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HomeMy WebLinkAbout035-225-0021. I 7: 3432B -3642B*�'- - P PHILLIPS, Hershel 2 $4 . 8i 354 —C'00 a5 1935 3 IM.-Summers. St.,-Oroville foundation) 035-22-5-002 93-979�E PATTER80N,.,.SANDRA 1957. SUMMERS ST, OROVILLE ELEC SERV/SF 035722-5-002 93-1341 B,P PATTER§bN; SANDRA ;;:F -1957 SUMMERS ST,.<OROVILLE WATERHEATER, SHEETROCK/SF % / 1. 17-9 -002- �1B 35-,2f-.5 iPATTERSON,._N ,SA DRA. 1957 -SUMMERS, OROV E•­ ADD,CLOSET/SF 01F 035-22L5-002 1 1.93-3367 P,E PATTERSON, .Sandra 1957 Summers o roville htr/attic)SF JA M 66ntr B B07-1612 MISCELLANEOUS \41SCELL4,VEOUS 035-225-002 1 LREP,AIR: DPy e> on 'OT' TERMITE DA p I U ROT, TERMITE DA<An4one> 1957 SUMA4ERS ST p ' ST M p A TTERSO?q SANDRA R SS NS P S PA , S 1308-0231'Gek� .035-225-002 MISCELLANEOUS Re -Roof RE -ROOF SF (22 SQ) 1957 SUMMERS ST LPATTERSON, SANDRA R S I S U 1. I 7: 3432B -3642B*�'- - P PHILLIPS, Hershel 2 $4 . 8i 354 —C'00 a5 1935 3 IM.-Summers. St.,-Oroville foundation) 035-22-5-002 93-979�E PATTER80N,.,.SANDRA 1957. SUMMERS ST, OROVILLE ELEC SERV/SF 035722-5-002 93-1341 B,P PATTER§bN; SANDRA ;;:F -1957 SUMMERS ST,.<OROVILLE WATERHEATER, SHEETROCK/SF % / 1. 17-9 -002- �1B 35-,2f-.5 iPATTERSON,._N ,SA DRA. 1957 -SUMMERS, OROV E•­ ADD,CLOSET/SF 01F 035-22L5-002 1 1.93-3367 P,E PATTERSON, .Sandra 1957 Summers o roville htr/attic)SF JA M 66ntr B B07-1612 MISCELLANEOUS \41SCELL4,VEOUS 035-225-002 1 LREP,AIR: DPy e> on 'OT' TERMITE DA p I U ROT, TERMITE DA<An4one> 1957 SUMA4ERS ST p ' ST M p A TTERSO?q SANDRA R SS NS P S PA , S 1308-0231'Gek� .035-225-002 MISCELLANEOUS Re -Roof RE -ROOF SF (22 SQ) 1957 SUMMERS ST LPATTERSON, SANDRA R S I S • BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES 1 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: 1957 SUMMERS ST Owner: Permit NO: B07-1612 APN: 035-225-002 PATTERSON SANDRA R SS Issued Date: 07/25/2007 By KCG Permit type: MISCELLANEOUS1957 SUMMERS ST �OROVILLE, Subtype: <none>- CA 95966 Expiration Date:'07/24/2008 Description: REPAIR: DRY ROT, TERMITE DAP Occupancy: Zoning: RN Contractor Applicant: - Square Footage: COYOTE REMODEL & REPAIR COYOTE REMODEL & R_ EPA Building Garage RemdVAddn 1350 5TH AVENUE 1350 5TH AVENUE OROVILLE, CA 95965 OROVILLE, CA 95965 Other Porch/Patio Total (916)804-3434 (916)804-3434 •FEE INFORMATION DBOMSCF Supplemental Inspectio $115.98 ' Total Charged: $115.98 Fees Paid: $115.98 Balance Due: $0.00 Receipt No: B4023 -'-':LICENSED LICENSED CONTRACTOR'S DECLARATION ' OWNER / BUILDER DECLARATION Contractor (Name) State Contractors License No. / Class / ExpiresI HEREBY AFFIRM UNDER PENALTY OF PERJURY that 1 am exempt from the Contractor's License COYOTE REMODEL & REPAIR 845174/ B / 08/31/2008 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'si signed statement that he or she i licensed q PP P 9 e s ce sed I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am licensed under provisions of Chapter 9 (commencing with ecti 7000) f Division 3 of the Business and Professions Code, and my license pursuant to the provisions of the Contractor's License Law [Chapter 9 (commencing with Section 7000) is in full for an ffe 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 X1fP7 07/25/2007 the applicant to a civil penalty of not more than five hundred dollars [$500]; Please check one of the following: Con act 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 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 'it WORKERS' COMPENSATION DECLARATION 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.). HAVE AND WILL MAINTAIN WORKER'S ❑ I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED COMPENSATION INSURANCE, as required by AlMy 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 Contractor's License Law dows not apply to an owner of the property who builds or improves Workers' Compansation insurance carrier and policy number are; thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Cartier: State Fund Policy Number: 1838380 Exp. Date:03/01/2009 Contractor's License Law.). (This section need not be completed if the permit is or one hundred ($100) or ess.) r ❑ IAM EXEMPT under Section B. & P.C. for this reason: ❑I CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS 07/25/2007 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' the X compensation provision f Section 3700 of the Labor Code, I shall forthwith with those Owner's Signature Date provisions. X 07/25/2007 _ ,- � .• _ ,� -.._ 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 Signa re Date WAR IN . FAILURE TO SECURE W�QERVCOMPENSATION 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 EMPLOO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE injury, including death, and property damage caused arising out in any way with HUNDRED THOUSAND DOLLARS $100,000 , IN ADDITION TO THE COST OF COMPENSATION; ( ) is a t authorize the issuance of this permit. I hereby acknowledge that issuance of this permit does not authorize the t is DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte ATTORNEY'S FEES. County to enter the above mentioned props for i s coon purposes. I hereby certify that I am the , prop cora uthorized own behalf. CONSTRUCTION LENDING AGENCY \ 07/25/2007 1 HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for N e of Permittee [SIGN] ri Date the performance of the work for which this permit is issued. (3097 civ. code) Owner Contractor OR. DAgent for Owner ❑Agent for Contractor (f '—' FILE COPY. Lenders Address City State 11 Zip M �V T rF BUTTE COUNTY 0 0 DEPARTMENT OF DEVELOPMENT SERVICES o o BUILDING PERMIT APPLICATION. 0 0 OFFICE #: (530) 538-7541 FAX #: (530) 538-2140 oy' o A FEE WILL BE REQUIRED AT TIME OFAPPLICATION website: w.+w.buttecounty.net/dds 47UN **PLEASE'PRINT CLEARLY** Name . OWNER INFORMATION Last Nam Address First NVM Mailing Address City City State Sfat2^ Zip Phone Fax Fax E-mail E-mail Name ARCHITECT/ENGINEER CONTRACTOR Address Address S T City Fax State Stat Zip / Phone Fax E-mail Fax. E-mail Lic. L Class APPLICANT INFORMATION ARCHITECT/ENGINEER Name City Address Zip City Fax State Zip Phone Fax E-mail State License Number APPLICANT INFORMATION Name Address City State Zip Phone Fax E-mail APPLJCAPqSIq#ATURE e�� PROJECT LOCATION API -'29 . Property Address q57 11 PERMIT NO. _0I .. BIN # WORKER'S COMPENSATION Policy Number Carder 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 OR SCOPE OF WORK: Sq FT- Living Garage Open Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): For office use only: Zoning Flood Zone SRA Yes No Occ. Type Const. `NNI S, Ior's Lel 34328 ' `36428# .�-• ^935 Summers St.. ,-Oroville _ 4 trepsir f(=dation) 035-22-5-002 93-979 E ,PATTERSON, SANDRA / "1957 SUMMERS' ST, OROVILLE ` / zS y ELEC / SERV/SF 035-22-5-002 93-1341 B,P PATTERSON, SANDRA .1957 SUMMERS. ST, . OROVILLE WATER HEATER, SHEETROCK/SF -22-5-002 -4-154 B PATTERSON, SANDRA ` 1957 SUNLMERS, OROVILLE ADD CLOSET/SF 035-22-5-002 93-3367 P,E PATTERSON, Sandra 1957 Summers St, Oroville (install htr/attic)SF J & M Contr 2ZOwO ©®, COMPLAINANT:] ADDRESS: ' PHONE NUMBER: OTHER COMMENTS: 0 d"1 CLQ C�LP.i( 13 . ?"„ „ . ,, _,,`-c . ,n'�Er .iR• rF:y?..3; i�',°:�'.- se+.. r � '•"�' _."A''" r Qi{'r;s^ . w' �,�.. ;�,rt ;; .a ,a.w ercwyy .; i '�•"wL a y" 93=3367 ;E 035'TE2 ON ,0 Sandr a lei r PAT RS St, Orovil 1957: SuR1T1ers attic)SF J & M' Contr (install htr/ - jO r Y v • pi f r r j j COUNTY OF'BUTTE -DEPARTMENT OF0DEVElzOPMENT SERVICES -BUILDING DIVISION v 7 County Center Drive - Oroville, California 95965 - Telephone (91%!53 7541 PERMIT NO. APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 032 ZONING >' WILDING PERMIT OWNER SANDPA PATTERSON T` 3°7542 SQ. FT. OCC. BUILDING VALUATION OWNER'S MARJNG ADDRESS 1957 S"I TEPS ST OROVII.LE, CA 95966 CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS j( % t e- e- A, Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation is LENDER'S MAILING ADDRESS Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 1957 SIMERS ST OROVII.LE, CA 95966 PERMIT FEE $ PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15,00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Each gas water heater or vent 15.00 USE OF STRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20'00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: INSTAU HORIZONTAL: TTTR/ATTIC PERMIT FEE $ J� Contractor k ELECTRICAL PERMIT Filing Fee 20.00 Main Service ( IV ORLESS 200A OR LESS 23.00 Main Service ( 200A TO t000A 46.00 NEW CONST. DWELLING OCCUP. OR ADONS. ( 8 ACC. BLDS. 1 S0. 3.50 FT. CONTRACTORS LICENSE LAW are under penalty of perjury (check one) am a licensed under provisions of Chapter 9, Division 3 of the Business and XProfessions Code and'my license is in full force and effect. License No. ¢i � / 1�/ A/ Classification :7—p ❑ I, as the owner, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. (Sec 7044) ❑ I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) O 1 am exempt under Sec. Business and Professions Code forthis reason NEWCONST. MULTI -OUTLET NON.RESID. ( BRANCH CIRCUITS I @7.50 ( POWER APPARATUS , a SINGLE OUTLET CIR.I Ex. Occup. (OUTLET OR FIXTURES B20 @ 1.00 Ex. Occup.UTFIXEDTS (RESID OR (OUTLETS IRESID.1 EA. 1 5•CO Temporary Service 23,00 Mobile Home Facilities 20.00 Misc. Wiring 23,00 WORKER'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): ❑ This permit is for $100.00 (valuation) or less. ❑ 1 have placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -insure. I shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating HORIZONTAL, 15.00 Cooling ATTIC Hood 6.50 Ventilation PERMIT FEE S 5• Contractor I certify that I have read this application and state thatthe above information is correct. I agree to comply to all Butte County Ordinances and California State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. C �X'?.:_. /1 ^�1 -�� Date /0- I (— -/ Signature of Applicant -'0 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. Mobile Home Installation Fee $ Energy Inspection Fee $ ocC CONST. TYPE TOTAL FEE $ 70.0 0 Iliabilities, HAZ• I D. FEES I IMP FLOOD I CDF PARCEL I PO HD ISSUE 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•(W%PUBLIC WORKS C_ / By �� Date � .01 V PERMIT EXPIRES ON-� IDetel 153209 Receipt No. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF CIEVEnPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, C fqfq iforr ih 95965 - Telephone (91 7541 PERMIT NO. � APPLICATION AND PERMIT g 3 -'35(112-7 ASSESSOR PARCEL NUMBER 035-225-002 ZONING RN MIMING PERMIT OWNER SANDRA PATTERSON TTI'VE7542 SO Fr. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 1957 SUMMERS ST OROVILLE, CA 95966 CONTRACTOR'S NAME 1 `1 C v TELEPHONE 3 4-c V i 1, CONTRACTOR`S MAILING ADDRESS �p W 6 4 S L< I^C p GiA Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is LENDER'S MAILING ADDRESS Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 1957 SUMMERS ST OROVILLE, CA 95966 PERMIT FEE $ PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15,00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Each gas water heater or vent 15.00 USE OF STRUCTURE SFO Duplex O Mobilehome O Other SPECIFY Gas piping system 1 - 5 outlets 15.00 15.00 Building sewer 15.00 Mobile Home S G W @ 20'00 TYPE OF WORK New O Addition ElRemodel ❑ Utilities ❑ Installation O Other ❑ Describe Work: INSTALL HORIZONTAL HTR/ATTIC PERMIT FEE $ 35.00 Contractor ELECTRICAL PERMIT Filing Fee 20.00 Main Service ( BOOV OR LESS ) 200A OR LESS 23.00 Main Service ( 200A TO 1000A ) 46.00 NEW CONST. DWELLING OCC P. OR ADDNS. ( & ACC. BLOS. ) SO• 3.50 FT, CONTRACTORS LICENSE LAW I eclare under penalty of perjury (check one) I am a licensed under provisions of Chapter 9, Division 3 of the Business and rofessions Code n my license is in full force and effect. if r1 o License No. Classification L f— ❑ 1, as the owner, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. (Sec 7044) O I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) O 1 am exempt under Sec. Business and Professions Code forthis reason .NEWCONST. MULTI.OUTLET NON-RESID. ( BRANCH CIRCUITS ) @7.50 ( POWERAPPARATUS ) & SINGLE OUTLET CIR. Ex. Occup. ( OUTLET Oft FIXTURES ) B20 @ 1.00 AL. Ex. Occup. FIXED APPLNS. OR p' ( OUTLETS (RESID.) EA. ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): ❑ This permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -insure. �] I shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating HORIZONTAL 15.00 Cooling ATTIC Hood 6.50 Ventilation PERMIT FEE $ 35.00 Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all Butte County Ordinances and California State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said nty in consequence of the granting of this permit. ` Date -. — �' nature of Applicant Owner Contractor ❑Agent i An OSHA permit is required fo a avations over 5"0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee Is Energy Inspection Fee Is occ CONST. TYPE TOTAL FEE $ HAZ• I D. FEES I IMP I FLOOD I CDF PARCEL PD HD ISSUE This permit is hereby issued under the applicable of the Butte County Code and/or Resolutions indicated above for which fees have been DIR UBLIC WORKS By UP PERMIT EXPIRES ON W// Det 1 provisions to do work paid. Date ` 1/ �� �✓ Receipt NO. 153209 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT V=OK O = Not OKNot ' = Not Applicableable MOBILE HOMES Date/Initials MOBILE HOME UTILITIES (Plans) OK except k'a 1: Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch & Sewer; Location -Test -Fell -C/O Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Locatlon-Clearences=Gmd-/ /Amp -Concrete & Gas; Location -Test -Wrap: / P'L"ft. / P'Nat. or/ P'L"ft./ P'LPG 7. Well Clearance & Disconnect ` & Utility Clearance - r Date/Initials MOBILE HOME INSTALLATION (Plans) OK except #'a- 1. Zoning Requirements -Setbacks Easements ' 2. Footings; Size -Spacing -Marriage Line 3.. Gas; MH Test-Demand-Valve—Connector 4. Electricity; MH Test-Crossovem-Breakers-Clearances & Drain; MH Test -Fall -Flex Connector 8. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval & Gas and Electricity Tagged 9. Exits; Insp.-Sketch 10. Cert. of Occupancy MISCELLANEOUS Date/Initial DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except k's 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel & Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg: Rfg: Bracing - 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures & Carports; Windows -Doors, 7. Electric & Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date/Initials POOLS (Plans) OK except Ira 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI & Elec.;Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test i V=OK O = Not OK - = Not Applicable RESIDENTIAL (Single & Duplex) = Not Ready Date/Initials UNDERFLOOR (Plans) OK except #'s L/2. Ftg., Main; Soils -Elea Grnd , ,.44!!-Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth Ftg., Porches & Decks; Soils -Steel-/ /Fig. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fell -Fitting -Test -2 Way C/O -Sewer Test 10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation 16, Insulation Date/Initials PLUMBING (Permit) OK except #'s 16. Water Htf,; Vent -Ac ss-Combustion,Air-Baffle 17. Water Pip Test nchor-Nail Protection 18. D.W.V.; TestWing's Ings & Anchor -Nail Protection 19. Shower Pa , First Floor -Tub Access 20. Test TubX Shower, Second Floor -Tub Access 21. Gas V-.; Size & Anchors Date/initials ELECTRICAL (Permit) OK except #'s Fixtu ransformer Clearance -Ins. Protection ec.�F aceptacles Spacing -Lights & Switches at Doors _147�ize_ooxes & No. of Conductors -Stapled installed Close to Edge of Studs & C.J. �uip. Ground made up w/Meth. Fastners-Bond Gas & Water cuts in Kitchen & Conductor Size/GFI Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al e Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulate eutral 0 Yes 0 No Sn c_ p`ce-Rer Conductors & Ground -Main Disconnect 31_.Equj2. Clearances Panels -Motors -Meth. Equip. _9 r.Mo1njLs Closet Light -Shower Light -Spa Light 3. moke Detector Date/Initials MECHANICAL Per it OK except #'s 34. A. Ducts In lation & Support 35. Vent aust above insulation 36. CondensVe Drain & Overflow; Size & Grade 37. Furnan -V t; Access -Comb. Air -Return Air Vent -115 outlet 38. Attic ccess & Platform if Furnance in Attic uate/jpifiqls FRAMING(Plans) OK except #'s --9. Sirs, Proper Material & Anchors 7 TO. Walls Studs-Nailina. Saacina & Brecina-Platas-Sound / '41. Bearing Wails over Girders & Floor Nailina I 42. Draft Stop in Walls (rat proof) 'v k' Qr-fire Stops; Furred Celli nas-Stairs-Chases-Tub 44. Headers & Beam -Size & Bearing Date/Initials FRAMING (Continued) H gers-Post Cepa-Anchors-Connectors 8. Cing. Joist-Rftr. ties-Purlin=roof Brac-Truss-Shthng.-Rfng. r Type A Flue -Fireplace Throat clearance Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 49. 8011., Wilitluft or Exiting Doors -Sill Hgt. & Dimensions otection Framing 33-Preper4"ne Firewall & Openings 00 -One 3' -Check Garage -3rd Story, 2 Exits th-Headroom-Rise-Run-Landing-Fire Protection plyw on Roof Overhang -Attic Vents -Rafter Outriggers iding-Nailing Veneer rip Screed -Fd. Vents-Underfir. Access ng re -Glass Protection- yl hts-Plastic L 9e"'ig; Nailing -Bolts 59. Insulation -Walls -Ceilings 60. Infiltration -Wella -Windows Date/Initials FINAL (Plans) OK except #'s 61. Ext. Steps -Door & Sidelight Protection -Landings 62. Smoke Detector 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Meth. Protection 64. Bedroom Exiting 65. G.F.I. & Bath Fixtures & Tub Access -Spa 66.. Elec. Trim & Subpanel; Breaker Sizes & Labels 67. Stairs & Rails 68. Fireplace or Stove; Clearances -Hearth 69. Elec. Outlets at Wood Panel; Int. & Ext. 70. Kit.Fixt. & Appliance; Grnd: Air Gap -Cooking Clearance 71. Elec. Outlets & Receptacles at Kit. Counter 72. Garage Fire Door, Swing -Landing -Closer 73. A.C. Duct in Garage -Damper 74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage; Above Floor -Meth. Protection 75. Plb., Elec. & Mach. Equip. Listed for Location 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protection 77. Insulation -Foam -Looked in Attic 0 Yes 78. Guard Rails & Deck Construction -Post Caps 79. Fdn. Vents & Crawl Hole Door-Drainae & Wood -Earth Clearance Looked under Floor 9 Yes 80. Following instld.; Drive 0 Yes 0 No; Walks 0 Yes 0 No; Planters 0 Yes 0 No 81. Stucco; Brown -Finish 82. A.C. Unit; Disconnect, Electrical, Plumbing 83. Vents Above Roof; Plbg.-Appliance-Fireplace.-Clearance to Openings 84. Water Well; Disconnect, Electrical, Plumbing 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground 86. Ventilation Throughout House 87. Glass Protection 88. Corrections from Previous Inspections 89. Gas Test -Meters Tagged; Gas -Electric 90. Water & Sewer Connected -C/O to Grade -HD Approval 91. Energy Compliance Certificate -Other Certificates Comments at Final: J COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, Californi*'95965 - Telephone (916) 538-754 PERMIT NO. -, APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 035-225-002 ZONING R—N BUILDING PERMIT OWNER SANDRA PATTERSON TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 1 57 SUMMERS CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 20,00 LENDER'S MAILING ADDRESS Permit Fee $ 63.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 40.95 Energy Pian Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 1997 SIPMRS S! PERMIT FEE $ 123.95 OROVILLE 95966 PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Each gas water heater or vent 15.00 USE OF STRUCTURE SF EX Duplex ❑ Mobilehome ❑ Other SPECIFY Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G I W @ZO.00 TYPE OF WORK New ClAddition VX Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describework: ADDITION OF CLOSET PERMIT FEE $ Contractor ELECTRICAL PERMIT Filing Fee 20.00 BUILT W/O PERMITS Main Service ( 2001 OR LESS 1111 Oil LESS ) 23.00 Main Service ( 200A TO 1000A ) 46.00 ' NEW CONST. DWELLING OCCUP. OR ADONS. ( & ACC. OLDS. ) 3.50 FTSD. , CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one) ❑ I am a licensed under provisions of Chapter 9, Division 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification PT I, as the owner, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. (Sec 7044) ❑ I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) ❑ lam exempt under Sec. Business and Professions Code forthis reason NEW CONST. MULTI -OUTLET •NON.RESID. ( BRANCH CIRCUITS ) @7.50 ( POWER APPARATUS ) & SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) BAL. @ 1.00 Ex. Occup.FIXED APPWS. OR ( OUTLETS IRESID.I EA. ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): ❑ This permit is for $100.00 (valuation) or less. ❑ 1 have placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -insure. ,W I shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all Butte County Ordinances and California State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County' co equence of he granting of this permit. X � Date 9 - 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. Mobile Home Installation Fee $ Energy Inspection Fee $ ocC CONST. TYPE TOTAL FEE $ 123.95 HA2. 1 D. FEES I IMP FLOOD CDFPARCEL PD HD I This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS ) By / Date ! 6 7.T PERMIT EXPIRES ON O �T lDe el ReceiptNo. 148743 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT r yq�pv�wn,. W. ,.,�.�p�w►!6'�'�°' ` p { �c-q""=- 'f"y'"t'1'�! COUNTYOF BUTTE - DEPARTMENT OFbEVa'_,;PgENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA95965 -TELEPHONE (916) 538-7541 PERMITAPPLICATI N DATA'SHEET OWNER�J� �!/I (/�S A. P. No. v? Proposed Building Use 40p,'4ji'oni a4 C1,9 Building Inspector Date S-'ZZS =Go z 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. ........................................ b2. -Plot plans, 3/4 sets, signed by reparer of plans . ........................... '3. Complete plans, 3/4 sets, signed by preparer of plans . ...................... .4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. 5. Hazardous Material Form. ..i:....._ ..'::........:....................... . 6. Energy,Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non -Heated and A/C Buildings . ...................... 8. Engineered truss details and layout in duplicate (required prior to plan check). ... . 9. Mobilehome data and manufacturer's installa ign'instructions, 2 sets. ........... �ii 10 Fees of $.................................... . X11. Impact fees as shown on attached schedule . ..............................� l 12. California Department of Forestry plan approval/fees. ....................... . 13. Flood elevation letter (100 year flood) by California Engineer. ....... 0 ......... . 14. Sanitation and plot plan approval Health Department . ............ 15. City of Chico plumbing permit . ........................................ . 16. Plot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B) Parking: . ........ 18. Contact Land Development about (A) Improvements (B) Drainage. .......... . 19. Driveway permit (construction approval required prior to occupancy). .. .. ... 20. Pre -inspection for Freanspedion req est required. . . to Building Inspector (Date) 21. Contractor's license information. (No., Name Style, Classification) . .............. 22. Certificate of Workmans Compensation Insurance . .......................... 23. Owner -Builder Verification (Given to owner , Mail to owner _). .......... . 24. Recorded copy of Agricultural Acknowledgement Statement . .................. 25. Letter of signature authorization . ........................................ 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... . 27. Letter of intent on building use . ......................................... ' 28. Mobilehome utility clearance . .......................................... 29. Documentation of legal access . ..................... :.................. 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits . ...................................... 4� 32. Plan check list . ..................................................... 474 33. L&W-' 4&YA 46J .34. When you issue the permit, process as follows: Mail to owner. Mail to contractor. VTelephone5.0 -754%z and hold for pickup at 12(Loc Irlioffice. Deliver with inspector. Other Parcel Creationn t Z�7'� Acreage Applicant /fes /JDate Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent; Health Dept. Fire Dept. Other Date By The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Plans checked by Date Plans approved by -;�,Date Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541 OWNER -BUILDER VERIFICATION. Attention Property Owner: An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to.provide the ma' abor and materials for construction of the proposed property improvement dzes r no) 2. I( ave not) signed an application for a building permit. fogZero osed work. P P 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone _ 'Contractors License No. 4: I plan to provide, portions of this work,.but'I have hired the following person to coordinate, supervise, and provide the major work: , Name Address City Phone Contractbrs'License No:' 5. I will provide some of the work,but I have contracted (hired) the following persons to provide -the work indicated: Phone Type of Work Name Address Signed: Property Owner Social Security Number :, Date NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. r4T ' BUTTECOUNTY DOLS IMPACT FEE CERTIFICATION FORM Z (One Form Per Building) f v School District rl;"• 1` �^ fir" Building Department No. A.P. Number- /,S- Z7 -5-p02- Jurisdiction 0 City 0 County Property Owner . 'ss 1 �5 Property Location/Addre Subdivison Residential Development, 0 No -6f Living MHI Units �" Sq. Footage Addition (Group R) Commercial /Industrial 0 Sq. Footage New ' Addition (Including Exterior . Roofed Areas) Building Department Representative Date (Floor Plans reviewed by School District Personnel) District. Identification No. /7SS ,kms; School District certifies that (Applicant) .154-7 �. (Street Address) (Phone Number) (City) (State) (Zip Code) I has complied with the requirements of Resolution No. �a? �/� 6.7 by payment of $ N I representing 1py square feet. School District Repri Paid by Check Number Bank Number Paid by Cash Date Remarks:&AII20L ma�� If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the.School District is notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act (CEQA), this,piroject may be subject to White (applicant), Yellow (building department), Pink (school district) feeformmkt (4/92) ADDITIONS TO RESIDENTIAL BUILDINGS ENERGY SHEET PACKAGE COMPLIANCE Owner_ f/G' i�Climate Zone Permit # �� Floor Area The following data showing mandatory and required features shall be installed for -additions to dwellings. Additions to dwellings include room additions, converting garages and patios to living areas, house moves that add footage and attic conversions, and any space that is -existing non -conditioned space that is converted to conditioned space. Remodeling of existing conditioned space is not included. Climate Zones ll.and 16* Component <=100 sgft 101-499 500-999 >=1000 sqft Ceiling R-19 R-38 R-38 R-38 Ins. Wall Ins.* R-13 R-13 R-13 R-19, 21 Floor Ins. R-13 R-19 R-19 R-19 Slab Edge NR NR, R-7 NR, R-7 NR, R-7 Ins. Glass (U) .75 ,75 .65, .60 .65, .60 Max. Glass 50 sq.ft. 16% + 16% + .16% Removed Removed Shading NR .66 .66 .66 Coeff(S&N) Shading NR ..40,. .66 _ :40, .66 .40, .66 Coeff(W&E) Thermal NR 5% Raised 5% Raised 5% Raised Mass 20% Slab 20%.Slab 20% Slab Heat, Elect Not Allowed Not Allowed Not Allowed Not Allowed Resistance Heat, Gas AFUE 78% AFUE 78% AFUE 78% AFUE 78% Heat Pump HSPF 6.8 HSPF 6.8 HSPF 6.8 HSPF 6.8 Split Sys. Heat Pump HSPF 6.6 HSPF 6.6 HSPF 6.6 HSPF 6.6 Package Cooling - SEER 10.0 SEER 10.0 SEER 10.0 SEER 10.0 Split Sys. Cooling - SEER 9.7 SEER 9.7 SEER 9.7 SEER 9.7 Package Increased # Allowed w/ Allowed w/ Allowed w/ Allowed w/ of Wtr Htrs calculation calculation calculation calculation * One entry/column = req both Tones, 2nd entry = req zone 16: SPECIAL FEATURES/REMARKS LOOSE FILL INSULATION (Density) INFILTRATION CONTROL (Weatherstrip doors, certified windows, caulking) VAPOR BARRIER (Zone 16) DUCTS PER UNIFORM MECHANICAL CODE - Ch. 10 LIGHTING KITCHEN & BATH NOT LESS THAN 40 LUMENS/WATT DESIGN COMPLIANCE STATEMENT: The above building design meets the requirements of Title 24, Parts 1 and 6 of the California Code of Regula.tions. ,�.. (Jan 93) SIGNATURE OF BUILDING DESIGNER OR APPLICANT COUNTY -OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE OWNER A routine inspection indicates that the following violations of Butt ounty Ordinances exist at the above address and should be corrected. Please notify thip,61fice when correction of work . is completed. If you have any questions pertaining to this ter, or need additional explanation, please contaFt this office immediately. Date 1 1 nspector REV 10/92 -.1;- -V COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE OWIIBi 'PERMIT NO. Aroutineispection 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 .� --scospleled Byouhave any questions pertaining to this matter, or need additional explanation, pleaoe contact tfrs office immediately. �.� Date � _ Inspector REN MW ENERGY INSTAIsLATION CERTIFICATE Building Owner Building Permit..;:# Building Location . '4�-4 c DESCRIPTION I OOF i Material Thickness(inches EXTERIOR WALL Material Thickness(inches) CEILING Batt or Blanket Type Thickness(inches) Loose Fill Type Minimum Thickness(Inches) Area covered(ft.2) FLOOR, ELEVATED Material Thickness(inches) FLOOR, SLAB Material Thickness(inches) Width(inches) . FOUNDATION WALL Material Thickness(inches) OF INSULATION ai Brand Name &_ i: L -t � i Thermal Resistance (R Value) Brand Name Thermal Resistance(R Value) Brand Name Thermal Resistance(R Value) Brand Name . Number of Bags Wt. per bag lb. Thermal Resistance(R Value) Brand Name . Thermal Resistance(R Value) Brand Name Thermal Resistance(R Value) Brand Name Thermal Resistance(R Value) I,hereby certify that the above insulation was installed in the above building, 1s consistent with- approved building department--plans--and attac-hments and- con- forms with requirements of Chapter 2-53 of State of California Energy Requiremen FIRM NAME/OWNER STATE CONTRACTOR'S LICENSE NO. SIGNATURE OF INSTALLATION APPLICATOR DATE I hereby certify the required features, devices, and equipment., ab shown on the approved Building Department plans and attachments have been installed andlconform'•to the appli- ance standards and Chapter 2-53 of the State of California Energy'Lequir:ements. 'BUILDING Ze-'0a.,V- •. BUILDING CONTRACTOR/OWNER (Please Print) (FIRMN ) r-4!� ,• IGNATURE OF BUIL NG CONTRACTOR/OWNER It HVAC FIRM NAME/OWNER (Please Print) r' • 1 SIGNATURE OF HVAC CONTRACTOR/OWNER STATE CONTRACTOR'S LICENSE NO., . ATE ••STATE CONTRACTOR'S -LICENSE NO. fi! l DATE , TO�FINAL INSPECTION f•A s;. Y: THIS CERTIFICATE MUST BE ON FILE WITH THE BUILDING DEPARTMENT PRIOR APPROVAL AND A COPY SHALL BE POSTED WITHIN THE BUILDING. SEPTEMBER 1988 � �, . • _.. t ,� - » . :� � 035 22`= - P 5=002':' .93 .97.9E PAMRSON, SANDRA'= 4 s . L957 SUMMERS ; OROVILLE 'k ELEC SERV/SF OFFICE COPY Address ' GAS Meter By ' ELECTRIC x Meter By Date'/c'' 5 ''•r1f �'' / r COUNTY OF BUTTE;- DEPARTMENT OF PUBLIC WORKS- PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone: 916/5384541 �- �C---'' APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 035-225-002 ZONING RN BUILDING PERMIT OWNER Sandra R. Patterson TELEPHONE 533-7542 SO. FT. OCC,. BUILDING VALUATION OWNER'S MAILING ADDRESS 1957 Summers St., Oroville 95966 f CONTRACTOR'S NAME Owner TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS r Filing Fee $ 15.00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. f Plan Checking Fee ,$ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS Permit fee $ 1 S7 Summers St. Oroville PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME IPARCE-MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF EN Duplex❑ Mobilehome❑ Other a -... SPECT FY Gas piping system 1 - 5 outlets 5.0011 Building sewer 15.00 Mobile Home S I G I W @ 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ® Instal lation❑i her ❑ Describe work: Move & Upgrale Permit Fee $ Contractor ELECTRICAL PERMIT Fi tee°15.00 Main service 200V OR LESS 00AOR LESS `1'8:50 6.JU CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑I am licensed under P prOVISIOnS Of Cha t. 9, Div. 3 of the Business and Professions Code and my license is in full force and6effect, License No. Classification � 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended oroffered for sale. (Sec. 7044) f ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ 1 am exempt under Sec. , Business and Professions CodePre-inspection for this reason Main service 200A TO 1000AI 37.50 NEW CONST. (DWELLING OCCUP.ad\ OR ACDNS. ACC, SLOGS. // 3.64sq.ft. NEW CONSTRU TI.OUTLET q -x NON.RESID BRANCH CIRC ITS et @,A5•:pO POWER APPARATUS y� T' x,. SINGLE OUTLET c1R, - Ex.000u / v+1a20 a6 p\OUTLETS OR FIXTURES EX. Occup.FIXED APPLNS. OR OUTLETS (R ESI D,) EA.) 3.00 Temporary service 15.00 Mobile Home Facilities Misc. Wiring G� abwd. Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ® I shall not employ any person in any manner so as to become subject `-, > �to4be W. C. I�ws of California. Notice`W APpll nts�tf , ter ma� ing this statement, should you become subject to the W. C. prolidns 60the Labor Code, you most forthwith comply with such provisions or this permit`shalI tie deemed, revoked; Contractor MECHANICAL PERMIT Filing Fee 15.00 Heating Cooling Hood 6.50 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to corrapl'y all Covnty Ordinances and State Laws relating to building constrndfit vPtand 13 reby authorik4 re�r-sep�t ives of the Countyot Butte to enter upon the above-mentioned property Tor -inspection purposes. I also agree to save, indemnify and keep harmless the Co my of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in co[ns/equence of the granting of this permit. X � , i+ t /I/ " ^ Date ��� i , {-� Signature of Applicant - OwnerContractor El Agent ❑ D An OSHA permit is required for exca at;ons over 5'0” dee and demolition or consrrDcr- ion of structures over 3 stories in hei h . Mobile Home Installation Fee S Energy Inspection Fee $ OCC CONST TYPE TOTAL FEE $ 68.50 HAz I DFEES I IMP I FLOOD I CDF PAflCEL I PD HO Iss This permit is hereby issued under the applicable provi- sions of the„Butte County Code and/or resolutions to do work indicated aboveNfo6vhich,fees have been paid.; DIRECTORIAF PUBLICrWORKS % �^ BY I ,i•„+�.liiS/�l Date�'1!_�I PERMIT -EXPIRES r Date Receipt No. - WHITE -D. r. W., YELLOW-A58l3SO R, Plfl K=1N 9P ECTOR, GOLD ENRa D -APPLICANT COUNTY OF BUTTE - DEPAF?TMr=NT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT opo PERMIT NO. ASSESSOR PARCEL NUMBER 035-225=002 ZONING RN BUILDING PERMIT OWNER Sandra R. Patterson TELEPHONE 533-7542 SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS ' 1957 Summers St., Oroville 95966 CONTRACTOR'S NAME Owner TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation is LENDERS MAILING ADDRESS Filing Fee $ 15,00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS Permit fee $ 1957 Summers St. Oroville PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF EJ Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S I G I W @ 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities [0 Installation❑ Other ❑ Describe work: Move & Upgrade Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 600VORLESS 200A OR LESS 1 18,50 CONTRACTORS LICENSE LAW I declare under penalty of p y perjury y (check one): I am licensed under provisions of Chapt. 9, Div. 3 of the Business/POWER and Professions Code and my license is in full force and effect. License No. Classification Lx I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ElI, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason Main service 200A TO 1o0OA1 37.50 NEW CONST. / DWELLING OCCUP.&I OR AODNS. \ ACC. BLDGS. � 3.64 sq.ft. NEw CONSTR U TI.O NON-RESID BRUTLET BRANCH CIRCUITS) @ 5.00 APPARATUS e) (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20L. 76 Ex. Occup. OUTLETSPRESiD )REA.) 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring -15.00 04V � Pre—inspection 20.0 2U.UU Permit Fee$ 8.50 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. 54 1 shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT FiIingFee 1 15.00 Heating Cooling Hood 6.50 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue ence of the granting of this permit.X Date Ll �/y - 9 _ ag='79K Signature of Applicant — Owner&' Contractor ❑ Agent ❑ An OSHA permit is required for exca at ons over 5'0" dee and demolition or construct- ion of structures over 3 stories in heilgff� Mobile Home Installation Fee $ J Energy Inspection Fee $ occ CONST TYPE TOTAL FEES 6$.50 /� HAz 1 0FEES I IMP I FLOOD I CDF PARCEL PD HD -. This permit is hereby issued under the SIons of t Butte County Code and/ `Nark jii edabo o hich a DIREC PUB C By Date applicable provi- resolutions to do have been paid ORKS t lReceipt DIPERMIRES No. 140474 WHITED. P. W.. YELLOW -ASSESSOR. PI -INSPECTOR. GOLDENROD -APPLICANT } COUNTYOFBUTTE ;- DEPARTMENTOLOP MENTSERVICES - BUILDING DIVISION t ' . 7 COUNTYCENTER DRIVE - OROVILLE, CALIFORNIA 95965 -TELEPHONE (916) 538-7541 r PERMIT APPLICATION DATA SHEET r OWNER � � 0./°� Proposed Building Use �� Building Inspector, nspector 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 bee�n.submitted. :.. Y ................................... . 2. Plot plans, 3/4 sets; signed by preparer of plans . ......................... . 3_ Complete plans, 3/4,sets, signed by preparer of plans . ...................... .4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. 5. Hazardous Material Form . ............................................ . 6. Energy Design Compliance and supporting documentation . ................. . ti 7. Statement of Intent for Non -Heated and A/C Buildings . ...................... 8. Engineered truss details and layout in duplicate (required prior to plan check). ... . 9. Mobilehome data and manufacturer's installation instructions, 2 sets. . 10. Fees of $ / 5-0� A/, sG ................... ........ . 11. Impact fees as shown on attached schedu� ...... rT 12. California Department of Forestry plan approval/fees....... . 13. Flood elevation letter (100 year flood) by California Engineer. ................. . 14. Sanitation and plot plan approval t _ Health Department . ............ F ' 15:=City of Chico -plumbing perniif. ......................................... . 16. Plot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: r (B) Parking: ........ 18.Land Development abo6t"r(A)"Improvements (B) Drainage. .......... . 19. Driveway permit (construction a proval required prior to occupancy). . 20. Pre -inspection for , �� required. .. o s�ild �9 inspector C (Date) 21. Contractor's license infofmation. (No., Name Style, Classification) . ............... 22. Certificate of Workmans Compensation Insurance . .......................... 23. Owner-Builder'Verification (Given to owner , Mail to owner . ........... t 24. Recorded copy of Agricultural Acknowledgement Statement . ................... 25. Letter of signature authorization . ........................................ 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... . 27. Letter of intent on building use . ......................................... \ . 28. Mobilehome utility clearance.a........l \ 29. Documentation of legal access"..... �. ..........:................. . 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits . ...................................... 32. Plan check list . ..................................................... 33. 34. When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver with inspector. Other Parcel Creation � _^7 Acreage Applicant �e;-c �J Date/ r Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date The following data must be submitted prior to 1\, Index permit for above items No. 2. Additional items required: nce: (Circle new item not checked above). 0 Contractor, designer, owner, was advised of above required data by hone _ mail Counter by fO Date /y j Contractor, designer, owner, was advised of above required data by _ phone -mail Counter by _ Date Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works .4. COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-538=7541 OWNER -BUILDER VERIFICATION Attention Property Owner: An -"owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information.at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit. will be issued -until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the' -proposed property improvement es or no) 2. 'I have have not) signed an application for a building.permit for a proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. 4'. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major.work: Name Address. City Phone Contractors License No. 5. I will -provide some of the work but I have contracted (hired,) the following persons to provide the work indicated: Name Address Phone Type of Work Signed: Property Owner Social Security Number Date NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the•California-Health.and- Safety Code. - - This verification must be completed and returned to our office before we are per- mitted to issue the permit. PRE-INSPEpTION, OWNER: '!�`DATE � LOCATION: �S S l//I/I 411 A CONTRACTOR: w��i �� ZONING �- PRE-INSPECTION"l-d' Ok/ �L4 DATE TO INSPECTOR — ev// YA? -3 PERMIT HISTORY: �J NONE AS FOLLOWS: TYPE OF OCCUPANCY ' FIELD - INFORMATION BUILDING USAGE: TENNANT: OCCUPIED tD�HAS ELECTRIC HA.S GAS HEATED -COOLED �1 PERSON CONTACTED OTHER COMMENTS: ACTI RECOMMENDED: ISSUE HOLD FOR OTHER :.<," 4,0 jo a r l t Ld► t.� l,� E�FfMg SANITATION FACILITIES BY /"I nc.., �� 1`f Z.— DATE L / 6 ._ t. ar 4; ��-'�, •rS y� ;•s. 'ra.,. * \ •.i krr +rHr•M1irary'r Ji •`"'v.: tt'r ,.'r;,y'j s ..•a�C";��. ? `.^ - 035.22"5-002 ": 9 134' B,P + PAT .TERSON;;SANDRA R ' 1957. S"ERS ST, OROVILLE, ti ' 'WATER HEATER, SH 4E' e. • iso �. - .. . - 1 •r 1 , 1 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMI NO. 7 County Center Drive , Oroville, Califofi9 �ia 95965 - Telephone: 916.'538-7541 � APPLICATION AND PERMIT II ASSESSOR PARCEL NUMBER 035-225--002 ZONING RN BUILDING PERMIT OWNER SANDRA, PATIMRSON TELEPHONE 533-7542 SO. FT. OCC. BUILDING VALUATION EST 500 OWNER'S MAILING ADDRESS 1957 SIMMS ST OROVILLE 95966 CONTRACTOtS NDYC E TELEPHONE CONTRAICTOR MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 15.00 LENDER'S MAILING ADDRESS Permit Fee $ 15.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee Energy Plan Checking Fee E$. $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 1957 SUMERS ST OROVIUF, Permit fee $ 30. 00 PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 7,00 USE OF STRUCTURE SF 99 Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home I S G W @ 15.00 TYPE OF WORK Newt; Addition 7 RemodelE utilities E:1 InstallationC Other Describe work: WATER ITUTER & SHEMOCK _ Permit Fee $ 22.00 Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 600V OR LESS 200A OR LESS 18.50 Main service 200A TO 1000AI 37.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. ( DWELLING OCCUP.tr) OR ADONS. 1 ACC. BLDGS. 3.64 sq.ft. NEW CONSTR. ULTI.OUTLET NON.RESID BRANCH CIRC ITS @ 5.00 POWER APPARATUS tr (SINGLE OUTLET CIR. ) Ex. Occup(OUTLETS OR FIXTURES 20 8 715e FIXED Ex. OCCUp. OUTLETS PLINIS R IRESID )EA.) I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor - WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. .S I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 15.00 Heating Cooling Hood 6.50 I Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in conseq ,e ce of the granting of this permit. C - �.. ; X i 1 Cf 'l. Date / ; Signature of Applicant Owner Contractor ❑ Agent F-1sions — iL� An OSHA permit is required for excavations over 5'0" deep and demolition or construct - ion of structures over 3 stories in height. Mobile Home Installation Fee S Energy Inspection Fee $ OCC CONST TYPE TOTAL FEES 52 OO • HAz I DFEES I IMP I FLOOD I CDF PARCEL I PO I HD ISSUE This permit is hereby issued under the of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC BY C,6 ;' { i? PERMIT EXPIRES Date applicable provi- resolutions to do have been paid. WORKS , Date ' Receipt No. 141308 WHITE-D.P.W.. YELLOW-ASSF330R. PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF P C WO KS PERMIT NO. 7 County Center Drive - Oroville, Cuiifornial95965 - Tel ephon-754123 ��� APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 035-225-002 ZONING RN Loe BUILDING PERMIT OWNER SANDRA PATTERSON TELEPHONE 533-7542 SQ. FT. OCC. BUILDING VALUATION EST 500 OWNER'S MAILING ADDRESS 1957 SUMMERS ST OROVILLE 95966 CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 15.00 LENDER'S MAILING ADDRESS Permit Fee $ 15.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING A195755SUMMERS ST OROVILLE Permit fee $ 30.00 PLUMBING PERMIT FilingFee 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 7.00 USE OF STRUCTURE SF 9X Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S I G I W TYPE OF WORK New ❑ Addition E Remodel ❑ Uti lities ❑ Installation ❑ Othern Describe work: WATER HEATER Rt SHEETROCK _ Permit Fee $ 22.00 Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 600V OR LESS 200A OR LESS 18.50 Main service 200A TO IOOOA) 37.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check One): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification I, as the owner, or my employees with wages as their Sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST./ DWELLING OCCUP.&\ OR ADDNS. ( ACC. BLDGS. I 3.64 sq.ft. NEW CONSTRMULTI-OUTLET NON-RESID BRANCH CIRC ITS @ 5 00 POWER APPARATUS & (SINGLE OUTLET CIR. ) Ex. Occup(OUTLETS OR FIXTURES 20 761E FIXED APPLNS, OR EX. Occup. OUTLETS (RESID.) EA.) I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ 1 have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. 129 I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT FilingFee 15.00 Heating Cooling Hood 6.50 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against 9d C my ' co a of the granting of this permit. c X �I . Date ��f f / Signature of Applicant — Owner Contractor ❑ Agent Elo An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Ener Inspection Fee $ 9Y P occ CONST TYPE TOTAL FEE $ 52.00 HAz I DFEES I IMP I FLOOD cDF I PARCEL I PD I HD ISSUE This permit is hereby issued under the sions of the Butte County Code and/or work indicated above for which fees DI CT R O PU IC By PERMIT EXPIRES Dae applicable provi- resolutions to do have been paid. WORKS Dat l Receipt No. 141308 WHITE-O.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTYOF BUTTE - DEPARTMENTOFDtOPMENTSE� -BUILDING DIVISION - 7 COUNTYCENTER DRIVE - OROVILLE, CALIFORNIA 95965 - PHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET OWNER/v_ A. P. Proposed Building Use/ 1,rJz& 1-717-k- -t-15,H C--t--Building Inspector Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: I DATE RECEIVED BY Y j.,,All items have been submitted . ........................ I ............... 2/ Plot plans, 3/4 sets, signed by preparer of plans . .......................... 3_ Complete plans, 3/4 sets, signed by preparer of plans . ...................... .4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. 5. Hazardous Material Form . .............................................. 6. Energy Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non -Heated and A/C Buildings . ...................... 8. Engineered truss details and layout in duplicate (required prior to plan check). ... . 9. Mobilehome data and manufacturer's installation instructions, 2 sets. ........... 10. Fees of $......................................... 11. Impact fees as shown on attached schedule. ............................. . 12. California Department of Forestry plan approval/fees. ....................... . 13. Flood elevation letter (100 year flood) by California Engineer . ................. . 14. Sanitation and plot plan approval Health Department . ........... . 15. City of Chico plumbing permit . ...................:.................... . 16. Plot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B) Parking: 18. Contact Land Development about (A) Improvements (B) Drainage. .......... . 19. Driveway permit (construction approval required prior to occupancy). .. . . ' Pn:anspedion request 20. Pre -inspection for required. . to Building Inspector (Date) 21. Contractor's license information. (No., Name Style, Classification) . .............. 22. Certificate of Workmans Compensation Insurance. ..... ! .................... 23. Owner -Builder Verification (Given to owner , Mail to owner _). .......... . 24. Recorded copy of Agricultural Acknowledgement Statement. .........\ ....... . 25. Letter of signature authorization . ....................................... . 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. ..... 27. Letter of intent on building use . ......................................... ,y f 28.:Mobilehome utility clearance. . 29. Documentation of legal access . ....................................... . 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... .. 31. Existing violations/expired permits . ....................... :.............. 32. Plan check list . .................................................... . 33. 34. When you issue the permit, process as follows: Mail to owner. Mail to contract r. Telephone and hold for pickup at office. eliver with inspector. Other Parcel Creation Acreage Applicant Date Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By 'The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by __Date Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works r COUNTY OF BUTTE Department -of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541 . OWNER -BUILDER VERIFICATION -.Attention Property_ Owner': An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at -your earliest opportunity to avoid 'unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the m�Aor 'labor and materials for construction of the proposed property improvement no) 2. I ave have not) signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. 4. 'I plan to provide portions -of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name _ Address City Phone_. .Contractors License No:` -' 5. I will.provide.some of the work but I have contracted (hired) the following persons. to . provide •the. work indicated: Name Address Phone Type of Work Signed Property Owner Social Security Number Date NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 -of the California Health. -and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. tv q J _ '- ! J .- )4 �' i1 + • ^. tiI :T `� rY .� �i ,i k� 4 � i�, 7y p �.. ], . tl 1 1t � 1' .. � • 2.0 Ar CM Q? O. ' • n �, ttq - ��: , � O 01 ,� '_ •\ to �� "':; ; 1�� •+,�.;''� 1•e ) ` .. ' "C �! �ti..n. ^ : � j ' H M to P, iN + r 11 Aj ; y �t C,,� , :�'%• - \' �.6t-.. to .i.C�L�j 1 •,�! .• 4,• ;. Vt! 4i tell. r .` .,, .�-. •�,._ 1"I,' �. •'�'t, ! :(�- ,'..a i'. ,'�, Lo - �' , t t 69, TO _ + is � ,. << r O O•, t'S c, - � ,.} r r� 4 -1 }• � • v t L� • lS1 Sp •y n ••• ' ,, ` n 1 i+T•"i, tea}' 1� i , W. 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