HomeMy WebLinkAbout022-204-001022-204-001 03-1920
MONTEZ, PETER
325 PRYDE AVE, BIGGS C�INALEIDEMO SHED
022-204-001
MONTEY, PETER GI
325 PRYDE AVE, BIGGS INALE
Cont: OWNER
DEMO
022-204-001 /J i p4_p2g6
MONTEZ, PETER J
325 PRYDE AVE, BIGGS- �G
CONT: /
NEW SINGLE FAMILY ��
022-204-001 04-3156
SWANSON, DEAN
325 PRYOR AVE, BIGGS RE
Cont: PROFESSIONAL C
NEW SINGLE FAMILY
4'
NOTES RESIDENTIAL
--' 1156 04-3156
PERMIT��_�(}4:.nUl _ _ '
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JOB FINALED (Date) iry 7
Signature
SPECIAL CONDITIONS '
CHECKED
BY
SRA
FLOOD CERTIFICATE REQ.
FIRE SPRINKLERS REQ.
SPECIAL INSPECTION ITEMS
VERIFY
USE,PERMIT CONDITIONS
SUB -STANDARD HOUSING LETTER
OFFICE COPY
Address
GAS Dat!Jj// ,!�
Meter By
ELECTRF
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414D
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.neAdds
LICENSED CONTRACTORS DECLARATION
I hereby affirm under penalty of perjury that I am licensed under
provisions of Chapter 9 (commencing with Section 7000) of Division 3 of
the Business and Professions Code, and my license is in full force and
effect. k
License Class: License Number: 3 7
Date://—/T-0�4 Contractor.jeedF• Cc�T'�/N✓�(
OWNER43UILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the
Contractors' State License Law for the following reason (Sec. 7031.5
Business and Professions Code: Any city or county which requires a
permit to construct, alter, improve, demolish, or repair any structure, prior
to its issuance, also requires the applicant for such permit to file a
signed statement that he or she is licensed pursuant to the provisions of
the Contractor's State 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).):
❑ I, as owner of the property, or my employees with wages as their
sole compensation, will do the work, and the structure is not
intended or offered for sale (Sec. 7044, Business and Professions
Code: The Contractors' State License Law does not apply to an
owner of property who builds or improves thereon, and who does
such work himself or herself or through his or her own employees,
provided that such improvements are not intended or offered for
sale. If however, the building or improvements are sold within one
year of completion, the owner -builder will have the burden of
proving that he or she did not build or improve for the purpose of
sale.).
I, as owner of the property, am exclusively contracting with
licensed contractors to construct the project (Sec. 7044, Business
and Professions Code. The Contractors' State License Law does
not apply to an owner of property who builds or improves thereon,
and who contracts for such projects with a contractor(s) licensed
pursuant to the Contractors' State License Law.).
❑ I am Exempt under Article 3 of the Business and Professions Code
Dale: Owner:
WORKERS' COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for
workers' compensation, as provided for by Section 3700 of the
Labor Code, for the performance of the work for which this permit
is issued.
❑ 1 have and will maintain workers' compensation insurance, as
required by Section 3700 the Labor Code, for the performance of
the work for which this permit is issued. My workers' compensation
insurance carrier and policy number are:
Carrier:
Policy
I certify that in the performance of the work for which this permit is
issued, I shall not employ any person in any manner so as to
become subject to the workers' compensation laws of California,
and agree that if I should become subject to the workers'
compensation provisions of Section 3700 of the Labor Code, I shall
forthwith comply with those provisions.
Date:Al— — O
Applicant:
WARNING: Failure to secure workers' compensation coverage is
unlawful, and shall subject an employer to criminal penalties and one
hundred thousand dollars ($100,000), in addition to the cost of
compensation, damages as provided for in Section 3706 of the Labor
code, interest, and attorney's fees.
PERMIT NO.
BP043156
Issued Date: 11/19/2004 APN: 022-204-001-000
Site Address: 325 PRYDE AVE BIG
Map Index: .
Description: NSF MASTER 01-71 (2304) GAR (576) COV
(494)
Owner: DEAN SWANSON
PO BOX 554
PENRYN,CA
95663
530-330-0834
Applicant: DEAN SWANSON
PO BOX 554
PENRYN, CA
95663
530-330-0834
Contractor: PROFESSIONAL CONSTRUCTION AND
INVESTMENTS INC
9840 BUSINESS PARK DRIVE
SACRAMENTO, CA 95827
(530) 713-3838
License #: 843179
Architect:
Engineer:
Total Square Ft: 3374 S.F.
Valuation: $171,488.00
Census Code:
e) -#,4 # �' / B'S/�'q f{mcurrl-,�
DS
5 r7. ST
CONSTRUCTION LENDING AGENCY This permit is hereby issued under applicable provisions of the Butte County CodR anrvor
I hereby affirm that there is a construction lending agency for the Res ution o do work indicate ab a for which fees have been paid.
performance a ork for which this permit is issued (Sec 3097 Civ.) /-
Name:1 BY / ! q Date:
Address: _ --
PERMIT ON: " �� (Date) QS
tQ I hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage,
handling and use of hazardous materials.
❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project.
❑ Attached are copies of the required E.P.A. notification forms.
I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with
all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any offici or document of Butte County. I hereby
authorize representatives of Butte County to enter upon the above mentioned property for inspection purposes.
Print Name: ,'lrri`t—j u �"4",fa^� _ Signature
Date: ll (y — O
Contractor
❑ Agent for Owner
❑ Agent for Contractor
J=OK
0 = Not OK
+ =
NotApplicable
Not Ready
DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s
MOBILE HOMES
Date
MOBILE HOME UTILITIES (Plans) OK except #'s
1.
Zoning Requirements -Setbacks -Easements
2.
Soils; Special MH Support Sketch
3.
Sewer; Location -Test -Fall -C/O -Concrete
4.
Water; Location -Test -Easement Needed (Sketch)
5.
Electricity; Location-Clearances-Grnd-/ /Amp -Concrete
6.
Gas; Location -Test -Wrap;-/ /" L 'ft.
/ P Nat. or/ /" L "ft./ P LPG
7.
Well Clearance & Disconnect
8.
Utility Clearance
10.
Roof; Shthg-Roofing
11.
Ext.; Steps -Doors -Landings
Date
12.
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
MOBILE HOME INSTALLATION (Plans) OK except #'s
Card B-1 Date Card B-1
1.
Zoning Requirements -Setbacks -Easements
Card B-1 Date Card B-1
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
Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg.
Boxes-Enclosures-Panelboards-Ins. to Main Conduit
11.
Cert. of Occupancy
Health Department Approval
10.
Plumb.; Cir. Test -Water Supply Test
11.
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
PERMANENT END SYSTEM (ONLY)
1.
Zoning Requirements -Setbacks -Easements
2.
Footings; Size -Spacing -Marriage Line
3.
Blocking
4.
Gas; MH Test -Demand -Valve
5.
Electricity; MH Test
6.
Water; MH Test
7.
Water and Sewer Connected
8.
Gas and Electricity Tagged
9.
Exits
10.
License Decals
11.
Verify #'s with Office
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
MISCELLANEOUS
Date
DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s
1.
Zoning Requirements -Setbacks -Easements
2.
Footings; Soils -Size -Depth -Spacing -Connectors -Steel
3.
Decks, Girders and/or Joists- Decking -Bracing_-Stairs-Rai ls
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 = NotOK
Applicable
= Not Applicable RESIDENTIAL
. = Not Ready
Date UNDE OOR (Plans) OK except #'s
ing-Setbacks-Easements-Flood-Slope
sAjf2tg., Main; Soils-Elec. Grnd.-/ . " Ftg. Depth
Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth
4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth
5. Stemwalls, Main; Steel- Bloc kouts-Wrapped
6. Stemwalls, Garage; Steel- Blockouts-Wra ed
6a. owns and Special Anchors
Slab, Steel -Wrapped
kJ48. Pier ire lace Ftg.-Steel
V.; Fall -Fitting -Test -2 Way C/O -Sewer Test
10. UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test
11. Water Pipe; Test -Anchors -Regulator -Service Test
12. Electric Underground
13. Plenums & Ducts; Clearance -Material -Support -Ins.
14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies
15. Access & Ventilation
16. Insulation
1 144
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
(Single & Duplex)
Date PLUM G (Permit) OK except #'s
1
er Htr.; Vent -Access -Combustion Air Baffle
Card B-1 Date Card B-1
er Pipe; Test & Anchor -Nail Protection
1
.W.V.; Test Fittings & Anchor -Nail Protection
20.
Shower Pan; Test, First Floor -Tub Access
21.
TepKfub & Shower, Second Floor -Tub Access
2
Gas Pipe; Sixe & Anchors
23.
Fire Sprinkler; Test
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date ELEC ICAL (Permit) OK except #'s
Z#'TixUde,& Transformer Clearance -Ins. Protection
2 e eceptaces Spacing -Lights &Switches at Doors
2 i oxes & No. of Conductors Stapled
2 mex Installed Close to Edge of Studs & C
\ . 8 Ground made up w/Mech Fastener -Bo as Water
Appliance Circuits in Kitchen & Conductor r e FI
30. Sued Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or Al
3 ange,.Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or Al
Ins>;aed Neutral ❑ Yes ❑ No
32lSerWEe-Riser Conductors & Ground Main Disconnect
Xhes Closet L
Smoke Detector
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
MECHANICAL (Permit) OK except #'s
5
. A. .VDuct Insulation & Support
3 e t Fan, Exhaust above insulation
06'l.
. Condensate Drain & Overflow, Size & Grade
62.
39. F ace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet
63.
Attic Access & Platform if Furnace in Attic
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
FRAMJNG (Permit) OK except #'s
Qe
41 -.-"Xs Proper Materials & Anchors
6.
42'WgIls Studs -Nailing Spacing & Braces -Plates -Sound
6
4 . B wring Walls over Girders & Floor Nailing
l
r 'Stop in Walls (rat proof)
e Stops, Furred Ceilings -Stairs -Chasers -Tubs
6 .
4017 Headers & Beams -Size & Bearing
Date
48. C' Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rtng.
4 ' eplace Ties or Type A Flue -Fireplace Throat Clearance
W. is Access; Size & Romex Protection -Draft Stop -Ins. Baffles
W78clrm. Windows or Exitlna4;�oors-SiILHt. Rrmensions
)ItV. Pdra92 Fire Protection Fram`i V'RC qNNnel
5 . P erty Line Firewall & Openings
59- Ext. Doors -One 3' -Check Garaae 3rd Stofv. 2 Exits
55- St,4K; ; Width -Headroom -Rise -Run -Landing -Fire Protection
wood on Roof Overhang -Attic Vents -Rafter Outriggers
Siding -Nailing Veneer
•56- Sprcco Mesh -Drip Screed -Fd. Vents-Underflr. Access
5
Glazing Area-Glas rotection-Skylights-Plastic
Shear Walls; cling -Bo
06'l.
Brace Int or/E r Wall Panels
62.
Insulation -Walls -Ceilings
63.
Infiltration -Wall -W Bows
Date -
Card B-1 to Card B-1
Date
Card B-1 Date Card B-1
Date FIN
tans) CF1K except #'s
Qe
E Steps -Door & Sidelight Protection -Landings
6.
Smyke Detector
6
urnace Vents -clearance -Comb, Air -Connector -
I arage; Above Floor-Ducts-Mech. Protection
67'
Blom Exiting
6 .
G. I. & Bath Fixtures & Tub Access -Spa
6 .
Elec. Trim & Subpanel, Breaker Sizes & Labels
-46teirs-
ails
7 !Fireplace or Stove, Clearance -Hearth
7
lec. Outlets at Wood Panel, Int. & Ext.
7
it. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance
74.
Alec`. Outlets & Receptacles at Kit. Counter
76.
Garage Fire Door; Swing-Landing-Closure
-ffi-ft:C: Duct in Garage -Damper
tr. Htr; Vents -Clearance -Comb. Air Connector-P.R.V.
i are e; Above Floor-Mech. Protection
Plb.; Elec. & Mech. Equip. Listed for Location
7
Elec. Receptacles in Garage (F.F.I.)-Romex Protection
80.E
sulation-Foam-Looked in Attic
8f
00ard Rails & Deck Construction -Post Caps
8Z
Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth
Clearance Looked under Floor ❑ Yes
_
8 .
Follgwing Instld./Drive 0 Yes 0 No/Walks 0 Yes 0 No/Planters 0 Yes 0 No
84.
ucco Brown -Finish
5
A.C. Unit Disconnect, Electrical -Plumbing
86. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings
96.
Water Well, Disconnect, Electrical, Plumbing
88. Exterior Elec. Trim, G.F.I. Receptacle -Underground
86.
Ventilation Throughout House
90./Glass
Protection
91
/Corrections from Previous Inspections
Gas Test -Meters Tagged, Gas -Electric
9
Mater & Sewer Connected -C/O to Grade -HD Approval
9
nergy Compliance Certificate -Other Certificates
91/Address
`
Posted
1 . ire prinkler 11101
Date %L.t4Card
B-1 Date Card B-1
Date
Card B- Date Card B-1
Date
Card B-1 Date Card B-1
Comments at Final:
k ttt�
INSTALATION CERTIFICATE
Site Address I Permit Number
An installation certificate is required to be posted at the building site 0 made available for all appropriate
inspections. (The information provided on this form is required; howver, use of this form to provide the
information is optional.) After completion of final inspection, a copy {rust be provided to the building
department (upon request) and the building owner -at occupancy, per Section 10-103(B.).
HVAC SYSTEMS;
Heating Equipment
Equip. CEC Certified Mfr Name k of Efficiency Dint Duct or Heating Heating
Type (pkg) & Model Number Identical (AFUE, etc) Iota 'on Piping Loading Capacity
Heat pump System (>CF -1R value) (attic, :etc) R -value (Btu/hr) Btu/hr)
Split PGSJAA066110 .1— 80.0 ATTIC 4.2 115,000 94,000
—I
Cooling Equipment
Equip. CEC Certified MfT Name 4 of Efficiency Duct Duct or Cooling Cooling
Type (pkg) & Model Number Identical (AFUE, etc) location Piping Loading Capacity
Heat pump System (>CP -IR value) (attic j�etc) R -value (Btu/hr) Btu/hr)
SPLIT PAIOJA060 1 10.0 SEER ATTIC 4.2 60,000 56,000
1, read greater than or equal to.
1, the undersigned, verify that equipment listed above is 1) is the actual equipment installed, 2) equivalent
to or more efficient than that specified in the certificate of compliance (Form CF -1R) submitted for
compliance with the Energy Efficiency Standards for residential buil ings, and 3) equipment that meets or
exceeds the appropriate requirements for manufactured devices (for the Appliance Efficiency Regulations
or Part 6), where applicable.
Uni `ersai Heating and A/C
_P,4_ 0 &Zt -
Sign re, Jifie Installing 9fubcontractor (Co Name)
OR General Contractor (Co. Name) OR Owner
Z00 'd We6E:90 b0/41/60 - 6bST6EE9T6 l OV 9NI1ti3H 1HS83,%1Nn
Facility Survey Report 1.0371
Barber Dealer Group 4325 Sonoma Blvd Vallejo, Ca
kW rate: 0.160
120v x 277v
34,674
$
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Tru -Brite Energy Management Inc. Confidential 6/4/2001 01.0371 page 2 of 7
INSTALLATION CERTIFICATE Pm of 13CF-6R
DEAN SWANSON
VENESTRATION/GLAZINC., CUSTOM
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COPY TD: Umi).dhig Deportnmt
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COPY TD: Umi).dhig Deportnmt
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August 2001
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ter':,.,,,-_,.,w;n-rtir4�v�7"'Y�°'r6''rt•�"�4+►r+`„7r"'�'���.,r��++rj,�Yc'..7r„-....M# *'Q�t�r+..Mr"^-'-'`r^+ rte'^
CERTIFICATION OF INSULATION
WHITE - Bu Ilder Copy, GREEN - Builder Copy, YELLOW - Customer Copy, PINK - Attic Copy, GOLD - File Copy
ADDRESS OR TRACT
�, SACRAMENTO BUILDING CONTRACTORS
/'"'��
�....✓
1309 MELODY ROAD, MARYSVILLE, CA 95901 LIC#202026
./ +'`'�'
605 S. AUBURN STREET, GRASS VALLEY, CA 95945 LIC#202026
❑ 3881 BENATAR WAY, SUITE A, CHICO, CA 95928 LIC#202026
❑ 8924 AIRPORT ROAD, REDDING, CA 96002 LIC #202026
DATE INSULATION COMPLETED
( square feet) (
square feet) ( square feet)
TYPE OF INSULATION
TYPE OF INSULATION
TYPE OF INSULATION
MATERIAL
MATERIAL
MATERIAL
FIBERGLASS
FIBERGLASS
FIBERGLASS
FORM BAITS
FORM BAITS & BLOW
FORM BAITS
MANUFACTURER'S PRODUCT I.D.
MANUFACTURER'S PRODUCT I.D.
MANUFACTURER'S PRODUCT I.D.
MANUFACTURER
MANUFACTURER
MANUFACTURER
CT
OCF
KN
CT
OCF
KN
CT
OCF
KN
BAGS
R -VALUE
APPLIED
R -VALUE
APPLIED
MIN. INSTALLED
WEIGHT PER
R -VALUE
APPLIED
INSTALLED
THICKNESS
INSTALLED
THICKNESS
SOUAREFOOT
INSTALLED
THICKNESS
KNEE WALLS IF R -VALUE IS OTHER
THAN WALLS ABOVE
MATERIAL
FORM
R -VALUE
MANUFACTURER
FIBERGLASS
BATTS
CT OCF
KN
AIR INFILTRATION SEALANT
MATERIAL
MANUFACTURER
FOAM
HILTI
HANDY FOAM
THIS IS TO CERTIFY THAT INSULATION AND/OR SEALANT HAS BEEN INSTALLED IN CONFORMANCE WITH APPLICABLE CODES;
'
MATERIAL STANDARDS AN REGULATIONS
.+ r
•
°SIG Tlra - ILATI N ICOfJ1R41'r� OFj. I
TLEY
ftC
DATE
SIGNATURE - GENERAL CONTRACT7R
TITLE Q
DATE
REMARKS
WHITE - Bu Ilder Copy, GREEN - Builder Copy, YELLOW - Customer Copy, PINK - Attic Copy, GOLD - File Copy
f
COUNTY OF BUTTE '
BUILDING DIVISION
c DEPARTMENT OF DEVELOPMENT SERVICES
I F 7 County Center Drive •Oroville, CA%((530) 538-7541
i°
TOLL FREE (530) 8.91-2751
t' CORRECTION NOTICE
-��1111/-30w ) 61/, (/ ,l /(-
OWNER PERMIT NO.
A routine inspection indicates that the following violations of butte county Ordinances exist at the
above dress and should be corrected. Please notice this office when correction of work is
comp) ed. If you have any questions pertaining to this matter, or need additional explanation;
pleas contact this office immediately.
ell —7
r t ,
IN
f'(
k .
if
r•
-1:^.:COUNTY OF BUTTE ' '
BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
411 Main Street • Chico, CA •,(530) 891-2751
7 County Center Drive • OrovilleOA • (530) 538-7541
>a
CORRECTION NOTICE
O NEERR�� PERMIT NO.
A routin" a inspection indicat=_s that the following violations of butte county Ordinances exist at the
above address and should be corrected. Please notice this office when correction of work is
completed If you have any questions pertaining to this matter, or need additional explanation,
please contact this office inmediately. ..
-? ) /Jim- /"/ (, /-) w X-4TZ n--2 �
ra—e,...�...�- � �`--sic••yr.,fi--'^-+`-+..'-"9,�,r.+-..py.,+�
i' COUNTY OF BUTTE
-`�- BUILDING DIVISION i
's DEPARTMENT OF DEVELOPMENT SERVICES I
411 Main Street - Chico, CA - (530) 891-2751
7 County Center Drive - Oroville, CA - (530) 538-7541
CORRECTION NOTICE
OWNER PERMIT NO.
A routine inspection indicates that the following violations of butte county Ordinances exist at the .
tY' above address and should be corrected. Please notice this office when correction of work is
completed. If you have any questions pertaining to this matter, or need additional explanation,
please contact this office immediately.
PYO A� Ook�-�-1 aplrou" S e-
C� 7
Ll�, hrj S b
fiA c,S
:'fit
Date f
REV 10/92
AND WHEN RECORDED MAIL TO:
BUTTE COUNTY BUILDING DIVISION
7 COUNTY CENTER DRIVE
OROVILLE, CA 95965
20104-0067302
Recorded
Official Records
County Of
BUTTE
CANDACE J. GRUBBS
Recorder
ROSEMARY DICKSON
Assistant
03:47PM 02 -Nov -2004
REC FEE 7.00
CONFORM 1.00
Travis
Page 1 of 1
AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT
FOR RESIDENTIAL DEVELOPMENT
Section 26-8 of the Butte County Code required this acknowledgment to be recorded prior to issuance of a building
permit. The property described herein is adjacent to land or included within an area zoned for agricultural purposes,
and residents of this property may be subject to inconveniences or discomfort from the use of agricultural chemicals,
including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations
including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust,
smoke, noise, and odor. Butte County has established agricultural purposes and residents within said zones and on
adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm
operations.
All that real property situate in the County of Butte, State of California, described as follows:
A STRIP OR PARCEL OF LAND IN LOTS 17, 18, AND 19, AS SHOWN ON THAT CERTAIN MAP ENTITLED,
ONSTOTT TRACT, WHICH MAP WAS RECORDED IN THE OFFICE OF THE•RECORDER OF THE COUNTY OF
BUTTE, STATE OF CALIFORNIA, ON December 5, 1910, AND MORE PARTICULARLY DESCRIBED AS FOLLOWS:
COMMENCING AT A POINT WHICH BEARS 954 FEET NORTH 880 46'j EAST FROM THE NORTHWEST CORNER
OF LOT NO. 17 OF SAID SUBDIVISION AND RUNNING THENCE SOUTH 330 16' WEST 239.1 FEETTO A POINT;
THENCE SOUTH 580 33' WEST 32.2 FEET TO A POINT; THENCE SOUTH 890 35' WEST 490.5 FEET TO A
POINT; THENCE NORTH 210 55' WEST 220 FEET TO A POINT; THENCE NORTH 880 46' EAST 731 FEET TO
THE POINT OF BEGINNING.
Date 2 - ° 51' PROPER S:
vyi
SNs��;.ti
State of California )
County of \/(Lba )
On PIYlUZY L before me, MOLD �lo—
personally appeared Sp)j'� personally
known to me (or proved `te��eonhe basis of satisfactory evidence) to be the person(s) whose name(s) is/are subscribed
to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized
capacity(ies), and that by his/her/their signature(s) on the instrument, the person(s) or the entity upon behalf of which
the person(s) acted, executed the instrument.
WITNESS my hand and official
Signa r Seal. P MACO OFFORD�
CQ�ia-i1. #1326912
m . 9 NOTARY t 11UlC • CAIJFORWIA,
YUBA COUNTY
A. P. # o 10 4 — C comm. Ex ' E, OCT. 26 2005
AND WHEN RECORDED MAIL TO:
BUTTE COUNTY BUILDING DIVISION
7 COUNTY CENTER DRIVE
OROVILLE, CA 95965
21211104-1012167310 1
Recorded
Official Records
County Of
BUTTE
CANDACE J. 6RUBBS
Recorder
ROSEMARY DICKSON
Assistant
03:47PM 02 -Nov -2004
REC FEE 7.00
CONFORM 1.00
Travis
Page 1 of 1
AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT
FOR RESIDENTIAL DEVELOPMENT
Section 26-8 of the Butte County Code required this acknowledgment to be recorded prior to issuance of a building
permit. The property described herein is adjacent to land or included within an area zoned for agricultural purposes,
and residents of this property may be subject to inconveniences or discomfort from the use of agricultural chemicals,
including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations
including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust,
smoke, noise, and odor. Butte County has established agricultural purposes and residents within said zones and on
adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm
operations.
All that real property situate in the County of Butte, State of California, described as follows:
THE LAND REFERRED TO HEREIN BELOW IS SITUATED IN THE UNINCORPORATED AREA, COUNTY OF BUTTE,
STATE OF CALIFORNIA, AND IS DESCRIBED AS FOLLOWS:
Parcel 1, as shown on the Parcel Map, filed December 12, 1979, in Brook 75 of Parcel Maps, at page 26, Butte
County Records.
APN: 022-190-042
Date 11-2 — Q y
State of California )
County of y )
Onbefore me,
personally appeared { personally
known to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) is/are subscribed
to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized
capacity(ies), and that by his/her/their signature(s) on the instrument, the person(s) or the entity upon behalf of which
the person(s) acted, executed the instrument.
WITNESS my hand and offi ' s L
MACO OFFO
Signatur Seal: �' COM -111-1. ;*1326912
NOTARY MULtC • CAIJFORNIA, oo
YUaA COUN r
Comm. OCT. Z6 20135
A.P. #
I
SIXTH STREET
112.25'
-b O
24' BLK
WALNUT
EXISTING CULVET and
20' MINIMUM DRIVE
335'
108'-0' 210'
- P R Y -D E R O A D
(E) PP
0 50'
18' TREE
--—————
------�
— r — -ERISTIRG CEACH FEILD I
_REPLACEMENT FEILD I
SEWER LINE 210' 3
NEW
S.F.D.
F I -STORY Y
320' BLDG SETBACK EXISTING WATER �� Q
WE
m
F
W
� to
FROM BLDG O
FOR 10'-0' MIN. AWAY D
SLOPE FINISH GRADE 5% -'
O m
_
RECLAMATION DISTRICT NO. 833
VICINITY MAP
LOT AREA
LOT AREA
J
Area= 2.98 AC
NOT TO SCALE
BIGGS
TO CHICO
112.25'
-b O
24' BLK
WALNUT
EXISTING CULVET and
20' MINIMUM DRIVE
335'
108'-0' 210'
- P R Y -D E R O A D
(E) PP
0 50'
18' TREE
--—————
------�
— r — -ERISTIRG CEACH FEILD I
_REPLACEMENT FEILD I
SEWER LINE 210' 3
NEW
S.F.D.
F I -STORY Y
320' BLDG SETBACK EXISTING WATER �� Q
WE
m
F
W
� to
FROM BLDG O
FOR 10'-0' MIN. AWAY D
SLOPE FINISH GRADE 5% -'
O m
_
RECLAMATION DISTRICT NO. 833
VICINITY MAP
LOT AREA
LOT AREA
SUMMARY
Area= 2.98 AC
NOT TO SCALE
BIGGS
TO CHICO
`
NEW RESIDENCE
R-3
Area= 2304.00 eq ft
HASTINGS AVE
NEW GARAGE
U-3
Area= Slb riq ft
Q
NEW COVERED PORCH AREA
Area= 494.00 aq rt
PRYDE
SITE
XXXX PRYDE
W
Q
BIGGS. CA
TO GRIDLEY
®
end YUBA CITY
YUBA
O
n
SITE PLAN
SCALE 1:60 TRUE NORTH
NORTH
REFERENCE
S u,
Matthew Mc Kisson. Architect
1490 Nlg-Gy 99. Suite 9
Gridley Califernio 95948
fay 846- 6358 (530) 846-6776
I
NEW SINGLE FAMILY
DWELLING
NEW SINGLE A.P.N. 022-204-001
PRYDE AVE
FAMILY DWELLING
BUTTE. COUNTY. CA
A.P.N. 022-204-001'
PRYDE ROAD
U
PLANNING D1ViSION - BUILO!!VG RM
Lia: N� Da it ..I.......,...e.
Parking: „_-,. _—L ing:
Other:
Signature;
TTE COUNTY, CA
Or/ "` Protect N. Dale
BUTTE COUNTY Na
sleet nue
BUILDING DIVISION! COVER SHEET
APF' ®V`D Sheet N.
CS
Sheet N. of Total Sheete
jqp_j 07,,Z
_,c(— oc.
ow- APPROVED
Butte CWV
nviro ental Health
D
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nature r
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HO
t
Wnhwaff
2668 I
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CooKMF
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National Pollutant D'i'scharge Elimination System (NPDES) Phase II
Construction Storm Water Permit and Storm Water Pollution
Prevention Plan (SWPPP) Acknowledgement (LESS THAN T ACREl
i r G01)
Project Title:
By signing below, I, the project owner/owner's agent, certify that I am aware that a construction
project that disturbs 1 acre or more 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.O.I.), 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 1 acre or more of land. I, further, certify that this project will not disturb I acre or
more of land. I am aware 5hg4ubmitting false and/or inaccurate information may result in
revocation of grading arid/ othe permits or other sanctions y law.
Signed:
Title:
Date:
Wi� t`-�2
BUTTE COUNTY -I
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT
24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO)
OFFICE #: (530) 538-7541 FAM (530)538-2140
WEBSITE: www.buttecounty.netldds
PERMIT NO.
BP043156
LICENSED CONTRACTORS DECLARATION
I hereby affirm under penalty of perjury that I am licensed under
provisions of Chapter 9 (commencing with Section 7000) of Division 3 of
Issued Date: 11/19/2004 APN: 022-204-001-000
the Business and Professions Code, and my license is in full force and
effect. {^/
License Class: ■` _ License Number: k 3 W
Site Address: 325 PRYDE AVE BIG
Date: X Contractor.®adF• 0AA-57—f (-v11 J1—
Map Index:
Description: NSF MASTER 01-71 (2304) GAR (576) COV
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the
Contractors' State License Law for the following reason (Sec. 7031.5
(494)
Business and Professions Code: Any city or county which requires a
permit to construct, alter, improve, demolish, or repair any structure, prior
to its issuance, also requires the applicant for such permit to file a
Owner: DEAN SWANSON
signed statement that he or she is licensed pursuant to the provisions of
PO BOX 554
the Contractor's State License Law (Chapter 9 commencing with Section
7000) of Division 3 of the Business and Professions Code) or that he or
PENRYN, CA
she is exempt therefrom and the basis for the alleged exemption. Any
95663
violation of Seclion 7031.5 by any applicant for a permit subjects the
530-330-0834
applicant to a civil penalty of not more than five hundred dollars ($500).):
O I, as owner of the property, or my employees with wages as their
sole compensation, will do the work, and the structure is not
intended or offered for sale (Sec. 7044, Business and Professions
Code: The Contractors' State License Law does not apply to an
Applicant: DEAN SWANSON
owner of property who builds or improves thereon, and who does
pp
such work himself or herself or through his or her own employees,
PO BOX 5554
provided that such improvements are not intended or offered for
PENRYN CA
sale. If however, the building or improvements are sold within one
year of completion, the owner -builder will have the burden of
95663
proving that he or she did not build or improve for the purpose of
530-330-0834
sale.).
I, as owner of the property, am exclusively contracting with
licensed contractors to construct the project (Sec. 7044, Business
and Professions Code. The Contractors' State License Law does
not apply to an owner of property who builds or improves thereon,
and who contracts for such projects with a contractor(s) licensed
Contractor: PROFESSIONAL CONSTRUCTION AND
pursuant to the Contractors' State License Law.).
INVESTMENTS INC
❑ lam Exempt under Article 3 of the Business and Professions Code
9840 BUSINESS PARK DRIVE
Date: Owner:
SACRAMENTO, CA 95827
(530) 713-3838
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
License #: 843179
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
Architect:
required by Section 3700 the Labor Code, for the performance of
the work for which this permit is issued. My workers' compensation
Engineer:
insurance carrier and policy number are:
Carrier:
Total Square Ft: 3374 S.F.
Policy u.
I certify that in the performance of the work for which this permit is
Valuation: $171,488.00
issued, I shall not employ any person in any manner so as to
Census Code:
become subject to the workers' compensation laws of California,
and agree that if I should become subject to the workers'
compensation provisions of Section 3700 of the Labor Code, I shall
forthwith comply with those provisions.
Date: // — —
Applicant:
WARNING: Failure to secure workers' compensation coverage is
unlawful, and shall subject an employer to criminal penalties and one
7• ��/�� ^�M�,/ �S/,. �/�
wee
hundred thousand dollars ($100,000), in addition to the cost of
compensation, damages as provided for in Section 3706 of the Labor
code, interest, and attorney's fees.
4�V-4 413IDs I ss .sem
CONSTRUCTION LENDING AGENCY—
This permit is hereby issued under applicable provisions of the Bijilte County Coda ?nrilor
I hereby affirm that there is a construction lending agency for the
Res ution o do work indicateab a for which fees have been paid.
performance a ork for which this permit is issued (Sec 3097 Civ.)
Name: l
By: Date:
PERMIT EXPIRES ON: �l ! -6-S7
Date
Address:
I hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage,
handling and use of hazardous materials.
❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project.
❑ Attached are copies of the required E.P.A. notification forms.
I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with
all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any offici or document of Butte County. 1 hereby
authorize representatives of Butte County to enter upon the above mentioned property for inspection purposes.
si—i ""m�
Print Nam//e: ' u Signature:
Date: !l (g— o "7
(I-It9wner Contractor ❑ Agent for Owner 13 Agent for Contractor
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT APPLICATION
AND SUBMITTAL REQUIREMENTS
24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834
OFFICE #: (530) 538-7541
A FEE WILL BE REQUIRED AT TIME OF APPLICATION
"PLEASE PRINT CLEARLY"
OWNER
Last Name <&A_j S� J
irst Name �
Address o a SS `"/
City
State
Zips 6
Phone 3 �— 3 o 3
Faxcl',/_
E-mail
CONTRACTOR
Name 4 (j� 1Kr 5-j e Cj--•n'_ 6-5 r4 vt-�
Address
c �''S S
City
State
Zip
–Phone
–Fa
E-mail
Lic. #
Class
AP ICA IGNATURE
X
For office usR on
ARCHITECT/ENGINEER
Name
c �''S S
Address,
Subdivision Name Map
City C.
Page
State C4
Zp SS'SY'v
Phonen6 -
Fax
E-mail
E-mail
State license Number
AP ICA IGNATURE
X
For office usR on
APPLICANT NAME
Name
kA,)
Occ.
Address
Subdivision Name Map
City
Page
State
Zip
Phone
—Name --7
Fax
E-mail
AP ICA IGNATURE
X
For office usR on
Zoning
Flood Zone SRA I Yes
Occ.
The Const.
Subdivision Name Map
Book
Page
Lot #
Planner
Date Approved:
OVER FOR SUBMITTAL REQUIREMENTS
PERMIT
NP. �3tsp'
BP
BIN #
LOCATION
AN X22 — zejv— aC
Property Add /Z'7 O � 0 A-
City� /k
Cross Str t
2 J
WORKER'S COMPENSATION
Policy Number
Carrier
If hiring anyone other than license contractors, a certificate of worker's
compensation must be shown at the time of permit issuance.
/ Other
LENDING AGENCY
—Name --7
Address
CiIA/�S S U'9��
Description or Scope of Work:
/,j /LflS S -
v
Sq. Foo g Z 3 d\y
❑ Struc 1 s
❑ Proposed Change of Occupancy
previous use):
Note YT`�
5-76
EXPIRATION OF APPLICATION
Applications for which a permit has not been issued will expire one
year after the date of application. In order to renew action on an
application after expiration, a new application, plans and fee will be
REQUEST FOR REFUNDS
Refunds can only be made upon written request by the person who
paid the fee. The request must be made prior to the expiration of the
permit and no construction work has been done. Filing fees, plan
check fees for work plan checked and other department costs are not
refundable.
K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc Page 1 of 2
REV 7-27-04
Received by:
Amount: / SSI' Bldg
4��
SRA
Receipt #: �
�) U
Sheriff
SMIP
Dated Q
/ Other
/ Total
K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc Page 1 of 2
REV 7-27-04
SUBMITTAL & PERMIT REQUIREMENTS
The following drawings and specifications must be submitted to the Building Division in order to apply for a
permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK
❑
1.
Site plans, 3 or 4 sets, signed by the preparer of the plans. No graph paperl
❑
2.
Complete plans, 3 or 4 sets, signed by the preparer of the plans (No graph paper!) OR
Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations.
❑
3.
Engineered truss details and layouts in duplicate (if required). No faxes!
❑
4.
Energy compliance design and supporting documentation in duplicate. (Note: Not required for additions to
mobile or modular homes.)
❑
5.
Statement of Intent for Non -heated and A/C for Non -Residential Buildings.
❑
6.
Manufactured homes: (A) Data sheets and installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down
or fnd plans, all in duplicate.
❑
7.
Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor
plans in triplicate. All of these must be stamped and wet -signed by the engineer.
❑
8.
Flood Elevation Certificate, wet -stamped and signed, in duplicate (if required).
❑
9.
Site plan and business license approval from the City of Biggs.
❑
10.
Letter of intent for non-residential buildings.
❑
11.
Detached Accessory Building Form filled out by the owner (if required).
❑
12.
Hazardous Material Form (for Commercial Buildings only).
3Sanitatio -and.site-plarLapplovalfrom-the-EnArDnmentaLdealtb-Deparlment.
Remaining
items needed to issue the permit. Additional items may be required after Plan Check and Planning
review (May require additional plan review upon receipt of the following items.)
❑
1.
Agricultural Buffer clearance and site plan approval from the Ag Commissioner's office (if required).
❑
2.
Impact Fees.
❑
3.
California Department of Forestry plan approval (if required).
❑
4.
NPDES Form.
❑
5.
Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy).
❑
6.
Contractor's license information. (Number, Name Style, Classification).
❑
7.
Worker's Compensation Carrier and Policy Number.
❑
8.
Owner -Builder Verification (if required).
❑
9.
Letter of Signature authorization (if required).
❑
10.
Recorded copy of Agricultural Acknowledgment Statement.
❑
11.
❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner (for 433A's).
If you have questions or would like additional information regarding this process, contact a Permit
Application Assistant at (530)538-7541.
EXPIRATION OF APPLICATION
Applications for which a permit has not been issued will expire one year after date of application. In order to renew action
on an application after expiration, a new application, plans and fees will be required.
REQUEST FOR FEE REFUNDS
Refunds can only be made upon written request by the person who paid the fee. The request must be made within two
years from the date of fee payment on permits not issued, and two years from the date of permit issuance for permits
issued; however, on issued permits refunds can only be made if no 'construction work has been done. Filing fees, plan
check fees for work plan checked and other department costs are not refundable.
OVER FOR BUILDING PERMIT APPLICATION
I"
KAFORMSMILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2 - REV 7-27-04
�-,� k�--r...._ _.� :i ...^'-'_..� _ .r^�'*,r' � i,,,5�r... ...ry-.....-.-.-�,'w"'_�.-.-.�.� w'�.r-Y- --�'�--....«-.......��..:_ �., Y' �.i..�l�^•.`�-',fir+,.-r---'�. -.
COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION
7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140
PERMIT APPLICATION DATA SHEET
OWNER: C�-�V 't r 1 ASSESSOR PARCEL NUMBER" ��' C�-• G�
Proposed Building Use: of ` 1 Counter Technician: , Date:
Items required in order o apply for a permit. All boxes MUST be checked PR marked NA in order to5pply.
1. Site plans, 3 or 4 sets, signed by the preparer of the plans.
❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans.
❑ 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations.
❑ 4. Engineered truss details and layouts in duplicate. No faxes
❑ 5. Letter from Engineer or Architect for truss design review.
❑ 6. Energy compliance design and supporting documentation in duplicate.
❑ 7. Statement of Intent for Non -heated and A/C for Non -Residential Buildings.
Cl 8. Manufactured homes: (A) Data sheets and installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in
duplicate.
❑ 9. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these
must be stamped and wet -signed by the engineer.
❑ 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate
❑ 11. Site plan and business license approval from the City of Biggs
❑ 12. Letter of intent for non-residential buildings
❑ 13. Detached Accessory Building Form filled out by the owner
❑ 14. Hazardous Material Form
15. Sanitation and site plan approval from the Environmental Health Department in Chico ❑ Oroville, as applicable.
El ❑
16. Other
Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.)
❑ 17. Fire Sprinklers.................................................................................:...:......
❑ 18. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by
❑ 19. Soils Report and/or Engineered Foundation required ........................................... ........
rosion Control Plan Required........................................................................ ........
'� 21 ees as shown on the attached Schedule of Fees Due Sheet ..............................
22. City of Chico Plumbing permit........................................................................
❑1V 23. California Department of Forestry plan approval ❑ paid. Sent by: ..............
24. Planning approval (A) Use: OIL (B)Parking: (C) Parcel Check:
❑/ 25. Contact Land Development about _ Improvements, _ Drainage .........................
PDESForm ... :......................................................................................... i
27. ncroachment Permit for driveway from the Public Works Dept ...........................
❑ Pre -Inspection for required.......
❑ 29. Contractor's license information. (Number, Name Style, Classification) ...................
❑ 30. Worker's Compensation Carrier and Policy Number ..........................................
❑ 31. Owner -Builder Verification (_ Given to owner, _Mailed to owner) .....................
❑_ i 32. Letter of Signature authorization......................................:.............................
33. Recorded copy of Agricultural Acknowledgment Statement .................................
❑ 34. Manufactured home utility clearance...............................................................
❑ 35. Existing violations and/or expired permits.........................................................
❑ 36. Deed Restriction.........................................................................................
❑ 37. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $
❑ 38. Other:
❑ 39. Other:_
When issued Telephone L ` and hold for pickup.
r
I have been informed the above items and requirements for obtaining a building permit.
Applicant: ��_ %� 60 1 Date: l U ' Z j - o "/
1. Index permii>afplication for the abo�" le'tems numbered: Plan Check Letter
2. Additional items required
Contractor, designer, owner, was advised of the above data by ❑ pholv, ❑ mail, ❑ counter, by Date:
Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date:
Plans reviewed by: Date: Plans approved by: - Date: All 19 Ift
Structural reviewed by: Date Structural approved by: -IN Date:
Note transfer by: Datek AM
Yellow: Building Division
e
TO:
Building Department
FROM:
Environmental Health
SUBJECT:
Sanitation Clearance
E..H,IQE ONLY
Plot Sian Attechod
Floor Mian Attnct.4
Sant to B.D. !
Owner Location AP#
Plan Approved for: Sewage Disposal . Dater Supply: Public P ivate Well
Clearance for dwelling. Other
Hold final for:
Final clearance O.K. for:
NOTE:
h5
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
_ f n SCHEDULE OF RECEIPT OF FEES
C `., ��' O^v•
06OWNER A.P. #6
l
PROP OSED BUILDING USE 7" �JD(Cn 0I I DATE
RECEIPT # DATE REC.
1. BUILDING PERMIT FEES
--- Balance Due .....................
--- Additional Fees Due........... $
--- Revised Plan Checking Fee.... —41
2. SCHOOL DISTRICT FEES _6J!2N':!R_5
(paid at School District Office) (form availab e aer Ian Check)
3. SHERIFF FEES (paid at Building Division) O
Residential............ I X $360.00 =$
_5� i its
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 = $
II•Iq.v+
41 �94-q I I - 15. o4-
Sq. Ftg. Amt./10. OTHER SM 1,� `Tl�;L '+ 1-1 • k 5 �41 I''
ottime of permit applicari , was advised the above fees are required to be paid prior to issuance of the permit. These fees
may be changed durin a plan clW&ng process.
APPLICANT
DATE/ 0— 2 0— O Y
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)
O�Q pATMEN-r ox,
/0 TT`0 Department of Public Works
/ 0 0 C o u n to f B u t t e
I0 Y
O O J. Michael Crump, Director LAND DEVELOPMENT DIVISION
\ O O Storm Water Management Program
C'% 7 County Center Drive
\\ DUNI // Oroville, CA 95965
AuCfc W�9 (530) 538-7266
(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: /Uri-✓ lzff ly&,c4
Project Location and/or Parcel Number: b ZZ- — 19 ° — 6 c� Z
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: CSL
Title: d wti
Date: l6 — Z $ — 0 `i'
Less than l Acre NPDES & SWPPP Compliance Certification
Butte County Storm Water Management Program
Revised 5/24/04
AND WHEN RECORDED MAIL TO:
BUTTE COUNTY BUILDING DIVISION
7 COUNTY CENTER DRIVE
OROVILLE, CA 95965
COPY of Document Recorded
02 -Nov -2004 2004-0067302
Has not been compared with
original
BUTTE COUNTY RECORDER
AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT
FOR RESIDENTIAL DEVELOPMENT
Section 26-8 of the Butte County Code required this acknowledgment to be recorded prior to issuance of a building
permit. The property described herein is adjacent to land or included within an area zoned for agricultural purposes,
and residents of this property may be subject to inconveniences or discomfort from the use of agricultural chemicals,
including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations
including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust,
smoke, noise, and odor. Butte County has established agricultural purposes and residents within said zones and on
adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm
operations.
All that real property situate in the County of Butte, State of California, described as follows:
A STRIP OR PARCEL OF LAND IN LOTS 17, 18, AND 19, AS SHOWN ON THAT CERTAIN MAP ENTITLED,
"ONSTOTT TRACT', WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF
BUTTE, STATE OF CALIFORNIA, ON December 5, 1910, AND MORE PARTICULARLY DESCRIBED AS FOLLOWS:
COMMENCING AT A POINT WHICH BEARS 954 FEET NORTH 880 46'1 EAST FROM THE NORTHWEST CORNER
OF LOT NO. 17 OF SAID SUBDIVISION AND RUNNING THENCE SOUTH 330 16' WEST 239.1 FEETTO A POINT;
THENCE SOUTH 580 33' WEST 32.2 FEET TO A POINT; THENCE SOUTH 890 35' WEST 490.5 FEET TO A
POINT; THENCE NORTH 210 55' WEST 220 FEET TO A POINT; THENCE NORTH 880 46' EAST 731 FEET TO
THE POINT OF BEGINNING.
Date -//- 2 -0-/
PROPER S:
r? -AJ
State of California )
County of \/LLba )
On NL'ely)6( (A f- 1w ' before me, Mcbc ; -P(C�
personally appeared 1 personally
known to me (or proved "e on the basis of satisfactory evidence) to be the person(s) whose name(s) is/are subscribed
to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized
capacity(ies), and that by his/her/their signature(s) on the instrument, the person(s) or the entity upon behalf of which
the person(s) acted, executed the instrument.
WITNESS my hand and official
Sign4tU—rj/ l Seal:r MAOO OFFORD
¢ ,, #13326912s`
NOTARY r'l!Ur-•CALIFORNIA.
YUaA COUNTY A
A.P. .Z Z— �c `'(— U v i Comm. Ex ' es OCT. 26 2005
School District
A.P. Number
Property Owner
BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM
. (One form per Building)
Building Department No.
(9 60/Jurisdiction: CRYF--;;�County
Property Location/Address
Subdivision
Residential Development
No oF , Living Mobile Home
Units Installation
Commercial/Industrial
00
New Addition
Lot No.
7-5--P,,043154,
. _................................. ..................... ; ......................................
230qSq. Footage
Addition/ *Supplemental to (Group R)
Conversion Permit #
*(No foundation Inspection)
....._........................................................................................._....
Deed Restricted Sq. Footage
(Attach a signed copy of Deed Restriction and Notice of Limited Use Facility document)
Sq. Footage
(including Exterior
Roofed Areas)
Building Department Representative Date
District Identification No.
School District certifies that
(Applicant)
(Street Address) (Phone Number)
(City) (State) (Zip Code)
-12,111
has complied with the requirements of Resolution No.. by payment of $
representing' 'square feet. JAB 2926 $
elll,—
School District Representative
Paid by Check # f Remarks:
PFULL MMGATION $
Date
No : You may protest the Imposition of the fen Identified above by submitting a written protest to the Disbict. In compliance with
Gov arnment Code Section 66020(a), within 90 days from the date fees are paid. Failure to submit a timely written protest will'Prohlbilt
you from chalkwWrig the Imposition of the fen In any court action.
ff,subsequent totin Sehooi DhrbW Representative signing this Butte County Schools Impact Fee Certification Forn% the 8dwol NeWd Is
atill bythe appil 11 Local Planning Agency that this project % Is being reviewed under the California Environmental Quality Act (CEQAh
this pr a m A may be viod to additional school fen to fully mitigate. He Impact on the school districtle schools.
White (applicant), Yellow (building department), Pink (school district) feeform.xis (10/03)dm.m
ENCROACHMENT PERMIT
County of Butte Department of Public Works
7 Count Center Drive Oroville, CA 95965 Phone (530) 538-7157 Ext. 2016 Fax: (530) 538-4356
Download Forms: www.buttecounty.net/publicworks/forms.html
NOTIFY COUNTY 24 HOURS BEFORE WORK IS TO BE !f:�.it Number District p
Phone (530) 538-7157 Ext. 2016. A—
APPLICATION
I WE, the undersigned, hereby apply to the County of Butte for an encroachment permit to do the following work under or over the County roads
A highways, all in accordance with County ordinances and general laws. (All information except si nature must be typed or legibly rinted.)
�. , / la. Company Name:
Applicant's Name., J"``i — 5b
.� /'-efi<.SS(a•; ��'.�ST /.-.;'�fT l<.�
Address:
t -P, --- x �S_i 1N br
Phone: 7� )�
•—. �,
3
Location of Work to be Done r7 .
M
Applicant's Signature
Contractor's Name
4. Assessor s Parce um
k /iU P, . _
17. Date: G. ` •�
CONTRACTOR'S INFORMATION
Addresst R. -/.-J64 7-
11. Fax:
D. Phone:c2
�3,._ 7c 3.,. 3 3
2. Contractor's License Number. ; S Y p
13. Certificate of Insurance: Yes �` No: ❑
4. Contractor's Signature: J 14a Date Signed: J r _
5. Authorized Agent:
TYPE OF WORK TO BE DONE
6. Please Check:17. if Driveway List Type:
Curb: ❑ Gutter: ❑ Sidewalk: ❑
8. Other Work - Describe:
{'7 i l U Pe w'a
PER AIT GRANTED
i compliance with the above request, and subject to all terms, conditions (including those on page 2 of this permit form) and special conditions written below,
ermission is hereby granted.
0. Conditions�/a/ 7a Gu✓.�
CO �r�'� �c� ,2 / r�.w4.s-
1Y. Haus nua.iw.
❑ Yes ❑ No
Jnder round Service Alert (U.S.A must be notified two working days prior to any excavation. SOD -227-2600
1. ❑ All work shall conform to accompanying: Detail ❑ Plans ❑ Special Conditions ❑
2. Date Issued D. Expiration Date: 24. Surety: j%, ,
.5. Date Paid: 26. Amount Paid:
//- /- 0 y amP't-eIOZ&
Aike Crump, Director of Public Works
29. Final Inspection Date: 30. Inspected By:
;orCounty
umonly- 31
dote: if permits are faxed to any number besides (530) 5394
L110
Paid By: 28. Receipt No.: 41,1,K
:
Completed - OK ❑ Completed — Not OK
Additional Comments Attached
can be delayed up to one week.
:)CATION:
DATE 1l ! l ! 41
OREMAN: _ MIN. DISTANCE:
.ISTRICT:
ERMIT-3-or-:
PEED LUIT OF ROADWAY ,
DRIVEWAY LOCATION: 3 5
0STANCE TO NEAREST INTERSECTION:
3IGHT DISTANCE
0— GOOD
❑ POOR
IF POOR RECOMMENDATION TO IMPROVE:
O CUT BANK
O REMOVE VEGETATION (TEMPORARY)
❑ OTHER (EXPLAIN)
ADJACENT TOPO
0 FLAT
❑ CUT SLOPE FT.
13 FILL SLOPE FT.
O CURB AND GUTTER
O AC DIKE
❑ EXIST. DIST. T TO EP FT.
DRAINAGE RECOMMENDATIONS
f NONE
❑ SWALE
❑ CULVERT
MIN. DIST. FT.
EDGE OF EXISTING PAVEMENT
(EP)
7S
1,;A-
337
z
Lu
—' 12' MIN. AREA
20' MAX. TO BE
----PAVED
R/W
10' MIN.
.NOTE:
rF GREATER THAN
107 UP- OR DOWN
REFER TO ENGINEERING.
MAX.
1
FOOT
VERT.
RISE 'OR DROP
PER
10
FEET
HORIZ.
DISTANCE
MIN. DEPTH TO FT. EP
DIAMETER IN. I {
LENGTH FT. EXIST. DIST. a I„MIN_
I❑ OTHER (EXPLAIN) 2% DIST.
MIN DEPTH
(1� 1'X'
10��
% UAx I
5
51
NOTE: --L--- 0�
PAVEMENT TO EXTEND
AT 27 CROSS SLOPE
OR MATCH EXISTING
ROADWAY CROSS SLOPE. RTa
PRIVATE DRIVEWAY FIELD REVIEW
•
a
s
•
F
• rY
V
f
EXISTING CULVET and
SIXTH STREET 20' MINIMUM DRIVE Matthew McKisson, Architect
1490 Nlgn-q 99, S.;t. B
\ Gf6 C8 (53 93918
335' f-• e.e- ease (530) 84G-6376
108'-O' 210'
P R Y_D E R O A D
r
(E) PP
112.25' 3 p a o 50'
m 18' TREE ______
(E) PP �o N I-------------
� — i C — -EXISTING [EACH FEILDLO I �
u
29' BLK 0_ _ L �-P-LACEMEbLT FOLD I
WALNUT
SEWER LINE 210' t +
O
NEW Di
H• S.F.D. ;;r
• I-S70RY
320' BLDG SETBACK EXISTING WATER uY - n
4
\ I Z an
FROM BLDG 0
O
FOR 10'-0' MIN. AWAY 0
SLOPE FINISH GRADE 5% •� ` m
Y
SLO'-0'
RECLAMATION DISTRICT NO. 833
)
SITE PLAN
SCALE I:LO
TRUE NORTH
NORTH
REFERENCE
t
VICINITY MAP LOT AREA SUMMARY PROJECT
NOT TO SCALE
T LOT AREA Area= 2.98 AC NEW SINGLE FAMILY
'
DWELLING
BIGGS I To cHlco I '
NEW SINGLE
A.P.N. 022-209-001
NEW RESIDENCE R-3 Area= 2309.00 sq rt FAMILY D W E L L I N G PRYDE AVE
• H4BUTTE COUNTY, CA
HASTINGS AVE
A.P.N. .022-204-001
NEW GARAGE U-3• Area= 51L sq ft
PRYDE ROAD R --
NEW COVERED PORCH AREA Area= 999.00 sy rt BUTTE COUNTY, 'CA
PRYDE t
r
3
S
M '
SITE I
rr.i� Na Dace
XXXX PRYDE F-
t - -
BIGGS, CA F- f
F-
N � ria N..
® TO GRIDLEY - se..l nae
and YUBA CITY
WI I COVER SHEET
Sh—t No
~ \ C cJ"
.. I 9,-t N. of I Told 9.t.
SITE PLAN REVIEW APPLICATION
Date: !I- & q AP#
Permit Number (if applicable)
APPLICANT INFORMATION Parcel Size:
Owners Name: aaVI
Owners Address: _ dJc -- � zn
Telephone No.:
Situs Address:
Proposed Use:
Residential
New Single Family Residential
Single Family Addition
❑ Mobile Home
❑ Residential Accessory
❑ Permanent Second Dwelling
❑ Temporary Mobile Home (Aunt Minnie)
❑ Temporary Travel Trailer
❑ Multi -family
Non-residential
❑ New Commercial
❑ Commercial Addition
❑ New Industrial
❑ Industrial Addition
Other
❑ Septic
❑ Agricultural Exempt Building
Fl Other:
Brief Explanation (if necessary):
1
❑ Single Family Remodel
❑ Commercial Remodel
❑ Industrial Remodel
❑ Well
DO NOT WRITE BELOW THIS LINE
DEVELOPMENT SERVICES 17VFORM4TION (For Staff Use)
Approved ❑ Conditionally Approved ❑ Resolve Problems Prior to Approval
Site Plan Stamped Approved
By Date I 0
Page 1 of 5
ALL ITEMS CHECKED APPLY TO THE PROPERTY
Parcel Is In:
❑ Snow Load Area:
❑ Land Conservation Act Minimum Acreage: ❑ Verify residence can be built per contract
❑ Nitrate Action Plan (See Environmental Health for standards)
❑ Watershed Protection Overlay Zone (See attached standards and requirements) /
0 Expansive Soils (Test for expansive soils and if verified proper foundation design required)
❑ SRA - (CDF to determine specific requirements)
❑ 100 -Year Flood Plain: (See atac ed)
• Flood Zone:
• Flood Panel No.: 0e Q 7 COQ 7S -C Index Date: - f r
❑ Sacramento River Reclamation District (Approval must be obtained from the California Reclamation Board)
❑ Feather River Reclamation District (Approval must be obtained from the California Reclamation Board)
❑ North Chico Specific Plan (See Development Fees Section and attached standards and requirements)
❑ Chapman/Mulberry (See attached standards and requirements)
❑ Cohasset Area (See attached standards and requirements)
❑ Grading Zone (See attached handout)
Use Requires:
❑ Use Permit ❑ Minor Use Permit ❑ Administrative Permit
❑ Minor Variance ❑ Variance
❑ Detached Building Use Form ❑ Encroachment -Permit
❑ Agricultural Worker Affidavit ❑ Agricultural Acknowledgement Statement
Zoning:
A -5-
t191 P - 0 FC-
s
lP-0FC- -
Applicable Building Setbacks:
❑ Setbacks drawn on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks.
Page 2 of 5
Zoning Code .
Streets & Highways
Fire Prevention
Subdivision Map
Front
o20 ,
Side
S 1
Side Street
Rear
5
Height
Waterway
N/A
N/A
N/A
❑ Setbacks drawn on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks.
Page 2 of 5
Applicable Development Fees:
Standard Fees Amount
❑ Fire
❑ School*
❑ Parks/Recreation
❑ Roads
❑ Sheriff
❑ Drainage
❑ NCSP/CSA 87
❑ Chico Urban Area — Road
❑ Thermalito Impact
❑ Other
Formula
----------------------------------------------------------------------- --------------------------------------------------
Subdivision Map Special Fees
❑
Water Tender
❑
Road Improvement
❑
North Oroville Area
❑
Other (per map)
* Check with school district to verify actual fee if pre -application review. A final determination will be made at the time of
the building permit.
Parcel Created By
Q Deeds:
Date of Creation: Legal Access Provided: ❑ No ❑ Yes
Deed of Reference: Legal Access Required ❑ No ❑ Yes
Parcel Frontage on Publicly Maintained Road: ❑ No ❑ Yes, Road Name:
Complies with C unty Standards for Deed Creation: El No El Yes
Comments R7 ko
J@ Parcel Deemed to be legal
❑ Verify Legal Parcel ❑ Verify Legal Access ❑Provide Deed of Creation
❑ Obtain a Certificate of Compliance
❑ Obtain a Merger ❑ Obtain a Lot Line Adjustment
❑ Comply with Old Subdivision Lot Ordinance (Maps recorded prior to Book 17 of Maps Page 23).
❑ Construct road to: ❑ Meet Parcel size required by zone
❑ Meet current Environmental Health Department requirements
Page 3 of 5
R Subdivision Man/Parcel Map:
Map Date of Recording:
Lot:
❑ Use Permit/Minor Use Permit
Permit Number:
is
ICS•
Date of Approval:
Page:
Parcel Map/Subdivision Map[Use Permit Conditions
❑ Comply with the following Conditions of Approval:
❑ Meet the Fire Safe Regulations of Butte County and P.R.C. 4290
❑ Automatic fire suppression sprinkler systems shall be installed in accordance with the
National Fire Protection Association Standard for installation of sprinkler systems in one
and two family dwellings and mobile homes, NFPA Standard 13D, unless a pressurized
community water system, with hydrants that meet the Fire Department specifications, serves
the parcel.
❑ Wood stoves and fireplace inserts shall be EPA approved and designed to meet the emission
requirements of the California Clean Air Act of 1988, as amended.
❑ Provide an erosion control plan for building and land disturbance. The Erosion Control Plan
must be prepared by a registered civil engineer or other qualified professional and be
submitted to and approved by the Department of Public Works.
❑ In lieu of a pressurized water system or water storage tank, payment into the appropriate
Battalion Water Tender Fund may be required.
❑ Measures shall be taken to control fugitive dust emissions from all driveway and other civil
construction associated with residential development.. Approved dust control measures are
found" in the fugitive dust control plan for the site approved by the Butte County Air Quality
Management District, a copy of which can be obtained from the Butte County Department
of Development Services, Building Division."
❑ Engineered foundations are required.
❑ Class A roofs are required.
❑ Property owners responsible for roa
Page 4 of 5
0
x
Summary of Specific Requirements:
This information provided in this summary is based on the application information and on the best available data at the time
of review.
CAL.arrys\Building Permit Site Plan Reviewl.doc
Page 5 of 5
Michael Vieira
County of Butte
Dept. of Development Services
7 County Center Drive
Oroville, CA 95965-3397
Job 2040015.021 Montez SFD
LINHART PETERSEN POVVtKb N►a�v�.�+
6088 Sunol Blvd, Suite 100
Pleasanton, CA 94566
(800) 340-4644 (925) 226-1320
FAX (925) 218-1970 ACCT FAX (925) 218-1973
May 25, 2004
Invoice No: 22248
70% of County's Plan Check Fee
Permit 04-0286
The fee for the plan review of the above referenced Proiect is as follows:
Fee
TOTAL FEE:
Thank you! I
Please reference LP2A invoice number on your check
415.37
$415.37
BUM
Fr coum
Z 7 2004
D]&vFzOPMEN r
SERVrC S
Plaks
r 6 e i oma ?z17A-).o xy-7 3 1z41a el �-/3
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Cent, -,r Drive • Oroville, California 95965 • Telephone (530) 538-75 PERMIT No.
(Rev. 12/96) APPLICATION AND PERMIT ---���
ASSESSOR PARCEL NUMBER
zONI
BUILDING PERMIT
OWNER n
�Z
SO. FT. OCC. BUILDING VALUATION
OWNERS D
! •
00
,
n
�.
\vJ
CONTRACTO E
rG
TELEPHONE
0
CONTRACTORS MAILING DRESS
'�v \
�V1
CONSTRUCTION LENDER
- 0
Fireplace
LENDER'S MAILING ADDRESS
Total Valuatlon s
•
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee $ 20'00
Permit Fee $ J�0
ARCHITECT OR ENGINEERS MAILING ADDRESS
.
Plan Checking Fee $
BUILDING ADOREEnergy
Plan Checking Fee $ 00
$
PERMIT FEE $
LOT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT Fling Fee 20.00
Each Trap 7.00 G
USEOFSTRUCTURE ��� g p'e-
SF Duplex ❑ Mobilehome ❑ Other
SPECIFY
Solar or heat pump water heater 23.00
Water piping 15.00 u0
-9
Each as water heater or vent 15.00
TYPE OF WORK
New 6/Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑
Describe Work: -r
Gas piping system 1 - 5 outlets 15.00 CO
Building sewer 15.00
Mobile Home S G W @20.00
PERMIT FEE S G
!� D9 S C-
ELECTRICAL PERMIT Fling Fee 20.00
OOOV
Main Service 0' ARLEssLESS 23.00
.PERMIT FEE PAID $ Q. �g
$ pap
SHERIFF
OTHERea
Main Service 200A TO 1000A 46.00
NEW CONST. DWELLING OCCUP. 3.SQf7.
OR ADONS. ( a ACC. BLDS.
NEW CONST.
µRE51D. MULTPPA T @7.50
PPA
POWER AARAATUS
a SINGLE OUTLET CIR.
EX. oCGU . OUTLET OR FOTTURES e20@ 1.00SRA
Ex. Occu oU�nt-Ds�slo�ea 5.00
Tem ora Service 23.00
Mobile Home cilities 20.00
Misc. Wiring 23.00
Pk MIT FEE SJ 91
MECHANICAL PER IT Fling ee 20.00
i
E
AMOUNT RECEIVED $ l�O• `� � �
DATE RECEIVED —80'
6.50
W
Mobile Home Installation Fee $
Energy Inspection Fee $ i.
ccc CONST. TYPE TOTAL FEE $611 I
HAL D. FEES . FLO D CDF I PXF&L HD ISSUE
Th it Is hereby issued under the applicable provisions
of a Butte County Code and/or Resolutions to do work
in ated above for which fees have been paid. do-
work
�J By Date
RECEIPT # 39� & L �" / � PERMIT EXPIRES ON
(Data
b
Y:a?A'FitJ9 t' i.ar`�:y;`W"' t.V�p3' 7r W
'x �s
r
l�
b
Y:a?A'FitJ9 t' i.ar`�:y;`W"' t.V�p3' 7r W
'x �s
L-. r...s*, - �M-'.�=.rti.,�..-+•�F�.4 -� a !'ti*� � '- 3 r'' 4.
COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION
7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140
PERMIT APPLICATION DATA SHEET o�
OWNER: ( Ac C4?0ASSESSOR PARCEL NUMBER
Proposed Building Use: / V .� � Counter Technician: Date:
Items required in order to apply for a permit. All boxes MUST be checked OR marked NA in order to apply.
fV1. Site plans, 3 or 4 sets, signed by the preparer of the plans.
2. Complete plans, 3 or 4 sets, signed by the preparer of the plans.
OJ. 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations.
of 4. Engineered truss details and layouts in duplicate. No faxes!
❑ 5. Letter from Engineer or Architect for truss design review.
6. Energy compliance design and supporting documentation in duplicate.
❑ 7. Statement of Intent for Non -heated and AIC for Non -Residential Buildings.
❑ 8. Manufactured homes: (A) Data sheets and installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in
duplicate.
❑ 9. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these
must be stamped and wet -signed by the engineer.
❑ 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate
❑ 11. Site plan and business license approval from the City of Biggs
❑ 12. Letter of intent foir non-residential buildings
❑ 13. Detached Accessory Building Form filled out by the owner
❑ 14. Hazardous Material Form
15. Sanitation and site plan approval from the Environmental Health Department in ❑ Chico ❑ Oroville, as applicable.
❑ 16. Other q
Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.)
❑ 17. Fire Sprinklers...' :................ .....
......
............................................................
.
0.� 18. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by . ®I<
:5-
0 19. Soils Report andior Engineered Foundation required ........................................... .........
❑ 20. Erosion Control Plan Required........................................................................ ........
❑/ 21. Fees as shown on the attached Schedule of Fees Due Sheet ..............................
O 22. City of Chico Plumbing permit........................................................................
❑ 23. California Department of Forestry plan approval ❑ paid Sent by
❑ 24. Planning approval (A) Use:DK (B)Parking: (C) Parcel Check:
'2--)3r0'L-
0 25. Contact Land Development about _ Improvements, _ Drainage .........................
'Tj 26. NPDES Form....:........................................................................................
27. Encroachment Permit for driveway from the Public Works Dept ...........................
❑ 28. Pre -Inspection for required.......
❑ 29. Contractor's license information. (Number, Name Style, Classification) ...................
Co nsation Carrier and Policy Number...................................I ......
'❑f 310. Owner -Builder
der Verification ( i'ven to owner, _Mailed to owner) .....................
o� 32. Letter of Signature authorization....................................................................
0 33. Recorded copy of Agricultural Acknowledgment Statement .................................
❑ ` 34. Manufactured home utility clearance...............................................................
❑ '35. Existing violations and/or expired permits.........................................................
❑ 36. Deed Restriction.........................................................................................
❑ 37. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $
❑ 38. Other:
❑ 39. Other:
When issued Telephone % fes- Al jQjiin pa( and hold for pickup.
I have been informed of the above items and requirements.for obtaining a building permit.
Applicant: Date:
1. Index permit applicAon for the above items numbered:
Plan Check Letter
2. Additional items required
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: 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
Plot Plea Attached
Roes Plan Attached
sent to B.D.
00/
Owner Location AP#
Plan Approved for: Sewage Disposal ✓ Water Supply: Public Private Well
Clearance for dwelling. Other , a� &;P z ug
Hold final for:
Final clearance O.K. for:
NOTE:
Environmental Health Vp cialist Date
8/96
COUNTY OF BUTTE
DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 COUNTY CENTER DRIVE, OROVILLE, CA •95965 TELEPHONE (530)538-7541
SCHEDULE OF RECEIPT OF FEES
OWNER+6(Trper:6A.P. # 104 '� r
PROPROSED BUILDING USE �UIs DATE
RECEIPT # DATE REC.
1. BUILDING PERMIT FEES � 1 f1.00
--- Balance Due ..................... $
--- Additional Fees Due........... $
--- Revised Plan Checking Fee.... $
2. SCHOOL DISTRICT FEES t
(paid at School District Office) (form av ila lea eter Pla Check)
3. SHERIFF FEES (paid at Building Division
Residential............ $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)
va"/- 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
Commercial (sq. ftg.) .........
Sq. Fig.
10. OTHER
At time of permit application, I was a ' d the
may be changed during t4 plan Xckipg prgpe
APPLICANT
X
Amt.
Amt.
fees are required to be paid prior to issuance of the permit. These fees
DATE — Z 4 .C)
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)
O.B.- I
OWNER -]BUILDER VERI]F'ICATION
Attention Property Owner:
An "owner -builder" building permit has been applied for in your name and bearing your signature.
Please complete and return this information at your earliest opportunity to avoid unnecessary delay
in processing and issuing your building permit. No building permit will be issued until this
verification is received.
1. I personally plan to provide the major labor and materials for construction of the proposed
property improvement: YES'P(- NO ❑
2. I ]EIAVEX 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: 1 —
cm r
ADDRESS: CITY:
PHONE: CONTRACTOR'S LICENSE NO.
4. I plan to provide portions of this work, but I have hired the following person to coordinate,
supervise, and provide the major work:
NAME:
ADDRESS:
PHONE:
CONTRACT'OR'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:
PROPERTYOWNER:
SOCIAL SECURITY NUMBER: _ �/ — �/✓
DATE: 0
NOTE. This Owner -Builder Verification is required by Section 19831 and 19532 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.
OVER
OWNER BUILDER INFORMATION
Dear Property Owner:
An application for a building permit has been submitted in your name listing yourself as the builder of 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 $300 or more for the entire project, and such persons are not licensed as contractors or
subcontractors, then you may be an employer.
0 If you are an employer, you must register with the State and Federal Governments 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 for you if you do not carry out these obligations, and these risks are especially serious
with respect to worker's compensation insurance.
♦ For more specific information about your obligations under Federal Law, contract 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 contractors is to secure an "owner builder" building
permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building
permits are not required to be signed by property owners unless they are performing their own work personally.
Information about licensed contractors may be obtained by contracting the Contractors State License Board in your
community or at 1020 N Street, Sacramento, CA. 95814.
Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you
are aware of these matters. The building permit will not be issued until the verification is returned.
ely,
Mic 1 C. Vi ira, C.B.O.
er, Building Inspection
NOTE: . This Owner-BuUderinformadon is required by Section 19830 of the California Health and Safety Code,
OVER
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
available on the job site.
A.P. No. 022-204-001
MONTEZ, PETER
Owner 325 PRYDE AVE, BIGGS
Contractor _ CONT:
Permit No. _ NEW SINGLE FAMILY
04-0286 _
PERMITTEE MUST CALL
FOR INSPECTIONS
INSPECTION I DATE I INSPECTOR
Conduit
Pre-Gunite
Underfloor Plumbing
Underfloor Electrical
Underfloor Mechanical
Underfloor Framing
Slab
Rough Electrical
Rough Mechanical
Framing
Shower Pan
Do
insulation
D
Fireplace Footings
Fireplace Throat
Stucco Lath
Scratch and Brown
Sewer Service
Water Service
Pool Final
Plumbing Final
Electrical Final
Mechanical Final
Buildino or M.H. Final
DO NOT OCCUPY UNTIL
ALL THE ABOVE IS SIGNED
AND THE BUILDING OR MOBILE HOME
IS APPROVED FOR OCCUPANCY
_Addresses Information :. >. 24 Hr':Iitsp
Oroville - 7 County Center Drive 538-7541 538-7636
Chico - 411 Main Street 891-2751 891-2834
Revised 7194
NOTES
INZ�
RESIDENTIAL
PERMIT N0. 022-204-001 04-0286
+-MONTEZ; PETER
325 PRYDE AVE, BIGGS
CONT:
NEW SINGLE FAMILY
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
J=OK
Card B-1 Date Card B-1
0 = Not OK
Card B-1 Date Card B-1
NotReadyable
MOBILE HOMES
. =
2.
Date
MOBILE HOME UTILITIES (Plans) OK except #'s
Gas; MH Test -Demand -Valve -Connector
1. Zoning Requirements -Setbacks -Easements
Electricity; MH Test -Crossovers -Breakers -Clearances
2. Soils; Special MH Support Sketch
Drain; MH Test -Fall -Flex Connector
3. Sewer; Location -Test -Fall -C/O -Concrete
4. Water; Location -Test -Easement Needed (Sketch)
5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete
6. Gas; Location -Test -Wrap;-/ /" L'ft.
/ P Nat. or/ /" L "ft./ P LPG
7. Well Clearance & Disconnect
8. Utilitv 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
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
Date
Card B-1 . Date
Card B-1
Date
Card B-1 Date
Card B-1
Date
PERMANENT END SYSTEM (ONLY).
1. Zoning Requirements -Setbacks -Easements
2. Footings; Size -Spacing -Marriage Line
3. Blocking .
4. Gas; MH Test -Demand -Valve
5. Electricity; MH Test
6. Water; MH Test
7. Water and Sewer Connected
8. Gas and Electricity Tagged
:9. Exits
10. License Decals
11. Verify #'s with Office
Date
Card B-1 Date
Card B-1
Date -
Card B-1 Date
Card B-1
MISCELLANEOUS
Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s
1. Zoning Requirements -Setbacks -Easements
2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel
3. Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails
4. Wood Awn.; Posts-Beams-Rftrs-Connectors
Shthg-Frg-Bracing
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Carports; Windows -Doors
7. Electric
8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses
9. Siding; Nailing -Veneer -Stucco -Mesh
10. Roof; Shthg-Roofing
11. Ext.; Steps -Doors -Landings
12. Braced Wall Panels
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date POOLS (Plans) OK except #'s
1. Setbacks -Easements
2. Soils; Compaction -Structure Stability
3. Pool Structure; Steel -Connections -Thickness
Dead Men -Lining
4. Elec.; Receptacles and Lighting, Distance-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
Ab<,
d = OK
0 = Not OKL�i�e�e1v.� :.a:fi
= Not Applicable RESIDENTIAL_(Singled&_Duplex)• P.f
.=•,NV!!acly, y10 (attic '1) 83 cDAAAD 2TRG4pRtJ ,?R3>rC,' .i ;.0 r! • 1 ,0 z"� ?r• .k�A • ttrr t� 1sig123!?i 3i'11J 3 NtG'it a iiF;C;F 1 r1r °]
Date UNDERFLOOR (Plans) OK except #'s c"', o- -
'--Sz ;icl!.,Zoning=Setbacks-Easements-Flood=Slope .S
trn}i-z,icic Main; Soils- Elec t'Grnd:-/D +^,/":Ftg! Depth
3:vFtg:; Garage •Soils-Steel=Elec. Grnd:--/oV'j /".Ftg. Depth
4. Ftg., Porches & Decks;'S6ils-Steel'/"7-r/" Ftg. Depth
5.'-Stemwallsi Main; Steel-Blockouts-Wrapped-
6. Stemwalls, Garage;'Steel-Blockouts=Wrapped
6a. Hold Downs and Special Anchors .S
7. Slab;'Steel`Wrapped e,a aaa 9152 ;.enl) I B
8. Piers -Fireplace Ftg.-Steel/ nnilisU 47eni2 e
9. D.W.V.; Fall -Fitting -Test -2 Way.0/O.-Sewer Test
10. UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test
11. Water Pipe; Test-Anchors-Regulator-Service:Test
12. Electric Underground
1-S OM1 3. Plenums & Ducts; Clearance -Material -Support -Ins. 9rs:
r t' 01,5.14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies :r.0
15. Access & Ventilation1eux5 AD fznslq) 2.1705 eJeO
16. Insulation �•n`JfnB?.^�-?AORd?5:; r
510K?Ul1; !l^,It: q,nC:l ;'C` Uv
Date a;Card-B=1e•w?o<raw0-=Date k>o4 A'CardB-1
Date Card B-1 Date "01-rist-1 -'s3u Card B-1
Date PLUMBING (Permit) OK except .A
17. Water Htr.; Vent=Access-Combustion Air Baffle
be1a�18:' WaterPipe; Test &'Anchor -Nail Protection 6
M,3fl9 `�.D.W.V.; Test Fittings &Anchor -Nail Protection
rf��! ier,9 20:�: Shower. Pan; Test, First. Floor=Tub Accessi 8
nuonc2l;' Test`Tuti&-Shower,'Second Floor -Tub Access
22. Gas Pipe; Sixe_& Anchors r!f;,sge0 r+sst: .e
23. Fire Sprinkler, Test-+y'&W-1z3T 70 -dmdi9 Or
Date Card B-1 ef, '!A-Date+:3 Card B-1
Date Card B-1 Date Card B-1
Date r '•' o, -ELECTRICAL (Permit)'OK except #'s r -U U+eU sT<<a
r -a b•r[;•24. Fixture & Transformer Clearance -Iris` Protection 97T
25. Elec. Receptacles Spacing -Lights & Switches at Doors
26. Size Boxes & No. of Conductors Stapled
27. Romex Installed Close to Edge of Studs & C.J.
28. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water
29. 2 Appliance Circuits in Kitchen & Conductor Size GFI
30. Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or Al
31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or Al
Insulated Neutral ❑ Yes ❑ No
32. Service -Riser Conductors & Ground Main Disconnect
33. Equip. Clearances Panels-Motors-Mech. Equip.
34. Clothes Closet Light -Shower Light -Spa Light
35. Smoke Detector
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date MECHANICAL (Permit) OK except #'s
36. A.C. Ducts Insulation & Support
37. Vent Fan, Exhaust above insulation
38. Condensate Drain & Overflow, Size & Grade
39. Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet
40. Attic Access & Platform if Furnace in Attic
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date FRAMING (Permit) OK except #'s
41. Sills Proper Materials & Anchors
42. Walls Studs -Nailing Spacing & Braces -Plates -Sound
43. Bearing Walls over Girders & Floor Nailing
44. Draft Stop in Walls (rat proof)
45. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs
46. Headers & Beams -Size & Bearing
Date FRAMING"(Continued)= �z"Y f•�-'.:-,�:'1 +.
47. Hangers -Post Caps-Anchors=Connectors
48. Cling:'Joist-Rftr.,Ties-Purlin-'Roff.Brac:-Truss-Shting.-Rtng.
(1:49 .' Fireplace Ties•or<Type A Flue -Fireplace Throat Clearance
31e1 n r,C, err 50. Attic Access; Size.& Romex Protection-Draft.Stop-Ins. Baffles
51. Bdrm. Windows or, Exiting Doors -Sill Ht -.1 Dimensions
52. Garage Fire Protection Framing=RC Channel
53. Property Line Firewall &'.Openings*Q Rays'
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
-8 o,e 57. Siding-Nailing'Veneer
•8 b-is•58. Stucco Mesh- Drip;Screed-Fd. Vents=Underflr. Access e.cG
a><tc59;xGliiing'Area-Gla§s'Prot6ction=Skylightg'Plastic s1ct3
60:'Shear-Walls; Nailing-Bolts_91up,_- ; grn-•c=�: r
61. Brace Interior/Exterior.Wall Panels•;!,+?Oo
62. Insulation;Walls=CeilingsiQ 1^eT i O i_
wOr;�763 lnfiltratioh-Walls=Windows Htil,•'
Date Card B-1,?cer+nou x -31' -Date- tier +.> Card B-1
Date Card B=1 inno A0;in.Date H11 7cVj ,Card B-1
Date IFINAL^(Plans) OK'except #'sisw=+e, cns -ers
64. Ext. Steps -Door &•SidelightProtection-Landings
65. Smoke Detector. W102---1 "Cly; •z ,•rjC�I eii
66. Furnace Vents -clearance -Comb; Air_Connector___
In Garage; Above Floor-Ducts=Mech. Protection
67. Bedroom Exitino
68. G.F.I. & Bath Fixtures & Tub Access -Spa
'-R 7iF. 69. Elec. Trim & Subpinel, Breaker Siies'&•Labels Stn❑
r d b V70. Stairs & Rails `''s0 8 r 91FU
71. Fireplace or"'Stove;`Clearance=Hearthlh`•".`i9? s1cQ
72;TElec':�0utlets•at Wood Panel;•Int. & Ext ,
73. Kit. Fixt. &'Applidnce' Ground -Air -Gap -Cooking Clearance
74. Elec. Outlets & Receptacles at Kit'Eounter
75. Garage Fire Door; Swing -Landing -'Closure :
76. A.C. Duct in Garage -Damper A ,yf!D� :o '
_
-.----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.l aO .h Or
81. Guard Rails & Deck Construction:-Post,Caps'
82. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth
_ r•r t7mD Clearance Looked'under Floor t El' Yes'.-) 'sn
1-8 h,G,83. Following Instld./Drive❑ Yes 0 No/Walks 07es -❑ No/Planters 0 Yes ❑ No
84. Stucco 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:
(Rev. 12/96)
COUNTYOF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive Oroville, California 95965 • Telephone (530) 538-7541
APPLICATION AND PERMIT
PERMIT NO.
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
[Fireplace
LENDER'S MAILING ADDRESS
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE NO.
—FilingFee $
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
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 S G W
@20.00
PERMIT FEE $
ELECTRICAL PERMIT
Fling Fee 20.00
Main Service 2�oon a mss
23.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencingwith 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:
"j 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
Main Service 200A TO 1000A
46.00
NEW CONST. DWELLING OCCUP.
OR ADONS. 8 ACC. BLAS.
s0
3.50FT.
NEW CONS MULTI.OUTLET
NON-RESID.
@7.50
POWER APPARATUS
8 SINGLE OLNTLET CIR.
Ex. OCCu OUTLET OR FIXTURES
SAL @': o 00
Ex. Occup. ouTLEEDTSA Aa 0 °EA
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
PERMIT FEE S
MECHANICAL PERMIT
Fling Fee 20.00
Heating
Cooling
Hood
6.50
Ventilation
PERMIT FES S
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
flith comply with those provisions.
X Date --Zq� (_
Signature of Applicant -Vowner ❑ Contractor ❑ Agent
An OSHA permit is require or 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
TOTAL FEE $
.
�HAZ
p. FEES IMP
FLOOD
CDF
PARCEL
PO
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
ate
Receipt No.
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT I
(Rev. 12/96)
COUNTY'OF-BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive Oroville, California 95965 • Telephone (530) 538-7541
APPLICATION AND PERMIT
PERMIT N0.
ASSESSOR PARCEL NUMBER
ZONING
BUILDING PERMIT
OWNER
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
.OWNERS MAILING ADDRESS
CONTRACTOR'S NAME
TELEPHONE
CONTRACTORS MAIUNG ADDRESS
CONSTRUCTION LENDER
Fireplace
LENDER'S MAILING ADDRESS
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.
SUBDNISIONS NAME
PARCEL MAP
PLUMBING PERMIT
Filing Fee 20.00
USEOFSTRUCTURE
SF ❑ Duplex ❑ Mobilehome O 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 O Other ❑
Describe Work:
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home I S I G I W
920.00
PERMIT FEE
S
ELECTRICAL PERMIT
Filing Fee 20.00
Main Service 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 full force and effect.
License Class Lic. No.
OWNER-3UILDER DECLARATION
1 hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
1, as owner of the property, or my employees with wages as their sole compensation,
will do the work, and the stricture 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
TO
Main Service TO
46.00
NEW CONST. DWELLOCCUCUP.
EE
OR ADONS. ( a ACC. BLDS.
SO
3.5¢Fr.
NON•REOSID. AbKHOU CIRCUITS
97.50
POWER APPARATUS
8 SINGLE OUTLET CIR.
Ex. Occup. OUTLET OR FD(TURES
@'•00
BAL @ .SO
Ex. Occup. GFIxuT,E�°sA PS
DOEA
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 providec for by section 3700 of the Labor Code, for the
performance of the work fon 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
orthwith comply with those provisions.
c '
X _-----�" Dater zQ -� `T _
Signature of Applicant- Q/Owner ❑ Contractor ❑ Agent
An OSHA permit is required for excavations over 60" deep and demolition or construction
of structures over 3 stories in heigh.
MECHANICAL PERMIT
Filing Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEE $
Mobile Home Installation Fee $
Energy Inspection Fee $
Occ
CONST. TYPE
TOTAL FEE $
HAZ.
D. FEES IMP
FLOODCDF
PARCEL
PO
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
(Rev. 12/96)
COUNTY -OF -BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Qenter Drive Oroville, California 95965 • Telephone (530) 538-7541
a APPLICATION AND PERMIT
PERMIT N0.
ASSESSOR PARCEL NUMBER
ZONING
BUILDING PERMIT
OWNER
TELEPHONE
SO, Fr, 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 MAILING ADDRESS
Plan Checking Fee
$
BUILDING ADDRESS
Energy Plan Checking Fee
$
$
PERMIT FEE
$
IAT NO.
SUBDIVISIONSMAP
SUBDIVISIONS NAME
PARCEL
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 I W
920.00
PERMIT FEE
S
ELECTRICAL PERMIT
Fling Fee 20.00
600VOR LESS
Main Service zo.A 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:
`IRC 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 ADDNS. a ACC. BUDS.
SO
3.50FT,
NEW CONST.MULTI.OUTLET TS
NON -REBID.
�O 7.50
POWER APPARATUS
a SINGLE OUTLET A.
Ex. OCCU OUTLET OR FIXTURESBAL
p 1. 0
Ex. Occup. oUrLEEDrs Res,6.) E
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
PERMIT FEE
$
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.
❑ 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.)
r'❑� 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.
t ' —
Date M
Signature of Applicant -Owner ❑ Contractor 13Agent
An OSHA permit is required oY 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 FEE $
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
CONST. TYPE TOTAL FEE $
HAZ.
D. FEES IMP
FL000
1 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
(Date)
Receipt No.
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
r (Rev. 12/96)
COUNTY-'-OF-BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Penter Drive Oroville, California 95965 • Telephone (530) 538-7541
APPLICATION AND PERMIT
PERMIT NO.
ASSESSOR PARCEL NUMBER
1.
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
LICENSE NO.
Flin Fee
$ 20.00
ARCHITECT OR ENGINEERS MAILING ADDRESS
Permit Fee
$
Plan 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 C 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 stem 1 - 5 outlets 15.00
Building sewer 15.00
Mobile Home IS I GI W @20.00
PERMIT FEE $
ELECTRICAL PERMIT
Fling Fee 20.00
Main Service ".OA OR LESS
23.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencingwith Section 7000 of Division 3 of the Business and Professions Code,
)
and my license is in full force and affect.
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:
1p'' I, as owner of the property, or my employees with wages as their sole compensation,
will do the work, and the stricture 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. BUDS.
so
3.50FT.
NEW CONS . MULTI.OUTLET
ES
NON.RID.
@7.50
POWER APPARATUS
SINGLE OunEr CIR.
TL
Ex. Occu OUTLET OR FIXTURES
20
Bn�0'.w
Ex. Occup. XxurEE' A R6 D DEA.
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring23.00
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 tF a 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 nod 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.
j
X ! — Date _� 4 t••�
Signature^of Applicant - ❑ Owne- ❑ Contractor ❑ Agent
An OSHA permit is required for excavations over 60" deep and demolition or construction
of structures over 3 stories in heigh-.
MECHANICAL PERMIT Fling Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEE $
Mobile Home Installation Fee $
Energy Inspection Fee $
Occ
CONST. TYPE
TOTAL FEE $
HAZ.
D. FEES IMP
FLOOD
CDF
PARCEL
PO
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
Receipt No.
WHITE-D.D.S.-B.D. CANARY-ASSESZOR PINK -INSPECTOR GOLDENROD -APPLICANT IDele
M
COUNTY O -F UTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7N
�PERMITT NO.
(Rev. 12/96) APPLICATION AND PERMIT � - =`�-�U4
ASSESSOR PARCEL NUMBERZOM BUILDING PERMIT
w
OWNER n
p"'cAIZ OWNER'S 77�SQ. FT. OCC. BUILDING VALUATION
OWNER'S o ry U
.�O
CONTRALTO TELEPHONE
jlwne/_ - 0n Go
VCONTRACTOR'S
MAILING ADDRESS
$
CONSTRUCTION LENDER
'�v \
Main Service
LENDER'S MAILING ADDRESS
23.00 a
ARCHITECT OR ENQNEER
ARCHITECT OR ENGINEERS MAILING ADDRESS
LOT NO. I SUBDrVLSIONS NAME
Total Valuation $
LICENSE NO. Flin Fee $
Permit Fee $
Plan Checking Fee $
/ Energy Plan Checking Fee $
S
PERMIT FEE ;
PARCEL MAP PLUMBING PERMIT
Each Trap
USEOFSTRUCTURE
Solar or heat pump water heater
SF Duplex ❑ Mobilehome ❑ Other Water piping
SPECIF( Each gas water heater or vent
TYPE OF WORK Gas piping system 1 - 5 outlets
New k' Addition ❑ Remodel ❑ UtlG6es ❑ Installatim ❑ Other ❑ Building sewer
Mobile Home S G
� __ W
Describe Work: f /9LiCt�j°
D97s C -
.PERMIT FEE PAID
SHERIFF
OTHER
P
AMOUNT RECEIVED $
DATE RECEIVED
RECEIPT #.,317,q &A0 CVW6t�4d
rlLr/f
V.A
r'
�r'
do i
MT ...
7.00
23.00
15.00
15.00
15.00
15.00
@20.00
40
EX. OCCU . OUTLET OR F0=RES
PERMIT FEE
$
ELECTRICAL PERMIT
Filing Fee 20.00
Main Service
Iwo°aLEss
23.00 a
Main Service
2WA TO TOOOA
46.00
NEW CONST.
OR ADONS.
DWBIWG OCCUP.
8 ACC. BLDS.
3.5Q
co
mw m .
uNTw �nE 1
67.50
EX. OCCU . OUTLET OR F0=RES
8Z " .so
Ex. Occup. oVTtElsP(R=- A
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wirina
23.00
I PERMIT FEE I S I-/"
MECHANICAL PERMIT I Filing -Fee 1 20.00
Hood . II 1 6.50 1/tj.4DU I
PERMIT FE]_ S
Mobile Home Installation Fee $
Energy Inspection Fee $ i.
ccc CONST. TYPE TO AL FEE $ ,
NAZ I D. FEES 'V I Fl21) I COF V6EL V/ HD I 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
PERMIT EXPIRES ON
Date
CDAP
NO.:
022-204-001 DATES: 01/30/04 1 01/00/00 1 01/00/00 1 01100/00
eUTT�r
County ofButte
Peter
Montez Phone: 846-5426
00
OWNER:
Phone:
DEPARTMENT OF ocO°"pyo
N
MAIL
DEVELOPMENT SERVICES
P.O. Box 326 Phone:
O
ADDRESS:
Building Division
Gridley ICA 1 00009-59481
Owner Phone:
7 County Center Drive
CONTRACTOR
Oroville, CA 96965
Phone:
O
(530) 538-7541
Email:
Phone:
ARCHITECT
OR ENGINEER
Lic No.:
PERMIT NUMBER:
04 0 2 8 6
Email:
SITE
3261Pryde Ave Phone:
APPLICATION AND PERMIT
Biggs CA Email•
ADDRESS:
USE
SF
Dplx
MH
Other:
®
❑
O
TYPE OF
New
Addn
Rmdl
Utits
Instln
WORK
m
❑
❑
❑
O
Other:
NSF with attached garage
DESCRIPTION
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penality of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my
license is in full force and effect.
License Class License No.,
OWNER-BUILDER DECLARATION
I hereby affirm under penality of perjury that I am exempt from the Contractors State License Law for the following reason:
0
1, as owner of the property, or my employees vrith 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.
I am exempt under Sec. Business and Professions Code for this reason:
m
WORKERS' COMPENSATION DECLARATION
I hereby affirm under penaty of perjury one of the following declarations:
0
1 have and will maintain a certificate of consent to self-insure for workers' compensation, as provided for by Section 3700 of the Labor Code for the performance of the work
for which this permit is issued.
I have and will maintain workers' 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:
0
Cartier:
Policy Number:
This section need not be completed if the permit is for 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 the workers'
0
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
1complywith
those provisions.
WARNING: FAILURE TO SECURE WORKER'S 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 IN SECTION 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.
❑
Lenders Name:
Lenders Address:
I 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 and state
laws relating to building construction, and hereby authorize representatives of this county to enter upon the above-mentioned property for inspection
purposes.
Signature of Applicant Date
❑ 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.
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.
Date
PERMIT EXPIRES ON:
By Date
Page 1 of 3
00
IN
C
AP NO.: 022-204-001 DATES: 01/30/04
OWNER: Montez Phone:
SITE ADDRESS: 325 Pryde Ave
846-5426
Biggs-
iggsC
0
zoning
A-5
Acres
2.98
Name/Date
Flood X
Map/Book
Page
Block
Lot
Panel 0975C
Snow Load
Other
SRA No
VALUATION
CODE
SQ FT
$/SQ FT
VALUATION
Residential/ Guest House/Heated Fun Room
R
2857
$54.00
$ 154,278.00
Business/Office
U
720
$18.00
$ 12,960.00
Covered
Cov
44
$13.00
$ 572.00
Storage/Commercial
R
$54.00
$ -
Re-Roof
X
SQ
$ 60.00
Calculatesquares 20 ft x 30ft = 60 sf = 6 squares
Fireplace A (Zero Clr):
Masonry:
$ -
TOTAL VALUATION $ 167,810.00
BUILDING PERMIT FEES
QTY
FEES
FILING FEE
1
$ 20.00
$ 20.00
Permit Fee - FW77
1
I Permit Fee -1/2 (MH)
$ 877.50
Plan Check @ 65% Permit Fee
1
$ 570.38
Plan Check Minimum/Mobile Home State Approved Plan
$ 23.00
$ -
Plan Check MASTER PLANS ONLY
$ -
Revised Plan Check
$ 46.00
$ -
Energy Inspection Fee
1
$ 46.00
$ 46.00
Energy Plan Check
Commercial
4000+:
$ -
Residential
1
To Master:
1
$ 23.00
Mobile Home Installation Inspection
$ 100.00
$ -
$ -
$ -
TOTAL BUILDING PERMIT FEES $ 1,536.88
PLUMBING PERMIT
FILING FEE
1
$ 20.00
$ 20.00
Each Trap
14
$ 7.00
$ 98.00
Solar or heat pump water heater
$ 23.00
$ -
Water piping
1
$ 15.00
$ 15.00
Each gas water heater or vent
1
$ 15.00
$ 15.00
Gas piping system
1-5 Outlets
1
5+ Outlets
$15/$3
$ 15.00
Building Sewer
1
$ 15.00
$ 15.00
Mobile Home Utilities
Sewer:
I I
Water:
I
Gas: 1
$ 20.00
$ -
$ -
TOTAL PLUMBING PERMIT FEES $ 178.00
(D
AP NO.:
022-204-001 1
DATES: 01/30/041
1
00
N
OWNER:
Monter - -
Phone:
846-5426
SITE ADDRESS:
325 I
Pryde Ave
Biggs
Q
ELECTRICAL PERMIT
FILING FEE
1
$ 20.00
$ 20.00
Main Service
600V or less/200A or less
1
$ 23.00
$ 23.00
200+A to 1000A
$ 46.00
$ -
New Construction or Addns
Dwelling Occupied & Accessory Bldgs
3577
$ 0.035
$ 125.20
New Construction
Non -Residential
Multi -Outlet Branch Circuits
$ 7.50
$ -
Power Apparatus & Single Outlet Cir.
$ -
Existing Occupied
Outlets or Fixtures
1-20
$ 1.00
$ -
20+
$ 0.50
$ -
Fixed Appliances or Outlets (Res) ea.
$ 5.00
$ -
Temporary Service
$ 23.00
$ -
Mobile Home Facilities
$ 20.00
$ -
Miscellaneous Wiring
$ 23.00
$ -
Pre -Inspection (existing MH, existing site)
$ 23.00
$ -
Pool Electric
$ 30.00
$ -
$ -
TOTAL ELECTRICAL PERMIT FEES $ 168.20
MECHANICAL PERMIT
FILING FEE
1
$ 20.00
$ 20.00
Heating
Up to and including 100,000 BTU
$ 15.00
$ -
Greater than 100,000 BTU
1
$ 20.00
$ 20.00
Cooling
Up to 3 HP and 100,000 BTU
$ 15.00
$ -
3+ to 15 HP and Over 100,000 BTU
1
$ 25.00
$ 25.00
Evaporative Cooler
$ 15.00
$ -
Extend Ducts in Additions
$ 15.00
$ -
Hoods
1
$ 6.50
$ 6.50
Ventilation
5
$ 4.50
$ 22.50
Gas Fireplace
1
$ 15.00
$ 15.00
$ -
MECHANICAL PERMIT FEES $ 109.00
TOTAL OF ALL BUILDING PERMIT FEES 1,992.08
Occupancy:
Construction:
ISSUED
HAZ
FEES
IMP
FLOOD
CDF
PRCL
PD
HD
0
11
0
21
❑
121
0
0
AP NO.: 022-204-001 DATES: 1 01/30/04
Flling Fees
Notes:
OWNER: Montez - Phone:
846-5426AnnRFSS
-
325 Pryde Ave
aeloted by
Devebpmerlt
Biggs
STATE RESPONSIBILITY AREA SRA
PAYMENTPROOF OF E BELOW
BALANCE
SRA P.,sa—t-1
1 $
89.00 IS DUE
SRA FEES
$
-
IIMPACT FEES
MINIMUM PAYMENT OF FEES
CHECK (-"0')
SHERIFF
Sheriff Residential Per SF Living Unit 1
1 $360.00 $ 360.00
TOTAL SHERIFF FEES
$
360.00
36000
DRAINAGE
rhemlalieo Residential Per Living unit 1
1$
510.00 Is -
COmmerCial Per Ordinance 3304
I
S
TOTAL DRAINAGE FEES
$
STREET IMPROVEMENTS
Commercial Per Each s e Livin LI
$
1982.00 $
Chico Urban
Area Commercial service Sbuchaes Per Sq. Ft.
$
2.22
Commercial indestrial sbuchces Per Sq. Ft.
$
1.02
Residential per Each S' Livor unit
S
595.00 $ -
memurea Commercial
Urban Area Office Per Ade
$
11 924.E $
TOTAL STREET IMPROVEMENT FEES $ -
WATER TENDER
TOTAL WATER TENDER FEES $ -
NORTH CHICO SPECIFIC PLAN NCSP
Residential ISR - 1 I Per DU I $ 3.315.000 $
Industrial/Commercial loffice I Per SF I I $ 2.32 $
c..w....r — 1 1 1 5 72 614.000 S
TOTAL NCSP FEES $ -
Flling Fees
$
80.00
TOTAL IMPACT FEES $ 360.00
360.00
$ $ $ s
aeloted by
Devebpmerlt
OTHER FEES:
REQUIRED MINIMUM PAYMENT OF FEES $ 673.38
PAYMENTPROOF OF E BELOW
se
TOTAL BUILDING PERMIT FEES 1,992.08
1,341.70
$ 650.36
SCHOOL DISTRICTS - Proof of Payment On!
TOTAL ALL FEES $ 2,352.08
$1,701.70
OWES I
$ 650.38 $ - $ - $ -
PAID PAID PAID PAID
MINIMUM PAYMENT OF FEES
BUILDING
Flling Fees
$
80.00
Receipt No.
Receipt Date
Initials
Receipt Name
Check Number
Check Amount
Cash
TOTAL PAID
394616
10/03/03
TP
Peter Montez
5740
$ 650.38
$ 650.38 $ $ $
Plan Check Fees $ 593.38
SUBTOTAL BLDG $ 673.38
SRA FEES $ -
REQUIRED MINIMUM PAYMENT OF FEES $ 673.38
PAYMENTPROOF OF E BELOW
RECREATION DISTRICTS - Proof of Pa ment OnlyStaff
Chico Area Residential Per Uvino Unit I is 1,189.00 is 10
Oarhem Per Sq. Ft. 1 $ 1.041S 1 ❑
—R.side.0.11
S 1 ❑
SCHOOL DISTRICTS - Proof of Payment On!
Beggs -057 Residential 2,857 2.1a S s,113.9a ❑
_
CHECK (-"0')
1
022-204-001
MONTEY, PETER
325 PRYDE AVE, BIGGS
Cont:- OWNER
DEMO
03-3361
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION ,
7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO.
(Rev. 12/96) APPLICATION AND PERMIT �J (-,
ASSESSOR PARCEL NUMBER
(►?.r_?t`;-CJI
ZONING
BUILDING PERMIT
OWNER
� �� 7
TP .j'r i 945-5425
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
OWNERS MAILING ADDRESS
CONTRACTORS NAME
TELEPHONE
CONTRACTORS MAILING ADDRESS
CONSTRUCTION LENDER
Fireplace
LENDER'S MAIUNG ADDRESS
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE NO.
—Filing Fee
$ 20.00
Permit Fee
$1 9,M
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee
$
BUILDING ADDRESS
325 71 1 r rl�S Cf.
Energy Plan Checking Fee
$
$
PERMIT FEE
$ 35.00
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 O Utilities ❑ Installation O Other ❑
Describe Work: '� r":JF'C APP':` 11 ' 0 Flr
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home ISI GI W1
1@20.00
PERMIT FEE
S
ELECTRICAL PERMIT
Fling Fee 20.00
Main Service p A 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.POWER
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:
(f`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 zoa. To I000A
46.00
NEW CONST.DWELLING Or- CS
OR ADONS. ( a Acc. Or -S.
SO
3.50FT.
T.
NOFFREOSID. MULTI.OUTLET
@7,50
APPARATUS
8 SINGLE OVILEr CI R.
Ex. OCCu OUTLET OR FIXTURES
BAL @':'
FI APPLNS. OR
Ex. Occup. ouTLETs RESID. EA
$,OO
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
PERMIT FEE
$
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 forthwA complyrwith those provisions.
X Date ( 4 �i /
Signature of Applicant - ❑ Owner O Contractor O Agent
An OSHA permit is required for excava ' s over $'0" deep and demolition or construction
structures-over.3 stories,i ' hei ht.
MECHANICAL PERMIT
Fling Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEE $
Mobile Home Installation Fee $
Energy Inspection Fee $
OCC
CONST. TYPE
TOTAL FEE $
HAz.
D FEES IMP FLOOD CDF PARCEL PD
—
HD
�sUE
This permit is hereby issued under the
of the Buflbe ounty Code and/or Resolutions
c fees have
indicated b e f it
^ /
I / fof
By ✓ 1 �(�
PERMIT EXPIRES ON
applicable provisions
to do work
been paid.
Date
( �r
Dela
Receipt No. J �.. J
WHITE-D.D.S.-B.D. 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
(Rev. 12/96) APPLICATION AND PERMIT (J�
ASSESSOR PARCEL NUMBER
022-204-001
ZONING
BUILDING PERMIT
OWNER
MO
TELEPHONE,
It
SO. FT. OCC. BUILDING VALUATION
. OWNERS MAI MG ADDRESS
PO BOX 326, GRIDIFY CA Q Q
,48
CON��T��RR7AA77CTTOR'S NAME
OWLVM
TELEPHONE
CONTRACTORS MAILING ADDRESS
CONSTRUCTION LENDER
Fireplace
LENDER'S MAILING ADDRESS
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee $
20.00
Permit Fee $19
0c)
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee $
BUILDING ADDRESS
199 PRYDE AVE RIGGS CA
Energy Plan Checking Fee $
$
PERMIT FEE $ 35,00
LAT NO.
SUBDNISIONS 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: DEMO HOUSE APPROX 1900 SnE
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home I S I G I W
@20.00
PERMIT FEE $
ELECTRICAL PERMIT
Fling Fee 20.00
Main Service 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.P
License Class Lic. No.
OWNER -BUILDER DECLARATION
1 hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
I, as owner of the property, or my employees with wages as their sole compensation, 11—
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 permit is issued.
My workers' compensation insurance carrier and policy number are:
Carrier
Policy Number
(rhe 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
wo comp sation provisions of section 3700 of the Labor Code, I shall
f hwi cc I with those provisions.
X Date[ ij[a _ Q
Signature of Applicant - ❑ Owner ❑ for ❑ Agent
An OSHA permit is required for excava s over 5'0" deep and demolition or construction
of structure s ' s ri ht.
Main Service 200A TO 1000A 46.00
NEW CONST. LriYL3.UNG OCCUP. s0
OR ADDNS. 07
ACC. S.3.5¢Fr:
Npµq�,pT MULTI -OUTLET @7,50
OWER APPARATUS
8 SINGLE OLlTU:T CIR.
EX. Occup. OUTLET OR FIXTURES BAL @':50
FIXED
Ex. Occup. DLIT rs � D.) E 5.00
R
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring 23.00
PERMIT FEE $
MECHANICAL PERMIT Fling Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEE $
Mobile Home Installation Fee $
Energy Inspection Fee $
Occ
CONST. TYPE
TOTAL FEE $
HAZ. D FEES IMP FLOOD c0F PARCEL Po
HD
1S
This pe m' is hereby issued under the applicable
of the Bu a unty Code and/or Resolutions
Indic ed b e fo hic fees have been
By Date
I L_uPERMIT EXPIRES ON /O
(Df,)
provisions
to do work
paid.
I b 30
Receipt No.
WHITE-D.D.S.-B.D. 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
IJ
; eMNO
APPLICATION AND PERMIT
(Rev -12/96)
ZOMNG
BUILDING PERMIT
ISSESSORPARCELNUM13ER O
NE/�/)/
OW
SQ, F7, OCC. BUILDING VALUATION
GAD
CONrRACTO
cONrRAcTORS MAILING ADDRESS
CoMTRUCTION LENDER
Fireplace
LENDERS MAILING ADDRESS
Total valuation $
LICENSE NO.
Firin Fee $
20.00
ARCHrtECT OR ENGINEER
$
S
Permit Fee
ARCWfE= OR ENGINEERS ADD
Plan CheckingFee $
Energy Plan Checking Fee $
BUILDING ADD
$
PERMIT FEE $
S _
PARCEL "IAP
PLUMBING PERMIT
Firing Fee 20.00
LOT No. suaDN@IOn-S NAME
7.00
Each Trap
USEOFSTRUCTURE
Solar or heat pump water heater
23.00
Water i ing
15.00
SF E3 Duplex ❑ Mobriehome ❑ Other SPECIFY
Each gas water heater or vent
15.00
TYPE OF WORK
Gas piping system 1 - 5 outlets
15.00
New ❑ . Addition❑ R el ❑ Utilities ❑ In Other
Building sewer
S G W
15.00
@20.00
Moble Home
Describe Work:
PERMIT FEE S
�SDO
ELECTRICAL PERMIT
Filing Feel 20.00
eoov LEss
Main Service zow oR
oR LFss
23.00
Main Service 2NA TO IOWA
46.00
NEW CONST.pwELIPIGcGOCCUP.
OR a A. SDS.
3.5¢
NEW CONS MULTI-OIJiI.Er
@7.50
PERMIT, FEE PAID $
-RESIDDDNS.
NON•RESID. C
ATUS
SINGLEOL `HCI
a SINGLE olmer as
m®I.00
Ex. Occup. OUTLET OR FDrn1RES
eAL @ .50
Ex. Occup. oun�s PitiA
5.00
SRA$
Temporary Service
23.00
Moble Home Facilities
20.00
MSc. Wiring23.00
SHERIFF $
$
PERMIT FEE
AECHAPIICAL PERMIT
Firing Fee 20.00
Heating,
OTHER $
Cooling
.
6.50
AMOUNT RECEIVED $
DATE RECEIVED
..��rnr at ✓ 1 I Iq-L_
PERMIT FEt S
Mobile Home Installation Fee $
Energy Inspection Fee $
oac CONST. TYPE TOTAL FEE $
MAZ, I D. FEES I IMP I FLOOD I CO' PARCEL I PD I MD 65UE
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
PERMIT EXPIRES ON
Date
�f
O.B.- I
OWNER -BUILDER VERIFICATION
Attention Property Owner:
An "owner -builder" building permit has been applied for in your name and bearing your signature.
Please complete and return this information at your earliest opportunity to avoid unnecessary delay
in processing and issuing your building permit. No building permit will be issued until this
verification is received.
1 I personally plan to provide the major labor and materials for construction of the proposed
property improvement: YE NO 1
PI HAVE ❑ HAVE NO signed an application for a building permit for the proposed work.
I have contracted with the following.person (firm) to provide the proposed construction:
NAME: lei %lra-
ADDRESS:
PHONE:
CONTRACTOR'S LICENSE NO.
4. I plan to provide portions of this work,
supervise, and provide the major work:
NAME:
buu\t�I have hired the following person to coordinate,
ADDRESS: CITY:
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: / l � 1 -
NAME ADDRESS PHONE TYPE OF WORK
-------------------------------
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.
OWNER BUILDER INFORMATION
Dear Property Owner:
O.B.- I
An application for a building permit has been submitted in your name listing yourself as the builder of 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 l y. 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 $300 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 Governments 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 for you if you do not carry out these obligations, and these risks are especially serious
with respect to worker's compensation insurance.
♦ For more specific information about your obligations under Federal Law, contract 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 contractors is to secure an "owner builder" building
permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building
permits are not required to be signed by property owners unless they are performing their own work personally.
Information about licensed contractors may be obtained by contracting the Contractors State License Board in your
community or at 1020 N Street, Sacramento, CA. 95814.
Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you
are aware of these matters. The building permit will not be issued until the verification is returned.
rely, -
MFelVi ira, C.B.O.
M,uilding Inspection
NOTE. This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code.
OVER
022-204-001,' ' "� � �. _ 03-1920
MONTEZRETER`'
325 PRYDE AVE; BIGGS
DEMO SHED
i
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO.
(Rev. 12/96) APPLICATION AND PERMITS
ASSESSOR PARCEL NUMBER J
022-204-001
ZONING
BUILDING PERMIT
OWNER
PWA
TELEPHONE
37t?- 5616
SQ.
SO. FT. OCC. BUILDING VALUATION
OWNERS MAILING ADDRESS
P.O. BOX 326 GRIDLEY CA 95948
CONTRACTOR'S NAME
V W
TELEPHONE
CONTRACTORS MAILING ADDRESS
CONSTRUCTION LENDER
Fireplace
LENDER'S MAILING ADDRESS
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee $ 20.00
Permit Fee $ 15.00
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee $
BUILDINGADDRESS
325 PRYDE . BIGGS CA 95917
Energy Plan Checking Fee $
$
PERMIT FEE $ 310=135.0
LOT NO.
SUBDIVISION'S NAME
PARCEL MAP
PLUMBING PERMIT Fling Fee 20.00
Each Trap 7.00
USEOFSTRUCTURE
'
SF ❑ Duplex ❑ Mobilehome ❑ Other SM
SPECIFY
Solar or heat pump water heater 23.00
Water piping 15.00
Each gas water heater or vent 15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other im
Describe Work: DEM SHED
Gas piping system 1 - 5 outlets 15.00
Building sewer 15.00
Mobile Home I S I G 1 @20.00
PERMIT FEE $
ELECTRICAL PERMIT Fling Fee 20.00
Main Service A OR LESS 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 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,
r 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:
❑ 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
Mein Service 200A To ,000A 46.00
NEW CONST. DWELLING OCCUP. So f
OR ADDNS. 8 ACC. BLD S. 3.5Q FT,
MULTI -OUTLET @7,50
NON FIESIDT' BRANCH CIRCUITS
EWER APPARATus
a sINGLE oLJTLET C.
.00
EX. OCCu OUTLET OR FIXTURES BAL @ 1 .50
FULED APPLNS. OR
Ex. Occup. ourLErs RESID. EA. 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wirina 23.00
PERMIT FEE $
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.)
I certify that in the performance of the work for which this permit is issued, I shall
Knot 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-th"°ee provisions.
X J•��pale "Z 7'-'0/
SignituTe of Applk nt a O ner-' Contractor ❑ Agent
An OSHA permit is requlr for excavations over 60" deep and demolition or constructionv
of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
CONST. TYPE
TOTAL FEE $ 35.00
HAZ.
D. FEES IMP
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 Q t11(t. jGi.�/_.".� /Date
PERMIT EXPIRES ON /,/
DA `-'- f
Receipt No. '; 1 e? -715 _? _5' e9 6)
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - OUILDING DIVISION
7 County Center Drive • Oroville, California 95965 • Telephone 530) 538-75ga, PERM No.
(Rev. 12/96) APPLICATION AND PERMITy3 , / `� u
ASSESSOR PARCEL NUMBER
022-204-001
ZONING
BUILDING PERMIT
OWNER
MONTEZ PETER370-5616
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
. OWNERS MAILING ADDRESS
P.O. BOX 326
CONTRACTORS NAME
O W LYL:,L\
TELEPHONE
CONTRACTORS MAILING ADDRESS
CONSTRUCTION LENDER
LENDER'S MAIUNG ADDRESS
Fireplace
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee
$ 20.00
Permit Fee
$ 15.00
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee
$
BUILDING ADDRESS
325 PRYDE
Energy Plan Checking Fee
$
$
PERMIT FEE
$ X35.0
LAT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT
Fling Fee 20.00
USEOFSTRUCTURE
SF ❑ Duplex ❑ Mobilehome ❑ Other SHED
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 M
Describe work: DEMO SID
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home I S I G I W 1
920.00
PERMIT FEE
S
ELECTRICAL PERMIT
Fling Fee 20.00
LESS
Main Service 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
Main Service 200A TO 1000A
46.00
NEW CONST. DWELLING OCCUR
OR ADDNS. 8 ACC. BLAS.
s0
3.5¢FT:
N014-tW A6D. RANCH MULTI.OUTLET CIRCUITS
@7,50
POWER APPARATUS
& SINGLE OUTLET CIR.
Ex. OCCu OUTLET OR FDRURES
20 00
BAL @':50
Ex. Occup. OMD p.�,ij 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
❑ 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
MECHANICAL PERMIT
Fling Fee 20.00
Heating
Cooling
Hood
6.50
Ventilation
PERMIT FEIE
$
Policy Number
(The above sections need not be completed if the permit is for work of a valuation
7nof one hundred dollars ($100) or less.)
certify that in the performance of the work for which this permit is issued, I shall
t 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
f hwith comply a provisions.
X ate "Z 77
Sign of Appli nt 0 Contractor ❑ Agent
An OSHA permit is requlr excavations over 5'0" deep and demolition or construction
of structures over 3 stor' s in heigh .
Mobile Home Installation Fee
$
Energy Inspection Fee $
Occ
CONST. TYPE
TOTAL FEE $ 35.00
�HA Z:
D FEES IMP
I FLOOD
CDF
PARCEL
PD
I HD
ISSUE
This permit is hereby Issued under
of the Butte County Code and/or
indicated above for which fees have
PERMIT EXPIRES ON
z
the applicable provisions
Resolutions to do work
been paid.
Date a 46
De
Receipt No.
WHITE-D.D.S.-B.D. CANARY -A S OR PINK -INSPECTOR GOLDENROD -APPLICANT
d COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
T County Center Drive ° Oroville, California 95965 ° Telephone (530) 538-7543 �� NO
2/96) APPLICATION AND PERMIT
MAIM BUILDING PERMIT
I V "E so. FT. OCC. BUILDING VALUATION
S I
ERUSAJNQ ADDRESS
�NQ'�AD
rMCTCR'S NONE
rRACTORS UkWA ADDRESS
I
STiiL1G'n0" {ENDER
i - )ERS {AMM ADDRESS
:: NtrECT oR EN�NEHI
.: WE= OR ENOWEUM -XM ADDRESS
TELEPHONE
Fireplace '
Tota! Valuation 5
Ur,M,SEX0. Firma Fes S 20.00
Permit Fee S
Plan Chsckin Fee V
Energy Plan Checking Fee i
S
PERMIT FEE s 1�
PARCEL wP PLUMBING PERMIT Firing Fee 20.00
---. _..... suaprvsaxs UWE
- -- — - - - - — --- — Each Trap
USEOFSTRUCTURE / Solar or heat pumpw r heater 23.00
Duplex 13h4obilehoms ❑• Other
Water piping 15.00
eF� Each gas water heater or vent 15.00
TYPE OF WORK Gas plping sysiam 1 - 5 outlets 5.00
15.
ew ❑ Add�or► ❑::;�=
5on D other BuMin sewer s G W @20.00
escribe Work --� Mobae Homs
:-- !n n n/) PERMIT FEE C
ELECTRICAL PERMIT ]FifingFeel 20.00
Main Service =008R= 23.00
Haut $ervrce (► ro , )
HENY Cowl. ws}ourL�T
Nom4mm
GFC1NEitAPp�s
ourLErZm
a O=u . Ount r OR FWFURES
, 9
� ro CIR
Ex. Oceu . o .) F&
3
Temporary Service 23.00
Mobile Home Facilities 20.00
d �
23.00
•�
-
�
MSsc. Wring
sps
PERMIT FEE-ALES
.t
CHANlCAL PERMIT Filing Fee 20.00
Hearing
Hea
Q'i'�'1C�`
Coon,
Hood
Vsntila5on
PERMIT FEt S
V G
Nbbile Home Installalion Fee S
Energy Inspection Fee s
Teuied
"6T' TTP' TOTAL FEE $
MAZ_
D. FEES DAP
FLOOD
CCF PARCEL
F9
MD i 6h
This permit is hereby issued under the applicable provisions
of fhe Bufle County Code and/or Resolutions to do work
mdicafsd above for which fess have been paid.
i�lM1ll�v�' _
ca.%PX
By Date
PERMIT EXPIRES DN
y.
O.L.
OWNER -BUILDER VERIFICATION
Attention Property Owner:
An "owner -builder" building permit has been applied for in your name and bearing your signature.
Please complete and return this information at your earliest opportunity to avoid unnecessary delay
in processing and issuing your building permit. No building permit' will be issued until this
ve 'fication is received.
1. personally plan to provide the major labor and materials for construction of the proposed
property im rovement : YES NO ❑
2. 1 HAVE HAVE NOT signed an application for a building permit for the proposed work.
. I have n ted with the following person (firm) to provide the roposed construction:
NAME
PHO CONTRA -(3 'S LICENSE NO.
4. I planopro ' e portions of this wok but I have hired the following person to coordinate,
supervise, andpro 'de the major brk:
NAME:
ADDRESS: CITY:
PHONE: CO CTOR'S LICENSE NO.
5. I will provid some of the work but I have co cted (hired) the following persons to provide
the work ' dicated:
N ADDRESS PHO TYPE OF WORK
00,
NOTE. This Owner -Builder Verification is required by Section 19831 and 19832 of the
California Health and Safety Coda This verification must be completed and
returned to our office before we are permitted to issue the permit,
1 �= 2
O. .-11
OWNER BUILDER IIVFORMATION
Dear Property Owner:
An application for a building permit has been submitted in your name listing yourself as the builder of 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 '$300 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 Governments 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 for you if you do not carry out these obligations, and these risks are especially serious
with respect to worker's compensation insurance.
♦ For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and,
ifyou 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. k
A frequent practice of unlicensed persons professing to be contractors is to secure an "owner builder" building
permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building
permits are not required to be signed by property owners unless they are perforating their own work personally.
Information about licensed contractors may be obtained by contracting the Contractors State License Board in your
community or at 1020 N Street, Sacramento, CA. 95814.
Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you
are aware of these matters. The building permit will not be issued until the verification is returned.
rely,
Mic 1 C. Vi ira, C.B.O.
Mer, Building Inspection
NOTE. 77iis Owner -Builder Information is required by Section 19830 of the California Health mid Safety Code,