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HomeMy WebLinkAbout079-300-017William Anderson 56 Wahoo Ave., Oroville Permit #507 -7711-,P,E.,M(new single family) I`b129 Permit #5832- 8B(lst renewal for perm. . perm #5073-77) � . ���'/ ✓. 036-0-%z@66 05-3127 ANDERSON, WILLIAM & CAROL 47 WESTVIEW WAY, OROVILLE' �. Cont: ARTIC AIRE OF CHICOrri.` FURNACE CHANGE OUT �/;.1,AA r �1.2Z�cb 036-050-065 05-3275 ANDERSON, WILLIAM. i 47 WESTVIEW WAY, OROVILLE j k Cont:OWNER PROPANE TANK i.... LA N i 1� _ _� - y cc�� - ,Z 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. BP053275. B. C. Building Permit 01-16-04 pg 1 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 Issued Date: 12/15/2005 APN: 036-050-065-000 the Business and Professions Code, and my license is in full force and effect. Site Address: 47 WESTVIEW WAY ORO License Class : License Number: Map Index: Date: Contractor: Description: new prOpante.tank 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: ANDERSON WILLIAM J & CAROL permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to rile a signed statement that he or she is licensed pursuant to the provisions of 47 WESTVIEW WAY 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 town Applicant: ANDERSON, -CAROL AND WILLIAM 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 47 WESTVIEW WAY . sale. If however; the building or improvements are sold within one OROVILLE, CA. 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 95966 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.). Contractor: AMERICAS PROPANE LP 11030 WHITE ROCK RD STE 100 ❑ I am Exempt under Article 3 of the Business and Professions Code /a/�s / RANCHO CORDOVA, CA Date: Owner�n�Df ��P ���_ 95670 916-631-3133 WORKERS' COMPENSATION DECLARATION hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for License #: 717843. 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 Architect: required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation Engineer: insurance carrier and policy number are: Carrier. Policy#: Total Square Ft: 0 S.F. I certify that in the performance of the work for which this permit is Valuation: $0.00 10 issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, ^ Census Code:. and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall (j// I forthwith comply with those provisions. Date: xoZ/' / Applicant: WARNING: Failure 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 This permit is heret5y is a nd e a Iicable provisions of the Butte County Code and/or ado fees have been I hereby affirm that there is a construction lending agency for the of the work for which this is issued (Sec 3097 Civ.) Resolutions wot i cate abov or which paid. performance permit Name: By: _ Date: d^ / Address: PERMIT EXPIRES ON: Date ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ 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 of any official form or document of Butte County.. I hereby ny to enter upon the above mentioned property for inspection purpose . authorize representatives of Butte County Print Name: CseW q o L 77n✓v 4,5;�7X 5, KJ Signature: Date: Owner ❑ Contractor ❑ Agent for Owner ❑ Agent for Contractor V B. C. Building Permit 01-16-04 pg 1 ` Butte County Department of Development Services. eur�reF AREA N ®TES,7 County Center Drive, Oroville, CA 95965 ,a I ' . d' (530) 538-7601-.buttecopiity nepdds °ua� RESIDENTIAL AP N: 036-050-065 OS -3127 ANDERSON, WILLIAM & CAROL Owner. 47 WESTVIEW WAY, OROVILLE Cont:rARTIC AIRE OF CHICO Site Address: _j FURNACE CHANGE OUT_ Contractor. Type of Permit: w =OK AI..f nw -,MANUFACTURED HOMES MISCELLANEOUS DATE PERMANENT FOUNDATION SOFT -SET 1 Zoning -Setbacks -Easements 2 Soils; Special MH Support Sketch 3 Sewer; Loctn-Test; FaII/C/0-Concrete 4 Wtr, Loctn-Test-Easement Needed -Regulator 5 Elec Loctn-Clrncs-Grnd Amp -Concrete 6 Yard Gas; Loctn-Test-Wrap Nat 0 or LPF Inch Sz Ft Lngth 7 Blckng; Sz-Spacing-Marriage Line 8 Gas; MH Test-Demand-Valve-Cnnctr 9 Elec MH Cntnty Test-Crossovers-Breakers-Clrncs 10 Drain; MH Test -Fall -Flex Cnnctr 11 Wtr & Sewer Connected -C/O to Grade 12 Gas and Electricity Tagged 13 Tie Downs Q Foundation Q 14 Exits 15 Cert of Occupancyy 16 HUD Label/insignia Numbers Serial Numbers DATE D E C K S'C O V E R S`C A R P O R T S `GARAGE S 1 Zoning -Setbacks -Easements 2 Ftgs; Soils-Sz-DpthSpacing-CnnctrsSteel 3 Decks, Girders/Joists-Dcking-Brcing Stairs-Guard/Handrails 4 Wood Awn; Posts-Beams-Rftrs-Cnnctrs-Shthg Frmg-Brcng 5 Alum Awn; Columns-CnnctnsSplice-Decal-Enclsrs 6 Carports; Wndws-Doors 7 Electric .8 Frmg; Sills-AnchrsStuds-Rftrs-Trusses 9 Siding; Nailing -Veneer -Stucco -Lath 10 Roof; Shthg-Roofing 11 Ext; Steps -Doors -Landings 12 Braced Wall pnls s` ° 4. 0\ DATE IPOOLS 1 Setbacks -Easements 2 Soils; CompactionStructure Stability 3 Pool Structure; Steel-Cnnctns-Thickness Dead Men -Lining 4 Elec Rcptcls/Lting; Distance-GFI 5 Elec Pool Lting; 15 volts-GF1 6 Elec Enclsrs; Conduit Entries -Terminals -Listed 7 Elec Bonding; Metal w/5'-Crcltng Eqp-Htr 8 Elec Grndng; Eqp w/5' Crcltng Eqp-Pool Ightg Boxes-Enclsrs-pniboards-insultn to Main Conduit 9 Health Dept Apprvl 10 Plmb; Cir Test-Wtr Supply Test 11 Lt Niche . 12 Enclsr, Fencing -Alarms 13 Bonding, Diving board or Slide 41 A S \c °'0 �s .. _ Pool Drawing - = OK 0 = Not RESIDENTIAL (Single & Duplex) DATE JUNDERFLOOR 1 Zoning -Setbacks -Easements -Flood -Slope 2 Ftg Main; Soils-Elec Grnd Ftg Dpth 3 Ftg Garage; Soils-Steel-Elec Grnd Ftg Dpth. 4 Ftg Porches/Decks; Soils -Steel Ftg Dpth 5 Stemwalls Main; Steel -Blockouts -Wrapped 6 Stemwalls Garage; Steel -B(ockouts-Wrapped• 69 Hold Downs and Special Anchrs 7 Slab, Steel Wrapped 8 Piers-Frplc Ftg-Steel 9 DWV; Fall -Fitting -Test -2 -way CIO -Sewer Test 10 UF, Gas Pipe; Sz Anchrs-Sz Test 11 Wtr Pipe; Test-Anchrs-RgltrService Test 12 Elec Undrgrnd 13 Plenums & Ducts; Clrnc-MaterialSupport-Insultn 14 Girders-Sills-Anchr Bolts 4oists -Vnts -Cripples 15 Acc & Vntltn 16 Insulation 1�1 DATE IFRAMING 17 Sills Proper Materials & Anchrs 18 Walls Studs -Nailing Spacing & Braces -Plates -Sound 19 Bearing Walls over Girders & fir Nailing 20 Draft Stop in Walls (rat proof) 21 Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 22 Headers & Beams-Sz & Bearing 23 Hangers -Post Caps-Anchrs-Cnnctns 24 Ceiling Joist-Rftr Ties-Purlin-Roof Brac-TrussShthg 25 Frplc Ties or Type A Flue-Frplc Throat CImc. 26 Attic Acc; Sz & Rnix Prtctn-Draft Stop -Ins Baffles 27 Bdrm Wndws or Exiting Doors -Sill Ht & Dimensions 28 Garage Fire Prtctn Framing -RC Channel 29 Prprty line Firewall & Opngs 30 Ext Doors -One 3' -Check Garage 3rd Story, 2 Exits 31 Stairs; Width-Hdrm-Rise-Run-Landing-Fire Prtctn 32 Plywd on Roof Ovrhng-Attic Vnts-Rftr Outrgrs 33 Siding -Nailing Veneer 34 Stucco Lath -Weep Screed-Fndbi Vnts-Undrflr Acc 35 Glazing Area -Glass Prtctn-SkyLts-Plastic 36 Shear Walls; Nailing -Bolts 37 Brace Int/Ext Wall pnls 38 Insulin -Walls -Ceilings 39 Infiltration-Walls-Wndws 411 DATE JELECTRICAL 40 Fxtr & Trnsfrmr CImc-Ins Prtctn 41 Elec Rcptcls Spacing-Lts & Switches at Doors 42 Sz Boxes & No Of Cndctrs Stapled 43 Romex Installed Close to Edge of Studs & CJ 44 Eqp Grnd made up w/Mech Fstnrs 45 Grndng Electrode Bond Gas & Wtr 46 2 Appinc Cires in Ktchn & Cndctr Sz GFI 47 Subfeed Wire Sz 93 ❑ CU or ❑AL AC Wire Sz ga ❑ CU or Q AL 48 Range Circ 9a ❑CU or ❑AL Oven Circ ga QCU orQAL Insulated Neutral ❑Yes F-1 No 49 Service -Riser Cndctrs & Grnd Main Dscnnct 50 Eqp Clrncs pnls-Motors-Mech Eqp 51 Clothes Closet Lt-Shwr Lt -Spa Lt 52 Smoke Detector o'e uHIt IPLUMBING 53 Wtr Htr; Vent-Acc-Cmbstn Air Baffle 54 Wtr Pipe; Test & Anchr-Nail Prtctn 55 DWV; Test Fittings & Anchr Nail Prtctn 56 Shwr Pan; Test, First flr-Tub Acc 57 Test Tub & Shwr, 2nd fir - Tub.Acc 58 Gas Pipe; Sz & Anchrs 59 Fire Sprinkler; Test 60 Yard Gas Piping DATE MECHANICAL 61 AC Ducts Insultn & Support 62 Vent Fan, Exhaust abv Insultn 63 Condensate Drain & Ovrflw, Sz & Grade 64 Furnace -Vent Acc-Comb Air Rtrn/Vent 115 Outlet 65 Attic Acc & Pltfrm if Furnace in attic DATE IFINAL 66 Ext Steps -Door & SideLt Prtctn-Landings 67 Smoke Detector 68 Furnace Vnts-Clrnc-Comb, Air-Cnnctr In Garage; abv-flr-Ducts-Mech Prtctn 69 Bedroom Exiting 70 GFI & Bath Fxtrs & Tub Acc-Spa 71 GFI Arc Fault 72 Elec Trim & Subpnl, Breaker Sis & Labels 73 Stairs, Guard/Handrails 74 Frplc or Stove, Clrnc-Hearth 75 Elec Outlets at Wood PnI, Int & Ext 76 Ktchn, Fxtr & Appinc; Grnd-Air-Gap-Cooking Cimc 77 Elec Outlets & Rcptcls at Ktchn Counter 78 Garage Fire Door; Swing -Landing -Closure 79 AC Duct in Garage -Damper 80 Wtr Htr; Vnts-Clmc-Com Air Cnnctr-PRV; abv fir Mech Prtctn; LPG Appince Undr House 3" drain 81 Plmb; Elec & Mech Eqp Listed for Loctn 82 Elec Rcptcls in Garage (GFI) Romex Prtctn 83 Insultn-Foam-Looked in Attic 84 Guard Rails & Deck Cnstrctn-Post Caps 85 Fndn Vnts & Crawl Hole Door Drnge & Wood -Earth 86 Clrnc Drnge Planters QYes ❑No 87 Stucco Brown -Finish 88 AC Unit Dscnnct, Elec-Plmb 89 Vnts abv Roof, Plmb-Appinc-Frplc-Clrnc to Opngs 90 Wtr Well, Dscnnct, Elec, Plmb 91 Ext Elec Trim, GFI Rcptcl-Undrgrnd 92 Vntltn thru House 93 Glass Prtctn 94 Corrections from previous Inspctns 95 Gas Test -Meters Tagged, Gas-Elec 96 Wtr & Sewer Cnnctd-C/O to grade -HD Apprvl 97 Energy Cmpinc Cert -Other Certs 98 Address Posted 99 Fire Sprinkler .`•`y e o'`* o` 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. BPO53127 LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under Issued Date: 11/21/2005 APN:-036-050-065-000 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. (\ (� License Class License Number:_ Site Address: 47 WESTVIEW WAY ORO. Map Index: Date: ,\— J Contractor. Description: new furnace, change out. 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 Owner: ANDERSON WILLIAM.) &CAROL 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 47 WESTVIEW WAY signed statement that. he or she is licensed pursuant to the provisions of 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 95966 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 Applicant: ARTIC AIRE OF CHICO.INC owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, 2350 PARK AVENUE provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one CHICO, CA 95928 year of completion, the owner -builder will have the burden of 530-895-3330 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, Contractor: ARTIC AIRE OF CHICO INC and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). 2350 PARK AVENUE ❑ I am Exempt under Article 3 of the Business and Professions Code CHICO, CA 95928 530-895-3330 Date: Owner: License #: 234913 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 Architect: is issued. Iqp I have and will maintain workers' compensation insurance, as Engineer: V required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier: Total Square Ft: 0 S.F. #: 915CLI14 Li 0 lt)_� Policy Valuation: $0.00 ❑ I 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 ith those provisions. Date: Applicant: WARNING: Failure 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. �/ ,t l/L•J, tl1R� G d CONSTRUCTION LENDING AGENCY This pe .mil is her by issued under the cable provisions of the Butte County Code and/or 1 hereby affirm that there is a construction lending agency for the Resol tions to work indicated abo for hich fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) BY L/ Date: Name: /- Address: PERMIT EXPIRES ON: Date ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ 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 of any offici o or document of Butte County. I hereby authorize representatives of Butte County to enter upon the above mentioned property for inspection purp es Print Name: t+1� Signature: 1 \ Date: 1 I Ol 0 Owner 0 Contractor t Agent for Owner Agent for Contractor BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OFAPPLICA TION Website: www.buttecounty.net/dds "*PLEASE PRINT CLEARLY"* OWNER INFORMATION Last Name _ First Te 1 Address .L u., City - - State n t'1 Zip q 59 / _l (0 \ Fax ?5� _ g93D `7 1� Phone _ Fax _ E-mail CONTRACTOR Name Address k aI )e, City. � StateC Ziprj `I'll Phone c�s_ UUq> Fax ?5� _ g93D `7 E-mail Lic. # Q 4413 Clas V2o-3 ANT _ATURE 04 Nlmwo. For office use only: . ARCHITECT/ENGINEER Name nn lC\f Address \ / City C State Zip Phone QS _ -��33� Fax E-mail Planner State License Number ANT _ATURE 04 Nlmwo. For office use only: . APPLICANT INFORMATION Name nn lC\f Address \ / City C State Zip q Phone QS _ -��33� Fax C� E-mail Planner ANT _ATURE 04 Nlmwo. For office use only: . Zoning Ci 1 �, Flood Zone WORKER'S COMPENSATION SRA I Yes I No Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc PERMIT No. �a � _� BP BIN # PRROJECT LOCAT/ N AP#' ! �' . 06 -01 6-050-6 Property Address 7 Ci 1 �, Cross Street 1_ WORKER'S COMPENSATION Policy Number 9\500 ,44 Carrier acf_� o yrxyn� can 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: r\ OS�� 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. Page 1 of 2 REV 8-12-05 Received by f Amount: ;0 Bldg SRA Receipt#: 11lMf 667? Sheriff SMIP Da e:� Other Total Page 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 AIC 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 PERMIT NO. ..,M PERMIT EXPIRES _� T �;owNER William Anderson CONTR. owner ( 36-05-65 • . +. �, ,,, _ � LOCATION A.P.. ) a 56 Wahoo Ave., Oroville Ar'• Te p. Power Pole'- Called PG&E emp. Elec. Serv. I Called PG&E tr emp. Gas Serv. Called PG&E I JOB •/ FINALED • :' (DaVe � ,I (S' ature) { C-OUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING WILDING (Cont'd) PLUMBING Setback 7 Firewall % Q Soil Piping Forms _Parapets 1st Floor &-1(9 ?7 XK Main Bldg. Restroom Finish 2nd Floor .:S'- Footings S'—Footin s =7 7 Windows ' g 2 `r 3rd Floor Stemwall SidingTo out '� Slab ' Roof Sheathin Water Piping Piers Roofing Sewer Garage Fdn. Vents Fixtures % Footings L - Garage Vents Water Htr.10, Stemwa l l Insulation c Heaters Slab Prov. for p sically Appliances l handica e Carport Conformance of ex. Gas PIDIna XTest Footings sUuQWre Temp. Gas Slab nal San tion Patio FIREPLACE Fnat Footin s Footin ELECTRICAL Masonry Walls Throat Rou h Relnf. Steel Final Fixtures 7 Bond Beam FIRE SPRINKLERS Motors 44 Framing - ZO % Test Water Htr. / 7 Stucco Final Subpanels--,.. Mesh MECHANICAL Grd. Fault Prot. 02 Scratch HeatingService - }j • i( Brown Cooling Temp. Pole Finish Ducts Under round Interior Lath V ti ne Door Closer Fina nal l MOBILEHOME UTILITIES --------------------Ye—c- Sefvice .— Pedestal Water Piping Sewer Gas Piping MOSILEHOME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping DATE REMARKS OR CORRECTIONS (NOTE: An entry must be made on this form each time you visit the job site.) J....•J' tj RESIDENT IAL ENERGY CONSERVATION STANDARDS 1 rt ` CONSTRUCTION COMPLIANCE CERTIFICATE THIS -IS TO CERTIFY THAT ENERGY CONSERVATION REQUIREMENTS HAVE BEEN INSTALLED IN CONFORMANCE WITH CURRENT ENERGY CONSERVATION REGULATIONS AT . (location) BU ILD ING PERMIT NO. s5o 7.3 -17 2 P Em A'; P . NO. Seo ' D -THE FOLLOWING HAVE BEEN INSTALLED AS PER APPROVED PLANS: (Check each item or write -N/A if not applicable) INSULATION: GLAZING: Slab Edge . ✓/ exp , roan/ Single Glazed Fdn. Walls Tom' Special., (Insulated) 7el&b Floors CERT. & LABELED WDS. Walls ✓ -R-11 & SLIDING DRS. Ceiling/Roof v IR- WEATHERSTRIPPED DRS. / Ducts 3/y/bdms,� - .BACK DAMPERED FANS , Circulating Pipes J INTERMITTENT IGNITION DEVICES APPROVED HEATER CERT. APPLIANCES -0AR/C4�ee APPROVED WTR..HTR.>>F,R , 7r0 - 7� I DECLARE THAT.ALL REQUIRED ITEMS AS NOTED ABOVE HAVE BEEN INSTALLED IN ACCORDANCE WITH THEENERGY CONSERVATION. REQUIREMENTS AND AGREE TO ,THE COMPLETENESS OF THIS. CERTIFICATE AS SUBMITTED. Insulation Applicator Name OARa L .41VJD :,f (plea"ie print) Signature of Insulation Applicator State.Contractors License No. General Contractor/Owner Name ' (please print)' Signature .of B General Contractor/Owner�Date- State Contractors License No. THIS CERTIFICATE MUST BE ON FILE WITH THE BU ILD ING DEPARTMENT PRIOR TO REQUESTING FINAL INSPECTION AND SHALL BE POSTED IN A CONSPICUOUS LOCATION WITHIN THE DWELLING. F .F VVV COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 7 County Center Drive = Oroville, California 95965 Telephone: 534-4541 717 APPLICATION AND PERMIT J� X �� Date. Signotur, f Permitee br A ent Receipt No. �o(3 U T White-D.P.W, — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant 1ne rsutte county voce anoior resolutions to do work indicated above for which fees have been paid. DIRECTO 0 PUBLIC WORKS BY Date 19-1 Z – 7 7 Building permit expires Date h—I Z— 7 BUILDING Owner SQ. FT. OCC. BUILDING VALUATION Mai I i ng Address 6 t t l 00 T ljonn�o� 1! �N ` b Fireplace Contractor ® Total Valuation Mailing Address Permit Fee Plan Checking Fee &/or Penalty ' Telephone No. Permit Fee $ ` Building Address PLUMBING No. @ 'FEE PERMIT FILING FEE $3.00 Soo Each Trap 1.50 i. '^ v Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No,,,.. -9(0 ' z^ & Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 F s Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking 1PAYarcelLawn Plans Declaration Parcel ap 60' R/W Imp roents-4 sprinkler system 2.00 Bldg. P ns Recd Parce Approval Plans Approval Permit Fee $,04100 $ NEW ADDITION UTILITIES ❑ OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE J$3.00 Main service 100 AMP OR00V OR SLESS 5•�� Main service EA. ADO'L 100 AMP 2.50 y Single Family Duplex ❑ Mobil Home ❑ Others ❑ Main service. 1100EAMP OR LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 ' NEW CONST. CUP. & OR ADDNS. ( 5 ) 22sgft Y` NEW CONSTR. (MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS) 2.50ea - NEWCONSTR. POWER APPARATUS & NON -RESID. (SINGLE OUTLET CIR. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: Ex. Occup(OUTLETS OR FIXTURES) BAL@1 Ex. Occu FIXED APP LNS. OR P•(OUT LETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No.Classification Misc. Wiring 6.25 WM 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. ❑ 1 have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 i Permit Fee $ 7 Sb $ I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mPntinnPrf nrnnarty fnr inc—tinn n � 10,I0APPXnQ TOTAL PERMIT EE This permit is hereby P y issued under the applicable provisions of X �� Date. Signotur, f Permitee br A ent Receipt No. �o(3 U T White-D.P.W, — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant 1ne rsutte county voce anoior resolutions to do work indicated above for which fees have been paid. DIRECTO 0 PUBLIC WORKS BY Date 19-1 Z – 7 7 Building permit expires Date h—I Z— 7 COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS t i- 7 County Center Drive — Oroville, California 95965 Tel ephoge:. 534-4541 jUUU APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. 00, X Date2 f f Signature Permitee or Agent Receipt No. / 9;2'2 e 9- 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 abovylpr which fees have been paid. F4±RE TO OF P BLIC WORKS BYoiDate v Building perZe x p Vir Date BUILDING Owner dc� ®,�c�s0 / SQ. FT. OCC. BUILDING VALUATION Mailing Address gd- Tele hone No. s�'�-boy Contractor Mailing Address Fireplace Total Valuation Telephone No. Permit Fee ?� Building Address 6`1- 4).49.00 �//C Plan Checking Fee &/or Penalty Permit Fee PLUMBING No. @ FE PERMIT FILING FEE $3.00 Each Trao 1.50 �,_,," Repair drainage or vent piping 1.50 A. P. No. ` + 5'' 45— Zoning & Planning Water piping 1.50 Each gas water heater or vent 1.50 F W<C- Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking Plans Parcel Declaration Parcel Map 60' R/W Improvements Each additional outlet .30 Building sewer 5.00 -Bld-57 Plans ec Parcel Approval Plans Approval Lawn sprinkler system 2.00 NEW ADDITION ❑ UTILITIES ❑ OTHER ❑ Permit Fee $ $ ?- c,if;74'A1- ply AP6--b-)•-77 73 ELECTRICAL No. @ FEE Oi.r '!, PERMIT FILING FEE $3.00 Main service 600V OR L 100 AMP OR LESS 5.00 Single Family Q� Duplex ❑ Mobil Home ❑ Others ❑ Main service EA. ADD'L 100 AMP 2.50 Main service OVER 600V 25.00 100 AMP OR LESS Main service/ EA. ADD'L 100 AMP 1.00 NEW CONS.• DWELING OR ADDNST ( ACCLBLDG..Ccup- 4'� 2¢sgft 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 °NSTR BRANCH CIR T NON-RESID ( BRANCH CIRCUITS)2.50ea NEW CONSTR. (POWER APPARATUS d� NON -RES,D. SINGLE OUTLET CIR. Ex. Occuo(OUTLETS OR FIXTI IRE5 g L 1� 00 FIXED APPLNS. OR Ex. Occup. (OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 I am exempt from the Contractors License Laws of the State of California. LOILMECHANICAL 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 Workmen's Compensation Insurance. 164 I certify that in the performance of the work for which this permit is issued 1 shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. No. @ FEE PERMIT FILING FEE $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 Land Development Fee $ FEE TOTAL PERMITo�D $ authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. 00, X Date2 f f Signature Permitee or Agent Receipt No. / 9;2'2 e 9- 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 abovylpr which fees have been paid. F4±RE TO OF P BLIC WORKS BYoiDate v Building perZe x p Vir Date ,Cf � Y !, .� jy," � l ;�. � �yHa ' �J y � i►� �t Y Y , r � i t7nF�'"� � 6 ' � '`�,, ;. / ti� ' YX �fjJ ' � � _ 21t. R�77''x'{ � �r r©`"k`•{ I! t fj 1, sa4f Ott �.,.+:����,„ ��Lw�:.�GLa•� ADL. J. �/f71'e �9.''." .�`rt �.n,47 �e? 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