HomeMy WebLinkAbout022-350-04422-35-�+
MYRON PEREZ ti �/2
2895 2nd St Jo:&E.
34, City of Biggs
Permit#3152-88B,P,E,M(new single, amily)
022-350-044 06-0591 ,
PEREZ; MYRNA
2895 2ND ST, BIGGS
CONT: H & F CONST
REMODEL
•71
I
R
(� cy Butte County Department of Development Services.
I I.� 0 T E S 7 County Center Drive, Oroville, CA 95965 _
' (530)538-7601 www.buttEcoitnlyneUdds
i
RESIDENTIAL
APN Permit No.
Owner. 022-350-044 06-0591
PEREZ;
BUTTE COUNTY PERMIT NO.
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT BP06.0591
24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO)
OFFICE #: (530) 538-7541
PERMITS. BECOME NULL AND VOID 1 YEAR FROM THE DATE OF ISSUANCE, OR IF WORK IS DONE IN VIOLATION OF ANY COUNTY OR STATE LAWS.
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: 03/16/2006 APN: 022-350-044-000
the Business and Professions Code, and my license is in full force and
effect.
License Class : License Number:
f �^
Site Address: 2895 2ND ST BIG
Date: contractor:
Map Index:
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the
Description: REMODEL: RE-ROOF(16 SQ), INSTALL GAS
Contractors' Slate License Law for the following reason (Sec. 7031.5
WATER HEATER, MISC. PLUMBING, SHEET
Business and Professions Code: Any city or county which requires a
permit to construct, alter, improve, demolish, or repair any structure, prior
ROCK(10 LF), REPAIR SUB FLOOR IN
to its issuance, also requires the applicant for such permit to file a
HEATER CLOSET..
signed statement that he or she Is licensed pursuant to the provisions of
the Contractor's Slate License Law (Chapter 9 commencing with Section
7000) of Division 3 of the Business and Professions Code) or that he or
Owner: PEREZ, MYRNA
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
2895 SECOND ST
applicant to a civil penalty of not more than five hundred dollars ($500).):
BIGGS, CA
95917
❑ I, as owner of the property, or my employees with wages as their
(530)868-5285
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
Applicant: H & F CONSTRUCTION
year of completion, the owner -builder will have the burden of
27 COLLAGE ST
proving that he or she did not build or Improve for the purpose of
sale.).
WOODLAND, CA
❑ I, as owner of the property, am exclusively contracting with
95695
licensed contractors to construct the project (Sec. 7044, Business
(530)867-4263
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.).
❑ 1 am Exempt under Article 3 of the Business and Professions Code
Contractor: H & F CONSTRUCTION
27 COLLAGE ST
Date: Owner:
WOODLAND, CA
WORKERS' COMPENSATION DECLARATION
95695
I hereby affirm under penally of perjury one of the following declarations: ,
❑ 1 have and.will maintain a certificate of consent to self -Insure for
(530)867-4263
workers' compensation, as provided for by Section 3700 of the
Labor Code, for the performance of the work for which this permit`
License #: 850702
is issued.
❑ I have and will maintain workers' compensation insurance, as
required by Section 3700 the Labor Code, for the performance of
the work for which this permit is issued. My workers' compensation
insurance carrier and policy number are:
Architect:
Engineer:
Carrier:
Policy #:
❑ 1 certify that in the performance of the work for which this permit.is
in as to
Total Square Ft: 0 S. F.
issued, I shall not employ any person any manner so
become subject to the workers' compensation laws of California,
Valuation: $0.00
and agree that if I should become subject to the workers'
compensation provisions of Section 3700 of the Labor Code, I shall
Census Code:
forthwith comply with those provisions.
Date:
Applic
WN G: Failure to secure workers' compensation coverage is
ll��
unlawful, and shall subject an employer to criminal penalties and one
hundred Ahousand. dollars ($100,000), in addition to the cost of
compensation, damages as provided for in Section 3706 of the Labor
code, interest, and attorney's fees.
CONSTRUCTION LENDING AGENCY
This permit is hereby issued under the applicable provisions of the Butte County Code and/or
I hereby affirm that there is a construction lending agency for the
the w�r wpjc� t is rmit Is issued (Sec 3097 Civ.)
Resolutio s to do work indicat.,d ab ve for which fees have been paid.
j
perform of
By. Date:
By:
Name:
/�
f„�S 0 /t
PERMIT EXPIRES ON: j lE7 9
Address: t l7 l F—J
(Date)
Cl 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 a ial form or document of Butte County. I hereby
authorize representatives of Butte County to enter upon the above mentioned property for inspection purpo
Signatufr=
Print Name:
i`
Date:.^
❑ Owner MIContractoi ❑ Agent for Owner ❑ Agent for Contractor
B. C. Building Permit 01-16-04 pg 1
OK
0 = Not UK
MANUFACTURED HOMES
MISCELLANEOUS:
DATE PERMANENT FOUNDATION Lj SOFT -SET
1 Zoning -Setbacks -Easements
2 Soils; Special MH Support Sketch
3 Sewer; Loctn-Test; Fall/C/O-Concrete
4 Wtr; Loctn-Test-EaSement Needed -Regulator
S Elec Loctn-Clrncs-Grnd Amp -Concrete
6 Yard Gas; Loctn-Test-Wrap . Nat ❑ or LPO
Inch Sz Ft Lngth
7 Blckng; Sz-Spacing-Marriage Line
8 Gas; MH Test-Demand-Valve-Cnnctr
9 Elec MH Cntnty Test-Crossovers-Breakers-Cirncs
10 Drain; MH Test -Fall -Flex Cnnctr
11 Wtr & Sewer Connected -C/O to Grade
12 Gas and Electricity Tagged
13 Tie Downs ❑ Foundation ❑
14 Exits
15 Cert of Occupancy
16 HUD Label/Insignia Numbers Serial Numbers
_
DATE ID E C K S'C O V E R S`C A R P O R T S `G A R A G E S
1 Zoning -Setbacks -Easements
2 Ftgs; Soils-Sz-DpthSpacing-CnnctrsSteel
3 Decks, Girders/Joists-Dcking-Brcing
Stairs-Guard/Handrails
4 Wood Awn; Posts-Beams-Rftrs-Cnnctrs-Shthg
Frmg-Brcng
5 Alum Awn; Columns-CnnctnsSplice-Decal-Enclsrs
6 Carports; Wndws-Doors
7 Electric
8 Frmg; Sills-Anchrs-Studs-Rftrs-Trusses
9 Siding; Nailing -Veneer -Stucco -lath
10 Roof; Shthg-Roofing
11 Ext; Steps -Doors -Landings
12 Braced Wall pnls
°�• �� °�• �s
DATE P O O L S
1 Setbacks -Easements
2 Soils; CompactionStructure Stability
3 Pool Structure; Steel-Cnnctns-Thickness
Dead Men -Lining
4 Elec Rcptcls/Lting; Distance-GFI
5 Elec Pool Lting; 15 volts-GFI
6 Elec Enclsrs; Conduit Entries -Terminals -Listed
7 Elec Bonding; Metal w/5'-Crcltng Egp-Htr
8 Elec Grndng; Eqp w/5' Crcltng Eqp-Pool Ightg
Bokes-Enclsrs-pnlboards-Insultn to Main Conduit
9 Health Dept Apprvl
10 Plmb; Cir Test-Wtr Supply Test
11 Lt Niche
12 Encisr; Fencing Alarms
13 Bonding, Diving board or Slide
s`
o'`• m °'• e
Pool Drawing
= OK
Not OK
RESIDENTIAL (Single & Duplex)
UNDERFLOOR
1 Zoning -Setbacks -Easements -Flood -Slope
2 Ftg Main; Soils-Elec Grnd Fig Dpth
3 Fig Garage; Soils-Steel-Elec Grnd Ftg Dpth.
4 Ftg Porches/Decks; Soils -Steel Ftg Dpth
5 Stemwalls Main; Steel-Blockouts-Wrapped
6 Stemwalls Garage; Steel-BIockouts-Wrapped
69 Hold Downs and Special Anchrs
7 Slab, Steel Wrapped
8 Piers-Frplc Ftg-Steel
9 DWV; Fall -Fitting -Test -2 -way CIO -Sewer Test
10 UF, Gas Pipe; Sz Anchrs-Sz Test
1.t Wtr Pipe; Test-Anchrs-Rgitr-Service Test
12 Elec Undrgrnd
13 Plenums & Ducts; Clrnc-MaterialSupport4nsultn
14 Girders-Sills-Anchr Bolts Joists-Vnts-Cripples
15 Acc & Vntltn
16 Insulation
DATE IFRAMING
17 Sills Proper Materials & Anchrs
i8 Walls Studs -Nailing Spacing & Braces-PlatesSound
19 Bearing Walls over Girders & fir Nailing
20 Draft Stop in Walls (rat proof)
21 Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs
22 Headers & Beams-Sz & Bearing
23 Hangers -Post Caps-Anchrs-Cnnctns
24 Ceiling Joist-Rftr Ties-Purlin-Roof Brac-TrussShthg
25 Frplc Ties or Type A Flue-Frplc Throat Clmc
26 Attic Acc; Sz & Rmx Prtctn-Draft Stop -Ins Baffles
27 Bdrm Wndws or Exiting Doors -Sill Ht & Dimensions
28 Garage Fire Prtctn Framing -RC Channel
29 Prprty tine Firewall & Opngs
30 Ext Doors -One 3' -Check Garage 3rd Story, 2 Exits
31 Stairs; Width-Hdrm-Rise-Run-Landing-Fire Prtctn
32 Plywd on Roof Ovrhng-Attic Vnts-Rftr Outrgrs
33 Siding -Nailing Veneer
34 Stucco Lath -Weep Screed-Fndtn Vnts-Undrfir Acc
35 Glazing Area -Glass Prtctn-SkyLts-Plastic
36 Shear Walls; Nailing -Bolts
37 Brace Int/Ext Wall pnls
38 Insultn-Walls-Ceilings
39 Infiltration -Walls -W ndws
DATE JELECTRICAL
40 Fxtr & Tmsfrmr Clmcans Prtctn
41 Elec Rcptcls Spacing-Lts & Switches at Doors
42 Sz Boxes & No Of Cndctrs Stapled
43 Romex Installed Close to Edge of Studs & CJ
44 Eqp Grnd made up w/Mech Fstnrs
45 Grndng Electrode Bond Gas & Wtr
46 2 Appinc Cires in Ktchn & Cndctr Sz GFI
47 Subfeed Wire Sz ga ❑ CU or ❑AL
AC Wire Sz ga ❑ CU or ❑ AL
48 Range Circ gaE]CUorl JAL
Oven Circ ya ❑ CU or ❑ AL
Insulated Neutral ❑ Yes ❑ No
49 Service -Riser Cndctrs & Grnd Main Dscnnct
50 Eqp Clrncs pnls-Motors-Mech Eqp
51 Clothes Closet Lt-Shwr Lt -Spa Lt
52 Smoke Detector
OATS PLUMBING
53 Wtr Htr; Vent-Acc-Cm6stn Air Baffle
54 Wtr Pipe; Test & Anchr-Nail Prtctn
55 DWV; Test Fittings & Anchr Nail Prtctn
56 Shwr Pan; Test. First fir -Tub Acc
57 Test Tub & Shwr, 2nd fir - Tub, Acc
58 Gas Pipe; Sz & Anchrs
59 Fire Sprinkler; Test
60 Yard Gas Piping
o'*
DATE IMECHANICAL
6i AC Ducts Insulin & Support
62 Vent Fan, Exhaust abv Insulin
63 Condensate Drain & Ovrf1w, Sz & Grade
64 Furnace -Vent Acc-Comb Air RtrnfVent 115 Outlet
65 Attic Acc & Pltfrm if Furnace in attic
4
DATE IFINAL
66 Ext Steps -Door & SideLt Prtctn-Landings
67 Smoke Detector
68 Furnace Vnts-Clrnc-Comb, Air-Cnnctr
In Garage; abv-flr-Ducts-Mech Prtctn
69 Bedroom Exiting
70 GFI & Bath Fxtrs & Tub Acc-Spa
71 GFI Arc Fault
72 Elec Trim & Subpnl, Breaker Sts & Labels
73 Stairs, Guard/Handrails
74 Frplc or Stove, Clrnc-Hearth
75 Elec Outlets at Wood Pnl, Int & Ext
76 Ktchn, Fxtr & Appinc; Grnd-Air-Gap-Cooking Cimc
77 Elec Outlets & Rcptcls at Ktchn Counter
78 Garage Fire Door, Swing -Landing -Closure
79 AC Duct in Garage -Damper
80 Wtr Htr; Vnts-ClmcCom Air Cnnctr-PRV; abv fir
Mech Prtctn; LPG Appince Undr House 3" drain
81 Plmb; Elec & Mech Eqp Listed for Loctn
82 Elec Rcptcls in Garage (GFI) Romex Prtctn
83 Insultn-Foam-Looked in Attic
84 Guard Rails & Deck Cnstrctn-Post Caps
85 Fndn Vnts & Crawl Hole Door Drnge & Wood -Earth
86 Clrnc Drnge Planters Yes ❑No
87 Stucco Brown -Finish
88 AC Unit Dscnnct, Elec-Plmb
89 Vnts abv Roof, Plmb-Appinc-Frplc-Clrnc to Opngs
90 Wtr Well, Dscnnct, Elec, Pimb
91 Ext Elec Trim, GFI Rcptcl-Undrgrnd
92 Vntltn thru House
93 Glass Prtctn
94 Corrections from previous Inspctns
95 Gas Test -Meters Tagged, Gas-Elec
96 Wtr & Sewer Cnnctd-CIO to grade -HD Apprvl
97 Energy Cmpinc Cert -Mer Certs
98 Address Posted
99. Fire Sprinkler
�r �c
e
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT
24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO)
' OFFICE #: (530) 538-7541
PERMIT NO.
BP060591
PERMITS BECOME NULL AND VOID 1 YEAR FROM THE DATE OF ISSUANCE, OR IF WORK IS DONE IN VIOLATION OF ANY COUNTY OR STATE LAWS.
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: 03/16/2006 APN: 022-350 044-000
the Business and Professions Code, and my license is in full force and
effect.
(�
License Class License Number:
Site Address: 2895 2ND ST BIG
Dale: contractor:.
Map Index:
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the
Description: REMODEL: RE-ROOF(16 SQ), INSTALL GAS
Contractors' State License Law for the following reason (Sec. 7031.5
WATER HEATER, MISC. PLUMBING, SHEET
Business and Professions Code: Any city or county which requires a
permit to construct, alter, improve, demolish, or repair any structure, prior
ROCK(10 LF), REPAIR SUB FLOOR IN
to its issuance, also requires the applicant for such permit to file a
HEATER CLOSET.
signed statement that he or she is licensed pursuant to the provisions of
the Contractor's Slate License Law (Chapter 9 commencing with Section
7000) of Division 3 of the Business and Professions Code) or that he or
Owner. PEREZ MYRNA
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
2895 SECOND ST
applicant to a civil penalty of not more than five hundred dollars ($500).):
BIGGS, CA
95917
Cl 1, as owner of the property, or my employees with wages as their
sole compensation, will do the work, and the structure is not
(530)868-5285
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
Applicant: H & F CONSTRUCTION
year of completion, the owner -builder will have the burden of
27 COLLAGE ST
proving that he or she did not build or improve for the purpose of
sale.).
WOODLAND, CA
❑ I, as owner of the property, am exclusively contracting with
95695
licensed contractors to construct the project (Sec. 7044, Business
(530)867-4263
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.).
❑ 1 am Exempt under Article 3 of the Business and Professions Code'
Contractor: H & F CONSTRUCTION
Date: Owner:
27 COLLAGE ST
WOODLAND, CA
WORKERS' COMPENSATION DECLARATION i-,,
;• ;, :. 95695
I hereby affirm underpenalty of perjury one of thefollowing declarations: ;
❑ I have and mill maintain a certificate of consent to self -insure' for
.; ;.,�
(530)867-4263
workers' compensation, as provided for by Section 3700 of the
Labor Code, for the performance of the work for which this permit
License #: 850702
is issued,
❑ I have and will maintain workers' compensation insurance, as
required by Section 3700 the Labor Code, for the performance of
the work for which this permit is issued. My workers' compensation
insurance carrier and policy number are:
Architect:
Engineer:
Carrier:
Policy #:
I certify that in the performance of the work for which this permit.is
0 S. F.
issued, I shall not employ any person in any manner so as to
Total Square Ft:
become subject to the workers' compensation laws of California,
Valuation: $0.00
and agree that if I should become subject to the workers'
compensation provisions of Section 3700 of the Labor Code, I shall
Census Code:
forthwith comply with those provisions.
Date:.A
(�
3 5 /
AppVNG:
WAFailure to secure workers' compensation coverage is
unlawful, and shall subject an employer to criminal penalties and one
hundred thousand dollars ($100,000), in addition to the cost of
compensation, damages as provided for in Section 3706 of the Labor
code, interest, and attorney's fees.
CONSTRUCTION LENDING AGENCY
This permit is hereby issued under the applicable provisions of the Butte County Code and/or
I hereby affirm that there is a construction lending agency for the
Resolutio s to do work, indica d ab ve for which fees have been paid.
erformajfthe work ;or w 'ch t is permit is issued Sec 3097 Civ.
( )
Name: lam% /9L tr
By:/� y� Date:
I /I
PERMIT EXPIRES ON: `' lO \J�
� S
Address: l7 7 /'F
(Date)
❑ I hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage,
handling and use of hazardous materials.
❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project.
❑ Attached are copies of the required E.P.A. notification forms.
I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with
all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of a ial form or document of Butte County. I hereby
authorize representatives of Butte County to enter upon the above mentioned property for inspection purp e .
Print Name: J /L—T /� /C/��/� Signatu .
Date:
❑Owner �Con(ractoi r,.; ;I ❑ Agent for Owner ❑ Agent for Contractor
.I
B. C. Building Permit 01-16-04 pg 1
0 -
BUMTTE COUNTY t, a .
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 OFAPPLICA TION
Website: www.buttecounty.net/dds
"PLEASE PRINT CLEARLY"
OWNER INFORMATION
Last Name"
First a ;
Address 4�:&"
City /' L
Stale
Zip , 5
Phone,. _ Z �S
Fax �. .
E-mail -
CONTRACTOR
Name 'CRA
Name
Address %
/ 0z e_ �k
1.,
Address
Citywo 6 C r „ ,!
State
0 A
Zip % S
Phone�21�
Fax
N
E-mail
Lic. #
5 0 Z
Class !�
APPLICANT INFORMATION
ARCHITECT/ENGINEER
Name
Address y
1
Address
State �
City
Ph 5d` 1 �( 2�O j
State
Zip
Phone
Book
Fax
E-mail
Planner
State License Number
APPLICANT INFORMATION
Name
Pro rt Address
Address y
1
City �
State �
Zip
Ph 5d` 1 �( 2�O j
Fax A)
E-mail
APPLICANT SIGNATURE
X
For office use only:
Zoning
Pro rt Address
Flood Zone
Cross Street
SRA
Yes
No
Occ.
Type Const.
Subdivision Name Map
Book
Page
Lot #
Planner
Date Approved:
OVER FOR SUBMITTAL REQUIREMENTS
PERMIT
NO.
BPOOOS9
BIN #
PROJEC,T�L,OtCA TION
AP# 3
Pro rt Address
City
Cross Street
WORKER'S COMPENSATION -
Policy Number
Carrier
If hiring anyone other than license contractors, a certificate of worker's
compensation must be shown at the time of permit issuance.
LENDING AGENCY
Name/I I d
Address
Descriptiotn,, or Scope of Work:
r lti
Sq FT- Living. Garage Open Cov
❑ Structure Built without Permits
❑ Proposed Change of Occupancy
(Note previous use):
EXPIRATION OF APPLICATION
Applications for which a permit has not been issued will expire one
year after the date of application. In prder 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. � 71 y , 0 2 -::. ,
II Received by: �/ �,. Amount: T 3 t)rl• II Bldg 11
Receipt #� qq 5q3
SRA
Sheriff
SMIP
11 Date:✓
�,�,/ y� ��� �� Other
11
IG IG _(Jt„P
`4' Total
W.
SUBMITTAL & PERMIT REQUIREMENTS
The following drawings and specifications must be submitted to the Building Division in order to apply for a
permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK
❑ 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. No graph paper!
❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans (No graph paper!) OR
Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations.
r_13. Engineered truss details and layouts in duplicate (if required). No faxes!
❑ 4. Energy compliance design and supporting documentation in duplicate.
❑ 5. Statement of Intent for Non -heated and A/C for Non -Residential Buildings.
❑ 6. Manufactured homes: (A) Installation manual, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans,
If you have questions or would like additional information regarding this process, please contact a
Permit Assistant at (530) 538-7541.
EXPIRATION OF APPLICATION
Applications for which a permit has not been issued will expire one year after date of application. In order to renew action
on an application after expiration, a new application, plans and fees will be required.
REQUEST FOR FEE REFUNDS
Refunds can only be made upon written request by the person who paid the fee. The request must be made within two
years from the date of fee payment on permits not issued, and two years from the date of permit issuance for permits
issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan
check fees for work plan checked and other department costs are not refundable.
OVER FOR BUILDING PERMIT APPLICATION
KAFORMSSUILDING F0RMS\BIdgApp1SubRgmts.doc Page 2 of 2 REV 8-12-05
all in duplicate
❑
7.
Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor
plans in triplicate. All of these must be stamped and wet -signed by the engineer.
❑
8.
Flood Elevation Certificate, wet -stamped and signed, in duplicate (if required).
❑
9.
Site plan and business license approval from the City of Biggs.
❑
10.
Letter of intent for non-residential buildings.
❑
11.
Building Permit Application Without Required Clearances Form
❑
12.
Hazardous Material Form (for Commercial Buildings only).
Remaining
items needed to issue the permit. Additional items may be required after Plan Check and Planning
review (May require additional plan review upon receipt of the following items.)
❑
1.
Agricultural Buffer clearance and site plan approval from the Ag Commissioner's office (if required).
❑
2.
Impact Fees.
❑
3.
California Department of Forestry plan approval (if required).
❑
4.
NPDES Form.
❑
5.
Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy).
❑
6.
Contractor's license information. (Number, Name Style, Classification).
❑
7.
Worker's Compensation Carrier and Policy Number.
❑
8.
Owner -Builder Verification (if required).
❑
9.
Letter of Signature authorization (if required).
❑
10.
Recorded copy of Agricultural Acknowledgment Statement.
❑
11.
❑ Legal description from current recorded grant deed, ❑ Copy of M.H. Title, Title transfer, or MCO.
❑
12.
Sanitation and site plan approval from the Environmental Health Department.
If you have questions or would like additional information regarding this process, please contact a
Permit Assistant at (530) 538-7541.
EXPIRATION OF APPLICATION
Applications for which a permit has not been issued will expire one year after date of application. In order to renew action
on an application after expiration, a new application, plans and fees will be required.
REQUEST FOR FEE REFUNDS
Refunds can only be made upon written request by the person who paid the fee. The request must be made within two
years from the date of fee payment on permits not issued, and two years from the date of permit issuance for permits
issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan
check fees for work plan checked and other department costs are not refundable.
OVER FOR BUILDING PERMIT APPLICATION
KAFORMSSUILDING F0RMS\BIdgApp1SubRgmts.doc Page 2 of 2 REV 8-12-05
1 Y
PERMIT NO. 3152— ,P,E,M
PERMIT EXPIRES /1-0
OWNER MYRON PEREZT,fr�
CONTR. ownr
ASSESSOR PARCEL' 22-35-4
LOCATION 2895 2nd St, 7lot' 334, City of Biggs
--
r Gr
J
Temp. Power Pole
Called PG&E
Temp. Elec.'Service ��--
Called PG&E
Temp. Gas Service
( Called PG&E `
JOB FINALED (Date) F
Signature
f '
Owner or Contractor: r H T
P S
Permit
No.
Brand Name
R -Value
Brand' Name
Energy
Certification
# of Bags 30
Wt per Bag,#t
R -Value . 30
r
t
Brand Name
Lot #34
Biggs
t;;•
Location
A.P. No.
w t„ Lrl ;rr it;
c .•' r 11.
Brand Name
S
ROOF
R -Value
Material
Brand
Name
Thickness (inches)
R -Value
e insulation was
installed %.:'-;" "` °::•.;
rmance with the
State of.
'
EXTERIOR WALLS
MaterialFiberglass
Brand
Name Owpn
Cnrn i'n•
•;:'�t;
g
Thickness (inches) 3-5 "
CEILINGS
Batt or Blanket Type _
Thickness (inches) _
Loose Fill Type Cellulose
Thickness -(inches)..,. ;- 8.3 "
Area Covered (sq: ft.) 1000 _
FLOOR, ELEVATED
Material _
Thickness (inches)
FLOOR, SUB
Material
Thickness (inches) _
I hereby certify that the abov
in the above building in confo
California Energy Requirements
BUTTACAVOLI INDUSTRIES
1015 Yuba Street
MmTsv�l . 95901
R -Value.
;
Brand Name
R -Value
Brand' Name
# of Bags 30
Wt per Bag,#t
R -Value . 30
r
t
Brand Name
nl
R -Value
t;;•
Brand Name
R -Value
e insulation was
installed %.:'-;" "` °::•.;
rmance with the
State of.
#335171
Firm kme Lice
' i.� ! ..: 1.1.•�f �E�., .ice'
Signature of Contractor Date
.1,
1
f
r 1
' ,h
Inspector. �i"""� Date d4-- 2 J a
COUNTY OF BUTTE
' DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Oroville — Phone: 538-7541
- ,747 Elliott Road, Paradise — Phone: 872-6307
CORRECTION NOTICE
OWNER' PERMIT NO.'
;i
•A routine inspection indicates that the following violations of County Ordinance
y
exist at the above address and should be corrected. Please notify this office
a
when corr ction of work is completed. If you have'any question pertaining to this
ri
matter, need additional explanation, please contact this office immediately.
L
�,4le-- 6)rr.ECC-PT�4 C
•,s
,;
QUr -r-o 6
Inspector. �i"""� Date d4-- 2 J a
1-:4
ri
1 4
-i
tr^
I
•%F
`
i
a7
Y
�
-rs
Inspector. �i"""� Date d4-- 2 J a
=OK
O=Not OK
- = Not Applicable
' = Not Ready
MOBILE HOMES MISCELLANEOUS
Date
MOBILE HOME UTILITIES (Plans) OK except #'s
Date
DECKS,COVERS,CARPORTS,GARAGES, (Plans)OK except #'s
1. Zoning Requirements -Setbacks -Easements "
1. Zoning Requirements -Setbacks -Easements
2: Soils; Special MH Support -Sketch
2. Footings; Soils-Siie-Depth-Spacing-Connectors-Steel
3. Sewer; Location -Test -Fall -C/O -Concrete'-
3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails
4. Water; Location -Test -Easement Needed (Sketch) "
4. Wood Awn.; Posts-Beams-Rftrs.-Connec.-
Shthg.-Rfg.-Bracing
5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete
6. Gas; Location -Test -Wrap: / P'U ft.
/ /"Nat. or/ /"L"ft./ /"LPG -
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Carports; Windows -Doors
7. Utility Clearance
7. Elec.
8. Frmg; Sills-Anchors-Studs-Rftrs-Trusses
9. Siding; Nailing -Veneer -Stucco -Mesh- -
Card -131
Date Card -131 Date =
10. Roof; Shthg-Roofing
Card -131
Date Card -81 -" _ Date
11. Ext.; Steps -Doors -Landings
Date
MOBILEHOME INSTALLATION (Plans) OK except #'s
1. Zoning Requirements -Setbacks -Easements
Card -81
Date Card -131 Date
2. Footings; Size -Spacing -Marriage Line
Card -81
Date Card -131 Date
3. Gas; MH Test -Demand -Valve -Connector
4. Electricity; MH Test -Crossovers -Breakers -Clearances
Date
POOLS (Plans) OK except #'s `
5. Drain; MH Test -Fall -Flex Connector ` ,',`
1. Setbacks -Easements
6. Water; MH Test -Regulator -Connector', r'
2. Soils; Compaction -Structure Stability
7. Water and Sewer Connected -C/O to Grade -HD Approval
3. Pool Structure; Steel -Connections -Thickness -
Dead Men -Lining `
8. Gas and Electricity Tagged
9. Exits; Insp.-Sketch
4. Elec.; Receptacles and Lighting, Distances-GFI
10. Cert. of Occupancy
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 in Conduit
Card -131 Date Card -131 Date '�
Card -131
Date Card -131 Date
9. Health Department Approval
- .
10. Plumb.; Cir. Test -Water Supply Test
Card -81
Date Card -61 Date
Card -131
Date Card -131 Date
= OK
0 = NotOK
RESIDENTIAL (Single and Duplex)
- =Not Applicable
= Not Ready ' 4
Date UNDERFLOOR (Plans) OK except #'s
ning-Setbacks;-Easements-Flood -Slope
g., Main; Soils -Steel -EI -/ P' Ftg. Depth
Dg., Garage; Soils -Steel-/ P' Ftg. Depth
Ftg., Porches & Decks; Soils -Steel-/ /"Ftg. Depth
.,FTStemwalls, Main; Steel- Bloc kouts-Wrapped
6. Stemwalls, Garage; Steel-Blockouts-Wrapped
Slab; Steel -Wrapped
8. P' rs-Fireplace Ftg.-Steel
K. D.W.V.; Fall -Fittings -Test -2 way C/O -Sewer Test
1 nchors
nchors-Regulator-Service Test
1und
v , Clearance-Material-Supprt-Ins.
Go do a hor Bolts -Joists -Vents -Cripples
1
Card -B1 Date f- Card -131 Date
Card -B Date I . Card -B1 Date
Date L BING (Permit) OK except #'s
K. Water Ht. Vent -Access -Combustion Air -Baffle
ZW-V,ater Pipe; Test & Anchors -Nail Protection
41rD.W.V.; Test-Fttngs & Anchors -Nail Protection
1 n; _ , First Floor -Tub Access
20�wer, 2nd Floor -Tub Access
1. Gas Pipe; Size & Anchors
Card -B1 DateT��-J jCard-B1 Date
Card -B1 Date Card -131 Date
Date ELECTRICAL (Permit) OK except #'s
22. Fixture & Transformer Clearance -Ins. Protection
3.1 Elec. Receptacles Spacing -Lights & Switches at Doors
4. Size Boxes & No. of Conductors -Stapled
5,Romex Installed Close to Edge of Studs & C.J.
6. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water
I -D. 2 Appliance Circuts in Kitchen & Conductor Size/G.F.I.
%2&_Sob4ee'd-WtrUSize / / ga. Cu or AI-A.C. Wire Size / /ga.
Cu or Al
29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al.
Insulated Neutral Yes No
Service -Riser Conductors & Ground -Main Disconnect
1.,Equip. Clearances Panels-Motors-Mech. Equip.
oset Light -Shower Light -Spa Light
33. Smoke Detector
Card -B1 r^,� Dat§��, Card -B1 Date
Card -131 Date Card -B1 Date
Date MECHANICAL (Permit) OK except #'s
Ducts Insulation & Support
Vent Fan; Exhaust above insulation
36. Condensate Drain & Overflow; Size & Grade
Itt"9�. Furnace -Vent; Access -Comb. Air -Return Air Vent -115 outlet
38. Attic Access & Platform if Furnace in Attic
Card -B1 Da 'Wand -131 Date
Card -B1 Date Card -131 Date
Date FRAMING (Plans) OK except #'s
Sills, Proper Material & Anchors
,!Valls Studs -Nailing, Spacing & Bracing -Plates -Sound
•Bearing Walls over Girders & Floor Nailing
2. raft Stop in Walls (rat proof)
3 ire Stops; Furred Ceilings -Stairs -Chases -Tub
4. Header & Beam -Size & Bearing
Date FRAMING (Continued)
5. ngers-Post Caps -Anchors -Connectors
Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng.
4Z_4�eep+ace-TreMr Type A Flue -Fireplace Throat Clearance
�6Uic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
r4y-. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions
-'7505. Garage Fire Protection Framing
o e ; L F ^II & Openings
Ext. Doors -One 3' -Check Garage -3rd story, 2 exits
adroom-Rise-Run-Landing-Fire Protection
kl�4.,Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
Siding -Nailing Veneer
Screed -Fd. Vents-Underflr. Access
7. Glazing Area -Glass Protection -Skylights -Plastic
s; -Bolts
59.lnsulation-WWClg.
60. Infiltration-Walls-Wndws
Card -B1 Dat Card -131 Date
Card -131 Dat ,-- Card -B1 Date
Date (Plans) OK except #'s
K. E t. Steps -Door & Sidelight Protection -Landings
m ke Detector
urnace; Vents -Clearance -Comb. Air -Connector -
In Garage; Above Floor -Ducts -Meth. Protection
room Exiting
I. & Bath Fixtures & Tub Access -Spa
lec. Trim & Subpanel; Breaker Sizes -Labels
irs & Rails
68_�I.e ce or Stove; Clearances -Hearth
6 utlets at Wood Panel; Int. & Ext.
7 i Fixt. & Appliance; Grnd. -Air Gap -Cooking Clearance
7 . Elec Outlets & Receptacles at Kit. Counter
-aa-garage Fire Door; Swing -Landing -Closer
uct in Garage -Damper
r. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.-
In arage; Above Floor-Mech. Protection
7 1 ., Elec. & Mech. Equip. Listed for Location
7 le Receptacles in Garage; (G.F.I.)-Romex Protec.
70. nsulation-Foam-Looked in Attic ❑ Yep/
7Q,rvuar&Rails & Deck Construction -P aps
7 Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth
C ea Looked under Floor ❑ Yes
80. Following instld.; Drive X Yes ❑ No; Walks Ayes ❑ No;
Planters ❑ Yes 9X0
8j -81-070o; Brown -Finish
82,AXr. tMit; Disconnect, Electrical, Plumbing
84-Ze-n-ts Above Roof; Plbg.-Appliance-Firepl.-Clearance to
Openings.
ell; Disconnect, Electrical, Plumbing
x!prior Elec. Trim; G.F.I. Receptacle -Underground
e ilation throughout House
Glas Protection
-n—ctions !2t Previous Inpections
89. Gas Tes - ters Tagged; Gas -Electric
ater & ewer Connected -C/O to Grade -HD Appro ai
nergy Compliance Certificate -Other Certificates
92. Roofing Certificate
Card-B1c-7rw+/ Dated Z kpCard-131 Date
Card-B-%4v—t,/ Dat*P-.TJ--yy Card -B1 Date
Card -B1 Date Card -61 Date
Comments at Final:
(NOTE: An entry must be made each time you visit job site)
V - COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKSERMIT NO.*
d 7 County Center Drive - Oroville, Californiaib5965 - Telephone: 916/538-7541 ��
, - P �
APPLICATION AND ERMIT
ASSESSOR PARCEL NUMBER
ZONING
BUILDINt PERMIT
OWNER
TELEPHONE -
SQ. FT. 0(;C. BUILDING VALUATION
OWNER'S M LING ADORE S
CONTRACTOR'S NAME s�AA
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
Filing Fee
$ 10.0
LENDER'S MAILING ADDRESS
Permit Fee
a
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
,$'
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
2��
Permit fee
$
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00 Zo 10
Solar or heat pump water heater
20.00
LOT NO.
3 *
SUBDIVISION NAME
&
PARCEL MAP
I
Water piping
5.00
Each qas water heater or vent
5.00
USE OF STRUCTURE
SFX Duplex[] Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home Is G W
0.00
TYPE OF WORK
NeWA Addition ❑ Remodel tilit'es ❑ I tallation❑ 0Other ❑
Describe work: 1^ ��) OJl
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
-00V OR LESS
Main service 100 AMP OR LESS
10.00
Main service EA. ADD'L 600 AMP
2.50
CONTRACTORS LICENSE LAW
I declare under penalty of (check :
p y perjury (/ 1 econe):
❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full force and effect.
License No. Classification
1, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONST. DWELLING OC
OR ADDNS. ACC. BLDGS. , /20so,
NEW CONSTR.MULTI-OUTLET2,50 ea
NON-RESID BRANCH CIRC TS
POWER APPARATUS e
(SINGLE OUTLET CIR. I
EX. OCCUp(OUTLETS OR FIXTURES DA 0 0
FIXED APPLNS, OR
Ex. Occup. OUTLETS (RESID.) EA.) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. IYirin 15.00
9
Permit Fee $
Contractor
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
ce
Notito Applicant: If after making this statement, -should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such297
provisions or this permit shall be deemed revoked.
MECHANICAL PERMIT
FiIingFee 10.00
Heating
lin
Cooling
Q�
Hood
3.00
Ventilation
Permit Fee
$
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the Countyot
Butte to enter upon the above-mentioned property for inspection purposes.
1 also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
against said ounty in consequence of th granting of this permit.
%� - Date
Signatur of Applicant - Owner Contractor ❑ Agent
An OSHA permit is required for excavations over 5' " p Igd molition or construct-
ion of structures over 3 stories in height.n 9
Mobile Home Installation Fee $
Energy Inspection Fee $
TOTAL PERMIT FEE $
j cu P.ISCZ71Pc
" _
FLOOD
i/
PARCEL ss
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIR TO F PUBLIC
By
PER IT EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date_10-2—W
Receipt No. , ?
WNIT[-D.P.W.• YELLOW-A38E330111, PINK-INSP OR. GOLDlNROD-APPL I CANT
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE. CALIFORNIA 95965 - TFLFPHnfJP. airx ao_7cw,
PERMIT APPLICATION DATA SHEET
Permit No.
OWNER � t V
A. �. No n
Proposed Bui lding UseL�x — Building Inspector Date _ �w ?SCS
At time of permit application, I was advised the following data must be submitted prior to permit processing
and./orissuance:
1. All items have been submitted.
2. Plot plans in duplicate/triplicate, signed by preparer of plans.
3. Complete plans in duplicate/triplicate, signed by preparer of plans.
4. Complete engineered plans and calcs, with wet signature on plans.
Pla with Energy Design Compliance Statement.
6. School District "Fees Paid" Stamp on Floor Plan.
State t of Int t or No Healed and AC Buildings.
Fees of $__ �_.
Letter of signature authorization.
10. Sanitation approval from Health Dept.
11. Planning approval for (A) Use: (B) Parking:
12. Certificate of Workmen's Compensation Insurance.
12 Contractor's License Information (no., name style, classif.)
-4DOwner-Builder Verification (Given to owner ❑, Mail to owner .
15. Improvements may be required. Contact Land Dev. Sec. of D.P.W.
16. Mobi lehome Installation Data including manufacturer's installation instructions.
17. Pre -inspection for required.
18. Recorded copy of Agricultural Acknowledgment Statement.
Driveway Permit (Construction appr9yal required prior to occupancy).
Plot plan approval from city of�DrlOr
(See city for other reqts).
1. Engi red trusses .i duplicate (requlan check). ,
When you issa the permit, proc
Telephone
Other
-:f c&P.t,L -
as follows: / / Mail to owner. Mail to contractor.
and hold for pickup at office. Deliver w/inspector.
Applicant
GENERAL INFORMATION
Date
BUILDING DEPARTMENT OFFICES
HEALTH DEFARTMENT OFFICES
Chico. . . . 196 Memorial Way
Chico. . . . 196 Memorial Way
Phone: 891-2751
Phone: 891-2727
Hours: 8:00 a.m. - 10:00 a.m.
Hours: 8:00 a.m. - 9:00 a.m.
Orovi l le . . . 7 County Center Drive
Orovi l le .. 7 County Center Drive
Phone: 538-7541
Phone: 538-7281
Hours: 8:00 a.m.'- 5:00 p.m.
Hours: 8:00 a.m. - 10:00 a.m.
Paradise. . . 747 Elliott Road
Paradise. 747 Elliott Road
Phone: 872-6307
Phone: 872-6308
Hours: 8:00 a.m. - 9:00 a.m.
Hours: 8:00 a.m. - 9:00 a.m.
PLANNING DEPARTMENT — 7 County Center Drive,
Oroville — Phone: 538-7601
C
- Hours: 10:00 a.m.- 3:00 p.m.
Original — Applicant
COUNTY OF
BUTTE
- Departme-nt of Public
Works
7 County
Center
Drive, Oroville, CA
95965 Phone: 916-538-751+1
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
wi711 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 or no) YES
2. I (have/have not) signed an application for a building permit
for the proposed work.
3. I plan to Provide portions of this work but
I have contracted with the followinb g aEenev
Ao-� to provide
gape eec
construction technical assistance to coordinate and suxrvise the major work.
Name C'onminity Hoilsina TmprovPrrnnt T'roclram
Address _429 Nnrma1 Av . City Chico, Cr.
Phone 891-6931 Contractors License No. 390764
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
N/A Address City
Phone Contractors License No.
5. I will provide some of the work but I have contracted (hired) the following
persons to provide the work indicated:
Name Address Phone
Buttaca li Industr. lo15 Yuba Str. Yuba City CA 741-2619 Insulation Work
Caldwell Ent., P.O. Box 787, Cxidlev, CA, 95948 846-4142 Lnct-s & Corm -er-oos
Coleman Concrete Constr. 91 lone Tree lei. Oroville, CA 534-3303
r.
Cumberland PluTbingj40 Oakvale Ct., Oroville 534 0589 lnq
Foothill Electric, "5887 Orrin lane Paradise, CA 877-1357 E ec ca i
Fox CO., 3995 Olive Hcy . Oroville, CA, 533-2713V Hea. rt inq
Trojan Truss Co. P.O. Box 85, Orland, CA, 95963, 865-2321hoor trusses
Signed:
Property Owner
Social Security
Date
1%rh.,, Z
NOTE: This Owner -Builder Verification is sent to you as r-equired by Sections 19831 and
19832 of the California Health and Safety Code.
This verification must be completed and returned to our office.before
mitted to issue the permit. we arc per -
1 -7 V it,,
er-
fhls +set of plans and specifications MUST be
sept on the job at all times and it is unlawful to
I
make any changes or *alterations on same withc ` 22
written permisson from the Department of PubH
Works, County of Butte.
71
See Master Plan on file for -PAf91t4G
(J
structural details. ejq.4 i ,' I PAS
�L
3 ib c IL 1 6AI R I , 1
1 000 S.F. 1
T
vt
� K�VA
F• F . 22 sET�� ref--
�3' I Io' P.E;,L
tiloTc>s=
I. PAY %VA T E P, S e\v 6 K-, 4 -
El ECT?-Ic, Cti0r..J oI-1
FE ES. A setback of'5 ft. from the
2. P �10 f— To OCL tJl A NAC property lines and a setback
A L t, U T I L i T i ES Lp r of 50ft. from the road
1"PrL-OVCmEM7-S r+vsr centerline shall be clear of
Go h P P'.( s U 6 o , o is Io t structures or equipment except
�� c u r" a ►-ITS. for a 2�tP ave o er%ang.
AS;E"qa*C r-.1AV, 1114
S h�
88
PA F-ot-0 t -f FiEI..p
GIT`( P,rJ'GitiIF_
SITE PLAN PLAN NO 31'ZE n
LOCATION:
2M5 2x10 STF-EE'("
PIG00tA '"'SU601.w1S1ot-I
b6 6.5 CA
AP No.
NOTES:
* F L I P FLA, -.1 A5
BllTTF_(9 I INRR 0
^8UILDINGi'DUPARTIM PN
APPR0VED
COMMUNITY_ . HOUSING
IMPROVEMENT PROGRAM
428 NORMAL AVE. CHICO
LOT No- z�,4_
OWNER :
-DATE: '/L J A Y 1186
SCALE: 10- QoI
4
EL
QROQM P -
f7
.. .......... '7 07
0 BATH
,n nGF x
W 4 E F -AN D
IT
31',,3
-4 M BEDROOM #'3
9'- 4 i
0 Lo
r.o.
L." 14 2.
Q;=F=
010
G Q;0
GARAGE
—7—
VONT 3-1
ldb
5-40
NEI
-3c
y
3 1 GAR
FLOOAGR E AREA 1000 -50. F T
2(?4
TOTAL 1244 50. FT.
ti
CERTIMCATION OF M%pLIANCE WM BI= MMM
�
SCHOOL DISTRICT RESOLUTION NO. 87/88 $1
Biggs Unified School Di-strict c-rtifies that
Phone
Sta.t, Zxp
ha3 c�^�lfe: 3 Err f,i
t'--n
r^ jaairy„�nt:,s of
C= CC."rercia , : `"'y _,� residential
1 in tri :a �:. ; - : o
Parcel N0.,1. ,c �, i re . - . ` i Oa . Assessor
en_ang &a _esquare feet.
Date
`pY Y
When recorded mail to:
Chico Housing Improvement
429'Normal Avenue
Chico, CA 95928
ATTORNEY-IN-FACT AGREEMENT
I/We hereby appoint the Community Housing•Improvement Program and/or any of its
authorized agents as my/our attorney -.in -fact for the purpose of executing any
notices of completion, waivers of liens and/or stop notices and/or release of
liens and/or stop notices and building permits relating to that certain real
property described as follows:
All that certain land situate, lying and being in the County of Butte
State of California, described.as follows: '
Lot 3_ of Pichotta Subdivision , as shown on that certain map filed
for record in the office of the county Recorder of the County of Butte I
State of California, on January 15 , 1988 , in Book 108 of Maps
and Surveys, at page 59
10/18 88
Date
Date
STATE OF CALIFORNIA
County of Butte
I
OFFICIAL SEAL
�• = -
LINDA F. WILSON
,`� ,��
NOTARY PUBLIC CALIFORNIA
BUTTE
?? ��
COUNTY
My Comm. Expires Feb. 15, 1992
Owner.
a Perez
Owner
On this, 18t1day OfOctober in the year
1988 , before me
Linda' F. Milson, a Notary
Public, State of California, duly commissioned
and sworn, personally appeared Myrna Perez
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 Whe executed the same.
IN WITNESS WHEREOF I have hereunto set my
hand and affixed my official seal in the
County of Butte
on the date set forth above in this
certificate.
.Notary Public State of California
My commission expires-