HomeMy WebLinkAbout068-343-0271'-�-- -- ----
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A. P.--'7
E.R. Delamar
133 Edb we•
ood Dr. � Oroville
Permit 1467-71B (s.f, foundation)
68-343-�7 A.P
E. R. DET.AMAD_ �-t.:....n
LOT
BLOCK -__ 133 Ed ewood Drive, Orov�ille�•/�
_. Permit 319-74B,p,E IK (New SF) REMARKS
PERMIT NO. PLAN P. ,.,TE ISSUED PERMIT I [PEI!W
.� ��=r""C'
068-34-3-028 00-lfi3 "
BONHAM, BETTY �
133 EDGEWOOD DR., ORO';LE
CONTR: OWNER q'it�'V
ROOM ADDITION & RE ROOF
TYPE OF
PERMIT
PERMIT DESIGNATION: B -BUILDING
DEPARTMENT OF P -PLUMBING
T -TRAILER
BUILDING AND SAFETY
E -ELECTRICAL U -USE PERMIT HM -HOUSE MOVING
TV - RADIO -TV ANTENNA V - VARIANCE EP - ENCROACHMENT
S/W-SIDEWALK NOTICE S- SIGN PERMIT D - DEMOLITION 600.1
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CIV033a NOI133dSNI
FiESIDENTIAL
PERMIT NO. 068-34-3-028, 00-1403
BONHAM, BETTY -
133 EDG.EWOOD DR., OROVILLE
CONTR: 'OWNER ",j
ROOM ADDITION & RE ROOF
SPECIAL CONDITIONS
CHECKED
BY
SRA
FLOOD CERTIFICATE REQ.
FIRE SPRINKLERS REQ.
SPECIAL INSPECTION'ITEMS
VERIFY
USE PERMIT CONDITIONS
SUB -STANDARD HOUSING LETTER
1
- r
d
JOB FINALED Date v
Signature b4)
2.
{
F
SPECIAL CONDITIONS
CHECKED
BY
SRA
FLOOD CERTIFICATE REQ.
FIRE SPRINKLERS REQ.
SPECIAL INSPECTION'ITEMS
VERIFY
USE PERMIT CONDITIONS
SUB -STANDARD HOUSING LETTER
1
- r
d
JOB FINALED Date v
Signature b4)
✓ = OK
0 = Not OK ,
- = Not Applicable
* ,Not Ready;
f R
. MOBILE HOMES
Date ;•
MOBILE HOME UTILITIES (Plans) OK except #'s
Date MOBILE HOME INSTALLATION (Plans) OK except #'s
1.
Zoning Requirements -Setbacks -Easements
2.
2.
Soils; Special MH Support Sketch
Gas; MH Test -Demand -Valve -Connector
3.
Sewer; Location -Test -Fall -C/O -Concrete
5.
4.
Water; Location -Test -Easement Needed (Sketch)
Water; MH Test -Regulator -Connector
5.
Electricity; Location-Clearances-Grnd-/ /Amp -Concrete
8.
6.
Gas; Location -Test -Wrap;-/ /" L'ft.
/ /'Nat. or/ /"L"ft./ /'LPG
Tie Downs -Type -Installation Cert.
7.
Well Clearance 8 Disconnect
11.
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
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 1 l t
3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails f
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-Rttrs-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- Pane lboards-Ins. to Main in Conduit
9.
Health Department Approval
10.
Plumb.; Cir. Test -Water Supply Test
11.
Light Niche
Card B-1 Date
Card B-1 Date
Card B-1
Card B-1
/= OK
0 = Not OK
' ' Not Realuy ble
RESIDENTIAL (;
Date
Underfloor (Plans) OK except #'s
4
on' Setbacks -Easements -Flood -Slope
Ftg., Main; Soils-Elec. Grnd.-/ j,'1CFtg. Depth
3.
4.
Ftg., Garage; Soils-Steel-Elec. Grnd.-/ r Ftg. Depth
Ftg., Porches & Decks; Soils -Steel-/ r Ftg. Depth
5.
Stemwalls, Main; Steel-Blockouts•Wrapped
6.
Stemwalls, Garage; Steel-Blockouts-Wrapped
6a.
Hold Downs and Special Anchors
7.
Slab, Steel -Wrapped
8.
Piers -Fireplace Ftg.-Steel
9.
D.W.V.; Fall -Fitting -Test -2 Way C/0 -Sewer Test
10.
UF, Gas Pipe; Size Anchors - Yard Gas Piping; Size Test
11.
Water Pipe; Test -Anchors -Regulator -Service Test
12.
Electric Underground
13.
Plenums & Ducts Clearance -Material -Support -Ins.
U1.
' Gird-Ancho Bol -Joists - rip
h2,,Lecess
& Ventilation
16.
Insulation
Date t2L>
Date
Card B-1 Date Card B-1
Card B-1 Date Card B-1
Date % �/4>.' ,(/Card
Date
B-1 Date Card B-1
Card B-1 Date Card B-1
Date
PLUMBING (Permit) OK except #'s
17.
Water Htr.; Vent -Access -Combo tion Air Baffle
18.
Water Pipe; Test & Anc ail Protection
19.
D.W.V.; Test Fit'106.1 Anchor -Nail Protection
20.
Shower P , est, First Floor -Tub Access
21.
TeslWvb & Shower, Second Floor -Tub Access
22.
as Pipe; Sixe & Anchors
70.
Fireplace or Stove, Clearance -Hearth
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date
ELECTRICAL (Permit) OK except #'s
23_ EjxLuLe_&_Ttanstotmer Clearance -Ins. Protection
Garage Fire Door; Swing -Landing -Closure
A.C. Duct in Garage -Damper
eceptacles Spacing -Lights
Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V.
in Garage; Above Floor-Mech. Protection
Plb., Elec. & Mech. Equip. Listed for Location
Elec. Receptacles in Garage (F.F.I.)-Romex Protection
Sile
ze .oxes & No. of Conductors Stapled
jwelicmex
Installed Close to Edge of Studs & C.J.
2
asteners-Bond Gas & Water
28.
ucui s m Itchen & Conductor Size GFI
A.C. Unit Disconnect, Electrical -Plumbing
or AI-A.C. Wire Size / / ga Cu or At
3
uc a or AI -Oven Circ. / / ga Cu or At
Insulated Neutral ❑ Yes O No
3
ice- iser Conductors & Ground Main Disconnect
3
es anels-Motors-Mech. Equip.
Vass Protection
ose fight -Shower Light -Spa Light
"44.
Smoke Detector
Date G Card B-1 .i�/- Date Card B-1
Date Card B-1 Date Card B-1
Date
MECHANICAL (Permit) OK except #'s
35.
A.C. Ducts Insulation & Support
36.
Vent Fan, Exhaust above insulation
37.
Condensate Drain & Overflow, Size & Grade
38.
Furnace -Vent Access -Comb. Return Air Vent 115 outlet
39.
-Air-
Attic Access & Platform if Furnace in Attic
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date
JERMING (Permit) OK except #'s
Si oper Materials & Anchors
.
Walls Studs -Nailing Spacing & Braces -Plates -Sound
Baring Walls over Girders & Floor Nailing
raft Stop in Walls (rat proof)
44.
ifi-Stairs•Chasers-Tubs
5.
Headers & Beams -Size & Bearing
>ingle & Duplex)
Date
FRAMING (Continued)
angers -Post Caps -Anchors -Connectors
4
ing. Joist-Rttr. Ties- Purlin-Roll Brac.-Truss-Shting.-Ring.
lue-Fireplace Throat Clearance
cess; iz mex Protection -Draft Stop -Ins. Baffles
rm. Windows or ing Doors -Sill Ht. & Dimensions
ming
32.
y Line FreWMIS Openings
Dors-One 3' -Check Garage 3rd Story, 2 Exits
fairs; Wit - ea -Rise-Run-Landing-Fire Protection
00 on oo v hang -Attic Vents -Rafter Outriggers
56.Siding-Nailing
Veneer
5Z_
Vents-Underflr. Access
Glazing Area -Glass Protection -Skylights -Plastic
a, ,n -
(fdL,_-7trago.4nWrQExlerior
LAe
Wall Panels
Insulation -Walls -Ceilings /
62.
Infiltration -Walls -Windows
Date t2L>
Date
Card B-1 Date Card B-1
Card B-1 Date Card B-1
Date
FINAL (Plans) OK except #'s
0.
Ext. Steps -Door & Sidelight Protection -Landings
6V.
Smoke Detector
6 .
Furnace Vents -clearance -Comb, Air -Connector -
In Garage; Above Floor-Ducts-Mech. Protection
66
Bedroom Exiting
67
G.F.I. & Bath Fixtures & Tub Access -Spa
68
Elec. Trim & Subpanel, Breaker Sizes & Labels
69
Stairs & Rails
70.
Fireplace or Stove, Clearance -Hearth
71.
Elec. Outlets at Wood Panel, Int. & Ext.
72.
73.
Kit. Fixt. & Appliance; Ground -Air Gap -Cooking Clearance
Elec. Outlets & Receptacles at Kit. Counter
74.
75.
Garage Fire Door; Swing -Landing -Closure
A.C. Duct in Garage -Damper
76.
77.
78.
Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V.
in Garage; Above Floor-Mech. Protection
Plb., Elec. & Mech. Equip. Listed for Location
Elec. Receptacles in Garage (F.F.I.)-Romex Protection
79
80
81
Insulation -Foam -Looked in Attic
Guard Rails & Deck Construction -Post Caps
Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth
8
Clearance Looked under Floor ❑ Yes
Following Instld./Drive D Yes ❑ NoMalks O Yes D No/Planters 0 Yes ❑ No
8
Stucco Brown -Finish
8 .
A.C. Unit Disconnect, Electrical -Plumbing
.
Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings
6.
Water Well, Disconnect, Electrical, Plumbing
7.
8
Exterior Elec. Trim, G.F.I. Receptacle -Underground
Ve htilation Throughout House
9.
Vass Protection
Corrections from Previous Inspections
Gp Test -Meters Tagged, Gas -Electric
1 42.
Ater & Sewer Connected -C/O to Grade -HD Approval
9Anergy
r 9
Compliance Certificate -Other Certificates
Address Posted.
D_atEVYIIj )IJ,) Card B-1 #Af- Date Card B-1
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Comments at Final:
COUNTY OF BUTTE i
BUILDING DIVISION ,
DEPARTMENT OF DEVELOPMENT SERVICES
411 Main Street • Chico, CA • (530) 891-2751
7 County Center Drive • Oroville, CA • (530) 538-7541
CORRECTION NOTICE
ER
HOJ
A routine inspection indicates that the following violations of butte county Ordinances exist at the
above address and should be corrected. Please notice this office when correction of work is
completed. If you have any questions pertaining to this matter, or need additional explanation,
please cQn act this office immediately. l/ `
A ?
Date
REV 10/92
Inspector
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT
(Re(Rev.-12/96)��✓
2/96) . APPLICATION AND PERMIT z`�
ASS ESSOgPAROIUMBER 068-343-028
Z°"'��
BUILDING PERMIT
OWNER BETTY BONHAM
334HOt5J12
SO. FT. OCC. BUILDING VALUATION
16A 9079
00
OWNERS MAILING ADDRESS 133 EDGEWOOD DR OROVILLE 95966
CONTRACTOR'S NAME OWNER
TELEPHONE
CONTRACTORS MAILING ADDRESS
CONSTRUCTION LENDER
Fireplace
LENDER'S MAILING ADDRESS
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE NO.
FilingFee
$ 20.00
Permit Fee
$
1 26 00
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee
$ R1
BUILDING ADDRESS
SAME
Energy Plan Checking Fee
_90
$
$
PERMIT FEE
$ ?rn an
LAT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT
Fling Fee 1 20.00
USEOFSTRUCTURE
SF EK Duplex ❑ Mobilehome ❑ Other
SPECIFY
Each Trap
7.00
Solar or heat pump water heater
23.00
Water piping
15.00
Each gas water heater or vent
15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel IN Utilities ❑ Installation ❑ Other ❑
Describe Work: ROOM ADDITIONS AND REROOF
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home I S I G I W
@20.00
PERMIT FEE
$
ELECTRICAL PERMIT
Fling Fee 20.00
Main Service noun a mss
23.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license is in full force and effect.
License Class Lic. No.
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
I, as owner of the property, or my employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
❑ I, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
❑ 1 am exempt under Sec. Business and Professions Code for this
reason
Main Service TO
46.00
NEW CONST. DWEWNG OCCUCUP.SO
EE
OR ADDNS. ( a ACC. BLDS.
C �(lo
3.5¢s,; .J 7
NOON-R°E41DT 1-0 LETUrrs
@7,50
OWER APPARATUS
8 PO.OUTLET CIR.
Ex. Occup. oLmET OR FIXTURES�0
@ I_00
Ex. Occup. OUTTLEE°TSA R D.°EA
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
PERMIT FEE
$ 25.90 -
WORKERS' COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
❑ I 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.)
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 Date ;
Signature A icant - Owner Contractor ❑ A t
An OSHA rmi s required for excavations over 60" deep and demolition or construction
of structures over 3 stories in height.
MECHANICAL PERMIT
Fling Fee 20.00
Heating
Cooling
15.0
Hood 6.50
Ventilation
PERMIT FEE $ 35.00
Mobile Home Installation Fee $
Energy Inspection Fee $
Occ
R 11TOTAL
CONST. TYPE
FEE485.90
HAZ.
D. F IMP
FLOOD
CDF
PARCEL
X
PD
HD
X
ISSU
This permit is hereby issued under the applicable provisions
of the Butte County Code and/or Resolutions to do work
Indic above fo :hich fees have been paid.
By Date J71 ft �d
PERMIT EXPIRES ON?0
D e
Receipt No. 294901/$270.95 a
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK-INSPEC G L ENROD-APPLICANT
`. %COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION
4� 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541
PERMIT APPLICATION DATA SHEET f
OWNER: ASSESSORPAR ER:
Proposed Building Use: wilding Inspector: Date: — C940 ^
At time of permit application, I was advised the folloUwing data must be submitted prior to permit processing and/or issuance:
Date Received By
❑ 1. All items have been submitted .------------------------------------------------------------------r --- ,-=------------
❑ 2. "Plot plans, 3/4 sets, signed by the preparer of plans-------------------------------------------------=---------
03. Complete plans, 3/4 sets, signed by the preparer of plans. -----------------------------------------------------
04. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans. --------
❑ 5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! ------------------
❑ 6. Energy Design Compliance and supporting documentation. ----------------------------------------------------
❑ 7. Statement of Intent for Non -Heated and A/C Buildings. ---------------------------------------------------------
08.
--------------------------------------------------------
❑8. H dour Material Form-------------------------------------------------------------------------------------------
❑ ufactured Home data and installation instructions including Tie Down Specifications .-----------------
Feesof $----------------------------- -----------------------------------------------------
Impact fees as shown on the attached schedule. -- --------------------------------------------------------------
❑ 12. California Department of Forestry plan approval/fees- ---------------------------------------------------------
❑Koanitation
od elevation certificate. ----------------------------------------------------------------------------------------
and plot plan approvaOHealth Department. -------------------------------------------
Ell 5.
-----------------------------------------=❑15. City of Chico plumbing permit.-----------------------------------------------------------------------------------
❑ 16. Plot plan and business license approval from the City of Biggs. ----------------------------------------------
C3 17. Planning approval for (A) Use: (B) Parking: ---------------- ---------- ,
❑ 18. Contact Land Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel. ------------------------
1119.
----------------------
❑19. Encroachment Permit for driveway (construction approval prior to occupancy). ----- -----------------------
❑20. Pre -inspection for required Request to Building Inspector on (Date)
021. Contractor's license information. (Number, Name Style, Classification). ------------------------------------
❑ 22. Workers' Compensation carrier and policy number. -----------------------------------------------------------
❑23.Owner-Builder Verification (Given to owner ❑, Mailed to owner 0) - --------------------------------------
024. Letter of signature authorization. --------------------------------------------------------------------------------
❑25. Recorded copy of Agricultural Acknowledgment Statement- --------------------------------------------------
026. Letter of intent on building use. -----------------------------------------------------------------------------------
❑27. Manufactured Home utility clearance.---------------------------------------------------------------------------
❑28. Existing violations and/or expired permits- ----------------------------------------------------------------------
❑29. 0433'A, ❑Grant Deed, ❑ M.H. Title, ❑ Check to H.C.D $ .---------------
❑30. Other:.-------
Wh you issue the p t rocess5Znd
ows ❑ Mail to owner, ❑Mail t on actor. ��,✓'�
❑Telephone hold for pickup at O office. C3 Deliver with,' ector.
Applicant: (;� ate: 4yOl/
Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, ❑ Air Pollu ' n Date: By(/
Copy of plans sent ❑ Health Department, ❑ Fire Department, 1110ther: n A Date: By:
Index permit application for the above items numbered:
❑ Plan Check List
2. Additional items required: I -
Contractor, designer, owner, was advised of the above required dat4by ❑ 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 advised of the above required data by ❑ phone, ❑ mail, ❑Buil ivrsi`6 counter, by ate:
Plans reviewed by: Date: Plans approved by: Date:—
Sets of plans on hold in ❑ Plan Cabinet, ❑ A.P. folder. Note transfer by: Date:
Yellow Copy - Department of Development Services, Building Division.
.,
E.H. USE ONLY
Plot Plan Attached
F r
�� Floor Plan Attached
/l
Sant to B.D. .i— lyJ`
TO: Building Department
FROM: Environmental Health
SUBJECT: Sanitation Clearance
9M h u ill ,���-- ZY
U
ner Location AP#
Plan Approved for: Sewage Disposal_ Water Supply:
X- Primy)-\
bli� Private Well
Clearance for dwelling. Other 101,), n c � L1 V � 11(_
Hold final for:
Final. clearance O.K. for:
NOTE:
Environmental Health Specialist
8/96
Date .
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 permit ail
be. issued until this verification is received. '
I personally plan to provide the major labor and materials for construction of the
_ . proposed property improvement : YESV] NO[ ].
Z. I HAVEHAVE 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: CITY:.._. _
PHONE: CONTRACTOR'S. LICENSE -N0.--.__
4.' -I' plan to provide portions of this work, but I have hired the following person to
coordinate, supervise, and provide the major work:
ADDRESS: CITY:
PHONE: CONTRACTOR'S LICENSE NO.
5. .I will provide some of the work but I have contracted (hired) the followipS persons to
provide the work indicated:
NAME ADDRESS PHONE TYPE OF WORK
SIGNED:
—� PROPERTY OWNER:O�e�l�
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.
May 1995 2.26
Dear Property Owner:
-t 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. 1,
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 inf r your benefit and protection: �� - .
0 If you employ .or otherwi en any pens other than your immediate family, and the work (including - . -
materials and other co ) i or mo for the entire project, and such persons are not licensed as
contractors or subcon o en you be an employer. '
0 If you are an. employer, y Oster 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. in surance costs, and unemployment *compensation contributions.
0 There may be.financial risks'for you if you do not_carry out these obligations,xand 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
personally. Building permits are not required to be signed by property owners unless they are performing their own
work personally.
Information about licensed contractors may be obtained by contracting the Contractors State License
Board in your community or at 1020 N Street, Sacramento, CA. 95814.
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,
J r 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.
May 1995 2.27
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BUTTE COUNTY SCHOOLS IMPACT.FEE-CERTIFICATION FORM
e', ep (One form per Building)
". (�
School District w Building Department No.
c;�g- y zg
A.P. Number � � Jurisdiction: � city ]County
Property Owner
Property Location/Address
Subdivision
Residential Development
Commercial/Industrial
Building Department
t mioor mans revrevvea oy acnooi uistnct rersonneil.
District Identification No.
School District certifies that'••
(ApplicA
(Street Address
(City) It
has complied with the requirements of Resolution No
i
representing / 16,47 square feet.
School District Representative
' Paid by Check #
Remarks:
`,(Phone Number)
(State) (Zip Code)—
f-0 —Q S by payment'of $
1 .
AB 2926 ! 4 y
FULL MITIGATION / $ t_
y Date
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(x), 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) ) ieeform-As 110/98)dmm
I 3
Cclg:e
Wood
Lot No.
.............................................................................
........ ............... ............:
Sq. Footage
/ n
No of Living
Mobile Home
�Ad /
'Supplemental to
(Group R)
Units
Installation
Conversion
Permit #
p1
'(No foundation inspection):
O
0
Sq. Footage
. `
Ne
Addition`
(Including Exterior .
Roofed Areas) ..
/n
ative
""
C77)
Date
t mioor mans revrevvea oy acnooi uistnct rersonneil.
District Identification No.
School District certifies that'••
(ApplicA
(Street Address
(City) It
has complied with the requirements of Resolution No
i
representing / 16,47 square feet.
School District Representative
' Paid by Check #
Remarks:
`,(Phone Number)
(State) (Zip Code)—
f-0 —Q S by payment'of $
1 .
AB 2926 ! 4 y
FULL MITIGATION / $ t_
y Date
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(x), 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) ) ieeform-As 110/98)dmm
Insulation Certificate'
BUILDING PERMIT
#:,60. -
BUILDING
:,60. -BUILDING OWNER:
BUILDING LOCATION:33 - _
Description of Installation
ROOF `
Material Brand Name R
Thermal Resistance (R -Value) `
Thiclaiess (inches)
CEILING,'o%1U s
Batt or Blanloet Type �� Bland Name `J
Thermal Resistance _(R -Value)
Thlclatess ('inches) 1 't Brand Name:
Loose Fil1 Type
Contractor's minimum installed weight/ft lb Minimum thickness
Manufacturer's installed weight per square foot to acheive Theimal Resistance (R -Value)
EXTERIOR WALL ,
J /
Material Brand Name
(R -Value
Thickness (inc es) i /V ' ��S Thermal Resistance (R -le
• I)�' l 3
e 1
RAISED FLOORBrand Name
Material . O S �
�G•c • ,•
-Thickness, (inches) 'Thermal Resistance (R -Value)
- f
i�
SLAB FLOOR
Material .Brand Name :.
Thermal Resistance (R -Value) '
Thickness (inches)
Width (inches)'
FOUNDATION WALL
Material. Brand Name
Thickness (inches) f armal Resistance (R -Value)
Declaration
I hereby•certify that the above insulation was installed in the building at,the above location in confonnance with
the current Building Energy Efficiency Standards for new residential buildings contained in Title 24 of the
California Administrative Code.
General Contractor (Builder) -. License Number
Signature and Title
Sub -Contractor (Insulation Installer)
Date
- - License Number
�- Signature and Title Date
`THIS CERTIFICATE MUST.BE PROVIDED TO THE BUILDING DEPARTMENT PRIOR TO FINAL INSPECTION
APPROVAL. AND A COPY SHALL BE POSTED WITHIN THE BUILDING. ,
JANUARY 1993
y
JR5
(Property owner/contractor)
l4
ADDITIONS TO RESIDENTIAL, BUILDINGS ENERGY SHEET
PACKAGE COMPLIANCE
G��
Climate Zone
Permit-#
Floor Area / Z �?—
Thc following daaa showing
I tt�ddwotu, converting
tnanduory and M"bW haturca shall be WWled for aMtioos
Wages and to living
to dwoulnp. Additions to dwelltnp
packs areas, house moves dal add twinge and trek eouverslons,aW
i Ulsdaa non-condidoned space Cat is converted to conditioned space. RemtrdelittC
i span is not b3cN&d
of «lstlog conditioned
Climate Zones 1 t and 16°
Component
ti100 sgft 101499.
500 <1000 sqft
C0Hi°8 ins.
R-19 _
R-39
wan bw
I) 13 R l 3
Ze «,
Ras
Floor fns.
R-19 R-19
R-19
Slab Edge Ins.
I NR, R-7
NR, R-7
Glass (U)
.75 .75
65,60
Max. Glass
50 sgft 16% + Removed
16°/. + Removed
Shading Coee'(SdtN)
w.66
NR
.66
Shading Coeff(W&E)
NR .40, •66
40,66
Thermal Mass
NR S% Raised
Sa a Raised
20% Slab
20s: Slab
Heat, Elect Resistance,
Not Allowed Not Allowed _
Not Avowed
Heat, Gas
AFUE Me AFUE 79%
AFUE 78%
Heap Pump Split Sys.
P.
HSPF 6.8 - HSPF 6.8
HSPF 6.8
Heat Pump Package
HSPF 6.6HSPF 6.6
HSPF 6.6 .
Cooling Split Sys.
SEER 10.0 SEER 10.0
S.i:irR 10.0
Cooling Package
SEER 9.7 SEER 9.7
SEER 9.7
Increased
Allowed w/ talcs. Allowed w/ tales.,Allowed
w/ cake.
jEofWtr
•One entry
req both zones.Special
Featus
'
loose Fin fntuwan (Dcasigr)
tafiNmelon Coatmt (Wgd►a:orio dom.cestilied w6tdows• czWkin
Vapor (Lone 16)
`a Iiz
v
et uni
Duets Per Uailonn MeeAasdc.) Code - CIL 10
Liahtina Kiftlwn and Bath not btu ds■n 40 L..,WWat
,
Desisn Caroptiance swunent: The above Wildin des' ntoets Arc ,
t � ►eauircments of'7itle .+. Parts I a.d 6 of
�''
the C�lifomial Code of tte�u ' '"
(Property owner/contractor)
X
<
all
ouchiv
d3CI VI*jjM-
RUM
3
P71vv -Uww
rrvffv 99S
60) A , ti tj rV n OA
-) -!., 7
300�/
DO
COUNTY -OF BUTTE
Department' o`t Public Works
BUILDING INSPECTION RECORD'
Zoning Setback Forms
Foundatio 1 iers & Girders Fireplace Q
Rgh. Plumbing d Beam _ Lath & Plaster
Rein. Steel Gas Piping & Test Found. Vents
Framin � PImg. Ta pout ough Elec.'s e,� y
Wtr.'Htr. ��L Furnace �'_ "' .1 Kitchen Vent
Firewall�Garage Vents Sanitation & Water
ELECTRIC GAS. BUILDING
Temporary Temporary Cert. of Occup. _
Final FinalL —Z25 Final Z —/,S' — 57,S
DATE REMARKS .OR. CORRECTIONS
,mac
01,j --2f ��
Owner �!
Mailing Address
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC'WORKS
7 County Center Drive - broviile, California 95965
Telephone:'584-541 3
APPLICATION AND PERMIT
M
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.
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.
I certify that 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-mentioned property for inspection purposes.
/j �
X -� ./ +y
Date
Z "- _,/
Sign attire of Pertee or Agent
Receipt No. IL zo
White-D.P.W. – Yello—Assessor – Pink -Inspector – Goldenrod -Applicant
_ BUILDING Loll
ESQ. FT. OCC. I BUILDING VALUATION
Fireplace
Total Valuation
Permit Fee
Plan Checking Fee &/or Penalty
Permit Fee
PLUMBING
PERMIT FILING FEE
Each Trap
Repair drainage or vent piping
Water piping
Each gas watfr heater or vent
Gas piping system 1 - 5 outlets
Each additional outlet
Building sewer
Lawn sprinkler system
Permit Fee
ELECTRICAL
PERMIT FILING FEE
Main service incl. 1 meter
Additional meters -each
Sub -panel (124r -less) (more than 12)
Range, Cook -top or Oven
Water Heater or Space Heater
Light. fixtures
R e o �, swit & fix o •e s
Hoo4Ex. Fan or F.A. Furn. Motor
Evap. cooler, gap�Tisp. or D.W.
Air conditioner or heat pump
Water pump
Mobil Home Facilities
Temp. Power Pole
Misc. wirinq
Permit Fee
MECHANICAL
PERMIT FILING FEE
Heatina /,-)% of
Cooling
Ventilation
Hood
Permit Fee
FEE
2.00
1.50
1.50
1.50
1.50
1.50
.30
5.00
2.00
@
Telephone No.
Contractor
STT'
Mai I i ng Address
1.00
Telephone No.
Building Address
U
1 i
1.00
®(�
A.P, N0.�/ —� �r-
Zoning & Planning
e
W6C
S �" lEton
Fire Dept.
FireZone
Use Permit
EQA
Parki
Plans
Parcel
Declaration
Parcel Ma P
60' R/W
Improvements
P
Bldg. PI4.4krrr
Parce oval
Plans Approval
NEW ®"-' ADDITION ❑ UTILITIES ❑
OTHER ❑
Single Family 0/ Duplex ❑ Mobil Home ❑
Others ❑
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:
License No. Classification
0 1 am exempt from the Contractors License Laws of the State of California.
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.
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.
I certify that 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-mentioned property for inspection purposes.
/j �
X -� ./ +y
Date
Z "- _,/
Sign attire of Pertee or Agent
Receipt No. IL zo
White-D.P.W. – Yello—Assessor – Pink -Inspector – Goldenrod -Applicant
_ BUILDING Loll
ESQ. FT. OCC. I BUILDING VALUATION
Fireplace
Total Valuation
Permit Fee
Plan Checking Fee &/or Penalty
Permit Fee
PLUMBING
PERMIT FILING FEE
Each Trap
Repair drainage or vent piping
Water piping
Each gas watfr heater or vent
Gas piping system 1 - 5 outlets
Each additional outlet
Building sewer
Lawn sprinkler system
Permit Fee
ELECTRICAL
PERMIT FILING FEE
Main service incl. 1 meter
Additional meters -each
Sub -panel (124r -less) (more than 12)
Range, Cook -top or Oven
Water Heater or Space Heater
Light. fixtures
R e o �, swit & fix o •e s
Hoo4Ex. Fan or F.A. Furn. Motor
Evap. cooler, gap�Tisp. or D.W.
Air conditioner or heat pump
Water pump
Mobil Home Facilities
Temp. Power Pole
Misc. wirinq
Permit Fee
MECHANICAL
PERMIT FILING FEE
Heatina /,-)% of
Cooling
Ventilation
Hood
Permit Fee
FEE
2.00
1.50
1.50
1.50
1.50
1.50
.30
5.00
2.00
@
FEE
$3.00
1.00
U
1.00
1.00
®(�
1.00
1.00
5.00
5.00
@ FEE
$3.00 QQ
U 7)
2.00
$ $
t°n�r�" ,V67-
;D/nod 'n
%5, av <-)
TOTAL PERMIT FEE $ '-
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 O)FPUBLIC WORKS
BY Date Z-7-%`�
Building permit expires Date 2- 7
i'
.�
:� .
rt
`�
-.
r
Y
1.
COUNTY'OF BUTTE
Department'of Public Works
BUILDING INSPECTION RECORD
F
Zoning _ Setback Forms
Foundation Piers & Girders Fireplace
Rgh. Plumbing Bond Beam Loth & Plaster
Rein. Steel Gas Piping & Test Found. Vents
Framing Plmg. Topout Rough Elec.
Wtr. Htr. Furnace' Kitchen Vent
Firewall Garage Vents Sanitation,& Water
ELECTRIC GAS BUILDING
Temporary jTemporory Cert. of Occup. s�
FinalFinal Final ^—�O
DATE REMARKS OR CORRECTIONS
7 ice...
L., �, c 17 w til% ,� 6'vd-e /a7 =r- alcc7�
i,
r
COUNTY OV!BUTT.E
DEPARTMENT OF ,PUBLIC WORKS
7 County Center Drive - 0roville, California 95965
Phond: 533=11230, Ext. 259
APPLICATION AND BUILDING PERMIT
Permittee Owner
Mailing Address
Contractor J
Mailing Address
BLDG.. Address
A. P. No.
1
Fire Zone Zoning
Sanitation - ,Lr' Planning
Plans "ir Fees
-r tir R/.W Encroachment
A:.
NEW Q' 'ADDITION 0 REPAIRS El OTHER0
Others I �r , r f . �c:r>... ,• .. ter+ _�•
Single Multi
USE OF STRUCTURE Family L;] Duplex Q Dwelling
Others - .
FOUNDAT-ION
MATERIAL
EXTERIOR
PIERS
t .
Width at Top
y
Width at Bottom
1 ,
Depth in Ground
"N
SQ. FT.
OCC. '
BUILDING VALUATION
R.W. PLATE (Sill)
SIZE
SPACING
SPAN
t _
Girders
oists - Ist Floor
joists - 2nd Floor
Fireplace
joists -Ceiling
Total Valuation
� C-1 "y~
Exterior Stdds
Permit Fee
Interior Studs
Plan Checking Fee &/or Penalty
Roof Rafters
Total Permit Fee
-
Bearing Walls
CONTRACTORS LICENSE LAIN
A. LICENSED CONTRACTORS COMPLETE THE FOLLOWING:
I am licensed under the provisions of Chapter. 9, Div. 3, of the State of California Business & Professions Code under,the name
styleof..............:.................................................................................................................................................................................................................................
License No. Classification,,,,,,,,,,,,,,,,,,,;............,.,,.,....,..., and certify that the aforesaid license is in -full force and effect.
3
B. OWNER -BUILDER & OTHERS COMPLETE THE FOLLOWING:
I am exempt from the Contractors License Laws of the State of California under Sec. 7031.5 because (check one):
0 I am the owner of the above property and I will contract to have all .of the above work performed by licensed contractors.
(Sec. 7044).
Q " I am the owner of the above property and do not intend to offer it for sale for one year from the date of completion of the
improvements. (Sec. 7044).
Basis,, if any, for other statutory exemption...........................................................:.......................:............................................:.................................
.................................................................................................:..................................................................................................................................................................
WORKMEN'S COMPENSATION INSURANCE
I am aware of the provisions of Section 3700 of the California Labor Code which requires every employer to be insured against liabil-
ity for Workmen's Compensation.. 1 have placed on file with the County of Butte a certificate of compliance or proof of exemption
pursuant to Section 3800.
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-mentioned property for inspection
purposes.'
X.............................................................................. Date ................................
SIGNATURE OF PERMITTEE OR AGENT
ReceiptNo...................:...................................................................................
This BUILDING PERMIT is hereby issued under the appli-
cable provisions of County resolutions and/or ordinances.
DIRECTOR OF PUBLIC WORKS
By................................................................................ Date ................................
Permit Ekpires Date .............................
41'r
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41
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