HomeMy WebLinkAbout078-070-015C&mkAINT1 To.JN4�
7-' 1 ' I& PECTOW,
.4;�
----------------- :�—
027 586
ATKli-4SON, CARL �0
643 8 UPPER PALERMO'), OROV (EDWARDS, D.P. Jr.
CONT: CAA 3,(�0-072- .5027B.
REPLACE WALL HEATER
05-2065 6438 Upper P lermo Rd.,. Orov Ile
AfKISON, KATHRYN
6438 UPPER PALERMO RD, OROVILLE, (addition)
Cont: OWNER
REPAIRS(MISC),
-7D-,C)jS-
0 o -O
0
14,11d
; a !mks ;+c�•�".c ... c2� a
s� a, � t^2.r i i.�t, i 3 <.-�' !� `�?�- �P• �' Gi eis � �.. F,c�' ��°*ii, ;,,+ F l? G� �' �i10�'"� p./r L � ��
a.-
BUTTE COUNTY
BUILDING DIVISION
APP OV9%( S
Ft /.
G ,iT . -� ,.o-<,�s-ie
NOTES:
1. F00 77NGS TO BE EXCA VA TED IN TO
UNDISTURBED SOIL TO DEPTH D
ANCHOR BOL TS SHALL BE PER UBC
SEC. 2907 (f)
J. STEM HEIGHT OVER 32" REQUIRES
REINFORCING (SEE STD 12.3)-
4. SEE UBC SEC 2404 (f) 2 FOR
CONCRETE' BLOCK STEM WALL
AM 0 5 Zog
FLOORS B D TW
ONE 12" 12" 6"
TWO 15" 18" 8"
FLOORS REFERS TO NUMBER OF
FLOORS PER UBC TABLE 29—A,
FOOTNOTE
J.
BUTTE COUNTY
BUILDING DIVISION
APPROVED
REDWOOD OR JOIST
P. T. SILL
G
IRDER 18" MIN
6" MIN
32" AX
TW (NOTE 3) 12" MIN
D -
6" MIN
ril
T
6"
7"
B
RAISED FLOOR FOO TING L,5 o� 1)pA 03&- 306"04
SLAB ON GRADE FUU IINU
TYPICAL RESIDENTIAL FOUNDA TION DETAILS
BUTTE COUNTY BUILDING DEPARTMENT
N(av 1995
AB
scam. J/4:r=o' DATE. 4/92
DWG: STDFTGI I STD 12.1
9.12
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT
24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO)
OFFICE #: (530) 538-7541
PERMIT NO.
BP052065
B. C. Building Permit 01-16-04 pg 1
LICENSED CONTRACTORS DECLARATION
I hereby affirm under penalty of perjury that I am licensed under
provisions of Chapter 9 (commencing with Section 7000) of Division 3 of
Issued Date: 08/03/2005 APN: 036-300-088-000
the Business and Professions Code, and my license is in full force and
effect.
Site Address: 6438 UPPER PALERMO RD ORO
License Class : License Number:
Map Index:
Date: Contractor:
Description: RE ROOF 20 SQ'S COMP, FOUNDATION
OWNER -BUILDER DECLARATION'
I hereby affirm under penalty of perjury that I am exempt from the
TERMITE REPAIRS(MINOR),
Contractors' State License Law for the following reason (Sec. 7031.5
Business and Professions Code: Any city or county which requires a
BATHROOM REPAIRS, MISC. ELECTRICAL
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
Owner: ATKISON KATHRYN A
the Contractor's State License Law (Chapter 9 commencing with Section
COX RUBY (LE)
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
6438 UPPER PALERMO RD
violation of Section 7031.5 by any applicant for a permit subjects the
OROVILLE, CA 95966
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
t 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,
Applicant: ATKISON KATHRYN A
provided that such improvements are not intended or offered for
COX RUBY (LE)
sale. If however, the building or improvements are sold within one
6438 UPPER PALERMO RD
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
OROVILLE, CA 95966
sale.).
O I, as owner of the property, am exclusively contracting with
licensed contractors to construct the project (Sec. 7044, Business
and Professions Code. The Contractors' State License Law does
not apply to an owner of property who builds or improves thereon,
and who contracts for such projects with a contractor(s) licensed
pursuant to the Contractors' State License Law.).
Contractor:
❑ I am Exempt under Article 3 of the Business and Prof sions Code
9
Date: Owner
WORKERS' COMP SATION LARATION
I hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for
License #:
workers' compensation, as provided for by Section 3700 of the
Labor Code, for the performance of the work for which this permit
is issued.
❑ I have and will maintain workers' compensation insurance, as
Architect:
required by Section 3700 the Labor Code, for the performance of
Engineer:
the work for which this permit is issued. My workers' compensation
insurance carrier and policy number are:
Carrier:
Policy#:
Total Square Ft: 0 S. F.
R/ I certify that in the performance of the work for which this permit is
Valuation: $0.00
issued, I shall not employ any person in any manner so as to
Census Code:
become subject to the workers' compensation laws of California,
and agree that if I should become subject to the workers'
compensation provisions of Section 3700 of the Labor Code, I shall
forthwith comply with those provisions.
Date: PZ3 Ap
,
Q�
Applican .
WARNING: Failure to secure workers' compensation coverage is
unlawful, and shall subject an employer to criminal penalties and one
hundred thousand dollars ($100,000), in addition to the cost of
compensation, damages as provided for in Section 3706 of the Labor
code, interest, and attorney's fees.
CONSTRUCTION LENDING AGENCY
This permit is hereby issued under th plicable provisions of the utte County Code and/or
I hereby affirm that there is a construction lending agency for the
Resolutions to do ork indicated a ve Jbr which fees have been paid.
performance of the work for which this permit is issued (Sec 3097 Civ.)
Date:
Name:
BY
PERMI EXPIRES ON:
Address:
(Dat6)
❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage,
handling and use of hazardous materials.
❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project.
❑ Attached are copies of the required E.P.A. notification forms.
I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with
all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby
authorize representatives of Butte County to enter upon the above mentioned property for inspection purposes:
Print Name: U An47'/Z lJ A. Signator
��
Date:
®`Owner ❑ Contractor ❑ Agent for Owner ❑ Agent for Contractor
B. C. Building Permit 01-16-04 pg 1
IfCXG�
i^Q�v;C(�lllt'7G^P1lfG �=GU ���.
,11a ,elo 7b
w VO?z U j(� CI(� BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT APPLICATION
AND SUBMITTAL REQUIREMENTS
24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834
OFFICE #: (530) 538-7541
A FEE WILL BE REQUIRED AT TIME OFAPPLICA TION
Website: www.buttecounty.net/dds
'-'*PLEASE PRINT CLEARLY* *
OWNER
L Namp
irs ame`
T
Address ,r2
Cit
St
hne _
Fax
E-mail
APPLICANT NAME
CONTRACTOR
Name
CitVle
Address
Zi
City
Fax
State
Zip
Phone
Map Book
Fax
E-mail
Planner
Lic. #
Class
APPLICANT NAME
ARCHITECT/ENGINEER
Name
CitVle
Address
Zi
City
Fax
State
Zip
Phone
Map Book
Fax
E-mail
Planner
State License Number
APPLICANT NAME
Z/
Name/12 �j
Address Ad
�i rn
CitVle
Sta
Zi
P ne r bg�
Fax
E-mail,, l
APPLICANT SIGNATURE
X
For office use only:
Zoning
Property Address
Flood Zone
Cross reet
Y
SRA
I Yes
N
Occ.
Type Const.
Subdivision Name
Map Book
Page
Lot #
Planner
Date Approved:
OVER FOR SUBMITTAL REQUIREMENTS
K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc
PERMIT
05- 2,
BIN #
LOCATION
AP#� 3 _ 30D _O W-000
Property Address
Cit
O til
Cross reet
Y
WORKER'S COMPENSATION
Policy Number
Carrier
If hiring anyone other than license contractors, a certificate of worker's
compensation must be shown at the time of permit issuance.
LENDING AGENCY
Name
Address
Page 1 of 2
M
Sq. Footage
Description or Scope of Work:
❑ Proposed Change of Occupancy
(Note previous use):
EXPIRATION OF APPLICATION
Applications for which a permit has not been issued will expire one
year after the date of application. In order to renew action on an
application after expiration, a new application, plans and fee will be
REQUEST FOR REFUNDS
Refunds can only be made upon written request by the person who
paid the fee. The request must be made prior to the expiration of the
permit and no construction work has been done. Filing fees, plan
check fees for work plan checked and other department costs are not
refundable.
Received by� Amount: �. Bldg
SRA
Receipt #:41 84e?, o Sheriff
C-K SMIP
Date: �Other
�'3 T� C �c�4 - C` 4� Total
REV 2-24-05
SUBMITTAL & PERMIT REQUIREMENTS
The following drawings and specifications must be submitted to the Building Division in order to apply for a
perr t. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK.
1. Site plan�,or 4 sets, signed by the preparer of the plans. No graph paper!
2. Complete planC3 dr 4 sets, signed by the preparer of the plans (No graph paper!) OR
Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations.
❑ 3. -Engineered truss details and layouts in duplicate (if required). No faxes!
❑ 4. Energy compliance design and supporting documentation in duplicate.
❑ 5. Statement of Intent for Non -heated and A/C for Non -Residential Buildings.
❑ 6. Manufactured homes: (A) installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in
duplicate.
❑ 7. 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.
❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate (if required).
❑ 9. Site plan and business license approval from the City of Biggs.
❑ 10. Letter of intent for non-residential buildings.
❑ 11. Detached Accessory Building Form filled out by the owner (if required).
❑ 12. Hazardous Material Form (for Commercial Buildings only).
Remaining items needed to issue the permit. Additional items may be required after Plan Check and Planning
review (May
require additional plan review upon receipt of the following items.)
❑
1.
Agricultural Buffer clearance and site plan approval from the Ag Commissioner's office (if required).
❑
2.
Impact Fees.
❑
3.
California Department of Forestry plan approval (if required).
❑
4.
NPDES Form.
❑
5.
Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy).
❑
6.
Contractor's license information. (Number, Name Style, Classification).
❑
7.
Worker's Compensation Carrier and Policy Number.
❑
8.
Owner -Builder Verification (if required).
❑
9.
Letter of Signature authorization (if required).
❑
10.
Recorded copy of Agricultural Acknowledgment Statement.
❑
11.
❑ Grant Deed, ❑ M.H. Title/Statement of Facts.
❑
12.
Sanitation and site plan approval from the Environmental Health Department.
If you have questions or would like additional information regarding this process, please contact a
Permit Assistant at (530)538-7541.
EXPIRATION OF APPLICATION
Applications for which a permit has not been issued will expire one year after date of application. In order to renew action
on an application after expiration, a new application, plans and fees will be required.
REQUEST FOR FEE REFUNDS
Refunds can only be made upon written request by the person who paid the fee. The request must be made within two
years from the date of fee payment on permits not issued, and two years from the date of permit issuance for permits
issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan
check fees for work plan checked and other department costs are not refundable.
OVER FOR BUILDING PERMIT APPLICATION
KAFORMS\BUILDING F0RMS\BIdgApp1SubRgmts.doc Page 2 of 2 REV 2-24-05
71R � ,y�ia•.jyy,:vr
036-300-088`02=0586
ATKINSON, CARL-',
6438 UPPER PALERMO, OROV
CONT:. CAA ;
J REPLACE WALL HEATER
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO.
(Rev. 12/96) APPLICATION AND PERMIT 02-0586
ASSESSOR PARCEL NUMBER
C}:: b--SUO•UB:i
ZONING
BUILDING PERMIT
owN& R•
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
OWN LINCpAD RESS
6 8 r Palermo ka Oroville 534-6682
CONTRACTOR'S NAME
CAA
TELEPHONE
CONTRACTOR5 MAI NG ADDRESS
2640 ' Si:h Avenue Oroville CA
CONSTRUCTION LENDER
Fireplace
LENDER'S MAILING ADDRESS
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee
$ 20.00
Permit Fee
$
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee
$
BUILDING ADDRESS
6458 Palwic, Rd Oroville CA
Energy Plan Checking Fee
$
$
PERMIT FEE
$
LOT NO.
SUBDNISION5 NAME
PARCEL MAP
PLUMBING PERMIT
Filing Fee 20.00
USEOFSTRUCTURE
SF X.] Duplex ❑ Mobilehome ❑ Other
SPECIFY
Each Trap
7.00
Solar or heat pump water heater
23.00
Water piping
15.00
Each gas water heater or vent
15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other til
Describe Work: re lace Wall heater
Gas i in stem 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home S G W
@20.00
EF
PERMIT FEE
$
ELECTRICAL PERMIT
Filing Fee 20.00
800V OR LE S
Main Service( .AORLEN
23.00
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 ' full f rce 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.
❑ 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
Main Service TO ,000A
46.00
W:L200A
NEW coNsr. owEUING occuP.
OR ADDNS. ( DW:
Acc. stns.
so
3.5¢FT;
NEW RC -0 . MULTI.OUTLET
@7,50
PowER APPARArus
a SINGLE OUTLET US
Fes, Occup. OUTLET OR FDRURES
a20 ° 1.00
FUCED APPLNS.
Ex. Occu ounETs REBID. OR Ea
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
PERMIT FEE
S
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 of the Labor Code, for the performance of work for which this permit is issued.
My workers' compensation insuran a carrier and policy number are:
Carrier 1 ! A�r�r~V 2Nr-
Policy Number *_C4 ! [_tee I
(The above sections need not be completed d the permit is for work of a valuation
of one hundred dollars ($100) or less.)
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 �_+._ ✓ ate -^ r �2 _
Signature of Applicant - ❑,Owjjw--WContractor ❑ Agent '`
An OSHA permit is required for excavations over 60" deep and demolition or construction
of structures over 3 stories in height.
MECHANICAL PERMIT
Fling Fee 20.00
Heating 15.00 15.00
Cooling
Hood 6.50
Ventilation
PERMIT FEE $ • 00
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
CONST. TYPE
ZTIMP
I FLOOD
I CDF
PARCEL
I PD
HD
ISSUE
This permit is hereby issued under
of the Butte County Code and/or
indicated above for which fees have
J
By . �- �
PERMIT EXPIRES ON
the applicable provisions
Resolutions to do work
been paid.
D to
08 to
Receipt No.
WHITE-D.D.S.-B.D.CANARY-ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
.r
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO.
(Rev. 12/96) APPLICATION AND PERMIT 02-0586
ASSESSOR PARCEL NUMBER
036-300-088
ZONING
BUILDING PERMIT
OWNER
CARL ATKINSON
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
OWNERS MAILING ADDRESS
6438 Upper Palermo Rd Oroville 534-6682
CONTRACTOR'S NAME
CAA
TELEPHONE
CONTRACTORS MAILING ADDRESS
2640 S:: 5th Avenue Oroville CA
CONSTRUCTION LENDER
Fireplace
LENDER'S MAILING ADDRESS
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee $
20.00
Permit Fee $
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee $
BUILDING ADDRESS
6438 Upper Palermo Rd Oroville CA
Energy Plan Checking Fee $
$
PERMIT FEE $
LOT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT
Fling Fee 20.00
Each Trap
7.0023.00
USEOFSTRUCTURE
SF )CI Duplex ❑ Mobilehome ❑ Other
SPECIFY
Solar or hest um water heater
Water piping
15.00
Each gas water heater or vent
15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other IQ
Describe Work: replace wall heater
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home I S I G I W
920.00
PERMIT FEE $
ELECTRICAL PERMIT
Filing Fee 20.00
E00V OR LESS
Main Service 200" OR LESS
23.00
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 ' full f rce and effect.
Class Lic. No. Z17
OWNER -BUILDER DECLARATION
1 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, 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.
KI 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' corppensation insurance carrier and policy number are:
Carrier C/to _ Spey 7e -V<-
Policy Number J lt'4 !9 q / c
(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 provisions.
/� r��
X Date (
ure of Applicant - OeTwe=ontractor ❑ Agent
['An OSHA permit is required for excavations over 60" deep and demolition or construction
of structures over 3 stories in height,
Main Service TO
46.00so
CCU000A
NEW CONST. DWELLING OCCUP. SO
DWE200ALLING
OR ADONS. a ACC. BLos. 3.5¢FT:
," NRD�IDT MULTI.OUTLET @7,50
OWE.RoUPRARSINcI.License
20 @ 1.00
Ex. Occup. OUTLET OR FIXTURES BAL Q .50
Ex. Occup. OFI'LAa oEl
5.00
Temporary Service 23.00
Mobile Home Facilities
20.00
Misc. Wiring 23.00
PERMIT FEE $
MECHANICAL PERMIT Fling Fee 20.00
Heating 15.00 15.0
Cooling
Hood
6.50
Ventilation
PERMIT FEE $ 35.00
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
CONST. TYPE
TOTAL FEE $
HAZ.
D. FEES
IMP
I FLOOD
COF
PARCEL
I PO
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 , 7i�
PERMIT EXPIRES ON
Det
ReceiptNo.`C
WHITE-D.D.S.-B.D.CANARY-ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
BUTTE COUNTY DEVELOPMENT SERVICES
COMPLAINT FORM
This information is not available to the public!!!!!!!
DO NOT COPY FOR THE PUBLIC OR THE FIELD INSPECTOR!!
The following information is required for Housing Complaints and the
Complainant MUST BE the person living at the complaint address!
Complainant: _
Address:
Phone Number:
The above information is not available to the public! ! ! 111
F .y
036-300-088 02- 586
ATKINSON, CARL Jt VIA
11 6438 UPPER PALERMO, OROV
1 - CONT: CAA
+ REPLACE WALL HEATER
r
EDWARDS, D.P. Jr. 5027E
3C=
-3b,
6438 Opoer .P lermo Nd., Orovi e
(addition)
i