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HomeMy WebLinkAbout040-290-068Of AP 90=t*':"M I,%AC GARROUTTE e/s Stanfopl Rd., (1128 Stanf d Lane) ENVIRONMENTAL - CR 7 Durbam HEALTH CLEARARANCE Permit# r78"5-75B(addition & reroof)& _Feplacepartial fouiation on house) DATE 40-29-68 'Laverne Garroute f;"41 9016 Stanford Lane, Durham co'n�i-'14eil-A'.' M'or'gan','Dur`ham Per6it #2266-81B(oar'Lal reroof/SF) 040-29-0-068 99-0498 BP EDWARDS, Bailey .& Lorie R^Ax 9016 Stanford Lane, Durhajm4PRI (upgrade main ser/conv port of living room to kitchen)S 040-290-068 03-2686 EDWARDS, BAILEY -,„-9016 STANFORD LN, DURHAM MODEL & ADDITION, p-23 B07-1213 040-290-068 SECOND DWELEMMobile Home -ADM. TEMP MH, TIE DOWNS(560) STANFORD LN EDWARDS BAILEY & LORIE a • .r- BUTTE COUNTY DEPARTMENT OF EWELOPMENT 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 EDWARDS BAILEY & LORIE 9016 STANFORD LN DURHAM, CA 95938 (530)892-0633 FEE INFORMATION PROJECT INFORMATION $75.70 Site Address: 9018 STANFORD LN DBMSC Mobile Home Permit Fee. Owner: Permit No: B07-1213 APN: 040-290-068 $3.64 EDWARDS BAILEY & LORIE Permit type: SECOND DWELLING 9016 STANFORD LN Issued Date: 6/27/2007 By AAM Subtype: SFD-Mobile Home -ADM DURHAM, CA 95938 Expiration Date: 6/26/2008 Description: TEMP MH, TIE DOWNS(560) (530) 892-0633 Occupancy: R-3 Zoning: A-10 EDWARDS BAILEY & LORIE 9016 STANFORD LN DURHAM, CA 95938 (530)892-0633 LICENSED CONTRACTOR'S DECLARATION Contractor (Name) State Contractors License No. / Class / Expires / / I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am licensed under provisions of Chapter (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. X 6/27/2007 Contractors Signature Date -WORKERS"..COMPENSATION DECLARATION I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: ❑I HAVE AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR WORKERS' COMPENSATION, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. I HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My Workers' Compensation insurance carrier and policy number are; Carrier: Policy Number: Exp. Date: (This section need not be completed if the permitis for one hundred dollars ($100 Building Garage Remdl/Addn 560 Other Porch/Patio Total Balance Due: $0.00 Receipt No: B3687 OWNER / BUILDER DECLARATION I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's License Law [Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code] or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars [$500]; �Please check one of the following: ty t I, AS OWNER OF THE PROPERTY, OR MY EMPLOYEES WITH WAGES AS THEIR SOLE J� COMPENSATION, WILL DO THE WORK, AND THE STRUCTURE IS NOT INTENDED OR OFFERED FOR SALE (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of the property, who builds or improves thereon, and who does the work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the owner -builder will have the burden of proof that he or she did not build or improve for the purpose of sale.). ❑I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Code: The Contractor's License Law dows not apply to an owner of the property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractor's License Law.). I AM EXEMPT under Section B. & P.C. for this reason: I CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED, I shall not employ any person in any manner so as to become subject to the Workers' Compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those prkisions. wners Signature 6/27/2007 ,Signature Date WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND ATTORNEY'S FEES. CONSTRUCTION LENDING AGENCY I HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for the performance of the work for which this permit is issued. (3097 civ. code) Lenders Address City State Zip 6/27/2007 Date I hereby certify that I have read this application and state that the above information is correct. I agree to comply with all City and County ordinances, rules, regulations, and State laws relating to building construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless Butte County, its officers, agents and employees from any and all claims and liability for personal injury, including death, and property damage caused by, arising out of, or in any way connected with the issuance of this permit. I hereby acknowledge that issuance of this permit does not authorize the use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte County to enter the above mentioned property for inspection purposes. I hereby certify that I am the q7y owner or �(thonzed to act n the property owner's behalf. ert Ivo o m . t .I\n S 6/27/2007 ❑ Owner ❑ Contractor OR.Agent for Owner ElAgent for Contractor FILE COPY FEE INFORMATION DBEH Building Review Fee $75.70 DBF MH Plan Check $233.56 DBMSC Mobile Home Permit Fee. $350.34 DBOMSCF FEMA Flood Zone Review $115.98 DBSMIP Residential $3.64 LICENSED CONTRACTOR'S DECLARATION Contractor (Name) State Contractors License No. / Class / Expires / / I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am licensed under provisions of Chapter (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. X 6/27/2007 Contractors Signature Date -WORKERS"..COMPENSATION DECLARATION I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: ❑I HAVE AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR WORKERS' COMPENSATION, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. I HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My Workers' Compensation insurance carrier and policy number are; Carrier: Policy Number: Exp. Date: (This section need not be completed if the permitis for one hundred dollars ($100 Building Garage Remdl/Addn 560 Other Porch/Patio Total Balance Due: $0.00 Receipt No: B3687 OWNER / BUILDER DECLARATION I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's License Law [Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code] or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars [$500]; �Please check one of the following: ty t I, AS OWNER OF THE PROPERTY, OR MY EMPLOYEES WITH WAGES AS THEIR SOLE J� COMPENSATION, WILL DO THE WORK, AND THE STRUCTURE IS NOT INTENDED OR OFFERED FOR SALE (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of the property, who builds or improves thereon, and who does the work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the owner -builder will have the burden of proof that he or she did not build or improve for the purpose of sale.). ❑I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Code: The Contractor's License Law dows not apply to an owner of the property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractor's License Law.). I AM EXEMPT under Section B. & P.C. for this reason: I CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED, I shall not employ any person in any manner so as to become subject to the Workers' Compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those prkisions. wners Signature 6/27/2007 ,Signature Date WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND ATTORNEY'S FEES. CONSTRUCTION LENDING AGENCY I HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for the performance of the work for which this permit is issued. (3097 civ. code) Lenders Address City State Zip 6/27/2007 Date I hereby certify that I have read this application and state that the above information is correct. I agree to comply with all City and County ordinances, rules, regulations, and State laws relating to building construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless Butte County, its officers, agents and employees from any and all claims and liability for personal injury, including death, and property damage caused by, arising out of, or in any way connected with the issuance of this permit. I hereby acknowledge that issuance of this permit does not authorize the use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte County to enter the above mentioned property for inspection purposes. I hereby certify that I am the q7y owner or �(thonzed to act n the property owner's behalf. ert Ivo o m . t .I\n S 6/27/2007 ❑ Owner ❑ Contractor OR.Agent for Owner ElAgent for Contractor FILE COPY BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION OFFICE #: (530) 538-7541 FAX #: (530) 538-2140 A FEE WILL BE REQUIRED AT TIME OFAPPLICATION Website: www.buttecounty.net/dds **PLEASE PRINT CLEARLY** OWNER INFORMATION Last Name C t 4 � &s Qyl,o First Na CL Mailing Address 1� City State Zipn,5q� "l Phone 9 2 Fax E-mail ARCHITECT/ENGINEER CONTRACTOR Name City State Address Phone City Fax State Zip Phone Type Const. Fax E-mail Class ARCHITECT/ENGINEER Name Address City State Zip Phone E-mail State Lice Number APPLICANT INFORMATION Name Address City ^ State•,, lig Phone' ,. 2-C7 Fax E-mail a-� c�SC doc ca APPLICANTSIGNATURE X � 5 PERMIT NO. 607 12 - LO -) PROJECT LOCATION API 040_ 2CO O(D P dress i Policy Nu Carrier BIN # WORKER'S COMPENSATION 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- Livin� Garage Open Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): For office use only: Zoning I A —10 1 Flood Zone A SRA I Yes No Occ. Type Const. Duham Scw Butte County Department of Developpient Services TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR 7 County Center Drive Oroville, CA 95965 (530) 538-7601 Telephone (530) 538-2140 Fax www.buttecounty.net/dds PERMIT APPLICATION DATA SHEET Reference Number: B07-1213 Date: 06/05/2007 Location: STANFORD LN By: KCG Parcel Number: 040-290-068 Sub Type: SFD-Mobile Home -A] Owner Name: EDWA.RDS BAILEY & LORIE Phone: (530) 892-0633 Description: TEMP MH, TIE DOWNS(560) The above permit application has the following Clearances required prior to permit issuance. Please contact each department indicated below regarding specific requirements pertaining to your permit application. Yes No DRAINAGE DISTRICTS Thermalito Irrigation District, 410 Grand Avenue, Oroville CA 95965 - (530) 533-0740 ❑ ❑ LOAPUD, 1960 Elgin Street, Oroville CA 95966 - (530) 533-2000 ❑ ❑ City of Chico, 545 Vallombrosa, Chico CA 95926 - (530) 895-4711 PARKS & RECREATION DISTRICTS Chico Area Recreation District, 545 Vallombrosa, Chico CA 95926 - (530) 895-4711 Durham Park & Recreation District, 9447 Midway, Durham CA 95938 - (530) 345-1921 Feather River Recreaction & Park District, 1200 Myers Street, Oroville CA 95966 - (530) 533-2011 Paradise Parks & Recreation, 6626 Skyway, Paradise CA 95969 - (530) 872-6393 NIKE71 SCHOOL DISTRICTS Biggs Unified School District, 300 B Street, Biggs CA 95917 - (530) 868-1281 Chico Unified School District, 1163 East 7th Street, Chico CA 95926 - (530) 891-3006 Durham Unified School District, 4920 Putney Drive, Durham CA 95938 - (530) 895-4675 Gridley School District, 429 Magnolia, Gridley CA 95948 - (530) 846-4723 Marysville School District, 1919 B Street, Marysville CA 95901 - (530) 741-6000 Oroville Elementary School District, 2795 Yard Street, Oroville CA 95966 - (530) 532-3000 Oroville Union High, 2211 Washington Ave, Oroville CA 95966 - (530) 538-2300 Ext: 105 Paradise Unified School District, 6696 Clark Road, Paradise CA 95969 - (530) 872-6400 OTHER Recorded copy of Agricultural Acknowledgment Statement- See Attached Instructions City of Biggs Planning Department, 3016 Sixth Street Biggs CA 95917 - (530) 868-5447 Other: Other: Other: Signature of Property Owner:QJ4' L n 0.11 -s Date: 06/05/2007 FILE BUTTE COUNTY FEE SUMMARY 7 County Center Drive Oroville, CA 95965 Permit Number: B07-1213 Job Address: STANFORD LN Contractor: Printed: 06/05/2007 9:34 am Fee Description Account Number Fee Amount Paid Date Pmt Amt DBEH Building Review Fee 0021-540013-4614901-1010 $75.70 06/05/2007 $75.70 DBOMSCF FEMA Flood Zone Review 0010-440001-4210500-1010 $115.98 06/05/2007 $115.98 DBMSC Mobile Home Permit Fee. 0010-440001-4210500-1010 $350.34 DBF MH Plan Check 0010-4400014210500-1010 $233.56 06/05/2007 $233.56 DBSMIP Residential 1001-0-280-1011298 $3.64 Printed By: Kourtni Graham 779.22 $425.24 Balance Due: $353.98 At the time of permit application, I was advised the above fees are required prior to issuance of the permit. Thee fees may change during the plan checking process. Si nature�tySLt� a�� 9- Date: 06/05/2007 g S Pursuant to Government code Section 66020, you are hereby notified those items listed above may have been imposed on your project. You have 90 days from the date of approval of the project or from the impostion of the above referenced items during which you may request a protest. The requirments for a protest are specified in Government Code Section 66020(a). Butte County Department of Development Services TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR 7 County Center Drive Oroville, CA 95965 (530) 538-7601 Telephone (530) 538-2140 Fax www.buttecounty.net/dds NOTICE TO BUILDERS Before your building permit can be issued, your plans must be checked for compliance with the California Building Codes. In addition, your plans are routed to other regulatory entities including but not limited to Planning, Public Works, Environmental Health, and the California Department of Forestry for their clearances and approvals. There are some things you can do to expedite your permit: O Make sure your application is complete. 0 Be responsive to requests from County departments for any additional materials or requirements. The Building Division places its highest priority on processing building permits as quickly as possible and each day that passes without a complete application adds to processing time. Every permit issued by the Building Official shall expire and become null and void if the work authorized by such permit is not started or completed within one year from the date of issuance of such permit. A permit may be renewed (for a fee) prior to expiration an indefinite number of times, provided construction progress has been documented by the Building Division during each year during scheduled inspections. No changes may be made in the original plans and specifications for such work. In order to reinstate action on a permit after expiration, the permittee shall pay a new full permit fee and additional plan checking and documentation may be required. Upon completion of work covered by this permit, please contact this office for final inspection. As a reminder to you, it is illegal to occupy this building or any portion of the building for which this permit is issued without a final inspection. EXPIRATION OF PERMIT APPLICATION AND REFUND POLICY Application for which a permit has not been issued will expire one year after date of application. Refunds may only be made upon written request by the person who originally paid the fees. Refunds for permit applications (not yet issued) must be requested within two years from the date of fee payment. Fees paid at the time of application are for Plan Check and administration. The Plan Check portion of fees is refundable only if the permit is cancelled or withdrawn before any plan checking is done. Building Division costs will be deducted prior to authorizing a refund and a charge of $54.99 to process the refund application will be assessed. Refunds on permits (issued) may be requested prior to the expiration of the permit, provided no work has been done pursuant to the permit. An Inspection may be required (and deducted from any refund amount) to determine no work was done. Fee/refund information can be read on-line at http://municipalcodes.lexisnexis.com/codesibutteco/ Reference Number: B07-1213 Location: STANFORD LN Parcel Number: 040-290-068 Owner Name: EDWARDS BAILEY & LORIE Description: TEMP MH, TIE DOWNS(560) Date: 06/05/2007 Phone: (530) 892-0633 Signature of Property Owner: Date: 06/05/2007 FILE Butte County Department of Development Services TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR 7 County Center Drive Oroville, CA 95965 (530) 538-7601 Telephone (530) 538-2140 Fax www.buttecounty.net/dds OWNER -BUILDER INFORMATION An application for a building permit has been submitted in your name listing yourself as the builder of the property improvements specified. For your protection you should be aware that as "owner -builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: ° If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $500 or more for the entire project and such persons are not licensed as contractors or subcontractors, then you may be an employer. ° If you are an employer, you must register with the state and federal government as an employer and you are subject to several obligations including state and federal ° income tax withholding, federal social security taxes, workers/ compensation insurance, disability insurance costs, and unemployment compensation contributions. There may be financial risks to you if you do not carry out these obligations, and these risks are especially serious with respect to workers' compensation insurance. ° For more specific information about your obligations under federal law, contact the Internal Revenue Service (and, if you wish, the U.S. Small business Administration). For more specific information about your obligations under state law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through thier own employees, without a license contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractor is to secure an "owner -builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contacting the Contractors' State License Board's automated telephone information system at 1-800-321 -CLSB (2752) or by accessing thier website at www.CSLB.ca.gov. PLEASE COMPLETE AND RETURN THE ENCLOSED OWNER -BUILDER VERIFICATION FORM SO THAT WE CAN CONFIRM THAT YOU ARE AWARE OF THESE MATTERS. THE BUILDING PERMIT WILL NOT BE ISSUED UNTILL THE VERIFICATION IS RETURNED. OWNER BUILDER VERIFICATION PLEASE COMPLETE THIS FORM AS REQUIRED BY THE STATE OF CALIFORNIA (SENATE BILL NO. 831 EFFECTIVE JULY 1, 1980). NO BUILDING PERMIT WILL BE ISSUED UNTIL THIS VERIFICATION IS RECEIVED. I PERSONALLY PLAN TO PROVIDE THE MAJOR LABOR AND MATERIALS FOR CONSTRUCTION OF THE PROPOSED PROPERTY IMPROVEMENT. (D OR NO) 14jAYT&AVE NOT) SIGNED AN APPLICATION FOR A BUILDING PERMIT FOR THE PROPOSED WORK. 3. I HAVE CONTRACTED WITH THE FOLLOWING PERSON (FIRM) TO PROVIDE THE PROPOSED CONSTRUCTION: NAME ADDRESS CITY PHONE CONTRACTORS LICENSE NO 4. I PLAN TO PROVIDE PORTIONS OF THE WORK, BUT I HAVE HIRED THE FOLLOWING PERSON TO COORDINATE, SUPERVISE, AND PROVIDE THE MAJOR WORK: ADDRESS CITY PHONE CONTRACTORS LICENSE NO 5. I WILL PROVIDE SOME OF THE WORK BUT I HAVE CONTRACTED (HIRED) THE FOLLOWING PERSONS TO PROVIDE THE WORK INDICATED: NAME ADDRESS PHONE TYPE OF WORK Description: TEMP MH, TIE DOWNS(560) Reference Number: B07-1213 Applicant Name: EDWARDS BAILEY & LORIE Owner's Name: EDWARDS BAILEY & LORIE AP # Signature of Property Owner. ,,a, Date: 040-290-068 (0 -S -ort Butte County Department of Public Works J. MICHAEL CRUMP, DIRECTOR LAND DEVELOPMENT DIVISION Storm Water Managment Program 7 County Center Drive Oroville, CA 95965 (530) 538-7266 Telephone (530) 538-7171 Fax www.buttecounty.net/dds C National Pollutant Discharge Elimination System (NPDES) Phase II Construction Storm Water Permit and Storm Water Pollution Prevention Plan (SWPPP) Acknowledgment [LESS THAN 1 ACRE 1 Reference Number: B07-1213 Location: I STANFORD LN Parcel Number: 040-290-068 Owner Name: EDWARDS BAILEY & LORIE Description: TEMP MH, TIE DOWNS(560) Date: 06/05/2007 By: KCG Sub Type: SFD-Mobile Home -A) Phone: (530) 892-0633 By signing below, I the project owner/owners' agent, certify that this project WILL NOT DISTURB 1 acre or more of land and that I therefore, do not need to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board. Phased projects that contain multiple site buildouts of less than one acre but when combined with subsequent phases total more than one acre of disturbed soil will require a Construction Storm Water Permit from the state of California Regional Water Quality Board. I am aware that submitting false and/or inaccurate information or failure to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board for this project that disturbes one acre or more of land may result in revocation of grading and/or other permits or other santions provided by law. � �M� �-- Ma M. I � � � Title: C5W-C\ P—,, FILE Date: 06/05/2007 BUTTE COUNTY DEVELOPMENT FEE CERTIFICATION FORM ❑ FEATHER RIVER RECREATION AND PARK DISTRICT (FRRPD) ❑ CHICO AREA RECREATION AND PARK DISTRICT (CARD) . ❑ PARADISE RECREATION AND PARK DISTRICT (PRPD) DURHAM RECREATION AND PARK DISTRICT (DRPD) Assessor Parcel Nwnber (s) _ C-jC— OCp% Building Permit Number MMMMINWOOTIMMFE, mm Project Location /Address kantnrA Lant 1 DuPbam; CIS Subdivision Name Assessable Sq. Ftge -bGo Type of Residential Development (check one) New Development Alteration/Addition(s) Mobile home Demo Permit (date issued Comments: Single Family -Detached Non -Residential to Residential Mobile home replacement Date Single Family -Attached Multi -Family Dwelling verified by Assessor Department verified by Building Department ❑ FRRPD ❑ CARD 0 PRPD Q' DRPD certifies that: L cri2 9,4viar`As 8gZ-o�3� Applicant Name Phone Number Mailing Address City State Zip Has complied with requirements of the Butte County Board of Supervisors Resolution No. OL) - ( � by Payment of: Dwelling Units @ $ per unit for a total of $ 5(00 Square Feet @ $ per sq foot for a total of $ Paid by Check No:. ,12' Paid by Casio: Receipt No: D1 Recreation and Park District Representative Date !4 BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One form per Building) School District] In� v ����� `y� I )1`���t Building Department No. ..� .. -z r• - . Tax Rdte Area No. A.P. Number �Un. �r1_ v Jurisdiction: City Mcounty Property Owner CA it tnrk _ Pn m I ' Y., 'nnlP_ Property Location/Address — ` �� o CA me bimbo Subdivision Residential Development No of Living Units Commercial/Industrial' 0 New 12� Mobile Home Installation 0 Addition Lot No. Sq. Footage( Addition/ 'Supplemental to (Group R) Conversion Permit # Cr. Demo - ( ) '(No foundation inspection) existing sq. ft. see attached :................................................................................................... Net total sq. ft. X cc Deed Restricted. Sq. Footage (Attach a signed copy of Deed Restriction and Notice of Limited Use Facility document) " District Identific y (Street Address) Sq. Footage (Including Exterior Roofed Areas) tL' • '+ Date School District certifies that 6A I DiveL4_) 8� Q.,CLrr( S (Payor) (City) (State) has complied with the requirements of Resolution No. (Zip Code) by payment of $ representing ; square -6-40 0 B 2926 $ FULL MITIGATION $ School District Representative (Phone Number) "C7 -/S-a-7 Date # n,, L /! Paid by Check # /i> Remarks: %� -� s GtJ,� ( t.(. b & 11 T /u r J 7 VI r � Notice: You may protest the imposition of the fees identified above by submitting a written protest to the District, in compliance with Government Code Section 66020(a), within 90 days from the date fees are paid. Failure to submit a timely written protest will prohibit you from challenging the imposition of the fees in any court action. If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act (CEQA), this project may be subject to additional school fees to fully mitigate its impact on the school districPs schools. White (school district), Yellow (building department), Pink (applicant) feeform.xls (12i06)dmm r Butte C®unty Building Division MANUFACTURED HOME SUPPORT INFORMATION Owner's name- `Da_,,:, a_,,:, A.P.# 04(_'1 -2 C5 Home Manufacturer- 'V-iezk;1_CXf Manufacture Year: \tel Model Number / Name: Width- U -k (ft.) Length- 1{o FOOTINGS: Wood - pressure treated or foundation gradef Bother - SUPPORTS: Concrete block [✓Other: Provide manufacturer's installation manual, support blocking requirements and state approved or engineered foundation or tie down system specifications. rier rooting oizes ana Locations SINGLE WIDE MULTI -WIDE Line1 --------------------------------------------------------------- Line 1 Line 2 Section 1 Line 2 Line1—��-------------------------------------------------------------- Line 3 -------------------------------------------------------------- Section 2 Line 2 -------------------------------------------------------------- A"" Line 4 (triple wide only) Section 3 Line 2 Line 1 Piers.- Minimum iers:Minimum size piers: [ ] X j Spacing maximum: " From ends maximum: " Line 2 Piers: CY Minimum size piers: [ X ] Spacing maximum: " From ends maximum: " Line 3 Roof Loads: Minimum size piers - Location (from front) - Minimum size piers: �1 Location (continued)- Lipe 4 RQAof Loads. Mrnimu si a piers: L�catio (fro front)- Mi im m size ier . Lo 'on (continued): Snow Load: 2 PSF Snow Load requirements may be obtained at hftp://www.upstate-ca.com/bufte/bufte — county/ Insert AP #, view snow load in lower right corner. Line 1 Openings: Minimum size pier: [ ] X1 ] Required at each side of openings over (77--1 wide. 8.v . 3 tt VV..... a MOB ILEHOME SUPPOEU DATA If other than single wide ore- Mfr. Rrrn1'igth Setup Model No, TL Year -11- '',Off (ft.) Box Length (ft.) Tagalong or Expando Size ft, x ft. (SHOW SUPPORT DETAILS BELOWn 8i1 ) mobilehames manufactured after October 7, 1973; furnish manufacturer's installation anual and structural setup sheets (if not on file with the County of Butte). ;All center supports measured from front of mobilehome unless otherwise specified. Footings (check one) x a t.) (in.)F(in.) (in.) iter support Center support Locations* footing sizes I (in.) I I (f t. ) (in.) (in.) (in.) Single r—"'l'. Wood either I A pressure treated c foundation grade. 2. Other: (specify) Suggort@ (check one) Fq--I-. ; Concrete'block. - I E].Ii Other.. (specify) *--Tagalong or Expando,' show support details. (in.) (in.) 1 -2- xU AA Typical Support in.) (in.) Footing Size (ft.) (in.) (in.) (in.) Max. Pier Spacing T (f t.) (in.) Max. Overhang (ft.) (in.) (in.)l (in.) , 1--1 (ft.)(in.) center piers are other than drawn above, aw in -locations, spacing, and dimensions. E—Z TIE DOWN SYSTEM BUTTE COUNTY DESIGN LOADS: JUN 0 5 2007 *WIND LOAD -- 15 PSF SEISMIC ZONE 4 DEVELOPMENT SERVICES 1. THIS TIE DOWN SYSTEM IS DESIGNED TO BE CONSTRUCTED ON A FAIRLY LEVEL SITE WITH NO EXISTING SOIL PROBLEMS. MINIMUM SOIL PARAMETERS: TYPE 5 COHESIVE SOIL, WITH MINIMUM SOIL BEARING CAPACITY OF 1000 PSF. 2 CHASSIS BEAM IN SUPPORTS LOCATED MANUFACTURED HOMEINSTALLATION LATION INSTRUCTIONS SIZED FOR THE S ASOWNHE 3. IN AREAS WHERE DIFFERENTIAL SETTLEMENT (DS) CAN OCCUR, MANUFACTURED HOME SHALL BE READJUSTED WHEN DS EXCEEDS 1/4", OR WHEN IT WILL ADVERSELY AFFECT MOBILE HOME UNIT. 4.. THIS PLAN IS INTENDED TO BE USED FOR MANUFACTURED .HOMES UP TDESIMANUFACT RED HOMES OVER (3)DESIGNONS IN WIDTH. CONTACT THE ER SECT 0 SN WIDE. FORDESIGNS OF 5 WERLDCTURAL ACCORDINGETO AWSBRICATED SPECIFICATIONS. ELECTRODES -370 ING TO AISC SPECIFICATION. PLATED-ASTM A36. BOLTS=ASTM A307. 6. THE E -Z TIE ASSEMBLIES ARE CAPABLE OF THE FOLLOWING -LOADS: i.- ,,,,�„��1�'' HEIGHT HORIZONTAL VERTICAL UPLIFT �G 18" 2010 (Ib) 6000 (Ib) 891 (Ib. ► ; �, ' J 21 1825 (Ib) 6000 (Ib) 801 (Ib, 25" 1510 (Ib) 6000 (Ib) 664 (lb) °f 28" 1419 Ib 6000 (Ib) 629 (Ib) 36" 867 �Ib 6000 (Ib) 385 (Ib) 7, ALL METAL COMPONENTS AND ATTACHMENT ITEMS SHALL BE PROTECTIVE COATED. �G 8. WHERE STAND IS PLACED ON A CONCRETE SLAB, USE 1 12" CONCRETE � EXPANSION ANCHORS TO SECURE THE STEEL FRAME TO THE SLAB. THE PLASTIC BASE PADS ARE NOT REQUIRED. 9. ATTACHMENT METHODS FOR "C" & "J" BEAMS SHOWN ON SHT. #2. a OF PI 10. THE LONG DIRECTION OF THE E -Z TIE PAD (37") MUST BE INSTALLED PERPENDICULAR TO THE CHASSIS BEAM. EXCEPTION: AT 10' WIDE MODULES WITH 100" CHASSIS BEAM CENTERS, THE E -Z TIE ABESCO- - - PAD MAY BE PLACED PARALLEL WITH THE SACRAMENTO, RKI ROAD B 8 CHASSIS BEAM I PW- (RDo) 382-8831 SINGLE/ WIDE COACHES DOUBLE/MULTIPLEAI;COACHES {. X. VARIES 10'-70' I EVENLY SPACED BETWEEN f E - - i E i i ❑ ❑ L_J L_J RIDGE BEAM SUPPORT AS REQUIRED BY MANUFACTURER ❑(TYP ❑ ]CAL) p ❑ p ❑ ❑ E -Z TIE SUPPORT PAD (TYPICAL) r-1 ii 11 ❑ ❑ L_J L runccic PFAM SUPPORT PIERS --SIZE AND SPACING AS REQUIRED BY THE HOME MANUFACTURLK. LENGTH OF HOME 18" HT NUMBER 21 " HT OF E -Z 25" HT TIES 28" HT 36" HT 40' 4 4 4 4 6 50' 4 4 4 4 6 60' 4 4 4 6 8 66' 4 4 4 6 8 I 70' 80' — 4 4 6 6 6 L 6 1 6 6 10 10 STATE AHHKUVAL oe iyGINEERED TIEDOWN SYSTEk APPROVED SUBJECT TO CORRECTIONS NOTED authorize or �ovil does not r irs and 7'f Stateof, California -IDepartment of Housing and Community Development DI ISION OJ CODES AND STANDARDS x r '..-�.f`-- Date a: Si nature) SPA NO This Pian Approval Expires THIS TIE DOWN SYSTEM MEETS TH REQUIREMENTS OF SECTION 1336.3 SUBSECTION (a). j WAYNE T. POLVADO, lPE—LISTING N0. - 99001. SHEET 1 of 3 NOTES RESIDENTIAL + - ` • PERMIT N0. 040-290-068 -- 03-2686 EDWARDS, BAILEY,,,. 9016 STANFORD LN; DURHAM REMODEL & A'DDITION -f f SPECIAL CONDITIONS CHECKED BY _ SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE -PERMIT CONDITIONS j SUB -STANDARD HOUSING LETTER �TTo 4A"E. . i I JOB FINALED (DW s �/ r Signature J=OK 0 = Not OK . = NotReadyable MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. 'Zoning Requirements -Setbacks -Easements Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch Footings; Size -Spacing -Marriage Line 3. Sewer; Location -Test -Fall -C/O -Concrete Gas; MH Test -Demand -Valve -Connector 4. Water; Location -Test -Easement Needed (Sketch) Electricity; MH Test -Crossovers -Breakers -Clearances 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete Drain; MH Test -Fall -Flex Connector 6. Gas; Location -Test -Wrap;-/ P' L 'ft. / P Nat. or/ P' L "ft./ P 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. Tie Downs -Type -Installation Cert - 10. Exits; Insp.-Sketch 11. Cert. of Occupancy Date Card B-1 Date Card B=1 Date Card B-1 Date Card B-1 Date PERMANENT END SYSTEM (ONLY) 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Blocking 4. Gas; MH Test -Demand -Valve 5. Electricity; MH Test 6. Water; MH Test 7. Water and Sewer Connected 8. Gas and Electricity Tagged 9. Exits 10. License Decals 11. Verify #'s with Office Card B-1 Date Card B-1 Date Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Beams-Rftrs-Connectors 7.. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater Shthg-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels 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, Distance-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 Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche 12. Enclosure; Fencing -Alarms Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 ' J=OK 0 = Not OK = Not Applicable . = Not Ready RESIDENTIAL (Si Date UNDEIVLOOR (Plans) OK except #'s 2!Ft ,,-Main; Soils-Elec. Grnd.-/ /" Ftg. Depth ge'rtg., Garage; Soils-Steel-Elec. Grnd.-/ /' Ftg. Depth „ } 4. Ftq., Porches & Decks; Soils -Steel-/ /' Fto. Depth !i i V \J`y 6a. Hold Downs and Special Anchors V 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 -Anchors -Regulator -Service Test 12. Electric Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 15. Access & Ventilation 16. Insulation Date Card 13-1 Date Card B-1 Date Card -1 Date Card B-1 Date PLP 9ING (Permit) OK except #'s 17. Water Htr.• Vent -Access -Com ion Air Baffle laeWa-ter Pipe; Test & Anch<-'Nai W.V.; Test Fittings & Ancho r ro ectioi 20. Shower Pan; Test, First Floor -Tub Access 21. Test Tub & Shower, Second Floor -Tub Access 22. Gas Pipe; Sixe & Anchors 23. Fire Sprinkler; Test Date,S _tg - O 5 Card B-1 fc> > . Date Card B-1 Date Card B Date Card B-1 Date ELEC AL (Permit) OK except #'s is. Protection & Switches at Doors 2 � e B xes & No. of Conductors Stapled Tr R ex Installed Close to Edge of Studs & C.J. quip. Ground made up w/Mech Fasteners -Bond Gas & Water 29. 2 Appliance Circuits in Kitchen & Conductor Size GFI 30. Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or At 31. Range Circle/ /ga Cu or AI -Oven Circ. ; /ga Cu or Al Insulated Neutral O Yes O No 32. Servi - iser Conductors & Ground Main Disconnect i earances Panels-Motors-Mech. Equip. C es Closet Light -Shower Light -Spa Light Smoke Detector Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s A . Ducts Insulation & Support Vent Fan, Exhaust above insulation 38. Condensate Drain & Overflow, Size & Grade 39. Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet 40. Attic Access & Platform if Furnace in Attic Date Card B-1 Date Card B-1 Date Card B- Date Card B-1 Date FRAM G ermit) OK except #'s .8�,"Prqper Materials & Anchors W Studs -Nailing Spacing & Braces-Plales-Sound 4 ing Walls over Girders & Floor Nailing C*Obraft op 'n Walls (rat proof) 4 e ps, Furred Ceilings -Stairs -Chasers -Tubs 46.-lqeaders & Beams -Size & Bearing ngle & Duplex) Date FRAM G ontinued) ers-Post Caps -Anchors -Connectors 4 ling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rtng. 49. Firep!pce Ties or Type A Flue -Fireplace Throat Clearance 50. A ' Access; Size & Romex Protection -Draft Stop -Ins. Baffles drm. Windows or Exiting Doors -Sill Ht. & Dimensions 52. Garage Fire Protection Framing -RC Channel 53. Property Line Firewall & Openings , 54. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 55. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 57. Sidi - ailing Veneer 58. §Kcco Mesh -Drip Screed -Fd. Vents-Underflr. Access 5e Glazing Area -Glass Protection -Skylights -Plastic 60. Shea Walls; Nailing -Bolts 61. Se Interior/Exterior Wall Panels sulation-Walls eilings 63. Infiltration- -Wows Date -P5�C_ard B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FIN PI OK except his Steps -Door & Sidelight Protection -Landings CeSjSmoke Detector Furnace Vents -clearance -Comb, Air -Connector- - In arage; Above Floor-Ducts-Mech. Protection EZ -,'Bedroom Exiting G.F.I. & Bath Fixtures & Tub Access -Spa 69. Elec. Trim & Subpanel, Breaker Sizes & Labels 70. Stairs & Rails 71. Fireplace or Stove, Clearance -Hearth 72. Elec. Outlets at Wood Panel, Int. & Ext. 73. Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance 74. Elec. Outlets & Receptacles at Kit. Counter 75. Garage Fire Door; Swing -Landing -Closure 76. A.C. Duct in Garage -Damper 77. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection Plb.; Elec. & Mech. Equip. Listed for Location 79. Ele&,Receptacles in Garage (F.F.I.)-Romex Protection nsulation-Foam-Looked in Attic 81. Guard Rails & Deck Construction -Post Caps W_-FcTn_VBents & Crawl Hole Door Drainage & Wood -Earth _ Clearance Looked under Floor 0 Yes 83. Following Instld./Drive 0 Yes 0 No/Walks 0 Yes 0 No/Planters 0 Yes 0 No 84. Stucco Brown -Finish 85. A.C. Unit Disconnect, Electrical -Plumbing 86. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 87. Water Well, Disconnect, Electrical, Plumbing 88. Exterior Elec. Trim, G.F.I. Receptacle -Underground 89. Ventilation Throughout House a Protection Corrections from Previous Inspections 92. Gas Test;Mefers Tagged, Gas -Electric 93. W & Sewer Connected -C/O to Grade -HD Approval y Compliance Certificate -Other Certificates Address Posted 96. Fire Sprinkler Date -� 0(p Card B-1 Date Card B-1 Dat . Card 13-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: - - ; COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 County Center Drive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE E buy lAR p s 03 - 206 OWNER PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please call for re -inspection when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contac�AI16 Building Inspector as indicated below. ci WHOM • ML7Uj7/��i��� : L e wn o . /,-> ./ C U-) GXi"IEEC F6(ZrY'1I7 0 N. U _ c Date — 1 Inspector i) p_soe p1 H REV 4/05 Phone # 5 3S' L R Z- Z FOR RE -INSPECTION CALL: 538-7636 OR 891-2834 t COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES " 7 County Center Drive - Oroville, CA - (530) 538-7541 4 CORRECTION NOTICE , OWE ER PERMIT NO, T ` A routine inspection indicates that the following violatiorisof Butte County Ordinances'ekist at I` the above address and should be corrected. Please call for re -inspection when correction of work is completed. If you have any -questions pertaining to this matter, or need additional I explanation, please contact the Building Inspector as indicated below. aj 9'v C) I A r r P1 A-r7� gi-j fZ- W.'roi m 16- 0 6 U Ir -Fy 1 Al SU Lft /e Date Inspector REV 4/05 ' Phone # FOR RE -INSPECTION CALL: 538-7636 OR 891-2834 INSTALLATION CERTIFICATE e 4 of 12) CF -6R Site Address Permit Number C! St4--7 or �rLiaw Cq- 1' 7 — Il` STALLER COMPLIANCE STATEMENT FOR DUCT LEAKAGE INSTALLER COMPLIANCE STATEMENT The building was: ✓ Tested at Final ✓ 13 Tested at Rough -in INSTALLER VISUAL INSPECTION AT FINAL CONSTRUCTION STAGE: W -Remove at least one supply and one rdtnu register, and verify that the spaces between the register boot and the interior finishing wall are properly sealed. 12 If the house rough -in dud leakage test was conducted without an air handler installed, inspect the connection points between the air handler and the supply and return plenums to verify that the connection points are properly sealed 11 Inspect all joints to ensure that no cloth backed rubber adhesive duct tape is used Phew Distribution system is fully ducted (i.e, does not use building cavities as plenums or platforms returns in lieu of ducts). ✓ DUCT LEAKAGE REDUCTION Pmrodurpe fin rwld uprWpaftan and dkwnatdc msdap of air dstrlbt imn smt ms are available in RACW Amend& RCA3 NEW CONSTRUCTION: Duct Pressuri2Ztion Test Results (CFM Q 25 Pa) Measured r £, x Values Enter Tested Leakage Flow in CFM: Fan Flow: Calculated (Nominal: 0'P§ Cooling -` 13 Heating) or ✓ ❑ Measured r21 If Fan Flow is Calculated as 400 cfm/ton x number of tons or as 213 cfm/(kBtu/hr) x Heating / ya o Capacityin Thousands of Btu&& output, enter total calculated or measured fan flow in CFM h : ✓ � 3 Pass if Leakage Percentages 6% for Final or:5 4% at Rough -in: ❑ Pass O Fail 100 xL_(Line # 1 /_(Line # 2 ALTERATIONS: Dad System and/or HVAC Equipment Change -Oat Enter Tested Leakage Flow in CFM from Pre -Test of Existing Dud System Prior to Duct S s' 4 System Alteration and/or Equipment Change -Out. % Z Enter Tested Leakage Flow in CTM from Final Test ofNew Duct System or Altered Dud rz 5 stem for Duca System Alteration and/or Equipment 7 s E" Enter Reduction in Leakage for Altered Dud System 1 c� gi v l ine # 4 Minus ine # 5 — if Applicable) ( Enter Tested Leakage Flow in CFM to Outside (Only if Applicable) ✓ ✓ Entire New Dud System - Pass if Leakage Pe ccentage :5 61/1. for Final S ' p Pass ❑ Fail 100 x e# 5/ Line # 2 TEST OR VERIFICATION STANDARDS: For Altered Dad System and/or HVAC Equipment Change- ✓ ✓ Ont Use one of the following four Test or Verification Standards for compliance: 9 Pass if Leakage Percentage 515% [100 x [ - (Line # 5) / (Line # 2)]] s i �111 Pass 0 Fail 10 Pass if Leakage to Outside Percentage 510% [100 x L_(Line # 7) / (Line #2)]] 0 Pass 0 Fail Pass if Leakage Reduction Percentage >— 60% [100 x L_(Line # 6) / (Line # 4)]] p l Pass 0 Fail and Verification by Smoke Test and Visual Inspection '-2 Pass if Sealing of all Accessible Leaks and Verification by Smoke Test and Visual Inspection$' ' °'° ;- r :�:� `�.,.�. �.; Q Pass O Fail Pass if One of Innes # 9 through # 12 paw` r fr -)UPass O Fail ✓ 131, the undersigned, verify that the above diagnostic test results were pa%rmed in conformance with the requirements for compliance credit. I, the undersigned, also certify that the newly installed or retrofit Air -Distribution System Ducts, Plenums and Fans comply with Mandatory requirements speciSed in Section 150 (m) of the 2005 Building Energy Efficiency standards. Installing Suboomracbnr (Co. 7 General - Contractor (Co. Name) O er Signature: Date: Copies to: BUILDING DEPARTMEl f, HERS RATER (IIF APPLICABLE) BUILDING OWNER AT OCCUPANCY Residential Compliance Forms September 2005 Ca10ERTS - Certificate http://www.calcerts.com/cf4r_print_certificate.cfm?lots=21640&Requ... CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING (Page 1 of 8) CF -411 9016 stanford In. drew edwards / -- Project Address Contractor Name / License No. 03-2686 Contractor Contact Telephone Permit Number John Revilak 530-518-1109 21640 HERS Rater Telephone Certifying Signature Date Firm: Revilak's HERS Rater Street Address: PO Box 1609 Sample Group Number CC14-1798362222 Certificate Number Copies to: Homeowner, HERS Provider and Building Department HERS Provider:Ca10ERTS City/State/Zip: Magalia / CA/95954 This CF -4R has been registered with the CaICERTS@ registry in accordance with the Title 24 & Title 20 of the CCR. CaICERTS@ is an approved HERS provider by the California Energy Commission. HERS RATER COMPLIANCE STATEMENT The house was © Tested ❑ Approved as part of sample testing, but was not tested. As the HERS rater providing diagnostic testing and field verification, I certify that the house Identified on this form complies with the diagnostic tested compliance requirements as checked on this form. The HERS rater must check and verify that the new distribution system is fully ducted and correct tape Is used before a CF -4R may be released on every tested building. The HERS rater must not release the CF -411 until a properly completed and signed CF -611 has been received for the sample and tested buildings. The Installer has provided a copy of the CF -611 (Installation Certificate). New Distribution system is fully ducted (i.e., does not use building cavities as plenums or platform returns In lieu of ducts). New systems where cloth backed, rubber adhesive duct tape Is Installed, mastic and drawbands are used in combination with cloth backed, rubber adhesive duct tape to seal leaks at duct connections. MINIMUM REQUIREMENTS FOR DUCT LEAKAGE REDUCTION COMPLIANCE CREDIT: NEW CONSTRUCTION Dud Pressurization Test Results (CFM @ 25 Pa) _ — Measured -- -- - — — Values 1 EnteF Tested Leakage Flew In GFM-. N/A 2 Fan Flow: Calculated (Nominal 0 Cooling Q Heating) or 0 Measured — y- 1400 Enter Total Fan Flow in CFM: ALTERATIONS: Duct System and/or HVAC Equipment Change -Out 4 Enter Tested Leakage Flow In CFM from CF -6R: Pre -Test of Existing Dud System Prior to Dud 92 System Alteration and/or Equipment Change -Out. 5 Enter Tested Leakage Flow in CFM: Final Test of New Dud System or Altered Dud System for 73 y' Dud System Alteration and/or Equipment Change -Out. 6 'Enter Reduction In Leakage for Altered Dud System 19 [Line 4 - Line 5] - (Only If Applicable) 7 Enter Tested Leakage Flow In CFM to Outside (Only if Applicable) 8 Entire New Dud System - Pass if Leakage Percentage <= 6% [ 100 x ( Line 5 / Line 2 )]: ❑ Pass ❑ Fail TEST OR VERIFICATION STANDARDS: For Altered Duct System and/or HVAC Equipment Change -Out, use one of the following four Test or Verification Standards for compliance: 9 Pass If Leakage Percentage <= 15% [ 100 x ( Line 5 / Line 2 )]: 5.2% Q Pass ❑ Fall 10 Pass if Leakage to Outside Percentage <= 10% [ 100 x ( Line 7 / Line 2 )]: ❑ Pass ❑ Fall ilfPass If Leakage Reduction Percentage >= 60% [ 100 x ( Line 6 / Line 4 and Verification by Smoke Test and Visual Inspection ❑ Pass ❑Fall 12 Pass If Sealing of all Accessible Leaks and Verification by Smoke Test and Visual Inspection ❑ Pass ❑ Fall y T Pass if One of Lines #9 through #12 pass Pass ❑ Fail 1 of 1 4/14/2006 2:49 PM " -COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 VERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT `"Z4' ASSESS° PIi.ARCELNUMBER (V]''�1.lYL�L) ZONING BUILDINGPERMIT OWNER OWS, BAILEY & IARIE TELEPHONE 897-0633 SO. FT, OCC. BUILDING VALUATION DWtJEAS 7VUb SIANDFORD LN, DURHAM 95938 Rill 1500.00 320 @ 5' 17 280.00 CONfRACTOjI'S _[JANE TELEPHONE CONTRACTORS MAIUNG ADDRESS CONSTRUCTION LENDER LENDER'S MAIUNG ADDRESS Fireplace Total Valuation $ 19,780,00 ARCHITECT OR ENGINEER UCEN:.E NO. Filing Fee $ 20.00 Permit Fee $ 207.00 ARCHITECT OR ENGINEERS MAIUNG ADDRESS Plan Checking Fee $ BUILOINGADDRESS 9016 STAI�RD LN DURHAMEnergy Plan Checking Fee $ 23,00 $ PERMIT FEE t 384.55 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap .11 7.00 - Solar or heat um 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 ❑ Describe Work: REMODEL & ADDITION OF (1) BEDROOM & (1) BATHROOM Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 15.00 Mobile Home I S G IW 1@20.00 PERMIT FEES 71,00 ELECTRICAL PERMIT Filing Fee 20.00 Main Service ioo. oa mss 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 I NO. • OWNER -BUILDER DECLARATION hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: d 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 To ,000A 46.00 NEW CONST. ( DWELLING UP. ',j, rj¢SE WE 1•/ .20 OR ADDNS. 8 ACC. BIDS. 1 N014-R61UT NEWMULTI-OUTLET @7,50 POWER APPARATUS 8 SINGLE OIJrLEr CIR. j 20 Ex. Occu OUTLET OR FIXTURES @ '.50 sAL @ .50 FIXI Ex. Occup. OUTLEDTSA AES D OR 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirina 23.00 PERMIT FEE t 3� zO r 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 js'issued.' ❑ 1 have and will maintain workertrc6mperisation'insuran ce, as required by Section 3700 of the Labor Code, for the performance of work for which this permitis issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation 9( of one hundred dollars ($100) or less.) 1 certify that in the performance of the work for which this perm) Is Issued, I shall not employ any person in any manner so as to become suct 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 cAy with those provisions. X Date V3 d __ Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolitio f r construction of structures over 3 stories in height. �-/ 1 ?,h__7/) MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ 50.00 Mobile Home Installation Fee is Energy Inspection Fee $ 46.00 C 9 3 CONST TYPE 562 1 CONST. TOTAL FEE $ HA2. �. D. FEES IMP ✓ FLOOD CDF PARCEL ✓ PD `,, HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which feesb ave,been paid. �g 'h U,, By r� - /" Date PERMIT EXPIRES ON.D.S.-B.D. Date rR7eceiptNo. iry lj .�7 S �! �� � CANA Y -ASSESSOR PINK- 0SPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVIC LIOVISIO ` 7 County Center Drive Oroville, California 95965 • Telephone (530)i38-75-41 -fERMIT NO. (JR ev.12/96) APPLICATIONAND PERMIT ASSESSO040PARCEL 2NU OIBER u0--068 ZONI G10 BUILDING PERMIT OWNER EDWARDS, BAILEY & LORIE TELEPHONE 892-0633 SO. FT, OCC. BUILDING VALUATION . OWNEAS JyVjjLIfJ�ADL STANDFORD LN, DURHAM 95938 2,500.00 3320 Q 5 17 280.00 CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTORS MAIUN3 ADDRESS CONSTRUCTION U=NDEa LENDER'S MAILING ADDRESS Fireplace Total Valuation $ 19 780.00 ARCHITECT OR ENGINEER LICENSE NO. Filen Fee $ 20.00 Permit Fee $ 207.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 1-34-59 BUILDING ADDRESS 9016 STANDFORD LN DURHAM Energy Plan Checking Fee $ 23.00 $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 1 7.00 21 -on 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 ❑ Describe Work: REMODEL & ADDITION OF (1) BEDROOM & (1) BATHROOM Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 15.00 Mobile Home I S I G I w @20.00 PERMIT FEE 71.00 ELECTRICAL PERMIT I Filing Fee 20.00 V LESS Main Service . OOR R LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law or the following reason: 1, asowner:)f theproperty, ormy employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ 1, as owner of the property, am exclusively contracting with licensed contractors to constru--t the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation / of one hurdred dollars ($100) or less.) t:7 I certify tha_ in the performance of the work for which this permit is issued, I shall not emplo/ any person in any manner so as to become subject to workers' compensa-:ion 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 c ly with those provisions. f X Date Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolitio r constructio of structures over 3 stories in height. Receipt No. � 1 `� Main Service 200A TO 1000A 46.00 NEW CONST. ( DWELLING GOC.SUP. 3.5,s°: 11.20 OR ADDNS.NEW CONST. MULTI -OUTLET NON-RESID. @7.50 POWER APPARATUS 8 SINGLE OUTLET CIR. 20 (P' 00 Ex. Occup. oun.Er OR FIXTURES BAL Q .50 Ex. Occup. G,mEt°rs REESSID.OEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation DUCT EXTENSION 2 15.00 30.00 PERMIT FEt S 50.00 Mobile Home Installation Fee $ Energy Inspection Fee $ 46.00 C CONST. TY582.75 V OTAL FEE $ 17 HAZ. _`4V/ I D. F IMP FLWD J CDF ' ` PARCEL PD HD 5S E This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fee en paid. . By 174/x /, PERMIT EXPIRES ON d "i Dete WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK)IIPSPECTOR GOLDENROD -APPLICANT ��?c� 15 5 V, " ., 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 eWd PERMIT APPLICATION DATA SHEET OWNER: j ASSESSOR PARCEL NUMBER CyO ' 2.57 U 0 (,� Proposed Building Use: (K(y�l (J+ / T l� Counter Technician: <P Date: Items required in order to apply for a permit. All boxes MUST be checked OR m ced NA in order to apply. +^�`Ry1,�i3'�1 �'ty1�i"F „v-+cx`' if��n1} "'r'"i.4 i} '►�Vr S,i yl�t'Rj'ifiw#11"'yiIS4Te ^.fir � 's 'ft VJV-";41,�.4- r4.r s COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION L. Plot plans, 3 or 4 sets, signedkiy the preparer of the plans. IIGNI. Complete plans, 3 or 4 sets, signed by the preparer of the plans. 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. 4. Engineered truss details and layouts in duplicate. No faxes! 5. Energy compliance design and supporting documentation in duplicate. ❑ 6. Manufactured homes: (A) Data sheets and installation instructions, (B) Marriage line information, (C) Floor Plan, (D) Tie down or foundation plans, all in duplicate. ❑ 7. Metal buildings: (A) Metal Building Plans, (B) Foundation plans and calculations in triplicate, (C) Elevation views in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. Items required for initial plan review. If checked items have not been received, plan review cannot proceed. The permit will be eindexe an r urned to the review line-- hen rregLuirepd items are received. ood Elevation Certificate, wet -stamped and signed, in duplicate ................................ 9. Plot plan and business license approval from the City of Biggs .................................... ❑ 10. Letter of intent for non-residential buildings......................................................... ❑ 11. Detached Accessory Building Form filled out by the owner ..................................... ❑ 12. Hazardous Material Form............................................................................... ❑ 13. Other _ e ining items needed to issue the permit. (May require additional plan review upon receipt o the llowing items.) ees as shown on the attached Schedule of Fees Due Sheet ...................................... I O ❑ 1 Statement of Intent for Non -heated and A/C Buildings .................................... . 16 Sanitation and plot plan approval from the Environmental Health Department in' `ter (- -1-17 -d 3 mss, e9.2O. City of Chico Plumbing permit........................................................................ California Department of Forestry plan approval ❑ paid. Sent. by: ...................... Planning approval for (A) Use: � �� (B)Parking: (C) Parcel Check: C j Contact Land Development about ❑ Improvements, ❑ Drainage .............................. ❑ 21. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 22. Pre -Inspection for required ................ ❑ 23. Co tractor's license information. (Number, Name Style, Classification) ...................... a vowner-Builder orker's Compensation Carrier and Policy Number ..............:.............................. Verification (❑ Given to owner, ❑ Mailed to owner) ..................... ❑ 26. Letter of Signature authorization.................................................................... ❑ 27. Recorded copy of Agricultural Acknowledgment Statement .................................... ❑ 28. Manufactured home utility clearance............................................................... ❑ 29. Existing violations and/or expired permits......................................................... �❑ Gran ed, ❑ M.H. Other: When issued elep one I I have been infor d of the above Applicant: ❑ Letter from Legal Owner, ❑ Check to H.C.D. $ V l0 // ilnd hold for 6ickup. q�s and requirements for obtaining a building ermit. /1 Date:��— I 1. Index permit application for the above items numbe d•: l / Plan Check Letter 2. Additional items re .�, qq Contractor, designe(,Owner, wner, as advised cf the abov phone, ❑ mail, ❑ counter, by e: _ /b I NJ Contractor, designe was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Plans reviewed by: Date: Plans approved by: e�C� Date: Structural reviewed b Date: Structural approved by: � Date: Note transfer by: Date: —O •Yello uildina Division i - E.H. USE OBLY Mr.. AttacMd 3, Floor Finn Attachad Smut to B.D. ! TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance t✓al oL rrls S-faIZ6O _ e) 6 Owner Location AP# Plan Approved for: Sewage Disposal ✓ Water Supply: Public Private Well �✓ Clearance for 4wel Other ke-A4,:zdP,lzV IV is�i�G Final clearance O.K. for: NOTE: Environme talalth Specialist Date 8/96 OWNER i COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541 SCHEDULE OF FEES DUE L006l—dS I Y" tI -e�-I AP y -79D-hA I (BUILDING UILDING USE �& ltiD� /`� Y�y� PERMIT FEES Balance Due ....................... $ Additional Fees Due ................. $ Additional Fees Due ................. $ DATE VCEIPT # DATE REC. I Revised Plan Checking Fee .............$ 2. SCHOOL DISTRICT FEES V1 1 1 (paid at District Office) (Available after Plan Check) 3.: SHERIFF FEES (paid at Building Division) Residential ...................... x $360.00 = $ Units Commercial (sq. ft:) ............... x $0.03 = $ Sq. ft. 4. URBAN AREA FEES (paid at Building Division) Residential ................... —x—=$ # Units Amt. Commercial (sq. ft.) ............ —x_=$ Sq. ft. Amt. ,, RECREATIONAL DISTRICT FEES 1 u �' t' l D q (paid at District Office) (Available after Plan Check) 6. THERMALITO DRAINAGE DISTRICT FEES $510.00 (paid at Building Division) 7. SRA FIRE INSPECTION AND PLAN CHECK $89.00 (paid at Building Division) 8. WATER TENDER FEES (Battalion # ) $200.00 (paid at Building Division) 9. CSA 87 TRAFFIC FEE $2500.00 (paid at Building Division) 10. OTHER At time of permit application, I was advised the above fees are required to be paid prior to issuance of the building permit. These fees may be changed during the plan checking process. , /) , A / - APPLICANT DATE Pursuant to Government Code Section 66020, you are hereby notified that items 2, 3, 4, 5, 6, 7, 8, 9, an/, above may have been imposed on your project. You have 90 days from the date of approval of the project or from the imposition of the above mentioned items during which you may protest. The requirements for a protest are specified in Government Code Section 66020(a). Original - Buiding Div. 2nd Copy - Applicant 3rd Copy - Owner (Rev. 6/00) Feb 01 02 08: 13a P.1. COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - IINQIVISION 7 County Center Drive • Oroville, California 95965 • Telephone ( 301) 538-7541 (Rev. 12/.96) APPLICATION AND PERMIT AsSESSORPAACELNUMBER �O —0/ ZONINoq_�o BUILDING PERMIT .J -OWNER Wt S `B 111 //l//� /CL&-je FNo,NE ----- SO FT OCC. BUILDING VALUATION OWNERS n CONTRACTORS W.IUNO ADDRESS PLUMBING PERMIT SF ❑ Duplex ❑ CONSTRUCTION LE -IDEA 7.00 Z (_"fie Solar or heat pump water heater LENDER'S MAIUNGADDRESS - ' 15.001/c.L ARCHITECT OR ENGINEER ' 15.00 Now ❑ Addition ARCMTECT OR ENGINEERS MAILING.ADDRESS `J \ BUILDING ADORES:: �%� O' to LOT NO. I SUBDIVISIONS NAME PARCEL Total Valuation 1 $ 1-7, / b v- UD NO. Filing -- $_ 20.00 Permit Fee $ Zb�. Plan Checking Fee $ q Energy Plan Checking Fee $ _ 7j $ 5 2-0 t✓ "PERJWIT FEE PAID SRA . SHMI FF OTNR AMOUNT RECEMb s 33.Ss "RECUT NVMIEER � � � S� " T4 a !VT =NTo cowvm Receipt No. WHITE-D.D.S. -S.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT PERMIT FEE USEOFSTRUCTURE PLUMBING PERMIT SF ❑ Duplex ❑ ''Mobilehome ❑ Other 7.00 Z (_"fie Solar or heat pump water heater 23.00 SPECIFY 15.001/c.L TYPE OF WORK 15.00 Now ❑ Addition ❑ Remodel ❑ Utilities ❑ Installatioon, ❑ Describe WSrk: r6M0-M 'f— ,❑Q ,Other �F C bed Yyo w, +I) Ihrx�rr► 5 2-0 t✓ "PERJWIT FEE PAID SRA . SHMI FF OTNR AMOUNT RECEMb s 33.Ss "RECUT NVMIEER � � � S� " T4 a !VT =NTo cowvm Receipt No. WHITE-D.D.S. -S.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT PERMIT FEE ; -,?a .,D PLUMBING PERMIT Filing Feel 20.00 Each Trap&I 7.00 Z (_"fie Solar or heat pump water heater 23.00 Water piping 15.001/c.L Each gas water heater or vent 15.00 Gas pipinq system 1 - 5 outlets 15.00 Building sewer 15.00 /S C)c Mobile Home I S I G I W @20.001 PERMIT FEE S _I / - V 0 ELECTRICAL PERMIT Filing Fee 20.00 Main Service OR LESS 200A x00A OR LESS 23.00 _ Main Service 200A TO 1000A 46.00 NEW CONST. OR ADONS. DWELLING OGCUP. & ACC. SLDS. 90. 3.5OFT. ' ^ _� NEW vu 10. MULn.OUTLEr M��nm Con @7.501 EX. Occup. OUTLET OR M-111RES 20 p 1.001 SAL 0 .00 FAL. OCCU FIXED APPLNS. OR oUTLI REBID. EA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE i '�5 J . _&.0 MECHANICAL PERMIT Filing Fee 20.00 Heatina Hood 6.501 V ntilation c'f ex St DV7 0; PERMIT FEE S D• Mobile Home Installation Fee S Energylns ection Fee $ cy i P s CONS OTAL FEE $ NAZ. D. FEES 000 CDf p EL y�' This permit is hereby issued under the applicable pi'60sion's "' of the Butte County Code and/or Resolutions to do work Indicated above for which fees have been -paid. –" By Date PERMIT EXPIRES ON Dec 17 02 11:3Ba p.2 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. I personally plan to provide the major labor and materials for construction of the proposed property 1;m ovement : YES NO O 2. I HAVE HAVE NOT ❑ signed an application for a building permit for thero sed work I have contracted with the followingp person (firm) to provide the proposed construction: NAME: ADDRESS: CITY: PRONE: CONTRACTOR'S 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: 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: PRO DATE: NOTE; his 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. OVER Lie) Name JEDWARDS EAI LEY D& LO R I E M Addr1 19016 S TALI FO R D LN Addr2 I D U R HAI CA 95939 Addr3 Addr4 Comments 14029006800 CONVERTED 09/08/88 Creaking D oc#1 19878 0431700 Dake Current D oc# 1995R 1 71 73 Dake 05/25/1995 Killing Doc# Dat e Asmk D esc 8016 STANFORD S uplCnt honing JA5 D well Acres/S q Ft 10.38 ..6jN /C 040 Asmk # 040-290-068-000 Fee # 040-290-068-000 Status ACTIVE Status Date Tax 000 INORMAL OWNERSHIP TRA 070-002 Situs 19016 STANFORD LN DURHAM BaseDk Timber Preserve AgPres Etal N otes B onds multi S itus (! Flag1 Flagg 910 MH Asmk PP Pen Tax PP Pen Appeal Pending Split Pending Land S kructure Fixtures O rowing Total L&I Fix. RF MH PP PP Exempt 57,983 39,431 0 0 97,414 0 0 0 7,000 Net I 90,414 RIC#j T!R DtI R!C Stat I PHY I OWN I- EXP I TAX I H H N I ATT I SIT I APR. I PCL _j �' Find f - �°� iii rXy�,..• ', /• ` I k:! sE,_a•- sl —� ADDRESS_ '� .!. _ '. ��,i ��" CLA8S BNAP£ tONS7RUCTION STRucrVRAL BI(TERlOR �ESCRIPTlO/� OF BUILDING O''•`' j ROOF L1bNTlNp ;R COIt'O,'l:.l! Q•.. 9 i / /vd.ns i Blotto on .; /1ACH/TECTUAf Jab • t/oaotii0 - Jlaaecvp _"a ^� fiOJ,N AIID FINISH DCTAiL DORS FLOOR FINISH INTERIOR fIIVISH I .alo/eiia/ Glade TRIS %�'aI/a C¢iGn s r; 6ud:e /r 'few C,>e+vP Ca+/�u/ 7oarl� Enl..valJ Jheo/ in r Wo/fL67, tiv;n9 Above •51andai0 B/aek. led '.;r; / S/aviea Jpec;a/ $.$Q rd X rrl / j Bed Bed TYPE ' Cu! Up / Dorme/l � 0!S/6.Y FVVNDATt f)N Adobe .: Ao�s ��_ -Sin gta Concrt/e riooi Jefa/: Q$B. 78.6. u'u/Ierr P-; Double -'fei*eoieed / �✓V%�rvY- ,. �D: Q Ovim�er Biici 1.i; 'X =' — at Brick J_bin k Jae F/ooc JAi.�e SAaAe- J, - ` YDOWS We W'. �- •� a.00n YiMvrl) Aharq. All Fixtures fiOJ,N AIID FINISH DCTAiL DORS FLOOR FINISH INTERIOR fIIVISH I .alo/eiia/ Glade TRIS %�'aI/a C¢iGn s 'few C,>e+vP Ca+/�u/ 7oarl� Enl..valJ iv C -1-naa flow Wo/fL67, tiv;n9 led pLt/st9lNa — K0 -e( Good X rrl / j Bed Bed D3�-1 1?0-6lS- - �j&HL£ fiOJ,N AIID FINISH DCTAiL DORS FLOOR FINISH INTERIOR fIIVISH I .alo/eiia/ Glade TRIS %�'aI/a C¢iGn s BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM 4 (One form per Building) School District !)Cj > Building Department No. A.P. Number 'f ��Q,� Jurisdiction: City County Property Owner C�.� r h/%%` Property Location/Address Subdivision Lot No. Residential Development x:0 Sq. Footage _.x :; ,: Np of Living;_.., Mobile Home.,.., , <t- .� Addkion/-i: 'Supplemental Units Installation ` Conversion Permit# ................................................................................................................... •(No foundation inspection); CommerciaYIndustrial Building Department New Addition moor, rians reviewea oy acnooi uistnct rersonneil District Identification No.. (p�$ School District certifies that a; r � A . Sq. Footage (Including Exterior Roofed Areas) 1D -/-o_.3 Date L..., c -r IS (Applicant) (Street Address) (Phone Number) Cir 0-A 41s -13T (City) (State) (Zip Code) has complied with the requirements of Resolution No. 02 - t� .Z by payment of $ representing:-'.=. y` 3: square'fee`t. i ^ ! '`" AB 2926 ' t $ FULL MITIGATION $ School District Representative Date Paid by Check # /,4 Remarks: ` S W,4 l (/!:I D& -Q— , SO 'r Notice: You may protest the im osition of the fees identified above b submitting a written ' y p p y g protest to the District, in compliance with _ Government Code Section -66020(a), within 90 days from the date fees are paid.; Failure to submit a timely written protest will Prohibit you from challenging the imposition of the fees in any court action. t If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act (CEQA), this project may be subject to additional school fees to fully mitigate its impact on the school district's schools. White (applicant), Yellow (building department), Pink (school district) feeform.As (10198)dmm BUTTE COUNTY PARK FACILITY FEE PAYMENT CERTIFICATION FORM DURHAM RECREATION AND PARK DISTRICT 1 r Assessor Parcel Number (s): �(' �� ` L Property Owner (s):/a/yl"�4) Project Location/Address: Subdivison Name: I Type of Residential Development (check one): V Assessable Square Footage: a� New Development Afteration/Addition ❑ Mobile Home (s) Non -Residential to Residential ..,�fi Comments Building Division Representative Date Durham Recreation and .Park District (DRPD) certifies that y Applicant Name Applicant Phone Number Street Address Y 13 City State Zip, Code ; i has complied with the requirements of the Butte County Board of Supervisors Resolution No. 93 - 114 by payment for 32 U square feet at $ 1.04 per square foot for a total payment Of $ Svc `N ORFD Representative PAID,BY CHECK No.: / Remarks:" BANK No.: 4, PAID BY CASH: RECEIPT No.: i C, /0. Date DISTRIBUTION: WHITE - APPLICANT PINK - DRPD YELLOW - BUTTE CO. BUILDING DIVISION FLOOD PLAIN DECLARATION I declare the actual value of the proposed construction work under building permit application number:D3 —0- ( W ( at the location of l'Q [ (o ,5. CL V-, L r �A L N Assessor Parcel Number: ® y 8 — al. O — Q (o $ for the construction of an addition for t — 8e-.Iroo ✓, '1& l I -r- TLrna does not equal or exceed the definition of "Substantial Improvement'". I am aware the building site is in a flood - plain area, even though I am not required to comply with the flood plain management criteria. Property Owner: Address: PhoneNumber-:_ G1 '2 3 3 Date: f r-) / g L ' Substantial improvement is defined as follows: Any repair, reconstruction, of improvement of a structure, the cost equals or exceeds 50% of the market value of the structure either, (a) before improvement or repair is started or (b) if the structure has been damaged, and is being restored, before the damage occurred. NOTE: Documentation may be required to substantiate cost. S' COUNTY OF BUTTEI- DEPARTMENT OF PUBLIC WORKS' PERMIT NO. 7,County Center Drive - Oroville��California'95965 - Telephone 916/534-4541v �r-✓(1 f� r / APPLICA"PIOR'AND PERMIT ASSESSOR.PARC.EL, NUMBER ------ ;/0-- �'� ZONING BUILDING PERMIT OWNER'/ ,( /t - (/�'�(% /� / �) 'j''' I_AECOWNER'S TELEPHONE S0. FT. OCC. BUILDING VALUATION MAILING ADDRESSKI CONTRACTOR'S NAME TELEPHO E NCC. ,u'54 %3 CONTRACTOR'S MAILINGADDRESS V00L N ?73 Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation I $ Filin Filing g Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ /0.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ r%. /j j �\ BUILDING ADDRESS ST11A)FOj Jeb t 1 A PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Repair drainage or vent piping 5.00 D6),e+"71411, Water piping LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SFD Duplex❑ Mobilehome❑ Other SPECIFY Building sewer Lawn sprinkler system5.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other © Describe work: r PRti°77fi4- a ,�L% -/�,,. Permit Fee $ "Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 AMP 00V OR ORSLESS 5.00 �+ Main service EA- ADD'L too AMP 2.50 NEW CONST. (DWELLING OCCUPIal OR ADDNS. ACC. BLDGS. / 20 Sq ft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check One): Q I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in fell force and effect. 2... 2 '` L License No. `-� �% Classification T " C x 7 ❑ 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) El1, 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. I.OUTLET 2,50 ea NON.RESID BRANCH CIRC ITS NEW CONSTR ! POWER APPARATUS e) NON-RESID. (SINGLE OUTLET CIR. so @ 250 Ex. OccupOUTLETS OR FIXTURES BAL�ios FIXED APPLNS. OR EX. Occup.(OUTLETS (RESID•) EA.1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 Permit Fee $ 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. Q/l 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 Permit Fee $ Contractor 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the 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,iCounty in consequence of the granting of this permit. / X �t✓'� ��- .- Date�� ` .�r Signature of Applicant — Owner g pp ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures oveer-3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ '�(�, O V Occup. GROUP TYPE OF CONST. PARCEL PD I NO I 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 aid. .� p r rDIRECTOR OF PUBLIC WORKS ,� J / / L/ By /� Dart{{e�[�{/ O/// PERMIT EXPIRES Date^'-- Receipt No. "7 WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541��/_ .Q / APPLICATIGN AIS PERMIT A \ BES�// 7'apZ9—�� ZONING BUILDING PERMIT OWER d11 /� A,4e/ U V HONE TELEPTE SQ. FT. OCC. BUILDING VALUATION — DO OWNER'S MAILING ADDRESS C/v/f.:OR'S 1_J AM E/✓!F/�� T�H/� D6/9kT Fireplace,r/VE, CONSTRUCTION LENDER UNKNOWN Total Valuation $ iD0 Filing Fee $ 10,00 LENDER's MAILING ADDRESS Permit Fee $ .DO ARCHITECT OR ENGINE R LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ 047 Bulygy)G/yDDREiS 5 �1 L� 7(J<(•� PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Repair drainage or vent piping 5.00 Water piping LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF Duplex❑ Mobilehome❑ Other SPECIFY Building sewer Lawn sprinkler system 5.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other Describe work: P`- /wQF Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 AMP ORSLESS 5.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELLING OCCUP,y) OR ADDNS. ACC. BLDGS. 2Q Sq ft CONTRACTORS LICENSE LAW 1 declare nder 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 f 11 force and effect. �%3qy License No._ Classification Cr ❑ 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 I.Ou LET NON.RESID BRANCH CIRC ITs 2.50 ea NEW CONSTR. ( POWER APPARATUS 61 NON.RESID. SINGLE OUTLET CIR, I Ex. OCCUp OUTLETS OR FIXTURES 50 @ 25¢ BALPIOC Ex. Occup.�OUTLETSIXED P(RESID )REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 Permit Fee $ Contractor MECHANICAL PERMIT FiIirig Fee 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 Consent to Self -Insure. I shall not employ any person in any manner so as to become subjectVentilation 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 Permit Fee S Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabili i Jud ment and expenses which may in any way accrue against ou i c s of the granting of this permit. j_� j�� f X Datec_v / Signature of App1; cant — Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ 'Zo- D v OccuP. GROUP I TYPE OF CONST. PARCEL PD NO I ISSUE Thi mit is hereby issued under si s ol the Butte County Code and/or w6rk i dicated a vel� for which fees CTVt+ OF PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS n4t.g /� �'� Receipt No. WHITE-D.P.W., YEL:OW-ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT H IA Y t 785' -?S tp PERMIT NO. 2785-75B P f. E } M 'MH UTIL. ,r. PERMIT NO. PERMIT EXPIRES / /'O OWNER 'Isaac Garroutte . CONTR. yLOCATION (A.P. 38-19"15 ) r 1128 Stanford -Lane, Durham Temp. Power Pole Called PG&E Te p. Elec.. Serv. v Called PG&E ° emp. Gas Serv. Called PG&E JOB i FIN ALED r. (Date) (Signature) y'r Setback Forms Main Bldg. Footings Stemwal l Slab Piers Garage Footings Stemwal l Slab Carport Footings Slab Patio Footings Masonry Walls Reinf. Steel Bond Beam Framing Stucco Mesh Scratch Brown Finish Interior Lath Door Closer DATE COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION -RECORD BUILDING BUILDING (Cont'd) PLUMBING Firewall Soil Piping Parapets 1st Floor Restroom Finish 2nd Floor Windows 3rd Floor Siding To out Roof Sheathing Water Piping Roofing Sewer Fdn. Vents Fixtures Garage Vents Water Htr. Prov. for physically Heaters handicapped Appliances Conformance of ex. Gas Piping & Test structure Temp. Gas Final Sanitation FIREPLACE Final Footing ELECTRICAL Throat Rough Final Fixtures FIRE SPRINKLERS Motors Test Water Htr. Final Subpanels MECHANICAL Grd. Fault Prot. Heating Service Cooling Temp. Pole Ducts Underground Ventilation Permanent Final Final REMARKS OR CORRECTIONS COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Orovi Ile, California 95965 ^ /1 Cr, APPLICATION AND PERMIT IV ( BUILDING Owner � $ C � � �, SQ. FT. OCC. BUILDING VALUATION rte_ Mailing AddressZ7';5/ �X ,? Telephone No. Fireplace Contractor Total Valuation Mailing Address Permit Fee / P I an Checking Fee &/or Penalty Telephone No. Permit Fee $ Building Address PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1,50 WWVW Each gas water heater or vent 1.50 A. P. No. Zoning &Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fe SaID 'on FireDept. FireZone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration Parcel Ma P 60' R/W Im rovements P Lawn sprinkler system 2.00 Ofdy Plans Rec'd Parcel roval Plans V proval Permit Fee $ $ NEW ❑ ADDITION © UTILITIES ❑ OTHER Q ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Ca— Main service incl. 1 meter a� 1 71o;0�41 Additional meters, each 1.00 Sub -panel (12 or less) (more than 12) Single Family ® Duplex ❑ Mobil Home ❑ Others ❑ Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 Light fixtures 601 �2 Receps.., switches & fix outlets CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: Hood, Ex. Fan or F.A. Furn. Motor 1.00 Evap. cooler, gar, disp. or D.W. 1.00 Air conditioner or heat pump Water pump Mobil Home Facilities 5.00 Temp. Power Pole 5.00 License No. Classification Misc. wiring �( I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑ I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this 7` permit ,is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby TOTAL PERMIT FEE $ autnorize representatives or ine t,ounty or tsutte to enter upon me above-mentioned property for inspection purposes. Date r Signature of Permi?tee or Agent Receipt No. �-3J -S -3 White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. RECTOR O PUBLIC WORKS By Dater" 7 f 4�36/ilding permit expires Date �f�' NOTE. --All Materials & Workmanship Shall Be in _ Accordance with Recognized Gond Practices and - r of a quality prescribed for the SpeciPed use in the- ' Uniform Building, Plumbing & Machanica! Codes and �� 91. = j the National Electrical Code. ►:t - ,�� /1�, i� ` F ~rte F -.., J Y/) (:�V � . I ,•,,,•,. . Q, F // S CiP� f A f IA �� n y� J I This, set of plans kept on the jo gat all ti s MU4 rr f ' chap des and it is unlawful 4, f,L . Z 6 } k make any ges or alteration son same without r .�;w .6 . , . written permission from the Depa r Works, County ofYButte.- J tment of Public x, ; r " ✓n 1j 7 , tty' - - `\• a�~~ The 8%6- Set ack shall be 5 ft, from �, :�^ '' Bt T7E COUNTY the sideroe line and 50 ft. f-�� p P BUILDING DEPARTMENT, ;�'.; r the ce-terlinP nf +hP rr^� +., x, _ _ . �A�RPROVED w . P 1 C. + •r , 21 k J 1 •, Cry • i F r` r 1� 4 i n � C. 01 a rncrr 'V 1 F f F _ r r BUTTE -COUNTY ' BUILDING DEPARTMENT APPROVE® c 7 y G �` ' 1%4 AO 4r _ or NOTES ��� RESIDENTIAL ' PERI" 040-29-0-068__ ....��-�.�_ Y � j EDWARDS, Baffle �99-0498 BPEM:"` 9016 Stanford & Lorie C Lane, Durham 1 (upgrade main ser/conv port o living_ room to kitchen)SF f . K/0 C) 21, Z3, F 'r SPECIAL CONDITIONS ' a CHECKED BY SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER , JOB FINALED (Date Signature i V=OK 0 = Not OK - = Not Applicable * = Not Ready MOBILE HOMES Date ' MOBILE HOME UTILITIES (Plans) OK except #'s DECKS, COVERS, CARPORTS GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Sewer; Location -Test -Fall -C/O -Concrete Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Water; Location -Test -Easement Needed (Sketch) Wood Awn.; Posts- Beams- Rftrs.-Connectors Shthg.-Frg-Bracing 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Gas; Location -Test -Wrap;-/ /" L'ft. / P Nat. or / /"L"ft./ /'LPG Carports; Windows -Doors 7. Well Clearance & Disconnect Electric 8' Utility Clearance 8. Frmg.; Sills-Anchors-Studs-Rttrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh Date Roof; Shthg-Roofing Card B-1 Date Card B-1 Date Ext.; Steps -Doors -Landings Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements Date 2. Footings; Size -Spacing -Marriage Line Date 3. Gas; MH Test -Demand -Valve -Connector Date 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. Tie Downs -Type -Installation Can. 10. Exits; Insp.-Sketch 11. Cent. of Occupancy 12. Permanent Foundation Only; License Decal 9. Health Department Approval Date 10. Card B-1 Date Card B-1 Date 11. Card B-1 Date Card B-1 A 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; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Beams- Rftrs.-Connectors Shthg.-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rttrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (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, Distance-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 11. Light Niche Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 ./ = OK 0 = Not OK - = Not Applicable = Not Ready RESIDENTIAL (Single & Duplex) Date Underfloor (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Fig., Main; Soils-Elec. Grnd.-/ /" Fig. Depth 3. Fig., Garage; Soils-Steel-Elec. Grnd.-/ /" Fig. Depth 4. Fig., Porches & Decks; Soils -Steel-/ r" Fig. 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 -Anchors -Regulator -Service Test 12. Electric Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 15. Access & Ventilation 16. Insulation 2 Appliance Circuits in Kitchen & Conductor Size GFI Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s 17. Water Htr.; Vent -Access -Combustion Air Baffle 18. Water Pipe; Test & Anchor -Nail Protection 19. D.W.V.; Test Fittings & Anchor -Nail Protection 20. Shower Pan; Test, First Floor -Tub Access 21. Test Tub & Shower, Second Floor -Tub Access 22. Gas Pipe; Sixe & Anchors Date Card B-1 Date Card B-1 Card B-1 Date Card B-1 Date Datd Card B-1 Date Card B-1 Date ®W.tJ.Qf Ckal ,y, �. j wJ- !T_Ar ELECTRICAL (Permit) OK except #'s 23. Fixture & Transformer Clearance -Ins. Protection 24. Elec. Receptacles Spacing -Lights & Switches at Doors 25. Size Boxes & No. of Conductors Stapled 26. Romex Installed Close to Edge of Studs & C.J. 27. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water 28. 2 Appliance Circuits in Kitchen & Conductor Size GFI 29. Subteed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or AI 30. Range Circle / / ga Cu or AI -Oven Circ. / / ga Cu or At Insulated Neutral p Yes O No 31. Service -Riser Conductors & Ground Main Disconnect 32. Equip. Clearances Panels-Motors-Mech. Equip. 33. Clothes Closet Light -Shower Light -Spa Light 34. Smoke Detector Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 35. A.C. Ducts Insulation & Support 36. Vent Fan, Exhaust above insulation 37. Condensate Drain & Overflow, Size & Grade 38. Furnace -Vent Access -Comb. Air -Return Air Vent 115 outlet 39. Attic Access & Platform if Furnace in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s 40. Sits Proper Materials & Anchors 41. Walls Studs -Nailing Spacing & Braces -Plates -Sound 42. Bearing Wails over Girders & Floor Nailing 43. Draft Stop in Walls (rat proof) 44. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 45. Headers & Beams -Size & Bearing Date FRAMING (Continued) 46. Hangers -Post Caps -Anchors -Connectors 47. Cling. Joist-Rftr. Ties- Purlin-Rolf Brac.-Truss-Shting.-Rfng. 48. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 49. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 50. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 51. Garage Fire Protection Framing 52. Property Line Firewall & Openings 53. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 54. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 55. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 56. Siding -Nailing Veneer 57. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access Glazing Area -Glass Protection -Skylights -Plastic 59. Shear Walls; Nailing -Bolts 60. Brace Interior/Exterior Wall Panels 61. Insulation -Walls -Ceilings 62. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date EJNAL (Plans) OK except #'s Steps -Door & Sidelight Protection -Landings K Smoke Detector 65v--Fun?nee-YeMs-clearance-Comb, Air -Connector - In Garage; Above Floor -Ducts -Mach. Protection xiting Bath Fixtures & Tub Access -Spa Elec. Trim & Subpanel, Breaker Sizes & Labels 6-Hairs-64Nmis 7 tove,Clearance-Hearth 7 'c Qutlets at Wood Panel, Int. & Ext. K' ixt. & Appliance; Ground -Air Gap -Cooking Clearance Elec. Outlets & Receptacles at Kit. Counter i#' 71'3r"ire Door; Swing -Landing -Closure A.C. Duct in Garage -Damper 'r Connector-P.R.V. t i age; C6T'Mech. Protection Elec. & Mech. Equip. Listed for Location s in Garage (F.F.I.)-Romex Protection nsulation- Foam- Looked in Attic 8e--8vwd Rails & Deck Construction -Post Caps BM-fAet VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 82-;olfowing Instld./Drive :1 Yes ] No/Walks :1 Yes J No/Planters'] Yes :1 No 82e-foweco Brown -Finish 8#--A'C-Mit Disconnect, Electrical -Plumbing 99. -'Vents Above Roof, Pibg-Appliance-Fireplace-Clearance to Openings 116-WataL,Well, Disconnect, Electrical, Plumbing OF. E�cterior Elec. Trim, G.F.I. Receptacle -Underground *! Gentilation Throughout House Glass Protection 90. Corrections from Previous Inspections ed, Gas -Electric ter & Sewer Connected -C/O to Grade -HD Approval elm Energy Compliance Certificate -Other Certificates Address Posted Date Q Card B-1 Date Card B-1 Dat Q Card B-1 Date Card B-1 Datd Card B-1 Date Card B-1 Comments at Final: ®W.tJ.Qf Ckal ,y, �. j wJ- !T_Ar Insulation Certificate - BUILDING OWNER: BUILDING PERMIT BUILDING LOCATION: r ©(�- S . ✓•+ o�c, I rl. 1.1, , r � a,,n c—A . Description of Installation ROOF Material Thickness (inches) Brand Name The. -mal Resistance (R-Vaiue) CEILING Batt or Blanket Type Brand Name 1" &VO Cn i Thickness (incites) Thermal Resistance (R -Value) . Loose Fill Type . Brand Name Contractor's minimum installed weight/fe lb Minimum thickness inches Manufac=-er's installed weight per square foot to acheive Thermal Resistance (R -Value) EXTERIOR WALL Mate. nal • - Thickness (inches) _ N RAISED FLOOR Material Thickness (inches) SLAB FLOOR Mate. -W Thickness (inches) Width (inches) FOUNDATION WALL Material Thickness (inches) Declaration BrZI-IdName /"l�►'Vta iIl`� e. Theanal Resistance (R -Value) Brand Name Thermal Resistance (R -Value) B rand Name The. -mai Resistance (R-Vaiue) Brand Name The. -mal Resistance (R -Value) I he:rbv cetufv that the above insulation was installed in the building at the above location in conformance with the current Building Energy Efficiency Standards for new residential buildings contained in Tide 24 of the California Administradve Code. General Contractor t Bender S ignature and Tkie Suo aaccar(lnsulatconinstailcr) Signature and Title License Number Dace License Number 41- 38 ---f Date T1IIS CERTIFICATE MUST BE PROVIDED TO THE BUILDING DEPARTMENT PRIOR TO FINAL INSPECTION APPROVAL AND A COPY SHALL BE POSTED WITHIN THE BUILDING. JANUARY 1993 COUNTY OF BUTTE s� BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street • Chico, CA • (530) 891-2751 7 County Center Drive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE !� OWNER/ PERMIT NO. A routine inspection indicats that the Ilowing violations of butte county Ordinances exist at the above address and should be corrected. Please notice this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. !� 2. vp A ..r i e� f . o ! iu a �,� 1s &JAe� �o e Gf ,vve7G f f K� e 5 Nom. 1 tt-," JD k- r -r c e ..✓ s ✓ .e Cod 1 t'rir -tri/_ 14✓ 14iS L ]w)aI's 41i . ac%.�. eA Ve �1�G..i�%. li�cNitS �ai %i�l��-✓• )q) L., I„_ I l ► rGu 4- s /0 1U. bs--e / COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDI DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (53 3 -7541 PERMIT NO (Rev. 12/96) APPLICATION AND PERMIT !� A$G56$QRggRCEl�lU1�A� IIII��FF�L,JJ L� `lJ� BUJ �l,,Il ((�7 ZONING A-10 BUILDING PERMIT TAILEY AND LORIE EDWARDS TELEPHONE SO, FT, OCC. BUILDING VALUATION WYr'§TfFOPD LANE, DURHAM 95938 TOTTS NAME TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER. Fireplace LENDER'S MAIUNG ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filen Fee $ 20.00 Permit Fee $ 45.00 ARCHITECT OR ENGINEERS MAIUNG ADDRESS Plan Checking Fee $ BUILDING ADDRESS 9016 STANFORD Energy Plan Checking Fee $ $ PERMIT FEE $ 65.00 LOT NO. S UBDNIS IONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE M❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap7.00 7.00 Solar or heat um water heater 23.00 Water piping 15.00 Each gas water heater or vent 15-00 TYPE OF WORK New ❑ Addition ❑ Remodel IX Utilities ❑ Installation ❑ Other ❑ Describe work: UPGRADE MAIN SER, rnVv P r TVTnrr O�TJOX Or—Q ROOM TO KITCHEN Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 600V OR LE Main Service ZOO" OR LESS 23.00 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 Llc. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law Or the following reason: I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 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 Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation /of one hundred dollars ($100) or less.) 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 workers' compensation laws of California, and agree that if I should become subject to the 'ompensation provisions of section 3700 of the Labor Code, I shall o Ply ith those provisions. X Date ,�" SignatOwner ❑ Contractor ❑ Agent meApplicaW-, An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. ( a ACC. S. s° 3.50F7. rNio�'Ns;°ESIDT. MULTI-OUTLETTS @7,50 POWER APPARATUS a SINGLE 0UTLEr CIR. Ex, OCCU OUTLET OR FIXTURES BA0 p 1.00 FIXED APPLNS. OR Ex. Occup. ounETs RESID. EA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.0023.00 PRE INSP 123.00 PERMIT FEE $ MECHANICAL PERMIT Filing Fee V Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee Is Energy Inspection Fee Is occ CONST. TYPE TOTAL FEE $ 252.50 HAZ. I D. FEES I IMP I FLOOD I CDF PARCEL I Po I HD 1, S This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By R(`7 PERMIT EXPIRES ON -s ! / 6 I(Date) ReceiptNo. WHITE-D.D.S.-B.O. CA ESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT 09 D LOPMENT SE�V[CES - ING DIVISION Itj K, 0 7541 7 COUNTY CENTER DRIVE - OROVILLE, 5 EFORNIA 95965 - TELEPH (53 PE"IT "PLICA TION DA TA SWET OWNER: L4 e,; 1 ow 4= hat�,__ Proposed 5uiIdinj'LKk: ASSESSOR PARCEL NUMBER: Bdiiln "Inspector: 2.122 Date.* 9 At time of permit application, -1 -was advised the ffiHowing data must b� shb mitted prior to permit processing and/or issuance: Date Received By 0 1. All items have been submi'tted ----------------- ----------------------- : --------------------------------------------- 02. Plot plans, 3/4 sets, signed by the preparer of plans - ------------------------------------------------------------- 03. Complete plans, 3/4 sets, signed by the preparer of plans - ----------------------------------------------------- 04. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans - -------- 115. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! ------------------ E16. Energy Design Compliance and supporting documentation ----------------------------------------- ! ------------- El 7. Statement of Intent. for Non -Heated and A/C Buildings - --------------------------------------------------------- 1] 8. Hazardous Material Form - ------------------------------------------------------------------------------------------ E19. Manufactured Home data and installation instructions including Tie Down Specifications ------------ ---------- 0 10. Fees of $ ------------------------------------------------------------------------------------- 0 11. Impact fees as shown on the attached schedule - ----------------------------------------------------------------- 0 12. California Department of Forestry plan approval/fees - --------------------------------------------------------- 0 13. Flood elevation certificate - ------------------------------------------------------------------------------- -------- 0 14. Sanitation and plot plan approval Health Department - --------------------------------------------- 0 15. City of Chico plumbing permit - ----------------------------------------------------------------------------------- 0 16. Plot plan and business license approval -from the City of Biggs - -------------------------------------------- 0 17. Planning approval for (A) Use: (B) Parking: - -------------------------- El 18. Contact Land Development about 0 Improvements, El Drainage, El Legal Parcel - ----------------------- A U I �VEncroachment Permit for driveway (construction approval prior to occupancy) - ---------------------------- 20. Pre -inspection for 6 go,, 111'e -,e _ required. Request to Building IWector on (Date) El 2 1. Contractor's license information. (Number, Name Style, Classification) - ------------------------------------ 1122. Workers' Compensation carrier and policynumber - ----------------------------------------- 7 ----------------- 1123. Owner -Builder Verification (Given to owner El, Mailed to owner 0) - -------------------------------------- 024. Letter of signature authorization - ------------- - ----------------------------- 7 ------------------------------------- 025. Recorded copy of Agricultural Acknowledgment Statement - ----- --------------------------- E126. Letter of intent on building use - ----------------------------------------------------------------------------------- 027. Manufactured Home utility clearance - --------------------------------------------------------------------------- 028. Existing violations and/or expired permits - ---------------------------------------------------------------------- alt. El 29. 1143 3 A, 11 Giant Deed, El M.H. Title, El Check to H. C.D $ --------------- 030. Other: ------- When you issue the permit, process as follows 11 Mail to owner, 0Mail to contractor. kle<l�hone 89 2- 0 4 and hold for pickup at o� office. C3 Deliver with inspector. 855 Z1679 filetj Applicant: fa,&� Date: Copy of Haz-Mat form sent 0 Health Department, 0 Fire Department, 0 Air Pollution Date: Bv: Copy of plans sent 0 Health Department, 0 Fire Department, 0 Other: Date: BV: 1. Index permitapplication for the above items numbered: Plan Check List 2. Additional items required: Contractor, designer, owner, was advised of the above required data by ri phone, 0 mail, 0 Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by o phone, o mail, 0 Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by o phone, o mail, o Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by 0 phone, 11 mail, 0 Building Division counter, by Date: Plans reviewed by: Date: Plans approved by: Da-te: Sets of plans on hold in 11 Plan Cabinet, .0-A.P. folder. Note transfer by: Date: OWNER -BUILDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your sign vam Please complete and return this information at your earliest opportunity to avoid unnecessary der in processing and issuing your building permit. No building permit will be issued undl this verification is received. 1. I personally plan to provide the major labor and materials for construction. of the proposed property improvement: YES C3 NO O 2. I HAVE O HAVE NOT o signed an application for a building permit for the proposed WiL 3. I have co with the f ll ' 7 (11m) to provide the proposed NAME:CJ ADDRZSS CiTIt: �I�cn PHONE: Y 2 -0%3 3 CONTRACTOR'S LICENSE NO. 4. I plan to, provide portions of this vinork, but I have hired the following person to ooae; . supe 'wise, and,prdiw the major work: t ADDRESS: may: :. PHONE:— CONTRACTOR'S LICENSE NO. S. I will provide some of the work but I have contracted (hired the following persons to p 9vJ& the work indicated: NAME ADDRESS PHONE TYPE OF W0j1K- SIGNED: PROPERTYOWNER: SOCIAL SECURITY NUMBER: DATE: NOTE: This Owner -Builder Ver flcation It required by Section 19831 and 19832 oftbs• California Health and Safety Code. This verification must be completed acrd returned to our office before we are permitted to issue the permit. OVER OWNER BUILDER INFORMATION Dear Proper Owner: An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified For your protection. you should be aware that as "owner -builder' you aro the responsible pony 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. Ifyou plan to do your own work, with the exception of various trades that you plan to subcontract, you should'. be aware of die following information for your benefit and protecdon: ♦ Ifyou employ or otherwise engage any persons other than your Immediate birtily. and the work (includigg mourials and other costs) is $300 or more for the entire project, and such persons are not licensed as oastoei lours or subcontractors, then you* maybe 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 seatrity taxes, workers compensation insurance, disability insurance costs, and unemployment compensatioa coons. There may be financial risks for you if you do not cant' 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, contract 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 subcoiiocactor, only under limited conditions. ;1A 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 perntits.am amt required to be signed by property owners unless they are performing their own work personally. iidoemadon about licensed contracps may be obtained by contacting the Contractors State License Board in your community or at 1020 N Street. Sacramento, CA. 958 14. Please conmpleta-WOwner Builder Verification" on the reverse side of this form so that we an confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. WC.Vidim Mi.B.O. Mnspection NOTE: This Owner-Ballder.Informadon is required by Section 19830 ojthe Caly'ornla Meallli and Safety Code ao COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-75AI- P R IT NO. (Rev. 12/96) APPLICATION AND PERMIT `" ASSESSOR PARCEL NUMBER y�%D ZONING BUILDING PERMIT OWNER / TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNERS AMNG ADD SS CONTRACTOR'S NAME TELEPHONE IV -e If— CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAIUNG ADDRESS Total Valuation $ a-49 O ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ q 5. &-0 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS / Energy Plan Checking Fee $ PERMIT FEE LCT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF PXDuplex ❑ Mobilehome O Other SPECIFY Solar or heat um water heater 23.00 Water piping 15.00 �e-o Water gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel O"'6tiI'dies ❑ Installation ❑ Other 2"' Describe Work: (4_D Qro_,d •� /J12Ci /L.tJ J e/Vic +t> 1Q 9 ,4 l7►a A, IJ.e i ,YP a— D[? /4- 10-12 Gas piping system 1 - 5 outlets 15.00 JS o 0 Building sewer 15.00 e0 Mobile Home S G W Q20.00 PERMIT FEE t o2 , B� 8 /% L/: JCA �OBiJVI e/` •�[ 6,ert/ W/o // L ��Y✓1 / i ELECTRICAL PERMIT Filing Fee 20.00 OOOV OR LESS Main Service 2ooA OR LESS 23.00 - LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION I 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. O I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurarice carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 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 workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X Date Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 50" deep end demolition or construction of structures over 3 stories in height. Main Service 200A TO I 000 46.00 NEW CONST. OWElLNO OCCUR s0 OR ADDNS. ( i ACC. stns. 3.50 so. NEW T @O 7.50 T. OICIRCUITS RESID. BRANCH A FOwoL PPAL U & SINGLE OLTLEi CIL. zo Ex. OCCU . OUTLET OR FIXTURES X Z. FlXEO APPLNS. OR 5.00 Ex. Occup. (.MOA ounETs RESID. EA Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 jO r e- j �v 5 e at< / O r✓ o� 3 I PERMIT FEE $ Oma MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 4,50 Ventilation PERMIT FES $ , to O Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST, 11 TOTAL FEE $ C� 5,-2, 5 p HAZ. D. FEES IMP FLOOD F F PARCEL I PD I HD I SSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By Date PERMIT EXPIRES ON (DA to) ReceiptNo. 251, ha WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT ............................... . /, �•rr. :i / •YY\ Y:�•YY::YY::.:♦Y::.'•'•iY}'.y4,i!r;i�r:�:S:Y!r'/ r i:!� 'l/!::.: �Y•, ;.,.,\•;:::; `� '<::C�<«:. "�\\�:s:::::,': ♦ k;:ti•:¢YYYS'Fii::�H,f..i': .!�.; ::f': iiii. ' �:' .'. .::':.. � .; ....-.:::::..::................ ♦:.. ,. •; ....vrr :.. y: r%r v .... h: ♦... r..: r : . , . \!;:!? �.... :{..%r.r!: /.!ti//. / r. �:!n v4i?:::4:: , n•: •: ... ..........., .. V..♦.:......l:J.n .:...... �.v.:•.'.:'�ehY._...a.::YCk.\:...�..:dtv.,♦•\:\♦:..v:Y:.r!.:.::JJI.�:.:..::.�✓.�.s::�:e.s.Y ..♦R•.•.••.�._.. .vY: �{Yi:2i::?:.. ui.:._.._: .r...._... r...: ...._. OWNER: J '),,, LOCATION: CONTRACTOR: PREANSPECTION FOR: A'v PERMIT HISTORY: fklNONE [ ]AS FOLLOWS: TYPE OF OCCUPANCY: DATE: ,iM A.P.#: 7 D -- �-- ZONING: l/ % e' -.-e DATE TO INSPECTOR: BUILDING R SPECTOR'S REPORT ing Description: [ ] Commercial/Usage: [ J Residential/# of Units: Mobile Home: Yes[ ] No[ ] [ ] Currently Occupied. [ ] AbandonedNacant. 1 ic: [ ] Yes [ J No Electric is currently : [ ] On [ ] Off Condition of electrical? Natural [ ] Propane[ ] None[ J Currently On[ ] Off[ ] Obvious problems: :ation: Plumbing working Yes[ ] No[ ] Well: Yes[ ] No[ ] Potable water: Yes[ ] No[ ] Obvious Sewage Problems: n Recommended: [ Issue]Hold for: [ nspector: Date: May 1995 4.7 0 Vo OL4 VI 0 =' rn 0 d ri L e LL SP1 I -A r: 4- 0 Q - 'j Ij 0 C, LLJ APPROVED Butte County Environmental Health pate vi LILZ Signature AUG 2 9 2003 Chico, California A-S-S.F-S-SORS PA�RC-E\- Mvmbe y- 0440-a-90- 0(08 C c'701 C'm p T— ------------- ori �) 'I r\ Cl-\ s ccl\ -e_ ill 10' 40 -4- J ii C'm p T— ------------- ori �) 'I r\ Cl-\ s ccl\ -e_ ill 10' c— c) CoAv(:.r4- 7b Re-�Occo,,4-c— f U r 0 0 r^� s _ rf 'Sf t 7 • t- -I,q j •` it _ __ I • 1 or Kop,LI - \ e z 3 01 ao W d 4 n( 1 S orc.5 . / cy.�ren.r APPROVED X 1 atOR. c ►door ! Butte County f Environmental Health 1 ,+' Date /6 Lc./5 n Signature Environmental Health Ako AUG 2 9 2003 Chico, California SCALE: �' APPROVED MY: .. .... ....-- � �.. t GATE: I �H..YM+V•r yrxrMM.rVA1./RIrIV. rf••I.. ,. •r �._I.r iV!•MMMtIrYMf �YVIN.MrI•JrrMMMl.rw.yy,w..��.. � 7 ( / Neti.►.,/��� wi•�� 1' to. v -F4/0 )p Joe Ter"l_...a3��\ 1 j Jfl o 07- 57b d l�ro�osed SeP i,C 1o.t1,�, 4,x 9'- 1OOD'ai. . j all i s � !O' U PLANNING DMSI N - BUILDING Use: S Date:C d Parkin: Landscaping: V j-0�l^ y... P. vs LANDING AT EXTERIOR PROVAL 5 DOORS SHALL COMPLY 1 I t WITH CBC SECTIONS QroQsSc.� �S'tnG.� •�ar` � 'i 1003.3 & 1003.3.1.7 ' i P;tom I I i a.ci G uc•. C �.r 1 d i _ Go5 iF C�ncw�o�G OO G.x15371^1 UO56cvke j ' '���a.L�• w/ Q-00 Ar -,p -to oK\so-5crvG. Auv* ml v, is' dao �th� • l (A ,0 oto 5 -,y 4 - (� S'Ignature- .let I r*>I r r s v t -r f Ls � ..1� (finLn T }. t 1 rn O V j-0�l^ y... P. vs LANDING AT EXTERIOR PROVAL 5 DOORS SHALL COMPLY 1 I t WITH CBC SECTIONS QroQsSc.� �S'tnG.� •�ar` � 'i 1003.3 & 1003.3.1.7 ' i P;tom I I i a.ci G uc•. C �.r 1 d i _ Go5 iF C�ncw�o�G OO G.x15371^1 UO56cvke j ' '���a.L�• w/ Q-00 Ar -,p -to oK\so-5crvG. Auv* ml v, is' dao �th� • l (A 5 -,y 4 - .let r*>I c r s v � -r Ls T }. 1 W f It 0 fl 0 r 17 exis"�'�,noj 514 P444- C' h C. j,,,w > j • t ZL All materials at or below Base Flood Elevation shall be flood resistant. • liv.�,S SEE SECTION A -B OF —_ F•, I . F? , M . ELEVATION �t � REQUIRED AT FINAL INSPECTION CERTIFICATE FOR FLOOD Butte County Mobilehome/Manufactured O P E N I N G R E O U I R E M E NTS Home Acceptance Certificate. Form 513. Form to be completed by Field inspector. Health and Safety Code Section 18613 or18551(b) O ST•� � F 0 Py D BUILDING 1.S^�d� BU PERMITS D% -111 A dr% ®T D6 1 ..... _ ASSESSOR'S GIr L 1 r1 �- PARCEL# 0HI0_ 1qO - obe DIVISIM BUILDING - APPROVED PLANS AND C1>O� 117)\I , PERMIT SHALL BE ON SITE — FOR ALL INPECTIONS CALIFORNIA CODE OF ! ':FILE COPY REGULATIONS TITLE 25 --- REQUIREMENTS AS AMENDED THE 2001 CBC, CMC, CPC, BY THE JURISDICTION APPLY 2004 CEC, AND 2005 TO THIS PROJECT CALIFORNIA ENERGY STANDARDS AS AMENDED BY THE JURISDICTION APPLY TO THIS PROJECT. J S331A2I3S�r lKaNdVIN • ... • 4." �. ... .,,,tet. -. _- �.-._�-.__.____.. . ... 1 r i l I