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030-200-050
ES AP 30-20-50 -� EVEOS "�11`gs Ave., roville _1019-75B (addition30-20-50 ##890,76P(bldgT., sew. inst) LOT BLOCK Sl. PERMIT PERMIT NO. PLAN NO.TYPE OF 1.�CL / i f/. 30-20-50 '..� Pe> it 42553--77E (ele ge_r_Ch) SF `30-20-50-1 Permit -4-2-532=77B(new privatek garage) 7.7 30-20-50 contr:Leisure.Time Pools, Paradise Permit #2633-77BYE-(neck private swimming pool) %- yo 30=20-50 I�EW OWN ECKLEY GU&W 1555 Biggs Avenue, Oroville Contr: Servamatic Solar System, Chico Permit#369-83P(instal sola water htr system)SF `• ��'/�' 030-200-050 03-1070 1 GONZALEZ, JUAN 1555 BIGGS AVE, OROVILLE COVERED DECK & FIX ROOF /UGC TSSU 030-200-050 04' 2528 GONZALEZ., JUAN 1555 BIGGS AVER E \� Cont: OWNER ROOF RESTRUCTL`R 030-200-050 06-0689, GONZALEZ, JUAN 1555 BIGGS AVE, ORSWVILLbK CONT: OWNER WINDOWS \ • PERMIT DESIGNATION: B -BUILDING -E ECTRICAL U -USE PERMIT DEPARTMENT OF P -PLUMBING TV -RADIO -TV ANTENNA V -VARIANCE t BUILDING AND SAFETY T -TRAILER S/W-SIDEWALK NOTICE S -SIGN PERMIT S� REMARKS HM- HOUSE MOVING EP -ENCROACHMENT D - DEMOLITION 600.1 4111L 1 r' V, rn. 31VO '018 31Vcl OIS 31V0 'OIs 3140 '018 31Vcl OIs NOIIVNOIS30 I E 3H38Wf1N 11W83d S'1 VAO?IddV SllOHAIV7TV.) 'IW "IVNId SU313 W 93O1SIVIlddV V 33unix d NI-HOf10a' 31VO OIS 31VO OIS 31VO OIS 31V0 913 31VO OIS 9838Wf1N 1IW213d SrIVAOVddV 7VOI?I.L0,V7V 1VNId S1N3A 70 S3ONVI1ddV 3NIl H3M3S ONldld U31VM LS31 3anSS38d SV9 E NI-monm1 31V0 )IS 31V0 'OIs 31V0 9I8 31V0 013 31V0 '913 IH38W(1N 11WL13d S"IVAOtVddV OAIISlllll7d S7VA04YddV OAlIQ7IlIS atIO33ti NOI.L33dSNI 31V0 '9IS 31V0 '91S 31V0 '9IS 31V0 '9IS 3.5V0 'OIS 31V0 'DIS 31V0 'OIs 31V0 'sJIS 31Va 31V0 'OIS 31.V0 'OIS 31.V0 , OIs . i n 2 F m 0 n m �> m rD'm r m°z 00 �� 7C� m y1 ym -�A m0 �-�i ym �� m0 In t- 5m _� O z f� Dm _2 O m > D 3 Z 0 Al mZ m0 mz r Z a zo() 20 >1-4 _1(A0 a" Z z cm m in mi z S7VA04YddV OAlIQ7IlIS atIO33ti NOI.L33dSNI �, �. _, ,�a x -- �. �. _ ��� ..�� ���� COUNTY OF BUTTE- — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — UroviIle, California 95965 Tel epVne: 534-4541 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. x Signature of Permitee or Agent Date Receipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Building permit expires Date Date BUILDING Owner SQ. FT. OCC. BUILDING VALUATION Mailing Address / f Telephone No. Fireplace Contractor - Total Valuation ' Mai I ing Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee Building Address PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 ,. Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 y' . y y. r • Each gas water heater or vent 1.50 A. P. No. r ( — -) Zoning 8 Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fees W. C. Sanitation FireDept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration Parcel Ma p 60' R/W Im rovements p Lawn sprinkler system 2.00 Bldg. Plans Rec'd Parcel Approval Plans Approval Permit Fee $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER Q ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 r, r','.., ,d} r. _,��_- 5.00 !' y Main service 100 AMP OROR SLESS /, ,._ Main service EA. ADD'L too AMP 2.50 Main service OVER s O 25.00 100 AMP OR LESS Single Family ❑ Duplex ❑ Mobil Home ❑ Others ❑ Main service/ EA. ADO'L 100 AMP 1.00 NEW CONST.DWELLING OR AD -DNS. %r ACC. -BLOGSOCCUP. &) 20sgft NEW CONSTR. MULTI -OUTLET NON-RESID, ( BRANCH CIRCUITS) 2.50ea NEW CONSTR. POWER APPARATUS &) NON.RESID. (SINGLE OUTLET CIR. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name of: @2F4 Ex. Occup(OUTLETS OR FIXTURES) BAL 100 FIXED ALNS.style Ex. Occup. (OUT LETSP(RESID )REA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ MECHANICAL No. @ FEE WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. ❑I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 1 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 bui Idino construction, and herebv TOTAL PERMIT FEE $ / authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. x Signature of Permitee or Agent Date Receipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Building permit expires Date Date COUNTY OVPATTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Uroville, California 95965 Telephone. 534-4541 APPLICATION "AND PERMIT z3-77 A .s -� authorizeepresentat lves of the County of Butte to enter upon the {� above -m oned propert for inspection purposes. L/ 1 x X7 Date `S Signature/of Peerrmiteee or Agent Receipt No. White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR Oh PUBLIC WORKS BY Date) - 7 i B ding permit expires Date S -z s - "7 BUILDING L Owner ZqhlAl SQ.FT. OCC. BUILDING VALUATION Mailing Address Q Tele �jhane No. J Fireplace Contractor Total Valuation Mailing Address ,Permit Fee PlanChecking Fee &/or Penalty Telephone No. Permit Fee $ $ Building Address PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 7 r � � ��� Each gas water heater or vent 1.50 A. P. Q Q — tS Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 F s Swri•r8T(m I Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration Parcel Ma p 60' R/W Improvements p Lawn sprinkler system 2.00 B�P}v"T-RTL d Parcel Approval Plans Approval Permit Fee $ $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 (% Main service s- OR LESS 5.00 10000AMP OR LESS Main service EA. ADD'L 100 AMP 2.50 S Main service OVER 600V 25.00 100 AMP OR LESS Single Family � Duplex ❑ Mobil Home ❑ Others ❑ Main service EA. ADD•L 100 AMP 1.00 / 1 NEW OR ADDNST ( ACCLB DGS.LING CCUP. &) 2¢Sgft NEW CONSTR MULTI -OUTLET NON- (MULTI-OUTLET BRANCH CIRCUITS) 2.50ea NEW CONSTR (POWER APPARATUS .&) NON -RES,D. SINGLE OUTLET CIR. I CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: Ex. Occup(OUTLETS OR FIXTURES) @"1"09 FIXED APPLNS. OR Ex. Occup. OUTLETS (RESID.) EA) 2.00 Temporary service 110.00 • Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 I am exempt from the Contractors License Laws of the State of California. Permit Fee $ (f $ 0 WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ®I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. ❑ I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE J$3.00 Heating Cooling Ventilation Hood 2.00 PermitFee $ $ I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby TOTAL PERMIT FEE $ L authorizeepresentat lves of the County of Butte to enter upon the {� above -m oned propert for inspection purposes. L/ 1 x X7 Date `S Signature/of Peerrmiteee or Agent Receipt No. White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR Oh PUBLIC WORKS BY Date) - 7 i B ding permit expires Date S -z s - "7 k Y 2532-77B PERMIT NO. t PERMIT EXPIRES f OWNER Robin Theveos CONTR. owner I LOCATION (A.P. • 30-20-50 1555 Biggs Ave., lot #1, Oroville E i r Temp. Power Pole Called PG&E Temp. Elec. Serv. Called PG&E Temp. Gas Serv. ailed PG&E OB FI NA LED (Date) . t r (Sig ure) i • COUNTY OF BUTTE — DEPART 1PriEN'' OF PUBLIC WORKS BUILDING INSPECTION. NSPECTION RECORD BUILDINGBUILDING A (Cont'd) PLUMBING Setback/,� J Firewall Soil Piping Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor Stemwall Siding To out Slab Roof Sheathing - Water Pi in Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Garage Vents Water Htr. Stemwall Insulation Heaters Slab ' ` , /j' Carport Footings Prov. for physically handicapped Conformance of ex. structure Appliances Gas PI in & Test Temp. Gas Slab Final Sanitation Patio FIREPLACE JJ Final Footin s Footing ELEC RI AL Masonry Walls Throat Rouc3h Relnf. Steel Final Fixtures Bond Beam FIRE PRINK ERS Motors Framing '� Test Water Htr. Stucco Final Subpanels Mesh MEC NICAL Gird. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Underground ,Interior Lath Ventilation Permanent rpoor Closer Final Final MOBILEHOME UTILITIES ------------------ Elec. Service Elec. Pedestal lfvater Piping Sewer Gas Piping BI E ME INSTALLATION - - - - - - - - - - - - - • Support V Elec. Continuity Water Piping Drainage Gas Piping DATE REMARKS OR CORRECTIONS 1111077 ?7,0 (NOTE: An entry must be made on this form each time you visit the job site.) Owner Mailing Address Contractor Mailing Address Building Address /✓ V L COUNTY OF BUTTE — oDEP,ARTMENT OF PUBLIC WORKS 7 County Center Drive rJrcfville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT Telephone No. Telephone No. r A. P. N9. —,27 O 6 Zoning & Planning F C. Sa tati Fire Dept. Fire Zone Use Permit EQA Parking Parcel Parcel Ma 60' R/W Improvements Plans Declaration P P Bldg. ans Recd ParcA.Approval Pkms Approval NEW ADDITION ❑ UTILITIES ❑ OTHER ❑ Single Family ❑ Duplex ❑ Mobil Home ❑ Others g , -,/J/T Vii_ 2 Gaj CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business &. Professions Code under the name style of: License No Classification _ BUILDING `6_0011 SQ. FT. I OCC. I BUILDING VALUATION Fireplace Total Valuation Permit Fee _ Plan Checking Fee &/or Penalty Permit Fee PLUMBING PERMIT FILING FEE Each Trap Repair drainage or vent piping Water piping Each gas water heater or vent Gas piping system 1 - 5 outlets Each additional outlet Building sewer Lawn sprinkler system Permit Fee ELECTRICAL PERMIT FILING FEE Main service 600V OR LESS 100 AMP OR LESS Main service EA. ADO'L 100 AMP Main service OVER 600V 100 AMP OR LESS Main service EA. ADD'L 100 AMP NEW CONST. / OR ADDNS. 1 DWELLING OCCUP. & ACC. BLDGS. NEW CON STR. NnN. (MULTI -OUTLET l BRANCH CIRCUITS $3.00 1.50 1.50 1.50 1.50 1.50 .30 5.00 2.00 $3.00 5.00 2.50 25.00 1.00 2¢sa ft Ex. Occup(OUTLETs OR FIXTURES [BA L@T Oa Ex. Occup. ( OUTLETS ((RESID )REA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wirina 6.25 Y% ] I am exempt from the Contractors License Laws of the State of California. Permit Fee MECHANICAL WORKMEN'S COMPENSATION INSURANCE PERMIT FILING FEE I am aware of the provisions of Section3700 of the California Labor Heatina Code which requires every employer to be insured against liability for Workmen's Compensation. I have placed on file with the County of Butte a certificate of 03 Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. 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 presentatives of the County of Butte to enter upon the abovUnt,d pr perty for ins ection purposes. X Date S� Signature.of Permitee or Agent Receipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant Cooling Ventilation Hood Permit Fee FEE FEE @ FEE $3.00 0 TOTAL PERMIT FEE $ 6 This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS BY 99EDate d -7- —% 7 Bul lding permit expires Date % •r ;PERMIT NO. 1019-75B,E,M P E W JMH UTIL.. 'IPERMIT NO. 'S 4-/-76 PERMIT EXPIRES OWNER Robin Theveos �CONTR. LOCATION (A.P. 30-20-50 ) 1� n 1555 Biggs Ave., Oroville r a c Temp. Power Pole Called PG&E Temp. Elea Serv. Called PG&E Temp. Gas Serv. alled PG&E t : JOB FINALED (Date) (Signature) DATE REMARKS OR CORRECTIONS COUNTY OF BUTTE — DEPARTIOENT-6F PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBING Setback Firewall Soil Piping Forms e-- Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor Stemwall Siding To out Slab Roof Sheathing 0 4 Water Piping Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Garage Vents Water Htr. Stemwall Slab Prov. for physically handicapped Heaters Appliances Carport Footings Conformance of ex. structure Gas Piping & Test Temp. Gas Slab FinalJ4 Sanitation Patio FIREPLACE Final Footings Footing ELECTRICAL Masonry Walls Throat Rou h Reinf. Steel Final Fixtures Bond Beam FIRE SPRINKLERS Motors Framing Test Water Htr. Stucco Final Subpanels Mesh MECHANICAL Grd. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish !l Ducts Underground Interior Latf Ventilation Permanent Door Closer Final /"J/ Final--'$ U 7� ._ DATE REMARKS OR CORRECTIONS t COUNTY OF BUTTE — DEPARTMENT OF PUBLIC S 7 County Center Drive — Oroville, California 95965 1019 Tel ephpne�: 153* -4541 APPLICATION -AND PERMIT • •il�il�c Ict/-.1.lallVV0 VI lI1C l.•UUllly UI DUMC LU CALCI UPUn Ine above mentioned property for inspection purposes. SX Date ignature of Permitee or Agent Receipt No. Zg!�396 White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF UBLIC WORKS By_��� —4_ Date Cj� /_ u (ding permit expires Date::..................�`�.. i BUILDING 04 Owner SO. FT. OCC. BUILDING VALUATION O Mai I i ng Address + rI Telephone No. Fireplace Contractor &M6Total Valuation 3 Mai I i ng Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee $ .OQ $ 4+a69 Q( Building Address � S /J ! G S PLUMBING No. @ FEE PERMIT FILING FEE $2.00 r Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 F s N( Sa tion Fire Dept. Fire Zone Use Permit Building sewer 5.00 EOA Parking Plans Parcel Declaration Parcel M P 60' R/W Im r p ove nts Lawn sprinkler system 2.00 Bldg. lans Rec'd Parce Approval Plan pproval Permit Fee $ $ NEW ❑ ADDITION UTILITIES ❑ [—] ELECTRICAL No• @ FEE PERMIT FILING FEE $3.00 _:?,00 Main service incl. 1 meter Additional meters, each 1.00 Sub -panel (12 or less) (more than 12) Single Family Duplex ❑ Mobil.Home ❑ Others ❑ Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 Light fixtures b20 ai ala ReQffs., swi tcVbs & fix outlets , CONTRACTORS LICENSE LAW I am' licensed under the provisions. of Chapter 9; Div. '3, of the State of California Business & Professions Code under. the name style of: Hood, Ex. Fan or F. A. Furn. Motor 1.00 Evap. cooler, gar. disp. or D.W. 1.00 Air conditioner or heat pump Water pump Mobil Home Facilities 5.00 Temp. Power Pole • 5.00 ' License No. Classification Misc. wiring v I am exempt from the Contractors License Laws of the State of California. , Permit Fee $ a iD $ WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California Labor Code which. requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in .the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 3Od Heating Cooling Ventilation Hood D Ze e, 2.00 oZ X00 Permit Fee $ I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby TOTAL PERMIT FEE $ • •il�il�c Ict/-.1.lallVV0 VI lI1C l.•UUllly UI DUMC LU CALCI UPUn Ine above mentioned property for inspection purposes. SX Date ignature of Permitee or Agent Receipt No. Zg!�396 White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF UBLIC WORKS By_��� —4_ Date Cj� /_ u (ding permit expires Date::..................�`�.. i P�_P,MLTD. 890-76P PERMIT EXPIRES 2/27/77 OWNER ROBIN THEVOS CONTR. owner LOCATION (A.P. 30-20-50 1555 Biggs Ave., Oroville r • Temp. P w r Pole Call d PG&E Temp. Elec. Serv. Iled PG&E Te p. Gas Serv. Called PG&E JOB • FINALED (Date) (Signature) THERMALIJO IRRIGATION DISTRICT , , x.30 410 GRAND AVENUE OROVILLE, CALIFORNIA 95965 TELEPHONE 533-0740 CSA 26 SEWER SERVICE APPLICATION AND CONNECTION PERMIT Service Address: /.55.5 i ora c t-1 ✓e . Owner's Name: 1/0 {: S Date: 42 Address: 1 5S c t��� Acct. No: A. P. No.: 36 —Q ?20-,5-0 Phone: - " © No. Units: Applicant/Agent: IJ t R Agents Proof: A)In Address: Fees: Phone: Application $ Arrearage Preliminary Review By:l—w /!d)7c. -ate:. a..4.1-� D -Q -X .7/71,- CSA 26 Remarks: SC -OR list mo. S.C. /! Other Total Fees Collected By: Date: 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 - TID, YELLOW - APPLICANT, PINK - DPW, GOLDENROD - DPW to TID COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS `"BUILDING INSPECTION -RECORD BUILDING BUILDING (Cont'd) PLUMBING Setback Firewall Soil Piping Forms Parapets 1st Floor Main Bldg. Restroom Finish I 2nd Floor Footings Windows - 3rd Floor Stemwall Siding To out Slab Roof Sheathing Water Piping Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Garage Vents Water Htr. Stemwall Slab Prov. for physically handicapped Heaters Appliances Carport Footings Conformance of ex. structure Gas Piping & Test Temp. Gas Slab Final Sanitation Patio FIREPLACE Final , Footings Footing ELECTRICAL Masonry Walls Throat Rough Reinf. Steel Final Fixtures Bond Beam FIRE SPRINKLERS Motors Framing Test Water Htr. Stucco Final Subpanels Mesh MECHANICAL Grd. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final DATE REMARKS OR CORRECTIONS (NOTE: An entry must be made on this form each time you viElt the job site.) w' COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 ..._7 Telephone: 5514-454?' APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above -m tinned property for inspection purposes. Date -2— Signature of Permitee or Agent Receipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. -� DIRECTOR OF PUBLIC WORKS By , r� Dated - Z2 7 7Co permit expires Date _.2 — -:A 7- i�T BUILDING Owner SQ. FT. OCC. BUILDING VALUATION Mailing Address S (E Telephone No. '" Fireplace Contractor Total Valuation Mailing Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee $ Building Address PLUMING No. .@ FEE PERMIT FILING FEE $3.00 p _ SSS C_45�" S Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 %% Each gas water heater or vent 1.50 A. P. No. _ — �G+ — S © Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 FW -s ge iwe4ien Fire Dept. FireZone Use Permit Building sewer 5.00 p EQA Parking Plans Parcel Declaration Parcel Ma P 60' R/W ImprovementsLawn sprinkler system 2.00 RI49.6 o=04 eC1'd Parcel Approval Plans Approval Permit Fee $ Ae, NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER JK ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service 100`OR AMP ORLESS5.00 Main service EA.. ADD'L too AMP 2.50 Single Family Duplex ❑ Mobil Home ❑ Others ❑ Main service 1100EAMR OR LESS 25.00 Main service EA. ADO'L too APAP 1.00 ORt ADDNST ( CONS.DACCLBLDGS.LING UP. &) 20sq ft NEW CONSTR. MULTI -OUTLET NON.RESID. (BRANCH CIRCUITS) 2.50ea NEW CONST R. (POWER APPARATUS & NON -RESID. SINGLE OUTLET CIR. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: Ex. Occup(ouTLETS OR FIXTURES)@'@5¢ BAL@4 Ex. Occu FIXED APPLNS, OR P• OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. 1:1 I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this IN permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood' 2.00 Permit Fee $ $ 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby TOTAL PERMIT FEE $ authorize representatives of the County of Butte to enter upon the above -m tinned property for inspection purposes. Date -2— Signature of Permitee or Agent Receipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. -� DIRECTOR OF PUBLIC WORKS By , r� Dated - Z2 7 7Co permit expires Date _.2 — -:A 7- i�T PERMIT nlO. 2631-77BjE Vis' -77 7 41 PERMIT EXPIRES h OWNER Robin*Theveos - CONTR. Leisure Time Pools, Paradise LOCATION (A.P. 30-20-50 1555 Biggs Ave., Oroville Pa e Temp. Power Pole'_ Called PG&E — Temp. Elec. Serv.— Called PG&E Temp. Gas Serv. Called PG&E JOB FINALED (Date) (Signature) P r - COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSMECTION RECORD Subpanels BUILDING BUILDING (Cont'd) PLUMBING Setback Firewall Soil Piping Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor Stemwall Sidina To out Slab Roof Sheathing Water Piping Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Stemwa I I Garage Vents Insulation Water Htr. Heaters Slab Carport Po Footings Prov. for physically handicapped Conformance of ex. structure Appliances Gas Piping 8 Test Temp. Gas Slab Final Sanitation Patio FIREPLACE Final Footings Footing ELECTRICAL Masonry Walls Throat Rough Reinf. Steel Final Fixtures Bond Beam FIRE SPRINKLERS Motors Framing Test Water Htr. stucco Final Subpanels Mesh MECHANICAL Gird. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final MOBILEHOME UTILITIES ------------------ Elec. Service Elec. Pedestal Water Piping Sewer Gas Piping MOB16EHOME INSTALLAT�I PN - - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping /DATE REMARKS OR CORRECTIONS zlwl i -/0-79- Q 0 - a (NOTE: An entry must be made on this form each time you visit the job site.) State Contractors License Board 2400 VashIngton Ave.,, 0111 Redding, CA. 96001 Gentlemen: November 30, 1979 RR: Leisure Time Pools Leisure Time Pools constructed a pool for 'ROMA Theveos at 1535 Riggs Avenue in Oroville without the required inspections and approval* from this office, On July 26, 19996 1 wrote a letter to them requesting that they contact us and arrange to verify that the construction of the pool conformed to code requirements (copy of letter attached). As of this date, we have not heard from leisure Time Poole. Would you please con- tact theta and see if you can amage to hair® the work inspected and completed. Your usual cooperation with this office: would be appreciated. JPG:dd Attachment Yours very truly, Clay Castleberry Director of Public Works J.F. Glasnder Chili Building Inspector cc: Leisure Time Pools, P.O. Box 98, Paradise 93969 (a/o att.) Robin Theveos, 1553 Biggs Ave., Oroville 95965 (w/o att.) Chuck Patty, Building Inspector File No. BUTTE COUNTY (For Action 1, 2,3) Public Works Dept. (For Information Director Dep. Dir. Sec. Rd. & Br. Mtce. Shop & Yards Bldg. Insp. Admin. O&C / Traffic Const. Rd. Des. Br. Des. Sur. & Loc. Transp. 0 R/W Mapping Land Dev. Ref. Disp. Drng. / S. I. Sub. & PcI. Maps Permits_ 44:19a nom • 30408dsn B"as 596S6 ettTAOA® ` #*AV 68fts SSSt `Qo*wM afgoa : rs xoaatKTPiT 3oT' pp:fldr ��io 'a•r 93pos oTigc2 ;0 so3ooxgq Ang"Tam Bela 44tnza Am eanex *an a oa amt8 'vjg3 9419 tpoau* ovoT3oonb Aug s Avq eA ptwiS • p ni�o•t og IIJA ;oma" 3rue4 0 ° op m eq o3 oax*Ta**asoo cats oxog3 n ' tood MP TM; 03 34M6330, uv a; qot ea3 no zo3uadmn av 3oow o3 Rauvxlo poa 3onoi aTq:s ;o 03vp $g3 T© eAsp (01) incl amnsk voloo wlga 3mato* oovold ooh vInon 'aoT��Q olg3 M043 steMudft .per suapoodsa T ..3r4%l3TA euop pR^ nsoa pg3 pup potTfs ovq .41m ed olp `injT OSO 01 CIMAV 9$$f6 SSSt 3e e0anOU amou 203 .TWA atpulAs e 3muaeuaa cq psuMqo ng 31=04 043 .pav '3aergnO ae*ge Oq3 03 0=020;01 R3114 - s uama►i3ac 69656 •va `001pv"d (09-OZ•09 av) 86,E '0•d U_££90 31=00 Btood � iBK u6t `9Z Am ri s File No. BUTTE COUNTY (For Action 1, 2,3) Public Works Dept. (For Information ✓) Director Dep. Dir. Sec. Rd.'& Br. Mtce. i Shop &Yards Bldg. Insp. Admin. D&C /Traffic Const. Rd. Des. Br. Des. Sur. &, Loc. Transp. R/W , Mapping Land Dev. Ref. Disp. Drng. / S. I. Sub. & Pcl. Maps Permits 1 r r COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS ?. .► ;'F- 7 County Center Drive -' OroviIle, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT ,P4-1 - 77 L-1111 BUILDING Owner �.� I\I TR E v F -,os SQ. FT. OCC. BUILDING VALUATION Mailing Address P U P Cta. Telephone 0 /A Fireplace 10 Contractor ��,� f t on Total Valuation 3"DC)p Mailing Address O 3 oxc1g,Plan Permit Fee Checking Fee&/or Penalty A (L t4 D 1 .S 9� Telephone No. Permit Fee $ Building Address PLUMBING No. @ FEE PERMIT FILING FEE $3.00 L) r Each Trap 1.50 ��� I `r Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. N Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fees W. Cl 4=itati ri- Fire Dept. FireZone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration Parcel Ma P 60' R/W Im rovements P Lawn sprinkler system 2.00 S c' Idg. Plans Recd Parcel Ap r of Ions Approval Permit Fee $ NEW Eg ADDITION ❑ UTILITIES ❑ OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service so0v OR LESS 5.00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 2.50 Single Family ® Duplex ❑ Mobil Home ❑ Others L_1 Main service OVER 1100 AMP OR LESS 25.00 Main service EA. ADD•L 100 AMP 1.00 � tr11 tJ eJ 164M !V G o. NEW CONST. DWELLING OCCUP. & OR ADDNS. ACC. BLDGS. ) 20sq ft NEW CONSTR MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS) 12.50ea NEW CONSTR. (POWER APPARATUS &) NON-RESID. SINGLE OUTLET CIR. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: � ,� ) r lJ Il,lI S -I—n� C- Ex. Occup(OUTLETS OR FIXTURES)@x` BAL@1 Ex. Occup. FIXED APPLNS. OR P• OUTLETS (RESID.) EA) 2•00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. � `�]� Classification � -••S Misc. Wiring �Ga 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ r WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. ❑I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances t nd S atate Laws r lating to building construction, and hereby MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ TOTAL PERMIT FEE •"r'""•."� vvu ny — uuuo — G—VI UPUII uIC nentione roperty for inspection purposes. Signature of Permitee or Agent Receipt No. L1f..-z White-D.P.W. — Yellow -Assessor = Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR F UBLIC WORKS BY Date - Bilding permit expires Date [� %� ,�j"'' ... '. - , ; •. .- _,,,_ �� •,,, -is set of. laps and s :fi n i; Ai a p pec: c tions MUST be �_ ' kart on",the job. a# 601imes and. it is unlawful to "I '� 'f t"`r'�'�''Jnr chnnc�es or alterations. on same without t� ,wrifiteti permission frormfhe'De ar'imertt of Public " +• Wor4, County of Butte.. P Cb tv- '46T.�:-All -iMateria' s Workmanship SWI Be, in �Atecrordar ce ,will h RecognizedGood Practices a d of' ,a' qua qty,>prscrc, forthe-Specified use in e Uc�}form uEding; PI unwinc} &;Mechanical Codes a d s' - tte�Nati n l,`lec':rjal Cade; S � 1 � 7•�,,..�++ �^' ', ,i' �'-�'t i�Nl�.j, •i", -tel" .. 1 � "' .1 The b rig. Seibock shall be 54f f rtrtri ide'.properly. line and.54 ft. Iro�ri sole "<•�,.: ; �� :<< enterline of the rotrd,Jperttaittlgg'd r#vciXi- .,;':: `'' f,t , mute• of a 2 ft. eavc overhang .but ;M tely' out of all- easefnrrpft. :r. • , .. �.t . a. {{# f ' i -. J ' t,- r t ..� n* ,+r' : • .^�Y e w y'J''�y,ti ` 4�... .+ \ i , iii �� - , ` ,% .' •'' 'tet' r.r. L�4' .. i,: f ,• '�+ .�~ t ,�`}^� I r .. ,. • • • � , � i i ' 'Ire , �^, t .�, `•�• ';' N � }. .. - plan div File Tor sfruc- BUTTE .COUNTY ' BUI LD`t.DQ}G L D ? ,� .w 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 PERMIT NO. BP042528 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: 12/08/2004 APN: 030-200-050-000 the Business and Professions Code, and my license is in full force and effect. License Class: License Number: Site Address: 1555 BIGGS AVE ORO Date: Contractor: Map Index: Description: CHANGE EXISTING ROOF STRUCTURE 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 aGONZALEZ Owner: JUAN MANUEL &MARIA 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 pursuant to the provisions of 1555 BIGGS AVE the Contractor's State License Law (Chapter 9 commencing with Section OROVILLE, CA 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and the basis for the alleged exemption. Any 95965-4367 violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an Applicant: GONZALEZ JUAN MANUEL & MARIA A' owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for 1555 BIGGS AVE sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of OROVILLE, CA proving that he or she did not build or improve for the purpose of 95965-4367 sale.). ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). Contractor: ❑ I am Exempt under Article 3 of the Business and Professions Code Date: Owner: WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perl'ury one of the following declarations: Cl I have and will maintain a certificate of consent to self -insure for License #: workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ I have and will maintain workers' compensation insurance, as Architect: required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation Engineer: insurance carrier and policy number are: Carrier: Total Square Ft: 0 S. F. Policy #: I certify that in the performance of the work for which this permit is Valuation: $0.00 issued, I shall not employ any person in any manner so as to Census Code: become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date: Applicant: WARNING: Failure to secure workers' 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. i CONSTRUCTION LENDING AGENCY This perrnif is h rebyissue`d under�thplicable provisions of theBiifteCounfyCodAand/or I hereby affirm that there is a construction lending agency for the Resol ions t do work indicated ahich fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) ol_ Name: BY Date: (( PERMIT EXPIRES ON: Date Address: ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. 1 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 purposes. Print Name: �_&% Ln 4,el t�� r71742 le--, Signature: Date: Downer ❑ Contractor ❑ Agent for Owner ❑ 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 REO UIRED AT TIME OF APPLICATION "PLEASE PRINT CLEARLY" OWNER Last qame first Name is'sS Y o Address S City 1 State Zip o Fax Fax Phon s- -0 Fax E-mail APPLICANT NAME CONTRACTOR Name is'sS Y Address State City oIle State Zip Phone Fax Fax E-mail E-mail Uc. # Class APPLICANT NAME ARCHITECT/ENGINEER Name is'sS Y Address State City oIle State Zip Phone Fax Fax E-mail E-mail State License Number APPLICANT NAME Name Address is'sS Y City State Zip oIle No S 6S PhoneC j,4 66q 0I 3 Fax e, O E-mail APPLICANT SIGNATURE X Or office use only: AN 030 • soo • oS0 Zoning City , rel I Flood Zone WORKER'S COMPENSATION SRA I Yes No Occ. LENDING AGENCY Type Const Subdivision Name Map Book Page Lot # Planner Date Approved: PERMIT NO. BPOQ-2528 I BIN# f5q i LOCATION AN 030 • soo • oS0 Property Address 9 S► City , rel Cross treet WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address OVER FOR SUBMITTAL REQUIREMENTS it K TORMSWILDING F0RMSkBldgApp1SubRgmts.doc Page 1 of 2 Description or Scope of Work: �q- Sq. Footage �EBttit �� r►lL iGx l5-I"II�IG ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. Received by: 41 Amount q34- •q.3 Bldg SRA Receipt#: �(2 /2S Sheriff Date: SMIP Other oq3 443 Total REV 7-27-04 r 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 /N INK ❑ 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. No graph paper! ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans (No graph paper!) OR Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 3. Engineered truss details and layouts in duplicate (if required). No faxesl ❑ 4. Energy compliance design and supporting documentation in duplicate. (Note: Not required for additions to mobile or modular homes.) ❑ 5. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 6. Manufactured homes: (A) Data sheets and installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. ❑ 7. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate (if required). ❑ 9. Site plan and business license approval from the City of Biggs. ❑ 10. Letter of intent for non-residential buildings. ❑ 11. Detached Accessory Building Form filled out by the owner (if required). ❑ 12. Hazardous Material Form (for Commercial Buildings only). — ❑ 13. Sanitation and site plan approval from the Environmental Health Department. Remaining items needed to issue the permit. Additional items may be required after Plan Check and Planning review (May require additional plan review upon receipt of the following items.) ❑ 1. Agricultural Buffer clearance and site plan approval from the Ag Commissioner's office (if required). ❑ 2. Impact Fees. ❑ 3. California Department of Forestry plan approval (if required). ❑ 4. NPDES Form. ❑ 5. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 6. Contractor's license information. (Number, Name Style, Classification). ❑ 7. Worker's Compensation Carrier and Policy Number. ❑ 8. Owner -Builder Verification (if required). ❑ 9. Letter of Signature authorization (if required). ❑ 10. Recorded copy of Agricultural Acknowledgment Statement. ❑ 11. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner (for 433A's). If you have questions or would like additional information regarding this process, contact a Permit Application Assistant at (530)538-7541. EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after date of application. In order to renew action on an application after expiration, a new application, plans and fees will be required. REQUEST FOR FEE REFUNDS Ketunas 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 KAFORMSWILDING F0RMS\BIdgApp1SubRgmts.doc Page 2 of 2 REV 7-27-04 COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET OWNER: Or.l Z A LiE Z ASSESSOR PARCEL NUMBER 6 30 oo ' osy ,nT 2 C -Le_ i LI -re G Proposed Building Use: 614 A � G � EX t �� � IJ G �aeF Counter Technician: � Date: ��-2 7/0d Items required in order to apply for a permit. All boxes MUST be checked OR marked NA in order to apply. ❑' 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. j 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. p/ 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. L&_4c*-c k r 0 ❑ 4. Engineered truss details and layouts in duplicate. No faxes! ❑ 5. Letter from Engineer or Architect for truss design review. ❑ 6. Energy compliance design and supporting documentation in duplicate. ❑ 7. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 8. Manufactured homes: (A) Data sheets and installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. ❑ 9. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate ❑ 11. Site plan and business license approval from the City of Biggs ❑ 12. Letter of intent for non-residential buildings ❑ 13. Detached Accessory Building Form filled out by the owner ❑ 14. Hazardous Material Form ❑ 15. Sanitation and site plan approval from the Environmental Health Department in ❑ Chico ❑ Oroville, as applicable. ❑ 16. Other Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) ❑ 17. Fire Sprinklers............................................................................................ ❑ 18. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by ❑ 19. Soils Report and/or Engineered Foundation required ........................................... ........ ❑ 20. Erosion Control Plan Required........................................................................ ........ ❑ 21. Fees as shown on the attached Schedule of Fees Due Sheet .............................. ❑ 22. City of Chico Plumbing permit........................................................................ ❑ 23. California Department of Forestry plan approval ❑ paid. Sent by: ............. ❑ 24. Planning approval (A) Use: (B)Parking: (C) Parcel Check: ❑ 25. Contact Land Development about _ Improvements, _ Drainage ......................... ❑ 26. NPDES Form............................................................................................. ❑ 27. Encroachment Permit for driveway from the Public Works Dept ........................... ❑ 28. Pre -Inspection for required....... ❑ 29. Contractor's license information. (Number, Name Style, Classification) ................... ❑ 30. Worker's Compensation Carrie and Policy Number .......................................... 31. Owner -Builder Verification (_ Given to owner, _Mailed to owner) ..................... ❑ 32. Letter of Signature authorization......................................:............................. ❑ 33. Recorded copy of Agricultural Acknowledgment Statement ................................. ❑ 34. Manufactured home utility clearance ...... ............:.................. .......................... [1-35. Existing violations and/or expired permits......................................................... ❑ 36. Deed Restriction......................................................................................... ❑ 37. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $ ❑ 38. Other: _ ❑ 39. Other: _Xy pkD�r When issued Telephone IAII and ho d for Pickup.5 �Z -i-VIt", I have been informed of the above items and requirements for obtaining a building permit. 5 Applicant: 1. Index per rnt applica 2. Additional items re Contractor, designer, Contractor, designe Plans reviewed by: Structural reviewed by: Note transfer by: ry- 4110. Date: IF -.97 O ;on for the above items numbered: Plan Check Letter , ! /Je� as advised of the above data by fie, ❑ mail, ❑ counter, by Date: 0 `I je was advised of the above data by phone, ❑ mail, ❑ counter, b Date: Date: 0 D Plans approved by: Date Date: Structural approvedby: Date: Date: Yellow: Building Division O.B.-1 OWNER -BUILDER VERMICATION Attention Property Owner: + ' An "owner-buildee' building pemut has been applied for in your name and bearing your signature. Please complete and -return this information at your, earliest opporCtnity 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 JQ NO ❑ . 2'. I HAVE J4 HAVE NOT ❑ signed an application for a building permit for the proposed work I have contracted with the following person (firm) to provide the proposed construction: NAME: . ADDRESS: CITY.. PHONE: CONTRACTOR'S LICENSE NO. I plan to provide portions of this work, but I have hired the 'following person to coordinate, supervise, and provide the major work: N A AA'G. ADDRESS: CTTY: PHONE: CONTRACTOR'S LICENSE NO. the work indicated: - - - NAME ADDRESS PHONE TYPE -OF WORK SIGNED: XPROPERTYOWNER: kDATE:_L27- d `l' NOTE: This Owner-BuWer'Yery cadon is required by Section 19831 and 19832 of the California Health and Safety Code. T7sis YenTwation n=t be completed and returned to our office before we are permitted to issr.re the permit OWNER BT.III,DER INFO 'SON Dear Property Owner - OB._I m Z An m� far a buill*g P� has been submitted is your name listing yourself as the budder of property Far Yotrprotection, You should be aware that as "owner -builder" you are the responsible party ofrecord on sorb a P g P are not required to be signed by property owners unless are own woilc If your work is being Performed by someone other ibaa p�� performing their liab*, if tbw person applies for the yO°�e 3'On �Y Pmt Yourself from possible Proper permit in his or her name. Caft'tolicense o� co:wed by law to be licensed and bonded by the State of Caiifomia and to have a business Y• They are also required by law to put their license number on all permits for which they. apply. r, be aware of the to do Your own worm with the exception of various trades that you plan to sub Wing inform information for your benefit and protection:Yon should a Ifyou emPloy or otherwise eagage any Persons other thaw your immediate family, and the walk (Including matmials and pother costs) is $300 or more for the entire Pm subcaaCtDrs, Bien You may be an =ployer; J such Persons are not licensed as contractors or � ♦ If you are an employer, You moist register WA the State and Federal Go snbjDa to several obligations including state and federal es as as employer and you are wor�exs MMea� nista ance, disability ice costs �g. federal social s=mjty mss, ♦ may bei risks for you ifyou do not Mt compensation Y senousse us with Iresped Worker's compmwdtion say out these ob ns, and these risks are ♦ Farmore � tee. your obligations under Federal Law ¢Yon �. 110 U -S- Small Business - . . bract the Fntema 1 Revue Service (anti State Law, contact the D )- For more spm. ci$c moa about your obligaiioas under ePaztment ofBeneft payments and the Division ofIhdnstrW Accidents, "the strotxzre is kte ded for sale, property owners who are not iiceased pCrfDnn their workoondittP'orsso�Y or f avogh their own emPjqY� whhoirt a licensed contractor �, my UDd limited A *ep= Practice of unlicensed persons profes:iug to be yrs is to secure an " pmm% erroneously inpbiDg that the properly owaW is PP' g his or her own labor and °w= builder. btu'ldiag pas licensed tame ng theY are Pig own w Personally y. or at 1020 N Situ S yrs Slate License Board in yoir Please fete the GA- 95814. �P "Owner Builder Verification" on the revers✓ side of this foss so that we an conform that you are aware of these matters, The bmldiog Pemk will not be issued uot21 the vmifi anon is returned. . V02Z YAS Owner-Bur7derrj;rM rmr,n is regrrrred by Seddon 1483# of &e Cafffornis HSed& and Safety Codes nver"n 77 Permit#369-83P Eckley Guerin *,.f A i /110 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICI , ION,AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER •'�� ZONING BUILDING PERMIT OWNER�l+1- TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS CONTRACTOR'S NAME -„�... TELEPHONE E CONTRACTOR'S MAILING'ADDRESS n 1/ ' ,,,# �, AA/ Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 10.00 `LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER '�" LICENSE NO. Plan Checking Fee $ Penalty $ ARCHIT CTs R ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDRESS PLUMBING PERMIT Filing Fee 10.00 _ Each Trap 2.00 Solar Water Heater 20.00 � Water piping 5.00 LOT NO.SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SF ©Duplex❑ Mobilehome❑ Other SPECIFY Building sewer 5.00 Mobile Home JSJGJWJ 10:24 TYPE OF WORK New ❑ Addition �' Remodel ❑ Utilities ❑ Installation Other [Z --Contractor Describe work: -��+ /� /% _�� �' Permit Fee $ , o ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. (( DWELLING OCCUP.& OR ADDNS. l ACC. BLDGS. 2t/20sgft 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 m license is in full force and effect. %� License No. ?� n G �/ Classification 7,C -1/ ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR.( MULTI -OUTLET NON -REBID `BRANCH CIRC ITS 2.50 ea NEW CONSTR POWER APPARATUS & NON -R ESID. � SINGLE OUTLET CIR. Ex. Occup(20@SOQ o OUTLEOR FIXTURES 9AL@30q FIXED APP LNS. OR EX. OCCUp. OUTLETS (RESIDJ EA.� 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor MECHANICAL PERMIT Filing Fee 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. ❑ 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 against said.Co y -in consequ.an a of the granting of this permit. �`7 X 1 C Date Z Signat/ure of Applicant — ,Owner❑y Contractor E]Agent E/ An OSHA permit is requir'd 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. GROUP I TYPE OF CONST.PARCEL P6'1 HD ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which dIRECTOR OF PUBLIC / By Z?' PERMIT EXPkRESJ-Date, the applicable provi- resolutions to do fees have been paid. WORKS y Date -.17✓1e 3 Receipt No. 7�'71� WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION ANN PERMIT PERMIT NO. ASSESSOR ARCEL NUMBER ' ZONING BUILDING PERMIT OWNER. TELEPHONE SQ. FT. OCC. - BUILDING VALUATION OWNER'S MAILING A DRESS CO RACTOR'S NAME TELEPHONE CONTRA TOR'S M ILIN AD RESS . r- C lQ- Fireplace CONSTRUCTION LENDER UNKNOWN - a. Total Valuation $ ENDER'S MAILING ADDRESS + Filing Fee Permit Fee ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee Penalty ARCHITECT.OR ENGINEER'S MAILING ADDRESS • Permit fee $ 10.00 $ $ $ $ BUILDING ADDRESS ' PLUMBING PERMIT Filing Fee 10.00 Each Trap . 2.00 Solar Water Heater 20.00 -1ry1r Water piping 5.00 LOT NO. SUBDIVISION NAMEPARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SF -Duplex❑ Mobilehome❑ Other - SPECIFY Building sewer 5.00 Mobile Home JSJGJWJ 10.00e TYPE OF WORK New ❑ Additiona Remodel ❑ Utilities ❑ installaticn,_Q�—j Other • Describe work:/GLI SO�G/L l.�u�ic HSa� Permit Fee $ Q ntractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 E Main service EA. ADD'L 100 AMP 2.50 NEW CONST. / DWELLING OCCUP.8, OR ADDNS. ( ACC. BLDGS. 2/20sgft 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 m license is in full force, and effect. -�9 a S ge License No. Classification _ G ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR ULTI-OUTLET 2,50 ea NON-RESID •BRANCH CIRC ITS "NEW CONSTRPOWER APPARATUS & • NON-RESID. ( SINGLE OUTLET CIR. z0@s0C Ex. Occup(o TS OR FIXTURES BAL@30Q FIXED Ex. Occup. OUTLETSP(RESID )REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 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. ❑ 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 Iabove information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also,agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which'may in any way accrue against sai o seq a of the granting of this permit. X Date Z A* Sign tore DF plicant — caner ❑ Contractor ❑ Agent An OSHA permit is requi d for excavations over 5'0" deep o demolition or construct- ion of structuresover3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ :)CCUP. GROUP I TYPE OF CONST. PARCEL PD HD ssDE This permit is hereby issued under sions of the Butte County Code and/or Work indicated above for which By. Z;�DIRECJOFII OF PUBLIC PERMIT EXP to theapplicable provi- resolutions to do fees have been paid. WORKS / Date 12- Receipt No. / Z/ /� WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT County of Butte Oroville, California GENERAL CLAIM CLAIMANT: Juan Gonzalez ADDRESS: 1555 Biggs Avenue CITY & STATE: Oroville, CA 954965 nAmnrnA SUBMIT CLAIM TO DEPARTMENT RECEIVING GOODS OR SERVICES DATE DESCRIPTION OF CLAIM (DESCRIBE FULLY TO AVOID DELAY) AMOUNT Refund Claim - See attached calculation sheet APN: 030-200-050 �, frePm*t No. P iD RETAINED REFUND -;-03-10-0 Development Services $ 272.45 $ 144.45 $ 128.00 SRA $ - $ - $ - Sheriff $ - $ - $ - Other: $ - $ - $ - TOTAL $ 272.45 $ 144.45 $ 128.00 ::.:. �.:.:.;.:.:. BR A.{DOVVNc:ACC`.OU-TT::':AM0UNT::: Development Services 440-001 4210500 $ 128.00 SRA 0100 4617240 $ Sheriff 280 1011811 $ - Other $ - TOTAL 1 1 $ 128.00 1 $ 128.00 I, the undersigned, declare under penalty of perjury that the services or articies aaimea nave peen perrormea or aenvereo; anu mat tins claim is true and correct as stated. l Dated this L S day of l !' 2004, at l iVE&. Calif. i " siiXtureld%imant I, the undersigned, hereby certify that, to the best of my knowledge, the services or articles sp6cified above have been performed or delivered and that there is a Budget Appropriation or Specific Board Approval (Checkor the same. Dated this day of n ll?� Dep , 2004, at Oroville 1 artment Head or Authorized Deputy Dept. SEE Exp. Code BREAKDOWN Code PAYABLE FROM FUND DO NOT WRITE BELOW THIS LINE - AUDITOR'S USE ONLY EPT & SUB PROJ SUB. OBJ CLAIM NO. INV NO. INV. DATE ENCUMB. GROSS AMT. Butte County Department of Development Services 7 County Center Drive Oroville, CA 95965 (530) 538.7601 Telephone (530) 538.7785 Facsimile ADMINISTRATION * BUILDING * GIS * PLANNING August 10, 2004 Juan Gonzalez 1555 Biggs Avenue Oroville, CA 95965 RE: Permit No. 03-1070 APN#030-200-050 Owner: Same On 4/6/2003; a deposit was made in the amount of $272.45, of which $144.45 was retained. The remaining fees will be reimbursed to you. Please sign, date, and return the enclosed claim form to this office. Once we receive the claim form, we will then process your refund in the amount of $128.00. Should you have any questions, please contact this office Monday through Friday, 8:00 a.m. to 4:00 p.m., at 538-6869. Sincerely, 00-IAX-, Diane Lewellen , OA III Administrative Division enclosure 03-1070.1tr County of Butte Oroville, California GENERAL CLAIM CLAIMANT: Juan Gonzalez ADDRESS: 1555 Biggs Avenue CITY & STATE: Oroville, CA 954965 DATF OF CI AIM- 08/10/04 SUBMIT CLAIM TO DEPARTMENT RECEIVING GOODS OR SERVICES DATE DESCRIPTION OF CLAIM (DESCRIBE FULLY TO AVOID DELAY) AMOUNT Refund Claim - See attached calculation sheet APN: 030-200-050 Permit No.: 03-1070 PAID RETAINED REFUND Development Services $ 272.45 $ 144.45 $ 128.00 SRA $ - $ - $ - Sheriff $ - $ - $ _ Other: $ $ $ TOTAL $ 272.45 $ 144.45 $ 128.00 .................. .. o...... BR Ai{iiE WN BiiDGE'I`.:.:.GCOiJ TT::.....0I3N.. : Development Services 440-001 4210500 $ 128.00 SRA 0100 4617240 $ - Sheriff 280 1011811 $ - Other $ _ TOTAL $ 128.00 $ 128.00 , aye unuersigneo, aeciare under penalty or perjury mar the services or articles claimed have been pertormed or delivered, and that this claim is true and correct as stated. r Dated this day of , 2004, at Calif. Signature of Claimant I, the undersigned, hereby certify that, to the best of my knowledge, the services or articles specified above have been performed or delivered and that there is a Budget Appropriation or Specific Board Approval (Check one) for the same. Dated this day of 2004, at Oroville Calif. Department Head or Authorized Deputy Dept. SEE Exp. Code . BREAKDOWN Code PAYABLE FROM FUND DO NOT WRITE BELOW THIS LINE - AUDITOR'S USE ANI Y )EPT & SUB PROJ SUB. OBJ CLAIM NO. INV NO. INV. DATE ENCUMB. GROSS AMT. I REFUND CALCULATION SHEET CLAIMANT: Juan Gonzalez ADDRESS: 1555 Biggs Avenue CITY & STATE: Oroville, CA 95965 DATE OF CLAIM: 06/14/04 APN: 030-200-050 RECEIPT INFORMATION IVIIINI74ia[c L:iiic�! DATE: 04/06/2003 ISSUED TO: Juan Gonzalez CHECK #: Cash AMOUNT: $272.45 PERMIT #: 03-1070 Yes tREFUNDS: VERIFIED X 11=111f_1II BLDG LING FEES Building Plumbina No Yes No X REFUND BREAKDOWN BLDG 440-001 PAID I RETAIN REFUND 4210500 99.45 No SRA SHERIFF x. 0100 280 117240 1 1011811 INSPECTION Energy SRA -BLDG Building $46 PERMIT FEES Building 153.00 153.00 153.00 :::::: ::::::: :::::::::::: Plumbing .............. .......................... Electric Mechanical OTHER BLDG Overcharge REFUND PROCESS FEE 25.00 25.00 25.00:::::::::::: ............................ BUILDING TOTAL 272.45 144.45 128.00 128.00 :::::::::::::::::::......... .............. .......................... ............ :::::::::::: SRA - FIRE ;:; SRA - FIRE Fire $43 .............. SHERIFF - $360 SHERIFF Sheriff OTHER -NON -BLDG OTHER ' $ 272.45 $ 144.45 ..... $ 128.00 . ......... $ - ...... $ - $ 128.00 BLDG SRA SHERIFF 440-001 0100 280 4210500 4617240 1011811 CHECK: $128.00 DIFFERENCE: (Should be blank) APPROVAL Date Reviewed 07/1( 7/1 /200 Michael Vieira Building Manager Butte County Department of Development Services Building Division 7 County Center Drive Oroville, CA 95965 (530) 538-7541 REFUND REQUEST APPLICATION REFUND POLICY - Butte County Code 3-41(t) 1. Refunds can only be made upon written request by the person who paid the fees, whose name is on the receipt issued for the fees paid. Any refund checks will be made payable to the name on the receipt. 2. The request must be made within two years from the date of fee payments on permits not issued, and two years from the date of permit issuance for permits issued -if no construction work has been done. 3. Filing fees and plan check fees for work plans checked are not refundable. 4. Fees paid to other County Departments are not covered by this claim. INSTRUCTIONS: Submit this application to Development Services for determination of refundable fees. A claim will be generated for any fees to be refunded and sent to the address below for signature (by the person whose name is on the receipt) and return to Develo ment Se `ices r payment processing. CLAIMANT'S NAME: MAILING ADDRESS: m PHONE: - ©_ ASSESSOR'S PARCEL NO.: �C.—.. -O v [Please use one claim form per permit.] BLDG PERMIT NO.: Receit No 1 Receipt No 2 Receipt No. 3 RECEIPT NO.: RECEIPT DATE: RECEIPT AMOUNT: REAS �OR REFUND REQUEST: / Check those fees which you wish to have considered for refund: Building Permit Fees =Sheriff Fees =SRA Fees (CDF Fire Planning) =Other (specify): Plans for cancelled permits will be disposed of within 10 working days upon submission of a Request for Refund. If you want the plans, you may ick them up prior to that time. efiai6re Date ,01"K:/Forms/Refund Application 08 03 Butte County Deparanent ofDevelopment Services ADMINISTRATION * BUILDING * GIS * PLANNING 7 County Center Drive Oroville, CA 95965 (530) 538.7541 Telephone (530) 538-2140 Facsimile May 19, 2004 Juan Gonzalez 1555 Biggs Avenue Oroville, CA 95965-4367 AP#030-200-050 BP#03-1070 Our records indicate that your building permit application has expired and was never issued. If you would like to retain the plans you submitted, you must pick them up at our office prior to June 3, 2004 or they will be destroyed (plans will not be mailed). Our office is located at 7 County Center Drive, Oroville. Our office hours are 8 a.m. to 4 p.m. Monday through Friday. If you have any questions concerning this matter, please contact Alice Mefford or Michael Vieira of this office at 538-7541. PERMIT LAST NAME • FIRST NAME CONTRACTOR CITY/CTY STREET NO ®STREET NAME C/T_Y • ' • USE -TYPE REMARKS'` • ' • • 25 char. max B VALUATION • PLAN CHECK Plan Chk-7:• Plan Ch;k�3: 272 4/18/2003 [255 char. max P� EN M- FLOOD _ APPLIED ISSUED MFINALED RetStr Chk-1: — Return_2:, Str Chk-2: _ Approved:a MeStr Appr: �_ 18/03RB Index for clear and complete plans. 6/2/04 to deborah for refund. To Diane for processing. , I COUNTY Y OF BUTTE-- DEPARTMEI~fi' Or DEVELOPMENT SERVICES -BUFLDING DIVISION 7 County Center Drive , Oroville, 0900 nia 95965 - Telephon (S30) 538-15414 ��� APPLICATION AND PERMIT 2OJIDt0 BUILDING Pl=RMIT so. Fd.: OCG. BUILDING YAUU,TION 1�;, �a7 141; is ones --I sus Hue USEOFORUCiURE 3F Duptex D MobOahoma D Oher sv—tq 6S Wdsr TYPE WWORK an . Haw D Aiffm D R=t:dat D UaTmes D hdW= D Other\ aua:rm p� JD lee.vs 7'o re ✓��� 37C��� TO IS e+rr:wo co#nnm Fee s S s ng Fea S Paw T FF--- DERWITT 0.00 /.-( ' i J ig Fee 20.D0 7.DD 23.DD 15.OD i S.DD 15.D0 15.OD .� w�wr, P� RUIT FTmg Fe_ wr aoa asea m LT: 29A0 TI➢E 'LAS 0�3. B•. � rmwmp c-rs: cmF B� i cm "LEM,m 5 D: mo: iGiies 20A: zs.DC PE.RMJT Fd.. = S U. PMUiT ming Fea ! 6.50 2D.Do 20.DD PERMT FEE S Moble Flame hdwb c=n Fee = energy Mspe :bon Fee s TOTAL FEE $ M4L d Fd. � 6D M.=D CDF M --M Pa 6L� This perml is hereby Issued under the app&=bb pro,rsmns of fhe Hutte County C:ie andbr Resoktfi= b do work h6maied above for whi-t fees have been paid. ay Ftte'"aptNs. PERNUT EXPIRES ON �...rre_w ... ...... vim_• rearen. mu[_„�SP'=G70R e��LGYR�D.APPLICAHT Dais COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET OWNER: ASSESSOR PARCEL NUMBER O - a U © - U S 0 Proposed Building Use: (spit p ! �C� ®t' ounter Technician:"_J J`'� Date: ��� I / Items required in order to apply for a permit. All boxes MUST be checked OR marked NA in order to apply. J.. Plot plans, 3 or 4 sets, signedXy the preparer of the plans. . Complete plans, 3 or 4 sets, signed by the preparer of the plans. . Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 4. Engineered truss details and layouts in duplicate. No faxes! ❑ 5. Energy compliance design and supporting documentation in duplicate. ❑ 6. Manufactured homes: (A) Data sheets and installation instructions, (B) Marriage line information, (C) Floor Plan, (D) Tie down or foundation plans, all in duplicate. ❑ 7. Metal buildings: (A) Metal Building Plans, (B) Foundation plans and calculations in triplicate, (C) Elevation views in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed b tengineer. Items required for initial plan review. If checked items have not been received, plan review cannot proceed. The -permit will be indexed and returned to the plan review line-up when required items are received. Date Received By ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate ................................ ❑ 9. Plot plan and business license approval from the City of Biggs .................................... ❑ 10. Letter of intent for non-residential buildings......................................................:.. ❑ 11. Detached Accessory Building Form filled out by the owner ....................... . ............. ❑ 12. Hazardous Material Form............................................................................... _ ❑ 13. Other .... Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) I9 14. Fees as shown on the attached Schedule of Fees Due Sheet ....................................... ❑ 15. Statement of Intent for Non -heated and A/C Buildings ..................................... CA 16. Sanitation and plot plan approval from the Environmental Health Department in— ❑ 17. City of Chico Plumbing permit......................................................................:.: ❑ 18. California Department of Forestry plan approval ❑ paid. Sent by: ...................... ❑ 19. Planning approval for (A) Use: (B)Parking: (C) Parcel Check: ❑ 20. Contact Land Development about ❑ Improvements, ❑ Drainage ............................... ❑ 21. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 22. Pre -Inspection for required ................ ❑ 23. Contractor's license information. (Number, Name Style, Classification) ...................... ❑ 24. Worker's Compensation Carrier and Policy Number ..............:.............................. ❑ 25. Owner -Builder Verification (❑ Given to owner, ❑ Mailed to owner) ..................... ❑ 26. Letter of Signature authorization.................................................................... ❑ 27. Recorded copy of Agricultural Acknowledgment Statement .................................... ❑ 28. Manufactured home utility clearance............................................................... ❑ 29. Existing violations and/or expired permits......................................................... ❑ 30. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $ ❑ 31. Other: When issued Telephone Gi i and hold for pickup. I have been informed of the above items and requirements for obtaining a building permit Applicant: 40, V�? Date: 'y-16- o 3 1. Indermit application for the above items numbered: 2. Additional items Contractor, designe owne , was advised cf the above data by hone, ❑ mail, ❑ counter, by _ Contractor, designer, o n r, was advised of the abo e d to by ❑ phone, ❑ mail, ❑ counter, by Plans reviewed by: Date: Plans approved by: Structural reviewed by: Date: V 7 Structural approved by: Note transfer by: Date: Yellow Anildinv nivicinn Plan Check Letter Date: Date: Date _Date,: -COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES BUILDING DIVISION NOTICE Post this job card in a sate, conspicuous place. Do not remove until all required inspections are made and building is approved for occupancy. Plans must be available on.the.lob_site..__Y x- 030-200-050 A.P. No.--G'ONZALEZ, JUAN- owner—,-1555 UAN'Owner_,.1555 BIGGS AVE, OROVILLE- ._.. Contractor_ COVERED DECK & FIX ROOF Permit No. PERMITTEE MUST CALL FOR INSPECTIONS INSPECTION DATE INSPECTOR Footings Piers Underground Conduit Underfloor Plumbing Underfloor Electrical Underfloor Mechanical Underfloor Franiin Slab Rough Electrical Rough Mechanical Framing Shower Pan ................................. DO .. ........................... Insulation >'[i1 Fireplace Footings Fireplace Throat <DoNotit Stucco Lath Scratch and Brown Sewer Service Water Service Pool Final Plumbing Final Electrical Final Mechanical Final Buildinq or M.H. Final DO NOT OCCUPY UNTIL ALL THE ABOVE IS SIGNED AND THE BUILDING OR MOBILE HOME IS APPROVED FOR OCCUPANCY Info.... ... 24:Hr.(nsp Oroville - 7 County Center Drive 538-7541 538-7636 Chico - 411 Main Street 891-2751 891-2834 Revised 7/94 NOTES i RESIDENTIAL 030-200-05003-1070 PERMIT NO. GONZALEZ, JUAN 1 . _ 555 BIGGS AVE, OROVILLE COVERED DECK && FIX ROOF SPECIAL CONDITIONS CHECKED BY SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER JOB FINALED (Date) Signature J=OK 0 = Not OK . = NotReadyabte DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 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 7. 6. Gas; Location -Test-Wrap; -/ /" L 'ft. / P Nat. or/ /" L "ft./ P LPG 8. 7. Well Clearance & Disconnect 9. 8. Utility Clearance 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date Braced Wall Panels Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s Date 1. Zoning Requirements-Setbacks-Easements Date 2. Footings; Size-Spacing-Marriage Line 1. 3. Gas; MH Test-Demand-Valve-Connector 2. 4. Electricity; MH Test-Crossovers-Breakers-Clearances 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 5. Drain; MH Test-Fall-Flex Connector Elec.; Receptacles and Lighting, Distance-GFI 6. Water; MH Test-Regulator-Connector 5. 7. Water and Sewer Connected-C/O to Grade-HD Approval 6. 8. Gas and Electricity Tagged 7. 9. Tie Downs-Type-Installation Cert. B. 10. Exits; Insp.-Sketch 9. 11. Cert. of Occupancy 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche Date Enclosure; Fencing -Alarms Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PERMANENT END SYSTEM (ONLY) Date 1. Zoning Requirements-Setbacks-Easements 2. Footings; Size-Spacing-Marriage Line 3. Blocking 4. Gas; MH Test-Demand-Valve 5. Electricity; MH Test 6. Water; MH Test 7. Water and Sewer Connected 8. 'Gas and Electricity'Tagged 9. Exits 10. License Decals 11. Verify #'s with Office Date _ Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Requirements-Setbadks-Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs-Connectors Shthg-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater B. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes -Enclosures -Panel boards -Ins. to Main Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche 12. Enclosure; Fencing -Alarms Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 J=OK 0 = Not OK - = Not Applicable . = Not Ready RESIDENTIAL (Single & Duplex) Date UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" 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. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab, Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -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 -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s Fireplace Ties or Type A Flue -Fireplace Throat Clearance 17. Water Htr.; Vent -Access -Combustion Air Baffle 51. 18. Water Pipe; Test & Anchor -Nail Protection 52. Garage Fire Protection Framing -RC Channel 19. D.W.V.; Test Fittings & Anchor -Nail Protection Property Line Firewall & Openings 20. Shower Pan; Test, First Floor -Tub Access Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 21. Test Tub & Shower, Second Floor -Tub Access Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 22. Gas Pipe; Sixe & Anchors 57. 23. Fire Sprinkler; Test 58. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 59. Glazing Area -Glass Protection -Skylights -Plastic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 63. 24. Fixture & Transformer Clearance -Ins. Protection Date 25. Elec. Receptacles Spacing -Lights & Switches at Doors Date 26. Size Boxes & No. of Conductors Stapled Date FINAL (Plans) OK except #'s 27. Romex Installed Close to Edge of Studs & C.J. Ext. Steps -Door & Sidelight Protection -Landings 28. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water Smoke Detector 29. 2 Appliance Circuits in Kitchen & Conductor Size GFI Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 30. Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or Al Bedroom Exiting 31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or Al Insulated Neutral 0 Yes 0 No G.F.I. & Bath Fixtures & Tub Access -Spa 32. Service -Riser Conductors & Ground Main Disconnect Elec. Trim & Subpanel, Breaker Sizes & Labels 33. Equip. Clearances Panels-Motors-Mech. Equip. Stairs & Rails 34. Clothes Closet Light -Shower Light -Spa Light Fireplace or Stove, Clearance -Hearth 35. Smoke Detector Elec. Outlets at Wood Panel, Int. & Ext. 73. Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 77. 36. A.C. Ducts Insulation & Support 78. 37. Vent Fan, Exhaust above insulation 79. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 38. Condensate Drain & Overflow, Size & Grade Insulation -Foam -Looked in Attic 39. Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet Guard Rails & Deck Construction -Post Caps 40. Attic Access & Platform if Furnace in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s 41. Sills Proper Materials & Anchors 42. Walls Studs -Nailing Spacing & Braces -Plates -Sound 43. Bearing Walls over Girders & Floor Nailing 44. Draft Stop in Walls (rat proof) 45. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 46. Headers & Beams -Size & Bearing Date FRAMING (Continued) 47. Hangers -Post Caps -Anchors -Connectors 48. Cling. Joist-Rftr. Ties- Purl in -Roll Brac.-Truss-Shting.-Rtng. 49. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 51. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 52. Garage Fire Protection Framing -RC Channel 53. Property Line Firewall & Openings 54. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 55. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 57. Siding -Nailing Veneer 58. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 59. Glazing Area -Glass Protection -Skylights -Plastic 60. Shear Walls; Nailing -Bolts 61. Brace Interior/Exterior Wall Panels 62. Insulation -Walls -Ceilings 63. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 64. Ext. Steps -Door & Sidelight Protection -Landings 65. Smoke Detector 66. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 67. Bedroom Exiting 68. G.F.I. & Bath Fixtures & Tub Access -Spa 69. Elec. Trim & Subpanel, Breaker Sizes & Labels 70. Stairs & Rails 71. Fireplace or Stove, Clearance -Hearth 72. Elec. Outlets at Wood Panel, Int. & Ext. 73. Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance 74. Elec. Outlets & Receptacles at Kit. Counter 75. Garage Fire Door; Swing -Landing -Closure 76. A.C. Duct in Garage -Damper 77. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 78. Plb.; Elec. & Mech. Equip. Listed for Location 79. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 80. Insulation -Foam -Looked in Attic 81. Guard Rails & Deck Construction -Post Caps 82. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor 0 Yes 83. Following Instld./Drive O Yes 0 No/Walks O Yes O No/Planters 0 Yes O No 84. Stucco Brown -Finish 85. A.C. Unit Disconnect, Electrical -Plumbing 86. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 87. Water Well, Disconnect, Electrical, Plumbing 88. Exterior Elec. Trim, G.F.I. Receptacle -Underground 89. Ventilation Throughout House 90. Glass Protection 91. Corrections from Previous Inspections 92. Gas Test -Meters Tagged, Gas -Electric 93. Water & Sewer Connected -C/O to Grade -HD Approval 94. Energy Compliance Certificate -Other Certificates 95. Address Posted 96. Fire Sprinkler Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 pF�MI N (Rev. 12/96) APPLICATION AND PERMIT ��/ U ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT OWNER TELEPHONE SO, FT, OCC. BUILDING VALUATION . OWNERS MAILING ADDRESS CONTRACTOR'S NAME TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation Is ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS Energy Plan Checking Fee $ $ PERMIT FEE S LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S G I W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service 000V oR LESS 2o0A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION 1 hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUR OR ADDNS. ( 6 ACC. BLDS. SO 3.5¢FT. NO g6ID.1 QIBMULTI.OU CUI TS @7,50 POWER APPARATUS b SINGLE OUTLET CIR. Ex. Occup. OUTLET OR FIXTURES BAL Q', 0 Ex. Occup. OFlx�E�°�A PR pOEp 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE S WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: I 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. ❑ I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEt $ Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X Y^%� ^ C�� o;5S re Applic er ❑Contractor ❑Agent OSHA permit is require for excavations over 5'0" deep and demolition or construction f structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ HAZ. D FEES IMP FLOOD CDF PARCEL PO HD ISSUE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. Date Date Receipt No. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT c COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION ` 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541E MIT NO (Rev. 12/96) APPLICATION AND PERMIT V 63 I ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT OWNER TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS CONTRACTOR'S NAME TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER E NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS Energy Plan Checking Fee $ $ PERMIT FEE S LAT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFYEach Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: Gas piping stem 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G W @20.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 Main Service z�oOV OR LEss 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.POWEPPARATUS License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: 7 I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively co tracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions` Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: /11 I 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. D I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if thepermit is for work ;fa valuation of one hundred dollars ($100) or less.) •,, 4 % +occ 1 certify that in the performance of the work for which this permit is isSued,,Ishall not employ any person in any manner so as .to become: subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. (ae q-16 ^y�-- 'g s ure of Appli aq - �OvGfier ❑ Contractor ❑ Agent OSHA permit is requir d for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUR so OR ADONS. ( a ACC. BLOs. 3.5,s NEW CONST . NO RES D. MULTI. OUTLET @7.50 a SINGLER AOUTLET ,R. Ex. Occup. OUTLET OR FDTTURES 20 �' SAL @ .50 Ex. Occup. OFIx�LE�DSARa 1 E 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE S Mobile Home Installation Fee $ Energy Inspection Fee $ CONST. TYPE TOTAL FEE $ FEES IMP I FLOOD I CDF PARCEL PD HD ISSUE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. Date ' Date Receipt No. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION �> 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 ERMIT N -. (Rev. 12/96) APPLICATION AND PERMIT L'/ 63`lit) � ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT OWNER - TELEPHONE SO. FT. OCC. BUILDING VALUATION .OWNERS MAILING ADDRESS I CONTRACTOR'S NAME c TELEPHONE CONTRACTORS MAIUNG ADDRESS CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS Energy Plan Checking Fee $ PERMIT FEE $ LAT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00, TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: Gas piping system_ 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE _ ELECTRICAL PERMIT Filing Fee 20.00 Main Service a00OR LESS 2o0A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO 1000A 46,00NEW CONST. DWELLING OCCUP, OR ADDNS. ( a ACC. eLos. SO 3.54 NO CONST MULTI.00UTLU 97.501 POWER APPARATUS d SINGLE OUTLET CIR. - EX. OCCU OUTLET OR FIXTURES BAS @': 0 Ex. Occup. o.E' AaID °Ea 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE S WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: I 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. ❑ I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued,) shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. t Qt, _q - U Sigt eur of Applicant= Oviner ❑ Contractor ❑ Agent �An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection" Fee $ occ CONST. TYPE TOTAL FEE $ HAz. D FEES IMP I FLOOD COF PARCEL PD HD ISSUE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. Date ' Date Receipt No. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT _Zr r a COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 1, 7 County Center,,Drive • Oroville, California 95965 • Telephone (530) 538-7541 -7 pERM•IT No: (Rev. 12/96) APPLICATION AND PERMIT "' ' f 0 0 ASSESSOR PARCEL NUMBER ' ZONING BUILDING PERMIT OWNER ' ' TELEPHONE SO, FT, OCC. BUILDING VALUATION 1 . OWNER'S MAILING ADDRESS C -a CONTRACTOR'S NAME i TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDINGADDRESS Energy Plan Checking Fee $ $ PERMIT FEE $ LAT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome,, ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service 000V OR LESS ZO.A OR LESS 23.00 1 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencin with Section 7000 of Division 3 of the Business and Professions Code, g ) and lmy license is in full force and effect. License Class - Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: 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. ❑. 1, as owner of the property, am exclusively contracting with licensed contractors ,. to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensAtion insurance carrier and policy number are: Carrier , Policy Number ti (The above sections need not be completed 0 the permit is for work of a valuation of one hundred dollars ($100) or less.) I certifythat in the performance of the work for which this permit is issued, I shall p p not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if 1 should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. / t PX)..� /,i'' �r"'h Date " r /4 Signature df Applicant,' -y9 Owner 13 Contractor ❑ Agent AnWOSHA permit is require8 for excavations over 5'0" deep and demolition or construction 'of structures over 3 stories in height. Main Service 200A TO 1000A 46.00NEW CONST. DWELLING OCCUP. S° OR ADDNS. ( & ACC. BLD S. 3.50FT. NEW CONST. MULTI.OUTLET NON-RESID. 97.50 POWER APPARATUS S SINGLE OUTLET CIA. Ex. OCCu OUTLET OR FIXTURES BAL @':50 Ex. Occup. ouTLEeDrs ASID.°EA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE S MECHANICAL PERMIT Filing Fee 20.00 Heating Coolin Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ HAZ. D. FEES IMP I FLOOD I CDF PARCEL Po HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions 'to'do. work indicated above for which fees have been paid. ' By Date r PERMIT EXPIRES ON t' Date Receipt No. WHITE-D.D.S.-B.D.' CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT I • T NOTES RESIDENTIAL PERMIT NO. 030-200-050 - 04-2523 GONZALEZ, JUAN s 1555 BIGGS AVE, OROVILLE Cont: OWNER . ROOF RESTRUCTURE V11466'r- x"i/-, C'f 0070 OP) Uj(v�kn-js (Y4 �l6 p �516 0/- 0ys� '� SPECIAL CONDITIONS CHECKED. BY e SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. ; SPECIAL INSPECTION ITEMS '• , VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER JOB FINALED (Daie)7 ZJ Signature _,- — --- -- i �l6 p �516 0/- 0ys� '� SPECIAL CONDITIONS CHECKED. BY e SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. ; SPECIAL INSPECTION ITEMS '• , VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER JOB FINALED (Daie)7 ZJ Signature _,- — --- -- 4 O 0 Not OK . NotReadyable DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O -Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap;-/ /" L 'ft. / P Nat. or/ /" L "ft./ P LPG 7. Well Clearance & Disconnect 8. Utility Clearance 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date 12. Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s Card B-1 Date Card B-1 1. Zoning Requirements -Setbacks -Easements Card B-1 Date Card B-1 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch 11. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PERMANENT END SYSTEM (ONLY) 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Blocking 4. Gas; MH Test -Demand -Valve 5. Electricity; MH Test 6. Water; MH Test 7. Water and Sewer Connected 8. Gas and Electricity Tagged 9. Exits 10. License Decals 11. Verify #'s with Office Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Beams-Rftrs-Connectors Shthg-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosures- Panelboards-Ins. to Main Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche 12. Enclosure; Fencing -Alarms Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 J=OK 0 = Not OK = Not Applicable . = Not Ready RESIDENTIAL (Single & Duplex) Date UNDE LOOR (Plans) OK except #'s 1 oning-Setbacks-Easements-Flood-Slope f7oPftr, Main; Soils-Elec. Grnd.-/ /" 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. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. b, Steel -Wrapped Piers -Fireplace Ftg.-S el 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -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 -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 15. Access & Ventilation 16. Insulation ;v • 34. Date Card B-1ate Card B-1 Da Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s 17. Water Htr.; Vent -Access -Combustion Air Baffle 18. Water Pipe; Test & Anchor -Nail Protection 19. D.W.V.; Test Fittings & Anchor -Nail Protection 20. Shower Pan; Test, First Floor -Tub Access 21. Test Tub & Shower, Second Floor -Tub Access 22. Gas Pipe; Sixe & Anchors 23. Fire Sprinkler; Test Date Card B-1 Date Card B-1 Date FRAMING (Continued) Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 24. Fixture & Transformer Clearance -Ins. Protection 25. Elec. Receptacles Spacing -Lights & Switches at Doors 26. Size Boxes & No. of Conductors Stapled 27. Romex Installed Close to Edge of Studs & C.J. 28. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water 29. 2 Appliance Circuits in Kitchen & Conductor Size GFI 30. Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or Al 31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or Al Insulated Neutral 0 Yes 0 No 32. Service -Riser Conductors & Ground Main Disconnect 33. Equip. Clearances Panels-Motors-Mech. Equip. ;v • 34. Clothes Closet Light -Shower Light -Spa Light 35. Smoke Detector 60. Shear Walls; Nailing -Bolts Date 61. Card B-1 Date Card B-1 Date 62. Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s Infiltration -Walls -Windows 36. A.C. Ducts Insulation & Support Card B-1 Date Card B-1 37. Vent Fan, Exhaust above insulation Card B-1 Date Card B-1 38. Condensate Drain & Overflow, Size & Grade 39. Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet 40. Attic Access & Platform if Furnace in Attic Date 66. Card B-1 Date Card B-1 Date 67. Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s G.F.I. & Bath Fixtures & Tub Access -Spa 41. Sills Proper Materials & Anchors Elec. Trim & Subpanel, Breaker Sizes & Labels 42. Walls Studs -Nailing Spacing & Braces -Plates -Sound Stairs & Rails 43. Bearing Walls over Girders & Floor Nailing Fireplace or Stove, Clearance -Hearth 44. Draft Stop in Walls (rat proof) Elec. Outlets at Wood Panel, Int. & Ext. 45. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance 46. Headers & Beams -Size & Bearing Elec. Outlets & Receptacles at Kit. Counter 75. Date FRAMING (Continued) 47. Hangers -Post Caps -Anchors -Connectors 48. Cling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rtng. 49. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 51. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 52. Garage Fire Protection Framing -RC Channel 53. Property Line Firewall & Openings 54. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 55. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 56. Plyw d on Roof Overhang -Attic Vents -Rafter Outriggers 57.5 ng -Nailing Veneer ;v • . Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 59. Glazing Area -Glass Protection -Skylights -Plastic 60. Shear Walls; Nailing -Bolts 61. Brace Interior/Exterior Wall Panels 62. Insulation -Walls -Ceilings 63. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 64. Ext. Steps -Door & Sidelight Protection -Landings 65. Smoke Detector 66. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 67. Bedroom Exiting 68. G.F.I. & Bath Fixtures & Tub Access -Spa 69. Elec. Trim & Subpanel, Breaker Sizes & Labels 70. Stairs & Rails 71. Fireplace or Stove, Clearance -Hearth 72. Elec. Outlets at Wood Panel, Int. & Ext. 73. Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance 74. Elec. Outlets & Receptacles at Kit. Counter 75. Garage Fire Door; Swing -Landing -Closure 76. A.C. Duct in Garage -Damper 77. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 78. Plb.; Elec. & Mech. Equip. Listed for Location 79. Elec. Receptacles in Garage (FF.I.)-Romex Protection 80. Insulation -Foam -Looked in Attic 81. Guard Rails & Deck Construction -Post Caps 82. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor 0 Yes _ 83. Following Instld./Drive 0 Yes 0 No/Walks 0 Yes O No/Planters Cl Yes 0 No 84. Stucco Brown -Finish 85. A.C. Unit Disconnect, Electrical -Plumbing 86. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 87. Water Well, Disconnect, Electrical, Plumbing 88. Exterior Elec. Trim, G.F.I. Receptacle -Underground 89. Ventilation Throughout House 90. Glass Protection 91. Corrections from Previous Inspections 92. Gas Test -Meters Tagged, Gas -Electric 93. Water & Sewer Connected -C/O to Grade -HD Approval 94. Energy Compliance Certificate -Other Certificates 95. Address Posted 96. Fire Sprinkler Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: Butte County Department of Development Services. e� TE_ RRA El N Q T 1- S 7 County Center Drive. Oroville. CA 95965 _ ' (550) 538-7601 vnwv.4utt@cgLknty'netldds �ouH<y 1 RESIDENTIAL ..- APN: 0 30^Z.V^ W Permit No. Owner.�EZ/� j —7UA � -V'►n1,�GIA�`-'�— Site Address: 1555 516 GS A UE• 013uylC_ f Contractor. Type of Permit:t2EPLAe2e�� i &I C)e)wS� l� 1'I�wS CHECKED BY SRA FLOOD CERTIFICATE EQUIRED FIRE SPRINKLERS REQUIRED SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUBSTANDARD HOUSING LETTER ENCROACHMENT PERMIT REINSPECTION FEE PAID ENV HLTH CLEARANCE -i. DATE JOB FINALED: SIGNATURE: izizk • _ y OK MANUFACTURED HOMES MISCELLANEOUS DATE PERMANENT FOUNDATION SOFT -SET 1 Zoning -Setbacks -Easements 2 Soils; Special MH Support Sketch 3 Sewer; Loctn-Test; Fall/C/O-Concrete x 4 Wtr; Loctn-Test-Easement Needed -Regulator 5 Elec Loctn-Clrncs-Grnd Amp -Concrete 6 Yard Gas; Loctn-Test-Wrap . Nat O or LPO Inch Sz Ft Lngth 7 Blckng; Sz-Spacing-Marriage Line 8 Gas; MH Test-Demand-Valve-Cnnctr 9 Elec MH Cntnty Test-Crossovers-Breakers-Clrncs 10 Drain; MH Test -Fall -Flex Cnnctr 11 Wtr & Sewer Connected -C/O to Grade 12 Gas and Electricity Tagged 13 Tire Downs O Foundation O ' 14 Exits 15 Cert of Occupancy 16 HUD Label/Insignia Numbers Serial Numbers DATE D E C K S'C O V E R S'C A R P O R T S `GARAGE S 1 Zoning -Setbacks -Easements 2 Ftgs; Soils-Sz-OpthSpacing-CnnctrsSteel 3 Decks, Girders/Joists-Dcking-Brcing Stairs-Guard/Handrails 4 Wood Awn; Posts-Beams-Rftrs-Cnnctrs-Shthg Frmg-Brcng 5 Alum Awn; Columns-CnnctnsSplice-Decal-Encisrs 6 Carports; Wndws-Doors 7 Electric 8 Frmg; Sills-Anchrs -Stu ds-Rftrs-Trusses 9 Siding; Nailing -Veneer -Stucco -Lath 10 Roof; Shthg-Roofing 11 Ext; Steps -Doors -Landings 12 Braced Wall pnls � DATE IPOOLS 1 Setbacks -Easements 2 Soils; CompactionStructure Stability 3 Pool Structure; Steel-Cnnctns-Thickness Dead Men -Lining 4 Elec Rcptcls/Lting; Distance-GF1 5 Elec Pool Lting; 15 volts-GFI 6 Elec Enclsrs; Conduit Entries -Terminals -Listed 7 Elec Bonding; Metal w/5'-Crcltng Egp-Hbr 8 Elec Grndng; Eqp w/5' Crcltng Eqp-Pool Ightg Bokes-Enclsrs=pnlboards4nsultn to Main Conduit 9 Health Dept Apprvl 10 Plmb; Cir Test-Wtr Supply Test 11 Lt Niche 12 Enctsr-, Fencing -Alarms 13 Bonding, Diving board or Slide ' Pool Drawing OK = Nnt RESIDENTIAL (Single & Duplex) DATE JUNDERFLOOR DATE PLUMBING 1 Zoning -Setbacks -Easements -Flood -Slope 53 Wtr Htr; Vent-Acc-Cmbstn Air Baffle 2 Ftg Main; Soils-Elec Grnd Ftg Opth 54 Wtr Pipe; Test & Anchr-Nail Prtctn 3 Ftg Garage; Soils-Steel-Elec Grnd Ftg Opth• 55 DWV; Test Fittings & Anchr Nail Prtctn 4 Ftg Porches/Decks; Soils -Steel Ftg Dpth 56 Shwr Pan; Test, First flr-Tub Acc 5 Stemwalls Main; Steel-Blockouts-Wrapped 57 Test Tub & Shwr, 2nd flr- Tub•Acc 6 Stemwalls Garage; Steel-Blockouts-Wrapped• 58 Gas Pipe; Sz & Anchrs 69 Hold Downs and Special Anchrs 59 Fire Sprinkler; Test 7 Slab, Steel Wrapped 60 Yard Gas Piping 8 Piers-Frplc Ftg-Steel 9 DWV; Fall -Fitting -Test -2 -way C/0 -Sewer Test 10 UF, Gas Pipe; Sz Anchrs-Sz Test °�• ° °'• m� tt Wtr Pipe; Test-Anchrs-Rgltr-Service Test 12 Elec Undrgrnd DATE IMECHANICAL 13 Plenums & Ducts; Clrnc-MaterialSupport4nsultn 61 AC Ducts Insultn & Support 14 Girders-Sills-Anchr BoltsJoists-Vnts-Cripples 62 Vent Fan, Exhaust abv Insultn 15 Acc & Vntltn 63 Condensate Drain & Ovrflw, Sz & Grade 16. Insulation 64 Furnace -Vent Acc-Comb Air RtrnfVent 115 Outlet 65 Attic Acc & Pltfrm if Furnace in attic c O'er DATE IFRAMING 17 Sills Proper Materials & Anchrs DATE F I N A L 18 Walls Studs -Nailing Spacing & Braces -Plates -Sound 66 Ext Steps -Door & SideLt Prtctn-Landings 19 Bearing Walls over Girders & fir Nailing 67 Smoke Detector 20 Draft Stop in Walls (rat proof) 68 Furnace Vnts-Cirnc-Comb, Air-Cnnctr 21 Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs In Garage; abv-flr-Ducts-Mech Prtctn 22 Headers & Beams-Sz & Bearing 69 Bedroom Exiting 23 Hangers -Post Caps-Anchrs-Cnnctns 70 GFI & Bath Fxtrs & Tub Acc-Spa 24 Ceiling Joist-Rftr Ties-Purlin-Roof Brac-TrussShthg 71 GR Arc Fault 25 Frplc Ties or Type A Flue-Frplc Throat Clmc 72 Elec Trim & Subpnl, Breaker Sts & Labels 26 Attic Acc; Sz & Rmx Prtctn-Draft Stop -Ins Baffles 73 Stairs, Guard/Handrails 27 Bdrm Wndws or Exiting Doors -Sill Ht & Dimensions 74 Frplc or Stove, Cimc-Hearth 28 Garage Fire Prtctn Framing -RC Channel 75 Elec Outlets at Wood Pnl, Int & Ext 29 Prprty Line Firewall & Opngs 76 Ktchn, Fxtr & Appinc; Grnd-Air-Gap-Cooking Clrnc 30 Ext Doors -One T -Check Garage 3rd Story, 2 Exits 77 Elec Outlets & Rcptcls at Ktchn Counter 31 Stairs; Width-Hdrm-Rise-Run-Landin g -Fire Prtctn 78 Garage Fire Door, Swing -Landing -Closure 32 Plywd on Roof Ovrhng-Attic Vnts-Rfir Outrgrs 79 AC Duct in Garage -Damper 33 Siding -Nailing Veneer 80 Wtr Htr; Vnts-Clmc-Com Air Cnnctr-PRV; abv fir 34 Stucco Lath -Weep Screed-Fndtn Vnts-Undrflr Acc Mech Prtctn; LPG Appince Undr House 3- drain 35 Glazing Area -Glass Prtctn-SkyLts-Plastic 81 Plmb; Elec & Mech Eqp Listed for Loctn 36 Shear Walls; Nailing -Bolts 82 Elec Rcptcls in Garage (GFI) Romex Prtctn 37 Brace Int/Ext Wall pnls 83 Insultn-Foam-Looked in Attic 38 Insultn-Walls-Ceilings 84 Guard Rails & Deck Cnstrctn-Post Caps 39 Infiltration-Walls-Wndws 85 Fndn Vnts & Crawl Hole Door Drnge & Wood -Earth 86 Clrnc Dmge Planters QYes [::]No 87 Stucco Brown -Finish °•• °s °'• 0` 88 AC Unit Dscnnct, Elec-Plmb 89 Vnts abv Roof, Plmb-Appinc-Frplc-DIrnc to Opngs DATE JELECTRICAL 90 Wtr Well, Dscnnct, Elec, Plmb 40 Fxtr & Tmsfrmr Clmc4ns Prtctn 91 Ext Elec Trim, GFI Rcptcl-Undrgrnd 41 Elec Rcptcls Spacing-Lts & Switches at Doors 92 Vntltn thru House 42 Sz Boxes & No Of Cndctrs Stapled 93 Glass Prtctn 43 Romex Installed Close to Edge of Studs & CJ 94 Corrections from previous lnspctns 44 Eqp Grnd made up w/Mech Fstnrs 95 Gas Test -Meters Tagged, Gas-Elec 45 Grndng Electrode Bond Gas & Wtr 96 Wtr & Sewer Cnnctd-010 to grade -HD Apprvl 46 2 Appinc Cires in Ktchn & Cndctr Sz GFI 97 Energy Cmpinc Cert -Other Certs 47 Subfeed Wire Sz .ga ❑ CU or ❑AL 98 Address Posted AC Wire Sz ga ❑ CU or DAL 99. Fre Sprinkler 48 Range Circ ga ❑ Cu or ❑AL Oven Circ ga fCU or ❑AL Insulated Neutral DYes ❑No o` o`er °,• 0�s 49 Service -Riser Cndctrs & Grnd Main Dscnnct 50 Eqp Clrncs pnls-Motors-Mech Eqp 51 Clothes Closet Lt-Shwr Lt -Spa Lt 52 Smoke Detector WE 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. BP060689 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 am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date: 03/27/2006 APN: 030-200-050-000 the Business and Professions Code, and my license is in full force and effect. License Class : License Number: Site Address: 1555 BIGGS AVE ORO Date: Contractor: Map Index: Description: replace 3 windows p p 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 GONZALEZ JUAN MANUEL &MARIA A permit to construct, alter, improve, demolish, or repair any structure, prior Owner: 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 1555 BIGGS AVE the Contractor's State License Law (Chapter 9 commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or OROVILLE, CA she is exempt therefrom and the basis for the alleged exemption. Any 95965-4367 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, acid 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 owner of property who builds or improves thereon, and who does Applicant: GONZALEZ JUAN MANUEL &MARIA A such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one 1555 BIGGS AVE year of completion, the owner -builder will have the burden of OROVILLE, CA proving that he or she did not build or improve for the purpose of 95965-4367 sale.). ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). Contractor: ❑ 1 am Exempt under Article 3 of the Business and Professions Code Date: �0;lOwner: 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 License #: Labor Code, for the performance of the work for which this permit is issued. ❑ I have and will maintain workers' compensation insurance, as 4 required by Section 3700 the Labor Code, for the performance of Architect: the work for which this permit is issued. My workers' compensation insurance Engineer: carrier and policy number are: Carrier: Policy #: Total Square Ft: 0 S. F. 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 Valuation: $0.00 become subject to the workers' compensation laws of California, Census Code: and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date: Applicant: WARNING: Failure to secure workers' 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 applicableons of the Butte County Code and/or This per is he b issued un�E� I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec 3097 Civ.) Resolu ons o w k indicateve been paid. '3--2 7-0 Name: By Date: PERMIT EXPIRES ON: �`�� 7-07 Address: (Date) ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the 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 repres ntatives of Butte County to enteruupon the above mentioned property for inspection purposes. Print Name: �Jl] Q n e,7 Y'/ l0 C)1%Zia' 1 Z Signature: Date: Owner ❑ Contractor ❑ Agent for Owner ❑ Agent for Contractor B. C. Building Permit 01-16-04 pg 1 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 Website: www.buttecounty.net/dds "PLEASE PRINT- CLEARLY*"' OWNER INFORMATION Last Name / 0 2 ( Name first Natne J Address] S. SS e e n A City 0-1 ?3 Slate G Zip G Phone / � o 5/ Fax E-mail Fax APPLICANT SIGNATURE X r office use only: CONTRACTOR Name Flood Zone Address Address City City State Zip Phone Phon G� Fax E-mail E-mail Lic. # Class APPLICANT SIGNATURE X r office use only: ARCHITECT/ENGINEER Name Flood Zone Address Address City City State Zip Phone Phon G� Fax E mail E-mail State License Number APPLICANT SIGNATURE X r office use only: APPLICANT INFORMATION Name Flood Zone Property Address l S 5 Address I Yes City a 1//alt- State71—jp9s G Phon G� 'r 6 F 0 Fax E-mail Date Approved: APPLICANT SIGNATURE X r office use only: Zoning Received by: Amount: (� Flood Zone Property Address l S 5 SRA I Yes No Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS K•\Fr)PKAC\RI III nimr-, FnPhAC\RIrinAnnlCnhRnmtR rinr. PERMIT NO. BIN # Description or Scope of Work: 1�e Wmend ows Sq FT- Living Garage Open Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew+raction 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. PROJECT LOCATION . Received by: Amount: (� 8o Bldg SRA Property Address l S 5 Q g i/� City / o rd Cross Street Date: �� �� _Other WTotal 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: 1�e Wmend ows Sq FT- Living Garage Open Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew+raction 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. Paoe 1 of 2 REV 8-12-05 Received by: Amount: (� 8o Bldg SRA Receipt #: I 1✓1_ \� Sheriff SMIP Date: �� �� _Other WTotal Paoe 1 of 2 REV 8-12-05 41. SUBMITTAL & PERMIT REQUIREMENTS The following drawings and specifications must be submitted to the Building Division in order to apply for a permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK ❑ 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. No graph paper! ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans (No graph paper!) OR Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 3. Engineered truss details and layouts in duplicate (if required). No faxes! ❑ 4. Energy compliance design and supporting documentation in duplicate. ❑ 5. Statement of Intent for Non -heated and AIC for Non -Residential Buildings. ❑ 6. Manufactured homes: (A). Installation manual, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate ❑ 7. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate (if required). ❑ 9. Site plan and business license approval from the City of Biggs. ❑ 10. Letter of intent for non-residential buildings. ❑ 11. Building Permit Application Without Required Clearances Form . ❑ 12. Hazardous Material Form (for Commercial Buildings only). Remaining items needed to issue the permit. Additional items may be required after Plan Check and Planning review (May require additional plan review upon receipt of the following items.) ❑ 1. Agricultural Buffer clearance and site plan approval from the Ag Commissioner's office (if required). ❑ 2. Impact Fees. ❑ 3. California Department of Forestry plan approval (if required). ❑ 4. NPDES Form. ❑ 5. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 6. Contractor's license information. (Number, Name Style, Classification). 117. Worker's Compensation Carrier and Policy Number. ❑ 8. Owner -Builder Verification (if required). ❑ 9. Letter of Signature authorization (if required). ❑ 10. Recorded copy of Agricultural Acknowledgment Statement. ❑ 11. ❑ Legal description from current recorded grant deed, ❑ Copy of M.H. Title, Title transfer, or MCO. ❑ 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 KAFORMS\BUILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 oft REV 8-12-05 Mw 1110 !11T1�1 t :a �1 � C ��l, ) l � I ? . ., , , .1 , : ,. r , .... r 1. h. 3 .Tif .. ,:. :.. i.,;. "i-. ..:: .: .. ... ,.,, .., � ,• , {r,.,.'. /l ..1 l � i I+ " r r ^ r rl .• , >f - Y , .. 'P•M'SS�. j::y^ ::+�rF'7I .... 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