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041-430-014
41=43=14 STANLEY R. PARKER (Flood plain notice ltr, 4/15/83) 041-430-014�w 01-1472 EAGAR, ELLA 1 %� CLARK RD. ORO ILLS CONT: OWNER ' — � ---0ELEC FOR FUTURE LOT REVEL P 041-430-014 02-0327 IN ED EAGAR, ELLA M OROVILL _I 283 CLARK RD, NSF, EFFICIENCY DWELLIN 041-430-01.4 AG 01-49 EAGAR; ELLA' ,;?83/CLARK RD CHICO AG EXEMPT PERMIT . r • a i r r - , E L t J NOTES fa d RESIDENTIAL \/ 041-430-014 02-0327 EAGAR, ELLA M 283f CLARK RD, OROVILLE I NSF, EFFICIENCY DWELLING 0 SPECIAL CONDITIONS CHECKED . BY SRA` FLOOD CERTIFICATE REQ: FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER OFFICE COPY Address GAS ' Meter B MePrB, w b S: k j t t :1 t fa d RESIDENTIAL \/ 041-430-014 02-0327 EAGAR, ELLA M 283f CLARK RD, OROVILLE I NSF, EFFICIENCY DWELLING 0 SPECIAL CONDITIONS CHECKED . BY SRA` FLOOD CERTIFICATE REQ: FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER OFFICE COPY Address GAS ' Meter B MePrB, Dat ELECTRIC Meter By Date Oz JOB FINALED (Date) Signature ./ = OK 0 = Not OK - = Not Applicable * = Not Ready FRAMING (Continued) RESIDENTIAL (: Date_,Underfloor 47. (Plans) OK except #'s i s Type A Flue -Fireplace Throat Clearance Z ' g -Setbacks -Easements -Flood -Slope Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 50. Ftg., Main; Soils-Elec. Grnd.-// 2-efitg. Depth 51. 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ P' Fig. Depth Property Line Firewall & Openings 4. Ftg., Porches & Decks; Soils -Steel-/ P' Ftg. Depth 54. 5. Stemwalls, Main; Sfeel- Blockouts-Wrapped Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 57. 6a. Hold Downs and Special Anchors O2 •� $,06fab, 8. Steel -Wrapped Piers -Fireplace Ftg.-Steel 60. 9. D.W.V.; Fail -Fitting -Test -2 Way C/O -Sewer Test Insulation al s- mgs 10. UF, Gas Pipe; Size Anchors - Yard Gas Piping; Size Test 11. Water Pipe; Test -Anchors -Regulator -Service Test Card B-1 Date Card B-1 12. Electric Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists- Vent s-Crippies 15. Access & Ventilation 16. Insulation Date Date Card B-1 Date Card B-1 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 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 23. Fixture & Transformer Clearance -Ins. Protection 24. Elec. Receptacles Spacing -Lights & Switches at Doors 25. Size Boxes & No. of Conductors Stapled 26. Romex Installed Close to Edge of Studs & C.J. 27. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water 28. 2 Appliance Circuits in Kitchen & Conductor Size GFI 29. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or At 30. Range Circle / / ga Cu or AI -Oven Circ. / / ga Cu or At Insulated Neutral ❑ Yes Q No 31. Service -Riser Conductors & Ground Main Disconnect 32. Equip. Clearances Panels-Motors-Mech. Equip. 33. Clothes Closet Light -Shower Light -Spa Light 34. Smoke Detector Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 35. A.C. Ducts Insulation & Support 36. Vent Fan, Exhaust above insulation 37. Condensate Drain & Overflow, Size & Grade 38. Furnace -Vent Access -Comb. Air -Return Air Vent 115 outlet 39. Attic Access & Platform if Furnace in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s 40. Sills Proper Materials & Anchors 41. Walls Studs -Nailing Spacing & Braces -Plates -Sound 42. Bearing Walls over Girders & Floor Nailing 43. Draft Stop in Walls (rat proof) 44. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 45. Headers & Beams -Size & Bearing 'ingle & Duplex) Date FRAMING (Continued) 46. Hangers -Post Caps -Anchors -Connectors 47. Cling. Joist-Rftr. Ties- Purlin-Roll Brac.-Truss-Shting.-Rfng. i s Type A Flue -Fireplace Throat Clearance 49. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 50. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 51. Garage Fire Protection Framing 52. Property Line Firewall & Openings 53. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 54. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 55. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 56. Siding -Nailing Veneer 57. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 58. Glazing Area -Glass Protection -Skylights -Plastic 59. Shear Walls; Nailing -Bolts 60. Brace Interior/Exterior Wall Panels 61. Insulation al s- mgs 62. Inf iltration-Walls-Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL P ns) OK except #'s 6�E ps-Door & Sidelight Protech n- ngs D Smoke or urnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection Bedroom Exiting F.I. & Bath Fixtures & Tub Access -Spa kiE68. EI . Trim & Subpanel, Breaker Sizes & Labels taus ai arance-Hearth Elec. Outlets at Wood Panel, Int. & Ext. it. Fixi. & Appliance; Ground -Air Gap -Cooking Clearance 17 ec. Outlets & Receptacles at Kit. Counter 44, ng -Landing -Closure 75. Garage -Damper 7 Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garace: Above Floor-Mech. Protection 7 Ib., Elec. & Mech. E Listed for Location 7 e (F. F.I.)-Romex Protection 7 oam-Looked in Attic Igif rd R ' D #*.-fMrV9_en_ts_r7ra_w7 Hole Door Drainage & Wood -Earth Clearance Looked under Floor Yes 82. Following Instld./Drive :!Yes alks J Yes lanters J Yes a40-_ o ro - finish Electrical - /8.', . ents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings /+8 ater Well, Disconnect, Electrical, Plumbing 6 xterior Elec. Trim, G.F.I. Receptacle -Underground 18 ntilation Throuqhout House 90. Corrects from Previous Inspections eters Tagged, Gas -Electric tef& Sewer Connected -C/O to Grade -HD Approval erav Comoliance Certificate -Other Certificates Address Posted Date Card 6-1 Date Card B-1 Da!e,.ZK 03 Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: /= OK 0 = Not OK �NotApplicable MOBILE HOMES = Not Ready 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./ PLPG 7. Well Clearance & Disconnect 8. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 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 12. Permanent Foundation Only; License Decal t 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. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; 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 FINAL (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 in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 COUNTY OF BUTTE i; BUILDING DIVISION t DEPARTMENT OF DEVELOPMENT SERVICES i ' 411 Main Street • Chico, CA • (530) 891-2751 .7 County Center Drive • Oroville, CA • (530) 538-7541 .r CORRECTION NOTICE g ✓ 6 2 C>73 2- 7 OWNER f PERMIT NO. A routine inspection indicates that the following violations of butte county Ordinances exist at the above address and should be corrected. Please notice this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please col t this office immediately. C n;L v.... ,J ed - v it : C7 !r / Q rY�r� c.. a. v �1 Olno v u -*c '" QA,f / n > .tL / 4 /, , v <-_ , u Date �_ �� — Inspector 4 //*-r REV 10/92 �..o� j COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street - Chico, CA - (530) 891-2751 7 County Center Drive - Oroville, CA - (530) 538-7541 CORRECTION NOTICE OWNER PERMIT NO. A routine inspection indipatg that the following violations of butte county Ordinances exist at the above address an ould be corrected. Please notice this office when correction of work is completed. If have any questions pertaining to this matter, or need additional explanation, please co ct this office immediately. L i 0 4e f . dJv'v it;CL _ i -,'t <I IC, //— /—,I 0 Date Inspector REV 10/92 t � COUNTY OF BUTTE BUILDING DIVISION F DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street - Chico, CA - (530) 891-2751 7 County Center Drive - Oroville, CA - (530) 538-7541 N . t ' CORRECTION NOTICE b Z -- 03 Z OWNER / PERMIT NO. A routine inspection indicates that the following violations of butte county Ordinances exist at the above address and should be corrected. Please notice this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. r Date ` 7 Inspector/ P REV 10192 COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street - Chico, CA - (530) 891-2751 7 County Center Drive - Oroville, CA - (530) 538-7541 CORRECTION NOTICE o3L 7 ER PERMIT NO. A routine inspection indicates that the following violations of butte county Ordinances exist at the above address and should be corrected. Please notice this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. k Date 41 1b b 2--- Inspector / '~ I REV 10. 2 COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES t 411 Main Street - Chico, CA - (530) 891-2751 7 County Center Drive - Oroville, CA - (530) 538-7541 CORRECTION NOTICE t�. OWNER. PERMIT NO. A routine inspection indicates that the following violations of butte county Ordinances exist at the above address and should be corrected. Please notice this office when correction of work is completed. If you have any questions pertaining to. this matter, or need additional explanation, please contact this office immediately. Date Z Inspector�� REV (Rev. 12/96) COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 APPLICATION AND PERMIT 02-0327 PERMIT NO. ASSESSORpppCEL 4_ 014 t VELLlL�A ZH1C°2 1/2 BUILDINGPERMIT OWNER M EAGAR T'-aT-!b368 ,�C} SO. FT. OCC. BUILDING VALUATION .OWNERS "p rtUs7868, CHICO 95927 864 R 46 656.00 CONTRACTgV*plpt$fc TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation $ 46 656.00 ARCHITECT OR ENGINEER LICENSE NO. -FilingFee $ 20.00 Permit Fee $ 395.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 256.75 BUILDING ADDRESS 2830 CLARK RD, CHICO Energy Plan Checking Fee $ 23,00 $ PERMIT FEE $ 694.75 LOT NO. SUBDNISIOWS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF [X Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 5 7.00 35.00 Solar or heat pump water heater 23.00 Water piping 15-00.15.00 Each as water heater or vent 15.00 15.00 TYPE OF WORK New EX Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: NSF (EFFICIENCY DWELLING UNIT) Gas piping system t - 5 outlets 15.00 15.00 Building sewer 15.00 15,0 Mobile Home IS I G I W 920.00 PERMIT FEE $115.00 ELECTRICAL PERMIT Fling Fee 20.00 800V OR LESS Main Service 200. OR LESS 23.00 3.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.POWER License Class 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 IOooA 46.00 NEW CONST. OW %NG OCCUP. S ORADDNS. ( a.cC. BLD.. 3.52FTO: 0.25 r1Oµp�ID ' MULTI.OUTLET @7.50 APPARATUS 6 SINGLE OUTLET CI R. 20 @ 1.00 OUTLET OR FDRURES @ Ex. Occu flAL .sD ED Ex. Occup. Gflur Aa GRA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE S 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 gas 1115.00 15.00 Cooling Hood 1 6.50 6.50 Ventilation PERMIT FEE $ 41.50 Policy Number (The above sections need not be completed R the permit is for work of a valuation of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X �`�j� r,� 0 � / /l -mil _ Date Signature of Applicant - w er ❑ Contractor ❑ Agent An OSHA permit is required f cavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee I $ Energy Inspection Fee $ 45.00 Occ R3 CONST. TYPE VN TOTAL FEE $/970.50 HAz °� I co 711E1_ EL HD ISSU This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do indicated above for which fees have been paid. B ate � z AAiw�74� Y �? PERMIT EXPIRES ON 2 K> De work q ReceiptNo. 343229/$970.50 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT d E.H. USE ONLY Plot Plan Attached f Floor Plan Attached Sent to IIAI— L _/r�5- i TO: Building Department FROM Environmental Health SUBJECT: Sanitation Clearance k _a D z sr� CI,4 2 2� �1g13 -- / y Owner Location AP# Plan Approved for: Sewage Disposal� Water Su Iv: Public Private Well Clearance for dwelling. Other F?I)j OA tU)4--, 11,0 Q 1M 1 -fL Hold final for: Final clearance O.K. for: NOTE: Y nmental Health Specialist 8/96 Date ♦T r T , ' V�1 COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center D'we, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 P RMIT APPLICATION DATA SHEET OWNER: ; AS SORPARCEL NUMBE Proposed Building Use: ( ` &04Technician: " { Date: tems required in order to apply for ermit. All boxes MUST be checked R ar_ked NA in order to apply. 9 PP Y P 0Plot plans, 3 or 4 sets, signed by the preparer of the plans. Complete plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. �4. Engineered truss details and layouts in duplicate. No faxes! , W- 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 by the engineer. 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 ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate ................................ ❑ 9. 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.) Fees as shown on the attached Schedule of Fees Due Sheet ....................................... 5. Statement of Intent for Non -heated and A/C Buildings...................................1. M. R`6. Sanitation and plot plan approval from the Environmental Health Department in 1 y ✓ Z- 17. City of Chico Plumbing permit ......................... ..., 15 r......... 2 California Department of Forestry plan approval (pai Sent by: �.:..�.9.: G 19. Planning approval for (A) Use: c3 I< (B)Parking: (C) Phar e 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 ..............:.............................. Owner -Builder Verification (❑ Given to owner, ❑ Mailed to owner) ..................... 6. Letter of'Signature authorization.................................................................... Recorded copy of Agricultural Acknowledgment Statement .................................... ❑ 28. Manufactured home utility clearance............................................................... ❑ 29. Existing violations and/or expired permits......................................................... ❑ 30. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $ ❑ 31. Other: When issued Telephone and hold for pickup. I have been informed oft e a ove items an requirements for obtaining a building permit. Applicant: a Date: 1. Index permit application for the ab3 e'ttems 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, ❑ coun , b Date: Plans reviewed by: Date: Plans approved by: Date: Structural reviewed by: Date: Structural approved by: Date: Note transfer by: A=bate:ZIK4�' bo Date: Wf1bwVBui1Mng Division j�v��(4v(�T 'iw�/)�"ry�y-,�•j+Xi; `,�1'. }Xgi.;f.'_TJ�'� �'^'^p�`�' th'jjj'fiF.'cwwnj,,,. �Sryyti, 'a,ai",.,�'.�'w-��"&jy�.�'�s„� "z__.��7�t�/ ���.ifi.,� aS r�° BUTTE COUNTY PARK FACILITY FEE PAYMENT CERTIFICATION FORM DURHAM RECREATION AND PARK DISTRICT Assessor Parcel Number Property Owner (s): (/- Project Location/Add Subdivison Name: Type of Residential Development (check one)`. New Development Alteration/Addition ❑ Mobile Home.(s) U.Non-Residential to Residential r. v Durham Recreation and Park District (DRPD) certifies that t-7 . Z Applicant Name Applicant Phone Number . Y f A 2S 3e) ILq'ell— 2 Address City State ' CI�cI6d— Zip Code i Ef has complied .wit-h4he requirements of the Butte County. Board of Supervisors Resolution No. 93 - 114 by payment for square feet at $ 1.04 per square foot for a total payment,.,,, of$ PAID BY CHECK No.: - Remarks: BANK No.: 9b -3:A-7-4- PAID BY CASH: 541 RECEIPT NO.: q gra 41 3 0 / Oate DISTRIBUTION: WHITE - APPLICANT PINK - DRPD YELLOW BUTTE CO. BUILDING DIVISION iBUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM Of (6ne form per Building) School District � ,, Building. Department No. P A:P. Number / Jurisdi Z2: City I x (County Property Owner Property Location/Address a Subdivision Lot No. ........................................................................................................... Residential Development PLiving Sq. Footage No oMobile Home Addition/ *Supplemental to [ (Group R) Units Installation. Conversion Permit # '(No foundation inspection): W wioor runs reviewea Dy Scnool uistnct Personnel) h,District Identification No. bU P—h4x 'YI UN ,—'Ien> School District certifies that r (Applicant) Sao C A> 8 3 $ (Street Address) (Phone Number) i1A Ile (City) { �` (Slate) (Zip Code) has complied with the requirements of Resolution No. by payment of $ % % �• tel/ representing 8� `f square feet. JAB 2926 $ . M FULL MITIGATION $ l � D School District Representative „Date ' Sq. Footage (Including Exterior R oofed Areas) Date Paid by Check # Remarks: • t t r Ly Notice: You may protest the imposition of the fees identified above by submitting a written protest to the District, in compliance with Government Code Section 66020(a), within 90 days from the date fees are paid. Failure to submit a timely written protest will prohibit you from challenging the imposition of the fees in any court action. \ If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act (CEQA), this project may be subject to additional school fees to fully mitigate its impact on the school district's schools. White (applicant), Yellow (building department), Pink (school district) feeform.xls (10/98)dmm COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541 SCHEDULE OF FEES DUE /� %) OWNER. , A.P. # U4" _436 PROPOSED BUILDING USE Xu1&nqo Oagwo DATE O RECEIPT # DATE REC. 1. BUILDING PERMIT FEES --Balance Due ........................................................ $ --Additional Fees Due ............................................ $ --Additional Fees Due ............................................ $ --Revised Plan Checking Fee .... ...................:...... $ OVA�.2. SCHOOL DISTRICTF S'�a (paid at District Office) � -�- �� 3. SHERIFF FEES (paid Building Division) Residential .................................... x $360.00 = $ ( CI Units Commercial (sq. ft.) ...................... x $0.03 = $ Sq. ft. 4. URBAN AREA FEES Residential ............................ x = $ # Units Amt. Commercial (Sq. ft.) ............. x = $ Sq. t. mt. 5. RECREATION DISTRICTJE6%ZR ay" 6. THERMALITO DRAINAGEES // $510.00 (paid at Building Division) 7. SRAFIRE INSPECTION AND PLAN CHECK $89.00 (paid at Building Division) ' v P g 8. WATER TENDER FEES (Battalion # ) $200.00 (paid at Building Division) 9. 'CSA 87 TRAFFIC FEE $2500.00 (paid at Building Division) 10. OTHER At time of permit application, I was advised the above fees are required to be paid prior to issuance of the building permit. These fees may be changed during the plan checking process. APPLICANT C � Gil. — DATE 52 1 O a Pursuant to Government Code Section 6602 u are hereby notified that items 2, 3, 4, 5, 6, 7, 8, 9, and 10 above may have been imposed on your project. You have 90 days from the date of approval of the project or from the imposition of the above mentioned items during which you may protest. The requirements for a protest are specified in Government Code Section 66020(a). Original - Building Div. 2nd Copy - Applicant 3rd Copy - Owner (Rev. 6/00) 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 HAVE HAVE NOT El signed an application for a building permit for the proposed w�odc. 3. I have co tracted with the following person (firm) to provide the proposed construction: NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: NAME: ADDRESS: CITY: PHOS: 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: SOCIAL, SECURITY NUMBER:� DATE: �/ &�oa NOTE: This Owner -Builder Verification is required ,by Section 19831 and 19832 of the California Health and Safety Code. This verification must be compkted and returned to our office before we are permitted to issue the permit OVER I OWNER BUILDER INFOPUNIATION 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 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 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 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 cant' 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. 41vtgaerC,�BVuii1diiing ly, X�1 C.B.O. Inspection NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safely Cade- OVER oda OVER AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE, CA 95%5 2002—ca00-77E68 Recorded Official Records County Of BUTTE CANDACE J. GRUBBS Recorder ROSEMARY DICKSON Assistant 02:29PM 14 -Feb -2002 REC FEE 10.00 COPIES 1.50 PENALTY 6.00 Cindy Page 1 of 2 AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT FOR RESIDENTIAL DEVELOPMENT Section 26-8 of the Butte County Code required this acknowledgment to be recorded prior to issuance of a building permit. The property described herein is adjacent to land or included within an area zoned for agricultural purposes, and residents of this property may be subject to inconveniences or discomfort from the use of agricultural chemicals, including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricultural purposes and residents within said zones and on adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm operations. All that real property situate in the County y� of Butte, State of California, described as follows: Lr GLS �l/vTT'?/l�P/J/ L� � gee(_? ZZ CfiH� �''�f6 it_eP� �5Jct 537.ell 7LP �vs e �ocsS G?�/ /GZ;S- � / /3'7 z dye ,172, 4 �Gr�e ���,--eG�r� ��� c�eo���� • 5�� � d' sf ee-���� �G%r-� Date 0 O�e 2 PROPER ,WNERS: � State of Califirma Countyof On 2-0•� before me, / G'iA d�Aid'eI /I/d'n./'N L,-U4111G a/t— — known -to -me (or proved to me on the bast's of satisfactory evidence) to be the person) whose name(s)*Iare subscribed to the within instrument and acknowledged to me that lielshe/thef executed the same in "er/thAr authorized capacity(ibfi), and that by lislher/Wh 4r signature(s) on the instrument, the person(i4jor the entity upon behalf of which the person(04 acted, executed the instrument. WITNESS my h2nd anP official se AAOAAAAAAA SLiZBLA1R L. HERMAN gnature p°2 Seal: rq COMM.i 1207756 NOTARY PUBUC CAUiORMUI N. i COUNTY OF BUTTE Comm. Expires Feb.7, 2008 to A.P. # al-tlt ' C.e/ir'•DD GiL, lil�.t(/ ��CL � �f�OrJ 9- 1-3 6-e, p.1 r LOERKEIIVSUL.ATIVN`CO,INC. INSULATIOtd•CERTIFICATE MEMO'L� rot �guTdmsion �uinber DESCRIPTION OF INSTALLATION 1. ROOF Matedid Thickness (inches) 2. CEILING Brand Name Thermal Resistance (R-Value)— Batt RValue) Batt or Blanket Type lass t3afts Brand Name Johns Manville Thidams (inches) ( __-- Thermal Resistances (R -Value) R 38C, Loosefill Type Fiberglass Brand Name Johns Manville Conbactods min. butailed weightlR sq. tb. Minimum Thiftess —. inches. Manmmfactureft installed weight per square foot to achieve Thermal ResLq Moe (R Value) 3. EXTERIOR WALL Material ElbArglass Batts Thicicrtess (iches) t'3' 4. RAISED FLOOR [Material Fllass Baits T hMaiess (inches)-- 5. inches)5. SLAB FLOOR J PERIMETER Material Perimeter InsWalion Depth (ies)-- 6. FOUNDATION WALL Brand Name Johns Mamd'lle , — Thermal Reslslance (R Value) a Brand Name Job= AManWile -- Thermal Resistance (11 -Value) Brand Name Thermal Resistance (R Value) Material - Brand Name Thickness (inches) - Thermal Resistance (R -Value) -- DECLARATION 1 hereby cer�jr that the above insulation was installed in the buildiW11t above location in conformance t with the churerhi Energ Effici for r®s t+�at bur �4,Paprt 6, California Code of RegWations) as irhdiwed on theof oomptmve, where • , C.L.#499150 A -A'& Item Vs . gn ume, ba -9 Item Signature, -te— m Bute LOERggKEu�INSULATION CO.. INC. G>,eneralnCaritracbor (Co Name) Or Owner n �� for , ame General rector (Co. e' Or Owner Installing Gr eneral Contractor (Coame) O8 r Or r u, �guTdmsion �uinber DESCRIPTION OF INSTALLATION 1. ROOF Matedid Thickness (inches) 2. CEILING Brand Name Thermal Resistance (R-Value)— Batt RValue) Batt or Blanket Type lass t3afts Brand Name Johns Manville Thidams (inches) ( __-- Thermal Resistances (R -Value) R 38C, Loosefill Type Fiberglass Brand Name Johns Manville Conbactods min. butailed weightlR sq. tb. Minimum Thiftess —. inches. Manmmfactureft installed weight per square foot to achieve Thermal ResLq Moe (R Value) 3. EXTERIOR WALL Material ElbArglass Batts Thicicrtess (iches) t'3' 4. RAISED FLOOR [Material Fllass Baits T hMaiess (inches)-- 5. inches)5. SLAB FLOOR J PERIMETER Material Perimeter InsWalion Depth (ies)-- 6. FOUNDATION WALL Brand Name Johns Mamd'lle , — Thermal Reslslance (R Value) a Brand Name Job= AManWile -- Thermal Resistance (11 -Value) Brand Name Thermal Resistance (R Value) Material - Brand Name Thickness (inches) - Thermal Resistance (R -Value) -- DECLARATION 1 hereby cer�jr that the above insulation was installed in the buildiW11t above location in conformance t with the churerhi Energ Effici for r®s t+�at bur �4,Paprt 6, California Code of RegWations) as irhdiwed on theof oomptmve, where • , C.L.#499150 A -A'& Item Vs . gn ume, ba -9 Item Signature, -te— m Bute LOERggKEu�INSULATION CO.. INC. G>,eneralnCaritracbor (Co Name) Or Owner n �� for , ame General rector (Co. e' Or Owner Installing Gr eneral Contractor (Coame) O8 r Or r 0 • - T COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive Oroville, California 95965 •Telephone (530) 538-7541 fflMIT .0No. (Rev. 12/96) APPLICATION AND PERMIT W rA ASSESSOR PARCEL NLMBER_ 4/30 .� ZONING BUILDING PERMIT OFTELEPHONE SO. FT. OCC. BUILDING VALUATION OWNEfiS IU DRESS Ty f X CONI - R'S NAME IIELEPHONE 3-533 CONTRACTORSU ADDRE S CONSTRUCTION LENDER Fireplace I A 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 $ BUILDING ADDRESS (^'330 q30 (20Qn_k r Energy Plan Checking Fee $ . i L PERMIT FEE $ , LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF X 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: l (}1i�{'�, Gas piping,system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE S ELECTRICAL PERMIT Filing Fee 20.00 OOOVR LE Main Service 2DOA OR LESS 23.00 ' LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.POWER License Class 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. ❑ 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO I000A 46.00 NEW CONST. DW EWNG OCCUP. SO OR ADDNS. ( a ACC. BLDS. 3.50FT. NO .RESIDT. MULTI.OUTLET @7,50 APPARATUS a SINGLE OUTLET CIR. EX. Occup. OUTLET OR FIXTURES BAL @.00@ I. 0 Ex. Occup. OuxED PPM.) � 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE S 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. �t l 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 c%.6sTir r,_i w7 Policy Number r�hlyi/ rr7� 0 I (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'HAZ. 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.. /iutte X /, —� ; `��/ Date 6/26/6 a.-- Signature of'Applicarit - ❑r/Owner O- Contractor ❑ Agent' An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. 4 MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ CONST. TYPE OO TOTAL FEE $ 56. rT�hispermit D. F IMP FLOOD CDF PARCEL Po HD IS UE is hereby issued under the applicable provisions County Code and/or Resolutions to do work indicatedeabove for which fees have been paid. ` By /- Date PERMIT EXPIRES ON 6 1U Q_3 Date r Receipt No. 3-T-i7� 5" 5s, IP'` WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT 041-430-014 02-1502 EAGAR,ELLA 2830 CLARK RD., OROVILLE CONT: GREG LEE WOODSTOVE .� BUILDING DIVISION COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: (530) 538-7541 AGRICULTURAL BUILDING EXEMPTION PERMIT PERMIT NO Agricultural building is defined as follows: Agricultural building is a structure designed and constructed to house farm implements, hay, grain, poultry, livestock, or other horticultural products. This structure shall not be a place of human habitation or a place of employment where agricultural products are processed, treated, or packaged, nor shall it be a place used by the public. S 47SCR PARCEL NO. ZONING OWNER M ( 61AJe_ PHONE NO. 93&2 OWNER'SADDRESS ct"- N ,/A) 2'7 LOCATION OF BUILD USE OF BUILDING SIZE OF STRUCTURE TYPE OF CONSTRUCTION: WOOD FRAME .� STEEL CONCRETE OTHER (Specify) TYPE OF SIDING woo D ROOF COVERING t c�O®� COtitP, FLOOR TYPE ESTIMATED COST OF CONSTRUCTION 3100D $ AG Buildings shall comply with the minimum front, side, and rear yard setback requirements of the applicable County Ordinances as follows: r ` FRONT SIDES REAR 2 - AG AG Buildings shall be a minimum of five (5) feet from any septic tank or leach fields. AG Buildings less than 1000 sq. ft. in floor area shall be located a minimum of 6 feet from a residence, 10 feet from a mobilehome., and 23 feet from a commercial building. AG Buildings greater than 1000 sq. ft. in floor area shall be located a minimum of 23 feet from a residence and a mobilehome, and 40 feet from a commercial building. I declare under penalty of perjury that the building will be used as stated about, and the purposed use confirms with the AG Building definition. If any change in use or occupancy of the building is made, I will contact the Building Division and obtain any necessary permits, inspections, and approvals to comply with the requirements in effect at that time and before occupancy. Date '41 84 Signature of Owner���� 7 C f V Permit Fee - $2260.0(0` p - The above described AG Building is exempt from a b Idiri ermit. Receipt No. 2 � `�► 0 -1 "1 TTY -5-6 PA'VL .D. RO ING F7 Manager Building Division /! By Date `( L White — DPW, Yellow — Assessor, Pink — B. I., Goldenrod —Applicant wwr r,- 'srww ter"Ile tcOUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALI4ORNIA 95965 - TELEPHONE (530) 538-7541 PERMIT APPLICATION DATA SHEET OWNER: 9,taA I tS_Q_CA_ ASSESSOR PARC Proposed Building U Building Inspector: i Date: (j / At time of ermit applicatio , I was advised the following data must be submitted prior to permit processing and/or issuance: Date Received By Allitems have been submitted .------------------------------------------------------------------------------------- ❑2. Plot plans, 3/4 sets, signed by the preparer of plans. ------------------------------------------------------------ 03. Complete plans, 3/4 sets, signed by the preparer of plans. ----------------------------------------------------- ❑4. 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! ------------------ ❑6. Energy Design Compliance and supporting documentation. ------------------------------------------- Y------- ❑ 7. Statement of Intent for Non -Heated and A/C Buildings. ---------------------------------------------``--------- "� ❑ 8. Hazardous Material Form.------------------------------------------------------- El ------------------------ -- - ❑ 9. Manufactured Home data and installation instructions including Tie Down Specifications. --------=J" -- ❑ 10. Fees of $-----==----=-`==---- ------------------------------------- ---------------------------- 0 11. Impact fees as shown on the attached schedule^= =____________________"___ _ ____________` -_ ❑ 12. California Department of Forestry plan pproval/ s. -------------=----------Z- ------=-- ---------- Ell .....------------------------ ----------=3�s'". ❑ 13. Flood elevation certificate. --------------=-===-----9------------ ---------- ------------=--------- -,- ❑ 14. Sanitation and plot plan approval »,.Health De -». ❑ 15. City of Chico plumbing permit. ------------==---------- `-. ❑ 16. Plot plan and business license approval from the City of: ❑ 17. Planning approval for (A) Use: (B)1Par ❑ 18. Contact Land Development abo t ❑ Improvements, El 1319. Encroachment Permit for drivewy (constriction approv, ❑20. Pre-inspec`tionfor '•I 021. Contractor's license information. (Number, Name Style, ❑22. Workers' Compensation carrier and policy number. ----- 023. Owner -Builder Verification (Given to owner ❑, Mailed 024. Letter of signature authorization. ------------------- ="`= =• 1 ,_11� ngV-- ------ . amage,.0-Iregal Parce1�,------------- --' --- pn r to.occupancy -,.;,;; ------ ------ iui&d'Request}to Buildme hmector on �``=----- -------- _ Classfficatfon):�=----�� ------- to owner ----------- -__----- 025. Recorded copy of Agricultural Acknowledgment State nt.--------------='=----'-`---------------=----- _ 1:126. Letter of intent on building use. ------ � - ❑ 27. Manufactured Home utility clearance.------------------=------------------------------------==: ❑28. Existing violations and/or expired permits.-----------=----:'---------------------------------------------- -- ❑29. ❑433 A, ❑Grant Deed, ❑ M.H. Title, ❑ Check to H.C. $ ----- (Date) E130. other: AWh�eissue the tprocess as follows ❑ Mail to owner, ❑ to contractor. ❑Telephone 3 (48-926a and hold for pickup at office. ❑ Deliver with inspector. kApplica�ntt:"_6�4't Date: L -p Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, ❑ Air Pollution Date: By: Copy of plans sent ❑ Health Department, ❑ Fire Department, ❑ Other: bate: By: 1. Index permit application for the above items numbered: ❑ 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. f �w 0 J � SITE PLAN REVIEW APPLICATION Date: �l - 12— O I AP# Q y I— y 3 o— O Permit Number (if applicable) D - y A6 -- APPLICANT INFORMATION Parcel Size: 4 A L' - Owners Name: C LLZ-1 Y' . C—A QA Owners Address: P DtB Ox _78L& C4-4 7 G U CA Ci5 9 )-7 Telephone No.: 131 q 3 (g 3 (� Situs Address: G LArZ1Z bo–b– Proposed Use: Residential ❑ New Single Family Residential Q Single Family Addition ❑ Mobile Home ❑ Residential Accessory. ❑ Permanent Second Dwelling ❑ Temporary Mobile Home (Aunt Minnie) ❑ Temporary Travel Trailer ❑ Multi -family Non-residential ❑ New Commercial ❑ Commercial Addition ❑ New Industrial ❑ Industrial Addition Other ❑ Septic S Agricultural Exempt Building ❑ Other: Brief Explanation (if necessary): ❑ Single Family Remodel ❑ Commercial Remodel ❑ Industrial Remodel ❑ Well DO NOT WRITE BELOW THIS LINE DEVELOPMENT SERVICES INFORMATION (For Staff Use) ❑ Approved Conditionally Approved ❑ Resolve Problems Prior to Approval ❑ Site Plan Stamped Approved By Date Ll 2-0 Page 1 of 5 ALL ITEMS CHECKED APPLY TO THE PROPERTY Parcel Is In: ❑ Snow Load Area: ❑ Land Conservation Act Minimum Acreage: ❑ Verify residence can be built per contract ❑ Nitrate Action Plan (See Environmental Health for standards) F] Watershed Protection Overlay Zone (See attached standards and requirements) ❑ Expansive Soils (Test for expansive soils and if verified proper foundation design required) SRA - (CDF to determine specific requirements) 100 -Year Flood Plain: (See attached) • Flood Zone: 'A • Flood Panel No.: Q 55 O Q. Index Date: ❑ Sacramento River Reclamation District (Approval must be obtained from the California Reclamation Board) ❑ Feather River Reclamation District (Approval must be obtained from the California Reclamation Board) ❑ North Chico Specific Plan (See Development Fees Section and attached standards and requirements) ❑ Chapman/Mulberry (See attached standards and requirements) ❑ Cohasset Area (See attached standards and requirements) ❑ Grading Zone (See attached handout) Use Requires: ❑ Use Permit ❑ Minor Use Permit ❑ Administrative Permit ❑ Minor Variance ❑ Variance -------------------------------------------------------------------------------------------- ❑ Detached Building Use Form ❑ Encroachment Permit ❑ Agricultural Worker Affidavit ❑ Agricultural Acknowledgement Statement Zoning:- A R 2' S. Applicable Building Setbacks: ❑ Setbacks drawn on site Plan. ® CDF approval needed for encroachments into SRA setbacks. Page 2 of 5 Zoning Code Streets & Highways Fire Prevention Subdivision -Map Front Side Is 0 ZS Side Street 5 Q C t- Sjr L Rear 3 2s Height Waterway N/A N/A N/A ❑ Setbacks drawn on site Plan. ® CDF approval needed for encroachments into SRA setbacks. Page 2 of 5 Applicable Development Fees: Standard Fees Amount ❑ Fire ❑ School* ❑ Parks/Recreation ❑ Roads ❑ Sheriff ❑ Drainage ❑ NCSP/CSA 87 ❑ Chico Urban Area - Road ❑ Thermalito Impact ❑ Other Subdivision Map Special Fees ❑ Water Tender ❑ Road Improvement ❑ North Oroville Area ❑ Other (per map) Formula * Check with school district to verify actual fee if pre -application review. A final determination will be made at the time of the building permit. Parcel Created By Deeds: Date of Creation: Legal Access Provided: ❑ No Deed of Reference: C) (-)) 19-0Fr -0 G9_1> Legal Access Required ❑ No Parcel Frontage on Publicly Maintained Road: ❑ No ❑ .Yes, Road Name:_ Complies with County Standards for Deed Creation: ❑ No ❑ Yes Comments: ® Yes ❑ Yes IN Parcel Deemed to be legal ❑ Verify Legal Parcel ❑ Verify Legal Access ❑Provide Deed of Creation ❑ Obtain a Certificate of Compliance ❑ Obtain a Merger ❑ Obtain a Lot Line Adjustment ❑ Comply with Old Subdivision Lot Ordinance (Maps recorded prior to Book 17 of Maps Page 23). ❑ Construct road to: ❑ Meet Parcel size required by zone ❑ Meet current Environmental Health Department requirements Page 3 of 5 Subdivision Map/Parcel Map: Map Date of Recording: Lot: ❑ Use Permit/Minor Use Permit Permit Number: Date of Approval: ❑ Comply with the following Conditions of Approval: ❑ Meet the Fire Safe Regulations of Butte County and P.R.C. 4290 Page: ❑ Automatic fire suppression sprinkler systems shall be installed in accordance with the National Fire Protection Association Standard for installation of sprinkler systems in one and two family dwellings and mobile homes, NFPA Standard 13D, unless a pressurized community water system, with hydrants that meet the Fire Department specifications, serves the parcel. ❑ Wood stoves and fireplace inserts shall be EPA approved and designed to meet the emission. requirements -of the California Clean Air Act of 1988, as amended. ❑ Provide an erosion control plan for building and land disturbance on slopes steeper than 30%. The Erosion Control Plan must be prepared by a registered civil engineer or other qualified professional and be submitted to and approved by the Department of Public Works. ❑ A plan prepared by a certified arborist, botanist or landscape architect that shows the existing on-site mature trees, located in any area proposed for buildings and vehicular access, and provides for methods to protect the trees identified to be preserved, shall be provided to and approved by the Planning Division prior to the issuance of building permits and/or prior to grading or vegetation removal. The removal of mature trees shall be minimized, where possible. A mature tree shall be defined as a tree with a trunk measuring .4 inches in diameter, 4 feet from ground level: Mature trees removed shall be replaced on a 3 -to -1 ratio, utilizing existing oak'tree stock. Each tree to be preserved shall be surrounded by a circular zone (minimum 40 -foot radius) identified by an orange fence during construction activities. No vegetation removal, soil disturbance, or other development activities shall occur within the fenced area. ❑ Measures shall be taken to control fugitive dust emissions from all driveway and other, civil construction associated with residential development. Approved dust control measures are found in the fugitive dust control plan for the site approved by the Butte County Air Quality Management District, a copy of which can be obtained from the Butte County Department of Development Services, Building Division." ❑ Engineered foundations are required. ❑ Class A roofs are required. Page 4 of 5 LTJ Summary of Specific Requirements: This information provided in this summary is based on the application'information and on the best available data at the time of review. CAMy Documents\Building Permit Site Plan R,eviewl.doc Page 5 of 5 Stanley R. Pari_er 5521. Topeka Drive Tarzaaa, California 91.350 Re; Ac' 41-43--'14. Dear I -s. Parker On April b, 1933, we reviewed the above parcel at the request of Almond Realty to deteraine if a portion of the.lot was in the flood plain zone. Asnaear as bre could tell the area of the lot possibly usable for sewage disposal purposes does indeed lie within the flood plain zone. Elie Board of SEW pervisors recently approved an ordinance which essentially prohibits septic tan.' Installation within the flood plain -o-ries. Consequently, we are unable to Vssue a sewage disposal perm,- on this lot at this time, and there is no weed for further review of your application. If the flood plain ordinance should be amended or revised to allow individual sewage disposal within the flood plain we shall be 1lappy to revievi your lot further. If you have a -V questions, please feel free to call upon us. Very tru-1,7 Sirars, IV= E. V, -hart,' Director Division of Environ :ental 1lealth LEV1da QLE October 14, 2002 Ms. Ella Eagar P. O. Box 7868 Chico CA 95927 R.E. Refund Request for AP # 041-430-014 Dear Ms. Eagar: Your request for refund was received by this office. No refund is due, because of the fact that the monies paid to the Building Division was paid by a Mr. Greg Lee (your contractor) and to him the refund is owed. You have any questions concerning this matter please contact this office at (530) 538-7541. Yours truly �Mm- Taninue Powell Plans Applicant Assistant I r- 1 � a 041-430-014 01-1472 �EAGAR, ELLA y CLARK RD. OROVILLE CONT: OWNER ELEC FOR FUTURE LOT DEVELOP OFFICE COPY Address ELECTRIC Metterr By Date (COUNTY OF BUTT}RTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-75 J PERMIT NO. (Rev. 2/96) r'i$PPLICATIONAND PERMIT D/~ / ,�-- ASSESSOR PARCELNUMSER s 041-430-014 ZONING AR 2 1/2 BUILDING PERMIT OWNER FAGAR MA TELEPHONE 343-8368 SQ. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS PO BOX 7868 CHICO CA 9592 CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER ' Fireplace LENDER'S MaUNO ADDRESS Total Valuation is ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDINGADDRESS CZ" RD. OROV=CA 95%5 Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other LOT DEVEIAPHW SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping15.00 Each as water heater or vent 15.00 TYPE OF WORK New )Q Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: EW POW>;It POiF FOR FMJRE DFVF'U)PMM 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 �. OR LESS 23.00 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 La for the following reason: I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) 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 f I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X-,��1/// �• /w�o Date ��" �lS�l _ Signature of Applicant - f�Owner ❑ Contractor ❑ Agent An OSHA permit is required for 41avation2-)Ler 60" deep and demolition or construction of structures over 3 stories -in Fieig . "`� Main Service 200A TO 1000A 46.00 NEW CONST. ( DWELLING OCCUR so OR ADONS. s ACC. BLDS. 3.50FT. 1N.pr}REs,p. ' MULTI.OUTLETcTS @7.50 POWER APPARATU & SINGLE OUTLET CIR. 20 Ex. Occup. OUTLET OR FDCTUREs BAL Ex. Occup. .FIXs . o f 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PRE INSPECTION 23.00 PERMIT FEE $ 66.00 MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEL $ Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST. TYPE TOTAL FEE $ 66.00 HAZ. D. FEES IMP FLOOD CDF PARCEL PD HD IS UE ,. 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. / /l By ��: ~ :> r' Date J � -^ PERMIT EXPIRES ON (Date) Receipt No. ..•- WHITE-D.D.S.-B.D. CANARY-ASSE R PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE BUILDING DIVISION. . DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street • Chico, CA • (530) 891-2751 7 County Center Drive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE r OWNER lr PERMIT NO. xz: A routine inspection indicates that the following violations of butte county Ordinances exist at the above address and should be corrected. Please notice this office when correction of work is - completed. If you have any questions pertaining to this matter, or need additional explanation, v. please contaci this office immediately. ,A J Date � l Inspector Uf" r REV 1492 COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-751 PERMIT NO. (Rev.;2/§6) APPLICATION AND PERMIT ��� �y 7 , ASSESSOR PARCELNUMBER 041-430-014 ZONING AR 2 1 2 BUILDING PERMIT OWNER EAGAR ELLA TELEPHONE 343-8368 SO. FT. OCC. BUILDING YALUATION . OWNERS MAILING ACDRESS PO BOX -7868 CHICO CA 95927 CONTjj''R''AAC�C''T--OO'R``S NAME TELEPHONE ' CONTRACTORS MAIUNG ADDRESS CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. —Filing Fee $ 20.00 Permit Fee 5 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS CLARK RD. OROVILLE CA 95965 Energy Plan Checking Fee $ $ PERMIT FEE S LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Feel 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other LOT DEVELOPMENT SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New )] Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: ELEC POWER POT F FOR FIMIRF DFVFi.OPMFNT Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home ISI GI W1 @20.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 "OVOR LE Main Service 2o0A OR LESS 23.00 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 Lfor the following reason: a 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 I hereby affirm ander 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 workars' 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 h undyed dollars ($100) or less.) I certify *at in the performance of the work for which this permit is issued, 1 shall not emp oy 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 _ L_ Date d� Signature of Applicant - ner ❑ Contractor ❑ Agent An OSHA permit is requirfor ccavations er 5'0" deep and demolition or construction of structures ovar 3 storie ' eig . Main Service 200A TO 1000A 46.00 NEW CONST. DWEwNG OCCUP. s0 OR ADONS. ( 6 ACC. BLDS. 3.5¢x. �" N -R S MULTI -OUTLET @7.50 H CIRCUITS POWER APPARATUS & SINGLE OUTLET FIR. Ex. Occu OUTLET OR FIXTURES 20 0'•00 BAL Q .SO Ex. Occup.DETS 6.) E 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PRE INSPECTION 23.00 PERMIT FEE S 66,00 MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEt $ Mobile Home Installation Fee Is Energy Inspection Fee Is Occ CONST. TYPE TOTAL FEE $ 66.00 HAZ. I D. FEES IMP I FLOOD FDF PARCEL PD 1 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 DoegA l/ PERMIT EXPIRES ON ate Receipt No. WHITE-D.D.S.-B.D. CANARY-ASSE R PINK -INSPECTOR GOLDENROD -APPLICANT 1 COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-754 PERMIT NO. APPLICATION AND PERMIT ASSESOR PARCEL NUMB � �/ �lj .. �/ ZO NO r BUILDING PER OWNER T N �.j SO. FT. OWNER iJ✓ AD ����� 7 CONTRA E TELEPHONE CONTRACTORS MAILING ADDRESS MV—] CONSTRUCTION LENDER LENDER'S MAILING ADDRESS ARCHITECTOR ENGINEER LICENSE NO. Flin Fee S 20.00 ARCHITECT OR ENGINEERS ADDRESS ADDRS Permit Fee $ BUILDING ss Plan Checking Fee b Energy Plan Checking Fee $ / a LD NO. SUBDIVISION'S NAME PARCEL MAP PERMIT FEE $ PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE Each Trap 7.00 SF ❑ Duplex ❑ Mobilehome ❑ Other Solar or heat Pump water heater 23.00 ePEclsv Water piping 15.00 TYPE OF WORK Each gas water heater or vent 15.00 New ❑ Addition R odel Utilities ❑ In ❑ ❑ Gas piping stem 1 - 5 outlets 15.00 Building sewer 15.00 Desc ibe Work: '� Mobile Home SIG W Q20.00 PERMIT FEE $ <•' ELECTRICAL PERMIT Fling Fee 20.00 Main Service OOOV OR LESS 200A OR LESS 23.00 !i Main Service 200A TO IOWA 46.00 NEW CONST. DWELLING OCCUP. OR ADONS. s ACC. BLDS.N ON OS. MULTI.NON•RE10OUTLET @7.50 • POWER APPARATUS & SINGLE OUTLET CIR. ' O 100 EX. OCCU . OUTLET OR FIXTURE RA20 L . ' OUTLETS R50 EX. Occup. FIXED APPLNS. OR EBID. EA 5.00 1 I Tem2orary Service 23.00 Mobile Home Facilities- — _-- _ 20.00 s Win 23.00 ERMIT FEE S *PERMIT FEE PAID MECHANICAL PERMIT Fling Fee 20.00 _ SRA - Heating Cooling SHERIFF Hood 6.50 OTHER --------------- Ventilation PERMIT FEt ! Mobile Home Installation Fee $ Energy Inspection Fee $ I Occ CONST. TYPE TOTAL FEE $ AMOUNT RECEIVED � � �/ � HAZ. D. FEE IMP FLoo0 CDF PARCEL PD HD ISSUE x This permit is hereby issued under the applicable provisions i of the Butte County Code and/or Resolutions to do work *RECEIPT NUMBER �7� ` 1 indicated above for which fees have been paid. _ * TO BE PVT INTO COMPUTER By Date PERMIT EXPIRES ON COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541 PERMIT APPLICATION DATA SHEET OWNER: krl� ASSESSOR PAR ER: Proposed Building Use: - uilding Inspector Date: At time of permit application, I was advised 6effollowing data milsti.9 submitted prior to permit processing and/or issuance: Date Received By ❑ 1. All iiems have been submitted -------------------------------------------------------------------------------------- 02. Plot plans, 3/4 sets, signed by the preparer of plans. ---------------------------------- -------------------------- E13. ------------------------ ❑3. Complete plans, 3/4 sets, signed by the preparer of plans. ----------------------------------------------------- 114. 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! ------------------ ❑ 6. Energy Design Compliance and supporting documentation. ---------------------------------------------------- ❑ 7. Statement of Intent for Non -Heated and A/C Buildings. --------------------------------------------------------- 118. -------------------------------------------------------- ❑8. Hazardous Material Form. ------------------------------------------------------------------------------------------ ❑ 9. Manufactured Home data and installation instructions including Tie Down Specifications ------------------- 1110. ------------------❑10. Fees of $------------------------------------------------------------------------------------- ❑ 11. Impact fees as shown on the attached schedule. ------- ❑ 12. California Department of Forestry plan approval/fees. ❑ 13. Flood elevation certificate. ------------------------------- Ell 4. ------------------------------ ❑14. Sanitation and plot plan approval Health Department. ❑ 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. ----------------------- El 9. Encroachment Permit or veway /coptru�on rior to occupancy). ---------------------------- 20. Pre -inspection for �lGred Requ ector on 112 1. Contractor's license information. (Number, Name Style, Classification). ------------------------------------ 1322. Workers' Compensation carrier and policy number. --------------------- E123. Owner -Builder Verification (Given to owner ❑, Mailed to owner ❑). E124. Letter of signature authorization. ------------------------------------------ ❑ 25. Recorded copy of Agricultural Acknowledgment Statement. ----------- 026. Letter of intent on building use. -------------------------------------------- ❑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 $ ❑ 3 0. Other: k"Pen you issue elephone _ s ❑ Mail to owner, hold for pickup at _ ❑ Deliver with inspector. lv -r k- U/ Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire DepZ1ff6�'`nt '0 -,Cr PollutionDi(te: By: Copy of plans sent ❑ Health Department, ❑ Fire Department, ❑ Other: ate: By: 1. Index permit application for the above items numbered: ❑ Plan Check List 2. Additional items required: (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: 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. 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 budding permit wM b issued until this verification is received. 1 personally plan to provide the major labor and materials for construction of the proposed property improvement : YESJvJ NO[[ J. I HAVE [ r/] HAVE NOT[J signed ar:application'fnr :a binding permit fo r the .. proposed work._.... _ . . 3. I have contracted with the following ' person (fum) to provide. the proposed construction: NAME: ADDRESS: CITY:... PHONE: CONTRACTOR'S LICENSE NO, 4. I plan to provide portions of this work, but I have hired_ the following person to coordinate, supervise, and provide the major work: NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 5. I will provide some of the work but I have contracted (hired) the following4mimns to provide the work indicated: NAME ADDRESS PHONE TYPE OF WORK SIG PROPERTY °cue ��e= _ _ e"r,: 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. Mav 1995 2.26 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::" 0 If you employ or otherwise engage any'persobs other than your immediate family, and the work'(including materials and other costs) is 5300 or more for the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. 0 If you are an employer, you must register with the State and Federal Governments as an employer and you.are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers compensation insurance, disability insurance costs, and unemployment compensation contributions. . 0 There may be financial risks'for you if you do not carry out these obligations,"and these risks are.especially serious with respect to worker's compensation insurance. 0 For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your y obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial C Accidents. If the structure is intended for sale, property owners who are not licensed contractors areallowed 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 "ownerbuildee, 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 . . Sincerely, Michael C. Vieira, C.B.O. Manager, Building Inspection NOTE: This &.N-ne,-Builder Information is required by Section 19830 of the California Health and Safety Code. May 1995 2.27 OWNER: LOCATION: .............. ................ .. ....... . ... . . PRE -INSPECTION ... C/ -}G %rz CONTRACTOR: PRE-INSPETION FOR: DATE TO INSPECTOR: Building Description: Commercial/Usage: Residential/# of Units: Currently Occupied Abandoned/Vacant Electric: Gas: ALA BUILDING INSPECTOR'S REPORT Yes No Electric currently on Off Condition of Electric DATE: 4� �/U �/ A. P. # Z11 — 400 ZONING: Natural -Propane None Currently On Off Obvious Problems: Sanitation: Plumbing Working Well Working Potable Water Obvious SewageProblems Comments: ACTION RECOMMENDED: ISSUE:. HOLD FOR Inspector:_2 Date Sketch buildings on reverse and indicate location on property. 0 ❑ B.LN. :REQUEST OR IN PECTIO / Permit No. Location: t /CJ f� 0Owner ' Cont ctororT ant: Complaint: BLDG. PLUMB/MECH ELECTRIC M.H.I./M. H. Form Rough h Top Out g Temp• Stucco Lath Stucco Brown Gas Piping/Test Service Service Corrections Fireplace Tem Gas p' Sewer Piping Underground Final Bond Beam Insulation Water Piping Well Circuit Light Niche Nailing Shower Pan OTHER Corrections Final Corrections Corrections Final Final READY / OR N PECFON (� Date: Time: _� Note: a 1 PRE- INSPECTIOI '14-0 Job Status Permit Renewal Verify Utilities A.M. P.M. COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (530) 538-7541 1Rev.12/96) . APPLICATION AND PERMIT PERMIT NO. ASSESBORPARCEL NUMB `� /, ti ,+,/ U G/1 BUILDING PERMIT OWNER �Z T ".. O1N� SO• FT. OCC. BUILDING VALUATION I J" AD COM 2 71a TELEPIgNC CONTRACTORS MAIUNO ADDRESS CONSTRUCTION LENDER LENDERS MAILING ADDRESS Fire lace ....I...I l c�.l U ENUINE R w. --cut UR ENONEEAS MA41N0 ADDRESS n USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other New ❑ Addition R odI Describe Work: Q� TYPE OF WORK *PERMIT FEE PAID SRA -- SHERIFF OTHER AMOVNT RECEIVED Total Valuation Is Filing Fee $ Permit Fee g Plan Chec: (Ing Fee S Energy Plan Checking Fee E a PERMIT FEE i PLUMBING PERMIT Each Tra Solar or heat um water heater Water piping Each gas water heater or vent Gas piping system 1 - 5 outlets Building sewer Mobile Home S G W - ERMIT FEE S PERMIT FEE t ee 20.00 ELECTRICAL PERMIT Main Service -°0v °R LESS HoodHeati=ng50 200A OR LESS Main Service 200A TO 1000A PERMIT FEI: it NEW CONST. OR ADONS. DWEE LWMG OCOUP. ---- NEW ° i AOC. BIDS. Dc° NON•RES10. MULTI OUTLET SR D. FEES IMP COF PARCEL PO NO LSSUE POWER APPARATUS This permit is hereby Issued under the applicable provisions of the Butte County Code end/or Resolutio to d LSD E OUTLET q0. Ex. Occup. OUTLET OR FDRURES EXOCCU FDIED A I.M. OR I . OVTI.ETS RESID. EA I Tem2arary Service i Mobile Home Facilities . Wiri 20.00 -tying ree 20.00 7.00 23.00 15.00 15.00 15.00 15.00 Q20.00 ng Fee 20.00 23.00 y 46.00 3.5¢F°. @7.50 5.00 23.00 20.00 23.00 k ERMIT FEE S ee 20.00 Cooling HoodHeati=ng50 Ventil PERMIT FEI: it Mobile Home Installation Fee $ ---- Energy Inspection Fee S i Dc° CONST. TYPE TOTAL FEE S / D. FEES IMP COF PARCEL PO NO LSSUE i This permit is hereby Issued under the applicable provisions of the Butte County Code end/or Resolutio to d indicated above for which fees have been paid. o wor *RECEIPT NUMBER * TO k PVT INTO COMPUTER 1 By PERMIT EXPIRES ON Date • �� ' IRONy . - -.1 �17 tN iA • rr _ t. r • � r I 1 1, i, • �v :. a U 'Y 1.c � ti a r •.' f +. f' r f rt �_ r� �i WW11 � r'wTr tl t' r• , i , ' .. 'y `t � f �„a � � , :;� �. yf "4� i.` .. A • Ir. 44 gel rn J. ! j At le w ' r• v jg - Y vy% r, ;sZ' � � i !• s' _. ` `• �•' r iL' ' i + - .74 oo 1 l'tet a?' t' ! li Ln ~l. �..+ �• .r r , . `, .. KW rl },1-i ♦ ✓�:� y : Rl P P•1 •• d S�� � � w Wil' ;S '.b .: • •r:; ., v - � � - Z O i q ❑ /. V i r r 4 ST7q� npAr� kgLL, APPR Butts? f`rn anti. m 'Re PA, (L LCAC-t" L K C -S -- qo, 24. q 24 ca F -F -I ct e p ,>Axc-- Lt- t 5= A-0 0+-7 SEC. 22 T21 N. R. 3 F M D B. 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