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040-300-036
.9 EN 40-30-36 LEONA STROM 0064 Joneq-A:v?.,.-Durham Contr:*Jonco Permit#469=87E(ele--ser ch/SF) 040-300-036 94-11928,,E MLT, RON 10064 JONES ` AVE; -.,,-.DURHAM, NEW PRI DET GARAGE 040-300-036 05-2783 HOLT, RONNIE 10064 JONES AVE, DURHAM - Cont: JENNINGS ROOFING RE ROOF 64104. Q �7 � � .� � � BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: '(530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 PERMIT NO. BPO52783 LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under Issued Date: 10/10/2005 APN: 040-300.036-000 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.. C— J License Number: jp VV I Site Address: 10064 JONES AVE DUR License Class : Map Index: Date: 0 r (% Contractor: Description: re -roof 28 sq OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Owner: HOLT BONNIE D & BARBARA A JT Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of 10064 JONES AVE the Contractor's State License Law (Chapter 9 commencing with Section DURHAM, CA 7000) of Division 3 of the Business and Professions Code) or that he or 95938 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),): ❑ 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 (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an Applicant: JENNINGS ROOFING owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for 979 FLYING V STREET sale. If however, the building or improvements are sold within one CHICO, CA 95928 year of completion, the owner -builder will have the burden of 530-898-9388 proving that he or she did not build or improve for the purpose of sale.). ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, Contractor: JENNINGS ROOFING and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). 979 FLYING V STREET ❑ I am Exempt under Article 3 of the Business and Professions Code CHICO, CA 95928 530-898-9388 Date: owner: License M 798442 WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work. for which this permit Architect: is issued. 1 I have and will maintain workers' compensation insurance, as Engineer: required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier: t�C11 � Total Square Ft: 0 S. F. 00 Policy#:—oil Valuation: $0.00 ❑ 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 Census Code: become subject to the workers' compensation laws of California,4 and agree that if I should become subject to the workers' Code, I l I compensation provisions of Section 3700 of the Labor shall1 forthwith comply with those provisions. , I V U Date: !lo -10-0 Applicant: _ 2 h r\ s (-10 0 WARNING: Failure to workers' compensation coverage is ( unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY This permit is hereby' ued under I pl ble provisions of the Butte County Code and/or 1 hereby affirm that there is a construction lending agency for the Resolutions to do ork indicated,ab a for/Nhicp fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) BY:Date: ( Name: /�j 0' - z PERMIT EXPIRES ON: / Address: Date ❑ I hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the my authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any fficial form or document of Butte County. I hereby authorize representatives of Butte County to enter upon the above mentioned property for inspection purposes. P / Print Name: 41G.' L� h S Signature: Date: I Q — to —.Cl ❑ Owner Contractor 0 Agent for Owner 0 Agent for Contractor BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OF APPLICATION **PLEASE PRINT CLEARLY** OWNER Last Name / irst Name Address J(f, City r� U V, State e Zip Phone l-003 Fax E-mail CONTRACTOR Name s Address Address City r "r a City Statec 0}-- ZIpS)- ; 73 Phone Fax E-mail E-mail Lic. # Class APPLICANT NAME ARCHITECT/ENGINEER Name City Address Zip City Fax State Zip Phone Book Fax E-mail Planner State License Number APPLICANT NAME Name Wt hn��i Address City State Zip Phone Fax E-mail APPLICANT SIGNATURE X For office use on . Zoning Property Address Flood Zone Cross Street k-vl 14 SRA Yes No Occ. Type Const, Subdivision Name Map Book Page Lot # Planner Date Approved: PERMIT NO. BP o5 2 7 .3 BIN # LOCATION AP# D,l� 3oo 7 Property Address city Cross Street k-vl 14 WORK R'S COMPENSATION Policy Number olY3z1- U Carrier 5 j 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: �u* vvi CUc2r� Sq. Footage ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has n6t been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. ' OVER FOR SUBMITTAL REQUIREMENTS 11 KAFORMS\BJILDING FORMS\BldgApplSubRgmts.doc Page 1 of 2 Received by: Amount: Bldg Oil SRA Receipt #:� 0 Sheriff SMIP DatOther r�� � �� / Total REV 6-16-04 SUBMITTAL REQUIREMENTS The following drawings and specifications must be submitted to the Building Division in order to apply fora permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK. Residential, New, Remodels, Additions, and Accessory Structures: ❑ 1. 3 Site Plans, signed by the preparer. NO GRAPH PAPER! ❑ 2. 3 Complete sets of plans, signed by the preparer. NO GRAPHPAPER! OR 3 Sets Engineered plans (if required) with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 3. 2 Engineered truss details and layouts (if required) (NO FAXES!). ❑ 4. Letter from Engineer or Architect for truss design review. ❑ 5. 2 Energy compliance design and supporting documentation. (Note: Not required for additions to mobile or modular homes.) ❑ 6. 2 Flood Elevation Certificate, wet -stamped and signed (if required). ❑ 7. Detached Accessory Building Form, filled out by the property owner (if required). ❑ 8. Sanitation and site plan approval from the Environmental Health Department. ❑ 9. Metal Buildings: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate, (D) Floor plans in triplicate, All of these must be stamped and wet -signed by the engineer. Mobile, Manufactured, or Modular Homes: o 1. 3 Site Plans, signed by the preparer. NO GRAPHPAPER! ❑ 2. 2 Data sheets and installation instruction manual. ❑ 3. 2 Marriage line information. ❑ 4. 2 Floor plans. ❑ 5. 2 Engineered Tie Downs or Foundation plans. ❑ 6. Sanitation and site plan approval from the Environmental Health Department. ❑ 7. 2 Flood Elevation Certificate, wet -stamped and signed (if required). Commercial, New, Additions and Remodels: ❑ 1. 4 Site Plans, signed by the preparer. NO GRAPH PAPER! ❑ 2. 4 Engineered plans with wet signature on plans AND 2 sets of stamped and signed calculations, with code analysis. ❑ 3. 2 Engineered truss details and layouts (if required) (NO FAXES!). ❑ 4. Letter from. Engineer or Architect for truss design review. ❑ 5. 2 Energy compliance design and supporting documentation (if required). ❑ 6. 2 Flood Elevation Certificate, wet -stamped and signed (if required). ❑ . 7. Statement of Intent for Non -heated and A/C (if required). ❑ 8: Metal Buildings: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate, (D) Floor plans in triplicate, All of these must be stamped and wet -signed by the engineer. ❑ 9. Letter of intent. ❑ 10. Hazardous Material Form. ❑ 11. Sanitation and site plan approval from the Environmental Health Department. If you have questions or would like additional information regarding this process, contact a Permit Application Assistant at (530) 538-7541. OVER FOR BUILDING PERMIT APPLICATION KAFORMSWILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2 REV 6-16-04 42Utte OROVILLE, CALIFORNIA GENERAL CLAIM CLAIMANT: RON HOLT ADDRESS: 10064 JONES AVE CITY & STATE: DURHAM, CA 95938 IMPORTANT: SEE INSTRUCTIONS DATE OF CLAIM: 4 ON REVERSE SIDE SUBMIT CLAIM TO DEPARTMENT RECEIVING GOODS OR SERVICES DATE DESCRIPTION OF CLAIM (DESCRIBE FULLY TO AVOID DELAY) AMOUNT OWNER HAS CANCELLED PROJECT B.P.#94-1192 A.P.#040-300-036 RECEIPT # 162716, DATED 4/26/94, OWNER: RON HOLT) ............................... TOTAL AMOUNT PAID.. .$335.85 ' RETAIN REFUND PROCESSING FEE .......... $25.00 RETAIN B.P. FILING FEE................$20.00 RETAIN ELEC. PERMIT FILING FEE ......... $20.00 TOTAL AMOTINT TO RE RETAINED ----------- $69 -nn TOTAL $270. 85 I, the undersigned, declare under penalty of perjury that the services or articles claimed have been performed or delivered, and that this / claim is true and correct as stated. Dated this...�../. v...... day of ... V..... 19 q.z; at....`..w.......... Calif. .. .. .. ...................... Signature of Claimant I. the undersigned, hereby certify that, to the best of my knowledge, the services or a4clesed ove ee performed or de- livered and thatGLthere is a Budget Appropriation❑ or Specific Board Approval ❑ (CheckDated thiis.........V..................day or .....'JUNE. 1994at OROVILLE cau. ........... .. ......... .... .... ........... ad or Authorized D eputy /� /�/�tment Code Dept. Exp, ........ ................. . .....4..Q..Q.Q. . Code .......4 .1Q�QQ .....................PAYABLE FROM .....Y.Q17.Nh.+�N... .iY...P�'RMITS............................ FUND DO NOT WRITE BELOW THIS LINE — AUDITOR'S USE ONLY DEPT. & SUB. PROJ. SUB. OBJ. CLAIM NO. INV. NO. INV. DATE ENCUMB. GROSS AMT. i ySN�r� Received from 111 MENT SSUING RECEIPT The Sum of MR For CHECK - Title BY - LES FORMS AND MORE (916) 743.6523 WA � ^ , N i COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO. APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 040-300-036 ZONING a20 BUILDING PERMIT OWNER ron holt T"16039 SQ. FT. OCC. BUILDING VALUATION M 14,688.00 OWNER'S MAILING ADDRESS 17p{1pf9NII 10064 JONES AVE DURHAM, 95938816 YYIOLSOI11L44 CONTRACTOR'S NAME WNER TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER NONE UNKNOWN Total Valuation Is Filing Fee $ 20,00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER NONE LICENSE NO. Plan Checking Fee $ 105 30 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 10064 JONES AVE PERMIT FEE $ DURHAM, 95938 PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Each gas water heater or vent 15.00 USE OF STRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other _PVT PF.T GARAGE SPECIFY Gas piping system 1 5 outlets 15.00 Building sewer 15.00 Mobile Home S G I W @20.000 TYPE OF WORK New)b Addition ❑' Remodel C)Utilities ElInstallation ❑ Other ❑ Describe Work: (24' X 34') PERMIT FEE $ Contractor ELECTRICAL PERMIT Filing Fee 20.00 Main Service BOOV OR LESS ( 200A OR LESS I 23.00 Main Service ( 200A TO IOOOA ) 46.00 NEW OR ADDNS.CONST. ( D & ACCLLINGBLOS. IOCCUP. 3.5c F7°: 28.55 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one) O 1 am a licensed under provisions of Chapter 9, Division 3 of the Business and Code and my license is in full force and effect. ��(cense No. Classification Id" 1, as the owner, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. (Sec 7044) ❑ I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) ❑ 1 am exempt under Sec. Business and Professions Code forthis reason NEW CONST. MULTI -OUTLET -NON-RESID. ( BRANCH CIRCUITS I @7.50 ( POWER APPARATUS ) & SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) B20 @ L.00 L.Professions Ex. Occup.FIX ED APPLNS. OR (OUTLETS (RESID.) EA. I S.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): ❑ This permit is for $100.00 (valuation) or less. ❑ 1 have placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or a certificate of Consent to Self -insure. la I shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE S 48,55 Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all Butte County Ordinances and California State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in uenc of the granting of this permit. X Date G/— - CI C� Sig "lure of Applican caner ❑Contractor ❑Agent An OSHA perrTtit is required for excavations over 5"0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST. TYPE TOTAL FEE $ 89 HAZ- 1 D. FEES IMP FLOOD A CDF PARCEL PO 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 fees have been paid. By Date PERMIT EXPIRES ON (Date) Receipt No. 162716 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT "�'�'�YF'�`.c, .sd`bw+t��' ,!'�;,y ,�r� •,[c'�h;,r.•,?'1;2'+�r-�,t�r 1 � ,+� �•4:�`r.,:-., ra � n., r , ` ., by ' COUNTY OF BUTTE - DEPARTMENTtOF DEVELO&IfPMENT SERVICES -BUILDING DIVISION 7 County C�erlter Drive - Oroville, California 95965 -'Telephone (916) 538-7541 PERMIT NO. Y_ APPLICATION` AND PERMIT - ' �. ,nssESSOfl PARCEL NUMBER 040-300-036 ZONING .620- _ F BUILDING PERMIT OWNER1. OII holt`„ T44f %09 g0, FT, OCC. BUILDING VALUATION ' OWNER'SMAILING ADDRESS f I7p7RM 10064 JONES AVEDURHAM,95(M8 816 14,688.00 CONTRACTOR'S NAME' OWNER TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER MOUE ' 11 UNKNOWN Total Valuation S + LENDER'S MAILING ADDRESS - st Filing Fee $ 20+00 Permit Fee $ ARCHITECT OR ENGINEER '(NONE LICENSE NO. Plan Checking Fee S 105-30 Energy Plan Checking -Fee $ ARCHITECT OR ENGINEER'S MAILING,ADDRESS ` Penalty $ BUILDING ADDRESS 10064 JONES AVE �_ PERMIT FEE s 287.30 DURHAM, 95938 PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 1 1 .r Solar or heat pump water heater 23.00 Water piping 15.00 LOT N0. SUBDIVISION'S NAME } i PARCEL MAP Each gas water heater or vent 15.00 USE OF STRUCTURE SF ❑ Duplex ❑ ,Mobilehome ❑ Other PVT DET GARAGE SPECIFY Gas piping system 1 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20'00 TYPE OF WORK New] Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: (24' X 34') PERMIT FEE $ Contractor ELECTRICAL PERMIT Filing Fee 20.00 Main Service ( BOOV OR LESS ) 200A OR LESS 23.00 Main Service I 200A TO 1000A ) 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. I a ACC. BLDS. ) S0. 3.5C FT, CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one) ❑ 1 am a licensed underrovisions of Chapter 9, Division 3 of the Business and P P Professions Code and my license is in full force and effect. �/�(cense No. Classification 1/ I, as the owner, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. (Sec 7044) ❑ I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) O 1 am exempt under Sec. Business and Professions Code forthis reason NEW CONST. MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS ) @7.50 I POWER APPARATUS ) & SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) 20 @ 1.00 BAL. .50 Ex. Occup.FIXED APPLNS.OR (OUTLETS (RESID.) EA. ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): ❑ This permit is for $100.00 (valuation) or less. ❑ 1 have placed on file with,the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or a Vertificate of Consent to Self -insure. I shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ 48,55 Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling ,. Hood �/ 6.50 Ventilation PERMIT TEE" /$ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all Butte County Ordinances and California State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in co, quenc of the granting of this permit. // �/ X Date L�— Z6 — � 7 Sig ure of Applicant caner ❑ Contractor C1 Agent An OSHA permit is required for excavations over 5"0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ ocC CONST. TYPE TOTAL FEE $ 335.85 HAZ. I D. FEES IMP �� I FLOOD A I CDF PARCEL I PD I 7D7 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 PERMITEXPIRESON /Date/ Receipt NO. 162716 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT 71, 7 ° i's1%y .^ /. ._ *� 7".D•JF,•l^ , gym...^ y�5Fi�:.,..T ?y "� k .,,A -COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO. APPLICATION AND PERMIT f // ASSESSOR PARCEL NUMBER 040-300-036 V 40 30 036 ZONING a20 BUILDING PERMIT OWNER - iYon holt AI h 26039 SQ. FT. OCC. BUILDING VALUATION 816 M 14 688.00 OWNER'S MAILING ADDRESS . lomm 10064 JONES AVE DURHAM,95%38 CONTRACTOR'S NAME QMR TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER NONE �1jfj UNXNOWN Total Valuation $ Filing Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER �NONE LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 10064 JONES AVE F PERMIT FEE S 287.30 DURHAM, 95938 PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Each gas water heater or vent 15.00 USE OF STRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other PVT DET GARAGE SPECIFY Gas piping system 1 5 outlets 15.00 Building sewer 15.00 Mobile Home S G I W @20.00 TYPE OF WORK New'Q Addition El ❑ Utilities ClInstallation ❑ Other ❑ Describe Work: (241 $ 34#) PERMIT FEE $ Contractor ELECTRICAL PERMIT Filing Fee 20.00 Main Service ( BOOV OR LESS ) 200A OR LESS 23.00 Main Service ( 200A TO 1000A ) 46.00 NEW CONST. DWELLING OCCUP. OR ADONS. ( d ACC. BLOS. ) SO.28.5.5 3.5C FT. CONTRACTORS LICENSE LAW( I declare under penalty of perjury (check one) ❑ I am a licensed under provisions of Chapter 9, Division 3 of the Business and Professions Code and my license is in full force and effect. cense No. Classification f� I, as the owner, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. (Sec 7044) ❑ I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) ❑ I am exempt under Sec. Business and Professions Code forthis reason NEW CONST. MULTI -OUTLET NON.RESID. ( BRANCH CIRCUITS ) @7.50 POWER APPARATUS ) & SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) B20 @ 1.50 Ex. Occup' ( FIXED APPLNS. OR OF (RESID.) EA. ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): ❑ This permit is for $100.00 (valuation) or less. ❑ 1 have placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or a certificate of Consent to Self -insure. i I Shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ 48.55 Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all Butte County Ordinances and California State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in cortsequenc of the granting of this permit. �1_. ZCl �� X Date a( 1v -t y Signature of Applicant-L�"Owner O Contractor O Agent An OSHA permit is required for excavations over 5"0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee S occ CONST. TYPE TOTAL FEE $ 335.85 I I HAZ. D. FEES I IMP - I FLOOD A I CDF PARCEL I PD I 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 fees have been paid. By —Date— ateReceipt PERMIT EXPIRES ON (fete) ReceiptNo. 162716 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO. APPLICATION AND PERMITw fl 7 ASSESSOR PARCEL NUMBER 040 1VID 0% ZONING 820 BUILDING PERMIT OWNER ton holt~ #WZW39 SQ. FT. OCC. BUILDING VALUATION 816 M 14 688.00 OWNER'S MAILING ADDRESS INUM 10464 JOKM AVE WMAHt95938 CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER 1�V1�Li NONE UNKNOWN Total Valuation $ Filing Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ 162, ARCHITECT OR ENGINEER y K0 ucEN$E NO. Plan Checking Fee $ 105 .y Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 10064 JONES AVE PERMIT FEE $ 287.30 DURHAM, 95938 PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15,00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Each gas water heater or vent 15.00 USE OF STRUCTURE SF ❑ Duplex C3 Mobilehome ❑ Other PVT DET GARAGE SPECIFY Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W 20.00 TYPE OF WORK Newya Addition ElRemodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: (24' R 34' ) PERMIT FEE $ Contractor ELECTRICAL PERMIT Filing Fee 20.00 R LESS Main Service ( '(v O ) 200A OR LESS 23.00 Main Service ( 200A TO 1000A ) 46.00 NEW CONST. DWELLING OCCUP.$O, OR ADDNS. ( & ACC. BLOS. ) J 3.50 FT, CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one) ❑ I am a licensed under provisions of Chapter 9, Division 3 of the Business and Professions Code and my license is in full force and effect. cense No. Classification W I, as the owner, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. (Sec 7044) ❑ I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) ❑ lam exempt under Sec. Business and Professions Code forthis reason NON.NEW CONST. MULTI -OUTLET BRANCH CIRCUITS ) @7.50 ( POWER APPARATUS ) a SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES I BAL. @ 1.50 Ex. Occup.FIXED APPLNS. OR (OUTLETS (RESID.) EA. I 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): ❑ This permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -insure. 1YZl shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ • Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all Butte County Ordinances and California State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequenlc'e 'of the granting of this permit. X t .*>[.�t/' Date Zl- 76 - x%01 Signature of Applicarit-O'Owner O Contractor ❑ Agent An OSHA permit is required for excavations over 5"0" deep and demolition, or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ ocC CONST. TYPE TOTAL FEE $ 335.85 HAZ- I D. FEES I IMP .0 ' f)_OOD CDF PARCEL PO ""'�- 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 fees have been paid. By Date PERMIT EXPIRES ON (Date) 162716 Receipt No. WHITE-D.D.S.-B.O. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT GOUNT,YOF BUTTE - DEPARTMENTOF DEVELOPMENT SERVICES -BUILDING DIVISION 7COUNTYCENTER DRIVE - OROVILLE, CALIFORNIA 95965 -TELEPHONE (916) 538-7541 OWNER / 1 Proposed Building Use PERMIT APPLICATION DATA SHEET A. N Building Inspector Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY *2. . All items ha a been submitted . ......................................... Plotplans/4 sets, signed by preparer of plans . .......................... . Complete plans®/4 sets, signed b , ree e o pis ...................... Engineered plans and calcs, sets, with wet signature on plans . ............. . Hazardous Material Form. ........, ..... . 6. Energy Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non -Heated and A/C Buildings . ...................... 8. Engineered truss details and layout in duplicate (required prior to plan check). .... 9. Mobilehome data and manufacturer's installation instructions, 2 sets. ........... 10. Fees of $....................................... . 11. Impact fees as shown on attached schedule. ............................. . 12. California Department of Forestry plan approval/fees. ...... . Flood elevation letter (100 year floo py California Engineer. .. . 1 Sanitation and plot plan approval l'I CO Health Department. ....... City of Chico plumbing permit ................................... . 16. Plot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B) Parking: . ........ 18. Contact Land Development about (A) Improvements (B) Drainage. .......... . 19. Driveway permit (construction approval required prior to occupancy). .. .. . uest 20. Pre -inspection for required. .. ;e�.1d gInspedo (Date) 21. Contractor's license information. (No., Name Style, Classification) . ............... 22. Certificate of Workmans Compensation Insurance . ........ .................. . 23. Owner -Builder Verification (Given to owner , Mail to owner _ )............ 24. Recorded copy of Agricultural Acknowledgement Statement . .................. 25. Letter of signature authorization . ........................................ 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. ..... 27. Letter of intent on building use . ......................................... 28. Mobilehome utility clearance . .................. 29. Documentation of legal access . ....................................... . 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits . ...................................... 32. Plan check list . ..................................................... 33. -34. When you issue the p mit, process as follows: Mail t -owner. Mail to contractor. Telephone pg - ro (and hold for pickup at ro office. Deliver with inspector. Other Parcel Creation 1 1/ ZG Acreage Applicant / Date `7 T y Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior to per �n .t i suance: (Circle new item it checked above . 1. Index permit for above items No. 14 , NE�� 2. Additional items required: Contractor, designer, owner, was advised of above required data by no mail Counter by4 /D to Contractor, designer, owner, was advised of above required data by pS mail Counter by to Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works COUNTY OF BUTTE Department of Development Services Building Division Oroville: 7 County Center Dr., Oroville CA 95965 Ph: 916-538-7541 Chico: 1469 Humboldt Rd., Chico CA 95928 Ph: 916-891-2751 OWNER -BUILDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) 2. I (have/have nowt) signed an application for a building permit for the proposed work. 3. 1 have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone 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. 1 will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work Signed: Property Owner l Social Security Number , Date 41 6 NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. ' This verification must be completed and returned to our office before we are permitted to issue the permit. COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO. APPLICATION AND PERMIT ASSESSOR P NUMB _ D / ZONING BUILDING PERMIT OWNER` "E SQ. FT. OCC. BUILDING VALUATION OWNFf'$MQIL1tiG ORES n e - `(r ka w (?� ( V CONITRACTC/0OWSSONAME I TELEPHONE CONTRACTOR'S MAILING ADDRESS CONS U TION LENOER in t- UENDER'S MAILING AOORL:SS ARCHI ORENGINEER O n e --- ARCHITECT OR ENGINEER'S MAILING ADDRESS LOT NO. I SLEDIVISION'S NAME USE OF STRUXf E )> SF ❑ Duplex ❑ Mobilehome ❑ Other I✓� TYPE OF WORK Fireplace UNKNOWN Total Valuation $ Fling Fee $ 20.00 Permit Fee $ LICENSE NO. Plan Checking Fee $ Q Energy Plan Checking Fee $ Penalty $ I PERMIT FEE $ .2 on PARCEL MAP New X Addition ❑ Remodel ❑ Utilities ❑ Installati n ❑ Other ❑ r� Describe Work: rgl4 X 3 J- CONTRACTORSLICENSE LAW I declare under penalty of perjury (check one) ❑ 1 am a licensed under provisions of Chapter 9, Division 3 of the Business and Professions Code and my license is in full force and effect. License Na. Classification ❑ I, as the owner, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. (Sec 7044) ❑ I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) O 1 am exempt under Sec. Business and Professions Code forthis reason WORKER'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ This permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -insure. ❑ I shall not.employ any person in any manner so as to become subject to the Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. I certify that I have read this application and state that the above information is correct. I agree to comply to all Butte County Ordinances and California 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. l also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judp.ments, costs, and expenses which may in any way accrue egainst said County in corsequence of the granting of this permit. COUNTY OF 130110 BUILDING DEPT X Date r r Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent 4 U 10J'Y An OSHA permit is required for excavations over 5"0" deep and demolition or construction of structures over 3 stories in height. Receipt No. I (Q a ! l LO WHITE-D.D.S.-S.D. CANARY -ASSESSOR PINK - PLUMBING PERMIT Filing Fee 20.00 1 Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 I Building sewer 15.00 I Mobile Home S G I W @20.00 SO. 3.5C FT. NEW CONST. NON•RESID. PERMIT FEE PERMIT FEE $ Contractor ELECTRICAL PERMIT Fling Fee 20.00 Main Service ( 9001 OR LESS ) 200A OR LESS 23.00 Main Service ( 200A TO IOOOA ) 46.00 NEW CONST. OR ADDNS. DWELLING OCCUP. ( SO. 3.5C FT. NEW CONST. NON•RESID. MULTI.OUTLET ( BRANCH CIRCUITS ) @7.50 (POWER APPARATUS 1 6 SINGLE OUTLET CIR. I $ Ex. Occup. ( OUTLET OR FIXTURES ) 20 @ •50 BAL. 50 EX. Occup. FIXED APPLNS. OR ( OUTLETS IRESID.1 EA. ) S.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring CONST. TYPE 23.00 PERMIT FEE $ 1&, ss: Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Contractor Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST. TYPE TOTAL FEE $ 3�3s�S HA2. 1 D. FEES I IMP I FLOQp I COF I PARCEL I PO I NO I 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 fees have been paid. By CANT I PERMITEXPIRESON Date COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES BUILDING DIVISION NOTICE Post this job card In a safe conspicuous place. Do not remove until all required Inspections are made and building Is aecroved for occupancy. Plans must be available on job site. 040-300-036 94-1192B,E HOLT, RON 10064 JONES AVE., DURHAM NE[d PRI DET GARAGE Permit No. upires PERMITTEE MUST CALL FOR INSPECTIONS INSPECTION DATE INSPECTOR Footings rouna con unaertloor Plumbing Underfloor Electrical Underfloor Mechanical Underfloor Framing Slab Do Not Install Floor or Slab Until Above Signed Rough Plumbing Rough Electrical Rough Mechanical Insulation Shower Pan Do Not Cover Until Above Signed Fireplace Footing Fireplace Throat Do Not Continue Fire lace Until Above Signed Stucco Lath Scratch and Brown Do Not Cover Until Above Signed Sewer Service Water Service Plumbing Final Electrical Final Mechanical Fin Buildina or M.I DO NOT OCCUPY UNTIL ALL THE ABOVE IS SIGNED AND THE BUILDING OR MOBILEHOME IS APPROVED FOR OCCUPANCY Info (24 -Hr Insp ) Oroville 7 County Center Dr. 538-7541 (538-7636) Chico 1469 Humbolt Rd. 891-2751 (891-2751 ) Paradise 747 Elliott Rd. 872-6307 (872-6307) Revised 12/93 R i 040-300-03.6 94-1192B,E HOLT, RON { 10064 JONES AVE., DURHAM ' NEW PRI DET GARAGE. r --. 94-1192B E 040-300-036 KOLT , RON AVE . , DURKAI 10064 JONES --� J GARAGE NEV PRI DET ��_ Er Dear.Property Owner: 1;utte count LAND OF NATURAL WEALTH AND BEAUTY BUILDING -DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965-3397 ' TELEPHONE: (916) 538-7541 FAX: 4916) 538.2140 We have issued a permit to construct a new building, an addition, or to do remodeling on your property. This.letter is -to inform.you we have approved the building plans submitted for. conformance with code requirements. We will only inspect the construction for conformance with code requirements. It is your responsibility to see that the building conforms to your plans and expectations. Should you have any questions concerning this letter or any other matter pertaining to the construction, please do not hesitate to contact this office. Yours very truly, Michael C. Vieira, C.B.O. MCV:ahb Manager, Building Inspection RE:` Attached Building Permit Dear Permittee: 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965-3397 TELEPHONE: (916) 538-7541 FAX: (916) 538-2140 BEAUTY Attached is your building permit along with the approved set of plans and a job card. Please post the job card on the job site in a conspicuous location for the inspector to sign during the various phases of construction, and also have the approved set of plans on the site at all times. Inspections will not be made if the job card and approved plans are not on the job at the time of inspection. Please review the approved set of plans before construction and make note of any corrections made in red. If any of these notes or corrections are not clear to you, please contact this office - do not proceed with the work without making the correction. The job card must be signed by the inspector before proceeding with each item listed. Should he not sign the card, a white correction notice will list the corrections to be made and a call back inspection must be made before going any further. Please allow 24 hours for inspection service. As a reminder to you, it is illegal to occupy this building or portion of building for which this permit is issued without approval from this office. On certain occasions a temporary occupancy will be permitted. Please do not confuse gas or electrical service to the building as an occupancy clearance. Before occupancy, all of the "final items" listed on the job card must be signed by the inspector or special permission given. Your permit expires one year from date of issuance. If the work has started, but is not completed and finaled by the expiration date, a renewal permit is required. If the renewal application has not been made within 30 days of the original permit expiration date, or if the Work has not commenced, a new permit application and fees will be required. VWn completion of the work covered by this permit, please contact this office for final inspection. Should you have any questions concerning this letter or any other matter pertaining to building construction, please do not hesitate to contact this office. Micliael C. Vieira, C.B.O. MCV:ahb Manager, Building Inspection Attachments RESIDENTIAL 040-300-036 94-1192B,E HOLT, RON 10064 JONES AVE. DURHAM NEW PRI DET GARAGE JOB FINALED (Date) Signature V=OK O = Not OK -=Not Applicable RESIDENTIAL = Not Ready Date/Initials UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ P' Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Pienums & Ducts; Clearance -Materiel -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Access -& Ventilation 16, Insulation Date/Initials PLUMBING (Permit) OK except #'s 16. Water Htr.; Vent -Access -Combustion Air -Baffle 17. Water Pipe; Test & Anchor -Nail Protection 18. D.W.V.; Test -Fittings & Anchor-Naii Protection 19. Shower Pan; Test, First Floor -Tub Access 20. Test Tub & Shower, Second Floor -Tub Access 21. Gas Pipe; Size & Anchors Date/initials ELECTRICAL (Permit) OK except #'s 22. Fixture & Transformer Clearance -Ins. Protection 23. Elec. Receptacles Spacing -Lights & Switches at Doors 24. Size Boxes & No. of Conductors -Stapled - 25. Romex Installed Close to Edge of Studs & C.J. 26. Equip. Ground made up w/Mach. Fastners-Bond Gas & Water 27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral ❑ Yes ❑ No 30. Service -Riser Conductors & Ground -Main Disconnect 31. Equip. Clearances Panels -Motors -Mach. Equip. 32. Clothes Closet Light -Shower Light -Spa Light 33. Smoke Detector Date/Initials MECHANICAL (Permit) OK except #'s 34. A.C. Ducts Insulation & Support 35. Vent Fan; Exhaust above insulation 36. Condensate Drain & Overflow; Size & Grade 37. Furnance-Vent; Access -Comb. Air -Return Air Vent -115 outlet 38. Attic Access & Platform if Furnance in Attic Date/Initials FRAMING (Plans) OK except #'s 39. Sils, Proper Material & Anchors 40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound 41. Bearing Walls over Girders & Floor Nailing 42. Draft Stop in Wells (rat proof) 43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 44. Headers & Beam -Size & Bearing Single & Duplex) Date/Initials FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connectors 46. Cing. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Rfng. 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 50. Garage Fire Protection Framing 51. Property Line Firewall & Openings 52. Ext. Doors -One T -Check Garage -3rd Story, 2 Exits 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers 55. Siding -Nailing Veneer 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 57. Glazing Area -Glass Protection -Skylights -Plastic 58. Shear Wells; Nailing -Bolts 59. Insulation -Walls -Ceilings 60. Infiltration -Walls -Windows Date/Initials FINAL (Plans) OK except #'s 61. Ext. Steps -Door & Sidelight Protection -Landings 62. Smoke Detector 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Mach. Protection 64. Bedroom Exiting 65. G.F.I. & Bath Fixtures & Tub Access -Spa 66. Elec. Trim & Subpanel; Breaker Sizes & Labels 67. Stairs & Rails 68. Fireplace or Stove; Clearances -Hearth 69. Elec. Outlets at Wood Panel; Int. & Ext. 70. Kit.Fixt. & Appliance; Grnd: Air Gap -Cooking Clearance 71. Elec. Outlets & Receptacles at Kit. Counter 72. Garage Fire Door; Swing -Landing -Closer 73. A.C. Duct in Garage -Damper 74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage; Above Floor -Mach. Protection 75. Plb., Elec. & Mach. Equip. Listed for Location 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protection 77. Insulation -Foam -Looked in Attic ❑ Yes 78. Guard Rails & Deck Construction -Post Caps 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 80. Following instld.; Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No, Planters ❑ Yes ❑ No 81. Stucco; Brown -Finish 82. A.C. Unit; Disconnect, Electrical, Plumbing 83. Vents Above Roof; Plbg.-Appliance-Fireplace.-Clearance to Openings 84. Water Well; Disconnect, Electrical, Plumbing 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground 86. Ventilation Throughout House 87. Glass Protection 88. Corrections from Previous Inspections 89. Gas Test -Meters Tagged; Gas -Electric 90. Water & Sewer Connected -C/O to Grade -HD Approval 91. Energy Compliance Certificate -Other Certificates Comments at Flnal: V=OK O=Not OK ' - =NotReadyApplicable MOBILE HOMES =Not Ready Date/Initials MOBILE HOME UTILITIES (Plans) OK except #'a 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Teat -Fall -C/O Concrete 4. Water; Location -Teat -Easement Needed (Sketch) 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap: / /" L"ft. / /"Nat. or/ P'L"It./ /"LPG 7. Well Clearance & Disconnect & Utility Clearance Date/Initials MOBILE HOME INSTALLATION (Plans) OK except #'a 1. Zoning Requirements -Setbacks Easements 2 Footings; Size -Spacing -Marriage Line 3.. Gas; MH Teat -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Tat -Fall -Flex Connector 6. Water; MH Tat -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade41D Approval 6. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 10. Cert. of Occupancy MISCELLANEOUS Date/Initial DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except 4'a 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Seams-Rftm.-Connectors Shthg: Rfg: Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Truases 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date/Initials POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Mein In Conduit 9. Health Department Approval 10. Plumb.; Cir. Tat -Water Supply Tat 05115/1994 13:24 915-342-3372 OACHMAN & ASSOCIATES PAGE 02 May 4, 1994 COUNTY OF BUTTE Department of Building #7 County Center Drive Oroville, CA. 95965 RE: RON HOLT PROPERTY Flood Plain Elevation APN 40-30-36 Job No. 94-028 ATTN: Mike Vierra Dear Dave: ix.i. BACHMAN ASSOCIATES REVISED LETTER 5/16/94 At the request of Ron Holt, this office performed a topographical survey of the subject property located on Jones Avenue in Durham, California. The survey was based upon Benchmark #16 of U.S.G.S. datum, which is located at Jones Avenue and the Midway... Said benchmark has an elevation of . 184.62. Based on the survey data and the review of the current FEMA maps for the subject area, it is my opinion that the proposed storage shed should be constructed to have the top of the stemwall at elevation 179.50 to be above the 100 -year flood level for the area. In our opinion, the flood level in this area is 179.40. A paint spot has been placed on the curb of the existing dog run. The paint spot is at elevation 178.84. Therefore, the height of the stemwall should be 8 inches above the referenced mark. If I can answer any further questions at this time, please do not hesitate to let me know. Very truly yours, C. W. BACHMAN CWB: jb ENGINEERING SURVEYING OQRpFESS/py9 �'�� � ErP• Gam, g No. 16803 � r CIVI1- \FOF CAL, 0 PLANNING 0 DESIGNING May 4, 1994 COUNTY OF BUTTE Department of Building #7 County Center Drive Oroville, CA. 95965 RE: RON HOLT PROPERTY Flood Plain Elevation APN 40-30-36 Job No. 94-028 ATTN: Mike Vierra Dear Dave: 10.1 * - BACHMAN ASSOCIATES REVISED LETTER 5/16/94 At the request of Ron Holt, this office performed a topographical survey of the subject property located on Jones Avenue in Durham, California. The survey was based upon Benchmark #16 of U.S.G.S. datum, which is located at Jones Avenue and the Midway. Said benchmark has an elevation of 184.62. Based on the --survey data and the review of the current FEMA maps for the subject area, it is my opinion that the proposed storage shed should be constructed to have the top of the stemwall at elevation 179.50 to be above the 100 -year flood level for the area. In our opinion, the flood level in this area is 179.40. A paint spot has been placed on the curb of the existing dog run. The paint spot is at elevation 178.84. Therefore, the. height of the stemwall should be 8 " inches above -the referenced mark. If I can answer any further questions at this time, please do not hesitate to let me know. Very truly yours, @�Q1FESS/O,�4` Exp. 6-30.97 C. W. BACHMAN i t NO. 1 i LIU" 68G3 r M y o CIVOL F OF CA0 ENGINEERING SURVEYING PLANNING DESIGNING 3012 The Esplanade, Chico, California 95926 Telephone: (916) 342-4136 OFFICE COPY Address GAS Meter By Date - ELECT 111C ateELECTRIC Meter By Date417 LG')� t s COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS ` - 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT NO. / ASSESSOR PARCEL NUMBER _410 ;; r — (� ZONING 5— .4-5- BUILDING PERMIT OWNER L,711 "' TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS CONTRACTOR'SNAM - \. (l tj 1 TELEPHONE til I - +_•lin CONTRACTOR'S MAILING ADDRESS � : ) t I ;/ Li r. a ;.•' . f-1 Fireplace CONSTRUCTION LENDER .-\J//) UNKNOWN UNKNOWN Total Valuation $ g Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER pi!�� LICENSE NO. Plan Checking Fee ,$' Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS APermit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 n 4 r - Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5,00 Each qas water heater or vent 5,00 USE OF STRUCTURE SF R Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home I S I G I W 10.00 ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities [I Installation ❑ Other ❑ Describe work: c a — �, Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 00V OR Main service 100 AMP ORSLESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): r9 I am licensed under provisions of Chapt. 9, Div. 3 of the BuslnesS and Professions Code and my license Is In full force and effect. License No. Classification Fl1, I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.& , OR ACDNS. ACC. BLDGS. 2/zQsgft NEW CONST R.UTLET 2,50 ea NON.R ESID BRANCH CIRC ITS POWER APPARATUS &) (SINGLE OUTLET CIR. / Ex. Occup(OUTLETS OR FIXTURES 200501 e ALO 30 Occup. ou LETS IED PLNS RESID )REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring g 15.00 Pyre Permit Fee $ •-a WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: if after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling g Hood 3,00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. %� - - Date /I 1 i / Signature of Applicant — Owner ❑ Contractor Q Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE occu CONST*TYPEJ I IFLOODIPARCELI PD ND I ISSUE ,�- This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC By ��-^ ''� �' PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Datef " j� ,' �• eceipt No. 7-70-70 7 NITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT F COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville. California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 3 v- 3 6 ZONING A s' BUILDING PERMIT OWNER TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNE 'S MAILING! ADDRESS CONTRACTOR'S NAM TELEPHONE I- c, CONTRACTOR'S MAILING ADDRESS r (� �,—,r -u " y Fireplace CONSTRUCTION LENDER N UNKNOWN Total Valuation Is Filing Fee $ 10.00 LENDER'S. AILING ADDRESS Permit Fee $ ARCHITECT R E.YGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITEC OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING A �n[�Cn , ' Jam' `f �..z Permit fee $ PLUMBING PERMIT Filing Fee 10.00 - Each Trap 2.00 f•l Y Le-11Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SFR Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home I S I G JWJ 10.0-00 ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work: % �E' i s�.,-' �t c.t� �cr.,� - _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 . Main service e00V OR LESS 100 AMP OR LESS •10.00 /Ll, Main service EA. ADD'L 100 AMP 2.50 , S (• CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. Licenser No.O-b- 44q'73-tL Classification 0--/0 b►' 1, as t; -ie 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 thin reason NEW CONST. ( DWELLING OCCUP..\ OR ADDNS. ACC. BLDGS. I +h2sgft NEW CONSTFL MULTI.CUTLET NON.RESID BRANCH CIRC ITS 2,50 ea POWER APPARATUS 6 (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 200501 eAL030 FIXED APPLNS. OR Ex. Occup. OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ , Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have- placed on file with the County of Butte Building Department a Certificate of Workmen's Compensatioh Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: it after making this statement, should you become subject to the W. C. previsions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. Igree to save, indemnify and keep harmless the County of Butte against al liabl 'ties, judgments, s, and expenses which may in any way accrue e of the rantin of this perm' Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ j —0 Occup. CONST.TYPE IFLOODIPARCELI PD NO ISSUE ager st s d my Inc quenc to to � Date 2 Z7 lq-7 Signatu of App: ant Owner ❑ Contractors Agent ❑ An OSHA perm is required for excavations over 5' deep and demolition or construct- ion of structures over 3 stories in height. Receipt No. CIO 7 WNIL -D.P.W.. TEII.LOW-ASat!150R, r'' 143PECTOR, GOLDENROD -APPLICANT This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Date PERMIT EXPIRES Date 5-4 (-, o fe't COUNTY OF BUTTE ' - DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 534-4541 Skyway and Elliott Road, Paradise— Phone: 872-2961, Ext. 57 CORRECTION NOTICE OWNER PERMIT NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation,please contact this office immediately. ]` j lece55C CU � 2 7 rl7 Inspector � Date ' COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT -� . t. I��il♦ ASSES 0 PA'R SEL NUMBER �(!J, — 3 G ZONINi J BUILDING E IT OWNER- TELEPHOSNE SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 5 CONTRACTOR'S NA ME ,TON cc TELEPHONE CONTRACTOR'S M-ILING ADDRESS Q Fireplace CONSTRUCTIDN LENDER UNKNOWN Total Valuation Is Filing Fee $ 10.00 LENDER'S AILING ADDRESS Permit Fee $ ARCHITECT QR ENGINEER R LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITEC ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS S v'2. Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 wr Solar or heat pump water heater 20.00 LOT NO. SUBDgVISION NAME PARCEL MAP Water piping 5,00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF NL Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home I S I G JW 1 10.00 ea TYPE OF WORK New ❑ Additioi ❑ Remodel ❑ Uti lities ❑ Installation ❑ Other ❑ Describe work: _ ��y� S�+tet a2 G -Z -Awls>_. Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 AMP OR00V OR LESS10.00 /0,00 Main service EA. ADD'L 100 AMP 2.50 .S-0 CONTRACTORS LICENSE LAW I declare under pe-ialty of perjury (check one): I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license Is In full force and effect. License Vo. -/b- ?15 Classification 0--/ / ❑ 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 r=ason NEW CONST. DWELLING OCCUP.p 21/2 New CONSTR.� A ) h2sgft ULTI OUTLET NO N.RESID BRANCH CRC"2.50 ea POWER APPARATUS &) SINGLE OUTLET CIR, I Ex. Occup�OUTLETS OR FIXTURES 20®40Q eAL030 FIXED APPLNS. Ex. Occup. OUTLETS (RESID )REAJ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 9 15.00 r7-- -w /6- 0 b Permit Fee $ '37-S-111 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building constr-fiction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I gree to save, indemnify and keep harmless the County of Butte against al liab( 'ties, judgments, s, and expenses which may in any way accrue aga st s 'd rrty in c quence of the granting of this perm' . X Date Z I Signatu o�App ont Owner❑ Contractor [yAgent❑ An OSHA prequired for excavations over 5'0 ' deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ 2? -2 170 OCCUP. CONST.TYPrJ JFLOOOJPARCELJ T,o ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC BY PAM IT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS DateZ���"b'% Receipt No. 77:2907 WHITE -D. P. W., YELLOW -AS 8[940 R, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF.PUBLJ'c WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, C4h11FPRA; IA 95965 - TELEPHONE: 916/5541 PERMIT APPLICATION DATA SHEET Permit No. OWNER Ze.�w� Ste,- ' A. P. No. _-�/U Proposed Building Use �� c Building Inspector 1112 Date At time of permit application, I was advised the following data must be submitted prior to permit processing and:/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted. . . . . . . . . . . . 2. Plot plans in duplicate. /triplicate, signed by preparer of plans, , 3. Complete plans in duplicate. /triplicate, signed by preparer of plans. 4. Complete engineered plans and calcs, with wet signature on plans. t 5. Plans with Energy Design Compliance Statement. 6. CUSD "Fees Paid" Stamp on Floor Plan . . . . . . . . 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ , , , , • • • 9. Letter of signature authorization. . . . . . . . . . . 10. Sanitation approval from Health Dept. . . 11, Planning approval for (A) Use: (B) Parking: . 12. Certificate of Workmen's Compensation Insurance. . . . . . 13. Contractor's License Information (no., name style, classif.) , 14. Owner -Builder Verification (Given to owner[], Mail to owner ❑ ). _15. Improvements may be required. . . . . , . , . , , , 16 Mobi lehome Installation Data. • Pre-Inspec. request to 1a-- 7. Pre -Inspection for/e�� s L . Required, Building Inspector (Date) 18. Recorded copy of Agricultural Acknowledgment Statement. 23F a7 19. Driveway Permit. 20. Plot plan approval from city of 21. 22. When you issue the permit, process as follows: Mail to owner, Mat' to contractor. Telephone and hold for pickup at—off ice, Deliver w/inspector.. Copy of plans sent Health Dept., Fire Dept., Other Date The following data must be submitted prior to permit issuance: (Circle new item not checked above). Index permit for above items, No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by_phoneJnail_counter by date Contractor, designer, owner, was advised of above required data by—phone ./ mail counter by date Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy—DPW — Hours: 10:00 a.m. - 3:00 p.m. TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance F_t(. USE ONLY Plot flu Auackod V Floor Mas Aumcka Sent to S.D. V Owner Location AP# Plan Approved for: Sewage Disposal Water Supply Hold final for: Water Supply Final clearance 0. K. for: Water Supply Clearance for bedroom mobile home. Other z)O�Aj afw Ql- NOTE: ©"o Enviknmental Health Specialist I Bye 19 . ' • CoiVG. .'(�,�`•��,�5! pEr�cE .� (E�•;t1t�lG�1��:oc:NE� co+�is?w�' . � '' �'' •t»IK ►zQ/zoo 't • • � ..._ - _ • �'.� , . ` .. � ` �: - . �f aQ_�"�r!'+r+F•_'�►u -i• � ° moi.► Ld 10 77 �_ �•��.. ... �� .=20.0 _ � • _ - . •. �. � ; � I" , "' �, - I 4-1`1111 .1 I ', , , - - r , . I � . - - — - - - - - - - -- - r - -- - -,--- - , r � � ------------- - I - - --- � . ----- � .11 - - -- '---' '- - - --- - r � -1 � _ _ _ . . � - � . - - r r - I- - r I � - r . I I r . - I - � --- --- , — . I .- - - - ---- I- ---- - - - - -- -- � � - ---------- - - - , - - � , - , � I . - —1 - - - - -- -- 1. - I - r r - - - - - --- j T .�� � - --mi , I <�,� - - I . I - - - - -- - - - I , - - I i I"",; --.T,7L % - -. - - - r . i" I 11. ; - 11 . I r . 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