HomeMy WebLinkAbout079-210-035is
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Wynoka HI�nc
Lot#35 Forestview Dr. 1 , Vista
Meadows Unit #2, Oroville
Permit #3534-76B(new single family)
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(Eontr: Fox Electric
Per.#3.710-76E(ele for 3534-76.)
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Contr: Gridley Plumbing _
.Permit ## 849-76P( lbgA for 3534-
Contr: Park Sheet Metal
Permit #4001-76 (mech for 3534-76
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ry PERMITj&'-,r1`400
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.LOZENSKY��""`;Tonas��+ +:' ''�' -
2690 Forestview;;Dr''; Oroville * Ar)
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DAMS, CHRISTINE4 �,, x: , . �+�, r.
2690�FORESTVIEW DR, OROVILLl
CLEANRITE• NC,�,;.
,.Cont:
RPLC MIDI!&DRYWALL
MISCELLANEOUS.--: HVAC Change Out
,
+HVAC CHANGE OUTt y -'^
s, 2690 FORESTVIEW..DR-' -4
CAR.ATENUTO, MICHAEL'-
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BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT
24 HOUR INSPECTION (IVR): (530) 538-4365
OFFICE: (530) 53877541 FAX#: (530) 538-2140
ONLINE PERMIT/RENEWAL PAYMENTS: www.buttecounty.net\dds
PROJECT INFORMATION
Site Address: 2690 FORESTVIEW DR
Owner:
Permit No: B08-1170
APN: 079-210-035
CARATENUTO, MICHAEL
Issued Date: 6/19/2008 . By GLB
Permit type: MISCELLANEOUS
2690 FORESTVIEW DR
Subtype: HVAC Change Out
OROVILLE, CA 95966
Expiration Date: 6/19/2009
Description: HVAC CHANGE OUT
(530) 533-6649
Occupancy: Zoning: AR
Contractor
Applicant:
Square Footage:
GALLAGHER'S HEATING & AIR
GALLAGHER'S HEATING & .
Building Garage Remdl/Addn
PO BOX 35
PO BOX 35
LOS MOLINOS, CA 96055
LOS MOLINOS, CA 96055
Other Porch/Patio' Total
(530) 384-2444
(530) 384-2444
;
FEE INFORMATION
DBM Heat Pump (Package Unit) $59.00
Total Charged: $59.00 Fees Paid: $59.00
Balance Due: $0.00 Receipt No: B7731
LICENSED CONTRACTOR'S DECLARATION
OWNER / BUILDER DECLARATION
Contractor (Name) State Contractors License No. / Class / Expires
I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License
GALLAGHER'S HEATING & AIF 777334 / C20 C38 / 4/30/2010
Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that
requires a permit to construct, alter, improve, demolish, or repair any structure prior to its issuance,
also requires the applicant for such permit to file a signed statement that he or she is licensed
I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am licensed under provisions of Chapter 9
(commencing w' h Se on 7000) of Division 3 of the Business and Professions Code, and my license
pursuant to the provisions of the Contractor's License Law [Chapter 9 (commencing with Section 7000)
ull force eff
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
6/19/2008
the applicant to a civil penalty of not more than five hundred dollars [$500]; .
Please check one of the following:
tractor ignature Date
❑ I, AS OWNER OF THE PROPERTY, OR MY EMPLOYEES WITH WAGES AS THEIR SOLE
COMPENSATION, WILL DO THE WORK,
WORKERS' COMPENSATION
- DECLARATION
AND THE STRUCTURE IS NOT INTENDED OR
OFFERED FOR SALE (Sec. 7044, Business and Professions Code: The Contractor's License
Law does not apply to an owner of the property, who builds or improves thereon, and who does
I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations:
I HAVE AND WILL
the work himself or herself or through his or her own employees, provided that such improvements
MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR
are not intended or offered for sale. If, however, the building or improvement is sold within one
WORKERS' COMPENSATION, as provided for by Section 3700 of the Labor Code, for the
year of completion, the owner -builder will have the burden of proof that he or she did not build or
performance of the work for which this permit is issued.
improve for the purpose of sale.).
I� iHAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by
❑ I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED
CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Professions Code:
[j�� Section 3700 of the Labor Code, for the performance of the work for which this permit is issued.
The Contractor's License Law dows not apply to an owner of the property who builds or improves
My Workers' Compensation insurance carrier and policy number are;
thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the
Cartier: Assurance Co of Ampolicy Number. WCO282087800. Date:S/112009
Contractor's License Law.).
(This section nee not a completed if the permit is or ons a hundre dodollars ($100) or less.
❑ 1 AM EXEMPT under Section B. 8 P.C. for this reason:
I CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS
ISSUED, I shall not employ any person in any manner so as to become subject to the Workers'
Compensation Laws of California, and agree that if I should become subject to the workers'
X 6/19/2008
compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those
Owner's Signature Date
provisions.
X 6/19/2008
I hereby certify that I have read this application and state that the above information is correct. I agree
to comply with all City and County ordinances, rules, regulations, and State laws relating to building
Si atufe Date
ARNING: FAIL RE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL,
construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless
Butte County, its officers, agents and employees from any and all claims and liability for personal
AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE
injury, including death, and property damage caused by, arising out of, or in any way connected with
HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION,
the issuance of this permit. I hereby acknowledge that issuance of this permit does not authorize the '
DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND
use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte
ATTORNEY'S FEES.
Aunty toe ter Vie above mentioned prop for inspection purpose . I hereby certify that I am the
rtgr out rized to ahe property errs b alf.
CONSTRUCTION LENDING AGENCY
0,9n008
A."NameUJARdirmittee
I HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for
[SIGN] Print Date
the performance of the work for which this permit is issued. (3097 civ. code)
❑ Owner ❑ Contractor OR; " ElAgent for Owner MAgent for Contractor
FILE COPY
Lenders Address City, State Zip
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT APPLICATION*
OFFICE #: (530) 538-7541 FAX #: (530) 538-2140
A FEE WILL BE REQUIRED AT TIME OFAPPLICA TION
Website: www.buttecounty.net/dds
PLEASE PRINT CLEARLY
PERMIT
NO. ,
BIN #
"When filed, this application and all supporting material becomes subject to the California Public Records Act. All public information
related to this application is subject to public inspection and will be posted on the County's website for electronic access.
OWNER INFORMATION
Last Name ni
First Name al
Mailing Address �/' ko q O
City U r o v
StateZi
1
9e9(00
Phon j L e 4
u��
Fax
E-mail
CONTRACTOR
Nam
Name
-0i'laduLv
Address -Po 0,04 -s
,it,
State
Zip
�O
Phone
Fax
E-mail
S®
Lic. # -1 -i —�3'2.
Class G 3
�7-L
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PROJECT LOCATION
API 0 G ,a0.03S-
Property Address '1"l / _ reS U t e
City n. ro V) I re,
WORKER'S COMPENSATION
Policy Number / 3 QQ 13Z5�
Carrier
If hiring anyone other 'than �licensed contractors, a certificate of
worker's compensation must be shown at the time of permit issuance.
LENDING AGENCY
Name
Address
DESCRIPTION OR SCOPE OF WORK:
Mom cap, Ali V
Sq FT- Living Garage Open Cov
❑ Structure Built without Permits
❑ Proposed Change of Occupancy
(Note previous use):
For office usLe qb1p
ARCHITECT/ENGINEER
Name
ex
Address
Address
City
City
State
Zip
Phone
S®
Fax
E-mail
Fax
State License Number
�7-L
.Jr..�.
PROJECT LOCATION
API 0 G ,a0.03S-
Property Address '1"l / _ reS U t e
City n. ro V) I re,
WORKER'S COMPENSATION
Policy Number / 3 QQ 13Z5�
Carrier
If hiring anyone other 'than �licensed contractors, a certificate of
worker's compensation must be shown at the time of permit issuance.
LENDING AGENCY
Name
Address
DESCRIPTION OR SCOPE OF WORK:
Mom cap, Ali V
Sq FT- Living Garage Open Cov
❑ Structure Built without Permits
❑ Proposed Change of Occupancy
(Note previous use):
For office usLe qb1p
APPLICANT INFORMATION
Name
ex
S G
Address
q3
City
u
(fin U [ 1 �
1 ' l
State
S®
Phone
Fax
E-mail
�7-L
.Jr..�.
PROJECT LOCATION
API 0 G ,a0.03S-
Property Address '1"l / _ reS U t e
City n. ro V) I re,
WORKER'S COMPENSATION
Policy Number / 3 QQ 13Z5�
Carrier
If hiring anyone other 'than �licensed contractors, a certificate of
worker's compensation must be shown at the time of permit issuance.
LENDING AGENCY
Name
Address
DESCRIPTION OR SCOPE OF WORK:
Mom cap, Ali V
Sq FT- Living Garage Open Cov
❑ Structure Built without Permits
❑ Proposed Change of Occupancy
(Note previous use):
For office usLe qb1p
Zoning
I Flood Zone
SRA
Yes
No.
Occ.
Type Const.
^
� .
RESIDENTIAL
^PERMIT NO.� ~6-700-03' 6-5�0Ol �
--~ DAVIS, C8l�8TIBD� -
�
2690 FORESTVIEW DR, UK0VlLL8
Cont: CLEANRITE INCRPLC �
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SPECIAL CONDITIONS
CHECKED
----'GRA �-----_
�
FLOOD CERTIFICATE REQ.
—FIRE SPR|NKLERSREO.
SPECIAL INSPECTION ITEMS
----'VERIFY �---�---
`
USEPERK�[T��ND�K�NS
---^`
SUB -STANDARD HOUSING LETTER '
U| |U
� -
l ~ ~
J0BPhNALED (Date)
.
Signature
J=OK
0 = Not OK
- = Not Applicable
. = Not Ready
RESIDENTIAL (Single & Duplex)
Date
UNDERFLOOR (Plans) OK except #'s
Service -Riser Conductors & Ground Main Disconnect
1.
Zoning -Setbacks -Easements -Flood -Slope
Equip. Clearances Panels-Motors-Mech. Equip.
2.
Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth
Clothes Closet Light -Shower Light -Spa Light
3.
Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth
Smoke Detector
4.
Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth
5.
Stemwalls, Main; Steel- Bloc kouts-Wrapped
Card B-1 Date Card B-1
6.
Stemwalls, Garage; Steel- Bloc kouts-Wrapped
Card B-1 Date Card B-1
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
Date
12.
Electric Underground
Date
13.
Plenums & Ducts; Clearance -Material -Support -Ins.
14.
Girders -Sills -Anchor Bolts-Joists-Vents-Crippies
15.
Access & Ventilation
16.
Insulation
63.
Infiltration -Walls -Windows
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.
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
77.
Wtr. Htr; Vents -Clearance -Comb. Air Connector-P.R.V.
in Garage; Above Floor-Mech. Protection
Date
78.
79.
80.Insulation-
81.
82.
Card B-1 Date Card B-1
Date
83.
84.Stucco
Card B-1 Date Card B-1
Date
ELECTRICAL (Permit) OK except #'s
A.C. Unit Disconnect, Electrical -Plumbing
24.
Fixture & Transformer Clearance -Ins. Protection
Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings
Water Well, Disconnect, Electrical, Plumbing
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
jted
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 O Yes O No
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
32.
Service -Riser Conductors & Ground Main Disconnect
Date
33.
Equip. Clearances Panels-Motors-Mech. Equip.
47.
34.
Clothes Closet Light -Shower Light -Spa Light
48.
35.
Smoke Detector
49.
Fireplace Ties or Type A Flue -Fireplace Throat Clearance
Date
Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
Card B-1 Date Card B-1
Date
Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions
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
58.
Card B-1 Date Card B-1
Date
59.
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.
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 -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.
66.
Smoke Detector
Furnace Vents -clearance -Comb, Air -Connector -
In Garage; Above Floor-Ducts-Mech. Protection
67.
68.
69.Elec.
Bedroom Exiting
G.F.I. & Bath Fixtures & Tub Access -Spa
Trim & Subpanel, Breaker Sizes & Labels
70.
71.
72.
Stairs & Rails
Fireplace or Stove, Clearance -Hearth
Elec. Outlets at Wood Panel, Int. & Ext.
73.
Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance
74.
Elec. Outlets & Receptacles at Kit. Counter
75.
76.
Garage Fire Door; Swing -Landing -Closure
A.C. Duct in Garage -Damper
77.
Wtr. Htr; Vents -Clearance -Comb. Air Connector-P.R.V.
in Garage; Above Floor-Mech. Protection
78.
79.
80.Insulation-
81.
82.
Plb.; Elec. & Mech. Equip. Listed for Location
Elec. Receptacles in Garage (FF.I.)-Romex Protection
Foam- Looked in Attic
Guard Rails & Deck Construction -Post Caps
Fdn. VBents & Crawl Hole Door Drainage & Wood Earth
Clearance Looked under Floor O Yes
83.
84.Stucco
Following Instld./Drive O Yes ❑ No/Walks O Yes O No/Planters O Yes O No
Brown -Finish
85.
A.C. Unit Disconnect, Electrical -Plumbing
86.
87.
Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings
Water Well, Disconnect, Electrical, Plumbing
88. Exterior Elec. Trim, G.F.I. Receptacle -Underground
89.
Ventilation Throughout House
Glass Protection
Corrections from Previous Inspections
jted
t
Gas Test -Meters Tagged, Gas -Electric
er & Sewer Connected -C/O to Grade -HD Approval
Ene y Compliance Certificate -Other Certificates
Add+ ss Posted
Fire prinkler
ate
Cara -1 Date Card B-1
to
Car B-1 Date Card B-1
Date
Ca B-1 Date Card B-1
Comments at Fin
�Z- 65 y,
J= @K
0 = Not OK
. = NotReadyab1e
1.
MOBILE HOMES
Date
MOBILE HOME UTILITIES (Plans) OK except #'s
3.
1.
Zoning Requirements -Setbacks -Easements
Wood Awn.; Posts- Beams-Rftrs-Connectors
Shthg-Frg-Bracing
2.
Soils; Special MH Support Sketch
6.
3.
Sewer; Location -Test -Fall -C/O -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;-/ /" L'ft.
/ P Nat. or / /" L "ft./ P LPG
12.
7.
Well Clearance & Disconnect
12.
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 6-1
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-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 Card B-1
Date Card B-1 Date Card B-1
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT
24 HOUR INSPECTION #: (530) 538-7636 (OROVIL'LE) (530) 891-2834 (CHICO)
OFFICE #: (530) 538-7541 FAX#: (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. 3g
License Class: License Number: J
Date:) J Contractor. P Y t e ()
OWNER -BUILDER DECLARATION
1 hereby affirm under penally ,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 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).):
❑ I, as owner of the property, or my employees with wages as their
sole compensation, will do the work, and the structure is not
intended or offered for sale (Sec. 7044, Business and Professions
Code: The 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.) -
'I am Exempt under Article 3 of the Business and Professions Code
Date: Owner:
WORKERS' COMPENSATION DECLARATION
I 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.
I have and will maintain workers' compensation insurance, as
required by Section 3700 the Labor Code, for the performance of
the work for which this permit is issued. My workers' compensation
insurance carrier and pglicy number are: I n X
■ f:L(/SIi'liiC�t71 t/�� 1 �?'(►67� �iit+�l�i:
Policy
(/
O 1 certify that in the performance of the work for which this permit is
issued, I shall not employ any person in any manner so as to
become subject to the workers' compensation laws of California.
and agree that if I should become subject to the workers'
compensation provisions of Section 3700 of the Labor Code, I shall
forthwith comply with those provisions.
Date:
Applicant:
WARNING: Fai r � to secure workers' compensation coverage 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.)
Address:
PERMIT NO.
BP050001
Issued Date: 01/03/2005 APN: 036-700-035-000
Site Address: 2690 FORESTVIEW DR ORO
Map Index:
Description: RPLC INSULATION & DRYWALL (WATER
DAMAGE)
Owner: DAVIS CHRISTINE A
2690 FORESTVIEW DR
OROVILLE, CA
95966
Applicant: CLEANRITE INC.
DBA: BUILDRITE CONSTRUCTION &
RESTORATIO
1200 W EAST AVE 95926'
(530) 891-0333
Contractor: CLEANRITE INC.
DBA: BUILDRITE CONSTRUCTION &
RESTORATIO
1200 W EAST AVE 95926
(530) 891-0333
License #: 689238
Architect:
Engineer:
Total Square Ft:
Valuation:
Census Code:
0 S. F.
$0.00 J f �iff'j/
06
oh tN
41 a� 6 !, 194-,'79 1 • a - es
5-
his permit i ere6y issued under the applicable provisions of the Butts County Codi+ 2nrUc
tesolutionf ss to o work Indicated above for which( fees have been paid.
t„• "T �r2i� —M ` ► r il�-'�' LCt s Date-
❑ I hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safely Code, which regulate the storage,
handling and use of hazardous materials.
❑ Notification In accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project.
❑ Attached are copies of the required E.P.A. notification forms.
I hereby certify that I have read this application, that the above information is correct, and that'I am the owner or the duly 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 ofan official form or docume t of Butte County. I hereby
authorize representatives of tte County to enter upon the above mentioned property for Inspection purposes.
Print Name: '*ems fILCJ �f�i/'Signature:
Date:
L3Owner ❑ Contractor EllAgent for Owner Agent for Contractor
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT
24 HOUR INSPECTION #: (530) 538-7636 (OROVIL'LE) (530) 891-2834 (CHICO)
OFFICE #: (530) 538-7541 FAX#: (530)538-2140
WEBSITE: www.buttecounty.netldds
LICENSED CONTRACTORS DECLARATION
1 hereby affirm under penalty of per)'ury 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.2 ?�
License Class: �_ License Number: J
Date: 1-3 %5 Contractor: P Y) if
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 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).):
❑ I, as owner of the properly, 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.).
❑ 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.).
D I am Exempt under Article 3 of the Business and Professions Code
Date: Owner:
WORKERS' COMPENSATION DECLARATION
I 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.
I have and will maintain workers' compensation insurance, as
required by Section 3700 the Labor Code, for the performance of
the work for which this permit is -issued. My workers' compensation
insurance carrier and oolicv number are: n %
>tr�rsr`iz�r�1��:���crEzuf��:rr
.lam
❑ 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 shall
forthwith comply with those provisions.
Date:
Applicant:
WARNING: Fai r to secure workers' compensation coverage 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.)
Address:
PERMIT NO.
BPO50001
Issued Date: 01/03/2005 APN: 036-700-035-000
Site Address: 2690 FORESTVIEW DR ORO
Map Index: .
Description: RPLC INSULATION & DRYWALL (WATER
DAMAGE)
Owner: DAVIS CHRISTINE A
2690 FORESTVIEW DR
OROVILLE, CA'
95966
Applicant: CLEANRITE INC.
DBA: BUILDRITE CONSTRUCTION &
RESTORATIO
1200 W EAST AVE 95926
(530) 891-0333
Contractor: CLEANRITE INC.
DBA: BUILDRITE CONSTRUCTION &
RESTORATIO
1200 W EAST AVE 95926
(530)891-0333
License #: 689238
Architect:
Engineer:
Total Square Ft:
Valuation:
Census Code:
0 S. F.
$0.00
4-149S,9 8 ro t. !, 15 4-,-7 9 1. 3- 4 5
This permit i ereby issued under the applicable provisions of the Butte County Coda andlor
Resolutions to o work Indicated above for which fees have been paid.
By: Date:
PERM EX IRES ON: I '
!Date)
❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safely Code, which regulate the storage,
handling and use of hazardous materials.
O Notification In accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project.
O Attached are copies of the required E.P.A. notification forms.
I hereby certify that I have read this application, that the above information is correct, and that'I am the owner or the duly 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 ELutte County to enter upon the above mentioned property for inspection purposes.
Print Name: P �i Signature:
"44zox
Date: �c� / _
0 Owner 0 Contractor 0 Agent for Owner AAgent for Contractor
.. -r .. ,�. __ ...,w,, _ :.yam -�. _. .--.+w.-..�,.a`wr•. ••'-.,�!1 '�.�.� r�tsr,�.Y��'��P�i�.?¢f:
A
E
-036'-700;035
,'`.'LOZENSKY, "Jon
„ 2690 Forestview Dr Oroville.,e�`t"
Reroo0SF, c'
a
f
•
w
S
•
r
MWA
COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
11
7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7 1 PERMIT NO.
APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER
036-70-0-035
ZONING
ARMH
BU DING PERMIT
OWNERLOZENSRY
JONOWNER'S
533—EE27(FO
SO. FT. OCC. BUILDING VALUATION
10 600
MAILING ADDRESS
2690 FORESTVIEW DRIVE OROVILLE CA 95966
CONTRACTOR'S NAME
OWNER
TELEPHONE
CONTRACTORS MAIUNG ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation Is
Filing Fee $
20.00
LENDER'S MAILING ADDRESS
Permit Fee $
17.00
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee $
Energy Plan Checking Fee $
ARCHITECT OR ENGINEERS MAILING ADDRESS
Penalty $
BUILDINGADDRESS
2690 FORESTVIEW DRIVE OROVILLE
PERMITFEE $
37.00
PLUMBING PERMIT Filing Fee 20.00
Each Trap 7.00
LOT NO.
SUBDIVISION'S NAME
PARCEL MAP
Solar or heat pump water heater
23.00
USEOFSTRUCTURE
SF ❑ XDuplex ❑ Mobilehome ❑ Other
SPECIFY
Water piping
15.00
Each gas water heater or vent
15.00
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ U8lities ❑ Installation ❑ Other
Describe Work: REROOF W/ COMP
—
Mobile Home I S I G W 1 920.00
PERMITFEE s
Contractor
ELECTRICAL PERMIT Filinq Fee 20.'00
Main Service / OOOV OR LESS
zooA OR LESS )
23.00
Main Service ( 200A TO I000A )
46.00
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
1 hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law ;dr the following reason:
Ee 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
NEW CONST. DWELLING OCCUR
OR NS. ( 8 ACC. )
SD.
3.5Q FT.
CONST. MULTI.OUTLE
NEW CTLET
NON-RESID. ( BRANCH CIRCUITS )
97.50
( POWER APPARATLETUS )
8 SINGLE OUT CIR.
Ex. Occup. (OUTLET OR FIXTURES )
20 a I.00
BA 0 50
Ex. Occup. ( OUFIXED APLNS. TLETS(RESD.OR
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
PERMITFEE s
Contractor
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.
❑ I 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
MECHANICAL PERMIT Filing
9 Fee 20.00
Heating
Cooling
Hood
6.50
Ventilation
PERMITFEE S
Contractor
Policy Number
(The above sections need not be completed if the permit is for work of a valuation
"one hundred dollars ($100) or less.)
I cf ertify 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' compensation provisions of section 3700 of the Labor Code, I shall
forthwith comply with those provisions.
CC
X ��� -- Date 2�r
S�oa ure of Apel' ant.- ❑ Owner Contractor ❑, ent
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 Is
OCC
CONST. TYPE
I
TOTAL FEE $ 37.00
HAZ.
I D. FEES
I IMP
I FLOOD
CDF
PARCEL
PID HD
ISSUE
This permit is hereby issued under the applicable provisions
of the Butte County Code and/or Resolutions to do work
indicated above or which f shave been paid.
y ate 6/26/95
�
PERMITEXPIRESON 6/26/96
(Date)
Receipt No. 1$0237
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
COUNTY OF BUTTE -DEPARTMENT OF.DEVELOPM ENT SERVICES-BUILDINGDIV ON
7 County Center Drive - Oroville, 't aliforoia 95965 - Telephone (916) 538-7 1 PERMIT NO.
APPLICATION AND PERMIT _
ASSESSOR PARCEL NUMBER
036-70-0-035
ZONING
ARMTH
BU ING PERMIT
OWNER
JON LOZENSKY
TELEPHONE
533-2740
SO. FT. OCC. BUILDING VALUATION
10 00
OWNERS MAILING ADDRESS
2690 FORESTVIEW DRIVE OROVILLE CA 95966
CONTRACTOR'S NAME
OWNER
TELEPHONE
CONTRACTORS MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNIwOWN
Total Valuation Is
Filing Fee $
20.00
LENDER'S MAIUNG ADDRESS
Permit Fee $
17.00
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee $
Energy Plan Checking Fee $
ARCHITECT OR ENGINEERS MAILING ADDRESS
Penalty $
BUILDINGADDRESS
2690 FORESTVIEW DRIVE OROVILL
PERMITFEE $
37.00
PLUMBING PERMIT
Filing Fee 1 20.00
Each Trap
7.00
LOT NO.
SUBDIVISION'S NAME
PARCEL MAP
Solar or heat pump water heater
23.00
USEOFSTRUCTURE
SF ❑ YDuplex ❑ Mobilehome ❑ Other
SPECIFY
Water piping
15.00
Each gas water heater or vent
15.00
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
TYPE OF WORK Xg
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other fl
Describe Work: REROOF W/ COMP
Mobile Home JS I G1 W 1
920.00
PERMITFEE $
Contractor
ELECTRICAL PERMIT
Filina Fee 20.'00
Main Service OOOV OR LESS
( 200A OR LESS )
23.00
Main Service ( 200A TO I000A )
46.00
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
1 hereb affirm under penalty of perjury that I am exempt from the Contractors License
Law r the following reason:
7I, 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.
❑ I am exempt under Sec. Business and Professions Code for this
reason
NEW CONST. DWELLING OCCUR
OR ADONS. ( 8 ACC. )
SO.
3.S¢ FT.
NEW CONST. / MULTI.OUTLEUTLET
NON-RESID. \ BRANCH CIRCUITS )
97.50
( POWER APPARATUS )
8 SINGLE OUTLET CIA.
Ex. Occup. (OUTLET OR FDCTURES)
2e ®+ 50
BAL 0 .SO
Ex. Occup. ( OFIXEEDrs IPE o.Oea)
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
PERMITFEE S
Contractor
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
MECHANICAL PERMIT
Filing Fee 20.00
Heating
Cooling
Hood
6.50
Ventilation
PERMITFEE $
Contractor
Policy Number
(The above sections need not be completed if the permit is for work of a valuation
pione hundred dollars ($100) or less.)
05, 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' compensation provisions of section 3700 of the Labor Code, I shall
forthwith comply with those provisions.
pa
X Date_ /� eat
Si ure of Ap ant ❑ Owner Contractor ❑ ent
n 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 Is
OCC
CONST. TYPE
TOTAL FEE $ 37.00
HAZ.
I D. FEES
I IMP I FLOOD
I CDF PARCEL
PO HD
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 f shave been paid.
y ate 6/26/95
PERMITEXPIRESON 6/26/96
(Date)
ReceiptNo. 1 R02'17
WHITE-D.D.S.-E.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
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,AI personally plan to provide the major labor and materials for construction of the
proposed property improvement: YES[ ] NO[ ].
2. I HAVE[ ] HAVE NOT[ ] signed an application for a building permit for the
proposed work.
3. I have contracted with the following person (firm) to provide the proposed
construction:
NAME:
ADDRESS: - QTY:
PHONE: CONTRACTOR'S LICENSE NO.
4. I plan to provide portions of this work, but I have hired the following person to
coordinate, supervise, and provide the major work:
NAME: f
ADDRESS: CITY:
PHONE: CONTRACTOR'S LICENSE NO.
5. I will provide some of the work but I have contracted (hired) the following persons to
provide the work indicated:
NAi12E- ADDRESS PHONE TYPE Or WORK
SIGNED: OexPROPERTY OWNER:
SOCW_S� --" ' " BER:
DATE:
NOTE: This owner -Builder. Verification is required by Section 19831 and
19832 of the California Health and Safety Code.
This verification must be completed and returned to our office before
we are permitted to issue the permit.
Dear Property Owner:
.. An application for a building permit has been submitted in your name listing yourself as the builder of
property improvements specified
For your protection, you should be aware that as "owner -builder" you are the responsible party of record
on such a permit. Building permits are not required to be signed by property owners unless they are personally
performing their own work. If your work is being performed by someone other than yourself, you may protect
yourself from possible liability if that person applies for the proper permit in his or her name.
Contractors are required by law to be licensed and bonded by the State of California and to have a
business license from the city or county. They are also required by law to put their license number on all permits
for which they apply.
If you plan to do your own work, with the exception of various trades that you plan to subcontract, you
should be aware of the following information for your benefit and protection:
0 If you employ or otherwise engage any persons other than your immediate family, and the work (including
materials and other costs) is 5300 or more for the entire project, and such persons are not licensed as
contractors or subcontractors, then you may be an employer.
0 If you are an employer, you must register with the State and Federal Governments as an employer and you are
subject to several obligations including state and federal income tax withholding, federal social security taxes,
workers compensation insurance, disability insurance costs, and unemployment compensation contributions.
0 There may be financial risks for you if you do not carry out these obligations, and these risks are especially
serious with respect to worker's compensation insurance.
0 For more specific information about your obligations under Federal Law, contract the Internal Revenue
Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your
obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial
Accidents.
If the structure is intended for sale, property owners who are not licensed contractors are allowed to
perform their work personally or through their own employees, without a licensed contractor or subcontractor, only
under. limited conditions.
A frequent practice of unlicensed persons professing to be contractors is to secure an "ownerbuilder"
building permit, erroneously implying that the property owner is providing his or her own labor and material
personaily. Building permits are not required to be signed by property owners unless they are performing their own
work r rsonally.
Information about licensed contractors may be obtained by contracting the Contractors State License
Board in your community or at 1020 N Street, Sacramento, CA. 95811.
Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm
that you are aware of these matters. The building permit will not be issued until the verification is returned.
Sincerely,
Michael C. Vieira, C.B.O.
Manager, Building Inspection
NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code.
OVER
` PERMIT NO. 3534-76B
PERMIT EXPIRES
i, OWNER Wynoka Homes
CONTR. owner l 1 e /3 &
36-194-10 (port.)
LOCATION (A.P. )
Lot 35, s/s Forestview Dr., V.M. #2, Orovil•l:e
Y.
a
• t
i
Il
r
` a
` Temp. Power Pole
Called�PG&E
Temp. ?Qc. Serv. oma? 6
Caf ed PG&E
Temp Gas Serv.
F Called PG&E•�C
/JOB
FINALED /
(Date)
6
(Signature) s
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORM- `
BUILDING INSPECTION RECORD
ZWK--AM
Brown
BUILDING
BUILDING. (Cont'd)
(p
PLUMBING
Setback
- 2 Z 4.
Firewall • -6
Soil Piping
Forms
Parapets
1st Floor
- 2 2
Main Bldg.
Restroom Finish
2nd Floor
Footings
Windows
3rd Floor
SteniwaI l
Siding a- (.s — .
To out
Slab
6 .b
Roof Sheathing - G
Water Pi iri
- 7 -
Piers
Piers
Roofing
Sewer
6P--7
Garage
Fdn. Vents
Fixtures
Footings
Garage Vents
Water Htr.
�-
Stemwall
Insulation IS
Heaters
Slab 16
Prov. for physically
Appliances
Carport
handlca ed
Conformance of ex.
Gas Piping&Test
Footings
structure
Temp. Gas
Slab
Final
Sanitation
Patio.
FIREPLACE
Final
Footinas
Footing
ELECTRICAL
ZWK--AM
Brown
Finish /.•-
(p
Interior IssMr 1 6 —";7
Door Closer
DATE
Throat X Rou h lb
Final + Fixtures I
FIRE SPRINKLERS I Motors "6.P - 77
Final
MECHANICAL
Heating
Cooling E ?29P
Ducts
Ventilation
Final % _/ _-7 -7-
REMARKS
%
REMARKS OR CORRECTIONS
Water Htr. 11
Subpanels f {o -- 2__-2
Grd. Fault Prot. /— -'72
Service
Temp. Pole
Underground
Permanent
Final — &
(NOTE: -An entry must be made on this form each time you visit the job site.)
THIS IS TO CERTIFY THAT INSULATION HAS BEEN INSTALLED IN CONFORMANCE WITH THE CURRENT REGULA-
TIONS, CALIFORNIA ADMINISTRATIVE CODE, TITLE 25, STATE OF CALIFORNIA, IN THE BUILDING LOCATED AT:
Street Lot Number Tract No.
EXTERIOR WALLS
Man ufacturer/y�� Thickness/Type R' Value
CEILINGS
Batts: Manufacturer 0 Thickness R Value
Blown: - Manufacturer ' Thickness % No. Bags �3- Wt./Bag
FLOORS
Sq. Ft. Covered R Value i
Manufacturer Thickness/Type R Value
SLAB ON GRADE
Manufacturer Thickness/Type R Value_
Width of Insulation inches
FOUNDATION WALLS
R Value_
GENERAL
BY— -��� �(AZ� TITLE — DATE 0 7
INSTIL ION CONTRA HAWKINS INSULATION CO. LICENSE No. 21 -925
B TITLE DA L
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center DriJe - Orovi Ile, California 95965
Telephone: 534-4541
APPLICATION AND PERMIT
V �/ ,76
.+uu vi ze represeniattves UI the County of Butte to enter upon the
above -mention d property for inspection purposes.
X Date ` wo
gnature
/of Permitee or Ag nt
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 P LIC WORKS
By > > / mate %- -2--- i 4
Builcring permit expires Date 7- - -7
BUILDING
Owner YJ ImSO.
FT. OCC. BUILDING VALUATION
Mailing Address ` � ••-�.�//
-_793,;___, �,
3 '7 g'-
�t�— �
c
Tel eph one No.
fireplace
Contractor
Total Valuation63-3.
Mailing Address
Permit Fee
Plan Checking Fee&/or Penalty
Telephone No.
Permit Fee
Building Address
PLUMBING No. @ I FEE
PERMIT FILING FEE $3.00
,,gy�
Ive 412- / / !2 56-1, ,® ,—
Each Trap 1.50
Repair drainage or vent piping 1.50
�4tS /j/ V* --,t5
Water piping 1.50
Each gas water heater or vent 1.50
A. P. No. -- Zoning 8 Planning
Gas piping system 1 - 5 outlets 1.50
Each additional outlet .30
Fees
I W.
n re Dept.
FireZone Use Permit
Building sewer 5.00
EQA I Pa
e_;1Declaration a el Map
60' R/W
Improvements
Lawn sprinkler system 2.00
Bldg. Ions Recd Parcel Approval
Plan4,Approval
Permit Fee $
NEW � ADDITION ❑ UTILITIES ❑ OTHER ❑
ELECTRICAL No. @ I FEEPERMIT
FILING FEE J$3.001
Main service 600V OR LE 100 AMP ORLESS5.00
Main service EA. ADD•L 100 AMP 2.50
Single Family91 Duplex ❑ Mobil Home ❑ Others ❑
Main service OVER 600V
100 AMP OR LESS 25.00
Main service EA. ADD'L loo AMP 1.00
NEW CONST. DWELLING OCCUP. &
OR ADDNS. ACC. BLDGS. ) 2�sgft
NEW CONSTR. MULTI.O UT LET
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:
��� �,�
1� `/3%�S ���
Ex. Occup(OUTLETS OR FIXTURES) BAL21
Ex. Occu04
FIXED APPLNS. OR
P•(OUTLETS (RESID.) EA) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
License No._ Z%�?,5&7 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.
�l have placed on file with the County of Butte a certificate of
Workmen's Compensation Insurance.
Iermit is issued certify that in the performance of the work for which this
p employ y I shall not em an person in any manner
so as to become subto subject to the Workmen's Compensation Laws of
California.
MECHANICAL No. @ FEE
PERMIT FILING FEE $3.00
Heating
Cooling
Ventilation
Hood 1 1 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
.+uu vi ze represeniattves UI the County of Butte to enter upon the
above -mention d property for inspection purposes.
X Date ` wo
gnature
/of Permitee or Ag nt
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 P LIC WORKS
By > > / mate %- -2--- i 4
Builcring permit expires Date 7- - -7
F
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 t3utte to enter upon the
above -menti` reed property for inspection purposes.
Date
Signature of Permitee or Agent
Receipt No. 7� .
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��C�'
Building permit expires Date 2 777/6 r ��
BUILDING
Owner U.lJi �r<i9 c v�-'t � S C
SQ. FT. OCC. BUILDING VALUATION
Mailing Address
Telephone No.
Fireplace
Contractor pAgic 907 14 e (JK 5
Total Valuation
Mailing Address b D -,3 / it/
Permit Fee
Plan Checking Fee&/or Penalty
�
Telephone No.
Permit Fee $
Building Address "% S e - r /t-
PLUMBING No.1 @ FEE
PERMIT FILING FEE $3.00
- [�/9 l �" Z
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. C�
Zoning 8 Planning
Gas piping system 1 - 5 outlets 1.5U
Each additional outlet .30
Fe
lkll
Saeitatiefa-
FireDept.
FireZone
Use Permit
Building sewer 5.00
EQA
Parking
Plans
Parcel
Declaration
Parcel Ma P
60' R/W
ImprovementsLawn
sprinkler system 2.00
T_
B"T.-Ptuff7-Re—ev
Parcel Approval
Plans Approval
Permit Fee $
$
NEW E)ADDITION ❑ UTILITIES ❑ OTHER [
ELECTRICAL No. @ FEE
PERMIT FILING FEE $3.00
�/
�` z. '�
Main service 60ov OR LESS
100 AMP OR LESS 5.00
Main service EA. ADD'L 100 AMP 2.50
Single Family ®. Duplex ❑ Mobil Home ❑ Others ❑
R 600V
Main service OVEAMP OR LESS 25•��
Main service EA. ADD'L 100 AMP 1.00
OR ADDNST ( ACCLBLDGS.CCUP. &) 2�Sgft
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 alliforni Business & Professions Code under the name
style 1 /
�%
/F' /(
Ex. Occup(OUTLETS OR FIXTURES) @01
BAL M
FIXED APPLNS. OR
Ex. Occup•(0UTLETS (RESID.) EA) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
i
�
License No./! : ,:?-/7e Classificatio_
_ n
Misc. Wiring 6.25
❑ I am exempt from the Contractors License Laws of the State of California.
Permit Fee $
$
WORKMEN'S COMPENSATION INSURANCE
I 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
l 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 r/t�
Heating � Al!�
Cooling p�
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
$ 11j
authorize representatives of the county of t3utte to enter upon the
above -menti` reed property for inspection purposes.
Date
Signature of Permitee or Agent
Receipt No. 7� .
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��C�'
Building permit expires Date 2 777/6 r ��
I
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Uroville, California 95965
.. - Telephone: 534-4541
APPLICATION AND PERMIT
CJ
BUILDING
Owner e&y/v✓,1<t4`
SQ. FT. OCC. BUILDING VALUATION
Mai I Ing Address
Telephone No.
Fireplace
/�
Contractor f�(�/%j�%/f/6
Total Valuation
Mai I ing Address , j 9 � %J- ,�%�.
Permit Fee
Plan Checking Fee &/or Penalty
/pz_z C�
Tele hone No.
—Z -/2U
Permit Fee $
Building Address ?° �` �vS�-�N
PLUMBING No.1 @ FEE
PERMIT FILING FEE $3.00 j,Q
Each Trap 1.50 2,0 a
Repair drainage or vent piping 1.50
Water piping 1.50 j d
A JS ry
e,cX100 �if/1 � �
Each gas water heater or vent 1.50 „'5'0
A. P. No.
Zoning & Planning
Gas piping system 1 - 5 outlets 1.50 $ O
Each additional outlet .30
Fees
.C.
-&enrteticrr
I FireDept.
I FireZone
Use Permit
Building sewer 5.00 G
EQA
Parking
Plans
Parcel
Declaration
Parcel Ma P
60' R/W
Improvements
provements
Lawn sprinkler system 2.00
S rR� y
BJdg
Parcel Approval
Plans Approval
Permit `J
Pit F $ 27.✓'
$ �- !,
NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER
ELECTRICAL No.1 @ FEE
PERMIT FILING FEE $3.00
'%//�
C., 1101ol G 1A,��� r&YT # 353 `/ v
Main service 6001 OR LESS
100 AMP OR LESS 5.00
Main service EA. ADD'L 100 AMP 2.50
Single Family Duplex Mobil Home
9 Y P ❑ ❑ Others ❑
Main service OVER 6001
+oo AMP OR LESS 25.00
Main service EA. ADD -L. 100 AMP 1.00
NEW CONS. DWELING
OR ADONST ( ACCLBLDGS.CCUP. &\ 2¢sgft
/
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 Busin & Profess' Code under the name
stye r -
Ex. Occup(OUTLETS OR FIXTURES) 109
XED APPLNS. OR
Ex. Occup.(FIouTLETS (RESID.) EA) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
License No. Classification
Misc. Wiring
6.25
FF
❑ 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 W/o.rkmen's Compensation.
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.
1 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
$ Z
QUtHiZE lep eSe"LauveAJ UI lne Cuunty UL Butte to enter upon the
above-mentioned property for inspection purposes.
2X ate
Signature of PeF ee or Age t
Receipt No. // [7L� `/6 7
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.
_QIREC_1OR OF PUBLIC WORKS
By Date ;ice
Building permit expires Date
J
j,
- COUNTY OF BUTTE - DEPARTMENT OF PUB IC WORKS
7 County Center Drive Oroville, California 5 7/
Telephone: 534-4541 3710-1(0
APPLICATION AND PERMIT l /
author:
BUILDING
Owner �j� �/�G
SQ. FT. OCC. BUILDING VALUATION
Mailing Address
Telephone No.
Fireplace
Contractors
Total Valuation
Mailing Address 26� ,$"7/ �%
Permit Fee
Plan Checking Fee&/or Penalty
Telephone No.
G S' 3_��3•D
Permit Fee
Building AddressLo A S' `^ e,
PLUMBING No. @ FEE
PERMIT FILING FEE $3.00
f
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. 3 - /QL `- 10 ^ eOX-?
Zoning & Planning
Gas piping system 1 - 5 outlets 1.50
Each additional outlet .30
Fes
*e-
I &Mt4etFm
I Fire Dept.
Fire Zone
Use Permit
Building sewer 5.00
EQA
ParkinDeclaration
Plansns
Parcel Map
60' R/W
Improvements
Lawn sprinkler system 2.00
ec
Parcel Approval
Plans Approval
Permit Fee $
$
NEW ❑ ADDITION ❑ UTILITIES ❑ OTHE
ELECTRICAL No.1 @ FEE
PERMIT FILING FEE $3.00, OD
� i" y��— % • '
Main service 600V OR LESS
100 AMP OR LESS 5.00
Main service EA. ADD'L 100 AMP 2.50
Single Family Duplex ❑ Mobil Home ❑ Others ❑
Main service OVER 1100 AMP OR LESS 25.00
Main service EA. ADD'L 100 AMP 1.00
NEW CONST. DWELLING OC q h
OR ADDNS. ( ACC. BLDGS. L ) 20S ft
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:
60)( &L
Ex. Occup(OUTLETS OR FIXTURES)@25¢
BALN'1
Ex. OCCU FIXED APP LNS. OR
p•(OUTLETS (RESID.) EA) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
License No._305'366Classification /� �/'�
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.
Iermit is issued certify that in the performance of the work for which this
p employ y I shall not em an person in any manner
so as to become subto subject to the Workmen's Compensation Laws of
California.
MECHANICAL
@ I FEEPERMIT
-No.1
FILING FEE J$3.00
Heating
Cooling
Ventilation
Hood 2.00
Permit Fee $
$
1 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
TO
TOTAL PERMIT FEE
$ 3 P6
ze representatives of the County of Butte to enter upon the
above-mentioned p operty fo i ectio purposes.
X Date 7h �74
Sign ure of er -tee t
Receiot No. or nJ/—"/� ? 7 70,V
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.
D EC OF PUBLIC WORKS
Dat •_-
Building permit expires Date
aterin s & Workmanship Shall Be in
Accordance- with Rn,-.oani7Fd Gond ' Practices an%jl.
•1 I his set of plans asi�i�4+s MUST, b
of a quality nrecc, ,.r,^I for +he Sr ecif;ed use in the
Uniform Building, Plumt,inq & Machanical Codes an8' kept on the -job at all times and it is unlawful 't
the National Electrical Code. make any changes or alterations on same withoi
L written permisson from the Department of Publ'
—G�__tloeV _ ...___. irks,_CounYy of Butte_
I See MasterPlan on file for Wildin' 4, Z10O
plans. .
N �I X101 W �1 � � -leap-,
W,,
Fiv 01-,1,I�
�,, j, AA171 2IV
The Bldg. Setback shall be 5 ft. from BU COU N'l
fhe side properfy line and Sn 4. x_im
BUILDING DEPARTME(1�
the centerline of the roarl, re-1'%1;Wn„
a maximum of a 2 ft. ease oe••I,,..�^- APPROVED
4 — 4
- - SJ IM 1p -X70'-Gb"-lr-,-'-10,GP_
SUBDIVISION CITY COUNTY LOT NO.
SEWER 'awo
WATER &0
GAS
ELECTRIC,
9'16.5332736
HOMES,INC
P.O. BOX ISC
OROVILLE,
CAL. 95965
JOB NO.
SCALE'?