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028-290-030
028-290-030 PERMIT#95-0996 PALEMERLEE, Joy I 104 Drobish Rd., Oroville r Ele Ser Ch/SFS((?( C&L ld et- s arert.• 028-29-0-030 96-083K,19� ✓ PALMERLEE, Joy Drobish ri 104 Drobish Road, Bangor (wtr htrs/gas lines)summer cam 028-290-030 FAR VIEW RANCH 172 DROBISH BANGOR CONT: N/A CABIN # I 028-290-030 FAR VIEW RANCH 172 DROBISH BA CONT: N/A O CABIN # 2 R V3W RANCH ! DBISH BANGOR N/A IN#3 B08-0202 028-290-030 MISCELLANEOUS Gas Reconnect PROPANE'HEAT STOVE W/ TANK & 174 DROBISH RD PALMERLEE, RUTH & LEA, PETER BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #:(530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #:(530) 538-7541 FAX#: (530) 538-2140 WEBSITE: www.buttecounty.net\dds PROJECT INFORMATION Site Address: 174 DROBISH RD Owner: Permit N0: B0$-0202 APN: 028-290-030 PALMERLEE, RUTH & LEA, PE Permit type: MISCELLANEOUS PO BOX 578 Issued Date: 02/05/2008 By KCG Subtype: Gas Reconnect BANGOR, CA 95914 Expiration Date: 02/04/2009 Description: PROPANE HEAT STOVE W/ TANK (530) 892-1113 Occupancy: Zoning: A5 Contractor Applicant: Square Footage: PALMERLEE, RUTH & LEA, : Building Garage Remdl/Addn PO BOX 578 BANGOR, CA 95914 Other Porch/Patio Total (530)892-1113 r FEE INFORMATION, DBP Gas System (enter outlets) $59.00 LICENSED CONTRACTOR'S'.DECLARATION Contractor(Name) State Contractors License No. / Class / Expires I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am licensed under provisions of Chapter (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. X 02/05/2008 Contractor's Signature Date JKJ t ,,WORKERS' COMPP-NSATION 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 WORKER'S COMPENSATION INSURANCE, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My Workers' Compensation insurance carrier and policy number are; Carrier. Policy Number. Exp. Date: (This section need not be completed if the permit is or one hundred dollars ($100 ©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 Workers' Compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. X 02/05/2008 Signature Date WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND ATTORNEY'S FEES. CONSTRUCTION. LENDING AGENCY .. 1 HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for the performance of the work for which this permit is issued. (3097 civ. code) $59.00 Balance Due: OWNER / No: B6283 LARATION I HEREBY AFFIRM UNDER PENALTY Of PERJURY that I am exempt from the Contractor's License Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors License Law [Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code] or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant fora permit subjects the applicant to a civil penalty of not more than five hundred dollars [$500]; Please check one of the following: JVf I, AS OWNER OF THE PROPERTY, OR MY EMPLOYEES WITH WAGES AS THEIR SOLE COMPENSATION, WILL DO THE WORK, AND THE STRUCTURE IS NOT INTENDED OR OFFERED FOR SALE (Sec. 7044, Business and Professions Code: The Contractors License Law does not apply to an owner of the property, who builds or improves thereon, and who does the work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the owner -builder will have the burden of proof that he or she did not build or improve for the purpose of sale.). ❑I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Code: The Contractor's License Law dows not apply to an owner of the property who builds or improves thereon, and whocontracts for the projects with a contractor(s) licensed pursuant to the Contractor's License Law.). ❑ I AM EXEMPT under Section B. 8 P.C. for this Owner's Signature 02/05/2008 Date I hereby certify that I have read this application and state that the above information is correct. I agree to comply with all City and County ordinances, rifles, regulations, and State laws relating to building construction, and with any and all conditions of permit. I agree to defend, indemnity, and hold harmless Butte County, its officers, agents and employees from any and all claims and liability for personal injury, including death, and property damage caused by, arising out of, or in any way connected with the issuance of this permit. I hereby acknowledge that issuance of this permit does not authorize the use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte oun enter the above mentioned property for inspection purposes. I hereby certify that I am the r e owns orized to act t'o�n the property owner's behalf. ,i�11 L P_ OL- 02/05/2008 `Eqq Owner 11ContractorOR. Agent for Owner Agent for Contractor Lender's Address City State ZipsFILE COPY i BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING'PERMIT APPLICATION" OFFICE #: (530) 538-7541 FAX #: (530) 538-2140 A FEE WILL BE REQUIRED AT TIME OF APPLICATION Website: www.buttecounty.net/dds PLEASE PRINT CLEARLY PERMIT NO. BIN # "When filed, this application and all supporting material becomes subject to the California Public Records Act. All public information related to this' application is subject to public inspection and will be posted on the County's website for electronic access. v OWNER INFORMATION Last Name n F' N me Mailing Address 0 -57 City Q e State State Zip` Phone e TQ i(l/IV adIdQ560el�o Fax E-mail r I 61 e v APPLICANT INFORMATION CONTRACTOR Name n Address Zip City Fax State Zip Phone e TQ i(l/IV adIdQ560el�o Fax E-mail Open Cov Lic. # Class APPLICANT INFORMATION ARCHITECT/ENGINEER Name n Address Zip City Fax State Zip Phone e TQ i(l/IV adIdQ560el�o Fax E-mail Open Cov State License Number APPLICANT INFORMATION Name Address© 518"" City State Zip Phone Fax E-mail PPLICANT SIGNATURE X PROJECT LOCATION AP# ( Oo Property Address 171-C7Dr-V Is city o r- c 5.71 u WORKER'S COMPENSATION Policy Number Carrier Nhiring anyone other than licensed contractors; a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name 4 Address DESCRIPTION OR SCOPE OF WORK: �ayI Flood Zone SRA Yes. 41;( l vel " fah e TQ i(l/IV adIdQ560el�o Sq FT- Living Garage Open Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): For office use only: Zoning Flood Zone SRA Yes. No Occ. Type Const. c Butte County Department of Development Services TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR 7 County Center Drive. Oroville, CA 95965 (530) 538-7601 Telephone (530) 538-2140 Fax www.buttecounty.net/dds OWNER -BUILDER INFORMATION An. application for a building permit has been submitted in your name listing yourself as the builder of the property improvements specified. For your protection you should be aware that as "owner -builder", you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself,.you`may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license. number on all permits for which they`apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: ° If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $500 or more for the entire project and such persons are not licensed as contractors or subcontractors, then you may be an employer. ° If you are an employer, you must register with the state and federal government as an employer and you are subject to several obligations including state and federal ° income tax withholding, federal social security taxes, workers/ compensation insurance, disability insurance costs, and unemployment compensation contributions. There may be financial risks to you if you do not carry out these obligations, and these risks are especially serious with respect to workers' compensation insurance. ° For more specific information about your obligations "under federal law, contact the Internal Revenue Service (and, if you wish, the U.S. Small business Administration). For more specific information about your obligations 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 thier own employees, without a license contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractor is to secure an "owner -builder" building permit, erroneously implying that the property owner is w providing his or her on labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contacting the Contractors' State License Board's automated telephone information system at 1-800-321 -CLSB (2752) or by accessing thier website at www.CSLB.ca.gov. PLEASE COMPLETE AND RETURN THE ENCLOSED OWNER -BUILDER VERIFICATION FORM SO THAT WE CAN CONFIRM THAT YOU ARE AWARE OF THESE MATTERS. THE BUILDING PERMIT WILL NOT BE ISSUED UNTILL THE VERIFICATION IS RETURNED. OWNER BUILDER VERIFICATION PLEASE COMPLETE THIS FORM AS REQUIRED BY THE STATE OF CALIFORNIA (SENATE BILL NO. 831 EFFECTIVE JULY 1, 1980). NO BUILDING PERMIT WILL BE ISSUED UNTIL THIS VERIFICATION IS RECEIVED. 1. I PERSONALLY P TO PROVIDE THE MAJOR LABOR AND MATERIALS FOR CONSTRUCTION OF THE PROPOSED PROPERTY IMPROVEMENT. (YES R NO) 2. (�;I/HAVE NOT) SIGNED AN APPLICATION FOR A BUILDING PERMIT FOR THE PROPOSED WORK. 3. I HAVE CONTRACTED WITH THE FOLLOWING PERSON (FIRM) TO PROVIDE THE PROPOSED CONSTRUCTION: .iwum f ADDRESS CITY. PHONE CONTRACTORS LICENSE NO 4. I PLAN TO PROVIDE PORTIONS OF THE WORK, BUT I HAVE HIRED THE FOLLOWING PERSON TO COORDINATE, SUPERVISE, AND PROVIDE THE MAJOR WORK: NAME ADDRESS_ CITY PHONE CONTRACTORS LICENSE NO 5. I WILL PROVIDE SOME OF THE WORK BUT I HAVE CONTRACTED (HIRED) THE FOLLOWING PERSONS TO PROVIDE THE WORK INDICATED: NAME ADDRESS PHONE TYPE OF WORK Description: PROPANE. HEAT STOVE W/ TANK & LINE TO CABIN Reference Number: B08-0202 Applicant Name: PALMERLEE, RUTH & LEA, PETER Owner's Name: PALMERLEE, MTH & LE TER AP # : 028-290-030 cif Signature of Property Owner: Date: 2' r S — E.M. USE ONLY Plot Plan Attached i Floor Plan Attached e j Sent to B.D. Z— V TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance Owner Location Plan Approved for: Sewage Disposal Water Supply: Public Clearance for zKdwelling. Other AP# Private Well , I., i Hold final for: Final clearance O.K. for: NOTE: Environmental Health Specialist Date Arena Shower house . Tack SITE MAP OF FAR VIEW RANCH House HILLTOP PROPERTY Hub Machine Shop Horse Sub and Pub Cabins Barn Hub Cabin � =�z�;: _ �t::::a::a:�•��<.•:.. �......: :, ..:. .... :.v . ,.::. :.. ..., . • - Jam... entrance Cate .� calf \ \\ clothesline goats i':;' Cow Posture - y< shower Pine Tree Lodge . Corral Iximmock ow mil4' X trees ki sheep Pot Shop pig N Q 'A) 0:Y & A 13, �/ S 40barn dogs Craft Shop Balcony House Trail Winds 4m chickenyord Cabin costume l' shop + Little Long Fe.11e. n nature porch aK House o '. clothesline' food room main lawn t`°'` _ Magic Mirror Shower house Well 3 �' I i? ✓ Cabin..,......:.....,....:.,... , ......, .. „..:.., _ - ...� •....,.•:.�:.�: Vit:•.+, Shower house v Campf ire Circle;,: Laughing Springs APPROVED . , -:,� Cabin MAIN HOUSE ,. ,; _.:,,. ',' ..:.; •.. �.Bilf��:Ct�n w ..... .. .. ... 'Ai ... .. ... .. .. .. ..... ..v. ... .. .. Z�ate j rsl N • � Ignatufe S '? To Garden APPROYED Butte County Environmental Health ignature . ova r o a D • 12. AF3 5"OV 0 '` a En►rlronme�jn�altn 75. 7, 9n,@ v � ) V,#V far V%ew R,aKOl Cam? l>.o. Box 571? Bawgor, OA _959:L 4-0570 z-soo-4ss-o��s. _p eee,6v, — �-/Lk-, bc4-A - February 5, 2001 Peter Lea P.O. Box 578 Bangor, CA 95914' L A N D O F NAT U RA L W EA LT H A N D B E A U T Y DEPARTMENT OF PUBLIC HEALTH DIVISION OF ENVIRONMENTAL HEALTH [_]18-B County Center Drive 11 411 Main Street 7 County Center Drive Oroville, CA 95965 P.O. Box 5364 roville, CA 95965 TEL: (530) 538-7282 Chico, CA 95927 TEL: (530) 538-7281. FAX: (530) 538-2165 TEL: (530) 891-2727 FAX: (530) 538-7785 FAX:.(530) 895-6512 Re: Far View Ranch off of Drobish Rd., AN 028-290-030 Dear Mr. Lea: Thank you for meeting with Doug Fogel and myself on Monday, February 05,. 2001 to review your plans for the above-mentioned property. We will issue a building clearance for the three -proposed cabins and wash facility based on the parameters you described for their use. Those parameters were as follows: 1. Total camp attendance is between 60-70 people, with the new facilities handling between 30-40 boys. 2. The camp is open 6.weeks, from the months of June through August. 3. The Sub, Pub and Hub Cabins will no longer be used to house campers. Since the septic system for the new cabins is designed only for seasonal use, if there are to be any, changes in use they need to be approved by our. department first. If you have any questions please contact me between 8:00 a.m. and 4:00, p.m. Monday through Friday. Sincerely 7 Brian Kelly Environmental Health Specialist ll Far View Ranch Camp Newsy • Page 1 of 2 Come back often to check out the newest Far View Ranch Camp Newsletter. ze: pi isetc `> riFki:::tli: vIit ,::!....: fir".;...:.....:..::.....:;.. http-//www.qulknet.com/—fvr/newsletter.htm 3/27/01 SStEPt'e think t7ie}�:vailie a �t�at �drllt7rn .. • :. ; tro the rldut� pro ram, a Fre 1+Sliu h.l our ' 6T131J3 ��5T Ca2li�dcl� Vi�l? 4Ip �71�t LQ4171]Ii }n �:tn fAI'S 1�IdSvul.nc.�that:aFon�.;can r3xrf W6 F{.Q➢6 YOL{.•K NOW:.T1'f'.4T lN6 YJ6C7YJGY7 TbOFF6R /� 7'1-(IRy LaCelJlt �aI t1iE2r �l3e lh4n 4.31:+Uiar _..AtS1Ch':IACIIL 55,SSIp IJ �TF{•IS SLj�/.M672 T1 -p15 IS /o'Y/l1 L.48L6 POA T}{•O�. QF li©� L'AS u1e'F °�ttAL T' 11 -n e_ J13i5 5 ilk YO.�t WI -h0 COLI! -n NOT yGT IN rra T}{6 67.*tFR t%Ar6 96SSi; t: f5 TJ 1Cll1 `L i t3 jalaln� le: �71 � t( tI11M �fd�. Orli AlA15P. 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II:iC I/\/i � � /tl'1'�:IW � � � lYR[JI'� �\�` r • � ry w:. { ' •� "�:2i�:i. http-//www.qulknet.com/—fvr/newsletter.htm 3/27/01 http-//www.quiknet.com/—fvr/newsletter.htm 3/27/01 Far View Ranch Camp Newsl Page 2 of 2 1�.Ii ..... ..s��"Y,. .. sill ,nclud� phi td. ©n ffi next: ,!::::::::::::: z tins >> neut�l�ttr;.. aitsFor}�e::reiurn,oF �aM'pers: :::::::,..............,:.:....:............... : $fie was;t.t e erawro keen W!t. a.:.... :. f..:::.. , :.;:.;;;;:.;:;.:;:.;:.;;:.;;;: run.nY ►lo s e:.a s} :suMM:ers:ll o'sN: a ::�! ��i 04 :... ......< , :>..... A+ W' . e' a: ay . ro: e'h . e::.. Previous Newsletters j l Iq 5('2C t �/ I� http-//www.quiknet.com/—fvr/newsletter.htm 3/27/01 Far Vie'w Ranch Camp Home ae t: Page I of I ,A --Sign uprN.o-w .W .................................... .............. .✓ A 4 Q F About For View I Newsletter I Session Information • Camp Goals and Directors I Directions to For View I Sign Up Now t Far View Ranc'h'is lo'catedJn the foothills of *the majestic Sierra Nevada mountains in Northern Calif or 1,000 acre ranch. For View Ranch Camp is an opportunity for children and teens'to.6xperience "A summ . farm,-" cis a member of a form' iamily��There are three sessions available for campers a"ge's,8-16, the cam, I (50 per session) and space is limited: imited. Camp directors, Ruth Palm&lee ancl'Peiele.6 are -the third §ener r directors at the camp. W -E-Mail Ruth and Pete or call them cit-1-800-488-0721,,for''mor'e*information. Send Questions or comments about this web site here http://www.quiknet.com/-fvr/- ; L *' I i 3/27/01 Far View Info Pagel of 3 .- Information .About Fair View , Rural Adventures .b Farm Activities l 0 Picking wild blackberries -. husking corn - milking.a cow or goat - learning about farm machinery - pumping .water from the well - making_ice cream - panning for gold in local creeks - riding horses - doing farm chores - making . jam and bread - driving the tractor - mending fences - churning butter - visiting nearby -farms - swimming - fishing - boating going on hayrides in the five -','ton, truck. These farm activities are part of daily life at Far View Ranch. The magic of an evening campfire - glorious http-//www.quiknet.corn/—fvr/info.htm .; 3/27/01 Far. View Info Page 2 of 3 �. The magic of an evening campfire - glorious sunsets over 1000 acres of open foothill country - breathtaking. rides on the giant Far View swing - a,.refreshing, water skirmish on a blistering day - -home cooked farm meals in the big ranch dining room - bunking down in the evening in a cabin full of friends. These are the special moments, buildingRcamp memories that last a lifetime. Creative Arts Y Staff In the midst of farm activities, campers can stretch their imaginations and learn new skills through sketching and painting, creative writing for the camp newspaper, jamming in the junk band, performing ,in, the campfire play, developing pinhole photos, producing natural crafts, and working�up clay creations in the pot shop. The country setting presents endless opportunities for creative expression. Music is also a big part of -camp; with group singing after meals,, at campfire and evening circle, in cabins, on hayrides' &;in the living room around the piano. ,1 Our skilled camp counselors are hand picked to work and live closely with campers in a warm' family environment, providing support and guidance for kids who join our camp family during the summer. Counselors are , key adult members of -the Far View family and play an important role as'parents, teachers, confidants,_ and friends in http-//www.qulknet.com/—fvr/info..htm 3/27/01 Far View Info_<' Page 3 of 3 :.:.:.. -:� teachers, -contfian, dnd` friends in ........ one on one daily, contact, with campers. Counselors remain available i 24 hours a day, ledding `dailyfi activities and residingIvith their -cabin group at :night. Lop.atio' n w Click here for a printable brochure about Far View Click here for more photos of Far View t http-Hww,,w.qulknet.com/—fvr/iiifo.htm 3/27/01 ALL STRUCTURES AND EQUIPMENT INCLUDING OVERHANGS SHALL BE CLEAR OF ALL EASEMENTS. 3A SET BACK OF �_ FT. FROM THE SIDE AND � FT. FROM THE REAR PROPERTY LINES AND FT. FROM THE ROAD CENTERLINE SHALL BE CLEAR OF STRUCTURES AND EQUIPMENT EXCEPT FOR A 2 FT. EAVE OVERHANG. ANCH I Shower house ;beep ELI Sub and Pub Cobins Barn ",L— chicken yard Hub Machine Shop Shop EEVIE�ED sY -13U,,TT pEP�. oflFo SEPT. C7 approve RESTRY d as sub ed approved with condito Per attache tins dsD� eet. Signa ate ' Tack House Horse Barn clothesline l� All Shower, Pirie Tree Lodge house X x X / � lamtrack I>r .trees - .Balcony House Train lawn 0626✓0 4AA Areca 1 C% O � O 1 b ?v � LAND DEVELOPMENT BUILDING / ENVIRONMENTACHEALTH. - PERMIT CLEARANCE Building Permit No. OWNERS NUMBER: �7 NAME: (' PRINT LAST,YAME FIRST COUNTY ZONING DESIGNATION: S FLOOD ZONE: X FLOOD MAP: S�doB APPROVED: CONDITIONALLY APPROVED: RESOLVE PROBLEMS PRIOR TO APPROVAL: PARCEL CREATION BY DEEDS_ OR MAP DEED INFORMATION: P�+sa,irG2ov� w DATE OF CREATION: DEED REFERENCE: I 6-" 19 / O9 1 LEGAL ACCESS PROVIDED: YES NO LEGAL ACCESS REQUIRED: YES N0. COMPLIES WITH COUNTY STANDARDS FOR DEED CREATION: YES NO COMMENTS/CONDITIONS: MAP INFORMATION: DATE OF RECORDING LOT BOOK PAGE COMPLIANCE WITH OLD SUBDIVISION LOT ORDINANCE REQUIRED? (MAP RECORDED PRIOR TO BOOK 17 OF MAPS AT PAGE 23): YES NO . IF YES, MARK APPROPRIATE ITEM(S) BELOW: A. Construct road to B. Meet parcel size required by zone. C. Meet current E.H.D. requirements. CHECK SPECIAL CONDITIONS WHICH APPLY TO MAP: ALL FEES TO BEPArD TO THEBU/LD/NG DIVISION UNLESS OTHERW/SENOTED. Maintain a 50 ft. building setback from centerline of road. 2. Maintain a ft.building setback from right-of-way/centerline of 3. Comply with Zoning code for building setback from road. 4. Maintain a 100 ft. leachfield setback from all existing wells. 5. Maintain a ft. leachfield setback from 6. Pay water tender fees in the amount of $ to Battalion Number of the Butte County Fire Department. 7. Meet the Fire Safe Regulations of Butte County and P.R.C. 4290. _ 8. Connect to a public water supply. 9. Connect to a public sewer system. _ 10. Automatic fire suppression sprinkler systems shall be installed in all residential structures in accordance with the National Fire Protection Association Standard for the installation of sprinkler systems in one and two family dwellings and mobile homes, NFPA Standard 13D, unless a pressurized community water system, with hydrants that meet Fire Department specifications, serves the parcel. _ 11. Pay T.D.D. (Thermalito Drainage District) fee in the amount of $ _ 12. Meet the requirements of the Department of Fish and Game for the preservation of oak trees. (See phone number below) 13. Obtain approval from the Department of Fish and Game for vegetation removal. Contact Fish & Game at 916-355-7010. _ 14. A traffic mitigation fee for each new or additional living unit shall be paid. Pay the amount of $ as stated in the Oroville Area Traffic Mitigation Fee Agreement. Payment to be made to the Ptww ng Division. _ 15. All new residential buildings shall be constructed to comply with the requirements of the Uniform Building Code for seismic safety. Mobile homes shall be constructed on a permanent foundation system which complies with the Seismic Zone 3 requirements of the Uniform Building Code. _ 16. Deer Mitigation fees are to be paid, if such fees have been adopted by the Butte County Board of Supervisors. X 17. Pay school impact mitigation fees. X 18. A development impact fee for sheriff facilities shall be paid pursuant to the provisions of Chapter 3, Article II of the Butte County Code., _ 19. Wood stoves and fireplace inserts shall be EPA approved and designed to meet the emission requirements of the California Clean Air Act of 1988 as amended. 20. If any cultural resources are encountered during ground disturbing activities, all work shall cease in the area of the find pending examination of the site by a professional archaeologist. This person would then be' able to assess the site significance and suggest appropriate mitigation measures. 21 22 23, 24. 25. 26 'Ala 1N311413A30 4M1I 311!18 J0 A1NA00 9661 6 0 In a3ni3��� LD 7/96 CAWP51 \FORMS.K\BLDGPERM.CLR W. =.4 ' yra,..r : . .. •,�; � ,F r„i',pa eti .a. ,r.�.i!” : .;h. {,a+,,.'+' . ,.}Z%„T�• .. 028-29-0-030 ' 96-0830 P ' PALMERLEE, Joy Drobish 104 Drobish Road,.Bangor �- (wtr htrs/gas lines)summer camp -z�-97 i COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES-BUILDINGDIVISION ' 7 County Center Drive - Oroville, California 95965 -.Telephone (916) 538-754W-17� PE9MIT O. APPLICAtION�AND PERMIT — ASSESSOR PARCEL NUMBER 028^290-030 ZONING A5 BUILDING PERMIT OWNER F., A., JOY DROBISH PAIhiERIEF TE`I5"°NE SQ. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS 2081 EUNICE AVE VMYEV , 9470 CONTRACTOR'S NAME WNER TELEPHONE CONTRACTORS MAIUNG ADDRESS I Fireplace CONSTRUCTION LENDER UNIwOWN Total Valuation Is Filing Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDINGADDRESS 104 DROBISH RD PERMITFEE $ PLUMBINGPERMIT Filing Fee 20.00 BA14GOR Each Trap 7.00 LOT No. SUBDIVISION'S NAME PARCEL MAP Solar or heat pump water heater 23.00 Water piping 15.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑K Other gTTl`4NPR cAMP SPECIFY Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORKMobile New ❑ Addition ❑ Remodel ❑ Utilities & Installation.❑ Other ❑ WAIT --R HEAITRS & GAS L NES FOR Describe Work: LTNW 7 STnCTURES ; Home -M-a W 920.00 PERMITFEE S ELECTRICAL PERMIT Filina Fee 20.00 ' Main Service000V OR LESS ( 200A OR LESS ) 23.00 Main Service ( 200A TO I000A ) 46.00 ' 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 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 NEW CONST. DWELLING OCCUP, so. OR NS. ( a ACC. ) 3.5Q FT. CONST. MULTI-OUUTLETLE NEW CT NON-RESID. ( BRANCH CIRCUITS ) 97.50 POWER APPARATUS (a SINGLE OUTLET CIR. ) Ex. Occup. (OUTLET OR FIXTURES ) 20 @ t.o BAL Q .00 Ex. Occup.FIXED OUTLETS D.) EA ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ Contractor 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 MECHANICAL PERMIT Filing Fee 20.00 9 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor 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 forthw�i h comply with those provisions. / / X s�� _____ Date _�1�___ ignature of App icant - ❑ Owner ❑ Contractor ❑ Agent�- An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 33sstories in height. Mobile Home Installation Fee $ Energy Inspection Fee Is OCC CONST. TYPE TOTAL FEE $ 230.00 HAL. I D. FEES I IMP I FLOOD I CDF PARCEL I PD I HD ISSUE This permit is hereby issued under vie applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. B /%,�� %�C�i�-.c i Date l%- ~/.r'� y ��"" PERMITEXPIRESON ` (Date) ReceiptNo.��4// S3 WHITE-D.D.S.-B.D. CARRY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive - Oroville, Q.alifornia P,5965 - Telephone (916) 538-75AI-�Iyd_ 0. APPLICATION'AND PERMIT ASSESSOR PARCEL NUMBER 028-290-030 ZONING A.5 BUILDINGPERMIT OWNER JOY DROBISH PALMERLEE TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS 2081 EUNICE AVE BERKELEY, 94709 CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Fling Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDINGADDRESS 104 DROBISH RD PERMITFEE $ PLUMBING PERMIT Fling Fee 20.00 BANGOR Each Trap 7.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Solar or heat pump water heater 23.00 Water piping 15.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑g Other FR CAR SPECIFY Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities EK Installation ❑ Other ❑ Describe Work: WATER. HEATERS & GAS LINES FOR — 7 STRUCTURES Mobile Home S I G W1 @20.00 PERMITFEE $ 230.00 Contractor ELECTRICAL PERMIT Filina Fee 20:00 Main Service EOOV OR LESS ( 200A OR IFSS ) 23.00 Main Service ( 200A To I000A ) 46.00 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 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 NEW CONST. DWELLING OCCUR, OR ( a ACC. ) so. 3.50 FT. CONST. MULTI-OUUTLENS. NEW CT TLE NON-RESID. ( BRANCH CIRCUITS ) @7.50 POWER APPARATUS (a SINGLE OUTLET CIR. ) Ex. Occup. ( OUTLET OR FIXTURES) 20 @ 1.00 aAL 0 .SO Ex. Occup. FIXED PLNS. ORRa) 5.00 Temporary Service 23.00• Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE _ Contractor MECHANICAL PERMIT Filing Fee 20.00 9 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor 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 fo I h comply with those provisions. X – 1 Date%"f ignature of App icant - ❑ 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 is occ CONST. TYPE TOTAL FEE $ 230.00 HAZ. I D. FEES I IMP I FLOOD I CDF PARCEL I PD HD ISSUE This permit is hereby issued under the applicable of the Butte County Code and/or Resolutions indicated above for which fees have been By PERMITEXPIRESON O;Date (D provisions to do work paid. !�- n J � / e) Receipt No. WHITE-D.D.S.-B.D�CAI ARY-ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT �-.�. r ... •. .-. ... �.- w�. n- •�.,• ,,�.....v^lily +1 ." �' ir.r..�. r . .ter•.....-T.r-•'• -v .. . . t' / r I ' COUNTYOF BUTTE - DEPARTMENTOF DEVELOPMENTSERVICES -BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIPORNIA95965 -TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET OWNER pa -I e,�, [e_. ¢_ A. P. No. Proposed Building Use Building Inspector Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY 1. All items have been submitted...................................... 2.' Plot plans, 3/4 sets, signe 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). ............ I 20. Pre -inspection for Prednspedlon reque- required. . to Building Inspector (Date) 21. Contractor's license information. (No., Name Style, Classification) . .............. ertificate of Workmans Compensation Insurance . ........... . caner -Builder Verification (Given to owner , Mail to owner. Recorded copy of Agricultural Acknowledgement Statement. ................:: 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. 34. When you issue the ermit, proce s as follows: Mail to owner. Mail to cont r ct r. Telephone 7 * 0?and hold for pickup office. Deliver with inspector. Other 94 Parcel Creati �� 7/ i Acreage hPR Applic nt Date Copy of Haz-Mat form sent Health Dept. Fire 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: (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 OLVM 'FA -UV- PapijtuJe -rAiJtc- 7 D -1) 21AT-E-0 L 50 &-ft,J-00 kA)A- c15 �j rr s L(O. 0 o F -Au -A -7o,00 VA fl ji J f 5,0.> e./-. t 44 I zo, - "IT -r2x3JC,4+IIJI-,- 00-r HER -z- m� k7r qac7o Reg am& Do 141 VV up,,4' n- ll'-, ,!; powa I pjd D 1-50 &*LAO" UO V -- (yo &A -rawcp- In p(.s s14V VA� Irl rfI(5 .� 00 Pt: f- H' z I— 50L-) GA -w00 P40Poe.I t5 - A-tJ iL VJA-T;E5 1-tZE �r S 7 - S0 6*L I - Ll J Imo. ti ck PLA�i'FJ2N �4.4sEA - 1c?0,OLD yek� K1T5 I-�'I� L4.). DO (-(0 50.20 /-Its #fb�Oy too, op 2_ EWL VALA05 VnitoNS t -L-,O eA-<.H 6O.00g - Pt -Ex ;ter i>i S 0 t --A 5?. V'r ore I oO e -A<44 234 Sv 1 q5 ' - I if L43.-75 155'- JD 14 Ho P t Pi_ Ati1 i) ;=I ILAP0z. - Z qS.oc� A? -116C 4 -p -e UL a: . U 6p. i 40 110' pHt�lSo(skL C�'JE►Jf � - _ - WPA.Rhwl 5 to 15, AWN 5Jvkc, ' (VO �-A 6L,ua4 t, W6 6ft To.,�letZ C) PAZI JPI 06 !rIUZ Ajjj) aAjZOUY H-QU5e 2 O 1 -?-50 60a,4.40 PP-OpME: Tom! K- a ol .9 o 0 &AU -C IJ W A —ifTz- eA(,fl PArF-0204-5 2,! vtf,�rr icrr-s 140,00 -7 D. -, 0 7- 13ktA, VALW� V fl 10 ,JS rLE:X Ho5e5 VVI-rk� -eai4l , Or -r - I 1. Y4 P A -Q D F, -,T, ;,J�JC e- -.1-.4 f i xj.o 'C�vLi 2 15 ck) HDOCS LA-2,oV- -(:-: L4 g.ck> P� �iL 3'cb, 00 Af;PL/A�Aj6r- C-H� f > a so 6-ALLOJ TPW 6r-- 6j&jc NOW 0 UAL w K Wo 004. Q�r:.Qas� 1996 YiL.+whp pp GOB P5 p� OF gP'tTE APR 2 5 1390 RESIDENTIAL 028-290-030 PERMIT#95-0996 PALEMERLEE; JOY 104 Drobish Rd., Oroville Ele Ser ch,Deck, Windows, Siding & .• Rebuild ex stg Area/SF t f f JOB FINALED (Date Signature y t � ; J=OK O = Not OK Not = Not Readyable 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/ /"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. 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 o ing Requirements -Setbacks -Easements oo ' gs; Soils -Size -Depth -Spacing -Connectors -Steel ecks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Bea ms- Rftrs.-Connectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures ts; Windows -Doors lectric j -,8. Fr S ; s-Anchors-Studs-Rftrs-Trusses T . Si g; Nailing -Veneer -Stucco -Mesh 0o hthg-Roofing t.; Steps- ors -Landings Datev1W Card 13-1 Date rd Date Card B- Date Card B-1 Date POOLS (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 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-Enclosu res -Panel boa rds- 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 O = Not OK = Not Applicable Not Ready RESIDENTIAL = Date UND OOR (Plans) OK except N's Li Zoning -Setbacks -Easements -flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors _ 7. Slab; Steel-WrappedIT"2, Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Pienums & Ducts: Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit),OK except ft's 16. - Water Htr.: Vent -Access -Combustion Air -Baffle ------------------- ----------------- ------------ 17. Water Pipe: Test & Anchor -Nail Protection --------------- --------------------------------- 18. D.W.V.; Test -Fittings & Anchor -Nail Protection --------------------- - ----------------- 1--9. Shower Pan; Test. First Floor -Tub Access ---------------- ---------------------------- 20. Test Tub & Shower, Second Floor -Tub Access --------------------------------------- 21. Gas Pipe: Size & Anchors Date - - - Card B_1 Date Card B-1 ------------------- ---------------------- Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except k's 22. Fixture -& & Transformer Clearance -ins. -Protection -------- - - - ---------- 23. Elec. Receptacles Spacing -Lights & Switches at Doors -------------------------- ------------------------------------------- 24. Size Boxes & No. of Conductors -Stapled ------ -------------------------------------------------------- 25. Romex Installed Close to Edge of Studs & C.J. ---- - - - ------------------------------------ 26. Equip-. Ground made up w!Mech. Fastners-Bond Gas & Water --------- - ----------------------------------------- 27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI ----------------------------------- ------------------------- 28. Subfeed Wire Size / r ga. Cu or AI-A.C. Wire Size / / ga. Cu or AI 29. Range Circ. / r ga. Cu or AI -Oven Circ. / ! ga. Cu or Al. Insulated Neutral ❑Yes ❑ No - ---------------------------------------------- 30. Service -Riser Conductors & Ground -Main Disconnect ------------- ---------------- ------------------------------ 31. Equip Clearances Panels-Motors-Mech. Equip. 32. Clothes Closet Light -Shower Light -Spa Light ----------------------------------------------- ---- ------ ----------- 33. Smoke Detector -------------------------------------------------------------------------------- Date Card B-1 Date Card -B-1 ----------------------------------------------------------------------------------- Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 34. A.C. Ducts Insulation & Support ----------------------------------- ---------------------------------- --- --- ------- 35. Vent Fan: Exhaust above insulation ------------- --------------- ------------------------------------ --- 36. Condensate Drain & Overflow: Size & Grade ----- ---- ------------------------------------ -- -- -- - - - -- 37. Furnance-Vent: Access -Comb. Air -Return Air Vent -115 outlet ------------------------------------------------------- - 38 Attic Access & Platform if Furnance in Attic ------------------------------------------------------------------------------------ --------------------------------------------------------------------------------- Date Card B-1 Date Card B-1 --- ---------------------------------------------------------- --------------- Date r...1 a_1 n�to r -H a-1 Date FRAMING (Plans) OK except q's 39. Sils. Proper Material & Anchors -------------------------------------------- 40. Walls Studs -Nailing Spacing &_Bracing-Plates-S_oun_d 41. Bearing Walls over Girders & Floor Nailing ��j 42. Draft Stop in Walls (rat proof) t 43. Fire Stops:' tops Furred Ceilings -Stairs -Chases -Tub 44. Headers & Beam -Size & Bearing Single & Duplex) Date FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connectors 46. Cing. Joist-Rftr. ties -Pu rlin-roof Brac-Truss-Shthng.-Rfng. 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance - 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 50. Garage Fire Protection Framing 51. Property Line Firewall & Openings ------- _ 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-Underflr. Access --------------------- ----- 57. Glazing Area -Glass Protection -Skylights -Plastic ------------------ ----------- 58. Shear Walls: -Nailing -Bolts 59. Insulation -Walls -Ceilings 60. Infiltration -Walls -Windows ---------------------------------- - - Date Card B-1 Date Card B-1 •--------------------------- -- Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except ti's 61. Ext. Steps -Door & Sidelight Protection -Landings ----------------- 62. --------------- 62. Smoke Detector --------------- ---------------- 63. Furnace: Vents -Clearance -Comb. Air -Connector - In Garage: Above Floor-Ducts-Mech. Protection ------------- ---------------- 64. Bedroom Exiling ------------------------ 65. G.F.I. & Bath Fixtures & Tub Access -Spa 66. Elec. Trim & Subpanel: Breaker Sizes & Labels --------- ----------------- 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. Wlr. Htr.: Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage_ Above Floor-Mech. Protection ------------ - 75. Plb.. Elec. & Mech._Equip. Listed for Location --------------------- 76. Elec. Receptacles in Garage: (G.F.I.)-Romex Protection ------------- -------------- ----------------------- - 7;. 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. ....------------------------------80. Following instid.: Drive ❑ Yes ❑ No: Walks ❑ Yes ❑ No; Planters ❑ Yes ❑ No -------------------------------------- 81 -.- Stucco: Brown -Finish ---------------------------------------- --- 82. A.C. Unit: Disconnect, Electrical, Plumbing -------------- -- 83. Vents Above Roof: Plbg.-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 8-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES- BUILDING DIVISION k 7 County Center Drive - Oroville, C41ifornia'95965 - Telephone (916) 538-7541PERMIT NO. APPLICATION AND PERMIT _ 291 ASSESSOR PARCEL NUMBER 028_290-030 ZONING A5 BUILDING PERMIT OWNER JOY PALEINIERLEE (^n�"�-- 510 T.527N7896 HONE SO' Fr. OCC. BUILDING VA ATION OWNERS MAILING ADDRESS 2081 EUNICE BERKLEY, 94709 CONTRACTOR'S NAME UNKNOW TELEPHONE CONTRACTORS MAWNG ADDRESS Fireplace CONSTRUCTION LENDER UNINOWN Total Valuation Is Filing Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan CIIeCI(Ir1g Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDING ADDRESS 104 OBISH RD PERMITFEE $ PLUMBING PERMIT Filing Fee 20.00 Each Trap 7,00 0� LOT NO. SUBDIVISIONS NAME PARCEL MAP Solar or heat pump water heater 23.00 USEOFSTRUCTURE SF 0Duplex ❑ Mobilehome ❑ Other SPECIFY Water piping 15.00 Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities X3 Installation ❑ Other ❑ Describe Work: _ REPLACE, MAIN SERVICE �v Q U-) S Dhv Mobile Home S G W @20.00 PERMITFEE S Contractor ELECTRICAL PERMIT Filinq Fee 20:00 1 Main Service ( 200AORLLLESS ) 23.00 23.00 Main Service ( 200A TO 1000A ) 46.00 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 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. •lam, 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 NEW CONST. DWELLING OCCUR s0. OR ADDNS. ( 8 ACC. BLDS. ) 3.5(t FT. NEW CONST. MULTI.OUTLET NON•RESID. ( BRANCH CIRCUITS ) @7.50 ( POWER SINGLE APPARATUOUTLETS ) 8 CIR. Ex. Occup. (OUTLET OR FIXTURES) 20 Q 1. 00 BAL .50 FIXED Ex. Occup. (OU(RES D. OUTLETS OR 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 123.00 PERMITFEE $ 66.00 Contractor 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 MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Policy Number "t (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) IB✓ 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 pr . ions. X Date _ - - �jr` _ SigKare Applicant -0 Owner ❑ Contractor ❑ Agent # %— An SHA ermit 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 HD - ISSU This permit is hereby issued under the applicable provisions of the Butte Count Code and/or Resolutions to do work Y indicated above for which fees have been paid. / Aklv BY D e (S� PERMITEXPIRESON Z 0 (Date) ReceiptNo. 176075" O U WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INS OR GOLDEN R-APPLICA T COUNTYOF BUTTE - DEPARTMENTOF DEVE. OP'MENTSERVICES -BUILDING DIVISION 7COUNTYCENTERDRIVE -OROVILLE,CALIFORNIA95965-TELEPHONE (916)538-7541 • r PERMIT APPLICATION DATA SHEET OWNER _ A. P. No. i Proposed Building Use Building Inspector I Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECENED BY 1. All items have been submitte.d401 ................... _ ............. 2. Plot plans, 3/4 sets, signed%y preparer of plans . ..... .................... 3. Complete plans, 3/4 sets, signed bylpreparer 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). ... . obilehome d to nd ufacturer's installation instructions, 2 sets. ........... Feesof ...................................... . 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 . .............. :,. t 16. Plot plan and'business license approval from City of Biggs/Gridley. ............. 17/ Planning approval for (A) Use: (B) Parking: . ......... Contact Land Development about (A) Improvements (B) Drainage . ........... . 19. Driveway permit (constructionapproval required prior to occupancy). . . P,e4;sp* donrequ�- 20. Pre -inspection for �. /-Q c�y i Cw� required. .. to Bu;�d;ng lnspecto� (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 . .....................:4' 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 r and (B) Parcel meets zoning area and frontage requirements. ............ ' 31. Existing violations/expired permits. 32. Plan check list. ...... .'6177 J 34. < When you issue the permit, process as follows: Mail to owner Telephone and hold for pickup at Other Parcel Creation Acreage Applicant Copy of Haz-Mat form sent Health Dept. Fire Dept. _ Copy of plans sent Health Dept. Fire Dept. Other Mail to contractor. _ office. 'Deliver with inspector. Air Pollution Date Date The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Date ' i By 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 C°nter by _ Date Plans checked by Date Plans approved by CS � Dat '.Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works COUNTYOF BUTTE - DEPARTMENTOF DEVELQPMENTSERVICES -BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA95965 - TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET OWNER hr2jall_ 54&6 i A I-9 A. P o. 11_�D rD Proposed Building Use Building Inspector Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY 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 d a aturer's installation instructions, 2 sets. . 10. Fees of $ `Z v ........................................ 11. Impact fees as shown ofi 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. .......... . Driveway permit (constLuctio rore aired prior to occupancy). .. .. . .u Preanspedion req Pre-inspection for / _� required. . to Building Inspector (Date) 21. Contractor's license in ormation. (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. 34. When you issue 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 form sent Health Dept. Fire 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: (Ci ne 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 unter by -Date Plans checked by Date Plans approved byDat Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works A OWNER: LOCATION: lo L CONTRACTOR: PRE—INSPECTION FOR: (�? PERMIT HISTORY: [ TYPE OF OCCUPANCY: .a NE [ ]AS FOLLOWS: t BUILDING DATE: A.P.#:�'%� ZONING: DATE TO INSPECTOR; 'ECTOW S REPORT ding Description: [ ] Commercial/Usage: [ ResidentiaU# of Units, f Mobile Home: Yes[ ] No[)(] Currently Occupied. [ ] AbandonedNacant. tric: V1Yes [ ] No ectric is currently :[ ] On [ ] Off Condition of electrical? . Natural [ ] Propane[ ] None[ ] Currently On[ ] Off[ ] - Obvious problems: itation: i Plumbing working YesK] No[. Well: Yes No[ ] Potable water: Yes[ ] No[ ] Obvious Sewage Problems: :ion Recommended: [ ]Issue [(]Hold for: _ Date: ea vitt t> n 11-� i 5 d Q f CSO 8 e nn � v pre- V, w e e 2 a ty /oVs .S e to CL Sri f S cc r w c, b l d �Q � ��� �� t� Q e- I �L 0- 4 Vl rn rO Ino �� y avloJof /00 r ���r cEC�c�� f '�� c COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 .County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO. APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER�a 3� zoNINO/f BUILDING PERMIT -OWNER .t/ �� U�r TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADORES �'N/Y-f�-'I/� (TELEPHONE CONTRACT R'S NA E CONTRACTORS MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNXNOWN Total Valuation $ Fling Fee $ 20.00 LENDER'S MAIUNG ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDINGADDRESSO ^� (/ PERMITFEE S PLUMBING PERMIT Filing Fee 20.00 IF Each Trap 7.00 LOT NO. SUBDNISION'S NAME PARCEL MAP Solar or heat pump water heater 23.00 Water piping 15.00 USEOFSTRUCTURE SFDuplex ❑ Mobilehome ❑ Other SPECIFY Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF -WORK New ❑ Addition ❑ Remodel ❑ Utilities J/ Installation ❑ Other ❑ Describe Work:j��� /�s��� Mobile Home I S I G1 W 1 @20.00 PERMITFEE $ Contractor ELECTRICAL PERMIT Filing Fee 20:00 Main Service e00V OR LESS ( 200A OR LESS ) 23.00 Main Service ( 200A TO 1000A ) 46.00 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 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason NEW CONST. DWELLING OCCUP. OR ADDNS. ( d ACC. BUDS. ) SO. 3.50 FT. NEW CONST.MULTI.OUTLET NON-RESID. ( BRANCH CIRCUITS ) 97.50 ( POWER APPARATUS 8 SINGLE OUTLET CIR. / Ex. Occup. ( OUTLET OR FIXTURES ) 20 @ 1.00 SAL Q .50 Ex. Occup. ( OFIXED UTLETS (RESID.OEA ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 _ Misc. Wiring 23.00 PERMITFEE S Contractor 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 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' 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 / f An OSHA permit is required for excavations over 50" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Filing Fee 20.00 9 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Mobile Home Installation Fee Is Energy Inspection Fee Is OCC CONST. TYPE TOTAL FEE $ HAZ. 1 D. FEES I IMP I FLOOD I CDF PARCEL PD HO ISSUE This permit is hereby issued under the of the Butte County Code and/or indicated above for which fees have BY PERMITEXPIRES ON applicable provisions Resolutions to do work been paid. Date (Date) Receipt No. WHITE-D.D.S.- .D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT CLAIMANT: ADDRESS: CITY & STI COUNTY OF BUTTE, Oroville, Califomia GENERAL CLAIM DATE OF CLAIM: JUNE - 28, 2001 IMPORTANT: SEE INSTRUCTIONS SUBMIT CLAIM TO DEPARTMENT RECEIVING Gnnnc na ccavifIce ^k1 „gym,..- -.-- DATE DESCRIPTION OF CLAIM DESCRIBE FULLY TO AVOID DELAY)AMOUNT OWNER DECIDEDYNOT TQ BU LD _ 009 RECEIPT -#314772, DATED 3/12/01, OWNER: FAR VIEW RANCH. TOTAL AMOUNT PAID RETAIN REFUND PROCESSING FEE $ 25.00 RETAIN PLUMBING PERMIT FILING FEE X 3 $ 60.00 (t rao RETAIN PLAN CHECKING FEE $ 180.70 TOTAL AMOUNT TO B428-70 TOTAL AMOUNT 'M BE REFUNDFD rn --$1,904 - TOTAL $1, 204. 60 I, the undersigned, declare under penally of perjury that the services or articles claimed have been performed or delivered, and that this claim is true and correct as stated. Dated this day of 20_, at , Calif. S' nature of ClaiNdht e undersigned, hereby certify that, to the best of my knowledge, the se or a specifi abov been performed or delivered and that there is a Budget Appropriation ppropriation I I or Specific Board Approval I I (Check one) for the me. Dated this 28THday of JUNE, 20 0j atOROVILLE Calif. 'I DeDartment Vead or Authorized DeDutv Dept. Code 440-002 EXP. Code 4210500 PAYABLE FAM Dept. Code FUND De Code �' Code � PAYABLE FROM FUND Code t PAYABLE FROM FUND DO NOT WRITE BELOW THIS LINE -AUDITOR'S USE ONLY DEPT. & SUB.' PROD. SUB. OBJ. CLAIM NO. INV. NO. INV. DATE ENCUMB. GROSS AMT. FOR BUILDING DIVISION'USE:...;. Receipt Information: Number: Date: Issued To Amount: �770/478 i of -c/7 f Fees Retained: Processing Fee: $ S� �U....... ✓ '� Bldg Filing Fee: $.. _... ry ✓ Plbg Filing Feer $0., i . ✓ Elec Filing Fee: Mech Filing Fee: $ r Energy P/C Fee: Plan. Check Fee: $ 19�a . Inspection Fee: $ - .w.q SRA Fee: ;C., $o.o..... Total Amount Retained TOTAL REFUND DUE I REFUND CLAIM APPLICATION CLAIMANT'S NAME MAILING ADDRESS `OD /00�� ASSESSOR PARCEL #: 0 RECEIPT NUMBER(S) J Request a refund of fees paid on the above receipt number(s) for the following reasons: Please refund any applicable fees in the following categories: (Check those. categories which you wish -to have refunded.) (.� Building Permit Fees ( ) Sheriff Fees ( ) SRA Fees (CDF Fire Planning) ( ) Urban Area Fees Disposition of -Plans: ' s ( ) Plans returned to me at counter ( Please mail plans to me at above address. ( ) Please dispose of plans. SIGNATURE DATE d PLEASE DATE AND SIGN THE ATTACHED COUNTY OF BUTTE GENERAL CLAIM FORM. DO NOT COMPLETE ANY OTHER INFORMATION ON THAT FORM. LZ r -a r v%ew l.a'wch Ca M? P.O. Box 579 ga"or, CA 9,�F914=05);L8 Y-soo-ass' o�� lz2 1I - 111 . 4 �* COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION - 1 7 County Center Drive a Orovillel California 95965 a Telephone (530) 538-7541 PERMIT NO. FW.IZ%6) APPLICATION AND PERMIT - (9/-01/7 7" -' n PERMIT o'""u -4 SO. FT. O BUILDING VALUATION 41/v CO O (9 a$ oo.mYcroa, M+lawo oowrnucr+oN urea UWE" M"u"o AooMsa Fireplace Total Valuation = "Acmffwran04CONM 1ie"0. Filina Fee i 20.00 awcxracr ow Vomer is MUS4 aooaw Permit Fee i 12 RIO= Plan Checking Fee S I'S Co B Energy Plan Checking Fee $ -4W 5-1-7( = Z3 -Z PERMIT FEE i0Y IOTNO. aueaveKMKUM. '""c Mil' PLUMBING PERMIT Fling Fee 20.00 U SEO�TURE Each Trap7'.00 Solar or heat um water heater 23.00 SF 0 Duplax O Mobilehome Other Water piping 15.00 / srecry Each as water heater or vent 15.00 TYPE OF WORK Gas piping tem 1 - S outlets 15.00 New 0 Addition 0 Remodel 0 UtlGtles O Installation 0 Otho Building sewer IS. 00 Describe Work: C A Moble Home S G W X20.00 A •' r 9 PERMIT FEE ti Q ELECTRICAL PERMIT Filing Fea 20.00 Main Service 20o OOa l3! 23.00 Main Service 2e0A TO IooeA OR Aoo►n. a �cc. e1Ds. 48.00 3.50sa .T. NEW COACT. "01N4310. YUlTFO1RLET @7.50 .OYMQ A►.AA11TlA t ,0 O d0. Ex. Occup. OvrLFr 011 nn1A D 2001.00 e� .10 Ex. Occup. MO AMIM °11 ovnFrs o10. r� 5.00 -Ternporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE '� D *PERMIT FEE PAID $ MECHANICAL PERMIT Filing Fee 20.00 Heatin SRA Cooling SHERIFF Hood 6.50 Ventilatlon OTHER $ PERMIT FEE _ Mobile Home Installation Fee $ Energy Inspection Fee i AMOUNT RECEIVED �� occ 00NOT. TT.t [TOTAL FEE $ �z 0. n w MU �� u ftcoO c0. . This permit Is hereby issued under the applicable provisions of the Butte County Code and/or Resolution$ to do work Indicated above for which fees have been paid. *RECEIPT NUMBER � �L * TO BE PVT INTO CO P R By Date PERMIT EXPIRES ON °zFr?T�'°'t•jC',y�`'�W,7tr^s,�3 .. r`-'. �. :^:{At+'S4 �.. vn. � �L- 4 -4 - r . o. r..T moi; X;:w+}n-s �t i �.�- .-.-4,11utiiSl1:.. 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: -eW PASSESSORPARER: �v �"l Proposed Building Use: Building Inspector: Date: At time of permit application, I was advised the following data must be submitted prior to pe prociess' g and/or issuance: Date Received By ❑ 1. All items have been submitted -------------------------------------------------------------------------------------- 02. Plot plans, 3/4 sets, signed by the preparer of plans. ----j ------------------------------------------------------- 03. ------------------------------------------------------ ❑3. Complete plans, 3/4 sets, signed by the preparer of plans. ----------------------------------------------------- &4 Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans.-------- 115. ------- ❑55. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! ------------------ 116. Energy Design Compliance and supporting documentation. ---------------------------------------------------- 117. Statement of Intent for Non -Heated and A/C Buildings. --------------------------------------------------------- 118. Hazardous Material Form. ------------------------------------------------------------------------------------------ M ❑ 9. Manufactured Home data and installation instructions including Tie Down Specifications .------------------ jFeesof- -------------------------------------------- mpact fees as shown on the attached schedule. - - California Department of Forestry plan approval/fees. - ---�_- 13. Flood elevation certificate. ----------------------------------------------------- 14. Sanitation and plot plan approval Health Department. -------- ❑ 15. City of Chico plumbing permit. ---------------------------------------------------------- ❑ 16. Plot plan and business license proval fr e Cityof Biggs. ---------------------- 4Planning approval for (A) Use: (B) Parking: - Contact Land Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel. 119. Encroachment Permit for driveway (construction approval prior to occupancy). --- ❑ 20. Pre -inspection for required Request to Building Inspector on ❑21. Contractor's license information. (Number, Name Style, Classification). ----------------------------- ❑ 22. Workers' Compensation carrier and policy number. ----------------------------------------------------------- ❑23.Owner-Builder Verification (Given to owner ❑, Mailed to owner ❑).-------�=-------------------- E124. Letter of signature authorization.------------------------------------------- 1325. --------------------------------------- =❑25. Recorded copy of Agricultural Acknowledgment Statement. -------------- ❑26. Letter of intent on building use. ----------------------------------------------- 027. Manufactured Home utility clearance. ---------------------------------------- 028. Existing violations and/or expired permits. ---------------------------------- 1129. 0433 A, ❑Grant Deed, ❑ M.H. Title, ❑ Check to H.C.D $ E130. Other: 3-23 13-0(•0r _ M / /i► (Date) W7elepholssu du-ithe a process s follows ❑ Mail to owner, ❑Mail to contractor. ne lJ� and hold for pickup at © ❑ Deliver with inspector. Applican '` Date: ,5//✓/ o I Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, ❑ Air Pollution Date: By: Copy of plans sent ❑ Health Department, ❑ Fire Department, ❑ Other: Date: By: 1. Index permit application for the above items numbered: Ian Check List 2. Additional items required: �— Contractor, designerjjM= was advised of the above required data by ❑ phone, mail, ❑ Building Division counter, by Date: -37L? 8�-s7 j 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: Plans reviewed by: Date: Plans approved by: Date: Sets of plans on hold in ❑ Plan Cabinet A.P. folder. Note transfer by: Date: Yellow Copy - Department of Development Services, Building Division. Department of Development Services Building Division 7 County Center Drive Oroville, CA 95965 (530) 538-7541 (530) 538-2140 FAX Non -Residential Buildings Energy Conservation Standards Statement of Intent for Non -Heated and/or Non -Air Conditioned Buildings Please print clear and legible! Owner's Name ')L"/ %sL.` :&_ Date: 3 / ✓J''/ Assessor Parcel Number: 01,9 - uy -- '3 o Building Permit Number: Occupancy of Building: Q A -01k I hereby certify that I do not intend to heat or cool this building in such a manner as to be subject to other than the mandatory sections of the State Energy Requirements. I understand that if I do heat or cool this building in the future, that I will be subject to the energy requirements in effect at that time. I understand that if I change the use or occupancy of this building in the future, that I will be subject to the energy requirements in effect at that time for that specific occupancy. I also understand that if I become subject to the energy requirements in the future, it may be necessary to redesign and/or alter any of the following: 1. The building envelope. 2. The insulation requirements of the heating, ventilation, and air conditioning systems. 3. The heating, ventilating, and air conditioning equipment. 4. The water heating system. 5. The lighting of the building to comply with the regulations. I understand that any of the above changes will require me to obtain the necessary permits, inspections, and approvals from the Butte County Building Division. Signature of the Building Owner: Mailing Address: VP &Q116,of (24 Telephone Number: 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. io' avoid. unnecessary delay in processing and issuing your building permit. No building permit will. - be issued until this verification is received. 1. 1 personally -plan to provide the major labor and materials for construction of the:--,.' proposed property improvement :YES [K] NO[ ]. 2. 1 HAVE[(] HAVE NOT[ ] signed an application for a building permit for the proposedwork. 3. 1 have contracted with the following person. (firm) to provide.: the 'proposed, construction: NAME: ADDRESS: CUM PHONE: CONTRACTOR'S LICENSE NO.' 4. 1 plan to provide portions of this woik,-but I have hired the following pdftdd't'o coordinate, supervise, and provide the major work: NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. w i -t, 5. 1 will provide some of the work but I have contracted (hired) the follovain I Spersons to provide the work indicated: NAME ADDRESS PHONE TYPE OF 'Wikk SOCIAL SECUR7y,NUMBER: DATE: .-510--10./ 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. 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 put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to'subcontract, you should be aware of the following information for your benefit and protection: - 0 If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $300 or more for the entire 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 cont{ 'butions. 0 There may be financial risks*for'you if you do not carry out these obligations,'and,these risks are especially serious with respect to worker's compensation insurance. 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, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento, CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. C. Vifira, C.B.O. Building Inspection NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code. ^-^ �—`-�vL,,i•.--.yr.-�-�^ • �. _.,r_.,,.,..,�,..vyr,w,.,��--.-..... +.,. -�...--_•.�.v��'~--�.w'.--.".--^-��""tiN'ti^��+-,�..'^'�^.`^"-"r,r-„.-...T-^.r.'�^'...—.•w.`.----•..v.! �..r. •--ry-..�.-.... 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) AP.PLICATIONANDPERMIT y7?--- ASSESSOR PARCEL NUMBER 2 - ZONING BUILDING PERMIT OWNER FAR VIEW 'RAN04 TELEPHONE SO. FT. OCC. BUILDING VALUATION . OWNERS MAILING ADDRESS PO BOX 97A BANGOR, CA 95914 CONTRACTOR'S NAME TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAIUNG ADDRESS Plan Checking Fee $ BUILDING ADDRESS 172 DROBISH BANGOR Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDIVISIONSNAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF [X Duplex ❑ Mobilehome ❑ Other SPECIFY Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New N Addition ❑ Remodel ❑ Utilities ❑ Installation O Other O Describe Work: CABIN -f 1 Gas piping systam 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 Main Service 2o0A 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 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: 'IQ 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 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.) •0' 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall ' omply with those provisions. foR_w: X Det ignature of Applicant - O Own4rJ O Contractor O Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mein Service 200A TO 1000A 46.00 NEW CONST. OWEWNG OCCUP. so 3.50 OR CO” (ST. NEW '_OUTLET NON•RESID. iT@7.50 POWER APPARATUS a sINGLE ouner cIR. 00 EX. Occup. OUTLET OR FIXTURES eAL @ i.so Ex. Occup. ounces A6�io.°� 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 $ Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ HA2. p. 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 PERMIT EXPIRES ON I at,? ReceiptNo. 31477i�((1 Q(1 WHITE-D.D.S.-B.D. CANARY -AS SSOR PINK -INSPECTOR GOLDENROD -APPLICANT ' COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION •� - 7 County Center Drive a Oroville, California 95965 • Telephone (530) 538-7541 PERM No. Rev.12/96) APPUCATION AND PERMIT V I E40Q-i • ' AW 60 'BUILDINGPERMIT SO. FT. O BUILOI Q VALUATION aownucTai. ru�iro OOwT1aICflON uooa vaoon MULM ADOW1 Fireplace Total Valuation = Olt VONM ucsasa N0` —Fifina Fee S 20.00 MCKrwT OR VSMG 17 wu►a AOOMIS Permit Fee i Plan Checkin Fee i t Energy Plan Checkin Fee S �y/�/ /n//� �,j,,► q•&0 1 S 14 A hw 60 Cr 5-7 ( V___ " I S PERMIT FEE S uff"M susorNec KUM rAr PLUMBING PERMIT Filing Fee 20.00 � USEOFS TUgE SF O Duplex O Mm obilehoe Other e�csti 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 O Addition O Remodel O UI(Wes O Installation O Other Describe Work: C A 10 + - Gas piping Wetern 1 -5 outlets 15.00 Building sewer 15.00 Mobile Home S G WT @20.00 PERMIT FEE = AL ELECTRICAL PERMIT Filing Fee 20.00 Main Service aoo OO" LN: 23.00 / _ Main Service sou TO IOWA 46.00 ow �oONs. . ) sn I =.. ow nil No Occur3.5t ONs.a .cc. ans. a. *PERMIT FEE PAID SRA SHERIFF OTHER AMOUNT RECEIVED $ Lj L(j, d-_6 *RECEIPT NUMBER 3 * TO BE PVT INTO COMPUTER I ( ��im�tT �) I - I - Ez. Occuo. ( OunxT oe ron mes 1 I I�'':1— I a Temporary Service 1 1 23.001 I Mobile MiSc. � H PERMIT FEE i K V MECHANICAL PERMIT Filing Fee 1 20.00 don 6.50 PERMIT FEE S rWbileome Installation Fee S Inspection Fee S "T"" TOT L FEES i 1tAZ O. nra til FLMD coilrM HO 12 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 COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE; CALIFORNIA 95965 - TELEPHONE (530) 538-7541 PERMIT "PLICA TION DATA SHEET OWNER / [a!/ti 2C'SESSOR PARCEL 1 ER: © �(J �� Proposed Building Use: Building Inspector: Date: At time of permit application, I was advised the following data must be su witted prior to permit processing and/or issuance: Date Received By ❑ 1. All items have been submitted -------------------------------------------------------------------------------------- E12. Plot plans, 3/4 sets, signed by the preparer of plans. ❑ 3. Complete plans, 3/4 sets, signed by the preparer of plans. ----------------------------------------------------- Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans.-------- 115. ------- ❑5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! ---------- ------ ❑ 6. Energy Design Compliance and supporting documentation. ---------------------------------------------------- ❑ 7. Statement of Intent for Non -Heated and A/C Buildings. --------------------------------------------------------- ❑ 8. Hazardous Material Form. ------------------------------------------------------------------------------------------ ❑ 9. Manufactured Home data and installation instructions including Tie Down Specifications -------------------- El W. Fees of $------------------------------------------ 1 . Impact fees as shown on the attached schedule. ;r California Department of Forestry plan approv Ufees. --- ------ ❑ 13. Flood elevation certificate.--------------- iff Sanitation and plot plan approval Health Department. ❑ 15. City of Chico plumbing permit. --------------------------------------- ❑ 16. Plot plan and business license approval fro 0" City of Biggs. ---------------------- ----------------- lanning approval for (A) Use: I(. �(B) Parking: ___________________ Contact Land Development about ❑Improvements, ❑ Drainage, ❑ Legal Parcel. ----------------- 19Encroachment Permit for driveway (construction approval prior to occupancy). --------------------- ❑20. Pre -inspection for required. Request to Building Inspector on ❑21. Contractor's license information. (Number, Name Style, Classification). ----------------------------- 1122. Workers' Compensation carrier and policy number. ---------------------------------------------------- 023. Owner -Builder Verification (Given to owner ❑, Mailed to owner 0) - ------------------------------- ❑ 24. Letter of signature authorization.-------------------------------------------------------------------------. ❑ 25. Recorded copy of Agricultural Acknowledgment Statement. ------------------------------------------- E126. ------------------------------------------ ❑26. Letter of intent on building use. ---------------------------------------------------------------------------- ❑27. Manufactured Home utility clearance.--------------------------------------------------------------------. ❑ 28. Existing violations and/or expired permits. --------------------------------------------------------------- ❑12.99 11433 A, ❑Grantt Deeeed, C1M.H. Title, 11 Check to H.C.D $ .-------- ko V 3i Other: F1 K,',- 61� R 7— -;a I I —S.A. 2j) Q0( (Date) KWh ou issueAhe.p process f.11ows ❑ Mail to owner, ❑ it ntractor. 6'I'elephone V d and hold for pickup at � off eb. ❑ Deliver with inspector. Applicant: Date: `3/ , V"/ 6 Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, ❑ Air Pollution Date: By: Copy of plans sent ❑ Health Department, ❑ Fire Department, ❑ Other: Date: By: 1. Index permit application for the above items numbered: Ian Check List 2. Additional items required: Contractor, designerwas advised of the above required data by ❑ phone,,Retail, ❑ Building Division counter, by Date: ----0 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: Plans reviewed by: Date: Plans approved by: Date: Sets of plans on hold in ❑ Plan Cabinet,XA.P. folder. Note transfer by: Date: Yellow Copy - Department of Development Services, Building Division. Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest . opportunity . to ` avoid , unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the " proposed property improvement: YES DCI NO[ I. 2. I HAVE[(] HAVE NOT[ ] signed an application for a budding permit for the ,_ proposed work.. 3. I have contracted with the following person (firm) to provide . -.the 'proposed construction: I\�DF ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO: ' 4' 4. I plan to provide portions of this work, � but I have hired the following pdi-song to coordinate, supervise, and provide the major work: _ NAM: r _ai ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. S. I will provide some of the work but I have contracted (hired) the following -persons to provide the work indicated: - NAME ADDRESS PHONE TYPE OF'WOR W SIGNED: PROPERTY OWNER: SOCIAL SECURXTY. NUMBER: DATE: NOTE: This owner -Builder Verification is required by Section 19831 and 19832 of the California Health aed Safety Code. 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 put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to "subcontract, you should be aware of the following information for your benefit and protection:. 0 If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $300 or more for the entire 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 iricsurance costs, and unemployment compensation cont{butions. 0 There may be financial risks for'you if you do not carry out these obligations,'and these risks are especially serious with respect to worker's compensation insurance. 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 info rmation"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, 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 oann 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 J ly, ic CBO/,. ger, Building Inspection NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code. Department of Development Services Building Division 7 County Center Drive Oroville, CA 95965 (530) 538-7541 (530) 538-2140 FAX Non -Residential Buildings Energy Conservation Standards Statement of Intent for Non -Heated and/or Non -Air Conditioned Buildings Please print clear and legible! Owner's Name: Le -C, J Date: J/1 /e c Assessor Parcel Number: 0 29- ?net U ` .30 Building Permit Number: Occupancy of Building: __0"= d,y I hereby certify that I do not intend to heat or cool this building in such a manner as to be subject to other than the mandatory sections of the State Energy Requirements. I understand that if I do heat or cool this building in the future, that I will be subject to the energy requirements in effect at that time. I understand that if I change the use or occupancy of this building in the future, that I will be subject to the energy requirements in effect at that time for that specific occupancy. I also understand that if I become subject to the energy requirements in the future, it may be necessary to redesign and/or alter any of the following: 1. The building envelope. 2. The insulation requirements of the heating, ventilation, and air conditioning systems. 3. The heating, ventilating, and air conditioning equipment. 4. The water heating system. 5. The lighting of the building to comply with the regulations. I understand that any of the above changes will require me to obtain the necessary permits, inspections, and approvals from the Butte County Building Division. Signature of the Building Owner: — Mailing Address: /*9e rO Telephone Number: 6 -/ `7 0 `YY 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 ASSESSOR PARCEL NUMBER 028-290-030 ZONING A 5 BUILDING PERMIT OWNER FAR VIEW RANCH TELEPHONE 679-0226 SO. FT. OCC. BUILDING VALUATION . OWNERSMAILING ADDRESS ��7 PO BOX 578 BANGOR, CONTRACTOR'S TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS Energy Plan Checking Fee $ PERMIT FEE $ LOT NO. SUBDNLSION'S NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.0023.00 USEOFSTRUCTURE SF R Duplex ❑ Mobilehome ❑ Other SPECIFY Solar or heat um water heater Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New R Addition ❑ Remodel ❑ LI ilities ❑ Installation ❑ Other ❑ Describe Work: CABIN A 2 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W 920.00 PERMIT FEE S ELECTRICAL PERMIT Filing Fee 20.00 Main Service q pR LLess 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 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: Ik 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 46.00 NEw CONST. OWEwNo Occup. 3.51tF°: OR AODNS. iffy NEW CONST. MUL=TI.O NON-RESID. @7.50 FS) APPARATLS a INOLE oLnLFT cIR. .00 EX. Occu OUTLET OR FIXTURES BAL @ I.50 Ex. Occup. o�S IR .) EA 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 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.) 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 fh comply with those provisions. 7of X Date �) ignature of Ap ---O Miner ❑ 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 HD IssUE This permit is hereby issued under the applicable provisions the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By Date PERMIT EXPIRES ON ata ReceiptNo. 314772/441.20 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT It Rev.12/96) COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION - 7 County Center Drive a Orovillel California 95965 a Telephone (530) 538.7541 PERMIT NO. APPUCATION AND PERMIT '� --2�3d =on S BUILDING PERMIT IPA-kUeI S0. F'1.---1 O BUILDI G VALUATION = 7seq �( S? ooMrwAcfpl, MAtJMO o01e1TNUCTiOM UDOM unoa, YMIl10 AoOKts PACW iGT Olt 042N 1 AFANNOT 011 DOMMI UAL Ma AOOKte AWCo0 lOTrla sue"C"MMW FAMW IIA► U:howr EOFFSS TORE SF O Duplex O Mobiiehome t►eCn► TYPE OF WORK New O Addition O Remodel O Utilities O Installation O 011ier Fireplace Total Valuation is Filina Fee S Permit Fee = Plan Chockina Fee S Energy Plan Checkin Fee i $ PERMIT FEE S PLUMBING PERMIT Solar or heat pump water Water piping Each gas water heater or Gas piping system 1 - 5 a Building sewer Moble Home IS I G PERMIT FEE S AIT *PERMIT FEE PAID SRA SHERIFF OTHER AMOUNT RECEIVED *RECEIPT NUMBER 3� 4-7�o41— " TO BE PUT INTO COMPUTER 7.0 29.0 15.0 15.0 15.0 15.0 @20.0 0.001 20.00 1- B Ex. Occup. ( amaT oil ranino 1 I I _t° ! 1-'- I I cx. uccu . t .) 1 5.001 1 Temporary Service 1 23.001 1 Mobile Home Facilities 1 20-001 1 PERMIT FEE I S 3 rdTz MECHANICAL PERMIT I Filing Fee 20.00 8.50 PERMIT FEE S rn, ome installation Fee $ nspectbn Fee S coN5T. "KTOT FEESKAz o. rces r n.000COF r w esut it Is hereby Issued under the applicable provisions tte County Code and/or Resolutions to do work above for which fess have been paid. By Date PERMIT EXPIRES ON rwnJ Main Service ,, =oatss z-oA oil ore Oj �•.� r �1 / Main Service TO IOOeA C/�["j �((' „�/•.,��(/Q— C016 . 011 ROOM. w OWEl1N0 OCCVI t ACC_ RM2 *PERMIT FEE PAID SRA SHERIFF OTHER AMOUNT RECEIVED *RECEIPT NUMBER 3� 4-7�o41— " TO BE PUT INTO COMPUTER 7.0 29.0 15.0 15.0 15.0 15.0 @20.0 0.001 20.00 1- B Ex. Occup. ( amaT oil ranino 1 I I _t° ! 1-'- I I cx. uccu . t .) 1 5.001 1 Temporary Service 1 23.001 1 Mobile Home Facilities 1 20-001 1 PERMIT FEE I S 3 rdTz MECHANICAL PERMIT I Filing Fee 20.00 8.50 PERMIT FEE S rn, ome installation Fee $ nspectbn Fee S coN5T. "KTOT FEESKAz o. rces r n.000COF r w esut it Is hereby Issued under the applicable provisions tte County Code and/or Resolutions to do work above for which fess have been paid. By Date PERMIT EXPIRES ON rwnJ Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest , opportunity, to ` avoid unnecessary delay in processing and issuing your building permit. No building permit will . be issued until this verification is received. 1� I personally plan to provide the major labor and materials for construction of the proposed property improvement: YESp<1 NO[ I. 02J I HAVE[ HAVE NOT[ ] signed an application for a building permit for the proposed work.. v Y 3. I have contracted with the following person (firm) to provide . theproposed construction: NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO: 4. I plan to provide portions of this work, -but I have hired the ' following pei 9diV to coordinate, supervise, and provide the major work: NAME: '.;T .0:4 ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. ; Y 5. I will provide some of the work but I have contracted (hired) the following -Persons to provide the work indicated: NAME ADDRESS PHONE TYPE OF`WOkx'` SIGNED: PROPERTY OWNER: SOCIAL SECURITY. NUMBER: DATE: �-�� V / o NOTE: This owner -Builder Verification is required by Section 19831 and 19832 of the California Health arid Safety Code. 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. I For your protection, you should be aware that as "owner -builder" you are the responsible party of record on such a permit. Building permits are not required to be�signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may. protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: 0 If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $300 or more for the entire 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 oo"utions. 0 There may be financial risks for'you if you do not carry out these obligations,'and.these risks are especially serious with respect to worker's compensation insurance. 0 For more specific information about your obligations under Federal Law, contract the Immal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific informatigri'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, 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 ow'n' 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 C. Vifira, C.B.O. Building Inspection NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code. 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: J 2 %� ASSESSOR PAR�bee ER:-1!0 -- Proposed Building Use: At 5% Building Inspector: Date: At time of permit application, I was advised the following data must mitted prior to pe 'processing and/or issuance: Date Received By 111. All items have been submitted -------------------------------------------------------------------------------------- E12. Plot plans, 3/4 sets, signed by the preparer of plans. ❑ 3. Complete plans, 3/4 sets, signed by the preparer of plans. ----------------------------------------------------- 0.Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans. -------- ❑ 5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! ------------------ ❑ 6. Energy Design Compliance and supporting documentation. ---------------------------------------------------- ❑ 7. Statement of Intent for Non -Heated and A/C Buildings. --------------------------------------------------------- ❑ 8. Hazardous Material Form. ------------------------------------------------------------------------------------------ ❑9. Manufactured Home data and installation instructions including Tie Down Specifications .------------------ Feesof $------------------------------------------ Impact ----------------------=-----Impact fees as shown on the attached schedule. -- California Department of Forestry plan approvaUfees. - - 1113. Flood elevation certificate. --------------------------------------------- 4. Sanitation and plot plan approval Health Department. ❑ 15. City of Chico plumbing permit. --------------------------------------- ❑ 16. Plot plan and business license approvtl from City of Biggs. ---------------------- Q144 lanning approval for (A) Use- \ fffi) Parking: - Contact Land Development about ❑ Impr vements, ❑ Drainage, ❑ Legal Parcel. 1119. Encroachment Permit for driveway (construction approval prior to occupancy). --- 1120. -- ❑20. Pre -inspection for required Request to Building Inspector on t 3-2�-01 OT ❑21. Contractor's license information. (Number, Name Style, Classification). ------------------------------------ 0 22. Workers' Compensation carrier and policy number. ------------------------------------------------------------ ❑23.Owner-Builder Verification (Given to owner ❑, Mailed to owner El) - -------------------------------------- ❑24. Letter of signature authorization. ------------------------------------------------------------------------------- ❑ 25 . Recorded copy of Agricultural Acknowledgment Statement. -------------------------------------------------- 026. Letter of intent on building use.------------------------------------------------------------�-------------------- ❑27. Manufactured Home utility clearance.------------------------------------------------------------ ------ 028. Existing violations and/or expired permits. ---------------------------------------------------------- 1129. ❑433 A, ❑Grant Deed, ❑ M.H. Title, ❑ Check to H.C.D $ .--------------- 030. -------------- ❑30. Other en you issue the t, process as fol ws ElMail to owner, ❑Mail o contractor. Telephone d hold for pickup at Q Acge. ❑ Deliver with inspector. Applicant: Date: Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, ❑ Pollution Date: By: Copy of plans sent ❑ Health Department, ❑ Fire Department, ❑ Other: Date: By: 31/0 i (Date) 1. Index permit application for the above items numbered: Plan Check List 2. Additional items required: Contractor, designeiCRIMwas advised of the above required data by ❑ phone,X mail, ❑ Building Division counter, byQ Date: 3,eR f 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: Plans reviewed by: Date: Plans approved by: Date: Sets of plans on hold in ❑ Plan Cabinet,XA.P. folder. Note transfer by: Date: Yellow Copy - Department of Development Services, Building Division. Department of Development Services Building Division 7 County Center Drive Oroville, CA 95965 (530) 538-7541 (530) 538-2140 FAX Non -Residential Buildings Energy Conservation Standards Statement of Intent for Non -Heated and/or Non -Air Conditioned Buildings Please print clear and legible! Owner's Name: Le, G` , 2 Date: 3 /1 �/ b Assessor Parcel Number: Q , '-3a Building Permit Number: Occupancy of Building: dj91T Z-/� I hereby certify that I do not intend to heat or cool this building in such a manner as to be subject to other than the mandatory sections of the State Energy Requirements. I understand that if I do heat or cool this building in the future, that I will be subject to the energy requirements in effect at that time. I understand that if I change the use or occupancy of this building in the future, that I will be subject to the energy requirements in effect at that time for that specific occupancy. I also understand that if I become subject to the energy requirements in the future, it may be necessary to redesign and/or alter any of the following: 1. The building envelope. 2. The insulation requirements of the heating, ventilation, and air conditioning systems. 3. The heating, ventilating, and air conditioning equipment. 4. The water heating system. 5. The lighting of the building to comply with the regulations. I understand that any of the above changes will require me to obtain the necessary permits, inspections, and approvals from the Butte County Building Division. Signature of the Building Owner: u. C//! Mailing Address Telephone Number: 6 //7q, QY >-- 6 WRI J "-'�'y" � .IV^ems vs--�_..� fw.Y�"�ir-"r-r`^^+�1��.-""'ti.?wJ-ti'^;_"'1.r.w..w �.v�+�.ti,w,,,✓+.�/� �!n'w.Mv�..-+.yew.'�.nw"W`-I�...✓��TKY"-'�.�,+..r.,�r�.r+�.rNr—._-.� 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) APPLICATIONAND-PERMIT ) y q q ASSESSOR PARCEL NUMBER 028-290-030 ZONING BUILDING PERMIT OWNER FAR VIEW RANCH TELEPHONE 679-0226 SO. FT. OCC. BUILDING VALUATION .OWNERS MAILING ADDRESS PO BOX 578 BANGOR, CA 95914 CONTRACTOR'S NAME TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Pian Checking Fee $ BUILDING ADDRESS 172 DRORTSH BANGOR, CA 95914 Energy Plan Checking Fee $ PERMIT FEE S LAT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF CX Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 1 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 9 Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: CABIN m 3 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W 920.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 Main Service 2*oA 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 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: 'f I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service zooA TO 1000A 46.00 NEw coNsr. LnvEwNo occuP. ( UC3 OCCS ORNEW 3.5QsFTo. CONST MU NON..ESID. 97.50 POWER APPAMTUS 8 SINGLE OUTLET CIR. Ex. Occup. OUTLET OR FIXTURES 20BAL .50 LNS OR Ex. Occup. oirnFrs A I6.) EEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring fl PERMIT FEE $ WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) 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 fort I omply with those provisions. X - Date Si'gnature of Applibanr—ETIOwnee ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEt $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ HA'. D PEES IMP FLOOD COF PARCEL PD HD 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 ReceiptNo. 314772 / 441.20 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT March 28, 2001 Far View Ranch Camp P.O. Box 578 Bangor, CA. 95914 Department of Development Services Building Division 7 County Center Drive Oroville, CA 95965 (530) 538-7541 (530) 538-2140 FAX Cabins #1, #2, & #3 Assessor Parcel Number: 028-290-030 Building Permit Number: 01-0477, 01-0478, & 01-0479 This office reviewed building plans for the permit application referenced above. The plan examiner's comments are listed in PART - I below. Please respond in writing to each comment in PART - I by completing and returning the enclosed PLAN REVIEW RESPONSE FORM. Indicate which detail, specification, or calculation shows the requested information. Additional response information is included on the response form. Your complete and clear response will expedite the re -check and approval of this project. PART — I Provide additional information and/or make revisions to plans, specifications and calculations as follows: 1. A California licensed architect or registered engineer must prepare the building plans. Please be sure to include on the resubmittal the engineer's "wet" stamp, signature, registration number and expiration date on all sheets of plans depicting the designed elements and cover sheets of calculations. The drawings must include a complete plot plan with the location and occupancy classification for all buildings, on this parcel. 2. Classification of the building is the critical first step in the effective use of the Uniform Building Code. To an even greater degree, the proper determination of occupancy and type of construction is the basis for all other code determinations. Provide a complete code analysis for the entire building. This analysis must include the basic allowable floor area and the proposed floor area. The number of stories allowed and proposed. Height in feet allowed and proposed. Allowable area increase's, occupant load, and exiting requirements. Indicate any assumed property line and provide a composite for each area of construction. 3. Indicate the type and location of braced wall panels that comply with Uniform Building Code section 2320.11.3. 1 of 2 4. Full access to the disabled must be provided for the specific area of remodel, repair or. addition. Additionally, 20% of the cost of the project must be invested in access features for the existing area of the building. Provide verification of how this will be accomplished. 5. Plan review will continue upon receipt of the above items. Additional comments may be generated from your response above where plan documents were incomplete, inconsistent, or not adequate to depict code compliance. PART - H The items identified below must be submitted prior to permit issuance. These items were noted at time of permit application on the PERMIT APPLICATION DATA SHEET. 1. California State Fire Marshall approval is required for all Group C Occupancies. Please contact me to arrange for this inspection. 2. Pay impact fees: 2.1. Complete and return the Butte County School Impact fee certification form. 2.2. Sheriff fees = $46.80. 3. Contact the Butte County Land Development about Improvements, Drainage, and Legal Parcel requirements. If you wish to discuss any requirements in PART - I, you may contact me at (530) 538-7541 between the hours of 1:00 p.m. and 4:00 p.m., Monday through Friday. The attached checklist must accompany corrected items. Sincerely, Glenn Gibbons Plans Examiner 2 of 2 JR -10-431A.3.2 1994 UNIFORM BUILDING CODE terns shall be properly trapped and vented. Waste liquids shall be disposed of in a manner that will C not adversely affect the quality of the water in which shellfish are grown orstored Waste lines from washing machines shall have suitable protection against the possibility of sewage or wastes enter ing these machines. .: r. r 430A.11 Water Supply. Shucking, packing or repacking plants shall be provided with an ample supply of water under adequate pressurefrom a source approved by the Department of Health Seq-, ices. The supply shall be accessible to all parts of the plant, adequate in quantity, and of a safe sari- ( 1 tary quality. No cross connections with unapproved supplies or other possible sources of contamination shall be permitted :. SECTION 431A [FOR DHS, SFM] —REQUIREMENTS FOR GROUP OCCUPANCIES 431A.1 Group C Occupancies Defined 431A.1.1 For the purposes of these regulations, Group C Occupancies shall mean "organized camps" as defined in Section 18897, Health and Safety Code. 431A.1.1.1 An organized camp is a site with programs and facilities established for the primary purpose of providing an outdoor group living experience with social, spiritual, educational or recreational objectives, for five days or more during one or more seasons of the year. 431A.1.1.2 The term "organized camp" does not include a motel, tourist camp, trailer park, re- sort, hunting camp, auto court, labor camp, penal or correctional camp, child-care institution or home -finding agency nor does it include any charitable or recreational organization which com- plies with the rules and regulations for recreational trailer parks provided for by Section 18301 (b), Health and Safety Code. 431A.1.2 Tents and tent structures. For the purpose of this chapter, a tent or tent structure is de - ,fined as any shelter of which 25 percent or more of the walls or roof, or both, areconstructed of, or covered or protected by, a canvas or any other fabric material. 431A.2 Purpose and Intent. The provisions of this section are established to provide fire and life safety in organized camps, but at the same time preserve the basic concept of outdoor living. It is the intent of this section that organized camps shall be considered as a separate and distinct occupancy. 431A.3 Basic Building and Structures. 431A.3.1 Every building or structure shall be classified into the occupancy group they most nearly resemble and be constructed in accordance with appropriate occupancy requirements specified in this part. EXCEPTIONS: 1. Tents, tent structures, and buildings and structures that do not exceed 25 eet (7620 mm) in any lateral dimension and where such building or structure is not more t n one story. 2. Forftresafety, buildings or structures on the premises of an organized camp which are used forsleeping purposes, regardless of their similarity to other occupancy groups, shall conform to the provisions of Sections 43/A.4, 431A.5, 431A.6 and 431A.7. 3. For ftresafety, buildings and structures which are not used for sleeping purposes shall conform to the provisions of Section 431A.7. which shall supersede any similar provisions contained in this part. 431A.3.2 The living shelter, whether building, structure, tent and tent structure, or cabin, shall provide a minimum of 30 squarefeet (2.8 m2) of superficial floor area per person for single -tier bed units, and 20 squarefeet (1.9 m ) of superficial floor area per person for two-tier bed units. More than two tiers per bed unit are prohibited There shall beat least 3 feet (914 mm) of lateral distance between beds. EXCEPTION. Intermittent short-term organized camps are not required to provide shelter facilities but, {'provided they shall comply with this section. 1-83.39 1994 UNIFORM BUILDING CODE 431A.4 -431A.5.2 431A.4 GeneraL , . ' . . .. , 431A.4.1 Buildings and structures used or intended for sleeping purposes which do not exceed any one of the limitations setforth below shall conform to the provisions of Sections 431A.5 and 431A.7. 1. c0ne;stoty-in-height.-- 2. iDke y five'feet(7620 mm) in any lateral dimension.-- ' EXCEPTION: This provision shall not apply to buildings or structures conforming to construction provi- sions of this section in effect prior to January 1, 1985. ` 3. 9Naziniuhousing of 12 pers� 431A.4.2 Buildings and structures used or intended for sleeping purposes, including those soused in whole or in part by staff personnel, and which exceed any one of the limitations set forth in-Sec- tion riSec- tion 431A.4.1, shall conform to the provisions of Sections 431A.5 and 431A.7. EXCEPTION: Buildings orstructures used exclusively for living and sleeping purposes by resident costo- dial or caretaker personnel only may be constructed in accordance with the provisions of these iegulaitons for a Group R, Division 3 Occupancy. 431A.5 Special Buildings, Tents and Tent Structures. ' 431A.5.1 Special buildings. In addition to the provisions of Section 431A.7,special buildings conforming to the limitations specified in Section 431A.4.1 shall conform •to the following: ' 1. The ame-sread end-point rating of all interior finish materials shall not exceed 200 as de- tetmined y Stan a Test Method No. 723, Underwriters Laboratories®. 2. Every room or area housing more than eight persons shall be provided with not less than two approved exits, each of which shall be direct to the exteriorand shall not be less than 32 inches (813 mm) in clear width and 6 feet 8 inches (2032 mm) in height. Rooms or areas housing eight or` less persons shall be provided with at least one such exit direct to the exterior. 3. Every exit door shall be openable from the inside without the use of any key, special knowl edge or effort. - Nil 4. Exit doors need not be hung to swing in the direction of exit travel. Where exit doors are hung to swing in the direction of exit travel, a landing conforming to t to provisions of Section 1004.10 shall be provided. S. When the distance (measured vertically) between the ground level and thefloor loor level exceeds 8 inches (203 mm), a stairway from each exit shall be provided Steps shall have arise of not more than 8 inches (203 mm) and a run of not less than 9 inches (229 mm). Such stairway shall beat least as wide as the door it serves. EXCEPTION: In lieu of a stairway, a ramp having a slope of not more than 1 foot (305 mm) of rise for each 8 jeer (2438 mm) of run may be provided 6. When the floor level at any door opening of any building or structure is more than 30 inches (762 mm) above the adjacent ground level, handrails or guardrails shall be provided on the land- ing, balcony or porch, and on every stairway or ramp to ground level. Z Buildings and structures or groups of buildings and structures shall be separated from each otherby not less than 0 eet (3048 mm). This section shall not apply to existing buildings and struc- tures of existing Group C Occupancies. 431A.5.2 Tents and lent structures. In addition to the provisions of Section 431A.7, tents and tent structures, or groups thereof, shall conform to the provisions of Section 431A.5, except as follows: i 1. Regardless of any other provisions of this section, heating of tents and tent structures shall be prohibited unless written permission is obtained from the state fire marshal 2.t All canvas_or other fabric material shall be treated and maintained in aflame -retardant con= h -- Edition. 1-83.40 431A.5.2 -431A.7.5 if 1 1994 UNIFORM BUILDING CODE EXCEPTIONS: L Tents inexistence prior to January 1. 1979, provided the following conditions are i i 1.1 Tents shall not exceed 80 square feet (7.4 m2) in area. /.2 No electrical devices, except flashlights, ore installed ar.used in the teniS. 1.3 Tents are not located closer Than 30 feet*i9144 mm) to any open fire. 1.4 Smoking is prohibited in the tents. 1.5 All other applicable provisions of this article are met 2. Canvas or materials used exclusively to protect windows and similar openings in walls.. - 3. Canvas or materials used as a windbreak enclosure of not more than three sides and open. p. the sky" NOTE. 1t is not the intent of Section 43IA. 5.2 that strict adherence to the width and height requirements of exit openings be egforced for exits from tents. 431A.6 _Building and Structures for Sleeping.1Butldings and structures, or portions theheof, used . or intended for sleeping purposes and which exceed the height, area or capacity limitation`sapect�� fled in Section 431A.4.1 shall conform to the piovisiomi-of this section 431A.6.1 Area, height and type of construction. Buildings and structures, or portions thereof, shall not exceed the limits of area, height and type of construction specified in these regulations. for a Group 1, Division 2 Occupancy. Such, buildings and structures shall not be of lessq()lan one-hour fire -resistive construction throughout. 431k6.2 Location on Property. •The fire -resistive protection of exterior walls aridopen * - as determined by location on property, shall be in accordance with the provisions of these regular tions for a Group 1, Division 2 Occupancy. ' 431A.6.3 Exits. Stairs, exits and smokeproof enclosures shall be provided in accordance with the provisions of Chapter 10. 431A.6.4 Enclosure of vertical openings.. Exits shall.be enclosed as specified in Chapter,l0.. Elevator shafts, vent shafts and other vertical openings shall be enclosed and •enclosures shall be as forth in Chapter.7. ,,- , • I. 431A.6.5 Fire -extinguishing systems. Automatic fire -extinguishing systems, standpipes, and basement pipe inlets shall be installed when and as specified in'Section 904. 431A.6.6 Automatic fire alarm • system. Every'building' and structure used or 'in"tended for sleeping purposes shall be provided with an automatic smoke -detection systetn:' Sdcch systems shall conform to the Fire Code, and shall be state fire marshal -approved and listed EXCEPTION: Buildings and structures in existence dnd.in operation prior to January 1, 1985. 431A:7: SS,0&W Requireme`nh. The provisions of this section shall apply to the premises arta to alltl buildings qnd structures_of all organized camps._ - - — - -- 431A.7.1 Electrical. The installation of all electrical wiring shall conform to the applicable provisions of the California Electrical Code. 431A.7.2 Heating equipment._Heating,equipment; and the installation thereof, "shall conform to the provisions of 3102 and the Californid Mechanical Code. 431A.7.3 Motion picture booths. Motion picture machine booths shall conform to the require- ments of Section 406. 1431A:7.4 Interior finish.'Interio'r ftn`ish shall conform to the requirements of Chapter 8 except Cas permitted in Section 431A.5.1, hem)� � 431A.7.5 Heater roost openings. All exterior openings in rooms containing central heating equipment, low-pressure boilers or water -heating boilers used as part of the heating'systeni, if located below openings in another story, or if less than 10 feet (3048 mm) from other doors or windows of the same building, shall be protected by afire assembly having a three fourths -hour fire -resistive rating. Such fire assemblies shall be fared, automatic or self-closing. 1-83.41 t l�