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Home My WebLink About027-100-052a I 4,3793490 13 �. � . !.� 1 �: BUILDIN C# DIVISION COUNTY OF BUTTE e DEPARTMLNT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 05005 = TELEPHONE: (019) 938=7941 AGRICULTURAL BUILDING EXEMPTION P MIT 'UMAIT NO Agricultural building Is defined as follows; Agricultural building Is a structure designed and constructed to house farm Implements, hay, grain, poultry, livestock, or other horticultural products. This structure shall not be a place of human habitation or a place of employment where agricultural products are processed, treated, or packaged, nor shall It be a place used by the public. ASSESSOR PARCEL NO. D? 100— D5-2-- ZONING 4 vs OWNER \ t (/V PHONE NO. 5'3 - eft OWNER'S ADDRESS 7,116j\ (O(J LOCATION OF BUILDING V 1 USE OF BUILDING /tf u i rpt fr SIZE OF STRUCTURE�(� XJr' O .,I�QSQ. FT. TYPE OF CONSTRUCTIIOO �. WOOD FRAME STEEL CONCRETE OTHER (Specify) Ty P 03- �� , /f lv ROOF COVE G r�� FLOOR TYPE j ;g� ESTIMATED COST OF CONSTRUCTION $ /600 AG Buildings shall comply with the building front, side, and rear yard requirements of the applicable County Ordinances as follows: FRONT S SIDES REAR 4— AG Buildings shall be a minimum of five (5) feet from any septic tank or leach fields. AG Buildings less than 1000 sq, ft. in floor area shall be located a minimum of 6 feet from a residence, 10 feet from a mobilehome, and 23 feet from a commercial building. AG Buildings greater than 1000 sq. ft. in floor area shall be located a minimum of 23 feet from a residence and a mobilehome, and 40 feet from a commercial building. AG Buildings must comply with Flood Zone requirements. Finish floor elevation must be at or above elevation USGS Datum. I declare under penalty of perjury that the building will be used as stated above and the purposed use conforms with the AG Building definition. If any change in use or occupancy of the building is made, I will contact the Building Division and obtain any necessary permits, inspections, and approvals to comply with the requirements in effect at that time and before occupancy. Date UJ 0Z G -9 y Signature of Owner Permit Fee - $50.00 Receipt No. IZ190117 The above deg6ripO AG Building is exempt from a buildi g permit. L;�OPARC I P.D.J ROOFI ISSUE Manager Building Divis' `tee `.- s" s+�- By Date l0 - Z 7:Z-'Z=— White — j_-'Z=— White — DPW, Yellow — Assessor, Pink — B. I., Goldenrod — Applicant Iw-, .t . • * to :� ' 1riT ''.� 1.� a'r '�r~�1 4,-r!r's�r (�•`�' h.r COUNTY OF BUTTE i&PARTMI�I�I,T�FF PUBLIC WO' BUILDING BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA S EET r Ua%- OWNER ��t7�--00CLqfoc(L� eL.�P. No.Proposed Building Use G-�X�y%D� Building Inspector -� Date (D ' 2� " Z At timeof ermit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY r 1. All items have been submitted. 2. Plot plans, 3/4 sets, signed by preparer of plans . .......................... 3. Complete plans, 3/4 sets, signed by preparer of plans . ...................... 4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. 5. Hazardous Material Form . ............................................ 6. Energy Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non -Heated and A/C Buildings . ............... ! ...... 8. Engineered truss details and layout in duplicate (required prior to plan check). .... 9. Mobilehome data and manufacturer's installation instructions, 2 sets. ........... 10. Fees of$ .......................................... 11. Impact fees as shown on attached schedule . ............................. . 12. California Department of Forestry plan approval/fees. ........................ 13. Flood elevation letter (100 year flood) by California Engineer . ................. . 14. Sanitation and plot plan approval Health Department . ............. 15. City of Chico plumbing permit . ........................................ . 16. Plot plan and business license approval from City of Biggs/Gridley. .............. 17. Planning approval for (A) Use: (B) Parking: . ........ 18. Contact Land Development about (A) Improvements (B) Drainage. .......... . 19. Driveway permit (construction approval required prior to occupancy). .. ... . ... 20. Pre -inspection for Fre-l,mpect'°" req � estrequired. . t. Building Inspector (Date) 21. Contractor's license information. (No., Name Style, Classification) . .............. 22. Certificate of Workmans Compensation Insurance . .......................... 23. Owner -Builder Verification (Given to owner , Mail to owner _). .......... . 24. Recorded copy of Agricultural Acknowledgement Statement ................... 25. Letter of signature authorization . ....................................... . 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... . 27. Letter of intent on building use . .......................................... 28. Mobilehome utility clearance . ......................................... . 29. Documentation of legal access . ....................................... . 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . .............. . 31. Existing violations/expired permits . ...................................... 32. Plan check list . ..................................................... 33. "`K , 34. When youtissue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver with inspector. Other Parcel Creation;- / / Acreage ;:._..» Applicant Date Copy of Haz-Mat fom,sent Health Dept. Fire p . Air Pollution Date Copy of plans sent .Health Dept. Fire Dept. Other Date By The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by _ phone -mail Counter by Date Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ _ Date Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works RESIDENTiAL r - 17 77 ;' 27-10-52 37.93.90B . WEBBER ; •Jack •.+ ,� 4 • Co 4-Reservoir Rd,' . �('®v-; ��EL reroof & cov ,decks/sf) : . • •u i - i ii+ to • JOB FINALED (Dat ✓ (/ {,+ Signature d=OK O = Not OK NotNot Applicable MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap: / /" L"ft. / /"Nat. or/ P L" ft./ /"LPG MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES Plans OK except #'s 1. Zoning Req uire men acks-Easements Fo tings; cmg-Connectors-Steel ecks' rs r Joists- eckin -Bracing-Stars-Rails 4. Wood Awn.; os rs.-C Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns-Connections-Splice-Decal-Ehclosures 6. Carports; Windows -Doors 7. E tric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses L_-Nt'Ext.; Steps -Doors -Landings Date Card B-1 Date % �7/Card B-1 Date Card B-1 Date Z.- Card B-1 Date "161OLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.: Pool Liohtina: 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater '8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosures -Pane Iboards- Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 7. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water•, MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 10. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES Plans OK except #'s 1. Zoning Req uire men acks-Easements Fo tings; cmg-Connectors-Steel ecks' rs r Joists- eckin -Bracing-Stars-Rails 4. Wood Awn.; os rs.-C Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns-Connections-Splice-Decal-Ehclosures 6. Carports; Windows -Doors 7. E tric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses L_-Nt'Ext.; Steps -Doors -Landings Date Card B-1 Date % �7/Card B-1 Date Card B-1 Date Z.- Card B-1 Date "161OLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.: Pool Liohtina: 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater '8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosures -Pane Iboards- Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 J=OK >10%) O = Not OV -1 ;f>:r 90;'1 n p - = Not Applicable t -tZI-AAI J3�RESIDENTIAL (Single & Duplex),�rj j,,, = Not Ready Date 'z'g tau:UNDERFLOOR'(Plans)'OK except #'s7 .407Y00 .2:rD�C[ sratl 1 D7 FRAMING FRAMING'(Continued). MT.!JFru 7MUN, !'s:a mr,0 1. Zoning-Setbacks=Easemen ts-Flood -Slope ; t n ool, .,' _ 45. Hangers -Post Caps-Artchors-Connectors" pmrni r 12aFtg,,,Main; Soils-Elec`Grnd.:/-eA,FtgaDepth o, 3 46. Cing. Joist-Rftri ties'Purlin-roof'Brac-Truss-Shthng.-Rfng. I ctiaH 3.) Ftg:; Garage; Soils-Steel-Elec"Grnd / is/:Ftg' Depth - 47. Firep] ace -T[es'or.Type A,Flue-Fireplace,Throat clearance I 4. Ftg., Porches &L Decks; Soils-Steel-/S/Ftg. Depth,' t. 48. Attic'Access• Siie & Romek Protection -Draft Stop -Ins. Baffles ---� _ 5..Stemwalls, Main; Steel-Blockouts-Wrapped t' ° .__.,__ __ . .-- 1 -- "'6'Stemwalls°Gara4e; Steel-Blockouts-Wrapped'''' ' Hold Downs and SpeciaLAnctio §s -4----7.. Slab; Steel -Wrapped 8..Piers-Fireplace Ftg' Steel___ Fall-Fit ting' Test-2:Way:C/O-Sewer_Te-iP-'tee- _._!_ 10..Gas Pipe; Size-Anchors.T_ -_11... Water. Pipe; ..Test-Anchor-Regulator-Service.Test -I c -12. Electric; Underground__.-. _-_j-.._.-13..Pienums.& Ducts; Clearance -Material -Support -Ins.-._.-_ _-.__._...__ __ f :1C Giiders-Sills-Anchoi.Bolts=Joists-Vents Crip'ples_; _ .r...�.l...a._...15..Insulation 1 �� a � [• �[�] JxV nor unci•:• Lys..:...+.iLrY w,.....,.. �'[ w �uw-�w.awr .ww• . .i Vw Date j -----Card Card .Date .1:-____---Card$-1-A"_"u"JE ti!uB-1_ Date 1 PLUMBING'(Perinit)'OK ezcept'#'sy':' jnuraur[c wv . c. -- -1-16. Water.Htr.; Vent -Access -Combustion Air -Baffle--,- - --- --I �17: Water Pipe; Test &�Anchbr-Nail Protection_ -- --- - i - ---18:;D.W.V.; Test -Fittings &-Anchor=Nail Protection qr --- - --� - `- 19. -Shower Pan; Test:First Floor- ---t- loor t---;'20:;Jest Tub e&'Shower,',Second Flo or-Tub'Access - ----- ---""---21.`Gas Pipe; Size&Anchors-=--=-- ==- --- -c Date+ - -Card B-1 Date.. Card B-1---- - - Datef --- -Card B-1'-- Date ----Card B-1--- -- Date ♦ ' - ELECTRICAL (Permit) OK except #'s- ---- ----_-_� __- _ - + 22.-Fixture'&Transformer Clearance -Ins- Protection--- -- M'-23-Elec: Receptacles Spacing -Lights &Switches at Doors ------ Size, Boxes-& oors--•--------Size,Boxes-& No. -of Conductors -Stapled=- - ---- -25.-Romex Installed Close to Edge of'Studs•& CJS •' I 26. Equip. Ground made up w/Mech. Fasiners-Bond Gas & Water 1 27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI I 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al I 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. • Insulated Neutral ❑ Yes ❑ No 30. Service -Riser Conductors & Ground -Main Disconnect I 31. Equip. Clearances Panels-Motors-Mech. Equip. I 32. Clothes Closet Light -Shower Light -Spa Light I 33. Smoke Detector I Date', Card B-1 Date Card B-1 Date' Card B-1 Date Card B-1 Date' MECHANICAL (Permit) OK except #'s I 34. A.C. Ducts Insulation & Support I 35. Vent Fan; Exhaust above insulation I 36. Condensate Drain & Overflow; Size & Grade I 37. Furnance-Vent; Access -Comb. Air -Return Air Vent -115 outlet I 38. Attic Access & Platform if Furnance in Attic I I Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Data FRAMING (Plans) OK except #'s 39. Sils, Proper Material & Anchors 40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound I 41. Bearing Walls over Girders & Floor Nailing 42. Draft Stop in Walls (rat proof) 43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 44. Headers & Beam -Size & Bearing `JJ"49.)Bdrm.,Windows'or Exiting' Doors -Sill Hgt.•& Dimensions 50. Garage Fire Protection Framing sT-rase ra: ^u-) J ---- 51. -Property -Line Firewall & Openirigs._:°'._"'- --52..Ext. .Doors -One 3' -Check Garage=3rd Story; 2 Exits'.-_.- ------- 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire. Protection. -------.54..plywood on Roof.Overhang-Attic.Vents-Rafter. Outriggers_-.-,-. ------ 55. -Siding -Nailing. Veneer_ --------'56.:Stucco Mesh -Drip Screed -Fd. Vents-UndeHlr.•Access____ -x:57:-Glaiing Area-Glass'Protection-Skylights-Plastic.,.,,.,,.,..,., , tl.,, ,.' `t urell -•....,..r.=.-.+y-« 58. Shear: W al ls; � N ailing=Bo Its ,,.,,�,........,.,,...,..,„.,•....,...,,,.,,e.�,.,,.,.„,.,.....,. -----...-59.-Insulation'=WaIIs=Ceilings.: _ f----60.-Infiltration-WaIIs-Windows,,_'_,Jr_._.__.. .: iV'dl4", i.. let; r*:' •+J',i J•••.1 .. -Date --------Card $-1 __'_!"'_'_'__"_' :'. Date.��'�- i r�• "_'''Card 8-1. __ _ __ -Date-___-_-.-._Card.B-1.`L_n-+Date'.` `yr nrw;�tCardB-1 _y 'v tf fL 1}-JyYf 1 -Date ----•'== FINAL'(Plahs)'OK Steps -Door.& Sidelight Protection -Landings..'^______..__ --------- - 62. -Smoke Detector-_.__--.-_ -----63. Furnace; Vents -Clearance -Comb.' Air -Connector-_ In Garaoe: Above Floor-Ducts-Mech. Protection 64. Bedroom Exiting 1`65.tG.F.I. & Bath Fixtures& Tub Access -Spa b+ D `66AElec. Trim & Subpanel; Breaker Sizes &Labels r1 67. Stairs & Rails 68. Fireplace or Stove; Clearances -Hearth 69. Elec. Outlets at Wood Panel; Int. & Ext. 70. Kit.Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance 71. Elec. Outlets & Receptacles at Kit. Counter 72. Garage Fire Door; Swing -Landing -Closer 73. A.C. Duct in Garage -Damper 74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage; Above Floor-Mech. Protection 75. Plb., Elec. & Mach. Equip. Listed for Location 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protection 77. Insulation -Foam -Looked in Attic ❑ Yes 78. Guard Rails & Deck Construction -Post Caps 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 80. Following instld.; Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑ Yes ❑ No 81. Stucco; Brown -Finish 82. A.C. Unit; Disconnect, Electrical, Plumbing 83. Vents Above Roof; Pibg.-Appliance-Fireplace.-Clearance to Openings 84. Water Well; Disconnect, Electrical, Plumbing 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground 86. Ventilation Throughout House 87. Glass Protection 88. Corrections from Previous Inspections 89. Gas Test -Meters Tagged; Gas -Electric 90. Water & Sewer Connected -C/O to Grade -HD Approval 91. Energy Compliance Certificate -Other Certificates Date Card B-1 Date Card B -1 - Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: (NOTE: An entry must be made each time you visit job site) L - COUNTY OF BUTTE _ DEPARTMENT OF PUBLIC WORKS 44 " 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Orovi Ile — Phone: 538-7541 747 Elliott Road, Paradise— Phone: 872-6307 CORRECTION NOTICE OWNER PERMIT NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this . Date Inspecto4 I COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. ASS 5 R PARCEL NUMBER 75O 10-52 ZONING A5 BUILDING PERMIT OWNER Jack W. Webber TELEPHONE 533-8877 SO, FT. OCC. BUILDING VALUAT N 12 s reroo 720.00 OWNER'S MAILING ADDRESS 150 Reservoir Rd Oro truss value 3000.00 CONTRACTOR'S NAME Owner TELEPHONE 10/.ll0 COV dl 10/,00.00 1 �F �F CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ 14120.00 Filing Fee $ 10.00. LENDER'S MAILING ADDRESS Permit Fee $ 110.50 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 55.25 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 150 Reservoir Rd Oro Permit fee $ 175.75 PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO.SUBDIVISION NAME PARCEL MAP Water piping 5,00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF.® Duplex[] Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S G W 10.00 ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Uti lities ❑ Installation ❑ Other' Describe work: covered deck, new truss over _ existing deck Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 AMP OR1 OR LESS10.00 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Bushes$ 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) ❑ 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 Main service EA. ADD'L 100 AMP 2.50 oR ADDNST ( OWELING ACCLBLDGSCCUP.&\ 2'h¢sgft / NEW CON5TR MULTI -OUTLET NON.RESID BRANCH CIRC ITS 2,50 ea POWER APPARATUS & (SINGLE OUTLET CIR. 20@50 Ex. Occup(OUTLETS OR FIXTURES SAL@30 EX. Occup. OUTLETSPIRESI D, )R EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling g Hood 3,00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against , and expenses which may in any way accrue ce f the granting of this per it. Date a 3Q %eD Contractor ❑ Agent iniMfor ROSHApermit queavvations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee OCC CONST TYPE TOTAL FEE 1 .7 HA2 CUA PARK sc P Iss This permit is nereby issued under the applicable provi- sions sions or the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. ° DIRECT OF PUBLIC WORKS By Dateff�6—� o PE IT EXPIRES Date _ ,(/ Receipt No. 84203 175.75// WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT r COUNTY,PF BUTTE - DEPARTMENT, OF PUBLIC WORKS - BUILDING DIVISION 7 COLINTY,CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET Permit No. OWNER 3"9 -CK �z.A t .2- -2 - s A. P..No. T Proposed Building Use r'6--3 Building Inspector ��7 Date ��-3or90 At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted . ........................ .......... 2. Plot plans in duplicate/triplicate, signed by preparer of plans ........ 3. Complete plans in duplicate/triplicate, signed by preparer. of plans . . 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Hazardous Material Form .......................................... 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings ..:............ 8. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation instructions ...................... t................................ 10. Fees of $ ........................ 11. Chico Urban Area fees paid ....................................... 12. Park fees paid .................................................... 13. chool Di ict fees paid .............. 14. Sanitation approval from Q oUl zl�f . Health Department !V 15. City of Chico plumbing permit ..................................... 16. Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: ...... 18. Improvements may be required. Contact Land Development Section DPW 19. Driveway permit (construction approval required prior to occupancy) 20. Pre -Inspection for required Pre-Inspec. request to Building Inspector 21. Contractor's license information (No., Name Style, Classifications ... 22. Certificate of Workmans Compensation Insurance .................. )3. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ..... 24. Recorded copy of Agricultural Acknowledgment Statement .......... 25. Letter of signature authorization ................................... 26. 27. JL, When you issue the permit, procesa as follows: Mail t0Awner. Mail to contractor. Telephone -`6Z I ?and hold for pickup at office. Deliver w. /inspector. Other /I Appl ican Date ��" 30_ i0 Copy of Haz-Mat form sent Health Dept. ire Dept. Air Pollution Date Copy of plans sent _Health Dept. Fire Dept. Other Date By The following data must be submitted prior to permit issuance 1. Index permit for above items No. 2. Additional items required: (Circle new item not checked above). Contractor, designer, owner, was advised of above required data by_phone---jnail Contractor, designer, owner, was advised -of above required data b'y_phone_mall Plans checked by Sets of plans on hold in Copy -DPW Date PIXns approved by File cabinet _LAP folder er by ..date er by date Date TO Building Department FROM: Environmental Health . SUBJECT: Sanitation Clearance Owner Location AP# Plan Approved for:' Sewaqe Disposal _ Water Supply Hold final for: Water Supply Final clearance O.R. for: Clearance for bedroom mobile home. Other P 0 i NOTE * * * Water Supply Date a . - Gwt N• COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION ANTI PFPL41T PERMIT NO. ASSESSOR PARCEL NUMBER _ ' OWNER ZONING BUILDING PERMIT .- �Cr (�% (�� 533P gF5% SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING AODR ESS �� - CONTRACTOR'S NAME t� TELEPHONE /•r`-- (Yp 2/ Q� - 0� x( {.675 UHK.�^d .9 � 16 VV�co' b CONTRACTOR'S MAILING ADDRESS Fireplace r2 CONSTRUCTION LENDER UNKNOWN Total Valuation _ F Q LENDER'S MAILING ADDRESS ARCHITECT OR ENGINEER LICENSE NO. Filing Fee 5 10.00 Permit Fee Plan Checking Fee $ l00 $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS Permit tee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 200 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP ,. Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE i SF Duplex❑ MobilehomeQ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home- S G W 10.00e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities Q Installation Q . ,0thgVE1 Describe work: CoLSO �7" t457S D✓�2 Z-si.JG %t'�� Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service ESS 100 VAMP OR ORSLESS 10.00 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): .. I am licensed under provisions of Chapt. 9, Div. 3 of the Busine ' 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) ❑ 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 Main service EA. ADO -L 100 AMP 2-50 NEW cogsT. DWELLING occuP.e OR ADDNS. ( ACC. BLDGS. h2sgft NEW CONSTR. ULTI.OUTLET NON•RESIO BRANCH CIRC ITS 2.50 ea POWER APPARATUS &) (SINGLE OUTLET CIR. Ex. OCCUp( OUTLETS OR FIXTURES eLO 22L. O 300 FIXED APPLNS. OR ++ Ex. Occup. OUTLETS IRESID.I EA./ 2.00 Temporary service 10.00 Mobile Home Facilities _T5 _00 Misc. Wiring 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): The permit is for 5100.00 (valuation) or less. 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 shal I 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 t:e deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3.00 Ventilation Permlt Fee $ Contractor 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 County of Butte to enter upon the above-mentioned property for inspection purposes. also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X.._ . Date Signature of Applicant — = ;-.Owner ❑., Ccotractor ❑ Agent Q An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3gqstories in height. Mobile Home Installation Fee $ Energy Inspection Fee g occ CONSTTYPE TOTAL FEE $ % 15.I HAz CUA I PARK I SCHL FLO PAR PD I Ho I ISSUE This permit is nereby issued under sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By PERMIT. EXPIRES Date the appiicable provi- resolutions to do have been paid. WORKS Date - Receipt No. OCa ...._..^- "•7`..::r - WNITC-O.P.W., YELLOW-A3aC33oR,yPiNX-INSPCCTOR; GOLDCMROD-APPLICANT COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-538-754.1 OTMER.-.BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will �be� issued until this verification is received. 1:J I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) I (have/have not-) signed an appCation for a building permit for the proposed work 3. 1 have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone _ Contractors License No. 4. I plan to provide portions of this 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 :o provide the work indicated - Name Address . Phone Type of Work Signed : Property Owner Social Securit N er Date Zol 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.