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HomeMy WebLinkAbout078-080-002FRANK OGLETREE� ©£� SIS Wheeler Ave at Wheeler & Upper Palermo Rd. Permit .#6375,-76E (ele- ser ch)".SF, rOQ#9. - 04-1645 RENWICK, MICHAEL 6120 UPPER PALERMO RD, OROVILLE, Cont: SEARS HOME IMP, VINYL SIDING S -DS a U 1 + t• IMOM NOTES RESIDENT 03 �--2,30 1 �I PERMIT NO. � 1Zo V �P�r 1 ��e r�o cd�• 4 . SPECtAL CONDITIONS CHECKED BY SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER ,JOB FINALED (Date) Signature '/ oo s•�ci J=OK 0 =Not OK = Not Rbte a =Not Readyeady ®BILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer, Location -Test -Fall -C/O -Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap;-/ /" L'ft. / P Nat. or/ P' L "ftJ P IPG 7. Well Clearance & Disconnect 8. Utility Clearance 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 MOBILE HOME INSTALLATION (Plans) OK except #'s Date 1. Zoning Requirements -Setbacks -Easements Date 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 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PERMANENT END SYSTEM (ONLY) Date 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. Verify #'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 8. Fnng.; 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-Tnickness 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 J=OK 0 = Not OK - = Not Applicable . = Not Ready RESIDENTIAL, (Single & Duplex) Date UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Gmd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Gmd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-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 -Anchors -Regulator -Service Test 12. Electric Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 15. Access & Ventilation Date 16. Insulation 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 PLUMBING (Permit) OK except #'s Bearing Walls over Girders & Floor Nailing 17. Water Htr.; Vent -Access -Combustion Air Baffle Draft Stop in Walls (rat proof) 18. Water Pipe; Test & Anchor -Nail Protection 19. D.W.V.; Test Fittings & Anchor -Nail Protection 20. Shower Pan; Test, First Floor -Tub Access 21. Test Tub & Shower, Second Floor -Tub Access 22. Gas Pipe; Sixe & Anchors 23. Fire Sprinkler; Test 58. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 24. Fixture & Transformer Clearance -Ins. Protection 25. Elec. Receptacles Spacing -Lights & Switches at Doors Date 26. Size Boxes & No. of Conductors Stapled Date 27. Romex Installed Close to Edge of Studs & C.J. Date 28. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water 29. 2 Appliance Circuits in Kitchen & Conductor Size GFI 30. Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or Al 31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or AI Insulated Neutral ❑ Yes ❑ No 32. Service -Riser Conductors & Ground Main Disconnect 33. Equip. Clearances Panels-Motors-Mech. Equip. 34. Clothes Closet Light -Shower Light -Spa Light 35. Smoke Detector 71. Fireplace or Stove, Clearance -Hearth Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 36. A.C. Ducts Insulation & Support 37. Vent Fan, Exhaust above insulation 38. Condensate Drain & Overflow, Size & Grade 39. Fumace-Vent Access -Comb. Ait-Return Air Vent 115 Outlet 40. Attic Access & Platform if Furnace in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s 41. Sills Proper Materials & Anchors 42. Walls Studs -Nailing Spacing & Braces -Plates -Sound 43. Bearing Walls over Girders & Floor Nailing 44. Draft Stop in Walls (rat proof) 45. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 46. Headers & Beams -Size & Bearing Date FRAMING (Continued) 47. Hangers -Post Caps -Anchors -Connectors 48. Cling. Joist-Rftr. Ties- Purlin-Roll Brac.-Truss-Shting.-Rtng. 49. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 51. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 52. Garage Fire Protection Framing -RC Channel 53. Property Line Firewall & Openings 54. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 55. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 57. Siding -Nailing Veneer 58. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 59. Glazing Area -Glass Protection -Skylights -Plastic 60. Shear Walls; Nailing -Bolts 61. Brace Interior/Exterior Wall Panels 62. Insulation -Walls -Ceilings 63. 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 64. Ext. Steps -Door & Sidelight Protection -Landings 65. Smoke Detector 66. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 67. Bedroom Exiting 68. G.F.I. & Bath Fixtures & Tub Access -Spa 69. Elec. Trim & Subpanel, Breaker Sizes & Labels 70. Stairs & Rails 71. Fireplace or Stove, Clearance -Hearth 72. Elec. Outlets at Wood Panel, Int. & Ext. 73. Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance 74. Elec. Outlets & Receptacles at Kit. Counter 75. Garage Fire Door; Swing -Landing -Closure 76. A.C. Duct in Garage -Damper 77. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 78. Fib.; Elec. & Mech. Equip. Listed for Location 79. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 80. Insulation -Foam -Looked in Attic 81. Guard Rails & Deck Construction -Post Caps 82. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 83. Following InstldJDrive 0 Yes 0 No/Walks 0 Yes 0 NoManters 0 Yes 0 No 84. Stucco Brown -Finish 85. A.C. Unit Disconnect, Electrical -Plumbing 86. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 87. Water Well, Disconnect, Electrical, Plumbing 88. Exterior Elec. Trim, G.F.I. Receptacle -Underground 89. Ventilation Throughout House 90. Glass Protection 91. Corrections from Previous Inspections 92. Gas Test -Meters Tagged, Gas -Electric 93. Water & Sewer Connected -C/O to Grade -HD Approval 94. Energy Compliance Certificate -Other Certificates 95. Address Posted 96. Fre Sprinkler Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: r� BUTTE COUNT DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 FAM (530)538-2140 WEBSITE: www.buttecounty.net\dds PERMIT NO. BP041645 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: 06/08/2004 APN: 036-280-049-000 the Business and Professions Code, and my license is in full force and effect. License Class:L License Number: l Site Address: – Sp— Date: C.) L'\ Contractor: Map Index: Description: VINYL SIDING 20 SQ. p OWNER -BUILDER DECLARATION 1 hereby affirm under penally of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a Owner: RENWICK MICHAEL &DOROTHY L 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 6120 UPPER PALERMO RD the Contractor's State License Law (Chapter 9 commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or OROVILLE, CA she is exempt therefrom and the basis for the alleged exemption. Any 95966-9018 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).): O 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 Applicant: RENWICK MICHAEL &DOROTHY L 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 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: SEARS HOME IMPROVEMENT PRODUCTS ❑ • I am Exempt under Article 3 of the Business and Professions Code INC Date: Owner: 1024 FL CENTRAL PARKWAY LONGWOOD, FL 32750 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 L or Code, for the performance of the work for which this permit License #: 721379 s 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 Architect' insurance carrier and policy number are: Engineer: /) Carrier. ( .�"1Sl�la� ��A QCT Policy #: �1 i� �C :k 11 no Li U ❑ I certify that in the performance of the work for which this permit is Total Square Ft' 0 S. F. issued. I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California; Valuation: $0.00 and agree that if I should become subject to the workers' Census Code' compensation provisions of Section 3700 of the Labor Code, I shall ' forthwith comply with those provisions. Date: Applicant: WARNING: Failure to secure workers' com sa ion 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 pe,Fmit is ereby issued under th p licable provisions of the Butte County Coda and/or I hereby affirm that there is a construction lending agency for the Res I tions do work indicated ab e f which fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) By: � r '� ". � Date: Name: PERMIT EXPIRES ON: Address: Date ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of th ner. I agre comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official foo or docu nt f Butte County. I here authorize representatives of�Butte County to enter upon the above mentioned property for inspection purposes. Print Name: Signature. NrNf Date: —Cie 6-f — 0 6- ❑ Owner ❑ Contractor ❑ Agent for Owner 0 Agent for Contractor BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 FAX#: (530)538-2140 WEBSITE: www.buttecounty.net\dds PERMIT NO. BP041645 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' 06/08/2004 APN: 036-280-049-000 the Business and Professions Code, and my license is in full force and effect. License Class: \Sr L License Number: l Site Address: –— Date: U 'OLA Contractor: Map Index: Description: VINYL SIDING (20 SQ.) OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a RENWICK MICHAEL &DOROTHY L permit to construct. alter, improve, demolish, or repair any structure, prior Owner: 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 6120 UPPER PALERMO RD 7000) of Division 3 of the Business and Professions Code) or that he or ZOROVILLE, CA she is exempt therefrom and the basis for the alleged exemption. Any 95966-9018 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 Applicant: RENWICK MICHAEL & DOROTHY L 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 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: SEARS HOME IMPROVEMENT PRODUCTS ❑ I am Exempt under Article 3 of the Business and Professions Code INC Date: Owner: 1024 FL CENTRAL PARKWAY LONGWOOD, FL 32750 WORKERS' COMPENSATION DECLARATION 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 workers' compensation, as provided for by Section 3700 of the or Code, for the performance of the work for which this permit License #: 721379 sued. ave and will maintain workers' compensation insurance, as uired by Section 3700 the Labor Code, for the performance of r work for which this permit is issued. My workers' compensation Architect: rance carrier and policy number are: Engineer: Carrier: Vl,�at( UCLO ` G Policy #: A e -c- ck (1 nn Lk Z .�Cl � O Z` -r ❑ 1 certify that in the performance of the work for which this permit is Total Square Ft• 0 S. F. issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, Valuation: $0.00 and agree that if I should become subject to the workers' Census Code: compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date: ��(/h�� ����(-, • �fY � �O� GB Applicant: WARNING: Failure to secure workers' co a ion 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 p it is ereby issued under th p livable provisions of the Butte County Cods anrVpr I hereby affirm that there is a construction lending agency for the Res tions do work indicated ab e f which fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) — �� Date: Name: BY Address: PERMIT EXPIRES ON: Date ❑ I 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 oft ner. I agre comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official to or docu nt f Butte County. I here authorize representatives County to enter upon the above mentioned property for inspection purposes. /�of�Butte NYSignature. Print Name: V CE/ 1- ( V Date: rp j a % ❑ Owner ❑ Contractor 0 Agent for Owner ❑ Agent for Contractor R 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 OWNER Name e2\ Address �o e� �C"\W City 0 COQ ��� State CA I Zip R S--,qj&0 Phon S_�@ S (o Fax E-mail CONTRACTOR ARCHITECT/ENGINEER Name .SE -s dcC,7S Address Z 3 e% /ice City City �(VP 61AaV State e �4 Zip Phone Phone �.el�q. ;7:703 Fax E-mail E-mail Lic. # -7213 R SJ�f IC APPLICANT NAME ARCHITECT/ENGINEER Name City Address Zip City Fax State Zip Phone Book Fax E-mail Planner State License Number APPLICANT NAME Name ^ j Address _ S G '— City State Zip Phone Fax E-mail APPLIC SI TUR X \ st'L( �.' �'� I For office use only- nl : Zoning Flood Zone SRA ___F Yes No Occ. Type Const. Subdivision Name Map Book Page Lot # , ] Planner - Date Approved: �' OVER FOR SUBMITTAL REQUIREMENTS PERMIT 0�—l& BP BIN # LOCATION Prope-6y Address 0 ` ZO o d- QC QCWX6 V269 Cross Street WORKER'S COMPENSATION Policy Number Cc OD LkkRO2 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 Description or Scope of Work: I ✓l� s i "v( ✓p Z(o Sq. Footage ;— ❑ Structure Built without Perry# s ❑ 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 co Bldg 410* v/r SRA Receipt #�OQ7ag Z Sheriff SMIP ��C . nota 6 Date: G,U K:\FORMSOUILDING F0RMS\B1dgApp1SubRgmts.doc Page 1 of 2 REV 4-30-04 J Aby SUBMITTAL REQUIREMENTS The following drawings and specifications must be submitted to the Building Division in order to apply for a permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND W INK. Residential, New, Remodels, Additions, and Accessory Structures: ❑ 1. 3 Site Plans, signed by the preparer. NO GRAPH PAPER! ❑ 2. 3 Complete sets of plans, signed by the preparer. NO GRAPHPAPER! ❑ 3. 3 Engineered plans (if required) with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 4. 2 Engineered truss details and layouts (if required) (NO FAXES!). ❑ 5. Letter from Engineer or Architect for truss design review. ❑ 6. 2 Energy compliance design and supporting documentation: (Note: Not required for additions to mobile or modular homes.) ❑ 7. 2 Flood Elevation Certificate, wet -stamped and signed (if required). ❑ 8. Detached Accessory Building Form, filled out by the property owner (if required). ❑ 9. Sanitation and site plan approval from the Environmental Health Department. ❑ 10. Metal Buildings: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate, (D) Floor plans in triplicate, All of these must be stamped and wet -signed by the engineer. Mobile, Manufactured, or Modular Homes: ❑ 1. 3 Site Plans, signed by the preparer. NO GRAPH PAPER! ❑ 2. 2 Data sheets and installation instruction manual. ❑ 3. 2 Marriage line information. ❑ 4. 2 Floor plans. ❑ 5. 2 Engineered Tie Downs or Foundation plans. F-1 • 6. Sanitation and site plan approval from the Environmental Health Department. ❑ 7. 2 Flood Elevation Certificate, wet -stamped and signed (if required). Commercial, New, Additions and Remodels: ❑ 1. 4 Site Plans, signed by the preparer. NO GRAPHPAPER! ❑ 2. 4 Engineered plans with wet signature on plans AND 2 sets of stamped and signed calculations, with code analysis. ❑ 3. 2 Engineered truss details and layouts (if required) (NO FAXES!). ❑ 4. Letter from Engineer or Architect for truss design review. ❑ 5. 2 Energy compliance design and supporting documentation (if required). ❑ 6. 2 Flood Elevation Certificate, wet -stamped and signed (if required). ❑ 7. Statement of Intent for Non -heated and A/C (if required). ❑ 8. Metal Buildings: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate, (D) Floor plans in triplicate, All of these must be stamped and wet -sig -ped by the engineer. ❑ 9. Letter of intent. ❑ 10. Hazardous Material Form. ❑ 11. Sanitation and site plan approval from the Environmental Health Department. If you have questions or would like additional information regarding this process, contact a Permit Application Assistant at (530) 538-7541. OVER FOR BUILDING PERMIT APPLICATION KAFORMSMILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2 REV 4-30-04 6 6 - 4 . , i%h 1 y r COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT •- •�.� ...r.,��,��w.�vco vi uIc vvun�y UI ouuc LU CIIICI UNUM IIIC above-mentioned property for inspection purposes. Date Signature of Permitee or Agent f Receipt No. -, `>` -, - z This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Date White-D.P.W. — Yellow -Assessor -' Pink -Inspector — Goldenrod -Applicant I Buii*"s permit expires Date BUILDING Owner SQ. FT. OCC. BUILDING VALUATION Mai l i ng Address Telephone No. - Fireplace Contractor Total Valuation Mai I i ng Address Permit Fee P I an Checki ng Fee &/or Penalty Telephone No. Permit Fee $ Building Address PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. Zoning &Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fees WC: Sanitation Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans I Parcel Declaration Parcel Ma P 60' R/W Improvements P Lawn sprinkler system 2.00 Bldg. Plans Rec'd Parcel Approval Plans Approval Permit Fee $ $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 ' 1/,•(�';�,� �j!_�;j,�f"� f';• js' `�.• 1.: 600V OR LESS Main service 5.00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 2.50 Single Family ❑ Duplex Mobil Home Others ❑ ❑ ❑ Main service OVER 600V loo AMP OR LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 NEW CONST. DWELLING CCUP. & OR ADDNS, ACC, BLDGS. ) 22 sq ft NEW CONSTR. MULTI -OUTLET NON-RESID, BRANCH CIRCUITS) 12.50eal NEW CONSTR. (POWER APPARATUS & NON-RESID. SINGLE OUTLET CIR, CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: Ex. Occup(OUTLETS OR FIXTURES) @1 BAL@1 Ex. Occu FIXED APP LNS. OR P'(OUTLETS (RESID,) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No.Classification Misc. Wiring 6.25 El I am exempt from the Contractors License Laws of the State of California. Permit Fee $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. 1:1 I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby MECHANICAL @ FEEPERMIT _140.1 FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ TOTAL PERMIT FEE $ r; •- •�.� ...r.,��,��w.�vco vi uIc vvun�y UI ouuc LU CIIICI UNUM IIIC above-mentioned property for inspection purposes. Date Signature of Permitee or Agent f Receipt No. -, `>` -, - z This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Date White-D.P.W. — Yellow -Assessor -' Pink -Inspector — Goldenrod -Applicant I Buii*"s permit expires Date COUNTY OF BUTTE — -DEP-APTMENT OF PUBLIC WORKS 7 County Center Drive — Uroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT CU aurnunce representatives of the County of Butte to enter upon the above -me tioned property for inspection purposes. omvv Date Signature of Permit or Agent Receipt No. /_!a- jQ G% White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By o1�C Date +�g permit expires Date BUILDING Owner �� G £ �, SQ. FT. OCC. BUILDING VALUATION Mai I i ng Address 42 (� ) Telephone No. Fireplace Contractor Total Valuation Mailing Address Permit Fee Plan Checking Fee&/or Penalty Telephone No. Permit Fee Building Address S �. PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 lJ Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No.,3 _ 1 Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet 30 F s Samson Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA PPlans Declaration I Parcel Map 60' R/W I Improvements Lawn sprinkler system 2.00 Bldg. Plans Recd Parcel Approval Plans Approval Permit Fee $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ELECTRICAL No.1 @ FEE PERMIT FILING FEE $3.00 d r { Main service eoov OR LESS D 100 AMP OR LESS 5•00 �7 Main service EA. ADO'L 100 AMP 2.50 O Single Family Duplex ❑ Mobil Home ❑ Others ❑ Main service � 0 AMP VER OR LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 NEW CONST. DWELLING OCCUP. & OR ADDNS. ACC. SLOGS. 2�sgft ' NEW CONSTR. MULTI.OUTLET NON-RESID. ( BRANCH CIRCUITS) 2.50ea NEWCONSTR. (POWER APPARATUS & NON -RESID. SINGLE OUTLET CIR. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: Ex. Occup(OUTLETS OR FIXTURES)@25Q BAL@1 Ex. Occu FIXED APPLNS. OR p•(OUT LETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License Nc. Classification Misc. Wiring 6.25 I am exempt from the Contractors License Laws of the State of California. Permit Fee $ — WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑ I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby TOTAL PERMIT FEE Is aurnunce representatives of the County of Butte to enter upon the above -me tioned property for inspection purposes. omvv Date Signature of Permit or Agent Receipt No. /_!a- jQ G% White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By o1�C Date +�g permit expires Date FIRE RREGA RDER NUMBER R.U. INCIDENT NO. _tv REPORT NUMBER R.U. IND. FC -18 (1/80) /"_N 0RIGIN LACAT1nN ` SEC. TOWNSHN RANGE L,_LL_ ❑ 8 ❑ W F�.) (TART DATE R COU 1 _= v -_'' " FIRE NAME.: thru I . MILES IRECTIO G:ROM ❑pl NATIONAL FOREST, FIRE DIST, CITY A STREET NO, ETC. L,_LL_ � 0 !,Pfi f941bxhj 3 INCIDENT�TYPE � (FIR ❑ FALSE ALARM r❑ T GO TO 10 TTO-oGIN) B RV I kT�.-B.EVP•(R P -_w STATUTORY ✓ STATE ZONE RESPONSIBILITY R THREATENED WILDLAND 00? ❑ SCHEDU EBA O.P.R.RNED fn ❑ STATE' 30 ❑ UNPROTECTED �D OTHER AGENCY D.P.R. FRE DISTRICT L7crrY ' LOCAL ZONE A D.P.R. ).LAND ❑COUNTY ❑ U.SF.S. t16 n>}CHEDULE OTHER AGENCY D.P.R. (Unlncorp) [%DOMESTIC B.L.M. ❑ RANCH -FARM ❑OTHER INDUSTRY- COMRCL. u ® FEDERAL ZONE I ❑ FEDERAL(ezcept Military) D.P.R.J ❑ ROAD ❑ 81A• ❑ N.P.S. �❑ SCHEDULE A D.P.R. ❑OTHER ❑OTHER FEDERAL ❑ MISCJOTHERVZONE-) ❑ OTHER IN 004& a ONLY) ❑MAGE NO;10)MAGE IY t start / 2 6 or g ❑ BMOKNO �EOUIPMENT LCAUSE(STARTS NING 0 DEBRIS ❑ PLAY W/FRE FRE ❑ ARSON ❑ OTHER/MISC.• reUSE(STARTS 0 ? >ONLY) ).LAND IN OR ❑ Did not start in0 2 6 ao ❑ FOREST INDUSTRY [%DOMESTIC ❑ RECREATION ❑ RANCH -FARM ❑OTHER INDUSTRY- COMRCL. ❑ DUMP ❑WILDLAND ❑ ROAD ❑NON-WILDLAND 0 UTILITY, RAILROAD ❑OTHER ❑ UTILITY, ELECTRIC .-I*& nAUA(.F r41l&(D)n AS % ❑MAGE NO;10)MAGE IY Number aar st$tooA"; of 8 Vah/Dwlp TIMBER 8/OR YOUNG GROWTH WILDLAND VEGETATION (Other than Ti Y (3) AGRICULTURAL PROD (Other then T8 Y0) DWELLINGS i/OR CONTENTS SIM OTHER STRUCTURES &JOR CONTENTS VEHICLES A CONTENTS OTHER TOTAL s Com, wo 9 ON ARRIVAL ❑ 1 VEGETATION FIRE ❑ OTHER. GO TO @° SIZE 1w DISTANCE (Ori to head) ACRES FEET WEATHER (ESTIMATE AT SCENE) WIND DIRECTION FROM TEMPERATURE ._ M.P.H. OF t E10 ��- OVER PLEASE CDF 7540-130(111 X' Al2\ 4 qL 4F