HomeMy WebLinkAbout079-310-0063 _ _ Dan Cumberland BUTTE CONST., INC. - - 145j
40 Oakvale Ct., Orovil le
contr: A-1 Masonry, Oroville
Permit #56 2-77B(install masonry firepl
ace/SF) ; 40 Oakvale Ct., Oro le
//t4'/ //!/�/
00-2073 (new. single family) ff
03 DANIEL,
1
C ERLAND>
40 OAK CT.; OROVII,.k�E
CONTR: N/A GE TO L .
CONVERT GARA11
,i J
NOTES RESIDENTIAL
PERMIT NO. 036-770-006 � kr7__" 00-2073
CUMBERLAND, DANIEL - - -
40 OAKVALE, CT., OROVILLE
CONTR: N/A
CONVERT -GARAGE TO LIVING
f _
All
i
SPECIAL CONDITIONS
i
CHECKED
BY
SRA _
FLOOD CERTIFICATE REQ. _
FIRE SPRINKLERS REQ. _
SPECIAL INSPECTION ITEMS.
VERIFY
USE PERMIT CONDITIONS '
SUB -STANDARD HOUSING LETTER _
✓ = OK
0 = Not OK
= Not Ready:ile
' =Not Ready;
MOBILE HOMES '
Date
MOBILE HOME UTILITIES (Plans) OK except #'s
2.
1.
Zoning Require ments-Setbacks-Easements•
Pool Structure; Steel -Connections -Thickness
Dead Men -Lining
r-2.
Soils; Special MH Support Sketch
MOBILE HOME INSTALLATION (Plans) OK except #'s
3.
Sewer; Location -Test -Fall -C/O -Concrete
Zoning Requirements -Setbacks -Easements
4.
Water; Location -Test -Easement Needed (Sketch)
Footings; Size -Spacing -Marriage Line
5.
Electricity; Location-Clearances-Grnd-/ /Amp -Concrete
Gas; MH Test -Demand -Valve -Connector
6.
Gas; Location -Test -Wrap;-/ /" L'ft. ''-r,
/ P Nat. or / /"L"ft./ PLPG
Electricity; MH Test -Crossovers -Breakers -Clearances
7.
Well Clearance & Disconnect
Drain; MH Test -Fall -Flex Connector
8.
Utilitv Clearance
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- Bea ms- 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
FINAL (Plans) OK except #'s
1.
Date
2.
Card B-1 Date Card B-1
Date
Pool Structure; Steel -Connections -Thickness
Dead Men -Lining
Card B-1 Date Card B-1
Date
MOBILE HOME INSTALLATION (Plans) OK except #'s
Elec.; Pool Lighting; 15.Volts-GFI
1.
Zoning Requirements -Setbacks -Easements
7.
2.
Footings; Size -Spacing -Marriage Line
Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg.
Boxes- Enclosures- Panelboards-Ins. to Main.in Conduit
3.
Gas; MH Test -Demand -Valve -Connector
10.
4.
Electricity; MH Test -Crossovers -Breakers -Clearances
Light Niche
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.
Can. of Occupancy
12.
Permanent Foundation Only; License Decal^
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- Bea ms- 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
FINAL (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.in Conduit
9.
Health Department Approval
10.
Plumb.; Cir. Test -Water Supply Test
11.
Light Niche
Date
Card B-1
Date
Card B-1
Date
Card B-1
Date
Card B-1
I
I
I
`t
✓ = OK
0 = Not OK
= Not Applicable
Not Ready RESIDENTIAL
=
Date Underfloor (Plans) OK except #'s
1. Zoning -Setbacks -Easements -Flood -Slope
2. Ftg., Main; Soils-Elec. Grnd.-/ r Ftg. Depth
3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ r Ftg. Depth
4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth
(Single & Duplex)
Date FRAMING Continued)
46 -Post Caps -Anchors -Connectors
L147. g. Joist-Rftr. T' s1RNrlin-fieff Bras ecu 8��' g R±
.48. Fir or ype lace Throat Clearance,
c Access; Size & Romex Protection -Draft Stop -Ins. Baffles
5 n Doors -Sill Ht. & Dimensions
Garage Fire Protection Framing
52. Openings
53. eck Garage 3rd Story, 2 Exits
5 ise-Run-Landing-Fire Protection
55. Plywo dor 3aQ nv rhang-Attic Vents -Rafter Outriggers
57. Stu d. Vents-Underflr. Access
68--@497i-ng-77re-a-13T2ss-Pretacb'on-Skylights-Plastic
nor x II P!gg.
61. Insulati a '•Ceilings
-�
62. Infiltration -Walls -Windows
Date ,.Q o p Card B-1 Date Card B-1
Date/6Card B-1 Date Card B-1
Date FINAL (Plans) OK except #'s
xt. Steps -Door & Sidelight Protection -Landings
Smoke Detector
-85 -"'Furnace Vents -clearance -Comb, Air -Connector -
Above Floor -Ducts -Meth. Protection
t.; edroom Exiting
G.F.I. & Bath Fixtures & Tub Access -Spa
Elec. Trim & Subpanel, Breaker Sizes & Labels
e9 -Stairs & Rails
-?e-Fireplace or Stove, Clearance -Hearth
-i'll. Elec. Outlets at Wood Panel, Int. & Ext.
-Kit. Fixt. & Appliance; Ground -Air Gap -Cooking Clearance
ec. Outlets & Receptacles at Kit. Counter
Garage Fire Door; Swing -Landing -Closure
Duct in Garage -Damper
X511mr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V.
in arage; Above Floor -Meth. Protection
Plb., Elec. & Mech. Equip. Listed for Location
FS' EI c. Receptacles in Garage (F.F.I.)-Romer. Protection
Insulation -Foam -Looked in Attic
4*-6uard Rails & Deck Construction -Post Caps
re'-'Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth
Clearance Looked under Floor Q Yes
-83.-Following Insttd./Drive J Yes ] No/Walks r] Yes r -J No/Planters:1 Yes J No
.8&. Stucco Brown -Finish
-9•l, , . Unit Disconnect, Electrical -Plumbing
Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings
.e9 -Water Well, Disconnect, Electrical, Plumbing
-6tilExterior Elec. Trim, G.F.I. Receptacle -Underground
.80 --Ventilation Throughout House
.99., GI s Protection
Corrections from Previous Inspections
9t -Gas Test -Meters Tagged, Gas -Electric
-BE--Water & Sewer Connected -C/O to Grade -HD Approval
rgy Compliance Certificate -Other Certificates
Address Posted
Dat Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Comments at Final:
5. Stemwalls, Main; Ste el- Blockouts-Wrapped
6. Stemwalls, Garage; Steel-Blockouts-Wrapped
6a. Hold Downs and Special Anchors
7. Slab, Steel -Wrapped
8. Piers -Fireplace Ftg.-Steel
9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test
10. UF, Gas Pipe; Size Anchors - Yard Gas Piping; Size Test
11. Water Pipe; Test -Anchors -Regulator -Service Test
12. Electric Underground
13. Plenums & Ducts; Clearance -Material -Support -Ins.
14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies
15. Access & Ventilation
16. Insulation
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
PLUMBING (Permit) OK except #'s
&1- 1 '
L._]Iyater Htr.; Vent -Access -Combustion Air Baffle
18. Watef44pe, ZZ" & Anchor -Nail Protection
19 s & Anchor -Nail Protection
20. Sho'verParr%st-First Floor -Tub Access
21. 179rrub & Shower, Second Floor -Tub Access
22. Gee44pe-9me-&-Anchors
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
ELECTRICAL (Permit) OK except #'s
Clearance -Ins. Protection
Elec. Receptacles Spacing -Lights & Switches at Doors
Boxes & No. of Conductors Stapled
Comex Installed Close to Edge of Studs & C.J.
21 Equip. Ground made up w/Meeh Fasteners -
n & Conductor Size GFI
29.r . Cu or AI-A.C. Wire Size / / ga Cu or At
3 or Al -Oven Circ. / / ga Cu or Al
Insulated Neutral Q Yes I] No
34- SQ&uIaP-.�,'•s=_Conductors & Ground Main Disconnect
32. Equip-taeraa"&-Panels-Motors-Mech. Equip.
33.e Qlalbos-2h7S>ST ht -Shower Light -Spa Light
4. S oke Detector
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
MEC ANICAL (Permit) OK except #'s
C. Ducts Insulation & Support
above insulation
37.. Condensate Drain & Overflow Size & Grade
3 ce- en s=Comb. Air -Return Air Vent 115 outlet
39. Affirm if Furnace in Attic
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
FRAMING (Permit) OK except #'s
4 Sits Proper Materials & Anchors
*+-Nailing Spacing & Braces -Plates -Sound
42- Baring Walls over Girders & Floor Nailing
^raft Stop in Walls (rat proof)
4 re Stops, Furred Ceiling - tairs-Chasers-Tubs
45 e & Bearing
Date FRAMING Continued)
46 -Post Caps -Anchors -Connectors
L147. g. Joist-Rftr. T' s1RNrlin-fieff Bras ecu 8��' g R±
.48. Fir or ype lace Throat Clearance,
c Access; Size & Romex Protection -Draft Stop -Ins. Baffles
5 n Doors -Sill Ht. & Dimensions
Garage Fire Protection Framing
52. Openings
53. eck Garage 3rd Story, 2 Exits
5 ise-Run-Landing-Fire Protection
55. Plywo dor 3aQ nv rhang-Attic Vents -Rafter Outriggers
57. Stu d. Vents-Underflr. Access
68--@497i-ng-77re-a-13T2ss-Pretacb'on-Skylights-Plastic
nor x II P!gg.
61. Insulati a '•Ceilings
-�
62. Infiltration -Walls -Windows
Date ,.Q o p Card B-1 Date Card B-1
Date/6Card B-1 Date Card B-1
Date FINAL (Plans) OK except #'s
xt. Steps -Door & Sidelight Protection -Landings
Smoke Detector
-85 -"'Furnace Vents -clearance -Comb, Air -Connector -
Above Floor -Ducts -Meth. Protection
t.; edroom Exiting
G.F.I. & Bath Fixtures & Tub Access -Spa
Elec. Trim & Subpanel, Breaker Sizes & Labels
e9 -Stairs & Rails
-?e-Fireplace or Stove, Clearance -Hearth
-i'll. Elec. Outlets at Wood Panel, Int. & Ext.
-Kit. Fixt. & Appliance; Ground -Air Gap -Cooking Clearance
ec. Outlets & Receptacles at Kit. Counter
Garage Fire Door; Swing -Landing -Closure
Duct in Garage -Damper
X511mr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V.
in arage; Above Floor -Meth. Protection
Plb., Elec. & Mech. Equip. Listed for Location
FS' EI c. Receptacles in Garage (F.F.I.)-Romer. Protection
Insulation -Foam -Looked in Attic
4*-6uard Rails & Deck Construction -Post Caps
re'-'Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth
Clearance Looked under Floor Q Yes
-83.-Following Insttd./Drive J Yes ] No/Walks r] Yes r -J No/Planters:1 Yes J No
.8&. Stucco Brown -Finish
-9•l, , . Unit Disconnect, Electrical -Plumbing
Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings
.e9 -Water Well, Disconnect, Electrical, Plumbing
-6tilExterior Elec. Trim, G.F.I. Receptacle -Underground
.80 --Ventilation Throughout House
.99., GI s Protection
Corrections from Previous Inspections
9t -Gas Test -Meters Tagged, Gas -Electric
-BE--Water & Sewer Connected -C/O to Grade -HD Approval
rgy Compliance Certificate -Other Certificates
Address Posted
Dat Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Comments at Final:
i
a+
COUNTY OF BUTTE F
" BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
411 Main Street • Chico, CA a (530) 891-2751
7 County Center Drive • Oroville, CA • (530) 538-7541
.. %
CORRECTION NOTICE
, `.'. • � Jo ck mo o _ 2-4-73
1 OWNER PERMIT NO.
y.. A routine inspection indicates that the following violations of butte county Ordinances exist at the
N,i.- . above address and should be corrected. Please notice this office when correction of work is
S `+' Vicom leted. If you have an questions pertaining to this matter, or need additional.ex lavation,
A;. P Y Y 4 P 9 P
please contact this office immediately.
W
gt
cc�,}
y
�fGFy
Coil ....
- Date Inspector
w REV 10/92
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
- 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO.
(Rev. 12/96) APPLICATION AND PERMIT 6t%- l.5
ASSESSOR PARCEL NUMBER
036 770-006
ZONING
AR
BUILDING PERMIT
OWNER
CUMBERLAND, DANIEL
TELEPHONE
534-0589
SO. FT. OCC. BUILDING VALUATION
98R 576000
.OWNERS 4UUAKVALE CT., OROVILLE 95966
-
CONTRACTONAME
`&UALITY CONSTRUCTION
TELEPHONE
CONTRACTORS MAIUNG ADDRESS
CONSTRUCTION LENDER
Fireplace
LENDER'S MAIUNG ADDRESS
Total Valuation $ 5760.00
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee
$ 20.00
Permit Fee
$81.00
ARCHITECT OR ENGINEERS MAIUNG ADDRESS
Plan Checking Fee
$52.65
BUILDING ADDRESS
40 X OAKVALE CT., OROVILLE, 95966
Energy Plan Checking Fee
$23.00
$
PERMIT FEE
$ 176.65
LAT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT
Fling Fee 20.00
USEOFSTRUCTURE
SF M Duplex ❑ Mobilehome ❑ Other
SPECIFY
Each Trap
7.00
Solar or heat pump water heater
23.00
Water piping
15.00
Each as water heater or vent
15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation O Other ❑
Describe Work: _�'�1\ IIERT (ARA 99 T,O����r A
16X18=288
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home S G W
@20.00
PERMIT FEE
$
ELECTRICAL PERMIT
Fling Fee 20.00
Main Service zoOA OR "ss'
23.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license is in full force and effect.POWER
License Class Lic. No.
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
❑ I, as owner of the property, or my employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
GY I, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
❑ 1 am exempt under Sec. Business and Professions Code for this
reason
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
❑ 1 have and will maintain workers' compensation Insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permit is issued.
My workers' compensation insurance carrier and policy number are:
Carrier
Policy Number
(The above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
le 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.
�� �
X �,.t� Date 2W '4Z/ _
Signature of Applicant - B -Owner ❑ Contractor ❑ Agent
An OSHA permit is required for excavations over 5'0" deep and demolition or construction%Q,t
of structures over 3 stories in height.
Main Service 200A TO tOooA
46.00
NEw coNST. pwEUING occuP. 3.5Q 10
ADDNS. ( 7L.L F°:
Occ
NOR
EW CONST. IC -O LET
NON-RESID. CIRCUITS 97.50
APPARATUS
8 SINGLE OUTLET CIR.
Ex. Occup. OUTLET OR FDCTURES
20 @ 1.00
.so
BAL @LNS
PUT gE" 5.00
Ex. Occup. R p,O
Temporary Service
23.00
Mobile Home Facilities 20.00
Misc. Wiring 23.00
PERMIT FEES
MECHANICAL PERMIT Fling Fee 20.00
Heating EXTRA pljCT
i nn
Cooling
Hood 6.50
Ventilation
PERMIT FEE $ 35.00
Mobile Home Installation Fee $
Energy Inspection Fee $ 46.00
�S
qr� TYPE
CON.
TOTAL FEE $ 287.75
HAZ.
p, FE
I
FLOOD COF
P Fl
PD
HD ISSU
This permit is hereby issued under the
of the Butte County Code and/or
indic abo for ' NO fees have
I��
PERMIT EXPIRES ON
applicable provisions
Resolutions to do work
been paid.
Q
Dat
�/' /
Date
Receipt No. 73
WHITE-D.D.S.-B. D. RY-ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
� '�;�"""�,7� =�`"l�Ch,x ��"°`t'�'-"1j�•'"'`+��rV+ilY,I�A'�'�7►�`f�' `:�<,i�`litrtk.) �;. • , ,.r <-+ •.i'x.�' �''� `�;
COUNTY OF.B�UTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541
PERMIT APPLICATION DATA SHEET
OWNER: ASSESSOR PARCEL NUMBER:
Proposed Building Use: /jQ;oj. , Building Inspector: Date: C9 d
At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance:
Date Received By
❑ 1. All items have been submitted --------------------------------------------------------------------------------------
E12. Plot plans, 3/4 sets, signed by the preparer of plans. ------------------------------------------------------------
❑ 3. Co lete plans, 3/4 sets, signed by the preparer of plans. - ----------------------------------------------------
❑4. E i eered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans. --------
ngineered truss details and layout in duplicate (required prior to plan review) No faxes! ------------------
Energy Design Compliance and supporting documentation. ----------------------------------------------------
❑ 7. Statement of Intent for Non -Heated and A/C Buildings. ----------- =---------------------------------------------
118,
-------------------------------------------.
❑8. Hazardous Material Form.
El 9. Manufactured Home data and installation instructions including Tie Down Specifications.------------------
----------------------------------
❑ 0. Fees of $-------------------------- -----------------------
RM1. Impact fees as shown on the attached schedule. ____ _ _ __ ____________________________
❑ 12. California Department of Forestry plan approval/fees.--------------------------------------/-----------------
❑ 3 . Flood elevation certificate. -------------X --------=- =' `: -------------------
_ ---
Lal Sanitation and plot plan approval ( Health Department. -------------------------------------------
❑ 15. City of Chico plumbing permit.----------------------------------------------------------------------------- ---
❑ 16. Plot plan and business license approval from the City of Biggs. ----------------------------------------------
❑ 17. Planning approval for (A) Use: (B) Parking: _____________________ ^___
❑ 18. Contact Land Development about ❑ilinprovements, ❑ Drainage, ❑ Legal Parcel. --------------------' --
❑ 19. Encroachment Permit for driveway (construction approval prior to occupancy). ---------------------
❑20. Pre -inspection for required Request to Building Inspector on
❑21. Contractor's license information. (Number, Name Style, Classification). -----------------------------
022. Workers' Compensation carrier and policy number.
E123. Owner -Builder Verification (Given to owner ❑, Mailed to owner ❑).
024. Letter of signature authorization. ----------------- -=-----------------------
❑ 25. Recorded copy of Agricultural Acknowledgment Statement. -----------
026. Letter of intention building use. --------------------------------------------
❑27. Manufactured Home utility clearance. -------------------------------------
028. Existing violations and/or expired permits. -------------------------------
I
0 29.
-------------------- --------
❑29. 043 A, ❑Grant Deed, ❑ M.H. Title, ❑ Check to H.C.D $ ,
030. Other:
(Date)
en you issue the p tj� s s follows ❑ Mail to owner, ❑ ail contractor.
Telephone `v and hold for pickup at" office. ❑ Deliver with inspector.
Applicant:v— % Date: D �'
Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, ❑ Air Pollution ate: By:
Copy of plans sent o Health Department, ❑ Fire Department, ❑ Date: By.
1. Index permit application for the above items numbered: ❑ Plan Check List
2. Additional items required:
Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date:
Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date:
Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date:
Contractor, designer, owner, was advi of the above re airedda by ❑ phone, ❑ mail, ❑Building Division counter, by Date:
Plans reviewed by: Date: l Plans approved by: Date; ,
Sets of plans on hold in 0 Plan Cabinet, ❑ A.P. folder. Note transfer by: D'afe
•' •a.. �: Y,y�..hf'r"`,r„^.+�.��+^wi^.Y..-„l...r.`��-+�,.,�_,+�ws..'tii-.-•-�..v.'ti f'i"`Yy"l'�4tM11„^t'� �r�"`../..;•'iA`fh; fl".�y.+'`S.�J�JT�V4F..� --"�`.•.r�.y.� _"�.�. �_yr'f :a�.`L T1..`r .
BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM
(One form per Building)
School District Building Department No.
A.P. Number Jurisdiction: city County
Property Owner NY71,1 l e I o1 i
Property Location/Address
Subdivision
Lot No.
Residential Development
...............................................................................................................
S Foota e
q. g
No of Living Mobile Home
Addition/
*Supplemental to
(Group R)
Units Installation
Conversion
Permit #
s
*(No foundation inspection):
Commercial/Industrial
New Addition
Sq. Footage
(Including Exterior
Ro%offeed Areas)
119
Date
moor runs revieweG Dy bcnooi uistnct rersonneq
District Identification No. Sa�
School District certifies that
(Applicant)
(Street Address) (Phone Number)
(City) (State) (Zip Code)
has complied with the requirements of Resolution No. by payment of $ 4
1114
representing$ square feet. AB 2926 $
FULL MITIGATION $
-A�
School District Representative Date
Paid by Check N
Remarks:
Notice: You may protest the imposition of the fees identified above by submitting a written protest to the District, in compliance with
Government Code Section 66020(a), within 90 days from the date fees are paid. Failure to submit a timely written protest will prohibit
you from challenging the imposition of the fees in any court action.
If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is
notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act (CEQA),
this project may be subject to additional school fees to fully mitigate its impact on the school district's schools.
White (applicant), Yellow (building department), Pink (school district) feeform.xls (10/98)dmm
W
Reinf. Steel Final LZ Fixtures
Bond Beam FIRE SPRINKLERS Motors
Framing Test Water Htr.
Stucco Final Subpanels
Mesh . MECHANICAL Grd. Fault Prot.
Scratch Heatina Service
,Brown Cooling Temp. Pole
Finish Ducts Underground
Interior Lath Ventilation Permanent
Door Closer Final Final
MOBILEHOME UTILITIES ------------------ Elec. Service Elec. Pedestal
Water Piping Sewer Gas Piping
OSILEHOME INSTALLAIMN - - - - - - - - - - - - - - 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.)
COUNTY OF BUTTE — DEPARTMENT'OF PUBLIC. WORKS
BUILDING INSPECTION RECORD
BUILDING BUILDING (Cont'd)
PLUMBING
Setback
Firewall
Sol[ Piping
Forms
Parapets
1st Floor
Main Bldg.
Restroom Finish
2nd Floor
Footings
Windows
3rd Floor
StemwaII
Siding
To out
Slab
Roof Sheathing
Water Piping
Piers
Roofing
Sewer
Garage
Fdn. Vents
Fixtures
Footings
Garage Vents
Water Htr.
Stemwal l
Insulation
Heaters
Slab
Carport
Footings
Prov. forphysically
handica ed
Conformance of ex.
structure
Appliances
Gas Piping &Test
Temp. as
Slab
Final
Sanitation
Patio
FIREPLACE
Final
Footings
Footin — 7
ELECTRICAL
Masonry Walls
Throat
Rough
Reinf. Steel Final LZ Fixtures
Bond Beam FIRE SPRINKLERS Motors
Framing Test Water Htr.
Stucco Final Subpanels
Mesh . MECHANICAL Grd. Fault Prot.
Scratch Heatina Service
,Brown Cooling Temp. Pole
Finish Ducts Underground
Interior Lath Ventilation Permanent
Door Closer Final Final
MOBILEHOME UTILITIES ------------------ Elec. Service Elec. Pedestal
Water Piping Sewer Gas Piping
OSILEHOME INSTALLAIMN - - - - - - - - - - - - - - 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.)
COUNTY OF BUTTE fEPARTMENT OF PUBLIC WOR
7 County Center Drive — Urovilie, California 95965
Telephone: 534-4541
APPLICATION AND PERMIT L)
r+uu or—e representatives UI UIC County UI Butte to enter upon the
above- a tinned proper or inspection purposes.
Date Z
if
ms's 6p �
Signature of P tee or Agent
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.
DIRECTO"F PUBLIC WORKS
BYu_ Date �' `"�% i fildina permit expires Date l'- U -
BUILDING
Owner Cbn
SQ. FT. OCC. BUILDING VALUATION
Mailing Address
'Telephone
No.
Fireplace
Contractor
Total Valuation
Mailing Address f-0QQ'
Permit Fee ,
Plan Checking Fee &/or Penalty
\ Telephone No.
Permit Fee $
Building Address 14 0 ak
PLUMBING No. @ FEE
PERMIT FILING FEE $3.00
Each Trap 1.50
Repair drainage or vent piping 1.50
Water piping 1.50
0MVV
I P
Each gas water heater or vent 1.50
/Gas
A. P. No. (e>
Zoning &Planning
piping system 1 - 5 outlets 1.50
Each additional outlet .30
Fe
S
Fire Dept.
Fire Zone
Use Permit
Building sewer 5.00
EQA
1.Parking
Plans
Parcel
Declaration
Parcel Ma P
60' R/W
ImprovementsLawn
sprinkler system 2.00
Parcel Approval
Plans Approval
Permit Fee $
$
NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER [K
ELECTRICAL @ I FEE
-No.1
PERMIT FILING FEE $3.00
�y1 $
Main service 600V OR AMP LESS
0OR LESS 5.00
Main service EA. ADD'L 100 AMP 2.50
Single Family Duplex ❑ Mobil Home ❑ Others ❑
OVER Main service 1100 AMP OR LESS 25.00
Main service EA. ADD•L 100 AMP 1.00
-
NEW CONST. // DWELLING OCCUP. &
OR AODNS. % ACC. BLDGS. ) 20sq tt
NEW CONSTR. MULTI..OUTLET
NON.RESID. BRANCH CIRCUITS) 2.50ea
NEW CONSTR. (POWER APPARATUS &
NON .R ESID. SINGLE OUTLET CIR.
CONTRACTORS LICENSE LAW
1 am licensed under the provisions of Chapter 9, Div. 3, of the
State of California Business & Professions Code under the name
style of:
,�
��,��' Q�Q T v,
Ex. Occup(OUTLETS OR FIXTURES)@29C
L@109
Ex. Occup.FIXED APP LNS. OR
(OUTLETS (RESID.) EA) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
License No. J 0 WL Classification
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
WWrrkmen's Compensation.
have placed on file with the County of Butte a certificate of
orkmen'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
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
$
r+uu or—e representatives UI UIC County UI Butte to enter upon the
above- a tinned proper or inspection purposes.
Date Z
if
ms's 6p �
Signature of P tee or Agent
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.
DIRECTO"F PUBLIC WORKS
BYu_ Date �' `"�% i fildina permit expires Date l'- U -
i
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