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HomeMy WebLinkAbout030-102-011I N 030-10-2-011 -v 1 - 41'33 HANSEN OTTO.- CONTR: OWNER. .1475 TEHAMA',AVE'-, -OROV':l LLE ENCL GARAGE DOOR 030-102-011* -"PERMIT#98-0424' HANSEN, Otto 1475 Tehama Ave., Oroville Reroof/SF 030-102-011 04-3107 HANSEN, SARAH 1475 TEHkMA LN, OROVILL Cont: OWNER I p ELECT UPGRADE TO 200 030-102-013 05-1621 HANSEN,OTTO 1475 TEHAMA AVE, OROV.ILLE PERMIT RENEWAL I j I -'DATE:' (p Cont: OWNERBPk 0 5'— GARAGE SHOP EXPIRES:— -7 .5'— 0 7 i P'^"r'"' a NOTES RESIDENTIAL PERMIT NO. 030-102-011 - —05-1621 HANSEN, OTTO 1475 TEHAMA AVE, OROVILLE Cont: OWNER GARAGE SHOP I NE/Z/11A PERMIT RENEWAL I DATE: ro -S —04, t BP# r � EXPIRES- "] = S — O 7 ' I r, SPECIAL CONDITIONS 11 SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER CHECKED BY .E t JOB FINALED (Date) Signature (� 4 O 0 = Not OK = Not Ry le . =Noot Ready v 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-Gmd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap;-/ /' L'ft. / 'P Nat. or/ /" L "ftJ P LPG 7. Well Clearance 8; Disconnect 8. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water, MH Test-Regulator-Connectot 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch 11. Cert. of Occupancy Date Card B-1 Date Card B-1 Date 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 • 3. Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs-Connectors Shthg- Frg- Bracing 5. Alum. A .; Columns -Connections -Splice -Decal -Enclosures o Indows-Doors C ZF F .; Sills-Anchors-Studs-Rftrs-Trusses Si Nailing -Veneer -Stucco -Mesh 1 "oof-, Shthg-Roofing F d; Steps -Doors -Landings 1 Braced Wall Panels Date 7 , (� .p't Card B-1 pC_, Date Card B-1 Date "7-a:3._p'jCard B-1 Z_ 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 -GA 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries-Terminals-Usted 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8.• Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche 12. Enclosure; Fencing -Alarms Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 -1=OK 0 = Not OK = Not Apprable = Not Ready RESI®ENTIAL, (Single & Duplex) Date UNDERFLOOR (Plans) OK except #'s Date 1. Zoning -Setbacks -Easements -Flood -Slope Date 2. Ftg., Main; Soils-Elec. Gmd.-/ /" Ftg. Depth Date 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ P' Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab, Steel -Wrapped Date 8. Piers -Fireplace Ftg.-Steel Date 9. D.W.V.; Fall-Fdtting-Test-2 Way C/O -Sewer Test Date 10. UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground 13. Plenums & Ducts-, Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 15. Access & Ventilation 16. Insulation Date Cana 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 18. Water Pipe; Test & Anchor -Nail Protection 19. D.W.V.; Test Fittings & Anchor -Nail Protection 20. Shower Pan; Test, First Floor -Tub Access 21. Test Tub & Shower, Second Floor -Tub Access 22. Gas Pipe; Sixe & Anchors 23. Fire Sprinkler, Test 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 -AC. Wire Size/ /ga Cu or Al 31. Range Circle/ /ga Cu or Al -Oven Circ. / /ga Cu or AI Insulated Neutral 0 Yes 0 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 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 AFlue-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-Underfir. 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 Its 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. Htc; 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 Clearance Looked under Floor Cl Yes 83. Following 1nstldJDrive 0 Yes 0 No/Walks 0 Yes 0 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/0 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: 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. Fumace-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 AFlue-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-Underfir. 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 Its 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. Htc; 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 Clearance Looked under Floor Cl Yes 83. Following 1nstldJDrive 0 Yes 0 No/Walks 0 Yes 0 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/0 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: ,r N COUNTY OF BUTTE . BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 County Center Drive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE OWNER PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please call for re -inspection when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact the Building Inspector as indicated below. Date % Q Inspector REV 4/05 Phone # S3,?�o�'22 FOR RE -INSPECTION CALL: 538-7636 OR 891-2834 A/ BALANCE OF FEES SST DATE: PERMIT:'®��G 2/ ASSESSOR PARCEL OWNER'S NAME: FEES: (Amount and Purpose): g BALANCE OF FEES: �D ADDITIONAL FEES: $ REVISED PLAN CHECK- SHERIFF HECKSHERIFF FEE: $ SRA $ COPIES $ URBAN AREA FEES $ CSA 87 (North Chico Spec) $ WATER TENDER FEE $ BATTALION # THERM DRAINAGE FEE $ OTHER $ OTHER $ VALUATION IF BALANCE OF FEES OR ADDITIONAL FEES: TOTAL VALUATION: $ ADDITIONAL VAL: $ (Check one) COUNTY CITY OF BIGGS (Check one) RESIDENTIAL V COMMERC G1 kA -L BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES -. BUILDING PERMIT-: 24 HOUR INSPECTION•#: (530) 538-7636 (OROVILLE)`(510) 891-2834 (CHICO)' OFFICE M (530) 538-7541 FAX#: (530)538-2140 _ WEBSITE: ,www.buttecounty.netIdds PERMIT NO. BP051621 LICENSED, CONTRACTORS DECLARATIO, N I hereby affirm under penaltyof perjury that I am; licensed under provisions of Chapter 9 (commencing with Section.7000) of Division 3 of Issued Date: 07/05/2005.. APN:. 0.30-102-011-000 . the Business and Professions Code, and my license is iri full force and _ effect. r , - , ....... . -r " Number: License Class: License Num :.,,.,_.r .v.�. ... _ .... Site Adde ss:-1475 TEHAMA AVE ORO •' - . ,...:. ,. - '• Date: Contractor: ., ._. ., . •• _ Map Index: .Description: GARAGE/SHOP (1200)_ OWNER-BUILDER'DECLARATION I hereby affirm under penalty of perjury that I am exempt from the - Contractors' State License'L'aw.for the following reason,(Sec.. 7031.5 -•..'- • •-.-,•-.-•-•• ••.••••• -•• ••^ •-• Business and Professions Code: Any city or county which -requires a Owner: HANSEN OTTO E JR & SARAH A JT permit to construct, alter, improve, demolish, or repair any structure, prior. �.; . to its issuancea6klso requires the applicant for such permit to file a signed"statement,the or she,is licensed pursut to anthe provisions of "' 147.5:TERWA AVENUE the Contractor's Statekicense Law (Chapter 9' commencing with Section ; 7000) :of'Divisiori 3,oftitfie:Business and Professions Code) or that tie or'' OROVILL-E, CA ' � • - � - t • fi.';' she Wexempt therefrom'and,the basis for the,aueged exemption. Any 95965} •:. ' t:'!�;•`C ', j violation -of Secfoh 7039.5 b an a lican►,for a errrmit sub'ects the• Y Y pP P 1 :f applicant, to a.civil,penaJty,of not more than five hundred dollars($500).):' 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,(Sgc. 7044„Business and 1?rotessions ,•,-„ ,.••. , « _ �, , • , , ...... . x Code T,he-Contractors State License Law does not apply to an Applicant: HANSEN OTTO E JR & SARAH A JT , owner of,property who.buildsor-improves.thereon,"artd who does ork elf, or;herselt.or through.his or her own, employees, „ ;such whims provided,that such improvejnents are not„intended or offered -for sale” If'however;'the building of improvements are sold within one 1475 TEHAMA AVENUE year of completion, the -owner-builder ;will, have 'the •burden of ........ N OROVIL-LE; CA proving that he or --she did not build or improve for -the purpose of 95965 sale.). O,-,„I..:.Rs,..owne[ of..the. property,..: am,.exclusively.,contracting,• with, - -- - - licensed contractors to constrict the project (Sec. 7044, Business` and Professions Code ,The Contractors' State License Law does ,11!, not.apply to ar owner of property who builds or improves thereon, and,who:contracts.for,such projects with_a:contractor(s),licensed pursuant to the Contractors State -License Law.). :. .Contractor: - ❑ I aro Exempt under Article 3 of the Business and. Professions Code Date. ' Owrie r. '.. ..•1 t l �_ - ; • £ st WORKERS? COMPENSATION DECLARATION'-,. I hereby affirm under'penaltyof perjury one of the following dedarations: ❑ I have and wi11,maintain- a certificate of consent to self -insure for License #: workers;;'compensation,'.:as'provided for`by��Seciion-3700 of the' Labor. Code,.for.the performance of the work for which this permit is issued - _ I.•.have and :will maintain workers, compensation., insurance, as Architect: regwred.by:Section 3700 the Labor Code, for the,; performance of the work for which this permit is issued. My workers'. compensation Engineer: insurance•carner and.policyrlumber are: _ Carrier::-, .., ._. ... Policy # Total Square Ft: 1200 S.F. _ I.certify.that in'.the�performance of the work' for which this permit is Valuation: $28,800.00 •issued�7I shall, ndt:.employ'anyperson: in'any manner -so as to nt',become:subject:to the'workers!•compensation laws of -California. Census Code: and agree= that dY I should;;become subject” to:;the workers' compensation provisions of Section. 3700 of the Labor Code, I shall 1 forthwdh:comply with those provisions. Date •Applicant'31/IcOlf#/t_„fir •• •s..x.,, _ 1NAT RNING •Failure'to`'secure 'workers' _compensation coverage is l •. :.. :. �3/3/� unlawful,'-a'and­ subject. an employer to, criminal' penalties and one hundred:'thousand dollars ($100;000) in' addition' to' the' cost of . comperisation', damages as provided for m. Section 3706 of: the Labor code, interest, and attomey s fees. , -- - _ _ > .. w _ .. _. _ . • _. _ ....[[ _. �„ , ,, ......_.. _. •;; .: i . a-++ • ­ :.CONSTRUCTION LENDING :AGENCY,t; This permit is hereby issued under the applicable provisions of the Butte County Codw enrUor .I. hereby affirm that there ,is.a:construction lending agency for the Resclut n to do work' d' ted a e f which fees have been paid. performance of the work`for which this permit is issued (Sec 3097 Civ.) ISS O C Name: / J B Date:IF W Address: ;P RMIT EXON: PIRES Date _ 0 I;.hereby. certify,that the use of this facility.shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling.and use pf,hazardous materials. - • ,, r ❑ Notification in accordance with'Section 19827.5 of Califomia Health & Safety Code is not applicable to the scheduled construction of this project. ❑' • ' AfCached are -copies of the required E P A.'riotification foims. - I hereby,eertify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner- I agree to comply with` ; all unty'and stale w w Ii relating to building construction.., it is unlawful to alter the substance of any official -form or document of Butte County. I hereby authonie`repre�sentatives of Butte County to enter upon the above mentioned property for inspection purposes. 4- �- ' ��r nnt Name v' , /���1 ID1_ PCUT, CA.)(1c52 // � g T Signature: _ w pate:;Ott ; r�+: i',t _,;.,& ; ❑ Owneo:­ . ❑� Contractor ❑ Agent for Owner ❑ Agent for Contractor 1 COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES — BUILDING DIVIS] 7 COUNTY CENTER DRIVE, OROVILLE, CA 95965 PHONE -(530)538-754)1, FA)l SCHEDULE OF RECEIPT OF FEES Website: www.buttecounty.net/dds i OWNER PROPROSED BUILDING USE n' > O V 1� .1. BUILDING PERMIT FEES <. v --- Balance Due ..................... $ D , FEMA Flood elevation review ... $ --- Additional plan checking Fee.... $ 2. SCHOOL DISTRICT FEES (paid at School District Office) (form available after Plan Check) SHERIFF FEES (paid at Building Division) Residential............ X $360.00 =$_ Units Commercial (sq. ftg.)..... X $0.03 = $ Sq.Ftg. 4. RECREATION DISTRICT FEES (paid at Recreation District Office) (form available after Plan Check) 5. RESIDENTIAL DEVELOPMENT IMPACT FEES COUNTY WIDE (per dwelling) $ CHICO URBAN AREA (per dwelling) $ EL MEDIO FIRE DISTRICT (per dwelling) $ NORTH CHICO SPECIFIC PLAN (per dwelling) Zoning 6. SRA FIRE INSPECTION AND PLAN CHECK FEE $204.98 (paid at Building Division) ` 7. WATER TENDER FEES BATTALION # / $200.00 (paid at Building Division) -7 j/ 8. SMIP 9. OTHER 10. OTHER 11. OTHER A. P. DATE RECEIPT # DATE REC. fffW IS /✓aT /✓6�E o7/of/?oaf At time of permit application, I was advised the above fees are required to be paid prior to issuance of the permit. These fees may be changed during the plan checking process. Q APPLICANT Pursuant to Government Code Section 66020, you are hereby notified that items, 2, 3, 4, 5, 6, 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 -Building Division Yellow -Applicant Pink -Owner (rev. 3/05) BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OF APPLICATION Website: www.buttecounty.netldds "PLEASE PRINT CLEARLY" OWNER CONTRACTOR Last Name First N e 04-4-o Address 75- City City L State Zip q 6S' Phone s3 y — JF-" GLI I a8 - (a V i E-mail E-mail APPLICANT NAME CONTRACTOR Name 1 LV J1fL � Address I n n City N State Zip Phone U Fax E-mail Page Lic. # Class APPLICANT NAME ARCHITECT/ENGINEER Name �-- Address I n n City N State Zip Phone U Fax E-mail Page State License Number APPLICANT NAME Name Zoning �-- Addressl W I n n City j N State (-,a( Zip Phonesay _5 7 U Fax E-mail Page APPLICANT SIGNATURE X � i E�— For office use o . ly: AP# - b 1 Zoning Flood Zone Cross Street SRA I Yes N Occ. in I Type Const. V�j Subdivision Name Map Book Page Lot # Planner Date Approved: PERMIT NO. , BIN # LOCATION AP# - b 1 Property Address i-1 -7's- --�r.�►n !� City 0yov; Ilk Cross Street WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address OVER FOR SUBMITTAL REQUIREMENTS K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc Page 1 of 2 Description or Scope ork: Ili IQ J Sq. Footage U ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. 4? Received Amount: :.. v,u - SRA Receipt Sheriff R .Jl�,►���7 Total REV 2-24-05 SUBMITTAL & PERMIT REQUIREMENTS The following drawings and specifications must be submitted to the Building Division in order to apply for a permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK. ❑ 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. No graph paper! ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans (No graph paper!) OR Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 3. Engineered truss details and layouts in duplicate (if required). No faxes! ❑ 4. Energy compliance design and supporting documentation in duplicate. 135. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 6. Manufactured homes: (A) installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. ❑ 7. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate,, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate (if required). ❑ 9. Site plan and business license approval from the City of Biggs. ❑ 10. Letter of intent for non-residential buildings. ❑ 11. Detached Accessory Building Form filled out by the owner (if required). ❑ 12. Hazardous Material Form (for Commercial Buildings only). Remaining items needed to issue the permit. Additional items may be required after Plan Check and Planning review (May require additional plan review upon receipt of the following items.) ❑ 1. Agricultural Buffer clearance and site plan approval from the Ag Commissioner's office (if required). ❑ 2. Impact Fees. ❑ 3. California Department of Forestry plan approval (if required). ❑ 4. NPDES Form. ❑ 5. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 6. Contractor's license information. (Number, Name Style, Classification). ❑ 7. Worker's Compensation Carrier and Policy Number. ❑ 8. Owner -Builder Verification (if required). ❑ 9. Letter of Signature authorization (if required). ❑ 10. Recorded copy of Agricultural Acknowledgment Statement. ❑ 11. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts. ❑ 12. Sanitation and site plan approval from the Environmental Health Department. If you have questions or would like additional information regarding this process, please contact a Permit Assistant at (530)538-7541. EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after date of application. In order to renew action on an application after expiration, a new application, plans and fees will be required. REQUEST FOR FEE REFUNDS Refunds can only be made upon written request'by the person who paid the fee. The request must be made within two years from the date of fee payment on permits not issued, and two years from the date of permit issuance for permits issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. OVER FOR BUILDING PERMIT APPLICATION K1FORMS\BUILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2 REV 2-24-05 COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISIOIU 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET OWNER: A V ASSESSOR PARCEL NUMBER Proposed Building Use: Permit Technician: Date: Items required in order to applylr 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. y 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. . b 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( O 5. Letter from Engineer or Architect for truss design review. 0 6. Energy compliance design and supporting documentation in duplicate. ❑ 7. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. O 8. Manufactured homes: (A) Installation manual, including marriage tine info, (C) Floor Plan, (D) Tie down or find plans, all in duplicate. ❑ 9. 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. 0 10. Hood Elevation Certificate, wet -stamped and signed, in duplicate. O 11. Letter of intent for non-residential` buildings 0 12. Hazardous Material Form ❑ 13. Acknowledgeme t of building permit application without required clearances. ❑ 14. Other Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) 15. Sanitation and site plan approval from the Environmental Health Department in 0 Chico ❑ Oroville, as applicable Leti'fc n • 16. Fire Sprinklers............................................................................................ 0 17. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by ❑ 18. Soils Report and/or Engineered Foundation required ........................................... 0 19. Erosion Control Plan Required........................................................................ 20. Fees as shown on,the attached Schedule of Fees Due Sheet .............................. 21. City of Chico Plumbing permit........................................................................ ❑ 22. Site plan and business license approval from the City of Biggs .............................. 23. California Department of Forestry plan approval ❑ paid. Sent by: 24. Planning approval for (A) Use: UB)Parking: (C) Parcel Check:.... `...... 025. Contact Land Development about _ Improvements, _ Drainage ........................ (/ fr26. NPDES Form.....................................................................:....................... ❑ 27. Encroachment Permit for driveway from the Public Works Dept ........................... 0 28. Contractor's license information.. (Number, Name Style, Classification) ................... O 29. Worker's Compensation Carrier and Policy Number .......................................... 30. Owner -Builder Verification ( Given to owner, _Mailed to owner) ..................... ❑ 31. Letter of Signature authorization.................................................................... ❑ 32. Recorded copy of Agricultural Acknowledgment Statement ................................. ❑ 33. Existing violations and/or expired permits.. ...... ........ ermits..................... ❑ 34. Deed Restriction..........................................................::.............................. O 35. ❑ Legal description, ❑ M.H. Title, title search, registration or MCO ......................... 0 36. Other: ❑ 37. Other: crlr- C, ell I - OIVOOMPC When issued Telephone and hold for pickup. I have been informed of the above items and requirements for obtaining a building permit. t Applicant: Date: 1.. Index permit application for the above items numbered: Plan Chec I - Mer 2. Additional items requir Contractor, designer, wner as advised of the above data by phone, ❑ mail, O counter, by Date: a -.9q, 0 ri V�i�efQQl Contractor, designer, owner, was advised of the above data by ❑ phone, O mail, O counter, by Date: Contractor, designer, owner, was advised of the above ata by ❑ phone, ❑ mail, ❑ counter, b Date: Plans reviewed by: Date: Plans approved by: Date: Structural reviewed by ' Date: Structural approved by: Date: Note transfer by: Date: Yellow: Building Division COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES — BUILDING DIVIS] 7 COUNTY CENTER DRIVE, OROVILLE, CA 95965 PHONE -(530)538-7541, FA31 SCHEDULE OF RECEIPT OF FEES Website: www.buttecounty.net/dds OWNER ` .4/i7 f'�. 027�0 PROPROSED BUILDING USE 1. BUILDING PERMIT FEES3 / p� --- Balance Due ..................... $ /"%�. D , q --- FEMA Flood elevation review ... $ --- Additional plan checking Fee.... $ 2. SCHOOL DISTRICT FEES (paid at School District Office) (form available after Plan Check) 3. SHERIFF FEES (paid at Building Division) Residential............ X $360.00 =$ Units Commercial (sq. ftg.)..... X $0.03 = $_ Sq.Ftg. 4. RECREATION DISTRICT FEES (paid at Recreation District Office) (form available after Plan Check) 5. RESIDENTIAL DEVELOPMENT IMPACT FEES COUNTY WIDE (per dwelling) $ CHICO URBAN AREA (per dwelling) $ EL MEDIO FIRE DISTRICT (per dwelling) $ NORTH CHICO SPECIFIC PLAN (per. dwelling) Zoning 6. SRA FIRE INSPECTION AND PLAN CHECK FEE $204.98 (paid at Building Division) 7. WATER TENDER FEES BATTALION # / $200.00 (paid at Building Division) ►/ 8. SM IP 4 R , B ad j� 9. OTHER 10. OTHER 11. OTHER A.P. # &V-72��-0/i DATE 6 ' a� RECEIPT # DATE REC. At time of permit application, I was advised the above fees are required to be paid prior to issuance of the permit. These fees may be changed during the plan checking process. / ` 0-15 APPLICANT �� ��_ DAT Pursuant to Government Code Section 66020, you are hereby notified that items, 2, 3, 4, 5, 6, 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 -Building Division Yellow -Applicant Pink -Owner (rev. 3/05) tth 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 material for construction of this proposed property improvement: YES [ )/-] NO [ ]. 2. I HAVE [x ] 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: PHONE: CONTRACTOR'S LICENSE NO: 4. I plan to provide portions of the work, but I have hired the following person to coordinate, supervise, and provide the major work: NAME: ADDRESS: 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: PROPERTY OWNER: DATE: (r, — 6 - DSS 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. Rev'd 11/4/2004 Butte County Department of Development Services ADMINISTRATION' BUILDING' GIS' PLANNING 7 County Center Drive Oroville, CA 95965 (530) 538.7541 Telephone (530) 538.2140 Facsimile Dear Property Owner: 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 your plan to subcontract, you should be aware of the following information for your benefit and protection: o If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $200 or more for the entire project and such persons are not licensed as contractors or subcontractors, then you may be an employer. o 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. o There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to workers' compensation insurance. o 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 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 contacting the Contractors' State License Board in your community or at 1020 N Street, Sacramento, California 95814. Please complete and return the enclosed owner -builder verification from so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. U4�_ MieVael C. Vieir4 C.B.O. Ma ager, Building Inspection NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code. �U T o to _a AcO U V4 AUC W�� Department C o u n t J. Michael Crump, Director Public, f B U t 0 r k S LAND DEVELOPMENT DIVISION Storm Water Management Program 7 County Center Drive Oroville, CA 95965 (5.30) 538-7266 (FAX) 538-7171 National Pollutant Discharge Elimination System (N.PDES) Phase li Construction Storm Water Permit and Sturm Water Pollution Prevention Plan (S PPP) Acknowledgement Project Description: Project Location andlor Parcel Number: By signing below, I, the project owner/owner's agent, certify that this project WILL NOT DISTURB �l 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 build -outs 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 Control 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 a project that disturbs one acre or more of land may result in revocation of grading and/or other permits or other sanctions provided by law. Signed: Title: Date: s 6UTIE v%UUDING A p r" eS /�/T.�" T��ica.�� � a.�.��•1'�—�.�".o..e-.�s t T�` Lei GRTI� ta(, � " �� c.,�9 . a ,.� n 3Z) -- jO 2- (DM ,6. '3 n 140 DIVISIONS -)BUILDING APPROVAL 94°x: °s ong; IC Q.1"te v— f� IUILDIN AFAR 4 p / `1- to `/ _ r I r 0. Zeka a. A a l e T!r2gZ �.5'I9 �I m J 21-811 MW. (2) 2"X f0P PLA1E 211;41' MIN. 5CLV WNA / 01P Q 9fAll ll`SA XW5 (CMNf FACE f0 Sf.AM4) APA MW 5iA1104 516" MN. PpP W f0 OPE FAa. NAI. WPM 8a COMMON Oft 6&V. WX NAL5 a 6110.0. AZW E17CE5, AW 1211 O.C. IN FICA DOIDLE 5t1t75 Af CCRM 5 MV C Ja1?5M NIM & WA5 fX5 MN. I/ 2" XA9. MICHOK Paf5 WItH 711 MN. EMBEt7MENf Af PMM Ol1All1E1; PONf5 HOLVOM WIiH 1800* MN. CAPPm = (51MP50N W2A, N75A, OK UM) 2"X 5CU PLAZ V 411 MMOM f&G 5.8Fl.00K -� > , 2"X Ml.D5LL, NAA. 5fM. . , t 5fA1H. a 6110.0. - FIN. AU �u1_rf =__�___�,J.L CYJYIE t t t , 1.4 a 1 Z 3 --------------- --- ---- ----- ---- ------ ______________________________________________-- AL TERNA TE BRACED 2.811 MN. I JL J 1 14" MazEp u - NOTES: „ 1. Floor framing consists of dimensional lumber. 2. Simpson SSTB anchor bolt with coupling at double mudsill and threaded anchor rod for connection to coupling and holdown. 3. #4 Rebar, continuous at top and bottom of stemwall. Additional rebar may be required by manufacture of holdown. 4. In the first story of a two-story building, each braced wall panel shall be in accordance with the details shown.- Except hown:Except that the plywood sheathing shall be provided on both faces and tie -down device uplift capacity shall not be less than 3000 pounds. Nailing to be staggered for sheathing, applied to both faces. 5. Alternate Braced Wall Panel's cannot be used: on the second floor of two - story buildings (U.B.C. 232011.4). Fo_r_Single Storrv-Buildings with Raised Floor (With noted modifications for two story buildings) r ZO 2326.5.4.5 Unusually Shaped Buildings - Continued • An unusually shaped building, by definition; will occur where construction of portions of a floor level are vertically offset and cannot be tied or lap l ed -together in an approved mannen r7ot be capped or bed therin approved fashion .,> '' 'Section C Offset diaphragm o. o ® - c 4 Uo _ o c o as ANcf-/ofi FROI AN<,Y()% 8DLT S 2320.4.1 Braced wall lines. Where the basic wind speed is not greater than 80 miles per hour (mph) (129 km/h), buildings shall be provided with exterior and interior braced wall lines. Spacing shall not exceed 34 feet (10 363 mm) on center in both the longitu- dinal and transverse directions in each story. 2320.4.2 Braced wall lines for high wind. Where the basic wind speed exceeds 80 mph (129 km/h), buildings shall be pro- vided with exterior and interior braced wall lines. Spacing shall Inot exceed 25 feet (7620 mm) on center in both the longitudinal and transverse directions in each story. o �_-r S /1kL C6 P, NE!R /3% a X3'0 I3z / _Id .o -r-b n o. �3RA CIA, G 10A Al EL a rr STEM W/1Lt A IV NO -R r3 OL � S fY b M 01?e 7 HA �! 6 A PAR r a- _ro S Tj!7 /Yu✓ LL 0 GROOV-0 r` r U 70 I V) u V) - '4 rn r 0-4' c � � ------------------- �,. N` o a � I � I' . tv �� m ---� it 0-4' c � � ------------------- �,. all V) C �v 0 V i J ?�o r � v vC � X � N m nT Q vi Vn a q D r Oril ® W Al CS tZ7 o v> p m � y 74 ON � Q tb 0 O z o � o all a r 0 LOOMIS OFFICE 3243 Rippey Road Loomis, CA 95650 Phone: (916) 652-4655 Fax: (916) 652-3860 MARYSVILLE PLANT 5033 Feather River Blvd. Marysville, CA 95901 Phone: (530) 743-8855 Fax: (530) 743-8856 Truss Design Submittal Designed By: Date: Technical Representative: • Bryan Wagner October 2, 2003 Troy Moss * All enclosed drawings are in alpha -numerical order Client Proiect Cissy Dobbs 1475 Tehema Ave. Oroville, CA Office. Phone: Office Fax: Plan/Elevation: Floor System: 10 Roof System Work Order # 1490903 Site Phone: Site Contact: RULDM DEPARTW 0 Original Submottap P 0 0 F &I O Complete Revision c6pT 0 Partial Revision: Replaces individual drawings 0 Addition: Add to Original Submittal O O M Roofline 3D Layc T M U'R` W n U UL 00000 S y s t e m • • LFE O B B S - BARN C T S S"�-- H O B B S 1475 T E HAMA AVE . O R OV =LLE , CA O O M SALES REP TM DUE DATE : DSGNR/CHKR BW / BW TC Live 16.00 psf TC Dead 10.00 psf BC Live 0.00 psf BC Dead 8.00 psf Total 39.00 psf WO# 1490903 SCALE 1/8" = 1' Date 9/30/2003 6:09 DurFac-Lbr 1.25 DurFac-Plt 1.25 O.C. Spacing 24.0 Design Spec UBC -97 IfTr/#Cfg : 21 / 0 1 Job Name: HOBBS - BARN BRG X -LOC REACT SIZE REQ'D 1 0- 1-12 1842 3.50" 1.96" 2 29-10- 4 1842 3.50" 1.96" MAX DEFLECTION (span) ' L/999 IN MEM 12-13 (LIVE) L- -0.20" D- -0.23" T- -0.43" TC FORCE AXL BND CSI 11-9-12 18-2-4 1-2 -2250 O.OS 0.27 0.31 5 8$ I 2-3 -1850 0.01 0.41 0.43 4.00 3-4 -1755 0.01 0.41 0.42 the loads utilized on this design meal or exceed the loading Imposed by the lout building code and the particular application. The design assumes that the top chard Is laterally braced by the roof or floor sheathing and the bottom chord is laterally braced by a rigid sheathing material directly 4-S -387 0.00 0.37 0.37 ®TRUSS 5-6 -387 0.00 OP37 0.37 Fabricate, handle, Install and brace this truss in accordance wilh 'JOINT DETAILS' by Tnmwal,'ANSIfrPI 1', WTCA V -Wood Truss Council 6-7 -175S 0.01 0.41 0.42 7-8 -1850 0.01 0.41 0.43 8-9 -2250 0.05 0.27 0.31 DEF.Ratio: L/240 TC: L/240 BC FORCE AXL BND CSI 10-11 1361 0.12 0.56 0.69 11-12 1361 0.11 0.65 0.75 12-13 1701 0.15 0.76 0.91 13-14 1361 0.11 0.65 0.75 14-15 1361 0.12 0.56 0.69 WEB FORCE CSI WEB FORCE CSI 2-12 861 0.35 7-13 311 0.15 3-12 311 0.15 8-13 861 0.35 TB FORCE AXL BND CSI 4-16 -1381 0.43 0.27 0.70 16-6 -1381 0.43 0.27 0.70 AW FORCE CSI AW FORCE CSI 5-16 106 0.05 TC 2x6DFL #2 2x4 DFL #1 1-2, 8-9 BC 2x8 DFL #2 2x8DFL #1 11-14 WEB 2x4 DFL STANDARD TIE BEAM 2x4 DFL STANDARD ATTIC WB 2x4 DFL STANDARD Loaded for 10 PSF non -concurrent BCLL. One row of cross bridging (X -bracing) may be required at centerline of room Per NDS -97. PLATING BASED ON GREEN LUMBER VALUES. 10-5-9 13.5-6 2 0-5-10 Truss ID: Al Plating spec : ANSI/TPI - 1995 Attic room load45 psf, plus any added loads indicated. Room LL Defl. is L/360. THIS DESIGN IS THE COMPOSITE RESULT OF MULTIPLE LOAD CASES. BEARING REQUIREMENTS shown are based ONLY on the truss material at each bearing. PLATE VALUES PER ICBO RESEARCH REPORT 51607. Heel plates analyzed for eccentricity. Attic collar tie requires lateral bracing shown Plus bracing at the panel points of the collar tie (unless noted otherwise), or rigid sheathing is required. 5-8-8 6-1-4 6-4-8 6-1-4 5-8-8 5-8-8 11-9-12 18-2-4 24-3-8 30-0-0 I 5-8-8 I 9-3-8 t 9-3-8 ( 5 8$ I 1 2 3 4 5 6 7 8 9 14.50 4.00 -4.0 14.5 5-6 1.5-4 19 UPLIFT REACTIONS) : Support 1 -99 lb Support 2 -99 lb This truss is designed using the UBC -97 Code. Bldg Enclosed - Yes Truss Location - Not End Zone Hurricane/Ocean Line - No,Exp Category - C Bldg Length 40.00 ft, Bdg Width - 30.00 ft Mean roof height - 15.23 ft, mph 7S UBC Standard Occupancy, Dead Load 12.0 psf ----------LOAD CASE #1 DESIGN LOADS ---------------- Dir L.Plf L. Loc R.Plf R.Loc LL/TL TC Vert 52.00 6- 0- 0 52.00 8- 9-12 0.62 TC Vert 72.00 8- 9-12 72.00 11- 4- 8 0.44 TC Vert 52.00 11- 4- 8 52.00 18- 7- 8 0.62 TC Vert 72.00 18- 7- 8 72.00 21- 2- 4 0.44 TC Vert 52.00 21- 2- 4 S2.00 30- 0- 0 0.62 BC Vert 16.00. 0- 0- 0 16.00 8- 9-12 0.00 BC Vert 106.00 8- 9-12 106.00 21- 2- 4 0.75 BC Vert 16.00 21- 2- 4 16.00 30- 0- 0 0.00 4-6 V 20.00 11- 4- 8 20.00 18- 7- 8 0.00 ...Type... lbs X.Loc LL/TL BC Vert 73.6 8- 9-12 0.00 BC Vert 73.6 21- 2- 4 0.00 8-8 S=MX17-10 74# 74# 110 1H0 0 _ _ r10 11 12 30-M 13 14 15 8-9-12 12� 8-9-12 8-9-12 21-2-4 30-0-0 Truswal Systems Plates are 20 ga. unless shown by'1B'(t8 ga.). 'H'(16 ga.), or'MX'(TWMX 20 ga.), positioned per Joint Details Report. Circled plates and false frame plates are positioned as shown above. Shift gable stud plates to avoid overlap with structural plates (or staple). 9I3OI2003 , l i ARNINGRead all notes on this sheet and give a copy of it to the Erecting Contractor. Cust: CISSY HOBBS This design is for an IrWMv dual building component not truss system. It has been based on specifications provided by the component manufacturer W0: Dri ve_T_1490903_L00005_J 00001 ® and done In accordance with the current versions of TPI and AFPA design standards. No responsibility Is assumed for dimensional accuracy. Dsgn r: BW #LC = 29 WT'' 273# Dimensionsare to be verified by the component manufacturer and/or building designer prior to fabrication. The building designer must ascertain that TC Live 16.00 psf Du rFacs L=1.2 S P=1.25 HOMEWOOD the loads utilized on this design meal or exceed the loading Imposed by the lout building code and the particular application. The design assumes that the top chard Is laterally braced by the roof or floor sheathing and the bottom chord is laterally braced by a rigid sheathing material directly Bracing Is for lateral or components members only to reduce buckling length. This component ea TCDd 10.00 psf P Re Mb r Brill P ®TRUSS attached. unless otherwise noted. shown support shall not be placed in any environment that will rause the moisture content or the wood to exceed 19% and/or cause connector plate corrosion. BC Live 0.00 psf 0. C. Spaci ng 2- 0- 0 4445 Northpark Dr. Fabricate, handle, Install and brace this truss in accordance wilh 'JOINT DETAILS' by Tnmwal,'ANSIfrPI 1', WTCA V -Wood Truss Council BC Dead 8.00 psf Design Spec UBC -97 CO10 Springs, CO 80.907 of America Standard Design Responsibililles, WWDLINGINSTALLING AND BRACING METAL PLATE CONNECTED WOOD TRUSSES' -(HIB-91) and 1-1I8-91 SUMMARY SHEET by TPI. The Truss Plate Institute (TPI) Is located at D'Onofdo Drive, Madison, Wisconsin 53719. TrusPlus 6.0 Ver: T6.4.2 The American Forest and Paper Association (AFPA)Islocated at1111191hStreet. NW. Ste 800.Washington, DC20036. It TOTAL 34.00 psf DEF.Ratio: L/240 TC: L/240 Job Name: HOBBS - BARN Truswal Systems Plates are 20 ga. unless shown by "18"(18 ga.), "H"(16 ga.), or "MX'(TWMX 20 ga.), positioned per Joint Details Report. Circled plates and false frame plates are positioned as shown above. Shift gable stud plates to avoid overlap with structural plates (or staple). Truss ID: AF Qty: 2 HOBBS BRG X -LOC REACT SIZE REQ'D TC 2x6 DFL #2 Plating spec : ANSI/TPI - 199S UPLIFT REACTION(S) • #LC = 29 WT: 380# 1 0- 1-12 2217 3.50" 2.36 Du rFaCs L=1.25 P=1.2 5 2 x 4DFL #1 1-2, 8-9 Attic room load - 45 psf, plus any added Support 1 -349 lb ea TCDd 10.00 psf P Re Mbr Brill P 2 29-10- 4 2217 3.50" 2.36" BC 2x8 DFL #2 loads indicated. Room LL Defl. is L/360. Support 2 -349 lb 8.00 psf Design Spec UBC -97 Colo Springs, CO 80907 of America Standard Design Responsibilities. HIWDLINGINSTALLING AND BRACING METAL PLATE CONNECTED WOOD TRUSSES* 2x8DFL SS 11-14 THIS DESIGN IS THE COMPOSITE RESULT OF This truss is designed using the MAX DEFLECTION (span) WEB 2x4 DFL STANDARD MULTIPLE LOAD CASES. UBC -97 Code. L/999 IN MEM 12-13 (LIVE) TIE BEAM 2x4 DFL STANDARD BEARING REQUIREMENTS shown are based ONLY Bldg Enclosed a Yes L- -0.19" D- -0.22" T- -0.41" ATTIC WB 2x4 DFL STANDARD on the truss material at each bearing. Truss Location a Not End Zone GBL BLK 2x4 DFL STANDARD PLATE VALUES PER ICBO RESEARCH REPORT #1607. Hurricane/Ocean Line - No,Exp Category - C TC FORCE AXL BND CSI Heel plates analyzed for eccentricity. Loaded for 10 PSF non -concurrent BCLL. Bldg Length - 40.00 ft, Bdg Width m 30.00 ft 1-2 -2690 0.06 0.41 0.48 Attic collar tie requires lateral bracing One row of cross bridging (X -bracing) may be Mean roof height - 15.23 ft, mph 75 2-3 3-4 -2169 0.02 -2083 0.02 0.41 0.43 0.41 0.42 shown plus the collar bracing at tie (unless the panel points of noted otherwise), required at centerline of room Per NDS -97. May use adequate staples for gable blocks. UBC Standard Occupancy, Dead ----------LOAD CASE #1 DESIGN Load LOADS 12.0 psf ---------------- 4-5 -581 0.00 0.41 0.41 or rigid sheathing is required. BUILDING DESIGNER MUST VERIFY GABLE LOADSI Dir L.Plf L.Loc R.Plf R.Loc LL/TL 5-6 -581 0.00 0.41 0.41 PLATING BASED ON GREEN LUMBER VALUES.[+] gable bracing required 0 S8" intervals, TC Vert 77.00 0- 0- 0 77.00 8- 9-12 0.57 6-7 -2083 0.02 0.41 0.42 if exposed to wend load applied to face. TC Vert 97.00 8- 9-12 97.00 11- 4- 8 0.45 7-8 -2169 0.02 0.41 0.43 See "General Gable Details', C002065035. TC Vert 77.00 11- 4- 8 77.00 18- 7- 8 0.57 8-9 -2690 0.06 0.41 0.48 TC Vert 97.00 18- 7- 8 97.00 21- 2- 4 0.45 TC Vert 77.00 21- 2- 4 77.00 30- 0- 0 O.S7 BC FORCE AXL BND CSI BC Vert 16.00 0- 0- 0 16.00 8- 9-12 0.00 10-11 1608 0.15 0.64 0.79 BC Vert 106.00 8- 9-12 106.00 21- 2- 4 0.75 11-12 1608 0.09 0.51 0.60 BC Vert 16.00 21- 2- 4 16.00 30- 0- 0 0.00 12-13 1995 0.11 0.61 0.73 4-6 V 20.00 11- 4- 8 20.00 18- 7- 8 0.00 13-14 1608 0.09 0.51 0.60 Type... lbs X.Loc LL/TL 14-15 1608 0.15 0.64 0.79 BC Vert 73.6 8- 9-12 0.00 BC Vert 73.6 21- 2- 4 0.00 WEB FORCE CSI . WEB FORCE CSI 2-12 3-12 974 0.0 254 0.220 7-13 254 0.20 8-13 974 0.40 5.8-8 6-1-4 � 6-0-8 6-1-4 5$$ � 5-8-8 11-9-12 18-24 24-3-8 30-0-0 TB FORCE AXL BNO CSI 4-16 -1503 0.50 0.32 0.821 5 8 8 9-3-8 9-3.8 5-8-8 16-6 -1503 0.50 0.32 0.82 1 2 3 4 I I 5 6 7 8 9 AW 5-16 F0106 0.CE 05 AW FORCE CSI 14.50 4.00 -3.0 14.5 10-5-9 4-8 2 0-5-10 5-6 1.5-4 4-6 / 4-6 1.54 6-8 " S=MXf7-10 STAPLE VERT, 8-0 74# 1.S�V I flfi�nZi,$ 8-8 STAPLE VERT S=MX/7-10 74# 1H00 1H00 30-M r10 11 12 13 14 15 r 8-9-12 12-4-8 8-9-12 8-9-12 21-24 30-M TYPICAL PLATE: 1-3 Exp 12131 cfvlx IN Truswal Systems Plates are 20 ga. unless shown by "18"(18 ga.), "H"(16 ga.), or "MX'(TWMX 20 ga.), positioned per Joint Details Report. Circled plates and false frame plates are positioned as shown above. Shift gable stud plates to avoid overlap with structural plates (or staple). 9/3O/2OO WARNINGRead all notes on this sheet and give a copy of it to the Erecting Contractor. Cust: CISSY HOBBS This design is for an IndWuaf building component not truss system. b has been based on specifications provided by the component manufacturer W0: D r i Ve_T_1490903_L00005_100001 and done In accordance with the cumml versions or TPI and AFPA design standards. No responsibility Is assumed for dimensional accuracy. Dsgnr: BW #LC = 29 WT: 380# Dlmensionsare to be verified by the component manufacturer ardor building designer prior to fabrication. The building designer must ascertain that TC Live 16.00 psf Du rFaCs L=1.25 P=1.2 5 HOMEWOOD the loads utilized on this design meet a, exceed the loading Imposed by the local building code and the parlicolar application. The design assumes that the top chord is laterally braced by the mof or floor sheathing and the bottom chord Is laterally braced by a rigid sheathing material directly Bradng is for lateral components members only to reduce budding length. This component ea TCDd 10.00 psf P Re Mbr Brill P ® TRUSS attached, unless otherwise noted. shown support of shall not be placed In any emiromment that will cause the moisture content of the woad to exceed 19% and/or cause connector plate cortoslon. BC Live 0.00 psf O. C. Spaci ng 2- 0- 0 4445 ar Northpark North t( Dr. Fabricate, handle. Install and brace (his truss In accordance with 'JOINT DETAILS' by.Tnnwal,'ANSIRPI 1', WTCA V -Wood Truss Council BC Dead 8.00 psf Design Spec UBC -97 Colo Springs, CO 80907 of America Standard Design Responsibilities. HIWDLINGINSTALLING AND BRACING METAL PLATE CONNECTED WOOD TRUSSES* Tr u s Pl u s 6.0 Ver: T6.4.2 {H18.91) and'HIB-91 SUMMARY SHEET' by TPI. The Truss Plate Institute (TPI) is located at D'onolrio Drive, Madison, Wisconsin 53719. The American Forest and Paper Association (AFPA) Is located at 1111 19th Street, NW, Ste 800, Washington, DC 20036. TOTAL 34.00 psf DEF. Rati o: L/240 TC: L/240 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.netWds PERMIT NO. BP043107 LICENSED CONTRACTORS DECLARATION ' I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date: 10/29/2004 APN: 030-102-011-000 the Business and Professions Code, and my license is in full force and effect. License Class: License Number: Site Address: 1475 TEHAMA AVE ORO Map Index: Date: Contractor. Description: UPGRADE TO 200 AMP OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a Owner: HANSEN OTTO E JR & SARAH A JT pe(mit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of 1475 TEHAMA AVENUE the Contractor's State License Law (Chapter 9 commencing with Section OROVILLE, CA 7000) of Division 3 of the Business and Professions Code) or that he or she'is exempt therefrom and the basis for the alleged exemption. Any 95965 violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): I, as owner of the property, or my employees with .wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to anHANSEN Applicant: OTTO E JR & SARAH A JT owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for 1475 TEHAMA AVENUE sale. If however, the building or improvements are sold within one OROVILLE, CA year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of 95965 sale.). ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). Contractor: ❑ I am Exempt unde{ Article 3 ft si ss and Professio s Code 'r Date: �� L Owner: WORKERS' COMPENSATIO DECLARATIO I hereby affirm under penalty of perjury one of the following declarations: ❑ I have and will maintain a certificate of consent to self -insure for License #: workers' compensation, as provided for by Section 3700 of the rib Labor Code, for the performance of the work for which this permit is issued. p , ('r If�✓.17 ❑ I have and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of Architect: ()L� N 0 Yi1/ % / the work for which this permit is issued. My workers' compensation insurance carrier and number are: Engineer: policy Carrier: Total Square Ft: 0 S. F. #: �Po/licy 137 I certify that in the performance of the work for which this permit is Valuation: $0.00 issued, I shall not employ any person in any manner so as to Census Code: become subject to the workers' compensation laws of California, • and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date: Applicant: WARNING: Failure to secure workers' co pensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY This pe..nit i hiss ed under the applicable provisions of the Butte County CodA anrvor I hereby affirm that there is a construction lending agency for the of the work for which this permit is issued (Sec 3097 Civ.) Resoluti s w indicated above for which fees have been paid. /0 _Q I performance BY w — Date: Name: Name: PERMIT EXPIRES Address: Date ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the du y authorized a ' nt of the owner. I a fee to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of a o i fo or o ument of Butte Cou I hereby authorize representatives c Butte C unty to enter upo the above mentioned property.for inspection purposes. � ' Print Name ��a-/%� 'Vl�t �V c Signature: Date: Q_Kwner 13 Contractor 13 Agent for Owner ❑ Agent for Contractor 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.netWds PERMIT NO. BP043107 LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date: 10/29/2004 APN: 030-102-011-000 the Business and Professions Code, and my license is in full force and effect. License Class: License Number: Site Address: 1475 TEHAMA AVE ORO Date: Contractor. Map Index: Description: UPGRADE TO 200 AMP OWNER43UILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a Owner: HANSEN OTTO E JR Br SARAH A JT permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of 1475 TEHAMA AVENUE the Contractor's State License Law (Chapter 9 commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or OROVILLE, CA she is exempt therefrom and the basis for the alleged exemption. Any 95965 violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an Applicant: HANSEN OTTO E JR 8c SARAH A JT owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for 1475 TEHAMA AVENUE sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of OROVILLE, CA proving that he or she did not build or improve for the purpose of 95965 sale.). O I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). Contractor: O 1 am Exempt under Article 3 f s and Professio s Code 7A 7 Date:aiL Owner: WORKERS' COMPENSATIO DECLARATIO I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for - License #- workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ I have and will maintain workers' compensation insurance, as Architect: required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation Engineer: insurance carrier and policy number are: Carrier: Total Square Ft: 0 S. F. Policy #: JiJ I certify that in the performance of the work for which this permit is Valuation: $0.00 issued, I shall not employ any person in any manner so as to Census Code: become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date: O Applicant: WARNING: Failure to secure workers' co pensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY _ This permit i h iss ed under the applicable provisions of the Butte Cnunty CodA and/or I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec 3097 Civ.) Resoluti s w indicated above for which fees have been paid. JQ _ Name: -" By: Date,: J V ` ' e Address: PERMIT EXPIRES Date ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duW authorized a ' nt of the owner. I agfee to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of a o i foM or ument of Butte Cou I hereby authorize representatives OkButte C unty to enter up the above mentioned property for inspection purposes. Q! Print Name: // a-Jl� V t Signature: Date: _ 1d'Owner ❑ Contractor 0 Agent for Owner 0 Agent for Contractor BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OF APPLICATION "PLEASE PRINT CLEARLY" APPLICANT NAME OWNER Last Name City o V ; irst e Address L- City C9_v'_Ov City 6'`O V ; b State State �a Zip S yb Phoneys3 y _5 % 3 U -Fa Fax 534/ - s 1 l0 7 E-mail Lic. # APPLICANT NAME CONTRACTOR Name City o V ; Address 9Sy�� City C9_v'_Ov Mirstate State Zip�sc��� -Phone _ _ SS -Fa F� Lic. # Class APPLICANT NAME ARCHITECT/ENGINEER Name City o V ; Address 9Sy�� City Fax State Zip Phone dame Fax E-mail State License Number APPLICANT NAME Name Address ' y 7,s_ `n City o V ; Stateo�Zip 9Sy�� Phones 3 7� Fax E-mail p APPLICANT SIGNATURE For office use only, Zoning Flood Zone SRA Yes No Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: PERMIT NO. / �f BPDc!71 BIN # LOCATION AP# C) 0a — Property Address 75 - city� _ Cross Street Cross � a -r" WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY dame Address OVER FOR SUBMITTAL REQUIREMENTS K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc Page 1 of Description or Scope of Work: Sq. Footage ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not oo Received by: Amount: r Bldg SRA Receipt #: Sheriff SMIP DLP. II Date: /V/Z/Q ,/ l l Total I I RFV 7-77-nd SUBMITTAL & PERMIT REQUIREMENTS The following drawings and specifications must be submitted to the Building Division in order to apply for a permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK ❑ 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. No graph paper! ❑ .2. Complete plans, 3 or 4 sets, signed by the preparer of the plans (No graph paper!) OR Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 3. Engineered truss details and layouts in duplicate (if required). No faxes! ❑ 4. Energy compliance design and supporting documentation in duplicate. (Note: Not required for additions to mobile or modular homes.) ❑ 5. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 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. ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate (if required). ❑ 9. Site plan and business license approval from the City of Biggs. ❑ 10. Letter of intent for non-residential buildings. ❑ 11. Detached Accessory Building Form filled out by the owner (if required). ❑ 12. Hazardous Material Form (for Commercial Buildings only). D —1_3___Sanitation-an"te4an-apployMAom the-EavjronmentaLH.ealth-Department_ Remaining items needed to issue the permit. Additional items may be required after Plan Check and Planning review (May require additional plan review upon receipt of the following items.) ❑ 1. Agricultural Buffer clearance and site plan approval from the Ag Commissioner's office (if required). ❑ 2. Impact Fees. ❑ 3. California Department of Forestry plan approval (if required). ❑ 4. NPDES Form. ❑ 5. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 6. Contractor's license information. (Number, Name Style, Classification). ❑ 7. Worker's Compensation Carrier and Policy Number. ❑ 8. Owner -Builder Verification (if required). ❑ 9. Letter of Signature authorization (if required). ❑ 10. Recorded copy of Agricultural Acknowledgment Statement. ❑ 11. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner (for 433A's). If you have questions or would like additional information regarding this process, contact a Permit Application Assistant at (530)538-7541. EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after date of application. In order to renew action on an application after expiration, a new application, plans and fees will be required. REQUEST FOR FEE REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made within two years from the date of fee payment on permits not issued, and two years from the date of permit issuance for permits issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. OVER FOR BUILDING PERMIT APPLICATION KAFORMS\BUILDING F0RMS\BIdgApp1SubRgmts.doc Page 2 of 2 REV 7-27-04 Attention Property Owner:. An "owner -builder" building permit has been applied for in your name and bearing your signature. i 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: YESOZ] • NO[ ]. - ' 2. I H4,VE[1)4] HAVE NOT[ ] signed an application for a building permit for the proposed *ork. 3. I have contracted with the following person (firm) to provide the proposed construction: NAME: Hca "cd-" ACLu1�e ✓� ADDRESS: U 75 'iP,l�.a w�o� ,� CITY: &py PHONE: 53y -5 -7.9 C CONTRACTOR'S LICENT SE 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. S_ I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: NAME ADDRESS PHONE TYPE OF WORK SIGNED: PROPERTY OWNER: tel(-jG�/�/\c DATE: D 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. May 1995 - 2.26 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. i If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: 0 If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $300 or more for the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. 0 If you are an employer, you must register with the State and Federal Governments as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers compensation insurance, disability insurance costs, and unemployment compensation contributions. 0 There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. 0 For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your ; obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are -not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "ownerbuilder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento, CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned C. Vie* C.B.O. , Building Inspection NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code. May 1995 . 2.27 PRE -INSPECTION REPORT j3�o�/3i�7 OWNER:�C"` ' I �'�� 7' U DATE: D 6 LOCATION: Li A.P. # CONTRACTOR: ZONING: 4/z REASON FOR PRE -INSPECTION DATE TO INSPECTOR: d12926tl PERMIT HISTORY( ) NONE ( OSS E ATTACHED BUILDING INSPECTOR'S REPORT Building Description: Commercial/Usage: Residential # of Units: Currently Occupied ( ) Yes ( ) No Abandoned/Vacant: Electric: Gas: Electric Currently ( ) On ( ) Off Condition of Electric Currently ( ) On ( ) Off Condition Sanitation: Plumbing Working ( ) Yes ( ) No Obvious Sewage Problems ( ) Yes ( ) No ACTION RECON EVIENDED: ISSUE ( es Hold for permits or verify: Inspector:--/�' Mobile home # of Units: " ( ) No Date: / " 2 p SKETCH BUILDINGS ON REVERSE AND INDICATE LOCATION ON PROPERTY. ` 030-10-2-011 91-4133 I-ANSEN, OTTO CONTR : OWNER 1475 TEFIAMA AVE, OROV i LLE ENCL GARAGE DOOR 030-102-011 PERMIT#98-0424 HANSEN, Otto 1475 Tehama Ave., Oroville Reroof/SF a Q N 030-102-011 PERMIT#98-04 4 HANSEN, Otto 1475 Tehama Ave., 0 ille Reroof/SF 1. 4 j (Rev. 12/96) COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - 7 County Center Drive - Oroville, California 95965 - Telephone APPLICATION AND PERMIT BUILDING DIVISION. (916) 538-7541 PERMIT NO. ,.. p f ASSESSOR PARCEL NUMBER it ZONING AD BUDDING PERMIT i OWNER F . S N TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS 1475 TRWAM4 AVE, OROVILLE CONTRACTOR'S NAME OWNER TELEPHONE ' CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LENDER [Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filin Fee $ 20.00 Permit Fee $ 33.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDI(JC 1 E S,t„IW_U AVE, OROVILLE Energy Plan Checking Fee $ PERMIT FEE $ 53.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF 0 Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heatpump 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 Iff Describe Work: REROOF/COMP Gas piping system 1- 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W 920.00 PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 Main Service 2ooAo,R, SS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class LIC. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: .fel, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service ( 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUP. OR ADONS. ( a ACC. BLUE. SO 3.5¢Fr: NON•RESIDTON. BRAULTNCH c�Tc rcs @7.50 POWER APPARATUS 8 SINGLE OUTLET CIR. Ex. Occup. OUTLET OR FIXTURES 200 1.00 BAS p .so Ex. Occup.ouTLEEDrs AEslo.oea 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) GK 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, ano agree that if I should become subject to the workers' compensation provisiohd of section 3700 of the Labor Code, I shall isions. forthwith comply, with those pro11 visions. X I/� / ., q l 1� Date / U / Signature of Applicant - Owners/'❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition orconstruction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE 53.00 TOTAL FEE $ HAZ. I D. FEES IMP I FLOOD CDF PARCEL Po I HD I ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. 4 Date;? PERMIT EXPIRES ON •— i7S �7 / I Oa re Receipt No. 136136 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, Qaliforniy 95965 - Telephone (916) 538-7541 _ _PE MIT NO. (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER ZONING BUI ING PERMIT OWNER T NONE SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 1475 1EHAMA AVE, OROVILLE CONTRACTOR'S NAME OWNFIR TELEPHONE ' CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 33.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDISJJj EstEHAMA AVE, OROVILLE l L� / Energy Plan Checking Fee $ $ PERMIT FEE $ 53.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF IR Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other IX Describe Work: REROOF/COMP Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W 920.00 PERMIT FEE $ ELECTRICAL PERMIT Filing Fee ' 20.00 Main Service zpOA OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.P License Class LIC. No. OWNER-BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: .21-11, as owner of the property, or my employees with wages as their sole compensation, __....will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service zooA To ,000A 46.00 NEW CONST. DWELLING OCCUR OR ADDNS. ( a ACC. B. s0 T NON -R SNEW IIDT MULTI -OUTLET CIRCUITS @7,50 OWER APPARATUS a SINGLE OUTLET CR. EX. Occup. OUTLET OR FIXTURESBAS @ I;so Ex. Occup. OUTELETS REI�ISIOOEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE S WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) E KI 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, a agree that if 1 should become subject to the wor,�cer ; compens Ion provisio�S If section 3700 of the Labor 1Code, I shall fi th those prof ons. X _ Date l9 Signatjr0df Applic nt T"SWwner ❑ Contractor ❑ Agent An OSHA permit is require for excavations over 60" deep and demolition or construction of structures over 3 stories in height.4 MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $53.00 HAZ. I D. FES IMP I FLOOD cDF PARCEL PD I HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. 141to PERMIT EXPIRES ON r(g (Date)�— Receipt No. 236236 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT I 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 EB ` NO C 2. I HAVE 8- HAVE NOT 13 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: PHONE: CITY: 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: PROPERTYOWNER: SOCIAL SECURITY NUMBER: DATE: 3 % — 9 e� 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 I Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified. For your protection, you should be aware that as "owner -builder" you are the responsible parry 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 5300 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 riot 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 contrac9rs 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. r rely, Mic el C. Vi ira, C.B.O. M ger, Building Inspection NOTE. This Owner-Builder.Injormation is required by Section 19830 of the California Health and Safety Code OVER COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 1469 Humboldt Road, Chico, CA - (9161 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION •NOTICE 10+10 OWNERPERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of woik ,is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. S �o ka 0111 WO r 1C_ a aY i .h: r A�y Date 43 Inspector01 REV 10192 r- f , r Co - y 0-�o / COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916.'538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER 030-102-011 ZO BUILDING PERMIT �- OWNER OWNERTO HtMAIL NG TELEPHONE 534-5730 SO. FT. OCC. BUILDING VALUATION ADDRESS 1475 TEHAMA AVE.,OROVILLE GA 95965 EST. 600 CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER NONE UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 15,00 Permit Fee $ ARCHITECT OR ENGINEER NONE LICENSE NO. Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS 1479 TFHAMA AVE.,OROVILLE Permit fee $ 31.50 PLUMBING PERMIT Filing Fee 15.00 Each Trap 1 5.00 Solar or heat pump water heater 1 20.00 LOT NO. SUBDIVISION NAMEP4RCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF[M Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer15.00 Mobile Home S G W 615.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation[ Other'] Describe work: FRAME IN GARAGE DOOR Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200V OR LESS 00A OR LESS 18.50 Main service 20CATOI000A1 37.501 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License .Jo. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. ( DWELLING OCCUP. ti\ 3.5Q sq.ft. OR ADDNS. 1 ACC. BLDGS. I NEW CON5TR ULTI-OUTLET 5.00 NON -R ESID BRANCH CIRC ITS (POWER APPARATUS e\ SINGLE OUTLET CIR. / Ex. Occup( o 20 7IXE6d p OUTLETS OR FIXTURES RA Ex. Occup. OUTLETS7RESIAP L NS.D.IREA.) 1 3.001 Temporary service 1 15.00 Mobile Home Facilities 15.00 Misc. bVirin g 15.00 Permit Fee $ — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. r ; 1 have placed on file with the County of Butte Building Department lJ a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. 011, 1 shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 15.00 Heating Cooling 9 Hood 6.50 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 Iiabil' ies, judgments, cost;/ and expenses which may in any way accrue again aid Col. y in conse ence of the granting of this permit. X:rDate /.�' :_' �� - � f Signature Applicant Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ 31.50 AZ OFEES IMP FLOOD I COF PARCEL PO HO $SU This permit is hereby issued under the applicable provi- sions of•,t'he Butte County Code and/or resolutions to do work, indigateda o e' for which),jees have been aid. /r' ✓� p r / Dff� 6 R (} . PU� 1q,,WORKS Byl_ 1 i ` �; f; Date '/�` �f' •� f PERMIT EXPIRES JDate f"�-- Receipt No. ! '�'-� 7`) WHITE-O.P.W., YELLOW- ASSESSOR. PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroviller California 95965 - Telephone: 916'538-7541 APPLICATION &ND PERMIT PERMIT NO. 9/- q!_aa ASSESSOR PARCEL NUMBER 030-102-011 ZOPJ!I NG _,rBUILDING PERMIT OWNER OTTO 'S N TELEPHONE 534-5730 SO. FT. OCC. BUILDING VALUATION EST. 600 WNERMAILING ADDRESS 1475 TEHAMA AVE. OROVILLE CA 95965 CONTRACTOR'S NAME OWNS TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER NONE UNKNOWN Total Valuation is Filing Fee $ 15.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER NONE LICENSE ND. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 1475 TFHAMA AVE., OROVILLE Permit fee $ 31.50 PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT'NO.SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF ❑X Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S I G I W @ 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other] Describe work: FRAME IN GARAGE DOOR Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 600V OR LESS 200A OR LESS 18.50 Main service 200ATO1000A) 37.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect.SINGLE License No. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. ( DWELLING OCCUP.If\ OR ADDNS. \ ACC. BLDGS. / 3.64 sq.ft. NEW CONSTR.MULTI-OUTLET NON•RESID BRANCH CIRCUITS) @ 5.00 POWER APPARATUS e OUTLET CIR. EX. OCCU p OUTLETS OR FIXTURES 20 76 Ex. Occup. OUT ETS (RESID )KEA.) I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring 9 15.00 Permit Fee $ - WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT FiIingFee 15.00 Heating Cooling g Hood 6.50 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 a d keep harmless the County of Butte against all liabil' ies, judgments cost , and expenses which may in any way accrue again, id . -o in copse nce of the granting of this permit. X Date %� L-�- l Signature of Applicant — Owner ®Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Receipt N0. ) WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE I TOTAL FEE $ 31.50 HAz 0FEES IMP FLOOD CDF PARCEL PD HD IS;/ This permit is hereby issued under the applicable provi- esolutions to do � sions o Butte County Awhic wor n ted o for ave been paid. D R RKS BY �eL��r�( r PERMIT EXP . ES Date COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Orovllle, California 95965 - Telephone: 916.'538-7541 APPLICATION A -NO PERMIT AS ESSOR PARCEL NUMB R ZO t11'N0 ` BUILDING PERMIT OWNTE n ensl EPHO E SO. FT. OCC. BUILDING VALUATION b 600 OWN 'S MAILING ACDDFPESS �9 CO ACTOR''S`/N�AME l� TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CON§TUCTION LENDER A/0R UNKNOWN Total Valuation $ Filing Fee $ 15.00 L NDER'S MAILING ADDRESS Permit Fee $ 74-. 5 ARCH T CT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESSPermit ��,- am ©olv fee $ Sc7 /' PLUMBING PERMIT Filing Fee 15.00 fIt Each Trap 1 5.00 Solar or heat pump water heater 1 20.00 LOT NO.SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF)o Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S I G I W @ 15.00 TYPE OF WORK New ❑ Addition 11 emodel❑ Utilities❑ Installation❑ Other Describe w C2 a raQij V Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 600v OR LESS 200A OR LESS 18.50 Main service 20GATO 1000A, 37.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification ❑ I, as the owner. or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.&) OR ACDNS. ACC. BLDGS. I 3.64 sq.fc. NEW TLET NON.RESIC, BRANCH CIRCUITS) 5.00 POWER APPARATUS &) SINGLE OUTLET CIR. Ex. Occup( OUTLETS OR FIXTURES 20 @ 76d IXED Ex. Occup. OUTLETS (RESID )LNS.REA.) 1 3.00 Temporary service 1 15.00 Mobile Home Facilities 15.00 Misc. �yirin 9 15.00 Permit Fee $ Contractor — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consem to -:—r =. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of Califvmia. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT FiIingFee 15.00 Heating Cooling Hood 6.50 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 County in consequence of the granting of this permit. X Date Si natuA 9 PP - Owner❑ Contractor 1:1Agent ❑ Applicant re of An OSHA permit is required for excavations over 5'0" deep and demolition or construct - ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST TYPE TOTAL FEE $ < V HAz 1 DFEES I IMP I FLOOD CDF I PARCEL I PJ HD ISSUE This permit is hereby issued under the sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By PERMIT EXPIRES Date applicable provi- resolutions to do have been paid. WORKS Date Receipt No. /© a -6—Z WHITE-D.P.W.. YELLOW-A33E330R. PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - Department of Public Works e;' 7 County Center Driv,Oroville, CA 95965 Phone: 916-538-7541 OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building permit has been applied for in your name and bearing your signature. b 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 or no) e S 2. I (have/have not) 5 signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. 4. ,I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. 5., I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address . Phone Type of Work Signed: / Property Owner d Social Security Number Date / /— �-7 - "l r NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit.