HomeMy WebLinkAbout072-320-0260
0
72-32-26
Franklin Callahan
SIS Hurlton.Rd., app.2 mi.E.of
Stringtown Rd., Oroville'
contr: Sherwood Constr., Oroville
Permit #343-78B(new-pri.detached"
garage) 1 4 X ;-? So
072-320-026 PERMIT#95-1934
GEORGE, Jeff
1090 Hurleton Rd, Oroville
Add 3 Bdrm,2 Baths,Enclose Porch to
Dining Rm,Expand Carport & Porch/SF
072-320-026 PERIMIT#95-2783
GEORGE, Je*ff ./
1090 Hurleton Rd:, O;ovilileAr--; //`y
Ele Ser Ch',Gas.Line & Wtr
072-320-026 PERMIT#96-2489/
GEORGE, Jeff
1090 Hurleton Rd., Orovil l 04f
Woodstove/SF
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=;y 072-320-026 PERMIT#96-2489
GEORGE, Jeff
1090 Hurleton Rd., Oroville
Woodstove/SF
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COUNTY OF BUTTE- DEPARTMENTOF DEVELOPMENT SERVICES -BUILDING DIVISION
7 County Center Drive - Oroville, California 95965 -Telephone (916) 538-71 No.
APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER 072-3206-026
ZONING
BUI ING PERMIT Y
OWNER JM GRORGE
TELEPHONE
58M577
SO. FT. OCC. BUILDING VALUATION
OWNERS MAILING ADDRESS
im TR RTl
CONTRACTOR'S NAME
TELEPHONE
CONTRACTORS MAILING ADDRESS
Fireplace 1,500.00
CONSTRUCTION LENDER
UNKNOWN
Total Valuation Is
Filing Fee $ 20.00
LENDER'S MAILING ADDRESS
Permit Fee $ A', 121
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee $
Energy Plan Checking Fee $
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty $
BUILDING ADDRESS 1090 JWRIMN RD
PERMITFEE $ 5S��/
PLUMBING PERMIT Filing Fee 20.00
Each Trap 7.00
LAT NO.
SUBDNISION'S NAME
PARCEL MAP
Solar or heat pump water heater 23.00
Water piping 15.00
USEOFSTRUCTURE
v
SF'0 Duplex ❑ Mobilehome ❑ Other
SPECIFY
Each gas water heater or vent 15.00
Gas piping
p p g system 1- 5 outlets 15.00
Building sewer 15.00
TYPE OF WORK 1
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other D It
Describe Work: WOOD STOVE t
Mobile Home ISI G1 W1 920.00
PERMITFEE 1 $
Contractor
ELECTRICAL PERMIT Filina Fee 20:00
Main Service i000V OR LESS
( zooA GR IFss ) 23.00
Main Service ( 200A To 1000A ) 46.00
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 t Lic,�NO.
OWNER DECLARATION
I hereby affirm under penalty of perjury that I am exempt,from the Contractors License -
Law the following reason:
flas owner of the property, or my employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
❑ I, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
❑ 1 am exempt under Sec. Business and Professions Code for this
reason -,
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
❑ 1 have and will maintain workers' compensation insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permit is issued.
My workers' compensation insurance carrier and policy number are:
Carrier
NEW CONST. DWELLING OCCUR
OR ADDNS. ( a ACC. BUDS. SO.
) 3.50 F7.
NEW CONST. MULTI -OUTLET
NON-RESID. ( BRANCH CIRCUITS ) @7.50
8 POWER SINGLE APPARATOUTLETUS )
CIR.
Ex. Occup. ( OUTLET OR FIXTURES ) 20 @ 1.00
BAL 0 .50
OR
Ex. Occup. (FI EiE s PUNS(RES.A5.00
o
-BUILDER
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring 23.00
PERMITFEE $
Contractor
MECHANICAL PERMIT Filing Fee 20.00
g
Heating
Cooling
Hood 6.50
Ventilation
PERMITFEE $
Contractor
Policy Number
(The above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
❑ 1 certify that in the performance of the work for which this permit is issued, I shall
not employ any person in any manner so as to become subject to workers'
compensation laws of California, and agree that if I should become subject to the
workers' comp e sation provisions of section 3700 of the Labor Code, I shall
fo with comply ith those pro0isions.
X Date 14 _ir L
Signature of plican - Owner ❑ Contractor ❑ Agent
An OSHA ermn is required for excavations over 60" deep and demolition or construction
of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee Is
Occ
CONST. TYPE
TOTAL FEE $ 55.00
HAz.
I D. FEES
I IMP I FLOOD
CFF PARCEL I PD HD
ISSUE
This permit is hereby issued under the applicable provisions
of the Butte County Code and/or Resolutions to do work
indicated above for which fees have been paid.
y
Date
By G/y
PERMITErXPIRE ON
(Date)
Receipt No. `�jG�
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIV ION
7 County Center Drive - Oroville, California 95965 -Telephone (916) 538-7 4 P RMIT NO.
APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER 072-320-026
ZONING
BUI ING PERMIT
OWNER JEFF GEORGE
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
OWNERS MAILING ADDRESS
1090 MIRI ETON RD
CONTRACTOR'S NAME
TELEPHONE
-
CONTRACTORS MAILING ADDRESS
Fireplace 1,500,00
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
Filing Fee
$ 20.00
LENDER'S MAIUNG ADDRESS
Permit Fee
$
ARCHLTECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEERS MAILING ADDRESS
Penalty
$
BUILDING ADDRESS 1090 HURLETON RD
PERMITFEE
$ 36'
PLUMBINGPERMIT
Filing Fee 20.00
Each Trap
7.00
LOT NO.
SUBDIVISION'S NAME
PARCEL MAP
Solar or heat pump water heater
23.00
USEOFSTRUCTURE
SF)b Duplex ❑ Mobilehome ❑ Other
SPECIFY__
Water piping
15.00
Each gas water heater or vent
15.00
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other E1
Describe Work: WOOD STOVE
—
Mobile Home S G W
920.00
PERMITFEE
g
Contractor
ELECTRICAL PERMIT
Filina Fee 20:00
Main Service EOOV OR LESS
( 200A OR LESS )
23.00
Main Service ( 200A TO 1000A )
46.00
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
I hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law f 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
NEW CONST. DWELLING OCCUR
OR ADDNS. ( 8 ACC. BUDS. )
SO.
3.50 FT.
NEW CONST. MULTI -OUTLET
NON-RESID. ( BRANCH CIRCUITS
( POWER APPARATUS
8 SINGLE OUTLET CIR. /
EX. Occup. ( OUTLET OR FIXTURES)
20 Q 1.00
aAL 0 .SO
Ex. Occup. (oUTEiETs (aESIL))EA)
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
PERMITFEE
s
Contractor
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
❑ 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 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
MECHANICAL PERMIT
Filing
9 Fee 20.00
Heating
Cooling
Hood
6.50
Ventilation
PERMITFEE
S
Contractor
Policy Number
(The above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
❑ 1 certify that in the performance of the work for which this permit is issued, I shall
not employ any person in any manner so as to become subject to workers'
compensation laws of California, and agree that if I should become subject to the
workers' compe sation provisions of section 3700 of the Labor Code, I shall
fo with com Iy ith those provisions.
X Date
Signature of Iican = Owner ❑ Contractor ❑ Agent
An OSHA arm i required for excavations over 60" deep and demolition or construction
of structures over 3 stories in height.
Mobile Home Installation Fee
$
Energy Inspection Fee $
OCC
CONST. TYPE
TOTAL FEE $ 55.00
HAZ.
I D. FEES
I IMP I FLOODCDF
PARCEL PD HD
ISSUE
This permit is hereby issued under the
of the Butte County Code and/or
indicated above for which fees have
BY
PER PIRESON
applicable provisions
Resolutions to do work
been paid.
Date
�Q 2�
(Date)
Receipt No. Cie/;7:3
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
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 la r and materials for construction of the
proposed pro rty 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: CITY:
PHONE: CONTRACTOR'S LICENSE NO.
4. I plan to provide portions of this work, but I have hired the following person to
coordinate, supervise, and provide the major work:
NAME:
ADDRESS: CITY:
PHONE: 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
F
SIGNED: 1�6A SCUX i
PROPERTY OWNER:
SOCIAL SECURITY NUMBy
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.
May 1995 2.26
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 -builder" you are the responsible party of record
on such a permit. Building permits are not required to be signed by property owners unless they are personally
performing their own work. If your work is being performed by someone other than yourself, you may protect
yourself from possible liability if that person applies for the proper permit in his or her name.
Contractors are required by law to be licensed and bonded by the State of California and to have a
business license from the city or county. They are also required by law to put their license number on all permits
for which they apply.
If you plan to do your own work, with the exception of various trades that you plan to subcontract, you
should be aware of the following information for your benefit and protection:
0 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.
0 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 taxes,
workers compensation insurance, disability insurance costs, and unemployment compensation contributions.
0 There may be financial risks *for you if you do not carry out these obligations, and these risks are especially
serious with respect to worker's compensation insurance.
0 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
perform their work personally or through their own employees, without a licensed contractor or subcontractor, only
under limited conditions.
A frequent practice of unlicensed persons professing to be contractors is to secure an "ownerbuilder"
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" on 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.
Sincerely,
Michael C. Vieira, C.B.O.
Manager, Building Inspection
NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code.
May 1995 2.27
r
RESIDENTIAL y
072-320-026 PERMIT#95-1934
r' GEORGE, Jeff
r
1.090 Hurleton Rd, Oroville
Add 3 Bdrm,2 Baths,Enclose Porch to
Dining Rm,Expand Carport & Porch/SF
f
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OFFICE COPY
Y }
i Address
+ GAS
f Meter By
ELECTRIC Date
Meter By Dat
e%
OFFICE COPY
I Address '
1 � {
GAS
I Meter By
ELECTRIC Dat
Meter By _
f,
• ` - -� Date =
F
JOB FINALED (DJ61
.,Signature
a.
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1,
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OFFICE COPY
Y }
i Address
+ GAS
f Meter By
ELECTRIC Date
Meter By Dat
e%
OFFICE COPY
I Address '
1 � {
GAS
I Meter By
ELECTRIC Dat
Meter By _
f,
• ` - -� Date =
F
JOB FINALED (DJ61
.,Signature
a.
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J=OK
O = Not OK ,
=N tReadyable. 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
4. Water; Location -Test -Easement Needed (Sketch)
5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete
6. Gas; Location -Test -Wrap: ,' /" L" ft.
/ /"Nat. or/ /"L"ft./ /"LPG -
7. Well Clearance & Disconnect
8. 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 ,r, • 0.•r4
_ 9. Exits; Insp.-Sketch
10. Cert. of Occupancy
�4
Date Card B-1 Date Card B-1
Date Card B-1 Date Card 6-1
►/
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.-Connectors
Shthg.-Rfg.-Bracing r
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-Panelboa rds=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
✓=OK
O = Not OK
= Not Applicable
Not Ready RESIDENTIAL (;
' =
Date UND FLOOR (Plans) OK except ff's
ing-Setbacks-Ease ments-Flood-Slope
Ft ain; Soils-Elec. Grnd.-/ /" Ftg. Depth
FtGarage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth
Porches & Decks; Soils -Steel-/ /Ftg. Depth
4S!pjlwalls, Main; Steel-Blockouts-Wrapped
Stemwalls, Garage; Steel-Blockouts-Wrapped
6a. Hold Downs and Special Anchors
7. Slab; Steel=Wrapped
8. Pier fireplace Ftg.-Steel
Fall -Fitting -Test -2 Way C/O -Sewer Test
10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test
11. Water Pipe; Test -Anchor -Regulator -Service Test
IZ)2. Ele c; Underground
ieDpKrs & Ducts; Clearance -Material -Support -Ins.
it it Sills -Anchor Bolts -Joists -Vents -Cripples
ccess & Ventilation
`f I "' '106. Insulation (,�O j1i✓ j-eb f p�
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date PLUMBING (Permit),OK except k's
*16. Htr.: Vent -Access -Combustion Air -Baffle
--- --------—--- ---------- - --- -- ---------
Pipe: Test & Anchor -Nail Protection
W.V.; Test
19.
&Anchor -Nail Protection
----- -- V -Fitt--n--- — -----------------
19.Sj )ower Pan: Test. First Floor -Tub Access
Test Tub & Shower, Second Floor -Tub Access
Size & Anchors
Date
---------
Card B-1 Date Card B-1
------------------------------------------------------------
Date
Card B-1 Date Card B-1
Date
ELECTRICAL (Permit) OK except ft's
22. Fixture & Transformer Clearance -Ins. Protection
--- -
-
Elec. Receptacles Spacing -Lights & Switches at Doors
------------
- --------------------------------------------------
------------
--------
S' a Boxes & No. of Conductors -Stapled
-- - - ---------------------------------
Romex Installed Close to Edge of Studs & C.J.
-----------
--- - --------------
- - - - - --------------------
Equip_Ground made up w/Meth. Fastners_Bond Gas & Water
---------------------
2-. p iance Circuts in Kitchen & Conductor SizerGFI
-----------------------------------------------------------
ed Wire Size r r ga. Cu or AI-A.C. Wire Size / / ga.
----------
- Cu or AI
___Cu--------- ------------------------
-/ r ga Cu or AI -Oven Circ. r / ga. Cu or At.
Insulated Neutral ❑ Yes ❑ No
------------------------------------------
----
--------------------------------
vice=Riser Conductors & Ground -Main Disconnect
ZA_Eauup-•Clearances Panels-Motors-Mech. Equip
------------------ ----- ----------------------------------------------------
t Closet Light -Shower Light -Spa Light
- - -
-- - - --- ------------------------- - --- ---------
- - ---- --- Detector
Cmoke
------- -
Date
---------------------
- - ----- --------------------------------------------------------
Card B-1 Date Card B-1
-------------------------------------------------- - ---------
Date
Card B-1 Date Card B-1
Date
MECHANICAL (Permit) OK except P's
_
34. A •:_Ducts Insulation & Support
-
V an Exhaust above insulation
-- -
------------------ ---- --------- ------------------------
Condensate Drain & Overflow:& Grade
_
>
mnce Vent Access Comb Air Return Air Vent 115 outlet `�
- - -----.
v
3t 07 Access & Platform if Furnance in Attic
------------------------------ ---------------------------
----------------------------------- ---------------------------------------------
Date Card B-1 Date Card B-1
------------------------------------------------------------------------- ---------- -
Date Card B-1 Date Card B-1
Date FRAMING (Plans) OK except A's
39. Sils. Proper Material & Anchors
•----- ------ --------------------------- -------------------------
4d_ --Studs-Nailing. Spacing _& Br-a-c-in-g----P-la-te-s---S-o--u-n-d-
---------- ---
K ring Walls over Girders & Floor Nailing
--------------- -
A2. aft Stop in Walls (rat proof)
..........'r_
- ---------------------------
--
- ----
e Stops: Furred Ceilings -Stairs -Chases -Tub
---------------- ----- ---------
44. Headers & Beam -Size & Bearing
iinglel Duplex)
Date.FRAMING (Continued)
rs-Post Caps -Anchors -Connectors
_ Cing. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Ring.
_ _ce Ties or Type A Flue -Fireplace Throat clearance
— — _ _. Atti-cccess: Size & Romex Protection -Draft Stop -Ins. Baffles
Bdrm., Windows or Exiting Doors -Sill Hgt. & Dimensions
Garage Fire Protection Framing
Firewall & Openings
- ,lrE.-�xt...Doors-One 3' -Check Garage -3rd Story, 2 Exits
Stairs: Width -Headroom -Rise -Run -Landing -Fire Protection
5 ywood on Roof Overhang -Attic Vents -Rafter Outriggers
Siding -Nailing Veneer
61577-Mh-Drip Screed -Fd. Vents-Underflr. Access
--
,Area -Glass Protection -Skylights -Plastic
/ /C�- 7rJ(/ ear Walls: Nailing -Bolts
r------ - 59. Insulation -Walls -Ceilings 1
60. Infiltration -Walls -Windows
Date
Date
Date
Card B-1 Date _ Card B-1
'WCard B-1 Date Card B-1
I AL.(Plan_s) OK except ti's
xL'9"}n` rdelight Protection -Landings
62 moke.1ji., R
a-- —�--
6 urnac eats -Clearance -Comb. Air-Connector-
ara , Above Floor -Ducts -Meeh. Protection'
_f.
.,__T. _,.___-......
6 .I. & Bath Fixtures & Tub Access -Spa
--------------
Faec. Trim & Subpanel: Breaker Sizes & Labels
67 irs & Rails -------
replace
"'' replace or Stove Clearances -Hearth
�c. Outlets at Wood Panel; Int. & Ext.
--- - �i .Fix -t. & Appliance; Grnc -Air Gap -Cooking Clearance
- ten. tlec. Outlets & Receptacles'at Kit. Counter --
arage Fire Door:'Swing-Landing-Closer
-C_. Duct in Garage -Damper -
74. W Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.
In Garage: Above Floor -Meeh. Protection
7 Ib.. Elec. &Mech. Equip. Listed for Location
le . Receptacles in Garage: (G.F.I.)-Romex Protection
- -- -----------------------------
Insulation -Foam -Looked in Attic ❑ Yes
rd_ Rails & Deck Construction -Post Caps
9. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth
Clearance Looked under Floor ❑ Yes
Following instld. Drive_ ❑ �Po W
dalks ❑ Yes Q -t o;
lanters 13 Yes Lt'No
cco
Brown -Finish -_ --- - -
d2 A k -Disconnect. Electrical, Plumbing
a ents Above Roof: Plbg.-Appliance-Fireplace.-Clearance to
O Wings------------
�7 - --
W ell: Disconnect, Electrical, Plumbing
---------- i----
d5. Ext i Elec. Trim; G.F.I. Receptacle -Underground ----
Ventilatio Throughout House - ---- -
ss ro
P
tectiontion
88. Corrections from Previous Inspections
89. -.a --- --_Meters Tagged vas Electri
---------------
90. Water & Sewer Connected -C/O to Grade -HD Approval
nergy Compliance Certificate -Other Certificates _
Dat--- - (--_-- Card tF-Date
-B=1 ----- Card B-1Dat Card B-1 - Card B-1
-- ------ ------------ ------------------------ --
Date Card B-1 Date Card B-1
Comments at Final
1157.
COUNTY OF BUTTE
BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
1469 Humboldt Road, Chico, CA - (916) 891-2751
7 County Center Drive, Oroville; CA - (916) 538-7541
` 747 Elliott Road, Paradise, CA - (916) 872-6307
CORRECTION NOTICE,
OWNER
-ls:
PERMIT
A routine inspection indicates that the following violations of Butte County Ordinances exist at
the above a dress and should be corrected. Please notify this office when correction of work
is comple d. If you have any questions pertaining to this matter, or need additional explanation,
ple' ontact this office immediately.
r04-15- J10clel.--57 /&--1
An-
'Y20-t/
c
f'l0-v c fie'
G
Date t!% ,3 Inspect -
REV
COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION
�. 7 .County Center Drive - Oroville, California 95965 - Telephone (916) 5Z541�, / PERMIT NO.
APPLICATION AND PERMIT j �f-
ASSESSOR PARCEL NUMBER 072-320-026
ZONING
BUILDING PERMIT
Kn
OWNER JEFF GEORGE
TELEPHO589NE0577
SO. FT. OCC. BUILDING UATION
OWNERS MAILING ADDRESS
PO BOX 372 OROVILLE, 95965
816 R 44,064-00
132
41 55,412-00
CONTRACTOR'S NAME
OWNER
TELEPHONE
.0
2041 C 10
459 00
CONTRACTORS MAILING ADDRESS
I&M 0L
00 O 6
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
LENDER'S MAILING ADDRESS
Filing Fee
$ 20,00
Permit Fee
$ ��._
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee I
$ %--
ARCHITECT OR ENGINEERS MAILING ADDRESS
Energy Plan Checking Fee
$ 23.00
Penalty
$
BUILDING ADDRESS
1090 HURLLTON RD
PERMITFEE $e--
OROVILLE
PLUMBING PERMIT
Fling Fee 20.00
Each Trap
7 7.00 49.00
LOT NO.
SUED—IONSNAME
PARCEL MAP
Solar Or heat pump water heater
23.00
USEOFSTRUCTURE
SF ff Duplex ❑ Mobilehome ❑- Other
SPECIFY
Water piping
15.00 15,0
Each gas water heater or vent
15.00
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00 15.012
TYPE OF WORK
New ❑ Addition 9 Remodel ❑ Utilities O Installation ❑ Other EX
Describe Work: _ADD 3 BEDROOM 2 BATH, ENCLOSE PORCH TO
PINING NOOK, —EXPAND CARPORT AND
Mobile Home ISI GI W
@20.00
PERMITFEE
g 99.00
Contractor
ELECTRICAL PERMIT
Filing Fee 20:00
PORCH AND MOVE, WOODSTOVR
a00V OR LESS
Main Service ( 2000AORLESS )
23.00
Main Service ( 200A TO 1000A )
46.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 commencin with Section 7000 of Division 3 of the Business and Professions Code,
( g )
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 10 the following reason:
IV 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.
O 1, 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
NEW CONST. DWELLING OCCUR
OR ADDNS. ( & ACC. BLDS. )
SO
3.50H.'
33.1
NEW CONST. MULTI.OUTLET
NON-RESID. ( BRANCH CIRCUITS )
97.50
POWER APPARATUS
(8 SINGLE OUTLET CIE,. /
EX. Occup. (OUTLET OR FIXTURES
209 1.00
BAL 50
FIXEX. OCCUp. OUTLED APPLNS. TS (RFSID.
( )
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
PERMITFEE
$
Contractor
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
MECHANICAL PERMIT
Filing Fee 20.00
Heating
Cooling
15.0
Hood
6.50
Ventilation
LL
PERMITFEE
$
Contractor
Policy Number
(The above sections need not be completed if the permit is for work of a valuation
iie,/ of one hundred dollars ($100) or less.)
l certify that in the performance of the work for which this permit is issued, I shall
not employ any person in any manner so as to become subject to workers'
compensation laws of California, and agree that if I should become subject to the
workers' compensa 'on provisions of section 3700 of the Labor Code, I shall
com w' those rovisions.
fo;of
X I _ Date _�
Signat plicant - , Owner ❑ Contractor O Agent
An OS A permit is required for excavations over 50" deep and demolition or construction
of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $ 45.00
OCC
CONST. TYPE
TOTAL FEE $ It q?_
HAZ.
D. FEE
IMP FLOOD
CDF PARCEL PD HD UE
This permit is hereby issued under the
of the Butte County Code and/or
indicated above for which fees have
BY
PERMITEXPIRESON
applicable provisions
Resolutions to do work
been paid.
(Date)
Receipt No. 180950
I
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -I PECTOR G LDENROD-APPLICANT
COUNTYOF BUTTE - DEPARTMENTOF DPEL``OPMENT SERVICES -BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 -TELEPHONE (916) 538-7541
PERMIT APPLICATION 6'ATA SHEET
OWNER 160
Proposed Building Use/i%
G�
Building Inspector
P. -N9,07-2-
--3�4
Date
At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance:
U DATE RECENED BY
1. All items have been submitted . ....................................... .
2. Plot plans, 3/4,sets, signed by preparer of plans . ......................... .
3. Complete plans, 3/4 sets, signed by preparer of plans . ..................... .
4. Engineered plans and calcs, 3/4 sets, with wet signature on plans. .............
5. Hazardous Material Form . ........................................... .
6. Energy Design Compliance and supporting documentation . ..................
7 Statement of Intent for Non -Heated and A/C Buildings. ........... check) .... .
. Engineered truss details and layout; in duplicate (required prior to plan check). .... --L
Mobilehome data'and anufacturer's installation instructions, 2 sets. ...........
Fees of $ . .........................
Impact fees as shown on attached scheduleS� O�Lr� .....�ds�/
California Department of Forestry plan approval 99,,Q�l ' Fl/l.'� ......... -Z . `� _
Flood elevation letter (100 year flood) by alifornia Engineer . ................. .
14. Sanitation and plot plan approval %- Health Department . ............
15. City of Chico plumbing perm it.'7...........................
............... .
"6. Plot plan and business license approval from City of Biggs/Gridley. ............. n
,17. Planning approval for (A) Use: (B) Parking:
,18. Contact Land Development about (A) Improvements: (B) Drainage. .......... .
19. Driveway permit (construction approval required prior to occupancy). ......... A *
20. Pre -inspection for ( required. . to Building lnspedor (Date)
21. Contractor's license information. (No., Name Style, Classification) . ..............
22. Certificate of Workmans Compensation' Insurance . ..........................
Owner,••Builder Verification (Given to owner , Mail to owner _). .......... .
24: -Recorded copy of Agricultural Acknowledgement Statement . ..................
25. Lettef of signature authorization . ....................................... .
26. Copy of recorded deed of parcel creation and 60 right of way to a public road. ..... -�
27. Letter of intent on building use., :.....................................: y=
28. Mobilehome utility clearance . .......................................... f
29. Documentation of legal access . ..................... :..................
30. Documentation of 50% subdivision developed or (A) Road improvements completed
and (B) Parcel meets zoning area and frontage requirements . ...............
1. Existing violations/expired permits . ................................... .
32 Plan check list.,,. . .........
When you issue the permit, process as -follows: Mail to owner. Mail to contractor.
TelephonegW 06-%7 and hold for pickup at Ol�-!7 office. Deliver with inspector.
Other ""
Parcel Creation
Acreage Applicant Date
Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date
Copy of plans sent Health Dept. Fire Dept. Other ' Date By
The following data must be submitted prior to
1. Index permit for above items No.
2. Additional items required:
(Circle new item not checked above).
Contractor, designer, ner as advised of above- required data by phone —mail Counter by ( Date g -a ��'
Contractor, designer wner was advised of above required data by __)Q phone _ mail Counter by Date
Plans checked by g a Date $ -23-- Plans approved by C i R B a n 4 Date
Sets of plans on hold in X File cabinet AP folder
Copy - Department of Public Works
E.H. USE ONLY
Plot Plmn AnyJ
FloorLlan Ansc ad
Seat to B.D. T') S
TO: Building Department
FROM: Environmental Health
SUBJECT: Sanitation Clearance
T
(-:2 cum: to �IL4o07c
Owner Location AP# j
Plan Approved for: Sewage Disposal Water Supply: Public Private Well LII -
Clearance for e. OtherA17/(`�� l N r v 61".
M. o v t N 6 L. r v i N r /zjr,,. L,-,-4 C- (— (c fi 4e,70' -- c= k R A-Ato .,,v 6 e l9
for:
Q ro1)
O.K. Of:
Health
Da
r : Attention Property Owner: -An "owner -builder'_' building permit --has been applied for in your name and be 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. -
I. I personally plan to provide the major l"r and materials for construction of the
proposed propprty improvement: YES[ NO[ ].
2. I HAVE[t,4 HAVENOT[ ] 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: CITY:
PHONE: CONTRACTOR'S LICENSE NO.
plan to provide portions of this work, but I have hired the -following person 16
coordinate, supervise, and provide the major work:
NAME:
ADDRESS: CITY:
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: L14 /
_ S
DATE: /O V.D -
NOTE:. This owner -Builder Verification -is required by Section -19831 and
19832 of. the California- Health and Safety Code.
This verification must boffice e completed and returned to our oce before -
we are permitted to issue the permit. _
OVER
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
you are the responsible party -of record
on such a permit. Building permits are not required to be signed by property owners unless they are personally
performing their own work. If your work is being performed by someone other. than yourself, you may protect
yourself from possible liability if that person applies for the proper permit in his or her name.
Contractors are required by law to be licensed and bonded by the State of California and to have a.
business license from the city or county. They are also required by law to put their license number on all permits
for which they apply.
If you plan to do your own work, with the exception of various trades that you plan to subcontract, you
should be aware of the following information for your benefit and protection:
0 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.
-0 If you are an employer, you must register with..the-State and -Federal- i;�aments. as:.an employer and -;you are
subject to several obligations including state and federal income tax Withholding, federal social security taxes,
workers compensation insurance, disability insurance costs, and unemployment compensation contributions.
0 There may be financial risks for you if you do not carry out these obligations, and these risks are especially
serious with respect to worker's compensation insurance.
0 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
perform their work personally or through their own employees, without a licensed contractor or subcontractor, only
under limited conditions.
A frequent practice of unlicensed persons professing to be contractors is to secure an "ownerbuildee,
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" on 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.
Sin 'c'brel
Micha4l C. Vieira, C.B.O.
Manager, Building Inspection
NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code.
OVER
"s"(-.YKXwf T"IK�*;�;���.`'!"'a�f��'�7'Yy� ��•�I•��tvfr. •F����Y I�f�YfyY �r`S<�'�-: I �✓�i•.�^. Y4
BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM
(One Form Per Building)
W+
School District! Building Department No.
A.P. Numbea.� t!�city
e�7 Jurisdiction: County
z
.,Property Owner
Property Location/Address /01?0 H4/9�• 11 ' 1420 0� (�
Subdivison Lot No.
J
Residential Development
Commercial/Industrial
No. of Living MHI
Units
.,
9
Sq. Footage,
Addition (Group R)
0
New Addition
Sq. Footage
(Including Exterior
fed Areas)
//(;
Z��
k.Date
(Floor Plans reviewed by School District Personnel) a
-District Identification No. � ! -•_; fffjjfi--4i4� /" J`_ S
School District certifies that '
+- (Applic t)If A4.
.
o
(Street Address) , .-� }
n f 1.,,t .r .� ,
(L;Iry) ,_7 Mfr , � -' t ISI U .
"- /I1
has,complied'with'the requirements of Resolution No.
representing _ 1,� square feet.
School District Represe
(State)
1.�' (> `'""' `• hone Number)
(Zip Code) /
q3 —gX—/D by payment of $
AB 2926 $
PULL MITIGATION $
41
r
Date
Paid by Check #. °;�� Remarks:
77
Bank Number ` %/-80
Paid by Cash
If, subsequent to the School' District Representative signing this Butte County Schools Impact Fee
Certification Form, the School District is notified by the applicable Local Planning Agency that this project
is being reviewed under the California Environmental Quality Act (CEQA), this project may be subject to
additional school fees to fully mitigate its impact on the school district's schools.
White (applicant), Yellow (building department), Pink (school district) feeformmkl (1 1/94)dmm
Owner:
Permit No.
ENERGY C ERT I F ICAT ION
1 W O (jDg i 1
LOCATION A.P. No.
ROOF
Material
Thickness(inches)
f
DESCRIPTION OF INSULATION
'Brand Name
Thermal
Resistance (R Value)
EXTERIOR WALL
Material FIBERGLASS BATTS Brand Name SCHULLER INT.
Thickness(inches) °/ �' `oi° Thermal Resistance(R Value) R17TRI&
CEILING
Batt or Blanket Type'
- brand Name }��+•
Thickness(inclies)•
Thermal Resistance(R Value)
Loose Fill.Type FIBERGLASS
Brand Name SCHULLER TNT.
Minimum Thicknes5(Inclies)
u l 11 :Number of Bags;}'i� Wt. per bag 27 lb.
Area covered(ft. )
G n Thermal Resistance(R Value) 3$
FLOOR, ELEVATED Ctf1-0n5
� T
Material -FIBERGLASS BATTS
Brand Name SC'n'ULL'r�R 1NT'
Thickness(inches) @'N
Thermal Resistance(R Value) Rig
FLOOR, SLAB
Material
Brand Name
Thickness(inches)
Thermal Resistance(R Value)
Width(inches)
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 Californla Energy Requirements.
Loerke Inaulation•Co., Inc. 499150
FIRM NAME/OWNER STATE CONTRACTOR'S LICENSE NO.
V�=ju�) -d --
SIGNATURE OF INSTALLATION APPLICATOR PATE
I hereby certify the above insulation•=anti all required -items as shown on the
Building Department approved plans and attachments leave been installed as
required by the State of California Energy Requirements.
All equipment, devices and materials are of the quality prescribed or are
specifically approved by the State of California.
FIRM NAME/OWNER (Please print)
STATE CONTRACTOR'S LICENSE NO.
SIGNATURE OF GENERAL CONTRACTOR OWNER DATE
THIS CERTIFICATE MUST BE ON FILE WITH THE BUILDING DEPAMIENT PRIOR TO FINAL
INSPECTION' APPROVAL AND A COPY SHALL BE POSTED WITHIN THE BUILDING.
January 1984
COUNTY OF BUTTE- DEPARTMENT OF;>EVELOPMENT SERVICES -BUILDING DI/;S
7 .County Center Drive - Oroville, California 95965 - Telephone (916) 538-75PERMIT NO.
APPLICATION AND PERMIT `
ASSESSOR PARCEL NUMBER 072-320-026
ZONING U
BUILD I PERMIT
OWNER JEFF GEORGE
T589N0577
SO. FT. OCC. BUILDING VALUATION
OWNERS MAILING ADDRESS PO BOX 372 OROVILLE, 95965
CONTRACTOR'S NAME
OWNER
TELEPHONE
CONTRACTORS MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNIwOWN
Total Valuation Is
LENDER'S MAILING ADDRESS
Filing Fee $
20,00
Permit Fee $
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee $
Energy Plan Checking Fee $
ARCHITECT OR ENGINEERS MAILING ADDRESS
Penalty $
BUILDINGADDRESS 1090 ,,z'T URLETON RD
PERMITFEE $
OROVILLE
PLUMBING PERMIT
Filing Fee 20.00
Each Trap
7.00
LOT NO.
SUBDIVISIONS NAME
PARCEL MAP
Solar or heat pump water heater
23.00
USEOFSTRUCTURE
SF ❑X Duplex ❑ Mobilehome ❑ Other
SPECIFY
Water piping
15.00
Each gas water heater or vent
15.00 15,00
Gas piping system 1 - 5 outlets
15.00 15,00
Building sewer •
15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation CK Other ❑
Describe Work: REPLACE & RELOCATE MAIN ELEC. SERV PANEL
INSTALL NEW GAS W/H & GAS LINT. 00 AMP i
Mobile Home IS I GI W
@20.00
PERMITFEE g
50.00
Contractor
ELECTRICAL PERMIT
Filina Fee 20:00
Main Service ( "e200Ao0v 'Ofi N DR L )
LESS
23.00 23.00
Main Service ( 200A TO 1000A )
46.00
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 ff r the following reason:
11 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.
❑ 1, 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
NEW CONST. DWELLING OCCUR.SO.
OR ADDNS. ( a ACC. BLDS. )
3.50 FT.
NEW CONST. MULTI -OUTLET
NON-RESID. ( BRANCH CIRCUITS )
@7.50
( 8 POWER APPARATUS )
SINGLE OUTLET CIR.
Ex. Occup. ( OUTLET OR FIXTURES)
20 Q 1.00
BAL 0 .50Ex.
Occup. OFIXEEDTSPPLNS..OR
( )
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
PERMITFEE $
43.00
Contractor
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
MECHANICAL PERMIT
Filing Fee 20.00
Heating
Cooling
Hood
6.50
Ventilation
PERMITFEE $
Contractor
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.)
{'f 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
workers' compensation provisions of section 3700 of the Labor Code, I shall
rthwith comp with those provisions.
X Date _
Sig tur Applicant Pha'Owner ❑ Contractor ❑ Agent
An SH ermit is required for excavations over 60" deep and demolition or construction
of structures over 3 stories in height.
Mobile Home Installation Fee Is
Energy Inspection Fee $
occ
CONST. TYPE
I
TOTAL FEE $ 93.00
HAZ.
I D. FEES
I IMP I FLOOD
I CDF PARCEL I PD HD
ISSUE
This permit is hereby issued under the applicable provisions
of the Butte County Code and/or Resolutions to do work
Indic e for hich fees have been paid.
/
By Date
r� 6
(Date)
Receipt No.PERMITEXPIRESON
02 %
WHITE-D.D.S.-B.D. CANARY -ASS SOR PINK -INSPECTOR GOLDENROD -APPLICANT
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 1a r and materials for construction of the
proposed pro'perty improvement: YES NO[ ].
2. I HAVE[V] 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: CITY:
PHONE: CONTRACTOR'S LICENSE NO. .
4. I plan to provide portions of this work, but I have hired the following person to
coordinate, supervise, and provide the major work:
NAME:
ADDRESS: CITY:
PHONE: 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:
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 and returned to our office before
we are permitted to issue the permit.
re 301
i
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 -builder" you are the responsible party of record
on such a permit. Building permits are not required to be signed by property owners unless they are personally
performing their own work. If your work is being performed by someone other than yourself, you may protect
yourself from possible liability if that person applies for the proper permit in his or her name.
Contractors are required by law to be licensed and bonded by the State of California and to have a
business license from the city or county. They are also required by law to put their license number on all permits
for which they apply.
If you plan to do your'own work, with the exception of various trades that you plan to subcontract, you
should be aware of the following information for your benefit and protection:
0 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.
0 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 takes,
workers compensation insurance, disability insurance costs, and unemployment compensation contributions.
0 There may be financial risks for you if you do not carry out these obligations, and these risks are especially
serious with respect to worker's compensation insurance.
0 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
perform their work personally or through their own employees, without a licensed contractor or subcontractor, only
under limited conditions.
A frequent practice of unlicensed persons professing to be contractors is to secure an "ownerbuilder"
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" on 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.
Sinccbrel , 1 '
Michail C. Vieira, C.B.O.
Manager, Building Inspection
NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code.
OVER
COUNTY OF BUTTE r
BUILDING DIVISION L
DEPARTMENT OF DEVELOPMENT SERVICES �
1469 Humboldt Road, Chico, CA - (916) 891-2751,
7 County Center Drive, Oroville, CA - (916) 538-7541.
747 Elliott Road, Paradise, CA - (916) 872-6307 '
CORRECTION NOTICE
OWNER PERWr NO.
A routine inspection indicates that the following violations of Butte County Ordinances exist at
the above address and should be corrected. Please notify this office when correction of work
is completed. If you have any questions pertaining to this matter, or need additional explanation,
please conta,prthis office immediately.
Date -
REV 10/92
COUNTY OF BUTTE
BUILDING DIVISION
DEPARTKWNT OF DEVELOPMENT SERVICES
1469 Humboldt Road, Chico, CA - (916) 891-2751
7 County Center Drive, Croville, CA - (916) 538-7541
------=-747 Elliott Road, Paradise, CA - (916) 872-6307
CORRECTION NOTICE
OWNER PERMIT NO.
A routine inspection indicates that the following violations of Butte County Ordinances exist at
the aboveaddr s and should be corrected. Please notify this office when correction of work
is complete f you have any questions pertaining to this matter, or need additional explanation,
please c tact this office immediately.
Date 012-61 Y5Inspector
REV 10/92
' 4 PERMIT NO.
343-78B
1
I�
I' PERMIT EXPIRES
OWNER Franklin Callahan
CONTR. Sherwood Contr_, Qrnyj11e
LOCATION (A.P. 72-32-26
S/S Hurleton Rd., app.2 mi.E.of Stringtown Rd,
Oroville
f
a
s
Temp. Power Pole
Called PG&E
Temp. Elec. Serv.
Called PG&E
Temp. Gas Serv.
Called PG&E -
F OB "� r O
INALED
(Dat ,
( 1gnature)
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
__:
BUILDING INSPECTION RECORD
BUILDING BUILDING (Cont'd)
PLUMBING
Setback a ` % Ir 4e!r�
Firewall
Soil Piping
Forms
Parapets
1st Floor
Main Bldg.
Restroom Finish i
2nd Floor
Footings.
Windows
3rd Floor
Stemwall
Siding —02
To out
Slab
Roof SheathiIf 2
Water Piping
Piers
Roofing
Sewer
Garage
Fdn. Vents
Fixtures
Footings 3c3 -
Garage Vents
Water Htr.
Stemwal I —
Insulation
Heaters
Slab
Carport
Car
Footings
Prov. for physically
handica ed
Conformance of ex.
structure
Appliances
Gas Piping &Test
Temp. Gas
Slab
Final
Sanitation
Patio
FIREPLACE
Final
Footings
Footina
ELECTRICAL
Masonry Walls
Throat
Rou h
Reinf. Steel
Final
Fixtures
Bond Beam
FIRE SPR ERS
Motors
Framing .3 -0P -
Test
Water Htr. %
Stucco
FinalSub
anels
Mesh
MECMA CAL
Grd. Fault Prot.
Scratch
Heating
Service
Brown
Cooling
Temp. Pole
Finish A
Ducts
Underground
Interior Lath
Ventilation (
Permanent
Door Closer
Final i
Final
MOBILEHOME gTILITIES N
--------------- Elec. Servicev
Elec. Pedestal
Water Piping
Sewer
Gas Piping
MOBILEHOME INSTALLATION
- - - - - - - - - - - - - - Support
Elec. Continuity
Water Piping
Drainage
Gas Piping
D
DATE o
Aar, -2 37.gv4
ua,&�Eo 4.5
REMARKS OR CORRECTIONS
T31 Pf+D L/Z 774/ 5 bv47Z 2 800,us
. P f A- P444Av.
olL /4c/Zoa
(NOTE: An entry must be made on this form each time you visit the job site.)
COUNTY OF -BUTT. -E: — DEPARTMENT OF PUBLIC WORKS
7 County Center Drive — ,(Jroville, California 95965
Tel epfione: 534-4541
APPLICATION AND PERMIT
cN oocn.ouvca vi LIE �,Uunly UI bulle W enter upon the
above-mentioned property for inspection purposes.
X— Date
Signature of Permitee or Agent
Receipt No. T112 b" !lk 2r—
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.
DIRECTO OIC WORKS
By Date
Building permit expires Date
BUILDING
Ownere
dl, h Ito
SQ. FT. OCC. BUILDING VALUATION
V0 -3 it O . C_Y7
Mailing Address
Telephone No.
Fireplace
Contractore (
Total Valuation
Mailing Address
Permit Fee
Plan Checking Fee&/or Penalty
Telephone No.
V 1aPermit
Fee $
$
Building Address S S
PLUMBING No.1 FEE
PERMIT FILING FEE J$3.00
r
Each Trap 1.50
Repair drainage or vent piping 1.50
r0_2
Water piping 1.50
Each gas water heater or vent 1.50
A. P. No Zoning 8 Planning
Gas piping system 1 - 5 outlets 1.50
Each additional outlet .30
Fee nos on Fire Dept.
Fire Zone Use Permit
Building sewer 5.00
EQA
Parking
Plans
Parcel
Declar n
Parcel Ma P
60' R/W
Im ovements
Lawn sprinkler system 2.00
Bldg. Plans Recd Af Parcel Approval
P ons Approval
Permit Fee $
NEW ADDITION ❑ UTILITIES ❑ OTHER ❑
ELECTRICAL No.1 @ FEEPERMIT
FILING FEE J$3.00
V OR LE
Main service 100 AMP ORSLESS 5.00
Main service EA. ADD•L 100 AMP 2.50
Single Family ❑ Duplex ❑ Mobil Home ❑ Others
Main service OVER 600V
1100 AMP OR LESS 25.00
Main service EA. ADD'L 100 AMP 1.00
NEW C.NST. DWELING
OR ADD NS. ( ACCLBLDGS. OCCUP. &) 2¢sgft
NEW CONSTR.MULTI-OUTLET
NON.RESID. BRANCH CIRCUITS) 2.50ea
NEW CONSTR. POWER APPARATUS &
NON -R ESID. (SINGLE OUTLET CIR.
CONTRACTORS LICENSE LAW
I am licensed under the provisions of Chapter 9, Div. 3, of the
State of California Business & Professions Code under the name
style off:•
Ex. Occup(OUTLETS OR FIXTURES)@2
BAL@ 1
Ex. Occup. FIXED APP LNS. OR
P•(OUTLETS (RESID.) EA) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
License No. J:27$�7 Classification 44a
Misc. Wiring 6.25
❑ I am exempt from the Contractors License Laws of the State of California.
Permit Fee $
WORKMEN'S COMPENSATION INSURANCE
1 am aware of the provisions of Section3700 of the California Labor
Code which requires every employer to be insured against liability
for Workmen'.s Compensation.
I have placed on file with the County of Butte a certificate of
Workmen's Compensation Insurance.
❑I certify that in the performance of the work for which this
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.1 @ FEEPERMIT
FILING FEE $3.00
Heating
Cooling
Ventilation
Hood 2.00
Permit Fee $
$
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
TOTAL PERMIT FEE
$ 01
cN oocn.ouvca vi LIE �,Uunly UI bulle W enter upon the
above-mentioned property for inspection purposes.
X— Date
Signature of Permitee or Agent
Receipt No. T112 b" !lk 2r—
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.
DIRECTO OIC WORKS
By Date
Building permit expires Date