HomeMy WebLinkAbout068-010-012B06-2879, .068-010-012
MISCELLANEOUS LPG Tank (Abv6rnd)
Propane tank and lines..
95"BESSIE LN
LACEY, LARRY & CAROLYN LIV
068-010-012PERMIT498,-1011-.
.LACEY, Larry',y t
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95 Bes§ie' Ln:;: OroviIle jl� Ia
.Cont': Jerry •Davidson - �1
Reroof.& Add Bay Windows/SF
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I,tqj(3-3 C',1n"', f. c1r.—A�,
�1 BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
INSPECTION CARD
24 Hour Inspection Line: (530) 538-7636 (Oroville) (530) 891-2834 (Chico)
Office: (530) 538-7541 Fax: (530) 538-2.140 Website: www.buttecounty.net/dds
Permit No: B06-2879 Issued: 12/19/2006
Address: 95 BESSIE LN OROVILLE
APN: 068-010-02 Permit Subtype: LPG Tank (Abv
Owner: LACEY, LARRY & CAROLYN LIV
Applicant: LACEY, LARRY & CAROLYN LIV
Description: Propane tank and lines
MUST BE ON JOB SITE
JOB SHALL BE READY PRIOR TO CALLING FOR
INSPECTION. THE INSPECTION CARD AND
APPROVED PLANS MUST BE AVAILABLE FOR EACH
INSPECTION OR THE INSPECTION WILL NOT BE
MADE AND A RE -INSPECTION FEE MAY BE
ASSESSED.
ALL PLAN REVISIONS MUST BE APPROVED BY THE COUNTY BEFORE PROCEEDING
Inspection Type
IVR INSP DATE
Setbacks
132
Foundations / Footings
111
Pier/Column Footings
122
Grade Beams
114
Eufer Ground
216
Forms/Steel/Holdowns
122
Do Not Pour Concrete Until Above are§igned
�M
Pre -Slab (_ ��
Gas Test OFFICE COPY M
Masonry (! M
Masonry I; Address
Underfloo',
Underflooj GAS 2M
Shear Tram . Meter By— ` ( Dat
Under Flo! ELECTRIC
Under SR. Meter By Date i
Gas Piping t j
Do Not Irt'stan=rroor-sneatung or 5li Until`Above Signed
Rough Framing
128
Rough Plumbing
406
Rough Mechanical
316
Rough Electrical
208
Gas Piping
403
Roof Nail
129
Shower Pan/Tub Test
408
Fire Sprinkler
702
Do Not Insulate Until Above Signed
Wall Insulation
117
Ceiling Insulation
118
Do Not Cover Until Above Signed
T -Bar Ceiling / RC
145
Gas Test
404
Stucco Lath
142
Stucco Scratch
143
Stucco Brown
144
Building Final
802
Electrical Final
803
Mechanical Final
809
Plumbing Final
813
Project Final
801 TZ .T. t g' O 7
Inspection Type IVR I INSP I DATE
�N
}
..; ............COUNTY OF BUTTE . . ................ . .
Y 7
BUILDING DIVISION Y
;. DEPARTMENT OF DEVELOPMENT SERVICES
7 County Center Drive - Oroville, CA - (530) 538-7541
j' CORRECTION NOTICE
MtV'41ub Phone #
FOR RE -INSPECTION CALL: 538-7636 OR 891-2834
OWNER l/ PERMIT NO.
r
A routine inspection indicates that the following violations of Butte County Ordinances exist at
the above address be Please
and should corrected. call for re -inspection when correction of
r.
work is completed. If you have any questions pertaining to this matter, or need additional
i'
explanation, please contact the Building Inspector as indicated below.
ri
ty"
Ala 7
,faylW-1
MtV'41ub Phone #
FOR RE -INSPECTION CALL: 538-7636 OR 891-2834
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: 95 BESSIE LN
Owner:
Permit No: B06-2879
APN: 068-010-012
LACEY, LARRY & CAROLYN L
Issued Date: 12/19/2006 By GLB
Permit type: MISCELLANEOUS
95 BESSIE LANE
Subtype: LPG Tank (AbvGrnd)
OROVILLE, CA 95966
Expiration Date: 12/19/2007
Description: Propane tank and lines
(530) 589-2835
Occupancy: Zoning: AR1
Contractor
Applicant:
Square Footage:
LACEY, LARRY & CAROLYN
Building Garage Remdl/Addn
95 BESSIE LANE
OROVILLE, CA 95966
Other Porch/Patio Total
(530) 589-2835
FEE INFORMATION
Gas System (enter outlets) $55.00
Total Charged: $55.00 Fees Paid: $55.00
Balance Due: $0.00 Receipt No: B1275
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 Contractors License
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 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
pursuant to the provisions of the Contractors License Law [Chapter 9 (commencing with Section 7000)
is in full force and effect.
of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and the
basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects
X 12/19/2006
the applicant to a civil penalty of not more than five hundred dollars [$500);
Please check one of the following:
Contractors 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
WORKERS' COMPENSATION DECLARATION
OFFERED FOR SALE (Sec. 7044, Business and Professions Code: The Contractors License
Law does not apply to an owner of the property, who builds or improves thereon, and who does
I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations:
the work himself or herself or through his or her own employees, provided that such improvements
❑I HAVE 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.
The Contractors License Law dows not apply to an owner of the property who builds or improves
My Workers' Compensation insurance carrier and policy number are;
thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the
Contractors License Law.).
Cartier: Policy Number: Exp. Date:
(This section nee not a competed if the permit is for onhundred dollars ($100) or less.
11 1 AM EXEMPT under Section B. 8 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 1 should become subject to the workers'
X 12/19/2006
compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those
Owners Signature Date
provisions.
X 12/19/2006
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 ct and liability for personal
AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CML FINES UP TO ONE
injury, including death, and property damage caused
udi of, o
arising out of, in any way connected with
HUNDRED THOUSAND DOLLARS 5100,000 , IN ADDITION TO THE COST OF COMPENSATION,
( )
the issuance of this permit. I hereby acknowledge that issuance of this permit does not authorize the
t is a
DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND
use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte
ATTORNEY'S FEES.
County to enter the above mentioned property for inspection purposes. I hereby certify that I am the
property owner or am authorized to act on the property owners behalf.
CONSTRUCTION LENDING AGENCY
12/19/2006
1 HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for
Name of Permittee [SIGN] Print Date
the performance of the work for which this permit is issued. (3097 civ. code)
Owner ❑ Contractor OR; Agent for Owner DAgent for Contractor
INSPECTOR COPY
Lenders Address City State Zip
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: 95 BESSIE LN
Owner:
Permit No: B06-2879
APN: 068-010-012
LACEY, LARRY & CAROLYN L
Issued Date:. 12/19/2006 By GLB
Permit type: MISCELLANEOUS
95 BESSIE LANE
Subtype: LPG Tank (AbvGrnd)
OROVILLE, CA 95966
Expiration Date: 12/19/2007
Description: Propane tank and lines
(530) 589-2835
Occupancy: Zoning: AR1
Contractor
Applicant:
Square Footage:
LACEY, LARRY & CAROLYI`
Building Garage RemdUAddn
95 BESSIE LANE
OROVILLE, CA 95966
Other Porch/Patio Total
(530)589-2835
FEE INFORMATION
Gas System (enter outlets) $55.00
Total Charged: $55.00 Fees Paid: $55.00
Balance Due: $0.00 Receipt No: B1275
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
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 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
pursuant to the provisions of the Contractors License Law [Chapter 9 (commencing with Section 7000)
is in full force and effect.
of Division 3 of the Business and Professions Code] or that he or she is exempt therefrom and the
basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects
X 12/19/2006
the applicant to a civil penalty of not more than five hundred dollars [$500];
Please check one of the following:
Contractors Signature Date
1, 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
WORKERS' COMPENSATION DECLARATION
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
I'HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations:
the work himself or herself or through his or her own employees, provided that such improvements
I HAVE 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.
The Contractor's License Law dows not apply to an owner of the property who builds or improves
My Workers' Compensation insurance carrier and policy number are;
thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the
Contractor's License Law.).
Carrier: Policy Number: Exp. Date:
(This section nee not a competed if the permit is or one hundred dollars ($100) or less.)
0 1 AM EXEMPT under Section B. & P.C. for this reason:
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 12/19/2006
compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those
Owner's Signet re Date
pro cions.
X ` 12/19/2006
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 CML FINES UP TO ONE
injury, including death, and property damage caused arising out of,
o,o in any way connected with
HUNDRED THOUSAND DOLLARS $100,000 , IN ADDITION TO THE COST OF COMPENSATION,
( )
a
the issuance of this permit. I hereby acknowledge that issuance of this permit does not authorize the
t is
DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND
use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte
ATTORNEY'S FEES.
County to enter the above mentioned property for inspection purposes. I hereby certify that I am the
pro owner or am authorized to act on he property owner's behalf.
CONSTRUCTION LENDING AGENCY
12/19/2006
1 HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency forlelcl
Name Of Permittee [SIGN] Print Date
the performance of the work for which this permit is issued. (3097 civ. code)
Owner E]Contractor OR; Agent for Owner ElAgent for Contractor
FILE COPY
Lender's Address City State Zip
Butte Countp Department of Development Services
TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR
7 County Center Drive
Oroville, CA 75965
(530) 538-7601 Telephone
(530) 538-7785 Fax
www.buttecounty.net/dds
OWNER -BUILDER INFORMATION
An application for a building permit has been submitted in your name listing yourself as the builder of the 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 $500 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 government 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 to you if you do not carry out these obligations, and these risks are especially serious with respect to workers' compensation insurance.
° For more specific information about your obligations under federal law, contact the Internal Revenue Service (and, if you wish, the U.S. Small business
Administration). For more specific information about your obligations unders state law, contact the Department of Benerit 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 thier work personally or through thier own employees,
without a license contractor or subcontractor, only under limited conditions.
A frequent practice of unlicensed persons prefessing to be contractor 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 requir3ed to be signed by property owners unless they are performing their own work
personally.
Information about licensed contractors may be obtained by contacting the Contractors' State License Board's automated telephone information system at 1-800-321
PLEASE COMPLETE AND RETURN THE ENCLOSED OWNER -BUILDER VERIFICATION FORM SO THAT WE CAN CONFIRM THAT YOU ARE
AWARE OF THESE MATTERS. THE BUILDING PERMIT WILL NOT BE ISSUED UNTILL THE VERIFICATION 1S RETURNED.
OWNER BUILDER VERIFICATION
PLEASE COMPLETE THIS FORM AS REQUIRED BY THE STATE OF CALIFORNIA (SENATE BILL NO. 831 EFFECTIVE JULY 1, 1980). NO BUILDING
PERMIT WILL BE ISSUED UNTIL THIS VERIFICATION IS RECEIVED.
1. I PERSONALLY PO PROVIDE THE MAJOR LABOR AND MATERIALS FOR CONSTRUCTION OF THE PROPOSED PROPERTY
IMPROVEMENT. S R NO)
2. HAV /HAVE NOT) SIGNED AN APPLICATION FOR A BUILDING PERMIT FOR THE PROPOSED WORK.
3. I HAVE CONTRACTED WITH THE FOLLOWING PERSON (FIRM) TO PROVIDE THE PROPOSED CONSTRUCTION:
ADDRESS CITY.
PHONE CONTRACTORS LICENSE NO
4. 1 PLAN TO PROVIDE PORTIONS OF THE WORK, BUT I HAVE HIRED THE FOLLOWING PERSON TO COORDINATE, SUPERVISE, AND PROVIDE
THE MAJOR WORK:
NAME
ADDRESS CITY
PHONE CONTRACTORS LICENSE NO
5. I 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
Description: Propane tank and lines
Reference Number: B06-2879
Applicant Name: LACEY, LARRY & CAROLYN LIV
Signature of Property Owner: Date: A�'-2D-Deo
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT APPLICATION
AND SUBMITTAL REQUIREMENTS
OFFICE #: (530) 538-7541 FAX #: (530) 538-2140
A FEE WILL BE REQUIRED AT TIME OF APPLICATION
Website: www.buttecounty.net/dds
"PLEASE PRINT CLEARLY"
APPLICANT INFORMATION
OWNER INFORMATION
,allName
City
first Name
Mailing Address
City
City04,61
State
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zip Sc�o�o
Phone _-
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J
E-mail
® CD 4,7
APPLICANT INFORMATION
CONTRACTOR
Name
City
Address
zip
City
Fax
State
Zip
Phone
Address
Fax
E-matl
Lic. #
Class
APPLICANT INFORMATION
ARCHITECT/ENGINEER
Name
City
Address
zip
City
Fax
State
zip
Phone
Address
Fax
E-mail
State License Number
APPLICANT INFORMATION
Name
Address
City
State
zip
Phone
Fax
E-mail
APPLICANT SIG TURE
X
For office use only:
Zoning Flood Zone SRA Yes I No
Occ.
Type Const
Subdivision Name Map
Book
Page
Lot#
Planner
I Date Approved:
PERAW
NO.
BIN #
PROJECT LOCATION
API d / / 2
Property Address
City
Cross Street
WORKER'S COMPENSATION
Policy Number
Carrier
N hiring anyone other than license contractors, a certificate of worker's
compensation must he shown at the time of permit issuance.
LENDING AGENCY
Name
Address
Descri ion or Scope of Wyk:
Sq FT- Living Garage Open Cov
Structure Built without Permits
0 Proposed Change of Occupancy
(Note previous use):
EXPIRATION OF APPLICATION
Applications for which a pennit has not been issued will expire one
year after the date of application. In order to renew action on an
application after expiration, a neer- application, plans and fee will be
required.
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 tees. plan
check fees for work plan checked and other department costs are not
refundable.
Received Mir Amount: Bldg
l `r rJ SRA
Receipt #. Sheriff
SMIP
Ojher
Dat • •�'�+ /
U Total
S'
RESIDENTIAL
068-010-012 PERMIT#98-1011
LACEY, Larry
95 Bessie �n.,'Oroville
PERMIT NO. Cont: Jerry Davidson
PERMIT ExPIF. Reroof & `Add Bray Windows/SF
OWNER
.CONTR.
a
`ASSESSOR PARCEL
LOCATION
t
i
i
r
4
F
t
k
' CHECKED
{ SRA BY
FLOOD CERTIFICATE REQ.
FIRE SPRINKLERS REQ.
SPECIAL INSPECTION ITEMS
VERIFY
Temp. Power Pole .
Called PG&E—
Temp. Elec. Service
i Called PG&E
Temp. Gas Service
a
Called PG&E
s
JOB FINALED (Date)
t. 1
Signature
i
f
OK
_No RESIDENTIAL (Single & Duplex)
O = Not OK
- - N t I' bl
o App ica e
Not Ready
Date
UNDERFLOOR (Plans) OK except #'s
46.
ZoningSetbacks-Easments-FloodSlope
2.
Fig., Main; Soils-Elec. Gmd.-/ P Ftg. Depth
3.
Ftg. Garage; Soils-Steel-Elec. Gmd/ p Ftg. Depth
4.
Ftg. Porches & Decks; SoilsSteel-/ /" Ftg. Depth
5.
Stemwalls, Main; Steel-Blockouts-Wrapped
6.
Stemwalls, Garage; Steel-Blockouts-Wrapped
6a.
Hold Downs and Special Anchors
7.
Slab, Steel -Wrapped
8.
Piers -Fireplace Ftg.-Steel
9.
D.W.V.; Fall -Fitting -Test -2 Way C/0 -Sewer Test
10.
UF. Gas Pipe; Size Anchors - Yard Gas Piping; Size Test
11.
Water Pipe; Test -Anchors -Regulator -Service Test
12.
Electric Underground
13. Pie ms & Ducts; Clearance -Material -Support -Ins.
Shear Walls; Nailing -Bolts
GirdersSills-Anchor Bolts -Joists Vents-Crippies
15. Access & Ventilation
Insulation -Walls -Ceilings
16.
Insulation
Infiltration -Walls -Windows
Date
Date
Card B- Date Card B-1
Date
c/
Card B-1 Date Card B-1 -
Date
Date
PLUMBING (Permit) OK except #'s
FINAL (Plans) OK except #'s
17. Water Htr; Vent -Access -Combustion Air Baffle
63.
18.
Water Pipe; Test & Anchor -Nail Protection
64.
19.
D.W.V.; Test Fittings & Anchor -Nail Protection
65.
20.
Shower Pan; Test, First Floor -Tub Access
66.
21. Test Tub & Shower, Second Floor -Tub Access
22.
Gas Pipe; Sixe & Anchors
68.
Elec. Trim & Subpanel, Breaker Sizes & Labels
Date
69.
Card B-1 Date Card B-1
Date
70.
Card B-1 Date Card B-1
Date
71.
ELECTRICAL (Permit) OK except #'s
23.
Fixture & Transformer Clearance -Ins. Protection
24.
Elec. Receptacles Spacing -Lights & Switches at Doors
25.
Size B es & No. of Conductors Stapled
26.
Romex Installed Close to Edge of Studs & C.J.
27.
Equip. Ground made up w/Mech Fastners-Bond Gas & Water
28.
2 Appliance Circuts in Kitchen & Conductor Size GFI
29.
Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or AI
30.
Range Circ. / / ga Cu or AI -Oven Circ. / / ga Cu or Al
Insulated Neutral 0 Yes 0 No
31.
Service -Riser Conductors & Ground -Main Disconect
32.
Equip. Clearances Panels -Motors -Meth. Epuip.
33.
Clothes Closet Light -Shower Light -Spa Light
34.
Smoke Detector
84.
A.C. Unit Disconnect, Electrical -Plumbing
Date
85.
Card B-1 Date Card B-1
Date
86.
Card B-1 Date Card B-1
Date
87.
MECHANICAL (Permit) OK except #s
35.
A.C. Ducts Insulation & Support
89.
36.
Vent Fan, Exhaust above insulation
90.
37.
Condensate Drain & Overflow, Size & Grade
91.
38.
Fumance-Vent Access -Comb. Air -Return Air Vent 115 outlet
92.
39.
Attic Access & Platform if Furnace in Attic
93.
Energy Compliance Certificate -Other Certificates
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
FRAMING (Plans) 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
Date
FRAMING (Continued)
46.
Hangers -Post Caps -Anchors -Connectors
47.
Cling. Joist-Rftr. Ties-Purtin-roff Brac.-Truss-Shfing.-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 Hgt. & Dimensions
51.
Garage Fire Protection Framing
52.
Property Line Firewall & Openings
53.
Ext. Doors -One 3' -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-Conector-
In Garage; Above Floor-Ducts-Mech. 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 & Recepticales 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 (G.F.I.)-Romex 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 0 Yes
82.
Following Instld./Drive 0 Yes 0 NoAValks 0 Yes 0 No/Planters 0 Yes 0 No
W.
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 Throught 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
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=OK
0 = Not OK
`=NottReady
lble MOBILE HOMES
Date MOBILE HOME UTILITIES (Plans) OK except #'s
1. Zoning Requirements - Setbacks - Easements
MISCELLANEOUS
Date
2. Soils; Special MH Support Sketch
3. Sewer, Location -Test -Fall -C) Concrete
4. Water, Location -Test -Easement Needed (Sketch)
5. Electricity; Location-Clearances-Gmd-/ /Amp -Concrete
6. Gas; Location -Test -Wrap; / fUtt
/ /Nat. or/ /"L°ft./ /LPG
7. Well Clearance & Disconnect
8. Utility Clearance
7. Electric
8. Frmg.; Sils-AnchorsStuds-Rfirs-Trusses
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; SizeSpacing-Marriage Line
Date
3. Gas; MH Test )emandValve-Connector
Date
4. Electricity; MH Test-Crossows-Breakers-Clearances
Date
5. Drain; MH Test -Fall -Flex Connector
6. Water; MH Test -Regulator -Connector
7. Water and Sewer Connected -C/0 to Grade -HD Approval
8. Gas and Electricity Tagged
9. Tie Downs -Type -Installation Cert.
10. Exits; Insp.-Sketch
11. Cert of Occupancy
12. Permanent Foundation Only: License Decal
8. Elec.; Grounding; Equip. w/3 Circulating Equip. -Pool Lghtgq.
Boxes-Enclosures-Paneiboards-Ins. to Main in Conduit
Date
Card B-1 Date Card B-1
Date
Card 8-1 Date Card
-B-1
MISCELLANEOUS
Date
DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s
1. Zoning Requirements -Setbacks -Easements
2. Footings; Soils-Size-Dep"pacing-ConnectorsSteel
3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails
4. Wood Awn.; Posts-Beams-Rttrs.-Connectors
Shthg.-Rfg: Bracing
5. Alum. Awn.; Columns-ConnectionsSplice-Decal-Enclosures
6. Carports; Windows -Doors
7. Electric
8. Frmg.; Sils-AnchorsStuds-Rfirs-Trusses
9. Siding; Nailing -Veneer -Stucco -Mesh
10. Roof; Shthg-Roofing
it. Ext.; Steps -Doors -Landings
12. Braced Wall Panels
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
POOLS (Plans) OK except #'s
1. Setbacks -Easements
2. Soils; Compaction -Structure Stability
3. Pool Structure; Steel -Connections -Thickness
Dead Men -Lining
4. Elec.; Receptacles and Lighting, Distance-GFI
S. Elec.; Pool Lighting; 15 Volts-GFI
6. Elec.; Enclosures; Conduit Entries -Terminals -Listed
7. Elec.; Bonding; Metal w/6 -Circulating Equip. -Heater
8. Elec.; Grounding; Equip. w/3 Circulating Equip. -Pool Lghtgq.
Boxes-Enclosures-Paneiboards-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
COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION
7 County Center Drive - Oroville, Cz(ifornia,95965 - Telephone (916) 538-7541 _ PERMIT NO.
(Rev. 12/96) APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER
068-010-012
ZONING
BUILDING PERMIT
OWNER
LARRY LACEY
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
3 0
1980
OWNERS MAILING ADDRESS
95 BESSIE LN, OROVILLE CA 95965
CONTR
1200
CONTRACTOR'S NAME
JERRY DAVIDSON
TELEPHONE '
674-2476
CONTRACTORS MAILING ADDRESS
P 0 BOX 445 BANGOR CA 95914
CONSTRUCTION LENDER
NONE
Fireplace
LENDER'S MAILING ADDRESS
Total Valuation $
3.180
ARCHITECT OR ENGINEER
NONE
LICENSE NO.
Filing Fee $
20.00
Permit Fee $
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee $
46.00
BUILDING ADDRESS
95 BESSIE LN OROVILLE
Energy Plan Checking Fee $
$
PERMIT FEE $
LOTNO.
-
SUBDIVISION'S NAME
PARCEL MAP
PLUMBING PERMIT
Fling ee 20.00
USEOFSTRUCTURE
SF U Duplex ❑ Mobilehome ❑ Other
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 ❑ Remodel ❑ Utilities ❑ Installation ❑ Other N
Describe Work: REROOF W/COMP AND ADD BAY WINDOW
Gas piping system 1- 5 outlets
15.00
Building sewer
15.00
Mobile Home I s I G I W
@20.00
PERMIT FEE $
ELECTRICAL PERMIT
Fling Fee 20.00
Main Service Toon oa mss
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. 7j Z S Z
OWNER -BUILDER DECLARATION.50
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 To l000A
46.00
NEW CONST. DWELLING OCCUP.
WFJ
OR ADDNS. ( a Acc. BLos.
SO
3.50FT:
NEW MURANLTI-OUTLET
N H CIRCUITS
@7.50
POWER APPARATUS
8 SINGLE OUTLET LIR.
EX. Occup. OUTLET OR FDRURES
I 0
SAL @
LNS
Ex. Occup. ouTlFrs RES D.OEA
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
PERMIT FEE $
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
❑ 1 have and will maintain workers' compensation insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permit is issued.
My workers' compensation 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.)
fd 1 certify that in the performance of the work for which this permit is issued, I shall
not employ any person in any manner so as to become subject to workers'
compensation laws of California, and agree that if I should become subject to the
orkers' compensation provisions of section 3700 of the Labor Code, I shall
orthwZimr.", ply with those provisions.-- —
.-/
X `�^ 4, Date 15 2`L��__
Sign tu�of Applicant - ❑ Owner ®'Contractor ❑ Agent
An SHA permit is required for excavations over 5'0" deep and demolition or construction
of s uctures over 3 stories in height.
MECHANICAL PERMIT Filing Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEE $
Mobile Home Installation Fee $
Energy Inspection Fee $
OCC
CONST. TYPE
TOTAL FEE $ 129.00
HAZ.
I D. FEES IMP
I FLOOD
CDF
PARCEL I PD
I HD
ISSUE
This permit is hereby issued under the applicable provisions
of the Butte County Code and/or Resolutions to do work
indi a above for ich fees have been paid.
Bye Date Z ��
PERMIT EXPIRES ONHITE-D.D.S.-B.D. A,
rReceiptNo.2,34<?60
CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
NOT PLAN CHECKERljv—j CURRENT EDITION
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BUTTE COUNTI
BUl1 nIN UEP R�'ME M
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