HomeMy WebLinkAbout078-360-030t
SHAWN FERRELL �/ {�� 4
3645 Ord Bangor Hwy, oville- ` '7
WyN KA HOMES - If
o Permit#4021-83B(addition/SF)- ; 1134-72 B _•�- a
. _1250-72P"--1
1 0 -3(0 -' O30 1 E
1, 3645 Oro Banger
ti- 1} Hwy.,
, Oroville
(New single famil� c�3 ar�
M1
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Q
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CO
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PERMIT NO. 4021-83B
PERMIT EXPIRES
OWNER SHAWN FMELL
owner
CONTR.
ASSESSOR PARCEL 36-46-46
x `
LOCATION 3645 Oro Bangor Hwy, Oroville, _
y
1
4
4
1�
Temp. Power Pole
r
1 '
Called PG&E
Temp. Elec. Service
i
Called PG&E
Temp. Gas Service
Called PG&E
R JOB FINALED (Date) 2�jq
Signature
i
J dK
0 = Not OK
= Not Applicable MOBILEHOMES
* = Not Ready
MISCELLANEOUS
Date
MOBILEHOME UTILITIES (Plans) OK except #'s
1. Zoning Requirements -Setbacks -Easements
Date
DECKS, COVERS, CARPORTS, ETC. (Plans) OK except #'s
1. Zoning Requirements -Setbacks -Easements
2. Soils; Special MH Support -Sketch
_
2. Footings; Size -Depth -Spacing -Connectors
3. Sewer; Location -Test -Fall -C/0 -Concrete _
3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails
4. Water; Location -Test -Easement Needed (Sketch)
4. Wood Awn.; Posts-Beams-Rfirs.-Connec.-Shthg.-Rfg.-Bracing_
5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete
_
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Gas; Location -Test -Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG
6. Carports; Windows -Doors, -
7. Utility Clearance
7. Elec.
Card -BI
Date Card -BI Date
Card -Bl
Date Card -BI Date
Card -BI
Date
Date Card -BI Date
MOBILEHOME INSTALLATION (Plans) OK except #'s
1. Zoning Requirements -Setbacks -Easements
Card -BI
Date
_
Date Card -BI Date _
POOLS (Plans) OK except #'s
1. Setbacks -Easements
2. Footings; Size -Spacing -Marriage Line
2. Soils; Compaction -Structure Stability
3. Gas; MH Test -Demand -Valve -Connector
3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining
4. Electricity; MH Test -Crossovers -Breakers -Clearances
_
4. Elec.; Receptacles and Lighting; Distances-GFI
5. Drain; MH Test -Fall -Flex Connector
5. Elec.; Pool Lighting; 15 volts-GFI
6. Water; MH Test -Regulator -Connector
6. Elec.; Enclosures; Conduit Entries -Terminals -Listed
7. Water and Sewer Connected -C/0 to Grade -HD Approval
7; Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater
8. Gas and Electricity Tagged
8. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghtg.
Boxes-Enclosures-Panelboards-Ins. to Main'in Conduit
9. Exits; Insp.-Sketch
10. Cert. of Occupancy
9. Health Department Approval
10. Plumb; Cir. Test -Water Supply Test
Card -BI
Date Card -BI Date
Card B-1 Date Card -BI Date
Card B-1
Date Card -BI Date
Card -BI
Date Card -BI Date
= OK
= Not OK
= Not Applicable RESIDENTIAL Single and Duplex)
= Not Ready
Date
UNDERFLOOR Plans OK except N's
Date
FRAMING (Continued)
1.
Zoning requirements -Setbacks -Easements
48.
Property Line Firewall & Openings
2.
Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth
49.
Ext. Doors -One 3' -Check Garage -3rd story, 2 exits
3.
Fig., Garage; Soils -Steel- / /" Ftg. Depth
50.
Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
4.
Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth
51.
Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab
52.
Siding -Nailing -Veneer
6.
Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab
53.
Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access
7.
Piers -Fireplace Ftg.-Steel
54.
Glazing Area -Glass Protection -Skylights -Plastic
8.
D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test
55.
Shear Walls; Nailing -Bolts
9. Gas Pipe; Size -Anchors
10.
Water Pipe; Test -Anchors -Regulator -Service Test
11.
Electric; Underground
12.
Plenums & Ducts; Clearance -Material -Support -Ins.
13.
Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Date
FINAL (Plans) OK except N's
56. Ext. Steps -Door & Sidelight Protection -Landings
Card -BI
Date
Date Card -BI Date
PLUMBING (Permit) OK except N's
57,
Smoke Detector
_
14.
15.
Water Ht.; Vent -Access -Combustion Air
Water Pipe; Test & Anchors -Nail Protection
58.
Furnace; Vents -Clearance -Comb. Air -Connector -
In Garage; Above Floor-Ducts-Mech. Protection
16.
D.W.V.; Test-Fttngs & Anchors -Nail Protection
59.
Bedroom Exiting
_
17.
18.
19.
Shower Pan; Test, First Floor -Tub Access
Test Tub & Shower, 2nd Floor -Tub Access
Gas Pipe; Size & Anchors
60.
G.F.I. & Bath Fixtures & Tub Access
61.
Elec. Trim & Subpanel; Breaker Sizes -Labels
62.
Stairs & Rails
-
63.
Fireplace or Stove; Clearances -Hearth
64.
Elec. Outlets at Wood Panel; Int. & Ext.
Card -BI
Date Card -BI Date
65.
Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance
Card -BI
Date Card -BI Date
66.
Elec. Outlets & Receptacles at Kit. Counter
Date
ELECTRICAL Permit OK except N's
67.
Garage Fire Door; Swing -Landing -Closer
68.
A.C. Duct in Garage -Damper
---
20.
Fixture & Transformer Clearance -Ins. Protection
69.
Wtr. Hit.; Vents -Clearance -Comb. Air-Connector-P.R.V.-
In Garage; Above Floor-Mech. Protection
_
21.
Elec. Receptacles Spacing -Lights & Switches at Doors
70.
Plb., Elec. & Mech. Equip. Listed for Location
22.
Size Boxes & No. of Conductors -Stapled
71.
Elec. Receptacles in Garage; (G.F.I.)-Romex Protec.
--
23.
Ramex Installed Close to Edge of Studs & C.J.
72,
Insulation -Foam -Looked in Attic ❑Yes
-_
24.
Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water
73.
Guard Rails & Deck Construction -Post Caps
_
25.
26.
2 Appliance Circuits in Kitchen & Conductor Size
S_ubfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or At
74.
Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance
Looked under Floor ❑ Yes
-
27.
28.
Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or At,
Insulated Neutral ElYes 'I No
Service -Riser Conductors & Ground -Main Disconnect
75.
Following instld.: Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No;
Planters ❑Yes ❑No
76.
Stucco; Brown -Finish
___29.
Equip. Clearances; Panels-Motors-Mech. Equip.
77.
A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet
_
30.
Clothes Closet Light -Shower Light
78.
Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs.
Card B -I _
Card B -I
_Date _ _ Card -BI Date __ ---
Date Card -BI Date
79.
Water Well; Disconnect, Electrical, Plumbing
80.
Exterior Elec. Trim; G.F.I. Receptacle -Underground
81.
Ventilation throughout House
82.
Glass Protection
Date
MECHANICAL (Permit) OK except p's
83.
_
Corrections from Previous Inspections
84.
Gas Test -Meters Tagged; Gas -Electric
31.
32.
33.
A.C. Ducts: Insulation &Support _
Vent -Fan; Exhaust above Insulation__ _
_Condensate Drain _& Overilow; Size & Grade
85.
Water & Sewer Connected -C/O to Grade -HD Approval
86,
Energy Compliance Certificate -Other Certificates
34.
35.
Furnace-Vent;_Access-Comb._Air-Return Air Vent -115V outlet
Attic Access & Platform if Furnace in Attic
Card -BI
Date Card -BI Date
Card -BI
Card -BI
Date
Date _ Card -Bl Date
Date Card -BI Date
FRAMING(Plans) OK except N's
Card -BI
Date Card -BI Date
Card -BI Date Card -BI Date
Comments at Final:
36.
37.
-
38.
39,
40.
Sills; Proper Material & Anchors_
Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound
--------- - ---- ----- -
Bearing Walls over Girders & Floor-Nailing-
loorNailing_39. Draft Stop in Walls (rat proof) _
Fire Stops; Furred Ceilings -Stairs -Chases -Tub
-
41.
42.
43.
44.
45
46.
47.
Header & Beam -Size & Bearing_
Hangers -Post Caps -Anchors -Connectors
Cing. Joist-Rfir. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfnq.
Fireplace Ties or Type A Flue -Fireplace Throat
Attic Access: Size & Romex Protect ion -Draft _Stop -Ins. Baffles
Bdrm. Windows or Exiting Doors -Sill H_gt. & Dimensions__
Garage Fire Protection Framing
-- -
(NOTE: An entry must be made each time youvisit jobsite)
t
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO.
7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 Q "?/ _ ,
APPLICATION AND PERMIT .on
ASSESSOR PARCEL NUMBE
ZONING
BUILDING PERMIT
OWN
TELEPHONE
SQ. FT. OCC. BUILDING VALUATI N
OWNER'S MAILING ADyD�R ES
S/�D
/ 0 1 I (/
CONTRACTOR'S NAME
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation Is
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$ ^ 0
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Penalty
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee
$
BUILDING ADDR 5
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
Solar Water Heater
20.00
Water piping
5.00
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Each qas water heater or vent
5.00
Gas piping system 1 - 5 outlets
5.00
--/ USE OF STRUCTURE
SF Et Duplex ❑ Mobi lehome ❑ Other
SPECIFY
Building sewer
5.00
Mobile Home S G W
10.00 e
,-� TYPE OF WORK
New ❑ Addition L"� Remodel ❑ Utilities ❑ Installation❑ Other ❑
Describe work: D��
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 100 AMP 00V OR ORSLESS
10.00
Main service EA. ADD'L too AMP
2.50
NEW CONST.(DWELLING OCCUP.&
OR ADDNS. ACC. BLDGS.
t
2/20sgft
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
ElNON
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
1, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONSTR U TI -OUTLET 2,50 ea
NON.RES'D BRANCH CIRC ITS
NEw .CONSTIR. ( POWER APPARATUS .&)
RES D. SINGLE OUTLET CIR &)
20@500
Ex. Occup(OUTLETS OR FIXTURES 9AL®30
EX. OCCup. OUTLETS P(RESID )FIXED APLNS. REA.) 1 2.00
Temporary service 10.00
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.
❑ 1 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.
Ivy 1 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 10.00
Heating
Cooling
Hood
3.00
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
liabi ' 'es, judgments, costs, an expenses which may in any way accrue
agains id County nseque f the granting of this permit. d 2
X Date `�^ -
Signature of Applicant — Owner Contractor E]Agent ❑
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
`
TOTAL PERMIT FEE $ b
OCCUP. GROUP
_
TYPE of Co ST.IJNPA;rLI
�
PD
ND
-r
S Eall
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIRECTOR OF PUBLIC
�-
BY
PE04 EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date/ `3,
-7
Receipt No. 09 b V-0
WHITE-D.P.W., YELLOW-ASSeSSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
E
075-360-031
06-0952
PALOMBA, JEAN
ALLEN, J. R.
3651 ORO BANGOR HWY, OROVILLE
Cont-. VEDS ROOFING
RE ROOF
51-PO6
/
t
—
ALLEN, J. R.
4085B *4323B
3253P
—
34 o
3651 Oro -Bangor Hwy,Oroville
f
CONTR: Ladd Const., 1361 Feather
lvd.
River Blvd.-
(new
(new single family)
Oroville
-
*add. footage
�
6
3!
I
078-360-031 06-0952/
l� G $• E ""Cou{pALOMBA,`JEANomo"tg-+�es.
1�! 0 T E S. "0". 7 County f 3 � '•
• i; � 3651 ORO �BANGOR�HWY, OROVILLE
(530) saa-;,(Cont: VEDS ROOFING
' RE ROOF i
...t. ' RESIDENTIAL
t APN: Permit No. ♦ `
Owner.'
* • t Site Address: t -
• 4 «
Contractor .'.hk v��• -
*� !
Type of Permit
t + ►
it
DATE JOS FINALED-
'
n 1 fS1GNATURE: '
' ,�;��R � � . c� ,,,,�,,�1 r::.tj4':t+•4 ,.. �:r:,r. p,a4rsp, :s w •a ,,":w+a:Wif+.•-+
= OK
Not OK
RESIDENTIAL (Single & Duplex)
UNDERFLOOR
1 ZoningSetbacks-Easements-Flood-Slope
2 Ftg Main; Soils-Elec Grnd Fig Dpth
3 Ftg Garage; Soils-Steel-Elec Grnd Ftg Opth_
4 Ftg Porches/Decks, Soils -Steel Ftg Dpth '
5 Stemwalls Main; Steel-Blockouts Wrapped
6 Stemwalls Garage; Steel-Btockouts-Wrapped
61 Hold Downs and Special Anchrs
7 Slab, Steel Wrapped
8 Piers-Frpic Ftg-Steel
9 DWV; Fall -Fitting -Test -2 -way CIO -Sewer Test
10 UF, Gas Pipe; Sz Anchrs-Sz Test
1-L Wtr Pipe; Test-Anchrs-Rgltr-ServiceTest
12 Elec Undrgrnd
13 Plenums & Ducts; Clrnc-MaterialSupport4nsuttn
14 GirdersSills-Anchr Bolts Joists-Vnts-Cripples
15 Acc & Vntltn
16 Insulation
a`
DATE IFRAMING
17 Sills Proper Materials & Anchrs
18 Walls Studs -Nailing Spacing & Braces-PlatesSound
19 Bearing Walls over Girders & fir Nailing
20 Draft Stop in Walls (rat proof)
21 Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs
22 Headers & Beams-Sz & Bearing
23 Hangers -Post Caps Anchrs-Cnncins
24 Ceiling Joist-Rftr Ties-Purlin-Roof Brac TrussShthg
25 Frplc Ties or Type A Flue-Frplc Throat Clmc
26 Attic Acc; Sz & Rmx Prtctn-Draft Stop -Ins Baffles
27 Bdrm Wndws or Exiting Doors -Sill Ht & Dimensions
28 Garage Fire Prtctn Framing -RC Channel
29 Prprty Line Firewall & Opngs
30 Ext Doors -One 3' -Check Garage 3rd Story, 2 Exits
31 Stairs; Width-Hdrm-Rise-Run-Landing-Fire Prtctn
32 Plywd on Roof Ovrhng-Attic Vnts-Rfir Outrgrs
33 Siding -Nailing Veneer
34 Stucco Lath -Weep Screed-Fndtri Vnts-Undrflr Acc
35 Glazing Area -Glass Prtctn-SkyLts-Plastic
36 Shear Walls; Nailing -Bolts
37 Brace Int/Ext Wall pnls
38 lnsultn-W alls-Ceilings
39 Infiltration -Walls Wndws
s a ,
DATE ELECTRICAL
40 Fxtr & Tmsfrmr Clmc4ns Prtctn
41 Elec Rcptcls Spacing-Lts & Switches at Doors
42 Sz Boxes & No Of Cndctrs Stapled
43 Romex Installed Close to Edge of Studs & CJ
44 Eqp Gmd made up w/Mech Fstnrs
45 Gmdng Electrode Bond Gas & Wtr
46 2 Appinc Cires in Ktchn & Cndctr Sz GFI
47 Subfeed Wire Sz ❑CU or DAL
AC Wire Sz va ❑ CU or ❑AL
48 Range Circ ga ❑ CU or ❑ AL
'Oven Circ ya ❑ CU or ❑ AL
Insulated Neutral ❑Yes ❑No
49 Service -Riser Cndctrs & Grnd Main Dscnnct
50 Eqp Clrncs pnls-Motors-Mech Eqp
51 Clothes Closet Lt-Shwr Lt -Spa Lt
52 Smoke Detector
o/.
UAIt_ 1PLUMBING
53 Wtr Htr; Vent-Acc-Cmbstn Air Baffle
54 Wtr Pipe; Test & Anchr-Nail Prtctn
55 DWV; Test Fittings & Anchr Nail Pctctn
56 Shwr Pan; Test First flr-Tub Acc. 1
57 Test Tub & Shwr, 2nd flr - Tub-Acc
58 Gas Pipe; Sz & Anchrs
59 Fire Sprinkler-, Test
60 Yard Gas Piping
`S`
m
DATE IMECHANICAL
61 AC Ducts Insults & Support
62 Vent Fan, Exhaust abv Insults
63 Condensate Drain & Ovrtlw, Sz & Grade
64 Furnace -Vent Acc-Comb Air Rtrn/Vent IIS Outlet
65 Attic Acc & Pltfrm if Furnace in attic
Ole �s
e
FINAL
66 Ext Steps -Door & SideLt Prtctn-Landings
67 Smoke Detector
68 Furnace Vnts-Clrnc-Comb, Air-Cnnctr•
In Garage; abv-flr-Ducts-Mech Prtctn
69 Bedroom Exiting
70 GFI & Bath Fxtrs & Tub Acc-Spa
71 GFI Arc Fault
72 Elec True & Subpnl, Breaker Sts & Labels
73 Stairs, GuardlHandrails
74 Frplc or Stove, Cimc-Hearth
75 Elec Outlets at Wood Pnl, Int & Ext
76 Ktchn, Fxtr & Appinc; Gmd-Air-Gap-Cooking Cimc
TI Elec OutJets & Rcptcls at Ktchn Counter
78 Garage Fire Door, Swing -Landing -Closure
,79 AC Duct in Garage -Damper
80 Wtr Htr; Vnts-DImc-Com Air Cnnctr-PRV; abv fir
Mech Prtctn; LPG Appince Undr House 3' drain
81 Plmb; Elec & Mech Eqp Listed for Loctn
.82 Elec Rcptcls in Garage (GFI) Romex Prtctn
83 Insultn-Foam-Looked in Attic
.84 Guard Rails & Deck Cnstrctn-Post Caps,
85 Fndn Vnts & Crawl Hole Door Drnge & Wood -Earth
86 Clrnc Dmge Planters ❑Yes ❑No
-87 Stucco Brown -Finish
88 AC Unit Dscrinct, Elec-Plmb
89 Vnts abv Roof, Plmb-Appinc-Frplc-Clrnc to Opngs
90 Wtr Well, Dscnnct, Elec, Pimb
91 Ext Elec Trim, GFI Rcptcl-Undrgrnd _
-92 Vntltn thru House
93 Glass Prtctn
_ 94 Corrections from previous Inspctns
95 Gas Test -Meters Tagged, Gas-Elec
-96 Wtr & Sewer Cnnctd-CIO to grade -HD Apprvl
97 Energy Cmpinc Cert -Other Certs
98 Address Posted
- 99. Fire Sprinkler
. =OK
o = Not OK
MANUFACTURED HOMES
" PERMANENT FOUNDATION LJ SOFT -SET
1 Zoning -Setbacks -Easements
2 Soils; Special MH Support Sketch
3 Sewer; Loctn-Test; FaIUC/0-Concrete
4 Wtr; Loctn-Test-Easement Needed -Regulator
5 Elec Loctn-CIrncs-Grnd Amp -Concrete
6 Yard Gas; Loctn-Test-Wrap . Nat O or LPO
Inch Sz Ft Lngth
7 Blckng-. Sz-Spacing-Marriage Line
8 Gas; MH Test-Demand-Valve-Cnnctr
9 Elec MH Cntnty Test-Crossovers-Breakers-Clrncs
10 Drain; MH Test -Fall -Flex Cnnctr
11 Wtr & Sewer Connected -C/O to Grade
12 Gas and Electricity Tagged
13 Tie Downs 0 Foundation 0
14 Exits
IS Cert of Occupancy
16 HUD LabeUInsignia Numbers Serial Numbers
s` � 0
o'`• 0o`er '
MISCELLANEOUS
DATE IDECKS•C0VERS'CARP 0RTS `GARAGES
1 Zoning -Setbacks -Easements
2 Ftgs; Soils-Sz-OpthSpacing-CnnctrsSteel
3 Decks, Girders/Joists-Dcking-Brcing
Stairs-Guard/Handrails
4 Wood Awn; Posts-Beams-Rftrs-Cnnctrs-Shthg
Frmg-Brcng
5 Alum Awn; Columns-CnnctnsSplice-Decal-Enclsrs
6 Carports; Wndws-Doors
7 Electric
8 Frmg; Sills=Anchrs-Studs-Rftrs-Trusses
9 Siding; Nailing-VeneerStucco-Lath
10 Roof; Shthg-Rooting
11 Ext; Steps -Doors -Landings
12 Braced Wall pnis
; a' d
4
DATE IPOOLS
1 Setbacks -Easements
2 Soils; Compaction -Structure Stability
3 Pool Structure; Steel-Cnnctns-Thickness
Dead Men -Lining
4 Elec Rcptcls/Lting; Distance-GFI
5 Elec Pool Lting; 15 volts-DFI
6 Elec Enctsrs; Conduit Entries Terminals-Disted
7 Elec Bonding; Metal w/5'-Crcltng Egp-Htr
8 Elec Gmdng; Eqp w/5' Crcltng Eqp-Pool Ightg
Bokes-Encisrs=pnlboards-Insultn to Main Conduit
9 Health Dept Apprvl
10 Plmb; Cir Test-Wtr Supply Test
11 Lt Niche
12 Enclsr, Fencing -Alarms
13 Bonding, Diving board or Stide
0`sti dr �s`
Pool Drawing
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT
24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO)
OFFICE #: (530) 538-7541
PERMIT NO.
BP060952
PERMITS BECOME NULL AND VOID 1 YEAR FROM THE DATE OF ISSUANCE, OR IF WORK IS DONE IN VIOLATION OF ANY COUNTY OR STATE LAWS.
LICENSED CONTRACTORS DECLARATION
v
I hereby affirm under penalty of perjury that I am licensed under
Issued Date: 04/26/2006 APN: 0�6G- 4 000 `�
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./` 2G�
License Class: C ✓ 1 Licens Number: L/
Site Address: 3651 ORO BANGOR HWY ORO
Date: 0(C ontractor:
Map Index:
Description: REROOF W/COMP (26)
OWNER -BUILDER DECLARATION
1 hereby affirm under penalty of perjury that I am exempt from the
Contractors' State License Law for the following reason (Sec. 7031.5
Business and Professions Code: Any city or county which requires a
Owner: PALOMBA JEAN MARIE
permit to construct, alter, improve, demolish, or repair any structure, prior
3651 ORO BANGOR HWY
to its issuance, also requires the applicant for such permit to file a
signed statement that he or she is licensed pursuant to the provisions of
OROVILLE, CA
the Contractor's State License Law (Chapter 9 commencing with Section
95966-7158
7000) of Division 3 of the Business and Professions Code) or that he or
she is exempt therefrom and the basis for the alleged exemption. Any
violation of Section 7031.5 by any applicant for a permit subjects the
applicant to a civil penalty of not more than five hundred dollars ($500).):
❑ I, as owner of the property, or my employees with wages as their
sole compensation, will do the work, and the structure is not
intended or offered for sale (Sec. 7044, Business and Professions
Applicant: VEDS ROOFING
Code: The Contractors' State License Law does not apply to an
1574 CAMINO DE FLORES
owner of property who builds or improves thereon, and who does
YUBA CITY, CA
such work himself or herself or through his or her own employees,
provided that such improvements are not intended or offered for
95993
sale. If however, the building or improvements are sold within one
530-751-1402
year of completion, the owner -builder will have the burden of
proving that he or she did not build or improve for the purpose of
sale.).
❑ I, as owner of the property, am exclusively contracting with
licensed contractors to construct the project (Sec. 7044, Business
and Professions Code. The Contractors' State License Law does
Contractor: VEDS ROOFING
not apply to an owner of property who builds or improves thereon,
1574 CAMINO DE FLORES
and who contracts for such projects with a contractor(s) licensed
YUBA CITY, CA
pursuant to the Contractors' State License Law.).
95993
❑ 1 am Exempt under Article 3 of the Business and Professions Code
530-751-1402
Date: Owner:
License #: 835646 -
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
Architect:
Labor Code, for the performance of the work for which this permit
l /is issued.
Engineer:
lT I have and will maintain workers' compensation insurance, as
required by Section 3700 the Labor Code, for the performance of
the work for which this permit is issued. My workers' compensation
insurance carrier and policy number are:
Carrier: <2r�
Total Square Ft: 0 S. F.
Policy #: 1:7W (A `% 0
Valuation: $0.00
Census Code:
O 1 certify that in the performance of the work for which this permit is
issued, I shall not employ any person in any manner so as to
become subject to the workers' compensation laws of California,
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.
Date: L4 2-�
Applicant:
61-11
WARNING: Failure to c workers' compensation coverage is,
unlawful, and shall subj n employer to criminal penalties and one
hundred thousand dollars ($100,000), in addition to the cost of
compensation, damages as provided for in Section 3706 of the Labor
code, interest, and attorney's fees.
i
CONSTRUCTION LENDING AGENCY
This permit is herelpy is ed uncLqr the applicable provisions of the Butte County Code and/or
I hereby affirm that there is a construction lending agency for the
of the work for which this is issued (Sec 3097 Civ.)
Resolutions to do hm< indicated bove for which fees have been paid.
�' U
performance permit
Name:
By:„`` Date:
' V
Address:
PERMIT EXPIRES ON:
Date
❑ I hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage,
handling and use of hazardous materials.
❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project.
❑ Attached are copies of the required E.P.A. notification forms.
I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly auth§hzed agent f the own I ree to comply with
all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any offici A m or docu nt of B I hereby
authorize representatives of Butte Coulntyl to enter upon the above mentioned property for inspection purposes.
Print Name:: V P� (`�” 1 ^F_� Signature:
J %
"I /'Z� G
Date: !
❑ Owner ❑ Contractor ❑ Agent for Owner ❑ Agent for Contractor
B. C. Building Permit 01-16-04 pg 1
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT APPLICATION
AND SUBMITTAL REQUIREMENTS
24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834
OFFICE #: (530) 538-7541
A FEE WILL BE REQUIRED AT TIME OFAPPLICA TION
Website: www.buttecounty.net/dds
**PLEASE PRINT CLEARLY**
OWNER INFORMATION
Last NameoN \ D n ��
Name U
first Na e
' �qn
Address -3C.05 t 0166 w
City ,6 6110 0 V 2
State Q
' I
Zip
Phone .�- , 551 —9 t.( g1j
I Fax
E-mail
Lot #
X
For office use T
CONT ACTOR
Name U
j G �
Address •
S714 l0&5S
City
Type Const.
State
Zile
Phones
Lot #
Fax
E-mail
Lic. # 0
3S4ocI
Clat,
X
For office use T
ARCHITECT/ENGINEER
Name
Flood Zone SRA
Address
No
City
Type Const.
State
Zip
Phone
Lot #
Fax
E-mail
State License Number
X
For office use T
APPLICANT INFORMATION
Name
Flood Zone SRA
Address
No
City
Type Const.
State
Zip
Phone
Lot #
Fax
E-mail
X
For office use T
Zoning
Property Address
Flood Zone SRA
I Yes
No
Occ.
Type Const.
Subdivision Name
Map Book
Page
Lot #
Planner
Date Approved:
OVER FOR SUBMITTAL REQUIREMENTS
K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc
PERMIT
NO.
. 0) 5D
BIN #
PROJECT LOCATION
AP# M2. �zPO - ��
Property Address
Cit
Cross Street
- WORKER'S COMPENSATION
Policy Number 1-779670 -7 7 o`_OC9 7O
Carrier
If hiring anyone other than license contractors, a certificate of worker's
compensation must be shown at the time of permit issuance.
LENDING AGENCY
Name
Address
Page 1 of 3
Description or Scope of Work:
Q, Cod � 2- U-R—
Sq FT- Living Garage Open Cov
❑ Structure Built without Permits
❑ Proposed Change of Occupancy
(Note previous use):
EXPIRATION OF APPLICATION
Applications for which a permit has not been issued will expire one
year after the date of application. In order to renew action on an
application after expiration, a new application, plans and fee will be
required.
REQUEST FOR REFUNDS
Refunds can only be made upon written request by the person who
paid the fee. The request must be made prior to the expiration of the
permit and no construction work has been done. Filing fees, plan
check fees for work plan checked and other department costs are not
refundable.
Received by:
-qp
Receipt #.-
Date:
:Date: O`x bap
Amount: 0 J Bldg
SRA
Sheriff
SMIP
Other
Total
REV 8-12-05
el
SUBMITTAL & PERMIT REQUIREMENTS
The following drawings and specifications must be submitted to the Building Division in order to apply for a
permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK.
❑ 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. No graph paper!
❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans (No graph paper!) OR
Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations.
❑ 3. Engineered truss details and layouts in duplicate (if required). No faxes!
❑ 4. Energy compliance design and supporting documentation in duplicate.
❑ 5. Statement of Intent for Non -heated and A/C for Non -Residential Buildings.
❑ 6. Manufactured homes: (A) Installation manual, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans,
all in duplicate
❑ 7. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor
plans in triplicate. All of these must be stamped and wet -signed by the engineer.
❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate (if required).
❑ 9. Site plan and business license approval from the City of Biggs.
❑ 10. Letter of intent for non-residential buildings.
❑ 11. Building Permit Application Without Required Clearances Form
VY4 ❑ 12. Hazardous Material Form (for Commercial Buildings only).
Remaining items needed to issue the permit. Additional items may be required after Plan Check and Planning
review (May require additional plan review upon receipt of the following items.)
❑
1.
Agricultural Buffer clearance and site plan approval from the Ag Commissioner's office (if required).
❑
2.
Impact Fees.
❑
3.
California Department of Forestry plan approval (if required).
❑
4.
NPDES Form.
❑
5.
Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy).
❑
6.
Contractor's license information. (Number, Name Style, Classification).
❑
7.
Worker's Compensation Carrier and Policy Number.
❑
8.
Owner -Builder Verification (if required).
❑
9.
Letter of Signature authorization (if required).
❑
10.
Recorded copy of Agricultural Acknowledgment Statement.
❑.
11.
❑ Legal description from current recorded grant deed, ❑ Copy of M.H. Title, Title transfer , or MCO.
❑
12.
Sanitation and site plan approval from the Environmental Health Department.
If you have questions or would like additional information regarding this process, please contact a
Permit Assistant at (530) 538-7541.
EXPIRATION OF APPLICATION
Applications for which a permit has not been issued will expire one year after date of application. In order to renew action
on an application after expiration, a new application, plans and fees will be required.
REQUEST FOR FEE REFUNDS
Refunds can only be made upon written request by the person who paid the fee. The request must be made within two
years from the date of fee payment on permits not issued, and two years from the date of permit issuance for permits
issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan
check fees -for work plan checked and other department costs are not refundable.
OVER FOR BUILDING PERMIT APPLICATION
K1FORMSWILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 3 REV 8-12-05