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078-380-024
13 y. --' — - ._ - '!— .,— STM, _ - ——,.,,i,r�— _ _ _—���.[._..... .•i•-. _ .. - «— — —'—.. _--,� — -- -- -.. -- -- �•_—^— T ++c.. -nom E� w r' James Dvorak "SEARS, Robert 2678 Oak Knoll Way, Oroville 569-708- N � _ --- c2sntr: Tri Valley Contr Oroville Permit #587-77B(new storage bldg.) �' ='• '� 2678 Oak Knoll Way, Oroville (replace tucco w/vinyl siding) ' Contr: Cherokee Electric'; 7/a.��>7 � /l - /G - 7o i Permit ##3718-77E (ele; ser ch) contr • Acro-Lume, Oroville Pe it #6027-,$OB(F awkupg 1 (�3Cr--i-iz�99�-. 4 '�� F �t <OS -1569 A'• ! ALLEN, MARVIN.' , ,`: • , k '2678 OAK KNOLL:' WAY, �.� ,� 6nt: WEBSTER ELECTR ' ELEC,UPGRADE f k �� a � c+7 � � o �1 O NOTES . .. RESIDENTIAL PERMIT NO. 036-112-OUS 05-1569 ALLEN, MARVIN , 2678 OAK KNOLL WAY, OROVILLE Cont: WEBSTER ELECTRIC ELEC UPGRADE SPECIAL CONDITIONS CHECKED BY". SRA FLOOD CERTIFICATE REQ. FIRE SPR - - - I OFFICE COPY SPECIAL I C 4 VERIFY- I Address__ ; _ - USE PER Metei By Date' SUB STA -ELECTRIC } Meter By Date# 00, JOB FINALED (Date) / Signature - 5 • Y e SPECIAL CONDITIONS CHECKED BY". SRA FLOOD CERTIFICATE REQ. FIRE SPR - - - I OFFICE COPY SPECIAL I C 4 VERIFY- I Address__ ; _ - USE PER Metei By Date' SUB STA -ELECTRIC } Meter By Date# 00, JOB FINALED (Date) / Signature i = OK P = Not OK = Not Applicable = Not Ready RESIDENTIAL (Single & Duplex) Sate UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Fig., Main; Soils-Elec. Gmd.-/ /' Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /' Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab, Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test 11. Water Pipe; Test -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 Date Card B-1 Date Card B-1 Date Card B-1 Date Card 8-1 Date PLUMBING (Permit) OK except #'s 17. Water Htr.; Vent -Access -Combustion Air Baffle 18. Water Pipe; Test & Anchor -Nail Protection 19. D.W.V.; Test Fittings & Anchor -Nail Protection 20. Shower Pan; Test, First Floor -Tub Access 21. Test Tub & Shower, Second Floor -Tub Access 22. Gas Pipe; Sixe & Anchors 23. Fire Sprinkler, Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) .OK except #'s 24. Fixture & Transformer Clearance -Ins. Protection 25. Elec. Receptacles Spacing -Lights & Switches at Doors 26. Size Boxes & No. of Conductors Stapled 27. Romex Installed Close to Edge of Studs & C.J. 28. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water 29. 2 Appliance Circuits in Kitchen & Conductor Size GFI 30. Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or AI 31. Range Circle/ /ga Cu or Ai -Oven Circ. / /ga Cu or AI Insulated Neutral 0 Yes 0 No 32. Service -Riser Conductors & Ground Main Disconnect 33. Equip. Clearances Panels-Motors-Mech. Equip. 34. Clothes Closet light -Shower Light -Spa Light 35. Smoke Detector Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 36. A.C. Ducts Insulation & Support 37. Vent Fan, Exhaust above insulation 38. Condensate Drain & Overflow, Size & Grade 39. Fumace-Vent Access -Comb. Ait-Return Air Vent 115 Outlet 40. Attic Access & Platform if Furnace in Attic Date Cana B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s 41. Sills Proper Materials & Anchors 42. Walls Studs -Nailing Spacing & Braces -Plates -Sound 43. Bearing Walls over Girders & Floor Nailing 44. Draft Stop in Walls (rat proof) 45. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 46. Headers & Beams -Size & Bearing Date FRAMING (Continued) 47. Hangers -Post Caps -Anchors -Connectors 48. Cling. Joist-Rftr. Ties- Purlin-Roll Brac: Truss-Shting.-Rtng. 49. Fireplace Ties or Type AFlue-Fireplace Throat Clearance 50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 51. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 52. Garage Fire Protection Framing -RC Channel 53. Property Line Firewall & Openings 54. Ext. Doors -One T -Check Garage 3rd Story, 2 Exits 55. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 57. Siding -Nailing Veneer 58. Stucco Mesh -Drip Screed -Fd. Vents-Undenlr. Access 59. Glazing Area -Glass Protection -Skylights -Plastic 60. Shear Walls; Nailing -Botts 61. Brace Interior/Exterior Wall Panels 62. Insulation -Walls -Ceilings 63. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Cana B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 64. Ext. Steps -Door & Sidelight Protection -Landings 65. Smoke Detector 66. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 67. Bedroom Exiting 68. G.F.I. & Bath Fixtures & Tub Access -Spa 69. Elec. Trim & Subpanel, Breaker Sizes & Labels 70. Stairs & Rails 71. Fireplace or Stove, Clearance -Hearth 72. Elec. Outlets at Wood Panel, Int. & Ext. 73. Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance 74. Elec. Outlets & Receptacles at Kit. Counter 75. Garage Fire Door, Swing -Landing -Closure 76. A.C. Dud in Garage -Damper 77. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor -Meth. Protection 78. Plb.; Elec. & Mech. Equip. Listed for Location 79. Elec. Receptacles in Garage (FFI.)-Romex Protection 80. Insulation -Foam -Looked in Attic 81. Guard Rails & Deck Construction -Post Caps 82. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor 0 Yes 83. Following InstldJDrive 0 Yes 0 No/Walks 0 Yes 0 No/Planters 0 Yes 0 No 84. Stucco Brown -Finish 85. A.C. Unit Disconnect, Electrical -Plumbing 86. Vents Above Roof, Pibg-Appliance-Fireplace-Clearance to Openings 87. Water Well, Disconnect, Electrical, Plumbing 88. Exterior Elec. Trim, G.F.I. Receptacle -Underground 89. Ventilation Throughout House 90. Glass Protection 91. Corrections from Previous Inspections 92. Gas Test -Meters Tagged, Gas -Electric 93. Water & Sewer Connected -C/O to Grade -HD Approval 94. Energy Compliance Certificate -Other Certificates 95. Address Posted 96. Fire Sprinkler Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 I Date Card B-1 Date Card B-1 Comments at Final: J=OK 0 = Not OK . = Not Reallot �able 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-Gmd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap;-/ ' L'ft. / P Nat or/ P' L "ftJ P 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-Connectot 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 Date Card B-1 Date Card B-1 Date Cana B-1 Date Card B-1 Date PERMANENT END SYSTEM (ONLY) 1. Zoning Requirements -Setbacks -Easements 2. Footings; Stze-Spacing-Marriage Line 3. Blocking 4. Gas; MH Test -Demand -Valve 5. Electricity; MH Test 6. Water, MH Test 7. Water and Sewer Connected 8. Gas and Electricity Tagged 9. Exits 10. License Decals 11. Verity #'s with Office 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 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-Beams-Rftrs-Connectors Shthg- Frg- Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. C orts; Windows -Doors 4 . Electric 8. Frmg.; Sil s-Anchors-Studs-Rftrs-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 POOLS (Plans) OK except ft's 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosure i,15&rjduit Entries -Terminals -Listed Elec.; B g;ytetaal w/5' -Circulating Equip. -Heater 8: Elec.; Gromg; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche 12. Enclosure; Fencing -Alarms Date Card B-1 Date Cana B-1 Date Card B-1 Date Card B-1 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 FAX#: (530)538-2140 WEBSITE: www.buttecounty.net%dds LICENSED CONTRACTORS 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. 7 License Class : of //t5—,License Numbe ,!r`yy.6 Date�� ontractor: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 PERMIT NO. BPO51569 Issued Date: 06!16/2005 APN:.036-112-005-000 Site Address: 2678 OAK KNOLL WAY ORO Map Index: Description: electric service up grade to new service box Business and Professions Code: Any city or county which requires a Owner: ALLEN MARVIN D & RLITH-E permit to construct, alter, improve, demolish, or repair any structure, prior. to its issuance,; also requires the applicant for such permit to filea - 2678 OAK KNOLL WAY signed statement tfiathe or she is licensed pursuant to'theprovisions of;:. ' -.' ,OR.OVILLE;..CA' the Contractor's State License Law (Chapter g commericfng with Section: ' 95966-7105 7000):6f'Oivisi0n 3 of',the Business and Professions Code) or that he or ., she- is exempt therefrom -and the basis ;for -the: alleged, exemption.. Any violation: oCS6.clion:•703.1.5 by any applicant fora permit _subjects the:*. applicant to 'i civilipenalty"of not more than five hundred dollars�($500.).): ❑ I, as ownerof'the property, or my employees with wages as their sole compensation, will do the work, and the structure is not ...... inignded,or, :offered for _sale.(Sec,,. 7044 Business,andP,rofessiops...:.. ..:.. ......... Applicant:: WEB.ST.ER.. ELEC.T,RI C.,:..... ,_ ..,,.,,..•. .,,,•,... , Code: The Contractors' State License. Law does. not apply to an owner... of. property who:. builds or:improves.thereon, and. who does such.work himself or,herself or through his or her. own employees, ,provided that such improvements are not intended, or offered for sale. If however, the building or improvements are sold within one 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 not apply.to an owner of property -who builds or.improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). ❑ .:-I am—Exempt—.under Article 3 of the Business and Professions Code. Date:' Owner: :1;.WORKERS.' COMPENSATION DECLARATION,.',. I hereby affrm,underpen ally of perjury one'of the following declarations: ❑ I ttave anal 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 ❑ • 1 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 insurancecarrier. and policy number.are: Carrier: " Policy I certify that in the -performance of.the. work for which this permit is issued,*.l shall nobemploy 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:.:. d Applicant:''' WARNING: "• .Faiiuie' to secure workers'• compensation coverage is unlawful;'anif'shall subject an 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 attomey.'s fees.,.:. _. .. . CONSTRUCTION LENDING AGENCY _ I hereby'affirm.thal there is a construction lending agency for the performance of the work for which this permit is, issued (Sec 3097 Civ.) 363 CANYON HIGHLANDS 95966 530-533-8522 Contractor: WEBSTER ELECTRIC 363 CANYON HIGHLANDS 95966 530=533-8522 License #: 366446 Architect: ..Engineer: Total Square Ft: Valuation: Census Code: This k 0 S. F. $0.00 /:/.P `1_/, Gr J..: B provisions of the Butte County Cody anrVor lees have been paid. PERMIT EXPIRES ON: Address: 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 accorda'nc'e with Section 9827.5 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 1 am the owner or the duly authorized agent of the owner. I agree -to comply with .all county and state laws relating to building construction. 1. acknowledge it is unlawful to alter the substance of any official form or document of Butte County. thereby authorize representatives of Butte County to enter upon the above mentioned property for inspection purposes. Print Ni �Is'1 L� G+� Signature:��f�_./% Date:.. .• ❑ Owner Contractor ❑ Agent for Owner ❑ Agent for Contractor L.. BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE M (530) 538-7541 FAX#: (530)538-2140 WEBSITE: www.buttecounty.net\dds LICENSED CONTRACTORS 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 : 4f�� License Number;<<yy 6 Date4gA6 c—Contractor. OWNER -BUILDER DECLARATION I 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 permit to construct, alter, improve, demolish, or repair any structure, prior. to its issuahce. also requires the applicant for such permit to file•a` signed• statement that `he or she is licensedpursuant to'ft.orovesions of, the Contractor's Sfate'License Law (Chapter 9'c ommencing with Section 7000ybf`Division"3 of,the`Business and Professions Code) or that he or` she'is'exempitherefrom•and the basis Jor.the,alleged, exemption.. Any, violation: of SecLon.703A.5 by any applcant`for `a permit subjects the applicani to ii civll penaltyof 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 ntgnded or,,offered.,.for.salea(Sec•, 7044 Business,and,Professions,. Code: The Contractors` State License: Law does. not apply to an ,,._own(r of,property who -builds or.improves thereon, and who does such. .work ,himself or, herself,or through his or.her.own employees, .,.provided,Ihat,such improvements are not intended.or offered for sale.- If howev&Ahe building or improvements are sold within one year of completion, the owner -builder will have the burden of -`-proving that -he -or she did -not build or impr8ve for the purpose of sale.). O' as..,owner,.•of„•the.:.property, -.am._exclusively, contracting–with, licensed contractors: to construct the .project: (Sec. 7044, Business r,and,Professions Code., The Contractors' State License Law does not appfy,to an owner of property.who builds or ..improves thereon, • and who contracts .for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). ❑ . I am Exempt under Article 3 of the Business • and.Professions Code. Date:' ` ”' ` Owner: . .r'=WORKERS,'•COMPENSATION DECLARATION I hereby, affim:under:penaltyof•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 ~O .have and -.will maintain .workers' -compensation ,insurance, as required' by- Sectiorr'37004he Labor•,Code,:for. the performance of the work'for•whieh this'permit is issued ;,My workers''compensation insurance carrier, and policy number.are: . Carrier: " Policy #: I certify that in the performance ofwthe-work for which this permit is issued,'rl-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 section3700 of the Labor Code, I shall. forthwith. comply with those provisions. Date. Applicant.- WARNING:' Failure"to secure workers' compensation coverage is unlawful: nd"shall subject an 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.:,., _ -CONSTRUCTION 7LENDING AGENCY • •I hereby affirrrrthat there is a construction lending agency for the performance of the work for which this permit is issued (Sec 3097 Civ.) Name:' Address: PERMIT NO. BP051569 Issued Date: 06/16/2005 APN: 036-112-005-000 Site Address: 2678 OAK KNOLL WAY ORO Map Index: Description: electric service up grade to new service box Owner: ALLEN MARVIN D & RUTH~E - • ' Y' 2678 OAK KNOLL WAY a.; r ^'.•:1 _' OR:OVILLE,'CA�. 95966-7105 ......-..Applicant:.FW.,EB.STER,ELECT.,RIC..,..-,,---..,.,.,.,.,,.,.,,,. 363 CANYON HIGHLANDS 95966 530-533-8522 Contractor: WEBSTER ELECTRIC 363 CANYON HIGHLANDS 95966 - 530-533-8522' - `l . License #: 366446 Architect: _ w.Engineer: Total Square Ft: Valuation: Census Code: This permit is Resolutions It By: PERMIT EXPIRES ON: 0 S. F. $0.00 ,able provisions of the Butte County Code ?nrtlor r hich:fees have been paid. 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 Secfion'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 he certifythat I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with, all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby authorize representatives of Butte County to enter upon the above mentioned property for inspection purposes. Print Name �hY1 e:— Signature: %d G? Owner Contractor 0 Agent for Owner 0 Agent for Contractor r 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 Last NaU Al Ile First ame ✓ ;14 Address 4* 79 Q City Staoi ZiR Phone Fax E-mail CONTRACTOR ARCHITECT/ENGINEER Name City Address Zip City City State State Phone PhoneZ Fax Fax Planner E-mail Lic. #6 y Class APPLICANT NAME ARCHITECT/ENGINEER Name City Address Zip City Fax State Zip Phone Map Book Fax E mail Planner State License Number APPLICANT NAME Name Address City State Zip Phone Fax E-mail APPLICANT SIGNATURE X 1011 For office use only: Zoning Property Address Flood Zone Cross Street L T SRA I Yes I No Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc PERMI/T BIN # LOCATION Property Address City Cross Street L T WORKER'SCOMPENSATION Policy Number 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 2 Description or Scope of Work: bf � Sq. Footage ❑ 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 by7p Amount: L_5 Bldg SRA Receipt #431ev y- Sheriff Date-- C. b__16 w �—'_S G` Total REV 2-24-05 .ro. 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 inst, (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-siqned by the enqineer. ❑ 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. Detached Accessory Building Form filled out by the owner (if required). ❑ 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. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts. ❑ 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 KAFORMSWILDING FORMS\BIdgApp1SubRgmts.doc Page 2 of 2 REV 2-24-05 • i 6027-80B PERMIT NO. PERMIT EXPIRES James A. Dvorak OWNER Acro—Lume, Oroville CONTR. 36-112-5 ASSESSOR PARCEL 2678 Oak Knoll Way, Oroville LOCATION Temp., Power Pole Called PG&El Temp. Elec. Sefce Called P'G&E Temp. Gas Service Call d PG&E hV�. JOB FINALED (Date) !!/ t Signature V = OK 0 = Not OK = Not Applicable MOBILEHOMES * = Not Ready - MISCELLANEOUS Date MOBILEHOME UTILITIES (Plans) OK except #'s Date DECKS, C OVERS, CARPORTS, ETC. (Plans) OK except #'s 1. Zoning Requirements—Setbacks—Easements 2. Soils; Special MH Support—Sketch oni Requirements—Setbacks—Easements t _ ootings; 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. Woqo Awn.; Posts—Beams—Rftrs.—Connec.—Shthg.—Rfg.—Bracing 5. Electricity; Location—Clearances—Grnd.—/ / Amp—Concrete Ium. Awn.; Columns—Connections—Splice—Decal—Enclosures 6. Gas; Locatiorr.Test—Wrap:/ /"L"ft./ P'Nat. or/ /"L"ft./ /"LPG 6. Carports; Windows—Doors 7. Utility Clearance 7. Elec. w Card -BI Date. Card -BI Date Card -BI 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—Panel boards—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 B -I Date Card -BI Date Card -BI Date Card -BI Date Card B -I Date Czrd-BI Date Card -BI Date Card -BI Date N J = OK 0 = Not OK - = Not Applicable = Not Ready RESIDENTIAL )Srngles and Duplex) Date UNDERFLOOR Plans OK except hi's Date FRAMING (Continued) 1. Zoning requirements -Setbacks -Easements 48. Property Line Firewall & Openings 2. Fig., 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. Fig., Porches & Decks; Soils -Steel- / /" Fig. 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-BIockouts-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-Seryice 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 Data Date Card -BI Date PLUMBING (Permit) OK except q's 14. Water Ht.; Vent -Access -Combustion Air 57. 58. Smoke Detector Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 15. Water Pipe; Test & Anchors -Nail Protection 16. D.W.V.; Test-Fttngs & Anchors -Nail Protection 59. Bedroom Exiting 17. Shower Pan; Test, First Floor -Tub Access 60. G.F.I. & Bath Fixtures & Tub Access 18. Test Tub & Shower, 2nd Floor -Tub Access 61. Elec. Trim & Subpanel; Breaker Sizes -Labels 19. Gas Pipe; Size & Anchors 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 Date Card -BI Date ELECTRICAL Permit OK except q's 66. Elec. Outlets & Receptacles at Kit. Counter 67. Garage Fire Door; Swing -Landing -Closer 68. A.C. Duct in Garage -Damper 20. 21. Fixture & Transformer Clearance -Ins. Protection Elec. Receptacles Spacing -Lights &Switches at Doors 69. 70. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 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. Romex Installed Close to Edge of Studs & C.J. 24. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 72. Insulation -Foam -Looked in Attic E] Yes Guard Rails & Deck Construction -Post Caps 25. 2 Appliance Circuits in Kitchen &Conductor Size _ 26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 74. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 27. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or At, Insulated Neutral ❑Yes E) No 75. Following instld.: Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑Yes ❑No 28. Service -Riser Conductors & Ground -Main Disconnect 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. 79. Water Well; Disconnect, Electrical, Plumbing 80. 81. Exterior Elec. Trim; G.F.I. Receptacle -Underground Ventilation throughout House Card B -I Date Card -BI Date Card B -I Date Date Card -BI Date MECHANICAL (Permit) OK except q's 31. A.C. Ducts; Insulation & Support 82. Glass Protection 83. Corrections from Previous Inspections 84. Gas Test -Meters Tagged; Gas -Electric 85. Water & Sewer Connected -C/O to Grade -HD Approval 32. Vent Fan; Exhaust above Insulation 86. Energy Compliance Certificate -Other Certificates 33. Condensate Drain & Overflow; Size & Grade 34. Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet 35. Attic Access & Platform if Furnace in Attic - Card -BI Date Card -BI Date 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 FRAMING(Plans) OK except q's Comments at Final: 36. Sills; Proper Material & Anchors 37. 38, _Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound Bearing Walls over Girders & Floor Nailing 39. Draft Stop in Walls (rat proof) _40. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 41. 42. 43. 44. -Header & Beam -Size & Bearing _ Hangers -Post Caps -Anchors -Connectors Cing. Joist-Rftr. Ties - Purl in - Roof Brac.-Truss-Shthng.-Rfng. Fireplace Ties or Type A Flue -Fireplace Throat 45. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles _ 46. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 47. Garage Fire Protection Framing (NOTE: An entry must be made each time youvisit jobsite) COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4 1 ,�— APPLICATION AND PERMIT ASSESS R PARCEL NUMBER 2 ^ 00 ZONING BUILDING PEFV VIN N B fa /Q OWNE ,.^ TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNER S //AILING ADDR E55 CONT ACT R'S NAME GJ I-- l TELEPHONE / CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LENDER UNKNOWN Fireplace ' Total Valuation $ LENDER'S MAILING ADDRESS Permi Fee VAGa-U A CHITECT O ENG NEER X /NEEP_1AJ / G. LI CENS N S.C- / Plan Checking Fee $ r �V Penalty $ ARCHITECT OR ENGINEER'S MAILI G ADDRESS Permit fee BUILDING ADDRESS .• � PLUMBING PERMIT Filing Fee 3.00 D Each Trap 2.00 Repair drainage or vent piping 2.00 Water piping LOT NO. SUBDIVISION NAMEPARCEL MAP Each qas water heater or vent 2.00 Gas piping system 1 - 5 outlets USE PF STRUCTURE SF Duplex❑ bi a Other SPECIFY Building sewer Lawn sprinkler system 2.00 T� ,_/ TYPE OF WORK New dditiori Remodel❑ Utilities ❑ Installation❑ Other ❑ Describe work: Eg % /) 'X ,Cr wN iti,(� Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 3.00 OR Main service 80000 AMP ORSLESS 5.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELING OR ADONIS.( ACCLBLDGS.CCVP,&) 20sgft CONTRACTORS LICENSE LAW I declar 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.��f`��%� 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 CONSTR U TI -OUTLET NON-RESID BRANCH CIRC ITS 2.50 ea NEW CONSTR POWER APPARATUS &) NON-RESID. (SINGLE OUTLET CIR. Ex. Occup(OUTLETs OR FIXTURES 50@� BAL@10Q EX. Occup.(OUT OUTLETS P(RESID )REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 6.25 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. n I have placed on file with the County of Butte Building Department AFI a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or"this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 3.00 Heating Cooling Hood 2.00 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,,dgments, costs, and expenses'which may in any way accrue agains o ri i consequence of the granting of this permit. X Date Signature of A cant — Owner Contractor ❑ Agent'❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- vv�err 3 stories in height. ion of structures over Mobile Home Installation Fee $ Land Development Fee $ TOTAL PERMIT FEE occUP. GROUP I TYPE ,OF�IC,ONST. PARCEL Pp JL7 This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRE R OF PUBLIC PIWMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date Pzbr- k' L ��7'7 Receipt No. ` 3 z/BY WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT GCS i8 0� kfJOL(, W� [7 60w-3 o"v COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive„ — Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X Signature of Permitee or Agent Date Receipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Building permit expires Date Date BUILDING Owner SQ. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Fireplace Contractor Total Valuation Mai I i ng Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee $ Building Address PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. Zoning &Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fees W.C. I Sanitation Fire Dept. Fire Zone Use Permit Building sewer j j 5.00 EQA Parking Plans I Parcel Declaration Parcel Ma p 60' R/W Imp rovements p Lawn sprinkler system 2.00 Bldg. Plans Recd I Parcel Approval I Plans Approval Permit Fee $ $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ❑ ELECTRICAL No.1 @ FEE PERMIT FILING FEE $3.00 Main service 600V OR LESS 5.00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 2.50 Main service OVER 600V 25,00 100 AMP OR LESS Single Family ❑ Duplex ❑ Mobil Home ❑ Others ❑ Main service EA. ADD•L 100 AMP 1.00 NEW OR ADDNST ( ACCLBLDGS.LING CCUP. &) 22sgft NEW CONSTR, MULTI -OUTLET NON.RESID. ( BRANCH CIRCUITS) 2.50ea NEW CONSTPOWER APPARATUS &) NON- R. RESID. (SINGLE OUTLET CIR. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name of: Ex. Occup(OUTLETS OR FIXTURES) BAL@1 FIXED APLNS.style Ex. Occup. (OUTLETS IPRESID IKEA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ MECHANICAL No. @ FEE WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. ❑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 Workmen's Compensation Laws of California. PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 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 buildinq construction, and hereby TOTAL PERMIT FEE $ authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X Signature of Permitee or Agent Date Receipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Building permit expires Date Date COUNTY OF 80TTE� DEPARTMENT OF PUBLIC WORKS ///777 7 County Center Drive , — OrgviIle, California 95965 /� -77 Telephone: 534-4541 / APPLICATION AND PERMIT 1 a...., u,o vvw ny vi ouuc w U111.".1 UPUII UIC above-mentioned property for inspection purposes. X 1���,c�'%`t� Bate i SignatureofPerrm7itee or Agent Receipt No. �� / Z/ 7 White-D.P.W. — Yellow-Assesso — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OFPUB C WORKS By .� Date permit expires Date %� BUILDING Owner vjov�SQ. M=rE FT. OCC. BUILDING VALUATION Mailing Address ' Telephone No. Fireplace Contractor Total Valuation Mai I ing Addresstl e �� e Permit Fee Plan Checking Fee&/or Penalty elephone No. Permit Fee $ Building Address PLUNFBING No. @ FEE PERMIT FILING FEE $3.00 Y1 f a Each Trap 1.50 Cr J Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. "' �% — ,S Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 F W Fire Dept. FireZone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration Parcel Ma p 60' R/W provements Improvements Lawn sprinkler system 2.00 ans Parcel Approval Plans Approval Permit Fee $ $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00eAz (J e- C, 0 np11 Main service i°OV OR o°o AMP .ESS LESS 5.00 pa Main service EA. ADD'L too AMP 2.50 ,S8 Single Family ❑ Duplex ❑ Mobil Home ❑ Others Main service OVER 600V 100 AMP OR LESS 25.00 Main service EA. ADD•L 100 AMP 1.00 NEW CONST. OR ADDNS. ( ACCLBLDGS.LING CCUP. &) 20Sgft NEW CONSTR. (MULTI -OUTLET NON.RESID. BRANCH CIRCUITS) 2.50ea NEW CONSTR. POWER APPARATUS &) NON.RESID. (SINGLE OUTLET CIR. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: .� Ex. Occup(OUTLETS OR FIXTURES)50 @25¢ 109 Ex. Occup. FIXED APPLNS. OR p• OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 qq License No. © / Z �L �—. O Classification Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. ____[__ Permit Fee $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑ I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. 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 Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 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 TOTAL PERMIT FEE $�v a...., u,o vvw ny vi ouuc w U111.".1 UPUII UIC above-mentioned property for inspection purposes. X 1���,c�'%`t� Bate i SignatureofPerrm7itee or Agent Receipt No. �� / Z/ 7 White-D.P.W. — Yellow-Assesso — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OFPUB C WORKS By .� Date permit expires Date %� PERMIT NO. 587-77B ,i PERMIT EXPIRES ;OWNER James Dvorak CONTR. Tri Valley Contr., roville LOCATION (A.P. 36-112-5 2678 Oak Knoll Way;, Oroville ' w COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS n BUILDING INSPECTION"RECORD BUILDING' BUILDING (Cont'd) PLUMBING Setback,S-fig'%%`G!0z.J Firewall Soil Piping Forms Parapets 1st Floor i Main Bldg. - Restroom Finish 2nd Floor Footings Windows y 3rd Floor Stemwall Sidina To out Slab Roof Sheathing Water Piping Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings - �� " ) Stemwa l l Garage Vents Insulation Water Htr. Heaters Slab Carport Footings Prov. for phsically handicaped _ Conformance of ex. structure Appliances Gas Piping & Telt Tem . Gas Slab' Patio Final FIREPL CE Sanitation Final Footings Footina ELECTRICAL Masonry Walls Throat Rou h Reinf. Steel Final Fixtures Bond Beam FIRE SPRINKLERS Motors Framing Test Water Htr. Stucco Final Subpanels Mesh MECHANICAL Grd. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Underground/ Interior Lath Ventilation Permanent Door Closer Final Finals MOBILEHOME ILITIES Elec.' Service Elec. Pedest I Water Piping Sewer Gas Piping MOBILEHOME INSTALLATION - - - - - - - - - - - - Support Elec. Continuity. Water Piping Drainage Gas Piping DATE REMARKS OR CORRECTIONS (NOTE: An entry must be made on this form each time you visit the job site.) Y. COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 Telephone° 534-4541 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned pro rty for inspection purposes. / n V Date Signotu of Permitee or Agent Receipt No. 156 / �a White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS BY Date B ' ing permit expires Date BUILDING OwnerJ SQ. FT. O C. BUILDING VALUATION O Mailing Address Telephone No. Fireplace Contractor Total Valuation Mailing Address 7�Av!� Permit Fee Plan Checking Fee &/or Penalty ©/^Q Telephone No. Permit Fee $ Building Address PLUMING No.1 @ FEE PERMIT FILING FEE $3.00 W Each Trap 1.50 t)U 1 9 / Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 /' _ A. P. No. f01-2 Zoning 8 Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 F s Sqa, ion Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Parcel Plans Dec lar 'on Parcel Ma P 60' R/W Im rov ents P Lawn sprinkler system 2.00 Bldg. Plans Recd'001 orcel Approval Plon Approval Permit Fee $ $ NEW ADDITION ❑ UTILITIES ❑ OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service 100 AMP ORV OR LESS5.00 Main service EA. ADD'L 100 AMP 2.50 Single Family ❑ Duplex ❑ Mobil Home ❑ Others OVER 600V Main service 100 AMP OR LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 ., C• J NEW CONST. DWELLING OCCUP. & OR A.D.S. ACC. BLDGS. 20sq it NEW CONSTR. MULTI -OUTLET NON.R ESI D. BRANCH CIRCUITS) 2.50ea NEWCONST R. POWER APPARATUS &) NON-RESID. (SINGLE OUTLET CIR. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: t �"Jel-✓ALLE"`� (',QV f9.0 T6ef AA/C. Ex. Occup(OUTLETS OR FIXTURES)@ @25Q BAL@1 Ex. Occup.(FIXED APPLN S. OR OUTLETS (RE'EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No.2 R:5 1 Classification 63 Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. tV9 I have placed on file with the County of Butte a certificate of ,4J Workmen's Compensation Insurance. ❑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 Workmen's Compensation Laws of California. 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 MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ TOTAL PERMIT FEE $ 1�' 02 authorize representatives of the County of Butte to enter upon the above-mentioned pro rty for inspection purposes. / n V Date Signotu of Permitee or Agent Receipt No. 156 / �a White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS BY Date B ' ing permit expires Date OWNER A. _GENERAL RESIDENT IAL PLAN CHECKING GUIDE (S.F.,, DUPLEX, & MISC. ONLY) Bldg. A.P. zoning requirements (sideyards and parking). Valuation. Signature by R.C.E. or Architect (if required). B. PLOT PLAN Complete parcel size and dimensions. Setbacks, sideyards, easements, etc. Other buildings or structures. • Grading, fills, drainage.. Permit # �a C. FLOOR PLAN /1 Complete to scale plan with dimensions. ! Required windows for light and ventilation (Sec. 1405). Required windows for second exit.(Sec. 1404). Allowable glazing for energy requirements (20% max. per.State law). Human impact glass (Sec. 5406). Required room sizes, ceiling heights (Sec. 1407). G.F.C.I.'s in baths and exterior outlets (Sec. 210-8). fALight fixtures, switches, receptacles, and exterior receptacles for maintenance of mechanical equipment: Locations of water heater, heating & cooling.equipment, other electrical or gas equipment, and plumbing fixtures. tfGarage firewall, door size, and• closer (Sec. 503(d)(4)). 1 - 3'0" exterior exit door (Sec. 3303d).. Ail ts` Fireplace location. Smoke detectors (Sec. 1413). Foundation plan complete enough to construct building. Floor construction details complete enough to construct building. Elevations and wall construction details complete enough to construct building. Roof construction details complete enough to construct building. Fireplace construction.details and calcs if over one-story in height. Sufficient data and details to satisfy energy insulation requirements (State law). )US ITEMS TO LOOK. OUT FOR CCX plywood on exposed locations and overhangs. AX4 Stairway details (Sec. 3305). Guardrail details (Sec. 1716). /4 Brick or stone veneer (Chapter 30). Exterior plaster - weep screeds (Sec. 4706 & 4708). Proper roof pitch for roof covering (Chapter 32.). Rafter ties or bearing ridge beam. Garage door or porch header sizes. '9- 11 Adequate bracing. Living area over garage - complete 1 -hour separation required including supporting 1r0�. walls and posts, etc. �14.�Q Two (.2) exits on three-story dwellings (Sec. 3302) . 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