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030-194-004
r 030-19-4-UU4 93-3105 B TABOR, LONNIE 1037 12TH ST, OROVILLE REROOF/SF 030-194-00 - 4' �4-0078P,E TABOR, LONNI--&rVI �A # 10 Ave OROVILL MOBI LEHOME UTILITIES ELEC TRIC L ,GAS LINE 'COMPACTION TEST REQ �9- SUPPORT STRUCT REQ 030-194-004 94-00;8IB,E TABOR, LONNIE & VIVA OROVILLE .1037 12TH ST., NEW.DET SHOP/GARAGE-, Q30-194-004 94-008OMHI TABOR, LONNIE & VIVA .1037 12TH ST.j ORdVILLE INSTALL MOBI LEHOME /� -r^ '9 030-194-004 0)75-2497 TABOR, LD & VIVA LEE 1037 12TH ST., 0 CONT: OWNER ELEC SERV C/O B07-2341 030-194-004 MISCELLANEOUS Water Heater C/O C/O WATER HEATER & ENCLOSE WI 1037 12T' -K ST WYNN, PRISCILLA fool, -0.5o tq q � � �� �. � ��,��.�� � C�� BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #:(530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #:(530)*538-7541 FAX#: (530) 538-2140 WEBSITE: www.buttecounty.net\dds PROJECT INFORMATION Site Address: 1037 12TH ST Owner: Permit No: B07-2341 APN: 030-194-004 WYNN, PRISCILLA Issued Date: 11/16/2007 By GLB Pennit type: MISCELLANEOUS 1037 12TH ST I Subtype: Water Heater C/O OROVILLE, CA 95965 Expiration Date: 11/15/2008 1 Description: C/O WATER HEATER & ENCLOSE (530)534-6 024 , Occupancy: Zoning: AR Contractor Applicant: Square Footage: COMMUNITY ACTION AGENCY OF BUT COMMUNITY ACTION AGEP Building Garage Remdl/Addn 2255 DEL ORO AVENUE 2255 DEL ORO AVENUE OROVILLE, CA 95965 OROVILLE, CA 95965 Other Porch/Patio Total (530) 538-7559 (530) 538-7559 FEE INFORMATION DBP Water Heater (qty) $58.00 Total Charged: $58.00 Fees Paid: $58.00 Balance Due: $0.00 Receipt No: B5329 ,LICENSED CONTRACTOR'S DECLARATION OWNER / BUILDER DECLARATION Contractor (Name) State Contractors License No. / Class Expires I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License COMMUNITY ACTION AGENCY 617201 / B / 4/30/2009 Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license pursuant to the provisions of the Contractor's License Law [Chapter 9 (commencing with Section 7000) is in full force and effect. of Division 3 of the Business and Professions Code] or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects X 11/16/2007 the applicant to a civil penalty of not more than five hundred dollars [$500]; Please check one of the following: ..;�ractors Signat re Date 1, AS OWNER OF THE PROPERTY, OR MY EMPLOYEES WITH WAGES AS THEIR SOLE EICOMPENSATION, WILL DO THE WORK, AND THE STRUCTURE IS NOT INTENDED OR OFFERED FOR SALE (Sec. 7044, Business and Professions Code: The Contractors License Law does not apply to an owner of the property, who builds or improves thereon, and who does WORKERS'COMPENSATION DECLARATION I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: I HAVE the work himself or herself or through his or her own employees, provided that such improvements AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR are not intended or offered for sale. If, however, the building or improvement is sold within one WORKERS' COMPENSATION, as provided for by Section 3700 of the Labor Code, for the year of completion, the owner -builder will have the burden of proof that he or she did not build or' performance of the work for which this permit is issued. improve for the purpose of sale.). HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by 1, As OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Code: section 3700 of the Labor Code, for the performance of the work for which this permit is issued. The Contractor's License Law dows not apply to an owner of the property who builds or improves My Workers' Compensation insurance carrier and policy number are; thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Carrier: CARE WEST INISUR'PolicyNumber:WIO�12 '0"o E,p. D,te:12/11/2007 L - Contractors License Law.). — (This section need not be comFleted it the permit is for 0�6 hui�idre dollars ($100�or less.) 0 1 AM EXEMPT under Section B. & P.C. for this reason: I CERTIFY THA� IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED, I X --4aL 11/16/2007 shall not employ any person in any manner so as to become subject to the Workers' Compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. s Signature Date X 11/16/2007 I hereby certify that I have read this application and state that the above information is correct. I agree to comply with all City and County ordinances, rules, regulations, and State laws relating to building Sig re Date _;Z�KFRS'Ct)MPr ARNIN(': FAILURE TO S R'—ZikERS' C -NRINTION COVERAGE IS UNLAWFUL, const ction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless Butteruounty, its officers, agents and employees from any and all claims and liability for personal AND SHALL SUBJECT A EMPI OYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TOONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, injury, including death, and property damage caused by, arising out of, or in any way connected with the issuance of this permit. I hereby acknowledge that issuance of this permit does not authorize the DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND ATTORNEY'S FEES. use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte County to enter the above mentioned property for inspection'purposes. I hereby certify that I am the property owner or am aut act on the party owners behalf. - CONSTRUCTION LENDING AGENCY 11/16/2007 I HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for of Permittee Date the performance of the work for which this permit is issued. (3097 civ. code) 1:1 Owner Contractor OR: E]Agent for Owner QD�Agent for Contractor FILE COPY Lencler's Address city State Zip 0 BUTTE COUNTY PERMIT DEPARTMENT OF DEVELOPMENT SERVICES NO. BUILDING. PERMIT APPLICATION OFFICE#: (530)538-7541 FAX#:(530)538-2140 A FEE WILL BE. REQUIRED AT TIME OFAPPLICATION Welbsite: www.buttecounty.net/dds BIN 14 "PLEASE PRINT CLEARLY** APPLICANT SIGNATURE X I WORKER'S COMPENSATION i Policy Number Carrier If hiring anyone other than license contra�tors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address DESCRIPTION OR SCOPE OF WORK: OWNER INFORMATION Last Name Q First Name Mailing AddresK city O,C-n, City State State hone Fax Fax El -m -ail ell E2. I (a (7 APPLICANT SIGNATURE X I WORKER'S COMPENSATION i Policy Number Carrier If hiring anyone other than license contra�tors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address DESCRIPTION OR SCOPE OF WORK: CONTRACTOR Name C Address 04 qQ 15 e? .5 city O,C-n, State C—,CL State zip hone Fax E-mail Open ?_lLlov E2. I (a (7 24 1 Class APPLICANT SIGNATURE X I WORKER'S COMPENSATION i Policy Number Carrier If hiring anyone other than license contra�tors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address DESCRIPTION OR SCOPE OF WORK: ARCHITECTIENGINEER Name SRA I Yes I No Address onst. city State C—,CL State zip Phone Fax E-mail Open ?_lLlov State License Number APPLICANT SIGNATURE X I WORKER'S COMPENSATION i Policy Number Carrier If hiring anyone other than license contra�tors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address DESCRIPTION OR SCOPE OF WORK: APPLICANT INFORMATION Name C 0 SRA I Yes I No - Address Z 4 !Ig2 onst. City. t-ro State C—,CL zi 19P _S 9 ,bone 's Fax APPLICANT SIGNATURE X I WORKER'S COMPENSATION i Policy Number Carrier If hiring anyone other than license contra�tors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address DESCRIPTION OR SCOPE OF WORK: — V SRA I Yes I No Occ. onst. Sq FT- Living Garage Open ?_lLlov El , Structure Built without Permits 0 Proposed Change of Occupancy (Note previous use): � AR _U lv� For office use only: Zoning Flo2d SRA I Yes I No Occ. onst. it COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION PERM 7 County Center Drive - Oroville, California '95965 - Telephone (916) 538-75444_ 00 `7 X IT NO. APPLICAtION AND PERMIT — ASSESSOR PARCEL NUMBER 03*0-194-004 ZONING AR BUILDING PERMIT OINE�ON JE & VIVA N TABOR TELEPHONE 534158741 SQ. FT. OCC. BUILDING VALM�ON IINII�T I �INGJI;�;l ST., OROVTLLE CA 95965 CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN — Total Valuation Is Filing Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. — Plan Checking Fee $ 23.00 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS P;Z;r Penalty $ BUILDING ADDRESS 5 D 01 dot 7 e C&LI E ;i9rP;i;;44T, PERMIT FEE $ 23.00 .4A:Rq , _0gpVTT,T.R PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater-- 23.00 Water piping 15.00 LOT N T5 SURD '"s'016MRANS TRACT PA6cE§TP — Y Each gas water heater or vent 15.00 USE OF STRUCTURE SF Q Duplex 0 Mobilehome IR Other SPECIFY Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 _T_ - Mobile Home _FS GFW7— @20.00 AD. 00 TYPE OF WORK New 0 Addition 0 Remodel Q Utilities 9 Installation Q Other 0 DescribeWork: 2 BEDROOMS PERMIT FEE $ Ro-no Cont'ractor ELECTRICAL PERMIT Filing Fee 20.00 Main Service '2' OOV ORR LESS OA 0 LESS 23.00 ()o Main Service 200A TO I OOOA 46.00 NEW CONST. DWELLING OCCUP. OR AODNS. & ACC. BLDS. 0. 3.50'FT. CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one) 1:1 1 am a licensed under provisions of Chapter 9, Division 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification '0' 1 as the owner, or my employees with wages as their sole compensation, will do /-\;he work, and the structure is not intended or offered for sale. (Sec 7044) 0 1, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) 0 1 am exempt under Sec. Business and Professions Code forthis reason NEW CONST, MULTI -OUTLET .NON RESID. 13RANCH CIRCU ITS @7.50 POWER APPARATUS (% & SINGLE OUTLET CIR. Ex. Occup. OUTLET OR FIXTURES 20 @ 1.00 BAL. @ .50 Ex. Occup. 0 FIXED APPLNS. OR UTLETS (RESID .) EA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 2:3. 00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): Q This permit is for $100.00 (valuation) or less. 0 1 have placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or a )<e 'tificate of Consent to Self -insure. ishall not employ any person in any manner so as to become subject to the Worker's compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ 63.00 Contractor MECHANICAL PERMIT Filing Fee 20.00 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 Butte County Ordinances and California State Laws relating to building construction, and hereby authorize representatives of the County of Butte to entet 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 i onsequenc the ranting of this permit. X Date Sign'iture of Appricant - Q OZner Q Contractor C1 Agen An OSHA permit is required for excavations over 5"0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST. TYPE I TOTAL FEE $ 166. 00- HAZ. D.FEES IMP L I I I FLOOD CDr PARCEL I PO 1� HE) 11&U This permit is hereby issued under the applicabl� of the Butte County Code and/or Resoh�*: indicated above for which fees hav-`� DIRECTOR OF PUBLI, By PERMIT EXPIRES ON 4 ReceiptNo. 153993 WHITE-O.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLD ENRO D-APPLI CANT n"PJTYnF . :R"TTE- EPARTMENTni: F1VFj1n-PM F1JT-1SERV1C-ES-B"1LD1Nn ivininm 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNiA95965 - TELEPHONE (916) 538-7541 L � � 0 V-' PERMIT APPLICATION DATA SHEET OWNER V, %j,A 7-A b r.>,t -, /� A. P. No. 0-30,- j ef y - ID -0 y Proposed Building Use L) _Building Inspector Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: All items have been submitted . ......................................... DATE RECEIVED BY 1- 15, Plot plansoh sets, signed by preparer of plans . .. ... ............ Complete plans, 3/4 sets, signed by preparer of plans . ..... Engineered plans and calcs, 3/4 sets,, with wet signature on plans. ........... 5. Hazardous Material Form . .............................................. — 6. Energy Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non -Heated and A/C Buildings . ...................... 8. Engineered truss details and layout in duplicate (required prior to plan check). 3 — 9. Mobilehome data and manufacturer's installation instructions, 2 sets . ........... — 10. Fees of $ . ......................................... 11. Impact fees as shown on attached schedule . ................................ 12 California Department of Forestry plan approval/fees .................... X .... Flood elevation letter (100 year flood by�;alifornia Engineer ............. tt I -qL4 - Sanitation and plot plan approve . Health Department. .7-1D ...... 15. City of Chico plumbing permit ........................................... 16. Plot plan and business license approval from City of Biggs/Gridley . ............. 17. Planning approval for (A) Use: (B) Parking: . ........ 1PJ Contact Land Development about (A) Improvements (B) Drainage ............ 'Driveway permit (construction approval required prior to occupancy) . ............ I,Insp.cb.n request 20 Pre -inspection for required. to Building Inspector (Date) 21. Cont actor's license information. (No., Name Style, Classification) . .............. 22. Certificate of Workmans Compensation Insurance . .......... * ................ 23 Owner -Builder Verification (Given to owner Mail to owner . ........... 64A��4'. Recorded copy of Agricultural Acknowledgement Statement . ................. /,:� 25. Letterof signature authorization . ........................................ 26. Copy of recorded deed of parcel creation and 60 right of way to a public road ...... 27:# Letter of intent on building use . ......................................... 28. Mobilehome utility clearance . ............... 29. Documentation of legal access . ..................... ; .................. 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits . ....................................... 32. Plan check list . ..................................................... 33. -34. When yodissue the permit, process as follows: Mail to owner. Mail to contractor. 71 -- P Telephone 31 IB7 Y/ and hold for pickup at le office. Deliver with inspector. T Other Parcel Creation Acreage Applicant Ac;��Date Copy of Haz-Mat form sent Health Dept. - Fire Dept. _ Air Pdllution Date L-1 — t Copy of plans sent Health Dept. Z— Fire Dept. Other Date By The following data must be submitted nor topermit issuance: (Circle new item not checked above). 1. Index permit for above items Nc 21AC 2. Additional items required: j Contractor, designer, owper,-was advised of above required data by _ phone — mail k—Sounter by Date Contractor, designer, owner, was advised of above required data by _ phone — mail -counter by Date Plans checked by Date Plans approved by !Z:�w Date7—� Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works TO: Building Department FY, Encroachment Permit Section RE: Driveway Clearance owner loCaeion Driveway permit' s i/ature AP # has been issued for the above property. date CO =,Y OF BUTTE - Deoartm6nc of Public Works 7 County Center Drive, Oroville, CA 95965 I OWNER -BUILDER VERIFICATION A.ttention Property Owner: Phone: 916-3,38-7341 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 buildinj permit. No building permit will be issued until this verification is received. I personally plan to provide the major labor. and material for construction of the proposed property improvement (yes or no) 2 1. (h'ave/have not) s igned an app�ication for a building permit for the proposed work. 3. 1 have contracted with the following person (firm) to provide the proposed construction: Name' Address City Phone Contractors License No. 4. 1 plan to provide portions of this work, but I have hired -the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. 5. 1 will provide some of the work but I have contracted (h'ired) the following persons to provide the work indicated: Name Address Phone Type of Work Signed: Property Owner Social Security Number 0ate / ./ J-1 / 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'retiurned to our 6ffic . e*before we are per- mitted to issue the permit. I AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT Division FOR RESEDENTIAL DEVELOPMENT iectio ' n 26-8.1 of the Butte County Code requires this acknowledgement be record prior to issuance of a building permit. The property described herein is adjacent to land or included JAN 18 190'a, within an area zoned for agricultural purposes, and residents of this property may be subject to inconveniences or discomfort arising from the use of agricultural chemicals, 94-002543 including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations r4w COMPARM.,WM4 including, but not limited to cultivation, plowing, spraying, OR I IGINAL DOCUMEW pruning, and harvesting which occasionally generate dust,smoke, noise, and odor. Butte County has established agricultural zones which have as a priority use for productive agricultural purposes and residents within said zones and on adjacent property should be prepared to accept such inconvemience or discomfort from normal, necessary farm operations. I All that real property situate in the County of Butte, State of California, described as follows: —a -/ az- a I I f Lo-"- WL-eLf Dam: 111L State of California County of 8LX-t+'e I /.?, /5;�a 2 -`Zle--�'" PkOPF,RTY- OWNFRS- On /( )LI q 4 before me, 4e-A4-he4- J—, personany appearedLb. T C -->c GLvic\ personally known to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that be/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument, the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. WffNESS m hand and official seal. HEATHER J. MILLER y commtssm #998808 X NWwy Pubft - Caftrni� K BUTTE COUNTY Signatry Seal: My C4mmwalan Expires 8 y '.. JUNE V. 1997 A.P. #0�3c> .154 - (-)6 THERMAI-110- IRRIGATION DISTRI(T 410 GR AND AVENUE 1, S OROVILL . E, CALIFORNIA 95465 TELEPHONE 533-0740 CSA 26 SEWER SERVICE. APPLICATION AND CONNECTION PERMIT Service Address: LA - Owner's Name: I.,-JaLu 6ate: "I t Address: S r e t Acct. No: A.P. No.: 126 Phone: No. Units: t,% Applicant/Agent: Agents Proof: Address: Fees: Phone: Application Arrearage Preliminary Review By: Date: CSA 26 Remarks: r. PL J: SC -OR j I. i,, r v n_, L 1 St Mo. S.C. It 0 Other Total F ees Collected B Y' Date: Field Review By: Date: Remarks: MONTHLY SERVICE CHARGES WILL COMMENCE AUTOMATICALLY UPON: 0: Date of TID approval of completed building sewer (early connection). EJ 30 days after date above, or on date of D.P.W. approval of completed building sewer, which ever comes first ("existing construction", prior to Mar. 5, 1974). R 180 days after date above, or on date of DY.W. approval of completed building sewer, which ever comes first ("new construction", after Mar. 5, 1974). DISTRIBUTION: WHITE - TID, YELLOW - APPLICANT, PINK - DPW, GOLDENROD - DPW to TID ....... . . I Z. p . cl-) 1+0 7+ 14-j — /—u7,a A4~e,� Ir—;Al DATE RECEIPT TOTAL TENTATIVE CHECK& STREET NO. RECEIVED ERIS I MAPS I INSPECT SIGNS OTHER APPLICANT RECEIVED FROM 3'0 /9 4- OFFICIAL RECEIPT COUNTY OF BU17E DEPARTMENT OF PUBLIC WORKS LAND DEVELOPMENT SECTION RECEIPT 14074 I WIN " 0 - I - 030-194-004 94-0078P,E TABOR, LONNIE & VIVA 1037 12TH ST., OROVILLE..., MOBILEHOME UTILITIES f OFFICE COPY Address GAS Date Meter By JIC t ELECTRIC Date Meter By, JOB FINALED (pate) Signature," V OK , 0 Not OK - =.Not Applicable * = Not Rea�y MOBILE HOMES Date/Initials MQJHLE HOME UTILITIES (Plans) OK except #'a 41rZonlhg Requirements-Setbacks-Eaeoments . Soj*'Speclal MH Support Sketch 4.3�qwer- Location -Test -Fall -C/0 Concrete j::;4"W!Lpr; Location -Test -Easement Needed (Sketch) - 15,,-6ectricity; Location-Clearences-Grnd-/07Amp-Concrete 6. GIs; Location -Test -Wrap: Af-1--ft. /�V'Nat. or/ /"L"ft./ /"LPG ::A�el -warance & Disconnect LO"Utility Clearance L,A' Zoong Requirements -Setbacks Easements /,2-fqotings; size_spacing-Marriage Line 1,�Gw. MH Test-Demand-Valve—Connector 1,4'ElWricity; MH Test-Crdasovere-Breakers-Clearances (,��in; MH Test -Fall -Flex Connector 1,C Wate`i: MH Test-Reaulator-Connector 1.,r Wgtqr and Sewer Connected -C/0 to Grade -HD Approval . Gas and Electricity Tagged L,41r."Ex.1ts; Insp.-Sketch 60f'bert. of Occupancy 63 C ,f 4 . L � 2-� 0377 MISCELLANEOUS Date/initial DECKS, COVERS, CARPORTS, QARAGES, (Plans)OK except #*a 1. Zoning Requirements -Setbacks -Easements 2. Footings; Sol Is -Size -Depth -Spacing -Con nectors-Steel 3. Decks; Griders and/or Joists-Docking-Bracing-Stairs-Ralls 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg.-Rfg .-Bracing 5. Alum. Awn.; Columns-Connections-Splice-Docal-Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing-Veneer-Stucco-Mosh 10. Roof; Shthg-Rooflng 11. Ext.; Steps -Doors -Landings Date/Initials POOLS (Plans) OK except #'a 1. Setbacks- Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness bead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.;Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5'Circulating Equip. -Pool Lghtg. Boxes-Enclosu res-Panelboards- Ins. to Main In Conduit 9. Health Department Approval 10. Plumb.; Cir. Test-Water'Supply Test V = OK 0 = Not OK Not Applicable Not Ready RESIDENTIAL (Single & Duplex) Date/initials UNDERFLOOR (Plans) OK except #'a 1. Zoning-Sertbacks-Easements-Flood-Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ P' Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Sternwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall-Fifting-Test-2 Way C/0 -Sewer Test 10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test 11. Water Pipe; Test-Anchor-Reguidtor-Service Test 12. Electric; Underground 13. Plenums & Ducts; Clearance -Material -Support -ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation 16. Insulation Date/Initials PLUMBING (Permit) OK except #'a 16. Water Htr.; Vent-Access-Combustlon Air -Baffle 17. Water Pipe; Test & Anchor -Nail Protection 18. D.W.V.; Test -Fittings & Anchor -Nail Protection 19. Shower Pan; Test, First Floor -Tub Access 20. Test Tub & Shower, Second Floor -Tub Access 21. Gas Pipe; Size & Anchors Date/initials ELECTRICAL (Permit) OK except #'a 22. Fixture & Transformer Clearance -ins. Protection 23. Elec. Receptacles SpAcing-Lights & Switches at Doors 24. Size Boxes & No. of Conductors -Stapled 25. Romex Installed Close to Edge of Studs & C.J. 26. Equip. Ground made up w/Mech. Fastners-Bond Gas & Water 27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI 28. Subfeed Wire Size ga. Cu or Al-A.C. Wire Size ga. Cu or Al 29. Range Circ. ga. Cu or Al -Oven Circ. ga. Cu or Al. Insulated Neutral 0 Yes 13 No 30. Service -Riser Conductors & Ground -Main Disconnect 31. Equip. Clearances Pane Is -Motors- Mach. Equip. 32. Clothes Closet Light -Shower Light -Spa Light 33. Smoke Detector Date/initials MECHANICAL (Permit) OK except #'a 34. A.C. Ducts Insulation & Support 35. Vent Fan; Exhaust above Insulation 36. Condensate Drain & Overflow; Size & Grade 37. Furnance-Vent; Access -Comb. Air -Return Air Vent -1 15 outlet 38. Attic Access & Platform if Furnance in Attic Date/Initials FRAMING (Plans) OK except #'a 39. Sils, Proper Material & Anchors 40. Walls Studs -Nailing, Spacing & Bracing- Plates -Sou nd 41. Bearing Walls over Girders & Floor Nailing 42. Draft Stop in Walls (rat proof) 43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 44. Headers & Beam -Size & Bearing Date/initials FRAMING (Continued) , 45. Hangers -Post Caps -Anchors -Connectors 46. Cing. Joist-Rftr. ties-Puriln-roof Brac-Truss-Shthng.-Rfng. 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 49. Bdrm. Windows or Exiting Doom -Sill Hgt. & Dimensions 50. Garage Fire Protection Framing 51. Property Line Firewall & Openings 52. Ext. Doors -One T -Check Garage -3rd Story, 2 Exits 53. Stairs; Width -Head room -Rise -Run -Landing -Fire Protection 54. plywood on Roof Overhang-AttIc Vents -Rafter Outriggers 55. Siding-Nalling Veneer 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 57. Glazing Area -Glass Protection -Skylights -Plastic 58. Shear Walls; Nailing -Bolts 59. Insulation -Walls -Ceilings 60. Infiltration -Walls -Windows Date/Initials FINAL (Plans) OK except #'a 61. Ext. Steps -Door & Sidelight Protection -Land Ingo 62. Smoke Detector . 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 64. Bedroom Exiting 65. G.F.I. & Bath Fixtures & Tub Access -Spa 66.. Elec. Trim & Subpanel; Breaker Sizes & Labels 67. Stairs & Rails 68. Fireplace or Stove; Clearances -Hearth 69. Elec. Outlets at Wood Panel; Int. & Ext. 70. Kit.Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance 71. Elec. Outlets & Receptacles at Kit. Counter 72 Garage Fire Door Swing -Landing -Closer 73. A.C. Duct In Garage -Damper 74. Wtr. Htr.; Vents -Clearance -Comb. AJr-Connector-P.R.V. In Garage; Above Floor-Mech. Protection 75. Plb., Elec. & Mach. Equip. Listed for Location 76. Elec. Receptacles In Garage; (G.F.I.)-Romex Protection 77. Insulation -Foam -Looked In Attic 0 Yes 78. Guard Rails & Dock Construction -Post Caps 79. Fdn. Vents & Crawl Hole Door-Drainag & Wood -Earth Clearance Looked under Floor Yes 80. Following instid.; Drive 13 Yes 0 No; Walks 13 Yes 0 No; Planters 13 Yes 13 No 81. Stucco; Brown -Finish 82. A.C. Unit; Disconnect, Electrical, Plumbing 83. Vents Above Roof; Plbg.-Appliance-Fireplace.-Clearance to Openings 84. Water Well; Disconnect, Electrical, Plumbing 85. Exterior Elec. Trim; G.F.I. Receptacle-Underg round 86. Ventilation Throughout House 87. Glass Protection 88. Corrections from Previous Inspections 89. Gas Test -Meters Tagged; Gas -Electric 90. Water & Sewer Connected -C/O to Grade -HD Approval 91. Energy Compliance Certificate -Other Certificates Comnwnts at Final: MOBILEHOME INSTALLATION ACCEPTANCE COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS — 7 COUNTY CENTER DRIVE OROVILLE, CALIFORNIA — 534-4541 PERMIT NO. Address or location of mobilehome Owner's name Owner's address V 7 9 Insignia or hud number C 7-7 Manufacturer I s name Serial number of V.I.N. 114-1/2 Year of manufacture (Official ApF�roving Installation) (Date) IF THE MOBILEHOME IS MOVED OR RELOCATED, THE MOBILEHOME INSTALLATION ACCEPTANCE SHALL BECOME INVALID. THIS FORM SHALL NOT BE USED WHEN THE MOBILEHOME IS INSTALLED ON A FOUNDATION SYSTEM. 0 0/ 5138 White Owner, Yellow - Installer, Pink D.P.W. COUNTY OF BUTTE - DEPARTMENT OF DJEVELOPMENT SERVICES - BUILDING DIVISION 7 Cou0ty Center Drive - Orovifle, �:alifornia 95965 - Telephone (916) 538-75 PERMIT NO. APPLICATION AhD PERMIT �q_ 00go ASSESSOR PARCEL NUMBER 030-194-004 ZONING AR BUILDING PERMIT OwN'LONNIE & VIVA TABOR TEL n4�08741 SQ. FT. OCC. BUILDING VALUATIWZ OWNJU�3714-rnr ST., OROVILLE, CA 95965 CONTUflPIMAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ 23.00 ARCHITECT OR ENGINEER UCENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Zm7 4!5- 190 Penalty $ BUILDING ADDRESS OROVILLE PERMIT FEE $ 43.00 PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 LOT NJ.5 SUBDIVISIOPRWStKRANS TRACT /,O"WAP Each gas water heater or vent 15.00.1 USE OF STRUCTURE SF 0 Duplex 0 Mobilehome Other SPECIFY Gas piping system 1 5 outlets 15.00 Building sewer 15. Mobile Home S G I W dOO 0 2 _00 TYPE OF WORK New 0 Addition 0 Remodel 1:1 Utilities 0 Installation Other Q DescribeWork: PERMIT FEE $ Contractor ELECTRICAL PERMIT Filing Fee 20.00 FOR UTIL PERMIT#q4--6o?9 Main Service 2100V OR LESS I GOA OR LESS 1 23.00 Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. & ACC. BLOS. 3.50 STOL CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one) Q I am a licensed under provisions of Chapter 9, Division 3 of the Business and P f ions Code and my license is in full force and effect. r �O' .,,�ense No. Classification . as t s E _y -o- I as the owner, or my emplo ees with wages as their sole compensation, wilFd ;he work, and the structure is not intended or offered for sale. (Sec 7044) I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) 0 lam exempt under Sec. Business and Professions Code forthis reason NEW CONST. MULTI -OUTLET .NON-RESID. BRANCH CIRCUITS @7.50 POWER.APPARATUS ) ( 8, SiN-G..L. OUTLET CIR. Ex. Occup. OUTLET OR FIXTURES ) 20 1.0ro BAL. .50 OFIXED A PLNS..OR Ex. Occup. UTLETS P(RESID I EA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): 0 This permit is for $ 100.00 (valuation) or less. 0 1 have Waced on file with the County of Butte Dept. of Development Services, Buildirib Division a Certificate of Workmen's Compensation Insurance or a ,_Ie -e ificate of Consent to Self -insure. is rt hall not employ any person in any manner so asto become subject to the Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Contractor I certifythat I have read this application and state thatthe above information is correct. I agree to comply to all Butte County Ordinances and California State Laws relating to building construction, and hereby authorize representatives of the County of Butte to entei 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,�J/he gVnting of this permit. X Date Si6ndf ' of Appl�lca_nt 'ner uTe qs�o �v 0 Contractor d Agent An OSHA permit is r6qui�ed for excavations over 5"0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ 100.00 Energy Inspection Fee $ C CONST. TYPE TOTAL FEE $ 143. 00 L IMP FLOODTCDF PARCEL PID I HD 1,J86 This permit is hereby issued under the applicable of the Butte County Code and/or Resolutions indic>aabove for which fees have been IRE TOR OF PUBLIC WORKS By PERMIT EXPIRES ON atei provisions to do work paid. ate 014 -7h -7, Receipt NO. 15-31-9 5- WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT '�'VELIOPM I ENT SERVICES - BUILDING DIVISION COUNTYOF BUTTE - DEPARTMENTOO Df I 7 COUNTY CENTER DRIVE - OROVILLE,CALIFORNIA95965 -TELEPHONE (916)538-7541 I OWNER U, Proposed Building Use_ PERMIT APPLICATION DATASHEET '00 b rol eiql A. P. No. Building Inspector C,, L Date 16- 'If At time of permit application, I was advised the follo'winb data must be sug1mitted prior to permit processing and/or issuance: DATE RECEIVED By 1 All items have been submitted . ........................................ 2. Plot plans, 3/4�e I ts, signed by preparer of plans . .......................... 3- Complete p1ghs, 3A sets, signed by preparer of plans . ...................... A. Engineered plans and calcs,,13/4 sets, with wet signature on plans . ............. 5. 6. Hazardous Material Form. ............................................. Energy Design Compliance ind supporting documentatiQry ................... 7. Statement of Intent for Non -Heated and A/C Buildirig's . ........ ; .............. Engineered truss details and layout in duplicate (required prior to plan check). _A0. 91KNJ. Mobilehome data and mant.1facturer's installation instructions, 2 sets . ........... F ees of $ . .......................................... impact fees as shown on attached schedule ............................... Q SIM 12. California Department of Forestry plan approval/fees ......................... 13. Flood elevation letter (100 y�ar flood) by California Engineer ................... 14. Sanitation and plot plan appfoval Health Department . ............ — 15. L City of Chico plumbing permit .......................................... — 16. Plot plan and business license approval from City of Biggs/Gridley . ............. 17. Planning approval for (A) Usq: (B) Parking: ........ 18. .. Contact Land Development ibout (A) Improvements (B) Drainage ............ 19. Driveway permit (constructi6h approval required prior to occupancy). . . . * * 20. ; �64dest required. Pre -inspection for t'.-13u�,1sdP.:*gc'1*-nspector (Date) 21. Contractor's license informitiori!(No., Name Style, Classification) . .............. — 22. Certificate of Workman`�s Compensation Insurance . ........................... 23. Owner-Buifder Verificatio* n (Given to owner , Mail to owner ) . ........... -copy 24. Recorde� of Agricultural Acknowledgement Statement . .................. 25. Letter of signature authorization . ........................................ 179. rnnv of recorded deed of parcel creation and 60 right of way to a public road . ..... of intent on building use . ......................................... :::=Wetter Mobilehome utility clearance . .......................................... 29. Documentation of legal access . ..................... ; .................. 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits ........................................ 32. Plan check list . ..................................................... 33. 34. When ou issue the permit, process as follows: Mail to owner. Mail to contractor. i�y Telephone )q -437Y ( and hold for pickup at _ 6a o b4llt- office. Deliver with in s'pector. Other Parcel Creation Acreage Applicant 1,41;k Date Copy of Haz-Mat form sent Health Dept. -- Fire Dept. _ Air Pollution Date Copy of plans sent Health Dept. _ Fire Dept. �� Other Date By_ The following data must be submitted 1. Index permit for above items No. 2. Additional.items required: ircle new item not checked above). Contractor, designer, owkei�r was advised of above required data by 1::--'-h p one —mail Counter by6?Datd Contractor, designer, owner, was advised of above required data by _ phone — mail C ter by Date Plans checked by Date Plans approved by_ Date -27/ ) P Y Sets of plans on hold in File:icabinet AP folder J Copy - Department of Public Works COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE CA 95965 - TELEPHONE (916) 538-7541 OWNER Vj V/9 A.P. # PROPOSED BUILDING USE DATE— REC. # DATE REC SCHOOL DISTRICT FEES U 14-5,9 2. (paid at District Office) ......................... SHERIFF FEES (paid at Building Department) Resi.dential ...... x 3 CC> unit amt. Commercial (sqft) x =$ 'i q. —ft . amt. 3. URBAN AREA FEES (paid at Building Department) Residential (per unit) x —amt. # units Commercial (per sq. f t) —X- sq.ft. amt. 4. RECREATION DISTRICT FEES (paid at District Office) ......................... 5. DRAINAGE DISTRICT FEES (Contac� Land Development Division) ............... 6-- SRA FIRE INSPECTION AND PLAN CHECK $89.00 ...... .(paid at Building Department) 7. OTHER 8. OTHER At time of permit application, I was advised the above fees are required to be paid prior to issuance of the permit. ,APPLICANT DATE COUNTY OF BUTTE --Deoartment of Public Works 7 County Center Drive, broville, CA 95965 Phone: 916-538-7341 OWNER -BUILDER VERIFICATION A.ttention 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 buildinj permit. No building permit will be- issued until this verification is received. 1. 1 personally plan to provide the major labor and aterials for construction of the proposed property (yes or no) I 2 1.(have - /have not) i�p signed an appli(Tation for a building permit for the proposed work. 3. 1 have contracted with the following person (firm) to provide the proposed construction: Name' Address City Phone Contractors License No. 4. 1 plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address. City Phone Contractors License No. 5. 1 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: Prope Socia Date NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and .1.19832 of the California Health and Safety Code. This verification must be completed and'returned to our o'ffice'before-we are per- mitted to issue the permit. BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA PHONE: 538�7541. MOBILEHOME INSTALLATION SHEET 1. Owner's Name: 2. Installer's Name: (I)vg, -40 & -44 A:;Z=C 3. Is the site currently under permi Yes No (if yes, furnish permit number 0-3 (-)/-j OR r) Is the site an existing site? Yes -No (If yes, furnish two plot plans.) 4. Will the mobmilehom&be�located at least -5 -ft,.. away from septic tank and leach fields and clear of all se tbacks and easements? Yes No (If no, clarify A P, V sL_tPR^VED 5. What is the mobilehome electrical rating? ---------------- Amps 6. What is the mobilehome site service rating? ------------- Amps 7. What is the mobilehome site circuit breaker rating? ----- Amps 8. Is there any other electric load to be served by the -------------------------------- Yes N' F -VT L_ mobilehome site service? o _A (If yes, identify the load and size: (Load) (Amps) 9. What is the mobilehome site gas pipe size? -------------- - (in.) 10. What is"the type of�gas service? --------------------- Natural LPG 11. What is the gas pipe length from meter or tank to the mobileh.ome? ----------------- ----------------------------- (ft.) 12. What is the mobilehome gas demand? -------- I ----------- A/ 660 (BTU) *(This information not required if pipe.length less than 6 ft. on n.atural gas or less than 50 ft'.'on LPG.) R '1V NJR0 TY NEXT PAGE T.BE COMPLETED TO PROCESS PER% Tj M�.U, �QAT-T A P, V sL_tPR^VED MOBILEHO'NE SUPPORT DATA Mobilehome Mfr. a/ Z If other than single wide, Year 4n^- j furnish Set:up Model No. Width (ft.) Box Length "(ft.) Tagalong or Exp'ando Size ft. x ft. on all mobilehomes manufactured -after October 7, 1973, furnish manufacturer's installation manual and structural setup sheets (if not on file with the County of Butte). FOOTINGS (check one)Ftv 11. Wood -pressure treated or foundation grade.[�]�2 other (specify) SUPPORTS'(check one) 1. Concrete block. 2. Other (specify) Pier Footing Sizes and Locations SINGLE -WIDE 00 P( MULTI -WIDE Line 1 2 Line 2, = Main Beams 1-ine 2 Line Main Beams �Line Line 1 L ine Tag or Triple Line Line 1 Piers: Line 1 Openings: Size -Min - ------------ Size -Min.--- --------------- Spacing-Max - --------- Each Side of Openings From Ends -Max -------- With Width Over --------- Line 2 Piers: Size -Min ------------- Spacing-Max ----------- From Ends -Max -------- Line 3 Roof Loads: Line 3 Piers: (Under Bearing Wall Only) Size -Min ------------------- Spacing-Max ---------------- From Ends -Max -------------- Size-Min ------------- 11x 1. .,X' 'Ix .1x Location (From Front) . . . I Line 4 Piers: Size -Min ------------- Spacing-Max ---------- From Ends -Max -------- e 5 Piers: (Under Bearing Walls QnLy)_ Size -Min ------------------- Spacing-Max ----------------- From Ends -Max -------------- Line 5 Roof Loads: Size -Min ------------- 1.x d "x .1 .11 t"x Ix I I 11x I Location (From Front) BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One Form Per Building) School. District A.P. Number /N—OZ21u'risdiction Property Owner V 1/,V r,4,3C),7— Property Location/Address Abdivison Lot No. Building Department No City E:�KCounty lia=pent Commercial/industrial -B ,gilding Depa ntative (Floor Plans reviewed by School District Personnel) /// Date District Identification No. 940106 School District certifies that VIVOL (Applicant) - 1--L-K (Street Address) (City) (State) Elm (f)ec- (Group R) (Including Exterior Roofed Areas),, - (Phone Number) (Zip Code) has complied with the requirements of Resolution No. Xb qD by payment of $ 4 I representing square feet. 11 School District R Date Pai d by Check Number Remarks: TkNA-1;111 -Alle., Bank Number Wjl� !(PL I - Paid by Cash VT( _wtt" If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act (CEQA), this project may be subject to additional school fees to fully mitigate its impact on the school district's schools. White (applicant), Yellow (building department), Pink (school district) feeform.wkl (4/92) E�� = Sq. Footage No. of Living MHI Addition Units Sq. Footage New Addition ntative (Floor Plans reviewed by School District Personnel) /// Date District Identification No. 940106 School District certifies that VIVOL (Applicant) - 1--L-K (Street Address) (City) (State) Elm (f)ec- (Group R) (Including Exterior Roofed Areas),, - (Phone Number) (Zip Code) has complied with the requirements of Resolution No. Xb qD by payment of $ 4 I representing square feet. 11 School District R Date Pai d by Check Number Remarks: TkNA-1;111 -Alle., Bank Number Wjl� !(PL I - Paid by Cash VT( _wtt" If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act (CEQA), this project may be subject to additional school fees to fully mitigate its impact on the school district's schools. White (applicant), Yellow (building department), Pink (school district) feeform.wkl (4/92) 'C 0.' E �iUILDIFCG�DIVISION DEPAWTM� T OF DEVELOPMENT SE'RVICES 1469 Humboldt Road, Chico, CA - (616) 891-2751 7 County Center Drive, Oroville, CA -,(916) 538-7541 747 Elliott Road, Paradise, CA - (91.6) 872-6307 CORRECTION NOTICE owKER PERMIT 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 work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. L. 111�' "IV '111� Z>- - , L - .'-' - - - - / If Date /7 --JIF4 inspector REV 10/9' BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING, PERMIT 24 HOUR -INSPECTION #: (630) 538-7636 (OROVILLE) (530) 891-2834 (CHICO). . OFFICE #: (530) 538-7541 PERMIT NO. BP052497 PERMITS BECOME NULL AND VOID I YEAR FROM THE DATE OF ISSUANCE, OR IF WORK IS DONE IN VIOLATION OF ANY COUNTY OR STATE LAWS. 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: 09/15/2005 APN: 030-194-004-000 the Business and Professions Code, and my license is in full force and effect. 'LicenseClass: License Number: Site Address: 1037 12TH ST ORO Date: Contractor: Map Index: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am' exempt from the Description: REPLACE ELECTRICAL SERVICE BOX Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior' Owner: TABOR L D & VIVA LEE JT 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 1037 12TH ST 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 95965 she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the to Kill penalty of not more than five hundred dollars ($500).): ;applicant 1. as own 7�er 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: TABOR L D & VIVA LEE JT owner of property who builds or improves thereon, and who does 1037 12TH ST such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for OROVILLE, CA sale. If however, the building or improvements are sold within one 95965 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 sale.). 1, 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, Contractor: and who contracts fbr such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). I am Exempt under Article 3 of the Business and Professions Code Date: F__L1:_0110_W er: n License #: WORKERS'COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: 0 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. Architect: CI I have and will maintain workers' compensation insurance, as Engineer: required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier: Total Square Ft: 0 S. F. Policy #: Valuation: $0.00 0 1 certify that in the performance of the work for which this permit is Census Code: issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California and agree that if I should become subject to the workers compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. 0. Date: Applicant: WARNING: Failure to secure workers' compensation 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 is hereby issued under the applicable provisions of the Butte County Code and/or I hereby affirm that there is a construction lending agency for the Resolutions to do work Indicated above for which fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) -*'m �,nn � R cis Name: By: I atNIA, poy Date: IrS_Oco Address: PERMIT EXPIRES ON: (Date) 13 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. 0, Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. 0 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 duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby 'authorize representatives of Butte Co t I I on the above mentioned property for inspection purposes. Print Name: —0 Signature: 6 Date: El Contractor Q ,12-dw-rier Agent for Owner El Agent for Contractor NOTES C\) RESIDENTIAL PERMIT NO. �00-1§4-604 05-24§� TABOR, LD & VIVA LEE 1037 12TH ST., OROVILLE CONT: OWNER ELEC SERV C/O SPECIAL CONDITIONS CHECKED. BY SRA — FLOOD CERTIFICATE REQ. — FIRE SPRINKLERS REQ. — SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB'STANDARD HOUSING LETTER tj - (o Z' JOB FINALED (Date) 4 = OK o = Not OK - NotAppficable = Not Ready MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK expept #s 1. Zoning Requirements-Setbar-ks;-Easements 2. Soils; Specidl MH SuppoA Sketch 3. Sewer-, Location-Test-Falf-CIC�-Concrete 4- Water, Location -Test -Easement Needed (Sketch) .5. Electricity; Location-Clearances-Gmd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap -.4 L *fL,: P N . aL or/. L -AJ 'fLPG 7. Well.Clearance & Disconnect 8. Utility Clearance, 10. Roof. Shthg-Roofing Date Card B-1 Date Card B-1 Date Card B- I -Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except 9's 1., Zoning Requiremerits-Setbacks-Easements 2- Footings; Size-Spac: ing-Maniage Line 3. Gas; MH Test-Detnand-VaINie-Connector 4. Electricity; MH TestLrmi�sovers-Breakers-Clearwces S. Drain; MH Test-Fall-Flek Connector 6. Water MH Test-Regulator-Connecto� 7. Water and Sewer.Connected-C/0 to Grade -HD Approval 8. Gas and Electricity Tagged 9. Tie Downs�Type-lnstallation Z�_ert� 10. Exits; Insp.-Sketch 11. Cert. of Occupancy Date Card B-1 Date. -Card B-1 Date Card B1 Date Card B-1 Date PERMANENT END SYSTEM (ONLY) 1. Zoning RequiterfiiE��-Sett4cks-Easp-ments 2. Fooupgs; m&ScYiapg!4 e Line" 3. Bbcmii� 4.` Gas; MH Te_ctVDem'and_vaIvd'� S. -Electicity; MH Tdst .6. Wate!-, MH Test --7.-. Water. and SeweiCohnected 8. GasandElectricTa§§id". .,Q. `:io.:Limv�e Decals 7 11. Verify-Wswith Offic&'_ Date Cud B-1 'CWe Card B-1. Date. Card B-1 Date Card B-1 v MISCELLANEOUS Date DECKS, COVERS, CARPORTS. GARAGES (Plans) OK except 9's 1. Zoning Requirements-Setbacks-Easerbents 2. Footings; Soils-S!7e-Depth-Spacing-Connectors-SteeI 3. Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams7Rftrs-Connectors Shthg-Frg-Bracing 5.- Alum. Awn.; Columns-Coi-inections-Sprice-.Deca[,Enciosures 6� CArgorts; Windowi-Doors 7. Electric 8. Frmg.; Sills-Anchors-Sbids-Rftrs-Trusses 9. Sicring; l4ailing-yeneer-Stu=6-Mesh 10. Roof. Shthg-Roofing 11. ExL; Stiips-.Doors-Landings, *.:,.12- Braced Wall P2ihpls Date Gard B-1 Date Card B-1 Date Card B-1 Date -Card B-1 Date POOLS (Plans) OK except Ws 1. Setbac.ks-Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; SteeWonnections-Thicknew . Pead.Men-Lining. 4. Elec.; Receptacles and Lighting, Pistance-GFI 5. Elec.; Pool Lighting; IS Vbfts-GFI 6. Elec.: Enclosures; Conduit Entries-Terininals-Listed Elec.; Bonding; Metal w/T-CirCUlating Equip. -Heater 8.: Sec.- Gmundin�-, E4uio. WV�:irdulatting Equip. -Pool Lghtg. Bo,�s-Eclo.,,es-Panetb,,,,d,-Ins. to Main Conduit .9.- Healthl)e0aitmentAppriwall" 10._ Plumb.; Cir. Test-Watei Supp �y. Test 1 I.,-Ught Niche 12. Enclosure; Fencing -Alarms Date .�qard B-1 Date Card B-1 Date Card B-1 Date Qird B-1 OK Wot OK Nat Appricable RESIDENTIAL (Single' & Duplex) Nat Rr-dy ite UNDERFLOOR (Plans) OK except U's * 1 . Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Gmd.-/ . /" Ftg. Depth 3. Ftg.. Garage; Soffs-Steel-Elec. Gmd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils-Steek/ Ftg. Depth S. Sternwalls. Main; Steel-Blockouts-WrApped 6. Sternwalls, G�jmqe; Steel-Blockouts-Wrapped 6a- Hold Downs and Special Anchors T. Slab, Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. DXV.; Fall -Fitting -Test -2 Way C/0 -Sewer Test 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--Mateiial-Support-Ins. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 15. Access & Ventilation 16. Insulation )ate Card B-1 Date Card B-1 )ate Card B-1 Date Card B-1 )ate PLUMBING (Permit) OK -except #'s 17. Water Htr.-, Vent-Access-Comb6stion Air Baffle 18. Water Pipe: Test & Anchor -Nail Pmtection 19. D.W.V.: Test Fdtings t Anchor -Nail Protection 20. Shower Pan; Test First Floor -Tub Access 21. t�st Tub & 8hower, Siecond 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 BA Date ELECTRICAL (Permit) OK except Vs 24.- Fixtu're �& Transform'ef Clear6ince-Ins. Protection 25. Elec. Receptacles Spacing-Ughts & Switches at Doors 26. SiZe Boxes & No. of Coniductors 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. Sutifeed Wire Sizel- /ga. Cu or Al -A -C. Wire Size/ /ga Cu or A] 31. Range Circle/ /ga Cu or Al -Oven Circ. /ga Cu or Al Insulited Neutral 0 Yes 0 No 32. Service -Riser Conductors & Ground Main Disconnect 33. Equip. Clearances Panels-Motors-Mech. Equip. 34. Clothes.Closet Ught-Shower Light -Spa Light 35. Smoke Detector Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 36. A.C. Ducts Insulation & Support 37. Vent Fan, Exhaust above insulation 38. Condensate Drain & Overflow, Size & Grade 39. Fumace-Vent Access -Comb. Ait-Retum Air Vent 115 Outlet 40. Attic Access & Platform H Furnace in Attic Date Card B- I Date Card B-1 Date Card B- I 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 Cel ings-Sta7irs-Chasers-Tubs 46. Headers & Bearns-Size & Bearino Date FRAMING (Continued) 47. Hangers -Post Caps -Anchors -Connectors 48. CAing. Joist-Rftr. Ties-Purfin-Roff Brac.-Truss-Sh-ting.-Rtng, 49. Fireplace Ties or Type A Flue-Fir-eplace Throat Clearance �0- Attic Access; Size & Romex Protection -Draft Stop -ins. Battles 51. Bdrm. Windows or Exiting Doors -Sill HL & Dimensions 52. Garage Fire Protection Framing -RC Channel 53. Property Line Firewall & Openings - 54. Ext. Doors -One X -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. Verits-Underfir Access 59. Glazing Area -Glass Protection -Skylights -Plastic 60. Shear Walls; Nailing -Botts 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- I Date FINAL (Plans) OK except Vs 64. Ext. Steps -Door & Sidelight.Protection-Landings 65. Smoke Detector 66. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Fl*oor-Ducts-Mech. Protection 67. Bedroom Exiting 68. G.F.I. & Bath Fuctures & Tub Access -Spa 69. Elec. Trim & Subpanel, Breaker Sizes & Labels 70. Stairs& Rails 71. Fireplace or St6ve, Clearance -Hearth 72- Elec. Outlets at Wood Panel, InL & Ext. 73. IGL Fixt. & Appliance; Ground -Air -.Gap -Cooking Clearance 74. Elec. Outlets & Receptacles at Kit. Counter 75. Garage Fire Door Swing -Landing -Closure 76. A.C. Duct in Garage -Damper . 77. Wtr. Htr.; -Clearance-Comb. Air Connector-RR.V. . in Garage: Above Fbor-Mech. Protection 78. Plb.; Bec. & Mech. E4uip.' Listed for Location 79. Elec. Receptacles in Garage (F.FQ-Romex Protection 80. Insulation-F6am-Looked in Attic 81. Guard Rails & Deck Construction -Post Caps 82. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor - 13 Yes 83. Following tnstIdJDiive 0 Yes 0 Nofflalks D Yes 0 N(W�ers 0 Yes - 0 No 84. Stucco Brown -Finish aS. A.C. Unit Disconnect, Electrical -Plumbing 86. Vents Above Roof, Prog-Appriance-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 Test7Meters Tagged, Gas -Electric 93. Water & Sewer Connected -C/O to Grade -HD Approval 94. Energy Compliance Certificate -Other Certificates 95. Address Posted 96. Fire Sprinkler Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: Tr BUTTE COUNTY 0 DEPARTMENT OF DEVELOPMENT SERVICES 0 BUILDING PERMIT APPLICATION 0 AND SUBMITTAL REQUIREMENTS 0 24 HOUR.rNSPECTION#: OROVILLE: (530) 538-7636 - CHICO: (530) 991-2834 0 OFFICE 9: (530) 538-7541 A FEE WILL BE REQUIREDAT TIME OFAPPLICATION Website: www.buttecounty.net/dds "PLEASE PRINT CLEARLY" OWNER INFORMATION Last Name 75 b F' t Name Ito RN f Address City L) VC _j State(, zi p q _q q 6 Phone —5a !i_ Fax E-mail APPLICANT INFORMA TION CONTRACTOR Name City Address Zip City Fax State Zip Phone Map Book Fax E-mail Planner Lic. # . Class I APPLICANT INFORMA TION ARCHITECTIENGINEER Name City Address Zip City Fax State Zip Phone Map Book Fax E-mail Planner State License Number APPLICANT INFORMA TION Name S -P 14, 0 uJ Address City State Zip Phone Fax E-mail APPLICANT SIGNATURE X 'e_2 For office use only: Zoning AP# /� -a -7 Flood Zone Property Address SRA Yes I No Oce. I Type Const Subdivision Name Map Book I Page Carrier Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS PERMIT NO. a] BIN H Description or Scope of Work: R—e R A2 C-0— C a Sq FT- Living Garage Open Cov 0 Structure Built without Permits 11 Proposed Change of Occupancy (Note previous use): EXPIRATION OFAPPLICATION 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. Received by: 10, Amount: �00 Bldg SRA Receipt#: 43%0 Sheriff —SMIP IDate: 1 —1;-0 5 r— Other D5.00 Total PROJECTLOCATION AP# /� -a -7 W wo�%A Property Address City Cross Street Do d- q -Q- 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 Description or Scope of Work: R—e R A2 C-0— C a Sq FT- Living Garage Open Cov 0 Structure Built without Permits 11 Proposed Change of Occupancy (Note previous use): EXPIRATION OFAPPLICATION 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. Received by: 10, Amount: �00 Bldg SRA Receipt#: 43%0 Sheriff —SMIP IDate: 1 —1;-0 5 r— Other D5.00 Total 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. 0 1 . Site plans, 3 or 4 sets, signed by the preparer of the plans. No graph paper! 0 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 or! plans AND 2 sets of stamped and signed calculations. n 3. Engineered truss details and layouts in duplicate (if required). No faxes! r_1 4. Energy compliance design and supporting documentation in duplicate. 0 5. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. E] 6. Manufactured homes: (A) Installation manual, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd.plans, all in duplicate E] 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-si_qned bV the engineer. 0 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate (if required). 0 9. Site plan and business license approval from the City of Biggs. 0 10. Letter of intent for non-residential buildings., El 11. Building Permit Application Without Required Clearances Form 0 12. Hazardous Material Form (for Commercial Buildings only). Remaining items needed to issue the p6rmit. Additional items may be required after Plan Check and Planning review (May require additional plan review upon receipt of the following items.) 0 1 . Agricultural Bu ffer clearance and site plan approval from the Ag Commissioner's office (if required). 0 2. Impact Fees. ' 0 3. California Department of Forestry plan approval (if required). 0 4. NPDES Form. El 5. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). 0. 6. Contractor's license information. (Number, Name Style, Classification). 0 7. Workers Compensation Carrier and Policy Number. 0 8. Owner -Builder Verification (if required). 11 9. Letter of Signature authorization (if required). El 10. Recorded copy of Agricultural Acknowledgment Statement. El 11. 11 Legal description from current recorded grant deed, 13 Copy of M.H. Title, Title transfer, or MCO. 0 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 KAFORIASSUILDING F0RMS\B1dgApp1SubRqmts.doc Page 2 of 2 REV 8-12-05 'Z7;- '791r. V TU -3105 B 030-1-9t�ookt 93 T 0 ABOR, LONNIE 10 2TIH ST, OROVILLE 937 .1 0 /Sl FREROOF/SF �F COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, 91ifornia 95965 -.Telephone (916) 538-7541 PERMIT NO, APPLICATION AND PERMIT QM&I 0_t; ff ASSESSOR PARCEL NUMBER 030-194-004 ZONING BUILDING PERMI; OWNER TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS Lonnie & Viva Tabor 534-8741 21 Comn. 1,260.00 1037 12th St., Oroville 95965 CONTRACTOR'S NAME Mer TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is 1,260.00 LENDER'S MAILING ADDRESS Filing Fee $ 20.00 Permit Fee $ 31.00 ARCHITECT OR ENGINEER NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS PERMIT FEE 111 51.00 1037 12th st., Oroville PLUMBING PERMIT Filing Fe . a 20.00 Each Trap 1 7.00 'LOT Solar or heat pump water heater 23.00.? Water piping 15.00) 4W NO. SUBDIVISION'S NAME PARCEL MAP Each gas water heater or vent 15.00 USE OF STRUCTURE S F CIL Duplex 0 Mobilehome El Other SPECIFY Gas piping system 1 5 outlets 15.00 Building sewer 15.00 Mobile Home S G I W @20.00 TYPE OF WORK New 0 Addition 0 Remodel 0 Utilities 0 Installation C) Other CK DescribeWork: Reroof w/Comp PERMIT FEE $ Cont'ractor ELECTRICAL PERMIT Filing Fee 20.00 Main Service III OR III 200A OR LESS i 23.00 Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUP. so OR AOONS. a ACC.BLOS. 3.50 FT. CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one) 0 1 am a licensed under provisions of Chapter 9, Division 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification 11 as the owner, or my employees with wages as their sole compensation, will do work, and the structure is not intended or offered for sale. (Sec 7044) 0 1, as the owner, am exclusively contracting with licensed contractors. (See 7044) 0 1 am exempt under Sec. Business and Profesilons Code forthis reason NEW CONST. MULTI -OUTLET .NON-RESID. BRANCH C IRCU ITS @7.50 POWER APPARATUS & SINGLE OUTLET CIR. Ex. Occup. OUTLET OR FIXTURES 820 .0 AL. '.500 Ex. Occup. OFIXED APPLNS. OR UTLETS_ (RESID.) EA 5.00 . Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): 0 This permit is for $ 100.00 (valuation) or less. , 0 1 have placed on file withthe County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or a __A�SCertificate of Consent to Self -insure. hall not employ any person in any manner so asto become subject to the Worker's ompensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ Contractor MECHANICAL PERMIT Filing Fee 20.00 He9ting Cooling Hood 6.50 Ventilation PERMIT FEE $ Contractor I certifythat I have read this application and state thatthe above information is correct. I agree to comply to all Butte County Ordinances and California 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. 1 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 Signature of Applici6t ner 0 Contractor El Agent An OSHA permit is r.q %rew for excavations over 5"0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ C ONST. TYPE I TOTA L FEE $ 51,00 L HAZ. I D. FEES I IMP I FLOOD I CDF I PARCEL I PO 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 hay-e-baen-paid. DIRECTOR�Of _UBLIC WORKS Date__ 4_,1 I PERMIT EXPIRES ON (Date) Receipt No. 148704 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California J)5965 - Telephone (916) 538-7541 ERMIT NO. zw�/ 0 '57— APPLICATION AND PERMIT - ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT 030-194-004 OWNER TELEPHONE SQ. FT. OCC. BUILDING VALUATION Lonnie & Viva Tabor 534-8741 21 Comp. 1,260.00 OWNER'S MAILING ADDRESS 1037 12th St., Oroville 95965 CONTRACTOR'S NAME TELEPHONE Owner CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation s 1,260.00 Filing Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $31.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS PERMIT FEE $51.00 PLUMBING PERMIT Filing Fee 20.00 Each Trap 1 7.00 1037 12th st., Oroville Solar or heat pump water heater 23.00 Water piping 15.00 LOT NO. SUBDIVISION'SNAMI PARCEL MAP Each gas water heater or vent 15.00 USE OF STRUCTURE Gas piping system 1 5 outlets 15.00 Building sewer 15.00 SF EX Duplex 0 Mobilehome Q Other Mobile Home S G I W @20.00 SPECIFY TYPE OF WORK PERMIT FEE $ New 0 Addition Q Remodel 0 Utilities 0 Installation 0 Other 4 Cont'ractor DescribeWork: Reroof w/Comp ELECTRICAL PERMIT Filing Fee 20.00 Main Service 101V I" LESS 200A OR LESS 23.00 Main Service 200A TO I OOOA 46.00 NEW CONST. DWELLING OCCUP. OR ADONS. & ACC. BLOS. 3.5 0 sT". NEW.CONST. MULTI -OUTLET RESID. BRANCH C @7.50 CONTRACTORS LICENSE LAW NON IRCUITS POWER APPARATUS I declare under penalty of perjury (check one) & SINGLE OUTLET C12. 0 1 am a licensed under provisions of Chapter 9, Division 3 of the Business and Ex. Occup. OUTLET OR FIXTURES 20 @ 1.00 BAL. @ .50 Professions Code and my license is in full force and effect. FIXED APPLNS. OR Ex. Occup. 5.00 I No. Classification OUTLETS (RESIO.) EA. —KILLicense I as the owner, or my employees with wages as their sole compensation, will do Temporary Service 23.00 e work, and the structure is not intended or offered for sale. (Sec 7044) Mobile Home Facilities 20.00 1, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) Misc. Wiring 1 am exempt under Sec. Business and Professions Code 23.00 forthis reason WORKER'S COMPENSATION INSURANCE PERMIT FEE $ 1 declare under penalty of perjury (check one): Contractor 0 This permit is for $ 100.00 (valuation) or less. . MECHANICAL PERMIT Filing Fee 20.00 13 1 have placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or a Heating of Consent to Self -insure. Cooling hall not employ any person in any manner so asto become subject to the Worker's __,�SCertificate ompensation laws of California. Hood 6.50 Notice to Applicant: If after making this statement, should you become subject to the Ventilation Worker's Compensation provisions of the Labor Code, you must forthwith comply with PERMIT FEE $ such provisions or this permit will be revoked. Contractor I certifythat I have read this application and state thatthe above information is correct. Mobile Home Installation Fee $ I agree to comply to all Butte County Ordinances and California State Laws relating to Energy Inspection Fee $ building construction, and hereby authorize representatives of the County of Butte to entei upon the above mentioned property for inspection purposes. OCC CONST. TYPE FEE $ 51.00 I TOTAL 1 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 HAZ. E- D. FE S IMP FLOOD CD1 PARCEL PO ISSUE County 'in consequence of the granting of this permit. I I I I I X Date This permit is hereby issued under the applicable provisions Signature of Applica;�t_,�Nwner 0 Contractor 1:1 Agent of the Butte County Code and/or Resolutions to do work An OSHA permit is required for excavations over 5"0" deep and demolition or indicated above for which fees have been construction of structures over 3 stories in height. DIRECT UBLIC WORKS By a t a ReceiptNo. 14R7n4 �D WHITE-D.D.S.-B.O. CANARY -ASSESSOR PINK -INSPECTOR GOLDEN ROD-APPLIC ANT PERMITEXPIRESON 41r (Da te) COUNTY OF BUTTE - Deoax-tment of Public Works 7 County Center Drive, Oroville, CA 95965 C., OWNER -BUILDER VERIFICATION: httention Property Owner: Phone: 916-538-7541 An ."owcer-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. 1 personally plan to. provide the major labor and mater' ls for construction of the proposed property improvement. (yes or Po) 2. 1 (have/have not) -signed an.'applZation for a building permit. for the proposed work. 3. 1 have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. 4. 1 plan. to provide* portions of this work, but -1 have hire& the following person to coordinate7, supervise, and provide the major work: Name Address City Phone Conftacto'rs' License Nd*. 5.. 1 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 Secu 't Number Date j0_TE: 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. 7 COUNTYOF BUTTE - DEPARTME T F DEVELOPMENT SERVICES -BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE,CALIFORNIA95965 -TELEPHONE (916)538-7541 OWNER Proposed Building Use PERMIT APPLICATION DATA SHEET Building Inspector A. P. No. 3 r��) - 6) 0 Date At time of peru dapplication, I was advised the following data must be submitted prior to permit processing and/or issuance: 1 . All items have been submitted. 2.. Plot plans, 3/4 sets, signed by preparer of plans. 3. Complete plans, 3/4 sets, signed by preparer of plans. 4. Engineered plans and calcs, 3/4 sets, with wet signature on plans. 5. Hazardous Material Form. 6. Energy Design Compliance and supporting documentation. 7. Statement of Intent for Non -Heated and A/C Buildings. 8. Engineered truss details and layout in duplicate (required prior to plan check). 9. Mobilehome data and manufacturer's installation instructions, 2 sets. 10. Fees of $ 11. Impact fees as shown on attached schedule. 12. Cafifornia Department of Forestry plan approval/fees. 13. Flood elevation letter (100 year flood) by California Engineer. 14. Sanitation and plot plan approval Health Department. 15. City of Chico plumbing permit. 16. Plot plan and business license approval from City of Biggs/Gridley. 17. Planning approval for (A) Use: (B) Parking: 18. Contact Land Development about (A) Improvements (B) Drainage. 19. Driveway permit (construction approval required prior to occupancy). 20. Pre -inspection for required. 21. Contractor's license information. (No., Name Style, Classification). 22. Certificate of Workmans Compensation Insurance. 23. Owner -Builder Verification (Given to owner , Mail to owner 24. Recorded copy of Agricultural Acknowledgement Statement. 25. Letter of signature authorization. 26. Copy of recorded deed of parcel creation and 60 right of way to a public rioad. 27. Letter of intent on building use. 28. Mobilehome utility clearance. 29. Documentation of legal access. 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements. 31. Existing violations/expired permits. 32. Plan check list. 33. 34. When you issue the permit, as follows: Ma oow e. Mail to contractor. e<3 V pro2cs Telephon / 7and hold for pickup at office. Deliver with inspector. Other Applicant Date I EXPIRATION OF APPLICATION App#�atjjotis for which a permit has not been issued, will expire by limitation 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. FEE REFUNDS Refunds can only be made upon writtten request by the person who paid the fee. The request must be made within one year from the date of fee payment on permits not issued, and one yearfrom the date of permit issuancefor permits issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan checking fees for work plan checked and other department costs are not refundable. Original - Applicant COUNTY DEPARTMENT OFDEY9�PPM ENT SERVI.CES - BUILDINGD!VISION. 7 COUNTY CENTER DRIVE - ORO\tILLE,C#LtFORNIA95965 - TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET [60111111:1V Proposed Building Use e)A-) Building Inspector A. P. No.030- kc�,�4-00(_l Date At time of per application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECENED BY 1. All items have been submitted. 2. Plot plans, 3/4 sets, signed by preparer of plans. 3- Complete plans, 3/4 sets, signed by preparer of plans . ...................... 4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. 5. Hazardous Material Form . ........................ 6. Energy Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non -Heated and A/C Buildings . ...................... 8. Engineered truss details and layout in duplicate (required prior to plan check) . .... 9. Mobilehome data and manufacturer's installation instructions, 2 sets . ........... 10. Fees of $ . ................. 11. Impact fees as shown on attached schedule . ...... ........................ 12. California Department of Forestry plan approval/fees ......................... 13. Flood elevation letter (100 year flood) by California Engineer ................... 14. Sanitation and plot plan approval Health Department . ............ 15. City of Chico plumbing permit .......................................... 1.6. Plot plan and business license approval from City of Biggs/Gridley . ............. 17. Planning approval for (A) Use: (B) Parking: 18. Contact Land Developmentabout (A)Improvements (B)Drainage ............ 19. Driveway permit (construction approval required prior to occupancy). . . . -? Pre4n ection request to B.,17 20. Pre -inspection for required. . . i.9 I nspector -(Date) 21. Contractor's license information. (No., Name Style, Classification) . .............. 22. Certificate of Workmans Compensation Insurance ........................... 23. Owner -Builder Verification (Given to owner Mail to owner ............ 24. Recorded copy of Agricultural Acknowledgement Statement . .................. 25. Letter of signature authorization . ........................................ 26. Copy of recorded deed of parcel creation and 60 right of way to a public road . ..... 27. Letter of intent on building use . ......................................... 28. Mobilehome utility clearance . .......................................... 29. Documentation of legal access . ...................... ; .................. 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits . ...................................... 32. Plan check list . ..................................................... 33. -34. When you issue the permit, proc "I as follows: MajtAo owD-er. Mail to contractor. TelephoneS- Vand hold for 'pickup at office. Deliver with inspector. Other Parcel Crea_Wn Acre Applicant Date Copy & H'az-Mat form sent Health Dept. Fire Dept. _ Air Pollution, Date Copy of plans sent Health Dept. _ Fire Dept, Other Date By The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by _ phone - mail Counter by - Date' Contractor, designer, owner, was advised of above required data by _ phone - mail Counter by _ Date Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works THERMALITO IRRIGATION DISTRI(T 410 GRAND AVENUE OROVI L LE. CALIFORNIA 95965 . TELEPHONE 533-0740 CSA 26 SEWER SERVICE APPLICATION AND CONNECTION PERMIT Service Address: J --,, d,7 I,,, Owner's Name: Address: Scceet Acct. NoAaal), RVVmr, A.P. No..� Phone: 534-l')/41 No. U nits: L 11 C Applicant/Agent: Agents Proof: Address: Fees: Phone: Application $ Arrearage Preliminary Review By: Date: CSA 26 Remarks: rk'AJI �'II-LL cii n3ji*,i WiL,i SC -0 R YatLr w:LOL. 1st Mo. S.C. -fZ;iot,4 Jf L-; i n 11. n,-, Other Total F ees Collected,By: Date: Field Review By:. -Date: Remarks: z77� 7— "nj 4 MONTHLY SERVICE CHARGES WILL COMMENCE AUTOMATICALLY UPON: Date of TID approval of completed building sewer (early connection). 30 days after date above, or on date of D.P.W. approval of completed building sewer, which ever comes first ("existing construction", prior to Mar. 5, 1974). 180 days after date above, or on date of D.P.W. approval of completed building sewer, which ever comes first ("new construction", after Mar. 5, 1974). "t J, 1, .1 DISTRIBUTION: WHITE - TID, YELLOW - APPLICANT, PINK - DPW. GOLDENROD - DPW to TID RESIDENTIAL 030-194-004 94-0081B,E TABOR, LONNIE & VIVA 1037 12TH ST., OROVILLE NEW DET SHOP/GARAGE J, OFFICC Cope Address T" GAS j! Meteray ELEC7-RIC Date Meter sy sg�:::Dat 3 JOB FINALED-(Date)' -.11 Signature V=OK 0 Not OK Not Applicable Not Ready MOBILE HOMES Date/initials MOBILE HOME UTILITIES (Plans) OK except #*a 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/0 Concrete 4. Water; Location -Test -Easement Needed (Sketch) S. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap: / P'L"ft. / P'Nat. or/ PV'ft./ /"LPG 7. Well Clearance & Disconnect & Utility Clearance Dete/Initia a MOBILE HOME INSTALLATION (Plans) OK except #'a 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 S. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sower Connected -C/0 to Grade -HD Approval 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 10. Carl. of Occupancy MISCELLANEOUS Date/initial DECKSZOVERS, CARPORTSO&R xcept Vs ABWPlan.)OK ,�f4�e �A�ng Requirements -Setbacks -Easements ZZ"'Footings; Soils-Size-Depth-Spacing-Connectom-SteeI 3. Decks; Griders and/or Joists-Docking-Bracing-Stairs-Ralle 4. Wood Awn.; Posts-Boams-Rftrs.-Connectors Shthg.-Rfd.-Bracing 5. Alum. Awn.; Columns-Connections-Splice-Docal-Enclosures ,-4;,�',Carports;,VVindows-Doors I ct g; Sils-Anchors-Studs-Rftrs-Trusses ._9P $Iding; Nailing -Veneer -Stucco -Mesh -"T(J_Rqof;-Shthg-Roofing E)�t.; StIps-Doors-Landings Date/initials POOLS (Plans) OK except #'a 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness bead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI . 6 . Elec.;Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes -Enclosures -Pane lboards- Ins. to Main In Conduit 9. Health Department Approval 10. Plumb.; Clr. Test-Water'Supply Test V = OK 0 = Not OK Not Applicable Not Ready RESIDENTIAL (Single & Duplex) Date/initials UNDERFLOOR (Plans) OK except #'a 1. Zoning-Setbacks-Easoments-Flood-Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ f' Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Fig. Depih 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. Stab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/0 -Sewer Test 10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation 16. Insulation Date/initials PLUMBING (Permit) OK except #'s 16. Water Htr.; Vent -Access -Combustion Air -Baffle 17. Water Pipe; Test & Anchor -Nall Protection 18. D.W.V.; Test-FIttings & Anchor -Nail Protection 19. Shower Pan; Test, First Floor -Tub Access 20. Test Tub & Shower, Second Floor -Tub Access 21. Gas Pipe; Size & Anchors Date/initials ELECTRICAL (Permit) OK except #'a 22. Fixture & Transformer Clearance -ins. Protection 23. Elec. Receptacles Spacing -Lights & Switches at Doors 24. Size Boxes & No. of Conductors -Stapled 25. Romex Installed Close to Edge of Studs & C.J. 26. Equip. Ground made up w/Mech. Fastners-Bond Gas & Water 27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI 28. Subfeed Wire Size ga. Cu or AI-A.C. Wire Size ga. Cu or Al 29. Range Circ. ga. Cu or Al -Oven Circ. ga. Cu or Al. Insulated Neutral 13 Yes El No 30. Service -Riser Conductors & Ground -Main Disconnect 31. Equip. Clearances Panel s-Motors-Mech. Equip. 32. Clothes Closet Light -Shower Light -Spa Light 33. Smoke Detector Date/initials MECHANICAL (Permit) OK except #'s 34. A.C. Ducts Insulation & Support 35. Vent Fan; Exhaust above insulation 36. Condensate Drain & Overflow; Size & Grade 37. Furnance-Vent; Access -Comb. Air -Return Air Vent -1 15 outlet 38. Attic Access & Platform if Furnance In Attic Date/initials FRAMING (Plans) OK except #'a 39. Sils, Proper Material & Anchors 40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound 41. Bearing Walls over Girders & Floor Nailing 42. Draft Stop in Walls (rat proof) 43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 44. Headers & Beam -Size & Bearing Date/initials FRAMING (Continued) . 45. Hangers -Post Caps -Anchors -Connectors 46. CIng. Joist-Rftr. tles-Purlln�-roof Brac-Truss-Shthng.-Rfng. 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 48. Attic Access; Size & Romex Protection -Draft Stop -ins. BaffI83 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 50. Garage Fire Protection Framing 51. Property Line Firewall & Openings 52. Ext. Doors -One T -Check Garage -3rd Story, 2 ExIts 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers 55. Siding -Nailing Veneer 56. Stucco Mesh -Drip Screed -Fd. Vents-UnderfIr. Access 57. Glazing Area -Glass Protection -Skyl Ights-Plastic 58. Shear Walls; Nailing -Bolts 59. Insulation-Walls-Cellinas 60. Infiltration -Walls -Windows Date/initials FINAL (Plans) OK except #'a 61. Ext. Stops -Door & Sidelight Protectlon-Landings 62. Smoke Detector 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 64. Bedroom Exiting 65. G.F.I. & Bath Fixtures & Tub Access -Spa 66. - Elec. Trim & Subpanel; Breaker Sizes & Labels 67. Stairs & Rails 68. Fireplace or Stove; Clearances -Hearth 69. Elec. Outlets at Wood Panel; Int. & Ext. 70. ' Kit.Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance 71. Elec. Outlets & Receptacles at Kit. Counter 72. Garage Fire Door, Swing -Landing -Closer 73. A.C. Duct In Garage -Damper 74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage; Above Floor-Mech. Protection 75. Plb., Elec. & Mach. Equip. Listed for Location 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protection 77. Insulation -Foam -Looked In Attic 13 Yes 78. Guard Rails & Dock Construction -Post Caps 79. Fdn. Vents & Crawl Hole Door-Draina & Wood -Earth Clearance Looked under Floor 9 Yes 80. Following instid.; Drive 13 Yes 13 No; Walks 13 Yes E3 No; Planters 13 Yes 13 No 81. Stucco; Brown -Finish 82. A.C. Unit; Disconnect, Electrical, Plumbing 83. Vents Above Roof; Pibg.-Appliance-Fireplace.-Clearance to Openings 84. Water Well; Disconnect, Electrical, Plumbing 85.. Exterior Elec. Trim; G.F.I. Receptacle -Underground 86. Ventilation Throughout House 87. Glass Protection 88. Corrections from Previous Inspections 89. Gas Test -Meters Tagged; Gas -Electric 90. Water & Sewer Connected -C/O to Grade -HD Approval 91. Energy Compliance Cerfificate-Other Certificates Comments at Final: COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION I 7 County Center Drive - Oroville, Cafifo6a 95965 - Telephone (916) 538-75 PTMIT NO. APPLICATION AND PERMIT �q- Do � I /,-- ASSESSOR PARCEL NUMBER 030-194-004 ZONING AR BUILDING PERMIT V OWNER LONNIE & VIVA TABOR TELEPHONE 534-86741 SQ. FT. OCC. BUILDING VAtdATION 864 M 15552 OWNER'S MAILING ADDRESS 1037 12TH ST., OROVILLE., CA 95965 CONTRACTO 'S NAME QWN�R TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ 171.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ .15 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 1017 19TH qT 01ROVITIF PERMIT FEE $ 302.15 PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 LOT t�� I SUID"'s'OVIdnKRANS TRACT Prc_�§T P Each gas water heater or vent 15.00 USE OF STRUCTURE SF 0 Duplex Q Mobilehome 0 Other SHOP11GARACP SPECIFY Gas piping system 1 5 outlets 15.00 Building sewer 15.00 j Mobile Home S G I W @20.00 — TYPE OF WORK New 13A Addition Q Remodel Q Utilities 0 Installation 0 Other DescribeWork: I PERMIT FEE $ Contractor ELECTRICAL PERMIT Filing Fee 20.00 Main Service 260 GOV ORR LESS — OA 0 LESS 23-00 23.00 Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. & ACC. BLDS. o 3.507T.' 30.257 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one) 1 am a licensed under provisions of Chapter 9, Division 3 of the Business and P'Vessions Code and my license is in full force and effect. rcense No. Classification 4n 1, as the owner, 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) 0 1, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) 0 1 am exempt under Sec. Business and Professions Code forthis reason .NEW.CONST. MULTI -OUTLET NON RESID. BRANCH C IRCUITS @7.50 POWER APPARATUS ( & SINGLE OUTLET CIR Ex. Occup. ( OUTLET OR FIXTURES 20 @ 1.00 SAL. 0 .50 Ex. Occup. ( FIXED APPLNS. OR UTLETS (RESID.) EA. 1 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): 0 This permit is for $ 100.00 (valuation) or less. Q I have placed on file with the County of Butte Dept. of Development,'Services, Bu�i�ng, Division a Certificate of Workmen's Compensation Insurance or a G4rtificate of Consent to Self -insure. 4WIshall not employ any person in any manner so asto become subject to the Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ 73.25 Contractor MECHANICAL PERMIT Filing Fee 20.00 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 Butte County Ordinances and California State Laws relating to building construction, and hereby authorize representatives of the County of Butte to entei 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 Count�,jn yonsequence of e g Z�o rT ting of this permit. X ex C�:� �_� Date Sig ati Ap—Rica4t - ff Owner 0 Contractor CI Agent An OSHA permit is required for excavations over 5"0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ kn i 'ON"' (I—Al TOTA L FEE $ 375.75 J_ _LH%Z. 1 1). FEES I IMP I F.LOO CDF PARCEL I PD ;,J !f��4 This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. DIRECTOR OF_BURLLC—WORKS By A4*- Date �Zl V PERMIT EXPIRES ON ReceiptNo. 53 �F fA WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLD ENRO D-APPLI C ANTi] COUNTYOF BUTTE - DEPARTMENTOFPE%1EEO.PM ENT SERVICES -BUILDING DIVISION 7 COUNTY, 6ENTER DRIVE - OROVILLE,CALIF6RNiA95965 -TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET OWNER V. t/4 rf 13 0 A, A. P. No. 6 3 0 Proposed Buildind Use Building Inspector e-- - Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED By All items have been submitted . ............. q ............................ Plot plans, 3/4 sets, signed by preparer of plans . .......................... Complete plans, 3/4 sets, signed by preparer of plans . ...................... Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. 5. Hazardous Material Form . ................................ .............. 6. Energy Design Compliance and supporting documentation . .................. 3, -'Statement of Intent for Non -Heated and A/C Buildings . ................ * , * * , , 04e"& Engineered truss details and layout in duplicate (required prior to plan check) . ..... r-/—y_,9v 9. Mobilehome data and manufacturer's installation instructions, 2 sets . ........... 10. Fees of $ . ......................................... 11. Impact fees as shown on attached schedule . .............................. 12. California Department of Forestry plan approval/fees .......................... A . Flood elevation letter (100 year flo alifornia Engineer .................. _4V-,14. Sanitation and plot plan approval Health Department . ............ 15. City of Chico plumbing permit. 16. Plot plan and business license approval from City of Biggs/Gridley . ............. 17. Planning approval for (A) Use: (B) Parking: .. ........ 18. Contact Land Development about (A) Improvements (B) Drainage ............ \19. Driveway permit (construction approval required prior to occupancy) ......... -in . . lrelnspectioA r;4u_e7- 20. Pre spection for required. to Building Inspector (Date) 21. Contractor's license information. (No., Name Style, Classification) . .............. 22. Certificate of Workmans Compensation Insurance . .......................... 23. Owner -Builder Verification (Given to owner Mail to owner ............ 24. Recorded copy of Agricultural Acknowledgement Statement . .................. 25. Letter of signature authorization . ....................................... .26. Copy of recorded deed of parcel creation and 60 right of way to a public road . ..... 27. Letter of intent on building use . ......................................... 28. Mobilehome utility clearance . .......................................... 29. Documentation of legal access . ..................... ; .................. 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits . ...................................... 32. Plan check list . ..................................................... 33. -34. Wh7ou issue the permit, process as follows: Mail to owner. — — Mail to contractor. Telephone 007-// and hold for pickup at CK 0� 77,z-- office. Deliver with inspector. Other Parcel Creation Acreage Applicant 72;�e' O�C;�;'/P�Date Copy of Haz-Mat form sent Health Dept. Fire Dept. _ Air Pollution - Date Copy of plans sent Health Dept. Fire Dept. — Other Date By The following data must be submitted pg'or to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. fF��, 2. Additional items required: Contractor, designer, o4d'e"r, was advised of above required data by _ phone — mail k-1-Counte.r by 4ODate Contractoi, designer, owner, was advised of above required data by _ phone ,mail Counter by Date' Plans checked by Date Plans approved6y Date Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works COUNTY OF BUTTE BUILDING DIVISIOW DEPARTMENT OF DEVELOPMENT SERVICES 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 ..4.CORRECTION NOTICE PERMIT 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 work is completed. If you have any questions pertaining to this matter, or need additional explanation, please corit ce Im -77z-- /I/ Kr -v RNZIL COUNTY OF BUTTE _,De6a_r�ment of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-338-7541 OWNER -BUILDER VERIFICATION A.ttention 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 buildinj permit. No building permit will be issued until this verification is received. I personally plan to provide the major labor and/ t ls for construction of the proposed propert ment (yes or no) 2 1.(have/ha've not). = signed an application for a building permit for the proposed work. 3. 1 have contracted with the following person (firm) to provide the propos . ed construction: Name' Address City Phone Contractors License No. 4. 1 plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. 5. 1 will provide some of the work bu ' t I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work Signed: Property Owner Social Security Number : 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*ret'urned to our 6ffice'before we are per7 mitted to issue the permit. COUNTY OF BUTTE —: Deoartment of Public Works 7 County Center Drive, Oroville, CA 95963 Phone: 916-319-7341 OWNER -BUILDER VERIFICATION I A.ttention 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 buildinj permit. No building permit will be issued until this verification is received. I personally plan to provide the major labor and materia for construction of the proposed property improvement (yes or no) U/ a 2 1.(have/have not) signed an appilcation for a building permit for the proposed work. 3. 1 have contracted with the following person (firm) to provide the proposed construction: Name' Address City Phone Contractors License No. 4.' 1 plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address. — City Phone Contractors License No. - 5. 1 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 Sigred: Property Owner 0 Social Security Number Date 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 mitted to issue the permit. office'before we are per- 8/91 RESIDENTIAtL PLAN CHECKING GUIDE (S.F., DUPLEX & MISC. ONLY) ;7Z kdg. Permit 014NER ZI-;) V A// 7/c A. P. # 70, Z�! 4!� Plan Checker_ ()p GENERAL �kl,aning requirement's: (sideyards and number of permitted living units). i 1 t tion. 1.�Pdans signed by designer. Z14roper description'of work on application. (tq—Items on data sheet. (W.C., fees, Health, Developer Fees, License law, etc). 7. PLOT PLAN I mplete parcel size and dimensions. �4��itbacks, sideyards, easements, etc. ther buildings or structures. 4-,—GFad-i-Rg, fille, b- ust -i-41 FLOOR PLAN V11 -complete to scale plan with dimensions. 1--lRequired windows for light and ventilation (Sec. 1205)'. 04). Pd r. E)E)fR 83:9 �9 14@j. ght- �s in ba"s, ga e, k-i--�en, and exterila�outlets (Article 210-8). Light fixtures, switches, receptacles, and exterior receptacles for main- tenance of mechanical equipment. .9. eatin nnd rnol"g—equ� 14-'l - 3'0" exterior exit door (sec. 3304 (f). ce. STRUCTURAL DETAILS ),�S`tandard bracing or engineered design (Table 25V) 11--, -1 V 4! sh -P@, size, SP QX�4g - P n t;�;=oundation plan complet� enou�h to construct building. loor construction details complete enough to*construct building. �.�,Enevations and wall construction details complete enough to construct building construction details complete enough to construct building. 1&9-.r�jafter ties or bearing ridge beam. 70�4s-s 1&1--,�arage door or porch header sizes. 12' Stud heights. n. 8/91 RESIDENTIAL PLAN CHECKING GUIDE MISCELLANEOUS ITEMS TO LOOK OUT FOR �rwaydetails: landings, rise and run, head clearance, handrails (Sec. 3306). 2,---euaT-d� details (Sec. 1711 & 3306(j). 4-.---BTtct-m=tone veneer (Chapter 30). �a - weep screeds (Sec. 4706). roof pit�r :�:;�ope=roof pitch for roof convering (Chapter 32). ��.�Roof covering type - (fire hazard). 5ua T�- 6 lk,.�Attic access and ventilation (Sec. 3205). 12. I 'I. F b.P- -Pequ+-remEmts. 1-4 M' Flashing at all exterior openings. �? 5 is-- 194 7'�, 514�- 1- 7' � 7�i,4t & �Dojge A 0 _ 1}'Y I / .�.+t.. .« - �T",� .. . _ .•wrrw.+.w.•+.r.i+nvw.rr.r R y �d � _ M NOTE. 11 Materials & Workmanship Shall Be In r This set of ns and �...,, Accorda ce with Recognised Good Practices and t pecif�cations MUST be of a qual ty prescribed for the Specified use In the kept on the job at all times and it 1s unlawful to Uniform uilrling, Plumbing & Mechanical Codes and make any changes or alterations on same without the Nati al Electrical Codawritten permission from the Department of Public Works, County of Butte,All i a v� MOBILE HOME M BEAR H.U.D. LASE 0 © f _ , „ _,_� Y_Y .�� � ...•:_ war -..�� �. _ .� • a- C/). --� r All STRUCTUR AND EQUIPMENT INCLUDING / OVERHANGS S. SE COLLAR O ALL EASEMENTS. A SET BACK tr,- �! CT. FROM THE SIDE AND � S� FT. FRO. I THE NEAR PROPERTY LINES AND S 0FT. FROh THE ROAD CENTERLINE SHALL aE i CLEAR OF MU 7WRW AND EQUIPMENT EXCEPT s FOR A 2 FT. EA OVEAl WM N i j . .. ..Ile w.�nw�r.�w�1�....��..y�yy,•w.asw..s+r.wwYw ,f�w.wr . 0 BUTTE COUNTY S.01LD{NG DEPARTMENT :PpR0VE Q