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Home My WebLink About021-260-0031 a � R66 - 021-260-003 02-0357 ROBERTS,KEVIN 1297 LOSSER AVE., GRIDLEY CONI`. CLL=ANRITI:J�inp�-rj-3'2 REPAIR FIRE DAMAGE IN LIVING RN 021-260-003 05-1811 JAUREGUI 1297 LOSSER AVE-, GRID Cont OWNER E REROOF B07-1344 021-260-003 MISCELLANEOUS Room Addn-First Stry LIVING ROOM ADDITION 434', COV 1 1297 LOSSER AVE JAUREGUI. J ASUNCION OZI 2 100- BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #:(530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #:(530) 538-7541 FAX#: (530) 538-2140 WEBSITE: www.buttecounty.net\dds ROBLES CONSTRUCTION 809 LATTIN RD BIGGS, CA 95917 (530)868-5800 DBEH Building Review Fee DBF Room Addition - First Stor DBMSC Room Add -1st Story 250sf DBSMIP Residential ROBLES CONSTRUCTION 809 LATTIN RD BIGGS, CA 95917 (530)868-5800 FEE INFORMATION $75.70 $279.95 $419.93 $2.82 LICENSED CONTRACTOR'S DECLARATION Contractor (Name) State Contractors License No. / Class / Expires ROBLES CONSTRUCTION 842894 / B / 07/13/2008 I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am licensed under provisions of Chapter (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full foldand effect. Signature 08/23/2007 Date I WORKERS' COMPENSATION DECLARATION I 1 HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: ❑I HAVE AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR WORKERS' COMPENSATION, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My Workers' Compensation insurance carrier and policy number are; X Carrier: STATE FUND Policy Number: 713,0015307 Exp. Date:01120/2008 (This section need not be completed if the permitis or ons a hundred dollars ($100) or ess. 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 08/23/2007 SigKture Date WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND ATTORNEY'S FEES. CONSTRUCTION LENDING AGENCY I HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for the performance of the work for which this permit is issued. (3097 civ. code) Lender's Address City State Zip Square Footage: Building Garage RemdUAddn 434 Other Porch/Patio Total Total Charged: $778,40 Fees Paid: Balance Due: $0.00 Receipt No: __ . OWNER / BUILDER DECLARATION I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that 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 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]; Please check one of the following: ❑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 License Law does not apply to an owner of the property, who builds or improves thereon, and who does the 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 improvement is sold within one year of completion, the owner -builder will have the burden of proof 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 Provessions Code: The Contractor's License Law dows not apply to an owner of the property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractor's License Law.). ❑ I AM EXEMPT under Section B. & P.C. for this reason: Owner's Signature 08/23/2007 Date I hereby certify that I have read this application and state that the above information is correct. I agree to comply with all City and County ordinances, rules, regulations, and State laws relating to building construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless Butte County, its officers, agents and employees from any and all claims and liability for personal injury, including death, and property damage caused by, arising out of, or in any way connected with the issuance of this permit. I hereby acknowledge that issuance of this permit does not authorize the use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte Co!ty I eennter the above mentioned properttyyfor inspection purppoos'ess.. IIhhereby certify that I am the py rtmer or ori act onthe /7y owners �G W,& P 08/23/2007 Name of Permittee [SIGN] Prinf — Date Owner Contractor OR. ElAgent for Owner DAgent for Contractor FILE COPY PROJECT INFORMATION Site Address: 1297 LOSSER AVE Owner: Permit No: B07-1344 APN: 021-260-003 JAUREGUI, J ASUNCION Permit type: MISCELLANEOUS 1297 LOSSER AVE Issued Date: 08/23/2007 By KCG Subtype: Room Addn-First Stry GRIDLEY, CA 95948 Expiration Date: 08/22/2008 Description: LIVING ROOM ADDITION 434', CC (530) 300-2535 Occupancy: Zoning: A-5 ROBLES CONSTRUCTION 809 LATTIN RD BIGGS, CA 95917 (530)868-5800 DBEH Building Review Fee DBF Room Addition - First Stor DBMSC Room Add -1st Story 250sf DBSMIP Residential ROBLES CONSTRUCTION 809 LATTIN RD BIGGS, CA 95917 (530)868-5800 FEE INFORMATION $75.70 $279.95 $419.93 $2.82 LICENSED CONTRACTOR'S DECLARATION Contractor (Name) State Contractors License No. / Class / Expires ROBLES CONSTRUCTION 842894 / B / 07/13/2008 I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am licensed under provisions of Chapter (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full foldand effect. Signature 08/23/2007 Date I WORKERS' COMPENSATION DECLARATION I 1 HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: ❑I HAVE AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR WORKERS' COMPENSATION, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My Workers' Compensation insurance carrier and policy number are; X Carrier: STATE FUND Policy Number: 713,0015307 Exp. Date:01120/2008 (This section need not be completed if the permitis or ons a hundred dollars ($100) or ess. 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 08/23/2007 SigKture Date WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND ATTORNEY'S FEES. CONSTRUCTION LENDING AGENCY I HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for the performance of the work for which this permit is issued. (3097 civ. code) Lender's Address City State Zip Square Footage: Building Garage RemdUAddn 434 Other Porch/Patio Total Total Charged: $778,40 Fees Paid: Balance Due: $0.00 Receipt No: __ . OWNER / BUILDER DECLARATION I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that 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 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]; Please check one of the following: ❑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 License Law does not apply to an owner of the property, who builds or improves thereon, and who does the 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 improvement is sold within one year of completion, the owner -builder will have the burden of proof 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 Provessions Code: The Contractor's License Law dows not apply to an owner of the property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractor's License Law.). ❑ I AM EXEMPT under Section B. & P.C. for this reason: Owner's Signature 08/23/2007 Date I hereby certify that I have read this application and state that the above information is correct. I agree to comply with all City and County ordinances, rules, regulations, and State laws relating to building construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless Butte County, its officers, agents and employees from any and all claims and liability for personal injury, including death, and property damage caused by, arising out of, or in any way connected with the issuance of this permit. I hereby acknowledge that issuance of this permit does not authorize the use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte Co!ty I eennter the above mentioned properttyyfor inspection purppoos'ess.. IIhhereby certify that I am the py rtmer or ori act onthe /7y owners �G W,& P 08/23/2007 Name of Permittee [SIGN] Prinf — Date Owner Contractor OR. ElAgent for Owner DAgent for Contractor FILE COPY i BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION OFFICE #: (530) 538-7541 FAX #: (530) 538-2140 A FEE WILL BE REQUIRED AT TIME OFAPPLICA TION Website: www.buttecounty.net/dds "PLEASE PRINT CLEARLY" ARCHITECT/ENGINEER OWNER INFORMATION Last Name City e Firs Namel� rora Mailing Address /' 9 LossPw e City � State Stag Phone _ S Fax N E-mail Fax ARCHITECT/ENGINEER CONTRACTOR Name City e Zip Address E-mail State License Number CityZi City Stag p�� -f� .7 Phone _ S Fax E-mail E-mail Lic. # S,y g� Class 15 ARCHITECT/ENGINEER Name Address 4 City e Zip Phone Fax E-mail State License Number APPLICANT SIGNA U X o"_ 7�_A- 014� C, C PROJECT LOCATION Property Address City �l PERMIT NO., c-y� BIN # 'j! 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: v ' V Owe li! u o'e �Opit1 Tt3 Sq FT- Livin Garage Open Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): For office use on .r Zoning Flood Zone ISRAI Yes No Occ. Type Const. APPLICANT INFORMATION Name �,A//S G� Address l� City C� State Zin.—sr� Phone Fax E-mail APPLICANT SIGNA U X o"_ 7�_A- 014� C, C PROJECT LOCATION Property Address City �l PERMIT NO., c-y� BIN # 'j! 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: v ' V Owe li! u o'e �Opit1 Tt3 Sq FT- Livin Garage Open Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): For office use on .r Zoning Flood Zone ISRAI Yes No Occ. Type Const. Butte County Department of Development Services TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR 7 County Center Drive Oroville, CA 95965 (530) 538-7601 Telephone (530) 538-2140 Fax www.buttecounty.net/dds PERMIT APPLICATION DATA SHEET Reference Number: B07-1344 Date: 6/20/2007 Location: 1297 LOSSER AVE By: GLB Parcel Number: 021-260-003 Sub Type: Room Addn-First Str Owner Name: JAUREGUL J ASUNCION Phone: (530) 300-2535 Description: LIVING ROOM ADDITION 434', COV PATIO 400' The above permit application has the following Clearances required prior to permit issuance. Please contact each department indicated below regarding specific requirements pertaining to your permit application. Yes No DRAINAGE DISTRICTS ❑ Thermalito Irrigation District, 410 Grand Avenue, Oroville CA 95965 - (530) 533-0740 ❑ LOAPUD, 1960 Elgin Street, Oroville CA 95966 - (530) 533-2000 City of Chico, 545 Vallombrosa, Chico CA 95926 - (530) 895-4711 PARKS & RECREATION DISTRICTS Chico Area Recreation District, 545 Vallombrosa, Chico CA 95926 - (530) 895-4711 Durham Park & Recreation District, 9447 Midway, Durham CA 95938 - (530) 345-1921 Feather River Recreaction & Park District, 1200 Myers Street, Oroville CA 95966 - (530) 533-2011 Paradise Parks & Recreation, 6626 Skyway, Paradise CA 95969 - (530) 872-6393 SCHOOL DISTRICTS Biggs Unified School District, 300 B Street, Biggs CA 95917 - (530) 868-1281 ■m■I Chico Unified School District, 1163 East 7th Street, Chico CA 95926 - (530) 891-3006 Durham Unified School District, 4920 Putney Drive, Durham CA 95938 - (530) 895-4675 Gridley School District, 429 Magnolia, Gridley CA 95948 - (530) 846-4723 Marysville School District, 1919 B Street, Marysville CA 95901 - (530) 741-6000 Oroville Elementary School District, 2795 Yard Street, Oroville CA 95966 - (530) 532-3000 Oroville Union High, 2211 Washington Ave, Oroville CA 95966 - (530) 538-2300 Ext:105 Paradise Unified School District, 6696 Clark Road, Paradise CA 95969 - (530) 872-6400 OTHER Recorded copy of Agricultural Acknowledgment Statement- See Attached Instructions City of Biggs Planning Department, 3016 Sixth Street Biggs CA 95917 - (530) 868-5447 Other: Other: ❑ 0 Other: Signature of Property Owner: Date: 6/20/2007 FILE "`^'=:mow "+�c-cr.%-•"•''%�"t:t:�"'i�.: ,`k.' ' . ��.:,. -��."4e.�>,..� `� � ' .'.:.:.5:-.:^.�"�- <r+�* *-+.�:'h;.r'^rraa-sss-�r , ---i" !.."iwi�.. �,...-.,}...^.f - .. .v.. r r. -'� . BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM District Identification' No. 1'I G�►d 1c � School District certifies that i)� U r\C I 6 t--\ 17 ryG U i (Payor) —� 1 (Street Address) (City) (Zip Code) (Phone Number) has complied with the requirements of Resolution No. 050 by payment of $ ---- ^� representing �� 31! square feet. AB 2926 $ FULL MITIGATION $ School District Representative Paid by Check # Remarks: Date . Soo c Notice: You may protest the imposition of the fees identified above by submitting a written protest to the District, in compliance with Government Code Section 66020(a), within 90 days from the date fees are paid. Failure to submit a timely written protest will prohibit you from challenging the imposition of the fees in any court action. If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act (CEQA), this project may be subject to additional school fees to fully mitigate its impact on the school district's schools. White (school district), Yellow (building department), Pink (applicant) feeform.xls (12/06)dm7 (One form per Building) 1 School District Building Department No. 0 r% – A3 Tax Rate Area No. 07 50V 9 A.P. Number l'Jurisdiction: City County Property Owner Property Location/Address Z(-) S3-zf r Subdivision Lot No. . Residential Development 0 ................................................................................................... Sq. Footage %�3y No of Living Mobile Home Addition Supplemental to (Group R) Units Installation Conversion Permit # Cr. Demo - ( ) . ' '(No foundation inspection) existing sq. ft. :................................................................................................... see attached Net total sq. ft. Deed Restricted Sq. Footage (Attach a signed copy of Deed Restriction and Notice of Limited Use Facility document) Commercial/industrial 0 Q Sq. Footage New Addition (Including Exterior Roofed Areas) 7-216v-67 Building Department Representative Date District Identification' No. 1'I G�►d 1c � School District certifies that i)� U r\C I 6 t--\ 17 ryG U i (Payor) —� 1 (Street Address) (City) (Zip Code) (Phone Number) has complied with the requirements of Resolution No. 050 by payment of $ ---- ^� representing �� 31! square feet. AB 2926 $ FULL MITIGATION $ School District Representative Paid by Check # Remarks: Date . Soo c Notice: You may protest the imposition of the fees identified above by submitting a written protest to the District, in compliance with Government Code Section 66020(a), within 90 days from the date fees are paid. Failure to submit a timely written protest will prohibit you from challenging the imposition of the fees in any court action. If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act (CEQA), this project may be subject to additional school fees to fully mitigate its impact on the school district's schools. White (school district), Yellow (building department), Pink (applicant) feeform.xls (12/06)dm7 Butte County Department of Public Works J. MICHAEL CRUMP, DIRECTOR LAND DEVELOPMENT DIVISION Storm Water Managment Program 7 County Center Drive Oroville, CA 95965 (530) 538-7266 Telephone (530) 538-7171 Fax www.buttecounty.net/dds National Pollutant Discharge Elimination System (NPDES) Phase II Construction Storm Water Permit and Storm Water Pollution Prevention Plan (SWPPP) Acknowledgment (LESS THAN 1 ACRE 1 Reference Number: B07-1344 Date: 6/20/2007 Location: 1297 LOSSER AVE By: GLB Parcel Number: 021-260-003 Sub Type: Room Addn-First Str Owner Name: JAUREGUI, J ASUNCION Phone: (530) 300-2535 Description: LIVING ROOM ADDITION 4341, COV PATIO 400' By signing below, I the project owner/owners' agent, certify that this project WILL NOT DISTURB 1 acre or more of land and that I therefore, do not need to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board. Phased projects that contain multiple site buildouts 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 Board. I 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 this project that disturbes one acre or more of land may result in revocation of grading and/or other permits or other santions provided by law. Title: FILE Date: 6/20/2007 BUTTE COUNTY FEE SUMMARY 7 County Center Drive Oroville, CA 95965 Permit Number: B07-1344 Department of Development Services Phone (530) 538-7541 Fax (530) 538-2140 Job Address: 1297 LOSSER AVE Contractor: ROBLES CONSTRUCTION 809 LATTIN RD BIGGS, CA 95917 Printed: 6/20/2007 9:12 am Fee Description Account Number Fee Amount Paid Date Pmt Amt DBEH Building Review Fee 0021-540013-4614901-1010 $75.70 6/20/2007 $75.70 DBMSC Room Add -1st Story 250sf 0010-440001-4210500-1010 $419.93 DBF Room Addition - First Stor 0010-440001-4210500-1010 $279.95 6/20/2007 $279.95 DBSMIP Residential Printed By: Gwyn Benedict 1001-0-280-1011298 $2.82 778.40 $355.65 Balance Due: $422.75 At the time of permit application, I was advised the above fees are required prior to issuance of the permit. These f may change during the plan checking process. Signature: Date: 6/20/2007 Pursuant to Government code Section 66020, you are hereby notified those items listed above may have been imposed on your project. You have 90 days from the date of approval of the project or from the impostion of the above referenced items during which you may request a protest. The requirments for a protest are specified in Government Code Section 66020(a). Butte County Department of Development Services TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR 7 County Center Drive Oroville, CA 95965 (530) 538-7601 Telephone (530) 538-7785 Facsimile ADMINISTRATION * BUILDING * PLANNING July 10, 2007 Asuncion Jauregui 1297 Losser Ave. Gridley, Calif. 95948 Assessor Parcel Number: 021-260=003 Building Permit Number: 07-1344 (Residential Room Addition) Thank you for submitting plans for your building project. The plans have been reviewed and comments are listed below. Please respond in writing to each item by letter or by completing and returning a Plan Review Response Form. Your complete and clear response will expedite the re -check and approval of this project. COMMENTS: rovide complete site plan that shows the proposed patio cover with the side yard setbacks. rovide section cut or a side elevation for the patio cover that shows roof pitch and heights of the structure. The 2"x 12" header spanning 10 feet for the patio cover is inadequate to support the roof load. Provide a beam that is sufficient to support the roof load. 4. Submit two new corrected sets of plans and calculations. ` If you wish to discuss any of these comments, please call (530) 538-7541 between 8:00 a.m. and 5:00 p.m., Monday through Friday. Jim Peterson Plans Examiner ieepeterson abuttecoun , .net Cc: Alberto Robles; Contractor Philo Hunt, P.E. Plan Check Engineer phunt obuttecoun , .net BUTTE COUNTY JUL 2 3 2007 DEVELOP �ERVIC�NT -PL VIEW RESPONSE FOS order to expedite the review of your plans, please complete the foIIowing information and return alis form with your re -submittal. I s form is not complete, as to all correction items, we will not be able to accept your re -submittal for review. There must be a vatic poase to every item requested in our plan, correction letter- `By others'' is not considered a valid response_ Please indicate yow posse to each item and the location where the information can be found. on thelans plcaics. ATTACH THLS FOR1vt TO A COPY OF YOUR PLAN REVIEW LETTER AND JNERS NAME RETURN WITH REVISED AND ORIGINAL PLANS,, nn DATE .7 AUK Cbm • SESSORS PARCEL NUMBER -7//?/,J 7 PERMIT NUMBER Ozl ZG� 03 07—i341Li SPONSE FOR PIAN CHECK I Fl-TTZP nnrx:n -7-10—o7 P3 NC iTERA PAN coAloai-,- CUS7Ovu �T3 =SPONSE BY: Dieu cc¢��r}vt4 1�� ✓ Ct�"A if-0/a- JuA I ION ON PLANSJCAI PLD 7: PL,f-A/ CATION ON PLANSICALC j 01z a f )"� y /.1-V ON . -.t. � - - PLAN REVIEW RESPONSE FORM order to e)pedite the review of your plans, please complete the following information and return this form with your re -submittal. I s form is not complete, as to all correction items, we will not be able to accept your re -submittal[ for review. There must be a vatic ponce to every item requested in our plan correctiou letter. "By other' is not considered a valid response. Please indicate yocu posse to each item and the location where the information can be found on the planslcalcs. ATTACH THIS FORM TO A COPY OF FOUR PLAN REVIEW LETTER AND REWRN WITH REMED AND ORIGINAL PLA s. IN ERS NAME DATE SESSORS PARCEL NUMBER PERMfr NUMBER SPONSE FOR PLAN CHECK LETTER DATED_ kN CHECK ITEM # RESPONSE BY: LOCATION ON PLANS/CALCS: dJIiJIENTS: AN CHECK iPEB(I # RESPONSE BY: LOCATION ON PLANS/CALCS: ,MMENTS: . i4N OCEK IIEM # RESPONSE BY: LOCATION ON PLANS/CALCS: Butte County Department of Development Services TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR 7 County Center Drive Oroville, CA 95965 (530) 538-7601 Telephone (530) 538-2140 Fax www.buttecounty.net/dds NOTICE TO BUILDERS Before your building permit can be issued, your plans must be checked for compliance with the California Building Codes. In addition, your plans are routed to other regulatory entities including but not limited to Planning, Public Works, Environmental Health, and the California Department of Forestry for their clearances and approvals. There are some things you can do to expedite your permit: • Make sure your application is complete. 0 Be responsive to requests from County departments for any additional materials or requirements. The Building Division places its highest priority on processing building permits as quickly as possible and each day that passes without a complete application adds to processing time. Every permit issued by the Building Official shall expire and become null and void if the work authorized by such permit is not started or completed within one year from the date of issuance of such permit. A permit may be renewed (for a fee) prior to expiration an indefinite number of times, provided construction progress has been documented by the Building Division during each year during scheduled inspections. No changes may be made in the original plans and specifications for such work. In order to reinstate action on a permit after expiration, the permittee shall pay a new full permit fee and additional plan checking and documentation may be required. Upon completion of work covered by this permit, please contact this office for final inspection. As a reminder to you, it is illegal to occupy this building or any portion of the building for which this permit is issued without a final inspection. EXPIRATION OF PERMIT APPLICATION AND REFUND POLICY Application for which a permit has not been issued will expire one year after date of application. Refunds may only be made upon written request by the person who originally paid the fees. Refunds for permit applications (not yet issued) must be requested within two years from the date of fee payment. Fees paid at the time of application are for Plan Check and administration. The Plan Check portion of fees is refundable only if the permit is cancelled or withdrawn before any plan checking is done. Building Division costs will be deducted prior to authorizing a refund and a charge of $54.99 to process the refund application will be assessed. Refunds on permits (issued) may be requested prior to the expiration of the permit, provided no work has been done pursuant to the permit. An Inspection may be required (and deducted from any refund amount) to determine no work was done. Fee/refund information can be read on-line at http://municir)alcodes.lexisnexis.com/codes/butteco/ Reference Number: B07-1344 Location: 1297 LOSSER AVE Parcel Number: 021-260-003 Owner Name: JAUREGUI, J ASUNCION Description: LIVING ROOM ADDITION 434', COV PATIO 400' Date: 6/20/2007 Phone: (530) 300-2535 Signature of Property Owner: Date: 6/20/2007 FILE NOTES RESIDENTIAL , r PERMIT NO. _021=260=003""- "" 05-1811 IJAUREGUI 1297 LOSSER AVE, GRIDLEY Cont: OWNER , T REROOF SPECIAL CONDITIONS CHECKED BY SRAM . FLOOD CERTIFICATE, REQ., FIRE SPRINKLERS REQ. - SPECIAL INSPECTION ITEMS VERIFY USE PERMIT, CONDITIONS SUB -STANDARD HOUSING LETTER • r JOB FINALED (Date) J Q� Signature BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT ='24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 FAX#: (530)538-2140 WEBSITE: www.buttecounty.netldds PERMIT. NO. BP051811 LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under Issued Date: 07/11/2005 APN: 021-260-003-000 provisions of Chapter 9 (commencing with'Seclion'7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. Site Address: 1297 LOSSER AVE GRI License Class: License Number: .. , Map Index: Date: Contractor. Description: RE ROOF COMP 15 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 Owner: JAUREGUI J ASUNCION &MARGARITA Business and Professions Coder 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 1297 LOSSER AVE signed statement that he or she is licensed pursuant to the provisions of GRIDLEY, CA the Contractor's Slate License. Law (Chapter 9 commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or 95948-9505 she is exempt therefrom: and thebasis 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).): 1, 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: JAUREGUI J ASUNCION &MARGARITA 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, 1297 LOSSER AVE provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one GRIDLEY, CA year of completion, the owner -builder will have the burden of 95948-9505 proving that he or she did not build or improve for the purpose of sale.). O 1, 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 Contractor: pursuant to the Contractors' State License Law.). O I am Exempt under Article 3 of Business and fessions Code I 05 Owner: Date:// WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: License #: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. Architect: ❑ I have and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of Engineer: the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier: Policy #: Total Square Ft: 0 S. F. Valuation: $0.00 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 Census Code: 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. o Date: Applicant: WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor interest, code, and, attorney's fees. - CONSTRUCTION LENDING AGENCY - .. _ ,This penn!'.is her y issued under the p i ab a provisions of the Butte County Cods anruor I hereby affirm that there is a construction lending agency for the Resolutions to work indicated. abo 6 for)khicll fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) Name: By: Date: Address: PERMIT EXPIRES ON: LJ (/� 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. O 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 represeritatives of Butte County to enter upon the above mentioned property for inspection purpos Print Name: Signature: Date: Owner ❑ Contractor 0 Agent for Owner ❑ Agent for Contractor J=OK D= Not OK • = Not Applicable . =Not Ready MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer, Location -Test -Fall -C/O -Concrete -4. Water, Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearances-Gmd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap;-/ P' L'ft. / P Nat. or/ /" L "ft1 P LPG 7. Well Clearance & Disconnect 8. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water, MH Test-Regulator-Connectoe 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch 11. Cert of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PERMANENT END SYSTEM (ONLY) 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Blocking 4. Gas; MH Test -Demand -Valve 5. Electricity; MH Test 6. Water, MH Test 7. Water and Sewer Connected 8. Gas and Electricity Tagged 9. Exits 10. License Decals 11. Verify #'s with Office Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 -MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs-Connectors Shthg-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance -GA 5. Bec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. • Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche 12. Enclosure; Fencing -Alarms Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 J=OK 0 = Not OK - = Not Applicable . = Not Ready RESIDENTIAL (Single & Duplex) Date UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Gmd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ P' Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab, Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 15. Access & Ventilation 16. Insulation Date FRAMING (Continued) 47. Hangers -Post Caps -Anchors -Connectors 48. Cling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting: Rtng. 49. Fireplace Ties or Type AFlue-Fireplace Throat Clearance 50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 51. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 52. Garage Fire Protection Framing -RC Channel 53. Property Line Firewall & Openings 54. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 55. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 57. Siding -Nailing Veneer 58. Stucco Mesh -Drip Screed -Fd. Vents-Underfir. Access 59. Glazing Area -Glass Protection -Skylights -Plastic 60. Shear Walls; Nailing -Bolts 61. Brace Interior/Exterior Wall Panels 62. Insulation -Walls -Ceilings 63. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 64. Ext. Steps -Door & Sidelight Protection -Landings 65. Smoke Detector 66. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 67. Bedroom Exiting 68. G.F.I. & Bath Fixtures & Tub Access -Spa 69. Elec. Trim & Subpanel, Breaker Sizes & Labels 70. Stairs & Rails 71. Fireplace or Stove, Clearance -Hearth 72. Elec. Outlets at Wood Panel, Int. & Ext. 73. Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance 74. Elec. Outlets & Receptacles at Kit. Counter 75. Garage Fire Door, Swing -landing -Closure 76. A.C. Dud in Garage -Damper 77. WV. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 78. Plb.; Elec. & Mech. Equip. Listed for Location 79. Elec. Receptacles in Garage (FF.I.)-Romex Protection 80. Insulation -Foam -Looked in Attic 81. Guard Rails & Deck Construction -Post Caps 82. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor O Yes 83. Following InstldJDrive O Yes O No/Walks O Yes O No/Planters O Yes O No 84. Stucco Brown -Finish 85. A.C. Unit Disconnect, Electrical -Plumbing 86. Vents Above Roof, Pibg-Appliance-Fireplace-Clearance to Openings 87. Water Well, Disconnect, Electrical, Plumbing 88. Exterior Elec. Trim, G.F.I. Receptacle -Underground 89. Ventilation Throughout House 90. Glass Protection 91. Corrections from Previous Inspections 92. Gas Test -Meters Tagged, Gas -Electric 93. Water & Sewer Connected -C/O to Grade -HD Approval 94. Energy Compliance Certificate -Other Certificates 95. Address Posted 96. Fire Sprinkler Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s 17. Water Htr.; Vent -Access -Combustion Air Baffle 18. Water Pipe; Test & Anchor -Nail Protection 19. D.W.V.; Test Fittings & Anchor -Nail Protection 20. Shower Pan; Test, First Floor -Tub Access 21. Test Tub & Shower, Second Floor -Tub Access 22. Gas Pipe; Sixe & Anchors 23. Fire Sprinkler, Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 24. Fixture & Transformer Clearance -Ins. Protection 25. Elec. Receptacles Spacing -Lights & Switches at Doors 26. Size Boxes & No. of Conductors Stapled 27. Romex Installed Close to Edge of Studs & C.J. 28. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water 29. 2 Appliance Circuits in Kitchen & Conductor Size GFI 30. Subfeed Wire Size/ /ga. Cu or AI -AC. Wire Size/ /ga Cu or AI 31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or AI Insulated Neutral O Yes O No 32. Service -Riser Conductors & Ground Main Disconnect 33. Equip. Clearances Panels-Motors-Mech. Equip. 34. Clothes Closet Light -Shower Light -Spa Light 35. Smoke Detector Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 36. A.C. Ducts Insulation & Support 37. Vent Fan, Exhaust above insulation 38. Condensate Drain & Overflow, Size & Grade 39. Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet 40. Attic Access & Platform if Furnace in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s 41. Sills Proper Materials & Anchors 42. Walls Studs -Nailing Spacing & Braces -Plates -Sound 43. Bearing Walls over Girders & Floor Nailing 44. Draft Stop in Walls (rat proof) 45. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 46. Headers & Beams -Size & Bearing Date FRAMING (Continued) 47. Hangers -Post Caps -Anchors -Connectors 48. Cling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting: Rtng. 49. Fireplace Ties or Type AFlue-Fireplace Throat Clearance 50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 51. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 52. Garage Fire Protection Framing -RC Channel 53. Property Line Firewall & Openings 54. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 55. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 57. Siding -Nailing Veneer 58. Stucco Mesh -Drip Screed -Fd. Vents-Underfir. Access 59. Glazing Area -Glass Protection -Skylights -Plastic 60. Shear Walls; Nailing -Bolts 61. Brace Interior/Exterior Wall Panels 62. Insulation -Walls -Ceilings 63. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 64. Ext. Steps -Door & Sidelight Protection -Landings 65. Smoke Detector 66. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 67. Bedroom Exiting 68. G.F.I. & Bath Fixtures & Tub Access -Spa 69. Elec. Trim & Subpanel, Breaker Sizes & Labels 70. Stairs & Rails 71. Fireplace or Stove, Clearance -Hearth 72. Elec. Outlets at Wood Panel, Int. & Ext. 73. Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance 74. Elec. Outlets & Receptacles at Kit. Counter 75. Garage Fire Door, Swing -landing -Closure 76. A.C. Dud in Garage -Damper 77. WV. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 78. Plb.; Elec. & Mech. Equip. Listed for Location 79. Elec. Receptacles in Garage (FF.I.)-Romex Protection 80. Insulation -Foam -Looked in Attic 81. Guard Rails & Deck Construction -Post Caps 82. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor O Yes 83. Following InstldJDrive O Yes O No/Walks O Yes O No/Planters O Yes O No 84. Stucco Brown -Finish 85. A.C. Unit Disconnect, Electrical -Plumbing 86. Vents Above Roof, Pibg-Appliance-Fireplace-Clearance to Openings 87. Water Well, Disconnect, Electrical, Plumbing 88. Exterior Elec. Trim, G.F.I. Receptacle -Underground 89. Ventilation Throughout House 90. Glass Protection 91. Corrections from Previous Inspections 92. Gas Test -Meters Tagged, Gas -Electric 93. Water & Sewer Connected -C/O to Grade -HD Approval 94. Energy Compliance Certificate -Other Certificates 95. Address Posted 96. Fire Sprinkler Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: BUTTE COUNTY T 0 DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 9. Y, 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) .0 OFFICE #: (530) 538-7641 FAX#: (530)538-2140 0 WEBSITE: www.buftecounty.neAdds PERMIT NO. BPO51811 LICENSED CONTRACTORS DECLARATION 1 hereby affirm under. penalty of perjury that I am licensed under Issued Date: 07/11/2005 APN: 021-260-003-000 provisions of Chapter 9 (commdnc,ingwith'Sectioh,7000) of Division 3 of I the Business and Professions Code, and my license is in full force and effect. Site Address: 1297 LOSSER AVE GRI License Class: ''License Number: . Map Index: Date: Contractor.:-' .7 Description: RE ROOF COMP 15 SQ.'S 'OWNER -BUILDER DECLARATION I hereby affirm under ,penalty, of pbrjury"that 1"arn exempt from the Contractors' State Liciain'se" LaW"ior"thie following reason (Sec. 7031.5 'Ariy!'-city Owner: JAUREGUI J ASUNCION.& MARGARITA Business an6 - Pr6feision's' Code:; 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 1297 LOSSER AVE signed statement that he or she is licensed pursuant to the provisions of GRIDLEY, CA the Contractor's StateLicen-se-Lawl(Chapter 9 commencing with Section 7000) of Division -3 of the Business -and Professions Code) or that he or 95948-9505 she is exempt therefrom, and, the. basis for the, alleged exemption. Any violation of Section :7031 .16 -by any applicant, for a permit subjects the applicant to a.civil penal.ty.9f,not more than five hundred dollars ($500).): -1, as owner of the property, or my employees with wages as their ole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Applicant: JAUREGUI J ASUNCION & MARGARITA 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 orthrough his or her own employees, 1297 LOSSER AVE provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one GRIDLEY, CA yearof * completion, the owner -builder will have the burden of 95948-9505 proving lhat,he or she did not build or improve for the purpose of sale.). . :. r ❑ 1, 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 Contractor: pursuant to the Contractors' State License Law.). O I am Exempt under Article 3 ofO Business and fessions Code �wrier: Date*:�1 44O WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: License #: 0 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. Architect: ❑ I have and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of Engineer: the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier: Policy #: Total Square Ft: 0 S.F. Valuation: $0.00 w/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 Census Code: 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: 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. C) CONSTRUCTION LENDING AGENCY This permit ishen y issued under the app)iable provisions of the Beifte Cnunty Code ;,%ntVc%r 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.) Resolutions to work indicated aboyb for )k ic fees have been paid. Name: By: Date: Address: PERMIT EXPIRES ON: (Date) • I 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 after the substance of any official form or document of Butte County. I hereby authorize represe tatives of Butte County to enter upon the above mentioned property for inspection purpos Print Name 9C A!� 0/VC Signature: Date: el�o_wner ❑ Contractor E3 Agent for Owner 0 Agent for Contractor BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • Ci41CO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OFAPPLICA TION Website: www.buttecounty.net/dds "PLEASE PRINT CLEARLY* OWNER Last Nam Fi Name Name Address a.ve City State Zip State Zip � Zip s Fax E-mail APPLICANT SIGNATURE X For office use only: CONTRACTOR Name Flood Zone I SRA Address Occ. City v Q State Zip Phone Zip s Fax E-mail Fax Lic. # Class APPLICANT SIGNATURE X For office use only: ARCHITECT/ENGINEER Name Flood Zone I SRA Address Occ. City v Q State Zip Phone Zip s Fax E-mail Fax State License Number APPLICANT SIGNATURE X For office use only: APPLICANT NAME Nameu Flood Zone I SRA I Yes 10D, Occ. Address v Q Map Book Page Stat Zip s P ne_ Fax -mail APPLICANT SIGNATURE X For office use only: Zoning— Pyop�rty� ess P� Flood Zone I SRA I Yes 10D, Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc PERMIT NO BIN # LOCATION AP#O `T 13 Pyop�rty� ess P� C' rt 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 Page 1 of 2 Des ' tion or S:;Wif Work- Work-(, !R�' C`5 :5 �s Sq. Footage ❑ 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. CD Received by: Amount: ��_ Bldg SRA Receipt #�q q Sheriff CO/70 SMIP Other Date: '7/ � 'I (-65 f Total REV 2-24-05 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 A/C for Non -Residential Buildings. ❑ 6. Manufactured homes: (A) installation inst, (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. Detached Accessory Building Form filled out by the owner (if required). ❑ 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. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts. ❑ 12. Sanitation and site plan approval from the Environmental Health Department. If you have questions or would like additional information regarding this process, please contact a Permit Assistant at (530)538-7541. EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after date of application. In order to renew action on an application after expiration, a new application, plans and fees will be required. REQUEST FOR FEE REFUNDS Refunds can only be made upon written request by the person who paid .the fee. The request must be made within two years from the date of fee payment. on permits not issued, and two years from the date of permit issuance for permits issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. OVER FOR BUILDING PERMIT APPLICATION KAFORMS\BUILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2 REV 2-24-05 w ow •4 a T y •4 a i r • .y l � COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7511 - n ��T NO. (Rev. 12/96) APPLICATION AND PERMIT S t- ,I1 ASSESSOR PARCEL NUMBER ' i Com/} ZONING BUILDING PERMIT OWNERR .yr /�(/ w . T�E'L`EP�HiO/NE SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS ` 6kI ^� //J/ 1 1 CONTRACTOR'S NAME /.ice vwl yz TELEPHONE CONTRACTORS MAIL!/r (f FWW, It� CONSTRUCTION LENDER Fireplace LENDER'S MAIUNG ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. —Filing Fee $ 20.00 Permit Fee $ 4f ARCHITECT OR ENGINEER'S MAIUNG ADDRESS Plan Checking Fee $ BUILDING ADDRESS /] e� /A ' Viz Energy Plan Checking Fee $ T O PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE /� SF /Duplex ❑ Mobilehome ❑ Other 6 SPECIFY Solar or heat um water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: C/�,iGr/ F'r /Q(a(� /f./ Z/ea Am Gas piping system 1 :5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 OR 23.00 Main Service zI.A LESS LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, in full force and effect. and my license is License Class /9 - r / ! Lic. No. gR 23 I OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the Performance of the work for which this permit is issued. 0 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation i surance carrier and policy number are: Carrier LS) Main Service 2IIA To 1000A 46.00 NEW CONST. DWEWNG OCCUP. So OR ADDNS. ( 6 ACC. OCC. 3.5¢FT, RESIT. MULTI.OUTLET 97.50 POWER APPARATUS d SINGLE OUfIET CIR. j 20 Ex. Occup. oUTLET OR FIXTURES BAL Q 1.50 Ex. Occup. 0FI"%ED xE's APPR'.I6. EORA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirina 23.00 PERMIT FEE $ (E • Gtj MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation r %��?� �1%tG'/%,til PERMIT FEE $ , G/ Policy Number 16_33 (The above section need notbei cbmpleted if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those ovisions. X 1'f)l �n Its Date J d V Signature of Applicant - ❑ Owner `Contractor ❑ Agent. An OSHA permit is required for excavations over 5'0" deep and demolition or construction over 3 stories in height. of structuresg Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ lot to HA2. D. FEES IMP FLOOD COP PARCEL PD HD ISSUE This perm hereby issued under the applicable provisions of the Buttef County Code and/or Resolutions to do work indicated 66ove for whi fees h ie been paid. 1 By ,� Date 'pY -� PERMIT EXPIRES ON/ t� - / Dafe Receipt No. 7 /,IV WHITE-D.D.S.-B.D. CANARY -ASSESSOR `PINK -INSPECTOR GOLDENROD -APPLICANT 'COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street • Chico, CA • (530) 89172751 7 County Center Drive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE OWNER 7 - �; )� PERMIT NO. A routine inspection indicates that the following violations of butte county Ordinances exist at the above address and should be corrected. Please notice this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. Date ` a / Inspector REV 10/92 COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-75 1 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT Q'A�'7 ASSESSOR PARCEL NUMBER /�/y ZONING BUILDING PERMIT OWNER9_ Al -&-V IAl TELEPHONE 3w SO. FT. OCC. BUILDING VALUATION . OWNER'S MAILING ADDRESS CONTRACTOR'S NAME L TELEPHONE CONTRACTORS MAIUADDgES� W, �7✓ • VK / co UV/E CONSTRUCTION LENDER Fireplace LENDER'S MNUNG ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 1% ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS' LM `- IZ PL Energy Plan Checking Fee $ 0$ PERMIT FEE _ 37a LOT NO. SUBDNISION'S NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 Each Trap 1 7.00 USEOFSTRUCTURE SF ®/Duplex ❑ Mobilehome ❑ Other SPECIFY Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation0 Other 0 Describe Work: �J !6rfte 1 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W=_ @20.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 Main Service 2I A OR .SS 23.00 CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license nis in full fo ce and effect. ¢ 2 Q License Class /9 - Lic. No. (Ogg Z�3 l) OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service To +C 200ALICENSED 46.00 NEW CONST. DWELLING OCCUP. OR ADONS. ( a ACC. BLDS. SO 3.5¢FT. NOµH61D ' MULTI.O-T 97,50 POWER APPARATUS 8 SINGLE OUTLET CIR. �(, OCCU OUTLET OR FIXTURES AL Ex. Occup. DUTELErs RE,D.) E 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 ,40 PERMIT FEE $ 47, CV WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ I have and will maintain a certificate of consent to self -insure' for workers' compensation, as provided for by section 3700 of the Labor Code, for the /Performance of the work for which this permit is issued. 19 1 have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My worker compensation i surance carrier and policy number are: Carrier Policy Number (The above sections need not be c mpleted If the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those ovlslons. X Jv Date OV V Signature of pplicant - ❑Owner Contractor ❑Agent An OSHA permit is required for excavatio s over 60" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ G(/ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 0 HAZ. D. FEES IMP FLOOD CDF PARCEL I PD HO I ISSUE This perm' hereby issued under of the tt County Code and/o indica d ova for whic fees � By PERMIT EXPIRES O4�a the applicable provisions Resolutions to do work a been paid. ate ��. �� Date rReceiptNo. ITE•D.D.S.-B. CA ARY-ASS SO 'PINK -INSPECTOR GOLDENROD -APPLICANT G0 ' DF/BUTTE COUNTY FIRE INCIDENT LO DATE 01/23/2002 INCIDENT NUMBER 846 LOGGED B SJD ' REPORT TIME 11:53 LOCAL FIRE NUMBE + 100591 RO MATTOS ' STATE FIRE NUMBER BI • CASE NUMBER. AAri ASAI MEDICS LOCATION 1297 LOSSER AV _� 1 PRA lyl ECC ❑ ' RP ? PHONE NUMBER 8464346 I REPORT METHO 911 WILDLAND FIRES ❑ ESTIMATED ACRES FIRE INFORMATION STRUCTURE FIRE RESIDENTIAL FIRE INFO SENT HO EMAIL BY SJD TO 74 OTHER FIRE 1 7 -DAY LOGGED INITIALS IMM • MEDICAL AIDS INCIDENT NAME LOSSER PSA/OTHER START DATE 01/22/2002 START TIME 16:30 HAZ MAT DIAMOND # 5.0 COMMENTS CAUSE ELECTRICAL POWER - - LAND USE DOMESTIC - - ACRES TYPE OF ACRES DIAMOND 5 ONLY $ DAMAGE TYPE ALL OTHER DOLLAR DAMAGE 5000.001 SAVE 75000.001 INJURIES/FATALITIES ❑ ' # CIVILIAN INJURIES 0 # CIVILIAN FATALITIES 01 EMD ❑ . OES ❑ # FF INJURIE 0 # FF FATALITIES FC -40 INFORMATION ♦ ♦ dew Incident FC -40 ❑ DATE OF FC -40 INC 1 AGENCY INC # 1 INC P# 1 FC -40 COMP DATE FC -40 COMP BY County Notifications ❑ EARS Hard Copy Recieved ❑ EARS Checked Agenst EARS Computer > • 4