HomeMy WebLinkAbout040-580-035I
J
B07-0482 040-580-035
MISCELLANEOUS Private Pool
NEW SWIMMING POOL
1775 ALMOND VIEW CT
MELCON, KATHRYN A
B07-0998 040-580-035
MISCELLANEOUS Private Garage/Shop
DETACHED 2 STORY GARAGE (624)
1777 ALMOND VIEW CT
MELCON, KATHRYN
IES STANFIELD
1777 Almondview Ct, Durham
Contr: Gary Jacobs, Chico
Permit#409-83B,P,E2M(new single family)
FINALED 7/1.2/83
`10 S -3�'
Contr: Gary Jacobs, Chico
Permit:#3522--84B,P,E,M(add studio apt)SF
(60-640) 1 I�9 6
040-580-035 94-0786B,E
MELCON, MARCELLA
1777 ALMOND VIEW CT. ,'DURHAM .S// 9�
CONV COV PORCH TO BEDROOM A
DD/SF
040-580-035 05-0525
MELCONT, MATTHEW
1777 ALMOND VIEW CT, DURHAM
CONT: WOLF ELECTRIC
NEW ELEC FOR 2ND DWELLING
B07-1832 040-580-035
MISCELLANEOUS Remodel
REMODEL 2ND STORY (100) CON V.C. .
1777ALMOND.VIEW CT
MELCON,KATHRYN
.�.
�.�,_ p,
ADORESS
MISCELLANEOUS BUILDING RECORD
DESCRIPTION OF BUILDINGS
EET OF SHEE1
Bldg.
No. Structure
Size
Found.
Wall d Exterior
Roof
Second Story
Floor 8 Interior Detail or Loft
Year
Built
Est. To
Life Yl
Type
Cover
I 13d.2Y-)
4n kW Nou
2ox2611 6xs
cao
�R3rme — wcl _...
Gable_
Urnt2
IM
B
DEC a 1 7014
Oro 'Ile
COMPU.TA TION
110,1140
l�.
IM
AN..
EMON
�AWAFRAE
FT -mm
All 531-H 9-'46
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3q3l
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
`BUILDING PERMIT
24 HOUR INSPECTION #:(530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO)
OFFICE #:(530) 538-7541 FAX#: (530) 538-2140
WEBSITE: www.buttecounty.net\dds
PROJECT INFORMATION
Site Address: 1777 ALMOND VIEW CT
Owner:
Permit No: B07-0998
APN: 040-580-035
MELCON,
KATHRYN
Issued Date: 07/10/2007 By KCG
Permit type: MISCELLANEOUS
1777 ALMOND VIEW CT
Subtype: Private Garage/Shop
DURHAM, CA 95938
Expiration Date: 07/09/2008
Description: DETACHED 2 STORY GARAGE (62
Occupancy: Zoning: SRI 0
Contractor
Applicant:
Square Footage:
UNKNOWN
MELCON, KATHRYN
Building Garage Remdl/Addn
1777 ALMOND VIEW CT
624
DURHAM, CA 95938
Other Porch/Patio Total
(530)520-6480
624
FEE INFORMATION
Ag Com Building Permit Clearan $32.50
DBEH Building Review Fee $75.70
DBF GARAGE -Wood Frame Plan Che $219.96
DBMSC Garage Wood Frame $329.94
DBOMSCF FEMA Flood Zone Review • $109.98
DBSMIP Residential $1.50
Total Charged: $769.58 Fees Paid: $769.58
Balance Due: $0.00 Receipt No: B3828
LICENSED CONTRACTOR'S,DECLARATION
OWNER / BUILDER DECLARATION
Contractor (Name) State Contractors License No. / Class / Expires
I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License
UNKNOWN / /
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
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
pursuant to the provisions of the Contractor's License Law [Chapter 9 (commencing with Section 7000)
is in full force and effect.
of Division 3 of the Business and Professions Code] or that he or she is exempt therefrom and the
X
basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects
the applicant to a civil of not more than five hundred dollars
07/10/2007
penalty [$500];
Please check one of the following:
Contractor's Signature Date
I, AS OWNER OF THE PROPERTY, OR MY EMPLOYEES WITH WAGES AS THEIR SOLE
COMPENSATION, WILL DO THE WORK, AND THE STRUCTURE IS NOT INTENDED OR
OFFERED FOR SALE (Sec. 7044, Business and Professions Code: The Contractor's License
Law does not apply to an owner of the property, who builds or improves thereon, and who does
WORKERS' COMPENSATION DECLARATION
I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations:
•
I HAVE AND WILL
the work himself or herself or through his or her own employees, provided that such improvements
MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR
are not intended or offered for sale. If, however, the building or improvement is sold within one
WORKERS' COMPENSATION, as provided for by Section 3700 of the Labor Code, for the
year completion, the owner -builder will have the burden of proof that he or she did not build or
performance of the work for which this permit is issued. -
ove for the purpose of sale.).
❑ I HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by
I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED
CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Code:
Section 3700 of the Labor Code, for the performance of the work for which this permit is issued.
My Workers' Compensation insurance carrier and number
The Contractor's License Law dows not apply to an owner of the property who builds or improves
policy are;
thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the
Contractor's License Law.).
Cartier: Policy Number: Exp. Date:
(This section need not be competed if the permit is or one hundred dollars ($100)70r less.)
❑ IAM EXEMPT under Section B. & P.C. for this reason:
31CERTIFYTHAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS
-7—V
SSUED, I shall not employ any person in any manner so as to become subject to the Workers'
IL
Compensation laws of California, and agree th hould become subject to the workers'
07/10/2007
compe�Satijvis,,ons,o;1ecl,on 3700 of a Labo Code, I shall forthwith comp;y with those
Owner's Sig Date
p sions.
07/10/2007
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
Signature Date
WARNING: FAIL E TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL,
construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless
Butte County, its officers, agents and employees from any and all claims and liability for personal
AND SHALL SUB ECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE
HUNDRED THOUS ND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION,
injury, including death, and property damage caused by, arising out of, or in any way connected with
the issuance of this permit. I `eby acknowledge that issuance of this permit does not authorize the
DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST ANDd4,,e
ATTORNEY'S FEES.
or occupancy of any sid alk, street, or subsidewalk. I hereby authorize representatives of Butte
Co 0 enter the above m ntioned property for inspection purposes. I hereby certify that I am the
p pe owner or am authors ed to act o the property o er's behalf.
CONSTRUCTION LENDING AGENCY
Cj�� Ito0 /10/2007
I HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for7n!,
rmi ee [SIGN Print Date
the performance of the work for which this permit is issued. (3097 civ. code)
❑ Contractor ' OR. Agent for Owner Agent for Contractor
FILE COPY
Lender's Address City State Zip
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT APPLICATION
OFFICE #: (530) 538-7541 FAX #: (530) 538-2140
A FEE WILL BE REQUIRED AT TIME OFAPPLICA TION
Website: www.buttecounty.net/dds
"PLEASE PRINT CLEARLY"
OWNER INFORMATION -
Last Name WeLftN
First Name ��C�,/,...,i qfj
I i�K 7
Mailing Address (� �MpN� V 160 GT.
City -DRAM
State CA
Zip 959 3f?
Phone �
Fax
E-mail jd9rr�-Z�C�Ka��,CoM
APPLICANT INFORMATION -
CONTRACTOR
Name
City ice; . ,rf�G�l�/►
Address
City
Fax
State
Zip
Phone
Fax
E-mail
Lic. #
Class
APPLICANT INFORMATION -
ARCHITECT/ENGINEER
Name
City ice; . ,rf�G�l�/►
.Address—
Address
City
City
Fax
State
Zip
Phone
Fax
E-mail
State License Number
APPLICANT INFORMATION -
Name
Address
City ice; . ,rf�G�l�/►
State
Phone 5-60 —52Z -fp4 gC)
Fax
E-mail d 91m *
(l � L t
M MLW_jAPPL*1CA1NVTSIGNA7
�•
PROJECT LOCATION
AP# qC) 5 �a6 3 S
Property Address �-� IM eu)
city
PERMIT
NO.
BIN # Lq
WORKER'S COMPENSATION
Policy Number
Carrier
If hiring anyone other than license contractors, a certificate of worker's
compensation must be shown at the time of permit issuance.
LENDING AGENCY
Name
Address
DESCRIPTION OR SCOPE OF WORK:
�ea wraaeZ s+ r
2t,. J
Cx l ll
Sq FT- Living Garage Open Cov
❑ Structure Built without Permits
❑ Proposed Change of.Occupanc
(Note previous use):
For office use only:
Zoning Flood Zone
Occ.
Type Const.
SRA I Yes I `J
Butte County Department of Development Services
TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR
7 County Center Drive
Oroville, CA 95965
(530) 538-7601 Telephone
(530) 538-2140 Fax
www.buttecounty.net/dds
PERMIT APPLICATION DATA SHEET
Reference Number: B07-0998 Date: 05/08/2007
Location: 1777 ALMOND VIEW CT By: KEJ
Parcel Number: 040-580-035 Sub Type: Private Garage/Shop
Owner Name: MELCON, KATHRYN Phone:
Description: DETACHED 2 STORY GARAGE (624)
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
R
R
u
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
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
ElCity of Biggs Planni epartment, 3016 Si th Street Biggs CA 95917 - (530) 868-5447
iEK Other: 6
Other: ?&
❑ Other:
Signature of Property Owners Date: 05/08/2007
FILE
-I
cis
i
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:
• Make sure your application is complete.
• 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 hgp://municit)alcodes.lexisnexis.com/codes/butteco/
Reference Number: B07-0998
Location: 1777 ALMOND VIEW CT
Parcel Number: 040-580-035
Date: 05/08/2007
Owner Name: MELCON, KATHRYN Phone:
Description: DETACHED 2 STORY GARAGE (624)
Signature of Property Owner: Date: 05/08/2007
FILE
BUTTE COUNTY FEE SUMMARY
7 County Center Drive
Oroville, CA 95965
Department of Development Services
Phone (530) 538-7541 Fax (530) 538-2140
Permit Number: B07-0998
Job Address: 1777 ALMOND VIEW CT
Contractor: UNKNOWN
Printed: 05/08/2007
12:34 pm
Fee Description
Account Number
Fee Amount
Paid Date
Pmt Amt
Ag Com Building Permit Clearan
DBEH Building Review Fee
0010-460001-4612200-1010
$32.50
05/08/2007
$32.50
DBOMSCF FEMA Flood Zone Review
0021-540013-4614901-1010
$75.70
05/08/2007
$75.70
DBMSC Garage Wood Frame
0010-440001-4210500-1010
$109.98
05/08/2007
$109.98
DBF GARAGE -Wood Frame Plan Che
0010-440001-4210500-1010
$329.94
DBSMIP Residential
0010-440001-4210500-1010
$219.96
05/08/2007
$219.96
1001-0-280-1011298
$1.50
769.58 $438.14
Printed By: Karen Jones Balance Due: $331.44
At the time of permit ap lication, I was agvised the above fees are required prior to issuance of the
permit. These a change during th Iplan checking process.
Signature: Date: 05/08/2007
Pursuant to Government code Stction 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 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
00Ap�7ME1yi'
01-0.
O
O'
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: B07-0998
Location: 1777 ALMOND VIEW CT
Parcel Number: 040-580-035
Owner Name: MELCON, KATHRYN
Description: DETACHED 2 STORY GARAGE (624)
Date: 05/08/2007
By: KEJ
Sub Type: Private Garage/Shop
Phone:
By signing below, I the project owner/owners' agent, certify that this project WILL NOT DISTURB 1 acre or more
of land and that I therefore, do not need to apply for a Construction Storm Water Permit from the State of California
Regional Water Quality Control Board. Phased projects that contain multiple site buildouts of less than one acre but
when combined with subsequent phases total more than one acre of disturbed soil will require a Construction Storm
Water Permit from the state of California Regional Water Quality Board.
I am aware that submitting false and/or inaccurate information or failure to apply for a Construction Storm Water
Permit from the State of California Regional Water Quality Control Board for this project that disturbes one acre or
more of land may result in revocation of grading and/or other permits or other santions provided by law.
Signed: Date: 05/08/2007
Title: -- i Y-�, 0
FILE
qvcORDINGREQULSTEDBY
AND WHENRECORDEDMAIL TO
Nome ffaf- kt tt n • fiWevkt
Bind 1778 A'IMPA i' 1/1" Coccrt'
Addnu
aii
,a. eerkara 44 Af gyr
ztp
Ord" Nw
Parcel No. Qo • 5$o • 035
SPACE
GRANT DEED
2007-0023688
Retarded I EC FEE 10.88
Official Records I TAX 193x85
Co�yEof
0V= J. 6RUBBS I
County Clerk-Recorderl
I
I BW
12:37PR 16-fty- 804 I Page 1 of P
The Undersigned Grantor(s) Dectare(s) Documentary Transfer Tax is S 6ttiMIND Al % 3.OS
tI Cityr%wn of Dur -{Al O computed on full value of interest or property conveyed, or
•O -Unincorporated Area full valueless value of liens or encumbrances remaining at
the time of sale
0 Monument Pee of sio.00
FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged,
fPaibryR A Ntelcok, a.m&rria wo►•t-Aig, as %ter sole ar�ci sePa rQfe. pro)vertr
hereby GRANT(s) to 1C k h A. Jlte.(COX a yr.,o
f f'oPert'q a kd Sos a p, Tres rues! kso,.�ah aster sole a..sf ce
P p� r •� g-K�twtS►srar^rleef cvok'4a. 45 Xe.r. Sole
the fotlotn g re�Ypropeerty a the�� City o AL r, lta 0 Unincorporated Area �P
County of, State of California bwt-te
SEE EXHIBIT A ATTACHED HERETO AND MADE A PART HEREOF
�'� t'�1, r 5 h /�• . /111 cv rti
_Document Date: -
State of California
County of �� SS.
On before me, /✓ ELI QLLE dayelz,
pere ITIA J appeared �n A r Notary Public
Personally knowt4o me (or proved to it; on the basis of satisfactory
evidence) to be the person(s) whose name(s) is/are subscribed to the
within instrument and acknowledged to me that helshe/they executed
the same in his/lter/their authorized capacity(ies), and that by
his/her/their signature(s) on a instrument the person(s), or the entity
is
upon behalf o e pr on(s) acted, executed the instrument.
WITNESS y hand official seal.
Signature
flops
FOR NOTARY SEAL OR STAMP
A. COOPER
COMM. #1472544
N:WA nr
COUNTYCF BURS
Comm. Expires Feb. 24, 2aM
MN
AA
MAIL TAX STATEMENTS TO: SamR as Above
aTEMPA1Rom
OAW
Parcal.l:
Being a potion ofpatw 3 d do= 0 do WW. Parol Map
entitled. "A PORTION c r LOT M AND APORTIM OF T!M L.
FRAM aM LOT OF TIM JOLTMIAM111TAUZAND
• O. TATIJI�', Ned in Hook � �p� �A a � 4S and 46, y
Huge County Reoord�y a� stole ► described as �ltows:
. �� � ft �� maid Pareet 3; thmoe
them North O. 43119, Wan 136.14 d Baa 321.56 hot
31p 54.
Wea 321.56 ha to the NorthwestootW of IWd Parol 3e�
along the Westerly tine thereof South OP 43' 19" L+aat 136 I4 hd to
the point ofbeginning.
pa el If:
An easement 1br road and utiiigr pyo bft the Nordtetfy
30.00 foot ofthe tbilowigg detsefbed ;
Being a porion of Secdat 29,'1bwulsfS 21 NO* Rare 2 FAA
M.O.B. A M" also a portion of fila bed dM" on 90 oettaia Map
entitled, "OPFICIAL MAP CW SMVBy OF LANDS CW fAM
F11 ATRICK 1N RANt p
CALIFORNW. wNeh I►�p wv the woe al order
of the Courcy otBulter 89ate of os April 23. 1905 in
Moons@& surveyors Map Book Owa Pdga �,-belttg.euma�
-----pariieular�r•deacribed"uPolt0�; --- Parcel 2. 2. as shown on that oOINIO Paw Map fid it ft office of
the Recorder orthe CO!" tdNUM6 Stale of Cailnk oft
November 13.1973, in Book $3 ofpsred Maps, a Page 9S.
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When recorded return to:
County of Butte
Department of
Development Services
Building Division
7 County Center Drive
Oroville, CA 95965-3397
2007-0033035
Recorded I REC FEE
Official Records I
County of 1 COPIES
Butte I CONFORU-- CONY
CANDACE J. GRUBBS I
County Clerk-Recorderl
I
I DD
03:35 -PM 10 -Jul -2007 I Page 1 of 7
Space above for Recorder's
Owner Name: Kathryn A Melcon and Josie D. Grant
Building Permit No: 07-0998 Second Floor Storage Room
DEED RESTRICTION AND
NOTICE OF LIMITED USE FACILITY
1. WHEREAS, on this 29th day of June, 2007, Kathryn A Melcon and
Josie D. Grant, 'hereinafter .referred to as owner(s), are the record owners of the
following real property:
1777 Almond View Court, Durham, California, A.P.N. 040-580-035 , and as further
set forth in Exhibit "A" attached hereto and hereby incorporated by reference,
hereinafter referred to as "the subject property"; and
11. WHEREAS, the Building Division of the Butte County Department of
Development Services is acting, on behalf of the People of Butte County; and
Ill. WHEREAS, the owner applied to the Building Division for a building
permit in order to develop.the subject property described above; and
IV. WHEREAS, Building Permit No. 07-0998 was applied for on 05/08/07 by
the owner in accordance with. the provisions of the Butte County Code and the
California Building Code; and
V. WHEREAS, the use allowed by Building Permit No. 07-0998has been
reviewed and approved for only the limited purposes set forth below; and
VI. WHEREAS, it is intended that this Deed Restriction and Notice of Limited
Use Facility shall .constitute an enforceable restriction and remain in effect until a new
application for a different use has been approved; and
l5 gl
3.00
5.00
1.00
VII. WHEREAS, Owner acknowledges that Owner will comply with the limited
use restrictions that were incorporated in reviewing and approving Building Permit No.
07-0998 which enabled Owner to undertake the limited use authorized by this permit.
NOis11/, THEREFORE, with the issuance of Building Permit No. 07-0998 to Owner
by Butte County, Owner hereby affirms Owner's desire to develop a limited use facility,
as set forth below, which establishes restrictions on the use and enjoyment of this
limited use facility. The undersigned Owner, for himself/herself and for his/her heirs,
assigns, and successors in interest, acknowledges and agrees to those restrictions.
This limited use facility shall be utilized in compliance with those limitations
prescribed by the California Building Code occupancy classification assigned by the
building official, except the following uses are not allowed: The second floor Stormae
Room will not be used for living, cookinei or sleepinci. Additionally, there shall be
no heatinai or cooling of this area.
If any provision of these restrictions is held to be invalid or for any reason
becomes unenforceable, no other provision shall be thereby affected or impaired.
This deed restriction and notice of limited use facility shall remain in full force
and effect during the period that this permit, -or any modification or amendment thereof,
remains_ effective, and during the period that the development authorized by this permit,
or any modification of this development, remains in existence in or upon any part of,
and thereby confers benefit upon, the subject property described herein, and to that
extent, this deed restriction and notice of limited use facility is hereby acknowledged
and agreed to by Owner to restrict the use and enjoyment of this limited use facility and
shall be binding on Owner and all his/her assigns or successors in interest.
Owner agrees to record this Deed Restriction and Notice of Limited Use Facility
in the Recorder's Office for the County, of Butte as soon as possible after the date of
execution. This document shall be recorded and returned to the Butte County
Department of Development Services, Building. Division prior to the issuance of Building
Permit No. 07-0998.
DATE: �% ,2007
Owner Signature:,�i_,rr„�
Print or Typ6 Name of Above
Owner Signature:
Print or Type Name of Above
MOTE TO NOTARY PUBLIC: If you are notarizing the signatures of persons, signing
on behalf of a corporation, partnership, trust, etc., please use the correct notary jurat
(acknowledgment) as explained in your Notary Public Law Book.
STATE OF CALIFORNIA
COUNTY OF BUTTE
On -+Eci I of
Public, personally appeared
SS.
before me,,s�nci-rZli:fl , Notary
- p e
(or proved to me on the basis of satisfactory evidence) to be the person(s) whose
name(s) is/afe-subscribed to the within instrument and acknowledged to me that
he/she/they executed the same in higher/their authorized capacity(ies), and that by
his/her/their signature(s) on the instrument the person(s), or the entity upon behalf of
which the person(s) acted, executed the instrument.
_.WITNESS my hand and official seal.
Signaf -
STATE OF CALIFORNIA
SS.
COUNTY OF BUTTE ) ,
'� � q f 200- �� _J 2nn� er L
On
before me,
Public, personally appeared =os a e- ® . C -d cans
fAAfA1► 7
23293-
w,euc cam
f�tpbesS. 201
,5.w-r—s'
Notary
pefse ®wrrte-rye
(or proved to me on the basis of satisfactory evidence) to be the person whose
name(y) is/are subscribed to the within instrument and acknowledged to me that
4ie/she/#•4sy executed the same in lois/her/#heir authorized capacity(ies), and that by
JiWherfte"ignature(4 on the instrument the person; or the entity upon behalf of
which the person acted, executed the instrument.
WITNESS my hand and official seal.
7 � ,
nature
(Seal)
JENNIFER L MASTERS
COMM. #1745587 -+
MARY KEW -CAL e
BUMCOMM
IV emm Ex••
May 22.2821
�%� q10
This is to certify that .the Deed Restriction set forth above is hereby
acknowledged by the Director of the Department of Development Services and that
Butte County consents to its recordation thereof. ,
STATE OF CALIFORNIA
COUNTY OF BUTTE
Dated:
Scott RAQ6prord, Manager
Building Division
SS.
I - )
On •Ju�E 10o before me,�,Notary
Public, personally appeared S�-rrc{fir,-r EQr�
personally known to me
to be the person(pf whose
name(pj is/ac6 subscribed to the within instrument and acknowledged to me that
he/sp'e/they executed the same in his/heir/their authorized capacity(ies), and that by
his/het/theeir signature(sl on the instrument the person(sl, or the entity upon behalf of
which the person(s) acted, executed the instrument.
WITNESS my hand and official seal.
OL -
S' n ture
(Seal)
•qWORDING REQUESTED BY I
AND WHEN RECORDED MAIL TO
x�. f �'a f Hwy x I�• I%te�lcok '
1775 Nftokud View Court'
AArm
�,sr.0 bcr.rkau,. 49 4f na '
ordu w
Panel No. qq0 -.680 - 035
GRANT DEED
2007•-0023688
Recorded I EC FEE 18.88
Official yof Records I TAX 19185
CoButte
OHM L ME I
County Clerk-Recorderl
1 BY
12:37PN 16-f4ay M 1 Page 1 of 2
ABOVE THIS LINE FOR RECORDER'S
The Undersigned Grantor(s) Declares) Documentary Transfer Tax is $ 01 ,7.5 Jo •OS
10 CWrown of Duo -kA*, O computed on full value of interest or property conveyed, or
-- -D-Unincorporated Area full value less value of liens or encumbrances remaining at
the time of sale
(3 Monument Fee of $10.00
FOR A VALUABLE CONSIDERATION; receipt of which is hereby acknowledged,
flafA)-VIL /i . N1elcok, a"rrta WOK,-K� as "r sole a,,( sem r¢fe. /oro�aert?'
hereby GRANT(s) to Kaht4j & A. AWco,r, a
Pphre Vop�leo�vrvtnt-gj �reYaYap td J-asrc,Ga corsarkrka rr r ed kso
xv� eske.r
rwav�rwoa,tk 4s le_r ssoa%e¢ro pertyhityo Da hs T"7 rof.,,13
Unincorporated Arca
County of, State of California: }ytr f
SEE EXHIBIT A ATTACHED HERETO AND MADE A PART HEREOF
ka�� r• y h, fr� /111 ccK
— _ _Document Date:_ �'�� _ _ — — — — _ _ - • _ _ _ -- -
State of California
County of �� } SS.
on 'before me, NEL► QN E �o
perscgolly appeared_Y /� A t Notary Public ,
' s
Personally knovd,16 Me (or proved to me on the basisof satisfactory
evidence) to be the person(s) whose name(s) is/are subscribed to the
within instrument and acknowledged to me that he/she/they executed
the same in his/her/their authorized capacity(ies), and that by
his/her/their signature(s) onAhe instrument the person(s), or the entity
upon behalf o is e, tson(s) acted, executed the instrument.
WITNESS Thy hand vWoflicial seal.
Signature
opu,
FOR NOTARY SEAL OR STAMP
A. COOPER
COMM. #14172544
NOTARY PUBdIC-GtddFgWN
COUNTY OF RUM
Comm. Expires Feb. 24, 2008
MAIL TAX STATEMENM TO: _ Same as Above
arfctc�r�►rroEEo
r
RXIMITNAw
Parcell:
Being a pwIlon cfPaivd 3 d d own 0 teat outdo Pavel Mep
added. "A PORTION c r LOT BB AMID APORT=q OF TM L.
FRANXL'ILC T OFM=WiAM8TATBLAM
_... _ .. ...A.TS L MgNT..BU%jj 0 - - • . ! FOR
O. TATUM' , filed la Book 53 dP� at � 4S �_
94
Butte County Reco* and mare pawl ul* deaMJQ as bIIows:
BrICIUMM n the Soalhwen !oat ttfedd Parod 3; the=
alo tg the South am BwwfNw* 880 39' Se Ben 321.56 filet;
thence North 00 43' l9' West 136.14 fltet; lb@m Sada BV 39' 54.
West 321.56 feet to the Notthwvat MW of IWd paW 3; tbette e
along the WetWy line thewf Sott6t 00 43'19* Fan 136, I4 bet to .
the point of beginning.
Parcel n: .
An easement for road and uft pugmu bft the xaram*
30.00 feet ofthe fbiloWIM detorlbed P"D,;
Being a postlota ofSectpoa 39,'IbwtnitWP21 North ROW 2 Ease.
AI.t3.H. A M., also a potdoa of the lead dom on that Main Map
entitled, "OF1iCI& hd11P pg Stodgy CF IAAMS C)F SAILS
PITZPATR1CK IN RANCMD ggQM BUrM CO1JMTf y,
CALIF'ONMA , whine Map wu 8lsd In the ofiloo of ehe RaeoW.,
to he County ofBWt% State o! on April 21. 19W in
.---_..—paniooisr�r'deactllted"aUfb1lsip`K;vqm map Book B, at Pagaz9..belAg.efl0t+o� _.. ---•--
Parcel 2, as shown on that outdo PLOW !yup Bled In the effic0 of
the Recorder of the County of Butte, SWI arQWaMk ao
November'13,1973. in Hoop 53 ofFatod Maps, at pgp 9S.
10
in
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT
24 HOUR INSPECTION #:(530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO)
OFFICE #:(530) 538-7541 FAX#: (530) 538-2140
WEBSITE: www.buttecounty.net\dds
PROJECT INFORMATION
Site Address: 1775 ALMOND VIEW CT
Owner:
Permit No: B07-0482
APN: 040-580-035
MELCON, KATHRYN A
Issued Date: 05/08/2007 By KCG
Permit type: MISCELLANEOUS
1777 ALMOND VIEW CT
Subtype: Private Pool
DURHAM, CA 95938
Expiration Date: 05/07/2008
Description: NEW SWIMMING POOL
(530) 895-8432
Occupancy: Zoning: SRI 0
Contractor
Applicant:
Square Footage:
PARAMOUNT POOL & SPA INC
PARAMOUNT POOL & SPAS
Building Garage Remdl/Addn
595 ANTELOPE BLVD
4385 RAWLEIGH CT SUITE B
RED BLUFF, CA 96080
CHICO, CA 95973
Other Porch/Patio Total
(530)527-4079
(530)345-4079
FEE INFORMATION
DBEH Building Review Fee $75.70
DBMSC Swim Pool -Fiberglass $494.91
Total Charged: $570.61 Fees Paid: $570.61
Balance Due: $0.00 Receipt No: B2144
LICENSED CONTRACTOR'S DECLARATION
OWNER / BUILDER DECLARATION';,
Contractor (Name) State Contractors License No. / Class / Expires
I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License
PARAMOUNT POOL & SPA INC 823708 / C53 C15 / 09/30/2007
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
I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am licensed under provisions of Chapter 9
(commencingw' h action 7000) of Division 3 of the Business and Professions Code, and my license
pursuant to the provisions of the Contractor's License Law [Chapter 9 (commencing with Section 7000)
is in full force a act.
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
X 05/08/2007
the applicant to a civil penalty of not more than five hundred dollars [$500];
Please check one of the following:
ContractorAfssllgnature Date
I, AS OWNER OF THE PROPERTY, OR MY EMPLOYEES WITH WAGES AS THEIR SOLE
COMPENSATION, WILL DO THE WORK, AND THE STRUCTURE IS NOT INTENDED OR
WORKERS' COMPENSATION DECLARATION
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
I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations:
the work himself or herself or through his or her own employees, provided that such improvements
❑I HAVE AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR
are not intended or offered for sale. If, however, the building or improvement is sold within one
WORKERS' COMPENSATION, as provided for by Section 3700 of the Labor Code, for the
year of completion, the owner -builder will have the burden of proof that he or she did not build or
performance of the work for which this permit is issued.
improve for the purpose of sale.).
I HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE,
❑ I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED
as required by
CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Code:
Section 3700 of the Labor Code, for the performance of the work for which this permit is issued.
The Contractor's License Law dows not apply to an owner of the property who builds or improves
My Workers' Compensation insurance carrier and policy number are;
thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the
016265 03/01/2008
Carrier: State Fund Policy Number: 713-0Exp. Date:
Contractors License Law.).
(This section nee not be completed if the permit is or one hundred dollars ($100) or less.)
❑ 1 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'
X 05/08/2007
compensation provisions Section 3700 of the Labor Code, I shall forthwith comply with those
Owners Signature Date
provision .
X 05/08/2007
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
Signature Date
WARNING: FA RE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL,
construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless
Butte County,its officers, agents and employees from any and all claims and liability for personal
AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE
injury, including death, and property damage caused by, arising out of, or in anyway connected with
HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION,
the issuance of this permit. I hereby acknowledge that issuance of this permit does not authorize the
DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND
us or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte
ATTORNEY'S FEES.
ter t e above menti ned property r inspection purposes. I hereby certify that I am the
ram authori to act on the arty owners behalf.
mfEn/er
CONSTRUCTION LENDING AGENCY
LI - 16A 05/08/2007
I HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for
m Of Permittee [SIG Print Date
the performance of the work for which this permit is issued. (3097 civ. code)
❑ Owner 1:1 Contractor OR. Agent for Owner {Agent for Contractor
FILE COPY "�
Lender's Address City State Zip
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT APPLICATION
AND SUBMITTAL REQUIREMENTS baa
OFFICE #: (530) 538-7541 FAX #: (530) 538-2140
A FEE WILL BE REQUIRED AT TIME OFAPPLICA TION
Website: www.buffecounty.net/dds
"PLEASE PRINT CLEARLY*
OWNER INFO M T ON
Last Name
fit'Name /
Mailing Address n 4tm ww ilia,
City
Phones�V S2'1- yvi Fax
Zip
Phone g�3Z
EFa
E-mail
94 CONTRACTOR
Name PMAW 6aAe l I- e .
Address
CityPO A t'Ae StaltN
Zip 9 / b$b
Phones�V S2'1- yvi Fax
City
f 171X O5 71
APPLICANT SIGNATURE
Ix A ,
/V .
For office use only:
ARCH/ ECT/E
Name
tS
Address
SRA I Yes
City
Occ.
State
Zip
Phone
Phone
Fax
E-mail
E-mail
State License Number
Y
APPLICANT SIGNATURE
Ix A ,
/V .
For office use only:
APPLICANT INFORMATION
Name .
Flood Zone
Cross Street
SRA I Yes
I No
Occ.
City
w
State Zip
Phone
-_ L o r?
`CV
Fax
E-mail
APPLICANT SIGNATURE
Ix A ,
/V .
For office use only:
Zoning
Property Address
7
Flood Zone
Cross Street
SRA I Yes
I No
Occ.
Type Const.
Subdivision Name Map
Book
Page
Lot #
Planner
Date Approved:
PERMIT
NO.
07-0
BIN #
PROJECTLOCATION
AN - I I
Property Address
7
Cross Street
WORKER'S COMPENSATION
Policy Number
CarrierL121 /,,, (P/,�b0& 3/1/4
If hiring anyone other than license contractors, a certificate of worker's
compensation must be shown at the time of permit issuance.
LEN GENCY
Name
Address 1
,/ Description r Scope of W
'lJ118"ellIL43f 11)iM/0/1y&_ ISvc.
Sq FT- Living Garage Open Cov
❑ Structure Built without Permits
❑ Proposed Change of Occupancy
(Note previous use):
EXPIRATION OF APPLICATION
Applications for which a permit has not been issued will expire one
year after the date of application. In order to renew action on an
application after expiration, a new application, plans and fee will be
REQUEST FOR REFUNDS
Refunds can only be made upon written request by the person who
paid the fee. The request must be made prior to the expiration of the
permit and no construction work has been done. Filing fees, plan
check fees for work plan checked and other department costs are not
refundable.
Received by: Amount: Bldg
SRA
Receipt #: Sheriff
SMIP
Other
Date:
Total
'l9
Receipt Number: B2144
BUTTE COUNTY RECEIPT Printed: 03/13/2007
7 County Center Drive 11:56 am
Oroville, CA 95965
Department of Development Services
Phone (530) 538-7541 Fax (530) 538-2140
Permit Number: B07-0482
Job Address: 1775 ALMOND VIEW CT
Contractor: PARAMOUNT POOL & SPA INC
595 ANTELOPE BLVD RED BLUFF, CA 96080
Fee Description Account Number Fee Amount
DBEH Building Review Fee
0021-540013-4614901-1010 $75.70
DBMSC Swim Pool -Fiberglass
0010-440001-4210500-1010 $494.91
Total Fees Paid: $570.61
Date Paid: 03/13/2007
Paid By: PARAMOUNT POOL & SPAS INC
Pay Method: Check
Received By: AAM
A
Butte County Department of Public Works
J. MICHAEL CRUMP, DIRECTOR
LAND DEVELOPMENT DIVISION
Storm Water Managment Program
7 County Center Drive
Oroville, CA 75965
(530) 538-7266 Telephone
(530) 538-7171 Fax
www.buttecountv.net/dds
1s'_F.ii..-
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: B07-0482
Location: 1775 ALMOND VIEW CT
Parcel Number: 040-580-035
Owner Name: MELCON, KATHRYN A
Description: NEW SWIMMING POOL
Date: 03/13/2007
By: AAM
Sub Type: Private Pool
Phone: (530) 895-8432
By signing below, I the project owner/owners' agent, certify that this project WILL NOT DISTURB 1 acre or more
of land and that I therefore, do not need to apply for a Construction Storm Water Permit from the State of California
Regional Water Quality Control Board. Phased projects that contain multiple site buildouts of less than one acre but
when combined with subsequent phases total more than one acre of disturbed soil will require a Construction Storm
Water Permit from the state of California Regional Water Quality Board.
I am aware that submitting false and/or inaccurate information or failure to apply for a Construction Storm Water
Permit from the State of California -Regional Water Quality Control Board for this project that disturbes one acre or
more of land may result in revocation of grading and/or other permits or other santions provided by law.
Signed:
Title:
Date: 03/13/2007
Mas 07 07 02.34p 707-975-2111 707-875-2111 p.1
.�' ► `I
WXI
MAIN OFFICE: P O Boa 933 WiNDson CA 95492• PHONE 707-837.09200FAX 707.838.0431
BRANCH OFFICE LOCATIONS VALLEJ049PETALUMA
TOLL FREE PHONE 877.495.6662
No. 07-117
May 7, 2007
To: COUNTY OF BUTTE
BUILDING DEPARTMENT
7 County Center Dave
Oroville, CA 95963
Aitentiori: Kristin Wreden, Building Pians Examiner
Butte County Development Services
Subject: I&I'aster Plan Authorization
Hear AAs. Wreden:
As the engineer -of -record for the Viking pools and spas for which Paramount Pool & Spa
is an authorized dealer, this letter shall confirm my authorization to utilim. as a Master
Plan all design models on the following:
Paramount Pool & Spa -- MasteF Plan 01-321
The refeyeaced Master Plan designs may be constructed in Butte County in normal soil
conditions, provided that the pool or spa is properly installed and maintained in
accordance with the manufacturer's recommendations. if unusual soil conditions are
encourdered, this office should be consulted before installation.
Very truly yours. QOFESS�o�,.
LUMBI► RESE CH TESTING 4
N. G 24420 =
r".12.31.07
Don . Poindexter, C.E., G.E.f , CM%.
Civil Engineer, C-24420, Exp. 12/31/07 '��FOFCAvtO�`
Geotechnical Engineer, Ga -690, Exp. 12/31/07
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT
24 HOUR INSPECTION #:(530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO)
OFFICE #:(530) 538-7541 FAX#: (530) 538-2140
WEBSITE: www.buttecounty.net\dds
PROJECT INFORMATION
Site Address: 1777 ALMOND VIEW CT
Owner:
Permit NO: B07-1832
APN: 040-580-035
MELCON,
KATHRYN
Issued Date: 10/03/2007 By TMP
Permit type: MISCELLANEOUS
1777 ALMOND VIEW CT
Subtype: Remodel
DURHAM, CA 95938
Expiration Date: 10/02/2008
Description: REMODEL 2ND STORY (100) CON'
(530) 520-6480
Occupancy: Zoning: A-10
Contractor
Applicant:
Square Footage:
MELCON, KATHRYN
MELCON, KATHRYN
Building Garage Remdl/Addn
1777 ALMOND VIEW CT
1777 ALMOND VIEW CT
484 100
DURHAM, CA 95938
DURHAM, CA 95938
(530)520-6480
(530)520-6480
Other Porch/Patio Total
584
FEE INFORMATION
DBEH Building Review Fee $75.70
DBMSC Remodel -Residential $759.87
Total Charged: $835.57 Fees Paid: $835.57
Balance Due: $0.00 Receipt No: B4425
LICENSED CONTRACTOR'S DECLARATION
OWNER / BUILDER DECLARATION
Contractor (Name) State Contractors License No. / Class / Expires
I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractors License
MELCON, KATHRYN OL:CRW_00374323 / /
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
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
pursuant to the provisions of the Contractor's License Law [Chapter 9 (commencing with Section 7000)
is in full force and effect.
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
X 10/03/2007
the applicant to a civil penalty of not more than five hundred dollars [$500);
Please check one of the following:
Contractors Signature Date
❑ I, AS OWNER OF THE PROPERTY, OR MY EMPLOYEES WITH WAGES AS THEIR SOLE
COMPENSATION, WILL DO THE WORK AND THE STRUCTURE IS NOT INTENDED OR
OFFERED FOR SALE (Sec. 7044, Business and Professions Code: The Contractofs License
Law does not apply to an owner of the property, who builds or improves thereon, and who does
WORKERS' COMPENSATION DECLARATION
I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations:
I HAVE AND WILL
the work himself or herself or through his or her own employees, provided that such improvements
MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR
are not intended or offered for sale. If, however, the building or improvement is sold within one
WORKERS' COMPENSATION, as provided for by Section 3700 of the Labor Code, for the
year of completion, the owner -builder will have the burden of proof that he or she did not build or
performance of the work for which this permit is issued,
imp/roye'far the purpose of sale.).
❑ I HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by
I uI S OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED
I[G CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Code:
Section 3700 of the Labor Code, for the performance of the work for which this permit is issued.
The Contractors License Law dows not apply to an owner of the property who builds or improves
My Workers' Compensation insurance carrier and policy number are;
thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the
Contractor's License Law.).
Carrier: Policy Number: Exp. Date:
(This section need not a competed if the permit is or onhundredellars ($100) or less.)
❑ 1 AM EXEMPT under Section B. & P.C. for this reason:
CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS
ISSUED, I shall not employ any person in any manner so as to become subject to the Workers'
Compensation laws of California, and agree that if I should become subject to the workers'
X 10/03/2007
compensation provisions of Section 3700 f the Labor Code, I shall forthwith comply with those
Owner's a Date
pro o .
X 10/03/2007
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
SignatureDate
WARNING: FAIL RE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL,
construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless
Butte County, its officers, agents and employees from any and all claims and liability for personal
AND SHALL S I ECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE
HUNDRED THOUSAND DOLLARS $100,000, IN ADDITION TO THE COST OF COMPENSATION,
( )
injury, including death, and property damage caused arising out of, in any way connectedcted with
the issuance of this permit. I hereby acknowledge thatt is issuance of this pea rmit does not authorize the
DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND
ATTORNEY'S FEES.
use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte
County to enter the above mentioned property for inspection purposes. I hereby certify that I am the
owner or am authori to act on the property owner's behalf.
E R,0,0 C— 10/03/2007
CONSTRUCTION LENDING AGENCYprops
1 HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for
Name of Permittee [SIGN] Print Date
the performance of the work for which this permit is issued. (3097 civ. code)
caner ❑ Contractor OR:Agent for Owner Agent for Contractor
FILE COPY
Lender's Address City State Zip
BUTT 'COUNTY PERMIT
DEPARTMENT OF DEVELOPMENT SERVICES NO.
BUILDING PERMIT APPLICATION
OFFICE #: (530) 538-7541 FAX #: (530) 538-2140
A FEE WILL BE REQUIRED AT TIME OFAPPLICA TION
Website: www.buttecounty.net/dds BIN #
"PLEASE PRINT CLEARLY"
OWNER INFORMATION
Last Name t A4o_m
First Name V r N
`,
Mailing Address I -}. A I Anka Pew ill
�t
�Ziip
City 1��"
State A
City
Phone rJ3o-s�a-�y$'o
Fax—
E-mail � r1�.1�°'�, Hlq i � C all►-�
APPLICANT INFORMATION
CONTRACTOR
Name
City �1
Address,( ,
Zip 9 5q l7
I
City
Fax
State
Zip
Phone
Fax
E-mail
Lic. #
Class
APPLICANT INFORMATION
ARCHITECT/ENGINEER
Name
City �1
.Address.-
Address,_City
Zip 9 5q l7
I
City
Fax
State
Zip
Phone
Fax
E-mail
State License Number
APPLICANT INFORMATION
Name t1e /' Mk:7f—
Address J141LAU)&& Vl-�u) G .
City �1
State M_
Zip 9 5q l7
I
Phoneb_
Fax
E-mail
PPLICANT SIG TURE
X
PROJECT LOCATION
AP# p Uo - 5-80-03,r
Property Address (-} -}� _ t-� S A I MmA V t eW 4.
City
WORKER'S COMPENSATION
Policy Number
Carrier
If hiring anyone other than license contractors, a certificate of worker's
compensation must be shown at the time of permit issuance.
LENDING AGENCY
Name
Address
DESCRIPTION OR SCOPE OF WORK:
e101"e t� it3u `i sl� -1-.
MM C_n khILeL< 0066 ;
0 r.eq . WA 1 c rt�e,I`, tri ick t
Ile S I LO. 1oea P ok tr aou�n� �A
g �tM-tti�� A-V p<A6u 0 6U -V.
Sq FT- Living g Garage Open Cov
❑ Structure Built without Permits
❑ Proposed Change of.Occupanc 9
(Note previous use):
�l�A v7oa �3
AFFIDAVIT OF COMPLIANCE
WITH COUNTY ORDINANCE 2277
(ADDITIONAL DWELLING IN
SINGLE FAMILY RESIDENTIAL ZONES)
Applicant Date
Zone S/,2 -,r AP # 4�6) - / j- - C '7 Bldg. Permit #
do declare, that the dwelling
(Building Permit # ) at address (present) —/'777
�a2i��h %�,
c"'�I.
on
AP
#
G 7
is intended
for the sole
occupancy
of
one
adult or two
adult
persons who are 60
years of age or over, and the area of floor space of the dwelling
unit does not exceed 640 square feet.
I also understand that violations of these provisions are subject to
the penalties provided in Section 24-63.1 of the Butte County Code.
Signed
Dated
'Blitte County Department of Development Services
TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR
7 County Center Drive
Oroville, CA 95965
(530) 538-7601 Telephone
(530) 538-2140 Fax
www.buttecounty.net/dds
OWNER -BUILDER INFORMATION
An application for a building permit has been submitted in your name listing yourself as the builder of the property improvements specified.
For your protection you should be aware that as "owner -builder" you are the responsible party of record on such a permit. Building permits are not required to be signed
by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from
possible liability if that person applies for the proper permit in his or her name.
Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by
law to put their license number on all permits for which they apply.
If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and
protection:
° If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $500 or more for the entire
project and such persons are not licensed as contractors or subcontractors, then you may be an employer.
° If you are an employer, you must register with the state and federal government as an employer and you are subject to several obligations including state and federal
° income tax withholding, federal social security taxes, workers/ compensation insurance, disability insurance costs, and unemployment compensation contributions.
There may be financial risks to you if you do not carry out these obligations, and these risks are especially serious with respect to workers' compensation insurance.
° For more specific information about your obligations under federal law, contact the Internal Revenue Service (and, if you wish, the U.S. Small business
Administration). For more specific information about your obligations under state law, contact the Department of Benefit Payments and the Division of Industrial
Accidents.
If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through thier own employees,
without a license contractor or subcontractor, only under limited conditions.
A frequent practice of unlicensed persons professing to be contractor is to secure an "owner -builder" building permit, erroneously implying that the property owner is
providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work
personally.
Information about licensed contractors may be obtained by contacting the Contractors' State License Board's automated telephone information system at 1-800-321
-CLSB (2752) or by accessing thier website at www.CSLB.ca.gov.
PLEASE COMPLETE AND RETURN THE ENCLOSED OWNER -BUILDER VERIFICATION FORM SO THAT WE CAN CONFIRM THAT YOU ARE
AWARE OF THESE MATTERS. THE BUILDING PERMIT WILL NOT BE ISSUED UNTILL THE VERIFICATION IS RETURNED.
OWNER BUILDER VERIFICATION
PLEASE COMPLETE THIS FORM AS REQUIRED BY THE STATE OF CALIFORNIA (SENATE BILL NO. 831 EFFECTIVE JULY 1, 1980). NO BUILDING
PERMIT WILL BE ISSUED UNTIL THIS VERIFICATION IS RECEIVED.
1. I PERSONALLY PnYE
O PROVIDE THE MAJOR LABOR AND MATERIALS FOR CONSTRUCTION OF THE PROPOSED PROPERTY
IMPROVEMENT.OR NO)
2. G(HA /HAVE NOT) SIGNED AN 21CATION FOR A BUILDING PERMIT FOR THE PROPOSED WORK.
3. I HAVE CONTRACTED WITH THE FOLLOWING PERSON (FIRM) TO PROVIDE THE PROPOSED CONSTRUCTION:
ADDRESS CITY
PHONE CONTRACTORS LICENSE NO
I PLAN TO PROVIDE PORTIONS OF THE WORK, BUT I HAVE HIRED THE FOLLOWING PERSON TO COORDINATE, SUPERVISE, AND PROVIDE
THE MAJOR WORK:
NAME
ADDRESS CITY
PHONE CONTRACTORS LICENSE NO
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: REMODEL 2ND STORY (100) CONV GAR DOWNSTAIRS TO LIVING (484)
Reference Number: B07-1832
Applicant Name: MELCON, KATHRYN
Owner's Name: MELCON, AP # : 040-580-035
Signature of Property Owner: Date:
'Butte County Department of Development Services
TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR
7 County Center Drive
Oroville, CA 95965
(530) 538-7601 Telephone
(530) 538-2140 Fax
www.buttecounty.net/dds
NOTICE TO BUILDERS
Before your building permit can be issued, your plans must be checked for compliance with the California Building Codes. In
addition, your plans are routed to other regulatory entities including but not limited to Planning, Public Works, Environmental
Health,,and the California Department of Forestry for their clearances and approvals. There are some things you can do to
expedite your permit:
0 Make sure your application is complete.
0 Be responsive to requests from County departments for any additional materials or requirements.
The Building Division places its highest priority on processing building permits as quickly as possible and each day that passes
without a complete application adds to processing time.
Every permit issued by the Building Official shall expire and become null and void if the work authorized by such permit is not
started or completed within one year from the date of issuance of such permit. A permit may be renewed (for a fee) prior to
expiration an indefinite number of times, provided construction progress has been documented by the Building Division during
each year during scheduled inspections. No changes may be made in the original plans and specifications for such work. In
order to reinstate action on a permit after expiration, the permittee shall pay a new full permit fee and additional plan checking
and documentation may be required. Upon completion of work covered by this permit, please contact this office for final
inspection. As a reminder to you, it is illegal to occupy this building or any portion of the building for which this permit is
issued without a final inspection.
EXPIRATION OF PERMIT APPLICATION AND REFUND POLICY
Application for which a permit has not been issued will expire one year after date of application.
Refunds may only be made upon written request by the person who originally paid the fees. Refunds for permit applications
(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: B07-1832
Location: 1777 ALMOND VIEW CT
Parcel Number: 040-580-035
Date: 08/28/2007
Owner Name: MELCON, KATHRYN Phone: (530) 520-6480
Description: REMODEL 2ND STORY (100) CONV GAR DOWNSTAIRS TO LIVING (484)
Signature of Property Owner. Date: 08/28/2007
FILE .
Blitte County Department of Development Services
TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT 13ARECTOR
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: B07-1832 Date: 08/28/2007
Location: 1777 ALMOND VIEW CT
Parcel Number: 040-580-035
Owner Name: MELCON, KATHRYN
By: KEJ
Sub Type: Remodel
Phone: (530) 520-6480
Description: REMODEL 2ND STORY (100) CONV GAR DOWNSTAIRS TO LIVING (484)
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
1:1 E3 Thermalito Irrigation District, 410 Grand Avenue, Oroville CA 95965 - (530) 533-0740
1:1 M 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
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: Date: 08/28/2007
FILE
• 7z
BUTTE COUNTY DEVELOPMENT FEE CERTIFICATION FORM
❑ FEATHER RIVER RECREATION AND PARK DISTRICT (FRR]P.f?)
❑ CHICO AREA RECREATION AND PARI{ DISTRICT (CARD)
❑ PARADISE RECREATION AND PARK DISTRICT (PRPD)
DURHAM RECREATION AND PARK DISTRICT (DRPD)
Assessor Parcel. Number(s)` 046- 54 � y�J5 Building Permit Number
Property Owner (s) "�\qJVY
Project Locatii on /Address
Subdivision Name
New Development
�- teratio ddition(s)
Mobile home
Assessable Sq. Ftge
Type of Residential Development (check one)
Demo Permit (date 'ssued
Comments: P hn\f G
Single Family -Detached
Non -Residential to Residential
Mobile home replacement
Building Department Re#rentative Date
0 FRRPD 0 CARD 0 PRPD DRPD certifies that:
Single Family -Attached
Multi -Family Dwelling
verified by Assessor Department
verified by Building Department
ria}h(-,:, M e l C-0 V-\ 618- q 93 1
Applicant Name Phone Number
19'1'1 81 wxoryA \1 e_Q C� , DW Kann - C .A 9'593 2
Mailing Address City State. Zip
Has complied with requirements of the Butte County Board of Supervisors Resolution No. O 1-/ /0:7
by Payment of:
Dwelling Units @ $
Square Feet @ $ _
per unit for a total of $
per sq foot for a total of $� ; `' •.
Remarks: 1,) D �P_sS - Q S _ +
Paid by Check No: 1 Paid by Casio: 0, Receipt No:
Recreation and Park District Representative Date
,- r-- --.. 1 .4—
yP
BUTTE i 1.1JNTY SCHOOLS IMPACT FEE CERTIFICATi.,4 FORM
(One form per Building)
School District �� �-- Building Department artment No.
�/�� Tax Rate Area No.
A.P. Number �� Q. Jurisdiction: City County
Property Owner
Property Location/Address
Subdivision
Lot No.
I'tX"'hg r---,
........................... _............................. _.............. __.-................
41�4
Residential DevelopmentQ Q Sq. Footage
No of Living Mobile Home PditioN 'Supplemental to (Group R)
Units Installation Conversio Permit # Cr. Demo -
( )
*(No foundation inspection) existing sq. ft. see attached
r. ......... ........................................................................................
Net total sq. ft.
Deed Restricted Sq. Footage
(Attach a signed copy of Deed Restriction and Notice of Limited Use Facility document)
Commercial/Industrial 0 Q
New) Addition
Building Department
District Identification No. (r7✓✓ 4
School District certifies that
&M,( 'KJdff�/ &td,
(Street Address)
(City) (State)
has complied with the requirements of Resolution No. USO a
representing �' square feet.
Paid by Check # . Remarks:
Sq. Footage
(Including Exterior
11
Roofed Areas)
Date
(Payor)
(Zip Code)
by payment of $
B 2926 $
FULL MITIGATION $
Date
(Phone Number)
Notice: You may protest the imposition of the fees identified above by submitting a written protest to the District, in compliance wi ,
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 it's impact on the school district's schools.
White (school district), Yellow (building department), Pink (applicant) feeform.xls (12/06)dmm
USMUS n n M n n (�� M M
nCifitae� ZR BUVUV95 ��9UUV[UHUV9
Civil Engineering and Design
3115 Johnny Lane, Chico, CA 95973
Ph: (530) 521-2648 FX: (530) 343-5320
eda@ausmusengineering.com
TRANSMITTAL
November 6, 2007
Paul Mellow
MT Construction
PO Box 7463
Chico, CA 95927
Dear Mr. Mellow
RE: Josie Grant Residence
Dear Mr. Mellow, it has come to my attention. that the County inspector has requested a
letter from the engiheer'of record for the subject residence under construction. It appears
that 0.113 diameter shank naiIs.were used instead of the plan approved 0.118. As a fix,
please decrease the spacing for }all'shearwalls edge nailing. For example, if the plans
stated to use 6"/12", then decrease the nail spacing to 4"/12".
In addition, 3x mudsills were not used in certain locations. As a retrofit, please install a
second 2x mudsill on top of the existing 2x mudsill. This may require the use of couplers
and all -thread for some anchor bolts or SSTB bolts. Sheathing edge nailing shall be
staggered between the two plates using the same spacing as stated on the plans.
Q�OF E`;SIpN
OvGLAs�9l�:
Eric D. Ausmus, P.E. ,, w rr;
Ausmus Engineering No. 65286
(530) 521-2648 09-30--2009
F OF C N�\F o
Page 1 of I
C \Ausmus Engineering\2007 Projects\Grant\Transmitta1.doc
AIT-
0�7
.5
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) 538-7785 Facsimile
www.buttecounty.net/dds
www.buttegeneralplan.net
ADMINISTRATION * BUILDING * PLANNING
May 29, 2007
KATHRYN MELCON
1777 ALMOND VIEW CT
DURHAM, CA95938
Subject:' Permit B07-0998 (A.PN040-580-035); DETACHED 2 STORY GARAGE
(624)
Dear KATHRYN:
The Butte County Department of Developmerit Services, Planning Division, has reviewed the
submitted permit application, and requires the following information in order to continue the
review:
® - Submit a letter or site plan that explain and detail the changes that are requested. The
letter should state the activity that will occur in each structure and identify which
buildings are proposed to be constructed, modified and remodeled.
Note: the property is located in the A-10 zone, which only permits one single family
dwelling.'If it is determined that the building exceeds the definition of a single family
dwelling, guest house or other permitted structure, then the proposal may require a use
permit or necessitate redesigning to meet the existing zoning and building regulations.
Should you have
p.m. Monday thrc
Associate Planner
questions please contact me between the hours of 7:30 a.m. and 4:30
day at (530) 538-7601.
040-580-035
AldnonO VieFv Ct
BUTTE COUNTY PERMIT NO.
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT
24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) BPO50525
OFFICE #: (530) 538-7541
LICENSED CONTRACTORS DECLARATION
I hereby affirm under penalty of perjury that I am licensed under
provisions of Chapter 9 (commencing with Section 7000) of Division 3 of
the Business and Professions Code, and my license is in full force and Issued Date: 02/25/2005 APN: 040-580-035-000
effect.
License Class: License Number: Site Address: 1777 -ALMOND VIEW CT DUR
Date: Contractor: Map Index:
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Description: new elec for 2nd dwelling
Contractors' Slate License Law for the following reason (Sec. 7031.5
Business and Professions Code: Any city or county which requires a
permit to construct, alter, Improve, demolish, or repair any structure, prior Owner: MELCON MATTHEW C
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 1777 ALMOND VIEW CT
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
she is exempt therefrom and the basis for the alleged exemption. Any 95938
violation of Section 7031.5 by any applicant for a. permit subjects the
applicant to a civil penalty of not more than five hundred dollars ($500).):
❑ I, as owner of the property, or my employees with wages as their
sole compensation, will do the work, and the structure is not
intended or offered for sale (Sec. 7044, Business and Professions
Code: The Contractors' State License Law does not apply to an Applicant: MELCON MATTHEW C
owner of property who builds or improves thereon, and who does 1777 ALMOND VIEW CT
such work himself or herself or through his or her own employees,
provided that such improvements are not Intended or offered for DURHAM, CA
sale. If however, the building or improvements are sold within one 95938
year of completion, the owner -builder will have the burden of
proving that he or she did not build or Improve for the purpose of
sale.).
I, as owner of the property, am exclusively contracting with
licensed contractors to construct the project,(Sec. 7044, Business
and Professions Code. The Contractors' State License Law does
not apply to an owner of property who builds or improves thereon, Contractor: WOLFE ELECTRIC
and who contracts for such projects with a contractor(s) licensed
pursuant to the Contractors' State License Law.).
1300 PARK AVE
❑ 1 am Exempt under Article 3 of the Business and Professions Code CHICO, CA 9928
Date: Z �Cc_ owner: f!!y, (530) 345-2800
WORKERS' COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations: License #: 844427
❑ 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. Architect:
❑ 1 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: 0 S. F.
Total Square Ft:
Policy #: Valuation: $0.00
I certify that in the performance of the work for which this permit is Census Code:
issued, I shall not employ any person in any manner so as to
become subject to the workers' compensation laws of California,
and agree that if i should become subject to the workers'
compensation provisions of Section 3700 of the Labor Code, I shall
forthwith comply with those provisions. t
Date: 2__Z2, 177�/_"
Applicant:
WARNING: Failure to secure workers' compensation coverage is �% I
unlawful, and shall subject an employer to criminal penalties and one v
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 eby Issue ndct pplica rovi ions of the Butte County Code and/or
I hereby affirm that there is a construction lending agency for the Resolutions do work ind(cated ove for vy ch fee ave been paid.
performance of the work for which this permit is issued (Sec 3097 Civ.) �'—C—
Name: BY: Date.
PERMIT EXPIRES ON: v
Address: Date
❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safely 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.
1 hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with
all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby
authorize representatives of Butte County to enter upon the above mentioned property for inspection purposes.
Print Name: h"rt /MG w G i�'1 C �— C Signature: /L12 C
Date:
Owner ❑ Contractor ❑ Agent for Owner C3Agent for Contractor
B. C. Building Permit 01-16-04 pg 1
i
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 APPLICA TION
Website: www.buttecounty.net/dds
**PLEASE PRINT CLEARLY**
OWNER
Last NameCi
irst Name AlAri-wtv
Address .
City i,
State &
Zip
Phone
Fax
E-mail
APPLICANT SIGNATURE
X /- G
For office use only:
CONTRACTOR
Name WVOIL
_
Address � �
� �C --
City C bh co
f
State C
Zip
Phone r--
Fax
E-mail
E-mail
LigtJ5-2
Class
APPLICANT SIGNATURE
X /- G
For office use only:
ARCHITECT/ENGINEER
Name
Flood Zone
Address
SRA
City
No
State
Zip
Phone
Book
Fax
E-mail
Planner
State License Number
APPLICANT SIGNATURE
X /- G
For office use only:
APPLICANT NAME
Name
Flood Zone
Address
SRA
City
No
State
Zip
Phone
Book
Fax
E-mail
Planner
APPLICANT SIGNATURE
X /- G
For office use only:
Zoning
Property Address
Flood Zone
Cross Street
SRA
I ves
No
Occ.
Type Const.
Subdivision Name Map
Book
Page
Lot #
Planner
Date Approved:
OVER FOR SUBMITTAL REQUIREMENTS
KAFORMS\BUILDING FORMS\BldgApplSubRgmts.doc
PERMIT
NO.
BP05-0 SZ
BIN #
LOCATION
AP# O C/a '—S 23 0
Property Address
City
Cross Street
WORKER'S COMPENSATION
Policy Number
Carrier
hiring anyone other than license contractors, a certificate of worker's
Fmpensation must be shown at the time of permit issuance.
LENDING AGENCY
Name
Address
Description or Scope of Work:
/Vo7ill�
Sq. Footage
❑ Structure Built without Permits
❑ Proposed Change of Occupancy
(Note previous use):
EXPIRATION OF APPLICATION
Applications for which a permit has not been issued will expire one
year after the date of application. In order to renew action on an
application after expiration, a new application, plans and fee will be
Page 1 of 2
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.
Received
�by: Amount:
C/'� /
Receipt #*
�7s-q /.�
v
Daten�2 �� �'r Other
�j� Total
REV 7-27-04
SUBMITTAL & PERMIT REQUIREMENTS
The following drawings and specifications must be submitted to the Building Division in order to apply for a
permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK.
❑ 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. No graph paper!
❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans (No graph paper!) OR
Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations.
❑ 3. Engineered truss details and layouts in duplicate (if required). No faxes!
❑ 4. Energy compliance design and supporting documentation in duplicate. (Note: Not required for additions to
mobile or modular homes.)
❑ 5. Statement of Intent for Non -heated and A/C for Non -Residential Buildings.
❑ 6. Manufactured homes: (A) Data sheets and installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down
or fnd plans, all in duplicate.
❑ 7. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor
plans in triplicate. All of these must be stamped and wet -signed by the engineer.
❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate (if required).
❑ 9. Site 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 (if required).
❑ 12. Hazardous Material Form (for Commercial Buildings only).
❑ 13. Sanitation and site plan approval from the Environmental Health Department.
Remaining items needed to issue the permit. Additional items may be required after Plan Check and Planning
review (May require additional plan review upon receipt of the following items.)
❑ 1. Agricultural Buffer clearance and site plan approval from the Ag Commissioner's office (if required).
❑ 2. Impact Fees.
❑ 3. California Department of Forestry plan approval (if required).
❑ 4. NPDES Form.
❑ 5. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy).
❑ 6. Contractor's license information. (Number, Name Style, Classification).
❑ 7. Worker's Compensation Carrier and Policy Number.
❑ 8. Owner -Builder Verification (if required).
❑ 9. Letter of Signature authorization (if required).
❑ 10. Recorded copy of Agricultural Acknowledgment Statement.
❑ 11. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner (for 433A's).
If you have questions or would like additional information regarding this process, contact a Permit
Application Assistant at (530)538-7541.
EXPIRATION OF APPLICATION
Applications for which a permit has not been issued will expire one year after date of application. In order to renew action
on an application after expiration, a new application, plans and fees will be required.
REQUEST FOR FEE REFUNDS
Refunds can only be made upon written request by the person who paid the fee. The request must be made within two
years from the date of fee payment on permits not issued, and two years from the date of permit issuance for permits
issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan
check fees for work plan checked and other department costs are not refundable.
OVER FOR BUILDING PERMIT APPLICATION
KAFORMS\BUILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2 REV 7-27-04
t RESIDENTIAL
040-580-035 94-0786B,E
MELCON, MARCELLA
1777 ALMOND VIEW CT., DURHAM
CONV COV PORCH TO BEDROOM ADD/SF
d v t
JOB FINALED (Date) �� f
Signature
V=OK
O = Not OK L t
- = Not Applicable
Not Ready MOBILE HOMES ' MISCELLANEOUS
' =
Date/Initials MOBILE HOME UTILITIES (Plana) 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 -Test -Easement Needed (Sketch)
5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete
6. Gas; Location -Teat -Wrap: / /% "ft.
/ /"Nat. or/ /'L"ft./ /"LPG
7. Well Clearance & Disconnect
8. Utility Clearance
Date/Initials MOBILE HOME INSTALLATION (Plana) OK except #'a
1. Zoning Requirements -Setbacks Easements
2 Footings; Size -Spacing -Marriage Line
3.. Gas; MH Test -Demand -Valve -Connector
4. Electricity; MH Teat -Crossovers -Breakers -Clearances
5. Drain; MH Test -Fall -Flex Connector
6. Water; MH Test -Regulator -Connector
7. Water and Sewer Connected -C/O to Grade -HD Approval
8. Gas and Electricity Tagged
9. Exits; Insp.-Sketch
10. Cert. of Occupancy
Date/Initial DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s
1. Zoning Requirements -Setbacks -Easements
2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel
3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails
4. Wood Awn.; Posts-Beams-Rftre-Connectors
Shthg: Rfg -Bracing
S. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Carports; Windows -Doors
7. Electric
8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses
9. Siding; Nailing -Veneer -Stucco -Mash
10. Roof; Shthg-Roofing
11. Ext.; Steps -Doors -Landings
Date/Initials POOLS (Plans) OK except #'a
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-Ina. to Main in Conduit
9. Health Department Approval
10. Plumb.; Cir. Test -Water Supply Test
V=OK
0 = Not OK
- = Not Applicable
= Not Ready
RESIDENTIAL. (Single & Duplex)
Date/Initials UNJdERFLOOR (Plans) OK except #'s
T. Zoning -Setbacks -Easements -Flood -Slope
2.Ftg., Main; Soils-Elec. Grnd. / /' Ftg. Depth
�) 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth
4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth
5. Stemwalls, Main; Steel-Blockouts-Wrapped
6. Stemwalls, Garage; Steel-Blockouts-Wrapped
6a. Hold Downs and Special Anchors
7. SI , Steel -Wrapped
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
'-++.-Water Pipe; Test -Anchor -Regulator -Service Test
12. Electric; Underground
13. Pi nums & Ducts; Clearance-Materlal-Support-Ina.
1 . Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
1 Access & Ventilation
16. Insulation
v%
Date/Initials PLUMBING (Permit) OK except #'s
16. Water Htr.; Vent -Access -Combust Air -Baffle
17. Water Pipe; Test & Anchor- Protection
18. D.W.V.; Test -Fittings nchor-Neff Protection
19. Shower Pan; T , First Floor -Tub Access
20. Test Tub ower, Second Floor -Tub Access
21. Gas.0 : Size & Anchors
Date/initials ELE CAL Permit OK except #'s
WAtture & Transformer Clearance -Ins. Protection
2eElec. 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/Meth. 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 ex t #'s
34. A.C. Ducts Insulatio Support
35. Vent Fan; Exhaygrabove insulation
36. Condensatjy6rain & Overflow; Size & Grade
37. Furna -Vent; Access -Comb. Air -Return Air Vent -115 outlet
38. At ' Access & Platform if Furnance in Attic
Date/Initials FRAMING Plans OK except #'s
39AIls, Proper Material & Anchors
4Q/ Wells Studs -Nailing, Spacing & Bracing -Plates -Sound
4y/ Bearing Walls over Girders & Floor Nailing
4Z Draft Stop in Walls (rat proof)
48'Fire Stops; Furred Ceilings -Stairs -Chases -Tub
Headers & Beam -Size & Bearing
Date/Initials FRAMING (Continued)
-45--MMgers-Post Caps -Anchors -Connectors
4 . Ing. Joist-Rftr. ties-Purlin=root Brac-Truss-Shthng.-Rfng.
,4Z-fWeplace Ties or Type A Flue -Fireplace Throat clearance
Biu r46 Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
6drm. Windows or Exiting Doors -Sill Hgt. & Dimensions
X50 -Garage Fire Protection Framing
roperty Line Firewall & Openings
-Wat. Doors -One 3' -Check Garage -3rd Story, 2 Exits
x -63 -Stairs; Width -Headroom -Rise -Run -Lending -Fire Protection
5,4/plywood on Roof Overhang -Attic Vents -Rafter Outriggere
55lSiding-Nailing Veneer
56: Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access
5,Y. Glazing Area -Glass Protection -Skylights -Plastic
58. Shear Walls; Nailing -Bolts
59/ Insulation -Walls -Ceilings
60. Infiltration -Walls -Windows
15 f 1/ Z�7i
IF 01
Date/Initials FINAlens OK ele .xcept #'s
61. Steps -Door & Sidelight Protection -Landings
621"Smoke Detector
13" uF rnace; Vents -Clearance -Comb. Air -Connector -
In Garage; Above Floor -Ducts -Meth. Protection
04'Bedroom Exiting
sG.F.I. & Bath Fixtures & Tub Access -Spa
lac. Trim & Subpanel; Breaker Sizes & Labels
--&Z-Otairs & Rails
'07-74replace or Stove; Clearances -Hearth
'46t'lec. Outlets at Wood Panel; Int. & Ext.
`?e-.Kit.Fixt. & Appliance; Grnd -Air Gap -Cooking Clearance
74--Erec. Outlets & Receptacles at Kit. Counter
OR.-GWrage Fire Door; Swing -Landing -Closer
.71. . Duct In Garage -Damper
rf-VVrr-. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.
In Garage; Above Floor -Meth. Protection
7 . Pjb., Elec. & Mach. Equip. Listed for Location
79.-Elec. Receptacles in Garage; (G.F.I.)-Romex Protection
7 . Insulation -Foam -Looked in Attic ❑ Yes
78,-6nerd Rails & Deck Construction -Post Caps
*-Nn. Vents & Crawl Hole Door -Drainage & Wood -Earth
Clearance Looked under Floor ❑ Yes
189 --f=ollowing instld.; Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No;
Planters ❑ Yes ❑ No
8* -Stucco; Brown -Finish
-82. C. Unit; Disconnect, Electrical, Plumbing
Vents Above Roof; Plbg: Appliance -Fireplace -Clearance to
Openings
<E4 --Wafer Well; Disconnect, Electrical, Plumbing
a6!Exterior Elec. Trim; G.F.I. Receptacle -Underground
86.Rentilation Throughout House
& .-Glass Protection
8A.105rrections from Previous Inspections
..60.13as Test -Meters Tagged; Gas -Electric
'deter & Sewer Connected -C/0 to Grade -HD Approval
9 . Energy Compliance Certificate -Other Certificates
Comments at Fl I:
5-1 t �S
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMI
APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER_ZONING
040-580-035
A10
BUILDING PERMIT
OWNER
MARCELLA MELCON
TELEPHONE
45-7870
SQ. FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS
1777 ALMOND VIEW CT DURHAM 95938
CONTRACTOR'S NAME
OWNER
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation Is
LENDER'S MAILING ADDRESS
Filing Fee $
20,00
Permit Fee $
72.00
ARCHITECT OR ENGINEER
LICEKSE NO.
Plan Checking Fee $
46.80
Energy Plan Checking Fee $
23.00
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty $
BUILDING ADDRESS
1777 ALMOND VIEW CT DURHAM
PERMIT FEE $
41.80.
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
SFX Duplex ❑ Mobilehome O Other
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 ❑ Addition Ya Remodel ElUtilities ❑ Installation ❑ Other 1:1Contractor
Describework: CONVERT COVERED PORCH TO BEDROOM ADDITION
PERMIT FEE $
ELECTRICAL PERMIT
Filing Fee 20.00
Main Service ( III OR LESS )
200A OR LESS
23.00
Main Service ( 200A TO 1000A )
46.00
NEW OR ADONS? ( DW & ACCLLINGBLD& )
3.50, FT. 3.60
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.
License No. Classification
�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)
O I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044)
❑ 1 am exempt under Sec. Business and Professions Code
for this reason
NEW CONST. MULTI -OUTLET
NON.RESID. ( BRANCH CIRCUITS )
@7.50
( POWER APPARATUS )
& SINGLE OUTLET CIR.
Ex. Occup. ( OUTLET OR FIXTURES )
20 @ 1.00
BAL. .50
Ex. Occup.FIXED APPINS. OR
(OUTLETS (RESID.1 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.
jd 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 S23.60
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.
1 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.
I also agree to save, indemnify and keep harmless the County of Butte against all
liabilities, judgments, costs, and expenses which may in any way accrue against said
County in consequence of the granting of this permit. r
Date 3 A x4— T V
Signatbfe of Applicant - -Owner 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 $ 46.00
occ
CONST. TYPE
TOTAL FEE $
211.40
HAZ.
`�
I D. FEE IMP
'�
I FLOOD
A
I COF
I PARCEL PD
""
HD
—
ISSUE
This permit is hereby issued under the applicable provisions
of the B ounty Code and/or Resolutions to do work
indicaped abOve for whi fees have been paid.
By Date
PERMIT EXPIRES ON
lDarel
ReceiptNo.156704
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
:Ort 1.lr��'1.'i'KYt��IT.7rT'Y'r"nM47r.�iiS''�7kGari�771�t�.'tG+4t�j�`iw►3}V%+�';:'�iC.Ssy��i�-{;^�'t9M�'y'i'"Pt.'�;".+�.r..t*'>.._1l�",-i ...� ..�.,i�..r�r/. _ ,
=,>-"COUNTYOF, BUTTE - DEPARTMENT®FDE.ELOPM.ENTSERVICES -BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILL&;' AlIFORI%A95965 -TELEPHONE (916) 5 1
PERMIT APPLICATION DATA SHEET
OWNER C r/� Go A. P. No. lSL/d /-SRd - 6A_,5 --
Proposed Building Use. wilding Inspector Date�
At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance:
DATE RECENED BY
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
14.
15.
16.
17.
18.
19.
20.
21.
22.
23.
24.
25.
26.
27.
28.
29.
30.
31.
32.
33.
34.
All items have been submitted . ....................................... .
Plot plans, 3/4 sets, signed by preparer of plans . ......................... .
Complete plans, 3/4 sets, signed by preparer of plans . ......................
Engineered plans and calcs, 3/4 sets, with wet signature on plans ................
Hazardous Material Form . ........................................... .
Energy Design Compliance and supporting documentation . ..................
Statement of Intent for Non -Heated and A/C Buildings . ..................... .
Engineered truss details and layout in duplicate (required prior to plan check). ....
Mobilehome data and manufacturer's installation instructions, 2 sets. ...........
Feesof $ . .................. ................ .
Impact fees as shown on attached schedule. v0., . F.�' ......... .
California Department of Forestry plan approval/fees. ....................... .
Flood elevation letter (100 year flood) by California Engineer . ................. .
Sanitation and plot plan approval Health Department . ............
City of Chico plumbing permit. ........................................ .
Plot plan and business license approval from City of Biggs/Gridley. .............
Planning approval for (A) Use: (B) Parking: . ........
Contact Land Development.a bout (A) Improvements (B) Drainage. .......... .
Driveway permit (construction approval required prior to occupancy). .. . .
�Freanspection requ�
Pre -inspection for required. .. to Building lnspectol (Date)
Contractor's license, information. (No., Name Style,`Classification). ..............
Certificate of Workmans Compensation Insurance . ..........................
Owner -Builder Verification (Given to owner , Mail to owner_). .......... .
Recorded copy of Agricultural Acknowledgement Statement . ..................
Letter of signature, authorization . ........................................
Copy of recorded deed of parcel creation and 60 right of way to a public road. .... .
Letter of intent on building use . .........................................
Mobilehome utility clearance . ..........................................
Documentation of legal access . ..................... :..................
Documentation of 50% subdivision developed or (A) Road improvements completed
and (B) Parcel meets zoning area and frontage requirements . ...............
Existing violations/expired permits........................................
1 111 VII n 11 . . . . . .
/oo f�%N .� lam. tr9`'�.1�h�
Whe ou issue the permit, rocess as follows: Mailj owner. Mail to contractor.
Telephone3S'S� 9f7o and hold for pickup at (/G1�c� office. Deliver with inspector.
Other
Parcel Creation �,�
Acreage Applicant)'\�'�-� Date -3 a `{ - `ty
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 permit issuance: (Circle new item not checked above).
1. Index permit for above items No.
2. Additional items required:
Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date
Contractor, designer, owner, was advised of above required data by _ phone _ mailCo ter by _ Date
Plans checked by Date ' Plans approved by ADate
Sets of plans on hold in, '` File cabinet AP folder
Copy - Department of PublicWorks"'•
l 1
3 FLOOD PLAIN DECLARATION
I declare the actual value of the proposed construction work under build-
ing permit application at/ 7 7 7 ' / lama ! ! i!W �i� �� o
A.P. # - Oy0-Sgy- U3 -S for, �G�G'`i Cvivye��•enl �y 6c��oo,� 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 4-lMohk VIeW Cour} , D&jr�4rh 85°138
PHONE NO. 3 q 5 - 7840
DATE Illy M4rJ 2q
*Substantial improvement is defined as follows: Any repair, reconstruc-
tion, or improvement of a structure, the cost of which equals or exceeds
SO% of the market value of the structure either, (a) before the improvement
or repair is started, or (b) if the structure has been damaged, and is being
restored, before the damage occurred.
NOTE: Documentation may be required to substantiate costs.
-6: -
BUTTE COUNTY SCHOOLS IMPACT FEE GERTIFICATION FORM
(One Form Per Building)
School Distric d/%' Building Department No.
A.P. Number .—Sg'0 Jurisdiction 0 City [County
Property Owner
Property Locatic
Subdivison
Residential Development . I 0
No. of Living MHI
9M Lv�L�IG�Po�C� Units
Commercial/Industrial
Building
Repre
�,. — I District Identification No.
Lot No.
E?q` Sq. FootageO�Q 2
Addition (Group R)
0
New Addition
(Floor Plans reviewed by School District Personnel)
Sq. Footage
(Including.E)de.rior.
Roofed Areas)
Date
School District certifies that 1-16z d p a)
(Applicant)
,(Street Address) (Phone Number)
CA- 95_-1Z3,?
(City) (State) (Zip Code)
" 11 I has complied with the requirements of Resolution No. 93_3 ' by payment of $ . _6)_
representing /Da square feet.
School District Representative Date
Paid by Check Number
Bank Number
Paid by Cash
Remarks: Fees t 0 i v�
ya�o� sad
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 (sclool district) feeformmkl (4/92)
e
Insulation Certificate
J
ar
BUILDING OWNER: / -' d G`D ^� BUILDING PERMIT #: �y
BUILDING LOCATION: (/�o�/� el/
Description of Installation
ROOF
Material
Thickness (inches)
Brand Name
Thermal Resistance (R -Value)
EILING
Batt or Blanket Type Brand Name
Thickness (inches) Thermal Resistance (R -Value)
Loose Fill Type i„ e ti e s Brand Name
Contractor's minimum installed weightW lb Minimum thickness inches
Manufacturer's installed weight per square foot to acheive Thermal Resistance (R -Value)
EXTERIOR WALL
Material Brand Name
Thickness (inches) 5 Thermal Resistance (R -Value)
RAISED FLOOR
Material
Thickness (inches)
SLAB FLOOR `'
Material
Thickness (inches)
Width (inches)
FOUNDATION WALL
Material
Thickness (inches)
Declaration
Brand Name
Thermal Resistance (R -Value)
Brand Name
Thermal Resistance (R -Value)
Brand Name
Thermal Resistance (R -Value)
I hereby certify that the above insulation was installed in the building at the above location in conformance with
the current Building Energy Efficiency Standards for new residential buildings contained in Title 24 of the
California Administrative Code.....-
General Contractor (Builder)
Signature and Title
Sub -Contractor (Insulation Installer)
Signature d Title
License Number
Date
License Number
M&M It
Date
THIS CERTIFICATE MST. -BE PROVIDED TO THE BUILDING DEPARTMENT PRIOR TO FINAL INSPECTION
APPROVAL AND A COPY SHALL BE POSTED WITHIN THE BUILDING.
JANUARY 1993
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1777
A[monol
View
Court
Melcon
Enclose Porch
8"
63"
8"
70"
70"
22„ 8„
811
Ik
r
`
10" x 10"
"
PIERS
70"
�:. 8„
LILL
0 m
y
r.
y.
•� :: ���- 8u pp�T�A�N�
1 = 40"
48"
48"
48"
124"
48"
20"
8"
T
32'
32'
16'
T
32' A
16'
T
32'
50'
1777 Almond View Court Melcon Enclose Porch 1" = 40"
257'
71 1/2' 1 155 1/2' i 30'
L . 50A4v 1
R❑ 36' x 52'
BUTTE COUNTY
BUILDING DEPARTMENT
4PPROVED
New walls
2 x 6s
16" OC
New, windows
32" x 52' RO
28" AFF
(28 24 24)
N
CY,
R❑ 36' x 52'
BUTTE COUNTY
BUILDING DEPARTMENT
4PPROVED
New walls
2 x 6s
16" OC
New, windows
32" x 52' RO
28" AFF
(28 24 24)
1777 Almond View Court
Melcon Enclose porch
BUTTE COUNTTV
BUILDING DEPARTME T
APPROAfEQcl#
r
1" = 40"
96Cross section
20 /2'
1777 Almond View Court
5 1/2"
A H
CENTERS
S J) XMIM
Run measured toe to t09 -
ale naax, tolerance between
ysrgest smauest rlseKvW
�q
fiAt,14-f1t6 Pex-
Ste. 33aG ve_�
Melcon
dodd-
1 1/2" S 1/2"
•,
:...:. 14 1/2"
.a
gUT'iE COUNTY
BUILDING DEPARTMENT
AppROVED
e4. Y673LiI�t10��@P C4. �2.1�80►
1" = 20"
s S 1/2"
j-�.. H
7 1/2"
7 1/2"
,joists -2x8 16" ❑C�.
H
5 1/2"
Floor and walls Insulated with 5 1/2' Fiberglas batts, ceiling with 9' loose fill
u
-zx UAc--
1777 Almond View Court
From North
Melcon
101•
16'
52'
28'
20.5'
$llTTf COUNTY
BUILDING DEPARTMENT
4pPROVED
Enclose Porch 1" = 60"
From West
Provide approved flssbat M
257' I I 210'
r
{ 1
t . I •
CERTIFICATE OF COMPLIANCE:—RESIDENTIAL -Page 1 CF -1R
------------------------
Project Title.......... Date........ 03/21/94
Project Address:.-..... ---------------------
Documentation Author... JIM PETERSON ; Building Permit #
Company................ JIM PETERSON
Telephone............... (916) 343-7250 ; Plan Check / Date ;
Coi,6iiance Method...... MICROPAS4 by Enercomp, Inc. Field Check/ Date
Cliiiiate Zone........... 11 ---------------------
;' ; MICROPAS4 v4.01 File-MELCON Wth-CTZ11S92 Program -FORM CF -1R ;
User#-MP0400 User -JIM PETERSON Run-HOUSE
--------------------------------------------------------------------------------
GENERAL INFORMATION
Conditioned Floor Area..... 349 sf
Building Type .............. Single Family Detached
Construction Type ......... New
Building Front Orientation. Front Facing 320 deg (NW)
Number of Dwelling Units... 1
Number of Stories.......... 1
Floor Construction Type.... Raised Floor (Package E)
BUILDING SHELL INSULATION
-------------------------
Component Insulation Assembly
Type
9 -value U -Value Location/Comments
Wall• R-13; 0.035
goof R-38 � 0.029
FloorExt R-19 0.048
FENESTRATION
------------
Over,
Area U- # of Interior -EXterior, hang%' Framing
Ori!�ritation (sf) .Value Panes Shading Shading' Fins:;, Type
-- �_.------------- --------
--------- — — ....i ----'----
Window ' Left (NE) 24•.0 0.870 2 Dr4pesa=Std Non'` 'k - �NOnep Metal
_WinddW Back (SS) 24.0 0870 2 Drapes: Etd Nome I ., ' None" Metal
HVAC SYSTEgS_p'�
..} nt �—••----•� -- '44x'' � Y:K,� � � i ' t:.
, ' � � ,J
MI, Duct _`� D� ct t 3� `T ei moa
Equipment Tyne Efficiency Loddi-io � �;Type:
Purnace- 0.7:80 AFUE Attic R Y 6 Setyti ick' yI
NA,t , ACSplit 0'06i SF3RR , AttrC Setback, y
a s #�r • j Flo' }. ' ' �+
IL
tai c .� i� � � �`t • � � i� �� � ' ` ��� "§ t43 � t s s W:
� t i� 1 8 Y r t I f 5 •i ,�, �.
�` " � � ,. ,.�> t�S is r 11r i•t T It � 1�•S:� ���
i t .. st �x " .:. rt- a �•' •:.ys �;;
p tt
�. t ::� d t P t F.:� t i+.+� k{-.•' a ��
>:*.:.''1ad�i�;�. ufa`iirvactr�...,t._s`�31::'i1F.:•
r
CERtIPICATE OF COMPLIANCE: RESIDENTIAL Page 2 CF -1R
-------------------------------------------------------------------------------
Project Title.......... Date........ 03/21/94
--- -------------------------------------------------------------------------
-------------------------------------------------------------------------------
MICROPAS4 v4.01 File-MELCON Wth-CTZ11S92 Program -FORM CF -1R ;.
User#-MP0400 User -JIM PETERSON Run -HOUSE ;
-------------------------------------------------------------------------------
WATER HEATING SYSTEMS
---------------------
Number
in
Tank Type Heater Type Distribution Type System
------------ ----------- ------------------- ------
Storage Gas Standard 1
SPECIAL FEATURES/REMARKS
------------------------
COMPLIANCE STATEMENT
Tank External
Energy Size Insulation
Factor (gal) R -value
-------- ------ ----------
0.544 EF 40 R- 12
This certificate of compliance lists the building features and performance
specifications needed to comply with Title -24, Parts 1 and 6of the
California Code of Regulations, and the administrative regulations to
implement them. This certificate has been signed by the individual with
overall design responsibility. When this certificate of compliance is
submitted for a single building plan to be built in multiple orientations,
any"' shading feature that is varied is indicated in the Special Features/
Remarks section.
DESIGNER or OWNER
DOCUMENTATION AUTHOR
Name.....
JIM PETERSON
Name....
JIM PETERSON
Company.
Company.
JIM PETERSON
Address.
341 BROADWAY #207
Address.
341 BROADWAY #207
CHICO.CA. 95928
Chico,, California 95928
Phone...
(916) 343-7250
Phone...
(916) 343-7250
LiEense.
Signed:.
Signed..
3—z
(date)
(date)
ENFORCEMENT AGENCY
Name.. .
Title...
Agency..
Phone .. .
Signed..
(date)
II 1
MANDATORY„MEASURES CHECKLIST: RESIDENTIAL Page 1 MF-1R
------------------------------------------------------------------------------=
-------------------------------------------------------------------------------
Project Title.......... Date........ 03/21/94
Project Address........ ---------------------
Documentation Author... JIM PETERSON
Company ................ JIM PETERSON
Telephone .............. (916) 343-7250 '
Building Permit #
Plan Check / Date
Compliance Method...... MICROPAS4 by Enercomp, Inc. ; Field Check/ Date
Climate Zone........... 11 ---------------------
----------
II
------------------------------ - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
MICROPAS4 v4.01 File-MELCON Wth-CTZ11S92 Program -FORM MF -1R
User#-MP0400 User -JIM PETERSON Run -HOUSE ;
-------------------------------------------------------------------------------
Lowrise residential buildings subject to the Standards- must contain these
measures regardless of the compliance approach used. Items marked with an
asterisk (*) may be superseded by more stringent compliance requirements listed
on the Certificate of Compliance. When this checklist is incorporated into the
permit documents, the features noted shall be considered by all parties as
binding minimum component performance specifications for the mandatory measures
whether they are shown elsewhere in the documents or on this checklist only.
BUILDING ENVELOPE MEASURES
--------------------------
Design- Enforce-
er ment
*150(a): Minimum R-19 ceiling insulation.
150(b): Loose fill insulation manufacturers labeled R -Value.
*150(c): Minimum R-13 wall insulation in framed walls
Noes not apply to exterior mass walls).
*150(d): Minimum R-13 raised floor insulation in framed floors;
minimum R-8 in concrete raised floors.
150(i): Slab edge insulation - water absorption rate no greater
than 0.3%, water vapor transmission rate no greater than 2.0
Oerm/inch.
110: Insulation specified or installed meets CEC quality
standards. Indicate type and form.
116-17: Fenestration Products, Exterior Doors and Infiltration/
exfiltration controls
A. Doors and windows between conditioned and unconditioned
spaces designed to limit air leakage.
b. Manufactured fenestration products have label with
certified U -value, and infiltration certification.
c.'Ekterior doors and windows weatherstripped; all joints
and penetrations caulked and sealed.
.150(g): Vapor barriers mandatory in Climate Zones 14 and 16
only.
150(f); Special infiltration barrier installed to comply with
'gec.,151 meets CEC quality standards.
150(e): Installation of Fireplaces, Decorative Gas Appliances
and gas logs
1. Masonry and factory -built fireplaces have:
a. Closeable metal or glass door
b. Outside air intake with damper and control
c. Flue damper and control
2. No continuous burning gas pilots allowed.
6
FA
MANDATORY MEASURES CHECKLIST: RESIDENTIAL Page 2 MF -1R
Project -Title--- ..........
------------------------------------=====Date
=========01/91/94
MICROPAS4 v4.01 File-MELCON Wth-CTZ11S92 Program -FORM MF -1R
User#-MP0400 User -JIM PETERSON Run-HOUSE
-------------------------------------------------------------------------------
SPACE CONDITIONING, WATER HEATING AND PLUMBING SYSTEM MEASURES
--------------------------------------------------------------
Design- Enforce-
er ment
110-13: HVAC equipment, water heaters, showerheads and faucets
certified by the CEC.
150(1):. Setback thermostat on all applicable heating systems.
150(j): -.Pipe and Tank insulation
1. Indirect hot water tanks (e.g., unfired storage tanks or
backup solar hot water tanks) have insulation blanket (4-12
or greater) or combined interior/exterior insulation (R-16
or greater).
2. First 5 feet of pipes closest to water heater tank, non -
recirculating systems, insulated (R-4 or greater).
3. All buried or exposed piping insulated in recirculating
sections of hot water system.
4. Cooling system piping below 55 degrees insulated.
5. Piping insulated between heating source and indirect
hot water tank.
*150(m): Ducts and Fans
1. .Ducts constructed, installed and sealed to comply with UMC
sections 1002 and 1004; ducts insulated to a minimum
installed value of R-4.2 or ducts enclosed entirely within
conditioned space.
2. Exhaust fan systems have backdraft or automatic dampers.
3. Gravity ventilating systems serving conditioned space have
either automatic or readily accessible, manually
operated dampers.
114: Pool and Spa Heating -System's and Equipment
1. System is certified with 788 thermal efficiency, on-off
switch, weatherproof operating instructions, no electric
resistance heating and no pilot light.
2. System installed with:
a. At least 36 inches pipe between filter and heater for
future solar heating.
b. Cover for outdoor pools or outdoor spa.
3. Pool system has directional inlets and a circulation
pump time switch.
115.: Gas-fired central furnace, pool heater, spa heater or
household cooking appliance have no continuously burning
pilot light (Exception: Non -electrical cooking appliance
with pilot < 150 Btu/hr.).
LIGHTING MEASURES
-----------------
Design- Enforce-
er ment
150(k): 40 lumens/watt or greater for general lighting in
kitchens and rooms with water closets; and recessed ceiling
fixtures IC (insulation cover) approved.
.COMPUTER METHOD SUMMARY Page 1 C -2R
--------------------------------
Project Title.......... -------------------Date---------03/21/94
Project Address...... _____________________.
Documentation Author... JIM PETERSON
Building Permit #
Company.;.; JIM PETERSON
.
Telephone: .... i ........ (916) 343-7250 ; Plan Check / Date
Compliance Method...... MICROPAS4 by Enercomp, Inc. ; Field Check/ Date
Climate Zone........... 11 ----------- ---------
+! .MICROPAS4 v4:01 File-MELCON Wth-CTZ11S92 Program -FORM C -2R
$ { User#-MP0400 User -JIM PETERSON Run -HOUSE '
------=-----------------------------------------------------------------------
=
MICROPAS4
----------------------------
ENERGY USE
SUMMARY
=
= Energy Use
Standard
Proposed
Compliance =
_ (kBtu/sf-yr)
=-----------------------
Design
Design
Margin =
j, = Space Heating..........
----------
12.61
----------
7.39
---------- -
5.22 =
- Space Cooling..........
23.15
26.67
-3.52 =
= Water Heating..........
i=
44.96
43.96
1.00 =
t =
Total
--------
80.72
--------
78.02
--------
2.70 =
_ *** Building complies
with Computer Performance
;i
GENERAL
------------------
INFORMATION
Conditioned Floor Area.....
Building Type ..............
Construction Type .........
Building Front'Orientation..
Number of Dwelling Units...
Number of Building Stories.
Weather Data Type..........
Floor Construction Type....
Number of Building Zones...
Conditioned Volume.........
Footprint Area .............
Ground Floor Area..........
Slab -On -Grade Area.........
Glazing Percentage.........
Average Ceiling Height.....
349 sf
Single Family Detached
New
Front Facing
1
1 "
FullYear
Raised Floor
1
2792 cf
349 sf
0 sf
0 sf
13.8 % of FA
8 ft
320 deg (NW)
(Package E)
COMPUTER METHOD SUMMARY Page 2 C -2R
Project'Title..........
---------------------------------------Dat e---------03/21/94
- ----------------------------------------------------
MICROPAS4 v4.01 File-MELCON Wth-CTZ11S92 Program -FORM C -2R
User#-MP0400 User -JIM PETERSON Run -HOUSE '
--------------------------------------------------------------------- -----------
BUILDING ZONE INFORMATION
-------------------------
Floor # of Vent Special
Area Volume Dwell Cond- Thermostat Height Vent Area
Zone Type (sf) (cf) Units itioned Type '(ft) (sf)
-------------------------------- ------------------------ ------ ---------
HOUSE
Residence 349 2792 1.00 Yes Setback 2.0 ..n/a
OPAQUE SURFACES
---------------
Area U- Insul Act Solar Form 3 Location/
Surface (sf) value R=vat Azm Tilt Gains Reference Comments
-------------- ------ ----- ----- --- ---- ----------------- ----------------
HOUSE
1 Wall 171 0.035 R-13 320 90 Yes W.13.2X4
2 Wall 116 0.035 R-13 50 90 Yes W.13.2X4
3 Wall 147 0.035 R-13 140 90 Yes W.13.2X4
4 Wall 140 0.035 R-13 230 90 Yes W.13.2X4
5 Roof 349 0.029'R-38 0 0 Yes R.38.2X12.16
6 FloorExt 349 0.048 R-19 0 0 Yes FX.19.2X8.16
FENESTRATION SURFACES
---------------------
SC SC Interior
Area # of Frame Open U- Act Glass Int Shade
Surface (sf) Panes Type Type value Azm Tilt Only Shade Description
----------- ----- ------------- ------ ----- --- ---- ----- -------=---- =---
HOUSE
1 Window 12.0 2 Metal Slider 0.87 50 90 0.88 0.78 Drapes.Std
2 Window 12.0 2 Metal Slider 0.87 50 90 0.88 0.78 Drapes.Std
3 Window 12.0 2 Metal Slider 0.87 140 90 0.88 0.78 Drapes.Std
4 Window 12.0 2 Metal Slider 0.87 140 90 0.88 0.78 Drapes.Std
HVAC SYSTEMS
-------------
Minimum Duct Duct Duct
System Type Efficiency Location R -value Efficiency
----------------------------------------------------------
HOUSE
Furnace 0.780 AFUE Attic R-5.6 0.837
ACSplit 10:00 SEER Attic R-5.6 0.823
WATER HEATING SYSTEMS
---------------------
Number Tank External
in Energy Size Insulation
Tank Type Heater Type Distribution Type System Factor (gal) R -value
------------ ----------- ------------------- -------------- ------ ----------
1 Storage Gas Standard 1 0.544 40 R-12
COMPUTER METHOD SUMMARY Page 3 C -2R
Project Title.......... Date 03/21/94
-------------------------------------------------------------------------------
MICROPAS4 v4.01 File-MELCON Wth-CTZ11S92 Program -FORM C -2R-
User#-MP0400 User -JIM PETERSON Run -HOUSE
-------------------------------------------------------------------------------
SPECIAL FEATURES/REMARKS
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Oroville — Phone: 5344541 '
tSkyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57
CORRECTION NOTICE
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.
Inspector
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. 5-1
CORRECTION NOTICE
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, pWeed additional explanation, please contact this office immediately.
0 c' "
U
✓v4
-71J
Inspector_. _ ate
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
r 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,/mor need additional explanation, please contact this office Immediately.
`, _ /
A
14
1
Inspector I� "/'�-' "�I ,- �� i'�-� Date •'�/i.�
COUNTY OF BUTTq
DEPARTMENT OF PUBLIC WORKS
iJ 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.
Inspector Date
Inter-Departmental Memorandum-a
�4 \t i'
TO:Ars�•,, #(,:�
FROM:
i
SUBJECT:��
DATE:Ll — C6 7 A. 7. 15—,C
7
T (mss, �. ( � -4! j 4
V.S .
Address IX 196 Memorial Way
Reply to Chico, California 95926
Telephone: 916/891-2727
Mr. Gary Jacobs
10 Fairway Drive
Chico, California 95926
Dear Gary:
i
�ldtio 160IIIZtU
0 NATURAL WE A I. T H AhiC EsPA1,1TY
DEPARTMENT OF PUBLIC HEALTH
DIVISION OF ENVIRONMENTAL HEALTH
0 7 County Center Drive Q 747 Elliott Road
Oroville, California 95965 Paradise, California 95969
Telephone: 916/534-4281 Telephone: 916/872-2961, Ext. 58
April 11, 1984
Sewage Disposal Permit Application
Stanfield -Studio Apartment
1777 Almond View Court
AP# 40-15-67
I have reviewed the above mentioned permit application. Table 1-2 of the Uniform
Plumbing Code requires a septic tank capacity of at least 1,350 gallons to serve
two (2) residences with a total of three (3) bedrooms. I have measured the septic
tank, its dimensions agree with those on file for the Owens 1,000 gallon tanks.
This tank is not adequate to serve both residences as proposed. Since the septic
tank is undersized to serve both residences, a separate septic system will be
necessary to serve the apartment unit.
The following will be required before a satisfactory final inspection can be
made of the apartment unit:
1. Submit a plot plan showing the location of the proposed septic tank and
leachfield.
2. Submit an additional twenty-four dollar ($24.00) in permit fees ( a leachline
addition is twenty-four dollars ($24.00), an entire system is forty-eight
dollars ($48.00).
3. Install the additional septic system as required.
If you have any questions regarding this letter, please contact'me at the above
address or telephone number between 8:00 a.m. and 9:00 a.m. weekdays.
Very truly yours,
I'z,
Vance Severin, R. S.
Division of Environmental Health
VS/les
cc: Butte County Building Department
I
71
-PERMIT NO. 35 2-84B, P, 53M
PERMIT EXPIRES- ah
OWNER —JAMES STANFIELD
CONTR.—Gary Jacobs.
ASSESSOR PARCEL 40-15-67
LOCATION 1777 Almond View Ct. Durham
.40
)6-
D
04f A
Y. Temp. Power Pole
jj Called PG&E
Temp. Elec. Service
Called PG&E
jL, Temp. Gas Service
. -4
Called PG&E
ti
JOB FINALE[
Signature
Q.
0 = Not OK
— = Not Applicable MOBILEHOMES MISCELLANEOUS
*. = Not Ready
Date
MOBILEHOME UTILITIES (Plans) OK except M's
1. Zoning Requirements—Setbacks—Easements
Date
DECKS, COVERS, CARPORTS, ETC. (Plans) OK except N's
1, Zoning Requirements—Setbacks—Easements
2. Soils; Special MH Support—Sketch
2. Footings: Size—Depth—Spacing—Connectors
3. Sewer; Location—Test—Fall-C/0—Concrete
3. Decks; Girders and/or Joists—Decking—Bracing—Stairs—Rails
4. Water; Location—Test—Easement Needed (Sketch)
4. Wood Awn.; Posts—Beams—Rftrs.—Conner.—Shing.—Rfg.—Bracing_
5. Electricity; Location—Clearances—Grnd.-/ / Amp—Concrete
_
5. Alum. Awn.; Columns—Connections—Splice—Decal—Enclosures
6. Gas; Location—Test—Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG
6. Carports; Windows—Doors ••
7. Utility Clearance
7. Elec.
Card -BI
Card -BI
Date
Date Card -BI Date
Date Card -BI Date
MOBILEHOME INSTALLATION (Plans) OK except k's
1. Zoning Requ i rements_Setbacks— Easements
Card -BI
Card -BI
Date
Date Card -BI Date
Date Card -BI Date
POOLS (Plans) OK except #'s
1, Setbacks—Easements
2. Footings; Size—Spacing—Marriage Line
2. Soils; Compaction—Structure Stability
3. Gas; MH Test—Demand—Valve—Connector
3. Pool Structure; Steel—Connections—Thickness—Dead Men—Lining
4. Electricity; MH Test—Crossovers—Breakers—Clearances
4, Elec.; Receptacles and Lighting; Distances—GFI
5. Drain; MH Test—Fall—Flex Connector
5. Elec.; Pool Lighting; 15 volts—GFI
6. Water; MH Test—Regulator—Connector
6. Elec.; Enclosures; Conduit Entries—Terminals—Listed
7. Water and Sewer Connected—C/0 to Grade—HD Approval
7, Elec.; Bonding; Metal w/5'—Circulating Equipment—Heater
-y
8. Gas and Electricity Tagged
8. Elec.; Grounding; Equip. w/5'—Circulating Equip.—PooI*Lghtg.
Boxes—Enclosures—Panel boards—Ins. to Main in Conduit'
9. Exits; Insp.—Sketch
10. Cert. of Occupancy
9. Health Department Approval
10. Plumb; Cir. Test—Water Supply Test
Card B-1
Date Card -BF Date
Card -BI
Date Card -BI Date
Card B -I
Date Card -BI Date
Card -BI
Date Card -BI Date
0
F �
4
J - OK - -
0 = 1`4#0K-'
-�f�otApp�ipble RESIDENTIAL (Single and Duplex)
Ig = Not Rea
Date
U ERFLOOR Plans OK except #'s
Date FRAMING (Continued)
oning requirements -Setbacks asements
4 Property Line Firewall & Openings
2. Ft in' el -EI d.- / /" Ftg. Depth
49 Eft. Doors -One 3'L -Check Garage -3rd story, 2 exits
3. Ft oils Steel- / /" Ftg. Depth
tairs; Width -Headroom -Rise -Run -Landing -Fire Protection
e /4.�g., Porches & Oecks; Soils -Steel- / /" Ftg. Depth
lywood on Roof Vrhangcis ent -Rafter Outriggers
5. Stemw n' 1 Blockouts-Wrapped-Slab
52PQSiding-Nailing-Veneer
6. Stemwa s, -rage; St el-Blockouts-Wrapped-Slab
&,l6iers-
53 ucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access
( lazing Area -Glass Protection -Skylights -Plastic
_ &_Z.W.V.: Fall -Fittings -Test -2 way C/0 -Sewer Test
55 hear Walls; Nailing Bolts
�J9 Y. as Pipe; Size -Anchors
A Water Pipe; Test -Anchors -Regulator -Service Test
WOWS—L`e( l y(
>>- Electric; Underground
1? Plenums & Ducts; Clearance -Material -Support -Ins.
73--Girders-Sills-Anchor Bolts -Joists -Vents -Cripples
d -BI Date Card -BI Date
Card -BI ate Card -BI Date
Q'ao 0 L., C f
Card -BI Date Card -BI Date
Card -BI
Date y Card -BI Date
Date F.IN (Plans) OK except #'s
Card -BI Date Card -BI Date
Date
PLUMBING (Permit) OK except N's
_ 14. Water Ht.; Vent-Accegs-Combustion Air
ext. Steps -Door & Sidelight Profection-Landings
§moke Detector
Furnace; Vents -Clearance -Comb. Air -Connector-
I Garage; Above Floor-Ducts-Mech. Protection
1&�Water Pipe; Test & Anchors -Nail Protection
-
14D.W.V.;-Fttngs & Anchors -Nail Protection
5 Bedroom Exiting
S er Pan; Test, First FI -Tub Access
G.F.I. & Bath Fixtures & Tub Access
__
8 T ub & Shower 2+f Tub Access
lec. Trim & Subpanel; Breaker Sizes -Labels
_
9. -Gas Pipe; Size &Anchors
atairs & Rails
6 Fireplace or Stove; Clearances -Hearth
4 lec. Outlets at Wood Panel; Int. & Ext.
Card -BI
Date Card -BI Date
Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance
Card -BI
Date Card -BI Date
lec. Outletq & Receptacles at Kit. Counter
Date
v
ELECTRICAL Permit OK except k's
67. Garag re D, Closer
-ee—A.C. Duct in Garage-Damper
--_?0.--R'xture & Transformer Clearance -Ins. Protection
+99�Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.-
In Garage; Above Floor-Mech. Protection
2�ec. Receptacles Spacing -Lights &Switches at Doors
Boxes & No. of Conductors -Stapled
om
2A-'R2 Romex Installed Close to Edge of Studs & C.J.
70. Plb., Elec. & Mech. Equip. Listed for Location '
. lec. Receptacles in Garage; (G.F.I.)-Romex Protec.
o-
----nsulation-Foam-Looked
Equip. quip. Ground made up w/Mech. Fasteners -Bond Gas & Water
in Attic ❑ es
_
—
a� 2 Appliance Circuits in Kitchen &Conductor Size
73. Guard Rails &Deck Construction ost a
n. Vents & Crawl Hole Door -Drainage & Wood -Earth Clcorance
Looked under Floor El Yes
26. Su_bfeed Wire Size / / ga. Cu oA.C. Wire Size / / ga. Cu or At
—_
--
27. Range Circ. / / ga. Cu o Oven Circ. / / ga. Cu or AI,
Insulated Neutral �?Ies ❑No
28. Service -Riser Conductors & Ground -Main Disconnect
75. Following instld.: Drive ❑ Yes o; Walks ❑•Yes o;
Planters ❑Yes
.31i_.+3t4cco; Brown -Finish
—_
29. Equip. Clearances; Panels-Motors-Mech. Equip.
7,&--11.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outle
-_
30. Clothes Closet Light -Shower Light _
ents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opng .
---•------- --
Water Well; Disconnect, Electrical, Plumbing
Card B-1
j
_D_ate 3-�i9 Card -BI _ Date
xterior Elec. Trim; G.F.I. Receptacle -Underground
entilalion throughout House
Card B -I
Date Card -BI Date
Glass Protection
Date
MECHANICAL (Permit) OK except N's
_
83. Corr tions from Previous Inspections
_
1 84. s Test -Meters Tagged; Gas -Electric
- —__
A_C. Ducts; Insulation & Support
. Water & Sewer Connected -C/O to Grad HD Ap
3�Vent Fan; Exhaust above Insulation
/tqT-1 ner y Compliance C tificate-Other Certifica e
_3 ondensate Drain _& Overilow; Size & Grade
urnace-vent; _Access -Comb. Air -Return Air Vent -115V outlet
3L..Attic Access & Platform if Furnace in Attic
Card -BI
Card -BI
--
Date 3� �`l°iCar I31 Date
Date Card -BI Date
Card -BI Date Card -BI Date
Card -BI Date Card -BI Date
Card -131 Date Card -BI Date
Comments at Final:
Date
��—
FRAMING(PWMs) OK except N's
/Sills; Proper Material & Anchors
--
_
WaIts: Studs -Nailing, Spacing & Bracing -Plates -Sound
i&. Bearing Walls over Girders & Floor Nailing
&P—Draft Stop in Walls (rat proof)
_
Fire Stops; Furred Ceilings -Stairs -Chases -Tub
_N!a
41 Header & Beam -Size & Bearing —
42. Hangers -Post Caps-Anchors-Connector
A,- ing. Joist-Rfir. Ties-Purlin_
-Roof Brac.-Truss-Shthnq.-Rfnq.
44. Fireplace Ties or Type A Flue -Fireplace Throat
4(,. Attic Access: Size &Romex Protection -Draft Stop -Ins. Baffles
4 rm. Windows or Exiting Doors -Sill Hgt. & Dimensions _
4vGarage Fire Protection Framing___ -
(NOTE: An entry must be made each time you visit jobsite)
V COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541
APPLICATION AND PERMIT
PERMIT NO.
`3
ASSESSOR PARCEL NUMBER 1 ZONINGR.
BUILDING PERMIT
OWNER ^ LEP ONE
Z -r -15)6m 4P4
SQ. FT. OCC.1 BUILDING VALUATION
OWNER'S MAILING DRESS
V
O
-7146
T C
CONT R'S NAME
ELEPHONE
CON TiAC OR'S L NG ADDRESS
O
Fireplace t� t'
-, p..�
CONSTRUCTION LENDER .
UNKNO N_
Total Valuation 1 $
Filing Fee
$ 1 Cr.00
LENDER'S MAILING ADDRESS
Permit Fee
$ 101
ARCHITECT OR ENGINEER
�•`d
`
LICENSE NO.
Plan Checking Fee
$�� r
Penalty
$
ARCHITECT OR,ENGINEER'S MAILING ADDRESS
Permit fee
$
BUILDING ADDRESS
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00 �p
Solar Water Heater
20.00
Water piping
5.00 ^�8
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Each qas waterheater or vent
5.00
Gas piping system 1 - 5 outlets
5.00
USE OF STRUCTURE
SF P!r Duplex ❑ Mobi lehome ❑ Other •
SPECIFY
Building
9 sewer
^
5.00 OCI
Mobile Home S G W
10.00 e
TYPE OF WORK
New❑ Addition UV emodel U ilities❑ In allation❑ Other❑
Describe work:
O
Permit Fee
$ zz,
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 600V OR LESS
100 AMP OR LESS
10.00
Main service EA. ADD'L 100 AMP
2:50
NEW CONST. ( DWELLING O �Ip g�
OR ADONS. C ACC, BLDGS. �{\fl
2/20sgft
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.
���� Classification B— I
License No�-
❑ 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 wilh licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEw CONSTR U TI.OUTLET
NON.RESID BRANCH CIRC ITS. 2.50 ea
NEW CONSTR POWER APPARATUS &'
NON.RESID. SINGLE OUTLET CIR.
Ex. Occu 20@SOC
P�o OR FIXTURES 9AL®30
FIXED A
Ex. Occup. -OUTLETS P(RESID )REA.1 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 Compensation Insurance or a Certificate
of Consent to Self -Insure.
ur
to the W. C. laws of California.
Not�cI shall not employ any person in any manner so as to become subject
e to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
MECHANICAL PERMIT
Filing Fee 10.00
Heating op liz
Cooling
Lop
Hood
3.00 -3,
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 eh4r upon the above-mentioned property for inspection purposes.
I also agr a to save, i mnify and keep harmless the County of Butte against
all Iiabi (f s, judg n , costs, and expenses which may in any way accrue
against Count i conse ce of the gr ting of this permit.
Date rrg gg4
Signa re of licant - OW r Contractor Agent ❑
An SHA permit is required f r covations over 5�deep and demolition or construct-
ion of structures over 3 storie i height. /
Mobile Home Installation Fee $
-V �j
TOTAL PERMIT PEt $ ,
r)
OCCUP. GROUP
TYPE OF CONST.
�... e,
N
PARCE
PD
HD
9UE
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIRECTOR OF PUBLIC
By
PE T EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date -
i —I y— O �l
Receipt No. -
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT
OWNER
~ COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/534-4541
PERMIT APPLICATION DATA SHEET
Permit No.
A. P. No. aQ _4< —6
Proposed Building Use //
Permit Fee Based Upon: Complete Contract Price _ .DPW Valuation
Ot,her•(Exp6ain)
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 APPROVED
1. All items have been submitted . . . . . . . . . . . . .
2. Plot plans in duplicate./triplicate. . . . . . . . . . .
3. Complete plans in duplicate. /triplicate. . . . . . . . .
4. Complete engineered plans and calcs. . . . . . . . . .
.'t 5. Plans with Energy Design Compliance Statement. . . . . .
}� 6. State Energy,Forms No.
7 Statement of Intent for Non -Heated and AC Buildings.
8. Fees of $ . . . , , , , ,
/9: Letter of signature authorizat ons
(Q UO. Sanitation approval from 4.iD Health Dept.
11. Planning approval for (A) Use: (B) Parking:
d #4.
Certificate of Workmen's Compensation Insurance. . . . . .
Contractor's License Information (no., name style, classif.) . N c,Owner-Builder Verification (Given to owner❑, Mail to owner ❑ )
15. Improvements may be required. . . . . . . . . . . .
16: Mobilehome Installation Data. ... . . . . ..
•Pre-Inspec. request to
17. Pre -Inspection for t Required. Bu"Iding Inspector (Date)
X-:---1_8. Other J 71
`4 �. V
When you issue the permit, process as follows: Mail to owner. Mail to contractor.
—4ZTelephonejjf[3Z, and hold for pickup at �r-1 office. Deliver w/inspector.
Other /I
Appl ica
Date
/ !
Copy of -plans sent Health Dept., Fire Dept., Other Date
During the plan checking process, the following data must be submitted prior to permit issuance:
(For required items not checked above at ti& ap lication, circle item.)
1. Index permit for above Items No. t
2. Additional items required: 7f.
+r
(Contractor, Designer, Owner) was advised of above required data by Telephone - Mail Other
By Date
Plans checked by Date
Plans approved by Date
-dill lor-
Other
Copy—DPW
AFFIDAVIT OF COMPLIANCE
WITH COUNTY ORDINANCE 2277
(ADDITIONAL DWELLING IN
SINGLE FAMILY RESIDENTIAL ZONES)
Applicant /1/, ..SAVI/ ' L c-1 Date
Zone .5/? -1 AP # y% —: -r; -7 Bldg. Permit #
I, ?�n�rs ,r,�. SS/'%✓ do declare, that the dwelling
(Building Permit # ) at address (present)
_ll Ut2.hv���, ��/. on AP # IK�J /5- G 7 is intended
for the sole occupancy of one adult or two adult persons who are 60
years of age or over, and the area of floor space of the dwelling
unit does not exceed 640 square feet.
I also understand that violations of these provisions are subject to
the penalties provided in Section 24-63.1 of the Butte County Code.
Signed��
Dated 7,_�.
TO: Building Department
.FROM: Environmental Health, Chico
SUBJECT: . Sanitation Clearance
emAle6oevig, Am" u
Owner Location AP#
Plann approved for; sewage disposal water supply �—
Hofin
ld al for: �#D� SR.`J� ter supply
Final clearance O A . for: ater supply
Clearance for bedroom mobile home. Other &o _ 6 AdJ(�
/ n
Note***
Sanitarian Date T
STATE OF CALIFORNIA=STATE AND CONSUMER SERVICES AGENCY GEORGE DEUKMEJIAN, Gorr:mor
DEPARTMENT OF CONTRACTORS STATS LICEINSE BOARD
ce
3132 BRADSHAW ROAD, SACRAMENTO, CALIFORNIA (a MAILING ADDRESS: P.O. BOX 26000
SACRAMENTO, CALIFORNIA 95826
(916) 366.5153
DATE FEBRUARY 7, 1984
REOUEST FOR LICENSE
INFORMATION
GARY.PAUL JACOBs
10 FAIRWAY DRIB
CHICO., CA 95926
LETTER OF 2-8-84 (COUINTER REQUEST)
NAME STYLE
GARY PAUL JACOBS
BUSINESS ADDRESS STREET NUMBER CITY STATE ZIP CODE
10 FAIRWAY DR CHICO CA 97925
LICENSE NUMBER ISSUED CURRENT EXPIRATION DATE
343054 9-14-77 x 10-31-85
Yes No
INDIVIDUAL OWNER PARTNER CORPORATION JOINT LICENSE
X
CLASSIFICATION(S)
B (GENERAL BUILDING)
PERSONNEL AND TITLES
JACOBS, GARY PAUL (OWNER)
ACTIVE STATUS INACTIVE STATUS GOOD STANDING
X Yos . X No '
ADDITIONAL REMARKS:
\ n
13L-15 (REV. 7/83)
87533-2297-83 3M DVP 0 • OSP
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541
APPLICATION AND PERMIT
4 E MIT NO.
s/5
ASSESSOR PARCEL NUMBER
40-15-67
ZONING
BUILDING PERMIT
OWNER
James Stanfield
TELEPHONE
SQ, FT. OCC. BUILDING VALUATION
1"'YS �w Ct., Durham
mon�D�%e
CONTRACTOR'S NAMELEPHONE
ar Jacobs
TE
-10 1
lst renewal
CONT ACTOR'S MAILING ADDRESS
10 Faftway Dr.. Chico
Fireplace
CONSTRUCTION LENDER -
UNKNOWN
Total Valuation $
LENDER'S MAILING ADDRESS
Filing Fee
$ 10.00
Permit Fee ;5 FEF,
$55
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
-00
,$
Penalty
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee
$ 65 . 00
BUILDING ADDRESS
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
Solar Water Heater
20.00
Durham
Water piping
5.00
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Each qas water heater or vent
5,00
Gas piping system 1 - 5 outlets
5.00
USE OF STRUCTURE
SF ® Duplex❑ Mobilehome❑ Other add-
SPECIFY
Building sewer
5.00
Mobile Home S G W
10.00e
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation[—] Other ❑
Describe work:
lst renewal permti #352-84
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service ;00 AOR MP LESSOR_L
10.00
Main service EA. ADD'L 100 AMP
2.50
-71 CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
I am licensed under provisions Of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full force and effect.
License No. Classification
❑ I, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. Business and Professions Code
for this eason
NEW CONST. ( DWELLING OCCUP.& I
OR ADDNS. C ACC. BLDGS. 2/20sq ft
NEW CONSTR ULTI.OUTLET 2,50 ea
NON.RESID BRANCH CIRCUITS)
NEW CONSTR. f POWER APPARATUS &)
NON-RESID, %SINGLE OUTLET CIR.
EX. OCCUp�OUTLETS OR FIXTURES .0@50¢
FIXED AP PLNS. ORALO
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 unde enalty of `perjury (check one)'.
❑ The permit is for $100.00 (valuation) or less.
❑ I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
MECHANICAL PERMIT
Filing Fee 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.
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
Xast said County in consequence of the granting of this permit.This
Date
ure of Applicant — Owner❑ Can tractor ❑ 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 $ 69 nr)
0ccuP. GROUP
TYPE OF CONST.
PARCEL
PD
NO
I ISSUE
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 _ 2/141/26
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date
Receipt No.
WHITE-D.P.W., YELLOW -ASSESSOR. PINK -INSPECTOR, GOLDENROD -APPLICANT
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroyille, California 95965 - Telephone 916/534-4541
APPLICATION AND PERMIT
AS ESSOR PARCEL NUMBER
ZdONING
BUILDING PERMIT
CrW,NER
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
N S M"AILING AD RE S
O TRACTO ' E HO NE
OR'S MAILING A70DRESS
I _
Fireplace
C NSTRU TION UNDER K WN
Total Valuation $
LENDER'S MAILING ADDRESS
Filing Fee
$ 10.00
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE No.
Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Energy Plan Checking Fee
$
Penalty
$
BUILDING ADDRESS
Permit fee
$ 2-63
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2,00
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAME
ARC EL MAP
Water piping
5.00
Each qas water heater or vent
5.00
USE OF STRUCTURE
SF ❑ Duplex[] Mobilehome❑ Other -
SPECI
Gas piping system 1 - 5 outlets
5.00
Building sewer
Mobile Home 17S757W
5.00
10.00 ea
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Uti litie.s ❑ Installation ❑ OtherZ
Describe work: _
O al,M T ,P -5Z 40, -JM
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 1000 AMP ORLESS10.00
ONTRACTORS LICENSE LAW
I declare under a
p y of perjury (check one):
❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license Is In full force and effect.
License No. Classification
EJ1, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. Business and Professions Code
for this reason
Main service EA. ADD'L 100 AMP
2.50
NEW CONST. DWELLING OCCUP.n
OR ADDNS. ( ACC, BLDGS. ) /20sgit
NEW CONSTR U TI.OUTLET
NON•R ESID BRANCH CIRC ITS 2.50 ea
POWER APPARATUS e)
SINGLE OUTLET CIR.
EX. OCCU OUTLETS OR FIXTURES 20 050C
p� eALo 3o
FIXED APPLNS. OR
Ex. OCCup. OUTLETS (RESID.1 EA.) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring
15.00
Permit Fee $
WORKMEN'S COMPENSATION INSURANCE
I declare undef5enalty 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
Hood
3,00
Ventilation
permit Fee
$
Contractor
I certify that 1 have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the Countyot
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
against said County in consequence of the granting of this permit.
X
Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑
An OSHA permit isrequired 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 $
occup.
CONST.TYPC
FLAD O
PARCeL
I PD
No
se e
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
Date
Receipt No. _ -
- WNITC•a. P. W., Y[L LOW-IQ9eC330R, PILAR-INSP gC�Y pr., G01.0:�I;0D`ApVk.1C-AA.T
RESIDENTIAL "
ENERGY CONSERVATION STANDARDS
CONSTRUCTION COMPLIANCE CERTIFICATE
THIS IS TO CERTIFY THAT ENERGY CONSERVATION REQUIREMENTS HAVE BEEN
INSTALLED IN CONFORMANCE WITH CURRENT ENERGY CONSERVATION REGULATIONS
AT Lott Rd. & Almond View, Durham
,: (location)
BUILDING PERMIT NO.. 01- sy 3 A. P. NO. 4 —/5-4,7
THE FOLLOWING HAVE BEEN INSTALLED AS PER APPROVED PLANS:
(Check each item or write N/A if not applicable)
INSULATION:
Slab �,Ed'g-d',A
Fdn."Walls
Floors R11
Walls R19
Ceiling/Roof . R30
Ducts k—.—
Circulating'Pipes
APPROVED HEATER
APPROVED WTR.HTR.
GLAZING:
Single Glazed
Special (Insulated) r/
CERT. & LABELED WDS.
& SLIDING DRS. ✓
WEATHERSTRIPPED DRS.
BACK DAMPERED FANS
INTERMITTENT IGNITION DEVICES
CERT. APPLIANCES C_ -
I DECLARE'THAT ALL REQUIRED ITEMS AS NOTED ABOVE HAVE BEEN INSTALLED
IN ACCORDANCE -WITH THE ENERGY CONSERVATION REQUIREMENTS AND AGREE TO
THE COMPLETENESS OF THIS CERTIFICATE AS SUBMITTED.
Insulation Applicator Name
Signature of
Insulation Applicator.
Loerke Insulation Co.
(please.print)
���'� • State Contractors
License No.----4.32518
Gen Contractor/Owner Name (-'�t�,y _�4uL _ �4�o ,�j
t _ (please print)
S* ;.Of
G eral ontractor/Owner Date
State Contractors
License No.,Y¢Z.Q45,�k
THIS CERTIFICATE MUST BE ON FILE WITH THE BU ILD ING DEPARTMENT PRIOR TO
REQUESTING FINAL INSPECTION AND SHALL BE POSTED IN A CONSPICUOUS LOCATION
WITHIN THE DWELLING.
f
• } COUNTY OF BUTTE
�+ -DEPARTMENT OF PUBLIC WORKS
+96 Memorial Way, Chico — Phone: 891-2751
7 Ccunty Center Drive, Oroville — Phone: 534-4541
Skyway and Elliott Road, Paradise -- Phone: 872-2961, Ext. 57
CORRECTION NOTICE
JNERD - - PERMIT N
A routine inspection 'ndicates 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 �ffice immediately.
taf
LMIA
I •
io "."45� SJR 1
=11/ /
Inspector__ Date
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
r 196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, OroviIle— Phone: 534-4541
Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57
CORRECTION NOTICE
� 1" , -BUILDING
BUILDING OR �'ROPERTY ADDRESS
A routine inspection indicates that the following violations of County Ordinance
exist at the above address and should be corrected. Please notify this office
when correction of work is completed. If you have any question pertaining to this
atter, or need additional ej�n,'please contact this office immediately.
Q, rJ
Inspector i ' Date .�
esl. COUNTY OF BUTTE
I? COUNTY
OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Oroville — Phone: 5344541
Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57
CO RECTION NOTICE
A routine inspection n icates that the following violations of County Ordinance
exist at the above a dress 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.
Inspector_ ._ Date
COUNTY OF BUTTE
' DEPARTMENT OF PUBLIC WORKS,
196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Orovi Ile — Phone: 534-4541
Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57
CORRECTION NOTICE
BUILDING AR PROPERTY ADDRESS
A routine inspection indicates that the following violations of County Ordinance
exist at the above address and should be corrected. Please notify this office
when correction of work is completed. If you have any question pertaining to this
matter, or need additional explanation, please contact this office immediately.
Inspector Da
(A),
PERMIT NO. 409"83B.P.E.M
PERMIT EXPIRES
OWNER JAMES & CORNE STANFIELD
CONTR. Gary Jacobs, ClAco
ASSESSOR PARCEL 40-15-67
LOCATION E/S Lott Rd. app 7501N Durham -Oro
Hwy, Durham
1P, 79
Temp. Power Pole 0
Called PG&E V/
Temp. EIec. Service
Called PG&E
-
Temp.Gas Service
Called PG&E_
JOB FINALED (Date
Signatur
J,= OK
0 = Not OK
- = Not Applicable MOBILEHOMES
= Not Ready
2 1
MISCELLANEOUS
Date
MOBILEHOME UTILITIES (Plans) OK except N's
Date
DECKS, COVERS, CARPORTS, ETC. (Plans) OK except N's
.i.t
1. Zoning Requirements -Setbacks -Easements
1. Zoning Requirements -Setbacks -Easements
1
,f
Date
MOBILEHOME UTILITIES (Plans) OK except N's
Date
DECKS, COVERS, CARPORTS, ETC. (Plans) OK except N's
1. Zoning Requirements -Setbacks -Easements
1. Zoning Requirements -Setbacks -Easements
2. Soils; Special MH Support -Sketch
_
2. Footings; Size -Depth -Spacing -Connectors
3. Sewer; Location -Test -Fall -C/0 -Concrete
3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails
4. Water; Location -Test -Easement Needed (Sketch)
4. Wood Awn.; Posts-Beams-Rftrs.-Connec.-Shthg.-Rfg.-Bracing_
5. Electricity; Local ion-Clearances-Grnd.-/ / Amp -Concrete
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures -
6. Gas; Location -Test -Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG
7. Utility Clearance
6. Carports; Windows -Doors
7. Elec.
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date
Date Card -BI Date
MOBILEHOME INSTALLATION (Plans) OK except #'s
1. Zoning Requirements -Setbacks -Easements
Card -BI
Date
_
Date Card -BI Date _
POOLS (Plans) OK except Y's
1. Setbacks -Easements
2. Footings; Size -Spacing -Marriage Line
2. Soils; Compaction -Structure Stability
3. Gas; MH Test -Demand -Valve -Connector
4. Electricity; MH Test -Crossovers -Breakers -Clearances
3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining__
4. Elec.; Receptacles and Lighting; Distances-GFI
5. Drain; MH Test -Fall -Flex Connector
5. Elec.; Pool Lighting; 15 volts-GFI
6. Water; MH Test -Regulator -Connector
6. Elec.; Enclosures; Conduit Entries -Terminals -Listed
7. Water and Sewer Connected -C/O to Grade -HD Approval
7. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater
8. Gas and Electricity Tagged
8. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghtg.
Boxes -Enclosures -Panel boards -Ins. to Main in Conduit
9. Exits; Insp.-Sketch
10. Cert. of Occupancy
9. Health Department Approval
10. Plumb; Cir. Test -Water Supply Test
Card B -I
Card B -I
Date Card -BI Date
Date Card -BI Date
Card -BI
Card -BI
Date Card -BI Date _
Date Card -BI Date
a
t
%4 = OK
0 = Not OK
t c
'- = Not OppliReady cable
;} = Not ReadRESIDENTIAL (Single and Duplex)
a'
17-d
Date
UNDE LOOK Plans OKexce t#'s
Date F A Continued
Zoning requirements -Setbacks- asements
Pr rty Line Firewall & Openings
g., Main; Soils -Steel -EI rn.- / /" Ftg. Depth
4
xt Doors -One 3' -Check Garage -3rd story, 2 exits
g., Garage; Soils -Steel- / /" Ftg. Depth
5
tom; Width -Headroom -Rise -Run -Landing -hire Protection
Porches & Decks; Soils -Steel- / /" Ftg. Depth
Sod
on Roof Overhang -Attic Vents -Rafter Outriggers
(5/Sfemwalls, Main; Steel-Blockouts-Wrapped-SlabSiding-Nailing-Vene
emwalls, Garage; Steel-Blockouts-Wrapped-Slab
M&1 -Dri cr Vents-Underflr. Access
-
, /Jers .- eel
✓D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test
54.
Glazing Area -Glass Protection -Skylights -Plastic
155
Shear Walls; Nailing -Bolts
as Pipe; Size -Anchors
Water Pipe; Test -Anchors -Regulator -Service Test
11. Electric; Underground
-
lenums & Ducts; Clearance -Material -Support -Ins.
13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date Card -B Date
Card -BI
c),Date ?t / � Card -BI Date
Date FIN
"'�
syc (PI, sa� except #'s
Fact. Steps -Door & Sidelight Protection -Landings
Card -BI
Date
Date Card -BI Date
PLUMBING (P K except #'s
5,7'Smo
Detector
_
14. W ter Ht.; -Access-Combustion Air
5
rnace; Vents -Clearance -Comb. Air-Connector-
I age; Above Floor-Ducts-Mech. Protection
�er Pipe; Test & Anchors -Nail Protection
1gr-r.W.V.; Test-Fttngs & Anchors -Nail ProtectionBedgoet>
Exiting
_
17 ower Pan; Test, First Floor -Tub Access
F.I. & Bath Fixtures & Tub Access
0-1
est Tub & Shower, 2nd Floor -Tub Access
_ -
Trim & Subpanel; Breaker Sizes -Labels
1 as Pipe; Size &Anchors
St�ire-&�aiIs
_
4&.'FjjRplace
or Stove; Clearances -Hearth
,
Elec. Outlets at Wood Panel; Int. & Ext.
Card -BI
Dat Card -BI Date
•
Ki ixt. & Appliance; Grnd.-Air Gap�-Cokmg Clearance
Card -BI
Date Card -BI Date-*-"Elec.
Outlets & Receptacles at Kit. Counter
rag Fire Door; Swing -Landing -Closer
Date
E TRICAL Permit OK except #'s
t in Gar e -Damper
-XK,elmature & Transformer Clearance -Ins. ProtectionfiIP-
--rte
tr. Htr.; Ve -Cle -Com ir- .V
ctor-P. .-
In Garage; Above Floor-Mech. Protection
21 ec. Receptacles Spacing -Lights & Switches at Doors
_
2 e Boxes & No. of Conductors -Stapled
Plb , Elec. &Mech. Equip. Listed for Location
2 omex Installed Close to Edge of Studs & C.J.
lec. Receptacles in Garage; (G.F.I.)-Romex tec.
Ground made up w/Mech. Fasteners -Bond Gas &Water
72.
Insulation -Foam -Looked in Attic s
gils & Deck Construction -Post Caps
25'2 Appliance Circuits in Kitchen &Conductor Size
-
de-- Mreed Wire Size i / Sa. Cu or AI-A.C. Wire Size /70 ga. C
27. Ran a Circ. / g or At Oven Circ. / / ga. Cu or At,
I ulated Neutral f '' es ❑No
28. Se a -Riser Conductors & Ground -Main Disconnect
r AI
74.
Fdn. Vents & Crawl Hole r -Drainage & Wood -Earth Clce
Looked under Floor L6,4es
75.
Following in .. Drivees� No; Walks [Yes []No:
Planters Yes CJ No
�-Brown-Finish
-
29 gearances; Panels-Motors-Mech. Equip.
Cy Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet
_
- --
Card B -I
Card B -I
Clothes Closet Light -Shower Light _
— --- ------
4 Date Card -BI Date
-- __-- --_ --_
Dale Card -BI Date
ent Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs.
r Well; Disconnect, Electrical, Plumbing
rior Elec. Trim; G.F.I. Receptacle -Underground
Ventilation throughout House
8 .
a Protection
Date
ME ICAL (Permit) OK except #'s
8
orrections from Previous Inspections
�Z
GGxst-Meters Tagged; Gas -Electric
C Ducts; Insulation & Support
@6-`Watqi&
Sewer Connected -C/O to Grade -HD Approval
ergy Compliance Certificate -Other Certificates
_
-
ent_Fa_n; Exhaust above Insulation _
33. Condensate Drain _& Overilow; Size & Grade
Card -BI
Card -BI
34. Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet
35. Attic Access & Platform if Furnace in Attic
---------
Datey�r/' 1 Card -Bl- - Date
Date Card -BI Date
C -BI
--
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI Date Card -BI Date
Comments at Final:
Date F G(Plans) OK except #'s
3g-, S' s_; Proper Material & Anchors
311F"W Studs -Nailing, Spacing & Bracing -_Plates_ -Sound
38. ring Walls over Girders F loo_r_Nai ling___
_39._ Draft Stop in Walls (rat /0ot) _
40. Fire Stops; d C, ' lairs -Chases -Tub
4Y�. H;.�j er &Beam -Size & Bearing
42. /Hgers-Post Caps -Anchors- onnec tors
4 Cing. Joist-Rflr. Tie -Roof Brac.-Truss-Shthnq.-Rfng.
Z .e Fireplace Ties VD FI lace Throat
-
raft Stop -Ins. Baffles
Attic Access Size ----
4tyitsarm. doves or Exiling Doors -Sill Hgt. & Dimensions -
4 rage Fire Protection Framing
—
(NOTE: Anentrymust be made each time you visit jobsite)
COUNTY OF BUTTE -,DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95,965 - Telephone 916/534-4541
-APPLICATION AND PERMIT
PERMIT NO.
D - X13
ASSESSOR PARCEL N^MBE
ZONI
BUILDING PERMIT
ow (ITELEPHONE
SO. FT. OCC. BUILDING VALUATION�j�� .
V
OWNER'S MAILIINNG ADDRESS
CO ACTOR'SE
Arxi s
ELEPHONE
-
ah
COC O 'S MAI ING ADDRESS
76 IC,Fireplace
CONSTRUCTION LENDEJ
UNKNOWN
Total Valuation $
Filing Fee
$ 0,00
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
MIX
Penalty
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee
$
BUILDINA DDR ss
PLUMBING PERMIT
Fi ling Fee 10.00
Each Trap
to .2.00 0
Repair drainage or vent piping
5.00
1777
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
SFEJ Duplex❑ Mobilehome❑ Other
SPECIFY
Building sewer
^
Lawn sprinkler system
5.00
Lt
TYPE OF WORK
New Addition ❑ Remodel ❑ Utilities ❑ Instal lation ❑ (Pther ❑
Describe work:
Permit Fee
$ ®t D
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 600V OR LESS
100 AMP OR LESS
00 p
Main service EA. ADD'L 100 AMP
2.50
NEW CONST. (DWE
OR ADDNS. ACCL G ZE
NEw CONSTR T u LE
BRANCH CIRC ITS
iog'
) q f t Q
2.50 ea
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):NEW
I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full force and effect.
License No.-� Classification �
FJ 1, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
—NON.RESID
CONSTR. / POWER APPARATUS 61
NON-RESID. %SINGLE OUTLET CIR, /
EX. OCCUp OUTLETS OR FIXTURES GALS
IX ED APPLNS. OR \
EX. OCCUp.�OUT LETS (RESID.) EA./ 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.
I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Not ce 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
3.003.00
Ventilation
Permit Fee
S J0a
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 liabi les, judgmen , costs, and expenses which may in any way accrue
a nst County ' nseque of the g nting of this permit.
X Date /�J�. ��
Signo re of p licant — ?./ ❑ Contractor Agent ❑
An SHA permit is required avations over 5' deep and demolition or construct-
ion of structures ovre�r/3 sct/ones in height.
Mobile Home Installation Fee $
TOTAL PERMIT FEE $
OCCUP. GROUP
/�
TYPE OF ONST,
PARCE PD HI
ISSDE,
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above f which
DIRECT OF UBLIC
B-
PE EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date �IZ—
;�
Receipt No. / G 13a
WHITE-D.P.W., YELLOW -ASSESSOR, INK -INSPECTOR, GOLDENROD -APPLICANT
Return to DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT
FOR• RESID.ENTIAL DEVELOPMENT
Section 26-8.1 of the Butte County Code requires this acknowledgement
be recorded prior to issuance of a building permit.
83— 6209 i
OFFICIAL gECOR?S
AVTTE C0UNr(-1LA1JF
",FCO S REQ -1 T';: 9�-
The property described herein is adjacent to land or included fE8 8 35 AH�9�a
within an area zoned for agricultural•purposes, and residents of ELEANOR M.B:CKER rte!
thisproperty may be_subject to inconveniences or discomfort arising CLERK •RECORDER
from the use of agricultural chemicals, including, but not limited to herbicides, FEE
pesticides, and fertilizers; and from the pursuit of agricultural operations including,
but not limited to cultivation, plowing, spraying, pruning, and harvesting which occa-
sionally generate dust, smoke, noise, and odor. Butte County has established agricul-
tural zones which have as a priority use for productive agricultural purposes, and
residents within said zones and on adjacent property should be prepared to accept such
inconvenience or discomfort from normal, necessary farm operations.
All that real property situate in the County of Butte, State of California,
described as follows:
Date: �!C
PROPERTY OWNERS:
W
v
State ofeolm-ewy?f ) On this the ��-� day of F L� IP • 19_L.
) SS. before me, the undersigned Notary Public personally
.County ofsml LI. !/ig?z ) appeared -T'Awo-s #. g/✓)
CD P /A/4/C Z.
known to me to be the person(s) whose name(.$)
subscribed to the within instrument and acknowledged
El,
ARTHUR E. SCHIEFFER that � executed the same for the purposes
NOURYPUBLIC' SALIFORNIA therein co ained.
SONOMA COUNTY My Commission [Ro-fes IN WITNESS, WHEREOF, I hereunto set my hand and of f ictal
Sept. !8, f9dS seal.
Notary Public
I
}
DESCRIPTION:
All that certain real property situate in the County of Butte, State of
California, described as.follows:
Being a portion of Parcel 3 as shown on that certain Parcel Map entitled,
"A PORTION OF'LOT 88 AND A PORTION OF THE L. FRANKLIN LOT OF THE DURHAM
S1ATE,LAND SETTLEMENT, BUTTE COUNTY, CALIFORNIA FOR JAMES 0. TATUM", filed
in Book 53 -of Parcel Maps, at Pages 45 and 46, Butte County Records, and
more particularly described as follows:
I
BEGINNING at the Southwest corner of said Parcel 3; thence along the South
line thereof North 880 39' 54" East 321.56 feet; thence North 00 43. 19"
West 136.14 feet;,thence South 880 39' 54" West 321.56 feet to the North-
west corner of said Parcel 3; thence along the Westerly line thereof South
0 431 19 East 136.14 feet to the point of beginning.
TOGETHER WITH an easement for road and utility purposes being the Northerly
30.00 feet of the following described property:
Being a portion of Section 291, Township 21 North, Range 2 East, M.D.B. & M.,
also a portion of the land shown on that certain Map entitled, "OFFICIAL
MAP OF, SURVEY OF LANDS OF JAMES FITZPATRICK IN RANCHO-ESpUON, BUTTE COUNTY,
CALIFORNIA", which Map was filed in the office of the Recorder of the
County -of Butte, State of California, on April 23, 1905 in Licensed
Surveyors Map Book "B".at Page 29, being more particularly described as
follows:
Parcel 21 as shown on that certain Parcel Map filed in the office of the
Recorder of the County of Butte, State of Calfornia, on November 13, 1975,
in Book 53 of Parcel Maps, at Page 95.
I
1
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