = Not Ready RESIDENTIAL (Single and Duplex)
Date
UN ERF OR Plans OR except#'s
Date
FRAMING (Continued) .
on i qgjequirements-Setbacks-Easements
48.
Property Line Firewall & Openings
2
ain ils-Steel-Elec. Grnd.- / /" Ftg. Depth
49.
Ext. Doors -One 3' -Check Garage -3rd story, 2 exits
tg rage; Soils -Steel- / /" Ftg. Depth
50.
Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
We.& Decks; Soils -Steel- / /" Ftg. Depth
51.
Plywoo verhang-Attic Vents -Rafter Outriggers
5
e alls, Main; Steel-Blockouts-Wrapped-Slab
52.
Siding -Nailing -Veneer
temwalls, Garage; Steel-Blockouts-Wrapped-Slab
53.
Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access
- ep ace Ft .-Steel
54.
Glazing Area -Glass Protection -Skylights -Plastic
8
- - est -2 way C/O -Sewer Test
55.
Shear Walls; Nailing -Bolts
. e- nc ors
ater Pipe; Test -A ors -Regulator -Service Test
ectric; Underground
m earance-Material-Support-Ins.
- ills -Anchor Bolts -Joists -Vents -Cripples
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -B
Date Card -BI Date
Date
FINAL (Plans) OK except #'s
56. Ext. Steps -Door & Sidelight Protection -Landings
Card -BI
Date
Date Card -BI Date
PLUMBING (Permit) OK except #'s
14. Water Ht.; Vent -Access -Combustion Air
57.
58.
Smoke Detector
Furnace; Vents -Clearance -Comb. Air -Connector -
In Garage; Above Floor-Ducts-Mech. Protection
15. Water Pipe; Test & Anchors -Nail Protection
16.
D.W.V.; Test-Fttngs & Anchors -Nail Protection
59.
Bedroom Exiting
17.
Shower Pan; Test, First Floor -Tub Access
60.
G.F.I. & Bath Fixtures & Tub Access
18.
Test Tub & Shower, 2nd Floor -Tub Access
61.
Elec. Trim & Subpanel; Breaker Sizes -Labels
19.
Gas Pipe; Size & Anchors
62.
Stairs & Rails
63.
Fireplace or Stove; Clearances -Hearth
64.
Elec. Outlets at Wood Panel; Int. & Ext.
Card -BI
Date Card -BI Date
65.
Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance
Card -BI
Date Card -BI Date
66.
Elec. Outlets & Receptacles at Kit. Counter
Date
ELECTRICAL Permit OK except #'s
67.
Garage Fire Door; Swing -Landing -Closer
68.
A.C. Duct in Garage -Damper
20.
Fixture & Transformer Clearance -Ins. Protection
69.
Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.-
In Garage; Above Floor-Mech. Protection
21. Elec. Receptacles Spacing -Lights &Switches at Doors
22.
Size Boxes & No. of Conductors -Stapled
70.
Plb., Elec. & Mech. Equip. Listed for Location
71.
Elec. Receptacles in Garage; (G.F.I.)-Romex Protec.
23. Romex Installed Close to Edge of Studs & C.J.
24.
Equip. Ground made up w/Mech. Fasteners -Bond Gas &Water
72.
73.
Insulation -Foam -Looked in Attic F] Yes
Guard Rails &Deck Construction -Post Caps
25. 2 Appliance Circuits in Kitchen & Conductor Size
26.
27,
Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al
Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or At,
Insulated Neutral ❑Yes 0 N
74.
Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance
Looked under Floor ❑ Yes
75.
Following instld.: Drive E] Yes ❑ No; Walks El Yes E) No;
Planters ❑Yes ❑No
28.
Service -Riser Conductors & Ground -Main Disconnect
76.
Stucco; Brown -Finish
29.,
Equip. Clearances; Panels-Motors-Mech. Equip Clearances; Panels-Motors-Mech. Equip.
77.
78.
A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet
Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs.
30. Clothes Closet Light -Shower Light
79.
Water Well; Disconnect, Electrical, Plumbing
80.
Exterior Elec. Trim; G.F.I. Receptacle -Underground
Card B -I
Date Card BI Date
81.
Ventilation throughout House
Card B -I
Date Card -BI Date
82.
Glass Protection
Date
MECHANICAL (Permit) OK except #'s
83.
_
Corrections from Previous Inspections
84.
Gas Test -Meters Tagged; Gas -Electric
31.
A.C. Ducts; Insulation & Support
85.
Water & Sewer Connected -C/O to Grade -HD Approval
32.
33.
Vent Fan; Exhaust above Insulation
Condensate Drain & Overflow; Size & Grade
86.
Energy Compliance Certificate -Other Certificates
34.
Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet
35.
Attic Access & Platform if Furnace in Attic
-
Card -BI
Date Card -BI Date
Card -BI
_ Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Date
FRAMING(Plans) OK except #'s
Comments at Final:
36.
Sills; Proper Material & Anchors
37.
Studs -Nailing, Spacing & Bracing -Plates -Sound
_
38.
-Walls;
Bearing Walls over Girders & Floor Nailing
39.
Draft Stop in Walls (rat proof)
40.
Fire Stops; Furred Ceilings -Stairs -Chases -Tub
_
___41.
42.
43.
44.
-Header & Beam -Size & Bearing
Hangers -Post Caps -Anchors -Connectors
Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfnp.
Fireplace Ties or Type A Flue -Fireplace Throat
45.
Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
_
46.
Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions
47.
Garage Fire Protection Framing
(NOTE: An entry must be made each time you visit job site)
RESIDENTIAL
ENERGY CONSERVATION STANDARDS
CONSTRUCTION COMPLIANCE CERTIFICATE
THIS IS TO CERTIFY THAT ENERGY CONSERVATION REQUIREMENTS -HAVE BEEN
INSTALLED IN CONFORMANCE WITH CURRENT ENERGY CONSERV ION REGULA IONS
AT ' - .0 / C CL: /�/i tl �/1 �plr---r .4 R�1 r�i C� , /� •
(location)
BUILDING PERMIT NO. A. A.P. NO.�
THE FOLLOWING HAVE BEEN INSTALLED AS PER APPROVED PLANS:
(Check each item or write N/A if not applicable)
INSULATION: I
Slab- Edge.
•.Fdn..Walls .1—
;Floors L do
Walls9-./'4 Cru
Ceiling /Roo
uc t s
Circul ting Pipes
APPROVED -HEATER
APPROVED WTR. HTR..cu ty,, 4.
GLAZING:
Single Glazed -�
Special _(_Insulated)
,CERT: & LABELED WDS.
&= SL-IDING-.MRS-
PEATHF.RSTRIPPEW'-D -
BACK- DAMPERED-FANS
-`- -
INTERMITTENT IGNITION DEVICES:—_,
CERT. APPLIANCES
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%/,-,
(pleas r.fin t)
Signature of
Insulation Applicator
State Cont ctors
License No. ?�-7 .� e-)
General Contractor/Owner Name —��
�'— (please p int)
Signature of -
General Contractor/., Date�;Z --�--
S-ta-te •C ntractors •
License No..?./ :Z D
x
i R
THIS CERTIFICATE MUST BE ON FILE WITH THE BU ILD ING DEPARTMENT PRIOR TO
REQUESTING FINAL INSPECTION AND SHALL BE POSTED IN A CONSPICUOUS LOCATION
WITHIN THE DWELLING.
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 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
wh r correction of work is completed. If you have any question pertaining to this
afttjer, or need additional explanation, please cont ct this office immediately.
/J / ®i %
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
—ff— — .—f AAM -1 '•.I..n.... ...... •....• •1.:.. _ss:._ .--_�. _•_._
Inspector
Da
R
COUNTY OF BUTTE - UEPaR-TMENT OF PUBLIC WORKS EA T NO
7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541
APPLICATION AND PERMIT All
ASSES OR PARCEL NUMBER
CfQ— al9
ZO ING
_
B LDING OR
OWNER
TELEPHONE
SO. FT. OCC.1 BUILDING VALUATION
o,v0
OWNER'S MAILING ADDRESS
44R d
O, O o
R'S NAME
CONTRACT,/Y'S
/ eAl 01-4,
TELEPHONE
CO CTOR'S MAILI ADD ESS
CONSTR UC TIO LENDER
NKNOWN
Fireplace
o 0
Total Valuation $
LENDER'S MAILING ADDRESS
Permit Fee
$ Z 75-,
V
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
D
Penalty
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee
$
0
BUILDING ADDRESS
PLUMBING PERMIT
Filing Fee
000
Each Trap
2.00
pp
Repair drainage or vent piping
2.00
Water piping
i 0 O
LOT NO.
SUBDIVISION NAME PARCEL MAP
✓
Each qas water heater or vent
2.00
Gas piping system 1 - 5 outlets
USE OF STRUCTURE
SF <uplex❑ Mobilehome❑ Other
SPECIFY
Building sewer
,
Lawn sprinkler system 2.00
TYPE OF WORK
New Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑
Describe work: —
Permit Fee
yoAl V
Contractor
ELECTRICAL PERMIT Filing Fee /(foo
Main service 100 AMP ORV OR LESS5.00
Main service EA. ADD'L 100 AMP
2.50
j'0
NEW CONST. DWELLING &
OR ADDNS. ACC. BLDGA.2¢sgft
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
1 am licensed under provisions of Chapt. 9, Div. 3 of the Business—Ex90
and Professions Code and my license is in full force and effect.
License No. _2/2 2 per 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 6with licensed nt, ,cwt--
ors. (Sec. 7044) /
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW NON -RESIT R BRANCH CIRCTITS 2.50 ea
NEW CONSTR.POWER APPARATUS &)
NON-RESID, (SINGLE OUTLET CIR.
@ zsa
. Occup(ouTLETs OR FIXTURES BAL@10Q
FIXED APPLNS, OR
Ex. Occup.(OUTLETS (RESID,) EA.� 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 6.25
'7
Permit Fee $
Contractor / f
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
the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions
provisions or this permit shall be deemed revoked.
MECHANICAL PERMIT
Filing Fee /000
Heating Q (� aA#- '0
Iva 2 n v!h
Cooling /71Q
Hood 2.00 2,0(2
Ventilation S
,
-
permit Fee $ ?-Too
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.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
against said County in consequ of the granting of this permit.n%
X J/ �� A 3�,�
Signature of Applicant — Owner ❑ ntractor7J Agent ❑
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structuresover stories in height.
Mobile Home Installs fion Fee $
Land Development Fee $
TOTAL PERMIT FEE QD 0
OC,,,GROUP
TYPE of CONST.
11A�EIJLI
HD
SSUE
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIREC OR OF PUBLIC
By
P IT EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date
y3
Receipt No. 4V 160
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
F
r
ti
OWNER
t - RESIDENTIAL PLAN CHECEING GUIDE
(S.F., DUPLEX, & MISC. ONLY)
Bldg. Permit �k�
4%.-
A. P . ��_� �/� !-G - X117
A. GENERAL
Zoning requirements (sideyaras and parking).
Valuation.. ;'
Signature by R.C.E. or Architect (if required).
B. PLOT PLAN
Complete parcel size and dimensions.
Setbl�:ks, sideyards,.easements, etc.
Other buildings or structures.
Grading, fills, drainage.
C. FLOOR PLAN'
Complete to scale plan with dimensions.
Required windows for light and ventilation (Sec. 1405).
,,Ior"
Required windows for second exit (Sec. 1404).
Allowable glazing for energy requirements (20% max.'per.State law).
5!- 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):
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 fire��all, door size, and closer (Sec. 503(d)(4)). �ey�
1 -.3°0" exterior exit door (Sec, 3303d).
�
i� Fireplace location.
��Smo1_e detectors (Seca 1413).
D. UCTURAL DETAILS
Foundation plan complete enough to construct building.
Floor construction details complete enough to construct building.
�! Elevations and wall construction details complete enough to construct
. /...Roof.construction details complete enough to construct building.
Fireplace construction details and calcs if over one-story in height.
Sufficient data and details to satisfy energy insulation requirements
E. MISCELLANEOUS ITEMS TO LOOK OUT FOR
,1! CCX plywood on exposed locations and overhangs.
StairM-ly details (Sec, 3305).
Cua?drAall details (Sec. 1716) .
"ich or stone veneer (Chapter 30). -
Ei.terioi: plaster - weep screeds (Sec. 4706 & 4708).
Propes: roof pitch for roof covering (Chapter 32).
Rafter ties or bearing ridge beam.
Garage door or porch header sizes.
� Adequate bracing.
building.
(State law).
Living area over garage - complete 1 -hour separation required including supporting .
walls and posts, etc.
Two (2) exits on three-story dwellings (Sec. 3302).
i
9
A aP �
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FA
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.. i
f
COUNTY OF -BUTTE -DEPARTMENT OF PUBLIC WORKS PII o.
County Center Drive - Oroville, California 9;965 - Telephone 916/534-454 T U
.
APPLICATION AND PERMITAR
ASSESS6R PARC ELL'� NUMBER
`V y- %D_a •
ZONING
htr- l
BUILDING PE
r
L -
OWNER
ILs S�
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
b �S
AO
OWNER'S MAILING ADDRESS -
QL �
CONTRA TOR'S NAME
c''\o DA
TELEPHONE
k 73 — 037 /
CONTRACTOR'S MAILING ADD ESS
CONSTRUCTI LENDER
UNKNOWN
Fireplace
Total Valuation
'-
LENDER'S MAILING ADDRESS
Permit Fee
$ —
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Penalty
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee
$
BUILDING ADDRESS
13
PLUMBING PERMIT
Filing Fee 3.00
Each Trap
2.00
Repair drainage or vent piping
2.00
Water piping
LOT NO.
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 ❑ Utilities ❑ Installation ❑ Other ❑
Describe
.�//work:
(.
4D (LI VA-Ttr- �°`I4('��t,- '� IOc.,,t
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee L (2:00
OR LE
Main service 10000 AMP ORSLESS
5.00
1V�� —
If -0
Main service EA. ADD'L 100 AMP
2.50
NEW CONS.DWELING
OR ADDNST l ACCLBLDGS.CC &) 120sqft / a_S� 1
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 force and effect.
G fnj
License No. -:3 2 7 ! CJ Classification �3 /
❑ 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-OUTLET 2.50 ea
NON-RESID BRANCH CIRC ITS
NEW CONSTR. (POWER APPARATUS &I
NON -RESID• SINGLE OUTLET CIR.
Ex. Occup(OUTLETs OR FIXTURES 50@�
BAL@1
FIXED APPLNS. OR
Ex. Occup.(OUTLETS (RESID,) EA,) 2.00
Temporary service 10.00
Mobile Home Facilities
15.00
Misc. Wiring 6.25
Permit Fee $ aa1,
Contractor
WORKMEN'S COMPENSATION INSURANCE
1 declare under penalty of perjury (check one):
❑ The permit is,for $100.00 (valuation) or less.
t� I have placed on file with the County of Butte Building Department
1� 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
_+
I
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.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and 'expenses which may in any way accrue
saidCoun onsequ he granting of this permit.
X Date f0 --.3 C, U
Signature of Applicant — Owner CO racror ❑ Agent ❑
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures o/ve�r, 3 stories in height.
Mobile Home Installation Fee $
Land Development Fee $
TOTAL PERMIT FEE r W
�
OCCUP. GROUP
AA,
�"/
I YP OF CONST.
v
PARCEL
+/
PO
HD
ssuE
LI-1against
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIRECT OF PUBLIC
B
PE IT EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date
Receipt No. `7 3 (O -
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT