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HomeMy WebLinkAbout022-202-00422-202-04 4201-89M EILAND, James ' Contr : "Mountain" Air 20 Hastings Ave, Biggs (replace furnace) a 3 I. 022-20-2-004 60=1997-. EILAND, KATHRYN 20 HASTINGS, S JIIEV� CONT: D OMERO CONST. A ANDICAP RAMP j_CS0E_b 022-202-004 — 06-2137"" NAYLOR,DUANE 20 HASTING AVE, BIGGS Cont: OWNER ADDITION(768 SQ FT) 2 - MISCELLANEOUS Electric Panel REPLACE ELECTRIC POLE 20 HASTINGS AVE NAYLOR,DUANE & HEATHER .BERRY, Lonnie ii359 _ Approx 250' West of 99E on Hastigs, --Gridley COMPLETE 8-6-62 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION (IVR): (530) 538-4365 OFFICE: (530) 538-7541 FAX#: (530) 538-2140 ONLINE PERMIT/RENEWAL PAYMENTS: www.buttecounty.net\dds PROJECT INFORMATION Site Address: 20 HASTINGS AVE Owner: Permit No: B08-1672 APN: 022-202-004 NAYLOR, DUANE & HEATHER Issued Date: 08/15/2008 BY AAM Permit type: MISCELLANEOUS 20 HASTINGS AVE Subtype: Electric Panel BIGGS, CA 95917 Expiration Date: 08/15/2009 Description: REPLACE ELECTRIC POLE (530) 868-5326 Occupancy: Zoning: A5 Contractor Applicant: Square Footage: OWNER NAYLOR, DUANE & HEATHI Building Garage Remdl/Addn 20 HASTINGS AVE BIGGS, CA 95917 Other Porch/Patio Total (530)868-5326 FEE INFORMATION DBE Single Phase Service-Resid $59.00 Total Charged: $59.00 Fees Paid: $59.00 Balance Due: $0.00 Receipt No: B8302 LICENSED CONTRACTOR'S DECLARATION OWNER / BUILDER DECLARATION Contractor (Name) State Contractors License No. / Class / Expires I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License OWNER / / 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 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 pursuant to the provisions of the Contractor's License Law [Chapter 9 (commencing with Section 7000) is in full force and effect. 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 X 08/15/2008 the applicant to a civil penalty of not more than five hundred dollars ($500]; Please check one of the following: Contractor's Signature Date 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 WORKERS' COMPENSATION DECLARATION OFFERED FOR SALE (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of the property, who builds or improves thereon, and who does I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: the work himself or herself or through his or her own employees, provided that such improvements ❑I HAVE AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR are not intended or offered for sale. If, however, the building or improvement is sold within one WORKERS' COMPENSATION, as provided for by Section 3700 of the Labor Code, for the year of completion, the owner -builder will have the burden of proof that he or she did not build or performance of the work for which this permit is issued. improve for the purpose of sale.). I HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by ❑ I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Professions Code: Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. The Contractors License Law dows not apply to an owner of the property who builds or improves My Workers' Compensation insurance carrier and policy number are; thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractors License Law.). Carrier: Policy Number. Exp. Date: (This section need not be completed if the permit is for one is dollars ($100) or less.) ❑ I AM EXEMPT under Section B. 8 P.C. for this reason: �1/ 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' X y 08/15/2008 rovisions of Section 3700 of the Labor Code, I shall forthwith comply with those Owner's Signature Date prz - pro ons. X 08/15/2008 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 Signature Date WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, 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 AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE injury, including death, and property damage caused arising out of, in any way connected with HUNDRED THOUSAND DOLLARS $100,000 , IN ADDITION TO THE COST OF COMPENSATION, ( ) the issuance of this permit. I hereby acknowledge thatt is issuance of this pea rmit does not authorize the DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte ATTORNEY'S FEES. County to enter the above mentioned property for inspection purposes. I hereby certify that I am the property owner or am authorized to act on the property owners behalf. v/+� 08/15/2008 CONSTRUCTION LENDING AGENCY 1 HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for Name of Permittee [SIGN] PNnt Date the performance of the work for which this permit is issued. (3097 civ. code) ❑ Owner El Contractor OR; DAgent for Owner Agent for Contractor FILE COPY Lender's Address City State Zip BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION* OFFICE #: (530) 538-7541 FAX #: (530) 538-2140 A FEE WILL BE REQUIRED AT TIME OF APPLICATION Website: www.buttecounty.net/dds PLEASE PRINT CLEARLY PERMIT NO. IW -1 BIN # "When filed, this application and all supporting material becomes subject to the California Public Records Act. All public information related to this application is subject to public inspection and will be posted on the County's website for electronic access. APPLICANT INFORMATION OWNER INFORMATION Last Nameiz /D TPIName C. Address Mailing Address afs�rn City- ' 5 StateC Zip Cl 5 Phone Fax Fax E-mail Uc. # APPLICANT INFORMATION CONTRACTOR Name city Address Zip City Fax State Zip Phone Fax E-mail Uc. # Class APPLICANT INFORMATION ARCHITECT/ENGINEER Name city Address Zip city Fax State Zip Phone Fax E-mail State License Number APPLICANT INFORMATION Name Address city State Zip Phone Fax E-mail APPLICANT SIGNATURE X PROJECT LOCATION AP# Property Address O •s City / a S CA cl 5 / r7 WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than licensed 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. Sq FT- Living Garage Open Cov ❑ Structure Built without.Permits ❑ Proposed Change of Occupancy (Note previous use): For office use only: Zoning Flood Zone SRA I Yes I No Occ. Type Const. I 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 OWNER -BUILDER INFORMATION An application for a building permit has been submitted in your name listing yourself as the builder of the property improvements specified. For your protection you should be aware that as "owner -builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: ° If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $500 or more for the entire project and such persons are not licensed as contractors or subcontractors, then you may be an employer. ° If you are an employer, you must register with the state and federal government as an employer and you are subject to several obligations including state and federal ° income tax withholding, federal social security taxes, workers/ compensation insurance, disability insurance costs, and unemployment compensation contributions. There may be financial risks to you if you do not carry out these obligations, and these risks are especially serious with respect to workers' compensation insurance. ° For more specific information about your obligations under federal law, contact the Internal Revenue Service (and, if you wish, the U.S. Small business Administration). For more specific information about your obligations under state law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through thier own employees, without a license contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractor is to secure an "owner -builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contacting the Contractors' State License Board's automated telephone information system at 1-800-321 -CLSB (2752) or by accessing thier website at www.CSLB.ca.gov. PLEASE COMPLETE AND RETURN THE ENCLOSED OWNER -BUILDER VERIFICATION FORM SO THAT WE CAN CONFIRM THAT YOU ARE AWARE OF THESE MATTERS. THE BUILDING PERMIT WILL NOT BE ISSUED UNTILL THE VERIFICATION IS RETURNED. OWNER BUILDER VERIFICATION PLEASE COMPLETE THIS FORM AS REQUIRED BY THE STATE OF CALIFORNIA (SENATE BILL NO. 831 EFFECTIVE JULY 1, 1980). NO BUILDING PERMIT WILL BE ISSUED UNTIL THIS VERIFICATION IS RECEIVED. I PERSONALLY PLAY TO PROVIDE THE MAJOR LABOR AND MATERIALS FOR CONSTRUCTION OF THE PROPOSED PROPERTY IMPROVEMENT. tjEaR NO) 2. I(HAVE/HAV NOT) SIGNED AN APPLICATION FOR A BUILDING PERMIT FOR THE PROPOSED WORK. 3. I HAVE CONTRACTED WITH THE FOLLOWING PERSON (FIRM) TO PROVIDE THE PROPOSED CONSTRUCTION: ADDRESS CITY. PHONE CONTRACTORS LICENSE NO 4. I PLAN TO PROVIDE PORTIONS OF THE WORK, BUT I HAVE HIRED THE FOLLOWING PERSON TO COORDINATE, SUPERVISE, AND PROVIDE THE MAJOR WORK: NAME ADDRESS CITY. PHONE CONTRACTORS LICENSE NO 5. I WILL PROVIDE SOME OF THE WORK BUT I HAVE CONTRACTED (HIRED) THE FOLLOWING PERSONS TO PROVIDE THE WORK INDICATED: NAME ADDRESS PHONE TYPE OF WORK Description: REPLACE ELECTRIC POLE Reference Number: B08-1672 Applicant Name: NAYLOR, DUANE & HEATHER Owner's Name: NAYLOR, &HEATHER AP h Signature of Property Owner: � 94 Date: 022-202-004 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 PROJECT INFORMATION Site Address: 20 HASTINGS AVE APN: 022-202-004 Owner: NAYLOR, DUANE & HEATHER Permit No: 06-2137 Issued Date: 10/16/2006 By KCG Expiration Date: 10/16/2007 Occupancy: Zoning: Permit type: MISCELLANEOUS Subtype: Room Addn-First Stry Description: ADDITION (768 SQ FT) 20 HASTINGS AVE BIGGS, CA 95917 (530) 868-5326 OWNER NAYLOR, DUANE & HEATHI 20 HASTINGS AVE BIGGS, CA 95917 (530)868-5326 I IFEE INFORMATION Fund 10 BLDG Room Addition - First Story SMIP - Residential $428.92 $643.39 $4.99 LICENSED CONTRACTOR'S DECLARATION Contractor (Name) State Contractors License No. / Class / Expires OWNER 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 force and effect. X 10/16/2006 Contractor's Signature Date WORKERS' COMPENSATION DECLARATION I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: ❑I HAVE AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR WORKERS' COMPENSATION, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑I 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; Cartier: Policy Number: Exp. Date: _ (This section need not be completed if the permit is or one hundred dollars ($100) or ❑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 X �(/��� ,� 10/16/2006 Signature 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 Building Garage Remdl/Addn 768 Other Porch/Patio Total 768 Total Charged: $1,077.30 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 Contractors 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 Contractor's 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.). E1. 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: X ,���/L�� 10/16/2006 Owner's Signature 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 Cou enter the above mentioned property for inspection purposes. I hereby certify that I am the e owner or am aed ad on the property owner'sAbe7�j�e,lf�.� " In .a,,,— 12,19 or 10/16/2006 Owner Contractor OR: Agent for Owner ❑Agent for Contractor FILE COPY u. BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT, APPLICATION AND SUBMITTAL REQUIREMENTS OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OFAPPLICATION Website: www.buttecounty.net/dds -3/*PLEASE PRINT CLEARLY" APPLICANT SIGNATURE X �•�� For office use only: OWNER IN ORMATION Last Name Type Const. 1 /Y I �V it Name Mailing Address City `, city N Zip Phone StatJ CA IZ / tZ Phone�0 (.C6 _S Lic. # Fax E-mail Y1G b'CS C') O APPLICANT SIGNATURE X �•�� For office use only: CONTRACTOR Name Type Const. 1 /Y I �V Address - 5 City State State Zip Phone E-mail Fax E-mail Lic. # Class APPLICANT SIGNATURE X �•�� For office use only: ARCHITECT/ENGINEER Name Type Const. 1 /Y I �V Address - 5 City State State Zip Phone E-mail Fax E-mail State License Number APPLICANT SIGNATURE X �•�� For office use only: APPLICANT INFORMATION Name Type Const. 1 /Y I �V Address - 5 City �� State Zir C - 7 P—ho ne53 v �S�4S l5 Fax E-mail Address APPLICANT SIGNATURE X �•�� For office use only: Zoning ,5 1Flood ZoneSRA vas o Occ. Type Const. 1 /Y I �V Subdivision Name Map Book Paget/ Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc PERMIT NO;21 �P -f ( PROJECT LOCATION Pro erty Address Ci .l�i Cro'ssStreet WORKER'S COMPENSATION FolicyNumber. Carrier - If 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 Descri t' in or Scope of Work: Sq�FT- Living:.t7 Garage Open Cov El' -�:Structure4l3uilt 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 Refu"ridscan 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. ReceiveT. b /amount: Bldg � t SRA Receipt'#."�� 1., t' I Sheriff SMIP Dafe: ' Other �� /�� n, qZ Total Page 1 of 2 _ S til,-(?;•.•;" REV 8-11-06 COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)5381214 PERMIT APPLICATION DATA SHEET OWNER:4-11116(,DUA ML, PARCEL ^ / 02 -0611 ASSESSOR NUMBER (J 6�2 Date: Proposed Building Use:. l . /l Permit Technician: Date: (K / / JL 9 Items required in order to apply fora permit. All boxes MUST be checked OR marked NA in order to apply. Date: rr 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by �. 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. Date: ❑ 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. Note transfer by: Date: x7 4. Engineered truss details and layouts in duplicate. No faxesl ❑ 5. Letter from Engineer or Architect for truss design review. 4f@- 6. Energy compliance design and supporting documentation in duplicate. ❑ 7. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 8. Manufactured homes: (A) Installation manual, including marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. ❑ 9. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate. ❑ 11. Letter of intent for non-residential buildings ❑ 12. Hazardous Material Form �. 13. Acknowledgement of building permit application without required clearances. ❑ 14. Other ,Remaining items needed to issue the permit. (May require additional plan review, upon receipt of the following items.) r -Orr 15. Sanitation and site plan approval from the Environmental Health Department in ❑ Chico ©-Ofoville, as applicable-![( I 16. Fire Sprinklers............................................................................................ O 17. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by Cl 18. Soils Report and/or Engineered Foundation required ........................................... 1e 19. Erosion Control Plan Required........................................................................ 20. Fees as shown on the attached Schedule of Fees Due Sheet .............................. ❑ 21. City of Chico Plumbing permit........................................................................ ❑ 22. Site plan and business license approval from the City of Biggs .............................. 23. California Department of Forestry plan approval ❑ paid. Sent by: ,�K 24. Planning approval for (A) Use: Or, (B)Parking: (C) Parcel Check:.�.......� ❑ 25. Contact Land Development about _ Improvements, _ Drainage ........................ 26. NPDES Form............................................................................................... jv 27. Encroachment Permit for driveway from the Public Works Dept ........................... 28. Contractor's license information. (Number, Name Style, Classification) ................... ❑ 29. Worker's Compensation Carrier d Policy Number .......................................... 30. Owner -Builder Verification ( Given to owner, _Mailed to owner) ..................... ❑ 31. Letter of Signature authorization.................................................................... ❑ 32. Recorded copy of Agricultural Acknowledgment Statement ................................. ❑ 33. Existing violations and/or expired permits......................................................... ❑ 34. Deed Restriction.......................................................................................... ❑ 35. ❑ Legal description, ❑ M.H. Title, title search, registration or MCO ......................... ❑ 36. Other: ❑ 37. Other: When issued Telephone 1� :3 42-C1wfigi and hold for pickup. I have been,informed of the above items/and requirements for obtaining a building permit. Applicant'. �� r-L� `� Date: 1. Index permit application for the above i ems numbered: Plan Check Let r 2. Additional ite ed % Contractor, desi er, owne as advised of the above data by phone, ❑ mail, ❑ counter, by Date: Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Plans reviewed by: DRQ Date: ZZ- c c, Plans approved by: !Z� fi C- Date: Structural reviewed by: Date: Structural approved by: Date: Note transfer by: Date: Yellow: Building Division E.N. PE ONLY Piot Ren Attached " v Floor Plan AttacAod- $umSent to ®.D. COUNTY. " Z% TO: Building Department SEP 1 3 2005 131c\'b- ab FROM: Environmental Health DEVELOPMENT SUBJECT: Sanitation Clearance SERVICES Owner Location AP# Pian Approved for: Sewage Disposal WateSupply: Public Private Wejl Clearance for dwelling. Other fjCSS- i Hold final for: Final clearance O.K. for: NOTE: Environmental Health Specialist Date 8/96 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE, CA 95965 www.buttecounty.net/dds PHONE (530) 538-7541 FAX 538-2140 RECEIPT OF FEES SCHEDULE - RESIDENTIAL Owner NAYLOR, DUANE APN No: 022-202-004 Permit Type: Subtype: App Date: 9/6/2006 Permit No: BP 06-2137 Permit Desc: 41.1 1 BUILDING PERMIT FEES ESTIMATED AT APPLICATION . $1,072.31 Plan Check portion of Permit Fee $428.92 $643.39 Balance of Building Permit Fee 2 FEMA BYes Flood Elevation Review $109.98 0 jI 3 SRA* Yes Fire Plan Check - Non -Refundable $95.00 0 (State Responsibility Area) Building Inspection $109.98 0 1 - $204.98 NON-REFUNDABLE portion of fees due at application $428.92 RECEIPT DATE Tech/Asst FEES DUE AND PAYABLE AT TIME OF PERMIT APPLICATION 771 Comanche Creek $8,341 $428.92 461211 9/6/06 Tammie FEES (BELOW) DUE PRIOR TO ISSUANCE OF PERMIT 773 Big Chico Creek $6,776 X48.38 4 Balance of Building Permit Fees (from No. 1 above) 776 Mud -Sycamore Creek $6,275 $643.39.`� �`��`�' 5 SMIP* - Strong Motion Instrumentation Program (Enter amount from permit system) $4.99 0 I a l l 6 Additional Plan Check Fees (NON-REFUNDABLE) PROOF OF PAYMENT OF FEES (BELOW) MUST BE RECEIVED PRIOR TO ISSUANCE OF PERMIT. Forms will be prepared after plan check is completed for applicant to take to respective district office. 7 Other*: 7a Other*: 8 IMPACT FEES - RESIDENTIAL* Per Dwelling Per Dwelling Per Dwelling Applications After 04/15/06 ,>F SFD MFD u MH County 4249.11 3183.54 3238.72 Chico Urban Area 6146.23 4538.82 5648.44 EI Medio Fire District 3249.97 2385.76 2422.68 North Chico Specific Plan A SR -1, SR -3, SR-1/PD 8801.091 7395.041 8486.40 �c R-1 8897.09 7491.04 8582.40 °c R-2 8390.09 6984.04 8075.40 R-3 7604.09 6198.04 7289.40 RECEIPT DATE Tech/Asst Processing Fee is automatically added to impact fee total 0 $100.00 9 WATER TENDER FEE (Not collected when Impact Fees Applicable) Enter Bat.# $200.00 DRAINAGE FEES* 10 10a 11 11a CHICO STORM DRAINAGE MASTER PLAN 770 Butte Creek $7,997 RECEIPT DATE Tech/Asst 771 Comanche Creek $8,341 New construction, vacant land, on 1 acre or less - Enter 1 or less acre value 772 Little Chico Creek $9,088 773 Big Chico Creek $6,776 774 Lindo Channel $8,267 775 SUDAD Ditch $7,211 776 Mud -Sycamore Creek $6,275 777 PV Ditch $8,893 More than 1 acre, existing buildings - fees to be assessed by Public Works Fee Determination Sheet Needed - Enter amount determined by PW THERMALITO DRAINAGE AREA 1 $684 Maximum Per each new living unit on existing lots where full drainage fees have not been paid Temporary Dwelling I $136 At time of building permit $136 annual renewal fee for first 4 renewals. Not to exceed $684. PROOF OF PAYMENT OF FEES (BELOW) MUST BE RECEIVED PRIOR TO ISSUANCE OF PERMIT. Forms will be prepared after plan check is completed for applicant to take to respective district office. 12 SCHOOL DISTRICT FEES* Biggs 057 12a RECREATION DISTRICT FEES* At the time of permit application, I was advised the above fees are required to be paid prior to issuance of the permit. These fees may be changed during the plan checking process. Applicant �44Date: ef- C-06 Pursuant to Government code Section 66 20, you are hereby notified those Items followed by an "* may have been imposed on your project. You have 90 days from the date of approval of the porject or from the impostion of the above referenced items during which you may protest. The requirements for a protest are specified in Goverment Code Section 66020(a). K:/Building/Forms/Schedule of Receipt Fees Residential 041506 �g-WENr 6UTTF O o O 0 0 C'0 U 1,1 p�eIL C WOP�� Department (' n u n t J. Michael Crump, Director of Public Works LAND DEVELOPMENT DIVISION storm Water Management Program 7 County Center Drive oroville. CA 95965 (530) 53&7266 (FAX) 538-7171 National Pollutant Discharge Elimination System (NPDES) ' Phase II Construction Storm Water Permit and Storm. Water Pollution Prevention Plan (SWPPP) Acknowledgement [LESS THAN 1 ACRE1 Project Description: Project Location and/or Parcel Nunbe r: � -" By signing below, I, the project owner/owner's 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 build -outs of less than one acre but when combined with subsequent phases total more than one acre of disturbed soil will require a Construction Storm Water Permit from the State of California Regional Water Quality Control Board. 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 a project that disturbs one acre or more of land may result in revocation of grading and/or other permits or other sanctions provided by law. Signed: Title: 0 L-1> t-7e'r - ---. Date- Butte County Department o.f Development Serwces 0 1"'." ° 7 County Center Drive ,::� ` r C Oroville, CA 95965 aid (530) 538-7601 Telephone °c„_ may° (530) 538-7785 Facsimile uKt BUILDING PERAUT APPLICATION WITHOUT REQUIRED CLEARANCES I request and authorize the Building Division to process this building permit application through the plans examination process WITHOUT first obtaining all necessary, related permits and clearances from other regulatory entities, including but not limited to, Planning, Environmental Health, Land Development, County Fire, and Agriculture. I hereby acknowledge: I need to submit applications for septic and/or well to Butte County Environmental Health immediately. I ant required to bring the approved Environmental Health site plait and approved sanitation clearance to the Building Division as soon as clearance is obtained I am responsible for notifying Development Services, in writing, to stop processing of the application and to arrange for disposition of plans. f, The Building Division will process the application through the plans examination process, as submitted, without input from other regulatory entities that could prohibit issuance of the building permit or require submission of amended building plans to the Building Division. Once the plans examination process begins, there will be no refund of plans examination fees. Any changes requiring submission of amended plans to the Building Division will incur additional fees. Within one year from the date of application for a building permit, all other required permits and clearances from other entities must be obtained for the permit to be issued. Failure to obtain these permits/clearances will void the application. Typically other required permits/clearances include, but are not limited to, verification the parcel was legally created, adherence to -all mitigations and conditions imposed on the parcel at time of creation, as well as zoning requirements, legal access, and applicable set -backs and environmental issues (fire, agriculture buffer zones, and habitat/species). Please print: IOVA -Le, AJA �'IOV Applicant Name: Building site address: a 6 Ha CA APN: to Permit No.: .0 I have read, understood and accept the terms and conditions as expressed herein as indicated by my submission of the above -referenced building permit application and my signature below: -�-off SIGNATURE OF APALICANT DATE OWNER -BUILDER VERIFICATION Attention Property Owner: ?�*& - 2 /,,37 An "owner -builder" building permit has been applied for in your name and bearing your . signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. - I personally plan to provide the major labor and material for construction of this proposed property improvement: YES [.X ] NO 2. I HAVE U( ] HAVE NOT [ ] signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: NAME: _ ADDRESS: PHONE: CONTRACTOR'S LICENSE NO: 4. I plan to provide portions of the work, but I have hired the following person to coordinate, supervise, and provide the major work: NAME: _ ADDRESS: PHONE: CONTRACTOR'S LICENSE NO: 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: NAME ADDRESS PHONE TYPE OF WORK SIGNED: PROPERTY OWNER: DATE: q- O NOTE: This Owner -Builder verification is required by Section 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. Rev'd 11/4/2004 Butte County Department of 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 www.buttecounty.net/dds OWNER -BUILDER INFORMATION Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of the property improvements specified. For your protection you should be aware that as "owner -builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that your plan to subcontract, you should be aware of the following information for your benefit and protection: o If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $500 or more for the entire project and such persons are not licensed as contractors or subcontractors, then you may be an employer. o If you are an employer, you must register with the state and federal government as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers' compensation insurance, disability insurance costs, and unemployment compensation contributions. o There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to workers' compensation insurance. o For more specific information about your obligations under federal law, contact the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under state law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractor is to secure an "owner -builder"' -building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to -be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contacting the Contractors' State License Board's automated telephone information system at 1-800-321-CSLB (2752) or by accessing their website at www.CSLB.ca.gov. Please complete and return the enclosed owner -builder verification from so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. Sincerely, Oto Scott Rutherford Manager, Building Diviion NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code. artment-of-t-Public Works 0 0 � a C o u n t y o f B u t t e O O 7 County Center Drive Oroville, CA 95965 0 ��y O J. Michael Crump, Director (530)538-7681 (FAX) 538-7171 p 5 �BLlC WoF,� Shawn H. O'Brien, Assistant Director, Assessors Parcel Number: ZZ.- 2,1)2 Building permit Owners Name: Owners Mailing Address: Property Address: _ ENCROACHMENT PERMIT ACCEPTED: PERMIT NUMBER: ENCROACHMENT PERMIT EXEMPTION: . Reason for exemption: [] Not a County maintained road Existing driveway conforms to County S-31 standard Other Approved by Printed Name Title Date CONDITIONS FOR EXEMPTING A DRIVEWAY PERMIT An existing home with a driveway 10 years or older and doesn't cause any problems with the county road or drainage. 2. An existing home with only minor remodeling or repairs. School District �\ A.P. Number Property Owner Property Location/Address Subdivision BUTTE COUNTY SCHOOLS IMPACTTEE CERTIFICATION FORM (One form per Building) Building Department No. Jurisdiction: City County Residential Development = Q No of Living Mobile Home Units Installation i. Commercial/Industrial 0 0 New Addition Building Department Representative Lot No. 0 *Supplemental to Permit # '(No foundation inspect Sq. Footage (Group. R) - .. - T :I% ,. . - --­ -4 7 Deed Restricted Sq: -Footage (Attach a signed copy of Deed Restriction and Notice of Limited Use Facility document) Sq. Footage (Including Exterior Roofed Areas) as-�� Date District Identification No. Q Vp 1School District certifies that V�' )(I( Now' o -r (Applicant) Address) K_--) i (City) (Phone Number) "591 (Zip Code) 2 , C lel .6 representing has complied with the requirements of Resolution No. �j by payment of $ representing �D� square feet.'MATION $ $ District Representative Paid by Check # Remarks: Date Notice: You may protest the imposition of the fees Identified above by submitting a written protist to the District. In compliance with Govemment Code Section 66020(a), within 90 days from the date fees are paid. Fallure to submit a timely written protest will prohibit you from challenging the Imposition of the fees In any court action. K, 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 nNewed under the California Environmental Quality Act (CEQA), this project may be subject to additional school fans to fully mitigate Its Impact on the school d"Ict's schooft. White (school district), Yellow (building department), Pink (applicant) feeformide (3MSWnm, COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 1X'_/ / q✓_ 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 t (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 1 ZONING BUILDING PERMIT OWNER el I TELEPHONE SO. FT, OCC. BUILDING VALUATION OWNERS MAILING 4DORESS JV CO CTOR'S NAMt TELEPNONE COMRACTORS U D S� �. 110 CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. —Filing Fee $ 20.00 Permit Fee $ S—. 04, ARCHITECT OR ENGINEERS MAILING ADDRESS Plan CheckingFee $ BUILDING ADDRESS Energy Pian Checking Fee $ $ PERMIT FEE $ gLOT NO. SUBDNISgNS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE p,� SF 1, Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat um water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New O Addition Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: Gas piping system 1 - 5 outlets 15.00 Buildina sewer 15.00 Mobile HomeS G W.___@2_0.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service 600v DR LESS 200A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason 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. ❑ 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 permitis issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 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 provisions. X Date Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 5'0° deep and demolition or construction of structures over 3 stories in height. ^ Main Service 200A TO 1000A 46.00 NEW CONST. OWEILING OCOUP. SO OR ADONS• 8 ACC. BLD S. 3.5QFT. NEW CONS MULTI.OUTLET NDN REBID. @7.50 PowER APPARATus a SINGLE ounET CIR. Ex. OCCU oLmETORFaruREs BAS°':50 Ex. Occup. GurL ESS.6.FIXEDAPPLNSD� 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirina 23.00 PERMIT FEE _ MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEi= $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ KAZ. I D PEs IMA nooD I CDF I PARC I PD HD SSUE This permit is hereby Issued under of the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. Date Date Receipt No. WHITE-D.D.S.•8. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD•APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541 PERMIT APPLICATION DATA SHEET OWNER: - ASSESSOR PARAbesu UMBER: O Proposed Building Use: Building InspectorDate: At time of permit application, I was advis d the following data musmittedprior to pe processing and/or issuance: Date Received By ❑ 1. All items have been submitted .------------------------------------------------------------------------------------- MPlot plans,) sets, signed by the preparer of plans. ------------------------------------------------------------ W,/Complete plans,39 sets, signed by the preparer of plans. ----------------------------------------------------- 04. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans. -------- ❑ 5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! ------------------ 06. Energy Design Compliance and supporting documentation. ---------------------------------------------------- 117. --------------------------------------------------- ❑7. Statement of Intent for Non -Heated and A/C Buildings. --------------------------------------------------------- ❑ 8. Hazardous Material Form. ------------------------------------------------------------------------------------------ ❑9. Manufactured Home data and installation instructions including Tie Down Specifications .------------------ ❑ 10. Fees of $------------------------------------------------------------------------------------- ❑ 11. Impact fees as shown on the attached schedule. ------- ❑ 12. California Department of Forestry plan approval/fees. �- El 13. Flood elevation certificate. --------------------------------------------- V - 1sY14. Sanitation and plot plan approval 6 7361 Health Department. ❑ 15. City of Chico plumbing permit. --------------------------------------- ❑ 16. Plot plan and business license approval from the City of Biggs. --- ❑ 17. Planning approval for (A) Use: (B) Parking: ❑ 18. Contact Land Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel. ----------------------- 1119. ---------------------- ❑19. Encroachment Permit for driveway (construction approval prior to occupancy). ---------------------------- 020. Pre -inspection for I required Request to Building Inspector on 021. Contractor's license information. (Number, Name Style, Classification). ------------------------------------ 022. Workers' Compensation carrier and policy number. ----------------------------------------------------------- ❑23.Owner-Builder Verification (Given to owner ❑, Mailed to owner 0) - -------------------------------------- ❑ 24. Letter of signature authorization. -------------------------------------------------------------------------------- ❑25. Recorded copy of Agricultural Acknowledgment Statement. -------------------------------------------------- 026. Letter of intent on building use. -------------------------------------------------------- -------------------------- ❑27. Manufactured Home utility clearance. --------------------------------------------------------------------------- ❑28. Existing violations and/or expired permits. ---------------------------------------------------------------------- ❑29. ❑433 A, ❑Grant Deed, ❑ M.H. Title, ❑ Check to H.C.D $ . --------------- ❑30. Other: (Date) Wh you issue the permit, process as follows ❑ Mail to owner, ail to tractor. ell and hold for pickup at i�%/ office. ❑ Deliver with inspector. Applicant: Date: SIO O� Copy of Haz-Mat form sent ❑ Health Department, o Fire Department, El Air Pollution Date: By: Copy of plans sent o Health Department, o Fire Department, ❑ Other: Date: By: 1. Index permit application for the above items num ed: ❑ Plan Check List 2. Additional items required: a Contractor, designer, owner, was advised of the above required data by o phone, o mail, o Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by o phone, o mail, o Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by o phone, o mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, o mail, ❑ Building Division counter, by Date: Plans reviewed by: Date: Plans approved by: Date: Sets of plans on hold in o Plan Cabinet, ❑ A.P. folder. Note transfer by: ate: Yellow Copy - Department of Development Services, Building Division.�� COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES BUILDING DIVISION NOTICE Post this job card in a safe, conspicuous place. Do not remove until all required Inspections are made and building Is approved for occupancy. Plans must be I-- __ - ISL -S.- (022'20'2=004 00-1077 A.P. No. _II,EILAND, KATHRYN Owner. 120 HASTINGS, BIGGS� CONT: DION ROMERO CONST. Contractc'ADD HANDICAP RAMP Permit Ni. — Erl:--s PERMITTEE MUST CALL FOR INSPECTIONS INSPECTION DATE INSPECTOR )Footings Piers Conduit Pre-Gunite Underfloor Plumbing Underfloor Electrical Underfloor Mechanical Underfloor Framing Slab Rough Electrical Rough Mechanical Framing Shower Pan €po Insulation Di Fireplace Footings Fireplace Throat » D. N" Stucco Lath Scratch and Brown -Sewer Service Water Service Pool Final Plumbing Final Electrical Final Mechanical Final Buildina or M.H. Final DO NOT OCCUPY UNTIL ALL THE ABOVE IS SIGNED AND THE BUILDING OR MOBILE HOME IS APPROVED FOR OCCUPANCY g::. >::> oriinaior::>:::<24-Hr...ln _::: .................... ......................._............ Oroville - 7 County Center Drive 538-7541 538-7636 Chico - 411 Main Street 891-2751 891-2834 Revised 7/94 NOTES i 022-20-2-004 -00-1077 I EILAND,KATHRYN 20 HASTINGS, BIGGS CONT: DION ROMERO CONST. ADD HANDICAP RAMPS RESIDENTIAL 022-20-2-004 00-1077 PERMIT NO. _.EILAND, KATHRYN„_ _- 20 HASTINGS, BIGGS CONT: DION ROMERO CONST. ADD HANDICAP RAMP 11 SPECIAL CONDITIONS 11 SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER JOB FINALED (Date) Signature CHECKED BY ./ = OK 4. 0 = Not OK 2. - = Not Applicable MOBILE HOMES = Not Ready. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails Date MOBILE HOME UTILITIES (Plans) OK except #'s 5. 1. Zoning Requirements -Setbacks -Easements Well Clearance & Disconnect 2. Soils; Special MH Support Sketch 8. 3. Sewer; Location -Test -Fall -C/O -Concrete MISCELLANEOUS Date DECKS, COVERS, CARPORTS GARAGES (Plans) OK except #'s 4. Water; Location -Test -Easement Needed (Sketch) 2. 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 6. Gas; Location -Test -Wrap;-/ /" L'ft. / /'Nat. or/ /"L"ft./ /'LPG 5. 7. Well Clearance & Disconnect Carports; Windows -Doors 8. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s Setbacks -Easements 1. Zoning Requirements -Setbacks -Easements Soils; Compaction -Structure Stability 2. Footings; Size -Spacing -Marriage Line Pool Structure; Steel -Connections -Thickness Dead Men -Lining 3. Gas; MH Test -Demand -Valve -Connector Elec.; Receptacles and Lighting, Distance-GFI 4. Electricity; MH Test -Crossovers -Breakers -Clearances Elec.; Pool Lighting; 15 Volts-GFI 5. Drain; MH Test -Fall -Flex Connector Elec.; Enclosures; Conduit Entries -Terminals -Listed 6. Water; MH Test -Regulator -Connector Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 7. Water and Sewer Connected -C/O to Grade -HD Approval Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosures -Pan elboards-Ins. to Main in Conduit 8. Gas and Electricity Tagged Health Department Approval 9. Tie Downs -Type -Installation Cert. Plumb.; Cir. Test -Water Supply Test 10. Exits; Insp.-Sketch Light Niche 11. Cert. of Occupancy 12. Permanent Foundation Only; License Decal Date Date 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 FINAL (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosures -Pan elboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 V= OK 0 = Not OK - = Not Applicable = Not Ready RESIDENTIAL (%4 Date Underfloor (Plans) OK except #'s Hangers -Post Caps -Anchors -Connectors 1. Zoning -Setbacks -Easements -Flood -Slope Cling. Joist-Rftr. Ties-Purlin-RoH Brac.-Truss-Shting.-Ring. 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth Fireplace Ties or Type A Flue -Fireplace Throat Clearance 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 5. Stemwalls, Main; Steel-Blockouts-Wrapped Garage Fire Protection Framing 6. Stemwalls, Garage; Steel-Blockouts-Wrapped Property Line Firewall & Openings 6a. Hold Downs and Special Anchors Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 7. Slab, Steel -Wrapped Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 8. Piers -Fireplace Ftg.-Steel Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test Siding -Nailing Veneer 10. UF, Gas Pipe; Size Anchors - Yard Gas Piping; Size Test Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 11. Water Pipe; Test -Anchors -Regulator -Service Test Glazing Area -Glass Protection -Skylights -Plastic 12. Electric Underground Shear Walls; Nailing -Bolts 13. Plenums & Ducts; Clearance -Material -Support -Ins. Brace Interior/Exterior Wall Panels 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies Insulation -Walls -Ceilings 15. Access & Ventilation Infiltration -Walls -Windows 16. Insulation Date Date Date Card B-1 Date Card B-1 Date Date Card B-1 Date Card 8-1 Date PLUMBING (Permit) OK except #'s Ext. Steps -Door & Sidelight Protection -Landings 17. Water Htr.; Vent -Access -Combustion Air Baffle Smoke Detector 18. Water Pipe; Test & Anchor -Nail Protection Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor -Ducts -Mach. Protection 19. D.W.V.; Test Fittings & Anchor -Nail Protection Bedroom Exiting 20. Shower Pan; Test, First Floor -Tub Access G.F.I. & Bath Fixtures & Tub Access -Spa 21. Test Tub & Shower, Second Floor -Tub Access Elec. Trim & Subpanel, Breaker Sizes & Labels 22. Gas Pipe; Sixe & Anchors Stairs & Rails 70. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s Elec. Outlets & Receptacles at Kit. Counter 23. Fixture & Transformer Clearance -Ins. Protection Garage Fire Door; Swing -Landing -Closure 24. Elec. Receptacles Spacing -Lights & Switches at Doors A.C. Duct in Garage -Damper 25. Size Boxes & No. of Conductors Stapled Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 26. Romex Installed Close to Edge of Studs & C.J. Plb., Elec. & Mech. Equip. Listed for Location 27. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water Elec. Receptacles in Garage (F.F.I.)-Romex Protection 28. 2 Appliance Circuits in Kitchen & Conductor Size GFI Insulation -Foam -Looked in Attic 29. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or AI Guard Rails & Deck Construction -Post Caps 30. Range Circle / / ga Cu or AI -Oven Circ. / / ga Cu or At Insulated Neutral C) Yes ❑ No Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth 31. Service -Riser Conductors & Ground Main Disconnect Clearance Looked under Floor O Yes 32. Equip. Clearances Panels-Motors-Mech. Equip. Following Insild./Drive Q Yes i7 No/Walks ❑ Yes ❑ No/Planters Yes 0 No 33. Clothes Closet Light -Shower Light -Spa Light Stucco Brown -Finish 34. Smoke Detector A.C. Unit Disconnect, Electrical -Plumbing 85. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s Ventilation Throughout House 35. A.C. Ducts Insulation & Support Glass Protection 36. Vent Fan, Exhaust above insulation Corrections from Previous Inspections 37. Condensate Drain & Overflow, Size & Grade Gas Test -Meters Tagged, Gas -Electric 38. Furnace -Vent Access -Comb. Air -Return Air Vent 115 outlet Water & Sewer Connected -C/O to Grade -HD Approval 39. Attic Access & Platform if Furnace in Attic Energy Compliance Certificate -Other Certificates 94. Address Posted Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s Date 40. Sits Proper Materials & Anchors Comments at Final: 41. Walls Studs -Nailing Spacing & Braces -Plates -Sound 42. Bearing Walls over Girders & Floor Nailing 43. Draft Stop in Walls (rat proof) 44. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 45. Headers & Beams -Size & Bearing jingle & Duplex) Date FRAMING (Continued) 46. Hangers -Post Caps -Anchors -Connectors 47. Cling. Joist-Rftr. Ties-Purlin-RoH Brac.-Truss-Shting.-Ring. 48. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 49. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 50. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 51. Garage Fire Protection Framing 52. Property Line Firewall & Openings 53. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 54. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 55. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 56. Siding -Nailing Veneer 57. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 58. Glazing Area -Glass Protection -Skylights -Plastic 59. Shear Walls; Nailing -Bolts 60. Brace Interior/Exterior Wall Panels 61. Insulation -Walls -Ceilings 62. 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 63. Ext. Steps -Door & Sidelight Protection -Landings 64. Smoke Detector 65. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor -Ducts -Mach. Protection 66. Bedroom Exiting 67. G.F.I. & Bath Fixtures & Tub Access -Spa 68. Elec. Trim & Subpanel, Breaker Sizes & Labels 69. Stairs & Rails 70. Fireplace or Stove, Clearance -Hearth 71. Elec. Outlets at Wood Panel, Int. & Ext. 72. Kit. Fixt. & Appliance; Ground -Air Gap -Cooking Clearance 73. Elec. Outlets & Receptacles at Kit. Counter 74. Garage Fire Door; Swing -Landing -Closure 75. A.C. Duct in Garage -Damper 76. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 77. Plb., Elec. & Mech. Equip. Listed for Location 78. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 79. Insulation -Foam -Looked in Attic 80. Guard Rails & Deck Construction -Post Caps 81. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor O Yes 82. Following Insild./Drive Q Yes i7 No/Walks ❑ Yes ❑ No/Planters Yes 0 No 83. Stucco Brown -Finish 84. A.C. Unit Disconnect, Electrical -Plumbing 85. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 86. Water Well, Disconnect, Electrical, Plumbing 87. Exterior Elec. Trim, G.F.I. Receptacle -Underground 88. Ventilation Throughout House 89. Glass Protection 90. Corrections from Previous Inspections 91. Gas Test -Meters Tagged, Gas -Electric 92. Water & Sewer Connected -C/O to Grade -HD Approval 93. Energy Compliance Certificate -Other Certificates 94. Address Posted 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: COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-754iff I DEI TI. (Rev. 12/96) APPLICATION AND PERMIT " / ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT OWNER TELEPHONE SO. FT. OCC. BUILDING VALUATION . OWNERS MAILING ADDRESS CONTRACTOR'S NAME TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling 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 gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G W @20.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 800VOR LESS Main Service A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION 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 kII force and effect. _ _ License Class Lic. No. _b 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 Mein Service To 46. 00 WEE200A CCU000A NEW CONST. DWELLING OCCUP. OR ADDNS. ( & ACC. BLDS. so SO 3.50FT. CONS9 ►N,O.R.'. MULTI -017317 @7,50 OWEEAPUUS SINGROACIR. Ex. Occup. OUTLET OR FIXTURES 20@ 1.00 BAL @ .50 Ex. Occup. onxUT Ra ) E 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE S 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. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEt $ 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.) ,SIC I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. �6 / —Uy �/� "�® gnature of Applicant - ❑ Owner Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE $ ETOTALEE FDF PARCEL PD HD ISSUE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. Date Date Receipt No. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT � ,.,,..-rr•""`v.�:, ,..ct.,,,.. .r�"� +�. .s•,"4'1. r�.-+.�rvi.•4rti-to--'•,....t�:4,.�,;�,.•'I+.. - .. .. 1` 4 w t COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541.► e8 TJO- (Rev.12/96) APPLICATION AND PERMIT ASS ESSOR PARCEL NUMBER ZONING BUILDING PERMIT OWNER TELEPHONE SO. Fr, OCC. BUILDING VALUATION . OWNERS MAILING ADDRESS CONTRACTOR'S NAME TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS Energy Plan Checking Fee $ PERMIT FEE $ s LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Feel 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 gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: Gas piping system 1 - 5 outlets >> 15.00 Building sewer + 15.00 f. Mobile Home I S G W 920.00 PERMIT FEE ' S ELECTRICAL PERMIT Filing Fee 20.00 CA Main Service zoos oa LE S 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in ull force and effect. License Class LIC. NO. b S 3 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 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. ❑ 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' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date �_/G —aa _ Ignature of Applicant - ❑ Owner 4 Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height.^ TO Main Service TO 46.00 NEW CONST. DWELL EL OCCUCUP.SO OR ADDNS. ( a ACC. BUDS. 3.5¢FT. r" H'.p°SIpT MULTI.OUTLET 97,50 POWER APPARATUS a SINGLE OUTLET CIR. 20 @ 1.00 Ex. Occup. OUTLET OR FDCTUREs BAL O .50 Ex. Occup. ourLsrcrs Ao ,O� 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE S MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. rrPE TOTAL FEE $ HAZ. D. FEES IMP I FLOOD CDF PARCEL PD HD ISSUE 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. By Date PERMIT EXPIRES ON (Da te Receipt No. t .� J 1 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT n`.i1A�:::�'., � —�ws ^yc-�'*F'-.-y�: , zary�rm.,aq'a4s.}�w,�- . ,� •�.R::.::+, ; �..�'. r`i''`-."^'. -. _ .. COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (530) 538-7541��Ert (Rev.12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT OWNER TELEPHONE SO. FT, OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS CONTRACTOR'S NAME TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER UCENSENO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling 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 ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: Gas piping system 1 - 5 outlets :• 15.00 Building sewer 15.00 Mobile Home I S I G 1W 020.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service eoov GR mss 2o0A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is In ull force and effect.POWER License Class Lic. No. fA► I �3 OWNER -BUILDER DECLARATIONS 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 200A TO 1000A 46,00NEW CONST. DWELLING OCCUP. OR ADONS. ( & ACC. BLDS. so 3.5¢FT. �N,o�'N.a°Es.,oT. MULTI -OUTLET @7,50 APPARATUS 8 OUTLET CIS. CUTLESINGT Ex. Occup. OUTLET ORFD(TUREs 20 @ 1.00 BAL 50 FIXI Ex. Occup.OUTLETS(RES OR 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE S 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. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. _ /2,.,sDate 5-14: - vo ,Signature of Applicant - ❑ Owner %R Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FES $ Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ �HAZ- D. FEES IMP I FLOOD CDF PARCEL PD HD ISSUE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. Date Dale Receipt No. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT r.�. �!�g....;,"�+F: �: �,._.'q'- .r -'r ,...-F�' i. _,�,��.. ..--..Q,�......r. ... t.. , ,� -,.. ..-..gyp, .y -+•. COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 �P R ,No. (Rev. 12/96) APPLICATION AND PERMIT'(/ ASSESSOR PARCEL NUMBER ZONING BU I LDI NG P ER M IT ow4R TELEPHONE SO, FT, OCC. BUILDING VALUATION . OWNERS MAILING ADDRESS CONTRACTOR'S NAME TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER LENDERS MAILING ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAIUNG ADDRESS Pian Checking Fee $ BUILDING ADDRESS Energy Plan Checking Fee $ $ PERMIT FEE $ 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 gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: 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 20 0A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, /and my license is in tull force and effect. /'� •License Class Lic. No. ,/ p .j 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 200A TO 1000A 46.00 NEW CONST. OWELUNG OCCUP. OR ADDNS. ( OW:LUNG BLDS. so. 3.50FT. NO"ON.a°SI�. RANCHO CIRCUITS 97,50 PowER APPARATUS a SINGLE 0LlrLEf CIR. EX. OCCU OUTLET OR FIXTURES 20 Q 100 BAL @ .50 Ex. Occup.OUTLETS RAID°EA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE S 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. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ 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.) not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. Xf _� % mws t n .� _Date '� ' / G - V 3 Signature of Applicant - ❑ Owner fT Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE HAZ. D. FEES IMP FLAOD COF PARCEL PD HD ISSUE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. Date Date Receipt No. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT E.H. USE ONLY Not Plan Attached ` Floor Non Attached Sent > � Sent to B.D. TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance 14 Ad S rl A) Owder Location AP# Plan Approved for: Sewage Disposal Water Su ply: Public Private Well Clearance for dwelling. Other /L Hold final for: Final clearance O.K. for: NOTE: Uy--9� 11,4f -5 1- . Environmental Health Specialist Date 8/96 APPRUvry Butte County !,-_Ia-0 —-- ---- ----k v V -X---, e ----_ sl �b APPRUvry Butte County !,-_Ia-0 —-- ---- ----k v V -X---, e ----_ N AIR g:1& Air Conditioning T0. �-1 - h OR CURRENT OCCUPANT! A�-?off-�� (916) 671-6625 THIS LST�t`IR '.I9 TO INFORM YOU THAT THE FURNACE Its THIS->i�WKLLING, WHICH WAS INSTALLED 13Y MOUNTAIN AIS, RA6` 90TH BEEN INSPECTED BY THE bUILDINd PLEA61 ht l TNS (•t � � O 9UtLDINUeIN9PldTOR AT TO SET A DATE AND TIME FOR `THIS INSPECTION. YOUR PgRM IT NUMBER IB = _ r rc� Z— � IE YOU bO W RESPOND, AFTER RE09IPT OF THIS NOTICE, THE BUfLDING INSPECTOR MAY HAVE PG&E TURN YOUR CAS OFA'. Sd PLIA!B DO NOT DELAY. WE ARE SORRY FOR ANY INCONVENIENCE THIS MAY CAUSE. RESPROTPULLY, MOUNTAIN AIR 3340 Industdal Drive South • Yuba City, CA 95993 • Lic. 377199 r 3340 Industdal Drive South • Yuba City, CA 95993 • Lic. 377199 �;�.�.Y-.,r•...., r...�„�,•+..•�.s.-,.�.,pf.� «-... ,.-.-....-,.-., ,,r•s{�r.,+•µ•.,.a;r -^..... _: . rzT.-�.,x�y s�,.t''►`M�`o7K"'rt.:•.r+.t�-.+�=`''Ti i+#}1*T�YHE'R� kf.l`+rM!'t p�u�•wK:�"s'w..'S'"'."""'0. • +F22-202-04 4201-89M , James Contr: Mountain Air '20 Hastings Ave, Biggs (replace furnace) r J f • r COUNTY OF BUTTE - DEPAOTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, C*fornA95965 - Telephone: 916/538-7541 APPLICATION ANCT PERMIT PERMIT NO. ASSESSO,V ARCE NNU ER 0BUILDING ZONIN < PERMIT WNER r— G e TELEP E .4 SQ. FT. OCC. BUILDING VALUATION WNER' MAI - G'rADDRESS7 71 _'�e [CO'NTRAC-rOR-S AM 1-2 TELEPHONE CONT _ CTOR I ING KODFRESS ` �-� „ ,A C thZ Fireplace CONSTRUCTION LE R _ UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESSPermit OS Vif fee $ PLUMBING PERMIT Filing Fee 10.00 n Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARC L1M Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE S FX Duplex ❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W I 110.00ea TYPE OF WORK New F-1 Addition❑ Rem -ode l❑ Utilities❑ Installation❑ Other Describe work:T /_` Permit -Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100V OR LESS10010.00 1AMP OR LESS Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW penalty I declare under of p y perjury y (Check One): 1 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. %7� ��� Classification czaa ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. ( DWELLING OCCUP.S\ OR ACDNS. ACC. BLDGS. / +/22sgft NEW CONST R.MULTI-OUTLET NON-RESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS e (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20030C aALe30 Ex. OCCUp. OUTLETS ((RESID )FIXED APPLNS. REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 10.00 Heating UV Cooling Hood 3.00 Ventilation permit Fee $ (TQ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. 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 -said %County inin copse uence of the granting of this permit. Date Signature of Applicant — Owner El Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep an demolition or construct -MO ion of structures over 3-7stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ HAz I CUA I PARK I SCHL I FLD I PAR PD HD IssuE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which fees ,0 OF PUB ICIWORKS By. (2 PERMIT EXPIRES Date l the applicable provi- resolutions to do have been paid. Date /\ Receipt No. .�;� / � � r WHITE-D.P.W.. YELLOW-ASSC390R. PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC 7 County Center Drive - OrovillCalifernia 95965 - Telephone: APPLICATION AND PERMIT WORKSPERM NO. 916/538-754" _ ASSESSO ARRCE N ER O ZONIN BUILDING PEWIT OWNER J TELEPRTME SQ. FT. OCC. BUILDING VALUATION OWN MAI ADDRESS CCIrNTRAC RS NrAM TELEPHONE CONTR CT S I IN ADDRESS Lf,Fireplace CONSTR UC TI N L ER UNKNOW Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee ,$ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS j Permit fee PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO.SUBDIVISION NAME PAR A Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SIX Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W10.00e TYPE OF WORK New Addition❑ Rem del❑ Utilities [I Installation❑ Other Describe work: , Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 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. q License No.� %%� !T Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.& OR ADDNS. ACC. BLDGS. , /20sgft NEW CONSTR ULTI.OUTLET N ON.RESID BRANCH CRC., TS 2.50 ea (POWER APPARATUS e (SINGLE OUTLET CIR. / Ex. Occup( OUTLETS OR FIXTURES p 2AL@3 C eALe90 Ex. Occup. OUTLETS P(RESI0.)R E A./ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. 6yirin 9 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. 1PI have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT FiIingFee 10.00 Heating , Coolin g Hood 3.00 Ventilation. Permit Fee f� $ 6 r vV Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue againsL4aid-Qounty in copse %u�ence of the granting of this permit. �. Date Signature of Applicant — Owner Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep oft87demolition or construct- ion of structures over 3�7stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ �— 5r HAZ I CUA PARK I SCHL I FLD [PAR PD HD ISSUE This permit is hereby issued under s. 1 o. the Butte County Code and/or work indicated above for which fees DIR OF PUB41 BY PERMIT EXPIRES Date the applicable provi- resolutions to do have been aid. p ORKS 0 Dat iA Receipt No. ��< % �� WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT