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040-110-040
40-11-40 L James Robertson �%"�/ q® SIS Garden Rd.,app.250 Wof Esquon Rd., lot 92, Durham contr: Champion Const:, Chico Permit #789-78B,E(conv.garage to -.family room & bedroom/SF) r 40-1.1.-40 Per mit#3128-80P(inst. new ;gas.)line for iln). SF� 040-110-040 02-2928 ROBERTSON, JIM 1619 GARDEN RD., DURHAM CONT: GREENE &r SON ROOFING � RE -ROOF l���3 I �-7I d (p 040-110-040 OS -0971 I WEILER 1619 GARDEN RD, DURHAM Cont: REDDICK, DAN ADD/SF a- 03� �- ����Ci S 601 &(i r � . i �'-.,,w,I •r —•r,� � . n __ — _ _ Y. � . \•• -- � -sr. .. ... .v r�-YM�y.-syr-�r.y,,ea, r 040-110-040 4 02 2928 ROBERTSON' J'W4' .. 1019 GARDEIV,RD., DURHAM CONT: GREENE & SON ROOFING 11 1�E-ROOF , J � • � f . a , b. ti 1 f r T } } f COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 n7� IT N6'/ (Rev. 12/96) APPLICATION AND PERMIT <. (/G . L` n ASSESSOR PARCEL NUMBER O a 0. O . Oq O ZONING BUILDINGPERMIT OWNER O ��Ir iA. i TELEPHONE ..��� S•O. FT. OCC. B ILD G VALU TION OWNERS MAI AD KESS �(t CONTRACTOR'S, NAME Uveeet )c f, ri 1011 TEL E► QNE CO TORS MA DRESS U (I CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. —Fling Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS &p 111 �jr� �G/� j? 1 • �. jA4 y) 64 Energy Plan Checking Fee $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.0023.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Solar or heat um water heater Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other /❑ ! Describe Work: I `C C( r Q� ('UCl i �'`( l�0+/"'1 C .) Gas piping system 1 - 5 outlets 15.00 Buildingsewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE $ J ELECTRICAL PERMIT Filing Fee 20.00 800R LESS Main Service 2001 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. w� +� /� I License Class ` 5Z? Lic. No. G /(/� 7 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. "p-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 e Policy Number�/ r rX>FJZ 3dJ (The above sections en ed 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. X/jl�a e_� _ Date /U -- t V Signature of Applicant - ❑Owner ❑Contractor ❑Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. Main Service 2001 TO lOooA 46.00 NEW CONST. DW EWNG OCCUP. so OR ADDNS. ( a ACC. S.3.5¢FT, rNio REOSID. T.MULTI-OUTLET 97.50 POWER/P=US a SINGLE OLlTLEf CIR. 20 .00 EX. Occup. OUTLET OR FDRURES SAL @ I .50 FILED APPLNS. OR Ex. Occup. p.� .a. EA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirina 23.00 PERMIT FEE S MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation r PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ S9. 00 HAZ. p, FEES IMP FLOOD F CDEL PARC Pp HD ISSUE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees h ve )) / l. • By PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. (l Date fi) . 7 • (� IU-z1I- �a- Date ReceiptNo. (c �% i0 ')—% y. � WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT e N;�U W I LLDAN Serving Public Agencies June 24, 2005 Scott Rutherford Butte County Building Department 7 County Center Drive Oroville, CA 95965 Tel: (530) 538-7169 Fax: (530) 538-2140 117 C Street Marysville, California 95901 530/749.2373 fax 530/749.2199 www.wilidan.com COUNTY OF BUTTE PLAN REVIEW Status: APPROVED Willdan Project No: 14353-1564 Jurisdiction Job No: 05-0971 Assessor's Parcel No: 040-110-040 Applicant: Julie Weiler Description: Weiler - Bdrm/Kitchen/Cov Addition Dear Mr. Rutherford: Willdan has completed a plan review of submitted plans and documents for the above referenced project and recommends your approval with the conditions noted on the 2nd page of this letter. The revisions were in response to a previous plan review and comments listed in our letter dated May 18, 2005. The plans and documents provided for this review that have been found in compliance with the applicable codes are: • Plans: Two (2) copies, sheet 1 revision dated 3/30/05, sheets 2fand6 revision dated 5/31/05, sheets 3 and 5 revision dated 6/4/05, by T. Chase. • Structural Calculations: Two (2) copies sheets cover through13 dated 12/04, by Vertical Technology Engineering." • Truss Calculations: Two (2) copies dated 6/17/04, by Longfellow Lumber Co., Inc. o • Energy Calculations: Two (2) copies dated 01/31/05, by Martin Runnels. • Miscellaneous Documents: Two (2) copies Flood Plain Declaration. The plans have been stamped with the Willdan approval stamp and dated the date of this letter. According to our previous letters relating to this project, the superseded plans and documents will be discarded. within 10 days unless we receive other instructions. On the pages to follow is the identification of the codes and standards applicable to the 1.project, a code analysis, conditions -of -approval and identification of any deferred submittals. i i , ,NJY W I LLDAN Serving Public Agencies APPLICABLE CODES Unless noted otherwise, all comments are based on requirements of the 2001 California Building Standards Code found in the California Code of Regulations, Title 24: • Part 2, known as the California Building Code and abbreviated herein as "CBC." • Part 3, known as the California Electrical Code and abbreviated herein as "CEC." • Part 4, known as the California Mechanical Code and abbreviated herein as "CMC." • Part 5, known as the California Plumbing Code and abbreviated herein as "CPC." • Part 6, known as the California Energy Code, and Energy Commission Standards, and abbreviated herein as "CECS." CODE ANALYSIS Our plan review revealed the following information regarding the occupancy designation, .type of construction, and other pertinent features. The square footage of the covered porch area is not consistent with that shown on the permit application. Butte County may recalculate the building permit fee based on this new information. Specific Use Type of Occupancy Type of Construction ls` Floor Sprinklers Stories Sq Ft 2 "d Floor Sq Ft Total Sq Ft i Addition R-3 V -N No 1 386 NA 386 Covered Porch R-3 V -N No 1 222 NA 222 CONDITIONS OF APPROVAL 1. Approval is contingent upon the review, requirements and approval of other departments and/or agencies that have jurisdiction over this project. 2. Revisions and/or notes as red -tined on the plans. DEFERRED SUBMITTALS Our plan review reveals no deferred submittals noted at this time. SPECIAL INSPECTION NEEDS Our plan review reveals no special inspection needs pursuant to CBC 1701. Sincerely, Michael LeBeau Ricardo Guzman, S.E. Plans Examiner Structural Plan Check Engineer Cc: Alice Mefford, Email: amefford@buttecounty.net Mike Hubley, S.E., Fax: (530) 899-1102, Email: vertech@sbcglobal.net Tom Chase, 4378 Myvalli Drive, Butte Valley, CA 95965 Julie Weiler, 3158 Coranado Road, Chico, CA 95973 Page 2 of 2 Wi.11dan 14353-1564-PC2F Butte County 05-0971 II BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 PERMIT NO. 1-1111111114111 B. C. Building Permit 01-16-04 pg 1 LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date: 07/28/2005 APN: 040-110-040-000 the Business and Professions Code, and my license is in full force and effect. License Class : License Number: Site Address: 1619 GARDEN RD DUR Date: Contractor: Map Index: Description: SF ADDITION TO M -BEDROOM & KITCHEN p OWNER -BUILDER DECLARATION I hereby affirm under penally of perjury that I am exempt from the 386 SQ. FT. & COV. P. 222 SQ. FT. 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 Owner: JULIE WEILER signed statement that he or she is licensed pursuant to the provisions of 3158 CORONADO RD 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 CHICO CA she is exempt therefrom and the basis for the alleged exemption. Any 95973 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).): (530) 893-9073 ❑ 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 Applicant: JULIE WEILER such work himself or herself or through his or her own employees, 3158 CORONADO RD provided that such improvements are not intended or offered for CHICO CA sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of 95973 proving that he or she did not build or improve for the purpose of (530) 893-9073 sale.). I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed Contractor: REDDICK CONSTRUCTION COMPANY pursuant to the Contractors' State License Law.). ❑ 1 am Exempt under Article 3 of the Business a d Professions Code P.O. BOX 337 (� A (� r n �� N w SUSANVILLE CA Date: Owner: �} 96130 (530) 257-5908 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 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: 608 S.F. I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, Valuation: $28,642.00 Census Code: 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: Z , rD 5 `r �/ 1 Applicant: WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY This permit is her y issued under th icable ovisio of the Butte County Code and/or I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec 3097 Civ.) Resolutions to work indicated abo for which es h e been paid. �r -� r -D Name: By: Date: 7;7-2 61( Address: PERMIT EXPI ES ON: Date ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. Cl 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 state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby authorize representatives of Butte County to enter upon the above mentioned for inspectionarposses.� property - • f /Z°Y Print Name: !i(6 e-1 Signature: Date: -7 Zg ( 05� ' & wner ❑ Contractor ❑ Agent for Owner ❑ Agent for Contractor B. C. Building Permit 01-16-04 pg 1 BUTTE COUNTY O DEPARTMENT OF DEVELOPMENT SERVICES o BUILDING PERMIT APPLICATION o . AND SUBMITTAL REQUIREMENTS O 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 o OFFICE #: (530) 538-7541 A FEE WILL BE REO UIRED AT TIME OF APPLICA TION c� 6� �N Website: www.buttecounty.net/dds 3`�o �, /) �57 cI c' **PLEASE PRINT CLEARLY � * � OWNER III N me irst Nama ddress • ��-� C°Df City f• State _ S Fax Phone 2n 3 6 70 E-mail APPLICANT NAME CONTRACTOR Name Address /` 23-7 dd& City �213all �l U Stateea/ Zip 0�1-30 Phone Zip Fax E-mail Fax Lic. # Class APPLICANT NAME ARCHITECT/ENGINEER Name City Address Zip City / / State Zip Phone Map Book Fax E,mair+ Planner State License Number APPLICANT NAME Name Address City State Zip Phone Fax E-mail APPLICANT SIGNATURE For office use only: Zoning I A—InFlood Zone r._-��I SRA Yes No Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown of the time of permit issuance. Subdivision Name Map Book Pager" Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc Page i of 2 PERMIT �+ A 6q r7I BP BIN. # LOCATION AP# l D. Property Address, Ci rh Cross Street Lo TT - WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown of the time of permit issuance. LENDING AGENCY Name Address Desc ' tion or Scope of Work: A I I,/, i- I— n e Sq. ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be required. REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. (vIry0:• Received�b Amount: F Bldg %9 ' Receipt #: �p 1�1 -_ - _ _ _ Sheriff- - 7---- C - - SMIP Date- Other Total REV 7-27-04 SUBMITTAL &PERMIT REQUIREMENTS The following drawings and specifications must be submitted to the Building Division in ordera p rmit. 1NCOMPLET UBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLEAi yTor a IN INK. �1. ite plan '3 r 4 sets, signed by the preparer of the plans. No graph paper! �` ,` R ete plans, 34 sets, signed by the preparer of the plans (No graph paper!) OR Engineered plans, � or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. , 11% 3. En ineered uss a etails and layouts in duplicate (if required). No faxes! Cp' 4 nerg mpliance design and supporting documentation in duplicate. (Note: Not required for additions to mobile or modular ho ❑ 5. StatemeNon-heated) and A/C for Non -Residential Buildings. a ❑ 6. Manufactured homes: (A) Data sheets and installation,inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. ❑ 7. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate (if required). ❑ 9. Site plan and business license approval from the City of Biggs. ❑ 10. Letter of intent for non-residential buildings. ❑ 11. Detached Accessory Building Form filled out by the owner (if required). Cf 0 12. Hazardous Material Form (for Commercial Buildings only). 13. Sanitation and site plan approval from the Environmental Health Department. Remaining items needed to issue the permit. Additional items may be required after Plan Check and Planning review (May require additional plan review upon receipt of the following items.) ❑ 1. Agricultural Buffer clearance and site plan approval from the Ag Commissioner's office (if required). ❑ 2. Impact Fees. ❑ 3. California Department of Forestry plan approval (if required). ❑ 4. NPDES Form. ❑ 5. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). El 6, Contractor's license information. (Number, Name Style, Classification). ❑ 7. Worker's Compensation Carrier and Policy Number. ❑ 8. Owner -Builder Verification (if required). ❑ 9. Letter of Signature authorization (if required). ❑ 10. Recorded copy of Agricultural Acknowledgment Statement. ❑ 11. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner (for 433A's). If you have questions or would like additional information regarding this process, contact a Permit Application Assistant at (530)538-7541. EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after date of application. In order to renew action on an application after expiration, a new application, plans and fees will be required. REQUEST FOR FEE REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made within two years from the date of fee payment on permits not issued, and two years from the date of permit issuance for permits issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan - -- ----- - ------ --- - check ---- fees for work plan checked and other department costs are not refundable. - OVER FOR BUILDING PERMIT APPLICATION K:\FORMSSUILDING F0RMS\131dgApp1SubRgmts.doc Page 2 of 2 REV 7-27-04 Butte County Department of Development Services YVONNE CHRISTOPHER, DIRECTOR ILT1fxI _ T �OTrF 00 I , 00 0 _ o o = - 0 c�UN�y Scott Rutherford (530) 538-7160 srutherford(ftuttecountv.net Plans Transmittal For Review Per Contract 4/15/2005 Applicant: lWeiler, Julie Permit No: 05-0971 Project Type: Adn Bdrm/Kitchen/Cov APN: 040-110-040 100% 70% Plan Check Fees $ 340.94 $ 238.66 $ 340.94 $ 238.66 WILLDAN Fee $ 238.66 Copies Attached: Qty Chk Application Site Plan Review FEMA Elevation Certificate Building Plans Truss Calculations Energy Calculations Structural Calculations Residential Plan Review Guide Residential Construction Requirements Other Other 7 County Center Drive Oroville, CA 95965 (530) 538.7601 Telephone (530) 538.7785 Facsimile O TO: ' FROM: 1 SUBJECT: O � DATE: ILT1fxI _ T �OTrF 00 I , 00 0 _ o o = - 0 c�UN�y Scott Rutherford (530) 538-7160 srutherford(ftuttecountv.net Plans Transmittal For Review Per Contract 4/15/2005 Applicant: lWeiler, Julie Permit No: 05-0971 Project Type: Adn Bdrm/Kitchen/Cov APN: 040-110-040 100% 70% Plan Check Fees $ 340.94 $ 238.66 $ 340.94 $ 238.66 WILLDAN Fee $ 238.66 Copies Attached: Qty Chk Application Site Plan Review FEMA Elevation Certificate Building Plans Truss Calculations Energy Calculations Structural Calculations Residential Plan Review Guide Residential Construction Requirements Other Other Aer5aq�iCOUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES-BUILDIDIVISION 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET OWNER: 1.or�(j// ASSESSOR PARCEL NUMBER ( IV f llU A(J�jD Proposed Building Use: Permit Technician: Date: Items required in order to apply for a permit. All boxes MUST be checked OR marked NA in order to apply. 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. ` ❑ 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. 4. Engineered truss details and layouts in duplicate. No faxes! 0 5. Letter from Engineer or Architect for truss design review. 6. Energy compliance design and supporting documentation in duplicate. ❑ 7. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 8. Manufactured homes: (A) Installation manual, including marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. ❑ 9. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate.V t ;Pa('4 Twlar LtT/U/7 ❑ 11. Letter of intent for non-residential buildings ❑ 12. Hazardous Material Form ❑ 13. Acknowledgement of building permit application without required clearances. ❑ 14. Other Remaining items needed to issue the permit. (May require additional plan review upon rece�ipt of the following items.) 15. Sanitation and site plan approval from the Environmental Health Department in IKhico ❑ Oroville, as applicable ❑ 16. Fire Sprinklers............................................................................................ ❑ 17. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by ❑ 18. Soils Report and/or Engineered Foundation required ........................................... ❑ a. Erosion Control Plan Required........................................................................ l� 20. ees as shown on the attached Schedule of Fees Due Sheet .............................. ❑ T. City of Chico Plumbing permit........................................................................ ❑ 22. Site plan and business license approval from the City of Biggs .............................. ❑ 23. California Department of Forestry plan approval ❑ paid. Sent by: `` 24. tanning approval for (A) Use: (B)Parking: (C) Parcel Check: .... V.. a-7 �5 o Contact Land Development about _ Improvements, _ Drainage ........................ 26. NPDES Form............................................................................................. ❑ 27. Encroachment Permit for driveway from the Public Works Dept ........................... 28. Contractor's license information. (Number, Name Style, Classification) ................... 29. Worker's Compensation Carrier and Policy Number .......................................... ❑ 30. Owner -Builder Verification ( _ Given to owner, _Mailed to owner) ..................... ❑ 31. Letter of Signature authorization.................................................................... ❑ 32. Recorded copy of Agricultural Acknowledgment Statement ................................. ❑ 33. Existing violations and/or expired permits......................................................... ❑ 34. Deed Restriction.......................................................................................... ❑ 35. El description, ❑ M.H. Title, title search, registration or MCO ......................... ❑ 36. Other: ❑ 37. Other: When issued Telephonq� -�� ame and hold for pickup. I have been 'nformed of the above items adrequiremen s for obtaining a building permit. Applicant: �� .Q / Date: 1. Index permit application for the above items numbered: Plan Check Letter 2. Additional items reauired i % / Contractor, desig r, owne 'was advised of the above data by Vphone, ❑mail, ❑counter, b Date: Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Plans reviewed by: Date: Plans approved by: Date: Structural reviewe b Date: Structural approved by: Date: Note transfer by: Date: Yellow: Building Division % s `E.H. USE ONLY Piot Plan Attached 1/ Floor Plan Attached �— Sent to B.Dr- � TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance Owner Location AP# Plan Approved for Cleara Sewage Disposal yl dwellina_ Other Water Supply: Public Private Well Hold final for: Final clearance O.K. for: NOTE: F.*TID � v mental Health Specialist Date COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES — BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE, CA 95965 PHONE "(530)538-7541, FAX (530)538-2140 SCHEDULE OF RECEIPT OF FEES Website: www.buttecounty.net/dds OWNER kri A.P. # dcJ&�go PROPROSED BUILDING USE / (/ !) I7/i DATE" (�> �/f✓r RECEIPT # DATE REC. _*l . BUILDING PERMIT FEES / / \� q b r(�� --- Balance Due ..................... $ --- FEMA Flood elevation review ... $ -- Q - Additional plan checking Fee.... $ V'\ 2. SCHOOL DISTRICT FEES 7-2$' 05 Kb (paid at School District Office) (form -available after Plan Check) 3. SHERIFF FEES (paid at Building Division) Residential............ X $360.00 =$ Units Commercial (sq. ftg.). X $0.03 = $ Sq.Ftg. 4. RECREATION DISTRICT FEES �V2� (paid at Recreation District Office) (form available after Plan heck) 5. RESIDENTIAL DEVELOPMENT IMPACT FEES COUNTY WIDE (per dwelling) $ CHICO URBAN AREA (per dwelling) $ EL MEDIO FIRE DISTRICT (per dwelling) $ NORTH CHICO SPECIFIC PLAN (per. dwelling) Zoning 6. SRA FIRE INSPECTION AND PLAN CHECK FEE $204.98 (paid at Building Division) 7. WATER TENDER FEES BATTALION #� $200.00 (paid at Building Division) (�` f n 8. SMIP `N' G (� �� \� (U`1 6 9. OTHER 10. OTHER 11. OTHER At time of permit application, I was advised the above fees are required to be paid prior to issuance of the permit. These fees may be change ring t e plan checkin ocess. 9 � APPLICAN DATE Pursuant to Government Code Section 66020, you are hereby notified that items, 2, 3, 4, 5, 6, 8, 9, and 10 above may have been imposed on your project. You have 90 days from the date of approval of the project or from the imposition of the above mentioned items during which you may protest. The requirements for a protest are specified in Government Code Section 66020(a). Original -Building Division Yellow -Applicant Pink -Owner (rev. 3/05) p6p���r O i 6UTTF ° o J C 0 N1 CLIC Department .0 o u n t J. Michael Crump, Director of Public ® f B u t VV o r k s LAND DEVELOPMENT DIVISION Storm Water Management Program 7 County Center Drive Oroville, CA 95965 (5.30) 538.7266 (FAX) 538-7171 National Pollutant Discharge Elimination System (NPDES) Phase li Construction Storrs Dater Permit and Stores Water Pollution Prevention Plan (SWPPP) Acknowiledgernent 6LESS THAN I AGRgl Project Description: Project Location and/or Parcel Number: , — /9 - A 46 By signing below, I, the project owner/owner's agent, certify that this project WILL NOT DISTURB 1 acre -or more.of land and that I, therefore, do not need to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board. Phased projects that contain multiple site build -outs of less than one acre but when combined with subsequent phases total more than one acre of disturbed soil will require a Construction Storm Water Permit from the State of California Regional Water Quality Control Board. I am aware that submitting false and/or inaccurate information or failure to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board for a project that disturbs one acre or more of land may result in revocation of grading and/or other permits or other sanctions provided by law. Signed: Title: 1 Date: Less than 1 Acre NPDES & SWPPP Compliance Certification Butte County Storm Water Management Program . ;0'0V"!ERGY CALCULATION SERVICESuditing, Anaiysis andDocumentation A L L Y CEC Certified Energy Plans Examiner- RES91-1006 / NR -91-1002-C, HERS Analysts - RD%FmHa Auditors - Member of RRHA of Texas Ref. - Title 24 energy calculations for your RESIDENTIAL project. To Whom It May Concern: Provided in this package, are three sets of energy documents. Two of these sets are for submittal to the building department. One set, the paper clipped original, is your file copy. This original may be reproduced as necessary to facilitate completion of the project at the address contained within the documents. Please be sure to sign these energy calculations on page 3 of the CF-lr forms where indicated. Read the signature requirements and determine who is most qualified, or willing to accept responsibility as explained in the paragraph above the signature block. A "Mandatory Measures" checklist is contained within the energy documents. These requirements pertain to all construction and should be considered minimum code requirements. Any specific increases in efficiencies noted in the Title -24 Energy . Documentation supercede "Mandatory Measures". Energy features that must be incorporated into this structure are indicated on the summary sheet attached, by paperclip, to one set of the energy calculations. This information should be copied and presented to all sub -contractors to ensure proper installation of these energy features per Title -24 requirements. Any questions will be gladly answered. If I may be of any assistance, now, or in the future, please don't hesitate to call. Thank you for your business. Marty Runnells, C.E.P.E. Energy Calculation Services 574 Manzanita Ave; Suite 9 Chico CA 95926 ecs@energyguru.com 877 /530.894.8466 tel. Est. 1989 530.894.3422 fax. q° . to BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One form per Building) School District Do 17- 4Ayv\ A.P. Number eL —110 - 0110 Jurisdiction: = city Building Department No.Po� County Property Owner iv L=/ L L�2 ,J Property Location/Address 16 1 d i #/ v PO • Subdivision Lot No. Residential Development Q Q .......................... .................................... ...................................... Q No of Living Mobile Home Addition/ 'Supplemental to Units Installation Conversion Permit # :.................................................................................................... *(No foundation Inspection) Commercial/Industrial Q . Q New Addition Representative Sq. Footage (Group R) Deed Restricted Sq. Footage (Attach a signed copy of Deed Restriction and Notice of Limited Use Facility document) Sq. Footage Date (Including Exterior Roofed Areas) "'7-�y-off. District Identification No. A -Z i /7'V /JC.�. C �i� School District certifies that � (p (Applicant) (Street has complied with the requirements of Resolution No. ,' R6 square feet. - 9t) 7--3 (Phone Number) (State) oz/—/ Z' by payment of $ -0 2926 $ FULL MrIGATION $ 71 Ei�D.S Date. Paid by Check A n./ //7 Remarks: �C �tv� ✓ " J r MAW@: You may protest the imposition of the fess identified above by submitting a written protest to the District, In compliance with Government Code Section 66020(a), within 90 days from the dab fess are paid. Failure to submit a timely written protest wlii'prohibit you from challenging the Imposition of the fess in any court action. ff. subsequent to the School District Representatlw signing this Butte County Schools Impact Fes CertMption Form, the School District Is irofilled by the applicable Local Planning Agency that this project Is being revise ed under the California Environmental Quality Ad (CEQA), this projed may be subject to additional school fess to fully millgate its Impact on the school dWbIces schools. White (applicant), Yellow (building department), Pink (school district) feeforn.xis 00/03)dmm yJ 20 1 v7-ivEy , BUTTE COUNTY ]DEVELOPMENT FEE CERTIFICATION FORM 0 FEATHER RIVER RECREATION AND PARK DISTRICT (FRRPD) ❑ CHICO AREA RECREATION AND PARK DISTRICT (CARD) 0 PARADISE RECREATION AND PARK DISTRICT (PRPD) DURHAM RECREATION AND PARK DISTRICT (DRPD) Assessor Parcel Number (s) G yO ^ Building Permit Number 7/ Property Owner (s) Project. Location /Address 6At"�C'-e\J Subdivision Name Assessable Sq. Ftge ap Type of Residential Development (check one) New Development Single Family -Detached Single Family-Attached ration/Addition(s) Non -Residential to Residential Multi -Family Dwelling Mobile home Mobile home replacement verified by Assessor Department Demo Permit (date issued ) verified by Building Department Comments: Buildin epartment Representative Date ❑ FRRPD ❑ CARD ❑ PRPD ❑ DRPD certifies that: lwu -P, \N P 1 5 9 3 _q0_1_3 ADDlicant Name Phone Number Mailing City Has complied with requirements of the Butte County Board of Supervisors Resolution No. by Payment of: Dwelling Units @ $ Square Feet @ $ _ per unit for a total of $ per sq foot for a total of $ Remarks: Nn �-e-e_ beCaLk� lknd e ' 15 on e,, �sA —Fe. Paid by Check No: Paid by Cash: Receipt No: and Park fn rev IAA g5g3 Zip Department of Development Services Building Division 7 County Center Drive Oroville, CA 95965 (530) 538-7541 (530) 538-2140 FAX FLOOD PLAIN DECLARATION I declare the actual value of the proposed construction work under building permit application number:. Q at the location ofA(/%1�?VQ0.( Assessor's Parcel Number: NO, `/© - 0 /-6 for the construction of an addition for c5 does not equal or exceed the definition of "Substantial Improvement* ". I am aware the building site is in a flood plain area, even though I am not required to comply with the flood plain management criteria. Property Owner: Liu ,�/p_a w Phone Number: 7 3 Date: * Substantial improvement is defined as follows: Any repair, reconstruction, or improvement of a structure, the cost equals or exceeds 50% of the market value of the structure either, (a) before improvement or repair is started or (b) if the structure has been damaged, and is being restored, before damage occurred. Note: If improvement percentage equals or exceeds 40%, an appraisal is required on the existing building. Submit appraisal documents prepared by a certified appraiser. A new improvement percentage will be calculated. If improvement percentage exceeds 50%, a substantial improvement exists. COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 ioU �� (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER �(� O , 041 C) ZONING BUILDINGPERMIT OWNER �I TE/��HwO IX _ SQ. FT. OCC- B ILD02 VALU TION OWNER'S AD SS 1 YT I CONfRAflT%O�R)'S�(JA/MSE A _ y1 G//MA��NIN N 0 /_ )D� CO a TvJV'`5/ / (� J "/,1 DR(EJS�S, ��f /1 ✓ e CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ?�51_ co ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS ` I ^ ^__ � Energy Plan Checking Fee $ PERMIT FEE $ cj 100 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing 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 ❑ .�Reemodel ❑ Util�Ibes1 ❑/ Installation ❑ Other /❑ Describe /� 1 &e- o -W Oii � CL 1 ��-� � �Work: w/ COYn��(M S Gas piping system 1 - 5 outlets 15.00 Buildin sewer 15.00 Mobile Home S G W @20.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 600VMain Service .0. 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 force and effect.POWEPPARATUS License Class — 5q Lic. No.%✓�" -D� 7 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 astheir sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A To ,000A 46.00 NEW CONST. DWE111N0 OCCUP. OR ADDNS. ( 8 ACC. sLDS.NEW SO 3.5Q�: R61D. MULTI -OUTLET 97,50 8 SINGLER AOUTLET CIR. Ex. Occup. OUTLET OR FIXTURES 20 @ 1.00 BAL Q .50 Ex. Occup. ops aEslo�eA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. e 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' cor)pensation insurance carrier >and policy number are: Carrier S,,¢%-2 �i[. Policy Number y/ 7— dOW _3D (The above sectioned not be completed 6 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 compI with those provisions. X Date �G —� ti —�� Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ S'j- Oct MAZ. D. FEES IMP FLOOD CDF PARCEL I PD I HD I ISSUE This permit is hereby issued under the applicable provisions of the Bu a County Co nd/or Resolutions to do work indicate a Ove for whi f es h ve been paid. kj_� 0"k-4 By Date lam/ PERMIT EXPIRES ON ( o �2 —/ I Date ReceiptNo. % ID 7 9 tJ WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT Name IROBERTSON JAMES P & MARY J Addrl 11619 GARDEN ROAD Addr2 I DURHAM CA 95938 Addr3 Addr4 Comments 14011004000 CONVERTED 09/08/88 Creating D oc# 1973R 1040150 Date Current Doc# Dake 10/6/2002 1 Killing Doc# D ate Asmt D esc D u R HAM STATE S uplCnk Zoning JA5 D well Acres/S g Ft 11.33 .6-1 N /C 040 Asmk # 040-110-040-000 Fee # 040-110-040-000 Status JACTIVE Status Date Tax F00-01NORMAL OWNERSHIP TRA 070-010 Situs Base D k 11 /1 /1979 Timber Preserve AgPres E tal j! N otes Bonds Multi Situs Flag1 r Flagg 910 MH Asmk PP Pen Tax PP Pen Appeal Pending Split Pending Land S tructure Fixtures G rowing Total L&I Fix. R F MH PP PP Exempt 20,406 47,367 0 0 67,773 0 0 0 7!000 Net 60,773 R!C#[— T!R Dtj FiJC Stat I PHY I OWN I EXP I TAX HON ATT 51T APR. j PCL Pq�' Find _ .. g 4 ,0 i ��� A,,41 -IkIY sq/tiR 1-7i COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PAF -- ZONI BUILDING PERMIT OWNER N r s �o _ ©� E TELPHONE 7(13-767C SQ. FT. OCC. BUILDING VALUATION OWN FT'S MAILING ADD ESS lei ' CO TRAC OR'S NAME -�C.l� E TELE:PHONF- CONTRACTOR'S MAILING ADDRESS " CONSTRUCTION LENDER UNKNOWN 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 $ BUILDING ADD R�S / w // (%J PLUMBING PERMIT Filing Fee 3.00r �y J/1 !r- 4 Each Trap 2.00 Repair drainage or vent piping 2.00 Water piping LOT NO. SUBDIVISION NAME PARCEL MAP --- Each qas water heater or vent 2.00 Gas piping system 1 - 5 outlets �?_ cc) USE OF STRUCTURE SFtk Duplex❑ Mobilehome❑ Other SPECIFY Building sewer Lawn sprinkler system • 2.00 TYPE OF WORK New [-I Addition❑ Remodel❑ utilities[] Installation❑ Other- Describe work: �/f.�-.-�`�E= �f dl ^ ZNic- Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 3.00 Main service tO01 OR OOO AMP ORLESS5.00 ' Main service EA. ADD -L too AMP 2.50 NEW CONS.OR ADDNST (`ACC`BLDGS.DWELING CCVP,&� 22 sq ft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ 1 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,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 CO ID F2 BRANCH CIRCTITS 2.50 ea NEw CONSTFL (POWER APPARATUS &) NON-RESID. SINGLE OUTLET CIR. Ex. OCCu P(ouTLETs OR FIXTURES 50 25C BAL@102 Ex. Occu /FIXED APPLES. OR p•\OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 6.25 Permit Fee $ Contractor MECHANICAL PERMIT Filing Fee 3.00 WORKMEN'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject 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 2.00 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 Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, juIgments, costs, and expenses which may in any way accrue agairist said Coun y in consequence of the granting of this permit. /,r. �� .�`� v �, X -w _ 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 3 stories in height. Mobile Home Installation Fee $ Land Development Fee $ TOTAL PERMIT FEE $ 100 OCCUP. GROUP I TYPE OF CONST, PARCEL PD I ND I ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By �" - ' r ` PERMIT EXPIRES Date the applicable provi- resolutions to do have been aid. P WORKS Date " ,/ Receipt WNITE-O.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPART MENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95165 - Telephone 916/534-4541 - '' APPLICATION. AND PERMIT n PERkiLT N A� L L, ASSE SV A ZO �� BUILDING PER INI OW1 E EPHONE/ SQ. FT. OCC. BUILDING VA ION OWNE AILIN ADD SS N �- 0014TR717CTROR'S NAME -49; %,4/ E TELEPHONE CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LEN'ER-„ UNKNOWN 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 $ BUILDING AD R SS PLUMBING PERMIT Filing Fee 3.0 Each Trap 2.00 Repair drainage or vent piping 2.00 Water piping LOT NO.SUBDIVISION NAME PARCEL MAP - Each pas water heater or vent 2.00 Gas piping system 1 - 5 outlets r Q� USE OF STRUCTURE SF$e- Duplex❑ Mobilehome❑ Other SPECIFY Building sewer Lawn sprinkler system 2.00 TYPE OF WORK New❑ Addition❑ Remodel[] Utilioh,�J InstallationC ther� Describe work: G `�—�,5 �!/V� J ///��� Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 3.00 Main service 6111 OR LESS 100 AMP OR LESS 5.00 ! Main service EA. ADD -L 100 AMP 2.50 NEW CONST. OR ADDNS. ( DWEACCLBLDGS.LING CCUP,&) 2¢sgft CONTRACTORS LICENSE LAW I declare under penalty p I y (check one): of perjury ❑ 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 ,*eitt� I, as the owner, or my employees with wages as their sole ' compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR ULTI-OUTLET NON-RESID. BRANCH CIRCUITS 2,50 ea NEW CONSTR ( POWER APPARATUS & 1 NON-RESID. SINGLE OUTLET CIR. / Ex. OCCUp(OUTLETS OR FIXTURES 50@� BAL�10G Ex. Occu p•(FIXED APPLES, OR OUTLETS (RESID,) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 6.25 Permit Fee $ Contractor MECHANICAL PERMIT Filing Fee 3.00 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. Y 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. Heating Cooling Hood 2.00 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 Countyot Butte to enter upon the above-mentioned property for inspection purposes. f also agree to save, indemnify and keep harmless the County of Butte against all liabilities,ts, costs, and expenses which may in any way accrue aga' st said un in s uen of the granting of this per 't. X Date i nature of Applicant — Owner.91 ' Contractor ❑ Agent n OSHA permit is required for excavations over 5'0" deep and demolition or construct -DIRECT ion of structures over 3 stories in height. Mobile Home Installation Fee $ Land Development Fee $ TOTAL PERMIT FEE OCCUP. GROUP I TYPE OF CONST. PARCEL PD HD ssuE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which OF PUBLIC BY P MIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date Receipt No -J WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT 7637-78 PERMIT NO. 789-78B E, PERMIT EXPIRES OWNER JAMES ROBERTSON CONTR. Chi; inn (!cans i-ruc-f--ion LOCATION (A.p. 40-11-40 SIS Garden Rd, app 250' W of Esquon Rd. 'Durham Temp. Power Pole Called PG&E Temp. Elec. Serv. Called PG&E Temp. Gas Serv. Called PG&E JOB Fol N A L E D /AtP (Date) (SigrfErf—ure) V .. CERTIFICATIONS As required by the State -regulations, -both the builder and the insulation applicator must sign a card.certifying that the proper "R" values for all insulation locations have been installed. An example of a certification card, which is furnished by,the builder or insulation applicator is shown in Fig. 13. THIS IS TO CERTIFY THAT INSUWIT104 HAS BEEN INSTALLED IN CONFOR14ANCE WITH THE CURRENT, ENERGY REGULATIONS. CALIFORNIA ADMINISTR4TIYE CODE, TITLE 2S. STATE, OF CALIFORNIA. IN THE BUILDING LOCATED AT: _ Streat t NO : __"ir c (IaA_. �1 --z=�f?C' —L4q .. EXTERIOR WALLS Manufacturer Thickness/Type R Value 17' CEILINGS Batts: Manufacturer'' Thickness R Value ' .... Blown:&-'Kanufacturer ........ Thickness'. e ( No. Bags. Jam.... Wt./Raj-- Sq. Ft. Covered R Value, FLOORS Manufacturer Thickness/Type R Value SLAB ON GRACE Manufacturer Thiekneas/Type R Value Width of Insulation Inches FOUNDATION WALLS Manufacturer Thlckness/Type R Value GENERAL CONTRACTOR LICENSE NUMBER BY TITLE DATE INS TION CO C 0 LICENSE NUMBER BY o TITLE DATE -3 7 Fig. 13 8-14 COUNTY OF BUTTE — DEPARTMENT OF PI�BLIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBING Setback gf7,el Firewall Soil Piping Forms Parapets 1st Floor Main Bldg. Restroom Flnish 2nd Floor Footings Windows 46 3rd Floor Stemwall Siding s— To out Slab Roof Sheathing -- —% Water Piping Piers If Roofing — Sewer Garage Fdn. Vents --7 Fixtures Footings Stemwall Garage Vents Insulation Water Htr. Heaters Slab Carport Footings Prov. for physicall handica ed Conformance of ex. structure Appliances Gas Piping Temp. Ga Test Slab Final C: Sanitat' n Patio FIREPLACE Final — / Footings Footina ELECTRICAL Masonry Walls Throat Rough Reinf. Steel Final Fixtures Bond Beam FIRE RINKLERS Motors Framing — Test Water Htr. Stucco Final Subpanels Mesh =-31— 7 MECHANICAL Grd. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish 6— Ducts — Underground Interior Lath Ventilation Permanent Door Closer l Final Final MOBILEHOME UTILITIES ------------------Elec. Service Elec. Pedestal Water Piping Sewer Gas Piping MOBILEHOME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping DATE REMARKS OR CORRECTIONS 4IPi f (NOTE: An entry must be made on this form each time you visit the job site.) ' COUNTY OF SUTTE .— DEPARTMENT OF PUBLIC WORKS ' 7 County Ceriter Drive — Uroville, California 95965 Teldph6ne:534-4541 OV / APPLICATION AND PERMIT A Xate Signature ofPermitee or Agent Receipt No. /0Z;W1,3— White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant the esuife uounty coae anaior resolutions to do work indicated above for which fees have been paid. PU If WORKS By A to -� C21y"11": Date Building permit expires Date _ aS?Jf_-7 BUILDING Owner �k7 Ar/vn-,0,1 SO. FT. OCC. BUILDING VALUATION .-I di 0 Mailing Address Telephone No. Fireplace Contractor C,gl,6y� G !O Total Valuation ,eC) Mailing Address /' Permit Fee 4 O Plan Checking Fee &/or Penalty AI / Telephone No. Permit Fee $ S Building AddressIf PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 / Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. o. Q — _ �40Gas Zoning & Planning piping system 1 - 5 outlets 1.50 Each additional outlet .30 ees C S Fire Dept. Fire Zone Use Permit Building sewer 5.00 EOA arking P ns Parcel Declaration Parcel Ma P 60' R/W Im r vements P Lawn sprinkler system 2.00 84 g. Plans Recd Parcel Approva Plans Approval Permit Fee $ $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ff ELECTRICAL No.1 @ I FEE PERMIT FILING FEE $3.000V _� /p , p v4—Main OR L service 100 AMP ORSLESS 5.00 Main service EA. ADD•L 100 AMP 2.50 Single Family ® Duplex ❑ Mobil Home ❑ Others ❑ OVER 600V Main service 00 AMP OR LESS 25.00 Main service EA. ADD•L 100 AMP 1.00 NEW CONST. DWELLING O �P7 & OR ADDNS. ( ACC. BLOGS V ) 20 sq ft NEW CONSTR. MULTI -OUTLET NON-RESID. BRANCH CIRCUITS) 2.50ea NEW CONSTR. POWER APPARATUS &) NON.RESID. (SINGLE OUTLET CIR. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business &Professions Code under the name sty04 le f: ` EX. OccU OUTLETS OR FIXTURES) @2-1 P BAL@1 FIXED APPLNS. OR Ex. Occup.(OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 r Mobile Home Facilities 15.00 License NoClassification Q � �' Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ O p $ 6� WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not em P Io an employ y person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No.1 @ I FEE PERMIT FILING FEE J$3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and, hereby authorize representatives of the County of Butte to enter upon the ahnve-mentinneri nrnnprty fnr inc—ti—n �o� TOTAL PERMIT FEE $ This permit is hereby p y issued under the applicable provisions of Xate Signature ofPermitee or Agent Receipt No. /0Z;W1,3— White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant the esuife uounty coae anaior resolutions to do work indicated above for which fees have been paid. PU If WORKS By A to -� C21y"11": Date Building permit expires Date _ aS?Jf_-7