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Home My WebLink About024-230-014COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. (Rev. 12/96) j ` APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER j /1 4 ' l`•/`,y {IPX` ZONING BUILDING PERMIT OWNER TELEPHONE J SO. FT. CC. BUILDING VALUATION .OWNER'S MAID D S� C CONTRALTO ' NAME, ne TELEPHONE CONI RS IUNG ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ (� ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $O ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ i0 BLIILDINGADDRE Energy Plan Checking Fee $ PERMIT FEE S LOT NO. SUBDNIS ION5 NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 Each Trap j' 7.00 1 USEOFSTRUCTURE SF Duplex ❑ Mobilehome ❑ Other SPECIFY Solar or heat pump water heater 23.00 Water piping 15.00 15 Each gas water heater or vent 15.00 TYPE OF WORK pp�� New Y�Addition ❑ Remodel ❑ Utilities ❑ In Ration Other ❑i Describe Work: ( 71 ' ` + —A Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 t� Mobile Home I S I G I W 920.00 PERMIT FEE S ELECTRICAL PERMIT Filing Fee 20.00 Main Service zo.AO*OV OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law f21,1he 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 TO 46.00So CCU000A Yo NEW CONST. DWEWNG OCCUP. OR ADDNS. ( a ACC. S. SO 3.50F7. NEW REBID. MULTI.OUTLET @7,50 POWER APPARATus 8 SINGLE OUTLET LIR. EX. Occup. OUTLET OR FIXTURES 200 .00 BAL @ I.50 FILED APPLNS. OR Ex. Occup. oLmETs RESID. EA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEES 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 AArformance of the work for which this permit is issued. I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' cSo-me s on insurance carrier and policy number are: Carrier C�O�+. /D / f1 S` Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ I certify that in the performance of the work for which this permit is issued, I shallPC not employ any person in any manner so as to become subject tot workers' compensation laws of California, and agree that if I should become subject to the wor s' co nsation provisions of section 3700 of the Labor Code, I shall rthw' h co y with those pr isions. p �® y © Date [ ure of Applic nt - r 0,tt6fitractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Fling Fee 20.00 Heating o.` Cooling Hood 6.50 Ventilation/3-0 D �� - f7 -- PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL FEE $ HAZ. o I D. FEES CDF PARCEL UE 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. N. y at'Loy PERMIT EXPIRES O#Wnry I I (D",.) Receipt No. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTT&DEPARTMENT OFVEV,ELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive, Oroville, CA;493 65'"Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA Sririz I OWNER: �� (�l �` r- ASSESSOR PARCEL NUMBER Proposed Building Use: Counter Technician: Date: :ltems:required in order to apply for a permit. All boxes MUST be checked•OR marked NA in order to apply. t:1. Site plans, 3 or 4 sets, signed by the`preparer of the plans. ' 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. ``3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. o� 4. Engineered truss details and layouts in duplicate. No faxes! 5. Letter from Engineer or Architect for truss design review. O� 6. Energy compliance design and supporting documentation in duplicate. ❑ 7. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 8. Manufactured homes: (A). Data sheets and installation,inst, (B) Marriage line,info, (C) Floor Plan, (D)"Tie down-or-fnd plaril gll in duplicate. ❑ 9. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate; (D) Floor plans in triplicate.,~ All of these must be stamped and wet -signed by the engineer. ❑ 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate ❑ 11. Site plan and business license approval from the City of Biggs ❑ 12. Letter of intent for non-residential buildings ❑ 13. Detached Accessory Building Form filled out by the owner 0J 14. Hazardous Material Form 1U 15. Sanitation and site plan approval from the Environmental Health Department in ❑ Chico ❑ Oroville, as applicable. ❑ 16. Other Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) 17. Fire Sprinklers............................................................................................ 18. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by .. D K 19. Soils Report and/or Engineered Foundation required ........................................... ........ ❑ 20. Erosion Control Plan Required........................................................................ ❑,-' 21. Fees as shown on the attached Schedule of Fees Due Sheet .............................. ❑ 22. City of Chico Plumbing permit........................................................................ ❑ 23. California Department of Forestry plan approval ❑paid. Sent by: ............. ❑ 24. Planning approval (A) UseO K (B)Parking: (C) Parcel Check: ❑ 25. Contact Land Development about _ Improvements, _ Drainage ......................... 26. NPDES Form............................................................................................. ❑ 27. Encroachment Permit for driveway from the Public Works Dept ........................... ❑ 28. Pre -Inspection for required....... ❑ 29. Contractor's license information. (Number, Name Style, Classification) ................... ❑ j 30. Worker's Compensation Carrier and Policy Number .......................................... y 31. Owner -Builder Verification (Given to owner, _Mailed to owner) ..................... 0 _ 32. Letter of Signature authorization......................................:............................. -�/ 33" Recorded copy of Agricultural Acknowledgment Statement ................................. ' S • ►o• ❑ 34. Manufactured home utility clearance............................................................... ,❑ '35. Existing violations and/or expired permits......................................................... ❑ 36. Deed Restriction........................................................................N.............. ❑ 37. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner, ❑ Che k to H.C.D. $ 38. Other: 39. Other: When issued Teleohon `; -�n - X G/ < 1 -: 1/r 0 A /and hold for oickuo. I have formed orthe above items and requirements for obtaining a building permit. Applicant: 1. Indek peFmit application f r the ab vell.tems ni. b f'ed: heck Letter 2. Additional items required Contractor, designer, owner, was advised of the above data by one, ❑ mail, ❑ counter, by Date: Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Plans reviewed by: Dale: I j Plans approved by: Date Structural reviewed by: _Date: Structural approved by: ht Date: Note transfer by: Date: Yellow: Building Division 1,. i rV E.N. 3E ONLY Plot Plea Anachad Floor Flan Anachod Smart 1e G.D. l TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance A o Zq --23 --�� Owner 'Location AP# Plan Approved for: Sewage Dispos--at — Water Supply: Public Private W�e 11 Clearance for \ dwelling. Other )Q Q- CA I Hold final for: Final clearance O.K. for: NOTE: Environmenta 8/96 ealth Specialist Date COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER -DRIVE, OROVILLE, CA'.95965 TELEPHONE (530)538-7541 SCHEDULE OF RECEIPT OF FEES OWNER O Soaf V -PROPROSED BUILDING USE •LS + 1. BUILDING.PERMIT FEES b p --- Balance Due ..................... $ --- Additional Fees Due........... $ ----0Revised Plan Checking Fee.... $ 2. SCHOOL DISTRICT FEES l i(Doit'on (paid at School District Office) (form available r Plan Check) —fd 3. SHERIFF FEES (paid at Building Division Residential............ X 360.60 Units Commercial (sq. ftg.)..... X $0.Q = $ Sq.Ftg. 4. URBAN AREA FEES Residential (per unit)..... Commercial (Sq. Ftg.)... A.P. # DATE 1-30 Y14 RECEIPT # DATE REC. 4-6 3 s ► 0164 - (paid o4 (paid at Building Division) X =$ # Units Amt. X _$ Sq. Ftg. Amt. 5. RECREATION DISTRICT FEES (paid at Recreation District Office) (form available after Plan Check) 6. THERMALITO DRAINAGE DISTRICT FEES $510.00 (paid at Building Division) 7. SRA FIRE INSPECTION AND PLAN CHECK FEE- iTTTiTTTT�� $89.00 (paid at Building Division) 8. WATER TENDER FEES BATTALION #, $200.00 (paid_ at Building Division) 9. NORTH CHICO SPECIFIC PLAN (paid at Building Division) Residential Zone X = $ Zone # Units Amt. Commercial (sq. ftg.) ......... X = $ Sq. Ftg. Amt. 10. OTHER At time of permit a cation, I was advised the above fees are required to be paid prior to issuance of the permit. These fees may be change g e pl checking proce APPLICAN DATE ' Pursuant to Government Code Section 66020, you are hereby notified that items, 2, 3, 4, 5, 6, 8, 9, and 10 above may have been imposed on your project. You have 90 days from the date of approval of the project or from the imposition of the above mentioned items during which you may protest. The requirements for a protest are specified in Government Code Section 66020(a). Original -Building Division Yellow -Applicant Pink -Owner (rev. 2/2003) 5 -A . National Pollutant Discharge Elimination System (NPDES) Phase II Construction Storm Water Permit and Storm Water Pollution Prevention Plan (SWPPP) Acknowledgement [LESS THAN 1 ACRE1 Project Title: By signing below, I, the project owner/owner's agent, certify that I am aware that a construction project that disturbs 1 acre or more of land requires a Construction Storm Water Permit from the State Water Resources Control Board and that it is my responsibility to submit a Notice of Intent (N.O.I.), a Storm Water Pollution Prevention Plan (SWPPP), and a check for $700.00 made payable to the State Water Resources Control Board to obtain such a permit if my project disturbs 1 acre or more of land. I, further, certify that this project will not disturb 1 acre or more of land. I am aware that submitting false and/or inaccurate information may result in revocation of gradbng-and/gA other permits or other sanctions provided by law. Signed: Title: 0 W rf '0 Date: 0.— 0 OWNER -BUILDER VER[]F'ICA'TION 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 11 NO 132• I HAVE HAVE NOT ❑ signed an application for a building permit for the proposed work. 3. I have contracted with the following person (flim) to provide the proposed construction: NAME: ADDRESS: CrTy: PHONE: CONTRACTOR'S LICENSE NO. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: NAME: ADDRESS: may: 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: PROPERTYOOVNER: c2n,_/A SOCIAL. SECURITY NUMBER:_ � DATE: 0— p NOTE. This Owner -Builder Verification is required by Section 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to -issue the permit. • �91 OB. -1 I OWNER BUILDER INFORMATION Dear Property Owner. An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified. For your protection, you should be aware that as "owner -builder" you are the responsible party ofrecord 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: 0 If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $300 or more for the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. 0 If you are an employer, you must register with the State and Federal Governments as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers compensation ;nsuz-ance, disability insurance costs, and unemployment compensation contributions. ♦ There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. ♦ For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "owner builder" building permi4 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, CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. rea)'0 13C 1 C. Vi ira, C.B.O. ger, Building Inspection NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code. OVER BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One form per Building) School District G S Building Department No. A.P. Number (� �j 7 " Jurisdiction: City \ County Property Owner ti I rl rye Property Location/Address Subdivision Residential Development E_71 Q No of Living Mobile Home Units Installation , Commercial/Industrial Q Q New Addition Lot No. E f t<. 0 - 6,3 / 2 -- Footage I Addition/ 'Supplemental to pppttt (Group R) Conversion Permit # '(No foundation inspection) .... ................. ..... Deed Restricted Sq. Footage ijAfta- 6 i signed popy of Deed Restriction end;Notice of Limited Use Facility document) Sq. Footage (Including Exterior Roofed Areas) 4�_ 9Y, 4/ Date District Identification -No. r School District certifies that (Applicant (Street Address)one Number) (City) has complied with the requirements of Resolution No. representing square feet. (State) (Zip Code) by payment of $ �O 2926 $ FULL MmIGATION = Date Paid by Check # Remarks: 9/.3 / `r Nofbe: You may protest the Imposition of the tees idsntified above by submitting a wrtltsn protest to the District, In compllance with Govermlant Cods Section 66020(a), within 90 days from the date hes are paid. Failure to submit a timely wrltbn protest wllfprohibit you from challenging the Imposition of the fees In any court action. M, subsequent to the School Distrlet Representative signing this Butte County Schools Impact Fee Certification Form, the School District Is nWin by the applicable Local Planning Agency that this project Is being rwla wd under the California Environmental Quailty Act (CEQA� this preteet may be sublect to additional school fees to fully mitigate Its impact on the school disblctlt schools. White (applicant), Yellow (building department), Pink (school district) feetorm.>ds (10/03)dmm AA� WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE, CA 95965 COPY of Document Recorded 10 -May -2004 2004-0027401 Has not been compared with original. BUTTE COUNTY RECORDER AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT FOR RESIDENTIAL DEVELOPMENT Section 26-8 of the Butte County Code required this acknowledgment to be recorded prior to issuance of a building permit. The property described herein is adjacent to land or included within an area zoned for agricultural purposes, and residents of this property may be subject to inconveniences or discomfort from the use of agricultural chemicals, including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit .of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricultural purposes and residents within said zones and on adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm operations. All that real property situate in the County of Butte, State of California described as follows: (5�-lid-X-1 L, _v J— er e . A P p n -d ty-CLC- J Date �T— PROPER State of California County of On before me, personally appeared personally known to me (or proved to me on the7basis of satisfftelt6y evidence) to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument, the person(s) or the entity upon behalf of which the person(s) acted, executed the instrument. WITNE hand and official seal. Signature Seal: LYNETTE GARTON D U) Comm. # 1351379 tr is NOTARY PUBLIC CALIFORNIA H B i County of Butte A.P. # Comm. Expires April 17, 2006 "EXHIBIT "A.. All that 'certain real property situate in the County of Butte, State of California, described as.follom' �` � .. 'A portion'of Section 1, Township 17 North, Range 3 East, M.D.B. & M., more particularly described `as�follows; :.COMMENCING at the Southeast corner of said Section I- THENCE West along the South line of said Section 1, a distance of 901.89 feet; THENCE `North and parallel with the East line of said Section 1, a distance of 1320.0 feet to the :T.RUE.POINT OF BEGINNING for the parcel of land herein described; :THENCE; West and parallel with the South line of said Section 1, a distance of 434.5 feet to a point; `THENCE` ,North and parallel with the East line of said Section 1, a distance of 1320.0 feet to a'poidton the North line of the Southeast quarter of said Section 1; THENCE ,East along the North line of the Southeast quarter of said Section 1, a distance of 434 feet to a ,point; ,. THENCE South and parallel with the East line of said Section 1, a distance of 1320.0 feet to the TRUE POINT„OF BEGINNING. - 'TOGETHER-: WITH rights-of-way recorded in the office of the Butte County Recorder under Serial Number 85-12689 o k- Ra�;,^, �63 31,E o y l (0 COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-754 P lu ev.12/96) APPLICATION AND PERMIT 4(: ASSESSOR PARCEL NUMBER20NING BUILDINGPERMIT 1 OWNER �g�E L /c� T/ �7,°jE 45 �' SO. FT. OCC. BUILDING VALUATION bwNERS MAtLI/ �i � 4A t�� / lI �G/VC.A _ Z`lryl�0� it cam? z— /-n n G o CONTRACTORS MAILING ADDRESS JONSTRUCTION LENDER LENDER'S MAILING ADDRESS 1 ARCHITECT OR ENGINEER ARCHITECT OR ENGINEERS MAILING ADDRESS BUILDING ADDRESS LOT NO. SUBDIVQN`5NAMEOZ^ 004)3911' a_?3^�ARCEL MAP USEOFSTRUCTURE G.. SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY TYPE OF WORK New ❑ Addition �❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: PERMIT FEE PAID SRA SHERIFF \ W OTHER H 936).66 $ $ AMOUNT RECEIVED $ DATE RECEIVED O. Total Valuation $ 11 Wo. CIO Filing Fee $ 20.00 Permit Fee $ • C'.) Plan Checking Fee $ o Energy Plan Checking Fee $ �+0 NEW CONST. OR ADONS. ( $ 3.5¢SO. FT. PERMIT FEE Saq MULTI -OUTLET ec.—.Iiorv— PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 dro Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S G I W @20.00 EX. OCCU . OUTLET OR FORURES PERMIT FEE 1T f . C"" ELECTRICAL PERMIT Fling Fee 20.00 Main Service z�oa oa mss 23.00 a Main Service 200A TO 1000A 46.00 NEW CONST. OR ADONS. ( DWELLING OCCUP. 8 ACC. BLDS. 3.5¢SO. FT. 4 NEW CONST. NON•RESIO. MULTI -OUTLET ec.—.Iiorv— 07.50 EX. OCCU . OUTLET OR FORURES ;0 az a ".;0- EX. OCCU p�ApP`6 D OR, . 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Wisc. Wirina 23.00 . PERMIT FEE S V MECHANICAL PERMIT Fling Fee ' 20.00 ' Heating AM -- Cooling Hood / 6.50 RECEIPTC)7��L%S!G}' PERMIT FEt $ Mobile Home Installation Fee $ Energy Inspection ee $ Occ CONST TYPE TO AL FEE $601 HAL. D. FEES D CDF p EL D YISSUE 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 Pa te p a.g 05/03/2004 21:45 • 5305340902 MGAGADJ6DW PAGE 02 RESPONSE FOR PUN CHECK LETT �� • ER OATEO. PLAN CHECK REM / RESPONSE BY: LOCATION ON PLANS/CALCS: CONMENis: o ca r N is R PIAN CHECK REM N RESPONSE BY: LOCATION ON PLANS/CALCS: ' CA 9.+cs . P � , . CC!AMENTS: AA RJ/3PLAN CHECK REM 0 RESPONSE BY: LOCATION O:4 PLAf+S;CALCS: -j P �. Gas , q4s PLAY CHECK REM 4 RESPONSE BY; LOCATION ON PLANSCCALCS:. , COMMENTS: PIAN CHECKTT M.4 . RESPONSE BY: LOCATION.ON PLANS/CALCES: COMMENTS:/✓/�J -�r - r . , - --. --p PLAY CHECK•REM [ RESPONSE 0Y: • L0CkTJON.ON PLANS/CALCS: CC.v.!AENTS: l;,L,k4,c HECK Rf M.R RESPONSE BY. LOCATION AN ?•LANS/CAL.CS:. • r- Department of, -Development Services Building Division 7 County Center Drive Oroville, CA 95965 (530) 538-7541 (530) 538-2140 FAX FACSIMILE COVER SHEET Date: May 4, 2004 To: Jim Pursell From: Linda Simpson Subject: Rodger Biggs Number of pages (including this cover sheet): 2 Telephone Number of Receiving Telecopier: 534-0902 If you do not receive all of the pages, please call (530) 538-7541 as soon as possible. Jim, Please respond to item number 10 from our plan review letter of April 8.. That is all that is holding up this permit. I am as anxious to get it off of my desk as you are!!!!!! Thanks, Lind' Simpson Plans Examiner April 8, 2004 Rodger Biggs 1145 Hazel Gridley, CA 95948 R Department of Development Services Building Division 7 County Center Drive Oroville, CA 95965 (530) 538-7541 (530) 538-2140 FAX Assessor Parcel Number: 024-230-014 " Building Permit Number: 04-0312 tb . Thank you for submitting the plans for your building project. The plans have been reviewed, and the plan examiner's comments are listed below. Please respond in writing to each item by completing and returning the enclosed PLAN REVIEW RESPONSE FORM. Your complete. and clear response will expedite the re -check and approval of this project. 4Re TRUCTURAL COMMENTS: ovide one more set of plans.vise the den on the plans to reflect the health department requirement.G�- SLAUCTURAL COMMENTS: Provide a lateral analysis of wind and seismic forces acting on the upper level of the house and/or comply with the bracing requirements of CBC 2320. Show braced walls and/or shear alls on the upper level floor plan. Provide A35 clips at 36" o.c. connecting the rim joist to the top plate along wall line 6.as pecified in the structural calculations. Provide a lateral analysis of wind and seismic forces acting on upper level wall line 6 and pecify shear transfer from the roof diaphragm to the shear walls on the lower level. Where does the soffit detail 30 on sheet 5 apply? Please key detail to the plans or remove it. Specify strap type and model number required'to connect the rim joist to the parallam beam o the upper level floor framing plan. Plans specify straps but do not indicate strap type or odel number. Provide calculations for the 5.25"xl4" parallam beam shown in the garage/family room wall �n the upper level floor framing plan and on section B -B. Is this beam necessary? he HB5.50/14 hanger specified on the upper level floor framing plan connecting the parallam beams over the kitchen sink appears to be overstressed. Provide adequate hanger to support the beam reaction shown on page 3 of the structural calculations. The 5.25"xl4" parallam beam shown over the kitchen sink appears to be overstressed. The structural calculations indicate a bending sliear.value of 335 psi is required. The allowable shear for a parallam beam is only 290 psi. Please revise. Note that the calculations specify a timberstrand beam which has an allowable shear of 400 psi but the plans show a'parallam. 1 of 2 t ,.•ig,"T'he footings supporting the posts that support the upper level floor beams over the family room and over the kitchen sink do not line up correctly on the foundation plan.. Please verify that these footings are shown in the correct locations. 10. rovide engineering for all unspecified connections that -are delegated to the building designer by the truss manufacturer. tiq f+ 6 ex 61 If you wish to discuss any of these requirements, please call (530) 538-7541 between the hours of 1:00 p.m. and 4:00.p.m., Monday through Friday. To discuss non-structural items, ask for Linda. Philo will answer your structural questions. Please refer to your Data Sheet for remaining non -plan check items. (You received this form when you applied for your permit.) The counter staff will answer any questions concerning the Data Sheet. lti ��✓Y�' � - L nda Simpson Philo Hunt, P.E. Plans Examiner Plan Check Engineer cc: Jim Pursell, P.E. April 8, 2004 Rodger Biggs 1145 Hazel Gridley, CA 95948 Department of Development Services Building Division 7 County Center Drive Oroville, CA 95965 (530) 538-7541 (530) 538-2140 FAX Assessor Parcel Number: 024-230-014 Building Permit Number: 04-0312 Thank you for submitting the plans for your building project. The plans have been reviewed, and the plan examiner's comments are listed below. Please respond in writing to each item by completing and returning the enclosed PLAN REVIEW RESPONSE FORM. Your complete and clear response will expedite the re -check and approval of this project. NON-STRUCTURAL COMMENTS: None STRUCTURAL COMMENTS: 1. Provide a lateral analysis of wind and seismic forces acting on the upper level of the house . and/or comply with the bracing requirements of CBC 2320. Show braced walls and/or shear walls on the upper level floor plan. 2. Provide A35 clips at 36" o.c. connecting the rim joist to the top plate along wall line 6 as. specified in the structural calculations. 3. Provide a lateral analysis of wind and seismic forces acting on upper level wall line 6 and specify shear transfer from the roof diaphragm to the shear walls on the lower level. 4. Where does the soffit detail 30 on sheet 5 apply? Please key detail to the plans or remove it. 5. Specify strap.type and model number required to connect the rim joist to the parallam beam on the upper level floor framing plan. Plans specify straps but do not indicate strap type or model number. 6. Provide calculations for the 5.25"x14" parallam beam shown in the garage/family room wall on the upper level floor framing plan and on section B -B. Is this beam necessary? 7. The HB5.50/14 hanger specified on the upper level floor framing plan connecting the parallam beams over the kitchen sink appears to be overstressed. Provide adequate hanger to support the beam reaction shown on page 3 of the structural calculations. 8. The 5.25"x14" parallam beam shown over the kitchen sink appears to be overstressed. The structural calculations indicate a bending shear value of 335 psi is required. The allowable shear for a parallam beam is only 290 psi. Please revise. Note that the calculations specify a timberstrand beam which has an allowable shear of 400 psi but the plans show a parallam. 1 of 2 9. The footings supporting the posts that support the upper level floor beams over the family room and over the kitchen sink do not line up correctly on the foundation plan. Please verify that these footings are shown in the correct locations. 10. Provide engineering for all unspecified connections that are delegated to the building designer by the truss manufacturer. If you wish to discuss any of these requirements, please call (530) 538-7541 between the hours of 1:00 p.m: and 4:00 p.m., Monday through Friday. To discuss non-structural items, ask for Linda. Philo will answer your structural questions. Please refer to your Data Sheet for remaining non -plan check items. (You received this form when you applied for your permit.) The counter staff will answer any questions concerning the Data Sheet. Linda Simpson Philo Hunt, P.E. Plans Examiner Plan Check Engineer cc: Jim Pursell, P.E. 2 of 2 .01.5 —Water closet clearances (Uniform Plumbing Code 409.5). —q-1'6--Showtir compartment minimum 1024 sq. in 8 30" circle (Uniform Plumbing Code 412.7). 17 Bearing walls shall be supported on masonry or concrete foundations that shall be of sufficient size to support all loads (Utriform Building Code section 1806.3). , _STRUCTURAL DETAILS: 1. Braced Wallthan panels shall start at not more 8 feet from each end of a braced wall line. Braced wall panels 'must be in line or offset from each other by not more than 4 feet (UBC section 2320.11.3). Spacing shall not exceed 34 feet on anter in both the longitudinal and transverse directions (L)BC section 2320.4.1_) Braced wall lines must be continuous throughout the structure. A California licensed architect of registered engineer must prepare a lateral analysis for the area of the building that do not compl% with the Uniform Building Code. This must include the designer's'wet" stamp, signature, registration number and expiration date on all sheets of plans depicting the designed elements and cover sheets of calculations. t.F lerestory requiring balloon framing and/or engineering. oundation plans complete enough to construct building (Uniform Building Code Table 18-I-C�. loor construction details complete enough to construct building. levations and Wall construction details complete enough to construct building. oof construction details complete enough to construct building. ireplace construction details and calculations if necessary. Garage door header size(s). Porch header size(s). pical header size(s). 12. tud heights. . High expansive soil — special foundation design required. :Retaining walls requiring design. Gypsum wallboard nailing inspection required. If the abelow the lowest floor .is full} enclosed, than a mre inimum of two openings arequired With a total rea net area of at least one square inch for every square foot of area enclosed with the bottom of the openings no more than one foot above grade. Alternatively. certification may be pro%ided by a registered professional engineer or architect that the design "sill allow equalization of hydrostatic flood forces on exterior walls. . Building must be designed and anchored to prevent floatation, collapse or lateral movement Construction design requirements must be shown on the building plans. . Electric, heating, ventilation, plumbing and air conditioning equipment and other senice facilities shall be designed and/or located so as to prevent water from entering or accumulating with the components during conditions of flooding. CELLANEOUS ITEMS: Stairway details — landings, rise and run head clearance, handrails (Uniform Building Code section 1003). Guardrails (Uniform Building Code section 509). Brick or stone veneer (Uniform Building Code section 1403). Exterior plaster — weep screeds (Uniform Building Code section 2506.5). - Roof pitch for roof covering (Uniform Building Code Table 15-B-1 & 2, 15-D-1 & 2). Foam insulation — protection. 36" halls and stairways (Uniform Building Code section 1004.3.3.2). Twro exits on three — store dwellings (Uniform Building Code section 1004.2.3.2). Underfloor access and ventilation (Uniform Building Code section 2306.3 & 2306.7). . Attic access and ventilation (Uniform Building Code section 1505). Sound requirements. erg), design compliance and supporting documentation. . CDF responsible area requirements. BUELDING PERMIT REQUIREMENTS: 1. ❑ SRA. 2. ❑ flood elevation certificate. 3. ❑ Fire Sprinklers required. 4. ❑ Special Inspection requirements. 5. ❑ Use Permit conditions. 6. ❑ Sub -Standard Housing lever. Pzee -- 0f c 0v,v er. Building Permit Number: `dg17 � _ Plans Examiner: ,L;nda A. P. Number:10 2 GELNER-AL: Zoning requirements — (number of permitted living units). Plans signed by the designer. Proper description of work on the application. Existing violations on the property. 40� % Recorded notice of violation. 6 Building permit valuation. PLOT PLA`: Complete parcel size and dimensions. Setbacks, side yard, easements, etc. Other buildings or structures. Grading, fills andior drainage. 5. Flood hazard. 6 Special conditions on Parcel Map: Noise [j SR_� ❑ Fire Sprinklers ❑ Water Tender ❑ Traffic and Drainage fees ❑ Federal Aid Route and/or Federal Aid Secondary Route setback requirement Building or utilities across lot lines (Lot merger approval by Butte County Land Development) FLOOR PLA`: Plans and specifications drawn to scale with dimensions and of sufficient clarity (UBC section 106.3.3). 101,10 of natural light and 5% of ventilation (Uniform Building Code section 1203). Escape or rescue windows shall have a minimum net clear dpenable area of 5.7 square feet The minimum net clear openable height dimension shall be 24". The minimum net clear operable width dimension shall be 20'. When «indo« s are provided as a means of escape or rescue, they shall have a finished sill height not more than 44" above the flcor (Uniform Building Code section 310.4). --:' Skylights (Uniform Building Code section 2409 & 2603.7). Glazing in Hazardous locations (Uniform Building Code section 2406). Habitable space shall have a ailing height of not less than 7 feet 6 laches except as otherwise pettmitLed is this section. Kitchens. halls, bathrooms and toilet compartments may have a ceiling height of not less thaw 7 fleet measured to the lowest aroiection from the ceiling (Uniform Building Code section 310.6.1 All habitable rooms except kitchens shall have an arra of not less than 70 square feet and not less than 7 &a is any dimension (Uniform Building Code section 310.6 .2 & 310.6.3). r GFC1 in baths. garage, kitchen, wet bar, and exterior receptacles (NEC 210). -111 Water heaters which depend on the combustion of fuel shall not be installed in a room used or designed to be used for sleeping purposes, bathroom. clothes closets or in a closet or other confined space opening ho a bath or bedroom (Uniform Plumbing Code section 509.0). Fuel burning equipment shall not be installed in a closet, bathroom or a room readily usable Code setioa ble as a tm 304.5)- m. or in a room. Com or alcove opening directly into any of these (Uniform Mechanical t� Garage firewall separation - required on garage side including supporting walls and posts (Unilbrta$dld�8 Code section 302.4 exception #3). L nder no circumstances shall a private garage have any opening into a room used for sleeping purposes (Unifor;n Building Code section 312.0. y Wood stove location - Alcove - UNIC section 203 confined space & 223 unconfined space & 304.2). Smok.- detectors (Uniform Building Code section 310.9.1). Page 1 of 2 ,'I �'UTTF RESIDENTIAL PLAN ° `0 REVIEW GUIDE o -". `'!1� - a:: V o SINGLE FAMILY, DUPLEXAND MISCELLANEOUS ONLY c 0v,v er. Building Permit Number: `dg17 � _ Plans Examiner: ,L;nda A. P. Number:10 2 GELNER-AL: Zoning requirements — (number of permitted living units). Plans signed by the designer. Proper description of work on the application. Existing violations on the property. 40� % Recorded notice of violation. 6 Building permit valuation. PLOT PLA`: Complete parcel size and dimensions. Setbacks, side yard, easements, etc. Other buildings or structures. Grading, fills andior drainage. 5. Flood hazard. 6 Special conditions on Parcel Map: Noise [j SR_� ❑ Fire Sprinklers ❑ Water Tender ❑ Traffic and Drainage fees ❑ Federal Aid Route and/or Federal Aid Secondary Route setback requirement Building or utilities across lot lines (Lot merger approval by Butte County Land Development) FLOOR PLA`: Plans and specifications drawn to scale with dimensions and of sufficient clarity (UBC section 106.3.3). 101,10 of natural light and 5% of ventilation (Uniform Building Code section 1203). Escape or rescue windows shall have a minimum net clear dpenable area of 5.7 square feet The minimum net clear openable height dimension shall be 24". The minimum net clear operable width dimension shall be 20'. When «indo« s are provided as a means of escape or rescue, they shall have a finished sill height not more than 44" above the flcor (Uniform Building Code section 310.4). --:' Skylights (Uniform Building Code section 2409 & 2603.7). Glazing in Hazardous locations (Uniform Building Code section 2406). Habitable space shall have a ailing height of not less than 7 feet 6 laches except as otherwise pettmitLed is this section. Kitchens. halls, bathrooms and toilet compartments may have a ceiling height of not less thaw 7 fleet measured to the lowest aroiection from the ceiling (Uniform Building Code section 310.6.1 All habitable rooms except kitchens shall have an arra of not less than 70 square feet and not less than 7 &a is any dimension (Uniform Building Code section 310.6 .2 & 310.6.3). r GFC1 in baths. garage, kitchen, wet bar, and exterior receptacles (NEC 210). -111 Water heaters which depend on the combustion of fuel shall not be installed in a room used or designed to be used for sleeping purposes, bathroom. clothes closets or in a closet or other confined space opening ho a bath or bedroom (Uniform Plumbing Code section 509.0). Fuel burning equipment shall not be installed in a closet, bathroom or a room readily usable Code setioa ble as a tm 304.5)- m. or in a room. Com or alcove opening directly into any of these (Uniform Mechanical t� Garage firewall separation - required on garage side including supporting walls and posts (Unilbrta$dld�8 Code section 302.4 exception #3). L nder no circumstances shall a private garage have any opening into a room used for sleeping purposes (Unifor;n Building Code section 312.0. y Wood stove location - Alcove - UNIC section 203 confined space & 223 unconfined space & 304.2). Smok.- detectors (Uniform Building Code section 310.9.1). Page 1 of 2 ,'I CONDITIONALLY APPROVED PERMIT CLEARANCE ?ermit #: (J (� J l -I!�E Y\V ' roller ` Date: I V Genera/Into�mab%on Ll — O 3 12 Owners Name: Owners Address: �S 3uilding Site Address: a ` AP#: �G S �+ Parcel Acreage: ' •� A rr -4c5�4 h 'i� q UO -4 W EsT o� Lc+ -,c I ce C - afln� 60 {�U Prooertylnformabron Permit Type: ❑ AgricultureBuilding ❑ Commercial ❑ Industrial�❑ Mobile Home ❑ SFD ❑ Residentlal Accessory ❑ 2nd Dwelling C3 Multi -Family >2 units per parcel ® Septic ❑ Well ❑ Other Zone District: A-5 Date of Zoning Ordinance: General Plan: Development Agreement: Use Permit: Variance: Parcel Is In: Land Conservation Agreement 11 No ❑ Yes, check use Minimum Acreage: Nitrate Action Plan ( No ❑ Yes Violation Area No ❑ Yes Specific Plan Off No ❑ Yes ❑ Chico ❑ D2N ❑ Cohasset Enterprise Zone No ❑ Yes,. check use Floodplain ® No ❑ Yes Zone: x Panel Number: 13 O c— ® ❑ Watershed Protection Zone No Yes Procosed Use Complies With: General Plan Zoning Proposed Use Requires: ❑ Use Permit ❑ Minor Use Permit ❑ Administrative Permit Commercial/Industrial/Multi-Family Uses: Parking: ❑ Parking Requirements are OK as Shown Landscaping: ❑ Landscaping Requirements are OK as Shown Road and Drainage Improvements Required: ❑ No ❑ Yes Agglicable Setbacks: • ❑ Other ❑ Other ❑ Accessory Building Use zoning Code Street & Highways Fre Prevention Subdivision Ma Front Side Side, street Rear Height Septic Permit Review: Agriculture Affidavit Required ❑ No ❑ Yes Well Permit Review: Designated Well Site ❑ No ❑ Yes Land Development Review: Drainage Plan (Com/Ind/Multi) ❑ No ❑ Yes Parcel Created bv: t RI Deeds Date of Creation: Legal Access Provided: ❑ No WYeS Deed Reference: LI 1 H — 10) 1 Legal Access Required: ❑ No Yes Parcel Frontage on Publicly Maintained Road: ® No ❑ Yes, Road Name: Complies with County Standards for Deed Creation: ❑ No ❑ Yes Comments: ❑ Map Date of Recording: Lot: Block: Book: Page: Conditions That Must be Met Prior to Issuance of Permit: ❑ Verify Legal Parcel ❑ Verify Legal Access Provide Creation Deed ❑ Comply with ccndition no. of conditions of approval for the ❑ Obtain a Certificate of Compliance (See Planning Division for application). ❑ Construction across property lines is not permitted (See Land Development for a Merger Application/lot Line Adjustment). ❑ Comply with Old Subdivision Lot Ordinance (Maps Recorded Prior to Book 17 of Maps Page 23). ❑ Construct road to ❑ Meet parcel size required by zone ❑ Meet current EHD requirements. ❑ Other General Comments: 2iz�2- oo BALANCE OF FEES SPIFFY DATE: PERMIT: ASSESSOR PARCEL: OWNER'S NAME: URBAN AREA. FEES $ CSA 87 (North Chico Spec.) $ WATER TENDER FEE $ BATTALION # THERM DRAINAGE FEE OTHER $ OTHER $ VALUATION - IF BALANCE OF FEES OR ADDITIONAL FEES: TOTAL VALUATION: $ ADDI'T'IONAL VAL: $ (Check one) (Check one) COUNTY CITY OF BIGGS RESIDENTIAL COMMERCIAL U 3 AND WHEN RECORDED MAIL TO: \ BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE, CA 95965 L�0.o3�i IIII �II II' I III' I III "I III"I ('�I'I 2004-0027401 Recorded Official Records CountyBUTTEOf CANDACE J. GRUBBS Recorder ROSEMARY DICKSON Assistant 03:11PM 10 -May -2004 REC FEE 10.00 CONFORM 1.00 COPIES 2.00 Barbara Page 1 of 2 AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT FOR RESIDENTIAL DEVELOPMENT Section 26-8 of the Butte County Code required this acknowledgment to be recorded prior to issuance of a building permit. The property described herein is adjacent to land or included within an area zoned for agricultural purposes, and residents of this property may be subject to inconveniences or discomfort from the use of agricultural chemicals, including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricultural purposes and residents within said zones and on Ali adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm operations. All that real property situate in the County of Butte, State of California described as follows: 0 ;L'q - State of California County of On before me, personally appeared "�21� personally known to me (or proved to me on thebasis of satis evidence) to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument, the person(s) or the entity upon behalf of which the person(s) acted, executed the instrument. WITNE hand and official seal. Signature Seal: LYNETTE GARTON Comm. # 1351379 r! NOTARY PUBLIC-CALIFORMA y A.P. # O'L i ' A30 - Dig Q County of Butte w Comm. Expires April 17, 2006 "EXHIBIT "A" All that certain real property situate in the County of Butte, State of California,, described as foil ovyp_.: portion of -Section 1, Township 17 North, Range 3 East, M.D.B. & M., more particularly described as follows- .'COMMENCING at the Southeast corner of said Section 1; EKE West, along,the South line of said Section 1, a distance of 901.89 feet; ,THENCE --North and 'parallel with the East line of said Section 1, a distance of 1320.0 feet to the..T.RUE.POINT OF BEGINNING for the parcel of land herein described; T. HENCE'West and parallel with the South line of said Section 1, a distance of 434.5 feet to a point;: -,,,- North and parallel with the East line of said Section 1, a distance of 1320.0 feet ., rth to a'pointbn the North line of the Southeast quarter of said Section 1; THEN -M, East along the -North line of the Southeast quarter of said Section. 1, a distance of 434,5 �-,feet to a pq int; THENCE ,_,86" uth and parallel with the East line of said Section 1, a distance of 1320.0 feet - to:th0.'TRUE --., 0 INTOF:BEGINNING. .;:TOGETIH,E.R-°:-WITH. -,rights-of-way recorded in theoffice of the Butte County Recorder: under S64al Number 85-12689 40 024-2-30-014 f 02-2826;,' BIGGS Rodger�, Lone Tree Rohd Orovik- Ele for Well ; OFF1Copy Address GAS Meter By Date ELECTRIC--- Meter By Da,;I!' COUNTY OF BUTTE - DEPARTMENT OF DKELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-75 1P IT No. 'r� (Rev.12/96) ''APPLICATION AND PERMIT , ter'' ASSESSOR PARCEL NUMBER 024-230-014 IA ZONING -r) BUILDING PERMIT OWNER B TELEPHONE - SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS 1145 HAM n- GRIDLEY, CA 95CV-A CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Film Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEER'S MAIUNG ADDRESS Plan Checking Fee $ BUILDING ADDRESS Energy Plan Checking Fee $ $ PERMIT FEE $ LAT NO. SUBDIVISIONS MIME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation O Other ❑ Describe Work: TAP. ELECTRIC FOR WILL Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home ISI GI W1 I @20.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 "00R UES Main Service 2o.A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.PSINGOW License Class LIC. NO. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors license Lafor the following reason: I .41 I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale.` ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as requiredLby Section 3700 of the Labor Code, for the performance of work for which this permit Is Issued. My workers' compensation insurance carrier and policy number are: Carrier Main Service 46.00 W IG gOU000A NEW CONST. DWEtL1NG OCCUP. SO OR ADDNS. ( 6 ACC. BLAS. 3.5¢FT; NO"IESID. MULTI.OUTLET 97•,50 S E OUTLET ERLAPPARATUCIR.S Ex. OCCU OUTLET OR FDITURES BAL p': 0 PA. 5.00 Ex. Occup. oflxUTLFEorsRES oOE Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirina 23.00 - PERMIT FEE $ MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE_L$ Policy Number (rhe above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not.empigy 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.- Xi r+' r 1 /' ate 7 .Sfgnature of Applicant - ❑ Owner ❑ C ntra❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 66.00 HAZE D. FEES IMP I FLOOD I CDF I PARCEL PD HD IS E 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. y . • i. --It y Date PERMIT EXPIRES ON y� I Dete Receipt No. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT 1i COUNTY OF BUTTE -- - `BUILDING-DIVISION ' DEPARTMENT OF DEVELOPMENT SERVICES y 411 Main Street • Chico, CA -'(530)891-2751 7 County Center Drive • Oroville, CA • (530) 538-7541 , CORRECTION NOTICE K OWNEK PERMIT NO. 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 •' e completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. 0 (1 1 V9 c /4 A4-1cA(__ n y l\ COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • OroIville, California 95965 • Telephone (530) 538-75 1 IT 0. (Rev. 12/96) APPLICATIO14AND PERMIT AS SESSOR PARCEL NUMBER 024-230-014 ZONING - BUILDING PERMIT OWNER i3 TELEPHONE SO. FT. OCC. BUILDING VALUATION . OWNERS MAILING ADDRESS 1145 14AZET. ST-, GRIMEY, CA 95948 CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDNSIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: =ELFCTRTC FOR WF'TT, Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W 920.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service 2a0A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.PSING License Class Lic. No. DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License La 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 WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall Onoany person in any manner so as to become subject to workers' law f California, end agree thatrf I should become subject to thempe sa n provisions of 3700 of the Labor Code, I shall mpl wi those provisio ` a e 'G natur of Applicant ❑ Owner ❑ r ❑ ge t An A permit is requi for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. Main Service TO �eoDA 46.00so NEW coNsr. owEuaNG occuv. 3.5QSFr°; ORW: AOA NST. � MU�IC-Ou�TLS. NON-RESID. C @7.50 OWELER AUPPARATUCIRS 8 OTLET . 20p 1.00OWNER-BUILDER Ex. Occup. OUTLET OR FDCTURES BAL O .50 Ex. Occu . ouTLEtDrs PL.16.oFRA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 _ PERMIT FEE $ MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEi= $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ HAZ. D.FEES IMP FLOOD CDF PARCEL PD HOon This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have y PERMIT EXPIRES ON I the applicable provisions Resolutions to do work been pald. Dat O3 Z Date Receipt No. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT spy.,s..-y,.y�lF11^d?'�tlIEwriVIMF'7i�'q�"-rq�r0 N �7.!�+MI;Y+j'1�`.QNi7�rT?'ry i h..t:�V i'W e-.➢4+-.-+a:�j. } j r Ira:. " COUNTY OF BUTTE-DEPART;I:-N,T .OF 4EVELOPMENT SERVICES -BUILDING DIVISION - 7 County Center Drive, Oroville; CA„ 95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET OWNER: ASSESSOR PARCEL NUMBE ;)4 Proposed Building Use: Counter Technician: Date: ID 191v Items required in order to appl ' for a permit. All boxes NWST°be checked OR marked NA in order to apply. ❑ L. Plot plans, 3 or 4 sets, signed,�y the preparer of the plans. ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 4. Engineered truss details and layouts in duplicate. No faxes! ❑ 5. Energy compliance design and supporting documentation in duplicate. ❑ 6. Manufactured homes: (A) Data sheets and installation instructions, (B) Marriage line information, (C) Floor Plan, (D) Tie down or foundation�plans, all in duplicate. ❑ 7. Metal buildings: (A) Metal Building Plans, (B) Foundation plans and calculations in triplicate, (C) Elevation views in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. Items required for initial plan review. If checked items have not been received, plan review cannot proceed. The permit will be indexed and returned to the plan review line-up when required items are recei�v�� Date Received By ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate ................................. ❑ 9. Plot plan and business license approval from the City of Biggs ..................................... ❑ 10. Letter of intent for non=residential buildings......................................................:.. ❑ 11. Detached Accessory Building Form filled out by the owner .......................•............. ❑ 12. Hazardous Material Form............................................................................... _ ❑ 13.' Other Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) ❑ 14. Fees as shown on the attached Schedule of Fees Due Sheet ....................................... ❑ 15. Statement of Intent for Non -heated and A/C Buildings ............................................. ❑ 16. Sanitation and plot plan approval from the Environmental Health Department in ❑ 17. City of Chico Plumbing permit......................................................................... ❑ 18. California Department of Forestry plan approval ❑ paid. Sent. by: ...................... ❑ 19. Planning approval for (A) Use: (B)Parking: (C) Parcel Check: ❑ 20. Contact Land Development about ❑ Improvements, ❑ Drainage ............................... ❑ 2. Encroachment Permit fo driveway from the P blic Works Dept. (construction approval prior to occupancy). 22. Pre -Inspection for & required ................ ❑ 23. Contractor's license informs n. ('Number, Name Style, Classification) ...................... ❑ 24. Worker's Compensation Carrier and Policy Number ..............:............................... ❑ 25. Owner -Builder Verification (❑ Given to owner, ❑ Mailed to owner) ..................... ❑ 26. Letter of Signature authorization.................................................................... ❑ 27. Recorded copy of. Agricultural Acknowledgment Statement .................................... ❑ 28. Manufactured home utility clearance............................................................... ❑ 29. Existing violations and/or expired permits......................................................... ❑ 30. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $ ❑ 31. Other: When issued Telephone and hold for pickup. I have been ' ` me f the above items and requirements for obtaining a building permit. Applican :�e- ��V Date: /0- 1. Index permit application for the above items numbered: 2. Additional items required : Contractor, designer, owner, was advised cf the above data by '❑ phone, ❑ mail, ❑ counter, by Contractor, designer, owner, was advised of the above'data by ❑ phone, ❑ mail, ❑ counter, by Plans reviewed by: Date: Plans approved by: Structural reviewed by: Date: Structural. approved by: Note transfer by: Date: Yellow Building Division Plan Check Letter _Date: _Date: Date:_ Date 230 • o/y 1 M, CERTIFICATE OF COMPLIANCE i 024-230-014 02-2826 AP # BIGGS, Rodger 024 - 2 !)d - 01,q Lone `free Road, Oroville Ele for Well ° 3 , 0 1 4 ----------- L4 i k. A�i JE,. 0'4-230-0 4 All; 77 L4 i k. A�i JE,. O`VNER-BUILDER VERIFICATION � Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your. sib. Please complete and return taus information at your earliest opportunity to avoid nopeoela in processing and issuing your building permit. No building permit will- be issu id otic"`$ds verification is received. I personally plan to provide the major labor and materials for construction of the' prapoaed property improvement YE NO O 02.. I HAVE C HAVE NO signed an application for a building permit for the popased vao& ,. I have contracted with the ollowing person (firm) to provide the proposed e--ftUC&n: NAME: ADDRESS: CITY: PH0XE: COIN-MkCTOR'S LICENSE NO. . 4. I plan to provide portions of this work, but I have hired the following person to coordinate, . supervise, and provide the major work: NAME: WI PHONE: CITY: 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 S ED: PROPERTYO S DATE:__; Vo TE: This Owner -Builder Verifeeation is required by Section 19831 and 19832 4f&t California Health and Safety Code. This verification trust be tonr&Wd surd rel urn id to our office before we are permitted to issue the permit OVER OWNER BUILDER INFORMATION Aa application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified. For your protection, you should be aware that as "owns -builder" you aro the responsible petty oteecard msuch a permit. Building permits are not required w be signed by property owners unless they are personally persoaoiiR ill5eir own work. If your work is being performed by someone other than yourself, you may protect yourself lib@ poulble 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 busiaess 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 ihould 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 c aoerials and other toss) is 5300 or more for the entire project, and such persons are not licensed as eontracmrs or subcoetractors. then you may be an employer. ♦ Ifyou are an e.;tployer, you must register with the State and Federal Governments as an employer and you are subject to several obligations including state and federal income tax withholding. federal social security taxes, workers compensation insurance, disability insurance costs, and unemployment compensation contributions. ♦ There may E c Financial risks for you if you do not carry out these obligations, and these risks are especially serious with resoect to worker's compensation insurance. ♦ For more- scecitic information about your obligations under Federal Law, contract the Internal Revenue Service (and, i r You wish. he U.S. Small Business Administration). For more specific information about your obligations under State Law. cer-,act he Department of Benefit Payments and the Division of Industrial Accidents. I; the scvcture is intended for sale, properiy owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "owner builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contracting the Contractors State License Board in your community or at 1020 lv Street, Sacramento, CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. I rely, Mie el C. Vi Ira, C.B.O. �( ger, Building Inspection NOTE: Tit :r Owner -Builder Information is required by Secllon 19810 of the California X901111 and Safsry Coda. OVER v y �C/C WCAk Departme'n't of Public Works C. o - u m y o f B u t t e J. Michael Crump, Director LAND DEVELOPMENT DIVISION 7 County Center Drive Warner C. Phillips, Assistant Director Oroville, CA 95965 (530) 538-7266 (FAX) 538-7171 September 18, 2002 Rodger Biggs 145 Hazel Street Gridley, CA 95948 Re: Certificate of Compliance AP 024-230-014 Dear Mr. Biggs: Enclosed please find the Certificate of Compliance that was, issued -by the Butte County Development Review Committee and recorded on August 23, 2002, under Serial Number 2002-0043911, in the office of the Butte County Recorder., If you have any questions concerning this matter, please contact this office at (530) 538-7266, Monday through Friday, 8:00 a.m. to 4:00 p.m. Sincerely, Stuart Edell Manager, Land Development Division SE/kp Enclosure cc: Environmental Health Department .wilding Department Planning Division, AITN: Larry Richard F. Sannar _ 1 IIII �II II"IIIII'II��I'I II I'lII"I RECORDING REQUESTED BY and 210 00439 1 1 AFTER RECORDING RETURN TO:, Recorded I REC FEE 10.00 Official Records I Butte County Public Works Dept. County Of 1 BUT E6RLIBBS LAND DEVELOPMENT DIVISION CANDq CEI 7 County Center Dr. ROSEMARY DICKSON I Oroville, CA 95965 Assistant I Fay 03:38PM 23 -Aug -2002 I Page 1 of 2 CERTIFICATE OF COMPLIANCE Assessor's Parcel Number: 024-230-014 This Certificate of Compliance is hereby issued by the County of Butte .to certify that the land division that created the parcel of property identified below, complies with the applicable provisions of the Subdivision Map Act and of Chapter 20 of the Butte County Code. Issued to: Rodger Biggs, 145 Hazel Street, Gridley, CA 95948 Property Location: 900 feet west from Lone Tree Road, approximately 2100 feet north from its intersection with Central House Road. Palermo area. Description: All that certain property located in the County of Butte, State of California, more particularly described in attached EXHIBIT "A". This certificate relates,only to issues of compliance or noncompliance with the Subdivision Map Act and local ordinances enacted pursuant thereto. The parcel described herein may. be sold, leased, or financed without further compliance with the Subdivision Map Act or any local ordinance enacted pursuant thereto. Development of the parcel may require issuance of a permit or permits, or other grant or grants of approval. Issuance of this Certificate is conditional upon the following condition(s) which have been imposed pursuant to the Butte County Code Chapter 20-166 and Government Code, Section 66499.35 (b), to protect the public health and public safety: N O N E State of California, County of Butte, on August 22, 2002 .before me, Anne Belser, Notary Public, personally appeared, Stuart Edell, personally known to me to be the person whose name is subscribed to the within instrument and acknowledged to me that he executed the same in his authorized capacity, and that by his signature on the instrument the person, or the entity upon behalf of which the person(s) acted, executed the instrument. . WITNESS my hand and official seal. ANNE BELSER, NOTAR PUBLIC - 12ANNE BE! SER Commission, # -41742 Z Notary Public - Cdifomia y Butte County . My Comm. Bpkes Nov 13, 2003 County of Butte Development Review Committee MART EDELL, CHAIRMAN CERTIFICATE OF COMPLIANCE - Page 2 RODGER BIGGS AP 024-230-014 "EXHIBIT "A" All that certain real property situate in the County of Butte, State of California, described as follows: A portion of Section 1, Township 17 North, Range 3 East, M.D.B. 8& M., more particularly described as follows; COMMENCING at the Southeast corner of said Section 1; THENCE West along the South line of said Section 1, a distance of 901.89 feet; THENCE North and parallel with the East line of said Section 1, a distance of 1320.0 feet to the TRUE POINT OF BEGINNING for the parcel of land herein described; THENCE West and parallel with the South line of said Section 1, a distance of 434:5 feet to a point; THENCE North and parallel with the East line of said Section 1, a distance of 1320.0 feet to a point on the North line of the Southeast quarter of said Section 1; THENCE East along the North line of the Southeast quarter of said Section 1, a distance of 434.5 feet to a, point; THENCE South and parallel with the East line of said Section 1, a distance of 1320.0 feet to the TRUE POINT OF BEGINNING. TOGETHER WITH rights-of-way recorded in the office of the Butte County Recorder under Serial Number 85-12689 NOTE: All new structures must meet Fire Safe Regulations of the Butte County and Public Resources Code 4291. END OF DOCUMENT utte count, "`- LAND OF. NATURAL W E A L T H AND BEAUTY PLANNING. DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE • OROVILLE, CALIFORNIA 95965-3397 TELEPHONE: (530) 538-7601 July 12, 2002 FAX: (530) 538-7785 Rodger Biggs 1145 Hazel Street Gridley, CA 95948 RE: Application for Determination, AP 024-230-014, DET DET 02-05 Dear Mr. Biggs: At the regular meeting of the Butte County Development Review Committee held on July 11, 2002, the Committee granted a Conditional Certificate of Compliance for the above -referenced property. The conditions are: Pay the recording fee in effect at the time the Certificate of Compliance is recorded. The current fee is. $7.00 for the first sheet plus $3.00 for each additional sheet. The estimated current cost for recording this Certificate is $10.0 without conditions, $13.00 with conditions. This cost estimate is based on 1 page notification (first sheet), l page of legal description attached as Exhibit "A", and. l page of conditions. 2. Provide two-way traversable access to the parcel from a publicly maintained road or state highway as defined in the County Code. Prove that adequate. sewage disposal area for a singel family residences exists on the parcel. 4. Place the following information note on the Certificate of Compliance: "All new structures must meet Fire Safe Regulations of the Butte County and Public Resources Code 4291." Provide evidence that there are adequate quantities of potable domestic water available to the property in accordance with Section 12 of the Subdivision Ordinance Improvement Standards. There is a fifteen -day appeal period before. this certificate can be recorded unless you sign and return the enclosed waiver waiving your right to appeal the Committee's decision. If the conditions are cleared prior to the end of the appeal period, a "clean" certificate with no conditions will be recorded upon receipt of correct recording fees. �1 Should you have any questions regarding this matter, please contact this office Monday through Friday, between 8:00 a.m. and 4:00 p.m., at 538-7601. Sincerely, 1 Lynn Rid c a dson Administrative Support Service Assistant cc: Environmental HealtlyDepartment Building Division Land Development 0 PR&INSPECTION RE :.. ... OWNER: LOCATION: �--- CONTRACTOR:/DJfii PRE-INSPETION DATE TO INSPE, DATE: A.P. ZONING: S ' PERMrr HLSTORY:( ) NONE (A -'FOLLOWS: o BUQ.DING INSPECTOR'S REPOfizi Building Description: Commercial/Usage: Residential/# of Units: Currently Occupied , Abandoned/vacant • Electric: Yes No ' Electric currently On Off Condition of Electric Gas: Natural Propane None Currently On Off - Obvious Problems: 7 - Sanitation: - Plumbing Working a �, PLWell Workin g Potable Water.1 1� Obvious SewageProblems Comments: ' . , - � moi,.,—_ _ - • � ., ACTION RECOMMENDED: ISSUE: HOLD°FOR Inspector: µ Date Sketch. buildings on reverse and indicate location on property. dc OWNER LOCATI( PRE -INSPECTION REPORT CONTRACTOR.: �'2lll1 r DATE TO INSPECTO - Banding Description: COMMeresal/1Jsagc: Residential/g of Units: �. Currently Occupied- Abandoned/Va=t ( A.s FOLLOWS: BUILDING VWZCiOR'S REPORT Electric: / Yes a No_ e� Electric currently On Off Condition of Electric Gas: Natural Propane None Currcatly On Off Obvious Problems* Sanitation: Plumbing Wori hg Well Wori ing d /%, 14)4az, Potable Water_ Obvious SewageProblems _ 16-r S •S� ACTION YtECOMMENDEM. ISSUE: HOLD FOR � � ► v r ' �NS -- t Ins r-. Date Sketch buildings on reverse and indicate location on proper 4 COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 F g No 2/06) APPLICATION AND PERMIT s&OR PARM K.JUDER m1NO BUILDING PERMIT a �/i -. /► � of ,�- C MR ),Esn wuw.a ^ggm--� Ha B= OR ENMUEER rarscs oR DM#EM W&M AooREs Z2 Ny suam.1mMm NAPE rwnetL rwe• USEOFSTRUCTURE ❑ Duplex ❑ Mobilehome ❑• Other W-B=FY TYPE OF WORK ew ❑ Addition ❑ Rjemodel ❑ (�U`65es ❑ IntiaDaSon f❑ Ogw ❑ eserbe Workjars +(� / f7J�l�� l.G `T U I Cl/�I�D1C -Tel SQ. FT. OCC. BUILDING VALUATION Fireplace Total Valuation S .Firma Fee S 2D.00 Permit Fee S Plan Checking Fee S Energy Plan Checking Fee S S PERMIT FEE PLUMBING PERMIT t Fang Fee 20.DO ---•7.-00 Solar or heat Pump water heater 23.00 Water piping 15.00 Each get water heater or vent 15.00 Gas Piping wrtarn 1 - 5 outlets 15.00 BuIlTing sewer I S.D0 J&blle Home I s G W @20.00 PERMIT FEE t ELECTRICAL PERMIT Fling Feel 20.00 Main Service p cmR23.DD Maul service ( zmk so imm- = ovnrr oR PX7URW a y- o :ib ! SL Oceu .°A S.DD ovrrEis m. rx Temporwy Service 23.DD Moble Home Facili5es 20.00 Mise. Wring 23.DD PERMIT FEE t MECHANICAL PERMIT Feng Fee2D.D0 6.51) PERMIT FEt S Moble Home Installa5on Fee S Energy Inspection Feemt S CON".TOTAL FEE $ . This permit is hereby leaved under the applicable provisions of the Butte County Code and/or Resolutions to do work indicatBd above for which fess have been paid. By Dale PERMIT EXPIRES ON Y REQUEST FOR INSPECTION Permit No. Location: 4:;z isOwner: Comment Contractor: BLDG. PLUMB/MECH ELECTRIC M.H.I./M.H.U. INSPECTION Form Rough Rough Fnd/Ftg Frame/Underfloor Top Out Temp. Service Job Status Stucco Lath Gas Piping/Test Main Service Corrections Permit Renewal Stucco Brown Temp. Gas Underground Final Verify Utilities Woodstove Sewer Piping Well Circuit Ex Mobile Site Brace Panel Water Piping POOL Insulation Shower Pan Nailing Gunite Demo Bonding Light Niche Corrections Corrections Corrections Final Final Final Corrections Ready for Final Inspec. on: Date: Call L] Phone: OWNER- LOCATION:. WNER PRE -INSPECTION REPORT LOCATION: CONTRACTOR: n(.1) PJ PRE-WSPETION DATE: A.P. #• • -�3� -�� ZONING: -"S DATE TO INSPECTOR: O -- PERMIT HLSTORY:(✓�NONE ( ) AS FOLLOWS: BiJmmc; iYSPSCTOR'S RSPORT Building Description: Residential/# of Units: ✓�1-4 ate— " U C , Currently Occupied Abandone&Vacant Electric: Yes o No / Electric currently On Off Condition of Electric Gas: Natural Propane None Currently On Off / Obvious Problems: Sanitation: Plumbing Working &:Q Well Working /�C� Potable Water Obvious SewageProblems _ Comments: SiZQ 7-t`f (0 ACTION RECOMMENDED: ISSUE: HOLD FOR, 1Kr, V. Inspecto . Date /Lo / 6 — �Z_ — Sketch buildings on reverse and indicate location on p'ropert; COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PER IT 1`1�. (Rev. 1219Q) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBERO ^ �— (- J�\ 1 q 20NIN0 _ BUILDING PERMIT PIN J ffi9- IS amaiplar o C//OO�NTRACIOO'R''S ^NAME J CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER LENDER S MAILING ADDRESS AACNrrECT OR ENGINEER AACMITECT OR ENGINEERS MAILING ADDRESS BUILDING ADDRESS LOT NO. I SUBDIVISIONS NAME USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other L At,., S,c,, TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other Describe Work: *PERMIT FEE PAX0 SRA SHERIFF OTM I AbVN'T RECEXWO $ *R�r I NVM�lR Co " TO IN Pir INTO COMKlM SO. FT OCC. BUILDING VALUATION F-ireplace Total Valuatlon 1 $ Filing Fee $ 20 0 - Permit Fee $ _ Plan Checking Fee $ NEW CONST. DWELLING OCCUP. OR ADDNS. ( 6 ACC. BLDS. Energy Plan Checking Fee $ _ ' @7.50: POWEA APPARATUS 8 SINGLE OUTLET CIR. I Ex. OCCU OUTLET OR FDRURES PERMIT FEE $ — PLUMBING PERMIT 23.001 Filing Fee 20.00 Each Trap Misc. Wiring 7.0Oi. Solar or heat pump water heater ERMIT FEE Water piping MECHANICAL PERMIT 15.00' Each gas water heater or vent _ 15.00! Gas piping system 1- 5 outlets Hood 1 5011(_ Buildin sewer 15.001 Mobile Home I S I G W @20.00; PERMIT FEE S ELECTRICAL PERMIT Filing Feel; 20.00 800' OR LESS Main Service 200AORLESS 23.00; Main Service 200A TO 1000A4 6.00; NEW CONST. DWELLING OCCUP. OR ADDNS. ( 6 ACC. BLDS. 3.S¢S0! FT.; NEW CONST. MULTLOUTLET NON-RESID. I _ ' @7.50: POWEA APPARATUS 8 SINGLE OUTLET CIR. I Ex. OCCU OUTLET OR FDRURES _-- 20 Cw 1.00 1 BAL 4 .SO EX. OCCU Po ED APPINS. OR OUTLETS RESID. EA 5.00 Temporary Service 23.001 Mobile Home Facilities 20.00 Misc. Wiring 23.00 ERMIT FEE $ (460 du MECHANICAL PERMIT Fling Fee 20._0_0 Heating _ Cooling_ Hood 6.501 PERMIT FEE I $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE It HA2. I D. FEES I IMP I FLOOD I CDF I PARCEL PO IND 1 SSL This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do wore indicated above for which fees have been paid. By Receipt No. PERMIT EXPIRES ON WHITE-D.O.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD•APPLICANT Date _ 37 160.00 AC ,te tegd pnrcds. ` f 24-23 1'=800' 0 p O 'R Qfl Ar' CC i� ,w z 1"fU1J5t. MUI;KlIVIa -- ' . BIRD 18 6 47 2.12 C , LANE .48 AC J 1.84 ACt Assessor's. Map No. 24-23 REVISn: 12-95 County of Butte. Calif. y -Aft FOR BU!LDIN DIVISION USE ONLY:. 'Receipt Information:, . r ' Number: ` ti Date: _ Issued To: Amount: Fees Retained: /Processing Fee: $ p? O ' Bldg Filing Fee: $ Plbg Filing Feer $ O`Elec Filing Fee: $ Mech Filing Fee: $ Energy P/C Fee.: $ Plan Check Fee: $ Inspection Fee: $ SRA P/C Fee. $ Other: $ 00 Total Amount Retained: TOTAL REFUND` DUE: Amount from 440-001 $ Amount from $ Amount from $ Amount from $ REFUND CLAIM APPLICATION ' , I REQUEST FOR REFUND Refunds can only be made upon written request by the person who paid the fee(s). The request must be made within two years from the date of fee payment on permits not issued, and two years from the date of permit issuance for permits issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan check fees for work plan checked are not refundable. Fees paid to other County Departments are not covered by this claim CLAIN4ANT' S NAME: MAILING ADDRESS: ASSESSOR'S PARCEL #: BUILDING PERMIT #: tir •� ftECEIPT NUMBER(S): A request for refund of fees paid on the above receipt number(s) is for the ffoollllo-wing reasons: it r)11 .4 "r , 1, 1 /A 0 - y Please refund any applicable fees in the following categories: (Check those fees which you wish to have refunded) ( f�Building Permit Fees ( ) Sheriff Fees ( ) SRA Fees (CDF Fire Planning) ( ) Other (specify): Disposition of Plans: ( ) Plans returned to me at counter ( ) Please mail plans to me at above address ( ) Please dispose of plans Sign e Date A COUNTY OF BUTTE GENERAL CLAIM FORM WILL BE MAILED TO YOU FOR SIGNATURE AFTER REVIEW BY BUILDING OFFICIAL. COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BI,LDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 A —P g N o APPLICATION AND PERMIT od' ' -� S WLW ADD -i 4F;3-- �G --,E ;�wr� WNW ADDAESL LE)JflEA )gt'S NNLMG ADDRECS KBE= DA p6mm F i MTEGS DA E►ItluIEFRT W6JNG iiDOAESS 13M ADDRESS es -11 /b Gl a -i susDn+scis euro USEOFSTRUCTURE ❑ Duplex ❑ Nloblehome ❑* Other SO. FT BUILDING PERMIT OCC. 1 BUILDING VALUATION Total Valuatlon IS i TYPE OF WORK ew ❑ Addison ❑ Remodel ❑ uWisgs ❑ insfaDaSan o Mar ❑ escribe Work: e ;� lL/l(7 • GC, mom* 60SIRP oter ; 4 p4ht W- �1taw► Gas =ee S 20.00 Fee S 20.00 ;hacking Fee S' /Plan Checking Fee S MECHANICAL PERMIT S Hearing PERMIT FEE s PLUMBING PERMIT Filing Fee 20.Do Tr ---7:00 • or heat pump water heater 23.DD Piping 15.00 es water heater or vent 1 5.D0 in m t - 5 outlets 15.00 Ig sewer 15.DD I Home S I G ►ti 1 @20.00 PERMIT FEE I C Main Service ( 9a oa aG Main Service ( 2mk so +0=4 ovn.er OR WTUAED ,g Fee 20.00 23.DD 46.00 Ex. Occup. o ie S.DD Temporary Service 23.D0 Moble Home Facilities 20.00 Mise. Winn g *-213.DOt:Lv PERMIT FEE MECHANICAL PERMIT Firing Fee 2D.DD Hearing Coorm PERMIT FEE S Nbble Home Insts l alion Fee S Energy Inspection Fee S TOTAL FEES v 11+.L I D. FEES I -PFi.DQO CDF PMGEI F9• W i This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By PERMIT EXPIRES ON Date r ' COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES BUILDING DIVISION NOTICE Post this job card in a safe, conspicuous place. Do not remove until all required inspections are made and building is approved for occupancy. Plans must be available on the job site. A. P.- No.. _Q24.230h039 0311887 . BIGS, RODGER Owner—iw2922'LONE TREE RD, OROVILLE"'""'"`� Contractor° -ELEC. -FOR,W ELL tt Permit No PERMITTEE MUST CALL FOR INSPECTIONS NSPECTION DATE INSPECTOR Piers Conduit Pre-Gunite Underfloor Plumbing Underfloor Electrical Underfloor Mechanical Underfloor Framing Slab Rough Plumbing Rough Electrical Rough Mechanical Framing Shower Pan insulation __. - Di Fireplace Footings Fireplace Throat __._....._....._. Stucco Lath Scratch and Brown Sewer Service Water Service Pool Final Plumbing Final Electrical Final Mechanical Final Building or M.H. Final DO NOT OCCUPY UNTIL ALL THE ABOVE IS SIGNED AND THE BUILDING ORWOBILE HOME IS APPROVED FOR OCCUPANCY dam::::.:::. :.:.::>::<< .. A ess:es Information ....:.:24 Hr In Oroville - 7 County Center Drive 538-7541 538-7636 Chico - 411 Main Street 891-2751 891-2834 Revised 7/94 COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 (Rev. 12/96) APPLICATION AND PERMIT 0 ' Ttr ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT OWNER TELEPHONE Sp. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS CONTRACTOR'S NAME TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 ARCHITECT OR ENGINEERS MAIUNG ADDRESS Permit Fee $ Plan Checking Fee $ BUILDING ADDRESS Energy Plan Checking Fee $ $ PERMIT FEE S LAT NO. SUBDNISION5 NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap7.00 Solar or heat um water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Ublities ❑ Installation ❑ Other ❑ Describe Work: Gas piping stem 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G W 920.00 PERMIT FEE S ELECTRICAL PERMIT Filing Fee 20.00 Main Service zoOAORLESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter commencin 9 with Secon of Division 3 of the Business and Professions Code, ( g ti7000 ) and my license is in full force and effect. License Class Lic. No. OWNER-BUILDER DECLARATION I hereby a ' under penalty of perjury that I am exempt from the Contractors License Law f e following reason: I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO 1000A 46.00 NEW CONST. OW EWUP. NG OCC OR ADDNS. ( 8 ACC. S. SO 3.5¢x. NEW CONST. MULTI.OUTLET NON-RESID. BRANCH IRCUITS 97.50 POWER APPARATUS 6 SINGLE OUTLET CR. Ex. Occu ounETOR FaruREs SAL @':50 FIXED APIP OR Ex. Occup. ouTLETs gRSID. EA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 EIEPERMIT FEE $ WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEt $ Policy Number (The above sections need not be completed if the permit is for work of a valuation o e Lundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall person In any manner so as to become subject to workers' cows of California, and agree that if I should become subject to the wonsation provisions of section 3700 of the Labor Code, I shall b'om f rtwith those provisions. �f� - Data —4-Y v, ]S' ature of Applicant - Owner 11 Con ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ HAZ. D. FEES IMP FLAOD CDF PARCEL PD HD ISSUE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. Date Date Receipt No. I WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT '- COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION . 7 County Center Drive • Oroville, California 95965 • Telepho �e (530) 538-7541 (Rev.1 Sit) 4 `� APPLICATION AND PERMIT? 0 " ASSESSORPARCEL NUMBER ZONING BUILDING PERMIT OWNER - ♦ �"'x-` TELEPHONE SO FT OCC. ' BUILDING VALUATION • OWNERS MAILING ADDRESS CONTRACTOR'S NAME TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. —Filing Fee $ 20.00 ARCHITECT OR ENGINEERS MAILING ADDRESS - Permit Fee $ Plan Checkin Fee $ BUILDING ADDRESS Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDNSIDNS NAME PARCEL MAP - PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap . 7.00 Solar or heat um water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Unities ❑ Installation ❑ Other ❑ Describe Work: Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home ISI GI W @20.00 PERMIT FEE S ELECTRICAL PERMIT Filing Fee 20.00 800VOR LE Main Service 20.A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencingwith Section 7000 of Division 3 of the Business and Professions Code, ) and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION I hereby a ' pm under penalty of perjury that I am exempt from the Contractors License Law forAfre following reason: Vol -I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO 1000A 46.00NEW CONST. DWELLING OCCUP. OR ADDNS. ( a ACC. BLDS. SO : 3.5¢Fr. NEW CONST. MULTI -OUTLET NON•RESID. C @7.50 POWER APPARATUS 8 SINGLE OURET US Ex. OCCu OUTLET OR FIXTURES BAS@'.s50 FILED ALNS. OR Ex. Occu . ourLETs PPRESID. EA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirinq 23.00 PERMIT FEE S WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number (The above sections need not be completed ifthe permit is for work of a valuation o Hundred dollars ($100) or less.) U01certify that in the performance of the work for which this permit is issued, I shall &employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if should become subject to the workers)-compnsation provisions of section 3700 of the Labor Code, I shall forIhw h ompy with those provisions. ]� X f� Dat l '47 —J!�-93 Signiture of Applicant - 'Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ HAZ. D. FEES IMP FLOOD COF pggOEL pp HD ISSUE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. Date (Da te Receipt No. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive Oroville, California 95965 • Telephone (530) 538-7541 —PERMITNO. (Rev.1�/96) APPLICATION AND PERMIT D ASSESSOR PARCEL NUMBER •� ZONING BUILDING PERMIT OWNER v " TELEPHONE SO. FT. OCC. BUILDING VALUATION .OWNERS MAULING ADDRESS CONTRACTOR'S NAME TELEPHONE CONTRACTORS MAIUNG ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filen Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDINGADDRESS Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDIVISION'S 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 ❑ Describe Work: Gas piping system 1 - 5 outlets 15.00 Building sewer 1 15.00 Mobile Home ISI GI W1 920.00 PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 OOOVOR LE Main Service zo.A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law fo he following reason: �© I, as owner of the property, or my employees with wages astheir sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation i of o�hundred dollars ($100) or less.) 0 1 certify that in the performance of the work for which this permit is issued, I shall 10 not" erciploy any person in any manner so as to become subject to workers' compensation laws laws of California, and agree that if I should become subject to the workersy,compensation provisions of section 3700 of the Labor Code, I shall forthwith COM6 with those provisions. �p X _�I IF � i Date '/ �3 _Signature of Applicant -"`IT Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Main Service 46.00 TGING NEW CONST. DWELLCUP. SO EE OCCU OR ACDNS. ( 6 BUDS. 3.5¢x; LTI- NON-ReSID. BRANCH CIRCUITS MULTI -OUTLET 97.50 OWER APPARATUS 8 PSINGLE OUTLET CIR. Ex. Occup. OUTLET OR FIXTURES 20 @'50 BAL @ .50 FIXED APPLNS. OR Ex. Occup. OUTlETB RESID. EA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE S MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ OCC ONST. TYPE CONST- TOTAL FEE $ HAZ. I D. FEES I IMP I FLOOD I CDF PARCEL PD HD This permit is hereby issued under in the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES ON the applicable provisions been onsto do work been aid. Date Date Receipt No. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT y �-�.r �r+^.�..,7z _.+..a?..y r'M-,rtira.. .,r-�a r�-�^ ....r^-�-'—�.-.�,-�•�--.. �- .----4�s-�--.. .. :,, _-_'�,.�, u ....a,r•.��t..�-.spy�vr i;+++r^.,,,..7;� ^r'.�' ''7�T"'t 024-230-039 1 03-1887 BIGGS, RODGER 2922 LONE TREE RD, OROVILLE - ELEC. FOR WELL COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 ` PERMI 2/96) APPT NO. (Rev.1LICATION AND PERMIT, / ' r� ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT OWNER a TELEPHONE - SO. FT, OCC. BUILDING VALUATION . OWNERS MAILING ADDRESS CONTRACTOR'S NAME TELEPHONE CONTRACTORS MAILING ADDRESS i CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation $�c ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS t Plan Checking Fee $ BUILDING ADDRESS Energy Plan Checking Fee $ $ PERMIT FEE S ° LOT NO. 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 :Tt 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home IS I G I @20.00 PERMIT FEE, S ELECTRICAL PERMIT Fling Fee 20.00 600VOR LESS Main Service 20.A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and,my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: :Cr 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 TO 46.00 NEW CONST. DWEWNG OCCUCUP. EL OR ADDNS. ( & ACC. BUDS. so 3.5¢Fr. UT NON-RESID. ti T. MULTI.O RANCH CIRCUITS @7,50 POWER APPARATUS 8 SINGLE OUTLET CIR. Ex. Occup. OUTLET OR FUTURES zo @ 1.00 BAL so FMED APPLNS. OR Ex. Occu . otnLErs RESIO, EA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE S 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' compensation insurance carrier 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 ` ofdhundred dollars ($100) or less.) _- ' {2-01'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'r compensation provisions of section 3700 of the Labor Code, I shall forth wRh'comply with those provisions. (� `� Q-3 X i'� _.� 'yam Date- '. '//.� —1; " � _ Signature of Applicant --U' Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. ,» Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ HAZ. I D FEES IMP I FLOOD CDF PARCEL PD HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By Date PERMIT EXPIRES ON Date Receipt No. `«``it'_ WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT SITE LAN' WELL .10,'" 544' ENVIRONMENTAL HEALTH JAN 2 8 7 COUNTY CENTER DRIVE . ... .... ... 2 8 -Ij A 'd N 37• Bz RUBANOF F MATE 11-26- -03 AS NOTED JIDB: P, H E E T 4 9 0 F