HomeMy WebLinkAbout079-190-037` t; 'L r . ►, er 96�• T"'�"f95-39t_ B a .
. 2 �SICKELS,
James M.
#5655 ,Lower`�Wyandotte�R6a Orovi1
l(reroof/SF) George Roofing
16
X36-598=@92 03-0081
r STEVENS, ANNA PATRICIA
.5655 LOWER WYANDOTTE, OR 04 ILLS
REMODEL & UPGRADE ELEC. SER C
02 f; 03-0476
STEVENS, ANNA'
5655 LOWER WYANDOTTE, ORO
i C/O WINDOWS & HVAC UNIT
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NOTES RESIDENTIAL
• y f ' 036-580-002 '
03-0476
PERMIT NO. j STEVENS, ANNA _._ , w Y
5655 LOWER WYANDOTTE, OROVILLE
C/O WINDOWS & HVAC UNIT
V�
I
SPECIAL CONDITIONS ---
CHECKED
BY
SRA
FLOOD CERTIFICATE REQ.
FIRE SPRINKLERS REQ.
SPECIAL INSPECTION ITEMS
VERIFY
USE PERMIT CONDITIONS
SUB -STANDARD HOUSING LETTER
JOB FINALED (Date) —Z7 D3
Signature
J=OK
0 = Not OK ,
Not Applicable
= Not Ready ,
RESIDENTIAL (Single & Duplex)
Date UNDERFLOOR (Plans) OK except #'s
1. Zoning -Setbacks -Easements -Flood -Slope
2. Ftg., Main; Soils-Elec. Grnd.-/ P%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
FRAMING (Continued)
Date
.Card
B-1 Date. .: Card B-1
Date
Cling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rtng.
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
Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access
23.
Fire Sprinkler; Test
60.
Shear Walls; Nailing -Bolts
Date
61.
Card B-1 Date • " Card B-1
Date
62.
Card B-1 Date Card B-1
Date
ELECTRICAL (Permit) OK except #'s
Date
24.
Fixture & Transformer Clearance -Ins. Protection
Date
25.
Elec. Receptacles Spacing -Lights & Switches at Doors
Date
26.
Size Boxes & No. of Conductors Stapled
64.
27.
Romex Installed Close to Edge of Studs & C.J.
65.
28.
Equip. Ground made up w/Mech Fasteners -Bond Gas & Water
66.
29.
2 Appliance Circuits in Kitchen & Conductor Size GFI
67. Bedroom Exiting
30.
Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or Al
31.
Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or Al
Insulated Neutral O Yes O 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
74.
Elec. Outlets & Receptacles at Kit. Counter
Date
75.
Card B-1 Date Card B-1
Date
76.
Card B-1 Date Card B-1
Date
MECHANICAL (Permit) OK except #'s
36.
A.C. Ducts Insulation & Support
37.
Van, Exhaust above insulation
80. Insulation -Foam -Looked in Attic
Co nsate Drain & Overflow, Size & Grade
Date
4
Furn -Vent Access -Comb. Ait-Return Air Vent 115 Outlet
ttic Access & Platform if Furnace in Attic
Card B-1 Date Card B-1
Date
Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth
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 A Flue -Fireplace Throat Clearance
50.
52.
53.
Attic ss; Size & Romex Protection -Draft Stop -Ins. Baffles
drm. Windows or Exiting Doors -Sill Ht. & Dimensions
Garage Fire Protection Framing -RC Channel
Property Line Firewall & Openings
54.
Ext. Doors -One 3' -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-Underflr. Access
59. Glazing Area -Glass Protection -Skylights -Plastic
60.
Shear Walls; Nailing -Bolts
61.
Brace Interior/Exterior Wall Panels
62.
Insulation -Walls -Ceilings
63. Infiltration -Walls -Windows
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-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. 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.F.I.)-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 O.Yes
_
83.
Following Instld./Drive O Yes 0 No/Walks 0 Yes O No/Planters O 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.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
Date
Card B-1 Date Card B-1
Comments at Final:
J = OK -.
0 = Not OK
. = NotReadyable
MOBILE HOMES
Date
MOBILE HOME UTILITIES (Plans) OK except #'s
1. Zoning Requirements -Setbacks -Easements
2. Soils; Special MH Support Sketch
3. Sewer; Location -Test -Fall -C/O -Concrete
4. Water; Location -Test -Easement Needed (Sketch)
5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete
6. Gas; Location -Test -Wrap;-/ P' L'ft.
/ P Nat. or/ P' L "ft./ P LPG
7. Well Clearance & Disconnect
8. Utility Clearance
10. Roof; Shthg-Roofing
11. Ext.; Steps -Doors -Landings
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
MOBILE HOME INSTALLATION (Plans) OK except #'s
Date
1. Zoning Requirements -Setbacks -Easements
Date
2. Footings; Size -Spacing -Marriage Line
3. Gas; MH Test -Demand -Valve -Connector
4. Electricity; MH Test -Crossovers -Breakers -Clearances
5. Drain; MH Test -Fall -Flex Connector
6. Water; MH Test -Regulator -Connector
7. Water and Sewer Connected -C/O to Grade -HD Approval
8. Gas and Electricity Tagged
9. Tie Downs -Type -Installation Cert.
10. Exits; Insp.-Sketch
11. Cert. of Occupancy
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
PERMANENT END SYSTEM (ONLY)
1. Zoning Requirements -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. Verify #'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-Con nectors
Shthg-Frg-Bracing
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Carports; Windows -Doors
7. Electric
8. Frmg.; Sills-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 #'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.; 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 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
`COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
�*� •r 7 County Center Drive • Oroville, California 95965 • Telephone(53 ) 538-7541 PERMIT NO.
(Rev. 12/96) APPLICATION ANPERMIT 03-0476
D
ASS ESSOR PARCEL NUMBER
036-580-0
ZONING
BUILDING PERMIT
OWNER
Stevens Anna P 370-6723
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
Cont 2500.00
.OWNERS MAILING ADDRESS
PO Box 6216 Oroville CA 95966
CONTRACTOR'S NAME
owner
TELEPHONE
CONTRACTORS MAILING ADDRESS
CONSTRUCTION LENDER '
Fireplace
LENDER'S MAIUNG ADDRESS,
Total Valuation $ 2500.00
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee
$ 20.00
Permit Fee
s54.00
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee
$
BUILDING ADDRESS
5655 Lwr Wyandotte Rd Oroville
Energy Plan Checking Fee
$
$
PERMIT FEE
$ 74.00
LOT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT
Fling Fee 20.00
USEOFSTRUCTURE
SF ❑ Duplex ❑ Mobilehome ❑ Other
SPECIFY
Each Trap
1 7.00
Solar or heat pump water heater
23.00
Water piping
15.00
Each as water heater or vent
15-0015.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑
Describe work: c/o windows and new hvac unit and plumbin
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home I S I G W
920.00
PERMIT FEE
$ 35.00
ELECTRICAL PERMIT
Fling Fee 20.00
Main Service '.".A OR'SS
23.00
LICENSED CONTRACTOR'S DECLARATION
1 hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license is in full force and effect.PSING
License Class Lic. No.20
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
❑ I, as owner of the property, or my employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
1, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
•❑ 1 am exempt under Sec. Business and Professions Code for this
reason
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
❑ 1 have and will maintain workers' compensation Insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permit is issued.
My workers' compensation insurance carrier and policy number are:
Carrier
Policy Number
(The above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
❑ 1 certify that in the performance of the work for which this permit is issued, I shall
not employ any person in any manner so as to become subject to workers'
compensation laws of California, and agree that if I should become subject to the
worke s' compensation provisions of section 3700 of the Labor Code, I shall
foI. comply with those provisions.
X Date 2��9�fi��_
Signatu of Applicant - ❑Owner [3 Contractor ®%rent �� .
An OSHA permit is required for excavations over 60" deep and demolition or construction
of structures over 3 stories in height.
Main Service 200A TO 1000A 46.00
NEW CONST. DWELLING OCCUP. SO
OR ADONS. ( 8 ACC. BLDS. 3.5¢F:
q�10T' MULTI.OUTLET @7.50
8 E OUTLET CIR. OWERLAPPARATUS
Ex. Occup. OUTLET OR FIXTURES Q° '.50
BAL @ .30
Ex. Occup. DUTLEEDTS gES,D°EA 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring 23.00
PERMIT FEE $
MECHANICAL PERMIT Fling Fee 20.00
Heating 15.00
Cooling 20.00
Hood 6.50
Ventilation
PERMIT FEE 555.00
Mobile Home Installation Fee $
Energy Inspection Fee $
Occ
CONST. TYPE
TOTAL FEE $164.00
HAZ. D. FEES IMP FLOOD CDF I PARCEL I PD HD
ISSUE
This permit is hereby issued under the
of the Butte County Code nd/o
indicated ab a for whic f s ha
B
PERMIT EXPIRES ON
applicable provisions
Resolutions to do work
a been paid.
Date
Date
Receipt No.
WHITE-D.D.S.-B. D. CA A Y -ASSESS R PINK -INSPECTOR GOLDENROD -APPLICANT
i R '
RESbENTIAL
.PERMIT N0.
04 36-580-002 03-0081
—" _
STEVENS, ANNA PATRICIA :
5655 LOWER WYANDOTTE, OROVILLE ,
REMODEL 6 UPGRADE ELEC. SERVICE
,r
SPECIAL CONDITIONS
CHECKED
BY
I SRA
FLOOD CERTIFICATE REQ.
FIRE SPRINKLERS REQ.
i
SPECIAL INSPECTION ITEMS
VERIFY
USE PERMIT CONDITIONS
SUB -STANDARD HOUSING LETTER
i
OFFICE COPY
� t
Address
GAS
.-Meter By Date-
r ELECTRIC
Meter By _ Dd
'JOB FINALED (Date y�
7
7{
i Signature
f
J=OK
0 = Not OK
- = Not Applicable
. = 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. Stemwalls, Main; Steel- Bloc kouts-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/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 PLUMBING (Permit) OK except #'s
17. Water Htr.; Vent -Access -Combustion Air Baffle
18: t1aKr Pipe; Test & Anchor -Nail Protection
. D.W.V.; Test Fittings & Anchor -Nail Protection
20. Shower Pan; Test, First Floor -Tub Access
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
t 26. Sjpd Boxes & No. of Conductors Stapled
ex Installed Close to Edge of Studs & C.J.
' 28. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water
oZ 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 AI -Oven Circ. / /ga Cu or Al
Insulated Neutral ❑ Yes ❑ 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. Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet
40. Attic Access & Platform if Furnace in Attic
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date FRAMING (Permit) OK except #'s
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. Fire a ies or Type A Flue -Fireplace Throat Clearance
50i ccess; Size & Romex Protection -Draft Stop -Ins. Baffles
51, drm. 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 -Landing -Fire Protection
56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
57. Siding -Nailing Veneer
58. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access
59. Glazing Area -Glass Protection -Skylights -Plastic
60. Shear Walls; Nailing -Bolts
61. Brace Interior/Exterior Wall Panels
62. Insulation -Walls -Ceilings
63. Infiltration -Walls -Windows
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date FINAL (Plans) OK except #'s
.54001Ext. Steps -Door & Sidelight Protection -Landings
65/3tFioke Detector
66 --Fu .... me s -clearance -Comb, Air -Connector -
In Garage; Above Floor-Ducts-Mech. Protection
edroom Exiting
,6&. -1G -FT & Bath Fixtures & Tub Access -Spa
69. Elec. Trim & Subpanel, Breaker Sizes & Labels
We-STa_irs &Rails
e, Clearance -Hearth
lec. Outlets at Wood Panel, Int. & Ext.
it. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance
7 eceptacles at Kit. Counter
Swing -Landing -Closure
7 age -Damper
r. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V.
in (gage; Above Floor-Mech. Protection
7e'Plb..Elec. & Mech. Equip. Listed for Location
-AW',-Elec. Receptacles in Garage (F.F.I.)-Romex Protection
sulation-Foam-Looked in Attic
8 ck Construction -Post Caps
yawl Hole Door Drainage & Wood -Earth
_ Clearance Looked under Floor ❑ Yes
83. Following Instld./Drive s O No/Walks es O No/Planters O Yes O No
h
nnect, Electrical -Plumbing
Plbg-Appliance-Fireplace-Clearance to Openings
67 yyate �connect, Electrical, Plumbing
� FxTari_ nr F`Trim, G.F.I. Receptacle -Underground
.aB-Ventilation Throughout House
ass Protection
revious In s
92. Gas Test -Meter ragas- ec
s
93. Water & Sewer Connected -C/O to Grade -HD Approval
nergy omp Rance Certificate -Other Certificates
ddress Posted
Datef on Card B-1 Date Card B-1
Dat Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Comments at Final:
J=OK
0 = Not OK
: = NotReadyable
Card B-1 Date Card B-1
MOBILE HOMES
Date
MOBILE HOME UTILITIES (Plans) OK except #'s
1.
1.
Zoning Requirements -Setbacks -Easements
Soils; Compaction -Structure Stability
2. Soils; Special MH Support Sketch
Pool Structure; Steel -Connections -Thickness
Dead Men -Lining
3.
Sewer; Location -Test -Fall -C/O -Concrete
Elec.; Pool Lighting; 15 Volts-GFI
4.
Water; Location -Test -Easement Needed (Sketch)
7.
5.
Electricity; Location-Clearances-Grnd-/ /Amp -Concrete
6.
Gas; Location -Test -Wrap;-/ /" L'ft.
/ P Nat. or/ /" L "ft./ 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 -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 Requirements -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.
Verify #'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: Carports; Windows -Doors
7. Electric
8. Frmg.; Sills-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 #'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.; 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 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
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
Y 7 County Center Drive Oroville, California 95965 • Telephone (530) 538-7541 l
(Rev. 12196) APPLICATION AND PERMIT
ASSESSOR PARCEL NUMB
03-S�o-002
ZONING
BUILDING PERMIT
OWNER^ �
S-r6VEd/.S N^/A � I C' -I A
TELEPHONE
-3-70-0-77-11
SO. FT. OCC. BUILDING VALUATION
cont. 5,000.00
. OWNER'S MAILING ADDRESS
-P O -6c>x 2 I co o¢oviCa 9sgioCo
CONTRACTOR'S NAME
%Ielz
TELEPHONE
CONTRACTORS MAILING ADDRESS
CONSTRUCTION LENDER
Fireplace
LENDER'S MAIUNG ADDRESS
Total Valuation Is
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee $ 20.00
Permit Fee $ 81.00
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee $
BUILDING ADDRESS
�1
S FZ � / �"jDo ��
Energy Plan Checking Fee $
$
n A
�Qo�ll wt� L ft gig �O�o
PERMIT FEE $101.00
LOT NO.
SUBDNIS IONS NAME
PARCEL MAP
PLUMBING PERMIT Filing Fee 20.00
USEOFSTRUCTURE
SF ❑ Duplex ❑ Mobilehome ❑ Other
SPECIFY
Each Trap 7.00
Solar or heat pump water heater 23.00
Water piping 15.00
Each as water heater or vent 15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑
Describe Work: -Ffe. c*:: l� A -A -l -r-->
LIP6rP�-i�E 7cl zoo Q VICE
Gas piping system 1 - 5 outlets 15.00
Building sewer 15.00
Mobile Home IS I GI W1 @20.00
PERMIT FEE $
ELECTRICAL PERMIT Filing Fee 20.00
"OVORMain Service 2f 0A OR LESS 23.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license is in full force and effect.
License Class Lic. No.
"
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
❑ I, as owner of the property, or my employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
I, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
❑ 1 am exempt under Sec. Business and Professions Code for this
reason
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
❑ 1 have and will maintain workers' compensation insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permit is issued.
My workers' compensation insurance carrier and policy number are:
Carrier
Main Service TO 46.00
WEE.200A
CCU000A
NEW CONST. DWEWNG OCCUP. SO
OR ADDNS. ( 8 ACC. BLDS. 3.5QFT;
NON-REOSIOT' MULTI.OUTLET CIRCUITS @7,50
POWER APPARATUS
a swoLE oimt� C..
.00
Ex. Occup. OUTLET OR FIXTURES BAL @ I C50
Ex. Occup. GFlxLITe£OTS AM R. 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring23.00
PERMIT FEE $ X13.00
MECHANICAL PERMIT Filing Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEE S
Policy Number
(The above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
I certify that in the performance of the work for which this permit is issued, I shall
not employ any person in any manner so as to become subject to workers'
compensation laws of California, and agree that if I should become subject to the
workers' ompensation provisions of section 3700 of the Labor Code, I shall
orthw h ply with those provisions. "
*
X Date �� /fes —
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
CONST. TYPE
TOTAL FEE $144. 4 0
HAz.
D FEES
IMP
FLOOD
CDF
PARCEL
PD
HD
ISS
This permit is hereby issued under the applicable provisions
of the Butte County Code and/or Resolutions to do work
indicated abo a fo which fees have been paid.
By Date
PERMIT EXPIRES ON z&164
I Data
ature of Applicant - ❑ Owner ❑ Contractor gent
An OSHA permit is required for excavations over 60" deep and demolition or construction
of structures ver 3 tories inei t.
Receipt No.
WHITE-D.D.S.-B.D. CARIVASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
nr• e77W r W— 'r-r7T R
eJ l
p . COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION
TCounty Center Drive, Oroville, CA'95965 Phone (530)538-7541 Fax (530)538-2140
PERMIT APPLICATION DATA SHEET
r
+ OWNER: ASSESSOR PARCEL NUM
Proposed Building Use: Counter Technici Date: a
tems required in order to apply for a permit. All boxes MUST be check td marked NA in order to apply.
Plot plans, 3 or 4 sets, signedty the preparer of the plans.
omplete plans, 3 or 4 sets, signed by the preparer of the plans. '
3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations.
❑ 4. Engineered truss details and layouts in duplicate. No faxes!
❑ 5. Energy compliance design and supporting documentation in duplicate.
❑ 6. Manufactured homes: (A) Data sheets and installation instructions, (B) Marriage line information, (C) Floor Plan, (D) Tie down or
foundation plans, all in duplicate.
❑ 7. Metal buildings: (A) Metal Building Plans, (B) Foundation plans and calculations in triplicate, (C) Elevation views in triplicate.
(D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer.
Items required for initial plan review. If checked items have not been received, plan review cannot proceed. The.permit will be
indexed and returned to the plan review line-up when required items are received. 8
Date Received t By
❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate ................................
❑ 9. Plot plan and business license approval from the City of Biggs ....................................
❑ 10. Letter of intent for non-residential buildings.......................................................
❑ 11. Detached Accessory Building Form filled out by the owner .......................•.............
❑ 12. Hazardous Material Form ............................................. 1%, .-:_._
...........................
❑ 13. Other t,.'
Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.);
❑ 14. Fees as shown on the attached Schedule of Fees Due Sheet ................ M
❑ 15. Statement of Intent for Non -heated and A/C Buildings.... -
❑ 16. Sanitation and plot plan approval from the Environmental Health Department in
❑ 17. City of Chico Plumbing permit........................................................................
❑ 18. California Department of Forestry plan approval ❑ paid. Sent by: .................
❑ 19. Planning approval for (A) Vqp: (B)Parking: C) Parcel Check:
E) 2Cr Contact Land Development about ❑ Improvements, DDrainage .........:.....................
tom, ❑ 21. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy).
❑ 22. Pre -Inspection for r, ` t' R . required ................
❑ 23. Contractor's license information. (Number, -Name Style, Classification) ...................... s
❑ 24. Worker's Compensation Carrier and Policy Number........`."....
rjQ 25. Owner -Builder Verification (❑ Given to owner, ❑,Mailed to owner) .....................
Letter of Signature authorization ...................Li N
27. Recorded copy of Agricultural Acknowledgment Statement.....: ..............................
❑ 28. Manufactured home utility clearance ......................... '
❑ 29. Existing violations and/or expired permits.........:c t'
❑ 30. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑rL"'etter from Legal Ow ne`r` ❑ Check to H.C.D `$'
O 31. Other:
~ When issued Telephone and hold for pickup. .i
3
I have be infor o he'above items and requirements for obtaining a building permit.
Applicant: Dater
1. Index permit application for the above items numbered: . Plan Check Letter
2. Additional items required
Contractor, designer, owner, was advised cf the above data'by ❑ 'phone, ❑ mai1, ❑ counter, by Date:
Contractor, designer, owner, was advised of the above data by ❑ phone, , ❑ •.ma!id, ❑ counter, by Date:
Plans reviewed by: Date: Plans approved by: Date:
Structural reviewed by: Date: Structural approved by: Date:
Note transfer by: Date: 30<�ty.
Yellow: Building Division
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COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES- BUILDING DIVISION
7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 '. PERMIT No.
APPLICATION AHO PERMIT
ASSESSOR PARCEL NUMBER za ,»-
(f
zONIN}_
BUILDING ERMIT
OWNER
Gas/t ` i C e J
TELEPHONE
3 -l3 3
SO- FT- OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS
17
f
CONTRACTOR'S NAME
&-eOr (C 8420 1111
TELEPHONE
s3 3-6 3 93
CONTRACTOFtfS MAILING ADDRESS, �i
IY7.a ,-)w .,Wo - . i+U!/.r1 0 - 7G
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
LENDER'S MAILING ADDRESS
Filing Fee
$ 20.00
Permit Fee
$ �^
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS j /
/O��� /U lJ • I l c C G 1
PERMIT FEE $
PLUMBING PERMIT
Filing Fee 20.00
Each Trap
7.00
Solar or heat pump water heater
23.00
LOT NO.
SUBDIVISION'S NAME
PARCEL MAP
Water piping
15.00
Each gas water heater or vent
15.00
USE OF STRUCTURE
SFA Duplex ElMobilehome ❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home S G I W
@20.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other O
Describe Work: (►c,Hi , U e 1, 1 e --E
PERMIT FEE $
Contractor
ELECTRICAL PERMIT Filing Fee 20.00
" ;I 1
Main Service ( QOAORLESS )
23.00
t
Main Service ( 200A TO 1000A )
46.00
NEW CONST. DWELLING OCCUP.
OR AD MS. (- 6 ACC.BLDS. )
S0,
3.5C FT,
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one)
Q 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. + W$ *;2 4 (s Classification c- "3 C/
�
❑ I, 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)
❑ I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044)
❑ I am exempt under Sec. Business and Professions Code
forthis reason
NEW CONST. MULTI.OUTLET
NON-RESIO. ( BRANCH CIRCUITS )
@7.50
( POWER APPARATUS )
& SINGLE OUTLET CIH.
Ex. Occup. ( OUTLET OR FIXTURES )
20 @ 1.00
BAL. .50
Ex. Occup' ( FIXED APPS. OR
OUTLEW
TS IRESID.1 EA. )
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
WORKER'S COMPENSATION INSURANCE FLt, rr
1 declare under penalty of perjury (check one): �%
❑ This permit is for $100.00 (valuation) or less. J �i5 " S u C(
❑ I 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.
❑ I shall not employ any person in any manner so as to 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 certify that I have read this application and state that the above information is correct.
I agree to comply to all Butte County Ordinances.and CaliforniatState 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 inconsequence of the granting of this permit.
X 1L'%�3�r; .,. X -.r- i. ,,' . `Date
Signature of Applicant - ElOwner' 13Contractor @7A—gent
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 Inspection Fee $
OCC
CONST. TYPE
TOTAL FEE $ y 7 -�
HAZ.
D. FEES
IMP
I FLOOD
I CDF
PARCEL PD
HO
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.
Y C(L� Date O i
PERMIT EXPIRES ON
ReceiptNo.
WHIT E-O.D..D. S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLD ENROD•APPLICANT
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO.
APPLICATKY4, N® PERMIT
ASSESSOR PARCEL NUMBER D ^� �(�^ r�
VL a
ZONING
BUILDING
;MIT
ow ER
riirr~, e .—IM
TELEPHONE
A333
SO, FT- OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS-
OO cvonpte Zo,,
_
CONTRACTOR'S NAME
eo Id ' tIK
TELEPHONE
s33 -L3 93
CONTRACTO# MAILING ADDRESS
PFUS' 1 ,.O0"Ile s'9/,
Fireplace
CONSTRUCTION LENDE
UNKNOWN
Total Valuation $
LENDER'S MAIUNG ADDRESS
Filing Fee
$ 20.00
Permit Fee
$ Z%✓
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Energy Plan Checking Fee
- $
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
d
0 ftv0 I/e Qk 1
I�
PERMIT FEE $ y�
2Zk
PLUMBING PERMIT
Filing Fee 20.00
Each Trap
7.00
Solar or heat pump water heater
23.00
LOT NO.
SUBDIVISION'S NAME
PARCEL MAP
Water piping
15.00
Each gas water heater or vent
15.00
USE OF STRUCTURE
SF X Duplex O Mobilehome ❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home S G I W
@20.00
TYPE OF WORK
New 1:1Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other O
Describe Work: p7Yt 0 f -IN CL
PERMIT FEE $
Contractor
ELECTRICAL PERMIT Filing Fee 20.00
Main ServiceBOOV OR LESS
( 200A OR LESS )
23.00
Main Service ( 200A TO 1000A )
46.00
NEW CONST. (",DWELLING OCC UP.
OR ADONS. X 8 ACC. BLOS. )
g0-
3.50 FT.
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one)
JCI 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.T(ft—//S�4(�Classification r— - 7
❑ I, 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)
❑ I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044)
❑ 1 am exempt under Sec. Business and Professions Code
forthis reason
NEW CONST. MULTI -OUTLET
-NON-RESID. ( BRANCH CIRCUITS I
@7.50
( POWER APPARATUS 1
8 SINGLE OUTLET CIR. I
Ex. Occup. ( OUTLET OR FIXTURES )
20 @ 1.00
eAL. so
Ex. Occu FIXEDAPP N Ofl
p ( OUTLETSIRESt.)EA. I
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
WORKER'S COMPENSATION INSURANCE S CLC, F&jkJCJ
I declare under penalty of perjury (check one):Contractor
13This permit is for $100.00 (valuation) or less. J_8!5" 5 O l
❑ I 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.
❑ I shall not employ any person in any manner so as to 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.
MIT FEE
$
MECHANICAL PERMIT
Filing Fee 20.00
Heating
Cooling
Hood
6.50
Ventilation
PERMIT FEE
$
Contractor
I certify that I have read this application and state that the above information is correct.
1 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
enter upon the above mentioned property for inspection purposes.
1 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 i on a uence of t e gryng of this permit.
X Date ' / 2�1�
Signature of Applic - ❑ O%Wnepf ❑ Contractor 3-1tg t
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 Inspection Fee $
OCC
CONST. TVPE
TOTAL FEE $ r
HAZ.
I D. FEES
IMP
I FLOOD
I COF
PARCEL PD
HD
ISSUE
This permit is hereby issued under
of the Butte County Code and/or
indicated above for which fees have
"
Y
PERMIT EXPIRES ON
.
the applicable provisions
Resolutions to do work
been paid.
ry
Date
e
IDatel
Receipt
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
I