HomeMy WebLinkAbout026-212-008ENVIRONMENTAL HEALTH VIOLATION
2/16/94
026-21-2-008
2289 Ludlum Avenue, Palermo
'H.D. letter 7/29/94
026-212-008 0_2-0951
MURILLO, TITI
2289 LUDL AVE., PALERMO
ELECT ERV UPGRADE
' L Ll . 30 -02
026-212-008 06-1698
MURILLO, TINA
2289 LUDLUM AVE, PAL,ERMO
Cont: OWNER
ADD_
&GAR
B07-0851 026-212-008
MISCELLANEOUS Remodel
GARAGE CONY. TO LIVING SPACE 5
2289 LUDLUM AVE
MURILLO, RUBEN & TINA M Q
&P
w�
d IrR_(
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I
t
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4
026-21-2-008
2289 Ludlum Avenue, Palermo
'H.D. letter 7/29/94
026-212-008 0_2-0951
MURILLO, TITI
2289 LUDL AVE., PALERMO
ELECT ERV UPGRADE
' L Ll . 30 -02
026-212-008 06-1698
MURILLO, TINA
2289 LUDLUM AVE, PAL,ERMO
Cont: OWNER
ADD_
&GAR
B07-0851 026-212-008
MISCELLANEOUS Remodel
GARAGE CONY. TO LIVING SPACE 5
2289 LUDLUM AVE
MURILLO, RUBEN & TINA M Q
&P
w�
d IrR_(
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CQUM (�
AUG 0 S. 2007
DEVELOPMENT
County of Butte SERVICES
Oroville, California
GENERAL CLAIM
CLAIMANT: Tina Murillo
'�5 3N a ✓
ADDRESS: 2289 Ludlum Avenue
CITY & STATE: Palermo, CA 95968
DATE f1F CI AIM- n7/3f1/f17
SUBMIT CLAIM TO DEPARTMENT RECEIVING GOODS OR SERVICES
DATE
DESCRIPTION OF CLAIM DESCRIBE FULLY TO AVOID DELA
AMOUNT
Refund Claim - See attached calculation sheet rAP_N:_02&212-008_. f
Permit No.:06.1698 i
PAID
RETAINED
REFUND
Development Services
$ 1,292.27
$ 571.90
$ 720.37
EH Buildinq Plan Review
$ _
$ _
SMIP
$ 8.29
$ -
$ 8.29
SHR
$ _
$
$ _
SRA
$ -
$ -
$ -
TOTAL
$ 1,300.56
$ 571.90
$ 728.66
:::::
%.'. ."�%. . . . .
::::>Oht:::::::>�
:::::..........
.
101001 DVLPMNT SVC
440-001
4210500
$ 720.378
4614901 Building Plan Review
0021
540013
$
1011298 $MIP
1001
280
$ 8.29
1011811 SHR
1800
280
$ -
101001 SRA
0100
4617240
$ -
TOTAL
$ 728.66
$ 728.66
. _ _.ww.roe . — .— K,, mny ui perjury'Flat mu services or articles claimed nave Dean pertormed or delivered, and that this
claim is true and correct as stated.
Dated this day of ! 2007, at P Calf.
Signature of Claimant
1, the undersigned, hereby certify that, to the best of my knovAedge, the services or articles specified above have been performed or
delivered and that there Is a Budget Appropriation or Specific Board Approval (Check o same.
Dated this day of .2007. at Oroville C b
Department Head or Authorized Deputy
Dept. . SEE Exp.
Code BREAKDOWN Code PAYABLE FROM FUND
DO NOT WRITE BELOW THIS LINE - AUDITOR'S USE ONLY
DEPT & SUB PROJ SUB. OBJ CLAIM NO. INV NO. INV. DATE ENCUMB. GROSS AMT.
i'
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
www.buttecounty.net/dds
www.buttegeneralplan.net
ADMINISTRATION * BUILDING" PLANNING
August 2, 2007
Tina Murillo
2289 Ludlum Avenue
Palermo, CA 95968
Re: Refund Requests for Building Permits 06-1698 and B07-0851
Dear Ms. Murillo:
We have reviewed the requests for refunds for both of the building permits listed above
For permit B07-0851 for the garage conversion, you paid for the plan check portion of the permit. Both the
Building and Environmental Health plan check services you paid for were completed, and no refund is
available for that permit.
There is a refund of the inspection -related services for permit 0671698. You paid $775.36 for inspection
services, and $8.29 for SMIP and because you have withdrawn your permit prior to starting work, you are
eligible for a refund. There is a refund fee of $54.99, so the refund total for this permit is $728.66.
I've enclosed the refund calculation sheets for your information on both permits. Please sign, date and return
the enclosed claim form so we may process for payment. Please return the claim to us at:
Attn: Accounts Payable
Development Services
7 County Center Drive
Oroville, CA 95965
Please feel free to contact me should you have any questions, I can be reached at 538-7464.
(5;cerely,
eb ah DeBrunner
Manager.— Program Development
Enc: 2 calc sheets/1 claim form
ArKKUVAL
GHEUK: $728.bb
Date Reviewed 7/30/2007 DIFFERENCE: $0.00
Bill Barron (Should be blank)
Supe sor Building Inspector
a
REFUND CALCULATION SHEET
CLAIMANT:
Tina Murillo
ADDRESS:
2289 Ludlum Avenue
CITY & STATE:
Palermo, CA 95968
DATE OF CLAIM:
07/30/07 APN: 026-212-008
RECEIPT INFORMATION
NUMBER:
456210 461282
DATE:
7/14/2006 9/12/2006
ISSUED TO:
Tina Murillo Tina or Ruben Murrillo
CHECK #:
1021 1034
AMOUNT:
$516.91 $783.65 $1,300.56
PERMIT #:
06-1698 06-1698
Yes No Yes No Yes No
PRIOR REFUNDS:
X X
FEES VERIFIED
X X
r REFUND BREAKDOWN
Title
BLDG
" EHSMIP`
HER DEV FE
t' `
Fund
-.0010
0021 ..
1001
!� `.1800
Dept
440-001
540013
(SMIF),c:
(SHR) -,
Accnt
4210500
4614901-
01"-"'280 r
�^c'
';280 ,':
Cash
101001 '
101001RI
�'1011298V
- 1011811,:
DETAIL
PAID RETAIN
REFUND
.,
BLDG SNMTi4 109.98 1292.27
,x
:•:•.
: ::
:::::::: >::
:>":.:.:.:.:.:.::.:.':.:.:.
..........
....................
::::::::::
»::::::::::::
>;: ;:
>::::::« .
: .:.::..........
..........
::::::::::::::::::
»:
»»:::: :
.........
..........
»:::::::
Filingfrom Plan Check
0.00.
Plan Check/Filin `- . 0.25 :27.50 516.91 516.91
0.00
0.00
Inspection `. ..; 0.00. 775.36
775.36
�'-- - '775,36
BLDG'FEES:;1�WV= .>" UA* F ^r^ "=. a a. 4.& ,H.. " : x. .
g.OTHERBLDGs3_�a:t3tJ '"z13asw ttra
Bldg SRA Inspection Fee:: 0.00 0:00
Fire Spnnker Fee 40/60..:
0.00 0.00
REFUND PROCESS'FEE"' .%: =.' ':: .54.99
54.99 -54.99 :: ":''_•-54.99
..........
...............................
.:...:.:...:........
..........
'...,...............
..........
... '.............
r z 3tSe�"'�.'r!}c.wY :: °• +ik �,"° r^+a St.+'!'4 y�.,,A,... .� .
.,
;BUILDING TOTAL,Ft'�' 1292.27 90x 20.32
, , „'5711 X720.37
:.... , ..:
EH-Suilding Plan, Rewew.'. ��, '_', m °' .r, o 00 :�= f:y .-h'0.00 :*"-
' 0:00
SMTP ; 4$.?v#)i'+.�'��'-. A&_"
1YAM9*Vj 8.29 S�if`' `:�t � `}t e�"r8:29. w. , r. r i«
Y.h _ . 8:29
SHRr.x'
SRA'
$ 1,300.56 $ 571.90 $ 728.66 ViAAiUif
ArKKUVAL
GHEUK: $728.bb
Date Reviewed 7/30/2007 DIFFERENCE: $0.00
Bill Barron (Should be blank)
Supe sor Building Inspector
a
ET
CLAIMANT: Tina Murillo
ADDRESS: 2289 Ludlum Avenue
CITY & STATE: Palermo, CA 95968
DATE OF CLAIM: 07/30/07 APN: 026-212-008
RECEIPT INFORMATION
NUMBER:
DATE:
ISSUED TO:
CHECK #:1070
AMOUNT:
PERMIT #:
PRIOR REFUNDS:
FEES VERIFIED
B2740
4/20/2007
Tina Murillo
SrEH,y
$449.63
B07-0851
No Yes r
No Yes No
X
X
X X
REFUND BREAKDOWN
Title'
� BLDG "A
SrEH,y
SMIP 3HER
DEV F6
"
.
`
Fund
-_OOtOr
* 0021
1901
1800'
Dept
. '.
440-0Ot`
•r y '
64061
ywt W
'a
$(SHR)
Accnt
4210500x4614901
�`w 2 OY
,x280 4,
Cash
„ X191001 +
4* 1 1,
1014298
�T<
"101181114
DETAIL
PAID RETAIN
REFUND
e, :09.98"
' BLDG,, rmm , , i x ¢7 � 4 , = Iry
L +
::::»>:.:.:::::::::.::.:»:.:-:.-:..5:-::
:::.':.:::.: >:
>:.:,:.>:.:.:.:.:
:.:
Filing from Plan Check ux>: < _: 0.00 0.00 F :.•:a':, A, 0.00
Plan Check/Filin ;S; Y- ":;;0.25L27.50 373.93 373.93 0.00 .a. -:�?>i0.00
Ins ecUon, 1i �:.r. • ==�trt 0.00 0.00 0.00 '.: rr ' 0.00
BERG FEES"i" ria �. 4 s;. A
;;.OTHER BLDGuW "T tM...�v
Bldg SRA; Inspection Fee 4
0.00 .0.00
Fire Sprinker Fee 40/60,
0.00 5 .' - 0.00
:: ::
>:::: ;
REFUND PROCESS FEE 54.99
54.99 54.99. 54.99:.......:.
:::::::::.:.:
:.:.:.:.:.:.:.:.:.:.
!., n..� .r ^i �'`6`p�i'7'`'1a3�tw.�.�..+3�' 7"�"G°i`+.;'"�SiM r°fi ��'.p.;"iT.a:
BUIL''D1NGoTOTAL , .aa;.
373.93 . x'428.92 =54:99 -54:99
: >:.............
.
EH Building Plan Review,
;G o:oo
a'}}:.'_ ",,�_ z >
.0.00
K`0./^0��0 (r
M, Q.Vv
$
449.63 $ 504.62 $ (54.99) $ 1y (54 99) $ ' ? " I— i
APPROVAL
CHECK: -$54.99
Date Reviewed
7/30/2007 DIFFERENCE: $0.00
Bill Barron
(Should be blank)
Supervisor Building Inspector
Butte County Departmentof Development Services
Buildingn Division $ t,
7 County Center Drive JUL 1 S 2CO7
Oroville, CA 95965 (530) 538-7541
DE V LOl'1 --,V(530)
REFUND REQUEST APPLICATION
REFUND POLICY - Butte County Code 3-41(t)
1. Refunds can only be made upon written request by the person who paid the fees, whose name is on
the receipt issued for the fees paid. Any refund checks will be made payable to the name on the receipt.
2. The request must be made within two years from the date of fee payments on permits not issued, and two
years from the date of permit issuance for permits issued - if no construction work has been done.
3. Filing fees and plan check fees for work plans checked are not refundable.
4. Fees paid to other County Departments are not covered by this claim.
INSTRUCTIONS: Submit this application to Development Services for determination of refundable fees. A claim will be
generated for any fees to be refunded and sent to the address below for signature (by the person whose name is on the
receipt) and return
CLAIMANT'S NAME:
RECEIPT AMOUNT% l,_ _Ll 4 f1, (0- j: u`i'jv
Check those fees which you wish to have considered for refund:
OBuilding Permit Fees OSheriff Fees OSRA Fees (CDF Fire Planning)
Other (specify) E .. w
Plans for cancelled permits�wlllf be disposed of within 10 working days upon submission of a
Request for Refund. If you want the plans, you may ick them up prior to that time.
I\lAf\ (I �cv
gign'alii;J V I �— . I � i L
K:/Forms/Refund Application 082203
U'1IZP/b--T
Date
BUTTE -COUNTY
DEPAR'T'MENT OF DEVELOPMENT SERVICES
BUILDING PERMIT APPLICATION
OFFICT1: #: (530) 538-7541 FAX #: (530) 538-2140
A FEF. WILL BE REQUIRED AT TIME OFAPPLICATION
Website: www.buttecounty.net/dds ,
"PLEASE PRINT CLEARLY**
OWNER INFORMATION
t Name,
1,5a Name
I Ina
M� �dre s
Ci StateCA Zipa 59 Idi
Phone 53b 5 - 2.4 _
E-mail
\\
APPLICANT SIGNATURE
PROJECT LOCATION
AP# O —.2 -1; -)
Property Address Z ,
City
t,t✓ 5
PERMIT
NO.
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.
DESCRIPTION OR SCOPE OF WORK:
Sq FT- Living �+ Garage Open Cov
❑ • Structure Built without Permits
❑ Proposed Change of Occupancy
(Note previous use):
For office use
Zoning
Occ.
Flood Zone I .Z- I SRA I Yes
Type Const.
CONTRACTOR
Name
Address
City
State
Zip
Phone
rYWT, c29 Ilk
Fax
E-mail
Fax
State License Number
Class
APPLICANT SIGNATURE
PROJECT LOCATION
AP# O —.2 -1; -)
Property Address Z ,
City
t,t✓ 5
PERMIT
NO.
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.
DESCRIPTION OR SCOPE OF WORK:
Sq FT- Living �+ Garage Open Cov
❑ • Structure Built without Permits
❑ Proposed Change of Occupancy
(Note previous use):
For office use
Zoning
Occ.
Flood Zone I .Z- I SRA I Yes
Type Const.
ARCHITECT/ENGINEER
Name
Address
City
State
Zip
Phone
rYWT, c29 Ilk
Fax
E-mail
Fax
State License Number
APPLICANT SIGNATURE
PROJECT LOCATION
AP# O —.2 -1; -)
Property Address Z ,
City
t,t✓ 5
PERMIT
NO.
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.
DESCRIPTION OR SCOPE OF WORK:
Sq FT- Living �+ Garage Open Cov
❑ • Structure Built without Permits
❑ Proposed Change of Occupancy
(Note previous use):
For office use
Zoning
Occ.
Flood Zone I .Z- I SRA I Yes
Type Const.
APPLICANT INFORMATION .
Name
Address
City
State Z
rYWT, c29 Ilk
Phon
Fax
,,)
E -mai
APPLICANT SIGNATURE
PROJECT LOCATION
AP# O —.2 -1; -)
Property Address Z ,
City
t,t✓ 5
PERMIT
NO.
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.
DESCRIPTION OR SCOPE OF WORK:
Sq FT- Living �+ Garage Open Cov
❑ • Structure Built without Permits
❑ Proposed Change of Occupancy
(Note previous use):
For office use
Zoning
Occ.
Flood Zone I .Z- I SRA I Yes
Type Const.
Butte County Department of Development Services
TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR
7 County Center Drive
Oroville, CA 75965
(530) 538-7601 Telephone
(530) 538-2140 Fax
www.buftecounty.net/dds
PERMIT APPLICATION DATA SHEET
Reference Number:
B07-0851
Date:
04/20/2007
Location:
2289 LUDLUM AVE
By:
TMP
Parcel Number:
026-212-008
Sub Type:
Remodel
Owner Name:
MURILLO, RUBEN & TINA M
Phone:
(530) 533-9246
Description:
GARAGE CONV. TO LIVING SPACE 555 SOFT.
❑
Biggs Unified School District, 300 B Street, Biggs CA 95917 - (530) 868-1281
The above permit application has the following Clearances required prior to permit issuance. Please contact each department
indicated below regarding specific requirements pertaining to your permit application.
Yes No DRAINAGE DISTRICTS
Thermalito Irrigation District, 410 Grand Avenue, Oroville CA 95965 - (530) 533-0740
❑ ❑ LOAPUD, 1960 Elgin Street, Oroville CA 95966 - (530) 533-2000
1:1 ❑ City of Chico, 545 Vallombrosa, Chico CA 95926 - (530) 895-4711
Signature of Property Owner: J LA U(A- / / J (,(�/ j_,A1 Date: 04/20/2007
FILE
PARKS & RECREATION DISTRICTS
Chico Area Recreation District, 545 Vallombrosa, Chico CA 95926 - (530) 8954711
❑
Durham Park & Recreation District, 9447 Midway, Durham CA 95938 - (530) 345-1921
E3
Feather River Recreaction & Park District, 1200 Myers Street, Oroville CA 95966 - (530) 533-2011
0
[3
Paradise Parks & Recreation, 6626 Skyway, Paradise CA 95969 - (530) 872-6393
SCHOOL DISTRICTS
E]
❑
Biggs Unified School District, 300 B Street, Biggs CA 95917 - (530) 868-1281
F]
E]
Chico Unified School District, 1163 East 7th Street, Chico CA 95926 - (530) 891-3006
El
E]
Durham Unified School District, 4920 Putney Drive, Durham CA 95938 - (530) 895-4675
Signature of Property Owner: J LA U(A- / / J (,(�/ j_,A1 Date: 04/20/2007
FILE
Gridley School District, 429 Magnolia, Gridley CA 95948 - (530) 846-4723
Marysville School District, 1919 B Street, Marysville CA 95901 - (530) 741-6000
Oroville Elementary School District, 2795 Yard Street, Oroville CA 95966 - (530) 532-3000
E3
Oroville Union High, 2211 Washington Ave, Oroville CA 95966 - (530) 538-2300 Ext: 105
0
[3
Paradise Unified School District, 6696 Clark Road, Paradise CA 95969 - (530) 872-6400
OTHER
Recorded copy of Agricultural Acknowledgment Statement- See Attached Instructions
F]
E]
City of Biggs Planning Department, 3016 Sixth Street Biggs CA 95917 - (530) 868-5447
El
E]
Other:
El
11
Other:
El
F-1
Other:
Signature of Property Owner: J LA U(A- / / J (,(�/ j_,A1 Date: 04/20/2007
FILE
I
BUTTE COUNTY FEE SUMMARY
7 County Center Drive
Oroville, CA 75965
i
Department of Development Services
Phone (530) 538-7541 Fax (530) 538-2140
Permit Number: B07-0851
Job Address: 2289 LUDLUM AVE
Contractor: OWNER
Printed: 04/20/2007
4:30 pm
Fee Description Account Number Fee Amount Paid Date Pmt Amt
DBEH Building Review Fee
0021-540013-4614901-1010 $75.70 04/20/2007 $75.70
DBMSC Remodel -Residential
0010-440001-4210500-1010 $373.93 04/20/2007 $373.93
0010-;,440001-4210500-1010 $560.89
19010.52 $449.63
Printed By: Tammie Powell Balance Due: $560.89
i
At the time of permit application, I was 'advised the above fees are required prior to issuance of the
permit. These fees may change during the pla checking process.
Signature. Date: 04/20/2007
Pursuant to Government code Section 66020, you are hereby notified those items listed above may have been imposed on your project. You have 90 days
from the date of approval of the project or from the impostion of the above referenced items during which you may request a protest. The requirments
for a protest are specified in Government Code Section 66020(a).
Butte County Department of Development Services
TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR
7 County Center Drive
Oroville, CA 75965
(530) 538-7601 Telephone
(530) 538-2140 Fax
www.buttecounty.net/dds
OWNER -BUILDER INFORMATION
An application for a building permit has been submitted in your name listing yourself as the builder of the property improvements specified.
For your protection you should be aware that as "owner -builder you are the responsible party of record on such a permit. Building permits are not required to be signed
by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from
possible liability if that person applies for the proper permit in his or her name.
Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by
law to put their license number on all permits for which they apply.
If you plan to do your own work, with the exception of various tiades that you plan to subcontract, you should be aware of the following information for your benefit and
protection:
° If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $500 or more for the entire
project and such persons are not licensed as contractors or subcontractors, then you may be an employer.
° If you are an employer, you must register with the state and federal government as an employer and you are subject to several obligations including state and federal
° income tax withholding, federal social security taxes, workers/ compensation insurance, disability insurance costs, and unemployment compensation contributions.
There may be financial risks to you if you do not carry out these obligations, and these risks are especially serious with respect to workers' compensation insurance.
° For more specific information about your obligations under federal law, contact the Internal Revenue Service (and, if you wish, the U.S. Small business
Administration). For more specific information about your obligations under state law, contact the Department of Benefit Payments and the Division of lndustrial
Accidents.
If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through thier own employees,
without a license contractor or subcontractor, only under limited conditions.
A frequent practice of unlicensed persons professing to be contractor is to secure an "owner -builder" building permit, erroneously implying that the property owner is
providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work
personally.
Information about licensed contractors may be obtained by contacting the Contractors' State License Board's automated telephone information system at 1-800-321
-CLSB (2752) or by accessing thier website at www.CSLB.ca.gov.
PLEASE COMPLETE AND RETURN THE ENCLOSED OWNER -BUILDER VERIFICATION FORM SO THAT WE CAN CONFIRM THAT YOU ARE
AWARE OF THESE MATTERS. THE BUILDING PERMIT WILL NOT BE ISSUED UNTILL THE VERIFICATION IS RETURNED.
OWNER BUILDER VERIFICATION
PLEASE COMPLETE THIS FORM AS REQUIRED BY THE STATE OF CALIFORNIA (SENATE BILL NO. 831 EFFECTIVE JULY 1, 1980). NO BUILDING
PERMIT WILL BE ISSUED UNTIL THIS VERIFICATION IS RECEIVED.
1. I PERSONALLY PLAN TO PROVIDE THE MAJOR LABOR AND MATERIALS FOR CONSTRUCTION OF THE PROPOSED PROPERTY
IMPROVEMENT. (YES OR NO)
2. I (HAVE/HAVE NOT) SIGNED AN APPLICATION FOR A BUILDING PERMIT FOR THE PROPOSED WORK.
3. I HAVE CONTRACTED WITH THE FOLLOWING PERSON (FIRM) TO PROVIDE THE PROPOSED CONSTRUCTION:
NAME
ADDRESS CITY.
PHONE CONTRACTORS LICENSE NO
4. I PLAN TO PROVIDE PORTIONS OF THE WORK, BUT I HAVE HIRED THE FOLLOWING PERSON TO COORDINATE, SUPERVISE, AND PROVIDE
THE MAJOR WORK:
PHONE
CITY
CONTRACTORS LICENSE NO
5. I WILL PROVIDE SOME OF THE WORK BUT I HAVE CONTRACTED (HIRED) THE FOLLOWING PERSONS TO PROVIDE THE WORK INDICATED:
NAME ADDRESS PHONE TYPE OF WORK
Description: GARAGE CONV. TO LIVING SPACE 555 SQ.FT.
Reference Number: B07-0851
Applicant Name: MURILLO, RUBEN & TINA M
Owner's Name: MURILppLO, RUBEN & TINA MAP AP # : 026-212-008 —7
Signature of Property Ownet"\ /�� �(/7,� Date: q —YAQ — l
Butte County Department of Development Services
TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR
7 County Center Drive
Oroville, CA 75965
(530) 538-7601 Telephone
(530) 538-2140 Fax
www.buttecounty.net/dds
NOTICE TO BUILDERS
Before your building permit can be issued, your plans must be checked for compliance with the California Building Codes. In
addition, your plans are routed to other regulatory entities including but not limited to Planning, Public Works, Environmental
Health, and the California Department of Forestry for their clearances and approvals. There are some things you can do to
expedite your permit:
0 Make sure your application is complete.
0 Be responsive to requests from County departments for any additional materials or requirements.
The Building Division places its highest priority on processing building permits as quickly as possible and each day that passes
without a complete application adds to processing time.
Every permit issued by the Building Official shall expire and become null and void if the work authorized by such permit is not
started or completed within one year from the date of issuance of such permit. A permit may be renewed (for a fee) prior to
expiration an indefinite number of times, provided construction progress has been documented by the Building Division during
each year during scheduled inspections. No changes may be made in the original plans and specifications for such work. In
order to reinstate action on a permit after expiration, the permittee shall pay a new full permit fee and additional plan checking
and documentation may be required. Upon completion of work covered by this permit, please contact this office for final
inspection. As a reminder to you, it is illegal to occupy this building or any portion of the building for which this permit is
issued without a final inspection.
EXPIRATION OF PERMIT APPLICATION AND REFUND POLICY
Application for which a permit has not been issued will expire one year after date of application.
Refunds may only be made upon written request by the person who originally paid the fees. Refunds for permit applications
(not yet issued) must be requested within two years from the date of fee payment. Fees paid at the time of application are
for Plan Check and administration. The Plan Check portion of fees is refundable only if the permit is cancelled or withdrawn
before any plan checking is done. Building Division costs will be deducted prior to authorizing a refund and a charge of
$54.99 to process the refund application will be assessed. Refunds on permits (issued) may be requested prior to the expiration
of the permit, provided no work has been done pursuant to the permit. An Inspection may be required (and deducted from any
refund amount) to determine no work was done.
Fee/refund information can be read on-line at http://municipalcodes.lexisnexis.com/codes/butteco/
Reference Number: B07-0851
Location: 2289 LUDLUM AVE
Parcel Number: 026-212-008
Date: 04/20/2007
Owner Name: MURILLO, RUBEN & TINA M Phone: (530) 533-9246
Description: GARAGE CONV. TO LIVING SPACE 555 SQ.FT.
Signature of Property Owner: C,�,� - Date: 04/20/2007
FILE
f 0�2--008 06-1698 "
I
I TMLLO, TINA,
'I
T
:,
NOTES 2289 LUDLUM AVE, PALERMO
s Cont: OWNER
A(/O�p��� �-► <�,`cS. Ina �- c� . ADD -SF & GAR
` RESIDENTIAL
APN: Permit No.
Owner.
Site Address:
I +! Contractor.
l
Type of Permit:
SPECIAL CONDITIONS
s r CHECKED BY
SRA
FLOOD CERTIFICATE EQUIRED
FIRE SPRINKLERS REQUIRED
SPECIAL INSPECTION ITEMS
VERIFY
USE PERMIT CONDITIONS
SUBSTANDARD HOUSING LETTER
ENCROACHMENT PERMIT
REINSPECTION FEE PAID
ENV HLTH CLEARANCE
DATE JOB FINALED:
SIGNATURE:
> ti .tea •- � '. .... . �.
Y`
1
f
:r
SPECIAL CONDITIONS
s r CHECKED BY
SRA
FLOOD CERTIFICATE EQUIRED
FIRE SPRINKLERS REQUIRED
SPECIAL INSPECTION ITEMS
VERIFY
USE PERMIT CONDITIONS
SUBSTANDARD HOUSING LETTER
ENCROACHMENT PERMIT
REINSPECTION FEE PAID
ENV HLTH CLEARANCE
DATE JOB FINALED:
SIGNATURE:
> ti .tea •- � '. .... . �.
+=OK
0 = Not OK
MANUFACTURED HOMES
MISCELLANEOUS -
DATE I LiPERMANENT FOUNDATION SOFT -SET
1 Zoning -Setbacks -Easements
2 Soils; Special MH Support Sketch
3 Sewer; Loctn-Test; Fall/C/O-Concrete
4 Wtr; Loctn-Test-Easeinent Needed -Regulator
5 Elec Loctn-DIrncs-Grnd "Amp -Concrete
6 Yard Gas; Loctn-Test-Wrap Nat or LP❑
❑
Inch Sz Ft Lngth
7 Blckng; SzSpacing-Marriage Line
8 Gas; MH Test-Demand-Valve-Cnnctr
9 Elec MH Cntnty Test-Crossovers-Breakers-Clmcs
10 Drain; MH Test -Fail -Flex Cnnctr
11 Wtr & Sewer Connected -C/0 to Grade
12 Gas and Electricity Tagged
13 Tie Downs ❑ Foundation ❑
14 Exits
15 Cert of Occupancy
16 HUD Label/lnsignia Numbers Serial Numbers
- --DQE ID E C K S -C O V E R S'C A R P O R T S'G A R A G E S
1 ZoningSetbacks-Easements
2 Figs; SoilsSz43pthSpacing-CnnctmSteel
3 Decks, Girders/Joists-Dcking-Brcing
Stairs-Duard/Handratis
4 Wood Awn; Posts-Beams4blrs-CnnctrsShthg.
Frmg-Brcng
5 Alum Awn; Columns-DnnctnsSplice-Decal-Encisrs
6 Carports; Wndws-Doors
7 Electric
8 Frmg; Sills-AnchrsStuds-Rftrs Trusses
9 Siding; Nailing -Veneer -Stucco -Lath
10 Roof; Shthg-Roofing
11 Ext; Steps -Doors -Landings
12 Braced Wall pnls
a` s,
DATE --FUO -LS
1 Setbacks -Easements
2 Soils; Compaction -Structure Stability
3 Pool Structure; Steel-Cnnctns-Thickness
Dead Men4Jning
4 Elec Rcptcls/Ung; Distance-GFI
5 Elec Pool Lting; 15 volts-GFI
6 Elec.Enclsrs; Conduit Entries -Terminals -Listed
7 Elec Bonding; Metal w/5'-Drdtng Egp-Htr
8 Elec Grndng; Eqp w/5' Crcitng Eqp-Pool Ightg
Boxes-En6isrs nlboards-lnsultn to Maln Conduit
9 Health Dept App&I
10 Plmb; Cir Test-Wtr Supply Test
11 Lt Niche ,
12 Endsr, Fencing Alarms
13 Bonding, Diving board or Slide
oa d� fid,
Pool Drawing
a
RESIDENTIAL
(Single
&
Duplex)
DATE JUNDERFLOOR
DATE
IPLUMBING
1 ZoningSetbacks-Easements-FloodSlope
2 Ftg Main; Soils-Elec Gmd Ftq Dpth
3 Ftg Garage; Soils-Steel-Elec Gmd Ftg Dpth
4 Ftg Porches/Decks; Soils -Steel Ftg Dpth
5 Stemwalls Wain; Steel-Blockouts Wrapped
6 Stemwalls Garage; Steel-Blockouts Wrapped
6a Hold Downs and Special Anchrs
7 Slab, Steel Wrapped
8 Piers-Frplc Ftg-Steel
9 DWV; Fall -Fitting -Test -2 -way CIO -Sewer Test
10 UF, Gas Pipe; Sz Anchrs-Sz Test
11 Wtr pipe; Test-Anchrs-RgitrService Test
12_ Elec Undrgmd
13 Plenums & Ducts; Cirnc-MaterialSupport4nsultn
14 GirdersSills-Anchr Bolts-Joists-Vnts-Cripples
15 Ace & VnUtn
16 Insulation
DATE JFAAMING
17 Sills Proper Materials & Anchrs
18 Walls Studs -Nailing Spacing & Braces -Plates -Sound
19 Bearing Walls over Girders & fir Nailing
20 Draft Stop in Walls (rat proof)
21 Fire Stops; Furred CeilingsStalrs-Chasers Tubs
22 Headers &. Bear imsSi &-Bearidg-
23 Hangers-PosfCaps-Anchrs-Cnnctns
24 Ceiling Joist-Rftr Ties-Purlin-Roof Brac TnusShthg
25 Frple Ties or Type A Flu'dTrplc Throat Cimc
26 Attic Aix; Sz &•Rutz Prtetn-Draft Stop -Ins Baffles
27 Bdrm Wndws or Exiting Doors -Sill Ht & Dimensions
28 Garage Fire Prtctri Framing -RC Channel
29 Prprty Line Firewall & Opngs '
30 Ext Doors -One 3' -Check Garage 3rd Story, 2 Exits
31 Stairs; Width-Hdrm-Rise-RunLanding-Fire Prtctn
32 Plywd on Roof Ovrhng-Attic Vnts4 tr outrgrs
33 Siding -Nailing Veneer
34 Stucco Lath -Weep Screed-Fndtn Vnts-Undrttr Ace
35 Glazing Area -Glass PrtetnSkyLts-Plastic .
36 Shear Wails; Nailing -Bolts
37 Brace Int/Ext Wall pnls
38 Insults -Walls -Ceilings
39 Infiltration -Walls -W ndws
DATE JELECTRICAL
40 Fxtr & Trnsfrmr Cirnc4ns Prtctn
41 Elec Rcptcls Spacing-Lts & Switches at Doors
42 Sz Boxes & No Of Cndctrs Stapled
43 Romex Installed Close to Edge of Studs & CJ
44 Eqp Grnd made up w/Mech Fstnrs
45 Grndng Electrode Bond Gas & Wtr
46 2 Appinc Cires in Ktchn & Cndctr Sz GFI
47 Subfeed Wire Sz ❑ CU or ❑ AL
AC Wire Sz qa ❑ CU or ❑AL
48 Range Circ ❑ CU or ❑ AL
Oven Circ ya ❑ CU or ❑AL
Insulated Neutral El Y- ❑No.
49 Service -Riser Cndctrs & Gmd Main Dscnnct
50 Eqp Cirncs pnls-Motors-Mech Eqp
51 Clothes Closet Lt-Shwr Lt -Spa Lt
52 Smoke Detector
• s
53 Wtr;Htr; Vent-Acc-Cmbstn Air Baffle
54 Wtr Pipe; Test & Anchr-Nail Prtctn
55 DWV; Test Fittings & Anchr. Nail 'Prtctn
56 Shwr Pan; Test, First flr-Tub Ace
57 Test Tuti & Shwr, 2nd fir - Tub Ace
58 Gas Pipe; Sz & Anchrs '
59 Fire Sprinkler; Test
60 Yard Gas.Piping
o�• ds v� .. 0.y'
UAit I MECHANICAL
61 AC Ducts Insuitn & Support "
62 Vent Fan, Exhaust abv Insulin
63 Condensate Drain & Ovrflw, Sz & Grade
64 Furnace -Vent Acc-Comb Air Rtrn/Vent 115 Outlet
65 Attic Ace & Pltfrm if Furnace in attic
41.
FINAL FINAL
66 Ext Steps -Door & SideLt Prtctn-Landings
67 Smoke Detector
68 Furnace Vnts-Cimc-Comb, Air-Cnnctr
In Garage; abv-flr-Ducts-Meth Prtctn
69 Bedroom Exiting
70 GFI & Bath Fxtrs & Tub AccSpa
71 GFI Are Fault
72 Elec Trim & Subpnl, Breaker Szs & Labels
73 Stairs, Guard/Handrails
74 Frplc or Stove, Cimc-Hearth
75 Elec Outlets at Wood Pnl, Int & Ext
76 Ktchn, Fxtr & Appinc; Gmd Nr -Gap -Cooking Clrnc
77 Elec Outlets & Rcptcls at Ktchn Counter
78 Garage Fire Door; Swing -Landing -Closure
79 AC Duct in Garage -Damper.
BO Wtr Htr; Vnts-Clmc-Com Air Cnnctr-PRV; abv fir
Mech Prtctn; LPG Appince Undr House 3' drain
81 PImb; Elec & Mech Eqp Listed for Loctn
82 Elec Rcptcls in Garage (GFI) Romex Prtctn
83 Insults -Foam -Looked in Attic
84 Guard Rails & Deck Cnstrctn-Post Caps
85 Fndn Vnts & Crawl Hole Door Drnge & Wood -Earth
86 Clrnc Dmge Planters ❑ Yes [:]No
87 Stucco Brown -Finish
88 AC Unit Dscnnct, Elec-PImb
89 Vnts abv Roof, PImb-Appinc-Frplc-Cimc to Opngs
90 Wtr Well, Dscnnc% Elec, PImb
91 Ext Elec Trim, GFI Rcptcl-Undrgmd
92 Vntltn thru House
93 Glass Prtctn
94 Corrections from previous Irispctns
95 Gas Test -Meters Tagged, Gas-Elec
96 Wtr & Sewer Cnnctd-D/O to grade -HD Apprvl
97 Energy Cmpinc Cert -Other Certs
98 Address Posted
99 Fire Sprinkler
e`er o'er• �s.
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT
24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO)
OFFICE M (530) 538-7541 FAX#: (530)538-2140
WEBSITE: www.bu'ttecounty.neAdds
PERMIT NO.
f-1911.1[:�:�:3
LICENSED CONTRACTORS DECLARATION
I hereby affirm under penalty of perjury that I am licensed under
provisions of Chapter 9 (commencing with Section 7000) of Division 3 of
Issued Date: 09/12/2006 APN: 026-212-008-000
the Business and Professions Code, and my license is in full force and
effect.
License Class : License Number:
Site Address: 2289 LUDLUM AVE PAL
Date: Contractor.
Map Index:
Description: addition (1072), gar (551)
OWNER -BUILDER DECLARATION
I hereby affirm under penalty' of perjury that I am exempt from the
Contractors' Slate License Law for the following reason (Sec. 7031.5
Business and Professions Code: Any city or county which requires a
permit to construct, alter, improve, demolish, or repair any structure, prior
Owner: MURILLO RUBEN & TINA M
to its issuance, also requires the applicant for such permit to file a
DBA MURILLOS YARD CARE SERVICES
signed statement that he or she is licensed pursuant to the provisions of
2289 LUDLUM AVE
the Contractor's Slate License Law (Chapter 9 commencing with Section
7000) of Division 3 of the Business and Professions Code) or that he or
PALERMO, CA 95968
she is exempt therefrom and the basis for the alleged exemption. Any
violation of Section 7031.5 by any applicant for a permit subjects the
applicant to a civil penalty of not more than five hundred dollars ($500).):
I, as owner of the property, or my employees with wages as their
sole compensation, will do the work, and the structure is not
intended or offered for sale (Sec. 7044, Business and Professions
Applicant: MURILLO'RUBEN & TINA M
Code: The Contractors' State License Law does•not apply to an
owner of property who builds or improves thereon, and -who does
DBA MURILLOS YARD CARE SERVICES
such work himself or herself or through his or her own employees,
2289 LUDLUM AVE
provided that such improvements are not intended or offered for
PALERMO, CA 95968
sale. If however, the building or improvements are sold within one
year of completion, the owner -builder will have the burden of
proving that he or she did not build or improve for the purpose of
sale.).
❑ I, as owner of the property, am exclusively contracting with
licensed contractors to construct the project (Sec. 7044, Business
and Professions Code. The Contractors' State License Law does
Contractor:.
not apply to an owner of property who builds or improves thereon,
.
and who contracts for such projects with a contractor(s) licensed
pursuant to the Contractors' State License Law.).
❑ 1 am Exempt under Article 3 of the Business and Professions Code
+-�Z-� Owner:
Date:
License #:
WORKERS' COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for
workers' compensation, as provided for by Section 3700 of the
Labor Code, for the performance of the work for which this permit
Architect:
is issued.
Engineer:
❑ 1 have and will maintain workers' compensation insurance, as
required by Section 3700 the Labor Code, for the performance of
the work for which this permit is issued. My workers' compensation
insurance carrier and policy number are:
Carrier:
Total Square Ft: 1623 S.F.
Policy#:
Valuation: $82,904.00
Census Code:
I certify that in the performance of the work for which this permit is
issued, I shall not employ any persons any manner so a
become subject. to the workers' compensation laws of California,
and agree that if I should. become subject to the workers'
compensation provisions of Section 3700 of the Labor Code, I shall
forthwith comply with those provisions.
�j] �//
✓ t 6 G
q-� Z
�/
Date:
�(N`� J4 Un -'U ! ATV
Applicant:
WARNING: Failure to secure workers' compensation coverage is
unlawful, and shall subject an employer to criminal penalties and one.
hundred thousand dollars ($100,000), in addition to 'the cost of
compensation, damages as provided for in Section 3706 of the Labor
code, interest, and attorney's fees.
CONSTRUCTION LENDING AGENCY t
I hereby affirm that there is a construction lending agency for the
This permit is hereby issued under the applicable provisions of the Butte Cnunty Coda nrl/or
Resolutio s d0 work in i to above for which fees have been paid.
performance of the work for which this permit is issued (Sec 3097 Civ.)
BY: Date: a
'Name:
, ,
PERMIT EXPIRES ON:
Address:
to
❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage,
handling and use of hazardous materials.
❑ Notification in accordance with Section 19827.5 of California Health & Safely Code is not applicable to the scheduled construction of this project.
❑ Attached are copies of the required E.P.A. notification forms.
I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with
all cofrnly and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby
uthorize representatives of Butte County to enter upon the above mentioned property for inspection purpo
•
ImoI_
�(�%� ` /t
Print Name: '1 �Q 1 1 1� 1 �i 1 \ y Signature: / A
:Date:
❑ Owner 0 Contractor 0 Agent for Owner ❑ Agent for Contractor
Butte County Department of Development Services
Building Division
7 County Center Drive LQ fj .N Ty
Oroville, CA 95965 (530) 538-7541
DEVtLO,Piv?t_`+T
t -i
REFUND- REQUEST APOLICATION
REFUND POLICY - Butte County Code 3-41(t)
1. Refunds can only be made upon written request by the person who paid the fees, whose name is on
the receipt issued for the fees paid. Any refund checks will be made payable to the name on the receipt.
2. The request must be made within two years from the date of fee payments on permits not issued, and two
years from the date of permit issuance for permits issued - if no construction work has been done.
3. Filing fees and plan check fees for work plans checked are not refundable.
4. Fees peid to other County Departments are not covered by this claim.
INSTRUCTIONS: Submit this application to Development Services for determination of refundable fees. A claim will be
generated for any fees to be refunded and sent to the address below for signature (by the person whose name is on the
receipt) and return
CLAIMANT'S NAME: /Miii,
IT6
MAILING ADDRESS:
(
PHONE:
ASSESSOR'S PARCEL NO.:
CQ ' Z j Z- L. Q
[Please use one claim form per permit.]
BLDG PERMIT NO.:
Receipt No. 1
Recei t No. 2
Receipt No. 3
Z
RECEIPT NO.:
RECEIPT DATE:
5 121
C,3 �5 b
JCP
RECEIPT AMOUNT:
REASON FOR REFUND REQU ST: (�3�
v Nab-e,-A�m
r n) Q .
Check those holes which you wish to have considered for refund:
Building Permit Fees OSheriff Fees OSRA Fees (CDF Fire Planning)
Other (specify):
Plans for cancelled permits will be disposed of within 10 working days upon submission of a
Request fir Refund. If you want the plans, you may ick them up prior to that time.
Signa re Date
K:/Forms/Refund Application 082203
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.buttecciunty.netldds
PERMIT NO.
BP061698
LICENSED CONTRACTORS DECLARATION
I hereby affirm under penalty of perjury that I am licensed under
provisions of Chapter 9 (commencing with Section 7000) of Division 3;of
Issued Date: 09/12/2006 APN: 026-212-008-000
the Business and Professions Code, and my license is in full force and
effect
License Class: License Number:
Site Address: 2289 LUDLUM AVE PAL
Date: Contractor.
Map Index:
Description: addition (1072), gar (551)
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the
Contractors' Stale License Law for the following reason (Sec. 7031.5
Business and Professions Code: Any city or county which requires a
permit to construct, atter, improve, demolish, or repair any structure, prior
Owner: MURILLO RUBEN & TINA M
to its issuance, also requires the applicant for such permit to file a
DBA MURILLOS YARD CARE SERVICES
signed statement that he or she is licensed pursuant to the provisions of
2289 LUDLUM AVE
the Contractor's State License Law (Chapter 9 commencing with Section
7000) of Division 3 of the Business and Professions Code) or that he or
PALERMO, CA 95968
she is exempt therefrom and the basis for the alleged exemption: Any
violation of Section 7031.5 by any applicant for a permit subjects the
applicant to a civil penalty of not more than five hundred dollars ($5,00).):
I, as owner of the property, or my employees with wages as their
sole compensation, will do the work, and the structure :is not
intended or offered for sale (Sec. 7044, Business and Professions
Applicant: MURILLO RUBEN & TINA M
Code: The Contractors' State License Law does not apply to an
owner of property who builds or improves thereon, and who does
DBA MURILLOS YARD CARE SERVICES
such work himself or herself or through his or her own employees,
that improvements are not intended or offered for
2289 LUDLUM AVE
provided such
sale. If however, the building or improvements are sold within one
PALERMO CA 95968
year of completion, the owner -builder will have the burden of
proving that he or she did not build or improve for the purpose of
sale.).
❑ 1, as owner of the property, am exclusively contracting with
licensed contractors to construct the project (Sec. 7044, Business
and Professions Code. The Contractors' State License Law does
Contractor:.
not apply to an owner of property who builds or improves thereon,
.
and who contracts for such projects with a contractor(s) licensed
pursuant to the Contractors' State License Law.).
❑ 1 am Exempt under Article 3 of the Business and Professions Code
I p ,
1 _ 2—�
Date: Owner:
License #:
WORKERS' COMPENSATIONDECLARATION
I 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
Architect:
is issued.
Engineer:
E31 have and will maintain workers' compensation insurance, as
required by Section 3700 the Labor Code, for the performance of
the work for which this permit is issued. My workers' compensation
insurance carder and policy number are:
Carrier:
Total Square Ft: 1623 S. F.
Policy#:
Valuation: $82,904.00
Census Code:
I certify that in the performance of the work for which this permit is
issued, t shall not employ any persons any manner al as a.
subject to the workers' compensation laws of California,
qi .�become
and agree that if I should become subject to the workers'
rd
compensation provisions of Section 3700 of the Labor Code, I shall
forthwith comply with those provisions.
_ •�/
(
q.— 2 o ce
('J
Date:
l� n
Applicant: � /AN�� �./ wC�[!
WARNING: Failure to secure workers' compensation coverage is
unlawful, and shall subject an employer to criminal penalties and one
hundred thousand dollars ($100,000), in addition to , the cost of
compensation, damages as provided for in Section 37061 of the Labor
code, interest, and attorney's fees.
CONSTRUCTION LENDING AGENCY
I hereby affirm that there is a construction lending agency for the
This permit is hereby issued under the applicable provisions of the Bntte County (:odA nrtlor
Resolutio s do work in i to above for which fees have been paid.
performance of the work for which this permit is issued (Se,c 3097 Civ.)
/�
BY Date: V
Name:
PERMIT EXPIRES ON: Q
Address:
to
Cl I hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage,
handling and use of hazardous materials.
❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project.
❑ Attached are copies of the required E.P.A. notification forms.
I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with
all coOnty and state laws relating to building construction; I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby
representatives of Butte County` to enter upon the above mentioned property for inspection purpos
/1 '//�
f��uthorize
Print Nomee: l �Q 1 1 l�f� �i 1 \ Signature: i / U oX a
}Date:
❑ Owner ❑ Contractor 0 Agent for Owner ❑ Agent for Contractor
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT APPLICATION
AND SUBMITTAL REQUIREMENTS
24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834
OFFICE #: (530) 538-7541
A FEE WILL BE REQUIRED AT TIME OFAPPLICA TION
Website: www.buttecounty.netldds
**PLEASE PRINT CLEARLY**
APPLICANT INFORMATION
OWNER INFORMATION
Lost Name
,
First Nwe
A e
City
l
V
Stat
Zi I P
l20
Phone
0( I (,0
`C `�
Fax
E-mail
_
APPLICANT INFORMATION
CONTRACTOR
Name
City
Address
Zip
City
Fax
State
Zip
Phone
Map Book
Fax
E mail
Planner
Lic. #
Class
APPLICANT INFORMATION
ARCHITECT/ENGINEER
Na e
City
Address
Zip
City
Fax
State
Zip
Phone
Map Book
Fax
E-mail
Planner
State License Number
APPLICANT INFORMATION
Name /
'(
Address
City
State
Zip
Phone
Fax
E-mail
APPLICANT SIGNATURE
I Y� - u_a ko
For office use only:
Zoning
jZ-
Flood Zone
ross Street
r w V>
SRA I
Yes
I No
Occ.
Type Const.
Subdivision Name
Map Book
Page
Lot #
Planner
Date Approved:
OVER FOR SUBMITTAL REQUIREMENTS
PERMIT
NO.
BPO61698
BIN #
PROJECT LOCATION
AP#Q 2-6 -Z/ 2--- 06e>
Property Z2rpss
wA Lu
I le
ross Street
r w V>
WORKER'S COMPENSATION
Policy Number
Carrier
If hiring anyone other than license contractors, a certificate of worker's
compensation must he shown at the time of permit issuance.
LENDING AGENCY
Nae
A ress
Descripti or scoqe of rk:
0073) K*t2-
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
required.
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.
9/
Received by: Amount: Amount: — Bldg
(Y ' SRA
Receipt #: / 2) O Sheriff
4 5 V SMIP
/
Dat Other
�/I L(—b �� / — T„+nr
K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc Page 1 of 2 REV 8-12-05
SUBMITTAL & PERMIT REQUIREMENTS
The following drawings and specifications must be submitted to the Building Division in order to apply for a
permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK.
❑ 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. No graph paper!
❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans (No graph paper!) OR
Engineered plans, 3 or -4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations.
❑ 3. Engineered truss details and layouts in duplicate (if required). No faxes!
❑ 4. Energy compliance design and supporting documentation in duplicate.
❑ 5. Statement of Intent for Non -heated and 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.
0 10. Letter of intent for non-residential buildings.
.❑ 11. Building Permit Application Without Required Clearances Form
❑ 12. Hazardous Material Form (for Commercial Buildings only).
Remaining items needed to issue the permit. Additional items may be required after Plan Check and Planning
review (May require additional plan review upon receipt of the following items.)
❑ 1. Agricultural Buffer clearance and site plan approval from the Ag Commissioner's office (if required).
❑ 2. Impact Fees.
❑ 3. California Department of Forestry plan approval (if required).
❑ 4. NPDES Form.
❑ 5. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy).
❑ 6. Contractor's license information. (Number, Name Style, Classification).
❑ 7. Worker's Compensation Carrier and Policy Number.
❑' 8. Owner -Builder Verification (if required).
❑. 9. Letter of Signature authorization (if required).
❑ 10. Recorded copy of Agricultural Acknowledgment Statement.
❑ 11. ❑ Legal description from current recorded grant deed, ❑ Copy of M.H. Title, Title transfer, or MCO.
❑ 12. Sanitation and site plan approval from the Environmental Health Department.
If you have questions or would like additional information regarding this process, please contact a
Permit Assistant at (530) 538.7541.
EXPIRATION OF APPLICATION
Applications for which a permit has not been issued will expire one year after date of application. In order to renew action
on an application after expiration, a new application, plans and fees will be required.
REQUEST FOR FEE REFUNDS
Refunds can only be made upon written request by the person who paid the fee. The request must be made within two
years from the date of fee payment on permits not issued, and two years from the date of permit issuance for permits
issued; however, on issued permits refunds can only be made if .no construction work has been done.' Filing fees, plan
check fees for work plan checked and other department costs are not refundable.
OVER FOR BUILDING PERMIT APPLICATION
KAFORMS\BUILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2 REV 8-12-05
COUNTY OF
7 County Center Drive, Oro`
PERMIT
v✓24 bLt)
�D ON17g
OF DEVELOPMENT SERVICES-BUILDIN DIVA ION
CA 95965 Phone (530)538-7541 Fax (530)538-2140
PLICATION DATA SHEET
ASSESSOR PARCEL NUMBER G 2 G 24 7- ^` V
11i
Proposed Building Use: D 177 6� I Permit Technician: Date: (/-e>6
Items required in order to apply for a permit All boxes MUST be checked OR marked NA in order to apply.
\
10 1. Site plans, 3 or 4 sets, signed by the preparer of the plans.
�j tN 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.
�j 1 N 4. Engineered truss details and layouts in duplicate. No faxesl
❑ 5. Letter from Engineer or Architect for truss design review.
10 6. Energy compliance design and supporting docuimentation 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 calks 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.
O 11. Hazardous Material Form
M 12. Acknowledgement of building permit application without required clearances.
❑ 13. Other
"Rem ining items needed to issue the permit (May require additional plan review upon receipt of the following items.)
b 14. Sanitation and site plan approval from the Environmental Health Department in ❑ Chico ❑ Oroville, as applicable
❑ 15. Fire Sprinklers ......................................... I. ..................................................
❑ 16. Agricultural Buffer dr and site plan apr from the Ag Commissioner Sent by
❑ 17. Soils Report and/or Engineered Foundation required ...........................................
❑ 18. Erosion Control Plan Required ................... 7 ..................................................
19. Fees as shown on the attached Schedule of Fees Due Sheet ..............................
20. City of Chico Plumbing permit.......................................................................
❑ 21. Site plan and business license approval froml the City of Biggs ..............................
❑ 22. California Department of Forestry plan approval ❑ paid. Sent by: ..........
23. Planning approval for (A) Use: � (B) Parking: (C) Parcel Check: Y.
�❑ 24. Contact Land Development about _ Improvements, _ Drainage ........................
\ ❑ 25. Fire Marshall Review (commercial projects only). Sent by: ......................
�7 ( ii .26. NPDES Form.........................................!...................................................
❑ 27. Encroachment Permit for driveway from the Public Works Dept ...........................
❑ 28. Contractor's license information. (Number, Name Style, Classification) ...................
\ ❑ 29. Worker's Compensation Carrier and Policy Number ..........................................
nJ 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, ❑ M.H. Title, title search, registration or MCO .........................
❑ 36. Other. I
❑ 37. Other.__
r -37i
When issued Telephone ( / N At -19 2 D and hold for pickup.
I have been informed of the above items and requirements for obtaining a building permit.
Appiican , -�� Date:
1. Index permit application for the above ite7ris red: i Plan Check Letter
2. Additional items required i
Contractor, design owne was advised of th ove data by phone, aKail, ❑ counter, by Date: - -
Contractor, designer, owner, w , iced of the above data by 10 phone, ❑ mail, ❑ counter, by Date:
Contractor, designer, o r, w iced of the above dat by ❑ phone, oma il, ❑ co Date:
Plans reviewed by Date: OCP Plans approved by: Date:
Structural reviewed by: Date: ' Structural approved by: Date:
Note transfer by: Date:
Yellow: Building Division
I
V
e i
TO: Building Division = Development Services
FROM: Environmental Health
SUBJECT: Sanitation Clearance
Owner I Location
t
Plot Plan Attached
Floor Plan Attached r w
Sent to 8D/DS
/
AP#
Plan Approved for: Sewage Disposal:: Water Supply: Public Private Well
In
Clearance for -"*' dwipiling. Other
Hold final for:
Final
c,1- /.-5,--Q IPo-C� ,
MI
//-/,0
tsunaing uearance w/wo
X
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
App Date:
murillo
7/1 A /)nna
APN No: 26-212-008 Permit Type: Subtype:
Permit No: BP 06 1698 Permit Desc: I I 1W
1 BUILDING PERMIT FEES ESTIMATED AT APPLICATION
Plan Check portion of Permit Fee
2 FEMA RYes Flood Elevation Review $109.98
3 SRA' Yes Fire Plan Check - Non -Refundable $95.00
(State Responsibility Area) Building Inspection $109.98
NON-REFUNDABLE portion of fees due at application
$1,292.27
$516.91 $775.36 Balance of Building Permit Fee
0
0 _ $204.98
$516.91
FEES DUE AND PAYABLE AT TIME OF PERMIT APPLICATION l $516.91
FEES (BELOW) DUE PRIOR TO ISSUANCE OF PERMIT $783.65
RECEIPT DATE Tech/Asst
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: ��M(tet/um Date: 7—/,
f-0
Co
Pursuant to Government code Section 66020, you are Kereby 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 041506
BUTTEC UNTY DEVELOPMENT FEE CERTIFICATION FORM
EITHER RIVER RECREATION AND PARK DISTRICT (FRRPD)
❑ CHICO AREA RECREATION AND PARK DISTRICT (CARD)
❑ PARADISE RECREATION AND PARK DISTRICT (PRPD)
❑ DURHAM RECREATION AND PARK DISTRICT (DRPD)
Assessor Parcel Number (s) �'2���-moi �� Building Permit Number -6-6- A�76 d
Property Owner (s)
Project Location /A
Subdivision Name
Assessable Sq. Ftge A) %
Type of Residential Development (check one)
New Development Single Family -Detached Single Family -Attached
Alteratio ddition s Non -Residential to Residential Multi -Family Dwelling
Mobile home Mobile home replacement verified by Assessor Department
Demo Permit (date issued ) verified by Building Department
Comments: z4a� lwli
Department Representative
❑ FRRPD ❑ CARD ❑ PRPD ❑ DRPD certifies that:
Applicant Name
Mailing Address
Phone Number
City
State Zip
Has complied with requirements of the Butte County Board of Supervisors Resolution No.
by Payment of:
Dwelling Units @ $
Square Feet @ $ _
Remarks:
per unit for a total of $ 0
per sq foot for a total of $
Paid by Check No: Paid by Cash: Receipt No:
61AA_�'Jrl �OQ_ �
BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM
(One form per Building)
School District P/7 /19wml) 04 Ira do-, h Building Department No.
U
A.P. Number Jurisdiction: City ®County
Property Owner
Property Location
Subdivision
04 - f
Lot No.
,...............................................................................�
Residential Development € Sq. Footage %n 7
No of Living Mobile Home Addition/ 'Supplemental to '• (Group R)
t._ _:4.� �.
Units ' Installation i Conversion 'Permit # "
'(No foundation inspection)
........................................................................................
Commercial/Industrial Q Q
New Addition
Department
Deed Restricted Sq. Footage
(Attach a signed copy of Deed Restriction and Notice of Limited Use Facility document)
Sq. Footage
(Including Exterior
Roofed Areas)
Date
Lntification No. 074050 t
1 I NSchool District certifies that
nU (pplicant)
9
(Street Address)
(City)
has compligd,with the requirements of Resolution No.
jj()-7� square feet.
School District Representative
Paid by Check # Remarks:
(Phone Number)
?sq &4?
(State) (Zip Code)
�
by payment of $ p- .3t0
B 2926 $
ULL MITIGATION,,--$
Date
Notice: You may protest the Imposition of the Mas IdentMed above by submitting a wrlitan protest to the District, In canpilance with
Government Code Section 66020(a), within 90 days from the data Mas are paid. FaHure to submit a timely written protest will prohibit
you tram challenging the Imposition of the fees In any court action.
N, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certtllcation Form, the School District Is
notiftad by the applicable Local Planning Agency that this project Isbeing reviewed under the California Environmental GuaHty Act (CEOA)6
this Drolect may be sublect to additional school fees to fulty nrltitiate Its hnpact on the school dbt Wo schools.
White (school district), Yellow (building department), Pink (applicant) feefo m.,ds (305)drlxn
9-7-06
Dear Ms. Murillo
RE: BP # 06-1698 .AP # 02
We have been trying to reach y
issue your building permit you
your balance of fees $ 783.65
If you have any questions rega
538-75,41
Thank'�you, Tammie Powell
Plan Technician
i
12-008
Your permit has been approved. In order for us to
d to pick=up your school and park fee forms and pay
this message please call the Building Department at
0�UTTF0 Department of Development Services
0 0 Building Division
0 0 7 County Center Drive
o - o Oroville, CA 95965
(530) 538-7541 (530) 538-2140 FAX
www.buttecounty.net
FACSIMILE COVER SHEET
Date: /
To:
From: 6/1'��Y►1-� (Of.��
Subject: ��t �l Old ,5
Number of pages (including this cover sheet): Z
Fax Number:
If you do not receive all of the pages, please call (530) 538-7541 as soon as possible.
Special Instructions:
7c Review and respond accordingly.
n For your information only.
CONFIDENTIALITY NOTE: The information contained in this facsimile is confidential and may
also contain privileged information. The information is intended only for the use of the
individual of entity to whom it is addressed. If you are not the intended recipient, you are hereby
notified that any use, dissemination, distribution, of copying of this communications is strictly
prohibited. If you have received this facsimile, in error, please notify me immediately by
ralvnhnne, and return the original tome. Thank you.
11,f? Fax Fax Series 900
,.. Plain PapdA—Fax/Copier
Fax History Report for
Sep 07 2006 12:50pm
Last Fax \
,-6"
y F `
,Twe Identification Duration Pages Result
ti
Sep 7 12:499pm Sent 9534 42 0:00 0 No answer
PRTMENT
0\\\Department of Public Works
o `
o C o u.n t y o f B u t t e
o
J. Michael Crump, LAND DEVELOPMENT DIVISION
v / Storm Water Management Program
Director 7 County Center Drive
Oroville, CA 95965
'cv/ Q` 4 (530) 538-7266
(FAX) 538-7171
National Pollutant Discharge Elimination System (NPDES) Phase II
Construction Storm Water Permit and Storm Water Pollution Prevention
Plan (SWPPP) Acknowledgement [LESS THAN 1 ACRE]
Project Description:
Project Location and/or Parcel Number: -00
By signing below, I, the project owner/owner's agent, certify that this project- WILL NOT DISTURB
I acre or more of land and that I, therefore, do not need to apply for a Construction Storm Water
Permit from the State of California Regional Water Quality Control Board. Phased projects that
contain multiple site build -outs of less than one acre but when combined with subsequent phases total
more than one acre of disturbed soil will require a Construction Storm Water Permit from the State of
California Regional Water Quality Control Board.
I am aware that submitting false and/or inaccurate information or failure to apply for a Construction
Storm Water Permit from the State of California Regional Water Quality Control Board for a project
that disturbs one acre or more of land may result in revocation of grading and/or other permits or other
sanctions provided by law.
Signed: oti
Title:
Date:
Less than I Acre NPDES & SWPPP Compliance Certification
Butte County Storm Water Management Program
. Revised 5/24/04
i
OWNER -BUILDER VERIFICATION
i
Attention Property Owner:
f
An "owner -builder" building permit has been applied for in your name and bearing your
signature.
Please complete and return this information at your earliest opportunity to avoid unnecessary
delay in processing and issuing your building permit. No building permit will be issued until this
verification is received.
1. I personally plan to provide the major labor and material for construction of this proposed
property improvement: YES.[ ✓] NO [ ].
2. I HAVE HAVE NOT [ ] sig` ed 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
i
SIGNED:
PROPERTY
DATE: r%— I
NOTE: This Owner -Builder verification is required by Section 19831 and 19832 of the California
Health and Safety Code.
i
This verification must be completedi and returned to our office before we are permitted to issue the
Butte County Department of Development Services SOT
ADMINISTRATION `BUILDING ° GIS: PLANNING ° I 1 °
o °
o °
7 County Center Drive
Oroville, CA 95965 0'T` �^' o
(530) 538-7541 Telephone CSU 14
(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
pernut 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 .oi 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 incnrancedisability 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,
C--
A.�
Scott Rutherford
Chief Building Inspector
NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code.
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
August 9, 2006
Tina Murillo
2289 Ludlum Avenue
Palermo, CA 95968
Assessor Parcel Number: 026-212-008
Building Permit Number: 06-1698
,r,
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 letter or by completing
and returning a Plan Review Response Form. Your complete and clear response will expedite
the re -check and approval of this project.
PLAN REVIEW COMMENTS-.
�e, e I ✓ 1. In the living room, revise the sizes of natural light and ventilation sources (windows,
I'�i skylights, doors with glazing), to provide an area of not less than 1/10 of the floor area for
light, and not less than 1/20 of the floor area for ventilation -per 2001 C.B.C. section 1203.2.
2. Revise the Title 24 Energy Compliance Report to include the additional fenestration area
(window(s), doors with glazing) in the living room.
sF `3 3. Specify pressure treatment for wood in contact concrete or masonry per 2001 C.B.C. section
P 5� 2306.2. (2 X 10 ledger)
4. Clarify the installation of the 5/16" X 3'/z" lag. bolts (2 EA at 24".oc) in the concrete stem wall.
Provide design calculations or manufacturer's specifications to verify the adequacy of the
connection. ��� �s •tio4- a1wK6%_+A-CQ to
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.
Kristin Lee Wreden
Building Plans Examiner
kwreden@buttecounty.net
J
Butte County Department of Development Services QTrF
TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR 00 \" , 00
o o
7 County Center Drive o o
Oroville, CA 95965
(530)-538=7601 Telephone -- ---
(530) 538-7785 Facsimile c�ON'�y
ADMINISTRATION * BUILDING * PLANNING
August 9, 2006
Tina Murillo
2289Ludlum Avenue
Palermo, CA 95968
Asse'sso'r Parcel Number: 026-212-'008,
Building Permit Number: 06-1698
Thank you for submitting the plans for your building project. The plans have been reviewed and
comment's are listed below. Please respond in writing to each item by letter or by completing
and 'returning a Plan Review Response Form. Your complete and clear response will expedite
the re -check and approval of this project.
PLAN REVIEW COMMENTS:
1. In the living room, revise the isizes of natural light and ventilation sources (windows,
skylights, doors with glazing), to provide an area of not less than 1/10 of the floor area for
light, and not less than 1/20 ofl the floor area for ventilation per 2001 C.B.C. section 1203.2.
2. Revise the Title 24 Energy Compliance Report to include the additional fenestration area
I(window(s), doors with -glazing) in the living room.
3. ;Specify pressure treatment for wood in contact concrete or masonry per 2001 C.B.C. section
2306.2. (2 X 10 ledger)
4. 1Clarify the installation of the 5/16" X 3 Y2" lag bolts (2 EA at 24" oc) in the concrete stem wall.
Provide design calculations or manufacturer's specifications to verify the adequacy of the
connection.
If you wish to discuss any of th
of X1:00. p.m. and 4:00 p.m., Mo
Please refer to your Data Sheet
when you applied for your perr
Data Sheet.
Kristin Lee Wrederi
Building Plans Examiner
kwreden@buttecounty. net
requirements, please call (530) 538-7541 between the hours
y through Friday.
remaining non -plan check items. (You received this form
The counter staff will answer any questions concerning the
0
' r
026-212-008 02-0951
MURTLLO, TINA
2289 LUDLUM AVE.; PALERMO
ELECTRIC SERV UPGRADE
OFFICE COPY _
Address
GAS
Date -
Meter By
ELECTRIC
Dat ^
f Meter By
«" COUNTY OF BUTTE - DEPARTMENT OF&DEVErOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541P MIT NO.
(Rev.12/96) ,�,,- APPLICATION AND PERMIT ""
ASSESSOR P* LNUMBER
7r�
ZONING
BUILDINGPERMIT
OWNER
''Cj:dii,T n 7T, 7A
TELEPHONE
?"I Ac
SO. FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS
2n9
CONTRAME
TELEPHONE
CONTRACTORS MAILING ADDRESS
CONSTRUCTION LENDER
Fireplace
LENDER'S MAIUNG ADDRESS
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee
$ 20.00
Permit Fee
$
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee
$
BUILDINGADDRESS
22$9 i
Energy Plan Checking Fee
$
$
PERMIT FEE
$
LOT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT
Filing 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 ❑ Ulilities ❑ Installation ❑ Other ❑
Describe Work: hlZCMC S&MCE Sai4 KE
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home IS G W
@20.00
PERMIT FEE
$
ELECTRICAL PERMIT
Filing Fee 20.00
Main Service 200AORLESS
23.00 9 ^ r'
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.POWER
License Class Lic. No.
OWNER -BUILDER DECLARATION
I reby affirm under penalty of perjury that I am exempt from the Contractors License
w 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 I000A
46.00
NEW CONST. DWELLMIG OCCUP.
OR ADDNS. ( & ACC. BLOS.
So
3.50FT.
NON-RESID.MULTI-OUTLET
@7,50
APPARATUS
a SINGLE OUTLET CIR.
EX. Occup. OUTLET OR FIXTURES
BAL @ I.5FIX0
Ex. Occup. DUT�7g RESIp.OEA
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
re—ins tion
23.00 2J . 00
PERMIT FEE
$ ur3.lw
WORKERS' COMPENSATION DECLARATION
1 reby 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.
❑ 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' compensation insurance carrier and policy number are:
Carrier
MECHANICAL PERMIT
Filing Fee 20.00
Heating
Cooling
Hood
6.50
Ventilation
PERMIT FEIE
$
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.)
6cy I certify that in the performance of the work for which this permit is issued, I shall
not employ any person in any manner so as to become subject to workers'
compensation laws of California, and agree that if I should become subject to the
workers' compensation provisions of section 3700 of the Labor Code, I shall
forthwith comply with those provisions.
t 4 , '. ,T D to ti L' r ! • .�
D,ignature of Applicant = [,R' Owner ❑ Contractor Agent
An OSHA permit is re uired'for•r =00ions over 5'0" dee and demolition or construction
of structurs over 3 stories in height. p
Mobile Home Installation Fee
Is
Energy Inspection Fee Is
OCC
CONST. TYPE
TOTAL FEE $ 56, OG
HAZ.
I D. FEES IMP
I AD
COF
PARCEL
pD
HD
ISS
This permit is hereby issued under
of the Butte County Code and/or
indicated above for which fees have
i
By h� . ,�
PERMIT EXPIRES ON q4'.D.S.-B.D.
the applicable provisions
Resolutions to do work
been paid.
f
Date /+•
DBfe
rFl7eceiptNo. .6�
CANARY -A3 ESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIV ION
7 County Center Drive - Oroville, California 95965 - Telephone (530) 538- 41 P ANO.
(Rev.12/96)' ,' APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER
6_ 212 _t
ZONING
BU: DING PERMIT
OWNER
MI TT T n TT\T4.
TELEPHONE
_o
SO. �• OCC. BUILDING VALUATION
.OWNERS MAILING A DV
S3 LUDLUM
2289 968
COM E
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
2289
Energy Plan Checking Fee
$
PERMIT FEE
$
LOT NO.
SUBD'NISIONS 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 as water heater or vent
15.00
TYPE OF WORK
New ❑ Addition 13 Remodel ❑ Utilities ❑ Installation ❑ Other ❑
Describe Work: ELECTRIC SEP.VICE CHANGE.
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home IS I GI W
920.00
PERMIT FEE
S
ELECTRICAL PERMIT
Fling Fee 20.00
Main Service 200A OR LESS
23.00 23
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing witl- Section 7000) of Division 3 of the Business and Professions Code,
and my license is in full force and effect.
License Class Lic. No.20
OWNER -BUILDER DECLARATION
I reby affirm under penalty of perjury that I am exempt from the Contractors License
w 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 '.he project.
❑ 1 am exempt -ender Sec. Business and Professions Code for this
reason
WORKERS' COMPENSATION DECLARATION
1 reby 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 wil 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' :ompensation 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
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.
)JywD to �t -ZZ ` C�� _
i6% re of Applicant - °, Owner Contractor 13 Agent
An OSHA permit is --q irs over 60" deep and demolition or construction
of structures over 3 stories in heigh .
Main Service 200A TO 1000A
46.00NEW
CONST. DWEWNG OCCUP. SO
OR ADDNS. ( a ACC. BLDS. 3.5QFT.
NON.NEW R61DT' MULTI.OIBRANCUTLET @7,50
POWER APPARATUS
a SINGLE OUTLET CIR.
Ex. Occup. OUTLET OR FIXTURES ens G': o
Ex. Occup. OTED D°El 5.00
Temporary Service
23.00
Mobile Home Facilities 20.00
Misc. Wirina 23.00
pre -inspection 1 23.00 23.00
PERMIT FEE $ 66.00
MECHANICAL PERMIT Filing Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEE $
Mobile Home Installation Fee Is
Energy Inspection Fee Is
occ
CONST. TYPE
TOTAL FEE $ 66.00
HAZ.
D. FEES IMP
OD
CDF
PARCEL
Po
HD
S
5Sy
This permit is hereby issued under
of the Butte County Code and/or
indicated above for which fees have
1
y
PERMIT EXPIRES ON
the applicable provisions
Resolutions to do work
been paid.
Date
Date
Receipt No. 3
WHITE-D.D.S.-B.D. CANARY -A SE SOR PINK -INSPECTOR GOLDENROD -APPLICANT
COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES-BUILDINGEIVISION
7 County Center Drive, Oroville, CA 95955' Phone (530)538-7541 Fax (530)5 -2140
PERMIT APPLICATION DATA SHEET
OWNER: 1 ASSESSOR PARCEL NUMBER P a ^ v
Proposed Building Use
: ( t�IC' s ✓ A -1 "" w� Counter Technician: 1` ' Date:
�,n ord
Items required er to apply -for a permit. All bo s MUST be checked OR marked NA in order to apply.
❑ 1.. Plot plans; 3 or 4t sets, signed-byathe prepares of the plans. r
❑ 2. Complete plans, 3 or 4 sets, signed l y the preparer of the plans `' n
❑ 3. Engineered plans, 3 orU4 setsA,with wet"sigriature on plans AND 2 sets of st ed and signed calculations.
❑ 4. Engineered truss details and layouts in duplicate. No faxes!
❑ 5. Energy compliance: des anted supporting documentation in duplicate.
❑ 6. Manufactured homW(AAjData sheets and installation instructions, (B) Marriage line information, (C) Floor Plan, (D;' Tie down or
foundation plans, all in duplicate.
❑ 7.1 Metal bui`•dings: (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 pe --mit 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
❑ 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. Hazardois Material Form ...............................................
❑ 13. Other
Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following itemk)
.❑ 14. Fees°as shown on the attached Schedule of Fees Due Sheet .......................................
❑ 15. Statement of Intent for Non -heated and A/C Buildings .............................................
❑ 16. Sanitaticn 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 ...............................
❑ 21. Encroac=anent Permit for driveway from the Public Works Dept. (construction approval prior to occupancy).
❑ 22. Pre -Inspection for required ................
❑ 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. ❑ Gran: 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 informed of the aboveitemsand requirements for obtaining a building permit.
PPl" ant: ' LGt �� �/ i ���%-LCL .!� Dat�-
1. Index permitapplication 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:
Note transfer by: Date: .
Yellow: Building Division
Plan Check Letter
❑ phone; 0 mail, ❑ counter, by Date:
❑ phone, ❑ mail, ❑ counter, by Date:
_ Pliuis approved by: Date:_
Structural approved by: Date:_
N"
Plan Check Letter
❑ phone; 0 mail, ❑ counter, by Date:
❑ phone, ❑ mail, ❑ counter, by Date:
_ Pliuis approved by: Date:_
Structural approved by: Date:_
. COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive • Oroville, Californib 95965
• Telephone (530) 538-754
RMIT NO
=aev 12/96, APPLICATION AND PERMIT
. SEs:oRPAnc ER/
_ _ I
BUILDING PERMIT
owNEa` ELE3 3 n
s33a�
SO. FT. OCC.
BUILDING VALUATION
OWNERS WAILING ADDRESS
CONTRACTOR S NAME n I TE NONE
CONTRACTCRS MAILING ADDRESS
( I
CONSTRUCTION LENDER
LEI+OERS "UNG ADDRESS
Fireplace .
_
Total Valuation $ �-
ARCMTECT OR ENGINEER UCENSE NO
Filing Fee $ 20,0c
AACMITECT OR ENGINEERS NAIUNG ADDRESS
Permit Fee $
Plan Checking Fee $
Su ILOING ADORESS
a a CCJ�
c�
Energy Plan Checking Fee $
$
PERMIT FEE S
LOT NO. sueoNsaNSNAME PARCEL MAP
PLUMBING PERMIT l Filing Feel 20.00
Each Trap 7.00;
USEOFSTRUCTURE
__
Solar or heat um water heater l 23.001
SF Duplex ❑ Mobilehome ❑ Other
Water piping 15.00
sPEC IFY
Each as water heater or vent 15.001
TYPE OF WORK
��
—
Gas piping system 1 - 5 outlets 15.00i
New ❑ Addition ❑ Remodel ❑ Utilities Installation ❑ Other O
Building sewer ( 15.00:
/ F
Describe Work:
Mobile Home I S I G I W @20.00'
PERMIT FEE j S
ELECTRICAL PERMIT I Fling Fee' 20.00
Main Service 800V OR LESS 3.0
m.DRuzss 23.Tor, !%
Main Service 200A TO 1000A j 46.00:
NEW CONST. OWELLING Occup. 3.5CS0.
OR ADDNS. ( a ACC. BLDS. I FT. i
NEW O MULT,' 0=, @7.501
NON•RESID.
POWER APPARATUS
8 SwME °.RET C.R. I
OUTLET OR FUR.RES aAl ZO ,19 .�
Ex. OCCU „
FUZED AM NS. OR
Ex. Occup. puRETS RESID. E. I j 5.00
*PERNlIIIIT FEE PAID; !� (O �0/
Temporary Service ! 23.00;
S
SRA
Mobile Home Facilities j 20.001
RA
Misc. Wiring j 23.00
SHERIFF
'- i a3 a 0oI a •o�
.�.�p
0' HER
.
PERMIT FEE S 10 '�
MECHANICAL PERMIT Fling Fee 1 20.00
�
Heatingl _
I
Coolin I ;
Hood 6.50 ;
Ventilation I
AMoum RelMiEo : r�
PERMIT FEE S
Mobile Home Installation Fee S
Energy Inspection Fee $
wR NViAf �—
occ CONST. nvE
TOTAL FEE $
w
To im pir zwo comim
Z. 10. FEES IMP I FLOOD CDf PARCEL PD KD SSL=
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
Receipt No.
PERMIT EXPIRES ON
I
WNITE•O.O.S.•9.D. CANARY-ASSESSOR PINK-INSPECTOR GOLDEN ROO•APPLICANT
LVA(a)
ev 12/96)
+:SES:OR PARCEL
-OWNER
VUUN i T OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive • Oroville, California 9,5965 • Telephone (530) 538-754
APPLICATION AND PERMIT - Amli
IMaEA � _
BUILDING PERMIT
'1 EIFPNONE SO. . QC(,',
ti1� 53 3 q FTI BUILDING VALUATION
DRESS
=ONTRACTOR SS .NAME `
TELEPHONE
9 &
:OrrTRACrCAS MAIUNO AOORESS
OrrSTaUCTION IENOEA
'11 -DER S LwuNG ADORESS
,PC-rTECT OR ENGINE
aACMITECT OR ENGINEERS MA4JNG.A00RESS
9WLOING ADORESS
�a
I.or No. s6a0N610N5NAME
USEOFSTRUCTURE
SF Duplex ❑ Mobilehome ❑ Other
NO
MAP
TYPE OFA WORK
%ew ❑ Addition ❑ Renodel 10UtilitieSI"
Il Installation ❑ Other ❑
Describe Work: .-Ca�1��1
"PERMIT FEE PAXO
SRI • •
SHERIFF
OTHE
AAk6Vt4T RECEZap
6 6 . aC)
nR�T
" TO IN !uT wro cowv '!R
Fireplace I I
---
Total Valuatlon S
—
Filing Fee
I S
20 C J
Permit Fee
PlanCheckingCheckin Fee
S -
Energy Plan Checking Fee
E
PERMIT FEE
S
PLUMBING PERMIT
I Filing Feel 20.00
Each Trap
I 7.00;
Solar or heat pump water heater
I I 23.00i
Water piping
15.00,
Each gas water heater or vent
i 15.00,
Gas piping system 1- 5 outlets
I1 5 661
Buildingsewer
I I 15.00:
Mobile Home ISG W @20.00'
PERMIT FEE 1$
ELECTRICAL PERMIT I
Fling Fee' 20.00
Main Service ( "oov OR u:ss
zow oR IEss )
23 00'x3 0_!%
Main Service ( 20" To Io *A ) I
I 00 `
NEW CONS,. DWELLNG OCCUP.
(I46
OR AOONS. &ACC. BIDS
I—L
I 3.SCso'
R.
W
NON•RES10. MULTFOUTLET
;
@7.50;
POWER APPARAT US
i SIN
SINGLE OUTU:T CIR,
I
_Ex. Occup. ( ovnET OR coTTuaEs)
za 1.00 • -
BAL i !0
Ex. Occup. (oFlXEO APPLNS. OR
vnErs (RESID EA ) I
I S.00
Temporary Service I
_
23.00!
Mobile Home Facilities
j 20.00'
Misc. Wiringi
23.00
Ila34Oola d
PERMIT FEEJ
S 106-001
MECHANICAL PERMIT
Filing Fee 1 20 00
HeatingI
; --
Cooling
-
Hood
j 6.50 ;
Ventilation i
PERMIT FEE I S
Mobile Home Installation Fee+SS Energy Inspection Fee
«c «NST TTS TOTAL FEE $
NAj. 10. FEES
PARCEL I PO 1 "0 : ;SS' E
This permit is hereby issued under the applicable provisions
of the Butte County Code end/or Resolutions to do work
indicated above for which fees have been paid.
By
meipt No. PERMIT EXPIRES ON
HiTE•O.O.S.-S.O. CANARY -ASSESSOR PINK -INSPECTOR OOLOENROO•APPLICANI
Date
OWNER -BUILDER VERIFICATION
Attention Property Owner:
An "owner -builder" building permit has been applied for in your name and bearing your signature.
Please complete and return this information at your earliest opportunity to avoid unnecessary delay
in processing and issuing your building permit. No building permit will be issued until this
verification is received.
1. I personally plan to provide the; major labor and materials for construction of the proposed
property improvement : YESXNO 0
I HAVE HAVE NOT 0 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:
KESS. CITY:
PHONE: CONTRACTOR'S LICENSE NO.
4. 1 plan to provide p 'ons of this work, but I have hired the follo g person to coordinate,
supervise, and provide ajor work:
NAME:
ADDRESS: CITY:
PHONE: CO 'S LICENSE NO.
5. I will provide some of the wor ut I have contracted ' ed) the following persons to provide
the work indicated:
NAME ADDRESS PHONE TYPE OF WORK
SIGNED: i
PROPERTYOWNER:
SOCIAL CURITY NUMBER :�
DATE: 4 -Z2 ~DZ
NOTE. This Owner -Builder Ver cation is required by Section 19831 and 198.32 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.
OVER
OWNER BUILDER INFORMATION I
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 parry of record on such
a permit. Building permits are not required to be signed by property owners unless they are personally performing their
own work. If your work is being performed by someone other than yourself, you may protect yourself from possible
liability if that person applies for the proper permit in his or her name.
Contractors are required by law to be licensed and bonded by the State of California and to have a business
license from the city or county. They are also required by law to put their license number on all permits for which they
apply.
If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should
be aware of the following information for your benefit and protection:
♦ If you employ or otherwise engage any persons other than your immediate family, and the work (including materials
and other costs) is 5300 or more for the entire project, and such persons are not licensed as contractors or
subcontractors, then you may be an employer.
♦ If you are an emplover, 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 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
permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building
permits are not required to be signed by property owners unless they are performing their own work personally.
Information about licensed contractors may be obtained by contracting the Contractors State License Board in your
community or at 1020 N Street, Sacramento, CA. 95814.
Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you
are aware of these matters. The building permit will not be issued until the verification is returned.
I+MMicg9-'erC,BVuiAi1di2ng
B.O.
Inspection
NOTE This Owner -Builder Information is required by Section 19830 of the California Health and Safety Coda
OVER
PRE -INSPECTION REPORT
OWNER:
LOCATION:
CONTRACTOR: Q�
PRE-INSPETION
DATE:
A.P. #• b a G - a I2L4_0_
ZONING:
DATE TO INSPECTOR: 1421-01- PERmrr HISTORY:( ) NONE �Aks FOLLOWS:
Building Description:
Commercial/Usage:
Residential/# of Units:
Currently Occupied
Abandoned/Vacant
Electric:
Yes No
Condition of Electric
BUILDING INSPECT'OR'S REPORT
Electric currently On Off
Gas:
Natural Propane None Currently On� Off
Obvious Problems:
Sanitation:
Plumbing Working
Well Working Potable Water
Obvious SewageProblems en /_
Comments:
ACTION. RECOMMENDED: ISSUE: HOLD FOR
Date
d - �1�-I) 2 -
Sketch buildings on reverse and.indicate location on property
�Iev 12/96)
Ar SESSORPAAC0.
_ I
OWNER
I.UUN If ur ou I I c - ucran r Mr -l'1 I ur uc rcL-vrntcl. , .�cn v Lur v I.,IUN
7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT
APPLICATION AND PERMIT .
- -1 ZOW40 1BUILDING PER
r�iJJJ�o
CONTRACTOR S NAME. nn
O � I Y
/\
__
CONTRACTORS MA4JNO ADORESS
ELECTRICAL
C3?,S TRUC T,ON LENDER
Fling Fee; 20.00
LENDER S MMUNG ADORESS
OOOV OR
( LE sss S ) I
ARCWYECT OR ENGIN<ER
Main Service (
AACNITECT OR ENGWEERS WAILING ADDRESS
BL,gOuJG ADORESS
a R- LI
NEW CONST.
(
LJT NO. 1 SUBDIVISIONS NAME
PARCEL MAP
USEOFSTRUCTURE
SF)d Duple: ❑ Mobilehome ❑ Other
SPEC
TYPE OF, ^WORK
New ❑ Add. -tion ❑ Remodel ❑ Utilities Installation ❑ Other ❑^
Describe Work:
"PERAUT FEE PA10
SkARI•
SHEFF
OTHER
AMOUNT REcamb
V]
•iter t�xi�i� � � �d'�J V
TO N KM 0" COMPVM
Receipt No.
WNITE•OJ0.3.•8.0. CANARY•ASSESSOR PINK•INSPECTOR OOLOENROO•APPLICANT
MIT
SO. FT. I OCC. BUILDING VALUATION
PERMIT FEE I S
(ouOAPPIN$O.R. Occup.
ELECTRICAL
I _
Fling Fee; 20.00
Main Service
OOOV OR
( LE sss S ) I
23.00;a3.00
Main Service (
I
I 46.0Q
NEW CONST.
(
OWELLYJO OCCUP.
I 3.SC50
OR BONS.
Fireplace
FT. i
--
Total Valuatlon is
7.
� 50i
NON•RESIO.
Filing Fee
i s
20 G:
Permit Fee
$
Plan Checking Fee
$
Energy Plan Checking Fee
$
PERMIT FEE
S
PLUMBING PERMIT
Fling Fee 20.00
Each Trap
Solar or heat pump water heater
23.00i
Water piping
I
15.001
Each gas water heater or vent
15.00,
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00;
Mobile Home I S I G 1 W
I j
@20.00•
Ex. Occup. (oLrtLET OR FOrTIJREs ) I
PERMIT FEE I S
(ouOAPPIN$O.R. Occup.
ELECTRICAL
PERMIT I
Fling Fee; 20.00
Main Service
OOOV OR
( LE sss S ) I
23.00;a3.00
Main Service (
?DOA TO IOOOA ) j
I 46.0Q
NEW CONST.
(
OWELLYJO OCCUP.
I 3.SC50
OR BONS.
L ACC. BIDS.
FT. i
N w
MULTF0IlTLET
( � I
7.
� 50i
NON•RESIO.
BAANCN CIRCUITS
Ex. Occup. (oLrtLET OR FOrTIJREs ) I
BAS �';5
(ouOAPPIN$O.R. Occup.
5.00,
Temporary Service I
! 23.00:
Mobile Home Facilities I
j 20.00'
Misc. Wirin
i 23.00
PERMIT FEE
: lD(e Lid
MECHANICAL PERMIT
Fling Fee 20 00
Heatinq
1
Hood I 6.50 1
i
Ventilation
PERMIT FEE S
Mobile Home Installation Fee =
Energy Inspection Fee 3
occ "T. "' TOTAL FEE $
I NAZ. 10. FEES I IMP I n.000 I COF PARCEL I PD I NO 65l°
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
18-B County Center Drive
Oroville, CA 95965
(916) 538-7282
FAX (916) 538-2165
March E3,.1994
C1 1469 Humboldt Road
Chico, CA 95928
(916) 891-2727
FAX (916) 895-6512
Occupant
2299 Ludlum Ave.
Palermo, CA 95968
,butt¢ Cc
LA. V ✓r NA' •?.tel N`A! -u^1 3 _AU
DEPARTMENT OF PUBLIC HEALTH
DIVISION OF ENVIRONMENTAL HEALTH
a7 County Center Drive
Oroville, CA 95965
(916) 538-7281
FAX (916) 538-2140
RE: Courtesy Notice at 2269 Ludlum Ave.. Palermo, CA.
26-212-08)
Dear Occupant:
747 Elliott Road
Paradise, CA 95969
(916) 872-6308
iAP#
This is a courtesy notice to notify you that you are in violation
of the Butte County Code, as follows, at the above -referenced
location.
Garbage has accumulated on the parcel. uarbage is to be removed
from the parcel every SEVEN (7) DAYS.
It is the County's goal to obtain voluntary compliance with the
Butte County Code. However, you should be advised that Butte
County has an active Code Enforcement Prooram which provides an
effective means of enforcement if voluntary compliance is not
obtained. Enforcement may be pursued through the issuance of
citations, fines and the recording of a Notice of Violation
including a description of the action necessary to abate the
violation.
You have THIRTY (30) DAYS to voluntariiv comoly with the above
directions or -to present an a.cceotable plan for abatement or
corrective actions to be taken by you.
A CLEAN INDOOR AIR ENVIRONMENT FOR A HEALTHIER TOMORROW
Occupant
Page 2
March e, 1994
If you have any questions regarding this letter, Please contact
me at the above listed address or telephone number between
9:00 - 10:00 a.m. Mondav through Thursday, closed on Fridays.
Ver tru yours.
Doug =ogId1 ? R.E.H.S.
Division of Environmental Health
DF/sg
Attachment
cc: ✓Building Department
Plannino Department/D.S.
18-B County Center Drive
Oroville, CA. 95965
(916) 538-7282
FAX (916) -38-2165
June 29. 1994.
PROOF OF SERVICE
Occuoant
2c89._udlum Avenue
Palermo. CA 95968
1469 Humboldt Road
Chico, CA 95928 .
(916) 891-2727
FAX (916) 895-6512
® 7 County Center Drive
Oroville, CA 95965
(916) 538-7281
FAX (916) 538-2140
13 747 Elliott Road
Paradise, CA 95969
(916) 872-6308
RE: 'ORMAL WARNING NOTICE at 2289 Ludlum Avenue. Palermo,
AP# 26-212-08
Dear Occupant:
This is a formal,warnino notice. Pursuant to Butte Countv Code
(BCC) Section 41-2. we sent you a courtesy notice dated 11 -arch G.
1994.notifyino you that you are in violation of the BCC at the
above -referenced location. As of this date. the foilowina
violations still exist:. -
Garbage has accumulated on the parcel. Under BCC
Section 31-8 refuse must be removed from a parcel every
seven (7) days.
This is vour final warning. Unless you contact this office and
make the Proper arrangements to correct or abate the violation(s)
voluntarily, within TEN (10) DAYS from receipt of this letter.
enforcement shall be pursued through the issuance of a citation
(ordering you to appear in court) for said violation(s) and for
failing to comply with this warning letter.
Upon conviction of said violation(s).or_'of failing to comply with
this letter, the court shall impose penalties (fines) and a
Notice -of Violation shall be recorded in accordance with Butte
County Code Section 41-7. The Notice of Violation shall include
a description of the premises the violation concerns, a
description of the violation, the date of your conviction and the
action necessary to correct or abate the violation(s).
t� A CLEAN INDOOR AIR ENVIRONMENT FOR A HEALTHIER TOMORROW
Occupant
Paae 2
June 29, 1994
If you have any questions reaardina this letter, please contact
me at the above listed address or telephone number between e:OG
a.m. - 10:00 a.m. Monday throuah Thursday, closed on Fridays.
Ve 4Fol,
yours,
D ug R.E.H.S.
Division of Environmental Health
DF/sc7
cc: OHuildina
Planning
Department
Department/D.S.
18-B County Center Drive
Oroville, CA 95965
(916) 538-7282
FAX (916) 538-2165
February 16, 1994
D.A. McMillin
2289 Ludlum Ave.
Palermo, CA 95968
1469 Humboldt Road
Chico, CA 95928
(916) 891-2727
FAX (916) 895-6512
® 7 County Center Drive
Oroville, CA 95965
(916)538-7281
FAX (916) 538-2140
RE: Courtesy Notice at 2289 Ludlum Ave., Pal ermo,.CA,
26-212-08)
Dear Sir:
747 Elliott Road
Paradise, CA 95969
(916) 872-6308
(AP#
This is a courtesy notice to notify you that you are in violation
of the Butte County Code, as follows, at the above -referenced
locatiDn.
Garbage has accumulated on the parcel. Garbage is to be removed
from the parcel every SEVEN (7) DAYS.
It is the County's goal to obtain voluntary compliance with the
Butte County Code. However, you should be advised that Butte
County has an active Code Enforcement Program which provides an
effect'-ve means of enforcement if voluntary compliance is not
obtained. Enforcement may be pursued through the issuance of
citations, fines and the recording of a Notice of Violation
including a description of the action necessary to abate the
violation.
You have THIRTY (30) DAYS to voluntarily comply with the above
directions, or to present an acceptable plan for abatement or
corrective actions.to be taken by you.
A CLEAN INDOOR AIR ENVIRONMENT FOR A HEALTHIER TOMORROW
D.A. McMillin
Page 2
February 16, 1994
If you have any questions regarding this letter, please contact
me at the above listed address or telephone number between
e:00 - 10:00 a.m. Monday through Thursday, closed on Fridays.
Ver truly yours,
Doug Fogel, R.E.H.S.
Division of Environmental Health
DF/sg
cc: v�3uilding Department
Planning Department/D.S.
18-B County Center Drive
Oroville, CA 95965
(916) 538-7282
FAX (916) 538-2165
March 9, 1994
,.Eatte Count
0 1469 Humboldt Road
Chico, CA 95928
(916) 891-2727
FAX (916) 895-6512
Occupant
2289 Ludlum Ave.
Palermo, CA 9596B
LA'ND OF N A T U RAL WEALTH AND B E A U T
DEPARTMENT OF PUBLIC HEALTH
DIVISION OF ENVIRONMENTAL HEALTH
0 7 County Center Drive
Oroville, CA 95965
(916) 538-7281
FAX (916)538-2140
747 Elliott Road
Paradise, CA 95969
(916) 872-6308
RE: Courtesy Notice at 22B9 Ludlum Ave.. Palermo, CA. (AP#
22.12 08 )�
Dear Occupant:
This is a courtesy notice to notify you that you are in violation
of the Butte County Code, as follows. at the above -referenced
location.
Garbaae has'accumulated on the parcel. Garbage is to be removed
from the parcel every SEVEN (7) DAYS.
It is the County's goal to obtain voluntary compliance with the
Butte County Code. . However. you should be advised that Butte
County has an active Code Enforcement Program which provides an
effective means of enforcement if voluntary compliance is not
obtained. Enforcement may be pursued throuoh the issuance of
citations, fines and the recording of a Notice of Violation
including a description of the action necessary to abate the
violation.
You have THIRTY (30) DAYS to voluntarily comply with the above
directions or to Present an acceptable plan for abatement or
corrective actions to be taken by you.
�� A CLEAN INDOOR AIR ENVIRONMENT FOR A HEALTHIER TOMORROW
Occupant
Pace '•2
March 8, 1994
If you have any questions regarding this letter, please contact
me at the above listed address or telephone number between
8:00 - 10:00 a.m. Monday through Thursday, closed on Fridays.
Ver tru yours,
Doug. Fog 1 5\R.E.H..S.
Division of Environmental Health
DF/sq
Attachment
cc: /Buildina Department
Planning Department/D.S.
18-B County Center Drive
Oroville, CA 95965
(916) 538-7282
FAX (916) 538-2165
June 29, 1994
PROOF OF SERVICE
Occupant
2289 Ludlum Avenue
Palermo., CA 95968
...�oCAft C
= +�
1469 Humboldt Road
Chico, CA 95928
(916)891-2727
FAX (916) 895-6512
LAND OF NATURAL WEALTH AND
DEPARTMENT OF PUBLIC HEALTH
DIVISION OF ENVIRONMENTAL HEALTH
® 7 County Center Drive
Oroville, CA 95965
(916)538-7281
FAX (916) 538-2140
M 747 Elliott Road
Paradise, CA 95969
(916) 872-6308
RE: FORMAL WARNING NOTICE at 2289 Ludlum Avenue. Palermo,
AP# 26-212-08
Dear Occupant:
This is a formal warnino notice. Pursuant to Butte Countv Code
.(BCC) Section 41-2. we sent you a courtesy notice dated (`larch G.
1994 notifvino you that you are in violation of the BCC at the
above -referenced location. As of this date, the followina
violations still exist: -
Garbaoe has accumulated on the parcel. Under HCC
Section 31-8 refuse must be removed from a parcel every
seven (7) days.
This is vour final warning. Unless you contact this office and
make the proper arrangements to correct or abate the violation(s)
voluntarily, within TEN (10) DAYS from receipt of this letter,
enforcement shall be pursued through the issuance of a citation
(ordering you to appear in court) for said violation(s) and for
failing to comply with this warning letter.
Upon conviction of said violation(s,) or of failing. to comply with
this letter, the court shall impose penalties (fines) and a
Notice of Violation shall be recorded in accordance with Butte
County Code Section 41-7. The Notice of Violation shall include
a description of the premises the violation concerns, a
description of the violation, the date of your conviction and the
action necessary to correct or abate the violation(s).
�� A CLEAN INDOOR AIR ENVIRONMENT FOR A HEALTHIER TOMORROW
Occupant
P.aoe 2
June 29, 1994
If you,have any questions regarding this letter, Please contact.
me at the above listed address or telephone number between 8:00
a.m. - 10:00 a.m. Monday throuah Thursday. closed on Fridays.
Ve 4Foil,
yours.
D ug R.E.H.S.
Division of'Environmental Health
DF/so
cc:'.IBuilding Department
Planning Department/D.S.
' m
18-B County Center Drive
Oroville, CA 95965
(916) 538-7282
FAX (916) 538-2165
El 1469 Humboldt Road
Chico, CA 95928
(916) 891-2727
FAX (916) 895-6512
February 16, 1994
D.A. McMillin
22B9 Ludlum Ave.
Palermo, CA 95968
LAND OF NATURAL WEALTH AICD BEAU
DEPARTMENT OF PUBLIC HEALTH
DIVISION OF ENVIRONMENTAL HEALTH
a7 County Center Drive
Oroville, CA 95965
(916)538-7281
FAX (916) 538-2140
ED 747 Elliott Road
Paradise, CA 95969
(916)872-6308
RE: Cour_t.e.sy Notice at 2289 Ludlum Ave., Palermo, CA, (AP#
x -26 -212 -OB)
Dear Sir:
This is a courtesy notice to notify you that you are in violation
of the Butte County Code, as follows, at the above -referenced
location.
Garbage has accumulated on the parcel. Garbage is to be removed
from the parcel every SEVEN (7) DAYS.
It is the County's goal to obtain voluntary compliance with the
Butte County Code. However, you should be advised that Butte
County has an active Code Enforcement Program which provides an
effective means of enforcement if, voluntary compliance is not
obtained. Enforcement may be pursued through the issuance of
citations, fines and the recording of a Notice of Violation
including a description of the action necessary to abate the
violation.
You have THIRTY (30) DAYS to voluntarily comply with the above
directions or to present an acceptable plan for abatement or
corrective actions to be taken by you.
A CLEAN INDOOR AIR ENVIRONMENT FOR A HEALTHIER TOMORROW
D.A. McMillin
Page 2
February 16, 1994
If you have any questions regarding this letter, please contact
me at the above listed address or telephone number between
8:00 - 10:00 a.m. Monday through Thursday, closed on Fridays.
Ver truly yours,
Doug Fogel, R.E.H.S.
Division of Environmental Health
DF/sg
cc: V3uilding Department
Planning Department/D.S.
� I
COUNTY ®F BUTTE 456210
,
OFFICIAL ECEIPT
_
OFFICE OR DEPARTMENT ISSUING RECEIPT
V L�f� AJ!T
cei ed from / f 6
The 'um of
a6 2 -12 -
Received: Received B!5 ,
CASH ❑ Title
CHECK (/� By
DAVCO BUSINESS FORMS • (530) 743-8511 Form 88887
"y
If you have any questions ing this message please call the Building Department at L/
"
533-7541
Thank you, Tammie Powell
Plan Technician
COUN---
TY
OFISUTTE
OFF E O EPA T
Received from ENT ISSUI RECEIPT
The S of
For rzs
Received:
CASH ❑ Received
CHECK � � Title
DAVCO BUSIN111111
ESS FORMS •74:3-85i/ By
(530) 1 Form 88887