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HomeMy WebLinkAbout029-250-010V A.P.29-25-10 �? STS -SAMUELSON, Charles 659-6��3 CHARLES SAMUELSON y : ._ • s1s Fourth St . 1001 so. Lindale Ave.- I619-68: Richvale I -, Permit.. 271,.2-73_P,E.. (utilities for mobile home) e/s 4th St. 1001 so. of Lindale Ave .,, Ric�.v� Lor BLOCK sueDly. ' } ta� �� 29-25-10 CONTR: Thomas Br gdon, 241411. Floral Ave-., !31 (fire damage)I o TYPE of Permit# 5210-80B (reroof) SF - PERMIT PERMIT NO. PLAN NO. DATE ISS 029-250-010 03-0900 NETTLETON,ED 5290 CHURCH ST, RICH LE� REBUILD BR & BATH I w I 029-250-010 �ivH�v f NETTLETON,ED I 5290 CHURCH ST, RICH. VA E'� '0 PORCH - BP#03-0900 B08-0021 029-250-010 I MISCELLANEOUS Ag Exempt AG BLDG: STORE HAY (1600) 5290 CHURCH ST ' NETTLETON, EDWARD .� I PERMIT DESIGNATION: DEPARTMENT OF BUILDING AND SAFETY B—BUILDING P—PLUMBING T—TRAILER E—ELECTRICAL U—US.E PERMIT TV — RADIO -TV ANTENNA V — VARIANCE S/W—SIDEWALK NOTICE S — SIGN PERMIT HM —HOUSE MOVING EP—ENCROACHMENT D — DEMOLITION 600.1 Z D r 1 m X C In ly D T T r D Z n m rn C Q 2 A 3 Z C x m m T N D D m Q m In C 0 A � r m D Q 3 T i m m N m C D m 2 T Q 2 Z. C N 0 Z C Di N 3 rn D D D Qm D Q Q m 2 m iD m T iD A Q m -DI i 2 1 Q N m O m m m m m 2 m m m m m Ul m m m Q Q v v D m i y m Q O1 D Q FORMS, 0 0 -DI FOUNDATION m m 'm Q REINFORCING Q D i STEEL m N_ Q FRAMING O -D•I INTERIOR , m rA Q LATH Q D a mD m Z D r 1 m X C In ly D T T r D Z n m rn C Q 2 A 3 Z C x m m m N D D Q m In C 0 A � r m D Q b T m m N tll NDDi D m 2 T Q 2 Z. C N 0 Z C Di ; rn D D D D Q Q m iD m iD m T iD Q Q m v i 2 1 Q N m m m m m m m m m m m N_ m m m Q y v Q •DI m D y .i Q m D tll FORMS, Q ?I D m * p0 m D D Z m In C A � r m Q b T N NDDi D m 2 T 1p 2 Z. C N m Z C Di ; D D D D Q Q m iD m iD m iD iD Q i m i i 2 1 Q N m m m m m m m m m m m m y Q 0 D .i m tll FORMS, Q 0 i FOUNDATION m 'm REINFORCING Q v STEEL m m N_ FRAMING Q D INTERIOR , i m Ul LATH Q D a EXTERIOR b O Z PERMIT NUMBER N NDDi D N_ _ Di DQ D D D D iD iD Q iD iD Q i i i i Q 1 Q m m m m m m m m m m m m LOCATION, FORMS, FOUNDATION REINFORCING STEEL FRAMING INTERIOR , LATH EXTERIOR LATH INTERIOR PLASTER EXTERIOR PLASTER CONCRETE BLOCK GARAGE FIREWALL FIREPLACE FINAL b O Z BUTTE COUNTY DEPARTMENT ,OF DEVELOPMENT SERVICES AGRICULTURAL BUILDING EXEMPTION 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: 5290 CHURCH ST Owner: permit NO: B08-0021 APN: 029-250-010 NETTLETON, EDWARD Issued Date: 07/03/2008 By KCG Permit type: MISCELLANEOUS PO BOX 412 Subtype: Ag Exempt RICHVALE, CA 95974 Expiration Date: 07/03/2009 Description: AG BLDG: STORE HAY (1600) (530) 882-4276 Occupancy: U-3 Zoning: A -R Contractor Applicant: Square Footage: NETTLETON, EDWARD Building Garage Remdl/Addn PO BOX 412 1,600 RICHVALE, CA 95974 Other Porch/Patio Total (530) 882-4276 1,600 FEE INFORMATION DBOMSCF Ag Exemption Permit $115.98 Total Charged: $115.98 Fees Paid: $115.98 Balance Due: $0.00 Receipt No: B5981 LICENSED CONTRACTOR'S DECLARATION OWNER / BUILDER DECLARATION Contractor (Name) State Contractors License No. / Class / Expires 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 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 pursuant to the provisions of the Contractor's License Law (Chapter 9 (commencing with Section 7000) is in full force and effect. of Division 3 of the Business and Professions Code] or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects X 07/03/2008 the applicant to a civil penalty of not more than five hundred dollars [$500]; Please check one of the following: Contractors Signature Date 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 WORKERS' COMPENSATION DECLARATION 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 I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: the work himself or herself or through his or her own employees, provided that such improvements ❑I HAVE AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR are not intended or offered for sale. If, however, the building or improvement is sold within one WORKERS' COMPENSATION, as provided for by Section 3700 of the Labor Code, for the year of completion, the owner -builder will have the burden of proof that he or she did not build or performance of the work for which this permit is issued. _ _ rimprove for the purpose of sale.). ❑I HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by p I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED ONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Code: 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; The Contractor's License Law dows not apply to an owner of the property who builds or improves Cf/� thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractors License Law.). Carrier. Policy Number: Exp. Date: (This section need not be competed if the permit is oror on�re�llars ($100) or ess. 0 1 AM EXEMPT under Section B. & P.C. for this reason: CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS SSUED, 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' 07/03/2008 Xgfd compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those Owners Signature If Date provisions. X 07/03/2008 hereby certify that I have read this application and state that the above information is correct. 1 agree to comply with all City and County ordinances, rules, regulations, and State laws relating to building Signature Date WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless Butte County, its officers, agents and employees from any and all and liability for personal AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE t of, o injury, including death, and property damage caused arising out of, or in any way connected with HUNDRED THOUSAND DOLLARS $100,000 , IN ADDITION TO THE COST OF COMPENSATION, ( ) t is the issuance of this permit. I hereby acknowledge that issuance of this permit does not authorize the DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte ATTORNEY'S FEES. &Ctyotth above mentioned property for inspection purposes. I hereby certify that I am the oriz act on the property owners Phalf. �!J u1gQp FiTt�/03/2008 I - CONSTRUCTION LENDING AGENCY I HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for Name of Perm [SIGN] Print Date the performance of the work for which this permit is issued. (3097 civ. code) Owner ❑ Contractor OR; ElAgent for Owner DAgent for Contractor FILE COPY Lenders Address City State Zip 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 AGRICULTURAL BUILDING EXEMPTION STATEMENT Agricultural building is defined as follows: Agricultural building is a structure designed and constructed to house farm implements, hay, grain, poultry, livestock, or other horticultural products. This structure shall not be a place of human habitation or a place of employment where agricultural products are processed, treated or packaged, nor shall it be a place used by the public. Buildings used for purposes other than described above or that are located in a flood hazard zone are not eligible for an agricultural exemption. Authorization of an agricultural exemption permit by the Department of Development Services does not preclude any requirements and/or review by the Butte County Public Works Department, Butte County Fire Department, Butte County Environmental Health, or any state and federal agencies. Initials f AG Buildings shall be a minimum of five (5) feet from any septic tank or leach fields. Initials � AG Buildings less than 1000 sq. ft. in floor area shall be located a minimum of 6 feet from a residence, 10 feet from a manufactured home, and 23 feet from a commercial/industrial buildings Initial�� AG Buildings greater than 1000 sq. ft. in floor area shall be located a minimum 23 feet from a residence and a manufactured home and 40 feet from o a commercial/industrial buildings I declare under penalty of perjury that the building will be used as stated above, and the proposed use conforms with the AG Building definition. If any change in use or occupancy of the building is made, I will contact the Building Division and obtain the necessary permits, inspections and approvals to comply with the requirements in effect at that time and prior to occupancy. Signature of owner: acitctr,� Date: 01/07/2008 FILE COPY Site Address: 5290 CHURCH ST Permit No: B08-0021 APN: 029-250-010 Square Footage: 1,600 Permit Type: MISCELLANEOUS Occupancy: U-3 Permit Subtype: Ag Exempt Zoning: A -R Description: AG BLDG: STORE HAY (1600) Required Setbacks: Applicant: NETTLETON, EDWARD Front: Side: 20' Rear: 20' PO BOX 412 Type of Construction: RICHVALECA95974 (530) 882-4276 Type of Siding: Metal Owner: NETTLETON, EDWARD Est. Const. Cost: $ 32,000.00 PO BOX 412 Roof Covering: Metal RICHVALE, CA 95974 (530) 882-4276 Floor Type: Concrete I declare under penalty of perjury that the building will be used as stated above, and the proposed use conforms with the AG Building definition. If any change in use or occupancy of the building is made, I will contact the Building Division and obtain the necessary permits, inspections and approvals to comply with the requirements in effect at that time and prior to occupancy. Signature of owner: acitctr,� Date: 01/07/2008 FILE COPY BUTTV COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION" OFFICE #: (530) 538-7541 FAX #: (530) 538-2140 A FEE WILL BE REQUIRED AT TIME OF A PPLICA TION Website: www.buttecounty.net/dds PLEASE PRINT CLEARLY PERMIT NO. ?J0 BIN h "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. OWNER INFORMATION Last Nam@ rr- FigjLName - %cjA Mailing Address fl C>� 41;L City J ev.v« State C A Zig95_q.74— h�a P' o $sa? a%6 Fax E-mail CONTRACTOR Name Address City State Zip Phone Fax E-mail Zip Class APPLICANT INFORMATION ARCHITECT/ENGINEER Name City Qf Cg U,q1_e Address Zip �� City Fax State Zip Phone Fax E-mail State License Number APPLICANT INFORMATION Name 4 0""A9/J de71%CIMAJ Address Po X +Ia City Qf Cg U,q1_e State Zip �� Phone Fax E-mail APPLICANT SIGNATURE X 'tel PROJECT LOCATION APO ©a q— 9 Property Address .Aqo (,2,.4U4?CN S7_ City R1 C 1 L — WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than licensed contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address DESCRIPTION OR SCOPE OF WORK: C0A4C_>VL---rG 1 wok G -A VJL0iA6_ /6-00 SF T -VRA op ALe 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 I Yes No Occ. Type Const. 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 NOTICE TO BUILDERS Before your building permit can be issued, your plans must be checked for compliance with the California Building Codes. In addition, your plans are routed to other regulatory entities including but not limited to Planning, Public Works, Environmental Health, and the California Department of Forestry for their clearances and approvals. There are some things you can do to expedite your permit: • Make sure your application is complete. • Be responsive to requests from County departments for any additional materials or requirements. The Building Division places its highest priority on processing building permits as quickly as possible and each day that passes without a complete application adds to processing time. Every permit issued by the Building O 'al shall expire and become null and void if the work authorized by such permit is not started or completed within one year from a date of issuance of such permit. A permit may be renewed (for a fee) prior to expiration an indefinite number of times, pro ed construction progress has been documented by the Building Division during each year during scheduled inspections. No ch ges may be made in the original plans and specifications for such work. In order to reinstate action on a permit after expiratio the permittee shall pay a new full permit fee and additional plan checking and documentation may be required. Upon comple ' n of work covered by this permit, please contact this office for final inspection. As a reminder to you, it is illegal to occu this building or any portion of the building for which this permit is issued without a final inspection. NA r r n Extra j Baild'ky I EXPIRATION OF PERMIT APPLICATION AND REFUND POLICY* Application for which a permit has not been issued will expire one year after date of application. Refunds may only be made upon written request by the person who originally paid the fees. Refunds for permit applications (not yet issued) must be requested within two years from the date of fee payment. Fees paid at the time of application are for Plan Check and administration. The Plan Check portion of fees is refundable only if the permit is cancelled or withdrawn before any plan checking is done. Building Division costs will be deducted prior to authorizing a refund and a charge of $54.99 to process the refund application will be assessed. Refunds on permits (issued) may be requested prior to the expiration of the permit, provided no work has been done pursuant to the permit. An Inspection may be required (and deducted from any refund amount) to determine no work was done. Fee/refund information can be read on-line at http://municipalcodes.lexisnexis.com/codes/butteco/ "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. Reference Number: B08-0021 Location: 5290 CHURCH ST Parcel Number: 029-250-010 Owner Name: NETTLETON, EDWARD Description: AG BLDG: STORE HAY (1600) Date: 01/07/2008 Phone: (530) 882-4276 Signature of Applicant: 652YaJaJ Date: 01/07/2008 FILE 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 providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contacting the Contractors' State License Board's automated telephone information system at 1-800-321 -CLSB (2752) or by accessing thier website at www.CSLB.ca.gov. PLEASE COMPLETE AND RETURN THE ENCLOSED OWNER -BUILDER VERIFICATION FORM SO THAT WE CAN CONFIRM THAT YOU ARE AWARE OF THESE MATTERS. THE BUILDING PERMIT WILL NOT BE ISSUED UNTILL THE VERIFICATION IS RETURNED. OWNER BUILDER VERIFICATION PLEASE COMPLETE THIS FORM AS REQUIRED BY THE STATE OF CALIFORNIA (SENATE BILL NO. 831 EFFECTIVE JULY 1, 1980). NO BUILDING PERMIT WILL BE ISSUED UNTIL THIS VERIFICATION IS RECEIVED. I PERSONALLY PI�Ad�O PROVIDE THE MAJOR LABOR AND MATERIALS FOR CONSTRUCTION OF THE PROPOSED PROPERTY IMPROVEMENT. R NO) 2. I /HAVE NOT) SIGNED AN APPLICATION FOR A BUILDING PERMIT FOR THE PROPOSED WORK. I HAVE CONTRACTED WITH THE FOLLOWING PERSON (FIRM) TO PROVIDE THE PROPOSED CONSTRUCTION: NAME ADDRESS CITY PHONE CONTRACTORS LICENSE NO 4. I PLAN TO PROVIDE PORTIONS OF THE WORK, BUT I HAVE HIRED THE FOLLOWING PERSON TO COORDINATE, SUPERVISE, AND PROVIDE THE MAJOR WORK: ADDRESS Cl 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: AG BLDG: STORE HAY (1600) Reference Number: B08-0021 Applicant Name: NETTLETON, EDWARD Owner's Name: NETTLETON, EDWARD AP # : 029-250-010 Signature of Property Owner: Date: Butte County Department of Public Works J. MICHAEL CRUMP, DIRECTOR LAND DEVELOPMENT DIVISION Storm Water Managment Program 7 County Center Drive Oroville, CA 95965 (530) 538-7266 Telephone (530) 538-7171 Fax www.buttecounty.net/dds National Pollutant Discharge Elimination System (NPDES) Phase II Construction Storm Water Permit and Storm Water Pollution Prevention Plan (SWPPP) Acknowledgment (LESS THAN 1 ACRE 1 Reference Number: B08-0021 Date: 01/07/2008 Location: 5290 CHURCH ST By: KCG Parcel Number: 029-250-010 Sub Type: Ag Exempt Owner Name: NETTLETON, EDWARD Phone: (530) 882-4276 Description: AG BLDG: STORE HAY (1600) By signing below, I the project owner/owners' agent, certify that this project WILL NOT DISTURB 1 acre or more of land and that I therefore, do not need to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board. Phased projects that contain multiple site buildouts of less than one acre but When combined with subsequent phases total more than one acre of disturbed soil will require a Construction Storm Water Permit from the state of California Regional Water Quality Board. I am aware that submitting false and/or inaccurate information or failure to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board for this project that disturbes one acre or more of land may result in revocation of grading and/or other permits or other santions provided by law. M SIX /M�� Title: FILE Date: 01/07/2008 NOTESI RESIDE_ NTIAL_ --- 029-250-010 V03--0900 PERMIT NO. NETTLETON, ED 5290 CHURCH ST, RICHVALE REBUILD BR & BATH I t Lid -�-�� Y • -3LI,7- SPECIAL CONDITIONS CHECKED BY �r SRA j FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS �r tt VERIFY =` USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER 4 OFFICE COPY { Address GAS r Meter By Date ` ELECTRIC ii Meter By Date T s h r JOB FINALED Signature J=OK. 0 = Not OK . = WReadyable 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/0 -Concrete 4: Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap;-/ /" L 'ft. / P Nat. or/ /" L "ft./ P LPG 7. Well Clearance & Disconnect 8. Utility Clearance MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s Date Zoning Requirements -Setbacks -Easements Card B-1 Date _ Card B-1 Date Footings; Soils -Size -Depth -Spacing -Connectors -Steel 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/0 to Grade -HD Approval 8. Gas and Electricity Tagged 9. Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch Date 11. Cert. of Occupancy Date Card B-1 Date' Card B-1 Date POOLS (Plans) OK except #'s Date Setbacks -Easements Card B-1 Date Card B-1 Date Soils; Compaction -Structure Stability Card B-1 Date Card B-1 Date PERMANENT END SYSTEM (ONLY) 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Blocking 4. Gas; MH Test -Demand -Valve 5. Electricity; MH Test 6. Water; MH Test 7. Water and Sewer Connected 8. Gas and Electricity Tagged ' 9. Exits 10. License Decals 11: Verify #'s with.Office Date Card B-1 'Date - • Card B-1 Date Card B-1. Date -Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts_ Beams- Rftrs-Connectors Shthg-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 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, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosures- Panel boards- Ins. to Main Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche 12. Enclosure; Fencing -Alarms Date Card B-1 Date Z. Card B-1 Date Card B71 Date Card B-1 J=OK /,32. ervice-Riser Conductors & Ground Main Disconnect Date 0 = NotOK - =Not Applicable Ap Date RESIDENTIAL . = Not Ready PLUMBING Permit OK except #'s 50. Date UNDEPFLOOR (Plans) OK except #'s AIJ8. #ater Pipe; Test & Anchor -Nail Protection D.W.V.; Test Fittings & Anchor -Nail Protection Date o g -Setbacks -Easements -Flood -Slope Date 21. Test Tub & Shower, Second Floor -Tub Access Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 22. Gas Pipe; Sixe & Anchors 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth Plywood on Roof Overhang -Attic Vents -Rafter Outriggers ,4!38: Condensate Drain & Overflow, Size & Grade Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth Card B-1 Date Card B-1 5. Stemwalls, Main; Steel- Bloc kouts-Wrapped Date 6. Stemwalls, Garage; Steel- Blockouts-Wra ed Date 6a. Hold Downs and Special Anchors a. ab, Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel aw-EKp. Ground made up w/Mech Fasteners -Bond Gas & Water 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test 31. Ranqe Circle/ /qa Cu or AI -Oven Circ. / /oa Cu or Al 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground 89. Ventilation Throughout House 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 92. Gas Test -Meters Tagged, Gas -Electric 15. Access & Ventilation 16. Insulation (Single & Duplex) Insulated Neutral O Yes 0 No /,32. ervice-Riser Conductors & Ground Main Disconnect Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING Permit OK except #'s 50. 17.- W ter Htr.; )(epi. -Access -Combustion Air Baffle tA�! AIJ8. #ater Pipe; Test & Anchor -Nail Protection D.W.V.; Test Fittings & Anchor -Nail Protection Date 20. Shower Pan; Test, First Floor -Tub Access Date 21. Test Tub & Shower, Second Floor -Tub Access 54. 22. Gas Pipe; Sixe & Anchors 55. Spivs Width -Headroom -Rise -Run -Landing -Fire Protection 23. Fire Sprinkler; Test Plywood on Roof Overhang -Attic Vents -Rafter Outriggers ,4!38: Condensate Drain & Overflow, Size & Grade Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELIE OtRICAL (Permit) OK except #'s Date ture & Transformer Clearance -Ins. Protection Date EI . Receptacles Spacing -Lights & Switches at Doors oxes & No. of Conductors Stapled Installed Close to Edge of Studs & C.J. _ aw-EKp. Ground made up w/Mech Fasteners -Bond Gas & Water p ' . 2 Appliance Circuits in Kitchen & Conductor Size GFI 3 ire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or Al 31. Ranqe Circle/ /qa Cu or AI -Oven Circ. / /oa Cu or Al Insulated Neutral O Yes 0 No Date FR!2tM /,32. ervice-Riser Conductors & Ground Main Disconnect br _333-Eqt . . ces anels-Motors-Mech. Equip. oset Light -Shower Light -Spa Light 49. Smoke Detector 50. 6t1ie-Access; Size & Romex Protection -Draft Stop -Ins. Baffles Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHA ICAL (Permit) OK except #'s 54. Ducts Insulation & Support 55. Spivs Width -Headroom -Rise -Run -Landing -Fire Protection ent Fan, Exhaust above insulation Plywood on Roof Overhang -Attic Vents -Rafter Outriggers ,4!38: Condensate Drain & Overflow, Size & Grade Sid0 _ -Nailinq Veneer -ace_-L cess -Comb. Ait-Return Air Vent 115 Outlet 47 Attic Access & Platform if Furnace in Attic Date o Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRA51NG"(Permit) OK except #'s 41- Sills Proper Materials & Anchors 42. Walls Studs -Nailing Spacing & Braces -Plates -Sound _ ea -ring Walls over Girders & Floor Nailing p Stop in Walls (rat proof) tops, Furred Ceilings -Stairs -Chasers -Tubs 46. Headers & Beams -Size & Bearing Date FR!2tM (Continued) br H ers-Post Caps -Anchors -Connectors ling. Joist-Rftr. Ties- Purlin-Roll Brac.-Truss-Shting.-Rtng. 49. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 50. 6t1ie-Access; Size & Romex Protection -Draft Stop -Ins. Baffles Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions Garage Fire Protection Framing -RC Channel 3 roperty Line Firewall & Openings 54. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 55. Spivs Width -Headroom -Rise -Run -Landing -Fire Protection 75. Garage Fire Door; Swing -Landing -Closure Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 57. Sid0 _ -Nailinq Veneer 60. Shear Vents-Underflr. Access Area -Glass Protection -Skylights -Plastic Wall Panels Date �j Card B-1 ,U,/}-- Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 64. Ext. Steps -Door & Sidelight Protection -Landings 65. Smoke Detector 66. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 67. Bedroom Exiting 68. G.F.I. & Bath Fixtures & Tub Access -Spa 69. Elec. Trim & Subpanel, Breaker Sizes & Labels 70. Stairs & Rails 71. Fireplace or Stove, Clearance -Hearth 72. Elec. Outlets at Wood Panel, Int. & Ext. 73. Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance 74. Elec. Outlets & Receptacles at Kit. Counter 75. Garage Fire Door; Swing -Landing -Closure 76. A.C. Duct in Garage -Damper 77. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 78. Plb.; Elec. & Mech. Equip. Listed for Location 79. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 80. Insulation -Foam -Looked in Attic 81. Guard Rails & Deck Construction -Post Caps 82. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clea nce Looked under Floor O Yes _ •83. fdrowing Instld./Drive 0 Yes O No/Walks O Yes 0 No/Planters O Yes 0 No p W. Stucco Brown -Finish 85. A.C. Unit Disconnect, Electrical -Plumbing 86. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 87. Water Well, Disconnect, Electrical, Plumbing 88. Exterior Elec. Trim, G.F.I. Receptacle -Underground 89. Ventilation Throughout House 90. Glass Protection 91. Corrections from Previous Inspections 92. Gas Test -Meters Tagged, Gas -Electric 93. Water & Sewer Connected -C/O to Grade -HD Approval 94. Energy Compliance Certificate -Other Certificates 95. Address Posted 96. Fire Sprinkler Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: PROPOSAL,INVOICE and RECEIPT Residential Wall Insulation 676 Vermont St 6 -1 S'-04 Gridley, CA 95948 6G3.00 530 846-3209 # 1408 Proposal Submitted To: First Name Ed Last Name Nettleton Service Address 5290 City Richvale ZIP CA Contractor's License # 793451 Proposal Date: Friday, January 30, 2004 Est Time To Finish Weather Condition One Day Rainy Home Phone 530 846-2529 Church Unit # Other Phone We hereby propose to furnish the materials and perform the labor necessary for the completion of: Install blown in fiberglass to attic of AW sq ft of existing R- 0 adding R- 38 to bring attic up to R- 38 standard. /6o'>;.0 Install blown in fiberglass to exterior walls to bring walls up to R-14 standard (drill, fill, plug, patch, prime and texture) for sq ft. Install R- to the stem walls of the floor of�sq ft. Install RMax to the floor vents for openings File No 2 7 2 2 Install Whole House Fan Set (CertainTeed Model WH302BDX): NA Install Whole House Fan -Delta Breeze by Fan Man NA Q Other......................................................................................................................................................... ........ �-� f 21 All Material is guaranteed to be as specified, and the above work to be performed in accordance with the dr6in s 9 P � P 9 and specifications submitted for above work and completed in a substantial workmanlike I manner for the sum of (including sales tax): // 7 Dollars with payments to be made as follows- r Any alteration or deviation from above specifications involving extra Respectfully Submitted, costs will be executed only upon written order, and will become an extra charge over and above the estimate. All agreements contingent upon strikes, accidents, or delays beyond our control. Commercial General Liability Ins Coverage: Nugent Insurance 530 892-1837 *Cost of Building Permit where applicable to be reimbursed by customer to contractor* Please make checks payable to Residential Wall Insulation ACCEPTANCE OF PROPOSAL The above prices, specifications and conditions are satisfactory and are hereby accepted. You are authorized to do the work as specified. Payments will be made as outlined above. Installation Date: 6/11/04 Signature Note ----This proposal may be withdrawn by us if not accepted within 30 days. Financed proposals are "on approved credit'. COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main`�treet - Chico, CA - (530) 891-2751 7 County Center Dri ve - Oroville, CA * (530) 538-7541 1 CORRECTIONAOTICE PERMIT NO. A routine inspecti6n indicates that the following violations of , butte county Ordinances exist at the above address/and should be corrected. Please notice this office when correction of work is completed./, you have any questions pertaining to this matter, or need additional explanation, please c tact this office immediately. I --N - I fn / r / / rl 1 '. / "M& U/ X' - Inspector REV 10192 4 COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-754 P RMIT NO. (Rev. 12/96) APPLICATION AND PERMIT _ oc/00 ASSESSOR PARCEL NUMBER 029-250-010 ZONING BUILDING PERMIT OWNER TELEPHONE SQ. FT. OCC. BUILDING VALUATION . OWNERS MAILING ADDRESS 1001 OREGON SM, GIRTMEY CA 99948 264 R 14 256.00 CONTRACTOR'S NAME TELEPHONE 20 Sq. 1,200.00 CONTRACTORS MAULING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation is 23 781.41 ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 243.00 ARCHITECT OR ENGINEERS MAULING ADDRESS Plan Checking Fee $ 157.95 BUILDING ADDRESS Energy Plan Checking Fee $ 23.00 PERMIT FEE $ 443.95 LOT NO. 10 SUBDIVISIONS NAME 1 PARCEL MAP _ PLUMBING PERMIT Filing Fee 20.00 -309 USEOFSTRUCTURE SF XI Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap ZL 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 15.00 Each as water heater or vent 15.00 15.00 TYPE OF WORK New?CI Addition XI RemodelX3 Utilities ❑ Installation ❑ Other ❑ Describe Work: NEW 12x22 bed 8,hath9 remodel , rP-roof Gas piping system 1 - 5 outlets 15.00 19.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE $ 108.00 ELECTRICAL PERMIT Fling Fee 20.00 800VOR LE Main Service zo A OR LESS 23.00,1!3. 00 LICENSED CONTRACTOR'S DECLARATION 1 hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.P License Class Lic. NO. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Main Service 200A TO 1000A 46.00 NEW CONST. DW "NG OCCUP. o"r. ( 3.52 Ff. 61.32 r°i w� MuiT�i oS. NONRESID. @7.50 OWER APPARATUS 8 SINGLE OUTLET CI R. Ex. Occu OUTLET OR FD(TURES 20 @ t.00 gq0 o .so FIXED A Ex. Occup. ° AaID.°E 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring23.00 PERMIT FEE $ 104.32 MECHANICAL PERMIT Fling Fee 20.00 Heating 1 115. 15.00 Cooling 1 15. 15.00 Hood 1 6.50 6.50 Ventilation 2 4.5 9.00 PERMIT FEE $ 65.50 Policy Number (The above sections need not be completed 0 the permit is for work of a valuation Of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person In any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith co ply with those provisions. X C j4&9Date 4 "' '- 03 Signature of Applicant Owner ❑ Contractor ❑ Agent An OSHA permit is required c r excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ 46.00 Occ CONST. TYPE TOTAL FEE $ 767.77 HAZ. I D. FEES IMP FLOOD CDF PARCEL PD I HD I ISSUE This permit is hereby issued under of utte Cou ty Code and/or in cat- e f r which fees have ByW EXPIRES ON the applicable provisions Resolutions to do work been paid. (0 63 Date ,f 6 Z D5r Dafe Receipt No. '� 3818PERMIT WHITE-D.D.S.-B.D. CANA Y -ASSESSOR PIN - NSPECTOR GOLDENOD-APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 536-7541 �PE MIT N 12M) I APPLICATION AND PERMIT SSESSOR PARCEL NUMBER ZONING BUILDING PERMIT WHER • TELEPHONE SO. FT. OCC. BUILDING VALUATION wiamr. MAIUNO ADDRESS �OWRACTOR•S NAME TELEPHONE / :ONTRACTORS MA4JNO ADDRESS :OwsmuCTTON LENDER B ENDERS "LING ADDRESS TV Total Valuation S Total 7w 1 27 7- vtCHrrECT OR ENGINEER LICENSE ND. Filina Fee S 20.00 Permit Fee wCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee S 3ULDING ADDRESS Energy Plan Checking Fee S b • PERMIT FEE S LOT No. SUBDNSIONS NAME PARCEL. MAP PLUMBING PERMIT Fling Fee 20.00 Each Trap7.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilshome ❑ Other `P�� Solar or heat um water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Describe Work: Other ❑ Gas piping system' 1 - 5 outlets 15.00 Building sewer 15.00 Moble Home I S G W 920.00 PERMIT FEE _ ELECTRICAL PERMIT iFilingFeel 20.00 Main Service 2aow on LLE 23.00 12 m t}1 g' �• QS l �G Z / S� >� S� O � �� Awwo,IAI INA�' a'e4� Main Service 29" TO 1006► 415.0E NEADNST: .mO OR Aots+s. ( DwaeiACCOocuP. NON•RESID. MULTFOLmtT @7.50 POWER APPARATUS a swoLF otm� cLR Ez. Occup. OVT ET OR FIXTURES ew O L.yo , FDD AFPLMS. . OREA 5.00 ELL. Occup. ovTLETs ID Temporary Service 23.00 Moble Home Facilities 20.00 Mise. Wiring 23.00 PERMIT FEE _ /O MECHANICAL PERMIT Fling Fee 20.00 Heating I 1:5. Cooling I IS Hood I 1 6.50 � $4 Ventilation Zwoman -1 • $0 °�' _ PERMIT FEL S 5C Moble Home Installation Fee $ Energy Inspection Fee $ o OCC CONST. TYPE TOTAL FEES % % HA2. D. FEES IMP I FLOOD I CDF PARCEL PD RD i SS'JE This permit is hereby issued under theiprovisions to do work of the Butte County Code and/or Resolutsolutionsons to indicated above for which fees have been paid. By Date PERMIT EXPIRES ON (Delo z j/a►� S� d45 Z ' COUNTY OF BU i TE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 m, Telephone (530) 36-1541 - PEPLIAT No. %toss) APPLICATIONAND PERMIT /13 -0900 =7 iQ, BUILDING PERMIT 30. FT. OCC. SUFLDING VALUATION -70 O Im0A35 �fl— % e s b f' zzmmeT ZA o a �Ao�Rt useeE , mnntE =sw=um% MCC AnflI ® SCMc WZDM AME Ficepisoe Tenial valuatlon s X*W= oa rr art~a Da MWIMM akUM A== arras i ®==R== mu= USEOFS TRUCTURE ;F t O Duplex o Nbbilehome O Mar -Wral"6_07-02.1 --a�m - uJ 12-j/ 2 Z 05 AS 4RIM . NvJi mp 3 7-5-S q 3 p TO 121 PJT 221" CQ F&P Fee s 20.00 Pwmn Flea s % .0 U Pier Cheobm Fee s /O Enwv Pilin Cheng Fee s . a3.0 cJ S PERmrT FEZ- PLUMBING •PERMIT Firing Fee 20.D0 Enfi Trap 7.DD Q1,,00 Solar or ham pump weer he 23.DD Water pphg 15.00 / Ea:h P= wdw heir ar vant 15.00 /T ^ Q= 1 - 5 aar3iets 15.DD /s- — seuveT 15.00 / " M:bb home S G C20.DD pot WT F- S CCMIMLL PERMIT I FO'mo r -e,--1 20.D0 SWVI= ( m m► TD fsm% Duna Da FIDURS •o . 2- PERMIT FmS AECK"CAL PERMIT Fiimg Fee 20. DD Hes1u►g I ��� ^ is •- l�e s.so I 1,6 o "Be Home hestslfon Fee Is 'energy h:spezon Fee Is `f (p • O U Dx mo'ot"PE JTOJAL FEE $ .0 rVZ lqD CDF 6SLF This permll is hereby Issued under the, appG_sble proviscrre of the Butte Courq Code and/or Resolutions to do work md�aled ebovn for which fees have been paid. $y . Dale, Re�iptNa PERMIT D71RES ON w►asF.e_e.s .o_e r�■`ar.AssLss❑a Pune-pSP2GTOR 60LG-�1R�GkPPLtCANT �.d Ill COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET OWNER: ASSESSOR PARCEL NUMBER D � a o �ol C) Proposed Building Use: l/aG" /1 r J Counter Technician: 0V - Date: 4 11113 Items required in order.to apply for a permit. All boxes MUST be checked OR marked NA in order to apply. 1.. Plot plans, 3 or 4 sets, signed,ty the preparer of the plans. —R-2Complete plans, 3 or 4 sets,, signed by the preparer.of the plans. 'Or3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 4. Engineered truss details and layouts in duplicate. No faxes! ❑ 5. Energy compliance design and supporting documentation in duplicate. ❑ 6. Manufactured homes: (A) Data sheets and installation instructions, (B) Marriage line information, (C) Floor Plan, (D) Tie down or foundation plans, all in duplicate. ❑ 7. Metal buildings: (A) Metal Building Plans, (B) Foundation plans and calculations in triplicate, (C) Elevation views in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. • A Items required for initial plan review. If checked items have not been received, plan review cannot proceed. The permit will be indexed and returned to the plan review line-up when required items are received. Date Received By ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate ................................ ❑ 9. Plot plan and business license approval from the City of Biggs .................................... ❑ 10. Letter of intent for non-residential buildings......................................................:.. ❑ 11. Detached Accessory Building Form filled out by the owner ..................................... ❑ 12. Hazardous Material Form............................................................................... _ ❑ 13. Other 4R maining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) 14. Fees as shown on the attached Schedule of Fees Due Sheet ....................................... ❑ 15. Statement of Intent for Non -heated and A/C Buildings ...................................... 0�_K Sanitation and plot plan approval from the Environmental Health Department inCity of Chico Plumbing permit ......................................... ;? P,,.18: California Department of Forestry plan approval ❑ paid. Sent. by: 0..•19. Planning approval for (A) Use: O }', (B)Parking: (C) Parcel Check: ❑ 20: Contact Land Development about ❑ Improvements, ❑ Drainage .............................. ❑ 21. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 22. Pre -Inspection for required.........;...... ❑ 23. Contractor's license information. (Number, Name Style, Classification) .....................:.. ❑ 24. Worker's Compensation Carrier and Policy Number ............................................. ❑ 25. Owner -Builder Verification (❑ Given to owner, ❑ Mailed to owner)..........'........... ❑ 26. Letter of Signature authorization.................................................................... ❑ 27. Recorded copy of Agricultural Acknowledgment Statement .................................... ❑ 28. Manufactured home utility clearance.........,..................................................... ❑ 29. Existing violations and/or expired permits......................................................... ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $ 31. Other: C0.4iotdv,- PI -1--e 4�oi P e-- o <-( _L o v;ca_.,,o When issued Telephone hold for pi I have been informed of the above items and requirements for obtaining a building permit. 0AppIcant:�Gv'!e: 1. Index permit application fort above ' e numbered: Plan Check Letter 2. Additional items required Contractor, designer owne was advised f the above data by phone, ❑ mail, ❑_ /counter, by ��Date: aZ Contractor, designer ow ; was advised of the abov dat by ❑ phone, ❑ .mail, 54 counter, by Jl Date: Plans reviewed by: 112 Date: qi vSt 0 3 Plans approved by: ,Zn,, Dater Structural reviewed by: Date: Structural approved by: Date: Note transfer by: Date: Yellow: Buildine Division n 4 0'3 0q 00 COUNTY OF BUTTE , DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541 SCHEDULE OF FEES DUE OWNER PROPOSED BUILDING USE - i 1. BUILDING PERMIT FEES %\ r1 Z Balance Due ....................... $ uc ) Additional Fees Due ................. $ Additional Fees Due ................. $ Revised Plan Checking Fee .............$ 2. SCHOOL DISTRICT FEES k`7 S (paid at District Office) (Available after Plan Check) lot V 3. SHERIFF FEES (paid at Building Division) 0641 Residential ...................... x $360.00 = $ Units Commercial (sq. ft.) ............... x $0.03 = $ Sq. ft. 4. URBAN AREA FEES (paid at Building Division) Residential ................... —x—=$ # Units Amt. Commercial (sq. ft.) ............ —x—=$ Sq. ft. Amt. 5. RECREATIONAL DISTRICT FEES (paid at District Office) (Available after Plan Check) 6. THERMALITO DRAINAGE DISTRICT FEES $510.00 (paid at Building Division) 7. SRA FIRE INSPECTION AND PLAN CHECK $89.00 (paid at Building Division) 8. WATER TENDER FEES (Battalion # ) $200:00 (paid at Building Division) 9. CSA 87 TRAFFIC FEE $2500.00 (paid at Building Division) 10. OTHER A.P. # 29 ro1S�0� DATE RECEIPT # DATE REC. / & �2-o -SIP. At time of permit application, I was advised the above fees are required to be paid prior to issuance of the building permit. These fees may be changed during the plan checking process. 0p, LICANT D E 4-1`-0? Pursuant to Government Code Section 66020, you are hereby notified that items 2, 3, 4, 5, 6, 7, 8, 9, and 10 above may have been imposed on your project. You have 90 days from the date of approval of the project or from the imposition of the above mentioned items during which you may protest. The requirements for a protest are specified in Government Code Section 66020(a). Original - Buiding Div. 2nd Copy - Applicant 3rd Copy - Owner (Rev. 6/00) BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One form per Building) School District Building Department No. %A A.P. Number g > ,�) 6 O —010 Jurisdiction: City County Property Owner o .Lli Q4, ti k� Property Location/Address 0 0 Subdivision Lot No. .................................................................................I............................ Residential Development Sq. Footage V 'l No of Living Mobile Home Addition/ 'Supplemental to (Group R) Units Installation Conversion Permit # *(No foundation inspection); Commercial/Industrial New Addition Building Department Representative Plans reviewed uv school District District Identification No. f 1�f 614, `3 Lk it (:51 t 6-7 School District certifies that Sq. Footage (Including Exterior Roofed Areas) /o/�U3 Date F l%�/J 42 Jif !��! f (Applicant) (Street Address) � (Phone Number) CIA1 (City) (State) (Zip Code) has complied with the requirements of Resolution No. representing 24Pil square feet. School Paid by Check # by payment of $ - JAB 2926 $ FULL MITIGATION $ J5--30 -0 3 Date Remarks: may~" !'fes ` % /-�/��V _�-�/ F%� /�'.� -.A Notice: You may protest the imposition of the fees identified above by submitting a written protest to the District, in compliance with Government Code Section 660201a), within 90 days from the date feesare paid.` Failure to submit a timely written protest will prohibit you from challenging the imposition of the fees in any court action. If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act (CEQA), this project may be subject to additional school fees to fully mitigate its impact on the school district's schools. White (applicant), Yellow (building department), Pink (school district) feeform.x(s (10/98)dmm 114. 1 e. , OWNER -BUILDER VERIFICATION Attention Property .Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement: YES)K NO ❑ 2. I HAVE HAVE NOT ❑ signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: NAME: ADDRESS: CITY: PHONE: CONTRACTOR' S LICENSE NO. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: NAME ADDRESS PHONE TYPE OF WORK SIGNED: l PROPERTYOWNER: (d SOCIAL SECURITY NUMBER: DATE: 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. OVER OWNER BUILDER INFORMATION Dear Property Owner: O. .-1 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: ♦ 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. ♦ If you are an employer, you must register with the State and Federal Governments as an employer and you are - subject to several obligations including state and federal income tax withholding, federal social security taxes, workers compensation insurance, disability insurance costs, and unemployment compensation contributions. ♦ There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. ♦ For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "owner builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento, CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. 4rely, C. Vi ira, C.B.O. , Building Inspection NOTE. This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code Nortl r EN_GIN_EERING Civil Engineers • Planners i Surveyors STRUCTURAL CALCULATIONS PROJECT: Bedroom Addition LOCATION: 5290 Church Street, Richvale, CA OWNER: Ed Nettleton JOB NUMBER: 8273 DATE: - May 9, 2003 CODES: . California Building Code, 2001 Edition CODE ENFORCEMENT: Butte County LOADS: Seismic Zone: N/A Wind Speed: N/A Exposure: N/A Soil Bearing: I1000 psf (per CBC TABLE 18 -I -A) NOTES: Are Special Inspections required for Engineering Elements Designed by NorthStar Engineering? No NorthStar Engineering is not responsible for these calculations unless this sheet is stamped by a registered professional engineer and wet signed with RED or BLUE ink. GENERAL: Any structural or non-structural items that are not specifically addressed in the following calculations and or details are designed by others and are not the responsibility of NorthStar Engineering. 1 Pagel of BY: S I v 3 DATE: JOB NO: 32,75 PAGE 2 OF } i NbrthStar ENGINEERING Civil Engineers • Planners • Surveyors i r. re�,j C6 Co u e i - C P? -Ru .04. Lt- 4�-TiiaYN 20 DECLARATION DRIVE CHICO, CALIFORNIA 95926 916-893-1600 --a t 3 � ptti ...MTU 4sXIST Fvankti i Orr _ cotmr, .L__LL CD Fj 0 NorthStar ENGINEERING Civil Engineers • Surveyors AGREEMENT FOR CONTRACT OF PROFESSIONAL SERVICES CLIENT: Ed Nettleton DATE: May 5, 2003 1001 Oregon St. Gridley, CA 95948 CONSULTANT: NorthStar Engineering (NSE) PROJECT: Bedroom addition 20 Declaration Drive 5290 Church Street Chico, CA 95973 Richvale, CA (530) 893-1600 Owner: Ed Nettleton JOB NO.: 8273 A. CONSULTANT agrees to perform the following described services: Included services: Provide structural detail for typical footing and concrete slab for a single-family residence addition as required for exnansiv soil condition. Structural detail generated by NSE will be based on architectural plans and elevations provided by CLIENT. Excluded services: Landscape retaining wall designs, geotechnical reports, non-structural calculations / plans / details (i.e. site, grading and drainage, storm drain and sewer, electrical, mechanical, plumbing, energy, architectural, etc.) will not be provided by NSE. Lateral bracing will be designed by others and in accordance with 2320 of the 2001 California Building Code. Construction Administration / Operations: The scope ofNSE'S services includes phone clarifications for contractors during construction. It expressly excludes site visits unless otherwise noted in this contract. NSE will not act as supervisor of construction operations, nor will NSE direct or exert any control over such operations. The owner and construction contractor shall be informed that neither the presence of NSE on the job site nor the performance of its professional services shall excuse the contractor for defects discovered in its work. Timeline: It is estimated that NSE will complete structural drawings and calculations within I calendar week of receiving the signed contract, CAD drawing files from CLIENT and, if applicable, the truss design and calculations. This is an estimated time only. It is provided for the CLIENT's convenience and it is not a contractual obligation. Plan Check Corrections: Includes plan check corrections as requested by the Building Department for the work that was submitted. Does not include new analysis for areas outside of the original scope of work. Does not include making plan check corrections requested by private consulting firms. _ 2_0 DECLARATION D_RIVE CNSLT s Initial- 15?— Date: ,5 O Pagel of3 __CHICO, CALIFORNIA 95973 CL/EN7's IniDate: 3 530-893-1600 fAX-893-2113 / , T-, I –e., B. Cost of Services: $300.00 Reproductions: (cost + 10%) CLIENT shall coordinate and submit all drawings and calculations and pay all fees for the necessary building permits including, but not limited to, application, plan check and inspection. C. Basis of Compensation and Method of Payment CLIENT recognizes that prompt payment of NSE's invoices is an essential aspect of the overall consideration NSE requires for providing service to CLIENT. Accounts are billed by the NSE during the third week of each month for work done in the previous month, are due upon presentation and shall be considered Past Due if not paid prior to the next billing date. If payment is not received by NSE prior to the next billing date, CLIENT shall pay as interest an additional charge of one -and -one-half (1.5) percent (or the maximum allowable by law, whichever is lower) of the Past Due amount per month (18 percent annually). Payment of any invoice by CLIENT to NSE shall be taken to mean that CLIENT is satisfied with NSE's services and is not aware of any deficiencies in those services. In the event -legal action is necessary to enforce the payment provisions of the AGREEMENT, NSE shall be entitled to collect from CLIENT any judgment or settlement sums due, reasonable attorneys' fees, court costs and expenses incurred by NSE in connection therewith and, in addition, the reasonable value of NSE's time and expenses spent in connection with such collection action, computed at the NSE's prevailing fee schedule and expense policies. D. Changes in the original scope of services: Any changes ordered by the Client may result in additional charges. The Client will be notified in writing if any additional charges are incurred. Any changes to the California Building Code that require changes to the calculations, drawings and specifications may result in additional charges. E. Termination of Contract: CONSULTANT may terminate this contract for non-payment of fees as set out above. CLIENT may terminate this contract by giving notice in writing and bringing all outstanding charges current. F. Contract Expiration: This offer to contract is good for 30 days after the date shown below in the signature block. If CLIENT fails to sign this contract within 30 days, the offer shall be withdrawn and is null and void. G. Standard of Care: Services provided by CONSULTANT will be provided in a manner consistent with the level of care and skill ordinarily exercised by members of the engineering profession under similar circumstances at the same time and in the similar locale. CLIENT understands and acknowledges the inherent risks connected with construction and recognizes that CONSULTANT is not providing a warranty, either express or implied. Page 2 of 3 CNSLT s Initial: Date:`717/ 0 Tj CLIENT s Initialg- Date: 3' 13 -0 3 H. Code Compliance: CONSULTANT shall exercise usual and customary professional care in rendering a design complying with CONSULTANT's current understanding of the applicable federal, state or local Code requirements. However, CONSULTANT makes no guarantee or warranty, either express or implied, that its design complies with the Code. CLIENT acknowledges that the standards for design practice under the Code are still evolving. I. Limitation of Liability: In recognition of the relative risks and benefits of the project to both CLIENT and CONSULTANT, the risks have been allocated such that CLIENT agrees, to the fullest extent permitted by law, to limit the liability, of CONSULTANT and CONSULTANT's partners, employees, and agents to CLIENT and to all construction contractors and subcontractors on the project for all claims, losses, costs, damages of any nature whatsoever or claims expenses from any cause or causes, regardless of the legal theory, so that the total aggregate liability of CONSULTANT and his or her subconsultants to all those named shall not exceed: . $ 3 00.00 or CONSULTANT's total fee for services rendered on this project, whichever is greater. J. Time Bar to Litigation: All legal actions by either party against the other for breach of the AGREEMENT or for the failure to perform in accordance with the applicable standard of care, however denominated, shall be barred two (2) years from the time claimant knew or should have known of its claim, but in any event, not later than four (4) years from completion or cessation of CONSULTANT's services. K. Preparation of AGREEMENT: By signing the AGREEMENT, both parties consent that the AGREEMENT has been prepared and negotiated equally by CLIENT and CONSULTANT. CONSULTA CLIENT: p� l. �, 5151- 5 -t3-v3 Je Rice W RCE 53590 Date Names Date NorthStar Engineering Title: Associate Engineer Title: Page 3 of 3 PFFIZ, i, NOTES RESIDENTIAL r 029-250-010 NETTLETON ED N�03-2213 } PERMIT NO. -4 , 5290 CHURCH ST, RICHVALE 4 PORCH BP#03-0900 r< r 7 ♦ �o SPECIAL CONDITIONS CHECKED BY SRA - FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER ,y t `j 4 • rt v. c- 4 ' SPECIAL CONDITIONS CHECKED BY SRA - FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER ,y t `j 4 ~ t }j JOB FINALED (D Signature J=OK 0 = Not OK . = 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-Clearances-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap;-/ /" L'ft. / P Nat. or/ /" L "ft./ P LPG 7. Well Clearance & Disconnect 8. Utilitv Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricitv: MH Test -Crossovers -Breakers -Clearances Date Card B-1 Date Card B-1 ELLANEOUS Date DECK VER , CARPORTS, GARAGES (Plans) OK except #'s 1. 4ZmagJRequirements-Setbacks-Easements Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails y 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Tie Downs -Type -Installation Cert. t 10. Exits; Insp.-Sketch 11. Cert. of Occupancy 11. Ext.; Steps -Doors -Landings 12.. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PERMANENT END SYSTEM (ONLY) j 1. Zoning Requirements -Setbacks -Easements 4 2. Footings; Size -Spacing -Marriage Line ! 3. Blocking I 4. Gas; MH Test -Demand -Valve r 5. Electricity; MH Test 6. Water; MH Test r' 7. Water and Sewer Connected t 8. Gas and Electricity Tagged f 9. .Exits R 10. License Decals 1 11. Verity #'s with Office 12. Enclosure; Fencing -Alarms Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 ELLANEOUS Date DECK VER , CARPORTS, GARAGES (Plans) OK except #'s 1. 4ZmagJRequirements-Setbacks-Easements Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails y 4. Wood Awn.; Posts-Beams-Rftrs-Connectors Shthg-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. ptectric F Fr g.; Sills-Anchors-Studs-Rftrs-Trusses t 9. ding; Nailing -Veneer -Stucco -Mesh 1 Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12.. Braced Wall Panels Date Card B-1 Date Card B-1 Date Date and 13-1 Date Card B-1 POOLS (Plans) OK except #'s j 1. Setbacks Easements 4 2. Soils; Compaction -Structure Stability ! 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining I 4. Elec.; Receptacles and Lighting, Distance-GFI r 5. Elec.; Pool Lighting; 15 Volts-GFI - 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed r' 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater t 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Qhtg. Boxes -Enclosures- Panel boards -Ins. to Main Conduit f 9. Health Department Approval R 10. Plumb.; Cir. Test -Water Supply Test 1 11. Light Niche 12. Enclosure; Fencing -Alarms Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 J=OK 0 = Not OK - = Not Applicable . = Not Ready RESIDENTIAL (Single & Duplex) Date UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope Hangers -Post Caps -Anchors -Connectors 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 48. 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth Fireplace Ties or Type A Flue -Fireplace Throat Clearance 5. Stemwalls, Main; Steel-Blockouts-Wrapped 50. 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 7. Slab, Steel -Wrapped 52. 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test Property Line Firewall & Openings 10. UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test 54. 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 13. Plenums & Ducts; Clearance -Material -Support -Ins. 56. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 15. Access & Ventilation Siding -Nailing Veneer 16. Insulation 58. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s 17. Water Htr.; Vent -Access -Combustion Air Baffle Brace Interior/Exterior Wall Panels 18. Water Pipe; Test & Anchor -Nail Protection 62. Insulation -Walls -Ceilings 19. D.W.V.; Test Fittings & Anchor -Nail Protection 63. 20. Shower Pan; Test, First Floor -Tub Access Date 21. Test Tub & Shower, Second Floor -Tub Access Card B-1 Date Card B-1 22. Gas Pipe; Sixe & Anchors 23. Fire Sprinkler; Test Date FINAL (Plans) OK except #'s Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 24. Fixture & Transformer Clearance -Ins. Protection 25. Elec. Receptacles Spacing -Lights & Switches at Doors 26. Size Boxes & No. of Conductors Stapled 27. Romex Installed Close to Edge of Studs & C.J. 28. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water 29. 2 Appliance Circuits in Kitchen & Conductor Size GFI 30. Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or AI 31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or Al Insulated Neutral O Yes O No 32. Service -Riser Conductors & Ground Main Disconnect 33. Equip. Clearances Panels-Motors-Mech. Equip. 34. Clothes Closet Light -Shower Light -Spa Light 35. Smoke Detector Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 36. A.C. Ducts Insulation & Support 37. Vent Fan, Exhaust above insulation 38. Condensate Drain & Overflow, Size & Grade 39. Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet 40. Attic Access & Platform if Furnace in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s 41. Sills Proper Materials & Anchors 42. Walls Studs -Nailing Spacing & Braces -Plates -Sound 43. Bearing Walls over Girders & Floor Nailing 44. Draft Stop in Walls (rat proof) 45. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 46. Headers & Beams -Size & Bearing Date FRAMING (Continued) 47. Hangers -Post Caps -Anchors -Connectors 48. Cling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rtng. 49. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 51. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 52. Garage Fire Protection Framing -RC Channel 53. Property Line Firewall & Openings 54. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 55. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 57. Siding -Nailing Veneer 58. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 59. Glazing Area -Glass Protection -Skylights -Plastic 60. Shear Walls; Nailing -Bolts 61. Brace Interior/Exterior Wall Panels 62. Insulation -Walls -Ceilings 63. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 64. Ext. Steps -Door & Sidelight Protection -Landings 65. Smoke Detector 66. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 67. Bedroom Exiting 68. G.F.I. & Bath Fixtures & Tub Access -Spa 69. Elec. Trim & Subpanel, Breaker Sizes & Labels 70. Stairs & Rails 71. Fireplace or Stove, Clearance -Hearth 72. Elec. Outlets at Wood Panel, Int. & Ext. 73. Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance 74. Elec. Outlets & Receptacles at Kit. Counter 75. Garage Fire Door; Swing -Landing -Closure 76. A.C. Duct in Garage -Damper 77. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 78. Plb.; Elec. & Mech. Equip. Listed for Location 79. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 80. Insulation -Foam -Looked in Attic 81. Guard Rails & Deck Construction -Post CaDs 82. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth _ Clearance Looked under Floor O Yes 83. Following Instld./Drive D Yes O No/Walks O Yes O No/Planters O Yes 0 No 84. Stucco Brown -Finish 85. A.C. Unit Disconnect, Electrical -Plumbing 86. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 87. Water Well, Disconnect, Electrical, Plumbing 88. Exterior Elec. Trim, G.F.I. Receptacle -Underground 89. Ventilation Throughout House 90. Glass Protection 91. Corrections from Previous Inspections 92. Gas Test -Meters Tagged, Gas -Electric 93. Water & Sewer Connected -C/O to Grade -HD Approval 94. Energy Compliance Certificate -Other Certificates 95. Address Posted 96. Fire Sprinkler Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 P (Rev.12/96) 1APPLICATION AND PERMIT 03 l ASSESSOR PARCEL NUMBER 029-250-010 ZONING A BUILDING PERMIT OWNER N=ETON EDP76-2529 TE NE SO. FT. OCC. BUILDING VALUATION . OWNERS MAILING ADDRESS 1001 OREGON ST. MIDLEY GA_ 94948 36 466.00 T7'�RRAA7C�TpOOR'S NAME CON��LVL111 OW TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ 468.00 ARCHITECT OR ENGINEER LICENSE NO. $ 20.00 —FilingFee Permit Fee $ 15.00 ARCHITECT OR ENGINEERS MAIUNG ADDRESS Pian Checking Fee $ 23.00 BUILDINGADDRESS 5290 CHiJ Energy Plan Checking Fee $ $ PERMIT FEE $ 58.00 LAT NO. SUBDNISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 Each Trap 1 7.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: PORCH 03-0900 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service zooA OR IESS 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.POWELER 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 permitis 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 forthwith comply6w*h those provisions. .p/ X �/ Date 7"23`03 Signature of AppOwner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Main Service zooA To L000A 46.00 NEW CONST. DWELLING OCCUP. OR ADONS. ( a ACC. BLDS. SO 3.50FT. I,pN REBID! MULTI.OUTLET @7.50 APPARATUS a SI NGOUTLET CIR. 20 p +.00 EX. OCCU OUTLET OR FDCTURES BAL @ So Ex. Occup. O�LE>DrsA RAID°� Temporary Service N20. Mobile Home Facilities Misc. Wirin 23.00 PERMIT FEE s 43.00 MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEt S Mobile Home Installation Fee $ Energy Inspection Fee $ c c TOTAL FEE $ 101.00 HAZ. D IMP COF .RC PARCEL PD HD ISSU This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for w 'ch fees have been paid. By Date Z3 PERMIT EXPIRES I pate) ReceiptNo. 382595/$1012 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT VA COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-75411n PERMIT NO. (Rev,12/96)' APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER^ - 150 A0/ /� ZONIN • BUILDINGPERMIT OWNER I^ I' T ONE_ UL SO. FT. OCC. BUILDING VALUATION OWNERSfLG RESS ,n ( / CON'RACTO 'S NAME„ e [TELEPHONE CONTRAC RS MARJNG ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE N0. Filing Fee $ 20.00 Permit Fee $• �� G� ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ `� BUIL.DINGADDRESS �U lJ U( (, Energy Plan Checking Fee $ PERMIT FEE S L.6� o �i SUBDIVISION'S NAME PARCEL 2 PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK ❑ Other 13 New ❑ Addition ❑ Remodel ❑ Utilities ❑ To Describe Work: b — ,/ o e:�i 1) %x(S Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W Ca20.00 PERMIT FEE S ELECTRICAL PERMIT Filing Fee 20.00 Main Service 200,,oR LESS 23.00 Sik X O �� � Ttu; led ( — W# L W �� �'�Ad 14�rM X Date Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permitis required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUP. 3 5¢so. OR ( 8 ACC. BLDS. FT. C-DDNS. NEW CONS MULTI.OUTIET C 7.50 NON•R6ID.CC. POWER APPARATUS NGLE 2* Ex. Occup. OUTLET OR FIXTURES B,,L 50 onDLNSOR. Ex. Occu . E 5.00 Ex. Temporary Service 23.00 Mobile Home Facilities 20.00 , Misc. Wiring 23.00 PERMIT FEE MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEI= S Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. PE TOTAL FEE $ ��/, L HAZ p. FEES IMP D CDF I PARCEL I 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 Receipt No. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT 1. COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drivp, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET OWNER:�jeffie- 46 o, ASSESSOR PARCEL NUMBER (72-P J5S 0 -(T16 Proposed Building Use: R ( 0 r) Counter Technician: -Date:? -03 fIte s required in order to apply for a permit. All boxes MUST be checked OR marked NA in order to apply. 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 4. Engineered truss details and layouts in duplicate. No faxes! ❑ 5. Energy compliance design and supporting documentation in duplicate. ❑ 6. Manufactured homes: (A) Data sheets and installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. ❑ 7. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. Items required for initial plan review. If checked items have not been received, plan review cannot proceed. The permit will be indexed and returned to the plan review line-up when required items are received. Date Received By. ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate ................................ ❑ 9. Site plan and business license approval from the City of Biggs .................................... ❑ 10. Letter of intent for non-residential buildings......................................................... ❑ 11. Detached Accessory Building Form filled out by the owner ..................................... ❑ 12. Hazardous Material Form............................................................................... ❑ 13. Fire Sprinklers............................................................................................ ❑ 14. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by ❑ 15. Other Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) ❑ 16. Fees as shown on the attached Schedule of Fees Due Sheet ....................................... ❑ 17. Statement of Intent for Non -heated and A/C Buildings .................................... j..�...�..�. � I ,Wl8. Sanitation and site plan approval from the Environmental Health Department in L•• ❑ 19. City of Chico Plumbing permit........................................................................ ❑ 20. California Department of Forestry plan approval ❑ paid. Sent by: ...................... ❑ 21. Planning approval for (A) Use: (B)Parking: (C) Parcel Check: ❑ 22. Contact Land Development about ❑ Improvements, ❑ Drainage ............................... ❑ 23. NPDES Form............................................................................................. ❑ 24. Encroachment Permit for driveway from the Public Works Dept ................................. ❑ 25. Pre -Inspection for required ................ ❑ 26. Contractor's license information. (Number, Name Style, Classification) ...................... ❑ 27. Worker's Compensation Carrier and Policy Number ............................................. - 28. Owner -Builder Verification (Given to owner, ❑ Mailed to owner) ..................... ❑ 29. Letter of Signature authorization.................................................................... ❑ 30. Recorded copy of Agricultural Acknowledgment Statement .................................... ❑ 31. Manufactured home utility clearance ..............................:.... .......... ............ """ ❑ 32. Existing violations and/or expired permits ......................'................................. ❑ 33. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $ ❑ 34. Other: When issued Telephone and hold for pickup. I have been informed of the above items and requirements for obtaining a building permit. Applicant: �lfowv-it56�Date: 7-23- 0 3 1. Index permit application for the Above items numbered: Plan Check Letter 2. Additional items required Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date:,. Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Plans reviewed by: Date: Plans approved by: Date: Structural reviewed by: Date: Structural approved by: Date: Note transfer by: Date: Yellow: Building Division O.B. -1 OWNER -BUILDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement: YES' NO ❑ 2. I HAVEX HAVE NOT ❑ signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: NAME: 140-r YE -1 - ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and rovide the major work: NAME. ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: NAME . ADDRESS PHONE TYPE OF WORK 6�J E e c.J SIGNED: PROPERTYOWNER: SOCIAL SECURITY NU MIBER: DATE: 7—;;2-3—o-3 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. OVER OWNER BUILDER INFORMATION 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: ♦ 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. ♦ If you are an employer, you must register with the State and Federal Governments as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers compensation insurance, disability insurance costs, and unemployment compensation contributions. ♦ There may be financial risks for you if you do not cant' out these obligations, and these risks are especially serious with respect to worker's compensation insurance. ♦ For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "owner builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento, CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. grely, el C. Vi ira, C.B.O. M ger, Building Inspection NOTE. This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code. C�ILiall COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive r— Oroville, California 95965 Telephone: 5344541 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X Signature of Permitee or Agent Date Receipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Date BUILDING Owner SQ. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Fireplace Contractor Total Valuation Mailing Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee $ $ Building Address PLUMBING No. @ FEE PERMIT FILING FEE $2.00 Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fees W. C. Sanitation FireDept. Fire Zone Use Permit Building sewer 5.00 EQA Parking I Plans Parcel Declaration Parcel Ma P 60' R/W Improvements P Lawn sprinkler system 2.00 Bldg. Plans Recd I Parcel Approval Plans Approval Permit Fee $ $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service incl. 1 meter Additional meters, each 1.00 Sub -panel (12 or less) (more than 12) Single Family ❑ Duplex ❑ Mobil Home ❑ Others ❑ Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 Light fixtures bal 025 Receps., switches & fix outlets CONTRACTORS LICENSE LAW I am licensed ender the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: Hood, Ex. FanorF.A. Furn. Motor 1.00 Evap. cooler, gar. disp. or D.W. 1.00 Air conditioner or heat pump Water pump Mobil Home Facilities 5.00'. - Temp. Power Pole 5.00 License No. Classification Misc. wiring ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Ccmpensation. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. ❑I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby TOTAL PERMIT FEE $ authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X Signature of Permitee or Agent Date Receipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Date COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WO 7 County Center Drive — Oroville, California 95965 Tel ephbne: 53424541 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. x X Dat44—.42 � —42 -. Y Signature of Permitee or Agent Receipt No. /in 1Z rl: .2 White-D.P.W. _ elYlow-Assessor — Pinkdnspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS B / Date Building permit expires Date_ ....T.., BUILDING Owner �!�� SQ. FT. OCC. BUILDING VALUATION Mailing Address Q Telephone No. Fireplace Contractor Total Valuation Mailing AddressP✓ Permit Fee Plan Checking Fee&/or Penalty Telephone No. Permit Fee $ $ Building Address ' PLUMBING No. @ FEE PERMIT FILING FEE $2.00 C ZP& Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 5 Each gas water heater or vent 1.50 A. P. No. — �'� �r/ ZO2 Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 W. . Sarfrt95on I Fire Dept. FireZone Use Permit Building sewer 5.00 EQA Parking Plans P De I Parcel M 60' R/W Im rovem nts P Lawn sprinkler system 2.00 Plans Recd Parcel Approval Plans Approval Permit Fee $ �$ NEW ❑ ADDITION ❑ UTILITIES OTHER ❑ ELECTRICAL No. @ FEE�Q PERMIT FILING FEE $3.00 Main service incl. 1 meter C) Additional meters, each 1.00 Sub -panel (12 or less) (more than l2) Single Family ❑ Duplex ❑ Mobil Home Others ❑ Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 Light fixtures bal 20 Receps., switches & fix outlets ba 10 10 CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: Hood, Ex. FanorF.A. Furn. Motor 1.00 Evap. cooler, gar. lisp. or D.W. 1.00 Air conditioner or heat pump Water pump Mobil Home Facilities 5.00`06) Temp. Power Pole 5.00 License No. Classification Misc. wiring — R<am exempt from the Contractors License Laws of the State'of California. Permit Fee $ 00 $ ( ©(� WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑ I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances State Laws relating to building construction, and hereby TOTAL PERMIT FEE $ 7Rand authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. x X Dat44—.42 � —42 -. Y Signature of Permitee or Agent Receipt No. /in 1Z rl: .2 White-D.P.W. _ elYlow-Assessor — Pinkdnspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS B / Date Building permit expires Date_ ....T.., ^.': �i.�_r ••.-.• : r DECLARATION REGARDING LOTS OR PARCELS I 'certify that as owner of the property acquired by .deed in Volume 1,562, Page 77, Official Records of Butte County, (AP., /0-0 ), I am requesting permission to build or install an addiLianal living unit on this property...I will not divide the afore- mentibni d property for sale, lease, rent, or financing unless all •• "appl ic,able. -land -division-laws-and- map--requirements-are -complied -with. I am conversant with .the present zoning regulations affecting.the ' aforementioned property, and declare that T shall not violate same. T :.represent'that the proposed use of the additional living unit is �I and -that -further I'`shall snot"change ibis proposed' use of -the- additional living unit unless and until 'I receive written approval therefor .from. r ` the County of Butte. ' I. •fully understand that .pursuant to Chapter 20 of the Butte County•. :-Code and §11535 et seq of the Business and Professions Code that if I., in the future, sell, lease, or finance the area on or adjacent to said :...improvement without fully complying with the applicable laws ;and :.ordinances, that I shall be -guilty of a misdemeanor and therefore, subject to the aforesaid penalties and imprisonment pursuant to law. Further, -this statement - shall -be- -prop erly•-acknowledged and recorded at -the request of-_the-County__of .:.Butte, p' Fi.l,�ls_RE6-iR3 t - --- FC,��_�C `�E DAF<S'E3 6Y.• - er • :; ..ate:..., �: �� .•��:i913 � ' ..: • : :. . - . •.. • . • • .. • . •, ddrdst St—ATZ, OF CX ..FORNLA) -. - - --- ---- .. COMM OF ) s , On this day o 19� before me, i ` , a Notary Public in and I`or the County o - e of Californi residing t ere' , duly commissioned,a'nd sworn, pe onally appeared known to me to be t e person whose nerve' subsc iScd to the wit in instrument and acknowledged to me that~'' � lie executed the same. , I;; W TaIT-SS WIL-7REOF I have h unfit_ my hand' -and affixed my --official �14, fin�wiulthe•Count� oz l��/ the day and year in his a ae�n�muur�at�1 r uan certifi^ t K rs naW,�ll�.' ` . + _NOTXRY PUBLIC — CALIFORNIA' - { ; PRINCIPAL OFFICE IN . • c, • s*` BUTTE COUNTY My Comrhlaaion Expires July 1, 1975 f 4 a 'a 1 PERMIT NO. 5210-80B. l - 'PERMIT EXPIRES 10/15/81 OWNER CHARLES 'R. SAMUELSON .. CONTR. Owner ASSESSOR PARCEL 2$ 29-25-10 LOCATION E/S Fourth St, 125'S of Lindale Avenue, Richvale— Y f . 1; E� i2 ,1 y Temp. Power Pole Called PG&E Temp. Elec. Service Called PG&E Temp. Gas Service �e Cal led PG E 1 JOB FINA ED (Date)��� 1 {" Signature ti, J = OK 0 = Not OK - = Not Applicable RESIDENTIAL (Single and Duplex) * = Not Ready v Date UNDERFLOOR Plans OK except #'s Date FRAMING (Continued) 1. Zoning requirements -Setbacks -Easements 48. Property Line Firewall & Openings 2. 3. Ftg., Main; Soils-Steel-Elec. Grad.- / /" Ftg. Depth Ftg., Garage; Soils -Steel- / /" Ftg. Depth 49. 50. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 4. Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth 51. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab 52. Siding -Nailing -Veneer 6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab 53. Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access 7. Piers -Fireplace Ftg.-Steel 54. Glazing Area -Glass Protection -Skylights -Plastic 8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test 55. Shear Walls; Nailing -Bolts 9. Gas Pipe; Size -Anchors 10. Water Pipe; Test -Anchors -Regulator -Service Test 11. Electric; Underground 12. Plemjms & Ducts; Clearance -Material -Support -Ins. 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date Card -BI Date FINAL (Plans) OK except H's 56. Ext. Steps -Door & Sidelight Protection -Landings Card -BI Date Date Card -BI Date PLUMBING (Permit) OK except q's 57. Smoke Detector 14. Water Ht.; Vent -Access -Combustion Air 58. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection _ 15. Water Pipe; Test & Anchors -Nail Protection 16. D.W.V.; Test-Fttngs & Anchors -Nail Protection 59. Bedroom Exiting 17.Shower Pan; Test, First Floor -Tub Access 60. G.F.I. & Bath Fixtures & Tub Access 18. Test Tub & Shower, 2nd Floor -Tub Access 61. Elec. Trim & Subpanel; Breaker Sizes -Labels 19. Gas Pipe; Size & Anchors 62. Stairs & Rails 63. Fireplace or Stove; Clearances -Hearth 64. Elec. Outlets at Wood Panel; Int. & Ext. Card -BI Date Card -BI Date 65. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Card -BI Date 66. Elec. Outlets & Receptacles at Kit. Counter Date ELECTRICAL Permit OK except q's 67. Garage Fire Door; Swing -Landing -Closer 68. A.C. Duct in Garage -Damper 69. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 20. Fixture &Transformer Clearance -Ins. Protection 21. Elec. Receptacles Spacing -Lights & Switches at Doors 70. Plb., Elec. & Mech. Equip. Listed for Location 22. Size Boxes & No. of Conductors -Stapled 71. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 23. Romex Installed Close to Edge of Studs & C.J. 72. Insulation -Foam -Looked in Attic E] Yes 24. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 73. Guard Rails & Deck Construction -Post Caps 25. 2 Appliance Circuits in Kitchen & Conductor Size 74. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes _ 26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 27. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or At, Insulated Neutral ❑Yes ❑No 75, Following instld.: Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑Yes ❑No 28. Service -Riser Conductors & Ground -Main Disconnect 76. Stucco; Brown -Finish 29. Equip. Clearances; Panels-Motors-Mech. Equip. 77. A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet 30. Clothes Closet Light -Shower Light 78. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. 79. Water Well; Disconnect, Electrical, Plumbing 80. Exterior Elec. Trim; G.F.I. Receptacle -Underground Card B -I Date Card -BI Date 81. Ventilation throughout House Card B-1 Date Card -BI Date 82. Glass Protection _ Date MECHANICAL (Permit) OK except N's 83. Corrections from Previous Inspections 84. Gas Test -Meters Tagged; Gas -Electric 31. Ducts; Insulation & Support 85. Water & Sewer Connected -C/0 to Grade -HD Approval _ 32. _A.C. Vent Fan; Exhaust above Insulation 86. Energy Compliance Certificate -Other Certificates 33. Condensate Drain & Overflow; Size & Grade _ 34. 35. Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet Attic Access & Platform if Furnace in Attic Card -BI Card -BI Date Date -Card-BI_ Date Date - Card -BI Date FRAMING(Plans) OK except p's 36. Sills; Proper Material & Anchors _ - 37. _Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound 38. Bearing Walls over Girders & Floor Nailing --- - 39.Draft Stop in Walls (rat proof) Card -BI Date Card -BI Date Card -BI Date Card -BI Date _ Card -BI Date Card -BI Date Comments at Final: i - C AV 40_ _ Fire Stops; Furred Ceilings -Stairs -Chases -Tub 41. 42. 43. 44. Header & Beam -Size & Bearing Hangers -Post Caps -Anchors -Connectors Cing. Joist-Rftr. Ties-Purlin-Root Brac.-Truss-Shthng.-Rfnq. Fireplace Ties or Type A Flue -Fireplace Throat 45. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 46. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 47. Garage Fire P-otection Framing (NOTE:Anentrymust be made each time youvisit jobsite) V = OK O = Not OK .y - = Not Applicable MOBI'LEHOMES * = Not Ready MISCELLAKEOUS Date MOBILEHOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support -Sketch 2. Footings; Size-Depth=Spacing-Connectors 3. Sewer; Location -Test -Fall -C/O -Concrete 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Water; Location -Test -Easement Needed (Sketch) 4, Wood Awn.; Posts-Beams-Rftrs.-Connec.-Shthg.-Rfg.-Bracing 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Gas; Location -Test -Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG 6. Carports; Windows -Doors 7. Utility Clearance _ 7. Elec. s Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date Card -BI Date MOBILEHOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements Card -BI 'Date Date -Card-BI Date POOLS (Plans) OK except #'s 1, Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 2. Soils; Compaction -Structure Stability 3. Gas; MH Test -Demand -Valve -Connector 3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining 4. Electricity; MH Test -Crossovers -Breakers -Clearances 4. Elec.; Receptacles and Lighting; Distances-GFI 5. Drain; MH Test -Fall -Flex Connector 5. Elec.; Pool Lighting; 15 volts-GFI 6. Water; MH Test -Regulator -Connector 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Water and Sewer Connected -C/O to Grade -HD Approval 7. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater 8. Gas and Electricity Tagged 8. Elec.; Grounding; Equip.w/5'-Circulating Equip. -Pool Lghig. Boxes -Enclosures -Panel boards -Ins. to Main in Conduit 9. Exits; Insp.-Sketch 10. Cert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test -Water Supply Test Card B-1 Date Card -BI Date Card -BI Date Card -BI Date Card B-1 Date Card -BI Date Card -BI Date Card -BI Date a COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone 916/534- 41 / APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER ZONAJG BUILDING PERMIT ow TELEPHONE SQ. FT. OCC., BUILDIrV VALUATION OVOR'S MAILING AIDDR CONTRACTOR'S NAME r TELEPHONE CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LENDER UNKNOWN Fl replace Total Valuation. $ LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER 10. LICENSE NO. Plan Checking Fee I $ Penalty $ ARCHITECT OR ENGINEER'S MAILING AD SS Permit fee $ BUILDING ADDRESS S PLUMBING PERMIT Filing Fee 3.00 Each Trap 2.00 Repair drainage or vent piping 2.00 Water piping LOT NO. SUBDIVISION NAME PARCEL MAP' Each qas water heater or vent 2.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF Duplex❑ Mobilehome❑ Other SPECIFY Building sewer Lawn sprinkler system 2.00 TYPE OF WORK New Addition❑model❑ Utilities❑ Instal lation❑ Other Describe work: O . d f,�? s 'Z9:7 1 Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 3.00 Main service i00 AMP ORV OR LESS5.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELING OR ADDNS. ( ACCLBLDGS.CCUP,&) 22 sq ft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. cense No. Classification t}}}ill I, as the owner, or my employees with wages as their sole compen- isation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ i, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR U TI -OUTLET NON.RESID. BRANCH CIRC ITS 2.50 ea NEW - g) NON CONSTR. ( POWER APPARATUS RESID. SINGLE OUTLET CIR. 1 Ex. Occup(OUTLETS OR FIXTURES 50@� BAL�10Q FIXED APPLNS, OR Ex. Occup.(OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 6.25 Permit Fee $ Contractor MECHANICAL PERMIT Filing Fee 3.00 WORKMEN'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate Consent to Self -Insure. �J shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Heating Cooling Hood 2.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said ounty in consequence of a granting of this permit. X Date ,%�� 1`�.� Signature of Applicant — Owner Contractor E]Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Land Development Fee $ TOTAL PERMIT FEE $ OCCUP. GROUP I TYPE OF CONST. PARCEL PD I HD ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which j6fR`4qTqR1OF PUBLIC 0, PERMIT EXPIRES Dae the applicable provi- resolutions to do fees have been paid. WORKS 11_ Receipt No. 37�® WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT ovv.-no_7- ... :C.�D�=_.0:�..�_ ��L.-� :��. _._._� ;; . `fir^ � ... .. . -��` � � . J . �.. � :. � ' (.. ... ` %--L6 X. I I