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Home My WebLink About027-060-05327-06-19 CLYDE CLEO ELLIS 3"200' off E/S of Bohemia Ave & - 63 Citrus Ave intersection, .Palermo B07-0060 027-060-053 _ MISCELLANEOUS Room Addn-First Stry` } y �,° ADDITION- LIVING ROOM AND BAT 9"-' <27-06-� 3 P em�isrg i� IN-4144-ho-T70B,P,E,5';ee1w\.20d-'p g e TRAMMELL, D2871 BOHEMIA AVE BONNIE L il ` ALE A•& BO 27-06-53 023-O�• 053 BOA 1'1'7 5 Permit #2394-78P,E(util.,MH) MiscellaVleOu� ELEC. EIeCMic vonel R:eVkcLc Mr* GAS 20071 pohtmio, A e �alterMO > SUPPORT STRUCTURE REQ. Tramrnrll,Da►le&nnre-ar'r COMPACTION TEST REQ. 27-06-53 Per •t 42395-78B,P,E,M(new single famil - - 27-06-53 Permit #2718- 9B(1st. rene,:-'" 2395-78) 206-!�5:w Permit#2449-80B,(2nd al/2 95- 7 8) 27-06-53 -CLYDE E S 2870 emia, Oroville _---- - 27-0,6-53 rmit IP592�86B,E(add 2nd-story/SF) 027-060-053 05-2093 TRAMMELL, DALE & BONNIE 2871 BOHEMIA AVE, PALE,RNIO CONT: OWNER ELEC SERV PANEL Fxpfred 0 27-06-19 CLYDE CLEO ELLIS 3"200' off E/S of Bohemia Ave & - 63 Citrus Ave intersection, .Palermo B07-0060 027-060-053 _ MISCELLANEOUS Room Addn-First Stry` } y �,° ADDITION- LIVING ROOM AND BAT 9"-' <27-06-� 3 P em�isrg i� IN-4144-ho-T70B,P,E,5';ee1w\.20d-'p g e TRAMMELL, D2871 BOHEMIA AVE BONNIE L il ` ALE A•& BO 27-06-53 023-O�• 053 BOA 1'1'7 5 Permit #2394-78P,E(util.,MH) MiscellaVleOu� ELEC. EIeCMic vonel R:eVkcLc Mr* GAS 20071 pohtmio, A e �alterMO > SUPPORT STRUCTURE REQ. Tramrnrll,Da►le&nnre-ar'r COMPACTION TEST REQ. 27-06-53 Per •t 42395-78B,P,E,M(new single famil - - 27-06-53 Permit #2718- 9B(1st. rene,:-'" 2395-78) 206-!�5:w Permit#2449-80B,(2nd al/2 95- 7 8) 27-06-53 -CLYDE E S 2870 emia, Oroville _---- - 27-0,6-53 rmit IP592�86B,E(add 2nd-story/SF) 027-060-053 05-2093 TRAMMELL, DALE & BONNIE 2871 BOHEMIA AVE, PALE,RNIO CONT: OWNER ELEC SERV PANEL Fxpfred IBM BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #:(530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #:(530) 538-7541 FAX#: (530) 538-2140 WEBSITE: www.buttecounty.net\dds FEE INFORMATION EH Building Review Fee $70.00 PROJECT INFORMATION $95.00 Site Address: 2871 BOHEMIA AVE Ping Appl Fee (SRA) -Bldg Owner: Permit Permit No: B07-0060 APN: 027-060-053 $428.92 DALE A & BONNI $6.41 Permit type: MISCELLANEOUS 2871 BOHEMIA AVE Issued Date: 2/27/2007 By MAK Subtype: Room Addn-First Stry OROVILLE, CA 95966 Expiration Date: 2/27/2008 Description: ADDITION- LIVING ROOM AND B. (530) 532-0626 Occupancy: Zoning: AR -5 Contractor Applicant: Square Footage: TRAMMELL, DALE A & BON Building Garage Remdl/Addn 2871 BOHEMIA AVE 986 OROVILLE, CA 95966 Other Porch/Patio Total (530)532-0626 Ogg FEE INFORMATION EH Building Review Fee $70.00 Fire Inspection (SRA) -Fire -Res $95.00 Fire Plan Review (SRA) -Fire -Re $95.00 Ping Appl Fee (SRA) -Bldg $109.98 Room Addition - First Story $643.39 Room Addition - First Story PC $428.92 SMIP - Residential $6.41 LICENSED CONTRACTOR'S DECLARATION , Contractor (Name) State Contractors License No. / Class / Expires I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am licensed under provisions of Chapter (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. X 2/27/2007 Contractors Signature Date WORKERS' COMPENSATION DECLARATION I 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 is issued. ❑I HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by Section 3700 of 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: Policy Number: Exp. Date: _ (This section need not a competed if the permit is or one hundred dollars ($100) or CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED, I shall not employ any person in any manner so as to become subject to the Workers' Compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. 2/27/2007 WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND ATTORNEY'S FEES. CONSTRUCTION LENDING AGENCY 1 HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for the performance of the work for which this permit is issued. (3097 civ. code) Lender's Address City State Zip Total Charged: $1,448.70 Fees Paid: $1 Balance Due: $0.00 Receipt No: - OWNER•/ BUILDER DECLARATION I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's License Law [Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code] or that he or she is exempt therefrom and the basis for the alleged exemption. Any 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]; Please check one of the following: 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 `r OFFERED FOR SALE (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of the property, who builds or improves thereon, and who does the work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the owner -builder will have the burden of proof that he or she did not build or improve for the purpose of sale.). E1, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Code: The Contractor's License Law dows not apply to an owner of the property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractor's License Law.). ❑ I AM EXEMPT under Section B. & P.C. for this 2/27/2007 Date I hereby certify that I have read this application and state that the above information is correct. I agree to comply with all City and County ordinances, rules, regulations, and Slate laws relating to building construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless Butte County, its officers, agents and employees from any and all claims and liability for personal injury, including death, and property damage caused by, arising out of, or in any way connected with the issuance of this permit. I hereby acknowledge that issuance of this permit does not authorize the use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte County to enter the above mentioned property for inspection purposes. I hereby certify that I am the property owner or am authorized to act on the property owners behalf. f)41_F_ `,-�ti Jd A4A9,�'G.G— 2/27/2007 Owner ❑ Contractor OR.Agent for Owner Agent for Contractor FILE COPY BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS OFFICE #: (530) 538-7541 FAX #: (530) 538-2140 A FEE WILL BE REQUIRED AT TIME OFAPPLICA TION Website: www.buttecounty.nettdds "PLEASE PRINT CLEARLY" OWNER INFORMATION Last Nam , / first NameIWZ^ Mailing Address Z City1�10 State PhoneS3O �� _ O�Z Fax E-mail APPLICANT INFORMATION CONTRACTOR Name City Address Zip City Fax State Zip Phone Type Const. Fax E-mail Map Book Lic. # Class APPLICANT INFORMATION ARCHITECT/ENGINEER Name City Address Zip City Fax State Zip Phone Type Const. Fax E-mail Map Book State License Number APPLICANT INFORMATION Name OhhQV Address City State Zip Phone Fax E-mail /APPLICANT SIGNATURE X For office use only: Zoning Flood Zone I SRA I Yes I No Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: PERMIT NO. BIN # PROJECTLOCATION Property Address 7/ f City Cross Street G•� res 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. LENDING AGENCY Name Address Description oFScope of Work: U,&�l 0 46,Y7 �y G Sq FT- Living Garage Open Cov O Structure Built without Permits O Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. by: Receipt #: Amount: I 0— - Ly v SRA Sheriff SMIP Other Date: 'Total Butte County Department of Public Works J. MICHAEL CRUMP, DIRECTOR LAND DEVELOPMENT DIVISION Storm Water Managment Program 7 County Center Drive Oroville, CA 75965 (530) 538-7266 Telephone (530) 538-7171 Fax www.buttecounty.net/dds National Pollutant Discharge Elimination System (NPDES) Phase II Construction Storm Water Permit and Storm Water Pollution Prevention Plan (SWPPP) Acknowledgment [LESS THAN 1 ACRE 1 Reference Number: B07-0060 Date: 01/11/2007 Location: 2871 BOHEMIA AVE By: KEJ Parcel Number: 027-060-053 Sub Type: Room Addn-First Str Owner Name: TRAMMELL, DALE A & BONNIE L Phone: (530) 532-0626 Description: ADDITION- LIVING ROOM AND BATHROOM (986) By signing below, I the project owner/owners' agent, certify that this project WILL NOT DISTURB 1 acre or more of land and that I therefore, do not need to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board. Phased projects that contairi multiple site buildouts of less than one acre but when combined with subsequent phases total more than one acre of disturbed soil will require a Construction Storm Water Permit from the state of California Regional Water Quality Board. I am aware that submitting false and/or inaccurate information or failure to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board for this project that disturbes one acre or more of land may result in revocation of grading and/or other permits or other santions provided by law. Signed: FILE Date: 01/11/2007 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) 538-7785 Fax www.buttecounty.net/dds PERMIT APPLICATION DATA SHEET Reference Number: B07-0060 Date: 01/11/2007 Location: 2871 BOHEMIA AVE By: KEJ Parcel Number: 027-060-053 Sub Type: Room Addn-First Str Owner Name: TRAMMELL, DALE A & BONNIE L Phone: (530) 532-0626 Description: ADDITION- LIVING ROOM AND BATHROOM (986) oJ io Oroville Elementary School District, 2795 Yard Street, Oroville CA 95966 - (530) 532-3000 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 El ❑ City of Chico, 545 Vallombrosa, Chico CA 95926 - (530) 895-4711 PARKS & RECREATION DISTRICTS Chico Area Recreation District, 545 Vallombrosa, Chico CA 95926 - (530) 895-4711 Durham Park & Recreation District, 9447 Midway, Durham CA 95938 - (530) 345-1921 Feather River Recreaction & Park District, 1200 Myers Street, Oroville CA 95966 - (530) 533-2011 Paradise Parks & Recreation, 6626 Skyway, Paradise CA 95969 - (530) 872-6393 Signature of Property Owner: IV444/ Date: 01/11/2007 FILE SCHOOL DISTRICTS Biggs Unified School District, 300 B Street, Biggs CA 95917 - (530) 868-1281 ❑ Chico Unified School District, 1163 East 7th Street, Chico CA 95926 - (530) 891-3006 Durham Unified School District, 4920 Putney Drive, Durham CA 95938 - (530) 895-4675 ❑ Gridley School District, 429 Magnolia, Gridley CA 95948 - (530) 846-4723 Marysville School District, 1919 B Street, Marysville CA 95901 - (530) 741-6000 oJ io Oroville Elementary School District, 2795 Yard Street, Oroville CA 95966 - (530) 532-3000 Oroville Union High, 2211 Washington Ave, Oroville CA 95966 - (530) 538-2300 Ext:105 E) E] Paradise Unified School District, 6696 Clark Road, Paradise CA 95969 - (530) 872-6400 OTHER E] 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 E Other: Other: Other: Signature of Property Owner: IV444/ Date: 01/11/2007 FILE 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) 538-7785 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: B07-0060 Location: 2871 BOHEMIA AVE Parcel Number: 027-060-053 Date: 01/11/2007 Owner Name: TRAMMELL, DALE A & BONNIE L Phone: (530) 532-0626 Description: ADDITION- LIVING ROOM AND BATHROOM (986) Signature of Property Owner: Date: 01/11/2007 FILE 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) 538-7785 Fax www.buttecounty.net/dds OWNER -BUILDER INFORMATION An application for a building permit has been submitted in your name listing yourself as the builder of the property improvements specified. For your protection you should be aware that as "owner -builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: ° If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $500 or more for the entire project and such persons are not licensed as contractors or subcontractors, then you may be an employer. ° 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 unders state law, contact the Department of Benerit 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 thier 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.OPOR NO) 2. I(5HAVE NOT) SIGNED AN APPLICATION FOR A BUILDING PERMIT FOR THE PROPOSED WORK. 3. I HAVE CONTRACTED WITH THE FOLLOWING PERSON (FIRM) TO PROVIDE THE PROPOSED CONSTRUCTION: NAME ADDRESS CITY. PHONE CONTRACTORS LICENSE NO 4. I PLAN TO PROVIDE PORTIONS OF THE WORK, BUT I HAVE HIRED THE FOLLOWING PERSON TO COORDINATE, SUPERVISE, AND PROVIDE THE MAJOR WORK: NAME ADDRESS CITY PHONE CONTRACTORS LICENSE NO 5. I WILL PROVIDE SOME OF THE WORK BUT I HAVE CONTRACTED (HIRED) THE FOLLOWING PERSONS TO PROVIDE THE WORK INDICATED: NAME ADDRESS PHONE TYPE OF WORK Description: ADDITION- LIVING ROOM AND BATHROOM (986) Reference Number: B07-0060 Applicant Name: TRAMMELL E A & BONNIE L Signature of Property Owner: Date: 0� BUTTE COUNTY FEE SUMMARY County Center Drive Oroville, CA 75965 Department of Development Services Phone (530) 538-7541 Fax (530) 538-2140 Permit Number: B07-0060 Job Address: 2871 BOHEMIA AVE Contractor: Printed: 01/11/2007 8:34 am Fee Description Account Number Fee Amount Paid Date Pmt Amt EH Building Review Fee 0021-540013-4614901-1010 $70.00 01/11/2007 $70.00 Fire Inspection (SRA) -Fire -Res 0100-450001-4617240-1010 $95.00 Fire Plan Review (SRA) -Fire -Re 0100-450001-4617240-1010 $95.00 01/11/2007 $95.00 Ping Appl Fee (SRA) -Bldg 0010-440001-4210500-1010 $109.98 01/11/2007 $109.98 Room Addition - First Story 0010-440001-4210500-1010 $643.39 Room Addition - First Story PC 0010-440001-4210500-1010 $428.92 01/11/2007 $428.92 SMIP - Residential 1001-0-280-1011298 $6.41 Printed By: Karen Jones 19448.70 $703.90 Balance Due: $744.80 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 plan checking process. Signature: Date: 01/11/2007 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 SCHOOLS IMPACT FEE CERTIFICATION FORM (One form per Building) School District j r // )lp f l T v V , 0 �1e;I Building Department No. l7 Tax Rate Area No. b q A.P. Number t- J _ A�„�}/ �� Jurisdiction: City County Property Owner A Property Location/Address v J�v �/„ ,o VYI �'r ��p Y14i/l l/y Subdivision Residential Development No of Living Mobile Home Units Installation Commercial/Industrial Q New Addition District Identification No. Lot No. ........................................................................................-......... Eko"! Sq. Footage Addition *Supplemental to (Group R) Conversion Permit # Cr. Demo - ( ) *(No foundation inspection)existing sq. ft. see attached _.................................................................................................. i. Net total sq. ft. 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 School District certifies that p0A Q- A g p n y�'�e, I Y'Ayn (YN12-� l (Payor) 0's� (Street Address) (State) has complied with the requirements o R solution No. (Zip Code) by payment of $ representing 8 16;.9 feet. B 2926 $ Paid by Check # -- Remarks: (Phone Number) } 0'59 S. 1S -J FULL MITIGATION $ 1�(o 10-7 Date I Notice: You may protest the imposition of the fees identified above by submitting a written protest to the District, in compliance with Government Code Section 66020(a), within 90 days from the date fees are paid. Failure to submit a timely written protest will prohibit you from challenging the imposition of the fees in any court action. If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act (CEQA), this project may be subject to additional school fees to fully mitigate its impact on the school district's schools. White (school district), Yellow (building department), Pink (applicant) feeform.xls (12/06)dmm BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 PERMIT NO. BP052093 6. c. buiiaing vermis U1 -1b -U4 pg i 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: 08/05/2005 APN: 027-060-053-000 the Business and Professions Code, and my license is in full force and effect. Site Address: 2871 BOHEMIA AVE PAL License Class : License Number: Map Index: Date: Contractor: Description: NEW PROPANE TANK & GAS LINES, NEW OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the ELECTRIC SERVICE PANEL Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior Owner: TRAMMELL, DALE A. 8, BONNIE L. to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 commencing with Section 2871 BOHEMIA AVE 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and the basis for the alleged exemption. Any OROVILLE, CA violation of Section 7031.5 by any applicant for a permit subjects the 95966 applicant to a civil penalty of not more than five hundred dollars ($500).): (530) 532-0626 I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does Applicant: TRAMMELL, DALE A. &BONNIE L. such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one 2871 BOHEMIA AVE 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 OROVILLE, CA sale.). 95966 ❑ I, as owner of the property, am exclusively contracting with (530) 532-0626 licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). Contractor: ❑ I am Exempt under Article 3 of the Business and Professions Code Q ] . QI v r Lo 5 Date: Owne" 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 License #: Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of Architect: the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Engineer: Carrier: Policy #: Total Square Ft: 0 S. F. ❑ 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 Valuation: $0.00 become subject to the workers' compensation laws of California, Census Code: 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. � � I Oary UJ Date: Applicant: ) \ 2-1 ` 1 (`/'Z 2_ D WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY This permit is hereby issued under the applicable provisions of the Butte County Code and/or I hereby affirm that there is a construction lending agency for the Resolutions to do work indicated ab ve for which fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) Date: O Name: BY:ri L /� PERMIT EXPIRES ON: l— ( ) �(� Address: Date ❑ 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, P handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby authorize representatives of Butte County to enter upon the above mentioned property for inspection pu�oses.. �(�S Print Name r'9Y� f� M� Signature: l Date: Owner El Contractor ❑ Agent for Owner ❑ Agent for Contractor 6. c. buiiaing vermis U1 -1b -U4 pg i 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 OF APPLICA TION Website: www.buttecounty.net/dds **PLEASE PRINT CLEARLY** APPLICANT NAME OWNER s arae\ 1 b City Na Addres 3 \n P__vy'\; v-e- Cily c)('o O M C State StoG Ph De 5.5 'a _ o Map Book Fax E-mail,` , oo �, ,0_ APPLICANT NAME CONTRACTOR Name City Address zin City No State Zip Phone Map Book Fax E-mail Planner Lic. # Class APPLICANT NAME ARCHITECT/ENGINEER Name City Address zin City No State Zip Phone Map Book Fax E-mail Planner State License Number APPLICANT NAME Name — 1 ('Gvr nap Address City to zin PhoneFax No E-mail APPLICANT SIGNATURE X For office use only: Zoning s Flood Zone Cross Street �-� t -A SRA es No Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS PERMIT NO. 52-R' BIN # LOCATION AP# 05 Property Address a'6 1 (�)e ' C' A 0e, City aco k3 Cross Street �-� t -A 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. LENDING AGENCY Name Address n Description or Scope of Work:, (E cV r °-,r � r l> Sq. Footage ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must'be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. Received by: 6 . Amount: I noO Bldg SRA Receipt #:434W2. Sheriff SMIP Date: �( rJ� Other V l • W Total SUBMITTAL & PERMIT REQUIREMENTS The following drawings and specifications must be submitted to the Building Division in order to apply for a permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK. ❑ 1. Site plans, 3 or.4 sets, signed by the preparer of the plans. No graph paper! ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans (No graph paper!) OR Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 3. Engineered truss details and layouts in duplicate (if required). No faxes! ❑ 4. Energy compliance design and supporting documentation in duplicate. ❑ 5. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 6. Manufactured homes: (A) installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. ❑ 7. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate (if required). ❑ 9. Site plan and business license approval from the City of Biggs. ❑ 10. Letter of intent for non-residential buildings. ❑ 11. Detached Accessory Building Form filled out by the owner (if required). ❑ 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. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts. ❑ 12. Sanitation and site plan approval from the Environmental Health Department. If you have questions or would like additional information regarding this process, please contact a Permit Assistant at (530)538.7541. EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after date of application. In order to renew action on an application after expiration, a new application, plans and fees will be required. REQUEST FOR FEE REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made within two years from the date of fee payment on permits not issued, and two years from the date of permit issuance for permits issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. OVER FOR BUILDING PERMIT APPLICATION KAFORMSWILDING F0RMS\BIdgApp1SubRgmts.doc Page 2 of 2 REV 2-24-05 i r RECORDING REQUESTED BY AND WHEN RECORDED MAIL TO: Mr. & Ms. Trammell 2871 Bohemia Avenue Oroville, CA 95966 A.P.N.: 027-060-053-000 1111!l111!!1l111111!!11l11l1l1l1l1 2fe3�5-0�122I 9e Recorded I REC FEE 16.00 Official Records I County Of I BUTTE I CANDACE J. BRUBBS I Recorder I ROSEMARY DICKSON I Assistant I Kathy 03.57GM 19 -Apr -2005 I Page 1 of 4 Above This Line for Recorder's Use Only GRANT DEED The Undersigned Grantor(s) Declare(s): DOCUMENTARY TRANSFER TAX $ G 1741 )()( computed on the consideration or full value of property conveyed, OR computed on the consideration or full valueless value of liens and/or encumbrances remaining at time of sale, )()( City of Oroville, and FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, Nancy Trammell, a Widow hereby GRANT(s) to Dale A. Trammell and Bonnie L. Trammell, husband and wife, as Community Property with Right of Survivorship the following described property in the City of Oroville, County of Butte, State of California: SEE EXHIBIT ATTACHED HERERO AND MADE A PART HEREOF FOR LEGAL DESCRIPTION Dated: 04/15/2005 Nancy Page 1 of 1 y STATE OF L`.a1 )SS COUNTY OF On — `'1—k 'i - Oa _^ before me, N NA -9 - , n S, �v personally appeared N a h � g. -i V-a•vn r-, �. personally known to me (or proved tdW on the basis of satisfactory evidence) to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies) and that his/her/their signature(s) on the instrument the person(s) or the entity upon behalf of which the person(s) acted, executed the instrument. WITNESS my hand and official seal. Thls area for offlcYal notarial seal Signature My Commission Expires: --<O - c) to Notary Name: 4o C LA sn/0 Notary Phone: L[3`�—Ic-�,'3t Notary Registration NumWer: 1`3" l�'a3 County of Principal Place of Business: "U 0,_ 0 N. HCP O Ur COM1377236 ' NOTARYM # NDVCU CAUFORNK 10 NEVADA COUNTY 0 COMM. EXP. OCT, 10, 200&.& Page 2 of 2 .7cc 8pl • INITIALS, Order No. 33840 . DESCRIPTION X---.�_.__.,r All that certain real property situate in the County of Butte, State of California, described as follows: PARCEL 1 COMMENCING. at the Northeast corner of Lot 8, ih-Block 85, as shown on a Map of Addition to Subdivision No. I of the Palermo Citrus Tract and being shown on a Map of Palermo and Subdivision 1 and'2 with Addition to -No. 1 of the Palermo Citrus Tract, filed in the office of the Recorder of the County of Butte, State of California, on September 17, 1888; thence North 89° 04' 07" East, along the Easterly extension of the centerline of Bohemia Avenue as shown on'said Map, 595.00 feet; thence South' 0° 55' 53" East and parallel with the Easterly line of Citrus Avenida, as shown 'on said Map,, 953.98 feet to the true point of beginning for., the parcel of land herein.described,'said true point of beginning being also the Northwest corner of a parcel of land described in Deed to Richard L. Gorman, a single man, recorded May 9, 1969 in Book 15.66 of Official Records, at page 94, records of Butte County, -California; thence North 89° 04' 07" East along the -Northerly boundary line of said Gorman parcel, 565.0'.feet to the Northeast corner of said Gorman parcel; thence North 0° 55' 53" West and parallel .with said Easterly line. of Citrus Avenue, 476.49 feet;' thence Soutb 89° 04' 07" West and parallel with said Northerly boundary like of Gorman parcel, 565.0 feet; thence South 0' 55' 53" 'East and parallel with said Easterly line of Citrus Avenue,*476.49 feet to the true point of beginning. EXCEPTING THEREFROM the.following described parcel of land: COMMENCING at the Northeast corner of Lot 8 in B &A 85, as shown on the map entitled,."MAP 6F -ADDITION T4 SUBDIVISION N0. 1 OF THE PALERMO CITRUS TRACT", and being shown on the -map entitled, "MAP OF'PALERMO AND SUBDIVISION...1 and 2 with ADDITION TO NO. 1 of''the.PALERMO CITRUS TRACT", which map. was filed. in 'the office of the Recorder of the County of Butte, State of California, September 17,.1888; thence North 89° 04' 07" East along the Easterly extension of the centerline of Bohemia Avenue as shown on said Map, 595.00 feet; thence South 00 55' 53" East and parallel with -the Easterly line of Citrus Avenue, as shown on said Map, 476.49 feet to the Northeast corner'of that certain parcel of land described in Deed to Hershel L. Lynch, et ux, recorded April 10, 1974 in Book 1901 of Official Records, at page 351, records of Butte County, California, said point being also the true point of beginning for the parcel of land herein described; thence from said true -point of beginning, North 890 04' 07' East,'for 30.00 feet.to a 3/4 inch iron pipe and tag LS 3634; thence South 0° 55' 53" East for 240.00 feet to a 3/4 inch iron pipe and tag LS*3634; thence South 890 04' 07" West for 30.00 feet to a-3/4 inch iron pipe and tag LS 3634; thence south 0° 55' 53" East, parallel.to,said Easterly line of Citrus Avenue, 236.49 feet to the Southeast corner of said Lynch parcel; thence South 89° 04' 07" West, 595.00 feet.to a point on the centerline of Citrus Avenue; thence North 0° 55'53" West along said centerline, 476.49 feet to a point that bears South 89° 04' 07" West from the true point of beginning; thence North 89° 04' 07" East, 595.00 feet to the true point of beginning. (continued) Icc 8pl order No. 33840 DESCRIPTION (continued) PARCEL'TWO A non-exclusive easement for road and public utility purposes over a strip of land 60.0 feet in width, lying 30.0 feet on each side of the following described line: COMMENCING at 'the Southwest corner -of Lot 3 of Subdivision No. 2, as, shown on that certain map entitled, "MAP OF THE SUBDIVISION NO. 1 and 2 of the P.C. DRESCHER TRACT", which map was filed in the office of the Recorder of the County of Butte, State of California, in Book 1 of Maps, at page 25;: thence following along .the"Westerly boundary line of said Lot 3, North. 00 17' 00" East,,89.58 feet to a point located in the centerline of an existing roadway and beiy'g also the true point of beginning for the, centerline herein--descr.ibed; thence from said true point of beginning, and following along the centerline of said roadway, South *30* 44' 40" West 432.'63 feet; thence South 35° 16' 10" West, 496.53 feet; thence south 65° 27' 00" West, 713.80 feet; thence South 47:2 02' 00" West, 228.54 feet;.thence North 75°'30' 35" West, 106.02 feet; thence. North 3° 04' 55" East, 225.42 feet; thence North 13° 29' 35". West 367.16 feet; thence North 66° 11' 05" West, 558.40 feet; thence North*53* 07' 05" West 186.77 feet; thence South 78° 04' 25" West, 128.02 feet to the point of .beginning for the herein described line; thence from said point of beginning, continue South 78° 04` 25". West,.157.71 feet; thence North 75° 36' 15" West, 245.53 feet; thence North 54°•19' 45" West, 283.57 feet; thence North 610 31' 05"• West, 255.29 feet; thence North 73° 35' 45" West to a point that bears South 60.0 feet from the centerline of the Easterly extension of Bohemia Avenue; thence West and parallel with the centerline of the Easterly extension of Bohemia Avenue to a point on the Easterly boundary*of Citru's Avenue and the end of the herein described line. INItIALS yy i� i 6"4ERMIT NO. a � PERMIT EXPIRES w• IOWNER Clyde Ellis ONTR. owner LOCATION (A.P. 27-06-53 ) ( s/s private road approx. 2000 ft. off SE Corner Bohemia & Citrus Aves., Palermo i 1. 1 J 1r r� f Temp. Power Pole t Called PG&E Temp. Elec. Serv. Called PG&E Temp. Gas Serv.✓" Called PG&E JOB FINALED (Date) ' (Signature•` .i x i) i t 6"4ERMIT NO. a � PERMIT EXPIRES w• IOWNER Clyde Ellis ONTR. owner LOCATION (A.P. 27-06-53 ) ( s/s private road approx. 2000 ft. off SE Corner Bohemia & Citrus Aves., Palermo i 1. 1 J 1r r� f Temp. Power Pole t Called PG&E Temp. Elec. Serv. Called PG&E Temp. Gas Serv.✓" Called PG&E JOB FINALED (Date) ' (Signature•` .i x i) i •- - - + - , -- . . �„ - r - . ,� ., t � _ � 1 _ _ ,• t _. � _ -� � `. '�. , ` 1 . n�.. � .., ..: y., . � +. 1 ,Y r- � �- i • COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD Interior Lath Ventilation Permanent Door Closer Final JQ— . Final I Z — > I MOBILEHOMEUTILITIES-------•---------- Elec_ Service Elec. Pedestal Water Piping Sewer Gas Piping M 1 EHOME INSTALLATION - - - • - - - - - . - - - Support Elec. Continuity Water Piping Drainage Gas Piping DATE REMARKS OR CORRECTIONS Lool A C- V- ` - co (NOTE: An entry must be made on this form each time you viA the job site.) UI DING BUILDING (Cont'd) PLUMBING Setback Firewall Soil Piping Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows 1 — l 3rd Floor Stemwall Siding Topout Slab -Roof Sheathin .� 1 i Water Piping Piers Roofing Sewer Garage ,Fdn. Vents Fixtures Footin s Stemwa I I Garage Vents Insulation Water Htr. Heaters Slab Carport Footings Prov. for phsically handica ed Conformance of ex. structure A liances Gas Piping & Test Temp. Gas Slab Final Sanitation Patio FIRE LAC Final 0--3 Qx�;--- Foofingk Footina tELECTRICAL Masonr Walls Throat Rough t -r Reinf. Steel Final Fixtures Bond Beam FIRE SPRINKLERS s. Motors Framing //—/S--72 Test Water Htr. Stucco oF Final Subpanels Mesh MEC AVICAL Gird. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts A 1Y, Underaround Interior Lath Ventilation Permanent Door Closer Final JQ— . Final I Z — > I MOBILEHOMEUTILITIES-------•---------- Elec_ Service Elec. Pedestal Water Piping Sewer Gas Piping M 1 EHOME INSTALLATION - - - • - - - - - . - - - Support Elec. Continuity Water Piping Drainage Gas Piping DATE REMARKS OR CORRECTIONS Lool A C- V- ` - co (NOTE: An entry must be made on this form each time you viA the job site.) F,, • COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS • `/ County Center Drive` — OrdviIle, California 95965 Telephone: 534-4541 ` APPLICATION AND PERMIT All authorize representatives of the county of t3utte to enter upon the above-mentioned propert for inspection purposes. f 911, X i�xDate Sig ature o Rermitee or Agent Receipt o. Z White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PJnLIC WORKS By Date � l6 r? %f B ilding permit expires Date 6_1l6 -7 j I BUILDING Owner 01 7EY I lI is SQ. FT. OCC. BUILDING VALUATION Mai I i ng Address em-, � .elephone Contractor Y Mailing Address Fireplace Total Valuation d • Tlephorie No. e Permit Fee (� Building Address S rt Plan Checking Fee&/or Penalty P/ Fee 6 PAIermit )' PLUMBING No.1 @ FEE t -a r -u PERMIT FILING FEE $3.00 3 Each Trap 1.50 Y I ` ti Uf V j Repair drainage or vent piping 1,50 s A. P. No. Zonin & Planning Water piping 1.50 tS� Each gas water heater or vent 1.50 F s C. Sani ion Fire Dept. I eZone ennit Gas piping system 1 - 5 outlets 1.50 EQA Parking Plans I Parcel Declaration Parcel P 60' R/W Improvements p Each additional outlet .30 Building sewer 5.00 Bldg. PI s Recd Parc A proval PI pprovaI Lawn sprinkler system 2.00 NEW ADDITION ❑ UTILITIES ❑ OTHER ❑ Permit Fee $ in,nd$a 10-C ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 �10 600V OR Main service 100 AMP ORSLESS 5.00 Single Family Duplex ❑ Mobil Home ❑ Others ❑ Main service EA. ADD•L 100 AMP 2.50 Main service OVER soov 25.00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 1.00 OR CONST. ( ACCDWEL I UP. 5i 20Sgft CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: NEW CONSTR. !MULTI -OUTLET 1// NON-RESID ` BRANCH CIRCUITS/ 2.50ea NEW CONSTR. (POWER APPARATUS 0 11 NON-RESID. SINGLE OUTLET CIR, 50 Ex. Occup(OUTLETS OR FIXTIIRES@ BAL@1 FIXED Ex. Occup.(OUTLETSPLNS (RESiD.)REA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License Classification Misc. Wiring 6.25 am exempt from the Contractors License Laws of the State of California. Permit Fee $ MECHANICAL No @ FEE WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. PERMIT FILING FEE $3.00 Heating Cooling \J1� Ventilation Hood 2.00 a, (3 Permit Fee $ Z§Iva $ OIce I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby Land Development Fee $ S' (D TOTAL PERMIT FEE $ authorize representatives of the county of t3utte to enter upon the above-mentioned propert for inspection purposes. f 911, X i�xDate Sig ature o Rermitee or Agent Receipt o. Z White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PJnLIC WORKS By Date � l6 r? %f B ilding permit expires Date 6_1l6 -7 j I PERMIT APPLICATION WORK SHEET OWNER Zoning Use Proposed Permit fee base upon: 1. Complete contract price. 2. Partial.contract price (explain). 3. DPW Valuation (show):: Permit No. A. P. No. 1:2-6 6iS'-3 Approved Not approved During plan checking process, the or information must be submitted issuance: 1.' Index permit for items above and in addition the following: following data prior to permit 2. Applicant advised by Telephone Mail Other 3. Plans checked by Date 4. Plans approved by Date 1 perm is issued, process as follows: 1. Mail to owner. 2. Mail to contractor. 3. Deliver with inspection. 4. Telephone and hold for pickup @ office. 5. Other Before permit issuance, all of the following items must be signed or marked NA: 1. Zoning use 2. Legal parcel 3. Envir.Health - Date Plans Sent A. Sanitation B. Restaurant C. Other 4. Public Works - Date Notice Sent A. Street.Imp. B. Drainage C. Permits & Fees D. Other 5. Planning fj A. Use Permit v B. Variance C. Other 6. Other Agencies - Date Plans Sent A. Fire Dept. B. Other At time of permit application, the applicant was advised the following data or information must be submitted pri r to permit processingand/or issuance: Date received 1. All items have been submitted. -----=-=------------------ 2. Plot plans in duplicate/triplicate. --------------------- 3. Complete plans in duplicate/triplicate. ----------------- 4. Complete engineered plans and calcs. -------------------- 5. Fees of $ -------------------- 6. Letter of signature authorization. ---------------------- 7. Sanitation approval. ------------------------------------ 8. Planning approval for -- 9. Workmen's Compensation Insurance Certificate ------------ ---------f10. 10. Contractors license information. ------------------------ 11. Parcel declaration, recorded copy. ---------------------- 12. Access declaration. ---------- ; Aunt Minnie information. ----------------- =-------------- 14. Deed of access, recorded copy -------------------------- 15. Deed of parcel creation, recorded copy. ----------------- 16. Parcel map, recording data. ----------------------------- 17. Pre -inspection request for -- 18 9 Improvements - 41ans required & DPW ap rova Other ----------- lei e ------ &I By Date Bldg. Insp for During plan checking process, the or information must be submitted issuance: 1.' Index permit for items above and in addition the following: following data prior to permit 2. Applicant advised by Telephone Mail Other 3. Plans checked by Date 4. Plans approved by Date 1 perm is issued, process as follows: 1. Mail to owner. 2. Mail to contractor. 3. Deliver with inspection. 4. Telephone and hold for pickup @ office. 5. Other Before permit issuance, all of the following items must be signed or marked NA: 1. Zoning use 2. Legal parcel 3. Envir.Health - Date Plans Sent A. Sanitation B. Restaurant C. Other 4. Public Works - Date Notice Sent A. Street.Imp. B. Drainage C. Permits & Fees D. Other 5. Planning fj A. Use Permit v B. Variance C. Other 6. Other Agencies - Date Plans Sent A. Fire Dept. B. Other COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA. 95965 PHONE: 916-534-4541 Clyde Ellis DATE May 15, 1978 2870'Bohemia Oroville,.CA. 95965 RE: PERMIT APPLICATION #2395-78 FOR NEW SINGLE FAMILY RESIDENCE A.P. #27-06-53 With reference to the above subject: Attached is: Application for permit Building Plans Engr. Calcs Labor Code Information Mobilehome Utilities Installation Sheet Mobilehome Installation .Information Sheet Typical Plan Sheet List of Codes Enforced OTHER We need the following information: Permit application signed and completed where indicated with all copies returned. Fees of $ payable to Butte rea r. Certificate of Workmen's Compensatior surance or check emption statement. Contractors License Law informat' or check exemption sta ement. Letter authorizing signature ' Complete plans in nclu ng plot pla s. Plot plans in Structural details in Complete plans in rep d by r istered civil.engineer or architect. Engr. calcs. sets p a s i a cord e wit he changes marked in red. Sanitation ap 1 fro Bu e Coun y H t' -Department at: 695 01 nder e:�, Chico 7 -County er Dr., Oroville Skyw Elliott Rd., Paradise Planning ap roval from Bu e County Planning Department, 7 County Center Drive, 'Orovil e, for Copy of reco arcel declaration. Recorded copy of deed showing OTHER Letter of intent to remove mobile home upon completion of dwelling. Should you have any questions concerning the above, please contact this office. Yours very truly, Clay Castleberry Director of Publi Works n „i,-11,2 Glander \. Chief Building Inspector (j101j7ir 6�4 6 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WO 7 County Center Drive, Oroville, California 9/5965 PHONE: 916-534-4541 DATE S � ®7 D - � RE : 2V�1•�i�� a � ems? �iol7 V 0; 1�� %3�d With reference to the above subject: Attached is: Application for permit Typical Plan Sheet Building Plans Mobile Home Sheet Engr. Calcs. List of Codes Enforced OTHER / We need the following information: Permit application signed and completed where indicated with all copies returned. Fees of $ Certificate of Workmen's Compensation Insurance, or check exemption statement. Contractors License Law information, or check exemption statement. Letter authorizing signature of Complete plans, in duplicate, including plot & floor plans and complete structural details. Plot plans in duplicate. Structural details in duplicate. Complete plans, in duplicate, prepared by registered civil engineer or architect. Engr. calcs. Two (2) sets of.plans in accordance with changes marked in red. Sanitation approval from Butte County Health Dept. 695 Oleander Ave., Chid 7 County Center Dr., Oroville. Skyway & Elliott Rd.,Paradise Planning approval, i.e., use permit, variance, rezoning, etc., from Butte County Planning Dept., 7 County Center Dr., Oroville. Improvement Plans. Parcel declaration recording data. Verification of access or right of way Verification of legally created parcel Deed for right of way. Parcel map recorded. rAw by deed. (Recorded copy) by deed. (Recorded copy) As soon as we receive the above data, we will process your application, or, should you have any questions concerning the above, please contact this office. d- /�"C-JS JFG:dd Yours very truly, Clay Castleberry Director of Public Works 1 J.F. Glander Assistant Director RESIDENTIAL PLAN CHECKING GUIDE (S.F., DUPLEX, ,& MISC. ONLY) OWNER A. GENERAL V ning requirements (sideyards and parking). Valuation. 3. Signature by R.C.E. or Architect (if required). B. PLOT PLAN Iy—C-6mi .te parcel size and dimensions. . Setbabkq, sideyards, easements, etc. 3. Other buildings or structures. 4. Grading, fills, drainage. Bldg. A. P. Permit # �*-7-6 C. FLOOR PLAN Complete to scale plan with dimensions. Required windows for light and ventilation (Sec. 1405). (�-lRequired windows for second exit (Sec. 1404). _Allowable glazing for energy requirements (20% max. per.State law). 6; ---Human impact glass (Sec. 5406). -16I.—Required room sizes, ceiling heights (Sec. 1407). —G".F.C.I.'s in baths and exterior outlets (Sec. 210-8). �' Light fixtures, switches, receptacles, and exterior receptacles for maintenance of mechanical equipment. 5i_Gocations of water heater, heating & cooling equipment, other electrical or gas equipment, and plumbing fixtures. 10. Garage firewall, door size, and closer (Sec. 503(d)(4)). - 3'0" exterior exit door (Sec. 3303d). 12. Fireplace location. 1 ce detectors (Sec. 1413). D. STRUCTURAL DETAILS oundation plan complete enough to construct building. Floor construction details complete enough to construct building. Elevations and wall construction details complete enough to construct .building. ?of construction details complete enough to construct building. replace con s and calcs if over one-story in height. efficient data and details to satisfy energy insulation. requirements (State law). E. MISCELLANEOUS ITEMS TO LOOK OUT FOR 4'---CE•X plywood on exposed locations and overhangs. 2. Stairway details (Sec. 3305). 3. Guardrail details (Sec. 1716). 4. Brick or stone veneer (Chapter 30). ao 19 Exterior plaster - weep screeds (Sec. 4706 & 4708). Proper roof pitch for roof covering (Chapter 32). Rafter ties or bearing ridge beam. 8. Garage door or porch header sizes. `f-.--kd-equate bracing. 10. Living area over garage - complete 1 -hour separation required including supporting walls and posts, etc. 11. Two (2) exits on three-story dwellings (Sec. 3302). i COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X Date -'S Sig t of ermitee or Agent Receipt No. -- White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By 25, /P. _/14 At -.Z Date 15-7//_71 Building permit expires Date — 5?0 BUILDING Owner a"gSQ. FT. OCC. BUILDING VALUATIO Mailing Address d Tel eph n �Y {J Contractor®Lkr.-pAJ Mailing Address Fireplace Total Valuation Telephone No. Permit Fee Building Address Plan Checking Fee&/or Penalty Permit Fee ,3 O o -5"/CH PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 A. P. No. :)- 7 -- O& —,5-3 Zoning & Planning Water piping 1.50 Each gas water heater or vent 1.50 peg- Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking Plans Parcel Declaration Parcel Ma p 60' R/W Improvements p Each additional outlet .30 Building sewer 5.00 ons ec'd I I Plans Approval Lawn sprinkler system 2.00 ___E2Lcel.AEprovol NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER- VJ Permit Fee $ $ ELECTRICAL No.1 @ FEE PERMIT FILING FEE J$3.00 Main service e00v OR LESS 100 AMP OR LESS 5.00 Single Family 14 Duplex ❑ Mobil Home ❑ Others ❑ Main service EA. ADO'L 100 AMP 2.50 Main service OVER eoov 25.00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 1.00 NEW OR ADDNST V ADWECCLBLDGS.LING CCUP. &� 2¢sgft CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business &Professions Code under the name style of: NEW CONSTR. (MULTI -OUTLET NON.RESID BRANCH CIRCUITS 2.50ea NEW C ON ST R. 1 POWER APPARATUS 9 NON-RESID. SINGLE OUTLET CIR. Ex. Occup (OUTLETS OR FIXTIeRES B L@; FIXED Ex. Occup.(OUTLETSP(RESID)REA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 6.25 License No. Classification I am exempt from the Contractors License Laws of the State of Cal ifomia. Permit Fee $ $ MECHANICAL No. @ FEE WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to buildinq construction, and hereby Land Development Fee Is TOTAL PERMIT FEE$ e OC authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X Date -'S Sig t of ermitee or Agent Receipt No. -- White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By 25, /P. _/14 At -.Z Date 15-7//_71 Building permit expires Date — 5?0 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville,,Californla 95965 - Telephone 916/534-4541 I A) APPLICATION AND PERMIT PERMIT NO ASSESSOR PARCEL NUMBER ZONI G � 1- dE, - IS BUILDING PERMIT OWNER j C TELEPHONE �• - f�� iC� Lti/ 53 " '' SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS Q!5'1Y5�M /L CONTRACTOR'SNAME TELEPHONE CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LENDER UNKNOWN Fireplace Total Valuation $ LENDER'S MAILING ADDRESS – Permit Fee 2 $ 3:2. DO ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS --�-- Permit fee $ BUILD NG ADDRESS / PLUMBING PERMIT Filing Fee 3.00 eg Each Trap 2.00 Repair drainage or vent piping 2.00 Iti Water piping LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 2.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF�4 Duplex❑ Mob ilehomeOther 77��— SPECIFY Building sewer Lawn sprinkler system 2.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ InstallationC Other Describe work: `0'70 E�t/E4t/Al_ �F '�31 2`3 Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 3.00 Main service 100 AMP OR00V OR LESS5.00 Main service EA. AOD'L 100 AMP 2.50 NEW CONST. ( DWELLING OCCUPM OR ADDNS. ACC. BLDGS. 2d sq ft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check One): ❑ 1 am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ 1, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR ULTI.OUTLET 2.50 ea NON -REBID BRANCH CIRC ITS NEW CONSTR POWER APPARATUS &) NON.RESID. (SINGLE OUTLET CIR. Ex. Occllp(OUTLETS OR FIXTURES 50@� BAL@lOQ FIXED APPLNS. OR Ex. Occup.(OUTLETS (RESID,) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 6.25 Permit Fee $ Contractor _ MECHANICAL PERMIT Filing Fee 3.00 WORKMEN'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. 1 shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Heating Cooling Hood 2.00 Ventilation Permit Fee $ Contractor 4----- 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue agai id County in consequence thegranting of this permit. X Date " �� 5' lure of Applicant — Owner Contractor ❑ Agent ❑ n OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ ---- Land Development Fee $ TOTAL PERMIT FEE $ 23a, OCCUP. GROUP I TYPE OF CONST. PARCEL PD HD 59DE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC By PE IT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Da Receipt No. 3da WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT I COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA. 95965 Phone: 916-534-4541 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 in the envelope provided at your earliest opportunity to avoid unnecessary delay in processing and issuing your build- ing permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) �. 2. I (have/have not) 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 this work, but I_have hired the following person to coordin e�supervise, and provide the major work: Name Address City Phone iv 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 Signed: Property Owner Social Securimber Date \ �-- j d NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. LAND OF NATURAL WEALTH AND BEAUTY DEPARTMENT OF PUBLIC WORKS " CLAY CASTLEBERRY, Director 7 COUNTY CENTER DRIVE, OROVILLE, CALIFORNIA 95965 Telephone: (916) 534-4541 Clyde Ellis 2870 Bohemia Oroville,•CA. 95965 H. W. McDONALD Deputy Director " September 28, 1981 f RE: Building Permit No. 2395-78 (new SF)' Expired 5/16/81 (A. P. No. 27-06-53• ) With reference .to the above subject, our records indicate that your building permit has expired. Building permits are valid for one year and should construction not be completed at the expiration date of the permit, the permit shall be renewed for 1/2 the original fee. Kindly contact this office within ten (10) days to renew your permit. Should our records be in error or should your construction be completed, please advise this office immediately. Thank you in advance for your prompt,attention concerning this 'Matter. Yours very truly, Clay Castleberry Director of Public Works F. G1 nder JFG:dd Chief Building Inspector Attachments P.S. For your convenience, we are attaching a renewal application form which may be completed and signed by you where indicated and returned to this office together with the fee shown. We are also attaching an Owner -Builder Information Sheat and an Otmer-Builder Verification Form. Please complete the Owner -Builder Verification Form and return it with the renewal application and fees. cc: Building Inspector• Oroville COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-454f APPLICATrCN AND PERM PERMIT NO. ASSES SySti F! RCEL NUMBER V L//} ZON N „� BUILDING PERMIT - - OWN TELEPHON SO. FT. OCC.1 BUILDING VALUATION COOy�f{J F.j ,L ADD ESS i ^ j1 CON(T(CONTRACTOR'S NAME TELEPHONE CONTRACTOR'SMAILING ADDRESS Fireplace CONSTRUCTION LENDER i UNKNOWN Total Valuation riling Fee 10.00 LENDER'S MAILING ADDRESS Permit Fee $ .�;Ot� ARCHITECT OR ENGINEER LICENSE NO. Plan Checking ree $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS ,y Permit fee $ 40 BUILDING ADDRESS C,//�/LJ�,�r)� PLUMBING PERMITFiling Fee 10.00 Each Trap 2.00 Repair drainage or vent piping 5.00 vL/ 02 Water piping LOT NO. SUBDIVISION NAME PARCEL MAP Each gas water heater or vent 5.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SFX Duplex❑ Mobilehome❑ Other SPECIFY Building sewer Lawn sprinkler system 5.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other t& Describe wovk'� / Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Plain service 8000 AMP 1 OR ORSLESS 5.00 n__,d 4/314�ref Main service EA_ ADD'L Too AMP 2.50 NEW CONST. ( DWELLING OCCUP.S) 2� sq ft OR ADDNS. ACC. BLDGS. CONTRACTORS LICENSE LAWNcV I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification ❑ 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason CONSTF2 , u TI.OUTLET 2,50 ea NON•RESID. BRANCH -CI RC ITS NEW CO�NSTR. ( POWER APPARATUS h) NON -R ESI D. SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES BALG7 BAL@TO F;x -D APPLNS. OR Ex. Occup.(FiXF s (RESID,) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 Permit Fee $ f -Contractor MECHANICAL PERMIT FiIingFee 10.00 WORKMIEN'S COMPENSATION INSURANCE I declare unde enalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. I Heating Cooling Hood 3.00 Ventilation permit Fee S Contractor I certify that 1 have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of. Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue ainst said County in consequence of the granting of this permit. X Date ignature of Applicant — Owner ElContractor E]AgentE]work An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fez $ i rd G TOTAL PERMIT FEE $ OCCuP. GROUP I TYPE OF CONST. I PARCEL PD I HD I ISSUE This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do indicated above for which fees have been paid. DIRECTOR OF PUBLIC. WORKS y t PERMIT EXPIRES Date Receipt No. WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT 2394-78PPERMIT NO. E al PERMIT EXPIRES !OWNER Clyde Ellis CONTR. owner LOCATION (A.P. 27-06-53 s/s private road approx. 2000 ft. off SE Corner Bohemia &Citrus Aves.,Palermo i 4 a a r • t i i t T t 0 Temp. Power Pole Called PG&E Temp. Elec. Serv. Called PG&E Temp.' Gas Serv. Called PG&E JOB FINALED ry - �_ t ,. _ _ _ COUNTY OF BUTTE — DEPARTMENTfOF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBING betwqck ewall S6JI Piping Forms Pa pets iNst Floor Main Idg. Rest om Finish 2n Floor Foot s Windo 3rd Xloor Stemw I Sidino To out Slab Roof Shea\hing Water PipNg Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Stemwa l l Garage Vents Insulation Water Htr. Heaters Slab Carport Footings Prov. for physical handica ed Conformance of ex. structure Appliances Gas Piping & Test Temp. as Slab Final Sanitation Patio" FIRE ACE Final . Footings Footing ELECTR CAL Masonry Walls Throat Rou h Reinf. Steel Final Fixtures Bond Beam _ FIRE SPRINKLE Motors 7 Stucco Final Subpanels Mesh MECHANICAL Gird. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Under round Interior Lath Ventilation Permanent Door Closer Final Final NNI MOBILEHOMEUTILITIES-----Elec_ Service Elec. Pedestal Water Piping Sewer Gas Piping moi_ BILEHOM15 INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping DATE ��REMARKS OR CORRECTIONS r (NOTE: An entry must be made on this -form each time you visit the job site.) COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT a�_7� authorize representatives of the County of Butte to enter upon the above -men property for inspection purposes. X Date ��✓ '� Sign re-`of'Perinitee %r Agent Receipt No.1�97S_ White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIREC R 0 PUBLIC WORKS i By 941a�Z _=Z Dated -/ J^- %-F Iding permit expires Date�S-c Z BUILDING Owner SQ. FT. OCC. BUILDING VALUATION Mailing Address one V ele - Contractor Mailing Address Fireplace Total Valuation Telephone No. Permit Fee 'PJPlan Building Address S .5 r) f -b V, Checking Fee &/or Penalty Permit Fee -�T=7 Qar r PLUMBING No. @ FEE V� tj CAno-c... PI6i ning ton n �/ Q IT IT PERMFILING FEE $3.00 r 0 Each 1.50 Repair drainage or vent piping 1..50 :57Water A. P. N0. `� Zoning &Planning piping 1.50 r Each gas ater heater or vent 1.50 Gas piping system 1 - 5 outlets 1.50 F W S99ion Fire Dept. Fire Zone se Permit EQA Parking Plans Parcel Declaration Parcel M 60' R/W Improvements Each additional outlet .30 Building sewer 5.00 1 Bldg. Plan ec'dParcel A royal PI ns Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES Er OTHER ❑ Permit Fee $ $ ELECTRICAL No.1 @ I FEE to PERMIT FILING FEE J$3.00 00V OR Main service 100 AMP ORSLESS 5.00 O Single Family Duplex Mobil Home Others ❑ Main service EA. ADD'L 100 AMP 2.50 J_W SQ- EL MINIMUM FOR MOBILES Main service OVER e O 25.00 100 AMP OR LESS Main service EA. ADD -L 100 AMP 1.00 NEW CONST. DWELLING N1 20 sq OR ADONS. II CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: NEW CONSTRSS,., MULTI -OUTLET `` NON.RESID BRANCH C- CUITS) 12.5.0ea NEW CONSTR. POWER APPARATUS 0 NON.RESID. SINGLE OUTLET CIR. Ex. OCCUp(OUTLETS OR FIXTIIPES g L@ 1S Ex. Occup. OUT IXED ETS P(RESID )REA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 clot) Lice n o. Classification Misc. Wiring 6.25 rt ` am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ MECHANICAL No @ FEE WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have la ed on file with the County of Butte a certificate of W en's Compensation Insurance. I certify that In the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby Land Development Fee $a�^ TOTAL PERMIT FEE $ authorize representatives of the County of Butte to enter upon the above -men property for inspection purposes. X Date ��✓ '� Sign re-`of'Perinitee %r Agent Receipt No.1�97S_ White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIREC R 0 PUBLIC WORKS i By 941a�Z _=Z Dated -/ J^- %-F Iding permit expires Date�S-c Z q's 8z Wor��rnjrS! , "ns hip $11011 n Be in of a qucl;.#y r,ro' Good Uniform or ',he Pr`r'�f;c6s and PIU* 1. . , 'Sne-"field use in the .the Not- knOlIt'19 & Machon'jcal Codes lonal E!ecf rical Code. and This set of plans and specifications MUST be, kept on the job at al ' I times and it is unlawful t( make any changes or alterations on same withou" written permisson from the Department of . Public Works, County of Butte.* The 9*. Setback shall! be 5 ft. from the side properly 'fine ansa 50 'if. from _f11O centerline of the road, pe, rnidrivig c, maXi- mun-i of a 2 ft. euve oveJocing but eniirely out of all easements. Septic system and location o to be as per -,;n'ty Health Dept. Re- is. All Utility connections, shall. be I vv i t lki i n IT ft. ou'i-side -�hc rcar ho:-rie V siCc of the mobile T" 0, L 0.- % kv f wN\ - BUTTE COUNTY 8 ILDING DEPARTMEN1 U, APPRC)V'P'D _4 t/ J e, A A It 7 - S2 NOT:'-_.I�r4,i`i'�?rI-^ils 8r Workm rtsl?ip Shall Be in '� .cordance �; R-1,-nryni7ed Caa d Practices and Of a CILIOPN. "�'.S°i!��^ •,or ;he Sr+ecified use in the Uniform N]"dina, Plurni;ing. & Machanical Codes and .the National E!ocHcal Code. fhis set of phns and specifications MUST be kept on the job at all iirnzs and it is unlawful to make any changes or a!t^rations on same without written permisson from the Department of Public .Works, County of Butte. ab1 H The Fes. Se;back shall be 5 ft. from the sic.;e properi y line and 50 ft. from the cen.erli, e cf.the road, pernniffing a mar:i- rillun, of a 2 ff. eave ove: Nang .but enfirely - o'ut' of all easements. i pip R. BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS SPECIAL INSPECTION REPORT Owner: Address: Tenant: Building Location: Type of Inspection requested: L/ 1. Housing " 2. Financing f17 4. Other (specify) A. P. Date of Inspection D1 Inspector 401r-� " 3. Change of Occupancy to .mac- V Present use of building: A. Sanitation (Housing) 1. Water closet: 2. Lavatory: 3. Bathtub or shower: 4. Kitchen sink: 5. Hot and cold water to fixtures: 6. Heating facilities: 7. Natural light and. ventilation: 8. Room and space requirements: 9. Bedroom window or door for second exit: 10. Infestation of insects, vermin, or rodents: 11. Connection to sewage disposal: -12. Connection to water supply: 13. Rubbish and garbage facilities: 14. Comments: B. Structural 1. Piers and footings: 2. Floor construction: 3. Wall construction: 4. Ceiling and roof construction: 5. Fireplaces: 6. Comments: C. Electrical .1. Service and ground: 2. Receptacles: 3. Fusing: 4. Com ments• D. Plumbing 1. Fixtures connected and vented: 2. Gas water heater: 3. Gas heating vents: 4. Comments: (continued on back) E. Other 1. Maintenance and repair: 2. Fire hazards: 3. Safety hazards: 4. Weather protection: 5. Underfloor and attic ventilation: 6. Comments: 0 F. Commercial Buildings 1. Roof covering: 2. Distance to property lines: 3. Physically handicapped: 4. Restroom floors and walls: 5. Exits: 6. Improvements: 7. Zoning: 8. Comments: G. Field Problems or Violations 1. Problem or violation (give complete description) : 2. What action taken (give complete description): 3. What action recommended: %% A. Information only - fila. B. Hold for te:i (10) days, then write letter. C. Write letter. 7 D. Other: a ` eount* of �utW OROVILLE, CALIFORNIA GENERAL CLAIM CLAIMANT: Clyde Ellis ADDRESS: 2870 Bohemia Ave. CITY & STATE: Oroville, CA. 95965 IMPORTANT: DATE OF CLAIM: May 5, 1978 SEE INSTRUCTIONS ON REVERSE SIDE SUBMIT CLAIM TO DEPARTMENT RECEIVING GOODS OR SERVICES DATE DESCRIPTION OF CLAIM (DESCR,JBE FULLY TO AVOID DELAY) AMOUNT Decided not to build. (Permit #4498-77B,P,E,M - Receipt #169527 - Building permit fee ----- $115.00 Retain of fee ------• 38.33 Amount of refund due ------------- $ 76.67 Plumbing permit fee ----- $ 23.00 Meta n ng ee------- . Amount of refund due ---------- - $ 20.00 Electrical permit fee --- $ 43.00 -3.00�— e a nfiling fee ------- Amount of refund due ------------- $ 40.00 Mechanical permit fee --- $ 17.50 - meta ng fee ------ 3.00 Amount of refund due ------------- 14.50 Refund due for permit fees ------- $151.17 Lan Development fee ref-und 25.00 TOTAL REFUND DUE. ---------------- $176.17 $176.17 TOTAL $176 17 I, the undersigned, declare under penalty of perjury that the services or articles claimed have been performed or delivered, and that this claim is true and correct as stated. Datedthis .................................. day of ............................. 19....... at................................. Calif..................................................................................... Signature of Claimant I, the undersigned, hereby certify that, to the best of my knowledge, the services or articles specified above have been performed or de- livered and that there is a Budget Appropriation❑ or Specific Board Approval❑ (Checkone) for the same. 5th May 78 Oroville Datedthis ................ de of 19.. et .............................. Calif.C.................................................................................... Department Head or Authorized Deputy Dept. Exp. Code............................................ Code ................................................PAYABLE FROM............................................................................................ FUND DO NOT WRITE BELOW THIS LINE - AUDITOR'S USE ONLY VENDOR CODE DEPT. & SUB. PROD. SUB. 0BJ. CLAIM NO. INVOICE NO. INVOICE DATE DISC. GROSS AMOUNT ENCUMB. SUB -DIST. PVT" ST ' WS to CLAIMANTS All claims against the county must be itemized, giving dates and character of service rendered or work performed, . quantities, de- scription and unit prices of articles. £uraishcd. or delivered. Claims must be certified by the claiviaut and submitted to the De- partment head for approval. Upon approval the Department head will forward claim to County Attdltcir for p'ayment procedure. Do not file with the County Auditor first. Claims should be presented to officials for approval immediately upon completion of services requested or material ordered. Claims are paid every Tuesday, however, same must be approved by officials and in Auditor's office before- preceeding Wednesday noon. Compliance with above will expedite payment of claim, failure to do so may delay payment considerably. r. ,r u PERMIT NO. 4498-77B,P,E,M r j . PERMIT EXPIRES / r OWNER Clyde Ellis t CONTR. owner LOCATION (A.P. 27-06-27 S/S Bohemia Ave., app.2J10 mi.E.of Citrus Ave., Pakrmo I t Temp. Power Pole Called PG&E I Temp. Elec. Serv. Called PG&E Temp. Gas Serv. Called PG&E JOB FINALED (Date) (Signature) _� ,=3- ��'� 7 � COUNTY OF BUTTE _ DEPARTMENT OF PUBLIC"WORKS BUILDING INSPECT'I'ON RECORD BUILDING BUILDING (Cont'd) PLUMBING Setback Firewall Soil Piping Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor Stemwall Siding To out Slab Roof Sheathing Water Piping Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Garage Vents Water Htr. Stemwa I I Insulation Heaters Slab Carport Footings Prov. for physically handica ed Conformance of ex. structure Appliances Gas PipingTest Temp. as Slab Final Sanitation Patio FIREPLACE Final Footings Footing ELECTRICAL Masonry Walls Throat Rough Reinf. Steel Final Fixtures Bond Beam FIRE SPRINKLERS Motors Framing Test Water Htr. Stucco Final Subpanels Mesh MECHANICAL Grd Fault Prot Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath I Ventilation Permanent Door Closer I Final Final MOBILEHOME UTILITIES --------------•--- Elec. Service Elec. Pedestal Water Piping Sewer Gas Piping M0131LEUOME INSTALLATI N - - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping DA E �1�, REMARKS OR CORRECTIONS �o6106 (NOTE: An entry must be made on this form each time you visit the job site.) ✓ - 'COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS i 7 County Center Drive — Oroville, California 95965 Tel ephgne: 534-4541 APPLICATION AND PERMIT BUILDING Owner SQ. FT. OCC. BUILDING VALUATION d 0 100 Mai I i ng Address elks"%li a 0 hone No. t T;tp Fireplace r0l) Contractor Total Valuation Mailing Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee $ Building Address 5 PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 , Each Trap 1.50 Qo Repair drainage or vent piping 1.50 Water piping 1.50 nin er_i ication Only {�k Each gas water heater or vent 1.50 A. P. No ^b a g t y Gas piping system 1 - 5 outlets 1.50 Each additional outlet 30 F s Sa on Fire Dept. FireZone Use Permit Building sewer 5.00 Jam, 0 EQA Parking Parcel Plans Declaration Parcel Ma p 60' R/W Im ro ments p Lawn sprinkler system 2.00 Bldg. &AfN&J ar royal PIV. Approval Permit Fee $ $ Z NEW ADDITION ❑ UTILITIES ❑ OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE J$3.00 Main service $00V OR LESS 5.00 100 AMP OR LESS Main service EA. ADO'L 100 AMP 2.50 Main service OVER 6 00V25.00 100 AMP OR LESS Single Family Duplex ❑ Mobil Home ❑ Others [I Mainservice EA. ADD'L 100 AMP 1.00 NEW CONST. (DW CUP. &) 20Sq ft l� OR ADDNS. AC NEW CONSTR. (MULTI -OUTLET NON.RESID. BRANCH CIRCUITS) 12.50ea NEW CONSTR. POWER APPARATUS &) NON.RESIO. (SINGLE OUTLET CIR. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: Ex. Occup(OUTLETS OR FIXTURES) 2@51001 FIXED APPLNS. OR Ex. Occup.(OUTLETS (RESID.) EA) 2.00 Temporary service 10.00, Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ 0 MECHANICAL No. @ FEE WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California Labor Code Which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this ;9 permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. PERMIT FILING FEE $3.00 Heating h5b AA Cooling V/ -ice Ventilation Hood 2.00 11((3 Permit Fee $ $ I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relatinq to buildinq construction, and hereby TOTAL PERMIT EE authorize representatives of the County of Butte to enter upon the Aabove-ed propertyfor inspection purposes. DateOe of Permitee or Agent %� Receipt No. �� / White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRTOR 0 PUBLIC WORKS �% By 41 � Date ` i -77 Building permit expires Date 9''l— ENERGY SHEET FOR ADDITIONS`TO RESIDENTIAL BUILDINGS PERMIT N0. 9 "&(P PACKAGE "A° . (Additions) NAME C.1, JOB ADDRESS TYPE OF WOR 1 FORM '7 SQUARE FOOTAGE Existing Residence X02 5� New Addition 93(l New Total LI: rs9 The following information sheet, showing mandatory features and required features of Package "A" must be completed and attached to all plans for additions. to dwellings. Additions to dwellings include room additions, converting garages and patios to living areas, house moves that add footage and attic conversions, and any space that is ex- isting non -conditioned space that is converted to conditioned space. Remodeling of existing conditioned space is not included. ZONE 11. ZONE 12 ZONE 16 S TO INSTALLED AP/CEILING NEW AREA v-30 R 30 R 38 ✓WA L R-11 R- 1 R - .FLOOR R-11 - 9 R- 7 -1 R - GLAZING ,65 .65 .65 SHADING SOUTH OPTIMUM OVERHANG or .36 S.C. J WEST - .36 S.C. LOOSE FILL INSULATION (Density) INFILTRATION CONTROL (Weatherstrip doors, certified windows, caulking) VAPOR BARRIER (Zone 16) DUCTS PER UMC - Ch, 10 tZIGHTING KITCHEN & BATH NOT LESS THAN 25 LUMENS/WATT �XIMUM GLAZING 16% OF AREA PLUS REMOVED GLAZING NEW HVAC AND HOT WATER IN CONJUNCTION WITH AN ADDITION SHALL COMPLY AND FILL OUT DATA ON BACK OF THIS SHEET 7/83 4 *1 HEATING, VENTILATING, AIR CONDITIONING SYSTEM (A) Heating ❑ Central Gas Furnace (brand and model number) SE Btu/hr (heating capacity) ❑ Heat Pump (brand and model number) ACOP. Btu/hr (heating capacity at 4 F) ❑ Active Solar type (liquid or air) Collector brand and ft2 model number solar fraction collector area collector orientation collector tilt rated y -intercept rated slope ❑ Other (describe) *1 (B) Cooling ❑ Electric Air Conditioner (brand and model number) (seasonal EER) Btu/hr (cooling capacity at 95°F) ❑ Electric Heat Pump • EER _ Btu/hr (cooling capacity at 95°F) ❑ Other (describe) DOMESTIC WATER SYSTEM ❑ (A) Gas Only Gallons (brand and model number) (tank size) ❑ Heat Pump w/Electric Backup (brand and model number) Gallons (tank size) ❑ *2 Active Solar (collector brand and model number) (rated y -intercept) (rated slope) (solar fraction) ft (backup heater type, brand and model number) (collector area) (collector orientation) (collector tilt) ❑ Location of Solar Panels ❑ Other (Describe) *1 Submit documentation of sizing heating and cooling equipment by Manual J, sizing charts (form #4) or other approved methods, section 2-5352(8), and fill out the following: Heating: Winter design temperature °, elevation ', heating load BTL' elevation factor x heating load = maximum outlet capacity gas furnace BTU Cooling: Summer design temperature ', cooling load BTU *2 Submit T.I.P.S.E. chart or other approved system (form #5) to document sizing of solar panels. ® DESIGN COMPLIANCE STATEMENT: The above building design meets the requirements of Title 24, Part 2, Chapter 2-53 of the California Administration Code. G TURFOF BUILDING DESIGNER OR APPLICANT r COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-534-4541 OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. I 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 appli ation for a building permit for the proposed work. 3. I have contracted with the fo construction: Name wing person (firm) to provide the proposed Address Phone Contractors License No. City 4. I plan to provide portions of th s work, but I have hired the following person to coordinate, supervise, and pr vide the major work: Name Address Phone Cont actors License No. 5. I will provide some of the work bu persons to provide the work indica Name Address City I have contracted (hired) the following d: Signed: C Property Owne Social Secu i Number — — Date Phone Type of Work NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned -to our office before we are per- mitted to issue the permit. 'OUNTY OF BUTTE - DEPARTD„ENT OF PUBLIC WORKS D.. IPERMIT N0..,ounty Center Drive - Oroville, Californ0, 5965- Telephone 916/534-4541 APPLICATIOlt AND `iyERMIT ASSESSOR PARC N MBER ZONING BUILDING PERMIT OWNER TELEPHONE SQ. FT. OCC. BUILDING VALUATION 37 C OWNE S MAI LIN ADDR S CONTRACTOR'S NAME TELEPHONE / G� /'J� -- 'r CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ eirve " Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ 2�S ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAI ING ADDRESS Penalty $ 4-J;2;7,. BUILDING ADDRESS Permit tee $ ./ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump ater heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater o vent 5.00 USE OF STRUCTURE SF Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 ouNkts 5.00 Building sewer 5.00 Mobile Home S I G I W 0.00 ea TYPE OF WORK New FJ Addition Remodel[] Utilities❑ Installation[] Other ❑ Describe work: y �' Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 6101 OR LESS 100 AMP OR LESS 10.00 Main service EA. ADO'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ontract- ors.(Sec. 7044) ors. ❑ I am exempt under Sec. , Business and Professions Code for this reason OR ADDNST DWEACCLLINGBLD�) 1/2¢sgft ZS NEW CONSTR. ULTI.OUTL 2.50 ea NON.RESID BRANCH CIRC ITS /POWER APPARATUS 61 (SINGLE OUTLET CIR.20@/ Ex. OCCUp(OUTLETS OR FIXTURES SOC SAL BALeso FIXED APPLNS, OR Ex. Occup. OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ 33. Z Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor 1 certify that t have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also a ree to save, indemnify and keep harmless the County of Butte against all I' )I ties, judgments costs, and expenses which may in any way accrue a19a'nst aid Co ty in nse uen f h granting of this permit. Date�� Si ture of Applicant — Owner Caneraeror ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ p TOTAL PERMIT FEE oceu P. coN eT.Trnc F D PA EL P HD ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTO , F PUBLIC BY / PERMI EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date �%�'L"VPC Receipt No. WHITE-D.P.W., YELLOW -ASSESSOR, P NK -INSPECTOR, GOLDENROD -APPLICANT OWNER COUNTY OF BUTTE - DEPARTMENT &-#UBbic WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CA. 95965 95965 - TELEPHONE: 916/534-4541 PERMIT APPLICATION DATA SHEET Permit No. L A. P. No. 0�7 O!o S3 v Proposed Building Use s� Permit Fee Based Upon: Complete Contract Price DPW Valuation O;thXerxplain) Building Inspector— Date / 7-- $' �, At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted. . . . . . . . . . 2., Plot plans in duplicate/triplicate. . . . . --- omplete plans in lic triplicate. --6-. Complete engineered plans and calcs. . . . . . . 5. Plans with Energy Design Compliance Statement. . . . . . 6. CUSD ''Fees Paid'' Stamp on Floor Plan . . . . . . . . 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ . . . . . . . . etter o ignature authorizatio . . . . . . . . . .' r. ation approval from Health Dept. .� -_Z-Z- 11. Planning approval for (A) Use: (B) Parking: 12. Certificate of Workmen's Compensation Insurance. . . . . . 13. Contractor's License Information (no., name style, classif.) 14. Owner -Builder Verification (Given to owner❑, Mail to owner ❑ ) 15. Improvements may be required. . . . . . . . . . . . 16. Mobilehome Installation Data. . . . . . . . . Pre-Insp17. Pre -Inspection for Required- Building In request to (Dote) p q Building Inspector 18. Record-,' �r�� P t# ur,�1 Acknowledgment Statement . _ 19. Other (Construction approval required prior to occupancy 9.t When you issue the permit, process as follows: Mail ow, Mail to contractor. Telephone and hold for pickup at&Mfice. Deliver w/inspectar. Other '1 Appli Date /�Q Copy of plans sent Health Dept., Fire D Other Date During the plan checking process, the following data must be submitted prior to permit issuance: (For required items not checked above at time of application, circle item.) 1. Index permit for above Items No. 3 —lO 2. Additional items required: ..Aar— (Contractor, Designer, Owner) was advised of above required data by Telephone Mail Other By Date Plans checked by Date I/" Plans approved by Date Other Copy—DPW r Alff To: Building Department From: ,�nvironmental Health Subject: Sanitation Clearance PAIrk- 67 - j 4 Owner Location AP# Plan Approved for: Sewage disposal, --C water supply Hold final for: stater supply Final clearance O.K. for: water supply Clearance for C�2bedroom mob, e home. ther NOTE Sanitarian Da rj COUNTY OF BUTTE �s R DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 534-4541 Skyway and Elliott Road, Paradise -- Phone: 872-2961, Ext. 57 CORRECTION NOTICE OWNER PERMIT NO. A routine inspection indicates that the following violations of County Ordinance exist at.'tFe above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explarlation, please contact this office immediately. ri L9i') AYLL r IT 1 1 { 1 ., Inspector__ (L' Date- �?6 RES TIDENT IAL EN=ERGY CONSERVATION STANDARDS - .CONSTRUCTION C01HPLIANCE CERTIFICATE THIS IS TO CERTIFY THAT ENERGY CONSERVATION REQUIRD4ENtS HAVE BEEN - INSTALLED III CQ1"x-'OM11ANCE WITH CURRENT ENERGY CONSERVATION REGULAT I IONS - (location) MILDING 'PERMIT No. A. P. NTO. THE FOLLOWINTP, HAVE, BEEN INSTALLED AS PER APPR(!V'P.T) Pt'.ATJ-".- POP man" (Check each item.or T,'Trite N/A if not applicable) INSULATION: GLAZING: Slab 'Edge. Single Glazed Fdn. Walls. Special (Insulated) Floors CERT. &'LABELED WDS. Walls& SLIDING DRS.. Ceiling/Roof WEATHERSTRIPPED DRS. Ducts BACK DAMPERED FANS Circulating Pipes INTER-111ITTENT IGNITION DEVICES APPROVED HEATER CERT. APPLIANCES' APPROVED WTR.HTR.-. I. DECLARE THAT ALL REQUIRED ITEMS AS NOTED ABOVE HAVE BEEN IN S TAT, L ,.IN ACCORDANCE WITH THE ENERGY CONSERVATION REOUIRMIEN7j-S AN ED D.AGREE TO THE -COMPLETENESS OF THIS CERTIFICATE AS SU&MI1 'TED. ,Insulation Applicator Name Sign ature of (please print) ' Insulation Applicator State Contractors ice: No,. -Lce: .General Con-tractorAhmNa. er N' 'Signature of /please P rint). General CoDtracto /Ov-ner c bat State Contractors Li.cense No.. THIS CERTIFICATE MUST BE ON Y -n -F. WITH THE BUILDIN'DEPARDIE , G T% PRIOR TO IT SHALL "tr —PCS -' 11 A T f)lr,%'T,)-,,. 1E H N J� )Y41-9-gO PERMIT NO. 592-86B,E PERMIT EXPIRES AA.R OWNER CLYDEELLIS CONTR. OWNER ASSESSOR PARCEL 27-06-53 LOCATION 2870 Bohemia, Palermo fb rbdw Temp. Power Pole Called PG&E Temp. Elec. Service Called PG&E Temp. Gas Service Called PG&E * JOB FINALE[ Signature J=QK 0 = Not OK = Not Applicable MOBILEHOMES * = Not Ready MISCELLANEOUS r , . "`1%. Date MOBILEHOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support -Sketch Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements _ 2. Footings; Size -Depth -Spacing -Connectors 3. Sewer; Location -Test -Fall -C/0 -Concrete 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Water; Location -Test -Easement Needed (Sketch) 4. Wood Awn.; Posts-Beams-Rftrs.-Connec.-Shthg.-Rig.-Bracing 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Gas; LocatiorrTest-Wrap:/ /"L"ft./ /"Nat.or/ /"L"ft./ /'LPG 6. Carports; Windows -Doors 7. Utility Clearance 7. Elec. - 1 _ ' Card -BI Date Card -BI Date Card -BI Date Card -BI 'Date Card -BI Date Date Card -BI Date MOBILEHOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements Card -BI Date-' Date Card -BI Date ' :POOLS (Plans) OK,except #'s _.1, Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line f 2: Soils; Compaction -Structure Stability 3. Gas; MH Test -Demand -Valve -Connector 3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 4. Elec.;Receptacles and Lighting; Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Water; MH Test -Regulator -Connector 6." Elec.; Enclosures; Conduit Entries -Terminals -Listed, 7. Water and Sewer Connected -C/O to Grade -HD Approval 7• Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater 8. Gas and Electricity Tagged 8. Elec.; Grounding; Equip'.w/5'-Circulating Equip. -Pool Lghtg. Boxes -Enclose es-Panelboards.-Ins. to Main in Conduit 9. Health Department Approval -1 - , 9. Exits; Insp.-Sketch 10. Cert. of Occupancy 10. Plumb; Cir. Test-Waier.Supply Test t � , Card B-1 Date Card -BI Date Card -BI Date Card -Bl, Date s + Card B-1 Date Card -BI Date Card -BI Date Card -BI Date r J = OK 0 = Not OK - = Not Applicable * = Not Ready RESIDENTIAL (Single and Duplex) Date UNDERFLOOR (Plans) OK except #'s Date FRAMING (Continued) 1. Zoning requirements -Setbacks -Easements 48. Property Line Firewall & Openings 2. Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth 49. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 3. Ftg., Garage; Soils -Steel- / /" Ftg. Depth 50. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 4. Fig., Porches & Decks; Soils -Ste . Depth 51. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 5. Stemwalls, Main; Steel-Blo uts-Wr ped -Slab 52. Siding -Nailing -Veneer 6. Stemwalls, Garage; St-Blocko -Wrapped-Sla tucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access 7. Piers -Fireplace g. -Steel / RIW Area -Glass Protection -Skylights -Plastic 8. D.W.V.: Fall ittings-Test way C/O -Sewer est a alls; Nailing -Bolts 9. Gas Pipe ize nc rs 10. Water .ip ; Tes nchors- or-Serv' a Te 11. 12. EI ric; JriqAroXd le s A. ct ; Clearance -Materia upport- 13 Gird r Si Is chor Bolts -Joist Vents -C ' s Card -BI Date Card -BI Date Card -BI Date Card -BI Date C r4rBI Date Card -BI Date Card -BI D to C d -BI Date L a FIN (Plans) OK except q's Card -BI DateCard-B Date Date LUMBING (P it) OK exce . Steps -Door & Sidelight Protection -Landings 5 Smoke Detector 1 t.; nt- ess-Combustio r 58. F s-Elearance-Comb. Air-Connecior- Garage; Above Floor-Ducts-Mech. Protection 15. Water P' e; s chors-Nail tection _ 16. 1 . W. ng Anch ail Prote n r Test, irs T Ac edroom Exiting I. & Bath Fixtures & Tub Access _Sho Test & Sho er, IFloor-Tu s 6 lec. Trim & Subpanel; Breaker Sizes -Labels c rs t" s& Rails -". Fireplace or Stove; Clearances -Hearth -"- Card -131 -`- ate rd -BI Date 64.-Elec. Outlets at Wood Panel; Int. & Ext. 65. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI _ ate Card -BI Date 66. Elec. Outlets & Receptacles at Kit. Counter 67.-GereWFire-Boor; Swing -Landing -Closer Date ELECT Permit OK except q's 68.ct in Garage -Damper 0. Fikure & Transformer Clearance -Ins. Protection pElec. Receptacles Spacing -Lights &Switches at Doors 22. Size Boxes & No. of Conductors -Stapled g Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Gar ge; Above Floor-Mech. Protectionry 7 P b., Elec. & Mech. Equip. Listed for Loca on 71. a -in-Garage; (G.F.I.)-R ex Protec. r�g 23. Romex Installed Close to Edge of Studs & C.J. 7U,." In � ration -Foam -Looked in Attic ffYes -Guard quip. Ground made up w/Mech. Fasteners -Bond Gas &Water Rails & Deck Construction -Post Caps 25. 26. 27. _ 28. 29. 2 Appliance Circuits in Kitchen &Conductor Size Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al, Insulated_Neu- `Yes :3 No Service -Riser Conductors & Ground -Main Disconnect Equip. Clearances; Panels-Motors-Mech. Equip. 74.,Ej yantc R r.�,.,t yole Door -Drainage &Wood -Earth Clearance Looked under Floor ❑ Yes 75. Following instld.: Drive Yes 'o Walks ED Yes o; Planters ❑Yes o 76. own- finish -Unit; Disconnect-Clrnces-Brkr. ond. Size -115V Outlet Card B -I Card B -I - 30. Clothes Closet Light -Shower Light --- --. Date _ Card -BI Date Date Card -BI Date encs Above Roof; Plbg.-Applianc-Firepl.3learance to Opngs. r Il; Disconnect, Electrical, g r 1. 2. erior Elec. Trim; G.F.I. Receptacle -Underground Ventilation throughout House Glass Protection Date MECHANICAL (Permit) OK except N's 83. Corrections from Previous Inspections 84-Las.1.ac1--Meters Tagged; Gas -Electric _ Card -BI Card -BI 31. 32. 33. 34. 35. A.C. Ducts_ Insulation & Support -_ - Vent Fan; Exhaust above Insulation _ Condensate Drain & Overflow; Size & Grade Furnace -Vent Access -Comb. Air -Return Air Vent -_115V outlet Attic Access & Platform if Furnace in Attic - Date Card -BI Date Date Card -BI Date 85. W er & Sewer Connected -C/O to Grade -HD Approval f�.� Energy Compliance Certificate -Other Certificates - Card -BI aCard-BI Date Card -BI Date and -BI Date _ Card -BI &WDate rd -BI Date Date _ FRAMING(Plans) OK except p's 36. Sills; Proper Material & Anchors _ 37. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound 38. Bearing Walls over Girders &_F_loor Nailing 39. Draft Stop in Walls (rat proof) 40. Fire Stops: Furred Ceilings -Stairs -Chases -Tub Co ments at Final: 41. Header & Beam -Size & Bearing 42. Hangers -Post Caps -Anchors -Connectors 4 Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthnq.-Rfng. place Ties or Type A Flue -Fireplace Throat 45. Attic Access: Size & Romex Protection -Draft Stop -Ins. Baffles 46. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 47. Garage Fire Protection Framing _ _ (NOTE: Anentry must be made each time you visit jobsite) r-1 tl. File No. I, BUTTE COUNTY(For�Action Public Works Dept. 1, 2, 3) (For Information v/ ) Director Dep. Dir. Sec. Rd. & Br. Mtce. Shop & Yards / Bldg. Insp. Admin. i v Design Engr. Bridge Engr. Constr. Engr. Surveys Mopping T ran s p. Land Dev. Drng. /S.I. Sub. & Pc 1. Maps Permits Addr. RONALD D. McELROY Deputy Director April 16, 1986 Clyde Ellis RE: Permits and Inspections 2870 Bohemia A.P. #27-06-53 Oroville, CA 95965 Dear Mr. Ellis: With reference to the above subject, on March 17-, 1986 you applied for per- mits to construct a two story addition and detached garage on your.property located at 2870 Bohemia, Oroville, at that time you were advised that com- plete plans in duplicate signed by the plans preparer, and Oroville Health Department approval were required. r Since this work was done without permits and inspections, and since permits and inspections are required by both State and County laws, please submit the requested items within ten days of the date of this letter so that per- mits may be issued and inspections made. In addition, the permit for the house must be renewed or finaled. Should you have any questions concerning this matter, please contact this office. Yours very truly, William Cheff Director of Public Works C*kal signed by I F. Glander J.F. Glander JFG:aam Chief Building Inspector cc: Building Inspector - Oroville 0 ' 'r T .... butte Goan LAND OF NATURAL WEALTH AND BEAUTY DEPARTMENT OF PUBLIC WORKS WILLIAM (Bill) CHEFF,.Director 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 Telephone: (916) 534.4541 RONALD D. McELROY Deputy Director April 16, 1986 Clyde Ellis RE: Permits and Inspections 2870 Bohemia A.P. #27-06-53 Oroville, CA 95965 Dear Mr. Ellis: With reference to the above subject, on March 17-, 1986 you applied for per- mits to construct a two story addition and detached garage on your.property located at 2870 Bohemia, Oroville, at that time you were advised that com- plete plans in duplicate signed by the plans preparer, and Oroville Health Department approval were required. r Since this work was done without permits and inspections, and since permits and inspections are required by both State and County laws, please submit the requested items within ten days of the date of this letter so that per- mits may be issued and inspections made. In addition, the permit for the house must be renewed or finaled. Should you have any questions concerning this matter, please contact this office. Yours very truly, William Cheff Director of Public Works C*kal signed by I F. Glander J.F. Glander JFG:aam Chief Building Inspector cc: Building Inspector - Oroville 0 ❑ Complaint -Date ❑;Othe,rr-Date Owner: BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS SPECIAL INSPECTION REPORT S ZONING A.P. # A'7-0 6--ZC3 Address:__ 2 :2 l,? dy Wl l Date of Inspections Tenant:. lo�'� �Y' Inspector Building Location: Cc Type of Inspection requested: /_/ 1. Housing / / 2. Financing / / 3. Change of Occupancy to 4.. Work W/0 Permit / / Other, (specify) Present use of building: A. Sanitation (Housing) 1. Water closet: 2. Lavatory: 3. Bathtub or shower: 4. Kitchen sink: 5. Hot and cold water to fixtures: 6. Heating facilities: 7. Natural light and ventilation: 8. Room and space requirements: 9. Bedroom window or door for second exit: 10. Infestation of insects, vermin, or rodents: .11. Connection to sewage disposal: ` 12. Connection to water supply: 13. Rubbish and garbage facilities: 14. Stairs:(Rise, Run, Headroom, 1HR, Tolerances,, -Handrails) 15. Comments: 1. B. Structural i. 2. 3. 4. 5. 6. Piers and footings: Floor construction: Wall construction: Ceiling and roof construction: Fireplaces: Comments: C. Electrical 1. Service and ground: 2. Receptacles: 3. Fusing: 4. Comments: 0 D. Plumbing 1. Fixtures connected and vented: 2. Gas water heater: 3. Gas heating vents: _ 4. Comments: E. Other 1. Maintenance and repair: 2. Fire hazards: 3. Safety hazards: 4. Weather protection: 5. Underfloor.and attic ventilation: 6. Energy:. 7. Comments: F. Commercial Buildings 1. Roof covering: 2. Distance to property lines: 3. Physically handicapped: _ 4. Restroom floors and walls: 5. Exits: 6. Improvements: 7. Zoning: 8. Comments: G. Field Problems or Violations 1. Problem or violatioj;kA(give 2. What VactiNn tVkeen (give,c to description): lete 4escrip„tion) 3. 'Ohat action commended: to / / A. Information only =~e.7 B. Hold for ten days, then write letter. %% C. Write letter. / /'D. 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