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027-160-012
e ROBERT FOSTER 27-16-12 o RAE MARIE SCHEER) - 3715 GRUE38S RD., OROVILLE RERM-I T --"#6336-75E( I NST. NEW LECT siEH 'i CE) 'SjF 027-160-012 99-0785 CHRISTIAN, Marcia n 3715 Grubbs Road, Pale �J Contr: Owner r ' 3� Garage & Carport 7 a 027-16-0-012 r -1W%% 00-0882 CHRISTIAN, MARCIA 3715 GRUBBS RD., PALERMO 1ST RENEWAL/99-0785 — CARPORT/GARAGE '3---J-01 QN 0 1a f e ROBERT FOSTER 27-16-12 o RAE MARIE SCHEER) - 3715 GRUE38S RD., OROVILLE RERM-I T --"#6336-75E( I NST. NEW LECT siEH 'i CE) 'SjF 027-160-012 99-0785 CHRISTIAN, Marcia n 3715 Grubbs Road, Pale �J Contr: Owner r ' 3� Garage & Carport 7 a 027-16-0-012 r -1W%% 00-0882 CHRISTIAN, MARCIA 3715 GRUBBS RD., PALERMO 1ST RENEWAL/99-0785 — CARPORT/GARAGE '3---J-01 QN 0 1a t NOTES RESIDENTIAL 02716001 -2 99-0785 i PERMIT NO. _ CHRISTIAN, Marcia f 3715 Grubbs Road, Palermo Contr: Owner Garage &Carport , AO d 0 11 SPECIAL CONDITIONS 71 SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER rs* r .. r � r JOB FINALED (Date) Signature CHECKED BY r I 11 SPECIAL CONDITIONS 71 SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER rs* r .. r � r JOB FINALED (Date) Signature CHECKED BY ✓ =OK 0 = Not OK - = Not Applicable MOBILE HOMES Not Ready 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-Clearances-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap;-/ /" L'ft. / P Nat. or / /"L"ft./ /'LPG 7. Well Clearance & Disconnect 8. 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. Electricitv: 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. Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch 11. Cert. of Occupancy 12. Permanent Foundation Only; License Decal Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVVS, CARPORTS GARAGES (Plans) OK except #'s L*rping Requirements -Setbacks -Easements AoT Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Bea ms- Rftrs.-Connectors 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rttrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date y Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (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, Distance-GFI 5. Elec.; Pool Lighting; 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- Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 V= OK 0 = Not OK - = Not Applicable = Not Ready RESIDENTIAL (; Date Underfloor (Plans) OK except #'s Hangers -Post Caps -Anchors -Connectors 1. Zoning -Setbacks -Easements -Flood -Slope Cling. Joist-Rffr. Ties- Purlin-Roll Brac.-Truss-Shting.-Rfng. 2. Ftg., Main; Soils-Elec. Grnd.-/ r Ftg. Depth Fireplace Ties or Type A Flue -Fireplace Throat Clearance 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ r Ftg. Depth Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 4. Ftg., Porches & Decks; Soils -Steel-/ r Ftg. Depth Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 5. Stemwalls, Main; Ste el- Blockouts-Wrapped Garage Fire Protection Framing 6. Stemwalls, Garage; Steel-Blockouts-Wrapped Property Line Firewall & Openings 6a. Hold Downs and Special Anchors Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 7. Slab, Steel -Wrapped Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 8. Piers -Fireplace Ftg.-Steel Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test Siding -Nailing Veneer 10. UF, Gas Pipe; Size Anchors - Yard Gas Piping; Size Test Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 11. Water Pipe; Test -Anchors -Regulator -Service Test Glazing Area -Glass Protection -Skylights -Plastic 12. Electric Underground Shear Walls; Nailing -Bolts 13. Plenums & Ducts; Clearance -Material -Support -Ins. Brace Interior/Exterior Wall Panels 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies Insulation -Walls -Ceilings 15. Access & Ventilation Infiltration -Walls -Windows 16. Insulation Exterior Elec. Trim, G.F.I. Receptacle -Underground Date 88. Date Date Card B-1 Date Card B-1 Date Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s Ext. Steps -Door & Sidelight Protection -Landings 17. Water Htr.; Vent -Access -Combustion Air Baffle Smoke Detector 18. Water Pipe; Test & Anchor -Nail Protection Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 19. D.W.V.; Test Fittings & Anchor -Nail Protection Bedroom Exiting 20. Shower Pan; Test, First Floor -Tub Access G.F.I. & Bath Fixtures & Tub Access -Spa 21. Test Tub & Shower, Second Floor -Tub Access Elec. Trim & Subpanel, Breaker Sizes & Labels 22. Gas Pipe; Sixe & Anchors Stairs & Rails Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 23. Fixture & Transformer Clearance -Ins. Protection 24. Elec. Receptacles Spacing -Lights & Switches at Doors 25. Size Boxes & No. of Conductors Stapled 26. Romex Installed Close to Edge of Studs & C.J. 27. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water 28. 2 Appliance Circuits in Kitchen & Conductor Size GFI 29. Subieed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or Al 30. Range Circle / / ga Cu or Al -Oven Circ. / / ga Cu or At Insulated Neutral ❑ Yes O No 31. Service -Riser Conductors & Ground Main Disconnect 32. Equip. Clearances Panels-Motors-Mech. Equip. 33. Clothes Closet Light -Shower Light -Spa Light 34. Smoke Detector Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 35. A.C. Ducts Insulation & Support 36. Vent Fan, Exhaust above insulation 37. Condensate Drain & Overflow, Size & Grade 38. Furnace -Vent Access -Comb. Air -Return Air Vent 115 outlet 39. Attic Access & Platform if Furnace in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s 40. Sits Proper Materials & Anchors 41. Walls Studs -Nailing Spacing & Braces -Plates -Sound 42. Bearing Walls over Girders & Floor Nailing 43. Draft Stop in Walls (rat proof) 44. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 45. Headers & Beams -Size & Bearing a jingle & Duplex) Date 70. FRAMING (Continued) 46. Hangers -Post Caps -Anchors -Connectors 47. Cling. Joist-Rffr. Ties- Purlin-Roll Brac.-Truss-Shting.-Rfng. 48. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 49. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 50. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 51. Garage Fire Protection Framing 52. Property Line Firewall & Openings 53. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 54. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 55. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 56. Siding -Nailing Veneer 57. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 58. Glazing Area -Glass Protection -Skylights -Plastic 59. Shear Walls; Nailing -Bolts 60. Brace Interior/Exterior Wall Panels 61. Insulation -Walls -Ceilings 62. Infiltration -Walls -Windows 87. Exterior Elec. Trim, G.F.I. Receptacle -Underground Date 88. Card B-1 Date Card B-1 Date 89. Card B-1 Date Card B-1 Date 90. FINAL (Plans) OK except #'s 63. Ext. Steps -Door & Sidelight Protection -Landings 64. Smoke Detector 65. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 66. Bedroom Exiting 67. G.F.I. & Bath Fixtures & Tub Access -Spa Date 68. Elec. Trim & Subpanel, Breaker Sizes & Labels 69. Stairs & Rails 70. Fireplace or Stove, Clearance -Hearth 71. Elec. Outlets at Wood Panel, Int. & Ext. 72. Kit. Fixt. & Appliance; Ground -Air Gap -Cooking Clearance 73. Elec. Outlets & Receptacles at Kit. Counter 74. Garage Fire Door; Swing -Landing -Closure 75. A.C. Duct in Garage -Damper 76. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor -Mach. Protection 77. Plb., Elec. & Mech. Equip. Listed for Location 78. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 79. Insulation -Foam -Looked in Attic 80. Guard Rails & Deck Construction -Post Caps 81. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor Q Yes 82. Following Instld./Drive J Yes ] No/Walks ] Yes :3 No/Planters J Yes J No 83. Stucco Brown -Finish 84. A.C. Unit Disconnect, Electrical -Plumbing 85. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 86. Water Well, Disconnect, Electrical, Plumbing 87. Exterior Elec. Trim, G.F.I. Receptacle -Underground 88. Ventilation Throughout House 89. Glass Protection 90. Corrections from Previous Inspections 91. Gas Test -Meters Tagged, Gas -Electric 92. Water & Sewer Connected -C/O to Grade -HD Approval 93. Energy Compliance Certificate -Other Certificates 94. Address Posted 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: r ... y',A - MARCH 24, 2000 MARCIA CHRISTIAN 3715 GRUBBS ROAD OROVILLE, CA 95965 L A N D O F N A T U R A L W E A L T H A N D B E A U T Y BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE • OROVILLE, CALIFORNIA 95965-3397 TELEPHONE: (530) 538-7541 FAX: (530) 538-2140 RE: Building Permit # 99-0785 Expiration Date: 4/30/00 A.P. !# 027-16-0-012 With reference to the above subject, our records indicate that your building permit expires on the above date and your permit falls into one of the categories marked below: $}LXXX Permit work started, but not completed. Permit may be renewed for 1/2 the original building permit fee (plus a $20.00 filing fee). The renewal permit will extend the building permit for an additional year from the original expiration date. Should you not renew your permit within 30 days of the expiration date, all work must cease until a new building permit has been issued. For your convenience, we are enclosing a renewal application form and owner -builder form to be completed and signed by you where indicated and returned to this office together with the fee shown. Please return all copies of the application form. [ ] No inspections have been made on permit work. Inspections are required to verify code compliance. We are unable to renew a permit where the work has not been started and inspected prior to permit expiration. After expiration of your permit, no work may be started until a new permit has been issued. [ ] A final inspection has not been made on permit work. Final inspection approval is required before occupancy. Our field inspector has verified that the building is occupied. Occupancy must cease until a final inspection can be made and final approval given. You have 30 days to voluntarily cease occupancy or to present an acceptable plan for abatement or corrective actions to be taken by you. If our records are in error or should you have any questions concerning this matter, please contact the OROVILLE office. Thank you for your prompt attention concerning this matter. MCV:ahb Attachments Chico Office - 1469 Humboldt Rd/891-2751 Yours very truly, 4L MicelC. V ira, C.B.O. Manager, Building Inspection Paradise Office - 747 Elliott Rd/872-6307 .t` COUNTY OF BUTTE BUILDING DIVISION : DEPARTMENTIOF DEVELOPMENT SERVICES 411 Main Street • Chico, CA • (530) 891-2751 7 County Center Drive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE ry t2l�rt l � Off? OWNER OWNER PERMIT NO. A routine inspection indicates that the following violations of butte county Ordinances exist at the above address and should be coriected. Please notice this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. s G,/Ai -lzl C-- 6x7 -'f �r �-.,�n+'7•,.. *i.r,;....+. ;. s„ _ n5= wwc�xv+oT �':c34 �� �•��r .z. arosa a..�.; q .w ..ms.rx>,.r-�-- . .�,,;�ir zr:.rtr, ter.._ "r :. T.cF7.o�ar '} 027-16-0-012 00-0882 CHRISTIAN, MARCIA 3715 GRUBBS RD., PALERMO IST RENEWAL/99-0785 - 1 CARPORT/GARAGE COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION `' I-' 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT ` 0 RR _ ASSESSOR PARCEL NUMBER ) "),)7- ZONING BUILDING PERMIT OWNER OWNER ,�,.,�, .�;L �L,,iTr„T,r �_.� TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS -!-j -1 i r"- T, !-,C CONTRACTOR'S NAME TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER [Fireplace LENDERS MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE No. Filing Fee $ 20.00 Permit Fee r �TCI'.��. $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDINGADp�i,S S.,_n01Ln, TRAT�L •r„� /�11 Energy Plan Checking Fee $ i $ PERMIT FEE $ 1 + LAT NO. SUBONISION5NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other f. t J�it1`" SPEc�v Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other 07 _ Describe Work: Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 600V OR LE Main Service 200" OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.PSING License Class LIC. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: b' I, as owner of the property, or my employees with wages as their sole compensation, ,A will do the work, and the structure is not intended or offered for sale. ify I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service TO 46.00 CCU000A NEW coNST. DWEWNG occuP. DWE200ALLING ORADDNS. ( & AM. .50So 3.5QF°: LET NON RESID. @7.50 ERLE APImFT CPARATUS O O 8 IR. Ex. Occup. OUTLET OR FIXTURES BAS ®1 0 Ex. Occup. ouTEiFTs ASID °Ea 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring23.00 PERMIT FEE $ WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that f I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X Date Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60” deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ HAZ. D. FEES IMP FLooD CDF PARCEL PD HO ISSU This permit is hereby issued under the applicable of the Butte County Code and/or Resolutions indicated above for which fees have been 1 /r' ^.�iL �� l�^.L&L -Date Ti' v 131."W6 PERMIT EXPIRES ON provisions to do work paid. ta Receipt No. C-' % �} ,' '/S{� WHITE-D.D.S.-B.D. �AWARY-ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATIOW AND PERMIT ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT OWNEIMARCIA CHRISTIAN TELEPHO SO. FT. OCC. BUILDING VALUATION OWNEWS1 MAILING ADDRESS '1711; C4RUBBS ROAD, OROVILLE CA 9596-5 CONTRACTOR'S NAME OWNFR TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Flinq Fee $ 20.00 Permit Fee 2 ORIGINAL $ 81.00 ARCHITECT OR ENGINEERS MAIUNG ADDRESS Plan Checkin Fee $ BUILDIIJff�SSGRUBBS ROAD, PALERMO 3 Energy Plan Checking Fee $ $ PERMIT FEE $ 101.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other CARPORT/GARAGE SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other (QX Describe Work: IST RENEWAL/99-0765 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W 920.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 LESS Main Service zo.A OR LESS 23.00 CENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Lar the following reason: I, as owner of the property, or my employees with wages as their sole compensation, ry will do the work, and the structure is not intended or offered for sale. 1W1, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ I have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. ( 6 ACC. BUDS. s0 3.5QF7_ .O.I. MULTI -OUTLET 97,50 POWER APPARATUS 8 SINGLE OUTLET CIR. Ex. Occup. OUTLET OR FIXTURES 20 @ 1.00 BAL p .50 Ex. Occup. oF"LED s"'FR� D °E 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FE]_ $ Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall -forthwith comply with those provisions. 1 ate 4'/ �� Signature of Applicant - Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 101-00 HAz. D. FEES IMP FLOOD CDF PARCEL PD HD 5SU This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have B PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. JtA ate 4/30/01 Date Receipt No. WHITE-D.D.S.-B.D. -CANARY--ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. .a.alt Please complete and return this information at your earliest opportunity` .to avoid . unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. . 1. I personally plan to provide the major labor and materials for construction of the . proposed property improvement :YES[!; NO[ J. 2. I HAVE[ ✓j HAVE NOT_[ ] signed an.application for a'buiildmg permit for the y proposed work... 3. I have contracted with the •following -.person (firm) to provide theproposed construction: NAME: a = ADDRESS: CITY: PHONE: - CONTRACTOR'S LICENSE NO.- 4. 1. plan to provide portions of this work, -=but I have hired the following person to coordinate, supervise, and provide the major work: 1 NAME: ADDRESS:* CITY: PHONE: CONTRACTOR'S LICENSE NO. 4 5. .I will provide some of the work but I -have contracted (hired) the followip&-persons to provide the work indicated: - NAME ADDRESS PHONE TYPE OF WORK SIGNED: /I- PROPERTY OWNER: SOCL•kL SECURITY NUMBER: .. DATE: NOTE: This owner -Builder Verification is required by Section 19831 and 19832 of the California Health and Safety Code. May 1995 This verification must be completed and returned to our office before we are permitted to issue the permit. Dear Property Owner: • '" An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified. For your protection, you should be aware that as "owner -builder" you are the responsible party 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. ut their license number on all permits for which they apply. If you plan to do your own work,, with the, exception of various. trades that you plan. to subcontract, you should be aware of the following information for your benefit and protection: 0 If you employ, or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is 5300 or more for the'6iitiie•project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. 0 If you are an employer, you.must register with the State and Federal Governments as an employer and you. are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers compensation insurance, disability insurance costs, and unemployment compensation contributions. . 0 There maybe financial risks for you if you do not carry out these obligation§, `and these risks are especially serious with respect to worker's compensation insurance. . 0 For more specific information about your obligations under Federal''Law, contract the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who .are not licensed contractors -are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "ownerbuilder" building permit, erroneous -implying that the property owner is providing. his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are -performing their own work personally. Information about licensed contractors may be obtained by contracting -the Contractors- State License Board in your community or at 1020 N Street, Sacramento, CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. Sincerely, Michael C. Vieira, C.B.O. Manager, Building Inspection NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code. ,May 1995 2.27 COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO (Rev. 12/96) APPLICATION AND PERMIT d ASSESSOR PARCEL NUMBER 097-16-0-019 ZONING A-5 BUILDING PERMIT O*NE`MARCIA CHRISTIAN TELEPHONE SO, FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS 1715 GRUBBS ROAD, OROVILLE CA CONTRACTOR'S NAME -9-5-965 TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee 2 ORIGINAL $ 81.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ "'Iftft "IGRUBBS ROAD, PALERMO Energy Plan Checking Fee $ $ PERMIT FEE $ 101.00 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other CARPORT/GARAGE SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other IX Describe Work: _ IST RENEWAL/99-0765 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home ISI GI W 920.00 PERMIT FEE S ELECTRICAL PERMIT Filing Fee 20.00 Main Serviceeoov oR LEss zoOA OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.P License Class Lic. NO. OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Main Service 200A TO 1000A 46,00NEW CONST. DWELUNG OCCUP. s0 OR ADDNS. ( 8 ACC. BLDS, 3.5¢FT. NOµq�ID, T. MULTI.OUTLET @7.50 OWER APPARATUS 8 SINGLE OUTI, C'R. Ex. OCCU OUTLET OR FUTURES aA* p "00 Ex. Occup. DuT, TS (RR.50 A D.DFRa 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirina 23.00 PERMIT FEE _ MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEt $ Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers'HAZ. compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X Date Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ 101-00 D FEES IMP FLOOD CDF PARCEL PD HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By Date 4/30/01 PERMIT EXPIRES ON ale Recei tNo. P WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PER IT O. (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 027-160-012 ZONING A5 BUILDING PERMIT OWNER CHRISTIAN, MARCIA TELEPHONE SO. FT. OCC. BUILDING VALUATION 480 8b4U.UU . OWNERS MAILING ADDRESS 3715 GRUBBS ROAD, PALERMO 200 2600.00 CONTRACTOR'S NAME OWNER 7533.2044 240 3120.00 CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAIUNG ADDRESS Total Valuation $ 14, 360.00 ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 162-00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 3715 GRUBBS ROAD PALERMO Energy Plan Checking Fee $ $ PERMIT FEE $ 9R7 30 LOT NO. SUBDNISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other GARAGE SPECIFY Each Trap 7.00 - Solar or heat um water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: GARAGE AND CARPORT Gas piping stem 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W 920.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION 1 hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.P License Class Lic. No. OWNER -BUILDER DECLARATION I her y affirm under penalty of perjury that I am exempt from the Contractors License Law or the following reason: I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Main Service TO 46.00 WE CCU000A NEW CONST. ( DWEIJ.ING OCCUP. 3.52sFf.D-16.80 NEW CONST. MUL�TICOUTLET NON-RESID. @7.50 OWER APPARATUCIR.S d SINGLE OUTLET ourLEroRFocruREs 20 �'0° Ex. Occu BAL o .so Ex. Occup. OFlxuT>ED sRa DRQ 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE S MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FET: $ Policy Number he above sections need not be completed if the permit is for work of a valuation Pf one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall omply with those provisions. _ Date _ fpofKpplicant- Er Owner ❑ Contractor ❑ Agent I I rSigAnatur� An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE T AL FEE $ 3 'PAR HAZ. D IMP FLOOD COF D I0 t 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. . i By , / ate 1( O fg PERMIT EXPIRES ON 11,3 D o� ate Receipt No. 264806 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT S COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT 0. (Rev. 12'/96), APPLICATION AND PERMIT �q-�`j ASSESSOR PARCEL NUMB ...- �� V _ ZONING S BUILDING PERMIT QWNER �X2 TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRE 75F o �-- CONTRACTOR'S NAMEONE `n �L'/-- T CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation Is ARCHITECT OR ENGINEER UCENSE NO. —Filing Fee $ 20.00 Permit Fee $ l0 ARCHITECT OR ENGINEER'S MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS Energy Plan Checking Fee $ $ 4 PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP i PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other 4�1; SPECIFY Each Trap.7.00 Solar or heapump water heater 23.00 Water piping 00 Each gas water heater or ve 15.00 New ❑ Addition ❑ Describe Work: TYPE OF WORK Remodel ❑ Utilities ❑ Installation ❑ Other ❑ �� C,t/L Gas piping system 1 - outlets 15.00 Building sewer 15.00 Mobile iTPIX I S I G I W @20.00 PERMIT FEE S ELECTRICAL PERMIT Filing Feel 20.00 Main Service loon oa LE. 23.00 ^ { f„ U 02 Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUP. 3.5¢SO. OR ADDNS. ( 6 ACc. BLDS. FT. NEW CONST. MULTI.OUTLET NON-RESID. 97.50 POWER APPARATUS 8 SINGLE 011TI.ET C. R. Ex. Occup. OUTLET OR FIXTURES 20 O 1.00 BAL 0 .SO FIXED APPLNS. OR Ex. Occup. ouTLETS RESID. EA. 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.009� PERMIT FEE _ 3 MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE S Mobile Home Installation Fee $ Energy Inspection Fee 1 $ DCC CONST. TYPE TOTAL FEE $ HAZ. D. FEES IMP FL000 COF pgRCqHD ISSUE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. Date Date Receipt No. :!g 44 &2C42 WHITE-D.D.S.-B.O. CANARY -AS ESSOR PINK -INSPECTOR GOLDENROTAPPLICANT '�`��".'�"e�7`��ti.%='�V'it�.lc.„,Gf�4,���rz'r�Fi�l�if.,�4�'i"};""^I1+�j'►'�'��fif+.�*siC �.y,`�y,'}{`'j w�y-�7i+ilFYuhF''t'''i.[4'�'��xn��r�`;�t-ew'=fr.� .r.'r�s'"-'.7►�'V;+��srw-t;a COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION ` 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541 PERMIT APPLICATION DATA SHEET OWNER: (�' 1 % ( %1J ASSESSOR PARCEL NUMBER: Proposed Building Use: uilding Inspector: � Dater i / . ^ 9 At time of permit application, I was adv�the owingdata must be submitted prior to permit processing and/or issuance: Date Received By ❑ VA& items have been submitted.------------------------------------------------------------------------------------- Pot plans, 3/4 sets, signed by the preparer of plans. ------------------------------------------------------------ omplete plans, 3/4 sets, signed by the preparer of plans. ----------------------------------------------------- .ngineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans. -------- ngineered truss details and layout in duplicate (required prior to plan review) No faxes! ---------=-------- ❑ . Energy Design�Compliance and supporting documentation. ---------------- ------------------------------------ ❑ 7. Statement of Intent for.Non-Heated and A/C Buildings.--------------------------------------------------------- 118. --------------------------------------------------------❑8. Hazardous Material Form. ------------------------------------------------------------------------------------------ ❑ 9. Manufactured Home data and installation instructions including Tie Down Specifications .------------------ ❑ 10.,Fees of $ ------------------------------------------------------------------------------------- ❑ Impact fees as shown on the attached schedule. ------------------------------ --- - ---- ------------ Ca ornia Department of Forestry plan approval/fees! E-'_- - ------------------------- Flood elevation certificate.------------------------------------------------------------ ----------------------- a anitation and plot plan approvaleZ ) _ Health Department. —0 —AP % ❑---------------- 15. City of Chico plumbing pernut. ------------------------------------------------------------------- ❑ 16. Plot plan and business license approval fror the City of Biggs.---------------------------------------------- Lf ---------------------------------------------L f 7. Planning approval for (A) Use: ©r- .. (B) Parking: -------------------------- ❑ 18. Contact Land Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel. ----------------------- ❑ 19. Encroachment Permit for driveway (construction approval prior to occupancy). ---------------------------- 020. Pre -inspection for required Request to Building Inspector on ❑21. Contractor's license information. (Number, Name Style, Classification). C3 22. Workers' Compensation carrier and policy number. ----------------------- 1123. Owner -Builder Verification (Given to owner ❑, Mailed to owner ❑). -- 1124. Letter of signature authorization. -------------------------------------------- ❑25. Recorded copy of Agricultural Acknowledgment Statement. -------------• ❑26. Letter of intent on building use. ----------------------------------------------. ❑27. Manufactured Home utility clearance. --------------------------------------- ❑28. Existing violations and/or expired permits. ---------------------------------. ❑433 A, ❑Grant Deed, 9 MA Title, ❑ Check to H.C.D $_ Other: "en you issue the E',Z'4 process as follows ❑ Mail to owner, ❑I Tel hone t�J__J and hold for pickup at Q , to contractor. (Date) ��WIN office. ❑ Deliver with inspector. Applicant: Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, ❑ Air Pollution ✓ ate: By: Copy of plans sent ❑ Health Department, ❑ Fire Department, ❑ Oth Date: By; 1. Index permit application for the above items numbered: ❑ Plan Check Us - 2. Additional items required: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by D te: Plans reviewed by: Date: Plans approved by: Date: _ Sets of plans on hold in ❑ Plan Cabinet, ❑ A.P. folder. Note transfer by: Date: OWNER -BUILDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary dela}i in processing and issuing your building permit. No building permit will be issued until this verification is received. I personally plan to providyajor labor and materials for construction of the proposed property i�m{Jment :YENO 131 2. I HAVE HAVE NOT an application for a building permit for the proposed worn; 3. I have contracted with the following person (firm) to provide the proposed construction:.: NAME• ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 4. I plan to provide portions of this :work, but I have hired the following person to' coordinate; supervise, and provide the major work: NAMIE: . . ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 5. I will provide some of the work but I have contracted (lured) the following persons to provide the work indicated: NAME ADDRESS PHONE TYPE OF WORK SIGNED: PROPERTYOWNER: SOCIAL SECURITY NUMBER:__ DATE: 20 NOTE: This Owner -Builder Verification is required by Section 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. OWNER BUILDER INFORMATION 1 Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of property. . improvements specified For your protection, you should be aware that as "owner -builder" you are the responsible parry ofjecord 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 shduld be aware of the following information for your benefit and protection: A ♦ If you employOptions , Previster ersons other than your immediate family, and the work (including rgAterials and o o00 or mthe entire project, and such persons are not licensed as contractors or subcodoru maybployer. If you anr with the State and Federal Governments as an employer and you are subject to se.including state. and. federal income tax withholding, federal social, security _taxes, workers compensation insurance, disability insurance costs, and unemployment compensation contributions` ,. ♦ There may be financial risks for you if you do not carry out these obligations, and these risks are especially_sedous with respect to worker's compensation insurance. ♦ For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information' about your obligations corder State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only undef luzuted conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "owner builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractprs may be obtained by contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento, CA. 95814. Please complete the "Owner Builder Verification" �,n the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. r rely, Mic el C. Vi ira, C.B.O. M ger, Building Inspection NOTE. This Owner-Builder.lnformation is required by Section 19830 of the California Health and Safety Coda OVER COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES OWNER'S STATEMENT OF USE - DETACHED ACCESSORY BUILDING PN: ONE: BUILDING PMT. # OWNER: ,C1'ia C k r L Shar_ PHONE: 33 oZUti-l� —JLL1 MAIL ADDRESS:Ore) t , I le ('n - QGP (o(o' SITE ADDRESS: some- PROPOSED USE: aQ ro PLEASE ANSWER QUESTIONS 1-20. PLEASE EXPLAIN YES ANSWERS (2-18) IN THE SPACE PROVIDED ON THE REVERSE OF THIS FORM. (PLEASE PRECEDE EACH COMMENT WITH RELATED QUESTION #) GENERAL INFORMATION: 1. Is there a primary dwelling on the property? Yes: ✓ No: 2. Is the structure already built, under construction, or under notice of code violation? Yes: ✓ No: 3. Will items produced in this building be offered for sale? Yes: No: ✓ 4. Will the public have access to this building? Yes: No: ✓ 5. Will any advertising, on or off site, be associated with the use of this building? Yes: No: 6. Will this building be occupied at any time as a sleeping quarters? Yes: No: 7. Will this building be occupied at any time as an eating area? Yes: No: 8. Will this building be occupied at any time as a cooking area? Yes: No: 9. Will this building be occupied at any time as a living area? Yes: No: ✓ SITE CONDITIONS: 10. Is the structure foundation within 5' of septic tank or 10' of leach lines? Yes: No: 11. Is any portion of the proposed structure located closer than 20' to your front property line? Yes: No: 12. Do you plan to add a driveway or modify existing access to a county maintained road? Yes: No: 13. Will the proposed structure encroach within any recorded easement? Yes: No: ✓ CONSTRUCTION FEATURES: 14. Will this building have insulated floor, walls, or ceiling? Yes: No: 15. Will this building be heated or cooled? Yes: No: �- 16. Will this building have a water closetttoilet? Yes: No: 17. Will this building have a sink? Yes: No: ✓ 18. Will this building have a water heater? Yes: No: ✓ 19. / What type of floor covering will the building have? rAh CM (�eo- 11'0 0 ►' S 20. What type of wall covering will the building have? ADDITIONAL INFORMATION: I hearby affirm under penally of perjury the above infromation is true and correct. 1 understand that any changes to the use, or character of use, of this building will require permits from the permitting authority. I understand that Real Estate Disclosure laws require disclosure of this information if or when offered for sale. L3 OWNEWtIGNATURE DWTE OWNER'S SIGNATURE DATE FOR DEPARTMENTAL USE REVIEWED BY: COMMENTS: DATE: COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION APP 2 s 1;4 7 County Center Drive - Oroville, California 95965 - Telephone (530) 538-7541/,n PERMIT -NO. (Rev. 12/96) - APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 027-160-012 ZONING A5 BUILDING PERMIT OWNER CHRISTIAN, MARCIA TELEPHONE SO. FT. OCC. BUILDING VALUATION 48U bb40.00 OWNERS MAILING ADDRESS 3715 GRUBBS ROAD, PALERMO_ 200 2600.00 CONTRACTORS NAME OWNER T533NE 240 3120.00 CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation Is 14, 360.00 ARCHITECT OR ENGINEER LICENSE NO. Filing Fee I $ 20.00 Permit Fee $ ARCHITECT OR ENGINEEAS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS' 3715 GRUBBS ROAD PALERMOPALERIMO Energy Plan Checking Fee $ $ PERMIT FEE $ 9R in LOT NO. SUSONISION'S NAME PARCEL MAP PLUMBING PERMIT Fling Feel 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other GARAGE SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: GARAGE AND CARPORT Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home s G w @2o.00 PERMIT FEE t ELECTRICAL PERMIT Fling Feel 20.00 Main Service -Dov OR LESS so. oR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION I h/e, affrmunderpenalty of perjury that I am exempt from the Contractors License followingreason: as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ I am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 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 workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number he above sections need not be completed if the permit is for work of a valuation o ) f one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall fort I h comply with those provisions. X Date Signatur of pplicant - CrOwner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 5'0' deep and demolition or construction of structures over 3 stories in height. Main Service 300A TO IOOOA 46.00 NEW CONST. DWELLING OCCUP, so OR ADDNS. ( a ACC. BLOB. 3.5dFr: 6 . HO NEW ROSIO MULTI -OUTLET @7.50 POWER APPARATUS a sINOLE OLmtT CIR Ex. Occup. OLmFTORFIXTURES 20°''DD eAL so Ex. Occu . oFlxu EO ES DF,5.00Lathe Tem orar Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ 6.80 MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling ' Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 324/10 HA2. o. FEES IMP Fl000 coP PARC t.laws �� o ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By Date PERMIT EXPIRES ON I Dery ReceiptNo. 254806 WHITE-D.O.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT CO lv 2C- 0 ' Lti�Yc !) �+ PA RC F �. 027-!�c-Ort I d' . i AP# Under authority of by the Butte County These requirements local regulations inspections will be compliance. CDF FIRE SAFE REQUIREMENTS q1 -0 _700S �S i ��✓ �� PERMIT # NAME PRC 4290, the following checked items are required Fire Department and are made a part of this permit. are minimums and will be superseded by Butte County which equal or exceed these standards. Field made by the Butte County Building Department for [ ] 1272.00 Maintenance of Defensible Space. To ensure continued maintenance of properties in conformance with these standards and measures and to assure continued avail- ability, access and utilization of the defensible space provided for in these standards, annual maintenance must be provide for by the land owner. Driveway Standards ] 1273.02 Surface. All driveway surfaces and structures (bridges, 1273.07 culverts and other appurtenant structures which supple- ment the roadway bed er shoulders) shall provide unob- structed access to conventional drive vehicles, includ- ing sedans and fire apparatus weighing up to 40,000 pounds. [ 1273.03 Grade. Not to exceed 16 percent unless paved. 1273.04 Driveway Radius [ 1. No roadway shall have a horizontal inside radius of curvature of less than 50 feet and additional sur- face width of 4 feet shall be added to curves of 50- 100 feet radius; 2 feet to those from 100-200 feet. 2. The length of vertical curves in roadways exclusive of gutters, ditches and drainage structures designed to hold or divert water shall be not less than 100 feet. [�] 1273.05 Turnarounds. If required, will have a minimum turning radius of 40 feet from the center of the road. [y-] 1273.05 Turnouts. Shall be a minimum of 10 feet wide and 30 feet long with a minimum 25 foot taper on each end. [�3 1270.10 Width. All driveways shall provide a minimum 10 foot traf f is lane and unobstructed vertical clearance of 1 -1 feet along its entire length. O Vol Page 1 of -3--, 16 O�Q �_o -?e'� AP # PERMIT # NAME [�] 1273.10 Turnouts. Driveways exceeding 150 feet in length, but less than .800 feet in length, shall provide a turnout near the midpoint of the driveway. Where a driveway exceeds 800 feet, turnouts shall be provided no more than 400 feet apart. 0 1273.10 Turnaround. A turnaround shall be provided at all building sites on driveways over 300 feet in length and shall be within 50 feet of the building. 1273.11 Gates [�] 1. Gate entrances shall be at least two feet wider than the roadway it serves. [�] 2. The gates must be located at least 30 feet from the I roadway and shall open to allow a vehicle to stop without obstructing traffic on that roadway. [ ] 3. Where a one-way road with a single traffic lane_ provides entrance, a 50 foot turning radius shall be used. Fuel Modification 1276.01 Setback for Structure Defensible Space. (�] 1. All parcels 1 acre aid larger shall provide a mini- mum 30 foot setback for buildings and accessory buildings from ul7 property lines and/or the center of the road. "[] 2. For parcels less than 1 acre, local jurisdiction shall provide for the same practical effect. See Other Requirements below. [ ] 1276.02 Disposal of Vegetation and Fuels. Disposal, including chipping, burying, burning or removal to a landfill site approved by the local jurisdiction, of flammable vegetation and fuels caused by site development and construction, road and driveway construction and fuel modification shall be completed prior to completion of road construction )r fi_ial inspection of a building permit. Page 2 of 3 L ��i'-D 7�s� CS S i�.9-,,) AP # PERMIT # NAM Other Reauirements [ ] If Building Setback is 15 to 30 Feet: - Class A or B roof - Enclosed eaves [ ] If Building Setback is Less Than 15 Feet Choose any 3 of the following: - Metal or no doors on side toward property line with insuffi- cient setback - Class A or B roof with enclosed eaves - Interior automatic sprinkler system per NFPA 13D - Glass area not to exceed 10% of wall area toward property line with insufficient setback - Siding from the following list: Stucco - 3 coat Hardi-Board or Plank Masonry Masonry veneer Metal Other Butte County Fire Department approved materials ,2f,�� Date Signature Page 3 of 3 I N- 2(p(5). UG I ALL STRI CTURES AND EQUIPMENT IN EASEMENTS. OVERHAN( 3S SHALL BE CLEAR OF ALL A SET BA ;K OF _2L FT. FROM THE SIDE AND �p FT FROs�1 THE I= R PROPERTY LINES AND 0 FT. FROM THE ROAD CENTERLINE SHALL B� CLEAR OF STRUCTURES AND EQUIPMENT EXCEPT FOR A 2 . EAVE OVERHANG. REVIEWED BY BUTTE CO. FIRE DEPT. 0� c CALIF. DEPT. of FORESTRY app,c,.,sd as submitted CID vvi h conditions a .i=` 94 i?aiF A. W � s u Q/ PARCEL - 318 = qU'- p„ COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Droville, California 95965 Telephone: 534-4541 APPLICA"f ION AND PERMIT autnonze representatives of the county of tsutte to enter upon the above-mentioned property for inspection purposes. X Date Signature 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. DIRECTOR OF PUBLIC WORKS By Date Building permit expires Date BUILDING Owner SQ. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Fireplace Contractor Total Valuation Mailing Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee $ Building Address PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No.Gas Zoning & Planning piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fees Sam#atMn- Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration Par a "M3 q a R 60' R/W Improvements Lawn sprinkler system 2.00 Bldg., Pidns kec'd Parcel Approval Plans Approval Permit Fee $ $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ElELECTRICAL No.1 @ FEE PERMIT FILING FEE $3.00 Main service 100 AMP LESS 5.00 Main service EA. ADD'L 100 AMP 2.50 Single Family L3 Duplex ❑ Mobil Home ❑ Others ❑ Main service OVER 600V 100 AMP OR LESS 25.00 Main service EA. ADD•L 100 AMP 1.00 NEW CONST. OR ADDNS. ( ACCLBLDGS.LING CCVP. &) 2�sgft NEWCONSTR.(MULTI-OUTLET NON -RESID. BRANCH CIRCUITS) 2.50ea NEW CONSTR. (POWER APPARATUS & - - NON -RES,D. 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 $t le of: y Ex. Occup(OUTLETS OR FIXTURES)50 PSC BALG1 Ex. Occu FIXED APPLNS. OR p• OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 19 1 am exempt from the Contractors License Laws of the State of California. Permit 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. 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. MECHANICAL No. @ FEE 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 TOTAL PERMIT FEE $ ; _17 autnonze representatives of the county of tsutte to enter upon the above-mentioned property for inspection purposes. X Date Signature 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. DIRECTOR OF PUBLIC WORKS By Date Building permit expires Date COUNTY OF BUTTE — DJ ENT OF PUBLIC 7 County Center Drive ,oviI e, California 95965 Tel ephone�ir-,34-4541 APPLICAT109AND PERMIT WORKS PAE %% !2 c' BUILDIN Owner - 7 SQ. FT. OCC. BUILDING VALUATION Mailing Address 371C 6'iz C. -f 1:g8s. q / Telephone No. _ - K- e Fireplace Contractor n UU f , Total Valuation Mai I Ing Address Permit Fee PI an Checki ng Fee &/or Penalty Telephone No. A Permit Fee $ Building Address J PLUMBING No.1 @ FEE PERMIT FILING FEE J$3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. 2— Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 ea� I61,,<;1o.fSaft;rtt0J Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration f� . 60' R/W Improvements Lawn sprinkler system 2.00 Bwg-P,.ins Recd I Parcel Approval Plans Approval Permit Fee ,$ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ELECTRICAL No.1 @ FEE PERMIT FILING FEE J$3.00 Main service ieoeo V OR AMP LESSOR 5.00— Main service EA. ADD'L 100 AMP 2.50 SSU Single Family Duplex ❑ Mobil Home ❑ Others ❑ Main service OVER 00 AMP OR LESS 25.00 Main service EA. ADD•L 100 AMP 1.00 NEW CONST. DWELLING OCCUP. & OR ADDNS. ACC. BLDGS. ) 20sgft NEW CONSTP_ MULTI.OUTLET NON-RESID, BRANCH CIRCUITS) 2.50ea NEW CONSTR. POWER APPARATUS & .—. NON.RESID. (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)@LpiAC BA Ex. Occup.(OUTLETS ((RESID•)REA) 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 $ A.11 4�1 $ S 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. 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. MECHANICAL No. @ FEE 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 relatingTOTAL to building construction, and hereby .k PERMIT FEE S - c),!c "Louvca VI UIC L,vunly UI 6ulle W enter upon the above-mentioned properXy for inspectio, purposes. -/ 27 - Date Signature of Per(miittee or t// Agent Receipt No. � �� `�� White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisio.is of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR F UBLIC WORKS BY Date I Z —I L - 7-,j wilding permit expires Date /_Z