HomeMy WebLinkAbout078-180-046eM--t!'6 6p4 PERMIT#95-2817
TALBURT, Al Y'
5266 Walmer Rd., Oroville
Cont; John Wheeler
Replace Roof Structure/
-436-1�6 gg4 PERMIT#95-3124
TALBURT, Al _
5266 Walmer Rd., Oroville
Ele Ser Ch/SF
A� -03-3223
BEDROSSIAN, AWEDIS
5266 WALMER DR', OROVINALE
Cont: COMM ACTION AGEN Yip
REPLACE 2 EX WALL HEA
o`er .
036-176-004 ^ V03-3- 223
BEDROSSIAN, AWEDIS
5266 WALMER DR', OROVILLE,.
Cont: COMM ACTION AGENCY
REPLACE 2 EX WALLHEATERS
a
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 03-3223
ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT
036-176-004
OWNER TELEPHONE
BEDROSSIAN AWEDIS 2-534-9343 SQ. FT. OCC. BUILDING VALUATION
OWNERS MAILING ADDRESS
5266 WAIMM DR OROVILLE
CONTRACTOR'S NAME TELEPHONE
MM ACTION AGENCY 538-7534
CONTRACTORS MAILING ADDRESS I
CONSTRUCTION LENDER
LENDER'S MAILING ADDRESS
r n.F.-
Total Valuation Is
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee $
20.00
Permit Fee $
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee $
BUILDING ADDRESS 5266 WAUIERD RD
Energy Plan Checking Fee $
PERMIT FEE $
LOT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT
Fling Fee 20.00
USEOFSTRUCTURE
SF ❑ Duplex ❑ Mobilehome ❑ Other
SPECIFY
Each Trap
7.00
Solar or heat pump water heater
23.00
Water piping
15.00
Each as water heater or vent
15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑
Describe Work: REPLACE 2 EXISTING GAS WAIL. 1EATRES
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home ISI GI W1
920.00
PERMIT FEE $
ELECTRICAL PERMIT
Fling Fee 20.00
Main Service 2o0A OR LESS
23.00
LICENSED CONTRACTOR'S DECLARATION
1 hereby affirm under penalty of perjury that Pam licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license is 'n full Orce-and effect.
//
License Class rpt Lic. No. h / 7 2 !� P
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
❑ I, as owner of the property, or my employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
❑ I, 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
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 Labor Code, for the
performance of the work for which this permit is issued.
�d 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 permitis issued.
My workers' co pensation insur rice carrier and policy number are:
Carrier /,NS+ {�/�'�'I //VSuI K -n t?
Main Service 200A TO 1000A 46.00
NEW CONST. DWELLING OCCUP.
OR ADDNS. ( 8 ACC. BLD S.
SO
3.5QFT:
NOµaoESIDT. MULTI.OUTLET 97.50
8 FSINGOUTLET OWELER APPARATUCIR.S
EX. Occup. OUTLET OR FDCrURES
20 @ 1'50
BAL @ .50
Ex. Occup. OflxLITi R. of 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring 23.00
PERMIT FEE _
MECHANICAL PERMIT Filing Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
2 RAd Wall heaters 130.00
PERMIT FEE $
Policy Number 4f iC f4/4'r-S1
(The above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
❑ 1 certify that in the performance of the work for which this permit is issued, I shall
not employ any person in any manner so as to become subject to workers'
compensation laws of California, and agree that if I should become subject to the
workers' compensation provisions of section 3700 of the Labor Code, I shall
forthwith comply with those provisions.
X i,- > -/ 110,.,r✓Cfate �� "' 2Q '-n
Signature of Applicant-- O.Owrier O Contractor ❑ Agent
An OSHA permit is required for excavations over 60" deep and demolition or construction
of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
CONST. TYPE
TOTAL FEE $ 50.00
HAZ.
-
D. FEES IMP
--- ,--
FLOOD
.---
CDF
---
PARCEL
---
PD
--
HO
-
ISSUE,
1
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.
/
,� f /l d (fel! Date
BY. -
PERMIT EXPIRES ON
/ Date
ReceiptNo. '/�'-%u'�
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
(Rev. 12/96)
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive • Oroville, California 95965 ° Telephone (530) 538-7541
APPLICATION AND PERMIT 03=3223
PERMIT NO.
ASSESSOR PARCEL NUMBER
036-176-004
ZONING
BUILDING PERMIT
OWNER
BEDROSSIAN AWEDIS
TELEPHONE
2-§34-9343
SQ. FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS
man ONXXRKKKY 5266 WALMER DR OROVILLE
CONTRACTOR'S NAME
W Mj ACTION AGENCY
TELEPHONE
538-7534
CONTRACTOR'S MAILING ADDRESS
2255 DEL ORO OROVILLE 95965
CONSTRUCTION LENDER
Fireplace
LENDER'S MAIUNG ADDRESS
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee $
20.00
Permit Fee $
ARCHITECT OR ENGINEERS MAIUNG ADDRESS
Plan Checking Fee $
BUILDING ADDRESS 5966 WALMERD RD
Energy Plan Checking Fee $
$
PERMIT FEE $
LOT NO.
SUBDNISIO SNAME
PARCEL MAP
PLUMBING PERMIT
Fling Fee 20.00 ,
USEOFSTRUCTURE
SF ❑ Duplex ❑ Mobilehome ❑ Other '
SPECIFY
Each Trap
7.00
Solar or heat pump water, heater
23.00
Water piping
15.00
Each as water heater or vent
15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑
Describe Work: REPLACE 2 EXISTING GAS WALL HEATRES
Gas piping stem 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home ISI GI W1
920.00
PERMIT FEE S
ELECTRICAL PERMIT
Fling Fee 20.00
OOOV OR LESS
Main Service zo.A OR LESS
23.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that 1 am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license is •n full force and effect.
License Class 'e Lic. No.. 4(,/7 Zn (/
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
I hereby affirm under penalty of perjury one of the following declarations:
❑ I have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
1 have and will maintain workers' compensation Insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permitis issued.
My workers' co pensation insur nce carrier and policy number are:
Carrier `j /i7%S'a+C-r�hZ'N 5�at_c%lam
Policy Number �'ie �7 ��
(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 f 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 �® "' 2-® —®�
ture of -Applicant'- er ontractor ❑Agent
An OSHA permit is required for excavations over 5'0" deep and demolition or construction
a11J
of structures over 3 stories in height.
Main Service 200A TO 1000A 46.00
NEW CONST. DwEwNG OCCUP. s0
OR ADDNS. ( 8 ACC. BLDS. 3.50FT.
NC CNS MULTI.OUTLET
g7.50
POWER APPARATUS
8 SINGLE OUTLET CIR.
EX. Occup. OUTLET OR FIXTURES @'.50
BAL Q .50
Ex. Occup. GFlxuT,E�°TSA R= EAS 5.00
Temporary Service
23.00
Mobile Home Facilities 20.00
Misc. Wiring 23.00
PERMIT FEE _
MECHANICAL PERMIT Filing Fee 20.00
Heating
Cooling
Hood
6.50
Ventilation
2 gawallheaters
PERMIT FEE $
Mobile Home Installation Fee $
Energy Inspection Fee $
Occ
CONST. TYPE
TOTAL FEE $ 50.00
HAZ.
-
D. FEES IMP
--- --
FLOOD
----
CDF
---
PARCEL
---
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.
�D �^ U
B Date apt/
P MIT EXPIRES O Q PnIO
efe
Receipt No. 00
WHITE-D.D.S.-B. D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD•APPLICANT
COUNTY OF BUTTE- DEPARTMENT WiDEVELOPMENT SERVICES - BUILDING DIVISI
7 .County Center Drive - Oroville, California 95965 - Telephone (916) 538-754 PERMIT NO.
APPLICATION AND PERMIT S --B1
ASSESSOR PARCEL NUMBER
036-17-6-004
ZONING
BUILDfNGPERMIT
OWNER
AL TALBURT
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
OWNERS MAILING ADDRESS
5266 WALMER ROAD OROVILLE 95966
CONTRACTOR'S NAME
OWNER
TELEPHONE
CONTRACTORS MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
NONE
UNMOWN
Total Valuation $
LENDER'S MAILING ADDRESS
Filing Fee
$ 20,00
Permit Fee
$
ARCHITECT OR ENGINEER
NONE
LICENSE NO.
Plan Checking Fee
$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEERS MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
5266 WALti1ER
_ PERMITFEE $
PLUMBINGPERMIT
Filing Fee 20.00
Each Trap
7.00
LOT No.
SUBDN510N5 NAME
PARCEL MAP
Solar or heat pump water heater
23.00
USE OF STRUCTURE
SF IfXDuplex ❑ Mobilehome ❑ Other
SPECIFY
Water piping
15.00
Each gas water heater or vent
15.00
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
TYPE OF WORK
�L
New ❑ Addition ❑ Remodel ❑ Utilities AX Installation ❑ Other ❑
Describe Work: UPGRADE ELECTRIC SER
SEE 95-2817
Mobile Home I S I GI W @20.00
PERMITFEE S
Contractor
ELECTRICAL PERMIT Filina Fee 2 0:0 0
Main Service EOOV OR LE
( zooA oR LEss )
1 23.00
23. 99
Main Service ( 200A TO I000A )
46.00
LICENSED CONTRACTOR'S DECLARATION
1 hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license is in full force and effect.
License Class Lic. No.
OWNER -BUILDER DECLARATION
1 hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
P'l, 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
NEW CONST. DWELLING OCCUP.
OR ADDNS. ( & ACC. BUDS. )
So.
3.52 FT.
NEW CONST./ MULTI.OUTLET
NON-RESID. \ BRANCH CIRCUITS )
97.50
( & POWER APPARATUS )
SINGLE OUTLET CIR.
Ex. Occup. ( OUTLET OR FIXTURES )
20 O I•00
BAL 0 SO
Ex. Occup. ouTME P S D.OEA
( )
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc . Wiring
23.00 23.00
PERMITFEE
$ 66.00
Contractor
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 Labor Code, for the
performance of the work for which this permit is issued.
❑ 1 have and will maintain workers' compensation insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permit is issued.
My workers' compensation insurance carrier and policy number are:
Carrier
MECHANICAL PERMIT
Filing Fee 20.00
Heating
Cooling
Hood
6.50
Ventilation
PERMITFEE
S
Contractor
Policy Number
(The above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
9—rcertify that in the performance of the work for which this permit is issued, I shall
not employ any person in any manner so as to become subject to workers'
compensation laws of California, and agree that if I should become subject to the
workers' compensation provisions of section 3700 of the Labor Code, I shall
forthwith comply with those provisions.
X �,.� �✓' Date rz -.2e
Signature of Applic ❑ Owner ❑ Contractor ❑ Agent
An OSHA permit is required for excavations over 60" deep and demolition or construction
of structures over 3 stories in height.M"Date
Mobile Home Installation Fee Is
Energy Inspection Fee Is
Occ
CONST. TYPE
TOTAL FEE $ 6
HAZ.
D. FEES
IMP FLOOD
COF PARCEL PD HD
ISSUE
This permit is hereby issued under the
of the Butte County Code and/or
indica above for which fees have
EXPIRES ON 96
applicable provisions
Resolutions to do work
bee paid.
12/26/95
(Date)
FReceiptNo. 190731PERMIT
ITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO.
APPLICATION AND PERMIT
ASSESMARP cELNUM76 oO
ZDteNO
BUILDING PERMIT
OWNER ' h�
TELEPHONE
SO. FT. OCC. I BUILDING VALUATION
OWNERS MAILINGADORES 11A r �C) tJ I /s -
CO Rs NAME
G I,
TELEPNONE
CONTRACTORS MATING ADDRESS
Fireplace
7TauCnONLENDER
�/
UNKNOWN
Total Valuation $
Fling Fee $
20.00
LENDERS MAILING ADDRESS
Permit Fee $
ARQNrrE OR ENfiLNEEA
ucENSE No.
Plan Checking Fee $
Energy Plan Checking Fee $
ARCHITECT OR ENGINEERS MAWNG ADDRESS
Penalty $
SULDLNGADDRESSS ! n
�O
PERMITFEE $
PLUMBINGPERMIT
Filing Fee 20.00
V a
Each Trap
7.00
LOT NO. SUBONSLONS NAME PARCEL MAP
Solar or heat pump water heater
23.00
Water piping
15.00
USEOFSTRUCTURE
SF Duplex ❑ Mobilehome ❑ Other
SPECIFY
Each gas water heater or vent
15.00
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
TYPE OF WORK
Nev Addition ❑ Remodel ❑ Utilities Installation ❑ Other ❑
ffii
I� �C- e /
Describe Work: 02 i2 01yV19
Se r C C
Mobile Home I S ! GI W 1
1 @20.00
PERMITFEE S
Contractor
ELECTRICAL PERMIT
Filinq Fee 20.00
� !J CJQ
Le
Main Service aDDY OR LESS
( Z00A OR LESS )
23.00
e
Main erAce ( 200A TO IODCA ) I
46.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license is in full force and effect.
License Class LIC. NO.
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
❑ I, as owner of the property, or my employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
❑ 1, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
❑ 1 am exempt under Sec. Business and Professions Code for this
reason
NEW CONST OWELUNG OCCUR
OR ) I
( a ATI.
SO.�
3.5¢ F7. I
CNS.
UTLEBLOS
NEW CONS*. MULTI.OUTLET
NON-RESID ( 8RANCM CIRCUITS )
@7.50 I
POWER APPA ATUS I
(s SINGLE OUTLET CIR.)
I
Ex. Occup. (ourLF OR FIXTURES ) I
I �� - to
FIXED APPLNS OR
Ex. Occup. (OUTLETS (RES10.1 EA ) I
I 5.00
Temporary Service !
I 23.00
Mobiie Home Facilities
I 20.00
Misc. Wirin g _..
23.00 C
a.
I
PERMITFEE S
Contractor
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
❑ 1 have and will maintain workers' compensation insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permit is issued.
My workers' compensation insurance carrier and policy number are:
Carrier
MECHANICAL PERMIT �
Filing
g Fee 20.00
Heating
Cooling
Hood
6.50
Ventilation
PERMITFEE S
Contractor
Policy Number
(rhe above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
❑ 1 certify that in the performance of the work for which this permit is issued, I shall
not employ any person in any manner so as to become subject to workers'
compensation laws of California, and agree that if I should become subject to the
workers' compensation provisions of section 3700 of the Labor Code, I shall
forthwith comply with those provisions.
X Date _
Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent
An OSHA permit is required for excavations 0' deep and demolition or construction
of structures over 3 stories in height. v
Mobile Home Installation Fee Is
Energy Inspection Fee $
occ
CONST. TYPE
TOTAL FEE $
MA$
I D FEES IMP I FLOOD I COF I PARCEL PO MD I ISSUE
This permit is hereby issued under tete applicable
of the Butte County Code and/or Resolutions
indicated above for which fees have been
By Date
ocoulTrvole cc nu
provisions
to do work
paid.
Attention Property Owner:
An "owner -builder" buildifig permit has been applied for in your name and bearing your
signature`.
Please complete and return' this information at' your"*earliest opportunity to avoid
unnecessary delay in processing and issuing your building permit. No building permit will
be issued until this verification is received.
1. 1 personally plan to provide the major labor and materials for construction of the,
proposed property improvement :'YES[ <,-'NO[ -
2. 1 HAVEjVf HAVi'NOT[, ] signed an application for a building permit for the
proposed work.
3. 1 'have contracted with the following 'person (firm) to. provide the proposed
construction:
NAME:
ADDRESS: CITY:
PHONE: CONTRACTOR'S LICENSE NO.
4. 1 plan to provide -portion.s of this work; -but I have hired the following person to
coordinate, supervise, and provide the major work:
NAME:
ADDRESS: CITY:
PHONE: CONTRACTOR'S LICENSE NO.
5. 1 will provide some of the work'but I have contracted (hired) the following persons to
provide'the work indicated:
NAME ADDRESS PHONE TYPE OF WORK
SIGNED:
PROPERTY OWNER:
SOCIAL SECURITY NUMBER:
DATE: 2—
NOTE: This owner -Builder Verification is required by Section 19831 and
.19832 of the California Health and Safety Code.
This verification must be completed and returned to our office before
we are permitted to issue the permit.
OVER
Dear Property Owner:
An application for a building permit has been submitted in your name listing yourself as the builder of
property improvements specified.
For your protection, you should be aware that as "owner -builder" you are the responsible party of record
on such a permit. Building permits are not required to be signed by property owners unless they are personally
performing their own work. If your work is being performed by someone other than yourself, you may protect
yourself from possible liability if that person applies for the proper permit in his or her name.
Contractors are required by law to be licensed and bonded by the State of California and to have a
business license from the city or county. They are also required by law to put their license number on all permits
for which they apply.
If you plan to do your own work, with the exception of various .trades that you plan to subcontract, you
should be aware of the following information for your benefit and protection:
0 If you employ or otherwise engage any persons other than your immediate family, and the work (including
materials and other costs) is $300 or more for the entire project, and such persons are not licensed as
contractors or subcontractors, then you may be an employer.
0 If you are an employer, you must register with the State and Federal Governments, as an employer and you are
subject to several obligations including state and federal income tax withholding, federal social security taxes,
workers compensation insurance, disability insurance costs, and unemployment compensation contributions.
0 There may be financial risks for you if you do not carry out these obligations, and these risks are especially
serious with respect to worker's compensation insurance.
0 For more specific information about your obligations under Federal Law, contract the Internal Revenue
Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your
obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial
Accidents.
If the structure is intended for sale, property owners who are not licensed contractors are allowed to
perform their work personally or through their own employees, without a licensed contractor or subcontractor, only
under limited conditions.
A frequent practice of unlicensed persons professing to be contractors is to secure an "ownerbuildee'
building permit, erroneously implying that the property owner is providing his or her own labor and material
personally. Building permits are not required to be signed by property owners unless they are performing their own
work personally.
Information about licensed contractors may be obtained by contracting the Contractors State License
Board in your community or at 1020 N Street, Sacramento, CA. 95814.
Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm
that you are aware of these matters. The building permit will not be issued until the verification is returned.
S�n'c/lrel
Michail C. Vieira, C.B.O.
Manager, Building Inspection
NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code.
RESIDENTIAL'
036-176-004 PERMIT#95-2817
TALBURT, Al
5266 Walmer Rd., Oroville
Cont; John Wheeler
Replace Roof Structure/SF
F
i t
W
i.
f
4�me;��
,JOB FINALED (Dat —
t Signature
1 'f�
f _
V=OK
O = Not OK
= Not Applicabre
=Not Ready MOBILE HOMES
Date MOBILE HOME UTILITIES (Plans) OK except #'s
1. Zoning Requirements - Setbacks,- Easements a
2. Soils; Special MH Support Sketch
3. Sewer, Location -Test -Fall -C/O -Concrete
4. Water, Location -Test -Easement Needed (Sketch)
r_
MISCELLANEOUS
Date
5. Electricity; Location-Clearances-Gmd-/ /Amp -Concrete
6. Gas; Location-Test0rap; / PL'ft.
/ /Nat. or/ /"Lt./ /LPG
7. Well Clearance & Disconnect
8. Utility Clearance
4. Wood Awn.; Posts-Beams-Rttrs.-Connectors
Shthg.-Rfg: Bracing
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
MOBILE HOME INSTALLATION (Plans) OK except #'s
1. Zoning Requirements- Setbacks Easements '
2. Footings; SizeSpacing-Manage Line
3. Gas; MH Test-DemandVahe-Connector
4. Electricity; MH Test -Crossovers -Breakers -Clearances '
5. Drain; MH Test -Fall -Flex Connector
Date
6. Water; MH Test -Regulator -Connector
Date
7. Water and Sewer Connected -C/O to Grade -HD Approval
Date
8. Gas and Electricity Tagged
9. Tie Downs -Type -Installation Cert.
10. Exits; Insp.-Sketch
11. Cert of Occupancy
4. Elec.; Receptacles and Lighting, Distance-GFI
5. Elec.; Pool Lighting; 15 Volts-GFI
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
r_
MISCELLANEOUS
Date
DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s
1. Zoning Requirements -Setbacks -Easements
2. Footings; Soils-Size-DepthSpacing-Connectors-Steel
3. Decks; Girders and/or Joists-Decking-BracingStairs-Rails
4. Wood Awn.; Posts-Beams-Rttrs.-Connectors
Shthg.-Rfg: Bracing
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Carports; Windows -Doors
7. Electric
8. Frrng.; Sils-AnchorsStuds-Rftrs-Trusses
9. Siding; Nailing -Veneer -Stucco -Mesh
10. Roof; Shthg-Roofing
11. Ext.; Steps -Doors -Landings
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
POOLS (Plans) OK except #'s
1. Setbacks -Easements
2. Soils; Compaction -Structure Stability
3. Pool Structure; Steel -Connections -Thickness
Dead Men -Lining
4. Elec.; Receptacles and Lighting, Distance-GFI
5. Elec.; Pool Lighting; 15 Volts-GFI
6. Elec.; Enclosures; Conduit Entries -Terminals -Listed
7. Elec.; Bonding; Metal w/6 -Circulating Equip. -Heater
8. Elec.; Grounding; Equip. w/9 Circulating Equip. -Pool LBhtgq.
Boxes-Enclosures-Panelboards-Ins. to Main in Conduit
9. Health Department Approval
10. Plumb.; Cir. Test -Water Supply Test
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
I
J=OK
O = Not OK
= Not Applicable
Not Ready RESIDENTIAL- (Sirxgle
=
Date UND FLOOR (Plans) 'OK except N's
Zon ing-Setbacks-Easements-Flood-Slope
2. Ftg., Main; Soils-Elec. Grnd.-/ P' Ftg. Depth
3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ P' Ftg. Depth
4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth
5. Stemwalls, Main; Steel-Blockouts-Wrapped I
6. Stemwalls, Garage; Steel-Blockouts-Wrapped
6a. Hold Downs and Special Anchors
7.feel-Wrapped
eplace Ftg.-Steel
9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test
10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test
11. Water Pipe; Test -Anchor -Regulator -Service Test
12. Electric; Underground
13. Pienums & Ducts; Clearance -Material -Support -Ins.
14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
15. Access & Ventilation
16. Insulation
Date &�ard B-1 Date Card B-1
Date I Card B-1 Date Card B-1
Date PLUMBING (Permit),OK except ft's
16. - Water Htr.: Vent -Access -Combustion Air -Baffle
-------------------------------------- ------------ - - --- - - - - - - -----
17. Water Pipe: Test & Anchor -Nail Protection
---------------------------------
18. D.W.V : Test -Fittings & Anchor -Nail Protection
--- ------------------------------------------------------
-19. Shower Pan: Test. First Floor -Tub Access
20. Test Tub & Shower. Second Floor -Tub Access
--------------------------------------------------------------
21. Gas Pipe: Size & Anchors
-------------------------------------------------------------- ------ ---- -- ---
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date ELECTRICAL (Permit) OK except n's
22. Fixture & Transformer Clearance -Ins. Protection
------------------------------------------------------------ -
23. Elec. Receptacles Spacing -Lights & Switches at Doors
------ - ----- -- ---- - - -- ------------ --------
24. Size Boxes & No. of Conductors -Stapled
---------------------------------------------------- .._--- --
25. Romex Installed Close to Edge of Studs & C.J.
---------------------------------------- --------------- ----- - ----._. ..
26. Equip. Ground made up wrMech. Fastners-Bond Gas & Water
----------------------------------
27. 2 Appliance Circuts in Kitchen & Conductor Size,GFI
-------------------------------------- ----- --- --- --
28. Subfeed Wire Size ga. Cu or AI-A.C. Wire Size ga.
Cu or At
----------------=------ --- ------ ........... ......... ..
29. Range Circ. / , ga. Cu or Al -Oven Circ. / i ga. Cu or Al.
Insulated Neutral ❑ Yes ❑ No
------- -- - ---------------------------------- - _----- ..
30. Service -Riser Conductors & Ground -Main Disconnect
------------- ----- ----......_... ....... ...
31. Equip. Clearances Panels-Motors-Mech. Equip.
------------------ - .......... ..... - -- . --------_. ....... ... ... .......
32. Clothes Closet Light -Shower Light -Spa Light
-------------- ---------------------------.----- -----------
33. Smoke Detector
------------------------------ --. ---- ---- ....... ... ... ....... .
Date Card B-1 Date Card B-1
----------------------- ----- --------- ..------- _. ... _ _ ...
Date Card B-1 Date Card B-1
Date MECHANICAL (Permit) OK except n's
34. A.C. Ducts Insulation & Support
----------- --- _._... ..
35. Vent Fan: Exhaust above nsulation
----------------------- ------- -. _ --- --- ........... ..
36 Condensate Dram & Overflow:. Sze & .Grade
------ - ....... ........ ....... ... ..... . .
37 Furnance-Vent: Access -Comb. Air -Return Air Vent -115 outlet
38 Attic Access & Platform if Furnance in Attic
------------- --- --. _ .. - . .. . ... .
Date Card B-1 Date Card B-1
-- -- --..... ....... ... ... . ... . ..... .. _.
Date Card B-1 Date Card B-1
Date FRAMING (Plans) OK except n's
39. Sits. Proper Material & Anchors
40. Walls Studs -Nailing. Spacing & Bracing -Plates -Sound
...... ....... ... ... ..
41 Bearing Walls over Girders & Floor Nailing
42 Draft Stop in Walls (rat proof)
43 Fire Stops. Furred Ce rings -Stairs -Chases -Tub
44. Headers & Beam -Size & Bearing
& Duplex) -
Date FRAMING (Continued)
- --- 45. Hangers -Post Caps -Anchors -Connectors _
(Cing. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Ring.
47. Fireplace Ties or Type A Flue -Fireplace Throat clearance
48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
----- ----- 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions
50. Garage Fire Protection Framing
----------------------------------- -
51. Property Line Firewall & Openings
52. Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits
53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
-----------------
plywood on Roof Overhang -Attic Vents -Rafter Outriggers
-----------------------------------
55. Siding -Nailing Veneer
----------------
------------------------- ------ -
56. -Stucco Mesh -Drip Screed -Fd. Vents-Underfir. Access
------------------- --
____________ 57. -Glazing Area -Glass Protection -Skylights -Plastic
58. Shear Walls; Nailing -Bolts
-------------
59. Insulation -Walls -Ceilings
60. Infiltration -Walls -Windows
--------------------------------------------------
Date) r' Card --1 _Date - Card B-1
Date Card B-1 Date Card B-1
Date FINAL (Plans) OK except n's
61. Ext. Steps -Door & Sidelight Protection -Landings
------------------- - -
62. Smoke Detector
-----------------------------------------------
63.
----------- ------------------------------63. Furnace: Vents -Clearance -Comb. Air -Connector -
In Garage: Above Floor-Ducts-Mech. Protection
64. Bedroom Exiting
... - - - - - - ------------------------------
65. G.F.I. & Bath Fixtures & Tub Access -Spa
- - - -----.... ----------------- -------
66. Elec. Trim & Subpanel: Breaker Sizes & Labels
---------------------
67. Stags & Rails
- - -- ----------------------
68. Fireplace or Stove: Clearances -Hearth
. --- ------------------------------ ----- -
69 Elec. Outlets at Wood Panel: Int. & Ext.
. - - - ------------------- ---------
70. Kit.Fixt. & Appliance: Grnd.-Air Gap -Cooking Clearance
...... .....-------------------------- ---------- --
71. Elec. Outlets & Receptacles at Kit. Counter
. ... ... ... ..................... ---------
72. Garage Fire Door: Swing -Landing -Closer
...... --- .._ .........------------------- ----- --
73. A.C. Duct in Garage -Damper
.........._....----------------------
----- -----
74. Wir. Htr.: Vents -Clearance -Comb. Air-Connector-P.R.V.
In Garage: Above Floor-Mech. Protection
-------------------------- -----
75. Plb.. Elec. & Mech. Equip. Listed for Location
...... .... -- -----------------------
---------------------- -
76. Elec. Receptacles in Garage: (G.F.I.)-Romex Protection
_
.. ._. ..--------------------------------------------------- -
7,. Insulation -Foam -Looked in Attic ❑ Yes
------ --------------------------------- -----
78. Guard Rails & Deck Construction -Post Caps
--------------------------------------------- --
79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth
Clearance Looked under Floor ❑ Yes
80. Following instld� Drive ❑ Yes ❑ No: Walks ❑ Yes ❑ No:
Planters ❑ Yes ❑ No
. .-----------------------------------------------------
--
81. Stucco: Brown -Finish
.. ... ... _ .. _ .. -- - _ -------- --------------------------------
82 A C Unit: D Disconnect. Electrical. Plumbing
. ... ... ... ... -- - - ---------------- -- ------
83. Vents Above Roof: Plbg.-Appliance-Fireplace.-Clearance to
Openings
..---- -
----------------------- ------
84 Water Well: Disconnect, Electrical. Plumbing
85 Exterior Elec. Trim: G.F.I. Receptacle -Underground
- - ------------------------------
86 Ventilation Throughout House
67 Glass Protection
.. .......----------------------------
88
--------------------------88 Corrections from Previous Inspections
89 Gas Test -Meters Tagged: Gas -Electric
---- ---------------------------------
90. Water & Sewer Connected-CrO to Grade -HD Approval
- ----- ------------------
91 Energy Compliance Certificate -Other Certificates
- -- -- -- ---------------------
---------------
Date Card B-1Date Card B-1
. . ..... ..........------------------------------
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Comments. at Final:
COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION
7 County Center Drive - Oroville, California' 95965 - Telephone (916) 538-7541PERMIT NO.
�5
APPLICATION AND PERMIT - 179/ 7
ASSESSOR PARCEL NUMBER 036-176-004
R-1 ZONING
BUILDING PERMIT
OWNER AL TALBURT
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
OWNERS MAILING ADDRESS
5266 tidALMER RD OROVILLE,
CONT. 81000.00
CONTRACTOR'S NAME
JOHN WHEELER
TELEPHONE
1534-9449
CONTRACTORS MAILING ADDRESS
P.Q.
Fireplace
CONSTRUCTION LENDER
UNIQIOWN
Total Valuation Is
Filing Fee
$ 20,00
LENDERS MAILING ADDRESS
Permit Fee
$ 99 00
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEERS MAILING ADDRESS
Penalty
$
BUILDINGADDRESS 5266 WA12-IRR RD
PERMITFEE
$
OROYTUE, 95966
PLUMBING PERMIT
Filing Fee 20.00
Each Trap
7.00
LAT NO.
SUBDIVISIONS NAME
PARCEL MAP
Solar Or heat pump water heater
23.00
USE OF STRUCTURE
SF CR Duplex ❑ Mobilehome ❑ Other
SPECIFY
Water piping
15.00
Each gas water heater or vent
15.00
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel [R Utilities ❑ Installation ❑ Other ❑
Describe Work: _ IRFPT.ACE ROOF STRUCTURE
Mobile Home I S I G W
@20.00
PERMITFEE
g
Contractor
ELECTRICAL PERMIT
Filina Fee 20:00
Main Service / a0OV OR LESS
200A OR LESS )
23.00
Main Service ( 200A TO +000A )
46.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,(
and my license is in full force and effect.
License Class Lic. No. Sib �O`1 �'1 `7
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
❑ I, as owner of the property, or my employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
❑ I, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
❑ 1 am exempt under Sec. Business and Professions Code for this
reason
NEW CONST. DWELLING OCCUR
OR ( 8 ACC. BUDS. )
SO.
3.50 FT.
CNS.
NEW CONST. MULTI -OUTLET
NON-RFSID. ( BRANCH CIRCUITS )
97.50
POWER APPARATUS )
8 SINGLE OUTLET CIR.
Ex. Occup. (OUTLET OR FIXTURES )
20 Q +.50
�L
Ex. Occup. DUTLEEDrs RES D.) EA
( )
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
PERMITFEE
$
Contractor
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
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' c pe sation insuranc carrier and policy number are:
-
Car rier c (Il , ` t
C
MECHANICAL PERMIT
Filing Fee 20.00
Heating
Cooling
Hood
6.50
Ventilation
PERMITFEE
$
Contractor
Policy Number ('2��Z- — –5-
(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
hwith comply JI those provisions.
�� -- — !1 C
X Date �
Signature of Applicant - ❑ Owner Contractor Agent
An OSHA permit is required for excavations over 60" deep and demolition or construction
of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
OCC
CONST. TYPE
TOTAL FEE $ 218.35
HAZ.
D. FEES
_
IMP FLOOD
_
CDF
PARCEL PD HD
I�SU
This permit is hereby issued under the
in the Butte County Code and/or
indicated above for which fees have
By
`
PERMITEXPIRESON
applicable provisions
Resolutionsid to do work
been aid.
_
Dat
p
ata)
Receipt No. 186290
I
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
1
COUNTYOF BUTTE - DEPARTMENTOF DE/ PM ENT SERVICES - BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 -TELEPHONE (916) 538-7541
PERMIT APPLICATION DATA SHEET
OWNER /// 7Q 11 a-ItA. P. No..36 -/7� -DDq
Proposed Building Use 5& A11.414z-1-1 rooT i �rke w' Building Inspector /Z��. Date
At time of per ' pplication, I was advised the following data must be submitted prior to permit processing and/or issuance:
DATE RECEIVED BY
1.
All items have been submitted . ........................................
2.
Plot plans, 3/4 sets, signed by preparer of plans . ..........................
3.
Complete plans, 3/4 sets, signed by preparer of plans . ......................
4.
Engineered plans and calcs, 3/4 sets, with wet signature on plans . .............
5.
Hazardous Material Form . ........................................... .
6.
Energy Design Compliance and supporting documentation . ....... ........... .
7.
Statement of Intent for Non -Heated and A/C Buildings . ......................
8.
Engineered truss details and layout in duplicate (required prior to plan check). ....
° 9.
Mobilehome data and manufacturer's installation instructions, 2 sets. ...........
t 10.
Fees of $ .........�, .1..........---
. .................
11.
Impact fees as shown on attached schedule . ..............................
1 i 12. California Department of Forestry plan approval/fee ..... ............... .
13.}} Floodpelevation letter (100 year flood) by Calif6rningineer. ................. .
n 1 1 t,14.r,Sarlitation
and plot plan approval 1� Health Department . ............
15.
City of Chico plumbing`p`eit. .......................... ............. .
W
Plot plan and business license approval from,Cit0f Biggs/Gridley. .............
17.
Planning approval for (A) Use: " (B) Parking: . ........
{ 18.
Contact Land Development'about (A) Improvements (B) Drainage. .......... .
19. Driveway permit (construction approval repuired prior to occupancy). .. ... .
Pre4nspedion reque
20~Pre-inspection for I ; , required. . to Building inspectorl (Date)
21. Contractors license information. (NW Name Style,IClassification). ...: : ........ .
r 22. Certificate of Workmans Compenstation Insurance . .............. .
23. Owner -Builder Verifidati6nr(6iven to owner_, Mail to owner _). .......... .
Y24. Recorded copy, Qf)Ag�icultural Acknowledgement Statement . ..................
25. Letter of signature authorization. ..... .. .
4 26. Copyoof;recorded deed of parcel creation C and 60 `right of way to a public road. .... .
27. Letter of intent on building,,use. ....................................
28. Mobilehome utility clearance....... .
29. Documentation of legal access....1.•....................................
Documentation of 50%a)A6visidn developed or (A) Road improvements completed
( and (B) ParcielAbet's zoning area and frontage requirements . ...............
31. Existing violations/expired permits. . .
�2:� Plan check list. ...j.V0. -)'!'� .. .4?4�s 5.
btrn.....................
33.
34.
When u issue 06 permit, process as follows: Mail to owner. Mail to contractor.
pTelephone_0 59 and hold for pickup at a ro itLt I { office. Deliver with inspector.
Other
Parcel Creation
Acreage Applicant Date J
Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date
Copy of plans sent Health Dept. Fire Dept. Other Date By
The following data must be submitted prior to permit issuance
1. Index permit for above items No.
2. Additional items required:
(Circle new item not checked above).
Contractor, esigner, owner, was advised of above required data by phone _ mail Counter by _ Date
Con ractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date
Plans checked by Date Plans approved by Date
Sets of plans on hold in File cabinet AP folder
Copy - Department of Public Works