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Home My WebLink About024-080-003BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES INSPECTION CARD 24 Hour Inspection Line: (530) 538-7636 (Oroville) (530) 891-2834 (Chico) Office: (530) 538-7541 Fax: (530) 538-2140 Website: www.buttecounty.net/dds Permit No: B06-2780 Issued: 12/06/2006 Address: 446 OBERMEYER AVE GRIDLEY APN: 024-080-003 Permit Subtype: Electric Panel Owner: COMCAST Applicant: CLEAR CONNECTION CORPORATION Description: Comcast Meter Box MUST BE ON JOB SITE JOB SHALL BE READY PRIOR TO CALLING FOR INSPECTION. THE INSPECTION CARD AND APPROVED PLANS MUST BE AVAILABLE FOR EACH INSPECTION OR THE INSPECTION WILL NOT BE MADE AND A RE -INSPECTION FEE MAY BE ASSESSED. ALL PLAN REVISIONS MUST BE APPROVED BY THE COUNTY BEFORE PROCEEDING Inspection Type IVR INSP DATE Setbacks 132 Foundations / Footings 111 Pier/Column Footings 122 Grade Beams 114 Eufer Ground 216 Forms/Steel/Holdowns 122 _Do Not Pour Concrete Until Above are_Si-ned Pre-SGas TI &%-1ZOFFICOE COPY M Masoi M dress !M Masoi Ad Undej 1 v Undej GAS Shear'i Meter By Date -Un—dei ELECTRIC (f�L Undej Meter By 1` i D�t�v V Gas P, -� Do Not Install Floor Sheathing or Slab Until Above Signed Rough Framing 128 Rough Plumbing 406 Rough Mechanical 316 Rough Electrical 208 Gas Piping 403 Roof Nail 129 Shower Pan/Tub Test 408 Fire Sprinkler 702 Do Not Insulate Until Above Signed Wall Insulation 117 Ceiling Insulation 118 Do Not Cover Until Above Signed T -Bar Ceiling / RC 145 Gas Test 404 Stucco Lath 142 Stucco Scratch 143 Stucco Brown 144 Building Fina 802 Electrical Final 803 Mechanical Final 809 Plumbing Final 813 Project Final 80161 PERMITS BECOME NULL AND VOID 1 YEAR COMMENCED, YOU MAY PAY FOR A 1 YEAR RENEWAL 30 DAYS PRIOR TO EXPIRATION Inspector Copy 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 VVEBSITE: www.buttecounty.net\dds PROJECT INFORMATION Site Address: 446 OBERMEYER AVE Owner: Pennit No: B06-2780 APN: 024-080-003 COMCAST Issued Date: 12/06/2006 13Y AAM Permit type: MISCELLANEOUS 4450 EAST COMMERCE WAY Subtype: Electric Panel SACRAMENTO, CA 95834 Expiration Date: 12/06/2007 Description: Comeast Meter Box (916) 515-2851 Occupancy: Zoning: Contractor Applicant: Square Footage: CABLECOM OF CALIFORNIA CLEAR CONNECTION CORP Building Garage Remdl/Addn 4585 PELL DRIVE 814-B STRIKER AVE SACRAMENTO, CA 95838 SACRAMENTO, CA 95834 Other Porch/Patio Total (916) 567-9956 1 (916) 567-0144 1 FEE INFOPMUTION Single Phase Service - Res $55.00 Total Charged: $55.00 Fees Paid: $55.00 Balance Due: $0.00 Receipt No: B1092 LICENSED CONTRACTOR'S DECLARATION OWNER / BUILDER DECLARATION Contractor (Na ) State Contractors License No. / Class / Expires I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License CABLECOI;TF CALIFORNIA 826295 / C7 A / 10/31/2007 J Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed I HEREBYAF RMUND ENALTY OF PERJURY that I am licensed under provisions of Chapter 9 (commencing it ect'.n 0(00) of Division 3 of the Business and Professions Code, and my license pursuant to the provisions of the Contractoes License Law [Chapter 9 (commencing with Section 7000) is in full for a ' V. of Division 3 of the Business and Professions Code] or that he or she is exempt therefrom and the X basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil of not more than five hundred dollars 12/06/2006 penalty ($500]; Please check one of the following: Contra Signature Date 1. As OWNER OF THE PROPERTY, OR MY EMPLOYEES WITH WAGES AS THEIR SOLE COMPENSATION, WILL 00 THE WORK, AND THE STRUCTURE IS NOT INTENDED OR OFFERED FOR SALE (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of the property, who builds or improves thereon, and who does WORKERS'COMPENSATION DECLARATION I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: I HAVE AND WILL the work himself or herself or through his or her own employees, provided that such improvements MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR E] are not intended or offered for sale. If, however, the building or improvement is sold within one WORKERS' COMPENSATION, as provided for by Section 3700 of the Labor Code, for the year of completion, the owner -builder will have the burden of proof that he or she did not build or performance of the work for which this permit is issued. improve for the purpose of sale.). I HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by 1. As OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED E] CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Code: Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My Workers' Compansation insurance carrier and policy number are; The Contractor's License Law dows not apply to an owner of the property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Carrier: Liberty Mutual Policy Number: WC763100427004JV, Date:0713112007 rac/ Cont cense Law.). to's (This section need not be completed if the permit one hundred dollars ($ 1 00� or less ) I AM EXE P und.1clion B. & P.C. for this reason: �CERTIFY TVAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS , ; SSUED, I s I not employ any person in any manner so as to become subject to the Workers' Compensa I s f C 'fornia, and agree that if I should become subject to the workers' X 12/06/2006 compans , o io f Section 3700 of the Labor Code, I shall forthwith comply with those 0 wne 1/119nature Date pr."s'. "s'.. X 12/06/2006 4 I here6y certify that I have read this application and state that the above information is correct. I agree to comply with all City and County ordinances, rules, regulations, and State laws relating to building Signatur i/ V Date FAILURE TO SECURE WORKERS'COMPENSATION COVERAGE IS UNLAWFUL, construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless Butte Coun or,,cers, agents and employees from any and all claims and liability for personal AND SVALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, injury, incut�.nigts d, _,h, and property damage caused by, arising out of, or in any way connected with the issue is n_ of� I issuance DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND P Eymit. &repy acknowledge that of this permit does not authorize the u '. I hereby authorize representatives of Butte se or occupai cy of si t' !ron:eperoper ATTORNEYS FEES. County to an r the a a Zfbsidewa or P in..eclion purposes. I hereby certify that I am the property ;ow /e�r #re�d to act on the property owner's behalf. CONSTRUCTION LENDING AGENCY 'y 12/06/2006 1 HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for Name If P15rmittee [S 'he performance of the work for which this permit is issued. (3097 civ. code) 7wner L_J 1:1 Contractor OR: DAgent for Owner.CrAgent for Contractor FILE COPY Lenders Address city State Zip \A BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS OFFICE#: (530)538-7541 FAX#:(530)538-2140 A FEE WILL BE REQUIRED AT TIME OFAPPLICA TION Website: www.buttecounty.nettdds "PLEASE PRIINT CLEARLY" OWNER INFORMATION Last Narne M4 r rst Name Mailing Address City State Zip gone Fax E-mail CONTRACTOR Name CARgCoAd - MME -<-Ajb Address 4_,545' A522, bK CitySACRAMW70 " 0.4 Zip 95238 Phone j,, - Fax 9/, 07_ 1,?5g E-mail Lic. # 824,29-5 1 C29s, A APPLICANT INFORMATION ARCHITECTIENGINEER Name MIA Address zipyss.3�, city x aFa State Zip Phone Address Fax E-mail State License Number APPLICANT INFORMATION Name f0MCAST- CAY 1JAA4�0V Address 445o 6AST COMME&6 WAY I city SA, "m5kmo State zipyss.3�, Phone 9 /(., - _5 /-,T- zas x aFa E-mail AEP �ICANT SIGNATURE For office use only: Zoning Flood Zone SRA I Yes I No Occ. Type Const. Subdivision Name Map Book I Page Lot # Planner I Date Approved: PERA41T NO. vlr'� BIN # PROJECTLOCATION AP# fad Propert�f Address Acfu�-m 41Y 6B0546ya WC1 Cross Stree� P—D w/c, Lg—W,&I I WORKER'S COMPENSATION Policy Number WC - &31 - X 42,&0 - 03,0 Carrier L amrs,' If hiring anyone other than license contractors, a certificate of workees compensation must be shown at the time of pennit issuance. LENDING AGENCY Name Address Description or Scope of Work: 13d&D CATIV aW6C JqlPaY ,0A1 EXIS-TIA16 6TI1,11Y P&E 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 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 Received by: Amount Bldg SRA Receipt #: Sherfi SMIP Date: Ot er (!� Yo 7- - Po / BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (630) 638-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 UbENSED 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. h- 6 1 License Class: License Number:9117(42— Date: 0,5-- � 1— 0 Contractor: 0 A P_ og -Tn c, 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 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 Contractors State License Law (Chapter 9 commencing with Section 7000) of Division 3 of the Business and Protessions 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).): El 1, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure Is not intended or offered for sale (Sec. 7044, Business and Professions 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.). Ell 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with 6 contractor(s) licensed pursuant to the Contractors' State License Law.). 13 1 am Exempt under Article 3 of the Business and Professions Code Date: — Owner: WORKERS'COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: 13 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. 0 1 have and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation Insurance carrier and policy number are: _S �_ Carrier: Cr _L4 E Fok_)d Policy #: 2- 2- 003 2 11 _1 0 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 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 compjy with those provisions. Date: Applicant: hV _ZEt--� WARNING, Failure secur ords' compensation coverage Is unlawful, and shall subject an eqloyer 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 I hereby affirm that there Is a construction lending agency for the performance of the work for which this permit is issued (Sec 3097 Civ.) Name: PERMIT NO. BP061292 Issued Date: 05/31/2006 APN: 024-080-003-000 Site Address: 446 OBERMEYER AVE GRI Map Index: Description: VINYL SIDING 22 SQ'S Owner: BAKER MARGUERITE JEAN HEARN REV TRUST PO BOX 425 GRIDLEY, CA 95948-0425 Applicant: NINE BROTHERS VINYL SIDING 7744 ORPHEUM WAY ANTELOPE,CA 95843 (916) 752-5252 Contractor: NINE BROTHERS VINYL SIDING 7744 ORPHEUM WAY ANTELOPE,CA 95843 (916) 752-5252 License #: 847142 Architect: Engineer: Total Square Ft: 0 S. F . Valuation: $0.00 Census Code: This permit is hereby iE Resolu 6ons todo work B y: � � 4 a L L -LI -l" P-- V � 0 PERMIT EXPIRES ON: , 1�__ licable provisions of the Butte which fees have been paid. Date: 31--,Ial, Address: I —(Date cd Code and/or 0 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. 0 Notification in accordance with Section 19827.5 of California Health & Safety Code Is not applicable to the scheduled construction of this project. 0 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 an cial f ument o I hereby Y191 authorize representatives of Butte County to enter upon the above mentioned property for Inspection purposes. /./ 7—*4* CJ V n m I p Z A _S F(0 -- Signature: —_::::t Print Name Date: 0 Owner Contractor 0 Agent for Owner El Agent for Contractor B. G. Builaing Permit Ul-lb-U4 Pg I BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR rNSPECTION#: OROVILLE: (530) 538-7636 - CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED A T TIME OF A PPLICA TION Website: www.buttecounty.net/dds "PLEASE PRINT CLEARLY" OWNER INFORMATION Last Name Mc 6igK r irst Name Jane Address �-t 1-'/ 6 L' E R, rn f � E y r_- rZ. A VC-. City State CA I Z" Phon 50) 8�6- ��8C, Fax E-mail e_fl(_�530) 50(-3�-26 . CONTRACTOR ARCHITECTIENGINEER Name ffj'nF= Address 7� If � Okpmrum Address tJrh 77�� OR P�-i r= W,4 City 04n' t e- 0/b State 'lip Phone/9 i6 ) M-,5_26 ,2- Fax (6� 726 - S66, E-mail Lic.; 171 �T(Qlass I APPLICANT INFORMATION ARCHITECTIENGINEER Name Address 7� If � Okpmrum Address city A n t City lip State Zip Phone I Page Fax E-mail IDate Approved: State License Number APPLICANT INFORMATION Name n ta m) I—ASHOluec- Address 7� If � Okpmrum Wlq� city A n t State lip oneL,) 16 )l 752 -5-2- S_ 2- Fax (0 (6) 72 6 - S6 6. E-mail I Page jj.�PLICAWU;,�,ayATURE Wi For office-Ae only: Zoning Flood Zone City C 9 I'dIE SRA I Yes No Occ. I Type Const. Subdivision'Name Map Book I Page Lot # IDate Approved: OVER FOR SUBMITTAL REQUIREMENTS K:\FORMS\BUILDING FORMS\BldgAppISubRqmts.doc C I PERMIT NO. o�- /?A';' BP BIN # PROJECTLOCATION AP# �� </_ OU Prop erty Address V 0 -// (--', C913 E 9 M e- V F A J"l City C 9 I'dIE Cross Street I WORKER'S COMPENSATION Policy Number z /Z I Z IS Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the iime of permit issuance. El LENDING AGENCY Name Address Description or Scope of Work: -Bldg 101 I'in q SIT, -115 Sq F�r_'Living' Garage Open Cov El Structure Built without Permits El Proposed Change of Occupancy (Note previous use): Page 1 of 2 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'rfquest 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. _4�� Received by: JU Amount: -Bldg SRA Receipt #:11655,52— c/o, � Sheriff SMIP Date�5, 5/'_64, CO Other Ila, - Tot � I REV 8-12-05 SUBMITTAL & PERMIT REQUIREMENTS. #' I. ._� 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. El 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. No graph paper! 0 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. M 3. Engineered truss details and layouts in duplicate (if required). No faxes! M 4. Energy compliance design and supporting documentation in duplicate. 0 5. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. M 6. Manufactured homes: (A) Installation manual, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate M 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 enginee . 0 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate (if required). 0 9. Site plan and business license approval from the City of Bigg�. 10. Letter of intent for non-residential buildings. 11. Building Permit Application Without Required Clearances Form El 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.) 0 1 . Agricultural Buffer clearance and site plan approval from the Ag Commissioner's office (if required). 0 2. Impactfees. El 3. California Department of Forestry plan approval (if required). El 4. NPDES Form. El 5. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). r_1 6. Contractor's license information. (Number, Name Style, Classification). 0 7. Worker's Compensation Carrier and Policy Number. 0 8. Owner -Builder Verification (if required). r_1 9. Letter of Signature authorization (if required). El 10. Recorded copy of Agricultural Acknowledgment Statement. M 11.. 13 Legal description from current recorded grant deed, 0 Copy of M.H. Title, Title transfer, or MCO. M 12. Sanitation and siteplan approval from the Environmental Health Department. If you have questions or would like additional information regarding this process, please contact a Permit Assistant at (530) 538-7541. EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after date of application. In order to renew action on an application after expiration, a: new application, plans and fees will be required. REQUEST FOR FEE REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made within two years from the date of fee payment on permits not issued, and two years from the date of permit issuance for permits issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. OVER FOR BUILDING PERMIT APPLICATION KAFORMS\BUILDING F0RMS\B1dgApp1SubRqmts.doc Page 2 of 2 REV 8-12-05 d Butte County Department of Development Services. N O T E S 7 County Center Drive, Oroville, CA 95965 (530) 538-7601 vnvw.buttecounty neUdds - eurrE. � RESIDENTIAL AP N: Permit No. ,Owner: 024-080-003 05-3183 BAKER Site Address:) 446 OBERMEYER AVE, GRIDLEY Cont: OWNER Contractor RE -WIRE , Type of Permit. 7 6z el f t: i f ' OFFICE COPY {� Address GAS Meter y Date } ELECTRIC Meter By Date r, j SPECIAL CONDITIONS CHECKED BY t, 0 SRA 1 ❑ FLOOD CERTIFICATE EQUIRED K Q FIRE SPRINKLERS REQUIRED r 0 SPECIAL INSPECTION ITEMS ' Q VERIFY USE PERMIT CONDITIONS Q SUB -STANDARD HOUSING LETTER Q ENCROACHMENT PERMIT Q REINSPECTION FEE PAID Q ENV HLTH CLEARANCE DATE JOB FINALED• . =OK o = Not OK MANUFACTURED HOMES MISCELLANEOUS DATE PERMANENT FOUNDATION Lj SOFT -SET 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 1 Zoning -Setbacks -Easements 2 Soils; Special MH Support Sketch 2 Ftgs; Soils-Sz-Dpth-Spacing-CnnctrsSteel 3 Sewer; Loctn-Test; Fall/C/O-Concrete 3 Decks, Girders/Joists-Dcking-Brcing 4 Wtr; Loctn-Test-Easement Needed -Regulator Stairs-Guard/Handrails 5 Elec Loctn-Clrncs-Grnd Amp -Concrete 6 Yard Gas;-Loctn-Test-Wrap Nat O or LPO 4 Wood Awn- Posts-Beams-Rftrs-Cnnctrs-Shthg . Frmg-Brcng Inch Sz Ft Lngth 5 Alum Awn; Columns-CnncinsSplice-Decal-Encisrs 7 Blckng; Sz-Spacing-Marriage Line 6 Carports- Wndws-Doors 8 Gas; MH Test-Demand-Valve-Cnnctr 7 Electric 9 Elec MH Cntnty Test-Crossovers-Breakers-Clrncs 8 Frmg; Sills-Anchrs-Studs-Rftrs-Trusses 10 Drain; MH Test -Fall -Flex Cnnctr 9 Siding; Nailing -Veneer -Stucco -Lath 11 Wtr & Sewer Connected -C/O to Grade 10 Roof; Shthg-Roofing 12 Gas and Electricity Tagged 13 Tie Downs O Foundation O 11 Ext; Steps -Doors -Landings 12 Braced Wall pnls 14 Exits 15 Cert of Occupancy 16 HUD Label/Insignia Numbers Serial Numbers °'o o`s o'`• 0� DATE jPOOLS 1 Setbacks -Easements 2 Soils; CompacHonStructure Stability 3 Pool Structure; Steel-Cnnctns-Thickness Dead Men -Lining 4 Elec Rcptcls/LUng; Distance -GR 5 Elec Pool Lting; 15 volts-GFI 6 Elec Enclsrs; Conduit Entries -Terminals -Listed 7 Elec Bonding; Metal w/5'-Crcltng Eqp-Htr 8 Elec Gmdng; Eqp w15' Crcltng Eqp-Pool Ightg Bokes-Enclsrs-pnlboards-lnsultn 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 Pool Drawing OK NotOK RESIDENTIAL (Singla & Dupiex) I DATE JUNDERFLOOR DATE IPLUMBING I Zoning-Setbacks-Easements-Flood-Stope 53 Wtr Htr; Vent-Acc-Cmbstn Air Baffle 2 Ftg Main; Soils-Elec Grnd Ftg Dpth — 54 Wtr Pipe; Test& Anchr-Nail Prtctn 3 Ftg Garage; Soils -Steel-Elec Grnd Ftg Dpth.. 55 DWV; Test Fittings & Anchr Nail Prtctn 4 Ftg Porches/Decks; Soils -Steel Ftg Dpth .56 Shwr Pan; Test First flr-Tub Acc 5 Sternwalls Main; Steel-Blockouts-Wrapped 57 Test Tub & Shwr, 2nd fir - Tub. Acc 6 Sternwalls Garage; Ste el-Blockotits -Wrapped 58 Gas Pipe; Sz & Anchrs 6a[ Hold Downs and Special Anchrs 59 Fire Sprinkler; Test 7 Slab, Steel Wrapped 60 Yard Gas Piping a Piers-Frplc Ftg-Steel 9 DWV; Fall -Fitting -Test -2 -way CIO -Sewer Test 10 UF. Gas Pipe; Sz Anchrs-Sz Test 1:1 Wtr Pipe; Test-Anchrs-Rgiti-Service Test 12 Elec Undrgmd UA[h IMECHANICAL 13 Plenums & Ducts; Cirnc-Materia"upport-insultn 611 AC Ducts Insulin & Support 14 Girders-Sills-Anchr Bolts �J oists-Vnts-Cripples 62 Vent Fan, Exhaust abv Insulin 15 Acc & VntItn 63 Condensate Drain & Ovrflw, Sz & Grade 16. Insulation 64 Furnace -Vent Acc-Comb Air RtrnfVent 115 Outlet 65 Attic Acc & PItfrm if Furnace in attic DATE IFRAMING 17 Sills Proper Materials & Anchrs 118 Walls Studs -Nailing Spacing & Braces -Plates -Sound 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-Truss-Shthg 25 FrpIc 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 Line Firewall & Opngs 30 Ext Doors -One T -Check Garage 3rd Story, 2 Exits 31 Stairs; Width-Hdrm-Rise-Run-Landing-Fire Prtctn 32 Plywd on Roof Ovrhng-Att7ic Vnts-Rftr Outrgrs 33 Siding -Nailing Veneer 34 Stucco Lath -Weep Screed-Fn�tri Vnts-UndrfIr Acc 35 Glazing Area -Glass P rtctn-SkyLts-Plas tic 36 Shear Walls; Nailing -Bolts 37 Brace Int/Ext Wall pnis 38 lnsultn-Walls-Ceilings 39 Infiltration-VValls-Wndws DATE JELECTRICAL 40 Fxtr & Tmsfrmr CImc4ns Prtctn 41 Elec: Rcptcls Spacing-Lts & Switches at Doors 42 Sz Boxes & No Of Cndctrs Stapled 43 Rornex Installed Close to Edge of Studs & CJ 44 Eqp Grnd made up w/Mech Fstnrs 45 Gmdng Eledaode Bond Gas & Wtr 46 2 Appinc Circs in Ktchn & Cndctr Sz GFI 47 Subfeed Wire Sz ga CU orEIAL AC Wire Sz 93 CU or [:] AL 48 Range Circ _g. 0 CU or MAL Oven Circ g;aEJCU or F IAL Insulated Neutral EjYes oNo 49 Service -Riser Cndctrs & Grnd Main Dsr-nnct 50 Eqp Clmcs pnls-Motors-Mech Eqp 51 Clothes Closet Lt-Shwr U -Spa U 52 Smoke Detector 'ZI I F I N A L 66 Ext Steps -Door & SideLt Prtctn-Landings 67 Smoke Detector 68 Furnace Vnts-CImc-Comb, Air-Cnnctr In Garage; abv-flr-Ducts-Mech Prtctn 69 Bedroom Exiting 70 GFI & Bath Fxtrs & Tub Acc-Spa. 71 GFII Arc Fault 72 Elec Trim & SubpnI, Breaker S2s & Labels 73 Stairs, Guard[Handrails 74 Frple or Stove, Clmc-Hearth 75 Elec Outlets at Wood PnI, Int & Ext 76 Ktchn, Fxtr & Appinc; Gmd-Air-Gap-Cooking Clmc 77 Elec Outlets & Rcptcls at Ktchn Counter 78 Garage Fire Door, Swing -Landing -Closure .79 AC Duct in Garage -Damper .80 Wtr Htr; Vnts-CImc-Com Air Cnnctr-PRV; abv fir . Mech Prtctn; LPG Appince Undr House 3" drain .81 PImb; Elec & Mech Ecip Listed for Loctn .82 Elec Rcptcla in Garage (GFI) Romex Ortctn 83 Insuftn-Foam-Looked in Attic .84 Guard Rails & Deck Cnstrctn-Post Caps .85 Fndn Vnts & Crawl Hole Door Drnge & Wood -Earth .86 Cirnc Drnge Planters FiYes E] No 87 Stucco Brown -Finish 88 AC Unit Dsannct, Elec-Pimb .89 Vnts abv Roof, Pimb-Appinc-Frplc-Cimc to Opngs - 90 Wtr Well, Dscnnct, Elec, Pimb 91 Ext Elec Trim, GFII Rcptcl-Undrgrnd 92 Vntitn thru House 93 Glass Prtctn 94 Corrections from previous Inspctns - 95 Gas Test -Meters Tagged, Gas -Elec - 96 Wtr & Sewer Cnnctd-C/O to grade -HD Apprvl 97 Energy CmpIncCert-Other Certs 9.8 Address Posted 99 Fire Sprinkler t1_ e 00 1�1 Butte County Department of Development Services. eu rEe artEa NOTES 7 County Center Drive, Oroville, CA 95965 (530) 538-7601 anvw.buttecottntyneVoos °�uN<y• RESIDENTIAL APN: Permit No. Owner: _/ 024-080-003 06-0147 BAKER, MARGUERITE l Site Address: 446 OBERMEYER AVE, GRIDLEY Contractor. Cont: OWNER ELEC SERV Type of Permit: CHECKED BY SRA FLOOD CERTIFICATE EQUIRED FIRE SPRINKLERS REQUIRED SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUBSTANDARD HOUSING LETTER ENCROACHMENT PERMIT REINSPECTION FEE PAID ENV HLTH CLEARANCE DATE JOB FINALED: - 1 t' SIGNATURE: OK 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 5 Elec Loctn-Clrncs-Grnd Amp -Concrete 6 Yard Gas; Loctn-Test-Wrap . Nat ❑ or LPF Inch Sz Ft Lngth 7 Blckng; Sz-Spacing-Marriage Line 8 Gas; MH Test-Demand-Valve-Cnnctr 9 Elec MH Cntnty Test-Crossovers-Breakers-Clrncs 10 Drain; MH Test -Fall -Flex Cnnctr 11 Wtr & Sewer Connected -C/O to Grade 12 Gas and Electricity Tagged 13 Tie Downs Q Foundation F 14 Exits 15 Cert of Occupancy 16 HUD Label/Insignia Numbers Serial Numbers DATE D EC K S -C O V E R S`C A R P O R T S `G A R A G ES 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-Encisrs 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 °moo °� °�• DATE IPOOLS 1 Setbacks -Easements 2 Soils; Compaction -Structure 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 Eqp-Htr 8 Elec Grndng; Eqp w/5' Crcltng Eqp-Pool lghtg Bokes-Enclsrs-pniboards-insultn to Main Conduit 9 Health Dept Apprvl 10 Plmb; Cir Test-Wtr Supply Test 11 Lt Niche 12 Enclsr; Fencing -Alarms 13 Bonding, Diving board or Slide 1a Pool Drawing OK Nol RESIDENTIAL (SIngle & Duplex) I UA I L JUNDERFLOOR DATE IP LU NIB ING I Zoning-Setbacks-Easemen ts-Flood-S lope 53 Wtr Htr; Vent-Acc-Cmbstn Air Baffle 2 Ftg Main; Soils-Elec Grnd Ftg Dpth 54 Wtr Pipe; Test & Anchr-Nail Prtctn 3 Ftg Garage; Soils-Steel-Elec Grnd Ftg Dpth.. 55 DWV; Test Fittings & Anchr Nail Prtctn 4 Ftg Porches/Decks; Soils -Steel Ftg Opth 56 Shwr Pan; Test First f1r-Tub Acc. 5 Sternwalls Main; Steel-Blockouts-Wrapped 57 Test Tub & Shwr, 2nd flr - Tub� Acc 6 Sternwalls Garage; Steel -B lockouts -Wrapped 58 Gas Pipe; Sz & Anchrs 6a Hold Downs and Special Anchrs 59 Fire Sprinkler; Test 7 Slab, Steel Wrapped 60 Yard Gas Piping 8 Piers-Frplc Ftg-Steel 9 DWV; Fall -Fitting -Test -2 -way C/0 -Sewer Test '10 UF, Gas Pipe; Sz Anchrs -Sz Test Ise 1..j Wtr Pipe; Test-Anchrs-Rgltr-Service Test 12 Elec Undrgrnd DATE M E C H A N I C A L 13 Plenums & Ducts; Cfrnc-Material-Support4nsultn 61 AC Ducts Insultri & Support 14 Girders-Sills-Anchr Bolts,) oists-Vnts -Cripples 62 Vent Fan, Exhaust abv Insultri 15 Acc: & VntItn .63 Condensate Drain & Ovrflw, Sz & Grade 16.Insulation 64 Furnace -Vent Acc-Comb Air Rtrn[Vent 115 Outlet 65 Attic Acc & PItfrm if Furnace in attic DATE IFRAMING 17 Sills Proper Materials & Anchrs DATE FINAL 18 Walls Studs -Nailing Spacing & Braces -Plates -Sound 66 Ext Steps -Door & SideLt Prtctn-Landings 19 Bearing Walls over Girders & fir Nailing 67 Smoke Detector 20 Draft Stop in Walls (rat proof) - 68 Furnace Vnts-CImc-Comb, Air-Cnnctr 21 Fire Stops, Furred Ceili n gs-Stairs-Ch asers -Tubs In Garage; abv-flr-Ducts-Mech Prtctn 22 Headers & Beams-Sz & Bearing 69 Bedroom Exiting 23 Hangers -Post Caps-Anchi-s-Crinctris 70 GF1 & Bath Fxtrs & Tub Acc-Spa 24 Ceili ng Joist-Rftr Ties-Purlin-Roof Brac-Truss-Shthg 71 GFI Arc Fault 25 Frplc Ties or Type A Flue-Frple Throat Clmc 72 Elec Trim & SubpnI, Breaker Sts & Labels 26 Attic Arc; Sz & Rrnx: Prtctn-Draft Stop -Ins Baffles 73 Stairs, Giard[Handrails 27 Bdrm Wndws or Exiting Doors -Sill Ht & Dimensions 74 FrpIc. or Stove, CIrric-Hearth 28 Garage Fire Prtctn Framing -RC Channel - 75 Elec Outlets at Wood Pril. Int & Ext 29 Prprty Line Firewall & Opngs 76 Ktchn. Fxtr & AppInc; Grnd-Air-Gap-Cooking Clmc 30 Ext Doors -One T -Check Garage 3rd Story, 2 Exits _T7 Elec: Outlets & Rcptcls at Ktchn Counter 31 Stairs; Width-Hdrm-Rise-Run-Landing-Fire Prtctn 78 Garage Fire Door, Swing -Landing -Closure 32 Plywd on Roof Ovrhng-Atric Vnts-Rftr Outrgrs 79 AC Duct in Garage -Damper 33 Siding -Nailing Veneer 80 Wtr Htr; Vnts-CImc-Com Air Cnnctr-PRV; abv fir 34 Stucco Lath -Weep Screed-Fn�tri Vnts-Undrflr Acc Mech Prtctn; LPG AppInce Undr House 3" drain 35 Glazing Area -Glass Prtctn-SkyLts-Plastic 81 PImb; Elec & Mech Eqp Listed for Lottri 36 Shear Walls; Nailing -Bolts 82 Elec Rcptcls in Garage (GFQ Romex Ortctn 37 Brace Int/Ext Wall pnIs 83 lnsultn-Foam-Looked in Attic 38 Ins ultn -Walls-Cei lings 84 Guard Rails & Deck Cnstrctn-Post Caps 39 Infiltration-Walls-Wndws 85 Fndn Vnts & Crawl Hole Door Drnge & Wood -Earth 86 CImc Dmge Planters Elyes E]No 87 Stucco Brown -Finish 88 AC Unit Dsr-nnct, Elec-PImb 8§ Wits abv Roof, Plmb-AppInc-FrpIc-CIrnc to Opngs DATE JELECTRICAL 90 Wtr Well, Dscnnc% Elec, PImb 40 Fxtr & Trnsfrmr CImc4ns Prtctn 91 Ext Elec Trim, GFI RcptcWndrgrnd 41 Elec Rcptcls Spacing-Lts & SWitches at Doors 92 Vntitn thru House 42 Sz Boxes & No Of Cndctrs Stapled 93 Glass Prtctn 43 Romex Installed Close to Edge of Studs & CJ 94 Corrections from previous Inspctns 44 Eqp Grnd made up w/Mech Fstnrs 95 Gas Test -Meters Tagged, Gas-Elec 45 Grndng Electrode Bond Gas & Wtr 96 Wtr & Sewer Cnnctd-CIO to grade -HD Apprv] 46 2 Appinc Circs in Ktchn & Cndctr Sz GF] 97 Energy Cmp1nc Cert -Other Certs 47 Subfeed Wire Sz ga CU or AL 98 Address Posted AC Wire Sz 1P CuorDAL 99 Fire Sprinkler 48 Range Circ qaEl CU or F—I AL Oven Circ qaE] CU or EIAL Insulated Neutral [:]Yes DNo 49 Service -Riser Cndctrs & Grrid Main Dscrinct 50 Eqp CImcs pnls-Motors-Mech Eqp 51 Clothes Closet Lt-Shwr U -Spa Lt 52 Smoke Detector BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION A: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 638-7541 PERMIT NO. BPO53183 B. C. Building Permit 01-16-04 pg 1 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: 12/02/2005 APN: 024-080-003-000 the Business and Professions Code, and my license is in full force and effect. License Class License Number: Site Address: 446 OBERMEYER AVE GRI Map Index: Date: Contractor: Description: RE -WIRE OLD HOUSE APPROX 1500 SQ.FT. 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 Business and Professions Code: Any city or county which requires a Owner: BAKER MARGUERITE JEAN permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a HEARN REV TRUST signed statement that he or she is licensed pursuant to the provisions of PO BOX 425 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 GRIDLEY, CA 95948-0425 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).): 1, as owner of the property, or my employees with wages as their sole compensation, will do the work, and *the structure is not intended or offered for sale (Sec. 7044, Business and Professions Applicant: BAKER MARGUERITE JEAN Code: The Contractors' State License Law does not apply to an HEARN REV TRUST owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, PO BOX 425 provided that such improvements are not intended or offered for GRIDLEY, CA 95948-0425 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.). Q 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does Contractor: 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.). 0 1 am Exempt under Article 3 of the Business and Professions Code Date: - Owner: License #: WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty 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 Architect: is issued. Engineer: Q 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: Carrier: rotal Square Ft: 0 S. F. Policy Valuation: $0.00 Census Code: 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: Zq 0 Applicant: Ja 4,p_,�x Y1 - xq�e,� >-O,--a �, WARNING: Failure to secure workers' compenfation 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 pe It' h reb under the applica.ble-orovisions of the- Butte .0 ounty-Code, and/o r. - K I hereby affirm that there is a construction lending agency for the Res(6�2mns'sb wor'� indicated ap Ker which fees have been paid. performance of the work for which this permit is issued (Sec 30,97 Civ.) 'Z,2 - 2 -tl� Name: B Date: Address: PERMIT EXPIRES ON: (Date) 0 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. 0 Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. El 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 substainof any official form or document of Butte County. I hereby . ooslauthorize representatives of Butte County to enter upon the above mentioned property for inspection p e __ -I) (, , + )/A � I YJ Print Name: SignatureT7',-,_/ )97. 14 Date: Jao r_, XOwner 0 Contractor El Agent for Owner (ZI Agent for Contractor B. C. Building Permit 01-16-04 pg 1 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 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. License Class License Number: Date: Contractor: 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 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 th6.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).): 1, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions 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 -build * er will have the burden of proving that he or she did not build or improve for the purpose of sale.). El 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of �roperty who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). 10 1 am Exempt under Artic the Business and Professiops Gode Date: L,2h - 6 60wner: =_- WORKERS' COVENSATION DECLARATION I hereby affirm under penaltylof 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. Q 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 fo hwith comply with those provisions. C) 0 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. BP060147 Issued Date: 01/20/2006 APN: 024-080-003-000 Site Address: 446 OBERMEYER AVE GRI Map Index: Description: new elec service Owner: BAKER MARGUERITE JEAN HEARN REV TRUST PO BOX 425 GRIDLEY, CA 95948-0425 Applicant: BAKER MARGUERITE JEAN HEARN REV TRUST PO BOX 425 GRIDLEY, CA 95948-0425 Contractor: License #: Architect: Engineer: Total Square Ft: 0 S. F. Valuation: $0.00 Census Code: b 741- a - 'Pli(�Rble provisions of the Butte County Code and/or CONSTRUCTION LENDING AGENCY 'eby issue6 er)t�e-ip . Thi:cpe m "t Nor I hereby affirm that there is a construction lending agency for the R , I , 1�1 , I' i 'to dd o ated Ab f h I have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) ool- Name: By: Date: Address: PERM�-EXPIRES N: /11.f.l I /_ �> 49 0 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code. which regulate the storage, handling and use of hazardous materials. 0 Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. 0 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 any off cia form or document of Butte County. I hereby authorize represontatives of Butte County to enter upon the above mentioned property for inspection pur as. Print Name; OL14 �12_/ "I - "et Iq Signature: AWN Owner C3 Contractor 0 Agent for Owner 0 Agent for Contractor BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND. SUBMITTAL REQUIREMENTS - 24 HOUR INSPECTIONN: OROVILLE: (530) 538-7636 - CHICO: (530) 891-2834 . OFFICE #: (530) 538-7541 A FEE I-VILL BE REQUIRED A T TIME OFAPPLICA TION Websife: www.buttecounty.net1dds "PLEASE PRINT CLEARLY" APPLICANT SIGNATURE Wor office use only: OWNER INFORMATION Last Name -IL/ P r -,-,q &4,kSA n P-a"I "1,/ AFWa irst ame nq z, ead 4dresp eapq4 �r city (—I (d P Pho, ne Phon�7 Fax Fax E mail Lic. # APPLICANT SIGNATURE Wor office use only: CONTRACTOR Name Flood Zone Address SRA city No S late P Pho, ne Ffs- (7 Fax E-mail Planner Lic. # S F� APPLICANT SIGNATURE Wor office use only: ARCHITECTIENGINEER Name Flood Zone Address SRA City No State Zip Phone Ffs- (7 Fax E-mail Planner State License Number APPLICANT SIGNATURE Wor office use only: APPLICANT INFORMATION Name — Flood Zone Cross Street SRA Address No Occ. Type Const. i IL Subdivision Name Map Ffs- (7 I Page ot 4 Planner Date Approved: Phone' :52 6 Fax r4�ail APPLICANT SIGNATURE Wor office use only: Zoning Property Add s Y�� M e,,il,�7 e- �21 Flood Zone Cross Street SRA Yes T_ No Occ. Type Const. i IL Subdivision Name Map Book I Page ot 4 Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS PERMIT NO. BP06 191q BIN N PROJECT LOCATION AP#- C7, V 0 0 —00 -3 Property Add s Y�� M e,,il,�7 e- �21 C*t le 4. Cross Street WORKER'SCOMPENSATION- Policy Number Carder If hiring anyone other than license contractors, a certificate of worker's 6ompensation must be shown at the time of permit issuance. LENDING AGENCY Name Address /--% A Description or Scope of Work:, Sq FT- Living Garage Open Cov C3 Structure Built v�fithout Permits 0 Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be. REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. Received by: Amount: I / -.- SRA Rec eipt #: Sheriff �A SMIP Date: -Other T6tal SUBMITTAL & PERMIT REQUIREMENTS The following drawings and specifications must be su ' bmitted 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, 0 1 . Site plans, 3 or 4 sets, signed by the preparer of the plans. No graph paper! , 0 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. El 3. Engineered truss details and layouts in duplicate (if required). No faxes! 0 4. Energy compliance design.and supporting documentation in duplicate. 0 5. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. 0 6. Manufactured homes: (A) Installation manual, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate 0 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 bV the enginee . 0 8. Flood Elevation Certificate, wet -stamped and *signed, in duplicate (if required). 0 9. Site plan and business license approval from the City of Biggs. 0 10. Letterof intent for non-residential buildings. 0 11. Building Permit Application Without Required Clearances Form 0 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.) 0. 1. Agricultural Buffer clearance and site plan approval from the Ag Commissioner's office (if required). 0 2. Impact Fees. 0 3. California Department of Forestry plan approval (if required)'. El 4. NPIDES Form. 0 5. . Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). El 6. Contractor's license information. (Number, Name Style, Classification). 0 7. Worke(s Compensation Carrier and Policy Number. 11 8i Owner -Builder Verification (if required). 11 9. Letter of Signature authorization (if'required). 0 10. Recorded copy of Agricultural Acknowledgment Statement. 0 11. 0 Legal description from current recorded grant deed, 0 Copy of M.H. Title, Title transfer, or MCO. El .12. Sanitation. and site plan approval from the Environmental Health Department. If you have questions or would like additional information regarding this process, please contact a Permit Assistant at (530) 538-7541. EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after date of application. In order to renew action on an.application after expiration, a new application, plans and fees will be required. REQUEST FOR FEE REFUNDS Refunds can only be made upon written request by the.person who paid the fee. The request must be made within two years from the date of fee payment on permits not issued, and two years from the date of permit issuance for permits issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. OVER FOR BUILDING PERMIT APPLICATION KAFORMS\BUILDING F0RMS\B1dgApp1SubRqmts.doc Page 2 of 2 REV 8-12-05 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR rNSPECTION4: OROVILLE: (530) 538-7636 - CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED A T TIME OF APPLICA TION "PLEASE PRINT CLEARLY* * PERMIT NO. o 5 - BP BIN 9 APPLICANT NAME CONTRACTOR Name city ow n� 1111A Address Zip city Fax State Zip Phone I Page Lot # Fax E-mail Lic. # Class APPLICANT NAME ARCHITECTIENGINEER Name city ow n� 1111A Address Zip City Fax State Zip Phone I Page Lot # Fax E-mail State License Number APPLICANT NAME Nay Ad�e city ow n� 1111A SAe/ Zip Phon4 yJ0 i�ar 79 Fax E-mail APP ICANTSIGNATURE y 1,06or office use only: Zoning 1A Flood Zone SRA I Yes Occ. Type Const. Subdivision Name Map Book I Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS LENDING AGENCY Name Address I Description or Scope of Work: I Sq. Footage 150 0 0 Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. Received by: Amount: Bldg SRA Receipt#: Sheriff Date: 0 -KA / SMIP Other SUBMITTAL REQUIREMENTS The following drawings and specifications must be submitted to the Building Division in order to apply forapermit. INCOMPLETE SUBMITTALS WILL NOT BEACCEPTED. ALLPLANSMUSTBE LEGIBLE AND ININK. Residential, New, Remodels, Additions, and Accessory Structures: El 1 . 3 Site Plans, signed by the preparer. NO GRAPHPAPER! 0 2. 3 Complete sets of plans, signed by the preparer. NO GRAPH PAPER! OR 3 Sets Engineered plans (if required) with wet signature on plans AND 2 sets of stamped and signed calculations. 0 3. 2 Engineered truss details and layouts (if required) (7VO FAXES!). o 4. Letter from Engineer or Architect for truss design review. 0 5. 2 Energy compliance design and supporting documentation. (Note: Not requiiedfor additions to mobile or modular homes.) o 6. 2 Flood Elevation Certificate, wet -stamped and signed (if required). o 7. Detached Accessory Building Form, filled out by the property owner (if required). 0 8. Sanitation and site plan approval from the Environmental Health Department. o 9. Metal Buildings: (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. Mobile, Manufactured, or Modular Homes: 13 1 . 3 Site Plans, signed by the preparer. NO GRAPHTAPER! o 2. 2 Data sheets and installation instruction manual. ci 3. 2 Marriage line inforrnation. Ei 4. 2 Floor plans. Ei 5. 2 Engineered Tie Downs or Foundation plans. * 6. Sanitation and site plan approval from the Environmental Health Department. * 7. 2 Flood Elevation Certificate, wet -stamped and signed (if required). Commercial, New, Additions and Remodels: 0 1 . 4 Site Plans, signed by the preparer. NO GRAPH PAPER! 0 2. 4 Engineered plans with wet signature on plans AND 2 sets of stamped and signed calculations, with code analysis. 0 3. 2 Engineered truss details and layouts (if required) (NO FAXES!). 0 4. Letter from Engineer or Architect for truss design review. o 5. 2 Energy compliance design and supporting documentation (if required). cl 6. 2 Flood Elevation Certificate, wet -stamped and signed (if required). 0 7. Statement of Intent for Non -heated and A/C (if required). o 8. Metal Buildings: (A) Metal Bldg Plans, (B) Fnd plans and cales in triplicate, (C) Elevations in triplicate, (D) Floor plans in triplicate, All of these must be stamped and wet -signed by the engineer. 0 9. Letter of intent. [1 10. Hazardous Material Form. o 11. Sanitation and site plan approval from the Environmental Health Department. If you have questions or would like additional information regarding this process, contact a Permit Application Assistant at (530) 538-7541. OVER FOR BUILDING PERMIT APPLICATION KAFORMSWILDING F0RMS\B1dgApp1SubRqmts.doc Page 2 of 2 REV 6-16-04 Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this infori-nation 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. 1 personally plan to provide the major labor and material for construction of this proposed property improvement: YES [XJ NO [ ]. 2.. 1 H. , AVE [ X] HAVE NOT signed an application for a building permit for the proposed work. ' I have contracted with the following pers on (firm) to provide the proposed construction: NAME: - ADDRESS: PHONE: CONTRACTOR'S LICENSE NO: 4. 1 plan to provide portions of the work, but I have hired the following person to coordinate, supervise, and provide the major work: NAME: ADDRESS: PHONE: CONTRACTOR'S LICENSE NO: 5. 1 will provide some of work but I have contracted (hired) the following persons to provide the work indicated: NAME . ADDRESS PHONE TYPE OF WORK SIGNED: PROPERTY 0 DATE: 11� NOTE: This Owner -Builder verification is required by Section 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to 'our office before we are permitted to issue the permit. Rev'd 11/4/2004 Butte County Department of Development Services ADMINISTRATION * BUILDING * GIS * PLANNING 7 County Center Drive Oroville, CA 95965 (530) 538-7541 Telephone (530) 538-2140 Facsimile Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of the property 0 improvements specified. For your protection you should be aware that as "owner-builde'r" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that your plan to subcontract, you should be aware of the following information for your benefit and protection: • If you employ or otherwise engag ., ge any persons other than your immediate family, and the work (including materials and other costs) is $200 or more for the entire project and such persons are not licensed as contractors or subcontractors, then you may be an employer. • If you are an employer, you must register with the state and federal government as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers' compensation insurance, disability insurance costs, and unemployment compensation contributions. • There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to workers' compensation insurance. • For more specific information about your obligations under federal law, contact the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under state law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through 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 'VArrier-builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contacting the Contractors' State License Board in your community or at 1020 N Street, Sacramento, California 95814. Please complete and return the enclosed owner -builder verification from so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. Mic'),el C. Vieirl ' C.B.O. Marlager, Building Inspection NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code. LOCATION .. . . ...... ....... ...... J- -C� 7Q. ZZ -1 ..... . ....... .... . ........ .............. .... . . ...... . . .... ......... --- - — --- ----- zl� 5:ts ---4A HN ...... .... 0 - ------- - - NOTES: . .... ..... .... S - --------- - ----- . ..... --- --- ... ....... 1 77 AA) astcommunications EGIONAL OFFICE: 4350 PELL DR., SACRAMENTO. CA 95838 CC MC PROIECT: CST 'S P's LOCATION: SYSTEU: Y02- PO r< 6( FrEWED BY: OATE: SCAU:: DRAWI.G NO: REI IN OF "Ji a_