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Home My WebLink About024-140-034� 24-14-34 �JAMES T. �T�BERTA yyQQ ®/1(5®` e, S/S Eva srReimer Rd, 200' E of Meyers Ave, Gr.idley(C,ovne,- r4ot*J Permit #5887-77E(ser ch) SF 24-14-34 124 E. Evans Riemer Rd, Oroville Contr: Richard H. Carter, Live Oak Permit #1729-83B (add att carort/SF P ) 024-140-034 PERMIT#95-1 92 HILBERT, James T.� 124 E. Evans Reimer Rd.', Gridleyyy Reroof/SF HILBERT, JAMES 124 E EVANS REIMER RD, GRIDLEY Cont: GREENE AND SON ROOF RE ROOF M-2066 621-1,40-031 121 C. cvom ptivner Rd. fjT"Al Wall furnda 6arneS,6arbeitoq Rome W011 furput (S;C""" cJ ' DNTC : Brow. Bohn He N'A � �f 02 lip- 035 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. BPO53128 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: 11/22/2005 APN: 024-140-034-000 the Business and Professions Code, and my license is in full force and effect. -39 License Class: License Number: Site Address: 124 E EVANS REIMER RD GRI :Z�S��/�7 Date: ll-?_L-G.SContractor: Map Index: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Description: RE -ROOF (15 SQ) 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 Owner: HILBERT JAMES T & BETTY L to its issuance, also requires the applicant for such permit to file a 124 E EVANS REIMER RD signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 commencing with Section GRIDLEY, CA 7000) of Division 3 of the Business and Professions Code) or that he or 95948 she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an Applicant: GREENE & SON ROOFING 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 PO BOX 2467 sale. If however, the building or improvements are sold within one PARADISE, CA 95967-2467 year of completion, the owner -builder will have the burden of 530-873-3940 proving that he or she did not build or improve for the purpose of sale.). ❑ 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, Contractor: GREENE & SON ROOFING and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). PO BOX 2467 ❑ I am Exempt under Article 3 of the Business and Professions Code PARADISE, CA 95967-2467 Date: Owner: 530-873-3940 License #: 275057 WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. Architect: I have and will maintain workers' compensation insurance, as Engineer: squired 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: �7-a iA_ V__ll('l% Carrier: Cr /1 Total Square Ft: 0 S. F. Policy #: 3 9 2 Valuation: $0.00 ❑ I certify that in the performance of the work for which this permit is Census Code: 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 U forthwith comply with those provisions. s - Z 2- - D � Date: _j5 1Jw?o Applicant: WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. 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 Resolution to do work indicat d above for which fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) Name: BY: nn n /�Date: J -1l PERMIT XPIRES ON: L _, l G. (Date Address: ❑ I hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby authorize representatives of Butte County to enter upon the above mentioned property for inspection purposes. Print Name: 7Y`Q a ei -L Signature: r 10 - Z Z — IP_�_ Date: ❑ Owner Contractor ❑ Agent for Owner ❑ Agent for Contractor B. C. Building Permit 01-16-04 pg 1 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND- SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE I-VILL BE REQUIRED AT TIME OFAPPLICATION Website: www.buttecounty.net/dds "PLEASE PRINT CLEARLY" APPLI ANT SIGNATURE X For office use only: OWNER INFORMATION Last NameJ� Flood Zone Firsl NWe InAddress a� i^ S— City. s ' Stat j Zip Phone , 3 Fax E-mail Lic. # 2 9.5-05 APPLI ANT SIGNATURE X For office use only: CONTRACTOR Name Flood Zone Address a� City4yo No StateA Zipg,579 Phone 8 7 —3 94 0 Fax E-mail __ Lic. # 2 9.5-05 Cla �s 39 APPLI ANT SIGNATURE X For office use only: ARCHITECT/ENGINEER Name Flood Zone Address SRA City No State Zip Phone Book Fax E-mail Planner State License Number APPLI ANT SIGNATURE X For office use only: APPLICANT INFORMATION Name Flood Zone Address SRA City No tate Zip Phone Book Fax E-mail Planner APPLI ANT SIGNATURE X For office use only: Zoning PropertyAddressAddress _ „V C , &I��It/S 'led Flood Zone Cross Street Co SRA I Yes No Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: r %Ii . rf'%M r.1 IM RRI rr Al r -%-^l 11M1rftnCA1TC PERMIT NO. BPO5 BIN 9 PROJECT LOCATION AP# _ 0'3 PropertyAddressAddress _ „V C , &I��It/S 'led Cit �-'Vr�� Cross Street Co WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than license contractors, a cerfificafe of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address Description or Scope of Work: Sq FT- Living Garage Open Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): 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: �0DD, ` Bldg SRA Receipt #4 q06 O v Sheriff Date: It — 22I) 5Other __ / L7 . \0 b Total 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. ❑ 3. 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, 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 KAFORMSWILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2 REV 8-12-05 ,.. .t -. _ ,, , :':`-�: "" )'•'�'% �'� , ?4 • ;'.'n::-.s;.f r:�.r'.`' .>�lfi°stl �.r?a, w vFSr .`:17.�` is a `''i.:d`"ltf.�'.-r..::. , p. ,, •-' -' • '-s -'034 PERMIT#95'1592 , James T.Evans F Reimer RdSF Gridley71 rv( t COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES - BUILDINGDIVIS ON 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-75 PERMIT NO. APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 024-140-434 ZONING A5 BUILIDIAIG PERMIT OWNER JAMES T HIMERT TELEPHONE 846-3503 SO, FT, OCC. BUILDING VALUATION OWNERS MAILING ADDRESS 124 E EVANS REDIER G?iIMPLY X15943 15 P 900.00 CONTRACTOR'S NAME W,rE V!!+� TELEPHONE CONTRACTORS MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNIWOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 20,00 Permit Fee $ 23.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ j ARCHITECT OR ENGINEERS MAILING ADDRESS Energy Plan Checking Fee .$ Penalty $ BUILDING ADDRESS 124 E EVANS REl?'IEt? PERMITFEE $ 43.00 GRIDLEY. 95948Each PLUMBINGPERMIT Filing Fee 1 20.00 Trap 7.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Solar or heat pump water heater 23.00 USEOFSTRUCTURE SF OXDuplex ❑ Mobilehome ❑ Other SPECIFY Water piping 15.00 Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other Describe Work: _ REROOF Mobile Home I S I GI W I @20.00 PERMITFEE g Contractor ELECTRICAL PERMIT Filina Fee 20:00 Main Service000V OR LESS ( 200A OR LESS ) 23.00 Main Service ( 200A TO I000A ) 46.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: 4— I, as owner of the property, or my employees with wages as their sole compensation, will do the work ;, and the structure is not intended or offered for sale. ❑ I, as'owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason NEW CONST. DWELLING OCCUP. SO. OR ADDNS. ( 8 ACC. BLDS. ) 3.5¢ FT. NEW CONST. MULTI.OUTLET NON-RESID. ( BRANCH CIRCUITS ) @7.50 ( 8 POWER APPARATUS ) SINGLE OUTLET CIR. Ex. Occup. (ouriFT OR FIXTURES) 20 @ 1.00 RAL 0 .S0 Ex. Occup. ( Ou7LEEDTS PLN . OR 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring . 23.00 PERMITFEE $ Contractor WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) iK I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to Workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall foilthwith comply with those prgvisions. X _ J�*� .- r' % Date Signature of Ap Icant - 17-1Owner Contractor ❑ Agent An OSHA permit is required for excavations over 50" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 43.00 HAZ. 1 D. FEES I IMP FLOOD I CDF PARCEL PO HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which e s have been paid. E� C ,c.-.C�- Date �( r PERMITEXPI A SON I (Date) Receipt No. 180241 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING N 7 County Center Drive - Oroville,'C:alifori is 95965 - Telephone (916) 538-75 PERMIT NO. APPLICATION AND PERMIT Q _ ASSESSOR PARCEL NUMBER ZONING BUILDAG PERMIT 024-140-034 A5 OWNER TELEPHONE SO. FT. OCC. BUILDING VALUATION JAMES T HILBERT 846-3503 15 @ 900.00 OWNERS MAILING ADDRESS 124 E EVANS REIMER GRIDLEY 95948 CONTRACTOR'S NAME TELEPHONE OWNER CONTRACTORS MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNMOWNTotal Valuation is Filing Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ 23.00 ARCHITECT OR ENGINEER LICENSE NO. Pian Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDINGADDRESS PERMITFEE $ 43.00 PLUMBINGPERMIT Filing Fee 20.00 GRIDLEY, 95948 Each Trap 7.00 LOT NO. SUBDIVISIONS NAME PARCEL MAP Solar or heat pump water heater 23.00 Water piping 15.00 USEOFSTRUCTURE Each gas water heater or vent 15.00 SF ❑X Duplex ❑ Mobilehome ❑ Other Gas piping system 1 - 5 outlets 15.00 SPECIFY Building sewer 15.00 TYPE OF WORK Mobile Home I S I G W 1 920.00 New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other EX PERMITFEE $ Describe Work:Contractor RFR9CF — ELECTRICAL PERMIT Filinq Fee 20:00 Main Service e00V OR LESS ( 200A OR LESS ) 23.00 Main Service ( 200A TO 1000A ) 46.00 LICENSED CONTRACTOR'S DECLARATION NEW CONST. DWELLING OCCUP. SO. OR ADONS. ( a ACC. BLDS. ) 3.52 FT. I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter NEW CONST, MULTI.OUTLET - NON-RESID. ( BRANCH CIRCUITS ) 97.50 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, POWER ( APPARATETUS ) a SINGLE OUTLCIR. and my license is in full force and effect.EX. Occup. ( OUTLET OR FIXTURES) 20 + 00 License Class Lic. No. BAL 30 Ex. Occup. (oFIXEEDrs (FLN o.j OR) OWNER -BUILDER DECLARATION 5.00 I hereby affirm under penalty of perjury that I am exempt from the Contractors License Temporary Service 23.00 Law for the following reason: I, as owner of the property, or my employees with wages as their sole compensation, Mobile Home Facilities 20.00 will do the work, and the structure is not intended or offered for sale. Misc. Wiring 23.00 ❑ I, as owner of the property, am exclusively contracting with licensed contractors ' to construct the project. PERMITFEE $ ❑ 1 am exempt under Sec. Business and Professions Code for this Contractor reason WORKERS' COMPENSATION DECLARATION MECHANICAL PERMIT Filing Fee 20.00 1 hereby affirm under penalty of perjury one of the following declarations: Heating ❑ 1 have and will maintain a certificate of consent to self -insure for workers' Cooling compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. Hood 6.50 ❑ 1 have and will maintain workers' compensation insurance, as required by Section Ventilation 3700 of the Labor Code, for the performance of work for which this permit is issued. PERMITFEE $ My workers' compensation insurance carrier and policy number are: Carrier Contractor Policy Number Mobile Home Installation Fee $ (The above sections need not be completed if the permit is for work of a valuation Energy Inspection Fee $ of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall Occ CONST. TYPE TOTAL FEE $ 43.00 not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the - HAZ. I D. FEES I IMP I FLOOD I CDF PARCEL PD HD ISSUE workers' compensation provisions of section 3700 of the Labor Code, I shall frhwith comply with those prpv' 'ons. This permit is hereby issued under the applicable provisions t X Date Y > of the Butte County Code and/or Resolutions to do work indicated above for which s have been paid. iAre–o,—;f Ap Icant wner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 50" deep and demolition or construction 3 in height. i 7� of structures over stories ate / C FReceiptNo. 180291 PERMITEXPI SON Z ITE•D.D.S.-B.D. CANARY PINK -INSPECTOR GOLDENROD -APPLICANT (Date) Attention Property Owner An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. 2. I personally plan to provide the major labor and materials for construction of the proposed property improvement : YES[ ] I HAVE[ ] HAVE NOT[ ] signed proposed work- 3. ork3. I have contracted with the following construction: NO[ ]. an application for a building permit for the person (firm) to provide the proposed NAME: - ADDRESS: CTTY: PHONE: CONTRACTOR'S LICENSE NO. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: 5. NAlTN E: ADDRESS: Com: PHONE: CONTRACTOR'S LICENSE NO. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: NAME ADDRESS PHOME TYPE OF WORK SIGNED: PROPERTY OWNER: S DATE: 17 — /P 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. Dear Property Owner. An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified ' For your protection, you should be aware that as "owner -builder" you are the responsible party of record on such'a permit. Building permits are not required to be signed by property owners unless they are personally 'performing their own work. If your work is being performed by someone other than yoursel& you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: 0 If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is 5300 or more for the entire project, and such persons are not licensed as contractors or subcontractors. then you may be an employer. 0 If you are an employer, you must register with the State and Federal Gove.:uaents as an employer and you are subject to several obligations including state and federal income tar withholding, federal social security taxes, workers compensation insurance, disability insurance costs, and unemployment compensation contributions. 0 There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. 0 For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "ownerbuilder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento, CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. Sincerre�lly, :CC �---t Michael C. Vieir-a, C.B.O. Manager, Building Inspection NOTE: This Owner -Builder Informadon is required by Section 19830 of the California Health and Safety Code. PERMIT NO. 1729-83B PERMIT EXPIRES [/v OWNER JAMES HILBERT CONTR. Richard H. Carter, Live Oak ASSESSOR PARCEL - LOCATION 124 E. Evans Riemer Rd. _ ? Temp. Power Pole_ Called PG&E _ P. Temp. Elec. Service Called PG&E_ Temp. Gas Service _ Called PG&E_ i� JOB FINALED (Dat, Signature 9 A J = .OK O Not OK Not Applicable = Not Ready .MOBILEHOMES -y MISCELLANEOUS Date MOBILEHOME UTILITIES (Plans) OK except N's Date DECKS COVERS, CA RTS, ETC. (Plans) OK except #'s -1. Zoning Requirements—Setbacks—Easements on Requirements—Setbacks. Easements 2. Soils; Special MH Support—Sketch/,-footings; Size—Depth—Spacing—Connectors 3. Sewer; Location—Test—Fall-C/O—Concrete _ 3.k ecks; Girders and/or Joists—Decking—Bracing—Stairs—Rails 4. Water; Location—Test—Easement Needed (Sketch) 5. Electricity; Location—Clearances—Grnd.—/ / Amp—Concrete :,Wood Awn.; Posts—Beams-Rftrs.—Connec.—Shthg.—Rfg.—Bracing_ 5-eAlum. Awn.; Columns—Connections—Splice—Decal—Enclosures 6. Gas; Location—Test—Wrap:/' /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG 7. Utility Clearance 69Carporls; Windows—Doors 7. Elec. Card -BI Date Card -BI Date CkellBl JMDate Card -BI Date Card -BI Date Card -BI Date Card -BI Op Date Card -BI Date Date MOBILEHOME INSTALLATION (Plans) OK except H's Date _ OLS (Plans) OK except q's 1. Zoning Requirements—Setbacks—Easements 2. Footings; Size—Spacing—Marriage Line Setbacks—Easements 2. Soils; Compaction—Structure Stability 3. Gas; MH Test—Demand—Valve—Connector 3. Pool Structure; Steel—Connections—Thickness—Dead Men—Lining 4. Electricity; MH Test—Crossovers—Breakers—Clearances 5. Drain; MH Test—Fall—Flex Connector _ 4. Elec.; Receptacles and Lighting; Distances—GFI 5. Elec.; Pool Lighting; 15 volts—GFI 6. Water; MH Test—Regulator—Connector 6. Elec.: Enclosures; Conduit Entries—Terminals—Listed 7. Water and Sewer Connected—C/O to Grade—HD Approval 7. Elect; Bonding; Metal w/5'—Circulating Equipment—Heater 8. Gas and Electricity Tagged 8. Elec.; Grounding; Equip. w/5'—Circulating Equip.—Pool L-ghtg. Boxes—Enclosures—Panelboards—Ins. to Main in Conduit 9. Exits; Insp.—Sketch 10. Cert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test—Water Supply Test Card B -I Date Card -BI Date Card -BI Date Card -BI Date Card B -I Date Card -BI Date Card -BI Date Card -BI Date 1 Ti F1 = OK - Not CIA = Not Applicable Not Ready RESIDENTIAL (Single and Duplex) Date UNDERFLOOR (Plans) OK except#'s Date FRAMING (Continued) 1. Zoning requirements -Setbacks -Easements 48. Property Line Firewall & Openings 2. Fig., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth 49. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 3. Ftg., Garage; Soils -Steel- / /" Ftg. Depth 50. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 4. Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth 51. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers - 5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab 52. Siding -Nailing -Veneer 6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab 53. Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access 7. Piers -Fireplace Ftg.-Steel 54. Glazing Area -Glass Protection -Skylights -Plastic 8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test 55. Shear Walls; Nailing -Bolts 9. Gas Pipe; Size -Anchors 10. 11. Water Pipe; Test -Anchors -Regulator -Service Test Electric; Underground 12. Plenums & Ducts; Clearance -Material -Support -Ins. r 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI Card -BI Card -BI Date Card -BI Date Date Card -BI Date Date Card -BI Date Card -BI Date Card -BI Date Date FINAL (Plans) OK except #'s 56. Ext. Steps -Door & Sidelight Protection -Landings Card -BI Date Date Card -BI Date PLUMBING (Permit) OK except #'s 57. Smoke Detector _ 14. Water Ht.; Vent -Access -Combustion Air 58. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Meth. Protection 15. Water Pipe; Test & Anchors -Nail Protection 16. D.W.V.; Test-Fttngs & Anchors -Nail Protection 59. Bedroom Exiting 17. Shower Pan; Test, First Floor -Tub Access 60. 61. G.F.I. & Bath Fixtures & Tub Access Elec. Trim & Subpanel; Breaker Sizes -Labels 18. Test Tub & Shower, 2nd Floor -Tub Access 1.9. Gas Pipe; Size & Anchors 62. Stairs & Rails 63. Fireplace or Stove; Clearances -Hearth 64. Elec. Outlets at Wood Panel; Int. & Ext. Card -BI Date Card -BI Date _ 65. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Card -BI Date 66. Elec. Outlets & Receptacles at Kit. Counter Date ELECTRICAL Permit OK'exce t #'s 67. Garage Fire Door; Swing -Landing -Closer 68. A.C. Duct in.Garage-Damper -- 20. Fixture & Transformer Clearance -Ins. Protection 69. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor -Meth. Protection 21. Elec. Receptacles Spacing -Lights &Switches at Doors 70. Plb., Elec. & Mech. Equip. Listed for Location _ 22. Size Boxes & No. of Conductors -Stapled 71. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 23. Romex Installed Close to Edge of Studs & C.J. _ 24. Equip. Ground made up w/Mech. Fasteners -Bond Gas &Water 72. Insulation -Foam -Looked in Attic F] Yes 73. Guard Rails &Deck Construction -Post Caps 25. 2 Appliance Circuits in Kitchen & Conductor Size 26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or AI 74. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 27. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al, Insulated Neutral ❑Yes El No 75. Following instld.: Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑Yes [J -No 28. Service -Riser Conductors & Ground -Main Disconnect 76. Stucco; Brown -Finish -- 29. Equip. Clearances; Panels-Motors-Mech. Equip. 77. A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet -- 30. Clothes Closet Light -Shower Light 78. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. ------- --- 79. Water Well; Disconnect, Electrical, Plumbing Card B -I _- ------ Date_ _ _Card -BI Date 80. Exterior Elec. Trim; G.F.I. Receptacle -Underground 81. Ventilation throughout House Card B -I Date Card -BI Date 82. Glass Protection Date MECHANICAL (Permit) OK except #'s 83. _ Corrections from Previous Inspections 84. Gas Test -Meters Tagged; Gas -Electric - 31. A.C. Ducts: Insulation & Support 85. Water & Sewer Connected -C/O to Grade -HD Approval 32. Vent Fan; Exhaust above Insulation 86, Energy Compliance Certificate -Other Certificates --133. Condensate Drain _& Overilow, Size & Grade 34. Furnace-Vent;_Access-Comb._Air-Return Air Vent -115V outlet --35.-Attic Access -& Platform if Furnace in Attic Card -BI Card -BI --- --- -- ---- - Date -- Card -BI `Date Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Comments at Final: Date FRAMING(Plans) OK except #'s 36. Sills; Proper Material & Anchors _ 3_7. 38, 39. _ Walls: Studs -Nailing, Spacing & Bracing -Plates -Sound Bearing Walls over Girders & Floor Nailing____ Draft Stop in Walls (rat proof) _40. _Fire Stops; Furred Ceilings -Stairs -Chases -Tub -45. 41. 42. 43. 44. Header &Beam -Size & Bearing _ Hangers -Post Caps -Anchors -Connectors Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthnq.-Rfng Fireplace Ties or Type A Flue -Fireplace Throat _ 46. 47. Attic Access: Size & Romex Protection -Draft Stop -Ins. Baffles _ Bdrm._Windo_ws or Exiting Doors -Sill Hgt. & Dimensions Garage Fire Protection Framing (NOTE:Anentrymust be made each time youvisit jobsite) COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 ' 7 County Center Drive, Oroville — Phone: 534-4541 _ Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE BUILDING OR PROPERTY ADDRESS A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, 'please contact this office immediately. Inspector Date �2- la i COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PE MIT NO f 7 County Center Drive - Oroville..Califc;; is 95965 - Telephone 916/534-4541 9 _;R<2 �2) i APPLICA'TION -AND PERMIT non ASSESS R PARC7L NUMB R fL ZONING 000- IF BUILDING PERMIT OWNE u I ber es TELEPHONE SO. FT. OCC. BUILDING VALUATIONV OWNER'S MAILING ADDRESS CO CTO •SNAME 01Ar TELEPHONE - CONTRACTO '§ MAIL G ADD ESS t — u Fireplace CONSTRUCTION LENDER UNKNO N E� Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ r ARCHITECT OR ENGINEER LICENSE No. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ ,S BUILDING ADDRESS >r PLUMBING PERMIT9 Filin Fee 10.00 Each Trap 2.00 Solar Water Heater 20.00 Water piping 5.00 LOT NO. SUBDIVISION NAMEPARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 ,/ USE OF STRUCTURE SF K Duplex ❑ Mobi lehome ❑ Other SPECIFY Building sewer 5.00 Mobile Home S G W 10.00 e // TYPE OF WORK New F]Addition 1(� emodel ❑ liiaUti li les ❑ Installation Other ❑ Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 60OV OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.& OR ADDNS. ( ACC. BLDGS. 21 0sgft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. ��/ Classification � .b„_ ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NON -REBID R BRANCH CIRCTITS 2.50 ea NEW CONSTR. ( POWER APPARATUS &�� NON -R ESID. SINGLE OUTLET CIR. 2050C Ex. Occup(o X 0 Ts OR FIXTURES eAL®3o FIXED PR Ex. Occup. OUTLETS (RESID )EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ft♦i I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling 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. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue agar t said unty in consequ cefof�the granting of this permit. GG % �� A� Date M19P�Q IAV � Signature of Applicant — Ownero Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ 1 �t OCCUP. GROUP 14_ I I TYPE OF ,CO r ST. JFJPAR 1 :1 HDA '7777 ✓� ss�,E j/ This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRE PUBLIC BY P T XPIRES Date the applicable to do resolutions to do fees have been paid. WORKS Date// 6 � r3stories 7 Receipt No.M / 73 WHITE-O.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT Ij'r e app COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Orovi Ile, California 95965 _ Tei ephone 1534-4541 APPLICATION AND PERMIT GUII IUI IGU I UPI GJCI I LGL I VCJ UI LIIC VUUII ty UI DU LLC LU CII LCI UPUf1 LfIC above-mentioned property for inspection purposes. X Date Signature of Permitee or Agent Receipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Building permit expires Date Date BUILDING Owner SQ. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Fireplace Contractor Total Valuation Mailing Address Permit Fee P I an Checki ng Fee &/or Penalty Telephone No. Permit Fee $ Building Address PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fees W. C. Sanitation Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration Parcel Ma P 60' R/W provements Improvements Lawn sprinkler system 2.00 Bldg. Plans Recd I Parcel Approval Plans Approval Permit Fee $ $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ❑ ELECTRICAL No.1 @ FEE PERMIT FILING FEE $3.00 V OR LE Main service 10000 AMP ORSLESS 5.00 Main service EA. ADD'L 100 AMP 2.50 Single Family ❑ Duplex ❑ Mobil Home ❑ Others ❑ Main service OVER 600V 100 AMP OR LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 NEW CONST OR ADDNS. (DACCLBLDGSLING CCUP. &) 22sgft NEW CONSTP- MULTI.OUTLET NON-RESID. ( BRANCH CIRCUITS) 2.50ea NEW CONSTR. POWER APPARATUS & NON.RESID. (SINGLE OUTLET CIR. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name St le of: y Ex. Occup(OUTLETS OR FIXTURES)50 @250 109 Ex. Occu FIXED APPLNS, OR P• OUTLETS (RESID,) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑ I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. r -1I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No.1 @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby TOTAL PERMIT FEE $ GUII IUI IGU I UPI GJCI I LGL I VCJ UI LIIC VUUII ty UI DU LLC LU CII LCI UPUf1 LfIC above-mentioned property for inspection purposes. X Date Signature of Permitee or Agent Receipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Building permit expires Date Date COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — OroviIIe, California 95965 _ Telephone: 834-454 APPLICATION AND PERMIT BUILDING OwnersIf t SQ. FT. OCC. BUILDING VALUATION Mailing Address f 6 + Telephone No. Q3 Fireplace Contractor Total Valuation Mailing Address Permit Fee Plan Checking Fee &/or Penalty Telephone Na. Permit Fee $ $ Building Address j h, sOW PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 i �dj p Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 + u Each gas water heater or vent 1.50 , / A. P. No • A --t3 `i' Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fees W. �Sanisation--Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration Parcel Ma P 60' R/W Im provements Lawn sprinkler system 2.00 -Bf'd' . ans Rec-d" I Parcel Approval Plans Approval Permit Fee $ $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER (Z ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 :5, S U rC a jv ry �� Main service 100 AMP ORSLESS 5.00 S Main service EA. ADD'L too AMP 2.50 �, v Single Family Duplex ❑ Mobil Home ❑ Others ❑ Main service OVER 600V too AMP OR 25.00 Main service EA. ADD'L 1000 AAMMP 1.00 NEW OCCUP. &) 2¢Sgft OR ADDNST ( ADWECCLBLDGLING SI NEW CONSTR. MULTI -OUTLET NON-RESID. BRANCH CIRCUITS) 2.50ea NEW CONSTR. If APPARATUS & NON.RESID. SINGLE OUTLET CIR. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: Ex. Occup(OUTLETS OR FIXTURES)50 @S¢ 109 Ex. Occu FIXED APPLNS. OR P•(OUTLETS (RESID.) EA) 2.00 , Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 D<a—m exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑ I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL @ I FEEPERMIT —No.1 FILING FEE J$3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby TOTAL PERMIT FEE 1e� •. ,cc represcntat vcs UI UIe County of butte to enter upon the above-mentioned prope4z;7! X %7 natur o Pyermitteee/o�r Agent Receipt No. �/ o(J l White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. D,(I�REC 0 OF PUBLIC WORKS By ID . /� 1[J �-f Date Bttifwmg`permit expires Date i L �� ti -�� \ \