HomeMy WebLinkAbout068-210-010BUTTE COUNTY PERMIT'NO.
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT
24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) BP061612:
OFFICE #: (530) 538-7541
PERMITS BECOME NULL AND VOID 1 YEAR FROM THE DATE OF ISSUANCE, OR IF WORK IS DONE IN VIOLATION OF ANY COUNTY OR STATE LAWS.
LICENSED CONTRACTORS DECLARATION
I hereby affirm under penally of perjury that I am licensed under
provisions of Chapter 9 (commencing with Section 7000) of Division 3 of
Issued Date: 07/05/2006 APN: 068-210-010-000
the Business and Professions Code, and my license Is In full force and
effect.
License Class: License Number:
Site Address: 2570 ORO QUINCY HWY ORO
Date: Contractor:
Map Index:
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the
Description: REMODEL: SIDING(800 SQ), WINDOW
Contractors' Slate License Law for the following reason (Sec. 7031.5
REPLACEMENTS(13), ELECTRICAL BOX
Business and Professions Code: Any Gly or county which requires a
permit to construct, alter, improve, demolish, or repair any structure, prior
to its Issuance, also requires the applicant for such permit to rile a
signed statement that he or she is licensed pursuant to the provisions of
Owner: COMBS KEVIN & AMANDA
the Contractor's State License Law (Chapter 9 commencing with Section
2570 ORO QUINCY HWY
7000) of Division 3 of the Business and Professions Code) or that he or
OROVILLE, CA
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
95966
applicant to a civil penalty of not more than five hundred dollars ($500).):
I, as owner of the property, or my employees with wages as their
sole compensation, will do the work, and the structure is not
intended or offered for sale (Sec. 7044, Business and Professions
Code: The Contractors' State License Law does not apply to an
owner or property who builds or Improves thereon, and who does
Applicant: COMBS KEVIN & AMANDA
pp
such work himself or herself or through his or her own employees,
provided that such improvements are not intended or offered for
2570 ORO QUINCY HWY
sale. If however, the building or improvements are sold within one
OROVILLE, CA
year of completion, the owner -builder will have the burden of
95966
proving that he or she did not build or Improve for the purpose of
sale.).
(530) 534-8639
❑ I, as owner•, of the property, am exclusively contracting with
licensed contractors to construct the project (Sec. 7044, Business
and Professions Code. The Contractors' State License Law does
not apply to an owner of property who builds or Improves thereon,
and who contracts for such projects with a contractor(s) licensed
Contractor:
pursuant to the Contractors' Slate License Law.).
❑ 1 am E em thunder Article o he Business and Pr'ns,Code
/
"
Date: wner;
WORKERS' COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
❑ I have and will maintain a certificate of consent to self -insure for
License #:
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
Architect:
required by Section 3700 the Labor Code, for the performance of
Engineer:
the work for which this permit is Issued. My workers' compensation
Insurance carrier and policy number are:
Carrier: -
arrier:icy#:
icy #:
Total Square Ft: 0 S. F.
I certify that in the performance of the work for which this permit is
Valuation: $0.00
issued, I shall not employ any person in any manner so as to
Census Code:
become subject to the workers' compensation laws of California,
and agree that if I should become subject to the workers'
compensation provisions of Section 3700 of the Labor Code, I shall'���
Z iLl
forthwith c oI ith those provisions.
Date:
JW�111�
Applicant:
WARNING: Failure to secure workers' compensation coverage is
unlawful, and shall subject an employer to criminal penalties and one
hundred thousand dollars ($100,000), In addition to the cost of
compensation, damages as provided for In Section 3706 of the Labor
code, interest, and attorney's fees.
CONSTRUCTION LENDING AGENCY •
This permit Is hereby issu under the applicable provisions of the Butte County Code and/or
I hereby affirm that there Is a construction lending agency for the
the for this Is Issued (Sec 3097 CIv.)-5-O
Res utl ns to do work d aced bove for which fees have been paid.
performance of work which permit
BY� Date:
Name:
17 O
PERMI EXPIRES ON: - `
Address:
(Date)
❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage,
handling and use of hazardous materials.
❑ Notification in accordance with Section 19827.5 of California Health & Safety Code Is not applicable to the scheduled construction of this project.
❑ Attached are copies of the required E.P.A. notification forms.
I hereby certify that I have read this application, that the above information Is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with
all county and state laws relating to building construction. I acknowledge It Is unlawful to alter the substaJpose any official form or doc of Butte County. I hereby
authorize represenlaliv s of Butte County o enter• upon lh above mentioned property, for Inspection p
Print Name: VAI '� Signature:
r- C`
Date:
Owner ❑ Contractor ❑ Agent for Owner ❑ Agent for Contractor
B. C. Building Fermn of -lb -o4 pg i
• �-�, 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
Website: www.buttecounty.net/dds
"PLEASE PRINT CLEARLY"
OWNER INFORMATION
Last Name C ` S
irstNarne
Address�S-1Olk c
City b tO J 1 e
State
`� (O
Phone _
Fax
E-mail
APPLICANT INFORAIATION
CONTRACTOR
Name
Address �S O Qom` N_
Address
City OC ` l
City
Zi S
State
Zip
Phone
Lot #
Fax
E-mail
Lic. #
Class
APPLICANT INFORAIATION
ARCHITECT/ENGINEER
Name
Address �S O Qom` N_
Address
City OC ` l
City
Zi S
State
Zip
Phone
Lot #
Fax
E-mail
State License Number
APPLICANT INFORAIATION
, " n' v
Name Am &J")
U�rOC v\
Property Address
?_S200 0 l
Address �S O Qom` N_
Yes
City OC ` l
StateCAX
Zi S
Phone S �
�
Fax
Lot #
1
I
For office use only:
Zoning
Property Address
?_S200 0 l
Flood Zone SRA
Yes
No
Occ.
Type Const.
Subdivision Name
Map Book
Page
Lot #
Planner
Date Approved:
UVhK FOR SUBMITTAL REQUIREMENTS
KAFORMSIBUILDING FORMS1BldgAppiSubRgmts.doc
it
PERMIT
NO.
_BP 112
BIN #
PROJECT LOCATION
AP# oQ-210- 010
Property Address
?_S200 0 l
City
Cross Street
WORKER'S COMPENSATION
Policy Number
Carrier
If hiring anyone other than license contractors, a certificate of worker's
compensation must be shown at the time of permit issuance.
LENDING AGENCY
Name
Address
0
t `l$��,D ,c Iption or cope of Work:
S �^��Ow
de4vi(di bo
Sq FT- Living Garage Open Cov
❑ 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
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 fees, plan
check fees for work plan checked and other department costs are not
refundable.
Received by: C� Amount: J 7.Bldg
SRA
Receipt #:156*5 Sheriff
SMIP
Page 1 of 3
Date:. S -O G Other
57 1_Total
REV 8-12-05
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.
❑ 5. Statement of Intent for'Non-heated and AIC for Non -Residential Buildings.
❑ 6. Manufactured homes: (A) Installation manual, (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. Building Permit Application Without Required Clearances Form
❑ 12. Hazardous Material Form (for Commercial Buildings only).
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.
❑ Legal description from current recorded grant deed, ❑ Copy of M.H. Title, Title transfer, or MCO.
❑ 12.
Sanitation and site plan approval from the Environmental Health Department.
If you have questions or would like additional information regarding this process, please contact a
Permit 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
KAFORMSMILDING F0RMS\131dgApp1SubRgmts.doc Page 2 of 3 REV 8-12-05
gpOC &l2
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. L personally plan to provide the major labor and material for construction of this proposed
property improvement: YES .[�] NO [ ].
2. I HAVE [k] 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:
NAME: _
ADDRESS:
PHONE:
CONTRACTOR'S LICENSE NO:
4. I plan to provide portions of the work, but I have hired the following person to coordinate,
supervise, and -provide the major work
NAME:
ADDRESS:
PHONE: CONTRACTOR'S 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:
PROPERTY OWNER-
DATE:
WNERDATE: I �I 0 ('0
NOTE: This Owner -Builder verification is required by Section 19831 and 19832 of the California
Health and Safety Code.
Butte County Department of Development Services
ADMINISTRATION ° BUILDING t GIS ` PLANNING
7 County Center Drive
Oroville, CA 95965
(530) 538-7541 Telephone
(530) 538-2140 Facsimile
OWNER -(BUILDER INFORMATION
Dear Property Owner.
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 your plan to subcontract; you should be
aware of the following information for your benefit and protection:
o If you employ or otherwise engage any persons other than your immediate family, and the work (including materials
and other costs) is $200 or more for the entire project and such persons are not licensed as contractors or
subcontractors, then you may be an employer.
o 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.
o There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious
with respect to workers' compensation kmrance.
o 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 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 orthrough their own employees, without a licensed contractor or subcontractor, only under limited
conditions.
A frequent practice of unlicensed persons professing 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 required 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 in your
community or at 1020 N Street, Sacramento, California 95814.
Please complete and return the enclosed ownerbuilder verification from so that we can confirm that you are aware
of these matters. The building permit will not be issued until the verification is returned.
Sincerely,
Scott Rutherford
Chief Building Inspector
NOTR- This Owner -Builder Information is reauired by Section 19830 of the California Health and Safety Code_
068-21=0-010 92=:3936Pt,-
TURNER,- William
2570 Oro Quincy,.Oroville
chg from 1pg to natural gas/sf.
068-210-010 06-1.612
COMBS, KEVIN
�20ORO QCWORJ LLLN
REMO D E L,(�; LBC, NkTTC) W S
�c�iY Y�1"��
Butte County Department of Development Services
NOTES 7 County Center Drive, Oroville, CA 95965
(530) 538-7601 www,6uttecounty.net/dd, °u~�•
t -
f
RESIDENTIAL
..APN: Permit No.
�a
Owner.
1 �.
Site Address:
1A. Contractor
tType of Permit:
l
r
OFFICE COPY
;;
Address
GAS
' Meter By Date
ELECTRI
Meter By
SPECIAL CONDITIONS
CHECKED BY
❑ SRA
❑ FLOOD CERTIFICATE EQUIRED
❑ FIRE SPRINKLERS REQUIRED
_ Y ❑ SPECIAL INSPECTION ITEMS
t Q VERIFY
❑ USE PERMIT CONDITIONS
1 ❑ SUBSTANDARD HOUSING LETTER
❑ ENCROACHMENT PERMIT
❑ REINSPEcnON FEE PAID -
❑ ENV HLTH CLEARANCE
Z.'
DATE JOB FMALED:
!a
SIGNATURE: Zig � � M fa ^�r�J
. =0K
0 = Not OK
MANUFACTURED HOMES
DATE I Lj PERMANENT FOUNDATION SOFTSET
1 Zoning-Setbacks-Easements
2 Soils; Special MH Support Sketch
3 Sewer; Loctn-Test; FaIBC/O-Concrete
4 Wtr, Loctn Test -Easement Needed -Regulator
5 Elec Loctn-Clmcs-Gmd 'Amp -Concrete
6 Yard Gas; Loctn-Test Wrap Nat Q or LPE
Inch Sz Ft Lngth
7 Blckng; SzSpadng-Marriage Line
8 Gas; MH Test-Demand-Valve-Cnnctr
9 Elec MH Cntnty Test-Crossovers-Breakers-Clmcs
10 Drain; MH Test -Fall -Flex Cnnctr
11 Wtr & Sewer Connected -C/O to Grade
12 Gas and Electrlcity Tagged
13 Tie Downs E Foundation
14 Exits
15"Cert of Occupancy
16 HUD Label/Insignia Numbers Serial Numbers
o'r �s o'r da
Drawing
MISCELLANEOUS-
3ECKS'COVERS'CAR.PORTS •GARA GES
1 ZoningSetbacks-Easements
2 Figs; SoilsSz-0pthSpacing-CnnctrsSteel
3 Decks, Girders/Jotsts-Dcking-Brcing
Stairs-Guard/Handrails
4 Wood Awn; Posts-Beams4Utrs-CnnctrsShthg.
Frmg-Brcng
5 Alum Awn; Columns-CnnctnsSplice-Decal-Encisrs
6 Carports; Wndws-Doors
7 Electric
8 Frmg; Sills-AnchrsStuds-Rftrs Tnisses
9 Siding; Nailing-VeneerStucco-Lath
10 Roof; Shthg-Roofing
11 Ext; Steps -Doors -Landings
12 Braced Wall pnis
1 Setbacks -Easements
2 Soils;-CompactlonStructure Stability
3 Pool Structure; Steel-Cnnctns Thickness
Dead Men -thing
4 Elec RcptdslWng; Distance-GFI
5 Elec Pool Lting;15 volts-GFI
6 Elec.Enclsrs; Conduit Entries Terminals-Disted -
7'Elec Bonding; Metal w/5-Crdtng Egp-Htr
8 Elec Gmdng; Eqp wl5' Crcitng Eqp-Pool Ightg
Boxes-Enclsrs-p to Main Conduit
9 Health Dept Apprvl
10 Plmb; Cir Test Wtr Supply Test
11 Lt Niche ,
12 Endsr-, Fencing -Alarms
13 Bonding, Diving board or Slide
d� da mss'
a =Not OK
RESIDENTIAL (Sin
DATE, JUNDERFLOOR
r 1 ZoningSetbacks-Easements-FloodSlope
2 Ftg Main; Soils-Elec Gmd Ftg Dpth
3 Ftg Garage; Soils-Steel-Elec Gmd Ftg Dpth
4 Ftg Parches/Decks; Soils -Steel Ftg Dpth '
5 Stemwalls Main; Steel-Blockouts-Wrapped
6 Stemwalis Garage; Steel-Blockouts Wrapped
6a Hold Downs and Special Anchrs
7 Slab, Steel Wrapped
8 Piers-Frpic Ftg-Steel
9 DWV; Fall -Fitting -Test -2 -way CIO -Sewer Test
'Y 10 UF, Gas Pipe; Sz Anchrs-Sz Test
11 Wtr Pipe; Test-Anchrs-RgltrService Test
12:"Elec Undrgmd
13 Plenums At Ducts; Clrnc-MaterialSupport4nsultn
!g, 14 GirdersSills-Anchr BolisJoists Vnts-Cripples
if 15 Ace & Vntltn
16 Insulation
41
DATE jFrRAMING
17 Sills Proper Materials & Anchrs
- z•.
3 18 Walls Studs -Nailing Spacing & Braces -Plates -Sound
19 Bearing Walls ovet Girders 8 flr Nailing
;. 20 Draft Stop In Walls (rat proof)
21 Fire Stops; Furred CeilingsStairs-Chasers-Tubs
22 Headers & BeamsSi &'Bearing'
23 Hangers-Post'Caps-Anchrs-Cinnctns
24 Ceiling Joist-Rftr Ties-Purlin-Roof Brac-TrussShthg
25 Frpic Ties or Type A Flue=FrPlc Throat Clrnc
y 26 Attic Acc; Sz &: Rinz Prtctn-Draft Stop -Ins Baffles
g. 27 Bdrm Wndws or Exiting DoorsSill ('it & Dimensions
28 Garage Fire Prtctri Framing -RC Channel
M, ION,29 Prprty Line Firewall & Opngs'
30 Ext Doors -One 3' -Check Garage 3rd Story, 2 Exits
31 Stairs; Width-Hdrm-Rise-Run4-andiny-Fire Prtctn
32 Plywd on Roof Ovrhng Attic Vnts-ft Outrgrs
Sng-Nailing Veneer
C ceo Lath Weep Screed-Fndtn Vnts-Undrtlr Ace
5 Glazing Area -Glass PrtcIr Skyl-ts-Plastic .
36 Shear Walls; Nailing -Bolts
37 Brace int/Ext Wall psis
38 Insultn-W al Is -Ceilings
39 Infiltration Walls-Wndws
• a`
M
it DATE JELECTRICAL
40 Fxtr & Trnsfrmr Cimc-Ins Prtctn
41 Elec Rcptcls Spacing-Lts & Switches at Doors
42 Sz Boxes & No Of Cndctrs Stapled
43 Romex Installed Close to Edge of Studs & CJ
44 Eqp Gmd made up w/Mech Fstnrs
45 Gmdng Electrode Bond Gas & Wtr
46 2 Appinc Cires in Ktchn & Cndctr Sz GFl
i a 47 Subfeed Wire Sz P QCU or [:JAL
AC Wire Sz ps o CU or DAL
48 Range Circ o. ❑ CU or D AL
r Oven Circ rA DCU or DAL
heti Insulated Neutral D Yes D No
'k 49 Service -Riser Cndctrs & Gmd Main Dscnnct
s L 50 Eqp Cirnes pnts-Motors-Mech Eqp
51 Clothes Closet Lt-Shwr Lt -Spa Lt
�. 52 Smoke Detector
i
�R
o' d� d'
e & Duplex)
UAIt IPLUMBING
53 Wtr Htr; Vent Ace-Cmbstn Air Baffle
54 Wtr Pipe; Test & Anchr-Nail Prtctn
55 DWV; Test Fittings & Anchr. Nail Prtctn
56 Shwr Pan; Test, First fir -Tub Ace
57 Test Tubi & Shwr, 2nd fir - Tub Ace
58 Gas Pipe; Sz & Anchrs
59 Fire Sprinkler; Test
60 Yard Gas Piping
c•` �s o� .. 0�s`
DATE IMECHAKICAL
61 AC Ducts Insults & Support `
62 Vent Fan, Exhaust abv Insulin
63 Condensate Drain & Ovrflw, Sz & Grade
64 Furnace -Vent Acc-Comb Air Rtrn/Vent 115 Outlet
65 Attic Ace & Pltfrm if Furnace in attic
DATE IFINAL
66 Ext Steps -Door & SideLt Prtctn-Landings
67 Smoke Detector
68 Furnace Vnts-Cimc-Comb, Air-Cnnctr
In Garage; abv-flr-Ducts-Mech Prtctn
69 Bedroom Exiting
70 GFl & Bath Fxtrs & Tub Ace -Spa
71 GFl Arc Fault
72 Elec Trim & Subpnl, Breaker Szs & Labels
73 Stairs, Guard/Handrails
74 Frplc or Stove, Clmc-Hearth
75 Elec Outlets at Wood Pnl, Int & Ext
T6 Ktchn, Fxtr & Appinc; Gmd-Air-Gap-Cooking Cimc
77 Elec Outlets & Rcptcls at Ktchn Counter
78 Garage Fire Door, Swing -Landing -Closure
79 AC Duct in Garage -Damper.
80 Wtr Htr Vnts-Cimc-Com Air Cnnctr-PRV; abv fir
Mech Prtctn; LPG Appince Undr House 3' drain
81 Pimb; Elec & Mech Eqp Listed for Loctn
82 Elec Rcptcls in Garage (GFl) Romex Prtctn
83 Insults -Foam -Looked in Attic
84 Guard Rails & Deck Cnstretn-Post Caps
85 Fndn Vnts & Crawl Hole Door Dmge & Wood -Earth
86 Clmc Dmge Pl Q Yes 0 No
C S = 87 Stucco Rrown-Finish
88 AC Unit Dscnnct, Elec-Pimb
89 Vnts abv Roof, Pimb-Appinc-Frpic-Cimc to Opngs
90 Wtr Well, Dscnnct, Elec, Pimb
91 Ext Elec Trim, GFl Rcptcl-Undrgmd
92 Vntltn thru House
93 Glass Prtctn
94 Corrections from previous irispctns
95 Gas Test -Meters Tagged, Gas-Elec
96 Wtr & Sewer Cnnctd-C/O to grade -HD Apprvl
97 Energy Cmpinc Cert -Other Certs
98 Address Posted
99 Fire Sprinkler
o•r
o`er 1
4�*�•
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT
24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO)
OFFICE #: (530) 538-7541
HLKIVII 1 IVU.
BP061612-.
PERMITS BECOME NULL AND VOID 1 YEAR FROM THE DATE OF ISSUANCE, OR IF WORK IS DONE IN VIOLATION OF ANY COUNTY OR STATE LAWS.
LICENSED CONTRACTORS DECLARATION
I hereby affirm under penalty of perjury that I am licensed under
provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date: 07/05/2006 APN: 068-210-010-000
the Business and Professions Code, and my license Is In full force and
effect.
License Class: License Number: Site Address: 2570 ORO QUINCY HWY ORO
Dale: Contractor:
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the
Contractors' Slate License Law for the following reason (Sec. 7031.5
Business and Professions Code: Any city or county which requires a
permit to construct, alter, improve, demolish, or repair any structure, prior
to its Issuance, also requires the applicant for such permit to file a
signed statement that he or she Is licensed pursuant to the provisions of
the Contractor's Stale License Law (Chapter 9 commencing with Section
7000) of Division 3 of the Business and Professions Code) or that he or
she is exempt therefrom and the. basis for the alleged exemption. Any
violation of Section 7031.5 by any applicant for a permit subjects the
applicant to a civil penally of not more than rive hundred dollars ($500).):
I, as owner of the properly, or my employees with wages as their
sole compensation, will do the work, and the structure is not
intended or offered for sale (Sec. 7044, Business.and Professions
Code: The Contractors' State License Law does not apply to an
owner of property who builds or Improves thereon, and who does
such work himself or herself or through his or her own employees,
provided that such improvements are not Intended or offered for
sale. If however, the building or Improvements are sold within one
year of completion, the owner -builder will have the burden of
proving that he or she did not build or Improve for the purpose of
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' Slate License Law does
not apply to an owner of property who builds or Improves thereon,
and who contracts for such projects with a contractor(s) licensed
pursuant to the Contractors' State License Law.).
O I am�IE em (thunder Article�(�'o(T,(��he� ,Business and Pr ns
Date: 1 " %vner. �.�r! bi*\) (S n�c-CC 6 �v
WORKERS' COMPENSATION DECLARATION
I hereby affirm under penally of perjury one of the following declarations:
❑ I have and will maintain a certificate of consent to sell -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 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:
Po icy #:
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 ilh those provisions.
Date: �I)
Applicant:
WARNING: Failure to secure workers' compensation coverage is
unlawful, and shall subject an employer to criminal penalties and one
hundred thousand dollars ($100,000), in addition to the cost of
compensation, damages as provided for In Section 3706 of the Labor
code, interest, and attorney's fees.
Map Index:
Description: REMODEL:,_-,I�(800 SQ), WINDOW
REPLACEMENTS(13), ELECTRICAL BOX
Owner: COMBS KEVIN & AMANDA
2570 ORO QUINCY HWY
OROVILLE, CA
95966
Applicant: COMBS KEVIN & AMANDA
2570 ORO QUINCY HWY
OROVILLE, CA
95966
(530) 534-8639
Contractor:
License #:
Architect:
Engineer:
Total Square Ft:
Valuation:
Census Code:
0-/551 , 9y
t 5.60
T7 -5- 06
CONSTRUCTION LENDING AGENCY This p:rmlt Is hereby Is
I hereby affirm that there Is a construction lending agency for the Res utI ns to do work
performance of the work for which this permit Is Issued (Sec 3097 Civ.)
By:
Name:
PERMIY EXPIRES ON
0 S.F.
$0.00
the applicable provisions of the Butte County Code and/or
bove for which fees have been paid. �J
Date: i -S-UCn
0
Address: I (ware/
❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage,
handling and use of hazardous materials.
❑ Notification in accordance with Section 19827.5 of California Health & Safely Code is not applicable to the scheduled construction of this project.
❑ Attached are copies of the required E.P.A. notification forms.
I hereby certify that I have read this application, that the above Information Is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with
all county and stale laws relating to building construction. I acknowledge It Is unlawful to alter the substa f any official form or doc of Bulle County. I hereby
authorize representativ s/of Butte
County o enter upon th above mentioned property for inspection p pose
Print Name: + rDim Signature:
Dale:
0c,
-� owner 0 Contractor
0Agent for Owner El Agent for Contractor
C.
, 068-21-0-010,1 92-3936P
r; TURNER, William
2570 Oro Quincy, Oroville
' chg from 1pg to natural gas/sf
4
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i
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4
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i.
COUNTY OF BUTTE - DEIII�ARTMENT OF PUBLIC WORKS PERMIT NO,
7 County Center Drive - Oroville, Califbrnia95965 - Telephone: 916/538-7541
APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER
068-210-010 r
ZONING
AR
BUILDING PERMIT
OWNER
William Turner -
TELEPHONE
533-4801
SQ. FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS
P.O. Bos 546 Oroville 95965
7"
CONTRACTOR'S NAME
PG&E
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
LENDER'S MAILING ADDRESS
Filing Fee $ 155,00
Permit Fee $
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee $
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Energy Plan Checking Fee $
Penalty $
BUILDING ADDRESS
Permit fee $
Oroville
PLUMBING PERMIT Filing Fee 15.00
Each Trap 5.00
Solar or heat pump water heater 20.00
LOT NO.SUBDIVISION
NAME
PARCEL MAP
Water piping 7.00
Each qas water heater or vent 7.00
USE OF STRUCTURE
SFEX Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets j 5.00 5.00
Building sewer 15.00
Mobile Home S I G I W I @ 15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities g Installation❑ Other ❑
Describe work: Change from LPG Service to
Natural Gas
Permit Fee $20.00
Contractor
ELECTRICAL PERMIT Filing Fee 15.00
Main service 200A OR LESS 18.50
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
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)
(,;J^—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
Main service 200A TO IOOOAI 37.50
OCCUPM 3.64 sq.ft.
NEW CONST. / DWELLING OR ADDNS. ACC. BLDGS. II
l
NEW CONSTR U TI.OUT LET
NON •RES'D BRANCH CIRC ITS @ 5.00
(POWER APPARATUS e)
SINGLE OUTLET CIR.
Ex. OCCUp(OUTLETS OR FIXTURES\\ 120076,
FIXED APPLNS.I,
Ex. DCCUp. OUTLETS ((RESID.)REA.) 3.00
Temporary service 15.00
Mobile Home Facilities 15.00
Misc. Wiring 15.00
Permit Fee $
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.
Contractor
MECHANICAL PERMIT Filing Fee 15.00
Heating
Cooling
Hood 6.50
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
against Said County in consequence of the granting of this permit.
X 4ilAll.�' --� � f� � T ;�✓ Date � �I
Signature of Applicant — Owner Contractor ElAgent ❑
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 S
Energy Inspection Fee $
OCC
CONST TYPE
TOTAL FEE $ 20
00
HAz
I DFEES I
IMP
I FLOOD
I CDF
PARCEL
I Po
I HD
ISSUE
This permit is hereby issued under the applicable provi-
sions of the Butte County Code and/or resolutions to do
work indicated above for which fees have been paid.
I DIRECTOR'OF PUBLIC WORKS
c
By `, Z-, .�'��,", IA--\� Date % 6 /
PERMIT EXPIRES JDate I /— Gr -(r
Receipt No. I ! ty5 y
WHITE-D.P.W., YELLOW-ASSE,SOR. PINK -INSPECTOR. GOLDENROD -APPLICANT
COUNTY OF BUTTE - DEPA,RTMf4T OF PUBLIC WORKS
/ 7 County Center Drive - Oroville, Caiiforbia 95965 - Telephone: 916/538-7541
l APPLICATION AND PFRMIT
PERMIT NO.
ASSESSOR PARCEL NUMBER
068-210-010
ZONING !4'
AR
BUILDING PERMIT
OWNER
William Turner
TELEPHONE
533-4801
.SQ. FT. DCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS
P.O. Box 546 Oroville 95965
CONTRACTOR'S NAME
PG&E
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
LENDER'S MAILING ADDRESS
Filing Fee
$ 155,00
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Energy Plan Checking Fee
$
Penalty
$
BUILDING ADDRESS
Permit fee
$
—
PLUMBING PERMIT
Filing Fee 15.00
Each Trap
1 5.00
Solar or heat pump water heater
20.00
LOT NO.SUBDIVISION
NAME
77
PARCEL MAP
Water piping
7.00
Each qas water heater or vent
7.00
USE OF STRUCTURE
SF []J Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
1 5.00 5.00
Building sewer
15.00
Mobile Home S I G I W
015.00
TYPE OF WORK
New F-1 Addition El Remodel E] Utilities[ Installation[--] Other ❑
Describe work: Change from LPG Service to
Natural Gas
Permit Fee
$20.00
Contractor
ELECTRICAL PERMIT
Filing Fee 15.00
Main service 00V OR S
200A OR LESS 1-18.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
I am licensed under prOVISIOnS Of Chap t. 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)
�� as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
Main service 200A TO 1000AI
37.50
NEW CONST. ( DWELLING OCCUP.ad\
OR ACDNS. l ACC. BLDGS. I
3.64 sq.ft.
NEW CONSTR. M ULT' -OUTLET
NON-RESID BRANCH CIRC ITS
5.00
/POWER APPARATUS e
1SINGLE OUTLET cIR.
Ex. Occup(OUTLETS OR FIXTURES
20 @ 76
FIXED APLNS
Ex. Occup. OUTLETS P(RESID.IREA.)
3.00
Temporary service
15.00
Mobile Home Facilities
15.00
Misc. Wiring
15.00
Permit Fee
$
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.
�l 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.
Contractor
MECHANICAL PERMIT
Filing Fee 15.00
Heating
Cooling
Hood
6.50
Ventilation
Penult 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
against kaaaiiidd County in consequence of the granting of this permit.
Date 1 r
Signature of Applicant — Owner Er 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 S
Energy Inspection Fee $
DCC
CONST TYPE
TOTAL FEE $ 20.00
HAz
1 DFEES I
IMP
I FLOOD
I CDF
PARCEL
I PD
HD
ISSUE
l
This permit is hereby issued under the
Bions of the Butte County Code and/or
work indicat a ve for which fees
I E TO OF BLIC
By
PERMIT EXP RES Date
applicable provi-
resolutions to do
have been paid.
WORKS
Date
Receipt No. 129559
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT