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033-140-002
A.P. 33-14=2 David Bell , 336 Canyon Highlan s Dr Oroville .Permit 2291-73 vn�TS (convert garage remodel kitchen) AP 33-14-2 WILLIAM McKENZIE 336 Canyon Highlands Dr., Oro. contr: McKenzie Bramlage, Oro. Permit# 5014-74B,M(1� NEW�14L mech. for #?291-73 AP 33-.4 -? W.H. McU, ZIE !�7_75 336 Canyon Highlands too roville Permit# 5112-74P(for 014-t74)�,,,,� 033-140-002 06-1504 ROLLINS, ROBERT 336 CANYON HIGHLANDS DR, OROVILLE Cont: DE AIR CO 033-140-0_ 02 w X06-1534 ROLLINS, ROBERT 336 CANYON HIGHLA`cP� DR,l OROVILLE Cont. GOELZ BROS ROOFING RE ROOF %• 3 o. w. r CWD i M V� mqi::t 11 Butte County Department of Development Services urrE� NOTES 7 County Center Drive, Oroville, CA 95965 5301 538-7601 - www,buttecoun, weOUMty� IY.neydds RESIDENTIAL APN: 033-140-002 06-1534 ROL --1 ROBERT `' �--�-• Owner. 336 CANYON HIGHLANDS DR OROVILLE"�" Site Addrery; Cont: GOELZ BROS ROOFING RE ROOF Contractor. Type of Permit: v i j 1 l SPECIAL CONDITIONS CHECKED BY SRA FLOOD CERTIFICATE EQUIRED FIRE SPRINKLERS REQUIRED SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUBSTANDARD HOUSING LETTER ENCROACHMENT PERMIT REINSPECTION FEE PAID ENV HLTH CLEARANCE } DATE JOB FINALED: -dam SIGNATURE: J `� r�� b P J✓1 S P w. f7 +=OK o = Not OK MANUFACTURED HOMES MISCELLANEOUS - DATE PERMANENT FOUNDATION SOFT -SET 1 ZoningSetbacks-Easements 2 Soils; Special MH Support Sketch 3 Sewer; Loctn-Test; FaIIICIO-Concrete 4 Wtr; Loctn-Test-Easeinent Needed -Regulator 5 Elec Loon-Clmcs-Gmd Amp -Concrete 6 Yard Gas; Loctn-Test Wrap Nat ❑ or .LPQ Inch Sz Ft Lngth 7 Blckng; SzSpacing-Marriage Line 8 Gas; MH Test-Demand-Valve-Cnnctr 9 Elec MH Cntnty Test -Crossovers -Breakers -Gimes 10 Drain; MH Test -Fall -Flex Cnnctr 11 Wtr & Sewer Connected -CIO to Grade 12 Gas and Electricity Tagged 13 Tie Downs Q Foundation ❑ 14 Exits 15 Cert of Occupancy 16 HUD Labellinsignia Numbers Serial Numbers JD E C KS -C O V E R S'C A R P O R T S •GAR AGES 1 ZoningSetbacks-Easements 2 Ftgs; SailsSz-0pff Spacing-CnnctrsSteel 3 Decks, GIrders/Joists-Dcking-Brcing Stairs-Guard/Handrails 4 Wood Awn; Posts-Beams4Vtrs-CnnctrsShthg. Frmg-Brcng 5 Alum Awn; Columns-CnnctnsSplice-Decal-Enclsrs 6 Carports; Wndws-Doors 7 Electric 8 Frmg; Sills-AnchrsStuds4Utrs Trusses 9 Siding; Nailing -Veneer -Stucco -Lath 10 Roof; Shthg-Roofing 11 Ezh Steps -Doors -Landings 12 Braced Wall pnls yo- DATE IPOOLS 1 Setbacks -Easements 2 Soils; •CompactionStructure Stability 3 Pool Structure; Steel-Cnnctns-Thickness Dead Men4Jning 4 Elec Rcptcls/Lting; Distance -GR 5 Elec Pool Lting; IS volts-GFI 6 Elec.Encisrs; Conduit Entries -Terminals -listed 7 Elec Bonding; Metal w/5'-CrcItng Egp-Htr 8 Elec Grndng; Eqp w/5' Crcltng Eqp-Pool Ightg Boxe-gnclsrs-pnlboards-lnsultn to Main Conduit 9 Health Dept; Apprvl 10 Plmb; Cir Test-Wtr Supply Test 11 Lt Niche , 12 Enclsr•, Fencing -Alarms 13 Bonding, Diving board or Slide hyo Pool Drawing t 0 = Not OK RESIDENTIAL (Single & Duplex) DATE JUNDERFLOOR DATE IPLUMBING 1 Zoning -Setbacks -Easements -Flood -Slope 2 Ftg Main; Soils-Elec Grnd Ftg Dpth 3 Ftg Garage; Soils-Steel-Elec Gmd Ftg Dpth 4 Ftg Parches/Decks; Soils -Steel Ftg Dpth 5 Stemwalls Main; Steel-Blockouts Wrapped 6 Stemwalls Garage; Steel-Blockouts Wrapped 6a Hold Downs and Special Anchrs 7 Slab, Steel Wrapped 8 Piers-Frple Ftg-Steel 9 DWV; Fall -Fitting Test -2 -way CIO -Sewer Test 10 UF, Gas Pipe; Sz Anchrs-Sz Test 11 Wtr Pipe; Test-Anchrs-RgltrService Test 12. Elec Undrgmd 13 Plenums & Ducts; Clrnc-MaterialSupport4nsultn 14 GirdersSills-Anchr Bolts-Joists-Vnts-Cripples 15 Acc & Vntitn 16 Insulation d'0 4e 0`s DATE FRAMING 17 Sills Proper Materials & Anchrs 18 Wells Studs- Jailing Spacing & Braces -Plates -Sound 19 Bearing Walls over Girders & flr Nailing 20 Draft Stop In Walls (rat proof)-, 21 Fire Stops, Furred Ceilings—Stairs—Chasers—Tubs 22 Headers & BearnsSz &*Bearing' 23 Hangers -Post Caps-Anchrs-Cnnctns 24 Ceiling Joist-Rftr Ties-Puriin-Roof Brac-TrussShthg 25 Frplc Ties or Type A Flue=Frplc Throat Clmc 26 Attic Acc; Sz &_Riez Pitctn-Draft Stop -Ins Baffles 27 Bdrm Wndws or Exiting Doors -Sill Ht & Dimensions 28 Garage Fire Prtchi Framing -RC Channel 29 Prprty Line Firewall & Opngs' 30 Ext Doors -One Garage 3rd Story, 2 Exits 31 Stairs; Width-Hdrm-Rise-Run-Landing-Fire Prtctn 32 Plywd on Roof Ovrhng Attic Vnts-Rftr Outrgrs 33 Siding -Nailing Veneer 34 Stucco Lath -Weep Screed-Fndtn Vnts-UndrfIr Acc 35 Glazing Area -Glass PrtetnSkyLts-Plastic . 36 Shear Walls; Nailing -Bolts 37 Brace Int/Ext Wall pnis 38 lnsultn-W al Is -Ceilings 39 Infiltration Walls-Wndws DATE JELECTRICAL 40 Fxtr & Trnsfrmr Clrnc4ns Prtctn 41 Elec Rcptcls Spacing-Lts & Switches at Doors 42 Sz Boxes & No Of Cndctrs Stapled 43 Romex Installed Close to Edge of Studs & CJ 44 Eqp Grnd made up w/Mech Fstnrs 45 Gmdng Electrode Bond Gas & Wtr 46 2 Appinc Cires in Ktchn & Cndctr Sz GFI 47 Subfeed Wire Sz , [::ICU or ❑AL AC Wire Sz " ❑ CU or ❑AL 48 Range Circ w ❑ CU or ❑ AL Oven Circ oa ❑ CU or El AL Insulated Neutral ❑Yes E-1 No 49 Service -Riser Cndctrs & Grnd Main Dscnnct 50 Eqp Clrncs pnis-Motors-Mech Eqp 51 Clothes Closet Lt-Shwr Lt -Spa Lt 52 Smoke Detector o'' 0 o' 53 Wtr Htr; Vent-Acc-Cmbstn Air Baffle 54 Wtr Pipe; Test & Anchr-Nail Prtctn 55 DWV; Test Fittings & Anchr. Nail PrtcIn 56 Shwr Pan; Test, First fir -Tub Acc 57 Test Tuti & Shwr, 2nd fir - Tub Acc 58 Gas Pipe; Sz & Anchrs 59 Fire Sprinkler; Test 60 Yard Gas Piping DATE IMECHAKICAL 61 AC Ducts Insultn & Support 62 Vent Fan, Exhaust abv insulin 63 Condensate Drain & Ovrflw, Sz & Grade 64 Furnace -Vent Acc-Comb Air RtrnlVent 115 Outlet 65 Attic Acc & Pltfrm if Furnace in attic o'er old o'r Q?y' DATE IFINAL 66 Ext Steps -Door & SideLt Prtctn-Landings 67 Smoke Detector 68 Furnace Vnts-Cimc-Comb, Air-Cnnctr In Garage; abv-flr-Ducts-Meth Prtctn 69 Bedroom Exiting 70 GFI & Bath Fxtrs & Tub Acc-Spa71 GFI Arc Fault 72 Elec Trim & Subpnl, Breaker Szs & Labels 73 Stairs, Guard/Handrails 74 Frplc or Stove, Clrnc-Hearth 75 Elec Outlets at Wood Pnl, Int & Ext 76 Ktchn, Fxtr & Appinc; Gmd Air -Gap -Cooking Clrnc 77 Elec Outlets & Rcptcls at Ktchn Counter 78 Garage Fire Door, Swing -Landing -Closure 79 AC Duct In Garage -Damper. 80 Wtr Htr, Vnts-ClmcCorn Air Cnnctr-PRV; abv fir Mech Prtctn; LPG Appince Undr House 3' drain 81 Plmb; Elec & Mech Eqp Listed for Loctn 82 Elec Rcptcls in Garage (GFI) Romex. Prtctn 83 Insultn-Foam-Looked in Attic 84 Guard Rails & Deck Cnstrctn-Post Caps 85 Fndn Vnts & Crawl Hole Door Dmge & Wood -Earth 86 Cimc Dmge Planters ❑ Yes ❑ No 87 Stucco Brown -Finish 88 AC Unit Dscnnct, Elec-Pimb 89 Vnts abv Roof, Pimb-Appinc-Frplc-Cimc to Opngs 90 Wtr Well, Dscnnct, Elec, Pimb 91 Ext Elec Trim, GFI Rcptcl-Undrgrnd 92 VnUtn thru House 93 Glass Prtctn 94 Corrections from previous Inspctns 95 Gas Test -Meters Tagged, Gas-Elec 96 Wtr & Sewer Cnnctd-C/O to grade -HD Apprvl 97 Energy Cmpinc Cert -Other Certs 98 Address Posted 99 Fire Sprinkler P \ 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. BP061534 b. r✓. tiuuamg verma ui-io-ug pg i LICENSED CONTRACTORS DECLARATION I hereby affirm under penally of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date: 06/26/2006 APN: 033-140-002-000 the Business and Professions Code, and my license is in full force and effect.7 0�5 3j� License Class. c_3 License Number:'0 Site Address: 336 CANYON HIGHLANDS DR ORO Date: ZC� Contractor: (7oz Z k7rdS, o. Ir, Map Index: Description: RE -ROOF COMP 21 SQ'S OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which 'requires a Owner: ROLLINS ROBERT & DOROTHY permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of 336 CANYON HIGHLANDS DR the Contractor's State License Law (Chapter 9 commencing with Section OROVILLE, CA 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 95966 violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an Applicant: GOELZ BROS ROOFING 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 14 LESLIE LANE sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of OROVILLE, CA 95966 proving that he or she did not build or improve for the purpose of 530-534-0797 sale.). O I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business _ and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, Contractor: GOELZ BROS ROOFING and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). 14 LESLIE LANE ❑ I am Exempt under Article 3 of the Business and Professions Code OROVILLE, CA 95966 Date: Owner: 530-534-0797 WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: License #: 805830 ❑ I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit ssued. Architect: have and will maintain workers' compensation insurance, as Engineer: required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: -4 Carrier: Total Square Ft: 0 S. F. C) � � 6 Policy #: .S— Valuation: $0.00 ❑ 1 certify that in the performance of the work for which this permit is Census Code: issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. 6 b Date: /J Applicant: / lv� 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. 15G CONSTRUCTION LENDING AGENCY This permit is rebyissued under tj d applicable provisions of the Butte County Code and/or 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.) Re lutions o work indipated qb6ove,4or which fees have been paid. - Name: BY: !�/ Date: PERMIT EXPIRES ON: �C Address: Dai ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have -read this application, that the above information is correct, and that I am the owner or the dul authorized a ent 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 ici ?form or ment of Butte County. I hereby authorize representatives of Butte County to enter upon the above mentioned property for inspection purp Print Name: l Y' r o� U� Signa e: �Z_6 6" Date: ❑ Owner Contractor ❑ Agent for Owner ❑ Agent for Contractor b. r✓. tiuuamg verma ui-io-ug pg i 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. 1:11I13Ftu B. C. Building Permit 01-16-04 pg 1 LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of 'd Date Issue • 06/26/2006 APN: 033-140-002-000 the Business and Professions Code, and my license is in full force and effect.- 80�83.-Cl Site Address: 336 CANYON HIGHLANDS DR ORO License Class : J License Njjumber: Date: ZG O Contractor: ,Bros, o Map Index: Description: RE -ROOF COMP 21 SQ'S OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which 'requires aROLLINS Owner: ROBERT & DOROTHY permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires.the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of 336 CANYON HIGHLANDS DR the Contractor's State License Law (Chapter 9 commencing with Section OROVILLE CA 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 95966 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 (8500).): ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an Applicant: GOELZ BROS ROOFING 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 14 LESLIE LANE sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of OROVILLE, CA 95966 proving that he or she did not build or improve for the purpose of 530-534-0797 sale.). ❑ I, as owner of the property, am exclusively contracting with licensed. contractors to construct the project (Sec. 7044, Business _ and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, Contractor: GOELZ BROS ROOFING and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). 14 LESLIE LANE L1I am Exempt under Article 3 of the Business and Professions Code OROVILLE, CA 95966 Date: owner: 530-534-0797 WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: License #: 805830 ❑ 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 ssued. Architect: I have and will maintain workers' compensation insurance, as Engineer: g required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier: Total Square Ft: 0 S. F. � � ? � � Poucyu: Oo/S- .� Valuation: $0.00 ❑ I certify that in the performance of the work for which this permit is Census Code: issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwithh comply with those provisions. 2- 6 9 Date: Co �✓r �/ G., ( -- Applicant: / WARNING: Failure to secure workers'. compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars (8100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY This permit is eby issued under t a placable provisions of the Butle County Code and/or 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.) ' Re lutions o work indicated ove or which fees have been paid. /07- 2421 Name: By- Date: PERMIT EXPIRES ON: < �/ Address: Date ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have -read this application, that the above information is correct, and that I am the owner or the duly authorized Ne 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 ici form or ment of Butte County. I hereby authorize representatives of Butte County to enter upon theabovementioned property for inspection purp �Y` Z Print Name: ` �� 4� f Signa e: 2 6 O Date: ❑ Owner Contractor ❑ Agent for Owner ❑ Agent for Contractor B. C. Building Permit 01-16-04 pg 1 /%3Tr BUTTE COUNTY PERMIT /0 o DEPARTMENT OF DEVELOPMENT SERVICES NO. BUILDING PERMIT APPLICATION o o AND SUBMITTAL REQUIREMENTS I 0 s o 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 C A FEE WILL BE REQUIRED AT TIME OFAPPLICATION BIN # 0014 Website: www.buttecounty.net/dds "PLEASE PRINT CLEARLY" CONTRACTOR OWNER INFORMATION Last Name d / I h first Name, fl a Address q� / 9 4 S City O rr a 1r E-mail State Zip 75-f 6c Phone Fax E-mail State License Number CONTRACTOR Name F') a—e, Z Address Iii City -Cd v r' State6 Zip Phone S3({ �l ? Fax 5.3 2 ^ o L/2_,? E-mail Lic. #�� Class 3 F APPLICANT INFORMATION ARCHITECT/ENGINEER Name City Address Zip City Fax State Zip Phone Map Book Fax E-mail Planner State License Number APPLICANT INFORMATION Name Address City State Zip Phone Fax E-mail For office usonly: Zoning Property Address . Flood Zone Cross Street SRA I Yes No Occ. Type Const Subdivision Name Map Book Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS KAFORMSIBUILDING FORMS1BIdgApplSubRgmts.doc PROJECT LOCATION ! Property Address . City Cross Street WORKER'S COMPENSATION Policy Number. l ? Carrier if hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address Description o cope of Work: Z D Sq FT- Living Garage Open Cov 0 Structure Built without Permits 0 Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be required. REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. Received by: Amount: / �UBldg SRA Receipt #: 5' 7cU Sheriff Other Date: LJL_ at :I 214�)—moi ' (, Q w Total Page 1 of 3 REV 8-12-05 SUBMITTAL & PERMIT REQUIREMENTS. The following drawings and specifications must be submitted to the Building Division in order to apply for «- 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 AIC 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 KAFORMBUILDING FORMS0 gAPPISORgmts.doc Page 2 of 3 REV 8-12-05 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION M (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 PERMIT NO. BP061504 B. C. Building Permit 01-16-U4 pg 1 LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date: 06/22/2006 APN: 033-140-002-000 the Business and Professions Code, and my license is in full force and effect. License Class: Icense Number: 0 Site Address: 336 CANYON HIGHLANDS DR ORO /- 7 D�ar �� Date G.- l/ Contractor: Map Index: Description: CHANGE OUT HVAC OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a Owner: ROLLINS ROBERT & DOROTHY permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of 336 CANYON HIGHLANDS DR the Contractor's State License Law (Chapter 9 commencing with Section OROVILLE, CA 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 95966 violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an Applicant: DE AIR COMPANY pp owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, 2710 E FEATHER RIVER BLVD provided that such improvements are not intended or offered for OROVILLE, CA sale. If however, the building or improvements are sold within one 95965 year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of 530-534-8691 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 Contractor: DE AIR COMPANY pursuant to the Contractors' State License Law.). 2710 E FEATHER RIVER BLVD OROVILLE, CA ❑ I am Exempt under Article 3 of the Business and Professions Code 95965 Date: Owner: 530-534-8691 WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: License #: 478347 ❑ 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 Ued. Architect: VI hsav, a and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of Engineer: the work for which this permit is issued. My workers' compensation insurallge cgvier and policy number are: Carrier: / Total Square Ft: 0 S. F. Policy #: Valuation: $0.00 ❑ I certify that in the performance of the work for which this permit is Census Code: issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwit,Vomply with those provisio Date: Applicant: WARNING: Failur secure workers' ompensation coverage is unlaw_u and shall ubject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY This permit is h eby is ed under the applicable provisions of the Butte County Code and/or I hereby affirm that there is a construction lending agency for the of the work for which this permit is issued (Sec 3097 Civ.) Resolutions 1 indicated abo a for which fees have been paid. ) 1p performance BY Date: Name: d PERMIT EXPIRES ON: Address: Date ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5. of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have -read this application, that the above information is correct, and that I am the owner or-theluly authorized agent of th ner. a o comply with f Butte County. I h reby all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance, f any ffcial form o docu poses. authorize represe tatives of Butte ufty to enter upon the above mentioned property for inspection p Print Name: " c Signature: Date: O Owner ❑ Contractor ❑ Agent for Owner ❑ Agent for Contractor B. C. Building Permit 01-16-U4 pg 1 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS OFFICE #: (530) 538-7541 A FEE WHL BE REQUIRED AT TIME OF APPLICATION Website: www.buttecounty.nettdds "PLEASE PRINT CLEARLY" CONTRACTOR Nam Address�! T:e�if „ _ rc* a WC Ci State Zp � Pho-r��Yix�� Fax E -ma' Y Lie. Cie ARCHITECT/ENGINEER N"___ Address City Subdivision Name Zip Phone Fax E-mail State License Number APPLICANT INFORM TION Nam -"b— Lb Addresss / o� City //� (.c Subdivision Name Map Book Phon — 1001-7 Fax Planner 11M or offi se only: Zoning Flood Zone SRA I Yes No Occ. I Type Const. Subdivision Name Map Book I Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS MFORMS\BUILDING- FORMS\BldgApplSubRgmts.doc 01 E PERMIT BP BIN # PROJECT LOCATION AP# 033-1Oa emperty AddMQ ��1L j/ ` 16 Bldg Cross Street WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than license contractors, a cer0cate of workers compensation must be shown at the time of permit Issuance. LENDING AGENCY e Address Description or Scope of Work: q FT- Living arage Open Cov Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. Page 1 of 2 REV 4-10-06 �/C, Rece' ed by: Amount: Bldg SRA Receipt #. Sheriff /l� Date: U SMTP Other Total Page 1 of 2 REV 4-10-06 �/C, PERMIT NUMBER B 2291-73B,,P,,E P is E PERMIT EXPIRESu' OWNER David Bell owner CONTR: LOCATION (A.P. 33-14-2 336 Canyon Highlands Dr.,,,Oroville 4 17 S+ COUNTY OF BUTTE l Department of •.Publix Works tt BUILDING,. INSPECTION RECORD ZoningSetback Forms Foundation Piers &. Girders Fireplace Rgh. Plumbingl _ Bond Beam Lath & Plaster 46 Rein. Steel Gas Piping & Test 0`— Found. Vents Framing D'f 'S — % Plmg. Topout Rough Elec. Wtr. Htr. Furnace Kitchen Vent Firewall Garage Vents . -Sanitation & Water ELECTRIC �JGAS ;/f ✓ BUILDING .Temporary / ��� ',� Temporary 11 _% T C;/ Cert. of Occup. Final Final Final 2=2 DATE. REMARKS OR CORRECTIONS s - s �-� � 6 i4el 9/c COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — droville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT Receipt No. j p/ �/ White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant $I/ding permit expires Date...lo,�/�U✓.7 .1.....•...........• BUILDING Owner C�-r/ l o C�KL SQ. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Fireplace Contractor ._ g �� Total Valuation , / Mailing Address 3 UIVC-04w Permit Fee Plan Checking Fee &/orPenalty 3epha—Oane D Permit Fee $ $ Building Address AID PLUMBING No. @ FEE PERMIT FILING FEE $2.00 �2 Each Trap 1.50 �••�— Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. o. 33Z oning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fefs Saa "**ion Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration Parcel Ma P 60' R/W Improvements P Lawn sprinkler system 2.00 Parcel Approval I Plans Approval Permit Fee $ $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ® ELECTRICAL No.1 @ I FEE PERMIT FILING FEE $3.00 _ 9 '&aIFLV,4 L ©F PE 6W /7- a:Z9�`%3 �!9!�lS. Main service incl. 1 meter 7-0 u/ NFA i(/F_(,�/ iXE.�Npyiclat PEfLjyj(( Additional meters, each 1.00 Sub -panel (12 or less) (more than 12) Single Family Duplex ❑ Mobil Home ❑ Others ❑ Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 Light fixtures 2U_0610. 2half__� Receps., switches & fix outlets 2oT�25 CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: 8(: K viZ%P.— (_a !N 'l C Hood, Ex. Fan or F.A. Furn. Motor 1.00 Evap. cooler, gar. disp.or D.W. 1.00 Air conditioner or heat pump Water pump Mobil Home Facilities 5.00 J Lf J Temp. Power Pole 5.00 �-�y License No. '1 Classification - Misc. wiring ❑ 1 am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. I+A 1 have placed on file with the County of Butte a certificate of orkmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 .Od Heating QpQ Od Cooling 70 Ventilation Hood 2.00 Permit Fee $ , 0� $ QC 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. XL Datel 7 Signature of P rmitee or Aaent TOTAL PERMIT FEE $ �� This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF UBLIC WORKS -A .1- i— °7r/ Receipt No. j p/ �/ White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant $I/ding permit expires Date...lo,�/�U✓.7 .1.....•...........• COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS `7 7 County Center Driye — 0roville, California 95965 / Telephone: 534-4541 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above -me tioned property for inspection purposes. k X Date — Signature of Permitee r ent Receipt No. 1.1�26 1- l White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTO; OF U71 WORKS c By Date.-, W 7i/ ig permit expires Dafe...�..� .... �/.... .......... BUILDING Owner � SQ. FT. OCC. BUILDING VALUATION Mailing Address t,14 Telephone No. O Fireplace Contractor Total Valuation Mailing Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee $ $ Building Address PLUMBING No. @ FEE PERMIT FILING FEE $2.00 ,0 i (�f Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. Zoning & Planning Gas piping system 1 - 5 outlets 1.50 h Q Each additional outlet .30 Rees W . &_1R+ tion Fire Dept. FireZone Use Permit Building sewer 5.00 EQA Parking Plans I Parcel Declaration Parcel Ma P 60' R/W Im rovements P Lawn sprinkler system 2.00 Bi'dg--Plarrz—Ree'd Parcel Approval Plans Approval Perm Permit Fee � r +�7 0 C�1 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER 5Q ELECTRICAL No.1 @ FEE PERMIT FILING FEE $3.00 cA `f j Main service incl. 1 meter Additional meters, each 1.00 Sub -panel (12 or less) (more than 12) Single Family Duplex ❑ Mobil Home ❑ Others ❑ Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 Light fixtures bal (d 10 Receps., switches & fix outlets CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: Hood, Ex. FanorF.A. Furn. Motor 1.00 Evap. cooler, gar. disp. or D.W. 1.00 Air conditioner or heat pump Water pump Mobil Home Facilities 5.00 Temp. Power Pole 5.00 License No. Classification Misc. wiring I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. 1 certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 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 TOTAL PERMIT FEE $ authorize representatives of the County of Butte to enter upon the above -me tioned property for inspection purposes. k X Date — Signature of Permitee r ent Receipt No. 1.1�26 1- l White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTO; OF U71 WORKS c By Date.-, W 7i/ ig permit expires Dafe...�..� .... �/.... .......... COUNTY OF BUTTE — DEPARTMENT OF PUBLIC 7 County Center Drive - 06ille, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT WORK BUILDING Owner I SQ. FT. OCC. BUILDING VALUATION Mailing Address ° T ephone No. Fireplace Contractor Total Valuation cy-cy-a Mailing Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee $ $ o Building Address PLUMBING No.1 @ FEE PERMIT FILING FEE $2.00 Each Trap 1.50 S" Repair drainage or vent piping 1.50 Water piping _ 1.50 3� Each gas water heater or vent 1.50 A. P. No. ���- // �� Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 ees Sanif'biion Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration parcel Ma P 60' R/W Im rovements P Lawn sprinkler system 2.00 p Bldg. ans Recd Parcel Approval Plans Approval Permit Fee $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE - $3.00 Main service incl. 1 meter Additional meters, each 1.00 Sub -panel (12 or less) (more than 12) Single Family Duplex ❑ Mobil Home ❑ Others ❑ Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 Light fixtures 20(@25 Re s., swit es & fix o is 1b2 U, M5 CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: Hood, Ex. Fan or F.A. Furn. Motor 1.00 Evap. cooler, gar. disp. or D.W. 1.00 Air conditioner or heat pump Water pump Mobil Home Facilities 5.00 Temp. Power Pole 5.00 License No. Classification Misc. wiring I am exempt from the Contractors License Laws of the State of California. Permit Fee $ p� $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑ I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby TOTAL PERMIT- FEE $ S' - 8 authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. � ,,/j Xe1411Vr�O Date 7� Signature of Permitee or Agent Receipt No. n 9 � — White-D.P.W. !Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant Tht.s permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF UBLIC WORKS By Date��- Building permit expires Date COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Driye — Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT autnonze representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. x Date ` Signature of Permitee or Agent eceipt No. White-D.P.W. — Yellow -Assessor — ink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECT>0V OF PUBLIC WORKS By D, Date - Building permit expires BUILDING Owner . SQ. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Fireplace Contractor Total Valuation Maili ddress Permit Fee Plan Checking Fee &/or Penalty C Telephone No. Permit Fee $ $ Building Address PLUMBING No. @ FEE PERMIT FILING FEE $2.00 Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 loll Each gas water heater or vent 1.50 A. P. No. .r Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet 30 Fps d0(.F! Sanitation Fire Dept. re Zone . Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration Parcel Ma P 60' R/W Improvements P Lawn sprinkler system 2.00 Bldg. Plans Recd I Parcel Approval Plans Approval Permit Fee $ $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ❑ ELECTRICAL No.1 @ FEE PERMIT FILING FEE $3.00 ' Main service incl. 1 meter ^' Additional meters, each 1.00 Sub -panel (12 or less) (moraghon 12) Si a Family Duplex ❑ Mobil Home ❑ Others ❑ Range, Cook -top or Oven 1.00 Water 1-4Wer or Space Heater 1.00 sa. Light fixtures bal 010 ReQWps., switches & fix outlets b CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style/oh //Av Hood, Ex. FanorF.A. Furn. Motor 1.00 Evap. cooler, gar. disp. or D.W. 1.00 Air conditioner or heat pump Water pump Mobil Home Facilities 5.00 ,i Temp. Power Pole 5.00 License No._.1l,eP/•,6-1 Classification L7—/o 7—/o Misc. wiring ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ f WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby TOTAL PERMIT FEE $ 7J autnonze representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. x Date ` Signature of Permitee or Agent eceipt No. White-D.P.W. — Yellow -Assessor — ink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECT>0V OF PUBLIC WORKS By D, Date - Building permit expires COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X Z_�.,4�-e- Date - 2 7 3 Signature of Per%mitee or Agent Receipt No. / D U cl1 7 White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. By(2dIREC5;0p OF PUBLIC WORKS Date Building permit Aires Dete BUILDING Owner SQ. FT. OCC. BUILDING VALUATION Mailing Address3 r Telephone No. Fireplace Contractor Total Valuation Mailing Add res Permit Fee Plan Checking Fee &/or Penalty Telephone Na. Permit Fee $ $ Building Address PLUMBING No.1 @ I FEE ERMIT FILING FEE 2.00 aw Each Trap 1.50 COW'' Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. — — Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet 30 vo/slvylSanitation FireDept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans I Parcel Declaration Parcel Ma P 60' R/W Im provements Lawn sprinkler system 2.00 Bldg. Plans Recd Parcel Approval Plans Approval Permit Fee $ $ (j( NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service incl. 1 meter `? Additional meters, each 1.00 Single Family Duplex ❑ Mobil Home ❑ Others ❑ Sub -panel (12 or less) (more than 12) Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 Light fixturesbalio Receps., switches & fix outlets 2�(a2b CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: Hood, Ex. FanorF.A. Furn. Motor 1.00 Evap. cooler, gar. disp. or D.W. 1.00 Air conditioner or heat pump Water pump Mobil Home Facilities 5.00 Temp. Power Pole 5.00 License No.r6 Classification_Cr~ Misc. wiring ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. ❑I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No.1 @ I FEEPERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 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 TOTAL PERMIT FEE $ (7C authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X Z_�.,4�-e- Date - 2 7 3 Signature of Per%mitee or Agent Receipt No. / D U cl1 7 White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. By(2dIREC5;0p OF PUBLIC WORKS Date Building permit Aires Dete r y 41 I Rion 2a' s�-fin r� . F t 33 A j C+ 3 11 O -I fti w w 0.. 1. 0' p . (D — Q- -0 C ro v 3 ?� S ` CD ^ y0 + .a. �e 1 j n 70 O (D (N�c a �� C o O < z oCD O s (2 0 N 77 (o Ni SCD I . 3 Q CD 7777, xb C F%:c.;wG to 74 r y 41 I Rion 2a' s�-fin r� February 23, 1979 Merrill Merrill Lynch Relocation Management., Inc. RE: Special Inspection #11-79 c/o Better Homes.Realty (AP 33-14-2) 459 Oro Dam Blvd,, Suite A Oroville,'CA:. 95965 Gentlemen.* With reference to the above subject and your, request for inspection of the fireplace located iri the dwelling at 336 Canyon Highlandi Drive in Oroville, the inspection was made on February 22, 1979. The brick fireplace has been plastered and painted possibly since the 1975 -earthquake. Some minor cracks were observed and the chimney shows signs of a previous repair. (Roof access was not available for a closer chimney inspection.) As a result of this inspection, there were observed no obvious or apparent structural problems or failures. Should you have any further questions, please contact us. tv Yours very, truly, Clay Castleberry Director of Public Works J.P. Glandet JFG: dd Chief Buildirig Inspector File No. BUTTEICOUNTY Public Works Dept. Director Dep. Dir. Sec. Rd. & Sr. Mtce. Shop & Yards Bldg. Insp. Admin. D&C / Traffic Const. Rd. Des. Br. Des. Sur. & Loc. Transp. R/W Mapping Land Dev. Ref. Disp. Drng. / S. I. Sub. & Pcl. Me Permits (For Action 1, 2, 3 ) (For Information ✓) ✓� BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 11,E SPECIAL INSPECTION REPORT Owner • /11 t vv eL�- Address: Building Location: Type of Inspection requested: = 1. Housing 14 2. Financing A. P. # 3- 3- iL/ - Z Date of Inspection2y Inspector"- " nspectorL " 3. Change of Occupancy to 4. Other (specify) Present use of building: A. Sanitation (Housing) 1. Water closet: 2. Lavatory: 3. Bathtub or shower: 4. Kitchen sink: 5. Hot and cold water to fixtures: 6. Heating facilities: 7. Natural light and. ventilation: 8. Room and space requirements: 9. Bedroom window or door for second exit: 10. Infestation of insects, vermin, or rodents: 11. Connection to sewage disposal: '12. Connection to water supply: 13. Rubbish and garbage facilities: 14. Comments: B. Structural 1. Piers and footings:_ 2. Floor construction:_ 3. Wall construction:_ 4. Ceiling and roof -cons �.� Fireplac 6. Comments: _ C. Electrical 1. Service 2. Recepta 3. Fusing: 4. Comment D. Plumb in 1. Fixtures connected and vented: 2. Gas water heater: 3. Gas heating vents: 4. Comments: (continued on back) E. Other 1. Maintenance and repair: 2. Fire hazards: 3.Safety hazards: 4. Weather protection: 5. Underfloor and attic ventilation: 6. Cents F. Conmercial Buildings 1. Roof covering: 2. Distance to property lines: 3. Physically handicapped: 4. Restroom floors and walls: 5. Exits: 6. improvements: 7. Zoning: 8. Cc= ents• G. Field Problems or Violations .1. Problem or violation (give complete description): , 2. What action taken (give complete description): 3. What action recommended: 7-7 A. Information only - file. 7-1 B. Hold for ten (10) days, then write letter. C. Write letter. 77 D. Other- COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 Telephone: 534-4541 APPLICATION FOR SPECIAL INSPECTION Owner � •errill Lynch Aeloca.tion i.ana,;ement, Inc. A.P. No. 033-14-0-002-0 xMailing Address L'X P.G. 13ox 2290 Telephone No. ,.ewport reach, calif. 92660 Applicant Better Homes healty Telephone No. 533-0122 Mailing Address 459 Oro Dam Blvd., Suite A Uroville, Calif. 95965 Building Location 336 11anyon Highlands LDrive Oroville, Calif. 95965 I hereby request a special inspection of the following building: /?'/ 1. Dwelling (if only a portion, specify) /�,,,J�.- >J�r�cc-C / / 2. Apartment House (if only a portion, specify) 3. Commercial (specify present occupancy) 4. Other (specify) I am requesting a special inspection for the purpose of: / / 1. Moving the building. / / 2. Financing (specify agency) / / 3. Change of occupancy to 4. Other (specify) o ri<<'/ 1, Case No. I hereby certify that I will obtain the necessary permits and make any necessary corrections, alterations, or repairs required by the County of Butte, as a result of this inspection, to comply with building and housing code requirements. I also certify that prior to the use or occupancy of this building, I will complete the above required corrections, alterations, or repairs, or, if the building is presently occupied, I will complete the above required corrections, alterations, or repairs within thirty (30) days. I certify that I have read this application and state the above information is correct and hereby authorizeIrepresentatives'.of the County of Butte to enter upon the above-mentioned property for insp���7AXAVW114-1, urposes. Date Signature of owner; MERRILL LYNCH RELOCATION MANAGEMENT, INC., 4350 Von Karman Ave., Suite 300 Fee paid $ ,� C�� Newport Beach, Calif. 9266 Receipt No. 1st -DPW - 2nd -Inspector - 3rd -Applicant COUNTY OF BUTTE — DEPARTMENT.OF PUBLIC WORKS — BUILDING DIVISION 7 County Center Drive — 0roville, California 95965 —.Telephone: 534-4541 PERMIT APPLICATION DATA SHEET Permit A.P. No. o.J-1 -- Proposed Building Use ' Permit fee based upon: Complete Contract Price - DPW Valuation -y0 her -(explain) Building Inspectorr Date At time of permit application, I was advised the following data must be submitted prior to permit processing .and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted................................................................... 2. Plot plans in duplicate/triplicate............................................................... 3. Complete plans in duplicate/triplicate................................................... 4. Complete engineered plans and calcs..................................................... 5. Plans with Energy Design Compliance Statement ............................ 6. State Energy Forms No. .................... 7. Statement of Intent for Non -Heated & AC Buildings ................... 8. Fees of $ 9. Letter of signature authorization............................................................. 10. Sanitation approval from Health Dept.... 11. Planning approval for ............. 12. Certificate of Workmen's Compensation Insurance ........................ 13. Contractors License Information (no., name style, classification) ............................... 14. Improvements may be required. Contact Land Development Section of Dept. Public Works (see addressbelow)................................................................................................. 15. Pre -inspection for required. Pre-inspec. request to bldg. inspector (date) 16. Other Whe you issue the permit, process as follows: Mail to owner Mail to contractor. Telephoned ��J-" 0 / �� and hold for pickup at office. Deliver w/inspection. Other Applicant�1'G� ��4l Date Copy of plans sent"'"- "`Health Dept., Fire Dept., Other Date- During ateDuring the plan checking process, the follow rig�data must be submitted pridrrto permit issuance: (For required items not checked.above:at-time of,,application,'circle ite`m.) 1. Index permit for above Items No. 2. Addditionditems'required: (Contractor, Designer, Owner) was advised of above required data by Telephone Mail Other By Date Plans checked by Date Plans approved by Date OTHER: Cnnv/DPW