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Home My WebLink About041-110-109- ..a _�•-' .,, '� 41-11-109 r " Ll Barron 4° W/S Dr Creek Rd., a 4/10 mi.N f r.r Old Pent47' agalia Hwy, �/� QJL i.. Permit #7588-79B,E(new pr•.garag ) j 4 ` L.Iapp PI-109 - "� William Barron 041-110-109 03AG096 a W/S Dry Creek .4/10 mi.N/. BARROM WILLIAM , Old Pentza-galia Hwy, '01f 3381 DRY CREEK, OROVILLE j Per iAnt, 5176-80B,P,E,M(new single AG. BLDG (#0' X 70') amiTy) - - 041-11-0-109 93-2210 BARRON, BILL i CONTR : OWNER 3381 DRY -CREEK, OROVI E G '' DECK/SF 9 ff 041-110-109 RMIT#95-2303 BARRON, Bill. �.a.. 3381 Dry -C' d. Oroville 1st Renewal•-.0f.BP#93-2210 3 o �^� COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS., 695 Oleander Avenue, Chico — Phone 343]�R14,,.-E_xt.-70 7 County Center Drive, Oroville — Phone 534-4541 Skyway and Elliott Road, Paradise — Phone 877-3435 CORRECTION KOTICE BUILDING OR PROPERTY ADDRESS A routine Inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this Inspector Date// /Z—(. G COUNTY OF BUTTE - -DEPARTMENT OF PUBLIC WORKS 7 County Centel Drive — Oroville, California 95965 Telephone: 534-4541 APPLICATION. AND PERMIT 7,5'49 0' 79 autnonze representatives of the County. of Butte to enter upon the a*N. operty for ins a tion p rposes. r/� _ ate rl G Ie• ee or Agent Rec. ✓��✓ o White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF,*UBLIC WORKS Building permit expires Date -A2 2- -- BUILDING Owner SQ. FT. OCC. BUILDING VALUATI S;7-7' Zl_�a Mailing Address Tele h ne No� II Contractor Mailing Address Fireplace Total Valuation Telephone No. Permit Fee �tzr�c, Building Address (JV G Plan Checking Fee&/or Penalty .00 Permit Fee 60 d PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 Each TraD 1.50 rn Repair drainage or vent piping 1.50 A. P. No. ._ A.� �� A-- Zoning &Planning Water piping 1.50 Each gas water heater or vent 1.50 FW lir, Sa ii n Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking ' Parcel Plans Declaration Parcel Map 60' R/W Improvements Each additional outlet .30 Building sewer 5.00 Bldg. ns Recd Parcel Aroyal Plans Approval Lawn sprinkler system 2.00 NEW ADDITION ❑ UTILITIES ❑ OTHER ❑ Permit Fee $ $ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 C5 r.> Main service 600V OR LESS 100 AMP OR LESS 5•�Q 1�0 Single Family ❑ Duplex ❑ Mobil Home ❑ Others Lry Main service EA. ADD•L 100 AMP 2.50 Main service 1100EAMP OR LESS 25.00 ` i Main service EA. ADD'L 100 AMP 1.00 NEW OR ADDNST ACCLBLDGS.CCUP. 4) 22 sq It CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: NEW RESID. /MU U T NON.CONST l BRA CUITS) 12.50ea 6, �. NEW CONSTR (POWER APPARATUS 8 NON-RESID. SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 5 L� FIXED APPLNS. OR Ex. Occup. I OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Li5pnse No. Classification Misc. Wiring 6.25 - r I am exempt from the Contractors License Laws of the State of California. Permit Fee $ 61a I pZ.Zj $ pZ( WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑ I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in -any manner so as to become subject to the Workmen's Compensation Laws of California. @ MECHANICAL No. FEEPERMIT FILING FEE 1$3.00- Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 1 certify that I have read this application and state that the above information is correct: I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby Land Development Fee $ TOTAL PERMIT FEE $ O� autnonze representatives of the County. of Butte to enter upon the a*N. operty for ins a tion p rposes. r/� _ ate rl G Ie• ee or Agent Rec. ✓��✓ o White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF,*UBLIC WORKS Building permit expires Date -A2 2- -- ___.....".+.r -' +� -.,aye:.vN.+r'>`W:r.r.,.•:+.w.a�.,....:..,...� I CERTIFICATE OF CONFORMANCE HE UNDERSIGNED MANUFACTURER HEREBY CERTIFIES that the products identified below and on attached sheets Nos. are marked with- the collective mark of the 'American !r.s;i;ut-- of Timber Construction (AITC`, and are manufactured in accordance with the manufacturing and fabricating provisions of ICBG RESEARCH REPORT PFC 2966 and that such manufacture has been at our plant in SPRTNGFTFI D. 0RFr"I , which plant has a quality control system approved by.the Inspection Bureau of the American Institute of Timber .Construction and inspected 'periodically by'such Bureau. The undersigned manufacturer further certifies that the work has been done in accordance with the applicable job specifications. JOB NAME:. U14Y.i40M CKELLER LUMBER SALES) JOB LOCATION: CUSTOMER'S ORDER NO. 8370 • OATE�Wfi/.8.(L MFGR'S ORDER NO. 4853-C SIGNATURE -7- . �� `% COMPANY _ TITLE ADDRESS__Sg 22N CT DATE W23/89 AITC HEREB Y CERT/F/ES that the said company at its said plant is licensed by the AMERICAN INSTITUTE OF. TIMBER CONSTRUCTION to use the AITC Collective Mark in respect 'of products which comply with applicable provisions of said code and report(s), that the adequacy of the quality control system in effect at said plant is periodically inspected and verified by . the Inspection Bureau of the AMERICAN INSTITUTE OF TIMBER CONSTRUCTION, and that, in the judgment of the undersigned, said company is capable of complying with applicable manufacturing and testing provisions of said code and report(s) in respect of products manufactured at said plant. Conformance with the said code and repo,—L:s) in respect of any specific or particular product is the sole responsibility of the manufacturer; AITC's certificate hereunder being that the said company is qualified to produce a product meeting the said code and report(s) and that its plant is periodically inspected and verified by the AITC Inspection Bureau. AITC FORM IBCE AITC Certificate No. E15547 Signed for ERICAN INSTITUTE OF TIMBMR CONMUCTION :J Paul H. Beattie Jack Minneci xecutive Vice President irector, Inspection Bureau © 1980 AMERICAN? INSTITUTE OF TIMBER CONSTRUCTION t r s t �. � �� I i � 1 I X� 'COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS r BUILD ING,INSPECTION RECORD UILDING 42 BUILDING (Cont'd) PLUMB G Firewall Soil Piping Parapets Setback Restroom Finish Forms Windows Main Bldg. Siding Footings Roof Sheathing Stemwall Roofing Slab Fdn. Vents Piers Garage Vents b nsulation Garage Prov. for phsicalI handicappedy Conformance of Footings Stem wall Slab ` e3 Carport Footings Slab Patio Footings Masonry Walls `Z Relnf. Steel Bond Bea Framin 0 Stucco Mesh Scratch Brown Finish Interlor Loth Doors CIl� ' MOBILEHOME Water Piping I6EHOME Water Piping s DATE 'COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS r BUILD ING,INSPECTION RECORD UILDING 42 BUILDING (Cont'd) PLUMB G Firewall Soil Piping Parapets 1st Floor Restroom Finish 2nd Floor Windows 3rd Floor Siding To out Roof Sheathing 'Water Piping Roofing Sewer Fdn. Vents Fixtures Garage Vents b nsulation Water Htr. Heaters Prov. for phsicalI handicappedy Conformance of Appliances Gas PI in & est FIREPLACE Footin Throat RINKLERS 11 Cooling Ducts Ventilation --y Final ----------------• I Elec. Service Sewer ON------------ •Support Drainage REMARKS OR CORRECTIONS Temp. Gas Sanitation Final ELECTRICAL Grd. Fault Prot. Service Temp. Pole g ,� Underground Permanent Final Elec. Pedestal . Gas Piping Elec. Continuity Gas Piping bwQy`. (NOTE: An entry must be made on this form each time you visit the job site.) I e * PERMIT NO. 7588-`19B,E PERMIT EXPIRES a OWNER Bill Barron CONTR. nwner 41-11-109 LOCATION (A.P. ) W/S Dry Creek Rd., app.4/10 mi.N.of Old Pentz Magalia Hwy, Oroville Temp. Power Pole Called PG&E Temp. Elea Serv. Called PG&E Temp. Gas Serv. Called PG&E JOB FINALED �'jdbf (Date) (Signature) V = OK 0 = Not OK - = Not Applicable = Not Ready RESIDENTIAL (Single and Duplex) y Date UNDERF R Plans OK except #'s Date FRAMING (Continued) oni requirements,, -Se ks-Easements Pro erty Line Firewall & Openings 2 ., Main; Soils -S -Elec. Grnd.-'/ /" Fig. Depth t. Doers -One 3' -Check Garage -3rd story, 2 3. Garage; Soils- el- / /" Fig. Depth- lair ; Width-Headroom-Rise-Run-Landin -Fire P ction 4. Fig., Porches & Decks; Soils -Steel- / /" Fig. Depth C-241 - I wood on Roof Overhang -Attic Vents-Rafte e ain; St I-Blockouts-Wrapped-Slab ing-Na iling-Veneer 6. Ste s, Gar�pP^S a '+lockouts -Wrap 5 St co Mesh -Drip Screed-Fdn. Vents-Underflr. Access rs-Fire ce - 54ei5jazing Area -Glass Protection -Skylights -Plastic 8. D.WAZf F i -Fit Tej6d2'way C/O -Sewer Test . Shear Walls; Nailing -B Its 9. Gast Pipe; Size -Anchors .-Z _ o 10. Water. Test:Andbers- Regulator -Ser st ,ate' - almsa 11. Electric; UndergroundS- 12. Plenums & Ducts; Clearance -Material -Support -Ins. 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI Date Card -BI Date II 6gi/EleSDutlets at Wood Panel; Int. & Ext. Card-BICio Date(-%-'%�kI Card -BI Date 654-�R. t. & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Card -BI Date 6 e�.-Illutlets &Receptacles at Kit. Counter 6 arage Fire Door; Swing -Landing -Closer Date ELEC ICAL Permit OK except p's uct in arage-Damper �- F' bre &Transformer Clearance -Ins. Protection 69• a,rance-Comb. Air-Connector-P.R.V.- In C�a 9 ; Above Floor-Mech. Protection %- lec. Receptacles Spacing -Lights & Switches at Doors 70 Ib. . c. &Mech. EquipListed for Location ize Boxes & No. of Conductors -Stapled 71 ec. Recepta I s in Garage; (G.F.I.)-Ro x Protec. E. Romex Installed Close to Edge of Studs & C.J. 72. Insulation-FOWLLooked in Attic es / 2 quip. Ground made up w/Mech. Fasteners -Bond Gas & Water 73. Guard Rails & Deck Construction -Post Caps 25. 2 Appliance Circuits in Kitchen &Conductor Size 74. Fdn. Vents & Crawl. or -Drainage & Wood -Earth Clearance ga. Cu or AI-A.C. Wire Size / / ga. Cu or At Looked under Floor Yes Range Circ. / g u - Oven Circ. / / ga. Cu or At, f ` In laced Neutral X es ❑No , 75. Following instl�d� Dri Yes Walks ❑Yes FIN Planters Service -Riser Conductors &Ground -Main Disconnect 76�cco; Brown -Finish W_-'rquip. Clearances; Panels-Motors-Mech. Equip.77, A.C. Uri' ces-Brkr. & Cond. Size -115V Outlet O^ G'aLbac Cjgset Light -Shower Light ve Roof; Plb A liance-Fire I Clearance to O n s. �a 9•- PP P •- P 9 794-VfatIjAell; Disconnect, Electrical, Plumbing Card B -I Date's ��f Card -BI Date Stmt rior Elec. Trim; G.F.I. Receptacle -Underground 94 entilalion throughout House Card B -I r Date Card -BI Date ass Protection 8 orrections from Previous Inspections Date MECHANICAL (Per except il's 84. a - eters Tagged; GA-Electfif 7r:7 nW 31. A.C. Ducts Ins ion Support 8 Sewer Connected -C/O to Grade -HD Approval 3k -'Vent Fan; Exha above Insulation g Energy Com^!.iance Certificate -Other Certificates 3. CoRdensate Drain BCOverfloo Size & Grade nt; Access- Air -Return Air Vent -115V outlet ti ., Acce'ss &yPlatform of F,rnare n attic �• `: �-t , �t feu , �1 ,t r `��. Card -BI 1,/ Date Card -BI _Date �� Card -BI Date Card -BI ji Date and -BI Date Card -BI Date Card -BA Date Card -BI r ate and -BI Date Date FRA NG(Plans) OK except q's Comments at Final: <7--VR'ills; Proper Material & Anchors �ls; Studs Nailing, Spacing & Bracing -Plates -Sound 3,�l,,%earing Walls over Girders &Floor Nailing Je• Draft Stop in Walls (rat proof) Stops; Furred Ceilings -Stairs -Chases -Tub eer &,Beam -_Size Bearing Hangers -Post Anchors--Connecto ►�Li� Cing. Jois f e -Purl in -Ro rac.-Truss- p.- _ 4 . Fireplace Ties or Type A Flue -Fireplace Throat. �ttic Access; Size & Romex Protection -Draft Stop- . affl B . Windows or Exiting Doors -Sill Hgt. & Dimensions _ ge Fire Protection Framing (NOTE: An entry must be made each time youvisit jobsite) Card -BI Date Card -BI Date Card -BI Q Date Card -BI Date Card -BI Date Card -BI Date Date FIPlan _OK except H's Card -BI 00lite Card -BI Date / Date PLUMBING (Permit) OK except N's - 5 teps-Door & Sidelight Protection -Landings 57. Smo etector _ ;g/P1g�Ier Ht.; Vent -Access -Combustion Air 58. rnace; Vents -Clearance -Comb. Air -Connector - In ge; Above Floor -Ducts -Meth. Protection_ VE Wer Pipe; Test & Anchors -Nail Protection t-Fttngs & Anchors -Nail Protection 59. e4reom Exiting er P Test, First Floor -Tub Access 6 _5A -&Bath Fixtures &Tub Access Shower, nd Floor -Tub Access 61��Jge<Trim & Subpanel; Breaker Sizes -Labels ors 62AP StaptnaiIs 6 use or Stove; Clearances -Hearth II 6gi/EleSDutlets at Wood Panel; Int. & Ext. Card-BICio Date(-%-'%�kI Card -BI Date 654-�R. t. & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Card -BI Date 6 e�.-Illutlets &Receptacles at Kit. Counter 6 arage Fire Door; Swing -Landing -Closer Date ELEC ICAL Permit OK except p's uct in arage-Damper �- F' bre &Transformer Clearance -Ins. Protection 69• a,rance-Comb. Air-Connector-P.R.V.- In C�a 9 ; Above Floor-Mech. Protection %- lec. Receptacles Spacing -Lights & Switches at Doors 70 Ib. . c. &Mech. EquipListed for Location ize Boxes & No. of Conductors -Stapled 71 ec. Recepta I s in Garage; (G.F.I.)-Ro x Protec. E. Romex Installed Close to Edge of Studs & C.J. 72. Insulation-FOWLLooked in Attic es / 2 quip. Ground made up w/Mech. Fasteners -Bond Gas & Water 73. Guard Rails & Deck Construction -Post Caps 25. 2 Appliance Circuits in Kitchen &Conductor Size 74. Fdn. Vents & Crawl. or -Drainage & Wood -Earth Clearance ga. Cu or AI-A.C. Wire Size / / ga. Cu or At Looked under Floor Yes Range Circ. / g u - Oven Circ. / / ga. Cu or At, f ` In laced Neutral X es ❑No , 75. Following instl�d� Dri Yes Walks ❑Yes FIN Planters Service -Riser Conductors &Ground -Main Disconnect 76�cco; Brown -Finish W_-'rquip. Clearances; Panels-Motors-Mech. Equip.77, A.C. Uri' ces-Brkr. & Cond. Size -115V Outlet O^ G'aLbac Cjgset Light -Shower Light ve Roof; Plb A liance-Fire I Clearance to O n s. �a 9•- PP P •- P 9 794-VfatIjAell; Disconnect, Electrical, Plumbing Card B -I Date's ��f Card -BI Date Stmt rior Elec. Trim; G.F.I. Receptacle -Underground 94 entilalion throughout House Card B -I r Date Card -BI Date ass Protection 8 orrections from Previous Inspections Date MECHANICAL (Per except il's 84. a - eters Tagged; GA-Electfif 7r:7 nW 31. A.C. Ducts Ins ion Support 8 Sewer Connected -C/O to Grade -HD Approval 3k -'Vent Fan; Exha above Insulation g Energy Com^!.iance Certificate -Other Certificates 3. CoRdensate Drain BCOverfloo Size & Grade nt; Access- Air -Return Air Vent -115V outlet ti ., Acce'ss &yPlatform of F,rnare n attic �• `: �-t , �t feu , �1 ,t r `��. Card -BI 1,/ Date Card -BI _Date �� Card -BI Date Card -BI ji Date and -BI Date Card -BI Date Card -BA Date Card -BI r ate and -BI Date Date FRA NG(Plans) OK except q's Comments at Final: <7--VR'ills; Proper Material & Anchors �ls; Studs Nailing, Spacing & Bracing -Plates -Sound 3,�l,,%earing Walls over Girders &Floor Nailing Je• Draft Stop in Walls (rat proof) Stops; Furred Ceilings -Stairs -Chases -Tub eer &,Beam -_Size Bearing Hangers -Post Anchors--Connecto ►�Li� Cing. Jois f e -Purl in -Ro rac.-Truss- p.- _ 4 . Fireplace Ties or Type A Flue -Fireplace Throat. �ttic Access; Size & Romex Protection -Draft Stop- . affl B . Windows or Exiting Doors -Sill Hgt. & Dimensions _ ge Fire Protection Framing (NOTE: An entry must be made each time youvisit jobsite) J OK 0 Not OK �r+ - Not Applicable = Not Ready MOBILEHOMES MISCELLANEOUS Date MOBILEHOME UVLITIES (Plans) OK except N's 1. Zoning Requirements -Setbacks -Easements Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except N's 1, Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support -Sketch 2, Footings; Size -Depth -Spacing -Connectors 3. Sewer; Location -Test -Fall -C/0 -Concrete 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Water; Location -Test -Easement Needed (Sketch) 4. Wood Awn.; Posts-Beams-Rftrs.-Connec.-Shthg.-Rfg.-Bracing 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Gas; Location -Test -Wrap:/ /"L"ft./ /"Nat.or/ /"L"ft./ /"LPG 6. Carports; Windows -Doors 7. Utility Clearance 7. Elec. Card -BI Card -BI Date Date Card -BI Date Date Card -BI Date MOBILEHOME INSTALLATION (Plans) OK except N's 1. Zoning Requirements -Setbacks -Easements Card -BI Card -BI Date Date Card -BI Date Date Card -BI Date POOLS (Plans) OK except N's 1. Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 2. Soils; Compaction -Structure Stability 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining 4. Elec.; Receptacles and Lighting; Distances-GFI 5. Drain; MH Test -Fall -Flex Connector 5. Elec.; Pool Lighting; 15 volts-GFI 6. Water; MH Test -Regulator -Connector 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Water and Sewer Connected -C/0 to Grade -HD Approval 7. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater 8. Gas and Electricity Tagged 8. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghtg. Boxes -Enclosures -Panel boards -Ins. to Main in Conduit 9. Exits; Insp.-Sketch 10. Cert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test -Water Supply Test Card B -I Date Card -BI Date Card -BI Date Card -BI Date Card B -I Date Card -BI Date Card -BI Date Card -BI Date J t 1 r 5176-80B P E•M PERMIT NO. PERMIT EXPIRES William Barron OWNER owner CONTR. 5176-80B,P,E,M ASSESSOR PARCEL L;• • LOCATION. W/S Dry Creek Rd.,app.4/10 mi.N. r'= of Old Pentz MagaliaHwy,' X i Temp. Power Pole l of Called PG&E Temp. Elea Servic = Ify '•, _ Called PG&E AQ 7/ ... .. - •rye 6r r dY .. Temp. Gas Service Called PG&E J06 1=1N LED (Date) ' Signature- �YY\ i. . • f RESIDENT IAL ENERGY CONSERVATION STANDARDS CONSTRUCTION COMPLIANCE CERTIFICATE'\ THIS IS TO CERTIFY THAT ENERGY CONSERVATION REQUIREMENTS HAVE BEEN INSTAL D� IN CONFO CE� CURRENT ENERGY C SERVATION Rte/ LATIONS AT (location) BU ILD ING PERMIT NO. A. P . NO. — THE FOLLOWING HAVE BEEN INSTALLED AS PER APPROVED PLANS: (Check each item or write N/A if not applicable) INSULATION: Slab Edge , /Ufa _GLAZING: . Single Glazed '1 Fdn..Walls .4 Special (Insulated) T, Floors iP+// CERT. & LABELED WDS. Walls & SLIDING DRS. Ceiling/Roof ,e-/5 WEATHERSTRIPPED DRS. !/ Ducts BACK DAMPERED FANS Circulating Pipes G/ INTERMITTENT IGNITION DEVICES Nfl APPROVED HEATER �- CERT. APPLIANCES APPROVED WTR.HTR. L� I DECLARE THAT ALL REQUIRED ITEMS AS NOTED ABOVE HAVE,BEEN INSTALLED IN ACCORDANCE WITH THE ENERGY CONSERVATION. REQUIREMENTS AND AGREE TO THE COMPLETENESS OF THIS CERTIF ICATE AS SUBMITTED., Insulation Applicator Name Signature of (plea p_ nt) Insulation -Applicator St &LY Contractors . 1 License No.a`/.ZSC� General Contractor/Owner Name 4 Signature of (please print) - General Contractor/Owner Date O �' 6p� State Contractors License No. THIS CERTIFICATE MUST BE ON FILE WITH THE BUILDING DEPARTMENT PRIOR TO. REQUESTING FINAL INSPECTION AND SHALL BE POSTED INA CONSPICUOUS LOCATION WITHIN THE DWELLING.' COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, Cal-iornia 95965- ��ww,,��lephone: 916.'538-7541IR _0� APPLICATION AND PE4Ar ASSESSOR PARCEL NUMBER 041-110-109 ZONING 1 BUILDING PERMIT OWNER DILLBARRONSO.FT. TELEP'40NE OCC. BUILDING VALUATION 192 0 1 344 OWNER'S MAILING ADDRESS - 3381 DRY CREEK RD, OROVILLF 95965 CONTRACTOR'S NAME OWNP, TELEP}IONE t CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UN KN O;INN Total Valuation Is Filing Fee $ 715.00 LENDER'S MAILING ADDRESS Permit Fee $ 294.,30 ARCHITECT OR ENGINEER ARCHITECT OR ENGINEER'S MAILING ADDRESS LICEN- '. NO. JJ ?' Plan Checking Fee $ !I� W • Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS 3381 DRY CI EMM. RD OROVILL12. I Permit fee $ 63.50 PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 NO. SUBDIVISION NAME PARC_E MAP Water piping 7.00 Each qas water heater or vent 7.00 ' USE OF STRUCTURE SFS Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile HomeS G W @ 15.00 �.1 TYPE OF WORK � r -e New" Addition(x_ Remodel❑ Utilities❑ Installation[ )v.ther❑ Descrr;,e work: 12%1G OPEN DECK _ < Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 600v OR LESS 18.50 200A OR LESS Main service 200A TO 1Oo0A) 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 and my license is in full force and effect. VLicense .Jo. Classification I, as the owner, or my employees with wages as their soletcompen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I; as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) yam exempt under Sec. Business and Professions Code for this reason — _. WORKMEN'S COMPENSATION INSURANCE hder penalty of perjury (check one): ?e permit is for $100.00 (valuation) or -less. have placed on file with the County of Butte Building Department Certificate of Workmen's Compensation Insurance or a Certificate consent to Self -Insure. oall not employ any person in any manner so as to become subject the W. C. laws of California. Applicant: If after making this statement, should you become subjectpermit C. provisions of the Labor Code, you must forthwith comply with such Is or this permit shall be deemed revoked. NEW CONST. ( DWELLING OCCUP.&) 3.6p sq.fi. OR AD DNS. ACC. BLDGS. NEW CONSTRULTI.OUTLET NON•RESID BRANCH CIRC ITS @ 5.00 POWER APPARATUS &) (SINGLE OUTLET CIR. / Ex. Occup( OR FIXTURES 20 76d FIXED APP LHS. OR Ex. Occup. OUTLETS IRESIO.) EA.) 3.00 Temporary service 15.00' Mobile Home Facilities 15.00 Misc. Wiring 15.00 J Permit Fee $ Contractor MECHANICAL PERMIT Filing Fee Heating Cooling Hood 6.50 Ventilation Fee $ Contractor rrect. I agree to comply to all County Ordinances and State Laws relating uilding construction, and hereby authorize representatives of the Cnuntyot 7allTy that I have read this application and state that the above information utte to enter upon the above-mentioned property for inspection purpose);. agree to save, indemnify and keep harmless the County of Butte'against liabilities, judgments, costs, and expenses which may in any way accrue said County in consequence of the granting of this permit. X Date �F Signature of Applicant — OwnerP""Contractor Q Agent'Q An OSHA permit is required for excavations over 5'0" deep and demolition or clostruct- ion of structures over 3 stories in height. Mobile Home Installation Fee S Energy Inspection Fee $ occ CONST TYPETOTAL FEES 50also 63, HAz DFEES IMP FLOOD CDF PARCEL PD HD ISSUE—gainst This permit is hereby issued under the applicable provi- cions of the Butte County Code and/or resolutions to do work indicated above for which fees have been pa d. DIRECTOR OF PUBLIC WORKS By y� �° - r. Date �•� PERMIT EXPIRES Date 1 143581 Receipt No. WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT TIJ V=OK r O=Not OK = Not Ready Applicable MOBILE HOMES Date/Initials MOBILE HOME UTILITIES (Plana) OK except #'a 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O Concrete ! 4. Water; Location -Teat -Easement Needed (Sketch) 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap: / /" L" ft. / /"Nat. or/ /"L"ft./ /"LPG 7. Well Clearance & Disconnect 8. Utility Clearance g Date/Initials MOBILE HOME INSTALLATION (Plans) OK except #'a 1. Zoning Requirements -Setbacks Easements 2. Footings; Size -Spacing -Marriage Line 3.. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector J. Water and Sewer Connected -C/O to Grade -HD Approval . t 8. Gas and Electricity Tagged ='�•� 9. Exits; insp.-Sketch �J 16. Cert. of Occupancy { Al ---,.MISCELLANEOUS #'a i rements-Setbac ks-Easements (R otings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Graders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs: Connectors Shthg.-Rig.-Bracing 5. Alum. Awn.; Columns -Connections -,Splice -Decal -Enclosures 6. Carports; Windows -Doors I 7 9:1 rtrir IR 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh r 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining J 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.;Enclosures; Conduit Entries -Terminals -Listed L- 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. 1. Boxes-Enclosures-PaneIboa rds-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test-Water'Suppiv Test V=OK t O = Not OK - = Not Applicable RESIDE " r IAL = Not Ready Date/Initials UNDERFLOOR (Plans) OK except q's 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Mein; Soils-Elec. Grnd.-/ P' Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped 8. Pie rs-Fireplace. Ftg.-Steel 9. D.W.V.; Fell -Fitting -Test -2 Way C/O -Sewer Test 10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation 16. Insulation 16. Water Htr.; Vent -Access -Combustion Air -Baffle 17. Water Pipe; Test & Anchor -Nail Protection 18. D.W.V.; Test -Fittings & Anchor-Naii Protection . 19. Shower Pan; Test, First Floor -Tub Access 20. Test Tub & Shower, Second Floor -Tub Access _ + 21. Gas Pipe; Size & Anchors Date/initials ELECTRICAL (Permit) OK except #'a 22. Fixture & Transformer Clearance -Ins. Protection . 23. Elec. Receptacles Spacing -Lights & Switches at Doors 24. Size Boxes & No. of Conductors -Stapled 25. Romex Installed Close to Edoe of Studs & C.J. 26. Equip. Ground made up w/Meth. Fastners-Bond Gas & Water 27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 29: Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral 0 Yes 0 No ?/0. Service -Riser Conductors & Ground -Main Disconnect 31. Equip. Clearances Panels -Motors -Mach. Equip. 32. Clothes Closet Light -Shower Light -Spa Light 33. Smoke Detector A.C. Ducts Insulation & 35. Vent Fan; Exhaust above insulation 36. Condensate Drain & Overflow; Size & Grade 37. Furnance-Vent; Access -Comb. Air -Return Air Vent -115 outlet 38. Attic Access & Platform if Furnance in Attic Date/Initials FRAMING (Plans) OK except S's 39. Sils, Proper Material & Anchors 40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound 41. Bearing Walls over Girders & Floor Nailing 42. Draft Stop in Walls (ret proof) 43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 44. Headers & Beam -Size & Bearina Single & Duplex) Date/Initials FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connectors 46. Cing. Joist-Rftr. ties- Puri in -roof Brac-Truss-Shthng.-Rfng.' 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 50. Garage Fire Protection Framing 51. Property Line Firewall & Openings 52. Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers 55. Siding -Nailing Veneer lv 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 57. Glazing Area -Glass Protection -Skylights -Plastic 58. Shear Walls; Nailing -Bolts 59. Insulation-Walls-Ceilinas 60. Infiltration -Walls -Windows Date/Initials FINAL (Plans) OK except #'a 61. Ext. Steps -Door & Sidelight Protection -Landings 62. Smoke Detector 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Mach. Protection 64. Bedroom Exiting Y 65. G.F.I. & Bath Fixtures & Tub Access -Spa 66. Elec. Trim & Subpanel; Breaker Sizes & Labels 67. Stairs & Rails 68. Fireplace or Stove; Clearances -Hearth ^ 69. Elec. Outlets at Wood Panel; Int. & Ext. 70. Kit.Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance 71. Elec. Outlets & Receptacles at Kit. Counter 72. Garage Fire Door, Swing -Landing -Closer 73. A.C. Duct in Garage -Damper 74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage: Above Floor -Meth. Protection A 75. Plb., Elec. & Mach. Equip. Listed for Location ' 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protectign 77. Insulation -Foam -Looked in Attic 0 Yes 78. Guard Rails & Deck Construction -Post Caps 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 80. Following instld.; Drive 0 Yes 0 No; Walks 0 Yes Planters 0 Yes 0 No 81. Stucco; Brown -Finish 82. A.C. Unit; Disconnect, Electrical, 83. Vents Above Roof; Pibg -Applian 84. Water Well; Disconnect, Electrical, Plum 85. Exterior Elec. Trim; G.F.I. Receptacle-Ui 86. Ventilation Throughout House 87. Glass Protection 88. Corrections from Previous Inspections 89. Gas Test -Meters Taaaed: Gas -Electric 90. Water & Sewer Connected -C/O to Grade -HD Approval 91. Energy Compliance Certificate -Other Certificates Comments at Final: �Iq •!tS • ♦ r TF, It � 2 TF, It � ;RESIDE � ,.AL r rA' '0-109 93-2210 �4a bN , BILL �MTR: OWNER •3381 DRY CREEK, OROVILLE DECK/SF,,% • .'1 ... •• ry,• ti .. ._ � �� • ., a = i°G - i �r r ` • •i f r� i i #� JOB FINALED (Date) ry' t�S!gnature LMS �W nj .-041-110 10.9 *°� * �hkMIT#95-2303 *Wi�ARRONj, Bill381• Dr'y Creek' Rd.. ,!,',Oro O 1st"Renewal of BP03-2210 I.. - ._ •- , y •-. ... y ± � 1. ', � ,- � � '+ • , , / COUNTY OF BUTTE- DEPARTMEN-T OF DEVELOPMEN I SERVICES- BUILDING DIVISION 7 County Center Drive - Oroville, California 95965;- Telephone (916) 538-7541 PERMIT NO. APPLICATION AND PERMIT ASSESSOR PARCEL NUMBERUIL 41-110-109 1 ZONING U BDING PERMIT OWNER BILL BARRON TELEPHONE SO, FT, OCC. BUILDING VALUATION OWNERS MAILING ADDRESS 3381 DRY CRK RD OROVILL£, 9591:5 I 200A TO 1000A ) CONTRACTOR'S NAME /�{�I�7�� - UYPIY i'�R TELEPHONE DWELLING OCCUP. So. CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LEN DER UNIWOWN Total Valuation Is LENDER'S MAILING ADDRESS I Filing Fee $ 20,00 Permit Fee $ 14.25 ARCHITECT OR ENGINEER UCENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ 0 JJARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ a� ILDINGADDRESS 3 V R PERMITFEE $ 34.25 fi .R 05GAR PLUMBINGPERMIT Filing Fee 2 Each Trap 7.00 . Solar or heat pump water heater 23.00 TNO. SUBDNSgNS NAME PARCEL MAP r USEOFSTRUCTURE Duplex ❑ Mobilehome ❑ Other SPECIFY Water piping '15.00 Each gas water heater or vent -1 5.00' r Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other `® Describe Work: RM04AL P793-2210 .' I — Mobile Home S I GI W @20.00 PERMITFEE $ Contractor 7 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 reby �ffirm under penalty of perjury that I am exempt from the -Contractors License or.7the following reason: I s owner of the property, or my employees with wages as their sole compensation, ,III 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. yam exempt under Sec. Business and Professions Code for this ason ' WORKERS' COMPENSATION DECLARATION `iirm under penalty of perjury one of the following declarations: :ave and will maintain a certificate of consent to self -insure for workers' mpensation, as provided for by section 3700 of the Labor Code, for the erformance of the work for which this permit is issued. 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 ' L (The above sections need not be'completedlif the permit is for work of a valuation of one hundred dollars ($100) or less.) , 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 dl1 ,�.f Date Signature,.of'Applicant Owner O Contractor ❑ Agent' r/ An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. \Receipt No. HITE-D.D.S. PINK -INSPECTOR GOLDElliiiiiiiiiiiiiiiiiiA,PPLICANT tLtGIHIGALNtHMIi Filinq Fee 20.00 Main Service e00V OR LESS 200A OR LESS ) 23.00 Main Service ( 200A TO 1000A ) 46.00 NEW CONST. DWELLING OCCUP. So. OR ADDNS. & ACC. BLDS. ) 3.52 FT. NEW CONST. - MULTI.OUTLET NON-RESID. ( BRANCH CIRCUITS CcD7.50 Ex. Occup. ( OUTLET OR FIXTURES) 20 Q I. BAL 30 FIXED APLNS.Ex. Occup. ( OUTLETS(RESD.)EA) 5.00 Temporary Service 23 Mobile Home Facilities 20 Misc. Wiring nd PERMITFEE $ Contractor -t MECHANICAL PERMIT Filing Fe Heating Cooling 3 Hood 6.5 Ventilation L PERMITFEE $ Contractor Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 34.25 1 HA2.' D. FEES I IMP I FLOOD I CDF I PARCEL I PD I HD SSUj �r V 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 [/ (A PERMITEXPIRESON��1 • / 7th BUILDING DIVISION COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE - OROVILLE,.CALIFORNIA 95965 - TELEPHONE: (530) 538-7541 AGRICULTURAL BUILDING EXEMPTION PERMIT Agricultural building is defined as follows: Agricultural building is a structure designed and constructed to house farm implements, hay, grain, poultry, livestock, or other horticultural products. This structure shall not be a place of human habitation or a place of employment where agricultural products are processed, treated, or packaged, nor shall it be a place used by the public. ASSESSOR PARCEL NO. 0 / 61 ZONING OWNER 7 1 (a701a C� PHONE No S S� OWNER'S ADDRESSY2!;?'C n� �pIr /FV/ LOCATION OF BUILDING '5 2 USE OF BUILDING ° ,! Ct 1 e ;�1P H r' Gc e 7,� SIZE OF STRUCTURE69 ?�� x 1__4_— _� . DD SO. FT. TYPE OF CONSTRUCTION: WOOD FRAME -A— STEEL CONCRETE OTHER (Specify) TYPE OF SIDIN'r5t ROOF COVE IN 411/1' FLOOR TYPE ESTIMATED COST OF CONSTRUCTION $ AG Buildings shall comply with the minimum front, side, and rear yard setback requirements of the applicable County Ordinances as follows: 65 t �v ►v-✓' �� •�� FRONT SIDES REAR AG Buildings shall be a minimum of five (5) feet from any septic tank or leach fields. AG Buildings less than 1000 sq. ft. in floor area shall be located a minimum of 6 feet from a residence, 10 feet from a mobilehome, and 23 feet from a commercial building. AG Buildings greater than 1000 sq. ft. in floor area shall be located a minimum of 23 feet from a residence and a mobilehome, and 40 feet from a commercial building. AG Buildings must comply with Flood Zone requirements. Finish floor elevation must be at or above elevation USGS Datum. I declare under penalty of perjury that the building will be used as stated above and the purposed use confirms with the AG Building definition. If any change in use or occupancy of the building is made, I will contact the Building Division and obtain any necessary permits, inspections, and approvals to comply with the requirements in effect at that time and before occupan y. Date Signature of Owner Permit Fee - $60.00 The above described AG Building is exemp from a building permit. L73PARC P.D. R00F SSVEJ Receipt No. b 1 Manager Building Division By �4�y Date White — DPW, Yellow — Assessor, Pink — B. I., Goldenrod — Applicant Ian +.• �' FEDERAL EMERGENCY MANAGEMENT AGENCY O.M.B. No. 3067-0077 NATIONAL FLOOD INSURANCE PROGRAM Expires July 31, 2002 ELEVATION CERTIFICATE Important; Read the instructions on pages. 1 - 7. SECTION A - PROPERTY OWNER INFORMATION , Forinsuranc6r CanpanIkUsev: E •Folic55Ni�mtiee BUILDING OWNER'S NAM.,:, s.• BUILDING STREET ADDRESS (Including Apt, Unit, Suite, and/or Bldg. No.) OR P.O: ROUTE AND BOX NO. =.CompanjeNA-Numtier . +; ; . .. CITY STATE ZIP CODE _ C�Iti �y\llo CA PROPERTY DESCRIPTION (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) BUILDING USE (e.g., Residential, Non-residential, Addition, Accessory, eta Use Comments section if necessary.) lir cQSSr �2u C s Ek�P) LATITUDE/LONGITUDE (OPTIONAL) HORIZONTAL DATUM: SOURCE: LI GPS (Type): ( NP - #;'r - ##.#X or ##.it####*) L -I NAD 1927 L_I NAD 1913 LI USGS Quad Map t -I Omer: SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION BA. NFIP COMMUNITY NAME & COMMUNITY NUMBER ` 82. COUNTY NAME 83. STATE NUMBER DATE EFFECTIVE/REVISED DATE ZONE(S) (Zone AO, use depth of flooding) I�tocx�-}c U5� C S uNt Rr �al58 (�'� X 5"3 to B10. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in B9. L-1 FIS Profile -1 FIRM -1 Community Determined Other (Describe): B11. Indicate the elevation datum used for the BFE in 89: J�Q NGVD 1929 LJ NAVD 1988 t-) Other (Describe): 812 Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? Yes No Designation Date: W I A ' SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) C1. Building elevations are based on: K lConstruction Drawings' L�-113uilding Under Construction' L--IFinished Construction. 'A new Elevation Certificate will be 'required when construction of the building is complete. CZ Building Diagram Number. (Select the building diagram most similar to the building for which this certificate is being completed - see pages 6 and' 7. if no diagram accurately represents the building, provide a sketch or photograph.) C3. Elevations - Zones Al A30, AE, AH; A (with BFE), VE, V1 -V30, V (with BFE), AR, ARIA, ARAE, AR/A1-A30, AR/AH, ARIAO Complete Items C3a-i below according to the building diagram specified in Item CZ State the datum used. If the datum is different from the datum used for the BFE in Section B, convert the datum to ttrat used for the BFE_ Show field measurements and datum conversion calculation. Use the space provided or the Comments area of Section D or Section G, as appropriate, to document the datum conversion. Datum N& UD 2 9 Conversion/Comments Elevation reference marts used G M a 31-* Does the elevation reference mark used appear on the FIRM? L-1 Yes No ❑ a) Top of bottom floor (including basement or enclosure) S 3 ft(m) m �pF ESS/a ❑ b) Top of next higher floor _ ft(m) � 1 ❑ c) Bottom of lowest horizontal structural member (V zones orgy) _ 8•(m) o ❑ d) Attached garage (top of slab) At 14 E ❑ e) Lowest elevation of machinery and/or equipment m . /- rn servicing the building .ri34 R(m) E I "' No. � ❑ f) Lowest adjacent grade (LAG) S 3 (a ) fL(m) z' m ❑ g) Highest adjacent grade (HAG) S'3 S to fL(m) ❑ ) No. of perm; openings. verts) iniT ada� ❑ iTotal area of allpHentoeningsvents) n�sq• an) SECTION D - SURVEYOR. ENGINEER, OR ARCHITECT CERTIFICATION This certification is to be signed and sealed by a land surveyor, engineer, or architect authorized by law to certify elevation information. 1 certify Mint the information in Sections A, B, and C on this certificate represents my best efforts to interpret the data available. I understand 'that any false statement may be punishable.by fine or imprfsonment under 18 U.S. Code, Section 1001. CERTIFIER'S NAME /J � LICENSE NUMBER TITLEw\� COMPANY NAME �1JL t✓1-ekQ, ADDRESS _ - _ CITY i, , , . STATE ZIP CODE PPUA Form R1 q'1 Al Ir: QQ V "CFF RFVFR.-` mni=;:op ri*j' INI ijrnnN RFPI Ar.FC Al I PRF%AOI LC;=nM 1MR IMPORTANT: In these spaces, copy the corresponding infornmdon from Section A ',`FbF-Jh urancer.Ganpaw.utw:L BUILDING STREET ADDRESS (Including Apt, Unit, Suite, and/or Bldg. No.) OR P.O. ROUTE AND BOX NO. CITY STATE ZJP CODE � Cbmpaw-! A Number=.:'.-: , SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION (CONTINUED) Copy both sides of this Elevation Certificate for (1) community official, (2) insurance agent/company; and (3) building owner. COMMENTS- - - t . • C I I , . . . ff - oth, ri c. Check here if attachments SECTION E - BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE O ONE A (WITHOUT SFE) or Zone AO and Zone A (without BFE), complete Items E1 through E3. ff the Elevadon Cerbf'rcate is intended for use as supporting )Fomlation for a LOMA or LOMB -F, Section C must be completed. .1. Building Diagram Number V- (Select the building diagram most similar to the building for which this certificate is being completed - see pages 6 and 7. If no diagram accurately represents the building, provide a sketch or photograph.) '2. The bop of the bottom floor (including basement or enclosure) of the building is U,La R(m)161 Cllin.(cm) u above or X'I below (check one) the highest adjacent grade. 6 I Neuf-1 .qq f- Jaii C.IJo�c 531,' 3. For Zone AO only.. If no flood depth number is available, is the top of the bottom floor ek id aocordn a with the community's floodplain management ordinance? �-J Yes �-J No �-I Unknown. The local official must certify this information in Section G. SECTION F - PROPERTY OWNER (OR OWNER'S REPRESENTATIVE) CERTIFICATION -he property owner or owner's authorized representative who completes Sections A, B. and E for Zone A (without a FEMA -issued or immunity -issued BFE) or Zone AO must sign here. IROPERTY OWNER'S OR OWNER'S AUTHORIZED REPRESENTATIVE'S NAME ADDRESS CITY STATE ZIP CODE SIGNATURE DATE TELEPHONE 'OMMENTS Check here if attachments SECTION G - COMMUNITY INFORMATION (OPTIONAL) .e local official who is authorized by law or ordinance to admin(ster the community's floodplain management ordinance can complete =ctions A, B, C (or E), and G of this Elevation Certificate. Complete the applicable item(s) and sign below. The information in Section C was taken from other documentation that has been signed and embossed by a lkmnsed'surveyor, engineer, or architect who is authorized by state or local law to certify elevation information. (Indicate the source and date of the elevation data in the Comments area below.) . L-1 A community official completed Section E for a building located in Zone A (without a FEMAassued or community4ssued BFE) or Zone AO. The following information (Items G4 -G9) is provided for community floodplain management purposes. �4. PERMIT NUMBER G5. DATE PERMIT ISSUED G6. DATE CERTIFICATE OF COMPLIANCE/OCCUPANCY ISSUED 7. This permit has been issued for. I --I New Construction �_J Substantial Improvement 3. Elevation of as -built lowest floor (including basement) of the building is: _ ft.(m) Datum: 9. BFE or (in Zone AO) depth of flooding at the building site is: _ ft(m) Datum: -OCAL OFFICIAL'S NAME TITLE �OMMUNITY NAME TELEPHONE SIGNATURE DATE Check here if attachments s=MA Fnrm Al 'A1 Al Ir: QQ RFPI Ar'.FC Al I PRF\Anl LS From mNR FEDERAL EMERGENCY MANAGEMENT AGENCY O.M.B. No. 3067-0077 NATIONAL FLOOD INSURANCE PROGRAM Expires July 31, 2002 ELEVATION CERTIFICATE Important: Read the instructions on pages. 1 -7. SECTION A - PROPERTY OWNER INFORMATION ;;For iasuranc�Compatlsev: BUILDING OWNER'S NAME : Folic NuanCeFj _ BUILDING STREET ADDRESS (Including Apt, Unit, Suite, and/or Bldg. Nod OR P.O.' ROUTE AND BOX NO. ".Ctimpa NAi tlumtier;: "-Ns ;;;� CITY STATE ZLP CODE rMA-t: c 1 Y Utswar I JUN (Loi ano nroox Numners, Tax Panel Number, Legal Description, etc.) 14fi, BUILDING USE (e.g.. Residential, Non-residential, Addition, Accessory. eta Use Comments section if necessary.) (Swnp)_ LATTIUDEILONGITUDE (OPTIONAL) HORIZONTAL DATUM: SOURCE: I—) GPS (Type): ( NP - ftfe - ##.##° or ##.## °) LI NAD 1927 L–I NAD 1983 LI USGS Quad Map LI Omer: SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION B1. NFIP COMMUNITY NAME & COMMUNITY NUMBER B2. COUNTY NAME B3 STATE : " Ido: 22972 r 4 g) adjacent grade (HAG) S 3 £ to ft(m) 84. MAP AND PANEL 9..S FFD, 86. FIRM INDEX 87. FIRM PANEL BB. FLOOD89. BASE FLOOD ELEVATION(S). NUMBER DATE EFFECTIVE/REVISED DATE ZONES) (Zone AO, use depth of flooding) U S. C e-- " - % 11� 3 �5'3 o w. muua[e uw source yr ure case rwoo tievauon (tart) data or Lyase flood depth entered in B9. L_L FIS Profile Ll FIRM (—) Community Determined M Other (Describe): Seg Cn r1�A�ln„-j� B11. Indicate the elevation datum used for the BFE in B9: tA NGVD 1929 L_J NAVD 1988 L_1 Other (Describe): 512. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? �—I Yes N No Designation Date: N 1 A br-UTIVN-C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) C1. Building elevations are based on: lConstruction Drawings' L_IBuilding Under'Constructlon• L_IFinished Construction. 'A new Elevation Certificate will be required when construction of the building is complete. C2 Building Diagram Number �_ (Select the building diagram most similar to the building for which this certificate is being completed - see pages 6 and' 7. If no diagram accurately represerris the building, provide a sketch or photograph.) C3. Elevations —Zones Al -A30, AE, AH; A (with BFE), VE, V1 V30, V (with BFE), AR. AR/A, AR/AE, AR/A1-A30, AR/AH, AR/AO Complete Items C3&4 below according to the building diagram specified in Item C2 State the datum used. If the datum is different from the datum used for the BFE in Section B. convert the datum to that used for the BFE. Show field measurements and datum conversion calculation. Use the space provided or the Comments area of Section D or Section G, as appropriate, to document the datum conversion. Datum NC-u•D ,Z9 Conversion/Comments 6evation reference mark used 3 N- 2 ; Lz Does the elevation reference mark used appear on the FIRM? ❑ a) Top of bottom floor (including basement or enclosure) ' S-3 fL(m) m 0 f ❑ b) Top of next higher floor 5u, _ ft(m) a Q� (3c) Bottom of lowest horizontal structural member (V zones only) _ ft(m) ❑ d) Attached garage (top of slab) 14_ ft(m) e ery and/or equipment Lowest elevation of machin W ca1Z I "Yes I)d No servicing the buildingFi34 ❑ f) Lowest adjacent grade (LAG) ❑ Highest ft(m) S 3 (oft(m) E 9 23 m : " Ido: 22972 r 4 g) adjacent grade (HAG) S 3 £ to ft(m) ❑ h) No. of permanent openings. (flood vents) within 1 R above adjacent grade A-, 14�9 CI ❑ .t) Total area of all permanent openings (flood vents) in C3h AJA sgAn, (sq. cm) SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION This certification is to be signed and sealed by a land surveyor, engineer, or architect authorized by law to certify elevation information. l certify that the information in Sections A, B, and C on this certificate represents my best efforts to interpret the data available. l understand 'that any false statement may be punishable• by fine or imprisonment under 18 U. S. Code Section 1001 _ CERTIFIER'S NAME � i y LICENSE NUMBER 7R1E C ltl 11 hX�(�l✓1 COMPANY NAME �2PA�P � C%5 C�Ir7P�'1ZIN C, ADDRESS \ c n G A . -r• >` , G _ : l r r. CITY /+ _ STATE DP CODE ^- FOIA Fnrm Al 11 Al Jr. QQ r 'CFF RFVFR CII1F Fr1R f NII T1(1N RFPI A( FC AI I PR"ni LC F1117rinhLC _. ti IMPORTANT: In these spaces, copy the corresponding information from Section A. FoFrnsurance.Gompany Use_;. BUILDING STREET ADDRESS (Including Apt, Unit, Suite, and/or QIdg. No.) OR P.O. ROUTE AND BOX NO. CITY STATE ZIP CODE I:Comparyr:iVAIGN.iimber=.>'�:•,;� ";.�.: SECTION D - SURVEYOR, ENGINEER; OR ARCHITECT CERTIFICATION (CONTINUED) Copy both sides of this Elevation Certificate for (1) community official, (2) insurance agenticompany,'and (3) building owner. :COMMENTS- — — r , - ,. . -or Zone AO and Zone A (without BFE), Complete items E1 through E3. ff the 8evahon Certificate is intended for use as supporting ifomnation for a LOMA or LOMR-F, Section C must be completed. :.1. Building Diagram Number \ '._ (Select the building diagram most similar to the building for which this certificate is being completed — see pages 6 and 7. If no diagram accurately represents the building, provide a sketch or photograph.) .2. The top of the bottom floor (including basement or enclosure) of the building is j ft.(m)161 Cllin.(cxn) u above or V below (check one) the highest adjacent grade. 6 I�� .q r I� 61,E :3. For Zone AO only. .If no flood depth number is available, is the top of thel bottom floor el d id a with the community's floodplain management ordinance? LI Yes (_,I No J__I Unknown. The local official must certify this information in Section G. SECTION F.- PROPERTY OWNER (OR OWNER'S REPRESENTATIVE) CERTIFICATION the property owner or owner's authorized representative who completes Sections A, B. and E for Zone A (without a FEMA -issued or immunity -issued BFE) or Zone AO must sign here. 'ROPERTY OWNER'S OR OWNER'S AUTHORIZED REPRESENTATIVE'S NAME ADDRESS CITY STATE ZIP CODE SIGNATURE DATE TELEPHONE :OMMENTS — ( Check here if attachments SECTION G - COMMUNITY INFORMATION (OPTIONAL) :e local official who is authorized by law or ordinance to administer the community's floodplain management ordinance can complete �cdons A, B. C (or E), and G of this Elevation Certificate. Complete the applicable item(s) and sign` below. �) The information in Section C was taken from other documentation that has been signed and embossed by a licensed'surveyor, engineer, or architect who is authorized by state or local law to certify elevation information. (Indicate the source and date of the elevation data in the Comments area below.) =- LI A community official completed Section E for a building located in Zone A (without a FEMA -issued or community -issued BFE) or Zone AO. 3. I _) The following information (Items G4 -G9) is provided for community floodplain management purposes. -;4. PERMIT NUMBER I G5. DATE PERMIT ISSUED I G6. DATE CERTIFICATE OFF ISSUED 7. This permit' has been issued for. (_J New Construction J__I Substantial Improvement 3. Elevation of as -built lowest floor (including basement) of the building is: _ ft(m) Datum: B. BFE or (n Zone AO) depth of flooding at the building site. is: _ fL(m) Datum: -OCAL OFFICIAL'S NAME TITLE ;OMMUNI'TY NAME TELEPHONE SIGNATURE DATE :UMMENTS - I I Check here if attachments 7UA Fnrm R1 Al Al Ir: QQ RFPI Ar`.FC Al I DRI-Vlni LR I=nMC1W.Q' F� FEDERAL EMERGENCY MANAGEMENT AGENCY O.M.B. No. 3067-0077 NATIONAL FLOOD INSURANCE PROGRAM Expires July 31, 2002 ELEVATION CERTIFICATE Important; Read the instructions on pages. 1 - 7. SECTION A- PROPERTY OWNER INFORMATION,For..lias'ranca Coin „lrse�: BUILDING OWNER'S NAME lrolt�ylNi�mtiea-'_ BUILDING STREET ADDRESS (Including Apt, Unit, Suite, and/or Bldg. No.) OR P.O.' ROUTE AND BOX NO. CITY STATE ZIP CODE ., Q 1 S s hlock PROPERTY DESCRIPTION (Lot and Numbers, Tax Parcel Number, Legal Description, etc.) I�PN: BUILDING USE (e.g.. Residential. Non-residential, Addition, Accessory, eta Use Comments section if necessary.) LAT rTUDE/LONGITUDE (OPTIONAL) HORIZONTAL DATUM: SOURCE: L-1 GPS (Type): ( #!2 - ##' - ##4W or ##. ) L-1 NAD 1927 1•-1 NAD 1983 L-1 USGS Quad Map I-1 Other. SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION B1. NFIP COMMUNITY NAME & COMMUNITY NUMBER B2. COUNTY NAME B3. S'L'ATE Uh U B4. MAP AND PANEL B5. SUFFIX B6. FIRM INDEX B7. FIRM PANEL B8. FLOOD 89. BASE FLOOD ELEVATION(S). i NUMBER DATE I EFFECTIVE/RENISED DATE ZONE(S) (Zone AO, use depth of flooding)i s� c �- - s A%s-3 B10. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in B9. 1--1 FIS Profile 1—J FIRM L --I Community Determined Other (Describe): � Q C.nJA0-":& B11. Indicate the elevation datum used for the BFE in B9: 1�,Q NGVD 1929 (_� NAVD 19M [__I Other(Describe): B12 Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Anna PPA)? I-1 Yes DQ No Designation Date: w 1 A SECTION -C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) C1. Building elevations are based on: KIConstruction Drawings' L-IBullding Under Construction' L-IFinished Construction. 'A new Elevation Certificate will be 'required when construction of the building is complete. C2. Building Diagram Number _ (Select the building diagram most similar to the building for which this certificate is being completed - see pages 6 and 7. If no diagram accxuately represents the building, provide a sketch or photograph.) C3. Elevations - Zones Al -A30, AE, AH; A (with BFE), VE, V1430, V (with BFE), AR, ARIA, ARAE, AR/A1-A30, AR/AH, AR/AO Complete items C3a,4 below according to the building diagram specified in Item C2. State the datum used. If the datum is diiierent from the datum used for the BFE in Section B, convert the datum to that used for the BFE Show field measurements and datum conversion calculation. Use the space provided or the Comments area of Section D or Section G, as appropriate, to document the datum conversion. Datum NCwV'D 2 9 Conversion/Comments Elevation reference mark used aM d Does the elevation reference mark used ❑ a) Top of bottom floor (including basement or enclosure) ft. (m) (3 b) Top of next higher floor ,Sec, L�{s• _ fL(m) ❑ c) Bottom of lowest horizontal structural member (V zones ordy) - fL(m) ❑ d) Attached garage (top of slab) y f .(m) ❑ e) Lowest elevation of machinery and/or equipment appe m o� m m m E sca LU ca �m servicing the building fL(m) -02 , K0.1 Z pa • r i" ❑ f) Lowest adjacent grade (LAG) 53 (oft(m) z (3 g) Highest adjacent grade (HAG) S 3 f1 to fL(m) ❑ h) No. of permanent openings. (flood vents) within 1 R above adjacent grade 48 ? CI ❑ .) Total area of all permanent openings (flood vents) in C3h sq.'in. (sq. an) CA1.��4� SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION This certification is to be signed and seated by a land surveyor, engineer, or architect authorized by law to certify elevation information. car* that the information in Sections A, B, and C on this cenSficate represents my best efl'orts to interpret the data available. I understand that any false statement may be punishable• by fine or impdsonment under 18 U. S. Code, Section 1001. ! c COMPANY NAME C1�� '�uC�l✓1.e��{ �•2.P �P � C�.;C-,(+7�GtZlNC-, ADDRESS k i , r. CITY ^ STATE ZIP CODE —O FEMA Form A9 q1 AI Jr. GQ CFF RFVFR. CinF Fr1R rrCirrimi I T1r1N RFPI Ar:FC Al I PQF%A5 LC F=nmr)ALC IMPORTANT: In these spaces, copy the corresponding Information from Section A EuFliisurancer.Campairy hj§e_..:; .. BUILDING STREET ADDRESS (Inducting Apt, Unit Suite, and/or Idg. No.) OR P.O. ROUTE AND BOX NO. ;°Policion, T-ri-ek y CITY STATE ZIP CODE f CombanrNAl 'Nuinbec= `s . =c; r wN u - 5URVET0K ENGINEER; OR ARCHITECT CERTIFICATION (CONTINUED) Copy both sides of this Elevation Certificate for (1) community official, (2) insurance agent/company; and (3) building owner. COMMENTS- - - r , • . _'' r-)Vl P -e -low tlri6. = Check here if a$achments SECTION E - BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE'AO adcPZONE A (WITHOUT BFE) or Zone AO and Zone A (without BFE), complete Items E1 thmugh E3. If the 86vafiw Cefificate is intended for use as suppon7ng >foimation for a LOMA or LOMB -F, Section C must be completed. 1. Building Diagram Number _' (Select the building diagram most similar to the building for which this certificate is being completed - see pages 6. and 7. If no diagiam accurately represents the building, provide a sketch or photograph.) :2. The top of the bottom floor (incciding basement or enclosure) of the building is o fL(m) L�j in.(cm) above or W below (check one) the highest adjacent grade. 3. For Zone AO only. If no flood depth number is available, is the top of the bottom floor Weirafed idaocordalftte with the communi ss floodplain management ordinance? l j Yes [I No LI Unknown. The local official must certify this infomradon in Section G SECTION F.- PROPERTY OWNER (OR OWNER'S REPRESENTATIVE) CERTIFICATION he property owner or owner's authorized representative who completes Sections A. B, and E for Zone A (without a FEMA -issued or immunity -issued BFE) or Zone AO must sign here. 'ROPERTY OWNER'S OR OWNER'S AUTHOR12ED REPRESENTATIVE'S NAME ADDRESS CITY STATE LP CODE IGNATURE DATE TELEPHONE 'OMMENTS 1 Check here if attachments SEC71ON G - COMMUNITY INFORMATION (OPTIONAL) e local official who is authorized by law or ordinance to admin(ster the community's floodplain management ordinance can complete actions A, B, C (or E), and G of this Elevation Certificate. Complete the applicable th nm(s) and sign below. I—I The information in Section C was taken from other documentation that has been signed and embossed by a licensed'surveyor, engineer, or architect who is authorized by state or local law to certify elevation informadon. (Indicate the source and date of the elevation data in the Comments area below.) _ L—I A community official completed Section E for a building located in Zone A (without a FEMA -issued or community -issued BFE) or Zone AO_ '. (_I The following information (Items G4 -G9) is provided for community floodplain management purposes. ;4. AL -11:4 ISSUED 7. This pennit'has been issued for. �_I New Construction (—I Substantial Improvement 3. Elevation of as -built lowest floor (including basement) of the building is: _ fL(m) Datum: 9. BFE or (n Zone AO) depth of flooding at the building site. is: _ fL(m) Datum: _OCAL OFFICIAL'S NAME TITLE ,OMMUNITY NAME TELEPHONE 31GNATURE DATE =gMMENTS I I Check here if attachments .• �„ ••"••'•'• PPPI Ar:FC At 1 PRFlnrll LC;=mmnhRQ 2� t\ l. ` aa«:. COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVI ON 7 County Center Drive - Oro�,ille,, Gaalifornia 95965 - Telephone (916) 538-75 �-� P RMIT NO. APPLICATION AND PERMIT (U/ ASSESSOR PARCEL NUMBER 41-110-109 ZONING U BUI ING PERMIT OWNER BILL BARRON TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS 3381 DRY CRK RD OROVILLE, 95965 CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTORS MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNMOWN Total Valuation Is Filing Fee $ 20.00 LENDER'S MAIUNG ADDRESS Permit Fee $ 14,25 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDINGADDRESS I'IRI DRY CREEK 1?n PERMITFEE $ 34.25 01ROVIT.I.E., 99965 PLUMBINGPERMIT 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 EX 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 f(] Describe Work: RENEWAL #93-2210 Mobile Home IS I GI W @20.00 PERMITFEE $ Contractor ELECTRICAL PERMIT Filinq Fee 20:00 Main Serviceeoov OR LESS ( 200A OR LESS ) 23.00 Main Service ( 200A TO I000A ) 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 f9 r.1he 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. ❑ I am exempt under Sec. Business and Professions Code for this reason NEW CONST. / DWELLING OCCUR OR ADDNS. \ 8. ACC. BUDS. ) SO. 3.50 FT. NEW CONST. / MULTI.OUTLET NON-RESID. \ BRANCH CIRCUITS ) 97.50 ( 8 POWER APPARATUS SINGLE OUTLET CIR. / Ex. Occup. (OUTLET OR FIXTURES ) 20 Q 1.00 a4L 50 Ex. Occup. OUTLEETS (REs o.)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 MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Policy Number (The above sections need not be completed if the permit is for work of a valuation ,&-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 / �� Si ure Applicant - Owner ❑ Contractor ❑ Ag An An OSHA permit is required for excavations over 50" deep and demolition or construction structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee Is Occ CONST. TYPE TOTAL FEE $ 34.25 HAZ. D. FEES IMP FLOOD COF PARCEL PD HD ISSU This permit is hereby issued under the applicable of the Butte County Code and/or Resolutions indicated above for ich fees have been By PERMITEXPIRESON aWHITE-D.D.S.• provisions to do work paid. 5of Vte#1 ReceiptNo. ! 5 s .D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT '-Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. f Please complete and return this information at' your earliest opportunity to avoid .unnecessary delay in processing and issuing your building permit. No building permit will , be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed prope improvement: YES[NO[ ). 2: I HAVE[HAVE NOT[ ] signed an application for a -building permit for the proposed work. 3.. I have contracted with the following person (firm) to provide the - proposed construction: NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: NAME: ' ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 5. I will provide some of the work but I. have contracted (hired) the following persons to provide'the work indicated: , NAME ADDRESS =' : PHONE TYPE OF WORK . SIGNED: PROPERTY OWNER:, SOC S 1�TNA1 . DATE:IV 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. OVER Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified. For your protection, you should be aware that as "owner -builder" you 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 tq have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: 0 If you employ or otherwise engage any persons other than your immediate family, and the work (indluding materials and other costs) is $300 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. 0 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. 0 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 "ownerbuilder" 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 contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento, CA. 95814. Please complete the "Owner 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. Sincll rel Michail C. Vieira, C.B.O. Manager, Building Inspection NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code. OVER COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Or'bvill'e, 'California 95965 - Telephone (916) 538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER l _ mN1NOLIJBUILDING PERMIT OWNER /LL A�^ TE],EPIpNE SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADORES� A •] CONI TELEPHONE CONTRACTORS MAILING ADDRESS Freplace CONSTRUC IONLENDER j UNIDIOWN Total ValUaUorl $ Fling Fee $ 20.00 LENDERS MAILING ADDRESS Permit Fee $ , a ARCHITECT OR ENGINEER LICENSE NO. El Plan Checking Fee $ Energy Plan Checking Fee $ ARCWrECT OR ENGINEERS LASING ADDRESS Penalty $ BULDINGADDRESS ^ !/ PERMITFEE $ a _711 ka PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO. SUBDIVISIONS NAME PARCEL MAP Solar or heat pump water heater 23.00 Water piping 15.00 USEOFSTRUCTURE SF LDuplex ❑ 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 ❑ Ulil•Ifles ❑ In Ilation ❑ Oth r IV_ Describe Work:� /1/ L� �r � l Mobile Home IS I GI W @20.00 PERMITFEE $ Contractor ELECTRICAL PERMIT Flina Fee 20:00 Main Service ( 200AOOR LLEESS ) 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.Ex. License Class LIC. NO. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ 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 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 60" deep and demolition or construction of structures over 3 stories in height. NEW CONST. DWELLING OCCUP. OR ADONS. ( a BIOS. ) SO. 3.5¢ Fr. TI.OUTLET NEW CONST. MULTI- NON•RESID. ( BRANCH CIRCUITS ) @7.50 POWFA APPARATUS ( a SINGLE OUrLEr CIR. ) Occup. ( OUTLET OR FIXTURES) 209 0.00 SAL .50 FIXED APPLNS. OR Ex. Occup. ( OUTLETS (RESIO.) EA) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ Contractor MECHANICAL PERMIT Filing Fee 20.00 g Heating Cooling Hood 6.50 Ventilation PERMITFEE S Contractor Mobile Home Installation Fee $ Energy Inspection Fee $ xc CONST. TYPE TOTAL FEE $ MAI. 1 0. FEES I IMP I FLOOD I COF PARCEL PD HD 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 PERMITEXPIRESON provisions to do work paid. Date Poe-aintNn COUNTY OF BUTTE - DEPARTMENT OF PUBLI KS PERMIT JV O. 7 County Center Drive - Oroville, California 95965 - Telepho 916.' 8-7541 ' APPLICATION AND PERMIT ASSES IOR PARCEL NUMBER t r 041-110-109 ZONING 1 BUILDING PERMIT OWNER BILL BARRON TELEPHONE SO. FT. OCC. BUILDING VALUATION 192 0 1 344 OWNER'S MAILING ADDRESS 3381 DRY CREEK RD OROVILLE 95965 CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation is Filing Fee $ 15.00 LENDER'S MAILING ADDRESS Permit Fee $ 28.50 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 20.00 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS t, 3381 DRY CREEK D 0ROVILLE Permit fee $ 63.50 PLUMBING PERMIT FilingFee 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SFO Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 1 15.00 Mobile Home S I G I W @ 15.00 TYPE OF WORK New l Addition �J Remodel Lj Utilities ❑ Installation[] Other ❑ Describe work: 12X16 OPEN DECK _ Permit Fee $ Contractor ELECTRICAL PERMIT FilingFee 15.00 Main service 600V OR LESS 200A OR LESS 18.50 Main service 200A TO 10o0AI 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 and my license is in full force and effect. xIcense .Jo. Classification ,FLas the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST./ DWELLING OCCUPM OR ADDNS. ( ACC, BLDGS. 3.6d sq.ft. NEW CONSTRULTI.OUT LET NON.RESID BRANCH CIRC ITS @ 5.00 POWER APPARATUS & (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20 761{ qAL 46& FIXED APPLNS. OR Ex. Occup. OUTLETS IRESID.I EA.) 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 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 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 FilingFee 15.00 Heating Cooling Hood 6.50 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against s ' Coun in consequence of the granting of this permit. XDate nature of Applicant — Owner Contractor ❑ Agent SiSiOSHA An permit is required for excavations over S'0" deep and demoli to or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee S Energy Inspection Fee $ occ CONST TYPE I TOTAL FEE $ 63.50 HAz I DFEES I IMP I F1.00D I CDF PARCEL PD HD I ISS This permit is hereby issued under the sions of the Butte County Code. and/or work indicated above for which fees DIR LIE By PERMIT EXPIRES Dat applicable provi- resolutions to do have been paid. WORKS - Receipt No. 143581 " . � WHITE-D.P.W.. YELLOW -ASSESSOR, PINK-INSPE OR, GOLDENROD -APPLICANT I COUNTY OF BUTTE - DEPAF�7F MENT OF PUBLIC WORK- 7 County Center Drive - Oroville, Califnrnia 95965 - Teie^hone 916 '538-7541 APPLICAT1.06ND PERMIT PERMIT NO. ASSESSOR PArCEI NUMB. -- I ZONING BUILDING PERMIT owN TELEPHONE SO. FT. OCC. BUILDING VALUATION v O ER'S MWILIN ADDRESS._:M n9sJ 1� / �. Oka CONTR TOR' NAM 01A/4 ELEPHONE CONTRAC OR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 15.00 LENDER'S MAILING ADDRESS Permit Fee $ 0 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ ®,.Q Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS v Permit fee $ PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME _ PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTtARE SOff Duplex❑ Mobilehome❑ Other -SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S I G I W 615.00 TYPE OF WORK New❑ Additions Rem//odelE] Utilities❑ InstallationC Other ❑ Describe work: l� ✓� Y A 19-e ell Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 600V OR LESS 200A OR LESS 18.50 Main service 200A TO I000A1 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 and my license is in full force and effect. License No. Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ 1, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. Business and Professions Code for this reason NEW CONST. ( DWELLING OCCUP.EI\ OR ADONS. ACG. SLOGS. // 3.66 sq.tt. NEW CONSTR. MULTI -OUTLET NON-RESID BRANCH CIRCUITS) @ 5.00 POWER APPARATUS e (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20 7154 FIXED PR Ex. Occup. OUTLETS IRESID IEA.1 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ 1 have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 15.00 Heating Cooling Hood 6.50 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X Date Signature of Applicant — Owner❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over S't)" deep and demolition or construct - ion OF structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ HAz 1 DFEES I IMP I FLOOD I CDP I PARCEL PD I HD ISSUE This permit is hereby issued under the sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC PERMIT EXPIRES Date applicable provi- resolutions to do have been paid. WORKS Date Receipt No.—6=51E � WNITE-O.P.W.. YELLOW-ASSE7SOR. PINK -INSPECTOR. GOLOENROO-APPLICANT COUNTY bF BUTTE.- Department of Public Works r 7.County Center Drive, Oroville, CA 95965 Phone: 916-538-7541 OWNER -BUILDER VERIFICATION Attention Property Owner: An "owner-builder".building permit has been applied for in your name and bearing your signature. , Please complete and return this information at your earliest opportunity*to avoid unnecessary delay in processing and issuing your building permit., No building permit will be issued until this verification is received. 1. I personally plan to.provide the major labor and.materials for construction of the. proposed property improvement (yes.or no) � - - 2. I (have/have not) jr��y�, signed an application for. a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City -.Phone Contractors License No. 4: I plan to provide -portions -of this work,.but I.have hired -the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No'. 5. I will provide some of the work but I have contracted (hired) the following persons to piovide .tle work indicated: Name Address Phone Type of Work Signed Property Owner Social Se 't Number Date NOTE: This Owner -Builder Verification is sent to you as required by -Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. M a E.H. VQ 9fiLY �• . Plot Plea Att wW Floor Plan AM=W Scot to B.D. TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance �� rrav� 38 �hrV C'f'< Owner Locatiod AP# Plan Approved, for: Sewage Disposal ,/ Water Supply: Public Private Well . C2a;anc&-fbr---__bedF9Qw n opte, Other Hold final for: Final-. clearance 0. K. for: NOTE: Environmental 8/92 alts, Specialist Date ' r i m C i / 10 i r C � m Q o f7 < ' a m OcA Si �A 0 i i / 10 i r C �/ v i Y "'t'. i / 10 i /'- / Si �A � s � pe- Ozo ?- o CD-� ~+ 7 N T ; "�+ ? N a �'w O w _ -090 , Y "'t'. n� rnm 7a v r— W 4•I, (i MAX. /Q-77 .. , • j p -4 N I I . • . o ,� l I L7� . un v 34„ o I I 11 J//NWJ )FZAIL ME16HT 36"MIN. STAIR -- n W I DT14 p Y X b O Jf -4o. O o A c I C) --j --i + p s CD o l \ o D 00 J-1 ZF M a� o o m T � C u l n 0 FN � .0 � 4 cn.. W 4•I, (i MAX. /Q-77 .. , • j p -4 N I I . • . o ,� l I L7� . un v 34„ o I I 11 J//NWJ )FZAIL ME16HT 36"MIN. STAIR -- n W I DT14 p Y X COUNTYOF BUTTE - DEPARTMENTOF DEVELOPMENT SERVICES -BUILDING DIVISION ' 7COUNTYCENTERDRIVE -OROVILLE,CALIFORNIA95965-TELEPHONE (916)538-7541 ti p, PERMIT APPLICATION DATA SHEET A-11OWNERA"r1rol')P. Proposed Building Use Building Inspector Date , At time of permit application, I was advised the following data. must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY 1. All items have been submitted . ........................................ 2. Plot plans, 3/4 sets, signed by preparer of plans . ......................... . 3, Complete plans, 3/4 sets, signed by preparer of plans . ..................... . .4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . .............. 5. Hazardous Material Form . ................. :........................... 6. Energy Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non -Heated and A/C Buildings . ...................... 8. Engineered truss details and layout in duplicate (required prior to plan check). .... . Mobilehome d t and m Qufacturer's installation instructions, 2 sets. ........... 0. Fees of $ 11. Impact fees as shown on attached schedule. ............................. . 19 California Department of Forestry plan approval/fees. ....................... . 3. Flood elevation letter (100 year foo b Calmis Engineer . ................. . 4. Sanitation and plot plan approval li 117Health Department . ............ 15. City of Chico plumbing permit. ............... 1,-� ............... 16. Plot plan and business license approval from City ofBiggs/Giyidley. ............. 17. Planning approval for (A) Use: (B) Parking; _ ......... 18. Contact Land Development.a bout (A) Improvements (B) Drainage. .......... . 19. Driveway permit (construction approval required pri&,to occupancy). . . 20. Pre -inspection for t` to Building Ins requeis „5.-., t regUlred. . to Building Inspector (Date) 21. Contractor's license information. (No., Name Style,'C(assific`ation). .............. 22. Certificate of Workmans Compensation Insurance. .......................... 23. Owner -Builder Verification (Given to owner , Mail to owner . ......... . 24. Recorded copy of Agricultural Acknowledgement Statement . .................. 25. Letter of signature authorization ......................................... .. 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .. .27. Letter of intent on building use . ......................................... �r 28. Mobilehome utility clearance . ......................................... . 29. Documentation of legal access . .....................:.................. ' 30. Documentation of 50.% subdivision developed or (A) Road improvements completed and (B) Parcel .meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits . ...................................... 32. Plan checklist ...................................................... 33. -34. When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver with inspector. Other Parcel Creation Acreage Applicant Date 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 issua ce: (,Circlg new 1. Index permit for above items No. AfO 7 N iC A 2. Additional items required: 64- A- ALC '9 not checked Contractor, designer, owner, was advised of above required data by _ phone _ mail Contractor, designer, owner, was advised of above required data by _ phone _ mail Plans checked by Date Plans approved by Sets,of plans on hold in File cabinet AP folder Copy - Depart t of Public Wori(s ,FZh L9_ ctc , _ 140&d Counter by -Date t Counter by _ Date Date _ I COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS • 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Orovi Ile — Phone: 534-4541 Skyway and Elliott Road, Paradise- Phone:. 872-2961, Ext. 57 ORRECTION NOTICE ING OR PROPERTY ADDRESS A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, 'please contact this office immediately. Inspector Date�� COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville - Phone: 534-4541 Skyway and Elliott Road, Paradise— Phone: 872-2961, Ext. 57 CORRECTION NOTICE (BUILDING OR PROPERTY ADDRESS A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. } T J A ,, •:�-� _-f �t'� •� f� �I� � / F + -.1 . �. r �`,r %�-�� ,-,��:, :, •rte: r Ci".�r.•a ,' .�� ' iri'�_ �.a`.�';�r�.�� ,wry„ ..., • ..c r�•�!.1�Lc.J. i Jit 21� r' t� !) a r d u.y - Ell' -f" i Date f ' COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NOV = 7 County Center Drive•Oroville, California 95965 - Telephone 916/534- 4126 APPLICA'TfON AND PERMIT, - ASSES R P RC y�,� MBER - � ,— �% ZONI G _ Z - rlUalG, UILDING PE /0 " L-/ /V 64e O/V TELEPHONE S/O: FOT. OCC. BUILDING V/LUATIOr NOW OQOWNO' MAIINDD^ RT. / IL �,M�Z�DO co CONTRAC FIONE C.tV ! V 01 •. 204- : / O `Oc CONTRACTTOR'S MAILING ADDRESS 23 9 OpEAI '%/7r do CONSTRUCTION LENDER UNKNOWN Fireplace A414,S 3 coo. a ep . Total Valuation $ (% 3 ,0p L ENDER'S MAILING ADDRESS . a, Permit Fee $ Z2 •.Ov ARCHITECT OR ENGINEER - LICENSE NO. - Plan Checking Fee -$ / %!K. -!S0 Penalty $ ARCHITECT;OR ENGINEER'S MAILING ADDRESS - Permit fee $ , �O AogR�s. �O M 1 FOKF PLUMBING PERMITFilingFee /x.00 DL- AE� /�/4_6/17L/A y - Each Trap p 2.00 20.00 Repair drainage or vent piping 2:00 Water piping f 5.00 LOTTO. L) SUBDIVISION NAMEPARCEL MAP 1 Each qas Water heater or vent 2.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE �,/ SF L� Duplex❑ Mobilehome❑ Other SPECIFY Building sewer Lawn sprinkler system 2.Q0 ' TYPE OF WORK New Addition ❑ Remodel ❑ ''Utilities [I. Installation ❑ Other F]Contractor Describe work: — Permit Fee $ qv.00 ELECTRICAL PERMIT Filing Fee /000 i Main service 00 AMOR P LESS 5.00 5,00 L - Main service'EA. ADD'L 100 AMP 2.50 2.60 NEW CONST.(DWELLING O OR ADDNS. ACC. BLDG . 20 sq It - • CONTRACTORS LICENSE LAW declare under penalty of perjury (check one): - ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code -and my license is in full force 'and effect. License No. "Classification Its'' LAI, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended For offered for sale. (Sec. 7044) ❑ 1, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt. under Sec. , Business and Professions Code for this reason NEWCONSTR ULTI-OUTLET 2,50 ea NON .RESID. BRANCH CIRC ITS NEW CONSTR,I POWER APPARATUS &) NON-RESID. kSINGLE OUTLET CIR. 50 @ ]Sc Ex. Occup OUTLETS OR FIXTURES BAL@10Q ' FIXED APPLNS. OR Ex. Occup.(OUTLETS (RESID.) EA.1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 't 6.25 , Permit Fee 7 7-16 Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of•Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT FiIingFee /0.00 Heating Q DO'Q 5-00 45q ///+l/f P Cooling , %, Hood �.gg_ • ®v Ventilation ` Fee permit F $ .15c? 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 ag 1, said Count .n consequence of the granting of this perme. %� Date Signature of Applicant — Owner Contractor ❑, Agent An OSHA permit is required for excavations over 5'0" deep and demolition. -or construct- ion of structures over 3 st ries in height. Mobile Home Installation Fee $ Land Development Fee $ TOTAL PERMIT FEE $ J lo, �UP. GROUP g TYPE of CONST. PAR L PD ,q 15SUR This permit. is hereby issued under sions•of Ahe,Butte County Code and/or work 'indicated above for which DIRECTOR OF PUBLIC BY P IT EXPIRES Date�/- the applicable provi- resolutions to do fees have been aid. p WORKS Date "Z%"R 3 Receipt No. 7 WHITE-O.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT