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HomeMy WebLinkAbout078-120-04136"75-41 yn oka:­Homes 2362 Via Lat on; Oroville '- lo t 41 Pertait #1 P,EM(newsingle family contr:..,Wyno'ka.Homes., Oroville ! 078-120-041 06-'1771 PUTNAM, WALLACE 2362 VIA LATON, OROVILLE Cont: COMMUNITY ACTION WATER-HEATER .4. I FA �7$ • X20- cq I 16 SRA FLOOD CERTIFICATE EQUIRED FIRE SPRINKLERS REQUIRED SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDMNS SUBSTANDARD HOUSING LETTER ENCROACHMENT PERMIT REINSPECTION FEE PAID EW HLTH CLEARANCE DATE JOB FINAL.ED: 1 ' 4, SIGNATURE i • X078-120-041 06-1771 +' PUTNAM, WALLACE NOTES 2362 VIA LATON, OROVILLE `• • Cont: COMMUNITY ACTION °°"`y WATER -HEATER -k—c a..ru a.w ti r L APN: Permit No. Owner. Site Address: Contractor. Type of Permit: i. i F t t } e SRA FLOOD CERTIFICATE EQUIRED FIRE SPRINKLERS REQUIRED SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDMNS SUBSTANDARD HOUSING LETTER ENCROACHMENT PERMIT REINSPECTION FEE PAID EW HLTH CLEARANCE DATE JOB FINAL.ED: 1 ' 4, SIGNATURE �=OK o = Not OK MANUFACTURED HOMES DATE PERMANENT FOUNDATION SOFT -SET .1 Zoning -Setbacks -Easements 2 Soils; Special MH Support Sketch 3 Sewer; Loctn-Test; Fall/C/O-Concrete 4 Wtr, Loctn-Test-Easement Needed -Regulator 5 Elec Loctn-DIrncs-Dmd Amp -Concrete 6 Yard Gas; Loctn Test -Wrap Nat ❑ or LP❑ Inch Sz Ft Lngth 7 Blckng; SzSpacing-Marriage Line 8 Gas; MH Test-Demand-Valve-Cnnctr 9 Elec MH Cntnty Test-Crossovers-Breakers-Clmcs 10 Drain; MH Test -Fall -Flex Cnnctr 11 Wtr & Sewer Connected -C/O to Grade 12 Gas and Electricity Tagged 13 Tie Downs ❑ Foundation ❑ 14 Exits 15 Cert of Occupancy 16 HUD LabeUlnsignia Numbers Serial Numbers MIS CELLAN EOUS•• DECKS►COVERS*CARP0RTS •GARAGES 1 Zoning -Setbacks -Easements 2 Figs; SoilsSz-0pthSpacing-CnnctrsSteel 3 Decks, Girders/Jolsts-Dcking-Brcing Stairs-Duard/Handralis 4 Wood Awn; Posts-Beams-RRrs-_nnctrsShthg. Frmg-Brcng 5 Alum Awn; Columns-DnnctnsSplice-Decal-Encisrs 6 Carports; Wndws-Doors 7 Electric 8 Frmg; Sills-Anchrs4tuds4btrs Tnisses 9 Siding; NailingVeneerStucco-Lath 10 Roof; Shthg-Roofing 11 Ext; Steps-Doors-Landhigs 12 Braced Wall pnls 1 Setbacks -Easements _ 2 Soils; Compaction -Structure Stability '3 Pool Structure; Steel-Cnnctns-Thickness -7— Dead Men -Lining . 4 Elec Rcptclsit ting; Distance -GR _ 5 Elec Pool 4ting; 15 volts-GFI _ 6 Elec.Endsrs; Conduit Entries Terminals-Disted _ T'Elec Bonding; Metal w1S*-CrcItn9 Egp-Htr _ • 8 Elec Gmdng; Eqp w/5' Crcltng Eqp-Pool lghtg Boxes-Enclsrs-pnlboardsansultn to Main Conduit 9 Health Dept AppM 10 Plmb; Cir Test-Wtr Supply Test 11 Lt Niche , 12 Endsr, Fencing -Alarms 13 Bonding, Diving board or Slide Drawing #s' o = Not OK RESIDENTIAL (Single & Duplex) DATE JUNDERFLOOR 1 Zoning -Setbacks -Easements -Flood -Slope 2 Ftg Main; Soils-Elec Gmd Ftg Dpth 3 Ftg Garage; SoilsSteel-Elec Gmd Ftg Dpth 4 Ftg Porches/Decks; Soils -Steel Ftg Dpth" 5 Stemwalls Main; Steel-Blockouts Wrapped 6 Stemwalls Garage; Steel-Blockouts-Wrapped 6a Hold Downs and Special Anchrs 7 Slab, Steel Wrapped 8 Piers-Frpic Ftg-Steel 9 DWV; Fall -Fitting -Test -2 -way CIO -Sewer Test 10 UF, Gas Pipe; Sz Anchrs-Sz Test 11 Wtr Pipe; Test-Anchrs-RgltrService Test 12. Elec Undrgrnd 13 Plenums & Ducts; Cirnc-MaterialSupport4nsultn 14 GirdersSills-Anchr Bolts-Joists-Vnts-Cripples 15 Acc & Vntitn 16 Insulation DATE FRAMING 1T Sills Proper Materials & Anchrs 18 Walls Studs -Nailing Spacing & Braces-PlatesSound 19 Bearing Walls over Girders !&�fir Nailing 20 Draft Stop in Walls (rat proof) - 21 Fire Stops; Furred CeilingsStairs-Chasers Tubs 22 Headers &"BeamsS &'Bearing' 23 Hangers-Posf,CaQs-Anchrs!Ciinctns 24 Ceiling Joist4VW Iles-Purlin-Roof Brac-TrussShthg 25 Frpic Ties or Type A Flue=F' Ic Throat CImc T. : 26 Attic Acc; Si &-Rutz pr.tc,tn*-Draft Stop -Ins Baffles 27 Bdrm Wndws or Exiting Doors -Sill lit & Dimensions 28 Garage Fire Prtchi Framing -RC Chanel 29 Prprty Line Firewall & Opngs' . 30 Ext Doors -One 3' -Check Garage 3rd Story, 2 Exits 31 Stairs; Width-Hdrm-Rise-Run4_andtny-Fire Prtctn 32 Plywd on Roof Ovrhng Attic Vnts4Utr Outrgrs 33 Siding -Nailing Veneer 34 Stucco Lath Weep Screed-Fndtn Vnts-Undrflr Acc 35 Glazing Are PrtetnSkyLts-Plastic . 36 Shear Walls; Nailing -Bolts 37 Brace Int/Ext Wall pnls 38 insults Wails -Ceilings 39 Infiltration Walls-Wndws 4 DATE JELECTRICAL 40 Fxtr & Trnsfrmr Clmc4ns Prtcbi 41 Elec Rcptcls Spacing-Lts & Switches at Doors 42 Sz Boxes & No Of Cndctrs Stapled 43 Romex Installed Close to Edge of Studs & CJ 44 Eqp Gmd made up w/Mech Fstnrs 45 Grndng Electrode Bond Gas & Wtr 46 2 Appinc Cires in Ktchn & Cndctr Sz GFl 47 Subfeed Wire Sz oa ❑CU or [:3 AL AC Wire Sz ya ❑ CU orDAL 48 Range Circ -9a ❑ CU or ❑ AL Oven Circ ga ❑CU or El AL Insulated Neutral ❑Yes 0 N 49 Service -Riser Cndctrs & Gmd Main Dscnnct 50 Eqp Cimcs pnts-Motors-Mech Eqp 51 Clothes Closet UShwr Lt -Spa Lt 52 Smoke Detector UAIL IPLUMBING 53 Wtr Htr; Vent-Acc-Cmbstn Air Baffle 54 Wtr Pipe; Test & Anchr-Nail Prtctn 55 DWV; Test Fittings & Anchr• Nail Prtctn 56 Shwr Pan; Test. First fir -Tub Acc 57 Test Tubi & Shwr, 2nd fir - Tub Acc 58 Gas Pipe; Sz & Anchrs 59 Fire Sprinkler; Test 60 Yard Gas Piping 0 DATE IMECHANICAL 61 AC Ducts Insuttn & Support 62 Vent Fan, Exhaust abv Insultn 63 Condensate Drain & Ovrflw, Sz & Grade 64 Furnace Vent Acc-Comb Air Rtrn/Vent 115 Outlet 65 Attic Acc & Pltfrm If Furnace In attic DATE IFINAL 66 Ext Steps -Door & SideLt Prtctn-Landings 67 Smoke Detector 68 Furnace Vnts-Clmc-Comb, Air-Dnnctr In Garage; abv-flr-Ducts-Meth Prtctn 69 Bedroom Exiting 70 GFl& Bath Fxtrs & Tub Acc-Spa 71 GFl Arc Fault 72 Elec Trim & Subpnl, Breaker Szs & Labels 73 Stairs, Guard/Handrails 74 Frplc or Stove, Clmc-Hearth 75 Elec Outlets at Wood Pnl, Int & Ext 76 Ktchn, Fxtr & Appinc; Gmd Air -Gap -Cooking Clme 77 Elec Outlets & Rcptcls at Ktchn Counter 78 Garage Fine Door, Swing -Landing -Closure 79 AC Duct In Garage -Dampen 80 Wtr Htr; Vnts-Clmc-Com Air Cnnctr-PRV; abv fir Mech Prtctn; LPG Appince Undr House 3" drain 81 Pimb; Elec & Mech Eqp Listed for Loctn 82 Elec Rcptcls in Garage (GFl) Romex Prtctn 83 Insultn-Foam-Looked in Attic 84 Guard Rails & Deck Cnstrctn-Post Caps 85 Fndn Vnts & Crawl Hole Door Dmge & Wood -Earth 86 Clrnc Dmge Planters ❑ Yes ❑ No 87 Stucco Brown -Finish 88 AC Unit Dscnnct, Elec-Pimb 89 Vnts abv Roof, Pimb-Appinc-Frplc-Cimc to Opngs 90 Wtr Well, Dscnnct, Elec, Pimb 91 Ext Elec Trim, GFl RcptcWndrgmd 92 Vntltn thru House 93 Glass Prtctn 94 Corrections from previous Ihspctns 95 Gas Test -Meters Tagged, Gas-Elec 96 Wtr & Sewer Cnnctd-C/O to grade -FID Apprvl 97 Energy Cmpinc Cert -Other Certs 98 Address Posted 99 Fire Sprinkler o`er o' mss. DEPARTMENT OF DEVELOPMENT StKVILtS BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 53B-7541 LICENSED CONTRACTORS DECLARATION I hereby affirm under penally of perjury that I am licensed under provisions of Chapter 9 (commencing'wllh Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. 4 License Class: License Number: �g���� Dale: Contractor: CAA OWNER-BUILDER DECLARATION I hereby affirm under penally 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, demollsh, or repair any structure, prior to its Issuance, also requires the appllcanC for such permit to file a signed statement that he or she Is licensed pursuant to the provisions of the Contractor's Slate License Law (Chapter 9, commencing with Section 7000) of Division 3 of the Business and Profes@Ions 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' Slate 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, (he owner -builder will have the burden of proving Thal he or she did not build or Improve for the purpose of Salo.), ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7.044; Business and Professions Code: The Contractors' Slate License Law does not apply to an owner of property who builds or Improves (hereon, and who contracts for such projects with a conlraclor(s) licensed pursuant to the Contractors' Stale License Law.). ❑ I am Exempt under Article 3 of the Buslness and Professions Code Dale: Owner: WORKERS' COMPENSATION DECLARATION I hereby affirm under penally of perjury one of the following declarallons: ❑ 1 have and will maintain a certificate of consent to self -Insure for workers' compensation, as provided for by Section 3700 of file Labor Code, for the performance of the work for which this permit is Issued. 9 1 have and will maintain workers' compensation Insurance, as required by Section 3700 the Labor Code,'for*lhe performance of the work for which this permit Is Issued. My workers' compensation Insurance carrier and policy number are: Carrier: 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 provlsldns of Section 3700 of the Labor Code, I shall forthwith comply wllh those provisions. Dale: %" 2—Y --r`i rl- Applicant: L� WARNINeflure* lo' 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 I hereby affirm that there Is a construction lending agency for the performance of the work for which this permit Is Issued (Sec 3097 Civ.) BP061771 Issued Date: 07/24/2006 APN: 078-120-041-000 Site Address: 2362 VIA LATON ORO Map Index: Description: WATER -HEATER REPLACEMENT Owner: PUTNAM WALLACE E JR & PEGGY G 2362 VIA LATON OROVILLE, CA 95966 Applicant: COMMUNITY ACTION AGENCY OF BUTTE COUNTY INC. 2640 SOUTH 5TH AVENUE OROVILLE, CA 95965 (530)538-7559 Contractor: COMMUNITY ACTION AGENCY OF BUTTE COUNTY INC. 2640 SOUTH 5TH AVENUE OROVILLE, CA 95965 (530)538-7559 License #: 617201 Architect: Engineer: Total Square Ft: Valuation: Census Code: to do work 0 S. F. $0.00 DO thethe appllicableprovprovisions of the Butte County Code and/or )ove for vytfich fees have been paid. Dale:Z- PERMIT EXPIRES ON: of Address: eafel 5505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, O I hereby certify (hal the use of this facility shall comply with Sections 2 handling and use of hazardous materials. Safety Code Is not applicable to the scheduled construction of this project. Cl Notification In accordance with Section 19627.5 of California Health ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have -read this appllballon, 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.slale laws relating to building construction. I acknowledge It Is unlawful to eller the substance of any official form or document of Bulla County. 1 hereby authorize represenlalives'or.Buttte Counly'to enter upon the above mentioned property for inspection purposes: Prlht Name: . C r �, 1..�11_Cf C Signature: Dale: _ ❑ Owner ❑ Contractor ❑ Agent for Owner ,rilAgent for Contractor B. C. Buildinp Permit 01-16-04 op 1 o�VTr 0 DEPARTMENT OF DEVELOPMENT SERVICES 0 0.:� - w BUILDING PERMIT 0 0 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) 0.. ' 0 OFFICE #: (530) 538-7541 0 BP061771 0 c�U P1'�y 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. . 7 z Issued Date: 07/24/2006 APN: 078-120-041-000 License Class : _ License Number: Dale: Conlraclor: C V, f7 �4� Site Address: 2362 VIA LATON ORO OWNER -BUILDER DECLARATION Map Index: 1 hereby affirm under penally or 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 Description: WATER -HEATER REPLACEMENT 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 Owner: PUTNAM WALLACE E JR & PEGGY G the Contractor's Slate License Law (Chapter 9 commencing with Section 7000) of Division 3 of the Business and Professlons Code) or that he or she is exempt therefrom and the basis for the alleged exemption. Any 2362 VIA LATON violation of Section 7031.5 by any applicant for a permit subjects the OROVILLE, CA applicant to a civil penally of not more than rive hundred dollars ($500).): 95966 ❑ 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' Slate 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 Applicant: COMMUNITY ACTION AGENCY OF BUTTE pp sale. If however, the building or Improvements are sold within one year of completion, the owner -builder will have the burden of COUNTY INC. proving that he or she did not build or Improve for the purpose of sale.). 2640 SOUTH 5TH AVENUE ❑ I, as owner of the property, am exclusively contracting with OROVILLE, CA 95965 licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractors' State License Law does (530)538-7559 nut 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' Stale License Law.). ❑ I am Exempt under Article 3 of the Business and Professions Code Contractor: COMMUNITY ACTION AGENCY OF BUTTE Dale: Owner: COUNTY INC. WORKERS' COMPENSATION DECLARATION I hereby affirm under penally of perjury one of the following declarations: 2640 SOUTH 5TH AVENUE O 1 have and will maintain a certificate of consent to self -Insure for workers' compensation, as provided for by Section 3700 of the OROVILLE, CA 95965 Labor Code, for the performance of the work for which this permit (530)538-7559 is Issued. ,cn I have and will maintain workers' compensation Insurance, as required by Section 3700 the Labor Code,'for the performance of License #: 617201 the work for which this permit Is issued. My workers' compensation Insurance carrier and policy number are: Carrier: %���-� 1nlr Ste— »Y� Architect: •I Engineer: Policy S; � o y of . ❑ 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 the workers' compensation laws of California, that If 1 should become subject to the workers' Total Square Ft: 0 S. F. and agree compensation provisidns of Section 3700 of the Labor Code, I shall Valuation: $0.00 forthwith comply with those provisions. Census Code: Date: L� Applicant' - WARNING: eflure' 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. Gd CONSTRUCTION LENDING AGENCY This parmlUs hereby Issue er the applicable provisions of the Butte County Code and/or Res ullo to do work- n cat .6bove for'Vhich fear, been paid.` I hereby affirm that !here Is a construction lending agency for the performance of the work for which this permit Is Issued (Sec 3097 Civ.) By Dale:���+�—V en Name: PERMIT EXPIRES ON: (D Address: T= Dare ❑ 1 hereby certffy that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safely Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification In accordance with Section 19627.5 of California Health & Safely Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. 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 I hereby certify that I have read this application, all county andslale•laws relating to building construction. I acknowledge It or document' of Butte County. I hereby Is unlawful to alter the substance of any official form or authorize representatives of -Butte County to enter upon the above mentioned property for inspection purposes. c►_Cr ey Signature: Print Name: Dale: ❑Owner C3 Contractor ❑ Agent for Owner for Contractor `Bulldinp S. C. Permit 01-16-04 op 1 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR rNSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OF APPLICATION Website: www.buttecounty.net/dds "'PLEASE PRINT CLEARLY APPLICANT SIGNATURE X F r office use only: OWNER Last Name lvG'Ales— irst Name Address L City , State State Zicl p 'r Phone Address Fax E-mail State License Number APPLICANT SIGNATURE X F r office use only: CONTRACTOR Name lvG'Ales— Name d - City Z. State Zip Phone Lot # Address E-mail State License Number City State Zip Phone - Fax E-mail Lic. # , Class d APPLICANT SIGNATURE X F r office use only: ARCHITECT/ENGINEER Name lvG'Ales— Address d - City Z. State Zip Phone Lot # Fax E-mail State License Number APPLICANT SIGNATURE X F r office use only: Zoning APPLICANT NAME Name A d - Address Z. — City Page Lot # State Phone Fax E-mail APPLICANT SIGNATURE X F r office use only: Zoning Property Address 14 162 c, Flood Zone SRA I Yes I No Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS PERMIT NO IT 71 BIN # LOCATION AP# Property Address 14 162 c, City 17—street 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 0--- 4 .,f Description or Scope of Work: Sq. Footage ❑ Structure Built without Permits ❑ 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. SSS. cv Received by: / Amount: Bldg SRA Receipt #: Sheriff SMIP Date: –Other Total ocv')_')n_nS jr SUBMITTAL & PERMIT 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 IN INK. ❑ 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. No graph paper! ❑ 2. Complete plans, 3 or 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 K:\FORMS\BUILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2 REV 2-24-05 M I r ; eAo;%: PERMIT NO. 1.627;=83B,P,E,M ? PERMIT EXPIRES s OWNER Wynoka Homes 1 CONTR. Wynoka Homes Oroville ASSESSOR PARCEL 36-75-41 LOCATION 2362 Via Laton, O�roville lot #41 Temp. Power Poler'J`-- L OFFICE COPY ;y Called PG&E J Address Temp. Elec. Service E GAS Dat ef! Called PG&E Meter By ELECTRIC patelZ� Temp. Gas Service Meter ey Called PG&E JOB FINALED (Da Signatur J OK• O Not OK Not Applicable MOBILEHOMES - Not Ready MISCELLANEOUS Date MOBILEHOME UTILITIES (Plans) OK except N's Date DECKS, COVERS, CARPORTS, ETC. (Plans) G,. except N 1. Zoning Requirements -Setbacks -Easements 1• Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support -Sketch 2. Footings; Size -Depth -Spacing -Connectors 3. Sewer; Location -Test -Fall -C/0 -Concrete 4. Water; Location -Test -Easement Needed (Sketch) 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Connec.-Shing.-Rfg:-Bracing 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete 5. Alum. Awn.; Columns-Connections-Splice-Decal-Enc.us-res 6. Gas; Location -Test -Wrap:/ /"L"ft./ /"Nat. or/ /"L':ft./ /"LPG 6. Carports; Windows -Doors 7. Utility Clearance 7. Elec. Card -BI Date Card -BI . Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI _ Date Card -BI Date Date MOBILEHOME INSTALLATION (Plans) OK except N's 1. Zoning Requirements -Setbacks -Easements Date POOLS (Plans) OK except N's 1. Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 2. Soils; Compaction -Structure Stability 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining 4• Elec.; Receptacles and Lighting; Distances-GFI 5. Drain; MH Test -Fall -Flex Connector 5. Elec.; Pool Lighting; 15 volts-GFI 6. Water; MH Test -Regulator -Connector 6. Elect; Enclosures; Conduit Entries -Terminals -Listed 7. Water and Sewer Connected -C/0 to Grade -HD Approval 7. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater 8. Gas and Electricity Tagged 8. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghtg. ' Boxes -Enclosures -Panel boards -Ins. to Main in Conduit' 9. Exits; Insp.-Sketch 10. Cert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test -Water Supply Test Card B -I Date Card -BI Date Card -BI Date Card -BI Date Card B -I Date Card -B1 Date t Card -BI Date Card -BI Date ✓ = OK 0 = Not OK - = Not Applicable = Not ReadyeadyRESIDENTIAL (Single and Duplex) - ` Date UND LOOK Plans OK except H's Date FRAMING Continued Zo ' requirements -Setbacks -Easements 4Qa,'Property Line Firewall & Openings tg., in; Soils-Steel-Elec. rn / Ftg. Depth xt. Doors -One 3' -Check Garage -3rd story, 2 exits g.,rage; Soils -Steel- / /" Ftg. Depth �9.-6teire-Width-Headroom-Rise-Run-Landing-Fire Protection - g. rches & Decks; Soils -Steel- / Ftg. Depth emwall Main; Steel -B lockouts-Wr ed -Slab 5V Plywood on Roof Overhang -Attic Vents -Rafter Outriggers @2F 44weg UaiIing-Veneer walls, Garage; Steel -B lockouts-Wra -Slab Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access Pie ireplace Ftg.-Steel Glazing Area -Glass Protection -Skylights -Plastic W.V.: Fall -Fittings -Test -2 way C/0 -Sewer Test AK Shear Walls; Nailing -Bolts 9. Gas Pipe; Size -Anchors Water Pipe; Test-Anchors-Regulator-Seryice Test 11. Electric; Underground 2. Plenums & Ducts; Clearance -Material -Support -Ins. 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples C d -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date BI ate Card -BI Date Date FIN (P s) OK except N's Card -BI Date Card -BI Date Date PLUMBING (Permit) OK except #'a FXV. Steps -Door & Sidelight Protection -Landings 5P.Smoke Detector _ 14VWater Ht.; Vent -Access -Combustion Air 16/Water Pipe; Test & Anchors -Nail Protection 5 5 urnace; Vents -Clearance -Comb. Air-Connector- In Garage; Above Floor-Ducts-Mech. Protection edroom Exiting 1$%D.W.V.; Test-Fttngs & Anchors -Nail Protection 17. Shower Pan; Test, First Floor -Tub Access 6 G-F.l. & Bath Fixtures & Tub Access 18. Test Tub & Shower, 2nd Floor -Tub Access 61.,"E lec. Trim & Subpanel; Breaker Sizes -Labels 1 Gas Pipe; Size & Anchors 62. Stairs & Rails _ 63. 1 Fireplace or Stove; Clearances -Hearth Alec. Outlets at Wood Panel; Int. & Ext. Card -BI le Date 8{ Card -BI Date 6p it. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Card -BI Date tic. Outlets & Receptacles at Kit. Counter Date ELE RICAL Pe OK except N's Garage Fire Door; Swing -Landing -Closer 6@. •A.C. Duct in Garage -Damper 2 . Fixture & Transformer Clearance -Ins. Protection tr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection lec. Receptacles Spacing -Lights &Switches at Doors V ffT., Elec. & Mech. Equip. Listed for Location ize Boxes & No. of Conductors -Stapled Receptacles in Garage; (G.F.I.)-Romex Protec. mex Installed Close to Edge of Studs & C.J.7c. • quip. Ground made up w/Mech. Fasteners -Bond Gas & Water 7��EI€ Foam -Looked rs InsulationiAttic [6] 2 Appliance Circuits in Kitchen & Conductor Size 73. Guard Rail) s &Deck Construct ction-Post Caps 26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / g r Al 74.1 Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor Yes 27. Range Circ. / / ga. Cu or Oven Circ. / / ga. Cu or Al, Insulated Neutral ❑Yes 9 -No 75. Following instl ri Yes ❑ No; Walks Yes E) No; P niers No 128. Service -Riser Conductors & Ground -Main Disconnect Stucco; f3 n-Finim' 49 --Equip. Clearances; Pane IS-Motors-Mech. Equip. -ae—Clothes Closet Light -Shower Light 7 .C. Unit; Disconn'ct-Cirnces-Brkr. & Cond. Size -115V Outlet 7& --vents Above Roof/Plbg.-Appliance-Firepl.-Clearance to Opngs. 79. Water Well; Disc nnect, Electrical, Plumbing C -I �c Date /��6 Card -BI Date terior EI rim; G.F.I. Receptacle -Underground Ventilati roughout House C'a7d B -I Date Card -BI Date 82. Glass PtWctinn Date MEC ICAL (PeOK except N's 83. Cor a ' ns from Previous Inspections 84. Gas st-Meters Tagged; Gas -E e A.C. Ducts; Insulation & Support 8 . W r & Sewer C nnected-C/O to Grade -HD Approval _ 32. Vent Fan; Exhaust above Insulation g Energy Compliance Certificate -Other Certificates _ 33. Condensate Drain & Overflow; Size & Grade _ 34. Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet 35. Attic Access & Platform if Furnace in Attic rd=Bl Car Card -BI d _ e� ��f� Card -BI Date Dat - _—� Date Card -BI Date I Date a Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date FRA NG(Pl- ) OK except q's Comments at Final: S' s; Proper Material & Anchors Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound earing Walls over Girders & Floor Nailing_ Draft Stop in Walls (rat proof) 4Fire Stops; Furred Ceilings -Stairs -Chases -Tub 42 H der & Beam -Size & Bearing gers-Post Caps -Anchors -Connectors 4 Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfnq. _44 ace Ties or Type A Flue -Fireplace Throat - 4(alAttic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 46C.fddrm. Windows or Exiting Doors -Sill Hgt. & Dimensions _ 47 jage Fire Protection Framing (NOTE: Anentrymust be made each time youvisit jobsite) Permit# INSULATION CERTIFICATION Lot 41 Vista Del Cerro Number and Street City County Subdivision Lot Number DESCRIPTION OF INSTALLATION ROOF Material Brand Name Thickness (inches) Thermal Resistance IR Value) EXTERIOR WALL Material Fiberalass Brand Name - Certainteed Thickn+?ss (inches) _ 3.5 _ Thermal Resistance (R Value) 1 j� CEILING Batt or Blanket Type Brand Name Thickness (inches) Thermal Resistance (R Value) Loose Fill Type Fiberglass Brand Name Certainteed Minimum Thickness finches) 8.5 Number of bags i4 Weight per bag 24 Ib Area Covered Ift21 990 Thermal Resistance (R Value) 25 FLOOR.ELEVATED Material T'' t— —' as S _ _ Brand Name Thickness (inches) Thermal Resistance (R Value) FLOOR. SLAB Material _ Brand Name Thickness (inches) Thermal Resistance IR Value) Width (inches) FOUNDATION WALL Material Brand Name Thickness (inches) -Thermal Resistance (R Value) HEATING SYSTEM Gas Furnace Make Model Description Rated Bonnet Capacity DECLARATION 1 hereby certify that the above insulation was installed in the building at the above location ir. conformance with the current regulations setting Energy Conservation Standards for new residential buildings (located in Title 24 of the California Administrative Code). General Contractor (builder) License Number Signature and Title Date Hawkins Insulation Co. Inc.378407 Sub•C ntractor (insulation /Applicator) License Number Signature and Title Date CERTIFICATE REVIEWED BY Date BIN -029 (Building Inspection :ice) RES IDENT IAL ENERGY CONSERVATION STANDARDS CONSTRUCTION COMPLIANCE CERTIFICATE THIS IS TO CERTIFY THAT ENERGY CONSERVATION REQUIREMENTS HAVE BEEN INSTALLED IN CONFORMANC H CURRENT ENERGY CONSERVATION REGULATIONS AT *�,� 41 '(location) BUILDING PERMIT NO. Z(,2 2 :2 A:P. NO. THE FOLLOWING HAVE BEEN INSTALLED AS-PER*APPROVED PLANS:' (Check each item or write N/A if not applicable) INSULATION: Slab Edge Fdn. Walls Floors Walls Ceiling/Roof Ducts -/1I- Circul g PipesT APPROVED HEATER APPROVED WTR.HTR. GLAZING: Single Glazed Special (Insulated) c/ CERT. & LABELED WDS. & SLIDING DRS . ' ✓ WEATHERSTRIPPED DRS. BACK DAMPERED,FANS INTERMITTENT IGNITION_ DEV-ICESIYA CERT. APPLIANCES ✓ I DECLARE THAT ALL REQUIRED ITEMS AS NOTED.ABOVE HAVE BEEN INSTALLED IN ACCORDANCE WITH THE ENERGY CONSERVATION REQUIREMENTS AND.AGREE TO THE COMPLETENESS OF THIS CERTIFICATE AS SUBMITTED. Insulation Applicator Name Signature of (please print) Insulation Applicator State Contractors License No. General Contractor/Owner Name ' v�lw Zk,!,-S /i✓C (p Signature of ea -e print) General Contractor/Owner Date tate Contractors�� License No. THIS CERT IF ICATE MUST BE ON FILE WITH THE BU ILD ING DEPARTMENT PRIOR TO REQUESTING FINAL INSPECTION AND SHALL BE POSTED IN A CONSPICUOUS LOCATION WITHIN THE DWELLING. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT NO. A-11)--sra A ESSOR PAR EL NUMBER -•75 _ ZONING BUILDING PERMIT O N RA,�1?76r 14c"Vs TELEPHONE S0. FT. OCC. BUILDING �dku-A-1;1011 V OWNER'S MAILING ADDRESS 3 go' NAME /� /J ��00 /! //� �/r TE.'ONE 5 3 / �/ s Vo O CON RACTOR'S MAILING ADDRESS j'>� x /�p00 IgAg;!�7tIll(,64E� oe Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ 00 Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ -co ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 45.00 Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ �� .O� BUILDING ADD$Fy / w 1,4 _ / �!/"cf/•• /•r -/V/ PLUMBING PERMIT Filing Fee 10.00 Each Trap. 2.00 /0-00 Repair drainage or vent piping 5.00 Water piping _ pJ LOT y%. 1� SU,B/DI�VIISSIIO✓1N NAME /� ,. PAARCE�L?MAP V15 r t�L vt--� � OS 3 Each pas water heater or vent 5.00 •d0 Gas piping system 1 - 5 outlets „ffp USE OF STRUCTURE SF lye Duplex❑ Mobilehome❑ Other SPECIFY Building sewer .00 Lawn sprinkler system 5.00 TYPE OF WORK New Addition❑ Remgdel❑ Utilities❑ Installation E:1 Other E] Describe work: / / �� Permit Fee $ Q_Od Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 AMP 001 OR LESS RSLESS /O.D 0 • /��� �J Main service EA. ADD'L 100 AJM PP 2.50 OR ADDNSNEW T l ACC.GS.LING C C/,� Sq ft (�•ss CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code Lar,}ld m license is in full force and effect. �L.�j Classification License No. / p2 v�+ y �, ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR. -OUTLET 2.50 ea NON.RESID. BRANCH CIRC ITS NEW CONSTR. POWER APPARATUS 6 NON-RESID. %SINGLE OUTLET CIR, / SO @ 25, Ex. Occup_ o Ts OR FIXTURES BAL�1 (,FIXED Ex. Occup. �p UTLETS P(RESID.)REA. 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 Permit Fee $ Contractor MECHANICAL PERMIT FiIirig Fee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Heating(% 000 DO *145 Cooling eVAp jO.OJ Hood 3.00 ,00 Ventilation pennit Fee Contractor 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 authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and ke harmless the County of Butte against all liabilities dgments, costs xpenses which may in any way accrue against s ounty i of the granting of this per ' X Date Signature of Applicant — Owner LiConrr tor Agonr ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ s OCCUP. GRouP ..3 TYPE of ON ST. PARCEL D HD ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above r which DIREC OR F PUBLIC By PE EXPfRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date LS-2?—j�7 �-Y ���� U S $'t�Q?1 Receipt No. (1 WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT - iv.!':c'Y\"i�'t1lC��C':3BR.T.TCel1��'I a �+gO.T/dN':.v:�.�:.M rto'^a:':;�'��.�:Y.V!4�.•9� R<[.?CTI:a3.:*c'I:S:::lCptll6l:'�,T,.O:VaiLTAn..ry.^•^atfgPTf:+:..I:I L�.: W.i••:w•":."9'.s.IDL %*' =• N NOTE:—All MrI+Prinls V�/.•�I•r,.V chin Shall Be In. Accordance with practices and of a quality pre-r-:1-­Jpd Use In th� Uniform Buildinq, P!6r�? �':'' "�^!,al�i.cal Codes and the National Electrical Code. A setback of 5 ft. from the property lines and a setback. of 50ft. from the road centerline shall be clear of structures or equipment except for aVj At. e6M ^ hang.. S 1 D� W P LSC - -- -- -- b�M —_ See Master Plan elk,► for building plans. O„r% LQA_ This set of plans and specification kAOST be kept on the job at all times and it is unlawful to make any changes or alterations on some without written permission from the Department of Public .Works, County of Butte. Y pec* 01,.3 4' NUILDING DEPARTMEM, :APPROVED vnc SUBDIVISION CITY COUNTY LOT NO. _ypc _,ka3 SEWER — -- JOB NO,� p OVii� �<': -- - -- – HOMES,INC. I -70 WATERa;%c JV �% P.O. BOX IB SCALE GAS YNOK-_` ^•,:_ •r. OROVILLE, CAL. 95985 ELECTRIC _ 1 J -1S_ -533'27, 3E3 .. . ' _ .utas^s�xr.,>=sarn>-�n.yn:u >.<s ,m,: w..:.,.5�rnvrzcra�a.azo:•t•n ,::.r_. a�_.o4�-�-sr,.:.r�.�:'�.a+.xv�c�v-t�.9mm�+m®a.a::snr=ur_^x2�c Telephone 533.2000 North Burbank Public Utility District 1960 Elgin Street OROVILLE, CALIFORNIA 9S965 DISTRICT APPROVAL AND 67-83 VERIFICATION OF INSPECTION BUILDING SEWERS This verification form must be submitted to the Butte County Department of Public Works - Building Department prior to issuance of a building or occupancy permit, whichever is applicable. Prior to final approval by Butte County of a Building or an Occupancy Permit, a copy of this verification form, signed off by North Burbank Public Utility District, must be submitted to Butte County. Applicant: Applicant Address: Applicant Phone No.: Property Location (s): A. P. No. (s): Fees Paid: WYNOKA HOMES. INC. P. 0. Box 1600, Or.oville 533-2738 2362 Via Laton. Oroville Vista Del Cerro #3, Lot 41 36-75-41 WIMMIWITURMIn Mlon •� • $900.00 SC -OR Regional Facility Charge Due. Application for service approved: May 24, 1983 North Burbank Public Utility District Inspection(s) made and successful test (s) observed: Location: By: Date: North Burbank Public Utility District release to close permit: Date: By: