Loading...
HomeMy WebLinkAbout040-170-100-040".17,�,-QTIOO 0 92-4280 B,E B u4o —1 -70 10 RD TT BURDETTE, Jeff Joyce 'Dtirlia'm"t rhop, AID 9457 Cummings Cummiiing� Ln, - g� shop op�- Odla rA 040-17-�--O-loo B E JE IYRDETT- E, ,J6 9274391 B;E.' B ff-& Joyce.. t 9457 Cummings!`Ln, Du Aim �e' ck & gfi, outlet/above t und Poo 'pool 040-170-100, 499.1338 URDETTE, Joyce 457 Cummings;, D urharn Contr:. Ely Roofing - Re Roof 7 010 .. -7 51 - 4:17 -10 INAL, 11VL 7 F BURDETT CE Y, 7-0 0457 CUMMINGS RD, -D UO 'Cont: BXkNHARt HEAT NEWHVAC Clb 49 A fi 4L, BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 FAM (530)538-2140 WEBSITE: www.buttecounty.net\dds PERMIT NO. BP041729 LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date: 06/15/2004 APN: 040-170-100-000 the Business and Professions Code, and my license is�in7full force and Lffcentse Class : o� License Num/ber: / 9� 7�6 Site Address: 9457 CUMMINGS RD DUR Date: �rG Contractor:y /3( ' 1 ��,. `\� Map Index: Description: NEW HVAC UNIT /CHANGE OUT r p OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior Owner: BURDETTE JOYCE ELLEN to its issuance, also requires the applicant for such permit to file a 9457 CUMMINGS RD signed statement that he or she is licensed pursuant to the provisions of DURHAM, CA the Contractor's State License Law (Chapter 9 commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or 95938-9660 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).): ❑ 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 Applicant: BURDETTE JOYCE ELLEN Code: The Contractors' State License Law does not apply to an pp owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business ` and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, Contractor:. BARNHART HEATING & AIR and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). f 74 ARTESIA DRIVE J� I am Ex mpt under Article Ptf theiness and Professions Code CHICO, CA. 95973 r XV 530-345-6356 Date: Owner. License #: 783276 WORKERS' COMPENSATION DECLARATION 1 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 Architect: issued. ❑ I have and will maintain workers' compensation insurance, as Engineer:. required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: ' Carrier. Total Square Ft: 0 S. F. Policy#: 19 I certify that in the performance of the work for which this permit is Valuation: $0.00 Census Code: - IT issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California. and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith compoly with those provisions. .41G 9S Date: Applicant: `'�/'�� �L�LO�/�G i WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY This permit is hereb issued under the applicable provisions of the Butte County Coda and/or - I hereby affirm that there is a construction lending agency for the Resolutions 1 do rk indicated abov forPhich fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) 6 — /67- /IL/ Name: By: Date:( ! VVV 777 PERMIT EXPIRES ON: Date Address: Cl I hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of- utte Coin I hereby, authorize representatives of Butte County to enter upon the above mentioned property for inspection purposes. Print Name:1(�t Signature: �i Date: ❑ Owner Contractor ❑ Agent for Owner 13 Agent for Contractor 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)536-2140 WEBSITE: www.buttecounty.netWds PERMIT NO. BP041729 LICENSED CONTRACTORS DECLARATION 1 hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date: 06/15/2004 APN: 040-170-100-000 the Business and Professions Code, and my license is in full force and effect. �] ^7 7 /_ 6 License Class: .2 License Number: / Site Address: 9457 CUMMINGS RD DUR Date: ©Contractor: /!'/rt�wy &111,11414— C.4,C- Map Index: Description: NEW HVAC UNIT /CHANGE OUT p OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior Owner: BURDETTE JOYCE ELLEN to its issuance, also requires the applicant for such permit to file a 9457 CUMMINGS RD signed statement that he or she is licensed pursuant to the provisions of DURHAM, CA the Contractor's Slate License Law (Chapter 9 commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or 95938-9660 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).): ❑ 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 Applicant: BURDETTE JOYCE ELLEN Code: The Contractors' State License Law does not apply to an pp owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). ❑ I, as owner of the property, am exclusively. contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, Contractor:. BARNHART HEATING & AIR and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). 74 ARTESIA DRIVE 1 I am Ex mpt under Articleof the Bu iness and Professions Code CHICO, CA. 95973 / 530-345-6356 Date: owner: License #: 783276 WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to -self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit Architect: is issued. ❑ I have and will maintain workers' compensation insurance, as Engineer: required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Cartier: Total Square Ft: 0 S. F. Policy#: Valuation: $0.00 I certify that in the performance of the work for which this permit is Census Code: issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comP with)hose provisions. Date: Applicant: SPC WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY —— This permit is hereb issued under the ap icdbleIpro"visions of the, Bi County Coda anrt/or Ihereby affirm that there is a construction lending agency the Resolutions 1 do rk indicated abov or hich fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) ! 777 Name: By: w /�7 Date: CCCJJJ PERMIT EXPIRES ON: (moi " �S " ell � Address: Date ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of;,Butte Coun I hereb authorize representatives County to enter upon the above mentioned property for inspection purposes. Z?,',- 4 -Print Name: t IL 6,4 Signature: Date: ❑ Owner iy Contractor ❑ Agent for Owner 0 Agent for Contractor BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OF APPLICATION APPLICANT NAME OWNER Name Sv c Cv Name LcLdl Address < City o Fax StateC Zip Phone State CgL Fax E-mail Planner APPLICANT NAME CONTRACTOR Name Name LcLdl < < Address 7 Fax State City Phone State CgL Zip � �%� E-mail Planner State License Number Phone 3 YS �3 Fax E-mail Lic. #7 Class F3 a APPLICANT NAME ARCHITECT/ENGINEER Name City Address Zip City Fax State Zip Phone Map Book Fax E-mail Planner State License Number APPLICANT NAME Name Address City State Zip Phone Fax E-mail APPLlPAN-T1S1GffATUR52 X For office use o Zoning Flood Zone SRA I Yes I No Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS PERMIT NO. BP BIN # LOCATION AP# Property Address Cross Street C 416M 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: ?40�e Sq. Footage ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. I I Received byl Amount: 11d, Bldg I I SRA Receipt #:1W Y� Sheriff /m SMIP Date: 1' '6 Other �^ � � X ((! (� Total K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc Page 1 of 2 REV 4-30-04 I SUBMITTAL REQUIREMENTS The following drawings and specifications must be submitted to the Building Division in order to apply for a permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK. Residential, New, Remodels, Additions, and Accessory Structures: ❑ 1. 3 Site Plans, signed by the preparer. NO GRAPH PAPER! ❑ 2. 3 Complete sets of plans, signed by the.preparer. NO GRAPH PAPER! ❑ 3. 3 Engineered plans (if required) with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 4. 2 Engineered truss details and layouts (if required) (NO FAXES!). ❑ 5. Letter from Engineer or Architect for truss design review. ❑ 6. 2 Energy compliance design and supporting documentation. (Note: Not required for additions to mobile or modular homes.) ❑ 7. 2 Flood Elevation Certificate, wet -stamped and signed (if required). ❑ 8. Detached Accessory Building Form, filled out by the property owner (if required). ❑ 9. Sanitation and site plan approval from the Environmental Health Department. ❑ 10. Metal Buildings: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate, (D). Floor plans in triplicate, All of these must be stamped and wet -signed by the engineer. Mobile, Manufactured, or Modular Homes: ❑ 1. 3 Site Plans, signed by the preparer. NO GRAPH PAPER! ❑ 2. 2 Data sheets and installation instruction manual. ❑ 3. 2 Marriage line information. ❑ 4. 2 Floor plans. ❑ 5. 2 Engineered Tie Downs or Foundation plans. ❑ 6. Sanitation and site plan approval• om'the Environmental Health Department. ❑ 7. 2 Flood Elevation Certificate, wet -stamped and signed (if required). Commercial, New; Additions and Remodels: ❑ 1. 4 Site Plans, signed by the preparer. NO GRAPHPAPER! ❑ 2. 4 Engineered plans with wet signature on plans AND 2 sets of stamped and signed calculations, with code analysis. ❑ 3. 2 Engineered truss details and layouts (if required) (NO FAXES!). ❑ 4. Letter from Engineer or Architect for truss design review. ❑ 5. 2 Energy compliance design and supporting documentation (if required). ❑ 6. 2 Flood Elevation Certificate, wet -stamped and signed (if required). ❑ 7. Statement of Intent for Non -heated and A/C (if required). ❑ 8. Metal Buildings: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate, (D) Floor plans in triplicate, All of these must be stamped and wet -signed by the engineer. ❑ 9. Letter of intent. ❑ 10. Hazardous Material Form. ❑ 11. Sanitation and site plan approval from the Environmental Health Department. If you have questions or would like additional information regarding this process, contact a Permit Application Assistant at (530) 538-7541. OVER FOR BUILDING PERMIT APPLICATION KAFORMS\BUILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2 REV 4-30-04 License Detail California Home Page 1 of 2 Tuesday. A License Detail CALIFORNIA CONTRACTORS STATE LICEN; Contractor License # 783276 DISCLAIMER A license status check provides information taken from the CSLB license data base. BeforE on this information, you should be aware of the following limitations: . CSLB complaint disclosure is restricted by law (B&P 7124.6). If this entity is subject tc complaint disclosure, a link for complaint disclosure will appear below. Click on the lin button to obtain complaint and/or legal action information. . Per B&P 7071.17, only construction related civil judgments known to the CSLB are di. . Arbitrations are not listed unless the contractor fails to comply with the terms of the arbitration. . Due to workload, there may be relevant information that has not yet been entered ont Board's license data base. Extract Date: 06/15/2004 * * * Business Information * * * BARNHART HEATING & AIR 74 ARTESIA DR CHICO, CA 95973 Business Phone Number: (530) 345-6356 Entity: Sole Ownership Issue Date: 08/18/2000 Expire Date: 08/31/2004 * * * License Status * * * This license is current and active. All information below should be reviewed. * * * Classifications * * * * * * Bonding Information * * * CONTRACTOR'S BOND: This license filed Contractor's Bond number 10108555 in the an $10,000 with the bonding company AMERICAN CONTRACTORS INDEMNITY COMPANY. http://www2.cslb.ca.gov/CSLB_LIBRARY/License+Detail.asp 06/15/2004 _ ��., r,� � . r � t � i. � ♦ �� V a .. �.. .. � ... ••-.. � t . ; . � r � w , e � _ ... 1 � � '� , . ' , � . 1 t .{ }� r ..n.ab..r.i3.. w...2.� "..w��'s�..;-.. ar. _....._ _Sv:... .._w�"rw. v�� '+'a•�-.._s-..... �r ...%:.�. �'.T .. �.��_ 3� ��...:t. 1- «-.�1. .:: �?. .i ., r-� r�.'..'d".f.� 9-r �..-..... r. v. .. '� � _ . � i y' - ,. a. t r, -- f r � � ._ ., � � _. y L r ,.� _ � r � * p ¢� • r , {; 1y/jj -• .r ; y• .. � _ _ .. i ._.+ � ,�.. �. /:' : f ..4+�1._�iSi_:� .._7... .. e.� _��-Y' Y � � .7r •• r .T:. f._ -n t r .. 1. y _ ... f r f t {rl + } r e � � �—/cam'"�%/�'% ' .. � � / � ' i a . - - � i':. .. r • .� Jf . ;t �� - Y .�C COUNTY OF BUTTE - DEPARTM ENT Of UEV9LOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT O. (Rev. 12/96) APPLICATION AND PERMIT i ASSESSOR PARCEL NUMBER U40-1 / U-1 Uil ZONING BUILDINGPERMIT OWNER Joyce buraette ,, TELEPHONE 342-9363 SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS 94)/ Cturrli igs Uurnatn CA 95936 t NJ 13i9t1 CONTRACTOR'S NAME 6iy Rooxing Inc TELEPHONE 343•-7603 - CONTRACTOR'S MAILING ADDRESS 1 iL'y1 contractors Jr Chicu CA 95973-6637 CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation Is ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ .33. UU ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 9457 Cum�rui,iings — Uurham Energy Plan Checking Fee $ $ PERMIT FEE , S LOTNO. -,-.. •, .'..SU86N1slotji AME- . � "'-'. s-v=+,..-.r..�•:rc..x'e-`. "'. ' -PARCE0~ - "•"^ �, `"P LUMBI G HERMIT `•"Filing f=ee'7200:00" USE OF STRUCTURE SF 6 Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other O Describe Work: abk roofing w/2U yr 3 tab — 23 sq3 Gas piping system 1 - 5 outlets 15.60 Building sewer 15.00 Mobile Home ISI GI W1 @20.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 Main Service zoos 01,1 a .ss 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class �'—i4��' J`7 Lic. NO. 607360 OWNER -BUILDER DECLARATION I herebyaffirm under penalty of perjury that I am exempt from the Contractors License p ty p ry p Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason,. Main Service 200A TO ,oaoA 46.00 NEW CONST. DW %NG OCCUP. OR ADDNS. ( 8 ACC. S. SO 3.5¢FT. NEW CONST. MULTI.OUIF TLEr 97.50 FOWER APPARATUS BSINGLE OUTLET CI R. Ex. Occup. OUTLET OR FURURESBql @ I.00 Ex. Occup. FIXED APPWS. OR p• ouTLErs REBID. EA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE S WORKERS' COMPENSATION'DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section " 3700 of the LaborCode, for the performance of work for which this permit is issued. My workers' comp111oriAUV aye carrier and policy number are: Carrier 1 'MECHANICAL PERMIT Filing Fee —20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number WI.LUDGO GJ (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, 1 shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. }j/ • 6_9_99 X�: G�J� ±?.J <=�L,d! _ Date Signature`of Applicant - ❑ Owner '❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction�r of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ 53.00 HAZ. I D. FEES IMP I FLOOD I CDF PARCEL I PD HD ISSUE. This permit is hereby issued under the applicable of the Butte County Code and/or Resolutions indicated above for which fees have been B fC Date PERMIT EXPIRES ON provisions to do work paid. (✓ /_ to Receipt No. 0/el'94/47 WHITE-D.D.S.-B.D. — CANARY -AS -ESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE- DEPARTMENT.OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 /a�✓MIT0. (Rev. 12/96) APPLICATION AND PERMIT ASsU40dPgP NLIr6b 1 1 V ZONING BUILDING PERMIT OWNER Joyce Burdette TELEPHONE 342-9383 SO. FT. OCC. BUILDING VALUATIO 13 0 DW9E 571LICummings Durham CA 95938 CONTRACTOR'S NAM Ely Roofing Inc TELEPHONE ' 343-7663 DD1291 Contractors Dr Chico CA 95973-8837 CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation Is ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 33.00 ARCHITECT OR ENGINEER'S MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 9457 Cummins - Durham Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF IN Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other 11 R/R roofing g w Describe work: /20 yr 3 tab - 23 sqs Gas piping system 1- 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W 920.00 PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 Main Service '."'.A o.RLESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter - 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and m licenseis 1 f Or e d effect. my _ I — � License Class �— � Lic. No. 607386 OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ 1, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. ( a ACC. BLOS. So 3.50FT; NEW CONST. MULTI -OUTLET _N BRANCH C cRCUTS@7.50 POWER APPARATUS 6 SINGLE OUTLET CIR. EOOUTLET OR FIXTURES X. CCU 20 @ 1.00 BAL @ .so Ex. Occup. ouTLEETS AF�SIo.OEA. 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE S WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. j� I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Villanova Ins Policy Number WC20526123 (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with thoserovisions. X_ ___ Date _ 6-9-99 Signature of Applicant - ❑Owner WI Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee is occ CONST. TYPE TOTAL FEE $ 53.00 =.A.FEES IMP FLOOD I CDF PARCEL I PD HD ISSu This permit is hereby issued under the applicable of the Butte County Code and/or Resolutions indicated above for which fees have been Date PERMIT EXPIRES ON provisions to do work paid. to Receipt No. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT ;REQ E.N IAL 92=4391 B.,F 040-17-0-100ff & Joyce BURDETTE., s'Ln� Durham. 9457 Cumming .round pool deck & gfi outlet/above g JOB FINALED (Date) Signature J=OK O=NotOK- •=NotNo Applicable 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 13-1 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-Beams-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 -Thick ss Dead -Men -Lining 4. EI c.; Receptacles and Lighting Di ances-GFI lec.; Pool Lighting; 15 volt 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 DateCard B-1 Date Card B-1 Date Card B-1 J=OK ; t O=Not OK = Not Applicable = Not Ready RESIDENTIAL (Single Date UNDERFLOOR (Plans) OK except ti's 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth I 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 5. Stemwalls, Main; Steel -Bloc kouts-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 Ca•d B-1 Date Card B-1 Date PLUMBING (Permit),OK except a's tE. Water Htr.: Vent -Access -Combustion Air -Baffle -------------- ------------------------- 17. Wate• Pipe: Test & Anchor -Nail Protection -------- -------- ----------------------- 18. D.W.V.; Test -Fittings & Anchor -Nail Protection --- ------------- - ---------------- _ _ 19. Shower Pan: Test. First Floor -Tub Access 20. Test 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 ti's 22. Fixture & Transformer Clearance -Ins. Protection --------------------------------------------------- --------------- 23. E-lec. Receptacles Spacing -Lights & Switches at Doors -------------------------------------------- ------------ 24. Size Boxes & No_ of Conductors_Stapled - ------- - ---------------- 25. Romex Installed Close to Edge of Studs & C.J. ----------------------------------------------------------------------- 26. Equip. Ground made'up w!Mech. Fastners-Bond Gas & Water ----------- ----------------------------------------------------------------- 27. 2 Appliance Circuts in Kitchen & Conductor Size!GFI 28. Subfeed Wire Size ga. Cu or AI-A.C. Wire Size r ! ga. Cu or AI ----------------- ------------------------------------------------------------- 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 =an: Exhaust above insulation ------------------------------------------------------ - - ---- --- _________ 36. _CondenEtate 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 & Duplex) Date FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connectors - 46. Cing. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Rfng. ---- 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 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: Nailino-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 ti's 61. Ext. Steps -Door & Sidelight Protection -Landings 62. Smoke Detector 63. Furnace: Vents -Clearance -Comb. Air -Connector - In Garage: Above Floor -Ducts -Meeh. Protection ----------- 64. Bedroom Exiting 65. G.F.I. & Bath Fixtures & Tub Access -Spa 66. Elec. Trim & Subpanel: Breaker Sizes & Labels ------------------ 67._Stairs & Rails 68 Fireplace or Stove: Clearances -Hearth 69. Elec. Outlets at Wood Panel: Int. & Ext. 70 Kit.Fixi & 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. Htf Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage; Above Floor -Meth. 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. 81. Stucco: Brown -Finish 82. A.C. Unit: Disconnect, Electrical, Plumbing - - - -- - ---- ---------------------- -- 83. Vents Above Roof: Plbg.-Appliance-Fireplace.-Clearance to Openings ------ - - ---------------- 84---W-. ater 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 - - - - --- ---- --------------- Gas Test -Meters Tagged; Gas -Electric ------------------------------------- - ------------- 90. Water & Sewer Connected -C/O to Grade -HD Approval ------------------------------- 91. Energy Compliance Certificate -Other Certificates - -----.---------------- --------------- DCard-B-1 -------- --- -- Card --ate ------------------------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: COUNTY OF BUTTE - DEPARTMENT OF PUBLIC;WORKS -7t-06i ty Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. 92-4391 At I ASSESSOR PARCEL NUMBER 040-17-0-100 ZONING A10 149 / BUILDING PERMIT OWNER Jeff & Joyce Burdette TELEPHONE 342-9383 SO. FT. OCC.1 BUILDING VALUATION OWNER'S MAILING ADDRESS 9457 Cumming Ln, Durham 95938 196 1,372 CONTRACTOR'S NAME owner TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 15,00 Permit Fee $ 28-50 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 20-00 ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ ' BUILDING ADDRESS 9457 Cummings Ln, Durham Permit fee $ 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 pas water heater or vent 7.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome❑ Other Deck SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S G FW 015.00 TYPE OF WORK New ®X Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work: deck & gfi outlet at above ground swimming pool Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200AORLESS 18.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury p y p l y (Check One): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business/POWER and Professions Code and my license is in full force and effect. License No. Classification 5/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) ElI, 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 200ATO1000A, 37.50 NEW CONST. /DWELLING OCCUP.&\ OR ADDNS. \ ACC. SLOGS. // 3.64 sq.ft. NEW CONSTR. MULTI -OUTLET NON.RESID BRANCH CIRC ITS @ 5.00 APPARATUS e1 \SINGLE'OUTLET CIR. / / Ex. Occu p\OUTLETS OR FIXTURES 20 @ T6 qAL (a 46 FIXED APPLNS. OR EX. Occup. OUTLETS (RESID.) EA.) 1 3.00 3,00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring -15.00 Permit Fee $ 18-00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. 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 6.50 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 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 agains said Countyi consequence of the granting of this permit. s� X �Date Signature of -App Kant — OwnerV Controctor ❑ 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 S Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ 810 HAz DFEES IMP FLOOD CDF PARCEL PD H ISSUE This permit is hereby issued under the sions of the Butte Coun Code and/or work indica b r which fees I OF PUBLIC By _ PE MIT EXPIRES Date applicable provi- resolutions to do have been paid. WORKS Da Z 130153-63.50// 3 d — /� Receipt No. ��y s WHITE-D.P.W.. YELLOW-ASS(SSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT ►J COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - 7 County Center Drive - Oroville, California 95965 - Telephone; 916/538-7541. APPLICATION AND PERMIT PERM NO 7 f ASSES OR PARCEL NUMBE 20NINF� D — / v �� BUILDING PERMIT owNe��y J JJ �l � T �� 2, —7- LEPHONE� SO. FT. OCC. BUILDING VALUATION OW MAILING ADDRESS /�6 lev Paw CONTRACTOR'S NAME/ 4 � - /'L- TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is - LENDER'S MAILING ADDRESS ARCHITECT OR ENGINEER LICENSE No. Filing Fee $ 15.00 Permit Fee $ Plan Checking Fee $ 20 r0 ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ - BUIL V4 —7 ssG�/�i���GS Q Permit fee $ PLUMBING PERMIT Filing Fee 15.00 Each Trap 1 5.00 Solar or heat pump water heater 20.00 LOT NO.SUBDI r VISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 1 7.00 USE OF STRUCTURE ) SF ❑ Duplex❑ Mobilehome❑ Other _/� SPECIFY. Gas piping system 1 - 5 outlets 5.00 Building sewer 1 15.00 Mobi le Home S G W @ 15.00 TYPE OF WORK Addition ❑ 7�Remmod/el ❑ Utilities ❑ Installation❑ Other ❑ New�ibe Dew2 work: _ In/C��� FI Q %7 9-'t el -7— r2o j/l/ o -POO (�, Permit Fee $ Contractor ELECTRICAL PERMIT . Filing Fee 15.00 Main service 200V OR LESS 00AOR LESS 18.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): I am licensed under provisions of Chapt. 9, Div. 3 Of the Business and Professions Code and my license is in full force and effect. License No. Classification 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ElI, 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 20CATO1000AI 37.50 NEW CONST. / DWELLING OCCUP.t4\ OR AODNS. l ACC. BLDGS. I 3.64 sq.ft. NEW CONST FL ULTI.OUT LET @ 5.00 NON-RESID BRANCH CIRC ITS (POWER APPARATUS tr� SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES R20 76d AL 4rJ4 FIXED APPLNS, OR EX. Occup. OUTLETS ((RESID.) EA.) j 3.00 ,O O Temporary service15.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ r QZT- 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 6.50 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 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 ❑ Agent ❑ An OSHApermit is required for excavations over 5'0" deep and demolition or construct - ion of structures over 3 storiesinheight. Mobile Home Installation Fee $ Energy Inspection Fee $ 01 s_0 occ CONST TYPE TOTAL FEE $ HAz OFEES IMP FLOOD CDF PARCEL PO HD SSUE 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. WNITC•O. P. W., Y[LLOW-Ag8C�30R, PINK -((NSP CCTOR, COLO EN RDD -APPLICANT ' COUNTYOF BUTTE - DEPARTMENTOF DEVELOPMENT SERVICES -BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA95965 -TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET OWNER / e 7I -L A.P Proposed Building Use fblozl D -GSL Building Inspector Date 2-12 2 1�j. At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECENED BY 1. All items have been submitted . ....................................... . 2. Plot plans, 3/4 sets, signed by preparer of plans . ........................... 3, Complete plans, 3/4 sets, signed by preparer of plans . ...................... .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 an layout in duplicate (required prior to plan check). ... . 9. Mobilehome a and ma facturer's Inst tion instructions, 2 sets. . 10. Fees of $ .6:16? W.- ...............................�? -,-23r 11. Impact fees as shown on attached schedule. ............................. . 12. California Department of Forestry plan approval/fees. ....................... . 3 Flood elevation letter (100 year flood) by Calif rnia Engineer . ................. . Qf- 1�. Sanitation and plot plan approval UY �C-Department . ............ TM15. 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. ... 0 ....... 19. Driveway permit (construction approval required prior to occupancy) . ........... . �specfion req eat 20. Pre -inspection for required. .. to euilding �nspecto, (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. ................................ 0 ....... 26. Copy of recorded deed of parcel creation and 60 right of way to a public road...... . 27. 'Letter of intent 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. .......... 0 .......................... . 32. Plan check list . ..................................................... 33. 34. When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone nd hold for pickup at office. Deliver with inspector. Other Parcel Creation/ Z z�2 Acreage Applicant 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 pr'oro permit issuance: (Circle new item not checked above). 1. Index permit for above items No. ' 2. Additional items required: Contractor, ldesigne _ r was advised of above required data by phone _mail Counter by Date Contractor, designer, owner, was advised of above required data by _ phone _ mail _LC unter by _ Date Plans checked by Date Plans approved by � Date Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works 1'.11 IISIs I'll flim AIM911941 hluue Thin AIu�'j _ SEnI to IS,Uip�_ptix-��__l aJ �'l rn.�,�irn m►n � 5 TO: building Department FROM: Environmental Health SUBJECT: Sanitation Clearance Lk -0-100 Owner Location AP# . Plan Approved for: Sewage Disposal Water yp Supply: I'`ublic Private Well r Clearance for bedroom mobile home. Other C, Hold final for: Final clearance O.K. for: NOTE: A Environmental Health Specialist 8/92 Date a RECORDING REQUESTED BY AND WHEN RECORDED MAIL TO N...•. r Joyce Burdette Aoo.[.. 9457 Cummings Road Clrve Durham, CA 95938 STAT[ I J Title Order No. Escrow No. 9 F Ail TA[ •TAT[M[HT• TO N.M. 1 ~ Ao..os SAME AS ABOVE CITT s STAT` L J RECO; C! MID VALLEY TITLE CO .,.:I OCT 14 FI -I: 40 i.•ti?uii,.0 �. Vit�Jlit}J CLERK -RECORDER FEE 8'7-3K)'24 SPACE ABOVE THIS LINE FOR RECORDER'S USE Documentary tranefertax $......�.................. * Computed on full value of property conveyed, or * Comp ted on full-vllue less liens and encumbrances re irfin• tl, hy_r74t time of sale. S�[n•lure of deel•nn1 or •evnt dr4+rminin[ to+•—frm name G� Pa9ca• 3ubibibual brant Ieeb WESTERN TITLE FORM NO. 104 FOR VALUE RECEIVED, Joan Taylor and Joyce 6.irdette, CoTrustees of the Ellen W. Taylor Revocable. Living Trust dated Oct. 12, 1983 GRANT -to Joan Taylor, AKA KathrineJoan Taylor an unmarried wmran as to a one half undivided interest and Joyce. Burdette, a married woman as her separate.property, as to a one half undivided interest all that real property situate in the County of Butte State of California, described as follows See Attached Exhibit "A" AP# 040-17-0-100-0 llated \ f Joan Taylor Joy Burd .tte STATF OF CALIFORNIA County of burn �sA on _ !2a -I h , I21_7, before me, the undersigned, a Notary Public in and for uld Cute, personally appeared Joan Taylor and Joyce Burdette _ penonaay known to me or proved to me on the bide of utLfactory evidence to be the person$ whose mine 8 are subscribed to the wiWn rnenL end acknowledged to me thatt hey executed It. N TAR P BLI MAIL TAX STATEMENTS AS DIRECTED ABOVE FOR NOTARY SEAL OR STAMP OFFICIAL WAL LLIAUA PRIDE Notary Public-CaI11omU BUTTE CAUNTY My Comm. Ems. War. 12, 1901 . s 4hi Nile --w kolilmoo ORDER NO. BU -96593 EXHIBIT "A" DESCRIPTION ALL THAT CERTAIN REAL PROPERTY SITUATE IN THE STATE OF CALIFORNIA, COUNTY OF BUTTE, DESCRIBED AS FOLLOWS: A PORTION OF ALLOTMENT 10, AS SHOWN ON THAT CERTAIN MAP ENTITLED "SUBDIVISIONAL PLAN OF THE DURHAM STATE LAND SETTLEMENT, BEING A PORTION OF THE ESQUON RANCHO SITUATED NEAR DURHAM, BUTTE COUNTY, CALIFORNIA", WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF SHE COUNTY OF BUTTE STATE OF CALIFORNIA, ON SEPTEMBER 17, 1918, IN BOOK 8 OF MAPS, AT PAGES 16, 17 AND 18, BEING MORE PARTICULARLY AS FOLLOWS: BEGINNING AT A POINT WHICH LIES ON THE EASTER'Y LINE OF SAID ALLOTMENT 10 IN THE CENTERLINE OF CUMMINGS ROAD, DISTANT NORTH 7 DEG. 22' WEST, 697.85 FEET FROM THE SOUTHEAST CORNER OF SAID ALLOTMENT 10; THENCE SOUTH 89 DEG. 12' WEST, 232.52 FEET; THENCE NORTH -7 -DEG. 221 WEST, 174.89 FEET; THENCE NORTH 88 DEG. 59' 30" EAST, ��32.45 TO THE EASTERLY LINE OF ALLOTMENT NO. 10 AND .THE CENTERLINE OF CUMMINGS ROAD; TRENCE SOUTH 7 DEG. 22' EAST, 175.7 FEET ALONG THE EASTERLY LINE OF ALLOTMENT NO. 10 AND THE CENTERLINE OF CUMMINGS ROAD TO THE POINT OF BEGINNING. END OF UOCUMENT Ay FLOOD PLAIN DECLARATION I declare the actual value of the proposed construction work under build- ing permit application 92 — -S-D at 415 7 (f 611%/% IN6 S 120 A.P. # 6' 6- 176-16U-0Cgor 6AX 4-6& /$Ny /3/Z��Zt�!/y9�� does not equal -or excee&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 ADDRESS 1 5 Cum t^ r OL*L PHONE NO. DATE *Substantial improvement is defined as follows: Any repair, reconstruc- tion, or improvement of a, structure, the cost -of which equals or exceeds ' 507 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. A & Q ENGINEERING Civil Engineers 1280 E. 9th Street - - - Suite C Chico, CA 95928 _ 893-0631 eu,Loiw© or- - December 14, 1992 D�.,DIC 15 Building Official - County of Butte 7 County Center Drive Oroville, CA 95965 RE: Flood Plain Elevation for AP No. -40-17-100 9457 Cummins Drive, Durham Burdett - Gentlemen, - Please be advised that I have determined that the 100 year flood plain elevation at the subject parcel site is 161.78 U.S.C. & G.S. datum. This determination was made by proration of the elevation between cross sections 7 and 8 as provided in the FEMA plan. The attached plat indicates the property location. Existing ground at the proposed building site is at elevation 157.78, U.S.C. & G.S. datum. A bench mark (northeast corner of concrete driveway slab) is at elevation 158.18 U.S.C. & G.S. datum. Finished floor for habitable building should be 3.60 feet above the bench mark to be at or above the_100 year flood plain. Please -call if you have any questions. Sin a/l/ M rk RCE 24016 m Exp. 12/31/93 - w No. 24016 \Q' MER : ch �TgTF OF I O1P\���� Encl. cc: Burdett ... ........ ...... ....... ........... . . . . . . . . . . . . IN C/P ra o t LO POA 0 rT-1 Z 'U 0 N 44\ (DD_ R PARADISC t :-':4711.i.Up40 c a > < r rT-1 rn r- z T) C) 0o 0 C a 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) r' 2. I (have/have not) signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. 4. ;I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address . Phone Type of Work Signed: Property Owner Social Security Number - Date %9- - r2�,- C-f� 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. I l i I I I I 1 I I , ! I ' 1 i i v I I i I i I I j I I I i !24 � _ I I I 3 _ I I I 1_, I b� I JJ ! I i 1 - I 1C571 i R I E -N., IAL 0.4.0-17-0-100 92-4280 B,E WRDETTE,.Jeff & Joyce x'9457 Cummings Ln, Durham T. hop e JOB FINALED (Date) Signature A ;J OK O=Not OK Not Applic Not Reaclyable 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 I 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-Panelboards-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 J=OK O = Not OK = Not Applicable Not Ready RESIDENTIAL (; ' = Date UNDERFLOOR (Plans) OK except N's 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg.. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -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 O's 16. Water Htr.: Vent -Access -Combustion Air -Baffle --------------- - ------------------------------ 17. Water Pipe; Test & Anchor -Nail Protection 18. D.W.V.; Test -Fittings & Anchor -Nail Protection ------------------ - ------------------ 19. Shower Pan: Test, First Floor -Tub Access 20. Test Tub & Shower, Second Floor -Tub Access -- 21. Gas Pipe: Size & Anchors ---------- --------------------- ------------------------------------- Date - -- Card B_1 ----- Date - Card B1 - Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except ti's 22. Fixture & Transformer Clearance -Ins. Protection - ------------------------------------------------------- - - 23. Elec. Receptacles Spacing -Lights & Switches at Doors 24. Size Boxes & No. of Conductors -Stapled ------------------------------------------------------------- 25. Romex Installed Close to Edge of Studs & C.J. ------------ -------------------------------------------------------------- 26. Equip. -Ground -made up w!Mech. Fastners- Bond Gas & Water 27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI ---------------------------------------------------------- 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size ! ! ga. Cuor -Al ----------- --------------- - ---------------------------- 29. rAI- 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 a's A.C. -------------34.----------Ducts -----------Insulation &--------Support------------------------------------------ _ 35. Vent Fan: - - Exhaust a-bove 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 ft'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 >IO = `� jingle & Duplex) Date FRAMING- (Continued) 45. Hangers -Post Caps -Anchors -Connectors -- 46. Cing. Joist-Rftr. ties-Purlin-root Brac-Truss-Shthng.-Rfng. _- 47_ Fireplace Ties or Type A Flue -Fireplace Throat clearance --- - 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 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 --------- ------- - --------- Card B-1 _ Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except a's 61. Ext. Steps -Door & Sidelight Protection -Landings 62. Smoke Detector ---------------------- ____ --- 63. Furnace: Vents -Clearance -Comb. Air -Connector - In Garage: Above Floor -Ducts -Meeh. Protection ---------- --------- - 64. Bedroom Exiting --------------------- ---------- - - ----- -- 65. G.F.I. & Bath Fixtures & Tub Access -Spa ------------------ 66. Elec_ Trim & Subpanel; Breaker Sizes & Labels 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-Mech. Protection ------------ 75. Plb., Elec. & Mech. Equip. Listed for Location ------------------------ 76. Elec. Receptacles in Garage: (G.F.I.)-Romex Protection ----------------------------------- ---- 7,. 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 El No; Planters 0 -Yes 11No ----------- -- 81. Stucco: Brown -Finish ---------------------------- --- 82. A.C. Unit: Disconnect. Electrical, Plumbing ---------------------------------------- --- 83. Vents Above Roof; Plbg.-Appliance-Fireplace.-Clearance to Openings 84. Water Well: -Disc onnect, 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: COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMI O. ' 7 County Center Drive - OroviIle, California 95965 - Teleplvme: 916/538-7541 i .APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 040-170-100 ZONING A-10 BUILDING PERMIT OWNER ce Burdette TELEPHONE 342-9383 SQ. FT. OCC. BUILDING VALUA I OWNER'S MAILING A DRESS ummin s Rd. Durham 95938. M M 8,640.00 CONTRACTOR'S NAME Ownpr TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $'®'-{i'•et�' LENDER'S MAILING ADDRESS ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 15,00 Permit Fee $ cl r5D Plan Checking Fee $,q 'T r ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS Permit fee $_]��O I, a15.00 Durham PLUMBING PERMIT Filing Fee Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDI VISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF❑ Duplex❑ Mobilehome❑ Other ShopBuilding SPECIFY Gas piping system 1 - 5 outlets 5.00 sewer 15.00 Mobile Home S I G I W @ 15.00 TYPE OF WORK New EX Addition❑ Remodel❑ Utilities❑ Installation❑ Other [J Describe work:- New Shop Permit Fee $ Contractor ELECTRICAL PERMIT FilingFeer 15.00 Main service 200A OR LE0V OR SS 18.50 CONTRACTORS LICENSE LAW declare under penalty of perjury (check one): ❑NON.RESID 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 VI, 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) El I, 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 OCCUPM X 3.64sq.ft. 16.8UI OR ADDNS. ACC. BLDGS. II NEW CONSTR U TI -OUTLET BRANCH CIRC ITS @ 5.00 POWER APPARATUS tr SINGLE OUTLET CIR. ( Ex. Occu p(OUOR FIXTURES 20 76 FIXXEDED APPLNS. OR Ex. Occup. OUTLETS (RESIO.) EA.) 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring -15.00 Permit Fee $ 31.80 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 6.50 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 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 again t said County in consequence of the granting of this /pe�rlmitt. n Date 1�—`7 '" K� Signature A cant — Owner Contractor ❑ Agent ❑ An OSHA permit is required for excavations over '0" deep and demoliti o��onstruct- ion of structures over 3 stories in height. rT Mobile Home Installation Fee S Energy Inspection Fee $ occ co ST TYPE 7� TOTA EE $ t9=61Cj3 HAz OFEES IMP coF PARC Po Ho E This permit is hereby is a under the applicable provi- sions of the Buy C9ucrty Code and/or resolutions to do work indic ad a'efor which fees have been paid. / D R T OF PUBLIC WORKS // BY D te7Ly_-�)1 R IT EXPIRES Date Receipt No. 130001 — j �/� �� 3 -- `� �' WNITE-D.P. W., YELLOW-ASSE960R, PINK -INSPECT GOLDENROD -APPLICANT COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA. 95965 Phone: 916-538-7541 OWNER -BUILDER INFORMATION Dear Property Owner: 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 pro- tect 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 bene- fit and protection: If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $300 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 Governments 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 for you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. For more specific information about your obligations under Federal Law, '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 Depart- ment of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed con- tractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "owner -builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contacting the Contrac- tors State License Board in your community or at 1020 N Street, Sacramento, CA. 95814. 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 until the verification is returned. JFG: dd Enclosure V ry trul yours, chael C. Vieira, C.B.O. Manager, Building .Inspection NOTE: This Owner -Builder Information is sent to you as required by Section 19830 of the California Health and Safety Code. COU,rTY OF BUTTE - Deoartment of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-338-7341 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. 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 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 toour office before we are per- mitted to issue the permit. , �� � �0-(-7-(CC PeA C3 .wN^.t'-y,'``--,i`'/'►i�'.•��tY'4�G�+�i./lvrK"�"�~1f.1t'i�l�l'.iF.�, wy r'�1I;'1Zi�p.�'��'ri{,rr+'a.•�'.'"y,. "ii .�7 COUNTYOF BUTTEDEPARTMENTOF DEVELOPMENT�SFMVICES - BUILDING DIVISION 7 COUNTYCENTE2 DRI•VS - OROVILLE, CALIFORNIA 95965 -TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET 0 /1" OWNER l/xG P. No. V - / 70 - Proposed Building Use ,Oe'�-' S.r't�o'Q Building Inspector Date 2 At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED JT'q 1. All items have been submitted......................................... 2. Plot plans, 3/4 sets, signed by preparer of plans . .......................... 3_ Complete plans, 3/4 sets, signed by preparer of plans . ..................... . A. 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. E . gineered truss details and layout in duplicate (required prior to plan check). .... _- obilehome data and anufacturer's installation instructions, 2 sets. ...........4 10. Fees of $ ....... �� 11. Impact fees as shown on attached schedule . .............................. 1 California Department of Forestry plan approval/fees. ....................... . Flood elevation letter (100 year flood by California Engirieer................... 14. Sanitation and plot plan approval tM �6o Health Department . ............ 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). . . lmla e -r on r-que� 20. Pre -inspection for required. .. to Building inspector (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 . .:............................:......... •F 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. ..... 27. Letter of intent 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. Pla CP,,V list. When you issue the permit, process as follows:- Mail to ow r. Mail to contractor. !/ Telephone.3�3& Sand hold for pickup atoffice. Deliver with inspector. Other Parcel Creation Acreage Applicant �� Date /_0977. 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 peratit issuance: (Circle new item not checked above). 1. Index permit for above items No. 3 cf 2. Additional items required: Contractor, designer, o _ r, was advised of above required data by _ phone _ mail Counter b&- Date 1 ((2- Contractor, Z Contractor, designer, owner, was advised of above required data by _ phone _ mail Co nt r by _ Date Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works&- J7 p,, '�a1<a A` t 2r,_ Oa. %C'6,-_ r H. tiSli ONLY • fluor 1'L•m Au.c6ed Scat lu B.D. TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance Owner Location APIs Plan Approved for: Sewage Disposal Water Supply: Public Private Well Clearance for bedroom mobile home. Other 1!5inrG�j Hold final for:. Final clearance O.K..for:. NOTE: Envir niental , Health Specialist 8/92 Date 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 NUMBER �L /70 -/U ZONING 16 BUILDING PERMIT OWNER F�fl6 TELEPHONE 3 5383 SO. FT. OCC.1 BUILDING VALUATION OWNER'S MAILING ADDR SS 9V57 (/MM 'N G -s Atit /� / („/ {O /V CONTRACTOR• NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN 1 Total Valuation $ LENDER'S MAILING ADDRESS ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 15.00 Permit Fee Plan Checking Fee $ O $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS � Permit fee $ /Sp•od PLUMBING PERMIT Filing Fee 15.00 Each Trap 1 5.00 Solar or heat pump water heater 1 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 1 7.00 Each qas water heater or vent 1 7.00 USE OF STRU SF ❑ Duplex❑ Mobilehome❑ OtherCTURE p SPECIFY - Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S I G I W= @ 15.00 TYPE OF WORK Ne&2L-kddition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 2000A OR LESS 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 Buslne$s 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) E] 1, as the owner, am exclusively contracting with licensed contract - ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason Main service 200A TO 1000AI 37.50 NEW CONST. ( DWELLING OCCUP.8d\ OR ADDNS. ACC. BLOGS. // 3.60 sq.fl.I /Je OA NEW CONSTR ULTI.OUTLET NON -R ES --,BRANCH CIRC 111TS @ 5.00 (POWER APPARATUS e) SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20 76d AL0 6j4 FIXED APPLNS. OR Ex. Occup. OUTLETS (RESID.) EA.) I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 4--: Permit Fee $ .sO 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 Pertnit 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 ❑ Agent ❑ An OSHApermit 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 TOTA FEE $ /g/. -- HAz 1 0FEES I IMP I FLOF 1,V I PARCEL PD HO ISSUE This permit is hereby issued under the sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By PERMIT EXPIRES Date applicable provi- resolutions to do have been paid. WORKS Date / oo Receipt No. c�D WHITE-O.P.W.. TEL LOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - Department of -Public Works 7 County Center Drive, Oroville, CA 95965 OWNER -BUILDER VERIFICATION Phone: 916 -538 -7541', - Attention Property Owner: _ An 'owner -builder" building permit has been applied for in your name and bearing your signature. ol 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. 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 Secur*ty u 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. f _ T 6' TYF „ 4 x(o 1 /a T4 G PLYWOOD CC EXT, <` , 1r nQ � I I � zo FRNIN 6, , CLIP'_ F STAIR STRINGER. 4B'o.G. MAX. 12"x 12" PIERS V TDF VIEW ` H NUPI?AIL MDT SHDW N FOP, CLARITY. 4X(o"DF 2 2"Xfn" DECKING '(ALT) j 3/gl 130IT _ TMI'/a" _ GiRDER.S......_...�......_.. z Ti PLYWOOD.CC EXT. MOBILE HDME w' OR DEC.IC �' l MAX. I 48" MTL. FKM41 == — \� MAX. - CLIP (EA. IDE - 1 9"MIN. `I Rq 42'y-&' 4"x4" POST`` 2 X i 2" GUARDRAIL --- 2",<4" PRESSURE � 4"MAX. DECY W G 8'M GIRDER BOLTS RFD WOOD PZATr ,., FRECASf 4"x9' POST IS -.. PIER ADF�UATE �LA coNA� . TYPtcAL RTES DElyr/lli cr�C COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS "x `' 14 1�4 MIN. �" oo7JNG 7 County Center Drive — oroville, California 95965 Telephone: 538-7541 f _ T I;. ;` ., , ,. >: `. ,. ,' � _ t �' .y i ,a ,_ ,. .�:...t�<�za:«.h _v...�savax ;.�. � • w ...v,�;»wi`�hmit`a..�;af"..c..j`�,..ama.r'�nw'ri R....��.�ms��w..0 t3mr i lfl.QrT1ENN'iCXrAL NO. 98A 18X24 , _ „ i. 7771