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HomeMy WebLinkAbout030-200-027 30-20-27 r ohn Henricks 1684 Oro Dam West Permit 1889-82P (New sewer connection) [� Contr: Foothills Coast_- Palartnn 0-20-27 SLADARIU .ION r� /r'/a/� 1684 Oro Dam Blvd West, Or.oville Permit#1974-88B,E,M(addition/SF) 3-7200-027 05-3223 ILEANA O DAM BLVD, OROVILLE ER CE� Butte County Department of Development Services TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR 7 County Center Drive Oroville, CA 95965 (530) 538-7601 Telephone (530) 538-7785 Facsimile www.buftecounty.net/dds ADMINISTRATION * BUILDING * PLANNING May 23, 2006 Ieana Sladarius Dba Sladanus Upholstery 1684 Oro Dam Blvd. West Oroville, CA 95965 s RE: Formal Warning Notice Butte County Code Violation Address: 1684 Oro Dam Blvd. West; Oroville, CA_ 95965 AN 030-200-027 Dear Ieana Sladarius; Through our courtesy notice on April 18, 2006 you were notified pursuant to Section 41-2 of the Butte County Code of the presence of code violations on your above -referenced property. According to our` records, the courtesy notice has not resulted in abatement or correction of the following specific violations: 1. The accumulation of junk in public view. 2. The keeping of inoperable vehicles in public view. Your failure to eliminate the stated violations is cause for the issuance of this formal warning notice. This is notice that as of this "date, our records indicate that the following violations to the Butte County Code still exist: Butte County Code, Chapter 24, Section 24-65 - Applicability of zoning regulations. All uses of land within a zoned district not specifically authorized or permitted by regulations are prohibited. Butte County Code, Chapter 24, Section 24-120 - The RR=3 (Residential) zone does not "specifically authorize" large accumulations of junk. The storing of more than 100 square feet of "junk" on `a parcel is one of the items used to determine that a "junkyard" condition exists. A "junkyard" is not an allowed use in the RR=3 zone without a Use Permit. "Automobiles and other vehicles, dismantled, in whole or in part" are considered to be "junk." Chapter 11, Section 11-4 forbids people, whether at a licensed junkyard location or not, from storing junk in public view. Ieana Sladarius AP#: 030-200-027 May 23, 2006 Page 2 The determination that this violation exists on the property is based on the following definition in the Butte County Code: Butte County Code, Chapter 24, Section 24-305.240 - Junk. Any worn-out and discarded material in general that may be turned to some use including, but not limited to, any old iron, wire, copper, tin, lead, rags, paper, bags, lumber, empty bottles, bones, parts of bicycles, tricycles, baby carriages, automobiles, and other vehicles, dismantled, in whole or in part, kept, stored, located, situated or piled in public view, and all other similar personal property ordinarily defined and classified as "junk" kept, stored, located, situated or piled in public view and not screened from public view by a fence. i Butte County Code, Chapter 24, Section 24-305.451 - Violator. An adult owner, tenant, occupant, resident or other person having possession, control or any other ownership interest in or the right of access to the premises, who is suspected or alleged to have violated or to be in violation of any Butte County Code provisions of the Chapters specified in Butte County Code Section 24� 305.451. , In order to bring the property into compliance with the Butte County Code and avoid further enforcement actions, you are hereby requested to take the following abatement or correction actions: 1. Remove all "junk" in accordance with the Butte County Code, Chapter 24, Section 24- 305.240. 2. Remove all inoperable/junk vehicles from the property. This is your final warnin . Unless you contact this office and make the proper arrangements to correct or abate the violation(s) voluntarily, within ten LDO days from the date of this letter, enforcement shall be pursued through the issuance of a citation (ordering you to appear in court) for said violation(s) and for failing to comply with this warning letter. Upon conviction of said violation(s) or of failing to comply with this letter, the court shall impose penalties (fines) and a Notice of Violation shall be recorded in accordance with Butte County Code Section 41-7. The Notice of Violation will include a description of the premises, the violation concerns, a description of the violation, the date of your convictions and the action necessary to correct or abate the violation(s). Should you have any questions concerning this matter, please contact me at the address or telephone number listed above. Sincerely, f Wendy Jones Code Enforcement Officer i WJ: mj s cc: Department of Development Services, Building Division PROOF OF SERVICE BY MAIL 1 I am a citizen of the United States and employed in the County of Butte. I am, and was at 2 1 the time of the service hereinafter mentioned, over the age of eighteen years and not a party to the 3 within action. My business address is Department of Development Services, Building Division. 4 7 County Center Drive, Oroville, California 95965. I am readily familiar with the County's 5 practice for collection and processing of correspondence/documents for mailing with the United 6 States Postal Service and that said correspondence/documents are deposited with the United 7 States Postal Service in the ordinary course of business on the same day. 8 On May 23, 2006 the foregoing 10 day letter on the person(s) named below by placing a 9 true copy thereof in a sealed envelope, with first class postage thereon fully paid, addressed as 10 indicated below, and by placing said envelope 11 , In the appropriate place within the Department of Development Services where 12 mail is collected for mailing with the United States Postal Services on the same 13 day. 14 X In the United States Postal Service Mail in Oroville, California. 15 16 Ieana Sladarius 17 Dba Sladarius Upholstery 18 1684 Oro Dam Blvd. Oroville, CA 95965 19 20 I declare under penalty of perjury under the laws of the State of California that the foregoing is true 21 and correct and that this declaration was executed on May 23, 2006 Oroville, California. 22 23 24 Myles J. Strand 25 Office Specialist 26 i 27 28 a 1 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER n, „� (') - 7 ZONING BUILDING PERMIT OWNER►I �1 tn 4 h tt e -,4n r r TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS e� 1 I Q/ -n n>� t , r -S8ra CO aNT F2^ C�TOR'SrNtAME L/-7, Cul AI {11 _ V TELEPHONE CONTRACTOR'S MAIL NG ADDRESS ' C90 AA Y-, i .- Fireplace CONSTRUCTION LENDER UNKNOWN f Total Valuation $ Filing Fee $ 10,00 LENDER'S MAILING ADDRESS t Permit Fee $ ARCHITECT OR ENGINEER / LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDRESS PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Repair drainage or vent piping 5.00 0. o Water piping 1 LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF [�d' Duplex❑ Mobilehome❑ Other SPECIFY Building sewer .�Yi Lawn sprinkler system 5.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation Other Q Describe work:-IY A. q �,D t s303:nC i�11 b, �rt�e� tib �. Permit Fee $ 10� 1 00 Contractor ELECTRICAL PERMIT 1 Filing Fee 10.00 Main service eUUV OR LESS 100 AMP OR LESS 5.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. ( DWELLING OCCUP.el OR ADDNS., \ ACC. BLDGS. 20 sq ft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): Q� am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. 3[,/ 4,` �/ r ' C t License No. Classification %r ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEWCONSTNON-RESIT. BRANCH CIRCUITS2.50 ea NEw CONSTFL /POWER APPARATUS &) NON.RESID. (SINGLE OUTLET CIR. 50 @ 25c Ex. OCCUp�O OR FIXTURES BAL@1 IXEDTS Ex. Occup.(OUTLETS P(RESID )REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 Permit Fee $ Contractor MECHANICAL PERMIT FiIingFee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. , O'01 shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Heating Cooling Hood 3.00 Ventilation permit Fee S Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X �J � �,F L Date Signature of Applicant — Owner ❑ Contractor ® Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structuresover3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ OCCUP. GROUP I TYPE OF CONST. I JP%RCELJ PD I HD I ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRi=CTOA OF PUBLIC By. � � r 7�, PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been aid. p WORKS '7 Date `i ���i- 6� Q p (.>,�__� R� Recei t Na WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT c3cr v"'��� BUTTE COUNTY CT 14 2005 LCIIELEWTTE COUNTY FIRE INCIE)ENT LOG- EVELOPMENT SERVICES INCIDENT NUMBER 11305 DATE 9129/2005 EVENT NUMBE 11490 LOGGED B CRE REPORT TIM 95:38 LOCAL FIRE NUMBS RO JENKINS " STATE FIRE NUMBER BI ^ CASE NUMBER J 1 :civ, s MEDICS J LOCATION 1684 ORO DAM BL W ` PRA A92 ECC RP LEA PHONE NUMBER 533-2323 REPORT M,ETHO 91 t WILDLAND FIRES, r! ESTIMATED ACRES FIRE INFORMATION =1 STRUCTURE FIRE RESIDENTIAL 'FIRE INFO SEMT HO E°SAIL BY CRE TO STN 63 OTHER FIRE I 7 -DAY LOGGED u INITIALS JAMC _ . _ __.-MEDICAL.A!_DS INCIDENT NAM ORO DAM PSAIOTHER START I START TIME 15:30 HAZ MAT DIAMOND # 5.0 Billable Incident r j CAUSE MISC I COMMENTS LAND USE POMESTIC ACRES 0.1 TYPE ORACRE ' DIAMOND 5 ONLY $ DAMAGE TYPE ALL OTHER DOLLAR DAMAGE 1000.00 SAVE 60000.00 r, INJURIES/FATALITIE U # CIVILIAN INJURIES' 0] # CIVILIAN FATALITIES' 0 EMD ❑ OES ❑ Inta;esi na Event � # FF iNJURIE 1 # FF FATALITIES 0 f ♦ New incident FW We FC -40 INFORMATION + S FC -40 �; f DATE OF FC -40 INC f AGENCY INC # f INC P# F p FC -40 CO1MRDATE FC -40 COMP BY County Notifications !VI EARS Hard Copy Recieved EARS Checked Agenst EARS Computer BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 PERMIT NO. BP053223 PERMITS BECOME NULL AND VOID 1 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 licensed under provisions of Chapter 9 (commencing with Section 700000 ) of Division 3 of Issued Date: 12/07/2005 APN: 030-200-027-000 the Business and Professions Code, and my license is in full force and effect. : License Class License Number: Site Address: 1684 W ORO DAM BLVD ORO Map Index: Date: Contractor: Description: RE ROOF COMP 59 SQ'S OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a Owner: SLADARIU ILEANA permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a DBA SLADARIUS UPHOLSTERY signed statement that he or she is licensed pursuant to the provisions of 1684 ORO DAM BLVD WEST the Contractor's State License Law (Chapter 9 commencing with Section .Business OROVILLE, CA 95965 7000) of Division 3 of the and Professions Code) or that he or she is exempt therefrom and the basis for the alleged exemption. Any (530) 533-6946 violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): I, as owner of the property, or my employees .with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Applicant: SLADARIU ILEANA Code: The Contractors' State License Law does not apply to an DBA SLADARIUS UPHOLSTERY owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, 1684 ORO DAM BLVD WEST provided that such improvements are not intended or offered for OROVILLE, CA 95965 sale. If however, the building or improvements are sold within one 533-6946 year of completion, the owner -builder will have the burden of (530) proving that he or she did not build or improve for the purpose of sale.). ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does Contractor: not apply to an owner of property who builds or Improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). ❑ 1 am Exempt under Article 3 of the Business and profe�s/sions Code / © Owner: r ue %� ClCO�ti Date: i� License #: WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit Architect: is issued. Engineer: EII have and will maintain workers' compensation insurance, as 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 a: Valuation: $0.00 Census Code: I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Dale:�J_��=.�5 y�� ty_Q_C� //�"` 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. t� /3637 14MV17V 3 3a. CONSTRUCTION LENDING AGENCY This pgermit is h reby issued under the licable provisions of the Butte County Code and/or I hereby affirm that there is a construction lending agency for the Res 1utions to o work indicated abo e fp which fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) Name: By: Date: / .J / — Address: PERMIT EXPIRES ON: . C/�O (Date) ❑ I hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. O Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the 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 County to enter upon the above mentioned property for inspection purpos s. A C!� �eQ V,\ Print Name: '�` c>,S /Q.��k pct Signature: I Z —7 • �1� Date: . , Vowner ❑ Contractor ❑ Agent for Owner 0 Agent for Contractor BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OFAPPLICA TION **PLEASE PRINT CLEARLY** APPLICANT NAME OWNER Last Names 4-e iir2t Lk First Nam ftiYA Addr ss City City Ossa- State e e- Zip C�SQ Phone r3 6 Fax E-mail Fax APPLICANT NAME CONTRACTOR Name City e j,';11e Address SRA City Fax State Zip Phone Book Fax E-mail Planner Lic. # Class APPLICANT NAME ARCHITECT/ENGINEER Name City e j,';11e Address SRA City Fax State Zip Phone Book Fax E-mail Planner State License Number APPLICANT NAME Name y/e4YlQ -p Address / 6� City e j,';11e State-4/3,c_Zip��p SRA Phone �3 _ 6�>�� Y Fax E-mail APPLICANT SIGNATURE X For office use only: Zoning Flood Zone SRA I Yes I No Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS PERMIT NO. BP BIN # LOCATION AP# o ��ii(( V ^ Property Address City 1619(f 0 Cross Street WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address Description or Scope of Work: SE T S 'S Sq. Footage O Structure Built without Permits O Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. Received bfTpl Amount: Bldg �J�Q SRA Receipt #: ` r l O / Sheriff e Ask? SMTP Other Date:o� n CIO /� " / –e2S —3,30, Total SUBMITTAL REQUIREMENTS The following drawings and specifications must be submitted to the Building Division in order to apply fora permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK. Residential, New, Remodels, Additions, and Accessory Structures: ❑ 1. 3 Site Plans, signed by the preparer. NO GRAPHPAPER! ❑ 2. 3 Complete sets of plans, signed by the preparer. NO GRAPH PAPER! OR 3 Sets Engineered plans (if required) with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 3. 2 Engineered truss details and layouts (if.required) (NO FAXES!). ❑ 4. Letter from Engineer or Architect for truss design review. ❑ 5. 2 Energy compliance design and supporting documentation. (Note: Not required for additions to mobile or modular homes.) ❑ 6. 2 Flood Elevation Certificate, wet -stamped and signed (if required). ❑ 7. Detached Accessory Building Form, filled out by the property owner (if required). ❑ 8. Sanitation and site plan approval from the Environmental Health Department. ❑ 9. Metal Buildings: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate, (D) Floor plans in triplicate, All of these must be stamped and wet -signed by the engineer. Mobile, Manufactured, or Modular Homes: ❑ 1. 3 Site Plans, signed by the preparer. NO GRAPHPAPER! ❑ 2. 2 Data sheets and installation instruction manual. ❑ 3. 2 Marriage line information. ❑ 4. 2 Floor plans. ❑ 5. 2 Engineered Tie Downs or Foundation plans. ❑ 6. Sanitation and site plan approval from the Environmental Health Department. ❑ 7. 2 Flood Elevation Certificate, wet -stamped and signed (if required). Commercial, New, Additions and Remodels: ❑ 1. 4 Site Plans, signed by the preparer. NO GRAPH PAPER! ❑ 2. 4 Engineered plans with wet signature on plans AND 2 sets of stamped and signed calculations, with code analysis. ❑ 3. 2 Engineered truss details and layouts (if required) (NO FAXES!). ❑ 4. Letter from Engineer or Architect for truss design review. ❑ 5. 2 Energy compliance design and supporting documentation (if required). ❑ 6. 2 Flood Elevation Certificate, wet -stamped and signed (if required). ❑ 7. Statement of Intent for Non -heated and A/C (if required). ❑ 8. Metal Buildings: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate, (D) Floor plans in triplicate, All of these must be stamped and wet -signed by the engineer. ❑ 9. Letter of intent. ❑ 10. Hazardous Material Form. ❑ 11. Sanitation and site plan approval from the Environmental Health Department. If you have questions or would like additional information regarding this process, contact a Permit Application Assistant at (530) 538-7541. OVER FOR BUILDING PERMIT APPLICATION KAFORMSWILDING F0RMS\BIdgApp1SubRgmts.doc Page 2 of 2 REV 6-16-04 PERMIT No. 1974-88B,E,M PERMIT EXPIRES 'OWNER SLADARIU ION CONTR. Owner ASSESSOR PARCEL 30-20-27 LOCATION 1684.07r3 Dam Blvd West, Oroville ,,��►�: �l �'IS'� �w�\ dor. fT�M�Al i �5p�cjti'pa f?JA F f9ev •`�. by rs .0 i a ;Q, i n/ ��9 r v. a -_h ; e nJ for - v in i; i - Temp. Power Pole Called PG&E Temp. Elec. Service low 'Called PG&E Temp. Gas Service Ai Called PG&E JOB FINALED Signature r. s = OK 0 = Not OK = Not R-eddyable ' MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements-Setbacks-Easements 2. Soils; Special MH Support-Sketch 3. Sewer; Location-Test-Fall-C/O-Concrete 4. Water; Location-Test-Easement Needed (Sketch) 5. Electricity; Location-Clearances-Grnd.-/ / Amp-Concrete 6. Gas; Location-Test-Wrap: / P1 ft. / /"Nat. or/ /"L" ft./ /"LPG 7. Utility Clearance Card-131 Date Card-131 Date Card-81 Date Card-131 Date Date MOBILEHOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements-Setbacks-Easements 2. Footings; Size-Spacing-Marriage Line 3. Gas; MH Test-Demand-Valve-Connector 4. Electricity; MH Test-Crossovers-.Breakers-Clearances 5. Drain; MH Test-Fall-Flex Connector 6. Water; MH Test-Regulator-Connector 7. Water and Sewer Connected-C/O to Grade-HD Approval 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 10. Cert. of Occupancy Card-131 Date' Card-131 Date Card-B1 Date Card-131 Date 1 MISCELLANEOUS Date DECKS,COVERS,CARPORTS,GARAGES, (Plans)OK except #'s 1. Zoning Requirements -Setbacks -Easements ' 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Beam s-Rftrs.-Connec.- Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Elec. 8. Frmg; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Card -131 Date Card -B1 Date Card -131 Date Card -B1 Date Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness - Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.;Grounding; Equip. w/5' -circulating Equip. -Pool Lghtg. Boxes -Enclosures -Panel boards -Ins. to- Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Card -B1 Date Card -131 Date Card -81 Date Card -131 Date =OK 0 = NotOK RESIDENTIAL (Single and Duplex) - =Not Applicable _ Not Ready . Date" ` UN>ERFLOOR (Plans) OK except #'s I Date FRAMING (Continued) L,-1. co g-z>etDacKs;-tasemenrs-riooa-5iope g., Main; Soils-Steel-Elec. Grnd.-/ P' Ftg. Depth _ 3. Ftg., Garage; Soils -Steel-/ P' Ftg. Depth 4. Ftg, Porches & Decks; Soils -Steel-/ /"Ftg. Depth temwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel- Blockouts-Wrapped 7. Slab: _Steel -Wrapped Viers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fittings -Test -2 way C/O -Sewer Test 10. Gas Pipe; Size -Anchors 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric; Underground 13. enums & Ducts' e-Material-Supprt-Ins. ,APGirders-Sill nc4,kolts- fists -Vents -Cripples 15. Insulation Card-1311;3WDat r Card -B1 Date Card -B1 Date// Card -B1 Date Date,,, -'PLUMBING (Permit) OK except #'s 16. Water Ht. Vent -Access -Combustion Air -Baffle 17. Water Pipe; Test & Anchors -Nail Protection 18. D.W.V.; Test-Fttngs & Anchors -Nail Protection 19. Shower Pan; Test, First Floor -Tub Access 20. Test Tub & Shower, 2nd Floor -Tub Access 21. Gas Pipe; Size & Anchors Card -B1 Date Card -B1 Date Card -B1 Date Card -B1 Date Date ELECTRICAL (Permit) OK except #'s 22. Fixture & Transformer Clearance -Ins. Protection 3. lec. Receptacles Spacing -Lights & Switches at Doors 4. Size Boxes & No. of Conductors -Stapled Romex Installed Close to Edge of Studs & C.J. . Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 2Z,-2-Appfiance Chouts in Kitchen & Conductor Size/G.F.I. 2 ize / / ga. Cu or AI-A.C. Wire Size / /ga. Cu or Al 2 Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral Yes No ctors & Ground -Main Disconnect .31. Equiprr7le�s Panels-Motors-Mech. Equip. ight-Shower Light -Spa Light for Card-B1(1,,,� Dateg -_3a JCard-131 Date Card -B1 Q Date Card -B1 Date Date M HANICAL (Permit) OK except #'s 4. A.C. Ducts Insulation & Support n an; x ust above insulation ,36_GGnderrsate-GFain & Overflow; Size & Grade 3 ce- en ; Access -Comb. Air -Return Air Vent -115 outlet 3&r-AtttC-ATUWs & Platform if Furnace in Attic Card -B1 Card -B1 Date - Card -B1 Date Date Card -B1 Date Date F MING (Plans) OK except #'s 9. Sills, Proper Material & Anchors 0.,Walls Studs -Nailing, Spacing & Bracing -Plates -Sound 1. Bearing Walls over Girders & Floor Nailing 2. Praft Stop in Walls (rat proof) . Re Stops; Furred Ceilings -Stairs -Chases -Tub Header & Beam -Size & Bearin nnectors PO. Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng. s o Type A Flue -Fireplace Throat Clearance 89ttic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions Garage Fire Protection Framing fine irewa penings 52. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 59. §tpifs:-Width ' lead room -Rise -Run -Landing -Fire Protection P wood on Roof Overhang -Attic Vents -Rafter Outriggers Siding -Nailing Veneer - reed -Fd. Vents-Underflr. Access Glazing Area -Glass Protection -Skylights -Plastic o s Insulation-Walls-Clg. 60. Infiltration-Walls-Wndws Card -B1 Dat :3Q Card -B1 Date Card -B1 Date Card -B1 Date Date FINAL (Plans) OK except #'s ieps-Door & Sidelight Protection -Landings �'?j oke Detector Furnace; Vents -Clearance -Comb. Air -Connector - In rage; Above Floor -Ducts -Meeh. Protection B droom Exiting 4org,F-l'. & Bath Fixtures & Tub Access -Spa ,c. Trim & Subpanel; Breaker Sizes -Labels airs & Rails 8. Fireplace or Stove; Clearances -Hearth lets at Wood Panel; Int. & Ext. it Fixt. & Appliance; Grnd. -Air Gap -Cooking Clearance I Outlets & Receptacles at Kit. Counter arage Fire Door; Swing -Landing -Closer ct in Garage -Damper 7 . Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garaoe: Above Floor-Mech. Protection Elec. & Mech. Equip. Li ation Receptacles in Gara ; ( ..) o5lex Protec. nsulation- Foam- Looked in Attic es nstruction-Post•Caps. d nts � Crawl Hole Door -Drainage & Wood -Earth I j Clea ooked under Floor ❑ Yes 80. Following instld.; Drive I»-Yies ❑ No; Walks ❑ Yes PMo; Planters ❑ Yes CL_N� Stucco; Brown -Finish 2. NC. Unit; Disconnect, Electrical, Plumbing Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to O enin s. tA Wapf Well; Disconnect, El,ectrial, Plumbing xterior Elec. Trim;eceptacle-Underground Ventilation throughou ouse Glass Protection 8. Corrections from Previous Inpections teeters Tagged; Gas -Electric wer Connected -C/O to Grade -HD Approval Energy Compliance Certificate -Other Certificates Roofing Certificate Card -81 Dat Card -B1 Date Card -B Date 1-(Z and -B1 Date Card -B1 Date Card -B1 Date Commenhi at Final: (NOTE: An entry must be made each time you visit job site) Owner: Permit No. LOCATION ENERGY C ERTIF ICAT ION DESCRIPTION OF INSULATION ROOF Material Thickness(nches) EXTERIOR WALL Material Z`"'��-"`�_� Thickness inches) "'` A. P. No. Brand Name Thermal Resistance (R Value) Brand Name Thermal Resistance(R Value) CEILING Batt or Blanket Type Brand Name Thickness(inches) +ar Aa 6oz, Thermal Resistance(R Value) Loose Fill Type Brand Name Minimum Thickness(Inches) Number of Bags Wt. per bag lb. Area covered(ft.2) Thermal Resistance(R Value) FLOOR, ELEVATED / / Material�C�'��r��.� 19-- k%!,V7/i�JyBrand Name Thickness(inches) Thermal FLOOR, SLAB Resistance(R Value) Material Brand Name Thickness(inches) Thermal Resistance(R Value) Width(inches) FOUNDATION WALL Material cvr,,e-y��r ��ir�rBrand Name Thickness(inches) ' Thermal Resistance(R Value) �o> J�C�✓ �rvw I hereby certify that the above insulation was installed in the above building in conformance with the State of California Energy Requirements. :S'Zd9dW ,�? i (/ JTolu 11�._ FIRM NAMEOWNS � STATE CONTRACTORS LICENSE NO. f.- 3- X705' SIGNATURE OF INSTALLATION APPLICATOR DATE I hereby certify the above insulation and all required items as shown on the Building Department approved plans and attachments have been installed as required by the State of California Energy Requirements. - All equipment, devices and materials are of the quality prescribed or are specifically approved by the State of California. FIRM _ 0 R (Please print) SIGNATURE OF GENERAL CO . RACT'0& STATE CONTRACTORS LICENSE NO. - 3 DATE THIS CERTIFICATE MUST BE ON FILE WITH THE BUILDING DEPARTMENT PRIOR TO FINAL INSPECTION APPROVAL AND A COPY SHALL BE POSTED WITHIN THE BUILDING. January 1984 =.,-j...-`f4-+.s.N,� «�i: - •ice.. :}_>�"���='��i:-�.,."ri�+aft!'%'kn"JLi,F_mf�l^A•^l�,�j;,�,F.'iV.^Y+�; H"'"�e'Y�. COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 538-7541 747 Elliott Road, Paradise — Phone: 872-6307 - fi CORRECTION NOTICE 4 <:� 1 ::).,i a.o P-, /9 7 �r�i )WNER PERMIT NO. A routine inspection indicates that the following violations of County Ordinance exist at .the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. Inspector � � - Date COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS i 196.10ejnorlal Way, Chico— Phone: 891-2751 7 County Center Drive, Oroville — Phone: 538-7541 ' 747 E(IiotORoad, Paradise — Phone: 872-6307 a 3 CORRECTION NOTICE OWNER PERMIT NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. IA�5IW-1� legit'�,OT !a G GrJ 2C 5 - /9),09-�1 -ANTRA), � • I / 1 \� OMNI �mm wn- 70 ���� ICiii� COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 538-7541 747 Elliott Road, Paradise— Phone: 872-6307 CORRECTION NOTICE A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. Inspector Date '9/J 'G — 5;1�"' J COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKSPE ITN 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541. ( � /y APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER ``-J[ yV930 ZO "I ,.e BUILDING PERMIT OWNER 1 LE HONE SO. FT. OCC, BUILDING VALHIATION Al ADDR S 7 Vo- 0- 1A 11,A)egj caro,)L' Ll? CONTRACTOR'SNAME . TELEPHONE ^ V AA, 0 CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LlO Q Filing Fee $ 10,0p LENDER'S MAILING ADDRESS Permit Fee $ c -o ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 6 , Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRES vd� 1�tle Permit fee ! $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 r �Ur Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF,-, Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I GW 0.00 ea TYPE OF WORK New ❑ Addition U Remodel ❑ Utilities ❑ Installation[] Other ❑ Describe work: Penult Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 10OV OR LESS10010.00 1AMP OR LESS Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW OR AODNS. CONST. ACC. BLDGS. DWELLING OCCUP.Oi� ,h¢sgft_58._75 NEW CONSTRTI-OUTLET 2,50 ea NON-RESID BRANCH CIRC TS POWER APPARATUS e (SINGLE OUTLET CIR. EX. OCCUp(OUTLET3 OR FIXTURES 209500 .200030 Ex. OCCUp. OUTLETS APP (RESID IREA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ 4e 8,35 Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ 1 have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement,should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT FiIingFee 10.00 Heating a ey Gf wek 0-0 Cooling Hood 3.00 Ventilation permit Fee $ e -O Contractor I certify that 1 have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. �0 ,�� Signatur of Applicant — k,+erJZ1 Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures o/verr73 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ , Q'D TOTAL PERMIT FEE a CONST.T Pc V scNooL .. vLoo vAReeL PD ND .�- 590E This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which IRE9*V OF PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS 7 Q� Date/' Receipt No. ( I l -1 WNITC-D.P.W.. YELLOW-ASOCSSOR. PINK -INSPECTOR, aOLDeNROD-APPL I CANT -. i :,. r> . r��. .,,t`+a•v-v< T-.4«'ww:, ,..,�"1r..\ q-..ti.N+vy:�:..}.7+4�..r, .. �..:rt-v.*.«.-.-�.%:t= •x , ,,. - - I � s COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, G•ALIFORNIA 95965 - TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET Permit No. OWNER 5 �6ft/ A. P. No. -7 Proposed Building Use 5J/r aejdr',�i a-.,, ' / Building Inspector E,6 I— Date � � d gF At time of permit application, I was advised the following data must be submitted prior to permit processing and:/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted. . . . . . . . . . . . 2. Plot plans in duplicate./triplicate, signed by preparer of plans. . 3. Complete plans in duplicate. /triplicate, signed by preparer of plans. 4. Complete engineered plans and calcs, with wet signature on plans. 5. Plans with Energy Design Compliance Statement. . . . . . 6. School District "Fees Paid" Stamp on Floor Plan. 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ , , , , , , , , A. Letter of signaturor'ization. _65& Sanitation approv Onm_ AD . Health Dept. r 11. Planning approval for (A) Use: (B) Parking: 12. Certificate of Workmen's Compensation Insurance. . . . . . 13. Contractor's License Information (no., name style, classif.) 14. Owner -Builder Verification (Given to owner❑, Mail to ownerEl _15. Improvements may be required. . , . . . , . , , , 16. Mobilehome Installation Data. . . . . . . . . e -In. Prspec. request to (Date) 17. Pre -Inspection for Required, Building Inspector 18. Recorded copy of Agricultural Acknowledgment Statement. 19. Driveway Permit. Y x,20. Plot plan approval from city of Engineered trusses in duplicate (required prior to plan check). �.- 22. When you issue the ermit, process as follows: Mail to owner, Mail to contractor. Telephone 53Ym 777 1 and hold for pickup at/)r/) office, Deliver w/inspector: Other _�491x'00 f/'a...� Ne -_Z-c/ L' Z Z/ .5-;42 -- 7 -7 -7 -7 Applicant to �L'VI 9V() Copy of plans sent Health Dept., Fire Dept., Other ' ' Date The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. r 2. Additional items required: A I? I Contractor, designer, owner, was advised of above required data by_phone---jnail—counter by date Contractor, designer, owner, was advised of above required data by—phone —mal l—counter by date Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy—DPW COUNTY OF BUTTE - Depa-rtment of Public Works 7 County Center Drive,'Oroville, CA. 95965 Phone: 916-538-7541 OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) 1� 2. -1 (have/have not) / c��I (> signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. 5. I.will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address . Phone Type of Work Signed: Property,Owner Social Security Number , Date O NOTE: This Owner -Builder Verification is sent to,you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. FORM 7 ADDITIONS TO RESIDENTIAL BUILDINGS ENERGY SHEET PACKAGE "A".(Additions) Owner Z/9 �5 ���„��/ / Climate Zone Permit # 14'7 fV Floor Area- s The following data showing mandatory and required features of Package "A" shall be -installed for additions to dwellings. Additions to dwellings include room.. additions, converting garages and patios to living areas, house moves that add. footage and attic conversions, and any space that is existing non -conditioned space that is converted to conditioned space. -Remodeling of existing conditioned space isnot included. ZONE 11 ZONE APPLIES TO NEW AREA m CEILING - _ R-30 38 ® WALL R-11 R - /Q9 ® FLOOR R-11 R-1' SLAB R-7 R-7 gp GLAZING U -'.65 -(Dual) U-.65 *SHADING SOUTH - OPTIMUM OVERHANG or .36 Shading Coefficient Dual) I WEST - .36 Shading Coefficient LOOSE FILL INSULATION (Density) ®INFILTRATION CONTROL (Weatherstrip: -doors, certified windows, caulking) VAPOR BARRIER (Zone 16) DUCTS PER UNIFORM MECHANICAL CODE - Ch. 10 LIGHTING KITCHEN & BATH NOT LESS THAN 25 LUMENS/WATT ®MAXIMUM GLAZING 16% OF AREA PLUS REMOVED GLAZING IoU,/yj� NEW HEATING; VENTILATING, AIR CONDITIONING AND HOT WATER SYSTEMS IN CONJUNCTION WITH AN ADDITION SHALL BE INSTALLED AS SHOWN ON BACK OF THIS SHEET. OTHER 1 *1 . HEATING _VENTILATING, AIR'CONDTI?SONING SYSTEM X01 a (A) Heating Central Gas Furnace % (brand and model number) SE Btu/hr (heating capacity) Heat Pump (brand and model number) ACOP Btu/hr (heating capacity at 47°F) Active Solar type (liquid or air) Collect?r brand and ft model number solar fraction collector area collector orientation collector tilt rated y -intercept rated slope Other (describe) *1 (B) Cooling ❑ Electric Air Conditioner (brand and model number) (seasonal -EER) Btu/hr (cooling capacity at 95°F) ❑ Electric Heat Pump EER Btu/hr (cooling capacity at 95'F) ❑ Other (describe) 13 ❑ *2 e DOMESTIC WATER SYSTEM •(A) Gas Only Gallons (brand and model number) (tank size) Heat Pump w/Electric Backup (brand and model number) . Gallons (tank size) Active Solar (collector brand and model number) (rated y -intercept) (rated slope) (solar fraction) ft (backup heater type, brand and model number) (collector area) (collector orientation) (collector tilt) Location of Solar Panels Other (Describe) *1 Submit documentation of sizing heating and cooling equipment by Manual J, sizing charts (form #4) or other approved methods, section 2-5352(8), and fill out the following: Heating: Winter design temperature °, elevation '•, heating load BTU elevation factor x heating load maximum outlet capacity gas furnace BTU Cooling: Summer design temperature ', cooling load BTU *2 Submit T.I.P.S.E. chart or other approved system (form #5) to document sizing of solar panels. ® DESIGN COMPLIANCE STATEMENT: The above building design meets the requirements of Title 24, Part 2, Chapter 2-53 of the California Administration Code. SIGNATURE OF—BUILDING DESIG7L1 NT J COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 959E5 - Telephone 916/534-4541 APPLICATION AND PERMIT u ASS_qSOR PARCEL NUMBER ZONING ' IAUILD14r, PERMIT o -TC I TELEPHONE SQ. FT. OC BUILDING VALUATION OWNER'S MAILING ADDRESS `P —� _\] C OR• CO A E '\ --}/ TEL PHONE CONTRACTOR'S MAI NG DDRESS t Fireplace CONSTRUCT- ­NUEN LIN K Oy WN Total Valuation $ Filing Fee LENDER'S MAILING ADDRESS Permit Fee $ 10.00 $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee Penalty $ $ ARCHITECT OR ENGINEER'S MAILING ADDRESS w Permit fee $ BUILDI A S J'Y1 PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Repair drainage or vent piping 5.00 Water piping LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets ,/ USE OF STRUCTURE SF [9 Duplex❑ Mobilehome❑ Other SPECIFY Building sewer Lawn sprinkler system 5.00 TYPE OF WORK New ❑ Addition ❑ R ode[ ❑ Utilities ❑ Ins al lationz Other Describe work: �JeAA/ SQ1 G..T-- 1, 14 ani Permit Fee $we r ©© Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service DooV OR LESS 100 AMP OR LESS 5.00 .M Main service EA. ADD'L 100 AMP 2.50 NEW CONST. (DWELLING OCCUP.& OR ADDNS. ACC. SLOGS. 2¢sgft CONTRACTORS LICENSE LAW �f I declare under penalty of perjury (check one): [��am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. ..� ? License No., 3�f5 Classification R/• C 3S C >< ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. Business and Professions Code for this reason NEW CO P- BRANCH CIRCTITS 2.50 ea .. NEW CONSTR POWER APPARATUS a NON.RESID. t SINGLE OUTLET CIR. Ex. OCcup(OUTLETS OR FIXTURES 80@� BAL@1 FIXED APPLNS. OR Ex. Occup.(ouT LETS (RESID.J EA. 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 Permit Fee $ Contractor MECHANICAL PERMIT FiIingFee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate f Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Heating Cooling Hood 3.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue inst d County in ce�nse,ue/n�ce o the granting of this permit.Z Y° /� J , Date - Z�/ Signature Of Applicant — Owner ❑ Contractor L� Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE occuP. 0RouP TYPE 'IF CONST. I PARCEL PD 1 HD 1 ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which R TO F PUBLIC By PERMIT EXPIRES Dale�r the applicable to i- resolutions to do fees have been paid. WORKS Date�21- r Fit -4 Receipt No. _LkS73 -2-- WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT THERMALITO IRRIGATION DISTRICT 410 GRAND AVENUE OROVILLE. CALIFORNIA 95965 TELEPHONE 533.0740 S_ r N2 1323 CSA 26 SEWER SERVICE APPLICATION AND CONNECTION PERMIT 5-17-711 4„ Service Address: S� 't -O Owner's Name: ate: 6 Address: �7" v� D// 1 Acct. No: — OA. P. No.: 62 `2 7 Phone:" `�` % No. Units: Applicant/Agent: Agents Proof: Address: Fees: Phone: Application $ r 6� ��� / a Arrearage Preliminary Review By: Date: � `�-. O -7G CSA 26 Remarks: SC -OR 1st mo. S.C. Other Total Fees Collected By: Date: ,�2 -3©- %h Field Review By: Date: Remarks: 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). DISTRIBUTION: WHITE - TIO, YELLOW - APPLICANT, PINK - DPW, GOLDENROD - DPW to TID R DS4 A' FOUR . EPIC TRUSS, l6nm 51 ��l q, (y* uunw",.: ipt �Rbkgm I PMING—�;,:2 I I. - Fm i Pro'lMiN FOR_ VWD'*%rTMC)IDW