The URL can be used to link to this page

Home My WebLink About066-230-047` [ / � � . � ^�~~� .~ ~�� ~��^� � � �� H. DON DARBY '535 South Park Dr, pPCC#4, lot 22, Mag. `066-230-�047 01-278113642 S PARK DR,MAGALIA / ~ ~' _ [ / � � . � ^�~~� .~ ~�� ~��^� � � �� H. DON DARBY '535 South Park Dr, pPCC#4, lot 22, Mag. `066-230-�047 01-278113642 S PARK DR,MAGALIA / Cfll COI Ml ��o e C4 a&- Z 36, - 0 (A7- o oo El L 'K 3Z , 2 Z� -�! cc�l �tl��ol 077 35" let( Environmental Health Nov - 5 2001 (9 Chico, Califomia PO Vb A, itJ l`+�'�!` ti VPA/ 13 644A /�.. 4C� �rso Aig-73 11, L, . W'T z 3D - r% d OOp X29.79 �. ? J �..........---�.�..._...._.-_._.._..,�-tee__....-.. .... ... ,.___... ... ... ..... ......�-...... --_.� ..--• ... 4 -35 F Awq UP �-<XI 5'.. P,�i 'p � IM rock �c , Ffth t CIiP_ _ 3 '�'x 12• PI ' S 2' x 12" STAIR STRI46ER. 48'e.o. MAX. bn +It• tK:�.Mlt�� `IOP. VIEW H RUORRIL NOT SIIOIU N FOR CLARITY. q.x`• pF*2 2",tW DECKING (AL?) GIRDERS _8 BOLT lye* TIG PLYWOOD CC EXT. I x4 ,a f MOBILE NOME OR DECK 1�.• \te `4S' 'MTI. FRMIJ �--- — — _ E CLIP (EA. DE 9'MIk �v 4'x4' POST E — GUARVRAIL « 1 2G1F to 214" PRE35URE- -' 4"MAX. OECKIIJG' e� •• 601.Tg /TRIATCP �� a GIRDER RFOwonO nn TF • " • �0 . PRECAST 4'x4" POST May. Q I cMu4TE' DIA60NA1. BRACING. ' T YPfIF,0a nlN �' BU T QEP 'TMENT OF PUBLIC FORKS 14 • I M. rooT I NG � M� I 7 Cmmly Confer Driv� — O►ovllh• ("nh. ocoat Temp. Pow/rPole — _ Called�PG&E &//0?' .✓ 47 Ell ec. Serv. Called PG&E %7^ Temp. Gas Serv. Catled PG&E VJ / FINALED L v (Date) i re) r ,�PERMIT NO. 4186-79B;P,E,M PERMIT EXPIRES OWNER H. DON DARBY CONTk. owner r LOCATION (A.P. 66-23-47 535 South Park Dr, PPCC#4, lot 200, Magalia r t t f.. �s 1P t W J Temp. Pow/rPole — _ Called�PG&E &//0?' .✓ 47 Ell ec. Serv. Called PG&E %7^ Temp. Gas Serv. Catled PG&E VJ / FINALED L v (Date) i re) COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS ' BUILDING INSPECTION RECORD 4Footi �ti ' Slab �tlu- Patio Footi Steel .V Framing �i Stucco . eJ Mesh '1 Scratch Brown V Finish -k Interior Lath BUILDING (Cont'd) Firewall - Parapets Restroom Finish Windows Siding (4-Z'7oy Roof Sheathing - Roofing - -� Fdn. Vents Garage Vents Insulation - Zp Prov. for phsically handicapped Conformance of ex. structure Final AZ1,16717 REPL CE Footin ee.p .Throat 102-79 e Final 7Q FIRE SPRINKLERS Final Heating Cooling Ducts -0' 9. -7Y I Final / TIES ------------: ----- Elec_ Service Sewer . PLUMBING Soil.Piping Y 1st Floor 2nd Floor 3rd Floor To out Water Piping Sewer Fixtures /I->— T i Water Htr. Heaters Appliances Gas Piping & Tes Temp. -Gas and Final ECTRICAL nougn ="- Fixtures G—Fixtures /2 �4 Grd. Fault PMN,L912yG'� Service "Temp. Pole-/OPole -;19 Underground Permanent - Final Elec. Pedestal Gas Piping DATEC,/LC1-" REMARKS OR CORRECTIONS 8-16 -fe%T �c /.I'�eCvc�o �/ �d/Q�s. 77—b 6eq jOrce'- At GtaLe /aY/�'�'!olQ��FfO.4✓i/ 7'o� 4ler4,e ¢ r % C110yF/La,7 z -7 --Z� Off- a4,� (3-9 ` itiGfd ,Z ,Sly a 7s o.v `S D/G 544 IC?, -6 d iL 1/- r".r 4�11, E r` (NOTE: An entry must be made on this form each time you visit the job site.) BUILDING Setback -I -7,9 4y Forms n i { 7 . a 'aJ Main Bldg. T Footings -/I;_73�- eZ4 �\ Stemwall'r '%-;% Slab Piers Garage Footings Ali' -79 >a Stemwall 79 1' Slab -S.-% -2e4"7_ 4Footi �ti ' Slab �tlu- Patio Footi Steel .V Framing �i Stucco . eJ Mesh '1 Scratch Brown V Finish -k Interior Lath BUILDING (Cont'd) Firewall - Parapets Restroom Finish Windows Siding (4-Z'7oy Roof Sheathing - Roofing - -� Fdn. Vents Garage Vents Insulation - Zp Prov. for phsically handicapped Conformance of ex. structure Final AZ1,16717 REPL CE Footin ee.p .Throat 102-79 e Final 7Q FIRE SPRINKLERS Final Heating Cooling Ducts -0' 9. -7Y I Final / TIES ------------: ----- Elec_ Service Sewer . PLUMBING Soil.Piping Y 1st Floor 2nd Floor 3rd Floor To out Water Piping Sewer Fixtures /I->— T i Water Htr. Heaters Appliances Gas Piping & Tes Temp. -Gas and Final ECTRICAL nougn ="- Fixtures G—Fixtures /2 �4 Grd. Fault PMN,L912yG'� Service "Temp. Pole-/OPole -;19 Underground Permanent - Final Elec. Pedestal Gas Piping DATEC,/LC1-" REMARKS OR CORRECTIONS 8-16 -fe%T �c /.I'�eCvc�o �/ �d/Q�s. 77—b 6eq jOrce'- At GtaLe /aY/�'�'!olQ��FfO.4✓i/ 7'o� 4ler4,e ¢ r % C110yF/La,7 z -7 --Z� Off- a4,� (3-9 ` itiGfd ,Z ,Sly a 7s o.v `S D/G 544 IC?, -6 d iL 1/- r".r 4�11, E r` (NOTE: An entry must be made on this form each time you visit the job site.) IE i i, RESIDENTIAL ENERGY CONSERVATION STANDARDS , CONSTRUCTION COMPLIANCE CERTIFICATE THIS IS TO CERTIFY THAT ENERGY CONSERVATION REQUIREMENTS HAVE BEEN INSTALLED IN CONFORMANCE WITH CURRENT ENERGY CONSE"tVATION REGULATIONS AT �' S .Se CA 'l1 �� .1i 7-e A)0 t+ C l �i ia' /t /Jl1Utu / :.e. (location) BUILDING PERMIT NO. Y/56"7 M A.P. N0. THE FOLLOWING HAVE BEEN INSTALLED AS PER APPROVED PLANS: (Check each item or write N/A if not applicable) INSULATION: GLAZING: i Slab Edge. Single Glazed Fdn. Walls -,r, Special (Insulated) /f ` Floors J? - I/ ERT. & LABELED WDS. Walls _L - & SLIDING DRS. /1-7 Oiling/Roof / - EATHERSTRIPPED DRS. 77 s ,:,/fir- . BACK DAMPERED FANS ` Circulating Pipes_ INTERMITTENT IGNITION DEVICES /ijh ; APPROVED HEATERc7 ZLo a/ CERT. APPLIANCES L,^ �.,nl APPROVED WTR. HTR.-(, 4/-,r/,, 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 /'/j �'y Signature of (pleas print) Insulation Applicator VII D144-114 tate Contractors License No..312 7: C! General Contractor/Owner Name / /,ie,✓ D1, 7 /�, Signature of s (please pri t) General Contractor/Owner ( Date,// -12 -7 State ontractors License No. THIS CERTIFICATE MUST BE ON FILE WITH THE BUILDING DEPARTMENT PRIOR TO ;REQUESTING FINAL INSPECTION AND SHALL BE POSTED IN A CONSPICUOUS LOCATION WITHIN TILE DWELLING. ,MECHAN•ICAL Check List • ❑ Permit ❑ Underfloor 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. (10) 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 r P L U M B I N G Check List ❑ Permit ❑ Underfloor Stage ❑ 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 (Top Out) F—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 - - r = .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 COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS , - 7 County Center Drive — Oroville, California 95965 Telephone: 534-4541�� APPLICATION AND PERMIT je.Duut BUILDING IV I Owner SQ. FT. OCC. BUILDING VALUATION EX. OCCU FIXED APPLNS. OR p•�OUTLETS (RESID.) EA) Mai I i ng Address Temporary service i Telephone No.71 O Misc. Wiring 6.25 Contractor Mailing Address Fireplace // Total Valuation Telephone No. Permit Fee Building Address Plan Checking Fee&/or Penalty Permit Fee PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 _,,6 Each Trap 1.50 �_ Repair drainage or vent piping 1.50 A. P. No. 'r0 (p �v�3 l-/% ,��.�� ning & PI nning Water piping 1.50 --� Each gas water heater or vent 1.50 W.Er I a i 'o Fire Dept. Fire Zone Use P rmit Gas piping system 1 -5 outlets 1.50 EQA Parking Parcel Plans Declaration. Parcel M 60' R/W Improvements Each additional outlet .30 Building sewer 5.00 BI ans Recd Parcroyal Plans Approval Lawn sprinkler system 2.00 NEW PO ADDITION ❑ UTILITIES ❑ OTHER ❑ permit Fee $ ELECTRICAL No.1 @ I FEE ' PERMIT FILING FEE $3.00 p Main service 000v 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 AMe00PORv LESS 25.00 I Main service EA. ADD'L 100 AMP 1.00 CONTRACTORS LICENSE LAW I am licensed under the provision's of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: License No. 'T / 2 9 U Classification 0 — / N NON-RESID. ( BRANCH CIRCUITS/ je.Duut NEWCONSTR POWER APPARATUS a NON-RESID. (SINGLE OUTLET CIR. EX. OCCUR{OUTLETS OR FIXT11PES soLaia BAL @ 1C EX. OCCU FIXED APPLNS. OR p•�OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of Cal ifomia. Permit Fee WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. I 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. 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 County of Butte to enter upon the above-mentioned property for inspection purposes. X Date_7.—/?--7,9 Signature f Permitee or Agent Receipt No. 1 e White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant MECHANICAL PERMIT FILING FEE Heating zwji v Agcrz @ FEE $3.00 3 Q .B, Cooling -.Ya_ '7' t/ Ventilation Hood 2.00 ,-d d Permit Fee $ $ Op Land Development Fee $ p TOTAL PERMIT FEE 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. DIREC Rf F PUBLIC WORKS By Date :7—;Z-4 —7 Bu' ing permit expires Date 7—?0 RESIDENTIAL PLAN CHECKING GUIDE (S.F., DUPLEX, & MISC. ONLY) qz�/ Bldg. OWNER A.P. A. GENERAL _%.01- ' - Zoning requirements (sideyards and parking). Valuation. Signature by R.C.E. or Architect (if required). B. PLOT PLAN Complete parcel size and dimensions. Setbacks, sideyards, easements, etc. Other buildings or structures. Grading, fills, drainage. Permit # 411fl -% # - C FLOOR PLAN Complete to scale plan -with dimensions. ,--2. .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). 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). ,r. Light fixtures, switches, receptacles, and exterior receptacles for maintenance of _000 mechanical equipment. 19 --.Locations of water heater, heating & cooling equipment, other electrical or gas equipment, and plumbing fixtures. 10: Garage firewall, door size, and closer (Sec. 503(d)(4)). 1.- 3'0" exterior exit door (Sec. 3303d). ,W. Fireplace location. >8'. Smoke detectors (Sec. 1413). D. STRUCTURAL DETAILS ,11 Foundation plan complete enough to construct building. Floor construction details complete enough to construct building. Elevations and wall construction details complete enough to construct building. 40000 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 (State law). E. MISCELLANEOUS ITEMS TO LOOK OUT FOR CCX plywood on exposed locations and overhangs. Stairway details (Sec.. 3305). Guardrail details (Sec. 1716). Brick or stone veneer (Chapter 30). Exterior plaster - weep screeds (Sec. 4706 & 4708). Proper roof pitch for roof covering (Chapter 32). Rafter ties or bearing ridge beam. ' Garage door or porch header sizes. Adequate bracing. Living area over garage - complete 1 -hour separation required including supporting 7 walls and posts, etc. Two (2) exits on three-story dwellings (Sec. 3302). S f NOTES,. _' . RESIDENTIAL PERMIT NO. —" _066-230.0.47,_ __ _ - 01-2781 VAN BROCKLIN, KOP -- _ 13642 S PARK DR, MAGALIA ADD TO EX DECK- f a SPECIAL CONDITIONS CHECKED BY SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER f 1 JOB FINALED (Date Soz/A// Signature = Ox 0 = Not OK - = Not Applicable. = Not heady .. MOBILE HOMES Date ' MOBILE HOME UTILITIES (Plans) OK except #'s 4. 1. Zoning Requirements -Setbacks -Easements 5. 2. Soils; Special MH Support Sketch 6. 3. Sewer; Location -Test -Fall -C/O -Concrete 7. 4. Water; Location -Test -Easement Needed (Sketch) 8. 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete 9. 6. Gas; Location -Test -Wrap;-/ /" L'ft. / P Nat. or/ /"L"ft./ PLPG 10. 7. Well Clearance & Disconnect .; Steps -Doors -Landings 8. Utility Clearance Braced Wall Panels Date Date Date Card B-1 Date Card B-1 Date Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. 1. Zoning Requirements -Setbacks -Easements 2. 2. Footings; Size -Spacing -Marriage Line 3. 3. Gas; MH Test -Demand -Valve -Connector 4. 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. 5. Drain; MH Test -Fall -Flex Connector 6. 6. Water; MH Test -Regulator -Connector 7. 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. 8. Gas and Electricity Tagged 9. 9. Tie Downs -Type -Installation Cert. 10. 10. Exits; Insp.-Sketch 11. 11. Cert. of Occupancy 12. Permanent Foundation Only; License Decal Date Date Card B-1 Date Card B-1 Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Card B-1 Date Card B-1 MISCELLANEOUS Date DECK OVEFIS`CARPORTS GARAGES (Plans) OK except #'s / v1 j�KFo ' gs; Soils -Size -Depth -Spacing -Connectors -Steel 011 4. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails Wood Awn.; Posts- Bea ms- Rftrs.-Con nectors 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 .; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1'Date Card B-1 Date FINAL (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 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 in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 / = OK 0 = Not OK - = Not Applicable = Not Ready RESIDENTIAL (Single & Duplex) Date Underfloor (Plans) OK except #'s I Date FRAMING (Continued) 46. Hangers -Post Caps -Anchors -Connectors 47. Cling. Joist-Rftr. Ties- Purlin-Rolf Brac.-Truss-Shting.-Rfng. 48. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 49. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 50. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 51. Garage Fire Protection Framing 52. Property Line Firewall & Openings 53. Ext. Doors -One T -Check Garage 3rd Story, 2 Exits 54. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 55. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 56. Siding -Nailing Veneer 57. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 58. Glazing Area -Glass Protection -Skylights -Plastic 59. Shear Walls; Nailing -Bolts 60. Brace Interior/Exterior Wall Panels 61. Insulation -Walls -Ceilings 62. 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 63. Ext. Steps -Door & Sidelight Protection -Landings 64. Smoke Detector 65. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor -Ducts -Mach. Protection 66. Bedroom Exiting 67. G.F.I. & Bath Fixtures & Tub Access -Spa 68. Elec. Trim & Subpanel, Breaker Sizes & Labels 69. Stairs & Rails 70. Fireplace or Stove, Clearance -Hearth 71. Elec. Outlets at Wood Panel, Int. & Ext. 72. Kit. Fixt. & Appliance; Ground -Air Gap -Cooking Clearance 73. Elec. Outlets & Receptacles at Kit. Counter 74. Garage Fire Door; Swing -Landing -Closure 75. A.C. Duct in Garage -Damper 76. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 77. Plb., Elec. & Mech. Equip. Listed for Location 78. Elec. Receptacles in Garage (F.F.I.)-Romer. Protection 79. Insulation -Foam -Looked in Attic 80. Guard Rails & Deck Construction -Post Caps 81. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor Q Yes 82. Following Instld./Drive ] Yes ] No/Walks 0 Yes ❑ No/Planters 0 Yes ] No 83. Stucco Brown -Finish 84. A.C. Unit Disconnect, Electrical -Plumbing 85. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 86. Water Well, Disconnect, Electrical, Plumbing 87. Exterior Elec. Trim, G.F.I. Receptacle -Underground 88. Ventilation Throughout House 89. Glass Protection 90. Corrections from Previous Inspections 91. Gas Test -Meters Tagged, Gas -Electric 92. Water & Sewer Connected -C/O to Grade -HD Approval 93. Energy Compliance Certificate -Other Certificates 94. Address Posted 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: 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" 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/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 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 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 23. Fixture & Transformer Clearance -Ins. Protection 24. Elec. Receptacles Spacing -Lights & Switches at Doors 25. Size Boxes & No. of Conductors Stapled 26. Romex Installed Close to Edge of Studs & C.J. 27. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water 28. 2 Appliance Circuits in Kitchen & Conductor Size GFI 29. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or AI 30. Range Circle / / ga Cu or AI -Oven Circ. / / ga Cu or Al Insulated Neutral ❑ Yes ❑ No 31. Service -Riser Conductors & Ground Main Disconnect 32. Equip. Clearances Panels-Motors-Mech. Equip. 33. Clothes Closet Light -Shower Light -Spa Light 34. Smoke Detector Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 35. A.C. Ducts Insulation & Support 36. Vent Fan, Exhaust above insulation 37. Condensate Drain & Overflow, Size & Grade 38. Furnace -Vent Access -Comb. Air -Return Air Vent 115 outlet 39. 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 40. Sits Proper Materials & Anchors 41. Walls Studs -Nailing Spacing & Braces -Plates -Sound 42. Bearing Walls over Girders & Floor Nailing 43. Draft Stop in Walls (rat proof) 44. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 45. Headers & Beams -Size & Bearing FRAMING (Continued) 46. Hangers -Post Caps -Anchors -Connectors 47. Cling. Joist-Rftr. Ties- Purlin-Rolf Brac.-Truss-Shting.-Rfng. 48. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 49. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 50. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 51. Garage Fire Protection Framing 52. Property Line Firewall & Openings 53. Ext. Doors -One T -Check Garage 3rd Story, 2 Exits 54. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 55. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 56. Siding -Nailing Veneer 57. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 58. Glazing Area -Glass Protection -Skylights -Plastic 59. Shear Walls; Nailing -Bolts 60. Brace Interior/Exterior Wall Panels 61. Insulation -Walls -Ceilings 62. 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 63. Ext. Steps -Door & Sidelight Protection -Landings 64. Smoke Detector 65. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor -Ducts -Mach. Protection 66. Bedroom Exiting 67. G.F.I. & Bath Fixtures & Tub Access -Spa 68. Elec. Trim & Subpanel, Breaker Sizes & Labels 69. Stairs & Rails 70. Fireplace or Stove, Clearance -Hearth 71. Elec. Outlets at Wood Panel, Int. & Ext. 72. Kit. Fixt. & Appliance; Ground -Air Gap -Cooking Clearance 73. Elec. Outlets & Receptacles at Kit. Counter 74. Garage Fire Door; Swing -Landing -Closure 75. A.C. Duct in Garage -Damper 76. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 77. Plb., Elec. & Mech. Equip. Listed for Location 78. Elec. Receptacles in Garage (F.F.I.)-Romer. Protection 79. Insulation -Foam -Looked in Attic 80. Guard Rails & Deck Construction -Post Caps 81. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor Q Yes 82. Following Instld./Drive ] Yes ] No/Walks 0 Yes ❑ No/Planters 0 Yes ] No 83. Stucco Brown -Finish 84. A.C. Unit Disconnect, Electrical -Plumbing 85. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 86. Water Well, Disconnect, Electrical, Plumbing 87. Exterior Elec. Trim, G.F.I. Receptacle -Underground 88. Ventilation Throughout House 89. Glass Protection 90. Corrections from Previous Inspections 91. Gas Test -Meters Tagged, Gas -Electric 92. Water & Sewer Connected -C/O to Grade -HD Approval 93. Energy Compliance Certificate -Other Certificates 94. Address Posted 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: v. -..-rte r+-. w .�» �- w rv'^ti.- - .. � r' � tires-�-�_- .r - -Y' ._ .. . �• � r COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION :;. 7 County Center Drift • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. (Rev.12/96) APPLICATION AND PERMIT 91-3721 ASSESSOR PARCEL NUMBER 066-230-047 ZONING r-1 BUILDING PERMIT OWNER VAN BRO K873-6078 TELEPHONE SO. FT. OCC. BUILDING VALUATION . OWNERS MAILING ADDRESS 13642 S PARK DR MA ALTA 95954 1,728-00 CONTRACTOR'SOWNER TELEPHONE CONTRACTOR MAKING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAKING ADDRESS Total Valuation $ 1 79R 0121 ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 41 0 ARCHITECT OR ENGINEERS MAILING ADDRESS Pian Checking Fee $ 26 BUILDING ADDRESS ' Energy Plan Checking Fee $ PERMIT FEE $ LOT NO. SUBDNIS IONS NAME PARCEL MAP PLUMBING PERMITI ing Fie 20.00 " USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other DECK SPECIFY Each Trap 7.00 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 )7 Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: ADD 192 FT TO EX DECK Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 800OR LE Main Service A VOR 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 Lic. No. 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 coNsr. owELUNG occuP. 3.50 FT. OR ( NEW CONST. MULTI -OUTLET NON-RESID.BRANCH IRCUITS 97.50 POWER APPARATUS s SINGLE CURET CIR. .00 EX. Occup. OUTLET OR FIXTURES SAL @ I.50 Ex. Occup. GUTELEDTS R61D.Op,A 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE S 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 insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed If the permit is for work of a valuation of one hundred dollars ($100) or less.) 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 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 comp y with those provisions. �— ` Date ature of Applicant - In Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEI: $ Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ 87.65 HAZ. „P D. FEES IMP — X FLOOD CDF PARCEL X PD X HD SU 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 Date PERMIT EXPIRES ON h(' Ne Receipt No. 336812/$87.65 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT Oct -22-01 01:46P P.01 COUNTY OF BUTTE • DEP,ARTMgNT OF DEVELOPMENT SERVICES -BUILDING DIVISION (Rev. 7 County Cenfer Drive • Oroville, California 95965 • Telephone (530) 538-7541 12/96) APPLICATION AND PERMIT PERMIT NO. YSESIOMMRCUNUTAM talon BUILDING PERMIT �OOKas OG CG FT. OCC. BUILDING VALUATION co.rtnIe rwre ��Iso �, COwTR{rCrhom llNoq PERMIT FEE S (ENDER 3 4Ar1►10 AOOr�ae ELECTRICAL PERMIT FUn Fee 20.00 . 23.00 Fire lace Mein Service ell" ro low, ARCmrriE oa INOIKq Total Valuation i cow . nLM 00c OR ADONS. pi AOC, e� tDa 3.52/1. NCIwE NO. NOKRE3ro ' VUITI•ourtn @7.50 AACWTECT oa 0"O"EM11 WJUN0 ADOMss PowoN o li S rARAru 10. Filin Fee • ---- • 20.00 Ex. Occup. ovner On sprrupAm Permit Fee = Ex. Occu .III APFUI OR a+aD.+oAnDrrEss Plan Checkin Fee = 5.00 Energy Plan Checking Fee $ Mise. Wirin 20.00 i 13T No WL04xvocNs NMrt rAKII � PERMIT FEE S PERMIT FEE i *PERMXT FEE PAIp PLUMBING PERMIT HeaIMECHANICAL PERMIT Filing Fee 20.00 Fling Fee 20.00 USEOFSTHUCTURE Coolin Each Tr SHERIFF • ; � "°°d Ventilation e. so OTHER S— -- 7.00 SF O Duplex ❑ Mobllshoms O other/ L Solar or heat PUMP water heater PERMIT FEE S 23.00 • o ater I in 15.00 TYPE OF WORK Energy Inspection Fee : Each as water heater a vent 15.00 Now O Addition ❑ Remodel O UOGties O hatiatietion O Other ❑ Gas plpino atom 1 • 5 outlets / : �7 � S 15.00 _ Describe Work: �O --�_ C-�' �C�✓l Buildin "suer Mobile S This permit Is hereby Issued under the applicable provisions 15.00 Of the Butte County Code and/or Resolutions to do work Home G W (SS @20.00 PERMIT FEE S ELECTRICAL PERMIT FUn Fee 20.00 Main Service sow oR LES2 20" OR utas 23.00 Mein Service ell" ro low, 48.00 cow . nLM 00c OR ADONS. pi AOC, e� tDa 3.52/1. NOKRE3ro ' VUITI•ourtn @7.50 PowoN o li S rARAru 10. • Ex. Occup. ovner On sprrupAm Ex. Occu .III APFUI OR ovnna Ealo. a Tam orer Service 5.00 Mobile Home Facilities 23.00 Mise. Wirin 20.00 23.00 PERMIT FEE i *PERMXT FEE PAIp 65 HeaIMECHANICAL PERMIT Filing Fee 20.00 SRA - - Coolin SHERIFF • ; � "°°d Ventilation e. so OTHER S— -- PERMIT FEE S Mobile Home Installation Fee i ��... Energy Inspection Fee : OCC oowr. TVPI TO AL FEES 7 A14lOVNT RECEIV�p / : �7 � S 'r►Z• no nano cCI D. PI No esu This permit Is hereby Issued under the applicable provisions Of the Butte County Code and/or Resolutions to do work AR[cEzPr NUMs� (SS Indicated above for which toes have been paid. To e! Pur n4ro cow e y Deter a PERMIT EXPIRES ON Oct -22=01 01:46P P.01 COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DTVI 7 County Center Drive • Oroville, DIVISION California 95965 Telephone (530) 538-7541 (Rev. 1,2/96) APPLICATION AND PERMIT PE RM►TNO Ass[s�oR PARca wYsa Or/. PC - 30-O BUILDING PERMIT OWN[A � �— �� OG CG/•�/ rao�oNE SO. FT. owmmOCC. BUILDING s ADDREss VALUATION COMRACTOR•E WWr vv COWrRACTOR7 UA%M ADDRESS cONSrgyCTlpM LANO[R LENDER S 1WUNQ A001EE —88 ARCMRECT OR EM EEII APCNnECT Oa 04"UMV W JMQ ADDRESS OU Dr,D ADDRESS Ma 1 .OT toe) qQ� O D >tUeDNO � PARCEL YAP JUSEESOFSTRUCTURE SF O Duplex O Mobllshome O Other �Z/L sPse�r TYPE OF WORK New O Addition O. Remodel O Utilities O Inetslletion O Other O Describe Work: A121) /9-? s'r�i C14, L f%C ✓C S N 0 w LOagto = ? O -UD -rot- FLoob : x� ny C) --DQ- S 'PERMIT FEE PA2b SRA SHERIFF OTHER AMOVNT RECEIVED s—a76(5- * TO BE PVT INTO COMA Fire lace Filln Fee 20.00 Main Service Total Valuation S Fling Fee i Main Service �_— 46.00 20.00 Permit Fee _ N0N•REl10 YULhOVTLAT @7.50 Ce/ Plan Checkin Fee = Energy Plan Checking Fee i Ex. occu wnzr OR'Df7UREl i Ex, Occu PERMIT FEE _ PLUMBING PERMIT 5.00 Fling Fee 20.00 Each T D 7.00 Solar or heat Pump water heater 23.00 Water pipin 15.00 Each gas water heater or vent 15.00 Gas I (n stem 1 • 5 outlets 15.00 Buiklin rower 15.00 Mobile Home S G W @20.00 PERMIT FEE 111 ELECTRICAL PERMIT Filln Fee 20.00 Main Service EOOV OR LE x" OR LESS 23.00 Main Service 3004 To I000A 46.00 NEW CONS OR ADONS. DWE111q OOCW. •AOC. AIDS. 3.5CR' N0N•REl10 YULhOVTLAT @7.50 POWER AP US SPIMA O CIR. Ex. occu wnzr OR'Df7UREl 200 1.00 Ex, Occu MED .R APPIJ6O aAl. .so ovens SID Eu 5.00 Temporary Service 23.00 Mobile Home Facilities 1 120.00 PERMIT FEE -1 8 ECHANICAL PERMIT I Fling Fee 1 20.00 6,50 PERMIT FEE I S Mobile Home Instalklion Fee 1 S M Inspection Fes scoNsr..Tyri TO AL FEES 6� MAz. D. REa AMD I COP . .� r, n•� I I i i- t! -1--1 • l- 1 1. This permit Is hereby Issued under the applicable provisions of the Butts County Code and/or Resolutions to do work Indicated above for which fess have been paid. By Date PERMIT EXPIRES ON COUNTY OF BUTTE - DEPARTMENT OF DF, VELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRItE'- OROVILLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541 PERMIT APPLICATION DATA SHEET OWNER. ASSESSOR PARCEL UMBER Proposed Building Use: Building Inspector: Date: At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: Date Received By ❑ 1. All items have been submitted............................................................................................................. ❑ 2. Plot plans,, 3/4 sets, signed by the preparer of plans............................................................................ ❑ 3. Complete plans, 3/4 sets, signed by the preparer of plans................................................................... ❑ 4. Engineered plans and calculations, 3/4 sets, with wet signature on plans. All en ineerin must be shown on lans gg p............................................................................................. Q' 5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! ............... ❑ 6. Energy Design Compliance and supporting documentation................................................................ ❑ 7. Statement of Intent for Non -Heated and A/C Buildings...................................................................... ❑ 8. Hazardous Material Form.................................................................................................................... ❑ 9. Manufactured Home Data and Installation Instructions including Tie Down Specifications .............. ❑ 10. Fees of $.......................................................................................................... ❑ 11. Impact Fees as shown on the attached schedule.................................................................................. ❑ 12. California Department of Forestry Plan Approval/Fees...................................................................... *,.4 Flood Elevation Certificate.................................................................................................................. 01 Sanitation and Plot Plan Approval 6�>< e(/Environmental Health Department.......... City of Chico Plumbing Permit............................................................................................................ ❑ 16. Plot Plan and Business License Approval from the City of Biggs ....................................................... ❑ 17. Planning Approval for (A) Use: Q K (B) Parking: ........... 11-01-01 ❑ 18. Contact Land Development about ❑ Improvements, Q DrainagFzWegal Parcel ........................... ❑ 19. Encroachment Permit for Driveway (construction approval prior to occupancy) ............................... ❑ 20. Pre -Inspection for required. Request to Building Inspector (Date) ❑ 21. Contractor's License Information (Number, Name Style, Classification) ........................................... ❑ 22. Workers' Compensation carrier and policy number............................................................ ................. ❑ 23. Owner -Builder Verification (❑ Given to Owner, ❑ Mailed to Owner) ............................................. ❑ 24. Letter of Signature Authorization........................................................................................................ ❑ 25. Recorded Copy of Agricultural Acknowledgment Statement.............................................................. ❑ 26. Letter of Intent on Building Use/Detached Accessory Building Form ................................................ ❑ 27. Manufactured Home Utility Clearance................................................................................................ • ❑ 28. Existing violations and/or expired permits.......................................................................................... ❑ 29. ❑ 433 A, Q Grant Deed, ❑ M.H. Title, ❑ Check to H.C.D. $ ..................... ❑ 30. Other .................... When you issue the permit, process as follows: ❑ Mail to Owner, ❑ Mail to Contractor. LIZelephone 7j' l h 7K and hold for pickup at 611160 of i r.,?. ❑ D 'ver with nspector. ,f Applicant:/ Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire D, ent, Air ollution Date: By: Copy of Plans sent ❑ Health Department, Q Fire Date: By: 1. Index permit Application for the above items numbered: Z ❑ Plan Check List 2. Additional items required: l Contractor, designer, owner, was advised of the above required data by: ❑ phone, ❑ mail, Q Building Division counter, By: Date: Contractor, designer, owner, was advised of the above required data by: Q phone, Q mail, Q Building Division counter, By: Date: Contractor, designer, owner, was advised of the above required data by:.❑ phone, ❑ mail, ❑ Building Division counter, By: Contractor, designer, owner, was advised of the above required data by: ❑ phone, ❑ mail, ❑ Building counter, By: Plans reviewed by: Date: Plans reviewed by: Date Sets of plans on hold in Q Plan Cabinet, Q A.P. folder. Note transfer by: Yellow Copy - Department of Development Services - Building Division i Date: Date: Date: ►, EsH. USE ONLY Plot Plan Attached &--' Floor Plan Attached ate' Sent to B.D. TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance �TcL . Ak tY - a3 - qj� Owner Location AP# Plan Approved for: Sewage Disposal Water Supply: Public Private Well Clearance for dwelling. Other Ded a 5 z2e✓ Hold final for: Final clearance OX NOTE: for: En ironmental alth Specialist TDate OWNER -BUILDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement : YES 0 NO ❑ .2. I HAVE �HAVVE,POT ❑ signed an application for a building permit for the proposed work. 3.. I have contracted with the fo l?rg person (firm) to provide the proposed construction: NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 5. 1 will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: NAME ^ ' ADDRESS PHONE TYPE OF WORK - SIGNED: G� PROPERTYOWNER: SOCIAL SECURITY NUMBER: DATE: NOTE: This Owner -Builder Verification is required by Section 19831 and 19832 of the California Health and Safety Code. Thu, verification must be completed and returned to our office before we are permitted to issue the permit. OVER OWNER BUILDER INFORINIATION I Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified. For your protection, you should be aware that as "owner -builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: ♦ If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is 5300 or more for the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. ♦ If you are an employer, you must register with the State and Federal Governments as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers compensation insurance, disability insurance costs, and unemployment compensation contributions. ♦ There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. ♦ For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "owner builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento, CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. t rely, Mic el C. Vi ira, C.B.O. M ger, Building Inspection NOTE. This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code OVER .t r �i rr �pr M1 _. W,.a ":: _.' www +rn•=++w w�. i!W.«y.�} .... Yr :.,. V 'H.,rIwJM+' w�+^wskw.prr+w,..�..t�:s .e b «ww »w«+wi.u+.� r,r.h.n vrtz m,fx o-s.%,W ^ +a�nH+sr.+n.w""''F'^�'r r...N«.,.�f srw..+�,.M�.�:+w+a tW �swH v +s+•�.�Hr�i ++� .+gr.!sraw ,' *� �.rrwve, - ns.'.' CiJ:r.iwn-� x Y. � r y r l �. i •p -u. ', radNr�.IHI:. -'r -, sM ref �ai�MW J4.'kr{NM`... _ f ;I ;, ,' � o _ ' is Y 4 �q, Y i r 1 - i. . .. r a. �•, y�. -, }' ,.. � . —s. +qt�' i � ,. ... .. �I �� — �� C �� r � i i �1 7�i'. � �' �� ile ... �� '� i i ,; � r � � Y f ;I ;, ,' � o _ ' is Y 4 �q, Y i r 1 - i.