HomeMy WebLinkAbout079-060-065LP
93-2748 B'
HEMSfAI,K,:�-LIL'L'IAN�"-"''
'2874 FOOTHILL;. OROVILLE ';?7,A
REROOF/SF-'
!t
04-3582 LASSEN SAVIN�S LOAN ASSN.
3753B
CLAREY,' MICHAEL 2972P
Y'
, 2 IFOO
74
t or BLVD, 0
874 ]FOOTHILL
C) ROVILLE" 36
-7 9 (0 — 0(a5
Cont: OIAWER
0 ,
u I - ,
REROOF" SIDJN(� WNDWSH' 2874 Foothill Blvd., Oroville
VAC
CONTR: Oscar Deakins, Oroville
-log:
TRANSFERRED FROM W.H. FRANKS 1793B
1446P & I
nq w., single family)
1863E
FRiNKS, W.H. .1794B.
-17(
1446P
s1s Foothill,at Pinedale, Oroville
C/- X-C-e-
jj
-,a amok I
NOTES
I
RESIDENTIAL
036-420-065 - 01-3583
JPERMIT %' Y M 04-3582
*'�AREY, MICHAEL
F2874 FOOTHILL BLVD, OROVILLE
C .
67
Cont: OWNER
REROOF, SIDING YTNDWS HT4VAAC
11 SPECIAL CONDITIONS 11
SRA
FLOOD CERTIFICATE REQ.
FIRE SPRINKLERS REQ.
SPECIAL INSPECTION ITEMS
VERIFY
USE PERMIT CONDITIONS.
SUB -STANDARD HOUSING LETTER
JOB FINALED (Da te)—
Signature
CHECKED
BY
q = OK
0 =/Not OK
NotApplicable
Not Ready
1 .
MOBILE HOMES
Date
MOBILE HOME UTILITIES (Plans) OK except #'s
3.
1 .
Zoning Req u irements-Setbacks- Easements
Wood Awn.; Posts- Beams-Rftrs-Connectors
Shthg-Frg-Bracing
2.
Soils; Special MH Support Sketch
6.
3.
Sewer; Location -Test -Fall -C/0 -Concrete
Electric
4.
Water; Location -Test- Easement Needed (Sketch)
9.
5.
Electricity; Location-Clearances-Grnd-/ /Amp -Concrete
Roof; Shthg-Roofing
6.
Gas; Location -Test -Wrap;-/ P' L 'ft.
/ P Nat. or/ P' L "ft./ PLPG
12.
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 Requ irements-Setbacks- Easements
2.
Footings; Size -Spacing -Marriage Line
3.
Gas; MH Test- Demand -Valve -Con nector
4.
Electricity; MH Test -Crossovers -Breakers -Clearances
5.
Drain; MH Test -Fall -Flex Connector
6.
Water; MH Test -Regulator -Connector
7.
Water and Sewer Connected -C/O to Grade -HD Approval
8.
Gas and Electricity Tagged
9.
Tie Downs -Type -Installation Cert.
10.
Exits; Insp.-Sketch
11.
Cert. of Occupancy
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
PERMANENT END SYSTEM (ONLY)
1 .
Zoning Req uirements-Setbacks- Easements
2.
Footings; Size -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.
Verifv #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 Vs
1 .
Zoning Requirements -Setbacks -Easements
2.
Footings; Soils-Size-Depth-Spaci ng -Con nectors-Steel
3.
Decks, Girders and/or Joists- Decking- Braci ng -Stairs- Rai Is
4.
Wood Awn.; Posts- Beams-Rftrs-Connectors
Shthg-Frg-Bracing
5.
Alum. Awn.; Colu mns-Connections-Splice-Decal- Enclosures
6.
Carports; Windows -Doors
7.
Electric
8.
Frmg.; Sills-Anchors-Studs-Rftrs-Trusses
9.
Siding; Nai I i ng -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 #'s
1 . Setbacks- Easements
2. Soils; Compaction -Structure Stability
3. Pool Structure; Steel -Connections -Thickness
Dead Men -Lining
4. Elec.; Receptacles and Lighting, Distance-GIFI
5. Elec.; Pool Lighting; 15 Volts-GF1
6. Elec.; Enclosures; Conduit Entries -Term i nals- 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 Conduit
9. Health Department Approval
10. Plumb.; Cir. Test -Water Supply Test
11. Light Niche
12. Enclosure; Fencing -Alarms
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
4 = OK
0 = Not OK
- = NotApplicable
. = Not Ready
RESIDENTIAL (Single & Duplex)
Date
UNDERFLOOR (Plans) OK except #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.
Sternwalls, Main; Steel- Blockouts-Wrapped
6.
Sternwalls, 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/0 -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 B-1
Date
FINAL (Plans) OK except #s
Card B-1 Date Card B-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
71.
23.
Fire Sprinkler; Test
72.
Elec. Outlets at Wood Panel, Int. & Ext.
Date
Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance
Card B-1 Date Card B-1
Date
Elec. Outlets & Receptacles at Kit. Counter
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 Al
31.
Range Circle/ /ga Cu or Al -Oven Circ. / /ga Cu or Al
Insulated Neutral 0 Yes 0 No
32.
Service -Riser Conductors & Ground Main Disconnect
33.
Equip. Clearances Panels- Motors- M ech. Equip.
34.
Clothes Closet Light -Shower Light -Spa Light
35.
Smoke Detector
87.
Water Well, Disconnect, Electrical, Plumbing
Date
88.
Card B-1 Date Card B-1
Date
89. Ventilation Throughout House
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.
Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet
40.
Attic Access & Platform if Furnace in Aftic
Date
96.
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
FRAMING (Permit) OK except #'s
Card B-1 Date Card B-1
41.
Sills Proper Materials & Anchors
Card B-1 Date Card B-1
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- Purl in-Roff Brac.-Truss-Shting.-Rtng.
49.
Fireplace Ties or Type A Flue -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 3' -Check Garage 3rd Story, 2 Exits
55.
Stairs; Width- Headroom- Rise- Run -Land i ng-Fi re Protection
56.
Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
57.
Siding -Nailing Veneer
58.
Stucco Mesh -Drip Screed -Fd. Vents-UnderfIr. Access
59.
Glazing Area -Glass Protection-Skyl ights- Plastic
60.
Shear Walls; Nailing -Bolts
61.
Brace Interior/Exterior Wall Panels
62.
Insulation -Walls -Ceilings
63.
Infiltration-Walls-Winclows
Date
Card B-1 Date Card B-1
Date
Card 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 -M ech. Protection
67.
Bedroom Exiting
68.
G.Fl. & Bath Fixtures & Tub Access -Spa
69.
Elec. Trim & Subpanel, Breaker Sizes & Labels
70. Stairs & Rails
71.
Fireplace or Stove, C learance- 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- Land i ng -Closure
76.
A.C. Duct in Garage -Damper
77.
Wtr. Htr.; Vents -Clearance -Comb. Air Connector- P. R.V.
in Garage; Above Floor-Mech. Protection
78.
Plb.; Elec. & Mech. Equip. Listed for Location
79.
Elec. Receptacles in Garage (F.Fl.)-Romex Protection
80.
1 nsu lation- Foam- Looked in Attic
81.
Guard Rails & Deck Construction- Post Caps
82.
Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth
Clearance Looked under Floor Q Yes
83.
Following Instld./Drive 0 Yes 0 No/Walks D Yes 0 No/Planters 0 Yes 0 No
84.
Stucco Brown -Finish
85.
A.C. Unit Disconnect, Electrical - Plumbing
86.
Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings
87.
Water Well, Disconnect, Electrical, Plumbing
88.
Exterior Elec. Trim, G.Fl. Receptacle -U nderg round
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
Date
Card B-1 Date Card B-1
Comments at Final:
, j.
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT
24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO)
OFFICE #: (530) 538-7541 FAM (530)538-2140
WEBSITE: www.buttecounty.neAdds
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: License Number:
Date: Contractor.
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of pedury 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 issuance, also requires the applicant for such permit to file a
signed statement that he or she is licensed pursuant to the provisions of
the Contractor's State License Law (Chapter 9 commencing with Section
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).):
1, as owner of the property, or my employees with wages as their
sole compensation, will do the work, and the structure is not
intended or offered for sale (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 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.).
1. 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.).
am Exempt under Article 3 of the Business 3 ssions Code
0/2 mom
Dat //� wrier: 1%
WORKERS'COMPENSATION DEC ARATION '1,1-
I hereby affirm under penalty of perjury one of the following declarations:
0 1 have and will maintain a certificate of consent to self -insure for
workers' compensation, as provided for by Section 3700 of the
Labor Code, for the performance of the work for which this permit
is issued.
0 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
insurance carrier and policy number are: I .
Carrier:
Policy
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
compensation provisions of Section 3700 of the Labor Code, I shZ
forthwith comply with those provisions.
Date: Z,%e
Applicant:
WARNING: Failure to securi/wwk.r.' Compensation co�erage is
unlawful, and 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 LENDING AGENCY
I hereby affirm that 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.
BP043582
Issued Date: 12/20/2004 APN: 036-420-065-000
1
Site Address�: 2874 FOOTHILL BLVD ORO
Map Index:
Description: REROOF(23SQ),SIDING(150)WINDOWS(6)H
VAC
Owner: CAREY MICHAEL ALAN SR & DARINKA
2874 FOOTHILL BLVD
OROVILLE, CA
95966
Applicant: CAREY MICHAEL ALAN SR & DARINKA
2874 FOOTHILL BLVD
OROVILLE, CA
95966
Contractor:
License #:
Architect:
Engineer:
Total Square Ft: 0 S. F.
. Valuation: $0.00
Census Code:
This permit is hereby issued under the applicable provisions of the Biitte CounfyC e ?7n r
Rjesolutio 6 dQ work
MIcal d 3, bo e for which fees have been paid.
PERMIT EXPIRES ON:
0 1 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.
0 Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project.
0 Attached are copies of the required E-P.A. notification forms. 0
I hereby certify that I'have read this application, that the, above information is correct, and that'l 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 hereb
authorize representatives of Butte County to enter upon the above mentioned property for inspection purposes.
'Signature:
Print Name. �%yz� g!� V - �Z
oor
Date: �� =,,-,0'0 9 /,
Q Agent for Contractor
EI Owner Q Contractor E) Agent for Owner
14 qk
U NTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUIL'DING DIVISION
, 7 Countf. Center Drive - Oroville, C61iffirnia 95,965 - Telephone (916)) 53 8 PERM
t APPLICATIOWAND PERMIT
ASSESSOR PARCEL NUMBER il _ * .
036 -420 -065 -
ZONING
BUILDING PERMIT
OWNER
Lillian Hemstalk
TELEP*iONE
53"628
SQ. FT. OCC., BUILDING VALUATION
12 0 60
720.00
OWNER'S MAILING ADDRESS — t�
2900 Foothill Blvd., Oroville 95966
CONTRACTOR'S NAME Mer
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNI(NOWN
Total Valuation J$720.00
Filing Fee
$ 20.00
LENDER'S MAILING ADDRESS
Permit Fee
$21.00
ARCHITECT OR ENGINEER
NO.
Plan Checking Fee
$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
PERMIT FEE
$41.00
2874 Foothill Blvd., Oroville
PLUMBING PERMIT
Filing Fee 20.00
Each Trap
1 7.00
Solar or heat pump water heater
23.00
Water piping
15.00
LOT NO.
SUBDIVISION'S NAME
PARCEL MAP
Each gas water heater or vent
15.00
USE OF STRUCTURE
SF7J Duplex El Mobilehome El Other SPECIFY
Gas piping system 1 5 outlets
15.00
Building sewer
15.00
Mobile Home S G I W 1
1 @20.00 Ji
TYPE OF WORK
New 0 Addition 0 Remodel 0 Utilities El Installation Q Other
DescribeWork: Reroof w/Comp.
I I
PERMIT FEE
J$
Coniractor
ELECTRICAL PERMIT
Filing Fee 20.00
Main Service 2" OOV ORR LESS
OA 0 LESS
23.00
Main Service 200A TO 1000A
46.00
NEW CONST. DWELLING OCCUP.
OR ADDNS. & ACC. BLDS.
3.5 0 S(T.
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one)
I am a licensed under provisions of Chapter 9, Division 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 compensation, will do
the work, and the structure is not intended or offered for sale. (Sec 7044)
1, as the owner, am exclusively contracting with licensed contractors. (Sec 7044)
Q I am exempt under Sec. Business and Professions Code
forthis reason
NEW.CONST. MULTI -OUTLET
NON RESIO. BRANCH- C IRCU ITS
@7.50
POWER APPARATUS
( & SINGLE OUTLET CIR.
Ex. Occup. ( OUTLET OR FIXTURES
20 @ 1.0
-AL.@ .500
Ex. Occup. ( OFIXED APPLNS. OR
UTLETS (RESID.) EA.
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
WORKER'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
EI This permit is for $100.00 (valuation) or less.
0 1 have placed on file with the County of Butte Dept. of Development Services
Building Division a Certificate 6f Workmen's Compensation Insurance or a
Certificate of Consent to Self -insure. �
0 Ishall not employ any person in any manner so asto become subject to the Worker's
Compensation laws of California., _ ,
Notice to Applicant: If after making this statement, should you become subject to the
Worker's Compensation provisions of the Labor Co I de, you must forthwith comply with
such provisions or this permit will be revoked. I
PERMIT FEE
$
Contractor
MECHANICAL PERMIT
Filing Fee 20.00
Heating
Cooling
Hood
6.50
Ventilation
PERMIT FEE
$
Contractor
I certify that I have read this applij_ati'or�and s` ' tate thatthe above information is correct.
1 agree to comply to all Butte County Ordinances and California State Laws relating to
building construction, and hereby authorize i6p�eseniatives 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.
X I!, J t Date
Signature of Applicant - El Owner 0 Contractor 0 Agent
An OSHA permit is required for excavations over 5"0" deep and demolition or
construction of structures over 3 stories in height.
Mobile Home Installation Fee
Energy Inspecti66 Fee
. . I $
C
C
, �NST. TYPE I
TOTAL FEE s 41.00
HAZ.
I D. FEES
I IMP
FLOOD
I CDF
I PARCEL PD
ISSUE
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
B Date CP/-
PERMITEXPIRESON
(Date)
ReceiptNo. 148355
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLD ENRO O-APPLI CANT
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive - Oroville, Callifornia 95965 - Telephone (916) 538-7544 PERM
APPLICATON AND PERMIT
ASSESSOR PARCEL NUMBER 036-420-065
ZONING
BUILDING PERMIT Vft
OWNER
Lillian Hemstalk
TELEPHONE
534-0628
SQ. FT. OCC. BUILDING VALUATION
19 @ 60
720.00
OWNER'S MAILING ADDRESS 2900 Foothill Blvd., Oroville 95966
CONTRACTOR'S NAME Owner
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation J$720.00
Filing Fee
$ 20.00
LENDER'S MAILING ADDRESS
Permit Fee
$21.00
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
PERMIT FEE
$41.00
2874 Foothill Blvd., Oroville
PLUMBING PERMIT
Filing Fee 20.00
Trap
1 7.00
—Each
Solar or heat pump water heater
23.00
Water piping
15.00
LOT NO.
SUBDIVISION'S NAME
PARCEL MAP
Each gas water heater or vent
15.00
USE OF STRUCTURE
SF)p Duplex 0 Mobilehome Q Other SPECIFY
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home S7FG7W
@20.00
TYPE OF WORK
New 0 Addition Q Remodel 0 Utilities 0 Installation 0 Other CX
DescribeWork: Reroof w/Comp.
PERMIT FEE
$
Cont'ractor
ELECTRICAL PERMIT
Filing Fee 20.00
Main Service 2'0" OR LESS
OOA OR LESS
23.00
Main Service 200A TO I OOOA
46.00
NEW CONST. DWELLING OCC UP.
OR ADDNS. & ACC. OLDS.
3.50 ST0._
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one)
0 1 am a licensed under provisions of Chapter 9, Division 3 of the Business and
Professions Code and my license is in full force and effect.
License No. — Classification
61 1, as the owner, or my employees with wages as their sole compensation, wilFd—o-
the work, and the structure is not intended or offered for sale. (Sec 7044)
0 1, as the owner, am exclusively contracting with licensed contractors. (Sec 7044)
0 1 am exempt under Sec. Business and Professions Code
forthis reason
NEW CONST. MULTI -OUTLET
NON -RESOD. 13RANCH CIRCUITS
@7.50
POWER APPARATUS
( & SINGLE OUTLET CIR.
Ex. Occup. OUTLET OR FIXTURES
20 @ 1.00
BAL. @ .50
Ex. Occup. OFIX ED APPLNS. OR
UTI FTS (RESID.) EA
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
WORKER'S COMPENSATION INSURANCE
1 declare under penalty of perjury (check one):
0 This permit is for $100.00 (valuation) or less.
0 1 have placed on file with the County of Butte Dept. of Development Services,
Building Division a Certificate of Workmen's Compensation Insurance or a
Certificate of Consent to Self -insure.
W Ishall not employ any person in any manner so asto become subject to the Worker's
Compensation laws of California.
Notice to Applicant: If after making this statement, should you become subject to the
Worker's Compensation provisions of the Labor Code, you must forthwith comply with
such provisions or this permit will be revoked.
PERMIT FEE
$
Contractor
MECHANICAL PERMIT
Filing Fee 20.00
Heating
Cooling
Hood
6.50
Ventilation
PERMIT FEE
$
Contractor
I certifythat I have read this applicationand state thatthe above informationis correct.
I agree to comply to all Butte County Ordinances and California State Laws relating to
building construction, and hereby authorize representatives of the County of Butte to
entei 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, es which may in any way accrue against said
County in ponse I O� e�reaxpenngsof this permit.
Date
Contractor 0 Agent
An OSHA permit is required for excavations over 5"0" deep and demolition or
construction of structures over 3 stories in height.
Mobile Home Installation Fee s
Energy Inspection Fee s
oc
CONST. TYPE
TOTA L FEE$ 41. 00
LE11HAZ.
I D. FEES
I IMP
I FLOOD
I C;TRCEL
I PD
This permit is hereby issued under
of the Butte County Code and/or
indicated above for which fees have
DIRECT9JL.OZ_P_UBLIC
r,
By /464Zfj�r
PERMIT EXPIRES ON
the applicable provisions
Resolutions to do work
been paid.
WORKS
I
Date
tie
ReceiptNo. 148359
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
COUNTY OF BUTTE - DEPARTME��T OF,6E\V
15LOPM ENT SERVICES - BUILDING DIVISION
W
7 COUNTY CENTEiibRIVE - OROVI LLE,CALIFdk A;965-TE1LEPHONE(916)538-7541
PERMIT APPLICATIOISIDATA SHEET
OWNER
0 3
Proposed Building Use Building Inspector Date
4
At time of permit application, I was advised the following data -must be submitted prior to permit processing and/or issuance:
I/ DATE RECEIVED By
I . All items have been submitted . ....................... * ... * * * * .........
2.
Plot plans, 3/4 sets, signed by preparer of plans. , .........................
3,
Complete plans, 3/4 sets, signed by preparer of plans.
.4.
Engineered plans and calcs, 3/4 sets, with wet signature on plans . .............
5.
Hazardous Material Form . .............................................
6.
Energy Design Compliance and supporting documentation . ..................
7.
Statement of Intent for Non -Heated and A/C Buildings . ......................
8.
Engineered truss details and layout in duplicate (required prior to plan check).
9.
Mobilehome data and manufacturer's installation instructions, 2 sets . ...........
10.
Fees of $ . .........................................
11.
Impact fees as shown on attached schedule . ..............................
12.
California Department of Forestry plan approval/fees .........................
13.
Flood elevation letter (1100 year flood) by California Engineer ...................
14.
Sanitation and plot plan approval Health Department . ............
15.
City of Chico plumbing permit . .........................................
16.
Plot plan and business license approval from City of Biggs/Gridley . .............
17.
Planning approval for (A) Use: (B) Parking:
18.
Contact Land Development.about (A) Improvements (B) Drainage ............
19.
Driveway permit (construction approval required prior to occupancy) .............
20.
. -1 Pre4nspection request
Pre -inspection for required. to Building lnsPector�_(Date)
21.
Contractor's license information. (No., Name Style, Classification) . ..............
22.
Certificate of Workmans Compensation Insurance . ..........................
23,
Owner -Builder Verification (Given to owner Mail to owner ............
24.
Recorded copy of Agricultural Acknowledgement Statement . ..................
25.
Letter of signature authorization . .........................................
26.
Copy of recorded deed of parcel creation and 60 right of way to a public road ......
27.
Letter of intent on building use . .........................................
28.
Mobilehome utility clearance . ...............
29.
Documentation of legal access . ...................... ; ..................
30.
Documentation of 50% subdivision developed or (A) Road improvements completed
and (B) Parcel meets zoning area and frontage requirements . ...............
31.
Existing violations/expired permits . ......................................
32.
Plan check list . ....................................................
33.
When you issue the permit, process as follows: L," -Mail to owner. Mail to contractor.
Telephone and hold for pickup at office. 7 Deliver with inspector.
Other
Parcel Creation
Acreage Applicant Date
Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date
Copy of plans sent Health Dept. _ Fire Dept. Other Date By
The following data must be submitted prior to permit issuance: (Circle new item not checked above).
1. Index permit for above items No.
2. Additional items required:
Contractor, designer, owner, was advised of above required data by _ phone - mail Counter by Date
Contractor, designer, owner, was advised of above required data by _ phone - mail Counter by Date
Plans checked by Date Plans appioved by Date
Sets of plans on hold in File cabinet AP foldeC
Copy - Department of Public Works
COUNTY OF BUTTE - Deoartment of Public Works
7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541
OWNER -BUILDER VERIFICATION
Attention Property Owner:
An "owner -builder'.' building permit has been applied for in your name and bearing
your signature.
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. 1 personally plan to.provide the major labor and materials for construction of
the proposed property improvement (yes or no) \Ic5
r
2. 1 (have/have not) ia-oe nc)-i— _ signed an application for a building permit
for the proposed work.
3. 1 have contracted with the following person (firm) to provide the proposed
construction:
Name
Address City
Phone Contractors License No.
4: 1 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'Liddnse No*.,
5. 1 will provide some of the work.but I have contracted (hired) the following
persons to ptovidethe work indicated:
Name Address Phone Type of Work
Signed:
Property Ow��er!
Social Security
Date /,9 &4,C_
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.