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Home My WebLink About033-028-009ADDITION W/0 PERMITS 5/27/97 033-028-009 PERMITN97-1187 HODGES, Tharen 190 Lakeland, Orovi Rebuild Bedrm & Chan Roofline/SF 033-028-009 ERMIT97-2244 HODGES, Tharen 190 Lakeland, Or ville Repair Ex Deck/ F B07-2270 033-028-009 MISCELLANEOUS Re -Roof REROOF W/COMP(12) 190 LAKELAND BLVD HODGES THAREN L R CA, fzrr' BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #:(530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #:(530) 538-7541 FAX#: (530) 538-2140 WEBSITE: www.buttecounty.net\dds PROJECT INFORMATION Site Address: 190 LAKELAND BLVD Owner: Permit No: B07-2270 APN: 033-028-009 HODGES THAREN L & CA, Issued Date: 11/05/2007 By KEJ Permit type: MISCELLANEOUS 865 LONG BAR RD Subtype: Re -Roof OROVILLE, CA 95966 Expiration Date: 11/04/2008 Description: REROOF W/COMP (12) (530) 521-8300 Occupancy: Zoning: Contractor Applicant: Square Footage: DAN'S ROOFING DAN'S ROOFING Building Garage Remdl/Addn 6961 LINCOLN BLVD 6961 LINCOLN BLVD OROVILLE, CA 95966 OROVILLE, CA 95966 Other Porch/Patio Total (530)534-8118 (530)534-8118 FEE INFORMATION DBMSC Re -Roofing $116.00 Total Charged: $116.00 Fees Paid: $116.00 Balance Due: $0.00 Receipt No: B5203 LICENSED CONTRACTOR'S DECLARATION OWNER / BUILDER DECLARATION Contractor (Name) State Contractors License No. / Class / Expires I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License DAN'S ROOFING 755839 / C 39 / 10/31/2008 Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am licensed under provisions of Chapter 9 (commencing with Section 7000) Division 3 of the Business and Professions Code, and my license pursuant to the provisions of the Contractors License Law [Chapter 9 (commencing with Section 7000) is in full force d effect. 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 X 11/05/2007 the applicant to a civil penalty of not more than five hundred dollars [$500]; Please check one of the following: Contractor's Signature Date ❑ 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 WORKERS' COMPENSATION DECLARATION OFFERED FOR SALE (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of the property, who builds or improves thereon, and who does I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: the work himself or herself or through his or her own employees, provided that such improvements ❑I HAVE AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR are not intended or offered for sale. If, however, the building or improvement is sold within one WORKERS' COMPENSATION, as provided for by Section 3700 of the Labor Code, for the year of completion, the owner -builder will have the burden of proof that he or she did not build or performance of the work for which this permit is issued. improve for the purpose of sale.). I HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by ❑ 1, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Code: Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. The Contractors License Law dows not apply to an owner of the property who builds or improves My Workers' Compensation insurance carrier and policy number are; thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the State Fund 7130018359 ExpDate: 12/01/2007 Carrier: State Number: . Contractor's License Law.). (This section need not a completed if the permit is or on7 e_ n reddollars ($100) or ess. I AM EXEMPT under Section B. 8 P.C. for this reason: ❑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' X 11/05/2007 compensation provisions of Se . n 3700 of the Labor Code, I shall forthwith comply with those Owner's Signature Date provisions. X 11/05/2007 I hereby certify that I have read this application and state that the above information is correct. I agree to comply with all City and County ordinances, rules, regulations, and State laws relating to building Signature Date WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless Butte County, its officers, agents and employees from any and all claims and liability for personal AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE injury, including death, and property damage caused by, arising out of, or in any way connected with HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, the issuance of this permit. I hereby acknowledge that issuance of this permit does not authorize the DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND use or occupancy of any sidewalk, street, or subsidewalk. 1 hereby authorize representatives of Butte ATTORNEY'S FEES. County to enter the ove mentioned property for inspection purposes. 1 hereby certify that I am the Pr pe y owns r ulho ized to a n the property wne� alf. QA /49 11/05/2007 CONSTRUCTION LENDING AGENCY 1 HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for mf Permittee [SIGN]—Print Date e o the performance of the work for which this permit is issued. (3097 civ. code) OwnerContractor OR. DAgent for Owner Agent for Contractor FILE COPY Lender's Address City State zip BUTTE COUNTY PERMIT DEPARTMENT OF DEVELOPMENT SERVICES NO. BUILDING PERMIT APPLICATION. rn�Q OFFICE #: (530)5338-7541 FAX#: (530) 538-2140 d� A FEE WILL BE -REQUIRED AT TIME OF.APPLICATION Website: w. rw.buttecounty.net/dds BIN # **PLEASE PRINT CLEARLY** CONTRACTOR OWNER INFORMATION Last Name City Name Ph Fax. . - City Lic,S tate Zip Phones ac d Fax E mail CONTRACTOR Name -Address -. _ V City to S Ph Fax. . - E-mail Lic,S Class APPLICANT INFORMATION ARCHITECTIENGINEER Name Address `1 City State th Zip Phone F E-mail State License Number APPLICANT INFORMATION Name J Address � . jl V city u CsL . St t Zl4 S 66.. Pho Fax . c -E-mail APPLIC T SIGNATURE X PROJECT LOCATION AP# Property Address City WORKER'S COMPENSATION . Policy Number .1 b. Carrier; 1 Cte 6 If hiring anyone other than ce se contractors, a certificate of worker's compensation must be shown' at the time of penult issuance. LENDING AGENCY Name Address -DESCRIPTION OR SCOPE OF .WORK: Sq FT- Living Garage. Open Cov ❑ Structure Built without Permits 1 ❑ Proposed Change of Occupancy \ (Note previous use): For office use only: honing Flood Zone SRA Yes No Occ.Type Const. i A. P.- # 033-02-8-009 Address 190 LAKELAND BLVD, OROVILLE Owner MMES Owner's Address P 0 BOX OROVILLE CA 95965 Owner's Phone No. Supervisoral District Tenant's Name Phone No. Type of Violation.in Detail with Code Section Priority No. 1 ADDITION 14/0 PERMITS Specific Plot Plan with C/V Noted des no Penalties Required 1st. Notice Sent ) 2nd. Notice Sent 2/27 ate Date Comments and/or Determination MR HODGES CAME.IN 5/28/97 --HE IS NEW OWNER --FOUND OUT WHAT HE NEEDS TO DO --WILL BE BACK NEXT WEEK Disposition For Citation Citation Date (Date) Department Recommendation to Court Court Action Notice of Violation Recorded (Date) a C _ L A N D O. F NATURAL WEALTH A N D B E A U T Y BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE • OROVILLE, CALIFORNIA 95965-3397 TELEPHONE: (530) 538-7541 FAX: (530) 538-2140 June 7, 1999 Tharan L. and Catherine H. Hodges 865 Long Bar Road Oroville, CA 95966 RE: Building Code Violations A.P.#033-08-2-009 190 Lakeland, Oroville Dear Mr. and Mrs. Hodges: This is a formal warning notice. Pursuant to Butte County Code (BCC) Section 41-2, we sent you a courtesy notice dated April 15, 1999 notifying you that you are in violation of the BCC at the above -referenced location. As of this date,.the following violations still exist: Failure to obtain approval of previous corrections and failure to obtain final inspection prior to occupancy and permit expiration for rebuilding bedroom, changing roof line and repairing deck for single family residence in violation of the 1994 Uniform Building Code and Sections 17922 and 18941..5 of the California Health and Safety Codes as follows: (a) Section 106.1 Permits Required (b) Section 108.1 Inspections Required (c) Section 108.4 Inspection Approval Required Before Use or Occupancy The above violation shall be corrected.or abated by you applying for a permit to complete the work and paying the appropriate fees. After.permit issuance and field authorization to proceed, the corrections must be completed and approved by this office within the permit specified time. This is your final warning. Unless you contact this office and make the proper arrangements to correct or_abate the violation(s) voluntarily, within ten (10) days from the date of this letter, enforcement shall be pursued through the issuance of a citation (ordering you to appear in court) for said violation(s) and for failing to comply with this warning letter. Letter to Theran Vand Catherine H. Hodges -RE: BuRding Code Violation A.P. #033-02-8-009 Page 2 June 7, 1999 Upon 'conviction of said violation(s) or of failing to comply with this letter, the court shall impose penalties (fines) and a Notice of Violation shall be recorded in accordance with Butte County Code Section -41-7. The Notice of Violation shall include a description of the premises the violation concerns, a' description of the violation, the date of your conviction and the action necessary to correct or abate the violation(s). Should you have any questions concerning this matter, please contact Scott Rutherford or Michael C. Vieira in this office at the address'ortelephone number listed above. ncerel'y, MCV:dms Kickiael C.. Vieira, C.B.O. Ma ager, Building Inspection 1 2 3 4 s, 6 7 8 9 10 11 12 13 14 IS 16 17 18 19 20 21 22 23 24 25 26 27 28 29 PROOF OF SERVICE BOMAIL I am over the age of 18 and not a party of this cause. I am a resident of and employed in the county where the mailing occurred. My business address is: I served the foregoing .P. 033-02-8-009) Building Division Department of Development Services 7 County Center Drive Oroville, CA 95965 SECOND SECOND NOTICE VIOLATION LETTER by enclosing a true copy in a sealed envelope and depositing said envelope in the United States mail with postage prepaid on 7TH. OF .TUNE. 1999 and addressed as follows: THAW L. AND CATHERINE H. HODGES 865 LONG BAR ROAD OROVILLE CA 95966 I declare under penalty -of perjury under the laws of the State of.California that the foregoing is true and correct and that this declaration was executed on 6/7/99 at OROVILLE , California. Donna Sperling Office Assistant III B E A U T Y DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE • OROVILLE, CALIFORNIA 95965-3397 TELEPHONE: (530) 538-7541 FAX: (530)538-2140 April 15, 1999 Tharan L. & Catherine H. Hodges 865 Long Bar Road Oroville, CA 95966 RE: Building Code Violation A.P. #: 033-02-8-009 190 Lakeland, Oroville Dear Mr. and Mrs. Hodges: This is a courtesy notice to notify you that .you are in violation of the Butte County Code, as follows, at the above referenced location: Failure to obtain approval of previous corrections and failure to obtain final inspection prior to occupancy and permit expiration rebuilding bedroom, change roofline and repair deck for single family residence. Since permits and inspections are required for the above work, apply for the required permits to make corrections and complete project and pay the appropriate fees. All work must stop until these permits are issued and you are authorized by our field inspector to proceed. This field authorization cannot be made until the existing work is inspected and approved. It is the County's goal to obtain voluntary compliance with the Butte County Code. However, you should be advised that Butte County has an active Code Enforcement Program which provides an effective means of enforcement if voluntary compliance is not obtained. Enforcement may be pursued through the issuance of citations, fines and the recording of a Notice of Violation including a description of the action necessary to abate the violation. You have thirty 30 days to voluntarily comply with the above directions or to present an acceptable plan for abatement or corrective actions to be taken by you. Should you have questions concerning this matter, please contact Michael Vieira or Scott Rutherford in this office at the address or telephone number listed above. Yours very truly, MCV:dms Mic ael C. Vieira, C.B.O. Ma ager, Building Inspection cc: Assessor COUNIPF BUTTE i BUILDING DIVISION 't DEPARTMENT OF DEVELOPMENT SERVICES 4 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 //0 // i '5d "., - 7l�'416,i,/T OWNER —% PERMIT NO. A 33-ozg-6a-/ A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. 01 R ).O _( „ - - f Date .5��— e/ —)Inspector REV 10/92 COUNTY OF BUTTE- DEPARTMENT OF.DEVELOPMENT SERVICES -BUILDING DIVI ON 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7 _a PER 1 (Rev. 12'/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 033-.028-009 ZONING BLKILDINGPERMIT OWNER THAREN HODGES TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS PO BOX 1126X OROXVILLE, 95965 500.00 CONTRACTOR'S NAME TELEPHONE ' CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 15.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 190 LAKELAND Energy Plan Checking Fee $ PERMIT FEE S LOT NO. SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF W Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other 0Building Describe Work: REPAIR -F�6 �y G� le Gas piping system 1- 5 outlets 15.00 sewer 15.00 Mobile Home I S I G I W 920.00 PERMIT FEE S ELECTRICAL PERMIT Filing Fee 20.00 Main Service zoon oR mss 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter • 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Llc. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License w for the following reason: D -<as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service ( 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUP, OR ADDNS. ( a ACC. BLDS. SO 3.50FT. NEW CONST. MULTI.OUTLET NON•RESID. C c CU @7.50 POWER APPARATUS 8 SINGLE OUTLET CIR. EX. Occup. OUTLET OR FIXTURES BAL @' 0 Ex. Occup. OUIT ETSPRESIpOEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE S WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation 0 -one hundred dollars ($100) or less.) &.011 certify that in the performance of the work for which this permit is issued, 1 shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the w rkers' ompensation provis' ns of section 3700 of the Labor Code, I shall o comply wit tho visions. 1*1-D ire X _ Date �07 "7_ n ure of Applican - O caner ontractor ❑Agent An OSHA permit is required for excava ' ns over 60" deep and demolition or construction of structures over 3 stories in heigh MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 35.00 HAZ. 1 D, FEES IMP I FLOOD I CDF PARCEL I PD HD ISSU This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have _ &�11,1 PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. Date 1V7 e Receipt No. qff WHITE-O.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT '- � O• B• _ 1 OWNER -BUILDER VER1F1CAT11:0:N:::- ] 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. aI personally plan toprovide the ajor labor and materials for construction of the proposed roperty,impr vement: YES NO 13' HAVE HAVE NOT ❑ signed an application for a building permit for the proposed work. have contracted with the following person (firm) to provide the proposed construction: NAME: ADDRESS: PHONE: CITY: CONTRACTOR'S LICENSE NO. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: .NAME: ADDRESS: PHONE: CITY: CONTRACTOR'S LICENSE NO. A 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: PROPERTYOWN SOCIAL SECURITY "ER: DATE: a 1%' NOTE. '—This Owner=Builder 1rerification is required by Section 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. OVER OWNER BUILDER INFORMATION I Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified. For your protection, you should be aware that as "owner -builder" you are the responsible parry of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: ♦ If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $300 or more for the' entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. ♦ If you are an employer, you must register with the State and Federal Governments as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers compensation insurance, disability insurance costs, and unemployment compensation contributions. ♦ There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. ♦ For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who'are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "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 contrac9rs may be obtained by contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento, CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. i rely, Mic efC. Vi ira, C.B.O. M ger, Building Inspection NOTE. This Owner-Builder.Information is required by Section 19830 of the California Health and Safety Code- OVER ode OVER COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive - Oroville, C-alifornib 95965 - Telephone (916) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT ASSESSORPARCELNUMBEA r1 —on ZONING BUILDINGPERMIT OWNER TELEPHONE SO. FT, OCC. BUILDING VALUATION OWN S DRESSi Cp CONTIRACTOWS NAME f TELEPHONE ' CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LENDER LFirelace LENDER'S MAILING ADDRESS Total Valuation s ARCHITECT OR ENGINEER LICENSE NO. Filing Fee b 20.00 ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit Fee Plan CheckingFee(en S BUILDING ADDRESS L/1 Energy Plan Checking Fee E S PERMIT FEE t LOT NO. 9U,. BDNISgN'SNAME PARCEL MAP. -Fa USEOFSTRUCTURE SF A_ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 TYPE OF WORK New ❑ Addition ❑ 'Remodel ❑ Utilities ❑ Installation ❑ er Describe Work: L ` Each as water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S G W Q20.00 PERMIT FEE t ELECTRICAL PERMIT Flin Fee 20.00 Main Service 2�o°. oa mss 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION I herebyaffirm under ens of perjury that I am exempt from the Contractors License penalty P 1 ry P Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issded I shall- not employ any person in any manner so as to become subject to workers'HAz. compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X _ Date _ Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUP• s0 OR ADDNS. ( a , gLpS. 3.5¢x. ,OµgESID MULTFOUTLET @7,50 POWER APPARATLJl4 a sNG. DUrLEr aR Ex. Occup. OUTLET OR FOmJRES �® 1.000 Ex. Occup. MDAPP"' °R ovrLErs ESID. EA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE S MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEt t Mobile Home Installation Fee S Energy Inspection Fee S OCC - -- CONST. TYPE _—__---R TOTALFEE $ L o. FEES IMP FLooO COF PARCEL PD Ho ssuE This permit is hereby issued under the applicable of the Butte County Code and/or Resolutions indicated above for which fees have been By Date PERMIT EXPIRES ON provisions to do work paid. to ReceiptNo. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive - Oroville, il;aliforr is 95965 - Telephone (916) 538-75l PEA I N . (Rev.12/96) APPLICrATION AND PERMIT - ASSESSOR PARCEL NUMBER 033-028-009 ZONING BUILDING PERMIT OWNER THAREN HODGES TELEPHONE 533-0698 SO. FT. OCC. BUILDING VALUATION EST 4,000-00 OWNERS MAILING ADDRESS P.O. BOX 1126 OROVILLE , 95965 CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTOR'S MAIUNG ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAIUNG ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filen Fee $ 20.00 Permit Fee s 63.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 190 LAKELAND Energy Plan Checking Fee $ OROVILEE, CA $ PERMIT FEE $ 123.95 LOT NO. SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: REBUILD BEDROOM/CHANGE ROOF LINE OVER BEDROOM Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 PERMIT FEE S ELECTRICAL PERMIT Filing Fee 20.00 RLESS 600VMain Service A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.POWER License Class LIC. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Lathe following reason: Vas owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service zooA To ,000A 46.00 NEW CONST. DWELLING OCCUP. SO 7 • 00 OR ADDNS. ( a Acc. BLDs. 3.50'a NEW CONST. MULTI.OUTLEr NON-RESID. ANC @7.50 APPARATUs a SINGLE OUTLET CSR. Ex. OCCu OUTLET OR FIXTURES 20@I'0° BAL @ .w Ex. Occup. OFIxLI"E A DORS 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ 27.00 WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE S Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall notemploy any person in any manner so as to become subject to workers' laws of California, and agree that if I should become subject to the workers' mpensation provisions f section 3700 of the Labor Code, I shall o comply with than v' ons. X Date _� N S =�=/ gn ture of Applican - ner ❑ ntractor ❑ Agent An OSHA permit is required for excav s over 60" deep and demolition or construction of structures over 3 stories in heigh Mobile Home Installation Fee $ Energy Inspection Fee $ DCC CONST. TYPE �TOTALEE $ 150.95 HA2. D. F CDPARC Pcompensation 7L �' This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By Date _ PERMIT EXPIRES ON r/a��— Receipt No. 222173- WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT a B. C.I. -1 1. Drainage: A. Thermalito Area - - 1. Residential - $510.00 per living unit 2. Commercial --per schedule in Ordinance 3304 2. Recreation Districts: A. Chico Area Recreation and Park 1. Residential - $1189.00.per living unit. 2. Commercial - None. B. Durham Recreation and Park 1. Residential - $1.04 per square foot. 3. School Districts: A. All 1. Residential - per` schedule of each district. 2. Commercial - per schedule of, each district. 4. Sheriff: A. Entire unincorporated area 1. Residential - $360.00 per each single living unit. 2. Multiple - $252.00 per each living unit. 3. Commercial - $0.03 per square foot. 5. Street Improvements: A. Chico Urban Area 1. Residential: a) $1670.00 per each single living unit. b) $1010.00 per each multiple living unit. C) $755.00 per each mobilehome living unit. 2. Commercial: a) Retail - $2.20 per square foot. b) Office - $0.36 per square foot. C) Industrial - $0.13 per square foot. d) Other - per schedule in Ordinance 3305. B. Thermalito Urban Area 1. Residential a) $595.00 per each single living unit. b) $355.00 per each multiple living unit.. 2. Commercial a) $23,849.59 per acre developed. b) $11,924.80 per acre - office. 3. Industrial a) $5,962.40 per acre - Light. b) $1,192.48 per acre - Heavy. 6. State Responsibility Area fee of $89.00 for parcels located within the S.R.A. for California Department of Forestry plan approval and inspection. Rev. 2/6/97 ti f t � b (Rev. 12/§6) COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive - Oroville, Cali#ornia 95965 - Telephone (916) 538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER 3 ZgZONING 0 14V3 „l BUILDING PERMIT OWNER 00,TELEPHONE f`� v� ' /V d 17 G SO. FT. OCC. BUILDING VALU ION OWNER'SADDRESS e CONTRACTOR'S NAME TELEPHONE ' CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS ' Total Valuation $_400 0 ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDINGADDRESS Gj� Energy Plan Checking Fee $ $ 5 PERMIT FEE $ ] Z3: LOT NO. SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New O Addition ❑ f�Remodel O Utilities O Installation O Other ❑////^^ -- ,, Describe Work: /�*VWV�> �- (�44f✓ ��(— W-faodn�j Gas piping system 1 - 5 outlets 15.00 Buildin sewer 15.00 Mobile Home I S I G W @ 20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service 200AOR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION 1 hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,N.R.0,o. and my license is in full force and effect.P License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: O 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. O 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project. O 1 am exempt under Sec. Business and Professions Code for this reason reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of petjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X Date Signature of Applicant - O Owner O Contractor O Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Main Service 200A To ,000A 46.00 NEW CONST. OW EWNG OCCUP. SO p OR ADDNS. ( 8 ACC. B.S. 3.SC FT. MULTI.OUTIET @7,50 OWER APPARATUS a SINGLE OUTLET CR. .00 Ex. Occup. OUTLET ORFDRURES SAL@':50 Ex. Occup. oLFi�rLEEOTSA Ao .Gew 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirina 23.00 — PERMIT FEE S Z 0_u— MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ �� S HAz D FEES IMP FLooD coF PARCEL ro HD ISSUE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES ON I the applicable provisions Resolutions to do work been paid. Date Do ref ReceiptNo. ? %ice WHITE-O.D.S.-B.D. CANARY -A S OR PINK -INSPECTOR GOLDENROD -APPLICANT O.B.- 1 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 ajor labor and materials for construction of the proposed property impr�ment : YES NO 0 2. 1 HAVE 19' HAVE NOT ❑ signed an application for a building permit for the proposed work. I have contracted with the following person (firm) to provide the proposed construction: ME: ADD S: CITY: � PHONE: CONTRACTOR'S LICENSE NO. 4. 1 plan to provide po 'ons of thus work, but I have hired the following person to coordinate, supervise, and provide ajor work: NAME: ADDRESS: CITY: PHONE: CONTRA OR'S LICENSE NO. 5. I will provide some of the work but I have contrac (hired) the following persons to provide the work indicated: NAME ADDRESS PHONE TYPE OF WORK SIGNED: PROPERTYO SOCIAL SECURITY NUMBER: DATE: 6 — i_ 2 2 NOTE. This Owner -Builder Verification is required by Section 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. OVER OWNER BUILDER INFORMATION Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified. For your protection, you should be aware that as "owner -builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: ♦ If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $300 or more for the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. ♦ ' If you are an employer, you must register with the State and Federal Governments as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers compensation insurance, disability insurance costs, and unemployment compensation contributions. ♦ There may be financial. risks for you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. ♦ For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information abouty our obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "owner builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento, CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. I rely, Mic el C. Vi ira, C.B.O. Ma ger, Building Inspection NOTE. This 0 1 v n er- B u ilder Information is required by Section 19830 of the California Health and Safety Code OVER ��.�•��^`��7Fii`Za,V'F"'"'}�t`" 8�""a��il``'S`^`.£��hr�.rfwi�%+i.��ilry�3'iA`w++�•rrk��?"..•`leip�'�.�,,.'�"'r^rrit;'..,.,,�9��.' ..i:s COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916) 538-7541 •� PERMIT APPLICATION DATA SHEET OWNER: �® ASSESSOR PARCEL ER: Proposed Building Use:/�r� Building Inspector: CQA 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.------------------------------------------------------------------------------------- Z10, plans, 3/4 sets, signed by the preparer of plans. ------------------------------------------------------------ �FAomplete plans, 3/4 sets, signed by the preparer of plans. ----------------------------------------------------- 04. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans. -------- 5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! ------------------ nergy Design Compliance and supporting documentation. --------------------------------- I ------------------ ❑ 7. Statement of Intent for Non -Heated and A/C Buildings. --------------------------------------------------------- O 8. Hazardous Material Form. ------------------------------------------------------------------------ ❑9. Manufactured Home data and installation instructions including Tie Down Specifications. ❑ 10. Fees of $ ---------------------------- ❑ 11. Impact fees as shown on the attached schedule. ------- ❑ 12. California Department of Forestry plan approval/fees. ❑ 13. Flood elevation certificate.------------------------------- 1114. ------------------------------ ❑14. Sanitation and plot plan approval Health Department. ❑ 15. City of Chico plumbing permit.----------------------------------------- 0 ---=--------------------------------- ❑ 16. Plot plan and business license approval from the City of Biggs. ---------------------- ❑ 17. Planning}approval for (A) Use: f r f�. (B) Parking: 1118. Contact Land Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel. ❑ 19. Encroachment Permit for driveway (construction approval prior to occupancy). ---• 020. Pre -inspection for required. Request to Building Inspector on 021. Contractor's license information. (Number, Name Style, Classification). 022. Workers' Compensation carrier and policy number. ----------------------- 023. Owner -Builder Verification (Given to owner ❑, Mailed to owner 11) - ------------------ d r ❑ 24 Letter of signature authorization. -------- ---------------------------------------------------- A/Recorded copy of Agricultural Acknowledgment Statement. ------------------------------ ❑26. Letter of intent on building use. ------------------------------------------------------ ❑27. Manufactured Home utility clearance. ----------------------------------------------- ❑28. Existing violations and/or expired permits. ----------------------------------------- El 29. 1143 A, 13 Grant Deed, ❑ M.H. Title, ❑ Check to H.C.D $ 030. Other: ------- When you issue the permit, processollows ❑ Mail to owner, ❑Mail to contractor. ep :5 , . �c �c�► Tel hone and hold for pickup at 02Q office. ❑ Deliver with inspector. Applicant: Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, ❑ Air Pollution Copy of plans sent ❑ Health Department, ❑ Fire Department, ❑ Other: Date: Date: By:. Date: By: (Date) 1. Index permit application for the above items numbered: ❑ Plan Check List 2. Additional items required: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date - Plans reviewed by: Date: Plans approved by: /� Date: 6- i Sets of plans on hold in ❑ Plan Cabinet, ❑ A.P. folder. Note transfer by: Date: Yellow Copy - Department of Development Services, Building Division. r COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 CORRECTION NOTICE ER - //h PERMIT A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please coWlhis office immediately. i -/—,1 n i -gg Date Inspector REV 10/9 '.�3lroi'��'��; ► •.'fit/4^�, . �,�,,,�_.as- Re:�'h��`4 !F: � y? ",rE.�*E:'s:�i��t75� `"' '•' �.r ,i • fir. V '� Sir hrse$'T'r.BF�-rl�+gw9r COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES _. 411 Main Street, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 CORRECTION NOTICE OWNER PERMIT NO.. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. � 1 Date 2 Inspector% REV 10/ e- --- " 033-028,009,:' 41',TERMIT#97-2244- HODGES' Tharen t 1'90'Lakelan.d;., Oroville 4Rep'air Ex De!ck/SF, COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7 1 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 033-028-009 'ZONING ButfblNGPERMIT OWNER THAREN HODGES TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS PV BOX 11261 OROEVILL.E, 95%5 CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS 0 -- CONSTRUCTION LENDER LENDER'S MAIUNG ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 7 Energy Plan Checking Fee $ AXEJ AND 190 OR01.111 I X . $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME - PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF P Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: REPAIR =C= r ;'r• Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home ISI GI W @20.00 PERMIT FEE $ ? ELECTRICAL PERMIT Filing Fee 20.00 Main Service 200A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION i I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.POWER License Class LIC. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: as owner of the property, or my employees with wages as their sole compensation, Will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUR OR AD DNS. ( 6 ACC. BUDS. SO 3.52 FT. NEW COST. NON-RESIN ON-R SND. MULTI-CRANCH IRCUITS @7,50 APPARATUS 8 SINGLE OUTLET CIR. Ex. Occup. CUTLET OR FIXTURES SAL w Ex. Occup. ouTLEt-Drs PM.oea 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirin 23.00 PERMIT FEE $ WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE S Policy Number (The above sections need not be completed if the permit is for work of a valuation a.one hundred dollars ($100) or less.) o� certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provis ons of section 3700 of the Labor Code,. I shall lorthwittecomply with tho p visions. _ Date �_ X ,. {� -/;; ' at"ure o Applicant ,- ❑ wn€r ntractor ❑ Agent An OSHA permit is required for excava ' s over 60" deep and demolition or construction of structures over 3 stories in height< Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ 35.00 HAZ. I D. FES IMP I FLOOD CDF PARCEL PD HO ISSUE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have ! By r i. PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. Date l_�/z77 Recei tNo. -B WHITE-D.D.S.DL. Y -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT 0 ' RESIDENTIAL PERMI: '033-028-009 --- PERMIT#97-1187_ I HODGES, Tharen PERMI► I.190'-L'akeland,-Oroville � Rebuild Bedrm & Change Roof Line/S OWNUI /ASSESSOR PARCEL 1�LOCATION 1 r+ !4 7' i ` 1 Temp. Power Pole Called PG&E Temp. Elec. Service r Called PG&E Temp. Gas Service Called PG&E 14 S 1 JOB FINALED (Date) 1 Signature 5 1, x. ..,�yt ,r • z.,,-.., . o ..x ., •.. .+.,v-.,..—,q�.�,..T. r c ..,.:.,�,�,� : �j .mss :—„'!-'4:.,r�;. y�r” -.v . . COUNTY OF BUTTE -DEPARTMENT FOF'D_EVELOPMENTSERVICES - ,� 7 County Center Drive - Oroville, California 95965 - Telephone (Rev.12/9) APPLICATION AND PERMIT BUILDING DIVISION (916) 538-754PE Z"0. ASSESSOR PARCEL NUMBER 033-028-009 ZONINGS BUILDING PERMIT OWNER THAREN HODGES { TS.is—t1698 SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS P.O. BOX 1126 126 6ROVTiLT• 95965 CONTRACTOR'S NAME ONM TELEPHONE ' CONTRACTOR'S MAILING ADDRESS , CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation $ • • ARCHITECT OR ENGINEER LICENSE No. Filing Fee $ 20.00 Permit Fee $63.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 190 1„AyMANp Energy Plan Checking Fee $ OROVILEE• CA ,c _P` PERMIT FEE $ S•y0 LAT NO. LOT NO. SUBDNIS ION'S NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USE OFS'TRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 1 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK 'a New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: REBUILD BEDROOM/CHANGE ROOF LINI# OVER BEDROOM Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W 920.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service COOV OR LESS 2..A OR Less 23.00 LICENSED CONTRACTOR'S DECLARATIONMain I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter • 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license IS In full force and effect. License Class Lie. No. ' OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law, fo�the following reason: [� 1, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Service 200A To I000A '46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. ( a Acc. IS SO 3.50,; • NEW CONST. MULTI.OUTLET NONRESID. CIRCUITS @7.50 POWER APPARATUS IS INGLE OUTLET CIR. Ex. Occup. OUTLET OR FocruREs sA� @':005050 Ex. Occup. oNS uiLEe, RES D.oEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ 27. WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers��pmpensation provisions gf section 3700 of the Labor Code, I shall forthwit comply with tho`s v ons. 9 Ik.,x t�f., i _ �►— — Date ------- Signature of Applicarit - ner ❑contractor 11 Agent An OSHA permit is required for excav�ti ns over 5'0" deep and demolition or construction of structures over 3 stories in height,; MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 1,50.95 ` - HA2. p, F I FLO �°' CD pqR H ISS This permit is hereby issued under the applicable of the Butte County Code and/or Resolutions indicated above for which fees have been By Date PERMIT EXPIRES ON;�.' O�L04 provisions to do work paid. 9 90 I Receipt No. WHITE-D.D.S.-B. D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD•APPLICANT 011 V=OK O = Not OK Not ' = Not Ready Applicable MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 5. Alum. Awn.; Columns-ConnectionsSplk*-Decal-Enclosures 1. Zoning Requirements - Setbacks - Easements 6. Carports; Windows -Doors 2. Soils; Special MH Support Sketch 7. Electric 3. Sewer, Location-Test-Fall•CAD-Concrete 8. Frmg.; Sils-AnchorsStuds-Rftm-Trusses 4. Water, Location -Test -Easement Needed (Sketch) 9. Siding; Nailing VeneerShxmo-Mesh 5. Electricity; Locabon-Clearances-Gmd-/ /Amp -Concrete 10. Roof; Shthg-Roofing 6. Gas; Location -Test -Wrap; / /'LtL / /Nat or/ /"-'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 DemandVaheConnector 4. Electricity; MH Test•Crossovers-Breakers-Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch 11. Cert of Occupancy 12. Permanent Foundation Only: License Decal Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'a 1 Zoning Requirements -Setbacks -Easements. ' 2. Footings; SoAsSize-0epthSpacng-ConnectorsSteel 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns-ConnectionsSplk*-Decal-Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sils-AnchorsStuds-Rftm-Trusses 9. Siding; Nailing VeneerShxmo-Mesh 10. Roof; Shthg-Roofing 11. Ext; Steps -Doors -Lendings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pod Structure; SteelConnections-Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, DistanceGF1 5. Elec.; Pod 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/9 Circulating Equip. -Pool Lghtg. Boxes,Enclosures-Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Suppty Test 11. Light Niche Date Card B-1 Date Card B-1 Date Card B-1 Date Card 8-1 0= O = - = s = OK Not No OK RESIDENTIAL Not Applicable Not Ready Date UNDERFLOOR (Plans) OK except #'s ZoningSetbacks-Easments-FloodSlope aeftg., Main; Soils-Elec. Gmd. / Ftg. Depth 3. Ftg. Garage; SoilsSteel-Elec. Gmd/ /" Ftg. Depth 4. Ftg. Porches & Decks; SoilsSteel-/ /Fig. Depth 5. Stemwalls, Main;'Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts0rapped 6a. Hold Downs and Special Anchors 7. Slab, SteelAlfrapped 8. Piers -Fireplace Ftg.Steel 9. D.W.V.; Fall -Fitting -Test 2 Way C/0 -Sewer Test 10. UF. Gas Pipe; Size Anchors - Yard Gas Piping; Size Test 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground 13. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -.Sills -Anchor BoltsJoistsa/ents-Crippies 15. Access & Ventilation 16. Insulation Date Date p� C 7 Card B-1 &,44: Date Card B-1 Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except 17. Water Htr.; Vent -Access -Com on Air Baffle 18. Water Pipe; Test & r -Nail Protection 19. D.W.V.; TesI.Fittl5gs & Anchor -Nail Protection 20. Sh an; Test, First Floor -Tub Access 2 ,- est Tub & Shower, Second Floor -Tub Access 22. Gas Pipe; Sae & Anchors Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #E s 23. Fixture & Transformer Clearance -Ins. Protection ec. Receptacles Spacing -Lights & Switches at Doors Boxes & No. of Conductors Stapled 6. RontrInstalled Close to Edge of Studs & C.J. Equip. Ground made up w/Mech Fastners-Bond Gas & Water 2 en & Conductor Size GA �9... Suhfoxl Wiry Sipa / / ga. Cu or AI-A.C. Wire Size / /ga Cu or AI 30. @aogP_Circ. I - Aga -Gu -or AI -Oven Circ. / / ga Cu or AI Insulated Neutral 0 Yes 0 No 3 ctors & Ground -Main Disconect 32. E,giiin riPmrances paiaaL-Motors-Meth. Epuip. 33. -C4etke9-6lesettigh-SRower Light -Spa Light 34 moke Detector Date ' and B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except ft 35. A.C. DmlInsulation & Support 36. Vent Fan, Exhgtkt above i sulation 37. Condensate Drain rfiow, Size & Grade 38. Fumance-Vent ss -Comb. Air -Return Air Vent 115 outlet 39. Attic A & Platform if Furnace in Attic 100, Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date / FRAMING (Plans) OK except #f's ;4_,,8its Proper Materials & Anchors 41. jWAlls Studs -Nailing Spacing & Braces -Plates -Sound earing Walls over Girders & Floor Nailing 'raft Stop in Walls (rat prool) sStairs-Ohasers-Tubs 45. Headers & Reams -Size & Bearing (Single & Duplex) Date FRAMING (Continued) ngers-Post Caps -Anchors -Connectors _47.-Clifig. Joist-Rtt Ties-Pudin-roll Brac: TrussShting.-Rfng. or Type A Flue -Fireplace Throat clearance c Access; Size & Romex Protection -Draft Stop -Ins. Baffles Windows or Exiting Doors -Sill Hgt & Dimensions 5 n Framing 52 Pefirawall & Openings JIL•Ext. Doors-Onej Check Garage 3rd Story, 2 Exits Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection t55. >Ton Roof Overhang -Attic Vents -Rafter Outriggers Siding -Nailing Veneer 5 . Scr d. Vents-Underflr. Access lazing Area -Glass Protection -Skylights -Plastic moiling -Bolts 60. Bye Interior / Exterior Wall Panels 62. Infiltration -Walls -Windows / / / Date Card B-1,,, Date Card B-1 Date ' l Prd B-1 Date Card B-1 Date FINAL (Plans) OK except /R's An Ext Steps -Door & Sidelight Protection -Landings 64. Smoke Detector 65. Furnace; Vents -Clearance -Comb, Air-Conector- Above Floor -Ducts -Meth. Protection IV Y.I. & Bath Fixtures & Tub Access -Spa . Trim & Subpanel, Breaker Sizes & Labels i s & Rails ue lace or Stove, Clearance -Hearth i. ecc_ Outlets at Wood Panel, Int. & Ext X t. �Ixt. & Appliance; Ground. -Air Gap -Cooking Clearance X Outlets & Recepticales at Kit. Counter Duct in Garage -Damper Je Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. n ara e; Above Floor -Meth. Protection Ib. lec. & Mech. Equip. Listed for Location Ze ec. Receptacles in Garage G.F.I. -Romex Protection I ulation-Foam-Looked in Attic Guard rails & Deck Construction -Post Caps 1. F n. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor f1 Yes Ill. following Instld./Drive 0 Yes 0 No/Walks 0 Yes 0 No/Planters 0 Yes 0 No tV.elfits Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings Water Well, Disconnect, Electrical, Plumbing X417. Exterior Elec. Trim, G.F.I. Receptacle -Underground Ventilation Throught House Glass Protection 90. Corrections from Previous Inspections 9r. Gat -Meters Tagged, Gas -Electric $. Water & Sewer Connected -C/O to Grade -HD Approval qK Energy Compliance Certifi tether Certificates Dates/ 7'1 Card B-1 4W Date Card B-1 Dates Cana B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: SPECIFICA TIONS . . 1. CONCRETE - f'C=2500 PSI 0 28 OA YS 2. REINF. - ASTM A615, GRADE 40 MIN. J. LAP BARS - 20" MIN. 4. FOOTING SHALL BE EXCA VA TED INTO FIRM, UNDISTURBED SOIL TO DEPTH D * FLOORS HOR/Z BARS VER T BARS T B D t ONE_ #4®13"O.C. 114@18"O.C. 6" 12" 12" TWO #4@10 "O. C. #4 @16 "O. C. 8" 15" 18" "FLOORS REFERS TO NUMBER OF FLOORS PER UBC TABLE 29-A HORIZ. BARS VERT. BARS DOWELS TO MA VERT REINF UNDISTURBED SC 'F. AT L, TYP ATI -7: S VOT- . k Q'D , 2TF U/4i L OA) DtV- 3Z„ 4'-0" MAX. 1'-0" BUTTE COUNTY MAX. BUILDING DEPARTMEN APPROVED 4 CONT. IN FOOTING FOR HEIGHT OF 32" OR LESS NO REINFORCING IS REQUIRED OTHER HEIGHTS OR CONDITIONS REQUIRE ENGINEERING RESIDENTIAL CONCRETE FOUNDATION REV °2 s SCALE. 314--I•-o-DATE.• 4/92 BUTTE COUNTY BUILDING DEPARTMENT DWG: WALLIR STD 12.3 may 2.995 9.14 10 0 . mZg , O o' N O Q _ ..._..._.._..__....W..._.._._... _...................._...__3s�.a��......._....._........_... 3y � iii N,� I or I . w to .�no1S wo (y o 'v c g �m a I � I N,� I or I . w to .�no1S wo (y o AL of w O e 'Z° p L9Ito) g it i a I � I AL of w O e 'Z° p L9Ito)