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030-360-043
AP 30-36-4 . JERRY RICE - 1264 18th St., Oroville` FsTRE Perm1t# 176-75B,E(conv. garage S "" "'"""""' to living & barn-) 30-36- 3 Permit 453-78P ,E,M(ins LOT BLOCK SUBDIV. AC) SF TYPE OF PERMIT NO. PLAN NO. DATE ISSU PERMIT 30-3� 3 , REMARKS Permit #2995-78 add liv oom & den & F) 030-360-043 06-1354 RICE 1264 18TH ST, OROVILLE ' Cont: GEORGE ROOFING 4 RE ROOF PERMIT DESIGNATION:' B -BUILDING E -ELECTRICAL U -USE PERMIT HM -HOUSE MOVING DEPARTMENT OF 1' -PLUMBING TV -RADIO -TV ANTENNA V -VARIANCE EP -ENCROACHMENT BUILDING AND SAFETY T -TRAILER S/W-SIDEWALK NOTICE S- SIGN PERMIT D -DEMOLITION 600.1 PERMIT DESIGNATION:' B -BUILDING E -ELECTRICAL U -USE PERMIT HM -HOUSE MOVING DEPARTMENT OF 1' -PLUMBING TV -RADIO -TV ANTENNA V -VARIANCE EP -ENCROACHMENT BUILDING AND SAFETY T -TRAILER S/W-SIDEWALK NOTICE S- SIGN PERMIT D -DEMOLITION 600.1 INSPECTION RECORD BUILDING APPROVALS fm W D IL p FiQ U0Z Op,O I LL Z wW Y.F W y Ir Z Q LL 0_ I- Z 2_ 1-1- X ul Vit- 1 Q5 ZIL 0F I PI xa W W lrUIX ZO um (7Q <W 0LL W U w x Z u. SIG. DATE SIG. DATE SIG. DATE SIG. DATE SIG. DATE SIG. DATE SIG. DATE SIG. DATE SIG. DATE SIG. DATE SIG. DATE SIG. DATE PERMIT NUMBERt SIG. DATE SIG. DATE SIG. DATE SIG. DATE SIG. DATE ROUGH -IN GAS PRESSURE TEST WATER PIPING SEWER LINE APPLIANCES a VENTS FINAL ELECTRICAL APPROVALS PERMIT NUMBERt SIG. DATE SIG. DATE SIG. / DATE SIG. DATE SIG. DATE ROUGH -IN FIXTURES @ APPLIANCES METERS FINAL MISCELLANEOUS APPROVALS PERMIT NUMBERt DESIGNATION SIG. DATE SIG. DATE SIG. DATE SIG. DATE SIG. DATE Butte County Depa'tment of Development Services NOTES 1 7 County Center Drive, Oroville, CA 95965 (530) 538-7601 www,Duttecounty.n@ydds °ur RESIDENTIAL APN:030-360-043 (. -RICE _ _ _- _ .. 06-1354 yf Owner. 1264 18TH ST,.OROVILLE- --- t Cont: GEORGE ROOFING I Site Address: _ . -RE ROOF Contractor. �--- Type of Permit: DATE JOB FIN SIGNATURE: SRA ' FLOOD CERTIFICATE EQUIRED FIRE SPRINKLERS REQUIRED SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUBSTANDARD HOUSING LETTER ENCROACHMENT PERMIT REINSPECTION FEE PAID ENV HLTH CLEARANCE CHECKED BY BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (630) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 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 the Business and Professions Code, and my license Is In full force an effect. Licens/e� Class : _ License .cNumber: G it _ _ Date: (0.7.b6 Contractor. G-yy L k Son s OWNER -BUILDER DECLARATION I hereby affirm under penally 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 to its Issuance, also requires the applicant for such permit to file a signed statement that he or she Is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 commencing with Section 7000) of Division 3 of the Business and Protessions Code) or that he or she Is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penally of not more than five hundred dollars ($500).): ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not Intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' Slate 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 safe.). ❑ 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business - and Professions Code. The Contractors' Slate License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). ❑ 1 am Exempt under Article 3 of the Business and Professions Code Date: Owner: WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: O 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. I 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: Policy #: 0-713 ❑ 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 comply with those provisions. Dale: Applicant: WARNING: Failure to secure orkers' 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 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.) Name: Address: PERMIT NO. BP061354 Issued Date: 06/07/2006 APN: 030-360-043-000 Site Address: 1264 18TH ST ORO Map Index: Description: RE -ROOF (29 SQ) Owner: RICE JERRY LEE & ALVA JEAN 1264 18TH ST OROVILLE, CA 95965 Applicant: GEORGE & SONS ROOFING 1090 HURLETON ROAD OROVILLE, CA 95966 530-589-4443 Contractor: GEORGE & SONS ROOFING 1090 HURLETON ROAD OROVILLE, CA 95966 530-589-4443 License #: 682274 Architect: Engineer: Total Square Ft: Valuation: Census Code: ICoS cA ��55C�C�3 0 S. F. $0.00 This permit is hereby issued under the applicable provisions of the Butte County code anotor Resolu on to do work Indicated bove for which fees have been paid. By, Date: 7- l J l !1 PERMIT EXPIRES ON: ❑ 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. O Notification in accordance with Section 19827.5 of California Health & Safety Code Is not applicable to the scheduled construction of this project. O Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above Information Is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and. state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official fo c ocument of Butte County. I hereby authorize represehtativesofoff Butte County to enter upon the above mentioned property for inspection purposes. 7r✓ ` Print Name: F 055 Signature: Dale: �� r ❑ Owner onlractor ❑ Agent for Owner ❑ Agent for Contractor o. L.. Duuumv rnnnu v i- w"Pu , r=OK 0 = Nat OK MANUFACTURED HOMES MISCELLANEOUS - DATE PERMANENT FOUNDATION SOFT-SETDATE 1 ZoningSetbacks-Easements 2 Soils; Special MH Support Sketch 3 Sewer; Loctn-Test; FalUC/0-Concrete- 4 Wtr; Loctn-Test-Easement Needed -Regulator 5 Elec Loctn-Cirncs-Gmd Am -Concrete 6 Yard Gas; Loctn Test -Wrap Nat F or LPO Inch Sz Ft Lngth 7 Blckng; SzSpacing-Marriage Line 8 Gas; MH Test-Demand-Valve-Cnnctr 9 Elec MH Cntnty Test-Crossovers-Breakers-Clmcs 10 Drain; MH Test -Fall -Flex Cnnctr 11 Wtr & Sewer Connected -CIO to Grade 12 Gas and Electricity Tagged 13 Tie Downs ❑ Foundation ❑ 14 Exits 15 Cert of Occupancy 16 HUD LabeUlnsignia Numbers Serial Numbers - D E C K S'C O V E R S'C A R P O R T S'G A R A G E S 1 Zoning -Setbacks -Easements 2 Ftgs; SollsSz-DpthSpacing-CnnctrsSteel 3 Decks, Glyders/Joisb-Dcking-Brcing Stairs-Guard/Handrails 4 Wood Awn; Posts-Beams-Rftrs-CnnctrsShthg. Frmg-Brcng 5 Alum Awn; Columns-CnnctnsSplice-Decal-Enclsrs 6 Carports; Wndws-Doors 7 Electric 8 Fmig; Sills-AnchrsStuds-Rftrs-Tnuses 9 Siding; Nailing -Veneer -Stucco -Lath 10 Roof; Shthg-Roofing 11 Ext; Steps -Doors -Landings 12 Braced Wall pnts 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 Egp-HV 8 Elec Grndng; Eqp w/5' Crcltng Egp-Pool Ightg Boxes-Enclsrs-prilboardsansultn to Main Conduit 9 Health Dept Apprvl 10 Plmb; Cir Test-Wtr Supply Test 11 Lt Niche 12 Enclsr, Fencing -Alarms 13 Bonding, Diving board or Slide �� Pool Drawing t 0 - Nat OK RESIDENTIAL (Single & Duplex) DATE JUNDERFLOOR I DATE IPLUMBING 1 Zoningsetbacks-Easements-FloodSlope 2 Ftg Main; Soils-Elec Gmd Ftg Dpth 3 Ftg Garage; Soils-Steel-Elec Gmd Ftg Dpttt 4 Ftg Parches/Decks; Sails -Steel Ftg Dpth 5 Stemwalis Wain; Steel-Blockouts Wrapped 6 Stemwalls Garage; Steel-Blockouts-Wrapped 6a Hold Downs and Special Anchrs 7 Slab, Steel Wrapped 8 Piers-Frplc Ftg-Steel 9 OWV; Fall -Fitting -Test -2 -way CIO -Sewer Test 10 UF, Gas Pipe; Sz Anchrs-Sz Test 11 Wtr Pipe; Test Anchrs-RgltrService Test 12. Elec Undrgrnd 13 Plenums & Ducts; Cimc-MaterialSupport4nsultn 14 GirdersSlits-Anchr Bolts-Joists-Vnts-Cripples 15 Acc & Vntltn 16 Insulation 00 00 DATE IFRAMING 17 Sills Proper Materials & An 18 Walls Studs -Nailing Spacing & Braces -Plates -Sound 19 Bearing Walls over Girders 'kfir Nailing 20 Draft Stop in Walls (rat proof)" 21 Fire Stops,'FUrred CeilingsStairs-Dhasers-Tubs 22 Headers & Beams -Si &' Bearirig 23 Hangers -Post Caps-Anchrt-Cnnctns 24 Ceiling Joist-Rftr 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 Prtcth Framing -RC Channel 29 Prprty Line Firewall & Opngs 30 Ext Doors -One T -Check Garage 3rd Story, 2 Exits 31 Stairs; Width-Hdrm-Rise-Run-Landing-Fire Prtctn 32 Plywd on Roof Ovrhng-Attic Vnts-ft Outrgrs 33 Siding -Nailing Veneer 34 Stucco Lath -Weep Screed-Fndtn Vnts-Undrflr Acc 35 Glazing Area -Glass PrtctnSkyLts-Plastic . 36 Shear Walls; Nailing -Bolts 37 Brace Int/Ext Wall pnis 38 Insultn-W al ls-Ceilings 39 Infiltration -Walls -W ndws 40 0 4e DATE JELECTRICAL 40 Fxtr & Trnsfrmr 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 Grndng Electrode Bond Gas & Wtr 46 2 Appinc Cires in Ktchn & Cndctr Sz GFI 47 Subfeed Wire Sz ya 0 C or QAL AC Wire Sz ya ❑ CU or ❑AL 48 Range Clic ga ❑ CU or ❑ AL Oven Circ oa ❑ CU or ❑AL Insulated Neutral [::]Yes [:1 No 49 Service -Riser Cndctrs & Gmd Main Dscnnct 50 Eqp Cirncs pnis-Motors-Mech Eqp 51 Clothes Closet Lt-Shwr Lt -Spa Lt 52 Smoke Detector 53 Wtr Htr; Vent-Acc.Cmbstn Air Baffle 54 Wtr Pipe; Test & Anchr-Nail Prtctn 55 DWV; Test Fittings & Anchr. Nail Prtctn 56 Shwr Pan; Test, First fir -Tub Ace 57 Test Tuti & Shwr, 2nd fir - Tub Acc 58 Gas Pipe; Sz & Anchrs ' 59 Fire Sprinkler; Test 60 Yard Gas Piping MECHANICAL 61 AC Ducts Insulin & Support 62 Vent Fan, Exhaust abv Insultn 63 Condensate Drain & Ovrfiw, Sz & Grade 64 Furnace -Vent Acc-Comb Air Rtrn/Vent 115 Outlet 65 Attic Acc & Pltfrm if Furnace in attic FINAL 66 Ext Steps -Door & SldeLt Prtctn-Landings 67 Smoke Detector 68 Furnace Vnts-Cimc-Comb, Air-Dnnctr In Garage; abv-flr-Ducts-Meth Prtctn 69 Bedroom Exiting 70 GFI & Bath Fxtrs & Tub Acc-Spa 71 GFI Arc Fault 72 Elec Trim & Subpnl, Breaker Szs & Labels 73 Stairs, Guard/Handrails 74 Frplc or Stove, Clmc-Hearth 75 Elec Outlets at Wood Pnl, Int & Ext 76 Ktchn, Fxtr & Appinc; Gmd 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-Cimc-Com Air Cnnctr-PRV; abv fir Mech Prtctn; LPG Appince Undr House 3" drain 81 Plmb; Elec & Mech Eqp Listed for Loetn 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 Om e & Wood -Earth 86 Cimc Dmge Planters T] Yes ❑ No 87 Stucco Brown -Finish 88 AC Unit Dscnnct, Elec-Plmb 89 Vnts abv Roof, Plmb-Appinc-Frplc-Cirnc to Opngs 90 Wtr Well, Dscnnct, Elec, Plmb 91 Ext Elec Trim, GFI Rcptcl-Undrgrnd 92 Vntitn thru House 93 Glass Prtctn 94 Corrections from previous Irispctns 95 Gas Test -Meters Tagged, Gas-Elec 96 Wtr & Sewer Cnnctd-CIO to grade -HD Apprvl 97 Energy Cmpinc Cert -Other Certs 98 Address Posted 99 Fire Sprinkler BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION M (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE M (530) 538-7541 PERMIT NO. BP061354 B. C. Building Permit 01-16.04 pg 1 LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that 1 am licensed under Issued Date: 06/07/2006 APN: 030-360-043-000 provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is In full force an effect./ License Class: License Number: (7 Site Address: 1264 18TH ST ORO Date: & '7'66 Contractor. S&n S Map Index: Description: RE -ROOF (29 SQ) OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' Stale License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a Owner: RICE JERRY LEE & ALVA JEAN permit to construct, alter, improve, demolish, or repair any structure, prior 1264 18TH ST to its Issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of OROVILLE, CA the Contractor's Stale License Law (Chapter 9 commencing with Section 95965 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and the basis for the alleged exemption. Any 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: GEORGE & SONS ROOFING Code: The Contractors' State License Law does not apply to an owner of property who builds or Improves thereon, and who does 1090 HURLETON ROAD such work himself or herself or through his or her own employees, provided that such improvements are not Intended or offered for OROVILLE, CA 95966 sale. If however, the building or improvements are sold within one 530-589-4443 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: GEORGE & SONS ROOFING 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.). 1090 HURLETON ROAD OROVILLE, CA 95966 LlI am Exempt under Article 3 of the Business and Professions Code 530-589-4443 Date: Owner: License #: 682274 WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penally 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 Architect: Labor Code, for the performance of the work for which this permit is issued. Engineer: I 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: n Carrier: cm, � p TAS rr - Total Square Ft: 0 S. F. Valuation: $0.00 Policy #: Census Code: ❑ 1 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 l W 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. OW rA Dale: Applicant: WARNING: Failure to secure or ers' 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 Resolu 'on to do work indicated bove for which fees have been paid. - performance of the work for which this permit is issued (Sec 3097 Civ.) By Date: l Name: J / J -01 Address: PERMIT EXPIRES ON: l 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. 1 acknowledge it is unlawful to alter the substance of any official fo c ocument of Butte County. I hereby authorize repn2sehtatives of Butte County to enter upon the above mentioned property for inspection purposes. •Print Name: Signature: Date: ❑ Owner Veontrctor ❑ Agent for Owner ❑ Agent for Contractor B. C. Building Permit 01-16.04 pg 1 �Ui?'�• BUTTE COUNTY /o 0 DEPARTMENT OF DEVELOPMENT SERVICES 0 i 0 BUILDING PERMIT APPLICATION o o AND. SUBMITTAL REQUIREMENTS 0 ' - '. 0 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2534 0 =' ®= ' 0 OFFICE 4: (530) 538-7541 A FEE WILL BE REO UIRED AT TIME OF APPLICA TION Website: www'.buttecounty.net/dds "PLEASE PRINT CLEARLY" OWNER INFORMATION Last Name irst'Name Addres City St ` Phone 3' Fax E-mail APPLIC NT SIGNATURE X - 0 LA1111--"' For office use only: CONTRACTOR Nam ,� e •Scc�,s -� Address �z_� Rd City No Stala Zip Phone �8, 3 Fax E-mail Phone Lic,# a� asst APPLIC NT SIGNATURE X - 0 LA1111--"' For office use only: ARCHITECT/ENGINEER Name Name Address SRA City No State Zip Phone Book Fax E-mail Phone State License Number APPLIC NT SIGNATURE X - 0 LA1111--"' For office use only: APPLICA T NFORMATION Name SRA Address No vQ.k cr City cy O Book St� Zit Phone 5 _ 4 Fax E-mail APPLIC NT SIGNATURE X - 0 LA1111--"' For office use only: Zoning Flood Zone SRA I Yes No Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: PERMIT NO. BPO61 5 BIN N PROJECT LOCATION AN 030_3G0_ Oqb . Property Address6� C' Cross Street WORKER'S COMPENSAT40 Policy Number ©7/3 Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of pennit issuance. LENDING AGENCY Name Address `' Description or Scope of ork: S k4A-�oo v— V1 is l +-c> Q . A42& Sq FT- Living Garage Open Cov ` ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew 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. r r I I Received by: V.V " Amount: 65100 Bldg 11 OVER FOR SUBMITTAL REQUIREMENTS K- MPIVIRWU III nINr2 Fr1RMR\RlrinAnnlRnhRnmts ring Pana 1 of 9 Receipt #:� SY665 Date:'-7-e'X.b Sheriff SMIP Other Total RF\/ R.1 9-r1S W-40 .1% SUBMITTAL & PERMIT REQUIREMENTS The following drawings and specifications must be submitted to the Building Division in order to apply for a permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK. ❑ 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. No graph paper! ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans (No graph paper!) OR Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 3. Engineered truss details and layouts in duplicate (if required). No faxes! ❑ 4. Energy compliance design and supporting documentation in duplicate. ❑ 5. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 6. Manufactured homes: (A) Installation manual, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate ❑ 7. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate (if required). ❑ 9. Site plan and business license approval from the City of Biggs. ❑ 10. Letter of intent for non-residential buildings. ❑ 11. Building Permit Application Without Required Clearances Form . ❑ 12. Hazardous Material Form (for Commercial Buildings only). Remaining items needed to issue the permit. Additional items may be required after Plan Check and Planning review (May require additional plan review upon receipt of the following items.) ❑ 1. Agricultural Buffer clearance and site plan approval from the Ag Commissioner's office (if required). ❑ 2. Impact Fees. ❑ 3. California Department of Forestry plan approval (if required). ❑ 4. NPDES Form. ❑ 5. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 6. Contractor's license information. (Number, Name Style, Classification). ❑ 7. Worker's Compensation Carrier and Policy Number. ❑ 8. Owner -Builder Verification (if required). ❑ 9. Letter of Signature authorization (if required). ❑ 10. Recorded copy of Agricultural Acknowledgment Statement. ❑ 11. ❑ Legal description from current recorded grant deed, ❑ Copy of M.H. Title, Title transfer, or MCO. ❑ 12. Sanitation and site plan'approval from the Environmental Health Department. . If you have questions or would like additional information regarding this process, please contact a Permit Assistant at (530) 538-7541. EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after date of application. In order to renew action on an application after expiration, a new application, plans and fees will be required. REQUEST FOR FEE REFUNDS Refunds can only be made upon written request by the. person who paid the fee. The request must be made. within two years from the date of fee payment on permits not issued, and two years from the date issued; however, on issued permits refunds can only be made if no construction work has check fees for work plan checked and other department costs are not refundable. OVER FOR BUILDING PERMIT APPLICATION of permit issuance for permits been done. Filing fees, plan KAFORMSWILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2 REV 8-12-05 2995-78B,E 7- PEMAIT,NO. -7 PERMIT EXPIRES OWNER Jerry L. Rice �'jCONTR. owner ?LOCATION (A.P. 30-.36-43 1264 18th.St., Oroville cf If Temp. Power Pole Called PG&E Temp. Elec. Serv. Called PG&E Temp. Gas Serv. Called PG&E JOB FINALED (Date) (Signature) rJ COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTI6N RECORD BUILDING BUILDING (Cont'd) PLUMBING Setback Firewall Soil Piping Forms Parapets 1st Floor Main Bldg. Restroom Finish �'—� 2nd Floor Footings JV3417 Windows 3rd Floor Stemwall Siding Z To out Slab Roof Sheathing Water Piping Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Stemwal I Garage Vents Insulation Water Htr. Heaters Slab Carport Footin s Prov. for physically handicapped Conformance of ex. structure Appliances Gas Piping &Test Temp. Gas Slab Final Sanitation Patio FIREPLACE Final Footings Footing —7 ELECTRIC Masonry Walls Throat - Rouh -vL Relnf. Steel Final Fixtures Bond Beam, r FIRE SPRINKLERS Motors T Mesh MECHANICAL Grd. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final MOBILEHOME UTILITIES ------------------ Elec- Service Elec. Pedestal Water Piping Sewer Gas Piping =E ME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping DATE REMARKS OR CORRECTIONS (NOTE: An entry must be made on this form each time you visit the job site.) COJLINTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS • ' i County Center Drive — Or;ville, California 95965 Telephlrhe:534-4541 APPLICATION AND PERMIT auu IVI &V 1upicacn lall vwJ UI 1110 UUU,IIy U1 DUMC LU CnLUT UpUn Ine above-mentioned property f In pection purposes. ie Date Signat of Permitee or Agent Receipt No. 1177 — 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-IZUBLIC WORKS ENW Being permit expires Date _ 7� t �' 7f BUILDING OwnerY L ICE SQ. FT. OCC. BUILDING VALUATION Mailing Address '�� ! � S Tele hon No. Contractor Mailing Address Fireplace Total Valuation Tlephone No. e Permit Fee Building Address '-- 1 S '� Plan Checking Fee&/or Penalty Permit Fee PLUMBING No.1 @FEE PERMIT FILING FEE $3.00 Each Trap , 1.50 Repair drainage or vent piping 1.50 A. P. No. / Zoning Planning Water piping 1.50 Each gas water heater or vent 1.50 F W ni t Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking Plans Parcel Declaration I Parcel Map 1 60' R/W Improvements Each additional outlet .30 Building sewer 5.00 Bldg. PI s Recd Parcel roval Plans proval Lawn sprinkler system 2.00 NEW ❑ ADDITION UTILITIES ❑ OTHER ❑ Permit Fee $ $ k, ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 •• 9 Main service 600V OR LESS 100 AMP OR LESS 5.00 Single Family Duplex ❑ Mobil Home ❑ Others ❑ Main service EA. ADD'L 100 AMP 2.50 • Main service O100VERAMP eoovOR LESS 25.00 Main service/ EA. ADD'L 100 AMP 1.00 NEW OR ADDNST C ACE L G P. S� 20sgft CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the of California Business & Professions Code under the name style of: NEW CONSTR MU TI -111111-1-1 NON.RESID ( BRANCH CIRCUITS 2.60ea NEW CONSTR. POWER APPARATUS B NON.RESID. SINGLE OUTLET CJ IR Ex: OCCUp(OUTLETS OR FIXTII ,ES S0`@� BAL@1 Ex. Occup. ( FIXED APPLNS. OR OUTLETS (RESID.) EA 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 I am exempt from the Contractors License Laws of the State of California. Permit Fee $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. @ MECHANICAL No FEEPERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby Land Development Fee $ TOTAL PERMIT FEE $ 8 t auu IVI &V 1upicacn lall vwJ UI 1110 UUU,IIy U1 DUMC LU CnLUT UpUn Ine above-mentioned property f In pection purposes. ie Date Signat of Permitee or Agent Receipt No. 1177 — 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-IZUBLIC WORKS ENW Being permit expires Date _ 7� t �' 7f COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 ' Telephdne: 534-4541 APPLICATION AND PERMIT aUUIVIIGO FeP1e5CIIIaIIVC, U1 lee t,ounry of Butte to enter upon the above-mentioned property for inspection purposes. X ate Signature of Perms a 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. DIREC R OF P LIC WORKS BY 4Date BU17UM permit expires Date BUILDING OwnerJerry Rice SQ. FT. OCC. BUILDING VALUATION Mailing Address 1264 18th St., Oroville Telephone No. Contractor Waibel Air Conditioning, Inc. Mailing Address 1700 Feather River Blvd., 0rovi.11e Fireplace Total Valuation Tele hone No. 533-8128 Permit Fee Building Address 1264 18th St. 9 0 Oroville Plan Checking Fee&/or Penalty Permit Fee PLUMBING No.1 @ FEE PERMIT FILING FEE J$3.00 3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 A. P. No. 3 d ^ (�, -- Zoning & Planning Water piping 1.50 Each gas water heater or vent 1.50 Fees W.C. Sanitation Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 1.50 EQA Parking Plans Parcel Declaration I Parcel Map 1 60' R/W I Improvements Each additional outlet .30 Building sewer 5.00 Bldg. Plans Recd Parcel A roval Plans Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ® Permit Fee $ Install heating and cooling, gas electric ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 3.0 Sin le Famil © Duplex ❑ Mobil Home ❑ Others 9 Y ❑ Main service 600V OR LESS 100 AMP OR LESS 5.00 Main service EA. ADD•L too AMP 2.50 OVER 600V Main service 00 AMP OR LESS 25.00 Main service EA. ADD'L too AMP 1.00 NEW CONST. ( OR ADONS. ACCLBLDGS,LING CCUP. k) 2�sgft CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business &Professions Code under the name style of: Waibel Air Conditioning, Inc. NEW CONSTR BRANCH CIRCUITS) NON-RESID � BRANCH CIRCUITS) 2.50ea NEW CONSTR. /POWER APPARATUS e NON-RESID. $SINGLE OUTLET CIR. Ex. Occuo (OUTLETS ORFIXTI]RES g L@1J Ex. QCCU FIXED APPLNS. OR il. OUTLETS (RESID.) EA) 2.001 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. 267743 Classification C-20 Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ 5, 0( WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ® 1 have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby MECHANICAL No @ FEE PERMIT FILING FEE $3.00 1.001 Heating 110,000 -RTIT Cooling Ventilation Hood 2.00 Permit Fee $ Land Development Fee $ $ TOTAL PERMIT FEE $ 29 J 0,( aUUIVIIGO FeP1e5CIIIaIIVC, U1 lee t,ounry of Butte to enter upon the above-mentioned property for inspection purposes. X ate Signature of Perms a 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. DIREC R OF P LIC WORKS BY 4Date BU17UM permit expires Date r; c 1� ►7 PERMIT NO. �"�� 1 I—� 5B • E f P + E M 1 - MH UTIL. PERMIT NO. ! ' U PERMIT EXPIRES / jOWNER Jerry Rice jj CONTR. LOCATION (A.P. 30-36-43 ) 1264. 18th St., Oroville r; r "3 1 r 'I Temp. Power Pole Called PG&E Temp. Elec. Serv. Called PG&E Temp. Gas Serv. Called PG&E JO O B FINALED (Date) _ (Signature) COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBING Setba 9pr:Z�2 Firewall Soil Piping Forms Parapets 1st Floor Main Bld Restroom Finish 2nd Floor Footings Window 3rd Floor StemwaII Siding To out Slab Roof She"aathi g Water Piping Piers Roof ingsv Sewer Garage Fdn. Vents Fixtures Footings Gara a Vents Water Htr. Stemwa;l Prov. for physically Heaters Slab handicapped Appliances Carport Conformance of ex. Gas Piping & Test Footings structure Temp. Gas Slab Final 2 5, r --�, Sanitation Patio FIREPLACE Final Footings Footing ELECTRICAL Masonry Walls Throat Rough z Reinf. Steel Final Fixtures Bond Beam FIRE SPRINKLERS Motors Framin S Test Water Htr. Final Subpanels Mesh MECHANICAL Grd. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final DATE REMARKS OR CORRECTIONS • COUNTY OF B — °i r BUTTE DEPNRTMENT OF PUBLIC WOR 7 County Center Drive Orovi Ile, California 95965 r Telephone: 534-4541 APPLICATION AND PERMIT Owner Mailing Address Contractor Mai I i ng Address Building Address l .ice f )hone ._ A Telephone No. A. P. No. Zoning & Planning Fees W. S ion Fire Dept. Fire Zone Use Permit EQA I P Plans arcel Parcel Ma I 60' R/W ( Im ro ements Plans Declaration „P P y Bldg. PI&YsRec'd I Parcel pproval I Plan Approval NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER,0 Single FamilyXC Duplex ❑ Mobil Home ❑ Others ❑ CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: License No. Classification 91 am exempt from the Contractors License Laws of the State of California. WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑ I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. 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 Stat -19 Laws relating to building construction, and hereby authori�, representatives of the County of Butte to enter upon the above -m ntioned pr ecty—t' inspection purposes. t Date ignature of Permitee or A ent T Rec1itP NoZ67�c�'aWhit. W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant BUILDING FT. _ OCC. BUILDING VALU Fireplace $ Total Valuation No.1 @ FEE Permit Fee 1 $3.00 f Plan Checking Fee &/or Penalty Permit Fee $ PLUMBING No. @ FEE PERMIT FILING FEE $2.00 Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Building sewer 5.00 Lawn sprinkler system 2.00 Permit Fee $ ELECTRICAL No.1 @ FEE PERMIT FILING FEE 1 $3.00 f Main service incl. 1 meter Additional meters, each 1.00 Sub -panel (12 or less) (more than 12) Range, Cook -top or Oven 1.00 Water Heater or Space H ter 1.00 Light ' ure 20P2 all 10 R s., switc s & fi ets bal,910 ZS Hood, Ex. Fan or F. A. Furn. Motor 1.00 Evap. cooler, gar. disp. or D.W. 1.00 Air conditioner or heat pump Water pump Mobil Home Facilities 5.00 Temp. Power Pole 5.00 Misc. wirinq Permit Fee $ MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Coolin Ventilation Hood Permit Fee 2.00 TOTAL PERMIT FEE is 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 0 PUBLIC WORKS BYDate Z111ding permit expires Date..................^Z..................