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Home My WebLink About024-140-038REROOF WITHOUT PERMITS 4/11/00 law 024-140-038 00-0725B ' MC BRIDE, Vicki 754 Meyer, Gridley Cont; Richards & Carls Roofpg Reroof/SF 024-140-03 05-3024 BAXTER, VICKY 754 MEYERS AVE, GRIDLEY Cont: OWNER REMODEL -KITCHEN '~ r B07-2049 024-140-038 MISCELLANEOUS Window/Glass Door REPLACE WINDOWS(6), DOORS(2), S 754 MEYERS AVE BAXTER, VICKY F 024-140-038LANEOUS Wood Deck CK (9'X 22') ERS AVE VICKY ,�.i� ' ' �°9 i..._�.....�... .. ❑ B.I.N. REQUEST FOR INSPECTION Permit No. Location: • Owner. Complaint: ContractororTenant: BLDG. PLUMB/MECH ELECTRIC M.H.I./M.H.U. PRE - Form Frame/Underfloor Stucco Lath Stucco Brown Fireplace Bond Beam Insulation Rough Top Out Gas Piping/Test Temp. Gas Sewer Piping Water Piping Shower Pan Rough Temp. Service Service Underground Well Circuit Light Niche Corrections Final INSPECTION Housing Job Status Permit Renewal Verify Utilities OTHER Nailing Corrections Corrections Corrections READY FOR A.M. Final Final Final INSPEC.ON .19_ P.M. Date: Time: Note: BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #:(530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #:(530) 538-7541 FAX#: (530) 538-2140 WEBSITE: www.buttecounty.net\dds PROJECT INFORMATION Site Address: 754 MEYERS AVE Owner: Permit No: B07-2063 APN: 024-140-038 BAXTER, VICKY Issued Date: 10/03/2007 By KCG Permit type: MISCELLANEOUS PO BOX 1175 Subtype: Wood Deck BIGGS, CA 95917 Expiration Date: 10/02/2008 Description: OPEN DECK (9' X 221) (530) 846-1148 Occupancy: Zoning: A5 Contractor Applicant: Square Footage: . - BAXTER, VICKY Building Garage Refndl/Addn PO BOX 1175 BIGGS, CA 95917 Other Porch/Patio Total (530) 846-1148 198 198 FEE INFORMATION DBEH Building Review Fee $75.70 DBMSC Deck -Open (Wood) $159.00 DBSMIP Residential $0.50 Total Charged: $235.20 Fees Paid: $235.20 Balance Due: $0.00 Receipt No: B4850 LICENSED CONTRACTOR'S DECLARATION_ OWNER / BUILDER DECLARATION Contractor (Name) State Contractors License No. / Class / Expires I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed, I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license pursuant to the provisions of the Contractor's License Law [Chapter 9 (commencing with Section 7000) is in full force and effect, of Division 3 of the Business and Professions Code] or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects X 10/03/2007 the applicant to a civil penalty of not more than five hundred dollars [$500]; Please check one of the following: Contractor's Signature Date I, AS OWNER OF THE PROPERTY, OR MY EMPLOYEES WITH WAGES AS THEIR SOLE %COMPENSATION, WILL DO THE WORK, AND THE STRUCTURE IS NOT INTENDED OR OFFERED FOR SALE (Sec. 7044, Business and Professions Code: The Contractors 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 the work himself or herself or through his or her own employees, provided that such improvements AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR are not intended or offered for sale. If, however, the building or improvement is sold within one WORKERS' COMPENSATION, as provided for by Section 3700 of the Labor Code, for the year of completion, the owner -builder will have the burden of proof that he or she did not build or performance of the work for which this permit is issued. improve for the purpose of sale.). ❑ I HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by ❑ I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Code: Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My Workers' Compensation insurance number The Contractor's License Law dows not apply to an owner of the property who builds or improves carrier and policy are; thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractors License Law.). Carrier: Policy Number: Exp. Date: (This section need not be completed if the permit is or one hundred dollars ($100) or less.) IAM EXEMPT under Section B. 8 P.C. for this reason:ERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS $,,( SUED, I shall not employ any person in any manner so as to become subject to the Workers' Compensation laws of California, and agree that if I should become subject to the workers' X 10/03/2007 compens n provisions of Section 3700 of the Labor Code, I shall forthwith comply with those Owner's Sigrigure Date provisi s. X 10/03/2007 1 hereby certify that I have read this application and slate that the above information is correct. I agree to comply with all City and County ordinances, rules, regulations, and State laws relating to building SignatureDate WARNING: FAIL RE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless Butte County, its officers, agents and employees from any and all claims and liability for personal AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, injury, including death, and property damage caused arising out of, or in any way connected with DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND the issuance of this permit. I hereby acknowledge thatt is issuance of this permit does not authorize the use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte ATTORNEY'S FEES. Count to enter the above mentioned property for inspection purposes. I hereby certify that I am the pro rty owner o�autnorized act on� I} °, property owners behalf. art 3 e,ri 10/03/2007 CONSTRUCTION LENDING AGENCY I HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for Name opPermittee [SIGN] Print Date the performance of the work for which this permit is issued. (3097 civ, code) . Owner 0 Contractor OR. DAgent for Owner ❑Agent for Contractor FILE COPY Lender's Address City State Zip BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION OFFICE #: (530) 538-7541 FAX #: (530) 538-2140 A FEE WILL BE REQUIRED AT TIME OFAPPLICATION Website: www.buttecounty.net/dds "PLEASE PRINT CLEARLY" OWNER INFORMATION Last Name First Name y Mailing Address %5'+ /,Li E _ Q5 1q,✓E City Ge -1 ` E State Zip 4 Sq Phone Fax E-mail h 0 r rn beL x r -P Co rt, coLs o f APPLICANT INFORMATION CONTRACTOR Name SEL Address Zip 9 5SS� City Fax State Zip Phone Fax E-mail Lic. # Class APPLICANT INFORMATION ARCHITECT/ENGINEER Name SEL F Address Zip 9 5SS� City Fax State Zip Phone Fax E-mail State License Number APPLICANT INFORMATION Name th GK X SA �,eT jrX Address 7rq 141 of yit-ocs 1411/19 City IZt Le State, A Zip 9 5SS� Phone Fax E-mail 0✓' 1 tt)L cW- CO APPLICANT SIGNATURE X PERMIT NO. 8.07 - BIN # PROJECT LOCATION AP# 0 24 _ P -LO _. OB Property Address S4 /til RS '19j,46 City WORKER'S COMPENSATION Policy Number Carder If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address DESCRIPTION OR SCOPE OF WORK: ' X I R E V CJdlob.DEc Sq FT- Living To Garage Open Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): i For office use only: Zoning -J I Flood Zone I SRA I Yes No Occ. IType Const. Butte County Department of Development Services TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR 7 County Center Drive Oroville, CA 95965 (530) 538-7601 Telephone (530) 538-2140 Fax www.buttecounty.net/dds OWNER -BUILDER INFORMATION An application for a building permit has been submitted in your name listing yourself as the builder of the property improvements specified. For your protection you should be aware that as "owner -builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: ° If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $500 or more for the entire project and such persons are not licensed as contractors or subcontractors, then you may be an employer. n 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 G income tax withholding, federal social security taxes, workers/ compensation insurance, disability insurance costs, and unemployment compensation contributions. There may be financial risks to you if you do not carry out these obligations, and these risks are especially serious with respect to workers' compensation insurance. ° For more specific information about your obligations under federal law, contact the Internal Revenue Service (and, if you wish, the U.S. Small business Administration). For more specific information about your obligations under state law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through thier own employees, without a license contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractor is to secure an "owner -builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contacting the Contractors' State License Board's automated telephone information system at 1-800-321 -CLSB (2752) or by accessing thier website at www.CSLB.ca.gov. PLEASE COMPLETE AND RETURN THE ENCLOSED OWNER -BUILDER VERIFICATION FORM SO THAT WE CAN CONFIRM THAT YOU ARE AWARE OF THESE MATTERS. THE BUILDING PERMIT WILL NOT BE ISSUED UNTILL THE VERIFICATION IS RETURNED. OWNER BUILDER VERIFICATION PLEASE COMPLETE THIS FORM AS REQUIRED BY THE STATE OF CALIFORNIA (SENATE BILL NO. 831 EFFECTIVE JULY 1, 1980). NO BUILDING PERMIT WILL BE ISSUED UNTIL THIS VERIFICATION IS RECEIVED. I PERSONALLY PL O PROVIDE THE MAJOR LABOR AND MATERIALS FOR CONSTRUCTION OF THE PROPOSED PROPERTY IMPROVEMEN . (YES OR NO) 2. 1<55VE NOT) SIGNED AN APPLICATION FOR A BUILDING PERMIT FOR THE PROPOSED WORK. 3. 1 HAVE CONTRACTED WITH THE FOLLOWING PERSON (FIRM) TO PROVIDE THE PROPOSED CONSTRUCTION: NAME ADDRESS CITY PHONE CONTRACTORS LICENSE NO 4. I PLAN TO PROVIDE PORTIONS OF THE WORK, BUT I HAVE HIRED THE FOLLOWING PERSON TO COORDINATE, SUPERVISE, AND PROVIDE THE MAJOR WORK: ADDRESS CITY PHONE CONTRACTORS LICENSE NO 5. I WILL PROVIDE SOME OF THE WORK BUT I HAVE CONTRACTED (HIRED) THE FOLLOWING PERSONS TO PROVIDE THE WORK INDICATED: NAME ADDRESS PHONE TYPE OF WORK Description: OPEN DECK (9'X 22') Reference Number: B07-2063 Applicant Name: BAXTER, VICKY Owner's Name: BAXTER, VICK AP # Signature of Property Owner: Date: :024-140- 38 A-) 6 Butte County Department of Public Works J. MICHAEL CRUMP, DIRECTOR LAND DEVELOPMENT DIVISION Storm Water Managment Program 7 County Center Drive Oroville, CA 95965 (530) 538-7266 Telephone (530).538-7171 Fax www.buttecounty.net/dds C �!C National Pollutant Discharge Elimination System (NPDES) Phase II Construction Storm Water Permit and Storm Water Pollution Prevention Plan (SWPPP) Acknowledgment [LESS THAN 1 ACRE 1 Reference Number: B07-2063 Date: 10/03/2007 Location: 754 MEYERS AVE By: KCG Parcel Number: 024-140-038 Sub Type: Wood Deck Owner Name: BAXTER, VICKY Phone: (530) 846-1148 Description: OPEN DECK (9'X 22) By signing below, I the project owner/owners' agent, certify that this project WILL NOT DISTURB 1 acre or more of land and that I therefore, do not need to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board. Phased projects that contain multiple site buildouts of less than one acre but when combined with subsequent phases total more than one acre of disturbed soil will require a Construction Storm Water Permit from the state of California Regional Water Quality Board. I am aware that submitting false and/or inaccurate information or failure to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board for this project that disturber one acre or more of land may result in revocation of grading and/or other permits or other santions provided by law. Signed: ,Title: FILE Date: 10/03/2007 Butte County Department of Development Services TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR 7 County Center Drive Oroville, CA 95965 (530) 538-7601 Telephone (530) 538-2140 Fax www.buttecounty.net/dds NOTICE TO BUILDERS Before your building permit can be issued, your plans must be checked for compliance with the California Building Codes. In addition, your plans are routed to other regulatory entities including but not limited to Planning, Public Works, Environmental Health, and the California Department of Forestry for their clearances and approvals. There are some things you can do to expedite your permit: • Make sure your application is complete. • Be responsive to requests from County departments for any additional materials or requirements. The Building Division places its highest priority on processing building permits as quickly as possible and each day that passes without a complete application adds to processing time. Every permit issued by the Building Official shall expire and become null and void if the work authorized by such permit is not started or completed within one year from the date of issuance of such permit. A permit may be renewed (for a fee) prior to expiration an indefinite number of times, provided construction progress has been documented by the Building Division during each year during scheduled inspections. No changes may be made in the original plans and specifications for such work. In order to reinstate action on a permit after expiration, the permittee shall pay a new full permit fee and additional plan checking and documentation may be required. Upon completion of work covered by this permit, please contact this office for final inspection. As a reminder to you, it is illegal to occupy this building or any portion of the building for which this permit is issued without a final inspection. EXPIRATION OF PERMIT APPLICATION AND REFUND POLICY Application for which a permit has not been issued will expire one year after date of application. Refunds may only be made upon written request by the person who originally paid the fees. Refunds for permit applications (not yet issued) must be requested within two years from the date of fee payment. Fees paid at the time of application are for Plan Check and administration. The Plan Check portion of fees is refundable only if the permit is cancelled or withdrawn before any plan checking is done. Building Division costs will be deducted prior to authorizing a refund and a charge of $54.99 to process the refund application will be assessed. Refunds on permits (issued) may be requested prior to the expiration of the permit, provided no work has been done pursuant to the permit. An Inspection may be required (and deducted from any refund amount) to determine no work was done. Fee/refund information can be read on-line at http://municipalcodes.lexisnexis.com/codes/butteco/ Reference Number: B07-2063 Location: 754 MEYERS AVE Parcel Number: 024-140-038 Date: 10/03/2007 Owner Name: BAXTER, VICKY Phone: (530) 846-1148 iption: OPEN DECK (9'X 22 Signature of Applicant: Z Date: 10/03/2007 FILE BUTTE COUNTY FEE SUMMARY 7 County Center Drive 'Oroville, CA 95965 Department of Development Services Phone (530) 538-7541 Fax (530) 538-2140 Permit Number: B07-2063 Job Address: 754 MEYERS AVE Contractor: Printed: 10/03/2007 10:55 am Fee Description Account Number Fee Amount Paid Date Pmt Amt DBMSC Deck -Open (Wood) 0010-440001-4210500-1010 $159.00 DBEH Building Review Fee 0021-540013-4614901-1010 $75.70 DBSMIP Residential Printed By: Kourtni Graham 1001-0-280-1011298 $0.50 235.20 $0.00 Balance Due: $235.20 At the time of permit application, I was advised the above fees are required prior to issuance of the permit. These fe may change during the plan checking process. e Signature: Date: 10/03/2007 Pursuant to Government code Section 66020, you are hereby notified those items listed above may have been imposed on your project. You have 90 days from the date of approval of the project or from the impostion of the above referenced items during which you may request a protest. The requirments for a protest are specified in Government Code Section 66020(a). ,e. 754 Meyers Ave, Gridley, CA I i------ -------------------------- _._._._._.--------------- ------ ---------------------------- ,ssenk,ae . 7jIIji PLANNING DIVISION - BUILDING PLAN A]PPROVAL Use: Date: � Parking: Landscaping: Other Signature: Pool i I I v 18' --rl 17.5' I � j j jTank Sepac LR , i — 25' 28' I I O IH * I 7 jo laundry StorageBR / OKkchen I N 1970 sq ft house "" I Family Room N I j BR BR DR I i E)Mng wen I j j I I Ne Deck 25' I rte-- 22' 20' 8" I Drive way II I I I I I 18.25 r^i I I I � i-4 35.25' Meyers Ave. 5 807-20&b COUN 1 i ��/ DING DIVISION A®VI' E® o2-9 - I,y -m'D . 10-� Prepared by V(-). 6' TYP. 4'xta" •- 1 1•._ Tf G PLYWOOD CC EYT. tlmir,: y � c/1 M. 'FRMWG. CLIP:! .. 2' K 12" STAIR STRINGER. 'i;$'a.c„ MAX. 1n'x 12' PISS L 11 (nn ��F tt�F` w;,n. 4oe1•�.,� -TOP VIEW H AI IDQAIL : NDT SSHOUT N • Fb1, CLARITY. G' DECKING'(ALT) 3/j BDLT' Sracect s04ha+ a_ 1 Z4w),v*1)F*2-` GIRDERS _ ySphere canno-e I Ys' TZ G PL1moop CC EXT. Z'u�l" �o�� +h re, ui MOBILE 11bME s* 1 OR DEC. �" a Lo L!4 cic u r---- GrUARDRAIL zz --- .. , , , r . 4. KN, F-00TIN6 ,419-1~ POST _ A MR04M Cf JG IA�ONAL 907- 2063 L .4W Mc u UTTE COUNTY I i IP E QE MAX. 9'MIN.��y' BUILDING DIVISION ITµi" APP IvOl PO sr ROVEa 03 2 ," ---� to X: 2'K4"PRE35lJ EIO- -til eerMIN, 6gLTS TRrA RFDWOOD' 111ATE ON ORDER ,419-1~ POST _ A MR04M Cf JG IA�ONAL 3 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #:(530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #:(530) 538-7541 FAX#: (530) 538-2140 WEBSITE: www.buttecounty.net\dds PROJECT INFORMATION Site Address: 754 MEYERS AVE Owner: Permit No: B07-2049 APN: 024-140-038 BAXTER, VICKY Issued Date: 10/01/2007 By KCG Permit type: MISCELLANEOUS PO BOX 1175 Subtype: Window/Glass Door BIGGS, CA 95917 Expiration Date: 09/30/2008 Description: REPLACE WINDOWS(6), DOORS(2 (530) 846-1148 Occupancy: Zoning: A5 Contractor Applicant: Square Footage: BAXTER, VICKY Building Garage Remdl/Addn PO BOX 1175 BIGGS, CA 95917 Other Porch/Patio Total (530)846-1148 1 FEE INFORMATION DBMSC Stucco/Siding-Stone/Bric $116.00 DBMSC Window/Sldng GIs Dr -Rept $232.00 Total Charged: $348.00 Fees Paid: $348.00 Balance Due: $0.00 Receipt No: B4819 LICENSED CONTRACTOR'S DECLARATION 'OWNER / BUILDER DECLARATION Contractor (Name) State Contractors License No. / Class / Expires I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license pursuant to the provisions of the Contractor's License Law [Chapter 9 (commencing with Section 7000) is in full force and effect. of Division 3 of the Business and Professions Code] or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects X 10/01/2007 the applicant to a civil penalty of not more than five hundred dollars [$500]; Please check one of the following: Contractor's Signature Date I, AS OWNER OF THE PROPERTY, OR MY EMPLOYEES WITH WAGES AS THEIR SOLE F WORKERS' COMPENSATION DECLARATION COMPENSATION, WILL DO THE WORK, AND THE STRUCTURE IS NOT INTENDED OR OFFERED FOR SALE (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of the property, who builds or improves thereon, and who does I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: HAVE AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR the work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. however, the building or improvement is sold within one %If, WORKERS' COMPENSATION, as provided for by Section 3700 of the Labor Code, for the year of completion, the owner -builder will have the burden of proof that he or she did not build or performance of the work for which this permit is issued. improve for the purpose of sale.). I HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by ❑ ❑ I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Code: Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. The Contractor's License Law dows not apply to an owner of the property who builds or improves My Workers' Compensation insurance carrier and policy number are; thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractor's License Law.). Carrier: Policy Number: Exp. Date: (This section need not be completed if the permit is oror on�llars ($1100)77 less.) ❑ I AM EXEMPT under Section B. & P.C. for this reason: II CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS 1 SSUED, I shall not employ any person in any manner so as to become subject to the Workers' Compensation laws of California, and agree that if I should become subject to the workers' X 10/01/2007 compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those Owners Signature Date provisi s. X10/01/2007 I hereby certify that I have read this application and stale that the above information is correct. I agree to comply with all City and County ordinances, rules, regulations, and State laws relating to building Signature Date WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless Butte County, its officers, agents and employees from any and all claims and liability for personal AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE injury, including death, and property damage caused arising out of, in any way connected with HUNDRED THOUSAND DOLLARS $100,000 , IN ADDITION TO THE COST OF COMPENSATION, ( ) the issuance of this permit. I hereby acknowledge thatt is issuance of this pea rmit does not authorize the DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte ATTORNEY'S FEES. CountAo enter the above mentioned property for inspection purposes. I hereby certify that I am the pro rty o error autho i ed to act on he properly owners behalf. CONSTRUCTION LENDING AGENCY u' vri�K, • V a tev 10/01/2007 . I HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is construction lending agency for ame of Permittee [SIGN] Print Date the performance of the work for which this permit is issued. (3097 civ. code) i Owner ❑ Contractor OR. DAgent for Owner Agent for Contractor FILE COPY Lenders Address City State Zip BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION OFFICE #: (530) 538-7541 FAX #: (530) 538-2140 A FEE WILL BE REQUIRED AT TIME OFAPPLICA TION Website: www.buttecounty.net/dds **PLEASE PRINT CLEARLY** OWNER INFORMATION L6 Nam F' t Name I_ Ku Mailing .lr City /,v t.die State Zipq!5qV4F Ph G - 6 - 1 / otr Fax E-mail o reve CONTRACTOR Name S JAL (- J Address City State Zip Phone Fax E-mail Lic. # Class APPLICANT INFORMATION ARCHITECT/ENGINEER Name 'S lC Address Zip 95-Tq City Fax State Zip Phone Fax E-mail State License Number APPLICANT INFORMATION Name i y Address .--" City 2� i��CY State Zip 95-Tq Pho?30 - $ - 114 Fax E-mail C APPLICANT SIGNATURE X PERMIT NO. "�q BIN # PROJECT LOCATION AP# O -0Y Property Address 7 5ZI CyE2s v4tiC City t l%L C WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must tie shown at the time of permit issuance. LENDING AGENCY Name Address DESCRIPTION OR SCOPE OF WORK: To ok 9EP[-,4t- — Sq FT- Living Z Garage Open Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): 1 For office use only: Zoning Flood Zone SRA7 Yes INo Occ.Type Const. Butte County Department of Development Services TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR 7 County Center Drive Oroville, CA 95965 (530) 538-7601 Telephone (530) 538-2140 Fax www.buttecounty.net/dds OWNER -BUILDER INFORMATION An application for a building permit has been submitted in your name listing yourself as the builder of the property improvements specified. For your protection you should be aware that as "owner -builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. -They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: ° If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $500 or more for the entire project and such persons are not licensed as contractors or subcontractors, then you may be an employer. n 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 n income tax withholding, federal social security taxes, workers/ compensation insurance, disability insurance costs, and unemployment compensation contributions. There may be financial risks to you if you do not carry out these obligations, and these risks are especially serious with respect to workers' compensation insurance. ° For more specific information about your obligations under federal law, contact the Internal Revenue Service (and, if you wish, the U.S. Small business Administration). For more specific information about your obligations under state law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through thier own employees, without a license contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractor is to secure an "owner -builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contacting the Contractors' State License Board's automated telephone information system at 1-800-321 -CLSB (2752) or by accessing thier website at www.CSLB.ca.gov. PLEASE COMPLETE AND RETURN THE ENCLOSED OWNER -BUILDER VERIFICATION FORM SO THAT WE CAN CONFIRM THAT YOU ARE AWARE OF THESE MATTERS. THE BUILDING PERMIT WILL NOT BE ISSUED UNTILL THE VERIFICATION IS RETURNED. OWNER BUILDER VERIFICATION PLEASE COMPLETE THIS FORM AS REQUIRED BY THE STATE OF CALIFORNIA (SENATE BILL NO. 831 EFFECTIVE JULY 1, 1980). NO BUILDING PERMIT WILL BE ISSUED UNTIL THIS VERIFICATION IS RECEIVED. I PERSONALLY PL O PPV IDE THE MAJOR LABOR AND MATERIALS FOR CONSTRUCTION OF THE PROPOSED PROPERTY IMPROVEMENT. (Y(A14shand� I VE VE NOT) SIGNED AN APPLICATION FOR A BUILDING PERMIT FOR THE PROPOSED WORK. 3. I HAVE CONTRACTED WITH THE FOLLOWING PERSON (FIRM) TO PROVIDE THE PROPOSED CONSTRUCTION: NAME ADDRESS CITY PHONE CONTRACTORS LICENSE NO 4. I PLAN TO PROVIDE PORTIONS OF THE WORK, BUT I HAVE HIRED THE FOLLOWING PERSON TO COORDINATE, SUPERVISE, AND PROVIDE THE MAJOR WORK: NAME ADDRES CITY PHONE CONTRACTORS LICENSE NO 5. I WILL PROVIDE SOME OF THE WORK BUT I HAVE CONTRACTED (HIRED) THE FOLLOWING PERSONS TO PROVIDE THE WORK INDICATED: NAME ADDRESS PHONE TYPE OF WORK Description: REPLACE WINDOWS(6), DOORS(2), SIDING(67.5' LF) Reference Number: B07-2049 Applicant Name: BAXTER, VICKY Owner's Name: BAXTER, VIC CY AP ; Signature of Property Owner: Date :024-140-038 Z-/�- Butte,rounty Department of Development Services. N ® T E S 3 7 County Center Drive, Oroville, CA 95965 a (530) 538-7601 - v,,ww.buttecounty neVdds RESIDENTIAL APN: -Permit-No- 05-31024 ermit-No -- Owner. X024-140-038 05-3024 I BAXTER, VICKY Site Adores 754 MEYERS AVE, GRIDLEY Cont: OWNER * }'Contractork REMODEL -KITCHEN I Type of Perm..: •— ^- ,___ . -_ >_� h L13 % SPECIAL CONDITIONS CHECKED B` Q SRA Q FLOOD CERTIFICATE EQUIRED 0 FIRE SPRINKLERS REQUIRED t Q SPECIAL INSPECTION ITEMS {` Q VERIFY USE PERMIT CONDITIONS Q SUBSTANDARD HOUSING LETTER ' 0 ENCROACHMENT PERMIT 0 REINSPECTION FEE PAID 1 Q ENV HLTH CLEARANCE y E ) OL 'Y' s.. � I DATE JOB FINALED: SIGNATURE: .=OK 0 = Not OK MANUFACTURED HOMES MISCELLANEOUS DATE j PERMANENT FOUNDATION 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-Clr6cs-Grnd Amp -Concrete 6 Yard Gas; Loctn-Test-Wrap Nat Q or LP❑ 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 Q 14 Exits 15 Cert of Occupancy 16 HUD Label/Insignia Numbers Serial Numbers DATE ID E C K S`C O V E R S'C A R P O R T S `G A R A G E S 1 Zoning -Setbacks -Easements 2 Ftgs; Soils -Sz-DpthSpacing-CnnctrsSteeI 3 Decks, Girders/Joists-Dcking-Brcing Stairs-Guard/Handrails 4 Wood Awn; Posts-Beams-Rftrs-Cnnctrs-Shthg Frmg-Brcng 5 Alum Awn; Columns-CnnctnsSplice-Decal-Enclsrs 6 Carports; Wndws-Doors 7 Electric 8 Frmg; Sills-Anchrs-Studs-Rftrs-Trusses 9 Siding; Nailing -Veneer -Stucco -Lath 10 Roof; Shthg-Roofing 11 Ext; Steps -Doors -Landings 12 Braced Wall pnls °'P 0�1!4 e`er DATE IPOOLS 1 Setbacks -Easements 2 Soils; CompactionStructure Stability 3 Pool Structure; Steel-Cnnctns-Thickness Dead Men -Lining 4 Elec Rcptcls/Lting; Distance-GFI 5 Elec Pool Lting; 15 volts-GFl 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 Ightg Bones-Enclsrs-pnlboardsdnsultn 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 40 Pool Drawing = OK 0 = Not OK RESIDENTIAL (Single & Duplex) DATE JUNDERFLOOR DATE IPLUMBING 1 Zoning -Setbacks -Easements -Flood -Slope 53 Wtr Htr; Vent-Acc-Cmbstn Air Baffle 2 Ftg Main; Soils-Elec Grnd Ftg Dpth54 Wtr Pipe; Test & Anchr-Nail Prtctn 3 Ftg Garage; Soils-Steel-Elec Grnd Ftg Dpth. 55 D�. Test Fittings & Anchr Nail Prtctn 4 Ftg Porches/Decks; Soils -Steel Ftg Dpth �5e'Shwr Pan; Test, First flr-Tub Acc 5 Stemwalls Main; Steel -Blockouts-Wrapped 57 Test Tub & Shwr, 2nd flr - Tub, Acc 6 Stemwalls Garage; Steel -Blockouts-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 CIO -Sewer Test 10 UF, Gas Pipe; Sz Anchrs-Sz Test tl Wtr Pipe; Test-Anchrs-Rgltr-Service Test 12 Elec Undrgrnd DATE MECHANICAL 13 Plenums & Ducts; Cirnc-MaterialSupport-Insultn 61 AC Ducts Insultn & Support 14 Girders-Sills-Anchr BoltsJoists-Vnts-Cripples 62 Vent Fan, Exhaust abv Insultn 15 Acc & Vntltn 63 Condensate Drain & Ovrflw, Sz & Grade 16. Insulation 64 Furnace -Vent Acc-Comb Air Rtrn/Vent 115 Outlet 65 Attic Acc & Pltfrm if Furnace in attic DATE IFRAMING 17 Sills Proper Materials & Anchrs DATE IFINAL 18 Walls Studs -Nailing Spacing & Braces -Plates -Sound 19 Bearing Walls over Girders & fir Nailing moke Detector 20 Draft Stop in Walls (rat proof) 6 -C nnctr 21 Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs I v- _ ctn 22 Headers & Beams-Sz & Bearing Iti 79 23 Hangers -Post Caps-Anchrs-Cnnctns �xtrs & Tub Acc-Spa 24 Ceiling Joist-Rftr Ties-Purlin-Roof Brac-TrussShthg r 25 Frplc Ties or Type A Flue-Frplc Throat Clmc 26 Attic Acc; Sz & Rmx Prtctn-Draft Stop -Ins Baffles `� 73 Stair rQuar 44aridraft 27 Bdrm Wndws or Exiting Doors -Sill Ht & Dimensions 74 Erple or Uove,-G4fte-He-arth 28 Garage Fire Prtctn Framing -RC Channel 7 29 Prprty Line Firewall & Opngs -Cooking Clrnc 30 Ext Doors -One 3' -Check Garage 3rd Story, 2 Exits lec Outlets & Rcptcls at Ktchn Counter l 31 Stairs; Width-Hdrm-Rise-Run-Landing-Fire Prtctn Garage Fire Door _Swing- anriina lospre 32 Plywd on Roof Ovrhng-Attic Vnts-Rftr Outrgrs 79 r 1 33 Siding -Nailing Veneer 80 v flr 34 Stucco Lath -Weep Screed-Fndtri Vnts-Undrflr Acc M " drain 35 Glazing Area -Glass Prtctn-SkyLts-Plastic 81 PI 36 Shear Walls; Nailing -Bolts 82 rtctn 37 Brace Int/Ext Wall pnls 83 Insultn-Foam-1 38 Insultn-Valls-Ceilings i 84 Guard Rails R nPrk Cnctr to-pG&t-Gep«, 39 Infiltration-Walls-Wndws 85 F 86 CUae44rnge-PIT ers D Yes 0_N. °�• 0 0` 88 ti Lill 89 9.0 Wn.:n� DATE JELECTRICAL 40 Fxtr & Trnsfrmr CImc4ns Prtctn 41 Elec Rcptcls Spacing-Lts & Switches at Doors 9'3 Vailtn +ham^ = 42 Sz Boxes & No Of Cndctrs Stapled 9 60f 43 Romex Installed Close to Edge of Studs & CJ -.ns from previous Inspctns 44 Eqp Grnd made up w/Mech Fstnrs 95 (las Tect-Mo+o�� T�99A� mac-Elec 45 Grndng Electrode Bond Gas & Wtr 96 . 46 2 Appinc Cires in Ktchn & Cndctr Sz GFI 97 Eac Qy-Emptnt6er#.9tlaef 6et#s- 47 Subfeed Wire Sz oa ❑ CU or DAL . ddress Posted AC Wire Sz qa ❑CU or DAL 48 Range Circ ga 0 C or DAL Oven Circ ya ❑CUor❑ALJ�_0% ��a7 Insulated Neutral DYes No 49 Service -Riser Cndctrs & Grnd Main Dscnnct 50 Eqp Clrncs pnls-Motors-Mech Eqp 51 Clothes Closet Lt-Shwr Lt -Spa Lt 52 Smoke Detector COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 County Center Drive - Oroville, CA - (530) 538-7541 CORRECTION NOTICE - )CAxi-ear 09 - 30a(/ OWNER PERMIT NO. t A routine inspection indicates __!hAt.the following violations of Butte County Ordinances exist a the above address and d be corrected. Please call for re -inspection when correction of work is comp�let . I you have any questions pertaining to this matter, or need additional t you t co explanati3," ease contact the Building Inspector as indicated below. 74 RMAU 3- 1 - 0*(, L5 0 Date Inspector REV 4/05 Phone # FOR RE -INSPECTION CALL: 538-7636 OR 891-2834 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. BP053024 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: 11/08/2005 APN: 024-140-038-000 the Business and Professions Code, and my license is in full force and effect. Site Address: 754 MEYERS AVE GRI License Class : License Number: Map Index: Date: Contractor: Description: REMODEL OF KITCHEN & BATH (250) OWNER -BUILDER DECLARATION 1 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: BAXTER VICKY L permit to construct, alter, improve, demolish, or repair any structure, prior 754 MYERS AVE 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 GRIDLEY, CA the Contractor's State License Law (Chapter 9 commencing with Section 95948 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and the basis for the alleged exemption. Any (530) 846-1148 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 Applicant: BAXTER VICKY L Code: The Contractors' State License Law does not apply to an 754 MYERS AVE owner of property who builds or improves thereon, and who does GRIDLEY, CA such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for 95948 sale. If however, the building or improvements are sold within one (530) 846-1148 year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does 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.). ❑ I am Exempt under Article 3 of the Business and Pr ssions Code Date Owner: License #: 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 Architect: Labor Code, for the performance of the work for which this permit is issued. Engineer: ❑ 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: Total Square Ft: 0 S. F. Valuation: $0.00 Policy #: Census Code: ❑ 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' ,h compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. ya0S Date: - _ Applicant: -(Dr 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 Resolu ions to do wo(k indi ted bove for which fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) Name: BY: p/� /+ Date: 1 U V PERMIT EXPIRES ON: 1 a � 0 l[1 (Date) Address: ❑ 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. ❑ 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 Butte1 County to enter upon the above mentioned property for inspection purpose . Print Name:! V 0 m -- . J i5a e=& Signature: Date: 19pwner ❑ Contractor ❑ Agent for Owner ❑ Agent for Contractor B. C. Building Permit 01-16-04 pg 1 OWNER -BUILDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and material for construction of this proposed property improvement: YES [ k ] NO [ I. 2. I HAVE [ XC] HAVE NOT [ ] signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: NAME: _ ADDRESS: PHONE: CONTRACTOR'S LICENSE NO: 4. I plan to provide portions of the work, but I have hired the following person to coordinate, supervise, and provide the major work: NAME: ADDRESS: PHONE: CONTRACTOR'S LICENSE NO: 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: NAME ADDRESS PHONE TYPE OF WORK SIGNED: FMOUMMMOMMMAS DATE: 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 OWNER -BUILDER INFORMATION Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of the property improvements specified. For your protection you should be aware that as "owner -builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that your plan to subcontract, you should be aware of the following information for your benefit and protection: o If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $200 or more for the entire project and such persons are not licensed as contractors or subcontractors, then you may be an employer. o If you are an employer, you must register with the state and federal government as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers' compensation insurance, disability insurance costs, and unemployment compensation contributions. o There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to workers' compensation insurance. o For more specific information about your obligations under federal law, contact the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under state law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractor is to secure an "owner -builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contacting the Contractors' State License Board 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 confine that you are aware. of these matters. The building permit will not be issued until the verification is returned. Sincerely, C-� Scott Rutherford Chief Building Inspector NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code. :.�� ' � � � 1_ ' ' . �' ti ' � '' �• i a j { 1 'i4 �!j{ji ' �T t F .t .. � .. f � � � • � _ j .. � � , a ` r COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DI ION 7 County Center Drive • Oroville, California 95965 • Telephone (530):53 41 PERMIT O. (Rev. 12/96) APPLICATION AND PERMIT - ASSESSOR PARCEL NUMBER 024 -44 -0 -CM ZONING I ILDING PERMIT OWNER P TELEPHONE SO_ FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS MF.YT'Rc A11?' rPT 1 rV Ornhr 27 SO CONTRACTORS NAME rmgnq An IrART.-, pmF .rn TELEPHONE 039 CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER !LENDER'S MAILING ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 3000 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS Energy Plan Checking Fee $ $ PERMIT FEE $ 59.TX1 LOTNO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑% Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other CY Describe Work: TIT.,rl(�±r Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I §_ G W @20.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 Main Service Zoog OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION 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 isin full force and effect. �J�/ 'j/� (X7 •//y License Class ` / Lic. NO. / / 547 / 3 OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors license Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service Zoog TO 46.00 NEW CONST. DWELLING OCCUCCUP. OR ADDNS. ( a ACC. BLDs. SO 3.50x: R61DT' MULTI.OUTLET 97.50 POWEa APPARATUS a SINGLE oVTLt. CIR. EX. Occup. OUTLET OR FIXTURES BAL @ 150 Ex. Occu . oFuTtEiAPP RM.OEl 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permitis issued. My workers' co pe Be on in urance c rrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number /'^fv Z 3" (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X �Date�� _ .Signature of Applicant - ❑ Owner ❑ C ntractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or constructior of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST. TYPE TOTAL FEE $ HA2. D. FEES IMP I FLOOD I CDF PARCEL PD HD ISSUE This permit is hereby issued under the applicable of the Butte County Code and/or Resolutions indicated above for which fees have been BY •fir /• I" Date PERMIT EXPIRES UN n r provisions to do work paid. 6 Receipt No. % -A WHITE-D.D.S.-B.D. CANAR,1 -ASSESSOR PINK -INSPECTOR GOLDENRODPPLICANT I/ i COUNTY OF BUTTE - DEPARTMENT C.F DEKELOPMENT SERVICES - BUILDIN�DION 7 County Center Drive • Oroville, California 95965 a Telephone (530) 53 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT ()n�%a- ASSESSOR PARCEL NUMBER 024-14-0-038 ZONING ILDING PERMIT OWNER TELEPHONE SO. FT. OCC. BUILDING VALUATION 27 SQ_ 1,690 OWNERS MAILING ADDRESS 794 MRYERS AVE, GRITUEY CA 95948 CONrRACTOR'S NAME RTCHART)q AND CAIRTS ROOFING TELEPHONE 695-9639 CONTRACTORS MAIUNG ADDRESS 94 M 1_111F 0_A.K CA 95973 CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ig nn ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 7-54 MEYER, (;RTDT:RY Energy Plan Checking Fee $ $ PERMIT FEE $ IAT NO. SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑X Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other fX Describe Work: REROOF/COMP Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 800VOR LESS Main Service A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION 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. /'� Q ? License Class G Lic. No. / O ��% OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO lOooA 46.00 NEW CONST. DW EWNG OCCUP. OR ADDNS. ( a ACC. S. SO 3.5¢FT: N" �'.RE.DT MULTI -OUTLET Ts 97.50 'POWER APPARATUS 8 SINGLE OUTLET CIR. OUTLET OR FORURES Ex. Occup.BAL 20 Q 1'00 @ .so Ex. Occup. oFlxs A � 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers'co pe sa -on=ier and policy number are: Carrier MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. __ yl� f`y/` Date (/LJ Dg4;ngagture of Applicant - ❑ Owner ❑ C ntractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or constructionA6 of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE 59.00 TOTAL FEE $ HAZ. D FEES IMP I FLOOD I CDF PARCEL PD HD I ISSUE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have 1 By(d PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. Date /f D e Receipt No. 27 WHITE-D.D.S.-B.D. CANA -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT ♦ COUNTY OF BUTTE - DEPARTMENT OF DEVEOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. APPLICATION AND PERMIT ev.12/96) PERMIT FEE Total Valuation is ELECTRICAL PERMIT ASSESSORPAMILNUMaIR 0� ® ca — ""G Flin Fee BUILDING PERMIT OWNER + /I� -1 , r. �V l e Y'r Tatn"°"I SO. FT. OCC. BUILDING VALUATION I .-I . -;-S NrANUNG AURIN 1 53100SZ cp,ngACToas MAUND ADDREs■ _ CDNSTRUCTION LENDER EX. OCCU . OLM Er OR fDRURES PERMIT FEE Total Valuation is ELECTRICAL PERMIT Fling Fee 20.00 ARcmrrECT OR EN6NNEER pw 0." LLEss LICENSE NO. Flin Fee $ 20.00 Permit Fee $ 3.5¢ f7; ARCHnCT OR ENGINEERS MAa1NG ADDRESS Plan Checkin Fee $ i u.Ln°v�nryET� 1 WILDINOADOREss 1 Energy Plan Checking Fee $ $ PERMIT FEE _ LGT ND. SUBONISION'S NAME PAAW MAP PLUMBING PERMIT Fling Fee 1 20.00 Each Trap 7.00 SF Duplex O USEOFSTRUCTURE Mobilehome ❑ OtherWater sP�"„ Solar or heat pump water heater 23.00 piping 15.00 Each as water heater or vent 1 5.00 New ❑ Addition Describe Work: TYPE OF WORK O Remodel ❑ Utilities ❑ Instigation O Other UY\ aq s — Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W 920.00 - — EX. OCCU . OLM Er OR fDRURES PERMIT FEE t ELECTRICAL PERMIT Fling Fee 20.00 Main Service pw 0." LLEss 23.00 Main Service 200A To 1000A 46.00 NEW ca+sr. DVlN31N0 000UP. 3.5¢ f7; OR ADDNS. a ACC. BIDS. Ne N.;ONS L RPS10 i u.Ln°v�nryET� 1 @7.50 EX. OCCU . OLM Er OR fDRURES Ex. Occup. ovnEDrs a,a�Ew 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Disc. Wirinc 23.00 PERMIT FEE I _ P MECHANICAL PERMIT I Fling Fee 1 20.00 r Hood 1 1 6.501 1 PERMIT FEE S Mobile Home Installation Fee L Energy Inspection Fee S occ coNsr. TrPE TOTAL FEE Z 114Z 1 0. PEES WP I ROOD I CDP PARCEL I PO I HO I 6SUE This permit Is hereby Issued under the applicable provisions of the Butte County Code and/or Resolutions to do work Indicated above for which fees have been paid. By Date PERMIT EXPIRES ON RESIDENTIAL 24=14-38 1673-90B,P,E i MCBRIDE, Alvah 754 Meyers Ave, Gridley (gar conv to living/sf) — �//moi JOB FINALE Signature -1 OK O = Not OK =Not t Applicable NotMOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except tt's 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap: / P'L"ft. / P'Nat. or/ /"L"ft./ /"LPG 7. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except •'s 1. Zoning Requirements -Setbacks Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test-Demand-Valve—Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged g. Exits; Insp.-Sketch 10. Cert. of Occupancy Date Card B-1 Date Card 13-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS CARPORTS. GARAGE Plans OK except #'a Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Coonectors Shthg: Rfg: Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors fErectric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses iding; Nailing -Veneer -Stucco -Mesh -AD -Fio 1; Shthg-Roofing 12!1!t.; Steps -Doors -Landings Date 11- and B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except H's 1. Setbacks -Easements Z Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater ,8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ina. to Main in Conduit g. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 V OK O=Not OK - = Not Applicable =Not Ready :RESIDENTIAL (Single 'J 4 �. & Duplex) - _ Date UNDERFLOOR (Plans) OK except #'s Date FRAMING (Continued). 1. Zoning=Setbacks-Easements-Flood-Slope 45. Hangers -Post Caps -Anchors -Connectors 2. Ftg., Main; Soils-Elec. Grnd.-/ P' Ftg. Depth 46. Cing. Joist-Rftr. ties -Pu rlin-roof Brac-Truss-Shthng.-Rfng. 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 5. Stemwalls, Main; Steel-Blockouts-Wrapped 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 50. Garage Fire Protection Framing 6a. Hold Downs and Special Anchors - 51. Property Line Firewall & Openings 7. Slab; Steel -Wrapped 52 -Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits 8. Piers -Fireplace Ftg.-Steel " 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 9. O.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test' 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers 10. Gas Pipe; Size -Anchors r 55. Siding -Nailing Veneer 11. Water Pipe; Test -Anchor -Regulator -Service Test 56. Stucco Mesh -Drip Screed -Fd. Vents-Underfir. Access 12. Electric; Underground 57. Glazing Area -Glass Protection -Skylights -Plastic, 13. Pienums & Ducts; Clearance -Material -Support -Ins. 58. Shear Walls; Nailing -Bolts 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples _ 59. Insulation -Walls -Ceilings ' 15. Insulation 60. Infiltration -Walls -Windows i Date Card B-1 Date Card B-1 Date Card B-1 Data Card B-1 Date Card B-1 Date ' Card B-1 Date PLUMBING (Permit) OK except #'s Date Card B-1 Date Card B-1 16. Water Htr.; Vent -Access -Combustion Air -Baffle Date FINAL (Plans) OK except #'s 17. Water Pipe; Test & Anchor -Nail Protection 61. Ext. Steps -Door & Sidelight Protection -Landings 18. D.W.V.; Test -Fittings & Anchor -Nail Protection 62. Smoke Detector 19. Shower Pan; Test, First Floor -Tub Access 63. Furnace; Vents -Clearance -Comb. Air -Connector= 'tr. In Garage; Above Floor-Ducts-Mech. Protection--- 20. Test Tub & Shower, Second Floor -Tub Access' 21. Gas Pipe; Size & Anchors 64. Bedroom Exiting __-_.... 65. G.F.I. & Bath Fixtures & Tub Access -Spa Date Card B-1 Date 'Card B-1 66. Elec. Trim & Subpanel;.Breaker Sizes &Labels Date Card B-1 Date Card B-1 67. Stairs & Rails Date ELECTRICAL (Permit) OK except #'s 68. Fireplace or Stove; Clearances -Hearth 22. Fixture & Transformer Clearance -Ins. Protection 69. Elec. Outlets at Wood Panel; Int. & Ext. 23. Elec. Receptacles Spacing -Lights & Switches at Doors 70. Kit.Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance 24. Size Boxes & No. of Conductors -Stapled 71. Elec. Outlets & Receptacles at Kit. Counter 25. Romex Installed Close to Edge of Studs & C.J. 72. Garage Fire Door; Swing -Landing -Closer 26. Equip. Ground made up w/Mech. Fastners-Bond Gas & Water 73. A.C. Duct in Garage -Damper 27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI 74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage; Above Floor-Mech. Protection 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 75. Plb., Elec. & Mech. Equip. Listed for Location 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral 13 Yes ❑ No 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protection 77. Insulation -Foam -Looked in Attic O Yes 30. Service -Riser Conductors & Ground -Main Disconnect 78. Guard Rails & Deck Construction -Post Caps 31. Equip. Clearances Panels-Motors-Mech. Equip. 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor 0 Yes 32. Clothes Closet Light -Shower Light -Spa Light 33. Smoke Detector 80. Following instld.; Drive 0 Yes ❑ No; Walks ❑ Yes 0 No; Planters ❑ Yes O No Date Card B-1 Date Card B-1 81. Stucco; Brown -Finish Date Card B-1 Date Card B-1 82. A.C. Unit; Disconnect, Electrical, Plumbing Date MECHANICAL (Permit) OK except #'s 83. Vents Above Roof; Plbg.-Appliance-Fireplace.-Clearance to Openings 34. A.C. Ducts Insulation & Support 84. Water Well; Disconnect, Electrical, Plumbing 35. Vent Fan; Exhaust above insulation 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground 36. Condensate Drain & Overflow; Size & Grade 86. Ventilation Throughout House 37. Furnance-Vent; Access -Comb. Air -Return Air Vent -115 outlet 87. Glass Protection 38. Attic Access & Platform if Furnance in Attic 88. Corrections from Previous Inspections 89. Gas Test -Meters Tagged; Gas -Electric 90. Water & Sewer Connected -C/O to Grade -HO Approval Date Card B-1 Date Card B-1 91. Energy Compliance Certificate -Other Certificates Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except #'s Date Card B-1 Date Card B-1 39. Sils, Proper Material & Anchors Date Card B-1 Date Card B-1 40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound Date Card B-1 Date Card B-1 41. Bearing Walls over Girders & Floor Nailing Comments at Final: 42. Draft Stop in Walls (rat proof) 43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 44. Headers & Beam -Size & Bearing each time you visit job site) (NOTE: An entry must be made COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. n — (1 ASSESSOR PARCH ' NUMBER 24-1,4-38 f.. ZONING A-5 BUILDING PERMIT OWNER ALVAH McBRIDE TELEPHONE 846-3869 SQ. FT. OCC. BUILDING VALUATION 400 M-- 4,000 OWNER'S MAILING ADDRESS 754 Meyers Ave, Gridley 95948 CONTRACTOR-5NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace 1 1,000 CONSTRUCTION LENDER UNKNOWN Total Valuation I $ 5,00 LENDER'S MAILING ADDRESS Filing Fee $ 10.00 Permit Fee $$ 50.5)0 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 25.25 ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ 15.00 Penalty $ BUILDING ADDRESS 754 Meyers Avenue, Gridley100.75 Permit fee PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 5.00 Each qas water heater or vent 5.00 9,00 USE OF STRUCTURE Gas piping system 1 - 5 outlets 5.00 r SF LO Duplex❑ Mobilehome❑ Other garage conversion Building sewer 5.00 SPECIFY Mobile Home I S I G I W O.00ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ . Utilities ❑ Installation❑ Other ❑ Permit Fee $ Describe work: rnnv oaraoa t -n dan & nff; r,p Contractor P ELECTRICAL PERMIT Filing Fee 10.00 Main service e00V OR LESS k 100 AMP OR LESS 10.00 Main service EA. ADD -L 100 AMP 2.50 CONTRACTORS LICENSE LAW NEW CONST. DWELLING occuP.21) '/:¢sgft 10.00 I declare under penalty of perjury (check : P Y P er I Y (econe): OR ACDNS. ACC. BLDGS. NEW 2,50 ea ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business ' NON.R ESID .BRA CH CIRC ITS RESID. NCH CIRCUITS) POWER APPARATUS e and Professions Code and my license is in full force and effect. SINGLE OUTLET CIR. License No. Classification 20 I Ex, OCCUp(OUTLETS OR FIXTURES SALO3t 2005 sD FJ 1, as the owner, or my employees with wages as their sole compen- FIXED APLNS. Ex. Occup. OUTLETS P(RESID )REA.I 2.00 sation, will do the work,and the structure is not intended or offered Temporary service 10.00 for sale. (Sec. 7044) Mobile Home Facilities 15.00 ❑ 1, as the owner, am exclusively contracting with licensed contract- Misc. �Yirin ors. (Sec. 7044) g 15.00 ❑ I am exempt under Sec. , Business and Professions Code for this reason Permit Fee $ 20.00 Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): MECHANICAL PERMIT Filing Fee 10.00 ❑ The permit is for $100.00 (valuation) or less. Heating ❑ 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. Cooling ❑ i shall not employ any persorf in any manner so as to become subject Hood 3.00 to the W. C. laws of California. Ventilation 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 permit Fee $ provisions or this permit shall be deemed revoked. Contractor I certify that I have read this application and state that the above information Mobile Home Installation Fee $ Energy Inspection Fee $ 1s correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. TOTAL PERMIT FEE $ 175.75 1 also agree to save, indemnify and keep harmless the County of Butte against occ0P-J CONST.TYPL SCHOOL PLoo PARC PO ss all liabilities, judgments, costs, and expenses which may in any way accrue _ [--No against sa) ounty in consequence o e grant' of this permit. This permit is hereby issued under the applicable X �� b= pU Date sions of the Butte County Code and/or resolutions to do to do Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑ work indicated above for which fees have been paid. An OSHA permit is required for excavations over 5'0" deep and demolition or construct- DIRECTOR OF PUBLIC WORKS ion of structures over 3 stories in height. By2r Date �� 7- P� 66800 Receipt No. WHITE -D. P,W„ YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT PE T EXPIRES Date _ X-7- 4 // X-7- L / . . COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone: 91-3/538-7541 APPLICATION:AND PERMIT ASSESS O PARCEL NUMBER ZON G BUILDING PERMIT OWNER / Lt � C / L A 44 TEL PHO E � G3V4,R SO. FT. OCC. BUILDING VALUATION O OWNER'S M ILnN G,IA'D7 ES wL jO f '15 Lr M E2S v �C, l CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace o QQ CONSTRUCTION LENDER UNKNOWN Total Valuation I S Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ sit ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee _Fs PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 S'' Each qas water heater or vent 5.00 S USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome❑ OtherBuilding SPECI FY Gas piping system 1 - 5 outlets 5.00 S sewer 5.00 Mobile Home S I G I W 10.00e TYPE OF WORK New❑ Addition ❑ Remodel Utilities [I Installation❑ Other El Describe work: _ Permit Fee $ �S Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service eoOV OR LESS 100 AMP OR LESS 10.00 Main service EA. AOD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. ClassificationFIXED ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUPM B LOGS. ONEW DONS. A 2h¢sgft ULTC. OUTLET NON-RESID BRANCH CIRCUITS 2.50 ea POWER APPARATUS &) (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 201500 eAL030¢ APPLNS Ex. Occup. OUTLETS RESID )REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring g 15.00 Permit Fee $— WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for 5100.00 (valuation) or less. EI 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. Contractor MECHANICAL PERMIT Filing Fee 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 County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. XTh's Date Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee S3C1� occ CONST TYPE JTCITAL 7S F $PARK HAz CUA SCHL ILD PAR SSUE permit is nereby issued unser sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By PERMIT EXPIRES Date the appiicable provi- resolutions to do have been paid. WORKS Date Receipt No. WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT l COUNTY OF BUTTE 66800 1 OFWICIAL RECEIP`/PT OFFICE OR DEPARTMENT ISSUI G RECEIPT Received from A L 04 � M G b/210 F The Sum of NVE, U 1 D/ZGQ 41ilp seV a -FIyE �U For VC -2#,& ( W,-0 o & L Received: Received By , A6&�n Aea�u 12K� I CASH ❑ Title CHECK �' By DAVCO BUSINESS FORMS • (916) 743-8511 �a''^4r°rf4:3rd��4"`M1..rF`Y'�i.ei+'x"!_`'y7t�`'.!�7: fcr`��-+�w3j�,aim"'�"�+Gtr^`W:.,ar.�.ars.°.�;,,,toiay.rtimid,�r�-w+�"°op'"..�iw�''"�'°"';wrt:":e�w:�rwii`�^�'u'•'.y�.''>S�-=�.�—.-+�`ti'F,'k As. -.:,,BUTTE COUNTY SCHOOLS DEVELOPMENT FEE CERTIFICATION FORM (One Form per Building) A.P. Number �`� /y� ;>'� Building Department No. School District Gi/d/Pi City Q County Q� Jurisdiction Property ,Owner e Project .Location/Address Subdivision Lot Number Residential. Development: Sq. Footage 'W, # of Living MHI Addition (Group R) Units Commercial%Industrial: Sq. Footage New Addition (Including Exterior Roofed Areas) r a' Building Department Representative Date District".Id No. School District certifies that v '(Applicant Name) (Phone Number) '% S-7Zj_/ .; (Stre' Address) (Ci y) (State) (Zip Code) has complied with the requirements of Resolution No. ` by -the payment..,of r representing4/ 6 square f:eet. "4? qq 90 Scho 1 District Representative Date r PAID BY CHECK NO. REMAR BANK NO PAID BY CASH white -applicant, yellow -building department, pink -school district } SCHOOL . FEE (5/88) .��,�, a� �� G o� ,�� OWNER COUNTY OF BUTTE - DEPARTMENT.OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVIL1_5, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET Permit No, A. P. No. Proposed Building Use Building Inspector Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: 7941- All items have been submitted. Plot plans in duplicate/triplicate, signed by preparer of plans. 3. Complete plans in duplicate/triplicate, signed by preparer of plans. 4. Complete engineered plans and calcs, with wet signature on plans. 5. Energy Design Compliance and supporting documentation. 6. Statement of Intent for Non -Heated and AC Buildings. 7. Engineered truss details and layout in duplicate (required prior to plan check). 8. Mobilehome installation data including manufacturer's installation instructions. 9. Fees of $ 10. Chico Urbari Area fees paid. 11. Park fees p�d 12. fee Sphool District fees paid. W1 3. Sanitation approval from Health Department. 14. City of Chico plumbing permit. 15. Plot plan and business license approval from City of (see City for other requirements) 16. Planning approval for (A) Use: (B) Parking: 17. Improvements may be required. Contact Land Development Section of DPW. 18. Driveway permit (construction approval required prior to occupancy). 19. Pre -Inspection for required. 20. Contractor's license information (No., Name Style, Classification). 21. Certificate of Workmans Compensation Insurance. 22. Owner -Builder Verification (Given to owner ❑, Mail to owner o). 23. Recorded copy of Agricultural Acknowledgment Statement. 24. Letter of signature authorization. 25. 26. When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver w/inspector. Other Applicant GENERAL INFORMATION BUILDING DEPARTMENT OFFICES Chico . . . . 196 Memorial Way Phone: 891-2751 Hours: 8:00 a.m. - 10:00 a.m. Orovi I le . . . 7 County Center Drive Phone: 538-7541 Hours: 8:00 a.m. - 5:00 p.m. Paradise. . . 747 Elliott Road Phone: 872-6307 Hours: 8:00 a.m. - 9:00 a.m. Date HEALTH DEPARTMENT OFFICES Chico . . . . 196 Memorial Way Phone: 891-2727 Hours: 8:00 a.m. - 9:00 a.m. Oroville . . . 7 County Center Drive Phone: 538-7281 Hours: 8:00 a.m. - 10:00 a.m. Paradise. . . 747 Elliott Road Phone: 872-6308 Hours: 8:00 a.m. - 9:00 a.m. PLANNING DEPARTMENT — 7 County Center Drive, Oroville Phone: 538-7601 — Hours: 10:00 a.m. - 3:00 p.m. Original — Applicant OWNER COUNTY OF BUTTE - DEPARTMENT;OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVIL_ LE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 PERMIT APPLOI'CATION DATA SHEET Permit No. A. P. No. Proposed Building Use Building Inspector Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 42V. 1. All items have been submitted . .................................... -Plot plans in duplicate/triplicate, signed by preparer of plans........ 51/13. Complete plans in duplicate/triplicate, signed by preparer of plans .. 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Energy Design Compliance and supporting documentation ......... 6. Statement of Intent for Non -Heated and AC Buildings .............. 7. Engineered truss details and layout in duplicate (required prior to plan check) 8. Mobilehome installation data including manufacturer's installation CS instructions .............................................. ....... 9. Fees of $ 10. Chico Urban Area fees paid ....... . 11. Park feespaid X 12. 3 2� School District fees paid ................. �� 7—, 7 _ �4 3. 'Sanitation approval from - Health Department ... 14. City of Chico plumbing permit ...................................... 15. Plot plan and business license approval from City of (see City for other requirements) ` 16. Planning approval for (A) Use: (B) Parking: ......... 17. Improvements may be required. 18. Driveway permit (construction approval required prior to occupancy) ... Pre-Inspec. request to 19. Pre -Inspection for required ...... Building Inspector (Date) 20. Contractor's license information (No., Name Style, Classification) ....... 21. Certificate of Workmans Compensation Insurance .................... 22. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) 23. Recorded copy of Agricultural Acknowledgment Statement ............ 24. Letter of signature authorization ..................................... 25. 26. When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver w/inspector. Other Applicant Date Copy of plans sent Health Dept., Fire Dept.,, Other Date The following data must be submitted'pri'or to permi4 issuance: (Circle new item not checked above). 1. Index permit for above items No. 5-b5 3/i -7%/Z, 2. Additional items required: Contractor, designer, owner, was advised of above required data by ✓ phone_mail_counter by date 4'2'96 Contractor, designer, owner, was advised of above required data by—phone —ma II—counter by date s r Plans checked by Date Plans approved by &W Date L ,2-90 Sets of plans on hold in File cabinet AP folder "Copy—DPW r N ,I his set of plan's and specifications MUST h4 ;..ept on 0m. iob o+ a-11 times and it is unlawful to ra4o cry chcriacs or on same withouf :Written permission from the Department o* PAPS A/orks. Countv of BU++e. A setback of 5 ft. from the property lines and a setback of 50ft. from tb- --. centerline I be dear of structures or equipment except for a 2 ft. eave overhang. 0 167 90 r �_ NOTE:—All Materials & Workmanship Shall Be in BUTTE COUNTY Accordance with Recognized Good Practices and BUILDING DEPARTMENT of a quality prescribed nor the Specified use in the i Uniform Building, Plumbing & Mechanical Code cl ^ `� �• � the �,� . i1: �J FlI .,& A ical Cn(ge'. PPR .o V F n QI tl( , pt k, S o. iAAP wA U&-- 3304 PRO tcm IrO-.A C 0 S � L 4) 0 Lloo wx opr- 1,51 1 V V DE APPROVED ENI 'PROVIDE APPROVED VE I $'I � WST ON T Ll FQ Tjo� AND ADEQUATE COV,, :DA6D A RO = ... . . ........ ---.v I. iz �!C & / R W I AIR FOR 1-!�EATEER VOR W- H. 77' 1!�:L6-CTrAC&LTO COMFLy WITH 119,bl P.S.C. e, a timey u 22 y M] BUTTE COUNTY BUILDING DEPARTME ell ar APPROVED. k (A.0 Ad (1,1 trtA ti q S11 7' /10 e &4, A I t tY-- e;' 3 ele AWL 7" • t Owner 7'/yl L°� Climate Zone Permit # 73- �U Floor Area D� The following data showing mandatory and required features of Package "A" shall. be installed for additions to dwellings. Additions to dwellings include`room- additions, converting garages and patios to living areas, house moves that add footage and attic conversions, and any space that is existing non -conditioned space that is converted to conditioned space: Remodeling of existing conditioned space is not included. ZONE 11 APPLIES TO NEW AREA ��CEII;ING - R-30 j: WALL `R=11 SLAB R-7 SHADING , ,t r SOUTH - OPTIMUM OVERHANG or .36 Shading Coefficient ONE 1 R- R -1 R-19 R-7 U- 65 (D al) +� a WEST - .36 Shading Coefficient LOOSE FILL INSULATION (Density) rd—r!NFI TL RATION CONTROL (Weatherstrip doors, certified windows, caulking) VAPOR BARRIER (Zone 16) jp DUCTS PER UNIFORM MECHANICAL CODE - Ch. 10 LIGHTING KITCHEN & BATH NOT LESS THAN 25 LUMENS/WATT MAX'IM'U-M-GLAZING 16% OF- AREA PLUS REMOVED GIXZI;NG NEW HEATING, VENTILATING, AIR CONDITIONING AND HOT WATER SYSTEMS IN ' CONJUNCTION WITH AN ADDITION SHALL BE INSTALLED AS SHOWN ON BACK OF THIS SHEET. ' OTHER 12/85 . BUTTE COUNTY DEVELOPMENT SERVICES Complainant: Address: Phone Number: Other Comments: w :.....:.:......:...... ............................... ................he;ave.. :;t:.:.......................:... Inspector must draw a plot plan with all building locations: Additional comments from Inspector:_ r 2- COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street • Chico, CA • (530) 8917275-t , 7 County Center Drive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE ER A routine inspection indicates that the following violations of butte county Ordinances exist at the above address and should be corrected. Please notice this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. lC I 4-E W t "T !4 /-✓ 16 t7M V C n Date � / / I — 60 Inspector REV 10/92 i COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541 OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building.permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) 2. I (have/have not) &y e ,sem' signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name ✓ ,,-e !� i Address u/.Fi v City e� Phone kilC r2 ?/S/ Contractors License No. Z/2.3.7__ dC_&M 4. I plan to provide portions of this work, but I have hired the following person to coordinate supervise, and provide the major work: Name 'Jid e, > Address 79'o cveocle AV /.4),4 v city P Phone IM, 4- _Z?/54 Codtractors License No. /. � 0 _J 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone' Type of Work 1,14/-,�,rrA✓ C ` Signed: Property Owner aA"-.,/ Z_PweZA"-6 Social Security Number Date NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7341 OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. jCq t4'i. A) 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) 2. I (have/have not) Ade AW signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name ,icxr l / Address .?Q0 City (7-1IC71c'.C— Phone l�'ll�s/ Contractors License No. 4. I plan to provide portions of this work, but I have hired the following.person to coordinate supervise, and provide the major work: Name '70 e ,i r Address J'City Phone _ r 4- Co tractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name//�� Address Phone Type of Work C • Signed: Property Owner�.%l?�`✓C� Social Security Number Date NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. tj< .� �. ��-'�-•.,Ir.�+e�:.2...+.....� .t. t .._......mss. �-.�.-��..�..�. �+ .�.,.'.,....+..L.�. ' � _ , ^�,_-. .. ar~. a _. 1�v.. .,_ y� -Y COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-533-7541 OWNER -BUILDER VERIFICATION Attention.Property Owner: An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. /en!`,(rrA) 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) 2. I (have/have not) /,4ae ,n;# signed an application for a building permit for the -proposed work. 3. I have contracted with the ,following person (firm) to provide the proposed construction: Name ✓crr !1 ty l / _ Address ?Qri Uwe' iKl t4j q v City Phone Contractors License No. dg.7— 4. I plan to provide portions of this work, but I have hired the following person to coordinate supervise, and provide the major work: Name ,i r Address YPO 4r1ra1r c&kl e4_,.) /t K City r Phone—Ctf;Z4- _Z �/U Co tractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: NameAddress Phone Type of Work /" C Signed: Property Owners Social Security Number Date NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. A 1- r+rN;...�.:�it.F...,..• "=r�L.�.'" ,..ct'-� :*•,�,::{i�-t ..,.L,:�:�:iC t .,.b 1�: ....�.-.��...w..t '—:,w..` u�j,_'`gY' >,1�.`„Y ' y�"'�1"p�,,,"' „"� s: - K.-' V COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541 OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) 2. I (have/have not) /Ade AMMIr signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name 0 r l Address fir" iscr u/.8 « City (—F7c?1 `� Phone ire!'' _�2 i/ V/ Contractors License No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate supervise, and provide the major work: Name -Y e .r Address '? &Ien4e 44'el Uirf I/ City c �' Phone by;Z4-_Z 7154 Co tractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name n Address Phone Type of Work C Signed: / /� • / Property Owner,-►,/' „��/'�`/� ✓L-� Social Security Number Date NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. ..e,.a4.xa.,.�,:+w�+-�w�.+.-:«•.r..��i.�.:.....-..:..r:_ � - - ..nr _.-.•.._�:-+s.....itk...t� � � a,+l °'''`. � r'.iA- FORM 7 ADDITIONS TO RESIDENTIAL BUILDINGS ENERGY SHEET PACKAGE "A" (Additions) Owner Tyl if &,�g/(, Climate Zone Permit # & 73- /U Floor Area The following data showing mandatory and required features of Package "A" shall be installed for additions to dwellings. Additions to dwellings include room additions, converting garages and patios to living areas, house moves that add footage and attic conversions, and any space that is existing non -conditioned space that is converted to conditioned space. Remodeling of existing conditioned space is not included. ZONE 11 ONE 1 APPLIES TO NEW AREA Aj CEILING R-30 R- 8 dp WALL R-11 R-1 FLOOR R-11 R-19 SLAB R-7 R-7 O GLAZING lo9m U-.65 (Dual) U- 65 (D al) SHADING SOUTH - OPTIMUM OVERHANG or .36 Shading Coefficient WEST - .36 Shading Coefficient LOOSE FILL INSULATION (Density) INFILTRATION CONTROL (Weatherstrip doors, certified windows, caulking) VAPOR BARRIER (Zone'16) 0 DUCTS PER UNIFORM MECHANICAL CODE - Ch. 10 LIGHTING KITCHEN &BATH NOT LESS THAN'25 LUMENS/WATT MAXIMUM GLAZING 16% OF -AREA PLUS REMOVED'GLAZING NEW.HEATING, VENTILATING, AIR CONDITIONING AND HOT WATER SYSTEMS IN CONJUNCTION WITH AN ADDITION SHALL BE INSTALLED AS SHOWN ON BACK OF THIS SHEET. OTHER 12/85 ❑ *2 HEATING. VENTILATING. AIR CONDITIONING SYSTEM (A) Heating Central Gas Furnace (brand and model number) SE Btu/hr (heating capacity) r• ` Heat Pump (brand and model number) 'ACOP Btu/hr (heating capacity at 47°F) Active Solar type (liquid or air) Collector brand and ft2 model number solar fraction collector area collector orientation collector tilt rated y -intercept rated slope Other (describe) (B) Cooling Electric Air Conditioner (brand and model number) (seasonal EER) Btu/hr (cooling capacity at 95°F) Electric Heat Pump EER Btu/hr (cooling capacity at 95°F) Other (describe) DOMESTIC WATER SYSTEM • (A) Gas Only Gallons (brand and model number) (tank size) Heat Pump w/Electric Backup (brand and model number) Gallons (tank size) Active Solar (collector brand and model number) (rated y -intercept) (rated slope) (solar fraction) ft (backup heater type, brand and model number) (collector area) (collector orientation) (collector tilt) Location of Solar Panels Other (Describe) *1 Submit documentation of sizing heating and cooling equipment by Manual J, sizing charts (form #4) or other approved methods, section 2-5352(8), and fill out the following: _ Heating: Winter design temperature °, elevation ', heating load BTU elevation factor x heating load = maximum outlet capacity gas furnace BTU a. Cooling: Summer design temperature °, cooling load BTU *2 Submit T.I.P,S.E. chart'or other approved system (form #5) to document sizing of solar panels. ® DESIGN COMPLIANCE STATEMENT: The above building design meets the requirements of Title 24, Part 2, Chapter 2-53 of the California Administration Code. GNATURE OF BUILDING DESIGNER OR APPLICANT *1 13 13 *1 13 ❑ ❑ *2 HEATING. VENTILATING. AIR CONDITIONING SYSTEM (A) Heating Central Gas Furnace (brand and model number) SE Btu/hr (heating capacity) r• ` Heat Pump (brand and model number) 'ACOP Btu/hr (heating capacity at 47°F) Active Solar type (liquid or air) Collector brand and ft2 model number solar fraction collector area collector orientation collector tilt rated y -intercept rated slope Other (describe) (B) Cooling Electric Air Conditioner (brand and model number) (seasonal EER) Btu/hr (cooling capacity at 95°F) Electric Heat Pump EER Btu/hr (cooling capacity at 95°F) Other (describe) DOMESTIC WATER SYSTEM • (A) Gas Only Gallons (brand and model number) (tank size) Heat Pump w/Electric Backup (brand and model number) Gallons (tank size) Active Solar (collector brand and model number) (rated y -intercept) (rated slope) (solar fraction) ft (backup heater type, brand and model number) (collector area) (collector orientation) (collector tilt) Location of Solar Panels Other (Describe) *1 Submit documentation of sizing heating and cooling equipment by Manual J, sizing charts (form #4) or other approved methods, section 2-5352(8), and fill out the following: _ Heating: Winter design temperature °, elevation ', heating load BTU elevation factor x heating load = maximum outlet capacity gas furnace BTU a. Cooling: Summer design temperature °, cooling load BTU *2 Submit T.I.P,S.E. chart'or other approved system (form #5) to document sizing of solar panels. ® DESIGN COMPLIANCE STATEMENT: The above building design meets the requirements of Title 24, Part 2, Chapter 2-53 of the California Administration Code. GNATURE OF BUILDING DESIGNER OR APPLICANT 1� Ira V.f \ R � Niy 1 a, %r G"r 1� Ira V.f \ R � 1 %r `1 IQT r i i t r � ! • i A j F i { f ra 1 ti L \ R � 1 PD007 CDLjkITY OF' B'I.JIFTE PROF,ERTY 31 SSOR M(..7! U I R, Y 0 F E E C El S i:-, c -r i -s 082008 A T U S c) cl CREATED. 7 33 R 1. 3 4 (8 6 C) 1 C)(:> c C, 15 E Sr M Y ER S Al V CE I". IL L E'D . CR RE "f' I- D c -- *-% 0 8 C..) C)tom TA X i..D 0 C) C) C) -, - i,:*-, 8, C, C) 184 J 1-::'l LLED - it (::.c 11 Y E R (31 A V E C S:'! AL VAH L. I L 754 IMEYER� AVE-_NUE ROLL PIESC: E- Sr. r 9i r RIADLEY C`AL.l-ir- RETAl M -H-1) 0 W N A CF%`E S U.. 2414(-)C)3:)8(_-)0 09 i E 3 G SUPL CN"r'-. -r L N 0 S -) I S) 0 FILE F. T 10 !,,1 . NXT 1.1 PCL 1 V I::. 0 W!" TA v A F, IR E RET SC2 Al T PION AFT,*: NEI -4 1-1 L P Pily Lj.:- ,3Q _OUNTY OF 11-311TI TE PROIPERTY Sy(::,TEPl -1, F-lidys I CAI C!-4AF_�ACl_EF%l c"'I" 1 - :I: !�.j (, .1 tj 11:;, y 5. 5 01 W N E R MCF..Jf:;,TD'- ALVAH t...Q: V I C[;: I JDESC 4 IMYER,13' AVE" COMMEINIT. 24140C)"300C) C01".1VERTED �4 SP CODE ARI:.-_ A Cj ( 8 2 I.P.3P CODE. IR x I C 1. A CR 0. 29 ZOI\lIi"]G US ONFORM, I TY. E C BUTLDIiNG CLASS)"DSC) T Y E A R I L T C.) 0 A M Ci tl..) IRE F 0 0 T A 6 E q i'kILJlvl.r --`EF DEDRCIOMS 3 1`4UMBER OF BAT;--iS., 2. -C) LAND TYPE' GArl**%'AGE,'. %T, FlREPLACE : r. A T I NG a Coo! PA 1 = N E X'T, A F1 E V 10 L. J 'S' PF7 FT _7 W14 196 MEMORIAL WAY 7 COUNTY CENTER DRIVE CHICO, CALIFORNIA OROVILLE, CALIFORNIA 747 ELLIOTT ROAD 891-2727 538-7281 PARADISE, CALIFORNIA BUTTE COUNTY DEPARTMENT OF PUBLIC HEALTH 872-6308 DIVISION OF ENVIRONMENTAL HEALTH SEPTIC TANK INSPECTION CERTIFICATE The Septic Tank System was Installed at FOR% -- SEPTIC TANK z LEACHING FIELD Size Gallons Length ft. Material Width_ • No. of Lines / Rock Under Tile_in. The above dimensions meet the minimum requirements of Butte County Code, Article 19. Additional leaching area will be required if experience shows it to be necessary. Remarks: Date 52-7788 ' .. Sanitarian BUTTE COUNTY DEPARTMENT OF HEALTH — L I Li J Y DIVISION OF ENVIRONMENTAL HEALTH 196 MEMORIAL WAY SEWAGE DISPOSAL PERMIT COUNTY CENTER DRIVE 747 ELLIOTT ROAD CHICO, CALIFORNIA 95926 PARADISE, CALIFORNIA 95969 OROVILLE. CALIFORNIA 95965 Phone: 891-2727 Phone: 872-6308 Phone: 538.7281 Date Issued EXPIRES ONE YEAR FROM DATE OF ISSUANCE Permit Issued to To construe Located at: SEPTIC TANK SYSTEM REQUIREMENTS Septic Tank (Inside Measurements) Leaching Field Length: . . . . .. . . . . ft. Total Length:. 0- ). . ft. Width: . . . . . . . . . . . ft. Trench width:. .36. . inches Liquid depth: ... ft. Minimum No. of lines _Z_ . Liquid capacity: . . . . . . gals. [luck under rile LO inches Special conditions: up :Additional leaching field will be required if experience shows it to be necessary. No part of the "stem may be located within 50 feet of the center line of any Count) [load. NOTE: Satisfactory inspection b) the Health Department is required before backfillin¢ or putting the system into use. Occupancy of a new building is not permitted until the slvtem is approved. n r} Permit Fee S % Penalty Fee S 'Total /Fee S. ' Building Sewer Fee S _t Issued Bv:!j i-• Receipt No. s31 z78n 1 MEMORIAL WAY CHICO, CALIFORNIA 7 COUNTY CENTER DRIVE OROVILLE, CALIFORNIA 747 ELLIOTT ROAD 891-2727 538-7281 PARADISE, CALIFORNIA BUTTE COUNTY DEPARTMENT OF PUBLIC HEALTH 672-6308 DIVISION OF ENVIRONMENTAL HEALTH SEPTIC TANK INSPECTION CERTIFICATE The Septic Tank System was Installed at FOR�-- SEPTIC TANK LEACHING FIELD Size Length T ft. Material Gallons ,1 Width_ in No. of Lines • ti Rock Under Tile t, The above dimensions meet the minimum requirements of Butte County Code, Article 19. Additional leaching area will be required if experience shows it to be necessary. Remarks: Date �� — / i//i/�• �j^ / S2.3— v Sanitarian BUTTE COUNTY DEPARTMENT OF HEALTH Li DIVISION OF ENVIRONMENTAL HEALTH SEWAGE DISPOSAL PERMIT 196 MEMORIAL WAY 7 COUNTY CENTER DRIVE CHICO, CALIFORNIA 95926 747 ELLIOTT ROAD PAOROVILLE. CALIFORNIA 95965 Phone: 891-2727 PARADISE. CALIFORNIA 95969 Phone: 872-6308 Phone: 538,7281 Permit Issued to q • I— - In,—` `7 !w� Date Issued L y ) EXPIRES ONE YEAR FROM DATE OF ISSUANCE Snt{ To construct a sewage disposal sysYem for: Located at: SEPTIC TANK SYSTEM REQUIREMENTS Septic Tank (Inside Measurements) Length: . . . . .. . . . . ft. Width: . . . . . . . . . .. ft. Liquid depth: . . . . . . . . ft. Leaching Field Total Length:.. . . , ft. Trench width:. .��. inches Minimum \o. of lines .Z. . Liquid capacity: .gals. Ruck under tile . L -P. , inches Special conditions: t/Y r :Additional leaching field will be required if experience shows it to be necessary. \o part ,,f the S% Stem may be located within :iQ feet of the center line of any County Road. NOTE:: Satisfacton• inspection by the Ilealth Department is required before backfilling or putting the system into use. Occupancy of a new building is not permitted until the siytem is approved. n r Permit I e S % Penalty Fee S Total Fee S.�--� Building Sewer Fee S Issued B%-:Sj Receipt No. t• _ ,. _ 671 D8R -. ' , -. < �. �.r�.v„��hd C,.i 1vP:'Civ-L'.3.3'..s.w.-�1..r�...:.�"c�...nsw.'`9`..�J.+4Cw�..�S.e�.'o4{Yt.:W+�Gi+1..�3v'..�.aaahiiv�Oiy.I�SiVY�i¢dW.y�is's�W'�w.ear•".Y��i�J: AL 196 MEMORIAL WAY CHICO, CALIFORNIA TY 7 COUNTY CENTER DRIVE 747 ORO NTT CALIFORNIA FARAD SE! OTT ROAD 891-2727 CALIFORNIA 538-728t BUTTE COUNTY DEPARTMENT OF PUBLIC HEALTH 872-6308 DIVISION OF ENVIRONMENTAL HEALTH SEPTIC TANK INSPECTION CERTIFICATE The Septic Tank System was Installed atZsu / FOR .it,— SEPTIC TANK LEACHING FIELD SizeLength. � �% it. Gallons Material Width_� � in. No. of Lines Rock Under Tile 4_in. The above dimensions meet the minimum requirements of Butte County Code, Article 19. Additional leaching area will be required if experience shows it to be necessary. Remarks: l / Date J-_ ��— � S2.778R BUTTE COUNTY DEPARTMENT OF HEALTH i Li J DIVISION OF ENVIRONMENTAL HEALTH SEWAGE DISPOSAL PERMIT 196 MEMORIAL WAY i COUNTY CENTER DRIVE CHICO, CALIFORNIA 95926 747 ELLIOTT ROAD OROVILLE. CALIFORNIA 95965 Phone: 891-2727 PARADISE, CALIFORNIA 95969 Phone: 872-6308 Phone: 538,7281 Date Issued -q — y _yI EXPIRES ONE YEAR FROM DATE OF ISSUANCE Permit Issued tog • I— - nom` �i "-e > 4y To construct a sewage disposal Sys em for: {S r hr1.i Located at: �� f%-`�� A SEPTIC TANK SYSTEM REQUIREMENTS Septic Tank (Inside Measurements) Length: . . . ... . . . . ft. Width: . . . . . . . . .. . ft. Liquid depth: . . . . . . . ft. Leaching Field Total Length•:.. ft, Trench width:. >�, inches Minimum No. of lines .Z. . Liquid capacity: . . . . . . gals. Ruck under rile C9 inches i Special conditions: C/Y n -� � Vx-0, �✓ �i .tn /la -o Additional leaching field will be required if experience shots it to be necessary. No part •.f the tstem may be located within 50 feet of the center line of any County (toad. VOTE: Satisfactory inspection by the Ilealth Department is required before backfilling or putting the system into use. Occupancy of a new building is not permitted until the swtem is approved. Permit Pee S % Penulty Fee S Total Fee 7 Building Sewer Fee S Issued By: _ Receipt No. 'r=4 'a+.Y� :�`:b..�S'e`a►",�'$'iStU•—"'`=5ja+e.�' :.:.2ro�.....,..i.h...- ...s_,_ 1.c.�.,.�__.-..<....a1�an )�i..'i;.i�'.+act<v....: +_�..+�tY RiF..�,f�c�...t`^�uA a County of Butte Department of Public works -Building Division 7 County Center Drive Oroville, Ca, 95965 Phone: 916-538-7541 1. Floor plan,size of doors,windows and living area, den/office area. 2. showed location of mechanical equipment and water heater. 3. Insulation, 6 1/4 R-19 4. see included sanitation , Butte Co. Health (Certificate and Permit.) Sincerely Al McBride 754 Meyers Ave, Gridley, Ca. 95948 Phone: 916-846-3869 AP# 024-14-0-38-0 house.590 i 'QQ t. of40, tz ri Cb, 'fid i i 17 1--/ I kr io .1 'QQ t. tz 'fid i ow 17 1--/ I kr io .1 'QQ t. tz 'fid i 'QQ t. t. SY n: '_M � __ _ fir•. ._'."P.� ... .c,. .=.� � i 1.. .. ....-> ..r r• - Y� GRIDLEY SEPTIC TANK SERVICE 986 Gilstrap Ave. Gridley, CA 95948 846-2022 STATEMENT DATE NAMEj `� �r r L -/AO I AMUUNT IN COLUMN DUE AND PAYABLE WITHIN (15) DAYS FROM STATEMENT DATE A FINANCE CHARGE OF 11/2% PER MONTH, (18% per annum) WILL BE CHARGED ON PAST DUE ACCOUNTS, OR A MINIMUM CHARGE OF $1.50. $10.00 SERVICE CHARGE ON ALL RETURNED CHECKS THANK YOU Received by GRIDLEY SEPTIC TANK SERVICE 986 Gilstrap Ave. Gridley, CA 95948 846-2022 STATEMENT DATE! NAME STREET CITY / PLEASE PAY LAST AMOUNT IN COLUMN DUE AND PAYABLE WITHIN (15) DAYS FROM STATEMENT DATE A FINANCE CHARGE OF 1'/2% PER MONTH, (18% per annum) WILL BE CHARGED ON PAST DUE ACCOUNTS, OR A MINIMUM CHARGE OF $1.50. $10.00 SERVICE CHARGE ON ALL RETURNED CHECKS THANK YOU Received by J: GRIDLEY SEPTIC TANK SERVICE 986 Gilstrap Ave. Gridley, CA 95948 846-2022 STATEMENT DATE19 J r� NAME 10 t7 -- ^"mOi f+rnVUNT IN COLUMN DUE AND PAYABLE WITHIN (15) DAYS FROM STATEMENT DATE A FINANCE CHARGE OF 1 S/z % PER MONTH, (18% per annum) WILL BE CHARGED ON PAST DUE ACCOUNTS, OR A MINIMUM CHARGE OF $1.50. $10.00 SERVICE CHARGE ON ALL RETURNED CHECKS THANK YOU Received by \y -77 .��+�� _ �.�w_Y--� t _._..-r�.�f..i.'i+4.._.. L.�A•..: .-�.....1� _� _ �..L�.-'..�..� .. .. _, qui. _.-.sZ-�vn_..v,. � ...•_.r.+d.. -.�. .-�- _acs....< -`."r. 'r..:i�-Cn...rw r.z �-. _�.».uv...+�a. — Y+.s��aa.�k��i�.