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022-080-009
jf. ��,..T,.....,_.'....r.... r --- us i ... �_ .t _ ���5. ', °"' u,. ,� ._ •r,, �3.,.K:cd,s_ ..Tf•.�,s AP\ 22=08-9 '+ Victorino Lopez �/ End of dirt �oZ 0 mi f N N AA c „ endfh�A . ; ' ggs�. P E M e 2495-7 B", ,% „ i'on�new fdn. under e 9 AP 22-08-9 _Permit_302.1-78B (demolish res'denc�e) 1 22-08-9 Permit #30W-78,B.qiP;E,Mnew single tY) f f am i l / Mow •r/I?`/P/22-08-9 Permit #5005-79B(lst. renewal/3022-78� 22-08-9 Permit# 32-81B(2nd renewal/3022— 78 Q/a� /aid . F 022-080-009 03-2558 LOPEZ, VICTORINO - '3545 SMITWAVE, BIGGS • Cont: CHRIS SEEGERT ADDITION A i 4 SPECIAL CONDITIONS CHECKED BY — SRA — FLOOD CERTIFICATE REQ. — FIRE SPRINKLERS REQ. 'SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER JdI3 FINALED Signature' NOTES- ri RESIDENTIAL IJ 022-080-009 63-2558 1/ f. PERMIT NO..-LOPEZ, X&TORrNO 4 3545 SMITH AVE, BIGGS Cont;-QdRiS SEEGERT ADDITION 4 SPECIAL CONDITIONS CHECKED BY — SRA — FLOOD CERTIFICATE REQ. — FIRE SPRINKLERS REQ. 'SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER JdI3 FINALED Signature' J=OK 0 =' Not OK eApplica N tReady ble 1. Zoning Requirements -Setbacks -Easements MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails 1. Zoning Requirements -Setbacks -Easements 5. 2. Soils; Special MH Support Sketch Carports; Windows -Doors 3. Sewer; Location -Test -Fall -C/O -Concrete 8. 4. Water; Location -Test -Easement Needed (Sketch) Siding; Nailing -Veneer -Stucco -Mesh 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete 11. 6. Gas; Location -Test -Wrap;-/ /" L 'ft. / P Nat. or/ /" L "ft./ P LPG Braced Wall Panels 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 -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch 11. Cert. of Occupancy 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.13-1 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-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures- Panelboards-Ins. to Main 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 UND LOOR (Plans) OK except #'s Card B-1 Date Card B-1 10,-Setbac ks- Easements- Flood -Slope . Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth Date 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Flg,-Porches & Decks; Soils -Steel-/ /" Ftg. Depth Ste IIs, Main; Steel-Blockouts-Wrapped temwalls, Garage; Steel- Blockouts-Wra ed Smoke Detector 6a. Hold Downs and Special Anchors 66. 7. Slab, Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel Bedroom Exiting 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 68. 10. UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test 11. Wate ipe; Test -Anchors -Regulator -Service Test Elec. Trim & Subpanel, Breaker Sizes & Labels 1 lectric Underground 70. 13. Plenums & Ducts; Clearance -Material -Support -Ins. ! 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies Fireplace or Stove, Clearance -Hearth 15. Access & Ventilation 72. 16. Insulation 73. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s Garage Fire Door; Swing -Landing -Closure 17. Water Htr.; Vent -Access -Combustion Air Baffle 76. 18. Water Pipe; Test & Anchor -Nail Protection 19. D.W.V.; Test Fittings & Anchor -Nail Protection Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 20. Shower Pan; Test, First Floor -Tub Access 78. 21. Test Tub & Shower, Second Floor -Tub Access 22. Gas Pipe; Sixe & Anchors Elec. Receptacles in Garage (F.F.I.)-Romex Protection 23. Fire Sprinkler; Test 80. Insulation -Foam -Looked in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s _ r' 24. Fixture & Transformer Clearance -Ins. Protection 25. Elec. Receptacles Spacing -Lights & Switches at Doors Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 26. SiKgBoxes & No. of Conductors Stapled 87. Water Well, Disconnect, Electrical, Plumbing omex Installed Close to Edge of Studs & C.J. 88. 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-A.C. Wire Size/ /ga Cu or AI 31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or Al Insulated Neutral O Yes El No Corrections from Previous Inspections 32. Service -Riser Conductors & Ground Main Disconnect 92. 33. Equip. Clearances Panels-Motors-Mech. Equip. 34. Clothes Closet Light -Shower Light -Spa Light Water & Sewer Connected -C/O to Grade -HD Approval 35. Smoke Detector 94. Energy Compliance Certificate -Other Certificates Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s A.C. Ducts Insulation & Support Date 37. Vent Fan, Exhaust above insulation Card B-1 Date Card B-1 38. Condensate Drain & Overflow, Size & Grade 39. Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet Comments at Final: 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 ills Proper Materials & Anchors Studs -Nailing Spacing & Braces -Plates -Sound Q'Searing Walls over Girders & Floor Nailing raft Stop in Walls (rat proof) 4T-Fir2tops, Furred Ceilings -Stairs -Chasers -Tubs eaders & Beams -Size & Bearing Date FRAMING(Continued) angers Post Caps -Anchors -Connectors . Ing. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rtng. 49. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 51. Bdrm. Windows or Exitina 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 7. ailing Veneer 779-1 _ef sh-Drip Screed -Fd. Vents-Underflr. Access _A16W. G18ziffg,Area GGTass Protection -Skylights -Plastic - f TA!Qrdce Interior/Exterior Wall Panels y- / y•cj 17.1"' 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. Duct in Garage -Damper 77. Wtr. 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 (F.F.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 _ r' Clearance Looked under Floor O Yes Fo_Wwing Instld./Drive O Yes O No/Walks O Yes O No/Planters O Yes O No tucco Brown -Finish 85. A.C. Unit Disconnect, Electrical -Plumbing 86. Vents Above Roof, Plbg-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: Owner:V c r�i� tJ �_�� �z Permit No. f5 -ZSS ENERGY CERTIF ICAT ION 4' LOCATION A.P. No. DESCRIPTION OF INSULATION ROOF Material eters' 4620 �� Thickness(inches �n EXTERIOR WALL Material Filo e. Ts- Thickness(inches) CEILING Batt or Blanket Type Thickness(inches) Loose Fill Type Minimum Thickness(Inches) Area covered(ft.2) FLOOR, ELEVATED Material ;"��ccG Ste$ c7i�f Thickness(inchesl 6 fr FLOOR, SLAB Material Thickness(inches) Width(inches) FOUNDATION WALL Material Thickness(inches) Brand Name !•.c Thermal Resistance (R Value) _ E Brand NameV r •t C roc 4 •) Thermal Resistance(R Value)�T Brand Name �r%y� �, r -CSS r", 0 - Thermal Resistance(R Value)_K —3 Brand Name Number of Bags Wt. per bag lb. Thermal Resistance(R Value) Brand Name K*�)e sc , r Ccs r `ice --a Thermal Resistance(R Value) ff- 4 Brand Name Thermal Resistance(R Value) -Brand Name Thermal. Resistance(R Value) I hereby certify that the above insula tion was installed in the above building in conformance with the State of California Energy Requirements. /� / 3 Gem FIRM NAME/OWNER STATE -CONTRACTOR'S LICENSE NO. l 7 06/ SIGNATURE OF INS ALLATION APPLICATOR. } DATE I hereby certify the above insulation and all required items as shown on the'. Building Department approved plans and attachments -have been installed as required by the State of California Energy Requirements. All equipment, devices and materials are of the quality prescribed or are specifically approved by the State of California. FIRM NAME/ R (Please print) STATE CONTRACTOR'S LICENSE NO. SIGNATURE OF (3ENE#LAL CO R OWNER 15ATE THIS CERTIFICATE MUST BE ON FILE WITH THE BUILDING DEPARTMENT PRIOR TO FINAL INSPECTION APPROVAL AND A COPY SHALL BE' POSTED WITHIN THE BUILDING. January 1984 �wic� APILI c rr� Certificate of Conformance Certificate 0 54 0 7 9 THIS IS TO CERTIFY that the glued laminated timber products identified with a collective mark of Engineered Wood Systems (EWS) were manufactured in accordance with the applicable standards and associated specifications indicated below: ANSI Standard A190.1-1992, For Wood Products — Structural Glued Laminated Timber NER-486 Glued Laminated Timber Combinations And "GAP" Computer Program For Determining Design Stresses. AITC.117-93 — Manufacturing — Standard Specifications For Structural Glued Laminated Timber Of Softwood Species IT IS HEREBY CERTIFIED that the APA EWS trademarked structural glued laminated timber members were produced in a manufacturing facility subject to regular audits in accordance with the Engineered Wood Systems (EWS) Quality Assurance Program. Routine audits include inspection of the manufacturing process and evaluation of the in -plant QA program with adequate sampling to verify conformance to industry standards for lumber grade and glueline bond quality. . o 2-,-3 C l •�••�.� w o 00 •.,� _• �� o�P 0 io rn so 0 SEAL :�y' T )y� 44 ,H ,N; ; 0�S 0�/ e ql,� -, 6 � by it L ' Thomas G. Williamson Executive Vice President ENGINEERED�WOOD SYSTEMS is a related corporation of APA —THE ENGINEERED WOOD ASSOCIATION 7011 South 19th Street • P.O. Box 11700 • Tacoma. WA 96411-0700 Telephone: (253) 565-6600 ! Fax,Number:.(253) 565-7265%,�,. ; „�, << rr �•N '"' COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISIO t� I 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-754�, Z15� (Rev.12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 099-080-009 - ZONING A-40 BUILDING PERMIT OWNER III CMR INO TELEPHONE -1100- SO. FT, OCC. BUILDING VALUATION 253 R 13 662.00 . OWNERS MAILING ADDRESS7 ; 3545 SMITH AVE, BT-GGS- 95917 CONTRACTOR'S NAME TELEPHONE 768 U 13 824.00 CONTRACTORS MAILING ADDRESS 6103 MD WAIY, OROVIT-1E 9-59-6115-1 CONSTRUCTION (ENDER Fireplace LENDER'S MAIUNG ADDRESS Total valuation $ 27 846.00 ARCHITECT OR ENGINEER LICENSE NO. -FilingFee $ 20.00 Permit Fee $ 271.50 ARCHITECT OR ENGINEERS "UNG ADDRESS Plan Checking Fee $ 176.50 BUILDING ADDRESS 3545 SMITH AVE, BIGGS Energy Plan Checking Fee $ 23.00 $ PERMIT FEE s 491.00 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Unities ❑ Installation ❑ Other ❑ Describe Work: ADDITION Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W 920.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 800V OR LESS Main Service 20.AORLESS 23.00 LICENSED CONTRACTOR'S DECLARATION 1 hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is i 11 force and effect. /� / �/(y License Class Lic. No. Z % s6 DU OWNER -BUILDER DECLARATION 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. ❑ 1, 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: ❑ I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ I have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' com en ation insurance carrier and policy number are: Carrier SJ� P --,,_,k Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith co ply with those provisions. X Date �ti6 : �Zi d 3 Si at of Applic - ❑ Owner Contractor ❑ Agent TT An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in hei t. Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUP. SO OR ADDNS. a ACC. BLDS. 3.5¢x, N"ONRESD. MULTI -OUTLET 97,50 a sONI.ELR AP= �T Ic R. 20 @ 1.00 Ex. Occup. GunET OR FIXTURES BAL p .50 FIXEDI Ex. Occu . G ,SAP�R� OE 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ 55.70 MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation FxrFo DI IMS 15.0 PERMIT FEE S-35-00 Mobile Home Installation Fee $ Energy Inspection Fee $ 46.00 Occ CONST. TYPE TOTAL FEE $ 626.70 D IMPA FLOOD CDF PARC PD HD SU This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have Byatate PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. �'b3 2 afe Receipt No. s.3 027 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT ,cl . COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 �A' PERMIT APPLICATION DATA SHEET OWNER: ' ASSESSOR PARCEL NUMB Proposed Building. Use: lam/ Counter Technician: !/vim Date: p /� "i�tsrequiredin order to apply for a permit. All boxes MUST be checked OR marked NA i order to apply. Site plans, 3 or`4 sets, signed by the preparer of the plans. 2. Compete plans, 3 or 4 sets, signed by the preparer of the plans. a , /P 3. En veered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped:,'and signed calculations. ngineered truss details and layouts in duplicate. No faxes! Energy compliance design and supporting documentation in duplicate. 1 ❑ 6. Manufactured homes: (A) Data sheets and installation inst, (B) Marriage line info, (C)' Floor Plan, (D) Tie down or fnd plans, all in duplicate. ❑ 7. Metal 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. t Items required for initial plan review. If checked items have not been received, plan review cannot proceed. The permit will be indexed and returned to the plan review line-up when required items are received. f Date Received By ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate ................................ ❑ 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 ..................................... ❑ 12. Hazardous Material Form............................................................................... ❑ 13. Fire Sprinklers-,— ...................................................................................... ❑ 14. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by ❑ 15. Other ing items needed to issue the permit. (May require additional plan review upon receipt of the following items.) *6.1 Fees as shown on the attached Schedule of Fees Due Sheet ....................................... Statement of Intent for Non -heated and A/C Buildings ......................................... . Sanitation and site plan approval from the Environmental Health Department in 9 City of Chico Plumbing permit........................................................................ , 0. California Department of Forestry plan approval ❑ paid. Sent by: ...................... w21. Planning approval for (A) Use: (B)Parking: (C) Parcel Check:�Ll — 12. C ntact Land Development about ❑ Improvements, ❑ Drainage ............................... "PIDES Form............................................................................................. 4. Encroachment Permit for driveway from the Public Works Dept ................................. ❑ 25. Pre -Inspection for required ................ ❑ 26. Contractor's license information. (Number, Name Style, Classification) ...................... ❑ 27. Worker's Compensation Carrier and Policy Number ............................................. ❑ 28. Owner -Builder Verification (❑ Given to owner, ❑ Mailed to owner) ..................... ❑ 29. Letter of Signature authorization.................................................................... 1 ❑ 30. Recorded copy of Agricultural Acknowledgment Statement.........• ........................... ❑ 31. Manufactured home utility clearance..........................................................:.... ❑ 32. Existing violations and/or expired permits......................................................... ❑ 33. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $ ❑ 34. Other: When issued Telephone CZqGt S and hold for pickup. I have been informed of the above items and requirements for obtaining a building permit. Applicant: 7 Date: Z + /O 3 _ 1. Index permit application for the abovee 0s numbered: Plan Check Letter items required ontrac esigner; owner, was advised of the above data by 15Kphone, ❑ mail, ❑ counter, by 110de, Date: Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, y 4 Date: Plans reviewed by: Date: Plans approved by: ,Date: Structural reviewed by: Date: Structural approved by: Date: Note transfer by: Date: Yellow: Building Division TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance E.H. USE ONLY Piot Plan AnschadT Flooa P1®n AttacR®d Sent to ®.D L Czz, ( I 1" 3 sm ,- , ih):, -- C� � Owne Location AP# Plan Approved for: Sewage Dispo Clearance for dwelling. Other Hold final for: Final clearance O.K. for: NOTE: Water Supply: Public Private Well Environmental Health Specialist Date 8/96 COUNTY OF BUTTE 'DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE, CA 95965 TELEPHONE (530)538-7541 SCHEDULE QF RECEIPT OF FEES OWNER PROPROSED BUILDING USE Q 1. BUILDING PERMIT FEES --- Balance Due ..................... $ Additional Fees Due........... $ A.P. # 4)Z_'7 �O� DATE ✓ / w RECEIPT # DATE REC. --- Revised Plan Checking Fee.... S HOOL DISTRICT EES (pai at Sc ool District ffice) (fo v ab e a @r Plan C ) 3. FF FEES (paid at Building Division) Residential............ X $360.00 =$ Units Commercial (sq. ftg.)..... X $0.03 = $ _ Sq.Ftg. 4. URBAN AREA FEES (paid at Building Division) Residential (per unit)..... X = $ _ # Units Amt. Commercial (Sq. Ftg.).... X = $ _ Sq. Ftg. Amt. 5. RECREATION DISTRICT FEES (paid at Recreation District Office) (form available after Plan Check) 6. THERMALITO DRAINAGE DISTRICT FEES $510.00 (paid at Building Division) 7. SRA FIRE INSPECTION AND PLAN CHECK FEE $89.00 (paid at Building Division) 8. WATER TENDER FEES BATTALION # $200.00 (paid. at Building Division) 9. NORTH CHICO SPECIFIC PLAN (paid at Building Division) Residential Zone X = $ Zone # Units Amt. Commercial (sq. ftg.) ......... X = $ Sq. Ftg. Amt. 10. OTHER i At time of permit application, I was advised the above fees are required to be paid prior to issuance of the permit. These fees may be changed during 140pl4n checking Vocess. APPLICANT DATE Pursuant to Government Code Section 66020, you are hereby notified that items, 2, 3, 4, 5, 6, 8, 9, and 10 above may have been imposed on your project. You have 90 days from the date of approval of the project or from the imposition of the above mentioned items during which you may protest. The requirements for a protest are specified in Government Code Section 66020(a). Original -Building Division Yellow -Applicant Pink -Owner (rev. 2/2003) ,W-9 School District I A.P. Number 0,11 Property Owner Property Location/Address Subdivision Residential Development . CommerclaUlndustrial BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One form per Building) c S� Building Department No. Jurisdiction: City County ►/ C.U a No'of Living Units U,QWA lding Department Representative �r• 0�255g Lot No. ................... i.......................................................................................: 0 0 Sq. Footage Mobile Home Addition/ *Supplemental to (Group R) Installation Conversion Permit # '(No foundation inspection): Addition L (aVF (Floor Plans eviewad by School District Personnel) Sq. Footage (Including Exterior ^ Ro fed Areas) .Date. District Identification No. 069 6 15 UkX N l F 0 4vSchool District certifies that , (Applicant) (Street Address) (Phone Number) (City)V(State)' Qty (Zip Code)has complied with the requirements of Resolution No. dj��{�iV by payment of $ representingzsquare feet. B 29'2'61t� 11FULL/4ITIGATION S' '`01 fit School District Representative ✓ t t� : Date V Paid by Check # Remarks: 4-44> % li Notice: You may protest the imposition of the fees identified above by submitting a written protest to the District, in compliance with Government Code Section 66020(x), within 90 days from the date fees are paid. Failure to submit a timely written.protest will prohibit If you from challenging the imposition of the fees in any court action. .4f, 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. 7 White (applicant), Yellow (building department), Pink (school district) feeform.xls (10/98)dmm National Pollutant Discharge Elimination System (NPDES) Phase II & SWPPP Non -Certification for Project # for Butte County Storm Water Permit Compliance By signing below, I, the project architect/engineer of record, indicate that I am aware that a construction project that disturbs more than 1 acre of land requires a Construction Storm Water Permit from the State Water Resources Control Board. I, additionally, understand that it is the project owner's/owner's agent's responsibility to submit a Notice of Intent (N.O.I.), a Storm Water Pollution Prevention Plan (SWPPP) and a fee of $700.00 to the State Water Resources Control Board to obtain such a permit. I, further, certify that this project will not disturb more than 1 acre of land. I have also reviewed the Best Management Practices Handbooks, California Storm Water Quality Task Force, Sacramento, CA. I certify that appropriate BMPs will be implemented to effectively minimize the negative impacts of this project's construction activities on storm water quality. I acknowledge that it is my obligation to make the project owner and contractor aware that the selected BMPs must be installed, monitored, and maintained to ensure their effectiveness. If, at any time, site conditions and/or observations by a County official warrant reevaluation and revisions of the chosen BN2s, the appropriate changes will be made without unnecessary delay. I am aware that failure to properly implement and maintain the BMPs necessary to prevent the discharge of pollutants from this project during construction could result in significant penalties and/or delays. Signed: Title: m.. �- Date: By signing below, I, the project owner/owner's agent, certify that I am aware that a construction project that disturbs more than 1 acre of land requires a Construction Storm Water Permit from the State Water Resources Control Board and that it is my responsibility to submit a Notice of Intent (N. 0.1.), a Storm Water Pollution Prevention Plan (SWPPP) and a check for $700.00 made payable to the State Water Resources Control Board to obtain such a permit, if my project disturbs more than 1 acre of land. I, further, certify that this project will not disturb more than 1 acre of land. This document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified individuals properly gathered and evaluated the information submitted. Based on my inquiry of the person or persons directly responsible for gathering the information, I certify, to the best of my knowledge and belief that the information submitted is true, accurate, and complete. Signed: Title: /ae b� —nne .4 tl�141.- Date: meq_®jam NPDES & SWPPP Non -Compliance Certification Drift Butte County Stormwater Plan i. .W=-61?RMIT NO. 3021-78B PERMIT EXPIRES / r� {1 OWNER Vic Lopez CONTR. owner LOCATION (A.P. 22-08-9 ) i' End of dirt road 2/10 mi. W. -of Smith Ave., Biggs � � L c q Temp. Power Pole Called PG&E _ Temp. Elec. Serv.. Called PG&E . Temp. Gas Serv. _ Called PG&E _ JOB FINALED i c I aiucco COUNTY OF BUTTE." DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTIONAECORD Subpanels BUILDING BUILDING (Cont'd) PLUMBING Setback Firewall Soil Piping Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows- 3rd'Floor Stemwall Siding To out Slab Roof Sheathing Water Piping Piers Roofing Sewer Garage Fdn. Vents Fixtures Footin s Stemwa l l Garage Vents Insulation Water Htr. Heaters Slab Carport Footings Prov. for physically handica e. Conformance of ex. structure Appliances Gas Piping & Test Temp. Gas Slab Final Sanitation Patio FIREPLACE Final Footings Footing ELECTRICAL 'Masonr Walls Throat Rou h . Reinf. Steel Final F�Ynwc aiucco Final Subpanels Mesh MECHANICAL Grd. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final MOBILEHOMEUTILITIES ------------------ Elec. Service Elec. Pedestal Water Piping Sewer Gas Piping OBILEHOME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping in 9 DATE REMARKS OR CORRECTIONS (NOTE: An entry must be made on this form each time you visit the job site.) t. COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WO -KS /V 7 County Center Drive - Oroville, California 95965 Tel ephone: 534-4541 APPLICATION AND PERMIT ' BUILD NG Owner I V-vV6 SQ. FT. OCC. BUILDING VALUATION Mailing Address.30 I Pt%e 1 Telepho t Contractor Mailing Address Fireplace Total Valuation Telephone No. Permit Fee Building Address Plan Checking Fee&/or Penalty Permit Fee c � C t Q PLUMBING No, @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 x Repair drainage or vent piping 1.50 A. P. No. ��� © fa 1,3 Zoning & Planning Water piping 1.50 Each gas water heater or vent 1.50 F Fire Dept. Fire Zone Use Permit Gas piping system 1 -5 outlets 1.50 EQA Parking Plans Parcel Declaration Parcel Map 60' R/W Improvements Each additional outlet .30 Building sewer 5.00 d Parcel A royal Plans Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION UTILITIES ❑ OTHER Permit Fee $ $ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service 600v OR LESS 100 AMP OR LESS 5.00 Single Family Ltojo Duplex ❑ Mobil Home ❑ Others ❑ Main service EA. ADD•L 100 AMP 2.50 Main service OVER 25.00 100 AMPP OR LESS O Main service EA. ADD'L 100 AMP 1,00 NEW OR ADDNST % ACC. BLDGS.LING CCUP. 91 20Sq It / CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name st le of: y NEW CONSTR. RANCH CIRCUITS) NON-RESID BRANCH CIRCUITSI 2.50ea NEW CONSTR. POWER APPARATUS 8 NON RES SINGLE OUTLET CIR, 25 EX. OCCUD{OUTLETS OR FIXTIIRES I BAeLot EOFIXED APPLNS. OR Ex. CCUp•�2.00 OUTLETS (RESID.) EAJ Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 12 1 am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL Noi @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby Land Development Fee $ TOTAL PERMIT FEE $ d authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. x Date 711 Signature of Perm' e o •^Agent Receipt No. -7 y - White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF/P-OBLIC WORKS By Date 6-/- ZE _ B (ding permit expires Date �� %� NO. ra P> E> M ' � •HERMIT > PERMIT EXPIRES 4 v OWNER Victorino Lopez ,CONTR. OWne r 22-08-9 s LOCATION (A.P. ) AlEnd of dirt Rd. 2/10 mi.W.efMacend of Smith. Ave., Biggs -Q-:1 V T Temp. Power Pole Called PG&E Temp. Elec. Serv. Called PG&� �[J Temp. Gas Ser r: Called PGIE �O FINA E yv (Da ) �. (Signature) Im t -rami - IE Test Water Htr. • Stucco Final Subpanels Mesh MECHANICAL Grd. Fault Prot. Scratch Heating = Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lat Ventilation Permanent -,a Door Closer Final Final•' - 4� MOBILEHOME UTILITIES - - - - - - - - - - - - - - - - - - Elec. Service Elec. Pedestal Water Piping Sewer Gas Piping OBILEH ,ME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping DATE REMARKS OR CORRECTIONS ';Z- (o- -7 b ;PK D V 6 s4t .4 r�O ✓ J` pi -A W l "-a v i -3 C Lew.. �w t�� D,% e--)-.7 9 —,7 —7 �' �h.e 4 b © ✓47>LJ 1 (NO E. An entry mry' be m e on this form each time you visit the job site.) COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBING Setback .Z Firewall Soil Piping Forms Parapets 1st Floor �� { Main Bldg. Restroom Finish 2nd Floor Footings Windows 1 3rd Floor Stemwal I Siding To out - Slab Roof Sheathin Water Pi in �- 1^ Piers Roofing 7 f Sewer Garage Fdn. Vents Fixtures Footings Stemwal l Garage Vents Insulation Water Htr. Heaters C.— Slab Carp Footin Prov. for physically handica e. Conformance,of ex. structure App liances Gas Pipinq &Test Temp. Gas Slab I Final Sanitation Patio FIREPLACE Final S - `� Footings Footing E ECTRIC 14 IMasonr Walls ThroatRou h Reinf. Steel Final Fixtures Bond Beam �----- _ FIRE SPRINKLERS Motors t -rami - IE Test Water Htr. • Stucco Final Subpanels Mesh MECHANICAL Grd. Fault Prot. Scratch Heating = Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lat Ventilation Permanent -,a Door Closer Final Final•' - 4� MOBILEHOME UTILITIES - - - - - - - - - - - - - - - - - - Elec. Service Elec. Pedestal Water Piping Sewer Gas Piping OBILEH ,ME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping DATE REMARKS OR CORRECTIONS ';Z- (o- -7 b ;PK D V 6 s4t .4 r�O ✓ J` pi -A W l "-a v i -3 C Lew.. �w t�� D,% e--)-.7 9 —,7 —7 �' �h.e 4 b © ✓47>LJ 1 (NO E. An entry mry' be m e on this form each time you visit the job site.) F bL . F To: Building Department From: Enviro=ental health. P.eoar-d :g : Sewage and/or Water and/or Addition Clearance (s) I.� r _ E. ��Ci - OWC LOCATION A.P. No. Plans.are approved for: Sewage.Dispos&I -Water-Supply Hold un Final for: L�Cv��� t�Q�._� �Z:1ll �lQ_ Water SuPPly. AMi . itr FiT.al Clearance. OK for: n(home ��j 'dater Supply Cleara.^ce is for A� bedrooor mobile hose) .. Other Tia addition(s) will be rani t3ri.a.Z Date RES IDENT IAL ENERGY CONSERVATION STANDARDS CONSTRUCTION COMPLIANCE CERTIFICATE -THIS IS TO CERTIFY THAT ENERGY CONSERVATION REQUIREMENTS HAVE BEEN INSTALLED IN CONFO. CE �W/� TH CURRENT ENERGY CONSERVATION REGULATIONS AT 3s- L/ �� A JTTI��w.t O Wca't ion) BUILDING PERMIT NO. A.P. NO. THE FOLLOWING HAVE BEEN INSTALLED AS PER APPROVED PLANS: (Check each item or write N/A if not applicable) INSULATION: Slab Edge. Fdn.- Walls Floors Walls t/ Ceiling/Roof f/ Ducts Circulating Pipes APPROVED HEATER e1i/� APPROVED WTR.HTR. t - GLAZING: Single Glazed v Special (Insulated) CERT. & LABELED WDS. & SLIDING DRS. WEATHERSTRIPPED DRS. BACK DAMPERED FANS =� INTERMITTENT IGNITION DEVICES CERT. APPLIANCES 1� I DECLARE THAT ALL REQUIRED ITEMS AS NOTED ABOVE HAVE BEEN INSTALLED IN ACCORDANCE WITH THE ENERGY CONSERVATION REQUIREMENTS AND AGREE -TO THE COMPLETENESS OF THIS CERTIFICATE AS SUBMITTED. Insulation Applicator Name D GV N Cc VZ_ Signature of (please print) . Insulation Applicator State Contractors License No. General Contractor/Owner Name (/ 1L �( lc1U �t 2— (please (please print) Signature of ,> General Contractor/Owner v Date St a Contractors License No. THIS CERTIFICATE MUST BE ON FILE WITH THE BUILDING DEPARTMENT PRIOR TO REQUESTING FINAL INSPECTION.AND SHALL BE POSTED IN A CONSPICUOUS LOCATION WITHIN THE DWELLING. I COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT O. 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4 1 APPLICATION AND PERMIT ASSES O R 1Z BER - °— N N ZOG --)-- BUILDING PERMIT OW AD TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNE 'S MAIL,ING ADDR SS pQ I V Big CONTRACT OR - NAME �✓ ELEPHONE v` ' CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWNS Total Valuation $ Filing Fee $ 10.OQ LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee _ $ BUILDING ADDRESS -Ave- PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Repair drainage or vent piping 5.00 Water piping LOT NO. SUBDIVISION NAME_ EL MAP Rtyc Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF Duplex❑ Mobilehome❑ Other SPECIFY Building sewer Lawn sprinkler system 5.00 TYPE OF WORK New El Addition[RerJrodeI Utilities Installation❑ Other Describe work: �1�eAA2 �aoi — Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 5.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. ( DWELLING OCCUP.y\ OR ADDNS. ACC. BLOGS. / 20 sq ft CONTRACTORS LICENSE LAW I declare under penalty of perjury (Check one): ❑ I 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. 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 CON5TR -OU LET 2.5Oea NON.RESID BRA CH CIRCUITS) NEW CONSTR. POWER APPARATUS e NON.RESID. (SINGLE OUTLET CIR. / Ex. Occup(OUTLETS OR FIXTURES BAL21 FIXED APPLNS. OR Ex. Occup.(OUTLETS (RESID.) EA. 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 Permit Fee $ Contractor MECHANICAL PERMIT Filing Fee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare uner 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. _�l 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 shal I be deemed revoked. Heating Cooling, Hood 3.00 Ventilation Permit Fee S Contractor I certify that 1 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. 1 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 ,idrCounty in onse luence of the granting of this permit. �t X Date J ' — `— Signature of Applicant — O er Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ OCCUP. GROUP I TYPE OF CONST. I PARCEL PD HD SSUE This ermit is hereby issued under sio • f the Butte County Code and/or wo ndica ed bove for which °! TOR OF PUBLIC PERMIT EXPIRES Date the applicable provi- resolutions to do fees have _been paid. WORKS Dat 5-6-9/ 1 Receipt NO.,g WHITE-D.P.W., YELLOW -ASSESSOR, PINK'INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 ' Telephone: 534-4541 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property for'inspection purposes. X .. Date 6F— Signature -Signature of Permitee or Ag Receipt No. Q T 1 �' White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for whi ees have been p ' LECTOR OF LIC WORKS By Date 7 wilding permi expires Date t, BUILDING Owner 1` tgo -o SQ. FT. OCC. BUILDING VALUATION Mailing Address Q DSC ld, U �� LLo � / J Telephone No. - Contractor Mailing Address Fireplace Total Valuation Telephone No. Permit Fee • Building Address `�� a�,(� Plan Checking ee&/or Penalty Permit Fee p Z^V `'A19 VLE PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 �. Repair drainage or vent piping 1.50 A. P. No.a o'Z `— Zoning & Planning Water piping 1.50 Each gas water heater or vent 1.50 FKes' Fire Dept. Fire Zone Use Permit Gas piping system 1 -5 outlets 1.50 EQA Parking Plans Parcel Declaration Parcel Map 60' R/W Improvements Each additional outlet .30 Building sewer 5.00 _RldPl^^=-°-,-'d I Parcel Approval Plans Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER Permit Fee $ $ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 60ov OR LESS Main service 100 AMP OR LESS 5.00 Single Family Duplex ❑ Mobil Home ❑ Others ❑ Main service EA. ADD -L. 100 AMP 2.50 Main service OVER s 25.00 100 AMP O OR LESS Main service EA. ADD'L 100 AMP 1.00 NEW CONST DWELLING OR ADDNS. ACC. BLDGS.CCUP. %) 20 sq ft CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: NEW CONSTR BRANCHCIR-OUTLET NON-RESID (MULTI BRANCH CIRCUITS 2.50ea NEW CONSTR. (POWER APPARATUS 6 NON-RESID, SINGLE OUTLET CIR. Ex. Occup{OUTLETS OR FIXTURES B L01 FIXED APLNS OR Ex. Occup. ( OUTLETS P(RESID.I EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ MECHANICAL No. @ FEE WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. IiF I certify that in the performance of the work for which this W� permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby Land Development Fee $ TOTAL PERMIT FEE $ authorize representatives of the County of Butte to enter upon the above-mentioned property for'inspection purposes. X .. Date 6F— Signature -Signature of Permitee or Ag Receipt No. Q T 1 �' White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for whi ees have been p ' LECTOR OF LIC WORKS By Date 7 wilding permi expires Date t, COUNTY OF BUTTE — DEPARTMENT OF PUBLIC 'WORKS! 7 County Center Drive.. - Oroville, California 95965 • ^• is=" Telephone: 534-4541 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. 7 X Date Signature o Pefit o r Agent Receipt No. 1? ,,s� White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF BLIC WORKS By 1, — Date 6 a % B ilding permit expires Date 7 BUILDING Owner�-I n� _Z1 ic SQ. FT. OCC. BUILDING VALUATION Q Mai I i ng Address r \ le hone Contractor Mailing Address Fireplace r! , Total Valuation 3 Telephone No. Permit Fee Building Address 1 Plan Checking Fee&/or Penalty Permit Fee PLUMBING No. @ FEE PERMIT FILING FEE $3.00 , Each Trap 1.50 ®Li Repair drainage or vent piping 1.50 A. P. No. : .� n n g Water piping 1.50 Each gas water heater or vent 1.50 Fe S� Ion Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking Plans Parcel Declaration Parcel p 60R/W ' Improvements Each additional outlet .30 Building sewer 5.00 Bldg. P s Recd Parcel Approval Plans Lpoeroval Lawn sprinkler system 2.00 NEW ADDITION ❑ UTILITIES ❑ OTHER ❑ Permit Fee $ A. 9b$ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 aoo Main service 100VAMR OROR LESS 5.00 Single Family Eir Duplex ❑ Mobil Home ❑ Others ❑ Main service EA. ADD•L 100 AMP 2.50 Main service OVERe00v 25.00 100 AMP OR LESS Main service EA. ADD•L 100 AMP 1.00 NEW CONST DwEYLG OR ADDNS. ACC D CCUP. Ik) 20sgft r CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name st y le of: NEW CONSTR M LTI.OUTL T NON.RESID BRANCH CIRCUITS) 2.50ea NEW CONSTR. (POWER APPARATUS .&,' NON-RESID. SINGLE OUTLET CIR. EX. Occup{OUTLETS OR FIXTIIRES @� BAL@1 E x. Occu FIXED APPLNS. OR p•(OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 ®`I am exempt from the Contractors License Laws of the State of California. Permit Fee $ , $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued 1 shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE J$3.00 ,o Heating Cooling r Ventilation Hood 2.00 Permit Fee $ �Q $ 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 Land Development Fee $` ®^ TOTAL PERMIT FEE $ authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. 7 X Date Signature o Pefit o r Agent Receipt No. 1? ,,s� White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF BLIC WORKS By 1, — Date 6 a % B ilding permit expires Date 7 OWNER RESIDENTIAL PLAN CHECKING GUIDE (S.F., DUPLEY,,,-&~MISC. ONLY) / L Bldg. Permit #��' A.P. # X2.0—®A, 9 A. 'GENERAL oning requirements (sideyards and parking). S-/1! aluation. Signature by R.C.E. or Architect (if required). B. PLOT PLAN Complete parcel size and dimensions. 2o.00' Setback*, sideyards, easements, etc. Other buildings or structures. eeA,,z-o —0->— �� f Ct Grading, fills, drainage. C. FLOOR PLAN Complete to scale plan with dimensions. 1,5-11 _0V �°. Required windows for light and ventilation (Sec. 1405). Required windows for second exit (Sec. 1404). Allowable glazing for energy requirements (20% max. per.State law). 3 a- Human impact glass (Sec. 5406). .fes Required room sizes, ceiling heights (Sec. 1407). �7! G.F.C.I.'s in baths and exterior outlets (Sec. 210-8). Light fixtures, switches, receptacles, and exterior receptacles for maintenance of mechanical equipment. Locations of water heater, heating & cooling equipment, other electrical or gas equipment, and plumbing fixtures. 0 Garage firewall, door size, and closer (Sec. 503(d)(4)). 1 3'0" exterior exit door (Sec. 3303d). 1r2: Fireplace location. 1k. Smoke detectors (Sec. 1413). D. STRUCTURAL DETAILS Foundation plan complete enough to construct building. Floor construction details complete enough to construct building. Elevations and wall construction details complete enough to construct building. ,4! Roof construction details complete enough to construct building. Q. Fireplace construction details and calcs if over one-story in height. 6. Sufficient data and details to satisfy energy insulation requirements (State law). E. MISCELLANEOUS ITEMS TO LOOK OUT FOR d. CCX plywood on exposed locations and overhangs. KStairway details (Sec. 3305). Guardrail details (Sec..1716). Brick or stone veneer (Chapter 30). Exterior plaster -,weep screeds (Sec. 4706 & 4708). Proper roof pitch for roof covering (Chapter 32). Rafter ties or bearing ridge beam. '8_� Garage door or porch header sizes. Adequate bracing. A1011. Living area over garage - complete 1 -hour separation required including supporting ` walls and posts, etc. Two (2) exits on three-story dwellings (Sec. 3302). eount* q 3%dte OROVILLE, CALIFORNIA GENERAL CLAIM Vic ic Lopez ADDRESS: 2309 Lincoln St. CITY & STATE: Oroville, CA. 95965 IMPORTANT: June 1, 1978 SEE INSTRUCTIONS DATE OF CLAIM: ON REVERSE SIDE SUBMIT CLAIM TO DEPARTMENT RECEIVING GOODS OR SERVICES DATE DESCRIPTION OF CLAIM (DESCRIBE FULLY TO AVOID DELAY) AMOUNT Decided not to build. (Permit ,#2495-78B,P,E,M - Receipt #177046 - AP - Building permit fee ----- $104.00 Retain 3 of fee ------- 34.67 Amount of refund due -------------- $ 69.33 Plumbing permit fee ----- $ 12.00 a ng f e ------ Amount of refund due -------------- $ 9.00 Electrical permit fee --- $ 22.95 e a a tiling fee ------- . 00 Amount of refund due -------------- $ 19.95 Mechanical permit fee --- $ 8.00 e a n filing fee ------- 3.00 Amount of refund due -------------- 1 5.00 TOTAL REP= DUE ------------------ $103.28 $103128 TOTAL $103.28 I, theundersigned, declare under penalty of perjury that the services or articles claimed have been performed or delivered, and that this claim is true and correct as stated. Datedthis .................................. day of ............................. 19....... at................................. Calif..................................................................................... Signature of Claimant I, the undersigned, hereby certify that, to the best of my knowledge, the services or articles specified above have been performed or de- livered and that there is a Budget Appropriation ❑ or Specific Board Approval a (Check one) for the same. at June 78 Oroville Datedthis .................................... day of ............................. 19....... at .............................. . Calif..................................................................................... Department Head or Authorized Deputy Dept. Exp. Code............................................ Code ................................................PAYABLE FROM ......................................................... ...................... I............ FUND DO NOT WRITE BELOW THIS LINE - AUDITOR'S USE ONLY VENDOR CODE DEPT. & SUB. PROS. SUB. 0BJ. CLAIM NO. INVOICE NO. INVOICE DATE DISC. GROSS AMOUNT ENCUMB. SUB -DIST. INSTRUCTIONS to: -C.LA_IM_ANTS Ail claims against the county must be itpmiaed, giving dates and character of service rendered or work' performed,. _quantities; de-, scription and unit prices of articles_furtiEs.tiecl qt delivered. Claims must be certified by the claimant and submitted to the' De-- partment head for approval. Upon apgyoval the Department head will forward claim to Counti' Aud7itur -fdrpayment 0roceduR!,__ ",Do = '" not file with the County Auditor first. Claims should be presented to ,officials=for approval .immediately } upon -completion of services requested or material ordered. Claims are paid every Tuesday; however, same must be approved by officials and in Auditor's office before preceeding Wednesday noon. Compliance with above will expedite payment of claim, failure to do so may delay payment considerably. COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT auuwlIce reptesentnuves ut the 1.uunty of tSutte to enter upon ine above-mentioned property for inspection purposes. ie Date 7P Signature of Permitte/ee Age Receipt No. 0:70 T White-D.P.W. = Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PU—BLhC WORKS BY zf Date-7--- ilding permit expires Date M i BUILDING OwnerSO. C, r I T10 Z FT. OCC. UILDING VALUATION � � 0 Mailing Address Avle lephon 3 "L , Contractor Mailing Address r Fireplace ! Ir Total Valuation 23�, Telephone No. Permit Fee Building Address o..Z Plan Checking Fee&/or Penalty_ Permit Fee PLUMBING No. @ FEE PERMIT FILING FEE $3.00 -3,070 Each Trao 1.50 I Repair drainage or vent piping 1.50 A. P. N0. _� J Zo Zoning & Plannin Planning Water piping ; 1.50 Each gas water heater or vent 1.50 F s gaai-taU= I Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets) 1.50 EQA Parking Plans Parcel Declaration Parcel Map 60' R/W Improvements Each additional outlet .30 Building sewer j 5.00 Bldg. PldSK<.'d Parcel A roval • Plans -Apo oval Lawn Spr+nkler system 2.00 NEW ❑ A.99ITION YTILITIES,0 OTHER Permit Fee — ELECTRICAL No. @ FEE I PERMIT FILING FEE ' $3.00 00V OR,Main service 10000 AMP.ORSLESS 5.00 Single Family 20, Duplex ❑ Mobil Home"o Others ❑ Main service EA. ADD -L.100 AMP 2.50 I 600V T Main service 1100EAMP OR LESS 25.00 Main service EA. ADD'L 100 AMP 1,00 - NEW CONST. DW CCUP. B OR ADONS. ACC. D I. 2¢sgft , CONTRACTORS LICENSE LAW ! I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name St le of: I Y NEW CONSTR MU I. TLET NON.RESI. BRANCH CIRCUITS 2.50ea NEW CONSTR. (POWER APPARATUS d NON-RESID. (SINGLE OUTLET CIR. Ex. OCCUP(OUTLETs OR FIXTIIRES g L ,6 EX. OCCU FIXED APPLNS. OR p•(OUTLETS (RESID,) EAY 2.00 Temporary service f 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 JZI am exempt from the Contractors License Laws of the State of California. Permit Fee $ `JL, a. -L WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑ I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. IS7 I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's_ Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 3,®Q Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby Land Development Fee $ TOTAL PERMIT FEE $ t auuwlIce reptesentnuves ut the 1.uunty of tSutte to enter upon ine above-mentioned property for inspection purposes. ie Date 7P Signature of Permitte/ee Age Receipt No. 0:70 T White-D.P.W. = Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PU—BLhC WORKS BY zf Date-7--- ilding permit expires Date M i 1