The URL can be used to link to this page

Home My WebLink About072-062-009IN 72-062-9 EUGENE ESPAR>Ht �� Lardri�o�'t x-156 ille �ontroAC, Or umpl rrmi7t#2137-80E,M(i - 9 y,ntR: Don Germit#1162-89 072-062-009 05-3270 2 LRE NSON, GARY LOST HORIZON DR, OR OVILLE : GEORGE & SONS ROOFIN OOF o 0 I r , � - - D■ 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. BP053270 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: 12/15/2005 APN: 072-062-009-000 the Business and Professions Code, and my license is in full force and effect. �Q License Class : G 3 9 License Number.41W ? Site Address: 171 LOST HORIZON DR ORO Date:/Z' Sri ontractor:P504y Map Index: Description: REROOF W/COMP (30) 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: EVENSON GARY A & VERNELL A permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of 171 LOST HORIZON DR 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 OROVILLE, CA she is exempt therefrom and the basis for the alleged exemption. Any 95966 violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an Applicant: GEORGE &SONS ROOFING pp owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for 1090 HURLETON ROAD sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of OROVILLE, CA 95966 proving that he or she did not build or improve for the purpose of 530-589-4443 sale.). ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed Contractor: GEORGE & SONS ROOFING pursuant to the Contractors' State License Law.). ❑ I am Exempt under Article 3 of the Business and Professions Code 1090 HURLETON ROAD OROVILLE, CA 95966 Date: Owner: 530-589-4443 WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: License #: 682274 ❑ I 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 /s issued. Architect: I have and will maintain workers' compensation insurance, as Engineer: required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: L. Carrier: aft (Ya-•-f-i'yl�Aka'o Total Square Ft: 0 S. F. Policy 42V Valuation: $0.00 ❑ 1 certify that in the performance of the work for which this permit is Census Code: issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date: �.' S'-'— cil Applicant: WARNING: lalureVtoecure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor interest, fees. code, and attorney's CONSTRUCTION LENDING AGENCY This permit is hereby issuunder the applicable provisions of the Butte County Code and/or I hereby affirm that there is a construction lending agency for the Resol •o to work indi ted above for which fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) Date: Name: By: / Address: PERMIT EXPIR S N: 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 document of Butte County. I hereby authorize representatives of Butte County to enter upon the above mentioned property for inspection pu oses. Print Name: �� F G� olZg E' Signature:141 1 'L 4__� Date:. ❑ Owner Contractor ❑ Agent for Owner ❑ Agent for Contractor B. C. Building Permit 01-16-04 pg 1 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REOUIRED AT TIME OF APPLICA TION **PLEASE PRINT CLEARLY** APPLIQ4NT SIGNATURE X Z"a �)� . For offic6 use NIT OWNER Last Name, I Son S First ame Address ` Cityoukv City St Zip Phone Fax E-mail Fax APPLIQ4NT SIGNATURE X Z"a �)� . For offic6 use NIT CONTRACTOR Name _ I Son S Address 1mn 1�( Cityoukv No std Zip Phone SgS _ 3 Fax E-mail t Lip. k. a Class APPLIQ4NT SIGNATURE X Z"a �)� . For offic6 use NIT ARCHITECT/ENGINEER Name Flood Zone Address tiff --2 City No State Zip Phone Zip Fax E-mail t State License Number APPLIQ4NT SIGNATURE X Z"a �)� . For offic6 use NIT APPLICANT NAME Name Flood Zone L tiff --2 Address No City Type Const. St Zip Page Lot # Planner t Phone , .� Fax E-mail APPLIQ4NT SIGNATURE X Z"a �)� . For offic6 use NIT Zoning Property Address I -7l CIL Flood Zone Cross Street �lU� iN SRA Yes No Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS PERMIT NO. > /)J- I b BP BIN # LOCATION AP# 6 �Y^ �j U a�a- Property Address I -7l CIL f. Bldg SRA Cross Street �lU� iN Sheriff WORKER'S COMPENSATION Policy Number Carrier -one If hiring any other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address Description or Scope of Work: 2 — J -D COMO Sq. Footage ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be required. REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. 1n I C ,& ^A Received by: Amount: f. Bldg SRA Receipt #: Sheriff LtqI SMIP o5 Other Other Total 1n I C ,& ^A SUBMITTAL REQUIREMENTS The following drawings and specifications must be submitted to the Building Division in order to apply fora permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK. Residential, New, Remodels, Additions, and Accessory Structures: ❑ 1. 3 Site Plans, signed by the preparer. NO GRAPHPAPER! ❑ 2. 3 Complete sets of plans, signed by the preparer. NO GRAPH PAPER! OR 3 Sets Engineered plans (if required) with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 3. 2 Engineered truss details and layouts (if required) (NO FAXES!). ❑ 4. Letter from Engineer or Architect for truss design review. ❑ 5. 2 Energy compliance design and supporting documentation. (Note: Not required for additions to mobile or modular homes.) ❑ 6. 2 Flood Elevation Certificate, wet -stamped and signed (if required). ❑ 7. Detached Accessory Building Form, filled out by the property owner (if required). ❑ 8. Sanitation and site plan approval from the Environmental Health Department. ❑ 9. Metal Buildings: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate, (D) Floor plans in triplicate, All of these must be stamped and wet -signed by the engineer. Mobile, Manufactured, or Modular Homes: ❑ 1. 3 Site Plans, signed by the preparer. NO GRAPHPAPER! ❑ 2. 2 Data sheets and installation instruction manual. ❑ 3. 2 Marriage line information. ❑ 4. 2 Floor plans. ❑ 5. 2 Engineered Tie Downs or Foundation plans. ❑ 6. Sanitation and site plan appron val from the Environmental Health Department. ❑ 7. 2 Flood Elevation Certificate, wet -stamped and signed (if required). Commercial, New, Additions and Remodels: ❑ 1. 4 Site Plans, signed by the preparer. NO GRAPH PAPER! ❑ 2. 4 Engineered plans with wet signature on plans AND 2 sets of stamped and signed calculations, with code analysis. ❑ 3. 2 Engineered truss details and layouts (if required) (NO FAXES!). ❑ 4. Letter from Engineer or Architect for truss design review. 0 5. 2 Energy compliance design and supporting documentation (if required). ❑ 6. 2 Flood Elevation Certificate, wet -stamped and signed (if required). ❑ 7. Statement of Intent for Non -heated and A/C (if required). ❑ 8. Metal Buildings: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate, (D) Floor plans in triplicate, All of these must be stamped and wet -signed by the engineer. ❑ 9. Letter of intent. ❑ 10. Hazardous Material Form. ❑ 11. Sanitation and site plan approval from the Environmental Health Department. If you have questions or would like additional information regarding this process, contact a Permit Application Assistant at (530) 538-7541. OVER FOR BUILDING PERMIT APPLICATION KAFORMS\BUILDING F0RMS\131dgApp1SubRgmts.doc Page 2 of 2 REV 6-16-04 2137780 (attached) 1162-89B ° Gene Esparza 171 Lost Horizon Dr.: r- F R ' 4 r 2137780 (attached) 1162-89B ° Gene Esparza 171 Lost Horizon Dr.: r- F R j r 2137780 (attached) 1162-89B ° Gene Esparza 171 Lost Horizon Dr.: r- F M COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville,,California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT N0/ ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT O R GENE ESPARZA TELEPHONE 589-2477 SO. FT. OCC. BUILDING VAL ATION comp,1000.00 p OWNER'S MAILING ADDRESS 171 LOST HORIZON DR. OROVILLE CA, CONTRACTOR'S NAME DON C. GEORGE INC. TELEPHONE 533-6393 CONTRACTOR'S MAILING ADDRESS P.O.2 5 6 Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation, $ 1080.00 Filing Fee $ 1000 LENDER'S MAILING ADDRESS Permit Fee $ 19.00 ARCHITECT OR ENGINEER LICENSE NO. I Plan Checking Fee ,4' Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ 29.00 PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ER Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 0.00 ea TYPE OF WORK ' New ❑ ' Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ® Describe work: RE ROOF Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service eOOV OR LESS 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): X❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business/POWER and Professions Code and my license is in full force and effect. 452266 C-39 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.eI , oL S. /20sgft New DDNS. * ACC MULTI NON.RESID .BRA CH CIRCUITS) 2.50 ea APPARATUSft) (SINGLE OUTLET CIR. Ex. OCCup(OUTLETS OR FIXTURES 200501 eAL030 OCCUx. OUTLETS FIXED APPLNS(RESID.). EA. 2.00 OR Ep' Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 9 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ® I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California.. Notice to Applicant: If after making this statement,should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling g Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the 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 agains id County in cons quence of the granting of this permit. X Date 4 1 1 4 / R 9 Signature of Applicant — Owner ❑ ontractor 5! Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ 29.00 OCCUP. CONST.TYPIEJ ISCHOOLIFLOO.11ARCE1.1 PO ND ss This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRE TOrBLIC BY PERMIT EXPIRE ate the applicable provi- resolutions to do fees have been paid. WORKS e ///J,9//y Receipt No. WHITE-D.P.W., YELLOW-ASSE330K, PINK -INSPECTOR. GOLDENROD-APPL I CANT COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Qroville, California 95965 < Tel e6one: 534-4541 APPLICATION AND PERMIT arae �, authorize representatives of the County of Butte to enter upon the above-mentioned property inspe ion purposes. X Date Signature of Permittee or Agent Receipt No. — �� a White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Date 'q-30-;?'C5B ding permit expires Date 41 -?c',?/ BUILDING Owner —'s SQ. FT. OCC. BUILDING VAL_UATI617 Mailing Address 75' _ Telephone No. Contractor _ Mailing Address 5 l �' _ � v�� Fireplace Total Valuation Te �h�one No. Permit Fee Building Address Plan Checking Fee&/or Penalty Permit Fee PLUMBING No. @ 'FEE PERMIT FILING FEE $3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 A. P. No. oning & PlanningEach Water piping 1.50 gas water heater or vent 1.50 F s v4e ••Sa�- FIreDept. FireZone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking Plans Parcel Declaration Parcel Map 60' R/W Improvements Each additional outlet .30 Building sewer 5.00 Ida. PI ga&44etd I Parcel Approval Plans Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ;$ Permit Fee $ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Boo 100 AMP OR LESS 5•�� Main service 100V OR LESS ,O Single Family,21. Duplex ❑ Mobil Home ❑ Others ❑ Main service EA. ADD'L 100 AMP 2.50 ,j O /i sL /� / - N Main service OVER 25.00 100 AMPP O OR LESS Main service EA. ADD'L 100 AMP 1.00 NEW CONS. DWELING OR ADDNST ( ACCLBLOGS�CUP 4) 20 sq ft ' ORS LICENSE LA I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business &Professions Code under the name Style of: TLET NEW CONST R. BRANCH CIRCUITS BRANCH CIRCUITS) 2.50ea NEW CONI T NEW CONST R. /POWER APPARATUS B NON•RESID. (SINGLE OUTLET CIR. EX. OCCUD {OUTLETS OR FIXTIiRES BAL 259 1� FIXED APPLNS. OR Ex. Occup. OUTLETS (RESID.) EA) 2.00 a/ o p Temporary service 110.001 Mobile Home Facilities 15.00 License No,=2.7%9�olZ Classification C Misc. Wiring 6.25 AAMill ❑ I am exempt from the Contractors License Laws of the State of Cal ifomia. Permit Fee $`A. $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. 12?fI have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. ElI certify that in the performance of the work for which this permit is issued i shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL NO -J @ FEE PERMIT FILING FEE J$3.00 6 Heating 06,D(� Cooling Ventilation Hood 2.00 Permit Fee $ 6-0 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 Land Development Fee $ TOTAL PERMIT FEE $ authorize representatives of the County of Butte to enter upon the above-mentioned property inspe ion purposes. X Date Signature of Permittee or Agent Receipt No. — �� a White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Date 'q-30-;?'C5B ding permit expires Date 41 -?c',?/ COUNTY OF BUTTE — 'DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - , OLoville, California 95965 Teleph ne: 534-4541 APPLICATION AND PERMIT Owner01 ��P�PS Mailing Address _ / — Telephone No. Contractor Mailing Address �� / Sj P/✓o — l/Q� " Te hone No. Building Address 7Z, A. P. No. 11;? Zonin & Planning Feels �l4aai=iAwd Fire Dept. Fire Zone Use Permit EOA Parking Parcel Parcel M 60' R/W Improvements Plans Declaration aP sidg. Plgarr d Parcel Approval Plans Approval NEW ❑ ADDITION ❑ UTILITIES ❑ OT)-IER;g Single Family, Duplex ❑ Mobil Home [:]Others❑ f . / _ /_ f'® /7/, f Z -2— /o ,6 6 ORS LICENSE LA I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions/Code under the name style of: /�G� License No.21222I Classification C _ BUILDING S0. FT. OCC. I BUILDING VALUATION Fireplace Total Valuation If'+ Permit Fee. Ir ) Plan Checking Fee&/orP4JaIi Permit Fee PLUMBING PERMIT FILING FEE Each TraD Repair drainage or vent piping Water piping Each gas water heater or vent Gas piping system 1 - 5 outlets Each additional outlet Building sewer Lawn sprinkler system Permit Fee 14.OUuol ELECTRICAL PERMIT FILING FEE Main service 600v OR LESS 100 AMP OR LESS Main service EA. ADD'L 100 AMP Main service OVER 6 O too AMP OR LESS Main service EA. ADD'L 100 AMP NEW CONST./ OR ADDNS- \ DWELLING OCCUP. ACG" BLDGS. 1.50 1.50 1.50 1.50 1.50 .30 500 2.00 @" FEE - $3.00 p t 5.00 , p 2.50 ,J 25.00 1.00 NON-RESID. L BRANCH CIRCUITS/ 14.OUuol NEW CONSTP- /POWER APPARATUS 5 NON- RESID. \ SINGLE OUTLET CIR. Ex. OCcuc(OUTLETS OR FIXTIIRES� I , SAL 01 AL FIXED ALNS Ex. OCCup.(OUTLETSP(RESID )REA) 2.00 ,a Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 6.25 A�.r1i I am exempt from the Contractors License Laws of the State of California. Permit Fee WORKMEN'S COMPENSATION INSURANCE I a)n aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. � I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. ElI certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize repres6ntatives of the County of Butte to enter upon the above-mentioned property inspe ion purposes. XDate000, Signature of Permittee or Agent Receipt No. WL•._ - M - -1-- A_______ O•_1. 1_____.__ r`_1 J____J A_.1-___• MECHANICAL PERMIT FILING FEE Heating ,Si�,000 9 C $3.00 ;? -6 d I Cooling � i 4,,/ 1 1I �J,_� p I ON Ventilation Hood 1 1 2.00 Permit Fee $ .5-0 $ Land Development Fee $ TOTAL PERMIT FEE 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. DIRECTOR OF PUBLIC WORKS By Date RE I�^..^-�-�-....:.a-- s..,.r^^'.—r-",.��7..--�,.�•�..+----'...=.—.i":�.+:.1v,,,,/-�'v..3'v�^.-c;��%=a'w:.+r-•.-S "._r...•�-'_.'�-�..v,;�i'.�y.:"`--.�"=-'� bti.-�>s: .�. ...... COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS — BUILDING DIVISION 7 County Center Drive—'0roville:.,Califarnia 95965 — Telephone 534-4541 PERMIT APPLICATION DATA SHEET Permit No. OWNER %� czt+�� ,. ,�� A.P. No. �2,7 — ,ge— Proposed Building UseOF Permit fee based upon: /� Com le Contract rice DPW Valuation p O�th/er (explain) Building Inspector Ao _ �__._� Date At time of per �it'a p ' ation, I, was advi the following data must be submitted prior to ermit processing and, issuance: // DATE RECEIVED APPROVED 1. All items have been submitted................................................................... 2. Plot plans in duplicate/triplicate............................'.................................. 3. Complete plans in duplicate/triplicate................................................... 4. Complete engineered plans and calcs..................................................... 5. Plans with Energy Design Compliance Statement ............................ 6. State Energy Forms No. .................... 7. Statement of Intent for Non -Heated & AC Buildings.....':........... 8. Fees of $....................................... �......... 9. Letter of signature authorization...:......................................................... 10. Sanitation approval from Health Dept.... 11. Planning approval for ........... 12. Certificate of Workmen's Compensation Insurance ........................ 13. Contractors License Information (no., name style, classification) ............................... 14. Improvements may be required. Contact Land • Development Section of Dept. Public Works (see addressbelow)............................................................................................... 4—'' 5. Pre -inspection for . 4c:� �� rN `'Drequi ed. Pre•inspec. request to ---_- bld pector (date) 9% 2 Other Oth/ D. 10, When you issue the permit,'process as follows: Mai to owner TTelephone and hold for pickup atLl-t_-office Other Mail to contractor. , Deliver w/inspection. Applicant G Date Copy of plans sent Health Dept.; Fire Dept., Other Date— During ateDuring the plan checking process, the following data must be submitted prior to permit issuance: (For required items not checked above at time of application, circle item.) 1. Index permit for above Items No. 2. Additional items required: (Contractor, Designer, Owner) was advised of above required data by Telephone Mail Other By Date Plans checked by Date Plans approved by Date OTHER: Copy/DPW Butte County Department of Development Services. 0urrfe naEa N ® T E S 7 County Center Drive, Oroville, CA 95965 a_ (530)538-7601 www.buttecountyneUdds •a�oUN�y• RESIDENTIAL APN: 072>OAZ -V(Pg Permit No. (9.5-327(0 Owner: ✓ f ,✓S OeJ T Site Address Contractor. G �p v it 4x- 50e4 • Type of Permit: SPECIAL CONDITIONS CHECKED BY SRA FLOOD CERTIFICATE EQUIRED FIRE SPRINKLERS REQUIRED SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUBSTANDARD HOUSING LETTER ENCROACHMENT PERMIT REINSPECTION FEE PAID ENV HLTH CLEARANCE DATE JOB FINALED: SIGNATURE: = OK 0 = Not OK MANUFACTURED HOMES PERMANENT FOUNDATION U SOFT -SET 1 Zoning -Setbacks -Easements 2 Soils; Special MH Support Sketch 3 Sewer; Loctn-Test; Fall/C10-Concrete 4 Wtr; Loctn-Test-Easement Needed -Regulator 5 Elec Loctn-Clrncs-Grnd Amp -Concrete 6 Yard Gas; Loctn-Test-Wrap Nat Q or LPQ Inch Sz Ft Lngth 7 Blckng; Sz-Spacing-Marriage Line 8 Gas; MH Test-Demand-Valve-Cnnctr 9 Elec MH.Cntnty Test-Crossovers-Breakers-Clrncs 10 Drain; MH Test -Fall -Flex Cnnctr 11 Wtr & Sewer Connected -C/O to Grade 12 Gas and Electricity Tagged 13 Tie Downs Q Foundation Q 14 Exits 15 Cert of Occupancy 16 HUD Label/Insignia Numbers Serial Numbers MISCELLANEOUS DECKS*COVERS*CARPORTS*GARAGES 1 Zoning -Setbacks -Easements 2 Ftgs; Soils -Sz-Dpth-Spacing -CnnctrsSteeI 3 Decks, Girders/Joists-Dcking-Brcing Stairs-Guard/Handrails 4 Wood Awn; Posts -Beams -Rftrs-Cnnctrs-Shthg Frmg-Brcng 5 Alum Awn; Columns-CnnctnsSplice-Decal-Enclsrs 6 Carports; Wndws-Doors 7 Electric 8 Frmg; Sills-Anchrs-Stu ds-Rftrs-Trusses 9 Siding; Nailing -Veneer -Stucco -Lath 10 Roof; Shthg-Roofing 11 Ext; Steps -Doors -Landings 12 Braced Wall pnls s`11` o' Pool Drawing 1 Setbacks -Easements 2 Soils; Co mpactionStructure Stability 3 Pool Structure; Steel-Cnnctns-Thickness Dead Men -Lining 4 Elec Rcptcls/Lting; Distance-GFI 5 Elec Pool Lting; 15 volts-GFI 6 Elec Enclsrs; Conduit Entries -Terminals -Listed 7 Elec Bonding; Metal w/5'-Crcltng Eqp-Htr 8 Elec Grndng; Eqp w/5' Crcltng Eqp-Pool Ightg Bokes-Enclsrs-pnlboards-Insults to Main Conduit 9 Health Dept Apprvl 10 Plmb; Cir Test-Wtr Supply Test 11 Lt Niche 12 Enclsr; Fencing -Alarms 13 Bonding, Diving board or Slide 1 ` S` MISCELLANEOUS DECKS*COVERS*CARPORTS*GARAGES 1 Zoning -Setbacks -Easements 2 Ftgs; Soils -Sz-Dpth-Spacing -CnnctrsSteeI 3 Decks, Girders/Joists-Dcking-Brcing Stairs-Guard/Handrails 4 Wood Awn; Posts -Beams -Rftrs-Cnnctrs-Shthg Frmg-Brcng 5 Alum Awn; Columns-CnnctnsSplice-Decal-Enclsrs 6 Carports; Wndws-Doors 7 Electric 8 Frmg; Sills-Anchrs-Stu ds-Rftrs-Trusses 9 Siding; Nailing -Veneer -Stucco -Lath 10 Roof; Shthg-Roofing 11 Ext; Steps -Doors -Landings 12 Braced Wall pnls s`11` o' Pool Drawing 1 Setbacks -Easements 2 Soils; Co mpactionStructure Stability 3 Pool Structure; Steel-Cnnctns-Thickness Dead Men -Lining 4 Elec Rcptcls/Lting; Distance-GFI 5 Elec Pool Lting; 15 volts-GFI 6 Elec Enclsrs; Conduit Entries -Terminals -Listed 7 Elec Bonding; Metal w/5'-Crcltng Eqp-Htr 8 Elec Grndng; Eqp w/5' Crcltng Eqp-Pool Ightg Bokes-Enclsrs-pnlboards-Insults to Main Conduit 9 Health Dept Apprvl 10 Plmb; Cir Test-Wtr Supply Test 11 Lt Niche 12 Enclsr; Fencing -Alarms 13 Bonding, Diving board or Slide = OK 0 = Not OK RESIDENTIAL (Single & Duplex) DATE JUNDERFLOOR UAtt IPLUMBING 1 Zoning -Setbacks -Easements -Flood -Slope 53 Wtr Htr; Vent-Acc-Cmbstn Air Baffle 2 Ftg Main; Soils-Elec Grnd Ftg Dpth 54 Wtr Pipe; Test & Anchr-Nail Prtctn 3 Ftg Garage; Soils-Steel-Elec Grnd Ftg Dpth. 55 DWV; Test Fittings & Anchr Nail Prtctn 4 Ftg Porches/Decks; Soils -Steel Ftg Dpth 56 Shwr Pan; Test, First flr-Tub Acc 5 Stemwalls Main; Steel -8lockouts -Wrapped 57 Test Tub & Shwr, 2nd fir - Tub, Acc 6 Stemwalls Garage; Steel-Blockouts-Wrapped 58 Gas Pipe; Sz & Anchrs 6a Hold Downs and Special Anchrs 59 Fire Sprinkler; Test 7 Slab, Steel Wrapped 60 Yard Gas Piping 8 Piers-Frplc Ftg-Steel 9 DWV; Fall -Fitting -Test -2 -way CIO -Sewer Test 10 UF, Gas Pipe; Sz Anchrs-Sz Test tl Wtr Pipe; Test-Anchrs-Rgltr-Service Test 12 Elec Undrgrnd DATE IMECHANICAL 13 Plenums & Ducts; Clrnc-MaterialSupport-Insultn 61 AC Ducts Insultn & Support 14 Girders-Sills-Anchr BoltsJoists-Vnts-Cripples 62 Vent Fan, Exhaust abv Insulin _ 15 Acc & Vntltn 63 Condensate Drain & Ovrflw, Sz & Grade 16 Insulation 64 Furnace -Vent Acc-Comb Air Rtrn/Vent 115 Outlet 65 Attic Acc & Pltfrm if Furnace in attic s' e DATE IFRAMING 17 Sills Proper Materials & Anchrs DATE IFINAL 18 Walls Studs -Nailing Spacing & Braces -Plates -Sound 66 Ext Steps -Door & SideLt Prtctn-Landings 19 Bearing Walls over Girders & fir Nailing 67 Smoke Detector 20 Draft Stop in Walls (rat proof) 68 Furnace Vnts-Clrnc-Comb, Air-Cnnctr 21 Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs In Garage; abv-flr-Ducts-Meth Prtctn 22 Headers & Beams-Sz & Bearing . 69 Bedroom Exiting 23 Hangers -Post Caps-Anchrs-Cnnctns 70 GFI & Bath Fxtrs & Tub Acc-Spa 24 Ceiling Joist-Rftr Ties-Purlin-Roof Brac-TrussShthg 71 GFI Arc Fault 25 Frplc Ties or Type A Flue-Frplc Throat Clmc 72 Elec Trim & Subpnl, Breaker Szs & Labels 26 Attic Acc; Sz & Rmx Prtctn-Draft Stop -Ins Baffles 73 Stairs, Guard/Handrails 27 Bdrm Wndws or Exiting Doors -Sill Ht & Dimensions 74 Frplc or Stove, Clrnc-Hearth 28 Garage Fire Prtctn Framing -RC Channel 75 Elec Outlets at Wood PnI, Int & Ext 29 Prprty Line Firewall & Opngs 76 Ktchn, Fxtr & Appinc; Grnd-Air-Gap-Cooking Clrnc 30 Ext Doors -One 3' -Check Garage 3rd Story, 2 Exits 77 Elec Outlets & Rcptcls at Ktchn Counter 31 Stairs; Width-Hdrm-Rise-Run-Landing-Fire Prtctn 78 Garage Fire Door; Swing -Landing -Closure 32 Plywd on Roof Ovrhng-Attic Vnts-Rftr Outrgrs 79 AC Duct in Garage -Damper 33 Siding -Nailing Veneer 80 Wtr Htr; Vnts-Clrnc-Com Air Cnnctr-PRV; abv fir 34 Stucco Lath -Weep Screed-Fndtn Vnts-Undrflr Acc Mech Prtctn; LPG Appince Undr House 3" drain 35 Glazing Area -Glass Prtctn-SkyLts-Plastic 81 Plmb; Elec & Mech Eqp Listed for Loctn 36 Shear Walls; Nailing -Bolts 82 Elec Rcptcls in Garage (GFI) Romex Prtctn 37 Brace Int/Ext Wall pnis 83 Insultn-Foam-Looked in Attic 38 Insultn-Walls-Ceilings 84 Guard Rails & Deck Cnstrctn-Post Caps 39 Infiltration-Walls-Wndws 85 Fndn Vnts & Crawl Hole Door Drnge & Wood -Earth 86 Clrnc Dmge Planters ❑Yes ❑No 87 Stucco Brown -Finish d� 88 AC Unit Dscnnct, Elec-Plmb 89 Vnts abv Roof, Plmb-Appinc-Frplc-Clrnc to Opngs DATE JELECTRICAL 90 Wtr Well, Dscnnct, Elec, Pimb 40 Fxtr & Trnsfrmr Clrnc4ns Prtctn 91 Ext Elec Trim, GFI Rcptcl-Undrgrnd 41 Elec Rcptcls Spacing-Lts & Switches at Doors 92 Vntltn thru House 42 Sz Boxes & No Of Cndctrs Stapled 93 Glass Prtctn 43 Romex Installed Close to Edge of Studs & CJ 94 Corrections from previous Inspctns 44 Eqp Grnd made up w/Mech Fstnrs 95 Gas Test -Meters Tagged, Gas-Elec 45 Grndng Electrode Bond Gas & Wtr 96 Wtr & Sewer Cnnctd-C/O to grade -HD Apprvl 46 2 Appinc Cires in Ktchn & Cndctr Sz GFI 97 Energy Cmpinc Cert -Other Certs 47 Subfeed Wire Sz ga ❑ CU or [:I AL 98 Address Posted AC Wire Sz ga ❑ CU or ❑AL 99 Fire Sprinkler 48 Range Circ ga ❑ CU or ❑ AL Oven Circ ga ❑ CU or ❑AL Insulated Neutral El Yes 0 N °+`' 441-°+`' °..s 49 Service -Riser Cndctrs & Grnd Main Dscnnct 50 Eqp Cirncs pnls-Motors-Mech Eqp 51 Clothes Closet Lt-Shwr Lt -Spa Lt 52 Smoke Detector