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Home My WebLink About068-140-088D. Hendersons / ��'/' 35 Skyline Blvd, roville Permit # 1377-82B (new pri ca port) 68-14-88 .�) Permit#2951-83B reroof & smokf�dR ejJ 068-140-066 COLE, ROBERT 35 SKYLINE BLVD, OROVILLE Cont: GALLAGHERS HEAVAIR C/O HVAC _.TRI_ INVESTMENT CO. 21988 2285E - 18069 Skyline 425' & 650' so:' of Olivellwy,Oroville r (new, single family - 2 Houses) 0 3 6`6' i { ! ! BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION M (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE M (530) 538-7541 FAM (530)538-2140 WEBSITE: www.buttecounty.net\dds PERMIT NO. BP043399 LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date: 12/01/2004 APN: 068-140-088-000 the Business and Professions Code, and my license is in full force and effect. License Class on 1SL License Number:' Site Address: 35 SKYLINE BLVD ORO Date:l2 10!4 Contractor: Map Index: Description: CHANGE OUT HVAC OWNER -BUILDER DECLARA ON I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a Owner: COLE ROBERT W &CAROL J permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a 35 SKYLINE BLVD signed statement that he or she is licensed pursuant to the provisions of OROVILLE, CA the Contractor's State License Law (Chapter 9 commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or 95966 she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): ❑ 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 offered for sale (Sec. 7044, Business and Professions Applicant: GALLAGHER'S HEATING & AIR Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, E. HWY 99 provided that such improvements are not intended or offered for LOS MOLINAS, CA sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of 800-892-3556 proving that he or she did not build or improve for the purpose of sale.). ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does Contractor: GALLAGHER'S HEATING &AIR not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). E. HWY 99 ❑ 1 am Exempt under Article 3 of the Business and Professions Code LOS MOLINAS, CA 800-892-3556 Date: Owner: License M 777334 WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: O 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 Architect: is issued. Cider I have and will maintain workers' compensation insurance, as Engineer: required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier: 5k -+-e, -� , n8 Total Square Ft: 0 S. F. Valuation: $0.00 Census Code: —f Policy #: 1 1 �� a�J 5 J ao ❑ 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' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date: z — OLA Applicant: WARNING: Failure to s cure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section, 3706 of the Labor code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY This permit's ereby issued under applicable provisions of the Butte County Code anrVor I hereby affirm that there is a construction lending agency for the Reso utions do work i ,di t a-,-O.a for which fees have been paid. / performance of the work for which this permit is issued (Sec 3097 Civ.) Name: BY Date: PERMIT EXPIRES ON: Date Address: ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. O Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. O Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby authorize repre�entabves of Butte County to enter upon the above mentioned property for inspection pu es. Print Name. i 1 Signature: Date: I. [ ❑ Owner ❑ Contractor ❑ Agent for Owner Agent for Contractor BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OFAPPLICATION **PLEASE PRINT CLEARLY** OWNER Last Name 0First Name r -O Address 35 C L t ii•e' City Oro v State , 1 , Zip Phone Fax E-mail �tlrit•� Fir,Fir,dff ice use only: ARCHITECT/ENGINEER —CONTRACTOR ' Address •-35 City 6 } 6 _ State Zip Phone 2r 1, `T Fax E-mail Date Approved: State License Number �tlrit•� Fir,Fir,dff ice use only: ARCHITECT/ENGINEER Name ' Address •-35 City 6 } 6 _ State Zip Phone 2r 1, `T Fax E-mail Date Approved: State License Number �tlrit•� Fir,Fir,dff ice use only: APPLICANT NAME Name ' AddressPh Q •-35 City 6 } 6 _ State Zip Phone ZZ�5 '3240 2r 1, `T Fax E-mail Date Approved: �tlrit•� Fir,Fir,dff ice use only: AP# a�8 • 1 4—O • 088 Zoning Flood Zone SRA I Yes I No Occ. WORKER'S COMPENSATION Type Const. Subdivision Name If hiring anyone other than license contractors, -certificate of worker's compensation must be shown at the time of permit issuance. Map Book Page Lot # Planner Date Approved: PERMIT NO. BP�43a BIN # LOCATION AP# a�8 • 1 4—O • 088 Property Addres -s S �Llt ✓QC_ eta r V Cross Street WORKER'S COMPENSATION Policy Number = f' `f' Carrier If hiring anyone other than license contractors, -certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY -lam Address Description or Scope of Work: Sq. Footage ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be OVER FOR SUBMITTAL REQUIREMENTS It K:\FORMSWILDING FORMS\BldgApplSubRgmts.doc Page 1 of 2 REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. Received by: 1=n1114 Amount: 575 - — Bldg Receipt #: Date: t a. 1 .0 4 SRA Sheriff SMTP Other 5 S Total REV 7-27-04 SUBMITTAL & PERMIT REQUIREMENTS The following drawings and specifications must be submitted to the Building Division in order to apply for a permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK ❑ 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. No graph paper! ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans (No graph paper!) OR Engineered plans, 3 or.4 sets, with wet signature on plans AND 2 sets of stamped and.signed calculations. ❑ 3. Engineered truss details and layouts in duplicate (if required). No faxes! ❑ 4. Energy compliance design and supporting documentation in duplicate. (Note: Not required for additions to mobile or modular homes.) ❑ 5. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 6. Manufactured homes: (A) Data sheets and installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. ❑ 7. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate (if required). ❑ 9. Site plan and business license approval from the City of Biggs. ❑ 10. Letter of intent for non-residential buildings. ❑ 11. Detached Accessory Building Form filled out by the owner (if required). ❑ 12. Hazardous Material Form (for Commercial Buildings only). — _1 Sanitation_ d-sitoarLappm-vaLfrom-the_Environms-ntaLH.ealth-Deparfinent. Remaining items needed to issue the permit. Additional items may be required after Plan Check and Planning review (May require additional plan review upon receipt of the following items.) ❑ 1. Agricultural Buffer clearance and site plan approval from the Ag Commissioner's office (if required). ❑ 2. Impact Fees. ❑ 3. California Department of Forestry plan approval (if required). ❑ 4. NPDES Form. ❑ 5. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 6. Contractor's license information. (Number, Name Style, Classification). ❑ 7. Worker's Compensation Carrier and Policy Number. ❑ 8. Owner -Builder Verification (if required). ❑ 9. Letter of Signature authorization (if required). ❑ 10. Recorded copy of Agricultural Acknowledgment Statement. ❑ 11. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner (for 433A's). If you have questions or would like additional information regarding this process, contact a Permit Application Assistant at (530)538-7541. EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after date of application. In order to renew action on an application after expiration, a new application, plans and fees will be required. REQUEST FOR FEE REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made within two years from the date of fee payment on permits not issued, and two years from the date of permit issuance for permits issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. OVER FOR BUILDING PERMIT APPLICATION KAFORMS\BUILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2 REV 7-27-04 _. `a �y Jti: .� � _ _.,"l�-�'�.-y%`�..•„ :ry=>..-^ - _:?C4-��.:.... .i.-a-...�:-�,-...�-:r:.�-.✓t Ti}c�,.�:Y.;:+yV..�-�,7•^'u�Jv�rr'•��Y°.r'`�,��.��--..., .;.•��1i.�. .w•.-rr-r.-t,r-., :r ,.. rti ,::,�.r,,. -e _. Permit#2951-83B Dennis Henderson d COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT OWNER TELEPHONrE� SQ. FT. OCC. BUILDING VALUATION 10 t OWNER'S MAILING ADDRESS L f CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ , ARCHITECT OR ENGINEER ' LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDRESS PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar Water Heater 20.00 t Water piping 5.00 LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SFEI Duplex ❑ Mobi lehome ❑ Other SPECIFY Building sewer 5.00 Mobile Home JSJGJWJ 10.00 e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other 0 Describe work: - - '' r4.- f- % {'t -t ,J - Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 600V OR LESS Main service 100 AMP OR LESS 10'00 t Main service EA. ADD -L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.& OR ADDNS. ACC. BLDGS. 2Ih2sgft CONTRACTORS LICENSE LAW 1 declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and m license is in full force and effect. y License No. Classification Q I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR ULTI-OUTLET 2.50 ea NON-RESID BRANCH CIRC ITS NEW CONSTR. I POWER APPARATUS &') NON-RESID, SINGLE OUTLET CIR. Ex. Occu BAL@30 P�o OR FIXTURES BAL®30 A FIXED APP LNS. OR FIXED Ex. OCCUp. OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor MECHANICAL PERMIT Filing Fee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor 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. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X Date Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ �+ { OCCUP. CROUP I TYPE OF CONST. I PARCEL PD I HD I ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC -7 By , / \tel.// ,� - PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Datek Receipt No. % ri WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 2 APPLICATION AND PERMIT ASSESSOR PAR'EL,N "BER ZONING /// BUILDING PERMIT OWNER TELEPHONE s 3 /17 SQ. FT. OCC, BUILDING VALUATION ®U OWNER'S MA LING ADDRESS S skyO0-o0i l.( E CONTRACTOR'S NAME �W TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ -2—QQ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ isa 00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ po BUILDING ADDRESS g PLUMBING PERMIT Filing Fee 1 10.00 Each Trap 2.00 Solar Water Heater 20.00 (!j — Water piping 5.00 LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SF% Duplex ❑ Mobi lehome ❑ Other SPECIFY Building sewer 5.00 Mobile Home S I G I W 10.00 e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation[] Other Describe work:pmofQ ,J=— 41G;Aoses�-1 — 2? S �_ I �V1A it1LJG V�T��_ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10•�� Main service EA. ADD'L 100 AMP 2.50 NEW CONS. DWELING O OR ADDNST ( ACCL BLDGS.CCUP.&) 21h0sq ft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check One): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification �] I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am 'exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CON5TFt MULTI -OUTLET 2,50 ea NON.RESID BRACH CIRC ITS NEW CONSTFL POWERNAPPARATUS & NON-RESID. (SINGLE OUTLET CIR. 20@50t Ex. Occup(OR FIXTURES 9AL®30 FIXED APPLNS. OR EX. Occup. OUTLETS (RESID.) EA. 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT FiIIng Fee 10.00 Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree. to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue ag inst aid Che granting of this permit. �( fA Date L, SignaturJ of Applicant — Owner Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ OccUP. GROUP I TYPE OF CONST. PARCEL PD ND IssuE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which CT OF PUBLIC BY PERMIT EXPIRES to the applicable provi- resolutions to do fees have been paid. WORKS Date 80 �_3 am rP Receipt No. WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA. 95965 OWNER -BUILDER VERIFICATION Attention Property Owner: Phone: 916-534-4541 An "owner -builder" building permit has been applied for in .your name and bearing your signature. -Please complete and return this information in the envelope provided at your earliest opportunity to avoid unnecessary delay in processing and issuing your build- ing 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 or no) 2. I (have/have not) signed ad application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address. City .Phone Contractors License No. 6 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 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 Signed: (I , Property Owner Social Security numbe Date_ )o — NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. PERMIT NO. 1377-$2B _ PERMIT EXPIRES Y,3 _. OWNER D. HENDERSON CONTR. owner ASSESSOR PARCEL 68-14-88 LOCATION .35 Skyline Blvd, Oro ' , i Temp. Power Pole F� o� fi Called PG&E �f Temp. Elec. Service Called PG&E Temp. Gas Service Cal led PG&E r JOB FINA D (Date) Signature J OK O = Not OK Not Applicable * = Not Ready i' MOBILEHOMES MISCELLANEOI.K. Date MOBILEHOME UTILITIES (Plans) OK except #'s Date DECKS OVERS AFiPOR S, ETC. (P ns) OK except 1. Zoning Requirements—Setbacks—Easements Zon�equirements—Setbacks—Easements 2. Soils; Special MH Support—Sketch- ootings; Size—Depth—Spacing—Connectors 3. Sewer; Location—Test—Fall-C/O—Concrete _ 3. Decks; Girders and/or Joists—Decking—Bracing—Stairs—Rails 4. Water; Location—Test—Easement Needed (Sketch) 4. Wood Awn.; Posts—Beams—Rfirs.—Connec.—Shthg.—Rfg.--Bracing_ 5. Electricity; Location—Clearances—Grnd.—/ / Amp—Concrete 5. Alu wn.; Columns—Connections—Splice—Decal—Enclosures 6. Gas; Location—Test—Wrap:/ /"L" ft./ /"Nat. or/ /"L"ft./ /"LPG rports; Windows—Doors 7. Utility Clearance Cyl< Q1 Cy6BI . Elec. Date rd -810 Date _ ate -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date MOBILEHOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements—Setbacks—Easements 2. Footings; Size—Spacing—Marriage Line Date _ ISOOLS (Plans) OK except #'s 1, Setbacks—Easements - - — 2. Soils; Compaction—Structure Stability 3. Gas; MH Test—Demand—Valve—Connector 3. Pool Structure; Steel—Connections—Thickness—Dead Men—Lining _ 4. Elec.; Receptacles and Lighting; Distances—GFI 4. Electricity; MH Test—Crossovers—Breakers—Clearances 5. Drain; MH Test—Fall—Flex Connector 5. Elec.; Pool Lighting; 15 volts—GFI 6. Water; MH Test—Regulator—Connector 6. Elec.; Enclosures; Conduit Entries—Terminals—Listed 7. Water and Sewer Connected—C/O to Grade—HD Approval 7, Elec.; Bonding; Metal w/5'—Circulating Equipment—Heater 8. Gas and Electricity Tagged 8. Elec.; Grounding; Equip. w/5'—Circulating Equip.—Pool Lghtg. Boxes—Enclosures—Panel boards—Ins. to Main in Conduit 9. Exits; Insp.—Sketch 10. Cert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test—Water Supply Test Card B -I Date Card -BI Date Card -BI. Date Card -BI Date Card B -I Date Card -BI Date Card -BI Date Card -BI Date r k. V = OK k 0 - Not OK .. M' - = Not Applicable Not Ready RESIDENTIAL (Single and Duplex) � = Date UNDERFLOOR Plans OK'exce t#'s Date FRAMING (Continued) oning requirements -Setbacks -Easements 48. Property Line Firewall & Openings 2. Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth 49. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 3. Ftg., Garage; Soils -Steel- / /" Ftg. Depth 50. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 4. Fig., Porches & Decks; Soils -Steel- / /'' Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab 51. 52. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers Siding -Nailing -Veneer 6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab 53. Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access 7. Piers -Fireplace Ftg.-Steel 54. Glazing Area -Glass Protection -Skylights -Plastic 8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test 55. Shear Walls; Nailing -Bolts 9. Gas Pipe; Size -Anchors 10. Water Pipe; Test -Anchors -Regulator -Service Test 11. Electric; Underground 12. Plenums & Ducts; Clearance -Material -Support -Ins. 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Car I dQ Date r --7oCard-BI Date Date FINAL (Plans) OK except q's -Card-BI U Date Card -BI Date Date PLUMBING (Permit) OK except #'s 56. Ext. Steps -Door & Sidelight Protection -Landings 57. Smoke Detector _ 14. 15. Water Ht.; Vent -Access -Combustion Air Water Pipe; Test & Anchors -Nail Protection 58. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 16. D.W.V.; Test-Fttngs & Anchors -Nail Protection 59. Bedroom Exiting 17. Shower Pan; Test, First Floor -Tub Access 60. G.F.I. & Bath Fixtures & Tub Access 18. Test Tub & Shower, 2nd Floor -Tub Access 61. Elec. Trim & Subpanel; Breaker Sizes -Labels 19. Gas Pipe; Size & Anchors 62. 63. Stairs & Rails Fireplace or Stove; Clearances -Hearth 64. Elec. Outlets at Wood Panel; Int. & Ext. Card -BI Date Card -BI Date 65. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Card -BI Date 66. Elec. Outlets & Receptacles at Kit. Counter Date ELECTRICAL Permit OK except q's 67. Garage Fire Door; Swing -Landing -Closer 68. A.C. Duct in Garage -Damper 20. 21. Fixture & Transformer Clearance -Ins. Protection Elec. Receptacles Spacing -Lights &Switches at Doors 69. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 70. Plb., Elec. & Mech. Equip. Listed for Location 22. Size Boxes & No. of Conductors -Stapled 71. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 23. Romex Installed Close to Edge of Studs & C.J. 24. Equip. Ground made up w/Mech. Fasteners -Bond Gas &Water 72. Insulation -Foam -Looked in Attic ❑Yes 25. 2 Appliance Circuits in Kitchen & Conductor Size 73. Guard Rails &Deck Construction -Post Caps _ 26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or AI 74. Fdn. Vents & Crawl Hole Door -Drainage & Wood,Earth Clearance Looked under Floor ❑ Yes 27. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or AI, Insulated Neutral ❑Yes ❑No 75. Following instld.: Drive ❑Yes E] No; Walks [I Yes ❑ No; Planters ❑Yes []No28. Service -Riser Conductors & Ground -Main Disconnect 76. Stucco; Brown -Finish 29. Equip. Clearances; Panels-Motors-Mech. Equip. 77. A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet 30. Clothes Closet Light -Shower Light 78. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. 79. Water Well; Disconnect, Electrical, Plumbing 80. Exterior Elec. Trim; G.F.I. Receptacle -Underground Card B -I Date Card -BI Date 81. 82. Ventilation throughout House Glass Protection Card B -I Date Card -BI Date Date MECHANICAL (Permit) OK except q's 83. _ Corrections from Previous Inspections 84. Gas Test -Meters Tagged; Gas -Electric -- 31. A.C. Ducts; Insulation & Support 85. Water & Sewer Connected -C/O to Grade -HD Approval _ 32_ Vent Fan; Exhaust above Insulation 86, Energy Compliance Certificate -Other Certificates _ 33. Condensate Drain & Overflow; Size & Grade _ 34. Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet 35. Attic Access & Platform if Furnace in Attic Card -BI- - -- Date --- Card -BI Date -Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Card -BI Date Card -BI Date Card -BI Date Comments at Final: Date FRAMING(Plans) OK except N's 36. _Sills; Proper Material & Anchors 37. Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound _ 38. Bearing Walls over Girders & Floor Nailing_ 39. Draft Stop in Walls (rat proof) 40. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 41. 42. 43. 44. -Header & Beam -Size & Bearing Hangers-PostCaps-Anchors-_Connectors Cing. Joist-Rftr. Ties-Purlin-Roof Brat.-Truss-Shthnq.-Ring. Fireplace Ties or Type A Flue -Fireplace Throat _ 45.Attic Access: Size & Romex Protection -Draft Stop -Ins. Baffles . Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions _ .46 47. Garage Fire Protection Framing (NOTE: An entry must be made each time youvisit jobsite) COUNTY OF BUTTE DEPARTMENT. OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891 2751 7 County Center Drive, Oroville — Phone: 534-4541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE BUILDING/OR PROPERTY ADDRESS A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, 'please co ct this office immediately. �(A� �i.� rye.. k'4 , .rte 1' i't_l/ .:\..Yi."�• d n!' -i% 01, f - Ins ector. Date COUNTY OF BUTTE - DEPARTMENT OF PU 'LIC WORKS 7 County Center Drive - Orovilie, California 95965 - Tel hone 916/534-4541 APPLICATION AND PERWf PERMIT N 7�0 ASSrtyO +.PY EL NUER ZONING BUILDING PERMI OWNED TEL PHO E X589 3� SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADD ESS .{��( �/ (�e CONTRACTOR'S N VI TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER �\ a UNKNOWN Total Valuation Is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ , ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ t Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ .0 BUILDIN AD9AESS 13 1 PLUMBING PERMIT. Filing Fee 10.00 Each Trap 2.00 Repair drainage or vent piping 5.00 Water piping LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets USE OF STRUC RE SF ❑ Duplex❑ Mobilehome❑ Other `r ��rT__1 SPECIFY Building sewer Lawn sprinkler system 5.00 TYPE OF WORK New Addition ❑ Remodel ❑ Utilities ❑ Instal lation ❑ Other ❑ Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 AMP 001 OR ORSLESS 5.00 Main service EA. ADD'L 100 AMP 2;50 NEW CONST" ( DWELLING OCCUP.81) OR ADONS. \ ACC. BLDGS. 20 sq it CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the B11SIneSS and Professions Code and my license is in full force and effect. License No. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NE NON-RESID R BRANCH CIRRCUITS 2.50 ea NEW CONSTR. / POWER APPARATUS e) NON-RESID. %SINGLE OUTLET CIR. Ex. Occup OUTLETS OR FIXTURES BAL01 00 IXEDAPPLNS. OR Ex. Occup.(ourLE TS (RESID.) EAJ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 Permit Fee $ Contractor MECHANICAL PERMIT FiIingFee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate f Consent to Self -Insure. eta ' shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notfce to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shal I be deemed revoked. Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte ter upon the above-mentioned property for inspection purposes. I als agr a to save, indemnify and keep harmless the County of Butte against iabil" ies,judgme s, !Zodfexpenses which may in any way accrue ga nst id County " c the granting of this permit. Date j �Z / �2 Signature of Applicant — OwnerA Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in eight. Mobile Home Installation Fee $ TOTAL PERMIT FEE OCcUP. GROUP r TYPE of co ST. <�� PARC �[Po f/ SSU19 This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECT OF PUBLIC BY 97Dates PIZA41T EXPIRES Date_'�2_3 the applicable provi- resolutions to do fees have been paid. WORKS -z- 7—- Receipt No. WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT