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040-170-096
AP 40-17-96 Pus JOVSKY, Myles 619-.67B Myles Pustejovsky _ • �' � 1119-67P + e/s Cummings Rd. 500' N/0 Durham -Oro. 1 _ Hwy., Durham _`_ - , _ =17--9 . I - - e/s• Cummings Rd . 300 1. no of Durham- + 40-17-96 ffi, M, Durham6.4 Co tr: Barns Unlimited, Paradise CO ITR: Merle -Webb, 77 Palmetto Ave -.,-'C hic ermit#2569-80B (new pri detach d (new single family) s orage bldg & recreation roo.) } FINALED 7/-10/80 _ , Dt• f ti 4`0-17-96 > Permit 0075-80E (61e/storage & rec 40-17-96/�/�� Contr�,, ,- �N: al Morgan ' �.�i�t 509-85B,E,M(reroof & repair/SF) U 040-170-096 05-2989 ` PUSTEJOVSKY,`MYLES 9438 CUMMINGS RDp'DURH t Cont: OWNER;,.. Jf�� ADDITION TO SHOP 1307=0414'' r 040-170-096 MISCELLANEOUS Re -Roo ' RE -ROOF (33'SQ)'. 9438 CUMMINGS RD + "1 PUSTEJOVSKY,•MYLES & ADRIENNE - l BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #:(530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #:(530) 538-7541 FAX#: (530) 538-2140 WEBSITE: www.buttecounty.net\dds PROJECT INFORMATION Site Address: 9438 CUMMINGS RD Owner' Permit No: B07-0414 APN: 040-170-096 PUSTEJOVSKY, MYLES & ADR Issued Date: 03/05/2007 By KCG Permit type: MISCELLANEOUS 9438 CUMMINGS RD Subtype: Re -Roof DURHAM, CA 95938 Expiration Date: 03/04/2008 Description: RE -ROOF (33 SQ) (530) 342-4751 Occupancy: Zoning: A5 Contractor Applicant: Square Footage: SIERRA ROOFING SIERRA ROOFING Building Garage Remdl/Addn 275 FAIRCHILD 108C 275 FAIRCHILD 108C CHICO, CA 95926 CHICO, CA 95926 (530)342-1863 (530)342-1863 Other Porch/Patio Total FEE INFORMATION DBMSC Re -Roofing $192.50 Total Charged: $192.50 Fees Paid: $192.50 Balance Due: $0.00 Receipt No: B2040 LICENSED CONTRACTOR'S DECLARATION OWNER / BUILDER DECLARATION Contractor (Name) State Contractors License No. / Class / Expires I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License SIERRA ROOFING 688803 / C39 / 05/31/2008 Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed 1 HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am licensed under provisions of Chapter 9 (commencing with Section 70 0) of Division 3 of the Business and Professions Code, and my license pursuant to the provisions of the Contractor's License Law [Chapter 9 (commencing with Section 7000) is in full fA;a> of Division 3 of the Business and Professions Code] or that he or she is exempt therefrom and the t l basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects X 03/05/2007 the applicant to a civil penalty of not more than five hundred dollars [$500]; Please check one of the following: Contractors Signature- Date ❑ I, AS OWNER OF THE PROPERTY, OR MY EMPLOYEES WITH WAGES AS THEIR SOLE COMPENSATION, WILL DO THE WORK, AND THE STRUCTURE IS NOT INTENDED OR OFFERED FOR SALE (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of the property, who builds or improves thereon, and who does WORKERS' COMPENSATION DECLARATION I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: HAVE the work himself or herself or through his or her own employees, provided that such improvements ❑I AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR are not intended or offered for sale. If, however, the building or improvement is sold within one WORKERS' COMPENSATION, as provided for by Section 3700 of the Labor Code, for the year of completion, the owner -builder will have the burden of proof that he or she did not build or performance of the work for which this permit is issued. improve for the purpose of sale.). HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Code: _`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; 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 Q�! (/ r t Carriers _ _�- _ olicy-Number.- u/ 7 i� Exp -Date: -�- CV ' Contractors License Law.). (This section need not- e.cor Ieted-if-the permit I Tor one undre ollars($100)-or less.) El IAM EXEMPT under Section B. 8 P.C. for this reason: ❑I CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED, I shall not employ any person in any manner so as to become subject to the Workers' Compensation laws of California, and agree that if I should become subject to the workers' X 03/05/2007 compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those Owners Signature Date provisions. -�" 03/05/2007 Voe I hereby certify that I have read this application and stale that the above information is correct. I agree to comply with all City and County ordinances, rules, regulations, and State laws relating to building : Signature j Date WARNING: -FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless Butte County, its officers, agents and employees from any and all claims and liability for personal AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, injury, including death, and property damage caused arising out of, in any way connected with DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND the issuance of this permit. I hereby acknowledge thatt is issuance of this pea rmit does not authorize the use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte ATTORNEY'S FEES. County to�above tioned property for inspection purposes. I hereby certify that I am the propeAd ct on therty ownefs behalf. CONSTRUCTION LENDING AGENCY _ Ctl` ✓k 03/05/2007 I HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for Name O PE ee_[ GN] Pring Date the performance of the work for which this permit is issued. (3097 civ. code) - Contracto Owner r OR: Agent for Owner Agent for Contractor Lenders Address City State Zip FILE COPY tri 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" OWNER INFORMATION Last Name . o 8 - t) First � Mailing Address? L City ( StateG Zip ✓ 7 Phone .—q S i Fax E-mail APPLICANT INFORMATION CONTRACTOR Name Address Po zipfm City -Co Fax State Zip ?5r72-7 Phone3q2__ IC66 3 Fax 3LfZ- 3f5; p E-mail Lic. # / Class APPLICANT INFORMATION ARCHITECT/ENGINEER Name City/' j�v`Ir6 Address zipfm City Fax State Zip Phone Fax E State License Number APPLICANT INFORMATION Name%p-mc.— (1 /' tq Address Po by- xCity City/' j�v`Ir6 Stater ,7 zipfm Phonel7, fL J ?� 7"C Ct Fax E-mail 1APPL1CA_AlT.S,4GNATURE X PROJECT LOCATION API C)90_ 0` Property Address City ! 1 PERMIT NO. BIN # WORKER'S COMPENSATION Policy Number .75..�0 Carrier eta- � b 14L 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: Sq FT -Living 2 a Garage e_/,,ip Open Cov ❑ • Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): For office use only: Zoning Flood!jTyp:eC:onst. SRA Yes No Occ. SPECIAL CONDITIONS CHECKED BY SRA FLOOD CERTIFICATE EQUIRED FIRE SPRINKLERS REQUIRED SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER ENCROACHMENT PERMIT REINSPECTION FEE PAID. ENV HLTH CLEARANCE {+. DATE JOB FINALED: �� ` ✓� Y_ SIGNATURE`S Gi r • Butte County Department t of Development Services . , eurrf• ^REI p t ® T E S • 7 County Center V Drive, Oroville, CA 95965 (530) 538-7601 v{ww.buttecounty neUdds °N • Y . ' RESIDENTIAL -' APN: Permit No. 05-2989 Owner- 040-170-096 'PUSTEJOVSKY; MYLES--- -- •- —` 9438 CUMMINGS RD, DURHAM it Site Address: — - - { Cont: OWNER - g " contractor. _ -ADDITION TO SHOP . Type of Permit: SPECIAL CONDITIONS CHECKED BY SRA FLOOD CERTIFICATE EQUIRED FIRE SPRINKLERS REQUIRED SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER ENCROACHMENT PERMIT REINSPECTION FEE PAID. ENV HLTH CLEARANCE {+. DATE JOB FINALED: �� ` ✓� Y_ SIGNATURE`S Gi x OK 0 = Not OK MANUFACTUREDMOMES MISCELLANEOUS DATE Lj PERMANENT FOUNDATION SOFT -SET 1 Zoning -Setbacks -Easements 2 Soils; Special MH Support Sketch 3 Sewer; Loctn-Test; Fall/C/O-Concrete 4 Wtr; Loctn-Test-Easement Needed -Regulator 5 Elec Loctn-Clrncs-Grnd Amp -Concrete 6 Yard Gas; Loctn-Test-Wrap Nat Lor LPQ Inch Sz Ft Lngth 7 Blckng; Sz-Spacing-Marriage Line 8 Gas; MH Test-Demand-Valve-Cnnctr 9 Elec MH Cntnty Test-Crossovers -Breakers -Clrncs 10 Drain; MH Test -Fall -Flex Cnnctr 11 Wtr & Sewer Connected -C/O to Grade 12 Gas and Electricity Tagged 13 Tie Downs 0 Foundation Q 14 Exits 15 Cert of Occupancy 16 HUD Label/Insignia Numbers Serial Numbers DATE , DEC O V E R S'C A R P O R T KG onin - acks-Easements 2 , Soils-Sz-Dpth-Spacing-CnnctrsSteel 3 Decks, Girders/Joists-Dcking-Brcing Stairs-Guard/Handrails 4 Wood Awn; Posts-Beams-Rftrs-Cnnctrs-Shthg Frmg-Brcng 5 Alum Awn; Columns-CnnctnsSplice-Decal-Encisrs 6 Carports; Wndws-Doors Q'-6yyg 7 Electric V6 8 Frmg; Sills-Anchrs-Studs-Rftrs-Trusses ung; Nailing 14-Voof-, Shthg-Roofing 11 Ext; Steps -Doors -Landings faced Wall-pnls g 2(p- �:Co QASp S °' tp-cj -0(o °slbp_� $ DATE 1POOLS 1 Setbacks -Easements 2 Soils; CompactionStructure Stability 3 Pool Structure; Steel-Cnnctns-Thickness Dead Men -Lining 4 Elec Rcptcls/Lting; Distance-GFI 5 Elec Pool Lting; 15 volts-GF1 6 Elec Enclsrs; Conduit Entries -Terminals -Listed 7 Elec Bonding; Metal w/5'-Crcltng Eqp-Htr 8 Elec Grndng; Eqp w/5' Crcltng Eqp-Pool Ightg Bones-Enclsrs-pnlboards-Insultn to Main Conduit 9 Health Dept Apprvl 10 Plmb; Cir Test-Wtr Supply Test 11 Lt Niche 12 Enclsr; Fencing -Alarms 13 Bonding, Diving board or Slide Pool Drawing = OK o = Not OK RESIDENTIAL (Single & Duplex)' DATE JUNDERFLOOR DATE PLUMBING 1 Zoning -Setbacks -Easements -Flood -Slope 53 Wtr Htr; Vent-Acc-Cmbstn Air Baffle 2 Ftg Main; Soils-Elec Grnd Ftg Dpth 54 Wtr Pipe; Test & Anchr-Nail Prtctn 3 Ftg Garage; Soils-Steel-Elec Grnd Fig Dpth. 55 DWV; Test Fittings & Anchr Nail Prtctn 4 Ftg Porches/Decks; Soils -Steel Fig Dpth 56 Shwr Pan; Test, First flr-Tub Acc 5 Stemwalls Main; Steel -Blockouts-Wrapped 57 Test Tub & Shwr, 2nd flr.- Tub, Acc 6 Stemwalls Garage; Steel-Blockouts-Wrapped 58 Gas Pipe; Sz & Anchrs 6a Hold Downs and Special Anchrs 59 Fire Sprinkler; Test 7 Slab, Steel Wrapped 60 Yard Gas Piping 8 Piers-Frplc Ftg-Steel 9 DWV; Fall -Fitting -Test -2 -way C/0 -Sewer Test 41 10 UF, Gas Pipe; Sz Anchrs-Sz Test 11 Wtr Pipe; Test-Anchrs-Rgitr-Service Test 12 Elec Undrgrnd DATEM E C H A N I C A L 13 Plenums & Ducts; Clrnc-MaterialSupport-Insultn 61 AC Ducts Insulin & Support 14 Girders Sills-Anchr BoltsJoists-Vnts-Crippies 62 Vent Fan, Exhaust abv Insulin 15 Acc & Vntitn 63 Condensate Drain & Ovrflw, Sz & Grade 16. Insulation 64 Furnace -Vent Acc-Comb Air RtrnfVent 115 Outlet 65 Attic Acc & Pltfrm if Furnace in attic mac` mac` c DATE IFRAMING 17 Sills Proper Materials & Anchrs DATE IFINAL 18 Walls Studs -Nailing Spacing & Braces -Plates -Sound 66 Ext Steps -Door & SideLt Prtctn-Landings 19 Bearing Walls over Girders & fir Nailing 67 Smoke Detector 20 Draft Stop in Walls (rat proof) 68 Furnace Vnts-Clrnc-Comb, Air-Cnnctr 21 Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs In Garage; abv-flr-Ducts-Meth Prtctn 22 Headers & Beams-Sz & Bearing 69 Bedroom Exiting 23 Hangers -Post Caps-Anchrs-Cnnctns 70 GFI & Bath Fxtrs & Tub Acc-Spa 24 Ceiling Joist-Rftr Ties-Purlin-Roof Brac-TrussShthg 71 GFI Arc Fault 25 Frplc Ties or Type A Flue-Frplc Throat Clmc 72 Elec Trim & Subpnl, Breaker Szs & Labels 26 Attic Acc; Sz & Rmx Prtctn-Draft Stop -Ins Baffles 73 Stairs, Guard/Handrails 27 Bdrm Wndws or Exiting Doors -Sill Ht & Dimensions 74 Frplc or Stove, Clrnc-Hearth 28 Garage Fire Prtctn Framing -RC Channel 75 Elec Outlets at Wood Pnl, Int & Ext 29 Prprty Line Firewall & Opngs 76 Ktchn, Fxtr & Appinc; Grnd-Air-Gap-Cooking Clrnc 30 Ext Doors -One 3' -Check Garage 3rd Story, 2 Exits 77 Elec Outlets & Rcptcls at Ktchn Counter 31 Stairs; Width-Hdrm-Rise-Run-Landing-Fire Prtctn 78 Garage Fire Door•, Swing -Landing -Closure 32 Plywd on Roof Ovrhng-Attic Vnts-Rftr Outrgrs 79 AC Duct in Garage -Damper 33 Siding -Nailing Veneer 80 Wtr Htr; Vnts-Clmc-Com Air Cnnctr-PRV; abv fir 34 Stucco Lath -Weep Screed-Fndtn Vnts-Undrflr Acc Mech Prtctn; LPG Appince Undr House 3" drain 35 Glazing Area -Glass Prtctn-SkyLts-Plastic 81 Plmb; Elec & Mech Eqp Listed for Loctn 36 Shear Walls; Nailing -Bolts 82 Elec Rcptcls in Garage (GFI) Romex Prtctn 37 Brace Int/Ext Wall pnis 83 Insultn-Foam-Looked in Attic 38 Ins ultn-Walls-Ceilings 84 Guard Rails & Deck Cnstrctn-Post Caps 39 Infiltration-Walls-Wndws 85 Fndn Vnts & Crawl Hole Door Drnge & Wood -Earth 86 Clrnc Drnge Planters QYes ❑No 87 Stucco Brown -Finish do 0� °'" 0s 88 AC Unit Dscnnct, Elec-Pimb 89 Vrits abv Roof, Plmb-Appinc-Frplc-CImc to Opngs 90 Wtr Well, Dscnnct, Elec, Plmb 91 Ext Elec Trim, GFI Rcptcl-Undrgrnd DATE JELECTRICAL 40 Fxtr & Trnsfrmr Cirnc4ns Prtctn 41 Elec Rcptcls Spacing-Lts & Switches at Doors 92 Vntitn thru House 42 Sz Boxes & No Of Cndctrs Stapled 93 Glass Prtctn 43 Romex Installed Close to Edge of Studs & CJ 94 Corrections from previous Inspctns 44 Eqp Grnd made up w/Mech Fstnrs 95 Gas Test -Meters Tagged, Gas-Elec 45 Grndng Electrode Bond Gas & Wtr 96 Wtr & Sewer Cnnctd-C/O to grade -HD Apprvl 46 2 Appinc Cires in Ktchn & Cndctr Sz GFI 97 Energy Cmpinc Cert -Other Certs 47 Subfeed Wire Sz ge ❑ CU or []AL 98 Address Posted AC Wire Sz 92 ❑CU or DAL 99 Fire Sprinkler 48 Range Circ ga 0 CU or ❑ AL Oven Circ ga Q CU or [] AL Insulated Neutral Q Yes Q No o"" a o'er o`er 49 Service -Riser Cndctrs & Grnd Main Dscnnct 50 Eqp Cirncs pnis-Motors-Mech Eqp 51 Clothes Closet Lt-Shwr Lt -Spa Lt 52 Smoke Detector BUTTE COUNTY PERMIT NO. DEPARTMENT'OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) . BPO552989 OFFICE #: (530) 538-7541 B. C. Building Permit 01-16-04 pg 1 LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date: 04/04/2006 APN: 040-170-096-000 the Business and Professions Code, and my license is in full force and effect. License Class : License Number: Site Address: 9438 CUMMINGS RD DUR Date: Contractor: Map Index: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Description: ADDITION TO EXISTING SHOP/STORAGE Contractors' State License Law for the following reason (Sec. 7031.5 (480) Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a Owner: PUSTEJOVSKY, MYLES L. & ADRIENNE M. signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 commencing with Section TRUST 7000) of Division 3 of the Business and Professions Code) or that he or 9438 CUMMINGS RD she is exempt therefrom and the basis for the alleged exemption. Any DURHAM, CA violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not mope than five hundred dollars ($500).): 95938 (530) 342-4751 ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, Applicant: PUSTEJOVSKY, MYLES L. &ADRIENNE M. provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one TRUST year of completion, the owner -builder will have the burden of 9438 CUMMINGS RD proving that he or she did not build.or improve for the purpose of DURHAM, CA sale.). I, as owner of theroe p p rty, am exclusively contracting with 95938 licensed contractors to construct the project (Sec. 7044, Business (530) 342-4751 and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). ❑ 1am Exempt under Article 3 of the Business and Professions Code Contractor: -c;'/ JP4' L, Date: Owner. WORKERS' COMPENSATION DEC LARA-0 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 License #: is issued. ❑ I have and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation Architect: insurance carrier and policy number are: Engineer: Carrier: Policy #: ❑ 1 certify that in the performance of the work for which this permit "Iotal Square Ft: 480 S.F. issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, Valuation: $11,520.00 and agree .that if I should become subject to the workers' Census Code: compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. • ��q'.G G Date: Applicant: 1 l- 3- 05 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 J J 1 compensation, damages as provided for in Section 3706 of the Laborylit���3 code, interest, and attorney's fees. rr CONSTRUCTION LENDING AGENCY This permit is hereby issued under the applicable provisions of the Butte County Code and/or I hereby affirm that there is a construction lending agency for the Resoluti ns to do work indicated above for which fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.)�.{; kAJtN' Name: By:�)fAJI� t n/iY (� Date: '1' oUl PERMIT EXPIRES ON: -09 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 County. I hereby authorize representatives of Butte County to enter upon the above mentioned property for inspection purposes. Print Name: Z. s Signature: 'E'" �- Date: e,4i 2'6wner ❑ Contractor ❑ Agent for Owner ❑ Agent for Contractor B. C. Building Permit 01-16-04 pg 1 .-. .n. ,�. A .-,.:r�tii�^+''�..'.-..,'te..t.a'.;7,k ;r'''.,.'-... y.-r.r--�. � �.., �„ .X, 4 .`rv.-•. r_�,.a ...+, COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive, Oroville, CA .95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET OWNER: Pia �T �.I �V�S1�V ASSESSOR PARCEL NUMBER O �I 0 - V70- O"! ( Proposed Building Use: htdd (b Un h Ec . Shoo' Permit Technician: K.6- Date: J. 3- 0,17) Itrs required in orde to apply for a permit. All boxes MUST be checked OR marked NA in order to apply. 16:04 1. Site plans 3brets, signed by the preparer of the plans. ASN 2. Complete plans 3 br 4 sets, signed by the preparer of the plans. ❑ 3. Engineered. plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 4. Engineered truss details and layouts in duplicate. No faxes! ❑ 5. Letter from Engineer or Architect for truss design review. ❑ 6. Energy compliance design and supporting documentation in duplicate. ❑ 7. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 8. Manufactured homes: (A) Installation manual, including marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. ❑ 9. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate. _;Q4 11. Hazardous Material Form 12. Acknowledgement of building permit application without required clearances. ` 1aw 13. Other 8006 Plain Diftln1`0ion Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) 14. Sanitation and site plan approval from the Environmental Health Department in ❑ Chico ❑ Oroville, as applicable 40L- ❑ 15. Fire Sprinklers............................................................................................ ❑ 16. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by ❑. 17. Soils Report and/or Engineered Foundation required ........................................... ❑ - 18. Erosion Control Plan Required........................................................................ 19. Fees as shown on the attached Schedule of Fees Due Sheet .............................. ❑ 20. City of Chico Plumbing permit........................................................................ ❑ 21. Site plan and business license approval from the City of Biggs .............................. 0 22. California Department of Forestry plan approval ❑ paid. Sent by: .......... 23. Planning approval for (A) Use: oile_ (B) Parking: (C) Parcel Check:..........�� ❑ 24: Contact Land Development about _ Improvements, _ Drainage ........................ ❑ 25. Fire Marshall Review (commercial projects only). Sent by: ...................... `� Z'W 26. NPDES Form............................................................................................. ❑ 27. Encroachment Permit for driveway from the Public Works Dept ........................... ❑ ; 28. Contractor's license information. (Number, Name Style, Classification) ................... ❑' 29. Worker's Compensation Carrier and Policy Number .......................................... 30. ..Owner -Builder Verification ( _ Given to owner, _Mailed to owner) ..................... ❑ 31. Letter of Signature authorization.................................................................... ❑ e3.2. Recorded copy of Agricultural Acknowledgment Statement ................................. ❑ 33. Existing violations and/or expired permits......................................................... ❑ 34. Deed Restriction.......................................................................................... ❑ 35. ❑ Legal description, ❑ M.H. Title, title search, registration or MCO ......................... ❑ 36. Other: ❑ 37. Other: When issued Telephone (530) ?d 2. 4-7 51 OwnW and hold for pickup. I have been informed of the above items and requirements for obtaining a building permit. Applicant: \A�,.6._... y F e,. Date: / /_ - 1. Index permit applfcation for the above mems- !tiered: Plan Check Letter 2. Additional items regaiced \� Contractor, design owne was advised of the above data by phone, ❑ mail, ❑ counter, by Date: Contractor, designer, owner, was advised of the above data by 0 phone, ❑ mail, ❑ counter, by Date: Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Plans reviewed by: Date: I i Plans approved by: Date: - Structural reviewed by Date: Structural approved by: Date: Note transfer by: Date: Yellow: Building Division KBuilding/Plan Check/Data Sheets/data sheet page 2 9.27.05 COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES — BUILDING DIVISION 7'COUNTY CENTER DRIVE, OROVILLE, CA 95965 PHONE (530)538-7541, FAX (530)538-2140 SCHEDULE OF RECEIPT OF FEES Website: www.buttecounty.net/dds OWNER ?�� C"+e i ov S V PROPROSED BUILDING USE �1. BUILDING PERMIT FEES n/� (] q --- Balance Due ..................... $ g n • `"I `1 --- FEMA Flood elevation review ... $ --- Additional plan checking Fee.... $ 2. SCHOOL DISTRICT FEES (paid at School District Office) (form available after Plan. Check) 3. SHERIFF FEES (paid at Building Division) Commercial (sq. ftg.)..... X $0.03 = $ Sq.Ftg. 4. RECREATION DISTRICT FEES (paid at Recreation District Office) (form available after Plan Check) 5. RESIDENTIAL DEVELOPMENT IMPACT FEES COUNTY WIDE (per dwelling) $ CHICO URBAN AREA (per dwelling) $ EL MEDIO FIRE DISTRICT (per dwelling) $ NORTH CHICO SPECIFIC PLAN (per dwelling) Zoning A.P. # 09()- IM- Qq j DATE RECEIPT # DATE REC. 914qM3 ..` � 6. SRA FIRE INSPECTION AND PLAN CHECK FEE $204.98 (paid at Building Division) 7. WATER TENDER FEES BATTALION # $200.0..0 (paid at Building Division) \ 8. SMEP l_1L1�i� 06 9. DRAINAGE FE 10. OTHER 11. OTHER At time of permit application, I was advised the above fees are required to be paid prior to issuance of the permit. These fees may be changed during the plan checking process. APPLICANT DATE Pursuant to Government Code Section 6602 , yo are h'er4notified that items, 2, 3, 4, 5, 6, 8, 9, and 10 above may have been imposed on your project. You have 90 days from the date of approval of the p ct or from the imposition of the above mentioned items during which you may protest. The requirements for a protest are specified in Government Code Section 66020(a). Original -Building Division Yellow -Applicant Pink -Owner (rev. 7/05) SITE PLAN REVIEW APPLICATION Date: f\16U. r (� AP# D �6 — / 7�2 Permit Number (if applicable) Bin Number APPLICANT INFORMATION Parcel Size: Owners Name: NKK L OC -7 S f�T� V Owners Address: Telephone No.: _ Site Address: Proposed Use: Residential ❑ New Single Family Residential ❑ Single Family Addition ❑ Single Family Remodel Mobile Home Residential Accessory — 4-blv,r Tz:;' ❑ Permanent Second Dwelling ❑ Temporary Mobile Home (Aunt Minnie) ❑ Temporary Travel Trailer ❑ Multi -family Non-residential ❑ New Commercial ❑ Commercial Addition ❑ New Industrial ❑ Industrial Addition Other ❑ Septic ❑ Agricultural Exempt Building ❑ Other: Brief Explanation/Issue: /i - r .c i= P7E3 ❑ Commercial Remodel ❑ Industrial Remodel ❑ Well ❑ Agricultural Buffer Form Zone: 2L__1_O GP: � DEVELOPMENT SERVICES INFORMATION (For Staff Use) . Approved ❑ Conditionally Approved ❑ Resolve Problems Prior to Approval /❑ Resolved By Date 1 4 r. ALL ITEMS CHECKED APPLY TO THE PROPERTY Parcel Is In: ❑ Williamson Act Minimum Acreage: ❑ Residence can be built per contract ❑ Watershed Protection Overlay Zone ❑ SRA - (CDF to determine specific requirements) ❑ 100 -Year Flood Plain: • Flood Zone: • Flood Panel No.: Index Date: ❑ Sacramento River Reclamation District (Approval must be obtained from the California Reclamation Board) ❑ Feather River Reclamation District (Approval must be obtained from the California Reclamation Board) ❑ North Chico Specific Plan ❑ Chapman/Mulberry ❑ Cohasset Area Use Requires: ❑ Use Permit ❑ Variance ❑ Agricultural Worker Affidavit ❑ Administrative Permit ❑ Minor Use Permit ❑ Minor Variance Zoning: f - — (C) General Plan: z�> a Applicable Building Setbacks: ❑ Setbacks identified on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks. ❑ Use Permit/Minor Use Permit Permit Number: Date of Approval: 01 Zoning Code Streets & Highways Fire Prevention Subdivision Map Front Side Side Street Rear Height Waterway N/A N/A N/A ❑ Setbacks identified on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks. ❑ Use Permit/Minor Use Permit Permit Number: Date of Approval: 01 Parcel Created By: Deeds: Date of Creation: Legal Access Provided: ❑ No ❑ Yes Deed of Reference: Legal Access Required ❑ No El Yes Parcel Frontage on Publicly Maintained Road: El❑ Yes, No Road Name: Complies with County Standards for Deed Creation:❑ No ❑ Yes Comments: r /3 0?7:�mr E�q ❑ Parcel Deemed to be legal ❑ Verify Legal Parcel ❑ Verify Legal Access ❑ Provide Deed of Creation ❑ Obtain a Certificate of Compliance ❑ Obtain a Merger ❑ Obtain a Lot Line Adjustment ❑ Construct road to:. ❑ Meet Parcel size required by zone ❑ Meet current Environmental Health Department requirements [] Subdivision Map/Parcel Man: Map Date of Recording: Lot: Book: 3 Page: Butte County Department of Development Services www.buttecou nty.netldds 7 County Center Drive Oroville, CA 95965 (530) 538-7601 Telephone (530) 538-7785 Facsimile ADMINISTRATION * BUILDING * PLANNING November 21, 2005 Myles Pustejovsky 9438 Cummings Road Durham, CA 95938 Subject: Building Permit 05-2989 (APN 040-1 Dear Applicant/Representative: ; Proposed Structure The Butte County Department of Development Services, Planning Division, has reviewed the submitted permit application, and requires the f flowing . revisions to your site plan, or information in order to continue the review (this ray be for notification purposes, please see below): / ❑ Creation Deed /E] Site Plan Resubmit — Follow Requirements ❑ Erosion Control Plan ® Setback Conformance ❑ Watershed Protection Zone ❑ Front Yard ❑ Cohasset Specific Plan ® Side Yard (10' per A-10 Zone) ❑ Subdivision Map Note ❑ Rear Yard ❑ Off -Street Parking; Development Standards ❑ Special Setback or Parcel Limitation ❑ Parking for Specified Use ❑ Federal Aid Road/Arterial ❑ Lot & Landscaping Re uiremepts ❑ Easement ❑ Oak Tree Plan ❑ Subdivision Map Condition/Note ❑ SRA Setback* ❑North Chico Specific Plan — Erosion Control ❑ Fire Sprinklers* ❑ Notification Only — No Action Required Other: * Fire sprinklers, and the SRA setbac , are not requirements for the Planning Division approval, and this notification is for informational pur o es, however it may be required for the issuance of a building permit. The shop is located in a side y rd setback (ten feet), and you will need to apply for a use permit to expand the structure, unles the addition is located outside the side yard setback. Should you have further questions pleas contact me between the hours of 8:00 a.m. and 4:00 p.m. Monday through Friday at (530) 53V7603, or the appropriate Department/Division identified in the hand- out. Sinc rely, Chris Tolle Assistant Planner 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 OFAPPLICA TION "PLEASE PRINT CLEARLY" APPLICANT NAME OWNER Last Name�jfirst City Name A 'Ky I Address z Fax State City Phone State,?, Zip Phone Planner Fax Class E-mail L�14 A APPLICANT NAME CONTRACTOR Name City Address Zip City Fax State Zip Phone Book Fax E-mail Planner Lic. # Class APPLICANT NAME ARCHITECT/ENGINEER Name City Address Zip City Fax State Zip ,—Phone Book Fax �E-mail Planner State License Number APPLICANT NAME Name r Address City State Zip Phone Fax E-mail APPLICANT SIGNATURE X For office use only: Zoning —10 1 Floo _ I SRA Yes No Occ. Type 9ePrAk,5icjned + Imd DW Subdivision Name Map Book Page Lot # Planner Date Approved: PERMIT NO. BPp52% BIN # A-10 LOCATION AP# g"'t '4 R- Property Address City Cross Street 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: 20 n 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. OVER FOR SUBMITTAL REQUIREMENTS II KAFORMS\BUILDING FORMS\BldgApplSubRgmts.doc Page 1 of 2 Received by:r_G . Amount: 4 91MG _Bldg Receipt #:y q Q q 32 Sheriff SMIP Date:) �`3'a`J 2_Iq • nn IG Other Total REV 6-16-04 SUBMITTAL REQUIREMENTS The following drawings and specifications must be submitted to the Building Division in order to apply fora permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK. Residential, New, Remodels, Additions, and Accessory Structures: 3 1. 3 Site Plans, signed by the preparer. NO GRAPH PAPER! a- 2. 3 Complete sets of plans, signed by the preparer. NO GRAPH PAPER! S OR 3 Sets Engineered plans (if required) with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 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. (Note: Not required for additions to mobile or modular homes.) �9 6. 2 Flood Elevation Certificate, wet -stamped and signed (if required).✓-�-�`-- �❑ 7. Detached Accessory Building Form, filled out by the property owner (if required). 8. Sanitation and site plan approval from the Environmental Health Department. ❑ 9. 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 GRAPHPAPER! ❑ 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 from 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 GRAPH PAPER! ❑ 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 6-16-04 �'�i1NTY MAR 2 ? 2006 37x, i 1W SERVICES' 42/720<l G .R�i rG s 2- - �2� L-C� ��G C�/.�-S � �l KGi�L��-% .�LC�- /5�•! ;] G=�C./S.nc.GE� . 41 =Dep.t:;� ar rne� of Public Wo*ks j� `? _ ✓ 2 LAND DEVELOPMENT DIVISION Michael Crump, Director storm Water_ Marnagenent Program i'•`D� ® - 7 County Center Drive . \;\pU Nay S / Oroville. CA 95965 co (530) 538-7266 �LC WDF� (FAX) 538-7171 National Pollutant Discharge Elimination System (NPDES) Phase Il Construction Storm Water Permit and Storm Water Pollution Prevention Plan (SWPPP) Acknowledgement LL.ESS 7THAN 9 ACRE) ProjectDescriptiou: inN o _)e )-$I-- AJC Project Location and/or Parcel Number: By signing below, I, the project ownerlowner's agent, certify that this project WILL NOT DISTURB 1 acre or more of land and that I, therefore, do not need to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board. Phased projects that contain multiple site build -outs of less- than one acre but when combined with subsequent phases total more than one acre of disturbed soil will require a Construction Storm Water Permit from the State of California Regional Water Quality Control Board I am aware that submitting false andlor inaccurate information or failure to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board for a project. that disturbs one acre or more of land may result in revocation of grading and/or other permits or other . sanctions provided by law. Signed: Title: Date: /� i'J3• vS: - Butte CountyDeparLlnentof-DevelopnentSC1-P CCS 7 County Center Drive Oroville, CA 95965 (530) 538-7601 Telephone c�UN�y (530) 538-7785 Facsimile BUILDING PERMIT APPLICATION WITHOUT REQUIRED CLEARANCES I request and authorize the Building Division to process this building permit application through the plans examination process WITHOUT first obtaining all necessary, related permits and clearances from other regulatory entities, including but not limited to, Planning, Environmental Health, Land Development, County Fire, and Agriculture. I hereby acknowledgd: I need to submit applications for septic and/or well to Butte County Environmental Health immediately. I am required to bring the approved Environmental Health site plan and approved sanitation clearance to the Building Division as soon as clearance is obtained e I am responsible for notifying Development Services, in writing, to stop processing of the application and to arrange for disposition of plans. The Building Division will process the application through the plans examination process, as submitted, without input from other regulatory entities that.could prohibit issuance of the building permit or require submission of amended building plans to the Building Division. Once the plans examination process begins, there will be no refund of plans examination fees. Any changes requiring submission of amended plans to the Building Division will incur additional fees. Within one year from the date of application for a building permit, all other required permits and clearances from other entities must be obtained for the permit to be issued. Failure to obtain these permits/clearances will void the application. Typically other required permits/clearances include, but are not .limited to, verification the parcel was legally created, adherence.to, all mitigations and conditions imposed on the parcel at time of creation, as well as zoning requirements, legal access, and applicable set -backs and environmental issues (fire, agriculture buffer zones, and habitat/species). Please print: Applicant Name: ova - ✓ APN: Building site address: 5Ze31r G4 Permit No.: I have read, understood and accept the terms and conditions as expressed herein .as indicated by my submission of the above -referenced building permit application and my signature below: SIGNATURE OF A LI T DATE v KForms(BldePermitwithoutCleaanea 020705 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 material for construction of this proposed property improvement: YES [ K] NO [ ]. 2. I HAVE HAVE NOT [ . ] signed an application for a building permit for the proposed work. 3. 1 have contracted with the following person (firm) to provide the proposed construction: NAME: ADDRESS: PHONE: CONTRACTOR'S 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: PHONE: CONTRACTOR'S 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- DATE: WNER DATE: (— 03- 0 NOTE: This Owner -Builder verification is required by Section 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. Rev'd 11/42Do4 Butte County Department of Development Services ADMINISTRATIO14 `BUILDING' GIS `PLANNING 7 County Center Drive Oroville, CA 95965 (530) 538-7541 Telephone (530) 538-2140 Facsimile i ,mac`°• --c- '4 w,+. Mi .s..e'Zrz-yG�n zz L -i a`�e - �.�.JY� .e •,;s:i:,..:.. 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 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 your plan to subcontract, you should be aware of the following information for your benefit and protection: o If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and oth6r costs) is $200 or more for the entire project and such persons are not licensed as contractors or subcontractors, then you may be an employer. o 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. o There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to workers' compensation insurance. o 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 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 Contractors' State License Board in your community or at 1020 N Street, Sacramento, California 95814. Please complete and return the enclosed owner -builder verification from so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. I P Mic7ael C. Vieirl C.B.O. Majager, Building Inspection NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code. Plot Plan Attadted L-- Floor ✓Floor Plan Attad>adT Sent to BD/DS D iivD s TO: Building ion - Development Services FROM: Environmental Health SUBJECT: Sanitation Clearance Owner Location AP# Plan Approved for: Sewage Disposal: v Water Supply: Public Private Well Clearance for dwelling. Other Hold final for: Final clearance O.K. for: NOTE: Environmental Health Specialist Building Clearance 9/2005 Da COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS)(PERMIT NO., _ 7 County Center Diiivd-'Or6ville, California 95965 - Telephone 916/534-4541 / _ ��- S APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER -'/0 . l 7,- g 6, ZONING BUILDING PERMIT OWNER 1WVZ.6 s pU4�7-_='_J,14/sk- Y TELEPHONE q4�Z -4/75'i SO. FT. OCC. BUILDING VALUATION —----, OWNER'S MAILING ADDRESS - CuOttM I It/A c kc. DC421JAM 000 t- CONTRACTOR'SNAME /I%ER L /Ll jrf, AAJ TELEPHONE X1/2 --/33L/ CONTRACTOR'S MAILING ADDRESS �DCJZi AJ/7!/,Q*4M q5 'l -1W Fireplace CONSTRUCTION LENDER UNKNOWN rr'' Total Valuation $ /4 Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER \ LICENSE NO. Plan Checking Fee ,$' Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDRESS -� PLUMBING PERMIT Filing Fee 10.00 � UM M )AJ e,,; /� Each Trap 2.00 Solar Water Heater 20.00 {{�� ,014 14A Water piping 5.00 y _- LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent _. -5:00 Gas piping system 1 - 5 outl,ets/ 5.00 USE OF STRUCTURE SF Duplex ❑ Mobi lehome ❑, Other Building sewer % 5.00 Mobile Home , , S'J GJWJ T4EOeSPECIF0Y % TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe work: AJ 111ct� v i' k� �j1y� ,/,',O-d7Y+L,� Permit -Fie $ Coritractor ELECTRICAL PERMIT Filing Fee 10.00 100V OR LESS Main service 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.& OR ADDNS. (ACC. BLDGS. 1 � 2h2Sgft � C yO%s.y CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): M-'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.---;) `�`� �I �) Classification b�' ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR MULTI -OUT LET 2,50 ea NON-RESID BRANCH CIRCUITS) NEW CONSTR. ( POWER APPARATUS &� NON-RESID. SINGLE OUTLET CIR. Ex. Occup(o 1.20 @50t FIXTURES BAL®30 FIXED APPLINIS Ex. Occup. FUTL TS (RES. OR ` P• OUTLETS (RESID) EA./ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 IS Permit Fee $ :1 Contractor MECHANICAL PERMIT FiIingFee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑,.I'have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. 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 shal I be deemed revoked. Heating Cooling Hood 3.00 Ventilation Z ;cx. Cv 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. ^ -r r % X ` Date -' � Signature of Applicant — Owner ❑ Contractor O" /Agent Elwork An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ OCCuP. GR Cup TYPE OF CONST. PARCEL PD Ho SSUE This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do indicated above for which fees have been paid. I DIRECTOR OF,PUBLIC WORKS ~ BY �` --'''"'- _ Date �2�?� PERMIT EXPIRES Date 2 `>+ Od3 Receipt NO. 7n WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT -' -;I. — COUNTY OF BUTTEI - DEPARTMENT -OR PU-BLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT OWNER,,, TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER LING ADDRESS w. CONTRACTOR'S NAME ]TELEPHONE CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LENDER UNKNOWN Fireplace Total Valuation $ LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDRESS PLUMBING PERMIT FilingFee 3.00 Each Trap 2.00 Repair drainage or vent piping 2.00 Water piping LOT NO. SUBDIVISION NAME1 1P ARCEL MAP Each qas water heater or vent 2.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SFEI Duplexn Mobilehome❑ Other I SPECIFY Building sewer Lawn sprinkler system 2.00 TYPE OF WORK NewEJ -AdditionE] Remodel E] UtilitiesD InstallationE Other [77-1 Describe work: — Permit Fee $ contractor ELECTRICAL PERMIT Filing Fee 3.00 Main OR LESS ain service 100 AMP OR LESS 5.00 Main service EA. ADO'L 100 AMP 2.50 NEW CONST DWELLING OCCUP.&I OR ADDNS. ACC. BLDGS. ':V 120sqft 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) , ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec.—, Business and Professions Code for this reason NEW cONSTF1. ULT. -OUTLET ANCH CIRCUITS) 12.50 ea NO N.RES,., BRANCH NEW CONST Ft. POWER APPARATUS &\\ NON.RES,D. SINGLE OUTLET CIR. L Ex. Occup(OUTLETS OR FIXTURES 50 @ 25C IBAL@102 (FIXED APP LNS. OR Ex. Occup. 0 UTLETS I-RESI'D.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 6.25 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): F] The permit is for $100.00 (valuation) or less. F-1 I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 3.00 Heating Cooling — Hood 2.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County ot 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 El Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct --DIRECTOR ion of structures over 3 stories in height. Mobile Home Installation Fee $ Land Development Fee $ TOTAL PERMIT FEE $ "Y OCCUP. GROUP I TYPE OF CONST, 7`71 N This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which C_ OF PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date Receipt No. WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT r F��S�- w y ! , r F��S�- w COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT 1JC0. ASSESSOR PARCEL NUMBER U _ 7 _ c7 6 ZONING BUILDING PERMIT Ow R V1167 51 0v TELEPHONE - 7 SQ. FT. OCC. BUILDING VALUATION W 'S MALLING AD13RESS lect D UR 4A CONTRACT OR'S NAME L ML996 4A.1yZ-f33 TELE HONE CON RACTOR'S MAILING ADDRESS 7i Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation I $ ©o .�- Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ Sa ARCHITECT OR ENGINEER _71LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILIN ADDRESS Permit fee $ 10 BUILDING ADDRESS PLUMBING PERMIT FilingFee 10.00 C Each Trap 2.00 Solar Water Heater 20.00 v Water piping 5.00 LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent Gas piping system 1 - 5 outlets_,, -'-5.00 USE OF STRUCTURE SF Duplex❑ Mobilehome❑ Other SPECIFY Building sewer 5.00 Mobile Home G J W 1 10.00 e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe work: s -O i Perim l ee $ Co tractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 AMP ORSLESS 10.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. // DWELLING OCCUP.& OR ADDNS. 1 ACC. BLDGS. 2/20sgft COtFTRACTORS LICENSE LAW I declare under penalty of perjury (Check one): � Q—1 am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professi Clod and m license is in fu force and effect. License No. v 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) ❑0 I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR. U TI.OUTLET 2.50 ea NON.RESID BRANCH CIRC ITS NEW CONSTR POWER APPARATUS & NON-RESID. SINGLE OUTLET CIR. EX. OCCUp(OUTLETS OR FIXTURES 9A ®30 FIXED APPLNS. OR EX. OCCUp. OUTLETS (RESID.) EA.) 1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 1,5- Permit Fee $ Z Contractor MECHANICAL PERMIT Filing Fee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. b,_�have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Heating Cooling Hood 3.00 Ventilation 23 (, 1"f 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 agreeto s in and keep harmless the County of Butte against , costs, and expenses which may in any way accrue all liabilities, ju m Nnsequence again aid ounty ' of the granting of this permit. s� %< < D to S' �3 ` p Signature of Applicant — Owner Contractor Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures overstories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ �.SD OCCUP. GROUP TYPE OF CONST. PARCEL PD ND ISSUE 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. RECTO OF BLIC WORKS By DDa _Z� PERMIT EXPIRES Date ` r33 Receipt No. .9O 01-3 WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT . � :;2,�}��� �•�•� BARNS N UNLIMITED May 19, 1980 To Whom It May Concern: This is authorization for Robert Cooley'to use Barns Unlimitedts Contractors License Number 360326 for a purpose of building arns. William A. Conrad President P.O. Box 696 1844 N. Piedra Road • Sanger, California 93657 (209) 787-2541 7 ir Insurance Services ' Transamerica Insurance Company A Stock Company/Home Office: Los Angeles, Califorr WC 1090619 DECLARA REPLACING NO. NEW Item 1. Name of Insured and Address: (No., Street, Town or City, County, State) LEE HANSEN & WILLIAM CONRAD AMAZE INC. & BARNS UNLIMITED P. 0. BOX 696, SANGER, CA. 93657 Expires: 11-1-80 Stand/orkmen's Compensation anability Policy Insured Is (ENTER BELOW) ❑ Individual ® Partnership ® Corporation ❑ (Other) Locations—All usual workplaces of the insured at .or from which operations covered by this policy are conducted are located at the above address unless otherwise stated herein: (ENTER BELOW) 1944.N. PIEDRA ROAD, SANGER, CA. Item 2. Policy Period: From - 11-1-79 to 11-1-80 •12:01 A.M., standard time at the address of the insured as stated herein. Item 3. Coverage A of this policy applies to the workmen's compensation law and any occupational disease law of each of the following states: . CALIFORNIA Item 4. CLASSIFICATION OF OPERATIONS RATES PREMIUM BASIS Entries in this item, except as specifically provided elsewhere in this policy, Per $100 of Estimated Total' Estimated do not modify any of the other provisions of this policy. Code No. Remuneration Annual Remuneration Annual Premiums SALESMEN, COLLECTORS OR MESSENGERS- 8742 .82 482000 394. OUTSIDE CARPENTRY—CONSTRUCTION OR REMODELING 5645 8.62 50,000 4,310. OF DWELLINGS. NOT EXCEEDING THREE STORIES IN HEIGHT AND PRIVATE GARAGE IN CONNECTION THEREWITH -INCLUDING INSTALLATION OF INTERIOR TRIM, BUILDERS FINISH, AND CABINET WORK MINIMUM PREMIUM $ 9-6-2. 1 DEPOSIT PREMIUM $ 2,352. TOTAL ESTIMATED ANNUAL PREMIUM $ 4,704, If indicated below, interim adjustments of premium shall be made ❑Semi- ® Quarterly ❑ Monthly Annually WC8240 .3/75; W39A 3/76; WC7930J 1/79 Numbers of endorsements forming a part of this policy on its effective date. Item 5. Limit of Liability for Coverage B—Employers' Liability: $100, 000 , subject to all the terms of This policy having reference thereto. Countersigned by Ptd.in U.S.A. T 6191•PN-J Authorized Representative COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS + 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT NO. O ASSESSOR PARCEL NUMBER ZONING BUILDING PE OWN L L) 16t9 U S ` S /� TELEPHONE q -'f S l SQ. FT. OCC. BUILDING VALUATION OWNER'S AILING DORESS aim hil ih CO TRACTO 'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LENDER UNKNOWN Fireplace $@ Total Valuation '7 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ , Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDIN ADDRESS ' SPLUMBING PERMIT Filing Fee 3.00 8 Each Trap 1 2.00 Repair drainage or vent piping 2.00 Water piping • LOT NO. SUBDIVISION NAMEPARCEL MAP Each qas water heater or vent 2.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome❑ Other r ' SPECIFY Building sewer, Lawn sprinkler system 2.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation6 Other Describe work: 'ex `� Y r Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 3.00 Main service 100°V OR 0 AMP ORLESS5:00 Main service EA. ADD'L too AMP 2.50 NEW CONST. DWELLING OR ADDNS. ( ACC. BLDG �U 2¢sq ft 1 - CONTRACTORS LICENSE LAW ' I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification (� I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) . ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR ULT I.OU LET NON.RES,D BRANCH CIRC ITS 2.50 ea. NEW CONSTR. /POWER APPARATUS &) NON.RESID. (SINGLE OUTLET CIR. so@qac Ex. Occup(ouTLETs OR FIXTURES BAL@tOQ FIXED APPLNS. OR Ex. Occup.(OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home -Facilities 15.00 Misc. Wiring 6,25 Permit Fee $ , 'Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. 1 shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 3.00 Heating Cooling Hood 2.00 Ventilation Permit Fee $ Contractor I certify that I have read'this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against a liabilities, judgments, costs, and expenses which may in any way accrue a a st said Count i sequence of the granting of this permit.. i ��_ 5�� X Date Signature Applicant — w er ontractor ❑ Agent ❑ An OSH ermit is require for ex ovation over 5'0" deep and demolition Or construct- ion of structures over 3 stori s in h fight.' Mobile Home Installation Fee $ Land Development Fee $ TOTAL PERMIT FEE 4 OCCUP. GROUP I TYPE OF CONST. PARCEL PD NO ISSUE This permit is hereby issued ander sions of the Butte County Code and/or work indicated above for which CTOR OF PUBLIC By ' PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS ' Date — I Receipt No. `�' 6Z WNITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT . r oune em" OROVILLE, CALIFORNIA GENERAL CLAIM CLAIMANT:_ Barns Unlimited, c/o Robert Cooley 5235 Olive St, ADDRESS- CITY DDRESS:CITY & STATE: Paradise, CA. - 95969 IMPORTANT: July • 15, 1980 SEE INSTRUCTIONS DATE OF CLAIM: — ON REVERSE SIDE SUBMIT CLAIM TO DEPARTMENT RECEIVING GOODS OR SERVICES DATE DESCRIPTION OF CLAIM (DESCRIBE FULLY TO AVOID DELAY) I AMOUNT (Owner: Myles Pustejovsky - Bldg. Permit #2569-80B - Receipt #39215- AP 40-17-96 - Due to clerical error, overcharge on this permi.t.. Was I � - - I charged or pri.va a st ebui ding &-Recreateion oom�- ui� i.ng is strictly a private storage building.) Building permit fee charged --------$150,00 �. Should have. been ------------------- 84.00 Overcharge Refund due ______________$ 66.00 66.00 I I I TOTAL I $66-.00 . ' I, the undersigned, declare under penalty of perjury that the services or articles claimed have been performed or delivered, and that this claim is true and correct as stated. - Dated this ..................... day of ............................. 19 ............. ....... et................................. Calif..................................................................................... Signature of Clnimant I, the undersigned, hereby certify that, to the best of my knowledge, -the services or articles specified above have been performed or de- livered and that there is a Budget Appropriation❑ or Specific Board Approvals (Checkone) for the some. Datedthis .................................... day of ............................. 19......, at .............................. . Callf.......................................................... ..................... :...... Department Head or Authorized Deputy Dept. - --- Exp Code............................................ Code ................................................PAYABLE FROM................................................................................. FUND DO NOT WRITE BELOW THIS .LINE - AUDITOR'S USE ONLY VENDOR CODE i DEPT.SU6. & SUB. PROS• OBJ. CLAIM NO. INVOICE NO. INVOICE DATE DISC. GROSS AMOUNT I ENCUMB. SUB -DIST. f i C�79- �a --_.,,,_;p PERMIT NO.. 2569-80Bz PERMIT EXPIRES OWNER Myles Pustejovsky CONTR. Barns Unlimited, Paradise LOCATION (A.P. 40-17-96 - e/s Cummings Rd., 500' No. of Durham-0ro.'.HW., Durham { yi J ' Temp. Power Pole Called PG&E E Temp. Elec. Serv.. Called : G&E _ Temp. as Serv. _ C led PG&E _ 0:04 FINALED Reinf. Steel COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD Fixtures BUILDING BUILDING (Cont'd) PLUMBING " Setback Firewall Soil Piping Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor Stemwall Siding To out Slab Roof Sheathing Water Piping Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Stemwa l l Garage Vents Insulation Water Htr. Heaters Slab Carport Po Footings Prov. for phsically handica ed Conformance of ex. structure Appliances Gas Piping &Test Temp. Gas Slab Final Sanitation Patio FIREPLACE Final Footings Footing ELECTRICAL Reinf. Steel 4 Final Fixtures Bond Beam FIRE SPRINKLERS Motors Framing Test Water Htr. Stucco Final Subpanels Mesh MECHANICAL Gird. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final MOBILEHOME UTILITIES ------------------ Elec. Service Elec. Pedestal • Water Piping Sewer Gas Piping NlQ13l6Et16ME(INSTALLATION --------------- Support Elec. Continuity Water Piping Drainage Gas Piping DATE REMARKS OR CORRECTIONS (NOTE: An entry must be made on this form each time you visit the job site.) 51DENi;A3 jSq:?s4l* and Dvpl�xj D^_te UNDE.WF'LOuii flans OK e:tept F' + Date FHAMWNG (Continued)^- Zc ing requiremstnl->-Setbacks-•Ease-+�}- . firewall & Op nings ^ fig., 1.±pint S ' s-Steal-cFzc-Hrrti•- F:9. Depth 4 t. D rs-Oss 3' -Chace Gera 3;d tcry 2_9 -zits get Soils -Steel- 1'. Fig. Depth 5 4. rchs & Dz ks; Sods -Steel- []" Fig. Capt lywocd on Roof Overhang -Attic Access-RafterOutriggars oternwalts, 61 , 54ee}�Bleskarts-YhapAtdSing-NaiWnn-Vaoe•-r—• Is Garage; Steel-Blockouts-Virapped-Slab (!Ds --Fireplace Fig. -Steal _ -B_-QdVrV--;FalI-Fittin9s-Test-2 way C/0 -Sevier Test age!- S i z a• -A nc hors -49fiP'A-Test-Anchors-Regulator-Service Test � fgfe URd ts; Clearance -Material -Support -Ins. -Anchor Bolts-Joists-Vents-Crippfas Card -BI Date CaI -1.9 DataCard-B!� Card -B) Dazs Cardrd-B-BI Data Dais PLUMBING (Permit) OK except #'s 14. Plater Ht.; Vent Access -Combustion Air 15. Vlazef Pipe; Test & Anchors -Nail Protection 16. D.W.V.: Test -Ft 9s & Anchors -Nail Protection 17. Shower Pan; Test First Floor -Tub Access 18. 19. Test Tub & Showt, 2nd Floor -Tub Access Gas Pipe; Size 8 Nnchors Card -BI Date Card -BI Data Card -B) Date Card -BI Data Date ELECTRICAL 'P it) OK except #'s 20. Fixture & Tra formes Clearance -Ins. Protection 21. Elec. Receptacles Spacing -Lights & Switches at Doers 22. Size Boxes & NV. of Ccnductors-Stapled _23. _ Romex Installed Close to Edgs of Studs & C.J. _^ 24. Equip. Ground in de up w/Meth. Fasteners -Bond Gas & Water 2 Appliance Circ is In Kitchen & Conductor Size _ _25. 26. Subf_ed Wire Size / ga. Cu or AI-A.C. Wire Size / / ga, Cu or A _ 27. Range Circ. / /a. Cu or AI -Oven Circ. / / ga. Cu or AI, Insulated Neutral Yes ❑No 28. Service -Riser Can uctors & Ground -Main Disconnect 219. Equip. Clearances; anels-Motors-Meeh. Equip. _ 30. _ Clothes Closet U01 -Shower Liqht Card B-1 Owe jCard-BI Date Card B-1 Data Date Card -BI Date Date MECHANICAL ( mit) OK except #'s 31. A.C. Ducts; Apsulation & Support 32. Ven! Fan; Exhaust above Insulation 33, Condensate D in & Overflow; Size & Grade 34. Furnace -Vent ccess-Comb. Air -Return Air Vznt-115V outlat _ 35. Attic Access & Platform if Furnish in Attic Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date FRAC . G(Plans) OK except #'s Sell ,'Proper Material &_Anchors 3 41,13: Studs -Nailing, Spacing & Bracing-Plates-�c•und _ earing Vralls over Girders & Floor_ Nailing _ aft Stop in Walls (rat proof) Furred Ceilin�tt s-Stairs-Chases-Tcb -_ 4{� & B_edm-Size & Bearing -- 4 ar•^mss-Post Caps -Anchors -Connectors - 4 _ t :j. Jo st-Rftr, Ties -Purling -Roof Brac.-Truss-Shtnng_ Rfng. 4 ias or Type A Flue -Fireplace Throa! -- — - - Romex Protection -Draft Stop -In;. Baffals 46_2.11 " Bows or Exiting Doors -Sill Hnt. & Dir.:ensicns W, --Gua rotection Framing R C—D 0 1-- �— tg-Af- e.. Glasse rotection-•"Ry;i�hts-Plastic Walls; N<Yi+FI-3dlt Date Card -BI Date Ca(d-3l Data Card -BI _ Data Date FINAL ans) OK except #'s xt. Steps -Door & Side* S:L._Satete-Bet_for _ learanca tomb. Air-Cenrector- In Garage; Above Floor -Ducts -Meeh. Protection _e8. & Tub Access bpansl; Breaker Sizzs-Labels T^ 60r-ftairs & Rails --- — Wood Panel; Int & Ext. - liance; Grr.d.-Air G=_2-•Co:.kicg Clearance Receptacles z:! Kit. Courter _ Swing -Landing -C loser _ age -Damper -Glesrance-Comb. Air- Ccnn3ctrr-P.R.V.- In Garage; Above Floor-hiech. Protection _ Rfech. Equip. Listed for Location s in Garage; (G.F.I.)-RoTsc Piotsc. in Attic ❑ Yes _ Beck Construction -Post Caa�; 7 � dn. V e Door-prair rood-rar earanca _Loo under Floor 7 ollowing insild.: DriveYes ; 1'lalks EJ Yes Planters ❑Yes o; _Creating Drug. Problems E] Yes i -.W-9- h _ sct-Clrnces--Brkr, & Cond. Size --115V Outlet Ve ts Abme Reel; Plbg.-Appliance--Firepl.-Clearance to Cpngs. '7° Watt „ .nett, Electrical, Plumbing - ie .im; G.F.I. Receptacle-Unde ground _ _ton throughout Hou. -.9 - n ecti rrons from Previous Inspections _ BtI.-6ss Tagged; Gas -electric 613ner Connectedd-C/O to Grade -HD Approval �!— ie sy= cm,iiance Certificata--Other Certificates CbrS -� Date //�Lj cEi,d-BI Data Card -BI Date Card -BI Dal. Card -51 Date Card -BI Data Co.nr.nls at Final: i Card-131� Dam Card -BI Data Card -BI Data FINAL ans) OK except #'s xt. Steps -Door & Side* S:L._Satete-Bet_for _ learanca tomb. Air-Cenrector- In Garage; Above Floor -Ducts -Meeh. Protection _e8. & Tub Access bpansl; Breaker Sizzs-Labels T^ 60r-ftairs & Rails --- — Wood Panel; Int & Ext. - liance; Grr.d.-Air G=_2-•Co:.kicg Clearance Receptacles z:! Kit. Courter _ Swing -Landing -C loser _ age -Damper -Glesrance-Comb. Air- Ccnn3ctrr-P.R.V.- In Garage; Above Floor-hiech. Protection _ Rfech. Equip. Listed for Location s in Garage; (G.F.I.)-RoTsc Piotsc. in Attic ❑ Yes _ Beck Construction -Post Caa�; 7 � dn. V e Door-prair rood-rar earanca _Loo under Floor 7 ollowing insild.: DriveYes ; 1'lalks EJ Yes Planters ❑Yes o; _Creating Drug. Problems E] Yes i -.W-9- h _ sct-Clrnces--Brkr, & Cond. Size --115V Outlet Ve ts Abme Reel; Plbg.-Appliance--Firepl.-Clearance to Cpngs. '7° Watt „ .nett, Electrical, Plumbing - ie .im; G.F.I. Receptacle-Unde ground _ _ton throughout Hou. -.9 - n ecti rrons from Previous Inspections _ BtI.-6ss Tagged; Gas -electric 613ner Connectedd-C/O to Grade -HD Approval �!— ie sy= cm,iiance Certificata--Other Certificates CbrS -� Date //�Lj cEi,d-BI Data Card -BI Date Card -BI Dal. Card -51 Date Card -BI Data Co.nr.nls at Final: i COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 695 Oleander Avenue, Chico- — Phone 343-4211, Ext. 70 7 County Center Drive, Oroville — Phone 534-4541 Skyway and Elliott Road, Paradise — Phone 877-3435., CORRE TION NOTICE�P2 BUILDIN R PROPERTY ADDRESS A routine inspection Indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, orr need additional explanation, please contact this office immediately. Inspect �9�Da COUNTY OF BUTTE + �. DEPARTMENT OF PUBLIC WORKS 695 Oleander Avenue, Chico — Phone 343-4211, Ext. 70 7 County Center Drive, Oroville — Phone 534-4541 Skyway and Elliott Road, Paradise — Phone 877-3435 , CORRECTION NOTICE, . q_ B DING OR PROPERTY ADDRESS A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please. contact this office immediately. or Id Inspector Date COUNTY 6F,9UTTE - DEPARTMENT OF PUBLIC WORKS, PE/RM NO 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-45416�' _ APPLICATION AND PERMIT 11yy ��JJ -AS5E56:01R PARCEL NUMBER -- ZONING -� BUILDING PERMI OWNER- GIBS _7_ E.� s My TE EPHONE 2_YZs S0. FT. OCC. BUILDING VAL ATION OWNER'S MAILING ADDRESS CONTRACTOR'S NAM /i11w... WY�/�'I TELEP•hIONE07 �� y— v CONTRACTOR'S MAILING ADDRESS 6Q?WR eh ' CONSTRUCTION LENDER UNKNOWN Fireplace Total Valuation $ 8*11 LENDERS MAILING ADDRESS ------ Permit Fee 4C262f $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee Penalty $ ' ARCHITECT OR ENGINEER'S MAILING ADDRESS .------ Permit fee / �� $ BUILDING ADDRESS ' / ®� PLUMBING PERMIT FiIingFee 3.00 —d Each Trap 2.00 Repair drainage or vent piping 2.00 Water piping LOT NO.SUBDI VISION NAME PARCEL MAP Each clas water heater or vent 2.00 Gas piping system 1 - 5 outlets USE OF SIBUCTURE + SF ❑ Duplex ❑ Mobi lehome ❑ Other V67; ,y, --35PEC1 Building sewer Lawn sprinkler system 2.00 TYPE OF WORK New [Addition ❑ Remodel ❑ Uti Iities ❑ Installation ❑ Other ❑ Describe work: — Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 3.00 Main service 100 AMP ORV OR LESS5.00 Main service EA. ADD•L 100 AMP 2,50 NEW CONSOR ADDNST ( ACCL BLDGS.CCUP.&) 20 sq ft CONTRACTORS LICENSE LAW I declare un penalty of perjury (check one): Z --ram licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full f rce and effect. License No�/ Classification-. ❑ I, as the owner, or my employees with wages as their sole compen- F-1 sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW. cONSTR ULTI-OUTLET , NO N.RESID, BRANCH CIRC ITS 2.50 ea NEW CONSTR, POWER APPARATUS & NON -R ESID, (SINGLE OUTLET CIR, Ex. O( OUOR FIXTURES SU@� BAL@10Q \ Ex. Occup. (oFIXED PRE 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 6.25 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 3.00 Heating Cooling Hood 2.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyoatv 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, ju gments, costs, and expenses which may in any way accrue_ agai t said ou ty ' onse uence of the granting of this permit. %� Date % —�U Signature of Applicant — Owner Conirac r ❑ Agent z�_ An OSHA permit is required for excavations ove 5'0" p emo 'tieff-dr construct- ion of structures over 3 stories in height. �• Mobile Home Installation Fee $ �— Land Development Fee ,$ TOTAL PERMIT FEE occuP. GROUP TYPE of CONST. 'v_ N PARC E PD HD ssu This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTO F PUBLIC 17 By PER EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date Receipt NO. �d WHITE-D.P.W., YELLOW -ASSESSOR, IN SPECT , GOLDENROD -APPLICANT RESIDENTIAL PLAN CHECKING GUIDE �,/ (S.F. , DUPLEX, & MISC�� . ONLY) M T LE g 'L, S� Bldg. Pe it 11 OWNER A . P . # 11 4 (a A. GENERAL O Zoning requirements.(sideyards and parking). �•$ Valuation. I ,3. 0gxby R.C.E. or Architect (if required). B. T PLAN omplete parcel -size and dimensions. Setbacks, sideyards, easements, etc. ♦ ;w" ther buildings or structures. 40'"" Grading, fills, drainage. C ' FLO R PLAN Complete to scale ,plan with dimensions. Required windows for light.and ventilation (Sec. 1405): Required windows for second exit (Sec. 1404). LhD 'Qi0V00Vlc dIO—"-.Allowable glazing for energy requirements (20% max. per.State law). Human impact glass (Sec..5406). ' Required room sizes, ceiling heights (Sec. 1407). G.F.C.I.'s in baths and exterior outlets (Sec. 210- 8). QLight fixtures, switches, receptacles, and exterior receptacles for maintenance of mechanical equipment. izvat $W +4 9 Locations of water heater, heating & cooling equipment, other electrical or gas equipment, and plumbing fixtures. 1qt,***'Garage firewall, door size, and closer (Sec..503(d)(4)). 1 - 3'0" exterior exit door (Sec. .3303d). 1Fireplace location. l . Smoke detectors (Sec. 1413). D.' STRUCTURAL DETAILS Foundation plan complete enough to construct building. Floor construction details complete enough to construct building. Elevations.and wall construction details complete enough to construct building. ZPRoof construction details complete enough to construct building. .-000Fireplace construction details and calcs if over one-story in height. Sufficient data and details to satisfy energy insulation requirements (State law). M E. MIS MLANEOUS ITEMS TO LOOK OUT FOR CCX plywood on exposed locations and overhangs. Stairway details (Sec. 3305). Guardrail details (Sec. 1716). Brick or stone veneer (Chapter 30). Exterior plaster weep screeds (Sec. 4706 & 4708). ' . Proper roof pitch for roof covering (Chapter 32). ai Rafter ties or bearing ridge beam. Garage door or porch header sizes. Adequate bracing. "Living area over garage - complete 1 -hour separation required including supporting walls and posts, etc. Two (2) exits on three-story dwellings (Sec. 3302). RR ,�i5 �JCc,: lam-+. �. /J CL' s� S�"� �5' Gam% L• ��`' .. ��. - - E-RNS UNLIMITED -= • '' OF PARADISE 5235 Olive St. Paradise , KIRK ROBARDS I Sales Representative ' o: 916) 345-711 � * w SITE PLAN ............. :...... .....:...... :...... ...:...... ........:.............;_....:._....:.....: ... i .. .. .. .. .............; l... .. .. .. .. ... .. ............. .. .. ............:............ ...: .. . . •...... . . . . . . . . . . ... . ...............................:...:....... ................. ..................i • .. . s' .. .. r •- - - :... - .. .. • ............................ ............. .�. ... _..... .......... :.... ... .. .. .. .. ... _. i _•------------------ — : : .. .. .. - - - .. . . . . . .. .. . . _. .. • - . . .............. - F '�8' 7° .c.. - .. .. .. .. .. ............. .. = = :. : ._ .. - •...... _ . _ .......... � -� tla"? . . . . . . . . . . . .. ............. ..................... . .......................... .. ...... ..................... .- • .. .. :.. .- . :.. 20 g- ............. ............ .. .._........ ............. ..............................•.................................. .. .. _. ..:.. ..:.. .....................:.. _... ...... .. .. ._ .............. .. .. ... ._ .. .....................- ...... .. .. ... ..:....Enldronlxtotal. HRiaI •dh _....;... ..... ......:. . . . . ;. . . . ............. . . . . ... _ .. .. ate: ..... .....:......�.....�.. . .. .;.. .. ... .. ............. .:.._., . - :---._.... ..:.....:......:... _.................. A - CICO,. Assessor's Parcel Number: ® Wc] 0 — Owner Name �✓ !. r 1E' 1rY�dRf�; Address / Phone No. Site Location,2- 444 Contact: Name . Phone od.b& 23. Z03 FOR OFFICE USE ONLY Zoning: General Plan Desig: Size, Acres 4.00" PROVIDE FOR ALL ADJACENT PARCELS .SIZE (AC): ZONING: GEN PLAN: USES: >. a W , I I , 1 t I 1 I # 1 t , i 4 � � c l t J 1 _i EXl , >C15 i�l HO 1 . STIN SHOP G , I I # 1 1 t f i pp i i I I 1 ! t , I r I I 1 I 3 — r r1 I r I r 1 k , i I i I I , x 1 f t i , i f ff , _I i a i; I t , V I I I , s I BRACED WILL SCHEDULE'' 2, 3"4 f MiNi UM OF 12 WlDE AND 10 THIGK fiNGLUDNG 51- THiC E PA FRAME FOR FUTURE 10� DOOR OTH RW15E NOTED ON PLANS. E 1/2" GYPSUM WALLBOARD ON STUDS SPACED a 16 OZ. MAXIMUM. DRYWALL SCREWS a TO O.G. TO ALL STUDS, TOP AND BOTTOM PLATES, AND 2x Q BLOCKING. ALL VERTICAL EDGES SHALL BREAK ON A STUD. BLOCKING 15 REQUIRED FOR ALL HORIZONTAL EDGES. rL I OPTION Is "THERMO-PLY" STRUCTURAL GRADE SHEATHiNG ON STUDS SPACED 16" O.C. I, MAXIMUM WITH I6 GAUGE GALVANIZED STAPLES, I" CROWN x 1-1/4" LEG. CROWN SHALL BE IN LiNE WITH FRAMING MEMBER AT 3" D.C. EDGE, 6" FIELD. BLOCKING REQUIRED a ALL EDGES. 5 ,Q TION 2s UM WITH 8d _ 3/8" CDX PLYWOOD ON STUDS SPA E D a 16" O.C. MAXIMUMI 'I I I I 0 61! O.C. EDGE, 12O O.G. FIELD. ALL VERTICAL EDGES SHALL BREAK ON A STUD. BLOCKING 15 REQUIRED FOR ALL HORIZONTAL EDGES. OPTION 3: : I _ R L4 3 COAT) STUCCO ON STUDS SPACED � 16n O.iC. MAXIMUM. NAL O R STAP� E 1/80tO i �. TO ALL STUDS, TOP AND BOTTOM PLATES WITH NO. 11 GAGE, 11/211 LONG, 1/I6" SCALE: 1/411=11-011 , - I I ' L i HEAD OR NO. fro GAGE STAPLE, 7/8" LEGS 0 6" O.C. MAX. TO ALL STUDS, AND TOP AND BOTTOM PLATES. UNBLOCKED. ALTERNATE BRACED PANEL= 3/8" CDX PLYWOOD ON STUDS SPACED 0 1611 O.C. MAXIMUM WITH 8d 0 6" O.C. EDGE, 1211 O.C. FiELD. ALL VERTICAL EDGES SHALL ON A STUD. BLOCKING 15 REQUIRED FOR ALL HORIZONTAL: EDGES. QBREAK INSTALL ANCHOR BOLTS PER NOTE 2-12 ON SHEET 6-1 o PANEL QUARTER POINTS (2 BOLTS PER PANEL). INSTALLHOLDOWNS A5 SHOWN ON PLANS. FOR RETROFIT SITUATIONS, SEE NOTE 4. v -J Z a. DQ ng. xr. .ra. co Uj t+ �• i s� . Q V p Q 3/0 10 NEW SHOP � N I k APPROVED Butte County Environ n I Health I i I i -r t , t f , 1 i I I I III I NOT 5 atet reS1. FOR AND AzNAi SILL PLATE WOOD FLOOR (WHERE OCCURS) WITH i na -. .._ �I - 4 6PER fro". ANCHOR BILL L T TO FOUNDATION WITH ANCHOR BOLTvP R r i O T 5 E NOT 2 2 N SHEET I , , ,v I m M _ I i LiI s �ZEA. 2. AT INTERIOR RIORWALLsR ELEVATI4N FORAAAND � ANCHOR BOL75 MAYBE REPLAGED WITH ANCHOR BOLT5 PER 6_3 ON SHEET 5_tUS SPACING, LOCATION �.. �$ r 6x2HEaOER D.F. 2 SCA Ez 1 4n1O" AND NUMBER ERNOTE 2 12 ON5HEETS 1.lNTE INTERIOR 00TIN SSHA L BE M.� .,r. , " u B "KitKN S5E S5 Designs JP Checked: Dates 9-22-05 Job No. 2 Sheets Q 1 I y rl L� I ,I , I; I ,I II, I te 7___ .m -- .L I I I � I I I I I I I I � I I� � i f MiNi UM OF 12 WlDE AND 10 THIGK fiNGLUDNG 51- THiC E PA FRAME FOR FUTURE 10� DOOR OTH RW15E NOTED ON PLANS. E fI f I BO B3. FOR INSTALL ANCHOR BOLTS ONE-FIFTH POINTS BOLTS Q I. ` rL I ; 1 4 4 I, 1-3 ON SHEET1 _ a114 FORANCHOR BOLTS R QDIN RETROFIT SITUATIONS, SEE 5—t. 2O I i 5. OPTION 1 2 OR 3 MAY BE USED (CONTRACTOR'S OPTION "TOB COORDINATED. 'I I I I I ) . WITH OWNER AND OR ARCHITECT). / .I i rI �. : I _ R L4 I # {. 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