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HomeMy WebLinkAbout039-300-0093C0- 00q AFFIDA VIT REQUESTING DUPLICATION OF PLANS (California Health and Safety Code Section 1985 1) The official copy of the building plans may not be duplicated without written permission from the certified, licensed, or registered professional, if any, who signed the plans and the building owner. I hereby request duplicate copies of the building plans on file with the Butte County Building Division for Permit Number - -21462 —1?o , and the building known as c--)A(ACi (Residence or Business Name) I am aware of the following three provisions of the Health and Safety Code as follows: 1. That the copy of the plans shall only be used for the maintenance, operation, and use of the building. 2. That drawings are instruments of professional service and are incomplete without the interpretation of the certified, licensed; or registered professional of record. 3. That subdivision (a) of Section 5536.25 of the Business and Professions Code states that a licensed architect who signs plans, specifications, reports, or documents shall not be responsible for damage caused by subsequent changes to, or use of those plans, specifications, reports, or documents where local governmental agencies, are not authorized or approved by the licensed architect who originally signed the plans, specifications, reports, or documents, provided that the architectural service rendered by the architect who signed the plans, specifications, reports, or documents was not also approximate cause of the damage. Current Building Owner: tt A , V SS Design Professional of Record: Signature of person requesting copies:. Printed or typed name of person requesting copies: A. V-, sS Date: Address: �'?��}� �✓r`c� ,�JZ gReaseU t C SCI -2-19- Reason on for requesting duplicated set of plans: 'Par- -Q - u c -e_ re g no el e_ [ For Building Department Use ❑ Owner Permission received - Date Sent. ❑ Professional Per� c d - Date Sent. Receipt Numb ^missib' DakReceived: DateReceived: California Health and Safety Code 19851 Inspection of records; duplication of plans a. The official copy of the plans maintained by the building department of the city or county provided under Section 19850 shall be open for inspection only on the premises of the building department as a public record. The copy may not be duplicated in whole or in part except (1) with the written permission, which permission shall not be unreasonably withheld as specified in subdivision (0, of the certified, licensed or registered professional or his or her successor, if any, who signed the original documents and the written permission of the original or current owner of the building, or, if the building is part of a common interest development, with the written permission of the board of directors or governing body of the association established to manage the common interest development, or (2) by order of a proper court. b. Any building department of a city or county, which is requested to duplicate the official copy of the plans maintained by the building department, shall request written permission to do so from the certified, licensed, or registered professional, or his or her successor, if any, who signed the original documents and from (1) the original or current owner of the building or (2), directors or other governing body of the association established to manage the common interest development. C. The building department shall also furnish the form of an affidavit to be completed and signed by the person requesting to duplicate the official copy of the plans, which contains provisions stating all of the following: 1. That the copy of the plans shall only be used for the maintenance, operation, and use of the building. 2. That drawings are instruments of professional service and are incomplete without the interpretation of the certified, licensed, or registered professional of record. 3. That subdivision (a) of Section 5536.25 of the Business and Professions Code states that a licensed architect who signs plans, specifications, reports, or documents shall not be responsible for damage caused by subsequent changes to, or use of those plans, specifications, reports, or documents where local governmental agencies, are not authorized or approved by the licensed architect who originally signed the plans, specifications, reports, or documents, provided that the architectural service rendered by the architect who signed the plans, specifications, reports, or documents was not also approximate cause of the damage. CL The request by the building department to a licensed, registered, or certified professional may be made by the building department sending a registered letter to the licensed, registered, or certified professional requesting his or her permission to duplicate the official copy of the plans and sending with the registered letter, a copy of the affidavit furnished by the building department which has been completed and signed by the person requesting to duplicate the official copy of the plans. The registered letters shall be sent by the building department to the most recent address of the licensed, registered, or certified professional available from the California State Board of Architectural Examiners. e. The governing body of the city or county may establish a fee to be paid by any person who requests the building department. of the city or county to duplicate the official copy of any plans pursuant to this section, in an amount which it determines is reasonably necessary to cover the costs of the building department pursuant to this section. f. The certified, licensed, or registered professional's refusal to permit the duplication of the pians is unreasonable if, upon request from the building department, the professional does either of the following: 1. Fails to respond to the local building department within 30 days of receipt by the professional of the request. However, if the building department determines that professional is unavailable to respond within 30 days of receipt of the request due to serious illness, travel, or other extenuating circumstances, the time period shall be extended by the building department to allow the professional adequate time to respond, as determined to be appropriate to the individual circumstance, but not to exceed 60 days. 2. Refuses to give his or her permission for the duplication of the plans after receiving the signed affidavit and registered letter specified in subdivisions (c) and (d). 19852 Fees; limitations The governing body of a county or city, including a charter city, may prescribe such fees as will pay the expenses incurred by the building department of such city or county in maintaining the official copy of the plans of buildings for which it has issued a building permit, but the fees shall not exceed the amount reasonably required by the building department in maintaining the official copy of the plans of the buildings for which it has issued a building permit. The fees shall be imposed pursuant to Section 66016 of the Government Code. 19853 Exclusion of banks, financial institutions or public utilities This chapter shall not apply to any building containing a bank, other financial institution, or public utility. .. / . • ��' '` PERMIT N0. 2462—:8 P E # PERMIT EXPIRES L� OWNER John Goddard $H� owner CONTR. 1 LOCATION (A.P. 39-36-9 1345 Marian Ave., Chico T x1777 i--. 41 fL} ' e i f Temp. Power Pole_ Called PG&E Temp. Elec. Serv.— Called PG&E Temp. Gas Serv. Called PG&E JOB FINALED� /(Signature) a < ,� i I a I .,`. ,� "�� � , To a .Building De t From: En v-U'onmental HeM 1-. r Subject: S'�2.rJll @c^t Cl o ra n a,e Owr OFF— P2-1; aPp_'oved for . r . ..ewage Liisccsal olei ural for: 4 3 t e Supply L/ s� Wafer Supply F; nal C '` :a ince UaKt.'o.H; Water Supply Clearanr, for _, bedroo _ it Clearan O for addition o" �S To a .Building De t From: En v-U'onmental HeM 1-. r Subject: S'�2.rJll @c^t Cl o ra n a,e Owr OFF— P2-1; aPp_'oved for . r . ..ewage Liisccsal olei ural for: 4 3 t e Supply L/ s� Wafer Supply F; nal C '` :a ince UaKt.'o.H; Water Supply Clearanr, for _, bedroo _ it Clearan O for addition o" r y Scratch COUNT; OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD Service BUILDING BUILDING (Cont'd) PLUMBING Setback Firewall Soil Piping Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor Stemwall Siding To out Slab Roof Sheathing Water Piping Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Stemwa l l Garage Vents Insulation Water Htr. Heaters Slab Carport Footings Prov. for ph sically handica ed Conformance of ex. structure Appliances Gas Piping & Test Temp. as Slab Final Sanitation Patio FIREPLACE Final Footings Footing ELECTRICAL Masonry Walls Throat Roucih Relnf. Steel Final Fixtures Bond Beam FIRE SPRINKLERS Motors Framing Test Water Htr. Stucco Final Subpanels Mesh MECHANICAL Grd. Fault Prot. Scratch Heatino Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final MOBILEHOME UTILITIES ------------------ Elec. Service Elec. Pedestal Water Piping Sewer Gas Piping =E ME INSTALLAT12N - - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping DATE 611tIA19 REMARKS OR CORRECTIONS ��e�P /D �G��eG�'�o� .,�izr�e ���� e�4'� cru G✓.�� (NOTE: An entry must be made on this form each time you visit the job site.) l a RESIDENTIAL (Sing9:b and -Duplex) S C Date UNDERFLOOR Plans OK'exept k.'s Dato� FRAMING (Continued) 1. Zcning requirements-Satbacks-Easemenis /-tine Firewall & Openings___ - 2. Fig., Main; Soils-Steal-Elec. Grnd.- " Fig. Depth _ xt. Docrs-Ons 3'-Chack Garage --3rd story, 2 exits 3. Fig., Garage; Soils-Stsel- " Fig. Depth5 th-Headroom-Pisa-Run-l.andirg-Fire Protection ` _ 4. Fig., Porches & Decks; Soils-Steei- Q" Fig. Depth I ood on Roof Overhang -Attic Access --Rafter Ouirigcars 5. Stemwalls, Main; Steel-8lockouts-Wrapped-Slab 6. Ster,.wails, Garage; Steel-Blockouts-yfrapped-Slab d=ng-Nailing-Veneer 53'JSq=o Mash -Drip Sorg.,-Fdn. Vent;-Underflr. Acoria 7. Piers -Fireplace Fig. -Steal . Glazing Area -Glass Protection-SRyligitis--Plastic B. D.yi.V.: Fall -Fittings -Test -2 way C/O -Sewer Test mitts; Nailing_ -Softs 9. Gas Pipe; Size -Anchors 10. Water Pips: Test-Anchors-R=_gulator-Seryice Test 11. Electric; Underground _ 12. Plenums & Ducts; Clearance -Malarial -Support -ins. _ 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -81 Date Card -BI Date �`— CaDat9 Card -BI Date Ct!d-E1 pDate Card -BI Date Card -BI Date Data FINAL (Plans) OK except N's Card -8I Date Card -81 to Dais P14%!P14%!Li I N G (Permit) OK ex.#Kt Ws 6 xt. Steps -Door & Sidelight Protection -Landings Smoke Detector *719 7M wa' r Ht.; a t -Ac s --C .. s on Air Furnace; Vents -Clearance -Comb. Air-Ccnnector- In Garage; Above Floor -Ducts -Meeh. Protection 1 laser Pips; Te rs-Nail action ❑.V1.V-Ftt - ail Protection ��sdroom Exiting ina• pa_ as T�:t-First Floor-Tuh _ s G.F.I. & Bath Fixtures & Tub Access & Shower, 2nd Floor -Tub Accesa 61. Elec. Trim & Subpansl; Breaker Sizes -Labels 1 as Pipe; Size & Anchors _ ey/5tairs & Rails -A43/F=irepiace or Steve; Clearances -Hearth i -61r-i°lec. Outlets at Wocd Panel; Int. & Ext. _- I Daia QCard-81 Date FtiKit. Fixt. & Appliance; Grrd.-Air Ga Cooking Clearanre Cs:d-3I DateCard-31 Date i Q5/Elec. Outlets & Receptacles at Kit. Courter Daie ELEC .ICAC Permit OK except q's _6Wv—•earag9 Fire Door; Swing -Landing -Closer ��. Duct in Garage -Damper F' era'& Transformer Clearance -Ins. Protectiontr. Hir.; Vents -Clearance -Comb. Air -Conn:�tcr-P.R.V.- In Garage; Above Floor-Nlech. Protection - Spacing -Lights &Switches at Doors Ei . Receoxes —oxer Plh., Elec. & Mech. Equip. Listed for Location 2 & No. No. of Conductors -Stapled . Etec. Receptacles in Garage: (G.F.I.)-Romex Protee. 2 no.,.ex Installed.rlose to Edge of Studs & C.J. ^ • i. Eip. Grcund made up w/Meth. Fasteners -gond Gas & Water ,ppliaWir Circuits In Kitchen & Conductor Size - 7 nsulation-Foam-Looi<ed in Attic [j Yes •Z7.-U.Rails & Deck Construction -Post Caps dn. Vents & Crawl Kole Door-Drainags & Wood -Earth Clearan.;o . Looked under Floor ❑ Yes - Wire Size / / ga. or AI-A.C. Wire Size / ga. Cu r AI� 2 ange Circ. / / g�z• yCC or A Oven -£'ire / / ga. Cu or Al, Insulated Nautral [e ., No 75. Following insild.: Drivg� C] No; ,'talks es ❑ No; g Planters ❑Yes Nn; Creasing Drug. Problems ❑Yes No 2 ar icy Riser Conde rs & Gr -Alain D nnect —lucco; Brown -Finish — 2 ;uip.VClearances; Pane ls-Motors-Msch. Equip. - . A.C. Unit; Disconnect-Clrnces.-Brkr. & Cond. Size -115V Outlet Oset Light -Shower Light Vents Above Root; Plbg.-Appliance-Firepl.-Clearance to Oprgs. Ylater wall; Disconnect, Electrical, Plumbing _ 80.�ct=_rior Elac. Trim; G.F.I. Receptacle -Underground Card E -I Oats Card -81 Date Ventilation throughout House _ G ass Prutection Card 6-I Date Card -BI Data Dat MBC ICAL (Permit) OK except X's _ . 89'Corrections from Previous inspections 84. Gas Test-h!etars Tagged; Gas-5chic er & Sewer Connected -C/ t ode D A.C. D u&j s; - In VTP ion & Sup an. Fan; Exhaust above Insulation Epargy Compliance Certificate-• to^.ar Certificates O!frain & Overflow; Size Grade urnace- e�l!Acce omb. r-R,3turn ent-115 at tic Access & Platform if Furnish in Attic Card -51 Data 'Card -BI Data Card -BI Date j ard_H1 Date _ Card -BI _Osie Card -BI Date _ Card -BI Data `7 C BI 0,,.p Date FRAtdING(Plans) OK except p's �C:!rd-51 Da!a Card -61 Data — i Co r n! a[ Final: 3 Its; Proper Material & Anchors �0 Of 3: Studs -Nailing, Spacing & 6racing-Plates-Sound -'/a! 3 �rir,g walls over Girders & Floor Nailing Draft Stop in t'ialls (rat proof) _ _ Fire Stops; Furred Ceilin( svStairs-Cha es ler !a & Bearin j' _eam-Siza�& 4 an-Pa3t�gS-A. =Co n rs { �I+xr.dsist-l+kcr-Trus-6+e-Mq-P.ca --c._ - Sh[ >—R! _- - ::e .=ca Ties or Typ u=-Vepl3ce Throat Nic,Access; Some A4W,action-D fTp-_In3. grsTf els i _-- , 1'lindows ar Exi tint Doors -S+ t. &Dim Cons 47) 1 Fire Protection Framing -II I)I}_ r COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORK�r 695 Oleander Avenue, Chico — Phone 343-4211, Ext. 70 7 County Center Drive, Oroville Phone 534-4541 Skyway and Elliott Road, Paradise Phone 877-3435 CORRECTION NOTICE BUILDING OR PROPERTY ADDRESS A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this COUNTY OF BUTTE DE-nARTMENT OF PUBLIC WORKS 695 Oleander Avenue, Chico — Phone 343-4211, Ext. 70 7 County Center Drive, Oroville Phone 534-4541 Skyway and Elliott Road, Paradise Phone 877-3435 CORRECTION NOTICE rom BUILDING OR PROPERTY ADDRESS A routine inspection Indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work Is completed. If you have any question pertaining to. this matter, or need additional explanation, please contact this office immediately. I I 7 �6c J�IM� Date nsp torL County of Butte DEPARTMENT OF PUBLIC WORKS 695 Oleander Ave., Chico — 343-4211, Ext. 70 7 County Center Dr., Oroville — 534-4541 Skyway and Elliott Rd., Paridise — 877-3435 CORRECTION NOTICE (0 112 - 1�0 Building or Property Address A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. ............ ............................ ...... ..... .............. :��' . . ...... . 0,11. ......... X ........................ r .. 4 ................ ay� ............ ..................................... ......... / .. ....... ..................................... ......................... ...................................................... ........................................................................ ..... . ................. .............. Date.F=04'42.. inspecto .. . .... . ........................... Do Not Remove This Tag (400-41 i h COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 534-4541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE - BUILDING OR,PROPERTY ADDRESS A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. Inspector r �`� ?..i �� �.._ ti 1'". ., � ' 1 `e , a A •} - w �, , �i � .v .. � i .. �. �� �� ?..i �� �.._ ti 1'". ., � ' 1 `e , a A •} - w �, , a RESIDENTIAL ENERGY CONSERVATION STANDARDS CONSTRUCTION COMPLIANCE CERTIFICATE THIS IS TO CERTIFY THAT ENERGY CONSERVATION REQUIREMENTS HAVE BEEN INSTALLED IN CONFORMANCE WITH CURRENT ENERGY CONSERVATION REGULATIONS AT S- X11 LI A72- 0-�P-V L GFS (location) BU ILD ING PERMIT NO .��� A.P. NO . THE FOLLOWING HAVE BEEN INSTALLED AS PER APPROVED.PLANS: (Check each item or write N/A if not applicable) INSULAT ION : r Slab Edge v' n- Fdn. Walls PIA Floors X-4 r* Wallsy Ceiling/Roof Ducts C/ Circulating Pipes t/ APPROVED HEATER (/ APPROVED WTR.HTR GLAZING: Single Glazed Special (Insulated). CERT. & LABELED WDS. & SLIDING DRS. WEATHERSTRIPPED DRS. LI/t7 BACK DAMPERED FANS .1/ INTERMITTENT IGNITION DEVICES CERT. APPLIANCES I DECLARE THAT ALL REQUIRED ITEMS AS NOTED ABOVE HAVE BEEN INSTALLED IN ACCORDANCE WITH THE ENERGY CONSERVATION REQUIREMENTS AND AGREE TO THE COMPLETENESS OF THIS CERTIFICATE AS SUBMITTED. Insulation Applicator Name :•+u c� S6(;MWD Signature of ( lease print) Insulation Applicato State Contract rs \j License No. General Contractor/Owner Name 60 0 m 0 Signature of (please print) General Contractor/Own Date State Contractors - License No. ai i�, *6 �0 DD 0 THIS CERT IF ICATE MUST BE ON FILE WITH THE BU ILD ING DEPARTMENT PRIOR TO REQUESTING FINAL INSPECTION AND SHALL BE POSTED IN A CONSPICUOUS LOCATION WITHIN THE DWELLING. C COUNTY OF BUTTE-'DEPARMENT OF PUBLIC WORKS 7 County Center Drive - Oroville 'California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT N0. ASSESSOR PARCEL NUMBER p ZONING � - BUILDING ERMIT OWN R TELEPH(;O7NE .SQ. FT. OCC. UILDING VALUATION OWNER'S MAILIN ADDRESS CO NTRACTOR'S NAME TELEPHONE 4/cv CONTRACTOR'S MAILING ADDRESS ' Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation is FilingFee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDRESS PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Repair drainage or vent piping 5.00 Water piping LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF Duplex -1 Mobilehome❑ Other SPECIFY Building sewer Lawn sprinkler system 5.00 v TYPE OF WORK New ❑ Addition Q,,Remodel ❑tI lities ❑ Installation ❑ Other Describe work: � ��� / �� --� - Permit Fee $ 3 O Contractor ELECTRICAL PERMIT Filing Fee 10.00 00V OR Main service 100 AMP ORSLESS 5.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. ODWELING R AODNS. (ACCLBLDGS-CCUP. M) 20 sq ft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ElI 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 4K 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 CI LET NON -RESIT R (MULTI*DUT 2.50 ea NEw CONSTR. (POWER APPARATUS s1 NON-RESID. SINGLE OUTLET CIR. i EX. Occup OUTLETS OR FIXTURES BAL@1 IXED APPLNS, OR Ex. Occup.(oUT LETS (RESID.) EA. 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 Permit Fee $ Contractor MECHANICAL PERMIT Filing Fee 10.00 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. 1KI 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. Heating Cooling Hood 3.00 Ventilation Permit Fee S Contractor I certify that I have read this application and state that the above.information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby. authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. 9 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 in consequence of the granting of this.permit. X D Date t4 l� � Signblur of pplicant — Ownerg_ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ _ TOTAL PERMIT FEE $ OCCUP. GROUP I TYPE OF CONST. PARCEL PO NO ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which IRECTOR OF PUBLIC BY PERMIT EXPIRES Dat the applicable provi- resolutions to do' fees have been paid. WORKS Date 7n?, �-7 ��7 X Receipt No. .5 l� WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA. 95965 Phone: 916-534-4541 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 in the envelope provided at your earliest opportunity to avoid unnecessary delay in processing and issuing your build- ing 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 or no) , ?p 2. I (have/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 C 1' Signed: Property Owner Social Securi y number_ Date _ 2 � 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 ' r permitted to issue the permit. .—:.1-�e-...:;.aR;...n.'".ir+iF-1riY'wti`t--�+f�j-iect-v.�,1'rt �:.►�'^r�..��+.,) . T�. �.. w^�xF�,.,.t,:,y„r,., f•,�'f•G.•_,:s.�z,.;3 --r.�..-.....: �..�•.�'4rYa,....•,.�.'�►%..�� COUNTY OF BUTTE - DEPARTMENT 05"P PUBLIC WORKS - BUILDING DIVISION") ) . 7 COUNTY CENTER DRIVE - OROVIL4, CALIFORNIA 95965 - TELEPHONE: 916/534-41541 PERMIT APPLICATION DATA SHEET Permit No. y OWNER `ice J A. P. No. _521� Proposed Building Use / S Permit Fee Based Upon: Complete Contract Price b DPW Valuation Othe v ain) L �y Building Inspector /i�/f _� Date At time of permit application, I was advised the-lbllowing data must be submitted prior to permit processing and/orissuance: DATE RECEIVED APPROVED .1. All items have been submitted. . . . . . . . . . . 2. Plot plans in duplicate/triplicate. . . . . . . . . . 3. Complete plans in duplicate/triplicate. . . . . . . . . 4. Complete engineered plans and calcs. 5. Plans with Energy Design Compliance Statement. . . . . . 6. State Energy Forms No. 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ . . . . . . . . 9. Letter of signature authorization. . . . . . . . . . . 10. Sanitation approval from' Health Dept. . . 11. Planning approval for (A) Use: (B) Parking: 12. Certificate of Workmen's Compensation Insurance. . . . . . 13. Contractor's License Information (no., name style, classif.) 6)1G-A�1-4. Owner -Builder Verification (Given to owner 0,-Ivf to owner ❑ 15. Improvements may be required. . . . . . . . . . . . 16. Mobilehome Installation Data. . . . . . . . . . . Pre-Inspec. request to 17. Pre -Inspection for' Required. Building Inspector 18. Other When you issue the permit, process as follows: Mail to owner. _ Telephone and hold for pickup at office. _z___�Other d Applicant Date) Mail to contractor. _Deliver w/inspector. Date 7A /j L I Copy of plans sent -Health Dept., Fire Dept., Other Date During the plan checking process, the following data must be submitted prior to permit issuance. (For required items not checked above at time of application, circle item.) 1. Index permit for above Items No. 2. Additional items required: (Contractor, Designer, Owner) was advised of above required data by By Plans checked by - Plans approved by Other Copy—DPW Telephone Date _ Date _ Mail Other Date inter -Depart ental". e'morandum To: % Wt- iIQ.►J�'Gi�Ui F::e=eVtrlk s4:f ' 6 I l%� /�� �C� W✓L , �✓v� !CSI SUBJECT: 13 DATE: my- c'ovZ� �e u2s aVO�v 10 Cj" Rba i e oldrv- -S -ar PA'S /a)hoK r I / CL new "�� � lqo- -,cu,. Wve %xa,�roa as -4�0 a.G'11� — �h s CSS Q44/0 -V 0 74 Je. e,/ f � - ����. � • - ,,� a.-�. ,f.. `/cam S�.�.:.e. _ __. � . _ _ ___- � : • - -rr�e- b'.q NC -W 7-S L e a C 4 1,W Ales CT ra4k S, jzemove 4 doo COUNTY OF BUTTE-- DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER ZONIN BUILDING PERMI OWNER 11.1 ITELEPHONE SQ: FT. OCC.1 BUILDING VALUATION OWN M (LING A DRESS CON RACTO 'S AME TEI_F, PI!O^JC 9 165D e CONT CTOR 5 MAILING ADDRESS CONSTRUCTION LENDER UNKNOW Fireplace Total Valuation $ LENDER'S MAILING ADDRESS -=---� Permit Fee ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty $ - ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ -.?,e1,9, BUILDING ADDRESS PLUMBING PERMIT Filing Fee 3.00 Each Trap 2.00 ,LXD Repair drainage or vent piping 2.00 GD Water piping :ZC0 2, LOT NO.SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 2.00 Gas piping system 1 - 5 outlets j -Zr 00 USE OF STRUCTURE SF Duplex❑ Mobilehome❑ Other SPECIFY Building sewer -- 0 Lawn sprinkler system 2.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ . Uti lities ❑ Installation ❑ Other Describe work:H06f 69=__ eQ& A5: /r -.VA /11 /lit) G0Iic-T AWN A5, ermit Fee $ Contractor ' ELECTRICAL PERMIT Filing Fee 3.00 -Main service ioo AMP OROR SLESS 5.00 S v Main service EA. ADD•L too AMP 2.50 NEW CONST. DWELING OR AODNS. ( ACCLBLOGS.CCUP.&� 22 sq ft 36 �Z6 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. cense No. Classification V1,1as 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 CON5TR LTI.OUTL NON-RESID BRANCH CIRC 1T5 2.50 ea NEW CONSTR. POWER APPARATUS & NON.RESID. (SINGLE OUTLET CIR. Ex. OCCUp(OUTLETS OR FIXTURES 50@� BAL@1OQ FIXED APPLNS. OR Ex. Occup.(OUTLETS (RESID,) EA.) 2.00 Temporary service 1 10.00 Mobile Home Facilities 15.00 Misc. Wiring 6.25 Permit Fee $ .129 Contractor WORKMEN'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ 1 have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self Insure. /I shall not employ any person in any manner so as to become subject � to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 3.00 Heating SQ& 07U 1,00 op Cooling -H 2_ / 7,$Q a Hood / 2.00 e2 .20 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 CountyotDr�/ 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 d ounty cons ence of th granting of this permit. I S--:,/� V X !!�� l� Date Signature of Applicant — Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3cstories in height. Mobile Home Installation Fee $ Land Development Fee $ TOTAL PERMIT FEE $ is OCCUP. GROUP I TYPE OF CONST. N PARCEL PD HDssE / u This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC By. PER EXPIRES Date _ the applicable provi- resolutions to do fees have been paid. WORKS -Date O —3 - Receipt No. a 7 3 WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT �1. COUNTY OF BUTTE — DEPARTMENT=OF PUBLIC WORKS —BUILDING DIVISION s . i 7 County Center Drive — 0rovilhe�Califo7ynia 95965 — Telephone 534-4541 t PERMIT APPLICATION DATA SHEET Permit No. OWNER—�_T/%//,,•(Z_:> A. P. No. Proposed Building Use Permit fee based upon: Complete Contract Price r -DPW Valuation Other (explain) Building Inspectors J./,��i" 1Y, Date 4;7//S/<-/-) At time of permit,application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted................................................................... 2. Plot plans in duplicate/triplicate............................................................... 3. Complete plans in duplicate/triplicate................................................... 4. Complete engineered plans and calcs..................................................... 5. Plans with Energy Design Compliance Statement ............................ ,6. State Energy Forms No. .................... 7. Statement of Intent for Non -Heated & AC Buildings ................... 8. 9-" 9. Fees of $.................................................. Letter of signature authorization... 6 10. Sanitation approval from of%/,G0% Health Dept.... 11. Planning approval for 12. Certificate of Workmen's Compensation Insurance ........................ s' 13. C=o WI Ir/Z_ i a sell n ormation (no., name style, ,e male,. 1wAi4- v�2�FIG rion! classification) ............................... 14. Improvements may be required. Contact Land Development Section of Dept. Public Works (see addressbelow)................................................................................................. 15. Pre -inspection for required. Pre-inspec. request to bldg.inspector (date) x,/16. Other l�rf/4� %' VEGOi7/`f.�/U7 ,��� I&IAY F3,E When you issue the permit, process as follows: Mail to owner Mail to contractor. , ./Telephone and hold for pickup at /01;1/10 office. Deliver w/inspection. Other ✓ S` �J Applicant I'k' Date Jr- Copy of plans sent Health Dept., Fire Dept., Other Dater During the plan checking process, the following data must be submitted prior to permit issuance: (For required items not checked above at time of aplicc ion, gircle item.) 1. Index permit for above Items No. 11d 2. Additional items required: (Contractor, Designer, Owner) was advised of above required data by Telephone Mail Other Date rlans cneCKed by Plans approved by OTHER: Copy/DPW Date Date To: Building Department From: Environmental Health Subject: Sanitation Clearance LOA Owner Location Plan approved for: Sewage Disposal 5!;tf for: Clearance for bedroom cobtla/tome.D Other Clearance for addition of 31- 34 - 1� AF# dater Supply Water Supply Water Supply Note** Sanitarian Pate COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA. 95965 Attention Property Owner: OWNER -BUILDER VERIFICATION a9-36-,9 Phone: 916-534-4541 An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information in the envelope provided at your earliest opportunity to avoid unnecessary delay in processing and issuing your build- ing 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 or no) S . 2. I (have/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 a r- �/�-l� �-e-Y�l� 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 �)o 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 S cur.tj DateC0X�/ 9 - 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 permitted to issue the permit. cot]. ltpr 0 Op Burr,, pupt,/c I#vs W( JUN 3 1980 PO OWNER A.• ' GENERAL Zoning requirements ,_-L� Valuation. Signature by R.C.E. RESIDENT IAL ,PLAN CHECKING GUIDE (S.F., DUPLEX, & MISC. ONLY) Bldg. Permit # A.P. (sideyards and parking). G� or Architect (if required). B. PLOT PLAN �omplete parcel size and dimensions. /2: Setback$, sideyards, easements, etc. Other buildings or structures. Grading, fills, drainage. C.' FLOOR PLAN Complete to scale plan with dimensions. i Required windows for light and ventilation (Sec. 1405). e uired windows for second exit (Sec. 1404). lovable glazing for energy requirements (20% max. per.State law). man impact glass (Sec. 5406). quired room sizes, ceiling heights (Sec. 1407). C.I.'s in baths and exterior outlets (Sec. 210-8). Lig fixtures, switches, receptacles, and exterior receptacles for maintenance of echanical_ equipment. Locations of water heater, heating & cooling equipment, other electrical or gas equipment, and plumbing fixtures. Garage firewall, door size, and closer (Sec. 503(d)(4)). 1 - 3°0" exterior exit door (Sec, 3303d). Fireplace location, Smoke detectors (Sec. 1413) . D. STRUCTURAL DETAILS Foundation plan complete enough to construct building. Floor construction details complete enough to construct building. �! Elevations and wall construction details complete enough to construct Roof construction details complete enough to construct building. Fireplace construction details and calcs if over one-story in height. Sufficient data and details to satisfy energy insulation requirements building. (State law). E.MISJGFLLANFOUS ITEMS TO LOOK_ OUT FOR CC`X plywood on exposed locations and overhangs. ` Stair-uny details (Sec, 3305) Guard-rail details (Sec, 1716) . rich or stone veneer (Chapter 30). ."xterior plaster - weep screeds (Sec. 4706 & 4708). ropes roof pitch for root covering (Chapter 32). after ties or bearing ridge beam, �arage door or porch header sizes. dequatc bracing. Living area over garage - complete 1 -hour separation required including supporting . galls and posts, etc, k Two (2) exits on three-story dwellings (Sec. 3302). CPO 7D PERMIT APPLICATION• WORK SHEET Permit No. OWNER A. P. No. Zoning Use Proposed gL1LlA I&W5C dR/ axts7-1QJ6 Approved FitiDTN eF-FT �+F� Fi2� Not approved Permit fee based upon: 1. Complete contract price. 2. Partial contract price (explain). 3. DPW Valuation (show): At time of permit application, the applicant was advised the following data or information must be submitted prior -to permit processing and/or issuance: Date received 1. All items have been submitted. -------------------------- 2. Plot plans in duplicate/triplicate. --------------------- 3. Complete plans in duplicate/triplicate. ----------------- 4. Complete engineered plans and calcs. ----------------'---- 5 Fees of $ -------------------- _� 6. Letter of signature authorization. ---------------------- 7. Sanitation approval. ------------------------------------ 8. Planning approval for -- 9. Workmen's Compensation Insurance Certificate. ----------- 10. Contractors license information. ------------------------ 11. -Parcel declaration, recorded copy. ---------------------- 12. Access declaration. ------------------------------------- 13. Aunt Minnie information. ------- : Deed of access, recorded copy. -------------------------- 15. Deed of parcel creation, recorded copy. ----------------- 16. Parcel map, recording data. ----------------------------- 17. Pre -inspection request for -- 18. Improvements - plans required & DPW approval. ----------- 19. Other ------ - By Date ZN242 Bldg. Inspector During plan checking process, the following data or information must be submitted.prior to permit issuance: 1. Index permit for items above and in addition the following: 2. Applicant advised by Telephone Mail Other - 3. 4. Plans checked by_ Plans approved by Date Date When permit is issued, process as follows: 1. Mail to owner. 2. Mail to contractor. 3. Deliver with inspection. 4. Telephone and hold for pickup @ office. 5. Other Before permit issuance, all of the following items must be signed or marked NA: 1. Zoning use 2. Legal parcel 3. Envir.Health - Date Plans Sent A. Sanitation B. Restaurant C. Other 4. Public Works - Date Notice Sent A. Street Imp. B. Drainage C. -Permits & Fees D. Other 5. Planning A. Use Permit B. Variance C. Other 6. Other Agencies - Date Plans Sent A. Fire Dept. B. Other .,• BUTTE COUNTY.DEPARTIENT OF PUBLIC WORKS • SPECIAL INSPECJIQN REPORT , Owner: A. P. Address: Date of Inspection Yl - Tenant• 11%t, Inspector Building cation: Type of Inspection requested: 1.. Housing 2. Financing 3. Change of Occupancy to 177 4. Other (specify) 1_ r Present use.of buiidin A, Sanitation (Housing) 1. Water closet: 2. Lavatory: 3. Bathtub or shower: 4. Kitchen sink: 5. Hot and cold water to fixtures: 6. Heating facilities: 7. Natural light and venfil ion: 8. Room and space requirement 9. Bedroom window or door for econd exit: 10. Infestation of insects, vertu , or rodents: 11. Connecti.or''to sewage disposal: - 12. Connection to water -,supply: 13. Rubbish and garbage facilities: 14. Comments: B. Structural 1. � and footings• 2. Floor construction: 3'. Wall construction:__ 4. Ceiling and'roof constructidn: 5. Fireplaces:' 6. Comments: •. • _ , c:. tiectricai 1. Service and ground:_ 2. Receptacles: 3. Fusing: 4. Comments: . F D. Plumbing 1. Fixtures connected and vented: 2. Gas water heater: 3. Gas heating.vents: 4.. Comments • C (cnntimiP�i nn harlrl ' E. Other 1. Maintenanc4 a4id- epa -* U r 2 . F ire ar s 3. Safety hazards: 4. Weat}).er - 5. Underfloax=ae ve�t-tscion: 6. Comments: F. Commercial Buildings 1. Roof covering: 2. Distance to property lines 3. Physically handicapped:_ 4. Restroom floors and walls: 5. Exits: 6. Improvements : '1. Z on ing 8. Couments: G. Field Problems or Violations ? 1. Problem or :violation (give complete description): l 2. What ac ion taken (give replete description) : 3. What action recommended: A. i_nfortaation only _ fi1e. B. Hold for ten (10) days, then wri!-e latter. C Wxite letter. D. w • ORDER NUMBERsa,t,Q 1 REG. R.U. JINCIDENT NO. START MO. DATE . Z Q 1, — Iz� — FIRE NUMBER FI REG. R.U. NO. thru ' ;-16 (1/80) s.. ORIGIN LOCATION SEC. TOWNSH� RANGE N IRE 2 ZLPS A ow S INCIDENT TYPE IRfiFALSE ALARM r. 4A RESPONSIBILITY (AT ORIGIN) ,R COUNTY Sri 1 -Q -it , SME: o e o 4 .40 MILES 2 IRECTIORZFROM _ .S ❑IN NATIONAL FOREST, FIRE DIST., CITY 8 STREET NO., ETC. �ir1/ ^9A9/*q.t.) ' ,dR DIRE T PROT, RESP.('D.P.R•) — STATUTORY BURNED iit. STATE ZONE RESPONSIBILITY f9 ❑ WILDLAND BURNED OR THREATENED %'r:�:r«::,;.:., . . •.;!,: fSTATE SCHEDULE A D.P.R.�❑ ❑ DISTRICT ❑UNPROTECTED �❑ OTHER AGENCY D.P.R. ` ❑ CITY 8C :: COUNTY LOCAL ZONE ACRES BURNED 7a 2S SCHEDULE A D.P.R. ❑ U.S.F.S. VEG. �❑ OTHER AGENCY D.P.R. (Unincorp) ❑ B.L.M. TYPE 1 b FEDERAL ZONE ❑ 81A' TIMBER ❑ Military) O.P.R. ❑ N.P.S. ❑[:]OTHER FEDERAL SCHEDULE A D.P.R. WOOD ❑ MISCJOTHERVZONE•) ❑OTHER ; JCAUSE (STARTS IN O 0OROONLY) OW not start In 1 2 5 or B ❑ SMOKING ❑ EOUIPMENT ❑ LIGHTNING ❑ DEBRIS ❑ PLAY W/FIRE ❑ CAMPFIRE ❑ ARSON ® OTHER/MISC. LAND USE(START3 IN OROONLY) 0 2 ❑ Did not start tnO 2 8 orO ❑ FOREST INDUSTRY DOMESTIC []RECREATION EST R ATtON RANCH -FARM C30THER INDUSTRY- COMRCL. ❑ DUMP ❑WILDLAND ROAD NON- WILOLAND UTILITY, RAILROAD E30THER DAMAGE ( t 7 , f -I NO DAMAGE IN flMBER &/OR WILDLAND VEGETATION (_Other than TAYG) AGRICULTURAL PROD (Other than T 8 Y G) bWELLINGS &/OR CONTENTS OTHER STRUCTURES VOR CONTENTS VEHICLES & CONTENTS OTHER TOTAL / o OR a ONLY) Number of Yah/OwIg 1 $ DA161A earest ,2 8/or SA ACRES OF VEGETATION BURNED DIRECT AGENCY PROTECTION %'r:�:r«::,;.:., . . •.;!,: ACRES BURNED GO TO 8C :: C� ACRES BURNED VEG. b TYPE 1 b TIMBER OTHER WOOD TOTAL LAND f BRUSH,•>': iiF S: GRASS '. 86 SIZE CLASS '> PROD. COF ElA .25 ACRE OR LESS TOTAL ' B 26-9 ACRES ❑ C 10-99 ACRES ?< STATUT. RESPON. O ACRES BUANED '•: ❑ 0100-299 ACRES OF z> ❑ E 300-999 ACRES STATE '< ❑ F 1000-4999 ACRES U.S.F.S. ❑ G 5000 ACRES OR MORE B.L.M. B.I.A. >.: W.P.R.S. (Ex -BOR) OTHER ' FED. .y; OT R HE t TOTAL, , ON ARRIVAL ❑ t VEGETATION FIRE ❑ OTHER, GO TO 10 SIZE ' . DISTANCE (Origin to head) ACRES FEET.: WEATHER (ESTIMATE AT SCENE) WINO DIRECTION FROM TEMPERATURE. M.P.M. OF OVER PLEASE COF 7540-130-0116 7440.rA J.8'J 3fllt tV.D COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS P MIT INP. County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 �_� APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER ,.1�2 ZONING ,s" BUILDING PERMIT OWNEW TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS -� . 0 CONTRACTOR'S NAMEq L TELEPHONE CO RACT 'S MAILING ADDRESS ®iovr 3G Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee .$ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee$ PLUMBING PERMIT Filing Fee 10.00 3 / Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 1Qr� USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W O.00ea TYPE OF WORK New ❑ Addition ❑ R`e_moddel ❑ U- ti-liti/es ❑ Installation❑ Other ❑ !, Describe work: le�dLa.l (n C Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 e00V OR LESS Main service 100 AMP OR LESS 10.00 Main service EA. ADO'L 100 AMP 2.50 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 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,pnd the structure is not intended or offered for sale. (Sec. 7044) ❑ 1, 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.ai) OR ADDNS. ACC. BLOGS. , h¢sgft NEW CONSTR. U TI.OUTLET 2,50 ea NON -R ESID .BRA CH CIRC 5 /POWER APPARATUS d (SINGLE OUTLET CIR. I 20050t Ex. Occup OUTLETS OR FIXTURES eA 030 FIXED APPLNS. OR Ex. Occup. OUTLETS (RESIDJEA.1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): EV—The permit is for $100.00 (valuation) or less. ❑ 1 have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement,should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue agai st said County i c nsequence of the granting of this permit. (' \) Date ���� `�� Signatu\Aw of Applicant — Owner Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ Occup. CONST.TY scNooLJ FLOOD PARCEL I PD I ND I ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date Receipt Nony� ;Z;;7 WNITE-O.P.W., YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT ' .'..�...,, , ..•�,t _ZCtiSj'�tti�- '•'C,a' ;`'v„ *iii `�''t.. ., r.Ilk r -,COUNTY OF BUTTE - DEPARTMENT OF;PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLEl.CACIF,6 NIA 95965 - TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET OWNER Proposed Building Use V Permit No. /A. P. No T-E� V____/� Building Inspector Date �� ` j 4-7 i At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted. . . . . . . . . . . . 2. Plot plans in duplicate/triplicate, signed by preparer of plans. _ 3. Complete plans in duplicate/triplicate, signed by preparer of plans. 4. Complete engineered plans and calcs, with wet signature on plans. 5. Plans with Energy Design Compliance Statement. . . . . . 6. School District "Fees Paid" Stamp on Floor Plan. 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ . . . . . . . . 9. Letter of signature authorization. . . . . . . . . . . 10. Sanitation approval from _ Health Dept. . . 11. Planning approval for (A) Use: (B) Parking: . �12. Certificate of Workmen's Compensation Insurance. . . . . . 13. Contractors lf-icense Information (no., name style, classif.) —14. Owner -Builder Verification (Given to owner 0, Mail to owner ❑ ) _..._15. Improvements may be required. . . . . . . . . . . 16. Mobilehome Installation Data. . . . . . . . . . . Pr -I. request 17. Pre -Inspection fore'_.. _ _..._._. _ Required- BueldingeInspector to 18. Recorded copy of Agricultural Acknowledgment Statement, 19. Driveway Permit. _ 20. Plot plan approval from city of_ 21. 22. `When you issue the permit, process as follows: Mail to owner; Mail to contractor- Telephone�%J�/� and hold for pickup office, Deliver w/inspector. Other ate) Copy of plans sent Health,Dept.; Fire Dept., Other Date The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1- Index permit for above items No. 2_ Adr itinnal items renuired- Contractor, designer, owner, was advised of above required data by_phone---nail—counter by date Contractor, designer, owner, was advised c? above required data by—phone —mai l—counter by date Plans checked by Copy—DPW Date Plans approved by Sets of plans on hold in File cabinet AP folder Date 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 (.yes or no) L 2. I (have/have not) )!2,, Y--, 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 Own Social Security Num er 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. COUNTY CIF* BUM OFFICIAL RECEIPT' N? 03079 DrpARTMSMT'I9GVTNG RECEIPT ZZA., Received fr Om tw The Sum of For .qemived: CASH CHECK Received By Title By c. �i orbic/ loAJ 16 V � . File No. BUTTE COUNTY (For Action 1, 2, 3) Public Works Dept, (For Information te Director Dep. Dir. Sec. Rd. & Br. Mtce. Shop & Yards Bldg. Insp. Admin. 1-10 Design Engr. Bridge Engr. Constr. Engr. Surveys Mopping Transp. Land Dev. Drng. /S.I. Sub.& P 1. Mops Permiti Addr. r r s 1 x 6N -C - C -cc:-�_ a I li f I 11 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 AGRICULTURAL BUILDING EXEMPTION PERMIT Ii qO.ERMIT N l' Agricultural building is defined as follows: Agricultural building is a structure designed and constructed to house farm implements, hay, grain, poultry, livestock, or other horticulutral products. This structure shall not be a place of human habitation or a place of employment where agricultural products are processed, treated, or packaged, nor shall it be a place used by the public. ASSESSOR PARCEL NO. ZONING OWNER PHONE NO. OWNER'S AD RESS LOCATION OF BUILDING 3 v USE OF BUILDING K V Fri It, 4liZC-E coo c� SIZE OF STRUCTURE x -SQ. FT. TYPE OF CONSTRUCTION: WOOD FRAME STEELCONCRETE OTHER (Specify) TYPE OF SIDING ROOF COVERING FLOOR TYPE ESTIMATED COST 0 CONSTRUCTION AG Buildings shall comply with the building front, side, and rear yard requirements of the applicable County Ordinances as follows:/� /_FRONT `�I�---�.�-- 6 / SIDES �,, REAR AG Buildings shall be a minimum of five (5) feet from any septic tank or leach fields. AG Buildings less than 1000 sq. ft. in floor area shall be located a minimum of 6 feet from a residence, 10 feet from a mobilehome, and 23 feet from a commercial building. AG Buildings greater than 1000 sq. ft. in floor area shall be located a minimum of 23 feet from a residence and a mobilehome, and 40 feet from a commercial building. I declare under penalty of perjury that the building will be used as stated above and the proposed use conforms with the AG Building definition. If any change in use or occupancy of the building is made, I will contact the Department of Public Works and will obtain any necessary permits, inspections, and approvals to comply with the requirements in effect at that time and before occupancy. Date 1_2 - 2 —S?!] Signature of Own di Permit Fee - $25.00 The above described AG Building is exempt from a building permit. Receipt No. ���� Director of Public Works By Date White - DPW, Yellow - Assessor, Pink - B.1., Goldenrod - Applicant eount* q Our OROVILLE, CALIFORNIA GENERAL CLAIM CLAIMANT: Claudia Johnston ADDRESS: 1345 Marian Ave. CITY & STATE: Chico, CA 959?8 IMPORTANT: SEE INSTRUCTIONS December 9. 1987 DATE OF CLAIM: ON REVERSE SIDE SUBMIT CLAIM TO DEPARTMENT RECEIVING GOODS OR SERVICES DATE DESCRIPTION OF CLAIM (DESCRIBE FULLY TO AVOID DELAY) AMOUNT Owner has decided not to do work. (Bldg Permit Appin. #3875-87P, Receipt #03079, dated 11/30/87', A.P. #39-36-09). Total permit fees paid -------------------------- $30.00 Retain filing fee------------------------------- 10.00 Refunddue----------------------------------------------- TOTAL $20.00 I, the undersigned, declare under penalty of perjury that the services or articles claimed have been performed or delivered, and that this claim Is true and correct as stated. p ,1 ^� 1 �° Dated this ........�....... day of 19�.-.{.. et� �1r�.. Ca --1 j T� S! ature of Clai t I, the undersigned, hereby certify that. to the best of my knowledge, the services or articles specified above have been performed or de- livered and that there is a Budget Appropriation y❑,, or Specific Board Approval 0 (Check one) f e as Dated this ............. 9t 1............. day of ...P.§. .4JAb.Qr... 19 ... Vat ...Qrsxil.le.... Cell(. .. ........ .. .... . .. .................................................. Department Head or Auth d D eputy Dept. E:p. Code ..............�AidQ-QQ2........ Code..............42.10500.............PAYABLE FROM ............... Const......Pesiu%ts................................. FUND DO NOT WRITE BELOW THIS LINE _ AUDITOR'S USE ONLY DEPT. & SUB. PROJ. SUB. OBJ. CLAIM NO. INV. NO. INV. DATE ENCUMB. GROSS AMT. 039-360-009=F p2-3032 RICHTER, TODD , ° 1345 MARIAN AVE., CHICO RE -ROOF ° `" I, 1 . :i r,. ,r 0 COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (530) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT 02-3032 C ASSESSOR PARCEL NUMBER 039-360-(M ZONING 51..1 BUILDING PERMIT OWNER Todd Rinhtpr TELEPHONE 11443-1831 SO. FT. OCC. BUILDING VALUATION OWNERS MAIUNG ADDRESS .. 1345 Marian Aim WhilLo CA 95928 30 so 1800.00 CONTRACTOR'S NAME owner TELEPHONE " CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ 1800.00 ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 41.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 1345 Marisa AVe Chico CA 95928 Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: Re -roof Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G W @20.00 PERMIT FEE $ ' ELECTRICAL PERMIT Fling Fee 20.00 Main Service zoOA OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.PSING 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 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 forthwith comply with those provisions. ,�y Date /D z / X / i�j Signature of Applicant - Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over stories in height. ^ Main Service 200A TO 1000A 46.00 NEW CONST. DWELIJNG OCCUR so OR ADONS. ( a ACC. BLDS. 3.5¢FT; No..ESIDT' MULTI.OUTLET @7.50 OWELEPPARATUS a R AOUTLET CIR. 20 p 1.00 EX. OCCU OUTLET OR FIXTURES BAL @ .50 Ex. Occup. ourLETsFIXED APPRESIDLNS. . OER 0. 1 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirina 23.00 PERMIT FEE $ MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ 61.00 HAZ. I D. FEES IMP I FLOOD I CD F PARCEL PD HD ISSUE This permit is hereby issued under the applicable provisions in the Butte &Ounty Code and/or Resolutions to do work indicated ebo((,ie for which fees have been paid. (� V By /. Date PERMIT EXPIRES ON t d1 L t✓ Date Receipt No. i • WHITE-D.D.S.-B.D. CANARY=ASSESSOR r PINK -INSPECTOR OLDENROD-APPLICANT SR&.12/96) z�tOUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive Oroville, California 95965 • Telephone (530) 538-7541 APPLICATION AND PERMIT 02-3032 PERMIT N0. ASSESSOR PARCELNUMBER 039_1i;0_009 ZONING VIP BUILDING PERMIT OWNER Todd Richtpr TEL90AME SO. FT. OCC. BUILDING VALUATION . OWNER'S MAILING ADDRESS 2345 Marian Ave Chico CA 95928 30 sq 1800.00 CONTRACTORS NAME owner TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ 1800.0 ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 41.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 1 345 Mari Marian AVe Chico CA 95928 Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: Re -roof Gas piping sy2tem 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home ISI G1 W1 @20.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 800V R LE Main Service 200A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License L w for the following reason: I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permitis 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 f I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. .�^ X / p� Date /� 2% Signature of Applicant -A Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 storiep i height. Receipt No. ° WHITE-D.D.S.-B.D. CANARV-ASSESS R PINK -INSPECTOR GOLDENROD -APPLICANT Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUP. SO OR ADDNS. & ACC. BLDS. 3.5¢FT. =REOSI.T MULTI-OCUTLEi 97,50 8SIPONGWERLE APPARATUS OUTLET CIR. 20 @ 1.00 Ex. Occup. ourLEr OR FDcruREs SAL @ .50 Ex. Occup. oFlxuT,E�°TSA AEs ).1 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ Occ C0NST. TV PE TOTAL FEE $ HAZ. D. FEES IMP FLOOD CDF PARCEL PD HD ISSUE This permit is hereby issued under the applicable provisions of the Butte unty Coil nd/or Resolutions to do work indicated ab a for wh'Eh fes have been paid. By� Date PERMIT EXPIRES ON Date E A setback of 5 ft. from the property lines and.a setback of 50ft. frorn, the road conterline shall be clear of structures or equipinent 0 for a 2 ft.; eave overhang. `VI, v T- I e A- — — herrn STATE Mm T SMAL ENERGY REQUIRDAPM for Aft bL Of ------- I -q-0 ...... sq. ff..A Degree Days, and .... Design Tp,-!-, Insulation: G!az:--g: Slab edge - - - - - - Fdn. Walls - - - - - - P sq. 't. Flaz,s - - - - - - - - z---------- f t . walis - - - - - - - - P LEO Ceiling/Roof R—Iq,00 Vu, IIJr Circulating pipes -ktw IN t,% u J Ducts Table 10-D WM.C. NOTE -.—AD Materials & Workmanship S.�c:jl n ve ---- Accordance with r,2 cs arV4 Hfg. & A.C.: Exha�,-J Fans T Type of a qualify prescri'i,2c: -% —- Gas Nois Use in the BTU Max. Uniform Building, Plumbing Mechaniccl Codes and Wfr. Hfr. Type pr) F All Appliances cerfifilk!" fhe National Electrical Code. O+her: ved-C 0'. /10 J 00 elejytc. 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