HomeMy WebLinkAbout078-320-039^
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COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-754,1�� ,�PE MIT ��
(Rev. 12/96) APPLICATION AND PERMIT ��,'JJ
ASSESSORPARCELNUMBER
036-440-039
ZONING
BUILDING PERMIT
OWNER
ELWELI, DAVE, AND WII YN
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
ES
p
6S
OWNER'S MAILING ADDRESS
4760' SEACRERST DRIVE OROVILU,
C RAR'S NAME •
TELEPHONE
C4kkRACTO 5 MAIUNG 1 �DDREn
t
CONSTRUCTION LENDER_ !
Fireplace
LENDER'S MAIUNG ADDRESS - I
Total Valuation $
ARCHITECT OR ENGINEER -
LICENSE NO.
Filing Fee $
20.00
Permit Fee $
39.00
ARCHITECT OR ENGINEERS MAIUNG ADDRESS
Plan Checking Fee $
BU GADDRESS
4 SFACREST DRIVE OROVILLE CA 95966
Energy Plan Checking Fee $
$
PERMIT FEE $
59.00
LOT NO.
SUBDIVISION'S NAME
PARCEL MAP
PLUMBING PERMIT
Filing Fee 20.00
USEOFSTRUCTURE
SF Y0 Duplex ❑ Mobilehome ❑ Other
SPECIFY
Each Trap
7.00
Solar or heat pump water heater
23.00
Water piping
15.00
Each gas water heater or vent
15.00
TYPE OF WORK
New CK Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑
Describe Work: ADDITIONAL RE ROOF 'IO BP# 02-1453
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home I S I G I W
920.00
PERMIT FEE $
ELECTRICAL PERMIT
Fee 20.00
RU-SFling
Main Service 2o..OR LESS
23.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license is 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.
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
Main Service zoo. TO ,000A
46.00
NEW CONST. DW %NG OCCUP.
OR ADDNS. ( 8 ACC. BLOB.
SO
3.5¢FT.
NON-FEOSIIDD NICMULTI-OUTLET C..
97,50
POWER APPARATUS
a SINGLE OUTLET Ci..
EX. OCCU OUTLET OR FD(rUREs
�2L @ '.50
Ex. Occup. 0U�rLETSSR.,6.) eA
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
PERMIT FEE S
WORKERS' COMPENSATION DECLARATION
11 eby 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 Fling Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEE $
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
of 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 comp, with those provision
! '
QAnkh Q - v �, _
n tuje of Applicant - Owner Contractor ❑ Agent RA permit is required for excavations over 5'0" deep and demolition or construction
of structures over 3 stories in heigh .
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
coNs I TYPE
TOTAL FEE $ 59.00
HAz.
D FEES IMP
I FLOOD
I CDF
I PARCEL
PD
HD
ISSUE
This permit is hereby issued under the applicable
of the/$� utte ounty Code and/or Resolutions
indicate a v f whi fees have been
By ate
PERMIT EXPIRES ON
provisions
to do work
paid.
e
Receipt No.
WHITE-D.D.S.-B.D. CANARY- SESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-754 PERMIT NO
(Rev. 12/96) APPLICATION AND PERMIT
�a -a7
ASSESSOR PARCEL NUMBER
036-440-039
ZONING
BUILDING PERMIT
OWNER
ELWELL DAVE AND MARILYN
TELEPHONE
-
SO. FT. OCC. BUILDING VALUATION
28 SQ ARES
Q
. OWNER'S MAILING ADDRESS
4760 SEACRERST DRIVE OROVILLE , CA 95966
Cq RACTOR'S NAME t-
!
TELEPHONE
C RACTOR'S MAIUNG DREKS
CONSTRUCTION LENDEIJ
Fireplace
LENDER'S MAILING ADDRESS
Total Valuation Is
1,680-00
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee
$ 20.00
Permit Fee
$ 39.00
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee
$
BUILDINGADDRESS
4760 SEACREST DRIVE OROVILLE
Ener Plan Checking Fee
Energy g
$
$
PERMIT FEE
$ 59.00
LOT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT
Fling Fee 20.00
Each Trap
7.00
USEOFSTRUCTURE
SF K1 Duplex ❑ Mobilehome ❑ Other
SPECIFY
Solar or heat pump water heater
23.00
Water piping
15.00
Each gas water heater or vent
15.00
TYPE OF WORK
New [:X Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑
Describe Work: ADDITIONAL U ROOF BPI 02-1453
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home ISI GI W
@20.00
PERMIT FEE
$
ELECTRICAL PERMIT
Fling Fee 20.00
Main Service .OA OR LESS
23.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license is 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:
O I, as owner of the property, or my employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
j I, as owner o6he property, am exclusively contracting with licensed contractors
to construct the project.
I am exempt under Sec. Business and Professions Code for this
reason
WORKERS' COMPENSATION DECLARATION
1 eby 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 permit is issued.
My workers' compensation insurance carrier and policy number are:
Carrier
TO
Main Service TO
46.00
NEW CONST. DWWELEE OCCUCUP.
OR ADDNS. ( d ACC. BUDS.
SO
3.50FT.
ULTI-
NOµRESID. ANCHOUTLET
97,50
POWER APPARATUS
& SINGLE OUTLET CIR.
EX. OCCU OUTLET OR FDCTUREs
BA0 Q 1 0
Ex. Occup. oFucuTE gLNs 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
PERMIT FEE
$
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
fo with comply with those provision
_ �Q' ���
X __ _
ig at a .f—Applicant - Owner Contractor ❑Agent
An A permit is require for excavations over 5'0" deep and demolition or construction
of structures over 3 stories in heig .
Mobile Home Installation Fee
$
Energy Inspection Fee $
OCC
CONST. TYPE
TOTAL FEE $ 59.00
HAZ.
D. FEES
IMP
ROOD
CDF
PARCEL
I PD
HD
ISSUE
This permit is hereby issued under
of the utte ounty Coe and/or
Indic e a v f whi fees have
By
PERMIT EXPIRES ON
the applicable provisions
Resolutions to do work
been paid.
ate
(Date)
Receipt No.
WHITE-D.D.S.-B.D. CANARY- SESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
NOTES
RESIDENTIAL
1
k PERMIT NO. + �' 02-1453
036-440-039_.:
ELWELL, DAVE &DRR
MARILYN
4760 SEAT ORCH TO ROVING &
f CONVER
REMODEL KITCHEN
_jt
L
I
r
f �
jy, tf
L'
SPECIAL, CONDITIONS
CHECKED
BY
SRA
FLOOD CERTIFICATE REQ.
FIRE SPRINKLERS REQ.
SPECIAL INSPECTION ITEMS
VERIFY
USE PERMIT CONDITIONS
SUB -STANDARD HOUSING LETTER
,tiJ06 FINALED te)
'IA6 L
Signature
F
r
SPECIAL, CONDITIONS
CHECKED
BY
SRA
FLOOD CERTIFICATE REQ.
FIRE SPRINKLERS REQ.
SPECIAL INSPECTION ITEMS
VERIFY
USE PERMIT CONDITIONS
SUB -STANDARD HOUSING LETTER
,tiJ06 FINALED te)
'IA6 L
Signature
./ = OK
A = 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
3.
Sewer; Location -Test -Fall -C/O -Concrete
4.
Water; Location -Test -Easement Needed (Sketch)
5.
Electricity; Location-Clearances-Grnd-/ /Amp -Concrete
6.
Gas; Location -Test -Wrap;/ /" L'ft.
/ P Nat. or / /"L"tt./ PLPG
7. Well Clearance & Disconnect I .
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.
Tie Downs -Type -Installation Cert.
10.
Exits; Insp.-Sketch
11.
Cert. of Occupancy
12.
Permanent Foundation Only; License Decal
Date Card B-1 Date -Card B-1
Date Card B-1 Date Card B-1
'-w
1
MISCELLANEOUS
Date DECKS, COVERS, CARPORTS GARAGES (Plans) OK except #'s
1. Zoning Requirements -Setbacks -Easements
2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel
3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails
4. Wood Awn.; Posts- Bea ms- Rftrs.-Con nectors.
Shthg.-Frg-Bracing
5. Alum. Awn.; Col umns-Connections-Splice- Decal- Enclosures
^
6. Carports; Windows -Doors
7. Electric
8. Frmg.; Sills-Anchors-Studs-Rttrs-Trusses
9. Siding; Nailing -Veneer -Stucco -Mesh '
10. Roof; Shthg-Roofing
11. Ext.; Steps -Doors -Landings
12. Braced Wall Panels
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date
FINAL'(Plans) OK except #'s
1.
Setbacks -Easements
2.
Soils; Compaction -Structure Stability
3.
"e
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/5' -Circulating Equip. -Heater
8.
Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg.
Boxes- Enclosures- Panelboards-Ins. to Main in. Conduit
9.
Health Department Approval
10. Plumb.; Cir. Test -Water Supply Test
11. Light Niche
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
r
1
V= OK
0 = Not OK
- = Not Applicable RESIDENTIAL
= Not Ready
Date Underfloor (Plans) OK except #'s
1�--fning- Setbacks- Ease ments-Flood-Slope
2. 54g., Main; Soils-Elec. Grnd.-/ r Ftg. Depth
3 tg.,arage; Soils-Steel-Elec. Grnd.-/ r Ftg. Depth
4 g., Porches & Decks; Soils -Steel-/ r Ftg. Depth
Z Sternwalls, Main; Steel-Blockouts-Wrapped
6. emwalls, Garage; Steel-Blockouts-Wrapped
6a. Hold Downs and Special Anchors
7. Slab, Steel -Wrapped
8. Pier -Fireplace Fig. -Steel
W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test
10. UF, Gas Pipe; Size Anchors - Yard Gas Piping; Size Test
11. Water Pipe; Test -Anchors -Regulator -Service Test
12. Electric Underground
13. Plenums & Ducts; Clearance -Material -Support -Ins.
14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies
15. Access & Ventilation
16. Insulation
(Single & Duplex)
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
PLUMBING (Permit) OK except #'s
84.
17. Water Htr.; Vent -Access -Combustion Air Baffle
85.
ater Pipe; Test & Anchor -Nail Protection
86.
V.; Test Fittings & Anc r -Nail otection
20. Shower Pan; Test, First Floor -Tub Access
8
21. Test Tub & Shower, Second Floor -Tub Access
22. Gas Pipe; Sixe & Anchors
90.
Corrections from Previous Inspections
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
ELECTRICAL (Permit) OK except #'s
Date
Fixture & Transformer Clearance -Ins. Protection
Comments at Final:
Elec. Receptacles Spacing -Lights & Switches at Doors
Size Boxes & No. of Conductors Stapled
Romex Installed Close to Edge of Studs & C.J.
. quip. Ground made up w/Mech Fasteners -Bond Gas & Water
/,?, 8!�Appliance Circuits in Kitchen & Conductor Size GFI
�kP.-f'Subfeed Wire Size/ / ga. Cu or AI-A.C. Wire Size / / ga Cu or AI
Range Circle / / ga Cu or Al -Oven Circ. / / ga Cu or At
Insulated Neutral I] Yes I] No
rvice-Riser Conductors & Ground Main Disconnect
Equip. Clearances Panels-Motors-Mech. Equip.
Clo es Closet Light -Shower Light -Spa Light
Smoke Detector
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
MF NANICAL (Permit) OK except #'s
A.C. Ducts Insulation & Support
36. Vent Fan, Exhaust above insulation
37. Condensate Drain & Overflow, Size & Grade
38. Furnace -Vent Access -Comb. Return Air Vent 115 outlet
-Air-
39. Attic Access & Platform if Furnace in Attic
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
FRAMING (Permit) OK except #'s
i41 -S -ft Proper Materials & Anchors
94-.�alls Studs -Nailing Spacing & Braces -Plates -Sound
4 aring Walls over Girders & Floor Nailing
-r,f3' Draft Stop in Walls (rat proof)
4yt! Stops, Furred Ceilings -Stairs -Chasers -Tubs
Headers & Beams -Size & Bearing
Date FRAMING (Continued)
Hangers -Post Caps -Anchors -Connectors
ling. Joist-Rftr. Ties- Purlin-Roll Brac.-Truss-Shting.-Rfng.
-replace Ties or Type A Flue -Fireplace Throat Clearance
Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
rm. Windows or Exiting Doors -Sill Ht. & Dimensions
54 -Garage rke-Rrotection Framing
all & Openings
,Doors -One 3' -Check Garage 3rd Story, 2 Exits
5 irs; idth-He droom-Rise-Run-Landing-Fire Protection
Flpwood on Roof Overhang -Attic Vents -Rafter Outriggers
idi55�5� ng -Nailing Veneer
Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access
6��Iazing Area -Glass Protection -Skylights -Plastic
6e%5Fe Walls; Nailing -Bolts
Brace interia Axter2gU
% a e
61. Insulati -W Ceilings
62. Infiltration -Walls -Windows
Date ! 3 a 1 Card B-1 Date Card B-1
Date B-1 Date Card B-1
Date_,, -FINAL (Plans) OK except #'s
Ext. Steps -Door & Sidelight Protection -Landings
moke Detector
65. Furnace Vents -clearance -Comb, Air -Connector -
In Garage; Above Floor-Ducts-Mech. Protection
66 room Exiting
67. G. & Bath Fixtures & Tub Access -Spa
Elec. Trim & Subpanel, Breaker Sizes & Labels
airs & Rails
70. Fireplace or Stove, Clearance -Hearth
71. Elec. Outlets at Wood Panel, Int. & Ext.
t. Fixt. & Appliance; Ground -Air Gap -Cooking Clearance
73/E1ec. Outlets & Receptacles at Kit. Counter
Gar ire Door; Swing -Landing -Closure
A.C.SucI in Garage -Damper
7 ir. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V.
in Garage; Above Floor-Mech. Protection
77. Plb., Elec. & Mech. Equip. Listed for Location
78. Elec. eceptacles in Garage (F.F.I.)-Romex Protection
;a -Foam -looked in Attic
rTVFcrConstruction-Post Caps
44000E-dn. VBents & Crawl Hole Door Drainage & Wood -Earth
Clearance Looked under Floor O Yes
82.
Folio ing Instld./Drive J Yes 0 No/Walks 0 Yes 0 NWPlanters ❑ Yes p No
ucco Brown -Finish
84.
A.C. Unit Disconnect, Electrical -Plumbing
85.
Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings
86.
Water Well, Disconnect, Electrical, Plumbing
x erior Elec. Trim, G.F.I. Receptacle -Underground
8
V tilation Throughout House
Glass Protection
90.
Corrections from Previous Inspections
91.
Gas Test- eters Tagged, Gas -Electric
%Lare
r Connected -C/O to Grade -HD Approval
Compliance Certificate -Other Certificates
ddress Posted
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Comments at Final:
COUNTY OF BUTTE
BUILDING DIVISION
DEPARTMENT O� DEVELOOMENT'SERVICES
411 Main Street - Chico, CA.- (530) 891-2751
7 County Center Drive Oroville, CA - (530) 538-7541
CORRECTION NOTICE'
OWNER PERMIT NO.
A routine inspection indicates that the following violations of butte county Ordinances exist at the
above address and should be corrected. Please notice this office when correction of work is
completed. If you have any questions pertaining to this matter,'or need additional explanation,
please contact this office immediately.
&44
COUNTY OF BUTTE
BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES�'
41 i Main Street hico, CA - (530) 891-2751.
7 County Center Drive Oroville, CA (530) 538-7541
CORRECTION NOTICE
OWNER PERMIT NO.
A routine inspection indicates that.the following violations of butte county Ordinances exist at the
above address and should be corrected., Please notice this office when correction of work is
completed. It you have any questions pertaining to this matter, or need additional explanation,
please contact this office immediately.
-A�
Date Z21 92 Inspector,4_Zg
REV 10/92,
F.
COUNTY OF BUTTE
BUILDING DIVISION
A
DEPARTMENT OF DEVELOPMENT SERVICES
41 i Main Street - Chico, CA - (530) 891-2751.
"R
7 County Center Drive Oroville, CA (530) 53&7541
CORRECTION -NOTICE
OWNER PERMIt kIO.
A routine inspection indicates that the following violations of butte county Ordinances exist at the
above address and should be I corrected. Please notice this office when. correction of work is
completed. It you have any questions pertaining to this matter, or need additional explanation,
please contact this office immediately.
; �_j
Date or/x A Inspector
REV
COUNTY OF BUTTE
BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
41 j Main Street - Chico, CA - (530) 891-2751
7 County Center Drive * Oroville, CA - (530) 538-7541
CORRECTION NOTICE
OWNER PERMIT NO.
A routine inspection indicates that the following violations of butte county Ordinances exist at the
above address and should be corrected. Please notice this office when correction of work is
completed. If you have any questions pertaining to this matter, or need additional explanation,
please contact. this office immediately.
Date
REV
P
. . I Pl . - &�
Inspector _1&a, I
01
, COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive Oroville, California 95965 • Telephone (530) 538-7541 ��PE MIT
(Rev.12/96) APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER
mF,_AA0_mq
ZONING
k. _R
BUILDING PERMIT
OWNER
P. T
TELEPHONE
5 34_-7-0,3
SQ. FT. OCC. BUILDING VALUATION
. OWNER'S MAILING ADDRESS
OPLVILLE, 95966
217 n
CONTRACTOR'S NAME
I^T
TELEPHONE
4 r
CONTRACTORS MAILING ADDRESS
CONSTRUCTION LENDER
,
Fireplace I 'All
1,500.
LENDER'S MAILING ADDRESS 'e.
Total Valuation Is 32.695,
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee
$ 20•00
Permit Fee
$ 304.00
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee
$ -50'
BUILDING ADDRESS
476 F � '•F 1
Energy Plan Checking Fee
$ - 23.00
$
PERMIT FEE
$ 91k4
LOT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT
Fling Fee 20.00
Each Trap
11 7.00 7-00
USEOFSTRUCTURE
SFS] Duplex ❑ Mobilehome ❑ Other
SPECIFY
Solar or heat pump water heater
23.00
Water piping
15.00 15.00
Each as water heater or vent
15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑
Describe Work: CONVERSION OF PORCH TO LIVING, REMODEL
';ITCFF1i 8 �` IDITIOWI SQ. FTG. TO LIVING ROOM
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home I S I G I WF_
@20.00
PERMIT FEE
$ 97 rin
ELECTRICAL PERMIT
Fling Fee 20.00
800V R LE
Main Service 2o.AORLESS
23.00
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.POWER
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.
,l, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
❑ 1 am exempt under Sec. Business and Professions Code for this
reason
Main Service 200A To 1000A
46.00
NEW CONST. DWELLING OCCUP.
OR ADDNS. ( a ACC. Bins.
SO
3.5¢x:In
No"MaD�IOT. MULTI -OUTLET
@7.50
APPARATUs
a SINGLE OUTLET CIR.
Ex. Occup. OUTLET OR FU(TUREs
20 Q 100
SAL p .50
Ex. Occup. oFIx�LEED�A A oE,
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wirin
23.00
PERMIT FEE
$ 35.30
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 Fee 20.00
Heating
Cooling
S
Hood
6.50
Ventilation
L 4
}
PERMIT FEE
$ 61
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.)
Pf 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.
/_
X Date !y �� ^ t7�
Signature of Appl' an - wner ❑ 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 $ 6-00
DCCcorsT.
PE
TOTAL FEE $ 743.90
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This permit is hereby issued under
of the Butte County Code and/or
indicated above for hich fees have
B
PERMIT EXPIRES ON
the applicable provisions
Resolutions to do work
been paid.
Date /Si Dy
s ®3
Dete
Receipt No. 92 $300•oO
WHITE-D.D.S.-B.D. CANARY -ASSESSOR NK -INSPECTOR GOLDENROD -APPLICANT
COUNTY OF BUTTE -DEPARTMENT OFXDEVELOPMENT SERVICES -BUILDING DIVISION
7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140
PERMIT APPLICAITION DATA SHEET
/>
OWNER: i `� I -AS$ESSORPARCEL NUMBER
Proposed Building Use: , T 1 Je r!couter Technician: Date:
Items required in order to apply for a permit. All boxes MUST be checked OR ed NA in order to apply`
'll .. Plot plans, 3 or 4 sets, signed by the preparer of the;plans.
jy. Complete plans `3 or -4 sets, signed by the preparer of the plans.
❑ 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations.
❑ 4. Engineered truss details and layouts in duplicate. No faxes! -
,5. Energy compliance design and supporting documentation in duplicate.
❑ 6. Manufactured homes: (A) Data sheets and installation instructions, (B) Marriage line information, (C) Floor Plan, (D) Tie down or
foundation plans, all in duplicate.
❑ 7. Metal buildings: (A) Metal Building Plans, (B) Foundation plans and calculations in triplicate, (C) Elevation views in triplicate.
(D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer.
Items required for initial plan review. If checked items have not been received, plan review cannot proceed. The permit will be
indexed and returned to the plan review line-up when required items are received.
Date Received By
tA 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate ................................
❑ 9. Plot 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 .....................................
❑ 12. Hazardous Material Form...............................................................................
❑ 13. Other
emai ing items needed to issue the permit. (May require additional plan review upon receipt of the following items.)
4. Fees as shown on the attached Schedule of Fees Due Sheet .......................................
�❑ V. Statement of Intent for Non -heated and A/C Buildings ..................................
II .... ® _
�1' & Sanitation and plot plan approval from the Environmental Health Departm nt in r t I
❑ 1 City of Chico Plumbing permit .......................... ................ .
18. California Department of Forestry plan approval C7 paid. Sent by: W
❑ 19. Planning approval for (A) Use: OK(B)Parking: . (C)garc b --112 - (5'7_
❑ 20. Contact Land Development about ❑ Improvements, ❑ Drainage ...............................
❑ 21. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy).
❑ 22. Pre -Inspection for required ................
❑ 23. Contractor's license information. (Number, Name Style, Classification) ................ ......
❑ 24. Worker's Compensation Carrier and Policy Number ..............:..............................
❑ 25. Owner -Builder Verification (❑ Given to owner, ❑ Mailed to owner) .....................
❑ 26. Letter of Signature authorization....................................................................
❑ 27. Recorded copy of Agricultural Acknowledgment Statement .................................... a
❑ 28. Manufactured home utility clearance...............................................................
❑ 29. Existing violations and/or expired permits.........................................................
❑ 30. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $
❑ 31. Other:
When issued Telephone 5>31/ OU)n e ( and hold for pickup.
I have been informed of the above items and requirements for obtaining a building permit.
Applicant:
Index permit application for the above items numbered:
Additional items required
6-6- 0:) -
Plan Check Letter
Contractor, designe ,owner as advised of the above data by Xphone, ❑ mail, ❑ counter, byDate: • 15
Contractor, designer, owner, was advised of the above data by phone, ❑ mail, ❑ co to , by Date:
Plans reviewed by:. Date: Plans approved by: Date:
Structural reviewed by -Date: Structural approved by: Date:
Note transfer by: Date:
Yell w:ui ding Division
COUNTY OF BUTTE
DEPARTMENT OF DEVELOPMENT SERVICES_- BUILDING DIVISION
7 COUNTY CENTER.,DRIVE - OROVILLE, CALIFORNIA, 95965 - TELEPHONE (530) 538-7541
r SCHEDULE OF FEES -DUE -
OWNER.
EES DUE OWNER. I .� 1 I A.P. #0
POP SED BUILDING USE `a 4- V,ei � DATE
t- RECEIPT # . DATE REC.
� BUILDING PERMIT FEES
--Balance Due ........................................................ $
--Additional Fees Due..............................................
--Additional Fees Due ..........:........................:.:.......$
--Revised Plan Checking Fee... ................................ $
2. SCHOOL DISTRICT FEESl=�
(paid at District Office)
7
3. SHERIFF FEES (paid at Building Division)
Residential .................................... x $360.00 = $
Units
Commercial (sq. ft) .............:........ x $0.03 = $
Sq: ft.
4.'. URBAN AREA FEES
Residential ............................ x _ $
# Units Amt.
Commercial.(Sq. ft.) .............. x $
Sq. ft. Amt., . $
;(
5: RECREATION DISTRICT FEES t 1 r
6. THERMALITO DRAINAGE DISTRICT FEES
$510.00 (paid at Building. Dtv-'sion
)
(I!� 7. SRA FIRE INSPECTION AND PLAN CHECK /� / I
$89:00 (paid at Building Division) 53 qT to - C� -GL
8. WATER TENDER FEES (Battalion, )
$200.00 (paid at Building Division)
9. CSA 87 TRAFFIC FEE
$2500:00 (paid at Building Division)
10. OTHER
At time of permit application, I was advised the above fees are required to be paid prior to issuance of the building permit. These fees
may be changed during the plan checking•process.
APPLICANT i'///.�.�/������>� DATE
Pursuant to. Government Code Section 66020, you are hereby notified that items 2,.3, 4, 5, 6, 7, 8, 9, and 10 above may have been
imposed on your' project. You have 90 days from.the'date of approval of the projector from the imposition of the above mentioned
items during which you may protest. The requirements for a protest are specified in Government Code Section 66020(a).
Original - Building Div. 2nd Copy - Applicant 3rd Copy - Owner (Rev. 6/00)
Its 7fD^ry� ;�i: r u
V'r
School District
A.P. Number
Property Owner
BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM
(One form per Building)
oym tl T Building Department No.
—Q� Jurisdiction: city, County
Prope�\L tion/Address
Subdivi n
i Lot No.
:..............................................................................................................
Residential Development\
No of Living
Mobile Home
Addition 'Supplemental to
Units
Installation
Conversion Permit #
'(No foundation inspection)
i...................................................................................................................
Commercial/Industrial
New
Addition
l
Building DIEpartment Representative
Plans reviewed by School District
k
J
U
i Sq. Footage
4 AR
(Group R)
Sq. Footage
(Including Exterior
Roofed Areas)
ll/
Date
District Identification No. �52%8
OZA� School District certifies that
(Applicant)
U/
2�
�
I A
(Street Address) , �� (Phone Number)
(City) (State) (Zip Code)
has complied with the requirements of Resolution No. Q�—i,� —/j% by payment of $ 41A
representing 4k-3,? square feet.
School District Representative
Paid by Check #
Remarks:
AB 2926 $
FULL MITIGATION $
Date
Notice: You may protest the imposition of the fees identified above by submitting a written protest to the District, in compliance with
Government Code Section 66020(a), within 90 days from the date fees are paid. Failure to submit a timely written protest will prohibit
you from challenging the imposition of the fees in any court action.
If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is
notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act (CEQA),
this project may be subject to additional school fees to fully mitigate its impact on the school district's schools.
White (applicant), Yellow (building department), Pink (school district) feeform.xls 00/98)dmm
t
i
A. P. # 65b Address 4%0 Advo
Owner
Owner's Addres �sUiw
Owner's Phone No. Supervisoral District..
Tenant's Name Phone No.
Type of Violation in Detail with Code Section Priority No. —�-/
Disposition For Citation Citation
Date (Date)
Department Recommendation to Court}
Court Action
Notice of Violation Recorded
(Date)
Building Inspector must draw a plot plan with all buildings and violations:
Additional comments from Building Inspector:
OVER
y
PQQNT�Y. QV TE�
BUILDING DIVISI1014
DEPARTMENT OF DEV911-OPMENT SERVICES?'.
14Q9 Hurnl3oldt Road, Chico, CA -_ (9,16) 891-2751'�-
7 County Center Drive, Oroville, CA' 5J8-7541
747 Elliott Road, Paradise, CA - (916) 872- 307
CORRECTION NOTICE
OWNER PERMIT NO.
A routine inspection indicates that the following violations of Butte County Ordinances exist at
the above address and should be corrected. Please notify this office when correction of,work
is completed. If you have any questions pertaining to this matter, orneed additional explanation,
please contact this office immediately.
I L/ i Z4 el
14 &-Z"k r
Date W/,( Inspector
I V
REV 10/92
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