HomeMy WebLinkAbout068-320-036�-��--- - — -` �- '--------�-/--��_ ------ -- -- -r 'r'r--� ------------ ---' -' --' ----------
JOHN GIPE
'3321 Olive Hwy., Oroville
COMM� .
� '
'
068-32-0-036 #98-1914
ANDOE
�
'
�
` DWIGHT ARLENE'
3321 OLIVE HWY: . '
'
SERLIG CONST.
h
'COVERE6 PATIO Y1,;W77.
. -
/
\
i
RESIDENTIAL
_068-32-0-036 #98-1914 �•
ANDOE, DWIGHT ARLENE
3321 OLIVE HWY, OROVILLE
SERLIG CONST.
COVERED PATIO
PERMIT NO.
PERMIT EXPIRES
OWNER
CONTR.
ASSESSOR PARCEL
LOCATION
ar
I
F'1
x
,- CHECKED
SRA BY
FLOOD CERTIFICATE REQ.
FIRE SPRINKLERS REQ.
SPECIAL INSPECTION ITEMS
VERIFY
r
Temp. Power Pole
Called PG&E
Temp. Elec. Service
Called PG&E
a. Temp. Gas Service
Called PG&E
JOB FINALE(Date)
Signature
t
.-i
V=OK
O = Not OK
=Nott ReadApply MOBILE HOMES
Date
MOBILE HOME UTILITIES (Plans) OK except #'s
7. Well Clearance & Disconnect
1. Zoning Requirements - Setbacks - Easements
8. Utility Clearance
2. Soils; Special MH Support Sketch
V PO lana OK t #'s
3. Sewer; Location -Test -Fall -CYO -Concrete
1. Setbacks -Easements
4. Water, Location -Test -Easement Needed (Sketch)
Card B-1 Date Card B-1
5. Electricity; Location-Clearances-Gmd-/ /Amp -Concrete
MISCELLANEOUS
Date DECKS, VERS, CARPORTS, GARAGES lana OK except #'s
ing Requirements -Setbacks -Easements
2. Footings; SoilsSize-Dep"pacing-Connectors-Steel
3. Decks; Girders and/or J ng-BracingStairs-Rails
wn.; Pc6tseeams- on
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6./Carports; Windows -Doors
i7. Electric
(\ 8..Frma.: Sils-AnchorsStuds-Rttrs-Trusses
6. Gas; Location -Test -Wrap; / tUft.
/ /Nat. or/ /L"ft./ /LPG
7. Well Clearance & Disconnect
Date
Dat
8. Utility Clearance
DatLAJ
V PO lana OK t #'s
1. Setbacks -Easements
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
MOBILE HOME INSTALLATION (Plans) OK except #'s
1. Zoning Requirements- Setbacks Easements
2. Footings; Size.Spacing-Marriage Line
3. Gas; MH Test -Demand -Valve -Connector
4. Electricity; MH Test -Crossovers -Breakers -Clearances
5. Drain; MH Test -Fall -Flex Connector
6. Water; MH Test -Regulator -Connector
7. Water and Sewer Connected -C/O to Grade -HD Approval
8. Gas and Electricity Tagged
9. Tie Downs -Type -Installation Cert.
Date
10. Exits; Insp.-Sketch
Date
11. Cert of Occupancy
12. Permanent Foundation Only: LIcense Decal
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
MISCELLANEOUS
Date DECKS, VERS, CARPORTS, GARAGES lana OK except #'s
ing Requirements -Setbacks -Easements
2. Footings; SoilsSize-Dep"pacing-Connectors-Steel
3. Decks; Girders and/or J ng-BracingStairs-Rails
wn.; Pc6tseeams- on
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6./Carports; Windows -Doors
i7. Electric
(\ 8..Frma.: Sils-AnchorsStuds-Rttrs-Trusses
/10. Root; Shthg-Roofing
11. Ext.; Steps -Doors -Lendings
12. Braced Wall Panels
Date
Dat
Card B-1 Date Card B-1
and B-1 ate Card B-1
DatLAJ
V PO lana OK t #'s
1. Setbacks -Easements
2. Soils; Compaction -Structure Stability
3. Pod Structure; Steel -Connections -Thickness
Dead Men -Lining
4. Elec.; Receptacles and Lighting, Distance-GFI
S. Elec.; Pod 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/5 Circulating Equip. -Pod Lghtg.
Boxes-Enclosures-Panelboards-Ins. to Main in Conduit
9. Health Department Approval
10. Plumb.; Cir. Test -Water Supply Test
11. Light Niche
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
✓ = OK .
0 = Not OK
-= Not Applicable
' = Not Ready
RESIDENTIAL (Single & Duplex)
Date UNDERFLOOR (Plans) OK except #'s
1. ZoningSetbacks-Easments-Flood-Slope
2. Ftg., Main; Soils-Elec. Gmd. / P Ftg. Depth
3. Ftg. Garage; Soils-Steel-Elec. Gmd/ P Ftg. Depth
4. Ftg. Porches & Decks; SoilsSteel-/ P Ftg. Depth
5. Stemwalls, Main; Steel-Blockouts- Wrapped
6. Stemwalls, Garage; Steel-Blockouts-Wrapped
Date FRAMING (Continued)
46. Hangers -Post Caps -Anchors -Connectors
47. Cling. Joist-Rftr. Ties-Purlin-roff Brac.-Truss-Shting.-Rfng.
6a.
Hold Downs and Special Anchors
7. Slab, Steel -Wrapped
Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
8.
Piers -Fireplace Ftg.-Steel
Bdnn. Windows or Exiting Doors -Sill Hgt. & Dimensions
9.
D.W.V.; Fall -Fitting -Test -2 Way C/0 -Sewer Test
Garage Fire Protection Framing
10.
UF. Gas Pipe; Size Anchors - Yard Gas Piping; Size Test
Property Line Firewall & Openings
11.
Water Pipe; Test -Anchors -Regulator -Service Test
Ext. Doors -One 3 -Check Garage 3rd Story, 2 Exits
12.
Electric Underground
Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
13.
Pienums & Ducts; Clearance -Material -Support -Ins.
Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
14.
Girders -Sills -Anchor Bolts -Joists Vents-Crippies
Siding -Nailing Veneer
15.
Access & Ventilation
Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access
16.
Insulation
Glazing Area -Glass Protection -Skylights -Plastic
59.
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
PLUMBING (Permit) OK except #'s
Infiltration-WallsVindows
17. Water Htr.; Vent -Access -Combustion Air Baffle
18.
Water Pipe; Test & Anchor -Nail Protection
19.
D.W.V.; Test Fittings & Anchor -Nail Protection
20.
Shower Pan; Test, First Floor -Tub Access
21.
Test Tub & Shower, Second Floor -Tub Access
63.
22. Gas Pipe; Sixe & Anchors
64.
Smoke Detector
Date
65.
Card B-1 Date Card B-1
Date
66.
Card B-1 Date Card B-1
Date
67. G.F.I. & Bath Fixtures & Tub Access -Spa
ELECTRICAL (Permit) OK except #'s
68.
23.
Fixture & Transformer Clearance -Ins. Protection
69.
24.
Elec. Receptacles Spacing -Lights & Switches at Doors
70.
25.
Size Bo es & No. of Conductors Stapled
71.
26.
Romex stalled Close to Edge of Studs & C.J.
72.
27.
Equip. Ground made up w/Mech Fastners-Bond Gas & Water
73.
28.
2 Appliance Circuts in Kitchen & Conductor Size GFI
74.
29.
Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size/ / ga Cu or AI
75.
30.
Range Circ. / / ga Cu or AI -Oven Circ. / / ga Cu or Al
Insulated Neutral 0 Yes 0 No
76.
31.
Service -Riser Conductors & Ground -Main Disconect
77.
32.
Equip. Clearances Panels -Motors -Meeh. Epuip.
78.
33.
Clothes Closet Light -Shower Light -Spa Light
79.
34.
Smoke Detector
80.
Guard rails & Deck Construction -Post Caps
Date
Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth
Clearance Looked under Floor 0 Yes
Card B-1 Date Card B-1
Date
Following Instld./Drive 0 Yes 0 No/Walks 0 Yes 0 No/Planters 0 Yes 0 No
Card B-1 Date Card B-1
Date
Stucco Brown -Finish
MECHANICAL (Permit) OK except #'s
84.
35.
A.C. Ducts Insulation & Support
85. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings
36.
Vent Fan, Exhaust above insulation
Water Well, Disconnect, Electrical, Plumbing
37. Condensate Drain & Overflow, Size & Grade
87.
38.
Fumance-Vent Access -Comb. Air -Return Air Vent 115 outlet
88.
39. Attic Access & Platform if Furnace in Attic
89.
Glass Protection
90.
Corrections from Previous Inspections
Date
91.
Card B-1 Date Card B-1
Date
92.
Card B-1 Date Card B-1
Date
93.
FRAMING (Plans) OK except #'s
40.
Sits Proper Materials & Anchors
41.
Walls Studs -Nailing Spacing & Braces -Plates -Sound
Date
42.
Bearing Walls over Girders & Floor Nailing
Date
43.
Draft Stop in Walls (rat proof)
Date
44.
Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs
Comments at Final:
45.
Headers & Beams -Size & Bearing
Date FRAMING (Continued)
46. Hangers -Post Caps -Anchors -Connectors
47. Cling. Joist-Rftr. Ties-Purlin-roff Brac.-Truss-Shting.-Rfng.
48.
Fireplace Ties or Type A Flue -Fireplace Throat clearance
49.
Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
50.
Bdnn. 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-WallsVindows
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 -Meth. 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 -Meeh. 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 No/Walks 0 Yes 0 No/Planters 0 Yes 0 No
83.
Stucco Brown -Finish
84.
A.C. Unit Disconnect, Electrical -Plumbing
85. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings
86.
Water Well, Disconnect, Electrical, Plumbing
87.
Exterior Elec. Trim, G.F.I. Receptacle -Underground
88.
Ventilation Throught House
89.
Glass Protection
90.
Corrections from Previous Inspections
91.
Gas Test -Meters Tagged, Gas -Electric
92.
Water & Sewer Connected -C/0 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:
-.A' COUNTY OF BUTTE
BUILDING DIVISION _
DEPARTMENT OF DEVELOPMENT SERVICES
411 Main Street • Chico, CA • (530) 891-2751 -
7 County Center Drive Oroville, CA • (530) 538-7541
CORRECTION'°NOTICE
OWNER PERMIT NO.
A routine inspection indicates that the following violations of butte county Ordinances exist at the
aboveaddress and should be corrected. Please notice this office when correction of work is
completed. If you have any questions pertaining to this matter, or need additional explanation,
please contact this office immediately.
Y =.
Date Inspector
REV 10/92
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 AFT
(Rev. 12/96) APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER
ZONING
BUILDING PERMIT
OWNER R -'r nM
4r -19i Hf.;fIbIp.
TtUPmdArz
SQ. FT. OCC. BUILDING VALUATION
4004
OWNERS MAIUNG ADDRESS
CONTRACTOR'S NAME
TELEPHONE
CONTRACTORS MAILING ADDRESS
CONSTRUCTION LENDER
[,Fireplace
LENDER'S MAILING ADDRESS
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee $
20.00
Permit Fee $
72.00
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee $
46.80
BUILDJ�IDREs�LIVE HWY, OROVILLE
l
Energy Plan Checking Fee $
$
- PERMIT FEE s
138.80
LOT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT
Fling Fee 20.00
USEOFSTRUCTURE
SF 9 Duplex ❑ Mobilehome ❑ Other
SPECIFY
Each Trap
7.00
Solar or heat pump water heater
23.00
Water piping
15.00
Each as water heater or vent
15.00
TYPE OF WORK
New ❑ Addition ❑X Remodel ❑ Unities ❑ Installation ❑ Other ❑
Describe Work: COVERED PATIO
Gas piping stem t - 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
V LESS
Main Service 200A OR LESS
23.00
LICENSED CONTRACTOR'S DECLARATION
1 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. D 4/
J OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
❑ I, as owner of the property, or my employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
❑ I, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
❑ 1 am exempt under Sec. Business and Professions Code for this
reason
Main Service TO IOTA
46.00
NEW CONST EE . DWEWNG OCCUP.
OR ADDNS. ( 6 ACC. BLDS.
SO
3.S¢FT.
=RAID MULTI.OUTLET
97,50
POWER APPARATUS
8 SINGLE OUTLET CIR.
OUTLET OR FDCTURES
Ex. Occup.BAL
20 @ 1'00
@ .50
Ex. Occup. OFuc RFwsS ORS
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wirina
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 neo/ /,!/greyfrJh, �J //I/S C U
Policy Number / 32 /Dlo 0
(The above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
❑ 1 certify that in the performance of the work for which this permit is issued, I shall
not employ any person in any manner so as to become subject to workers'
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.
p
X3 mow_ Date oC_
e pplicant - ❑ Owner ❑ Contractor Agent
SigrHrA
An permit is required for excavations over 60" deep and demolition or construction
of structures over 3 stories in height. '
MECHANICAL PERMIT Fling Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FES $
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
CONST. TYPE
TOTAL FEE $ 138.80
HAZ.
D. FEES IMP
FLOOD
_
CDF
_
PARCEL
PD
HD SU
This permit is hereby issued under the applicable provisions
of the Butte County Code and/or Resolutions to do work
indicated above for which fees have been paid.
C�
By Date /
cyY
PERMIT EXPIRES ON / / &/
Def,
ReceiptNo. Z
—2—IZ
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
SAF
(Rev. 12/96)
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive • Oroville, California 95965 * Telephone (530) 538-7541
APPLICATION AND PERMIT
PERMIT NO.
ASSESSORPARCEL NUMeEA 3 .Z ^ Lzom
/1�
BUILDING PERMIT
OWNER
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS / /
2 1.
CONTRACTOR'S NAME
TELEPHONE
CO TORI MAIUNO RESS
�V)51 41 0 0�.1 .J G(il2L x>
CONSTRUCTION LENDER
Fireplace
LENDER'S MAILING ADDRESS
Total Valuation b O O
ARCHITECT OR ENGINEER
LICENSE NO.
Flln Fee $
Permit Fee '�
�2j0.00
/ Z
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee S
Y46.$
BUILDINGADDRESS Lj(/ LJljc, 44S
Energy Plan Checking Fee b
b
PERMIT FEE
LOT NO.
SUBONISIONINAME
PARCEL MAP
PLUMBING PERMIT
Fling Fee 20.00
Each Trap7.00
/ USEOFSTRUCTURE
SF RfDuplex ❑ Mobilehome ❑ Other
SPECIFY
Solar or heat um water heater
23.00
Water piping
15.00
Each gas water heater or vent
15.00
TYPE OF WORK
New ❑ Addition P/ Remodel [3 Utilities ❑ Installation ❑ Other ❑
Describe Work: CJ e,4c4 V&]2=>
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
800V OR LESS
Main Service 200A OR LESS
23.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license is in full force and effect.
License Class Lic. No.
OWNER -BUILDER DECLARATION
1 hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
❑ 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.
❑ I, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
❑ 1 am exempt under Sec. Business and Professions Code for this
reason
WORKERS' COMPENSATION DECLARATION
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.)
❑ 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
workers' compensation provisions of section 3700 of the Labor Code, I shall
forthwith comply with those provisions.
X Date
Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent
An OSHA permit is required for excavations over 60" deep and demolition or construction
of structures over 3 stories in height.
Main Service TO t000A
46.00so
NEW CONST. OWEI1JNCi OCCUP. SO
DWE200ALLING
DR ADONs. a ACC. eLOs. 3.52Fr:
NEW GUMT. MULTi-OUTLET
NDN.REs1D. @7.50
POWER APPARATUS
& SINGLE OUTLET CIR.
Ex. Occup. OUTLET OR FIXTURES eAL p I:w
Ex. Occu . ovnETs� o.OF.. 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring
23.00
PERMIT FEE $
MECHANICAL PERMIT Fling Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FET= S
Mobile Home Installation Fee b
Energy Inspection Fee b
OCD
CONST TYPE /�
TOTAL FEE $ AGn
HAz.
o. FEES IMP
I FLOOD
I COF
PARCEL Po
HO
ISSUE
This permit is hereby Issued under the applicable provisions
of the Butte County Code and/or Resolutions to do work
indicated above for which fees have been paid.
By Date
EXPIRES ON
para
Receipt No.PERMIT
WHITE-D.O.S.-B.0. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
1
COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916) 538-7541
PERMIT APPLICATION DATA SHEET
OWNER: 6,,4, 16rr-- ASSESSOR PARCEL NUMBER: CS - 3Z-34.
Proposed Building Use: Building Inspector: f— Date: L S
At time of permit application, I was advised the following data must be submitted prior top rmrte processing and/or issuance:
Date Received By
❑ 1. All items have been submitted --------------------------------------------------------------------------------------
02. Plot plans, 3/4 sets, signed by the preparer of plans. ------------------------------------------------------------
❑ 3. Complete plans, 3/4 sets, signed by the preparer of plans. -----------------------------------------------------
❑4. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans. --------
❑ 5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! ------------------
❑ 6. Energy Design Compliance and supporting documentation. ----------------------------------------------------
❑ 7. Statement of Intent for Non -Heated and A/C Buildings. ---------------------------------------------------------
❑ 8. Hazardous Material Form. ------------------------------------------------------------------------------------------
❑9. Manufactured Home data and installation instructions including Tie Down Specifications -------------------
0 10. Fees of $-------------------------------------------------------------------------------------
❑ 11. Impact fees as shown on the attached schedule.-------
1112.
------
❑12. California Department of Forestry plan approval/fees.
❑ 13. Flood elevation certificate. ---------------------------------------------
"Station and plot plan approval ^^'-Health Department.
�❑ 15. City of Chico plumbing permit. ---------------------------------------
❑ 16. Plot plan and business license approval from the City of Biggs. ---
❑ 17. Planning approval for (A) Use: (B) Parking:
❑ 18. Contact Land Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel.
❑ 1.9. Encroachment Permit for driveway (construction approval prior to occupancy). --
0 20. Pre -inspection for
required. Request to Building Inspector on
❑21. Contractor's license information. (Number, Name Style, Classification).
1122. Workers' Compensation carrier and policy number. -----------------------
E123. Owner -Builder Verification (Given to owner ❑, Mailed to owner ❑). --
0,21i4j�tter of signature authorization. -------------------------------
025;.-Recorded copy of Agricultural Acknowledgment Statement.
026.' Letter of intent on building use. ---------------------------------
x�rr,
❑27. Mancactimred Home utility clearance. --------------------------
1328. Existing violations and/or expired permits. --------------------
❑29. ❑4337A`b❑Grant Deed, ❑ M.H. Title, ❑ Check to H.C.D $
C330. Other:
When you issue the permit, process as follows ❑ Mail to owngPqMail to contractor.
7 — 227
(Date)
❑Telephone and hold for pickup at office. ❑ Deliver with inspector. �y n
Applicant: Q�Date:
Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department,! llution Date: By:
Copy of plans sent ❑ Health Departmjent, ❑ Fire Department, ❑ Other: Date: By:
1. Index permit application for the above terns fi nbered: Cl Plan Check List
2. Additional items required:
Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date:
Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date:
Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date:
Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building�,ision* counter, by Da .:
Plans reviewed by: Date: Plans approved by: Date: -
Sets of plans on hold in ❑ Plan Cabinet, ❑ A.P. folder. Note transfer by: Date:
Yellow Copy - Department of Development Services, Building Division.
E.H. USEONyY
Plot Plan Attached �_
1 Floor Plan
Atlacheo
Sent to B.D. I
y
TO: Building Department
FROM: Environmental Health
SUBJECT: Sanitation Clearance
ow 1,9 k� -ql) o Vj
Owner Location AP#
Plan Approved for: Sewage Disposal Water Supply: Public .j�Private Well
Clearance for dwelling. Other Y'130) �: -9,k "T �)1, F r / c;j
Hold final for:
Final clearance O.K. for:
NOTE:
,0N
/ -
Environmental Health Specialist
8/96
P — 0% (P -7 P
Date
irl S _S t Cc_i_=t S
1On 4%'--O S1Gr i0= cl! Deic7.i tS at
(10 U; (le Selic Construction.
iCense' F71 10'-.2 Class b
C:- --Orni Z _R:--.'l_�y CO. bi n.i__ Z,O C..>; PO1_CL' .,J -:5033173
CCO
C
State Of Cali=ornia
0-� be iOre [-.e� L ;•.l :;�.�i�= �o:r• -`' (� ��(=�
t Ll(
t0 r.e O:. i.b?s_5 O_ s -at- s:ac o v e id c e t bi.:'._ D==50
s S�bSC_ be_ t0 `nea-t c . cC:..: '. ! a
�O �:.` tCl=t �:���:._ e:._Ci teC t^� Sc-._ ^_5�:.== _: =.:0='__e: C=oaC_t`'�
On ti -.e inst : the 0==SO'j 0= tf
D?.. i _ 0= ::..1C:. tC:e D?: S0`. aC
D 07" ! C� S .-.-
-{•'. � ..G�y" - .kms '_c/r'-- -'�:<i '`' _�%.r_..�". ^�•..._�i'��-'- "_- �� ,.
AcoRo. CERTIFICATE OF LIABILITY INSURANCRSR RR DATE(N1IA1DOII'Y)
]'LLIGOI 07/17/98
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
G.L. Andarson Insurance Serv. . ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
Professional Insurance Assoc. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
12175A Folsom Blvd. ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Rancho Cordova CA 95742 COMPANIES AFFORDING COVERAGE
^COMPANY
G. L. Anderson Insurance
PnoneNo. 916-353-5130 FaxN•916-353-5135 A California Indemnity Ins Co.
INSURED
I COMPANY
I e Financial Pacific
I
Selig Construction Corp.;
COMPANY
T-Rex Glass
USF6G/St. Paul
3851 Morrow Lane, #7
Chico CA 95928
I COMPANY
D
COVERAGES
THIS 13 TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONCITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE LWIJEOOR MAY PERTAIN, THE INSURANCE AFFORDED BYTHE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS.
'EXCLUSIONS ANO CONvrioN3 OF SUCH POLICIES. LIMITS SHOWN RAY HAVE BEEN REDUCED BY PAID CLAIMS. '
T ! TYPE OF INSURANCE
LTR I
POLICY NUMBER
POLICY EFFECTIVE
DATE (MM)DD(YY)
(POLICY EXPIRATION
DATE (MMIDDIYY)
LIMITS
!1 GENERAL LIABTUTY
i
GENERALAGGREGATE --'$2,000,000
PRODUCTS •COMPIOPAGO 2 000 Olio
B X I COMMERCIAL GENERALLIA&LITY
132106B i
07/14/98
07/14/99
CLAIMS MADE I A I OCCUR
I I
I
I PERSONAL & AOV INJURY I f 1,000,000
B X-' OWNER'S & CONTRACTOR'3 PROIJ
i
i EACH OCCURRENCE ! s 1 000 , 000
1 FIRE DAMAGE (Any ane fit*) I S 50,000
MED EXP( Any one person) s 5,000
I AUTOMOBILE LIABILITY
I 1
C
XI ANY AUTO
BYA00000169524 I
07/14/98 07/14/99,
I COMBINED SINGLE LIMIT is 1,000,000
ALL OWNED AUTOS
j
I
IBOCILYINJURY
SCHEDULED AUTOS(Por
Pt man) I f
C
IjxHIREDAUTOS
BODILYINJURY I
C
X ' NON•OW14ED AUTOS
—
I
I
1
(ParaweenQ I
PROPERTY DAMAGE I
1
I
,
IGARAGE LIABILITY
i AM ONLY • EA ACCIDENT s
_– ANY AUTO
I
j OTHER THAN AUTO ONLY:
EACHACCIDENT I
AGGREGATE j S
EXCESS LIABILITY
i
EACH OCCURRENCE a
UMBRELL♦FORM
I�
I
I
'
AGGREGATE s
S
OTHER THAN UMBRELLA FORM
I
WORKERS COMPENSATION AND
(
j WC TATU• X DTH•;
EMPLOYERS' LIABILITY
!
EL EACH ACCIDENT j$1,000,000
A
�T`FPROPPJrORI I INCL
N5043317 D
(
07/01/98 ( 07/01/99
ELDISEASE•PoucrLIMIT 141,000,000
PARTNERVIXECUTIVE —
OFFICERS ARE: X EXCL
! I
ELOISEASE•EAEMPLOYEE; S 1 1000 1000
OTHER
C jauto
phys dmg
BFA00000169524 i
07/14/98 07/14/991 coag 500 ded
Coll 500 ded
I I
OESCMPTlON Of OPERATIONBIIOCATIONSNEMCLES'SPECIALITEMS
CERTIFICATE HOLDER
CANCELLATION
VERI001
I SHOULD ANY OF THE ABOVE OESCRIBEO POLICIES BE CANCELLED BEFORE THE
EXPIRATION CATE THEREOF. THE ISSUING COMPANY WILL ENDEAVOR TO MAIL
For verification Only
DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT• i
BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LABILITY I
OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. !
AUTHORIZED PRESENTATrlE
ACORD 25•S (V95)CACORD
G. suzance j
CORPORATION 1988
TOTPL F. 0102
tA
M
1.
Environmental Health
AUG 2 4 1998
ns be
1 i8 a.ad spscImaticto
TMS s�' 776E � a P ditisus cut
t OIi X33 job 3`u � t�
$ep S�,s oA .a iio atic on " eUt ()I VubUO.
v � Grp i?c -Kjm o-
*bN l ittb11 CK yt6.
,W
6, ioaaE$9
gel 'ons4lwe,
Ora nc�
42
eit�� I.aL ➢Por
�
cnla
9
I
m
l.,
�
�
C =
S
X
CD -
LA LA r
O
x
co
03
70
�g ZZ L
1-7
n•c
0
0
3
ti
7p
1
J
,00��r � /1,/,-,Jc-
19e-jjo
{
r'
PERMIT NUMBER - 83081-72B
P
E
PERMIT EXPIRES/ /y
OWNER John Gipe
CONTR: Earl Wood, Oroville
LOCATION (A.P. 34-34-36
3321 Olive Hwy., Oroville
COUNTY OF BUTTE
Department of Public Works
BUILDING INSPECTION RECORD
Zoning
Setback
Foundation
Piers & Girders _
Rgh. Plumbing _
Bond Beam
Rein. Steel
Gas Piping & Test
Framing 4?.ga=
Plmg. Topout
Wtr. Htr.
Furnace
Firewall
Garage Vents
ELECTRIC
GAS
Temporary
Temporary
Final
Final
Forms
Fireplace
Lath & Plaster
Found. Vents
Rough Elec.
Kitchen Vent
Sanitation & Water
BUILDING
Cert. of Occup.
Final
DATE REMARKS OR CORRECTIONS
COUNTY OF BUTTE - I?EPARTMENT OF PUBLIC WORKS
7 County Center Drive — broville, California 95965 C/o
Telephone: 533-1230, Ext. 259
APPLICATION AND PERMIT
auuiunce representatives or the County or tsutte to enter upon the
above-mentionedproperty for inspection purposes.
x �5�_ y Date
Signature of Permitee or Agent > ^Z
Receipt No. o / Q 0 3Sy _
White-D.P.W. — Pink -Inspector — Goldenrod -Assessor — Yellow -Applicant
This permit is hereby issued under the applicable provisions of
the Butte County Code and/or resolutions to do work indicated
above for which fees have been paid.
DIRECTAR OF PUBLIC WORKS
JIW�1441n% P.151
Building Permit Expires Date
BUILDING
Owner t�+
��Hh �+/��
SQ. FT. OCC. BUILDING VALUATION
2N4
Mailing Address
Fireplace
Contractor t 0
Total Valuation
Mailing Address 233 C9111Yo/v /,//Gf/,(6/VP5 OR
Permit Fee
Plan Checki ng Fee &/or Penalty
cl?d .C/ E .//11r,
Permit Fee $ S d Q
$
Building Address 33 2O�/j/E//,//�
PLUMBING No. @ FEE/
PERMIT FILING FEE $2.00
e
Each Trap 1.50
Repair drainage or vent piping 1.50
Water piping 1.50
Each gas water heater or vent 1.50
A. P. No. 7j Lf — 3 3
Zoning
Gas piping system 1 - 5 outlets 1.50
Each additional outlet .50
Fire Zone
Fire Dept.
/
Sanitation ✓
Planning
Building sewer 5.00
Plans C/
Fees v
W. C.4--d
R/W
Encroachment
Lawn sprinkler system 2.00
NEW ❑ ADDITION ® OTHER ❑
Permit Fee $
$
ELECTRICAL No. @ FEE
PERMIT FILING FEE $3.00
Main service incl. 1 meter
Additional meters, each 1.00
Sub -panel (12 or less) (more than 12)
USE OF STRUCTURE Single Family V] Duplex ❑ Others ❑
Range, dryer or water heater 1.00
Oven, Cook -top or space heater 1.00
Light fixtures 20 F2T
Receps., switches & fix outlets
CONTRACTORS LICENSE LAW
I am licensed under the provisions of Chapter 9, Div. 3, of the
State of California Business & Professions Code under the name
style of: /
E )'
�a r/ / , tX/00 � !t 1,1'r"16
Hood, Ex. Fan or F.A. Furn. Motor 1.00
Evap. cooler, gar. di sp. or D.W. 1.00
Air conditioner or heat pump
Water pump
Misc. wiring
License No. a3S 3 e 3 Classification `
❑ I am exempt from the Contractors License Laws of the State of California.
Permit Fee $
$
WORKMEN'S COMPENSATION INSURANCE
1 am aware of the provisions of Section3700 of the California Labor
Code which requires every employer to be insured against liability
for Wor n's Compensation.
have placed on file with the County of Butte a certificate of
Workmen's Compensation Insurance.
I certify that in the performance of the work for which this
El permit is issued I shall not employ any person in any manner
so as to become subject to the Workmen's Compensation Laws of
California.
I certify that I have read this application and state that the above
information is correct. I agree to comply to all County Ordinances
and State Laws relating to building construction, and hereby
MECHANICAL No. @ FEE
PERMIT FILING FEE $3.00
Heating
Cooling
Ventilation
Permit Fee $
tate Fee for Str rg Motion $0.07/$1000 Evaluation
n5te Fee for n (grogram
$
$t®
I TOTAL PERMIT FEE
$ �, V- ty
auuiunce representatives or the County or tsutte to enter upon the
above-mentionedproperty for inspection purposes.
x �5�_ y Date
Signature of Permitee or Agent > ^Z
Receipt No. o / Q 0 3Sy _
White-D.P.W. — Pink -Inspector — Goldenrod -Assessor — Yellow -Applicant
This permit is hereby issued under the applicable provisions of
the Butte County Code and/or resolutions to do work indicated
above for which fees have been paid.
DIRECTAR OF PUBLIC WORKS
JIW�1441n% P.151
Building Permit Expires Date
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive - Oroville, California 95965 - Telephone (530) 538-7541 ERMI� O.
(Rev. 12/96) APPLICATION AND PERMIT f :ZY
ASSESSOR PARCEL NUMBER
068— 2-0—
ZONING
BUILDING PERMIT
OWNER
TELIDNONE
SO. FT. OCC. BUILDING VALUATION
OWNERS MAILING ADDRESS
CONTRACTOR'S NAME
TELEPHONE
CONTRACTORS MAILING ADDRESS
CONSTRUCTION LENDER
Fireplace
LENDER'S MAILING ADDRESS
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee $
20.00
Permit Fee i ORIGINAL $
36.00
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee $
BLIILQ!( 1YREftIVE HWY, OROVILLE
3 Ll U
Energy Plan Checking Fee $
$
PERMIT FEE $
56.00
LAT NO.
SUBDIVISION'S NAME
PARCEL MAP
PLUMBING PERMIT
Filing Fee 20.00
USEOFSTRUCTURE
SF ❑ Duplex ❑ Mobilehome ❑ Other COV PATIO
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 j(
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑
Describe Work: 1ST RENEWAL/98-1914
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home S I G I W
920.00
PERMIT FEE t
ELECTRICAL PERMIT
Fling Fee 20.00
Main Service xw 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.
OWNER -BUILDER DECLARATION
1 hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
❑ I, as owner of the property, or my employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
❑ I, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
❑ 1 am exempt under Sec. Business and Professions Code for this
reason
WORKERS' COMPENSATION DECLARATION
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.
❑ I 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.)
❑ 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
workers' compensation provisions of section 3700 of the Labor Code, I shall
\; forthwith comply with those provisions.
X
Signature of Applicant - ❑ Owner ❑ Contractor 4Agent
An OSHA permit is required for excavations over 5'0" deep and demolition or construction
of structures over 3 stories in height.
Main Service 200A TO 1000A 46.00
NEW CONST. DWELLING UP. SO
OR ADONS. ( a ACCBRANC. BUDS. 3.5¢Fr:
Npµq�,p MULTI.OUTLET 97,50
POWER APPARATUS
a sWGLE OLmET CIR.
Ex. Occup. OLmtT OR FIXTURES 20 @ 1.00
BAL @ .s0
Ex. Occup. oPIXUTEiFTs RM.OERA 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring 23.00
PERMIT FEE $
MECHANICAL PERMIT Fling Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEi: 1 $
Mobile Home Installation Fee $
Energy Inspection Fee is
OCC
CONST. TYPE
TOTAL FEE $ 56.00
HAz.
D. FEES IMP
FLOOD
CDF
_
PARCELPo
HD
ISSUE
This permit is hereby issued under the applicable provisions
of the Butte County Code and/or Resolutions to do work
indicated above for which fees have been paid.
By Date
9/1/2000
.. ....