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HomeMy WebLinkAbout026-250-009tip 26-25-09 HARRY MUELLER 36 Sunnybrook Ln, Orovil le Y Permit#3803-84B(enclosed porch/ex. slab)` 026-250-009 05-0083 EGGEN, FRANK 36 SUNNYBROOK LN, OROVILLE „ Cont: OWNER I 100-200 AMP SRVC I 026-250-009 EAGAN, FRANK . OS -2871 36 SUNNYBROOK, OROVILLE Cont: OWNER - SHOP BOSTICK, Howard 3107E'` 2494P 0 8.. _. 6-25-9 e/s(Lone Tree Rd. .app. f mi.. so. rysville-�„` , Pal6rmo Rd . , Oroville (ne, single family) j r- C n II 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. BP052871 / B. C. Building Permit 01-16-04 pg 1 LICENSED CONTRACTORS DECLARATION n ,fyi 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: APN: 026-250-009-000 the Business and Professions Code, and my license is in full force and effect. Site Address: 36 SUNNYBROOK LN PAL License Class : License Number: Map Index: Date: Contractor. Description: METAL SHOP BLDG (2400) 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: EGGEN FRANK A & ROXANNE H permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of 36 SUNNYBROOK LN 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 95965 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: EGGEN FRANK A & ROXANNE H 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 36 SUNNYBROOK LN 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 95965 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: ❑ 1 am Exempt under Article 3 ofthe BusinessandProfessions Code Date: Q a' 0 ;wner: 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 License #: 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: PURSELL, FRANK JAMES insurance carrier and policy number are: Carrier: Policy #: 2400 S.F. Total Square Ft:l I certify that in the performance of the work for which this permit is Valuation: $57,600.00 issued, I shall not employ any person in any manner so as to Census Code: become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' MMM �y compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. U Date: 0 S l � V Applicant:�Q� 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 eby issued unde a app le Rrovisions of the Butte County Code and/or I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec 3097 Civ.) Resolution o do work i ica above r whic ees have been paid. / r2 BY �' Date: Name: �`D 7 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 oor�do/cru-ment of Butte County. I hereby uthorize representatives of Butte Countyto enter upon the above mentioned property for inspection purposes. rint Name: V 7� �nnyL UL� ' LG�21 i Signature: [Date:. ❑ Owner ❑ Contractor /Agent for Owner ❑ Agent for Contractor / B. C. Building Permit 01-16-04 pg 1 -�(4 J�e� 4 /6q4.?/` BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL RE UIREMENTS k Q 24 HOUR INSPECTION#: OROVILLE:.(530) 538-7636 e CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OF APPLICATION FP, q w /� 2=c, q /'_j "PLEASE PRINT CLEARLY" APPLICANT SIGNATURE X For office use only: O#VIVER Name Last jNape tt Address (.3 (tip ,-c W v a — First N ash i State Address S ..� rn vt � dv o tC L -GL a .-• City I� c� L) !l Sc SC - Phone 3 Fax E-mail Fax APPLICANT SIGNATURE X For office use only: CONTRACTOR Name n / Address (.3 (tip ,-c W v a — City L)l��c State Zip Phone Map Book Fax E-mail ©ltv v Lic. # Class APPLICANT SIGNATURE X For office use only: ARCHITECT/ENGINEER Name TL ` n / Address (.3 (tip ,-c W v a — Cit Av L)l��c St±te� Zip Phone Map Book Fax E-mail ©ltv v State License Number APPLICANT SIGNATURE X For office use only: APPLICANT NAME Name_— ^ (n (.3 (tip ,-c W v a — Address No (o do A_ L u yr City Map Book State Zip ©ltv v Date Approved: L� Gti Phone Fax E-mail APPLICANT SIGNATURE X For office use only: Zoning Property Address Flood Zone Cross Street L,epa SRA Yes No Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: PERMIT NO. BP052%7 I BIN # n 1 W LOCATION AP# 5,4 �(•. Property Address City ` O ✓�o J G// Cross Street L,epa WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address Description or Scope of Work: 8!4 Al V b X 14 6 t4 Sq. Footage ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has n6t 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 OVER FOR SUBMITTAL REQUIREMENTS II KAFORMSWILDING F0RMS1BIdgApp1SubRgmts.doc Page 1 of 2 REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. Received by: (e C-7. Receipt #:Iy O I660D Date: 10- 10-'M Amount" I 17..q Bldg SRA Sheriff SMIP Other (�` Other REV 6-16-04 SUBMITTAL REQUIREMENTS The following drawings and specifications must be submitted to the Building Division in order to apply fora permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE.: LEGIBLE AND ININK. Residential, New, Remodels, Additions, and Accessory Structures: ❑ 1. 3 Site Plans, -signed by the preparer. NO GRAPHPAPER! ❑ 2. `3 Complete sets of plans, signed by the preparer. NO GRAPHPAPER! OR 3 Sets Engineered plans (if required) with wet signature on plans AND 2 sets of stamped and signed calculations. ,. ❑ 3. 2 Engineered truss details and layouts (if required) (NO FAXES!). ❑ 4. Letter from Engineer or Architect for truss design review. ❑ 5. 2 Energy compliance design and supporting documentation. (Note: Not required for additions_ to mobile or modular homes.) ❑ 6. 2 Flood Elevation Certificate, wet -stamped and signed (if required). ❑ 7. Detached Accessory Building Form,"filled out by the property owner (if required). ❑ 8. Sanitation and site plan 'approval from the Environmental Health Department. ❑ 9. Metal Buildings: (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. Mobile, Manufactured, or Modular Homes: ❑ 1. 3 Site Plans, signed by the preparer. NO GRAPHPAPER! ❑ .2. 2 Data sheets and installation instruction manual. ❑ 3. 2 Marriage line information. ❑ ' 4. 2 Floor plans. ❑ 5. 2 Engineered Tie Downs or Foundation plans. ❑ " 6. Sanitation and site -plan approval from the Environmental Health Department. ❑ 7. 2 Flood Elevation Certiffcate;wet-stamped and signed (if required). Commercial, New, Additions and Remodels: ❑ 1. 4 Site Plans, signed by the preparer. NO GRAPH PAPER! ❑ 2. 4 Engineered plans with wet signature on plans AND 2 sets of stamped and signed calculations, with code analysis. ❑ 3. 2 Engineered truss details and layouts (if required) (NO FAXES!). o 4. Letter from Engineer or Architect for truss design review. ❑ -5. 2 Energy compliance design and supporting documentation (if required). , ❑ 6. 2 Flood Elevation Certificate, wet -stamped and signed (if required). ❑ 7. Statement of Intent for Non -heated and A/C (if required). ❑ 8: Metal Buildings: (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. ❑ 9. Letter of intent. ❑ 10. Hazardous Material Form. ❑ 11. Sanitation and site plan approval from the Environmental Health Department. If you have questions or would like additional 'information regarding this process, contact a Permit Application Assistant at (530) 538-7541. OVER FOR BUILDING PERMIT APPLICATION KAFORMSIBUILDING F0RMS1BIdgApp1SubRgmts.doc Page 2 of 2 REV 6-16-04- _ r r**ftft 00 N O TO: WILLDAN FROM: Scott Rutherford (530) 538-7160 srutherford cDbuttecounty.net SUBJECT: Plans Transmittal For Review Per Contract DATE: 10/24/2005 Applicant: Eggen, Frank Permit No: 05-2871 Project Type: shop 026-250-009 100% 70% Plan Check Fees $ 417.92 $ 29254 $ 292.54 WILLDAN Fee $ 292.54 Copies Attached: Qty Chk Application Site Plan Review FEMA Elevation Certificate Building Plans Truss Calculations Energy Calculations Structural Calculations Residential Plan Review Guide Residential Construction Requirements Other Other U o�UTrFo 0 0 0 0 County Center Drive o - o ...— roville, CA 95965 0 o c�U 30) 538.7601 Telephoni N'�y 30) 538.7785 Facsimile TO: WILLDAN FROM: Scott Rutherford (530) 538-7160 srutherford cDbuttecounty.net SUBJECT: Plans Transmittal For Review Per Contract DATE: 10/24/2005 Applicant: Eggen, Frank Permit No: 05-2871 Project Type: shop 026-250-009 100% 70% Plan Check Fees $ 417.92 $ 29254 $ 292.54 WILLDAN Fee $ 292.54 Copies Attached: Qty Chk Application Site Plan Review FEMA Elevation Certificate Building Plans Truss Calculations Energy Calculations Structural Calculations Residential Plan Review Guide Residential Construction Requirements Other Other U - �.. .. ' • .-ti �•• r'r-r ,� f .� . 1K". s . ..-r""\^".4 ^..-.-..-. vi.`'' %�'S. c,.N ,.. v , yJ- Y•,-. r, . - .rte -•. BP 0522%7 `. COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING D/VISI011(, 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET OWNER: CjGI 1 I ASSESSOR PARCEL NUMBER02.6 -250- X WC Proposed Building Use: i(�l Shop hit Wit) � Permit Technician: I�ol7 o Date: I O Itenjs required in order to apply for a permit. All boxes MUST be checked OR marked NA in order to apply. 1. Site plans, 4 sets, signed by the preparer of the plans. ❑ 2. Complete p ans, 3 or 4 sets, signed by the preparer of the plans. ❑ 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. 134. Engineered truss details and layouts in duplicate. No faxes! ❑ 5. Letter from Engineer or Architect for truss design review. ❑ 6. Energy compliance design and supporting documentation in duplicate. ❑ 7. Statement of Intent for Non -heated and AIC for Non -Residential Buildings. ❑ 8. Manufactured homes: (A) Installation manual, including marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. ' )AT9 9. 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. pupli k 4xrplt* Dupl-W X per P. R, ❑ 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate. ❑ 11. Letter of intent for non-residential` buildings. ❑ 12. Hazardous Material Form 013. Acknowledgement of building permit application without required clearances. ❑ 14. Other Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) % / 15. Sanitation and site plan approval from the Environmental Health Department in ❑ Chico ❑ Oroville, as applicable ❑ 16. Fire Sprinklers............................................................................................ ❑ 17. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by ❑ 18. Soils Report and/or Engineered Foundation required ........................................... ❑ 19. Erosion Control Plan Required........................................................................ 20 Fees as shown on the attached Schedule of Fees Due Sheet .............................. 21. City of Chico Plumbing permit........................................................................ ❑ 22. Site plan and business license approval from the City of Biggs .............................. ❑ 23. California Department of Forestry plan approval ❑ paid. Sent by: ............ S! 24. Planning approval for (A) Use: ��arking: �- (C) Parcel Check: ............ a ' J- o 1- 0 25. Contact Land Development about _ Improvements, _ Draina9 e ........................ V?�1 26. NPDES Form.....................................................................:....................... ❑ 27. Encroachment Permit for driveway from the Public Works Dept ........................... ❑ 28. Contractor's license information. (Number, Name Style, Classification) ................... 29. Worker's Compensation Carrier and Policy Number ......................................... 30. wner-Builder Verification (_ Given to owner, .flailed to owner) ..................... Letter of Signature authorization.................................................................... ❑ 32. Recorded copy of Agricultural Acknowledgment Statement ................................. ❑ 33. Existing violations and/or expired permits......................................................... ❑ 34. Deed Restriction..........................................................::.............................. ❑ Legal description, ❑ M.H. Title, title search, registration or MCO ......................... 36 ther:_ t P Pry 2 - t tfZ-tom f2�f11-Q4�- . - *o) t) ❑ 37. Other: When issued Telephone 530- - 30q 0W-�r and hold for pickup. I have been informed of the abo a items and requirements for obtaining a building permit. Applicant: _ Date: /0 - 1. Index permit application for the above items numbered: Plan Check Letter g,AddiGogal items rpe -� (Contractor, design ,owner as advised of the above data by phone, ❑ mail, ❑ counter, by Date: G �� Contractor, designer, er, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, b Date: Plans reviewed by: Date: Plans approved by: Date: Structural reviewed b r: Date: Structural approved by: Date: Note transfer by: Date: Yellow: Building Division E.N. USE ONLY !clot Pian Anachod A Roar Plan Attachad ,. 'Sant to G.D. ! TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance e�; ylj /p,-4, Owner Location AP# Plan Approved for: Sewage Disposal Wate. Sup ly• Public- Private ell Clearance for dwelling. Other ` Hold final for: Final clearance O.K. for: NOTE: t Environmental Health Specialist Date 8/96 BP052S"7) COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES — BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE, CA 95965 PHONE (530)538-7541, FAX (530)538-2140 SCHEDULE OF RECEIPT OF FEES Website: www.buttecounty.net/dds OWNER Ecom A.P. #-M)- 9F0- Wq PRO1P n- ED BUILDING USE DATE �� RECEIPT # DATE REC. -�-i-BUILDING PERMIT FEES q..� - --- - 2G .---Balance Due ..................... $ Q �� � --- FEMA Flood elevation review ... $ --- Additional plan checking Fee.... $ 2. SCHOOL DISTRICT FEES (paid at School District Office) (form available after Plan Check) 3. SHERIFF FEES (paid at Building Division) Commercial (sq. ftg.)..... X $0.03 = $ Sq.Ftg. 4. RECREATION DISTRICT FEES (paid at Recreation District Office) (form available after Plan Check) 5. RESIDENTIAL DEVELOPMENT IMPACT FEES COUNTY WIDE (per dwelling) $ CHICO URBAN AREA (per dwelling) $ EL MEDIO FIRE DISTRICT (per dwelling) $ NORTH CHICO SPECIFIC PLAN (per dwelling) Zoning 6. SRA FIRE INSPECTION AND PLAN CHECK FEE $204.98 (paid at Building Division) / J -� 7. WATER TENDER FEES BATTALION # r ` "__ 16 $200.00 (paid at Building Division) 1_47 d. SMIP o / �w7�/�."r- l- 9. DRAINAGE FEE 10. OTHER 11. OTHER At time of permit application, I was advised the above fees are required to be paid prior to issuance of the permit. These fees may be changed during the plan decking process. APPLICANT DATE/6- Pursuant ATE/6— Pursuant to Government Code Section 66020, you are hereby notified that items, 2, 3, 4, 5, 6, 8, 9, and 10 above may have been imposed on your project. You have 90 days from the date of approval of the project or from the imposition of the above mentioned items during which you may protest. The requirements fora protest are specified in Government Code Section 66020(a). Original -Building Division Yellow -Applicant Pink -Owner (rev. 7/05) - rl �2 FO/LM / 7 f O6r-Sl- I 1 `�- sf� ���%� 10 .4 r 3�� a �' � _ 1 � : �, ti . r J � f *{ { � .�� 3 t �' } �; �y� +� r C � •� � � 't � � � � 1 � � ! 1 � , :K: 1 � ` ` � � f �' 1 • � ti t � .. � p. , � - � - J } `. � � � � � i � . l ' r '\ � ' J. J ' .i r `. 1 .+ � ) � J, 1 � l � 54 �. w . ---- .:,r o , ,� p oU�A 5 �ecic. woF� epart merit C o u n t y J. Michael Crump, Director of Public`Works B U a f . 115-�t e LAND DEVELOPMENT DIVISION Storm Water Management Program 7 County Center Drive Oroville. CA 95965 (530) 538-7266 (FAy) 538-7171 National Pollutant Discharge Elimination System (NPDES) Phase 11 Construction Storm Water Permit and Storm Water Pollution Prevention Plan (SWP.PP) Acknowledgement (LESS 7HA1`d 1 ACRE Project Description: Ail Project Location andlor Parcel Number: 3 2 �a m By sighing below, L the project ownerlowner's agent, certify that this project WILL NOT DISTURB f land and that I, therefore, do not need to apply for a Construction Storm Water Permit 1 acre or more o fon the State of California Regional Water Quality Control Board. Phased projects that contain multiple site build -outs of less than one acre but when combined with subsequent phases total more than one acre of disturbed soil will require a Construction Storm Water Permit from the State of California Regional Water Quality Control Board - false am aware that submitting false and/or inaccurate information or failure to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board for a project' that disturbs one acre or more of land may result in revocation of grading and/or other permits or other sanctions provided by law. Signed: i Title: Date: OWNER -BUILDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and material for construction of this proposed property improvement: YES P4 NO [ ]. 2. I HAVE [ ] HAVE NOT [ ] signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: NAME: _ ADDRESS: PHONE: CONTRACTOR'S LICENSE NO: 4. I plan to provide portions of the work, but I have hired the following person to coordinate, supervise, and provide the major work: NAME: _ ADDRESS: PHONE: CONTRACTOR'S LICENSE NO: 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: NAME ADDRESS PHONE, TYPE OF WORK SIGNED: PROPS: 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. Rev'd 11/4/2004 Butte County Department'of d evelopment .SeIT- ices ADMINISTRATION * BUILDING * GIS * PLANNING. 7 County Center Drive Oroville, CA 95965 (530) 538-7541 Telephone (530) 538-2140 Facsimile OWNER -BUILDER INFORMATION - Dear Property Owner: ' An application for a building permit has been submitted in your name listing yourself as the builder of the 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 bylaw to put their license number on all permits for which they apply. ' If you plan to do your own work, with the exception of various trades that your plan to subcontract, you should be aware of the following information for your benefit and protection: o If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $200 or more for the entire project and such persons are not licensed as contractors 'or subcontractors, then you may be an employer. o If you are an employer, you must register with the state and federal government.as an employer and you are subject Y to several obligations including state and federal income tax withholding, federal social security taxes, workers' compensation insurance, disability insurance costs, and unemployment compensation contributions. o There may be financial risks for you if you do not cant' out these obligations, and these risks are especially serious with respect to workers' compensation insurance. o For more specific information about your obligations underfederal law, contact 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 Departmeaof 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 without a licensed contractor or subcontractor, only under limited work personally or through their own employees; conditions. - A frequent practice of unlicensed persons professing to be contractor is to secure an. `owner -builder" 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 contacting the Contractors' State License Board in your community or at 1020 N Street, Sacramento; California 95814. Please complete and return the enclosed owner -builder verification from so that we can'confinm that you are aware of these rmatters. The building permit will not be issued until the verification is returned. Sincerely, Scott Rutherford ~ Chief Building Inspector NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code. �WILLies Serving Publ,DA�N December 21, 2005 Scott Rutherford Butte County Building Department 7 County Center Drive Oroville, CA 95965 (530) 538-7169 (530) 538-2140 FAX 938 14th Street, Suite E-100 Marysville, CA 95901 530/749-2373 fax 530/749-2199 www.wilidan.com BUTTE COUNTY PLAN REVIEW REPORT Status: Approved Jurisdiction Job No: 05-2871. Assessor's Parcel No: 026-250-009 Description: Eggen Shop Willdan Project No: 14353-1921-M Dear Mr. Rutherford: Willdan has completed a plan review of submitted plans and documents for the above referenced project and recommends your approval with the conditions noted on the 2"d page of this letter. The plans and documents provided for this review that have been found in compliance with the applicable codes are: * Plans: Two (2) copies, sheet 1 not dated by James Pursell, sheets Al through A3, E1 through E8, and G1 through G6 dated, 07/20/05, revisions dated 12/07/05 by Ramakanta Adhikary. * Structural Calculations: Two (2) copies dated 07/20/05 by James Pursell. * Misc. Documents: Two (2) copies each: design load calculations dated, 07/26/05 by Ramakanta Adhikary; metal building calculations and details dated 07/21/05 by Ramakanta Adhikary; site plan. The plans have been stamped with the Willdan approval stamp and dated. According to our previous letters relating to this project, the superseded plans and documents will be discarded within 10 days unless we receive other instructions. On the pages to follow is the identification of the codes and standards applicable to the project, a code analysis, conditions -of -approval and identification of any deferred submittals. Serving WI LLDA�N Public APPLICABLE CODES 938 14th Street, Suite E-100 Marysville, CA 95901 530/749-2373 fax 530/749-2199 www.willdan.com Our review was based on requirements of the 2001 California Building Standards Code found in the California Code of Regulations, Title 24: • Part 2, known as the California Building Code (CBC). • Part 6, known as the California Energy Code, and Energy Commission Standards (CECS) 2005. CODE ANALYSIS Our plan review revealed the following information regarding the occupancy designation, type of construction, and other pertinent features. This information is consistent with that shown on the plans. Specific Use Type of Occupancy Type of Stories Construction 1" Floor Sq Ft 2 "d Floor Sq Total Sq Ft Ft _. .. ... SHOP U -I V -N 1 2400 N/A 2400 CONDITIONS OF APPROVAL 1. Approval is contingent upon the review, requirements and approval of other departments and/or agencies that have jurisdiction over this project 2. Revisions and/or notes as red -lined on the plans. 3. All plan sheets shall be signed by designer or person responsible for the plans as required by California Health & Safety Code Section 5536.1. SPECIAL INSPECTION NEEDS Our plan review reveals no special inspection needs pursuant to CBC 1701. DEFERRED SUBMITTALS Our plan review reveals no deferred submittals. Sincerely, 4:2=00V"o Tom Trueb ' Gustavo anco, P.E. Plans Examiner Structural Plans Examiner Page 2 of ? 13utia County 05-2371. 1Vill.dati 14353-`(9'211.-.M..PC2.F July 26, 2005 Frank Eggen 36 Sunnybrooke Ln. Oroville, CA 95966 RE: 40'X 60'X 20' SHOP PO # G29442 i i Dear Customer, SUNWARD CORPORATION P.O. Box 110 -Jamestown, ND 58402-0110 - (701) 252-7390 Keenan Fabrications & Machinery This is to certify that the above referenced structure is being designed in accordance with the 2001 edition of the California Building Code for the following loads in addition to the dead load of the structure. a) d❑ Roof Live Load = 20 psf e) Crane: Capacity = tons Tributary Reduction Q Yes ❑ No ❑ TR ❑ U/H ❑ MONORAIL ❑ Roof Snow Load = psf CMAA - Class C unless noted (Ground Snow Load = 0 psf with Ce = 0.7) f) Mezzanine Size = N/A Snow Imp. = 1 LL = N/A psf DL = N/A psf b) Wind Speed = 80 mph, Exposure C g) Building Enclosure Type: Wind Imp. = 1 d Enclosed c) Seismic Zone = 3 Partially Enclosed Seismic Imp. = 1 Open d) Collateral Load = 0 psf (Sprinkler, Insulation, Drop Ceiling) h) Deflection Criteria ❑d Sunward Standard Others (Specify): ❑ Other (Specify): This certification is in accordance to the design loads you requested and specified in the purchase order agreement. The building is designed in accordance with AISC, ASD Ninth -Edition, AISI 2001 Edition, and MBMA Standard. Sunward Corp. makes no representations as to the adequacy of the design loads on the building components you have ordered. It is your responsibility to ' contact your city or county building officials to determine if the specified design loads you requested are adequate for your geographical area. If you are unfamiliar with the design loads required to obtain the necessary building permits, please contact your building official immediately and verify that the loadings you ordered are correct and in accordance with your building official's requirements for obtaining the necessary. permits. Sunward Corp. limited warranty and engineering data are set forth in your PURCHASE ORDER, LIMITED WARRANTY and MANUFACTURER'S AGREEMENT. This certification covers parts manufactured by Sunward Corp. only and excludes such parts as doors, windows, masonry, foundation design and erection of the building. The building components not manufactured by Sunward Corp. are listed below: Material: N/A Manufacturer's Name: N/A Fabricating Location: N/A The undersigned is not the engineer of record for the overall project. r -A T:� TA Sincerely, Rama Adhikary, P.E. Registered Professional Engineer Enclosures: Definitions and Common Practice Limited Warranty KL`tiL1y�� OCT 2 7 2005 No. C040154 Exp. 08-30-06 WILL®AIV s,. �'� of BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION At: (530) 538-7636 (OROVIL'LE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 FAM (530)538-2140 WEBSITE: www.buttecounty.netldds LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that .I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is In full force and effect. License Class: License Number: Date: Contractor: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city.or county which requires a permit to construct, alter, improve, demolish; or repair any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's Stale License Law (Chapter 9, commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and the basis for the. alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): VZ1, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or Improves thereon, and who does such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for ( sale. If however, the building or Improvements are sold within one i year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). ❑ 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Profdssions Code. The Contractors' State License Law does \ not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). D 'I am Exempt under Article3 of the tthhe Buss and Professions Code Date: �� Owner: �6L WORKERS' COMPENSATION DECLARATION I hereby affirm under penally 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. ❑ I have and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of the work for which this permit Is Issued. My workers' compensation insurance carrier and policy number are: Carrier. Policy ft: �cerliify that in the performance of the work for whlch this permit Is issued, I shall not employ any person In any manner so as to become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwit/h comply with those provisions. Date: G �r 0 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 I hereby affirm that there is a construction lending agency for the performance of the work for which this permit Is Issued (Sec 3097 Civ.) Name: PERMIT NO. BP050023 Issued Date: 01/25/2005 APN: 026-250-009-000 Site Address: 36 SUNNYBROOK LN PAL Map Index: •Description: UPGRADE FROM 100 AMP TO 200 AMP SVC Owner: EGGEN FRANK A & ROXANNE H 36 SUNNYBROOK LN OROVILLE, CA 95965 Applicant: BUZZ WALKER P 0 BOX 922 PALERMO, CA 95968 (530) 534-0403 Contractor: License #: Architect: Engineer: Total Square Ft: 0 S. F. Valuation: $0.00 Census Code: )by issued under the work Indica"Jabov PERMIT EXPIRES ON: w • provisions of the Butte County CodA and/or tees have been paid. . n.fo• I/ Address: I (Date) r ❑ 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 & Safely 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 1 have read this application, that the above Information Is correct, and that l 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 ounty. thereby p� authorize representatives of Butte County to enter upon the above mentioned property for Inspection pury'l /-�/—. / —i P 'Print Name: V eA P d 4 W L�CI�� Signature:///� Date: /� •; ❑ Owner ❑ Contractor Agent for Owner ❑ Agent for Contractor .�r-`P'r'ti"'„�'-w�--�w��•-'T^i•+�-++l.+ti .-`r�'..rn.ys���-.'J"....t-'�...-.-��+.'--✓"'-...v'ti'.-'+' �w-"•'^✓'Ts �.d7"4.r,;.;r�i.-�`1..�..�.-.+..=.'+ii ! .`.:+..,:anti :�".^.�" COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLkCATION DATA SHEET OWNER: r=�� E0 ASSESSOR PARCEL NUMBER 0P&-.550, ©oq Proposed Building Use: LI.P 6QAnir_ TO X 00 Arj P Counter Technician: I so Date: 1 • t f • O S Items required in order to apply for a permit. All boxes MUST be checked OR marked NA in order td apply. ❑ 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 4. Engineered truss details and layouts in duplicate. No faxes! ❑ 5. Letter from Engineer or Architect for truss design review. ❑ 6. Energy compliance design and supporting documentation in duplicate. ❑ 7. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 8. Manufactured homes: (A) Data sheets and installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. ❑ 9. 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. ❑ 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate ❑ 11. Site plan and business license approval from the City of Biggs Cl 12. Letter of intent for non-residential buildings ❑ 13. Detached Accessory Building Form filled out by the owner ❑ 14. Hazardous Material Form ❑ 15. Sanitation and site plan approval from the Environmental Health Department in ❑ Chico ❑ Oroville, as applicable. ❑ 16. Other Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) ❑ 17. Fire Sprinklers........................................................................................: ... ❑ 18. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by ❑ 19. Soils Report and/or Engineered Foundation required ........................................... ........ ❑ 20. Erosion Control Plan Required........................................................................ ........ ❑ 21. Fees as shown on the attached Schedule of Fees Due Sheet .............................. ❑ 22. City of Chico Plumbing permit........................................................ Z............... ❑ 23. California Department of Forestry plan approval ❑ paid. Sent by: / ............. ❑ 24. Planning approval (A) Use: (B)Parking: (C) Parcel Check - ❑ 25. Contact Land Development about _ Improvements, _ Drainage .......1 ................. ❑ 26. NPDES Form.................................................................................;........... ❑ 27. Encroachment Permit for driveway from the Public Works Dept ........................... ❑ 28. Pre -Inspection for required....... ❑ 29. Contractor's license information. (Number, Name Style, Classification) ................... ❑. 30. Worker's Compensation Carrier and Policy Number .......................................... 31. Owner -Builder Verification _ Given to owner, -L.Meiled to owner 32. Letter of Signature authorization......................................:............................. ❑ 33. Recorded copy of Agricultural Acknowledgment Statement ................................. ❑ 34. Manufactured home utility clearance............................................................... ❑ 35. Existing violations and/or expired permits......................................................... ❑ 36. Deed Restriction......................................................................................... \E) 37. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $ 0 38. Other: ❑�. 39. Other: When issued Telephone :04 and hold for pickup. �� I have been informed of the above items and requirements for obtaining a building permit. \Applicant' I 1. Inde permit applica or, above items numbered: 2. Additional items req in Contractor, designer, owner, was advised of the above data by Contractor, designer, owner, was advised of the above data by Plans reviewed by: Date: Structural reviewed by: Date: Note transfer by: Date: Date: I - /Z - 2S Plan Check Letter ❑ phone, ❑ mail, ❑ counter, by Date: ❑ phone, ❑ mail, ❑ counter, by Date: _ Plans approved by: Date: _ Structural approved by: Date: Yellow: Building Division f��os ZO C/--- _ �� .� 3 �f _ 301-0 __ f� -•— •,. _ s. �,°: . _ _ f �� a �::ik�l[�i' :�-. Sl•i - _:.. _ 'i:'�::J„� O•::si`:,,i'�y,,;�'i1�.v '�c; '; - :ys1"J;L: �Ss.xI .'c�.es T:KaxB ZL _ r2RIICI01 C �.�u' cam. ��.h :� yr.�c'k�5u��.'Y= .r;aw ;�':. a.::*n�ri:cw.i;tv..:+.�:�:x=��i.:x..,:< �. J�:: :, J'�•: �.ta. Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1.� I personally plan to provide the major labor and material for construction of this proposed property improvement: YES N NO [ ]. 21! I HAVE [ ' ] HAVE NOT M 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: 1 PHONE: CONTRACTOR'S LICENSE NO: 4. 1 plan to provide portions of the work, but I have hired the following person to coordinate, supervise, and provide the major work: NAME: ADDRESS: PHONE: CONTRACTOR'S LICENSE NO: I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: NAME ADDRESS PHONE TYPE OF WORK SIGNED: PROPERTY OWNER:; alE 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. Rev'd 11/4/2004 Butte Co, unty Department of Development Services ADMINISTRATION BUILDING GIS PLANNING 7 County Center Drive Orovil le, CA 95965 (530) 538-7541 Telephone (530) 538.2140 Facsimile h'laACk.a x(314iw,cE'..- ..,..t{°".'Su, �w-su[ vA v� rc lye .,;, �.. 3• Dear Property Owner:,; An application for a building permit has been submitted in your name listing yourself as the builder of the property: • ; - improvements specified. -- v 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 liabilityyif. 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. s+ If you plan to do your own work; with the exception of various trades that your plan to subcontract, you should'be aware of the following information for your benefit and protection:+ o If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $200 or more for the entire project and such persons are not licensed as contractors' -or subcontractors, then you may be an employer. .fit,,,. o If you are an employer, you must register with the state and federal government as an employer and you are subject R' to several obligations including state and federal income tax withholding, federal social security taxes, workers' compensation insurance, disability insurance costs, and unemployment compensation contributions. o There may be. financial risks you if you do''not carry out these .obligations, and these risks are especially serious ' with respect to workers' compensationinsurance.. o For more specific information about your obligations under federal law, contact the Internal Revenue Service (and' -k.; 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. t .' A frequent practice of unlicensed persons professing to be contractors is to secure an "owner -builder" 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 contacting the Contractors' State License Board in'your^- communsity or at 1020 N Street, Sacramento, California 95814. .Please complete and return the enclosed owner -builder verification from so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is retumed.Jin, cerely' ' 41 Mic ehC'. Vieii C:B:O. " ra o iii °) M ager, Building ]nspection * . NOTE: This Owner -Builder Infoi rnation.is requited by Section 19830 of the California Health and Safety Code.—. ^•'° _ w. �s9Tp� BUTTE COUNTY PERMIT 0 O DEPARTMENT OF DEVELOPMENT SERVICES NO. 0 0 BUILDING PERMIT APPLICATION 0 0 AND SUBMITTAL REQUIREMENTS O O 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 BP�S�83 O OFFICE #: (530) 538-7541 ft A FEE WILL BE REQUIRED AT TIME OF APPLICATION BIN U N Website: www.buttecounty.net/dds **PLEASE PRINT CLEARLY** APPLICANT SIGNATURE i` X For office use gnl . OWNER Last Name �. _ irst Name 14-lell Address City S L City D VI Phone State. NVQ Zip s Phone 3V 19 Z6 Fax E-mail APPLICANT SIGNATURE i` X For office use gnl . CONTRACTOR Name City Address CitN_ City Stated State Zip Phone Fax Fax E-mail Lic. # Class APPLICANT SIGNATURE i` X For office use gnl . ARCHITECT/ENGINEER Name City Address CitN_ City Stated ate Zip Phone Fax Fax E-mail State License Number APPLICANT SIGNATURE i` X For office use gnl . APPLICANT NAME Name City Address pO 13 2 Z CitN_ JZ Stated Zipt4l S9 to Phone 3y o /' 3 Fax E-mail Map Book APPLICANT SIGNATURE i` X For office use gnl . AP# 0210• SSU' Oaf Zoning City Flood Zone SRA Yes No Occ. _ Ty _ _.t Const_ - - - Subdivision Name Name Map Book Page Lot # Planner Date Approved: LOCATION AP# 0210• SSU' Oaf Property Address 3(,:::, City Cross Street WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address Description or Scope of Work: Lt P�Q�E F2®M too -7-0 _Doo Sq. Footage 0""V') P S vc_ ❑ 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 required. 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: -OVER FOR SUBMITTAL REQUIREMENTS II K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc Page 1 of 2 Received by: Amount: S Bldg SRA Other Date: ,t • ► I •05 SS , Total REV 7-27-04 SUBMITTAL & PERMIT REQUIREMENTS _ The following drawings and specifications,must be submitted to the Building'Division in order to apply for a permit. INCOMPLETE SUBMITTAL'S 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. (Note: Not required for additions to mobile or modular homes.) ❑ 5. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 6. Manufactured homes: (A) Data sheets and installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate., ❑ 7.' Metal bidgs: (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. Detached Accessory Building Form.filled out by the owner (if required). ❑ 12. Hazardous Material Form (for Commercial Buildings only). - ❑ 13. Sanitation and site plan' approval from the Environmental Health Department. 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 pian approval from the Ag Commissioner's office (if required).. ❑ 2: -._Impact Fees.. to's _..... „ ❑ 3. California Department of. Forestry plan approval (if required). ; i4 ❑ 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. ❑ Grant Deed, ❑ M;H.�Title/Statement of Facts, ❑ Letter from Legal Owner (for 433A's). , If you have questions or wouldflike additional information regarding this process, contact a Permit Application. 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 �efurids can only be made if no construction work has been done. Filing fees, plan -issued; ------ ed per - -- ------------ -- ...-- _ ..__...-------------------- check fees for work plan checked and other department costs are not refundable. - - - OVER FOR BUILDING PERMIT APPLICATION o KAFORMSWILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2 REV 7-27-04 C. V PERMIT NO. 3803-.84B PERMIT EXPIRES OWNER HARRY MUELLER } CONTR.. owner F ASSESSOR PARCEL 26-25-09 LOCATION 36 Sunnybrook Lane, Oroville f SW Cor Lone Tree & Rustie Way Temp. Power Pole Called PG&E Temp. Elec. Service Called PG&E Temp. Gas Service Called PG&E JOB FINALED (Date) Signatur COUNTY OF BUTTE f DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 534-4541 Skyway and Elliott Road, Paradise— Phone: 872-2961, Ext. 57 CORRECTION NOTICE A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. It you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. Fj ® C/ G �_ � l w V Uy r /l Inspector _ �'�—^ 3 Date ��/ V = OK O = Not OR Not Applicable �E Not Ready RESIDENTIAL (Single and Duplex) Date UNDERFLOOR (PlKs) OK except ti's 1. Zoning requirements -Setbacks -Easements �A.,,0 2. Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth 3. Ftg., Garage; Soils -Steel- / /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth 5..Stemwalls, Main; Steel-Blockouts-Wrapped-Slab 6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab 7. Piers -Fireplace Ftg.-Steel 8 D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test 9 Gas Pipe; Size -Anchors - 101 Water Pipe; Test -Anchors -Regulator -Service Test 11f Electric; Underground 1 . Plenums & Ducts; Clearance -Material -Support -Ins. 13 Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date PLUMBING (Permit) OK except N's 14. Water Ht.; Vent -Access -Combustion Air 15.: Water Pipe; Test & Anchors -Nail Protection 16. D.W.V.; Test-Fttngs & Anchors -Nail Protection 17. Shower Pan; Test, First Floor -Tub Access 18. Test Tub & Shower, 2nd Floor -Tub Access 19. Gas Pipe; Size & Anchors Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date ELECTRICAL Permit OK except N's 20 Fixture & Transformer Clearance -Ins. Protection 21, Elec. Receptacles Spacing -Lights & Switches at Doors 22. Size Boxes & No. of Conductors -Stapled 23. Romex Installed Close to Edge of Studs & C.J. 24 Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 25 2 Appliance Circuits in Kitchen & Conductor Size 26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 27. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or At, Insulated Neutral ❑Yes ❑No 28. Service -Riser Conductors & Ground -Main Disconnect 29 Equip. Clearances; Panels-Motors-Mech. Equip. 30 Clothes Closet Light -Shower Light Card B -I Date Card -BI Date Card B -I Date Card -BI Date Date MECHANICAL (Permit) OK except q's 31. IN.C. Ducts; Insulation & Support 32. Pent Fan; Exhaust above Insulation 33. lCondensate Drain & Overflow; Size & Grade 34. Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet 35. Attic Access & Platform if Furnace in Attic 11 Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date FRA Plans OK except p's s; Proper Material & Anchors Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound 38.Bearing Walls over Girders & Floor Nailing 39. Draft Stop in Walls (rat proof) 40. Fire Stos; Furred CeiIin s -Stairs -Chases -Tub Bader & Beam -Size & Bearing 4 Hangers -Post Caps -Anchors -Connectors ``- 44'. I oist-Rftr. Ties -Pu lin-Roof Brac.-Truss-Shthng. _ Fireplace Ties or Ty-peJ p AFlue-Fireplace Throat 45. -Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 46. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 47. Garaqe Fire Protection Framing (Continued) ;rty Line Firewall & I Doors -One 3' -Check 50.1 Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 51]� Ywood on Roof Overhang -Attic Vents -Rafter Outriggers ding-Nai I ing-Veneer 53. Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access 'razing Area -Glass Protection -Skylights -Plastic 55.j Shear Walls; Nailing -Bolts Card -BI /Date sv Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date FINfprans) OK except q's Ext. Steps -Door & Sidelight Protection -Landings 57. ISmoke Detector 58. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 59. Bedroom Exiting 60. 1 G.F.I. & Bath Fixtures & Tub Access 61.1 Elec. Trim & Subpanel; Breaker Sizes -Labels 62.1 Stairs & Rails b3.1 Fireplace or Stove; Clearances -Hearth 64. Elec. Outlets at Wood Panel; Int. & Ext. 65. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance 66. Elec. Outlets & Receptacles at Kit. Counter 67. Garage Fire Door; Swing -Landing -Closer 68. A.C. Duct in Garage -Damper 69. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 70., Plb., Elec. & Mech. Equip. Listed for Location 71. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 72. Insulation -Foam -Looked in Attic ❑ Yes 73. Guard Rails & Deck Construction -Post Caps 74. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 75. Following instld.: Drive es ❑ No; Walks ZrYes ❑ No; 'Planters ❑Yes C3 No 76. tucco; Brown_ Finish 77. A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet 78. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. 79.1 Water Well; Disconnect, Electrical, Plumbing 80. Exterior Elec. Trim; G.F.I. Receptacle -Underground 81.1 Ventilation throughout House F!. :Glass Protection 83.rCorrections from Previous Inspections 84.1 Gas Test -Meters Tagged; Gas -Electric 85.1 Water & Sewer Connected -C/0 to Grade -HD Approval $'Energy Compliance Certificate -Other Certificates I /Date/Card-BI Date I Date Card -BI Date I Date Card -BI Date Comments -at Final: (NOTE: An entry must be made each time youvisit jobsite) J,= 0K , 0 = Not OK = Not Applicable — Not Ready ; MOBILEHOMES . MISCELLANEOUS Date MOBILEHOME UTILITIES (Plans) OK except N's 1. Zoning Requirements—Setbacks—Easements Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except N's '. 1. Zoning Requirements—Setbacks—.Easements 2. Soils; Special MH Support—Sketch t2. Footings; Size—Depth—Spacing—Connectors 3, rSewer,`Location—Test—Fall-C/O—Concrete µy 3. Decks; Girders and/or Joists—Decking—Bracing—Stairs-Rails 4. Water; Location=Test—Easement Needed (Sketch) R 4. Wood Awn.; Posts—Beams—Rftrs.—Connec.—Shthg.—Rfg.'Bracing -5. Electricity; Location—Clearances—Grnd.-/. /- Amp 'Concrete 5. Alum. Awn.; Columns—Connections—Splice—Decal—Enclosures. 6.' Gas; Location—Test—Wrap:/ /"L"ft./ -./,"Nat. or/ „`/" L'°ft./' /"LPG' 6. Carports; Windows—Doors ; 7, Utility Clearance 7. Elec. t Card -BI Date Card -BI Date Card -BI , ` .• Date Card -BI Date . Card -BI Date ` " Date Card -BI Date'.' MOBILEHOME INSTALLATION (Plans) OK except N's 1. Zoning Requirements—Setbacks-Easements • Card -BI Date Date Card -BI Date ;•r POOLS (Plans) OK except N's 1. Setbacks—Easements 2. Footings; Size—Spacing—Marriage Line 2. Soils; Compaction—Structure Stability 3. Gas; MH Test—Demand—Valve-Connector 3. Pool Structure; Steel—Connections—Thickness—Dead Men—Lining 4, Elec.; Receptacles and Lighting; Distances—GFI 4, Electricity; MH Test—Crossovers—Breakers—Clearances- 5. Drain; MH Test—Fall*Flex Connector F`r 5. Elec.; Pool Lighting; 15 volts—GFI 6. Water; MH Test—Regulator—Connector 6, Elec.; Enclosures; Conduit Entries—Terminals—Listed -.4 7. Water and Sewer Connected—C/0 to Grade—HD Approval , 7, Elec.; Bonding; Metal w/5'—Circulating Equipment—Heater 8. Gas and Electricity Tagged 8. Elec.; Grounding; Equip. w/5'—Circulating Equip.—Pool'Lghig. Boxes—Enclosures—Panel boards—Ins. to Main in Conduit 9. Exits; Insp.=Sketch 10. Cert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test—Water Supply Test i Card B -I Date Card -BI •Date. Card -BI Date Card -BI Date Card B -I Date Card -BI Date Card -BI Date Card -BI Date Owner:% f LOCAT P Permit No. 8 ENERGY CERTIF ICAT ION AD DESCRIPTION OF INSULATION ROOF Material Thickness(inches) �„ 5 EXTERIOR WALL Material 12- Thickness(inches) 2-Thickness(inches) Al/, y CEILING Batt or Blanket Type Thickness(inches) Loose Fill Type Minimum Thickness(Inches) Area covered(ft.2) FLOOR, ELEVATED Material Thickness(inches) FLOOR, SLAB Material Thickness(inches) Width(inches) FOUNDATION WALL A.P. No. Brand Name �' a Thermal Resistance (R Value) Brand Name Thermal Resistance(R Value) - / Brand Name Thermal Resistance(R Value) Brand Name Number of Bags Wt. per bag lb. Thermal Resistance(R Value) Brand Name Thermal Resistance(R Value) Brand Name Thermal Resistance(R Value) Material Brand Name Thickness(inches) Thermal Resistance(R Value) I hereby certify that the above insulation was installed in the above building in conformance with the State of California Energy. Requirements. FIRM NAME/OWNER STATE CONTRACTOR'S LICENSE NO. SIGNATURE OF INSTALLATION APPLICATOR DATE I hereby certify the above insulation and all required items as shown on the Building Department approved plans and attachments have been installed as required by the State of California Energy Requirements. All equipment, devices and materials are of the quality prescribed or are specifically approved by the State of California. FIRM NAME/OWNER (Please print) STATE CONTRACTOR'S LICENSE NO. AMA �fi C2�1 SIGNATURE OFOENERAL CONTRACTOR OWVER DATE THIS CERTIFICATE MUST BE ON FILE WITH THE BUILDING DEPARTMENT PRIOR TO FINAL INSPECTION APPROVAL AND A COPY SHALL BE POSTED WITHIN THE BUILDING. January 1984 COUNTY OF BUTTE -DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION ANUERMIT PERMIT NO. ASSES O PARCEL NUMBER _ ZONI BUILDING PERMIT OWNS p V TEL PHONE � O SQ. FT. OCC. BUILDING VALUAT N OWNER'S MAILINCYADDRESS rw CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00, LENDER'S MAILING ADDRESS Permit Fee $ auffo .ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee ,$ Penalty $ -1000 ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADORES 'k PLUMBING PERMIT Filing Fee 10.00 S ` (11D toeLJ Each Trap 2.00 Solar Water Heater 20.00 Water piping 5.00 LOT NO. SU DIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SF Duplex ❑ Mobi lehome ❑ Other SPECIFY Building sewer 5.00 Mobile Home IS I G I W I 10.00e �� TYPE OF WORK New ❑ Addition L� Remdel ❑ Uti 'ties ❑ Ins lation ❑ OtherU Describe work: LO VID rcA C - Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 6101 OR LESSRLESS 100 AMP O 10.00 Main service EA. ADD•L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.& OR ADDNS. ACC. BLDGS. 21/2ftgft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business200600 and Professions Code and my license is in full force and effect. License No. Classification [� I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. Business and Professions Code for this reason NEW CONSTR ULTI.OUTLET 2.50 ea NO N.RESID BRANCH CIRC TS NEW CONSTR. (POWER APPARATUS &1 NON RES,D. (SINGLE OUTLET CIR. / Ex. Occup(ouTLErs OR FIXTURES BAL®30 Ex.Occup. OUT LE FIXED PRESID )REA._ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor MECHANICAL PERMIT FiIingFee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement; should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Heating Cooling Hood 3.00 Ventilation ++ Permit Fee $ Contractor 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 authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue agai st said Co my in conseogencepf the granting of this permit. X (�---- 6?3 AZ Date Signature of Applicant — Owner❑ Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structuresover3(ssttories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ occUP. GROUP I TYPE OF CONST. PARCE PD HD ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRE OR OF PUBLIC By -Date •PE IT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS -) I it `�' Receipt No.Q WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT OF i OWNER COUNTY OF BUTTE - DEPARTMENT OF -PUBLIC WORKS - BUILDING DIVISION i 7 COUNTY.CENTER DRIVE - OROVILLE,.CALIF ORN1A.95965 - TELEPHONE: 916/534-4541 i PERMIT APPLICATION DATA SHEET Permit No. n n y / �) / I Proposed Building Use Permit Fee Based Upon Building Inspector Complete Contract Price Other (Explain) DPW Valuation Date At time of permit application, I was advised the following data must be submitted prior to permit processing and:/or issuance: DATE RECEIVED. APPROVED 1. All items have been submitted. . . . . . . . . . . . lot plans in d p ' te./t i Iloa . . . . . . . pletefp o0 I triplicate .���v /— i�-02117 4. Complete engineered plans and calcs. . . . .. . . . . . 5. Plans with Energy Design Compliance Statement. . . . . . 6. State Energy Forms No. 7 Statement of Intent for Non -Heated and AC Buildings. Fees of $ . . ... . . . . / Letter of signature authorization. . Sanitation approval from DI'1s0 1. Planning approval for (A) Use: (B) Parking: alt. r 13. Contractor's License Information (no., namee,Ma classif.)Owner-Builder Verification (Given to owneril to owner El ) 5. Improvements may be required. . . . . . . . . . 16. Mobilehome Installation Data. . . . . . . . • 17. Pre -Inspection for RequiredPre-Inspec. request to (Data . Building Inspector ) 18. Recorded copy of Agricultural Acknowledgment Statement. 19. Other When you issue the permit, process as follows: l/ Mail to owner. _ Telephone and hold for pickup at office. Other Mail to contractor. _Deliver w./inspector. Appl ican (�Z%C;11W,A�A�&_, Date 1 Copy of plans sent Health Dept., Fire Dept., Other Date During the plan checking process,—the following data must be submitted prior to permit issuance. I (For required items not checked above a e of p c , circle item.) 1. Index permit for above Items No. 2. Additional items required: (Contractor, Desi Plans checked by Plans approved bl. Other: Copy—DPW advised of above required data by By Telephone -`� Mail Ot Date _Date _ Date l it /q&z/c C7��rC.E�/E•C�� ww< �v \ � . � � /, l - � .- — � - / • i �� � � i - � � � 1 � ' / 1 � ",. _ i , , . � ' � � ' - • � • i. •` �+,�'`��' ti��p� ,�.,Z�`�~.�i`•�S' o ;�"'�. f ��'�iy,,.4`�4y;�,a_ .... Q - \� .` j.' ��,�=r :>•+t / ' *. - "".•`�= r��r .� ��� '+�C:}y*L'+.� a�! aSi,����°5� � ��j..:.`e X11 ��a� r,`�.:� ����+,��°'. � `{�`-"� ' � e / ,, � , , ,,. ,�s, ,,, - ' r, ,. "�., � r +. '• v �.. \ � . � � /, l - � .- — � - / • i �� � � i - � � � 1 � ' / 1 _ i , , . � ' � � ' - • � • i. ' / - 1 \ � . � � /, l - � .- — � - / • i �� � � i - � � � 1 � ' / 1 _ i , , \ � . � � /, l - � .- — � - / • i �� � � i - � � � 1 � ' / Owner: Address• S Tenant: Building Location: (J BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS SPECIAL INSPECTION REPORT A.P. Date of Inspection_ Inspector Type of Inspection requested: / / 1. Housing / /.2. Financing Z 4. Other (specify) Present use of / / 3. Change of Occupancy to . A. Sanitation (Housing) 1. Water closet: 2-. Lavatory: 3. Bathtub or shower: 4. Kitchen sink: 5. Hot and cold water to fixtures: 6. Heating facilities: 7. Natural light and ventilation: 8. Room and space requirements: 9. Bedroom window or door for second exit: 10. Infestation of insects, vermin, or rodents: 11. -Connection to.sewage disposal: 12. Connection to water supply: 13.- Rubbish and garbage facilities: 14. Comments: B. Structural 1. Piers and footings: ' 2. Floor construction: 3. Wall construction: 4. Ceiling and roof construction: 5. Fireplaces: 6. Comments: C. Electrical 1. Service and ground: 2. Receptacles: 3. Fusing: 4. Comments: D - Plumbing i 1. Fixturesfconnegted and vented: _ 2. Gas water heater:' 3. 'Gas heating vents: 4. Comments: E. Other... r '.1. Maintenance and'repair: 2. • Fire hazards. - 3. Safety hazards: 4. Weather protection: 5. Underfloor and attic ventilation 6. Comments,, Y F. Commercial Buildings 1. Roof covering: 2. •Distance to property lines: 3. Physically handicapped: A. Restroom floors and walls: 5. Exits: 6. Improvements: 7.. Zoning: 8. Comments: .G. 'Field Problems or Violations. % l 1. Proble o violation (give comple descr ptio �• -2. t ion t n (ive complete descriptio 3.- What action recon nded: .A. Information only -.file. ' Y'B. Hold for ten days,'then write letter. TT Write letter. - /=/...D. Other: