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HomeMy WebLinkAbout041-410-032i 041-410-032 #98-2818,,, FEDERAL HOME MORTGAGE TURLEY, Anthon 1466=71i- -- 3795 STEAMBOAT ROCK RD. O -- _4 `BUILDING CODE VIOLATION `� " 274-72E LETTER,' 30 DAY DAUGHERTY DEVELOPMENTS `'^ `' 267-72P, �/JA %1��9�b WE, REROOF COMP L 4 mile off w/s Clark Rd. 22 mile N o 041-410-032 99-0061 (new single family) ell S/ . NIEPOTH, Chuck / 3795 Steamboat Rock Roa Oro I 04'1- 10-032 03AGA@636 Contr:Owner ` I NIEPC /� ^ Move wall adding window l 3795S OA RO , ORO LLE ' AG. DG 'X 24' 041-41-0-032 99-0 72 ..NIEPOTH, Chuck 3795 Steamboat Rock R Oroville (gas line/ cook stov SF 041-410-032 01-0213 NIEPOTH, CUCK ' H 3795 STEAMBOAT ROCK RD O CONTR: LAMBERT REMOVED WOOD STOVE INSTALL GAS STO 041-410,-032,"""- ... 03-0699 . 'NIEPOTH, CHUCK - ,�, -3.795 STEAMBOAT ROCK, OROVILLE CARPORT, rNIE�(?Tft, 2 03-1091, CHUCKMBOAT-ROCK,,OROVILLECTRIC " "" 11 AdT CLAIMANT: ADDRESS CITY & STATE: 1 `1 Co un ty of Butte Oroville, California GENERAL CLAIM Chuck Niepoth 3795 Steamboat Rock Road IMPORTANT: SEE INSTRUCTIONS Oroville, CA 95965 ON REVERSE SIDE DATE OF CLAIM: 6I26I20U3 SUBMIT CLAIM TO DEPARTMENT RECEIVING GOODS OR SERVICES ......., w% v1 I AMOUNT Reason for the No permit require Refund: g erml pp No.: AG ,03 07'6 AP No: '0414.10432' Receipt No.: 37605:9 Receipt Date: 3112/03 Bldg Permit Fees: Owner's Name: Chuck NJApoth. TOTAL FEES PAID: TOTAL FEES RETAINED (Breakdown Below): Building Permit Filing Fees: Plan Checking Fee: Plumbing Permit Filing Fees Energy Plan Checking Fee: _ Electrical Permit Filing Fees: Refund Processing Fee: Mechanical Permit Filing Fees: Inspection Fee: SRA Fee: n she undersigned, declare under penalty of perjury that the services or articles claimed have ben performed or delivered, an Dated this day ofj�� . 2003, at t 1 Calif. the undersigned, hereby certify that, to the best of my knowledge, the services or articles specified above have been performed or Budget Appropriation or Specifi oa roval Dated this day of , 2003, at _Oroville Calif. Depart, Dept. Code 440-001 Exp. Code 4210500 PAYABLE FROM/ Constr Dept. Code Exp. Code PAYABLE FROM Dept. Code Exp. Code PAYABLE FROM D=50 -Tr WRITE BELOW THIS LINE - AUDITOR'S USE ONLY DEPT & SUB. PROJ. SUB. OBJ CLAIM NO. INV. NO. INV. DATE $60.00 $0.00 $60.00 true a d rrect as stated iature of Claimant ,erred and Pat there is a Vhec,,one) for the same. Head or Authorized Deputy i Permits FUND FUND FUND ENCUMB I GROSS AMT. sl\ 'BUILDING DIVISION COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 -TELEPHONE: (530) 538-7541 AGRICULTURAL BUILDING EXEMPTION PERMIT ,? A 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, trated, or packaged, nor shall it be a place used by the public. 7 ASSESSOR PARCEL NO. O , - Z ZONI _' OWNER „ f _ PHO e7 M OWNEsr D 'S ADDRESfiSA V �� LOCATION OF BUILDING USE OF BUILDING /'� A `V v� V 1 SIZE OF STRUCTURE TYPE OF CONSTRUC ION: WOOD FRAME STEEL CON ET ER (Speci -' TYPE OF SIDING ROO OV RI G LOOR T PELI [ ESTIMATED COST OF CONSTRUCTION $'-\i4 AG Iluildings shall comply with the minimum front, s' e, nd rear yard setback requirem s of th pli ble County Ordinan es as follows: 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 fr\froma , 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 feence and a mobilehome, and 40 feet from a commercial building. I declare under penalty of perjury that the building will be used as stated about, and the purposed use c nfirms with the AG Building definition. If any change in use or occupancy of the building is made, I will contact the BuildiN Division and obtain any necessary permits, inspections, and approvals to comply11h tfag req t remegts in effect at that tl a and before occupancy. j f �'� 0 Date �� 1"1�� 5 Signature of Owner Pe Re C'_g L' -0_0 The above described AG Bu Manager Building Division By White — DPW, Yellow — Assessor, Pink — B. I., Goldenrod —Applicant is exempt from a building permit. Date M `71 COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 (Rev. 12/96) APPLICATION AND PERMIT ASS.SSORPARCELNUMBER s ,741-410-032 ZONING BUILDINGPERMIT OWNER NIEPOTH CHUCK- TELEPHONE S0. FT. OCC. BUILDING VALUATION 'M!� ItYMOAT ROCK RD. OROVILLE CONTRACTOR'S NAME OWER TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ 25 ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 54.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 35.10 BUILDING ADDRESS 3795 STEAYBOAT ROCK RID, OROVITLE Energy Plan Checking Fee $ - $ PERMIT FEE $109.10 LOT NO. SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE 2.9 AC SF O Duplex ❑ Mobilehome ❑ Other SPECIFY Solar or heat pump water heater 23.00 O Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other O Describe Work: CL POET 11"2/ Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W 920.00 PERMIT FEE $ FLOOD: X A 0550C SPIT s s ELECTRICAL PERMIT Fling Fee 20.00 Main Service zoOA oR LfsS 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.PSING License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License , as owner of the property, or my employees with wages astheir sole compensation, F1,r the followingreson: will do theworkand thestructure is not intended or offered for sale. as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service TO 46.00so CCUOOOA NEW CONST. DWELLING OCCUP. SO W: OR ADDNS. ( a ACC. BLD S. 3.5¢Fr. NON N-R61oT' MULTI -OUTLET 97.50 a OUTLET COWELER APPARATUS IR. zo p ,.� EX. OCCU OUTLET OR FD(TUREs BAL Q ,SO Ex. Occup. oF"I„T ED RES D °E, 5.00 Tem orar Service 2300 Mobile Home Facilities 20.00 Misc. Wiring23.00 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 (rhe above sections need not be completed if the permit is for work of a valuation 01of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not a nploy any perso in any manner so as to become subject to workers' cod pensatio laws of al fornix, and agree that if I should become subject to the wprkets' c ensation revisions of section 3700 of the Labo Code, I shall o hath c ply with se provisions. 3� , J / u X Det Sign ture of Applicant - ❑ Owner O Contractor O Agen An OSHA permit is required for excavations over 5'0" deep and demoIon or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 109.10 I.A D. FEES IMP -- FLOOD Y CDF —— PARCEL PD HD ISSUE This permit is hereby issued under the applicable provisions of the B e County Code and/or Resolutions to do work indica d above for which fees have been paid. By ate D3 PERMIT EXPIRES ON 310 1 06Te ,iptNo. 370358 ;138. 0 l -D.D.S.-B.D. CANARY -ASSESSOR PINK -INS CT GOLDEN ROD- APPL NT COUNTY OF BUTTE - DEPARTMENT OF DI-EVELOPMENT SERVICES - BUIYOING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (53 )538-754 y, APPLICATION AND PERMIT (� `;oRPARC McER :D a BUILDINGPERMIT .y.L- 'r u 032-i EAmi t. VN DU' e P011 , CJAuG(,�_ T��se l �, / — S () FT 1 nrr I BUILDING yiI UATION COrrt MCrOns ru.uE y\0 COr/rnAG rCRS MAIUNO ADDRESS C7rr r -WC TION LENDER s-MA.uNG ADDRESS •---- ARC+ ECT OR Er.O1rrEER A11CHITECT OR ENGINEERS MAIUNG ADDRESS B,.ILDIIG ADCRESS �3-7 Q LO NO SUBDNISIONSNAI./E Ot-0 U� UCENSE NO 1 Fireplace - Total Valuation E!jag Fee Permit Fee Plan Checking Fee Energy Plan Checking Fee l $ YUV�v Uy. S PERMIT FEE S PARCEL MAP PLUMBING PERMIT I USEOFSTRUCTURE SF )] Duplex ❑ Mobilehome ❑ Other TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities 0 Installetim ❑ Other Describe Work: LiGLIU ( ;=L-e>V�'. X, A-) C .S=__s S C F) "PEPA T FEE PAID 5 P • . SHERIFF onim AA 61UINT RECEW11b s -�_, Uf-7j NVNJHIR " TO " PVT, INTO C0WVM Receipt No. WHITE •D.D.S.-8.0. CANARY -ASSESSOR PINK -INSPECTOR GOLDEN ROO•APPLICANi Each Trap I Fling Fee' 20.0 Solar or heat -pump water heater I Water piping Main Service Each gas water heater or'vent Gas piping system 1 - 5 outlets Building sewer ;tl Mobile Home i S I G: W MULTI -OUTLET CIRCUITS I PERMIT FEE I = Filing Fee' 20 C" 7.0(7 23.00 — - 115.001 15.00, 15.001 15.00, 0.00' _ ELECTRICAL PERMIT I Fling Fee' 20.0 Main Service ( moi oa mss ) ( 23.00 Main Service 200A TO I000A 46.00' NEW CONST. OR ADONS. DWELLING OCCUP. 1 ( 6 ACC BLDS C5o 3.S I FT ' ---_ NEW CONST. NON-RESIO. MULTI -OUTLET CIRCUITS @],JO - POWE3T-,QAR.ATU$ I SINGLE OUT CIR - _ Ex. Occup. OUTLET OR FCCTURES 1 0' EX. OCCU p FIXED APPLNS. OR ourLETS InESID I ESL I 5.00! Temporary Service I 23.00' _ Mobile Home Facilities ! 20.00 Misc. Wiring 23.00 i i ! PERMIT FEE $ MECHAN'6CAL PERMIT I Heating i Coolingi Hood Ventilation i Filing Fee ; 20 6.50 . PERMIT FEE 1 $ Mobile Home Installation Fee $ Energy Inspection Fee 5 occ coNsr. TYPE TO AL FEE $ HAZ. I D. FEES I FLOO COF I CEL I I n0 5 This permit is hereby issued under the applicable provislc of the Bufte County Code and/or Resolutions to do we indicated above for which fees have been paid. By Date PERMIT EXPIRES ON ,. _ ._ .. •. rte'+-� Y..� ,�. _ .r ... ,. .. � - _ . 4 j E.H. USE ONLY $402 Plan Aetachad Roar Men Anachad Sento ®.D. T7 l6_ TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance �,A,A c q 1 Owner Location AP# . Plan Approved for: Sewage Disposaa ater Supply: Public Private Well. Clearance for dwelling. Other It Hold final for: Final clearance O.K. for: NOTE: gas Environmental Health Specialist 8/96 41-) ( —D Z Date COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive, Oroville`.GA-,95965,Phone1',1(530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET r'OWNER:: I V (Q D . F ASSESSOR PARCEL NUMBER Proposed'Building Use: r�r Counter Technici Date: �I Items required in order to apply for a permit. All boxes MUST be checked OR mar A in order to apply. � 1.. Plot 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. Apr4. Engineered truss details and layouts in duplicate. No faxes! 4; ❑ 5. Energy compliance design and supporting documentation in duplicate. ❑ 6. Manufactured homes: (A) Data sheets and installation instructions, (B) Marriage line information, (C) Floor Plan, (D) Tie down or foundation plans, all in duplicate. ❑ 7. Metal buildings: (A) Metal Building Plans, (B) Foundation plans and calculations in triplicate, (C) Elevation views in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed b tengineer. Items required for initial plan review. If checked items have not been received, plan review cannot proceed. The permit will be indexed and returned to the plan review line-up when required items are received. Date Received By Flood Elevation Certificate, wet -stamped and signed, in duplicate ....c1r...�. OOK9. Plot plan and business license approval from the City of Biggs .................................... ❑ 10. Letter of intent for non-residential buildings......................................................... ❑ 11. Detached Accessory Building Form filled out by the owner ..................................... ❑ 12. Hazardous Material Form............................................................................... ❑ 13. Other Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) ❑ 14. Fees as shown on the attached Schedule of Fees Due Sheet ....................................... 15. Statement of Intent for Non -heated and A/C Buildings ......................................... ` ' 16. Sanitation and plot plan approval from the Environmental Health Department in G y 1 ❑ 17. City of Chico Plumbing permit......................................................................... ❑ 18. California Department of Forestry,plawaop-roval ❑ paid. Sent by: ...................... f ❑ 19. Planning approval for (A) Use: 0K (B)Parking: (C) Parcel Check: ❑ 20. Contact Land Development about ❑Improvements, ❑Drainage ............................... ❑ 21. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 22. Pre -Inspection for required ................ ❑ 23. Contractor's license information. (Number, Name Style, Classification) ...................... ❑ 24. Worker's Compensation Carrier and Policy Number ..............:.............................. ❑ 25. Owner -Builder Verification (❑ Given to owner, ❑ Mailed to owner) ..................... ❑ 26. Letter of Signature authorization.................................................................... ❑ 27'.x -Recorded copy of Agricultural Acknowledgment Statement .................................... ❑ 28. Manufactured home utility clearance............................................................... ❑ 29. Existing violations and/or expired permits......................................................... ❑ 30. ❑ Grant De ❑ M.H. gitl /Sta ement of Facts, ❑ Letter frLegal Owner, ❑ Check to H;D. 31. Other: d ET7 !den issued Tel one 7 and hold for pi up. ITiave been Applicant: requirements for obtaining abuilding ab 1. Index permit application for the above items numbered: 2. Additional items required Contractor, designer, owner, was advised of the above data by Contractor, designer, owner, was advised of the above data by Plans reviewed by: Date: Structural reviewed by: Date: Note transfer by: Date: rm 3Q_ Plan Check Letter ❑ phone, ❑ mail, ❑ counter, by Date: ❑ phone, ❑ mail, ❑ counter, b Date: _ Plans approved by: Date: _Structural approved by: Date: Yellow: Building Division b3 w 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 properFntracted rovement : YES NO 0 �. I HAVHAVE NOT 13 signed an application for a building permit for the proposed work. 3. I have 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: PHONE: CITY: CONTRACTOR'S LICENSE NO. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: NAME ADDRESS PHONE TYPE OF WORK SIGNED: PROPERTYOWNER5" NOTE: This Owner -Builder Verification is required by Section 19831 and 19832 of She California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. OVER OWNER BUILDER INFORMATION 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 oa such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. . Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: ♦ If you employ or otherwise engage any persons other than your immediate family. and the work (including materials and other costs) is 5300 or more for the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. ♦ If you are an emplover, 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 corder 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 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. r rely, Mic el C. Vi ira, C.B.O. Man ger, Building, Inspection NOTE: This 0 w n er- B u ilde r Information is required by Section 19830 of die Californla Health and Safety Coda OVER oil S riif` - ref `. t i• t: A_ zsI 21 _•' Y•a. y � -- +-tri � N �a .����.s .� Y - A � " . a4fi4 {1 71J •4 y'4 .in1w� Sy�Y. Y` �LL a , _ a it �; A�•4 '� .1. ^�� - .. � � i_ � , � ,. l v, _ al f fw �.d- In - / _ i • -' :Y0. v�. , S. !/,e of SEC /5 T. 2/ N R. 3 E. M. D B. I(M. . air •a0 0 2s1o.36" � o al w PC/ l (ptn) 19.79 4c N 2616.25 c wlc Pc / 2 (ptn) , l9. 79 Ac.04 O ai PM 48-89 261?112 P 77.23 943.41 ft 6.34 4c 2.9 Ac O .6.5 77Aa 47 1` �C /.79 Ac a Pc'L l a r ft1.2 335.15 _. S7fq,M 0/ - / _ R290 A 52 1 `3.44Ar 51. 1.69.c n @ 5. SAc 4/ )Ps / cam- 70 YGt _. r_ �sa2zt� 705.90 132 0. 4 65 7• so 637.04 h 3 @3.70AC1 .9Ac 13.9Ac N O .s h �-/64134 658.8 9 0► 8.32AC 42,Sa. a a 2 9"' 56 3.67AC o /2 a I 20 -3.9 Ac j �M 3-91 _-567- Ira_ v 392 Ac. 1 333. 46 231.95 - O;Z& 06- X28 37 50 'N f Q 2.79A.c. 0 2 m O l a 2.22Ac. 4i2 Q73Ac 9.9 3.92 Ac. 392 Ac 661.81 9.95Ac 49 / I 21 3.9Ac f 677. 37 PMS- d 90.01 33/.28 331.28 a 661.66 ptn P ,=-M 68-22123324 I► . a P/M 113172 40 M.O.R. 55 HRISTIE' COMPANY:WASHINGTON MUTUAL F,A UI CKHEkDkRS : > ERAL EMERGENCY MANAGEMENT AGENCY LERETA CUST ID O.M.B. No.3067-0264 INDARD FLOOD HAZARD DETERMINATION 86590/2157 I Expires 01/31/2002 SECTION I - LOAN INFORMATION LENDER NAME AND ADDRESS 2. COLLATERAL(Building/Mobile Home/ SHINGTON MUTUAL F A Personal Property)/PROPERTY ADDRESS 0 BROADWAY, 2ND FL 3795 STEAMBOAT ROCK RD ICO , CA 95928 BUTTE VALLEY, CA 95965 LENDER ID NO. 4. LOAN IDENTIFIER 5. 00008551 0601545411 OF FLOOD INSURANCE REQUIRED SECTION II [NATIONAL FLOOD INSURANCE PROGRAM (NFIP) COMMUNITY JURISDICTION NFIP Community Name T'I'E COUNTY 2. County(ies BUTTE 3.State 4.NFIP Community CA I Number: 060017 LNATIONAL FLOOD INSURANCE PROGRAM (NFIP) DATA AFFECTING BUILDING/MOBILE HOME FIP Map Number or 2. NFIP Map Panel 3. LOMA/LOMR 4.Flood 5- NO mmunity-Panel No. Effective/Revised 1 Zone I NFIP MAP 0017 06007C 0550C Date: 06/08/98 Date: X FEDERAL FLOOD INSURANCE AVAILABILITY (Check all that apply) XX Federal Flood insurance is available (community participates in NFIP). XX Regular Program Emergency Program of NFIP Federal Flood insurance is not available because community is not participating in the NFIP Building/Mobile Home is in a Coastal Barrier Resources Area(CBRA), or Otherwise Protected Area(OPA), Federal Flood insurance may not be available. OBRA/OPA designation date: DETERMINATION IS BUILDING/MOBILE HOME IN SPECIAL FLOOD HAZARD AREA (ZONES CONTAINING THE LETTERS 'A' OR 'V')? YES XX NO yes, flood insurance is required by the Flood Disaster Protection Act 1973. If no, flood insurance is not required by the Flood Disaster tection Act of 1973. COMMENTS (Optional): APN: 041410032000 Borrower: CI'ARLES W NIEPOTH Census tract: 0022-00 MSA code: 1620 FIDS STATE: 06 FIPS COUNTY: 007 s determination is based on examining the NFIP map, any Federal Emergency agement Agency revisions to it, and any other information needed to locate building/mobile home on the NFIP map. V1`,EeAKEX' 5 1NYORMATION RETA CORP. 23 PARKVIEW DR. (626) 966-0616 VINA, CA 91724 DATE OF DETERMINATION 10/09/02 - LOL DETERMINATION CERTIFICATION NO.: 85734279 - 0001 vu -L ruluvi ui-ys, UU-1. 98 BILLING CODE 6718-03-C County of Butte Oroville, California GENERAL CLAIM CLAIMANT: Chuck Niepoth ADDRESS: 3795 Steamboat Rock Road IMPORTANT: CITY & STATE: OroVllle, CA 95965 SEE INSTRUCTIONS ON REVERSE SIDE DATE OF CLAIM: 4/11/2003 SUBMIT CLAIM TO DEPARTMENT RECEIVING GOODS OR SERVICES DATE DESCRIPTION OF CLAIM (DESCRIBE FULLY TO AVOID DELAY) AMOUNT Reason for the Took out tvao ,peCmlts for the same .� I Refund: BT�rrniiApp ­ No.: 03-0.699 AP No: 041 41;0.032' . Receipt No.: 37035:8 Receipt Date: 3/12/O3 Bldg Permit Fees: Owner's Name: Chuck Nap... TOTAL FEES PAID: $138.80 TOTAL FEES RETAINED (Breakdown Below): $109.10 Building Permit Filing Fees: Plan Checking Fee: Plumbing Permit Filing Fees: Energy Plan Checking Fee: Electrical Permit Filing Fees: Refund Processing Fee: Mechanical Permit Filing Fees: _ Inspection Fee: SRA Fe . $2 I, the undersigned, declare under penalty of perjury that the services or articles claimed have en performed or delivered d t t this lai is a an corrnfJ �— c^ Dated this /:71�— day of V \� , 2003, at Calif. Signature of Claimant I, the undersigned, hereby certify that, to the best of my knowledge, the services or articles specified above have been performed or delivered and thathere is a Budget Appropriation or Specific Bo rd v_al ck on 1 for the same. Dated this!i day of 2003, at _Oroville Calif. Departme t Head or Authorized Deputy Dept. Code 440-001 Exp. Code 4210500 PAYABLE FROM Construction Permits FUND Dept. Code Exp. Code PAYABLE FRO FUND Dept. Code Exp. Code PAYABLE FROM FUND DO NOT WRITE BELOW THIS LINE - AUDITOR'S USE ONLY DEPT & SUB. PROJ. SUB. OBJ CLAIM NO. INV. NO. INV. DATE ENCUMB GROSS AMT. FOR BUILDING DIVISION USE ONLY.- Receipt Information: . Number: .3 3 j Date: 3 3 Issued To: 11i C Amount: j'?, J'D Fees Retained: RA5P4AJb 0 &te9PAyM&17 BP# o, 3 0 BP# Processing Fee: $ Processing Fee: $ Bldg Filing Fee: $ �� �- �� Bldg Filing Fee: $ Plbg Filing Fee: $ Plbg Filing Fee: $ Elec Filing Fee: $ Elec Filing Fee: $ Mech. Filing Fee: $ Mech Filing Fee: $ 1 r Energy P/C Fee: $ Energy P/C Fee: $ Plan Check Fee: $ Plan Check Fee: $ Inspection Fee: $ Inspection Fee: $ SRA P/C Fee: $ SRA P/C Fee. $ Other: $ Other: $ Total Amount Retained: $ $ TOTAL REFUND DUE:$ 70 $ Amount from 440-001 $ Amount from $ Amount from $ Amount from $ J:\MyDocuments\REFUND CLAIM APPLICATION.doc 12/17/02 °OUTTF° Butte County Department of Development Services ° ° «,. ° Building Division UN REFUND CLAIM APPLICATION REQUEST FOR REFUND Refunds can only be made upon written request by the person who paid the fee(s). 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 are not refundable. Fees paid to other County Departments are not covered by this claim. [Butte County Code Section 341(t)] CLAIMANT'S NAME: MAILING ADDRESS: • t ASSESSOR'S PARCEL #: BUILDING PERMIT # RECEIPT NUMBER(S): A request for refund of fees paid on the above receipt number(s) is for the following reasons: Please refund any applicable fees in the following categories: (Check those fees which you wish to have refunded.) ( ) Building Permit Fees ( ) SRA Fees (CDF Fire Planning) Disposition of Plans: ( ) Plans returned to me at counter ( ) Please mail plans to me at above address ( ) Please dispose of plans ( ) Sheriff Fees ( ) Other (specify): Signature Date A COUNTY OF BUTTE GENERAL CLAIM FORM WILL BE MAILED TO YOU FOR SIGNATURE AFTER REVIEW BY BUILDING OFFICIAL. J:\IvIy Documents\REFUND CLAIM APPLICATION.doc fI2%I7/02 COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530y3 3 PERMI No. (Rev. 12/96) APPLICATION AND PERMIT ASS ESSO R PARCEL NUMBER 041-410-032 ZONING SR 1 BUILDING PERMIT OWNER NIEPOTH CHUCK TELEPHONE 891-2927 SQ. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS 3795 STEAMBOAT ROAD OROVILLE ' CONTRACTOR'S NAME OWNER TELEP O CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAIUNG ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. —Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ Vgr STEAMBOAT ROAD OROVILLE CA 95965 SS Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF 10 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 15 Describe Work: 0889 ELECTRIC FOR EXISTING POOL EQUIPMENT Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W 920.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 Main Service z�ooA oa v ss 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License w tor 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. 01, 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: rI 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. o 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 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 1 should be oma s bject to the wor c pensation provisions of section 3700 of the bor de, I shall fort th o ply h se provisions. X D e �(� gnature of Applicant- Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or constructio of structures over 3 stories in hei ht. Main Service 2I0A To 1IIIA 46.00 NEW CONST. DWElUNG UP. SO OR ADDNS. ( a ACC. UC. 3.50 N"ONRESDT MULTI.OUTLET IRCUITS (–W7,50 POWER APPARATUS a SINGLE ovn tT CIR. Ex. Occup. OUTLET OR FIXTURES 2I @ I'50 BAL Q .SO FILNS Ex. Occup. ounces AEES,6.) EA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 POOL ELECTRIC 1 30.00 30.OC PERMIT FEE $ MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEP S Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 50.00 HAZ. D. FEES IMP I FLOOD ceF PARCEL I PD I HD ISSUE This permit is hereby Issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. 1 / QUVtaA a Date PERMIT EXPIRES ON71 t9y ate Receipt No. -7 77— WHITE-D.D.S.-B.D. CANAR -A SESSOR PINK -INSPECTOR GOLDENROD -APPLICANT �GOUH T Y OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUFLDiNG DIVISION 7 County Center Drive • Orovilla, California 95965 ► Telephone (530) 538-fS4� f E 617 �o• A15PLICATIONANDPERMIT *?moi FEE ?Alb SRA OTM. �� [`�—fi►Cli � G� 1 T TO p K" zwo t.o#mm a61= of Fc7tRA WY sa,virs Hxna Faces O 130,00 ,U0 PE.Rma F=— s . 69 v m9CRA"ICeL Pn- MrT I FFina Fes 1 20. DD 5.50 Pnma FE` I S lbSbe Hama frtswMbo Fea Is �►argy h�ezftn Fee s T07,�L FEES 50IL FS W I PIPP -;: Pam.I iliis pmnnl is hereby Lm=sid'uridw IN? eppfr�le pr snrs of Sys But- C _,UnV Cole aedior b dD work k+D=si--3 alxwn fir wNr--h lies have been pail 9y Dst PEW T Fir $ BUILD!14QPE.Wrr -41O-D' I Fwng ;:Be 20.Do Ea:i Tray 7. D D W,7M F70= BLJiL�WG vAWAnoN 23.DD aF D Duplex D I,�lahoms D Ober piphg 15.DD ORA ORA wdw he=Jw or vert 15.D5 YPE OF WDRK Gs psiom 1 - s o Aws L 15.DD Nmo D Aim D Rsr:3d O lJirm D hshibi= D Oban D ______ Ficepie:e I 15.DD i OW Vahmson s (�2D.DD Da=bs Waft Rho Fse S 20,00 Fee Ca � v� A=PE=PennR ' Pin checidin►g Fes S ca omm —=,mw Pion Cbezkog Fee S . Z= s *?moi FEE ?Alb SRA OTM. �� [`�—fi►Cli � G� 1 T TO p K" zwo t.o#mm a61= of Fc7tRA WY sa,virs Hxna Faces O 130,00 ,U0 PE.Rma F=— s . 69 v m9CRA"ICeL Pn- MrT I FFina Fes 1 20. DD 5.50 Pnma FE` I S lbSbe Hama frtswMbo Fea Is �►argy h�ezftn Fee s T07,�L FEES 50IL FS W I PIPP -;: Pam.I iliis pmnnl is hereby Lm=sid'uridw IN? eppfr�le pr snrs of Sys But- C _,UnV Cole aedior b dD work k+D=si--3 alxwn fir wNr--h lies have been pail 9y Dst PEW T Fir $ arts Pte' a PWm3mG 'PERNUT I Fwng ;:Be 20.Do Ea:i Tray 7. D D LMECEST UCTUM Solt or had Pmup wdar he 23.DD aF D Duplex D I,�lahoms D Ober piphg 15.DD ORA ORA wdw he=Jw or vert 15.D5 YPE OF WDRK Gs psiom 1 - s o Aws L 15.DD Nmo D Aim D Rsr:3d O lJirm D hshibi= D Oban D ______ 9u�3ag saww I 15.DD }fig j�mg S G Y/ (�2D.DD Da=bs Waft PmWT r--= S ' E3ECMCilt, P-=PmIT Fling Fag ZD.DD Main S°rvi e m Z= U. m SWAM( mwk = 4s.DD *?moi FEE ?Alb SRA OTM. �� [`�—fi►Cli � G� 1 T TO p K" zwo t.o#mm a61= of Fc7tRA WY sa,virs Hxna Faces O 130,00 ,U0 PE.Rma F=— s . 69 v m9CRA"ICeL Pn- MrT I FFina Fes 1 20. DD 5.50 Pnma FE` I S lbSbe Hama frtswMbo Fea Is �►argy h�ezftn Fee s T07,�L FEES 50IL FS W I PIPP -;: Pam.I iliis pmnnl is hereby Lm=sid'uridw IN? eppfr�le pr snrs of Sys But- C _,UnV Cole aedior b dD work k+D=si--3 alxwn fir wNr--h lies have been pail 9y Dst . t Fr 'MIZ)CiCLLAIVCUU.) VUILUIIVC' IYt:UUIYU PARCEL /i7ESS I -s � �%' % yl % y � u'L - SHEETS OF �4 SHEETS DESCRIPTION OF BUILDINGS Bldg. No. Structure Size Found. Wall 8 Exterior Roof Typpe� Cover Floor 8 Interior Detail Second Story Year Pt Tot. of Loft Built fe Yrs � D I� Gq �J 'b' :%•r. fn '. O Aan '"{ b a3;n�.Av`S fi i'�. -- —7e- — -- r7�•7� `- .C./ tai C.-• ` .Jt, ✓ - R. C. N. N. 7 ,S Cost % Good R. C: N L. Al. D. Unit Cost Cost % R C N Unit Good L. N. N.Cost % R C N. Cost Good L. N. D. /--Ej F% jn/c / n/ 995 GA57r a 5 5 — a ZS G. l S-3; e s 4 IV 60 8. V. d 8 d �3 -,-- , & gip- COMPUTATION Appraiser- Date 77 -�! r l9 1??— q 79 j?<�/ io�¢ 1986 G 5- 31 19 89 19 Bldg. No. Area Unit Co t % Cost Good R. C. N. N. Unit Cost Cost % Good R. C: N L. Al. D. Unit Cost Cost % R C N Unit Good L. N. N.Cost % R C N. Cost Good L. N. D. /--Ej F% jn/c / n/ 995 GA57r a 5 5 — a ZS G. l S-3; e 4 IV 60 8. V. d 8 d /o,.oa 4&0 0 'YO .3 8 U o-- o �`, `} '600 7o 3 3� o Aaz 3 3 7, ale �( act�.�t •. Total y 7300 :5,k $ oo a 0 0?5b Appraiser- Date 315 1 19 19 19 Bldog. Area Un't CCostost % . C. N. Un t Cost �/° Ung Cost % R. C. N. Un Cost % R. C. N. Total -- .----- -.— Ali i31 -H 9246 O.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. personally plan to provide I khe major labor and materials for construction of the proposed roperty ' ovement : YES'bf NO ❑ HAVEK HAVE NOT signed an application for a building permit for the proposed work. 3. I have c ntracted with the following person (firm) to provide the proposed construction: NAME: PHONE: CITY: 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: PROPERTYOWNER: DATE: 6 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 I OWNER BUILDER INFORMATION . I 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 to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: ♦ If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is '$300 or more for the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. ♦ If you are an employer, you must register with the State and Federal 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 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. " rely, Mic el C. Vi ira, C.B.O. M ger, Building Inspection NOTE. This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code. OVER 4 041.-470-0'32 . '. `� 01-0213 NIEPOTH, CHUCK , f. 3795 STEAMBC AT ROCK RD ORO.' CONTR: LAMBERT ' REMOVED WOOD STOVE INSTALL GAS -STOVE t _ ._ _ - .—�..-..�..^. .,., �-. ...--...— .� -r✓..y./t��.�wd—.y�r.J�.��•..�,,,,-y. ..�4•�✓r.i`1.'���^.r-a^.ry. �v r. r-._ . e 1 COUNTY OF -BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -.BUILDING DIVISION 7 County Center,Drive.,! .Oroville,-California 95965 • Teleph-6ne=(530) 538,-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERM -IT C•► G'/_ 4115 //-'�y/ „¢/../� (/�J ASSESSOR PARCEL NUMBER 04111—?4110-030, w •. �»/ I 1 — ` i/ ~ 03 0, ZONING 15t4 -I BUILDING PERMIT OWNER * � pt- An C.. k// TELEPHONE ' SQ. FT. OCC. BUILDING VALUATION _ /• .j, .OWNERS 7 {�Wµ"�,- /t..�4,`�.. / C.I ��OV I•l"l1e CONTRACTOpb DIAM_ E 6 OL TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAIUNG ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 3-•7 9 5 Com, jj „-, C �! -�" % +.. fir) G Cg Energy Plan Checking Fee $ $ /, ,+fL,B r O V (( t'e % PERMIT FEE $ LOT NO. SUBDIVISIONS NAME - PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE . r. (�, SF`Q Duplex ❑ Mobilehome ❑ Other .&mCA(,, pct t -amu W r t l SPECIFY r` Solar or heat um water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00.1,5.&0, TYPE OF WORK L v New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ ° ' I �"-e�X 3 C ati K Describe Work , Gas piping system 1 - 5 outlets 1 5.00 j /'� •(� Building sewer 15.00 Mobile Home S G W 920.00 _ PERMIT FEE Sj • �� . / ELECTRICAL PERMIT Fling Fee 20.00 800 Main Service zo.VA OR LE86 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.' 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 . •` \WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure, for.,workers' compensation, as provided for by section 3700 of the Labor. Code, for the performance of the work for which this permit is Issued. ❑ 1 have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation Insurance carrier and policy number are: Carrier �_ Policy Number - (The above sections need not be completed -If the permit is for work of a valuation - of one hundred dollars ($100)'or less.) / `O I certify that in the performance of the work for which this permit is issued, .I shall not employ any person In any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. ��� � v.� i%) X ����Date Signature 'of Applicant - O'Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mein Service 200A TO 1000A 46.00 --NEW CONST. DWELLING UP. OR ADONs. a ACc. BLDs. S° 3.5QFT: . NON-NtW R ° ID. MULTI -OUTLET @7.50 POWER APPARATUS _ 8 SINGLE OUTLET CIR. Ex. Occu OUTLET OR FxTUREs BAL 0'.5000 Ex. Occup. DuT>F°sIRRLESI ° k 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring. 23.00 + ' PERMIT FEE' $ MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood ..: 6.50 Ventilation -' :. .� i Vf PERMIT FEk S Mobile Home Installation Fee Is Energy Inspection Fee $ occ .. CONST. TYPE I(- TOTAL FEE '$ ©. HAZ. D. FEES IMP 6/' FLOOD CDF PARCEL PD HD ISSUE O� This permit is hereby Issued under of the Butte County Code and/or indicated above for which fees have � ey Il/ltJl-K.V � PERMIT EXPIRES ON d the applicable provisions Resolutions to do work been paid. n Date C fe ReceiptNo. _3691-48 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT M O COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, Galifornja 95965 • Telephone (530) 538-754 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMtT C- ASSESSOR PARCEL NUMBER d 7 `j _ / `_Y/®_ 03 a `l =o�r; _ BUILDING PERMIT OWNER < SO. FT. OCC. BUILDING VALUATION . OWNERS:; �PRESS at 1 CONTRACTO NAME TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fire lace LENDERS MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Pian Checking Fee $ BUILDING ADDRESS 34c/5btyra �%„'/r `'J c.y` VQl Energy Plan Checking Fee $ $ G /I�.Cf ro u 1 I 5-7 ID S PERMIT FEE $ LAT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 Each Trap 1 7.00 USEOFSTRUCTURE SF)i Duplex ❑ Mobilehome ❑ OtherWater s IFv Solar or heat pump water heater 23.00 piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: /-uj6't' toAdQ %Y1�-i1lJu-� ��✓lJd �-c �-/ UI.CQ/� Gas piping system 1 - 5 outlets 15.00 (,b Building sewer 15.00 Mobile Home I S I G I W (920.0011 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 Main Service 2�oa►oA�ss 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ [,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. yJ 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.) 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 la s of alifornia, and agree that if I should become subject to the wor s' c pe do provisions of section 3700 of the Labor Code, I shall f h c ply ith ose provisions. X Date 2110 1 Signature Applicant - Owner ❑ Contractor ❑ Agent An OSHA permit is requir for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. Main Service 200A TO /000A 46.00 NEW CONST. DWELLING occuP. SD OR ADDNs. a ACC. eLAs. 3.50x; NLWUU D.. MULTI.OUTLET BRANCH IRCUITS @G 7.50 POWERAPPARATUS a SINGOUTLET Ex. Occup.L DR EB 20 ® 1.00 BAL O .50 Ex. Occup. DUPnt-DTS po LM O.R. 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE S MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FE t: $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ %2- _ TYPE TO AL FEE $ ©. HA=. I D IMP I FLOOD I COF PARCEL PD HD ISSUE This permit is hereby Issued under of the Butte County Code and/or Ind icat above for which fees have By PERMIT EXPIRES ON �-� the applicable provisions Resolutions to do work been paid. r� Date ^op7_ _0,P_ Receipt No. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD-APPLICANT(Date) I RESIDENTIAL 041-410-032 99-0061 NIEPOTH, Chuck _3795 Steamboat Rock Road, Oro I PERMIT NO.---Contr: Owner _ Move wall adding window PERMIT EXPIRES/ __ .. J / } OWNER— CONTR. WNER CONTR. ASSESSOR PARCEL LOCATION OFFICE COPY Address GAS Meter By Date ELECTRIC Meter By Date CHECKED SRA BY FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY Temp. Power Pole Called PG&E Temp. Elec. Service Called PG&E ) Temp. Gas Service }• Called PG&E JOB FINALED (Date) (( Signature i OKRESIDENTIAL (Single & Duplex) Not Applicable s Not Ready :e UNDERFLOOR (Plans) OK erupt is 1. Zonis-Setbacks-Easments-FbodSkVe a 2 Ftg., Main; Soils -Flet. Gmd. / - Ftg. Deplh 3. Ftg. Garage; Sodssteel-Ekc. Gmd/ r Ftg. Depth 4. Ftc. Porches & Decks; SoilsSteel-/ 1' Ftg. Depth 5. Stemwrals, Main; Ste"sockouts-Wrapped 6. Stemwalls, Garage; Steel-Blodwuts4Nrapped 6a. Hold Downs and Special Anchors 7. Stab, SteeFWrapped e. Piersfaeptace Ftg.-Steel 9. D.W.V.; Fall Ftdng-TesF2 Way C/O to. UF. Gas Pipe; Size Anchors - Y4xrGas Piping; S'ae Test 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground 13. Plenums & Ducts; Clearance-MaterialSuppon Ons. 14. GirdersSills-Anchor 15. Access & Ventilation 16. Insulation ate Cana B-1 Date Card B-1 _I 'ate Card B-1 Dab Card 5-1 ate PLUMBIItG rarm4 OK moss f 17. Water hitt; Ven Air Baine 18. Water Piper Tess & Andtm-Nai Ptoleclion 19. D.W.K; Test Fillings &Andor4Nai Ptotecli It 20. Shower Pan; Test Fast Boor -Tub Access 21. Test Tub & ShamK Sectxd Flout -Tab Arras 22. Gas Pipe: She & Anchors Date Card B-1 Dab Card B-1 Oare Card B-1 Dale Card B-1 ste ELECTRICAL i OKe =q*ft 23. Fomate b Transformer Cteara+ce4m Protection Ek_c Receptacles Spacing4thts & SwW= at Doors b No. ot6adLxftm Stapled tatted Close to Edge of Studs & C.L . Ground trade up wAtech FistnersBatd Gas & Water 2 Appliance Ckm is in ftlrhen & Can&K1w Skm GH 29. SubfeedWire Size / /ga.CuorAM.C.Wire Size / /gaCuorAI 30. Range Circ. / 1 ga Cu or A1-0ven Circ.. / I ga Cu or Al Insulated Net" Q lyes Q No 31. Service -Riser Conductors & Ground -Main Discoroct 32- Equip. Clearances Pane"otors-Meeh. Epuip. 33. Clothes Closet UghtStcwer Light -Spa Light Smoke Detector Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except x's 35. A.C. Cucts Insulation & Support 36. Vent Fan, Exhaust above insulation 37. Condensate Drain & Overflcw, Size & Grade 38. Fumarce-Vent access -Comb. Air -Return Air Vent 115 outlet 39. Attic Access S Patform if Furnace in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except M s Si Prcper Materials & Anthers W 11s Studs -Nailing Spacing & Braces -Pates -Sound . Bearing Wails over Girders & Floor Nailing r3ft5top in Wails (rat proof 44 ire-6tcps, Furred CeilingsStairs-Chasers-Tubs 45. Headers S Beams -Size & Bearing (Continued) 47..Clinq. Joist-Rttr. Ties-Purfin.-rolf Braa-Truss-Shting.-Rtnp, Mrii'tace Ties or Type A Flue-Faeplace Throat clearance 49. Attic Access; Sine & Romex Protection -Draft Stopans. Battles _ _s0- aam,. Windows or Exiting Doors -Sill Hgt. a Dimensions 51. ____&1:-xt Doors-0ne 3 -Check Garage 3rd Story. 2 Exits S4. S� Wiiitlr dreom Rise -Run -landing -Fre Protection aylywoo on Roof Overhang -Attic Vents -Rafter Outriggera '�56..Sohg=4ailing Veneer %57 -Stucco Mesh-0rip Saeed -Fd. Vents-UndeAlr. Access 58"Glazing Area -Glass Protection -Skylights -Plastic V. Shear Walls: NaTng-Botts 60.A460 Interior / E)derior Wall Panels t. l suiation-Watts-Cetlnps MW Infiltration-WaAsWindo ws Date _ Card B- Date Card B-1 Date _ Card B-1 u Date Card B-1 Date FINAL (Plain) OK except ='s 63. Ext Steps -Door S Sidelight Protection-LancliNs 6k Smoke Detector 65. Fumace; Vents -Clearance -Comb. Ak-Coniecbr- In Garage; Above Ffoot--Dtxcts-Mech. Protection 66. Bedroom Exiting 67. G.FJ. S Bath Fktures & Tub Access -Sim 68. Eke. Trim & Subpanel, Breaker Sias & labels 69. Stairs & Rads 70. Fireplace or Stove. Clearance -Hearth 71. Elec. Outlets at Wood Panel, int. & ExL 72- lit Rost & Appliance; Ground. -Air Gap -Cooking Clearance 73. Elec. Outlets & Recepticales at Iit Counter 74. Garage Fire Door, Swing -Landing -Closure 75. A.C. Duct in Garage -Damper 76. Wtr. Htr:; Vents -Clearance -Comb. Air Connector-P.R.V. In Garage; Above Floor -Meth. Protection 77. Pib., Elec. & Mech. Equip. Listed for Location 7B. Elec. Receptacles in Garage (G.F.I.)-Romex Protection 79. Insulation -Foam -Looked in Attic 80. Guard rails & Deck Construction -Post Caps 81. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor n Yes 82. Following InstlddDrive Q Yes o No/Walks a Yes Q NoRtanters Q Yes Q No 83. Stucco Brown -Finish 84. A.C. Unit Disconnect, Electrical -Plumbing 85. Vents Above Roof, Plbg-Appliance-Fireplace-Cleararce to Openings 86. Water Well, Disconnect, Electrical, Plumbing 87. Exterior Elec. Trim, G.F.I. Receptacle -Underground 88. Ventilation Throught House 89. Glass Protection 90. Corrections from Previous Inspections 91. Gas Test -Meters Tagged, Gas -Electric 92. Water & Sewer Connected -/0 w Grade -HO Approval 93. Energy Compliance Certificate -Other Certificates Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: - V -OK 0 - Not OK =NotR Applicable MOBILE HOMES Date MOBILE HOME tlTILITIES Flans) OK except is I. Zoning Requi nwft - Se backa - Easements 2 Sols; Special MH Support Skalch 3. Sewer•, Londar S. Gas; Location -TesW rap; / / /Nat or/ &V /LPG 7. Wee clearance b Disconnect S. llbTily Clearance Date Card B-1 Data Card B-1 Data Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION Forts) OK except #'s 1. Zoning Reguirwrm t► Selbecka Eaaanents Li 3. Gas; MH 4. Electricity- MH S. Drain; MH lt*FaFflaConnector 8. Water; MH Test'Regtdabr•Cornxbr 7. Water and Sewer Connected -CK) b Gmd*+ID Appm%W 8. Gas and Electriay Tagged 9. Too Downs-7ype4rtsbadon Cert 10. Exits; Insp.Skelch 11. Cert of Occupancy 12. Permanent Foundation only- Uoats9e Decal Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES Flans) OK except is 1. Zoning Requirements•Setbadw-Eaeanenb 2. Footings; Soil*Site-Deptl►Spadnp•Connsebrs Iad 3. Dedw.. Girders ar4tr W"4*A" 4. Wood Awn.; PostwBeams-I trs.•Carnectcrs ShdV.-Rfg.-Bracing S. Num. Awn.; Colurm 8. Carports; Wiwxk-*-Doom 7. Electric 8 Fnng.: SirAnchomSluds-RItra-Musses 9. Siring; weing•Venew-Stucco-Mesh 10. Roof•, Shd+g•Rooliing 11. 6d.: SeepsOoorsAan&w 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Dab Card B-1 Date POOLS (Plans) OK accept is 1. Selbacks•Easemenb 2. Sok Compacdor►SbucbmStably 3. Pool SbucluiC Sbd•Comecd0rw7Ndotesa Dead Men4jrft 4. Elec.; Reapbdes and Didence-GR S. Elec.; Pool LWtdng; 15 VdW43R e. Elec.; Enclosures; Conduit Enbfea-T n*WwUdmd . 7. Elea; Bonding: Metal WS-Circulallre Equlp.•Htabr & Elea.; Grom&a Equip. vtl$ Ciitarlatfrtg Equ¢4'od Lghig. - ns. to Main in Condit 9. Health Deparbnent Appwal 10. Pkxnb.: C'r. TesA%ter S4PI* Test 11. Ught Niche Dab Card B-1 Dab Card B-1 Date Card B-1 Data Card 5-1 COUNTY OF BUTTE - DEPARTMENT OF DEVLLOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 041-410-032 ZONINyJ BUILDING PERMIT OWNERrr �r.r�' - ,. POT... , CT�. TICK TELEPHONE 345-1716 SQ. FT. OCC. BUILDING VALUATION . OWNERS MAILING ADDRESS 3795 STEAINV�QAT ROCY ROAD OROVILLE 5,000, CONTRACTOR'S NAME TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDINGADDRESS 3795 STF NROAT DOCK ROAD. O1ROVILLE Energy Pian Checking Fee $ $ PERMIT FEE $ 138.00 LOT NO. SUBDIVISIONS 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 ❑ Unities ❑ Installation ❑ Other ❑ Describe Work: ''OVE TALL _ADD T.�I�T„�yT., 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 '.."A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class LIC. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for 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 Main Service To 46.00 CCU000A NEW coNST. DW NG occuP. W OR ( 3.52F°: NEW cod MuicTcouS. NON-RESID. @7.50 POWER APPARATUS 8 SINGLE our. CIR. EX. Occup. OUTLET OR FIXTURES BAL @ I.50 Ex. Occup. ounETSA.=.) EA_ 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirina 1 23.00 PERMIT FEE $ 43.00 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 f -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 I sof California, and agree that if I should become subject to the wor s'�co shonpr Bions of section 3700 of the Labor Code, I shall ,it c mp rovisions. Date ` i' Sign at re A cant - ❑ Owner ❑ Contractor ❑ Agefit An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEt $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 181.00 HAZ. 1 D. FEES IMP I FLOOD COF PARCEL PD HD SSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated ab ve for which fees have been paid. By Date 1 PERMIT EXPIRES ON 4&4 Dd_ I Date Receipt No. 257885 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD-APPLICANTP WWW'"MI, V40 COUNTY -OF BUTTE :DEPARTMENT OF DEV9LOPMENT SERVICES -BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE,,CALIFORNIA 95965 - TELEPHONE (916) 538-7541 PERMIT APPLICATIONDATA SHEET OWNER: ASSESSOR PARCEL ER: /) 41' i""�D G 3 Proposed Building Use. Ll Building Inspector: Date: — /57 IF At time of permit application, was advised the following data must be submitted prior to permit processing and/or issuance: Date Received By . Aff items have been submitted -------------------------------------------------------------------------------------- 112. Plot plans, 3/4 sets, signed by the preparer of plans.------------------------------------------------------------ 03. ----------------------------------------------------------- ❑3. Complete plans, 3/4 sets, signed by the preparer of plans. --------------------------------------------- 04. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans. ❑ 5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! --------- 06. Energy Design Compliance and supporting documentation. ------------------------------------------- ❑ 7. Statement of Intent for Non -Heated and A/C Buildings. ------------------------------------------------ ❑ 8. Hazardous Material Form. --------------------------------------------------------------------------------- ❑9. Manufactured Home data and installation instructions including Tie Down Specifications. --------- O10. Fees of $---------------------------------------------------------------------------- ❑ 11. Impact fees as shown on the attached schedule. ------- ❑ 12. California Department of Forestry plan approval/fees. 1113. Flood elevation certificate.------------------------------- 1114. ------------------------------ ❑14. Sanitation and plot plan approval Health Department. ------------------- Ell 5. ------------------ ❑15. City of Chico plumbing permit. ---------------------------------------------------------- ❑ 16. Plot plan and business license approval from the City of Biggs. ---------------------- ❑ 17. Planning approval for (A) Use: (B) Parking: - ❑ 18. Contact Land Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel. 111.9. Encroachment Permit for driveway (construction approval prior to occupancy). -- ❑20. Pre -inspection for required Request to Building Inspector on (Date) ❑21. Contractor's license information. (Number, Name Style, Classification). ---------------------- =------------- ❑22. Workers' Compensation carrier and policy number. --------------------- 023. Owner -Builder Verification (Given to owner ❑, Mailed to owner ❑). ❑ 24. Letter of signature authorization. ------------------------------------------ 025. Recorded copy of Agricultural Acknowledgment Statement. ----------- ❑26. Letter of intent on building use. -------------------------------------------- El 27. Manufactured Home utility clearance. ------------------------------------- 028. Existing violations and/or expired permits. ------------------------------- 029. 0433 A, ❑Grant Deed, ❑ M.H. Title, ❑ Check to H.C.D $ 030. Other: Wh�eniyou issue the permit, process as follows ❑ Mail to owner, OMail to contractor. "❑Telephone3 7S-� �17 l Cj and hold for pickup at 4 � fflce eliver i inspector. 9-& �P 7 Applicant:�Iv Date: Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, ❑ Air Pollution Date: By: Copy of plans sent ❑ Health Department, ❑ Fire Department, ❑ Other: Date: By: 1. Index permit application for the above items numbered: O Plan Check List 2. Additional items required: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised.of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Plans reviewed by: Date: Plans approved by: Date: Sets of plans on hold in ❑ Plan Cabinet, ❑ A.P. folder. Note transfer by: Date: Yellow Copy - Department of Development Services, Building Division. OWNER -BUILDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signaam. 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 ft. verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement: YEX, NO a 2• I HAVEHAVE NOT O signed an application for a building permit for the proposed work: 3. I have c ntracted with the following person (firm) to provide the proposed construction; a. NA 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 prpvide the work indicated: NAME ADDRESS PHONE TYPE OF WORK PROPERTYOWNER: SOCIAL SECURITY NUMBER: DATE: Y I � I � ! , 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. OWNER BUILDER INFORMATION I 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 parry ofrecord on such a permit.. Building permits are not required to be signed by property owners unless they are personally perfotlning their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible" liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should*,.: be aware of the following information for your benefit and protection: ♦ If you employ or otherwise engage any persons other than your immfamily, mily, 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. ♦ If you are an employer, you must register with the State and Federal Govemments 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 contrac!prs 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" bn 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. rely, &1-1 Mic el C. Vi ira, C.B.O. M ger, Building Inspection NOTE: This Owner -Builder Information is required by Section 19830 of the Californla Health and Safety Code. OVER COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville. California 95965 • Telephone (530) 538-7541 P NO. (Rev.IZVG) APPLICAnOINAND PERMIT �� % "'sa.o"rARCdW►e181 _ZI ( iQ _0 3 � DD'a1O BUILDING PERMITTmAr ' Lj D 7— ZL �� SO. FT. OCC. BUI IN VALUATION owwls wu�a A00Rese A0� COMMIIGMNS IVAN Tmmms 00lmuaroee MMA4 CONSTRUCTION Umar [Fire LIMO a M 6.00 AooRpe lace Total Valuation S ARC'ff= OR001EM ucame No. Filing Fee $ 20.00 AA0WWr OR CHOW 'S MAa1Na ADDAM Permit Fee $ ,Q p Plan Checking Fee $ L o� °tJLDJ0AD0RM Energy Plan Checking Fee $ i PERMIT FEE $ l 3 " Larm sueOnsloKSTwe 'AWIL MA' PLUMBING PERMIT Flung Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE Solar or heat pump water heater 23.00 SFDupkToc 0 hlobiehome 0 Other Water piping 15.00 Spec" Each as water heater or vent 15.00 TYPE OF WORK Gas piping systern 1 - 5 oudeb .00 New O Ad el O U1116m O Insklation O Other 0 Building sower 15.00 DescribeWork: r Mobile Hom W @20.00 PERMIT FEE t ELECTRICAL PERMIT FNT "Fee 20.00 Main Service zo= o°"" LZ 23.00 Main Service 2WA To IOWA 46.00 Ww CONST- oes .OR ORAOOW. 1 AS7f.'. eLOa. `9•�fr. NON.REM. MUL7> otlltFr Q7.50 �PVAWW f 90WER aas EX. Occup. ounEr oR FKnom SAL 1z EX. Occup. otmtTa Esso !A 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE = o MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood Ventilation PERMIT FEi_ $ Mobile Home Installation Fee $ _ Energy Inspection Fee $ occ CONST" TYPE TOTAL FEE $ l Ofd �1AZ O. FES WP 8000 COf PARCH Po SSI.E This permit is hereby Issued under the applicable Provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By Date ReceiptNo. PERMIT EXPIRES ON :L 041-41- 0.O*' 2 99.-0272 P NIEPOTH, Chuck 795 yteaTboat Rock R Oroville gas ine cook stove SF COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES -:BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone.(530) 538-7544a- P RMIVT NO. (Rev. 12/96) APPLICATION AND PERMIT a4;12� / ASSESSOR PARCEL NUMBER 041-410-•032 �j L ZONING SR1 BUILDING PERMIT � OWNER NIFPOTH, C,NT3CK TELEPHONE 345-1716 SQ. FT. OCC. BUILDING VALUATION .OWNERS MAIUNG ADDRESS 3795 STREAM BOAT ROCK RD., OROVILLE CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Fee $ 20.00 —Filing Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDINGADDRESS 379.5 STEAMBOAT ROCK ROAD, ORO Energy Plan Checking Fee $ $ PERMIT FEE S LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing 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: CAS LINE FOR COOK RTOVE & KISSIBLE FTMJRE APPLIANCES. Gas piping system 1 - 5 outlets 15.00 j U Building sewer 15.00 Mobile Home I S I G I WF_ 920.00 PERMIT FEE $ 00 ELECTRICAL PERMIT Filing Fee 20.00 000OR LESS Main Service 20OVA OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for • e'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 Main Service TO 46.00so CCU000A WEU200A NEW CONST. DWFILING OCCUP. OR ADDNS. ( & ACC. BUDS. SO 3.5¢FT. NON-R61p, MULTI -OUTLET @7.50 8PSINOWGOUTLET ELEPPARATUS R ACIR. Ex. Occu AS @ I:000 ouTLEroRFaTUREs Bs Ex. Occup. OUTLEEDTSSREESID.OEA. 5,00 Tem orar 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 Policy Number (The above sections need riot 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 ,anylmanner 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 viith thdse provisions. / X Date - io/tt ill:"_ 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. MECHANICAL PERMIT Fling Fee 20.00 Heating + Cooling Hood 6.50 Ventilation , t t PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee" $ OCC CONST. TYPE 35.00 ,TOTAL FEE $ HAZ. D. FEES IMP , FLOOD CDF PARCEL PD HD ISSUE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By _ w �� PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. Date /// Az // .z e>cX? Det' Receipt No. ',Q 1 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION y 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-75 I NO. (Rev.12/96) APPLICA-TION AND PERMIT ASSESSOR PARCEL NUMBER 041-410-032 SR1 ZONING BUILDING PERMIT OWNER NIEPOTI-I. CHUCK TEEOMONE 345-1716 SO. FT. OCC. BUILDING VALUATION OWNERS MAKING ADDRESS 3795 STREAM BOAT ROCK RD., OROVILL E CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LENDER Flre IaCe LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAIUNG ADDRESS Plan Checking Fee $ BUILDINGADDRESS 3795 STEAMBOAT ROCK ROAD, ORO Energy Plan Checking Fee $ $ PERMIT FEE $ LAT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY 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: GAS LINE FOR COOK STOVE & POSSIBLE FUTURE APPLIANCES. Gas piping system 1 - 5 outlets 15.00 -5.00 Building sewer 15.00 Mobile Home ISIGI W 920.00 PERMIT FEE s 5.00 ELECTRICAL PERMIT Fling Fee 20.00 Main Service 200AORLESS 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 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law fo 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 one hundred dollars ($100) or less.) eff 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' la s of California, and agree that if I should become subject to the workers' coa sation rovisions of section 3700 of the Labor Code, I shall fo with ly ' ith th se provisions. X Date t Signa ure 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. Main Service 2 To 46.00 CCU000A NEW CONST. DWEWNG OCCUP. SO E OR ADDNS. ( a ACC. BLOs. 3.5QFT: p6IpT. MULTI.OUTLE7 @7,50 WER APPARATUS 8PSIONGLE OUTLET CIR. OUTLET OR FDTTUREs Ex. Occup. BAIL p I.50 Ex. Occup. O.ED Pgn-.DE, 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE S MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FET= $ Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ 35.00 �HAZ- D. FEES IMP FLOOD CDF PARCEL pp 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 Date PERMIT EX IRES ON provisions to do work paid. Te Receipt No. S WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville. California 95965 • Telephone (530) 538-7541 PERMIT NO cRer•t2�e� APPLICATION AND PERMIT BUILDING PERMIT c� " dQ� ,3115 /7/.b SO. FT. OCC. BUILDING VALUATION OW24MI MALUM A04 OOMRAMNS NMN tENDora MAAM AWF400 ARCH9= OR EN09NM ARCH(M r OR ENOMM'S MALM ADORfis LOTN0. I su mmicrf mm USEOFSTRUCTURE SF p' DuPleoc 0 Moblehome O Other 8PeeVv TYPE OF WORK Now O Ad&Jm C3 Remodst O I.X t e O hskk ion 13 Other Gl Describe Work: i kms_ 0w nm',,OL i U 0-L SSi G� �c� �L C �.T� ter_ r,07AOV i .__ _ c 1 e Fireplace Total Valuation $ Filing Fee S 20.00 Permit Fee = Plan Checking Fee S Energy Plan Checking Fee t i PERMIT FEE I _ PLUMBING PERMIT Fitbtg Fee 20.00 Ex. Occup. s oma Each Trap Temporwy Service 7.00 Mobile Home Facilities Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 Gas pIpIna evelern 1 -5 outlets 15.00 , Go Building sewer 15.00 Mobile Home IS I G I W 1 1 @20.00 PERMIT FEE _ ELECTRICAL PERMIT Fit . Feel 20.00 Main Service Main Service 2 a OR LM 2wA To 1- 23.00 48.00 NEW CONS . OR ADON8. owELu+O oowa a ACC. eEDa 3.SCrr. NO"EsfD. ' ( FAMUUM .wTM� ) 07.50 EX. OCCU . OUTLET OR FKnA 7 a,:;; Ex. Occup. s oma 5.00 Temporwy Service 23.00 Mobile Home Facilities 20.00 "Sc. Wirina 23.00 PERMIT FEE 8 1 MECHANICAL PERMIT Filing Fee 20.00 --HeatingI Cooling Hood 1 8.50 PERMIT FEIE S Mobile Home Installation Fee = Energy Inspection Fee b occ CDT' TTPe TOTAL FEE MAZ 1 0. FES WP I RA00 COf I iNROEL f0 � SSPE 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 �— ReceiptNo.PERMIT EXPIRES ON O.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. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement: YES NO ❑ 2. I HAVFP9C—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: PHONE: CITY: 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: PHONE: CITY: 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 PROPERTYOWNER: SOCIAL SECURITY NUMBER: DATE: 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 �:i�:�>i�;z"�.�.'u^�''�'`�'�' Ra'`s%�:�6.r+�a�r�•�rw*.oa�-:r,.t�,r;F..r� �r•:;xx+e17:x:.s.<�'�,�r!�r�3�:,`!s��s'�,,�'"`�%�'�^ - 4 X041-410=03-2 #98=Lt5Tis FEDERAL. HOME MORTGAGE 3795 STEAMBOAT ROCK RD. O DAUGHERTY DEVELOPMENTS. REROOF COMP X041-410=03-2 #98=Lt5Tis FEDERAL. HOME MORTGAGE 3795 STEAMBOAT ROCK RD. O DAUGHERTY DEVELOPMENTS. REROOF COMP COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION y^V"" 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PE}R T -No. (Rev. 12/96) APPLICATION"AND PERMIT ASSESSOR PARCEL NUMBER 041 ZONING BUILDING PERMIT OWNER !'tT'T_ ?� jl lT? t r '�r-;t'�iyy TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS7 ll T3 ?- LI, 4T. 5 t1\Acir VALT,^ r 96 R. CONTRACTOR'S NAME T)AxTC,MTy r,)FVVT „Tn1rN1,� l 1p4),V TELFPH, ;;1),,7 PS!' CONTRACTORS MAKING ADDRESS rn A, zv, "AT T FY CA DV {` t? V T C''t' tM CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 41 .00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDINGADDRESS� ` C•fT' 1ti ,f)AT 1tinrf71 A jP 'l - )j Energy Plan Checking Fee $ flff0'•,'TT T,V $ PERMIT FEE $ LOT NO. SUBDNISION'SNAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF Iff 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: P.VRO OF 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 Filing Fee 20.00 Main Service 2o.A 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. j� License Class �_} Lic. No. 301 Q ©o 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. 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 S -T I_l "•'C* FV 111 Policy Number r ;a 341, -T- IR $' (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) J;6 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' comDuermation provisions of section 3700 of the Labor Code, I shall �rthwit c ly ith Bose provisions. f Date ii �' 9 Signature App4rcant - Owner Contractor ❑ 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 +000A 46.00 NEW CONST.DWELLING OccupsO OR ADDNS. ( a ACC. OCS.. 3.5¢FT. NON•REOSID. MULTRANCI.OUTLETU'TS @7.50 POWER APPARATUS a SINGLE Oun.ET CSR. '* 0 I � ' Ex. Occup. OUTLET ORFDCTUREs BAL -.50 Ex. Occup. Ops An-°E'A. 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST. TYPE TOTAL FEE $ 53.00 MAZ. D. FEES IMP I FLOOD I CDF PARCEL I 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 - c PERMIT EXPIRES O Z ? ' S Oars Receipt No. i ,:?. ' WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (530) 538-7541 P O. (Rev. 12/96) APPLICATION AND PERMIT 4� a�' ASSESSOR PARCEL NUMBER 041-410--032 ZONING BUILDING PERMIT OWNERCP CAG FEDERAL NO,aR �'_ �T l i TELEPHONE SO. FT. OCC. BUILDING VALUATION 60 O OWNERS MAILING ADDRE S�`, Z� g I -ILL ST. GPASS VALLEY CONTRACTOR'S NAME DAUCHERTY DEVELOPMRITS TELIFP OIdEn ' CONTRACTORS MAILING ADDRESS PO PDX �&& GRASS VALLEY CA CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ isoo ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 43.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDINGADDRESS 379J z STEAMBOAT ROCK RD. Energy Plan Checking Fee $ $ ()ROVTLLr PERMIT FEE $ 03.00 LOT NO. SUBDNISIOWS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF CX 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: REROOF COMP Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W 920.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 Main Service 2o0A OR '.'s S 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.301000 License Class 13 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. ❑ 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. �i 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 insuance carrier and policy number are: Carrier 151' U Filns Main Service 200A TO IuooA 46.00 NEW CONST. DWELLING OCCUP, OR ADONS. ( s ACC. BUDS. SO 3.SQFr. No Rap. MULTI -OUTLET 97,50 POWEPPARATUS S SINGLER AOUTLET CIR. Ex. Occup. OUTLET OR FVTURES 20 @''0° BAL @ .30 Ex. Occup. OUTI.E S RESIOOFR.a 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE S MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEIE $ Policy Number 13 fzyIf6 $– (IS' (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) d7 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 H I should become subject to the workers' com ation provisions of section 3700 of the Labor Code, I shall fT T ca ply fth t ose provisions. Date �� SignatureAp cant - If Owner P 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 $ 63.00 HAZ. I D. FEES IMP I FLOOD ODF PARCEL I PD I HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. B L-0 Date(` V PERMIT EXPIRES O I to Receipt No. �J WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 Apily 0. (Rev.12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER OLtl— 032— ZONING BUILDING PERMIT OWNER i:;e 4. L Ooyyu Je L IAO, TELEPHONE SO. FT. OCC. BUILDING VALUATION . OWNERS MAIUNG ADDRESS.. l 1� S4 "U s Va41 CA qS-L45_ CONTRACTOR'S NAME v, I In rn e d- TELEPHONE — / CONTRACT RS NG ADORESt I�v . 3 f3 Gra3 q s _t S— C.ONSTRUCTION LENDER YV o YL Fireplace LENDER'S MAILING ADDRESS I,YLJZ Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Flln Fee $ 20•00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS YL.&4A L Plan Checking Fee $ BUILAING ADDRESS 31q5- S leAwk)xry - Ip ,j Q(I,,4 Energy Plan Checking Fee $ $ e) p,0 mai U_ FA PERMIT FEE $ J LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 Each Tra 7.00 USEOFSTRUCTURE SF Duplex ❑ Mobilehome ❑ Other SPECIFY 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 emodel ❑ Utilities ❑ Installation ❑ Other Describe Work: ,� o Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W 920.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service 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 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 Main Service 200A TO tOooA 46.00 NEW CONST. OWE1 r OCCUP. OR ADONs. ( e ACC. BLns. SO 3.5it NO, -R NST. MULTI -OUTLET CIRCUITS 97.50 POWER APPARATUS a SINGLE OUTLET cIR Ex. OCCu OUTLET OR PICTURES 20 @ I.50 SAL p .w Ex. Occu . GL IRES,,D)LNS 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is Issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 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. MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST. TYPE TOTAL FEE $ 3 HAZ. I D. PEES IMP FLOOD COP PARCEL PD HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By Date PERMIT EXPIRES ON efa Receipt No. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT Butte CountvDeparhnentofDevelopmentSenices ADMINISTRATION * BUILDING * GIS * PLANNING 7 County Center Drive Oroville, CA 95965 (530) 538-7541 Telephone (530) 538-2140 Facsimile April 10, 2003 Chuck Niepoth 3795 Steamboat Rock Rd. Oroville, CA. 95965 RE: Building Code Violation Location: 3795 Steamboat Rock Rd., Oroville, CA. AP # 041-410-032 Dear Mr. Niepoth: 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 construction of a pool and a shop. 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 Scott Rutherford or Michael Vieira in this office at the address or telephone number listed above. Sincerely, Scott Rutherford Chief Building Inspector SR: kj cc: Assessor ;Ir Q 44 s 0 -o 0 t TF6jolWW AMD INIEM ALL EAS ALL'S 131E CLEAR OF OVMANGS-WOLL FT. FROM THE SIDEAND A SET BACK of PRQPERTy LimES, AND 5 FTjfR0M THE REAR AD CEWERLME S"" S p7 im FROM T14E PC OF STRUCT URf-$,' AND FOR A2,FT-EAVE-0VMMNG- 90 of Burge County AMvironLntal Health 273 to Signature I ......... ........ PLANNING DIVISION- BUILDING PLAN APP Use: K' Date: Parking: Landscaping:— Other, Signature:— ;715 D HDU )TTE COUNTY 1509LONG DEPART EN P p R- 0- v E L) a 11 r i 1 Epi J r Z rl L .c rnm his Oa rn 9:_ 31 zIwo FQ tis -fig o Mas KY7-FEMOOEL v -�TH 0-44 . OI oVILLE�- •Cry ... 5 w C► . - L Epi J r Z rl L .c rnm his Oa rn 9:_ 31 zIwo FQ tis -fig o Mas KY7-FEMOOEL -�TH 0-44 . OI oVILLE�- •Cry ... 5 w C► . -