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035-480-020
S13Fi-3�A-A30 PERMIT#97-2231 IELATI, Pete & Donna Pacific Heights Rd., Oroville New Stg for F��u99 P rk 05-1401 SRS PROPERTY GROUP, 4559 PACIFIC HEIGHTS RD, OROVILLE Cont-. OWNER NEW ELEC SRV FOR WELL ETC OS -2895 S K S PROPERTY INVEST, 4559 PACIFIC HEIGHTS RD, OROVILLE Cont: OWNER NEW ELECTRIC SERVICE 03s- 496 OD -0 If ;.-o 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. BP051401 PERMITS BECOME NULL AND VOID 1 YEAR FROM THE DATE OF ISSUANCE OR IF WORK IS DONE IN VIOLATION OF ANY COUNTY OR STATE LAWS. LICENSED CONTRACTORS DECLARATION s I hereby affirm under penalty of perjury that I licensed under Issued Date: 05/27/2005 APN: 036-510-020-000 provisions of Chapter 9 (commencing with Section 700000 ) of Division 3 of the Business and Professions Code, and my license is in full force and effect. Site Address: 4559 PACIFIC HEIGHTS RD ORO License Class License Number: : Map Index: Date: Contractor: Description: NEW ELECTRIC SERVICE FOR WELL, OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the COMMERCIAL LIGHTS AND SIGN. Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior Owner: S & S PROPERTY INVESTMENT GROUP LP to its Issuance, also requires the applicant for .such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 commencing with Section 4801 FEATHER RIVER BLVD # 3 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 OROVILLE CA violation of Section 7031.5 by any applicant for a permit subjects the 95965-9606 applicant to a civil penalty of not more than five hundred dollars (8500).): (530) 518-8842 faX (530) 533-1666` Cf' I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and •the structure Is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, Applicant: STEVE SEIDENGLANTZ provided that such improvements are not intended or offered for 4801 FEATHER RIVER BLVD. # 3 sale. If however, the building or Improvements are sold within one OROVILLE CA 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 95966 sale.). (530) 518-8842 fax (530) 533-1666 ❑ I, as owner of the property, am exclusively contracting 'with licensed contractors. to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or Improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). Contractor: ❑ lam Exempt under Adicle Article3 of th Business and Professions Code Date: Ownef WORKER MPENSATION DECLARATION . I hereby affirm under penally of perjury one of the following declarations: ❑ I have and will maintain a certificate of consent to self -Insure for License #: workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as Architect: required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation Engineer: insurance carrier and policy number are: Carrier: Policy #: Total Square Ft: 0 S.F. certify that In the performance of the work for which this permit is Valuation: $0.00 issued, I shall not employ any person in any manner so as to Census Code: become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 37b0 of the Labor Code, I shall forthwith comply with those provisions. i Date: ^ �• J 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 h reby Issued inderOie 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 is issued (Sec 3097 Civ.) Resolutions t do work indicated ov or which fees have been paid. 7� performance permit By. Dat�ts2`� Name: _- PERMIT EXPIRES ON: Address: Dare ❑ 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 18827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and stale laws relating to building co acknowledge It Is unlawful to alter the substance of any official for ent of Butt ounty. I reb *!authorize represent ulte County enter upon bove mentioned property for Inspection purposes. Si nature: Print Name: 9 ur Dale: O Owner ❑ Contractor ❑ Agent for Owner 0 Agent for Contractor BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OFAPPLICA TION Website: www.buttecounty.net/dds **PLEASE PRINT CLEARLY** OWNER La�gi!pe Name irst Nqrrim- Address Q �� �� /-21 City ©� State (5�L Zip Phone � � � � r�y2 G Fax E-mail Book APPLICANT NAME CONTRACTOR Name City Address Zip City Fax State Zip Phone Book Fax E-mail Planner Lic. # Class APPLICANT NAME ARCHITECTIENGINEER Name City Address Zip City Fax State Zip Phone Book Fax E-mail Planner State License Number APPLICANT NAME Name Address City State Zip Phone Fax E-mail APPLICANT GNA X For office only: Zoning AP# ' Flood Zone Property AddressCity �f S' SRA I Yes I No Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc PERMIT NO. S 146 � BIN # Description or Scope of Work,• 6l Sq. Footage O Structure Built without Permits 13 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 Received by: t" Amount: � Bldg SRA Receipt #: %� 3 J7,53 Sheriff SMIP Other Date: r� Q —� — 2 ! 65 V 3 Total REV 2-24-05 .Z LOCATION AP# ' ��lC� �'� 20 Property AddressCity �f S' S' r Cross Street WORKER'S COMPENSATION Policy Number Carrier If hiri g 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,• 6l Sq. Footage O Structure Built without Permits 13 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 Received by: t" Amount: � Bldg SRA Receipt #: %� 3 J7,53 Sheriff SMIP Other Date: r� Q —� — 2 ! 65 V 3 Total REV 2-24-05 .Z _ (NORTH) PG&E POWER 12.5 KVA REVISIDRS POLE LORE REV1 DISC RIRIIOR NEW PRINT 5/051, "IMEDFIVI 200 AMP MAIN SERVICE 3" B CONDUIT 1 HP WATER WELL BLUE LINE IS WATER 1 EA 2" DB CONDUIT 1 EA 3/4 DB CONDUIT RED LINE IS POWER 1 EA 2" DB CONDUIT 1 EA 3/4 DB CONDUITFl 300 Feet . CRISTY BOX 14 RAI 3ED FLOWER BED 20 1 EA 2"DB CONDUI 1 EA 3/4 DB COND IT CRISTY BOX 036-510-020 IN RAISED FLOWER BED El CRISTY BOX I RAI E FLOWER BED 1 EA 2" DB CONDUIT 1 EA 2" DB CONDUIT 1 EA 3/4 DB CONDUIT 1 EA 3/4 DB CONDU CRISTY BOX IN RAISED FLOWER BED CRISTY BOX I �D FLOWER BED STEVEN SEIDENGLANZE F 300 eet - "SITE fSttl R0. DwD R0. RFV 101 1 SEAEE SREE( 1 OF 4 P, BUTTE COUNTY DEPARTMENT GFOEVELOPMENT-SERVICES BUILDING -PERMIT- - 24 HOUR INSPECTION M (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE#: (530) 5387541 PERMITS BECOME NULL AND VOID 1 YEAR FROMTHEDATE OF LICENSED CONTRACTORS DECLARATION I hereby affirm under penally of perjury that I am licensed under provisions of Chapter 9 (commencing vrtlh Section 7000) of Division 3 of the Business and Professions Code. -and my license Is in full force -and effect License Class : _ _ _ _— License Number. Dale: - • Contractor. OWNER -BUILDER DECLARATION -- I hereby affirm under penalty of perjury. that 1 am exempt from the Contractors' State License Law for the -following reason (Sec. 7031.5 Business and Professions Code: Any Glyor county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its Issuance; also requires. the applicant for .such permit to file a signed statement that he or.she.is-licensed. pursuant to the provisions of the Contractor's State license Law 4Chapter 9 commencing with.SecUon 7000) of Division 3 of the Business and Professions Code) or that he or she Is -exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any -applicant for _a permit subjects -the applicant to a civil penalty of not more than five hundred dollars ($500).): CT�1, as owner of the property, or my, employees with wages as their sole compensation, will do the work, and -the structure is not Intended or offered for sale {Sec. 7044, Businessand Professions- Code: rofessionsCode: The Contractors' State License Law does not apply to an owner of property who builds or Improves thereon, and who does such work himself or -herself or through iris or her own employees, provided that such Improvements are not intended or offered. for sale. If however, the building or Improvements are sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). O I, as owner of the property, am exclusively contracting with licensed contractors. to construct the project (Sea 7044,.Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or Improves thereon, and who contracts for such projects -with a contractor(s) licensed pursuant to the Contrgclors' State License Law.). O 1 am Exempt under Article 3.of!JBusiness and Professions Code Date: - I hereby affirm under -penally of perjury one of the following declarations Q I have and will maintain a certificate of consent to self -Insure for workers' compensation, as- provided for by Secllon 3700 of the Labor Code, for the performance of the work for -which this-permtl- is issued. 1, O 1 have and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code, for the-performance.of the work for which this permit Is issued. My workers' compensation insurance carder and -policy number are: Carrier. Policy #: ce-Mly that in the performance or the work for which this permit is issued. I shall not employ any person In any manner so as to become subject to the workers' compensation -laws of Catifond , 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. Dale: r _..---.. WARNG: Failure to secure wo NIrkers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars (5100,000). In addition to the cost of compensation, damages as provided for in Section 3706 of the,Labor code, interest, and attorney's fees. OR IF WORK IS PERMIT NO.. BP051401 )LINTY OR STATE LAWS. s Issued Date: .05/27/2005 APN: 036-510-020-000 Site Address: 4559 PACIFIC HEIGHTS RD ORO Map Index: Description: NEW ELECTRIC SERVICE FOR WELL, COMMERCIAL LIGHTS AND SIGN. -Owner: S&:S-PROPERTY INVESTMENT -GROUP LP 480-1:fEATHER-RIVER-BLVD # 3 OROVILLE CA 95965=9606 (530) 518-8842 fax (530) 533-1666 .Applicant:' STEVE SEIDENGLANTZ 4801 FEATHER RIVER BLVD. # 3 OROVILLE CA 95966 - (530) 518-8842 fax, -(530)- 533-1666 Contractor: License M Architect: Engineer: Total Square Ft: Valuation: Census Code: 0 S.F. $0.00 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 FAX#: (530)538-2140 WEBSITE: www.buttecounty.neAdds 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 the Business and Professions Code, and my license is in full force and effect. License Class : License Number: Date: Contractor: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): 1, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property'who builds or improves thereon, and who does such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License L� I ❑ I am Exempt under Article 3 of;t�%W i s and P ' s Code Date:w " J Owner: WORKERS'COMPEf4SATIOLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Policy 0 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 workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date: Applicant: WARNING: F ' e secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for,in Section 3706 of the Labor code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of the work for which this.pernit is issued (Sec 3097 Civ.) Address: 6Sa� Issued Date: 10/20/2005 APN: 036-510-020-000 Site Address: 4559 PACIFIC HEIGHTS RD ORO Map Index: Description: new elec service Owner: S&S PROPERTY INVESTMENT GROUP 4801 FEATHER RIVER BLVD. #3 OROVILLE, CA 95965 Applicant: S&S PROPERTY INVESTMENT GROUP Contractor: License #: Architect: Engineer: Total Square Ft: Valuation: Census Code: This permit ' hereby ist Resoluti s to do work I By: PERMIPIRES ON: 4801 FEATHER RIVER BLVD. #3 OROVILLE, CA 95965 0 S. F. $0.00 have been paid. '`� nim• /� ,��' ❑ 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 agent of the owner. 1 agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form o ument of Butte County. I hereby authorize representatives of Butte County to en on the above mentioned property for inspection purposes. Print Name: Signature Date PlOwner 0 Contractor ❑ Agent for Owner ❑ Agent for Contractor �OT j''e. BUTTE COUNTY /0 o DEPARTMENT OF DEVELOPMENT SERVICES o o BUILDING PERMIT APPLICATION o ° AND SUBMITTAL REQUIREMENTS o 0 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 �� o - = o OFFICE #: (530) 538-7541 �QU f4 A FEE WILL BE REQUIRED AT TIME OFAPPLICATION "PLEASE PRINT CLEARLY" For office use only: OWNER Last Name / n First Name Address Address Cit city ��� City v G� v/ ce_, Stat &,+ Zi p 4i(cj Phon��o -<-/ 4 L Fax E-mail Planner For office use only: CONTRACTOR Name Flood Zone Address Address City City v G� v/ ce_, State Zip Phone L Fax E-mail Planner Lic. # Class For office use only: ARCHITECT/ENGINEER Name Flood Zone Address Address City City v G� v/ ce_, State Zip Phone L Fax E-mail Planner State License Number For office use only: APPLICANT NAME Name Flood Zone Cross Street h/U" y Address `rL/t City v G� v/ ce_, State Zip P � Phone L Fax E-mail Planner Date Approved: For office use only: Zoning Property Address Flood Zone Cross Street h/U" y SRA Yes No Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS PERMIT NO. BPO.5-26-S-_ BIN # LOCATION AP# y 0_6^ 5-/G--D2v-Uoe Property Address City Cross Street h/U" y WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address Descripti or Scope of Work: Sq. Footage ❑ 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. KAFORMSWILDING FORMS\BldgApplSubRgmts.doc Page 1 of 2 Received by: C�/�, Amount: Receipt #: �� 7j Sheriff k-1\4 SMIP C Other Date' Total REV 6-16-04 SUBMITTAL REQUIREMENTS The following drawings and specifications must be submitted to the Building Division in order to apply fora permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK. Residential, New, Remodels, Additions, and Accessory Structures: ❑ 1. 3 Site Plans, signed by the preparer. NO GRAPHPAPER! ❑ .2. 3 Complete sets of plans, signed by the preparer. NO GRAPHPAPER! OR 3 Sets Engineered plans (if required) with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 3. 2 Engineered truss details and layouts (if required) (NO FAXES!). ❑ 4. Letter from Engineer or Architect for truss design review. ❑ 5. 2 Energy compliance design and supporting documentation. (Note: Not required for additions to mobile or modular homes.) ❑ 6. 2 Flood Elevation Certificate, wet -stamped and signed (if required). ❑ 7. Detached Accessory Building Form, filled out by the property owner (if required). 0 8. Sanitation and site plan approval from the Environmental Health Department. ❑ 9. Metal Buildings: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate, (D) Floor plans in triplicate, All of these must be stamped and wet -signed by the engineer. Mobile, Manufactured, or Modular Homes: ❑ 1. 3 Site. Plans, signed by the preparer. NO GRAPH PAPER! ❑ 2. 2 Data sheets and installation instruction manual. ❑ -3. 2 Marriage line information. ❑ 4. 2 Floor plans. ❑ 5. 2 Engineered Tie Downs or Foundation plans. ❑ 6. Sanitation and site plan approval from the Environmental Health Department. ❑ 7. 2 Flood Elevation Certificate, wet -stamped and signed (if required). Commercial, New, Additions and Remodels: ❑ 1. 4 Site Plans, signed by the preparer. NO GRAPH PAPER! ❑ 2. 4 Engineered plans with wet signature on plans AND 2 sets of stamped and signed calculations, with code analysis. ❑ 3. 2 Engineered truss details and layouts (if required) (NO FAXES!). ❑ 4. Letter from Engineer or Architect for truss design review. ❑ 5. 2 Energy compliance design and supporting documentation (if required). ❑ 6. 2 Flood Elevation Certificate, wet -stamped and signed (if required). ❑ 7. Statement of Intent for Non -heated and A/C (if required). ❑ 8. Metal Buildings: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate, (D) Floor plans in triplicate, All of these must be stamped and wet-si n� ed by the engineer. ❑ 9. Letter of intent. ❑ 10. Hazardous Material Form. ❑ 11. Sanitation and site plan approval from the Environmental Health Department. If you have questions or would like additional information regarding this process, contact a Permit Application Assistant at (530) 538-7541. OVER FOR BUILDING PERMIT APPLICATION KAFORMS\BUILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2 REV 6-16-04 COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 MIT NO. (Rev. 12/96) APPLICATION AND PERMIT Q% —0e I ASSESSOR PARCEL NUMBER 03_6-510-020 ZONING M1 BUILDING PERMIT OWNER PETE &DONNA IELATI TELEPHONE SO, FT. OCC. - BUILDING VALUATION 1800 @22 39,600.00 OWNERS MAILING ADDRESS 4531 PACIFIC HEIGHTS RD OROIVILLE,95965 CONTRACTOR'S NAME UNKNOZ�JN TELEPHONE ' CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER MICHAEL MOONEY ' Fireplace LENDER'S MAILING ADDRESS ' Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. 020647 Filen Fee $ 20.00 Permit Fee $ 349.50 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 227.15 BUILDING ADDRESS PACIFIC HEIGHTS RD Energy Plan Checking Fee $ OROVIL•LE, 95965 $ PERMIT FEE $ 596.65 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SWWE Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New X3 Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: _ (FOR FTTN PARK ON AT).TAf'.RNT PROPER Y) Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 600V OR LES9 Main Service zoonORLES s 23.00 Q , LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.POWER License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. _ Business and Professions Code for this reason Main Service zooA To ,000A 46.00 NEW CONST. OW ELUNG UP. OR ADDNS. ( 6 ACC. BLD S. SO 3.5¢FT. NON RES SID. MU EW CTI-OCUTLETITS @7,50 APPARATUS 8 SINGLE OUTLET CIR. Ex. Occup. OUTLET OR FIXTURES 20 @' 00 BAL @ .50 Ex. Occup. ouirs RESDOEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE S WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars (; 100) or less.) ❑ 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 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 forthwitk comply with thosevlsl s. 11-7 X ✓_ Date �� Signa a of Applicant Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. PE TOT A FEE $ 596.65 HAZ. D. FEES IMP FLOG A COf C PD D ISSUE This permit is hereby issued under the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. Date Date �eiptNo. 247.15 0 — 224870 c-D.D.S.-B.D. CANA .ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF-DEVELOPM ENT SERVICES - BUILDING DIVISION J6r 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 MIT NO. (Rev,12/96),., APPLICATION AND PERMIT Q7 - cc4 ASSESSOR PARCEL NUMBER f.03 501 020 ' ZONING M1 BUILDING PERMIT OWNER ,.� P & DONI.QA IELATI .TELEPHONE SO: •Fr. OCC. BUILDING VALUATION 1800 C22 �. 39,600.00 OWNERS MAILING ADDRESS 4 1 PACIFIC HEIGHTS RD OROI�11U.E,95965 CONTRACTOR'S NAME UNMOWN TELEPHONE, ' CONTRACTOR'S MAILING ADDRESS Y, 1 CONSTRUCTION LEND AGHAEL MONEY LENDER'S MAILING ADDRESS A' , ' 1\ r Fireplace Total Valuation $ ARCHITECT OR ENGINEER,Ei" LICENSE NO. 020647 Filing Fee $ 20.00 Permit Fee $ 349.50 ARCHITECT OR ENGINEERS MAILING ADDRESS �. Plan Checking Fee $ 227.15 .BUILDING ADDRESS - •.� PACIFIC ~HEIGHTS RD Ener Plan Checking Fee Energy s $ . OROVILLE, 95965 $ PERMIT FEE $ 596.65 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 2Q.00 A' USE:OFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other1,mnrn�F sPECIFv� Each Trap ,. 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New b] 'Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ I Describe Work: 1 PARK ON ADJACENT PROPFRTY� _ Gas piping system 1 - 5 outlets, 15.00 Building sewer 1,5.001 Mobile Home S W G ' @20.00 PERMIT FEE . $ ELECTRICAL PERMIT Filing Fee 20.00 Main Service z.OvORLEss. 23.00 - r LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class /r LIC. No. 1 OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: )81 I, as owner of the property, or my employees with wages as their sole compensation, ' will do the work, and,the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the projects `.. ❑ 1 am exempt under Sec. °4 Business and Professions Code for this reason �- Main Service 200A TO I000A 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. ( 8 ACC. BLDS. s0 /r 3.50FT_N NON-RESIDT• AptCl OUTLET CONS', IT @7.50 POWER APPARATUs 6 SINGLE OUTLET CIR. Ex. Occup. OUTLET OR FIXTURES 20 @' 00 BAL @ .50 Ex. Occup. ouiLEEDrs(RES D.I EA 5.00 Temporary Service ' 23.00 Nobile Home Facilities r 20.00 Misc. Wiring 23.00 PERMIT FEE _ /20.00 WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be''completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwi comply with those provisi ins. �C'!(�- `+� X _,�__ Date (J �- Signa a of Applicant - C1' Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Filing Fee Heating ; Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ DCCCONST. PE TOTAL FEE $ 596.65 ACDF HA I D. FEES IMP FLOG A PARC 6 PD =HD ISSUE _ This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. Date Date Receipt No. 247.15H* — 224870 WHITE-D.D.S.-B.D. CANAR -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT ®` A .--...o,.-,.-�.'n--.i.p...-�e�.')F-..r r.,.� ...-..-.•.. .0 ,;�..�,.d,.n.,,�+T-r.wR• .a...•x-:ti.,-"n.� �.w'f!t!N." ..,- _ . ___T. `"'f COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541_ �PERMNO. (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER WfV-51,�i-020 J Z°"I"° Ni BUILDING PERMIT OWNER F & DOM IELATI TELEPHONE SO. Fr. OCC.. BUILDING VALUATION OWNER'S MAILING ADDRESS 4 1 PACIFIC HEIGHTS RD OROIVILIE,95965 1600 C22 39,600.00 CONTRACTOR'S NAME uNxrrowx - TELEPHONE CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LENDER MICHAEL MCo� LENDER'S MAILING ADDRESS ' i Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. 020647 FilingFee $ 20.00 Permit Fee $ 349.50 ARCHITECT OR ENGINEERS MAILING ADDRESS >' Plan Checking Fee $ 227.15 ,BUILDING ADDRESS '_ PACIFIC HEIGHTS RD Energy Plan Checking Fee $ '- ' OROVIiM, 95965 $ PERMIT FEE $ 596.65 ._ LOTNO. r SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 r USE OF STRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other sPEECIFw -' Each Trap 7.00 Solar or heat.pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New t❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: _ (FOR FTIN PARK ON ANTACENT PROPERTY) ` Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home IS I GI W Ca20.00 - PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 Main Service ( zoonoA�SS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.PSINGLE License Class it LIC. NO. OWNER -BUILDER DECLARATION I hereby affirm under penalty of pe,jury that I am exempt from the Contractors License Law for the following reason: I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, sm exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. _ Business and Professions Code for this reason Main Service T° 46. 00 WEE200A CCU000A NEW CONST. DWELLING OCCUP. OR ADDNS. ( & ACC. BLDS. so SO 3.5¢FT. NEW CONST. NON -RES D. AULTI.OU CET @7,50 OUOWER APPARATUS 8 'T ETCIR. Ex. Occu OUTLET OR FIXTURES 20 Q 1.00 BAL @ .50 Ex. Occup. OUTLEEDTs RES D.OEA 5.00 Temporary Service 23.00 Mobile Home Facilities i 20.00 Misc. Wiring 23.00 PERMIT FEE S WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not belcompleted if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthw'th comply with those provisions. % ✓ X / / !. /� C/ 1/7 t _ Date -�� ./ Signa ure of Applicant - IY Owner ❑ Contractor ❑ Agent ` An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. PE 596.65 TOTAL FEE $ HA D. FEES IMP ✓� FLOOD" 1/t�1 cOF PARCEL ✓EL pp HDL _ This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated indicated above for which fees have been paid. By Date PERMIT EXPIRES ON Dere Receipt No. x4 .15 224870 WHITE-D.D.S.-B.D. CANA ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT N'.q COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - rbroville, California 95965 - Telephone (916) 538-7541,PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT Q7 - ";96 ASSESSOR PARCELNUMBER , x 036;6�20 ZONING H1 BUILDINGPERMIT OWNER F DOR14A I ATI TELEPHONE SO. FT. OCC. BUILDING VALUATION 1w @22 39►(M.00 OWNERS MAILING ADDRESS 44KI PACIFIC HEIGM RD OR01VtLI.E,95%5 CONTRACTOR'S NAME UNKPIMTELEPHONE 1 ' CONTRACTORS MAILING ADDRESS 1 CONSTRUCTION LENDER ` 1 � ,MIt�AF�: Mcox�r [Fireplace LENDER'S MAILING ADDRESS, Total Valuation $ ARCHITECT OR ENGINEER ?- " LICENSE NO. 020"7 Filing Fee $ 20.00 Permit Fee $ 349.50 ARCHITECT OR ENGINEERS MAILING ADDRESS it, 1 Plan Checking Fee $ 227.15 ' ILDING ADDRESS PACIFIC IMIGHM RD Energy Plan Checking Fee $ y OROFME, 95965 PERMIT FEE S + LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ OtherM�At!t� C' SPECIFY � Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New 0 'Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: FOR FUN PARK ON AUTAGWr PROP ti Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home, Is I GI W @20.00 _ PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 - Main Service z0. Less 23.00 �- LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class 1 LIC. NO. OWNER -BUILDER DECLARATION w I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the stricture is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. _ e Business and Professions Code for this reason Main Service ( 200A TO 1000A 46.00 NEW CONST, DWELLING OCCUP. OR ADDNS. ( a ACC. BLOB. SO 3.5¢x; 5. NON-RONDT MULTI -OUTLET RUnS @7.50 POWER APPARATUS 8 SINGLE OUTLET CIR. Ex. Occup. OUTLET oRFaruREs �" 00 BAS@ .50 Ex. Occu .ourEiJED7s g.,6.oeA. 5.00 Temporary Service 23.00 ; Mobile Home Facilities 20.00 Misc. Wirina 23.00 PERMIT FEE $ WORKERS' C43MPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMITTEE $ Policy Number (The above sections need riot be!completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of Cali-lornia, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X_� !'l_l - _ Date � I'"/�iy _ Signa tt re of Appllca Ovmer ❑ Contractor ❑ Agent r An OSHA permit is required for e:tcavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ Occ C' CONST. PE 596,650 h TOTAL FEE $ HA D. FEES IMP ,% FLOG r V� CDF ,- PARCEL, ✓' PD ✓ MD 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. By Date PERMIT EXPIRES ON Date Receipt No. 441' '7 L,44C1J'U WHITE-D.D.S.-B. D. CANAR7ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT •Yn_rt �tA9i��t�V'�,v/�,�%rC/.(�,(++^�_w—'�'�C��(h'/tn'�.M,. _.pN�y"^. �r��"h�,�".l'.�-,.r+dei„"'.f.._h'�"Rh+ri'.,�`"..t,f`.rw�-,1'y.i�t..:s.�,�r�t: ti��w-v1w"r11+�..; S CO(NTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 811 vj 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916) 538-7541 .. PERMIT APPLICATION DATA SHEET OWNER: ASSESSOR PARCEL NUMBER: - Proposed Building Use: Building Inspector: Date: � 3 At time of permit application, I was f dvised a following data must be submitted prior to permit processing and/or issuance: Date Received By ❑ 1. All items have been submitted -------------------------------------------------------------------------------------- E12. Plot pl'ans, 3/4 sets, signed by the preparer of plans. ------------------------------------------------------------ ❑ 3. Complete plans, 3/4 sets, signed by the preparer of plans. ----------------------------------------------------- 114. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans. -------- ❑ 5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! ------------------ 6. Energy Design Compliance and supporting documentation. ---------------------------------------------------- tatement of Intent for Non -Heated and A/C Buildings. ----------------------------- ---------------------- Hazardous Material Form. t;71Ct,,_---4-1429,=------- ------------------------------ ❑9. Manufictured Home data and installation instructions including Tie Down Specifications.------------------ Vf0. Fees of $ 3 Q 9 - --------------------------------------------------------------------------------- j fel 1. Impact fees as shown on the attached schedule.----------------------------------------------------------------- ❑ 12. California Department of Forestry plan approval/fees. ------------------------- fX713 . Flood elevation certificate. ------------------- ------------------------------------ ttJ l4. Sanitation and plot plan approval OP v', C Health Department. ----------- Ell 5. --- ----- ❑15. City of Chico plumbing permit. ----------------------------------------------------------------------------------- Plot plan and business license approval from the Ci o iggs.------------------ ---- -------------------- qq - 7. Planning approval for (A) Use: DK SLj !o� P king: 44y So `�7--------------- 8. Contact Land Development about Improvements, tWbrainage, "gal Parcel. ---------------------- El -------------------❑ 19. Encroachment Permit for driveway (construction approval prior to occupancy). ---------------------------- 1120. Pre -inspection for required. Request to Building Inspector on ❑21. Contractor's license information. (Number, Name Style, Classification). ------------------------------------ El 22. Workers' Compensation carrier and policy number. -----------------=----------------------------------------- ❑23. Owner -Builder Verification (Given to owner ❑, Mailed to owner 0) - -------------------------------------- ❑24. Letter of signature authorization. ----------------- --------------------------------------------------------------- 025. ------------------------------------------------------------------------------ ❑25. Recorded copy of Agricultural Acknowledgment Statement. -------------------------------------------------- 026. Letter of intent on building use. ------------------------------------------------------------------------------------ ❑27. Manufactured Home utility clearance- ---------------------------------------------------------------------------- ❑28. Existing violations and/or expired permits. -------------------- --------------------------------------------------- 029. --------------------------------------------------------------------- ❑29. 0433 A, ❑Grant Deed, ❑ M.H. Title, ❑ Check to H.C.D $` .--------------- O.Other: When you issue the ermit, cess as follows ❑ Mail to owner, ❑Mail to c actor. (Date) .AT Jb,5 (0 V and hold for pickup at � t/'Wollutione-_�Dde: ❑ Deliver with inspector. e " Applicant:Date: l 49 `-S Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, ❑ Ai_ By: Copy of plans sent ❑ Health Department, ❑ Fire Departgnegt, ❑ Other: D Index permit application for the above items 2. Additional items required: I %'_� \,_:� L� ❑ Plan Check List Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was gdvised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Plans reviewed by: Date: Plans approved by: Date:-. Sets of plans on hold in ❑ Plan Cabinet, ❑ A.P. folder. Note transfer by: Date: Yellow Copy - Department of Development Services; Building Division. .,«-�•,�„' ..�µ'!erL ,r, "+`M.>-ie�� .,.,.-i"X�^.}`id`.+*y," .a�r��.nT.w�� "".v^'iY `-.'+-.-. .. --• •-�. .._ - _____ ... _.- .-- ..-._ COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES BUILDING DIVISION ?' 7 COUNTY CENTER DRIVE, OROVILLE CA 95965 TELEPHONE (916) 538-7541 4 SCHEDULE OF FEES DUE OWNERCJ0!?/iO p li3�T A.P. # PROPOSED BUILDING USE ,�: ld �I DATE 0 hg y� REC # DATE n 011 .BUILDING PERMIT FEES -- Balance Due ................. $ .sA� -- Additional Fees Due ........... $ -- Additional Fees Due ........... $ /'-- Revised Plan Checking Fee ....... $ V 2. SCHOOL 1DISTRICT FEES (paid at. District Office) V 3. SHERIFF FEES (paid at Building Division) Residential .....:.. x $360.00 = $ Units —Commercial (sq.ft.)... ISM x $0.03 = $ Sq.Ft. 4. URBAN AREA FEES (paid at Building Division) Residential (per unit) . x = $ #Units Amt. Commercial (sq. ft.) .. x =$ Sq. Ft. Amt. 5. RECREATION DISTRICT FEES (paid at District Office) 6. THERMALITO DRAINAGE DISTRICT FEES $425.00 (paid at Building Division) 7. SRA FIRE INSPECTION AND PLAN CHECK $89.00 (paid at Building Division) 8. WATER TENDER FEES (Battalion # ) $200.00 (paid at Building Division) 9. CSA 87 TRAFFIC FEE $2500.00 (paid at Building Division) 10. OTHER At time of permit application, I was advised the above fees are required to be paid prior to issuance of the building permit. These fees may be changed during the plan checking process. APPLICANT DATE Original -Owner Copy -Building Div. (Rev. 12/96) I OWNER -BUILDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid -unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I •personally plan- to provide the major labor and materials for, construction of the proposed property improvement : YES. NO El _ —� 2. I HAVE At HAVE NOT 0 signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide'the proposed construction: NAME: ADDRESS: PHONE: CITY: CONTRACTOR'S LICENSE NO. 4. I plan to provide portions of this work, but I have hired the- following person to coordinate, supervise, and provide the major work: NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S 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: PROPERTYOWNER: SOCIAL SECURITY NUMBER: DATE: ,��5 j� z NOTE. This Owner -Builder Verification is required by Section 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. OVER f i _ OWNER BUILDER INFORMATION I Dear Property Owner: An application for a building permit has been submitted inyour name listing yourself as the builder of property improvements specified. For your protection, you should be aware that as "owner -builder" you are the responsible parry of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following ' ria�our benefit and protection: ♦ If you 'mploy or otherwise engage any persons d mm er than your immediate family, and the work (including materials and of er costs) is $300 or more for the enti a project, and such persons are not licensed as contractors or subcontrIskors. then you may be an employer. ♦ If you are an oyer, you must registe ith the State and Federal Governments as an employer and you are subject to several o rg -including state and federal income tax withholding, federal social security taxes, workers compensation insurance, disability insurance costs, and unemployment compensation contributions. ♦ There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. ♦ For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "owner builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contrac!prs may be obtained by contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento, CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. i rely, Mic el C. Vi ira, C.B.O. M ger, Building Inspection NOTE. This Owner-Builder.Information is required by Section 19830 of the California Health and Safety Code- OVER ode OVER COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT AssESSORPARCELNUMBER [):��^ S j'/a 0� 20N 1(• BUILDING PERMIT ^•Jy� t TELEPHONE OWNER ,J oh ala 1�— C c�l C' � lL SO, FT. OCC. BUILDING VALUATION OWNERS MAILING ORES r a�✓OV 9 ( 0O o� al Q M_ COS NAME .^ - VI AAJ TE SONE CONTRACTORS MAJUNG ADDRESS CONST ON DER Ia c�nF NOER'S MAILING ADDRESS Fireplace Total Valuation $ CT OR ENGINEER U ENSE NO. Filing Fee $ 20.00 ARCHMECT OR ENGINEERS MAJUNG ADDRESS Permit Fee $ J0^. 5-0 Plan CheckingFee $ d - S BUILDINGADDRESS - PhCi,PC_ e Energy Plan Checking Fee S ®rd L. a $ PERMIT FEE $ S 6, LOT No. _ SU80Ns10NS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 ~ USEOFSTRUCTURE ' SF ❑ Duplex ❑ Mobilehome ❑ Other Sig sPEco-Y Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping15.00 TYPE OF WORK New* Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ r I Describe Work: C � Ir /--, h P', lS ©rt Ar(, C C ►, t /v �0 t^� V Each as water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S G I W §20.00 PERMIT FEE t ELECTRICAL PERMIT Fling Feel 20.00 Main Service 2 -ow on L.ss 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that 1 am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. _ Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers'—Cooling compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed it the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 4 -certify that -in the -performance -of -the -work- for which this permit is issued, I shall not' employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X _ _ Date Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in h ' ht. Main Service 200A TO t000A 46.00 NEW CONST. Maim Opp, sG OR ADDNS. ( a ACC. mos. 3.5CFT. ppµp ,p ' 'A OUTLET WEN C. @7.50 �,��T a SO= oUREr art Ex. Occup. OUTLET ORFUTWES aAALLa .50 PPR Ex. Occup. G,m �sA esio°EEA 5.00 Temporary Service 1 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE i MECHANICAL PERMIT Fling Fee 20.00 Heating Hood 6.50 Ventilation PERMIT FEk $ Mobile Home Installation Fee $ Ener y Inspection Fee b occ NST TrvE TOTAL FEE $ SAwork NAZ. D _ES IMP D COF PAACEL P This permit is hereby issued under the applicable of the Butte County Code and/or Resolutions indicated above for which fees have been By Date PERMIT EXPIRES ON to paid. ReceiptNo. 02 WHITE-D.D.S.-B.D. CANARt.fSSESSOR PINK -INSPECTOR GOLOENROO-APPLICANT(Date) COUNTY OF, BUTTE DEPARTMENT OF DEVELOPMENT SERVICES BUILDING DIVISION NOTICE IJ Post this job card In a safe conspicuous place. Do not remove until all required inspections are made and building is approved for occupancy. Plans must be available on the job site. n' 036=510-020 PERMIT#97-22317., O IELATI, Pete & Donna Pacific Heights Rd., Oroviii'e" New Stg~for-Fun-Park.---=-�..----.--I PERMITTEE MUST CALL FOR INSPECTIONS Footings It Piers Ir Underground Conduit ]{ Pre-Gunite {� ::>::<::<:: Do 01 Pour<Concrete>Until:Above..Si ned:>:»>:» :> >::>:> : ........ ......................::N......:.--._.::.......:..:. :._:..::....:..:.:.:...:.A .......................... .................................................................................................................................. Underfloor Plumbing )( Underfloor Electrical s( Underfloor Mechanical f r Underfloor Framing �( t Slab rJ 1E Do: Not Install Floor;or SIab;Uniil Above Stgned >? Rough Plumbing 11 Rough Electrical, !� Rough Mechanical {E Framing Shower Pan !� o Do`Not lnsul.etUntiLAbove.Si,gned Insulation Do of over Until-_ ove igne Fireplace Footing jl Fireplace Throat it Do, Not l:ontmue Fireplace :Until Above Signed - -. Stucco Lath it Scratch and Brown If Do. Not Cover Until:Atiove.Si ned <<: , 9 Sewer Service f Water Service Pool Final Plumbing Final Electrical Final )i Mechanical Final ii, Building or M.H. Finalif DO NOT OCCUPY UNTIL ALL THE ABOVE IS SIGNED AND THE BUILDING OR MOBILE HOME IS APPROVED FOR OCCUPANCY Addresses.... Information:... 24:Hr Oroville 7 Countx Center Dr. 538-7541 538-7636 Chico 46 u o t = . 891-2751 891-2834 Revised 7194 036-510-020 IELATI, Pete & D PERMIT#97-2231 Pacific Hei Donn New Stg forFun Pas Rd', OrOville l \I W- fir:. NI TED STATES POSTAL SERVICE TM IM.. PORTANT Because we know your time and money are valuable,, we suggest you call your local Post � Office before you install a mailbox. Ask to speak to the Carrier Supervisor, who will tell you the proper location for. your box and explain current requirements for mail box installation. The location and other requirements must be approved by the Carrie I� Supervisor, beforeyour carrier will.begin you for your cooperation B E A U T Y BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965-3397 TELEPHONE: (916) 538-7541 FAX: (916) 538-2140 Dear Property Owner: We have issued a permit to construct a new building, an addition, or to do remodeling on your property. This letter is inform—you--we have approved the building plans submitted for conformance with code requirements. We will only inspect the construction for conformance with code requirements. It is your responsibility to see that the building conforms to your plans and expectations. Should you have any questions concerning this letter or any other matter pertaining to the construction,, please do not hesitate to contact this office., Yours very truly, Michael C. Vieira, C.B.O. MCV:ahb Manager, Building Inspection RE: Attached Building Permit Dear Permittee: utte 100 L A N D O F N A T U R A L W E A L T H A N D BEAUTY BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965-3397 TELEPHONE: 1916) 538.7541 FAX: (916) 538-2140 Attached is your building permit along with the approved set of plans and a job card. Please post the job card on the job site in a conspicuous location for the inspector to sign during the various phases of construction, and also have the approved set of plans on the site at all times. Inspections will not be made if the job card and approved plans are not on the job at the time of inspection. Please review the approved set of plans before construction and make note of any corrections made in red. If any of these notes or corrections are not clear to you, please contact this office - do not proceed with the work without making the correction. The job card must be signed by the inspector before proceeding with each item listed. Should he not sign the card, a white correction notice will list the corrections to be made and a call back inspection must be made before going any further. Please allow 24 hours for inspection service. As a reminder to you, it is illegal to occupy this building or portion of building for which this permit is issued without approval from this office. On certain occasions a temporary occupancy will be permitted. Please do not confuse gas or electrical service to the building as an occupancy clearance. Before occupancy, all of the "final items" listed on the job card must be signed by the inspector or special permission given. Your permit expires one year from date of issuance. If the work has started, but is not completed and finaled by the expiration date, a renewal permit is required. If the renewal application has not been made within 30 days of the original permit expiration date, or if the work has not commenced, a new permit application and fees will be required. IIpon completion of the work covered by this permit, please contact this office for final inspection. Should you have any questions concerning this pertaining to building construction, please this office. Micliael C. Vieira, C.B.O. Manager, Building Inspection MCV:ahb Attachments letter do not or any other matter hesitate to contact I it COMMERCIAL MASONRY WALLS N E S W 1st Lift 2nd Lift 3rd Lift 4th Lift 5th Lift 1. 6th Lift FIRE WALLS Occupancy, Area, Property) Gypsum Board 1st Layer 2nd Layer Walls Ceilings i 036-510-020 PERMIT#97-2231 IELATI, Pete & Donna Pacific Heights Rd., Oroville I I New Stg for Fun Park V=OK O=Not OK = Not Applicable = Not Ready COMMERCIAL Date UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope -Soil Report 2. Ftg., Main; Soils-Ufer Ground.-Ftg. Depth 3. Hold Downs -Bolts -Straps -Embedment -Hair Pins 4. Concrete -PSI -Cert -SP. insp.-Loc. 5. Stemwalis, Main; Steel -BIockouts-Wrapped 6. Reinf. Steel -Grade -Placement 7. Slab; Steel -Wrapped -Wire Mesh 8. Piers -Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. Gas Pipe; Size -Anchors 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground, Underslab 13. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Masonry -Rebar -Lifts Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s 16. Water Htr.; Vent -Access -Combustion Air -Baffle 17. Water Pipe; Test & Anchor -Nail Protection 18. D.W.V.; Test -Fittings & Anchor -Nail Protection 19. Sinks -Floor -Grease Trap 20. Handicap-W/C-Backing 21. Gas Pipe; Size & Anchors - Firewall Penetrations Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 22. Fixture & Transformer Clearance -Ins. Protection 23. Single Phase -Three Phase -Equip. Bond 24. Size Boxes & No. of Conductors -Stapled 25. Romex Installed Close to Edge of Studs & C.J. 26. Equip. Ground made up w/Mech. Fastners-Bond Gas & Water 27. Wiring -90° -Protected -Color Coded 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 29. Fire Resistive-Fixture-Conduit-G.F.I.-Susp. Ceiling 30. Service -Riser Conductors & Ground -Main Disconnect 31. Equip. Clearances Panels-Motors-Mech. Equip. 32. Fire Wall Penetrations Date Card B-1 Date Card B-1 Date Card B-1 •Date Card B-1 Date MECHANICAL (Permit) OK except #'s 33. A.C. Ducts Insulation & Support 34. Vent Fan; Exhaust above insulation 35. Condensate Drain & Overflow; Size & Grade 36. Furnance-Vent; Access -Comb. Air -Return Air Vent -115 outlet 37. Attic Access & Platform if Furnance in Attic 38. FI.V.A.C.-Ventilation-Roof Access 39. Smoke & Fire Dampers Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except #'s 40. Sils, Proper Material & Anchors -Hold Downs 41. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound 42. Bearing Walls over Girders & Floor Nailing 43. Draft Stop in Walls (rat proof) 44. Fire Stops; Furred Ceilings -Stairs -Chases 45. Headers & Beam -Size & Bearing -Support Fix. Date : FRAMING (Continued) 46. Hangers -Post Caps -Anchors -Connectors 47. Roof Shthing-Nailing-Diap.Chord Splice 48. Firewall-Doors-Area-Occp.-Prop. 49. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 50. Glu -Lam cert. -Placement -Support 51. Steel Buildings-Purlin-Girders 52. Property Line Firewall & Openings 53. Ext. Doors -Handicap Access 54. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 55. plywood on Roof Overhang -Attic Vents -Rafter Outriggers 56. Siding -Nailing Veneer 57. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 58. Glazing Area -Glass Protection -Skylights -Plastic -Fire Port. 59. Shear Walls -Plywood-Nailing-Conn to Roof 60. Insulation -Walls -Ceilings 61. Infiltration -Walls -Windows 62. Corridors -Openings -Fire Protection -Framing Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 63. Ext. Steps -Door & Sidelight Protection -Landings 64. Exits -Size -Number -Placement 65. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 66. Sprinklers -Placement -Test 67. Suspended Ceiling-Seismic-Wires-Elec-Light & Mech. 68. Elec. Trim & Subpanel; Breaker Sizes & Labels 69. Stairs & Rails 70. Handicap -Door Levers -Fin. Floor 71. Elec. Outlets at Wood Panel; Int. & Ext. 72. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V. Above Floor-Mech. Protection 73. Plb., Elec. & Mech. Equip. Listed for Location 74. Insulation -Foam -Looked in Attic O Yes 75. Guard Rails & Deck Construction -Post Caps 76. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 77. Stucco; Brown -Finish 78. A.C. Unit; Disconnect, Electrical, Plumbing 79. Vents Above Roof; Plbg.-Appliance-Fireplace.-Clearance to Openings 80. Water Well; Disconnect, Electrical, Plumbing 81. Exterior Elec. Trim; G.F.I. Receptacle -Underground 82. Off Site -Parking -Handicap 83. Glass Protection 84. Corrections from Previous Inspections 85. Gas Test -Meters Tagged; Gas -Electric 86. Water & Sewer Connected -C/O to Grade -HD Approval 87. Energy Compliance Certificate -Other Certificates 88. Roofing Certificate -Fire Rating Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: Certificate of Occuoancv (NOTE: An entry must be made each time you visit the job site) i I i 1 __77 f- I 1 I fl 71, _T, �—�— ;---�—=i t _ -` ;--- ,^off-- : ; - — —�—=-• -- — — -- - � — — , — -�N- — ,—. - -�-- —�--�—� -�= -!- - ►FESS .�_-(: _� -- -i- , - � - �- ---;- � .— �1. �..°�L�• •"IF=�_•-' --�.�.:_-.�---•_f—_.t-^^r1-1. --N-'.,-tom 1_•� ... .'.r�t--.;•.rn7 a.•r-rr=,.,. �.-n�..,...�,--,t^- - r. -r� -_.-�*.�rr-i�,-�...._.., illmimm MM ®■iii a EM ON ME ■■■■�ME ■■o®■■■■ WQV ao■ ■m ME i■C i■ v i C is ■ilFri■ ■ ( ■i C • ■■®i _ i■ ■■■i +s C ■ ■ ■ ■C■ 0 MEMEN LW ■ s ,o 7 f 33N , -� d n"I C O OZ N. X Z 0) O c7o r i C ®® CCCC®C ® ®® CCCCCC ® CC C® ■ , . ®C C C CCCC CCCC �. `, . CCCCCCCC .. CCS_._ ! ® I��',i �- C . �'� ® • ' SCC ® ® C C ®C®® ®CC NONE .. CCC C ►� . �, _C C ® ®�C C® CC a �C • s .9 ® �-`• ;.1 t I v Y rr i ■■■ENS ■ ■■�i�l■ ■ ��7�®!■■ � ■■ ■■ ■ ■ NOON BM ■■ -' - . INN ■■ � - /` � 1 n � ■�■� \ : �■�■■il■■■■■ �. , a�:_ ■■■ NOON ■■NN � - , v � '�■ ■ ■ ■ ■ CO■■■ ®■■ ■®NOON■ I NOON No mi ■ 14'8D NAILS EACH SIDE JOINT 38 8d NAILS PER LEG 2X BLOCKING . 2 X 6 DF #Z/BTR 8d_ NAILS AT 6' cc, MINIMUM 4 EA. w .� ;,syr ��QROFE\ 02064 cp of NON-RESIDENTIAL BUILDINGS ENERGY CONSERVATION STANDARDS Statement of Intent for Non -Heated and/or Non -Air Conditioned Buildings I, 1/ —Z– e�� �� , owner of the building to be constructed as a (please print) f�Piy�C/5, under at c (bldg.permit no.) (location) hereby certify that I do not intend to heat or cool this building in such a manner as to be subject to other than the mandatory sections of the State Energy -Requirements. I understand that if I do heat or cool this building in the future, that I will be subject to the energy requirements in effect at that time. I understand that if I change the use or occupancy'of this building in the future, that I will, be subject to the energy requirements in effect at that time for that specific occupancy. I also understand that if I become subject to the energy requirements in the future, it may be necessary to redesign and/or alter (1) the building envelope, ('2) the insulation requirements of the heating, ventilating, and air conditioning systems, (3) the heating, ventilating, and air conditioning equipment,. (4) the service water heating, and (5) the lighting of the building to comply with the regulations. I understand that any of the above changes will require me to obtain the necessary permits, inspections, and approvals from the Butte County Building Department. Signature of Building Owner Mailing Address Telephone No. For Ro v Urgent ❑ Date 1 % &� 9 v Time /,1! OS - WW1 You W_erTe Out M OnnL (R f� Of Phone - F ( AREA CODE NUMBER EXTENSION Telephoned 0 Came To See You ❑ Returned Your Call ❑ &Ir/'ASS"Io h� Signed Please Call Will Call Again ❑ 'Wants To See You ❑ 9711 ADAMS BUSINESS FORMS LAND DEVELOPMENT BUILDING/ ENVIRONMENTAL HEALTHY PERMIT CLEARANCE Building Permit No. 9 7- `� OWNERS NAME: �1� -�� �� NUMBER:- nEV - syo—n � PFUNT LAST NAME FIRST COUNTY ZONING x DESIGNATION: 1 `� 1 Z FLOOD ZONE: "A' /-1 FLOOD MAP: ©'o APPROVED: CONDITIONALLY APPROVED: RESOLVE PROBLEMS PRIOR TO APPROVAL: PARCEL CREATION BY DEEDS OR MAPZ. O Z Avr- 7,>A-Cl4--1c t*vn Gl+r-e 12n DEED INFORMATION: DATE OF CREATION: 1 99 S I Z (OZ LEGAL ACCESS PROVIDED:y YES NO ice, -r -7 DEED REFERENCE: 0 6111Z 69-70 LEGAL ACCESS REQUIRED: YES NO COMPLIES WITH COUNTY STANDARDS FOR DEED CREATION: ✓ YES NO COMMENTS/CONDITIONS: . Po 21'. ►2 I A, -L T 0 1'L�N C>•EO MAP INFORMATION: DATE OF RECORDING LOT BOOK �i�%�F� PAGE COMPLIANCE WITH OLD SUBDIVISION LOT ORDINANCE REQUIRED? (MAP RECORDED PRIOR TO' BOOK 17 OF MAPS AT PAGE 23): YES NO . IF YES, MARK APPROPRIATE ITEM(S) BELOW: A. Construct road to B. Meet parcel size required by zone. C. Meet current E.H.D. requirements. CHECK SPECIAL CONDITIONS WHICH APPLY TO MAP: ALL FEES TO BE PAID TO THE BU/LD/NG DIVISION UNLESS OTHERW/SENOTED. X1. Maintain a 50 ft. building setback from centerline of road. '�kL ( �lC - [A -X --7--I 6, {-'tom Vz!-L.0 ,Z2. Maintain a ft.bL ilding setback from rigbt_-of-way/centerline of _ 3. Comply with Zoning code for building setback from road. _ 4. Maintain a 100 ft. leact.field setback from all existing wells. 5. Maintain a ft. leachfield setback from _ 6. Pay water tender fees it the amount of $ to Battalion Number of the Butte County Fire Department. _ 7. Meet the Fire Safe Regufations of Butte County and P.R.C. 4290. _ 8. Connect to a public watar supply. 9. Connect to a public sewer system. _ 10. Automatic fire suppression sprinkler systems shall be installed in all residential structures in accordance with the National Fire Protection Association Standard for the installation of sprinkler systems in one and two family dwellings and mobile homes, NFPA Standard 13D, unless a pressurized community water system, with hydrants that meet Fire Department specifications, serves the parcel. 11. Pay T.D.D. (Thermalito Crainage District) fee in the amount of $ _ 12. Meet the requirements of the Department of Fish and Game for the preservation of oak trees. (See phone number. below) _ 13. Obtain approval from the Department of Fish and Game for vegetation removal. Contact Fish & Game at 916-355-7010. 14. A traffic mitigation fee for each new or additional living unit shall be paid. Pay the amount of $ as stated in the Oroville Area Traffic Mitigation Fee Agreement. Payment to be made to the PAwYakg DAdshm. _ 15. All new residential buildings shall be constructed to comply with the requirements of the Uniform Building Code for seismic safety. Mobile homes shall be constructed on a permanent foundation system which complies with the Seismic Zone 3 requirements of the Uniform Building Code. _ 16. Deer Mitigation fees are to be paid, if such fees have been adopted by the Butte County Board of Supervisors. X 17. Pay school impact mitigation fees. X 18. A development impact fee for sheriff facilities shall be paid pursuant to the provisions of Chapter 3, Article II of the Butte County Code. _ 19. Wood stoves and fireplace inserts shall be EPA approved and designed to meet the emission requirements of the California Clean Air Act of 1988 as amended. 20. If any cultural resources are encountered during ground disturbing activities, all work shall cease in the area of the find pending examination of the site by a professional archaeologist. This person would then be able to assess the site significance and suggest appropriate mitigation measures. 21 22 23. 24 25 26. M3Wd013A3a aNV1 3.11f19 J0 UlYno0 16610Z1J0 ®3A1333 LD 7/96 CAWP51 TORMS.KIBLDGPERM.CLR r t�. fiY�:�._'. t ;` _ . ..f��' ,":',�+,np!sr3b�. z�1°'' �; �+� .. ��•� . BUTTE COUNTY ENVIRONMENTAL HEALTH DEPARTMENT HAZARDOUS MATERIALS AND EMMISSIONS QUESTIONNAIRE (A Building Permit cannot be approved without this completed form.) Firm Narr Address BUILDING PERMIT NUMBER gf'7'(90 Z I A P N 01//7 "116 r00010 Nature of Business_ c3 Contact Person �� G�y�'� Phone # 1. Does your business or that of your tennants handle, store, or transport hazardous materials? NO ❑ YES NOTE: Hazardous materials are defined as any material that, because of its quantity, concentration, or physical or chemical characteristics, poses a significant present or potential hazard to human health and safety or to the evironment if released into the the workplace or the environment. "Hazardous Materials" include, but are not limited to, hazardous chemicals, hazardous waste, paints, oils, lubricants, fuels, flammables, combustibles, corrosives, gases, and any material which a handler or the administering agency has a reasonable basis for believing to be injurious to the health and safety of persons or harmful to the environment if released. 2. Do'you or will your future tenants handle store, or transport 55 gallons, 500 pounds, or 200 cubic feet (at standard temperature 4 pressure), or formulation containing hazardous material? NO 1:1YES ' $9i-2727 If you answered YES to 1 or 2, contact the Butte County Environmemtal Health Department (916-5�'8`�1W) for a review of the project. - 3. Is the business/facility/operation to be located within 1000 feet or the outer boundry of a school or school site? W NO ❑ YES IF YES, name of school. 4. Does the business/facility/operation have the potential to emit any air pollutants; e.g., dust, soot, odors, fumes, vapors, or other volatile compounds? NO ❑ YES IF YES, contact the Butte County Air Pollution Control District (916-891-2882) for permit requirements. Owner or Authorized Company Representative (Signature) (Date) BCEHD. BCAPCD The applicant has met or is meeting the applicable requirements of Section 25505, El25533, and 25534 of the Health and Safety Code and the requirements for a permit from the Butte County Air Pollution Control District. The Above Regulations Do Not Apply To This Facility. BCEHD Signature Date BCAPCD Signature Date WHITE- Building Dept 0 YELLOW- Env. Health 0 PINK - APCD 0 GOLDENROD- Fire Dept. ;;d :,-�:.t,,.,.,,,y..,. �,. ,,,,�:„t-•,C , _ ��,�.,,-.,,:, •. � r .. ;.:iia,--n�.s-.� ;,9 �' � ^- .,,"��v �' �-s�tlw r-�,:'>r�� ��'^���"'3i`� •. �" o -.r:",= ,-;-,,, �.�_,.n.��ti�� _ 1 -`uK^tiF"�✓�^'r^ BUTTE COUNTY ENVIRONMENTAL HEALTH DEPARTMENT HAZARDOUS MATERIALS AND EMMISSIONS QUESTIONNAIRE (A Building Permit cannot be approved without this completed form.) BUILDING PERMIT NUMBER 9r7',9D Z /• APN�✓ v `i Firm Narr Address I Nature of Contact Person Phone # r / fe i S� ✓ / f / f 1. Does your busineEs or that of your tennants handle, store, or transport hazardous materials? NO ❑ YES NOTE: Hazardous materials are defined as any material that, because of its quantity, concentration, or physical or chemical characteristics, poses a significant present or potential hazard to human health and sa-ety or to the evironment if released into the the workplace or the environment. "Hazardous Materials" include, but are not limited to, hazardous chemicals, hazardous waste, paints, oils, lutricantsa fuels, flammables, combustibles, corrosives, gases, and any material which a handler or tl-e administering agency has a reasonable basis for believing to be injurious to the + ' health and safety of persons or harmf u� I..to the environment if released. 2. Do you or will yourr future tenants handle store, or transport 55 gallons, 500 pounds, or -200 cubic feet (at standard temperature 4 pressure), or formulation containing hazardous material? C NO 1:1 YES 891-2727 If you answered YES to 1 o- 2, contact thel.Butte.County Environmemtal Health Department (916-6"3N8-/2810 for a review of the project. r ,r 3. Is the business/facili-y/operation to be located within 1000 feet or the outer boundry of a school or school site? 1 NO OYES IF YES, name of school. 4. Does the business/facility/operation have the potential to emit any air pollutants; e.g., dust, soot, odors, fumes, vapors, or other volatile compounds? IX NO 11 YES _ IF YES, contact the Butte County Air Pollution Control District (916-891-2882) for permit requirements. Owner or Authorized Company; Representative (Signature) BCEHD BCAPCD ❑ The applicant has met or is meeting the applicable requirements of Section 25505, 255313, and 25534 of the Health and Safety Code and the requirements for a permit from the Butte County Air Pollution Control District. El 11 The above Regulations Do Not Apply To This Facility. BCEHD Signature _ BCAPCD Signature Date Date WHITE- Building Oept 0 YELLOW- Env. Health 0 PINK - APCD 0 GOLDENROD- Fire Dept. T* r BUTTE COUNTY ENVIRONMENTAL HEALTH DEPARTMENT HAZARDOUS MATERIALS AND EMMISSIONS QUESTIONNAIRE (A Building Permit cannot be approved without this completed form.) BUILDING PERMIT NUMBER `7 / `0� / 'APN en-S/to .' Firm Name Address)`— Nature of Business Contact Person ez-,tPhone # (96G ),5_3 L,9fll 1. Does your business or that of your tennants handle, store, or transport hazardous materials? q NO ❑ YES - NOTE: Hazardous naterials are defined as any material that, because of its quantity, concentration, or physical or a:hemical characteristics, poses a significant present or potential hazard to human health and safety, or to the evironment if released into the the workplace or the environment. "Hazardous Matarials',' include, but are not limited to, hazardous chemicals, hazardous waste, paints, oils, lubricantsl•f.Q Il , flammables, combustibles, corrosives, gases, and any material which a handler -or the administerinR`�agency has a reasonable basis for believing to be injurious to the health and safety of persons or h'armfu to'the environment if released. ure tenants handle store�a ransport 55 gallons, 500 pounds, or 200 cubic feet (at 2. Do you or will yoLr fut standard temperature 4 pres�urb),�r r formulation containing hazardous material? lk NO ❑ YES e_ ja 691-2727 If you answered YES to ' or 2i coniact thelButte,County Environmemtal Health Department (916-5281) for a review of the project. \J i .,� 3. Is the business/facility/operation to,,b)e I�ocated�within 1000 feet or the outer boundry of a school or school site? . N NO ❑ YES IF YES, name of school. 4. Does the business/facility/operation have the potential to emit any air pollutants; e.g., dust, soot, odors, fumes, vapors, or ether volatile compounds? z..► 1�9 NO ❑ YES IF YES, contact the Butte County Air Pollution Control District (916-891-2882) for permit requirements. Owner or Authorized C:Dmpany Representative (Signature) - (Date) BCEHD BCAPCD The applicant has met or is meeting the applicable requirements of Section 25505, D2.5533, and 25534 of the Health and Safety Code and the requirements for a permit f-om the Butte County Air Pollution Control District. The Above Regulations Do Not Apply To This Facility. BCEHD Signature BCAPCD Signature Date Date WHITE- Buiding Dept 0 YELLOW- Env. Health 0 PINK - APCD ❑ GOLDENROD- Fire Dept. BUTTE COUNTY ENVIRONMENTAL HEALTH DEPARTMENT HAZARDCUS MATERIALS AND EMMISSIONS QUESTIONNAIRE (A Building Permit cannot be approved without this completed form.) Firm Narr Address Nature of BUILDING PERMIT NUMBER `'0� APN '' Contact Person Phone # ('7/ co.i v --I/ -' i/� 1. Does your business or that of your tennants handle, store, or transport hazardous materials? NO ❑ YES NOTE: Hazardous materials are defined as any material that, because of its quantity, concentration, or physical or chemical characteristics, poses a significant present or potential hazard to human health and.safety or to the evironment if released into the the workplace or the environment. "Hazardous Oaterials" include, but are not limited .to, hazardous chemicals, hazardous waste, paints, oils, IL bricants, fuels, flammables, combustibles, corrosives, gases, and any material which a handler or :he administering agency has a reasonable basis for believing to be injurious to the health and se-fety of persons or harmful to the environment if released. 2. Do you or will your future tenants handle store, or transport 55 gallons, 500 pounds, or 200 cubic feet (at standard temperat.ire 4 pressure), or formulation containing hazardous material? l)l NO ❑ YES 891-2727 If you answered YES to Tor 2, contact the Butte County Environmemtal Health Department (916- IH) for a review of the project. 3. Is the business/fac lity/operation to be located within 1000 feet or the outer boundry of a school or school site? A NO ❑ YES IF YES, name of sc-iool. 4. Does the business/facility/operation have the potential to emit any air pollutants; e.g., dust, soot, odors, fumes, vapors, or o:her volatile compounds? ONO ❑ YES IF YES, contact the Butte County Air Pollution Control District (916-891-2882) for permit requirements. Owner or Authorized Ccmpany Representative (Signature) (Dare) BCEHD BCAPCD The applicant has met or is meeting the applicable requirements of Section 25505, 2E533, and 25534 of the Health and Safety Code and the requirements for a permit from the Butte County Air Pollution Control District. 0 TI -e Above Regulations Do Not Apply To This Facility. BCEHD Signature. Date BCAPCD Signature Date WHITE- Building Dept 0 YELLOW- Env. Health 0 PINK - APCD 0 GOLDENROD- Fire Dept. B E A U T Y DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE - OROVILLE. CALIFORNIA 95965-3397 TELEPHONE: (916) 538-7541 Pete & Donna Ielati FAX: (916) 533-2140 4531 Pacific Heights Road Oroville, CA 95965 Re: Storage Building Date: 11/4/97 A.P. No. 036-510-020' Permit #97-2231 With reference to the above subject, attached is: [x] Plan Check List [ ] Red Marked Calculations [ ] Red Marked Plans [x] Other - California State Accessibility Standards, Non -Residential Action Required: [x]. Comply with plan check list [x] Resubmit Plans with revisions as necessary (three copies) [x] Submit calculations as requested. [ ] Return originally submitted material Should you have any questions, don't hesitate to contact me at (916) 538-7541 Monday through Thursday between 1:00 P.M. and 4:00 P.M.. Sincerely, George R. Kellogg Plan Check Engine cc Michae ooney 5B Madrone Avenue Oroville, CA 95966 3 PLAN CHECK LIST Permit Applicant: Pete & Donna Ielati Permit #97-2231 Date: 11/4/97 Plans for the above referenced project were reviewed by this office. Please provide additional information and/or make revisions to plans, specifications, or calculations as follows: 1. Please provide a letter of intent for the use of the building. 2. Provide a roof framing plan and elevations for the proposed building. 3. What is to act as the roof diaphragm? Provide an engineering analysis and supporting documentation if the system used is not conventional construction per Section 2326 of the UBC. 4. Is a ceiling diaphragm to be used? If not, show how the bottom of the roof trusses are to be laterally stabilized and lateral forces are to be transferred to the interior braced wall panels. The calculations supplied indicate that the truss is to be secured with nails. The plans indicate the truss is to be secured with screws and screws in fewer numbers than the nails. Please indicate which are to be used and if screw, provide an additional analysis to cover this situation. 5 Does the proposed building have an interior finish? If so what will it be? 6. Provide specifications for the proposed metal roof and siding. 7 Provide complete material specifications for structural members and the foundation. 8. A County soil map show that soils in the area of the project have the potential to be highly expansive. Please verify site soil type. If the subgrade soil is not class 4 or better per Table 18- I -A of the UBC, check the expansion potential. If the soil is expansive, redesign the proposed structure to reflect this situation. 9. Provide building access as required in the attached California State Accessibility Standards, Non - Residential. 10. The Hazardous Material Form you submitted has yet to be signed. 11. Provide the remaining items requested on the Permit Application Data Sheet. 2 PROJECT PROCESSING RECORD APPLICANT: OWNER: PERNIIT #: A. P. #: WORK DESCRIPTION: DATE ' DESCRIPTION OF STEP se P I Number: F6_1 U1. IA M. Fol. R U1 Permit -#: - = .SITE PLAN As ssor's. circe I I i I _H i f i I I 1 1, 1* 1 VON, 4. S. 46 d Owner Name: k_<z.2 2a q i�e cam IZ, 2d42, Maw Scale I" Address / Phone: 13 0Z Azd2�c� 6_kz' CA "T-0 CA 5tr4�?4 7 7!&3 Site Location: Contact Name: RQAoO-7 .11e. A4ota Phone: C SITE PIAN Assessor's Pa rcel .Number: (�l Ffl.'F 0 Mi El i1v � y y III Owner Name: Scale 1" Address /Phone: .3 c 7 Site Location: Contact Name: M oza Phone: