HomeMy WebLinkAbout079-240-044•
Don Dirks
S/S Lower Wyandotte Rd., app.2/10 mi.E.
Drescher Tract Rd., Oroville
Permit #7391-79B,P,E,M(new single
family)
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' ROBERTS, JIM &''BARBARA
6504'LOWER WYANDOTTE, OROVILLE'
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BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT
24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO)
OFFICE #: (530) 538-7541
PERMIT NO.
BP060019
B. C. Building Permit 01-16-04 pg 1
LICENSED CONTRACTORS DECLARATION
I hereby affirm under penalty of perjury that I am licensed under
Issued Date: 01/05/2006 APN: 079-240-044-000
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.j/�(/
4
Site Address: 6504 LOWER WYANDOTTE RD ORO
License Class : License Number: vv -7
Date: L - - U(nContractor: T)a A21 or
Map Index:
Description: REPLACE A/C UNIT
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
Owner: ROBERTS JIMMIE W & BARBARA G
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
6504 LOWER WYANDOTTE RD
the Contractor's State License Law (Chapter 9 commencing with Section
OROVILLE, CA
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
95966
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
Applicant: DE AIR COMPANY
owner of property who builds or improves thereon, and who does
271 O E FEATHER RIVER BLVD
such work himself or herself or through his or her own employees,
provided that such improvements are not intended or offered for
OROVILLE, CA
sale. If however, the building or improvements are sold within one
95965
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
530-534-8691
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,
Contractor: DE AIR COMPANY
and who contracts for such projects with a contractor(s) licensed
pursuant to the Contractors' State License Law.).
2710 E FEATHER RIVER BLVD
OROVILLE, CA
❑ 1 am Exempt under Article 3 of the Business and Professions Code
95965
Date: owner:
530-534-8691
License #: 478347
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.
Architect:
Q*" I have and will maintain workers' compensation insurance, as
Engineer:
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 policynumber are:
Carrier: JC�r
Total Square Ft: 0 S. F.
Policy #: I �( T�
Valuation: $0.00
❑ 1 certify that in the performance of the work for which this permit is
Census Code:
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.
eJ
Date:
O�i(`_
�ll
Applicant:
WARNING:ailur o 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
This permit is hereby issued under the applicable provisions of the Butte County Code and/or
I hereby affirm that there is a construction lending agency for the
Resolutio s to do work indica ed above for which fees have been paid.
performance of the work for which this permit is issued (Sec 3097 Civ.)
BY I Date: 1 _ � _ 0 6
Name:
7
PERMIT EXPIRES ON: I - S- O �—/
Address:
(Date)
❑ I hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage.
handling and use of hazardous materials.
❑ Notification in 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 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 substan ofal for ument o County. I hereby
2eduauthorized
authorize repres tatives of Butte County to enter u n the above mentioned property for inspection pur ses.
Print Name:: Signature:
/
Date:.
❑ Owner ❑ Contractor ❑ Agent for Owner gent for Contractor
B. C. Building Permit 01-16-04 pg 1
(0
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`BUTTE COUNTY PERMIT 0 DEPARTMENT OF DEVELOPMENT SERVICES NO.
0 BUILDING PERMIT APPLICATION
0 AND SUBMITTAL REQUIREMENTS n
0 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 BP Q�v
o=>_a 0 OFFICE #: (530) 538-7541
y A FEE WILL BE REO UIRED AT TIME 0 F A PPLICA TION
BIN #
Website: www.buttecounty.neUdds
"PLEASE PRINT CLEARLY**
a
OWNER INFORMATION
Last Name
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irst Name \ i
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City
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Address
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City
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Phone
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CONTRACTOR
Name
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City
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State /I Zip
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Fax
E-mail
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Lic.L/72-64
Class
a
F offi se only:
ARCHITECT/ENGINEER
Name
f p 1/. 1-55
W �(
Address
SRA
City
-,
State
Zip
Phone
Map Book
Fax "
E-mail
Planner
State License Number
F offi se only:
APPLICANT INFORMATION
Name
f p 1/. 1-55
W �(
Address
SRA
City
-,
State
zp
Phone
Map Book
Fax
E-mail
Planner
F offi se only:
Zoning
Property Address
Flood Zone
Cross Street
SRA
Yes
No
Occ.
Type Const.
Subdivision Name
Map Book
Page
Lot #
Planner
Date Approved:
OVER FOR SUBMITTAL REQUIREMENTS
PROJECT LOCATION
AP# 07q -2-90 -
Property Address
Cit
vv'
Cross Street
WORKER'S COMPENSATION -
Policy Number
Carrier
If hiring anyone other than license contractors, a certificate of worker's
compensation must be shown at the time of permit issuance.
LENDING AGENCY
Name
Address
Description or Scope of Work:
Sq FT- Living Garage Open Cov
❑ Structure Built without Permits
❑ Proposed Change of Occupancy
(Note previous use):
EXPIRATION OF APPLICATION
Applications for which a permit has not been issued will expire one
year after the date of application. In order to renew action on an
application after expiration, a new application, plans and fee will be
REQUEST FOR REFUNDS
Refunds can only be made upon written request by the person who
paid the fee. The request must be made prior to the expiration of the
permit and no construction work has been done. Filing fees, plan
check fees for work plan checked and other department costs are not
refundable.
Received byK , G . Amount:'
r(-:)5 • ca Bldg
/t SRA
Receipt Mwnxi l0 Sheriff
SMIP
5" O� 0D Other
Date: r_.
K-\F(')PKAC\RI III nmr: FOP hAC\RlrinAnnlCiihRnmts rine Paoe 1 of 2 REV 8-12-05
SUBMITTAL & PERMIT REQUIREMENTS ~
The following drawings and specifications must be submitted to the Building Division in order to apply for a
permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK.
❑ 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. No graph paper!
❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans (No graph paper!) OR
Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations.
❑ 3. Engineered truss details and layouts in duplicate (if required). No faxes!
❑ 4. Energy compliance design and supporting documentation in duplicate.
❑ 5. Statement of Intent for Non -heated and A/C for Non -Residential Buildings.
❑ 6. Manufactured homes: (A) Installation manual, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans,
all in duplicate
❑ 7. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor
plans in triplicate. All of these must be stamped and wet -signed by the engineer.
❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate (if required).
❑ 9. Site plan and business license approval from the City of Biggs.
❑ 10. Letter of intent for non-residential buildings.
❑ 11. Building Permit Application Without Required Clearances Form .
❑ 12. Hazardous Material Form (for Commercial Buildings only).
Remaining items needed to issue the permit. Additional items may be required after Plan Check and Planning
review (May require additional plan review upon receipt of the following items.)
❑ 1. Agricultural Buffer clearance and site plan approval from the Ag Commissioner's office (if required).
❑ 2. Impact Fees.
❑ 3. California Department of Forestry plan approval (if required).
❑ 4. NPDES Form.
❑ 5. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy).
❑ 6. Contractor's license information. (Number, Name Style, Classification).
❑ 7. Worker's Compensation Carrier and Policy Number.
❑ 8. Owner -Builder Verification (if required).
❑ 9. Letter of Signature authorization (if required).
❑ 10. Recorded copy of Agricultural Acknowledgment Statement.
❑ 11. ❑ Legal description from current recorded grant deed, ❑ Copy of M.H. Title, Title transfer, or MCO.
❑ 12. Sanitation and site plan approval from the Environmental Health Department.
If you have questions or would like additional information regarding this process, please contact a
Permit. Assistant at (530) 538-7541.
EXPIRATION OF APPLICATION
Applications for which a permit has not been issued will expire one year after date of application. In order to renew action
on an application after expiration, a new application, plans and fees will be required.
REQUEST FOR FEE REFUNDS
Refunds can only be made upon written request by the.person who paid the fee. The request -must be made within two
years from the date of fee payment on permits not issued, and two years from the date of permit issuance for permits
issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan
check fees for work plan checked and other department costs are not refundable.
OVER FOR BUILDING PERMIT APPLICATION
KAFORMS\BUILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2 REV 8-12-05
01/05/2006 THU 09:24 FAX
Air Conditloning-Heating • Refrigeration
Lic. No. 478347
I Rick Root give Joy Kniss my permission to pull
permits with the County..
Rick Root
It's Hard To Stop A Trane,'-
2710 B Feather River Blvd.. • Oroville, CA 95965 0 (530) 534-8691 - Fax (530) 534-1686
tpjuul/uul
BUILDING DIVISION
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES
7 COUNTY CENTER DRIVE – OROVILLE, CALIFORNIA 95965– TELEPHONE: (916) 538-75-A 1
AGRICULTURAL BUILDING EXEMPTION PERMIT
PER IT O.
Agricultural building is defined as follows: Agricultural building is a structure designed and constructed to house farm
implements, hay, grain, poultry, livestock, or other horticultural products. This structure shall not be a place of human
habitation or a place of employment where agricultural products are processed, treated, or packaged, nor shall it be a
place used by the public.
ASS S R PARC NQ.
/PHONE
ZONING
OWN.
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NO.
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OWNER' AD S / l,�I
1�d.
vv I? o C./ pno ✓' 7V 766
LOCATION OF BUILDING
�S 0 l.,vio n ff(a-
USE19Ftl I) )4th _ O�
SIZE OF STRUCTU E
'
X SQ. FT.
TYPE OF CONSTRUCTION:
WOOD FRAME —X-- STEEL CONCRETE OTHER (Specify)
TYPE OF SIDING
ROOF COyVORING
FLOOR TY
CSO h1.
n c. r'e �
ESTIMATED COST OF CONSTRUCTION
$ �ssoo
AG Buildings shall comply with the building front, side, and rear yard requirements of the applicable County Ordinances
as follows: �✓�✓ t Id t 6 ,
J
FRONT SIDES REAR
AG Buildings shall be a minimum of five (5) feet from any septic tank or leach fields.
AG Buildings less than 1000 sq. ft. in floor area shall be located a minimum of 6 feet from a residence, 10 feet from a
mobilehome, and 23 feet from a commercial building.
AG Buildings greater than 1000 sq. ft. in floor area shall be located a minimum of 23 feet from a residence and a
mobilehome, and 40 feet from a commercial building.
AG Buildings must comply with Flood Zone requirements. Finish floor elevation must be at or above elevation
USGS Datum.
I declare under penalty of perjury that the building will be used as stated above and the purposed use confirms with the
AG Building definition. If any change in use or occupancy of the building is made, I will contact the Building Division and
obtain any necessary permits, inspections, and approvals to comply with the requirements in effect at that time and before
occupancy. 'e,_ --? y �7 -
Date?_ �,t Signature of
Permit Fee - $60.00 The above desired AG Building is exempt from a building permit
Receipt No. 0342
FLOOD I PARC PX ROOFIN I ISSU
Manager Building Division >�
By Date
White — DPW, Yellow — Assessor, Pink — B. I., Goldenrod — Applicant
dr '�^�Y.sis' C`�''i��;'9'ir►?}':)� °�!'r;. , � -- .,,_^�,; , t..: -d' .»
COUNTYOF BUTTE - DEPARTMENTOF DEVELOPMENT SERVICES -BUILDING DIVISION
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7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA95965 -TELEPHONE (916)538-'7541
PERMIT APPLICATION DATA SHEET
OWNER
¢ Q �� �� f A. P. No. -o r!
Proposed Building Use Building Inspector Date
plication, I was advised the following data must be submitted prior to permit processing and/or issuance:
At time=1.
DATE RECEIVED BY
items have been submitted . .........................................
2.
Plot plans, 3/4 sets, signed by preparer of plans. ......................... .
3.
Complete plans, 3/4 sets, signed by preparer of plans . ......................
4.
Engineered plans and calcs, 3/4 sets, with wet signature on plans . .............
5.
Hazardous Material Form . ............................................
6.
Energy Design Compliance and supporting documentation . ..................
7.
Statement of Intent for Non -Heated and A/C Buildings . ......................
8.
Engineered truss details and layout in duplicate (required prior to plan check). ....
9.
Mobilehome data and manufacturer's installation instructions, 2 sets. ...........
10.
Fees of $ ..........................................
11.
Impact fees as shown on attached schedule . ..............................
12.
California Department of Forestry plan approval/fees. ....................... .
13.
Flood elevation letter (100 year flood) by California Engineer . ................. .
14.
Sanitation and plot plan approval Health Department . ............
15.
City of Chico plumbing permit . .........................................
16.
Plot plan and business license approval from City of Biggs/Gridley. .............
17.
Planning approval for (A) Use: (B) Parking:
18.
Contact Land Development.about (A) Improvements (B) Drainage. .......... .
19.
Driveway permit (construction approval required prior to occupancy)....Pre!Asp'e�tlo;
20.
r6gdesif-
Pre -inspection for required. . to Building Inspector (Date)
21.
Contractor's license information. (No., Name Style, Classification) . ..............
22.
Certificate of Workmans Compensation Insurance . ......................... .
23.
Owner -Builder Verification (Given to owner , Mail to owner _). .......... .
24.
Recorded copy of Agricultural Acknowledgement Statement . ..................
25.
Letter of signature authorization . ........................................
26.
Copy of recorded deed of parcel creation and 60 right of way to a public road. .....
27.
Letter of intent on building use . ........................................ .
28.
Mobilehome utility clearance . ..........................................
29.
Documentation of legal access . ..................... :..................
30.
Documentation of 50% subdivision developed or (A) Road improvements completed
and (B) Parcel meets zoning area and frontage requirements . ...............
31.
Existing violations/expired permits . ......................................
32.
Plan check list . .....................................................
33.
34.
When you issue the permit, process as follows: A Mail to owner. Mail to contractor.
Telephone and hold for pickup at office. Deliver with inspector.
Other
Parcel Creation
r
Acreage
Applic Date - 7
Copy of Haz-Mat form sent Health Dept. Fire De Air Pollution Date
Copy of plans sent
Health Dept. Fire Dept. Other Date By
The following data must be submitted prior to permit issuance: (Circle new item not checked above).
1. Index permit
for above items No.
2. Additional items
required:
Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date
Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date
Plans checked by Date Plans approved by Date
Sets of plans on hold in File cabinet AP folder
Copy - Department of Public Works
c= PERMIT NO. 7391-79B,P,E,M
PERMIT EXPIRES i eyVRy
w+ OWNER Don Dirks
1 t ' I CONTR. owner
36-31-66
LOCATION (A.P. )
1 '
* d , S/S Lower Wyandotte Rd., app.2/10 mi.Ezf
Drescher Tract Rd., Oroville
' x Temp. Power Pole
Called PG&E
Temp. Elea Serv. 7 Bd
�., '• Called PG&E 4",
' Temp. Gas Serv.
Called PG&E
3•
JOB
FINALED
(Date
a • -.y t(Sig ature)
r
COUNTY OF BUTTE — DEPARTMEN.T OF PUBLIC WORKS
BUILDING INSPECTION—P-660110-
BUILDING
NSPECTION866011 —
BUILDING
BUILDING P,!%nt'd)
PLUMBIN
Setback
A Firewall
Soil Piping %
Forms
Parapets
1st Floor
Main Bldg.
Restroom Finish
2nd Floor o,t
Footin s
Windows
3rd Floor
Stemwall
Siding
To out
Slab
Roof Sheathing
Water Piping
Piers-2-,lLIZ
Roofing4
Sewer
Garage
Fdn. Vents
Fixtures
Footings
Stemwal I
Garage Vents
Insulation
Water Htr.
Heaters
Slab
Carport
Footings
Slab;
Prov. for physically
handicapped
Conformance of ex.
structure
Final
Appliances
Gas Piping & Test
Temp. Gas
Sanitation
Patio i
FIREPLACE
Final
Footings
FootingICAL
Masonry Walls
Throat
Rough /
Relnf. Steel
Final
Fixtures
Bond Be5ft
FIRE SPRINKLERS
Motors
Framing
Test
Water Htr.
Stucco
Final
Subpanels
Mesh
MECHANICAL
Grd. Fault Prot.
Scratch
Heating
Service
Brown
Cooling
Temp. Pole
Finish
Ducts
Underground
Interior Lath
Ventilati n
Permanent
Door Closer
Final
Final
MOBILEHOMEUTILITIES------------------
Elec. Service
Elec. Pedestal
Water Piping
Sewer
Gas Piping
MOBILEHOME INSTALLAT MN - - - - - - - - - - - - - -
Support
Elec. Continuity
Water Piping
Drainage
Gas Piping
DATE REMARKS OR CORRECTIONS
a
3
y Zs s° � 4 (2:7 �
(NOTE: An entry must be made on this form each time you visit the job site.)
,ko
x ,
;FRAMING Permit No.
s--
Walls--Studs--Nailing & Spacing & Bracing --Plates
Bearing Walls over Girders & Floor Nailing -
Draft Stop in Walls (rat proof)
Fire Stops --Furred Ceilin s--Stairs--Chases--Tub
. Header & Beam --Size & Bearing
Ilangers--Post Caps--Anchors--Connectors
2111,Ceklling Joists, Rafter.Ttes. Purlins, Roof Bracing, Trusses, Sheathing. Roofing
A
Attic Access --Size'& Romex Protection .:
121"B"edroom Windows or Exiting Doors --Sill 'Hgt;o '& Dimensions
gage Fire Protection Framing
-t* -Area Separation Walls --1 hr. Fire --2 hr. Fire
la-. Ext Doors --One 3' Check Garage it '
1W. Headroom, Rise, Run, Landing --Fire Protection
,,-.,,,Plywood on -Roof Overhang --Attic Vents--Rafter-0utriggers
18. Siding--Nailing--Veneer t Y
O�
-1-9..Syucco Mesh, Drip Scree oun tion Vents & Underfloor Access
2Z. Glass Protection if required
21. Sign Job Card
ALL OF ABOVE COMPLETED/ / EXCEPT
Si ned• Date: Q Q
ABOVE LISTED CORRECTIONS COMPLETED SIGN JOB CARD
Signed: Date:
-2-
1
1
jj U �TOOR Permit No.
4:1 Plans
Setbacks --Easements
9_ Soils --Footings & Stemwall--/-O/" Fill Required--Steel--Block-outs--Elec.Ground
Piers—Fireplace Footing & Steel
Pumbin --Drain--Fall-Fittings-Wra ed iri Concrete 42" to t
6. Gsis Pipe—Size & Test
Water Pi a --Test & Anchors --Regulator
Electrical
-
Plenums & Ducts--Clearance--Material & Support & Insulation
G'rrs--S --An olts--J --Vents- ri es : J
ll Sign Job Card -
M
-1-
PLUMBING --Above Floor Permit No.
-Water Heater--Vent--Access--Combustion Air
Water Pipe --Test & Anchors --Nail Protection
Drain Pipe--Test--Fittings & Anchors --Nail Protection 42" Test LZZ
-4.-.,,Shower Pan --Test First floor --Tub Access
JZ Test Tub & Shower, second floor --Tub Access
-6.' Gas Pipe --Size & Anchors
7. Sign Job Card
_ . . ..............
ALL OF ABOVE COMPLETED EXCEPT S
signed: Dat d
ABOVE -LISTED CORRECTIONS COMPLETED Date:
w 7A �d
/ ELECTRICAL -=Above Floor
Clearance & Insulation Protection at Flush Light Fixtures
Permit No.-
Elec. Receptacles Spacing --Lights & Switches at Doors
ze Boxes & No. of Con ductors--Sta led
omex Installed Close to Edge of Studs & C.J.
i Ground made up w/Mech. Fasteners
_6-.l"'-2,'Avvliance Circuits in Kitchen & Conductor Size
TS b Feeders --Wire size = a. Cu or 1 -Breaker Size [� Amp.--
ynsulated Neutral, Yes No
Range Circuit = ga. Cu or Al, Breaker Size Amp. --Oven
Breaker Siz Iff Amp
Circuit [ ga. or Al,
Service --Riser Conductors & Ground
. nd Gas & Water Pipes
Clothes Closet Light --Shower Light
12 Sign Job Card
ALL OF ABOVE COMPLETED EXCEPT
Signed:
ABOVE LISTED CORRECTIONS COMPLETED
Date:
Date:
.............._...._...._._�_..:_...._..............
1 MECHANICAL --Above Floor
.... .. .. ...... ,....
V A C. Ducts --Insulation & Support
Permit No,
--2-.--Vent Fan --Exhaust Above Insulation
`
...3r—Condensate Drain & Overflow --Size & Grade
-4.-'Furnace--Vent--Access-Comb.Air--Return Air Vent --115V Outlet
.--5—. Attic Access & Platform if -Furnace in Attic
6 Sign Job Card
ALL OF ABOVE COMPLETED EXCEPT
Signed:_
ABOVE LISTED CORRECTIONS COMPLETED
Date: /G
Date:
-3-
FINAL , Permit No.
1. Plans
2. Entrance Stevs. Door & Sidelight Protection
3. Smoke Detector
4. Furnace --Vents. Clearances. Combustion Air.:Connectorvl n Garace-Height & Mech.Protection
5. Bedroom Exiting
6. G.F.I. & Bath Fixtures
7. Electric Trim & Sub Panel --Labels
8. Stairs & Rails
9. Fireplace or Stove --Clearances, Hearth
10. Electric Outlets at Wood Panel --Int. & Ext.
11. Fixtures & Appliances in Kitchen--Grounded--Air Gap --Cooking Clearance
12. Electrical Outlets & Receptacles at Kitchen Counter
Mech.Protection
16. Firewalls & Openings --Area Separation Walls
17. Electrical Receptacles in Garage G.F.I. Romex protect
18. Insulation--Foam--Looked in Attic Yes
19. Steps at Ext. Doors & Landings
20. Guard Rails and Deck Construction
21. Foundation Vents &.Crawl hole Door --Drainage & Wood -Earth Clearances --
22. Following Installed: Drive j j Yes L/ No; Walks1--1 Yes 1� No; Planters or
Wing Walls T / Yes = No ---Creating Drainage Problems 7'% Yes = No
23. A.C. Unit --Disconnect, Clearances, Breaker & Conductor Size --115V Outlet
24. Vents -Above Roof --Plumbing, Appliances, Fireplace --Clearance to Openings
25. Water Well -Disconnect, Electrical, Plumbing
26. Exterior Electrical Trim & G.F.I. Receptacle
27. Ventilation Throughout House
28. Glass Protection
29. Corrections from Previous Inspections
30. Gas Test --Meters Tagged -Gas & Electric
31. Water Supply & Sewage Connected
32. Energy Compliance Certificate
33. Sign Job Card
ALL OF ABOVE COMPLETED% / EXCEPT
'Signed: Date:
ABOVE LISTED CORRECTIONS COMPLETED SIGN JOB CARD
Signed: Date
-4-
COUNTY OF BUTTE — DE:2ARTtb0ENT OF PUBLIC WORKS
J 7 County Center Drive • —-0roviIle, California 95965
Telephone: 534-4541
APPLICATION AND PERMIT
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes.
X Date
Signature of Permitee or Agent ' 6f'�
Receipt No. 3 Z.7����� �U= 0
White-D.P.W. Yellow-AsSdssz� - Pink-In/pector — Golde46PApp i-1 cant
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 _ //,2_2
Date/
P? ilding permit expires Date /L —/R— JDO
BUILDING
Owner 000 pt Orcs
SO. FT. OCC. BUILDING, UATION
53 2 S4P7o0 --
Mailing Address 15 s
Z (o M /.S - zit --
CO RDV 1 9s91�513n=g°z
Contractor
G01i
Mailing Address
Fireplace 'A! 000. 00
Total Valuation 5 ��(p ®®
Telephone No.
Permit Fee Q (�O
Building Address S S L %,(f �, AA%�i0
PIanCheckingFeeVorPenalty
Permit Fee 13 4,N
.3
A -PP. F bP_ESS6. E1Z_1
PLUMBING No. @ FEE
.si
Ir-AC,7—
PERMIT FILING FEE $3.00t00
°
Each Trap 26& Ve-CR
`�
®4aV l L1L_r
Repair drainage or vent piping 1.50
A. P. No. — ��p
//t
Zoning & Planning
Water piping t `Z� 2:o c7
Each gas water heater or vent 1.50
FeesW.C.
I SOT{4116-n
FireDept:
Fire Zone
Use Permit
Gas piping system 1 -5 outlets j TM 2.00
EOA
Parking
Plans
Parcel
Declaration
Parcel N
60' R/W
Improvements
Each additional outlet .30
Building sewer 5.00
Bldg. Plans Recd
Parc provol
Plans A val
Lawn sprinkler system 2.00
NEW ' ADDITION ❑ UTILITIES ❑ OTHER ❑
Permit Fee $ 00
$ O�
ELECTRICAL No. @ FEE
PERMIT FILING FEE $3.00 .,OD
Main service 100 AMP OR00V OR SL ESS 5•��
Single Family Duplex ❑ Mobil Home ❑ Others ❑
Main service EA. ADD'L 100 AMP 2.50
Main service OVER e 25.00
100 AMP O OR LESS
Main service EA. ADD'L 100 AMP 1.00
NEW CONST. DWELLING I�,
OR ADDNS. ACC. BLDG S„J� 120 sq ft .�
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:
NEW CONSTR (BRANCOUTLET—
NON-RESID. ` BRANCH CIRCUITS) 2.50ea
1
NEW CONSTR. (POWER APPARATUS 9
NON-RESID. SINGLE OUTLET CIR.
Ex. Occuo(OUTLETS OR FIXTHRES) 50 Lga
BAL M
FIXED ALNF.
Ex. Occup.OUTLETS P(RESID )REA) 1 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
License No. Classification
Misc. Wiring 6.25
5CLAN_
91 am exempt from the Contractors License Laws of the State of California.
Permit Fe $ --j
$ 64 175
MECHANICAL No. @ FEE
(9a
G =
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
Workmen's Compensation Insurance.
ErI certify that in the performance of the work' for which this
. is issued I shall not employ any person in any manner
so as to become subject to the Workmen's Compensation Laws of
California.
PERMIT FILING FEE $3.00 .00
Heating
D1/6 T AjtVRk� l7®
Cooling.
SQ
Ventilation
Hood 2.00 `40
Permit Fee $ �(JO
I certify that I have read this application and state that the above
information is correct. I agree to comply to all County Ordinances2
and State Laws relating to building construction, and hereby
Land Development Fee
$�S, OC
S
TOTAL PERMIT FEE
i
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes.
X Date
Signature of Permitee or Agent ' 6f'�
Receipt No. 3 Z.7����� �U= 0
White-D.P.W. Yellow-AsSdssz� - Pink-In/pector — Golde46PApp i-1 cant
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 _ //,2_2
Date/
P? ilding permit expires Date /L —/R— JDO
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