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HomeMy WebLinkAbout040-150-028~�~ � ' | � ' ^ . ' 40-15-28 908 Esquon;_DurhaM)7ndj BO'ERSO'X, Maxine 9508 Esq UollRd, Ie repiaceme �- �40-15- _-_-_-^ m ' 3 -90B | Rns�ocnv ^. ine' 9508 Esquon Rd, Durham B07-1605,4, 1040-150-028 MISCELLANEOUS j. s- Private Pool,. IN -GROUND POOL: MASTERV MPo7'_ 9508 ESQUON RD DUE, MAXINE ' v � � . ' ` CJI 4Pbb BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #:(530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #:(530) 538-7541 FAX#: (530) 538-2140 WEBSITE: www.buttecounty.net\dds PROJECT INFORMATION Site Address: 9508 ES UON RD Owner: Permit No: 607-1605 APN: 040-150-028 DUE, MAXINE Issued Date: 07/26/2007 By TMP Permit type: MISCELLANEOUS 9508 ESQUON RD Subtype: Private Pool DURHAM, CA 95938 Expiration Date: 07/25/2008 Description: IN -GROUND POOL: MASTER # MF Occupancy: Zoning: A5 Contractor Applicant: Square Footage: POOL BUILDERS INC POOL BUILDERS INC Building Garage RemdUAddn 3080 THORNTREE DRIVE 25 3080 THORNTREE DRIVE 25 CHICO, CA 95973 CHICO, CA 95973 (530) 899-8988 (530) 899-8988 Other Porch/Patio Total FEE INFORMATION DBEH Building Review Fee $75.70 DBMSC Swim Pool -Master Plan Co $496.42 Total Charged: $572.12 Fees Paid: $572.12 Balance Due: $0.00 Receipt No: B4013 LICENSED CONTRACTOR'S DECLARATION OWNER / BUILDER DECLARATION Contractor (Name) State Contractors License No. / Class / Expires I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License POOL BUILDERS INC 833994 / C53 / 10/31/2008 Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am licensed under provisions of Chapter 9 (common ' th Section 700givisi:on:3of heBusinessFdPfessions Code, and my license Pursuant to the provisions of the Contractors License Law [Chapter 9 (commencing with Section 7000) is in full orce a ef(ect of Division 3 of the Business and Professions Code] or that he or she is exempt therefrom and the X7/26/2007 basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil of not more than five hundred dollars penally ($500]; Please check one of the following: Contractor's Signature Date ❑ I, AS OWNER OF THE PROPERTY, OR MY EMPLOYEES WITH WAGES AS THEIR SOLE COMPENSATION, WILL DO THE WORK, AND THE STRUCTURE IS NOT INTENDED OR OFFERED FOR SALE (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of the property, who builds or improves thereon, and who does WORKERS' COMPENSATION DECLARATION I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: HAVE AND WILL the work himself or herself or through his or her own employees, provided that such improvements ❑I MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR are not intended or offered for sale. If, however, the building or improvement is sold within one WORKERS' COMPENSATION, as provided for by Section 3700 of the Labor Code, for the year of completion, the owner -builder will have the burden of proof that he or she did not build or performance of the work for which this permit is issued. improve for the purpose of sale.). 93ZAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by ❑ I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Code: ction 3700 of the Labor Code, for the performance of the work for which this permit is issued. My Workers' Compensation insurance carrier and number are; The Contractor's License Law dows not apply to an owner of the property who builds or improves policy thereon, and who contracts for the projects with a oontractor(s) licensed pursuant to the Carrier: STATE FUND Policy Number: 713-0012060 Exp. Date:03/01/2008 Contractor's License Law.). (This section nee not a completed if the permit is or one un red dollars ($100) or less. ❑ I AM EXEMPT under Section B. & P.C. for this reason: ❑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, and agree that if I should become subject to the workers' X 07/26/2007 compensation provisions Section 3 of the Labor Code, I shall forthwith comply with those Owners Signature Date sof provisio . �i v`/K X 7/26/2007 I hereby certify that I have read this application and state that the above information is correct. I agree to comply with all City and County ordinances, rules, regulations, and State laws relating to building Signature Date WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless Butte County, its officers, agents and employees from any and all claims and liability for personal AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, injury, including death, and property damage caused by, arising out of, or in any way connected with DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND the issuance of this permit. I hereby acknowledge that issuance of this permit does not authorize the use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte ATTORNEY'S FEES. County to enter the above mentioned pro y for inspe tion purposes. 1 her y certify that I am the r or am authori ed to act o epi a rs behalf. CONSTRUCTION LENDING AGENCY pe;own L 07/26/2007 I HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for Name of Permittee [SIGN] I Date the performance of the work for which this permit is issued. (3097 civ. code) Owner Contractor OR. Agent for Owner Agent for Contractor FILE COPY Lenders Address City State Zip BUTT)E COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION OFFICE #: (530) 538-7541 FAX #: (530) 538-2140 A FEE WILL BE REQUIRED AT TIME OF APPLICATION Website: w. rw.buttecounty.net/dds "PLEASE PRINT CLEARLY" Name OWNER INFORMATION - Last Name V F' t a e rz Mailing Address sO(& "S cJ OA 10 City J Phone Stat Zip _9556 Phone c S _ o 3 Fax E-mail g 3 3 ci 9 c Name CONTRACTOR 00C, t6 Address 0 0 �, t-ee #Z City ►1 Stat Zips 55 Phone Fax E-mail Fax E-mail Lic. # g 3 3 ci 9 c Class APPLICANT SIGNATURE c X Vie,�X PERMIT NO. V-) 605 BIN # PROJECT LOCATION AP# D qQ Ido --oma Property Address O v DN 18 City V WORKER'S COMPENSATION Policy Number 1 3 - 00'f Zoe a Carrier If hiring anyone other than license contractors, a certificate of worker s compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address DESCRIPTION OR SC PE OF WORK: G 20JrJ ii �Dcr Np n -1 - Sq FT- Living Garage Open Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): For office use only: ARCHITECT/ENGINEER Name Flood Zone Address ►1 City ©$o O �� State Zip Phone Zip 5q Fax E-mail Fax State License Number APPLICANT SIGNATURE c X Vie,�X PERMIT NO. V-) 605 BIN # PROJECT LOCATION AP# D qQ Ido --oma Property Address O v DN 18 City V WORKER'S COMPENSATION Policy Number 1 3 - 00'f Zoe a Carrier If hiring anyone other than license contractors, a certificate of worker s compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address DESCRIPTION OR SC PE OF WORK: G 20JrJ ii �Dcr Np n -1 - Sq FT- Living Garage Open Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): For office use only: APPLICANT INFORMATION Name' :Ptorn,& Flood Zone ►1 Address ©$o O �� City Type Const. Stat Zip 5q PhoneTq Ci — If 9 g Fax E-mail APPLICANT SIGNATURE c X Vie,�X PERMIT NO. V-) 605 BIN # PROJECT LOCATION AP# D qQ Ido --oma Property Address O v DN 18 City V WORKER'S COMPENSATION Policy Number 1 3 - 00'f Zoe a Carrier If hiring anyone other than license contractors, a certificate of worker s compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address DESCRIPTION OR SC PE OF WORK: G 20JrJ ii �Dcr Np n -1 - Sq FT- Living Garage Open Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): For office use only: Zoning - Flood Zone SRA Yes1. No Occ. Type Const. Butte County Department of Development Services TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR 7 County Center Drive Oroville, CA 95965 (530) 538-7601. Telephone (530) 538-2140 Fax www.buttecounty.net/dds NOTICE TO BUILDERS Before your building permit can be issued, your plans must be checked for compliance with the California Building Codes. In addition, your plans are routed to other regulatory entities including but not limited to Planning, Public Works, Environmental Health, and the California Department of Forestry for their clearances and approvals. There are some things you can do to expedite your permit: ' O Make sure your application is complete. 0 Be responsive to, requests from County departments for any additional materials or requirements. The Building Division places its highest priority on processing building permits as quickly as possible and each day that passes without a complete application adds to processing time. Every permit issued by the Building Official shall expire and become null and void if the work authorized by such permit is not started or completed within one year from the date of issuance of such permit. A permit may be renewed (for a fee) prior to expiration an indefinite number of times, provided construction progress has been documented by the Building Division during each year during scheduled inspections. No changes may be made in the original plans and specifications for such work. In order.to reinstate action on a permit after expiration, the permittee shall pay a new full permit fee and additional plan checking and documentation may be required. Upon completion of work covered by this permit, please contact this office for final inspection. As a reminder to you, it is illegal to occupy this building or any portion of the building for which this permit is issued without a final inspection. EXPIRATION OF PERMIT APPLICATION AND REFUND POLICY Application for which a permit has not been issued will expire one year after date of application. Refunds may only be made upon written request by the person who originally paid the fees. Refunds for permit applications (not yet issued) must be requested within two years from the date of fee payment. Fees paid at the time of application are for Plan Check and administration. The Plan Check portion of fees is refundable only if the permit is cancelled or withdrawn before any plan checking is done. Building Division costs will be deducted prior to authorizing a refund and a charge of $54.99 to process the refund application will be assessed. Refunds on permits (issued) may be requested prior to the expiration of the permit, provided no work has been done pursuant to the permit. An Inspection may be required (and deducted from any refund amount) to determine no work was done. Fee/refund information can be read on-line at hqp://municinalcodes.lexisnexis.com/codes/butteco/ Reference Number: B07-1605 Location: 9508 ESQUON RD Parcel Number Owner Name: 040-150-028 DUE, MAXINE Description: IN -GROUND POOL: MASTER # MP07-0018 Date: 07/25/2007 Phone: Signature of Property Owner: Date: 07/25/2007 FILE Butte County Department of Public Works J. MICHAEL CRUMP, DIRECTOR LAND DEVELOPMENT DIVISION Storm Water Managment Program 7 County Center Drive Oroville, CA 95965 (530) 538-7266 Telephone (530) 538-7171 Fax www.buttecounty.net/dds �Ic O National Pollutant Discharge Elimination System (NPDES) Phase II Construction Storm Water Permit and Storm Water Pollution Prevention Plan (SWPPP) Acknowledgment f [LESS THAN 1 ACRE 1 Reference Number: B07-1605 Date: 07/25/2007 Location Parcel Number: Owner Name: 9508 ESOUON RD 040-150-028 DUE, MAXINE Description: IN -GROUND POOL: MASTER # MP07-0018 By: KCG Sub Type: Private Pool Phone: By signing below, I the project owner/owners' 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 buildouts 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 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 this project that disturbes one acre or more of land may result in revocation of grading and/or other permits or other santions provided by law. Signed: Title: FILE Date: 07/25/2007 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 4- 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT �^ ' ASSESSOR ARCEL NUMBER vA ZONING - s" BUILDING PERMIT O,W�NN++ER TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS o FS .E S Q d4,0 CONTRACTOR'S NAME TELEPHONE - CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT 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 �� � SG�I/D� ��`� 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 USE OF STRUCTURE SF EX Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 5-00 Building sewer 5.00 Mobile Home S I G JW 1 1 F10.00 eq TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe work: /A� S;rA/i G p Gd S Li.d f UAI,21Ae, :� ��- /p, C:✓ Permit Fee $ C.C1 Contractor ELECTRICAL PERMIT Filing Fee 10.00 —7 7 �" f �l i + 600V OR LESS Main service 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CO RACTORS 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 fore 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 CONST. / DWELLING OCCUP.& yzQ$gft OR ADDNS. 1 ACC. BLDGS. NEW CONSTR. ULTI.OUTLET 2,50 ea NON.RESID BRANCH CIRCUITS) POWER APPARATUS e) SINGLE OUTLET CIR. Ex.Occu / 20e50C p(O OR FIXTURES eAL030 FIXED APPLNS. OR FIXED A EX. Occup. OUTLETS (RESID.) EA.) 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): ❑ 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. MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor 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 above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. r �� ^ X %/.a.t� �.�.Pt(1X-/- Date, 15 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 $ Energy Inspection Fee $ TOTAL PERMIT FEE $III ULA occuP. CONST.TTPE FLOOD PARCEL PD HD 7 This permit is hereby issued under the applicable provi- sions of the Butte County. Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTORPF PUBLIE WORKS ,t By �'f . �� �1Ir, f Date PERMIT EXPIRES Date t � Receipt No.= 5�/�-3 WHITE-D.P.W.. 7ELLOW-A88[880R, PINK -INSPECTOR. GOLDENROD -APPLICANT j COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Orovi Ile — Phone: 538-7541 747 Elliott Road, Paradise — Phone: 872-6307 CORRECTION NOTICE OWNER PERMIT NO. 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. r e t t a r e Inspector %��%� -G=- Date //A/At;? t Inspector %��%� -G=- Date //A/At;? COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PS IT 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICKTION AND PERMIT ASSESSOR PARCEL NUMBER (�-, ZONING S BUILDING PERMIT O ER , TELEPHONE S0. FT. OCC. BUILDING VAL TION O N 'S MAILING ADDRESS &-51-6 s � _S 0 6-4 95939 CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTIO,�D ER^ UNKNOWN Total Valuation Is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECTOF3-ENGINEER (/EEN/GyGIINo`EER'S LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ PLUMBING PERMIT FiIingFee 10.00 � ) //� �5 40" ` u _-� 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 USE OF STRUCTURE SF % Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 5-0-0 Building sewer 5.00 Mobile Home S G W 10.00ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation Other ❑ Describe work: /a% S %!}l1 4 P tS,4 S L/.J e [/.filo— Q/PDd.Jdl.t7.Pdi.N fOD 1O, w Permit Fee $ CA) Contractor ELECTRICAL PERMIT Filing Fee 10.00 7 ��( t `� 0 Main service 600V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 RACTORS LICENSE LAW I declare under pea y of perjury (check -one): El am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.N , /20sq ft NEW CCONSTR.(A UC TB*OUTLET .50 ea NON.RESIO BRANCH CIRCUITS) 2.50 ea POWER APPARATUS &) (SINGLE OUTLET CIR. Ex. Occup(oUTLETS OR FIXTURES 20030c eAL030 Ex. Occup. our LETS ((RESID ID APPLNS. REAJ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. byirin g 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare undliFfhalty 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. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3.00 Ventilation Permit Fee $ Contractor 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 above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X Date �4" 0� " Sign tore of Applicant — Owner Contract Or ❑ 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 $ Uc7 occuP. CONST.TYPe I FLOOD PARCEL PO ND Isau This permit is hereby issued under sions of the Butte County. Code and/or work Indic d above for which REC PUBL By PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. ORKS Date - Receipt No. AA -3-3 / WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT 1-1w *9r�Lty�� ' COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION f 7 COUNTY CENTER•DRIVE - OROVILLEA CALIE(}RNIA 95965 - TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET • . . Permit No.— OWNER o. OWNER n✓ /eb.�--ti" "��A A. P. No. -L/ Proposed Building Use �' i% Building Inspector Date Ata.ime of permit application, I was advised the following data .mus•t be submitted prior to permit processing `arid%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. t.. 5. Rlans with Energy Design Compliance Statement. . . . . . Z 6. � School District "Fees Paid" Stamp on Floor Plan. 7 Statement of Intent for Non -Heated and AC Buildings. .,_ 8'. Fees of $ . . . . . . .� r•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. . . . . . �Contractor's License Information (no., name style, classif.) 4, Owner -Builder Verification (Given to owner, Mail to owner — 15. Improvements may be required. . . . . . . . . . . . 16. Mobilehome Installation Data. . . . . . . . . . 17. Pre -Inspection for Pre-Inspec. request to (Date)- _______ _ _ _ Required. Building Inspector - 18. Recorded copy of Agricultural Acknowledgment Statement. 19. Driveway Permit. — _ 20. Plot plan approval from city of _ 21. _ — — 22. — — -- Wher, you issue the permit, process as follows: Mail to owner; Mail to contractor- " --J Telephone 51� Lac% and hold for pickup office, Deliver w/inspector. Other _ w.., . Appl' ant �.. � to Copy of plans sent Health Dept.; VreDept., 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. Additional items required: i ►A � Contractor, designer, owner, was advised of above required data by_phone_-nailLcounter by date — Con't'ractor, designer, owner, was advised c? above required data by—phone —ma H? counter by date Plans checked by Date Plans approved bye Date ^ Sets of plans on hold in File cabinet AP folder Copy—DPW iiM 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) 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. .j 4., I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work Signed: ' Property Owner' Social Securit Nu e - Date m — c? — q % 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. r0_,; -a� Y - s D TIAL 40-15-28 3418-90B BOWERSOX, Maxine 9508 Esquon Rd, Durham (carport/sf) t } JOB FINALE Signature d=Ok O = Not OK Not =Not Ready1e MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap: / NL" ft. / /"Nat. or/ P L" ft./ P'LPG ,. 7. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval S. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 10. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS PORTS ARAGES Plans OK except #'s ing Requirements -Setbacks -Easements Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Bgams-Rftrs.-Coonectors Shthg.-Rfg.-Bracing 5. tum. Awn.; Columns -Connections -Splice -Decal -Enclosures Carports; Windows -Doors 7. Electric Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date Card B-1 (:� t^_ Date Card B-1 Date Card B-1Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater '8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosures- Pane Iboa rds-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 ✓=OK O = Not OK - = Not Applicable e`,UO3H � 23 RESIDENTIAL (; ' Not Ready Date a* toe;UNDERFLOOR'(Plans).10K'e xcept'#'s?:i;g3VO:3.ax.01(i ,lrc7 1. Zoning-Setbacks*Easements-Flood=Slopet p.nin -S r, 12. Ftgr,, Main; .SdiIs- Elec. Grnd.:/•s`/1. Ftg^Depth ifoo? S aasR 3.iiFtg.,,Garage; ;Soils -Steel -Elect Grnd. /,b/'tFtgt:Depth 4. Ftg., Porches & Decks; 'Soils-Steel-/.ti/Ftg.!Depth I n -_ 5..StemwalIs_ Main; Steel -Bloc kouts-Wrapped'•pmn_e y""°'6�:Stemwall5;'Garage;'Steet-Blockouts-Wrapped""I -.6a.•Hold -Downs and -Special Anchors nnrvv-;zt1oG[au .a - _]..Slab; Steel -Wrapped___ 1 _-- ._ .8.- Piers- F.ireplace:Ftg�Steel°u1c5_a1°n1nA-2tris;_lmlt .5, 9..D.W.V.;.Fal l-Fitting=Te§t-2.Way;C/O-Sewer_Te'st�r�_t_ �- 6 --10.-Gas Pipe;. Size -Anchors _ En' ° r+ pmrle,1°0H Avi_ -- 11. _Water.Pipe; -Test-AnchorsRegulator Servrce:Test -.-r r_.�--- 12..Electric;.Underground _ __ 13._Pienums & Ducts;.Clearance-Material-Support-Ins �14.'GiFders-Sills-Anchor. Bo' lts-Joists-Vents`Ch15151 s_____- erre ,_,,........_..15' 1nWulation._..�.e,.r _ a'a 7ne::xa rt? cnsrvt) E.AflU'a o1rt1 .Date -_ •pCard.B_1.-_--Date'nemcaa�-a71°Csid.B1._ __ Date _Card B-1 '1rino"id etU7Date'i1O17yc'[mOJ Card B=1 Date PLUMBING'(P&Fnit) OK ex6ept'#'s9rc .91U'3U1;r, !00'1 .b 1 16.-Water,Htr.; Vent -Access -Combustion Air -Baffle- -17. -Water Pipe; Test&`Anchor-Nail Protection- 18.;D.W.V.;Test-Fitti6gs&Anchor`-Nail'p otection=-= _.___19. Shower Pan; Test, -First Floor -Tub Access-==-_ ----i -- -20 Test Tub & ShowerSecond Floor -Tub Access y - -` ` 21 Gas Pipe S¢e & Anchors - - -- •Date --=Card B -1 -=---Date----- - Card B -1 --- Date -----Card B-1-- •Date- ELECTRICAL -(Permit) OK except #'s------ -- 22:•Fixture & Transformer Clearance -Ins - Protection -- - -23-Elec,-Receptacles Spacing -Lights & Switches at Doors ---- 24.. Size Boxes & No. -of Conductors -Stapled 1 --^�-�25.1Romex,Installed IClose to,Edge of,Studi4,C:J=^-A9----^- 26. Equip. Ground made up w/Meth. Fastners-Bond Gas & Water 27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or At 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral ❑ Yes ❑ No 30. Service -Riser Conductors & Ground -Main Disconnect 31. Equip. Clearances Panels-Motors-Mech. Equip. 32. Clothes Closet Light -Shower Light -Spa Light 33. Smoke Detector Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 34. A.C. Ducts Insulation & Support 35. Vent Fan; Exhaust above insulation 36. Condensate Drain & Overflow; Size & Grade 37. Furnance-Vent; Access -Comb. Air -Return Air Vent -115 outlet 38. Attic Access & Platform if Furnance in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except #'s 39. Sils, Proper Material & Anchors 40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound 41. Bearing Walls over Girders & Floor Nailing 42. Draft Stop in Walls (rat proof) 43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 44. Headers & Beam -Size & Bearing )'0 - % Ongle &-Duplex')'-A0 1 n..;1E10pj ,_Date __ - _' FRAMING '(Continued) 27iTIJITU 3IVOH 3JI€!CM s� O 45. Hangers; Post: Caps=Anchors=Connectors pninoS ,t 46. Cing. Joist- Rftr: ties -Pu rlins roof,Brac-Truss=Shthng.-Ring. 47. Fireplace Ties or,Type A,FIue=Fireplace:Throat clearance 48. Attic'Access; Size &-Romex Protection -Draft: Stop -Ins. Baffles e1e`49.'Bdrmi Windowsor. Exiting, Doors=Sill.Hgt:&'Dimensions 50. Garage Fire Protection Frarriing:7T•noJs2OJ ::uc7 .8 -----51.-Property_. Line. Firewall'&'Openings '_0bv_�:__--� - ---- 52.• Ext. .Doors -One 3'-Check.Garage=3id'Stbry,/2 Exits--, ------ ---53.. Stairs; Width -Headroom -Rise -Run -Landing -Fire. Protection_ -- 54..plywood. on. Roof, Overhang-Attic.Vents Rafter-Outriggers- ---55.-Siding-NaiIing.Veneer--..._- __� 0'EU •----- - `56.tStucco Mesh- Drip, Screed-Fd..Vents- Underflr:•Access-�__-___ ---- 5t.'Glaiing.Area-Glass.Pr6tection-Skylights:Plastic,�,�,. 'L.iJKi ^ass CI t7:r.:iyilrYl .-.-.........58:.Shear Walls Nailing- a:kiJ...,..,,...,,,, r- I,.-r1:1t7an Enmo� .r ---- 59.-Insulation=Walls=.Ceilings.�`_'' _- !:%1.1yi 1+1GJ'- JYa.Y-:7n�r:^•9l/-:EB: i'S!o ;?8u .b --- --- c�.n+Ola^f1,-r,;tl�uvltl-'C1:JV C:t;.:01v'7l.Sli r'1M;'r!1.'WXtf17 A - -Date- CardB 1 ``''- "'u ' "Date ' 'S` 21 a nCird B71_ _ -Date-.•--Card.B-11 "' "'v , x'_Date n T bi ^ .Card B-1-_ - Date--'=l�FINAL'(Plaris}`OK eiccept ---- 61..Ext. Steps -Door.& Sidelight.Protection-Landings ° ----- 62..Smoke.Detector.,.._.--f_.___._.-_.______-____ -----63.-Furnace;.Vents-Clearance-CombaAir=Connector-.-u--,.r_-- In Garage; Above Floor -Ducts -Meth. Protection 64. Bedroom Exiting t 65.rG.F.I. & Bath Fixtures'& Tub Access -Spa touO also 1`66AE1ec. Trim & Sub°anel; Breaker Sizes'&:Labels etaC 67. Stairs & Rails 68. Fireplace or Stove; Clearances -Hearth 69. Elec. Outlets at Wood Panel; Int. & Ext. 70. Kit.Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance 71. Elec. Outlets & Receptacles at Kit. Counter 72. Garage Fire Door; Swing -Landing -Closer 73. A.C. Duct in Garage -Damper 74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage; Above Floor -Meeh. Protection 75. Plb., Elec. & Mech. Equip. Listed for Location 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protection 77. Insulation -foam -Looked in Attic ❑ Yes 78. Guard Rails & Deck Construction -Post Caps . 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 80. Following instld.; Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑ Yes ❑ No 81. Stucco; Brown -Finish 82. A.C. Unit; Disconnect, Electrical, Plumbing 83. Vents Above Roof; Plbg.-Appliance-Fireplace.-Clearance to Openings 84. Water Well; Disconnect, Electrical, Plumbing 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground 86. Ventilation Throughout House 87. Glass Protection 88. Corrections from Previous Inspections 89. Gas Test -Meters Tagged; Gas -Electric 90. Water & Sewer Connected -C/O to Grade -HD Approval 91. Energy Compliance Certificate -Other Certificates Date Card B-1 Date Card B -1 - Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: (NOTE: An entry must be made each time you visit job site) COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AN6 PERMIT PERMIT NO. * 3418-90 � ASSESSOR PARCEL NUMBER 40-15-28 ZONING �� BUILDING PERMIT OWNER TELEPHONE SO. FT. OCC.1 BUILDING VALUATION 296 C 2,960 OWNER'S MAILING ADDRESS CONTRALTO 'SNAME OwnpT- TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee 38.5)0 ARCHITECT OR ENGINEER LICENSE No. Plan Checking Fee !$ $ 16.25 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 9508 Esquon Rd. Permit fee $ 64.75 PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Durham 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 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome❑ Other Carport SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home I S I G JW I 10.00e TYPE OF WORK New [JX Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work: Carport _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'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 d Professions Code and my license is in full force and effect. cense No. Classification /,I as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.& A New 2� ,z¢sgft ULTB CONSTR. I -OUTLET NON .RESID BRANCH CIRC ITS 2.50 ea /POWER APPARATUS e -SINGLE OUTLET CIR. Ex. CCU EOp(OUTLETS OR FIXTURES 20@DOS 5AL030 Ex. Occup. OUTLETS PIRESID )FIXED APLNS REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00Misc. Wiring g 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate I 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. Contractor MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling g 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 ail Cou Inances and State Laws relating to building construction, and here uthorize re-presentatives of the Countyot Butte to enter upon the above- ntioned property fo inspection purposes. I also agree to save, inde if and kee rmless�the County of Butte against all liabilities judgments c s, and x enseshich may in any way accrue against s ounty in c q nce die gra ng of this permit. X Date ' nt — Owner Contractor ❑ Agent ❑ Sig7 ure of A/iti.s. An OSHA per 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 $ occ CONST TYPE TOTAL FEE $ 64.75 HAz cuA PARK SCHL FLD PAR PD HD IssuE This permit is nereby issued under sions of the Butte County Code and/or work indicated above for which fees DIRECTR OF PUBLIC BY PER EXPIRES Date the applicable provi- resolutions to do have been aid. p WORKS Date %i1--1)3—,Fo • 1�1 �� 7 J Receipt No. 73855 WNITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION ANQ PERMIT --PERMIT NO. ASSESSO PARCEL BERG ZONING - e BUILDING PERMIT OWNER � � ^ ^, ' na '�® TELEPHONE �f(J UW(i� FT. OCC. BUILDING VALUATION %SQ. 77 O WNE 5 D NG ODRE^- C 0 N TV CX`i ej'L. �T.E-HONIE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN e 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 $ 61 V BUILDING ,:Yo 7S /' / v Permit fee $ PLUMBING PERMIT Filing Fee 10.00 .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 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome❑ Other v► 12�%7 2YIZ-7 SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home I S I G 1W 10.00e TYPE OF WORK New0Addition ❑/Remodel❑ Utilities❑ Installation❑ Other ❑ Describe work: �/-7_ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 6101 OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD•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 ❑ 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 oR T ( LC CUP.&\ ADDNSDWELINGS / 2yz¢sq It }b NEW CONSTR.MULTI-OUTLET NON-RESID BRANCH CIRCUITS) 2.SOea POWER APPARATUS e (POWER Ex. Occup(OUTLETS OR FIXTURES 120 0 ALot BALe 30 FIXED APPLNS. Ex. OCCUp. OUTLETS IRESIO.)REA.) 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): ❑ 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. MECHANICAL PERMIT FiIingFee 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 Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X Date Signature of Applicant — • '•Owner Contractor E]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 $ occ CONST TYPE / TOTAL FEE $ lD HAz CUA PARK SCHL FLo PAR Po HD Issue 'This permit Is nereby Issued under sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By PERMIT EXPIRES Date the applicable provl- resolutions to do have been aid. p WORKS Date Receipt No. • WHITE-D.P.W.. YELLOW-ASSC330R. PINK -INSPECTOR, COLD EHR00-APPLICANT . ;;r�6•ci 71+t�R;1.'1�1�? �' t: c�at� . '7,;�E � ti .. r�i ti's • '�tt•7E1u =r`v •:c•;. •► rip COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 i PERMIT APPLICATION DATA SHEET 90 tz Permit No. OWNER F�� Weis A. P. No. 40—Is- Z8 �iytc Proposed Building Use Cahpo) } Building Inspector 12Building At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED A PPR•O aj JlA 1. All items have been submitted . .................................... � 2. Plot plans in duplicate/triplicate, signed by preparer of plans ........ /O 3. Complete plans in duplicate/triplicate, signed by preparer. of plans 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Hazardous Material Form ............... ......................... 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings ............... 8. Engineered truss details and layout in duplicate (required prior to pIan .check) 9. Mobilehome installation data including manufacturer's installation instructions......................................................... 10. Fees of $ ........................ 11. Chico Urban Area fees paid ....................................... 12. Park fees paid .................................................... School District fees paid ............... O5.. Sanitation approval from CkIcp Health Department City of Chico plumbing permit ..................................... 16. Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: ...... 18. Improvements may be required. Contact Land Development Section DPW 19. Driveway permit (construction approval required prior to occupancy) 20. Pre -Inspection for required Pre-Inspec. request to Building 1'nspector (Date) 21. Contractor's license information (No., Name Style, Classifications ... 22. Certificate of Workmans Compensation Insurance .......... 23. Owner -Builder Verification (Given to owner o, Mail to owner ❑) ..... /0—// — d 4. Recorded copy of Agricultural Acknowledgment Statement ......... 25. tter of siggnature authorization %� s �i- --� 26. �o t OS' C&t fv attach c � iU a ' �' TR wr 27. A o When you Issue the permit, pro es s fo w M i oto o r. Mail to contractor. _ Telephone9 l3 and hold for pickup at _office. Deliver w./ins ctor. uz& /0Applicant Date Copy of Haz-Mat form sent Health Dept. Fire Dept. air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above itergs,No. 2. Additional items required.--tt�z ac Contractor, designer, ner was advised of above required data by '�phone�naiI—counter by ..date O_ _90 Contractor, designer, er was advised o�f/'above required data by�hone—mai I—counter by date -fS` Plans checked by I� ate Plans approved by Date l0— 7-9) Sets of plans on hold in File cabinet AP folder Copy—DPW i wai, 6L2uJ TO Builidinv Department FROM: Environmental Health SUBJECT: Sanitation Clearance�� Owner Locatibn AP# Plan Approved for: Sewaqe Disposal Water Supply Fold final for: Water Supply Final clearance O.K. for: Clearance for bedroom mobile home.Other NOTE** SupplyWater . „cin 4ntrianDate COUNTY OF BUTTE - DEPAR NT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA 95965 PHONE: 916-538-7541. F DATE10/17/90 MAXINE BOWERSOX 9508 Esquon Road RE: Permit Appin. #3418-90 Durham, California 95938 for carport A.P. # 40-15-28 With reference to the above subject: 1� Attached is: Application for permit Mobilehome Utilities Installation Sheet Building Plans Mobilehome Installation Information Sheet Engr. Calcs Typical Plan Sheet Owner -Builder Verification Form List of Codes Enforced OTHER Ll We need the following information: Permit application signed and completed where indicated with all copies returned: Fees of $ payable to Butte County Treasurer. Certificate of Workmen's Compensation Insurance or check exemption statement. Contractor's License Law information or check exemption statement. Complete plans in including plot plans. Plot plans in Structural details in Complete plans and calcs in by registered engineer or architect. Energy design including Street and drainage improvement plan approval from Land Development Section (DPW). sets of plans in accordance with the changes marked in red. x Sanitation approval from Butte County Health Department at: x 196 Memorial Way,' Chico 7 County Center Dr., Oroville Skyway & Elliott Rd., Paradise Planning approval from Butte County Planning Department, 7 County Center Drive, Oroville, for Completed Owner -Builder Verification form. Recorded copy of deed showing Recorded copy of a ricultural ack owled ment statement. Plans not sufficient --need to indTcate /A Should you have any questions concerning the above, please contact this office. Barbara Wilding, 916-538-7541 JFG/aj Yours very truly, William Cheff Director of Public Works .F. Glander Chief Building Inspector COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville„ California 95965 - Telephone: 916/538-7541 3418-90 APPLICATION AND PERMIT SSOR PARCEL NUMBER ZONING BUILDING PERMIT OWNER TELEPHONE SO. FT. OCC. BUILDING VALUATION AAQ --e n 1) nen WNER'S MAILING ADDRESS CONTRALTO 'S NAME ITELEPHON CONTRACTOR'S MAILING ADDHtb3 NEW CONST.DWELLING OCCUP.h\ ya¢sgft OR ADDNS. ( ACC. BLDGS. _ Fireplace ULTI. OUT LET 12.50 ea BRANCH CIRC ITS ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business (POWER OUTLETTUS 5� fff5 CONSTRUCTION LENDER zoesos Ex. Occup(OUTLETS OR FIXTURES SALO 30 UNKNOWN TOtaI ValUatlon $ as the owner, or my employees with wages as their sole compen- 10.00 sation, will do the work,and the structure Is not intended or offered Filing Fee $ 10.00 LENDER'S MAILING ADDRESS ❑ I, as the owner, am exclusively contracting with licensed contract- Permit Fee $ 38.50 ARCHITECT OR ENGINEER LICENSE No. Plan Checking Fee $ Contractor 16.25 Energy Plan Checking Fee $ I declare under penalty of perjury (check one): ARCHITECT OR ENGINEER'S MAILING ADDRESS ❑ The permit is for $100.00 (valuation) or less. Penalty $ a Certificate of Workmen's Compensation Insurance or a Certificate BUILDING ADDRESS 508 Es uon Rd. Permit tee $ 64.75 PLUMBING PERMIT Filing Fee 10.00 provisions or this permit shall be deemed revoked. Contractor Each Trap Mobile Home Installation Fee $ 1 2.00 is correct: I agree to comply to all Coun finances and State Laws relating Durham Solar or heat pump water heater20.00 CONST TYPE to building construction, and here uthor— re esentatives of the County of Water piping 5.00 TOTAL FEE $ 64.75 LOT NO. SUBDIVISION NAME HAz PARCEL MAP Each pas water heater or vent 5.00 PAR USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome❑ Other Carport SPECIFY Gas piping system 1 - 5 outlets all liabilities judgments c s, and x enses Bich may in any way accrue 5.00 Building sewer 5.00 Mobile Home S J.GJWJ 10.00e TYPE OF WORK New UX Addition ❑ Remodel ❑ Utilities ❑ escribe work: carport Installation❑ Other ❑ _Contractor against s ounty in c q nce he gra ng of this permit. Permit Fee $ ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 Th;s permit is nereby issued under the applicable provi- t Main Service EA. ADO'L 100 AMP sions of the Butte County Code and/or resolutions to do 2.50 work indicated above for which fees have been paid.. CONTRACTORS LICENSE LAW NEW CONST.DWELLING OCCUP.h\ ya¢sgft OR ADDNS. ( ACC. BLDGS. lare under penalty of perjury (check one): ULTI. OUT LET 12.50 ea BRANCH CIRC ITS ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business (POWER OUTLETTUS 5� fff5 d Professions Code and my license is in full force and effect. r/1L,I zoesos Ex. Occup(OUTLETS OR FIXTURES SALO 30 cense No. Classification FIXED APPLNS. OR Ex. Occup. OUTLETS (RESID.I EA. 2.00 as the owner, or my employees with wages as their sole compen- 10.00 sation, will do the work,and the structure Is not intended or offered Temporary service for sale. (Sec. 7044) Mobile Home Facilities 15.00 ❑ I, as the owner, am exclusively contracting with licensed contract- Misc. Wiring 15.00 ors. (Sec. 7044) ❑ I am exempt under Sec. Business and Professions Code for this reason Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE MECHANICAL PERMIT Filing Fee 10.00 I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. Heating ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate Cooling f Consent to Self -Insure. I shall not employ any person in any manner so as to become subject Hood 3.00 to the W. C. laws of California. Ventilation Notice to Applicant: If after making this statement, should you become subject Permit Fee $ to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor Mobile Home Installation Fee $ 1 certify that I have read this application and state that the above information is correct: I agree to comply to all Coun finances and State Laws relating Energy Inspection Fee $ OCC CONST TYPE to building construction, and here uthor— re esentatives of the County of Butte to enter upon the above- ntioned property fo inspection purposes. TOTAL FEE $ 64.75 I also agree to save, Inde ify and kee rmless,the County of Butte against HAz CUA PARK PAR PD HD ISSUE all liabilities judgments c s, and x enses Bich may in any way accrue [SCH7 against s ounty in c q nce he gra ng of this permit. Th;s permit is nereby issued under the applicable provi- X ` Date :r sions of the Butte County Code and/or resolutions to do t Sign ure of App cant — Owner Contractor ❑ Agent ❑ work indicated above for which fees have been paid.. An OSHA per it is required for excavations over 5'0" deep and demolition or construct- DIRECTOR OF PUBLIC WORKS ion of structures over 3 stories in height. By Date 73855 Rec?iot No. — — — COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541 014NER-.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. I personally plan to provide the major labor and materials for construction of �n the proposed property improvement (yes or no) I (have/have not) J2WkfIC signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone _ Contractors License No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. 5. I will provide some'of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address . Phone Type of Work Signed: Property Owner `r% Social Security Number Date NOTE: This Owner -Builder Verification is'sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. CP,�Z� 6, /990 T cv/�am if May e-or�ce�a: C2�Q r77�. y PRE -INSPECTION OWNER:. DATE V jht�o LOCATION: A. P. # CONTRACTOR: ZONING PRE -INSPECTION FOR: _ Etej''(�( , DATE TO INSPECTOR - << - b ------------- PERMIT HISTORY: NONE AS FOLLOWS: TYPE OF OCCUPANCY C, G FIELD - IN'.F RMATION BUILDING USAGE:- - Ce O - G q v TENNANT : [�OCCUPIED HAS ELECTRIC iAS�GASA E]HAS SANITATION FACILITIES HEATED -COOLED ~ PERSON CONTACTED 3-C- K/z-V D tJ OTHER COMMENTS: ;AG 0 LD 6, U ti,o rJsT . na` 2C A 2Es . N o i OC_cu PrED ACTION RECOMMENDED: ISSUE HOLD FOR. OTHER: 6 BY ( ) DATE A\�aasrj l - pl (J ��oUS� 10 x, .,.+;_v.: a�.(;,II�t F''f++Mil'�RR,�*.tl..:;�I),h1j.:�'�.h'"�"'�75r.•..,�..r`.+a.t�''e%ij5..,}+'+'f'�I.1}���w,.�i3 �'rr y%,f. ' • tT z " 7 l•'Y, ,Fa 9 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7County Center Drive - Oroville, California 95965 - Telephone: 916`538-754.1 1876--90 " APPLICATION AND PERMIT ASSESSOR PARCEL' NUMBER 40-15-28 ZONING AS BUILDING PERMIT OWNER Maxine Bowersox TELEPHONE 895-1349 SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 9508 Es uon Rd Durham CONTRACTOR'SNAME Owner TELEPHONE CONTRACTOR'S MAILING ADDRESS 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 9508 Esauon Rd. Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Durham 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 USE OF STRUCTURE SFW Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G W 10.00e TYPE OF WORK yy�� � New ❑ Addition [:]Remodel ❑ Utilities�7_1 Installation❑ Other EJPermit Describe work: Power Pole replacement I _ Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service BOOV DR LESS 100 AMP OR LESS 10.00 jQ QQ • Main;servlce EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I I declare under penalty of perjury (Check One): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NOR EW,TADCONST. DNS. / DWELLING OCCUP.&) ACC. BLDGS. 1 yzQsgft NEW CONSTR. MULTI -OUTLET NON.RESID BRANCH CIRC ITS 2,50 ea POWER APPARATUS e SINGLE OUTLET CIR. ) Ex. Occup( P OUTLETS OR FIXTURES 20050a SALO 30 FIXED Ex. OCCUp. OUTLETS P(RESID )REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 pre insp 15.00 Permit Fee $ 35.00 Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. R11 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, andjlereby-authorize representatives of the County of Butte to enter upon the e -mentioned p(operty for inspection purposes. 1 also agree to save, yRldemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and ex�enses which may in any way accrue against s, d County (in c eque ce of a granting of this permit. X �. Date //J ��� Sig lure of plicae_ Owner Contractor ❑ Agent El A,iOSHA rmit is required for excavations over 5'0" deep and demolition or construct- I.structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ 35.0 HAz CLIA PARK SCHL FLD PAR JPDJHDJ IS This permit is nereby issued under the applicable provi- sions of the Butte County Coge and/or resolutions to do work indicate above for ch fees have been paid. C R OF P BLIC WORKS /n jj 9 BY Dat PERMIT EXPIRES Date - r a No. 66559 -D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, OrGvible -Phone: 538-7541 ` 747 Elliott Road, Paradise— Phone: 872-6307 CORRECTION NOTICE T)ow E2 7�-9� x OWNER PERMIT.NO. 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. 1-- i 2rrlt is 'P70R L ) too Am? c'fL.I,- Iifr_ . /��-r l -looAe"P Amb t - Zo6 AmP, 2- S I z l"L o s r (7,j I C vt,-17Rs f') otic N t --c> iz A,,-�,?.s Inspector /J .�,1.-��e--.n Date c, - (8- cl U COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville.,California 95965 - Telephone: 916/538-7541 APPLUTION -AND PERMIT PERMIT NO. 1876-90 ✓I/1 ASSESSOR PARCEL NUMBER 40-15-28 ZONING A5 BUILDING PERMIT OWNER Maxine Bowersox TELEPHONE 895-1349 SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 9508 Es uon Rd Durham CONTRACTOR'S NAME Owner TELEPHONE - CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation is 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 508 Es uon Rd. Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Durham 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 USE OF STRUCTURE SF L�]X Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home I S I G JW I 10.00e TYPE OF WORK v� New❑ Addition❑ Remodel❑ Utilitiesg Installation ❑ Other ❑ Describe work: Power Pole replacement Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 1000 AMP ORRV OR SLESS 10.00 10.00 Main service EA. ADD'L 100 AMP 2.50 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. )cense No. Classification as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. / DWELLING OCCUP.E! OR ACDNS. C ACC. BLDGS. , 2/z¢sgft NEW CONST R. MULTI -OUTLET NON-RESID BRANCH CIRCUITS) 2.50 ea /POWER APPARATUS e) SINGLE OUTLET CIR. p OUTLETS OR FIXTURES Ex. Occup( 20@50C DAL®30 FIXED APLNS.I, Ex. Occup. OUTLETS P(RESID )REA.1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 9 15.00 pre ins 15.00 Permit Fee $ 35.00 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 Consent to Self -Insure. shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling 9 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 horize representatives of the Countyot Butte to enter upon the e -mentioned operty for inspection purposes. I also agree to save, i demnify and keep armless the County of Butte against all liabilities, judg nts, costs, and ex enses which may in any way accrue against d County Inc eque ce of a granting of this permit. Date �� ! licant — Owner Contractor ❑ Agent ❑ "HA is required for excavations over 5'0" deep and demolition or construct- over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ 35.0 HAZ CLIA PARK SCHL EEI. PAR Po HD Is This permit is nereby issued under sions of the Butte County Co a and/or work indicate above for ch fees R OF BLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS Dat �r — Receipt No. 66,559 WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY _O : fz� t per- COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND -PERMIT PERMIT NO. ASSESSOR p RCEL NU BERG ^ ZONI G' BUILDING PERMIT OWNER CT (1 LE yONE / �Yf" is Z391 SO. FT. OCC. BUILDING VALUATION OWNER' A_yj{G� DRFy56 1,2- /� CONTR Af T1(// yJ M TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is 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 ADDRE Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2,00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 55.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SFDuplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W O.00e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Uti litiesInstallation❑ Other ❑ Describe work: B2 UJ G Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service VOR S 100 AMP OR LESS 10.00 Main service EA. ADD -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 ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, 'as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. / DWELLING OCCUP.a OR AODNS. ( ACC. BLDGS. ) , h¢sgft NEW CONSTR. ULTI.OUTLET2.50 NON-RESID BRANCH CIRC', TS ea POWER APPARATUS e (SINGLE OUTLET CIR. I Ex. Occup(OUTLETS OR FIXTURES Sot eALALosoc FIXED Ex. Occup. OUT ETS 1PRESIO.)APLNS.REA.I 2.00 Temporary service 10.00 it e Home Facilities Mobil 15.00 Mi Iyirin 9 15.00 Fr a I Permit Fee $ 00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ 1 have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ 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. Contractor MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling g 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. 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 Date Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct. on of stuctures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee occ CONST TYPE TOTAL FEE HAz Cu PARK sCHL FLO PAR PD HD 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 PERMIT EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS Date LReceiptrNo. r% � ! / NITC-D.P.W.. TELLOW-ASSCSSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT "CDOIL ilder�s 3080 Thorntree, #25 Chico, California 95973 Office: <530> 899-8988 Cell: <530� 624-3639 Licenlse #: 833994 esqoop 0 10 20 30 40 SO GRAPHIC SCALE ORIGINAL SCALE: 1" = 30' Assessor's Parcel Number: Q © Lj _ Uj 0 0 _ ® ® W Size (Acres) Owner Name /Address / Phone No. oE- ` i O '' • vont i Site Location q_� oq I ,%ODP q,0A O A; �5q Zoning Contact: Name General Plan Phone 121 ~ 3 i N 1 • OMB No. 1660-0008 'Expires February 28, 2009 U.S. DEPARTMENT HOMELAND SECURITY ELEVA 1T1 1ON CERTIFICATE Federal Emergency Management Agency important: Read the instructions on pages 1-8. National Flood Insurance Program p i=YInsuranceQmpaiiyUse:;[ `.`.:: ".? SECTION A - PROPERTY INFORMATION ....:::........................................... A1. Building Owner's Name VES :::::::' : ::: No.) or P.O. Route Box No. coiriparjp NAIL No bet Unit, Suite, and/or Bldg. N ) A2. Building Street Address (including Apt, Stat+ ZIP Csde� a city ` A3. Property DecrptionU(Loti n to2,£3 Tax Parcel Number, Legal Description, etc.) p e.. Residential, Non-ResidentialAddition, Accessory, etc.) , tf NAD 19E3 A4• Building Use ( Long Horizontal Datum: NAD 127 ❑ A5. Latitude/Longitude: Lat. AS. Attach at least 2 photographs of the building if the Certificate Is being used to obtain flood insurance. rovide: A7• Building Diagram Number A9. For a building with an attached garage, p sq ft A8. For a building with a crawl spats or enclosure(s), provide:: sq ft a) Square footage of attached garage a) Square footage of crawl space or enclosures) b) No. of permanent flood openings in the attached garage b) No. of permanent flood openings in the crawl space or walls within 1.0 foot above adjacent grade — •sq in enclosuro(s) walls within 1.0 foot above adjacent grade sq in c) Total net area of flood openings in A9.b c) Total net area of flood openings in Ai.b orr-TI(I B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION B3. State B2. County Name �- Am B7. NFIP Community Name Z commun`Number it CC b Bi. Flood 8!:Base Fls;dElevations) (LaneB7. FIRM Panel Zoe(s) O, use flood depth) B4. Map/Panel Number 65. Suffix B6. FlRelndex Effective/Revised Date d10. Indicate this source of the Base Flood Elevation (BFE) data or base flood❑depth her (Describe)em 85. ❑ FIS Profileptum, IRM ❑community Determined 611. Indicate elevation dsed for BFE in Item 85 NGVD 192 ❑ NAVD 1988 ❑ Other (Describe) B12. Is the building located in a Coastal Barrier Resou es System (C CBRS or Otherwise OPA'se Protected Area (OPA)? Yes ❑ No Designation Date SECTION C -BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) ❑ Building Under Construction' ❑ Finished construction C1. Building elevations ars based on: Construction Drawings' 'A new Elevation Certificate will be equired when construction of the building is complete. C2. Elevations — Zones Al -A30, AE, AH, A (with BFE), VE, V1 V30, V (w'dh BFE), AR, AR/A, ARlAE, AR/A1-A30, AR1AH, ARlAO. Complete Items C2.a-g below according to the building dIagspecified In Item A7. Vertical Datum Benchmark Utilized r Conversion/Comments Check the measurement III �% �y//��+. At " . ❑ feet ❑ meters rt ` gyCOU 1 VTY II Top of bottom floor (including basement, crawl space, or enclosure floor) =-❑ feet ❑meters e o its sn(y� DIVISION �r—Top of the next higher floor _�� _❑ Fu feet ❑ meteB'iD —c}-, Bottom of the lowest horizontal structural member (V Zones only) ���f'' ❑ feet ❑ meters (Puert Rir�� O� / D j�+ 11 d) Attached garage (top of slab) eet ❑ maters (Pue o n e) ,Lowest elevation of machinery or equipment servicing the building �srr�� — % 2 �. o of equipment in Comments) �_ $❑'feet ❑ meters (PU a ice ly) r 7 (Describe typo p O Lowest adjacent (finished) grade (LAG) Q©' eet ❑ meters (Puerto Ria only) g) Highest adjacent (finished) grade (HAG) SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION WtO certify This Caton. I certify that the information on this Certificate represents my best efforts to interpret ed by a land surveyor. en i eer, or architect ;u—th*rlzed the data available.evation O tq{ inform 1 understand that any false statement may be punishable by line or imprisonment under if U.S. Code, Section 1001. ❑ Check here N comments are provided on back of form. License Nu mb r � � CM V "'I'68 r r Certifier's Name Cik/i �� �' fl�� R CW, �j� Titlo comp1 Il s Nl L! C , ZIP Code Stat Cit y �( Q 28 <1'J, �, Address �MM CIVI Ii AddrN � f `v A FA' AIA ( 2q Da e v i_ % 107 Tele o 411?! Signatur^� aced p di ons See reverse -side f r nf0. FEMA Form 81-31, February rs 2006 �� L IMPORTANT: In these spaces, copy the corresponding Information from Section A. RiAldino Street Address (including Apt., Unit, Suite, and/or Bld�c .. No.) or P.O. Route and Box No. City State ZIP Co a Cerripany;NA.... ?I SECTION D -SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION (CONTINUED) Copy both sides of this Elevation Certificate for (1) community official, (2) insurance agent/company, and (3) building owner. Comments Si nature Date g ❑Check here if attachments SECTION E - BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A (WITHOUT BFE) For Zones AO and A (without BFE), complete Rams E1 -E5. If the Certificate is Intended to support a LOMA or LOMR-F request, complete Sections A, B. and C. For Items E1 -E4, use natural grade, if available. Check the measurement used. In Puerto Rice only, enter meters. E1. Provide elevation information for the following and check the appropriate boxes to show whether the elevation is above or below the highest adjacent grade (HAG) and the lowest adjacent grade (LAG). ❑ feet Elmeters ❑ above or El below the HAG. a) Top of bottom floor (including basement, crawl space, or enclosure) is — ❑ feet [:]meters ❑ above or El below the LAG. b) Top of bottom floor (including basement, crawl space, or enclosure) is E2. For Building Diagrams 64 with permanent flood openings provided in Section A Items i and/or 9 (see page i of Instructions), the next higher floor (elevation C2.b in the diagrams) of the building is - ❑ feet El meters [:]above or Lbelowthe HAG. E3. Attached garage (top of slab) is [:] feet Q meters ❑ above or ❑ below the HAG. E4. Top of platform of machinery and/or equipment servicing the building is _ ❑ feet ❑ meters ❑ above or [] below the HAG. E5. Zone AO only: If no flood depth number is available, is the top of the bottom floor elevated in accordance with the community's floodplain management ordinance? ❑ Yes ❑ No ❑ Unknown. The local official must certify this information in Section G. SECTION F - PROPERTY OWNER (OR OWNER'S REPRESENTATIVE) CERTIFICATION The property owner or owner's authorized reprosentative who completes Sections A, B, and E for Zone A (without a FEMA -issued or community -issued BFE) or Zone AO must sign here. The statements In Sections A, D, and E are correct to the best of my knowledge. Property Owner's or Owner's Authorized Representative's Name Address City . State ZIP Code Signature Date Telephone Comments ❑ Check her if attachments SECTION G -COMMUNITY INFORMATION (OPTIONAL) The local official who is authorized by law or ordinance to administer the community's floodplain management ordinance can complete Sections A, B, C (or E), and G of this Elevation Certificate. Complete the applicable items) and sign below. Check the measurement used in Items Gi. and G9. G1. ❑The information In Section C was taken from ether documentation that has been signed and sealed by a licensed surveyor, engineer, or architect who is authorized by lawto certify elevation Information. (Indicate the source and date of the elevation data in the Comments area below.) G2. ❑ A community official completed Section E for a building located in Zone A (without a FEMA -issued or community -issued BFE) or Zone AO. G3. ❑ The following information (hems G4. -G9.) is provided for community floodplain management purposes. G4. Permit Number G5. Data Permit Issued GG. Date Certificate Of Compliance/Occupancy Issued G7. This permit has been issued for: ❑ New Construction ❑ Substantial Improvement GE. Elevation of as -built lowest floor (including basement) of the building: ❑ feet ❑ meters (PR) Datum G9. BFE or (n Zone AO) depth of flooding at the building site: ❑ feet ❑ meters (PR) Datum Local Official's Name Community Name Title Telephone Signature Date Comments ❑ Check here if attachments FEMA Form 81-31, February 2006 Replaces all previous editions "Cix6K&U,aem 3060 Z`horntree, X25 Chico, CMlitornisi 95973 Office: 40530)o 899-8988 Cell: <530)0 624-3639 License #&: 833994 Assessor's Parcel Number: 00 Owner Name Site Location Zoning �S QO o t� �oRt9 sav, ti -I' - (Oo o7-J6oS BUTTE COUNTY BUILDING DIVISION APPROVED 710; �/o7 P., 0 • 10 20 30 40 50 GRAPHIC SCALE ORIGINAL SCALE: 1" = 30' - 0 © 0 - U ® ® Size (Acres) Contact: Name General Plan Phone — 311 � DIR N ELLIS A&E SUPPLIES I�po1-ooze POOL GENERAL SPECIFICATIONS SIZE K X 30 AREA VAZ❑ DEPTH 3 TOG SHAPE QlEF FORM LINER POOL CAPACITY 200 GALS. PUMP r!p MOTOR H.P. I H'. P. FILTER 1AND 3di SO. FT. VACUUM LINE i SKIMMER (1 " RETURN LINE MAIN DRAIN 2� (2. " SKIMMER MODEL 0- s C2 BACKWASH LINE 00 10-' OF W" FILL LINE A ANTI SIPHON VALVE HEATER N SIZE STU GASLINE BY: f WA VENTED BY: LIGHT�jt.02 CLOCK ELECTRIC BY: P09AA ELECTRICAL BONDING BY: UI POOL CLEANER y-fil-taw 7ko CHLORINATOR INW06 BOARD - SIZE 0 BOARD SUPPORTS ft LADDER - MODEL SLIDE N J1tIL c.t.r_W\MNkIrnu' GRADING f STUD PLUMS O YES XNO DECK BY: qpol GD,G NOTES ,, _, , • - � �; � SCALE '• • �� - � � - mac/ Whw�tlel 0190 -� qV06,91 916# t' lDA ld Efec-rmgrL a mWil DY. / NATE 1111107 ��� �D r. r• al p cro BY. DATE CJuj our .7 -1c, TSG ` A-0 tl- ' ( l• NOT TO SCALE I DEEP END SHALLOW END UNLESS OTHERWISE SPECIFIED: POOL ISI SHALLOW TO%DEEP 1 HAVE RECEIVED A COPY OF THIS PLAN AND HEREBY APPROVE POOL AND t EQUIPMENT LOCATION r 07— 1&0 &O CUSTOMER'S SIGNATURE DATE BUTTE COUNTY ti 6UIi DING DIViSiONt APPROVED � BUILDING DEPT. COPY L "aa 'dere 3080 Thorntree Drive, .Suite 25 Chico, CA 95973 (530) 899-8988 License #833994 !r''i -. �� r; -k of 5 ft. from the ✓ lines and a setback from the road ie shall be clear of es or equipment except t. eave overhang. DoRTh8ZF 7G STORAG-E t M Ath00 ` � � CE +mhli,. ^n+ Pu M, sit�st frpom �, p.,; r wf.,;�> ! rkmanship 511811 ae In NOTL—All W1rc�ar3ce w'+4� .'��; Good Practices and . Ncco atir � � $ 2ifieA vst In 111l' pr of a quality N1an+tsi Ca�c� Buy►��`•` Unifern -J,*S d _ ! Code- and old e. and the L' i i rV� 11JII9ING DSPARTMEli' f A p - rAu !t- 5 -9G PLOT PLAN f-too(A ZV uc /n/t� SCALE: APPROVED BY: DRAWN BY DUE tCOA 1 11�..QM V DATE: � 0 REVISED 2 sed � MAXI NE BOWERSOX 40-15,28,v DRAWING NUMBER 0 F n � ,.� � . ,�. �± �ifpJ ,, ..� --�T! i I _ _. �,�. ,.. .. .� ._ .. . r ._ - r_. _._ . _ _ - _ ,. r .. � --- - - - -- _-. - -- _- -_ ., .. i_ .__ . -- _ � I � II I ��= 3 ; i j 1 i 'L co O `n, 3 ; i j 1 i 'L