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025-340-030
Charles Robertson E/S Powerhouse Hill Rd, app.8/10 mi.N.o Palermo Rd., Palermo r-_ cdntr: Tom Rogers, Oroville Permit #4356-777B,P,E,,yM(new single_ Liamily)r�fGL! 2 2704-89B t + ROBERTSON, Charles,,, 5467 Power:Housel.hill Rd, Or .vi Contr: K -Designers (siding/SF) Gf q, q r 025-340-030 03-2401 ROBERTSON, TESSIE 5467 PO ILL, OROVILLE C T GARAGE TO LIVING eA�` ROBERTSON, CHARLES 5467 POWERHOUSE HILL RD �p OROVILLE l� Cont: ALLADIN ROOFING RE ROOF 025-340-030 06-( THAO, DAVIDRUSEr-FILL 5467 POWER H RD, OROVILLE . g 1�,) I b") CONT: OWNER I ATT GAR, CONV GAR,DECK COV 346 r r I i� r fLAM3 �" BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #:(530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #:(530) 538-7541 FAX#: (530) 538-2140 WEBSITE: www.buttecounty.net\dds PROJECT INFORMATION Site Address: 5467 POWER HOUSE HILL RD Owner: permit No: 06-0371 APN: 025-340-030 DAVID THAO Issued Date: 11/01/2006 By KEJ Permit type: MISCELLANEOUS 5467 POWER HOUSE FILL RD Subtype: Remodel OROVILLE, CA 95965 Expiration Date: 11/01/2007 Description: GAR-ATT/GAR CONV/DECK-COV (530) 538-0536 Occupancy: Zoning: Contractor Applicant: Square Footage: OWNER DAVID THAO Building Garage Remdl/Addn 5467 POWER HOUSE FILL RI 576 588 OROVILLE, CA 95965 Other Porch/Patio Total (530) 538-0536 200 1,364 FEE INFORMATION Remodel - Residential $373.93 Remodel - Residential $560.90 SMIP - Residential $1.70 Total Charged: $936.53 Fees Paid: $936.53 Balance Due: $0.00 Receipt No: B726 LICENSED CONTRACTOR'S DECLARATION OWNER / BUILDER DECLARATION Contractor (Name) State Contractors License No. / Class / Expires I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License OWNER / / Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license pursuant to the provisions of the Contractor's License Law (Chapter 9 (commencing with Section 7000) is in full force and effect. of Division 3 of the Business and Professions Code] or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects X 11/01/2006 the applicant to a civil penalty of not more than five hundred dollars ($500); Please check one of the following: Contractors Signature Date -11. AS OWNER OF THE PROPERTY, OR MY EMPLOYEES WITH WAGES AS THEIR SOLE WILL DO THE WORK AND THE STRUCTURE IS NOT INTENDED OR WORKERS' COMPENSATION DECLARATIONCOMPENSATION, OFFERED FOR SALE (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of the property, who builds or improves thereon, and who does I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: the work himself or herself or through his or her own employees, provided that such improvements ❑I HAVE AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR are not intended or offered for sale. If, however, the building or improvement is sold within one WORKERS' COMPENSATION, as provided for by Section 3700 of the Labor Code, for the year of completion, the owner -builder will have the burden of proof that he or she did not build or performance of the work for which this permit is issued. improve for the purpose of sale.). I HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by ❑ �1, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY, CONTRACTING WITH LICENSED CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Code: Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. The Contractor's License Law dows not apply to an owner of the property who builds or improves My Workers' Compansation insurance carrier and policy number are; thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractor's License Law.). Carrier. Policy Number: Exp. Date: (This section nee not a completed if the permit is oris or one dollars ($100)—or-Fes—s.) ❑ I AM EXEMPT under Section B. & P.C. for this reason: Q1 CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS X 11/01/2006 ISSUED, I shall not employ any person in any manner so as to become subject to the Workers' Compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those wners Signature Date provisions. X 11/01/2006 I hereby certify that I have read this application and state that the above information is correctA agree to comply with all City and County ordinances, rules, regulations, and State laws relating to building Signature Date WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless Butte County, its officers, agents and employees from any and all claims and liability for personal AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE injury, including death, and property damage caused by, arising out of, or in any way connected with HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, the issuance of this permit. I hereby acknowledge that issuance of this permit does not authorize the DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte ATTORNEY'S FEES. County to enter the abov mentioned property for inspection purposes. I hereby certify that I am the pro �nzed to act o the property own rs b half. z ��/�a,Q 11/01/2006 I ° CONSTRUCTION LENDING AGENCY 1 HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for Name of Permittee [SIGN] Print Date the performance of the work for which this permit is issued. (3097 civ. code) Owner Contractor OR;Agent for Owner Agent for Contractor COPY Lenders Address City State Zip .BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 •.CHICO: (530) 841-2834 OFFICE 9: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OFAPPLICA TION Website: www.buttecounty.net/dds **PLEASE PRINT CLEARLY** OWNER INFORMATION Last Name/ !1 Q'•(% Name First Name / i rp� Address Zip City ©� Ile- State Zip 5965 Phon S3� 538��s36 Fax E-mail ` APPLICANT INFORMATION CONTRACTOR Name City Address Zip City Fax State Zip Phone Book Fax E-mail Planner Lic. # Class APPLICANT INFORMATION ARCHITECT/ENGINEER Name City Address Zip City Fax State Zip Phone Book Fax E-mail Planner State License Number APPLICANT INFORMATION Name �l�L Address City State Zip Phone Fax E-mail APPLICANT SIGNATURE X For office use only: Zoning I /It JZ 7-1A Flood Zone I A ISRA WORKER'S COMPENSATION I Yes I No Occ. Tye C nst. Subdivision Name Map Book Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS PERMIT NO. BPD,6 & 37 BIN # &_/0 PROJECT LOCATION AP# 2 -�� YO Property Address s- G Qo�c� sc i City P L Cross Street WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. ❑ Proposed Change of Occupancy (Note previous use) LENDING AGENCY Name Address Description or Scope of Work: Sq FT- Living Garage Open Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use) EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. �Z, i i Received by: Amount: / Bldg 6/ SRA Receipt j#: L( LI Sheriff LI I SMIP Other Date:I t � b Total r- . SUBMITTAL & PERMIT REQUIREMENTS The following drawings and specifications.must be submitted to the Building Division in order to apply for a permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK. ❑ 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. No graph paper! ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans (No graph paper!) OR Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 3. Engineered truss details and layouts in duplicate'(if required). No faxes! ❑ 4. Energy compliance design and supporting documentation in duplicate. F1 5. Statement of Intent for Non -heated and AIC for Non -Residential Buildings. ❑ 6. Manufactured homes: (A) Installation manual, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate ❑ 7. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate (if required). ❑ 9. Site plan and business license approval from the City of Biggs. ❑ 10. Letter of intent for non-residential buildings. ❑ 11. Building Permit Application Without Required Clearances Form ❑ 12. Hazardous Material Form (for Commercial Buildings only). Remaining items needed to issue the permit. Additional items may be required after Plan Check and Planning review (May require additional plan review upon receipt of the following items.) ❑ 1. Agricultural Buffer clearance and site plan approval from the Ag Commissioner's office (if required). ❑ 2. Impact Fees. ❑ 3. California Department of Forestry plan approval (if required). ❑ 4. NPDES Form. ❑ 5.. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 6. Contractor's license information. (Number, Name Style, Classification). ❑ 7. Worker's Compensation Carrier and Policy Number. ❑ 8: Owner -Builder Verification (if required). ❑ 9. Letter of Signature authorization (if required). ❑ 10. Recorded copy of Agricultural Acknowledgment Statement. ❑ 11. ❑ Legal description from current recorded grant deed, ❑ Copy of M.H. Title, Title transfer, or MCO. ❑ 12. Sanitation and site plan approval from the Environmental Health Department. If you have questions or would like additional information regarding this process, please contact a Permit Assistant at (530) 538-7541. EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after date of application. In order to renew action on an application after expiration, a new application, plans and fees will be required. REQUEST FOR FEE REFUNDS Refunds can only be made upon written request by the.person who paid the fee. The request must be made within two years from the date of fee payment on permits not issued, and two years from the date of permit issuance for permits issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. OVER FOR BUILDING PERMIT APPLICATLO.N KAFORMS\BUILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2 REV 8-12-05 ,r ^'w „r '`""ail ���'�.riv....•�y;�K"�''.:....'-'LrV-^r-.'.t'4J.;,:1�s5���+ {.. _ `_ ,.,.. . , � �... _. ,. COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive, Oroville, CA .95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SKEET OWNER: 77VA.2 ASSESSOR PARCEL NUMBER 612!; Proposed Building Use- <AA CQw V, GA,`� Permit Technician: Date: Items required in order to apply for a permit. All boxes MUST be checked OR marked NA in order to apply. I N 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. 164 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. \❑IN 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 faxesl \ ❑ 5. Letter from Engineer or Architect for truss design review. `p yJ 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) Installation manual, including marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all 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. Hazardous Material Form I f ! 12. Acknowledgement of building permit application without required clearances. ❑ 13. Other -Kemai ing items needed to issue the permit. (May require additional plan review upon receipt of the following items.) / -E, 14. Sanitation and site plan approval from the Environmental Health Department in ❑ Chico ❑ Oroville, as applicable �❑ ,1 15. Fire Sprinklers............................................................................................ 17'J 16. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by ❑ 17. Soils Report and/or Engineered Foundation required ........................................... \ O 18. Erosion Control Plan Required........................................................................ 19. Fees as shown on the attached Schedule of Fees Due Sheet .............................. ❑ 20. City of Chico Plumbing permit........................................................................ O 21. Site plan and business license approval from the City of Biggs .............................. 0 22. California Department of Forestry plan approval ❑ paid. Sent by: ............. �F 23. Planning approval for (A) Use: (B) Parking: (C) Parcel Check:.......... ❑ 24. Contact Land Development about _ Improvements, _ Drainage ......................... ❑ 25. Fire Marshall Review (commercial projects only). Sent by: ...................... ❑ 26. NPDES Form............................................................................................. ❑ 27. Encroachment Permit for driveway from the Public Works Dept ........................... 0 28. Contractor's license information. (Number, Name Style, Classification) ................... \ ❑ 29. Worker's Compensation Carrier and Policy Number ........................................... IV 30. Owner -Builder Verification ( _ Given to owner, _Mailed to owner) ..................... ❑ 31. Letter of Signature authorization.................................................................... ❑ 32. Recorded copy of Agricultural Acknowledgment Statement ................................. ❑ 33. Existing. violations and/or expired permits......................................................... ❑ 34. Deed Restriction.......................................................................................... ❑ 35. ❑ Legal description, 0 M.H. Title, title search, registration or MCO ......................... ❑ 36. Other: ❑ 37. Other: When issued Telephone >V/0 'G735 -os -3 and hold for pickup. I have been informed of the above items and requirements for obtaining a building permit. Applicant: v' _ - Date: 1. Index perr)`i t-applic�0n for the above items numbered: Plan Check Letter 2. Additional items required Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Contractor, designer, own advised of the above data by ❑ phone, ❑ mail, ❑ co r y as Date: Plans reviewed by: _Date: Plans approved by: Date: Structural reviewed by: Date: Structural approved by: Date: O Note transfer by: Date: Yellow: Building Division K/Building/Plan Check/Data Sheets/data sheet page 2 9.27.05 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION ° ` 7 COUNTY CENTER DRIVE, OROVILLE, CA 95965 www.buttecounty.net/dds PHONE (530) 538-7541 FAX 538-2140 RECEIPT OF FEES SCHEDULE - RESIDENTIAL Owner thao, david APN No: 025-340-030 Application Date 2/16/2006 Permit No: BP 06 0371 RECEIPT DATE Tech/Asst 1 BUILDING PERMIT FEES ESTIMATED AT APPLICATION $934.83 560:90 .^.j-0`� D(lY J!• Q� Plan Check portion of Permit Fee $373.93 - 2 FEMA RYes Yes Flood Elevation Review $109.98 0 3 SRA' Fire Plan Check - Non -Refundable $95.00 0 _ (State Responsibility Area) Building Inspection $109.98 0 NON-REFUNDABLE portion of fees due at application $373.93 ECEIPT DATE Tech/Asst FEES DUE AND PAYABLE AT TIME OF PERMIT APPLICATION $373.93 4 SMTP* -Strong Motion Instrumentation Program (Enter amount from permit system) 0—�� 5 Additional Plan Check Fees (NON-REFUNDABLE) 6 Other*: 6a Other*: FEES (BELOW) DUE PRIOR TO ISSUANCE OF PERMIT 7 IMPACT FEES - RESIDENTIAL* Per Dwelling Per Dwelling 1 Per Dwelling Applications After 2/14/05 MFD ,c MH County 4096.87 3071.14 3117.43 Chico Urban Area 5372.09 3995.45 4889.56 EI Medio Fire District 3128.31 2297.77 2326.36 North Chico Specific Plan A SR -1, SR -3, SR-1/PD 7938.531 6757.081 7633.49 R-1 8031.53 6850.08 7726.49 °� R-2 7E�fl.53l 6360.08L 7236.49 R-3 6780.531 5599.081 6475.49 RECEIPT DATE Tech/Asst Processing Fee is automatically added to impact fee total 0 $100.00 8 WATER TENDER FEE (Not collected when Impact Fees Applicable( Enter Bat.# $200.00 DRAINAGE FEES* 9 CHICO STORM DRAINAGE 770 Butte Creek $7,736 MASTER PLAN 771 Comanche Creek $8,069 772 Little Chico Creek $8,792 773 Big Chico Creek $6,596 New construction, vacant 774 Lindo Channel $8,139 land, on 1 acre or less - 775 SUDAD Ditch $6,975 Enter 1 or less acre value 776 Mud -Sycamore Creek $6,070 RECEIPT DATE Tech/Asst 777 PV Ditch $8,603 9a More than 1 acre, existing buildings - fees to be assessed by Public Works Fee Determination Sheet Needed - Enter'amount determined by PW 10 THERMALITO DRAINAGE AREA 1 $652 Maximum Per each new living unit on existing lots where full drainage fees have not been paid 10a Temporary Dwelling $130 At time of building permit $130 annual renewal fee for first 4 renewals. Not to exceed $652. PROOF OF PAYMENT OF FEES (BELOW) MUST BE RECEIVED PRIOR TO ISSUANCE OF PERMIT. Forms will be prepared after plan check is completed for applicant to take to respective district office. 11 SCHOOL DISTRICT FEES*(`0roville-UOiou_Hfgh--School_092-- 11a RECREATION DISTRICT FEES' Not Applicable At the time of permit application, I was advised the above fees are required to be paid prior to issuance of the permit. These fees may be changed during the plan checking process. Applicant: Date: Date: z /'ol Pursuant to GoveFn6ent code Section 666 2, you are hereby notified those Items followed by an "•" may have been imposed on your project. You have 90 days from the date of approval of the porject or from the impostion of the above referenced items during which you may protest. The requirements for a protest are specified in Goverment Code Section 66020(a). K:/Building/Forms/Schedule of Receipt Fees Residential 1105 OWNER -BUILDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has been. applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. I personally plan to provide the major labor and material for construction of this proposed property improvement: YES ] NO[ ]. 2. I HAVE] HAVE NOT ]signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: NAME: _ ADDRESS: PHONE: CONTRACTOR'S LICENSE NO 4. I plan to provide portions of the work, but I have hired the following person to coordinate, supervise, and provide the major work:. NAME: ADDRESS: PHONE: CONTRACTOR'S LICENSE NO: 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: NAME ADDRESS PHONE TYPE OF WORK SIGNED; PROPERTY OWNER: DATE: NOTE: 'This Owner -Builder verification is required by Section 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. Rev'd, 11/4/2004 Butte County Department of Development Services �UTTF ADMINISTRATION ` BUILDING ` GIS 4 PLANNING ° I / ° o 7 County Center Drive0 Oroville, CA 95965 Y (530) 538-7541 Telephone cou N'�y (530) 538-2140 Facsimile OWNER -BUILDER INFORMATION Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of the property improvements specified. For your protection you should be aware that as "owner -builder" you are the responsible party of record on such a permit Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that your plan to subcontract, you should be aware of the following information for your benefit and protection: o If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $200 or more for the entire project and such persons are not licensed as contractors or subcontractors, then you may be an employer. o If you are an employer, you must register with the state and federal government as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers' compensation insurance, disability insurance costs, and unemployment compensation contributions. o There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to workers' compensation insurance. o For more specific information about your obligations under federal law, contact the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under state law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractor is to secure an "owner -builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contacting the Contractors' State License Board in your community or at 1020 N Street, Sacramento, California 95814. Please complete and return the enclosed owner -builder verification from so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. Sincerely, Scott Rutherford Chief Building Inspector NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code. Butte Coul1[yDepar&nent ofDevelopinent Se -V CCS o$vT)r 7 County Center Drive Oroville, CA 95965 (530)538-7601 Telephone (530)538-7785 Facsimile c0UO-1 BUILDING PERMIT APPLICATION WITHOUT REQUIRED CLEARANCES I request and authorize the Building Division to process this building permit application through the plans examination process WITHOUT first obtaining all necessary, related permits and clearances from other regulator} entities, including but not limited to, Planning, Environmental Health, Land Development, County Fire, and Agriculture. I hereby acknowledge: e I need to submit applications for septic and/or well to Butte County. Environmental Health immediately. I am required to bring the approved Environmental Health site plan and approved sanitation clearance to the Building Division as soon as clearance is obtained e I am responsible for notifying Development Services, in writing, to stop processing of the application and to arrange for disposition of plans. The Building Division will process the application through the plans examination process, as submitted, Without input from other regulatory entities that could prohibit issuance of the building permit or require submission of amended building_plans to the Building Division:. Once the plans examination process begins, there will be no refund of plans examination fees. Any changes requiring submission of amended plans to the Building Division will incur additional fees. Within one year from the date of application for a building permit, all other required permits and clearances from other entities must be obtained for the permit to be issued. Failure to obtain.these permits/clearances will void the application. Typically other required permits/clearances include, but are not .limited to, verification the parcel was legally created, adherence. to all mitigations and conditions imposed on the parcel at time of creation, as well as zoning requirements, legal access, and 'applicable set -backs and environmental issues (fire, agriculture buffer zones, and habitat/species). Please print: Applicant Name: l/ APN: 6 Z Y� Building site address: 5----c"/ G I have read, understood and accept the terms and conditions as .expressed herein as indicated by my submission of the above -referenced building permit application and my signature below: GNATURE OF APPLICANT DTE 0 Copy to Applicant/EHMle KForms/BidePermitwithoutClearances 020705 ` BUTTE COUNTY SCHOOLS IMPACT,FEE CERTIFICATION FORM -TP A ' v i (One form per Building) School District Orov i I le i Building Departrment No.. bEo IL,Uvl r� C / A.P. Number Lo J �'O�� Jurisdiction: City �`' County Property Owner R o kf i Property Location/Address �� l 0 1 1AIPi'�4� lS� ' 1 bj Vo ie r rq ,r ` Subdivision `�. Lot No. Residential Development Q - Q . E�] Q Sq. Footage 5� No of Living Mobile Home Addition . 'Supplemental to (Group. R) Units Installation Conversion Pefrnit # *(No foundation inspection) ......................................................................................... Deed Restricted Sq. Footage (Attach a signed copy of Deed Restriction and Notice of Limited Use Facility document) Commercial/Industrial Q New Addition D1 t 'ct Identification No. A.7 0 7 F fun chool District certifies that Sq. Footage (Including Exterior Roofed Areas) I1�-31-0( Date C, C �' Vj' f" (Applicant) �(St t Address) (Phone Number) Com- 9�9ro� (State) has complied with the requirements of Resolution No. square feet. School District Representative Paid by Check # �� Remarks: (Zip Code) / y by payment of $ /j (p • y B 2926 E PULL MITIGATION $ /o/31 1 jn(' Date IVotlee: You may protest the Imposition of the tees Identified above by submitting a written prohM.to the District. In compliance with Govemment Code Section 66020(a), within 90 days from the date fees are paid. Failure to submit a timely written protest will prohibit you from challenging the Imposition of the fees In any court action. N, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District Is notified by the applicable Local Planning Agency that this project Is being revlevired under the CaWwnla Environmental QuWty Ad (CEQA), this Droiect may be subled to additional school fees to fulN mltioate Its Impact on the school dl *Ws schools. White (school district), Yellow (building department), Pink (applicant). feelorm.xta (3M5Wnm N 196, 44:09- r 1089.44* C 114 111*FS BASIS OF BEARING TNC 5Ad It OF BEAR-6,If rNe 4Arr P4owrjl e—z e / <': .. AND r A,,,GA4 rdr&z w- s g Of rxcrlN / .ww .29E AS .9110W. OM rNe MAP e",,rpo dj HAAS .41 A. 52 AN. WAS PARCEL 8.34 LEGEND X S2 -m SET '(Smi oaf n 0 C.Aev,—ro OWL/ N 86'4/'43-E STATE OF CALIFORNIA COL/M/ OF BlIrre Wefu p. I- /q7T JIZ41e NZ, A 004/ C-7-0. ANO SI^/OLN A�-,rg�r x.,RF"e. Dam RA Ld kHH,. 3.491 Iv.;c .54,47,E r, re - el we e,,s r WR,N 1, PARCEL . Irl—.11 — 11=1 --mgqN0 Aocwozeb.co ti _e ",q, 'HERS CERTIFICATE X OAyIO V MO&ZI AS OWAACR OE ~ 4AMb AS S~M SK 5Z MAPS M Se NELSON, AND SurrZ COUNT/ r1rLe CDPA AS r~r&Z eO69 DZIO 11 rA'—r DIPCD AFe- 1Z 19S7 AND eer,~— 199. via Ae. po we Rd' THE 0N1e/ 1-,p4dAw "die clN.ss_r Id.. weee51— "Welm ^.sr c,�4o I,,xe0 L4N0.,4v0 We Nczeo, y 1 \ n' OF CAI,. e—re'a BORNfA 14 PARC.-4 11 3 k. 6a- . K` :. o;Wirv;n--v, -x ty O STATE OF CALIFORNIA N .38* 091, -1 /41`44. 6 3' v a CO-1 F 0 ... . ..... el,_e A NOYePY AIP4A—P, M.eef KMR III~ roar re Pi X W._e IAN./3 Sue. d4l6e0 TAS W11— 0>MKwr oc—le.— 1wd, SAME. Ai PARCEL 4 W—ESS ME AMNO .WO 0I/ CiAL SEAL "K P A-11 Rff& WE N I/ -/8,V R OF A PORTION Of T 7 0�- rhT 5 W 11,e Of SEC I T JZ FOR DAVID V MORRI SURVEYOR 3 CERTIFICATE COUNTY SURVEYOR'S PERTIFICATRECORDER CERTIFICATE L - 0 .2 "'Lea TW$_ pl, "Y'n— I ".—D III XEC�-U TILS DAY OF 5 FOR -1 AKhl\ I(EIVOA L L ENGIMFERINO - ------------- - ------ Di MAPA (O 2-1 OH SLqTE 2 4*W00,T", A THE QM1 sw LE _LLE,0ALlFWN1A AM L0= Mill �C �.E EEK,T r ORW (916) 6a4-*f5tW clw4es W, �Tl SURVE K10ENDER 74.1- —1 Jo. am-" 1HEC1_0F_ Butte County Department of Development Services TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR 7 County Center Drive Oroville, CA 95965 (530) 538-7601 Telephone (530) 538-7785 Facsimile ADMINISTRATION * BUILDING * PLANNING February 17, 2006 David Thao 5467 Power House Hill Rd. Oroville, Ca. 95965 Assessor Parcel Number: 025-340-030 Building Permit Number: 06-0371 Thank you for submitting the plans for your building project.. The plans have been reviewed and 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. COMMENTS: 1. Provide engineered lateral design for the front of the new garage, or revise to comply with Sec. 2320.11.3 of the California Building Code. 2. Revise foundation detail to show #4 rebar top and bottom. Provide verification of placement by independent testing agency. 3. Show support locations, connections and lateral design for new deck cover. See attached knee brace detail for lateral design option. 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. 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. Bill Barron Philo Hunt, P.E. Plans Examiner Plan Check Engineer . 8 Post -it® Fax Note 7671 Date pa°gest To , ^^ ► , \ From Co./Dept. co Phone # Phone # Fax # F 1 ssl- X0 7- o;.z � Ca `l al to r/ G 6-5 e- ' Butte County Department of Development Services TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR 7 County Center Drive Oroville, CA 95965 (530) 538-7601 Telephone (530) 538-7785 Facsimile ADMINISTRATION * BUILDING * PLANNING March 30, 2006 David Thao 5467 Power House Hill Rd. Oroville, Ca. 95965 Assessor Parcel Number: 025-340-030 Building Permit Number: 06-0371 Thank you for submitting the plans for your building project. The plans have been reviewed and 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. COMMENTS: 1. Regarding item number two of Plan Check letter dated February 17, 2006. Section 1806.7 of the CBC requires No. 4 bar top and bottom. Provide verification of steel placement by a testing company or submit engineered retrofit for plan review. 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. 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. . Bill Barron Philo Hunt, P.E. Plans Examiner Plan Check Engineer Butte County Department of Development Services TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR 7 County Center Drive Oroville, CA 95965 (530) 538-7601 Telephone (530) 538-7785 Facsimile ADMINISTRATION * BUILDING * PLANNING February 17, 2006 David Thao 5467 Power House Hill Rd. Oroville; Ca. 95965 Assessor Parcel Number: 025-340-030 Building Permit Number: 06-0371 Thank you for submitting the plans for your building project. The plans have been reviewed and 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. pp-- �LL COMMENTS: —,-_ 1. Provide engineered lateral design for the front of the new garage, or revise to comply with Sec. 2320.11.3 of the California Building Code. 2. Revise foundation detail to show #4 rebar top and bottom. Provide verification of placement by independent testing agency. 3. Show support locations, connections and lateral design for new deck cover. See attached knee brace detail for lateral design option. 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. rlease refer 20 your Data Sheet for remaining non -plan check items. � �'ou received this form when you applied for your permit.) The counter staff will answer any questions concerning the Data Sheet. �1 �7." Bill Barr Plans Examiner Philo Hunt, P.E. Plan Check Engineer IF L U 5790 CLARK ROAD, PARADISE, CALIFORNIA 95969 County of Butte Building Division 7 County Center Drive Oroville, CA 95965 Subject: Release of Design Documents Project: David Thao - Residential Garage Addition 5467 Power House Hill Road, Oroville, CA (530) 872-0254 FAX (530) 872-9331 March 15, 2007 FLT Engineering has no objection to have Mr. Thao copy all the subject documents for the above project. Co: File Sincerely, Frank L. Tyukos RCE 32434 BUTTE COUNTY MAR 1 S 2007 DEVELOFrgEN1- SERVICES �a �� _�5 a3o .. .. _ `6�� � , ... a� `ry r` PERMIT NO. 4345-:77B,P,E,M 1• o� PERMIT-EXPIRES OWNER Charles Robertson ( CONTR. Tom Rogers, Oroville LOCATION (A.P. 25-24-84 E/S Power House Hill Rd., app. .8 mi.N.of Palermo Rd., Palermo 6 t' A n ii Temp. Power Pole Called PG&E _ Temp. Elec. Serv.. Called PG&E . Temp. Gas Serv. _ Called PG&E _ JOB FINALED (Date) (Signature) COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTIQIN RECORD Water Piping Sewer Gas Piping MOSILEHOME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping DATE REMARKS OR CORRECTIONS PAA 1.2 1.ZA117 '10e �e J' Ap, (NOTE: An entry must be made on this form each time you visit the job site.) THIS IS TO CERTIFY THAT INSULATION HAS BEEN INSTALLED IN CONFORMANCE WITH E CURRENT REGULA- TIONS, CALIFOPNIA ADMINISTRATIVE CODE, TITLE 25, STATE OF CALIFORNIA, IN THE BUILDING • LOCATED AT: Street - Lot Number Tract No. EXTERIOR WALLS Manufacture Thickness/Type—R Value CEILINGS Batts: Manufacturer Thickness R Value Blown: Manufacturer ' �� Thickness �— No. Bags zC Wt./Bag Sq. Ft. Covered R Value_ 9 FLOORS Manufacturer Thickness/Type R Value SLAB ON GRADE Manufacturer Thickness/Type R Value Width of Insulation inrhes FOUNDATION WALLS Manufacturer Thickness/Type �� lu GENERAL CONTRACTORLICENSE No. BY — DATE INSULATION CONTRACTOR; HAWKINS INSULATION CO. LICENSE Ng. 215-925 wbyi'vv�� 11110 `COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS ' 7 County Center Drive — Uroville, California 95965 ���� Telephone. 5J4-4541 /�� APPLICATION AND PERMIT BUILDING OwnerS SQ. FT. OCC. BUILDING VALUATION Q Mailing Address Telephone No. Contractor Mai I ing Address I Telephone Building Address 'C— / 5 t+&AA &4— h-.av-Ce— L+i L Ie(4 I Zoning Verification S�ql A. P. No. �� ' 2oni 8 Fe ion FireDeptst. Fire Zone Use Permit EQA Parking Parcel Pdr el Mai 60' R/W Im r Plans g claration p p oements Bldg. Plc ec'd A Parce Approval Plans Approval NEW ADDITION ❑ UTILITIES ❑ OTHER ❑ Single Family Duplex ❑ Mobil Home ❑ Others ❑ CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: License No. %Classification ❑ I am exempt from the Contractors License Laws of the State of California. WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Wor en's Compensation. have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned propert for inspection purposes. x Date f-27 `% 7 Signature of Permit r Agent Receipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant Fireplace Total Valuation Permit Fee _ Plan Checking Fee &/or Penalty Permit Fee PLUMBING PERMIT FILING FEE Each Trap Repair drainage or vent piping Water piping Each gas water heater or vent Gas piping system 1 - 5 outlets Each additional outlet Building sewer Lawn sprinkler system Permit Fee ELECTRICAL PERMIT FILING FEE Main service 600V OR LESS 100 AMP OR LESS Main service EA, ADD'L 100 AMP Main service OVER 600V 100 AMP OR LESS Main service EA. ADD'L 100 AMP NEW CONST. Ex. Occup(OUTLETS OR FIXTURES Ex. Occup. (OUTLETS P(R ESID.)RE A) Temporary service Mobile Home Facilities Misc. Wiring Permit Fee MECHANICAL PERMIT FILING FEE Heating /b() AA Coo I i Ven ti Iation Hood Permit Fee FEE $3.00 1.50 1.50 1.50 1.50 1.50 .30 5.00 2.00 $3.00 2.00 FEE TOTAL PERMIT FP_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. DIRECTOR OF PUBLIC WORKS — / By Date % _ Z 7 . B iiding permit expires Date �'Z— 7— �3 n,�y; ,. �r �•`- t.,-�-... ..:wy.-•.Yr��r:s ',a-; . :: ` " V"";� •;.•.:,•tiy -•' r it• _-r �� �..'F� .vn: 'L�.•'*•�.a`'l.^'°�'+�-'�.! ' ,�"l�cj"r'.� •s..,...,� „_�—* _ L' 25-24-84 •2704-89B ROBERTSON, Charles `. 5467 Power House hill Rd, Oroville �'4 t Contr: K -Designers (siding/SF) t i r COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICAtION AND PERMIT- PERMITNO. , ASSESSOR PARCEL NUMBER j-- - .1 2 t ,,. ZONING 1 BUILDING PERMIT OWNER V, o 1 _ y, v b TELEPHONE SO. FT. OCC. BUILDING VALUATION ` r OWNER'S MAILING ADDRESS ,Z030 �J Iron S �fj CON/� RACTOR'S NAME, L n TELEPHONE CONTRAG TOR'S MAILIN1W ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDgess ?7 r (,. Permit fee' $ PLUMBING PERMIT Filing Fee 10.00 R oC Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each gas water heater or vent 5.00 USE OF STRUCTURE- SF ❑ Duplex❑ Mobilehome❑ Other / 0 SPE, Y Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S G W 0.00 ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe work: S, Permit Fee S Contractor ELECTRICAL PERMIT Filing Fee 10.00 ol Main service 600V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check One): I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification 1• / I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.e,` OR ADDNS. ACC. BLOGS. / 1/20sgft NEW CONSTR U TI -OUTLET 2.50 ea NON-RESID .BRA CH CIRC ITS POWER APPARATUS &) (SINGLE OUTLET CIR. EX. OCcup(OUTLETS OR FIXTURES eA 030 FIXED PR Ex. Occup. OUTLETS (RESID )EA.1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring g 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. O I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ i shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling g Hood 3.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County, in consequence of the granting of this permit. X Date y s Signature of Applicant — .Owner ❑ Contractor ❑ Agent Q An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures 3�sstories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ S 0CCUP. CONST.TYPc ISCHOOLIFLOODIPARCELI PD ND 139U E� This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which � � /DIIRECTOR OF PUBLIC / j !fi By ✓./% �J 'J PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been aid. P WORKS e Date G �ovver Receipt N0. e�7''�J' /Y S WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT mw t� f COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATIOWAND PERMIT PEO� ASSESSOR PARCEL NUMBER G1 ZONING BUILDING PERMIT OWR G 0 \-(f!S f 0y - TELEPHONE SO. FT. OCC. BUILDING V MA i- - OWNER'S MA`ILtINGG ADDRESS/ S a Y l 0 CO RACTOR'S NAME TELEPHONE CONTRACTOR'S MAILIN ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation is Filing Fee $ 1000 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee n ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADD ESS V— L Permit fee _ PLUMBING PERMIT Filing Fee 10.00 ROL Each Trap 2.00 Iw Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTU$! ` N SF ❑ Duplex[]Mobilehome❑ Other S I 0 t L• C SP &CAIF r Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 0.00 ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work: j (v` Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 10OV OR LESS 100 AMP OR LESS 10.00 Main service EA. ADO'L 100 AMP 2.50 CONTRACTORS LICENSE LAW ' I declare under penalty of perjury (Check One): I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professio s Code and my license is in full fo e a e fect. License _ License No. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ontract- ors. ors.(Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.y , OR ADDNS. ACC. BLDGS. 22sgft NEW CONSTR.MULTI-OUTLET 2,50 ea NON.RESID BRANCH CIRC ITS POWER APPARATUS e (SINGLE OUTLET CIS. ) 0050t EX. OCCUp�OUTLETS OR FIXTURES 200SOt Ex. OCCup. OUTLETS P(RESID )REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring g 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling Hood 3.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against 'd Count ' consequence of the granting of this permit 9 X Date Si nature of Applicant — Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 storiesinheight. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ OCCUP. CONST.TYPEJ ISCHOOL17LOODI PARCEL PD ND Sr9U This permit is hereby issued under sions of the Butte County Code and/or work indicated abov for which IR C ELIC By PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS j� Date �- �, Receipt No. `7 d S L WHITE-D.P.W., YELLOW-ASSESeOR. PINK -INSPECTOR, GOLDENROD -APPLICANT Y OWNER ;-t, r. ... I .. s��^r'r a •^ — �c _ti + ref r t 'ti m. "fid : hk+'r ti'7«x ;vrtr . ♦ i : `iV� x. r r�a.vr.„ ..mss, Sys': ei ry- ' - COUNTY OF BUTTE - DEPARTMENF PUBLIC WORKS -BUILDING DIVISION A.p .. 7 COUNTY CENTER DRIVE - OROVILLE�ALIFORNIA 95965 - TELEPHONE: 916/538-7541 r PERMIT APPLICATION DATA. Proposed Building Use<_::::�p Building Inspector - Permit No. A. P..No. I� T Date `— At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted . .................................... 2. Plot plans in duplicate/triplicate, signed by preparer of plans........ 3. Complete plans in duplicate/triplicate, signed by preparer of plans .. 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Energy Design Compliance and supporting documentation ......... 6. Statement of Intent for Non -Heated and AC Buildings .............. 7. Engineered truss details and layout in duplicate (required prior to plan check) 8. Mobilehome installation data including manufacturer's installation instructions........................................................ 9. Fees of $ .......................... 10. Chico Urban Area fees paid ........................................ 11. Park fees paid ..................................................... 12. School District fees paid ................. 13. Sanitation approval from Health Department ... 14. City of Chico plumbing.. permit ...................................... 15. Plot plan and business license approval from City of (see City for other requirements) 16. Planning approval for (A) Use: (B) Parking: ......... 17. Improvements may be required. 18. Driveway permit (construction approval required prior to occupancy) ... 19. Pre -Ins ection for re uired . , , , Prerequest to p q ' � Builldingding Inspector (Date) 20. Contractor's license information (No., Name Style, Classification) ...... . 21. Certificate of Workmans Compensation Insurance ............. ' 22. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) .... .. . 23: -Recorded copy of Agricultural Acknowledgment Statement ........ ? .. . 24. Letter of signature authorization ..................................... ° 25. 26. When you issue. the permit, process as follows: Mail to owner. Mail to contractor. Telephone 9/— 4CA0 and hold for pickup at office. Deliver w/inspector. nthar Copy of plans sent Health Dept., Fire ept„ Other Date The following data must be submitted prior to permit issuance: -(Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by_phone—nail counter by date Contractor, designer, owner, was advised of above required data by—phone —ma ll_counter by date Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder ' Copy—DPW " #1 IN THE WEST" UI SIGNERS 3170 Fite Circle. Suite 1 Sacramento. California 95827 (916) 361-8800 T0: DATE: SUBJECT: BUILD NG PERMITS JOB SITE ADDRESS:j��� PLEASE.ACCEP.T THIS AS YOUR AUTHORIZATION TO ACCEPT THE APPLICATION A I UE BUILDING PERMIT'FOR THE ABOVE DESCRIBED JOB SITE SUBMI77ED BY 7A REPRESENTATIVE OF K -DESIGNERS. PLEASE NOTE THAT THIS AUTHORIZATION IS RESTRICTED TO THE ABOVE-DESCRIBED JOB SITES ONLY AND NO OTHER PERMITS ARE AUTHORIZED HEREIN. (SIGNATURE) RESPECTFULLY, I AN COLE PRODUCTION MANAGER 49.0 111 Font, 11;1. 2.130 5th Ave. So. 6325..1 Star Lane � 5941 N. Broadway 4355 Haroldsae Drive Ca•ror. \tyrrdrp @0T t t Oiltings. hlonlnne 5910.7 Amarillo, Tarns 79109 - Denver. Colorado 80216 Idaho Falls. Idaho 53401 (.10;1 ;nr;, 1 1.1 . (40A) 245-8904 tons) 358-866t (303) 298-8900 (208) 522.9011 Y 025=340-03003= ROBERTSON, CHARLES 5467 POWERHOUSE HILl�'RD, OROVILLE ' / Cont: ALLADIN ROOFING V RE ROOF ! - - A r 025=340-03003= ROBERTSON, CHARLES 5467 POWERHOUSE HILl�'RD, OROVILLE ' / Cont: ALLADIN ROOFING V RE ROOF ! - - A r ' COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-75410,:!)76 (Rev.12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 025-340-030 2ONINO BUILDING PERMIT OWNER ROBERTSON CHARM TELEPHONE SO. FT. OCC. BUILDING VALUATION SO 1620.00 OWNERS MAILING ADDRESS —27-- 5467 FIND HIMSE HIU WAD ORMUE6 CONTRACTOR'S NAME 04 AL,MIN R=N= 533-2934 TELEPHONE CONTRACTORS MAILING ADDRESS MIU.ER PEAK RMAL OROVnIE CA 95965 CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $1620.00 ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 39.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 5467 POWERHOUSE IIIII. ROAD Energy Plan Checking Fee $ $ PERMIT FEE S LAT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other sPECIFv Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00, TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Unities ❑ Installation ❑ Other ❑ Describe Work: RE -ROOF Gas piping stem 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE S ELECTRICAL PERMIT Filing Fee 20.00 Main Service 200AORLESS 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. �' n License Class i' -, r, Lic. No. - . 3 t OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUP. sD OR ADONS. ( 6 ACC. BLAS. 3.5¢FT. NpNEW CONST. �,p MULTI.OUTLETH CIRCUITS @7,50 PowER APPARATUS 8 SINGLE OUTLET CIR. 20 @ 1.00 Ex. Occup. OUTLET OR FORURES BAL 50 FIXED Ex. Occup. pU Tg Ra 6.) E 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permitis issued. My workers' compensation insurance carrier and policy number are: Carrier t; , r' i i Policy Number !I 3 - I i 77— f' (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X / C�_ Date / o - ;'- r- ? Signature a it is Applicant - ❑Owner q'Contractor ❑Agent An OSHA permit is required for excavations over 5,�'0-"� d/� ep, and demolition or construction of structures over 3 stories in.height. l,. MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ 59.00 HAZ. D. FEES IMP FLOOD CDF L PD HD .,, rVile This permit is Ikereby issued under the applicable provisions of the Butte unty C e and/or Resolutions to do work indicated a ve whi fees have been paid. �L ( B ` �( I� Date Y PERMIT EXPIRES ON h "J Date Receipt No. r} j� ', 2 %) 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, Cal6ofnia "95965 - Telephone (530) 538-7541IA 0'*(tv.12/96) APPLICATION=AND PERMIT e?3-5)Uq ASPARCEL NUMBER 025-340-030 ZONING BUILDING PER OWNER ROBERTSON CHARLES TELEPHONE SO. FT. OCC. BUILDING VALUATION 27 S 1620.00 .OWNERS MAILING ADDRESS 5467 POWER HOUSE HILL ROAD OROVILLE 956 CONTRACTOR'S NAME ALLADIN ROCFING 533-2934 TELEPHONE CONTRACTORS MAILING ADDRESS 1 EAK ROAD OROVITI.E. CA 95965 CONSTRUCTION LENDER Fireplace O LENDER'S MAILING ADDRESS Total Valuation $1620.0 ARCHITECT OR ENGINEER LICENSE NO. Flin Fee $ 20.00 Permit Fee $ 39.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 5467 POWFRHOUSE, 14TIL 'ROAD Energy Plan Checking Fee $ 79q_00 PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling 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 gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: RE-ROOF 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 zoOA oR IESS 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 i 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: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason 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 worker`' c�omensaU�yl insurance carrier and policy number are: Carrier Tomre}-�n,t Policy Numberf - 7 - (The above sections need riot be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. r� X _2�1� Date / V--D 3 Signatu of Applica - ❑ Owner Contractor ❑ AgentAn O A permit is required for excavatio over 5'0" d nd demolition or constructionof structures over 3 stories i ei Main Service zoOA TO L000A 46.00 NEW CONST. DWEWNG OCCUP. SO OR ADDNS. ( 8 ACC. S.3.50FT. L,o..ESID ' MULTI-OUTLET (G 7,50 POWER APPARATUS 8 SINGLE OUTLET CIR. OUTLET OR FIXTURES Q ,.°° Ex. Occu . L o .50 Ex. Occu . oFlxuri�isRM DRQ5.00 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 FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ 59.00 HAZ. D. FEES IMP ROOD CDF CEL PO HD Thi ' ermit is ereby issued under the applicable provisions of the utte unty Coe and/or Resolutions to do work Indic to Mwate en paid. By PERMIT EXPIRES ON gfat,5 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 (Rev. 12/96) APPLICATION AND PERMIT / IJ A SSESSOR PARCEL NUMBER ZONING BUILDING PERMIT .�a- I / h I D J TELEPHONE S BUIL U LENDER'S MAJUNG ADDRESS PERMIT FEE $ Fireplace ELECTRICAL PERMIT - I— Total Valuation $ zoos oa Less ARCHITECT OR ENGINEER Main Service ucENSENo. Filing Fee $ 20.00 Permit Fee $ OR ADDNS. NRECT OR ENGMEF3:S MAJUNG ADDRESS Plan Checkin Fee $ ;W"1111ADDREss Energy Plan Checking Fee $ PERMIT FEE LOT NO. SUBDMSIONSNAME PARCEL MAP PLUMBING PERMIT Fling Feel 20.00 Each Trap 17.00 USEOFSTRUCTURE SF E3 Duplex ❑ Mobllehome 13 Other Other SPECFY15.00 Solar or heat pump water heater 23.00 pi in 15.00Y. Each gas star heater or ve New ❑ Addition ❑ Remodel Describe Work: TYPE OF WORK UtiGfies In tion er ��% Gas i in stem 1 -'s 15.00 Building15.00 Mobile Home IS-IGI W1 I @20.00 PERMIT FEE PAID $� SRA $ SHERIFF S OTHER $ AMOUNT RECEIVED DATE RECEIVED RECEIPT Ex. OOCU OUTLET OR PERMIT FEE $ Ex. Occup. o ESIo �EA ELECTRICAL PERMIT Fling Fee 20.00 Main Service zoos oa Less 23.00 Main Service 20M TO 1000A 46.00 NEW CONST. / Dwm'Jtm O=UP - ) OR ADDNS. \ & AOC. BLDS. Ex. OOCU OUTLET OR aAL @ .50 Ex. Occup. o ESIo �EA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE SIm MECHANICAL PERMIT FilingFeel 20.00 I Hood I � 1 6.501 1 PERMIT FEI_ 1 $ Mobile Home Installation Fee $ Energy Inspection .Fee $ me CONST. TYPE TOTAL FEE $ MAZ D. FEES IMP FLOOD CDF, PARCEL I PD HD 55UE 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) I A -i. ' SERVICES - BUIL IN • Teleph ne (530) 53 oRMlT 3.��)— / BUILDI)q!r so. FT. I OCC. BUILDI 0 Fireplace Total Valuation 5 31$ Filing Fee S 20.00', Permit Fee Plan Chockina Fee Energy Plan Checking Fee S o2 Uv S PERMIT FEF Sq [% • `7 — PLUMBING PERMIT Firing Fee 20.00 Each Tia 7:00 -'-- Solar or he ump water heater 23.00 Water piping 15.00 Each gas water heater vent 15.00 Gas i in stem 1 - 5 ou is 1S.00 Bulwing sewer 15.00 Mobile Home I S r-1 W 20.00 EX. Oxu . PERMIT FEE S ELECTRICAL PERMIT Firing Fee 20.00 Main Service = oa = 23.DD Main Service ( ab" To IOWA 46.00 NEW CONST: DW01TG OCCUP. SO 3.5CFT, 07� OR ADDNs NON-R6tC MilLTI-0Un.ET EX. Oxu . Dung DR Mrst6 g ®.yo ! Ex. Occup.vrLE• =163 EX 5.00 Temporwy Service 23.00 Moble Home Facilities 20.00 Misc. Wiring 23.00 3 0� I PERMIT FEE _ `96S MECHANICAL PERMIT Firing Fee 20.00 Nnw4inn Hood 1 16.5 0 ' Venitlafion _ PERMIT FEE S Mobile Home Installation Fee E Energy Inspection Fee S o�c `DNS1' TYPE TOTAL FEES MAZ. D. FEES11RP issued ndFLOG OD PMCEL PD N0 i ss'E This permit is hereby or 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 EXPIREL; ON COUN• Oroville 7 Count Center Drive California 95965 • Telephone TY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 538-7541 PERT NO *\t � ( 530 ) MI APPLICATI6NADPERMIT 'RPM, 041—d- � , mN1N° 4` BUILDING PERMIT . \ TELEPHSQ. FT. .QCC. BUILDING VALUATION 1-7037d" 5y►A,N� ADDA�SC \ Q/` 1!� `?J 6 5 enNTW►CTDRs HANE TELEPHONE �w 65WRA TTMS WN'A ADDRESS /�� I CONSTRVGZION LFJmEA `/(/ LENDERS ADO Ess Fireplace Total valuation 5 ARCHRE= OR ENC IMM L=D4E NO. Flina Fee S 20.D0 ARcrarEa'oR E,+nwEERs ww,a ADDRESS Permit Fee Plan Checking Fee $ a euwwcAODREss ,� , _` Energy Pian Checking Fee L O ? PERMIT FEE t e IDT NO. buBDMSgNS NAME PARCEL MAP PLUMBING PERMIT Firing Feel 20.00 ..._.. Each Trap — -- 7:00--_..-._-- USEOFSTRUCTURE 'bblar or heat pump water heater 23.00 SF/4 Duplex ❑ W bilehome ❑- Other CPECFY Watery p Ing 15.00 Each gas water eater or vent 1 5.00 TYPE OF WORK Gas piping systern-1---s-'utlets 15.00 New ❑ Addition ❑ Remodel ❑ U606es ❑• Installation ❑ Other Building sewer 15.00 Mobile Home S G W @20.00 Describe Work: PERMIT FEE t a 9ELECTRICAL PERMIT Firing Fee 20.00 ESS Main Servicew oa u 23.OD Main Service zow MEE 46.00 N_W cum WELU3.5Cc7 OR ADDNS. ( A AC wN Rsro ►AuuwunET @7.50 ' POWER ArPARATus : sn+m.E oLrtLET era OVTLET OR FDCTVRM Ex. Oeeu 9aL ®.so . Ex. Ooau . ,mFrsAro 5.00 Temporary Service 23.00, Moble Home Fecii'dies 20.00 Mrisc. Wiring 23.00 ;L-3 • U.d S� 6 PERMIT FEE S J MECHANICAL PERMIT Firing Fee 20.00 Heating O4 y e mr Coon, �'r1 Hood I 6.50 Ventilation PERMIT FEt S Mobile Home Installation Fee 5 e Z/ a . �_�— Energy Inspection Fee S i(� / "` `ONS 'SPE TOTAL FEEt -Z• D. FEES EYP FLOOD PAACFI PD HD �'� � 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. Aw By _, Date PERMIT EXPIRES ON (Delo) e • COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -8 ILDING DIVISION 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET op 61.3 !� OWNER: (i i"' e`s �� / `(/�%�� b� ASSESSOR PARCEL �NUMBER 4r � 3 Proposed Building Use. Y Q (CCounter Technician: Date: Items required in o r to Oy for a per it All o es MUST be checked OR marked NA in order to apply. Plot plans, 3 or 4 secs, signed by the preparer of the plans. �(m Complete plans, 3 or 4 sets, signed by the preparer- of the plans. . 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. O 6. Manufactured homes: (A) Data sheets and installation instructions, (B) Marriage line information, (C) Floor Plan, (D) Tie down or '°- 1 foundation plans, all in duplicate. ❑ 7. Metal buildings: (A) Metal Building Plans, (B) Foundation plans and calculations in t>'Iplicate, (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 received. Date Received By ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate ................................ `-0 9. Plot plan and business license approval from the City of Biggs ........................ ?102. Letter of intent for non-residential buildings......... .............................1.Detached Accessory Building Form filled out bythe owner ..................................... Hazardous Material Form ............. ..................... `................. ..........................:. ❑ 13. Other Remaining items needed to issue the permit. (May require additional` plan` review uponreeeipt of the following items.) 14. Fees as shown on the attached Schedule of Fees Me Sheet... s ic;9 4./ ........................ V1 . Statement of Intent for Non -heated and A/C Buildings ........................................... L�J'16. Sanitation and plot plan approval from the Environmental Health Department in O 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 ............................... O 21. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy) O 22. Pre -Inspection for f-11''►►��,, required ................ O 23. Contractor's license information. (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, O Letter from Legal Owner, O Check to H.C.D. $ ❑ 31. Other: When issued Telephone 1P4 &- and hold for pickup. I have been informed of the above items and requirements for obtaining a building permit. -Applicant : r date: (f 1. Index permit application for the above items numbered: 2. Additional items required Contractor, designer, owner, was advised of the above data by Contractor, designer, owner, was advised of the above data by Plans reviewed by: Date: Structural reviewed by: Date: Plan Check Letter ❑ phone, ❑ mail, ❑ counter, by Date: ❑ phone, ❑ mail, ❑ counter, by Date: _ Plans approved by:. Date:_ _Structural approved by: Date:_ Note transfer by: Date: Yellow: Building Division 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 A.P. # ��^ r�O �G ✓ C/ PROPROSED BUILDING USE - A-0 i`4/_ DATE 1P 1. BUILDING PERMIT FEES --- Balance Due ..................... --- Additional Fees Due........ --- Revised Plan Checking Fee 2. SCHOOL DISTRICT FEES 1 (paid at School District Office) (form available after Plan eck) RECEIPT # DATE REC. 3. SHERIFF FEES (paid at Building Division) Residential............ X $360.00 =$ _ Units Commercial (sq. ftg.)..... X $0.03 = $ Sq.Ftg. 4. URBAN AREA FEES (paid at Building Division) Residential (per unit)..... X .=$ _ # Units Amt. Commercial (Sq. Ftg.).... 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 $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 application, I was advised the above fees are required to be paid prior to issuance of the permit. These fees 7changed d g the plan checking proces . APPL AN"014 , 6DAE ���✓ 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) -d,,74,01 COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. (Rev.12/96) APPLICATI.ONAND PERMIT ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT OWNER TELEPHONE SO. F', OCC. BUILDING VALUATION . OWNERS MAILING ADDRESS CONTRACTOR'S NAME 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. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling 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 gas 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 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 OOOV OR LESS Main Service zo..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.POWEPPARATUS License Class Lic. No. OWNER -BUILDER DECLARATION I hereb affirm under penalty of perjury that I am exempt from the Contractors License Law r 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. ❑ I am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO 1000A 46.00NEW CONST. DWELLING OCCUP.SO OR a ACC. BLDS. 3.5¢x. CNS. NON•RESI�T. MULTI.OLmFT @a 7.50 a SINGLER AOUTC.. Ex. Occup. OUTLET OR FDMRES 20 @ 1.00 SAL @ .50 .� Ex. Occup. DUnFiAPP p DRXLNS°� 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring23.00 PERMIT FEE $ WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: I 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.) VI certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those movisions. ate �s_ i nature of ApplicantOwner ❑ Contractor"40 Agent An OSHA permit is requir - for excavations over 60" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEt $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ H AZ. D. FEES IMP I FLOOD CDF I PARCEL I PD I HD I 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. ^/S WHITE-D.D.S.-B.D. CANAR - SSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT October 2, 2003 Tessie Roberts 5467 Powerhouse Hill Road Oroville, CA. 95966 Department of Development Services Building Division 7 County Center Drive Oroville, CA 95965 (530)1538-7541 (530) 538-2140 FAX Assessor Parcel Number: 025-340-030 Building Permit Number: 03-2401 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: 1.) None. STRUCTURAL COMMENTS: 1. Show support post spacing for deck cover, along with attachment to beam and foundation. 2. Show attachment of ledger boards for both roof and deck. 3. Show code required bracing for new garage. Note: 2 foot wing wall adjacent garage door does not comply with code bracing. Modification or engineering will be required. 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 items, ask for Dave. 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. David Wasney Jr. Building Inspector III 1 of 1 BUTTE COUNTY SITE PLAN N I iSION - BUILDI N APPROVAL lila; SF Date: a O —qlPerking; Landscaping; Other Signaturti: 37 Power Pole 115' Existing Well Covered \ Deck T ' v N � 17' 0 32' 38' Assessor's Parcel Number: 1-1 ❑ ❑ — D ❑ D — ❑ ❑ ❑ Size (Acres) Owner Name / Address / Phone No. 'S-ite Location Zoning General Plan Contact Name Phone a BUTTE COUNTY SITE PLAN Assessor's Parcel Number: ❑ ❑ ❑ — ❑ ❑ ❑ — ❑ ❑ ❑ Owner Name / Address / Phone No. Site Location Zoning Contact Name General Plan Phone Size (Acres) 11 I. BUTTE COUNTY SITE PLAN APPROVED Asitia rmirtty .1 & ENVIRONMENTALHEAtTH � r � 4;1'y �- zo ��� �/oxCENTERDRWE : © Fz- 5 -- 3 FqF -Fol 3❑ Fc? Size (Acnes)Assessor s Parcel Number ❑ ❑ ❑ Owner Name / Address / Phone No. 1d Site Location Ist Zoning General Plan Contact Name Phone F 3 J i E.H. USE ONLY Plat Plan Attaci;® Fla®r Flan Atuchad Sant to E.C. / TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance oo — - - Owner Location AP# Plan Approved for: Sewage Disposal K Water Supply: Public ' Private Wei)r('I� Clearance for dwelling. Other / Ck- Hold final for: Final clearance O.K. for: NOTE: mental Health Specialist 8/96 Date RlYIsi0N8 1 By I _:, ` _, ,� _, ., - ` i � '... 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