Loading...
HomeMy WebLinkAbout072-330-081i #7- 072-330-0@6ry t0 PERMIT#95-1290 MCMILLAN, Walton B., 914 Hurleton Swedes Flat Rd., Oroville Cont; Cousin Gary's Mobilehome Utilities . t ELECTRIC GAS LINE { COMPACTION TEST REQ SUPPORT STRUCT REQ 1 . i RESIDENTIAL ' \A- c i 072-330-OW-Tart PERMIT#95-1290 f McMILLAN, Waltorn B. t I 914 Hurleton Swedes Flat-Rd., Otoville Cont; Cousin-tary's Mobilehome Utilities JOB FINALED (Date) Signature i = OK O=Not OK, =NotRyable MOBILE HOMES ' =Not Ready 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 9. Exits; Insp.-Sketch 10. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Bea ms- Rftrs.-Connectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.;Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. _ Boxes -Enclosures -Panel boards -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 UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 5. Stemwalls, Main; Steel -Bloc kouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; 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 12. Electric; Underground 13. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit),OK except #'s -16.-Water Htr.: Vent -Access -Combustion Air -Baffle 17. Water Pipe: Test & Anchor -Nail Protection 18. D.W.V.; Test -Fittings & Anchor -Nail Protection --------------- ---- ------------------ 19. Shower Pan: Test. First Floor -Tub Access ----------------- --------------------------- 20. Test Tub & Shower. Second Floor -Tub Access 21. Gas Pipe: Size & Anchors ----------------- --------------------- --------- --- - ---- - -------------- --- Date Card B-1 Date Card B-1 ------------------------ ------------------------------------------------- Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 22. Fixture & Transformer Clearance -Ins. Protection ------ - - - ------------ 23. Elec. Receptacles Spacing -Lights & Switches at Doors ------------- -------- ---------------------------------------------- ------ 24. Size Boxes & No. of Conductors -Stapled -------------------------------- 25. Romex Installed Close to Edge of Studs & C.J. ----------------------------------------------------------- ----------------- 26. Equip Ground made up w!Mech. Fastners-Bond Gas & Water -------------------------------------------------- --- - ------------- I ------------- 27. ------------ --------------------------------------------------------------- 27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI -------------------------------------------------------- 28. Subfeed Wire Sizer r ga. Cu or AI-A.C. Wire Size ! ! ga. Cu or At ------------------------------------ --------------- ------------------ 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. ---------- 31. Equip Clearances Panels-Motors-Mech. Equip. 32. Clothes Closet Light -Shower Light -Spa Light - ------- -------------------------- ---- -------------------' 33. Smoke Detector -------------------------------------------------------------------------------- -Date Date Card -B-1 -------------- ---- - ------- Date Card -B-1 ------------------------------------------ Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except n's 34. A.C. Ducts Insulation & Support ------------------------------------------------------ 35. Vent Fan Exhaust above insulation --------------------------------------------------------------- 36. Condensate Drain & Overflow: Size & Grade ------------------------------------------------- ----- ---- 37. Furnance-Vent: Access -Comb. Air -Return Air Vent -115 outlet ------------- ----------------------------------------------------------------- 38. Attic Access & Platform if Furnance in Attic ------------------------------------------------------------------------------------ --------------------------------------------------------------------------------- Date Card B-1 Date Card B-1 ---------------------------------------------------------------------------- - Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except #'s 39. Sils. Proper Material & Anchors ------- ----- ---------------------------------------- ------------------ --------- 40. Walls Studs -Nailing. Spacing & Bracing -Plates -Sound --------- ---------------------------------------------------------- 41. Bearing Walls over Girders & Floor Nailing --- --- - ----------------------- --------------------------- 42. Draft Stop -n- Walls (rat proof) ---------- -------------------------------------------------------- 43. Fire Stops: Furred Ceilings -Stairs -Chases -Tub 44. Headers & Beam -Size & Bearing single & Duplex) Date FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connectors 46. Cing. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Rfng. 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions _____---- _ 50. Garage Fire Protection Framing 51. Property Line Firewall & Openings -------------------------- 52. Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits 53. _Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers ---------------- --- _ 55. Siding -Nailing Veneer - 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access _ 57. Glazing Area -Glass Protection -Skylights -Plastic 58. Shear Walls; Nailing -Bolts 59. Insulation -Walls -Ceilings --------------------- ------- 60 ---------- --------60. Infiltration -Walls -Windows ---------------------------------- Date Card B-1 Date _ Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 61. Ext. Steps -Door & Sidelight Protection -Landings 62. Smoke Detector -------------------------- - 63. Furnace: Vents -Clearance -Comb. Air -Connector - In Garage: Above Floor-Ducts-Mech. Protection --------------- 64. Bedroom Exiting -------------------------- -- 65. G.F.I. & Bath Fixtures & Tub Access -Spa 66. Elec. Trim & Subpanel: Breaker Sizes & Labels ------------ ----------------- 67. Stairs & Rails ------------ 683 Fireplace or Stove Clearances -Hearth - - --- --- --- -- - ---- --------------------- 69. Elec. Outlets at Wood Panel; Int. & Ext. 70. Kit.Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance ---------------------------------------- -- 71. Elec. Outlets & Receptacles at Kit. Counter ------------- 72.- Gar age -Fire -Door: Swing -Land ing-Close r ---------------------- - 73. A.C. Duct in Garage -Damper ---------------------------------------- ---- 74. Wtr. Htr.: Vents -Clearance -Comb. Air-Connector-P.R.V. . In Garage: Above Floor-Mech. Protection ------------------------------------- 75. Plb.. Elec. & Mech._Equip. Listed for Location 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protection 7 Insulation -Foam -Looked in Attic ❑ Yes -------------- 78. Guard Rails & Deck Construction -Post Caps ------------------------------------- ------ - 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 80. Following instld.; Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑ Yes ❑ No 81. Stucco: Brown -Finish ---------- ------ 82. A.0 Unit Disconnect Electrical, Plumbing 83. Vents Above Roof; Plbg.-Appliance-Fireplace.-Clearance to Openings 84. Water Well: Disconnect, Electrical, Plumbing 85. - -Exterior---Elec.- Trim; - - G F.I. Receptacle -Underground -- -- - -- - - -- ------------------------ ----- 86. Ventilation Throughout House - --------------------------------------- 87. Glass Protection - _..... -------------------------- ----------------- 88. Corrections from Previous Inspections - . - .. ----------- ------------- 89. -----------89. Gas Test -Meters Tagged; Gas -Electric - - ----------------------------- ------------ 90. Water & Sewer Connected -C/O to Grade -HD Approval 91. Energy Compliance Certificate -Other Certificates ------- ------ ----------.------------------------ ------------- Date Card B-1 Date Card B-1 ---------------------------------------------- -- - Date Card B-1 Date Card B-1 ----------------------------- Date ----------------------------Date Card B-1 Date Card B-1 Comments at Final: �;--r.. ry--.-.t..-.max. :�;.** _>�'s."�'+" '•�,..����'t#+mleSF��'i�„"".�„w-*r+ -r-••, c- _ ... .., ._- �e_ .. l . OUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION t" 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO. APPLICATION AND PERMIT 95. 1,290 ASSESSOR PARCEL NUMBER 07 3 0 z6NING .'; BUILDING PERMIT OWNER `rWATION R. Mr 14TTI.AN TELEPHONE SO. FT. OCC. BUILDING VALUATION _533--2940 OWNERS MAILING ADDRESS '11 -glywr no mo. _9 Q CONTRACTOR'S NAME COUSTN GARY `4 TELEPHONE 6 94 COMRACTORS MAILING ADDRESS - ; 3468 MN 99 011C0 95926 Fireplace CONSTRUCTION LENDER s UNMOWN Total Valuation $ LENDER'S MAIUNG ADDRESS Ening Fee $ 20,00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDING ADDRESS': I ? t•• RD PERMITFEE $ _ PLUMBING PERMIT 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 ❑ Duplex ❑ MobilehomeN3 Other SPECIFY Water piping 15.00 Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 5.00 Building sewer n' .y 00 TYPE OF WORK New O` Addition ❑ Remodel ❑ Utilities 0 Installation ❑ Other ❑" Describe Work: MH UTIL 2 BEDROOM ' Mobile Home G VIA !' �, 0 00 lul PERMITFEE g/ Contractor ELECTRICAL PERMIT Filinq Fee 20.'00 Main Service eoov DR mss ( z00A OR LESS ) 23.00 • Main Service ( 200A TO I000A ) 46.00 • I 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 for the following reason: - ,- ❑ I, as owner of the property, or my employees with wages as their sole compensation, Will do the work, and the structure is not intended or offered for sale. I 21 , 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 OCCUP.s0. OR ADDNS. ( 8 ACC. BLDS. ) 3.50 FT. NEW CONST. / MULTI.OUTLET NON-RESID. \ BRANCH CIRCUITS ) @7.50 ( POWER APPARATUS ) 8 SINGLE OUTLET CIR. Ex. Occup. (OUTLET OR FORURES ) zo @ I.5 BAL 500 Ex. Occup. OUTLEETS PaESID.)EA ( ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 20.0 Misc. Wiring 23.00 PERMITFEE $ 63.00 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 S Contractor Policy Number (The above sections need not be completed if the permit is for work of a valuation �f one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwithcmply with those prov61 X _ Date Sig tura o App scant _fflr0'0wAe`r—ff Contractor ❑ Agens An OSHA permit is required for excavations over 50" deep and demoli Ion or construction of structures over 3 stories in height. Mobile Home Installation Fee Is Energy Inspection Fee Is Occ CONST. TYPE TOTAL FEE $ 166.00 HAZ. I D. FEES IMP FLOOD CDF PARCEL PO HD UEf This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for whicFifees have been paid. �] .�lC/i�w Date , Y B G Q PERMITEXPIRESON ® p/,�%%J (Date) l 1 Receipt No. "' WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY O0'iIUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO. APPLICATION AND PERMIT 192!2n.. ASSESSOR PARCEL NUMBER 0 ZONING MR BUILDING PERMIT OWNER TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNERS MAIUNG ADDRESS n:AVE-SUITE D, ORO 959 66 CONTRACTOR'S NAME COUSIN'GARY TELEPHONE 141-8494 CONTRACTORS MAIUNG ADDRESS 13463 MWY 99 CHICO,p 95926 Fireplace CONSTRUCTION LENDER UNMOWN Total Valuation $ LENDER'S MAIUNG ADDRESS Filing Fee $ 20,00 Permit Fee $ ARCHITECT OR ENGINEER UCENSE NO. Plan Checking Fee $ n on Energy Plan Checking Fee $ ' ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDING ADD RESS T T �' PERMITFEE $ 02.01TTI 12 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 ❑ Duplex ❑ Mobilehome)J 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 0 Installation ❑ Other ❑ Describe Work: i`M UTIL 2 BEDROOM Mobile Home 920.00 PERMITFEE g L9 0 00 Contractor ELECTRICAL PERMIT Filina Fee 20.'00 Main Service . OR LESS ( zooA OR DooLESS ) 23.00 23.0( Main Service ( 200A To I000A ) 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 for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, SII do the work, and the structure is not intended or offered for sale. 12-1as 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 OCCUP. OR NS. ( & ACC. BLOS. ) SO. 3.5¢ FT. NEW CCONST. MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS ) 97.50 POWER APPARATUS ) 8 SINGLE OUTLET CIR. Ex. Occup. (OUTLET OR FD(TURES) 20 0 1.00 BAL 50 Ex. Occup. OUTLEETS RESD.)EA ( ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 20.0 Misc. Wiring 23.00 PERMITFEE $ 63.00 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 /6f one hundred dollars ($100) or less.) @� I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall ply with those prov�i _ X *� _Date fZ.Appmcant Sig tu-131,twKeT ❑ Contractor ❑ Agen An OSHA permit is required for excavations over 60" deep and demo[ i Ion or construction of structures over 3 stories in height. Mobile Home Installation Fee Is Energy Inspection Fee Is occ CONST. TYPE TOTAL FEE $ 166.00 HAZ. D. FEES IMP FLOOD CDF PARCEL PD ND SU This permit is hereby issued under the applicable of the Butte County Code and/or Resolutions indicated above for which fees have been BYA4f�Date/[� PERMITEXPIRESON provisions to do work paid. ate) Receipt No. 176296 & WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT Y E.H. USE ONLY «' Plat Plan Attached Floor Plan Attached Smt to B.D. •J�_ TO: Building Department FROM:. Environmental Health SUBJECT: Sanitation Clearance Owner / Location AP# Plan Approved for: Sewage Dis sal ✓ Clearance for �, bedroom mobile Water Supply: Public Private Well NOTE: Environmental Health Specialist to 8/92 �M.. � '�2S'�"''hx"7t�fi��'*.d718�w�'�trJ�'''�1;�Tr��7•`iw�.,-.i;�.,:��-•«�.�z.��'�,.Fin_'-'k.rtr��r."'�t�+'l�tn+*ar`"+rs:: N. COUNTYOF BUT - DEPARTMENTOF DEVELOPMENT SERVICES -BUILDING DIVISION 7COUNTY CENTER DRIVE -OROVILLE,CALIFORNIA95965-TELEPHONE(916)538-7541 PERMIT APPLICATION DATA SHEET OWNER WA- L'TO ".5. A4 L --L,4/0 AP. No. ©7g ~3--�"o "cic57 Proposed Building Use PA N V Building Inspector Date 9 -F-S- At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY 1. All items have been submitted . ............ f............................. 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 . ...................... 8. Engineered truss details and layout in duplicate (required prior to plan check). .... �" 9. Mobilehome data and manufacturer's installation instructions, 2 sets. ........... 10. Fees of $ . ............... ................... 1 Impact fees as shown on attached schedule. . l� California Department of Forestry plan approva fees. .. .. ..�P�l� '' ...... . Flood elevation letter (100 year flo�) bV U�aljforni gineer. ...........::::::: �14. Sanitation and plot plan approval rte 1 l� Health Department. . / f5. City of Chico plumbing permit . ......................................... 16. Plot plan and business license approval from City of Biggs/Gridley. . ............. 17. Planning approval for (A) Use: (B) Parking: . ......... 18. Contact Land Development about (A) Improvements (B) Drainage. _�f9. Driveway permit (construction approval required prior to occupancy). QS 6. r`(grf .. J/ I Preanspedf n request 20. Pre -inspection for required. . to Building Inspector (Date) 21. Contractor's license information. (No., Name Style, Classification) . .............. 22. Certificate of Workmans Compensation Insurance . ........................... 23Owner-Builder Verification (Given to owner , Mail to owner . ........... Z4. Recorded copy of Agricultural Acknowledgement Statement . ................. 25. Letter of signature authorization . ........................:................... Copy of recorded deed of parcel creation and 60 right of way to a publicroad.--:-- Letter of intent on building use . .......................................... 28. Mobilehome utility clearance . .......................................... 29. Documentation of legal access . ..................... :.................. 30. Documentation of 50% subdivision developed or (A) Road improvements completed pry and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits . ...................................... 32. Plan check list . ..................................................... 1 33. 34. When ypu issue the permit, proce s as follows: Mail to owner. Mail to contractor. t,e' Telephone :2 (end hold for pickup at office. Deliver with inspector. Other Parcel Creation Acreage Applicant Date 66 Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Contractor, designer, owner, was advised of above required data by _ phone -mail Counter by _ Date Plans checked by Date Plans approved by Gt g3 oars Date 4, ?-2-1 Sets of plans on hold in File cabinet C ' AP folder Copy - Department of Public Works 6:r -e A COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION in 7 -.County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 i4v 0 1 . APPLICATI.ON AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER (2 7C22 .33 ZONING BUILDING BUILDING PERMIT OWNER�p /� A^ ILL� I ) AL Am J `. /r 11 TELERgNE� � ;O SO. FT. OCC. BUILDING VALUATION OWNERS MAIUNG AD DR S is CONTRACTOR'S NAME TELEPHONE G 0 CONTRACTORS MAIU A) KESS /= 1/' c� �-{' - 3 1-/ (� W �G7 �G / 7 — a- Fireplace CONSTRUCTION LENDER UNI(NOWN Total Valuation $ Filing Fee $ LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ O Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDING ADDRESS— /�� F 144 PERMITFEE PLUMBINGPERMIT S Filing Fee 20.00 w C�l/l I Each Trap 7.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Solar or heat puFnp water heater 23.00 Water piping 15.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome Other SPECIFY__ Each gas water heater or vent 15.00 Gas piping system 1 - $ outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition O" Remodel ❑ Utilities P� Installation ❑ Other .0 Describe Work: Si2, Mobile Home @20.00 PERMITFEE $ Q Contractor ELECTRICAL PERMIT Filinq Fee 20.00 Main Service eoov oR LESS ( Zoog oR LESS ) 23.00 Main Service ( 200A TO I000A ) 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.Ex. OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ 1, 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 OR ADONS. ( 8 ACC. BIOS. ) so.) 3.5¢ FT. NEW CONST. MULTI.OUTLET NON-RESID. ( BRANCH CIRCUITS ) @7.50 ( POWER AV ) 6 SINGLE OUTLEUTLETUSSINGLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) 20 @ 1.00 BAL Q .SO Occup. (OUTLETS REN D.OEA ) S.00 _ Temporary Service 23.00 Mobile Home Facilities 20.00 L;lO Misc. Wiring 23.00 PERMITFEE S (!7 Q 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 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' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X Date Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMITFEE S Contractor Mobile Home Installation Fee $ Energy Inspection Fee Is Occ CONST. TYPE TOTAL FEE $766,30 i HAZ. I O. FEES IMP I FLOOD I CDF I PARCEL I PO HDI ISSUE 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 (Date) Receipt No. WHITE-D.D.S.-B.D. CANARY- SSE OR PINK -INSPECTOR GOL NROD-APPLICANT fi 95-00CS2A) Phis set of pions and speciticotions MUST b'6 <ept on the job at all tirnes and it is unlawful 4,0 make any changes or alterations on same without written permission from the Department of Pubfie Works, County of Buft. z5o L vC- NOTE:—AII Materials & Workmanship Shaft so it. Accordance with Recognized Good Practices 'and of a quality prescribed for the Specified use in the Uniform Building, Flurnbg Mechanical Codes and Ove Notional Electrical A. 300' in Locawn Of wumm & equipment shall be as shoNrn d twat of all ems• ALL STRUCTURES AND EQUIPMENT INCLUDING OVERHANGS SHALL BE CLEAR OF ALL EASEMENTS. A SET BACK OF ?D FT. FROM THE SIDE AND 3D FT. FROM THE REAR PROPERTY LINES AND -;0_ FT. FROM THE ROAD CENTERLINE SHALL BE CLEAR OF STRUCTURES AND EQUIPMENT EXCEPT FOR A 2 FT. SAVE OVERHANG. ?LOT BU17E COUNTY BUILDING DEP APPROVED REVi"alta D f3Y BUTT 0, i=1R,;M"i`. CALIF. DEPT t ❑ , per alta,--�jcLj Signature T -%Lf- Cory CDF FIRE SAFE REQUIREMENTS -72--- 3 zS C_ m S-44 , �L-4,✓ bLW 7_6AJ AP# PERMIT # NAME Under authority of PRC 4290, the following checked items are required by the Butte County Fire Department and are made a part of this permit. These requirements are minimums and will be superseded by Butte County local regulations which equal or exceed these standards. Field inspections will be made by the Butte County Building Department for compliance. 1272.00 Maintenance of Defensible Space. To ensure continued maintenance of properties in conformance with these standards and measures and to assure continued avail- ability, access and utilization of the defensible space provided for in these standards, annual maintenance must be provide for by the land owner. Driveway Standards j 1273.02 Surface. All driveway surfaces and structures (bridges, 1273.07 culverts and other app_irte:iant structures which supple- ment the roadway bed or shoulders) shall provide unob- structed access to conventional drive vehicles, includ- ing sedans and fire apparatus weighing up to 40,000 pounds. �.j 1273.03 Grade. Not to exceed 16 percent unless paved. 1273.04 Driveway Radius [� 1. No roadway shall have a horizontal inside radius of curvature of less than 50 feet and additional sur- face width of 4 feet shall be added to curves of 50- 100 feet radius; 2 feet to those from 100-200 feet. [�] 2. The length of verti^:l curves in roadways exclusive I of gutters, ditches and drainage structures designed to hold or divert water shall be not less than 100 feet. [ 1273.05 Turnarounds. If required, will have a minimum turning radius of 40 feet from the center of the road. [ 1273.05 Turnouts. Shall be a minimum of 10 feet wide and 30 feet long with a minimum 25 foot taper on each end. [ ] 1270.10 Width. All driveways shall provide a minimum 10 foot traffic lane and unobstructed vertical clearance of 15 feet along its entire length. BUTTE COUNTY Page 1 BUILDING DEPAFITMEN APPROVED i= -% AP # PERMIT # NAME [x] 1273.10 Turnouts. Driveways exceeding 150 feet in length, but less than 800 feet in length, shall provide a turnout near the midpoint of the driveway. Where a driveway exceeds 800 feet, turnouts shall be provided no more than 400 feet apart. [�(] 1273.10 Turnaround. A turnaround shall be provided at all building sites on driveways over 300 feet in length and shall be within 50 feet of the building. 1273.11 Gates [�] 1. Gate entrances shall be at least two feet wider than the roadway it serves. [� 2. The gates must be located at least 30 feet from,the roadway and shall open to allow a vehicle to stop without obstructing traffic on that roadway. [ ] 3. Where a one-way road with a single traffic lane provides entrance, a 50 foot turning radius shall be used. Fuel Modification •1276.01 Setback for Structure Defensible Space. ] 1. All parcels 1 acre and larger shall provide a mini- mum 30 foot setback for building's and accessory buildings from 411 property lines and/or the center of the road. [ ] 2.. For parcels less.than 1 acre, local jurisdiction shall provide for the same practical effect. See Other Requirements below. 1276.02 Disposal of Vegetation and Fuels. Disposal, including chipping, burying, burning or removal to a landfill site approved by the local jurisdiction, of flammable vegetation and fuels caused by site development and construction, road and driveway construction and fuel modification shall be completed prior to completion of road construction :pr fi_ial inspection of a building permit. Page 2 of 3 7Z - 3 3 -S--� . AP ## 4%s-1 z-90 W cVM tLLAn)r AJ4-L-T-6� PERMIT V NAME Other Requirements [ ] If Building Setback is 15 to 30 Feet: - Class A.or B roof - Enclosed eaves [ ] If Buildincr Setback is Less Than 15 Feet Choose any 3 of the following: Metal or no doors on side toward property line with insuffi- cient setback -'Class A or B roof with enclosed eaves —Interior automatic sprinkler system per NFPA 13D - Glass area not to exceed 10% of wall area toward property line with insufficient setback — Siding from the following list: Stucco - 3 coat Hardi-Board or Plank Masonry Masonry veneer Metal Other Butte County Fire Department approved materials Date Signature Page 3 of 3 LAND DEVELOPMENT - BUILDING PERMIT CLEARANCE Building Permit No. n// Sow J OWNERS ^^ A.P. NAME: C vI roti NUMBER: 3-30(00 PRINT LAST NAME FIRST COUNTY ZONING —�%�f l ,,, c DESIGNATION: /Yl , FLOOD ZONE: S� FLOOD MAP: APPROVED: CONDITIONALLY APPROVED: RESOLVE PROBLEMS PRIOR TO APPROVAL: PARCEL CREATION BY DEEDS DATE OF CREATION: S Z �SSeS ,01t DEED REFERENCE: S N-M?�oAJ LEGAL ACCESS PROVIDED: YES NO LEGAL ACCESS REQUIRED: YES NO COMPLIES WITH COUNTY STANDARDS FOR DEED CREATION: YES NO COMMENTS/CONDITIONS: DATE OF RECORDING J '� PARCEL CREATION BY MAP LOT BOO ACe o '�-c yaoAA 3-7 — 3S-0 G PAGE COMPLIANCE WITH OLD SUBDIVISION LOT ORDINANCE REQUIRED? (MAP RECORDED PRIOR TO BOOK 17 OF MAPS AT PAGE 23): YES NO . IF YES, MARK APPROPRIATE ITEM(S) BELOW: A. Construct road to B. Meet parcel size required by zone. C. Meet current E.H.D. requirements. CHECK SPECIAL CONDITIONS WHICH APPLY TO MAP: ALL FEES TO BE PAID TO THE BU/LD/NG DIVISION UNLESS OTHERWISE NOTED. 1. Maintain a 50 ft. building setback from centerline of road. 2. Maintain a building setback from right-of-way/centerline of 3. Pay water tender fees in the amount of $ to Battalion Number of the Butte County Fire Department. _ 4. Automatic fire suppression sprinkler systems shall be installed in all residential structures in accordance with the National Fire Protection Association Standard for the installation of sprinkler systems in one and two family dwellings and mobile homes, NFPA Standard 13D, unless a pressurized community water system, with hydrants that meet Fire Department specifications, serves the parcel. 5. Pay T.D.D., (Thermalito Drainage District) fee in the amount of $ 6. Maintain a 100 ft. leachfield setback from all existing wells. 7. Maintain a ft. •leachfield setback from 8. Meet the requirements of the Department of Fish and Game for the preservation of oak trees. 9. A traffic mitigation fee for each new or additional living unit shall be paid. Pay the amount of $ as stated in the Oroville Area Traffic Mitigation Fee Agreement. Payment to be made to the Planning Division. 10. All new residential buildings shall be constructed to comply with the requirements of the Uniform Building Code for seismic safety. Mobile homes shall be constructed on a permanent foundation system which complies with the Seismic Zone 3 requirements of the Uniform Building Code. 11. Deer Mitigation fees are to be paid, if such fees have been adopted by the Butte County Board of Supervisors. 12. CHECK APPROPRIATE REQUIREMENTS YES OR NO OR CONDITION NUMBER. LD 12/94 - C:\WP51\F0RMS.K\8L0GPERM.CLR a.. -3qSju,9wdol9A8O I lu 1U_ APPROVED Butte County Environmen I Heaith� gnature OPT WINDOW B301CT/5214 2BEDROOM - 2BATHS - CATHEDRAL THRU-OUT (710 SOYT.) ■CATHEDRAL 1■■■■■■t�llt����Eli■r■i'■ii■' 1 � ■■s/1■■■■■■■■■■■■■■■_ 1■■ ■M■■■MMM■MM■M■■■M■ NEENEMENEE THRU-OUT ■■■NOME■E=■Mf immmommomm■ iiiiiii lE■ MEMO■■■■ ■_ � ■ 1 • 7 IM■■ ■■■■1 MASTER---a■■■I �l�■/II ■■M■1 1 M I■■■■■■■Mr---� ROOM BEDROOM BEDROOMr�M■ ■I M■I -__� ■■■M■■■■1 ■MMM■ ■1 �•151-791 No. 2 11 inj 1-811 10 1■■N■■�MI■■■1 1■M■■M■■/ - B301CT/5214 2BEDROOM - 2BATHS - CATHEDRAL THRU-OUT (710 SOYT.) TLoT TL RiJ 95-020182 1 95-020182 195-020182 y' I.. I Recorded I Official Records I County of I Butte I• Candace J. Grubbs I Recorder I '1:46pm 15 -Jun -95 I Rec Fee Cash h PUBL 6.00 6.00 And when recorded mail to: Building Division 47 Countv Center Drive Oroville, Ca. 95965 95-020182 UN � 51995 J NOT GOMPA&D Wtih AOR ek4 DOOUmf i AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT FOR RESIDENTIAL DEVELOPMENT Section 26-8 of the Butte County Code requires this acknowledgment to be recorded prior to issuance of a building permit. The property described herein is adjacent to land or included within an area zoned for agricultural purposes, and residents of this property may. be subject to inconveniences or discomfort from the use of agricultural chemicals. including. but not limited to herbicides. pesticides. and fertilizers: and from the pursuit of agricultural operations including, but not limited to cultivation. plowing, spraying, pruning, and harvesting which occasionally generate dust. smoke. noise. and odor. Butte County has established agricultural purposes and residents within said zones and on adjacent propem, should be prepared to accept such inconvenience or discomfort from normal. necessary farm operations. All that real property situate in the Coum of Butte. State of California. described as follows: t.c� GC2sZi�`71 M19 PROPERTY OWNERS: State of California County of BJ -T-*— On%'� 1�'G/ before me, ill GP4 j L t�r;✓� personally appeared - C L L �� personaliN known to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument, the person(s) or the entity upon behalf of which the person(s) acted, executed the instrument. WITNESS my hand and official seal. Mi ELLE L M • WTARv PUBUC-cauWRNU1 ; SiI!naturc al: IUM OCT.O 20,1 6 • A. P. t#