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041-420-004
A.P. 41-42-4— , VIGIL ROGERS W/S Clark Rd., 5 01, N. of.Clear Creek Cemetery Rd : / % Permit 4219-73B (new carport)_ _ -; ,, f/w 41-42- Permit#4437-77E,M(inst, es/;7 pumr) SF 41-42-04 F ._JARLAN KLE11M ( 3855 West Branch Ln, Oroville , Contra• Servamatic Solar Systems Permit#2071-84P(solar wtr htr & spa htr) SF 041-420-004 04--13Og0 , MEANS, CLAUDE ,3855 W BRANCH LN, BUTTE VALLEY Cant: GRFENE ROOFING , VINYL SIDING 041-420-004 06-1170 MEANS, CLAUDE 3855 WEST BRANCH LN, OROVILLE Cont: PERFECTION POOLS' ISD , POOL(GUNITE, MSTR 500-01) i 1 1 N -- -_ r 9 r 1 r 9 4219-73B PERMIT NUMBER - B P �i E PERMIT EXPIRES OWNER Virgil Rogers CONTR: Owner LOCATION (A. P. 41-42-4 � W/S Clark Rd., 500' N. of Clear _ Creek Cemetery Rd. e f' h Zoning Foundation Rgh. Plumbing Rein. Steel Framing Wtr. Htr. Firewall ELECTRIC Temporary Final DATE COUNTY OF BUTTE Department of Public Works BUILDING JN-SRE(RTION RECORD ^ Setback i Forms Piers & Girders Fireplace Bond BeamLath & Plaster Gas Piping &Test Found. Vents Plmg. Topout Rough Elec. Furnace Kitchen Vent Garage Vents Sanitation & Water GAS BUILDING Temporary Cert. of Oce" i Final` - a' T— Final REMARKS OR CORRECTIONS COUNTY" OF BUTTE — DEPARTMENT OF PUBLIC WO 7 County Center Drive —4 O•rovi•61e, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT auurunce re esentanves of the County or butte to enter upon the above -menu ned property for inspection purposes. Dat a — 7 $igno re of Permitee or Agent Receipt No.��7 — White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF.RUBLIC WORKS Building permit expires Date,-� 7 i...L.. BUILDING Owner SQ. FT. OCC. BUILDING VALUATION Mailing Address J Jd& Telephone No. Fireplace Contractor acr�Total Valuation Mailing Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee $ $17 Building Address PLUMBING No. @ FEE PERMIT FILING FEE $2.00 D 'Each A&C Trap 1.50 Or Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. _ _ Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fe S ' do Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration Parcel Ma P 60' R/W Im rovements P Lawn sprinkler system 2.00 Bld ons Recd Pvaf ane Approval Permit Fee $ NEW B_`- ADDITION ❑ UTILITIES ❑ OTHER ❑ ELECTRICAL No.1 @ FEE PERMIT FILING FEE $3.00 Main service incl. 1 meter Additional meters, each 1.00 Sub -panel (12 or less) (more than 12) �-y Single Family ❑ Duplex ❑ Mobil Home ❑ Others Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 Light fixtures bal @210 Receps., switches & fix outlets CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: Hood, Ex. Fan or F.A. Furn. Motor 1.00 Evap. cooler, gar. lisp. or D.W. 1.00 Air conditioner or heat pump Water pump Mobil Home Facilities 5.00 Temp. Power Pole 5.00 License No. Classification Misc. wiring I am exempt from the Contractors License Laws of the State of California. Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that- in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State La s relating to building construction, and hereby TOTAL PERMIT FEE rd $ auurunce re esentanves of the County or butte to enter upon the above -menu ned property for inspection purposes. Dat a — 7 $igno re of Permitee or Agent Receipt No.��7 — White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF.RUBLIC WORKS Building permit expires Date,-� 7 i...L.. Permit: 4437-77 E,M Rogers, Virgil xVs priv.! rd; 190Q' W. of Clark Rd. Paradise (install 'heat pump SF) AP: 41-42-4 COUNTY OF BUTTE, — DEPARTMENT OF PUBLIC WONKS 7 Count)CentJDrive — Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT autnonze representatives or the uounty or tsutte to enter upon the above-mentioned property for inspection purposes. X Signature of Permitee or Agent Date Receipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Building permit expires Date Date BUILDING Owner - SQ. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Fireplace Contractor Total Valuation Mailing Address Permit Fee Plan Checking Fee&/or Penalty Telephone No. Permit Fee $ Building Address PLUMING No.1 @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 r Each gas water heater or vent 1.50 A. P. No. Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fees 1 W.C. Sanitation Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans I Parcel Declaration Parcel Ma P 60' R/W Im rovements P Lawn sprinkler system 2.00 Bldg. Plans Recd I Parcel Approval Plans Approval Permit Fee $ $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ❑ ELECTRICAL No.1 @ FEE PERMIT FILING FEE $3.00 Main service 600V OR LESS 5.00 100 AMP OR LESS Main service EA. ADO'L 100 AMP 2.50 Main service OVER 600V 25.00 100 AMP OR LESS Single Family ❑ Duplex ❑ Mobil Home ❑ Others ❑ Main service EA. ADD'L 100 AMP 1.00 NEW CONST. DWELING OR ADDNS. ( ACCLBLDGS.OCCUP. &) 20.sgft NEW CONSTR. MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS) 12.50ea NEW CON STR. (POWER APPARATUS & NON-RESID. SINGLE OUTLET CIR. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: Ex. Occup(OUTLETS OR FIXTURES) �L@�'1a BA FIXED APPLNS. OR. Ex. Occup. (OUTLETS (RESID.) EA) 2.00 Temporary service 1 10.00 Mobile Home Facilities 15.00 License No. ' Classification Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ MECHANICAL No. @ FEE WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. F -1I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. PERMIT FILING FEE $3.00 Heating - Cooling Ventilation Hood 2.00 Permit Fee $ $ 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby TOTAL PERMIT FEE $ autnonze representatives or the uounty or tsutte to enter upon the above-mentioned property for inspection purposes. X Signature of Permitee or Agent Date Receipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Building permit expires Date Date t. ' COUNTY OF BUTTE — DEPARTME,N'T OF PUBLIC WORKS 7 County Center Drive — OroVlWLT, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT y�3�» authorize repre entatives of the County of Butte to enter upon the above -men ' property for inspection purposes. X Date Signatur of 'ermmiiteeeor Agent j 264 Receipt No. ` & > o White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS r- ByDa e 'permit expires Date Z (o u BUILDING Owner t L) *—.3 09 SQ. FT. OCC. BUILDING VALUATION Mailing Address f 16 0_�4 f 7 . O UrL� Tel net e''`d' Fireplace Contractor Ow c-&-- Total Valuation Mailing Address Permit Fee P I an Checking Fee &/or Penalty Telephone No. Permit Fee Building Address c %ZPLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 rL go,c/1, (C Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 r` e Each gas water heater or vent 1.50 A. P. No. — 4 r r Zoning & Planning Gas piping system 1 - 5 outlets 1.5U Each additional outlet .30 Fe vV.C. 9tm-tatTen Fire Dept. Fire Zone Use Pen -nit Building sewer 5.00 EQA Parking Plans Parcel Declaration parcel Ma p 60' R/W Im rovements p Lawn sprinkler system 2.00 Bc'd Parcel Approval I Plans Approval Permit Fee $ $ NEW ADDITION ❑ UTILITIES ❑ OTHER ELECTRICAL No.1 @ FEE PERMIT FILING FEE $3.00 a �Mmain 00 V OR SLESS 5.00 service 100AMP OR Main service EA. ADD'L too AMP 2.50 Single Family Duplex ❑ Mobil Home ❑ Others ❑ Main service OVER 600v 100 AMP OR LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 NEW CONST, OR ADDNS. ( ACCLBLDGS.DWELING CCUP. &) 22sq ft NEW CONSTR. MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS) 2.50ea NEW CONSTR POWER APPARATUS &) NON-RESID. (SINGLE OUTLET CIR. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: Ex. Occup(OUTLETS OR FIXTURES) 109 Ex. Occup. TP � Jlb, A) 2.00 Temporary service V 1 10.00 Mobile Home Facilities 15.00 pp �r License No.1z1�T Classification Misc. Wiring 6.25 am exempt from the Contractors License Laws of the State of California. Aw Permit Fee $ $ ^ WORKMEN'S COMPENSATION INSURANCE 1am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00.24- 3.00 '1 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ , I certify that I have read this application and state that the above information is c rrect. I agree to comply to all County Ordinances and State Law relating to building construction, and hereby TOTAL PERMIT FEE $ C� authorize repre entatives of the County of Butte to enter upon the above -men ' property for inspection purposes. X Date Signatur of 'ermmiiteeeor Agent j 264 Receipt No. ` & > o White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS r- ByDa e 'permit expires Date Z (o u COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 534-4541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE V Z t'7 /-8 y- nWnIPQ DCDR.IIT Kin A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. ZY-2-1 'f Ud Sy.C79e- f �r' �` �►_-- Inspector �d�-"�'L i'�� -''i Date COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville,,-California 95965 - Telephone 916/534-4541 'y J - �-f APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER -Lit - &-, _. r) . - ZONING BUILDING PERMIT OWNER ;jAP1AKJ kLG, VVI lM -tIIk%7)A U,IiT Mil1/i TELEPHONE -IMA—ri3Ss9- SO. FT. OCC. BUILDING VALUATION OWNER'S MAILINGr^ ADDRESS y CONTRACTOR'SNAME , =_r �'.tIJ� vvt A*c t 1. ��n i A P_ ��U �: tAAC7 TELEPHONE CONTRACTOR'S MAILING ADDRESS (f) (1lit ' Ar►A�.AttQ! I ).l `�-+t111 a--i=,,r 111-11/() c4`:7l L"� Fireplace CONSTRUCTION LENDER Atuft- - UNKNOWN Total Valuation Is FilingFee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER i&' 11/q LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ Bu�IfL�ol ADD 2t2/►1r F.1 ) ki n�ll\jlI_( 1;r 41ciiiKcl PLUMBING PLUMBING PERMIT Filing Fee 10.00 - Each Trap 2.00 Solar Water Heater - if 20.00 Water -piping. Snf_it E i.,P 4s X -r I 25.00 .7 n ' o LOT NO.SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SF ❑L '-'Duplex ❑ Mobi lehome ❑ Other SPECIFY Building sewer_ 5.00 Mobile Home S G W 10.00 e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Uti lities ❑ Installation ❑ Other 0- Describe work: 41a#JFLDI&1 _-P (156C) ¢—t_,/l..4L 1,0 A- 9-+E, I-r-&Tr._C ,}.� �I h A I g(_L,inre-tt_ QH <PA- �.I,. L'. ��['L�. �„ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST.(DWELLING OCCUP.& OR ADDNS. ACC. BLDGS. t 2/20sgft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): I am licensed under provisions Of Chapt. 9, Div. 3 of the BUeffe and Professions Code and my license is in full force and effect.t. License No. 2"O' 4� Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST'R ULTI.OUTLET 2,50 ea NO N•RESID BRANCH CIRC ITS NEw (CONSTR.POWER APPARATUS .&) NON•RESID. SINGLE OUTLET CIR. ExOOCUp(OUTLETS OR FIXTURES 3 . IBAL@300 APPLNS. OR EX. Occup. OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑/I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling Hood 3.00 Ventilation permit'Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue County in consequence of the granting of this permit. against said C.00uu-nt-I ( X LSI ��`^• - "ice - - Date �+- 7`�- `�?,q Signatur'e of Applicant - Owner❑ Contractor ❑ Agent ❑c ^r An OSHA permit is required for excavations over 5'0" deep and demolition or construct -DIRECTOR ion of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $P� OCCUP. GROUP I TYPE OF CONST, PARCEL PD HD SSUE This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. OF PUBLIC WORKS By6VIrG'T ///ya-.1a Date ��(� % PERMIT EXPIRES. Rate ✓,� % -� `� Receipt No. WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT KLim '$46� IqOOS€ VA.) COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - OroviIIe, California.95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUM ER ZONING BUILDING PERMIT O WNER L�+AA v!/l TELE!MAPHONE _ SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS . c N. -CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER - LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDRESS �cb rJ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar Water Heater 20.00 A 50L4F_ f0 20-00 ao LOT NO.SUBDIVISION NAME PARCEL MAP Each qas water heater or.vdnt 5.00 Gas piping system 1 -5 outlets 5.00 USE OF STRUCTURE ,—, / SF Imo' Duplex❑ Mobilehome❑ Other SPECIFY Building sewer 5.00 Mobile Home S G] W 10.00e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other Describe work: 5t1WFLQL6! Z&0%1Q 9&ATE9 rr11�pp���� t, p, -V�LIi©� AL_ P :52k �&�� "'tl Permit Fee `=-. $ Ca Contractor ELECTRICAL PERMIT Filing Fee 10.00 600V OR LESS Main service 100 AMP OR LESS 10'00 V1� Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.& OR ADDNS. ACC. BLDGS. 2/20sgft CONTRACTORS LICENSE LAW I declare under penalty of perjury (Check one): I am licensed under provisions of Chapt. 9, Div. 3 of the BuSlness and Professions Code and my license is in full force r� and effect. c— Classification 9 License No.l?ai')6Cv� F El I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEWCONSTR ULT'.OUTLET 2.50 ea NO N.R ESID BRANCH CIRC ITS NEW CONSTR. ( POWER APPARATUS &) NON.RESID. SINGLE OUTLET CIR. Ex. OCCUp(OUTLETS OR FIXTURES .20@50t FIXED APPLNS. OR Ex. Occup. OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot$ Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue agai ,st slid Co my 2' nsequence of the granting of this permit. X Date ( - —9j�{ Signatu f Applicant = Owner ❑ Contractor ❑ Agent E�3� An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE b OCCUP. GROUP I TYPE OF CONST, PARCEL PD HD ssOE This permit is hereby issued under sions of the Butte County Code and/or work Indic ted above for which D• ECTOR OF PUBLIC BY G PERMIT Eto the applicable provi- resolutions to do fees have been paid. WORKS Date 4; —� Receipt No. WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR, GOLDENROD -APPLICANT BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND. SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE IVILL BE REQUIRED AT TIME OF APPLICATION Website: www.buttecounty.net/dds **PLEASE PRINT CLEARLY** OWNER INFORMATION Last Name ( S, FirstCa me Address 3 23 S� 1 S� 1-3 1r tom(( L (J City ����/�► Slatr2./+ Zip Phone ,�` I Fax E-mail CONTRACTOR Name I a=_T-t tl t C cin t_ S Address -72 2e,20 T -V S T - City c. (C© State Zip Phone 8 ��� Fax E-mail Lic.# CesS3 APPLICANT INFORMATION ARCHITECT/ENGINEER Name (2 -AL— (9 Ar_�_P^A Address A4-- 5CO ' 0 I City Fax State Zip Phone Map Book Fax ' E-mail Planner State License Number APPLICANT INFORMATION Name Address City State G Zip Phone S�� Fax -mail F APPLICANT SIGNATURE X For office use only: Zoning JAR T12 I Flood Zone I Cross Street SRA 1 Yes 1 No Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: PERMIT NO. BPU. BIN # PROJECT LOCATION AP# o 4 (- 420 - CO 4 - Property Address City Cross Street WORKER'S COMPENSAT40N Policy Number 2- 72 - D 5—_—_'9 Carrier STA—,r1_:;:- FV NO If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address Description or Scope of Work- 6,7 uyU(\/9 - ��,,jNkT-r,-- Pm:y N seer*tu0-01 Sq FT- Living Garage Open Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be OVER FOR SUBMITTAL REQUIREMENTS 11 K-\PnPhAC\RI III nimr-, FOPhAC\RIrinAnnlCuhRnmtc rinr Pan. i nr 7 REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. Received by: Amount:CO�.`Bldg %%�� c �} SRA Receipt #:� 5V v�G Sheriff rick �5� SMIP Date j\4M U Other Total or=v a nc ti SUBMITTAL & PERMIT REQUIREMENTS _ The following drawings and specifications must be submitted to the Building Division in order to apply for a permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK. ❑ 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. No graph paper! ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans (No graph paper!) OR Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 3. Engineered truss details and layouts in duplicate (if required). No faxes! ❑ 4. Energy compliance design and supporting documentation in duplicate. ❑ 5. Statement of Intent for Non -heated and A1C for Non -Residential Buildings. ❑ 6. Manufactured homes: (A) Installation manual, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate ❑ 7. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate (if required). ❑ 9. Site plan and business license approval from the City of Biggs. ❑ 10. Letter of intent for non-residential buildings. ❑ 11. Building Permit Application Without Required Clearances Form O 12. Hazardous Material Form (for Commercial Buildings only). Remaining items needed to issue the permit. Additional items may be required after Plan Check and Planning review (May require additional plan review upon receipt of the following items.) ❑ 1. Agricultural Buffer clearance and site plan approval from the Ag Commissioners office (if required). ❑ 2. Impact Fees. ❑ 3. California Department of Forestry plan approval (if required). ❑ 4. NPDES Form. ❑ 5. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 6. Contractor's license information. (Number, Name Style, Classification). ❑ 7. Worker's Compensation Carrier and Policy Number. ❑ 8. Owner -Builder Verification (if required). ❑ 9. Letter of Signature authorization (if required). ❑ 10. Recorded copy of Agricultural Acknowledgment Statement. ❑ 11. ❑ Legal description from current recorded grant deed, ❑ Copy of M.H. Title, Title transfer, or MCO. ❑ 12. Sanitation and site plan approval from the Environmental Health Department. . If you have questions or would like additional information regarding this process, please contact a Permit Assistant at (530) 538-7541. EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after date of application. In order to renew action on an application after expiration, a new application, plans and fees will be required. REQUEST FOR FEE REFUNDS Refunds can only be made upon written request by the.person who paid the fee. The request must be made within two years from the date of fee payment on permits not issued, and two years from the date of permit issuance for permits issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. OVER FOR BUILDING PERMIT APPLICATION KAFORMSWILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2 REV 8-12-05 XPUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING, DIVISION ` 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET OWNER: Wan S//�� ASSESSOR PARCEL NUMBER //�� O J - �i D Oq/� Proposed Building Use: I n - c'Bu� %01 * Sy)-ol Permit Technician: K. V . Date: ����� 0G Ite equired in order to apply for a permit. All boxes MUST be checked OR marked NA in order to apply. 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 4. Engineered truss details and layouts in duplicate. No faxesl ❑ 5. Letter from Engineer or Architect for truss design review. ❑ 6. Energy compliance design and supporting documentation in duplicate. ❑ 7. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 8. Manufactured homes: (A) Installation manual, including marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. ❑ 9. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate; (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate. ❑/. 1 11. Hazardous Material Form NACM 12. Acknowledgement of building permit application without required clearances. ❑ 13. Other aining items needed to issue the permit. (May require additional plan review upon receipt of the followi g items.) 14. Sanitation and site plan approval from the Environmental Health Department in ❑ Chico ❑ Orovi p 15. Fire Sprinklers............................................................................................ ❑ 16. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by ❑ 17. Soils Report and/or Engineered Foundation required ........................................... ❑/ 18. Erosion Control Plan Required........................................................................ �( 19. Fees as shown on the attached Schedule of Fees Due Sheet .............................. ❑ 20. City of Chico Plumbing permit........................................................................ ❑ 21. Site plan and business license approval from the City of Biggs .............................. 22. California Department of Forestry plan approval ❑ paid. Sent by: ............. 23. 'Planning approval for (A) Use: (B) Parking: (C) Parcel Check: ............ 0 ❑ 24. Contact Land Development about _ Improvements, _ Drainage ........................ D/25. Fire Marshall Review (commercial projects only). Sent by: .........'........... 26. NPDES Form............................................................................................. ❑ 27. Encroachment Permit for driveway from the Public Works Dept ........................... ❑ 28. Contractor's license information. (Number, Name Style Classification) ................... ❑ .29. Worker's Compensation Carrier and Policy Numbdr...................... t.................. El30. Owner -Builder Verification (_ Given to owner, _Mailed to owner) ................... ❑ 31. Letter of Signature authorization ................... ..; ........�....!........................................ ❑ 32. Recorded copy of Agricultural Acknowledgmen! State" n ................................ El33. Existing violations and/or expired permits ......!..,.: -r°'` ............. ❑ 34. Deed Restriction.........i'................................................................... ❑ 35. ❑ Legal description;<O M.H. Title, title search, registration or MCO ......................... ❑ 36. Other: ❑ 37. Other: When issued Telephone! rb`1 T*� /.ter and hol"d fo p ckup. ( I have been informed of the above items and requirements for obtaining a building permit.; Applicant: DOT) P)o Date: 1. Index permit application f r the above items numbered: Plan Check Letter 2. Additional items required ) Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date; Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail,.--❑ counter, by Date: Contractor, designer, owner, was advised,of the above data by ❑,ophone; - cl maiV ❑ counter, by Date: Plans reviewed by: /Date: A-- A I Plans approved by: e2 < Date: Structural reviewed by: Date: !' t . uctural a4roved by: Date: e Note transfer by: t< Date:" T Yellow: Building Division �•` K/Building/Plan Check/Data Sheets/data sheet page 2 9.27.05 �� cow �� �� i•� l-�-• •-i-1-i i`� s� i i-• i i•-• �! .' � k � + • 4 i j Department Michael Crump. Director of Pubic Works . C. f B i.i t t e LAND DEVELOPMENT DIVISION Storm Water Management Program 7 County Center Drive Oroville. CA 95965 (530) 538-7266 (FAX) 538-7171 National Pollutant Discharge Elimination System (NPDES)Pha e 11 Construction Storm Water Permit and Storm Water Pollution Pian (SWPPP) Acknowledgement LLESS THAN 1 ACRE1 L-- 'Project _ Project Description: •4�D•DD4- Project Location and/or Parcel Number: D ¢ I w5 -1 I DVGI,I� By signing below, I, the project ownerlowner's agent, certify that this project WILL NOT DISTURB 1 acre or more of land and that L therefore, do not Storm Water Permit t need to apply for a Constructio froard. PheA projects tat contain ora the State of California Regional Water Quality Con binBd with ubseq ent phaseshtotal more ro multiple site build -outs of less than one acre but when com than one acre of disturbed soil will require a Construction Storm Water Permit from the State of California Regional Water Quality Control Board.. I am aware that submitting false and/or inaccurate information or failure to apply for a Construction Storm Water Permit from the State of California Regional Water Quali Control Board for a project that disturbs one acre or more of land may result in revocation of ing and/or other permits or other sanctions provided by law. Signed: Title: Date: r (7. Butte County Department of'Developrnent Sfr W'CCS °�V I'��° 7 County Center Drive Oroville, CA 95965 °o (530) 538-7601 Telephone e 1 0U141 (530) 538-7785 Facsimile BUILDING PERMIT APPLICATION WITHOUT REQUIRED CLEARANCES I request and authorize the Building Division to process this building pen -nit application through the plans examination process WITHOUT first obtaining all necessary, related permits and clearances from other regulatory entities, including but not limited to, Planning, Environmental Health, . Land Development, County Fire, and Agriculture. I hereby acknowledge: a I need to submit applications for septic and/or well to Butte County Environmental Health immediately. ® I ant required to bring the approved Environmental Health site plan and approved sanitation clearance to the Building Division as soon as clearance is obtained ® I am responsible for notifying Development Services, in writing, to stop processing of the application and to arrange for disposition of plans. The Building Division will process the application through the plans examination process, as submitted, without input from other regulatory entities that could prohibit issuance of the building permit or require submission of amended building plans to the Building Division. Once the plans examination process begins, there will be no refund of plans examination fees. Any changes requiring submission of amended plans to the Building Division will incur additional fees. Within one year from the date of application for a building permit, all other required permits and clearances from other entities must be obtained for the permit to be issued. Failure to obtain these permits/clearances will void the application. Typically other required permits/clearances include, but are not limited to, verification the parcel was legally created, adherence to. all mitigations and conditions imposed on the parcel at time of creation, as well as zoning requirements, legal access, and applicable set -backs and environmental issues (fire, agriculture buffer zones, and habitat/species). Please print: Applicant Name: AA 1%10� APN: t CD Building site address: ��� W � S T— 1-3r'�`� Permit No.: Co 1) I have read, understood and accept the terms and conditions as expressed herein as indicated by my submission of the above -referenced building permit application and my signature below: SIGNATURE OF APPLICANT DATE �t Butte County Department of Deveiupment Services• N Q T E S 7 County Center Drive, Oroville, CA 95965 t (530) 538-7601 vnvw.4uttqcounty netidds r ~ RESI DENTIAI_ APN: ! MEANS, CLAUDE _ 3855 WEST BRANCH LN, OROV[LLEY Owner. Cont: PERFECTION POOLS Site Address: POOL(GUNITE, MSIR 500-01) Contractor. Type of Permit: a SPECIAL CONDITIONS CHECKED BY SRA FLOOD CERTIFICATE EQUIRED FIRE SPRINKLERS REQUIRED SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUBSTANDARD HOUSING LETTER ENCROACHMENT PERMIT REINSPECTION FEE PAID ENV HLTH CLEARANCE .3 b- oFF p(6A-(Z- OUTTC- COt-(- DATE JOBTINALED: ,C DATEJOBTINALED: /p SIGNATURE: OK Not OK RESIDENTIAL (SIngle & Dur)Iexl 1 DATE JUNDERFLOOR DATE IPLUMBING 1 Zoning -Setbacks -Easements -Flood -Slope 53 Wtr Htr; Vent-Acc-Cmbstn Air Baffle 2 Ftg Main; Soils-Elec Grnd Ftg Opth 54 Wtr Pipe; Test & Anchr-Nail Prtctn 3 Ftg Garage; Soils-Steel-Elec Grnd Ftg Dpth. 55 DWV; Test Fittings & Anchr Nail Prtctn 4 Ftg Porches/Decks; Soils -Steel Ftg Dpth ' 56 Shwr Pan; Test, First flr-Tub Acc 5 Stemwalls Main; Steel-Blockouts-Wrapped 57 Test Tub & Shwr, 2nd flr - Tub-Acc 6 Stemwalls Garage; Steel-Btockouts-Wrapped 58 Gas Pipe; Sz & Anchrs 6a Hold Downs and Special Anchrs 59 Fire Sprinkler; Test 7 Slab, Steel Wrapped 60 Yard Gas Piping 8 Piers-Frpic Ftg-Steel 9 DWV; Fall -Fitting -Test -2 -way CIO -Sewer Test 10 UF, Gas Pipe; Sz Anchrs-Sz Test 11 Wtr Pipe; Test-Anchrs-Rgltr-Service Test 12 Elec Undrgrnd DATE MECHANICAL 13 Plenums & Ducts; Clrnc-MaterialSupportdnsultn 61 AC Ducts Insultn & Support 14 Girders-Sills-Anchr Bolts J oists-Vnts-C ripples 62 Vent Fan, Exhaust abv Insultn 15 Acc & Vntltn 63 Condensate Drain & Ovrflw, Sz & Grade 16• insulation 64 Furnace -Vent Acc-Comb Air RtrnfVent 115 Outlet 65 Attic Acc & Pltfrm if Furnace in attic 4 r s DATE IFRAMING - 17 Sills Proper Materials & Anchrs DATE IFINAL 18 Walls Studs -Nailing Spacing & Braces-PlatesSbund 66 Ext Steps -Door & Side Lt Prtctn-Landings 19 Bearing Watts over Girders & fir Nailing '67 Smoke Detector 20 Draft Stop in Walls (rat proof) 68 Furnace Vnts-Cirnc-Comb, Air-Cnnctr 21 Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs In Garage; abv-flr-Ducts-Mech Prtctn 22 Headers & Beams-Sz & Bearing 69 Bedroom Exiting 23 Hangers -Post Caps-Anchrs-Cnnc ns 70 GFI & Bath Fxtrs & Tub Acc-Spa 24 Ceiling Joist-Rf r Ties-Purlin-Roof Brac TrussShthg. 71 GFI Arc Fault 25 Frplc Ties or Type A Flue-Frpic Throat Clmc 72 Elec Tran & Subpnl, Breaker Sis & Labels 26 Attic Acc; Sz & Rmx Prtctn-Draft Stop -Ins Baffles 73 Stairs, GuardlHandrails 27 Bdrm Wndws or Exiting Doors -Sill Ht & Dimensions 74 Frplc or Stove, Clmc-Hearth 28 Garage Fire Prt m Framing -RC Channel - 75 Elec Outlets at Wood Pnl, Int & Ext 29 Prprty line Firewall & Opngs 76 Ktchn, Fxtr & Appinc; Grnd-Air-Gap-Cooking Clrnc 30 Ext Doors -One T -Check Garage 3rd Story, 2 Exits T7 Elec Outlets & Rcptcls at Ktchn Counter 31 Stairs; Width-Hdrm-Rise-Run-Landing-Fire Prtctn 78 Garage Fire Door, Swing -Landing -Closure 32 Plywd on Roof Ovrhng-Attic Vnts-Rftr Outrgrs 79 AC Duct in Garage -Damper 33 Siding -Nailing Veneer ` 1 ' 80 Wtr Htr; Vnts-DImc-Com Air Cnnctr-PRV; abv fir 34 Stucco Lath -Weep Screed-Fndtn Vnts-Undrflr Acc Mech Prtctn; LPG Appince Undr House 3' drain 35 Glazing Area -Glass Prtctn-SkyLts-Plastic !' 81 Plmb; Elec & Mech Eqp Listed for Loon 36 Shear Walls; Nailing -Bolts 82 Elec Rcptcls in Garage (GFI) Romex Prtctn 37 Brace lnt/ExtWall pnls 83 Insultn-Foam-Looked in Attic 38 Insultn Walls -Ceilings,,. 84 Guard Rails & Deck Cnstrr-tn-Post Caps 39 Infiltration -Watts Wndws 85 Fndn Vnts & Crawl Hole Door Drnge & Wood -Earth 86 Clrnc Drnge Planters ❑Yes ONO +� 67 Stucco Brown -Finish 88 AC Unit Dscnnct, Elec-Plmb 89 Wits abv Roof, Plmb-Appinc-Frplc-Clmc to Opngs DATE JELECTRICAL 90 Wtr Well, Dscnnct, Elec, Plmb 40 Fxtr & Tmsfrmr Clmc4ns Prtctn 91 tad Elec Trim, GFI Rcptcl-Undrgrnd 41 Elec Rcptcls Spacing-Lts & Switches at Doors 92 Vntltn thru House 42 Sz Boxes & No Of Cndctrs Stapled + 93 Glass Prtctn 43 Romex Installed Close to Edge of Studs & CJ 94 Corrections from previous lnspctns 44 Eqp Grnd made up w/Mech Fstnrs 95 Gas Test -Meters Tagged, Gas-Elec 45 Gmdng Electrode Bond Gas & Wtr 96 Wtr & Sewer Cnnctd-CIO to grade -HD Apprvl 46 2 Appinc Cirrs in Ktchn & Cndctr Sz GFI 97 Energy Cmpinc Cert -Other Certs 47 Subfeed Wire Sz 0 ❑CU or❑AL 98 Address Posted AC Wire Sz g. ❑CU or❑AL 99 Fire Sprinkler 48 Range Circ ga ❑ CU or ❑AL "Oven Circ ga ❑CU or F-1 AL Insulated Neutral ❑Yrs ❑No e 49 Service -Riser Cndctrs & Grnd Main Dscnnct 50 Eqp Clrncs pnls-Motors-Mech Eqp 51 Clothes Closet Lf-Shwr USpa Lt 52 Smoke Detector = OK = Not OK MANUFACTURED HOMES U PERMANENT FOUNDATION " SOFT -SET 1 Zoning -Setbacks -Easements 2 Soils; Special MH Support Sketch 3 Sewer; Loctn-Test; FaIUClO-Concrete 4 Wtr; Loctn-Test-Easement Needed -Regulator 5 Elec Loctn-Clrncs-Grnd Amp -Concrete 6 Yard Gas; Loctn-Test-Wrap . Nat 0 or LP❑ Inch Sz Ft Lngth 7 Blckng; Sz-Spacing-Marriage Line 8 Gas; MH Test-Demand-Valve-Dnnctr 9 Elec MH Cntnty Test•Crossovers-Breakers-Clrncs 10 Drain; MH Test -Fall -Flex Cnnctr 11 Wtr & Sewer Connected -/0 to Grade 12 Gas and Electricity Tagged 13 Tie Downs Q Foundation Q 14 Exits 15 Cert of Occupancy 16 HUD LabeVInsignia Numbers Serial Numbers MISCELLANEOUS D E C KS'C0V ERS'CARP0 RTS`GARAG ES 1 Zoning -Setbacks -Easements 2 Ftgs; Soils-Sz-0pthSpacing-CnnctrsSteel 3 Decks, Girders/Joists-Dcking-Brcing Stairs -G uardlHandrails 4 Wood Awn; Posts-Beams-Rftrs-Cnnctrs-Shthg Frmg-Brcng 5 Alum Awn; Columns-CnnctnsSplice-Decal-Enclsrs 6 Carpgrts; Wndws-Doors 7 Electric 8 Frmg; Sills-Anchrs-Studs-Rftrs-Trusses 9 Siding; Hailing -Veneer -Stucco -Lath 10 Roof; Shthg-Roofing 11 Ext; Steps -Doors -landings 12 Braced Wall pnls cks-Easements Compaction-SStru cture Stability ool Structure; Steel-Cnnctns-Thickness Dead Men -Lining L4-El—ec Rcptcls/LUng; Distance•GFI 5 Elec P 1 LtinT, 15 volts-GFI c Enclsrs; Conduit Entries Terminals -Listed ec B ding; Metal 1/5'-Crcltng Egp-Htr ec Gmdng; Eqp w/5' Crdtng Eqp-Pool lghtg Boz�dsrs-0nlboards-Insultn to Main Conduit Dept Apprvl Cir Test-Wtr Supply Test 0.3-1 onding, Diving oard or Slide C o� P �*1 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 PERMIT*NO. BP061170 PERMITS BECOME NULL AND VOID 1 YEAR FROM THE DATE OF ISSUANCE, OR IF WORK IS DONE IN VIOLATION OF ANY COUNTY OR STATE LAWS. LICENSED CONTRACTORS DECLARATION I hereby affirm under 'penalty of perjury that I am licensed under Issued Date: 05/26/2006 APN: 041-420-004-000 provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. S �_'" 7 License Number: `� C� ^� Site Address: 3855 W BRANCH LN BTV License Class: r r _ Map Index: Date: I D Contractor: �� U t i Description: IN -GROUND GUNITE POOL: MASTER OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the #500-01 Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior Owner: MEANS CLAUDE E &DAWN ROCHELLE to Its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 commencing with Section 3855 WEST BRANCH LN 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and the basis for the alleged exemption. Any OROVILLE, CA violation of Section 7031.5 by any applicant for a permit subjects the 95965 applicant to a civil penalty of not more than five hundred dollars ($500).): ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, Applicant: PERFECTION POOL AND SPAS provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of 172 E 20TH ST sale.). 95928 ❑ 1, as owner of the property, am exclusively contracting with 530-895-0437 licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). ❑ I am Exempt under Article 3 of the Business and Professions Code Contractor: PERFECTION POOL AND SPAS Date: Owner: 172 E 20TH ST WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: 95928 ❑ 1 have and will maintain a certificate of consent to self -insure for 530-895-0437 workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. License #: 566654 I have and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carderandpolicy number are: Architect: Carrier: S �t3�— Engineer: Policy #: ❑ 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 Total Square Ft: 0 S. F. . become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' Valuation: $0.00 compensation provisions of Section 3700 of the Labor Code, I shall Census Code: forthwith comply with those provisions. 17.0-6 Date: ✓ 2 �1i�� ► j'L Applicant: •�:1_L_� WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor ,. code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY This rmit is reby issued under applicable provisions of the Butte County Code and/or I hereby affirm that there is a construction lending agency for the the work for which this permit is issued (Sec 3097 Civ.) Res utions do work indicate bo a for which fees have been paid. _/ V // / 1 V �(G� performance of By` Date:,S L .f Name: / –7 PERMIT EXPIRES ON: Address: Date O 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. O Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Bu to County. I hereby es of Butte Cognty to enter upon the above mentioned property for inspection purpose . authorize rep7TAK 1 �iSignature:Print Name:(. - �' `�' Date: ❑Owner Contractor C3Agent for Owner ❑ Agent for Contractor B. C. Buumng vermit ui-io-ua pg i TO: FROM: Building Division — Development Services Environmental Health �.H. USE ONLY Plot Plan Atladied Floor Plan Attadied Sent to BD/DS / SUBJECT: Sanitation Clearance 01:441oiX /40,os 'i)q." tic Owner Location AP# Plan Approved for: Sewage Disposal Clearance for dwelling. Other Hold final for: Final clearance O.K. for: j NOTE: Envi'ronmental Healfh Specialist Building Clearance 9/2005 Water Supply: Public Private Well x -73--)L Date NOTES f,. I . RESIDENTIAL PERMIT NO.0 1 —4;0< 4GA _3050 VrN u 9 0 s SPECIAL CONDITIONS SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER JOB FINALED (Date) 1 Signature / CHECKED BY J=OK 0 = Not OK - = Not Applicable . = Not Ready RESIDENTIAL (Single & Duplex) Date UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab, Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test 11. Water Pipe; Test-Anchors-Regulator-Seryice Test 12. Electric Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s 17. Water Htr: Vent -Access -Combustion Air Baffle 18. Water Pipe; Test & Anchor -Nail Protection 19. D.W.V.; Test Fittings & Anchor -Nail Protection 20. Shower Pan; Test, First Floor -Tub Access 21. Test Tub & Shower, Second Floor -Tub Access 22. Gas Pipe; Sixe & Anchors 23. Fire Sprinkler; Test Date 47. Card B-1 Date Card B-1 Date Cling. Joist-Rftr. Ties- Purl in -Roll Brac.-Truss-Shting.-Rtng. Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 24. Fixture & Transformer Clearance -Ins. Protection 52. 25. Elec. Receptacles Spacing -Lights & Switches at Doors Property Line Firewall & Openings 26. Size Boxes & No. of Conductors Stapled 55. 27. Romex Installed Close to Edge of Studs & C.J. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 28. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water 58. 29. 2 Appliance Circuits in Kitchen & Conductor Size GFI Glazing Area -Glass Protection -Skylights -Plastic 30. Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or Al 61. 31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or Al Insulated Neutral ❑ Yes ❑ No 63. 32. Service -Riser Conductors & Ground Main Disconnect _ 33. Equip. Clearances Panels-Motors-Mech. Equip. Date FINAL (Plans) OK except #'s 34. Clothes Closet Light -Shower Light -Spa Light 65. 35. Smoke Detector Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 67. Bedroom Exiting Date G.F.I. & Bath Fixtures & Tub Access -Spa Card B-1 Date Card B-1 Date 70. Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 72. 36. A.C. Ducts Insulation & Support Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance 37. Vent Fan, Exhaust above insulation 75. 38. Condensate Drain & Overflow, Size & Grade A.C. Duct in Garage -Damper 39. Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet 78. 40. Attic Access & Platform if Furnace in Attic Date 80. Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s 41. Sills Proper Materials & Anchors 42. Walls Studs -Nailing Spacing & Braces -Plates -Sound 43. Bearing Walls over Girders & Floor Nailing 44. Draft Stop in Walls (rat proof) 45. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 46. Headers & Beams -Size & Bearing Date FRAMING (Continued) 47. Hangers -Post Caps -Anchors -Connectors 48. Cling. Joist-Rftr. Ties- Purl in -Roll Brac.-Truss-Shting.-Rtng. 49. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 51. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 52. Garage Fire Protection Framing -RC Channel 53. Property Line Firewall & Openings 54. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 55. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 57. Siding -Nailing Veneer 58. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 59. Glazing Area -Glass Protection -Skylights -Plastic 60. Shear Walls; Nailing -Bolts 61. Brace Interior/Exterior Wall Panels 62. Insulation -Walls -Ceilings 63. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 64. Ext. Steps -Door & Sidelight Protection -Landings 65. Smoke Detector 66. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 67. Bedroom Exiting 68. G.F.I. & Bath Fixtures & Tub Access -Spa 69. Elec. Trim & Subpanel, Breaker Sizes & Labels 70. Stairs & Rails 71. Fireplace or Stove, Clearance -Hearth 72. Elec. Outlets at Wood Panel, Int. & Ext. 73. Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance 74. Elec. Outlets & Receptacles at Kit. Counter 75. Garage Fire Door; Swing -Landing -Closure 76. A.C. Duct in Garage -Damper 77. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 78. Plb.; Elec. & Mech. Equip. Listed for Location 79. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 80. Insulation -Foam -Looked in Attic 81. Guard Rails & Deck Construction -Post Caps 82. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 83. Following Instld./Drive O Yes ❑ No/Walks O Yes O No/Planters O Yes ❑ No 84. Stucco Brown -Finish 85. A.C. Unit Disconnect, Electrical -Plumbing 86. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 87. Water Well, Disconnect, Electrical, Plumbing 88. Exterior Elec. Trim, G.F.I. Receptacle -Underground 89. Ventilation Throughout House 90. Glass Protection 91. Corrections from Previous Inspections 92. Gas Test -Meters Tagged, Gas -Electric 93. Water & Sewer Connected -C/O to Grade -HD Approval 94. Energy Compliance Certificate -Other Certificates 95. Address Posted 96. Fire Sprinkler 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: J=OK 0 = Not OK . NotApplicable Not Ready DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O -Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap;-/ /" L'ft. / P Nat. or / /" L "ft./ P LPG 7. Well Clearance & Disconnect 8. Utility Clearance 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date 12. Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s Card B-1 Date Card B-1 1. Zoning Requirements -Setbacks -Easements Card B-1 Date Card B-1 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch 11. Cert. of Occupancy 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche Date 12. Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PERMANENT END SYSTEM (ONLY) Card B-1 Date Card B-1 1. Zoning Requirements -Setbacks -Easements Card B-1 Date Card B-1 2. Footings; Size -Spacing -Marriage Line 3. Blocking 4. Gas; MH Test -Demand -Valve 5. Electricity; MH Test 6. Water; MH Test 7. Water and Sewer Connected 8. Gas and Electricity Tagged 9. Exits 10. License Decals 11. Verify #'s with Office Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Beams- Rftrs-Connectors Shthg-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. F .Sills-Anchors-Studs-Rftrs-Trusses Sidin Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosures- Panelboards-Ins. to Main Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche 12. Enclosure; Fencing -Alarms Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 r) BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 FAX#: (530)538-2140 WEBSITE: www.buttecounty.neAdds PERMIT NO. BP043080 LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date: 10/21/2004 APN: 041-420-004-000 the Business and Professions Code, and my license is in full force and effect. License Class: License Nu r: a21�1�l Site Address: 3855 W BRANCH LN BTV Date: b' l -v Contractor. Map Index: Description: VINYL SIDING OWNER -BUILDER DECLARA N I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a Owner: MEANS CLAUDE E &DAWN ROCHELLE permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of 3855 WEST BRANCH LN the Contractor's State License Law (Chapter 9 commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or OROVILLE, CA she is exempt therefrom and the basis for the alleged exemption. Any 95965 violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): ❑ 1, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an Applicant: SEARS HOME IMPROVEMENT PRODUCTS owner of property who builds or improves thereon, and who does pp such work himself or herself or through his or her own employees, INC provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of 1024 FL CENTRAL PARKWAY proving that he or she did not build or improve for the purpose of LONGWOOD, FL 32750 sale.): ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). Contractor: SEARS HOME IMPROVEMENT PRODUCTS INC ❑ 1 am Exempt under Article 3 of the Business and Professions Code Date: Owner: 1024 FL CENTRAL PARKWAY LONGWOOD, FL 32750 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 License #• 721379 Labor Code, for the performance of the work for which this permit issued. I have and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of Architect: the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Engineer: Carrier: Total Square Ft: 0 S. F. Policy #:�,-o—CrL1.O ❑ 1 certify that in the performance of the work for which this permit is issued, 1 shall not employ any person in any manner so as to Valuation'' $0.00 become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall Census Code' forthwith comply with those provisions. .i Date: / Applicant: WARNING: Failure to sec e )wrkers' compensation coverage is unlawful, and shall subject an yer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the This permit is hereby issued under the plicable provisions of the Butte County CodR and/or Resoluf n o do work indicated ab ov or w ich fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) O a i! el /,04d Name: B : Date: f 1 Address: PERMIT EXPIRES ON: tJ (Date) ❑ I hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly a horized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any o rm or document of Butte County. I hereby authorize representatives ofButte County to enter upon the above mentioned property for inspection purpo os. Print Name:. u� "'_� �J ��N� ` —cv\ Signature: 1 Date: 1 (7 L— C) L 1 V 0 Owner 0 Contractor 0 Agent for Owner gent for Contractor BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 FAX#: (530)538-2140 WEBSITE: www.buttecounty.nefldds PERMIT NO. BP043080 LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date: 10/21/2004 APN: 041-420-004-000 the Business and Professions Code, and my license is in full force and effect. n License Class: License Nu r: o`l�j�� Site Address: 3855 W BRANCH LN BTV �o` Contractor. Date: l_0 Map Index: Description: VINYL SIDING OWNER -BUILDER DECLARA'UhN I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a Owner: MEANS CLAUDE E &DAWN ROCHELLE permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of 3855 WEST BRANCH LN the Contractor's State License Law (Chapter 9 commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or OROVILLE, CA she is exempt therefrom and the basis for the alleged exemption. Any 95965 violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an Applicant: SEARS HOME IMPROVEMENT PRODUCTS owner of property who builds or improves thereon, and who does pp such work himself or herself or through his or her own employees, INC provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of 1024 FL CENTRAL PARKWAY proving that he or she did not build or improve for the purpose of LONGWOOD, FL 32750 sale.). ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). Contractor: SEARS HOME IMPROVEMENT PRODUCTS ❑ 1 am Exempt under Article 3 of the Business and Professions Code INC Date: Owner: 1024 FL CENTRAL PARKWAY LONGWOOD, FL 32750 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 License #• 721379 Labor Code, for the performance of the work for which this permit ssued. ave and will maintain workers' compensation insurance, as uired by Section 3700 the Labor Code, for the performance of rinsurance Architect: work for which this permit is issued. My workers' compensation carrier and policy number Engineer: ,are: n r Cartier. ('.��a3� Total Square Ft: 0 S. F. Policy #:�_O R ri—GU.r,*N ❑ 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 Valuation: $0.00 become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall Census Code: � forthwith comply with those provisions. Date: �P — Applicant: WARNING: Failure to sec e w rkers' compensation coverage is unlawful, and shall subject an oyer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the This permit is hereby issued under the a plicable provisions of the Butte County Coda anrUor Resolut' n o dp work indicated abov or w ich fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.)/O a Name: B : Date: f PERMIT EXPIRES ON: j u Address: (Date) ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safely Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly a horized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any om4rm or document of Butte County. I hereby authorize representatives of ButteCounty to enter upon the above mentioned property for inspection purpo s. /f Print Name: ��l ��^ Signature: Date: ❑ Owner ❑ Contractor ❑ Agent for Ownergent for Contractor / '• BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OFAPPLICA TION "PLEASE PRINT CLEARLY" OWNER Last Name irst Na"t`�o d -p— Address 335 ')"c, L,t� Cityt1 0�'k` State � Zip C� Phone s p( 6o Fax E-mail CONTRACTOR ARCHITECT/ENGIN ER Name aJ2G. CS 74U' vt' dfw--. -iT ADJ Address 2?� A ; C�� Address City L i uP di/Y oro State�.4 City Zip 9a K SZ) -Phone 91& U(S 490 a y/`i RI y -t E-mail Lic• # /• -4-qCS , H K—' APPLICANT NAME ARCHITECT/ENGIN ER Name CityC C Address Zip e/.s-� City Fax J/ �o 4.f. -3 'e 1 // 24 State Zip Phone Lot # Fax E-mail Date Approved: State license Number APPLICANT NAME Name U //� AddressL/ &U ;�/�► E�'iZ�l G^ CityC C State"I Zip e/.s-� Phone g�G j j / �f2Co Fax J/ �o 4.f. -3 'e 1 // 24 E-mail G-YI -fA) APPL/C; SIGNATURE X For office use only: AP# (0 / // _ y/ Z /y'1 , 00 L/ C� Zoning Flood Zone SRA I Yes I No Occ. WORKER'S COMPENSATION Type Const. Subdivision Name If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. Map Book Page Lot # Planner Date Approved: PERMIT NO. BP BIN # LOCATION AP# (0 / // _ y/ Z /y'1 , 00 L/ C� Property Address �S 5W, City Cross Street WORKER'S COMPENSATION Policy Number Lu�6O(_lL�kk o2� t Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY -lam Address OVER FOR SUBMITTAL REQUIREMENTS U K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc Page 1 of 2 Description or Scope of Work: i Ski r - CV tt o 1 e Vi dC/Se Sq. Footage 0 Structure Built without Permits 0 Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not o� Received by: Amount: 22 Bldg Receipt #: —Sheriff %q6C/� SMIP Date: ` Other /�/ 16`1 � c' Total REV 7-27-04 SUBMITTAL & PERMIT REQUIREMENTS The following drawings and specifications must be submitted to the Building Division in order to apply for a permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND /N INK ❑ 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. No graph paperl ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans (No graph paperl) OR Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 3. Engineered truss details and layouts in duplicate (if required). No faxes! ❑ 4. Energy compliance design and supporting documentation in duplicate. (Note: Not required for additions to mobile or modular homes.) ❑ 5. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 6. Manufactured homes: (A) Data sheets and installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. ❑ 7. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate (if required). ❑ 9. Site plan and business license approval from the City of Biggs. ❑ 10. Letter of intent for non-residential buildings. ❑ 11. Detached Accessory Building Form filled out by the owner (if required). ❑ 12. Hazardous Material Form (for Commercial Buildings only). �13. Sanitation-and-site-pJan-apptovaLfrom-tbe-Envlronm.entaLHealtb_Depariment. Remaining items needed to issue the permit. Additional items may be required after Plan Check and Planning review (May require additional plan review upon receipt of the following items.) ❑ 1. Agricultural Buffer clearance and site plan approval from the Ag Commissioner's office (if required). ❑ 2. Impact Fees. ❑ 3. California Department of Forestry plan approval (if required). ❑ 4. NPDES Form. ❑ 5. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 6. Contractor's license information. (Number, Name Style, Classification). ❑ 7. Worker's'Compensation Carrier and Policy Number. ❑ 8. Owner -Builder Verification (if required). ❑ 9. Letter of Signature authorization (if required). ❑ 10. Recorded copy of Agricultural Acknowledgment Statement. ❑ 11. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner (for 433A's). If you have questions or would like additional information regarding this process, contact a Permit Application Assistant at (530)538.7541. EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after date of application. In order to renew action on an application after expiration, a new application, plans and fees will be required. REQUEST FOR FEE REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made within two years from the date of fee payment on permits not issued, and two years from the date of permit issuance for permits issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. OVER FOR BUILDING PERMIT APPLICATION KAFORMS\BUILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2 REV 7-27-04 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES a BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 PERMIT 'NO. BP061170 PERMITS BECOME NULL AND VOID 1 YEAR FROM THE DATE OF ISSUANCE, OR IF WORK IS DONE IN VIOLATION OF ANY COUNTY OR STATE LAWS. LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under Issued Date: 05/26/2006 APN: 041-420-004-000 provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.�°`'/ �_' License Number: `O L6 66 Site Address: 3855 W BRANCH LN BTV License Class: Map Index: Date: 0,06 Contractor: aTci U Description: IN -GROUND GUNITE POOL: MASTER OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the #500-01 Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior Owner: MEANS CLAUDE E &DAWN ROCHELLE to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 commencing with Section 3855 WEST BRANCH LN 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and the basis for the alleged exemption. Any OROVILLE, CA violation of Section 7031.5 by any applicant for a permit subjects the 95965 applicant to a civil penalty of not more than five hundred dollars ($500).): ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, Applicant: PERFECTION POOL AND SPAS provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of 172 E 20TH ST sale.). 95928 ❑ I, as owner' of the property, am exclusively contracting with 530-895-0437 licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). ❑ I am Exempt under Article 3 of the Business and Professions Code Contractor: PERFECTION POOL AND SPAS Date: Owner: 172 E 20TH ST WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: 95928 ❑ 1 have and will maintain a certificate of consent to self -insure for 530-895-0437 workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. License #: 566654 1 have and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Architect: Carrier: i' S TA-re� 't—UNY-) Engineer: Policy #: ❑ 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 Total Square Ft: 0 S. F. become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' Valuation: $0.00 compensation provisions of Section 3700 of the Labor Code, I shall Census Code: forthwith comply with those provisions. r 17. 0 6 Date: - A-feot -? Applicant: WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY This rmit is reby issued under applicable provisions of the Butte County Code and/or I hereby affirm that there is a construction lending agency for the of the work for which this permit is issued (Sec 3097 Civ.) Res utions do work indicate bo a for which fees have been paid. performance By: Date: -5S L� � Name: PERMIT EXPIRES ON: "2C P -r Address: ' Da et ❑ I hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Bu to County. I hereby authorize represent Ivesoff Butte County to enter upon the above mentio�need] property for inspection purpose . Print Name: A -e -o r ' �1/ Signature: 17 • a`-' Date: - ❑ Owner ra C-ntractor ❑ Agent for Owner ❑ Agent for Contractor B. C. Building Permit 01-15-04 pg 1 OROVILLE CHICO BUILDING / NVIRONM AL HEALTH LAND DEVELOPMENT - PERMIT CLEARANCE OWNERS M T/ NAME �'J/ / /7 PRINT LAST NAME FIRST r� ADDRESS / LOCATION:,:?F- ✓.S a,z) 1dw' e'l`' i Bulldln8 Pamlt Na NUMBER % 7a� ' el 0, `7 C&Arzc 9D COUNTY ZONING DESIGNATION: ��e/%%// FLOOD MAP: � � FLOOD ZONE APPROVED: CONDITIONALLY APPROVED: RESOLVE PROBLEMS PRIOR TO APPROVAL: DEED INFORMATION: PARCEL CREATION BY DEEDS V OR MAP DATE OF CREATION: 2 A3 DEED REFERENCE Z 7% 0R- LEGAL ACCESS PROVIDED: YES NO LEGAL ACCESS REQUIRED: YES NO .. COMPLIES WITH COUNTY STANDARDS FOR DEED CREATION: YES NO COMMENTS/CONDITIONS:-1//f" MAP INFORMATION: DATE OF RECORDING: LOT BOOK PAGE COMPLIANCE WITH OLD SUBDIVISION LOT ORDINANCE REQUIRED? (MAP RECORDED PRIOR TO BOOK 17 OF MAPS AT PAGE 23): YES NO. IF YES. MARK APPROPRIATE ITEM(S) BELOW: - A Construct road to B. Meet pamel size required by zone. C. Meet cum t E.H.D. regtdlfawa tL CHECK SPECIAL CONDITIONS WHICH APPLY TO MAP: ALL FRES TO BE PAID TO THE BUILDING DIVISION f11M.B9s O1fNrs?� 1. Maintain a 50 R bk�dp setback from centedfine of road. - �2. Maintain a R bumv setback from may/cented ine �'_ L �'�- F-4 _ 3. Comply with Zoning code for buftV setback from road. _ 4. Maintain a 100 fL leadtlleld setback from all e)dsdng wells. —5. Maintain a R leachfield setback from — e. 8. Pay water tender fees in the amount of $ to Battalion Number of the Butts County Fire Depubr" —7. Meet the Fire Safe Regulations of Butte County and P.R.C. 4290. —8. Conned to a public water supply. —9. Conned to a public sewer system. —10. Automatic fire suppression sprinkler systems shall be Installed In all residential structures In s000rdanoe with IN Nall" Fie Protection Association Standard for the installation of sprinkler systems in one and two family dwoMrgs and rttobis 101 NEPA Standard 130, unless a pressurized community water system, with hydrants that meet Fire Department spedfiCId". aerM the parcel. -11. Pay T.D.D. (nWmaft Drainage DWU" fee In the amount of $__ — 12. Meet the requirements of the Department of Fish and Game for the preservation of oak trees. (,040 phone number below) —13. Obtain approval from the Department of Fish and Game for vegetation removal. Contact Fish & Game at 916.355-7010. —14. A traffic mitigation fee for each new or additional living unit shag be paid. Pay the amount of $ as stated In the OrovMe Area Traffic Mitigation Fee Agreement. Payment to be made to the Planning Dh*fon. —15. AN new residential WWkw shad be ometructed to oon* wfth the requfrements of the Uniform Bulft Code for sekft safety. MObOO homes shah be constructed On 8 Permanent foundation system which cornpOss with the Seismic Zone 3 requiremerft of the Uniform BLdkfkV Code. —16. Dow Mitigation fees are to be paid. If such fees have been adopted by the Butte County Board of Supervisors. _.17. Pay schod Impact mitigation fees. -,18. A drie1opmerit kfpO fee for el w %cM%s be paid pursuant to the provisions of Chapter 3, Ardde 11 of the Butte county Code. — io. Wood doves and firepiece Inserts shag be EPA approved and designed to mod the emission requirements of In Caffwrda Clean Air Ad of 1968 a amended. — 20. If any mAturet reswces are encountered durkV Wound dWWftV adMdes, d work shad cess In the eros -of the And perdW mmmination of the site by a proftesions! archaeologist This person would then be able to mese the site LWftance and suggest, qWoprkft mitigation measures. —21. —22. _ 23. —25. —26. AIG INWM013A30 ONVI . ULM 1r) Lkli,4665 6661 t I 8 3 J C13AI3:33H LID 6= FORMS%BLDG PERMIT CLEARANCE W 0 Z a a a w O m Q pp� Signa I BUTTE COUI BUILDING, DIVISION APPROVED 7 t E. Residen 26' 146' 4Iresiden7ceexisting barn 0 J J J JJ J JJ 2. y J J 5 94' D 8 r 4 0 708' 2 7 septic tank and leach field 225' v I e a I � I y 752.17 ABOVE PLOT MAP NOT TO SCALE CLARK ROAD FISION - BUILDING PLAN APPROVAL Date: Landscaping: 94, J J Claude & Shelly Mean 3855 West Branch In Oroville, CA 518-2561 Owner J Pool General Specifications size: 381 X 19' Perimeter: 118' Square Footag(621' Depth: 3'-8' Filter: 48 Sq. ft. DE Pump: 2 speed wsprflw Skimmer model: Sta-Rite Deck:600' kooldeck Main Drain: Double Light:white Clocks: Goldline Electrical byUS Electrical bonding: Perfection Pool Cleaner: PolariS 280 .Chlorinator: turbo cel Board: n0 Slide: no Plaster: grey umbrella receptacle - _6p.9106_100 BUTTE COUNTY BUILDING DIVISION J APPROVED J 1/8"=1' PERFECTION lic.#566654 J 172. E. 20th Street, Chico CA 530.895.0437 i I I I I i