HomeMy WebLinkAbout078-270-02192-0002
BILEY, CARLTON
CONTR : OWNER?-"
BIEEY, Carlton 4o0��4880 AUTREY LN OROVILLE �.7$ `��O C 3i83p.
NEW STORAGE'SHED 44880 V-C Rd.: approx 200' S of Inters. V5-VC (W. side VC(
CONTR: James M. Ladd Const.Inc. Orovi:
PERMIT#96-236 1361 Feather River Blvd, Oroville 0
BILEY, Shirley & Carlton (new, single-family)S�
4880 Autrey Ln, Oroville
Reroof/SF
i
r�
,e
E
r
{
f
i
t 036-0.74-009 PERMIT#96-2365
BILEY, Shirley & (Tarlton`"
4880 Autrey Ln, Oroville
:La y Reroof/SF
tf s
_r ;/' (l
COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive - Oroville, California 95965 - Telephone (916) 53 I PERMIT NO.
APPLICATION AND PERMIT
ASSESSOR
ASSESSOR PARCEL NUMBER 036-074-009
ZONING
BtALDING PERMIT
OWNER Sh1Tli'jf & Carlton b16 1leq
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
� �O•�
OWNERS MAILING ADDRESS
"SO ALMEY LN OROVILLE, 95966
CONTRACTOR'S NAME O wj( NMR
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNMOWN
Total Valuation Is
Filing Fee $ 20.00
LENDER'S MAILING ADDRESS
Permit Fee $ •
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee $
Energy Plan Checking Fee $
ARCHITECT OR ENGINEERS MAILING ADDRESS
Penalty $
BUILDINGADDRESS
4880 AIT EY
PERMITFEE $ 55.00
PLUMBING PERMI,T,. -._? Filing Fee 20.00
OROVILLE , 95966
Each Trap 7.00
LOTNO.
SUBDNISION'SNAME
PARCEL MAP
Solar or heat pump water heater 23.00
Water piping 15.00
USEOFSTRUCTURE
SF Q,( 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 r
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑R
Describe Work: — 24S_G.0-T
Mobile Home S G W 920.00
PERMITFEE $
Contractor
ELECTRICAL PERMIT Filing Fee 20.00
Main Service800V OR LESS
( 200A OR LESS ) 23.00
Main Service ( 200A TO 1000A ) X46.00
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:
1� 1, 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 j
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
NEW CONST. DWELLING OCCUR sO.
OR ADDNS. ( 8 ACC. BLDS. ) 3.50 FT.
NEW CONST. MULTI -OUTLET
NON-RESID. ( BRANCH CIRCUITS ) 97.50
POWER APPARATUS
( d SINGLE OUTLET CIR. )
Ex. Occup. (OUTLET OR FIXTURES) BAL ®x 60 ;50
47
EX. Occup. (oFIXED PLNS. OR 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring 23.00
PERMITFEE S
Contractor
MECHANICAL PERMIT Filing Fee 20.00
g
Heating
Cooling
Hood 6.50
Ventilation
PERMITFEE $
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.)
] 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 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.
_
% /
f t �- /(—
Date �
X�_=�_i •, C ��_ � k'�_ -- —
Signature of Applicant - ❑ Owner ❑ Colitract�or ❑ Agent
An OSHA permit is regpired for excavations over 60" deep and demolition or constructionf
of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee Is
Occ
CONST. TYPE
TOTAL FEE $ 55.00
HAZ.
0. FEES
IMP FLOOD
CDF PARCEL PD HO
ISSUE
This permit is hereby issued under the applicable provisions
of the Butte County Code and/or Resolutions to do work
indicated above for whic fees have been paid.
h
�,
BY ti'J Date / ✓ r ►�
PERMITEXPIRESON ' /,:4 1
I I (Date)
Receipt No. �
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
0
COUNTY OF BUTTE -DEPARTMENT OF DEVELIJPMENT SERVICES -BUILDING DMS
7 County Center Drive - Oroville,, 6alifornia 95965 - Telephone (916) 538-7PERMIT NO.
APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER 036-074-009
ZONING
BWfLDING PERMIT
OWNER Shirley & Carlton bsley
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
1 440.00
OWNERS MAILING ADDRESS r
4880 AUTRLY LNOROVILL•E, 95966
CONTRACTOR'S NAME OWNEER
TELEPHONE
CONTRACTORS MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNIDJOWN
Total Valuation is
Fling Fee $
20.00
LENDER'S MAILING ADDRESS
Permit Fee $
35. 00
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee $
Energy Plan Checking Fee $
ARCHITECT OR ENGINEERS MAILING ADDRESS
Penalty $
BUILDINGADDRESS 4880 AUTREY
PERMITFEE $
55.00
PLUMBING PERMIT
Filing Fee 20.00
OROVILLE, 95966
Each Trap
1 7.00
LOTNO.
SUB IONSNAME
PARCEL MAP
Solar or heat pump water heater
23.00
Water piping
15.00
USEOFSTRUCTURE
SF ❑g 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
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑X
Describe Work: —
Mobile Home I S I GJ W I
@20.00
PERMITFEE _
Contractor
ELECTRICAL PERMIT
Filina Fee 20:00
Main ServiceEODV OR LESS
( 200A OR LESS
23.00
Main Service ( 200A TO 1000A )
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
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
NEW CONST. DWELLING OCCUP.
OR ACDNS. ( 8 ADC. )
s0.
3.5Q FT.
NEW CONST. MULTI-OUTLEUTLE T
NON-RESID. ( BRANCH CIRCUITS
@7.50
WER \)
(a SIINGLE OUTLET CIH. /
Ex. Occup. (OUTLET OR FIXTURES)
SAL O 1:w
Ex. Occup. I FIXEDrs PLNS OR
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.
❑ 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
Filin Fee 20.00
g
Heating
Cooling
Hood
6.50
Ventilation
PERMITFEE $
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.)
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 workers'
compensation laws of California, and agree that if I should become subject to the
worker ' compensation provisions of section 3700 of the Labor Code, I shall
fo comply with those provisions.
X _ _Date .,Jo
nature of Applican - O er ❑tor ❑ Agent
An OSHA permit is re ired for excavations over 60" deep and demolition or construction
of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee Is
OCC
CONST. TYPE
I I
TOTAL FEE $ 55.00
HAZ.
I D. FEES
I IMP I FLOOD
I 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
indicate bove for whic fes have been paid.
B to d AP
PERMITEXPIRESON IV I A/
(D e)
Receipt No.
WHITE-D.D.S.-B.D. CANA Y -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
Attention Property Owner:
An "owner -builder" building 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.
I personally plan to provide the major labor and materials for construction of the
proposed property improvement : YES[] NO[ ].
I HAVEK] HAVE NOT[ ] signed an application for a building permit for the
proposed _work.
3: I have contracted with the. following person (firm) to provide the proposed
construction:
NAME:
ADDRESS: CITY:
PHONE: CONTRACTOR'S LICENSE NO.
4. I plan to provide portions 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. I 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 OWNT��4m,6�4��
SOCIAL SECURITY NUMBER:
DATE: !� ()
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 "ownerbuilder"
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.
Sincerely,
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.
OVER
T
RESIDENTIAL
036-07-4-009 92—.0002
BILEY, CARLTON
CONTR: OWNER
4880 AUTREY LN, OROVILLE
NEW STORAGE SHED
a
I-
0
JOB FINALE
Signature
V=OK
O = Not OK
=Not Applicable
Not Ready MOBILE HOMES
' =
Date MOBILE HOME UTILITIES (Plans) OK except #'s
1. Zoning Requirements -Setbacks -Easements
2. Soils; Special MH Support Sketch r
3. Sewer; Location -Test -Fall -C/O Concrete
4. Water; Location -Test -Easement Needed (Sketch)
5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete
6. Gas; Location -Test -Wrap: / /" L" ft.
I / /-Nat. or/ /"L" ft./
7. Well Clearance & Disconnect
8. Utility Clearance
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date MOBILE HOME INSTALLATION (Plans) OK except #'s
1. Zoning Requirements -Setbacks Easements
2. Footings; Size -Spacing -Marriage Line
3. Gas; MH Test -Demand -Valve -Connector
4. Electricity; MH Test -Crossovers -Breakers -Clearances
5. Drain; MH Test -Fall -Flex Connector
6. Water; MH Test -Regulator -Connector
7. Water and Sewer Connected -C/O to Grade -HD Approval
8. Gas and Electricity Tagged
9. Exits; Insp.-Sketch
10. Cert. of Occupancy
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
oning Requirements -Setbacks -Easements
2Footings; Soils -Size -Depth -Spacing -Connectors -Steel
3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails
4. Wood Awn.; Posts- Beam s-Rftrs.-Connectors
Shthg.-Rfg.-Bracing
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Carports; Windows -Doors
7. EI ctric
rmg; Sils-Anchors-Studs-Rftrs-Trusses
9. Siding; Nailing -Veneer -Stucco -Mesh
10. Roof; Shthg-Roofing
11. Ext.; Steps -Doors -Landings
Date SLI 'F Card B- 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, Distances-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 -Panel boards -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
J=OK
O=Not OK
= Not Applicable
Not Ready RESIDENTIAL (;
' =
Date UNDERFLOOR (Plans) OK except 1f's
1. Zoning -Setbacks -Easements -Flood -Slope '
2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth
3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" 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 -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 Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date PLUMBING (Permit),OK except N'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 ti'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 w/Mech. Fastners-Bond Gas & Water
27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI
------------- -----------------------------------------------------------------
28. Subfeed Wire Size / r ga. Cu or AI-A.C. Wire Size r / ga.
Cu or -Al
---------------------- ------
-------------------------
29. Range Circ. ! r ga. Cu or AI -Oven Circ. / / 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 ti's
34. A.C. Ducts Insulation & Support
---------- -----------------------------------------------------------------
35. Vent Fan: Exhaust above insulation
---------------------------------------------------- ----------
36. Condensate Drain & Overflow: Size & 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 4's
39. Sils. Proper Material & Anchors
-------- ------- ---- ----------------------------------------------------------- --
40.
-----------------------------------------------------------
40. Walls Studs -Nailing. Spacing & Bracing-Plates-Sound
-
-------------------------------------------------------------- --
41.
----------------------------------------------------------
41. Bearing Walls over Girders & Floor Nailing
------------------------------------------------------------------
42. Draft Stop in Walls (rat proof)
------- -------------------------------------------------------------
43. Fire Stops: Furred Ceilings -Stairs -Chases -Tub
---------------------------------------------------------------------------------
44. Headers & Beam -Size & Bearing
dingle & Duplex)
Date FRAMING (Continued)
45. Hangers -Post Caps -Anchors -Connectors
46. 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
54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers
_ 55. Siding -Nailing Veneer
56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access
57. Glazing Area -Glass Protection -Skylights -Plastic
58. Shear Walls; Nailing -Bolts
59. Insulation -Walls -Ceilings
60. Infiltration -Walls -Windows
Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date FINAL (Plans) OK except k's
61. Ext. Steps -Door & Sidelight Protection -Landings
62. Smoke Detector
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. Stairs & 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. -Pec. -Outlets & Receptacles at Kit. Counter
---------------------- ---
72. Garage Fire Door: Swing -Landing -Closer
73. A.C. Duct in Garage -Damper
74. Wtr. 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 Protec-ion
----------------------------------------
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: Disconnect. Electrical, Plumbing
- - - -- - ----------------------------
83.
--------------------------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
-- --- ---------------------------
87. Glass Protection
...... ------------------------------
88. Corrections from Previous Inspections
------------------------ -----------------
89. Gas Test -Meters Tagged; Gas -Electric
-- - - - - - - - - - - - - - - - - - - -- -- ------------------------
90. Water & Sewer Connected -C/O to Grade -HD Approval
-------------- ---------------- -----
91. Energy
Compliance Certificate -Other Certificates
------ -----------------------
Date Card B-1
-
-----------------------------
Date Card B-1
Date - - ------ Card -B-1 -
Comments at Final:
Date _ Card B - -i
Date _Card B-1
Date Card B-1
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Orovllle, California 95965 - Telephone: 916.'538.7541
APPLICATION AND PERMIT_W <4 .2
PERMIT NO.
—�-
A33E33ORC N
3�i-074-009
ZONING
R 1
BUILDING PERMIT
OWNER CARLTON BILEY
TELEPHONE
532-9252
SO. FT. OCC. BUILDING VALUATION
193 M 1, 474
OWNER'S MA{L1
80 AUTREY LANE OROVILLE 95966
CONTRACTOR'S NAME
OWNER
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
3,474
LENDER'S MAILING ADDRESS
Filing Fee
$ 15.00
Permit Fee
$ 52.50
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$ 25.25
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
4880 AUTREY LANE OROVILLE
Penalty
$
BUILDING ADDRESS
Permit tee
$ 93.75
PLUMBING PERMIT
Filing Fee 15.00
Each Trap
1 5.00
Solar or heat pump water heater
1 20.00
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Water piping
1 7.00
Each qas water heater or vent
7.00
USE OF STRUCTURE
SF ❑ Duplex❑ Mobilehome❑ Other STORAGE SHED
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
15.00
Mobile Home S I G I W
615.00
TYPE OF WORK
New Qj Addition ❑ Remodel ❑ Utilities ❑ Installation[] Other ❑
Describe work:
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 15.00
Main service 600V OR LESS
200A OR LESS
18.50
Main service 20CATO 1000A,
37.50
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 and my license Is In full force and effect.
License No. Classification
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 CONST.( DWELLING OCCUP.&)
OR ADDNS. ACC. BLDGS. //
3.60 sq.ft.
NEW CONSTR. MULTI -OUTLET
NO N.R ESI 0. BRANCH CIRCU ITS
5•00
POWER APPARATUS e
(SINGLE OUTLET CIR.
Ex. OCCup(OUTLETS OR FIXTURES
20 76
J AL 4F
FIXED APLN S*
Ex. Occup. OUTLETS (PRESID )REA.)
I 3.00
Temporary service
15.00
Mobile Home Facilities
15.00
Misc. Wiring
9
15.00
Permit Fee
$
—
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
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.
Contractor
MECHANICAL PERMIT
Filing Fee 1 15.00
Heating
Cooling
Hood
6.50
Ventilation
permit Fee
$
LContractor
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 Countyot
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
against said unty in conseq&eceof the granting of this permit
J �' �_ ��
Date
Signature of Applicant — Owner Contractor El Agent,
An OSHA
ion of structures toverr3gstoriesoineheight Ions over 5'0" deep and demolition or construct.
Mobile Home Installation Fee $
Ener Inspection Fee $
9Y P
occ
CONST TYPE
TOTAL FEE $ 93.75
HAz
I DFEES 1
=4
FLOOD
I COF
I PARCEL
—
I PD
I HD
ISSUE
This permit is hereby issued under the
sions of the Butte County Code and/or
work indicated ab ve for which fees
I OR F P ELIC
By
PERMIT EXPIR S VDate—�—Q�
applicable provi-
�
resolutions to do
have been paid.
WORKS
Date
Receipt No. 103670
WHITE-D.P.W.• YELLOW -ASSESSOR. PINK -INSPECTOR, GOLDENROD -APPLICANT
COUNTY OF BUTTE - DEPARTMENT 0F "Bir IC WORKS - BUILDING DIVISION
V y i ,'{
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIq'95965 - TELEPHONE: 916/538-7541
PERMIT APPLICATION DATA SHEET
OWNER_ ! /A" 0 Y -0 A) 61-tr
Proposed Building Use
w 1 Permit No.
M 7 �1
A. P. No. 36 -- Q —W
Building Inspector` lea Date Z
At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance:
DATE RECEIVED APPROVED
1. All items have been submitted . ....................................
2. Plot plans in duplicate/triplicate, signed by preparer of plans........
3. Complete plans in duplicate/triplicate, signed by preparer of plans ..
4. Complete engineered plans and calcs, with wet signature on plans ..
5. Hazardous Material Form ..........................................
6. Energy Design Compliance and supporting documentation .........
7. Statement of Intent for Non -Heated and AC Buildings ..............
8. Engineered truss details and layout in duplicate (required prior to plan check-)
9. Mobilehome installation data including manufacturer's installation
instructions.......................................................
10. Fees of $ ........................
11. Chico Urban Area fees paid .......................................
12. Park fees paid ....................................................
13. School District fees paid ..............
4. Sanitation approval from nkC;w11 Health Department `3 —
15. City of Chico plumbing permit .....................................
16. Plot plan and business license approval from City of
(see City for other requirements)
17. Planning approval for (A) Use: (B) Parking: ......
18. Improvements may be required. Contact Land Development Section DPW
19. Driveway permit (construction approval required prior to occupancy)
20. Pre -Inspection for required Pre-Inspec. request to
Building Inspector
21. Contractor's license information (No., Name Style, Classifications ..
22. Certificate of Workmans Compensation Insurance ..................
•23. Owner -Builder Verification (Given to owner ❑, Mail to owner 0) .....
24. Recorded copy of Agricultural Acknowledgment Statement .........
25. Letter of signature authorization ...................................
26.
27.
(Date)
When you issue the permit, procesjs as follows: Mail to owner. Mail to contractor.
_ V Telephone 531 — 915, nd hold for pickup at office. Deliver w/inspector.
Other
Applicant;; . .Date_ Z ' Z
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: (Circle new item not checked above).
1. Index permit for above items No.
2. Additional items required:
Contractor, designer, owner, was advised of above required data by_phone---naiI—counter by .date
Contractor, designer, owner, was advised of above required data by —phone _maII—counter by date
Plans checked by 54A) Date z Plans approved by r3U.) Date
Sets of plans on hold in File cabinet AP folder
Copy—DPW
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Orovllle, Dallfornia 95965 - Telephone: 916.'538-7541
APPLICATION AND PERMIT
1� 3
PERMIT NO.
ASSESSOR PARCEL NUMBER
% —
ZONING
Xj — /
BUILDING PERMIT
OWNER- 1
2! Q N
TELEPHONE
L6.3z- V5
,SQ, FT. OCC. BUILDING VALUATION
OWNER'S MAl LING0 XESS �
8 8 Y/
CON7R ACTOR'S NAME
Nc.r2
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
I•
Filing Fee
$ 15.00
LENDER'S MAILING ADDRESS
Permit Fee
$ 5d
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$ G 12
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS I/ffoo 11,14- 4110
Permit fee
$
PLUMBING PERMIT
Filing Fee 15.00
62-
Each Trap
5.00
Solar or heat pump water heater
20.00
LOT NO.SUBDIVISION
NAME PARCEL MAP
Water piping
7.00
Each qas water heater or vent
7.00
USE OF STRUCTURE __
SFS I Duplex❑ Mobilehome❑ Other J�VC�G�
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
15.00
Mobile Home S I G I W
@ 15.00
TYPE OF WORK
New Addition [I Remodel❑ Utilities[Installation❑ Other[]
Describe work: _
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 15.00
Main service 600V OR LESS
200A OR LESS
18,50
Main service 200A TO t000AI
37.50
CONTRACTORS LICENSE LAW
I declare under penaltyOR
of perjury (check one):
�] 1 am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license Is In full force and effect.SINGLE
License No. Classification
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)
❑ 1, 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 CONST. DWELLING OCCUP.�\
ACDNS. ACC. BLDGS. /
3.66aq.fc.
NEW RCON .S, D. BRANCH
NON•R ESID BRANCH CIRC ITS
@ 5.00
POWER APPARATUS &)
OUTLET CIR.
EX. Occup(OUTLETS OR FIXTURES
20 7611
FIXED APPLNS.17I,
Ex. DCCUp. OUTLETS IIRESID,)REA.)
I 3.00
Temporary service
15.00
Mobile Home Facilities
15.00
Misc. Wiring
15.00
Permit Fee
$
Contractor
—
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.
MECHANICAL PERMIT
FiIingFee 15.00
Heating
Cooling
Hood
6.50
Ventilation
permit 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 Countyot
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
against said County, in consequence of the granting of this permit.
X Date
Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑
An OSHA q
permit is re uired for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
CONST TYPE
I TOTAL FEE $ Cf
HAz
1 DFEES I
IMP
I ;7 cDF
I PARCEL
PD
HD IssuE
This permit is hereby issued under the
sions of the Butte County Code and/or
work indicated above for which fees
DIRECTOR OF PUBLIC
By
PERMIT EXPIRES Date
applicable provi-
resolutions to do
have been paid.
WORKS
Date
Receipt No. a3 ��
WHITE-D.P.W.. YELLOW-ASSE330R. PINK -INSPECTOR, GOLDENROD -APPLICANT
COUNTY OF BUTTE - Department of Public Works
7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541
OWNER -BUILDER VERIFICATION
Attention Property Owner:
An 'owner -builder" building permit has been applied for in your name and bearing
your signature.
1
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. I personally plan to provide the major labor and materials for construction of
the proposed property improvement (yes or no)
2. I (have/have not) signed an application for a building permit
for the proposed work.
3. I have contracted with the following person (firm) to provide the proposed
construction:
Name
Address City
Phone Contractors License No.
4. ,I plan to provide portions of this work, but I have hired the following person
to coordinate, supervise, and provide the major work:
Name
Address City
Phone Contractors License No.
5. I 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 Securit Number
Date — !�F :2 -
NOTE:
NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and
19832 of the California Health and Safety Code.
This verification must be completed and returned to our office before we are per-
mitted to issue the permit.
.Z-33 -A/3 /1
TO �f r Buildinv Department
FROM: °` Environmental Health
SUBJECT: Sanitation Clearance
9116 d
Owner----- - Location AP#
Plan Approved ,for: Sewage Disposal �_�Water Supply L_
Hold final for: Water Supply
Final clearance O.R. for: Water Supply
ea c for _ e om�tn�•brrl ome! Other 3 ,�
NOTE.***
Sanftari
Date
0
0
NZI
- _
APPROVED
butte "Coon
r --- ZEhvtronmenta! H ,
0.
0� m N
—
r rn o N