HomeMy WebLinkAbout065-510-062BUTTE COUNTY AREA
DEPARTMENT OF DEVELOPMENT SERVICES 3
INSPECTION CARD MUST BE ON JOB SITE
24 Hour Inspection Line: (530) 538-7636 (Oroville) (530) 891-2834 (Chico)
Office: (530) 538-7541 Fax: (530) 538-2140 Website: www.buttecounty.net/dds
Permit No: B07-0663 Issued: 04/02/2007
Address: 6851 FOREST HAVEN LPArea: MAGALIA
Owner: TALAVERA, ERNEST L lAPN: 065-510-062
Applicant: GREENE & SON ROOFIPMap Page:
Permit Type: Re -Roof
Description: REROOF - 25 SQ
Flood Zone: None SRA Area: Yes
SETBACKS
Front Setback: Side Setback:
Rear Setback: Other Setback:
um Setback From Centerline of Street:
ALL PLAN REVISIONS MUST BE APPROVED BY THE COUNTY BEFORE PROCEEDING
t
Inspection Type
IVR MSP DATE
Set acs
132
Foundations / Footings
111
Pier/Column Footings
122
Grade Beams
114
Eufer Ground
2.16
Forms/Steel/Holdowns
122
Do Not Pour Concrete Until Above are Signed
Pre -Slab
124
Gas Test House
404
Gas Test Yard
404
Masonry Grout
120
Masonry Bond Beam
119
Underfloor Framing
149
Underfloor Ducts
319
Shear Transfer
136
Under Floor Plumbing
412
Under Slab Plumbing
411
Gas Piping
403
Do Not Install Floor Sheathing or Slab Until Above Signed
Holdowns/Straps
122
Shearwall/B.W.P.-Interior
135
Shearwall/B.W.P.-Exterior
135
Roof Nail/Drag Trusses
129
Do Not Install Siding/Stucco or Roofing Until Above Signed
Rough Framing
128
Rough Plumbing
406
Rough Mechanical
316
Rough Electrical
208
Gas Piping
403
Shower Pan/Tub Test
408
Fire Sprinkler Test
702
Fire Sprinkler Final
702
Building Final
802
Electrical Final
803
Mechanical Final
809
Plumbing Final
813
Pool Final
802
Mobile Home Final
802
Finals
Inspection Type I
IVR I INSP I DATE
Do Not Insulate Until Above Signed
Wall Insulation
117
Ceiling Insulation
118
Do Not Cover Until Above Signed
T -Bar Ceiling / RC
145
Stucco Lath
142
Stucco Scratch
143
Stucco Brown
144
Swimming Pools
Setbacks
132
Pool Plumbing Test
504
Gas Test
404
Pre-Gunute
506
Pool ElecBonding/Light Nitch
502
Pool Fencing/Alarms/Barriers
503
Pre -Plaster
507
Manufactured Homes
Setbacks
132
Blocking/Underpining
612
Tiedown/Foundation System
611
Site Utilities/Trench Insp.
137
Gas Test Yard
404
Manometer Test
605
Continuity Test
602
Skirting/Steps/Landings
610
Coach Info
Manufactures Name:
Date of Manufacture:
Model Name/Number:
Serial Numbers:
Length x Width:
Insignia:
Public Works Fina
538-7681
Fire Department/CDF
538-7111
Env. Health Final
538-7281
Sewer District Final
"PROJECT FINAL
801
-rrolect rinai is a ♦ crnncace of occupancy for txeswennai vmy)
PERMITS BECOME NULL AND VOID 1 YEAR FROM THE DATE OF ISSUANCE. IF WORK HAS COMMENCED, YOU MAY PAY FOR A I YEAR
RENEWAL 30 DAYS PRIOR TO EXPIRATION
Inspector Copy
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.net\dds
PROJECT INFORMATION
Site Address: 6851 FOREST HAVEN LN
Owner:
Permit No: B07-0663
APN: 065-510-062
TALAVERA, ERNEST L & JANE
Issued Date: 04/02/2007 By GLB
Permit type: MISCELLANEOUS
6851 FOREST HAVEN LN
Subtype: Re -Roof
MAGALIA, CA 95954
Expiration Date: 04/01/2008
Description: REROOF - 25 SQ
Occupancy: Zoning: TM5
Contractor
Applicant:
Square Footage:
GREENE & SON ROOFING
GREENE & SON ROOFING
Building Garage Remdl/Addn
P O BOX 2467
P O BOX 2467
PARADISE, CA 95969
PARADISE, CA 95969
(530) 873-3940
(530) 873-3940
Other Porch/Patio Total
FEE INFORMATION
DBMSC Re -Rooting $137.50
Total Charged: $137.50 Fees Paid: $137.50
Balance Due: $0.00 Receipt No: B2431
LICENSED CONTRACTOR'S DECLARATION
OWNER / BUILDER DECLARATION
Contractor (Name) State Contractors License No. / Class / Expires
I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License
GREENE & SON ROOFING 275057 / C-39 / 05/31/2007
Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that
requires a permit to construct, alter, improve, demolish, or repair any structure prior to its issuance,
also requires the applicant for such permit to file a signed statement that he or she is licensed
I HEREBY AFFIRM UNDE PENALTY OF PERJURY that I am licensed under provisions of Chapter 9
(commencing with Sec ' n 000) of Division 3 of the Business and Professions Code, and my license
pursuant to the provisions of the Contractor's License Law [Chapter 9 (commencing with Section 7000)
is in full force nd e e
of Division 3 of the Business and Professions Code] or that he or she is exempt therefrom and the '
X
basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects
the applicant to a civil of not more than five hundred dollars
04/02/2007
penalty [$500];
Please check one of the following:
Contractor's Signature Date
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 Contractor's License
Law does not apply to an owner of the property, who builds or improves thereon, and who does
WORKERS' COMPENSATION DECLARATION
I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations:
HAVE
the work himself or herself or through his or her own employees, provided that such improvements
❑I AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR
are not intended or offered for sale. If, however, the building or improvement is sold within one
WORKERS' COMPENSATION, as provided for by Section 3700 of the Labor Code, for the
year of completion, the owner -builder will have the burden of proof that he or she did not build or
performance of the work for which this permit is issued.
improve for the purpose of sale.).
I HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by
❑❑
I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED
CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Code:
Section 3700 of the Labor Code, for the performance of the work for which this permit is issued.
My Workers' Compensation insurance carrier and policy number are;
The Contractors License Law dows not apply to an owner of the property who builds or improves
thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the
Carrier: STATE FUND Policy Number. 1753692 Exp. Date:10/01/2007
Contractor's License Law.).
(This section nee not be competed if the permit is or one hundred dollars ($100) or less.
❑ I AM EXEMPT under Section B. & P.C. for this reason:
❑I CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS
ISSUED, I shall not employ any person in any manner so as to become subject to the Workers'
Compensation laws of California, and agree that if I should become subject to the workers'
X 04/02/2007
compensation provisionsA Section 3700 of the Labor Code, I shall forthwith comply with those
Owner's Signature Date
provisions.
X 04/02/2007
I hereby certify that I have read this application and state that the above information is correct. I agree
to comply with all City and County ordinances, rules, regulations, and State laws relating to building
Signature Date
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL,
construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless
Butte County, its officers, agents and employees from any and all claims and liability for personal
AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE
HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION,
injury, including death, and property damage caused arising out of, or in any way connected with
the issuance of this permit. I hereby acknowledge thatt is issuance of this permit does not authorize the
DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND
ATTORNEY'S FEES.
use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte
County to enter thea mentioned property for inspection purposes. I hereby certify that I am the
property r or a thorized to act on the property owner's behalf.
04/02/2007
CONSTRUCTION LENDING AGENCY
1 HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for
Narhe of Pe mittee [SIGN] Print Date
the performance of the work for which this permit is issued. (3097 civ. code)
Owner contractor OR. • DAgent for Owner Agent for Contractor
FILE COPY
Lender's Address City State Zip
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT APPLICATION
OFFICE #: (530) 538-7541 FAX #: (530) 538-2140
A FEE WILL BE REQUIRED AT TIME OF APPLICA TION
Website: www.buttecounty.net/dds
**PLEASE PRINT CLEARLY**
OWNER INFORMATION
Last Name
Name
First Navw
l /I
Mailing Addr s
,,4,J - _
City 111
StateCW
Zi
Phone Q ry � , � 9 � Z
U
Fax -
E-mail
Lic. # 2 5 057
CONTRACTOR
Name Name
Name
Address
Address
City P Y. a�`��
State
/'"
Phone
0
Fax
E-mail
Lic. # 2 5 057
Class
A L/CANT SIGNATURE
ARCHITECT/ENGINEER
Name
j
Address
I Yes I No
City
/'"
State
Zip
Phone ell,
Fax
E mail
State License Number
A L/CANT SIGNATURE
APPLICANT INFORMATION
Name
j
Address
I Yes I No
City
/'"
State
Zip
Phone
Fax
E-mail
A L/CANT SIGNATURE
X
Flood Zone
PERMIT
NO.
BIN #
WORKER'S COMPENSATION
Policy Number
310 9�
Carrier
cSTA+q- Fato d
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:
,Z.-0Ff- Ap,yV v
Sq FT- Living Garage Open v
❑ Structure Built without Permits ^
❑ Proposed Change of Occupan 1`
(Note previous use):
For office use only:
Zoning
Flood Zone
SRA
I Yes I No
Occ.
Type Const.
NOTES RESIDENTIAL
PERMIT NO.
11
0 -510-062 02 3161
65
T _EPA -,ERNES JANE,
'6851 FOREST HAVEN LN:, MAGAdA
)CONT: BOB BELL "-4� '1;44'•i "
NEW OV
EW EX DECK
SPECIAL CONDITIONS
CHECKED
BY
SRA
FLOOD CERTIFICATE REQ.
FIRE SPRINKLERS REQ.
—SPECIAL INSPECTION ITEMS
VERIFY
USE PERMIT CONDITIONS
SUB -STANDARD HOUSING LETTER
JOB FINALED (Date)
Signature
J=OK
0 = Nol OK
. = NotReadyable
MISCELLANEOUS
MOBILE HOMES
Date
MOBILE HOME UTILITIES (Plans) OK except #'s
Elec.; Receptacles and Lighting, Distance -GR
1.
Zoning Requirements -Setbacks -Easements
ec�s,,Girders and/or Joists -Decking -Bracing -Stairs -Rails
2.
Soils; Special MH Support Sketch
5.
3.
Sewer; Location -Test -Fall -C/O -Concrete
Carports; Windows -Doors
4.
Water; Location -Test -Easement Needed (Sketch)
8.
5.
Electricity; Location-Clearances-Grnd-/ /Amp -Concrete
Siding; Nailing -Veneer -Stucco -Mesh
6.
Gas; Location -Test -Wrap;-/ /" L 'ft.
/ P Nat. or / /" L "ft./ P LPG
Qj/Ext.;
7.
Well Clearance & Disconnect
Braced Wall Panels
8.
Utility Clearance
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
MOBILE HOME INSTALLATION (Plans) OK except #'s
1.
Zoning Requirements -Setbacks -Easements
2.
Footings; Size -Spacing -Marriage Line
3.
Gas; MH Test -Demand -Valve -Connector
4.
Electricity; MH Test -Crossovers -Breakers -Clearances
5.
Drain; MH Test -Fall -Flex Connector
6.
Water; MH Test -Regulator -Connector
7.
Water and Sewer Connected -C/O to Grade -HD Approval
8. Gas and Electricity Tagged
9.
Tie Downs -Type -Installation Cert.
10'.
Exits; Insp.-Sketch
11.
Cert. of Occupancy
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
PERMANENT END SYSTEM (ONLY)
1.
Zoning Requirements -Setbacks -Easements
2.
Footings; Size -Spacing -Marriage Line
3.
Blocking -
4.
Gas; MH Test -Demand -Valve
5.
Electricity; MH Test
6.
Water; MH Test
7.
Water and Sewer Connected
8.
Gas and Electricity Tagged
9.
Exits
10.
License Decals
11.
Verify #'s with Office -
Date _
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Dat ,, Z, jjp,� Card B-1 j . Date Card B-1
Date Card BDate Card B-1
Date POOLS ( ans OK except #'s
1. Setbacks -Easements
2.
MISCELLANEOUS
Date DECKY, COVERS, CARPORTS, GARAGES (Plans) OK except #'s
Pool Structure; Steel -Connections -Thickness
Dead Men -Lining
ing Requirements -Setbacks -Easements
Elec.; Receptacles and Lighting, Distance -GR
oti Soils -Size -Depth -Spacing -Connectors -Steel
Elec.; Pool Lighting; 15 Volts-GFI
ec�s,,Girders and/or Joists -Decking -Bracing -Stairs -Rails
Elec.; Enclosures; Conduit Entries -Terminals -Listed
ood 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.
RcgjfShthg- Roofing
Qj/Ext.;
Steps -Doors -Landings
12.
Braced Wall Panels
Dat ,, Z, jjp,� Card B-1 j . Date Card B-1
Date Card BDate Card B-1
Date POOLS ( ans OK except #'s
1. Setbacks -Easements
2.
Soils; Compaction -Structure Stability
3.
Pool Structure; Steel -Connections -Thickness
Dead Men -Lining
4.
Elec.; Receptacles and Lighting, Distance -GR
5.
Elec.; Pool Lighting; 15 Volts-GFI
6.
Elec.; Enclosures; Conduit Entries -Terminals -Listed
7.
Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater
8.
Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg.
Boxes- Enclosures -Panel boards- Ins. to Main Conduit
9.
Health Department Approval
10._
Plumb.; Cir. Test -Water Supply Test
11.
Light Niche
12.
Enclosure; Fencing -Alarms
Date
Card B-1
Date
• Card B-1
Date
Card B-1
Date
Card B-1
J=OK
0 = Not OK
- = Not Applicable
. = Not Ready
RESIDENTIAL (Single & Duplex)
Date
UNDERFLOOR (Plans) OK except #'s
1. Zoning -Setbacks -Easements -Flood -Slope
Hangers -Post Caps -Anchors -Connectors
2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth
48.
3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth
4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth
Fireplace Ties or Type A Flue -Fireplace Throat Clearance
5. Stemwalls, Main; Steel-Blockouts-Wrapped
50.
6. Stemwalls, Garage; Steel-Blockouts-Wrapped
6a. Hold Downs and Special Anchors
Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions
7. Slab, Steel -Wrapped
52.
8. Piers -Fireplace Ftg.-Steel
9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test
Property Line Firewall & Openings
10. UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test
54.
11. Water Pipe; Test -Anchors -Regulator -Service Test
12. Electric Underground
Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
13. Plenums & Ducts; Clearance -Material -Support -Ins.
56.
14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies
15. Access & Ventilation
Siding -Nailing Veneer
16. Insulation
58.
Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access
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
Brace Interior/Exterior Wall Panels
18. Water Pipe; Test & Anchor -Nail Protection
62.
19. D.W.V.; Test Fittings & Anchor -Nail Protection
20. Shower Pan; Test, First Floor -Tub Access
Date
21. Test Tub & Shower, Second Floor -Tub Access
Card B-1 Date Card B-1
22. Gas Pipe; Sixe & Anchors
23. Fire Sprinkler; Test
Date
FINAL (Plans) OK except #'s
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
ELECTRICAL (Permit) OK except #'s
66.
24. Fixture & Transformer Clearance -Ins. Protection
25. Elec. Receptacles Spacing -Lights & Switches at Doors
Bedroom Exiting
26. Size Boxes & No. of Conductors Stapled
68.
27. Romex Installed Close to Edge of Studs & C.J.
28. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water
Elec. Trim & Subpanel, Breaker Sizes & Labels
29. 2 Appliance Circuits in Kitchen & Conductor Size GFI
70.
30. Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or Al
31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or Al
Insulated Neutral ❑ Yes ❑ No
Fireplace or Stove, Clearance -Hearth
32. Service -Riser Conductors & Ground Main Disconnect
72.
33. Equip. Clearances Panels-Motors-Mech. Equip.
34. Clothes Closet Light -Shower Light -Spa Light
Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance
35. Smoke Detector
74.
Elec. Outlets & Receptacles at Kit. Counter
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
Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V.
in Garage; Above Floor-Mech. Protection
37. Vent Fan, Exhaust above insulation
78.
38. Condensate Drain & Overflow, Size & Grade
39. Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet
Elec. Receptacles in Garage (F.F.I.)-Romex Protection
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
82.
41. Sills Proper Materials & Anchors
42. Walls Studs -Nailing Spacing & Braces -Plates -Sound
Clearance Looked under Floor ❑ Yes
43. Bearing Walls over Girders & Floor Nailing
83.
44. Draft Stop in Walls (rat proof)
45. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs
Stucco Brown -Finish
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 A Flue -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 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-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
74.
Elec. 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 (F.F.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 ❑ Yes
_
83.
Following Instld./Drive ❑ Yes O No/Walks ❑ Yes ❑ No/Planters ❑ Yes ❑ No
84.
Stucco Brown -Finish
85. A.C. Unit Disconnect, Electrical -Plumbing
86.
Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings
87.
Water Well, Disconnect, Electrical, Plumbing
88.
Exterior Elec. Trim, G.F.I. Receptacle -Underground
89.
Ventilation Throughout House
90.
Glass Protection
91.
Corrections from Previous Inspections
92.
Gas Test -Meters Tagged, Gas -Electric
93.
Water & Sewer Connected -C/O to Grade -HD Approval
94.
Energy Compliance Certificate -Other Certificates
95.
Address Posted
96.
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:
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-75410p MJIT o•
(Rev. 12/96) APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER
065-510-0662
ZONING
Tm-5
BUILDING PERMIT
OWNER
. OWNERS MAILING ADDRES9
6851 PMRST HAVEN MAGALIA GA 95Q51,
CONTRACTOR'S NAME
BOB B0 I
TELEPHONE
HONE
SO. FT. OCC. BUILDING VALUATION
266 C 13.00= 3.458.00
CONTRACTORS MAIUNG ADDRESS
RKWAY GA 95969
CONSTRUCTION LENDER ° > >
Fireplace
LENDER'S MAJUNG ADDRESS
Total Valuation $
3°458.00
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee $
20.00
Permit Fee $
63.00
ARCHITECT OR ENGINEERS "LING ADDRESS
Plan Checking Fee $
40.95
BUILDING ADDRESS
FDREST HAVEN TN_, MAC
Energy Plan Checking Fee $
PERMIT FEE $
123.95
IDT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT
Fling Fee 20.00
USEOFSTRUCTURE
SF ❑ 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 ❑ Ublities ❑ Installation ❑ Other ❑
Describe Work: nV COVER OVER EX DECK
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home ISI GI W
@20.00
PERMIT FEE S
now Load= 2,500 to 39000 .-t / F? n�0400C , SRA
ELECTRICAL PERMIT
Fling Fee 20.00
-
Main Service 2o0A 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 withFon 7000) of Division 3 t e usiness and Professions Code,
and my license is inorce and effect.���
License Class Lic. NO.
OWNER -BUILDER DE LARATION
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
WORKERS' COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
1 have and will maintain workers' compensation insurance, as required by Section
3700 of the Lab o for the performance of work for whi this permit is issued.
My workers' i e carr' n bar are: Carrier
Policy 01
(The above section e d of be complete . e plermit 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'
compensat•on laws of California, and agree that if 1 should beco a sub'ect to the
works ' c p sation Prov' ions of section 3700 of the La or Co e, I shall
forth h it os W
X __ i Date
Signature f Applicant - ❑ O 11.1 N tractor ❑ Agent
An OSHA permit is required for excavations over 60" deep and demolition or construction
of structures over 3 stories in height.
Main Service 200A TO 1000A
46.00
NEW CONST. OWFILING occuP. so
OR ADDNS. ( a ACC. BLDS. 3.5¢FT.
NEW CONS . MULTI.OUTLET
NON-RESID. @7.50
POWERAPPARATUS
a SINGLE OUTLEr CIR.
00
Ex. Occup. OUTLET OR FD(TURES BAL @':w
Ex. Occup. OPIx,JTE,�os gLErSS )EA. 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring 23.0 3,00
PERMIT FEE : 43°00
MECHANICAL PERMIT Fling Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEE $
Mobile Home Installation Fee $
Energy Inspection Fee $
OCC
X
CONST. TYPE
VN TOTAL FEE $ o
106 °
HA2.
D. FEES IMP
FLOOD
CDF
X
PARCEL
X
PD
J X
X
ISSUE
X
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.
-
)
By D to
PERMIT EXPIRES ON 2- 3t
ate
ReceiptNo. 363687 $166.95
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
.Jg,.'v1..fir..n..vrZ'e.�^•!��%Y�K�ry.N�•..:.1�i''�'-iR'�^''::'Til�rw-.'...",.'rK r..� .. _ s�„i,..w>�+_'�;`rN l•*„`a�rw'w,wY''^-.++-v�y..y_ 'r-...-.•., .� �_. ' .,4 _ , _
4,f.
COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION
7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140
PERMIT APPLICATION DATA SHEET
•�v A/�SSESSOR PARCEL NUMBER -Vj
Proposed Building Use: G r �/
, ��L�C 44*7// i� 6111af Counter Technician: e& Dat e:
Items required in order to apply for a permit. All boxes MUST be checked OR marked NA iri` order to apply.
V2/Complete
t plans, 3 or 4 sets, signed by the preparer of the plans.
. plans, 3 or 4 sets, signed by the preparer of the plans. `
❑ 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations.
❑ 4. Engineered truss details and layouts in duplicate. No faxes!
❑ 5. Energy compliance design and supporting documentation in duplicate.
❑ 6. Manufactured homes: (A) Data sheets and installation instructions, (B) Marriage line i70\r
mation, (C) Floor Plan, (D) Tie down or
foundation plans, all in duplicate.
❑ 7.. Metal buildings: (A) Metal Building Plans, (B) Foundation plans and calculations in triplicate, (C) Elevation views in triplicate.
(D) Floor plans in triplicate. All of these must be stamped and wet -signed b tY he enjneer. "\---\
Items required for initial plan review. If checked items have not been received, plan review cannot proceed. The -permit will be
indexed and returned to the plan review line-up when required items are received.
Date Received By
❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate ................................
❑ 9. Plot plan and business license approval from the City of Biggs ...................................
❑ 10. Letter of intent for non-residential buildings.........................................................
El 11. Detached Accessory Building Form filled out by the owner .....................................
❑ 12. Hazardous Material Form...............................................................................
❑ 13. Other
Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.)
❑ 14. Fees as shown on the attached Schedule of Fees Due Sheet ...........t`... ..........................
❑ 15. Statement of Intent for Non -heated and A/C Buildings..............`............:..".�...............
6. Sanitation and plot plan approval from the Environmental Health Depaftment in -
in G _�
K.I
City of Chico Plumbing permit ........................
California Department of Forestry plan approval paid. Sentby: ......................
Planning approval for (A) Use: r3 (B)Parking: _ (C) Parcel Check:
❑ 20. Contact Land Development about ❑ Improvements, ❑ Drainage ...............................
❑ 21. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy).
❑ 22.,Pre-Inspection for required ................
- '❑ 23. Contractor's license information. (Number, Name Style, Classification) .......................
❑ 24. Worker's Compensation Carrier and Policy Number ..............:..............................
❑ 25. Owner -Builder Verification (❑ Giveri to owner, ❑ Mailed to owner) .....................
❑ 26. Letter of Signature authorization....................................................................
❑ 27. Recorded copy of Agricultural Acknowledgment Statement ....................................
❑ 28. Manufactured home utility clearance.......!.......................................................
❑ 29. Existing violations and/or expired permits.........................................................�:
❑ 30. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $
❑ 31. Other:
When issued Telephone and hold for pickup.
I have been info r f t b, „ e ite nd uirements for obtaining a bui �ng p mit.
Applicant: Date: " v -
1. Index permit application for the above items numbered: Plan Check Letter
2. Additional items required
Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date:
Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, y Date:
Plans reviewed by: Date: Plans approved by: Date:
Structural reviewed by: Date: Structural approved by: Date:_
Note transfer by: Date:
p '
Yellow: Building Division
r
E.H. USE ONLY
Plot Plan Anachad
Phar Plan Atnacha
Sam to B.D. /
TO: Building Department
FROM: Environmental Health
SUBJECT: Sanitation Clearance
lci, ICA/eC6 e S4Lien.
Owner Location AP#
Plan Approved for: Sewage Disposaix_ ater Supply: Public Private Well
Clearance for - dwelling. Other C1,0, --k Ir'oo�cod�,/
Hold final for:
Final clearance OX. for:
NOTE:
1,FeAI'V Ce. Az tT;l
Environmental Health Specialist Date
8/96
=R (TYP.)
53"
9.,6-1
61"
ST (TYP.)
22° -
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28'
FLOOR PLAN
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SCALE 1/4" = 1'-0 "
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REMOVE ALL OF E DECK, RAILINGS,
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E---- REMOVE ALL (E) PIERS
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EXISTING CONDITIONS EXISTING CONDITIONS
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SCALE 1/4 - V-0
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PLANNING DIVISION
Use:Data:
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LandscaOng:.�._
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REMOVE ALL OF E DECK, RAILINGS,
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A35 ANCHOR (TYP)
f
(E) 2x6 T&G ROOFING 3/8" LAG SCREW (TYP)
2x8 BLOCKING (TYP)
(E) 48 ROOF RAFTER
48 RAFTER
2x6 FRAMING (TYP)
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A35 ANCHOR (TYP) u TYP. OF 5
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SHALL JUSTIFY - --
CONTRACTOR � \/ 12
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Revisions:
Plot date: 11-04-02
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