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HomeMy WebLinkAbout040-170-006r 7Yv-'• 40-17-06 114 Durhan-Dayton Hwy, Dukham ,__(.fire. report) flue. fire/SF --- - - _PHIeLLIPS:Y Bill. & Camill'a ,. 2114 Durham,Daytori Hwy; .;Durham"'. cony porch..to 1iv hg/sf ,Ib i.N3 MISCELLANEOUS' Electrical TEMP ELECTRICAL POWER, 2114 DURHAM OROVILLE HWY -BUTTON, PATRICK-,',,, B08-1690 040=170-006 MISCELLANEOUS Demolition DEMO OF FIRE DAMAGE ON SF 2114 DURHAM OROVILLE HWY BUTTON, PATRICK A. & MARGARET Dj/b )90'6-1�, y • . r (Da )(-I ,�, - , ne7 � j fi erco�eL 97(osy, ;1'1 '1 0 0 FA �' r� BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION (IVR): (530) 538-4365 OFFICE: (530) 538-7541 FAX#: (530) 538-2140 ONLINE PERMIT/RENEWAL PAYMENTS: www.buttecounty.net\dds scuwl g, aM4 PROJECT INFORMATION 7 Site Address: 2114 DURHAM OROVILLE HWY Owner: Permit No: B08-1690 APN: 040-170-006 BUTTON, PATRICK A. & MAR Issued Date: 08/19/2008 By KCG Permit type: MISCELLANEOUS PO BOX 145 Subtype: Demolition DURHAM, CA 95938 Expiration Date: 08/19/2009 Description: DEMO OF FIRE DAMAGE ON SF (530) 894-5687 Occupancy: Zoning: A5 Contractor Applicant: Square Footage: - BUTTON, PATRICK Building Garage Remdl/Addn PO BOX 145 DURHAM, CA 95938 Other Porch/Patio Total (530)894-5687 FEE INFORMATION DBMSC Demolition $59.00 . LICENSED CONTRACTOR'S DECLARATION Contractor (Name) State Contractors License No. / Class / Expires / / I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am licensed under provisions of Chapter (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. X 08/19/2008 Contractor's Signature Date I WORKERS' COMPENSATION DECLARATION I I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: ❑I HAVE AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR WORKERS' COMPENSATION, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. X I HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My Workers' Compensation insurance carrier and policy number are; Carrier: Policy Number: Exp. Date: _ (This section nee pleo not a comted if the permit is or one hundred ($100) or ERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS s II not employ any person in any manner so as to become subject to the Workers' Compensation aws of California, and agree that if I should become subject to the workers' compensation trovisions yf•S@ction 3700 of the Labor Code, I shall forthwith comply with those 08/19/2008 . blgnature — Date WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, 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, DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND ATTORNEY'S FEES. CONSTRUCTION LENDING AGENCY I HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for the performance of the work for which this permit is issued. (3097 civ. code) Lenders Address City State Zip I otal Charged: $59.00 Fees Paid: $59.00 Balance Due: $0.00 Receipt No: B8319 OWNER/ BUILDER DECLARATION— I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License 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 pursuant to the provisions of the Contractor's License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars [$500]; Please check one of the following: �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 the work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the owner -builder will have the burden of proof that he or she did not build or improve for the purpose of sale.). E1. AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Professions Code: The Contractor's License Law dows not apply to an owner of the property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractor's License Law.). I AM EXEMPT)ndprSe_ction B. & P.C. for this I- e.� �� y���,, os/19/2008 Owners Signature Date I hereby certify that I have read this application and slate that the above information is correct. I agree to comply with all City and County ordinances, rules, regulations, and State laws relating to building 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 injury, including death, and property damage caused by, arising out of, or in any way connected with the issuance of this permit. I hereby acknowledge that issuance of this permit does not authorize the "4101-ccupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte County enter the above mentioned property for inspection purposes. I hereby certify that I am the y owner qpm authorized t on the property o of s behalf. �t"51 i,�r 08/19/2008 OID-ner 1:1 Contractor OR. E]Agent for Owner Agent for Contractor FILE COPY BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION" OFFICE #: (530) 538-7541 FAX #: (530) 538-2140 A FEE WILL BE REQUIRED AT TIME OFAPPLICA TION Website: www.buttecounty.net/dds PLEASE PRINT CLEARLY PERMIT NO. yr Bm # "When filed, this application and all supporting material becomes subject to the California Public Records Act. All public information related to this application is subject to public inspection and will be posted on the County's website for electronic access. OWNER INFORMATION Last Nam6 1.4 _ \ Name�� Mailing Address l S City St�ate1 Zipq%­r,38 Phoneg7 Fax E-mail ' PROJECT LOCATION API o ®.---1 70 — O:% Property Address Duv- City UV-L`� C /1 WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than licensed contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address DESCRIPTION OR SCOPE OF WORK. Vemofi* von r.. ce am on .s �gMMle. fr"ii_ 01 :cl,el liri_ '. .V�T4 _; J • r J - Sol FT- Living Garage Open Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): For office use only: CONTRACTOR Name "\ Vt Address�,�� 04 S City at Zip', Phone Fax Fax E-mail State License Number Class PROJECT LOCATION API o ®.---1 70 — O:% Property Address Duv- City UV-L`� C /1 WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than licensed contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address DESCRIPTION OR SCOPE OF WORK. Vemofi* von r.. ce am on .s �gMMle. fr"ii_ 01 :cl,el liri_ '. .V�T4 _; J • r J - Sol FT- Living Garage Open Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): For office use only: ARCHITECT/ENGINEER Name "\ Vt Address City CityState State Zip Phone S,3,;) _)I 6 4, Fax E-mail E-mail State License Number PROJECT LOCATION API o ®.---1 70 — O:% Property Address Duv- City UV-L`� C /1 WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than licensed contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address DESCRIPTION OR SCOPE OF WORK. Vemofi* von r.. ce am on .s �gMMle. fr"ii_ 01 :cl,el liri_ '. .V�T4 _; J • r J - Sol FT- Living Garage Open Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): For office use only: APPLICANT INFORMATION Name Flood Zone AddressS- SRA CityState I No Occ. Phone Fax E-mail PROJECT LOCATION API o ®.---1 70 — O:% Property Address Duv- City UV-L`� C /1 WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than licensed contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address DESCRIPTION OR SCOPE OF WORK. Vemofi* von r.. ce am on .s �gMMle. fr"ii_ 01 :cl,el liri_ '. .V�T4 _; J • r J - Sol FT- Living Garage Open Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): For office use only: Zoning Flood Zone SRA I Yes I 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 OWNER -BUILDER INFORMATION An application for a building permit has been submitted in your name listing yourself as the builder of the property improvements specified. For your protection you should be aware that as "owner -builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: ° If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $500 or more for the entire project and such persons are not licensed as contractors or subcontractors, then you may be an employer. ° If you are an employer, you must register with the state and federal government as an employer and you are subject to several obligations including state and federal ° income tax withholding, federal social security taxes, workers/ compensation insurance, disability insurance costs, and unemployment compensation contributions. There may be financial risks to you if you do not carry out these obligations, and these risks are especially serious with respect to workers' compensation insurance. ° For more specific information about your obligations under federal law, contact the Internal Revenue Service (and, if you wish, the U.S. Small business Administration). For more specific information about your obligations under state law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through thier own employees, without a license contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractor is to secure an "owner -builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contacting the Contractors' State License Board's automated telephone information system at 1-800-321 -CLSB (2752) or by accessing thier website at www.CSLB.ca.gov. PLEASE COMPLETE AND RETURN THE ENCLOSED OWNER -BUILDER VERIFICATION FORM SO THAT WE CAN CONFIRM THAT YOU ARE AWARE OF THESE MATTERS. THE BUILDING PERMIT WILL NOT BE ISSUED UNTILL THE VERIFICATION IS RETURNED. OWNER BUILDER VERIFICATION PLEASE COMPLETE THIS FORM AS REQUIRED BY THE STATE OF CALIFORNIA (SENATE BILL NO. 831 EFFECTIVE JULY 1, 1980). NO BUILDING PERMIT WILL BE ISSUED UNTIL THIS VERIFICATION IS RECEIVED. 1. I PERSONALLY P TO PROVIDE THE MAJOR LABOR AND MATERIALS FOR CONSTRUCTION OF THE PROPOSED PROPERTY IMPROVEMENT.IMF,8 OR NO) v 2. (e)AVE NOT) SIGNED AN APPLICATION FOR A BUILDING PERMIT FOR THE PROPOSED WORK. 3. I HAVE CONTRACTED WITH THE FOLLOWING PERSON (FIRM) TO PROVIDE THE PROPOSED CONSTRUCTION: NAME ADDRESS CITY PHONE CONTRACTORS LICENSE NO 4. I PLAN TO PROVIDE PORTIONS OF THE WORK, BUT I HAVE HIRED THE FOLLOWING PERSON TO COORDINATE, SUPERVISE, AND PROVIDE THE MAJOR WORK: NAME ADDRESS CITY PHONE CONTRACTORS LICENSE NO S. 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 Description: DEMO OF FIRE DAMAGE ON SF Reference Number: B08-1690 Applicant Name: BU ON, PAT CK Owner's Name: BUT O PATRI K A. & AR ARET AP Signature of Property Owner: Date: 040-170-006 a BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION (IVR): (530) 538-4365 OFFICE: (530) 538-7541 FAX#: (530) 538-2140 ONLINE PERMIT/RENEWAL PAYMENTS: www.buttecounty.net\dds PROJECT INFORMATION Site Address: 2114 DURHAM OROVILLE HWY Owner: Permit No: B08-1254 APN: 040-170-006 BUTTON, PATRICK Issued Date: 07/01/2008 By KCG Permit type: MISCELLANEOUS PO BOX 145 Subtype: Electrical DURHAM, CA 95938 Expiration Date: 07/01/2009 Description: TEMP ELECTRICAL POWER (530) 899-7270 Occupancy: Zoning: A5 Contractor Applicant: Square Footage: JIM'S ELECTRICAL REPAIR BUTTON, PATRICK Building Garage Remdl/Addn PO BOX 114 PO BOX 145 VINA, CA 96092 DURHAM, CA 95938 Other Porch/Patio Total (530) 966-3599 (530) 899-7270 FEE INFORMATION DBE Temporary Service $59.00 LICENSED CONTRACTOR'S DECLARATION Contractor (Name) State Contractors License No. / Class / Expires JIM'S ELECTRICAL REPAIR 918064 / C 10 / 06/30/2010 I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am licensed under provisions of Chapter (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. X 07/01/2008 Contractor's Signature Date _ WORKERS' COMPENSATION DECLARATION I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: ❑I HAVE AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR WORKERS' COMPENSATION, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑I HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My Workers' Compensation insurance carrier and policy number are; Carrier: Policy Number: Exp. Date: (This section nee not a completed if the permit is or one hundred ollars ($100) or ess. 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' C sa ion of California, and agree that if I should become subject to the workers' compensation provi ons of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. X 07/01/2008 Signature Date WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, 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, DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND ATTORNEY'S FEES. _ CONSTRUCTION LENDING AGENCY "Dotal Charged: $59.00 Fees Paid: $59.00 Balance Due: $0.00 Receipt No: B7864 OWNER / BUILDER DECLARATION I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License 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 pursuant to the provisions of the Contractor's License Law [Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code] or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars [$500]; Please check one of the following: ❑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 the work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If, however, the building or improvement is sold within one ZAyy"r of completion, the owner -builder will have the burden of proof that he or she did not build or roveforthepurpose of sale.). S OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED NTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Professions Code: The Contractors License Law dows not apply to an owner of the property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractors License Law.). I AM EXET under Section B. & P.C. for this reason: 07/01/2008 Owner's Signature Date -7 _ I _ og 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 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 injury, including death, and property damage caused by, arising out of, or in any way connected with We �eetrt d of this permit. I hereby acknowledge that issuance of this permit does not authorize the use occup cy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte Couto ant the above mentioned property for inspection purposes. I hereby certify that I am the o am authoriz act on the property o ers behalf. .,, iaT.ta.c - A - 1 07/01/2008 I HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for ame of R the performance of the work for which this permit is issued. (3097 civ. code) a0vvner Lender's Address City State Zip Contractor OR.Agent for Owner ❑Agent for Contractor FILE COPY BUTTE 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: www.buttecounty.net/dds PLEASE PRINT CLEARLY PERMIT NO. BIN # "When filed, this application and all supporting material becomes subject to the California Public Records Act. All public information related to this application is'subject to public inspection and will be posted on the County's website for electronic access. OWNER INFORMATION Last NameFirst Nam Mailing Address ou- L 4" — City State CA ZipQS �3g Phoneme — •.? a- 7 O ��SS Fax E-mail APPLICANT INFORMATION CONTRACTOR Name - E 1 ' (- Address City City State State Zip Phone Q ",6 Fax Fax _ E-mail State License Number Lic.# 0-A Class0() APPLICANT INFORMATION ARCHITECT/ENGINEER Name City Address Zip City Fax State Zip Phone Fax E-mail State License Number APPLICANT INFORMATION Name Address City State Zip Phone Fax E-mail APPLICANT SIGNATURE X � PROJECT LOCATION AP# a Property Address . L City WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than licensed contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address DESCRIPTION OR SCOPE OF WORK. Sq FT- Living Garage Open Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): For office use only: Zoning FloodZone SRA Yes No Occ. Type Const. RESIDENTIAL 040=17=0=006 -� �-4094B,E,� PHILLIPS, Bill & Camilla 2114 Durham Dayton Hwy, Durham I conv porch to living/sf441 i 4 JOB FINALED (Date) % A7- —_ Signature ��'��_?% V=OK O Not OKNot ' • a = Not Readyable 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: / /" L"ft. / /"Nat. or/ /"L"ft./ /"LPG 7. Well Clearance & Disconnect 8. 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 8. 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, CARPORTS, GARAGES, (Plans)OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails ' 4. Wood Awn.; Posts -Bea ms- Rftrs.-Connectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date Card B-1 Date Card B-1 Date Card B-1 Date 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 -Panel boards -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 L '"J = OK O =Not OK = Not Applicable Not Ready RESIDENTIAL (Single *& Duplex) ' =^ Date UNDERFLOOR (Plans) OK except N's Date FRAMING (Continued) 1. Zoning -Setbacks -Easements -Flood -Slope 45. Hangers -Post Caps -Anchors -Connectors 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 46. Ong. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Ring. 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 4. Ftg., Porches &Decks; So: ls-Steel-/ /Ftg. Depth ---------- 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit),OK except N's 16. Water Htr.: Vent -Access -Combustion Air -Baffle 17. Water Pipe: Test & A or -Nail Protection ------------------------------------------- --- -- 18. D.W.V.; Test -F' ngs & Anchor -Nail Protection--- - - - -- - - 19. Shower P n: Test, First Floor -Tub Access --- ---- 20. T --Tub & Shower, Second- Floor -Tub Access -------- ---------- - ---------- 21. Gas Pipe: Size & Anchors ---------------------------------------------------------------------- - Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except N's ---- 22. Fixture & Transformer Clearance --Ins. Protection ---- ------ 23--Elec. Receptacles Spacing -Lights & Switches at Doors ------------------------------------------------------- 24-STze Boxes & No. of Conductors -Stapled ------------------------------------------------------------------------------- 28' Romex Installed Close to Edge of Studs & C.J. ----------------------------------------------------------------- 29-Equip. Ground made *up w/Meth. Fastners-Bond Gas & Water ------------------------------------------ 2?2 Appliance Circuts in Kitchen & Conductor Size/GFI --- ------------------------------------------------------------ 2e--Subfeed Wire Size r / ga. Cu or AI-A.C. Wire Size / ! ga. Cu or AI ---------------- 2AJ-Range Circ. ! / ga. Cu or AI -Oven Circ. / ! ga. Cu or Al. Insulated Neutral 0_-Y ❑ No ----- -------------------------------------------------- 3@--Service-Riser Conductors & Ground -Main Disconnect ------------------------------------------------ 3+. -Equip. Clearances Panels-Motors-Mech. Equip. ------------- ------------------------------------------------- 32' Clothes Closet Light -Shower Light -Spa Light --------------- --- ----- -- - ------ --- ------- ---------------- (,03 Smoke Detector -------------------------------------------------------------------------------- DateCard B-1 e B -----�-��3 - - --- DatCard -1 --------- --------- ----------------- Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except N's 34.- A.C. Ducts Insulation & Support -------------------------------------- ----------------------------------------- 35. Vent Fan: Exhau ove insulation ------------------------------- --------------------- -- - - --- --- 36. Conden. rain & Overflow; Size & Grade ------------- - -- -- - ------------------------ - - -- - - - 37. F nce-Vent; Access -Comb. Air -Return Air Vent -115 outlet -------------- ----------------------------------------------------------------- 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 N's 39. Sils. Proper Material & Anchors - - -- - - -------------------------------------------- -- 40. Walls Studs -Nailing. Spacing & Bracing -Plates -Sound ------ - --------------------------------------------------------- 41. Bearing Walls over Girders & Floor Nailing - - - -------------------------------------------------------------- a 42. Draft Stop in Walls (rat proof) Q2 Fire Stops: Furred Ceilings -Stairs -Chases -Tub ------;----- -------.---------------- ------------------ 4 ±1pa er Beam -Size & Bearing 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 50. Garage Fire Protection Framing 51. Property Line Firewall & Openings 52. --Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits _-_ 53 Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers ------------------ --- _ 55. Siding -Nailing Veneer ------------ 56. -Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access ---- - __ 57. Glazing Area -Glass Protection -Skylights -Plastic _____ ______ 58. Shear Walls; Nailing -Bolts 59. Insulation -Walls -Ceilings ------------- 60. Infiltration -Walls -Windows Date _ _ Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except N's t. Steps -Door Sidelight Protection -Landings s9 S� Smoke Detector 63. Furnace: Vents -Clearance -Comb. Air -Connector - Garage: Above Floor -Ducts -Meeh. Protection ------------ . Bedroom Exiting --------------------------------- - �5 1 .F.1. & Bath Fixtures & Tub Access -Spa •66-Elec. Trim & Subpanel: Breaker Sizes & Labels ---------- I#-�Stairs & Rails ---------------------- ------------- - QA-Xireplace or Stove: Clearances -Hearth ----------- - -- ---------------------- 69. Elec. Outlets at Wood Panel: Int. & Ext. ZLL.kit.Fixt. & Appliance: Grnd.-Air Gap -Cooking Clearance --------...------------------- - - i'd-Eec. Outlets & Receptacles at Kit. Counter -- -------- - ------------------------- ----- 7t-Garage Fire Door: Swing -Landing -Closer ---F3--A.C. Duct in Garage -Damper ------------------------------------- i'4 --W r. Htr.: Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage: Above Floor -Meth. Protection ------------------------------- - 75. Plb.. Elec. -&-Mech. Equip. Listed for Location 96-E4ec. Receptacles in Garage: (G.F.I.)-Romex Protection Insulation -Foam -Looked in Attic ❑ Yes ------------------------------ ------------- - 7&. -Guard Rails & Deck Construction -Post Caps ------------------------------------------ - 72Edn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes aW Following instld.: Drive ❑ Yes ❑ No: Walks ❑ Yes ❑ No; Planters ❑ Yes ❑ No ---------- - ----------------------------- 81-SLucco_ Brown -Finish - a2--A.C. Unit_ Disconnect_ Electrical, Plumbing - 83. Vents Above Roof: Plbg.-Appliance-Fireplace.-Clearance to Openings - ---------------------------- - 84 --alter Well: Disconnect, Electrical, Plumbing --------------------- --- -- 8Fr-Exterior Elec. Trim: G.F.I. Receptacle -Underground - . - . - - --- --- ------------------- --- i1C Ventilation Throughout House ----------------- Glass ----- ----------Glass Protection ------------------------------------------- orrections from Previous Inspections - -- -------------------------------------- 89-Ua-s Test -Meters Tagged: d: Gas -Electric ------------- 90-Water & Sewer Connected -C/O to Grade -HD Approval - ------- -- - - - - ---- ---------- ----- 1 er Compliance Certi icate Other Certificates ------ --.-/-�----q------------------------- ---- --- -- Date 6 7-Ci5 Card -B- 1 �� -Date - Card B-1 Date L� Card B-1 Date Card B-1 -- ---------------------------------- - Date Card B-1 Date Card B-1 Comments at Final_ '_o^/ JF2f �-(j� ��U�- l.twA16 a✓- - ---wr-4 --- tAL5 _Xeq 014 / COUNTY OF BUTTE � DEPAR-TMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, Calilgrnia 95965 - Telephone: 916/538-7541. APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 040-170-006 ZONING A5 BUILDING PERMIT OWNER TELEPHONE 4-7421 SQ. FT. OCC. BUILDING VALUATION O AI A144A ESSiTT DURHAM q5938 4 R 12,054 C C MpAymN TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 15.00 Permit Fee Plan Checking Fee $ 120.00 $ 60•.00 ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ 20,00 Penalty $ BUILDING ADDRESS 911 IA nT_TR-H,AM DAYTON Rn Permit fee $ 215.27 DURHAMPLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF ba Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S I G W @ 15.00 TYPE OF WORK New ❑ Addition2f Remodel Utilities ❑ Installation❑ Other ❑ Describe work: CONV PORCH TO M l Llk7 A cit ea FAMILY RM/DINING AREA EXISTING Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 0V OR LESS 200AORLESS 18.50 CONTRACTORS LICENSE LAW declare under penalty of perjury (Check One): El I am licensed under provisions of Cha t. 9, Div. 3 of the Business p 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) EJI, as the owner, am exclusively contracting with licensed contract - ors. (Sec. 7044) ❑ 1 am exempt under Sec. , Business and Professions Code for this reason Main service 200A TO 1000A, 37.50 NEW CONST. / DWELLING OCCUP.q+\ OR ADDNS, ACC.BLDGS. 3.64sq.ft.I NEWCONST R. U TI -OUTLET NON.RESID BRANCH CIRC ITS @ 5.00 (POWER APPARATUS e) SINGLE OUTLET SIR. Ex. Occup(OUTLETS OR FIXTURES 20 @ 761 10.29 FIXED APPLNS. OR \ Ex. Occup. OUTLETS (RESID.) EA./ 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring -15.00 L I Permit Fee $ 25,29 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. Contractor MECHANICAL PERMIT Filing Fee 1 15.00 Heating Cooling Hood 6.50 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the 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 id County in consepqu�enncee of the granting of this permit. X All 4-7 Date Signature of Applicant — Owner Contractor ❑ AgentF1 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 Fe=PARCELPD Energy Inspection e cc •- 3 TTY TOTAL HAz D Es IMP FLo is permit is hereby issife6inder sions of the Butte County Code and/or which fees work ��;kFPUBLIC By PERMIT E IRES Date the applicable provi- resolutions to do have been paid. % WORKS / Date j-- Receipt No. 196378 WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT i .'L�- COUNTY OF BUTTE BUILDING DIVISjON DEPARTMENT OF DEVELOPMENERVICES 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA --(916) 538-7541 747 Elliott Road, Paradise, CA - (916) 87276307 CORRECTION NOTICE - 1 (_ Ws 2 9 -L10 9y OWNER PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please,6ntact this office immediately. 51111=1 A� Date Inspector REV 10192 COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF -DEVELOPMENT SERVICES - 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE '212 - OWNER PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. jr e— �i AL y e- tg 't�' Date 1 J/L �� 5 3 Inspector i i REV 10/92 i Date 1 J/L �� 5 3 Inspector i i REV 10/92 FLOOD PLAIN.DECLARATION I declare the actual value of the proposed construction work under build-\, ing permit application A.P. # nq0-1 )0-00 for 0nVQ17s) 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 XaL ADDRESS PHONE NO. `�;A ^'� -+a � DATEi�. �� E , *Substantial improvement is defined as follows: Any repair, reconstruc- tion, or improvement of a structure, the cost of which equals or exceeds -50% of the market value of the structure either, (a) before the improvement or repair is started, or (b) if the structure has been damaged, and is being restored, before the damage occurred. NOTE: Documentation may be required to substantiate costs. OCG Z �C -�� �-,+� ,i rw/ ���...d"" �.v-...�.-'"1---�/''""t``-v.r...��,;,��.b,F.✓'a'�si..f"""^'- �r`r''"`"'�C �y.-.�'�"`t...r.-.�,..:h i-'`"v'-nt�l t'".�<..- _. `�'! � Y COUNTYOF BUTTE - DEPARTMENTOF DFVELOPMENTSERVICES -BUILDING DIVISION 7 COUNTYCENTER DRIVE - OROVILLE, CALfFORNIA95965 - TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET OWNER 1 11 r K (H 1 la S A. P. No. (-WO-1-70-COG Proposed Building Use fa -S Building Inspector Date (I AO-gZ At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY 1. All items have been submitted . ......................................... ' Plot plans, 3/4 sets, signed by preparer of plans . ........................ Complete plans, 3/4 sets, signed by preparer of plans. .. — L .4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. 5. Hazardous Material Form . .......................................... . 6. Energy Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non -Heated and A/C Buildings . ...................... 8. Engineered truss details and layout in duplicate (required prior to plan check). .... 9. Mobilehome data and manufacturer's installation instructions, 2 sets. ........... Fees of $ Impact fees as shown on attached schedule. �(QGD �GC. California Department of Forestry plan approval/fees. . ....................... . Flood elevation letter (100 year flood) by California Engineer. . . 14 Sanitation and plot plan approval Chi CO Health Department . ............2 S — S� 15. City of Chico plumbing permit . ......................................... 16. Plot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B) Parking: . ......... 18. Contact Land Development about (A) Improvements (B) Drainage. .......... . 19. Driveway permit (construction approval required prior to occupancy). . . 20. Pre -inspection for P`e4",ecl'°" `64�� required. . to Building,nspedor (Date) 21. Contractor's license information. (No., Name Style, Classification) . .............. 22. Certificate of Workmans Compensation Insurance . .......................... 23. Owner -Builder Verification (Given to owner , Mail to owner . .......... . 24. Recorded copy of Agricultural Acknowledgement Statement . .................. 25. Letter of signature authorization . ......................................... 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. ..... 27. Letter oftintent on building use. 28. Mobilehome utility clearance . .............. ................... . ...... 29. Documentation of legal access . ..................... :.................. 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits . ...................................... 32. Plan check list . ................................ I.................... . 33. 34. When you issue the permit, process as follows:� Mail to owner. Mail to contractor. Telephone ��Z -A143 and hold for pickup at office. Deliver with inspector. Other sLey— 3¢Z 021" Parcel Creation Acreage Applicant ����'i' _ Date Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution D Copy of plans sent Health Dept. Fire Dept. er Date y The following data must.be submi d pyo r it iss ace: (Circle new item no ec d ab (ve). 1. Index permit for above items 2. Additional items required: JJ Contractor, designer, oww= , was advised of abQ4181required data by !''hone _ mail Count � r byate Contractor, designer, owner, was advised of above required data by phone _ mail Coun er byd�✓Date 2 Plans checked by Date Plans approved by Date Sets of plans on hold in _ File cabinet AP folder Copy - Department of Public Works tc�- F.H. USE ONLY mss' s ri.... r Plan M.clwd TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance qc)-1-) 0c0 , Own er Location AP## Plan Approved for: -Sewage Disposal Water Supply: Public Private Well Clearance for bedroom mobile ]home. Oth�.j4 ereI(un a�V C.`/�'}c71m))\11 M� ) Hold final for: Final clearance O.K. for: NOTE Environmental Health Specialist 8/92 Date • C OU.JT'' OF BLr—L _ - Deaarcmenc o [ Pub L is ';o rtes 7 CJuncy Cancer Drive, Oroville, CA 95963 Phone : 9 16 - OWiYGR-BUILDER VERIFICATION .cencion P_ooercy Owner: An "owner -builder" building permit has been applied for in your name and bearing )ur signature. Please complete and return this information at your earLiesc 0000rtunity to avoid anecessary delay in processing and issuing your building permit. No building permit L11 be issued until this verification is received. I. I personally plan to provide the major labor and materials for ccnsc=uction of the proposed property improvement (yes or no) 2. I (have/have noc) kaA�__- signed an application for a building permit for the proposed work. 3. I have cont=acted with the f lowing person (firm) to provide the proposed consc_sccioa: Name Address City Prone Contractors License No. 4. I plan to provide portions of t is work, but I have hired the following person to coordinate, supervise, and rovide the major work: Name Address City Phone Caat=actors License No. 5. I will provide some of the work but I have conc:actad (aired) the following persons to provide the work indicated: Name Address Phone Type of Work Signed: N1j %1z/hGH-- P.00erty Owner yI -c Social Security Number - Da c e . aO A' R .�)_ DTZ 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 complecad and returned to our office before we are per- mitced to issue the permit. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916.'538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL U R M E ' O " ZO G BUILDING PERMIT o NECV, l LEPr�Q l SO. FT. OCC. BUILDING VALUATION I`LING AD 3 CON RAG OR'5 NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ f !1 LENDER'S MAILING ADDRESS Filing Fee $ 15.00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING DDRESS Energy Plan Checking Fee $ - Penalty $ BUILDING ADDRESS,g� _, -2 1,1v/��J/ Permit fee I $ PLUMBING PERMIT ' Filing Fee 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SFV Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S G W @ 15.00 TYPE OF WORK New ❑ Addition Remodel Utilities ❑ Installation❑ Other ❑ Describe work:K. Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200AORLESS 18.50 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. 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 Main service 200A TO 1000A1 37.50 NEW CONST. / DWELLING OCCUP.a) 3.64so.ft. OR ADONS. l ACC. SLOGS. NEW CONSTSL M ULTI.OUT LET NON.RESID BRANCH CIRC ITS @ 5.00 POWER APPARATUS e (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES20 8 76010 Qq JA 4F;dA r FIXED APPLNS. OR EX. Occup. OUTLETS IRESID.I Fr, I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring 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 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 15.00 Heating Cooling Hood 6, 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. 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- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ 4+0 ' Yn�oc a` oNs PE TOTAL FEE $,9j IISSUE HAz OFEES IMP FL000 COF PARCEL PO HD I 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. DIRECTOR OF PUBLIC WORKS By Date PERMIT EXPIRES Date Receipt No. )Q (,0 --A -7 �) cto S5 WHIT[-D.P. W., TELLOW-A9DE33OR, PINK -INSPECTOR, GOL GOLDENROD -APPLICANT .+1r.� 7,�+�v+'.►'�.�i ._^��r .-.�.-•,}.yw,r.. Y',..-3{r�^aT`�"'„�'^....,-••^'..—,r+rri`..^ar"'TkPr�-iww�'^r^''�'�'.�•`'.�v''..'.y+y"Y"`+t�.K"'r"'ry�vr"`vyieiCi^ �r9�:2ri.�..;;,7w4...s� BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One Form Per Building) School District I 4 A.P. Number 0yo-1'1 0 -not , Property Owner Property Location/Address Jurisdiction 0 Bpi Idi4c pe artr9ent No. I � 111'r - CdY ../ [V County Subdivison Lot No. Residential Development 0' 0 IX Sq. Footage No. of Living MHI Addition (Group R) Units Commercial/Industrials .. . _�� a - - E;> .:..=S�q Footage New, • Addition (Including Exterior Roofed Areas) Building Department Representative D to . (Floor Plans reviewed by School District Personnel) District Identification No. 4 993 , School District certifies that 161,11 Ahl. //1 v S (Applicant) y �U'R#-9711 2)AYrOAJ q w y 91 -/-Iva/ (Street Address) (Phone Number) (City) 6114 (State) 59,3 E has complied`wth the requirements of Resolution No _ 9,, �, by paymen 'representing~ ?o� 9`7 •. square feet. � ,. _^ ~. "••J' _, -93 School District Representative Date Paid by Check Number Bank Number Paid by Cash Remarks: _ ONDe-9 F7 - If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Duality Act (CEQA), this project may be subject to additional school fees to fully mitigate its impact on the school district's schools. White (applicant), Yellow (building department), Pink (school district) am feeformmkl (4/92) -2L w (f O ; � t (f Af#-ovo-no-co6 ,20 t -i I I DATE: PERMIT m: FEES: Amount and Purpose REMISED PLATY CHECK: � BALANCE OF FEES: $ ADDITIONAL FEES: $ REINSPECTION FEE: $ CHICO URBAN AREA FEES: $ ASSESSORS PARCEL 1: OWNER'S NAME: IF BALANCE OF FEES OR ADDITIONAL VALUATION: VALUATION: S ADDITIONAL VALUATION:.$ COUNTY: r CITY OF.BIGGS: CITY OF GRIDLEY: (check one) RESIDENTIAL: COMMERCIAL: (check one) RECEIPT 7: Insulation Certificate BUILDING OWNER: �-1 ! `ZI C� M,11 � A111,105- BUILDING PERMIT #: BUILDING LOCATION: yfl - ��.� -0,6� Description of installation laeroj� Material Thickness (inches) Brand Name Thermal Resistance (R -Value) CEILING Batt or Blanket Type Brand Name CK - Thickness ness (inches) a Thermal Resistance (R -Value) Loose Fill Type Brand Name Contractor's minimum installed weight/ft lb Minimum thickness inches Manufacturer's installed weight per square foot to acheive Thermal Resistance (R -Value) ` EXTERIOR WAt, Material Thickness (inches) RAISED FLOOR Material Thickness (inches) _ SLAB FLOOR Material Thickness (inches) _ Width (inches) FOUNDATION WALL Material Thickness (inches) Declaration Brand Name�(� Thermal Resistance (R -Value) \q Brand Name Thermal Resistance (R -Value) Brand Name Thermal Resistance (R -Value) Brand Name Thermal Resistance (R -Value) I hereby certify that the above insulation was installed in the building at the above location in conformance with the current Building Energy Efficiency Standards for new residential buildings contained in Title 24 of the California Administrative Code. General Contractor (Builder) Signature and Tile License Number Date . ('. SCon ac r (Ins lation Ins[allcr j , � 1,D4 L ic� Q Number 1.Signature and Title Date THIS CERTIFICATE MUST BE PROVIDED TO THE BUILDING DEPARTMENT PRIOR TO FINAL INSPECTION APPROVAL AND A COPY SHALL BE POSTED WITHIN THE BUILDING. JANUARY 1993 Installation Certificate: Residential CF -6R BUILDING OWNER: BUILDING PERMIT #: BUILDING LOCATION: An installation certificate is required to be posted at the building site prior to the issuance of the occupancy permit. This form may be used to meet these requirements. All appliance categories listed below are the actual equipment installed. Note that the efficiency and type of the appliance installed must be equivalent or better than the appliance specified on the Certificate of Compliance (CF -1R). This certificate (or its equivalent) shall be prepared and signed by the person(s) assuming overall responsibility for the appliance installation. 1, the undersigned, verify that the equipment listed in the category above my signature is the actual equipment installed and that the equipment meets or exceeds the requirements of the Appliance Efficiency Standards. In addition, I have verified that the equipment is equivalent to or more efficient than the equipment specified on the Certificate of Compliance submitted to demonstrate compliance with the Energy Efficiency Standards for residential buildings. HVAC SYSTEMS Note: Hydronic boiler information is entered here. Other hydronic or combined hydronic equipment is listed under Water Heating Systems. Heating Equip. CEC Carttf led Actual Distribution Duct or Heating Load Heating Type (furnace, Manuf. Make & Efflclency Type and Piping Before Over- Equipment heat pump, etc.) Model Number (A UE. etc.) Location R -Value Sizing (Btuh) Capacity (Btuh) CEC Certified Cooling Equip. Compressor Unit' Actual Distribution Duct or. Type (air cond., Manuf. Make & Efflclency Typ®and Piping heat oumo. etc.) Model Number (SEER) Location R -Value The building design heat loss and design heat gain rate have been determined using a method specified in Section 150(h) of the Energy Efficiency Standards, and are two of the criteria used for equipment sizing and selection. Signature Date HVAC Subontractor (Co. Name) or General Contractor or Owner WATER HEATING SYSTEMS Energyt External Water Heating CEC Cart ifled Rated' Tank Factor or Tank System Type Manuf. Make & Input (kW Capacity Recovery StandbyInsulation (storage gas, etc.) - Model Number or Btuh) (gallons) Efficiency_ Loss (%) R -Value 1. For small gas storage (rated input:5 75,000 Btu/hr), electric resistance and heat pump water heaters, list Energy Factor. For large gas storage water heaters (rated input >75,000 Stu/hr), list Rated Input, Recovery Efficiency and Standby Loss. For Instantaneous gas water heaters, list Rated Input and Recovery Efficiency. For instantaneous electric water heaters, list Rated Input. FAUCETS & SHOWER HEADS All faucets and showerheads installed are listed in the Commission's Directory of Certified Faucets and Showerheads, pursuant to Title 24, Part 6, Subchapter 2, Section 111. Signature Date Plumbing Subcontractor (Co. Name) or General Contractor or Owner THIS CERTIFICATE wUST BE PROVIDED TO THE BUILDING DEPARTMENT PRIOR TO FINAL INSPECTION APPROVAL AN -D A COPY SHALL BE POSTED WITHIN THE BUILDING. JANUARY 1993 FOR M 7 ADDITIONS TO RESIDENTIAL BUIfLDINGS ENERGY SHEET PACKAGE "A"(Additions) Owner Climate Zone Permit # _ Floor Area ` The following data showing mandatory and required features of Package "A" shall be installed for additions to dwellings. Additions to dwellings include room additions, converting garages and patios to living areas, house moves that add footage and attic conversions, and any space that is existing non -conditioned space that is converted to conditioned space. Remodeling of existing conditioned space is not included. APPLIES TO NEW AREA CEILING WALL FLOOR SLAB GLAZING.. SHADING SOUTH - OPTIMUM OVERHANG ZONE 11 R-30 -il R-11 R-7, U-.65 (Dual) or .36 Shading Coefficient WEST - .36 Shading Coefficient LOOSE FILL INSULATION (Density) ZONE 16 R 3 R- 9 R 9 -7 5 (Dual) BUTTE COUNTY BUILDING DEPARTS T: 6P 0 V INFILTRATION CONTROL (Weatherstrip:.doors, certified windows, caulking) VAPOR BARRIER (Zone 16) DUCTS PER UNIFORM MECHANICAL CODE - Ch. •10 LIGHTING KITCHEN & BATH NOT LESS THAN 25 LUMENS/WATT MAXIMUM GLAZING 16% OF AREA PLUS REMOVED GLAZING NEW HEATING, VENTILATING, AIR CONDITIONING AND HOT WATER SYSTEMS IN CONJUNCTION WITH AN ADDITION SHALL BE INSTALLED AS SHOWN ON BACK OF THIS SHEET. OTHER 12/85 mum HEATING, VENTILATING, AIR CONDITIONING SYSTEM (A) Heating Central Gas Furnace T (brand and model number) SE Btu/hr (heating capacity) Heat Pump (brand and model number) ACOP Btu/hr (heating capacity at 47'F) Active Solar type (liquid or air) Collector brand and ft model number solar fraction collector area collector orientation collector tilt rated y -intercept rated slope Other (describe) (B) Cooling Electric Air Conditioner (brand and model number) (seasonal EER) Btu/hr (cooling.capacity at 95°F) Electric Heat Pump EER *1 *1 ❑ other (describe). mum HEATING, VENTILATING, AIR CONDITIONING SYSTEM (A) Heating Central Gas Furnace T (brand and model number) SE Btu/hr (heating capacity) Heat Pump (brand and model number) ACOP Btu/hr (heating capacity at 47'F) Active Solar type (liquid or air) Collector brand and ft model number solar fraction collector area collector orientation collector tilt rated y -intercept rated slope Other (describe) (B) Cooling Electric Air Conditioner (brand and model number) (seasonal EER) Btu/hr (cooling.capacity at 95°F) Electric Heat Pump EER Btu/hr *1 E3 other mum HEATING, VENTILATING, AIR CONDITIONING SYSTEM (A) Heating Central Gas Furnace T (brand and model number) SE Btu/hr (heating capacity) Heat Pump (brand and model number) ACOP Btu/hr (heating capacity at 47'F) Active Solar type (liquid or air) Collector brand and ft model number solar fraction collector area collector orientation collector tilt rated y -intercept rated slope Other (describe) (B) Cooling Electric Air Conditioner (brand and model number) (seasonal EER) Btu/hr (cooling.capacity at 95°F) Electric Heat Pump EER SIG, AT OF BUILDING'DESI 0 APPLICANT Btu/hr (cooling capacity at 95°F) E3 other (describe). DOMESTIC WATER SYSTEM ❑ .(A) Gas Only Gallons (brand and model number) (tank size) ❑ Heat Pump W/Electric Backup (brand and model number) Gallons (tank size) 2 C,* Active Solar (collector brand and model number) ,. .' (rated y -intercept) (rated slope) (solar fraction) ft (backup heater type, brand and model number) (collector area) (collector orientation) (collector tilt) Q Location of Solar Panels ❑ Other (Describe) *1 Submit documentation of sizing heating and cooling equipment by Manual J, sizing charts (form #4) or other approved methods, section 2-5352(g), and fill out the following: Heating: Winter design temperature °, elevation '. heating load BTU elevation factor x heating load - maximum outlet capacity gas furnace BTU Cooling: Summer design temperature °, cooling load BTU *2 Submit T.I.P.S.E. chart'or other approved system (form #5) to document sizing of solar panels. ® DESIGN COMPLIANCE STATEMENT: The above building design meets the requirements of Title 24, Part 2, Chapter 2-53 of the California Administration Code. SIG, AT OF BUILDING'DESI 0 APPLICANT 6s 3r ! 077 R E FD " - =-,)p R Fc- 18(1/80) - ORIGIN LOCATION - ,GP U NCID7-NT NO r S ART MO.'S �pCAnTE 1EL.R I COn'j'+Tl' -'� FIRE NUMBER FIRE NAME: REG. R.U. NO. thio / Q `� � ��• ` Mme• — � 1 } SEC. TO`NNSHIP[g N 1f�05 RANGE CKE NATIONAL FOREST, FIRE DIST., CITY 8 STREET NO., 2 _ aW .d " . , . - . MILESDIRECTION ' El IN. NATIONAL FOREST, FIRE DIST., CITY 8 STREET NO., 3 FIRE ❑ FALSE ALARM --GO TO <1> ETC. BLOCK 10 - BRUSH 1� ❑ ASSIST CITY, CONTRACT CO., MIL, OTHER rCAUSE (STARTS IN ;O. O ©{OR 0 ONLY) ZLIGHTNING ;❑ DEBRIS ❑ PLAY W/FIRECAMPFIRE . ❑ ARSON ❑ OTHER/MISC. SMOKING EQUIPMENT f"LAAND © USE (STARTS IN 1 5 OR 8 ONLY) 1.. DOMESTIC - FOREST INDUSTRY RANCH-FARM:a*RECREATION ❑DUMP �' ' .:❑ OTHER INDUSTRY-COMRCL., ❑ ROAD - t ❑ WILDLAND;�r ❑ UTILITY, RAILROAD -Cl NON-WILDLAND ❑ UTILITY, ELECTRIC Y❑ OTHER ' T • DAMAGE OR 48> ONLY) 7 ' INCIDENT TYPE 0 3 FIRE ❑ FALSE ALARM --GO TO <1> TOTAL BLOCK 10 - BRUSH TIMBER 8/OR Y4 GRASS B.O.R. ✓ - RESPONSIBILITY r 4A 4 8 `/ STATE ZONE V STATUTORY O❑ WILDLAND BURNED OR THREATENED 2 RESPONSIBILITY ❑ CDF LOCAL GOVT. CONTRACT 3 O AT ORIGIN) ❑ UNPROTECTED ASSIST OTHER 0 ASSIST AGRICULTURAL PROD <E?<?iv'2':'. ❑ [3 AGENCY (Not City) ❑ U.S.F.S. 05 LOCAL ZONE r . ❑ B.L.M. CDF LOCAL GOVT. CONTRACT DWELLINGS ❑ B.I.A. O ❑ ASSIST OTHER AGENCY (Not City) [:),OTHER FEDERAL ©FEDERAL ZONE _ ❑ ASSIST FED. AGENCY (Not Mil.) ❑.OTHER 0 ❑ CDF LOCAL GOVT. CONTRACT .r O9 MISCAND OTHER /T.: ❑ ASSIST CITY, CONTRACT CO., MIL, OTHER rCAUSE (STARTS IN ;O. O ©{OR 0 ONLY) ZLIGHTNING ;❑ DEBRIS ❑ PLAY W/FIRECAMPFIRE . ❑ ARSON ❑ OTHER/MISC. SMOKING EQUIPMENT f"LAAND © USE (STARTS IN 1 5 OR 8 ONLY) 1.. DOMESTIC - FOREST INDUSTRY RANCH-FARM:a*RECREATION ❑DUMP �' ' .:❑ OTHER INDUSTRY-COMRCL., ❑ ROAD - t ❑ WILDLAND;�r ❑ UTILITY, RAILROAD -Cl NON-WILDLAND ❑ UTILITY, ELECTRIC Y❑ OTHER ' T • DAMAGE OR 48> ONLY) 7 DIRECT PROTECTION ACRES BURNED S DAMAGE 0 Number olwd .0 tc N.—o lom <1> TOTAL 5 - BRUSH TIMBER 8/OR Y4 GRASS B.O.R. YOUNG GROWTH ?'��;• ' CDF TOTAL OTHER WILDLAND VEGETATION 1 TOTAL (Other than T 8 Y G :::::• AGRICULTURAL PROD <E?<?iv'2':'. (Other than T 3 Y G) r . - DWELLINGS d/OR CONTENTS OTHER STRUCTURES,; ; �»• .Y t,rtei /T.: s t; =y &/OR CONTENTS �yi" „gin. trc r wy `• lEvc C , . >Y - VEHICLES a coNTENrs ate.• �� 4 V•1..+• OTHER':�y .i?. rbSllp:.:nl fC j % :•,'.< TOTAL S -14 ono 1= n r 11 ACRES OF "VEGETATION BURNED AGENCY DIRECT PROTECTION ACRES BURNED CDF 0 TIMBER OTHER _ 1 TOTAL U-S.F.S. SIZE CLASS �A .25A R SS �. Eo]B _26 - �iC ES { n ❑kC 1 ACRES; . 299 ACRES e, 300-999 ACRES ❑. F 1000-4999 ACRES ❑ G 5000 ACRES OR MORE V` VEG. TYPE ACRES BURNED 1 Oj ACRES BURNED TIMBER :. STATE WOOD LAND U-S.F.S. BRUSH B.I.A: GRASS B.O.R. AGRIC. PROD. FED. CDF TOTAL OTHER STATUT. RESPON. Oj ACRES BURNED OF. :. STATE U-S.F.S. B.L.M. B.I.A: B.O.R. OTHER FED. OTHER 1 TOTAL ON ARRIVAL (Q VEGETATION FIRES ONLY) SIZE DISTANCE (Origin to heod) ACRES F WEATHER ESTIMATE AT SCENE) WIND SPEED (M.P.H.) DIRECTION (FROM) TEMPERATURE (°F) � . •�ti „A"yr�'YS"''�GL'� �.• a: 'dr+ "`Y 3`.%+t =� ! r , lo�..� 7+/•ia �`t� •�,- .4r L veY+� ,� �'�r.�;. '"^'v r: •{.��+r . ' y� �, u a ..1 T - OVER PLEASE ' . - CDF 75.40-130-0118 91 "iD-sw 9-e3 t DOW 09 oo' a BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION (IVR): (530) 538-4365 OFFICE: (530) 538-7541 FAX#: (530) 538-2140 ONLINE PERMIT/RENEWAL PAYMENTS: www.buttecounty.net\dds :._ PROJECT INFORMATION 3 Site Address: 2114 DURHAM DAYTON HWY Owner: Permit No: B08-1768 APN: 040-170-006 BUTTON, PATRICK Issued Date: 09/24/2008 BY TMP Permit type: MISCELLANEOUS. PO BOX 145 Subtype: Remodel DURHAM, CA 95938 Expiration Date: 09/24/2009 Description: 976 sq.ft. REMODEL (530) 894-5687 Occupancy: Zoning: A5 Contractor Applicant:. Square Footage: BUTTON, PATRICK Building Garage Remdl/Addn PO BOX 145 976 DURHAM, CA 95938 Other Porch/Patio Total (530)894-5687 976 u FEE INFORMATION DBEH Building Review Fee $78.90 DBMSC Remodel -Residential $1,024.83 DBOMSC FEMA Flood Zone Review $118.98 LICENSED CONTRACTOR'S DECLARATION Contractor (Name) State Contractors License No. / Class / Expires / / I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am licensed under provisions of Chapter (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. X 09/24/2008 Contractors Signature Date . WORKERS' COMPENSATION DECLARATION r I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: ❑I HAVE AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR WORKERS' COMPENSATION, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. 1 HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My Workers' Compensation insurance carrier and policy number are; Carrier. / Policy Number: Exp. Dale: (This coon nee not be completed if the permit is or one7und.ollars ($100) or es— s� CERTIFY THAT IN THE PERFORMANCE OF THE WORCH THISPERMIT IS SSUED, I shall not employ any person in any manner so asubject to the Workers' Compensation Laws of California, and agree that if I should become subject to the workers' ,_—cetion provisions of Section 3700 of the Labor Code, I shall forthwith comply with those X Q c„ j� t 09/24/2008 Signature Date WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, 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, DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND ATTORNEY'S FEES. .- . � CONSTRUCTION LENDING AGENCY I HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for the performance of the work for which this peril is issued. (3097 civ. code) Lender's Address City - State Zip Total Charged: $1,222.71 Fees Paid: $1,222.71 Balance Due: $0.00 Receipt No: B8415 OWNER / BUILDER DECLARATION I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License 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 pursuant to the provisions of the Contractor's License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code] or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500]; Please check one of the following: ❑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 the work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If, however, the building or improvement is sold within one yearo completion, the owner -builder will have the burden of proof that he or she did not build or ove for the purpose of sale.). ErI, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Professions Code: The Contractor's License Law dows not apply to an owner of the property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractor's License Law.). ETIIII`M-AGP under Section B. & P.C. for this reason: �C'e. Gas 09/24/2008 Owner's Signature Date I hereby certify that I have read this application and slate that the above information is correct. I agree to comply with all City and County ordinances, rules, regulations, and State laws relating to building 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 injury, including death, and property damage caused by, arising out of, or in any way connected with 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 County to enter the above mentioned property for inspection purposes. I hereby certify that I am the prope�Jly owner or am honzed to act on the property owner's behalf. t!e`Zr.z4 �• .'tTc�.-- 09/24/2008 caner Contractor OR; Agent for Owner Agent for Contractor. FILE COPY BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION" OFFICE #: (530) 538-7541 FAX #: (530) 538-2140 oo A FEE WILL BE REQUIRED AT TIME OF APPLICATION .� Website: www.buttecounty.net/dds 007:117_11K 11 PLEASE PRINT CLEARLY **When filed, this application and all supporting material becomes subject to the California Public Records Act. All pub, related to this application is subject to public inspection and will be posted on the County's website for electronic access. APPLICANT INFORMATION OWNER INFORMATION Last Name um 7 -Y -D D N `L First Name I Mailing Address City City State A State rA Zip s. 3 18 Phone 97 Fax D IV f— E-mail Lic. # APPLICANT INFORMATION CONTRACTOR Name 7 -Y -D D N `L Address ,q 5 I City V'ely State A Zip S q.3g PhoneQJ _i:5E6 Fax C E-mail Lic. # State License Number Class APPLICANT INFORMATION ARCHITECT/ENG/NEER Address � � 0 s• Name c� Zip s j 0 Address V'ely Co City R6 ViA State CA Zip cS Phones .2.. Fax 5'33— E-mail State License Number APPLICANT INFORMATION Name Address � � 0 s• CityState Occ. Zip s j 0 Phone Y- Fax o AJ E-mail tn 16 Alf "APPLICANT SIGNATURE X PERMIT f,g,y PROJECT LOCATION AP# O_, D — OD Property Address City BIN WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address DESCRIPTION OR SCOPE OF WORK. tt'dd! e C7& htq Sq FT- Living Garage Open Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): For office use only: Zoning Flood Zone 1 40 1 SRA I Yes I No Occ. Type Const. rhArn Unt t9 rad/ iOut AAm 2rK fir° a l (n 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 National Pollutant Discharge Elimination System (NPDES) Phase II Construction Storm Water Permit and Storm Water Pollution Prevention Plan (SWPPP) Acknowledgment [LESS THAN 1 ACRE 1 Reference Number: B08-1768 Location: DURHAM OROVILLE HWY Parcel Number: 040-170-006 Owner Name: BUTTON, PATRICK Description: 976 sq.ft. REMODEL Date: 08/27/2008 By: TMP Sub Type: Remodel Phone: (530)894-5687 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: 08/27/2008 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 "PERMIT APPLICATION DATA SHEET" Reference Number: B08-1768 Date: 08/27/2008 Location: DURHAM OROVILLE HWY By: TMP Parcel Number: 040-170-006 Sub Type: Remodel Owner Name: BUTTON, PATRICK Phone: (530) 894-5687 Description: 976 sq.ft. REMODEL The above permit application has the following Clearances required prior to permit issuance. Please contact each department indicated below regarding specific requirements pertaining to your permit application. Yes No SEWER DISTRICTS 1-1 Thermalito Irrigation District, 410 Grand Avenue, Oroville CA 95965 - (530) 533-0740 ❑ ❑ LOAPUD, 1960 Elgin Street, Oroville CA 95966 - (530) 533-2000 ❑ 0 City of Chico, PO Box 3420, 411 Main Street, Chico CA 95927 - (530) 879-6700 ❑ ❑ PARKS & RECREATION DISTRICTS ❑ ❑ Chico Area Recreation District, 545 Vallombrosa, Chico CA 95926 - (530) 895-4711 Durham Park & Recreation District, 9447 Midway, Durham CA 95938 - (530) 345-1921 Feather River Recreaction & Park District, 1200 Myers Street, Oroville CA 95966 - (530) 533-2011 Paradise Parks & Recreation, 6626 Skyway, Paradise CA 95969 - (530) 872-6393 "When filed, this application and all supporting material becomes subject to the California Public Records Act. All public information related to this apion is subject to public inspection and will be posted on the County's website for electronic access. Signature of Applicant: Date: 08/27/2008 FILE ❑ SCHOOL DISTRICTS Biggs Unified School District, 300 B Street, Biggs CA 95917 - (530) 868-1281 Chico Unified School District, 1163 East 7th Street, Chico CA 95926 - (530) 891-3006 ❑ ❑ Durham Unified School District, 4920 Putney Drive, Durham CA 95938 - (530) 895-4675 ❑ ❑ Gridley School District, 429 Magnolia, Gridley CA 95948 - (530) 846-4723 ❑ ❑ Marysville School District, 1919 B Street, Marysville CA 95901 - (530) 741-6000 Oroville Elementary School District, 2795 Yard Street, Oroville CA 95966 - (530) 532-3000 Oroville Union High, 2211 Washington Ave, Oroville CA 95966 - (530) 538-2300 Ext: 105 "When filed, this application and all supporting material becomes subject to the California Public Records Act. All public information related to this apion is subject to public inspection and will be posted on the County's website for electronic access. Signature of Applicant: Date: 08/27/2008 FILE ❑ Paradise Unified School District, 6696 Clark Road, Paradise CA 95969 - (530) 872-6400 OTHER Recorded copy of Agricultural Acknowledgment Statement- See Attached Instructions City of Biggs Planning Department, 3016 Sixth Street Biggs CA 95917 - (530) 868-5447 [� Other: , E ❑ Other: "When filed, this application and all supporting material becomes subject to the California Public Records Act. All public information related to this apion is subject to public inspection and will be posted on the County's website for electronic access. Signature of Applicant: Date: 08/27/2008 FILE 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: 0 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, if the permit has not issued, but not after 180 days 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 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 http://municipalcodes.lexisnexis.com/codesibutteco/ "When filed, this application and all supporting material becomes subject to the California Public Records Act. All public information related to this application is subject to public inspection and will be posted on the County's website for electronic access. Reference Number: B08-1768 Location: DURHAM OROVILLE HWY Parcel Number: 040-170-006 Date: 08/27/2008 Owner Name: BUTTON, PATRICK Phone: (530) 894-5687 Description: 976 sc Signature of Applicant: FILE Date: 08/27/2008 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 OWNER -BUILDER INFORMATION An application for a building permit has been submitted in your name listing yourself as the builder of the property improvements specified. For your protection you should be aware that as "owner -builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: ° If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $500 or more for the entire project and such persons are not licensed as contractors or subcontractors, then you may be an employer. ° If you are an employer, you must register with the state and federal government as an employer and you are subject to several obligations including state and federal ° income tax withholding, federal social security taxes, workers/ compensation insurance, disability insurance costs, and unemployment compensation contributions. There may be financial risks to you if you do not carry out these obligations, and these risks are especially serious with respect to workers' compensation insurance. ° For more specific information about your obligations under federal law, contact the Internal Revenue Service (and, if you wish, the U.S. Small business Administration). For more specific information about your obligations under state law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through thier own employees, without a license contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractor is to secure an "owner -builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contacting the Contractors' State License Board's automated telephone information system at 1-800-321 -CLSB (2752) or by accessing thier website at www.CSLB.ca.gov. PLEASE COMPLETE AND RETURN THE ENCLOSED OWNER -BUILDER VERIFICATION FORM SO THAT WE CAN CONFIRM THAT YOU ARE AWARE OF THESE MATTERS. THE BUILDING PERMIT WILL NOT BE ISSUED UNTILL THE VERIFICATION IS RETURNED. OWNER BUILDER VERIFICATION PLEASE COMPLETE THIS FORM AS REQUIRED BY THE STATE OF CALIFORNIA (SENATE BILL NO. 831 EFFECTIVE JULY 1, 1980). NO BUILDING PERMIT WILL BE ISSUED UNTIL THIS VERIFICATION IS RECEIVED. I PERSONALLY PO PROVIDE THE MAJOR LABOR AND MATERIALS FOR CONSTRUCTION OF THE PROPOSED PROPERTY IMPROVEMENT. YES R NO) I (HAVEMAVE NOT) SIGNED AN APPLICATION FOR A BUILDING PERMIT FOR THE PROPOSED WORK. 3. I HAVE CONTRACTED WITH THE FOLLOWING PERSON (FIRM) TO PROVIDE THE PROPOSED CONSTRUCTION: NAME ADDRESS CITY PHONE CONTRACTORS LICENSE NO 4. I PLAN TO PROVIDE PORTIONS OF THE 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 Description: 976 sq.ft. REMODEL Reference Number: B08-1768 Applicant Name: BUT CK Owner's Name: BU N, PAT C AP # : 040-170-006 Signature of Property Owner: Date: �� 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: .L /76dat the location of lr-�csy Assessor's Parcel Parcel Number: 4-/O -1 %O —C) OF, for the construction of an - a ieft forC v� C- 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:�� �•\cam \ �'Z"Cp Address:, Phone Signatl 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. al 1 V IMI. .L GC a R� 33 q1� a ��.5 wz,Pgg R9 Chi 14� s h �I 30, gOF� 9gC•aa k y�� a a 4 t Owners: Patrick and Margaret Button FLOOR PLAN 2114 Durham.Dayton Hwy. N a 530-8945687 � . e�; -------------- m < I — Kll Zk t� - / Ownere: Patrick and Margaret Button FLOOR -PLAN �XIOIIN6r g '2114 Durham Dayton Hwy. 530-8945687