HomeMy WebLinkAbout069-600-048o
td-6EYI�i:,CONS INC: t
#4 Ian Lee Circle, Heritage Est. Orovill t•..
Permit#2045-82B,P,E;M(new S/F)
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69-6G-03 .;� •-..
Permit#3967-88B,E(to complete wo r� ,
started under 2045-82)SF
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4 SEGURA DR, GRIDLEY
- Cont : OWNER r.
RE ROOF
+'. APN: Permit No.
• ,� Owner.
Site Address.• A
Contractor.
' Type of Permit: '
jya • t
u
SPECIAL CONDITIONS
CHECKED BY
0 SRA
0 FLOOD CERTIFICATE EQUIRED
Q FIRE SPRINKLERS REQUIRED
Q SPECIAL INSPECTION ITEMS
0 VERIFY
Q USE PERMIT CONDITIONS
Q SUB -STANDARD HOUSING LETTER
-
El ENCROACHMENT PERMIT
Q REINSPECTION FEE PAID
s O ENV HLTH CLEARANCE
_ �� • DATE JOB FINALEO:
SIGNATURE
�-
F
u
SPECIAL CONDITIONS
CHECKED BY
0 SRA
0 FLOOD CERTIFICATE EQUIRED
Q FIRE SPRINKLERS REQUIRED
Q SPECIAL INSPECTION ITEMS
0 VERIFY
Q USE PERMIT CONDITIONS
Q SUB -STANDARD HOUSING LETTER
-
El ENCROACHMENT PERMIT
Q REINSPECTION FEE PAID
s O ENV HLTH CLEARANCE
_ �� • DATE JOB FINALEO:
SIGNATURE
�-
•=OK
n U. nit
MANUFACTURED HOMES
MISCELLANEOUS -
DATE I Lj 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-Clmcs-Grnd 'Am -Concrete
6 Yard Gas; Loctn-Test-Wrap Nat or LP(--]
Inch Sz Ft Lngth
7 Blckng; SzSpacing-Marriage Line
8 Gas; MH Test-Demand-Valve-Cnnctr
9 Elec MH Cntnty Test-Crossovers-Breakers-Clmcs
10 Drain; MH Test -Fall -Flex Cnnctr
11 Wtr & Sewer Connected -C/O to Grade
12 Gas and Electricity Tagged
13 Tie Downs ❑ Foundation ❑
14 Exits
15 Cert of Occupancy
16 HUD Label/insignia Numbers Serial Numbers
--DATE DEC K S -COVERS -CARPORTS •GARAGE S
1 ZoningSetbacks-Easements
2 Ftgs; SoilsSz DpthSpacing-CnnctrsSteel
3 Decks, Glyders/Joists-Dcking-Brcing
Stairs-Guard/Handrails
4 Wood Awn; Posts-Beams4btrs-CnnctrsShthg•
Frmg-Brcng
5 Alum Awn; Columns-CnnctnsSplice-Decal-Enclsrs
6 Carports; Wndws-Doors
7 Electric
8 Frmg; Sills-AnchrsStuds4bas Trusses
9 Siding; Nailing -Veneer -Stucco -Lath
10 Roof; Shthg-Roofing
11 Ext; Steps -Doors -Landings
12 Braced Wall pnls
1$11 ys
DATE IPOOLS
1 Setbacks -Easements
2 Soils; CompactionStructure Stability
3 Pool Structure; Steel-Cnncins-Thickness
Dead Men-Llning
4 Elec Rcptcls/Lting; Distance-GFI
5 Elec Pool Lting; 15 volts-GFI
6 Elec.Encisrs; Conduit Entries Terminals -Listed
7 ' Elec Bonding; Metal w/5'-Crcltng Egp-Htr
8 Elec dmdng; Eqp w/5' Crcitng Eqp-Pool Ightg
Boxes-nclsrs-pi lboards4nsultn to Main Conduit
9 Health Dept Ap'&I
10 Plmb; Cir Test-Wtr Supply Test
11 Lt Niche ,
12 EncIsr; Fencing -Alarms
13 Bonding, Diving board or Slide
4P 90
Pool Drawing
RESIDENTIAL
(Single
& Duplex)
DATE JUNDERFLOOR
DATE
PLUMBING
7 zoningsetbacus-Easements-FloodSlope
2 Ftg Main; Soils-Elec Gmd Ft4 Dpth
3 Ftg Garage; SoilsSteel-Elec Grnd Ftg Dpth
4 Ftg Porches/Decks; Soils -Steel Ftg Dpth
5 Stemwalls Wain; Steel-Blockouts-Wrapped
6 Stemwalls Garage; Steel-Blockouts Wrapped
6a Hold Downs and Special Anchrs
7 Slab, Steel Wrapped
8 Piers-Frplc Ftg-Steel
9 DWV; Fall -Fitting -Test -2 -way CIO -Sewer Test
10 UF, Gas Pipe; Sz Anchrs-Sz Test
11 Wtr Pipe; Test-Anchrs-RgltrService Test
12. Elec Undrgmd
13 Plenums & Ducts; Cirnc-MaterialSupport4nsultn
14 GirdersSills-Anchr Bolts-Joists-Vnts-Cripples
15 Ace & VnUtn
16 Insulation
oa 0 da �ya
DATE FRAMING
17 Sills Proper Materials & Anchrs
18 Walls Studs -Nailing Spacing & Braces -Plates -sound
19 Bearing Walls over Girders & fir Nailing
20 Draft Stop in Walls (rat proof)
21 Fire Stops; Furred CeilingsStairs-Chasers-Tubs
22 Headers & Beams-Sz &'Bearing"
23 Hangers-Posf Caps-Anchrs-Cnnctns
24 Ceiling Joist-Rftr Ties-Purlin-Roof Brae TrussShthg
25 Frpic Ties or Type A Flue=Frpic Throat Cimc
26 Attic A&c, Sz &-Rmx Pitctn-Draft Stop -Ins Baffles
27 Bdrm Wndws or Exiting Doors -Sill Ht & Dimensions
28 Garage Fire Prtctd Framing -RC Channel
29 Prprty Line Firewall & Opngs
30 Ext Doors -one 3' -Check Garage 3rd Story, 2 Exits
31 Stairs; Width-Hdrm-Rise-Run-Land'ing-Fire Prtctn
32 Plywd on Roof Ovrhng AtUc Vnts-Rftr t)utrgrs
33 Siding -Nailing Veneer
34 Stucco Lath Weep Screed-Fndtn Vnts-Undrflr Ace
35 Glazing Area -Glass PrtctnSkyLts-Plastic .
36 Shear Walls; Nailing -Bolts
37 Brace InUExt Wall pnls
38 Insultn-Walls-Ceilings
39 Infiltration -Walls -W ndws
DAT= JELECTRICAL
40 Fxtr & Trnsfrmr Cirnc4ns Prtctn
41 Elec Rcptcls Spacing-Lts & Switches at Doors
42 Sz Boxes & No Of Cndctrs Stapled
43 Romex Installed Close to Edge of Studs & CJ
44 Eqp Grnd made up w/Meth Fstnrs
45 Grndng Electrode Bond Gas & Wtr
46 2 Appinc Cires in Ktchn & Cndctr Sz GFI
47 Subfeed Wire Sz oa [_1 CU or ❑AL
AC Wire Sz ya Q CU or El AL
48 Range Clec ya ❑ CU or Q AL
Oven Circ ea Q CU or ❑ AL
Insulated Neutral ❑Yes 0 N
49 Service -Riser Cndctrs & Gmd Main Dscnnct
50 Eqp Clrnes pnls-Motors-Meth Eqp
51 Clothes Closet LtShwr Lt -Spa Lt
52 Smoke Detector
A. �41
53 Wtr Htr; Vent Acc-Cmbstn Air Baffle
54 Wtr Pipe; Test & Anchr-Nail Prtctn
55 DWV; Test Fittings & Anchr Nail Prtctn
56 Shwr Pari; Test, First fir -Tub Ace
57 Test Tub & Shwr, 2nd fir - Tub Ace
58 Gas Pipe; Sz & Anchrs '
59 Fire Sprinkler; Test
60 Yard Gas.Piping
100 ds` 90
oa
61 AC Ducts Insultri & Support "
62 Vent Fan, Exhaust abv Insultn
63 Condensate Drain & Ovrfiw, Sz & Grade
64 Furnace -Vent Acc-Comb Air Rtrn/Vent 115 Outlet
65 Attic Ace & Pltfrin if Furnace In attic
66 Ext Steps -Door & SldeLt Prtctn-Landings
67 Smoke Detector
68 Furnace Vnts-Cimc-Comb, Air-Cnnctr
In Garage; abv-flr-Ducts-Meth Prtctn
69 Bedroom Exiting
70 GFI & Bath Fxtrs & Tub Ace -Spa
71 GFI Are Fault
72 Elec Trim & Subpnl, Breaker Szs & Labels
73 Stairs, Guard/Handrails
74 Frplc or Stove, Clme4iearth
75 Elec Outlets at Wood Pnl, Int & Ext
76 Ktchn, Fxtr & Appinc; Gmd-Air-Gap-Cooking Clrnc
77 Elec Outlets & Rcptcls at Ktchn Counter
78 Garage Fire Door, Swing -Landing -Closure
79 AC Duct in Garage -Damper.
80 Wtr Htr; Vnts-CImc-Com Air Cnnctr-PRV; abv fir
Mech Prtctn; LPG Appince Undr House 3" drain
81 PImb; Elec & Mech Eqp Listed for Loctn
82 Elec Rcptcls in Garage (GFI) Romex Prtctn
83 Insultn-Foam-Looked in Attic
84 Guard Rails & Deck Cnstrctn-Post Caps
85 Fndn Vnts & Crawl Hole Door Dmge & Wood -Earth
86 CImc Dmge Planters Q Yes ❑ No
87 Stucco Brown -Finish
88 AC Unit Dscnnct, Elec-PImb
89 Vnts abv Roof, PImb-Appinc-Frplc-CIrnc to Opngs
90 Wtr Well, Dscnnct, Elec, PImb
91 Ext Elec Trim, GFI Rcptcl-Undrgmd
92 VnUtn thru House
93 Glass Prtctn
94 Corrections from previous Irispctns
95 Gas Test -Meters Tagged, Gas-Elec
96 Wtr & Sewer Cnnctd-C/O to grade -HD Apprvl
97 Energy Cmpinc Cert -Other Certs
98 Address Posted
99 Fire Sprinkler
4
o'' v3
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT .
24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO)
OFFICE #: (530) 538-7541
PERMIT NO.
BP061491
B. C. Building Permit 01-16-04 pg 1
LICENSED CONTRACTORS DECLARATION
I hereby affirm under penalty of perjury that I am licensed under
provisions of Chapter 9 (commencing with Section 7000) of Division 3 of
Issued Date: 06/22/2006 APN: 069-600-048-000
the Business and Professions Code, and my license is in full force and
effect.Site
License Class : License Number:
Address: 4 SEGURA DR GRI
Map Index:
Date: Contractor:
Description: REROOF CONDO AND GAR W/COMP (26)
OWNER -BUILDER DECLARATION
1 hereby affirm under penalty of perjury that I am exempt from the
Contractors' State License Law for the following reason (Sec. 7031.5
Business and Professions Code: Any city or county which requires a
Owner: ROBINSON FAMILY TRUST
permit to construct, alter, improve, demolish, or repair any structure, prior
to its issuance, also requires the applicant for such permit to file a
ROBINSON, JOEL AND ELIZABETH
signed statement that he or she is licensed pursuant to the provisions of
TRUSTEES
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
928 E EVANS REIMER RD
she is exempt therefrom and the basis for the alleged exemption. Any
GRIDLEY, CA 95948
violation of Section 7031.5 by any applicant for a permit subjects the
530-846-3862
to a civil penalty of not more than five hundred dollars ($500).):
mapplicant
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
Applicant: ROBINSON FAMILY TRUST
pp
owner of property who builds or improves thereon, and who does
such work himself or herself or through his or her own employees,
ROBINSON, JOEL AND ELIZABETH
provided that such improvements are not intended or offered for
TRUSTEES
sale. If however, the building or improvements are sold within one
year of completion, the owner -builder will have the burden of
928 E EVANS REIMER RD
proving that he or she did not build or improve for the purpose of
GRIDLEY, CA 95948
sale.).
530-846-3862
❑ I, as owner of the property, am exclusively contracting with
licensed, contractors to construct the project (Sec. 7044, Business
and Professions Code. The Contractors' State License Law does
not apply to an owner of property who builds or improves thereon,
and who contracts for such projects with a contractor(s) licensed
pursuant to the Contractors' State License Law.).
Contractor:
❑ I am Exempt under Article 3 of the Busine s NR ode
(j
Date.wner:
WORKERS'COMPENsAWN DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
❑ I have and will maintain a certificate of consent to self -insure for
License #:
workers' compensation, as provided for by Section 3700 of the
Labor Code, for the performance of the work for which this permit
is issued.
❑ I have and will maintain workers' compensation insurance, as
Architect:
required by Section 3700 the Labor Code; for the performance of
the work for which this permit is issued. My workers' compensation
Engineer:
insurance carrier and policy number are:
Carrier:
Policy #:
Total Square Ft: 0 S. F.
XI certify that in the performance of the work for which this permit is
Valuation: $0.00
issued, I shall not employ any person in any manner so as to
Census Code:
become subject to the workers' compensation laws of California,
and agree that if I should become subject to the workers'
compensation provisions of Section 3700 of the Labor Code, I shall
forthwith comply with those provisions.
Date:
Applicant: (--
WARNING: Failu t secure workers' compensation coverage is
unlawful, and shall su ject an employer to criminal penalties and one
hundred thousand dollars ($100,000), in addition to the cost of
compensation, damages as provided for in Section 3706 of the Labor
interest, fees.
code, and attorney's
CONSTRUCTION LENDING AGENCY
This permit is hereby issued under the applicable provisions of the Butte County Code and/or
Resolutions to do v"icated above for which fees have been
I hereby affirm that there is a construction lending agency for the
paid.
performance of the work for which this permit is issued (Sec 3097 Civ.) '
Name:
By: Date:
Address:
PERMIT EXPIRES ON:
Date
❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage,
handling and use of hazardous materials.
❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project.
❑ Attached are copies of the required E.P.A. notification forms.
I hereby certify that I have -read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with
all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or doc , ent of Butte County. I hereby
authorize representatives of ButtR County to enterup Ithebove mentioned property for inspection purposes
CAL bq)V Signature:
Print Name: 1 V
Date:��~
b6 Owner ❑ Contractor ❑ Agent for Owner ❑ Agent for Contractor
B. C. Building Permit 01-16-04 pg 1
®VT''�► BUTTE COUNTY
O DEPARTMENT OF DEVELOPMENT SERVICES
O BUILDING PERMIT APPLICATION
O AND SUBMITTAL REQUIREMENTS
® 24 HOUR INSPECTIOWN: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834
r: ® OPPICle N: (730) 530-7541
A FEE WILL BE REQUIRED AT TIME OFAPPL/CAT/ON
C®(jat� Website: www.buttecounty.neVdds
—PLEASE PRINT CLEARLY",
PERMIT
E.
BP
BIN # `
PROJECT LOCATION . !
AP#,r
4-4
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OWNER INFORMATION
Last Nome
Lti
Namp
irst d
.- O G
Addr s
E J
e'� tM r
CilyState
t'�
1
Phone
,
Zip �� y
PICT
yL "3 961
Fa
Class
E-mail
PERMIT
E.
BP
BIN # `
PROJECT LOCATION . !
AP#,r
4-4
V/1t V_C.T
CONTRAC R
Name
6-N4
Address
Map Book
City
Lot #
State
Zip
Phone
Fax
Fax
E-mail
Lic. #
Class
PERMIT
E.
BP
BIN # `
PROJECT LOCATION . !
AP#,r
4-4
V/1t V_C.T
ARCHITECT/ENGINEER t
Name
Type Const.
Address
Map Book
City
Lot #
to
Zip
Phone
Fax
Fax
Email
State License Number
PERMIT
E.
BP
BIN # `
PROJECT LOCATION . !
AP#,r
4-4
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APPLICANT SIGNATURE
Fo office use onl
APPLICANT INFORMAT N
Name
Type Const.
Address
Map Book
any
Lot #
State Zip
Phone
Fax
E-mail
APPLICANT SIGNATURE
Fo office use onl
Zoning Flood Zone I SRA Yes No
Occ,
Type Const.
Subdivision Name
Map Book
Page
Lot #
Planner
Date Approved:
-Sq FYLliring_ Garage upen koov
Structure 6u1 t without Permtts
O . 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.
Receive y: Amount: Bldg
SRA
Receipt #: Sheriff
SMTP
(�
Dale: _Other
`i _--� �"' ^ �
Total
O11E12 FVR I I AL KC1.1UIRCITICIN r %�
K:WORMSI9UILOING FORMSXBldgApp1SubRgmts.doc Page 1 of 2
REV 8-12.05
To -ggwA NOSNI908 16OL9000ES 61:TZ 900Z/0Z/90
J
CM
o
OWNER -BUILDER VERIFICATION
Attention Property Owner:
An "owner -builder" building permit has been applied for in your name and bearing your
signature.
Please complete and return this information at your earliest opportunity to avoid unnecessary
delay in processing and issuing your building permit. No building permit will be issued until this
verification is received.
1. .I personally plan to provide the major labor and material for construction of this proposed
property improvement: YES ] NO [ ].
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: _
ADDRESS:
PHONE:
CONTRACTOR'S LICENSE NO:
4. I plan to provide portions of the work, but I have hired the following person to coordinate,
supervise, and provide the major work:
NAME: _
ADDRESS:
PHONE:
CONTRACTOR'S LICENSE NO:
5. I will provide some of the work but I have contracted (hired) the following persons to provide
the work indicated:
NAME ADDRESS PHONE TYPE OF WORK
SIGNED:
. PROPERTY OWNER:
DATE:
NOTE: This Owner -Builder verification is required by Section 19831 and 19832 of the California
Health and Safety Code.
This verification must be completed and returned to our office before we are permitted to issue the
permit.
Rev'd 11/4/2004
V
(2045=82)
PERMIT NO. 3967-88B,E
PERMIT EXPIRES 12/12/89
OWNER HERITAGE INVESTMENT CO.
CONTR. OWNER
ASSESSOR PARCEL 69-60-03
LOCATION #4 Ian Lee Circle, Oroville
Temp. Power Pole
Called PG&E
Temp. Elec. Service
Called PG&E
Temp. Gas Service
Called PG&E
JOB FINALED (Date)
Signature
"A
f
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ti
i
f
,
.4
t4
t
Temp. Power Pole
Called PG&E
Temp. Elec. Service
Called PG&E
Temp. Gas Service
Called PG&E
JOB FINALED (Date)
Signature
"A
n
' Temp. Power Pi ,.,—-�.�.-..........�_. �� s
OFFICE COPY
Called PGt
II
Address��
Temp. Elea Se---�r--. .. ---
GAS
Called PGl:.Me y _ _ _ Date'---
' _
ELECTRIC911.
r { Temp. Gas Ser Meter By Date
�i
s _ JOB FINA LED (Date)
' Signature
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PE'RMITNO.
2045-H2B,,P.,E,M'
.
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*±t to
PERMIT EXPIRES
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-
OWNER DOUGLAS
GEYER CONSTRUCTION INC.
i.
CONTR.owner
. F
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�9,s9-Z3
ASSESSOR PARCEL
`xLOCATION
#4
Ian -Lee
Circle, Heritage Estates
t,
n
' Temp. Power Pi ,.,—-�.�.-..........�_. �� s
OFFICE COPY
Called PGt
II
Address��
Temp. Elea Se---�r--. .. ---
GAS
Called PGl:.Me y _ _ _ Date'---
' _
ELECTRIC911.
r { Temp. Gas Ser Meter By Date
�i
s _ JOB FINA LED (Date)
' Signature
i
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t "
i
I1 • ,OK ,
0 Not OK
- = Not Applicable MOBILEHOMES
= Not Ready
MISCELLANEOUS
Date
MOBILEHOME UTILITIES (Plans) OK except N's
1. Zoning Requirements -Setbacks -Easements
Date
DECKS, COVERS, CARPORTS, ETC. (Plans) 0,, except H
1. Zoning Requirements -Setbacks -Easements
2. Soils; Special MH Support -Sketch
3. Sewer; Location -Test -Fall -C/0 -Concrete
2. Footings; Size -Depth -Spacing -Connectors
3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails
4. Water; Location -Test -Easement Needed (Sketch)
5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete
4. Wood Awn.; Posts-Beams-Rftrs.-Connec.-Shthg.-Rig.--Bracing _
5. Alum. Awn.; Columns-Connections-Splice-Decal-Enc,os,. es
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 Card -BI Date
Card -BI
_
Date Card -BI Date
Date
MOBILEHOME INSTALLATION (Plans) OK except k's
Date
_
POOLS (Plans) OK except N's
1" Zoning Requirements -Setbacks -Easements
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
8. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghtg.
Boxes -Enclosures -Panel boards -Ins. to Main in Conduit
9. Exits; Insp.-Sketch
10. Cert. of Occupancy
9. Health Department Approval
10. Plumb; Cir. Test -Water Supply Test
Card B -I
Date Card -BI Date
Card -BI
Date Card -BI Date
Card B -I
Date Card -BI Date
Card -BI
Date Card -BI Date
W
J = OK
,0 = Not OK
- = Not Applicable
Not Ready RESIDENTIAL (Single and Duplex)
� =
Date
UNDERF R Plans OK exce t#'s
Date FRAMING (Continued)
o g requirements -Setbacks -Easements
48.
Pr Line Firewall & Openings
Main; Soils-Steel-Elec. Grnd.- /" Ftg. Depth
xt. Doors -One 3' -Check Garage -3rd story, 2 exits
tg., Garage; Soils -Steel- fl /" F g. Depth
fRr-3tahs
WTBih-Headroom-Rise-Run-Landing-Fire Protection
4. Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth
ywood on Roof Overhang -Attic Vents -Rafter Outriggers
_
5. Stemwalls, Main; Steel -B lockouts -Wrapped -S lab
52.
6. Stemwalls, Garage; Steel-Blockouts-Wrapped-S
tucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access
7. Piers -Fireplace Ftg.-Steel
zing Area -Glass Protection -Skylights -Plastic
W. V. Fall -Fittings -Test -2 w /O -Se est
g -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
Date7_S_- BI Date
e.weltS1
ate % - rd -BI Date
C
e rd -BI Date
-BI
Date, /0 and -BI Date
Date FINAL (Plans) OK except #'s
BI�ate� IS �"ard-BI Date
Date
_
PLUMBING (Permit) OK except #'s
1 ent- ccess-Combustion Air
56.
ExL�Steps-Door & Sidelight Protection -Landings
smoke
Detector
58.
Furnace; Ven -Clearance-Comb. Air-Connector-
In ;Above Floor-Ducts-Mech. Protection
ater Pipe; Test & Anchors -Nail Protection
W.V.; Test-Fttngs & Anch Nail Prote n
o m Exiting
ower Pan; Test, Fir oor-Tub A ss Vc� (��
Bath Fixtures & Tub Access
-
18---r93T-Tvb-trShower, 2nd Floor -Tub Access
Trim & Subpanel; Breaker Sizes -Labels
1 . & Anchors
62.ai
Fireplace ori4teuE; Clearances -Hearth
C -BI
ate D Card -BI DateC65-JKit.
64
; Int. & Ext.
Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance
Card -BI
Date
Date Card -BI Date
ELECT LPermit OK except #'s
6
Elec. Outlets & Receptacle Kit. Counte
6
ge Fire Door; S g -Lan CI r
68.
uc -
Fixture &Transformer Clearance -Ins. Protection
Htr.; Vents -Clearance -Comb. Air -Connector -P -
In Garage; Above Floor-Mech. Protection
ec. Receptacles Spacing -Lights & Switches at Doors
70
Plb., Elec. & Mech. Equip. Listed for Locat_
ize Boxes & No. of Conductors -Stapled
i/
Elec. Recep es in Garage; (G.F.I.) omex Pro c.
Ins ailed Close to Edge of Studs & C
7
u ation-Foam-Looked in Attic ❑ Yes
%L
. Ground made up w/Mech. Fasten d !=.2
Appliance Circuits in Kitchen & Conductor Size
73.
Guard Rails & Deck Construction -Post Caps
74
Fdn. Vents &Crawl Hole Door -Drainage &Wood -Earth Clearance
oorETTes
28 Subfeed Wire Size /- / ga. Cu or A.C. Wire Size / ga. Cu or
27. Range Circ. / ga Cu o O
]nsuja.ted Neutral❑No
plowing instld.: Drive ❑ Yes o; Walks ❑ Yes ❑ No;
Planters ❑Yes ❑No
2 ervice-Riser Conductors & Ground -Main Disconnect
76.
Stucco; Br wn-Finis - 3
2 qui .Clearances; Panels-Motors-Mech. Equip.
(4[7othes
A.C. U it; one _ Clrnces-Brkr. & Cond. Size -115V Outlet
Closet Light -Shower Light
7
s Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs.
79
nect, Electrical, Plumbing
—
teri Elec. Trim; G.F.I. Receptacle -Underground
ar B -I
Date` 3Card-BI Dateall--Ventilation
throughout House
Card -BI Date
a�rotection
Date
MECHANICAL (Permit) OK except #'s
84, -'Corrections
from Previous Inspections
'4
as Test -Meters Tagged; Gas -Electric
__A.C. Ducts; Insulation & Support
85.
Water & Sewer Connected -C/O to Grade -HD Approval
32. Vent Fan; Exhaust above Insulation
—_
8r6rgy
Compliance Certificate -Other Certificates
-_-33.
Condensate Drain & Overflow; Size & Grade
�• •66� n �s�'�
_
34. Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet
35. Attic Access & Platform if Furnace in Attic
C
C IDate%
Date _
_C!b Card -BI Date -� _
- and -BI Date
Car I
Date / Card -BI Date
Card -BI
Date � b Card -BI Date
Date Card -BI Date
Date
FRAMI ans) OK except #'s
Comments at Final:
oper Material & Anchors
_Sills
3 all uds-Nailing, Spacing & Bracing -Plates -Sound
earing Walls over Girders & Floor Nailing__ _
jg -. Draft Stop in Walls (rat proof)
Fire Stops; Furred Ceilings,_Stair ases" Tub
4L_-tT9ader & Beam -Size & Bearing
gers-Post Caps -Anchors -Gonne ors
�- Cin . Joist-Rftr. Ti - in- of Brac. hthnq.-Rfnq.
fireplace Ties r e i e Throat
-
7
45. At _ cess Size & ex ectionbraft St Ins. Baffl
C drm. Windows or Exiting Doors -Sill Hgt. & Dimensions
arage Fire Protection Framing
(NOTE: Anentrymust be made each time you visit jobsite)
= OK
0=Not OK ..
' = Not Readyable MOBILE HOMES
MISCELLANEOUS
Date
MOBILE HOME UTILITIES (Plans) OK except #'s
Date
DECKS, COVERS,CARPORTS,GARAGES, (Plans)OK except #'s
1. Zoning Requirements -Setbacks -Easements
1. Zoning Requirements -Setbacks -Easements
2. Soils; Special MH Support -Sketch
2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel
3. Sewer; Location -Test -Fall -C/O -Concrete
3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails
4. Water; Location -Test -Easement Needed (Sketch)
4. Wood Awn.; Posts-Beams-Rftrs.-Connec.-
Shthg.-Rfg.-Bracing
5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete
6. Gas; Location -Test -Wrap: / /"L"ft.
/ /"Nat. or/ /"L"ft./ /"LPG
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Carports; Windows -Doors
7. Utility Clearance
7. Elec.
8. Frmg; Sills-Anchors-Studs-Rftrs-Trusses
9. Siding; Nailing -Veneer -Stucco -Mesh
Card -131
Date Card -131 Date
10. Roof; Shthg-Roofing
Card -61
Date Card -131 Date
11. Ext.; Steps -Doors -Landings
Date
MOBILEHOME INSTALLATION (Plans) OK except #'s
1. Zoning Requirements -Setbacks -Easements
Card -131
Date Card -131 Date
2. Footings; Size -Spacing -Marriage Line
Card -131
Date Card -61 Date
3. Gas; MH Test -Demand -Valve -Connector
4. Electricity; MH Test -Crossovers -Breakers -Clearances
Date
POOLS (Plans) OK except #'s
5. Drain; MH Test -Fall -Flex Connector
1. Setbacks -Easements
6. Water; MH Test -Regulator -Connector
2. Soils; Compaction -Structure Stability
7. Water and Sewer Connected -C/O to Grade -HD Approval
3. Pool Structure; Steel -Connections -Thickness -
Dead Men -Lining
8. Gas and Electricity Tagged
9. Exits; Insp.-Sketch
4. Elec.; Receptacles and Lighting, Distances-GFI
10. Cert. of Occupancy
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-Panel boards- Ins. to Main in Conduit
Card -B1 Date Card -B1 Date
Card -131
Date Card -61 Date
9. Health Department Approval
10. Plumb.; Cir. Test -Water Supply Test
Card -131
Date Card -131 Date
Card -61
Date Card -61 Date
= OK
o = Not OK
Not Applicable RESIDENTIAL (Single and Duplex)
- �
= Not Ready
Date UNDERFLOOR (Plans) OK except #'s
Date FRAMING (Continued)
1. Zoning -Setbacks; -Easements -Flood -Slope
45. Hangers -Post Caps -Anchors -Connectors
2. Ftg., Main; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth
46. Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Ring.
3. Ftg., Garage; Soils -Steel-/ /" Ftg. Depth
47. Fireplace Ties or Type A Flue -Fireplace Throat Clearance
4. Ftg., Porches & Decks; Soils -Steel-/ /"Ftg. Depth
48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
5. Stemwalls, Main; Steel -Bloc kouts-Wrapped
49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions
6. Stemwalls, Garage; Steel- Blockouts-Wrapped
50. Garage Fire Protection Framing
7. Slab; Steel -Wrapped
51. Property Line Firewall & Openings
8. Piers -Fireplace Ftg.-Steel
52. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits
9. D.W.V.; Fall -Fittings -Test -2 way C/O -Sewer Test
53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
10. Gas Pipe; Size -Anchors
54. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
11. Water Pipe; Test -Anchors -Regulator -Service Test
55. Siding -Nailing Veneer
12. Electric; Underground
56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access
13. Plenums & Ducts; Clearance-Material-Supprt-Ins.
57. Glazing Area -Glass Protection -Skylights -Plastic
14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
58. Shear Walls; Nailing -Bolts
15. Insulation
59. Insulation-Walls-Clg.
60. Infiltration-Walls-Wndws
Card -81 Date Card -61 Date
Card -81 Date Card -131 Date
Date PLUMBING (Permit) OK except #'s
16. Water Ht. Vent -Access -Combustion Air -Baffle
17. Water Pipe; Test & Anchors -Nail Protection
18. D.W.V.; Test-Fttngs & Anchors -Nail Protection
19. Shower Pan; Test, First Floor -Tub Access
20. Test Tub & Shower, 2nd Floor -Tub Access
21. Gas Pipe; Size & Anchors
Card -61 Date Card -61 Date
Card -131 Date Card -131 Date
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. Fasteners -Bond Gas & Water
27. 2 Appliance Circuts in Kitchen & Conductor Size/G.F.I.
28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / /ga.
Cu or Al
29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al.
Insulated Neutral Yes No
30. Service -Riser Conductors & Ground -Main Disconnect
31. Equip. Clearances Panels-Motors-Mech. Equip.
32. Clothes Closet Light -Shower Light -Spa Liqht
Card -131 Date Card -131 Date
Card -B1 Date Card -B1 Date
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. Furnace -Vent; Access -Comb. Air -Return Air Vent -115 outlet
38. Attic Access & Platform if Furnace in Attic
Card -61 Date Card -131 Date
Card -131 Date Card -81 Date
Date FRAMING (Plans) OK except #'s
39. Sills, 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. Header & Beam -Size & Bearing
Card -131 Date Card -B1 Date
Card -131 Date Card -131 Date
Date FI (Plans) OK except #'s
Ex Steps -Door & Sidelight Protection -Landings
oke Detector
Furnace; Vents -Clearance -Comb. Air -Connector -
I Garage; Above Floor-Ducts-Mech. Protection
60'qPetro-orn Exiting
6 G .. & Bath Fixtures & Tub Access -Spa
- . EI c: Trim & Subpanel; Breaker Sizes -Labels
St ' s & Rails
6 . F place or Stove; Clearances -Hearth
,I Outlets at Wood Panel; Int. &Ext.
ki,�Fixt. & Appliance; Grnd. -Air Gap -Cooking Clearance
-4eElec: Outlets & Receptacles at Kit. Counter
Garage Fire Door; Swing -Landing -Closer
3'7�C✓f�uct in Garage -Damper
. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.-
In Garage; Above Floor-Mech. Protection
76-P'Ib. Elec. & Mech. Equip. Listed for Location
7*I Receptacles in Garage; (G.F.I.)-Romex Protec.
I ation-Foam-Looked in Attic ❑ Yes
78'.Gu d Rails & Deck Construction -Post Caps
7 dn. Vents & Crawl Hole Door -Drainage & Wood -Earth
Clearance Looked under Flogf, ❑ Yes
80. Following in ; Drive es ❑ No; Walks es ❑ No;
Pla - s Yes ❑ No
Ak!a-xco; Brown -Finish
A .'Unit; Disconnect, Electrical, Plumbing
Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to
Openings.
r Well; Disconnect, Electrical, Plumbing
Ex rior Elec. Trim; G.F.I. Receptacle -Underground
en 'cation throughout House
ss Protection
C ctions from Previous Inpections
est -Meters Tagged; Gas -Electric
ter & Sewer Connected -C/O to Grade -HD Approval
AV_Anergy Compliance Certificate -Other Certificates
92. Roofing Certificate
Card-131.4Date and -131 Date
Card -B�Dat / Card -B1 Date
Card -61 Date Card -131 Date
-Comments at Final:
(NOTE: An entry must be made each time you visit job site)
m
RESIDENTIAL
ENERGY CONSERVATION STANDARDS
CONSTRUCTION COMPLIANCE CERTIFICATE
THIS IS TO CERTIFY THAT ENERGY CONSERVATION REQUIREMENTS HAVE BEEN
INSTALD IN COL70RMA4CE WITH CURRENT ENERGY CONSERVATION REGULATIONS
(location)-
BUILDING
location)-
BUILDING PERMIT NO._, -7 - QQ
A:P. NO. Co C(--�p 0'%
THE FOLLOWING HAVE BEEN INSTALLED AS PER APPROVED PLANS:
(Check each item or write N/A if not applicable)
INSULATION:
Slab Edge.
Fdn. Walls
Floors
Walls
Ceiling/Roof 8-/9_
Ducts
Circulating Pipes ,
APPROVED HEATERt
APPROVED WTR.HTR. 11,c
GLAZING:
Single Glazed
Special (Insulated)
CERT. & LABELED WDS.
& SLIDING DRS. y,ps
WEATHERSTRIPPED DRS. _
BACK DAMPERED FANS_
INTERMITTENT IGNITION DEVICES
CERT. APPLIANCES
I DECLARE THAT ALL REQUIRED ITEMS AS NOTED ABOVE HAVE BEEN INSTALLED
IN ACCORDANCE WITH THE ENERGY CONSERVATION REQUIREMENTS AND AGREE TO
THE COMPLETENESS OF THIS CERTIFICATE AS SUBMITTED.
Insulation Applicator Name
Signature of (please print)
Insulation Applicator
State Contractors
License No.
General Contractor/Owner Name/2
ro
Signature of (please print)
General Contractor/Owner Date
State Contractors
License No. `
THIS CERTIFICATE MUST BE. ON FILE WITH THE BU ILD ING DEPARTMENT PRIOR TO
REQUESTING FINAL INSPECTION AND SHALL BE POSTED IN A CONSPICUOUS LOCATION
WITHIN THE DWELLING.
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Orovi Ile — Phone: 534-4541
Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57
r'
CORRECTION NOTICE
BUILDING OR PROPERTY ADDRESS
A routine inspection indicates that the following violations of County Ordinance
exist at the above address and should be corrected. Please notify this office
when correction of work is completed. If you have any question pertaining to this
matter, or need additional explanation, 'please contact this office immediately.
t?"fDTFc�% !?iyN��C //y GA&46
i.v('- CLZA/L/1rt C,'
Inspector ���v" / 'C�/ ill ,�t� Date 31 !1 S
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Orovi Ile — Phone: 534-4541
Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57
CORRECTION NOTICE
fes -
BUILDING OR PROPERTY ADDRESS
A routine inspection indicates that the following violations of County Ordinance
exist at the above address and should be corrected. Please notify this office
when correction of work is completed. If you have any question pertaining to this
matter, or need additional explanation, 'please contact this office immediately.
Inspector k""k2j" &::A Date / —/" O�
COUNTY OF BUTTE ;
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Orovi Ile — Phone: 534-4541
Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57
CORRECTION NOTICE
BUILDING OR PROPERTY ADDRESS
A routine inspection indicates that the following violations of County Ordinance
exist at the above address and should be corrected. Please notify this office
when correction of work is completed. If you have any question pertaining to this
matter, or need additional explanation, 'please contact this office immediately.
I. -Li &AIL. Cj--/77_Z/S
f'L-F�C tFI-1�gc7T �1 `TALC /�
Inspector GC/(,t 4W Date I/d —5 4 11
COUNTY OF BUTTE - DE,PARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541
APPLICATION AND PERMIT
ERMIT NO /
ASSESSOR PARCEL NUMBER
ZONIN�'J� �
BUILDING PERMIT
O WNE 1
err a. �Nv e
TELE•I(P/HONE
sis4 9 o9s
SQ. FT. OCC. BUILDING VALUATION
a�
OWNER'S "AILING%O RESS
/40 -
CONTRACTOR'S NAME
of 'e.1—
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation Is
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
Permit fee
$ o
r PLUMBING PERMIT
Filing Fee 10.00
-7 e>°
Each Trap
2.00
eri a4 It- i Co tic'
Solar or heat pump water heater
20.00
LOT NO. SUBDIVIS96N NAMEPARCEL
MAP
Water piping
5.00
Each qas water heater or vent
5.00
USE OF STRUCTURE
SF Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home S I G I W
10.00 ea
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other
Describe work: C'� Ol' a �e
I
/OoL aD
Permit Fee
Contractor
$
ELECTRICAL PERMIT
Filing Fee 10.00
600V OR LESS
Main service 100 AMP OR LESS
10.00
Main service EA. ADD'L 100 AMP
2.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (Check One):
❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full force and effect.
License No. Classification
❑ 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 OR ADDNS. \ CONST. / ACC. BLDGS. DWELLING OCCUP.aI +/z¢sgft
NEWCONSTR U
NO N.R E5ID BRANCH CIRCUITS) 2.50 ea
POWER APPARATUS e
(SINGLE OUTLET CIR. I
Ex. OCCUpI.OUTLETS OR FIXTURES 2AL03 t
eL90
FIXED APLNS
Ex. Occup. OUTLETS P(RESID,)REA) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. 1Yirin 15.00 O—�
g
Permit Fee $ s2.5% o�
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 10.00
Heating
Cooling
Hood
3.00
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, j dgments, costs, and expenses which may in any way accrue
against aid Co ty in copse encs of th g anting of this permit.
X Date LX r�
Sig ure of Applicant — Owner ❑ Contractor ❑ Agent ❑
OSHA permit is required for excavations over 5'0" deep and demolition or construct-
i n of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
TOTAL PERMIT FEE $ O ��
occuP.
CONST,TYPrJ
ISCIIOOLIFLOODIPARCFLI
P11
ND
ssuE
This permit is hereby issued under
sions of the But County Code and/or
work ted above for which
DIRIV OFP L
B
P IT EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
D to Agi
Receipt No.
WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, Californfa 95965 - Telephone 916/534-4541
APPLICATION AND PERMIT
PERMIT NO.
a6G.r
ASSESSOR PARCEL NUM
07 a— 1- r
ZONI
e
BUILDING PERMIT
O ER
0000
rE EPHONE
SQ. FT. OCC. BUILDING VALUATION
OWNER'S M IN DDR SS
-
C TRACTOR'S ZE
i S J
TELEPHONE
CONT ACT 1 I G DORES
'0
Fireplace " r'
CONSTR C ION ENDER (
J
UNKNOWN
Total Valuation $
00
Filing Fee
$ 10.00
LENDER'S MA N ADDRESS
I
0--XZPermit
Fee
$ ,
ARCHI CT ORNGI ER
L CENS NO.
Plan Checking Fee
.$
Penalty
$
ARCHITECT ORGINE R'S AILING ADDRESS
Permit fee
$
BUILDING ADDRESS
PLUMBING PERMIT
Filing Fee 10.00
_' rG ��
lj-C_
Each Trap
2.00 LIM
Repair drainage or vent piping
5.00
Water piping
LOT NO. SUBDIVISION NAME PARCEL MAP
Each qas water heater or vent
5.00
Gas piping system 1 - 5 outlets
USE OF STRUCTURE
SF Duplex ❑ Mobi lehome ❑ Other
SPECIFY/
Building sewer
Lawn sprinkler syste
5.00
e
TYPE OF WORK
Utilities ❑ Installation ❑ Other ❑
New [Addition ❑ Rem 1Ha,
Describe work:.X C, 1 i
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 600v OR LESS
100 AMP OR LESS
00 4
,.
Main service•EA. ADD'L 100 AMP
G
2.�qf
NEW CONST. DWELLING
OR ADDNS. ACC. BLDG
r t
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 Co/de/ an 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
NON-RESID R BRA cH CIRCTITS 2.50 ea
NEW CONSTR. / POWER APPARATUS e�
NON-RESID, %SINGLE OUTLET CIR.
EX. Occup(OUTLETS OR FIXTURES 50@25
FIXED APPLNS. OR
Ex. Occup.(OUTLETS (RESID.) EA. 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 7.50
Permit Fee $
Contractor
MECHANICAL PERMIT
FiIirig Fee 10.00
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
Heating n AA,
r
o
Cooling
,
Hood
3.00
Ventilation
Permit Fee
$
Contractor
1 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, gments, costs and expenses which may in any way accrue
against sai my i cons nce of the granting of this per t.
X /���tiT Comte' ri
��/ rL-�
gnarure ppli t - Owner L� Contractor Agent
An 0 ermit is r ire d for excavations over 5'0" deep and demolition Or Construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee
$
TOTAL PERMIT FEE $
OCCUP GROUP
TYPE OF CONST,
127
PARCE
PD
No ISSUE
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIRECT R OF PUBLIC
By i
PER EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date��rs�a(��—
�c, - �Y �V
Receipt No.
WNITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
NOT COMpgQED
return to DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT T
FOR RESIDENTIAL DEVELOPMENT OFFIGIALPUTTF-
Section 26-8:3 of the Butte County Code requires this acknowledgemeRDS
be recorded prior to issuance of a building permit.
OCT Z8 9 17 SQA 7
The property described herein is adjacent to land or included
within an area zoned for agricultural purposes, and residents of LEANOR`CxEft.
this property may be subject to inconveniences or discomfort arising RK-0060ER
from the use of agricultural chemicals, including, but not limited to herb icides,FEE
pesticides, and fertilizers; and from the pursuit of agricultural operations including,
but not limited to cultivation, plowing, spraying, pruning, and harvesting which occa-
sionally generate dust, smoke, noise, and odor. Butte County has established agricul-
tural zones which have as a priority use for productive agricultural purposes,, -and
residents within said zones and on adjacent property should be prepared to accept such
inconvenience or discomfort from normal, necessary farm operations.
All that
described as
Date
real property situate in the County of Butte, State of California,
follows:
SEE ATTACHED LEGAL DESCRIPTION
State of )
SS.
County of )
PROPERTY WNERS :
On this the day of
before me, the undersigned Notary
appeared
, 19 �,
Public, personally
..
STATE OF CALIFWN A ass,
COUNTY OF U I
to
On October -28, 1982
before me, the undersigned, a Notary Public in and for
said State, personally appeared DOUGLAS GEYER XXX
a, personally known to me (or proved to me on the
E
C basis of satisfactory evidence) to be the persons who executed the within Instrument as
iZ EPresident 3e�rX on behalf of
DOUGLAS
GE
C0 RUCTION INC.
-m
q u
the corporation therein named, and acknowledged to me that
OFFICIAL SEAL
such corporation ~' ;Y
poratlonexecuted the within instrument pursuant toIts :, y , ANGELA D. HENDEECSkOT
�:.Y.� ;.''�'��.' NOTARY PUBLIC - CALIFORNIA
by-laws or a resolutlon of its board of directors. `': PRINCIPAL OFFICE IN
WITNESS my hand and official seal. BUTTE COUNTY
` MY CONM'SSION EXPIRE: SEPT 7. 1gBS
t3 Signatu - \yJ\ (This area for official notarial seal)
:me(s)
acknowledged
Le purposes
Ind and° official
DESCRIPTION:
All that certain lots piece or parcel of land situated, located and lying
in the County of Butte, State of California as shown on that certain plat
entitled "RECORD OF SURVEY, A PORTION OF N.W. 1/4 SEC. 1@, T19N, R5E9 M.D.M.
BUTTE COUNTY CALIF. FOR PPBR BRADLEY" prepared by Geddis Driscoll and
Associates, Engineering Sukveying Planning, Oroville, California, dated
November, 1980 and recorded January 28, 1981 in Book 78 of Maps, at page 44,
Butte County official records, and more particularly described as follows:
COMMENCING at a point on the South line of the Northwest quarter of said
Section 18, said South line being also the North line of the Oroville-
Wyandotte Fruit Lands, Unit No. 5, recorded July 20, 1928 in, Book 8 Qf Maps,
at pages 37A and•38A, records of the County of Butte, State of California,
and said point of commencement being distant South 860 39' 06" East, 305.19
feet (South 890 09' East, 305.56 feet, recorded) along the said Subdivision .
line from the Northwest corner of Lot 148 of said Unit 5; thence from said
point of commencement, North 860 39' 06" West, along said subdivision line
and Westerly proloniption thereof, 327.83 feet to the Southwesterly line of
the Highway 80 feet in width and being the true point of beginning: thence
leaving the Southwestcrly line of said Highway North 890 17' 44" West 82.18•
feet to the centerline of Rachel Drive, formerly the old Oroville-La Porte
Road; thence along the centerline -of Rachel Drive North 440 19' 44" West
1681.45 feet to a point. at the intersection of the centerline of said
Rachel Drive and Heritage Road (formerly Oroville-Ouincy Highway) thence
running along the centerline of Heritage Road North 240 37' 49" East 1286.3
feet to a point at.the intersection of the centerline of Heritage Road and the
Southwesterly line of Kelly Ridge Road (formerly Hillcrest Avenue); thence
running along the Southwesterlv line of Kelly Ridge Road -the following courses;
South 170 32' 49" East 362.70 feet to a point; tnence along the arc of'a curve
to the right whose radius is 4,040 feet through a central angle of 080 34'
10" a distance of 592.28 feet to a point: thence continuing along the South-
westerly line of said Kelly Ridge.Road South 080 58' 39" East, a distance of 489.29
feet to a point; thence continuing along said Southwesterly line of Kelly
Ridge Road along the arc of a non -tangent curve to the left whose radius
is 2,040 feet through a central angle of 13° 59' 27" for a distance of 498.14
feet to a point; thence continuing along the Southwesterly line of said
Kelly Ridge Road South 220 584, 06" East, a distance of 213.01 feet --to a point;
thence continuing along the Southwesterly line -of said Kelly Ridge Road
along the arc of a tangent curve to the right whose radius is 960 feet
through a central angle of 190 54' 33" for a distance of 333.58 feet to
a point at the intersection of said Southwesterly line of Kelly Ridge Road
with the North line of the aforesaid Oroville Wyandotte Fruit Lands, Unit
No. 5 and the true point of beginning for this property'.
l �yv
mr. F,
RESIDENTIAL PLAN CHECKING GUIDE
(S.F., DUPLEX, & MISC."`ONL)
/ iw`'/r Bldg. Permit #OWNER ,(� , ,� A.P. #
A. GENERAL G v D
1. Zoning requirements (sideyards and parking). �/ G
2. Valuation.
3. Signature by R.C.E. or Architect (if required). A `�
B. PLOT PLAN
1. Complete parcel size and dimensions.
2. Setbackp, sideyards, easements, etc.
3. Other buildings or structures.
4. Grading, fills, drainage.
C. FLOOR PLAN
Complete to scale plan with dimensions.
_.2. Required windows for light and ventilation (Sec. 1405).
,3.e Required windows for second exit (Sec. 1404).
,- Allowable glazing for energy requirements (20% max. per.State law).
' Human impact glass (Sec. 5406).
y Required room sizes, ceiling heights (Sec. 1407).
a�G.F.C.I.'s in baths and exterior outlets (Sec. 210-8).
*$--�Light fixtures, switches, receptacles, and exterior receptacles for maintenance of
mechanical equipment.
Locations of water heater heating & cooling equipmen other electrical or gas
equipment, and,plumbing fixtures.
Garage firewall, door size, and closer (Sec. 503(d)(4)).
1 - 3'0" exterior exit door (Sec. 3303d).
J,21� Fireplace location.
Smoke detectors (Sec. 1413).
D. STRUCTURAL DETAILS
1. Foundation plan complete enough to construct building.
2. Floor construction details complete enough to construct building.
3. Elevations and wall construction details complete enough to construct building.
4. Roof construction details complete enough to construct building.
5. Fireplace construction details and calcs if over one-story in height.
6. Sufficient data and details to satisfy energy insulation requirements (State law).
E. MISCELLANEOUS ITEMS TO LOOK OUT FOR
1. CCX plywood on exposed locations and overhangs.
2. Stairway details (Sec. 3305).
3. Guardrail details (Sec. 1716).
4. Brick or stone veneer (Chapter 30).
5. Exterior plaster - weep screeds (Sec. 4706 & 4708).
6. Proper roof pitch for roof covering (Chapter 32).
7. Rafter ties or bearing ridge beam.
8. Garage door or porch header sizes.
9. Adequate bracing.
10. Living area over garage - complete 1 -hour separation required including supporting
walls and posts, etc.
11. Two (2) exits on three-story dwellings (Sec. 3302).