Loading...
HomeMy WebLinkAbout078-380-007�r.. 3300-91B 079"_ v O--00 7 V't1NG ,Hue'' 2564 Oak•Rnoll Way, Oroville (.covered patio/sf) r.. - , B08-0169 078-380-007 d` - MISCELLANEOUS Wall Furnace REPLACE WALL FURNACE 2564 OAK KNOLL WAY Q YANG, HER IQ� it 67 t� c a< \ ':tt ���� c���'���© BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #:(530) 539-:7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #:(530) 538-7541 FAX#: (530) 538-2140 WEBSITE:. www.buttecounty.net\dds PROJECT INFORMATION Site Address: 2564 OAK KNOLL WAY Owner: Permit NO: B08-0169 APN: 078-380-007 VANG, HER Issued Date: 02/01/2008 By. KCG Permit type: MISCELLANEOUS 2564 OAK KNOLL WAY Subtype: Wall Furnace OROVILLE, CA 95966 Expiration Date: 01/31/2009 Description: REPLACE WALL FURNACE Occupancy: Zoning: AR 0. Contractor Applicant: Square Footage: BROWN JOHN HEATING AND AIR BROWN JOHN HEATING AM Building Garage RemdUAddn 1024 REGENCY DRIVE 1024 REGENCY DRIVE CHICO, CA 95926 CHICO, CA 95926 (530)592-9277 (530)592-9277 Other Porch/Patio Total FEE INFORMATION DBM Heater (Wall) $59.00 Total Charged: $59.00 Fees Paid: $59.00 Balance Due: $0.00 Receipt No: B6232 LICENSED CONTRACTOR'S DECLARATION OWNER / BUILDER DECLARATION Contractor (Name) State Contractors License No. / Class / F_rpires I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License BROWN JOHN HEATING AND / 825622 / C20 / 10/31/2009 Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed I HEREB FFIRM UNDER PENALTY OF PERJURY that I am licensed under provisions of Chapter 9 (cemme i g with Section 7000) of Division 3 of t e Business and Professions Code0, and my license pursuant to the provisions of the Contractors License Law [Chapter 9 (commencing with Section 7000) s in full or and effect. of Division 3 of the Business and Professions Code] or that he or she is exempt therefrom and the X basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil of not more than five hundred dollars 02/01/2008 penalty [$500]; Please check one of the following: Contract s &ature I Date I, AS OWNER OF THE PROPERTY, OR MY EMPLOYEES WITH WAGES AS THEIR SOLE COMPENSATION, WILL DO THE WORK, AND THE STRUCTURE IS NOT INTENDED OR OFFERED FOR SALE (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of the property, who builds or improves thereon, and who does WORKERS' COMPENSATION DECLARATION I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: HAVE AND WILL the work himself or herself or through his or her own employees, provided that such improvements ❑I MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR are not intended or offered for sale. If, however, the building or improvement is sold within one WORKERS' COMPENSATION, as provided for by Section 3700 of the Labor Code, for the year of completion, the owner -builder will have the burden of proof that he or she did not build or performance of the work for which this permit is issued. improve for the purpose of sale.). I HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Code: action 3700 of the Labor Code, for the performance of the work for which this permit is issued. My Workers' Compensation insurance The Contractor's License Law dows not apply to an owner of the property who builds or improves carrier and policy number are; thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Carrier: State Fund Policy Number: 238-0002295 Fxp, Date:02/01/2008 Contractor's License Law.). (This section need not be competed if the permit rs or one hun re dollars ($100) or ess. ❑ I AM EXEMPT under Section B. 8 P.C. for this reason: ❑I CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED, I shall not employ any person in any manner so as to become subject to the Workers' Compensation laws of California, and agree that if I should become subject to the workers' X 02/01/2008 comp sation provisions f Section 3700 of r Code, I shall forthwith comply with those Owners Signature Date pro, i S. X 02/01/2008 I hereby certify that I have read this application and state that the above information is correct. I agree to comply with all City and County ordinances, rules, regulations, and Slate laws relating to building Signature Date WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless Butte County, its officers, agents and employees from any and all claims and liability for personal AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, injury, including death, and property damage caused by, arising out of, or in any way connected with the issuance of this permit. I hereby acknowledge that issuance of this permit does not authorize the DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte ATTORNEY'S FEES. County to enter the above mentioned property for inspection purposes. I hereby certify that I am the party o or am authorized to act on the property owner's behalf. CONSTRUCTION LENDING AGENCY 'jam 02/01/2008 Sffimefof 1 HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for Perrot ee [SIGN] Print Date the performance of the work for which this permit is issued. (3097 civ. code) Owner Contractor OR. Agent for Owner Agent for Contractor FILE COPY Lenders Address City State zip BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION* OFFICE #: (530) 538-7541 FAX #: (530) 538-2140 A FEE WILL BE REQUIRED AT TIME OF APPLICATION Website: www.buttecounty.net/dds PLEASE PRINT CLEARLY PERMIT NO. _ BIN N C "When filed, this application and all supporting material becomes subject to the California Public Records Act. All public information related to this application is subject to public inspection and will be posted on the County's website for electronic access. APPLICANT INFORMATION OWNER INFORMATION Last N City First _alne Mailing Address S J City ' State Zip! Phone 5e Fax E-mail Class APPLICANT INFORMATION CONTRACTOR Name City Address f, df City o . c� ae / Zip PhoneyO _ F E-mail zz 5e F-1 Class APPLICANT INFORMATION ARCHITECT/ENGINEER Name City Address Zip City Fax State Zip Phone Fax E-mail State License Number APPLICANT INFORMATION Name Address Q City tate Zip Phone Fax E-mail APPLICANT SIGNATURE X PROJECT LOCATION AP# 6) Property Address D _, City d o WORKER'S COMPENSATION Policy Number Carrier r Nhiring anyone other than licensed contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address DESCRIPTION OR SCOPE OF WORK: l � � Sq FT- Living Garage Open Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): For office use only: Zoning Flood Zone SRA Yes No Occ. Type Const. 5 RESIDENTIAL 36-111-4— 2 —i--- ------ 3300-91B VANG,Hue 2564 Oak Knoll Way, Oroville (covered patio/sf) pi/h l�b/S/ 0- JOB FINALI �- Signature J=OK O = Not OK = Not Applicable Not Ready RESIDENTIAL (Single & Duplex) = Date UNDERFLOOR (Plans) OK except ti'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 -Bloc kouts-Wra pped 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 ti'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 / ga. Cu or AI-A.C. Wire Size ! ! ga. Cu or AI 29. Range Circ. ! 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 ti's 39. Sils. Proper Material & Anchors ------- ------ ------------------------------------------------------- --------- 40. Walls Studs -Nailing. Spacing & Bracing -Plates -Sound -------- ------------------------- --------------------- 41. Bearing Walls over Girders & Floor Nailing --------- ---------------------------------------------------------- 42. Draft Stop in Walls (rat proof) ----------- ---------------------------------------------------------------- 43. Fire -Stops: Furred Ceilings -Stairs -Chases -Tub - ----------------- 44. Headers & Beam -Size & Bearing Date FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connectors 46. Cing. Joist-Rftr. ties-Purlin-root 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 -------------------- -------- - Date _ Card B-1 Date _ Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except ti's 61. Ext. Steps -Door & Sidelight Protection -Landings 62. Smoke Detector 63. Furnace: Vents -Clearance -Comb. Air -Connector - In Garage: Above Floor -Ducts -Meeh. Protection --------------- 64. Bedroom Exiting 65. G.F.I. & Bath Fixtures & Tub Access -Spa ----------- ---------------- 66. Elec. Trim & Subpanel; Breaker Sizes & Labels ---------------- 67. Stags & Rails ------------- 68. Fireplace or Stove Clearances -Hearth ------------ 69. Elec. Outlets at Wood Panel: Int. & Ext. 70. Kit Fixt_& Appliance_Grnd_Air Gap -Cooking Clearance 71. Elec. Outlets & Receptacles at Kit. Counter ------- 72. Garage -Fire Door: Swing -Land ing-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 Protection 77. Insulation -Foam -Looked in Attic ❑ Yes --------------------------------------------- --- ------------- -- 78. -Guard -Rails Rails & Deck -Co 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. Vents Above Roof: PIbg.-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. --- - 89. Gas Test -Meters Tagged Gas -Electric ----------------------------------------- -------------- 90. Water & Sewer Connected -C/O to Grade -HD Approval --------------------- 91. Energy Compliance Certificate -Other Certificates - ------------ Date Date - - - Card -B-1 Card B-1 -- -- --------------------- Date Card B-1 Comments at Final: Date __ _ Card -B-1. Date ----Card B-1 Date Card B-1 J=OK O=Not OK. ='N tReadyable 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-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap: / /" L" ft. / /"Nat. or/ /"L"ft./ /"LPG 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 ,2 -footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Bea ms- Rftrs.-Connectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric mg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date// Card B-1 Date Card B-1 Dat 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 COUNTY OF BUTTE - DEPARTMENT'OF PUBLIC WO PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone: 91E(538-7541 APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 36-111-42 ZONING AR BUILDING PERMIT OWNER HUE VANG TELEPHONE 533-1360 ,SQA FT. OCC. BUILDING VALUATI OWNER'S MAILING ADDRESS 2576T4 OAK KNOLL WAY OROVILLE 95966 CONTRAC R R'S NAME OW TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDERUNKNOWN NONE Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER NONE LICENSE NO. Plan Checking Fee $ ' Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING AOAK KNOLL WAY OROVILLE 564 Permit tee $ 5 .50 PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO.SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE r�,,�X SF [Y Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G W O.O0ea. TYPE OF WORK New❑ Addition Remodel❑ Utilities [I Installation[] Other ❑ Describe work: NEW COVERED PATIO OVER EXISTING SLAB Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 8001 OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑NON-R 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. I DWELLING OCCUP.5i OR ADDNS. ACC. BLDGS. , /20sgft NEW CONST SL ULTI-OUTLET ESI D BRANCH CIRC ITS 2.50 ea) POWER APPARATUS e SINGLE OUTLET CIR. ) Ex. OCCUp(OUTLETS OR FIXTURES 20@50C EAL030 FIXED APPLNS. OR EX. OCCUp. OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. lyirin 9 15.00 Permit Fee $ `L 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. tAI 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 FiIingFee 10.00 Heating Cooling g Hood 3.00 Ventilation Am 3 Permit Fee $ Contractor ,5 I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in c equence of the nting of this per t. Signature of Applicant — Owner ❑ Co roctor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 storie ' height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE rib TOTAL FEE $ ►QZ _ HAz. CUA I PARK SCHL I FLD I CDF I PAR PD I HD• ISSUE This permit is hereby issued under the applicable provi- sions of the Butte County. Code and/or resolutions to do work indicated abo for which fees have been paid. BY (�,67,AE R PUBLIC WORKS Date 0eCE-D.P PERMIT EXPIRES Date 1C7 --'y= C17 100794 6 .— ^ S� Weipt O, YELLOW -ASSN R. PINK -INSPECTOR, GOLDENROD -APPLICANT Fg, COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 1P 7 COUNTY CENTER DRIVE OROVJILhE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 OWNER P u Proposed Building Use PERMIT APPLICATION DATA SHEET 6 Building Inspector Permit No. A. P. No. Ro Date 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. _ Prot p ans In riplicate,.signed by preparer of plans........ 3..orplste-pla cate%triplicate, signed by preparer. of plans . . 4. Complete engineered plans and�calcs, with wet signature on plans .. 5. Hazardous Material Formm....................... 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 ,r� 10. Fees of $ 02 0% Mk..u..nIw* �- �i�C?�........ �� ¢ R'� 11. Chico Urban Area fees paid ....................................... 12. Park fees paid .................................................... 13. School District,fees paid ................ 14. Sanitation approval from ZQA-1:9CID Health Department 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 (Date) 21. Contractor's license information (No., Name Style, Classifications ... 22. Certificate of Workmans Compensation Insurance .................. 23. Owner -Builder Verification (Given to owner to, Mail to owner ❑) ..... 24. Recorded copy of Agricultural Acknowledgment Statement ......... 25 Letter of signature authorizati n Co When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone ,33— /360and hold for pickup at 4Y" office. Deliver w/inspector. nthar OACL-A40 tj LM"339l 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. it/Zf/4W ST S , ,tom 2. Additional items required: .:l - Contractor, designer, owner, was advised of above required data by_phone---jnail—counter by ..date Contractor, designer, owner, was advised of above required data by—phone —ma II—counter by date checked by Date Pl�s approved by Date —Acal l Sets of plans on hold in File cabinet !��AP folder Copy—DPW COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Orovllle. California 95965 - Telephone: 916/538-7541 . APPLICATION AND PERMIT ASSESSOR PARCEL NUMBR13 U_ _ ` ���� `�� `/ `//, 20N1; 9 BUILDING PERMIT OWNER /V TELEPHONE 533 SO. FT. OCC. BUILDING VALUATION M0 C 92- O OWNER'S MAILING ADDRESS ashy ,��� I �A (9 a CONTRACTOR'S NAME CiV N epe TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUC IOaN LENDER UNKNOWN Total Valuation $ Z O Filing Fee $ 10.00 LENDER'S MAILINNG'GAADDRESS Permit Fee $ _31,00 ARCHITECT OR EN CSINEER D ly LICENSE NO. Plan Checking Fee $ �O Energy Plan Checking Fee $ ARCHITECT OR ENGIN//EER''SSMMAILING ADDRESS Penalty $ BUILDING ADDRESS < tl CJ tie a o Permit fee $ 0 PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SFR Duplex❑ Mobilehome❑ Other SPECT FY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 10.00 ea TYPE OF WORK New ❑ AdditiorNz Remodel tiiities ❑ Installation❑ Other ❑ Describe work: — (.ri CoD o ver zXi 5T A) 'S (AA, Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 VOR LE SSAMP OR -LESS 10.00 Main service EA. ADO'L 100 AMP 2.50 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.al OR ACDNS. ACC. SLOGS. / , 2/z¢sgft NEW RES,CONRANCHUTLET NON.R ESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS .&) SINGLE OUTLET CIR. Ex. Occup( OR FIXTURES 200500 9AL03o FIXED APLNS Ex. OCCup. OUTLETS P(RESID.)REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. lyirin 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 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. Contractor MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling 9 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 County of 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. Signature of Applicant — Owner El Contractor ❑ 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 $ Energy Inspection Fee $ occ CONST TYPE S_o TOTAL FEE $ �[o HAZ I CUA I PARK SCHL FLDCDF PAR I PO , HD . ISSUE I I This permit is hereby issued unser sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS Date Receipt No.100I9 (/ie _ A56, s` WHITE-O.P.W.. YELLOW-AeeES50P. PINK -INSPECTOR. GOLD ENROO-APPLICANT COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA 95965 OWNER -BUILDER VERIFICATION Attention Property Owner: Phone: 916-538-7541 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. 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) GLlO� 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 Security Number Date 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. This set of plans and specifications MUST bE kept on the job at all times and it is unlawful t. make any changes or alterations on same with- out written permission from the Department of Public Works, County. of- Butte. i NOTE—All, Materials A Workmanship., Shall Be in Accordance with Recogrnized Good Prcctices and '1 of a quality prescribed 6 the Specified use in the r1, " Uniform Buiiding, Plumbing & Mechanical Codes and l the National Electrical Code. ti /7F 3 1-i> A setback of 5 ft. from the \D property lines and a setback of 50 ft. from the road centerline shall be clear of u" ". ' structures or equipment excgpt for a 2 ft. eave overhang. A46 OV ctE.arZ- or- Act 3300,, 6 = �'¢ 1 ' BUTTE COUNTY `� s�• -�- BUILDING DEPARTIVIEN �4 APPS 1/ED �qk ���ol�wG BU -n -E COUNTY BUILT J14G DEPARTMENT APPROVED Y4 L G�(I5��1��' ®�S "O •C • 02 - SPEGAV ROOF COVERING REQUIRED. OZ Gt ,\ A4 K�l . .2 . KA 4x4` F 4� OA/lIJ6z k a V . <� /pIL) CIO .� • �•,. r Provide approved flan ping at all exterior openings, typioa L 3 IV 0 S 1 Provide 1 bedroom window with minimum open dimensions of 24" high, 20" wide, 5.7 sq. ft. area, and 44" maximum .sill height. BUTTE COUNTY -BUILDING UEPR TI' E+`Y APVD F u o 3� Q IV 0 S 1 Provide 1 bedroom window with minimum open dimensions of 24" high, 20" wide, 5.7 sq. ft. area, and 44" maximum .sill height. BUTTE COUNTY -BUILDING UEPR TI' E+`Y APVD `i\ a COMPLAINANT ADDRESS: _ PHONE NUMBER: - OTHER COMMENTS: I a