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068-342-009
j 68-342-9 l VICTOR MARTINEZ 4139 Hilldale Avenue., Oroville Permit51-84B,P,E(remodel/SF) 68-3'42.09:3 92-1884B' MARTINEZ, Victor `- ,4139 Hilldale Ave, Orovi, e reroof/sf ------1883B, P .68-342-09 MARTINEZ, Victor 4139 Hlldale e, Oroville detached sho 0 068-342-009 05-2653 MARTINEZ, VICTOR & ROSIE 4139 HILDALE>AVE, OROVILLE Cont: OWNER HVAC q_ 114- e a • Butte County Department of Development Services. N .O T E S 7 County Center Drive, Orovilie, CA 95965 e (530)538-7601 www.buttecountyneVdds ecepNtye RESIDENTIAL `APN: Permit No. 068-342-009 05-2653 Owner: -..MARTINEZ,-VICTOR &-ROSIE- — - �Site'Address: 4139 HILDALE AVE, OROVILLE Cont: OWNER Contractor. _ HVAC, Type of Permit: ` y f Y N CHECKED BY SRA FLOOD CERTIFICATE EQUIRED FIRE SPRINKLERS REQUIRED SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER ENCROACHMENT PERMIT REINSPECTION FEE PAID ENV HLTH CLEARANCE C_ w L .=OK 0 = Not OK MANUFACTURED HOMES MISCELLANEOUS DATE PERMANENT FOUNDATION SOFT -SET 1 Zoning -Setbacks -Easements 2 Soils; Special MH Support Sketch 3 Sewer; Loctn-Test; Fall/C/O-Concrete 4 Wtr; Loctn-Test-Easement Needed -Regulator 5 Elec Loctn-Cirncs-Grnd Amp -Concrete 6 Yard Gas; Loctn-Test-Wrap Nat Q or LPQ Inch Sz Ft Lngth 7 Blckng; SzSpacing-Marriage Line 8 Gas; MH Test-Demand-Valve-Cnnctr 9 Elec MH Cntnty Test-Crossovers-Breakers-Cirncs 10 Drain; MH Test -Fall -Flex Cnnctr 11 Wtr & Sewer Connected -C/O to Grade 12 Gas and Electricity Tagged 13 Tie Downs Q Foundation Q 14 Exits 15 Cert of Occupancy T 16 HUD Label/Insignia Numbers Serial Numbers DATE D E C K S'C O V E R S'C A R P O R T S'G A R A G E S o' 1 Zoning -Setbacks -Easements 2 Ftgs; SoilsSz-Dpth-Spacing-CnnctrsSteel 3 Decks, Girders/Joists-Dcking-Brcing _ Stairs-Guard/Handrails 4 Wood Awn; Posts-Beams-Rftrs-Cnnctrs-Shthg Frmg-Brcng 5 Alum Awn; Columns-CnnctnsSplice-Decal-Enclsrs 6 Carports; Wndws-Doors 7 Electric .' 8 Frmg; Sills-AnchrsStuds-Rftrs-Trusses 9 Siding; Nailing -Veneer -Stucco -Lath 10 Roof; Shthg-Roofing 11 Ext; Steps -Doors -Landings 12 Braced Wall pnls m�1$ DATE IPOOLS oqm 1 Setbacks -Easements 2 -Soils; Compaction -Structure Stability 3 Pool Structure; Steel-Cnnctns-Thickness Dead Men -Lining 4 Elec Rcptcls/Lting; Distance-GFI 5 Elec Pool Lting; 15 volts-GFI 6 Elec Enclsrs; Conduit Entries -Terminals -Listed 7 Elec Bonding; Metal w/5'-Crcltng Eqp-Htr 8 Elec Grndng; Eqp w/5' Crcltng Eqp-Pool Ightg Boxes-Enclsrs-pniboards-Insultn to Main Conduit 9 Health Dept Apprvl : 10 Plmb; Cir Test-Wtr Supply Test 11 Lt Niche 12 Enclsr; Fencing -Alarms 13 Bonding, Diving board or Slide ,0� oq 0c ' Pool Drawing .=OK 0 = Not OK I _ _• RESIDENTIAL (Single. & Duple'x)- DAtt JUNDERFLOOR DATE IPLUMBING ` 1 ZoningSetbacks-Easements-FloodSlope 53 Wtr Htr; Vent-Acc-Cmbstn Air Baffle 2 Ftg Main; Soils-Elec Grnd Ftg Dpth 54 Wtr Pipe; Test & Anchr-Nail Prtctn 3 Ftg Garage; Soils-Steel-Elec Grnd Ftg Dpth. 55 DWV; Test Fittings & Anchr Nail Prtctn 4 Ftg Porches/Decks; Soils -Steel Ftg Dpth ' 56 Shwr Pan; Test, First fir -Tub Acc 5 Stemwalls Main; Steel-Blockouts-Wrapped 57 Test Tub & Shwr, 2nd fir - Tub Acc 6 Stemwalls Garage; Steel-Blockouts-Wrapped 58 Gas Pipe; Sz & Anchrs 6a Hold Downs and Special Anchrs 59 Fire Sprinkler; Test 7 Slab, Steel Wrapped 60 Yard Gas Piping 8 Piers-Frpic Ftg-Steel 9 DWV; Fall -Fitting -Test -2 -way C/0 -Sewer Test 10 UF, Gas Pipe; Sz Anchrs-Sz Test 11 Wtr Pipe; Test-Anchrs-RgltrService Test 12 Elec Undrgrnd DATE IMECHANICAL 13 Plenums & Ducts; Clrnc-MaterialSupport-Insultn 61 AC Ducts Insultn & Support 14 Girders-Sills-Anchr Bolts Joists-Vnts-Cripples 62 Vent Fan, Exhaust abv Insultn 15 Acc & Vntltn 63 Condensate Drain & Ovrflw, Sz & Grade 16 Insulation 64 Furnace -Vent Acc-Comb Air Rtrn/Vent 115 Outlet 65 Attic Acc & Pitfrm if Furnace in attic DATE IFRAMING 17 Sills Proper Materials & Anchrs DATE F I N A L 18 Walls Studs -Nailing Spacing & Braces -Plates -Sound 66 Ext Steps -Door & SideLt Prtctn-Landings 19 Bearing Walls over Girders & fir Nailing 67 Smoke Detector 20 Draft Stop in Walls (rat proof) 68 Furnace Vnts-Cirnc-Comb, Air-Cnnctr 21 Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs In Garage; abv-flr-Ducts-Mech Prtctn 22 Headers & Beams-Sz & Bearing 69 Bedroom Exiting 23 Hangers -Post Caps-Anchrs-Cnnctns 70 GFI & Bath Fxtrs & Tub Acc-Spa 24 Ceiling Joist-Rftr Ties-Purlin-Roof Brac-TrussShthg 71 GFI Arc Fault 25 Frplc Ties or Type A Flue-Frpic Throat Clrnc 72 Elec Trim & Subpna, Breaker Szs & Labels 26 Attic Acc; Sz & Rmx Prtctn-Draft Stop -Ins Baffles 73 Stairs, Guard/Handrails 27 Bdrm Wndws or Exiting Doors -Sill Ht & Dimensions 74 Frpic or Stove, Cirnc-Hearth 28 Garage Fire Prtctn Framing -RC Channel 75 Elec Outlets at Wood Pnl, Int & Ext 29 Prprty Line Firewall & Opngs 76 Ktchn, Fxtr & Appinc; Grnd-Air-Gap-Cooking Cirnc 30 Ext Doors -One X -Check Garage 3rd Story, 2 Exits 77 Elec Outlets & Rcptcls at Ktchn Counter 31 Stairs; Width-Hdrm-Rise-Run-Landing-Fire Prtctn 78 Garage Fire Door; Swing -Landing -Closure 32 Plywd on Roof Ovrhng-Attic Vnts-Rftr Outrgrs 79 AC Duct in Garage -Damper 33 Siding -Nailing Veneer 80 Wtr Htr; Vnts-Clrnc-Com Air Cnnctr-PRV; abv fir 34 Stucco Lath -Weep Screed-Fndtn Vnts-Undrfir Acc Mech Prtctn; LPG Appince Undr House 3" drain 35 Glazing Area -Glass Prtctn -Sky Lts -Plastic 81 Plmb; Elec & Mech Eqp Listed for Loctn 36 Shear Walls; Nailing -Bolts 82 Elec Rcptcls in Garage (GFI) Romex Prtctn 37 Brace Int/Ext Wall pnis 83 Insultn-Foam-Looked in Attic 38 Insultn-Walls-Ceilings 84 Guard Rails & Deck Cnstrctn-Post Caps 39 Infiltration-Walls-Wndws 85 Fndn Vnts & Crawl Hole Door Drnge & Wood -Earth 86 Cirnc Drnge Planters ❑Yes [::]No 87 Stucco Brown -Finish 88 AC Unit Dscnnct, Elec-Plmb 89 Vnts abv Roof, Plmb-Appinc-Frplc-Cirnc to Opngs DATE JELECTRICAL 90 Wtr Well, Dscnnct, Elec, Plmb 40 Fxtr & Trnsfrmr Cirnc-Ins Prtctn 91 Ext Elec Trim, GFI Rcptcl-Undrgrnd 41 Elec Rcptcls Spacing-Lts & Switches at Doors 92 Vntltn thru House 42 Sz Boxes & No Of Cndctrs Stapled 93 Glass Prtctn 43 Romex Installed Close to Edge of Studs & CJ 94 Corrections from previous lnspctns 44 Eqp Grnd made up w/Mech Fstnrs 95 Gas Test -Meters Tagged, Gas-Elec 45 Grndng Electrode Bond Gas & Wtr 96 Wtr & Sewer Cnnctd-C/O to grade -HD Apprvl 46 2 Appinc Cires in Ktchn & Cndctr Sz GFI 97 Energy Cmpinc Cert -Other Certs 47 Subfeed Wire Sz ga ❑ CU or ❑ AL 98 Address Posted AC Wire Sz ga ❑ CU or ❑ AL 99 Fire Sprinkler 48 Range Circ ga ❑ CU or ❑ AL Oven Circ ga ❑ CU or ❑ AL Insulated Neutral ❑ Yes ❑ No 49 Service -Riser Cndctrs & Grnd Main Dscnnct 50 Eqp Clrncs pnis-Motors-Mech Eqp 51 Clothes Closet Lt-Shwr Lt -Spa Lt 52 Smoke Detector 41 oma° • • e o0 °` BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT , 24 HOUR INSPECTION All: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 FAX#: (530)538-2140 WEBSITE: www.buttecounty.netWds 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 the Business and Professions Code, and my license is in full force and effect. License Class: License Number: - Date: Contractor. OWNER -BUILDER DECLARATION 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 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 State 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 Seclion,7031.5 by any applicant for a permit. subjects the 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 of propertywho 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' State License Law does .not apply to an owner of property who builds or improves the and who contracts for such projects with a. contractor(s) licensed pursuant to the Contractors' State License Law.). ❑ 1 am Exempt under Article the Business and Pr5essio Code Date:q-2 y O5 Owne : - WORKERS' COMPENSATION DECLARATIO I 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 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: Policy ❑ I certify that in the performance of the work for which this permit is issued, 1 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. Pmn.1530. Issued Date: 09/29/2005 APN: 068-342-009-000 Site Address: 4139 HILDALE AVE ORO Map Index: Description: NEW HVAC UNIT Owner: MARTINEZ VICTOR.M JR & ROSIE E 4139 HILDALE AVE OROVILLE, CA 95966 Applicant: MARTINEZ VICTOR M JR & ROSIE E 4139 HILDALE AVE OROVILLE,-CA 95966 Contractor: License #: Architect: Engineer: Total Square Ft: 0 S.F. Valuation: $0.00 Census Code: Date: ll�'.` j�✓% rn� Applicant: �5 . WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one I -2q - O 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 issued under the applicable provisions of the Bnffe County Codn anrvor I hereby affirm that there is a construction lending agency for the Resolutions to do work indicateP above for which fees have been paid. performance of the work for which this -permit is issued (Sec 3097 Civ.) —n !•�L Name: By: Date: `G 1'V J U - 0/1 r Address: PERMIT EXPIRES 0 ❑ I 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 td 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 representatives of Butte County to enter upon the above mentioned property for inspection pun0. S I Print Name: 1 VI ( - J Signature: Date: *Owner EIContractor 13Agent for Owner ❑ Agent for Contractor BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION M (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 FAX#:(530)538-2140 WEBSITE: www:buttecounty.net\dds ' _..`P6F0�6530' . LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under Issued Date: 09/29/2005 APN: 068-342-009=000 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 Site Address: ' 13 HI 49 HILDALE AVE ORO. effect. License Class: License Number: Map Index: Date: Contractor. Description: NEW HVAC UNIT OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec" 7031.5 Owner: MARTINEZ VICTOR M JR & ROSIE E 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 4139 HILDALE AVE 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).): ❑ 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 Applicant: MARTINEZ VICTOR M JR & ROSIE E 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, 4139 HILDALE AVE provided that such improvements are not intended or offered for OROVILLE CA } sale. If however, the building or improvements are sold within one 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.). 1, 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' State License Law.). O 1 amExempt under Article the Business and Pr essio Code . ��-pt� - Date:q�� Owne : WORKERS' COMPENSATION DECLARATIO I hereby affirm under penalty of perjury one of the following declarations: License M ❑ 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. Architect: ❑ 1 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: Policy #: Total Square Ft: 0 S. F. Valuation: $0.00 ❑ I certify that in the performance of the work for which this permit is Census Code: 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: Applicant: WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one 11t -2q - O hundred thousand dollars ($100,000), in addition to the cost of I compensation, damages as provided for in Section 3706 of the tabor - code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY This permit is hereby issued under the applicable provisions of the Mitts County Coda anrtlor I hereby affirm that there is a construction lending agency for the Resolutions to do workindicate above for which fees have been.paid. performance of the work for which this.permit is issued (Sec 3097 Civ.) Name: BY: j Date:9 T - PERMIT EXPIRES 2q-0rA Address: ON: Date ❑ I 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. 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 representatives of Butte County to enter upon the above mentioned property for inspection / Print Name: yh(} / / /(r/ T! i�r' Z�' ' ��/ Signature:- 3zZfZ4 Wyls - to �L Date: 9_ -O -to 6�� Owner ❑ Contractor 0 Agent for Owner O Agent for Contractor TTS BUTTE COUNTY o DEPARTMENT OF DEVELOPMENT SERVICES O BUILDING PERMIT APPLICATION C AND SUBMITTAL REQUIREMENTS �_'•:�a `0 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OF APPLICATION **PLEASE PRINT CLEARLY** OWNER La�,,��Jlame Nci t i /L Z Fi t Name Addres 13 9 i l CIr/ G City (AVL1it e attA `195'Y6 6 Ph e-30 5 -v- p TFtax E-mail APPLICANT NAME CONTRACTOR Name Ci � Address Zi p City Fax State Zip Phone Book Fax E-mail Planner Lic. # Class APPLICANT NAME ARCHITECT/ENGINEER Name Ci � Address Zi p City Fax State Zip Phone Book Fax E-mail Planner State License Number APPLICANT NAME Nam lC/11 6 Mal, t/A Address,-/,,, ddressy13 9 lc! tr'le AV, Ci � Statee Zi p Phone Fax E-mail APPLICANT SIGNATURE For office use only: Zoning Pro erty Address. '1 %/ Flood Zone Crro� ss Street SRA I Yes No Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: PERMIT NO. BP0 52(o5 BIN # LOCATION AP# _ n r 00 L. Pro erty Address. '1 %/ Ci �i�ov% `lam Crro� ss 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 Description or Scope of Work: re lac ¢ a%�difon% Sq. Footage I y • CD /"O ❑ 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. I I Received by: K.,6 Amount: G° Bldg I I OVER FOR SUBMITTAL REQUIREMENTS K:\FORMS\BUILDING FORMS\BIdgApplSubRgmts.doc Page 1 of 2 Receipt #: 3q% 0$ Sheriff SMIP Date: -29-05 Other Gr (3D - REV 6-16-04 SUBMITTAL REQUIREMENTS The following drawings and specifications must be submitted to the Building Division in order to apply fora permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK Residential, New, Remodels, Additions, and Accessory Structures: ❑ 1. 3 Site Plans, signed by the preparer. NO GRAPH PAPER! ❑ .2. 3 Complete sets of plans, signed by the preparer. NO GRAPH PAPER! OR 3 Sets Engineered plans (if required) with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 3. 2 Engineered truss details and layouts (if required) (NO FAXES!). ❑ 4. Letter from Engineer or Architect for truss design review. ❑ 5. 2 Energy compliance design and supporting documentation. (Note: Not required for additions to mobile or modular homes) ❑ 6. 2 Flood Elevation Certificate, wet -stamped and signed (if required). ❑ 7. Detached Accessory Building Form, filled out by the property owner (if required). ❑ 8. Sanitation and site plan approval from the Environmental Health Department. ❑ 9. Metal Buildings: (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. Mobile, Manufactured, or Modular Homes: ❑ 1. 3 Site Plans, signed by the preparer. NO GRAPH PAPER! ❑ 2. 2 Data sheets and installation instruction manual. ❑ 3. 2 Marriage line information. ❑ 4. 2 Floor plans. ❑ 5. 2 Engineered Tie Downs or Foundation plans. ❑ 6. Sanitation and site plan approval from the Environmental Health Department. ❑ 7. 2 Flood Elevation Certificate, wet -stamped and signed (if required). Commercial, New, Additions and Remodels: ❑ 1. 4 Site Plans, signed by the preparer. NO GRAPH PAPER! ❑ 2. 4 Engineered plans with wet signature on plans AND 2 sets of stamped and signed calculations, with code analysis. ❑ 3. 2 Engineered truss details and layouts (if required) (NO FAXES!). ❑ 4. Letter from Engineer or Architect for truss design review. ❑ 5. 2 Energy compliance design and supporting documentation (if required). ❑ 6. 2 Flood Elevation Certificate, wet -stamped and signed (if required). ❑ 7. Statement of Intent for Non -heated and A/C (if required). ❑ 8. Metal Buildings: (A) Metal Bldg Plans, (B) Fnd plans and talcs in triplicate, (C) Elevations in triplicate, (D) Floor plans in triplicate, All of these must be stamped and wet -signed by the engineer. ❑ 9. Letter of intent. ❑ 10. Hazardous Material Form. ❑ 11. Sanitation and site plan approval from the Environmental Health Department. If you have questions or would like additional information regarding this process, contact a Permit Application Assistant at (530) 538-7541. OVER FOR BUILDING PERMIT APPLICATION KAFORMS\BUILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2 REV 6-16-04 ry 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 youi earliest opportunity to`avoid unnecessary delay, in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and material for construction of this pioposed property improvement: YES { ] NO [x]. 2. I HAVE ' ] 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: 01) kr) o cx 3 _ - 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 providesome of the work but I'have contracted (hired) the following persons to.,provide the work indicated: - x NAME ADDRESS PHONE TYPE OF WORK SIGNED: ; PROPERTY OWNER: - DATE: NOTE: This Owner -Builder verification is required by Section 19831 and 1.983.2 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. Rev'd 17/4/2004 Butte County Department of Development Services ADMINISTRATION = BUILDING • 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 insurance. 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 or through their own employees, without a licensed contractor or subcontractor, only under lunited 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 owner -builder 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, *44) Scott Rutherford Chief Building Inspector NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code. I�`Y.`T"��,d*�'-v«r,T�<•'�ti.".;:+.Y....;;,,-sw�-'.:."37�'i�-,.-�T%u�°i�'. i...,.. -••+...-s H�4"r.-•1f''_5..,;..n�S..rr,,,:sr`r"""-.:�„t-ih.:�"�`-_I�iy,+=6+r"•�Lyf'?fra7'.�'e'+'.'..rtlryy�lV :s.a't1 �?it'.�71�IIA COUNTY Oft BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT 7.0 7 County Center Drive - Oroville, California 95965 :Telephone: 916.'538-7541 -� APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 068-342-.009 ZONING AR BUILDING PERMIT OWNER VIC110R WTIN& TELEPHONE 534-0260 SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 4139 HILLDALE AVE OROVILLE 13 ?80.00 15 SQ BUILT 130.00 CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $910,00 LENDER'S MAILING ADDRESS Filing Fee $ 15.00 Permit Fee $ 22.50 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 4139 HILLDALE AVE OROVILLE Permit fee $ 37.50 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 SF Jr] Duplex❑ Mobilehome❑ Other I SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S I G W @ 15.00 TYPE OF WORK New ❑ Addition U Remodel C Utilities ❑ Installation❑ Other ❑ Describe work: REROOF WITH Permit Fee $ Contractor ELECTRICAL PERMIT FilingFee 15.00 Main service 600V OR LESS 200A OR LESS 18.50 Main service 200A TO IOOOA) _ 37.50 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 .Jo. Classification I, as the owner, or my employees with wagestas their Sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) f ❑ 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 CONST.// DWELLING OCCUP.tr OR ADDNS. ( ACC. BLOGS. 3.64 sq.ft. NEW CONSTR. MULTI -OUTLET NON•RESID BRANCH CIRC ITS I @ 5.00 POWER APPARATUS &) (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20 Z 760 FIXED APPLNS. OR EX. DCCUp. OUTLETS (RESID.) EA.) I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. byirin g 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 Coolin g 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 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.-s�d County in consequence of the granting of this permit. X(-`�L--`�-A E-' �4 f u,►' Date �.3 - % �l Signature of Applicant - Owner Cont7dEtor ❑ 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 $ OCC CONST TYPE TOTAL FEE $ 37.50 HAz 1 DFEES I IMP I FLO CDF PARCEL PD HD ISSU This permit is hereby issued under the applicable provi sions of the Butte County Code and/or resolutions to do - , work iodic ted abov f which fees`have been paid. DIRE' OF PUBLIC WORKS By U/12 PERI1lIlt EXPI ES Date�'i p l �t4 /11/%( , ' Receipt No. 116198 11 f - WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD-APPLI CANT f,. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916.538-7541 APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER- 068-342-009 L ZONING AR f BUILDING PERMIT OWNER VICTOR MARTINEZ TELEPHONE 534-0260 SO. FT. OCC. BUILDING VALUAT� 13 S COMP 78 . OWNER'S MAILING ADDRESS 4139 HILLDALE AVE OROVILLE 15 SQ BUILI 130.00 CONTRACTOR'S NAME 014NER TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation is 910.00 Filing Fee $ 15.00 LENDER'S MAILING ADDRESS Permit Fee $ 22.50 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS4139 HILLDALE AVE OROVILLE Permit fee $ 37.50 PLUMBING PERMIT Filing Fee 15.00 Each Trap 1 5.00 Solar or heat pump water heater 1 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each pas water heater or vent 7.00 USE OF STRUCTURE SF 7P Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S G W @ 15.00 TYPE OF WORK New❑I Addition❑ Remodel[] Utilities❑ Installation❑ Other E] Describe work: RETOOF WITH COMP Permit Fee $ Contractor ELECTRICAL PERMIT I Filing Fee 15.00 Main service R LESS 200AORLES S 18.50 Main service 20CATO1000A) 37.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of 6apt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification 1, 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 CONST. DWELLINGoCCUP.&` OR ACDNS. ( ACC. BLDGS. / 3.60 sq.ft. NEW CONST". r UTLET NON -REST D- BRRAANNCCHHCIRC ITS @ 5.00 POWER APPARATUS& (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20 @ 76d A FIXED APPLNS. OR Ex. Occup. OUTLETS (RESID.) EA.� I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring g 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. Noice 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 g 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 -d County in consequence of the granting of this permit. X C� 3 -�� Date Signature of Applicant — Owner Conir for ❑ 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 $ Energy Inspection Fee $ OCC CONST TYPE TOTAL FEE $ 37.50 HAz 1 OFEES I IMP FLOp9 / COF PARCEL 13 HD ISsu This permit is hereby issued under the sions of th Butte County Code and/or which a DIRE UB work i is ed aboJqFF By PER I E PI ES Date applicable provi- esolutions to do ave been aid. p ORKS Date Receipt No. 1161Q8 WHITE-D.P.W., TELLOW-ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF`BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone: 916!538-7541 APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER —� VD ;;ON I G12 BUILDING PERMIT OWNER v OJt. //Z IE EPHONE,t, SO. FT. OCC. BUILDING VALUATION OWNER'S 4AAIL NG A ORE55 f! Q� / Al 31 C( tiall- Y Y6/ %� 13 D CONTRACTOR'5 NA E D lu /V TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation I $ 6 0 X15.00 Filing Fee $ LENDER'S MAILING ADDRESS Permit Fee $ Z Z . -L> ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS // 1GJ� /57 r IP40 L l/ // Permit fee $ 9.50 PLUMBING PERMIT Filing Fee 15.00 �5 Each Trap 1 Solar or heat pump water heaterLOT NO. SUBDIVISION NAME PARCEL MAP Water piping Each qas water heater or vent 020.001 - USE OF STRUCTURE Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outletsSF Building sewer Mobile Home S G W TYPE OF WORK New❑ Addition Re/r/ypdel ❑ Utilities ❑ Installation[] Other Describe work: /���4A // 4-i GU r'?y/ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 - Main service 600VORLESS 200A OR LESS j$,50 Main service 200ATO1000A1 37.50 CONTRACTORS LICENSE LAW I declare under p y p jy (check one): penalty of perjury ) ❑ 1 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 ❑ 1, as the.owner, or.my employees with wages as their sole_ co'—Ex. 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- (Sec. -7044 - ❑ I am exempt under Sec. Business and Professions Code for this reason NEW CONST. ( DWELLING OCCUP.&) OR ADDNS. ACC. BLDGS. 3.56sq.tt. NEwCONSTR ULT' -OUTLET NON-RESID BRANCH CIRC ITS @ 5.00 POWER APPARATUS &) ( SINGLE OUTLET CIR. Ex. Occup( OUTLETS OR FIXTURES 20 760 FIXED APPLNS.'OR Ex. Occup. OUTLETS (RESIOJ EA'.) 1 3.00 Temporary service - 15.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00ors. Permit Fee $ Contractor — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): (1 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. F-]. 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 Filing Fee 15.00 Heating Cooling g 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. 1 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 — Ownersions ❑ Contractor ❑ Agent ❑ An OSHA permit is required For excavationss ooverver 5'0" deep and demolition or construct- ion of structures over 3 storiesin height. Mobile Home Installation Fee S Energy Inspection Fee $ OCC CONST TYPE TOTAL FEE $ 3%SZ HAz DFEES I IMP I FLOOD I CDF PARCEL PD I HD ISSUE This permit is hereby issued under the of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By PERMIT EXPIRES Date applicable provi- resolutions to do have been paid. WORKS Date Receipt No. I i0' l D WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY-OF'BUTTE-,D@partment.of Public Works 7 County Center Drive, Orovil;le,'CA 95965 Phone:, 916-538-7541 OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building permit has been applied fox 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 peratit 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) S av tavZno,Akz�e- a signed an'application for a building. permit for t e _p work: 3. "I have contracted with the following person (firm) to provide the proposed construction: Name + Address City Phone Contractors License -No. _. -4. I plan to provide portions of this work, but, I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. .5. I. will provide..some .,of the.work but '.I have contracted .(hired) .the .fo1lowing. persons to provide. the work indicated`:... _ Name Address .' ' Phone - -Type of Work Signed: Property Owner424 f Social Security Number Date. fes _3-98' - - - 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 per- mitted to issue the permit. RESIDENTIAL 68-342-09 92-1883B,P SII MARTINEZ, Victor 4139 Hilldale Ave, Oroville rl' detached shop Y, a, r A r i H .t JOB FINALE Signature i .1 OK O = Not OK Not = Not Readyable MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s and B-1 Date Card B-1 ,Bard B-1 Date Card B-1 1. Zoning Requirements -Setbacks -Easements POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Special MH Support Sketch 0 2. Soils; Compaction -Structure Stability 3. Sewer; Location -Test -Fall -C/O Concrete 1 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Water; Location -Test -Easement Needed (Sketch) 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete j 5. Elec.; Pool Lighting; 15 volts-GFI 6. Gas; Location -Test -Wrap: / /" L"ft. / /"Nat. or/ /" L"ft./ P'LPG 6. Elec.;Enclosures; Conduit Entries -Terminals -Listed 7. Well Clearance & Disconnect : 8. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card 6-1 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 i 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch + 10. Cert. of Occupancy Date Card B-1 Date Card B-1 e Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS; COVERS, CARPORTS, GARAGES, (Plans)OK except #'s, 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils-Size-Depth-Spacing-Connecto-s-Steel 3. Decks; Griders and/or Joists-Decking-Bracing-StaiFs-Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Car ts; Windows -Doors o I Eric Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. _ Boxes-Enclosures-Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date-, Card B-1 Date Card B-1 Date Card B-1 Date Date and B-1 Date Card B-1 ,Bard B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.;Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. _ Boxes-Enclosures-Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date-, Card B-1 Date Card B-1 Date Card B-1 J=OK O=Not OK = Not Applicable Not Ready RESIDENTIAL (; = Date UNDE LOOR (Plans) OK except #'s onin Setbacks -Easements -Flood -Slope din; Soils-Elec. Grnd.-/ /" Ftg. Depth g., Garage; Soils-Steel-Elec. Grnd.-!yg. Depth 4. Ftg.,'orches & Decks; Soils -Steel-/ /Ftg. Depth 6.-'Ttem!�Os, Main; Steel-Blockouts-Wrapped emwalls, Garage; Steel- Blockouts-Wrapped 6a. Hold Delwns and Special Anchors Steel -Wrapped 6. Piers-' eplace Ftg.-Steel V.; Fall -Fitting -Test -2 Way C/O -Sewer Test _LQ_UF. Gas Pipe; Size -Anchors - yard gas piping: size -test 13 -Water Pipe; Test -Anchor -Regulator -Service Test 32- Electric; Underground 1.3-Pienums & Ducts; Clearance -Material -Support -Ins. 44.--Girders-Sills-Anchor Bolts -Joists -Vents -Cripples TS -Access & Ventilation 16. Insulation 4 J Date ��-`jZeard B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit).OK except #'s 16. Water Htr.: Vent -Access -Combustion Air -Baffle 17. Water Pipe: Test & Anchor -Nail Protection -------- -------- ------------------------- 18. D.W.V.: Test -Fittings & Anchor -Nail Protection ---------------------- ------------------- 19. Shower Pan; Test. First Floor -Tub Access -------------- ------------------------- 20. Test Tub & Shower, Second Floor -Tub Access 21. Gas Pipe: Size & Anchors Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 22. Fixture & Transformer Clearance -Ins. Protection ----------------------- ------------------------------------------- - - - 23. Elec_Receptacles Spacing -Lights & Switches at Doors 24. Size Boxes & No. of Conductors -Stapled 25. Romex Installed Close to Edge of Studs & C.J. ------------------------------------------------------- ---------------- 26. Equip. Ground made up w/Mech. Fastners-Bond Gas & Water ----- ---------------------------------------------------------------- 27. 2 Appliance Circuts in Kitchen & Conductor Size!GFI ------------ ------------------------------------------ 28. Subfeed Wire Sizer ga. Cu or AI-A.C. Wire Size / ! ga Cu or Al ----------------- ---------------------------------------- 29. Range Circ. ! i ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral IDYes ❑ No --- ------ - - ------------------ ---------- ------------------- 30. Service -Riser Conductors & Ground -Main Disconnect ------------------------------------------- 31. Equip Clearances Panels -Motors -Meth. Equip. ------------- - ----------------------------------------------- 32. Clothes Closet Light -Shower Light -Spa Light - --------------------------------------------------------------- -------- - ---- - - - -- 33. Smoke Detector ------------------------------------------------------------------------ ----------------------------------------------------------------------------------- Date Card -B-1 Date Card -B- 1 --------------- ----------------------------------------------------------------- Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 34. A. C. Ducts Insulation & Support ------------------------------------------------------ 35. Vent Fan Exhaust above insulation --------- ----------------------------------------------------------- 36. Condensate Drain & Overflow: Size & Grade ---------------------------------------------- _--------- 37. Furnance-Vent: Access -Comb. Air -Return Air Vent -115 outlet ---------- ----------------------------------------------------------------- 38. Attic Access & Platform if Furnance in Attic -------------------------------------------------------------------------------- Date Card -B-1 Date Card -B-1 ------------------------------------------------------------------------------ Date Card _B- 1 Date Card B-1 Date FRAMING (Plans) OK except #'s 39. Sils. Proper Material & Anchors -------- ------- ------------------------------------------------------- -------- 40. Walls Studs -Nailing. Spacing & Bracing -Plates -Sound ------ -------------------------------------------------------- 41. Bearing Walls over Girders & Floor Nailing ------------- -- --- ----------------------------------------------- 42. Draft Stop in Walls (rat proof) ------------ ----------------------------------------------------------- 43. Fire Stops: Furred Ceilings -Stairs -Chases -Tub ------------- -- - - --- -------------------------------------------- -------- 44. Headers & Beam -Size & Bearing Mngle & Duplex) Date FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connectors ---- 46_Cing. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Rfng. 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 48. Attic Access: Size & Romex Protection -Draft Stop -Ins. Baffles 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions _ 50. Garage Fire Protection Framing 51. Property Line Firewall & Openings ------------------------ 52. Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits 53. Stairs: Width -Headroom -Rise -Run -Landing -Fire Protection --- -- - 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers _________ 55. Siding -Nailing Veneer 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access _ 57. Glazing Area -Glass Protection -Skylights -Plastic 58. Shear Walls: Nailing -Bolts 59. Insulation -Walls -Ceilings 60. Infiltration -Walls -Windows -------------- ----------------------------- Date Card B-1 Date Card B-1 ------------------------------ -- Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 61. Ext. Steps -Door & Sidelight Protection -Landings 62. Smoke Detector 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garaqe; Above Floor -Ducts -Meth. Protection ----------------------------------- 64. Bedroom Exiting 65. G.F.I. & Bath Fixtures & Tub Access -Spa -------- 66. Elec. Trim & Subpanel: Breaker Sizes & Labels 67. Stairs & ------------------------Rails------------ - 68. Fireplace or Stove: Clearances -Hearth - -------- ------------------------------ 69. Elec. Outlets at Wood Panel: Int. & Ext. -- - --- - - - - -------------------- ---- -- 70. Kit Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance 71. Elec. Outlets & Receptacles at Kit. Counter ---------------- 72. _-------- ----72. Garage Fire Door: Swing -Landing -Closer -------------------------- ------- ---------- ---------------------- - 73. A.C. Duct in Garage -Damper 74. Wtr. Htr.: Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage: Above Floor -Meth. Protection 75. Plb. Elec. -&-Mech. Equip. Listed for Location 76. Elec. Receptacles in Garage: (G.F.I.)-Romex Protection ----------------------------------- ----- 7;. Insulation -Foam -Looked in Attic ❑ Yes 78. Guard Rails & Deck Construction -Post Caps --------------------------------------- 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes ------------------------------------- 80. .._....----------------------------80. Following instld.: Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑ Yes ❑ No ------------------------ --------------- -- 81. Stucco: Brown -Finish 82. A.C. Unit: Disconnect. Electrical, Plumbing 83. Vents Above Roof; Plbg -Appliance-Fireplace.-Clearance to Openings 84. Water Well; Disconnect, Electrical, Plumbing 85. Exterior Elec. Trim: G F.I. Receptacle -Underground 11 _ 86. Ventilation Throughout House ... - ---------------- 87. --------------87. Glass Protection ------ 88. --88. Corrections from Previous Inspections - - - - - --------------- -------------------------------------------- 89. Gas Test -Meters Tagged: Gas -Electric ------- - ---------------------------------- --- 90. Water & Sewer Connected -C/O to Grade -HD Approval -------------------- 91. Energy Compliance Certificate -Other Certificates -.---------- - ---------------------- - ---- -- Date Card B-1 Date Card B-1 - ---- - ----- -- -- - -------------------------- -- --- -- ---- Date Card -6- 1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 1469 Humboldt Road, Chico, CA - (916) 891-2751. „ ' 7 County Center Drive, Oroville, CA - (916) 538=7541 747 Elliott Road, Paradise, CA - (916) 872-6307 h CORRECTION NOTICE F a xl Wfi,;l Ptet*- XNER PERMIT..NO. d J A routine inspection indicates that the following violations of Butte County Ordinances exist'at the above add sand should be corrected. Please notify this office when correction of work - is completed. you have any questions pertaining to this matter, or need additional explanation, .< please cont t this office immediately. f `L % B W� Q C rOowe . h r4 •i n�. f `L � • + Jtiu` 3 y yam% Date !/ /.-y� Inspector REV 11/91 t. COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 - - 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE OWNER PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify 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. 7 K Date'�,— J(�Inspector 7 REV 11 �..� .....nr.1,��.r.-.*'-t:�....sie�r .: f:.-�%-e�F W` n�-i,�'--rs ..:�...., y�.�. ��--,✓':.y.. , .x t , ,� � �, _ M f, COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307` CORRECTION NOTICE OWNER PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify 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. Homo wfi� } Date — .26'9z --Inspector REV 11/91 CPU-KT7 OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916.'538-7541 . APPLICATION AND PERMIT �WIZWIWWI ASSESSOR PARCEL NUMBER 068-342-009 ZONING A R BUILDING PERMIT OWNER VICTOR MARTINEZ TELEPHONE 534-0260 SO. FT. OCC.1 BUILDING VALUATION 720 M 12 960 OWNER'S MAILING ADDRESS 4139 HILLDALE AVE OROVILLE CONTRACTOR'S NAME 014NER TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation 1 $ 12,960 Filing Fee $ 15.00 LENDER'S MAILING ADDRESS Permit Fee $ 120.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 60.00 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 4139 HILLDALE AVE OROVILLE Permit fee $ 195.00 PLUMBING PERMIT FilingFee 15.00 Each Trap 5.00 non 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 SF ❑ Duplex[] Mobilehome❑ Other DET SHOP SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home I S I G JW I @ 15.00 TYPE OF WORK New Q0 Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑ -Describe work: WITH BATH Permit Fee $ Contractor ELECTRICAL PERMIT Fi(ingFee 15.00 Main service 600V OR LESS 200A OR LESS 18.50 _ CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): F3 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 .Jo. Classification 1, 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 Main service 200A TO 100oA) 37.50 NEW CONST.(DWELLING O c=.pil OR ACDNS. ( ACC. BLDGS. .C�l�i — 3.64 sq.ft. NEW CONSTR BRANCH ULTI-OUTL T NON -RESI D• CIRC ITS @ 5•�0 POWER APPARATUS &) (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20 760 AL 0 46,9 FIXED APP LNS. OR Ex. Occup. OUTLETS (RESID.) EA.) 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring g 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 Consent to Self -Insure. shall not employ any person in any manner so as to become subject <othe W. C. laws of California. No 4e 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 FilingFee 15.00 Heating Cooling g 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 agai aid COun in consequence of the granting of this permit. Date Signature of Applicant — Owner Contractor ❑ Agent ❑ An OSHA permit is required for excavation v r 5'0" deep and demolition or construct- ion of structures over 3 sto ', s in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEE Aff- $ HAz 1 0FEES IMP FLOOD CDF PA EL PD -� HDr c-S$U ' This permit is hereby issued under the sions of the Butte County Code and/or wo;rkinV'Xadbe for which fees OR OF PUBLIC BY �— PERMIT EXPIRES Date G - applicab a provi- resolutions to do have been paid. WORKS / Date& -�- z Z —9 Receipt No. 116198 .� " o WNI TE-D.P.W., TELLO W -ASS SO R, PINK -INSPECTOR, GOL ENROD-APPLICANT ti y.4. t �CODUNTY OF BUTTE%'� tl PARTMENT OF PUBLIC W... ti> ,' BUILDING DIVISION ry: �w v �j 7 COUNTY CENTER DRIVE - OROVILLE.,fL:ALIFORNIA 95965�TELEPHONE (916) 538-7541 j (j . .-? PV141--like-z- MIT APPLICATION DATA SHEET�U, OWNER I�i�O/c.- A P. No. A60'- `7 7 2 - 00% Proposed Building Use ®ems Sh��' Building Inspector t DateIV ����--- At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY 1. All items have been submitted . ........................ . 2. Plot plans, 3/4 sets, signed by preparer of plans . ............................ a 3. Complete plans, 3/4 sets, signed by preparer of plans. 4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. r 5. Hazardous Material Form . ............................................ �h 6. Energy Design Compliance and supporting documentation . ..................A, 7. Statement of Intent for Non -Heated and A/C Buildings . ...................... ----G 8. Engineered truss details and layout in duplicate (required prior to plan check). ....�� �9 Mobilehome data and manufacturer's installation instructions, 2 sets. . p. Fees of $ Z O .......................................... 11. Impact fees as shown on attached schedule . .............................. 12. California Department of Forestry plan approval/fees. ....................... . Flood elevation letter (100 year flood). by California Engineer . ............... 610 14. Sanitation and plot plan approval O/4-11 11L' Health Department. 15. City of Chico plumbing permit . ............. :........................... 16. Plot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B) Parking: . ........ 18. Contact Land Development about (A) Improvements (B) Drainage. .......... . 19. Driveway permit (construction approval required prior to occupancy). . . Pre -Inspection reques 20. Pre -inspection for required. . to Building inspector (Date) 21. Contractor's license information. (No., Name Style, Classification) . ............. . 22. Certificate of Workmans Compensation Insurance . ......................... . 23. Owner -Builder Verification (Given to owner , Mail to owner ). .......... . 24. Recorded copy of Agricultural Acknowledgement Statement ................... 25. Letter of signature authorization..........................................T 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... . 27. Letter of intent on building use . ......................................... 28. Mobilehome utility clearance . ......................................... . 29. Documentation of legal access. ....... .............................. . 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits . ...................................... 32. Plan check list . ..................................................... ....................... 33. _-y6sVe w, fm 9e 34. When ou issue the erm' , process as follows: Mail to,Qvv��nn��er.. Mail to contractor. Telephone/ and hold for pickup at office. Deliver with inspector. OtherF/A Parcel Creation ,w�3 Acreage Applicant Date Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent" Health Dept. Fire Dept. Other Date By, The following data must be submitted p * to 1. Index permit for above items No. 2. Additional items required: (Circle new item not checked above). Contractor, designer, owner, was advised of above required data by _ phone -mail Counter by _ Date Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Plans checked by Date Plans approved by 4 Dat -i�Z~ ,Z OE Sets of plans on hold in File.t AP folder --1q-FZ- e�(!f d -d-/f�7 �e Copy - Department of Public Works 1 5 �O -� -1 t'sS£TS� q !E 460 TO Buildir..''Department FROM:y Environmental Health SUBJECT: Sanitation Clearance I-" �10 S' Omer Location., AP# Plan',Approved for: Sewage',Disposal, Water Supply Hold final for. Water Supply ^inal clearance O.K..for: / Water Supple clearance for le home. other T �` fff ea ZAf l D Sanitarian ' Building Department FROM: Environmental Health ` -SUBJECT: Sanitation Clearance / —41 9 _ �ai'�7j" �2e2 APO Oker Location Plan Approved for; Sewage Disposal' X 'dater SupP1Y Hold final for: Water ,Supply ^incl clearance O.K. for: Water Supply mobile home. Other o Clearance for bedroom 2� �s i ��,l.�cc�d a-� �",�a c hid p �a� p �� • 'NOTE.*** c� c�2 9 , ate Sanitarian COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 959657 Telephone: 916.,538-7541 APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER ZONING X, BUILDING PERMIT OWNER/j I Gi Z TELEPHONE S31/-07_60 SO �T. OCC. BUILDING VALUATION a(D 1 9 O OWNER'S MAILLl J,3 ING ADDRESS a&2 CONTRACTOR'S NAME? TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation I $ 12— 0 Filing Fee $ 15.00 LENDER'S MAILING ADDRESS Permit Fee $ 1,20-00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ b•�!d Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS (Y/� /. XO /� / (�� � / // j Permit fee $ oO PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 IC).(00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 . ©C> Each pas water heater or vent 7.00 USE OF STRUCTURE SF❑ Duplex❑ Mobilehome❑ � Other �tC 100 SPEcTY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 , Mobile Home ISI GJWJ 00 TYPE OF WORK New Addition ❑ Remodel ❑ Utiliti?^-❑ Instal!- :o>i❑ Other ❑ Describe work' r Permit Fee Contractor $ a 0 ELECTRICAL PERMIT Filing Fee 15.00 Main service 600V OR LESS 200A OR LESS 1 8.50 Main service 200ATO1000A) 1 37.50 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.SINGLE 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 CONST. DWELLING OCCUP.t11\ A // New 3.64sq.tt. CONSTR. MULTIOUTLET NON.RESID BRANCH CIRC ITS @ 5.00 POWER APPARATUSe OUTLET CIR. . Ex.. OCcup(OUTLETS OR FIXTURES 20- 76&1 Exi Occup..OU LETS'EI PR (RESID IEA.) I 3.00 Temporary service -. 15.00 _Mobile Home Facilities 15.00 Misc. Wiring g "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 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 said County in consequence of the granting of this permit. X Date Si nature of Applicant —' Owner 9 PP ❑ Contractor ❑ Agent ❑ An OSHA ion of structuresover39storiesoineheight'ons over 5'0" deep and demolition or construct- Mobile Home Installation Fee $ p Energy Inspection Fee $ �-- OCC CONST TYPE TOTAL FEE $ 20MM HAz DFEES IMP FLOOD CUF PARCEL PD HD ISSUE This permit is hereby issued under the sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By EXPIRES Date applicable provi- resolutions to do have been paid. WORKS ' DatePERMIT Receipt No. v 'MITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE- Department of Public Works 7 County Center'Drive, Oroville, CA' 95965 Phone: 916-538-7541 OWNER -BUILDER VERIFICATION Attention Property Owner:; T` An 'owner -builder" building permit..has•been applied for in your name and bearing your signature. Please complete and return this -'information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building.permit.. No building permit will be issued until this verification is received.: 1. I personally plan to provide the major labor and materials for construction of the .proposed property impro_yement (yes or no). S 2. I (have have not) adze- signed an application fora building permit for a proposed work. 3. I have contracted with the following person (firm) to provide•the proposed construction-: Name. - Address City- -Phone Contractors-License-No-. 4. ontractors-License-No:4. J plan to provide pertions•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. fol1 ow.ing,.. . persons to provide -the work .indicated Name, Address Phone Type of Work Signed: Property. Owner Social Security -Number - - Date 1-3' 9Q_ 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 per- mitted to issue the permit. 8/91 RESIDENTIAL PLAN CHECKING GUIDE MISCELLANEOUS ITEMS TO LOOK OUT FOR it Starway details: landings, rse.and run, head clearance, handrails (Sec. 3306). t 6+3ard-r-ail details (Sec. 1711 & 3306(j) . —$r3ek or stone veneer (Chapter 30). erior plaster: - weep screeds (Sec. 4706). Proper roof pitch for roof convening (Chapter` -32-). 6/oof covering type (firmed). insulation - protection. 8:-36�h,-1ls and stairways. ` i-ng—area over garage —complete 1-hour,separation required on garage..side including supporting walls.and posts, etc. itIs on three-story dwellings '(sec. 3303 & ,see Mezannines - 1716). Attic access and ventilation (Sec. 32.05). 1-2. Ur,deriloor'access and ventilation (Sec. 2516). +3,-Gembust-ion air for fuel burning appliances - L.P.G. requirements. . equirements on,duplexes. design. Oww�2. 5.��1� C. O Flashing at all exterior openings. 1 —.-GD �-esponsible area ,requirements. C/ %�/t r4 Ji�f� 7 /^ AM s • �GCxz �.Fdt%iT !��G1, T ern 6 /0/ s � � �r/tT� ; �, 5�� �✓ Aj-,9 Ila Tv Gu E RESIDENTIAL PLAN CHECKING GUIDE (S.F., DUPLEX & MISC. ONLY) OWNER V/ C /Dte, 11,16 It GENERAL oning requirements: Valuation. 8/91 Bldg. Permit # J� - /,YF-31 A. P. # GY— -3 oZ — o'? Plan Checker (sideyards and number of permitted living units). ns signed by designer. ��Proper.description of work on application. —&xi -sung violations on property. Items on data sheet. (W.C., fees, Health, Developer Fees, License law, etc). ; . orded notice of violation. OT '' �1 Complete parcel size and dimensions.. Setbacks, sideyards, easements, etc. Other buildings or structures. �>ading, fills, drainage. Flood hazard. -S-pe_c_ia_i conditions on creation map, (noise, CDF, fire sprinklers, non-comb- ustible, and foundations). is FA --&-FAS road setback. 8.-Bu4-d1ng or utilities across lot lines (Record form). FLOOR PLAN tl Complete to scale plan with dimensions. uJred windows for light and ventilation (Sec. 1205). 3--Req-crired-windows for second exit (Sec. 1204). t -s Chapter 34 & Sec. 5207). p t glass (Sec. 5406). 6-- a room sizes, ceiling heights (Sec. 1207). GCIs in baths, garage; kitchen, and exterior outlets (Article 210-8). &----Light fixtures, switches, receptacles, and exterior receptacles for main- tenance of mechanical equipment. water heater, heating and cooling equipment, other electrical or gas equipment. 19_78 g S ll, door size, and closer (Sec. 503(d)(3)). ]W'l - 3'0" exterior exit door (sec. 3304 (f). F; -Q�, and--erad-s�eue =eFa�e�; a�c�ves,--�lear�ce. 1 Plumbing fixtures, water closet clearances and shower size. STRUCTURAL DETAILS r. Standard bracing or engineered design (Table 25V) Unusual shape, size, or split level house requiring lateral design. B—rectory requiring balloon framing and/or engineering. -story building requiring engineered calculations and plans. Foundation plan complete enough to construct building. R6—F ons truction details complete enough to construct building. -VA 411 Elevations and wall construction details complete enough to construct building $--Ioof construction details, complete enough to construct building. %4,S5-£< re lace construction details and talcs if necessary. �tiesor bearing�ride beam.araeeor near sizes. L2/Stud heights. 13. Adobeoils- special foundation design. 1- oo�pg walls requiring design. k5�eeia-i-Inspection required. 751-84B,P,E PERMIT NO. 0 As { PERMIT EXPIRES VICTOR MARTINEZ OWNER '. CONTR. owner 68-342-9 ,r ASSESSOR PARCEL 4139 Hilldale Ave, Oroville Y LocaTloN. t' i • N r. Y r y Temp. Power Pole g ' 4 Called PG&E , Temp. Elec. Service Called PG&E Temp. Gas Service e Called PG&E ,Z JOB FINALED (Date) Signature__ _ 0 Q/7 __ V = OK' 0 = Not OK = Not Applicable MOBILEHOMES * = Not Ready i r MISCELLANEOUS Date MOBILEHOME UTILITIES (Plans) OK except. k's - 1. Zoning Requirements -Setbacks -Easements Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except N's 1. Zoning Requirements -Setbacks -Easements _ 2. Soils; Special MH Support -Sketch 2. Footings; Size -Depth -Spacing -Connectors 3. Sewer; Location -Test -Fall -C/0 -Concrete 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Water; Location -Test -Easement Needed (Sketch) 4. Wood Awn.; Posts- Beams-Rftrs.-Connec.-Shthg.-Rig.-Bracing_ 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete _ 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Gas; Location -Test -Wrap:/ /"L' -'.ft./ /"Nat. or/ /"L"ft./ /"LPG 6. Carports; Windows -Doors 7. Utility Clearance 7. Elec. Card -BI Date Card -BI Date Card -BI Date Card -BI Date _ Card -BI Date Date Card -BI Date MOBILEHOME INSTALLATION (Plans) OK except N's 1• Zoning Requirements -Setbacks -Easements Card -BI Date Date Card -BI Date _Y POOLS (Plans) OK except N's - 1, Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 2. Soils; Compaction -Structure Stability 3. Gas; MH Test=Demand-Valve-Connector 3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining 4. Electricity; MH Test -Crossovers -Breakers -Clearances 4. Elec.; Receptacles and Lighting; Distances-GFI` 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/0 to Grade -HD Approval 7. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater 8. Gas and Electricity Tagged 9. Exits; Insp,-Sketch 8. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghtg. Boxes -Enclosures -Panel boards -Ins. to Main in Conduit 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-1 Date Card -BI Date Card -BI Date Card -BI Date d=OK 0 = Not OK Not Applicable = Not Ready RESIDENTIAL (Single and Duplex) Date UNDERFLOOR Plans OK except#'s Date FRAMING (Continued) 1. Zoning 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. Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth 51. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab 52. 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 Card-BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date FINAL (Plans) OK except #'s 56: EXt. Steps -Door & Sidelight Protection -Landings Card -BI Date Date Card -BI Date PLUMBING (Permit) OK except #'s 57. hmoke Detector _ 14. Water Ht.; Vent -Access -Combustion Air 58 Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 15. Water Pipe; Test & Anchors -Nail Protection 16. D.W.V.; Test-Fttngs & Anchors -Nail Protection 9. Bedroom Exiting 17. Shower Pan; Test, First Floor -Tub Access 0. G.F.I. & Bath Fixtures & Tub Access 18. Test Tub & Shower, 2nd Floor -Tub Access 6 rim & Subpanel; Breaker Sizes -Labels 19. Gas Pipe; Size & Anchors 62. Stairs &Ylails 63. Fireplac or Stove; Clearances -Hearth 64. Elec. O tlets at Wood Panel; Int. & Ext. Card -BI Date Card -BI Date 65. Kit. F' t. & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Card -BI Date 66. Elec Outlets & Receptacles at Kit. Counter Date ELECTRICAL Permit OK except #'s 67. Ga ge Fire Door; Swing -Landing -Closer 68. . Duct in Garage -Damper - 20. Fixture & Transformer Clearance -Ins. Protection 69.tr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 21. Elec. Receptacles Spacing -Lights &Switches at Doors 70 Plb., Elec. & Mech. Equip. Listed for Location 22. Size Boxes & No. of Conductors -Stapled 7f. 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 7t. Insulation -Foam -Looked in Attic ❑Yes 25. 2 Appliance Circuits in Kitchen & Conductor Size 7 Guard Rails &Deck Construction -Post Caps - 26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 7 . Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes - 27. 28. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or At, Insulated Neutral ❑Yes ❑No Service -Riser Conductors & Ground -Main Disconnect 75. ollowing instld.: Drive ❑ Yes E] No; Walks ❑ Yes ❑ No; anters Dyes ❑No 76. St co; 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. Vent Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. 79. Water ell; Disconnect, Electrical, Plumbing ------ 80. Exteri r Elec. Trim; G.F.I. Receptacle -Underground Card B-I_Date_ _ Card -BI _ Date 81. Ventil tion throughout House Card B-1 Date Card -BI Date 82. Glass Protection Date MECHANICAL (Perrrit) OK except #'s 83. _ Correc ions from Previous Inspections 84. Gas T st-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, Ener4y Compliance Certificate -Other Certificates 33. Condensate Drain _& Overilow; Size & Grade 34. Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet 35. Attic Access & Platform if Furnace in Attic Card -BI Card -BI _ _ Date Card -BI Date Date Card -BI Date Card -BI Date / j Card -BI Date Card -BI Card -BI NIJ /Date Card -BI Date / Date Card -BI Date Date F AMING(Plans) OK except #'s Comments at Final: _ 6. Sills; Proper Material & Anchors t _ 37. 38. 39. Walls;_Studs-Nailing, Spacing & Bracing -Plates -Sound Bearing Walls over Girders & Floor Nailing_ Draft Stop in Walls (rat proof) _ _40. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 41. 42. 44. Header & Beam -Size & Bearing Hangers -Post Caps -Anchors -Connectors - Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Ring. Fireplace Ties or Type A Flue -Fireplace Throat -� 45 46. 47. ttic Access; Size & Rom_ex Protection -Draft Stop -Ins. Baffles Bdrm. Windows or_Exiting Doors -Sill Hg_t. & Dimensions Garage Fire Protection Framing (NOTE: Anentry must be made each time you visit job site) COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO., 7 County Center Drive - Oroville, Caiifornia 95965 - Telephone 916/534-4541 F APPLICATION AND PERMIT ASSESSO PARCEL UMBE#2 8_ 3 Z-- ZONING BUILDING PERMIT OWNER (/1Mr- til�ilZTI/l/ TELE HONE 5� -0z�o S0. FT. OCC. BUILDING VA ION rl ,moo: OWNER' IL,ING FSG /R�alZ-4e n - CONTRACTOR'S NAME OW - TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ 51a 0v Filing Fee $ 10.00 LENDER'S MAILING ADD SS Permit Fee $ /S; 00 ARCHITECT OR ENGINE LICENSE NO. Plan Checking Fee $ ,T40 Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ 2A . ao BUILDING ADDRESS /CG7>ALV6MI PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 7_, 00 Solar Water Heater 20.00 /��, Water piping 5.00 5�pZj LOT NO. SUBDIVISION NAME PARCEL MAP Each Gas 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 G W 10.00 e TYPE QF WORK New ❑ Addition ❑ Remodel Utilities ❑ Installation[] Other ❑ Describe work: � �� � t5ifT1+4 A16cd SSP/� Permit Fee $ , c -o Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100V OR LESS 100 AMP OR LESS 10.00 Main service EA. AOD'L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.& OR ADDNS. ( ACC. BLDGS. 2t/20sgIt CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): E -1I 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) ❑ 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 NSTR COULTI-OUTLET 2,50 ea , BRANCH CIRC ITS. NEw CONSTR. POWER APPARATUS &' NON-RESID. (SINGLE OUTLET CIR. 20050a Ex. Occup(o OR FIXTURES 9AL®30 FIXED A PLISIS OCCUp. EX. OUTLETS (RESID )REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Z.SU 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. 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 Filing 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 penses which may in any way accrue�_ against a' County in consequence the ranting of this permjt. %� 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 stoyiesin height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ 69 s0 Occu P. GROUP TYPE oP ON ST. F JPA7tLJ Pq / HD ✓ S UE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIREC OF PUBLIC RO(MIT" EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS 3'—'?,S~ Receipt No. 0/7CDate WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT 1 CIBACHcJdV i- N31iv. 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