HomeMy WebLinkAbout073-380-017• NOTES RESIDENTIAL
x073-380-017 04-1-53
PERMIT NO. .___�_..^,....._
EL KIN, JEAN
C 1J,cs 519 ROBINSON MILL RD, OROVILLE
r •.tY .
Cont: TML INC
'gyp pS y pviLo C�� -cG� 0 IL REMODEL/ADDITION
1 I
1 I�
I
A � 1
r. / i'
SPECIAL CONDITIONS �Ik
Ir' I
t CHECKED:.
T BY
SRA
FLOOD CERTIFICATE REQ. ;
' FIRE SPRINKLERS REQ.
SPECIAL INSPECTION ITEMS II
VERIFY F
t USE PERM IT- CONDITIONS
SUB-STANDARD HOUSINGLETTER
• 1 �I EiTK coW4c!:/1- P01?-i3ES`bW,%l Q(Q
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i
OFFICE COPY-
Add es
OPY-Addres t
°} GAS L
Meter By Date -
ELECTRIC
Meter By Dat�L%.
J
r1
�I
,.� tAAlQOLC- TIE Foe 10W* 610 cf26uiT-s �� u
4
SFFY►..0 �OILE i
/ I
P1i4TFore.✓t (coAfcl&T6) , JOB FINALED (Date)
y bi nl k� oN K'lrofeid ci 2cucT Signature
J=OK
0 = Not OK
- = Not Applicable
. = Not Ready
RESIDENTIAL (Single & Duplex)
Date UNDERFLOOR (Plans) OK except #'s
2%Fjg., Main; Soils-Elec. G44d.411yFtg. Depth
tg., Garage; Soils-Steel-Elec. Grnd.-/ " Ftg. Depth
-4. F ., Porches & Decks; Soils -Steel-/ /" Ftg. Depth
walls, Main; Steel-Blockouts-Wrapped
Eta! Hold Downs and Special Anchors
7.
Sjpb, Steel -Wrapped
4V
ier,ire lace Ft .- el
Card B-1 I Date Card B-1
V; Fall-Fi -Test-2 Way C/O -Sewer Test
1 2iF
F, Gas Pipe; Size Anchors -Yard Gas Piping; S e Tes
11.
Water Pipe; T -Anchors-Regulator-Service Test
12.
Electric Underground
13.
Plenums & Ducts; Clearance -Material -Sup ort -Ins.
Test Tub & Shower, Second Floor -Tub Access
ers-Sills-Anchor+-Joistsd*Wn-t Cripgies
15.
Access & Ventilation
Dat
16. Insulation
Ext. Steps -Door & Sidelight Protection -Landings
4V
Date
Card B-1 I Date Card B-1
Date;
:Q Card B-1 Date Card B-1
Dat
LU G (Permit) OK except #'s
"1#7 . Water Htr.; Vent -Access -Combustion Air Baffle
Water Pipe; Test & Anchor -Nail Protection
F' place Ties or Type A Flue -Fireplace Throat Clearance
119"IDW.V.; Test Fittings & Anchor -Nail Protection
"7-lk-O.S
S ower Pan; Test, First Floor -Tub Access
/J
Test Tub & Shower, Second Floor -Tub Access
Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions
2 Gas Pipe; Sixe & Anchors
52.
23. Fire Sprinkler; Test
s tion -Foam -Looked in Attic
53.
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
10
ECTRICAL (Permit) OK except #'s
4mi
. xture & Transformer Clearance -Ins. Protection
c. Receptacles Spacing -Lights & Switches at Doors
Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
2 Boxes & No. of Conductors Stapled
56.
mex Installed Close to Edge.of Studs & C.J.
Water Well, Disconnect, Electrical, Plumbing
2 ip. Ground made up w/Mech Fasteners -Bond Gas & Water
iding-Nailing Veneer -
Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access
. 2 Appliance Circuits in Kitchen & Conductor Size GFI
59.
30. !jj0feed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or Al
Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or AI
In ulated Neutral D Yes ❑ No
Shear Walls; Nailing -Bo
ace Interior/Ext or Wall Panels
Insulation -Walls -Ceilings
3V'ice-Riser Conductors & Ground Main Disconnect
3.
/y-
3 E- ui . Clearances Panels-Motors-Mech. Equip.
Date
CI hes Closet Light -Shower Light -Spa Light
Card B-1' Date Card B-1
3 Smoke Detector
Date
Car B-1 6ate Card B-1
Date
Card B-1 Date Card B-1
Datq
MEC NICAL (Permit) OK except #'s
G
. A.C. Ducts Insulation & Support
W'Ve
jat Fan, Exhaust above insulation
Condensate Drain & Overflow, Size & Grade
3 F ce-Vent Access- Ai - turn ' ent 115 Outlet
Attic Access Platform if Furna . ttic
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
FRA G (Permit) OK except #'s
Si> Proper Materials & Anchors
W Is Studs -Nailing Spacing & Braces -Plates -Sound
4ar"qparing Walls over Girders & Floor Nailing
. Draft Stop in Walls (rat proof)
4 . F Stops, Furred Ceilings -Stairs -Chasers -Tubs
Headers & Beams -Size & Bearing
Dat
FRA G (Continued)
Ext. Steps -Door & Sidelight Protection -Landings
FUangers-Post Caps -Anchors -Connectors
'/r 48'
Cling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rtig.
Broom Exiting
G .I. Bath Fixtures & Tub Access -Spa
I . Trim & Subpanel, Breaker Sizes & Labels
& Rails
Fireplace or Stove, Clearance -Hearth
49.
F' place Ties or Type A Flue -Fireplace Throat Clearance
5 .
A is Access; Size & Romex Protection -Draft Stop -Ins. Baffles
/J
/l .
Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions
79.
52.
Garage Fire Protection Framing -RC Channel
s tion -Foam -Looked in Attic
53.
Pxeperty Line Firewall & Openings
j/
/f .
Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits /
Fol wing Instld./Drive es 0 No/Walks es 0 No/Planters 0 Yes tn1o"
55.
Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
86�enfs
56.
Plywood on Roof Overhang -Attic Vents -Rafter Outrig er
Water Well, Disconnect, Electrical, Plumbing
58.
iding-Nailing Veneer -
Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access
59.
Glazing Area -Glass Protection -Skylights -Plastic
60.
61.
Shear Walls; Nailing -Bo
ace Interior/Ext or Wall Panels
Insulation -Walls -Ceilings
Date
3.
/y-
Infiltratio Walls-Wi ows
Date Card B-1
Date
Card B-1' Date Card B-1
Date FIN!tans) OK except #'s
Ext. Steps -Door & Sidelight Protection -Landings
Smoke Detector
urnace Vents -clearance -Comb, Air -Connector -
ID Garage; Above Floor-Ducts-Mech. Protection
QVStairs
Broom Exiting
G .I. Bath Fixtures & Tub Access -Spa
I . Trim & Subpanel, Breaker Sizes & Labels
& Rails
Fireplace or Stove, Clearance -Hearth
72.
Elec. Outlets at Wood Panel, Int. & Ext.
i ixt. & Appliance; Ground -Air -Gap -Cooking Clearance
!qc. Outlets & Receptacles at Kit. Counter
arage Fire Door; Swing -Landing -Closure
7
. Duct in Garage -Damper
Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V.
in Garage; Above Floor-Mech. Protection
Ib.; Elec. &Mech. Equip. Listed for Location
79.
Elec. Receptacles in Garage (FF.I.)-Romex Protection
s tion -Foam -Looked in Attic
uard Rails &Deck Construction -Post Caps
dn. VBents & Crawl Hole Door Drainage & Wood -Earth
+
Clearance Looked under Floor es
_
83.
Fol wing Instld./Drive es 0 No/Walks es 0 No/Planters 0 Yes tn1o"
A47ucco
1&0
Brown -Finish
A.C. Unit Disconnect, Electrical -Plumbing
86�enfs
Above Roof, Plbg-Appliance-Fireplace-Clearance to Open ngs
87.
Water Well, Disconnect, Electrical, Plumbing
rior Elec. Trim, G.F.I. Receptacle -Underground
dation Throughout House
ss Protection
91. Corrections from Previous Inspections
.Test -Meters Tagged, Gas -Electric
3. Wetter & Sewer Connected -C/O to Grade -HD Approval
ergy Compliance Certificate -Other Certificates
ddress Posted
96. Fire Sprinkler
Date 8 — q -ps' Card B-1 " j . Date Card B-1
Date Card B-1 Date Card B-1
Date B-1 Date Card B-1
Comments at Final:
J=OK
0 = Not OK
able
. otReady
1.
,
MOBILE HOMES
Date
MOBILE HOME UTILITIES (Plans) OK except #'s
3.
1.
Zoning Requirements -Setbacks -Easements
Wood Awn.; Posts-Beams-Rftrs-Connectors
Shthg-Frg-Bracing
2.
Soils; Special MH Support Sketch
6.
3.
Sewer; Location -Test -Fall -C/O -Concrete
Electric
4.
Water; Location -Test -Easement Needed (Sketch)
9.
5.
Electricity; Location-Clearances-Grnd-/ /Amp -Concrete
Roof; Shthg-Roofing
6.
Gas; Location -Test -Wrap;-/ /" L 'ft.
/ P Nat. or/ /" L "ft./ P LPG
12.
7.
Well Clearance & Disconnect
8.
Utility Clearance
Date
Card B-1 Date Card B-1
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.
Tie Downs -Type -Installation Cert.
10.
Exits; Insp.-Sketch
11.
Cert. of Occupancy
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
PERMANENT END SYSTEM (ONLY)
1.
Zoning Requirements -Setbacks -Easements
2.
Footings; Size -Spacing -Marriage Line
3.
Blocking
4.
Gas; MH Test -Demand -Valve
5.
Electricity; MH Test
6.
Water; MH Test
7.
Water and Sewer Connected
8.
Gas and Electricity Tagged
9.
Exits
10.
License Decals
11.
Verifv #'s with Office
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, Girders and/or Joists -Decking -Bracing -Stairs -Rails
4.
Wood Awn.; Posts-Beams-Rftrs-Connectors
Shthg-Frg-Bracing
5.
Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6.
Carports; Windows -Doors
7.
Electric
B.
Frmg.; Sills-Anchors-Studs-Rftrs-Trusses
9.
Siding; Nailing -Veneer -Stucco -Mesh
10.
Roof; Shthg-Roofing
11.
Ext.; Steps -Doors -Landings
12.
Braced Wall Panels
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date 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, Distance-GFI
5.
Elec.; Pool Lighting; 15 Volts-GFI
6.
Elec.; Enclosures; Conduit Entries -Terminals -Listed
7.
Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater
8.
Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg.
Boxes-Enclosures-Panelboards-Ins. to Main Conduit
9.
Health Department Approval
10.
Plumb.; Cir. Test -Water Supply Test
11.
Light Niche
12.
Enclosure; Fencing -Alarms
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT
24 HOUR INSPECTION #: (530) 538-7636 (OROVIL'LE) (530) 891-2834 (CHICO)
OFFICE #: (530) 538-7541 FAX#: (530)538-2140
WEBSITE: •www.buttecounty.netldds
LICENSED CONTRACTORS DECLARATION
I hereby affirm under penalty of perjury that I am licensed under
provisions of Chapter 8 (commencing with Section 7000) of Division 3 of
the Business and Professions Code, and my license is in full force and
effect.
License Class: /3 License Num/ber: G LQq
Date: 1-j_6_-0 Contractor.�
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that 1 am exempt from the
Contractors' Stale License Law for the following reason (Sec. 7031.5
Business and Professions Code: Any city ,or county which requires a
permit to construct, alter, improve, demolish; or repair any structure, prior
to Its Issuance, also requires the applicant for such permit to file a
signed statement that he or she is licensed pursuant to the provisions of
the Contractor's State License Law (Chapter 9.commencing with Section
7000) of Division 3 of the Business and Professions Code) or that he or
she is exempt therefrom and the basis for the alleged exemption. Any
violation of Section 7031.5 by any applicant for a permit subjects the
applicant to a civil penalty of not more than five hundred dollars ($500).):
❑ I, as owner of the property, or my employees with wages as their
sole compensation, will do the work, and the structure is not
intended or offered for sale (Sec. 7044, Business. and Professions
Code: The Contractors' State License Law does'not apply to an
owner of property who builds or Improves thereon, and who does
such work himself or herself or through his or her own employees,
provided that such Improvements are not Intended or offered for;
sale. If however, the building or Improvements are sold within one,
year of completion, the owner -builder will have the burden of .
proving that he or she did not build or Improve for the purpose of
sale.).
❑ I, as owner of the properly, am exclusively contracting with
licensed contractors to construct the project (Sea 7044, Business.
and Profdssions Code. The Contractors' State License Law does
not apply to an owner of properly who builds or Improves thereon,
and who contracts for such projects with a contractor(s) licensed
pursuant to the Contractors' State License Law.).
❑ 'I am Exempt under Article 3 of the Business and Professions Code
Date: Owner:
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.
I have and will maintain workers' compensation insurance, as
required by Section 3700 the Labor Code, for the performance of
the work for which this peril Is Issued. My workers' compensation
insurance carrier and policy number are:
Carrier.c.7 !E g:Le,�Y
Policy
❑ I certify that in the performance of the work for which this peril is
issued, I shall not employ any person in any manner so as to
become subject to the workers' compensation laws of California.
and agree that if I should become subject to the workers'
compensation provisions of Section 3700 of the Labor Code, I shall
forthwith -comply with those provisions.
Date: / -- 2 .5 e 6—
Applicant: / , 191 , / Irz, /_ I
PERMIT NO.
BP04105,3
Issued Date: 01/25/2005 APN: 073-380-017-000
Site Address: 519 ROBINSON MILL RD ORO
Map Index:
Description: REMODEL/ADD(1497)
f.. I
Owner: ELKINS E J REV TRUST ETAL
ELKINS E J TRUSTEE
598 PEYTONIA CT
SUISUN CITY, CA 94585-4127
Applicant:,ELKINS E J REV TRUST ETAL
t, r'
C666actor: TML INC
2944 HERITAGE ROAD
OROVILLE, CA 95966
,. (530) 589-1529
Lich se #: 336109
Architect:
Engineer:
Total Square Ft:
Valuation:
Census Code:
1497 S. F.
$97,305.00
WARNING: Failure to secure workers' compensation coverage Is.L-rid
unlawful, and shall subject an employer to criminal penalties and one e(° - ( (p (�7l "Y/ ,,J�
hundred thousand dollars ($100,000), in addition to the cost of
compensation, damages as provided for in Section 3708 of the Labor
code, interest, and attorney's fees. 4rt7a.4-f- .Z t7
-- CCNSTRUCT:ON LENIDING-AGENCY — Thi_-rcr.�^:: :.: �byser zd-u^dor' a applicable provisions of the-Eutts-! Wanly Crdn er+rl/o�
I hereby affirm that there is a construction lending agency for the`' ' '. Resol Ion do work Indicate bo a for
which fees have been paid.
performance of the work for which this peril Is issued (Sec 3097 Civ.) Date:
Name: By.
PERMIT EXPIRES ON:
Address: ate
❑ 1 hereby certify that the use of this facility shall comply with Seclioris'25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, ,
handling and use of hazardous materials. i
❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project.
❑ Attached are copies of the required E.P.A. notification forms.
I hereby certify that I have read this application, that the above Information is correct, and that'l am the owner or the duly authorized agent of the owner. I agree to comply with
all county and stale laws relating to building construction. I acknowledge It Is unlawful to alter the. substance of any official form or document of Bu Cpunty. I hereby
authorize representatives of Butte County to enter upon the above mentioned property for Inspection p sos.
Print Name: ✓/4m S /� ���✓ / Signature:
Date:
❑ Owner X Contractor ' 0 Agent for Owner ❑ Agent for Contractor
73-38
N.
112 SEC.
29,
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YUBA
COUNTY LINE
Butte County Assessor's Map
Book 73, Page 38
15
'
i
NOTE These
only and parcels
not constitute legal �) npacels.purposes
CREATED BY DBI CREATED ON 5-18-2001
RENSED BY DB RENSED ON 5-18-2001
I EFFEC 'C 2001-02 ROU
Previous Book 73, Portan Of a 15
-
Com led The The Butte County Assessors Ofriee
CERTIFICATION SOF INSULATION • `
ADDRESS OR TRACT
SACRAMENTO BUILDING CONTRACTORS 74
' 1309 MELODY ROAD, MARYSVILLE, CA 95901 LIC#202026
'
❑ 605 S. AUBURN STREET, GRASS VALLEY, CA 95945 LIC#202026
i �^ ��' ��� ��� �
lL-J1(�
❑ 3881 BENATAR WAY, SUITE A, CHICO, CA 95928 LIC#202026
❑ 8924 AIRPORT ROAD, REDDING, CA 96002 LIC #202026
DATE INSULATION COMPLETED
( square feet) (
•
0c)' square feet) ( square feet)
TYPE OF INSULATION
TYPE OF INSULATION
TYPE OF INSULATION ';
MATERIAL
MATERIAL
MATERIAL
FIBERGLASS
FIBERGLASS
FIBERGLASS
FORMBATT.S
FORM
BATTS & BLOW
FORM BATTS
MANUFACTURER'S PRODUCT I.D.
MANUFACTURER'S PRODUCT I.D.
MANUFACTURER'S PRODUCT I.D.
MANUFACTURER
MANUFACTURER
MANUFACTURER
CT
OCF
KN
CT
OCF
KN
CT
OCF
KN
BAGS
R -VALUE
APPLIED
R-VVALUE
APPLIED
MIN. INSTALLED
WEIGHT PER
R -VALUE
APPLIED ��
INSTALLED
THICKNESS
INSTALLEDTHICKNESS
SOUAREFOOT
INSTALLED
THICKNESS
I31
KNEE WALLS IF R -VALUE IS OTHER
THAN WALLS ABOVE
MATERIAL
FORM
R -VALUE
MANUFACTURER
FIBERGLASS
BATTS
CT OCF
KN .
AIR INFILTRATION SEALANT
MATERIAL
MANUFACTURER
FOAM
HILTI
HANDY FOAM
THIS IS TO.CERTIFY THAT INSULATION AND/OR SEALANT
HAS BEEN INSTALLED IN CONFORMANCE WITH APPLICABLE CODES,
MATERIAL STANDARDS AND REGULATIONS
I A1' R -INS ;C T GTjQR`F�^ h , ^
TI E
DATE
SIGNATURE - GENERAL CONTRACTOR
TITLE
DATE
REMARKS
J
I
WHITE - Builder Copy, GREEN - Builder Copy, YELLOW - Customer Copy, PINK - Attic Copy, GOLD - File Copy
A
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT
24 HOUR INSPECTION #: (530) 538-7636 (OROVIL'LE) (530) 891-2834 (CHICO)
OFFICE M (530) 538-7541 FAM (530)538-2140
WEBSITE: www.buttecounty.netldds
LICENSED CONTRACTORS DECLARATION
I hereby affirm under penalty of perjury that I am licensed under
provisions of Chapter 9 (commencing with Section 7000) of Division 3 of
the Business and Professions Code, and my license is in full force and
effect. / q
License Class: y License Numrrber: 31G /meq/f� /
Date: / -ZS- D�Contractor, ,�/�%L, •• - �itLG i
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the
Contractors' Stale License Law for the following reason (Sec. 7031.5
Business and Professions Code: Any city or county which requires a
permit to construct, alter, improve, demolish; or repair any structure, prior
to its issuance, also requires the applicant for such permit to rile a
signed statement that he or she Is licensed pursuant to the provisions of
the Contractor's Slate License Law (Chapter g.commencing with Section
7000) of Division 3 of the Business and Professions Code) or that he or
she is exempt therefrom and the basis for the. alleged exemption. Any
violation of Section 7031.5 by any applicant for a permit subjects the
applicant to a civil penalty of not more than five hundred dollars ($500).):
❑ I, as owner of the property, or my employees with wages as their
sole compensation, will do the work, and the structure is not
Intended or offered for sale (Sec. 7044, Business and Professions
Code: The Contractors' State License Law does not apply to an
owner of property who builds or Improves thereon, and who does
such work himself or herself or through his or her own employees,
provided that such Improvements are not intended or offered for
sale. If however, the building or Improvements are sold within one
year of completion, the owner-bullder will have the burden of
proving that he or she did not build or improve for the purpose of
sale.).
❑ 1, as owner of the property, am exclusively contracting with
licensed contractors to construct the project (Sec. 7044, Business
and Profdsslons Code. The Contractors' State License Law does
not apply to an owner of property who builds or Improves thereon,
and who contracts for such projects with a contractor(i) licensed
pursuant to the Contractors' State License Law.).
❑ '1 am Exempt under Article 3 of the Business and Professions Code
Date: Owner:
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
O 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.
I have and will maintain workers' compensation insurance, as
required by Section 3700 the Labor Code, for the performance of
the work for which this permit Is Issued. My workers' compensation
insurance carrier and policy number are:
Carriers /� �s'1?� %S -Z 3 77LY
Policy
❑ 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 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, 1 shall
forthwith comply with those provisions.
Date: / Z ,3' e .6✓
GTJ'�t�sysil�lni.�r
PERMIT NO.
BP04105.3
Issued Date: 01/25/2005 APN: 073-380-017-000
Site Address: 519 ROBINSON MILL RD ORO
Map Index:
Description: REMODEL/ADD(1497)
Owner: ELKINS E J REV TRUST ETAL
ELKINS E J TRUSTEE
598 PEYTONIA CT
SUISUN CITY, CA 94585-4127
Applicant: ELKINS E J REV TRUST ETAL
Contractor: TML INC
2944 HERITAGE ROAD
OROVILLE, CA 95966
(530) 589-1529
License #: 336109
Architect:
Engineer:
Total Square Ft: 1497 S.F.
Valuation: $97,305.00
Census Code:
WARNING: Failure to secure workers' compensation coverage is u/^�/1 /�&- %
unlawful, and shall subject an employer to criminal penalties and onell/
hundred thousand dollars ($100,000), In addition to the cost of
compensation, damages as provided for in Section 3706 of the Labor
code, interest, and attorney's fees.
CONSTRUCTION LENDING -AGENCY _ This permit is hereby issued under a applicable provisions of the Butte County CodA enrVor
I hereby affirm that there Is a construction lending agency for the Resol ion do work Indicate b e for which fees have been paid.
performance of the work for which this permit Is issued (Sec 3097 Clv.) �S
Name:
BY Date:
,
PERMIT EXPIRES ON: L _.
Address: I _ - ?Date
O 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage,
handling and use of hazardous materials.
O Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project.
O Attached are copies of the required E.P.A. notification forms.
I hereby certify that I have read this application, that the above information is correct, and that'I am the owner or the duly authorized agent of the owner. I agree to comply with
all county and stale laws relating to building construction. I acknowledge It Is unlawful to alter the substance of any official form or document of Bu Cpunty. 1 hereby
authorize representatives of Butte County to enter upon the above mentioned property for Inspection p)hvses.
Print Name: 'Mm 'r -s" Ae �?�*7 'Signature
Date:
0 Owner
XContractor
❑ Agent for Owner
❑ Agent for Contractor
�� � r � , _ r �� + - ....., --^r•-���ir .......�.w�.. �. .w�.... ww �".+'w.� v,r ��..Y` r+r• Y'v ..r. e.ra'. �*�+�:.- ...♦ rr � . ^-N.y�.. ��, ..
TO: Building Department
FROM: Environmental Health
SUBJECT: Sanitation Clearance
. _
--.-.� E.H. USE 6AliY
Plot Pian AnecMd
Fiona Pian Attached ✓ r
Sant is B.D.
v li
n'
1
IfA.0 G&&/.L7 �/ 9 ieo,6 .AJSo.c7 172"e -c- 1201-
Owner
201Owner Location AP#
Plan Approved for: Sewage Disposal Water Supply: Public Private Well 4✓
Clearance for ✓ dwelling. Other `�
7X 1-67-1
Hold final for:
Final clearance O.K. for:
NOTE:
Environmental Heallopecialist Date
8/96
COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION
7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140
PERMIT APPLICATION DATA SHEET
OWNER: i�f' I) l % ASSESSOR PARCEL NUMBER
Proposed Building Use. �YY1�/1 Pi /ii/17 t� I Counter Technician: �� Date: -41
Itims required in order to apply for a permit. All boxes MUST be checked OR marked NA in order to apply.
b1. Site plans, 3 or 4 sets, signed by the preparer of the plans.
�Q) 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans.
3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations.
O' -Y 4. Engineered truss details and layouts in duplicate. No faxes!
0 , 5. Letter from Engineer or Architect for truss design review.
/ 6. Energy compliance design and supporting documentation in duplicate.
❑ 7. Statement of Intent for Non -heated and A/C for Non -Residential Buildings.
❑ 8. Manufactured homes: (A) Data sheets and installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in
duplicate.
❑ 9. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these
must be stamped and wet -signed by the engineer.
❑ 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate
❑ 11. Site plan and business license approval from the City of Biggs
❑ 12. Letter of intent for non-residential buildings
❑ 13. Detached Accessory Building Form filled out by the owner
❑ 14. Hazardous Material Form �
% 15. Sanitation and site plan approval from the Environmental Health Department in ❑ Chico R roville, as applicable.
❑ 16. Other
Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.)
❑ 17. Fire Sprinklers............................................................................................
❑ 18. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by
❑ 19. Soils Report and/or Engineered Foundation required ........................................... .........
❑/ 20. Erosion Control Plan Required........................................................................ ........ !�
1 21. Fees as shown on the attached Schedule of Fees Due Sheet ..............................
22. City of Chico Plumbing Jpermit...............................................................
23. California Department of Forestry plan approval aid. Sent b/%�� SOF L• z -o4-
0 24. Planning approval (A) Use: O4--(B)Parking: (C) Parcel Check: - -Q4 ti
❑ 25. Contact Land Development about _ Improvements, _ Drainage= .........................
,Y 26. NPDES Form.............................................................................................
❑ 27. Encroachment Permit for driveway from the Public Works Dept ...........................
❑ 28. Pre -Inspection for required.......
❑ 29. Contractor's license information. (Number, Name Style, Classification) ...................
❑ 30. Worker's Compensation Carrier and Policy Number ..............................•...........
❑ 31. Owner -Builder Verification (_ Given to owner, _Mailed to owner) .....................
❑ 32. Letter of Signature authorization......................................:.............................
❑ 33. Recorded copy of Agricultural Acknowledgment Statement .................................
❑ 34. Manufactured home utility clearance...............................................................
❑ '35. Existing violations and/or expired permits.........................................................
❑ 36. Deed Restriction.........................................................................................
❑ 37. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $
❑ 38. Other:
❑ 39. Other:
When issued Telephoned and hold for pickup.
I have been informed of the above items and requirements for obtaining a building permit.
Applicant: Cdr+ -- _�/Z Date:
1. Index pe�•it application for the above items numbered: tJf J Plan Check Letter
2. Additional items required
Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date:
Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date:
Plans reviewed by: Date: Plans approved by: _/11 Date :
Structural reviewed by: Date: Structural approved by: Date:
Note transfer by: Date:
Yellow: Building Division
National Pollutant Discharge Elimination System (NPDES) Phase II
Construction Storm Water Permit and Storm Water Pollution
Prevention Plan (SWPPP) Acknowledgement rLESS THAN 1 ACREI
Project Title: ,.lE19,1V -9Z k *L
By signing below, L the project owner/owner's agent, certify that I am aware that a construction
project that disturbs 1 acre or more of land requires a Construction Storm Water Permit from the
State Water Resources Control Board and that it is my responsibility to submit a Notice of Intent
(N.O.I.), a Storm Water Pollution Prevention Plan (SWPPP), and a check for $700.00 made
payable to the State Water Resources Control Board to obtain such a permit if my project
disturbs 1 acre or more of land. I, further, certify that this project will not disturb 1 acre or
more of land. I am aware that submitting false and/or inaccurate information may result in
revocation of grading and/or other permits or or sanctions provided by law.
Signed:
Title:
Date:
C 2AcT,E'
Y 44--.0y
COUNTY OF BUTTE
DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 COUNTY CENTER DRIVE, OROVILLE, CA 95965 TELEPHONE (530)538-7541
SCHEDULE OF RECEIPT OF FEES
OWNER I I l�] . L 1 ` u {n A.P. #
PROPROSED BUILDING USE B�'YrG! IC DATE
RECEIPT # DATE REC.
1. BUILDING PERMIT FEES / a G+1Ok
--- Balance Due ..................... I'D
--- Additional Fees Due........... $
--- Revised Plan Checking Fee.... $
2. SCHOOL DISTRICT FEES 010(d //e5U (t/)/rj
(paid at School District Office) (form available after Plan Check)
3. SHERIFF FEES (paid at Building Division)
Residential............ X $360.00 =$
Units
Commercial (sq. ftg.)..... X $0.03 = $
Sq.Ftg.
4. URBAN AREA FEES
(paid at Building Division)
Residential (per unit)..... X = $
# Units Amt.
Commercial (Sq. Ftg.).... X = $
Sq. Fig. Amt.
5. RECREATION DISTRICT FEES
(paid at Recreation District Office) (form available after. Plan Check)
6. THERMALITO DRAINAGE DISTRICT FEES
510.00 (paid at Building Division)
47. SRA FIRE INSPECTION AND PLAN CHECK FEE
aid at Building Division) �S2 , CI
8. WATER TENDER FEES BATTALION #
$200.00 (paid at Building Division).
9. NORTH CHICO SPECIFIC PLAN (paid at Building Division)
Residential Zone X = $
Zone # Units Amt.
Commercial (sq. ftg.) ......... X = $
Sq. Ftg. Amt.
10. OTHER
At time of permit application, I was advised the above fees are required to be paid prior to issuance of the permit. These fees
may be changed uring the plan checking process.
APPLICANT DATE
4r
Pursuant to Go emment Code Section 66020, you are hereby notified that items, 2, 3, 4, 5, 6, 8, 9, and 10 above may have been imposed on your project. You
have 90 days from the date of approval of the project or from the imposition of the above mentioned items during which you may protest. The requirements for a
protest are specified in Government Code Section 66020(a).
Original -Building Division Yellow -Applicant Pink -Owner (rev. 2/2003)
.<,11
j�
school District'
A.P. Number
BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM
t. (One form per Building)
Building Department No.
U R5
Property Owner `
Property Location/Address
Subdivision
i
Residential Development
No of Living MobileHome
Units Installation
Commercial/Industrial Q
New
I /' . _n
Building Department Representative
District Identification .No. (P c1 .lo
LoIl
t No.
...................... .... ..... .........................:..............,..................1..
Sq.
oFootage�eto €Addition/ •Supplem
(Group R)
Conversion Permit # f s
*(No foundation inspection)
Deed Restricted Sq. Footage
(Attach a signed copy of Deed Restriction and Notice of Limited Use Facility document)
Sq. Footage
(Including Exterior
Roofed Areas)
1
Date
Ecp M School District certifies that ( V ;
(Applicant) f,
5 1 a1 rD�.c
(Street Address) (Phone Number) h�
has complied with the requirements of Resolution No.
representing 1 6 6 O square feet.
k*
School District
Paid by Check #Remarks:
N.
(State)
(Zip Code)
by payment of $
JAB 2826 _
FULL MMGATION _
.
b
l
1
Date
Noelee: You may protest the Imposition of the fen Identified above by submitting a written protest to the DistrkL in compliance with
Government Cods Sectlon 66020(a), within 80 days from the date fen aro paid. Failure to submit a timely written protist wlll'prohibk
you from challenging the Imposition of the fen In any court action.
K, subsequent to the 8ehooI District Representative signing this Butte County Schools Impact Fn Cwrti ation Form, the School Dlebkt Is
nn FIR by the applicable Local Planning Agency that this project Is being reviewed under the CalNomia EnvinnownW Quality Act (CEQA).
thleproject may be subject to additional school fen to fully mitigate. Its Impact on the school dhrbidra schools.
White (applicant), Yellow (building department), Pink (school district) feeform.xis (10/03)dmm
10
: ... -COUNTY OF BUTTE' � :
BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
7 County Center Drive • Oroville, CA • (530) 538-7541
CORRECTION NOTICE
cz L(c. I f'-1 O`{ - (35.3
OWNER PERMIT NO.
A routine inspection indicates that the following violations of Butte County Ordinances exist at
the above address and should be corrected. Please call for re -inspection when correction of
work is completed. If you have any questions pertaining to this matter, or need additional
J explanation, please contact the Building Inspector as indicated below.
(/� ) �lNt Ic K_ /4 DEC�(`�IL. I1\I�Tf�U0 (gni /
ZZ
6� r ') SE A L L(N E- Sc T A -1c AC C C x r6- f.?
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Fo/L ct%Vl A L C A- /1' r i n/ / i
SE AC q-QOu u � (.OA -Tr e rCc���
'Al f rk t/r'Y.IP6'e 7' /,-,n/ h KI nnFlS-7i' 2 Tk!
`O�� �Boy r:t�C D�r7tc°F� r'c0� GFt C/ecu► r=a(z
t. f�,UT UE i OUI-rP—
If fCEFTAC CFS P€TI tai=Eti/ C30Tfl 0 AtnP E
C(2. T
�(2vvl o� Is AA10 SCF A . €
( � PROu i r a C-TErT/c' ' ' /Z w t1 -7E E HcFl rr E e
i R Ur1
�t
v � ,
Date o — — 0 �Inspec or ` _ C uU 2 A S I rn )til Qi�lsq
REV 4/05 Phone #_ S
FOR RE -INSPECTION CALL: 538-7636 OR -891-2834
COUNTY OF BUTTE
BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
7 County Center Drive • Oroville, CA • (530) 538-7541
CORRECTION NOTICE
OWNER / PERMIT NO.
A routine inspection indicates that the following violation of Butte County Ordinances exist at
the above address and should be corrected. Please c for re -inspection when correction of
work is completed. If you have any questions pert ing to this matter, or need additional
explanation, please contact the Building Inspector a ndicated below.
ii�14J�T�il�l� ,
FA
O '�' Z
Date Inspector
REV 4/05 Phone # /
FOR RE -INSPECTION CALL: 538-7636 OR 891-2834
COUNTY OF BUTTE
BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
411 Main Street - Chico, CA - (530) 891-2751
7 County Center Drive - Oroville, CA - (530) 538-7541
CORRECTION NOTICE
�0 0-b/ , e-) 44 053
OWNER PERMIT NO.
A routine inspection indicates that the following violations of butte county Ordinances exist at the
above address and should be corrected. Please notice this office when correction of work is
completed. If you have any questions pertaining to this matter, or need additional explanation,
please contact this office immediately.
Date �' r Inspector -1Z
REV 10/92