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Home My WebLink About040-590-002~/ erml / \ B aDING. DE ^ '~~_^�,~,J,' ' � cont: Durham Elect�ic' NL 2193 Blossom Ln-.-, Durham nt: Four Se-aso-ns Roofing Oil 040-'590-002 03-3170 - 2193 BLOSS OM LN DDkfIAM Cont: MCCLELLANb'�VC NEW 040-590-002 040110 :2ff3 BLOSSOM LM DUkH'AM [.CONT:APPLEELkTkIC UPGRADE MAIN SERV TO 200A 040-590-002 04-0140 -0140 Cont: OWNER REP 'WINDOWS & 1426 HE'AT_ 040-1596--062 .04-0335 CPNT: APPLE ELECTRIC 052160 2193 BLOS§OM'AVE, DURHAM' CONT: OWNER 040-590-002 05-3071 DONNELY, MARGARET 2193 BLOSSOM LN, DURHAM Cont: OWNER PROPANE TANK Butte County Department of Development Services. 0urrE- r � ' t V OT E S + 7 County Center Drive, Oroville, CA 95965y s (530) 538-7601 vrnw.buttecountyneydds cepNYy RESIDENTIAL, /61 ` �/ ?, APN: Permit No. 040=590-002 _- _-_05=3071- owner. _DONNELY, MARGARET, - 2193 BLOSSOM LN, DURHAM - o) (a/ ,D ,t -r ,'� Site Address: —Cont: OWNER - { Contractor. PROPANE TANK Type of Permit: ` mi CHECKED BY .• U SRA ` FLOOD CERTIFICATE EQUIRED `^ ❑ FIRE SPRINKLERS REQUIRED 0 SPECIAL INSPECTION ITEMS Q VERIFY {{ USE PERMIT CONDITIONS F Q SUB -STANDARD HOUSING LETTER ;j+ Q ENCROACHMENT PERMIT Q REINSPECTION FEE PAID f-1 OFFICE COPY Ib ty. I .+ Address; l � L3to5sym t. GAS Meter B Date 4 `r ELECTRIC Meter By Date DATE JOB FINALED- SIGNATURE: r +=OK MANUFACTURED HOMES MISCELLANEOUS DATE PERMANENT FOUNDATION SOFT -SET 1 Zoning -Setbacks -Easements 2 Soils; Special MH Support Sketch 3 Sewer; Loctn-Test; Fall/C/0-Concrete 4 Wtr; Loctn-Test-Easement Needed -Regulator 5 Elec Loctn-Clrncs-Grnd Amp -Concrete 6 Yard Gas; Loctn-Test-Wrap Nat 0 or LP❑ Inch Sz Ft Lngth 7 Blckng; Sz-Spacing-Marriage Line 8 Gas; MH Test-Demand-Valve-Cnnctr 9 Elec MH Cntnty Test-Crossovers-Breakers-Clrncs 10 Drain; MH Test -Fall -Flex Cnnctr 11 Wtr & Sewer Connected -C/O to Grade 12 Gas and Electricity Tagged 13 Tie Downs Q Foundation Q 14 Exits 15 Cert of Occupancy 16 HUD Label/insignia Numbers Serial Numbers DATE DECKS -COVERS -CARPORTS 'GARAGE S 1 Zoning -Setbacks -Easements 2 Ftgs; Soils-Sz-DpthSpacing-CnnctrsSteel 3 Decks, Girders/Joists-Dcking-Brcing Stairs-Guard/Handrails 4 Wood Awn; Posts -Beams-Rftrs -Cnnctrs -S hthg Frmg-Brcng 5 Alum Awn; Columns-CnnctnsSplice-Decal-Encisrs 6 Carports; Wndws-Doors 7 Electric 8 Frmg; Silis-AnchrsStuds-Rftrs-Trusses 9 Siding; Nailing -Veneer -Stucco -Lath 10 Roof; Shthg-Roofing 11 Ext; Steps -Doors -Landings 12 Braced Wall pnls DATE TFUOLS 1 Setbacks -Easements 2 Soils; CompactionStructure Stability 3 Pool Structure; Steel-Cnnctns-Thickness Dead Men -Lining 4 Elec Rcptcls/Lting; Distance-GFI 5 Elec Pool Lting; 15 volts-GFI 6 Elec Enclsrs; Conduit Entries -Terminals -Listed 7 Elec Bonding; Metal w/5'-Crcltng Eqp-Htr 8 Elec Grndng; Eqp w/5' Crcltng Eqp-Pool Ightg Boices-Enclsrs-pnlboards4nsultn to Main Conduit 9 Health Dept Apprvl 10 Plmb; Cir Test-Wtr Supply Test 11 Lt Niche 12 Enclsr; Fencing -Alarms 13 Bonding, Diving board or Slide s` Pool Drawing v = OK 0 = Not OK RESIDENTIAL (ng e & Duplexj 1- DATE JUNDERFLOOR 1 Zoning -Setbacks -Easements -Flood -Slope 2 Ftg Main; Soils-Elec Grnd Ftg Dpth 3 Ftg Garage; Soils-Steel-Elec Grnd Ftg Dpth. 4 Ftg Porches/Decks; Soils -Steel Ftg Dpth 5 Stemwalls Main; Steel-Blockouts-Wrapped 6 Stemwalls Garage; Steel-Blockouts-Wrapped 69 Hold Downs and Special Anchrs 7 Slab, Steel Wrapped 8 Piers-Frpic Ftg-Steel 9 DWV; Fall -Fitting -Test -2 -way CIO -Sewer Test 10 UF, Gas Pipe; Sz Anchrs-Sz Test 1.1 Wtr Pipe; Test-Anchrs-RgltrService Test 12 Elec Undrgrnd 13 Plenums & Ducts; Clrnc-MaterialSupport-insults 14 Girders-Sills-Anchr Bolts 4oists-Vnts-Cripples 15 Acc & Vntltn 16 Insulation c` DATE IFRAMING 17 Sills Proper Materials & Anchrs 18 Walls Studs -Nailing Spacing & Braces -Plates -Sound 19 Bearing Walls over Girders & fir Nailing 20 Draft Stop in Walls (rat proof) 21 Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 22 Headers & Beams-Sz & Bearing 23 Hangers -Post Caps-Anchrs-Cnnctns 24 Ceiling Joist-Rftr Ties-Purlin-Roof Brac-TrussShthg 25 Frplc Ties or Type A Flue-Frplc Throat Clmc 26 Attic Acc; Sz & Rmx Prtctn-Draft Stop -Ins Baffles 27 Bdrm Wndws or Exiting Doors -Sill Ht & Dimensions 28 Garage Fire Prtctn Framing -RC Channel 29 Prprty Line Firewall & Opngs 30 Ext Doors -One 3' -Check Garage 3rd Story, 2 Exits 31 Stairs; Width-Hdrm-Rise-Run-Landing-Fire Prtctn 32 Plywd on Roof Ovrhng-Attic Vnts-Rftr Outrgrs 33 Siding -Nailing Veneer 34 Stucco Lath -Weep Screed-Fndtn Vnts-Undrflr Acc 35 Glazing Area -Glass Prtctn-SkyLts-Plastic 36 Shear Walls; Nailing -Bolts 37 Brace Int/Ext Wall pnis 38 Insultn-Walls-Ceilings 39 Infiltration-Walls-Wndws s s' DATE JELECTRICAL 40 Fxtr & Trnsfrmr Clrnc4ns Prtctn 41 Elec Rcptcls Spacing-Lts & Switches at Doors 42 Sz Boxes & No Of Cndctrs Stapled 43 Romex Installed Close to Edge of Studs & CJ 44 Eqp Grnd made up w/Mech Fstnrs 45 Grndng Electrode Bond Gas & Wtr 46 2 Appinc Cires in Ktchn & Cndctr Sz GFI 47 Subfeed Wire Sz ga ❑ CU or DAL AC Wire Sz ga ❑ CU or DAL 48 Range Circ ga OCU or DAL Oven Circ ga D CU or D AL Insulated Neutral DYes DNo 49 Service -Riser Cndctrs & Grnd Main Dscnnct 50 Eqp CImcs pnis-Motors-Mech Eqp 51 Clothes Closet Lt-Shwr Lt -Spa Lt 52 Smoke Detector DATE IPLUMBING 53 Wtr Htr; Vent-Acc-Cmbstn Air Baffle 54 Wtr Pipe; Test & Anchr-Nail Prtctn 55 DWV; Test Fittings & Anchr Nail Prtctn 56 Shwr Pan; Test, First fir -Tub Acc 57 Test Tub & Shwr, 2nd fir - Tub. Acc 58 Gas Pipe; Sz & Anchrs 59 Fire Sprinkler; Test 60 Yard Gas Piping 0• 0` �1 DATE MECHANICAL 61 AC Ducts Insulin & Support 62 Vent Fan, Exhaust abv Insultn 63 Condensate Drain & Ovrtlw, Sz & Grade 64 Furnace -Vent Acc-Comb Air Rtrn/Vent 115 Outlet 65 Attic Acc & Pltfrm if Furnace in attic .� o'• e a 0. O'• FINAL 66 Ext Steps -Door & Side Lt Prtctn-Landings 67 Smoke Detector 68 Furnace Vnts-CImc-Comb, Air-Cnnctr In Garage; abv-fir-Ducts-Mech Prtctn 69 Bedroom Exiting 70 GFI & Bath Fxtrs & Tub Acc-Spa 71 GF1 Arc Fault 72 Elec Trim & Subpnl, Breaker Sts & Labels 73 Stairs, Guard/Handrails 74 Frplc or Stove, Clrnc-Hearth 75 Elec Outlets at Wood Pnl, Int & Ext 76 Ktchn, Fxtr & Appinc; Grnd-Air-Gap-Cooking Clmc 77 Elec Outlets & Rcptcls at Ktchn Counter 78 Garage Fire Door; Swing -Landing -Closure 79 AC Duct in Garage -Damper 80 Wtr Htr; Vnts-Clmc-Com Air Cnnctr-PRV; abv fir Mech Prtctn; LPG Appince Undr House 3" drain 81 Plmb; Elec & Mech Eqp Listed for Loctn 82 Elec Rcptcls in Garage (GFI) Romex Frtctn 83 Insultn-Foam-Looked in Attic 84 Guard Rails &•Deck Cnstrctn-Post Caps 85 Fndn Vnts & Crawl Hole Door Drnge & Wood -Earth 86 CImc Drnge Planters D Yes D No 87 Stucco Brown -Finish 88 AC Unit Dscnnct, Elec-Plmb _ 89 Vnts abv Roof, Plmb-Appinc-Frplc-CImc to Opngs 90 Wtr Well, Dscnnct, Elec, Plmb .91 Ext Elec Trim, GFI Rcptcl-Undrgrnd 92 Vntltn thru House 93 Glass Prtctn 94 Corrections from previous Inspctns 95 Gas Test -Meters Tagged, Gas-Elec _ 96 Wtr & Sewer Cnnctd-C/O to grade -HD Apprvl 97 Energy Cmpinc Cert -Other Certs 98 Address Posted 99 Fire Sprinkler BUTTE COUNTY PERMIT NO. DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT BPO53071 24 HOUR INSPECTION #: (530) 638-7636 (OROVILLE) (630) 891-2834 (CHICO) OFFICE #:'(630) 638-7541 PERMITS BECOME NULL AND VOID 1 YEAR FROM THE DATE OF ISSUANCE, OR IF WORK IS DONE IN VIOLATION OF ANY COUNTY OR STATE LAWS. LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date: 11/15/2005 APN: 040-590-002-000 the Business and Professions Code, and my license Is In full force and effect. License Class: License Number: Site Address: 2193 BLOSSOM LN DUR /Date: Contractor: Map Index: Description: install propane tank OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the 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: DONNELY, MARGARET to Its issuance, also requires the applicant for such permit to rile a 2193 BLOSSOM LN signed statement that he or she is licensed pursuant to the provisions of the Contractor's Slate License Law (Chapter 9 commencing with Section DURHAM CA. 7000) of Division 3 of the Business and Professions Code) or that he or 95938 she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penally of not more than five hundred dollars ($500).): O 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: DONNELY, MARGARET owner of property who builds or improves thereon, and who does 2193 BLOSSOM LN such work himself or herself or through his or her own employees, DURHAM CA. provided that such improvements are not Intended or offered for 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.). jjj C� I, as owner of the properly, am exclusively contracting with / licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' Slate License Law does not apply to an owner of property who builds or Improves thereon, Contractor: and who contracts for such projects with a conlraclor(s) licensed pursuant to the Contractors' Stale License Law.). ❑ I am Exempt under Article 3 of Business and Professions Code Dale: - Owner: License #: WORKERS' COMPENSATION DECLARATION I hereby affirm under penally of perjury one of the following declarations: ❑ A 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: ❑ I have and will maintain workers' compensation insurance, as Engineer: required by Section 3700 the Labor Code, for the performance of the work for which this permit Is issued. My workers' compensation insurance carrier and policy number are: Carrier. 0 S. F. P°bcyu. Total Square Ft: 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 t forthwith comply with those provisions. Dale: Applicant: /� r"I;(�/ rJ'/ l-t�j'iil ��/!,A WARNING: Failure to secure workers' compensation coverage Is I unlawful, and shall subject an employer to criminal penalties and one ` hundred thousand dollars ($100,000), in addition to the cost of I \ compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY This permit iyhereby Issued under a app' cabfa rovis!ons of the Butte County Code and/or 'ale I hereby affirm that (here is a construction lending agency for the Resolution to do wor I bove fc/whi9dfees have been paid. performance of the work for which this permit Is issued (Sec 3097 Civ.) y Da le/ Name: PERMIT EXPIRES ON: J 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. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and stale 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 ulhorize representatives of Butte County to enter upon the above mentioned properly for Inspection purposes.-... Name: ��!I I J• i.. I ' ' hl I�h 1 r -' t/`t:` Signature: \\ :71 /./C) !,: �i��✓;' "',/✓ n.,> V 7rI l7`� :: tat,.D'a Owner ❑ Contractor ❑ Agent for Owner ❑ Agent for Contractor B. C- Buildino Permit 01-16.04 on 1 i BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 638-7636 (OROVILLE) (630) 891-2834 (CHICO) OFFICE #: (530) 638-7541 PERMIT NO. BP053071 PERMITS BECOME NULL AND VOID 1 YEAR FROM THE DATE OF ISSUANCE, OR IF WORK IS DONE IN VIOLATION OF ANY COUNTY OR STATE LAWS. LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date: 11/15/2005 APN: 040-590-002-000 the Business and Professions Code, and my license is in full force and effect. License Class: License Number: Site Address: 2193 BLOSSOM LN DUR Date: Contractor: Map Index: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than rive 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 owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, provided that such improvements are not Intended or offered for sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). I, as owner of the properly,, 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, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). ❑ 1 am Exempt under Article3 o the Business and Professions C,odde, Date:/ / -C' Owner: �4�� WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code; for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier: Policy #: A I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date: �! I/ Applicant:.�J WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. Description: install propane tank Owner: DONNELY, MARGARET 2193 BLOSSOM LN DURHAM CA. 95938 Applicant: DONNELY, MARGARET 2193 BLOSSOM LN DURHAM CA. 95938 Contractor: License #: Architect: Engineer: Total Square Ft: Valuation: .Census Code: CONSTRUCTION LENDING AGENCY This permit i erel I hereby affirm that there is a construction lending agency for the Resolution io do v performance of the work for which this permit is issued (Sec 3097 Civ.) Name: By: PERMIT EXPIRES Address: 0 S. F. $0.00 �f J sions of the Butte County Code and/or have been paid. ) 6-r-1 Date: ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above Information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby buthorize representatives of Butte V County 1 to/ enter upon the above mentioned property for inspection purposes . J , Print Name: S _- g t ✓dL I 0 �' e� r m ro Signature: C el -A �nz l/i.�CN5W�11✓0 Dale: . -e,'11151 C Owner ❑ Contractor ❑ Agent for Owner ❑ Agent for Contractor B. C. Building Permit 01-16.04 pg 1 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 "PLEASE PRINT CLEARLY" T_ OWNER Last NameFirst �N�C Name Address 5;56W�, City , n/f V v� State State/ ,A- v 1 Zi Phone Fax Fax E-mail Lic. # T_ APPLICANT SIGNATURE X For office use only: CONTRACTOR Name �N�C Address SRA City INo State Zip Phone Book Fax E-mail Planner Lic. # Class APPLICANT SIGNATURE X For office use only: ARCHITECT/ENGINEER Name Flood Zone Address SRA City INo State Zip Phone Book Fax E-mail Planner State License Number APPLICANT SIGNATURE X For office use only: APPLICANT NAME Name Flood Zone Address SRA City INo State Zip Phone Book Fax E-mail Planner APPLICANT SIGNATURE X For office use only: Zoning PropedxAd ss� � nss�� (� Flood Zone CrossStreet SRA I Yes INo Occ. Type Const. _r5e_7 Subdivision Name Map Book Lot It Planner Date Approved: PERMIT NO. BIN # LOCATION PropedxAd ss� � nss�� (� City CrossStreet 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: Sq. Footage ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. Received by: Amount: Receipt It: 1D , - V OVER FOR SUBMITTAL REQUIREMENTS 11 K:\FORMS\BUILDING F0RMS161dgApp1SubRgmts.doc Page 1 of 2 Total REV 6-16-04 r" '-§, . SUBMITTAL REQUIREMENTS The following drawings and specifications must be submitted to the Building Division in order to apply fora permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK. Residential, New, Remodels, Additions, and Accessory Structures: ❑ 1. 3 Site Plans, signed by the preparer. NO GRAPHPAPER! ❑ 2. 3 Complete sets of plans, signed by the preparer. NO GRAPH PAPER! OR 3 Sets Engineered plans (if required) with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 3. 2 Engineered truss details and layouts (if required) (NO FAXES!). ❑ 4. Letter from Engineer or Architect for truss design review. ❑ 5. 2 Energy compliance design and supporting documentation. (Note: Not required for additions to mobile or modular homes.) ❑ 6. 2 Flood Elevation Certificate, wet -stamped and signed (if required). ❑ 7. Detached Accessory Building Form, filled out by the property owner (if required). ❑ 8. Sanitation and site plan approval from the Environmental Health Department. ❑ 9. Metal Buildings: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate, (D) Floor plans in triplicate, All of these must be stamped and wet -signed by the engineer. Mobile, Manufactured, or Modular Homes: ❑ 1. 3 Site Plans, signed by the preparer. NO GRAPHPAPER! ❑ 2. 2 Data sheets and installation instruction manual. ❑ ' 3. 2 Marriage line information. ❑ 4. 2 Floor plans. ❑ 5. 2 Engineered Tie Downs or Foundation plans. ❑ 6. Sanitation and site plan approval from the Environmental Health Department. O 7. 2 Flood Elevation Certificate, wet -stamped and signed (if required). Commercial, New, Additions and Remodels: ❑ 1. 4 Site Plans, signed by the preparer. NO GRAPH PAPER! ❑ 2. 4 Engineered plans with wet signature on plans AND 2 sets of stamped and signed calculations, with code analysis. ❑ 3. 2 Engineered truss details and layouts (if required) (NO FAXES!). ❑ 4. Letter from Engineer or Architect for truss design review. ❑ 5. 2 Energy compliance design and supporting documentation (if required). ❑ 6. 2 Flood Elevation Certificate, wet -stamped and signed (if required). ❑ 7. Statement of Intent for Non -heated and A/C (if required). ❑ 8. Metal Buildings: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate, (D) Floor plans in triplicate, All of these must be stamped and wet -signed by the engineer. ❑ 9. Letter of intent. ❑ 10. Hazardous Material Form. ❑ 11. Sanitation and site plan approval from the Environmental Health Department. If you have questions or would like additional information regarding this process, contact a Permit Application Assistant at (530) 538-7541. OVER FOR BUILDING PERMIT APPLICATION KAFORMS\BUILDING F0RMS\8IdgApp1SubRgmts.doc Page 2 of 2 REV 6-16-04 11/15/05 TUE 15:47 FAX 530 895 8736 H C HEATH MD Q 001 l-AX-71fo 538 L/v P),g,& -6,c, al (vv ►v) l�o-,&ka-n4 saAV"4",e-- �)Ar,54'0 --�o 61 pp I 4,�- a - Per " 1�- +0 �ropavv e -/,as o u v" pvL/ JJ 3.e, v�-I- a1- I X1Y3lossarn_.�� a.p.# 040-590-002 Discussed construction of "pergola"/ arbor at front counter with owner. Needs permit. Will prepare plans and apply for permit. Could not locate complaint write up from Richard Nixon. 0 . Butte County Department of Development Services ADMINISTRATION' BUILDING' GIS' PLANNING 7 County Center Drive Oroville, CA 95965 (530) 538.7541 Telephone (530) 538-2140 Facsimile December 10, 2003 Margaret Kristen Donnelly 2193 Blossom Ln. Durham, Ca. 95938 RE: Building Code Violation Location: 2193 Blossom Ln., Durham AP# 040-590-002 Dear: Margaret Kristen Donnelly: This is a courtesy notice to notify you that you are in violation of the Butte County Code, at the above -referenced location, as follows: Failure to obtain the required permits, inspections and approvals from this office for the installation of windows and inside re -model. Since, permits and inspections are required for the above work, please submit three (3) complete sets of plans, apply for the required permits, and pay the appropriate fees. All work must stop until these permits are issued and you are authorized by our field inspector to proceed. The field authorization cannot be made until the existing work is inspected and approved. It is the County's goal to obtain voluntary compliance with the Butte County Code. However, you should be advised that Butte County has an active Code Enforcement Program which provides an effective means of enforcement if voluntary compliance is not obtained. Enforcement may be pursued through the issuance of citations, fines and the recording of a Notice of Violation. including a description of the action necessary to abate the violation. You have thirty 30 days to voluntarily comply with the above directions or to present an acceptable plan for abatement or corrective actions to be taken by you. Should you have any questions concerning this matter, please contact Bill Barron in this office at the address or telephone number listed above. Sincerely, Bill Barron Supervisor Building Inspector BB: ms cc: " Assessor LAIN I I v tw.jr "" "" DENTON, Maria j, , i 2193 Blossom Ln, Durham^ iI w/ , erml �y cont: Durham Electric , u (elec sery/sf ) 040 -590 -OM,, PERMIT#96-1833 DENTON, Maria 2193 Blossom Ln., Durham Cont: Four Seasons Roofing I. ' - Reroof/SF o_/_/USG 040-590-002 03-3170 LG RANCH, r 2193 BLOSSOM LN, DURHAM I _ Cont: MCCLELLAND A/C NEW HVAC (ELEC) a r A " J i 0 0. BUTTE COUNTY DEVELOPMENT SERVICES - COMPLAINT FORM This information is not available to the public!!!!!!! DO NOT COPY FOR THE PUBLIC OR THE FIELD INSPECTOR!! The following information is required for Housing Complaints and the Complainant MUST BE the.person living at the complaint address! Complainant: Address: Phone Number: The above information is not available to the publicHHH! (2) COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-75 P M No. (Rev. 12/96) APPLICATION ANDPERMITe_� Z?, a77 ASSESSOR PARCEL NUMBER 040-590-002 ZONING BUILDING PERMIT OWNER TELEPHONE SO. FT, OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 2193 BIOSSOM LN., DURHAM 959-38 CONTRACTOR'S NAME AP LE & C TELEPHONE 993-1673 CONTRACTORS MAILING ADDRESS PQ BOX 4294 CHIM q9q?7 CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. —Filing Fee $ 20.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Permit Fee $ Plan Checking Fee $ BUILDING ADDRESS 9193 BICISSOM IN DLMMM Energy Plan Checking Fee $ $ PERMIT FEE $ LAT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap7.00 Solar or heat um water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: TPip��ATIF M�z,��T SERVICE A�AI� TO 200 ANP Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 Main Service 500V OR LESS 200A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class C: --j Q Lic. No. �[ G Z Y 3 OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Main Service 200A TO 1000A 46,00NEW CONST. DWELLING OCCUR OR ADDNS. ( & ACC. BLDS. S° 3.50FT. N=REOSI.T. MULTI -OUTLET BRANCH CIRCUITS @7,50 POWER APPARATUS 8 SINGLE OUTLET CIR. Ex. Occup. OUTLET OR FORUREs BAL @':50 Ex. Occup. ouxnErs ALIO.°ea 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 preinspection 23,00 PERMIT FEE $ MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE S Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) � I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwitF} om ly with those rovisions. /(� 1— —U C� X Date ! /(7 / Signature of Applicant - Of0fNner &rContractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 66.00 HAZ. --- D. FEES IMP --- -- I FLOOD ---- COFPARCEL --- --- PD -- HD – ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By Date PERMIT EXPIRES ON Date Receipt No. 391049/$66.00 I WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT Feb 01 02 08:13a P,1 COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive Oroville, California 95965 •Telephone (530) 538-754,x, PER%ITly. (Rev. 12196) r�%&Pjlo,59orera,o-i- l;APPLICATION AND PERMIT — ASSESSOR PARCEL NUMBER tf7 ZONING BUILDING PERMIT 40D`""ER e l�� A G! (� 'j"�"E t / �'� SO. FT. OCC. BUILDING VALUATION 1 OWNER. {ESS ��--.--.-- V ((/JJ r /✓ I%}- COMM I//✓%�.��W' I� E"I/. {4UN1 MTI NyJAIYUNU/AU 7 CONSTRUCTION LENDER (•'7 /v_,/ 1' /v/l./) LENDER'S MAILING ADDRESS ARCHITECT OR ENGINEER ARCHTECT OR ENGINEERS MAILING ADDRESS Buao iio AooREss / _/i I _ _ Lor NO. I SUBDNpIONSNAME I I I USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: ru •ZL "PEJU IIT FEE PAIS SRA SHEMFF 1-M • � v A1N6uNT REtESVEto • VU NO. (mJ Total Valuation Is Fling Fee $ 20.00 Permit Fee $ Plan Checkin Fee $ Energy Plan Checking Fee $ PERMIT FEE $ PLUMBING PERMIT Fling Feel 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15,00 Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 PERMIT FEE _ ELECTRICAL PERMIT Fling Feel 20.00 Mein Service 600V OR LESS 000A OR LESS 23.00 2 Main Service 200A TO I000A 46.00 NEW CONST. OWELLINO OCCUP. OR ADDNS. & ACO. BLD.. 30. 3.50FT. MON-1112810.°' MULn•ounEr _ @7.501 POWER APPARATUS & SINGLE OInLET CIR — I Ex. Occup. OUnzr OR FVRURE. 200 1.00 SALO .SS ESC. Occup. FIXED APPLHS. OR °Ung, es10. FA 5.00 Temporary Service 23.00 _ Mobile Home Facilities 20.00 Misc. Wirin _ .23.00 ns ,ilV2� P t PERMIT FEE S 6 MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 i Ventilation PERMIT FEE S Mobile Home Installation Fee $ e3/ 0 Energy Inspection Fee $ "� W� I v �� occ CONST. TYPE. TOTAL FEE $ - `* TO �• 0. FEES IMP ' FLOOD COF PARCEL PO I HDJI•-- This permit is hereby Issued under the applicable pMvisidh' of the Butte County Code and/or Resolutions to do work Indicated above for which fees have been -paid. By - ...Date __ .... ReceiptNo.PERMIT EXPIRES ON WHITE-D.D.S.-B.D. CANARY•ASSESSOR PINK•INSPECTOR GOLDENROD•APPLICANT Dole)- - - . COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (3L0153812 4'0� PERMIT APPLICATION DATA SHEET U OWNER: ` "-� ' r `� ` `�'� ASSESSOR PARCEL NUMBER Proposed Building Use: pre - 1 � r Counter Technician: ( Date: Items required in order to apply for a permit. All boxes MUST be checked OR marked NA in order t, apply. ❑ 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 4. Engineered truss details and layouts in duplicate. No faxes! ❑ 5. Letter from Engineer or Architect for truss design review. ❑. 6. Energy compliance design and supporting documentation in duplicate. ❑ 7. Statement of Intent for Non -heated and'A/C for Non -Residential Buildings. ❑ 8. Manufactured homes: (A) Data sheets and installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. ❑ 9. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate ❑ 11. Site plan and business license approval from the City of Biggs ❑ 12. Letter of intent for non-residential buildings ❑ 13. Detached Accessory Building Form filled out by the owner ❑ 14. Hazardous Material Form ❑ 15. Sanitation and site plan approval from the Environmental Health Department in ❑ Chico ❑ Oroville, as applicable._ ❑ 16. Other Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) ❑ 17. Fire Sprinklers............................................................................................ ❑ 18. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by ❑ 19. Soils Report and/or Engineered Foundation required ........................................... ........ ❑ 20. Erosion Control Plan Required........................................................................ ........ ❑ 21. Fees as shown on the attached Schedule of Fees Due Sheet .............................. ❑ 22. City of Chico Plumbing permit........................................................................ ❑ 23. California Department of Forestry plan approval ❑ paid. Sent by: ............. ❑ 24. Planning approval (A) Use: (B)Parking: (C) Parcel Check: ❑ 25. Contact Land Development about _ Improvements, _ Drainage ......................... ❑ 26. NPDES Form............................................................................................. ❑ / 27. Encroachment Permit for driveway from the Public, JWorks Dept ......................... g/ 28. Pre -Inspection for VOO YAGu red....... 1:129. Contractor's license infor ation. (Number, Name Style, Classification) ................... ❑ 30. Worker's Compensation Carrier and Policy Number .......................................:.. ❑ 31. Owner -Builder Verification (_ Given to owner, _Mailed to owner) ..................... ❑ 32. Letter of Signature authorization.................................................................... ❑ 33. Recorded copy of Agricultural Acknowledgment Statement ................................. ❑ 34. Manufactured home utility clearance............................................................... ❑ 35. Existing violations and/or expired permits......................................................... ❑ .36. Deed Restriction......................................................................................... ❑ 37. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $ ❑ 38. Other: 0 39. Other: When issued Telephone and hold for pickup. I have been informed of t e above items and requirements for obtaining a building permit. Applicant: Date: 1. Index permit application for the above ite mbered: Plan Ch ck Letter 2. Additional items required Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Plans reviewed by:' Date: Plans approved by: Date Structural reviewed by: Date: Structural approved by: Date:' Note transfer by: Date: Yellow: Building Division ' '1 I PKE-INSPECTION REPORT O wNER. LOCATION: q(17? CONTRACTOR: il*w- V PRE-INSPETION FOR: U I PlG1: v� �i� Wyk h Ise ►QV/ L DATE TO INSPECTOR: f ipgRl�pl'B NIOURY:( ) NONE ( )AS FOLLOWS. BUILDING lNSPECroR•g Rzpoitr BRttdtng Deacrs DATE: A.P. # U� ZONING: Resid=daW Currently Oec Abandoned/Veamat Electric Yes ,V/ Condition of Ela Gas: /I . N Electric daily On or Natural ` propane None --__ Obvious SAnitatlon: Plumbing Working_ Well Working L��, VS Obvious Sewaaeprb6,.. n"D ACTION RECOMMENDED: Inspector: Currently Oa__ Off__ Potable Water�� r O >�®R �"�:Vti 5 Date Sketch buildings on reverse and indicate location onr"o p perty. 19.eb 01 02 08:13a P.1' f COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-754 PERMIT 6. tRev.12/96) APPLICATION AND PERMIT G � � L j ASSESSOR PARCEL NUMBER DLf C - O �--7 /� I ZONINo BUILDING PERMIT OW14 e f-��r� J �` C��1�o1 OWNER. —.GESS p J U-� �V G� �'�NE - -- �)f! [� 1[� SO. FT. OCC. BUILDING VALUATION COMM V i -' IV/ I E I - COM - CUNGI,M;RESS - L 2 (i CONSTRUCTION LENDER Flre IaCe LENDER'S MAILING ADDRESS Total Valuation $ _ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ _ ARCHITECT OR ENGINEERS MILLING ADDRESS Plan Checkin Fee $ -- -BUILDING ADDRESS ;�;J /c1�7�,� /VI •`j-\Jl/.J„ Energy Plan Checking Fee $ — - — $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAMEPARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF 0 Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 1 7.00 Solar or heat pump water heater 1 — 23.00 Water piping15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: F"W �" it l Iti Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home Is G W (920.00U PERMIT FEE _ f-y� Z� '' ELECTRICAL PERMIT Fling Fee 20.00 1 0 OV OR Main Service aow oR LFss 23.00 • *PERAAIT FEE PAM SRA SHERIFF O �. AAk6VW RECEMb ; • 0U �� / * To is Fvr ngro COAA'im Main Service 200A TO 1000A 46.00 NEW CONSowE31.INLv OGCUP. 3'S¢so. OR ADDNS. 6 ACC. BLOB. FT. CO MULTI.OUTLEi NON•RESID. 97.501 ONER AMUCSIRIPIWGLE OI OUTLET OR FDrrURE9 20 ® 1.00 EX. OCCU BALL a .50 F�eAPP Ex. Occup. . 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 Ye- - f In . WO 23 -p PERMIT FEE i (p - MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 1 Ventilation PERMIT FEE S Mobile Home Installation Fee Is Energy Inspection Fee $ occ / CONST. TYPE. TOTAL FEE $ . LU HAZ. I D. FEES I IMP - FLOOD CDF PARCEL I PD I ND I ISSUE -• This permit is hereby issued under the applicable of the Butte County Code and/or Resolutions Indicated above for which fees have been By Date PERMIT EXPIRES ON pro'visrOns .. ` to do work -paid. ReceiptNo. WHITE-D.D.S.-B.O. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street • Chico, CA • (530) 891-2751 7 County Center Drive • Oroville, CA • (530) 538-7541 GJb o OWNER CORRECTION NOTICE -/1 D PERMIT NO. A routine inspection indicates that the following violations of butte county Ordinances exist at the above address and should be corrected. Please notice this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. ��/yy►� �h`�'y��tr �bY �n��J� , cJ) kl duck s REV 10/92 n (Rev. 12/96) COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. APPLICATION AND PERMIT Q-2421-70 ASSESSOR PARCEL NUMBERzON1NG 040-590-009 BUILDING PERMIT OWNER LG 'RANCH TELEPHONE SO. FT. OCC. BUILDING VALUATION . OWNER'S MAILING ADDRESS CONTRACTOR'S NAME LEPHONE TE971 RALRUOC CONTRACTORS MAIUNG ADDRESS CONSTRUCTION LENDER LENDER'S MAIUNG ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS Energy Plan Checking Fee $ PERMIT FEE $ LOT NO. SUBONLSIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF)o Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities)(? Installation ❑ Other ❑ Describe Work: NEW IZ4AC AT -1- Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service *o,' OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force andP License Class "" �� No. 54— 12,1 OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. ( a ADC. BMS. SO 3.52FT. NEW CONST.I•DUTLET MULT NON-RESID. C 97.50 OWER APPARATUS 8 SINGLE OUTLET CIR. Ex. Occup. OUTLET OR FIXTURES .00 BAL@':50 Ex. Occup. . EEDTs AE�sID.OEw 5.00 5-00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ 25.00 WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. - I have and will maintain workers' compensation insurance, as required by Sections*- 3700 of the Labor Code, for the performance of work for which this permit is issued.-.. My worker ' compensation insurance carrier and policy number are: Carrier Policy Number :1 (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' ensation laws of California, and agree that if I should become subject to the rs' compensation provisions of section 3700 of the Labor Code, I shall ith comp ith se provisions. , / to rJ ��1 "U� /ignaturent - ❑ Owner ❑ Contractor Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Fling Fee 20.00 Heating 15.00 Cooling Hood 6.50 Ventilation . PERMIT FEE $ 55.00 (..Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 80.00 FEES IMP FLOOD CDF PARCEL PD HD ISSUE XX This permit is hereby issued under of the Butte County Code and/or indicated ab for which fees have PER41TXPIRESIJ::� the applicable provisions Resolutions to do work been paid. Date) 6 Ilk. Dafe Receipt No. 390882/$80.00 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT r . 14 COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive s Oroville, California 95965 • Telephone (530) 538-754fi_3 PERMIT NO. A 01 IC/4TI®HVAND PERMIT u (Rev. 12/96) Z N/� U ASSESSOR PARCELNUMBER lU�6 - �Jt 6 h BUILDING PERMIT OWNER ACA TELEPHONE SO. FT. OCC. BUILDING VALUATION CONSTRUCnbN LENDER LENDERS MAILING ADDRESS ARCMnEGT OR ENGINEER LICENSE NO. ARCHITECT OR ENGINEERS MA UNG ADDRESS BURRING ADDRESS 1 1 11' \-. I nT No_ SUMMONS NAME IPARCEL MA USEOFSTRUCTURE SF� Duplex ❑ Mobilehome ❑ Other .PERMIT FEE PAID SRA SHERIFF OTHER :J AMOUNT RECEIVED $ Id � DATE RECEIVED RECEIPT # --2-n () Total Valuation Is Filing Fee $ Permit Fee $ Plan Checking Fee $ Energy Plan Checking Fee $ $ PERMIT FEE $ PLUMBING PERMIT Each Trap Solar or heat pump water heater Water piping Each gas water heater or vent Gas cioina system 1 - 5 outlets Building sews Mobile Home 20.00 icing Fee 20.00 7.00 23.00 15.00 15.00 15.00 15.00 @20.00 EX. OCCU . OUTLEr OR FIXTURES PERMIT FEE S FDD APPLIES. OR Ex. OCCU DunFTs ESID. E0. ELECTRICAL PERMIT Fling Feel 20.00 Main Service ev DR t s 20000A OR IFSS 23.00 Main Service 200A TO I000A 46.00 NEW CONST. OR ADDNS. DWELLING OCCUP. 6 ACC. BUDS. _ 3.SQS ' EX. OCCU . OUTLEr OR FIXTURES SAL 5 .50 FDD APPLIES. OR Ex. OCCU DunFTs ESID. E0. 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Wisc. Wirinq 23.00 PERMIT FEE $ 0(' MECHANICAL PERMIT Fling Fee 20.00 Heating __, Cooling�- Ventilation PERMIT FEE $ --� Mobile Home Installation Fee $ Energy Inspection Fee $ ccc CONST. TYPE TOTAL FEE $ HAZ I D, FEES I IMP I FLOOD I CDF PARCEL PDQ This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By Date PERMIT EXPIRES ON are COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephon (530) 538-754 (Rev. 12/96) APPLICATION AND PERMIT rU�yN i D ASSESSOR PARCEL NUMBER 04. 59D •ooz ZONING A •.�o BUILDING PERMIT OWNER' hner p r l TELEP SQ. FT. OCC. BLIL 1 G VALU ION ��,If . GW AD17� �' V '� l h - 1 ,! Q CONE NAME TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. —Fling Fee $ 20.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Permit Fee $ Plan Checkin Fee $ BUILDING ADDRESS �. -T2 ILA® (% Energy Plan Checking Fee $ �J �J$ PERMIT FEE $ LOT NO. SUBDNSION'S NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: 1 Q � �1, l U 4� f l 1 L Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 ,--• PERMIT FEE S i Q' lez I ELECTRICAL PERMIT Fling Fee 20.00 Main Service a00v oR LESS zo.A oR tEss 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION 1 herebyaffirm under penalty of perjury that I am exempt from the Contractors License P hY P 1 ry P Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service YOGA TO 1000A 46.00NEW CONST. DWELLING occUP. OR ADONS. ( & ACC. BIDS. so 3.5¢x. NOµRESIDD MULTI -OUTLET @7,50 POWER APPARATUS 8 SINGLE OUTLET CIR. Ex. Occup. OUTLET OR FDRURES B20@1.5000 Ex. Occup. FD�DAPPtNS• OR ounETs RESID. E0. 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation pr isions of section 3700 of the Labor Code, I shall forthwith comply with those rovisions �f X ate -�I Q Signaturepp I ant - [3 Owner Con actor ❑ Agent An OSHA pe it is required for exca ti ns over 5'0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ HA2 D FES IMP FLOOD A CDF PARCEL PD HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicat bove for whi ees ve been paid. By Date PERMIT EXPIR ON ^ zo— Data Receipt No. (�qjgmm- •00 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT D.B.- I OWNER -BUILDER 'VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your. building. permit No building permit will be issued until this verification is received. �I personally plan to provide the major labor and materials for construction of the proposed property improvement : YES ❑ NO P 2. I HAVE HAVE NOT ❑ signed an application for a building permit for the proposed work . I have contracted with the following person (firm) to provide the proposed construction: NAME: ADDRESS: CITY: PHONE: CON'TRACTOR'S LICENSE NO. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: NAME: " ADDRESS: PHONE: CON'TRACTOR'S LICENSE NO. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: NAME ADDRESS PHONE TYPE OF WORK DATE: '>4-� 1-7 L n,, -j NOTE. /This Owner -Builder Y ertfuahon is required by Section 1983.1 and 19832 of the California Health and Safety Codes This verification must be completed and returned to our office before we are permitted to issue the permit OVER ' . 6 OWNER BUILDER INFORMATION Dear Property Owner. O.B.- I An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified , For your protection, you should be aware that as "owner -builder" you 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- Ifyou 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 5300 or more for the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. 0 If you are an employer, you must register with the State and Federal Governments as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers compensation insurance, disability insurance costs, and unemployment compensation contributions. ♦ There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. ♦ For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an `owner builder" building Permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by c community or at 1020 N Street, Sacramento, CA. 95814. ontractrng the Contractors State License Board in your Please complete the'X) ner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned IY. i 1 C. Vi * CB.O. r, Building Inspection NOTE. This Owner -Builder Lnformation is required by Section 19830 of the California Health and Safely Code OVER COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVIS16N 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET OWNER: �y - ASSESSOR PARCEL NUMBER D U� Proposed Building Use: PL 'K, 0",(- A Permit Technician: C� Date: Items required in order to apply for a permit. All boxes MUST be -checked OR marked NA in order to apply. /V 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. \ ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 4. Engineered truss details and layouts in duplicate. No faxesl ❑ 5. Letter from Engineer or Architect for truss design review. ❑ 6. Energy compliance design and supporting documentation in duplicate. ❑ 7. Statement of Intent for Non -heated and AIC for Non -Residential Buildings. ❑ 8. Manufactured homes: (A) Installation manual, including marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. ❑ 9. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate. 11. Letter of intent for non-residential buildings 12. Hazardous Material Form 13. Acknowledgement of building permit application without required clearances. 14. Other 0maining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) 15. Sanitation and site -plan approval from the Environmental Health Department in ❑ Chico ❑ Oroville, as applicable 16. Fire Sprinklers............................................................................................ 17. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by 18. Soils Report and/or Engineered Foundation required ........................................... ❑ 19. Erosion Control Plan Required-* ................................................... ................. .Q/ 20. Fees as shown on the attached Schedule of Fees Due Sheet --7= ..�� +.�..J..N ❑ 21. City of Chico Plumbing permit........................................................................ ❑ 22. Site plan and business license approval from the City of Biggs .............................. ❑ 23. California Department of Forestry p n approval ❑paid. Sent by: '❑ 24. Planning approval for (A) Use: )Parking: (C) Parcel Check: c; ❑ 25. Contact Land Development about _ Improvements, _ Drainage ........................ ❑. 26. NPDES Form............................................................................................... ❑ s 27. Encroachment Permit for driveway from the Public Works Dept ........................... ❑ 28. Contractor's license information. (Number, Name Style, Classification) ................... ❑ 29. Worker's Compensation Carrier and Policy Number .......................................... /1J 30. Owner -Builder Verification ( _ Given to owner, _Mailed to owner) ..................... ❑ 31. Letter of Signature authorization.................................................................... ❑ 32. Recorded copy of Agricultural Acknowledgment Statement ................................. ❑ 33. Existing violations and/or expired permits......................................................... ❑ 34. Deed Restriction.......................................................................................... ❑ 35. ❑ Legal description, ❑ M.H. Title, title search, registration or MCO ......................... ❑ 36. Other: ❑ 37. Other: �,u� Q ) When issued Telephone r' 1�6A9&� / Lf 3-'-/101 and hold for pickup. I have been (informed of the above items and requirem nts for obtaining a building permit. Applicant. d � I cA _l Date: 1. Index permit applicationor a above items numbered: Plan Check Letter 2. Additional items require Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Contractor, designer, owner, was advised of theabove ata by ❑ phone, ❑ mail, ❑ counter, by Date: Plans reviewed by: Date: s approved by: Date: Structural reviewed by Date: Structural approved by: Date: Note transfer by: Date: Yellow: Building Division Butte County Department ofDevelopment Services ADMINISTP.ATION `BUILDING. GIS ° PLANNING 7 County Center Drive Oroville, CA 95965 (530) 538-7541 Telephone (530) 538-2140 Facsimile Dear Property Owner: %Jr An application for a building permit has been submitted in your name listing yourself as the builder of the property improvements specified. For your protection you should be aware that as "owner -builder" you are the responsible party of record on such a permit- Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself; you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that your plan to subcontract, you should be aware of the following information for your benefit and protection: o If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $200 or more for the entire project and such persons are not licensed as contractors or subcontractors, then you may be an employer. o If you are an employer, you must register with the state and federal government as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers" compensation insurance, disability insurance costs, and unemployment compensation contributions. o There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to workers' compensation insurance. o For more specific information about your obligations under federal law, contact the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under state law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "owner -builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not.required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contacting the Contractors' State License Board in your community or at 1020 N Street, Sacramento, California 95814. Please complete and return the enclosed owner -builder verification from so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. FROMM Mic1 C. V ieir+ C.B.O. Maalager, Building Inspection NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code. o_ .17.. c t Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportuiuty to avoid unnecessary delay in processing and issuing your building permit. No building pernut will be issued until this verification is received. 1. I personally plan to provide the ma' -r labor and material for construction of this proposed property improvement: 'YES [ NO [ ]. 2. I HAVE [/1 HAVE NOT [ J signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: NAME: ADDRESS: PHONE: CONTRACTOR'S LICENSE NO: 4. I plan to provide portions of the work, but I have hired the following person to coordinate, supervise, and provide the major work: NAME: _ ADDRESS: PHONE: CONTRACTOR'S LICENSE NO: 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: NAME ADDRESS PHONE TYPE OF WORK SIGNED: PROPERTY OWNER- DATE: WNER DATE: 6— o, - D 6:�- Uy NOTE: This Owner -Builder verification is required. by Section 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. De 'A ii ie nMle , MICHAEL CAPREALIAN CIVIL ENGINEER, RCE 22907 1743 Mulberry St. - Chico, CA 95928 (530) 521-6886 • 891-6886 STRUCTURAL CALCULATIONS. FOR: :DONNE -LY PERGOLA STRUCTURAL CRITERIA: Seismic Zone 3 .► Basic Wind Speed Zsj m.p.h. (Example B, Method Z} Concrete fc - ZrDO P.s.i. Reinforcing Steel.- Grade . b Masonry: Grade Solid Grouted yes/no Structural Steel: Grade Yield: k.s.i. REFERENCES: 1. 2 00P Uniform Building Code 2. Western Woods Use Book, 2nd. Ed. 3. A.P.A..Const. Guide, PUB E 30E 4. Manual of Steel Construction, 9th Ed. - 5. Concrete Masonry Design Manual, 5th Ed. 6. Structural Engineering Handbook, Gaylord & Gaylord, 2nd. Ed. EXP DATE: tM11-2005 ABBREVIATIONS: O.T. - Overturning O.T.M. - O.T. Moment S..F. - Safety Factor ALT. - Alternate C.F. - Good For N -S - North-South E -W -..East-West . E.W. - Each Way TR1B. - Tributary ,4UU_DjNG .DEP/ R • ' _ _L A P P R 0 v r MICHAEL CAPREALIAN CIVIL ENGINEER, RCE 22907 1743 Mulberry St. • Chico, CA 95928 (5301521-6886 • 891-6886 JOB SHEET NO.�__ OF CALCULATED BY�`-j DATE U CHECKED BY DATE SCALE.- ---._ ..... ..... ....._.....-----'--......-- '-'--"- •- •- - - ----........_...---- ASSUMPTIONS AND DESIGN DATA Type of Structure Lotic OJOOY Roof Pitch I NA - Loads in #/ft2: Dead Load Total D.L. Live Load TOTAL Roof 1st Floor: 2nd Floor: Balconies/ Decks: Walls: Other: r MICHAEL ALLEN CAPREAUAN C1\A1. �OF CF;L1F0 EXP DATE: 12-31-2003 Wind Zone 75--m.p.h. Max. Ht. a S ft. Ce= 6 ZC =�� q =1y'5 I= Wind Pressure (example B, method 2)= /� p.s.f. s. Earthquake Loading= 2.6-1 C^TJ= , %6 1/Y adhere I=_L� �. 3. S Com= 3 (, W=Weight of building causing force in member Basic Soil Pressure #/ft2 + /6,-0 yt/ft2/ft depth below l' beneath original ground or finish gran e. Passive lateral earth pressure= /rO p.s.f./ft of depth Active lateral earth pressure = p.s.f:/ft of depth. Equivalent fluid density= #/ft (Min. Density = 30 #/ft2) Skin friction= (but not more than .5 x D.L.) MICHAEL CAPREALIAM JOB CIVIL ENGINEER RCE 22907 SHEET NO. OF 1743 Mulberry St. • Chico, CA 95928 CALCULATED BY DATE G! (530) 521-6886 • 891-6886 CHECKED BY DATE SCALE bf- Col ......... ... ....... . . ........ is 3 MICHAEL CAPREALIAN CIVIL ENGINEER, RCE 22907 1743 Mulberry St. - Chico, GA 95928 (530) 521-6886 - 891-6886 JOB SHEET NO. 9 4 CALCULATED BY 4(/-;k la %L OF DATE -A CHECKED BY DATE .. . ....... .. ...... .... . .............. . ........... .............. ............ ............. . .. ...... ........... ..... ..... ...... .......... .......... .. ............ ............. io ............... ..... ....................... ............ .......... .. ......... i ........... ............. ............. ............. ............ A EAST &,�,WE T Cc` -=l' STRUCTURAL NOTES: 4PR0•V C 1. All structural lumber shall be #2 Doug. Fir or Larch or better. �3. All hardware called in this plan is from the.Simpson catalog, and hardware Is to be installed exactly as called for in the catalog. A copy of the current Simpson catalog is to be on the job site, with the plans, at all times. Use common nails with Simpson connectors "or speciality nails called for in the catalog. Box nails or green sinkers are NOT acceptable substitutes, U.N.O. S. All reinforcing steel to be min. grade 40. 8. Glue laminated beams shall be combination 24F -V4, w/ 2000' rad. camber. 9. Air nails may be used in place of nails called out on plan if they meet spec's in note #13. 10. Concrete to min. 2500 p.s.i. 12. All construction to conform to 2000 UBC. 13. All nails to conform to following min. spec's: 16d's=3.5" x 0.163", 12d's=3.25" x 0.148" 10d's=3.0" x 0.148", 8d's=2.5" x 0.131 ", 6d'sc2.0" x 0.113 diameter. ELEV DON N ELY ryl'°E:RG LA MICHAEL CAPREALIAN Civil Engineer 1743 Mulberry St. Chico, Calif. 95928 M MCH MMALLI 1/1 CAPREALIAN 4T�OK�U�Q6. i EAST &,�,WE T Cc` -=l' STRUCTURAL NOTES: 4PR0•V C 1. All structural lumber shall be #2 Doug. Fir or Larch or better. �3. All hardware called in this plan is from the.Simpson catalog, and hardware Is to be installed exactly as called for in the catalog. A copy of the current Simpson catalog is to be on the job site, with the plans, at all times. Use common nails with Simpson connectors "or speciality nails called for in the catalog. Box nails or green sinkers are NOT acceptable substitutes, U.N.O. S. All reinforcing steel to be min. grade 40. 8. Glue laminated beams shall be combination 24F -V4, w/ 2000' rad. camber. 9. Air nails may be used in place of nails called out on plan if they meet spec's in note #13. 10. Concrete to min. 2500 p.s.i. 12. All construction to conform to 2000 UBC. 13. All nails to conform to following min. spec's: 16d's=3.5" x 0.163", 12d's=3.25" x 0.148" 10d's=3.0" x 0.148", 8d's=2.5" x 0.131 ", 6d'sc2.0" x 0.113 diameter. ELEV DON N ELY ryl'°E:RG LA MICHAEL CAPREALIAN Civil Engineer 1743 Mulberry St. Chico, Calif. 95928 So 6 r Oil EXP DATE,. 12-31-2005 DtNNEL`l'(-,ER`G-,, OL 5 HT- .2/3 T. , 0 (hlllp) 3X X. 12 G.1. 5-4) Li ,-SECT. B cots MICHAEL ALLe4 IAN 2907 OP ---EXP DATE: 12-31-200s'. EG� A=► T., !D PERGOLA. O:N-RELY'� 7H7 -3/9 -� I TO: Building Depattrnent FROM: Environmental Health SUBJECT: Sanitation Clearance E.H. USE ONLY Piot Plan Anechod Floor Plan Anechod sant to B.D. Jl3Ul Owner Location AP# Plan Approved for: Sewage Disposal / Water Supply: Public Private Well -- Clearance for dwelling. Other Hold final for: Final clearance O.K. for: NOTE: i mental Health Specialist Date 8/96 COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538- PERMIT NO. (Rev.12/96) . APPLICATION AND PERMIT 6�-C2a--m: ASSESSOR PARCEL NUMBER Vji _ 'O •� G ZONING BUILDING PERMIT OWNER VG /A- 0 T LEPHONE� SO. FT. OCC. BUILDING VALUATION .OWNER'S IMIU KESS G CO RACTORNAMEyrj, `/ TE HONE CO O MAILING ADD o a %w9c59-R7 CONSTRUCTION LEN ER LENDER'S MAILING ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Permit Fee $ Plan Checking Fee $ BUILDING ADDRESS f'� Energy Plan Checking Fee $ $ PERMIT FEE $ LAT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SFDuplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each cias water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other Describe Work: % L��,` r92 51 f�f/2 AJlmt< O'�� v v`� ',Z� Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 PERMIT FEE S ELECTRICAL PERMIT Filing Fee 20.00 OR LESS Main Service OA 20OA OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.POWER License Class L — 1� Lic. No. <o� -7Y3!7 OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I em exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, 1/will do the work, and the structure is not intended or offered for sale. 1, as owner of the property, am exclusively contracting with licensed contractors . to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permitis issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation I/of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith co ply with those provisions. XQc A� Date %— 3 0 -' q Signature of Applicant - Owner Co� ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Main Service 200A TO 1000A 46.00NEW CONST. DWELLLINGOCCUP. s0 OR ADDNS. ( a ACC. BLDs. 3.5¢FT: NEW RESID. MULTI.OUTLET 97,50 APPARATUS 8 SINGLE OUTLET CIR. Ex. Occup. OUTLET OR FIXTURES 20 @ 100 BAL O .50 Ex. Occu OFWEE°TS Ao .°FRA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring23.00 x_60 PERMIT FEE S O MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FES $ Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ HA2. D. FEES IMP FLOOD CDF PARCEL PO HD SU This permit is hereby issued under of the Butte ounty Code and/or indicated ove for which fees By PERMIT EXPIRES 0 / �I the applicable provisions solutions to do work been paid. ) Date �./ (/ ?a - (/ pate) Receipt No. 710 W z WHITE-D.D.S.-B. D. CANARY -ASS SSO IN - NSPECTOR GOLDENROD -APPLICANT E4 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.netWds 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 effect. License Class : License Number: Date: Contractor: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): I, as owner of the property, or my employees with wages as their f sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). O I am Exempt under Article 3 of the Busines and Professions Code Datel Owner WORKERS' COMPENS TI N DECLARATION I hereby affirm under penalty of perjury one of the following declarati s: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 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: 0,5-, z/ 6 7 Issued Date: 09/02/2005 APN: 040-590-002-000 Site Address: 2193 BLOSSOM LANE DUR Map Index: Description: pergola (456) Owner: DONNELEY, MARGARET 2193 BLOSSOM LANE DURHAM CA. 95938 Applicant: DONNELEY, MARGARET 2193 BLOSSOM LANE DURHAM CA. 95938 Contractor: License #: Architect: Engineer: CAPREALIAN, MICHAEL Total Square Ft: 0 S. F. Valuation: $0.00 Policy #: Census Code: IXMI I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date: _ 1 J �./ .►��I�—L WARNING: Failures secure workers' compensation Aoverage is unlawful, and shall subject an employer to criminal pef(fies and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of the work for which this.permit is issued (Sec 3097 Civ.) Address: This permit is hereby i sued under the applicable provisions of the Butte County Coda anfUor Resolutions tQAq_W1QK indicated above for which fees have been paid. By: DatI PERMIT Ex IRES / 0� ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. 1 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. A r ; Date: I !;:L - U Owner ❑ Contractor ❑ Agent for Owner 0 Agent for Contractor 8 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 591-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OFAPPLICA TION Website: www.buttecounty.net/dds *PLEASE PRINT CLEARLY** APPLICANT NAME OWNER Last1 MM Y11� t F Name Addre /a r City State Zip Phone Phone LA Z2 tJ q 0 •Stat E-mail Lic. # APPLICANT NAME CONTRACTOR Name I. Address Addres City City State Zip Phone Phone Fax E-mail E-mail Lic. # Class APPLICANT NAME ARCHITECT/ENGINEER Name 'VI I. Y&&� 1 Addres Phone City E-mail State Zip Phone Page Fax E-mail Da Ap roved: e P State License Number APPLICANT NAME Name Address City State Zip Phone Fax E-mail APPLICANT SIGNATURE X o"I"Mkint-1) For office use ly: Zoning -fit) I Flood Zone I A - I SRA I Yes IN Occ. Type Const. Subdivision Name Map Book Page Lot # P per, Da Ap roved: e P OVER FOR S BMtTYAL REQUIREMENTS K:TORMS\BUILDING FORMS\BldgApplSubRgmts.doc PERMIT NO. BIN # Description or S pe of Work: D �- 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: �� 46 ( 7/ eceipt #: r� ��f I Amount: W111 Other Total REV 2-24-05 LOCATION AP# d Propyrdps.s Ll��' vl City ]�02 (/ Cross Street WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address Description or S pe of Work: D �- 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: �� 46 ( 7/ eceipt #: r� ��f I Amount: W111 Other Total REV 2-24-05 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. ❑ 5. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 6. Manufactured homes: (A) installation inst, (B) Marriage line info, (C) Floor. Plan, (D) Tie down orfnd 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). 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. ❑ 12. Sanitation and site plan approval from the Environmental Health Department. If you have questions or would like additional information regarding this process, please contact a Permit 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 KAFORMSSUILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2 REV 2-24-05 COUNTY OF BUTTE .� : 434:645 OFFICIAL REfEIPT Nr 2 OFFICE ORD AME T ISSUING RECEIPT R Received from $ o� The Sum of For Received BY Received: O "- CASH r�J( Title CHECK ❑ By Form 84702 DAVCO BUSINESS FORMS • (530) 743-8511 _ _ 4 �� .� r an 'x+aeri� �iij+t{,-rt _ -:,r ay �.q �..•� �„��i'• '�' � Jh v •4 � yv ;'��p ? ,y�1 y �,a �+r,�� .� � e� � t._ _r1,'t ` *.��"`Fnf�'.r: i. �1>- i �s� � Ays,.��"t f.!N \+'IY. .••a, .' `� hw .Ir.. }��v �....•. .Y�- "� .-6TS}\'�d...+�Y'•�Y' ��"r'�"Y"��-T�n��r.a.+h�i R...� 'M f' i4I�7�i• �,5� 40-59-02 r 92-526E •i } -.,: • ' •i'�.` ^, .,;j,•�';�•,k rte. .. �• DENTON, Maria , 2193 Blossom Ln, .Durham j =cont: Durham Electric (elec sery/sf)" ' L -OFFICE COPY, y i Address. 8.-,:,. t ' r�GAS N,j s,. " *' 'o' Meter, By - Date !,Meter By Date' L " COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. t, 7 County Center Drive - Oroville, Cellfornla 95965 - Telephone: 916/538-7541 . APPUCATIONAND PERMIT ASSESSOR PAR<ZL NUM 040:'590-002 ZONIIAG BUILDING PERMIT OWNER ^- Maris Denton ' TELEPHONE SQ. FT. OCC. .BUILDING VALUATION OWNER'S MAILING ADDRESS 9648 Jones Ave., DurMs CONTRACTOR'S NAME Durhsm Electric TELEPHONE 5-2301 - CONTRACTOR'S MAILING ADDRESS 110 C Orange St. Chico 95926 Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 15,00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS - Penalty $ BUILDING ADDRESS , Permit fee $ PLUMBING PERMIT Filing Fee 15.00 2195 Blotism Lane Durhitium f Each Trap 5.00 Solar or heat pump water heater 1 20.00 LOT NO. 2 SUBDIVISION NAME Jagum Subdivision PARCEL MAP i Water piping 7.00 Each qas water heater or vent 1 7.00 USE OF STRUCTURE t SF LA Duplex❑ Mobilehome❑ Other SPECIFY {... Gas piping system 1 - 5 outlets 1 5.00 Building sewer 15.00 Mobile Home S I G I W @ 15.00 TYPE OF WORK F New ❑ Addition ❑ Remodel ❑ Utilities (I Installation[] tither ❑ Describe work: 100 Amp Electric Service Change: _ Permit Fee $ ) Contractor ELECTRICAL PERMIT Filing Fee 15.00 -•• Main service 600V OR LESS 1 18.50 18 200A OR LESS • Main service 200ATO1000AI CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): l � I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and m license is in full force and effect. License No. Classification (1f -'/[� FlI, as the owner, or my employees with wages as their sole; compen- sation, will do the work,and the structure is not intended dr 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 _37.50 NEW CONST. ( DWELLING OCCUP. N\ 3.6Q sq.ft. OR ADONS. ACC. BLDGS. I/ NEW CONSTR. ULTI.OUT LET NON•RESID BRANCH CIRC ITS @ 5.00 POWER APPARATUS e (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20 76d FIXED Ex. OCCup. OUTLETS IPRESID )APLNS.REA.1 I 3.00 Temporary service 1 15.00 Mobile Home Facilities 15.00 Misc. 6Virin 15.00 9 Pro -Inspection 1 20.001 20.00 Permit Fee $ 53.50 — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. 1W I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 15.00 Heating Coolin g Hood 6.50 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to v , indemnify and keep harmless the County of Butte against all liabilities, Sud ments,-Gpsts, and expenses which may in any way accrue against said Coin` ty in p -n oe e granting of this permit. X -°-• � Date P -� ,, 7r�+t Signature p ❑ Contractor �' Agent ❑ Si nature of A cant - Owner An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee S Ener Inspection Fee $ Energy P OCC CONST TYPE TOTAL FEES 53 50 • HAz DFEES IMP FLOOD CDF PARCEL PD HD ISSUE This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do work indicatetl7abo� for which fees have been paid. t /%'DIAEGf 1 0 OF PUBLIC WORKS By �.d i'yfl / ,Date3/y%e PERMIT EXPIRES Date Receipt No. 103900 WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE 1'k -j I?—SC'� OWNER PERMIT NO - A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. ✓�' �1�o�J tb �� (�1�n1 - CLi2A(ZONCI IN Fr2 t S�rzvlc Q E�JT RANPrt C o"/atic Ta2S. Date 3 J ) ,q Inspector J -I; -1 i REV 11/91 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Orovllle, California 95965 - Telephone: 916/538-7541 APPLICAT%ONAND PERMIT PERMIT N0. ASSESSOR PARCEL NUMBER 040-590-002BUILDING ZONING' •TELEPHONE PERMIT L Ll OWNER Maria Denton S0. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 9648 Jones Ave. Durham CONTRACTOR'S NAME Durham Electric ITELEPHONE 45-2301 CONTRACTOR'S MAILING ADDRESS 110 C Orange St. Chico 95926 Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation is LENDER'S MAILING ADDRESS Filing Fee-. $ 15,00 Permit Fee "; $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Ch!�king Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty Fd�.�. $ BUILDING ADDRESS Permit fee $ PLUMBING PERMIT Filing Fee 15.00 2193 Blossom Lane, Durham Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. 2 SUBDIVISION NAME Jagum Subdivision PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF[N Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S I G I W= @ 15.00 TYPE OF WORK New❑ Addition❑ Remodel[] Utilities® Installation❑ Other ❑ Describe work: 100 Amp Electric Service Change _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200AORLESS 1 118.501 18.50 Main service 200A To 1000AI 37.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and m license is in full force and effect. License No. 7 Classification C—/[� ❑ 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) El I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. / DWELLING OCCUPM OR ADDNS. l ACC. BLDGS. // 3.64 sq.ft. NEW CON5TRULT'-OUTLET NON-RESID BRANCH CIRC ITS @ 5.00 POWER APPARATUS e (SINGLE OUTLET CIR. ) Ex. Occup(OUTLETS OR FIXTURES 20 76 FIXED APLNS Ex. OCCUp. OUTLETS P(RESID )REA.) I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring '15.00 20-00 Permit Fee $ — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject i 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 FiIirig Fee 15.00 Heating Cooling g Hood 6.50 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree t v indemnify and keep harmless the County of Butte against all liabiliti Judgment osts, and xpenses which may in any way accrue against s d ty in e e granting of this permit. r %� Date Cl? vzd/ � 4a Signature of ApXcont — Owner Contractork Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee S Energy Inspection Fee $ OCC CONST TYPE TOTAL FEE $ 53.50 HAz DFEES IMP fL000 CDF PARCEL PD HD ISSUE This permit is hereby issued under the sions of the Butte County Code and/or work indica abo r which fees E BLIC By PERMI EXPIRES Date applicable provi- resolutions to do have been paid. WORKS at e Receipt No. 103900 WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT o. �'rr•.. �.rys�-��wr,.,�.,,,��;y�„��.r�r<+rn�+�Y�l'^F� �;r'4i'j�.b..-.ry,••�Y'�::*''^'Y'"'t1ri. •h.i,:k,•i�,:;-.� �.� � -: COUNTY OF BUTTE - DEPARTMENT'OF PUBLIC WORKS- DIVISION >' ` 7 COUNTY CENTER DRIVE - OROVIIL,; L�E��'ALIF�ORNIA 95965- TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET .''* ' Permit No. g OWNER A. P. D' �e;�D 2, Proposed Building Use � (__-G � Building Inspector Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: A t" DATE RECEIVED APPROVED 1. All items have been submitted. ................... 2. Plot plans in duplicate/triplicate, signed by preparer of plans ........ ` 3. Com tete: tans in duplicate/triplicate, si ned b p pg y preparer. of plans .. " 4. Complete engineered plans and calcs, with wet signature on plans . . 5. Hazardous Material Form . 6. Energy Design Compliance and supporting documentation I" 7. Statement of Intent for Non -Heated and AC Buildings .............. 8. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation ` instructions ........................... ............................ 10. Fees of $ 11. Chico Urban Area fees paid . :.......................................... -s 12. Park fees paid .......................... ,>r 13. School District fees paid .............. 14. Sanitation approval from Health Department f' 15. City of Chico plumbing permit. : .................................... A, 16. Plot plan and business license approval from City of a` (see City for other requirements) s 17. Planning approval for (A) Use: (B) Parking: 18. Improvements may be required. Contact Land Development Section DPW 19. Driveway permit (cons tl n pprpvaI required prior to occupancy) ' C .� Pre-Inspec. request to Pre -Inspection for � required p 4 Building Inspector (Date) 21. Contractor's license information (No., Name Style, Classification) ... 22. Certificate of Workmans Compensation Insurance .......... 23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ..... } 24. Recorded copy of Agricultural Acknowledgment Statement ......... 25. Letter of signature authorization 26. 27. }' When you issue the permit, process as follows: Mail to wt r. Mail to contractor. Telephone and hold for pickup at ffi ,.. Deliver w/inspector. >~ Other Applicant 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_mall—counter by ..date Contractor, designer, owner, was advised of above required data bye phone_mall_counter by date , ! IV., $ Plans checked by Date Plans"approved by Date Copy—DPW Sets of plans on hold in File cabinet AP folder, COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone: 916:'538-7541 APPLICATION AND PERMIT ASSESSOR PARC L NUMBER On ZONING• / BUILDING PERMIT OWNER TELEPt,o,T,E f�" SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADOR SS L vi 1 CONTF TELEPHONE CONTRACTOR'S MAILING ADDRESS , QC, At Fireplace CONSTRUCTION LEN ER V UNKNOWN Total Valuation is LENDER'S MAILING ADDRESS Filing Fee $ 15,00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS �q /)� C2,1921�-� Permit fee PLUMBING PERMIT Filing Fee 15.00 Each Trap 1 5.001 Solar or heat pump water heater 1 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP U Water piping 1 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE Gas piping system 1 - 5 outlets 1 5.00 SF Duplex❑ Mobilehome❑ Other Building sewer 1 15.001 Mobile Home S G W 615.6-0 SPECIFY TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities'M Other ❑ Permit Fee $ {In_sstallation❑ Describe work: ion Im Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 0V OR LESS 200A OR LESS 18.50 V Main service 200ATO1000AI 37.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code andmylicense is in full force and effect. License .Jo.v% SCAM' Classification fre 1t\,/ I, as the or my employees with wages as their sole compen- r_1 1, NEW CONST./ DWELLING OCCUP.I� OR ADDNS. 1 ACC. BLDGS. NEW CON5TR ULTI.OUTLET NO N.RESID BRANCH CIRC ITS (POWER APPARATUS sl ( SINGLE OUTLET CIR. / EX. OCCUp\OUTLETS OR FIXTURES Ex. OCCUp. OUTLEFIXED aS P(RESID )REA.) 3.5t sq.ft. @ 5.00 AO 0 45g I 3.00 oowner, 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 contrac ors. (Sec. 7044) Temporary service Mobile Home Facilities Misc. bYirin 9 1 15.00 15.00t- j 15.00 ❑ I am exempt under Sec. , Business and Professions Code �0 is for this reason Permit Fee $ ; Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): MECHANICAL PERMIT Filing Fee 15.00 ❑ The permit is for $100.00 (valuation) or less. Heating ❑ 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. Cooling g I shall not employ any person in any manner so as to become subject Hood 6.50 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. Ventilation permit Fee Contractor $ I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. Mobile Home Installation Fee S Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ HAz 1 0FEES I IMP FLOOD I COF I PARCEL PD HO ISSUE X Date This permit is hereby issued under the applicable provi- Si natuA Applicant re of 9 PP — owner❑ Contractor E]Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. sions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS Receipt No. �c3O� BY PERMIT EXPIRES Date Date WHITE-O.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT PRE -INSPECTION w OWNER: %/� �� DATE / %� � / �.,�� LOCATION: ISI 3 �CJ �p��"i �� A. P. CONTRACTOR: �y/�� - �� ZONING / y PRE -INSPECTION FOR : ,�� . DATE TO INSPECTOR PERMIT HISTORY: NONE AS FOLLOWS: TYPE OF OCCUPANCY FIELD -.INFORMATION BUILDING USAGE: S i HG t -L 4-A NA D H yj t,l I ,Fr. TEDINANT : OCCUPIED HAS ELECTRIC HAS GAS HAS SANITATION FACILITIES HEATED -COOLED PERSON CONTACTED OTHER COMMENTS: ACTION RECOMMENDED: ISSUE 0 HOLD FOR OTHER: BY DATE 3-z.gz f � _ 4. • � -' ��. ....�.�,.f .# �: r -' M rF• � r . 5;,rs a � - a � a �- � � - �, •I • - � • � +� • � ' � `\ � . � `� .. �� • �; . �` _ X 0 COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVI ION 7 .County Center Drive - Oroville, California 95965 - Telephone (916) 538-75 E MIT NO. APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER y - ZONING A20 BUI G PERMIT `� OWNER - MARIA DEPM TELEPHONE 342-8815 SO. FT. OCC. I, BUILDING VALUATION (� 20 1200 OWNER'S MAILING ADDRESS i 2193 BLOSSOM LN.DURHAM 95938 CONTRACTOR'S NAME FOUR SEAS ROOIFNG TELEPHONE 895-0418 CONTRACTORS MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ 29.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDING ADDRESS 2193 BLOSSOM. DWAM PERMITFEE $ 49.00 PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO. SUBDNISIONS NAME PARCEL MAP Solar or heat pump water heater 23.00 Water piping 15.00 USEOFSTRUCTURE SF O Duplex ❑ Mobilehome ❑ Other SPECIFY Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: 20 SQ CW — Mobile Home I S I G W 920.00 PERMITFEE s Contractor ELECTRICAL PERMIT Filinq Fee 1 20:00 Main Service a OR LESS \ ( 200A OR LESS J 23.00 Main Service ( 200A TO ,000A ) 46.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that 1 am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class C —.1 F Lic. No. 4,57 Ft> %_-s:Ex. OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ 1, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason NEW CONST. DWELLING OCCURSO. OR ADDNS. ( a ACC. BWS. ) 3.50 FT. NEW CONST. MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS ) @7.50 ( POWER APPARATUS d SINGLE OUTLET CIR. / Ex. Occup. (OUTLET OR FIXTURES2U @ I.00 ) BAL a .50 Occup. ( OunEE°rs (RESID.) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE s Contractor WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 -of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: CarContractor rte'" 7► �"// % MECHANICAL PERMIT Filing Fee 20.00 9 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Policy be Policy Number ��Q p� (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with t bse provisions. X I _ Date Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 50" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee Is Occ i CONST. TYPE TOTAL FEE $ 49.00 HAZ. I D. FEES I IMP I FLOOD I CDF PARCEL PD I HD I ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By>� 1 Date p PERMITEXPIRESON I (Date) Receipt No. 202302 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT X A COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVIZ 7 County Center Drive - OroviW, California 95965 - Telephone (916) 538-75 _ /?f_,RRMIT No. APPLICATION AND PERMIT J ASSESSOR PARCEL NUMBERD �� D� ZONING BUILD GPERMIT OWNER MARIA DENTON TELEPHONE 342-8815 SO. FT. OCC. BUILDING VALUATION 20 1200 OWNERS MAILING ADDRESS 21993 BLOSSOM LN DURHAM 59 CONTRACTOR'S FOUR SEASONS ROOIFNG TELEPHONE 895-0418 CONTRACTORS MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Fling Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ 29.00 ARCHITECT OR ENGINEER UCENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDINGADDRESS � 2193 BLOSSOM, �� DURHAM PERMITFEE $ 49.00 PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Solar or heat pump Water heater 23.00 USEOFSTRUCTURE SF IN Duplex ❑ Mobilehome ❑ Other SPECIFY Water piping 15.00 Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: 20 SQ COMP — Mobile Home I S I G W 1 920.00 PERMITFEE $ Contractor ELECTRICAL PERMIT Filina Fee 20:00 Main Service / a OV OR LESS 200A OR LESS ) 23.00 Main Service ( 200A TO 1000A ) 46.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full orce and effect. License Class �— Lic. No. 4�Ft�� OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason NEW CONST. DWELLING OCCUP. SO. OR ADONS. ( a ) 3.5¢ FT. NEW CONST. MULTI. TI- OUTLETLET NON-RESID. ( BRANCH CIRCUITS ) 97.50 ( POWER APPARATUS ) 8 SINGLE OUTLET CIR. Ex. Occup. (OUTLET OR FIXTURES 20 Q 1.00 BAL 50 Ex. Occup. (oE�°�^,RIp�EA ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ Contractor WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier XFXnz__ MECHANICAL PERMIT Filing 9 Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Policy Number SaQ e=, (rhe above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with t se provisions. Date Signature of Applic t - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 49.00 HAZ. 1 D. FEES I IMP I FLOOD COF PARCEL PD I HD I ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. B/� Date Z -7 (1 Y PERMITEXPIRESON 0- (Date) Receipt No. 202302 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT 9 0 COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive - Orovilbs, California 95965 - Telephone (916) 538-7541 PERMIT NO. APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER - © o,- �3. ZO _ BUILDING PERMIT OWNER i ONE JS SO. FT. OCC. BUILDING VALUATION -00 - OWNERS MAILING ADDRESS) ]-, I V - CONTRACTOR'S NAME TELEPHONE 895% 8 CONTRACTORSMARAAG 7$ V} Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ D V Filing Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ `Z ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDINGADDRESS PERMITFEE $ PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 LOT NO 9UBDNISIONS NAME PARCEL MAP Solar or heat pump water heater 23.00 Water piping 15.00 USEOFSTRUCTURE SFA Duplex ❑ Mobilehome ❑ Other SPECIFY Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other:R Describe Work: 20 S2 Mobile Home IS I GI W1 @20.00 PERMITFEE s Contractor ELECTRICAL PERMIT Filina Fee 20:00 Main Service000V OR LESS ( 200A OR LESS ) 23.00 Main Service ( 200A TO 1000A ) 46.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ 1, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION � 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier A Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X Date Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 50" deep and demolition or construction of structures over 3 stories in height. NEW CONST. DWELLING OCCUR OR ( 8 ACC. BLDS. ) sO. 3.5¢ Fr. CNS. NEW CONST. MULTI -OUTLET NON-RESIO. ( BRANCH CIRCUITS ) @7.50 ( POWER APPARATUS 8 SINGLE OUTLET CAR. / EX. Occup. ( OUTLET OR FIXTURES) 20 Q I.� 64L 0 .w Ex. Occup. (ouiiErs (AES ..GEA) 5.00 Temporary Service 23.00. Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE _ Contractor MECHANICAL PERMIT Filing Fee 20.00 9 Heating Cooling Hood 6.50 Ventilation PERMITFEE S Contractor Mobile Home Installation Fee Is Energy Inspection Fee Is OCC 2,3 c PE TOTAL FEE $ L4 C4 -OD I I HAZ. FEES IMP FLOOD F PARCEL PO HD ISSUE This permit is hereby issued under the of the Butte County Code and/or indicated above for which fees have By PERMITEXPIRESON I applicable provisions Resolutions to do work been paid. Date (Date) Receipt No. 2©'Z`jy'Z WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT i E PLAN PLANNIN DIVISIO:,;PLAN APPROVAL SI _ .. -.. .. .. .. .. .. ._ .. .. .. .. ..................... .- -- ..r. Oche 41. .. _ .. o • . -- .. .. .. Signature .. S �: - 9n .. ............................ AVE. 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