HomeMy WebLinkAbout031-281-120v
''031-28-1-120 92,-0092
D I AZ JUL I°AN
CONTR: OWNER`
955 THERMALITO_AVE,' 0ROVI
NEW,DETACHE,D. GARAGE
031-28-1-I20 931595-B,E 1
DIAZ,=JULIAN& CATHERINE
955-THERMALITO, OROVILLE
CONTR:` PERFECTION POOLS
031-281-120 06-1670
WEBB, MAURICE
955 THERMALITO AVE, O! -OV- IjiLLE
Cont: JEFF PARRISH
ADDITION(140 SQ FT) r i
0
i2
CODE ANALYSIS
Every project should receive a detailed code analysis that
is recorded as a permanent part of the permit documents.
PROPOSED
ALLOWED PER
PROPOSED AS
CODE
SECTION OR
CODE
ALLOWED
TABLE
Occupancy
Select from
Actual as designed
Chapter 3
Classification
Chapter 3
within plans
Type of
Allowed pe'
Actual as designed
Chapters Si 6, 7
Construction
proposed type
within plans
Building Height
Select per
Actual as designed
Table 503, as
(stories/ Feet)
construction type
within plans
adjusted
Building Area
Select per
Actual as designed
Table 503, as
construction type
within plans
adjusted
CODE ANALYSIS
Every project should receive a detailed code analysis that
is recorded as a permanent part of the permit documents.
PROPOSE®
ALLOWED PER
PROPOSE® AS
CODE
SECTION OR
CODE
ALLOWED
TABLE
Occupancy
Select from
Actual as designed
Chapter 3
Classification
Chapter 3
within plans
Type of
Allowed per
Actual as designed
Chapters 5, 6, 7
Construction
proposed type
within plans
Building Height
Select per
Actual as designed
Table 503, as
(stories/Feet)
construction type
within plans
adjusted
Building Area
Select per
Actual as designed
Table 503, as
construction type
within plans
adjusted
CODE ANALYSIS
Every project should receive a detailed code analysis that
is recorded as a permanent part of the permit documents.
ALLOWED PER
PROPOSED AS
CODE
PROPOSED
CODE
ALLOWED
SECTION OR
TABLE
Occupancy
Select from
Actual as designed
Chapter 3
Classification
Chapter 3
within plans
Type of
Allowed per
Actual as designed
Chapters 5, 61, 7
Construction
proposed type
within plans
Building Height
Select per
Actual as designed
Table 503, as
(stories/Feet)
construction type
within plans
adjusted
Building Area
Select per
Actual as designed
Table 503, as
'construction type
within plans
adjusted
J=OK
O = Not OK
Not
= Not Ffeadyable' MOBILE HOMES
Date MOBILE HOME UTILITIES (Plans) OK except #'s
1. Zoning Requirements -Setbacks -Easements
2. Soils; Special MH Support Sketch
3. Sewer; Location -Test -Fall -C/O Concrete
4. Water; Location -Test -Easement Needed (Sketch)
5. Electricity: Location-Clearences-Grnd-/ /Amp -Concrete
6. Gas; Location -Test -Wrap: / P L" ft.
/ /"Nat. or/ /"L"ft./ /"LPG
7. Well Clearance & Disconnect ,
8. Utility Clearance
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date MOBILE HOME INSTALLATION (Plans) OK except #'s
1. Zoning Requirements -Setbacks Easements
2. Footings; Size -Spacing -Marriage Line
3. Gas; MH Test -Demand -Valve -Connector
4. Electricity; MH Test -Crossovers -Breakers -Clearances
5. Drain; MH Test -Fall -Flex Connector
6. Water; MH Test -Regulator -Connector
7. Water and Sewer Connected -C/O to Grade -HD Approval
8. Gas and Electricity Tagged
9. Exits; Insp.-Sketch
10. Cert. of Occupancy
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
MISCELLANEOUS
Date DECKS OVERS, CARPORTS, GARAGES, (Plans)OK'except #'s
t oaLDT Requirements -Setbacks -Easements
6 ootings; Soils -Size -Depth -Spacing -Connectors -Steel
3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails
4. Wood Awn.; Posts-Beams-Rftrs.-Connectors
Shthg.-Rfg.-Bracing
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6.sar�orts; Windows -Doors
41-7 Electric
rmg; Sils-Anchors-Studs-Rftrs-Trusses
9.S52 nail.ing-Veneer-Stucco-Mesh
..woof; Shthg-Roofing
11. Ext.; Steps -Doors -Landings
cs
Dat67- 7-Z57►Cnrd
B-1 Date Card B-1
Dat
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, Distances-GFI
5. Elec.; Pool Lighting; 15 volts-GFI
6. Elec.; Enclosures; Conduit Entries -Terminals -Listed
7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater
8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg.
_
Boxes -Enclosures -Panel boards -Ins. to Main in Conduit
9. Health Department Approval
10. Plumb.; Cir. Test -Water Supply Test
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
cs
J=OK i
O = Not OK
-=Not Applicable
Not Ready RESIDENTIAL (;
=
Date UNDERFLOOR (Plans) OK except tt's
1. Zoning -Setbacks -Easements -Flood -Slope
2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth
3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth
4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth
5. Stemwalls, Main; Steel -Bloc kouts-Wrapped
6. Stemwalls. Garage; Steel-Blockouts-Wrapped
6a. Hold Downs and Special Anchors
7. Slab; Steel -Wrapped
8. Piers -Fireplace Ftg.-Steel
9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test
10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test
11. Water Pipe; Test -Anchor -Regulator -Service Test
12. Electric; Underground
13. Pienums & Ducts; Clearance -Material -Support -Ins.
14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
15. Access & Ventilation
16. Insulation
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date PLUMBING (Permit),OK except ti's
16. - Water Htr.: Vent -Access -Combustion Air -Baffle
------------------ -------------------------
17. Water Pipe: Test & Anchor -Nail Protection
18. D.W.V.: Test -Fittings & Anchor -Nail Protection
---- ------ - ------------------
-- - -19. Shower Pan; Test. First Floor -Tub Access --- --
20. Test Tub & Shower, Second Floor -Tub Access
21. Gas Pipe: Size & Anchors
Date Card B-1 Date Card B-1
--------------------- -------------------------- --------------------
Date Card B-1 Date Card B-1
Date ELECTRICAL (Permit) OK except h's
22. Fixture & Transformer Clearance -Ins. Protection
---------------------------------------------------------- ----
23. Elec. Receptacles Spacing -Lights & Switches at Doors
-- -------------------------------------------------------------------
24. Size Boxes & No. of Conductors -Stapled
------------- -----------------------------------------------------------------
25 Romex Installed Close to Edge of Studs & C.J.
------------ -----------------------------------------------------------------
26. Equip. Ground made up w!Mech. Fastners-Bond Gas & Water
--- ---- -------------------------------------------------------------
27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI
--------------------------------------------------------
28. Subfeed Wire Sizer i ga. Cu or AI-A.C. Wire Size ! / ga.
Cu or Al
----------------------------------------- ----
29. Range Circ / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al.
Insulated Neutral ❑ Yes ❑ No
----- -------------------------- -------------------
30.
------------------
30. Service -Riser Conductors & Ground -Main Disconnect
------------------------------------------------------ -----------------------------
31. Equip_ Clearances Panels-Motors-Mech. Equip.
----------- ---------- --------- - ---------
32. Clothes Closet Light -Shower Light -Spa Light
------------ -- --------- -- - ------------------------------- - --- -- --
33. Smoke Detector
----------------------------------------------------------------------------------
------------------------------------------------------ --- -------------- --
Date Card B-1 Date Card B-1
---------------------- -------------------------------------------------------------
Date Card B-1 Date Card B-1
Date MECHANICAL (Permit) OK except N's
34. A.C. Ducts Insulation & Support
-----------------------------------------------7---------------------------------
35. Vent Fan: Exhaust above insulation
-------- --- ---- - ------------- ----------------------------
36. Condensate Drain & Overflow: Size & Grade
--------------------------- - ----- ----
37.
--37. Furnance-Vent: Access -Comb. Air -Return Air Vent -115 outlet
38 Attic Access & Platform if Furnance in Attic
------------------------------------------ -------------------------------------
Date
----------------------------------
Date Card B-1 Date Card B-1
-------------------------------------------------------------- ----------------
Date Card B-1 Date Card B-1
Date FRAMING (Plans) OK except h's
39. Sils. Proper Material & Anchors
------ ------ - -------------------------------------------------------------
40. Walls Studs -Nailing. Spacing & Bracing -Plates -Sound
------ ----------------------------------------------
41. Bearing Walls over Girders & Floor Nailing
- --- -- - -------------------------------------------------------- ---
42. Draft Stop in Walls (rat proof)
43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub
44. Headers & Beam -Size & Bearing
'Ingle & Duplex)
Date FRAMING (Continued)
_ 45. Hangers -Post Caps -Anchors -Connectors
46. Cing. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Ring.
47. Fireplace Ties or Type A Flue -Fireplace Throat clearance
48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions
50. -Garage Fire Protection Framing
_ 51. Property Line Firewall & Openings
Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits
53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers
------------------
55. Siding -Nailing Veneer
56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access
57. Glazing Area -Glass Protection -Skylights -Plastic
58, Shear Walls: Nailing -Bolts
59. Insulation -Walls -Ceilings
60. Infiltration -Walls -Windows
--------------------------------
Date _ _ Card B-1 _ Date _ Card B-1
Date Card B-1 Date Card B-1
Date FINAL (Plans) OK except 4's
61. Ext. Steps -Door & Sidelight Protection -Landings
______ 62. Smoke Detector
63. Furnace: Vents -Clearance -Comb. Air -Connector -
In Garage: Above Floor-Ducts-Mech. Protection
------------- -------------------
64. Bedroom Exiting
- - ------------- --- ------------------
65. G.F.I. & Bath Fixtures & Tub Access -Spa
-------------
_ 66. Elec. Trim & Subpanel; Breaker Sizes & Labels
67. Stairs & Rails _
68. Fireplace or Stove: Clearances -Hearth
69. Elec. Outlets at Wood Panel; Int. & Ext.
-- ----- ---------------------
-------- __
70. Kit.Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance
----------------------------
71. Elec. Outlets & Receptacles at Kit. Counter
----------- - --------- ------
72. Garage Fire Door Swing -Landing -Closer
-------------------------------------- -
73. A.C. Duct in Garage -Damper
------- ----------------------------- --
74. Wtr. Htr.: Vents -Clearance -Comb. Air-Connector-P.R.V.
In Garage: Above Floor-Mech. Protection
75. Plb. Elec. & Mech. Equip. Listed for Location
76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protection
-------------------------------------------
7;. Insulation -Foam -Looked in Attic 0 Yes
------------------------------------------ -- -
78. Guard Rails & Deck -Co nstruct ion- Post Caps
79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth
Clearance Looked under Floor 0 Yes
80. Following instld.'Drive 0 Yes ❑ No: Walks 0 Yes 0 No;
----------
Planters --❑ -Yes 0 No
----------------- ----
81. Stucco: Brown -Finish
82. A.C. Unit Disconnect. Electrical, Plumbing
---- ----------------------------
83.
--------------------------83. Vents Above Roof; Plbg.-Appliance-Fireplace.-Clearance to
Openings
84. Water Well; Disconnect, Electrical, Plumbing
---------------------- ----------- --- ---
85. Exterior Elec. Trim: G.F.I. Receptacle -Underground
86. Ventilation Throughout House
- ------- --- ---------------------------------------------
87. Glass Protection
88. Corrections from Previous Inspections
------ ------
89.
--- 89. Gas Test -Meters Tagged; Gas -Electric
90. Water & Sewer Connected -C/O to Grade -HD Approval
91. Energy Compliance Certificate -Other Certificates -
------ -------------------------------------
Date Card B-1 Date
-- ---------------- ------------ ------------
Date Card B-1 Date
•--------------------------- ------ --
Date Card B-1 Date
Comments at Final:
----------------------------------------
Card B-1
Card B-1
Card B-1
-------------------
f
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO.
7 County Center Drive - Orovllle, California 95965 - Telephone: 916/538-7541 Q rD DQ 2
APPLICATION AND PERMIT l6 I
ASSESSOR PARCEL NUMBER •
031-281-120
ZONING
A R
BUILDING PERMIT
OWNER
JULIAN DIAZ
TELEPHONE
533-1928
$Q, FT. OCC. BUILDING VALUATIO
576 M 10,368 "
OWNER'S MAILING ADDRESS
955 THERMOLITO AVE OROVILLE
CONTRACTOR'S NAME
OWNER
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation Is
10,368
Filing Fee
$ 15.00
LENDER'S MAILING ADDRESS
Permit Fee
$ 105.00
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$ 52.50
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS955 THERMOLITO AVE OROVILLE
Permit fee
$ 172.50
PLUMBING PERMIT
Filing Fee 15.00
Each Trap
1 5.00
Solar or heat pump water heater
1 20.00
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Water piping
1 7.00
Each qas water heater or vent
7.00
USE OF STRUCTURE
SF ❑ Duplex❑ Mobilehome❑ Other DET GARAGE
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
15.00
Mobile Home I S I G JW I
@ 15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑
Describe work:
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 15.00
Main service 200V OR LESS
00AOR LESS
18.50
Main service 200ATO1000A)
37.50
CONTRACTORS LICENSE LAW
1 declare under penalty of perjury (check one):
❑ 1 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-
El I,
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONST. ( DWELLING OCCUR.&)
OR ACDNS. ACC. BLD /
3.64sq.ft. 20,15
NEW CONSTR. ULTI.OUTLET
NON.RESID BRANCH CIRCUITS)
@ 5.00
POWER APPARATUS e
(SINGLE OUTLET cIR.
Ex. Occup(OUTLETS OR FIXTURES
20 76
FIXED APLINIS
EX. Occup. OUTLETS P(RESID )REA.)
3.00
Temporary service
15.00
Home Facilities
15.00
Misc. Wiring
g
'15.00
Permit Fee
$ 35.15
—
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
Contractor
MECHANICAL PERMIT
FiIingFee 15.00
Heating
Cooling
g
Hood
6.50
Ventilation
Et
I _ I
Permit Fee
-
$
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the 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
agai t said C my in ns quence of the granting of this permit.
X Date r��.s." 02
ignature o Applicant — Owner C trCCtDr ❑ Agent F1sions
An SHA pe mit is required for excovations over 5'0" deep and demolition or cDnstrucr-
ion o c res over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
c
CONT TV E
pY/
TOTAL FEE
$ 207.65
HAz
0FEES
IMP FLOOD
I COF
PARCEL
PD
HD ISSU
This permit is hereby issued under the
of the Butte C n"'
t Code and/or
'work Indic a ve which fees
I OF PUBLIC
By
PERMIT EXPIRES Date
applicable provi-
resolutions to do
have been paid.
WORKS
Date
Receipt No. 103751
WNITE'D.P. W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
IBr.: .,. "r•,,,,.r-•�i,!'c•ti.cw-..;?�,"'`."ICa'tiN.�'dR'aA,xe.�'�`t'••'ti.�".'/wC`.��,t..;yy.i-.'��'-..e:fp°1i"-'iF'��7.w"'�''^}'!%'.`r.�;'•"'it�. fit.. .,y ��..1 ,C''•:r'� '. . '.y
,,COUNTY OF BUTTE - DEPARTMENT 'OF `PUBLIC WORKS - BUILDING DIVISION
r
7 COUNTY CENTER DRIVE - OROV1iLE4'CALIFORNIA 95965 - TELEPHONE: 916/538-7541
PERMIT 0PL-I�ATION DATA SHEET
Permit No.
OWNER l) l i� /v O k' A"2— Y} A. P. No.
Proposed Building Use '1s-,pet—(9 AfAKc.Z_ Building Inspector Date — / ��- 52
At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance:
DATE RECEIVED APPROVED
1. All items have been submitted . ....................................
2. Plot plans in duplicate rite, signed by preparer of plans........ —�
3. Complete plans in duplicate/e, signed by preparer. of plans . .
4. Complete engineered plans and calcs, with wet signature on plans ..
5. Hazardous Material Form ..........................................
6. Energy Design Compliance and supporting documentation .........
7. Statement of Intent for Non -Heated and AC Buildings ..............
8. Engineered truss details and layout in duplicate (required prior to plan check)
9. Mobilehome installation data including manufacturer's installation
instructions.......................................................
10. Fees of $ ........................
11. Chico Urban Area fees paid .......................................
12. Park fees paid ....................................................
13. School District fees paid ..............
4�,14. Sanitation approval from —r c l7 Health Department
15. City of Chico plumbing permit .....................................
16. Plot plan and business license approval from City of
(see City for other requirements)
17. Planning approval for (A) Use: (B) Parking:
18. Improvements may be required. Contact Land Development Section DPW
19. Driveway permit (construction approval required prior to occupancy)
20. Pre -Inspection for required Pre-Inspec. request to
Building Inspector (Date)
21. Contractor's license information (No., Name Style, ClassificatiQP) ...
22. Certificate of Workmans Compensation Insurance ..................
23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) .....
24. Recorded copy of Agricultural Acknowledgment Statement .........
25. Letter of signature authorization ............:......................
26.
27.
When you issue the permit, process as follows: Mail to owner. Mail to contractor.
Telephone s33-- 1417-165' and hold for pickup atyF—o office. Deliver w/inspector.
Other Q
Applica Date L
Com` %�J`Kt Or ro
Copy of Hdz-Mat form sent Health Dept. Fire Dept. Air Pollution Date
Copy of plans sent Health Dept. Fire Dept. Other Date By
The following data must be submitted prior to permit issuance: (Circle new item not checked above).
1. Index permit for above items No.
2. Additional items required:
Contractor, designer, towner, was advised,of above required data by_phone---jnaiI—counter by _date
Contractor, designer, owner, was advised'of above required data by—phone —mal I—counter by date
:Plans checked by Date Plans approved byIDate
u
Sets of plans on hold in File cabinet AP folder
t
Copy—DPW
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO.
7 County Center Drive - Orovllle, California 95965 - Telephone: 916.538-7541
APPLICATION AND PERMIT
ASSESSOR PARCEL NUMB R,�l
(- r/�V'
ZONItIG
BUILDING PERMIT
OWNER ,
Tv I A,�J /
TELEPHONE
533 - Z(f
SO. FT. OCC. BUILDING VALUATION
S
OWNER'S MAI LI G ADDRESS
55 kelp., o �v� pQo 95�
CONTRACZ,O R'S (JA
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
j C7
Filing Fee
$ 15.00
LENDER'S MAILING ADDRESS
Permit Fee
$ Qc�?
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
�5_T ! AAD 0 Ile
Permit fee
$ 2 50
PLUMBING PERMIT
Filing Fee 15.00
ayf'l
v 951&4Each
Trap
1 5.00
Solar or heat pump water heater
1 20.00
LOT NO.
SUBDIVISION NAME PARCEL MAP
Water piping
1 7.00
Each qas water heater or vent
7.00
USE OF STRUCTURE
SF ❑ Duplex❑ Mobilehome❑ Other Pet--- ������
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
15.00
Mobile Home S I G I W
@ 15.00
TYPE OF WORK
NewF7' Addition Remodel E] Utilities❑ Installation Ci Other ❑
Describe work: _
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 15.00
Main service 600V OR LESS
200A OR LESS
18.50
Main service 20CATO 1000A1
37.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
❑NO
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
U I, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONST.( DWELLING OCCUPM
OR ADONS. ACC. BLDGS. I
3.6Q sq.ft.20, I5
NEW CONSTRESID. RANO OUTLET
N.R ESID BRANCH CIRC ITS
@ 5.00
POWER APPARATUS e
(SINGLE OUTLET CIR. )
IAL
Ex. Occup(OUTLETS OR FIXTURES
20 @0 76d
P 460
FIXE
Ex. Occup. OUTLD TS PIRESID IREA.)
1 3.00
Temporary service
15.00
Mobile Home Facilities
15.00
Misc. Wiring
g
15.00
Permit Fee
$ S• !S
—
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
❑ I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
Contractor
MECHANICAL PERMIT
Filing Fee 15.00
Heating
Cooling
g
Hood
6.50
ventilation
Permlt Fee
$
LContractor
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 Countyot
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnity and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
against said County in consequence of the granting of this permit.
X Date
Si nature of Applicant _ Owner
9 PP ❑ Contractor ❑ Agent ❑
An OSHA permit is required for excavations over 5'11" deep and demolition or construct -
ion of structures over 3 stories in height.
Mobile Home Installation Fee S
Energy Inspection Fee $
occ
CONST TYPE nO� �s I
TOTAL FEE $ aC
I HAz
OFEES IMP
FL000
COF PARCEL
PO HD
I ISSUE
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which fees
DIRECTOR OF PUBLIC
By
PERMIT EXPIRES Date
the applicable provi-
resolutions to do
have been paid.
WORKS
Date
Receipt No. v t'
WHITE-O.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT
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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 ma�j�o labor and'materials for construction of
the proposed 'property improvement (yesJ or no)
0.v signed an application for a building permit
2. I/have` not) g PP g
for the proposed wo
3. I have contracted with.the following person (firm) to provide the proposed
construction:
Name
Address City
Phone Contractors License No.
4. ,I plan to provide portions of this work, but I -have hired the following person
to coordinate, supervise, and provide the major work:
Name
Address City -
-Phone Contractors License No.
5. I will provide some of the work but I have contracted (hired) the following
persons to provide the work indicated:
Name Address Phone Type -of -Work
Signed:
Property Owner
Social Securit Numb r
Date - S^9'2—
NOTE:,
Z
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.
OWNERS 'NAME:. w ' wH l/ c �z RECEIVED BY: DATE
A. P., # G 3 L —1 — I?U PERMIT # TIME:, -11:30,
RESIDENTIAL NON RESIDENTIAL RECEIPT #
------ --------_—_--------------------- ---------- —__—_
REQUIRED PRIOR TO PERMIT ISSUANCE
FROM DATA REQUESTED BY PLAN CHECKER ENGINEERING
OTHER --
REQUESTED BY CORRECTION YES NO ITEM:
LOCATION IN BUILDING WHERE CHANGE OCCURS:
WHEN APPROVED, PROCESS AS FOLLOWS: _
Mail to owner
Mail to contractor �w-� f ivyod IS `dgS—'04f3
Call And hold for pickup at the office.
Deliver with next inspection.
REVISED PLAN CHECK FEES PAID:
$20.00 $40.00 Additional Fees Not Required
ASHTON, VAA16f o o#G 7499061ATfs,/N6
consn/ting engineers stiactWmal engineering
COUN ngPT YE
March 12, 1993A . 193
Dave Purvis - -
Department of BOding,& Safety
Butte County
Seven County Center Drive =
Oroville, California 95965.
Dear Mr. Purvis:
Please be advised that the plans and calculations preparedb--- his firm for Lomart -
Industries in regard to their above ground swimming pools have been designed to the
structural requirements of the 1991 Edition of the -Uniform Building Code.
If you have any further questions regarding this matter, do not hesitate to call.
Sincerely, ` 0 ESQ
L
rnMichael M. Vance, P.E. 1 '
President r ; - �qPF } IL �P
MMV/cv ' _� �' 4",�,oi v� C�ttfo w
2058 N. M/LLO AVE 511ITf 4.50 ' CLA)�,EMOVT, CALIF. 9fx#
PHONE: (909) 920-0185 FAX: (909) 920-9786
V=OK
O=Not OK
NotApplicable MOBILE HOMES `
9
-Date/Initials MOBILE HOME UTILITIES (Plana) OK except #'a
1. Zoning Requirements -Setbacks -Easements
2. Soils; Special MH Support Sketch
3. Sewer; Location -Teat -Fall -C/O Concrete
4. Water; Location -Test -Easement Needed (Sketch)
5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete
6. Gas; Location -Teat -Wrap: / /"L"ft.
/ /"Net. or/ /"L"ft./ /"LPG
7. Well Clearance & Disconnect
8. Utility Clearance
MISCELLANEOUS
Date/Initial DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'a
1. Zoning Requirements -Setbacks -Easements
2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel
3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails
4. Wood Awn.; Posts-Beams-Rftm. Connectors
Shthg: Rfg: Bracing '
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Carports; Windows -Doors
7. Electric
8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses
9. Siding; Nailing -Veneer -Stucco -Mesh
10. Roof; Shthg-Roofing
11. Ext.; Steps -Doors -Landings
Date/Initials MOBILE HOME INSTALLATION (Plana) OK except #'a-
1. Zoning Requirements -Setbacks Easements
2. Footings; Size -Spacing -Marriage Line
3.. Gas; MH Test -Demand -Valve -Connector
Date/Initials POOLS Plana OK except #'s
4. Electricity; MH Test -Crossovers -Breakers -Clearances
1. Setbacks -Easements .
5. Drain; MH Test -Fell -Flex Connector
Sol ls•-Compaction-Structure Stability
6. Water; MH Test -Regulator -Connector
oo�tructure; Steel -Connections -Thickness
7. Water and Sewer Connected -C/O to Grade -HD Approval
` d Men -Lining y' `
8. Gas and Electricity Tagged
; Receptacles and Lighting, Distances-GFI
_ 9. Exits; Insp.-Sketch
5. Elec.; Pool Lighting; 15 volts-GFI
10. Cert. of Occupancy
, 6. Elec.;Enclosures; Conduit Entries -Terminals -Listed
Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater
8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg.
Boxes-Enclosu res -Pane I boa rds- Ins. to Mein in Conduit
9. Health Department Approval
Plumb.; Cir. T Pt -Water Supply Test
i
V=OK
O = Not OK
- = Not Applicable
= Not Ready
RESIDENTIAL (Single & Duplex)
Date/Initials UNDERFLOOR (Plans) OK except #'s
1. Zoning -Setbacks -Easements -Flood -Slope
2. Ftg., Main; Soils-Elec. Grnd.-/ P' Ftg. Depth
3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth
4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth
5. Stemwalls, Main; Steel-Blockouts-Wrapped
6. Stemwalls, Garage; Steel-Blockouts-Wrapped
6e. Hold Downs and Special Anchors
7. Slab; Steel -Wrapped
8. Piers -Fireplace Ftg.-Steel
9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test
10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test
11. Water Pipe; Test -Anchor -Regulator -Service Test
12. Electric; Underground
13. Plenums & Ducts; Clearance -Material -Support -Ins.
14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
15. Access & Ventilation
16, Insulation
Date/Initials PLUMBING (Permit) OK except #'s
16. Water Htr.; Vent -Access -Combustion Air -Baffle
17. Water Pipe; Test & Anchor -Nail Protection
18. D.W.V.; Test -Fittings & Anchor -Nail Protection
19. Shower Pan; Test, First Floor -Tub Access
20. Test Tub & Shower, Second Floor -Tub Access
21. Gas Pipe; Size & Anchors
Date/initials ELECTRICAL (Permit) OK except #'s
22. Fixture & Transformer Clearance -Ins. Protection
23. Elec. Receptacles Spacing -Lights & Switches at Doors
24. Size Boxes & No. of Conductors -Stapled
25.Romex Installed Close to Edge of Studs & C.J.
26. Equip. Ground made up w/Meth. Fastners-Bond Gas & Water
27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI
28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga.
Cu or Al
29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al.
Insulated Neutral ❑ Yes ❑ No
30. Service -Riser Conductors & Ground -Main Disconnect
31. Equip. Clearances Panels -Motors -Mach. Equip.
32. Clothes Closet Light -Shower Light -Spa Light
33. Smoke Detector
Date/Initials MECHANICAL (Permit) OK except #'s
34. A.C. Ducts Insulation & Support
35. Vent Fan; Exhaust above insulation
36. Condensate Drain & Overflow; Size & Grade
37. Furnance-Vent; Access -Comb. Air -Return Air Vent -115 outlet
38. Attic Access & Platform if Furnance in Attic
Date/Initials FRAMING (Plans) OK except #'s
39. Sils, Proper Material & Anchors
40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound
41. Bearing Walls over Girders & Floor Nailing
42. Draft Stop in Wells (rat proof)
43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub
44. Headers & Beam -Size & Bearing
j Date/Initials FRAMING (Continued)
45. Hangers -Post Caps -Anchors -Connectors
46. Cing. Joist-Rftr. ties-Purlin=roof Brec-Truss-Shthng.-Rfng.
47. Fireplace Ties or Type A Flue -Fireplace Throat clearance
48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions
50. Garage Fire Protection Framing
51. Property Line Firewall & Openings
52. Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits
53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers
55. Siding -Nailing Veneer
56. Stucco Mesh -Drip Screed -Fd. Vents-Underfir. Access
57. Glazing Area -Glass Protection -Skylights -Plastic
58. Shear Wells; Nailing -Bolts
59. Insulation -Wells -Ceilings
60. Infiltration -Walls -Windows
Date/Initials FINAL (Plans) OK except #'s
61. Ext. Steps -Door & Sidelight Protection -Landings
62. Smoke Detector
63. Furnace; Vents -Clearance -Comb. Air -Connector -
In Garage; Above Floor -Ducts -Mach. Protection
64. Bedroom Exiting
65. G.F.I. & Bath Fixtures & Tub Access -Spa
66. • Elec. Trim & Subpanel; Breaker Sizes & Labels
67. Stairs & Rails
68. Fireplace or Stove; Clearances -Hearth
69. Elec. Outlets at Wood Panel; Int. & Ext.
70. KIt.Fixt. & Appliance; Grnd.-Air Gep-Cooking Clearance
71. Elec. Outlets & Receptacles at Kit. Counter
72. Garage Fire Door, Swing -Landing -Closer
73. A.C. Duct in Garage -Damper
74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.
In Garage; Above Floor -Mach. Protection
75. Plb., Elec. & Mach. Equip. Listed for Location
76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protection
77. Insulation -Foam -Looked in Attic ❑ Yes
78. Guard Rails & Deck Construction -Post Caps
79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth
Clearance Looked under Floor ❑ Yes
80. Following instld.; Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No;
Planters ❑ Yes ❑ No
81. Stucco; Brown -Finish
82. A.C. Unit; Disconnect, Electrical, Plumbing
83. Vents Above Roof; Plbg: Appliance -Fireplace :Clearance to
Openings
84. Water Well; Disconnect, Electrical, Plumbing
85. Exterior Elec. Trim; G.F.I. Receptacle -Underground
86. Ventilation Throughout House
87. Glass Protection
88. Corrections from Previous Inspections
89. Gas Test -Meters Tagged; Gas -Electric
90. Water & Sewer Connected -C/O to Grade -HD Approval
91. Energy Compliance Certificate -Other Certificates
Comments at Final:
� �r..r'�i^,:'`''�1.--_ri.:tiC#...c�v"_��-�Fy'� a.•.. ti� y� �_. _ �. r .+.i �." _ .. :.• -�-
COUNTY OF BUTTE
BUILDING DIVISION
:DEPARTMENT OF DEVELOPMENT SERVICES
1469 Humboldt Road, Chico, CA - (916) 891-2751
7 County Center Drive, Oroville, CA (916) 538-7.541' _
747 Elliott Road, Paradise, CA - (916) 872=6307
CORRECTION NOTICE
0. BR PERMIT NO.
A routmeinspection 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-coapleted_lf,you have any questions pertaining to this matter, or need additional explanation,
please contact this office immediately.
DMIo Inspector
a�
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
747 Elliott Road, Paradise, CA - (916) 872-6307
CORRECTION NOTICE
�'1r,Ydill7f3 f r ^R4 RrWIMIT NO.
/Airmif aeirmpection indicates that the following violations of Butte County ui;!..dnces exist at
she above address and should be corrected. Please notify this office when corre,;tion of work
isc y4deted.Ifyou have any questions pertaining to this matter, or need additional explanation,
please cm9act this office immediately.
Date (5 —/ % 1D Inspector
REV IBM
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
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 pertming to this matter, or need additional explanation,
please /contact this office immediately.
A - -_
COUNTY OF BUTTE DEPARTMENT OF PUBLIC
7 County Center Drive - Or6ville, t:alifornia 65965 - Telephone:
APPLICATION AND PERMIT
PERMIT NO.
9 / 8- 541.
ASSESSOR PARCEL NUMBER
031-281-120
ZONING
AR
BUILDING PERMIT
41
OWNER
Julian & Catherine Diaz
TEL PH
5 3—`� 8
SO. FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS
955 Thermalito Ave., Oroville 95966
CONTRACTOR'S NAME
Perfection Pools
CONTRACTOR'S MAILING ADDRESS
897 E. 20th St., Suite B., Chico 95928
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $ 4,978.00
LENDER'S MAILING ADDRESS
ARCHITECT OR ENGINEER LICENSE NO.
Filing Fee $ 155,00
Permit Fee $60.00
Plan Checking Fee $30.00
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Energy Plan Checking Fee $
Penalty $
BUILDING ADDRESS
Permit fee $ 05.00
955 Thermalito Ave., Oroville
PLUMBING PERMIT FiIingFee 15.00
Each Trap 5.00
Solar or heat pump water heater 20.00
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Water piping 7.00
Each qas water heater or vent 7.00
USE OF STRUCTURE
SF ❑ Duplex❑ Mobilehome❑ Other Pool
SPECIFY
Gas piping system 1 - 5 outlets 5.00
Building sewer 15.00
Mobile Home S I G I W 615.00
TYPE OF WORK
New u Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑
Describe work: T Oma t- Oval Vinyl to be Mastered _
Permit Fee $
Contractor
ELECTRICAL PERMIT Filing Fee 15.00
Main service 200AORLESS 18.50
CONTRACTORS LICENSE LAW
I declare der penalty of perjury (check one):
I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full force and effect.
License No. Classification
I, as the owner, or my employees with wages as their SOIe Ct)mpen-
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
Main service 200ATO1000AI. 37.50
NEW CONST. ( DWELLING OCCUPM 3.64 sq.ft.
OR ADDNS. ACC. BLDGS.
NEW CONSTR. U TCI-OUTILET 5.00
NO N•R ESID BRANCH RC ITS
POWER APPARATUS
(SINGLE OUTLET CIR.6
Ex. Occup(OUTLETS OR FIXTURES 20 76
FIXED APP LNS. OR
EX. DCCUp. OUTLETS (RESID.) EA.) 3.00
Temporary service 15.00
Mobile Home Facilities 15.00
Misc. Wiring -15.00
Pool, Electric 1 1 15.0 15.00
Permit Fee $ 30,00
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
n Tjae permit is for $100.00 (valuation) or less.
L=7�'/I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
❑ I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
Contractor
MECHANICAL PERMIT FiIingFee 15.00
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 County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the County of
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
against said unty in ons Oce of the granting of this permit.
X D to ���et-3
signarure of A icanr — Owner ❑ Contractor gent ❑
An OSHA permit is required for excavations over 5'0" deep and demolition or cansrruar-
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
OCC
CONST TYPE
TOTAL FEE $ 135.00
HA2 OFEES IMP FLOOD CDF
PARCEL
PD
HD
ISSUE
This permit is hereby iss d under the applicable provi-
Sione Co y Code and/or resolutions to do
wob for which fees have been paid.
OR OF PUBLIC WORKS
BY Date
PERMIT EXPIRES Date 3 Z� f 3V
Receipt No. 135748
WNITE-D.P.W., YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT
'^t..--s�..�y���1�L�'�w�. •'Y`jwraV+MY l+�•,i-�T"'rd�„`�`•'>�, %���.�1� 'Sil {�y''S}i'-,r�,y'"'.�++-�M�/� 'bf.•�b}��' 6�.�.�FKf+F7„`
COUNTYOF BUTTE - DEPARTMENT-F-.DEVELGPMENTSERVI- BUILDING DIVISION
t
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPH N (916) 538-7541
PERMIT APPLICATION DATA SHEET
OWNERA. P. No. / ----2-�
Proposed Building UseT�^�> ` Building Inspector Date
At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance:
DATE RECEIVED BY
1 • All items have been submitted . ........................................
2. Plot plans, 3/4 sets, signed by preparer of plans. ......................... .
Complete plans, 3/4 sets, signed by preparer of plans . ............:....
4. Engineered plans and calcs, 3/4 sets, with wet signature on plans.
5. , Hazardous Material Form . ..............................................
6. Energy Design Compliance and supporting documentation . ..................
7. Statement of Intent for Non -Heated and A/C Buildings.
8. Engineered truss details and layout in duplicate (required prior to plan check). ....
9. Mobilehome data and manufacturer's installation instructions, 2 sets. ...........
10. Fees of $.........................................
11. Impact fees as shown on attached schedule.
12. California Department of Forestry plan approval/fees. ....................... .
13. Flood elevation letter (100 year flood by California Engineer ..............
.
14. Sanitation and plot plan approval Health Department . ........... .
15. City of Chico plumbing permit . ......................................... .
16. Plot plan and business license approval from City of Biggs/Gridley. .............
17. Planning approval for (A) Use: (B),Parking: ' , . ........
18. Contact Land Development.about (A) Improvements (B) Drainage. .......... .
19. Driveway permit (construction approval required prior to occupancy). .. ... .
20. Pre -inspection for required.
Ire -Inspection Building ector (Date)
21. Contractor's license information. (No., Name Style, Classification ............ .
22. Certificate of Workmans Compensation Insurance. .,�,�..r-� ................. .
23. Owner -Builder Verification (Given to owner, Mail to owner . .......... .
24. Recorded copy of Agricultural Acknowledgment Statement. ........:' ........ .
25. Letter of signature authorization el' . i.. ..................................
26. Copy of recorded deed -of p5rcet?reation and 60 right of way to a public road. .... .
27. Letter of intent on buiil @pj� use . .........................................
28. Mobilehome utility clearance . ...................................... r+ .
29. Documentation of legal access. ...................:.........i i!j..� .
��l
30. Documentation of 50% subdivision developed or (A) Road improvements.completed
and (B) Parcel meets zoning area and frontage requirements... I ( ^ K
31. Existing violations/expired permits . ...............................'...... .
Plan check list. .................. .. _
®/L Lc-ffFIA .. Fleol�j
When you issue the permit, process as follows: Mail to owner. �` Mail to contractor.
Telephone and hold for pickup at office. Deliver with inspector.
Other
Parcel Creation ////
Acreage Applicant U/ Date
Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date
Copy of plans sent Health Dept. Fire Dept. Other Date By
The following data must be submitted pnQr tp,permit issuance: (Circle new item not checked above).
1. Index permit for above items No.
2. Additional items required:
Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date
Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date
Plans checked by Date Plans approved by �. i Date
Sets of plans on hold in File cabinet- AP folder
Copy - Department of Public Works r
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO.
7 County Center Drive - Ordv'i11e, California 95965 - Telephone: 916/'538-7541
APPLICATION AND PERMIT
ASSESSOR PARCEL NUMELER
5� ���
ZONIN
�.
BUILDING PERMIT
OWNS
Jct L,(A
TELEPHONE
5331`72 -
SQ. FT. OCC. BUILDING VALUATION
OWNS M LING A RES rr///AA/
LI V /LQ�
CONTR/AC AME LEPHONE
—F70 /05 C_6 � 3
C T ACTOR' MAIL( G ACS G /C
t' gl-07 rL S7— SU 6 2
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation Is
LENDER'S MAILING ADDRESS
ARCHITECT OR ENGINEER LICENSE NO.
Filing Fee
$ 15,00
Permit Fee
Plan Checking Fee
$
t v
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Energy Plan Checking Fee
$
Penalty
$
BUILDING ADDRESS
Permit fee
$
PLUMBING PERMIT
Filing Fee 15.00
Each Trap
1 5.00
Solar or heat pump water heater
1 20.00
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Water piping
7.00.
Each qas water heater or vent
7.00
USE OF STRUCTURE
SF ❑ Duplex❑ Mobilehome❑ Other t/ (�
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
15.00
Mobile Home Tsl G I W I
@ 15.00
TYPE OF WORK
New Addition E] Remmoode ❑ UtiliesO instaiiationEl Other❑
Describe work: Z-!'^ fi tt 0 it l A,1 �Z
g 111, �12_&ZD
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 15.00
Main service 200AORLESS
1 18.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full force and effect.
License No. Classification
❑ I, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract -Mobile
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
Main service 200A To 1000AI
37.50
NEW CONST. DWELLING OCCUP.&)
OR ADDNS. ACC. SLOGS. I
3.64sq.ft.
NEW CONSTR ULTI.OUTLET
NON.RESID BRANCH CIRC ITS
@ 5.00
(POWER APPARATUS 11)
SINGLE OUTLET CIR.
EX. OCCUp(OUTLETS OR FIXTURES
20 76d
EX. Occup. OUTLETS IIRESID,IREA.�
3.0
I 0
Temporary service
15.00
Home Facilities
15.00
Misc. Wiring
g15.00
Q
,Q
Permit Fee
42 41
WORKMEfV.'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one): '
❑ The permit is for $100.00 (valuation) or less.
❑ 1 have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
❑ I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
Contractor
MECHANICAL PERMIT
Filing Fee 15.00
Heating
Cooling
Hood
6.50
Ventilation
Permit Fee
$
Contractor
I certlty 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 wa accrue
against said County in consequence of the granting of this per t.
X Date
Signature of 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.
Receipt No. I 'St:� l r 6
WHITC-O.P.W.. YELLOW-ASSC»OR, PINK -INSPECTOR. GOLDENROD -APPLICANT
Mobile Home Installation Fee $
Energy Inspection Fee $
DCC CONST TYPE TOTAL FEE $
HAZ 1 D FEES IMP FLOOD I CDF I PARCEL PD HD ISSUE
This permit is hereby issued under the applicable provi-
sions 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
PERMIT EXPIRES Date
�-C.,/
• Butte County Department of Development OTrF
Serviceso
. o o
• 0
TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR o o
7 County Center Drive
Oroville, CA 95965 c0U14
(530) 538-7601 Telephone .: t
(530) 538-7785 Facsimile
www.buttecountV.net/dds
ADMINISTRATION * BUILDING * PLANNING
January 27, 2006
Serena Diane Webb
955 Thermalito Avenue
• Oroville, CA 95965
i
CERTIFIED MAIL
Re: Minor Use Permit, MUP 06-01, APN 031=281-120
Dear Serena Diane Webb:
Enclosed is your validated Minor Use Permit to provide a large family day care facility
for up to 14 children., # MUP 06-01.
Should you have any questions regarding this matter, please contact this office between
8:00 a.m. and-4:00 p.m., Monday through Friday. '
Sincerely,
Sherry L. Viernes ,
Office Specialist Senior
Enc.
cc: Land Development Division (g)
` Building Division (y)
Environmental Health (p)
Department of Forestry (gld)
-Larry Painter (prpl)
MINOR USE PERMIT
BUTTE COUNTY PLANNING COMMISSION
DATE: (Certified Mail Rec.)
MUP 06-01
PERMIT NO.
031-281-120
ASSESSOR'S PARCEL NO.
Pursuant to the provisions of the Zoning Ordinance of the County of Butte and the special
conditions set forth below: Serena Diane Webb is. hereby granted a Minor Use Permit in
accordance with application filed: Minor Use Permit for a large family day care facility allowing
up to 14 children, inclusive of children under 10 years old living in the residence.
1. Failure, to comply with. the conditions specified herein as the basis. for approval of
application and issuance of Permit constitutes cause for the revocation of said permit in
accordance with the procedures set forth in the Butte County Zoning Ordinance, .
including Butte County Code Sec. 24-41.
2. Unless otherwise provided for in a special condition -to this Minor Use Permit, all
conditions must be completed prior to or concurrently with the establishment of the
granted use. The use granted by this permit must be established. within 12 months of the
delivery of the countersigned permit to the Permittee.
3. If any use .for which a Minor Use Permit has been granted is not established within one
year of the date of receipt of the countersigned permit by the Permittee, the permit shall
become null and void and reapplication and a new permit shall be required to establish
the use.
4. Minor changes may be approved administratively by the Directors of Development
Services, Environmental Health, or Public Works upon receipt of a substantiated written
request by the applicant, or their respective designee. Prior to such approval, verification
shall be made by each Department or Division that the modification is consistent with the
application, fees paid and environmental determination as conditionally approved.
Changes'deemed to be major or significant in nature shall require a formal application for
amendment. The approving authority may grant or deny an application for renewal of a
minor use permit.
5. The Minor Use Permit shall expire and the permit shall thereafter be of no further force
or effect if the use, business, or service for which the minor use permit was issued
terminates or ceases "operation for a continuous period of time in excess of one hundred'
eighty (180) calendar days except for:
(1) Destruction or damage by acts of God; or
(2) Destruction or, damage by malicious acts; or
(3) Remodeling or rehabilitation requiring prolonged closure with prior approval
of the planning manager.
6. The terms and conditions of this permit shall run with the land and shall be binding upon
and be to the benefit of the heirs, legal representatives, successors, and assigns of the
Permittee.
Conditions of Approval:
Planning Division
1. The facility is a single family residence that shall be the principal residence of the
provider and the large family day care facility shall be clearly incidental and secondary to
the use of the property for residential purposes.
2.. The large family day care facility shall use, existing kitchen facilities and all food
preparation/cooking shall occur in the primary dwelling unit.
3. Minimum off-street parking shall be provided pursuant to the following standards:
(a) ' Two (2) off-street parking spaces for the residents of the dwelling.
(b) One (1) off-street parking space for -each employee/volunteer. The two (2) required
residential spaces may not be used for employees/volunteers.
(c) Two (2) off-street parking space/loading area.
4. One sign, not to exceed 3 square feet, is allowed. This sign shall not be placed in the
front yard building setback.
5. The large family day care home shall be licensed by the California Department of Social
Services, Community Care Licensing.
6. Prior to issuance of the Minor Use Permit, applicant shall obtain any necessary building
permits required by code.
7. The project site shall be developed in accordance with the approved project site plan and the
conditions contained herein. Said permit is on file in the Planning Division, 7 County
Center Drive, Oroville, California. The site plan is identified as "Attachment B" and date-
stamped September 6, 2005, and is incorporated herein by this reference.
8. Applicant must also comply with all other applicable State and local statutes, ordinances,
and regulations.
9. All outstanding application processing fees shall be paid prior to issuance of the Minor
Use Permit.
10. The dwelling's garage shall not be used for day care activities of any kind.
11. Provide disabled accessibility, upon request, per the California Building Code.
2
Public Works
12. Prior to the issuance of the Minor Use Permit, obtain an encroachment permit for all new
or existing driveway approaches and construct them to. County standards, as specified in
County Improvement Standards.
13. Prior to the issuance of Minor Use Permit, deed to Butte County, in fee simple, 40 feet of.
right-of-way from the centerline of Thermalito Avenue along the entire property frontage....
Fire Department/CDF
14. Prior to the start of the large family daycare facility use provide plans and specifications
to the Butte County Fire Chief to determine compliance with fire and life safety standards
of Titles 19 and 24, California Code of Regulations.
County Counsel
15. If this entire matter or any finding, action or condition of this .matter is appealed to :the
Board of Supervisors, the applicant or any other developer/operator : other than the
applicant agrees to indemnify the County of Butte from liability or .loss related to the
approval of this project and agrees to sign an indemnification agreement in a form
approved by County Counsel before the Board's appeal hearing: If the application is. not
appealed, this condition is deemed satisfied.
NOTE: - Issuance of this Minor Use Permit does not .waive requirement of obtaining Building
and Health Department permits before starting c ction, nor does it waive any other
requirements.
Butte County Planning Commission Chairman
cc: Land Development Division
Building Division
Environmental Health Division
California Department of Forestry and Fire Prevention
California Department of Social Services, Community Care Licensing (Chico Office)
3
d h
r 031-281-120 0670 `
:WEBB, MAURICE•: t. : �TrE•
NOTES s 955 THERMALITO AVE,'OROVILLE
} Cont: JEFF PARRISH� ,.'cQUMty
i '4A6DITI0N(140 SQ FT) I. `" t
RESIDENTIAL
APN: Permit No.
Owner. ,
a
�`. Site Address:
1
Contractor.
Type of Permit
;.
J
t
S
Y1'
SPECIAL CONDITIONS
CHECKED BY
JSRA
J FLOOD CERTIFICATE EQUIRED
J FIRE SPRINKLERS REQUIRED
J SPECIAL INSPECTION ITEMS
J VERIFY
J USE PERMIT C0NDITK5NS
J SUBSTANDARD HOUSING LETTER
J ENCROACHMENT PERMIT
J REINSPECTION FEE PAID
J ENV HLTH CLEARANCE
J
� � Y��..--I_ - "'�•� ...ems _ L -� I V
DATE JOB FINAL.ED:
SIGNATURE
rte:_ - r,i•�. • • �.
Pool Drawing
4 � o
- I 1
=OK
�•'0 = Not OK t _
MANUFACTURED HOMES MI'SCELLAN;EOUS;'
DATE" PERMANENT FOUNDATION Lj SOFT -SET .
--.—DATE D E C K S`C O V E R VC A R P O RT S •GARAGES '
1 Zoning�Setbacks-Easements
I Zoning -Setbacks -Easements ."
2 Soils; Special MH Support Sketch
2 Ftgs; Soils•Sz-DpthSpacing-CnncftsSteel
3 Sewer, Loctn-Test; FaIIICIO-Concrete' i
3 Decks, GirderslJoists-Ocking.Brcing
4 Wtr, Loctn Test -Easement Needed -Regulator
Stairs-Guard/Handrails
5 Elec Loctn-DIrncs-Grad Amp -concrete
4 Wood Awn;' P6sts-Beams-Rftrs-CnnctrsShth9:
-6 Yard Gas; Loctn-Test Wrap Nat Q ' or LPQ
Frmg-Brcng.
5 Alum Awn; Columns-CnnctnsSplice-Decal-Encisrs
Inch Sz Ft Lngth
7 Blckng; SzSpadng-Spacing.'�
b Carports; Wndws-Ooors
8 Gas; MH Test-Demand-Valve-Cnnctr
7 Electric
9 Elec MH Cntnty Test-Crossovers-Breakers-Dimcs
8 Frmg; Sills-AnchrsStuds-Rftm -Trusses
Y
10 Drain; MH Test -Fall -Flex Cnnctr
9 Siding; Nailing-VeneerStucco-Lath
11 Wtr 8 Sewer Connected -CIO to Grade
10 Roof, Shthg-Roofing .
12 Gas and Electricity Tagged -'
11 Ext; Steps Doors-Landngs
13. Tie.Downs Q Foundation ❑
12 Braced Wall pnis
14 Exits
,
15 Cert of Occupanry.
16 HUD Labelllnsignia Numbers Serial Numbers
-
DATE POOLS -
1 Setbacks -Easements
-
2 Soils; CompactionStructure Stability
3 Pool Structure; Steel-Cnnctns-Thickness
Dead Men -Lining e
4 Elec Rcptcis1Lting; Distanee-GFl
g; 15 volts -GR.
6 Elec.Encls�Conduit Entries Terminals -Listed
7 Elec Bonding; Metal w/5-CrGtng Egp-Htr.
r'
8 Elec Grndng; Eqp w/5' Crdtng Eqp-Pool Ightg
Boxes-Enclsrs-pnlboardsansultn.to Main Conduit
y .
9 Health Dept Apprvl
10 P1mb; Cir Test-Wtr Supply Test .
11 Lt Niche ,
12 Endsr, Fencing -Alarms -•
13 Banding, Diving board or Slide
Pool Drawing
4 � o
- I 1
0 =Nat
RESIDENTIAL (Sin
uAte JUNPWERFLOOR
,1 ingSetbacks-Easements-FloodSlope
A'Ftg Main; Soils-Elec Grnd Ftg Opth
3 Ftg Garage; SoilsSteel-Elec Grnd Ftg Dpth
4 F•Porches/Decks; Soils -Steel Fig Dpth
Stemwalis Main; Steel-Blockouts Wrapped
6 Stemwalls Garage; Steel-Blockouts-Wrapped
6a Hold Downs and Special Anchrs
7 SI, Steel Wrapped
h0fif,rs-Frpic FtgSteel
940WV; Fall -Fitting -Test -2 -way C10 -Sewer Test
10 UF, Gas Pipe; Sz Anchrs-Sz Test
11 Wtr Pipe; Test-Anchrs-RgltrService Test
12_ Elec Undrgmd
131PI ums 8 Ducts; Clrnc-MaterialSupport Insults
dersSJ
ills-SillsBoltsoists Vnts-Cripples
Acc & Vntitn
16 Insulation
QD
DATE 15 R AFI N G
StII " per Materials & Anchrs
18 alis Studs -Nailing Spacing & Braces -Plates -Sound
earing Walls over' Girders ,& fir Nailing
20 Draft In Walls (rat proof)•
trot re Stops,'F6rred CeilingsStairs�Chasers Tubs
eat BearitsSi &'Bearing•
Z3�f fa Post:Caps-Anchrs-Cbnctns
2 ding Joist-Rftr Ties-Purl"in-Roof Brac TnusShthg
25 FFicTies or Type A Flue-Frpla Throat Cimc
2S'Attic Acc; Sz &'Rink pjtctn.l�raft Stop -Ins Baffles
27 Bdrm Wndws or Exiting Doors -Sill Ht & Dimensions
28 Garage Fire Prtctri Framing -RC Channel
29 Prprty Line Firewall & Opngs' ,
30 Ext Doors -One 3' -Check Garage 3rd Story, 2 Exits
31 Stam; Width-Hdrm-Rise-Run-t.and'ing-Fire Prtctn
p--GYo U443 C . 3TrPi d on Roof Ovrhng Attic VntsWr Outrgrs
33 S�tGng Veneer
SSd tucco Lath Weep Screed-Fndtn Vnts-Undrfir Acc
35 Glazing Are PrtctnSkyLts-Plastic
36 Shear Walls; Nailing -Bolts
to -3.00e F3%C • 37-t3 rhe InUExt Wall pnis
38 1 nsultn-W al is -Ceilings
39 Infiltration -Walls -W ndws
o+
DATE_ JELECTRICAL
40 Fxtr & Trnsfrmr Clmc4ns Prtctn
41 Elec Rcptcls Spacing-Lts & Switches at Doors
4y8f coxes & No Of Cndctrs Stapled
EE�
m�exln�stalled
Close to Edge of Studs & CJ
made up w/Mech Fstnrs
Bond Gas & Wtr
Appinc Cires in Ktchn & Cndctr Sz GFI
Xj y�F47 S feed Wire Sz pa DCU or DAL
AC Wire Sz ya D CU or DAL
48 Range Ckc ga D cu or DAL
Oven Circ ya D CU or DAL
Insulated Neutral El Yes DNo
49 Service -Riser Cndctrs & Grnd Main Dscnnct
50 Eqp Clrncs pnis-Motors-Meth Eqp
51 Clothes Closet LtShwr Lt -Spa Lt
52 Smoke Detector
� 1• � .oh ��„ •
o.• �s o. 0�s'
K9
e & Duple
PLVMBING
tr Htr; Vent Acc-Cmbstn Air Baffle
Pipe; Test & Anchr-Nail Prtctn
�
Test Fittings & Anchr.Nall Prtctn
wsn�Patt; Test, First fir -Tub Acc
est Tub & Shwr, 2nd fir - Tub Acc
58 Gas Pipe; Sz & Anchrs .1 -
59 Fire Sprinkler; Test
//60 Yard Gas Piping
a3• --- off' . , ��`
watt: MECHANICAL
61 AC Ducts Insulin & Support
62 Vent Fan, Exhaust abv Insulin
63 Condensate Drain & Ovrflw, Sz & Grade
64 Furnace -Vent Acc-Comb Air Rtrn/Vent 115 Outlet
65 Attic Acc & Pitfrin if Furnace In attic
Steps -Door & SideLt Prtctn-Landings
7 moke Detector
8 Furnace Vnts-Cimc-Comb, Air-Cnnctr
In Garage; abv-fir-Ducts-Meth Prtctn
69 Bedroom Exiting
GRA Bath Fxtrs & Tub A Sp
Arc Fault
72 Elec Trim & Subpnl, Breaker Szs & Labels
73 Stairs, Guard/Handrafis
74 Frplc or Stove, Cimc-Hearth
75 Elec Outlets at Wood Pnl, Int & Ext
76 Ktchn, Fxtr & Appinc; Grnd-Air-Gap-Cooking Clmc
77 Elec Outlets & Rcptc s at Ktchn Counter
78 Garage Fire Door, Swing -Landing -Closure
79 AC Duct In Garage -Damper.
80 Wtr Htr, Vnts-Cimc-Com Air Cnnctr-PRV; abv fir
U7M ch Prtctn; LPG Appince Undr House 3' drain
1.b; Elec & Mech Eqp Listed for Loctn
82 Elec Rcptcis in Garage (GFI) Romex Prtctn
83 Insults -Foam -Looked in Attic
84 Gu rd Rails & Deck Cnstrctn-post Caps
—8n Vnts & Crawl Hole Door Dmge & Wood -Earth
86 Cl Dmge an D Yes D No
i1-iS�GG�
OC_ CSTSrtucco Brow mish /
88 AC Unit Dscnnct, Elec-Pimb
89 Vnts abv Roof, Pimb-Appinc-Frpic-CImc to Opngs
90 Wtr Well, Dscnnct, Elec, Pimb
91 Ext Elec Trim, GFI Rcptcl-Undrgmd
92 Vntitn thru House
93 Glass Prtctn
'.orrections from previous Irispctns
95 Gas Test -Meters Tagged, Gas-Elec
96 Wtr•& Sewer Cnnctd-C/0 to grade -HD Apprvl
27*tnergy Cmpinc Cert -Other Certs
98 Address Posted
99 Fire Sprinkler
o �
21
COUNTY OF BUTTE
BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
7 County Center Drive • Oroville, CA • (530) 538-7541
CORRECTION NOTICE
W/'
OWNER
••ri
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.
1
I % r
Date / Inspector 1
REV 4/05 Phone # G r/
� J a ✓
FOR RE -INSPECTION CALL: 538-7636 OR 891-2834
COUNTY OF BUTTE,
BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
7 County Center Drive • Oroville, CA • (530) 538-7541
CORRECTION NOTICE
1,ijc lb
�r OWNER PERMIT NO.
Am
f 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
F work is completed. If you have any questions pertaining to this matter, or need additional
' explanation, please contact the Building Inspector as indicated below.
fY '
e 1
G- 4 5-u Ih tP Cl -VIA C.K ul V % -e
l.J r Q�e tiA m of C / 149 . c%, ' o r
Date /h• 3 ° Inspector 4'e'
REV 4/05 Phone #g 57-l7 6
FOR RE -INSPECTION CALL: 538-7636 OR 891-2834
J
Insulation Certificate
BUILDING LOCATION:
Description of Installation
ROOF
Material
Thickness (inches) _
Brand Name
Thermal Resistance (R -Value)
CEILING
Batt or Blanket Type Brand Name .
Mlw�Thickness Cmches)- . • _� Thermal Resistance (R -Value)
Loose Fill TypeBrand Name
Contractor's minimum installed weight/ft----Ib Minimum thickness inches
manufacturer's installed weight per square foot to acheive Thermal Resistance (R -Value)
EXTERIOR -WALL
• _Material � .
Thickness Cinches)
RAISED FLOOR
Material
Thickness (inches)
SLAB FLOOR
Material
Thickness (inches)
Width (inches)
Brand Name
Thermal Resistance (R -Value)
Brand Name
thermal Resistance (R -Value)
Brand Name
Thermal Resistance (R -Value)
FOUNDATION WALL `
Brand Name
Material "�ermal Resistance (R -Value)
Thickness (inches)
.. ..__f-- . -
Declaration +
I hereby certify that the above insulation was installed in the building at the above location in conformance with
the current Building Energy Efficiency Standards for new residential buildings contained in Title 24 of the
California Administrative Code. Owl
--G " eralConcactor (Builder) License Number
416p 7
signature and Title Date
Sub -Contractor (Insulation Installer) ' License Number
Signature and Title Date
THIS CERTIFICATE MUST .BE PROVIDED TO THE BUILDING
DEPARTMENT PRIOR TO FINAL INSPECTION
APPROVAL AND A COPY SHALL. BE POSTED ANiN 1THE
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING"PERMIT
24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO)
OFFICE #: (530) 538-7541
PERMIT NO.
BP061670
PERMITS BECOME NULL AND VOID 1 YEAR FROM THE DATE OF ISSUANCE OR IF WORK IS DONE IN VIOLATION OF ANY COUNTY OR STATE LAWS. .4
LICENSED CONTRACTORS DECLARATION
I hereby affirm under penalty of perjury that I am licensed under
provisions of Chapter T(commencing with Section 7000) of Division 3 of
the Business and Professions Code, and my license is in full force and
effect.
License Class : License Number:
Date: Contractor:
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
permit to construct, alter, improve, demolish, or repair any structure, poor
to its issuance, also requires the applicant for such permit to file a
signed statement that he or she is licensed pursuant to the provisions of
the Contractor's State License Law (Chapter 9 commencing with Section
7000) of Division 3 of the Business and Professions Code) or that he or
she is exempt therefrom and the basis for the alleged exemption. Any
violation of Section 7031.5 by any applicant for a permit subjects the
applicant to a civil penalty of not more than five hundred dollars ($500).):
❑ I, as owner of the property, or my employees with wages as their
sole compensation, will do the work, and the structure is not
intended or offered for sale (Sec. 7044, Business and Professions
Code: The Contractors' State License Law does not apply to an
owner of property who builds or improves thereon, and who does
such work himself or herself or through his or her own employees,
provided that such improvements are not intended or offered for
sale. If however, the building or improvements are sold within one
year of completion, the owner -builder will have theburden 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,
and who contracts for such projects with a contractor(s) licensed
pursuant to the Contractors' State License Law.).
❑ I am Exempt under Article 3 of
the Business and Professions Code
Date: d & Owner:
WORKERS' COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for
workers' compensation, as provided for by Section 3700 of the
Labor Code, for the performance of the work for which this permit
is issued.
❑ I have and will maintain workers' compensation insurance, as
required by Section 3700 the Labor Code, for the performance of
the work for which this permit is issued. My workers' compensation
insurance carrier and policy number are:
Carrier:
Policy
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.
Date:
Applicant:
WARNING:- Failure to secure workers' compensation coverage is
unlawful, and shall subject an employer to criminal penalties and one
hundred thousand dollars ($100,000), in addition to the cost of
compensation, damages as provided for in Section 3706 of the Labor
code, interest, and attorney's fees.
CONSTRUCTION TENDING AGENCY
I hereby affirm that there is a construction lending agency for the
performance of the work for which this permit is issued (Sec 3097 Civ.)
Address:
Issued Date: 08/11/2006 APN: 031-281-120-000
Site Address: 955 THERMALITO AVE ORO
Map Index:
Description: ADDITION BATHROOM (140)
Owner: WEBB, MAURICE AND SERENA
955 THERMALITO AVE
OROVILLE, CA
95965-4426
Applicant: WEBB, MAURICE AND SERENA
955 THERMALITO AVE
OROVILLE, CA
95965-4426
Contractor: STRUCTURE PRO BUILDER
2672 V-6 RD
OROVILLE, CA.
95966
530-534-5611
License #: 560837
Architect:
Engineer:
)tal Square Ft:
Valuation:
Census Code:
140 S.F.
$9,100.00
This permit is heir s Ad Cede th�chich provisions of the Butte Co
Resolutions wo i 'cated a rive fo which fees have been paid.
By. Date.
PERMIT EXPIRES ON: I
ity Code and/or
.I.I- OL
❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage,
handling and use of hazardous materials.
❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project.
❑ Attached are copies of the required E.P.A. notification forms.
I hereby certify that 1 have read this application, that -the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with
all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby
authorize representatives of Butte County to enter upon the above mentioned property for inspection purposes.
Print Name:..:r r `Av V— % Z!"<— �� Signature:
Date: Z1,4
Owner
❑ Contractor
❑ Agent for Owner
❑ Agent for Contractor
n. U. nunumg renin V I - iv- 4 Ny i
BUTTE i!:OUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT APPLICATION
AND SUBMITTAL REQUIREMENTS
24.HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834
OFFICE #: (530) 538-7541
A FEE WILL BE REQUIRED AT TIME OF APPLICATION
Website: www.buttecounty.net/dds
**PLEASE`PRINT CLEARLY**
1
OWNER INFORMATION
Last Name
Ft Name
qJr" 2 L
Address C1 S S �e,4- VVI -4z : � d A 1, A
City U r-OVA
Stated Y I ,/�
I Zip 3 5 5
Phone 5 36 _ s 33-7& 3 f
Fax
E-mail
CONTRACTOR
Name n
Address 1a V_6
City C1 r`p V Cr
State ,/t
C_'� 1
ZiP�I Sit (sz (o
Phone
Fax
E-mail 5 C(_ 5�
Lic. #�� �
Class
APPLICANT INFORMATION
ARCHITECT/ENGINEER
Name
city Ci f 0 v
Address
Zip cl �ciLcS
City
Fax
State
Zip
Phone
Map Book
Fax
E-mail
Planner
State License Number
APPLICANT INFORMATION
Name a^/ �J249
Address � S S T ►��� v✓►Q t � �- � �%�- ✓-�
city Ci f 0 v
State � . A .
Zip cl �ciLcS
Phone S _ 7�
Fax
E-mail
APPLICANT SIGNATURE
X
For office use only:
Zoning
Property Address
Flood Zone
rj70s`sStreet 10 J_^
-.SRA
I Yes
No
Occ.
Type Const.
Subdivision Name
Map Book
Page
Lot #
Planner
Date Approved:
01
PERMIT
NO.
e6/6
BIN
PROJECT LOCATION
/
Property Address
City
rj70s`sStreet 10 J_^
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.
Sheriff
LENDING AGENCY
Name
Address
OVER FOR SUBMITTAL REQUIREMENTS Ll
K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc Page 1 of 2
Description or Scope of Work:
(/ 6YV /
q FT- Living Garage Open Cov
❑ Structure Built without Permits
❑ Proposed Change of Occupancy
(Note previous use):
EXPIRATION OF APPLICATION
Applications for which a permit has not been issued will expire one
year after the date of application. In order to renew action on an
application after expiration, anew 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 othgr dep rtrV,�t costs are not
refundable. , 1) '14- F) C 1 n. (/1 l
Received by- Amount:
(/
GGA
Bldg
SRA
Receipt #:
Sheriff
Vl
SMIP
Date:"
Other
7
/ ���
Total
REV 8-12-05
f * .
SUBMITTAL & PERMIT REQUIREMENTS.
The following drawings and specifications must be submitted to the Building Division in order to apply for a
permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK.
❑ 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. No graph paper!
❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans (No graph paper!) OR
Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations.
❑ 3. Engineered truss details and layouts in duplicate (if required). No faxes!
❑ 4. Energy compliance design and supporting documentation in duplicate.
❑ 5. Statement of Intent for Non -heated and A/C for Non -Residential Buildings.
❑ 6. Manufactured homes: (A) Installation manual, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans,
all in duplicate
❑ 7. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor
plans in triplicate. All of these must be stamped and wet -signed by the engineer.
❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate (if required).
❑ 9. Site plan and business license approval from the City of Biggs.
❑ 10. Letter of intent for non-residential buildings.
❑ 11. Building Permit Application Without Required Clearances Form
❑ 12. Hazardous Material Form (for Commercial Buildings only).
Remaining items needed to issue the permit. Additional items may be required after Plan Check and Planning
review (May require additional plan review upon receipt of the following items.)
❑ 1.
Agricultural Buffer clearance and site plan approval from the Ag Commissioner's office (if required).
❑ 2.
Impact Fees.
❑ 3.
California Department of Forestry plan approval (if required).
❑ 4.
NPDES Form.
❑ 5.
Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy).
❑ 6.
Contractor's license information. (Number, Name Style, Classification).
❑ 7.
Worker's Compensation Carrier and Policy Number.
❑ 8.
Owner -Builder Verification (if required).
❑ 9.
Letter of Signature authorization (if required).
❑ 10.
Recorded copy of Agricultural Acknowledgment Statement.
❑ 11.
❑ Legal description from current recorded grant deed, ❑ Copy of M.H. Title, Title transfer, or MCO.
❑ 12.
Sanitation and site plan approval from the Environmental Health Department.
If you have questions or would like additional information regarding this process, please contact a
Permit Assistant at (530) 538-7541.
EXPIRATION OF APPLICATION
Applications for which a permit has not been issued will expire one year after date of application. In order to renew action
on an application after expiration, a new application, plans and fees will be required.
REQUEST FOR FEE REFUNDS
Refunds can only be made upon written request'by the person who paid the fee. The request must be made within two
years from the date of fee payment on permits not issued, and two years from the date 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
r
KAFORMS\BUILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2 REV 8-12-05
BUTTE- COUNTY DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 COUNTY CENTER DRIVE, OROVILLE, CA 95965
www.buttecounty.net/dds PHONE (530) 538-7541 FAX 538-2140
RECEIPT OF FEES SCHEDULE - RESIDENTIAL
Owner webb APN No: 31-281-120 Permit Type: F'- Subtype:
App Date: 7/12/2006 Permit No: BP 061670 Permit Desc:
1 BUILDING PERMIT FEES ESTIMATED AT APPLICATION $426.18
Plan Check portion of Permit Fee $170.47 $255.71 Balance of Building Permit Fee
2 FEMA []Yes Flood Elevation Review $109.98 0
3 SRA* Yes Fire Plan Check - Non -Refundable $95.00 0
(State Responsibility Areal Building Inspection $109.98 0 - $20a.98
NON-REFUNDABLE portion of fees due at application $170.47 RECEIPT DATE Tech
FEES DUE AND PAYABLE AT TIME OF PERMIT APPLICATION $170.471 Ll0i7'9 -7-42_
FEES (BELOW) DUE PRIOR TO ISSUANCE OF PERMIT y $256_62
4 Balance of Building Permit Fees (from No. 1 above) $255.71 90 'Y� <
5 SMIP* - Strong Motion Instrumentation Program (Enter amount from permit system) $0.91
6 Additional Plan Check Fees (NON-REFUNDABLE)
7
7a
8
9
10
10a
11
11a
Other*:
Other*:
1 1 W I
RECEIPT DATE Tech/Asst
RECEIPT DATE Tech/Asst
IMPACT FEES - RESIDENTIAL*
Applications After 04/15106
Per Dwelling
Per Dwelling
MFD ,c
Per Dwelling
MH
County 4249.11 3183.54 3238.72
Chico Urban Area 6146.23 4538.82 5648.44
EI Medio Fire District 3249.97 2385.76 2422.68
North Chico Specific Plan
A SR -1, SR -3, SR-1/PD 8801.091 7395.041 8486.40
�c R-1 8897.09 7491.04 8582.40
0
° R-2 8390.091 6984.041 8075.40
R-3 7604.091 6198.041 7289.40
Processing Fee is automatically added to impact fee total 0 $100.00
WATER TENDER FEE )Not collected when Impact Fees Applicable) Enter Bat.# $200.00
DRAINAGE FEES*
CHICO STORM DRAINAGE
MASTER PLAN
770 Butte Creek $7,997
771 Comanche Creek $8,341
New construction, vacant
land, on 1 acre or less -
Enter 1 or less acre value
772 Little Chico Creek $9,088
773 Big Chico Creek $6,776
774 Lindo Channel $8,267
775 SUDAD Ditch $7,211
776 Mud -Sycamore Creek $6,275
777 PV Ditch $8,893
More than 1 acre, existing buildings - fees to be assessed by Public Works
Fee Determination Sheet Needed - Enter amount determined by PW
THERMALITO DRAINAGE AREA $684 Maximum
Per each new living unit on existing lots where full drainage fees have not been paid
Temporary Dwelling 1 $136 At time of building permit
$136 annual renewal fee for first 4 renewals. Not to exceed $684.
PROOF OF PAYMENT OF FEES (BELOW) MUST BE RECEIVED PRIOR TO ISSUANCE OF PERMIT. Forms will be prepared after plan check
is completed for applicant to take to respective district office.
12 SCHOOL DISTRICT FEES*
12a RECREATION DISTRICT FEES*
Oroville High/Thermalito 104
�"
At the time of permit application, I was advised the above fees are required to be paid prior to issuance of the permit. These fees may be changed during the plan
checking process.
Applicant: �� �� Date: 7/lp"V/0 co
Pursuant to Government code Section 66020, you are hereby notified those Items followed by an "*" may have been imposed on your project. You have 90 days
from the date of approval of the porject or from the impostion of the above referenced items during which you may protest. The requirements for a protest are
specified in Goverment Code Section 66020(a). K:/Building/Forms/Schedule of Receipt Fees Residential 041506
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:
�SASSESSOR PARCEL NUMBER / /
(,/
Proposed Building User l / / / D Permit Technician: `'G� Date:
Items required in order to apply for a permit All boxes MUST'be checked OR marked NA in order to apply.
po 1. Site plans, 3 or 4 sets, signed by the preparer of the plans.
/VV . 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 faxesl
5. Letter from Engineer or Architect for truss design review.
/ tJ 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.
must be stamped and wet -signed by the engineer.
❑ 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate.
❑ 11. Hazardous Material Form
❑ 12. Acknowledgement of building permit application without required clearances.
❑ 13. Other
Remaining items needed to issue the permit (May require additional plan review upon receipt of the following items.)
14. Sanitation and site plan approval from the Environmental Health Department in ❑ Chico ❑ Oroville, as applicable
/�- ❑ 15. Fire Sprinklers............................................................................................
❑ 16. Agricultural Buffer dr and site plan apr from the Ag Commissioner Sent by-..,-
❑ 17. Soils Report and/or Engineered Foundation required ...........................................
18. Erosion Control Plan Required........................................................................
19. Fees as shown on the attached Schedule of Fees Due Sheet ..............................
❑ 20. City of Chico Plumbing permit........................................................................
❑ 21. Site plan and business license approval from the City of Biggs ..............................
❑ 22. California Department of Forestry', plan approval ❑ paid. Sent by: ........
23. Planning approval for (A) Use: -()I- (B) Parking: (C) Parcel Check:.
❑ 24. Contact Land Development about _Improvements, _Drainage ........................
❑ 25. Fire Marshall Review (commercial projects only). Sent by: ......................
26. NPDES Form.............................................................................................
❑ 27. Encroachment Permit for driveway from the Public Works Dept ...........................
1128. Contractor's license information. (Number, Name Style, Classification) ...................
\❑ 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.
When issued Telephone o ' ""' �?7 - �%6�$ and hold for pickup.
I have been informed of the above items and requirements for obtaining a building permit.
Applicant A",--117 q Date: %f/-2//� 69
1. Index permit application for the above items numbered: l [ Plan Check Letter
2. Additional items required
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:
Contractor, designer, owner, asdvised of the abo a data by ❑ phone, ❑ mail, ❑ counter, y Date:
Plans reviewed by Date: 06 Plans approved by: Date: V
Structural reviewed by: Date: Structural approved by: Date:
Note transfer by: /1'"'` Date: o
Yellow: Building Division
All of these
BUTTE COUNTY SCHOOLS IMPACT,FEE CERTIFICATION FORM U r
(One form per Building)
4,
School District �_J6 Building Department No.. V Cp �*y
A.P. Number 01), -9�� ' ao Jurisdiction: City County
Property Owner VA4AA_mr CK, W z
Property Location/Address ► I �Q .( ��C,���� , `+ �'-� Vy J
Subdivision Lot No.
tdd*-1*,',1�
............................Residential Development 0. Q Q €Sq. FootageNo of Living Mobile Home "Supplemental to (Group. R)
Units Installation Conversion Permit #
*(No foundation inspection)
.:........................................................................................
Deed Restricted Sq. Footage
(Attach a signed copy of Deed Restriction and Notice of Limited Use Facility document)
Commercial/Industrial Q -
New Addition
Building Department
District Identification No. 70025
I/ r U v ) I , . U h i p School District certifies that
S_ `rivrnmal;+
v,�,
Sq. Footage
(Including Exterior
Roofed Areas)
Date
MO, U Y- I CCI �g b�
('Applicant)
533— -7 L9 3
(Street Address) (Phone Number)
r v, LQ �'►� L S
(City) r� (State) (Zip
(Zip Code)
has complied with the requirements of Resolution No.` UJ 1 by payment of $
representing
School District
1 V square feet.
JJAB 2926 $
ULL MITIGATION $
Date
Paid by Check # ` Remarks: "xip m D+ LQ.S S +�n t'1 V
Mode@: You may protest the Imposition of the fees Identified above by submktlng a written protest.to the District, In conVilance with
it
Government Code Section 66020(a), within 90 days from the date fees are paid. Failure to subma timely written protest will prohibit
you from challenging On Imposition of the fees In any court action.
K, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, tin School District is
notified by the applicable Local Planning Agency that this project Is being reviewed under the California Environmental Que ty Act (CEQA).
this project may be subject to additional school face to fully nWgate Its kr4mict an the adwal dh*Ws'schools.
White (school district), Yellow (building department), Pink (applicant). feetorm xla (3/05)ftm
-,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 permitwill be issued until this
verification is received: '
1. I personallyplan,to provide the major labor and material for construction of this proposed
property improvement: 'YES.[ p] NO [ ].
____--2. I HAVE [ pL] HAVE NOT [ ] signed an application for«a building permit for the proposed
work.
3. I have -contracted with the following person (firm) io`provide the proposed construction: '
. NAME. r , , ,; - � y • , � .
ADDRESS: .. .. ®,.
PHONE: CONTRACTOR'S LICENSE NO:
A. I plan to provide portions of the work, but I have hired the following person to coordinate, .
supervise, and -provide the major work: µ a
NAME: ,.
ADDRESS:
PHONE: L CONTRACTOR'S. LICENSE NO:
5. Twill provide some of the work but I have contracted (hired) the following persons to provide
the work indicated: '
NAME ADDRESS PHONE „ TYPE OF WORK
4 L
SIGNED(DATE: PROPERTY OWNER
NOTE: This Owner -Builder verification is required by Section 19831 and 19832 of the California
Health and Safety Code.
Butte County Department of Development Services urr
ADMINISTRATION` BUILDING `GIS `PLANNING o� `�; FQ
� o
7 County Center Drive O —«
Oroville, CA 95965 c o
(530) 538-7541 Telephone C
(530) 538-2140 Facsimile oU
OWNER -BUILDER INFORMATION
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 owneis 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 contractor 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.
Sincerely,
6�wScott Rutherford
Chief Building Inspector
NOTR- This Owner -Builder Information is reauired by Section 19830 of the California Health and Safety Code.
P
pgTMEl1/T � r
0.TT�o���, ®apartment of Public Works
!�� C o u n t y' o' f B. u t t e
o
C �� ,' �.,: o '
Oh: LAND, DEVELOPMENT DIVISIONO J. Michael CrumP
o O r
' Dlf@C tOf Storm Water Management Program
7 County Center Drive
C UN y Oroville,CA,95965
AVQIIC. WOR�9 • 1530) 538-7266
(FAX) 538-7,171
National Pollutant Discharge' EliminationSystem (NPDES) ' Phase II
Construction Storm Water Permit and,,Storm Water Pollution . Prevention
Plan (SWPPP) Acknowledgement [LESS THAN 1 ACREI
ii
Project Description: J ff.
Project Location and/or Parcel Number: .,
CI S �.�f wt \ V6 ✓2.
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 aply 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 one acre of disturbed soil will require a Construction Storm Water Permit from the State of
California Regional Water Quality Control Board. '
I am aware lthat '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 fora 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: w Vl -<_`i .
Date: Z/�ZL, is
t .
Less than 1 Acre NPDES & SWPPP Compliance Certification
Butte County Storm Water Management Program
Revised 5/24/04
. COUNTY' OF -BUTTE'--,.[
77 -County Center. D rive--'Orov I I I
APPLIC
fk--PARCEL NU
1-:_281-J20
'Diaz
Xatherine'--
owmr.R* --MAILING-ADDRESS
N955 Mer.M;ilito =0e., --.-*Oro vill e '`95966
CONTRACTOR=S -NAME
"Perfection'To6ls,
co x95928
UN
, CONSTRUCT.ION,. LEND ER
LENDLING cA DDRESS
i ARCHIT-MI
'S MAILING -ADDRESS
ARCHITECT40WENGINEER
-:S,
C-BWLD-INGADDRESS
ierMdYi-t-04
Ave,.:-, %,'Or ovill e
LOTANO,,,' e,x !SU8DIVISI0WNAME,.;,.,
-
USEWFtSTRUCTURE
-,Ro6l
SF -1 4up ex oble
h;mjEt0ther
71PI
tMEN-T*'OF,"P.UB.LIC,,WO.RKS.--. !PERMMN0-
DmW95965-- -Telephone: 916/538-7541 -
ANDIFRERMIT
1. IBUILDINWPERMIT
'B
S _OC _UATION
tBUI LDING �VALUAT ION
FT. C -
8
/L,- '00
>F_ireplace
sT.otalkValuation 78.00
15' 0
Wiliriff-ee .0
360
IM rinit"Fee .00
CE'' '--PlanCheckingI`Fbe
nergy
;.Penalty
5Perrhittfee
PLUMBING-MERMIT
Ma&0.Trap
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iT ml
sionsubf.XChapt.,"; J�
hd;nny,t'license&�-is,*in idol liforcesand ,oeffect.i — ------- �;J,20;Z,754-j,
;�'V, -;Ex. CU PWUT.CETISCOW�FTXTLIRE!A�'t� AL5 4 6
'FIXED A OR A 1
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1EX'M Cup.`.W0U-rUE`4r.S+4R ESID.OE-At
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m'pio'y'ees,-,,w-ittftmfages�t.�Is
and -ahe-.zstructure*3* sonot-A ntend
4T-emporarys ervA,
MFi'�,,,�4- 15',0
1,AtMobile ome!adllities
-N W
%
RrofessionsXod 'T
Qi
dekisec' TBusinessran& XPr�Af n1lec
t xcmptAun -301
SPerm V .00
wt tfor ivreaso6.
ItContractor�'�
10WINSURANCE
r.�,-'.Ir.-'.AWORKMEN!SICOMPENSA-T
-�--,41MECHANJCALTP.ERM1T 4 JIFI I irt'F4 'Z-15'00
1vdeclare;6nder,.penalty<of;per_j urY Is(checWone
-
T :permit is for$T00:00;:(valuation)or<less',131�rz4 '; a,-QQ
.1, Heat i
tt&.','Bu i I d i ng t6'6pa nt
e.;.or'zak Certif i cat
e
f !!.,Cooling-,-,:
`cof=Consent to Self Insure
-46%50 t t
to-,become,!su6je -Hood,-.,,-,
I -Ventilation
6u'becomwsubject
P
comply �with, such -9mIt'Fee
'to. a. .71111
Contractor
:provi.sions,or-this permWshall•be deemed revoked.
I ccertify-that V-have-read,this appi i cation �an&statelthat the -above information* cWcbiletftme; installation'Fee
is correct. I• -agree -to, comply -to.;al I County Ordinances and'State Laws relating"
I tobuilding construction, -.and hereby, aut hori ze -representat i ves of the County.0t., i-EnergyAnspection'lFee i
•Butte,-to,enter�upon'the;above-mentioned -property, for inspection purposes. =.Occ CONST IPI ' -135.00
TOTAUFEE-4
P' TOTAUFEE,4135-1
I -al so fagree- to .-save,A ridemnify -and keep harmless the County-of-Butte,against I HD. ISSUE.
J P
andeexpenses-which-may iniany.,wayiaccruej I -L 0D COF PARCEL
KAZ 0 FEES 114MV, •I
I I iabi I iti es, -judgments, -,costs,
ainst,,sai"unty in ons nce of,the. granting of this permit.
This -permit is hereby.issued undertheappficalbie provi-
sions of:the Butte' County-Codeiand/or resolutions to do I
_X
S gnature. a 'Owner -0 'Contract., P>44Agent_'E1 -for.-which --fees have -been paid.
f-Apiricant El -work,indicated -above
s over 5'0",deep and demolition or construct-
��WOSHA permit is -required for -excavation +'DIRECTOWOF PUBLIC;WORKS
Ion of structures over 3 stories in height.
!BY Date
lel 1 'A r,7 1. 51 M-
3S I
irm
OPP 0-striiCtures &
i e�w>5rrieiit shall be-
as shown
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19 X 33 x q peeya t e{
cmeations JMT Joe,:
This set of plans and ape to'
ob 'at all times and it is unlace'
kept on.�� a vritihout
male any"cna�es or a Iter ,, DS. on c eu of X11*
t xitt3n permissionm� .hep
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A1l Materials & WorkmansbiP.Shall8 aid
IITOTE:yd Good Practices and
Accordance vr.;th I��acev • . the Specified uae
W Mster�,Plau on fue for
wilding Plans.
of Quality Prescribsct for & Mecbaui� 7
Gu V y G in the unifor'z wai C
ilding, plumbisi�
Coci�s and the Nationalleetricods.TTE CO U RlTY
BUILDING DEPARTMEN`r
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