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HomeMy WebLinkAbout030-192-0113.(�-L92-1 ' h � 1134yDodge �v�roville Permit #673-81B(new ramada/MH) TLEE, 2-011 00-2566 11 ESSEE& SHIRLEY ODGE AVE:, OROVILLE CQNTR:'OWNER Fr/(r4Z- //-7 RER,,OOF 9 SQ COMP. & SHEATHING 030-192-011 00-2571 LEE, JESSEE & SHIRLEY 1134 DODGE AVE. OROVILLE CONTR: OWNER 20X20 CARPORT /Q-0 -911 030 i I i I �1 { IQ NOTES PERMIT NO. w; a ,, r t Y{ r� i RESIDENTIAL 030-192-011 00-2571 LEE, JESSEE & SUTII Y( �. 1134 DODGE AVE. OROVILLE CONTR: OWNER 20X26,4CARPQRTj i'. 11 SPECIAL CONDITIONS 11 SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER JOB FINALED (Date) — 2 � �j / Signature CHECKED BY ✓=OK - 0= Not OK - = 14QtApplicable MOBILE HOMES Not Ready , ' Date MOBILE HOME UTILITIES (Plans) OK except S's 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O -Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap;-/ /" L'ft. / /'Nat. or/ /"L"ft./ /'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 Ws 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch 11. Cert. of Occupancy 12. Permanent Foundation Only; License Decal Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVER ARPORTS GARAGES (Plans) OK except #'s ✓ CIUZ 3. Of 4. Zoning R trements-Setbacks-Easements mgs; Soils -Size -Depth -Spacing -Connectors -Steel Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails Wood Awn.; Posts- Bea ms- Rftrs.-Connectors Shthg.-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. ^" El? ric '✓ rmg.; Sills -Anchors- Studs- Rftrs-Trusses 9. 10. 11. 12. Siding; Nailing -Veneer -Stucco -Mesh Roof; Shthg-Roofing Ext.; Steps -Doors -Landings Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except ff's 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosures-Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 1 COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION r '7 County Center Drive - Oroville, California 95965 - Telephone (530) 538-7541 PERMIT NO. (Rev.12/96) APPLICATION AND PERMIT �� � ASSESSOR PARCEL NUMBER 030-192-011 Ar ZONING BUILDING PERMIT OWNER LEE, JESSEE & SHIRLEY TELEPHONE 532-1020 SO. FT. OCC. BUILDING VALUATION /� ` o . OWNERS MAILING ADDRESS 1134 DODGE AVE. OROVILLE CA 95965 go. CONTRACTOR'S NAME OWLVL-iP TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER [Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Fee $ 20.00 —Filing Permit Fee 0170 $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee q. _3S7 $ BUILDING ADDRESS 1134 DODGE AVE, DROVE IF Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Feel 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping - 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: 20 X 202 carport built without permits Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G W 920.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 Main Service 200A 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.PSIN License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Lawe following reason: I, as owner of the property, or my employees with wages astheir 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 OCCUR S° OR ADDNS. ( 6 ACC. BUDS. 3.5QFT. NONNEW RE°MULTI-O S,pT UTLET @7.50 GLOWER E OUTLET APPARATUS d CIR. 20 Q 1.00 Ex. Occup. OUTLET OR FIXTURES BAL o .50 Ex. Occup. °Flxos Aa oR� 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring23.00 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 MECHANICAL PERMIT Fling Fee 20.00 Heating —Cooling Hood 6.50 Ventilation PERMIT FEt $ Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) 40.-1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X Date - �� _ MAAnof pplicant - Owner ❑ Contractor ❑ Agent permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE G TOTAL FEE $ HAZ. 1 0. FEES �M_P FL000 cop PARCEL Po HD UE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By Date I PERMIT EXPIRES ON o 1 Defe 308828 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT Attention Property Owner: t An "owner -builder" building permit has been applied for in your name and bearing your. .. - signature. -.;Please complete and returnthis 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[ J -NO[-]. �I HAVE[ J HAVE NOT[' J signed an application for a building permit for the proposed work. - - 3. 1 have contracted with . the following person (firm) to provide -'the proposed - construction: [ky'"; 61 ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 4. I plan to provide portions of this work, but I have hired the following person - to coordinate, supervise, and provide the major *ork: 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 IGNED: PROPERTY OWNER: SOCIAL SECURITY t DATE: zy V 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 Dear Property Owner: An application for a building permit has been submitted in your name listing yoiuseif as the builder of propeit* improvements speicificd. 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 r-. performing their own.work. If your. v�ork, is -being performed by !�ctqipon� other than; ypuq9M _yp�!.,ma i - I _y 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 Siate 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 f w c Ili y apply.' or 'hlh' I If you. plan to do your. own work, with the excepti6n'of various trades that you plan to subcontract, you should be i*aie'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 6ther',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 ihese.risks are especially serious with resp6d to worker's compensation insurance. 0 For more specific information about your obligation's under Federal Law, contract the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific in.formationabout 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 vour 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. Siniarel Michail C. Vierra, C.B.O... Manager, Building Inspection' -..NOTE: This Owner -Builder Information. is required by Section 19830 of the California Health and Safety Code. OVER COUNTY, OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE; CALIFORNIA 95965 - TELEPHONE (530) 538-7541 PERMIT APPLICATION DATA SHEET OWNER: / _V- ASSESSOR PARC ER: D30 -,1Q0- 00 Proposed Building Use: Building Inspector: Date: 10 At time of permit application, 10was advised the following data must be submitted prior to permit proces ing and/or issuance: I Date Received By ❑ t All items have been submitted --------------------------------------------------------------------------------------- 92 Plot plans, 3/4 sets, signed by the preparer of plans. ------------------------------------------------------------ WComplete plans, 3/4 sets, signed by the preparer of plans. ----------------------------------------------------- r ❑4. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans. -------- ❑ 5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! ------------------ 0 6. Energy Design Compliance and supporting documentation. ---------------------------------------------------- 07. Statement of Intent for Non-H6ated and A/C Buildings. --------------------------------------------------------- ❑ 8. Hazardous Material Form. ------------------------------------------------------------------------------------------ ❑ 9. Manufactured Home data and installation instructions including Tie Down Specifications -------------------- 0 10. Fees of $ ------------------------------------------------------------------------------------- ❑ 11. Impact fees as shown on the attached schedule.----------------------------------------------------------------- ❑ 12. California Department of Forestry plan approval/fees. --------------------------------------------------------- 1113. -------------------------------------------------------- ❑13. Flood elevation certificate. ---------------------------------------------------------------------------------------- 14. Sanitation and plot plan approval Health Department. ------------------------------------------- ' - ,❑ 15. City of Chico plumbing permit. ----------------------------------------------------------------------------------- ❑ 16. Plot plan and business license approval from the City of Biggs. ---------------------------------------------- ❑ 17. Planning approval for (A) Use: (B) Parking: -------------- ----------- El 18. Contact Land Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel. ----------------------- ❑ 19. Encroachment Permit for driveway (construction approval prior to occupancy) - ------------------- --------- ❑ 20. Pre -inspection for required. Request to Building Inspector on (Date) ❑21. Contractor's license information. (Number, Name Style, Classification). ------------------------------------ 0 22. Workers' Compensation carrier and policy number. ----------------------------------------------------------- ❑23.Owner-Builder Verification (Given to owner ❑, Mailed to owner 0) - -------------------------------------- 024. Letter of signature authorization. ------------------------------------------------------------------------------- ❑25. Recorded copy of Agricultural Acknowledgment Statement. -------------------------------------------------- ❑26. Letter of intent on building use. ----------------------------------------------------------------------------------- ❑27. Manufactured Home utility clearance. ------------------------------ --------------------------------------------- ❑28. Existing violations and/or expired permits. ---------------------------------------------------------------------- ❑29. ❑433 A, OGrant Deed, ❑ M.H. Title, ❑ Check to H.C.D $ .--------------- E130. -------------- ❑30. Other: *------- 7eleypohoneg�7— uisst s ollows ❑ Mail to owner, ❑M=L j P and hold for pickup at ❑ Deliver with inspector. lic t Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Dep en , Air ' o ution D Copy of plans sent ❑ Health Department, ❑ Fire Department, ❑ Other: Date: By: 1. Index permit application for the above items numbered: ❑ Plan Check List 2. Additional items required: , Contractor, designer, owner, was of the above required data by ❑ phone, ❑ Wiail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Plans reviewed by: Date: Plans approved by: Date: JZ, _ Sets of plans on hold in 13Plan Cabinet, ❑ A.P. folder. Note transfer by: Date: Yellow Copy - Department of Development Services, Building Division. RUILDING DEPARTM-Etl' �►pp0 v F m 11 o-v b X rb 8U �- �. P P. Pt ."...�_.. z;;.q...,.,:,i,_..- �.�41y.2ri-wr+�T. ;.N.:.,. ..,. ,,,..y,"�L'��." u+c.� w=:.t,u-r•xa -•-:r `.rra.-'sw,.a.--�`�fTaarwy�a;.. . . .�; rp, ,. �,v o �;,..�arry�o.. - a..,. i• . 030-192-011 00-2566 LEE, JESSEE & SHRLEY +'• { 1134 DODGE AVE. OROVILLE CONTR: OWNER REROOF 9 SQ COMP. & SHEATHING i I ` I . i I - j 1 �. V COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530),538-7541 -ERMIT N . (Rev. 12/96) APPLICATION AND PERMIT 411 ` ����-� ASSESSORP- C NO2-011 V� (,& ZONING BUILDING PERMIT OWNER SHIRLEY EEE TELEP.1,0,"2-1020 SO. FT. OCC. BUILDING VALUATION REN F 0.00 850.00 pWNERS114 XIIGE AVE OROVILLE 95965 SHEATHING CONTRACTQRj_NA__ME TELEPHONE CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAKING ADDRESS Total Valuation $ 590.00 ARCHITECT OR ENGINEER LICENSE NO. —Filing Fee $ 20.00 Permit Fee $ 17.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING 11E34 DODGE AVE RORVILLE Energy Plan Checking Fee $ $ PERMIT FEE $ 37.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT Fling Fee 1 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other GARAGE SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other d; Describe Work: RE -ROOF P- OOF 9 SO rK CUFA'rHING. Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 600R LE Main Service ZD.AORLESS 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 Lawl,dr the following reason: 1, 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(0 1 am exempt under Sec. , Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 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.) V._I certify that in the performance of the work for which this permit is issued, I shall not employ any person In any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with thos"rovisions. r� �t X / � Date & ` �/ c/ i� 'Signatvse of Applicant-*XrOwner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construction�� structures over 3 stories in height. Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUP. s0 OR ADDNS. ( a ACC. BLDS. 3.5QFT. NON.RESlp MOLT OOUTLET 97,50 POWER APPARATUS a SINGLE OUTLET CIR. 20 o 1.00 Ex. Occup. OunEr OR FIXTURES BAL @ .50 FIX Ex. Occup. oilnFis ALIp.oew 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE S MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEt $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 37.00 FEES IMP I FLOOD CDF PARCEL I PD HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. 41, By /// 1 r �' u Date �� / r �of PERMIT EXPIRES ON / zn/J� ' f Date ReceiptNo. 3Ud8Z3/$37.C1U WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT 4W 1 00 COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT O. (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR zff N1yL-011 ZONING BUILDINGPERMIT OWNER JESSEE & SHIRLEY LEE TELEP 13M-1020 SO. FT. OCC. BUILDING VALUATION 40 550.00 OW"ER's ilii "DOB&GE AVE OROVILLE 95965 SHEATH NG CONTRACT06WNER oRS TELEPHONE CONTRACTOMAIUNG ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ 590.00 ARCHITECT OR ENGINEER LICENSE NO. Filen Fee $ 20.00 Permit Fee $ 17.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 1134 DODGE AVE RORVILLE Energy Plan Checking Fee $ $ PERMIT FEE S 37.00 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other GARAGE SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other CK Describe Work: RFROOF 9SO COMP &SHEATHING Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W 920.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service 2o0A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION affirm under penalty of perjury that I am exempt from the Contractors License Law he following reason: I here�Ias owner of the property, or my employees with wages astheir 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 ADDNS. ( 6 ACC. BLDS. s0 3.5¢FT. NEW T. NON-RESID. MULTI -OUTLET 97.50 POWER APPARATUS 8 SINGLE OUTLET CIR. Ex. Occup. OUTLET OR FDRURES 20 Q° 1.00 SAL @ .50 Ex. Occup. o'TT. AaID.°Ea, 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 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.) 91 -4 -Certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with thos rovisions. /a 9�� "1 Date / Pign�aof Applicant - Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. 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 $ 37.00 HAZ. I D. FEES IMP I FLOOD °DF PARCEL pp HD ISSUE This permit is hereby Issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicate ove for which fees have been paid. ^ B H0/1 De vReceiptNo. PERMIT EXPIRES O0 Dal 308823/$37.00 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT T COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION. 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PE MIT o. (Rev.12/96) APPLICATION AND PERMIT - ASSESSORPARCELNUMBERv v ZOMMO BUILDING PERMIT a,11FR - zD;lbS�r k4 TELESN°Nc aa- SO. FT. 9CC. BUILDING VALUATION OWNERMALI ORESi S 1154 COMMCTOR'S NAME ©W NE I CONTRACTOR? MALMD ADDRESS CONSTRUCTION LENOETR . Fireplace LENDER'S MMUNG ADDRESS Total Valuation $ ARCHITECT OR ENDINEEA LICENSE NO. Filing Fee $ - 20.00 Permit Fee $ , ARCMTECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ SULOINGADDRESSpoui ` Energy Plan Checking Fee $ S PERMIT FEE' = s LOT NO. SUBDNISIONSNAME PARCEL MAP PLUMBING PERMIT Fling Feel 20.00 Each Trap 7.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ UbliEes ❑ Installation ❑ Other Describe Work: S S Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W 1 @20.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 Main Service 200AORLLESS 23.00 ' *PERMIT FEE PAID $ SRA $ SHERIFF $ OTHER $ $ $ AMOUNT RECEIVED $ *RECEIPT NUMBER g * TO BE PUT INTO COMPUTER Main Service 200A TO IOOOA 46.00 NEW CONST. OWEIIJNG OCCUP. 3 5¢so. OR ADDNS. 8 ACC. BLDS. FT. NEW ONs . MULTFOUTLET NON•RESID. BRANCH MQUITS 97.50 POWER APPARATUS 8 SINGLE OUTLET CRR. OUTLET OR WTURES 20 O 1.00 EX. OCCU SAL. 9 .Sp Ex. Occup. Elm °Tse o.DEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE i MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 ventilation PERMIT FEB S Mobile Home Installation Fee 7:1S Energy Inspection Fee I $ Occ CONST. TYPE TOTAL FEE $ 0 Z. D. FEES IMP I FLOOD I CDP I PARCEL I PD I ND ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By Date PERMIT EXPIRES ON ro Attention Property Owner:., : An "owner -builder" building permit has been applied for in your name and ,bearing your signature. _f •. y _ �ry : '* :-.. -..:�r . w - -Please complete and return, this information -..at.your earliest topportunity ,ao avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. I personally plan to provide the major labor and materials for construction of the proposed prg'perty improvement: YES[- NO[ I 0I HAVE HAVE NOT[ J signed an application for a building permit for the - proposed work. -t. 3. -I have contracted with . the following pei son (firm) x to 'provide the proposed construction: NAME: ADDRESS: CITY: PHONE; 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: PROPERTY OWNER: SOCIAL SECURITY NUMBS�� DATE: ADC— NOTE: 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. OVER T .. 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,-youlmq protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which'they apply. If you. plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection - 0 If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other' 'costs) is $300 or more for the entire project, and such persons are;not licensed as contractors or subcontractors, then you may be an employer. 0 If you are an employer, you must register with the State and Federal Governments as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers compensation insurance, disability insurance costs, and unemployment compensation contributions. 0 There maybe 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 Fedeial 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 vour 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 . Smci;rel , Michail C. Vieira, C.B.O. . Manager, Building Inspection NOTE: This Owner -Builder Information_is required by Section 19830 of the California Health and Safety Code. OVER PERMIT NO. 673-81B PERMIT EXPIRES OWNER Harry Ward owner CONTR. ASSESSOR PARCEL 30-192-11 LOCATION 1134 Dodge Ave., Oroville Temp. Power Pole_ Called RG E _ Temp. Elec/Service Calle'PG&E_ Temp. GIs Service Called PG&E JOB FI ALED (Date) Signature = OK = Not OK = Not Applicable MOBILEHOMES , MISCELLANEOUS = Not Ready Date MOBILEHOME UTILITIES (Plans) OK except N's 1. Zoning Requirements -Setbacks -Easements Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements _ 2. Soils; Special MH Support -Sketch 2. Footings; Size -Depth -Spacing -Connectors 3. Sewer; Location -Test -Fall -C/0 -Concrete 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Water; Location -Test -Easement Needed (Sketch) 4. Wood Awn.; Posts-Beams-Rftrs.-Connec.-Shthg.-Rfg.-Bracing 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Gas; Location -Test -Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG 6. Carports; Windows -Doors 7. Utility Clearance 7. Elec. Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date Card -BI Date MOBILEHOME INSTALLATION (Plans) OK except 4's 1. Zoning Requirements -Setbacks -Easements Card -BI Date Date Card -BI Date POOLS (Plans) OK except N's 1. Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 2. Soils; Compaction -Structure Stability 3. Gas; MH Test -Demand -Valve -Connector 3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining 4. Electricity; MH Test -Crossovers -Breakers -Clearances 4. Elec.; Receptacles and Lighting; Distances-GFI 5. Drain; MH Test -Fall -Flex Connector 5. Elec.; Pool Lighting; 15 volts-GFI 6. Water; MH Test -Regulator -Connector 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Water and Sewer Connected -C/0 to Grade -HD Approval 7. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater 8. Gas and Electricity Tagged 8. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghtg. Boxes -Enclosures -Panel boards -Ins. to Main in Conduit 9. Exits; Insp.-Sketch 10. Cert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test -Water Supply Test Card B -I Date Card -BI Date Card -BI Date Card -BI Date Card B -I Date Card -BI Date Card -BI Date Card -BI Date = OK = Not OK = Not Applicable RESIDENTIAL.I[Sin_�l = Not Ready e and Duplex Date UNDE LOOK Plans OK except #'s _Date FRAMING (Continued) Zoning requirements -Setbacks -Easements -4&7 -Property Line Firewall & Openings 2. Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth 40r�Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 3. Ftg., Garage; Soils -Steel- / /" Ftg. Depth 456,-6S1 irs; Width -Headroom -Rise -Run -Landing -Fire Protection 4. Ftg., Porches &Decks; Soils -Steel- / /" Ftg. Depth )ywood on Roof Overhang -Attic Vents -Rafter Outriggers 5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab 12fSiding-Nailing-Veneer 6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab -0- Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access 7. Piers -Fireplace Ftg.-Steel 9/< Ga pF.ri 44. Glazing Area -Glass Protection -Skylights -Plastic 8. D.W.V.: Fall -Fittings -Test -2 way C/0 -Sewer Test -6&. -Shear Walls; Nailing -Bolts 9. Gas Pipe; Size -Anchors 10. Water Pipe; Test -Anchors -Regulator -Service Test 11. Electric; Underground - 12. Plenums & Ducts;. Clearance -Material -Support -Ins. 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI Date L Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date FINAL (Plans) OK except #'s -56. xt. Steps -Door & Sidelight Protection -Landings Card -BI Date Date Card -BI Date PLUMBING (Permit) OK except q's b;=- STAe Detector 1,. Water Ht.; Ven -Access-Combustion Air urnace; Vents -CI aran -Comb. Air -Connector - In Garage; Abovd ucts-Mech. Protection 15. Water Pipe; Tet & Anchors -Nail Protection 16. D.W.V.; Test -F ngs & Anchors -Nail Protection -a- Bedroom Exiting 17. Shower Pan; Tesk First Floor -Tub Access -69,- G.F.I. & Bath Fixtures & Tub Access 18. Test Tub & Showe , 2nd Floor -Tub Access -64- Elec. Trim & Subpanel; Breaker Sizes -Labels 19. Gas Pipe; Size & A chors .fit -Stairs 85 Rails %63. Fireplace or Stove; Clearances -Hearth ,64. Elec. Outlets at Wood Panel; Int. & Ext. Card -BI Date Card -BI Date '�- Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Card -BI Date -66. Elec. Outlets & Receptacles at Kit. Counter Garage Fire Door; Swing -Landing -Closer Date ELECTRICAL Perrr't OK except p's68-9.C. Duct in Garage -Damper 20. Fixture & Transf mer Clearance -Ins. Protection if�'!'rWtr. Htr.;.Vents-CI ar Mech. Protection ce-Comb. Air-Connector-P.R.V.- In Garage; Aboy 21. Elec. Receptacles pacing-Lights &Switches at Doors 22. Size Boxes & No. Conductors -Stapled yg, Plb., Elec. &Mech. p. Listed for Location qui 23. Romex Installed Cl4e to Edge of Studs & C.J. ,74-Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 24. Equip. Ground made p w/Mech. Fasteners -Bond Gas & Water Insulation -Foam -Looked in Attic ❑Yes '?V Guard Rails & Deck Construction -Post Caps 25. 2 Appliance Circuits kn Kitchen & Conductor Size 26. Subfeed Wire Size / ga. Cu or AI-A.C. Wire Size / / ga. Cu or AI ;�4-+ Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 27. Range Circ. / / ga. CV or AI -Oven Circ. / / ga. Cu or At, Insulated Neutral ❑Ye ❑No 7Fn Following instld.: Drive ❑ Yes ❑ No; Walks ❑Yes ❑ No; Planters F-1 Yes 0 N 28. Service -Riser Conductors Ground -Main Disconnect 96" Stucco; Brown -Finish 29. Equip. Clearances; Panels-Motors-Mech. Equip. 30. Clothes Closet Light -Shower Light A.C. Unit; Disconnect-Clrnces-Bre& Cond. Size -115V Outlet j Vents Above Roof; Plbg.-Apple-Firepl.-Clearance to Opngs��� Water Well; Disconnect, Electrical, Plumbing '8'0:' Exterior Elec. Trim; G.F.I. Receptacle -Underground Card B -I Date Card -BI Date 84. Ventilation throughout House Card B -I Date Card -BI Date Sr. Glass Protection Date MECHANICAL (Perrr,it OK except N's '83: Corrections from Previous Inspections -04r Gas Test -Meters Tagged; Gas -Electric 31. A.C. Ducts; Insul ion & Support E8" Water & Sewer Connected -C/O to Grade -HD Approval 32. Vent Fan; Exhaust bove Insulation 85- Energy Compliance Certificate -Other Certificates _ 33. Condensate Drain 8 Overflow; Size & Grade 34. Furnace -Vent; Acce s -Comb. Air -Return Air Vent -115V outlet 35. Attic Access & Platf m if Furnace in Attic Card-BIDate -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Comments at Final: Date FRAMING(Plans) OK except q's ..". Sills; Proper Material & Anchors _ 13T. Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound 1138. Bearing Walls over Girders & Floor Nailing _ ..24. Draft Stop in Walls (rat proof) ire Stops; Furred Ceilings -Stairs -Chases -Tub & Beam -Size & Bearing 'Header qy angers -Post Caps -Anchors -Connectors Cing. Joist-Rftr._Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng. _ 43' Fireplace Ties or Type A Flue -Fireplace Throat V" Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles _Z'fi+Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions '47- Garage Fire Protection Framing (NOTE: An entry must be made each time youvisit jobsite) COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO - . 7 County Center Drive - Oroville, California 95965 - Telephone 916/534 /41/ _ APPLICATQN AND PERMIT w ASSESSOR PARCEL NUMBER ZON G 0_ Z 30_ BUILDING PERMI OWNTELEPHONE SO. FT. OCC. BUILDING VALUATION OWN R'S MAILIN ESS 113 4' ADD 14-Va , 1 CONTRACTOR'S NAME V TELEPHONE 1 CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNO C Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ 76M BUILDING ADDRESS 3 PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Repair drainage or vent piping 5.00 O r Water piping LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5,00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome2r,"Other SPECIFY Building sewer Lawn sprinkler system 5.00 TYPE OF WORK New E�' Addition ❑ emodel ❑ /Utilities ❑ Installation ❑ Other Describe work: orn�c c�ii Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 5.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST./ DWELLING OCCUP.81% OR ADDNS. l ACC. BLDGS. / 2� sq ft - CONTRACTORS LICENSE LAW I declare under penalty of perjury (Check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. 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 CONSTR .OUTLET 2,50 ea NON-RESID BRANCH CIRC ITS NEW CONSTR I POWER APPARATUS 6 NON-RESID, ISINGLE OUTLET CIR. Ex. Occup OUTLETS OR FIXTURES 50@25 IXED APPLNS. OR EX. OCCUp.�0UTLETS (RESID•) EA. 2.00 Temporary service ' 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 Permit Fee $ Contractor MECHANICAL PERMIT Filing Fee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): F] 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 Compensal-ion Insurance or a Certificate of Consent to Self -Insure. ' 1 shall not employ any person in any manner so as to become subject +� to the W. C. law .of California. Notice to Applicant: If law making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Heating Cooling Hood 3.00 Ventilation Permit Fee S Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all 2liabil'ties, judgments, costs, and expenses which may in any way accrue` County in consequenc of the gr nting of'this perm/ . X Date y� Signature of Applicant - Owner,LYJ Contractor ❑ Agent FJ An OSHA permit is required for excav\\ations over 5'0" deep and demolition or construct- ion of structures ower/3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ `O OccuP. GROUP TYPE OF CONST, I PARCEL PD vagaid HD ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR Oed PUBLIC vo BY PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date �C Receipt No. '7 Ron WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD-APPLI.c ANT