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HomeMy WebLinkAbout031-247-00131 -24q -01- o A THA CK PQ4ICK, Otha 798770B pp 679 Colusa Ave.f e Permit #5658-75P(install se ASF). L 31- -1 tfl-247-1 Leonard Murry 679To olusa Ave., Or ille Oro 679 Colusa Ave. i CUNTi(rer,00R: Weir ofing, 2 Foothill Blvd., Orr,,, , na CI Permit #1984-79B,E(add bedroom/SF) f 31�247'z-1---------- Permit#389 81B (w - MURREY, VIRGINIA 679 COLUSA AVE., OROVILLE ELE.-SER. CHANGE/SF Vl� 031-247-001 04-2050 BELMONTE, GENE 679 COLUSA AVE, OROVILLE Cont: OWNER A^Le' I de DEMO SF (? 031-247-001 04-2766 BELMONTE, GENE 67S 9COLUSA AVE, OROVILLE Cont: OWNER NEW SINGLE FAMILY 03 05-1233 BLEMONTE, GENE 679 COLUSA AVE, OROVILLE Cont: TUANARENA CONST NEW PRI DET GARAGE L1 b i] NOTES RESIDENTIAL rUrnrt�ss-��-oy - ; PERMIT NO. Dy. P-OSC)Oq= Z7(0(0OS—I?z.: DETACOR 'CIA RAGE APO 0131-Z-4-1-00:1 �- � E L mo r�s.T �� G �� a✓ f)f�,ov ILLS �ISF I , t f t s. A - B y a JUB FINALED (Date) 1114,10 r _ Signature SPECIAL COW -1 170NS ;HECKED BY SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER J=OK 0 = Not OK - = Not Applicable . =NotReadeaQy �%� Qaf ®BILE HOMES �®�99A Date MOBILE HOME UTILITIES (Plans) OK except Its 1. Zoning Requirements-Setbacks-Easemen`s 2. Soils; Specidl MH Support Sketch 3. Sewer, Location -Test -Fall -C/O -Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity, Location-Clearances-Gmd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap;-/ /" L'ft. / P Nat or/ /" L "ft1 P LPG 7. Well Clearance & Disconnect 8. Utility Clearance 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s Date 1. Zoning Requirements -Setbacks -Easements Date 2. Footings; Size -Spacing -Marriage Line 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-Connecto? 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 10. Plumb.; Cir. Test -Water Supply -Test 11. Light Niche 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 OK 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. Gmd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Gmd.-/ /" 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-Frtting-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 42. Walls Studs -Nailing Spacing & Braces -Plates -Sound 43. Bearing Walls over Girders & Floor Nailing 44. Draft Stop in Walls (rat proof) 45. Fire Stops, Fure-J' Ceil ngs-Stairs-Chasers-Tubs 46: Headers & Bean_�e & Bearing )ate FRAMING (Continued) Date Card B-1 Date Card B-1 -9-1 Date Card B-1 Date Card 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 57. Siding -Nailing Veneer Date Cana B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 24. Fixture & Transformer Clearance -Ins. Protection 25. Elec. Receptacles Spacing -Lights & Switches at Doors 26. Size Boxes & No. of Conductors Stapled Date 27. Romex Installed Close to Edge of Studs & C.J. Date 28. Equip. Ground made up w/Meth Fasteners -Bond as & Water Date 29. 2 Appliance Circuits in Kitchen & Conductor Size GFI 30. Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or AI 31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or Al Insulated Neutral O Yes 0 No 32. Service -Riser Conductors & Ground Main Disconnect 33. Equip. Clearances Panels -Motors -Meth. Equip. 34. Clothes Closet Light -Shower Light -Spa Light 35. Smoke Detector 70. Stairs & Rails Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 36. A.C. Ducts Insulation & Support 37. Vent Fan, Exhaust above insulation 38. Condensate Drain & Overflow, Size & Grade 39. Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet 40. Attic Access & Platform if Furnace in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s 41. Sills Proper Materials & Anchors 42. Walls Studs -Nailing Spacing & Braces -Plates -Sound 43. Bearing Walls over Girders & Floor Nailing 44. Draft Stop in Walls (rat proof) 45. Fire Stops, Fure-J' Ceil ngs-Stairs-Chasers-Tubs 46: Headers & Bean_�e & Bearing )ate FRAMING (Continued) 47. Hangers -Post Caps -Anchors -Connectors 48. Cling. Joist-Rftc 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 T -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 -Botts 61. Brace Interior/Exterior Wall Panels 62. Insulation -Walls -Ceilings 63. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL fans) OK except #'s h - Steps -Door & Sidelight ProtecLandings . Smoke Detector 66. Furnace Vents -clearance -Comb, Air-Connector- YGarage; Above Floor -Ducts -Meth. Protection B om Exiting G F 1. & Bath Fixtures & Tub Access -Spa lec. Trim & Subpanel, Breaker Sizes & Labels 70. Stairs & Rails 71. Fireplace or Stove, Clearance -Hearth 72. EI .Outlets at Wood Panel, Int. & Ext. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance lec. Outlets & Receptacles at Kit. Counter 75. Garage Fire Door, Swing -Landing -Closure 76. Duct in Garage -Damper Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in arage; Above Floor -Meth. Protection lb.; Elec. & Mech. Equip. Listed for Location 79. Elec. Receptacles in Garage (F.El.)-Romex Protection 0. nsulation-Foam-Looked in Attic 81. Guard Rails & Deck Construction -Post Caps 82. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor 0 Yes 83. Following bntldJDrive D Yes D No/Walks D Yes O No/Ptarrters O Yes 0 No 84. St co Brown -Finish A. nit Disconnect, Electrical -Plumbing .SSC U pt p Tents Above Roof, Plbg-Appliance-Fireplace-Clear nce to Openings 87. Water Well, Disconnect, Electrical, Plumbing xterior Elec. Trim, G.F.I. Receptacle -Underground entila:ion Throughout House ass Protection 91. Corrections from Previous Inspections 23, -15 -55 -Test -Meters Tagged, Gas -Electric er & Sewer Connected- G/O to Grade -HD Approval 94. Enemy Compliance Caifiicate-Other Certificates ddress Post -,J Date(.12B- 96. Fre sprinkler Card B-1 {�.� S, Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: - TY OF BUTTIP',.-, BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 County Center Drive 9 Oroville, CA * (530) 538-7541 CORRECTION NOTICE C—L tyh A, (—r 9 OWNER PERMIT NO. A routine inspection indicates that the following violations'of Butte County Ordinances exist at the above address and should be corrected. Please call for re -inspection when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact the Building Inspector as indicated below. SEAL A CAUL_ le jr'�, f2 0 Cj t' 62 l to PROU/0C /qT-r/c- AoccSS o RFr�'(Zouior= -rT;2�A(<,T1T1_-6A/ S712tlo I C)/Z- S&C�67�e:� Date✓ C Inspector Vi P -AH Sh_HM11AK REV 4/05 Phone # 3 cS FOR RE -INSPECTION CALL: 538-7636 OR 891-2834 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. BP051233 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: 07/25/2005 APN: 031-247-001-000 the Business and Professions Code, and my license is in full force and effect. License Class: License Number: Site Address: 679 COLUSA AVE ORO Map Index: Date: Contractor. Description: garage (484)( OWNER -BUILDER DECLARATION 1 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: BELMONTE GENE & KARAN' -` permit to construct, alter, improve, demolish, or repair any structure, prior, •. ` ' ` 2811 NORTH AVE to its issuance:,,also requires the applicant for such permit to file, a signed stateinent�that:he or she is licensed.pursuant to the provisions of:. - r ` ' " .> %: CHICO, "CA " .: ' the Contractor's State'License Law (Chapter 9'commencing with Section.. '" 5 7000)•of`Division"'3 of'the Business and Professions Code) or that fie oc 95973-0989 she is exempt therefrom and the basis for the -alleged exemption.. Any violation�ofr-Sectioh' 7031.5 by any applicant for a permit'subjects the. applicant4o a:civif,penalty of not more than five hundred dollars.($500).),. 1, as owner -df the property, or my employees with wages as their sole compensation, will do the work, and the structure is not inte4dedo-r,offgrgdforsale,,($ec._7og4„BusiRess,and.,Professipnsa.AppllCant.EBELMON,T,E-,GENEy&.KARAN.,_,.•., y Code: The Contractors' State'License Law does not apply to an 2811 NORTH AVE owner of property w.ho.,builds or improves thereon, and who does such work himself,or herself or through his or her own employees, CHICO, CA provided that such improvements are .not, intended or offered. for 95973-0989 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.). .13-1, as:.owner.,.of,,.the..: operty,:-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.), O • I`am Exempt underArticle 3 pf the Busine sand P ofessions'Code ,' Date: Owner• : ; :: I' > �• +' ;: ' , LIC@r1Se #: 7' 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 ..... ,. , ..., , workerscompensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit Architect: is issued.- .......�.. , ....,_..,., �. ... , .•..... _ ..._.,......,.,....�...... ,._...,.„Engineer;,. .....-..... 4,-,n ❑ 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: Total Square Ft: 484 S.F. Policy #: Valuation: $11,616.00 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. , I O Date: e ?)HP Applicant: ' - _ : 7- 25_ 0 rJ WARNING:.' Failure to' secure workers' compensation coverage is unlawful, and shali'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 attomey's:fees. _ .. CONSTRUCTION LENDING AGENCY This permit is hereby issued under the applicable provisions of the 8mfte County Cods ?nrf/or I hereby affirm that there is a construction lending agency for the Resolutio s to do work indicated abov for which fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) -7-2-5-05 Name: BY Datte: Address: -� r( PERMIT EXPIRES ON: - 2_5 - D G 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.corect, and that I am the owner or the duly authorized agent he owner. I 'agree to comply with all county and state laws relating to building construction. I. acknowledge. it is unlawful to alter the substance of any. official form or docu nt of Butte County. I hereby -for authorize representatives of Butte County to enter upon the above mentioned property inspection purposes.///J Print Name: Signature: Date: wner • ' ❑ Contractor ❑ Agent for Owner 13 Agent for Contractor .b[.k BU TE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: p.30)538-7636 • CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 01 A FEE WILL BE REQUIRED AT TIME OFAPPLICA TION 01."1 f� Website: www.buttecounty.neUdds /1,1 "PLEASE PRINT CLEARLY" OWNER Last Name {� �Jjme Name First Nam Address g X City d •lGU State Zip ' p^7 -3 Phone �1�(�_/U� Fax �3U_ 3gs3�77- E-mail Fax APPLICANT ICANT NAME CONTRACTOR Name City !C' Address X Cityl (14 Fax State Zipqs!�2 6 Phone Fax Fax E-mail State License Number Lb#�,96 I Class APPLICANT ICANT NAME ARCHITECT/ENGINEER Name City !C' Address X City Fax State Zip Phone LENDING AGENCY Fax E-mail State License Number APPLICANT ICANT NAME Name Address 26// 1v City !C' State X Phone 5�3U-'�uf Fax E-mail Occ. APPLIC SIG A URE X At�w 4V,7� For/off ice use only: AP# 031-,�V7 66 Zoning —(?— I Flood Zone X SRA Yes I No Occ. LENDING AGENCY Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc PERMIT NO. BP0si 23 BIN # LOCA TION AP# 031-,�V7 66 Property Address 4 (/e Gp / CL Cross Street WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address Page 1 of 2 Description or Scope of Work: (,(bLf 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: �� g�Bldg `' SRA Receipt #:� Sheriff SMIP Date: (' Other Total REV 2-24-05 7 j4 SUBMITTAL & PERMIT REQUIREMENTS The following drawings and specifications must be submitted to the Building Division in order to apply for a permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND /N INK. ❑ 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. No graph paper! ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans (No graph paper!) OR Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 3. Engineered truss details and layouts in duplicate (if required), No 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 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). Remaining items needed to issue the permit. Additional items may be required after Plan Check and Planning review (May require additional plan review upon receipt of the following items.) ❑ 1. Agricultural Buffer clearance and site plan approval from the Ag Commissioner's office (if required). ❑ 2. Impact Fees. ❑ 3. California Department of Forestry plan approval (if required). ❑ 4. NPDES Form. ❑ 5. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 6. Contractor's license information. (Number, Name Style, Classification). ❑ 7. Worker's Compensation Carrier and Policy Number. ❑ 8. Owner -Builder Verification (if required). ❑ 9. Letter of Signature authorization (if required). ❑ 10. Recorded copy of Agricultural Acknowledgment Statement. ❑ 11, ❑ Grant Deed, ❑ M.H. Title/Statement of Facts. ❑ 12. Sanitation and site plan approval from the Environmental Health Department. If you have questions or would like additional information regarding this process, please contact a Permit Assistant at (530)538-7541. EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after date of application. In order to renew action on an application after expiration, a new application, plans and fees will be required. REQUEST FOR FEE REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made within two years from the date of fee payment on permits not issued, and two years from the date of permit issuance for permits issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. OVER FOR BUILDING PERMIT APPLICATION KAFORMS\BUILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2 County Department of Development Services CHRISTOPHER, DIRECTOR co Belmonte, Gene 7 County Center Drive Permit No: 05-1233 Oroville, CA 95965 M (530) 538.7601 Telephone APN: 031-247-001 (530) 538.7785 Facsimile N 70% Plan Check Fees $ 219.96 TO' ' FROM: $ 153.97 WILLDAN Fee 1 SUBJECT: O DATE: WILLDAN Scott Rutherford (530) 538-7160 sruthe rford a) butte county. net Plans Transmittal For Review Per Contract 5/16/2005 Applicant: Belmonte, Gene Permit No: 05-1233 Project Type: Garage APN: 031-247-001 100% 70% Plan Check Fees $ 219.96 $ 153.97 $ 219.96 $ 153.97 WILLDAN Fee $ 153.97 Copies Attached: Qty Chk Application Site Plan Review FEMA Elevation Certificate Building Plans Truss Calculations Energy Calculations Structural Calculations Residential Plan Review Guide Residential Construction Requirements Other Other COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET OWNER: 3!5�ey­°" _. / ;l ASSESSOR PARCEL NUMBER 0 _2-'-7-00' Proposed Building Use: e5 ` ' `� ` `e (q8 `I Permit Technician: a-sp Date: ::Items required in order to apply for a permit. All oxes MUST be checked OR marked NA in order to apply. \L� I N 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. Al 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! JL'ttetter 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) 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 buildings ❑ 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.) 15. Sanitation and site plan approval from the Environmental Health Department in ❑ Chico ❑ Oroville, as applicable ❑ 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 ........................................... ❑ Erosion Control Plan Required........................................................................ -20.,Fees as shown on the attached Schedule of Fees Due Sheet .............................. ❑ City of Chico Plumbing permit........................................................................ ❑ 22. Site plan and business license approval from the City of Biggs .............................. ❑ 23. California Department of Forestry plan approval ❑ paid. Sent by: 24. Planning approval for (A) Use:6)Parking: (C) Parcel Check:...... ❑ Contact Land Development about _ Improvements, _ Drainage ........................ .,. t. s tr -"'S /IJ 26. NPDES Form............................................................................................. 4 �. ❑ 27. Encroachment Permit for driveway from the Public Works Dept ........................... ❑ 28. Contractor's license information. (Number, Name Style, Classification) ................... \ O 29. Worker's Compensation Carrier and Policy Number .......................................... 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 MCO ......................... ❑ 36. Other: ❑ 37. Other: p When issued Telephone �N9�cf" �7� lar V .166anld hold for pickup. I have been informed of thea ove i s and requirements for obtaining a building permit. Applicant: 1 e il/o Date: 1. Index permit application for the above items numbered: Plan Check Letter 2. Additional items re d Contractor, designd owner, was advised of the above data by phone, CO: mail, ❑ counter, by Date: 7 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: Plans approved by: i A I I I Date: Structural reviewed by- Date:Structural approved by: 4 UA Date: Note transfer by: Date: Yellow: Building Division . , I I I apo S--/z3'� COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES — BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE, CA 95965 PHONE "(530)538-7541, FAX (530)538-2140 SCHEDULE OF RECEIPT OF FEES Website: www.buttecounty.net/dds OWNER Cf'ZZ'-16y\-) �L A.P. # 3 `I PROPROSED B DING USE 6e— © DATE ���� -b L RECEIPT # DATE REC. 1. BUILDING PERMIT FEES a --- Balance Due ..................... $ q 347% 7'2-S'o5 �T --- FEMA Flood elevation review ... $ --- Additional plan checking Fee.... $ 2. SCHOOL DISTRICT FEES (paid at School District Office) (form available after Plan Check) 3. SHERIFF FEES (paid at Building Division) Residential............ X $360.00 =$ Units Commercial (sq. ftg.)..... X $0.03 = $ Sq.Ftg. 4. RECREATION DISTRICT FEES (paid at Recreation District Office) (form available after Plan Check) RESIDENTIAL DEVELOPMENT IMPACT FEES COUNTY WIDE (per dwelling) $ CHICO URBAN AREA (per dwelling) $ EL MEDIO FIRE DISTRICT (per dwelling) $ NORTH CHICO SPECIFIC PLAN (per dwelling) Zoning 6. SRA FIRE INSPECTION AND PLAN CHECK FEE $204.98 (paid at Building Division) 7. WATER TENDER FEES BATTALION # Ei��,.-X00.00 (paid at Building Division) 8. SMIP I 9. OTHER 10. OTHER 11. OTHER At time of permit applic 'on, I was may be changed durin a plan the APPLICANT =k .%Yl.� //4, y�47% 7-2_�-5 fees are required to be paid prior to issuance of the permit. These fees Pursuant to Govey(ment Code Section 66020, you are hereby notified that items, 2, 3, 4, 5, 6, 8, 9, and 10 above may have been imposed on your project. You have 90 days from the date of approval of the project or from the imposition of the above mentioned items during which you may protest. The requirements for a protest are specified in Government Code Section 66020(a). Original -Building Division Yellow' -Applicant Pink -Owner (rev. 3/05) O:",?PFTME17- Co �vTTZ ° o °. 5 �C1C WD¢� Department J. Michael Crump, Director Public Works LAND DEVELOPMENT DNISION Storm Water Management Program 7 County Center Drive Oroville, CA 95965 (530) 535-7266 (FAX) 538-7171 National Pollutant Discharge Elimination System (NPDES) Phase II Construction Storm Water Permit and Storm Water Pollution Prevention Plan (SWPPP) Acknowledgement [LESS THAN' ACRE] Project Description: ��%�c�- Project Location and/or Parcel Number:7? elgeV-(,I e. 0/1- By signing below, I, the project owner/owner's agent, certify that this project WILL NOT DISTURB 1 acre or more of land and that I, therefore, do not need to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board. Phased projects that contain multiple site build -outs of less than one acre but when combined with subsequent phases total more than oneacre of disturbed soil will require a Construction Storm Water Permit from the 'State of California Regional Water Quality Control Board. I am aware that submitting false and/or inaccurate information or failure to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board for a project that disturbs one acre or more of land may result in revocation of grading and/or other permits or other sanctions provided by law. Signed: Title: 61 iUAA � Date: Less than 1 Acre NPDES & SWppp Compliance Certification Butte County Storm Water Management Program Revised 5/24/04 r..�/ i,•'n - �� S • ,tY"%� ••�:; E. . ��! +�..; •t `;,`,TT S• ; c r :• a tA,3.; �..,.�:R .:, �.-�,.�:{�,x<<_•��.4� . �� +_,»,'! ;tet a 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 material for construction of this proposed property improvement: YES J, -J NO [ ] • 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 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. 1 will provide some of the work but I have contracted (hired) the following persons to provide the work indicated`: NAME ADDRESS PHONE TYPE OF WORK SIGNED: PROPERTY OWNER: 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. Rev'd H/4/2004 /4/2004 Butte County Department of Development Services ADMINISTRATION t BUILDING' GIS `PLANNING 7 County Center Drive Oroville, CA 95965 (530) 538-7541 Telephone (530) 538-2140 Facsimile Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of the 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 your plan to subcontract, you should be aware of the following information for your benefit and protection: o If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $200 or more for the entire project and such persons are not licensed as contractors or subcontractors, then you may be an employer. o If you are an employer, you must register with the state and federal government 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. o There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to workers' compensation insurance. o For more specific information about your obligations under federal law, contact 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 "owner -builder" 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 contacting the Contractors' State License Board in your community or at 1020 N Street, Sacramento, California 95814. Please complete and return the enclosed owner -builder verification from so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. CIO C. Vieir4 C.B.O. Building Inspection NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code. NOrman Scheel Structural Lng in e e r 5022 Sunrise Blvd. Fair Oaks, CA 95623 (916)536-9535 (916) 536-0260 (fax) Norman Scheel Structural Engineer. E-mail: norm6i.:nssc.com .Rob Coon General Manager E-mail: rohcoon(unsse.com Brad Moser, P.E. Project Manager E-mail brad6taisse.com Steve Smith Design Engineer E-mail: steveanith0j..nsse.com Steven Cooksey CAD Supervisor E-mail: steve,Rtisse.com Jeff Marchant, P.E. Design Engineer E-mail: ieffrfiansse.coin Jamie Hires Design Engineer E-mail: iarnieiiiutsse.com July 17, 2005 Gene Belmonte . 2811 North Ave. Chico, CA 95973 Re: Roush Garage - Plan 2005 M64 Truss Compliance Letter To whom it may concern: This letter is to clarify that we have 'reviewed the truss drawings by Trojan Truss (dated 5/4/2005) and found them to be in general compliance with the plans and specifications for the above referenced project. If you have any questions, please call Tracy Smith. Norman Scheel' Structural Engineer - TS:ts _... - ... .._.. J U L 19 2005.. NOrman Scheel J Structural ingineer 5022 Sunrise Blvd. Fair Oaks, CA 95628 (916)536-9585 (916) 536-0260 (fax) Norman Scheel Structural Engineer. E-mail: norm(ciinsse.com .Rob Coon General Mana-er E-mail: rohcoon(unsse.com Brad Moser, P.E. Project Manager E-mail brad6%nsse.com Steve Smith Design Engineer E-mail: steaesmith(imsse.com Steven Cooksey CAD Supervisor E-mail: steve� unsse.com Jeff Marchant, P.E. Design Engineer E-mail: ieff(Einsse.com Jamie Hires Design Engineer E-mail: iamiefiunsse.com July 17, 2005 Gene Belmonte . 2811 North Ave. Chico, CA 95973 Re: Roush Garage - Plan 2005 M64 Truss Compliance Letter To whom it may concern: This letter is to clarify that we have reviewed the truss drawings by Trojan Truss (dated 5/4/2005) and found them to be in general compliance with the plans and specifications for the above referenced project. If you have any questions, please call Tracy Smith. CNorman Scheel Structural Engineer TS:ts �A No. 7 'D EV. 12181, S c!'l r�JCT%3 J U L 19 2005.. ;2 �4 C� WILLDAN Serving Public Agencies June 15, 2005 Scott Rutherford Butte County Building Department 7 County Center Drive Oroville, CA 95965 (530) 538-7169 (530) 538-2140 FAX BUTTE COUNTY PLAN REVIEW REPORT Status: Approved Jurisdiction Job No: 05-1233 Assessor's Parcel No: 031-247-001 Description: Belmonte-Garage Willdan Project No: 14353-1646-M Dear Mr. Rutherford: 117 C Street Marysville, California 95901 530/749.2373 fax 530/749.2199 www.willdan.com . Willdan has completed a plan review of submitted plans and documents for the above referenced project and recommends your approval with the conditions noted on the 2nd page of this letter. The plans and documents provided for this review that have been found in compliance with the applicable codes are: * Plans: Two (2) copies sheets 1 through 5, dated 3/24/05 by BGS Plan Company �k Structural Calculations: Two (2) copies on sheets 2 and 4 of plans dated 3/24/05 by Norman J. Scheel, S.E. * Truss Calculations: Two (2) copies dated 5/4/05 by Building Products Inc. The plans have been stamped with the Willdan approval stamp and dated. On the pages to follow is the identification of the codes and standards applicable to the project, a_ code analysis, conditions -of -approval and identification of any deferred submittals. . a WI LLDAN Serving Public Agencies APPLICABLE CODES Unless noted otherwise, all comments are based on requirements of the 2001 California Building Standards Code found in the California Code of Regulations, Title 24: • Part 2, known as the California Building Cod and abbreviated herein as CBC. • Part 3, known as the California Electrical Code and abbreviated herein as CEC. • Part 4, known as the California Mechanical Code and abbreviated herein as CMC. • Part 5, known as the California Plumbing Code and abbreviated herein as CPC. • Part 6, known as the California Energy Code, and Energy Commission Standards, and abbreviated herein as CECS. CODE ANALYSIS Specific Type of Type of Stories Total Sq Ft Use Occupancy Construction Detached Private U-1 V -N 1 484 Garage CONDITIONS OF APPROVAL 1. Approval is contingent upon the review, requirements and approval of other departments and/or agencies that have jurisdiction over this project. 2. Revisions and/or notes as red -lined on the plans. 3. The Engineer of Record (EOR) shall provide a letter stating that he has reviewed the truss calculations and truss -layout drawings and that they conform to the intent of his structural design (or alternatively he may stamp the truss calculation package with his shop -drawing approval stamp) per CBC 106.3.4.2. SPECIAL INSPECTION NEEDS Our plan review reveals the no special inspection needs pursuant to CBC 1701 DEFERRED SUBMITTALS Our plan review reveals the no deferred submittals required. Sincerely, Richard Essenwanger Plans Examiner II Cc: Alice Mefford amefford@buttecounty.net Gene Belmonte, 2811 North Ave, Chico, CA 95973, Fax (530) 345-3730 Page 2 of 2 Butte County 05-1233 Willdan 14353-1646.PC1 F 1�1 SITE PLAN REVIEW APPLICATION Date: / //L/�(� `% AP# Permit Number (if applicable) O -.-766 /0,57-/_23.3 APPLICANT INFORMATION Parcel Size: 7 Gi fiUc Owners Name: -Qir1L &Zzln 0'1i& Owners Address: ���� /�n& 4Z0C. 73 Telephone No.: ,Ftl -.3730 Situs Address: ? elv< Proposed Use: Residential N New Single Family Residential ❑ Single Family Addition ❑ Single Family Remodel ❑ Mobile Home fA Residential Accessory W 05--U33 ❑ Permanent Second Dwelling ❑ Temporary Mobile Home (Aunt Minnie) ❑ Temporary Travel Trailer ❑ Multi -family Non-residential ❑ New Commercial ❑ Commercial Addition ❑ New Industrial ❑ Industrial Addition Other ❑ Septic ❑ Agricultural Exempt Building ❑ Other:___ Brief Explanation (if necessary): ❑ Commercial Remodel ❑ Industrial Remodel ❑ Well DO NOT WRITE BELOW THIS LINE DEVELOPMENT SERVICES INFORMATION (For Staff Use) le Approved ❑ Conditionally Approved ❑ Resolve Problems Prior to Approval IN Site Plan Stamped Approved* By YDate 0 Page 1 of 5 ALL ITEMS CHECKED APPLY TO THE PROPERTY Parcel Is In: ❑ Snow Load Area: ❑ Land Conservation•Act Minimum Acreage:❑Verify residence can be built per contract ❑ Nitrate Action Plan (See Environmental Health for standards) ❑ Watershed Protection Overlay Zone (See attached standards and requirements) Expansive Soils (Test for expansive soils and if verified proper foundation design required) ❑ SRA - (CDF to determine specific requirements) ❑ 100 -Year Flood Plain:' (See attached) • Flood Zone: Y_ • Flood Panel No.: 6a7nj7 qQC__Index Date: (Q q ❑ Sacramento River Reclamation District (Approval must be obtained from the California Reclamation Board) ❑ Feather River Reclamation District (Approval must be obtained from the California Reclamation Board) ❑ North Chico Specific Plan (See Development Fees Section and attached standards and requirements) ❑ Chapman/Mulberry (See attached standards and requirements) ❑ Cohasset Area (See attached standards and requirements) ❑ Grading Zone (See attached handout) Use Requires: ❑ Use Permit ❑ Minor Use Permit ❑ Administrative Permit ❑ Minor Variance ❑ Variance ❑ Detached Building Use Form ❑ Encroachment -Permit— ❑ Agricultural Worker Affidavit ❑ Agricultural Acknowledgement Statement Zoning: /,I- — /L 6 P - Lfl _ Applicable Building Setbacks: ❑ Setbacks drawn on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks. Page 2 of 5 r Zoning Code Streets & Highways Fire Prevention Subdivision Map Front G , Side S Side Street Rear S. Height Waterway N/A N/A N/A ❑ Setbacks drawn on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks. Page 2 of 5 r Applicable Development Fees: Standard Fees Amount Formula ❑ Fire ❑ School* ❑ Parks/Recreation ❑ Roads ❑ Sheriff ❑ Drainage ❑ NCSP/CSA 87 ❑ Chico Urban Area — Road ❑ Thermalito Impact ❑ Other ------------------------------------------------------------------------------------------------------------------------- Subdivision Map Special Fees ❑ Water Tender ❑ Road Improvement ❑ North Oroville Area ❑ Other (per map) * Check with school district to verify actual fee if pre -application review. A final determination will be made at the time of the building permit. Parcel Created By ❑ Deeds: Date of Creation: Deed of Reference: Legal Access Provided: Legal Access Required Parcel Frontage on Publicly Maintained Road: ❑ No ❑ Yes, Road Name: Complies with Co ty Standards for Deed Creation:❑ No ❑ Yes Comments: prLYpt lS /i�G�ry�;� f -s I S52c�� — j e'41� ❑ No ❑ Yes ❑ No ❑ Yes Parcel Deemed to be legal ❑ Verify Legal Parcel ❑ Verify Legal Access ❑Provide Deed of Creation ❑ Obtain a Certificate of Compliance ❑ Obtain a Merger ❑ Obtain a Lot Line Adjustment ❑ Comply with Old Subdivision Lot Ordinance (Maps recorded prior to Book 17 of Maps Page 23). ❑ Construct road to: ❑ Meet Parcel size required by zone ❑ Meet current Environmental Health Department requirements Page 3 of 5 ❑ Subdivision Man/Parcel Man: Map Date of Recording: Lot: Book: Page. ❑ Use Permit/Minor Use Permit Permit Number: Date of Approval: Parcel Map/Subdivision Map/Use Permit Conditions ❑ Comply with the following Conditions of Approval: ❑ Meet the Fire Safe Regulations of Butte County and P.R.C. 4290 ❑ Automatic fire suppression sprinkler systems shall be installed in accordance with the National Fire Protection Association Standard for installation of sprinkler systems in one and two family dwellings and mobile homes, NFPA Standard 13D, unless a pressurized community water system, with hydrants that meet the Fire Department specifications, serves the parcel. ❑ Wood stoves and fireplace inserts shall be EPA approved and designed to meet the emission requirements of the California Clean Air Act of 1988, as amended. ❑ Provide an erosion control plan for building and land disturbance. The Erosion Control Plan must be prepared by a registered civil engineer or other qualified professional and be submitted to and approved by the Department of Public Works. ❑ In lieu of a pressurized water system or water storage tank, payment into the appropriate Battalion Water Tender Fund may be required. ❑ Measures shall be. taken to control fugitive dust emissions from all driveway and other civil construction associated with residential development.. Approved dust control measures are found in the fugitive dust control plan for the site approved by the Butte County Air Quality Management District, a copy of which can be obtained from the Butte County Department of Development Services, Building Division." ❑ Engineered foundations are required. ❑ Class A roofs are required. ❑ Property owners responsible for roa EJ C Page 4 of 5 n 0 Summary of Specific Requirements: This information provided in this summary is based on the application information and on the best available data at the time of review. CALarrys\Building Permit Site Plan Reviewl.doc Page 5 of 5 Butte County Department of Development Services 7 County Center Drive Oroville, CA 95965 (530) 538-7601 Telephone (530) 538-7785 Facsimile ADMINISTRATION*BUILDING*GIS* PLANNING April 29, 2005 Gene Belmonte etal 2811 North Avenue Chico, CA 95973 Re: Application for Lot Line Adjustment, LLA 05-23 A.P. Number(s) 031-247-001 Dear Applicant: On April 29, 2005, the Department of Development Services made the finding that the Lot Line Adjustment on the above referenced property is exempt from environmental review, and approved the project subject to the conditions on the attached page. Should you appeal the decision of the Dept. of Development Services, please submit your appeal, in writing, with the appeal fee of $50.00, to the Clerk of the Board of Supervisors, 25 County Center Drive, Oroville, California 95965, prior to 4:00 p.m., May 9, 2005. The conditions of approval must be met within thirty-six (36) months from the date of approval by the Department of Development Services or the approval will be considered null and void. If you have any questions concerning this matter, please contact this office at (530) 538- 7601, Monday through Friday, 8:00 a.m. to 4:00 p.m. -Sincerely ' } ...,. .. I Y nne ChrJstoph Director YC/LR cc: Charles E. Harris, Jr. vironmental Health Department V/Building Division CONDITIONS OF APPROVAL Gene Belmonte etal, Lot Line Adjustment, LLA 05-23, 031-247-001: A proposed Lot Line Adjustment to re -align a north/south boundary line to an east/west boundary line., located on the southeast corner or 7th Street and Colusa Avenue, Thermalito.. Engineer: . New lot or parcel lines shall comply with setback requirements of applicable zoning and building ordinances. 2. Deeds and plats (if required) shall be submitted to the Department of Public Works, Land Development Division, for checking and approval prior to recordation and shall contain the notes specified below. Include a legal description signed by a registered civil engineer licensed prior to 1982 or a professional land surveyor. 3. Provide documentation from a title company on the applicant's choice verifying any deed of trust affected has been partially re -conveyed or modified to reflect the lot line adjustment and to prevent the creation of any additional lot or parcel. 4. Prior to recordation of deeds, provide documentation verifying payment of taxes as reguired by Subsection (b) of Section 20-95 of the Butte County Code and as specified in Article 8 of Chapter 4 of Division 2 of Title 7 of the Government Code, commencing with Section 66492. Deed Note (To be placed on any deed to effect lot line adjustment) The purpose of this deed is to effect a lot line adjustment as approved by the County of Butte on . The above described lands are to be combined with and become a part of those lands as described in the deed to . as filed for record in Butte County Official records at Serial Number Book at Page . No additional lots or parcels are created hereby. The scope of review of said lot line adjustment was limited as specified in Government Code Section 66412(d), and approval of it does not constitute assurance that future applications for building permits or other land use entitlements on the modified lots or parcels will be approved by the County of Butte. Plat Note (to be placed on any required Plat) This plat does not constitute a legal description of the lots or parcels depicted and does not show all easements of record on or affecting said lots or parcels. Lot Line Adjustment Conditions of Approval - Butte County e •1 �j p,, District Identification, No. �� 1 7 ICY 1 Sn�� U I Q 1Ci School District certifies that e T _T9 - Address) Address) J6 (City) has complied with the requirements of Resolution No. representing /1041 square feet.,) A District 2'eI mu>1 rt4s-� (Applicant) (Phone Number) CA (State) (Zip Code) c by payment of $ (,. /CQ A, JAB 2926 FULL MRIGATION $ Date Paid by Check X Remarks: V, I A J 1 �t Or4A u No*@: You may protest the Imposition of the fess Identified stave by submitting a wrtttm protest to the District, in compliance—W6 Govenment Code Section 66020(x), within 90 days from the date fess are pall. Failure to submit a timely written protest wlll'prohibit you from chMieging the Imposition of the fess In any court acdom If, subsequent to the School District Represmdative signing this Butte County Schools Impact Fee Certification Form, the School District Is rotII by the applicable Local Planning Agency that this project b being reviewed under the California Environmental Quality Act (CfeGA). this project may be subjectto additional school fess to fully mkgste.1tilmpact on the school distrIces schools. White (applicant), Yellow (building department), Pink (school district) %eforn.xla 001031dmm r AN BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM " • (One form per Building) p_r y Building Department No. ©4 Z-7 Up School District LJ(�-YJ.LLQ l7 I"T A.P. Number b 3 - 24-7 --601 Jurisdiction: CityCounty -�- Property Owner Property Location/Address 6�7 ( L USA/ -\l � \ Or Subdivision Lot No. ...................... ...... ................... ........... :....................................... Residential Development Fr --j Q Q Sq. Footage 16:4 No of Living Mobile Home Addition/ 'Supplemental to (Group R) Units Installation Conversion Permit # 1 E ; E *(No foundation inspection) :............................................................................................. _ _.... Deed Restricted Sq. Footage (Attach a signed copy of Deed Restriction and Notice of Limited Use Facility document) Commercial/Industrial Q Sq. Footage ,0 New Addition (Including Exterior Roofed Areas) 1 Buil mg partment Representative i; Date e •1 �j p,, District Identification, No. �� 1 7 ICY 1 Sn�� U I Q 1Ci School District certifies that e T _T9 - Address) Address) J6 (City) has complied with the requirements of Resolution No. representing /1041 square feet.,) A District 2'eI mu>1 rt4s-� (Applicant) (Phone Number) CA (State) (Zip Code) c by payment of $ (,. /CQ A, JAB 2926 FULL MRIGATION $ Date Paid by Check X Remarks: V, I A J 1 �t Or4A u No*@: You may protest the Imposition of the fess Identified stave by submitting a wrtttm protest to the District, in compliance—W6 Govenment Code Section 66020(x), within 90 days from the date fess are pall. Failure to submit a timely written protest wlll'prohibit you from chMieging the Imposition of the fess In any court acdom If, subsequent to the School District Represmdative signing this Butte County Schools Impact Fee Certification Form, the School District Is rotII by the applicable Local Planning Agency that this project b being reviewed under the California Environmental Quality Act (CfeGA). this project may be subjectto additional school fess to fully mkgste.1tilmpact on the school distrIces schools. White (applicant), Yellow (building department), Pink (school district) %eforn.xla 001031dmm r AN X a BUTTE I."P'OUNTY 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. BP042050 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: 07/13/2004 APN'' 031-247-001-000 the Business and Professions Code, and my license is in full force and effect. License Class: License Number: Site Address: 679 COLUSA AVE ORO Date: Contractor. Map Index: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Description: DEMO SF 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: BELMONTE GENE & KARAN to its issuance, also requires the applicant for such permit to file a 2811 NORTH AVE signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 commencing with Section CHICO, CA 7000) of Division 3 of the Business and Professions Code) or that he or 95973-0989 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 Code: The Contractors' State License Law does not apply to an Applicant: BELMONTE GENE & KARAN 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 1 not apply to an owner of property who builds or improves thereon, Contractor: J and who contracts for such projects with a contractor(s) licensed�— pursuant to the Contractors' State License La ❑ 1 am Exem t under Article 3 f the Business P fessions Code L Date: Owner: 1- I I I D License #: WORKERS'cdMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: } ❑ I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit 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: 0 S. F. Policy #: Valuation: $0.00 O 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 co ply w' h those provisions. Date: ' O ,7 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. _ _ _ T s p _ it' __ re y s u der th ap licable prov��ii� ns of the Butte Count Code 2nrVor a Y _ I hereby affirm that there is a construction lending agency for the R s tion to o is e w ch srhave been paid performance of the work for which this permit is issued (Sec 3097 Civ.) r Name: -711 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 owner. P e to comply with all county and state I ws relating to building con ruction. I cknowledge it is unlawful to alter the substance of fiy official form or docume of utte un I hereby authorize represent ives utte Co un to a er upon t above mentioned property for inspection purpose . Print Name: G Signature: (✓ Date: 07 1/0 er 13 Contractor ❑ Agent for Owner 13 Agent for Contractor X a 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. BP042050 LICENSED CONTRACTORS DECLARATION 1 hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date: 07/13/2004 APN•' 031-247-001-000 the Business and Professions Code, and my license is in full force and effect. License Class: License Number: Site Address: 679 COLUSA AVE ORO Date: Contractor. Map Index: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Description: DEMO SF 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: BELMONTE GENE & KARAN to its issuance, also requires the applicant for such permit to file a 2$11 NORTH AVE signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 commencing with Section CHICO, CA 7000) of Division 3 of the Business and Professions Code) or that he or 95973-0989 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 Code: The Contractors' State License Law does not apply to an Applicant: BELMONTE GENE & KARAN 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 not apply to an owner of property who builds or improves thereon, Contractor: and who contracts for such projects with a con (s) licensed pursuant to the Contractors' State License La . ❑ 1 am Exem t under Article 3 f the Business P fessions Code Date: Owner: � License #: WORKERS'CdMPENSATION 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. ❑ I have and will maintain workers' compensation insurance, as Engineer: required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier: Total Square Ft: 0 S.F. Policy #: Valuation: $0.00 0 I certify that in the performance of the work for which this permit is Census Code: issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith w ply w" those provisions. Date: O 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 _ , T s_p_ __it�'Wrer th_ ap licable prove,S�ens,of.thel3utte„Cunt Co!�e ?n or I hereby affirm that there is a construction lending agency for the R s tion w Ich Shave been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) F✓1 / 164- Name: Date: PERMIT EXPIRES -7113Date: Address: 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 owner. I e to comply with all county and state I ws relating to building construction I cknowledge it is unlawful to alter the substance of y official form or docume of utte n I hereby authorize representZII/Butte Coun toe 19"'r upon t above mentioned property for inspection purposePrint NamSignature: Date: O 9-0wrl r — 13 Contractor 0 Agent for Owner 13 Agent for Contractor F R. �l X BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES�; pp BUILDING PERMIT APPLICATION C11 ICU AND SUBMITTAL REQUIREMENTS ( f i- Q-751) 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OFAPPLICATION APPLICANT NA E CONTRACTOR Name L 12 Address Zip City Fax State Zip Phone Map Book Fax -owl Planner APPLICANT NA E CONTRACTOR Name L 12 Address Zip City Fax State Zip Phone Map Book Fax E-mail Planner Lic. # Class APPLICANT NA E ARCHITECT/ENGINEER Name City Address Zip City Fax State Zip Phone Map Book Fax E-mail Planner State License Number APPLICANT NA E Name e &_ � - " le Address City State Zip Phone Fax E-mail APPLICANT IGNATUR X LLz- For office use only: Zoning Flood Zone SRA I 'res No Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS K:\FORMS\BUILDING F0RMS\B1dgApp1SubRgmts.doc Page 1 of 2 PERMIT N P (J BIN # LOCATION AP# QJ ! ~,'� C ] — 00 — WO Property Address 6,767 /j /1U f!4—,4V& Cross Street --7 7 5� ::1 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 pennit issuance. LENDING AGENCY Name Address Descriptb-- -- " _t _ Of Work: Sq. Foots. — ` ❑❑ Structu Built without Permits ❑ Propos 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. by: Amount: /U— SRA Zeceipt #: � I Sheriff SMIP v Other Total REV 4-30-04 SUBMITTAL REQUIREMENTS r 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 Residential, New, Remodels, Additions, and Accessory Structures: ❑ 1. 3 Site Plans, signed by the preparer. NO GRAPH PAPER! ❑ 2. 3 Complete sets of plans, signed by the preparer. NO GRAPH PAPER! ❑ 3. 3 Engineered plans (if required) with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 4. 2 Engineered truss details and layouts (if required) (NO FAXES!). ❑ 5. Letter from Engineer or Architect for truss design review. ❑ 6. 2 Energy compliance design and supporting documentation: (Note: Not required for additions to mobile or modular homes.) ❑ 7. 2 Flood Elevation Certificate, wet -stamped and signed (if required). ❑ 8. Detached Accessory Building Form, filled out by the property owner (if required). ❑ 9. Sanitation and site plan approval from the Environmental Health Department. ❑ 10. 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 GRAPH PAPER! ❑ 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. o 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 KAFORMS\BUILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2 REV 4-30-04 O.B.-1 OWNER-BUELDER VERIFICATION Attention Property Owner: An "owner -builder' building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. I personally plan to provide the jor labor and materials for construction of the proposed properly improvement : YES'NO ❑ G%i HAVE HAVE NO 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: may.. PHONE: CONTRACTOR'S 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 NAM: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. S. 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 NOTE: This Owner -Builder Verification is required by Section 19831 and 19831 of the California Health and Safety Code. This verification mast be completed and returned to our office before we are permitted to issue the permit •RVi-5-fF OWNER BUILDER" INFORMATION Dear Property Owner An aPpUcafiDn improvements specified. r a building permit has been submitted in your name listing yourself as the builder of property For yourpmtecdon, you should be aware that as owner -builder" you are the responsible party ofrecord 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 yoursel4 you may protect yourself from possible liability if that person applies for the Proper Pmt 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 nirm er on all pe3mits for which they apply. If you plan to do your own worm with the exception of various trades that yon plan to subcontract,you should be aware of the following information for your benefit and protecdm- 0 If you employ or of erwise engage 2111, persons other than your immediate icy, 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 as employer. ♦ If you are an employer, you must register wig. the State and Federal Govermneub as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, Wow comP 0n fi===ne, disability insurance costs, and unemployment compensation contribution& There may be financial risks for you if you do not caay out time obligations, and these risks are especially serious With respell to wozkar's cOmPensation insurance. ♦ For more specific mon about your obligations under Federal Law, contract the Internal REvenne Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under Sime Law, contact the Departm= of Benefit Payments and the Division of industrial Accidents. If the st Uz is ictended 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 contracton is to secure an "owner builder" building permits areWon ou* �� that the property owner is providing his or her own labor and material personally. Building uired to be signed by Property ova= ownunless they are pm* mmg their own work personally contractors maybe obtained by contracting the yrs State License Board in your immunity or at 1020 N Street; Saciamnenfo, CA. 95814. Please complete the "Owner Builder Verification- on the reverse side of this form so that we can confma that you are aware of these matters. The building Pew Will not be issued until the verification is returned. NOT T%is Owner-Butlderl»forrxaron is required by Section.14830 ofthe Ca1iforafa Health acrd Safety Codes BUTTE COUNTY PERMIT NO. DEPARTMENT OF DEVELOPMENT SERVICES BP042766 BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 FAX#: (530)538-2140 WEBSITE: www.buttecounty.netkdds 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: 11/17/2004 APN: 031-247-001-000 the Business and Professions Code, and my license is in full force and effect. License Class: License Number: Site Address: 679 COLUSA AVE ORO Date: Contractor: Map Index: Description: NSF (1395) GAR(528)OPN(84) 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: BELMONTE GENE & KARAN to its issuance, also requires the applicant for such permit to file a 2811 NORTH AVE signed statement that he or she is licensed pursuant to the provisions of CHICO, 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 95973-0989 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: BELMONTE GENE & KARAN Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does 2811 NORTH AVE such work himself or herself or through his or her own employees, CHICO, CA provided that such improvements are not intended or offered for 95973-0989 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 amemp rider Article 3 the Busines d P o i ns Code Date: 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: ❑ 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: Cartier: Total Square Ft: 2007 S.F. Policy #: Valuation: $104,187.00 Census Code: 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, U and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall / forthwith co ply wi ' those provisions. Date: M / oX7J% C�/lI 6 Applicant: _ WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY - I hereby affirm that there is a construction lending agency for the This permit is hereby issued under the applicable provisions of the Butte'County0, de anrUar Resoluti o do work ind�tedab hich fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) / O Name: ByDate: �l Address: PERMIT EXPIRES ON: Date ❑ I hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health 8 Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent o e er I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any /ficial form or docum t of to ounty. I hereby authorize represen s of Butte Cou ty to nter upon a above mentioned property for inspection purposes. Print Name: Signature: Date: ner 13 Contractor 0 Agent for Owner ❑ Agent for Contractor 16$ 114W' PS w61[0/v; 3 BUTTE COUNTY q)a-O DEPARTMENT OF DEVELOPMENT SERVICES 6TO, Na 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 OF APPLICATION OWNER Name 6e -Me- /je_lmar,'Ae Address City CA i c- o State e� Zip 959 7 3 Phone 3 G- -3730 Fax E-mail c Ai c a A , to APPLICANT SIGN URE X For office use only: CONTRACTOR Name m w hem Address a s -I t Nva 4Ge City C'6 : I YesNo St%_ zip 95-9 73 Phone pis 3 7 3 U Fax E-mail E-mail l ic. # Class APPLICANT SIGN URE X For office use only: ARCHITECT/ENGINEER Name m w hem Address )c I City I YesNo State Zip Phone Type Const. Fax E-mail Map Book State License Number APPLICANT SIGN URE X For office use only: APPLICANT NAME Name S ec.vh e- Cc. S "0 ✓e Address )c I City I YesNo State Zip Phone Type Const. Fax E-mail Map Book APPLICANT SIGN URE X For office use only: Zoning I A- (L Flood Zone )c I SRA I YesNo Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS PERMIT NO. BP 404 27(4o BIN # 8 LOCATION AN 3/ - a;t tF7- DO / Property Address 679 Co LU 5.4 AI U6 Cross Street 7 r" s i 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 1 Description or Scope of Work: �lSr a t3Qs) 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 by: 1C?__1 f- Amount: 343 O. 6'? Bldg Receipt #: 4 /:) 4-8(, SRA Sheriff 10.+2- SMIP Date:Other tel' • ao • 0411 ,24-4-0. 57l0 Total K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc Page 1 of 2 REV 4-30.04 SUBMITTAL 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. Residential, New, Remodels, Additions, and Accessory Structures: ❑ 1. 3 Site Plans, signed by the preparer. NO GRAPH PAPER! ❑ 2. 3 Complete sets of plans, signed by the preparer. NO GRAPH PAPER! ❑ 3. 3 Engineered plans (if required) with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 4. 2 Engineered truss details'and layouts (if required) (NO FAXES!). ❑ 5. Letter from Engineer or Architect for truss design review. ❑ 6. 2 Energy compliance design and supporting documentation: (Note: Not required for additions to mobile or modular homes.) p 7. 2 Flood Elevation Certificate, wet -stamped and signed (if required). ❑ 8. Detached Accessory Building Form, filled out by the property owner (if required). ❑ 9. Sanitation and site plan approval from the Environmental Health Department. ❑ 10. 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 GRAPH PAPER! ❑ 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 planapproval 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 KAFORMSMILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2 REV 4-30-04 Building Plans Truss Calculations Energy Calculations Structural Calculations Residential Plan Review Guide Residential Construction Requirements Other Other Butte County Department of Development Services �vTtF YVONNE CHRISTOPHER, DIRECTOR 00 �I / 00 i o 7 County Center Drive 0 0 0 0 Oroville, CA 95965 c0105 co (530) 538-7601 Telephone R (530) 538.7785 Facsimile N TO: WILLDAN ' FROM: Scott Rutherford (530) 538-7160 srutherford@buttecounty.net SUBJECT: Plans Transmittal For Review Per Contract O DATE: 9/21/2004 Applicant: Belmonte, Gene. Permit 04-2762 Project Type: NSF/Gars e/O en APN: 031-247-001 100% 70% Plan Check Fees $ 972.03 $ 680.42 $ 972.03 $ 680.42 WILLDAN Fee $ 680.42 Copies Attached: Qty Chk Application Site Plan Review FEMA Elevation Certificate Building Plans Truss Calculations Energy Calculations Structural Calculations Residential Plan Review Guide Residential Construction Requirements Other Other COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING, DIVISION 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET OWNER: __..B F_- L ),_4 0 Ai T'E Tt2 c QST ASSESSOR PARCEL NUMBER 4::)3 1 • , 4 7 • oa I \ mPti1 t�o�. ley - Proposed Building Use: S 1= 13G S�2. �jZ i Gunter Technician: f� `- Date: 9 • a o • 04 Items required in order to apply fora permits All boxes MUST be checked OR marked NA in order to apply. zl� 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. . 4:0' 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 R_ 15. Sanitation and site plan approval from the Environmental Health Department in ❑ Chico ❑ Oroville, as applicable. 16. Other + f 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 l .//C Fees as shown the attached Schedule of Fees Due Sheet ........................QW .........� ❑ 22. City of Chico Plumbing permit........................................................................ ,, 23. California Department of Forestry plan approval ❑ paid. Sent by: ............. 24. Planning approval (A) UseAl (B)Parking: (C) Parcel Check: ! m ❑ ;; 25. Contact Land Development about _ Improvements, _ Drainage ......................... b 27. Encroachment nt Permit for driveway from t Public W "........"................. the Public Works Dept ........................... ❑ 28. Pre -Inspection for required....... ❑ 29. Contractor's license information. (Number, Name Style, Classification) ................... ❑ 30. Compensation arn�ePolicy Number .......................................... 31. One-BdVerification (6venoowner, _Mailed to owner) ..................... 32. Letter o Signature authorization.................................................................... ❑ 33. Recorded copy of Agricultural Acknowledgment Statement ................................. ❑ 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 ;9A S • :;;Z,7, e_.!o and hold for pickup. I have been informed of the above items and requirements for obtaining a building permit. Applicant: !�_/ t..'1e.t' k Date: J o 1. Index permit application for the above items numbered: Plan Check Letter 2. Additional items'required Contractor, design , own as advised of the above data byFW phone, ❑ mail, ❑ counter, by Date: ,"- Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, y Date: Plans reviewed by: Date: Plans approved by: I Date: Structural reviewed Date: Structural approved by: Date: lidslo+ Note transfer by: Date: Yellow: Building Division 3�0�-3-7l0� COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE, CA 95965 TELEPHONE (530)538-7541 SCHEDULE OF RECEIPT OF FEES OWNER �E� ►,/ c•.t-rE l �a cisT A.P. # '0B1 -a47_ oc/ cP�.t not � PROPROSED BUILDING USE &JS F�3g5 err A- P_ X52! DAV 'i • zo • cA- L � R$CE[PT # DATE REC. A'�{ 1. BUILDING PERMIT FEES -- `--- Balance Due ...................... $ '7 43 D• ' 8 4-1 24SG 9- Ze) • 04- --- 4 --- Additional Fees Due........... $ --- Revised Plan Checking Fee.... $ 2. SCHOOL DISTRICT FEES 4:f)A2enV J J -LE "e -t-4- 60& (paid at School District Office) (form available after Plan Check) S_xc�1 PT- 3. SHERIFF FEES (paid at Building Division) ST7 ►residential ............ X $360.00 =$ 1.1 Units Commercial (sq. ftg.)..... X $0.03 = $ Sq.Ftg. 4. URBAN AREA FEES (paid at Building Division) Residential (per unit)..... X = $ _ # Units Amt. Commercial (Sq. Ftg.).... X = $ _ Sq. Fig. Amt. 5. RECREATION DISTRICT FEES (paid at Recreation District Office) (form available after Plan Check) ALITO DRAINAGE DISTRICT FEES O.00 aid at Building Division) l p,� 7. SRA FIRE INSPECTION AND PLAN CHECK FEE $89.00 (paid at Building Division) 8. WATER TENDER FEES BATTALION #, $200.00 (paid. at Building Division) 9. NORTH CHICO SPECIFIC PLAN (paid at Building Division) Residential Zone X = $ Zone # Units Amt. Commercial (sq. ftg.) ......... X = $ Sq. Ftg. Amt. 10. OTHER S "t t is $ 10.4-2- 4-17-4&,o c1' Zo At 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 dura the plan checking process. . APPLICANT DATE Q 0 20 D Pursuant to Government Code Section 66020, you are hereby notified that items, 2, 3, 4, 5, 6, 8, 9, and 10 above may have been imposed on your project. You have 90 days from the date of approval of the project or from the imposition of the above mentioned items during which you may protest. The requirements for a protest are specified in Government Code Section 66020(a). Original -Building Division Yellow -Applicant Pink -Owner (rev. 2/2003) O.B.-1 OWNIER-BUELDER VEMFICA'I -0N Attention Property Owner. An "owner buildee' 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 -andis 'sig your building permit No building permit will be issued until this verification is received. .-1. I personally plan to provide the major labor and materials for construction of the proposed property.improvement : YES )9 NO ❑ 2. I HAVE HAVE NOT ❑ signed as application for a building pemsit for the proposed work. I have contracted with the following person (firm) to provide the proposed constr adon: NAR +': ADDRESSc MY: PHONE: CON'TRACTOR'S LICENSE NO. 4 I plm to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major wor]c NAME: ADDRESS: may: PHONE: CONTRACTOR'S LICENSE NO. the work indicated: - - - NAME ADDRESS PHONE TYPE OR. WORK SIGNED: PROPERTYOWNER: SOCIA -L t - SER: DAT'E:_ Zkk V NOTA: This Owner -Builder VerYkation is required by Section 19831 and 19532 of the California Health and Safe€y Code. T7sic ver cation must be completed and OWNER BUILDER INFORMA110N Dear Property Owner. An m my spm a g P=nrt leas been submitted in your nye g y If as 9�e bm'Ider of ProPert3' For yotupratection, You should be aware that as aowner-bm7dee you am $e responsible ply ofrecord on such a Pent BuEHing Penh are nbt re uh-ed tD 1;e signed by property owners unless they are personally perfa own work- If your Werk is befog pe�� egg their liability if that eeson by someone other than yoursel f you may Protect yomelf from possible p applies far the praperpermit fa his or her name. Caaftwtors am reqaimd by law to be licensed and bonded by l� cense from S� of Caiifaaafa and to have a business the chy or They are also b3, ► to put their He number on aU pezniiL� for which Y be aware of the following meson m on various trades that you plan to snbcoairaci, you should yon- bene5t and proro tection: , a Ifyan on employors and other costofsth�ise Mfy p�oM offiM yaw i�e� �, and the WMk Cmchidmg min) oonhac6orst ou m,aa more far lie y be as employee; entire� projectand such persons are not licensed as conftactors or sub, filen you ♦ If you are an employes:, you-mnst-regster wft-&*. Smote and Federal Govt as asI subject to several obligations including staff and federal income tax wiffiho Idiags ii�eral� � and Y� am social s warbeas compensation msmanae, disability Asx casts' and Unemployment c an co w'• t ♦ Ibm may be finaaexal risim far you ifyou do not cry out, these ob with respect to wodmes comps, and these risks are especially serious ♦ Formare specffic k&=Bdon aboutpasn obHpd= Under FedeW Law ffyou wish, lie U.S. Small Eusia�s . ctmlract Hie Iizi�mal R.eveane Service (a,4 Law, cat>lact the D For mare sp�..oiac baa about your obligations under eP of Paymeafs and the Division ofWnst W Accidents. If the stnu is ktaded far sal-, Property owners wha are not licensed 00nftactors are allowed to perinnn their work naUy or luough their own eaxsployees, without a licensed contractor or suboenkactor, only under limned A flupeat practice of mgic ensed psoas pmfi=bg to be c0Mk3CtM-S is to SOCM P� Mneousiy �lybg that Hae propMty owner is providing his or her own hsborr an "ow= bna7dei" bmldiag prmits are oat to be malial PAY• Bmidiag by owners trey era own wok personally. Tn&==dc'n about iiceosed PmP�y unless comfy or at 1020 N Y b.. ��� State Incense Board lay= Please saw, GA. 95814. O0� "O� Venficatioe on the ravens✓ side of Hats fmm so that we can confirm that you are aware of these wafters, The bn, d ng lmm't wM eat be issued tmtil &g veafication fs rets Y J / OTS• M Omnff-8M7derlRforrrM*ft fs req uaed by Sec Ip830 of [fie Caf�{orII& -911a,,d,94dV C. Department r n it In t ' Michael Crump, Director of Public o f B u t Works LAND DEVELOPMENT DIVISION Storm Water Management Program 7 County Center Drive Oroville. CA 95965 (530) 538-7266 (FAX) 538-7171 National Pollutant Discharge Elimination System (NPDES) Phase 11 Construction Storm Water Permit and Storm Water Pollution Prevention Plan (SWPPP) Acknowledgement [LESS THAN 1 AC Project Description: Project Location and/or Parcel Number: By signing below, I, the project owner/owner's agent, certify that this project WILL NOT DISTURB 1 acre or more of land and that I; therefore, do not need to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board. I am aware that submitting false and/or inaccurate information or failure to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board for a project that disturbs one acre or more of land may result in revocation of grading and/or other permits or other sanctions provided by law. Signed: Title: Date: Less than L Acre NPDES & SWPPP Compliance Certification Butte County Storm Water Management Program aEy BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One form per Building) ry School District �w) L- I- E G r-( Building Department No. $ P�'�'2 7� f'o A.P. Number 923 1. 2+7 Cor Jurisdiction: � City County Property Owner��—M o►�t TE Property Location/Address 67 "`��:�-QST Subdivision Lot No. Residential Development Q ........................... Q .................................... Q :...................................... Q Sq. Footage No of Living Mobile Home Addition/ 'Supplemental to (Group R) Units Installation Conversion Permit # ........................ '(No foundation inspection) ...................._..., Commercial/Industrial a 0' New Addition Representative Deed Restricted Sq. Footage (Attach a signed copy of Deed Restriction and Notice of Limited Use Facility document) Sq. Footage (Including Exterior Roofed Areas) Date District Identification No. OF 9 I)r oy O Vc Union- 4` �• School District certifies that � C, Mo n 'tom (Applicant) �1 Ca A s a &-,,,)—STS-31,3c) G#-rv. (Street Address) (Phone Number) (City) has complied with the requirements of Resolution No. representing ,)" 1 square feet. a School District CK. (State) Paid by Check # X elr,(fi� Remarks: ,L.SS (Zip Code) —a� by payment of $ D yn 2926 _ FULL MITIGATION $ Date 0 NotFoe: You may protest the Imposition of the fess identified above by submitting a written protest to the District. In compliance with Government Code section 66020(x), within 90 days from the date fees are paid. Failure to submit a timely written protest wlll'prohiblt you from challenging the Imposition of the fees In arty court action. M, subsequent to the school District Representative signing this Buts County schools Impact Fee Certification Form, the School DM11ct Is ratified by the applicable Local Planning Agency that this poled Is being rsyswed under the California EnvlronmenW Quality Act (CEQA), thisprojsd may be subject to additional school fees to fully midges. its Impact on the school distrid'a schools. White (applicant), Yellow (building department), Pink (school district) feeform.xis 00/03)dmm RESIDENT iAL BUILDING RECORD PARCEL SHEET OF SHEETS 4' ADDRESS I ponmucylow MMYORAL vzu'b'uulcul ROOF TVPE' V1151111-16 At19 milm-i De-i.AIL vvII m W 1-1 K I III I I I F�-. T -F- 7 1 rt'� 7u --I r-Ojrce FLOORS FLOOR FINISH INTERIOR FINISH Standard J1 rrame a e I Sub-, ROOMS - rRIM 1) -'�l c , b e) c ____ Gmv. Material C7. Wails C�j�njjs Standard Siticcr. Flag Conduit '601i .7s 220 Floor Perim. I ypicol b' Above-Slpnd. sll� c c Ic-c. KI(117 Cie. Bd Elecq�' Robefs I' f5 Oct MG1110, H. Ivi y Ent.i9alS -�� l�_ __ y�`,_� frl� _. L:a__. Si N Dinio collvcro. Brid.. oriel; V _11k, .— 7 Famil 122E-1 t LP T Rol Floor Joist ibi I g . & I stele. fed 7 N �?Ows PLOUBIWO 11 V!, ed t'luk Wo it "!:' Fi t Reinforced ID101 D W'oq)d 1'.. Floor chAk) 1.4 - rn(s,"L Hillside— conc. Floor �CascsrnantTiIG SinIc V I Q, 1k, PL U5,m 'K, i t c h a n _.eloK — I sh. ec. oil n all ,flits UVA E ia 1—Y 9_ad M BATH DETAIL RAYRIG MAX.) M ME errni� Remain. kJOV14' S'Oroge SE!5_2 FI. MoL ellni, Condition knount Do t2 y A jt VC -An Age in?c Table man I A II_ T D81(r—kilip, 1.T-64, 6 No. For Li lilt. Ext. ship Cup7bd�105el W y. -ell IC3 rl (00 A-19 xu F SPECIAL FEATURES Oven Fan -Ingercorn Hood Dishwashor Z4 3 5 bc __,.prnicer and Date t Uni9 J. n�i Unit Unit Unit Unit Cost Area Cost Cost Cost Cost Cost Cost Cost Cost Unit Cost cost Cost cozi Cost C059 35S;ao S'.5cQ(.) Ze 1119' � ­- �_') __ A -3— S-_ _A� 'u A lei [U C :ni e( Aw L a. Kj2� 109, M ?-9.6o _ Y OT AL t (603 NORMAL %600D A5 (Ip �,� �%'700 AP, DE AS R C.L.N. D. -- — --- SBE-DAS AH -530A 1971 i A W I LLDAN Serving Public Agencies November 5, 2004 Scott Rutherford Butte County Building Department 7 County Center Drive Oro ville, CA 95965 (530) 538-7169 (530) 538-2140 FAX SUBJECT: COUNTY OF BUTTE PLAN REVIEW APPROVAL 117 C Street Marysville, California 95901 530/749.2373 fax 530/749.2199 www.wilidan.com Willdan Project No: 14353-1161 Jurisdiction Job No: 04-2766 Assessor's Parcel No: 031-247-001 Description: Belmonte Residence Dear Mr. Rutherford: Willdan has completed a plan review of submitted plans and documents for the above referenced project and recommends your approval with the conditions noted on the 2nd page of this letter. The plans and documents provided for this review that have been found in compliance with the applicable codes are: * Plans: Two (2) copies sheets 1 through 3 not dated, signed by Gene Belmonte. * Energy Calculations: Two (2) copies dated 09-16-04, by Jay B. Dakof * Truss Calculations: Two (2) copies dated 08-19-04, by Endeavor Homes The plans have been stamped with the Willdan approval stamp and dated the date of this letter. According to our previous letters relating to this project, the superseded plans and documents will be discarded within 10 days unless we receive other instructions. On the pages to follow is the identification of the codes and standards applicable to the project, a code analysis, conditions -of -approval and identification of any deferred submittals. APPLICABLE CODES Unless noted otherwise, all comments are based on requirements of the 2001 California Building Standards Code found in the California Code of Regulations, Title 24: • Part 2, known as the California Building Code and abbreviated herein as "CBC". • Part 3, known as the California Electrical Code and abbreviated herein as "CEC". • Part 4, known as the California Mechanical Code and abbreviated herein as "CMC". • Part 5, known as the California Plumbing Code and abbreviated herein as "CPC". • Part 6, known as the California Energy Code, and Energy Commission Standards, and abbreviated herein as "CECS". FA Q W I LLDAN Serving Public Agencies CODE ANALYSIS This information is consistent with that shown on the plans or hermit annlication: Type of Type of V Floor 2° Floor Sprinklers Stories Total Sq Ft Occupancy,Construction S9 Ft Sq Ft R-3 V -N No 1 1395 N/a 1395 U-1 Garage V -N No 1 528 N/a 528 Covered V -N No 1 84 N/a 84 Porch CONDITIONS OF APPROVAL 1. Approval is contingent upon the review, requirements and approval of other departments and/or agencies that have jurisdiction over this project. 2. Revisions and/or notes as red -lined on the plans. 3. The Title -24 -CF -1R -form shall be signed by the designer, owner or other person taking responsibility for the project design and the Title -24 -documentation author (where different). CES 10-103(a)1 and California Residential Manual 1.4.8 DEFERRED SUBMITTALS Our plan review reveals no deferred submittals noted at this time. SPECIAL INSPECTION NEEDS Our plan review reveals no special inspection needs pursuant to CBC 1701. Sincerely, Isaac Kuster Plans Examiner Gordon Wright, P.E. Plan Check Engineer CC: Alice Mefford, ameffordnabuttecountv.net Gene Belmonte, 2811 North Avenue, Chico, CA 95973 Email: chicokaran@digitalpath.com Page 2 of•2 County of.Butte 14353-1161 PERMIT NO. 5658-75P P E M 1'.1VII-I UTIL. PERMIT NO. c PERMIT EXPIRES :OWNER Otha V. Ramick �"CONTR. owner I'LOCATION (A.P. 31-242-01 i 679"Colusa Ave., Oroville Temp. Power Pole Called PG&E _ Temp. Elec. Sery/.. Called Pq _ Temp. Gas Serv. _ Carred PG&E /OB FINALED (Date) (Signature) 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 Siding To out Slab Roof Sheathing Water Pipips, Piers Roofing Sewer 2 0 Garage t Fdn. Vents Fixtures Footings Garage Vents Water Htr. Stemwall Slab Prov. for physically handicapped Heaters Appliances Carport Footings Conformance of ex. structure Gas Piping & Test Temp. Gas Slab Final Sanitation Patio FIREPLACE Final Footings Footing ELECTRICAL Masonry Walls Throat Rough Reinf. Steel Final Fixtures Bond Beam FIRE SPRINKLERS Motors Framing Test Water Htr. Stucco Final Subpanels Mesh MECHANICAL Grd. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final DATE REMARKS OR CORRECTIONS 111�44Z�; -44 . J i THERMALITO IRRIGATION DISTRICT 410 GRAND AVENUE v"3 OROVILLE, CALIFORNIA 95965 TELEPHONE 533-0740 CSA 26 SEWER SERVICE APPLICATION AND CONNECTION PERMIT Service Address: G79 0,0*- USA k\v E - Owner's Name: �rH A \:. RAPO 1(,- 4- Date:i-loV L4 • 1 q 7.!: Address: G%n (' 6'-. L 5A A\J E. Acct. No: 5-�77> --7715q A.P. No.:?1-7LA-0J Phone: No. Units: Applicant/Agent: is Agents Proof: PJAN //A Address: Fees: / Phone: Application $ r _ `` Preliminary Review By: 1� '1 L) FT Arrearage -x •�r� Date:Ubu CSA 26 Remarks:/ SC -0 R 1st mo. S.C. Other Total Fees Collected By: Date: Field Review By: Date: Remarks: - fes' - `,'_.• '' z ( � .r / r , MONTHLY SERVICE CHARGES WILL COMMENCE AUTOMATICALLY UPON: Date TID of approval of completed building sewer (early connection). ❑ 30 days after date above, or on date of D.P.W. approval of completed building sewer, which ever comes first ("existing construction", prior to Mar. 5, 1974). ❑ 180 days after date above, or on date of D.P.W. approval of completed building sewer, which ever comes first ("new construction", after Mar. 5, 1974). DISTRIBUTION: WHITE - TID, YELLOW - APPLICANT, PINK - DPW, GOLDENROD - DPW to TID COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS ,4 ' 7 County Center Dr1ve —* Oroville, California 95965 7-5Telephcrret 534-4541 (� o� APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned- property for inspection purposes. X ' nate </ Signature of Permitee or Agent Receipt No. 1,777f.-7-- White-D.P.W. — Yellow -Assessor — Pink -Inspector — Golcenrod-Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Date bJ Bim -permit expires Date 6� BUILDING. Owner SQ. FT. OCC. BUILDING VALUATION Mai I i ng Address 130442Z4 41/ ,57 Telephone No. Fireplace Contractor Total Valuation Mailing Address .. Permit Fee Plan Checking Fee &/or Penalty - Telephone No. Permit Fee Building Address eel 7 PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 3, /�1�v1�%f✓ Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 21— 17Q Each gas water heater or vent 1.50 A. P. No. Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 F W. . �anli3tieFr Fire Dept. Fire Zone Use Permit Building sewer 5.00 ,07I EQA Parking Plans I Parcel Declaration Parcel Ma P 60' R/W Im rovements p Lawn sprinkler system 2.00 Bldg.Plon�i2s enc ,r_ Parcel Approval Plans Approval Permit Fee $ $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ELECTRICAL No., @ FEE PERMIT FILING FEE $3.00 �� /,v Main service incl. 1 meter Additional meters, each 1.00 Sub -panel (12 or less) (more than 12) — Single Family Duplex ❑ Mobil Home ❑ Others ❑ Range, Cook -top or Oven 1.00 ' Water Heater or Space Heater 1.00 Light fixtures b Receps„ switches & fix outlets EM CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: Hood, Ex. Fan or F.A. Furn. Motor 1.00 Evap. cooler, gar. disp. or D.W. 1.00 Air conditioner or heat pump Water pump Mobil Home Facilities 5.00 Temp. Power Pole 5.00 License No. Classification Misc. wiring am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ 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. �certify that in the performance of the work for which this permit .is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. • MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating ' Cooling Ventilation' Hood 2.00 Permit Fee $ $ 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby TOTAL PERMIT FEE $ authorize representatives of the County of Butte to enter upon the above-mentioned- property for inspection purposes. X ' nate </ Signature of Permitee or Agent Receipt No. 1,777f.-7-- White-D.P.W. — Yellow -Assessor — Pink -Inspector — Golcenrod-Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Date bJ Bim -permit expires Date 6� LAND OF NATURAL WEALTH AND BEAUTY PLANNING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE • OROVILLE, CALIFORNIA 95965-3397 TELEPHONE: (530) 538-7601 FAX: (530) 538-7785 July 25, 2000 Tomi Cogan 3351 Oro Bangor Highway Oroville, CA 95965 RE: Butte County Code Violation 679 Colusa Avenue, Oroville / AP#031-247-001- Dear Ms. Cogan: The Butte County Department of Development Services, Code Enforcement section has determined by inspection and research that there is currently a code violation present on your property at the above - referenced location. Specially, the violation includes the accumulation of junk in public view and the accumulation of garbage for more than seven (7) days in public view. This is an advisory notice that these uses are in violation of the Butte County Code, as follows: Butte County Code, Chapter 24, Section 24-95 - The AR (Agricultural Residential) zone does not "specifically authorize" large accumulations of junk. The storing of more than 100 square feet of "junk" on a parcel is one of the items used to determine that a "junkyard" condition exists. A "junkyard" is not an allowed use in the AR zone without a Use Permit. "Automobiles and other vehicles, dismantled, in whole or in part" are considered to be "junk." Chapter. 11, Section 11-4 forbids people, whether at a licensed junkyard location or not, from storing junk in public view. Butte County Code, Chapter 31, Section 31-50 - The owner or tenant of any premises, business establishment or industry shall be responsible for the satisfactory removal of solid waste accumulated on said premises. To prevent propagation, harborage or attraction of flies, rodents or other vectors and the creation of a nuisance, solid waste, excepting non-flammable inert material, shall not be allowed to remain on the premises for more than seven (7) days. Non-flammable inert materials stored on a premises shall not be allowed to become either a harborage for rodents, insects or other vectors, nor a public nuisance. Such inert non-flammable materials which are not properly stored shall not be allowed to remain on a premises for more than thirty (30) days. Tomi Cogan July 25, 2000 Page 2 The determination that these violations exist on the property is based on the following definitions in the Butte County Code: Butte County Code, Chapter 24, Section 24-305.240 -Junk. Any worn-out and discarded material in general that may be turned to some. use including, but not limited to, any old iron, wire, copper, tin, lead, rags, paper, bags, lumber, empty bottles, bones, parts of bicycles, tricycles, baby carriages, automobiles, and other vehicles, dismantled, in whole or in part, kept, stored, located, situated or piled in public view, and all other similar personal property ordinarily defined and classified as "junk" kept, stored, located, situated or piled in public view and not screened from public view by a fence. Butte County Code, Chapter 24, Section 24-305.170. - Garbage. "Garbage" means every accumulation of animal or vegetable waste, matter that attends or results from the preparation, consumption, decay, dealing in, or storage of meat, fish, fowl, fruits, vegetables or other food products and shall include any food container in which there is putrescible material either solid or liquid. Butte County Code, Chapter 24, Section 24-305.370 - Rubbish. "Rubbish" shall mean all nonputrescible solid wastes, combustible, or noncombustible, including, but not limited to, paper, cardboard, yard clippings, grass, ashes, wood, bedding, crockery, glass, metal and other similar materials, excepting compost boxes. Butte County Code, Chapter 24, Section 24-305.360 -Refuse. "Refuse" shall mean and include any solids or semi-solid waste other than domestic sewage, including, but not limited to, garbage, rubbish and trash. It is the County's goal to obtain voluntary compliance with the Butte County Code. However, you should be advised that Butte County has an active code enforcement program which provides an effective means of enforcement. If voluntary compliance with this notice is not accomplished by correction or abatement of the violation(s), enforcement may be pursued through the issuance of a citation to appear in the Butte County Municipal Court. Upon conviction, violators may be fined and allotice of Violation may be recorded which will include a description of the action necessary to abate the violation. In order to bring the property into compliance with the Butte County Code and avoid further enforcement actions, you are hereby requested to take the following abatement or correction actions: Remove all "junk" in accordance with the Butte County Code, Chapter 24, Section 24-305.240. 2. Remove all garbage, rubbish and refuse from your property and maintain a regular removal schedule in accordance with Butte County Code, Chapter .31, Section 31-50. Tomi Cogan July 25, 2000 Page 3 You have thirty (30) days to voluntarily comply with the'above directions or to present an acceptable plan for abatement or corrective actions. Should you have any questions concerning this matter, please contact me at the address or telephone number listed above. Sincerely, Scot Johnson Code Enforcement Officer SJ:pa cc: Department of Development Services, Code Enforcement Occupant OWNER. \ )'\I ( e, t VN,laV41VVI'L i- jk� LOCATION: !,VV OF • •; DATE TO INSPECTOR: U TYPE OF OCCUPANCY: U . uilding Description: [ ] Commercial/Usage: [ ] Residential/# of Units: _ [ ] Currently Occupied. [ ] AbandonedNacant. lectric: / [ ] Yes [ L4,1410 Electric is currently : [ ] On Condition of electrical? DATE: I 4 A.P.#: —- ZONING: Y: [ ]NONE [ ]AS FOLLOWS: 5,4 BUILDING INSPECTOR'S REPORT Mobile Home: Yes[ ] No[ ] Natural[ ] Propane[ ] None[Lj-' _ Currently On[ ] Obvious problems: itation: I Plumbing working Yes[ ) No[� Well: Yes[ ] No[ ) Potable water: Yes[ ] No[v]� Obvious Sewage Problems:. -- ---- iption of Damaged Area: Ofil ] valuation of Damaged Area: v Date: c ',vIL STA. 7-0AY INT . RADIA a E-MAIL STA a 7-0AY a INT. RADIOED 7 -DAY INT. RADIO E-MAIL / STA a 7 -DAY INT. RADIO I EMAIL I ,STA. ac• RAIN__TOTAL CopMCFD oAn y INCIDENT LOG PAGE_'�_OF I/ - /I DAvinATE TO ww Tu Es / // - / Z NAT/YM � c r�avn� wvvi � -� • -- - - - - DGY STATCN A118<JLANCF. CFf1CBtTW G l /yZv Oy3z �asrt32 CASE NO s F MNO RO. amo ® LOCATgN3 ,�,• � l..0-� P°"v` � -33z.4 VOWTATCN FALSE "�" PUBLIC: ASSIST ASSIST DART RESOUE R P. PHONE NO STRIICTum MPFtOVE- HENT FWEMA 1 &L _�� VB�f1E MAD"T MEDICAL OMIiw ST TME GUS LAPD LAPD USE PAIAAGE SAVE 7 MAZCOIV TIC ► (LIPID tea^- 1166 1w - srATgN AMBLILANDE OFFICER REPORT TME f O 3 Cmay /Z � 7C',e 2 w tl� RENO R� LOCATION �O C)PH i rL (ZD I WMATCN FALSEPUBIC ALARM AS SW OART RP. S3 - 5 y RJ SmUCRE MPROVE- MBAR ASSIST RESOLE FRE NAME V�IRA al 1/�J V 4cLE MAaNAT MEOICAL OTHER MtSO STARTTW CAUSE LAND USE OAIIAGE SAVE REFUSE CON"h% TIC STATION AMBULMCE OfI10ER RSPORT WM PICCBQTNO 3y LOOC>� �S (zaez GiJ �- (�3 /707 o C,ASE NO FRF NO RO. (:5rmZ LOCATION WMATION FALSE ALARMI PUS ASSIST DART ASSIST REsaIE � � Pf 3 � J 7-0 � sraUcn,1E HENT WWIPROVS FIRS HME — / / a ` �/94CLE MAZWT MEDICAL OTHER M ISC E OAMAGE SAVE USE LAM STAATIVCANO REUSE STATION p O TM �T / 3.� By !�J tas I— 3 If1� CASE NO FRE NO - R.O. `- I�t'.�X NT ; Ll (b 2 � �� s �. VSiETATCN FALSE AIAfiM L PUBIC ASSIST DART R.P. ^ Z 'l cl/ ._ .! I PHONE Na J iMPFiOyE ASSET RESC .E — 1 5 3L i aL FIRE yyRATH _ VBiIC1E MAZMAT h�.J1L OTIC STARTTMAE CAUSE LAND USE DAMAGE_ 1 SAVE RAISE WIZCON T1C DW r STATION /1MBul1NCE OFRCER REPORT TVAE t43oe4r NO LOGGEDBY < % y Y io J CASE NO FRE NO KV. /if C 6 �I vEGEiAT10N FOAR' � . _OCATtON ALARM ASSIST RESCLE COVE. ;LP. PH NO_ / �� Mlear OTFE� FIRE NAME wRA \ `^A ILL U V9�E MAaMAT MEDICAL STARTTME CAUSE / LAIOLISE AOAMAGE SAVE e•G•t, T✓V v ✓ �.� REFUSE MAZCON TIC 'PERMIT 1984-79B,E .a NO. e PERMIT EXPIRES OWNER Leonard Murry 'CONTR. owner LOCATION (A.P. 31-247-1 679 Colusa Ave., Oroville Y �r .. �IV i �oy K I •l k J q' -Temp. Power Pole Called PG&E Temp. Elec. Serv. Called PG&E Temp. Gas Serv. Called PG&E JOB FINALED C 'a (Date) ti 4 (Signatur Setback Forms Main BI Footi Piers Garage Footings Stemwa I I Slab Carport Footings Slab Patio Footings isonry Walls Relnf. Steel Mesh Scratch Brown Finish Interior Lath MOBI Water COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING I BUILDING (Cont'd) I PLUMBING In Firewall Parapets Restroom Finish Windows Siding Roof Sheathing Roofing Fdn. Vents Garage Vents Insulation Prov. for pysically handicapped Conformance of ex. Heatin Cooling Ducts Ventilation Final -------------- Elec- Service Sewer Soil Piping 1st Floor 2nd Floor 3rd Floor Topout Water Piping Sewer Fixtures Water Htr. Heaters Appliances Gas Piping & Temp. Gas Sanitation Final Fixtures Motors Water Htr. Subpanels Gird. Fault Prot. Service Temp. Pole fief. Pedestal Gas Piping MS)BILEHOME INSTALLATION Support Elec. Continuity Water Piping Drainage Gas Piping DATE REMARKS OR CORRECTIONS (1167. (NOTE: An entry must be made on this form each time you visit the job site.) ICA L �s�l//y�4i��I:1=��Wc[dd F -."W r q"I- Heatin Cooling Ducts Ventilation Final -------------- Elec- Service Sewer Soil Piping 1st Floor 2nd Floor 3rd Floor Topout Water Piping Sewer Fixtures Water Htr. Heaters Appliances Gas Piping & Temp. Gas Sanitation Final Fixtures Motors Water Htr. Subpanels Gird. Fault Prot. Service Temp. Pole fief. Pedestal Gas Piping MS)BILEHOME INSTALLATION Support Elec. Continuity Water Piping Drainage Gas Piping DATE REMARKS OR CORRECTIONS (1167. (NOTE: An entry must be made on this form each time you visit the job site.) ICA L RES IDENT IAL ENERGY CONSERVATION STANDARDS CONSTRUCTION'COMPLIANCE CERTIFICATE THIS IS TO CERTIFY THAT ENERGY CONSERVATION REQUIREMENTS HAVE BEEN INSTALLED IN CONFO �C�E"WITH CURRENT ENER JC CONSERVATION REGULATIONS AT (location)�/ BUILDING PERMIT NO. /�e — A;P. NO. l 1-7- 7 I , THE -FOLLOWING HAVE BEEN INSTALLED AS PER APPROVED PLANS: (Check each item or write N/A if not applicable) INSULATION: Slab Edge. Fdn. Walls Floors Walls Ceiling/Roof Ducts Circulating Pipes APPROVED HEATER APPROVED WTR.HTR. GLAZING: Single Glazed Special (Insulated) T CERT. & LABELED WDS. & SLIDING DRS. WEATHERSTRIPPED DRS. 04!:!J® BACK DAMPERED FANS INTERMITTENT IGNITION DEVICES CERT, APPLIANCES I DECLARE THAT ALL REQUIRED ITEMS AS NOTED ABOVE HAVE BEEN INSTALLED IN ACCORDANCE WITH THE ENERGY CONSERVATION REQUIREMENTS AND AGREE'TO. THE COMPLETENESS OF THIS CERTIFICATE AS SUBMITTED. Insulation Applicator Name Signature of (please print) Insulation Applicator State Contractors License No. General Contractor/Owner Name Vl, , / Q_�/%� %off 194 (p ease •print) /V Signature of General Contractor/Owner _ Date 1, Sta Contractors. Li ense No. THIS CERTIFICATE MUST BE ON FILE WITH THE BUILDING DEPARTMENT PRIOR TO REQUESTING FINAL INSPECTION AND SHALL BE POSTED IN A CONSPICUOUS LOCATION WITHIN THE DWELLING. COUNTY OF BUTTE- — ' DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 Tel eph$ne: 5344541 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X Date "7 Signature of Pq mites or Aga Receipt No. a.33O.S 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 aboove7 which fees have been paid. RW 0 OF P BLIC WORKS �( )KV4111-1 _Z Date " Building permit expires Date1,?— �v BUILDING Owner SO. FT. OCC. BUILDI VA ATION Mailing Address /.4 79 v—, r Telephone No. Contractor Mailing Address Fireplace Total Valuation Telephone No. Permit Fee Building Address % Plan Checking Fee &/or Penalty - Permit Fee PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 _ Repair drainage or vent piping 1.50 A. P. No. 3 — 7 Zoning & Planning Water piping 1.50 Each gas water heater or vent 1.50 Fees ,tieC. ionA Fire Dept. Fire Zone Use Permit Gas piping system 1 -5 outlets 1.50 EOA Parkin5l VParcei Plans Declaration Parcel Map 60' R./W Improvements Each additional outlet .30 Building sewer 5.00 taw"Pl.n, Recd Parcel A r Pla Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION -54 UTILITIES ❑ OTHER ❑ Permit Fee $ $ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service 800V OR LESS 100 AMP OR LESS 5.0� Single Family Duplex ❑ Mobil Home ❑ Others ❑ Main service EA. ADD'L 100 AMP 2.50 Main service OVER 600V 25.00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 1.00 NEW CONST * OR ADDNS. (DWELINGACCLBLDGS.CCUP. I 0sgft i CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: NEW CONSTRES,., MULTI -OUTLET NON-RESID, BRANCH CIRCUITS 12.50ea NEW CON STR (POWER APPARATUS 8 NON-RESID• SINGLE OUTLET CIR. Ex. Occup{OUTLETS OR FIXTIIRES1 5 L 1�e0Q Ex. OCCU FIXED APPLNS. OR p•(OUTLETS (RESID•) EA; 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Lice a No. Classif,i'cation Misc. Wiring 6.25 93", am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑ 1 have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. ® certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 1 1 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 is TOTAL PERMIT FEE $ authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X Date "7 Signature of Pq mites or Aga Receipt No. a.33O.S 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 aboove7 which fees have been paid. RW 0 OF P BLIC WORKS �( )KV4111-1 _Z Date " Building permit expires Date1,?— �v Address: Tenant: Building Location: Type of Inspection requested: BUTTE COUNTY DEPARTMEVT OF PUBLIC W0RXS SPECML-9�S-P E -TT N PF.:PORT a.A. 7. Y A. P. it --,j --.--j Lt7 Date of Ins io Inspector 2. Financing 3. Change of Occupancy to 4. Other (specify)_ Prescut use: cf build A. Sanitation 1iau.�ind 1. -later closet: 2. 2. Lavatory Wall constriction: ? Bathtub or shower -- -- — 4. Kitchen. pink: r a. Hot. and cold water to fixtures: r -+► t 6. Heating,facilities: ilities: 2. 7. Natural light and ventilation- entilation:8. Fusing: 8. Roo'.n anti spec e• requirement s..'- :'_9.•t• 9.4 pedroom wind6w or door for second exit: 10.x.,Infestat.'_on of insects, vermi;,.,' 11. Connect -%on to sewage disposal.: { + 12. Correction to water suppl9?:_ i O _ . �' Co-r'►�-`^� i 13. Rubbish and garbage fac:i.liti.es: 14. Comments: B. Structural 1. Pi.<ers and footings: I, 2. Floor construction: 3. Wall constriction: 4. Ceding and roof construction: 5. C. Electrical 1. Servicc: :.ind ground 2. Receptacles:3. Fusing: 4. Vol i 6 /-21/'7 -.- w D. Plamb ink y 1 s ti� xtu7 E s con—n—act-d and 3. Gas :.crTtirg ve'1i:__._--4. E. Other 1. Maintenance and repair: r 2. Fire hAzards: 3. Safety hazards: , - 4. :Weather protection: r 5:. ,,;Underfloor and attic ventilation: r- 6 Gamments: — F. Ccmmre_rcial Buildings 1. Roof covering: 2. Distance to property lines: 3 Physically handicapped: 4. Restroom floors and walls: _ 5. Exits: 6. Improvements: 7. Zoning: 8. Comments: G. Field Problems or Violations 1. Problem or ••,iolati(gi (00 'r hV% I+ e-- «— S �—n 2. Wear actign taken give C 3. lete description): I 0. j��� iI i. lete :description) s .. i:a� a. r-L(Jxt LCl: V6IllIE'Z(le(1: 7 % A.; Information only - fiLra. 7P' -B. Hold for ten (10) days, then write letter. / / C. Write letter. 77D. Other: 9-- A j j I vl 01"� fl.Q�1rs 'to D2 rD J( � b DC � �— � h a4 e_q v ale ure-I s eA.N, wZ.a,YVec o V -wall gro u �1.� 1 I � _... rm- ... � ...:awe ]-:-ate..`..�I".�-�+a�.nf+wvH:ic��+'x-.s-... r�y+,•v.. �:-.�-�-+-.+�«i.�rr:.��-w�3,.5+s•�:+-:--" "'^�^"'�, x • i i 71 s. o� COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Orovilh, CdAllforriia 95965 - Telephone 916/534-4541 APPLICATI6 AND PERMIT ASSESSOR PARCEL NUMBER 4J Z N BUILDING PERMIT OWNER TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNE'R''s MAILING ADDRESS /{� aj I.. / 0, \ A) lI J C r~ t/i. '/ CONTRACTOR'S NAM" fA ;1A�C TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER , UNKNOWN Total Valuation Is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER %1I 3-h LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ 7X),�J BUILDING ADDRESS PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Repair drainage or vent piping 5.00 0 m Water piping LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF ❑-'Duplex❑ Mobilehome❑ Other SPECIFY Building sewer Lawn sprinkler system 5.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ OtherFl Describe work: ��'CT I r) w� r +► Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 AMP OR001 OR LESS5.00 Main service EA. ADD'L 100 AMP 2.50 ( DWELLING OCCUP.) NEW CONST. B OR ADDNS. \ ACC. BLDGS. 20 sq it 6()CONTRACTORS LICENSE LAW I declare under penally of perjury (Check one): El am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification 0 I, as the owner, or mV.�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 MULTI OU NEW CONST(LET2.50 NON.RESID BRANCH CIRC ITS ea NEW CONSTR. /POWER APPARATUS S\ NON.R ESID. %SINGLE OUTLET CIR. / SO 025¢ Ex. Occup OUTLETS OR FIXTURES gpL�i EX. OCCUp.�OUTLETS (RESID )REA. 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 Permit Fee $ Contractor MECHANICAL PERMIT Filing Fee 10.00 'JWORKMEN'S COMPENSATION INSURANCE I declare undepenalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shal I be deemed revoked. Heating Cooling Hood 3.00 Ventilation Penult Fee 3 Contractor 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 authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. - 0'- X '� - • �� �"' Date --� Signature of Applicant — Owneri EQ Contractor ElAgent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ OCCUP. GROUP I TYPE OF CONST. I PARCEL PD I ND I ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DJRECTOR OF PUBLIC i r By �� "� " PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Dater / "' Receipt No. �� - �/ WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT v1 COUNTY OF BUTTE;- DEPARTMENT OF PUBLIC WORKS P IT 7 County Center Drive - Oroville, ;.alif irnia 95965 - Telephone 916/534-4541 — / c y APPLICATION AND PERMIT 01 ASSESSORra,`l R EL NUM ER ZONI �" - BUILDING PERMIT OW ER TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILI D RE S 1 V CT A TOR'S AM • l/tT I�� TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace `lA K CONSTRUCTION LENDER Aar V UNKNOWN Total Valuation Is Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER 0M LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS `Permit fee $ Z® BUILDING DDRE S S PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Repair drainage or vent piping 5.00 0 Water piping LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE , SFIf�Du�, �plex❑ Mobilehome❑ Other SPECIFY Building sewer Lawn sprinkler system 5.00 TYPE OF WORK New ❑ Addition ❑ Remodel o..� Utilities ❑ Installation❑ Other Describe work: t )U' -V,1 "'!Q S X)o� Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 AMP OR ORSLESS 5.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. ( DWELLING OCCUP.81) OR ADDNS. ACC. SLOGS. 2d sq ft CONTRACTORS LICENSE LAWNEW I declare under pen y of perjury (Check One): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the BUSIneSS and Professions Code and my license is in full force and effect. License No. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason CONSTR .OU LET NON -ITS) BRANCH CIRC ITS 2.50 ea NEW CONSTR (POWER APPARATUS 61 NON-RESID, SINGLE OUTLET CIR, / . EXOCCUp OUTLETS OR FIXTURES BAL@1 IXED APPLNS. OR Ex. Occup. (ouTLETS (RESID.) EA. 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 Permit Fee $ Contractor 0KMEN'S COMPENSATION INSURANCE I declare and enaity of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith Comply with such provisions or this permit shal I be deemed revoked. MECHANICAL PERMIT FiIirig Fee 10.00 Heating Cooling Hood 3.00 Ventilation Permit Fee S Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue again said County inconsequence of the granting of this permit. XU• f, Date i� Signature Applicant — Owner Contractor` Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE , O Occup, GROUP I TYPE OF CONST. PARCEL Pa ND SSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DtREC OR OF PUBLIC / By PER T EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS S �S/ U&K Receipt No. J Z 5 �� WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT t r=��?_ p°/ . y 3- 397 ♦y � � , ,, ' / r �?� � �/ CLQ. �e . t COUNTY OF BUTTE - DEPARTMENfT , LOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, Telephone (916) 538-7541 PERMIT NO. APPLICATION AND PERMIT 93 -_-_i-;L7 ASSESSOR PARCEL NUMBER 031-2 —AR ZONING BUILDING PERMIT OWNER VIRGINIA MURREY TELEPHONE 534-8842 SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 679 COLUSA AVE. OROVILLE CA 95965 CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CNONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER NONE LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS PERMIT FEE $ PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Each gas water heater or vent 15.00 USE OF STRUCTURE SFS] Duplex ❑ Mobilehome ❑ Other SPECIFY Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 TYPE OF WORK New ❑ Addition ❑ Remodel C)Utilities L Installation ElOther O Describework: NEW 100 0P SERVICE PERMIT FEE g Contractor ELECTRICAL PERMIT Filing Fee 20.00 Main Service ( "' OR LESS ) 200A OR LESS 23.00 23.00 Main Service ( 200A TO TOOOA ) 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. ( 6 ACC. 8LOS. ) So, 3.50 FT. CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one) El am a licensed under provisions of Chapter 9, Division 3 of the Business and rPofessions Code and my license is in full force and effect. Icense No. Classification l] 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) ❑ I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) ❑ I am exempt under Sec. Business and Professions Code for this reason NEW CONST. MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS ) @7.50 ( POWER APPARATUS ) & SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) BAL. @ 1.0 550 Ex. Occup.FIXED APPS. OR ( OLNUTLETS (RESID.) EA. 1 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 23.00 WORKER'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): ❑ This permit is for $100.00 (valuation) or less. ❑ 1 have placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -insure. D/I 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 su:3ject 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 $ 66.00 Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Contractor 1 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 liabilities, judgments, costs, and expenses which may in any way accrue against said Count nt�in consequence of the granting of this permit. X % LL's i i C - Date ;I/ 1t2 •j 7 Signature pplicant ❑Owner ❑Cont actor ❑ Agent An OSHA • permit is required for excavations over 5"0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEES 66.00 HAZ. 1 D. FEES I IMP I FLOODFDF PARCEL PD I No 1 ISSUE This permit is hereby issued under the applicable of the Butte County Code and/or Resoluti indicated hove for which f es have b e IRE5Y PUBLI ByZ1 / PERMIT EXPIRES ON /Dere/ provisions ns to do work aid. KS ate 12/13/93 127 13 94 Receipt NO. C/ / C/ WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROC•APPLICANT JCOUNTY OF BUTTE - DEPARTMENT OK,DIrVOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive - Oroville, Californi69,5965 - Telephone (916) 538-7541PERMIT NO. APPLICATION ANb PERMIT 93 - ;_ ASSESSOR PARCEL NUMBER 031-247-001 ZONING .A BUILDING PERMIT OWNER VIRGINIA MURREY TELEPHONE 534-8842 SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 679 COLUSA AVE. OROVILLE CA 95965 CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER NONE UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 20,00 Permit Fee $ ARCHITECT OR ENGINEERDCENSE NONE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 679 COT-11SA AVE- DROVILLE PERMIT FEE $ PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15,00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Each gas water heater or vent. 15.00 USE OF STRUCTURE SFYJ Duplex ❑ Mobilehome ❑ Other SPECIFY 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 L Installation O Other ❑ Describe Work: NEW 100 0P SERVICE PERMIT FEE $ Contractor ELECTRICAL PERMIT Filing Fee 20.00 Main Service ( "v OR LESS ) 200A OR LESS 23.00 23.00 Main Service ( 200A TO IOOOA ) 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. ( & ACC. BLDS. ) . S0 3.50 FT. CONTRACTORS LICENSE LAW( I declare under penalty of perjury (check one) ❑ I am a licensed under provisions of Chapter 9, Division 3 of the Business and fessions Code and my license is in full force and effect. /11r-alconse No. Classification 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 lam exempt under Sec. Business and Professions Code forthis reason NEW CONST. MULTI.OUTLET .NON.RESID. ( BRANCH CIRCUITS ) @7.50 POWER APPARATUS ) & SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) B20 @ 1.0r.0 Ex. Occup.FIXED APPWS. OR (OUTLETS HRESID.1 EA. ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 23.00 WORKER'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): O This permit is for $100.00 (valuation) or less. ❑ 1 have placed on file with the County of Butte Dept. of Development Services, wilding Division a Certificate of Workmen's Compensation Insurance or a ertificate of Consent to Self -insure. I 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 $ 66.00 Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all Butte County Ordinances and California State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilitie , judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. Xe Date Signature pplicant O Owner ❑Cont actor ❑Agent An OSHA permit is required for excavations over 5"0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEES 66.00 HAZ. D. FEES IMP FLOOD CDF PARCEL PD HD ISSUE This permit is hereby issued under the applicable of the Butte County Code and/or Resoluti IREC PUBLKS indicated ve for Phi h f es hav912/13/93 By PERMIT EXPIRES ON (De rel provisions s to do work aid. 12 13794 Receipt NO. 5y I 7 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT i7 i fi 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. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) 2. I. (have/have not)i�` S signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following. persons to provide the work indicated: Name Address . Phone Type of Work Signed: r Property Owner Social Security Num r Date /,? — /,3 _ 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. t OFFICE COPY Address ELECTRIC Meter ByZ, Datej� COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroviille, California 95965 - Telephone (916) 538-7541'�3 35, No• APPLICATION AND PERMIT %� ASSESSOR PARCEL NUMBER . 031-24-001, ZONING BUILDING PERMIT OWNER VI; GSMJIA ':2Q_T :Y TELEPHONE 534--3342 SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 570 COLUSA AVE. 0^OVILL3 CA 95965 CONTRACTOR'S NAME 7':IITM TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER :itJ•.� UNKNOWN Total Valuation ik Is 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 ADORES ^A AV7 OVILL O r 1 r• PERMIT FEE $ PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Each gas water heater or vent 15.00 USE OF STRUCTURE L SF'U Duplex ❑ Mobilehome ❑ Other SPECIFY Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G I W @20.00 TYPE OF WORK 1. New ❑ Addition ❑ Remodel ❑ Utilities C] Installation ❑ Other ❑ Describe Work: NT, 1001 CT SERVICE PERMIT FEE $ Contractor ELECTRICAL PERMIT Filing Fee 20.00 Main Service ( 100V OR LEI 2GOA ORLESS ) 23.00 23.00 Main Service ( 200A TO 1000A ) 46.00 NEW CONST. DWELLING OCCUP. S0. OR ADDNS. ( & ACC. OLDS. ) 3.5C FT, ' CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one) O 1 am a licensed under provisions of Chapter 9, Division 3 of the Business and Professions Code and my license is in full force and effect.FIXED /License No. Classification A 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) ❑ I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) ❑ 1 am exempt under Sec. , Business and Professions Code forthis reason NEW CONST. MULTI -OUTLET -NON.RESID. ( BRANCH CIRCUITS ) @7.50 ( POWER APPARATUS ) 6 SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) BAL @ 1.50 APPWS. OR Ex. Occup. ( OUTLETS IflES1D.1 EA. ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ 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 �/�ertificate of Consent to Self -insure. U I 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 $ .00 Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all Butte County Ordinances and California State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. County / X ? '7 , 1 jt/11 Date � � I � Signature of Applicant - ❑ Owner ❑ Contiactor ❑ Agent An OSHA permit is required for excavations over 5"0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ GG • 00 HAZ- 1 D. FEES IMP I FLOOD I CDF PARCEL PD I HD I ISS This permit is hereby P y 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 & PUBLIC'WORKS By /`��� 12/13/93 1 Date 1 / 1.S Lir► PERMIT EXPIRES ON (Date/ { Receipt No. �/ / WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE " BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 h -' 147 Elliott Road, Paradise, CA - (916) 872-6307 , CORRECTION NOTICE OWNER r PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. I� ue«r + Al P ^^A A i AJ Q � PC.ii;( _� �a-vrt 1,%n1CD)re.1C Ill 4LAtxk r L Th 'QS % COUNTY OF BUTTE BUILDING DIVISIaN DEPARTMENT OF DEVELOPMENT SERVICES 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 '747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. L/.�as sh A t /�4{-s CX Date : 1 Inspector . f REV 10/92 COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT S,ERVIC19S 1469 Humboldt Road, Chico, CA-- (916) 891-2751 7 County Center Drive,'Oroville, CA - (916) 538-7541 7'47 Elliott Road; Paradise, CA (916) 872-6307 CORRECTION :NOTICE OWNER ' - PERMIT Ner. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. ` Da- Inspector REV 10/92 L ~ P Date: 11/16/04 THERMALITO IRRIGATION DISTRICT TH-LRIIALITO IRRIGAT10M4FF't!+1 Time: 9:47AM Accounts Receivable Detail Open Item Report 410 GRAND AVENUE OROVILLE, CA 95965 Customer: 302850 Invoice . Date Type Reference Rep Total Amount Freight," Sales Tax Tax Batch PM A/R Control 302850 JENE & KAREN BELMONTE NOV02 11/30/02 Invoice Ebdata aft rept nov ebd 179.34 0.00 0.00 BEG11 11 10.1600.100 DEC -B 12/01/02 Invoice ebdata tran code B kg 16.92 0.00 0.00 1201-B 12 10.1600.100 DEC -A 12/01/02 Invoice ebdata tran code A kg 13.75 0.00 0.00 1201-A 12 10.1600.100 DEC -B 12/02/02 Prepay ebdata tran code p kg -79.00 0.00 0.00 1211P 12 10.1600.100 DEC -B 12/02/02 Prepay ebdata tran code p kg -90.00 0.00 0.00 1211P 12 10.1600.100 DEC -B 12/02/02 Prepay ebdata tran code p kg -10.00 0.00 0.00 1211P 12 10.1600.100 DEC -B 12/02/02 Prepay ebdata tran code p kg -25.00 0.00 0.00 1211 P 12 10.1600.100 DEC -B 12/02/02 Prepay ebdata tran code p kg -0.34 0.00 0.00 1211P 12 10.1600.100 DECO2 12/10/02 Db Adj ebdata tran code cc ebd 25.00 0.00 0.00 1210cc 12 10.1600.100 JAN03 1/01/03 Invoice ebdata tran code A EBD 13.75 0.00 0.00 AC0101 1 10.1600.100 JAN03 1/01/03 Invoice WATER EBD 19.22 0.00 0.00 BC0101 1 10.1600.100 JAN03 1/10/03 Prepay ebdata tran code P EBD -31.00 0.00 0.00 P0110 1 10.1600.100 FEB03-B 2/01/03 Invoice ebdata tran code a ebd 13.75 0.00 0.00 201A 2 10.1600.100 FEB03-B 2/01/03 Invoice ebdata tran code B ebd 27.04 0.00 0.00 020103 2 10.1600.100 FEB03 2/16/03 Db Adj ebdata tran code CC ebd 10.00 0.00 0.00 216CC 2 10.1600.100 FEB03 2/28/03 Payment ebdata tran code P ebd -9.67 0.00 0.00' 228P 2 10.1600.100 . FEB03 2/28/03 Payment ebdata tran code P ebd -36.26 0.00 0.00 228P 2 10.1600.100 FEB03-B 2/28/03 Payment ebdata tran code P ebd -27.50 0.00 0.00 228P 2 10.1600.100 FEB03 2/28/03 Payment ebdata tran code P ebd -10.00 0.00 0.00 228P 2 10.1600.100 MAR03 3/01/03 Invoice ebdata conversion -3- EBD 13.75 0.00 0.00 301-A 3 10.1600.100 MAR03 3/01/03 Invoice ebdata conversion -3- EBD 29.80 0.00 0.00 301-B 3 10.1600.100 'Apr03 4/01/03 Invoice A tran code-ebdata EBD 13.75 0.00 0.00 0401-A 4 10.1600.100 'Apr03 4/01/03 Invoice B tran code-ebdata ebd 21.52 0.00 0.00 0401-B 4 10.1600.100 'Apr03 4/16/03 Db Adj C tran code-ebdata ebd 10.00 0.00 0.00 0416CD 4 10.1600.100 MAY03 5/01/03 Invoice ebdata tran MAY03 EBD 13.75 0.00 0.00 A501 5 10.1600.100 MAY03 5/01/03 Invoice ebdata tran MAY03 EBD 19.68 0.00 0.00 8501 5 10.1600.100 MAY03 5/05/03 Db Adj ebdata tran MAY03 EBD 25.00 0.00 0.00 CD505 5 10.1600.100 MAY03 5/16/03 Payment ebdata tran MAY03 EBD -71.00 0.00 0.00 P516 5 10.1600.100 MAY03 5/16/03 Payment ebdata tran MAY03 EBD -41.25 0.00 0.00 P516 5 10.1600.100 MAY03 5/16/03 Payment ebdata tran MAY03 EBD -10.00 0.00 0.00 P516 5 10.1600.100 MAY03 5/16/03 Payment ebdata tran MAY03 EBD -25.00 0.00 0.00 P516 5 10.1600.100 JUNE03 6/01/03 Invoice 06-01-03 SEWER EBD 13.75 0.00 0.00 A601 6 10.1600.100 JUNE03 6/01/03 Invoice 06-01-03 WATER EBD 16.46 0.00 0.00 B601 6 10.1600.100 JUNE03 6/19/03 Payment tran code P EBD -16.46 0.00 0.00 0619p 6 10.1600.100 JUNE03 6/19/03 Payment tran code P EBD -13.75 0.00 0.00 0619p 6 10.1600.100 JULY03 7/01/03 Invoice 07/01/03 SEWER EBD 13.75 0.00 0.00 A70103 7 10.1600.100 JULY03 7/01/03 Invoice 07/01/03 WATER kg 16.00 0.00 0.00 B70103 7 10.1600.100 030729PA 7/29/03 Payment JE -29.75 0.00 0.00 M7292003 7 10.1600.100 AUG1-03 8/01/03 Invoice AUG1,03: 3/4 " Meter JE 16.00 0.00 0.00 AUG#10 8 10.1600.100 AUG1-03 8/01/03 Invoice AUG1,03: Sewer Charg JE 13.75 0.00 0.00 AUG#5 8 10.1600.100 030819PA 8/19/03 Payment JE -29.75 0.00 0.00 081903 8 10.1600.100 Sewer 9/01/03 Invoice Sewer 13.75 0.00 0.00 S090103 9 10.1600.100 08222003 9/01/03 Invoice 3/4" meter 16.00 0.00 0.00 W090103 9 10.1600.100 10/01/03 Invoice SEWER 13.75 0.00 0.00 SEW1003 10 10.1600.100 09232003 10/01/03 Invoice 3/4" meter 16.00 0.00 0.00 WTR1003 10 10.1600.100 031001PA 10/01/03 Payment 3232 JE -29.75 0.00 0.00 M100103 10 10.1600.100 031010PA 10/10/03 Payment 354332 MVT JE -6.00 0.00 0.00 M101003B 10 10.1600.100 031010PA 10/10/03 Payment 3242 JE -29.75 0.00 0.00 M101003B 10 10.1600.100 101403 10/14/03 Invoice PROCESS EA 20.00 0.00 0.00 E101403 10 10.1600.100 10242003 11/01/03 Invoice 3/4" meter 16.00 0.00 0.00 W110103 11 10.1600.100 110103 11/01/03 Invoice Sewer Charges 13.75 0.00 0.00 S110103 11 10.1600.100 120103 12/01/03 Invoice Sewer 13.75 0.00 0.00 S1203 12 10.1600.100 Date: 11/16/04 THERMALITO IRRIGATION DISTRICT Page: 2 Time: 9:47AM Accounts Receivable Detail Open Item Report Customer: 302850 I , Invoice Date Type Reference Rep 302850 JENE & KAREN BELMONTE (continued) 0.00 11192003 12/01/03 Invoice 3/4" meter 10.1600.100 031211 PA 12/11/03 Payment 4835 RES 010104 1/01/04 Invoice Sewer 0.00 0104 1/01/04 Invoice 3/4" Standby Rate 10.1600.100 040114PA 1/14/04 Payment 4828 RES FEB -04 2/01/04 Invoice Standyby 3/4" Reside 0.00 s0204 2/01/04 Invoice Sewer 10.1600.100 MAR -04 3/01/04 Invoice Standyby 3/4" Reside S0204 0304 3/01/04 Invoice Sewer 0.00 040312PA 3/12/04 Payment 4659 RES APR -04 4/01/04 Invoice Standyby 3/4" Reside S0304 SO404 4/01/04 Invoice Sewer 0.00 MAY -04 5/01/04 Invoice Standyby 3/4" Reside 10.1600.100 S0504 5/01/04 Invoice sewer W0404 040505PA 5/05/04 Payment 4934 RES S0604 6/01/04 Invoice Sewer 10.1600.100 JUN -04 6/01/04 Invoice Standyby 3/4" Reside W0504 FC060048 6/16/04 Fin Chg Late Charge RES JUL-04 7/01/04 Invoice Standyby 3/4" Reside 10.1600.100 070104 7/01/04 Invoice Sewer C050504 040706PA 7/06/04 Payment 4027 RES AUG -04 8/01/04 Invoice Standyby 3/4" Reside 10.1600.100 0804 8/01/04 Invoice Sewer W0604 FC080417 8/16/04 Fin Chg Late Charge RES 040817PA 8/17/04 Payment 4030 RES 090104 9/01/04 Invoice Sewer W0704 SEP -04 9/01/04 Invoice Standyby 3/4" Reside 0.00 MF302850 9/21/04 Invoice DAMAGES METER RES S1004 10/01/04 Invoice sewer 070604-1 OCT -04 10/01/04 Invoice Standyby 3/4" Reside 0.00 041001PA 10/01/04 Payment 4743 RES S1104 11/01/04 Invoice SEWER S0804 NOV-04 11/01/04 Invoice Standyby 3/4" Reside 0.00 041105PA 11/05/04 Payment 4041 RES -47.50 0.00 CUSTOMER TOTAL: GRAND TOTALS: Total Amount , Freight Sales Tax Tax PM A/R Control t' 16.00 0.00 0.00 W1203 12 10.1600.100 -73.50 0.00 0.00 C121103 12 10.1600.100 13.75 0.00 0.00 S0104 1 10.1600.100 5.00 0.00 0.00 W010104 1 10.1600.100 -18.75 0.00 0.00 C011404 1 10.1600.100 5.00 0.00 0.00 W0204 2 10.1600.100 13.75 0.00 0.00 S0204 2 10.1600.100 5.00 0.00 0.00 W0304 3 10.1600.100 13.75 0.00 0.00 S0304 3 10.1600.100 -37.50 0.00 0.00 C031204 3 10.1600.100 5.00 0.00 0.00 W0404 4 10.1600.100 13.75 0.00 0.00 SO404 4 10.1600.100 5.00 0.00 0.00 W0504 5 10.1600.100 13.75 0.00 0.00 S0504 5 10.1600.100 -18.75 0.00 0.00 C050504 5 10.1600.100 13.75 0.00 0.00 S0604 6 10.1600.100 5.00 0.00 0.00 W0604 6 10.1600.100 10.00 0.00 0.00 LB061604 6 10.1600.100 5.00 0.00 0.00 W0704 7 10.1600.100 13.75 0.00 0.00 S0704 7 10.1600.100 -47.50 0.00 0.00 070604-1 7 10.1600.100 5.00 0.00 0.00 W0804 8 10.1600.100 13.75 0.00 0.00 S0804 8 10.1600.100 10.00 0.00 0.00 LB0804 8 10.1600.100 -47.50 0.00 0.00 081704-1 8 10.1600.100 13.75 0.00 0.00 S0904 9 10.1600.100 5.00 0.00 0.00 W0904 9 10.1600.100 106.00 0.00 0.00 MF0904 9 10.1600.100 13.75 0.00 0.00 S1004 10 10.1600.100 5.00 0.00 0.00 W1004 10 10.1600.100 -18.75 0.00 0.00 100104 10 10.1600.100 13.75 0.00 0.00 S1104 11 10.1600.100 5.00 0.00 0.00 W1104 11 10.1600.100 -143.50 0.00 0.00 110504-1 11 10.1600.100 0.00 0.00 0.00 0.00 0.00 0.00 THERMALITQIRRIGATION DISTRICT ESTABLISHED,1922 Jayme,Boucher Foreman 'PHONE:.533-0740, _• FAX 533-9243 410 GRAND AVENUE-OROVILLE, CA 95965 email: thermalito@cncnet.com OWN, Opt 111 �Iji fit: -4- li,