The URL can be used to link to this page

Home My WebLink About028-062-010,'.i28-062.E;10i. �7,�F ,.3147.-90B,.P,E,M y s�ANDRADE,David -209 Brown Blvd," Honcut x (remodel/Caton Construction A �J I9v 028-062-010 06-1528 ANDRADE, TRINIDAD 209 BROWN BLVD, HONCUT Cont: OWNER STUCCO SIDING - Zt7 -O b i 10 a ,'.i28-062.E;10i. �7,�F ,.3147.-90B,.P,E,M y s�ANDRADE,David -209 Brown Blvd," Honcut x (remodel/Caton Construction A �J I9v 028-062-010 06-1528 ANDRADE, TRINIDAD 209 BROWN BLVD, HONCUT Cont: OWNER STUCCO SIDING - Zt7 -O b i 10 i Butte County Department of Development Services urrF� nRFn -NOTES T County Center Drive, Oroville, CA 95965 (530) 538-7601 www,butteCaunly.neUdc)s •°OUM�� t RESIDENTIAL ,APN: ' 028-062-010 LL - 06-1528/ ANDRADE, TRINIDAD Owner. I 209 BROWN BLVD, HONCUT Cont: OWNER I Site Address:I STUCCO SIDING Contractor. ,Type of Permit: r i SPECIAL CONDITIONS CHECKED BY ❑ SRA ❑ FLOOD CERTIFICATE EQUIRED ❑ FIRE SPRINKLERS REQUIRED ❑ SPECIAL INSPECTION ITEMS ❑ VERIFY ❑ USE PERMIT CONDITIONS ❑ SUBSTANDARD HOUSING LETTER } ❑ ENCROACHMENT PERMIT i ❑ REINSPECTION FEE PAID ❑ F_NV HLTH CLEARANCE z DATE JOB FINALED: SIGNATUREi�� +=OK 0 = Not OK MANUFACTURED HOMES MISCELLANEOUS=" DATE PERMANENT FOUNDATION SOFT -SET 1 Zoning -Setbacks -Easements 2 Soils; Special MH Support Sketch 3 Sewer; Loctn Test; FalllC/O-Concrete 4 Wtr; Loctn-Test-Easeinent Nebded-Regulator 5 Elec Loctn-DImcs-Gmd 'Amp -Concrete 6 Yard Gas; Loctn-Test-Wrap 'Nat ❑ or LPO Inch Sz Ft Lngth 7 Blckng; SzSpacing-Marriage Line 8 Gas; MH Test-Demand-Valve-Cnnctr 9 Elec MH Cntnty Test-Crossovers-Breakers-Clrncs 10 Drain; MH Test -Fall -Flex Cnnctr 11 Wtr & Sewer Connected -C/O to Grade 12 Gas and Electricity Tagged 13 Tie Downs ❑ Foundation [,] 14 Exits 15 Cert of Occupancy 16 HUD LabeUlnsignia Numbers Serial Numbers -' —DATE D E C K S`C O V E R S -C A R P O R T S •G A R A G E S 1 ZoningSetbacks-Easements 2 Ftgs; SailsSz-0pthSpacing-CnnctrsSteel 3 Decks, Girders/Joists-0cking-Brcing Stairs-Guard/HandrallS 4 Wood Awn; Posts-Beams-Rftrs-CnnctrsShthg, Frmg-Brcng 5 Alum Awn; Columns-DnnctnsSplice-Decal-Encisrs 6 Carports; Wndws-Doors 7 Electric 8 Frmg; Sills-AnchrsStuds-Rftrs Trusses 9 Siding; Nailing-VengerStucco-Lath 10 Roof; Shthg-Rooting 11 Ext; Steps -Doors -Landings 12 Braced Wall pnls r+ DATE IPOOLS 1 Setbacks -Easements 2 Soils; Compaction -Structure Stability 3 Pool Structure; Steel-Cnnctns-Thickness Dead Men-I-Ining 4 Elec Rcptcls/Wng; Distance-GFI 5 Elec Pool Lting;15 volts-GFI 6 EIec.Enclsrs; Conduit Entries-Terminals4 isted 7 Elec Bonding; Metal w/5'-Drcltng Egp-Htr 8 Elec 6mdng; Eqp w/5' Crcltng Eqp-Pool Ightg Boxes-Enclsrs-pnlboaidsansultn to Main Conduit 9 Health Dept; Apprvl 10 •Plmb; Cir Test-Wtr Supply Test 11 Lt Niche . 12 Enclsr, Fencing -Alarms 13 Bonding, Diving board or Slide 4P 04P 90 Pool Drawing 0 = Nat OK RESIDENTIAL (Single & Duplex) DATE JUNDERFLOOR DATE IPLUMBING 1 Zoning -Setbacks -Easements -Flood -Slope 2 Ftg Main; Soils-Elec Gmd Ftg Dp.p 3 Ftg Garage; Soils-Steel-Elec Gmd Ftg Dpth ' 4 Ftg Porches/Decks; Soils -Steel Ftg Dpth 5 Stemwalis Main; Steel-Blockouts Wrapped 6 Stemwalls Garage; Steel-Blockouts Wrapped 6a Hold Downs and Special Anchrs 7 Slab, Steel Wrapped 8 Piers-Frplc Ftg-Steel 9 DWV; Fall -Fitting -Test -2 -way CIO -Sewer Test 10 UF, Gas Pipe; Sz Anchrs-Sz Test 11 Wtr Pipe; Test-Anchrs-RgltrService Test 12_ Elec Undrgmd 13 Plenums & Ducts; Clrnc-MaterialSupport4nsultn 14 GirdersSills-Anchr Bolts-Joists-Vnts-Cripples 15 Ace & VnUtn 16 Insulation o'A ds o'er o`P DATE I FRAMING 17 Sills Proper Maierials & Anchrs 18 Vllalis Studs -Nailing Spacing & Braces-PlatesSound 19 Bearing Walls over Girders 8 fir Nailing 20 Draft Stop in Walls (rat proof) 21 Fire Stops; Furred CeilingsStairs-Chasers-Tubs z..; 22 Headers & BeamsSi &Bearing, 23 Hangers -Post Caps-Anchrs-Cnnctns 24 Ceiling Joist-Rftr Ties-Puriin-Roof Brac-TrussShthg 25 Frplc Ties or Type A Flue=Frplc Throat Cimc 26 Attic*A&; Sz &'Rmz Prtctn-Draft Stop -Ins Baffles 27 Bdrm Wndws or Exiting Doors -Sill Ht & Dimensions 28 Garage Fire Prtctri Framing -RC Channel 29 Prprty Line Firewall & Opngs' 30 Ext Doors -One 3' -Check Garage 3rd Story, 2 Exits 31 Stairs; Widih-Hdrm-Rise-Run-Landing-Fire Prtctn 32 Plywd on Roof Ovrhng Attic Vnts-Rftr Outrgrs T33 Sidjng-Nailing Veneer cco Lath Weep Screed-Fndtn Vnts-Undrtlr Ace 35 Glazing Area -Glass PrtctnSkyLts-Plastic . 36 Shear Walls; Nailing -Bolts 37 Brace Int/Ext Wall pnls 38 Insultn-W a IIs -Ceilings 39 Infiltration -Walls -W ndws o'er �s' o' ops DATE JELECTRICAL 40 Fxtr & Trnsfrmr Cirnc4ns Prtctn 41 Elec Rcptcis Spacing-Lts & Switches at Doors 42 Sz Boxes & No Of Cndctrs Stapled 43 Romex Installed Close to Edge of Studs & CJ 44 Eqp Grnd made up w/Mech Fstnrs 45 Grndng Electrode Bond Gas & Wtr 46 2 Appinc Cires in Ktchn & Cndctr Sz GFI 47 Subfeed Wire Sz ga ❑CU or ❑AL AC Wire Sz ya ❑ CU or ❑AL 48 Range Circ -,F CU or ❑ AL Oven Circ ga ❑ CU or ❑AL Insulated Neutral E] Yes [—I No 49 Service -Riser Cndctrs & Gmd Main Dscnnct 50 Eqp Clrncs pnis-Motors-Mech Eqp 51 Clothes Closet UShwr LI -Spa Lt 52 Smoke Detector 53 Wtr Htr; Vent Acc-Cmbstn Air Baffle 54 Wtr Pipe; Test & Anchr-Nail Prtctn 55 DWV; Test Fittings & Anchr. Nail Prfctn 56 Shwr Pan; Test, First fir -Tub Ace 57 Test Tub & Shwr, 2nd fir - Tub Ace 58 Gas Pipe; Sz & Anchrs 59 Fire Sprinkler; Test 60 Yard Gas.Piping op DATE IMECHAKICAL 61 AC Ducts Insultn & Support " 62 Vent Fan, Exhaust abv Insultn 63 Condensate Drain & Ovrflw, Sz & Grade 64 Furnace -Vent Acc-Comb Air Rtrn/Vent 115 Outlet 65 Attic Ace & Pitfrm if Furnace In attic DATE IFINAL 66 Ext Steps -Door & SldeLt Prtctn-Landings 67 Smoke Detector 68 Furnace Vnts-Cimc-Comb, Air-Cnnctr In Garage; abv-flr-Ducts-Mech Prtctn 69 Bedroom Exiting 70 GFI A Bath Fxtrs & Tub AccSpa 71 GFI Are Fault 72 Elec Trim & Subpni, Breaker Szs & Labels 73 Stairs, Guard/Handrails 74 Frplc or Stove, Cimc-Hearth 75 Elec Outlets at Wood Pnl, Int & Ext 76 Ktchn, Fxtr & Appinc; Gmd-Air-Gap-Cooking Ctmc 77 Elec Outlets & Rcptcls at Ktchn Counter 78 Garage Fire Door, Swing -Landing -Closure 79 AC Duct in Garage -Damper. 80 Wtr Htr, Vnts-Clmc-Com Air Cnnctr-PRV; abv fir Mech Prtctn; LPG Appince Undr House 3' drain 81 Plmb; Elec & Mech Eqp Listed for Loctn 82 Elec Rcptcis in Garage (GFI) Romex Prtctn 83 Insultn-Foam-Looked in Attic 84 Guard Rails & Deck Cnstrctn-Post Caps 85 Fndn Vnts & Crawl Hole Door Drnge & Wood -Earth 86 Cimc Drnge Planters ❑Yes ❑No 87 Stucco Brown -Finish 88 AC Unit Dscnnct, Elec-Plmb 89 Vnts abv Roof, Plmb-Appinc-Frpic-Clrnc to Opngs 90 Wtr Well, Dscnnct, Elec, Pimb 91 Ext Elec Trim, GFI Rcptcl-Undrgrnd 92 Vntitn thru House 93 Glass Prtctn 94 Corrections from previous Irispctns 95 Gas Test -Meters Tagged, Gas-Elec 96 Wtr & Sewer Cnnctd-C/O to grade -HD Apprvl 97 Energy Cmpinc Cert -Other Certs -98 Address Posted 99 Fire Sprinkler 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. BP061528 B. C. Building Permit 01-16-04 pg 1 LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date: 06/26/2006 APN: 028-062-010-000 the Business and Professions Code, and my license is in full force and effect. License Class: license Number: Site Address: 209 BROWN BLVD HON Map Index: Date: Contractor: Description: STUCCO SIDING 12 SQ'S 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: ANDRADE TRINIDAD permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a 209 BROWN BLVD signed statement that he or she is licensed pursuant to the provisions of OROVILLE, CA the Contractor's State License Law (Chapter 9 commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or 95966 she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Applicant: ANDRADE TRINIDAD Code: The Contractors' State License Law does not apply to an 209 BROWN BLVD owner of property who builds or improves thereon, and who does such work himself or herself or through.his or her own employees, OROVILLE, CA provided that such improvements are not intended or offered for 95966 sale. If however, the building or improvements are sold within one 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.). ❑ 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 Contractor: 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.). ❑ I am Exempt under Article 3 of t e Business nd Professions Code �� Date:l� Owner License #: WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit Architect: is issued. Engineer: ❑ 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: Total Square Ft: 0 S. F. Policy #: Valuation: $0.00 Census Code: 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 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. Date: Applicant: 44- ter— 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 peFrpit'Is her y issued under th licable provisions of the Butte County Code and/or 1 hereby affirm that there is a construction lending agency for the Resolu '6ns to ork indicated a ve f r which fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) j Date:tI Name: By: PERMIT EXPIRES ON:LJ Address: Date ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code Is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have -read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby authorize representatives of Butte County t`o'enter the above mentioned property for inspection purposes. �upon Print Name: �`ri t (AV`Cl V VA C Z Signature: Date: 0 �Ipwner ❑ Contractor ❑ Agent for Owner ❑ Agent for Contractor B. C. Building Permit 01-16-04 pg 1 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., BP061528 B. C. Building Permit 01-16-04 pg 1 LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date: 06/26/2006 APN: 028-062-010-000 the Business and Professions Code, and my license is in full force and effect. License Class : License Number: Site Address: 209 BROWN BLVD HON Map Index: Date: Contractor: Description: STUCCO SIDING 12 SQ'S 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: ANDRADE TRINIDAD permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a 209 BROWN BLVD signed statement that he or she is licensed pursuant to the provisions of OROVILLE, CA the Contractor's State License Law (Chapter 9 commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or 95966 she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): 14 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 Applicant: ANDRADE TRINIDAD Code: The Contractors' State License Law does not apply to an 209 BROWN BLVD owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, OROVILLE, CA provided that such improvements are not intended or offered for 95966 sale. If however, the building or improvements are sold within one 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.). ❑ 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 Contractor: 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.). ❑ 1 am Exempt under Article 3 of t e Business nd Professions Code ))�� Date:�J Owner :��l%� License #: 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 Architect: Labor Code, for the performance of the work for which this permit is issued. Engineer: ❑ 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: Total Square Ft: 0 S.F. Valuation: $0.00 Policy a: Census Code: 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 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. Date:(�lY 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. ( `7 / 16-5e GCS CONSTRUCTION LENDING AGENCY This perrpit1s her y issued under th p /'cable provisions of the Butte County Code and/or I hereby affirm that there is a construction lending agency for the Resolu Ens to d6/work indicated a ve f r which fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) By: Date: �� '� LIGO Name: �(/ 10 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. El Attached are copies of the required E.P.A. notification forms. I hereby certify that I have -read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby authorize representatives of Butte to enter upon the above mentioned property for inspection purposes. �County Print Name: �121Y111.Att�aoe2 Signature: Date: -y\,2AJ pig ,Fpwner ❑ Contractor ❑ Agent for Owner Cl Agent for Contractor B. C. Building Permit 01-16-04 pg 1 1M�BUTTE COUNTY C DEPARTMENT OF DEVELOPMENT SERVICES c BUILDING PERMIT APPLICATION C AND SUBMITTAL REQUIREMENTS p 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 o OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OF APPLICATION Website: wwvv.buttecounty.net/dds "PLEASE PRINT CLEARLY" APPLICANT SIGNATURE X - For office use only: OWNER INFORMATION Last N e C' y �r irst Name Address City City oyw'l State Sta Zi -� Pho �5� 43-263 Fax Fax E-mail Lic. # APPLICANT SIGNATURE X - For office use only: CONTRACTOR Name C' y �r Address Z City m h NW State Zip Phone Staie)„ Fax E-mail FaxLt-1 . Lic. # Class APPLICANT SIGNATURE X - For office use only: ARCHITECT/ENGINEER Name C' y �r Address Z City m h NW State Zip Phone Staie)„ Fax E-mail FaxLt-1 . State License Number APPLICANT SIGNATURE X - For office use only: APPLICANT INFORMATION Nam -ej I klidad C' y �r Flood Zone Z Addr m h NW No Cityorp/ _ l- Staie)„ Zip Pho e -`J � FaxLt-1 . E -mai Date Approved: APPLICANT SIGNATURE X - For office use only: Zoning Pro erty Ad rens IFU C' y �r Flood Zone WORKER'S COMPENSATION SRA I Yes No Occ. Type Const. Subdivision Name Map Book Page7-ti— Planner Date Approved: PERMIT NO. BIN # PROJECT LOCATION Pro erty Ad rens IFU C' y �r Cross Street (aa4–) WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than license contractors, a certfcate of worker's . compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address Description or Scope of Work: S4 T- Liv' g Garage Op(nj Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. I I Received by: l V Amount: GG Bldg I I Receipt #: I Date: OVER FOR SUBMITTAL REQUIREMENTS 11 K•\F()RMC\RI III r)IN(: F()PhAC\RIrinAnnl.qithRnmtc dor. Pace 1 of 2 SRA She(rff SMIP / Other ` Gw Total REV 8-12-05 SUBMITTAL & PERMIT REQUIREMENTS The following drawings and specifications must be submitted to the Building Division in order to apply for a permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK. ❑ 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. No graph paper! ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans (No graph paper!) OR Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 3. Engineered truss details and layouts in duplicate (if required). No faxes! ❑ 4. Energy compliance design and supporting documentation in duplicate. ❑ 5. Statement of Intent for Non -heated and AIC for Non -Residential Buildings. ❑ 6. Manufactured homes: (A) Installation manual, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate ❑ 7. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate (if required). ❑ 9. Site plan and business license approval from the City of Biggs. ❑ 10. Letter of intent for non-residential buildings. ❑ 11. Building Permit Application Without Required Clearances Form ❑ 12. Hazardous Material Form (for Commercial Buildings only). Remaining items needed to issue the permit. Additional items may be required after Plan Check and Planning review (May require additional plan review upon receipt of the following items.) ❑ 1. Agricultural Buffer clearance and site plan approval from the Ag Commissioner's office (if required). ❑ 2. Impact Fees. ❑ 3. California Department of Forestry plan approval (if required). ❑ 4. NPDES Form. ❑ 5. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 6. Contractor's license information. (Number, Name Style, Classification). ❑ 7. Worker's Compensation Carrier and Policy Number. ❑ 8. Owner -Builder Verification (if required). ❑ 9. Letter of Signature authorization (if required). ❑ 10. Recorded copy of Agricultural Acknowledgment Statement. ❑ 11. ❑ Legal description from current recorded grant deed, ❑ Copy of M.H. Title, Title transfer, or MCO. ❑ 12. Sanitation and site plan approval from the Environmental Health Department. If you have questions or would like additional information regarding this process, please contact a Permit Assistant at (530) 538-7541. EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after date of application. In order to renew action on an application after expiration, a new application, plans and fees will be required. REQUEST FOR FEE REFUNDS Refunds can only be made upon written request by the.person who paid the fee. The request must be made within two years from the date of fee payment on permits not issued, and two years from the date of permit issuance for permits issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. OVER FOR BUILDING PERMIT APPLICATION KAFORMSWILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2 REV 8-12-05 i • '.i �r 3 Y'�;*' ,z z3 ". :' � :v t H� r ��ryi: iiX tall 28-062-10 3147-90B,P,E,M ANDRADE,David 209 Brown Blvd, Honcut (remodel/Caton Construction) 3�j Lo 4 ie' 0 . � � G t°o u kih iwo COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT OW QgP'- 1 Da TEL PHONE 6 S0. FT. OCC. BUILDING VALUATION reroof 2 s c mo 1380 OWNER'S MAILING ADDRESS 20c) Brown. Honcutt misc ren irs 1500 CONTRACTOR'S NAME TELEPHONE - CONTRACTOR'S MAILING ADDRESS PO + o Fireplace CONSTRUCTION L NDER UNKNOWN Total Valuation $2880 Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $38.50 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS - 91719 Rrn,.m Blvd, T4nnrjjt, CA Permit fee $48.50 PLUMBING PERMIT Filing Fee 10.00 Each Trap 2 2.00 4.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP - Water piping 5.00 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex[] Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 5.00 Mobile Home S I G I W 10.00e TYPE OF WORK New❑ Addition ❑ Remodel ❑ Utilities ❑ Installation[] Other ❑ Describe work: remodel— A/C system, new primp—well, _ H/W Heater, new doss, glass:rep acement, reroo Permit Fee $ 24.00 Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD -L 100 AMP 1 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code _and my license is in full force and effect. License No. 5_3 Classification ElI, 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 CONST.DWELLING OCCUP,' OR ACDNS. (ACC. BLDGS. ) I , 2/z2sgft NEW CONSTRESID, BRANCH NON.RESID BRANCH CIRC ITS 2,50 ea POWER APPARATUS &) (SINGLE OUTLET CIR. Ex. Occup(ourLETs OR FIXTURES 9ALO 30 Ex. Occup. OUTLETS ((RESID )REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring g 15.00 15.00 Permit Fee $25.00 Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. [e.—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. MECHANICAL PERMIT Filing Fee 10.00 Heating duo pa Cooling • 00 Hood 3.00 Ventilation Permit Fee $ • CAJ Contractor I certify that I have read'tliis applicatfon'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. - 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 against said`County in oohsequence of the granting of this permi . X `/ ��/ v Date �--{ Signature of Applicant — Owner ❑ Contractor Agent EI An OSHA permit .is required for excavations over 5'0" deep and.demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ 200 HAz CUA PARK "D'EPAR PD HD ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which fees DIRECTOR,OF PUBLIC'WORKS By ;' �`- � �M!�Rnate PERMIT EXPIRES Date the applicable provi- resolutions to do have been paid. �Q Mj l ! ,/ if % y Receipt No. '7041'A WHITE-D.P.W., YELLOW -ASSESSOR. PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 85965 - Telephone: 916/538-7541 APPLICATION Aft PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER 64�1213TT ZONING BUILDING PERMIT Ow David Andrade TEL PHONE 679-2376 SO. FT. I OCC. BUILDING VALUATION reroof 21 .5' comp 1380 OWNER'S MAILING ADDRESS 209 misc re irs 1500 CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION L NDER UNKNOWN Total Valuation $2880 Filing Fee $ 1000 LENDER'S MAILING ADDRESS Permit Fee $38.50 ARCHITECT OR ENGINEER LICENSE No. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $48.50 PLUMBING PERMIT Filing Fee 10.00 Each Trap 2 2.00 4.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 5.00 Mobile Home S G W 10.00e TYPE OF WORK New Addition❑ Remodel❑ Utilities❑ Installation❑ Other ❑ Describe work: remodel— A/C system, new pump—well, _ H/W Heater, new doas, glass replacement, reroof Permit Fee $ 24,00 Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service eOOV OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of check one): P Y perjury Y ( ) - I am licensed under provisions Of Chapt. 9, Div. 3 of the Business and Professions Code pand my license is in full force and effect. (� ,) p j� 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 CONST. DWELLING OCCUP.&` ADONS. ( AGC. BLDGS. I 2/,22sgft NR EW CONSTR.MULTI-OUTLET 2.50 ea NON.RESID BRANCH CIRCUITS) POWER APPARATUS & (SINGLE OUTLET CIR. ) Ex. Occup( OUTLETS OR FIXTURES ZO®SOS BALD 30 Ex. Occup. OUTLETS ((RESID )FIXED APPLNS REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 9 15.00 15.00 Permit Fee $ Contractor 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. MECHANICAL PERMIT Filing Fee 1 10.00 Heating duo pak 6.00 Cooling 22 T 7.00 Hood 3.00 Ventilation ;1 Permit Fee $23. Contractor 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. I also agree to save, indem 'fy and keep harmless the County of Butte against all liabilities gments, sts, and expenses which may in any way accrue against ty in quence of the granting of this permi . 71 g 0 X — Date Signature of Applicant — Owner❑ Contractor gent An OSHA permit is required for excavations over 5'0" deep and demolition or construct-DIREC ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ HAZ CUA PARK SCHL FLD PAR PD HD IssuE This permit is nereby issued under sions of the Butte County Code and/or work indicated above for which fees F PUB I BY PERMIT EXPIRES Date the applicable resolutions have been WORKS Date provi- to do paid. Receipt No. WNITE-D.P.W.. YELLoW-A88 M.31 NK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS ,� PERMIT N0. 7 County Center Drive - Oroville, Caljtqrnia�5965 - Telephone: 916/538-7541 �.��., APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER QZ - 061 Z 010 ZONI(� G BUILDING PERMIT OWN �i4 V) 17 A -voj1 A ,9� TELEPHONE 67y1 -X376 SO. FT. OCC. BUILDING VALUATION J OWNER'S MAILING A DRESS 0 G o-�,) A l -IF, /7 , cc;4- 40 (3�0. (s o a . CO .RA TOR'S N?f F� HONE 2376. CONTRACTOR'S OI LIN? ;DESS 5p� � rj� 2_7 Fireplace 28 �G - CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ c3 ARCHITECT OR ENGIN=ER LICENSE NO. Plan Checking Fee NA $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ I BUILDING ADDRESS � U/ Permit fee $ g. � PLUMBING PERMIT Filing Fee 10.00 C�� Each Trap Z 2.00 ¢-GO Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.005, l 0 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 5 -db Mobile Home S I G I W 1 110-00e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation[] Other ❑ Describe work: ,AAM,'n6 ,d — Q %( aEwn Zuj �( fr00 1/1 Ili A.Pallr t Ayw) daz) ./.t4d/ dinl/,7_w4li amp A,PhqJ Permit Fee $ Contractor. ELECTRICAL PERMIT Filing Fee 10.00 Main service 1101 OR LESS 10.00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (Check One): 3---1am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full f{ ce 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 CONST. DWELLING OCCUP.& OR AODNS. ( ACC. SLOGS. / 2�z¢sq ft NEW CONSTR. MULTI -OUTLET 2.50 ea NO ESID BRANCH CIRC ITS POWER APPARATUS e (SINGLE OUTLET CIR. Ex. Occup( OR FIXTURES SAL20 SOC ewLO 30 Ex. Occup. OUTLETS ED P(RESID )REA.1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 6, Permit Fee $ 7iSOb WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. 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. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating -n Cooling t 7.0 Hood 3.00 Ventilation Permit Fee 3 3— Contractor 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 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 liabilitie gjudgment costs, and expenses which may in any way accrue against i U Asequence of the granting of this permi . X Date 9 7 % Signature of Applicant — Owner ❑ Contractor [�JAgent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct. ion of structures over 3 stories in height. Mobile Home Installation Fee $ _ • Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $IZO.Sa HAz I CUA PARK I SCHL I FLD I PAR I PD HD ISSUE Th'.s permit is nereby issued under the applicable sions of the Butte County Code and/or resolutions work indicated above for which fees have DIRECTOR OF PUBLIC WORKS By Date PERMIT EXPIRES Date provi- to do been paid. Receipt No.4 73 (,13 WHITE-D.P.W.. TELLOW-ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT