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HomeMy WebLinkAbout030-270-063030-270-063 04-3110 HARVEY, DAWYN" 1667 FRESNO AVE, OROVIL Cont: OWNER INALEL� REROOF i .- ' 1'L•2 -d7 -030-270-063 04-3111 HARVEY, DAWYN 1667 FRESNO AVE, ROVI Cont: OWNER ' UPGRAD ELECT PANE 04-3131 030-270-063• DUNN,DAW 1.667 FRESNO A AVE.OROVIZ*ps Cont: SUN POWE RPA 2S 2g34T ROOF MNT SOLA 1 N tva [' [ok a r 403-91B,E"- - 030=27-0-063 DUNN, DAWYN r DUNN, Dave 1667 Fresno St;:;. Oroville 1667 FRESNO AVE; OROCTI E Cont: OWNER (new garage) PATIO -COV �0���(• 030-270-063 PERMIT#95-0298 DUNN, Dawyn 1667 Fresno Ave., Cont; Harward & Co. Oroville� Replace Windows/SF oZ% 30-27-44 Star Contr. 1717 Fresno Ae., Oroville Permit- 0-78B,P;E,M(new single family) .030-270-063 PERMIT#95=2327 DUNN, Dawyn_ , 1667 Fresno Ave., Oloville J Misc Ele/SF1-�(o�'b��� 030-270-063 04-3110 HARVEY, DAWYN" 1667 FRESNO AVE, OROVIL Cont: OWNER INALEL� REROOF i .- ' 1'L•2 -d7 -030-270-063 04-3111 HARVEY, DAWYN 1667 FRESNO AVE, ROVI Cont: OWNER ' UPGRAD ELECT PANE 04-3131 030-270-063• DUNN,DAW 1.667 FRESNO A AVE.OROVIZ*ps Cont: SUN POWE RPA 2S 2g34T ROOF MNT SOLA 1 N tva [' [ok X030-270-063 OS -331— 4� DUNIIN, DAWN 1667 FRESNO AVE, OROVI.LLE Cont: OWNER s.. PATIO -COV OorrE aR� N O T E S = (530) 538-7601 vAvev.buttecounty neUdds �o RESIDENTIAL Y, - AP N• _ Permit No. Owner Site Address: t Contractor. Type of Permit: k 'r J, SPECIAL CONDITIONS rucr^Kcn rzv SRA FLOOD CERTIFICATE EQUIRED FIRE SPRINKLERS REQUIRED SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER ENCROACHMENT PERMIT REINSPECTION FEE PAID ENV HLTH CLEARANCE Z /8a sou* P DATE JOB FINALED• /� p . = OK = MM n1c MANUFACTURED HOMES " PERMANENT FOUNDATION U SOFT -SET 1 Zoning -Setbacks -Easements 2 Soils; Special MH Support Sketch 3 Sewer; Loctn-Test; FaIVC/0-Concrete 4 Wtr; Loctn-Test-Easement Needed -Regulator 5 Elec Loctn-CIrncs-Grnd Amp -Concrete 6 Yard Gas; Loctn-Test-Wrap Nat ❑ 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 Tie Downs ❑ Foundation ❑ 14 Exits 15 Cert of Occupancy 16 HUD Label/insignia Numbers Serial Numbers MISCELLANEOUS DATE IDECKS`C0VERS`CARP0RTS`GARAGES Zoning -Setbacks -Easements 11'Ttg§; Soils-Sz-DpthSpacing-CnnctrsSteel 3 Decks, Girders/Joists-Dcking-Brcing Stabs rd/Handrails 4 Awn; Posts-Beams-Rftrs-Cnnctrs-Shthg . Frmg-Brcng S Alum Awn; Columns-CnnctnsSplice-Decal-Encisrs 6 Carports; W ws-Doors 7 Electr 8 i; Sills-Anchrs-Studs-Rftrs-Trusses 9 S' Ing; Nailing -Veneer -Stucco -Lath oof; Shing -Roofing 11 Ext; Steps -Doors -Landings 12 Braced Wall pnls DATE IPOOLS 1 Setbacks -Easements 2 Soils; Compaction -Structure Stability 3 Pool Structure; Steel-Cnnctns-Thickness Dead Men -Lining 4 Elec Rcptcls/Lting; Distance-GFI 5 Elec Pool Lting; 15 volts-GFI 6 Elec Enclsrs; Conduit Entries -Terminals -Listed 7 Elec Bonding; Metal w/5-Crcitng Eqp-Htr 8 Elec Gmdng; Eqp w/5' Crcltng Eqp-Pool Ightg Bokes-Enclsrs-pnlboards-Insulin to Main Conduit 9 Health Dept Apprvl 10 Pimb; Cir Test-Wtr Supply Test 11 Lt Niche 12 Enclsr; Fencing Alarms 13 Bonding, Diving board or Slide .�`. oll o. Pool Drawing mac` MISCELLANEOUS DATE IDECKS`C0VERS`CARP0RTS`GARAGES Zoning -Setbacks -Easements 11'Ttg§; Soils-Sz-DpthSpacing-CnnctrsSteel 3 Decks, Girders/Joists-Dcking-Brcing Stabs rd/Handrails 4 Awn; Posts-Beams-Rftrs-Cnnctrs-Shthg . Frmg-Brcng S Alum Awn; Columns-CnnctnsSplice-Decal-Encisrs 6 Carports; W ws-Doors 7 Electr 8 i; Sills-Anchrs-Studs-Rftrs-Trusses 9 S' Ing; Nailing -Veneer -Stucco -Lath oof; Shing -Roofing 11 Ext; Steps -Doors -Landings 12 Braced Wall pnls DATE IPOOLS 1 Setbacks -Easements 2 Soils; Compaction -Structure Stability 3 Pool Structure; Steel-Cnnctns-Thickness Dead Men -Lining 4 Elec Rcptcls/Lting; Distance-GFI 5 Elec Pool Lting; 15 volts-GFI 6 Elec Enclsrs; Conduit Entries -Terminals -Listed 7 Elec Bonding; Metal w/5-Crcitng Eqp-Htr 8 Elec Gmdng; Eqp w/5' Crcltng Eqp-Pool Ightg Bokes-Enclsrs-pnlboards-Insulin to Main Conduit 9 Health Dept Apprvl 10 Pimb; Cir Test-Wtr Supply Test 11 Lt Niche 12 Enclsr; Fencing Alarms 13 Bonding, Diving board or Slide .�`. oll o. Pool Drawing = OK Not OK RESIDENTIAL (Single & Duplex) DATE JUNDERFLOOR DATE IPLUMBING 1 ZoningSetbacks-Easements-Flood-Slope 53 Wtr Htr; Vent-Acc-Cmbstn Air Baffle 2 Ftg Main; Soils-Elec Grnd Ftg Dpth 54 Wtr Pipe; Test & Anchr-Nail Prtctn 3 Ftg Garage; Soils-Steel-Elec Grnd Ftg Dpth. 55 DWV; Test Fittings & Anchr Nail Prtctn 4 Ftg Porches/Decks; Soils -Steel Ftg Dpth 56 Shwr Pan; Test, First fir -Tub Acc 5 Stemwalls Main; Steel-Blockouts-Wrapped 57 Test Tub & Shwr, 2nd fir - Tub-Acc 6 Stemwalls Garage; Ste el-Blockouts-Wrapped 58 Gas Pipe; Sz & Anchrs 63 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 CIO -Sewer Test 10 UF, Gas Pipe; Sz Anchrs-Sz Test i I Wtr Pipe; Test-Anchrs-Rgltr-Service Test 12 Elec Undrgrnd DATE IM E C H A N I C A L 13 Plenums & Ducts; Clrnc-Materia"upport4nsultn 61 AC Ducts Insultn & Support 14 Girders-Sills-Anchr Bolts Joists-Vnts-Cripples 62 Vent Fan, Exhaust abv Insultn 15 Acc & Vntltn 63 Condensate Drain & OvrfIw, Sz & Grade 16_ Insulation 64 Furnace -Vent Acc-Comb Air RtrnfVent 115 Outlet 65 Attic Acc & Pltfrm if Furnace in attic s`s` o'er . m DATE IFRAMING 17 Sills Proper Materials & Anchrs 18 Walls Studs -Nailing Spacing & Braces -Plates -Sound 19 Bearing Walls over Girders & fir Nailing 20 Draft Stop in Walls (rat proof) 21 Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 22 Headers & Beams-Sz & Bearing 23 Hangers -Post Caps-Anchrs-Cnnctns 24 Ceiling Joist-Rfir Ties-Purlin-Roof Brac-TrussShthg 25 Frplc Ties or Type A Flue-Frplc Throat Cimc 26 Attic Acc; Sz & Rmx Prtctn-Draft Stop -Ins Baffles 27 Bdrm Wndws or Exiting Doors -Sill Ht & Dimensions 28 Garage Fire Prtctn Framing -RC Channel 29 Prprty Line Firewall & Opngs 30 Ext Doors -One 3' -Check Garage 3rd Story, 2 Exits 31 Stairs; Width-Hdrm-Rise-Run-Landing-Fire Prtctn 32 Plywd on Roof Ovrhng-Attic Vnts-Rftr Outrgrs 33 Siding -Nailing Veneer 34 Stucco Lath -Weep Screed-Fndtn Vnts-Undrflr Acc 35 Glazing Area -Glass Prtctn-SkyLts-Plastic 36 Shear Walls; Nailing -Bolts 37 Brace Int/Ext Wall pnls 38 Insultn-Walls-Ceilings 39 Infiltration-Walls-Wndws DATE JELECTRICAL 40 Fxtr & Tmsfrmr Clrnc4ns Prtctn 41 Elec Rcptcls Spacing-Lts & Switches at Doors 42 Sz Boxes & No Of Cndctrs Stapled 43 Romex Installed Close to Edge of Studs & CJ 44 Eqp Grnd made up w/Mech Fstnrs 45 Gmdrig Electrode Bond Gas & Wtr 46 2 Appinc Cires in Ktchn & Cndctr Sz GFI 47 Subfeed Wire Sz ga ❑ CU or Q AL AC Wire Sz 92 CU or QAL 48 Range Circ g, Q CU or Q AL Oven Circ ga QCU orF_1 AL Insulated Neutral QYes F-1 No 49 Service -Riser Cndctrs & Grnd Main Dscnnct 50 Eqp Clmcs pnls-Motors-Mech Eqp 51 Clothes Closet Lt-Shwr Lt -Spa Lt 52 Smoke Detector FINAL 66 Ext Steps -Door & SideLt Prtctn-Landings 67 Smoke Detector 68 Furnace Vnts-Clrnc-Comb, Air-Cnnctr In Garage; abv-flr-Ducts-Meth Prtctn 69 Bedroom Exiting 70 GFI & Bath Fxtrs & Tub Acc-Spat 71 GFI Arc Fault 72 Elec Trim & Subpnl, Breaker Sts & Labels 73 Stairs, Guard/Handrails 74 Frplc or Stove, Cirnc-Hearth 75 Elec Outlets at Wood Pnl, Int & Ext 76 Ktchn, Fxtr & Appinc; Grnd-Air-Gap-Cooking Clrnc 77 Elec Outlets & Rcptcls at Ktchn Counter 78 Garage Fire Door, Swing -Landing -Closure 79 AC Duct in Garage -Damper 80 Wtr Htr; Vnts-Clmc-Com Air Cnnctr-PRV; abv fir Mech Prtctn; LPG Appince Undr House 3' drain 81 Plmb; Elec & Mech Eqp Listed for Loctn 82 Elec Rcptcls in Garage (GFI) Romex Prtctn 83 Insultn-Foam-Looked in Attic 84 Guard Rails & Deck Cnstrctn-Post Caps 85 Fndn Vnts & Crawl Hole Door Drnge & Wood -Earth 86 Clrnc Drnge Planters Q Yes Q No 87 Stucco Brown -Finish 88 AC Unit Dscnnct, Elec-Pimb 89 Vnts abv Roof, Plmb Appinc-Frplc-Clmc to Opngs 90 Wtr Well, Dscnnct, Elec, Plmb 91 Ext Elec Trim, GFI Rcptcld.lndrgrnd .92 Vntltn thru House 93 Glass Prtctn 94 Corrections from previous Inspctns 95 Gas Test -Meters Tagged, Gas-Elec .96 Wtr & Sewer Cnnctd-C/0 to grade -HD Apprvl .97 Energy Cmpinc Cert -Other Certs 98 Address Posted 99 Fire Sprinkler BUTTE COUNTY PERMIT NO. DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT BP053314 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 B. C. Building Permit 01.16.04 pg 1 'I I 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: 02/03/2006 APN: 030-270-063-000 the Business and Professions Code, and my license is in full force and effect. License Class : License Number: Site Address: 1667 FRESNO AVE ORO Date: Contractor: Map Index: Description: COVERED PATIO 744 p PATIO(744), RE-ROOF(20 SQ) 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 permit to construct, alter, improve, demolish, or repair any structure, prior Owner: DUNN, DAWYN to its issuance, also requires the applicant for such permit to file a 1667 FRESNO AVE signed statement that he or she is licensed pursuant to the provisions of OROVILLE, CA 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 95965 she is exempt therefrom and the basis for the alleged exemption. Any (530) 534-1257 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, Bpsiness and Professions Applicant: DUNN, DAWYN pp Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does 1667 FRESNO AVE such work himself or herself or through his or her own employees, OROVILLE, CA provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one 95965 year of completion, the owner -builder will have the burden of (530) 534-1257 proving that he or she did not build or improve for the purpose of sale.). O 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does Contractor: not apply to an owner of property who builds or Improves thereon, . and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). ❑ I amxemppt uunderArticle 3,4rtfl Business and Profe ion Code Date1Owner: 1 LrG License #: WORKERS' COMPENSATION ECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit Architect: is issued. ❑ 1 have and will maintain workers' compensation insurance, as Engineer: required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier: Total Square Ft: 744 S. F. Policy #: Valuation: $11,904.00 Census Code: ❑ I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. 1 _j l Date: - • Date: n ! I'G' L� " � J Applicant: - - WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one -hundred- thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor- code, interest, and attorney's fees. , -- CONSTRUCTION LENDING AGENCY This permit is hereby issued under the applicable provisions of the Butie County Code and/or I hereby affirm that there Is a construction lending agency for the Resolutionsto de work indicatsd above for which fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) i By: M Date: Name: PERMIT E PIRES ON: L"' -,) -' D i 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 substan e o ny official form or document o Butte County. I hereby authorize representatives of Butte County to en on the above mentioned property for inspection pur oses. J L Print Name: J % n IC Signature: Date: I 6, Awner ❑ Contractor ❑ Agent for Owner ❑ Agent for Contractor B. C. Building Permit 01.16.04 pg 1 'I I r BUTTE COUNTY PERMIT NO. DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT BP053314 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 B. C. Building Permit 01-16-04 pg 1 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: 02/03/2006 APN: 030-270-063-000 the Business and Professions Code, and my license is in full force and effect. License Class : License Number: Site Address: 1667 FRESNO AVE ORO Date: Contractor: Map Index: Description: COVERED PATIO 744 p PATIO(744), RE-ROOF(20 SQ) 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 permit to construct, alter, improve, demolish, or repair any structure, prior Owner: DU N N, DAWYN to its issuance, also requires the applicant for such permit to file a 1667 FRESNO AVE signed statement that he or she is licensed pursuant to the provisions of OROVILLE, CA 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 95965 she is exempt therefrom and the basis for the alleged exemption. Any (530) 534-1257 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, 130siness and Professions Applicant: DUNN, DAWYN Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does 1667 FRESNO AVE such work himself or herself or through his or her own employees, OROVILLE, CA provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one 95965 year of completion, the owner -builder will. have the burden of (530) 534-1257 proving that he or she did not build or improve for the purpose of sale.). ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does Contractor: not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). ❑ I am xempt under Article 3rh Business and Prof ion Code Date Owner: License #: WORKERS' COMPENSATION OECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit Architect: is Issued. a , ❑ 1 have and will maintain workers' compensation insurance, as Engineer: required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier: - Total Square Ft: 744 S. F. Policy#: Valuation: $11,904.00 Census Code: ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, 1 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. 1 1 �r—�6 Date: - Applicant: WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY This permit is hereby issued under the applicable provisions of the Butte County Code and/or I hereby affirm that there is a construction lending agency for the Resolutionsto do work indicat above for which fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) Q Date: Name: By:ee''�� Al !_` J L" Address: E PERMIT PIRES ON: (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 substan e e ny official form or document o utte County. I hereby authorize representatives of Butte County to enr Pf, 1p�on the above mentioned property for inspection purposes Print Name: c L Signature: Date:. fOwner ❑ 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 OFAPPLICATION **PLEASE PRINT CLEARLY** '11() pO -'MTfA I. IQ OWNER Last Na R First e Address 6 Cot-) -1, 2 S City of v( Stat 7 Phone cJ 3 � / Fax E-mail APPLICANT SIG TURE Ix For office use only. CONTRACTOR Name Flood Zone Address --'re gJ e - City No State Zip Phone / Fax E-mail ERR Lic. # Class APPLICANT SIG TURE Ix For office use only. ARCHITECT/ENGINEER Name Flood Zone Address --'re gJ e - City No State Zip Phone / Fax E-mail ERR State License Number APPLICANT SIG TURE Ix For office use only. APPLICANT NAME Name Flood Zone Addres --'re gJ e - city No Statt J / Phone / Fax E-mail ERR APPLICANT SIG TURE Ix For office use only. Zoning AP# Flood Zone PropertY76Address& 7 SRA Yes No Occ. Type Const. Map Book ?co Page 167 Lot # Z_ ERR Date Approved: OVER FOR SUBMITTAL REQUIREMENTS v.cnonncoi w nndc CnDn71C\RI inAnnlCnhRnmtc rine Paoe 1 of 2 PERMIT NO. BPO5331 BIN # Description o Scoo�' -7 U L lytx. aet Sq. Footage a9'\ ❑ 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: �.o Receipt #: 14 3)_(d -7 6A# 10 3 Amount: 04o Bldg SRA 1 Sheriff I �I q SMIP Date: 2/27� 2�� Other �� i n fol) LL� 1 Total REV 6-16-04 LOCATION AP# a -2o -a& 3 PropertY76Address& 7 Cross Styaet Ai -11a, • 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 o Scoo�' -7 U L lytx. aet Sq. Footage a9'\ ❑ 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: �.o Receipt #: 14 3)_(d -7 6A# 10 3 Amount: 04o Bldg SRA 1 Sheriff I �I q SMIP Date: 2/27� 2�� Other �� i n fol) LL� 1 Total REV 6-16-04 SUBMITTAL REQUIREMENTS The following drawings and specifications must be submitted to the Building Division in order to apply fora permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK. Residential, New, Remodels, Additions, and Accessory Structures: ❑ 1. 3 Site Plans, signed by the preparer. NO GRAPHPAPER! ❑ .2. 3 Complete sets of plans, signed by the preparer. NO GRAPH PAPER! OR 3 Sets Engineered plans (if required) with wet signature on plans AND 2 sets of stamped and signed - . calculations. ❑ 3. 2 Engineered truss details and layouts (if required) (NO FAXES!). ❑ 4. Letter from Engineer or Architect for truss design review. ❑ 5. 2 Energy compliance design and supporting documentation. (Note: Not required for additions to mobile or modular homes.) ❑ 6. 2 Flood Elevation Certificate, wet -stamped and signed (if required). ❑ 7. Detached Accessory Building Form, filled out by the property owner (if required). ❑ 8. Sanitation and site plan approval from the Environmental Health Department. ❑ 9. Metal Buildings: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate, (D) Floor plans in triplicate, All of these must be stamped and wet -signed by the engineer. Mobile, Manufactured, or Modular Homes: ❑ 1. 3 Site Plans, signed by the preparer. NO GRAPHPAPER! ❑ 2. 2 Data sheets and installation instruction manual. ❑ 3. 2 Marriage line information. ❑ 4. 2 Floor plans. ❑ 5. 2 Engineered Tie Downs or Foundation plans. ❑ 6. Sanitation and site plan approval from the Environmental Health Department. ❑ 7. 2 Flood Elevation Certificate, wet -stamped and signed (if required). Commercial, New, Additions and Remodels: ❑ 1. 4 Site Plans, signed by the preparer. NO GRAPH PAPER! ❑ 2. 4 Engineered plans with wet signature on plans AND 2 sets of stamped and signed calculations, with code analysis. ❑ 3. 2 Engineered truss details and layouts (if required) (NO FAXES!). ❑ 4. Letter from Engineer or Architect for truss design review. ❑ 5. 2 Energy compliance design and supporting documentation (if required). ❑ 6. 2 Flood Elevation Certificate, wet -stamped and signed (if required). ❑ 7. Statement of Intent for Non -heated and A/C (if required). ❑ 8. Metal Buildings: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate, (D) Floor plans in triplicate, All of these must be stamped and wet -signed by the engineer. ❑ 9. Letter of intent. ❑ 10. Hazardous Material Form. ❑ 11. Sanitation and site plan approval from the Environmental Health Department. If you have questions or would like additional information regarding this process, contact a Permit Application Assistant at (530) 538-7541. OVER FOR BUILDING PERMIT APPLICATION KAFORMSSUILDING F0RMS\BIdgApp1SubRgmts.doc Page 2 of 2 REV 6-16-04 r'.crw�.+ixH`."".r'.^a....tw-r'%....-'Y"+yC''.,,tlg'"i"`wr•a�..,�,�,wt�.{..��„�..+.w �;::: r:;.,.w swn+n-aT, .-v - -. ti . �pp5331�j COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISIOIVa 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET OWNER: U n ASSESSOR PARCEL NUMBER 0 30 ` 210 - OG S Proposed Building Use: 004 P li (1,� DC �}(' -1 to 1� Permit Technician: Date: 12 -21-06 Items required in order to apply for a permit. All boxes MUST be checked OR marked NA in order to apply. V/ZN 1. Site plans, Ar 4 sets, signed by the preparer of the plans. VI:N 2. Complete plans Sar 4 sets, signed by the preparer of the plans. ❑ 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 4. Engineered truss details and layouts in duplicate. No faxes! ❑ 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 AIC for Non -Residential Buildings. ❑ 8. Manufactured homes: (A) Installation manual, including 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. Letter of intent for non-residential` buildirigs ❑ 12. Hazardous Material Form ❑ 13. Acknowledgement of building permit application without required clearances. ❑ 14. Other Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) VW , 15. Sahitation and site plan approval from the Environmental Health Department in ❑ Chico ❑ Oroville, as applicable . Ftn/ k ❑ 16. Fire Sprinklers............................................................................................ ❑ 17. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by ❑ 18. Soils Report and/or Engineered Foundation required ........................................... ❑ 19. Erosion Control Plan Required........................................................................ ..a1U20. Fees as shown on the attached Schedule of Fees Due Sheet .............................. 21. City of Chico Plumbing permit........................................................................ . ❑ 22. Site plan and business license approval from the City of Biggs .............................. ❑ 23. California Department of Forestry plan approval O paid. Sent by: ` x 24. Planning approval for (A) Use: (B)Parking: (C) Parcel Check: CF ❑ 25. Contact Land Development about _ Improvements, _ Drainage ........................ ❑ 26. NPDES Form.............................................................................................. ❑ 27. Encroachment Permit for driveway from the Public Works Dept ........................... ❑ 28. Contractor's license information. (Number, Name Style, Classification) ................... `-❑� 29. Worker's Compensation Carrier and Policy Number .......................................... ZN 30. Owner -Builder Verification ( _ Given to owner, _Mailed to owner) ..................... ❑ 31. Letter of Signature authorization.................................................................... ❑ 32. Recorded copy of Agricultural Acknowledgment Statement., .......................... ❑ 33. Existing violations and/or expired permits....................:.................................... ❑ 34. Deed Restriction......................................................... ....... ........ ................... ❑ 35. ❑ Legal description, ❑ M.H. Title, title search, registration or NICO ......................... ❑ 36. Other: ❑ 37. Other: When issued Telephone 5 34- ) 2 5n 0,Vu ter and hold for pickup. I have been irfforrited of the above items�d requirements for obtaining a building permit. 1 Applicant: _ / % Date: J 7� 1. Index permit application jq the a umbered: Plan Check Letter 2. Additional items reouirecr Contractor, desig r, own , was the above data by JV phone, ❑ mail, ❑ counter, by Date: Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Plans reviewed by: Date: Qq Plans approved by: Date: ti D Structural reviewed by: !) Date: Structural approved b� Date: Note transfer by: Date: Yellow: Building Division BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE, CA 95965 www.buftecounty.net/dds PHONE (530) 538-7541 FAX 538-2140 RECEIPT OF FEES SCHEDULE - RESIDENTIAL Owner DUNN APN No: 030-270-063 Application Date 12/27/2005 Permit No: BP 05-3314 Permit Type: COVERED PATIO & REROOF 1 BUILDING PERMIT FEES ESTIMATED AT APPLICATION $370.00 Plan Check portion of Permit Fee $148.00 $222.00 Balance of Building Permit Fee 2 FEMA RYes Flood Elevation Review $109.98 0 3 SRA* Yes Fire Plan Check - Non -Refundable $95.00 0_ (State Responsibility Area) Building Inspection $109.98 0 1 - $204.98 NON-REFUNDABLE portion of tees due at application $148.00 FEES DUE AND PAYABLE AT TIME OF PERMIT APPLICATION $148.00 FEES (BELOW) DUE PRIOR TO ISSUANCE OF PERMIT $223.19 $222.00 N 432fn�1 5ou +nj $1.19 y43�(n7 % 6Ci r RECEIPT DATE Tech/Asst "397 12/27105 Kourtni 4 5 6 7 7a 8 9 Balance of Building Permit Fees (from No. 1 above) SMIP* - Strong Motion Instrumentation Program (Enter amount from permit system) Additional Plan Check Fees (NON-REFUNDABLE) Other*: Other*: IMPACT FEES - RESIDENTIAL* Per Dwelling I TPer Applications After 2/14/05 .1 SFD County 4096.87 3071. Chico Urban Area 5372.091 3995. EI Medio Fire District 1 3128.311 2297. North Chico Specific Plan SR -1, SR -3, SR-1/PD 7938.531 6757. �c R-1 0 ° 8031.53 6850. R-2 7541.531 6360. R-3 6780.531 5599. Processing Fee is automatically added to impact fee total TER TENDER FEE (Not collected when Impact Fees Applicable) Enter Bat.# AINAGE FEES* 10 CHICO STORM DRAINAGE MASTER PLAN New construction, vacant land, on 1 acre or less - Enter 1 or less acre value 770 Butte Creek 771 Comanche Creek 772 Little Chico Creek 773 Big Chico Creek 774 Lindo Channel 775 SUDAD Ditch 776 Mud -Sycamore Creek 777 PV Ditch u MH 3117 6475.49 RECEIPT DATE Tech/Asst � 0 $100.00 $200.00 10a More than 1 acre, existing buildings - fees to be assessed by Public Works Fee Determination Sheet Needed - Enter amount determined by PW 11 THERMALITO DRAINAGE AREA 1 $652 Maximum Per each new living unit on existing lots where full drainage fees have not been paid 11a Temporary Dwelling 1 $130 At time of building permit $130 annual renewal fee for first 4 renewals. Not to exceed $652. PROOF OF PAYMENT OF FEES (BELOW) MUST BE RECEIVED PRIOR TO is completed for applicant to take to respective district office. 12 SCHOOL DISTRICT FEES' I I � 12a RECREATION DISTRICT FEES' $6,596 $8,139 $6,975 $6,070 RECEIPT DATE Tech/Asst $8,603 OF PERMIT. Forms will be prepared after plan check At the time of permit application, I was advised the above fees are required to be paid prior to issuance of the permit. These fees may be changed during the plan checking process. Applicant Date: Pursuant to Go rnment code Se*n n 66020, you are hereby notified those Items followed by an " " may have been imposed on your project. You have 90 days from the date of approval of the p6rject or from the impostion of the above referenced items during which you may protest. The requirements for a protest are specified in Goverment Code Section 66020(a). K:/Building/Forms/Schedule of Receipt Fees Residential 121205 - oYi^. NTh ~ I I �S,�JCT a` A•CO'?5'00"w d0' d0' J J • T 'A I 'T� e 'n A �[� Jon • I I s _ � ,4YE��l1E to 61 oT ----- Lw 0 03 I 'D Q A < `gyp e s atodq • m . N , 2 0 ry "- o ? as °on ^aaC o"gym a;t. � � p Aor a �,� Z ro •.., vt�ne O° amj .444 rn Ig ��`_• O C? as p �a.o��' a Z° a^°� q. pOAN'T CT `C llnpw�� ozCa H ^� a, ok^ ZIT !1 •e'ne HH ( - CD ' <c �,pj�� a'0N vq 'YnT� o� V A OWNER -BUILDER VERIFICATION Attention Property Owner.- An wner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary. delay in processing -and issuing your building permit. No building.permit will be issued until this verification is received. 1. I personally plan to provide the major labor and material for construction of this proposed property improvement: YES 'Ll-\] NO [ ). 2. I HAVE [P HAVE NOT [ ] signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: NAME: _ ADDRESS: PHONE: CONTRACTOR'S LICENSE NO: 4. I plan to provide portions of the work, but I have hired the following person to coordinate, supervise, and provide the major work: NAME: _ ADDRESS: PHONE: CONTRACTOR'S LICENSE NO: 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: NAME ADDRESS PHONE TYPE OF WORK SIGNED: PROPERTY OWNER: DATE: /,--2 /Q -7 NOTE: This Owner -Builder verification is required by Section 19831 and 19832 of the California Health and Safety Code. ' This verification must be completed and returned to our office before we are permitted to issue the permit. Rev'd 11/4/2004 #e NOTES RESIDENTIAL PERMIT NO.620` 11 J_00 04-210 !' AC?_ D�vrlle� 1 F t' 11 SPECIAL CONDITIONS 11 SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER CHECKED BY l�/jq/ab i 1 JOB FINALED (Date) Signature J=OK 0 = Not OK NotReadyab1e Water; MH Test -Regulator -Connector MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s Gas and Electricity Tagged 1. Zoning Requirements -Setbacks -Easements 10. 2. Soils; Special MH Support Sketch Cert. of Occupancy 3. Sewer; Location -Test -Fall -C/O -Concrete Electric 4. Water; Location -Test -Easement Needed (Sketch) Card B-1 Date Card B-1 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete Date PERMANENT END SYSTEM (ONLY) 6. Gas; Location -Test -Wrap;-/ /" L 'ft. / P Nat. or / /" L "ft./ P LPG 2. 7. Well Clearance & Disconnect 4. 8. Utility Clearance Electricity; MH Test 6. Water; MH Test 7. Water and Sewer Connected 8. Date 9. Card B-1 Date Card B-1 Date License Decals Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4.` Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -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 Carports; Windows -Doors 7. Electric 8. 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 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/0 -Sewer Test 10. UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground 13. Plenums & Ducts; Clearance -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 FINAL (Plans) OK except #'s 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 72. Elec. Outlets at Wood Panel, Int. & Ext. Date 73. Card B-1 Date Card B-1 Date 74. Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s Garage Fire Door; Swing -Landing -Closure 24. Fixture & Transformer Clearance -Ins. Protection A.C. Duct in Garage -Damper 25. Elec. Receptacles Spacing -Lights & Switches at Doors Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 26. Size Boxes & No. of Conductors Stapled Plb.; Elec. & Mech. Equip. Listed for Location 27. Romex Installed Close to Edge of Studs & C.J. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 28. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water Insulation -Foam -Looked in Attic 29. 2 Appliance Circuits in Kitchen & Conductor Size GFI Guard Rails & Deck Construction -Post Caps 30. Subfeed Wire Size/ iga. Cu or AI-A.C. Wire Size/ /ga Cu or Al Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth 31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or Al Insulated Neutral ❑ 'Yes ❑ No Clearance Looked under Floor ❑ Yes 32. Service -Riser Conductors & Ground Main Disconnect Following Instld./Drive Cl Yes ❑ No/Walks O Yes ❑ No/Planters ❑ Yes ❑ No 33. Equip. Clearances Panels-Motors-Mech. Equip. Stucco Brown -Finish 34. Clothes Closet Light -Shower Light -Spa Light A.C. Unit Disconnect, Electrical -Plumbing 35. Smoke Detector Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 87. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 90. 36. A.C. Ducts Insulation & Support 91. 37. Vent Fan, Exhaust above insulation 92. 38. Condensate Drain & Overflow, Size & Grade 93. 39. Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet 94. 40. Attic Access & Platform if Furnace in Attic Date Address Posted Card B-1 Date Card B-1 Date Fire Sprinkler Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s Date 41. Sills Proper Materials & Anchors Date 42. Walls Studs -Nailing Spacing & Braces -Plates -Sound Comments at Final: 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 ❑ Yes _ 83. Following Instld./Drive Cl Yes ❑ No/Walks O Yes ❑ No/Planters ❑ Yes ❑ 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 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. BP043111 LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date: 10/25/2004 APN• 030-270-063-000 the Business and Professions Code, and my license is in full force and effect. License Class: License Number: Site Address: 1667 FRESNO AVE ORO Date: Contractor. Map Index: Description: UPGRADE PANEL OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a Owner: HARVEY DAWYN L permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a DUNN DAWYN signed statement that he or she is licensed pursuant to the provisions of 1667 FRESNO 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 95965 she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Applicant: HARVEY DAWYN L Code: The Contractors' State License Law does not apply to an 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 sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). ❑ 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does Contractor: not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). ❑ I am xeem�tt under Article 3 f t e Business and Prof ions Code DZ/, Date. �/ Owner: License #: WORKERS' COMPENSATION OtCLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit Architect: is issued' Engineer: ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Total Square Ft: 0 S. F. Valuation: $0.00 Census Code: Policy #: I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith compI with tho a provisions. D1 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.(/_•(° v 10(/ ���,'� CONSTRUCTION LENDING AGENCY This permit is hereby issued under the applicable provisions of the Butte County Coda anrvor Resolutions to -w indicated above for fees have been 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.) o which paid.)� V Name: By: Date: _ 3' V Address: PERMIT EXPIRES 0 Date Cl I hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ 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 y official form or document o Butte County. I hereby authorize re entatives of Butte County to upon the above mentioned property for inspection purpo s. Print Name: n : r Signature: Date: ('Owner ❑ Contractor 0 Agent for Owner 0 Agent for Contractor P *' NOTES RESIDENTIAL PERMIT NO. __ T 04-3131 ' 0'10-063 DAN, DAWN OROVILLE 1 1667 FRESNO AVE' Cont: S� POWE RpAI•IELS ROOF 'ANT SOLA SPECIAL CONDITIONS SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER JOB FINALED Signature CHECKED BY J =,OK 0 =16 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 I 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 B. Gas and Electricity Tagged 9. Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch 11. Cert. of Occupancy 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche Date 12. Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PERMANENT END SYSTEM (ONLY) 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. 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. Verifv #'s with Office Date Card B-1 Date . Card B-1 Date Card B-1 Date Card B-1 tt MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel I 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-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 = Nat 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 47. Card B-1 Date Card B-1 Date 49. Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s 51. 17. Water Htr.; Vent -Access -Combustion Air Baffle Garage Fire Protection Framing -RC Channel 18. Water Pipe; Test & Anchor -Nail Protection 54. 19. D.W.V.; Test Fittings & Anchor -Nail Protection Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 20. Shower Pan; Test, First Floor -Tub Access Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 21. Test Tub & Shower, Second Floor -Tub Access Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 22. Gas Pipe; Sixe & Anchors 60. 23. Fire Sprinkler; Test Brace Interior/Exterior Wall Panels 69. Date Card B-1 Date Card B-1 Date 71. Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s Elec. Outlets at Wood Panel, Int. & Ext. 24. Fixture & Transformer Clearance -Ins. Protection Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance 25. Elec. Receptacles Spacing -Lights & Switches at Doors Elec. Outlets & Receptacles at Kit. Counter 26. Size Boxes & No. of Conductors Stapled Garage Fire Door; Swing -Landing -Closure 27. Romex Installed Close to Edge of Studs & C.J. A.C. Duct in Garage -Damper 28. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 29. 2 Appliance Circuits in Kitchen & Conductor Size GFI Plb.; Elec. & Mech. Equip. Listed for Location 30. Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or Al Elec. Receptacles in Garage (F.F.I.)-Romex Protection 31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or Al Insulated Neutral O Yes O No Insulation -Foam -Looked in Attic 32. Service -Riser Conductors & Ground Main Disconnect Guard Rails & Deck Construction -Post Caps 33. Equip. Clearances Panels-Motors-Mech. Equip. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth 34. Clothes Closet Light -Shower Light -Spa Light Clearance Looked under Floor O Yes 35. Smoke Detector Following Instld./Drive O Yes O No/Walks O Yes O No/Planters O Yes O No 84. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 87. 36. A.C. Ducts Insulation & Support 88. 37. Vent Fan, Exhaust above insulation 89. 38. Condensate Drain & Overflow, Size & Grade 90. 39. Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet 91. 40. Attic Access & Platform if Furnace in Attic Date Gas Test -Meters Tagged, Gas -Electric Card B-1 Date Card B-1 Date Water & Sewer Connected -C/O to Grade -HD Approval 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 Date 43. Bearing Walls over Girders & Floor Nailing Date 44. Draft Stop in Walls (rat proof) Date 45. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs Comments at Final: 46. Headers & Beams -Size & Bearing Date FRAMING (Continued) 47. Hangers -Post Caps -Anchors -Connectors 48. Cling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rtng. 49. Fireplace Ties or Type 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 O Yes _ 83. Following Instld./Drive O Yes O No/Walks O Yes O No/Planters O 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: 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. BP043131 LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that 1 am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date: 12/15/2004 APN: 030-270-063-000 the Business and Professions Code, and my license is in full force and effect. /� (��1 (� License CI s : V "1W '/Licceyn�see Site Address: 1667 FRESNO AVE ORO INumb�enr:-� Date:4V-4 Contractor: _ �9NPJW 2_ Map Index: Description: ROOF MOUNT SOLAR OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a Owner: HARVEY DAWYN L permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a DUNN DAWYN signed statement that he or she is licensed pursuant to the provisions of 1667 FRESNO 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 95965 she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Applicant: HARVEY DAWYN L Code: The Contractors' State License Law does not apply to an DUNN DAWYN owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, 1667 FRESNO AVE provided that such improvements are not intended or offered for OROVILLE, CA 95965 ' sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does Contractor: SUN POWER &GEOTHERMAL ENERGY 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.). ❑ I am Exempt under Article 3 of the Business and Professions Code 863 EAST SAN FRANCISCO BLVD SUITE A 94901 Date: Owner: 530-533-5988 WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: License #: 759086 ❑ 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 Architect: Engineer: 9 required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carder and policy number are: Carrier:'' Total Square Ft: 0 S. F. -Jp Policy #: Valuation: $0.00 ❑ I certify that in the performance of the work for which this permit is Census Code: issued, 1 shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. 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! — Thi permit i herebyissued under applicable provisions of the Butte County Codes anrUor--- I hereby affirm that there is a construction lending agency for the R solutio to do work indicate ab a for which fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) xgV Name: B p/ Date: PERMIT EXPIRES ON: / - QS Address: Date ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the CaUomia 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 y fficial form or doc t of Butte County. I hereby authorize representatives of Butte Countytoenter upon the above mentioned property for inspection purposes - r/�/� I A U G , Print Name:_ V Signal e: " Date: l ❑ Owner ❑ Contractor ❑ Agent for Owner XAgent for Contractor r..-r'`�-�..F..fr•,-..-.�`.f�ar`Fi�-r•�'wti:. ^.,i"'�-'.. - * .r'"r`�----�" r--.f:='"�.'rr'-_'l,..r'4�t"-^%,�;y�,;:-b%f..:yr.:rrrir...s..�,,.�-,`'--v �. -. .` `/'^� T, A 't % COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION .1 v 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 APPLICATION DATA SHEET ,P,ERM/IT (! N 2 OWNER: /, �/ O ( , f� ASSESSOR PARCEL NUMBER 70 Proposed BuildingUse: a t)AfBoSunoterrTechnician: fiDate: 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. . Com- 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 4. Engineered truss details and layouts in duplicate. No faxes! ❑ _ 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 Carrier 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. **'** .......... ....... tatement....................... ❑ 34. Manufactured home utility clearance............................................................... ❑' 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: When issued Telephone Oa � and hold for pickup O _ I have been}nformed of the above iteg"nd requirements for obtaining a building permit Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Contractor, designer, ow r,as advised of the AWdb ❑ phone, ❑ mail, ❑ count r, y Date:Plans reviewed by: �:� Date: Plans approved by: Date : 2 Structural reviewed by: Date: I Structural approved by: Date: Note transfer by: Date: Yellow: Building Division C� BUTTEj000NTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 5384636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #:' (530) 538-7541 FAX#: (530)538-2140 WEBSITE: www.buttecounty.net\dds PERMIT NO. BP043110✓ LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date: 10/25/2004 APN: 030-270-063-000 the Business and Professions Code, and my license is in full force and effect. License Class:' License Number: Site Address: 1667 FRESNO AVE ORO Date: Contractor: Map Index: Description: REROOF DET GARAGE (5 SQ) OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a Owner: HARVEY DAWYN L permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a DUNN DAWYN signed statement that he or she is licensed pursuant to the provisions of 1667 FRESNO 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 95965 she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the 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 r intended or offered for sale (Sec. 7044, Business and Professions Applicant: HARVEY DAWYN L Code: The Contractors' State License Law does not apply to an owner of properly 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 sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of �} proving that he or she did not build or improve for the purpose of ' sale.). ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business + and Professions Code. The Contractors' State License Law does Contractor: not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). ❑ 1/am Exempt under ArticleI.the Susi es and Professions Code Date:/ w Owner: License #: WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit Architect: is issued. Engineer: ❑ I have and will maintain workers' compensation insurance, as eF.1 required by Section 3700 the Labor Code, for the performance of �J the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier.Total Square Ft: I Valuation: $0.00 Census Code: Policy #: . 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to 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 compl with thos provisions. ) S (9 C/ Date: Applicant: Yld WARNING: Failure to ec ire 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 ll. ) �—� /1 (�• I ] /1 code, interest, and attorney's fees. —I / C�_�/u•/O C�j( ( CJ CONSTRUCTION_ LENDING AGENCY This permit is he�isside applicable provisions of the Butte County Cods enrvor 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.) 'Resoiutions io dve for which fees have been paid. Name: By: Date: 6 U Address: PERMIT EXPIRES ON: ! Date ❑ I hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ 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 ofthe 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. 1 acknowledge it is unlawful to alter the substan any official form or document o Butte County. 1 hereby authorize representatives of Butte County to enter upon the above mentioned property, for inspection pu ose Print Name:— (i i (/ /\ r 1 1 [ .r an Signature: Date: Owner Q. Contractor ❑ Agent for Owner 13 Agent for Contractor BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 FAX#: (530)538-2140 WEBSITE: www.buttecounty.net%dds PERMIT NO. BP043110 LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of pedury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date: 10/25/2004 APN: 030-270-063-000 the Business and Professions Code, and my license is in full force and effect. License Class: License Number: Site Address: 1667 FRESNO AVE ORO Date: Contractor: Map Index: Description: REROOF DET GARAGE (5 SQ) OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a Owner: HARVEY DAWYN L permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a DUNN DAWYN signed statement that he or she is licensed pursuant to the provisions of 1667 FRESNO 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 95965 she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): 1, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Applicant: HARVEY DAWYN L Code: The Contractors' State License Law does not apply to an 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 sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does Contractor: not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). ❑ Iam/E�xeemmppt under Article the Susi as and Professions Code Owner: Date://_9AW License #: WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit Architect: is issued. Engineer: ❑ 1 have and will maintain workers' compensation insurance, as. required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier: Total Square Ft: 0 S. F. Policy #: Valuation: $0.00 Census Code: I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwithjc�ompi with thos provisions. S' 6 Date: v Applicant: WARNING: Failure to /cure 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 4 code, interest, and attorney's fees. CJ — - — CONSTRUCTION LENDING AGENCY This permit is her iss d under the applicable provisions of the Butte County Cede anrVor 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.) Resolutions to d_ dicated above for which fees have been paid. V Name: By: Date: 6 � - U Address: PERMIT EXPIRES ON: Date ❑ I hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ 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 substan any official form or document o Butte County. I hereby authorize representatives of Butte County to enter upon the above mentioned property for inspection pu ose Print Name: A (J (W c I f Signature: Date: � D Owner 13 Contractor ❑ Agent for Owner ❑ Agent for Contractor O.B.-1 ;,..,ZV ...........................:::._::.................................... .........:................. ........................... .........::�..�.......::<:; Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the —proposed property improvement: YESVI NO[ 1. 2. I HAVE] HAVE NOT[ 1 signed an application for a building permit for the proposed work. �3 I have contracted with the following person (firm) to nrovide the nrnnnced construction: NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENI SE NO. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 5- I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: NAME ADDRESS PHONE TYPE OF WORK SIGNED: PROPERTY OWNER: DATE: / 0 /n) -S NOTE: This owner -Builder Verification is required by Section 19831 and 19832 of the California Health and Safety Code. May 1995 This verification must be completed and returned to our office before we are permitted to issue the permit. 2.26 Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified For your protection, you should be aware that as "owner -builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: 0 If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $300 or more for the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. 0 If you are an employer, you must register with the State and Federal Governments as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers compensation insurance, disability insurance costs, and unemployment compensation contributions. 0 There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. 0 For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your ; obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "ownerbuilder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento, CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned r C. Vieirfa, C.B.O. , Building Inspection NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code. May 1995 2.27 i . .v RESIDENTIAL ------------- 403-91B,E 030-27-0-063 DUNN, Dave l 1667 Fresno St., Oroville (new garage) i i 0 441 Lf To -841-#0 8cfi!e' 40 L- � 'k is 5 {(t { f 7 1 \S: JOB FINALED (Date) J Signature v=OK O = Not OK Not = Not Readyable 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 Date 4. Water; Location -Test -Easement Needed (Sketch) Date 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete Date 6. Gas; Location -Test -Wrap: / P L" ft. / /"Nat. or/ P L" ft./ /"LPG Date 7. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 10. Cert. of Occupancy 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.,Zahing Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Coonectors Shthg.-Rfg: Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures rarports; Windows -Doors Electric �y mg; Sils-Anchors-Studs-Rftrs-Tr sses Siding; Nailin -Vena r- o -Mesh Roof; Sht ng 11. Ext.; Steps -Doors -Landings DateCard B-1 DataCard B-1 Date Card B- Date Card B-1 Date PO LS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.;Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater '8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosures-Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 ✓=OK O = Not OK = Not Applicable = Not Ready RESIDENTIAL (Single _ & Duplex) Date UNDERFLOOR (Plans) OK except #'s Date FRAMING (Continued) 1. Zoning -Setbacks -Easements -Flood -Slope 45. Hangers -Post Caps -Anchors -Connectors 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 46. Cing. Joist-Rftr. ties -Pu rlin -roof Brac-Truss-Shthng.-Ring. 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 4. Fig., Porches & Decks; Soils -Steel-/ /Ftg. Depth 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 5. Stemwalls, Main; Steel-Blockouts-Wrapped 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 6. Stemwalls, Garage; Steel- Bloc kouts-Wrapped 50. Garage Fire Protection Framing 6a. Hold Downs and Special Anchors 51. Property Line Firewall & Openings 7. Slab; Steel -Wrapped 52. Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits 8. Piers -Fireplace Ftg.-Steel 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers 10. Gas Pipe; Size -Anchors 55. Siding -Nailing Veneer 11. Water Pipe; Test -Anchor -Regulator -Service Test 56. Stucco Mesh -Drip Screed -Fd. Vents-Underfir. Access 12. Electric; Underground 57. Glazing Area -Glass Protection -Skylights -Plastic 13. Pienums & Ducts; Clearance -Material -Support -Ins. 58. Shear Walls; Nailing -Bolts 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 59. Insulation -Walls -Ceilings 15. Insulation 60. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s Date Card B-1 Date Card B-1 16. Water Htr.; Vent -Access -Combustion Air -Baffle Date FINAL (Plans) OK except #'s 17. Water Pipe; Test & Anchor -Nail Protection 61. Ext. Steps -Door & Sidelight Protection -Landings 18. D.W.V.; Test -Fittings & Anchor -Nail Protection 62. Smoke Detector 19. Shower Pan; Test, First Floor -Tub Access 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 20. Test Tub & Shower, Second Floor -Tub Access 21. Gas Pipe; Size & Anchors 64. Bedroom Exiting 65. G.F.I. & Bath Fixtures & Tub Access -Spa Date Card B-1 Date Card B-1 66. Elec. Trim & Subpanel; Breaker Sizes & Labels Date Card B-1 Date Card B-1 67. Stairs & Rails Date ELECTRICAL (Permit) OK except #'s 68. Fireplace or Stove; Clearances -Hearth 22. Fixture & Transformer Clearance -Ins. Protection 69. Elec. Outlets at Wood Panel; Int. & Et. 23. Elec. Receptacles Spacing -Lights & Switches at Doors 70. Kit.Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance 24. Size Boxes & No. of Conductors -Stapled 71. Elec. Outlets & Receptacles at Kit. Counter 25. Romex Installed Close to Edge of Studs & C.J. 72. Garage Fire Door; Swing -Landing -Closer 26. Equip. Ground made up w/Mech. Fastners-Bond Gas & Water 73. A.C. Duct in Garage -Damper 27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI 74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage; Above Floor-Mech. Protection 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 75. Pib., Elec. & Mech. Equip. Listed for Location 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral ❑ Yes ❑ No 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protection 77. Insulation -Foam -Looked in Attic ❑ Yes 30. Service -Riser Conductors & Ground -Main Disconnect 78. Guard Rails & Deck Construction -Post Caps 31. Equip. Clearances Panels-Motors-Mech. Equip. 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 32. Clothes Closet Light -Shower Light -Spa Light 33. Smoke Detector 80. Following instld.; Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑ Yes ❑ No Date Card B-1 Date Card B-1 81. Stucco; Brown -Finish Date Card B-1 Date Card B-1 82. A.C. Unit; Disconnect, Electrical, Plumbing Date MECHANICAL (Permit) OK except #'s 83. Vents Above Roof; Plbg.-Appliance-Fireplace.-Clearance to Openings 34. A.C. Ducts Insulation &Support 84. Water Well; Disconnect, Electrical, Plumbing 35. Vent Fan; Exhaust above insulation 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground 36. Condensate Drain & Overflow; Size & Grade 86. Ventilation Throughout House 37. Furnance-Vent: Access-Ccmb. Air -Return Air Vent -115 outlet 87. Glass Protection 38. Attic Access & Platform if Furnance in Attic 88. Corrections from Previous Inspections 89. Gas Test -Meters Tagged; Gas -Electric 90. Water & Sewer Connected -C/O to Grade -HD Approval Date Card B-1 Date Card B-1 91. Energy Compliance Certificate -Other Certificates Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except #'s Date Card B-1 Date Card 6-1 39. Sils, Proper Material & Anchors Date Card B-1 Date Card B-1 40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound Date Card B-1 Date Card B-1 41. Bearing Walls over Girders & Floor Nailing Comments at Final: 42. Draft Stop in Walls (rat proof) 43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 44. Headers & Beam -Size & Bearing each time you visit job site) (NOTE: An entry must be made COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Orovilre, Ca'1if6rnia 95965 - Telephone: 916/538-7541 C' APPLICATION AND -PERMIT ASSESSOR PARCEL NUMBER 30-27— 63 ZONING AR BUILDING PERMIT OWNER Dave Dunn TELEPHONE 534-1257 SO. FT. OCC. BUILDING VALUATION 7R M f 720.00 OWNER'S MAILING ADDRESS 1667 Fresno St., o, CA 95965 CONTRACTOR'S NAME Owner TELEPHONE • CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER • None UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS - Filing Fee $ 10_00 Permit Fee $ 62 50 ARCHITECT OR ENGINEER None LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS , 1667 Fresno St. ,�� f� DU Permit tee $ 103.75 PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. Z SUBDIVISION NAME PARCEL MAP PA &Z — C_ Water piping 5.00 Each qas water heater or vent 5,00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome❑ Other garage • SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 10.00e TYPE OF WORK Newak Addition[] Remodel❑ Utilities❑ Installation❑ Other ❑ Describe work: 20 x 24 Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main seryice 100 AMS P ORLESS 10.00 10.00 Main service EA. ADD -L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under prdvisions of Chapt. 9, Div. 3 Of the BUSIneSS and Professions Code and my license is In full force and effect. License No. Classification - I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.& OR ADONS. ( ACC. BLDGS. 2�20sgft NEW CONSTR ULT' -OUTLET NON-11BRANCH CIRCITS 2.50 ea 5.00 POWER APPARATUS &\ SINGLE OUTLET CIR. Ex. OCCu Ep(OUTLETS OR FIXTURES e20 0 50C ALO 30C FIXED PLNS REA.� Ex. Occup. OUT ETS IRESID' 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $25,00 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 I Consent to Self -Insure. JI shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling g 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 agains sa County M' sequence of the granting of this permit. %� ��=�✓rte �' Date 1 �, Signature of Applicant — Owner © Contractor ❑ AgentF1 An OSHA permit is required For excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ oc l CONST TVP FEE TOTAL 8.75 AL HAz AZ CUA s PARK F PA PD HD I This permit is nereby issued under sions of the Butte County Code and/or work indicated above for which fees DIR�TR PUBLIC B, PER T EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS Date 2, Receipt No. 83468—$128.75 WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT `. COUNTY �_.. _.T.- ... -•t--•,x ,,1,1• ,yrjp --.$ , ,vq•z.. r• -�r nqr-.•.,f't7!-nm+T .-ln•w t t t OF BUTTE - DEPARTMENTOFiPUB CIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE°CArLIFORNIA 95965 - TELEPHONE: 916/536-7541 PERMIT APPLICAT ON DATA SHEET I - i Permit No. o� OWNER�)[AIJA- ✓iv uN A. P..No. 36-a_2- fi 3 Proposed Bui Icing Use L,e t Building "Inspector Date i At time' of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted . ..................................... 2. Plot plans in duplicate/triplicate, signed by preparer of plans ........ 3. Complete plans in duplicate/triplicate, signed by preparer. of plans .. 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Hazardous Material Form .......................................... 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings . . 8. Engineered truss details and layout in duplicate (required prior to plan check) 2-Zb' =e-- 9. Mobilehome installation data including manufacturer's installation instructions....................................................... 10. Fees of $ ........................ 11. Chico Urban Area fees paid ....................................... 12. Park fees paid` ................................................. 13. School District fees paid .............. 14. Sanitation approvalyfromQ��2_b Health Department 15. City of Chico plumbing permit ..................................... 16. Plot plan and business license approval from City•of (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: ...... 18. Improvements may be required. Contact Land Development Section DPW 19. Driveway permit (construction approval required prior to occupancy) 20. Pre -Inspection for required Pre-Inspec. request to Building Inspector (Date) 21. Contractor's license information (No., Name Style, Classifications ... 22. Certificate of Workmans Compensation Insurance .................. 23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ..... AW24. Recorded copy of Agricultural Acknowledgment Statement ......... 5. Letter of signature authorization 27. WhZ you issue the permit, process as follows: Mail to owner. Mail to contractor. � pp Telephone 534 42 57 and hold for pickup at office. Deliver w. /inspector. Other A-1 o Applicant t0 Date C/`i qI Copy of Haz-Mat form sentHealth'Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. / Fi;r:e,Dept. Other Date By. The following data must be submitte 1. Index permit for above items No., 2. Additional items required: e for to permit issuance: (Circle new item not checked above). Contractor, designer, owner, was advised of above required data by—phone—mal I counter by ..date Contractor, designer, owner, was advised of above required data by_phone_mall_cou7tby—date Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy—DPW COUNTY OF BUTTE -Department of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541 OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building permit has been applied for in your name and bearing your signature. Pleasecomplete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is yeceived. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) LAS 2. I (have/have not) signed an application for a building permit for the proposed work. 3.. I have contracted with the following person (firm) to provide the proposed construct' n: Name Address U c 1 City 0 v k L Phone Contractors License No. 4. -I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name —w f Q .. Address City Phone Contractors License No. 5. I will provide some of the wort but I have contracted (hired) the following " persons to provide the work indicated: Name p 1t Address Phone Type of Work Signed: ` Property Owner Social Securi y Number 1 — - Date NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. All Shat. real :property: situate in the County of Butte, State of California, described a�s.,y follows: 9e_, e,e.P T — a, o.,,, ­Q_�, &,,-k,..1 c� �.- l a-a.e.-Qo �.e.? �n t �l'1 e..� l; I `i o� e� �1 u ,. c� 0- �J e-., -0 3 L , 4x m v{ b., o� C� rn 9 h �-- lS� a a .Q Y►''-�, a b- d2� S a., ce,.f- � �. Pa+.t.� R 11"' iii. aq_L ? ° `CG- , �.. S' 00 �, S,e,..7t'-ir (5e 3:S' � < e�, Q 00 -aD m u- �-I e�-r�. � S t, .1�R �, ,� y S:: -J 3 � a696 - o� 12.:..A IQ. oc `t) oaS z, c J Ooo P c•, .��cr,e %^ �- of ��.. c.St �, e2©a , oo `�xA amu- ')a w l -f' pa.jc, Date: PROPERTY OWNERS: n , ' State of , On this the 1.;2Nd-day of e jEf, 19_fZ, before me, the SS. undersigned Notary Public, personal y appeared 77 County of Z.- ) /'` DA Wyti . 1)r7,viv —,40f- DA w y ti � • tl4R V e y Personally known to me. M BET Proved to me on the basis " Y�ANNNNSEN�TNER of satisfactory evidence. � to be the person, whose name(4 lS MvCaruNsbn6xphe� subscribed to the within instrument and acknowledged that YTP -- 25 "°'.•� bruary.1994 executed the same for the purposes therein contained. IN WITNESS WFEREOF, I hereunto set my hand and official seal. Present A.P. No.��; W zx O�IL C, raw,;L�_ No ary Public END OF DOCUMENT { 73.7 O Return to DPW AGRICULTURAL STATEMENT OF AMNOWLEI)GEMENT FOR RESIDENTIAL DEVELOPMENT Section 26-8.1 of the Butte County Code requires this acknowledgement be recorded prior to issuance of a building permit. The property described herein is adjacent 91-007377 Rec Fee 5.00. ' to land or included within an area zoned Check 5.00 for agricultural purposes, and residents Recorded of this property 'may be subject to incon-. Official Records 1 veniences or discomfort arising from the Co6nty of use of agricultural chemicals, including, Butte' but not limited to herbicides, pesticides, Candace J. Grubbs and fertilizers; and from the pursuit Recorder of agricultural operations including, 10:11am 26 -Feb -91 X i but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricul- tural zones which have as a priority use for productive agricultural purposes, and residents within said zones and on adjacent property should be prepared to accept such inconvenience or discomfort.from normal, necessary farm operations. All Shat. real :property: situate in the County of Butte, State of California, described a�s.,y follows: 9e_, e,e.P T — a, o.,,, ­Q_�, &,,-k,..1 c� �.- l a-a.e.-Qo �.e.? �n t �l'1 e..� l; I `i o� e� �1 u ,. c� 0- �J e-., -0 3 L , 4x m v{ b., o� C� rn 9 h �-- lS� a a .Q Y►''-�, a b- d2� S a., ce,.f- � �. Pa+.t.� R 11"' iii. aq_L ? ° `CG- , �.. S' 00 �, S,e,..7t'-ir (5e 3:S' � < e�, Q 00 -aD m u- �-I e�-r�. � S t, .1�R �, ,� y S:: -J 3 � a696 - o� 12.:..A IQ. oc `t) oaS z, c J Ooo P c•, .��cr,e %^ �- of ��.. c.St �, e2©a , oo `�xA amu- ')a w l -f' pa.jc, Date: PROPERTY OWNERS: n , ' State of , On this the 1.;2Nd-day of e jEf, 19_fZ, before me, the SS. undersigned Notary Public, personal y appeared 77 County of Z.- ) /'` DA Wyti . 1)r7,viv —,40f- DA w y ti � • tl4R V e y Personally known to me. M BET Proved to me on the basis " Y�ANNNNSEN�TNER of satisfactory evidence. � to be the person, whose name(4 lS MvCaruNsbn6xphe� subscribed to the within instrument and acknowledged that YTP -- 25 "°'.•� bruary.1994 executed the same for the purposes therein contained. IN WITNESS WFEREOF, I hereunto set my hand and official seal. Present A.P. No.��; W zx O�IL C, raw,;L�_ No ary Public END OF DOCUMENT RECORDING REQUESTED BY Oroville Title Company #106066j1 AND WHEN RECORDED MAIL TO F �. Alf ord F. Harvey 1717 Fresno dross Oroville, California L J MAIL TAX STATEMENTS TO lame Addressee above rr«t , dress w t 6roT.11 L i .I TO 1921 CA 112-741 7 0MCIAL 011MLI G TME OF, COUNTY nEC.'•%;!:', t' ra4�� SPACE ABOVE THIS LINE FOR RECORDER'S USE-------- C®rp®raia®n Grant Deed THIS FORM FURNISHED BY TICOR TITLE INSURERS A. P. N. The undersigned grantor(s) declare(s): � I Documentary transfer tax is 8 39.60 (X) computed on full value of property conveyed, or ( ) computed on full value less value of liens and encumbrances remaining at time of sale. 00 Unincorporated area: ( ) City of , and FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, STAR CONTRACTORS CORPORATION a corporation organized under the laws of the State of hereby GRANTS to ALFORD F. HARVEY AND �D�Z�]YI�i` �L H4RVFY, /5 husband and wife, as Joint Tenants. the following described real property in the County of Butte , State of California: Parcel 2, as shoeln on that certain Parcel 11ap of a portion of Blocks 1.1F7 and 148 of Thermalito, being a portion of Section 3, Tdwnshin 19 North, Range 3 East, M.D.B. ('L� .I., which Parcel Map was filed in the office of the Recorder of the County of Butte, State of California, I -lay 11, 1977 in Boole 62 of Parcel 14aps, at pages 5 and 6. -t/-)IC(-,. _4 - In Witness Whereof, said corporation has caused its corporate name and seal to be affixed hereto; Zr thi5'instru ment to be executed by ita X President and=5e'irJ. etary, vi thereunto duly authorized. c>s Dated: -,TQypr 1;iQ3_2 21�-1Q12s1 ST,,iP f`.naTR rToEs STATE. OF CALIFORNIA COUNT F But t e SS By►� ernar ._ Eicnter, President: -"he{ore Esse, the under- - B ,.�'_•, signed, a Notary Public in and for said State. personally appeared y Rema -rd C. 1��ib8' known Secretary to me to be the X President, and known tome to be Secretary of the Corporation that executed the m within Instrument. known to me to be the persons who executed the ,�`°=:°; OFFICIAL SEAL within Instrument on behalf of the Corporation therein named, and °� � l C=) acknowledged to me that such Corporation executed the within Instru `gym _ JOYCE' �, LON(j fL ; ment pursuant to its by-laws or a resolution of"ItT' rd of directors. = r,.;� u`(3 ° NOTAnY FUCLIC . GgLIFpRNIA BUTTE COUNTY Yom•' CSl .ePN•P MY COM,.IISSION EXPIRES MARCH a 1981 I WITNESS my hand and-oicialpscal.....-_.•. �. Sign t rtc- (T'hlo area for official notarial seal) h n Title Order No. ---Escrow or Loan No. ..... .._ . m...... ,_.. a n^..e - END Olx DMM*WT RECORDING REQUESTED BY AND WHEN RECORDED MAIL TO TO 1923 CA (12-74) Oi ...;IAL RECORDS BUTTE COUNTY -CALIF. RECORDS REQUE';•fl•'.D'QY OROVILLE TME M FEB 23 1 sa FM 1979 CLARK A. i\'Si.SON CLERK -RECORDER FEE 6532 t SPACE ABOVE THIS LINE FOR RECORDER'S USE Individual Grant Deed THIS FORM FURNISHED BY TICOR TITLE INSURERS A. P. N.__ The undersigned grantors) declare (s) Documentary transfer tax is $_ /10 Pew (X) computed on full value of property conveyed, or ( ) computed on full value less value of liens and encumbrances remaining at time of sale. (�() Unincorporated area: ( ) City of ,and FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, Charles�Rrooks and Louise/Brooks husband and wife as joint tenants K hereby GRANT(S) to AlflDrd Harvey andBBFrvp- Harvey husband and wife as joint tenants the following described real property in the Unincorporated Area County of Butte , State of California: Beginning at the Northast corner of Parcel 3 as shown on that certain Parcel Map, recorded in Book 62 of Maps at Page 6, Official Records, Butte County Recorder's Office; thence South 890 35' 00" West -along the North line of said Parcel 3, 10.00 feet; thence leaving said North line, South 00® 25' 00" East, 200.00 -feet to a point on the South line -of said Parcel 3; thence North 890 35' 00" East along South line, 10.00 feet to the Southeast corner of said Parcel ' 0gosai.d 25' 00" West along the East line of said Parcel 3; thence North 00 ginning and the end of this description. 3� 200.00 feet to the point of be- Containing 0.05 acres more or less. The Basis of Bearings for this description is the same as that as shown on said Parcel Map. Dated.- February 23, 1979 r_ es oo s STATE of CALIFORNIA o s COUNTY OF BUTTE _ }SS. oo s OI, February 23 . 197 =�_ before uur, the under- signed. a Nouu•y Public in and for said State. �c-snnully a _CHARLES W. BROOKS and LOUIS" I appeared H. BROOKS known to me to he the person S whose names are suhsct•ibcd to the within instrument and acknowledged thatth--�—executed the same. WITNESS my hand and otticial seal. OFFICIAL SERI � h HARRIET MARTIN NOTARY PUBLIC -CALIFORNIA BUTTE COUNTY c4 qc MY COMMISSION EXPIRES APRIL 14, 1981. Signature (This arra !or uBirinl notarial seal) Title Order 1Vo, Escrow or Loan No. — MAIL TAX STATEMENTS AS DIRECTED ABOVE Fwn nu nrirt t►annnr co 0 0 M n -v C-3 rn f.,.1 • I Nemo Alf-ord Harvey SIT 1717 Fresno Ave. I Oroville, Calif. City a State L 95965 MAIL TAX STATEMENTS TO Name Alf --old Harvey slr°°' Add, is 1.717 Fresno Ave. tiny a 1, ` Orovil le ;—Calif. "-'— - State L 95965 TO 1923 CA (12-74) Oi ...;IAL RECORDS BUTTE COUNTY -CALIF. RECORDS REQUE';•fl•'.D'QY OROVILLE TME M FEB 23 1 sa FM 1979 CLARK A. i\'Si.SON CLERK -RECORDER FEE 6532 t SPACE ABOVE THIS LINE FOR RECORDER'S USE Individual Grant Deed THIS FORM FURNISHED BY TICOR TITLE INSURERS A. P. N.__ The undersigned grantors) declare (s) Documentary transfer tax is $_ /10 Pew (X) computed on full value of property conveyed, or ( ) computed on full value less value of liens and encumbrances remaining at time of sale. (�() Unincorporated area: ( ) City of ,and FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, Charles�Rrooks and Louise/Brooks husband and wife as joint tenants K hereby GRANT(S) to AlflDrd Harvey andBBFrvp- Harvey husband and wife as joint tenants the following described real property in the Unincorporated Area County of Butte , State of California: Beginning at the Northast corner of Parcel 3 as shown on that certain Parcel Map, recorded in Book 62 of Maps at Page 6, Official Records, Butte County Recorder's Office; thence South 890 35' 00" West -along the North line of said Parcel 3, 10.00 feet; thence leaving said North line, South 00® 25' 00" East, 200.00 -feet to a point on the South line -of said Parcel 3; thence North 890 35' 00" East along South line, 10.00 feet to the Southeast corner of said Parcel ' 0gosai.d 25' 00" West along the East line of said Parcel 3; thence North 00 ginning and the end of this description. 3� 200.00 feet to the point of be- Containing 0.05 acres more or less. The Basis of Bearings for this description is the same as that as shown on said Parcel Map. Dated.- February 23, 1979 r_ es oo s STATE of CALIFORNIA o s COUNTY OF BUTTE _ }SS. oo s OI, February 23 . 197 =�_ before uur, the under- signed. a Nouu•y Public in and for said State. �c-snnully a _CHARLES W. BROOKS and LOUIS" I appeared H. BROOKS known to me to he the person S whose names are suhsct•ibcd to the within instrument and acknowledged thatth--�—executed the same. WITNESS my hand and otticial seal. OFFICIAL SERI � h HARRIET MARTIN NOTARY PUBLIC -CALIFORNIA BUTTE COUNTY c4 qc MY COMMISSION EXPIRES APRIL 14, 1981. Signature (This arra !or uBirinl notarial seal) Title Order 1Vo, Escrow or Loan No. — MAIL TAX STATEMENTS AS DIRECTED ABOVE Fwn nu nrirt t►annnr co 0 0 M n -v C-3 rn f.,.1 • 030-270-063 PERMIT#95-2327 DUNN, Dawyn 1667 Fresno Ave.', Oroville Misc Ele/SF ; 9 M1941�1/2111-1 i f To t I 1 COUNTY OF BUTTE -DEPARTMENT OF�EVELOPMENT SERVICES-BUILDINGDIVIS N 7 .County Center Drive - Oroville, aliforA 95965 - Telephone (916) 538-754 �PER�M-IIT NO. APPLICATION AND PERMIT ea! , ASSESSOR3270.063 ZONING BUILDIN � PERMIT GWDAWYN DUNN 534-1257 SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS 1667 FRESNO AVE. OADVTLLE 95965 CONTRACTOR'S NAME UNKNOWN TELEPHONE CONTRACTORS MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 1667 FREW AVE, OROVILLE PERMITFEE $ PLUMBINGPERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Solar or heat pump water heater 23.00 USEOFSTRUCTURE SF El Duplex ❑ Mobilehome ❑ Other SPECIFY Water piping 15.00 Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other Describe Work: R'ltWIRE EXISTING EVAPORATIVE CX)WR ADD OUTLETS & LIGHT Mobile Home I S I GI W 1 @20.00 PERMITFEE g Contractor ELECTRICAL PERMIT Filina Fee 20:00 Main Service500V OR LESS \ ( 200A OR LESS J 23.00 Main Service ( 200A TO I000A ) 46.00 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 ef'.ect. License Class Lic. No. OWNER-BUJLDER 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. 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 NEW CONST. DWELLING OCCUP.sO. OR ADDNS. ( & ACC. BLDS. ) 3.52 FT. NEW CONST. MULTI.OUTLET NON-RESID. ( BRANCH CIRCUITS ) @7.50 POWER APPARATUS ) 8 SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES) 20 @ 1.00 BAL .50 Ex. Occup. OUTLEEOTS (RE ID.)FR_A ( ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 2 00 23.00 3. PERMITFEE $ 43.00 Contractor WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued.' . My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 .-Ventilation PERMITFEE $ Contractor 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.)1. �'� 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 rthwith comply with t o`se provisions. J//�f J i �/ _ Date y-< — Signature of vA plicant - Owner ❑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 Is Energy Inspection Fee $ CC - CONST. TYPE TOTAL FEE $ 43.00 HAz. D. FEES IMP FLOOD CDF PARCEL PD HD ISSUE This permit is hereby issued under the of the Butte County Code and/or indicated above for which fees have By PERMITEXPIRESON applicable provisions Resolutions to do work been paid. C /� Date / Z4) (Date) Receipt No. ` WHITE-D.D.S.-B.D. CANAR -ASS SSOR PINK -INSPECTOR GOLDENROD -APPLICANT r COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVIS N 7 County Center Drive - Oroville;"Califot�nia 95965 - Telephone (916) 538-754 PERMIT NO. APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 030-270-063 ZONING AR . BUILDI PERMIT OWNER DAWYNNERDUNN 5340N1257 SO. Fr. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS 1667 FRESNO AVE, OROVILLE 95965 CONTRACTOR'S NAME UNKNOWN TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNIOUOWN Total Valuation is LENDER'S MAILING ADDRESS Fling Fee $ 20,00 Permit Fee $ ARCHITECT OR ENGINEER UCENSE NO. Plan Checking Fee $ ARCHITECT OR ENGINEERS MAIUNG ADDRESS ' Energy Plan Checking Fee $ Penalty $ BUILDINGADDRESS 1667 FRESNO AVE, OROVITLE PERMITFEE $ PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 LAT NO. SUBDIVISION'S NAME PARCEL MAP Solar Or heat pump water heater 23,00 USEOFSTRUCTURE SF 5 Duplex ❑ Mobilehome ❑ Other SPECIFY Water piping 15.00 Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other E Describe Work: REWIRE EXISTING EVAPORATIVE COOLER ADD OUTLETS & LIGHT Mobile Home I S I GI W @20.00 PERMITFEE $ Contractor ELECTRICAL PERMIT Filinq Fee 20:00 Main Service EOOY OR LESS ( 200A OR LESS ) 23.00 Main Service ( 200A TO 1000A ) 46.00 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, g ) 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. 10 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 NEW CONST. DWELLING OCCUP. SO. OR ADONS. ( & ACC. BLDS. ) 3.5¢ FT. NEW CONST. MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS ) 97.50 POWER APPARATUS (8 SINGLE OUTLET CIR. ) Ex. Occup. (OUTLET OR FIXTURES ) 20 @ 1.00 BAL SO Ex. Occup. OUTLETS (RE o.)EA ( ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 23.00 PERMITFEE $ 43.00 Contractor WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 Heating Cool;ng Hood 6.50 Ventilation PERMITFEE $ Con tractor 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 rthwith comply with t e provisions. X __ Date ���� — Signature of plicant - Owner ❑ 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 Is Energy Inspection Fee $ Cc CONST, TYP� TOTAL FEE $ 0 44.0 1 1 HAZ. D. FEES IMP FLOOD CDF PARCEL PD HD I ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for whi fees have been paid. C By Date ( Z® PERMITEXPIRESON 2-6 (Date Receipt No. N6 5, q 9, 2 WHITE-D.D.S.-B.D. CANAR -ASS SSOR PINK -INSPECTOR GOLDENROD -APPLICANT �h '71MIT NO. 3340-78B,P,E,M PERMIT EXPIRES OWNER Star Contr. Co. CONTR. owner 30=27-44 LOCATION (A.P. ) 1717 Fresno Ave., Oroville H S PIIS i• kjpiy«y i r Temp. Power Pole Called PG&E Temp. Elec. Serv. b Called PG&E r Te p. Gas Serv. Called PG&E C94 S /J� B .P LED �J (Date) r ' a (Signature) •4 r-raming 10 1 Test I Water Htr. Stucco / _ Final I Suboanels Mesh /V MECHANICAL Grd. Fault Prot. Scratch Heating Service Brown Cooling Zd -/O-%S/°�,((/ Temp. Pole Finish 11 Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final / MOBILEHOME UTILITIES ------------------ Elec. Service Elec. Pedestal Water Piping Sewer Gas Piping MOBILEHOME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping DATE REMARKS OR CORRECTIONS 000���--�� A///-7 r (NOTE: An entry must be made on this form each time you visit the job site.) 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 2nd Floor Footings Windows 3rd Floor Stemwall SIdino To out 4,0 Slab Roof Sheathing Water Pi in Piers Roofing Sewer Garage 17,K Fdn. Vents V Fixtures Footincis Garage Vents Water Htr. StemwaI Insulation fl11q1-7 Heaters Slab Carport Footings Prov, for phs call 71, 7 -handicappedy Conformance of ex. structure Appliances Gas Piping & Test Temp. Gas Slab Final IJJ&J7r Sanitation Patio FIRE ACE Final fl 144:2 r Footings Footing EL C ICAL Masonry Walls Throat Rough " Reinf. Steel Final Fixtures Bond Beam I _ I 1=1RF CPRIWKI FRC AA.#— r-raming 10 1 Test I Water Htr. Stucco / _ Final I Suboanels Mesh /V MECHANICAL Grd. Fault Prot. Scratch Heating Service Brown Cooling Zd -/O-%S/°�,((/ Temp. Pole Finish 11 Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final / MOBILEHOME UTILITIES ------------------ Elec. Service Elec. Pedestal Water Piping Sewer Gas Piping MOBILEHOME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping DATE REMARKS OR CORRECTIONS 000���--�� A///-7 r (NOTE: An entry must be made on this form each time you visit the job site.) COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - OroviIIe, California 95965 Telephone: 534`4541 APPLICATION AND PERMIT a+U al laillcc I cN lcacl.Gaal vca UI a[IV IJUUIILy UI OULLU LU CIIICI UVU11 UIU above-mentioned property for inspection purposes. (� X �'I' , �te / / _'1% 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 P LIC WORKS BY- '� ,� ate Bui ung permit expires Date 6 —/ 9 - 7 BUILDING Owner SQ. FT. OCC. BUILDING VALUATION Q� Mailing Address op Telephone No. Contractor `, Mailing Address Q Fireplace Total Valuation0 MV ca Tephone Permit Fee Building Address {'5 PyD Ave Plan Checking Fee &/or Penalty Permit Fee PLUMBING No.1 @ FEE PERMIT FILING FEE J$3.00 ©ID Each Traa 1.50 _. Zoning �lerific tion Only Repair drainage or vent piping 1.50 A. P. No Q -a-7 —L A - r g Water piping 1.50 CD Each gas water heater or vent 1.50 F W . S ion I Fire Dept. Fire Zone Use Permit Gas piping system 1 -5 outlets 1.50 EQA Parking Plans Parcel Declaration P ap 60' R/W Improvements Each additional outlet .30 Building sewer 5.00 Aec'd Parcel A royal Plans Approval Lawn sprinkler system 2.00 NEW ADDITION ❑ UTILITIES ❑ OTHER ❑ Permit Fee $ -:2113zb$ �) ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 , ' Single Family Duplex 9 Y P ❑ Mobil Home ❑ Others ❑ Main service 600V OR LESS 100 AMP OR LESS 5.00 Main service EA. ADD'L 100 AMP 2.50 Main service OVER 25.00 100 AMPP OR LESS O Main service EA. ADD'L1000 AMP 1.00 NEW CONS. OR ADDNST ( AC L G��� CUP S) 20sgft CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of Ca ifornia Business & Professions Code under the name style of: NEW -RF SICO N D, MBRANCULTI-OUTL T NON-RESID � BRANCH CIRCUITS) 2.50ea NEW CONSTR. POWER APPARATUS 9 NON-RESID. ( /SINGLE OUTLET CIR. EX. OCcuo(OUTLETS OR FIXTURES BAL@10Q Ex. OCCU // FIXED APPLNS. OR p•(OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No-�� 1 7� Classification Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $30 k5l WORKMEN'S COMPENSATION IN 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 ,yam 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 MECHANICAL No. @ FEE PERMIT F ING F€E $3.00 o Heating Cooling V (� Ventilation Hood 2.00 Permit Fee $ ` Land Development Fee $ Ig yz $ ��'r10C TOTAL PERMIT FEE a+U al laillcc I cN lcacl.Gaal vca UI a[IV IJUUIILy UI OULLU LU CIIICI UVU11 UIU above-mentioned property for inspection purposes. (� X �'I' , �te / / _'1% 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 P LIC WORKS BY- '� ,� ate Bui ung permit expires Date 6 —/ 9 - 7 THERMALITO "IRRIGATION DISTRICT 410 GRAND AVENUE ---• - OROVILLE, CALIFORNIA 95965 TELEPHONE 533-0740 CSA 26 SEWER SERVICE APPLICATION AND CONNECTION PERMIT Service Address: Owner's Name:-!'�•�•' :. `^,_ i.� ,,, Date: Address: i ren ��� J�✓c� !. f Acct. No: 617 11) A.P. No.: Phone: = > No. Units: Applicant/Agent: Agents Proof: Address: Fees: Phone: Application Preliminary Review By: �•� .��� /.� Date: !� ' ���` 7-�� Arrearage CSA 26 Remarks: SC -OR 1st mo. S.C. Other Total Fees Collected By: Date: Field Review By: Date: Remarks: t 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). Q 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 _LS- 1 n seT OT pians ana specmyti,ons 0 Nx z) i- oe kept on the job at all times and , it is unlawful to make any changes or alterations on s written permisson from the Departme Works, County of Butte. NOTE:—`" Accordar— 4 Pr c of a qual'-1- -,ecified ';�Iachanicall Be in -"; �i :. I c fices and fIr I J:! j:: L;!_L- ; use in the il� - 74; Uniform Bt,',' 'C'ode. Codes and V ! l l j ' % the National E e0rlciu, , i i ; i, i IL 0 See Master Plap-6n file for building Plans.- I 7 J 2-01 o �I 13 ' b2. . N The Blda.. Setback shall be 5 ft, from thO side ,property line 'and 5o ft. from the cc'niedwe Of 1,1-,e road, permitting a MOXI' RIA2 COINTPA Lid 'S CoRp. a 2 f -t. eave overhang but entirely UC- No. 3224257 ou, of all easements. Suit;; ;AUG Oro rlyd.'- Ni. 533-6629 0- 0, FQC_'AQ BUILDING DEPARTMENT - APPROVED A p -7— '/4/. FQE � i� 0 A V16- C-) 2DO LL_ E_ CA. C=o U Ki 1, Y 030-270-063 PERMIT#95-0298 DUNN, Dawynr '..1667 Fresno Ave._; 'Oroville Cont; Harward & Co. "'Replace Windows/SF/��/9� r COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive - Oroville, Galifomia 95965- Telephone (916) 538-7541 P AMIT ND. APPLICATION AND PERMIT AMEMPPAACILMUM" zom—,dn BUILDING PERMIT OWNER SQ. FT. I OCC. BUILDING VALUATION OWNERS MAIINO ADDRESS 1667 FRESNO AVE.. OROVTLLE 95965 2,873 CONTIUCTORSNAME HARWARD X CO TELE "ONE 1893-5898 CONTRACTOR! MAILNO ADDRESS Fireplace 1851 MORROW IN #7 CHTCO 99998 CONSTRUCTION UNDER 'i''""/OM'N Total Valuation $ LENOERa MARJrFp ADDRESS Filing Fee $ 20.00 Permit Fee g ARCHITECT OR ENONEER UICENN "O• Plan Checking Fee g Energy Plan Checking Fee $ ArICHITECT OR ENDNEERS MAILNO AD011E13 Penalty g eInLDNc.00REss 1667 FRESNO AVE, OROVILLE PERMIT FEE $ 74.00 PLUMBING PERMIT Filing Fee 20.00 Each Trap 7,00 Solar or heat pump water heater 23.00 Water piping 15.00 LO NO. sueolvRlows NAME PAR=MAP Each gas water heater or vent 15.00 USE OF STRUCTURE j Gas piping system 1 - 5 outlets 15.00 SF Duplex O Mobilehome O Other SPFCIFv I Building sewer Mobile Home S G I W 15.00 @20.00 TYPE OF WORK New O Addition O Remodel O Utilities O Installation O Other O PERMIT FEE g Contractor Describe Work: TNSTAT.T. RF.DT.AC1MF.NT WTNT)OW4 ELECTRICAL PERMIT j- Fling Fee ( 20.00 Main Service ( 1111 LESS ) 200A OR LESS 23.00 Main Service ( 200A TO 1000A ) 46.00 CONTRACTORS LICENSE LAW 1 deplare under penalty of perjury (check one) NEW cONSr. DWELLING OCCUP. OR AOONS. ( b ACC. BLOS. ) NEW GONST-. -UL n UUTLET .MON-RESID. ( BRANCH CIRCUIrs ( POWERAPPARATUS ) a SINGLE OUTLET cIR_ S 3Sso'FT. 1 @7.50 I I am a licensed under provisions of Chapter 9, Division 3 of the Business and Professions Co and y license is in full form and effect. No. O Classification O 1, as the owner, or my employees with wages as their sole compensation, will do Ex. Occup. ( OUMETORFIXTURES ) Ex. OCCup. UrLEFIXEDAPPWS. OR () OrLE791RESIO.IEA. Temporary Service eA20i.es.5�0 5-00License 23.00 the work, and the structure is not intended or offered for sale. (Sec 7044) Mobile Home Facilities 2D.00 OI, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) O I am exempt under Sec. Business and Professions Code Misc. Wiring 23.00 forthis reason WORKER'S COMPENSATION INSURANCE PERMIT FEE S Contractor I declare under penalty of perjury (check one): �O This permit is for $100.00 (valuation) or less. I have placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or a MECHANICAL PERMIT Fling Fee 20.00 Heating Certificate of Consent to Self -insure. O 1 shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. Cooling Hood 6.50 Ventilation Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE S Contractor I certify that I have read this application and state that the above information is correct. 1 agree to comply to all Butte County Ordinances and California State Laws relating to building construction, and hereby authorize representatives of the County of Butte to Mobile Home Installation Fee S Energy Inspection Fee , S occ CONST. "PE TOTAL FEES 74.00 enter upon the above mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all I HAZ. O. FEES I IMP I FLOOD 1 COI PARCEL { PO I RO I Issue i1 liabilitie , judgments co ts. and expenses which may in any way accrue against said County n conse ue c of the granting of this permit. This permit is hereby issued under the applicable provisions Date \Sigirlature(ot Ap icant - O Owner O Contractor O Agent An OSH mit is . required for excavations over 5"0' deep and domolition or of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. construction of structures over 3 stories in height. yDate Receipt No. WHITE-O.O.S.-B.D. CANARY -AS$ SSOR PIN K•INSPEC'OR GOLD ENROD•APPLICANT PERMIT EXPIRES ON 7-1 2 '71/,/ ' IDAreI COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, Caiifomia,95965- Telephone (916) 538-7541n�^ ooRMIT NO. APPLICATIQN AND PERMIT l �1 �CQ, ASSESSOR PARCEL NUMBER3d z� —�� zONwa - BUILDING PERMIT OWNER DAWYN DUNN TELEPHONE 534 1257 SO. Fr. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS`FsT 1667 FRESNO AVE- OROVTLLE 95965 2-873 CONTRACTOR'S NAME - HARWARD & CO TELEPHONE 1893-5898 CONTRACTOR'S MAILINO AODRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING AOORESs Filing Fee $ 20.00 Permit Fee g ARCHITECT OR ENGINEER LIC iO Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty g BUILDING ADDRESS 1667 FRESNO AVE, OROVILLE PERMIT FEE $ 74.00PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Lor NO. SDIVISION'S NAME PARCEL MAP Each gas water heater or vent 15.00 USE OF STRUCTURE SF Duplex O Mobilehome O Other sPECIFv Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 TYPE OF WORK New O Addition O Remodel O Utilities O Installation O Other Cl Describe Work: TN4TAT.T. RF.PT.AC:F.MF,NT WTnouq PERMIT FEE g Contractor ELECTRICAL PERMIT Fling Fee 20.00 Main Service "G R LESS 200A OR ( LESS ) 23.00 Main Service ( 200A TO TOOOA ) 46.00 NEW CONST. DWELLINGOCCUP. OR AOONS. ( & ACC. BLDS. ) SO 3.SC Fr; NEW CONST. MULTI.OUTLET �NON•RESIO. ( BRANCH CIRCUITS )' @7.50 CONTRACTORS LICENSE LAW I dare under penalty of perjury (check one) I am a licensed under provisions of Chapter 9, Division 3 of the Business and Professions Co a and Y license is in full foTeo and effect. License No. Q Classification O I, as the owner, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. (Sec 7044) O I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) O I am exempt under Sec. Business and Professions Code forthis reason ( POWERAPPALATCS a SINGLE OUTLET IR. I Ex. Occup. ( OUTLET OR FIXTURES ) B� @ I.000 Ex. Occup. FIx60 APPtNS. DR ( OUrLETS IRESIO.I EA. ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check onel: AO This permit is for $100.00 (valuation) or less. I have placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -insure. '' O 1 shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ Contractor MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all Butte County Ordinances and California State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all 1. biline ,judgments co ts, and expenses which may in any way accrue against said County n conse ue c of the granting of this permit. ;c Date atur of Ap icant - O Owner O Contractor O Agent An OSH mit is required for excavations over 5"O" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee g OCC CONST. TAPE TOTAL FEES 74.00 I I HA2. D. FEES IMP I FLOOD I COF PARCEL I PO I HO ISSUE This permit is hereby issued under the applicable of the Butte County Code and/or Resolutions indicated above for which fees have been BYJ'C.®� PERMIT EXPIRES ON - 2 IDerel provisions to do work paid. q Date 2 �Z �•C'� ' "] ., Receipt No. �'/ 0g�� WHITE-O.O.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT I 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. BP043111 LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date: 10/25/2004 APN• 030-270-063-000 the Business and Professions Code, and my license is in full force and effect. License Class: License Number: Site Address: 1667 FRESNO AVE ORO Date: Contractor: Map Index: Description: UPGRADE PANEL OWNER43UILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a Owner: HARVEY DAWYN L permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a DUNN DAWYN signed statement that he or she is licensed pursuant to the provisions of 1667 FRESNO 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 95965 she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): A, I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Applicant: HARVEY DAWYN L Code: The Contractors' State License Law does not apply to an 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 sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). O I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does Contractor: not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). ❑ I am xem t under Article 3f t e Business and Prof ions Code Date/oaOwner. License #: WORKERS' COMPENSATION 6tCLARATION I hereby affirm under penalty of pe6ury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit Architect: is issued. Engineer: ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier: Total Square Ft: 0 S. F. Valuation: $0.00 Census Code: Policy #: I certify that in the performance of the work for which this permit is issued, 1 shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith cwmpI with tho a provisions. DV j (J� 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 C)L/ CONSTRUCTION LENDING AGENCY This permit is hereby issued under the applicable provisions of the Butte. County Coda. ?nrUor 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.) Resolutions to v vv c indicated above for which fees have been paid. Name: By: Date: Address: PERMIT EXPIRES 0 "� 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 8 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 substancey official form or document o 3ulte County. I hereby authorize re entatives of Butte County to upon the above mentioned property for inspection purpo s. Print Name: W (� Signature: r Date: Downer ❑ Contractor 13 Agent for Owner ❑ Agent for Contractor UT TE BUTTE COUNTY 0 G DEPARTMENT OF DEVELOPMENT SERVICES 0 0 BUILDING PERMIT APPLICATION 0 AND SUBMITTAL REQUIREMENTS 0 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 - CHICO: (530) 891-2834 0 - /0 OFFICE #: (530) 538-7541 CQ UN A FEE RILL BE REO UIRED AT TIME OF APPLICATION "PLEASE PRINT CLEARLY" OWNER Last NameN „, +V ust Named rJ� Address C—re Sao.4v-e-, City �-D o/ / / 2 State Zip Phone :5,5 C f _ a s Fax E-mail APPLICANT NAME CONTRACTOR Name - City �D v/ / Address _ City Fax State Zip Phone Type Const Fax E-mail Map Book Lic. # Class APPLICANT NAME ARCHITECTIENGINEER Name City �D v/ / Address _ City Fax State Zip Phone Type Const Fax E-mail Map Book State License Number APPLICANT NAME Name (a_�� n t,� t1 Address AP(D9 / F'% 0-.S" City �D v/ / State/1 q CJS Zp 9 6s Phone 5 3 _ 5 (/ 77 Fax E-mail APPLICANT SIGNA URE X A ( 4)1 Z:�=� For office use onl . AP# 3a _ 1 N 90 ^ Zoning Flood Zone SRA I Yes No Occ. LENDING AGENCY Type Const Subdivision Name Map Book Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS BIN # LOCATION AP# 3a _ 1 N 90 ^ Property Address 1669 Cross Street ,z X_ 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 Descri do or Senn - Sq. Footage ❑ 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 b% Amount ✓ "� Bldg 4�ff SRA Receipt M Sheriff SMIP Dater � � 6 Other Total SUBMITTAL & PERMIT REQUIREMENTS The following drawings and specifications must be submitted to the Building Division in order to apply for a permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND INfNIC ❑ 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. No graph paper! ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans (No graph paper!) OR Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 3. Engineered truss details and layouts in duplicate (if required). No faxes! ❑ 4. Energy compliance design and supporting documentation in duplicate. (Note: Not required for additions to mobile or modular homes.) ❑ 5. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 6. Manufactured homes: (A) Data sheets and installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. ❑ 7. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 8. Flood Elevation Certificate, wet -stamped and signed; in duplicate (if required). ❑ 9. Site plan and business license approval from the City of Biggs. ❑ 10. Letter of intent for non-residential buildings. 11. Detached Accessory Building Form filled out by the owner (if required). 12. Hazardous Material Form (for Commercial Buildings only). :1 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 1. Agricultural Buffer clearance and site plan approval from the Ag Commissioners office (if required). 7 2. Impact Fees. 1 3. California Department of Forestry plan approval (if required). 7 4. NPDES Form. :1 5: Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). 3 6. Contractor's license information. (Number, Name Style, Classification). 7 7. Workers Compensation Carrier and Policy Number. 1 8. Owner -Builder Verification (if required). 9. Letter of Signature authorization (if required). ' 1 10. Recorded copy of Agricultural Acknowledgment Statement. 11. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner (for 433A's). F you have questions or would like additional information regarding this process, contact a Permit 1pplication Assistant at (530)538-7541. EXPIRATION OF APPLICATION .pplications for which a permit has not been issued will expire one year after date of application. In order to renew action n an application after expiration, a new application, plans and fees will be required. REQUEST FOR FEE REFUNDS efunds can only be made upon written request by the person who paid the fee. The request must be made within two gars from the date of fee payment on permits not issued, and two years from the date of permit issuance for permits sued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan Zeck fees for work plan checked and other department costs are not refundable. OVER FOR BUILDING PERMIT APPLICATION FORMSWILDING F0RMS161d9APP1SubRamts_doc pn„o 7 „s') :..:.> O.B.- I ►........�:::i............................... .,.......��....."�.�.::.:.::. Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. �1 I personally plan to provide the major labor and materials for construction of the Qproposed property improvement: YESVJ NO[ ]. I HAVE[X4 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 NAME: 'ADDRESS: CITY: PHONE: CONTRACTOR'S LIC; N la NO. 4_ plan to provide portions of this work, but I have hired the following person to oordinate, supervise, and provide the major work: NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. I will provide some of the work but I have contracted (hired) the following persons to rovide the work indicated: AME ADDRESS PHONE TYPE OF WORK IGNED: PROPERTY OWNER: C UE DATE: NOTE: This owner -Builder Verification is required by Section 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. May 1995 2.26 Dear Property Owner: ' An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified. For your protection, you should be aware that as "owner -builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: 0 If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $300 or more for the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. 0 If you are an employer, you must register with the State and Federal Governments as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers compensation insurance, disability -insurance costs, and unemployment compensation contributions. 0 There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. 0 For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are -not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "ownerbuilder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento, CA 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. .- r C. Vie* C.B.O. ', Building Inspection NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code. May 1995 2.27 bra M��dI11Ytil�i1/IIIIIICSNIIN�A4CIPPbhp rail w�^�oTa -- - yJ 'n 1 I , ` J a , k,1. �. , .. � :1 .4'. ,.e....�. vr::.. t .. ... i .. .,..._ ., L. � ,.. ,:...._ .� . , I. :._.: . .. .._. ' _. _... .. . ... ... 4. _.,..... ,, .._.,. . I ,. .:. - -