HomeMy WebLinkAbout069-220-0243217-90B�;P,E,
CARVER, Mike,
29 Apache Circle; ,Oroville
(new
069-220-024, 99-143-9—
IILVA, Van K. GRAMME, Sharon
9 Apache Circle, Oroville
Contr: Owner '
(Enlarge
\ '.�
deck
�
a
I Mai
A
z '
NOTES RESIDENTIAL
069-220-024 99-1439
PERMIT NO. SILVA, Van K; / GRAMME, Sharon'
29 Apache Circle, Oroville
COntr: Owner
Enlarge deck
f
II SPECIAL CONDITIONS II
SRA
FLOOD CERTIFICATE REQ.
FIRE SPRINKLERS REQ.
SPECIAL INSPECTION ITEMS
VERIFY
USE PERMIT CONDITIONS
SUB -STANDARD HOUSING LETTER
i..
Y.
^M1JOB FINALED (Dat) r
Signature
CHECKED
BY
V OK
0 = Not OK '
= Not Applicable
= Not Ready
MOBILE HOMES
Date
MOBILE HOME UTILITIES (Plans) OK except #'s
Zoning Requirements -Setbacks -Easements
1.
Zoning Requirements -Setbacks -Easements
Footings; Soils -Size -Depth -Spacing -Connectors -Steel
2.
Soils; Special MH Support Sketch
Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails
3.
Sewer; Location -Test -Fall -C/O -Concrete
Wood Awn.; Posts- Bea ms- Rftrs.-Co nnectors
Shthg.-Frg-Bracing
4.
Water; Location -Test -Easement Needed (Sketch)
Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
5.
Electricity; Location-Clearances-Grnd-/ /Amp -Concrete
Carports; Windows -Doors
6.
Gas; Location -Test -Wrap;-/ /" L'ft.
/ P Nat. or / /"L"ft./ /'LPG
Electric
7.
Well Clearance & Disconnect
Frmg.; Sills-Anchors-Studs-Rttrs-Trusses
8.
Utility Clearance
Siding; Nailing -Veneer -Stucco -Mesh
10.
Root; Shthg-Roofing
11.
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
1.
4.
Electricity; MH Test -Crossovers -Breakers -Clearances
2.
5.
Drain; MH Test -Fall -Flex Connector
3.
6.
Water; MH Test -Regulator -Connector
4.
7.
Water and Sewer Connected -C/O to Grade -HD Approval
5.
8.
Gas and Electricity Tagged
6.
9.
Tie Downs -Type -Installation Cert.
7.
10.
Exits; Insp.-Sketch
8.
11.
Cert. of Occupancy
9.
12.
Permanent Foundation Only; License Decal
10.
Plumb.; Cir. Test -Water Supply Test
Date
Light Niche
Card B-1 Date Card B-1
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 -Connectors -Steel
3.
Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails
L
4.
Wood Awn.; Posts- Bea ms- Rftrs.-Co nnectors
Shthg.-Frg-Bracing
5.
Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6.
Carports; Windows -Doors
7.
Electric
8.
Frmg.; Sills-Anchors-Studs-Rttrs-Trusses
9.
Siding; Nailing -Veneer -Stucco -Mesh
10.
Root; Shthg-Roofing
11.
Ext.; Steps -Doors -Landings
12.
Braced Wall Panels
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
FINAL (Plans) OK except #'s
1.
Setbacks -Easements
2.
Soils; Compaction -Structure Stability
3.
Pool Structure; Steel -Connections -Thickness
Dead Men -Lining
4.
Elec.; Receptacles and Lighting, Distance-GFI
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- Enclosure s-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
V = OK
0 = Not OK
- = Not Applicable
= Not Ready
RESIDENTIAL (;
Date
Underfloor (Plans) OK except #'s
Hangers -Post Caps -Anchors -Connectors
1.
Zoning -Setbacks -Easements -Flood -Slope
Cling. Joist-Rftr. Ties- Purlin-Roll Brac.-Truss-Shting.-Rfng.
2.
Ftg., Main; Soils-Elec. Grnd.-/ r Ftg. Depth
Fireplace Ties or Type A Flue -Fireplace Throat Clearance
3.
Ftg., Garage; Soils-Steel-Elec. Grnd.-/ r Ftg. Depth
Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
4.
Ftg., Porches & Decks; Soils -Steel-/ r Ftg. Depth
Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions
5.
Stemwalls, Main; Steel-Blockouts-Wrapped
Garage Fire Protection Framing
6.
Stemwalls, Garage; Steel-Blockouts-Wrapped
Property Line Firewall & Openings
6a.
Hold Downs and Special Anchors
Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits
7.
Slab, Steel -Wrapped
Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
8.
Piers -Fireplace Ftg.-Steel
Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
9.
D.W.V.; Fall -Fitting -Test -2 Way C/0 -Sewer Test
Siding -Nailing Veneer
10.
UF, Gas Pipe; Size Anchors - Yard Gas Piping; Size Test
Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access
11.
Water Pipe; Test -Anchors -Regulator -Service Test
Glazing Area -Glass Protection -Skylights -Plastic
12.
Electric Underground
Shear Walls; Nailing -Bolts
13.
Plenums & Ducts; Clearance -Material -Support -Ins.
Brace Interior/Exterior Wall Panels
14.
Girders -Sills -Anchor Bolts-Joists-Vents-Crippies
Insulation -Walls -Ceilings
15.
Access & Ventilation
Infiltration -Walls -Windows
16.
Insulation
Date
Date
Date
Card B-1 Date Card B-1
Date
Date
Card B-1 Date Card B-1
Date
PLUMBING (Permit) OK except #'s
Ext. Steps -Door & Sidelight Protection -Landings
17.
Water Htr.; Vent -Access -Combustion Air Baffle
Smoke Detector
18.
Water Pipe; Test & Anchor -Nail Protection
Furnace Vents -clearance -Comb, Air -Connector -
In Garage; Above Floor -Ducts -Mach. Protection
19.
D.W.V.; Test Fittings & Anchor -Nail Protection
Bedroom Exiting
20.
Shower Pan; Test, First Floor -Tub Access
G.F.I. & Bath Fixtures & Tub Access -Spa
21.
Test Tub & Shower, Second Floor -Tub Access
Elec. Trim & Subpanel, Breaker Sizes & Labels
22.
Gas Pipe; Sixe & Anchors
Stairs & Rails
70.
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
ELECTRICAL (Permit) OK except #'s
Elec. Outlets & Receptacles at Kit. Counter
23.
Fixture & Transformer Clearance -Ins. Protection
Garage Fire Door; Swing -Landing -Closure
24.
Elec. Receptacles Spacing -Lights & Switches at Doors
A.C. Duct in Garage -Damper
25.
Size Boxes & No. of Conductors Stapled
Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V.
in Garage; Above Floor-Mech. Protection
26.
Romex Installed Close to Edge of Studs & C.J.
Plb., Elec. & Mech. Equip. Listed for Location
27.
Equip. Ground made up w/Mech Fasteners -Bond Gas & Water
Elec. Receptacles in Garage (F.F.I.)-Romex Protection
28.
2 Appliance Circuits in Kitchen & Conductor Size GFI
Insulation -Foam -Looked in Attic
29.
Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or At
Guard Rails & Deck Construction -Post Caps
30.
Range Circle / / ga Cu or AI -Oven Circ. / / ga Cu or Al
Insulated Neutral p Yes ❑ No
Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth
31.
Service -Riser Conductors & Ground Main Disconnect
Clearance Looked under Floor ❑ Yes
32.
Equip. Clearances Panels-Motors-Mech. Equip.
Following Instld./Drive ] Yes J No/Walks J Yes J No/Planters J Yes ] No
33.
Clothes Closet Light -Shower Light -Spa Light
Stucco Brown -Finish
34.
Smoke Detector
A.C. Unit Disconnect, Electrical -Plumbing
85.
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
MECHANICAL (Permit) OK except #'s
Ventilation Throughout House
35.
A.C. Ducts Insulation & Support
Glass Protection
36.
Vent Fan, Exhaust above insulation
Corrections from Previous Inspections
37.
Condensate Drain & Overflow, Size & Grade
Gas Test -Meters Tagged, Gas -Electric
38.
Furnace -Vent Access -Comb. Air -Return Air Vent 115 outlet
Water & Sewer Connected -C/O to Grade -HD Approval
39.
Attic Access & Platform if Furnace in Attic
Energy Compliance Certificate -Other Certificates
94.
Address Posted
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
Date
FRAMING (Permit) OK except #'s
Comments at Final:
40.
Sits Proper Materials & Anchors
41.
Walls Studs -Nailing Spacing & Braces -Plates -Sound
42.
Bearing Walls over Girders & Floor Nailing
43.
Draft Stop in Walls (rat proof)
44.
Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs
45.
Headers & Beams -Size & Bearing
'Dingle & Duplex)
Date
FRAMING (Continued)
46.
Hangers -Post Caps -Anchors -Connectors
47.
Cling. Joist-Rftr. Ties- Purlin-Roll 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.
Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions
51.
Garage Fire Protection Framing
52.
Property Line Firewall & Openings
53.
Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits
54.
Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
55.
Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
56.
Siding -Nailing Veneer
57.
Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access
58.
Glazing Area -Glass Protection -Skylights -Plastic
59.
Shear Walls; Nailing -Bolts
60.
Brace Interior/Exterior Wall Panels
61.
Insulation -Walls -Ceilings
62.
Infiltration -Walls -Windows
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
FINAL (Plans) OK except #'s
63.
Ext. Steps -Door & Sidelight Protection -Landings
64.
Smoke Detector
65.
Furnace Vents -clearance -Comb, Air -Connector -
In Garage; Above Floor -Ducts -Mach. 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 & Receptacles at Kit. Counter
74.
Garage Fire Door; Swing -Landing -Closure
75.
A.C. Duct in Garage -Damper
76.
Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V.
in Garage; Above Floor-Mech. Protection
77.
Plb., Elec. & Mech. Equip. Listed for Location
78.
Elec. Receptacles in Garage (F.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 ❑ Yes
82.
Following Instld./Drive ] Yes J No/Walks J Yes J No/Planters J Yes ] 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 Throughout House
89.
Glass Protection
90.
Corrections from Previous Inspections
91.
Gas Test -Meters Tagged, Gas -Electric
92.
Water & Sewer Connected -C/O to Grade -HD Approval
93.
Energy Compliance Certificate -Other Certificates
94.
Address Posted
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:
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
f 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 P RMIT
(Re�b12/96) APPLICATION AND PERMIT 99`.�yn
Z
ASSESSOR PARCEL NUMBER 069-220-024
ZONINJ;!
BUILDING PERMIT
OWNER VAN K. SILVA / GHARON GRAMME
TIj�DNE8435
SO. FT. OCC. BUILDING VALUATION
898 0 6286
. OWNERS MAILING ADDRESS
29 APACHE CIRCLE, OROVILLE 95966 6
CONTRACTOR'S NAME OWNER
TELEPHONE
CONTRACTORS MAIUNG ADDRESS
CONSTRUCTION LENDER
LENDER'S MAILING ADDRESS
Fireplace
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee $
0.00
Permit Fee $
'
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee $
58.50
BUILDING ADDRESS 29 APACHE CIRCLE, OROVILLE
Energy Plan Checking Fee $
PERMIT FEE $
1 68.50
LOT NO. 24
SUBDIVISIONS NAME KELLY RIDGE
1
PARCEL MAP
PLUMBING PERMIT
Fling Fee 20.00
USEOFSTRUCTURE
SF EX Duplex ❑ Mobilehome ❑ Other
SPECIFY
Each Trap7.00
Solar or heat um water heater
23.00
Water piping
15.00
Each as water heater or vent
15.00
TYPE OF WORK
New ❑ Addition ff Remodel ❑ Utilities ❑ Installation ❑ Other ❑
Describe Work: ENLARGE DECK
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home IS I GI W
920.00
PERMIT FEE $
ELECTRICAL PERMIT
Filing Fee 20.00
Main Service A 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:
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
46.00
WEE200A
CCU000A
NEW CONST. DWELLING OCCUP.
OR ADDNS. ( & ACC. BLDS.
SO
.5,so
3.5¢FT;
NON-RESID. MULTI.OUTLET ITS
@7,50
POWER APPARATUS
a sINGLE oLmer cIR.
DR
Ex. OCCu OUTLET OR FURES
20 @''00
BAL @ .SO
OFlxEDA o DR'.
Ex. Occup.
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
PERMIT FEE $
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
❑ 1 have and will maintain workers' compensation insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permit is issued.
My workers' compensation insurance carrier and policy number are:
Carrier
Policy Number
(The above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
I certify that in the performance of the work for which this permit is issued, I shall
not employ any person in any manner so as to become subject to workers'
compensation laws of California, and agree that if I should become subject to the
wor{�ers' compensation pr isions of section 3700 of the Labor Code, I shall
fort w' comply it tho a ovisions.
X Date triJ
Signatu e o Applicant - ner ❑ Contractor ❑ Agent
An OSHA permit is require fo xcavations 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 FEE $
Mobile Home Installation Fee $
Energy Inspection Fee $
Occ
CO
OTAL FEE $ 168.50
:n=
CDF
PARCEL
PD
I HD
I ISS
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.
ByDate
PERMIT EXPIRES ON !/ZJ
Date
Receipt No.
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GO DE 14 A OD -APPLICANT
f W -- ,� ' Y 4 4 i - ... Tv--},�3a. �7+•.rr- �-rv^+ w~'�, ••-
ti..) - .� ....�::�ir:-.v,1i e. r.�. .. K. ,�j FwS•.k'f+trk+w. .,/..h.
" �T COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
-;�'�'�b 7 COUNTY CENTER DRIVE - OROVILLE, CALIFOkNIA 95965 - TELEPHONE (530) 538-7541
PERMIT APPLICATION DATA SHEET
OWNER: YAMd_4,,,�ASSESSORPARCEL ER: - Z
Proposed Building Use: D Building Inspector: Date: L
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 --------------------------------------------------------------------------------------
E12. Plot plans, 3/4 sets, signed by the preparer of plans. ------------------------------------------------------------
.❑3'Complete plans, 3/4 sets, signed by the preparer of plans.- ' ---------------------------------------
04. 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! ------------------
06. Energy Design Compliance and supporting documentation. ----------------------------------------------------
❑ 7. Statement of Intent for Non -Heated and A/C Buildings. ---------------------------------------------------------
118.
--------------------------------------------------------
❑8. Hazardous Material Form. ------------------------------------------------------------------------------------------
❑9. anufactured Home data and installation instructions including Tie Down Specifications .------------------
& O. Fees of $ 114. 85 -------------------------------------------------------------------------------------
❑ 11. Impact fees as shown on the attached schedule.-----------------------------------------------------------------
❑ 12. California Department of Forestry plan approval/fees.
❑ 13. Flood elevation certificate. -------
❑ 14. Sanitation and plot plan approval
❑ 15. City of Chico plumbing permit. -
Health Department.
❑ 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.
❑ 19. Encroachment Permit for driveway (construction approval prior to occupancy). --=•
020. Pre -inspection for
required Request to Building Inspector on
021. 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 ❑). --
024. Letter of signature authorization. --------------------------------------------
❑25. Recorded copy of Agricultural Acknowledgment,Statement.--------------
❑ 26. Letter of intent on building use. ----------------------------------------------.
❑27. Manufactured Home utility clearance. ---------------------------------------
028. Existing violations and/or expired permits. ---------------------------------.
❑29. 0433 A, ❑Grant Deed, ❑ M.H. Title, ❑ Check to H.C.D $
030. Other:
ZJeyou issue the permit,
ermit, process asollows 11 Mail to owner, 0Maail to` contractor.
ephone� Q) c_/ �� and hold for pickup aty` Zwoffice. ❑ Deliver with inspector.
(Date)
Applicant: Date:
Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, ❑ Air Pollution Date: By:
Copy of plans sent ❑ Health Department, ❑ Fire Department, ❑ Other: Date: By:
1. Index permit application for the above items numbered: (0 ❑ 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, ❑ Buildia n ter, by Date:
Plans reviewed by: Date: Plans approved by: Date:
Sets of plans on hold in ❑ Plan Cabinet, ❑ A.P. folder. i Note transfer by: Date:
Yellnw (°nnv _ rlan�r-fmon4 ..fTlo..ol.....,,e..♦ ce....:,.,.,. D..:u.__ ^:--_-:--
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
�'t+r 7 County Center Drive • Oroville. California 95965 • Telephone (530) 538-7541PERMIT NC
(Re,1 /96) APPLICATION AND PERMIT
A.,tl,OI1 PA11cn MlYa01
l — ZZO 0 Z �D"7NO BUILDINGPERMIT
ow" 1 ...
&I `.7 I L -V 14 4- 6ACCAM
i�
"IEt-i J5L)tL.t7e7(L
commucnom umo1
K)DIVA
WOUM YA1104 Aoo1l,a
AIK:MRFCT 011 EMMM M
A11C MCr 011 010.1QAi YA&M A0011fta
1OT N0.
USEOFSTRUCTURE
SF A Duplex O Mobiiehome O Other
arecry
TYPE OF WORK
New O Addition g Remodel O Utiles O Instektion O Other O
Describe Work: EN Ll4 fZ (v ( NCS VOCk
y 3,LF3-V SO. FT.
Fireplace I
Total Valuation
Filina Fee
Permit Fee
Plan Checking f
Energy Plan Ch
Each Tr 7.00
Solar or heat ump water heater 23.00
Water piping 15.00
Each gas water heater or vent 15.00
Building sewer
15.00
Mobile Home
I S I G I W
@20.00
PERMIT FEE _
ELECTRICAL PERMIT
Filing Fee 20.00
Main Service
=9:=
23.00
Mein Service
2OaA To 1000A
48.00
NM comer.
011 ACONS.
owPltsq ooeuP.
•ACC. euu.
3.Stsa
MOKNp10.
YVLTFa-UT
@7.50
POW01 APPARAnJt
a SMILE
Ex. Occup.
ounrT o11 wrniaEs
>o a 1.00
eAL .,0
EX. Occup.
70 APPILM on
ovnr , aro. a
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Miss. Wiring
23.00
1 PFAUIT FFF 1 2
MECHANICAL PERMIT Filing Fee 20.00
Heating
Cooling
Hood 8.50
Ventilation
PERMIT FEE f
Mobile Home Installation Fee S
Energy Inspection Fee b
«c �16T• TM� TOTAL FEE $
• I o. F1:E7 I *PA*pA P=o I cop I I ,a—I--
This permit is hereby Issued under the applicable provisions
of the Butte County Code and/or Resolutions to do worts
indicated above for which fees have been paid.
By
Receipt No. _ PERMIT EXPIRES ON
WHITE•O.O.S.•8.0.. SOA PINK•INSPECTOR GOLOE.ROO•APPLICANT
Date �—
tltl�
ISM
OWNER -BUILDER VERIFICATION
Attention Property Owner:
An "owner -builder" building permit has been applied for in your name and bearing your..
signap
Please complete and return this information at your earliest opportunity to avoid unnecessary aeimy
in processing and issuing your building permit. No building permit will be issued until ft
verification is received.
1. I personally plan to provide the major labor and materials for construction of the Proposed:
property improvement: YES )4 NO O
2• I HAVE ` HAVE NOT O signed an application for a building t for the ,� �"
� gn PP � 8 P� proposed .:
3. I have contracted with the following person (firm) to provide the proposed construction; "':•_
N®1IF�
ADDRESS: CITY; ;:r;h"
PHONE: CONTRACTOR'S LICENSE NO.
4. I plan to provide f
p p portions of this :work, but I have hired thefollowing person to coo .t+d'�e; ..
supervise, and provide the major work:
NAME:
ADDRESS: CITY•
PHONE: CONTRACTOR'S LICENSE NO.
S. I will provide some of the work but I have contracted (hired) the following persons to prgvide
the work indicated:
NAME ADDRESS PHONE TYPE OF WORK
SIGNED:
PROPERTYOWNER:
SOCIAL SECURITY NUMBER:
DATE:
NOTE: This Owner -Builder Verification is required by Section 19831 and 19832 of the
California Health and Safety Code. This verification must be 'completed "i
returned to our office before we are permitted to issue the permit.
OVER
�-
OWNER BUILDER INFORMATION 1R
Dear Property Owner:
An application for a building permit has been submitted in your name listing yourself as the builder of property .
improvements specified.
For your protection, you should be aware that as "owner-buildee, you are the responsible parry ofjecord on such
a permit. -Building permits are not required to be sighed by property owners unless they are personally performing their
own work. If your work is being performed by someone other than yourself, you may protect yourself from possible
liability if that person applies for the proper permit in his or her name.
Contractors are required by law to be licensed and bonded by the State of California and to have a business
license from the city or county. They are also required by law to put their license number on all permits for which they
apply..., . . '. :. .
If you plan to do your own work, with the exception of various trades that you plan to subcontract, you ihould:
be aware of the following information for your benefit and protection: .
♦ If you employ or otherwise engage any persons other than your immediate family, and the work (including materials
and other costs) is $300 or more for the entire project, and such persons are not licensed as contractors or
subcontractors, then you may be an employer.
♦ If you are an employer, you must register with the State and Federal Governments as an employer and you are
subject to several obligations.including state.and.federal income tax withholding, federal social security,taxss,;.
workers compensation insurance, disability insurance cotu, and unemployment compensation contributions.
>1<l-
♦ There may be financial risks for you if you do not carry out these obligations, and these risks are especially.seri 'us
with respect to worker's compensation insurance. '
♦ For more specific information about your obligations under Federal Law, contract 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 performtheir
work personally or through their own employees, without a licensed contractor or subcontractor, only under"Hi'aied
conditions.
A frequent practice of unlicensed persons professing to be contractors 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 contracting the Contractors State License Board in your
community or at 1020 N Street, Sacramento, CA. 95814.
Please complete the "Owner Builder Verification" bn the reverse side of this form so that we can confirm. that you..
are aware of these matters. The building permit will not be issued until the verification is returned.
I4MggerC,iBVuii1din-
y,
'�1
l iia, C.B.O.
Inspection
NOTE: ThLs Owner -Builder Information is required by Section 19830 of the California Healdt and Safety Code-
OVER
oda
OVER
RESIDENTIAL,.
69-22-24 3217-90B,P,E,M
CARVER, Mike
.29 Apache Circle, Oroville
(new .sf)
OFFICE COPY
Address
A
GAS
By Dato 71�i
EL
Met Date
Date
L7
OFFICE COPY
Address
Date
ELECTRIC
Meter By
Date
JOB FINALE
Signature
q=0k
O=Not OK
Not
' = Not Readyable MOBILE HOMES
Date
MOBILE HOME UTILITIES (Plans) OK except #'s
1. Zoning Requirements -Setbacks -Easements
2. Soils; Special MH Support Sketch
3. Sewer; Location -Test -Fall -C/O Concrete
Card B-1
4. Water; Location -Test -Easement Needed (Sketch)
Card B-1
5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete
--card-B-1-
6. Gas; Location -Test -Wrap: / /" L" ft.
/ /"Nat. or/ /"L"ft./ /"LPG
Card B-1
7. Utility Clearance
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. Exits; Insp.-Sketch
10. Cert. of Occupancy
Date
Card B-1 Date Card B-1
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 -Connectors -Steel
3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails
4. Wood Awn.; Posts-Beams-Rftrs.-Coonectors
Shthg: Rfg.-Bracing
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Carports; Windows -Doors
7. Electric
8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses
9. Siding; Nailing -Veneer -Stucco -Mesh
10. Roof; Shthg-Roofing
11. Ext.; Steps -Doors -Landings
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date POOLS (Plans) OK except #'s
1. Setbacks -Easements
2. Soils; Compaction -Structure Stability
3. Pool Structure; Steel -Connections -Thickness
Dead Men -Lining
4. Elec.; Receptacles and Lighting, 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-Pane Iboards- 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 RESIPENTI/AL (:
' =
Date UNDE FLOOR (Plans) OK except #'s
on i ng -Setbacks -Easements -Flood -Slope
4tg� Main; Soils-Elec. Grnd.-/), "' FtgZepth
tg., Garage; Soils-Steel-Elec. Gr . Jb /" Ftg. Depth
4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth
PSI-Siernwalls, Main; Steel -Block outs -Wrapped
t%✓Stemwalls, Garage; Steel-Blockouts-Wrapped
6a. old Downs and Special Anchors
7. Sl5k Steel -Wrapped 0 '
ie rs-Fifepteee-Rtg.-Steel
9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test
10. Gas Pipe; Size -Anchors
11. Water Pipe; Test -Anchor -Regulator -Service Test
12. Electric; Underqround
13. Pienums & Ducts; Clearance -Material -Support -Ins.
14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
15. Insulation
Dated -]�d Card B -t Date Card B-1
Date - ` Card B-1 Date Card B-1
Date PLUMB I Permit OK except #'s
Vent -Access -Combustion Air -Baffle
i. ater P' e; Test & Anchor -Nail Protection
141-017-V.; Test -Fittings & Anchor -Nail Protection
�o Shnwo. van rye. First Floor -Tub Access
9G - T ab-& hower, Second Floor -Tub Access
ipe; Size & Anchors
DatVZ- Card 13-1 Date Card B-1
Date Card B-1 Date Card B-1
Date ELECTRICAL (Permit) OK except #'s
2V,--Fi'xture & Transformer Clearance -Ins. Protection
��C. Receptacles Spacing -Lights & Switches at Doors
Size xes & No. of Conductors -Stapled
Romex Installed Close to Edge of Studs & C.J.
Ground made up w/Mech. Fastners-Bond Gas & Water
2 Appliance Circuts in Kitchen & Conductor Size/GFI
u e ire Size / / ga. Cu or AI-A.C. Wire Size / / ga.
Cu or Al
29. Range Circ. /& ga. Cu or(goven Circ. / / ga. Cu or Al.
Insula ed Neutral ❑ Yes ❑ No
30 -Riser Conductors & Ground -Main Disconnect
qui . Clearances Panels-Motors-Mech. Equip.
to Closet Light -Shower Light -Spa Light
Smoke Detector
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date MECHAN ICALIPermit) OK except #'s
:C. Ducts Insulation & Support
LeVent Fan; Exhaust above insulation
ondensate Drain & Overflow; Size & Grade
6rnance-Vent; Access -Co . Air -Return Air Vent -115 outlet
tic Access & latfor rnance in Attic
Date - and B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date FRA (Plans) OK except #'s
Sils, Proper Material & Anchors
4 alls Studs -Nailing, Spacing & Bracing -Plates -Sound
Baring Walls over Girders & Floor Nailing
4 raft top in Walls (rat proof)
ire tops; Furred Ceilings -Stairs -Chases -Tub
4 eaders & Beam -Size & Bearing
jingle & Duplex)
Date FR MING (Continued)
Hangers -Post Caps-Anchors-Connectors14&
Ing. Joist-Rftr. ties-Purlin-roof Br -Truss-Shthng.-R ng.
C-R-re—place Ties or Type A Flue -Fireplace Throat clearance
4L_A tie -Access; Size & Rom ex Protection -Draft Stop -Ins. Baffles
dows or Exiting Doors -Sill Hgt. & Dimensions
arage Fire Protection Framing
2pe y Line Firewall & Openings
52, -MR -Doors -One 3' -Check Garage -3rd Story, 2 Exits
irs . idth-Headroom-Rise-Run-Landing-Fire Protection
ywood.on Roof Overhang -Attic Vents -Rafter Outriggers
ding -Nailing Veneer
- nts-Underflr. Access
lazin -Glass Protection -Skylights -Plastic
r ear Walls; Nailing -Bolts
} �C 59. Insulation -Walls -Ceilings
60. Infiltration -Walls -Windows
Date/G 4 "Card B-1// / Date Card B-1
Date Q6 Card B-1 = Date Card B-1
Date F L (Plans) OK except #'s
i 03!Furnace; Vents -Clearance -Comb. Air -Connector -
W In Garage; Above Floor-Ducts-Mech. Protection
room Exiting
5. G.F." Bath Fixtures & Tub Access -Spa
/ 1iS%Efec. Trim & Subpanel; Breaker Sizes & Labels
67 air & Rails
it ce or Stove; Clearances -Hearth
&Slpe. Outlets at Wood Panel; Int. & Ext.
Kit.Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance
7 le utlets & Receptacles at Kit. Counter
La --G
Zage Fire Door; Swing -Landing -Closer
A.C. Duct in Garage -Damper
[Jsl%Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.
In Garage; Above Floor-Mech. Protection
Ib -Elec. & Mech. Equip. Listed for Location
lec. Receptacles in Garage; (G.F.I.)-Romex Protection
77 sulation-Foam-Looked in Attic ❑ Yes
ua�Rails & Deck Construction -Post Caps
dn. Vents & Crawl Hole Door -Drainage & Wood -Earth
Clearance Looked under Floor ❑ Yes
80. Following instld.; Drive ❑ No; Walks es ❑ No;
Planters ❑ Yes_
- 'Wish
A. nit; Disconnect, Electrical, Plumbing
Vents Above Roof; Plbg.-Appliance-Fireplace.-Clearance to
Openings
ionnect, Electrical, Plumbing
8 . xteri c. Trim; G.F.I. Receptacle -Underground
8 entilation Throughout House
Mass Protection
88. Cions from Previous Inspections
Gas Test -Meters Tagged; Gas -Electric
PO_Wafer4 Sewer Connected -C/O to Grade -HD Approval
.9 ergy Compliance Certificate -Other Certificates
Date`') Gq1 Card B-1 Date Card B-1
Date Card B-1 o Date Card B-1
Date Card B-1 Date Card B-1
Comments at Final:
(NOTE: An entry must be made each time you visit job site)
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, OroviIle— Phone: 538-7541
747 Elliott Road, Paradise— Phone: 872-6307
CORRECTION NOTICE
OWNER PERMIT NO.
A routine inspection indicates that the following violations of County Ordinance
exist at the above address and, should be corrected. Please notify this office
when correction of work is completed. If you have any question pertaining to this
itter, or nee dditional explanation, please contact this office immediately.
Y� 0 C/ / C 3AT U A17—
4vrA"'-' 1-� vne-
r_.rf
r
Y'
t
Date / 2_7
3__ i�> Inspector5t'
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Orovi l le — Phone: 538-7541
747 Elliott Road, Paradise — Phone: 872-6307
CORRECTION NOTICE
�z&,' -?Z/7
OWNER PERMIT NO.
A routine inspection indicates that the following violations of County Ordinance
exist at the above address and should be corrected. Please notify this office
when correction of work is completed. If you have any question pertaining to this
matter, or need additional explanation, please contact this office immediately.
(�� 2r� u Ai ey wt % � �' Q_b�li'a vc.-� its (•� �..5r
'41? 1
/Coil . " // ----
Date 1v `Z -3X Inspector
-1-
e
�4 14 (p
ENERGY CERTIFICATION
:sea
MATERIAL
BRAND NAME
THICKNESS
THERMAL. RESISTANCE (R VALUE)
EXTERIOR WALL
MATERIAL FIBEGLAS,-4
BRAND NAME CERTAINTEED
THICKNESS (INCHES)
_
THERMAL RESISTANCE (R VALUE) / -3
CEILING
BATT OR BLANKET TYPE FIBERGLASS_
BRAND NAME CERTAINTEED
THICKNESS
THERMAL RESISTANCE (R VALUE)"`i
LOOSE FILL TYPE_FIBERGLAS
BRAND NAME
_ _CERTAINTEED
MINIMUM THICKNESS(INCHES)� NUMBER OF BAGSWT PER BAQ 25 LB
AREA COVERED (SQ FT).. �_
THERMAL RESISTANCE (R VALUE) d'
FLOOR, ELEVATED
MATERIAL FIBE GLASS
BRAND NAME CERTAINTEED
THICKNESS (INCHES)-
_
THERMAL RESISTANCE (R VALUE)_G-
FLOOR, SLAB
_
MATERIAL
BRAND NAME
THICKNESS (INCHES)
THERMAL RESISTANCE (R VALUE)
FOUNDATION WALL
MATERIAL
BRAND NAME
THICKNESS (INCHES)
THERMAL RESISTANCE (R VALUE)
I HEREBY CERTIFY THAT THE ABOVE INSULATION WAS INSTALLED IN THE
ABOVE BUILDING IN CONFORMANCE WITH THE STATE OF CALIFORNIA ENERGY
REQUIREMENTS.
HAWKINS INSULATION 379407
FIRM NAME/OWNER STATE CONTRACTOR'S LICENSE NO.
SIGNATURE DATE
I HEREBY CERTIFY THE ABOVE INSULATION AND ALL REQUIRED ITEMS AS SHOWN
ON THE BUILDING DEPARTMENT APPROVED PLANS AND ATTACHMENTS HAVE BEEN
INSTALLED AS REQUIRED BY THE STATE OF CALIFORNIA ENERGY REQUIREMENTS.
ALL EQUIPMENT, DEVICES AND MERTIALS ARE OF THE QUALITY PRESCRIBED OR
ARE SPECIFICALLY APPROVED BY THE STATE OF CALIFORNIA.
FIRM NAME/OWNER STATE CONTRACTOR'S LICENSE NO.
6` 16
S GNATU EN. CONTRACTOR/OWNER DATE
-1-
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Ofoville, California 95965 - Telephone: 916/538-7541
' APPLICATIAN AND PERMIT
PERMIT NO.
3217-90
ASSESSOR PARCEL NUMBER
69-22-24
`i '
BUILDING PERMIT
OWNER
Mike Carver
TELEPHONE
91-8830
SQ. FT. OCC.1 BUILDING VALUATION
1411 R 56
440
OWNER'S MAILING ADDRESS
383 B Connors Ct Chico '
476 M 6,664
CONTRACTOR'S NAME
Owner
TELEPHONE
102 0
510
24 C
240
CONTRACTOR'S MAILING ADDRESS
Fireplace I "A" 1 1,000
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $ 64,854
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$ 328.00
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$ 15.00
Energy Plan Checking Fee
$ 15.00
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$ 368.00
BUILDING ADDRESS
29 Apache Circle
Permit fee
$
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00 20.00
Oroville
Solar or heat pump water heater
20.00
LOT NO.SUBDIVISION
146
NAME
Unit 3 Kelly Ridpe Estates
PARCEL MAP
IPAI k3 `-
Water piping
5.00 5.00
Each qas water heater or vent
5.00 5.00
USE OF STRUCTURE
SFU Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00 9-00
Mobile Home I S I G JW I
10.00e
TYPE OF WORK
New ba Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑
Describe work: 3 bdrm i_
Master A3PPM9,VV
Permit Fee
$ 50.00
Contractor
ELECTRICAL PERMIT
Filing Fee 10.d0
Main service 100 VAMP OROR LESS10.00
10,00
Main service EA. ADD'L 100 AMP
2.502.50
CONTRACTORS LICENSE LAW
1 declare under penalty of perjury (check one):
7f 1 am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full fo ce and effect.
2 yL�'y �.
License No. Y' -E 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
LIN CCUP.&\
oR T ( DWELGS I
ADDNS2yzQsgft 47.20
NEW CONSTR ULTI-OUTLET
NON-RESID BRANCH CIRC ITS 2.50 ea
/POWER APPARATUS &)
(SINGLE OUTLET CIR.
Ex. OCcup(OUTLETS OR FIXTURES 2AL@30
BAL030
\
EX. QCCUp. OUTLETS ( FIXED PRESID.)LN REA.) 2.00
Temporary service 10.00 10.00
Mobile Home Facilities 15.00
Misc. �Virin 15.00
9
Permit Fee $ 79,70
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
FiIingFee 10.00
Heating
6.00
Cooling
6.00
Hood
3.00 3.00
Ventilation
3.00
Permit Fee
$ 28,QO
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
liabilities jud nts, costs, and expenses which may in any way accrueHo
agains o consequence of the gra ting of this perm' .
Date
Signature of Applicant - Ownerj�P Contractor ❑ Agent ❑
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in eight.
Mobile Home Installation Fee $
Energy Inspectio Fee $ 30,00
Cc A CONT E
TOTAL FEE $ 555.20
HAz
CLIA PARK
cJ/Flp�PAR
PDall
ISSUE
This per it s he eby issu d under
sions the ut County o
work i dica d bove for hi
TO P
By
PERMIT EXPIRES Date
the applicable provi-
nd/or resolutions to do
fees have been paid.
LIC WORKS
ate �Ohz4df
' /
Receipt No. 736 - 70. 0 7`i 11'&
WHITE-O.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD-APPLI
COUNTY OF BUTTE - DEPARTME'R$T OF PUBLIC WORKS - BUILDING DIVISION
--
7 COUNTY CENTER DRIVE : OROVILLE, CIFORNIA 85965 - TELEPHONE: 916/538-7541
PERMIT APF�L CANON DATA SHEET
r t Permit No.
OWNER C �'n � A. P. No.
Proposed Building Use J F Building Inspector Date / �7
At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance:
DATE RECEIVED APPROVED
1. All items have been submitted . .....................................
2. Plot plans in duplicate/triplicate, signed by preparer of plans ........
3. Complete plans in duplicate/triplicate, signed by preparer. of plans . .
4. Complete engineered plans and calcs, with wet signature on plans ..
5. Hazardous Material Form ......................................... .
6. Energy Design Compliance and supporting documentation .........
7. Statement of Intent for Non -Heated and AC Buildings ...............
8. Engineered truss details and layout in duplicate (required prior to plan check)
9. Mobilehome installation data including manufacturer's installation
instructions... ..................................
Fees of $ ."....... 0 Z 7-
11.
U
Chico Urban Area fees paid .......................................
1 Park fee paid .............. ^,.......
0 � �1 M School District fees paiq .........
4 Sanitation approval from L it 11 F0 C) Health Department Z Z
1 . City of Chico plumbing permit ......................................
16. Plot plan and business license approval from City of
(see City for other requirements)
17Planning approval for (A) Use: (B) Parking: ......
Improvements may be required. Contact Land Development Section DPW
permit (construction approval required prior to occupancy) %O r
4.�DrivewayGE S.
20.. Pre -Inspection for required Pre-Inspec. request to
Building Inspector (Date)
21. Contractor's license information (No., Name Style, Classifications ...
F 22. Certificate of Workmans Compensation Insurance ..................
�. Owner -Builder Verification (Given to owner ❑, Mail to owner 13) .....
Recorded copy of Agricultural Acknowledgment Statement ......... O Z Z U
5. Letter of signature authorization .................................. .
26.
27.
When u issue the P-primit, rocess as follows: Mail to caner. Mail to contractor.
Telephone�� and hold for pickup at office. Deliver w/inspector.
Other
Applicantf Date-
Copy
ate 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 prior to permit issua cle new item not checked` above).
1. Index permit for above items No.
2. Additional items required:
1
Contractor, designer, owner, was advised of above required data by_phone---nail—counter by ..date
Contractor, designer, owner, was advised of above required data by_phone_m`unter by date
all_c
Plans checked by Date Plans approved by Date
_i��
Sets of plans(on hold in File cabinet ZAP folder
Copy -DPW
TO: Building Department
FROM: Encroachmef" Permit Section
RE: 'Driveway Clearance
ZZ-�
owner loc tion AP #
Driveway permit
n b
iga
sign re
has been issued for the above property.
AM
date
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO.
7 County Center Drive - Oroville,•California 95965 - Telephone: 916/538-7541
APPLICATION AND PERMIT �Y
ASSESSOR PARCELNUMBER '20NING,
BUILDING PERMIT
OWNER/VI I. `- L/
I,-
T PFC-�
1317/ / O
S0. FT. 0 BUILDING VALUATION
OWNER'S ILING ADDR SS C ��
3 �ov�U- s c47-- z
-76
CONTRACT 'S AME
TELEPHONE
/i O
(J
t
CONTRACTOR'S MAILING ADDRESS
Fireplace e9 a
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
Filing Fee 10.00
LENDER'S MAILING ADDRESS
Permit Fee $ .0 L3
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee $ /5. 0
Energy Plan Checking Fee $
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty $
BUILDING ADDRESS /
Permit fee $
PLUMBING PERMIT Filing Fee 10.00
Each Trap 2.00 02,00
LOT NO.SUBDIVISION NAME .rte, PARCEL MAP
r P' C
Solar or heat pump water heater 20.00
Water piping 5.00 rOd
Each qas water heater or vent 5.00 .dv
USE OF STRUCTURE
SFDuplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00 S,00
Building sewer
.00 ��
Mobile Home S G
OOe
TYPE OF WORK
NeV Addition❑ Remodel❑ UtilitiesEJ�Installation[] Other ❑
Describe work: �!y% /l'VT�
5c19-- YD
E#O
Permit Fee
$cjDa
'
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 100 VOR AMP ORSLESS
10.00
Main service EA. ADO'L too AMP
2.50 arSZ
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check One):
❑ 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
❑ 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..\
OR ADDNS. ACC. BLOGS, l
I/z�sgft �� jJ
NEW CONSTR. MULTI -OUTLET
NO N•R ESID BRANCH CIRC ITS
2.50 ea
(POWER APPARATUS e\
SINGLE OUTLET CIR,
Ex. Occup(OUTLETS OR FIXTURES
0@50t j
eA 030C
FIXED APPLNS. OR
Ex. Occup. OUTLETS IRESIO.1 EA.)
2.00
Temporary service
10.00
Mobile Home Facilities
15.00
Misc. Wiring
15.00
Permit Fee
$
Contractor
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
❑ I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
t0 the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
MECHANICAL PERMIT
FiIingFee 10.00
Heating
4(,00
Cooling
% �,DO
Hood
3.00 __SA il
Ventilation
/ "w ,a e)
Penult Fee
$ c3�
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.
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.
Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑
An OSHA permit is required for excavations over S' "deep and demolition or cor,srrucr-
ion of structures over 3 stories in height.
Mobile Home Installation Fee
$
Energy Inspection Fee $
OCC
CONST TYPE
TOTAL FEE $ �S
ALSCHS
AZ
CUA
PARK
FLD
PAR
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Ho
ISSUE
This permit is hereby issued under the applicable provi-
sions of the Butte County Code and/or resolutions to do
work indicated above for which fees have been paid.
DIRECTOR OF PUBLIC WORKS
By Date
PERMIT EXPIRES Date
Receipt No.
WNITE-D.P.W., YELLOW -ASS E3SOR. PINK -INSPECTOR. GOLDENRO'D-A4LICANT
DPW AGRICULTURAL STAT.I.-Al"NT OF ACKNOWLEIDGFNEXI!
FOR RESUANTIAL DI-WL1,0111VIVINT
Se( I i fill 26-13.1 of Life 14ILLP COUnLy 'Curie
(Alis ttcknuwle(IgelliellL be recorded
of n I'livilcling perm.il:.
Tl- W' , off'rLy tlesc-ribfml Iiere:i.ii :is nd.incent.
11) I'llid of. W1.01 -it) Fill nre;i z.oiwd
A9P I V_ FOR RECORDING
andres i dent_
.9FITED
-
AT 8:01 A.M.
u incori__
11ii:-, property inny besubject Lu
v(,0cn(-(, or ari.sing from 1 -fie
w;(, III'. is, r i cu I tur;i 1. c1leild ca I. S , 1.11c.I.I.I(Illig,
hill nett limitetl to iierbic(.(Jes, pest.10(jeq,
:itlfl f'(,t i. i I i zers; and From the 1)ur s u.I. t
ftl I s?,r i c I I I I: I I ral operdtiorls J. I I (: I I I (I i. if g
bnt nett. t e(I Lo cul.LivaLlon, 1) I.OW.i fig,
priiii Imp, , ;Ind lin r ves t i If I,, which
(1( f -;I s i oti,,-.t l Ly genero t.e (I usL , smoke, noise, nn(l odor
ftuti.v coinay III
,,ir;d 'odes w1dcli have as i prf.arfty use. for pro(luctive
W i I It ill) said zones all(I on adjacent. property should be
prepared I. o slif-11 i If( -()I) V( -11 i .11f I•
(W disconform from normat, necessary farm operations.
All lliit. rr,nI property sjIj,_It:e ill tll(- - , - -11i:1, ill( -11 ;I::
p (:()tllll_y of Sinte of, C;Ilifof
SEE A17.17ACIIED DESCRIPTION
I.);, t.Q: - September 13, 1990.. PROPERTY OWNERS:
Michael J, Carver Inc., a California corporation
BY:
Michael.. L. Carver. , President
STATE OF CALIFORNIA Iss.
G0LJN1Y------ --
October -15, 1990 before metaly Public in and for
On , the undersigned, a No
siici State, personally appeared Michael L. Carver and
personally known to me (or proved to me on the
basis of satisfactory evidence) to be the persons who executed the within instrument as--_
.______.___.____.._-President ---Secretary, on behalf Michae1—L .
� a- i V-,-e--r, - -,Inc.
the corporation therein named, and acknowledged to me that
such corporation executed the within instrument pursuant to its
hy-liws or a resolution of its board of directors.
VIII NESS my hand and official seal.
i n
g
Barlow
OFFICIAL SEAL
TAIVII BARLOW
NOTApy PUBLIC — CALIFORNIA
ppiliCIPAL OF FICE IN
nur-rE COUNTY
My Commission
..............................
ExplieS October 24,1992
(This area for official notarial seal)
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ORDER NO, BU -115579 TB .
DESCRIPTION
ALL .THAT CERTAIN REAL ,PROPERTY SITUATE IN THE COUNTY OF BUTTE,
STATE OF CALIFORNIA, DESCRIBED AS FOLLOWS:
LOT 146, AS SHOWN ON THAT CERTAIN MAP ENTITLED.j "KELLY RIDGE
ESTATES UNIT NO. 31l, WHICH MAP WAS RECORDED IN THE OFFICE OF THE
RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON JULY 26,
1974, IN BOOK 43 OF MAPS, AT PAGE(S) 44, 45, 46, 41 AND 48.
PAGE 4
j,
• y ,� PERMIT NO:
106-90
Lake Oroville Area Public Utility District
1960 Elgin Street
OROVILLE, CALIFORNIA 95966
533-2000
DISTRICT APPROVAL AND
VERIFICATION OF INSPECTION
BUILDING SEWERS
This verification form must be submitted to the.Butte County. Department of Public
Works Building Department prior to issuance of a building or occupancy permit,
whichever is applicable.
Prior to final approval by Butte County of a Building or an Occupancy Permit, a copy
of this verification form, signed off by Lake Oroville Area Public Utility District, must
be submitted to Butte County.
Date: August 28, 1990.
Applicant: Michael L. Carver, Inc.
Applicant Address: P. 0. BOX -622-6 r
Applicant Phone No.: 891-8830
Property Location (s): 29 Apache Circle
Kelly Ridge Estates - Unit 3 - Lot 146
A. P. No. (s): 69-22-24
Fees due:
e.
Application for service approved:
LAKE OROVILLE AREA
PUBLIC UTILITY DISTRICT
Inspection(s) made and successful test(s) observed:
Location:
LIM
Date:
Lake Oroville Area Public Utility District release to close permit:
Date: By:
!•;I�ji�
14
` This set' of, plans and specifications' MUST be.:t ? _
b
kept on the.jobat all times and it is;unlawfultc y ;
, , , ,
make :any changes or alterations or% same wrtfi-
artment of
out -written permission:from tt e�Dep 'CvNGR�TE CLF-ANUU7''
Wafks, County of Butte.: +
•OTEa--All MafeRai$ & Workmana! vJEF� CONNeG{'i�►J. ,•
N
Accordance with Recognizedooi'P act;cei aetsd; ! :3yyI bhp
of a quality prescribed for the Specifi d=, use in ;the '
Uniform Building, Plumbing it Mechanic Codec and, ; ;
,
ihs National 6;ee ricc+l
i 1�7
Pac
17
1 ,
•�� ���� I ��� j a � t1 PGS
6o p wArR '
A Setback of 5 ft.;frbm® ick of
propedy'lines acid a. setback
m
ft: froroad
centerline shall be clear
ures or eWpment
excep t ' ;
StNct g
Ove, overha{ ' �PAG� i�il
fora 2 K. 'is . !� i
UN1T 3
COYWY,
See Master Plan on ile poi• bindI T
m DING
HEPAR
APPROVE
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ltjfwroru zi
MG elm;jI, 115 7Fi 'Joi -A"is no
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STATE OF CALIFORNIA Iss.
COUNTY OF t utte I
�On October 15, 1990 —before me, the undersigned, a Notary Public in and for
said State, personally appeared Michael L. Carver and
personally known to me (or proved to me on the
basis of satisfactory evidence) to be the persons who executed the within instrument as
President and Secretary, on behalf of Michael L.
Carver, Inc.
the corporation therein named, and acknowledged to me that
such corporation executed the within instrument pursuant to its
by-laws or a resolution of its board of directors.
WITNESS my hand and official seal. „
OFFICIAL SEAL
TAMI BARLOW
0 NOTARY PUBLIC — CALIFORNIA
PRINCIPAL OFFICE IN
BUTTE COUNTY
My Commission Expires October 24,1992
a �171LIIlil111f1111111111➢11111611IIInIn1111111111nue1uuuenwme....
M Signatrt�amiBarlcw
�L (This area for official notarial seal)
Ilcturn to DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT( Q - 4 5 4 1 4
FOR RESIDf-ATIAL DEVELOPMENT
Section. 26-8.1 of. the Butte County Code„
requires this acknowledgement be recorded
prior to .issuance of a building permit.
The property described herein is adjacent
I.o land or included within an area zoned
90-045424 1 Rec Fee
7.00
for agricultural purposes, and residents
1 Check
7.00
o(' t.hi.s property may be subject to incon-
Recorded 1
vena ences or discomfort arising from the
Official Records 1
use of. agricultural. chemicals, includ-ing,
County of 1
but not limited to herbicides, pesticides,
"'Butte 1
and fertilizers; and from the pursuit
Candace J. Grubbs 1
of agricultural.tual. operations including,
Recorder 1
but not limited to cultivation, plowing,
8:01am 23 -Oct -90 1
SM 2
spray-ing, pruning, and harvesting which
occasionally generale dust, smoke, noise, and
odor.. Butte County has established
ngricul--
Lur.al zones which have as a priority use for productive
agricul.Lural purposes, and
reside!:[
within said zones and on adjacent property should
be prepared to accept such inconvenience
or d:isconfor.m from normal, necessary farm operations.
AU that real property situate in the County of Butte, State of Cal.ifornki, dc•scrilied ;ir,
('o.11.ows:
SEE ATTACHED DESCRIPTION
Date: September 13, 1990 PROPERTY OWNERS:
Michael Carver Inc., a California corporation
BY:
z
Michael L. Carver , President
SLaLe of California)
SS.
County of Butte )
1
On this the day of , 1.9 before mc,,
the undersigned Notary Public, personally appeared
M
E] Personally known to me. Q Proved to me on the basis
of satisfactory evidence.
to be the person(s) whose name(s) _
subscribed to the within instrument and acknowledged that _
executed the same for the purposes therein contained. .I.N WITN lSS
WHEREOF, I hereunto set my hand and of.fici.al. seal.
Present. A.P. No. 69-22-24
oLar. y Puld i c
P . rt ,^ ., 3.$ { ���4q � r,^T ••,,.r H??Y dt.✓° ; � uY+.<.k tr' ,�y'��' t'.
��+7X�•� :-- L^jt t N•f!!1 ''' -1..'''S t�.. �r t. .. —;}� ,,P�i <. �r .fit }j._ 3 a'>r 3, .i l�, ai .. { .rji.
y�p,}��}li', ii�t tI� / � R �t A`.s t. p w •i4- F!',��
,i%0 i,t t` �,p , `i zyi ° L,tf� Vie: , .a f L( "' 1 t r.3 .3�: •O'4''�= ; K� a .'.t'•. r ` l, 3`ni •'4`'='I
ORDER `O$= BU ,135579 TB a x
.. ��" t . 41,1•- ;� r.1' �, e� '� c ? ! ..>,• 4. tr 53�. f.C.d'.+,#
DESCRIPTION w
ALL THAT CERTAIN REAL PROPERTY SITUATE IN THE COUNTY OF BUTTE,'
STATE OF CALIFORNIA] DESCRIBED AS FOLLOWS:
LOT 146, AS SHOWN ON THAT CERTAIN MAP ENTITLEDy "KELLY. RIDGE
ESTATES UNIT 140:-JN0 WHICH MAP WAS RECORDED IN THE OFFICE OF THE
RECORDER OF THE COURTY OF.BUTTE; STATE OF CALIFORNIA; ON JULY 26;
1974, IN BOOK 43 OF MAPS] AT PAGE(S) 44 45# 46j 47 AND 48:
PAGE 4
EAlD OF DOCUMENT
C.. fin.. Z ..
1
C)i
BUTTE COUNTY.SCHOOLS DEVELOPMENT FEE CERTIFICATION FORM
(One,,F. sM per 'Building)
A.P. Number(O _"_Z_ r 2� Building. Department No.
School District O/Z O C—;LFA4 City County Jurisdiction
,Property Owner 0� 2 V F,
1
Project Location/Address
Subdivision (UA/ IT 3 kFU--1 A)Q6 jP_: Lot Number[7 71
f _
Residential Development:
Sq. Footage .I 411
# of Living MHI Addition (Group R)
Units
Commercial/Industrial:
New
Sq. Footage
Addition (Including Exterior
Roofed Areas)
Date
(Floor Plans reviewed by School District Personnel)
District Id No.
School District certifies that
(J,pYp.licant Name) (Phone Number)
(Street Address)
(City) (State) (Zip Code)
has complied with the requirements of Resolution No.
by the payment of $ ,,2 x29,3 representing / // square feet.
School District,:Representative Date
PAID BY CHECK NO. /
BANK NO
PAID BY CASH'
REMARKS:
white -applicant, yellow -building department, pink -school district
SCHOOL.FEE (8/88)